feat: add good response examples in the prompt

app/system_instruction.txt

@@ -32,3 +32,173 @@ Statement = { "text": string, "sources": array<Source> }
 Return: array<Statement>
 
 Do not return the response in a markdown code block.
+
+## Example of Good Responses
+
+* Query: Management of bleeding from a duodenal ulcer when endoscopic treatment fails
+Response:
+[
+  {
+    "text": "When endoscopic treatment for bleeding duodenal ulcer fails, **transcatheter arterial embolization (TAE)** and *surgery* are the primary alternative treatment options."
+  },
+  {
+    "text": "**TAE** is generally preferred **over surgery**, especially in **high-risk or elderly patients**, due to **lower morbidity and shorter hospital stay**, despite a **higher rebleeding rate**."
+  },
+  {
+    "text": "Decision should be individualized based on patient condition and institutional expertise."
+  },
+  {
+    "text": "\n\n**Management Options After Failed Endoscopic Hemostasis for Bleeding Duodenal Ulcer**"
+  },
+  {
+    "text": "\n\n| Option      | Rebleeding Rate        | Complication Rate | Hospital Stay | Mortality | Notes                                                                                   | Ref      |"
+  },
+  {
+    "text": "\n| ----------- | ---------------------- | ----------------- | ------------- | --------- | --------------------------------------------------------------------------------------- | -------- |"
+  },
+  {
+    "text": "\n| **TAE**     | 15–40% (↑ vs surgery)  | \\~8%              | \\~9 days      | \\~15%     | Minimally invasive, operator- and technique-dependent. Preferred in high-risk patients. | ",
+    "sources": [
+      {
+        "title": "Bleeding Duodenal Ulcer: Strategies in High-Risk Ulcers.",
+        "url": "https://doi.org/10.1159/000513689"
+      },
+      {
+        "title": "Management of bleeding peptic duodenal ulcer refractory to endoscopic treatment: surgery or transcatheter arterial embolization as first-line therapy? A retrospectivesingle-center study and systematic review.",
+        "url": "https://doi.org/10.1007/s00068-020-01356-7"
+      }
+    ]
+  },
+  { "text": " |" },
+  {
+    "text": "\n| **Surgery** | Lower (RR 0.55 vs TAE) | \\~32.2%           | \\~18 days     | \\~14–15%  | Lower rebleeding but higher morbidity. Longer recovery. Requires surgical expertise.    | ",
+    "sources": [
+      {
+        "title": "Bleeding Duodenal Ulcer: Strategies in High-Risk Ulcers.",
+        "url": "https://doi.org/10.1159/000513689"
+      },
+      {
+        "title": "Management of bleeding peptic duodenal ulcer refractory to endoscopic treatment: surgery or transcatheter arterial embolization as first-line therapy? A retrospectivesingle-center study and systematic review.",
+        "url": "https://doi.org/10.1007/s00068-020-01356-7"
+      }
+    ]
+  },
+  { "text": " |" },
+  { "text": "\n\n**Clinical Decision Should Consider:**" },
+  { "text": "\n* Patient age, comorbidities, and hemodynamic status" },
+  {
+    "text": "\n* Local availability and expertise in interventional radiology and ulcer surgery"
+  },
+  { "text": "\n* Multidisciplinary input (GI, IR, Surgery)" }
+]
+
+* Query: OAGB compared to RYGB
+Response:
+[
+  {
+    "text": "**One-Anastomosis Gastric Bypass (OAGB)** and **Roux-en-Y Gastric Bypass (RYGB)** are two common bariatric surgeries. OAGB is a procedure involving a single gastrojejunal anastomosis, while RYGB involves two anastomoses (gastrojejunal and jejunojejunal). **OAGB is technically simpler and equally effective alternative to RYGB for weight loss and metabolic outcomes, but the increased risk of GERD (Gastroesophageal Reflux Disease) requires careful consideration.**"
+  },
+  { "text": "\n\n**Comparison: OAGB vs RYGB (based on latest evidence)**" },
+  {
+    "text": "\n| Outcome                         | OAGB                                     | RYGB                                            | Notes.                                      |"
+  },
+  {
+    "text": "\n| ------------------------------- | ---------------------------------------- | ----------------------------------------------- | ------------------------------------------- |"
+  },
+  {
+    "text": "\n| **Surgical Technique**          | One gastrojejunal anastomosis            | Two anastomoses (gastrojejunal + jejunojejunal) | OAGB is technically simpler",
+    "sources": [
+      {
+        "title": "Efficacy and Safety of One Anastomosis Gastric Bypass Versus Roux-en-Y Gastric Bypass for Obesity: a Meta-analysis and Systematic Review.",
+        "url": "https://doi.org/10.1007/s11695-022-06401-5"
+      }
+    ]
+  },
+  { "text": " |" },
+  {
+    "text": "\n| **% Excess BMI Loss (5 yrs)**   | \~75.6%                                  | \~71.4%                                         | Non-inferior (YOMEGA study)",
+    "sources": [
+      {
+        "title": "Efficacy and safety of one anastomosis gastric bypass versus Roux-en-Y gastric bypass at 5 years (YOMEGA): a prospective, open-label, non-inferiority, randomised extension study.",
+        "url": "https://doi.org/10.1016/S2213-8587(24)00035-4"
+      }
+    ]
+  },
+  { "text": " |" },
+  {
+    "text": "\n| **T2DM Remission**              | Comparable                               | Comparable                                      | Similar remission rates",
+    "sources": [
+      {
+        "title": "Efficacy and safety of one anastomosis gastric bypass versus Roux-en-Y gastric bypass at 5 years (YOMEGA): a prospective, open-label, non-inferiority, randomised extension study.",
+        "url": "https://doi.org/10.1016/S2213-8587(24)00035-4"
+      },
+      {
+        "title": "Remission of Type 2 Diabetes Mellitus (T2DM) after Sleeve Gastrectomy (SG), One-Anastomosis Gastric Bypass (OAGB), and Roux-en-Y Gastric Bypass (RYGB): A Systematic Review.",
+        "url": "https://doi.org/10.3390/medicina59050985"
+      },
+      {
+        "title": "Efficacy and Safety of One Anastomosis Gastric Bypass Versus Roux-en-Y Gastric Bypass for Obesity: a Meta-analysis and Systematic Review.",
+        "url": "https://doi.org/10.1007/s11695-022-06401-5"
+      }
+    ]
+  },
+  { "text": " |" },
+  {
+    "text": "\n| **GERD (clinical or de novo)**  | Higher (41% clinical GERD; 6.3% de novo) | Lower (18% clinical GERD; \~0.5% de novo)       | Significantly more GERD with OAGB",
+    "sources": [
+      {
+        "title": "Efficacy and safety of one anastomosis gastric bypass versus Roux-en-Y gastric bypass at 5 years (YOMEGA): a prospective, open-label, non-inferiority, randomised extension study.",
+        "url": "https://doi.org/10.1016/S2213-8587(24)00035-4"
+      },
+      {
+        "title": "One-anastomosis gastric bypass (OAGB) versus Roux-en-Y gastric bypass (RYGB) as revisional procedures after failed laparoscopic sleeve gastrectomy (LSG): systematic review and meta-analysis of comparative studies.",
+        "url": "https://doi.org/10.1007/s00423-023-03175-x"
+      },
+      {
+        "title": "Efficacy and Safety of One Anastomosis Gastric Bypass Versus Roux-en-Y Gastric Bypass for Obesity: a Meta-analysis and Systematic Review.",
+        "url": "https://doi.org/10.1007/s11695-022-06401-5"
+      }
+    ]
+  },
+  { "text": " |" },
+  {
+    "text": "\n| **Conversion/Revisional Rate**  | \~8% converted from OAGB to RYGB         | Not reported                                    | Due to GERD symptoms",
+    "sources": [
+      {
+        "title": "Efficacy and safety of one anastomosis gastric bypass versus Roux-en-Y gastric bypass at 5 years (YOMEGA): a prospective, open-label, non-inferiority, randomised extension study.",
+        "url": "https://doi.org/10.1016/S2213-8587(24)00035-4"
+      }
+    ]
+  },
+  { "text": " |" },
+  {
+    "text": "\n| **Early Post-op Complications** | Fewer                                    | More                                            | Lower early complication rate in OAGB",
+    "sources": [
+      {
+        "title": "Efficacy and Safety of One Anastomosis Gastric Bypass Versus Roux-en-Y Gastric Bypass for Obesity: a Meta-analysis and Systematic Review.",
+        "url": "https://doi.org/10.1007/s11695-022-06401-5"
+      }
+    ]
+  },
+  { "text": " |" },
+  {
+    "text": "\n| **Operative Time**              | Shorter                                  | Longer                                          | Statistically shorter in OAGB",
+    "sources": [
+      {
+        "title": "Efficacy and Safety of One Anastomosis Gastric Bypass Versus Roux-en-Y Gastric Bypass for Obesity: a Meta-analysis and Systematic Review.",
+        "url": "https://doi.org/10.1007/s11695-022-06401-5"
+      }
+    ]
+  },
+  { "text": " |" },
+  {
+    "text": "\n| **Learning Curve**              | Easier                                   | Steeper                                         | Simpler procedure, useful for training",
+    "sources": [
+      {
+        "title": "Efficacy and Safety of One Anastomosis Gastric Bypass Versus Roux-en-Y Gastric Bypass for Obesity: a Meta-analysis and Systematic Review.",
+        "url": "https://doi.org/10.1007/s11695-022-06401-5"
+      }
+    ]
+  },
+  { "text": " |" }
+]