COTCAgent: Preventive Consultation via Probabilistic Chain-of-Thought Completion

As large language models empower healthcare, intelligent clinical decision support has developed rapidly. Longitudinal electronic health records (EHR) provide essential temporal evidence for accurate clinical diagnosis and analysis. However, current large language models have critical flaws in longitudinal EHR reasoning. First, lacking fine-grained statistical reasoning, they often hallucinate clinical trends and metrics when quantitative evidence is textually implied, biasing diagnostic inference. Second, non-uniform time series and scarce labels in longitudinal EHR hinder models from capturing long-range temporal dependencies, limiting reliable clinical reasoning. To address the above limitations, this work presents the Probabilistic Chain-of-Thought Completion Agent (COTCAgent), a hierarchical reasoning framework for longitudinal electronic health records. It consists of three core modules. The Temporal-Statistics Adapter (TSA) converts analytical plans into executable code for standardized trend output. The Chain-of-Thought Completion (COTC) layer leverages a symptom-trend-disease knowledge base with weighted scoring to evaluate disease risk, while the bounded completion module acquires structured evidence through standardized inquiries and iterative scoring constraints to ensure rigorous reasoning. By decoupling statistical computation, feature matching, and language generation, the framework eliminates reliance on complex multi-modal inputs and enables efficient longitudinal record analysis with lower computational overhead. Experimental results show that COTCAgent powered by Baichuan-M2 achieves 90.47% Top-1 accuracy on the self-built dataset and 70.41% on HealthBench, outperforming existing medical agents and mainstream large language models. The code is available at https://github.com/FrankDengAI/COTCAgent/.

Toward Personalized Darts Training: A Data-Driven Framework Based on Skeleton-Based Biomechanical Analysis and Motion Modeling

As sports training becomes more data-driven, traditional dart coaching based mainly on experience and visual observation is increasingly inadequate for high-precision, goal-oriented movements. Although prior studies have highlighted the importance of release parameters, joint motion, and coordination in dart throwing, most quantitative methods still focus on local variables, single-release metrics, or static template matching. These approaches offer limited support for personalized training and often overlook useful movement variability. This paper presents a data-driven dart training assistance system. The system creates a closed-loop framework spanning motion capture, feature modeling, and personalized feedback. Dart-throwing data were collected in markerless conditions using a Kinect 2.0 depth sensor and an optical camera. Eighteen kinematic features were extracted from four biomechanical dimensions: three-link coordination, release velocity, multi-joint angular configuration, and postural stability. Two modules were developed: a personalized optimal throwing trajectory model that combines historical high-quality samples with the minimum jerk criterion, and a motion deviation diagnosis and recommendation model based on z-scores and hierarchical logic. A total of 2,396 throwing samples from professional and non-professional athletes were collected. Results show that the system generates smooth personalized reference trajectories consistent with natural human movement. Case studies indicate that it can detect poor trunk stability, abnormal elbow displacement, and imbalanced velocity control, then provide targeted recommendations. The framework shifts dart evaluation from deviation from a uniform standard to deviation from an individual's optimal control range, improving personalization and interpretability for darts training and other high-precision target sports.