Wenkong Wang

Jiaxing Fan, Jiaojiao Liu, Wenkong Wang et al.

Most stroke patients experience upper limb motor dysfunction. Compensatory movements are prevalent during rehabilitation training, which is detrimental to patients' long-term recovery. Therefore, detecting compensatory movements is of great significance. In this study, a Graph Convolutional Long Short-Term Memory Attention Network (GCN-LSTM-ATT) based on skeleton data is proposed for the detection of compensatory movements after stroke. Sixteen stroke patients were selected in the research. The skeleton data of the patients performing specific rehabilitation movements were collected using the Kinect depth camera. After data processing, detection models were constructed respectively using the GCN-LSTM-ATT model, the Support Vector Machine(SVM), the K-Nearest Neighbor algorithm(KNN), and the Random Forest(RF). The results show that the detection accuracy of the GCN-LSTM-ATT model reaches 0.8580, which is significantly higher than that of traditional machine learning algorithms. Ablation experiments indicate that each component of the model contributes significantly to the performance improvement. These findings provide a more precise and powerful tool for the detection of compensatory movements after stroke, and are expected to facilitate the optimization of rehabilitation training strategies for stroke patients.

Xiang Li, Huizi Yu, Wenkong Wang et al.

Objective: Emergency medical dispatch (EMD) is a high-stakes process challenged by caller distress, ambiguity, and cognitive load. Large Language Models (LLMs) and Multi-Agent Systems (MAS) offer opportunities to augment dispatchers. This study aimed to develop and evaluate a taxonomy-grounded, LLM-powered multi-agent system for simulating realistic EMD scenarios. Methods: We constructed a clinical taxonomy (32 chief complaints, 6 caller identities from MIMIC-III) and a six-phase call protocol. Using this framework, we developed an AutoGen-based MAS with Caller and Dispatcher Agents. The system grounds interactions in a fact commons to ensure clinical plausibility and mitigate misinformation. We used a hybrid evaluation framework: four physicians assessed 100 simulated cases for "Guidance Efficacy" and "Dispatch Effectiveness," supplemented by automated linguistic analysis (sentiment, readability, politeness). Results: Human evaluation, with substantial inter-rater agreement (Gwe's AC1 > 0.70), confirmed the system's high performance. It demonstrated excellent Dispatch Effectiveness (e.g., 94 % contacting the correct potential other agents) and Guidance Efficacy (advice provided in 91 % of cases), both rated highly by physicians. Algorithmic metrics corroborated these findings, indicating a predominantly neutral affective profile (73.7 % neutral sentiment; 90.4 % neutral emotion), high readability (Flesch 80.9), and a consistently polite style (60.0 % polite; 0 % impolite). Conclusion: Our taxonomy-grounded MAS simulates diverse, clinically plausible dispatch scenarios with high fidelity. Findings support its use for dispatcher training, protocol evaluation, and as a foundation for real-time decision support. This work outlines a pathway for safely integrating advanced AI agents into emergency response workflows.