整合理查德·梅爾多媒體學習理論與 Sweller 認知負荷理論。專為 NotebookLM 設計之非線性長篇簡報(20-50頁)自動化生成萬用操作規格書。
由於大語言模型單次輸出 Token 長度存在物理極限(約15頁),長篇臨床簡報請嚴格執行以下四步「滑動窗口」工作流,以確保 100% 畫風與版型契合:
將原始個案病歷或醫學文本丟入 NotebookLM,並複製最下方協定的 [PHASE 1]。指示模型先輸出 20-50 頁總體結構大綱(如組件 01 範例),此時嚴禁模型直接編譯單頁 DSL。
複製 [PROTOCOL CODE-GATE 02] 內的不變全域設定(Frozen Header)作為對話頂部,命令模型依據剛產出的宏觀大綱,填滿第 1 到 15 頁的精細 DSL。完成後將代碼導出封存。
開啟新對話或在原視窗中,同樣夾帶不變設定,並將「第 15 頁的最終 DSL 代碼」作為 CONTEXT_ANCHOR(狀態錨點)餵回給 AI,命令模型續寫第 16-30 頁,徹底阻斷長對話產生的風格飄移。
重複第三步的滑動邏輯(續寫 31-50 頁時,以第 30 頁為錨點)。最終收集到的全量結構化 DSL,可完美對接任何支援 CSS Grid 的前端簡報渲染引擎,無痛產出高奢質感簡報。
在未確立全局框架前,嚴禁盲目生產單頁。大綱系統為 20-50 頁的投影片預先劃定完美的資訊特質映射分類(Taxonomy Mapping),鎖定絕對的邏輯索引,是長篇簡報不脫水、不離題的核心防線。
解耦分批次生成時,大語言模型的中間 Token 權重會隨對話拉長而衰減。本面板定義了在每批提示詞頂部「強制性凍結注入」的封裝外殼,包含服裝、色彩、無視覺雜訊線條等教科書級生圖變數。
傳統版面常因盲目堆砌圖文造成大腦超載。本系統強迫執行線索化原則(Signaling Principle):非關鍵線條弱化為 5% 蘋果灰底,僅保留高飽和琥珀橘(Amber Orange)標註靶肌肉與力學向量。
Macro_Outline:
Project: "Chronic Stroke Upper Extremity Reconstruction Protocol"
Total_Slides: 20
Allocation_Matrix:
- Slide 1: SOAP Initial Evaluation | Layout: Soap_Assessment_Three_Column
- Slide 2: Kinematic Pathomechanics Analysis | Layout: Kinematic_Split_Horizontal
- Slide 3: Evidence-Based Neuroplasticity Mechanism | Layout: Evidence_Based_Citation
- Slide 4: 4-Phase Progression Map | Layout: Progression_Timeline_4Steps
- Slide 5: Micro-Task 1: Proximal Stability (Folding Cloth) | Layout: Biomechanical_CloseUp
- Slide 6: Micro-Task 2: Shrugging Compensation Overcoming | Layout: Kinematic_Split_Horizontal
- Slide 7: Micro-Task 3: Antiphase Arm Coordination | Layout: Image_Right_Text_Left
- Slide 8: Micro-Task 4: Sit-to-Stand Triple Extension | Layout: Image_Right_Text_Left
- Slide 9: Micro-Task 5: Gait Initiation Pelvic Stability | Layout: Progression_Timeline_4Steps
- Slide 10: Micro-Task 6: Dynamic Core Anchor | Layout: Image_Right_Text_Left
- Slide 11: Micro-Task 7: Tactile Feedback Lower Back | Layout: Anatomical_Highlight_Left
- Slide 12: Micro-Task 8: Wall Push Isometric Contraction | Layout: Biomechanical_CloseUp
- Slide 13: Micro-Task 9: Quadruped Balance | Layout: Kinematic_Split_Horizontal
- Slide 14: Micro-Task 10: Side Crunch Obliques Activation | Layout: Anatomical_Highlight_Left
- Slide 15: Micro-Task 11: Obstacle Clearance Step | Layout: Kinematic_Split_Horizontal
- Slide 16: Micro-Task 12: Dynamic Turning Synchronization | Layout: Progression_Timeline_4Steps
- Slide 17: Micro-Task 13: Single-Leg Stance Gluteus Activation | Layout: Biomechanical_CloseUp
- Slide 18: Micro-Task 14: Functional Reach Reintegration | Layout: Image_Right_Text_Left
- Slide 19: Quantitative Outcome Measures & Matrix | Layout: Outcome_Metric_Data_Focus
- Slide 20: Home Exercise Program (HEP) Safety Guidelines | Layout: Anatomical_Highlight_Left
Batch_Generation_Payload:
Batch_Index: 2
Target_Scope: "Slides 16-20"
Prepend_Frozen_Header: |
# ==========================================
# GLOBAL SETTINGS & IMAGE BIBLE (DO NOT ALTER)
# ==========================================
THEME: Theme_4 (Precision & Clinical Empathy)
COLOR_PALETTE: Navy Blue, Light Blue, Amber Orange
FONT_STYLE: Roboto, Noto Sans TC
IMAGE_STYLE_BASE: "Flat vector illustration, minimalist medical textbook style, clean solid outlines, 2D graphic, no shading, simple and professional."
CHARACTER_BIBLE: "Char A (Patient): Light blue T-shirt, navy shorts. Char B (PT): Navy polo shirt, khaki trousers."
ENVIRONMENT_BASE: "Solid cream background, minimalist clinic setting."
VISUAL_CUE_SYSTEM: "Amber orange highlights active muscles/CoM; arrows indicate ROM."
Sliding_Context_Anchor: |
Use Slide 15's final output compiled state tokens as a rigid baseline to enforce visual styles continuity and prevent structural weight drift.
Specific_Execution_Directives:
- Slide 16: Topic (Dynamic Turning) | Layout (Progression_Timeline_4Steps)
- Slide 17: Topic (Single-Leg Stance) | Layout (Biomechanical_CloseUp)
- Slide 18: Topic (Functional Reach) | Layout (Image_Right_Text_Left)
- Slide 19: Topic (Outcome Measures) | Layout (Outcome_Metric_Data_Focus)
- Slide 20: Topic (HEP Guidelines) | Layout (Anatomical_Highlight_Left)
# ==============================================================================
# AGENTIC MULTI-BATCH PIPELINE DECOUPLING PROTOCOL (STRICT ARCHITECTURE)
# ==============================================================================
[PROTOCOL CODE-GATE 01: MACRO OUTLINE FIRST DIRECTIVE]
- Rule 1.1: Upon ingestion of raw uncompiled rehabilitation or case studies, the Agent MUST NOT output individual slide code directly.
- Rule 1.2: The Agent MUST execute an exhaustive sequential structural breakdown spanning Slide 1 to Slide N (Full length, zero truncation allowed).
- Rule 1.3: Every slide row inside the macro matrix MUST mapped to a valid data schema taxonomy as defined below:
- Clinical Reasoning Matrix ➔ Assign `Soap_Assessment_Three_Column`
- Contralateral Motion / Compensation Contrast ➔ Assign `Kinematic_Split_Horizontal`
- Close-Up Manual Therapy / Joint Approximation Force ➔ Assign `Biomechanical_CloseUp`
- Longitudinal Training Progression ➔ Assign `Progression_Timeline_4Steps`
- Clinical Metrics Data / Statistical Charting ➔ Assign `Outcome_Metric_Data_Focus`
- Patient Home Rehabilitation Instruction ➔ Assign `Anatomical_Highlight_Left`
- Base Micro-Task Training Instruction ➔ Assign `Image_Right_Text_Left`
[PROTOCOL CODE-GATE 02: FROZEN SETTINGS HEADER INJECTION]
- Rule 2.1: Due to natural attention weight attenuation (Context Drift) in transformer models during batch iterations (Batch 1: 1-15, Batch 2: 16-30), the exact [GLOBAL_SETTINGS] payload block MUST be forcefully prepended at the absolute top of every dynamic execution prompt.
- Rule 2.2: The Agent must strictly read the global variables (`THEME`, `COLOR_PALETTE`, `IMAGE_STYLE_BASE`, `CHARACTER_BIBLE`) on every sliding session step to ensure Character A and Character B's clothing, colors, and textures remain pixel-matched across pages 1 to 50.
[PROTOCOL CODE-GATE 03: SLIDING WINDOW STABILIZATION MECHANISM]
- Rule 3.1: To compile Batch [K] (where K > 1), the prompt payload MUST include the exact string representation of the final slide from Batch [K-1] as a structural anchor (`CONTEXT_ANCHOR`).
- Rule 3.2: The Agent shall perform token-level similarity cross-checking against the `CONTEXT_ANCHOR` to guarantee layout variables and schema syntax do not mutate mid-execution.
[PROTOCOL CODE-GATE 04: MANDATORY SYNTAX INTEGRITY CHECKS]
- Rule 4.1: Every content row MUST terminate with an empirical source marker [1] extracted directly from the raw clinical context.
- Rule 4.2: Trailing commas inside compiled nested lists or arrays are strictly illegal to prevent frontend rendering parser failure. If a trailing comma is detected, the Agent must auto-strip it prior to stream rendering output.
# ==============================================================================
# END OF MULTI-BATCH SPECIFICATION PROTOCOL
# ==============================================================================
| 核心資訊特質 (Taxonomy) | 最佳圖文佈局 (Layout Assignment) | 視覺重心 (Visual Priming) | 認知心理學效益 (Cognitive Benefit) |
|---|---|---|---|
| 臨床代償 / 動作缺陷對比 | Kinematic_Split_Horizontal |
左文右圖(上下雙圖) | 空間鄰近對齊,降低大腦跨區域尋找資訊的剪切力。 |
| 手法治療 / 微觀解剖學受力 | Biomechanical_CloseUp |
左大圖右細節文 | 優先建立第一眼本體感覺空間定位,再進行口令閱讀。 |
| 患者居家衛教運動 (HEP) | Anatomical_Highlight_Left |
左動作英雄圖右安全文 | 強烈動作意象(Motor Imagery),降低患者模仿時的恐慌感。 |
| 病歷討論 / 臨床邏輯推理 | Soap_Assessment_Three_Column |
橫向三欄純文字卡片 | 嚴格落實一致性原則,移除視覺雜訊,釋放最大工作記憶帶寬。 |
Slide 2: 動作分析對比 TOPIC: 前伸擦拭:肩胛前突與代償機制對比 CONTENT: - 觀察指標: 個案執行前伸擦拭任務時,常因前鋸肌無力,無法執行肩胛胸廓關節前突,出現聳肩與軀幹對側旋轉代償 [1]。 - 降階訓練: 【抗重力滑板前伸】四足跪姿下,受側手推動滑板向前,治療師給予肩胛骨引導,嚴禁軀幹旋轉 [1]。 IMAGE_ARTIFACT: SPECIFIC_ACTION_TOP (Compensated): "Character A is in a quadruped position, shrugging shoulders towards the ear, torso rotated away from the moving arm." SPECIFIC_ACTION_BOTTOM (Corrected): "Character A is in a perfect quadruped position, pushing a small skateboard forward. Character B (Therapist) is gently placing a light blue hand on Character A's scapula to guide protraction." BIOMECHANICAL_FOCUS: "Top: Highlight upper trapezius with glowing orange. Bottom: Highlight serratus anterior with glowing orange and a forward arrow." CAMERA_ANGLE: "Side profile view, full body visible." LAYOUT: Kinematic_Split_Horizontal
Slide 1: 臨床推理 TOPIC: 個案初步評估與臨床推理機制 CONTENT: - Subjective & Objective: 左側中風偏癱歷時 6 個月。MAS 評估上肢張力為 2 級。遠端摺抹布精細捏握功能喪失 [1]。 - Assessment: 主要障礙源於近端肩胛帶穩定度缺失,導致遠端雙側異相協調出現嚴重病理代償 [1]。 - Plan: 預計拆解為 14 階段微型動作控制訓練,由閉鎖鏈 (Closed Kinetic Chain) 逐步過渡至開放鏈 (Open Kinetic Chain) [1]。 LAYOUT: Soap_Assessment_Three_Column
Slide 19: 成效評估 TOPIC: 療程介入前後功能量表與關節活動度轉變 CONTENT: - 數據展示: 收集 6 週訓練前後之無代償肩關節主動關節活動度 (ROM),由基線 23° 顯著提升至 58°。傅格-梅爾功能評估 (FMA) 上肢部分由 14 分進步至 29 分 [1]。 - 臨床意義: 數據證實「近端定錨、微型動作拆解」對慢性中風偏癱患者具備高度臨床顯著性與神經重塑效益 [1]。 LAYOUT: Outcome_Metric_Data_Focus
Slide 5: 微型動作1 TOPIC: 雙手精細摺抹布:建立近端穩定機制 CONTENT: - 觀察指標: 缺乏跨中線雙側協調;指尖捏握伴隨手腕微伸展困難;視覺與本體感覺整合不佳 [1]。 - 降階訓練: 【桌面雙側對準】雙手肘撐桌(給予近端穩定),練習將兩張有色塊的紙張邊緣精確對齊 [1]。 IMAGE_ARTIFACT: SPECIFIC_ACTION: "Character A is sitting at a desk, resting both elbows firmly on the table for support. Character B (Therapist) applies a light downward pressure on Character A's elbows." BIOMECHANICAL_FOCUS: "Highlight the resting elbows and the wrist extensors with a glowing orange outline. Add small vertical arrows showing joint reaction force." CAMERA_ANGLE: "Medium close-up, focusing on table contact surface and upper body." LAYOUT: Biomechanical_CloseUp
Slide 4: 處方進階 TOPIC: 上肢功能重建之運動處方四階段進階路徑 CONTENT: - 階段一: 桌面雙側對準(靜態近端定錨) -> 3 Sets, 10 Reps [1]. - 階段二: 四足跪姿單手推球(動態抗屈曲) -> 3 Sets, 12 Reps [1]. - 階段三: 站姿雙手推牆等長收縮(閉鎖鏈穩定) -> 3 Sets, 15 Reps [1]. - 階段 flats: 四足跪姿單手抬離(極限抗旋轉控制) -> 4 Sets, 8 Reps [1]. LAYOUT: Progression_Timeline_4Steps
Slide 3: 文獻佐證 TOPIC: 近端穩定對遠端精細動作神經重塑之實證醫學 CONTENT: - 核心機轉: 隨機對照試驗 (Randomized Controlled Trial, RCT) 指出,透過高強度近端關節抗力定錨,能有效誘發大腦皮質神經肌肉網絡的交叉側支激活 (Cross-facilitation) [1]。 - 文獻出處: Smith et al., Journal of Neuroengineering and Rehabilitation, 2025. GRADE 證據等級:高 (Tier A Triangulated)。 LAYOUT: Evidence_Based_Citation
Slide 10: 衛教指導 TOPIC: 額狀面控制:側躺抗重力腰方肌離心控制 CONTENT: - 解剖高光: 針對對側腰方肌 (Quadratus Lumborum) 與腹內外斜肌進行節段性活動度重建 [1]。 - HEP衛教: 側躺姿,利用下側手臂支撐,練習將上側骨盆與肋骨靠近(側向捲腹)。警告:嚴禁骨盆向後傾倒代償 [1]。 IMAGE_ARTIFACT: SPECIFIC_ACTION: "Character A is in a side-lying position on a mat, propped up slightly on the lower forearm. The student is performing a lateral crunch." BIOMECHANICAL_FOCUS: "Highlight the lateral core muscles (obliques/quadratus lumborum) facing the ceiling with a glowing orange outline." CAMERA_ANGLE: "Frontal/Top-down angle showing the side-lying posture clearly." LAYOUT: Anatomical_Highlight_Left
Slide 4: 微型動作4 TOPIC: 從坐到站 (Sit-to-Stand):克服矢狀面重力 CONTENT: - 觀察指標: 矢狀面動態重心轉移 (Weight Shifting) 失敗;無法做到髖、膝、踝三關節同步伸展 (Triple Extension) [1]。 - 降階訓練: 【受控的重心轉移】坐在凳子上,練習僅將臀部微微抬離椅面並懸空停住,不完全站直 [1]。 IMAGE_ARTIFACT: SPECIFIC_ACTION: "Character A is hovering just one inch above a stool in a partial squat position, with hands reaching slightly forward." BIOMECHANICAL_FOCUS: "Highlight the Center of Mass (CoM) with a glowing orange dot over the feet, and use an orange arrow pointing forward and up." CAMERA_ANGLE: "Side profile view." LAYOUT: Image_Right_Text_Left