Ming Sheng

Zeyu Wang, Huiying Zhao, Peng Ren et al.

Sepsis is a leading cause of death in the ICU. It is a disease requiring complex interventions in a short period of time, but its optimal treatment strategy remains uncertain. Evidence suggests that the practices of currently used treatment strategies are problematic and may cause harm to patients. To address this decision problem, we propose a new medical decision model based on historical data to help clinicians recommend the best reference option for real-time treatment. Our model combines offline reinforcement learning and deep reinforcement learning to solve the problem of traditional reinforcement learning in the medical field due to the inability to interact with the environment, while enabling our model to make decisions in a continuous state-action space. We demonstrate that, on average, the treatments recommended by the model are more valuable and reliable than those recommended by clinicians. In a large validation dataset, we find out that the patients whose actual doses from clinicians matched the decisions made by AI has the lowest mortality rates. Our model provides personalized and clinically interpretable treatment decisions for sepsis to improve patient care.

David Osei Opoku, Ming Sheng, Yong Zhang

Domain-specific QA systems require not just generative fluency but high factual accuracy grounded in structured expert knowledge. While recent Retrieval-Augmented Generation (RAG) frameworks improve context recall, they struggle with integrating heterogeneous data and maintaining reasoning consistency. To address these challenges, we propose DO-RAG, a scalable and customizable hybrid QA framework that integrates multi-level knowledge graph construction with semantic vector retrieval. Our system employs a novel agentic chain-of-thought architecture to extract structured relationships from unstructured, multimodal documents, constructing dynamic knowledge graphs that enhance retrieval precision. At query time, DO-RAG fuses graph and vector retrieval results to generate context-aware responses, followed by hallucination mitigation via grounded refinement. Experimental evaluations in the database and electrical domains show near-perfect recall and over 94% answer relevancy, with DO-RAG outperforming baseline frameworks by up to 33.38%. By combining traceability, adaptability, and performance efficiency, DO-RAG offers a reliable foundation for multi-domain, high-precision QA at scale.