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1.
Crit Rev Biomed Eng ; 52(5): 1-16, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38884210

RESUMO

The study aims to enhance the standard of medical care for individuals working in the electric power industry who are exposed to industrial frequency electromagnetic fields and other relevant risk factors. This enhancement is sought through the integration of fuzzy mathematical models with contemporary information and intellectual technologies. The study addresses the challenges of forecasting and diagnosing illnesses within a specific demographic characterized by a combination of poorly formalized issues with interconnected conditions. To tackle this complexity, a methodological framework was developed for synthesizing hybrid fuzzy decision rules. This approach combines clinical expertise with artificial intelligence methodologies to promote innovative problem-solving strategies. Additionally, the researchers devised an original method to evaluate the body's protective capacity, which was integrated into these decision rules to enhance the precision and efficacy of medical decision-making processes. The research findings indicate that industrial frequency electromagnetic fields contribute to illnesses of societal significance. Additionally, it highlights that these effects are worsened by other risk factors such as adverse microclimates, noise, vibration, chemical exposure, and psychological stress. Diseases of the neurological, immunological, cardiovascular, genitourinary, respiratory, and digestive systems are caused by these variables in conjunction with unique physical traits. The development of mathematical models in this study makes it possible to detect and diagnose disorders in workers exposed to electromagnetic fields early on, especially those pertaining to the autonomic nervous system and heart rhythm regulation. The results can be used in clinical practice to treat personnel in the electric power industry since expert evaluation and modeling showed high confidence levels in decision-making accuracy.


Assuntos
Campos Eletromagnéticos , Lógica Fuzzy , Doenças do Sistema Nervoso , Humanos , Campos Eletromagnéticos/efeitos adversos , Doenças do Sistema Nervoso/diagnóstico , Doenças do Sistema Nervoso/etiologia , Bioengenharia , Exposição Ocupacional/efeitos adversos
2.
Comput Methods Biomech Biomed Engin ; 26(12): 1400-1418, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-36305552

RESUMO

Currently, intelligent systems built on a multimodal basis are used to study the functional state of living objects. Its essence lies in the fact that a decision is made through several independent information channels with the subsequent aggregation of these decisions. The method of forming descriptors for classifiers of the functional state of the respiratory system includes the study of the spectral range of the respiratory rhythm and the construction of the wavelet plane of the monitoring electrocardiosignal overlapping this range. Then, variations in the breathing rhythm are determined along the corresponding lines of the wavelet plane. Its analysis makes it possible to select slow waves corresponding to the breathing rhythm and systemic waves of the second order. Analysis of the spectral characteristics of these waves makes it possible to form a space of informative features for classifiers of the functional state of the respiratory system. To construct classifiers of the functional state of the respiratory system, hierarchical classifiers were used. As an example, we took a group of patients with pneumonia with a well-defined diagnosis (radiography, X-ray tomography, laboratory data) and a group of volunteers without pulmonary pathology. The diagnostic sensitivity of the obtained classifier was 76% specificity with a diagnostic specificity of 82%, which is comparable to the results of X-ray studies. It is shown that the corresponding lines of the wavelet planes are correlated with the respiratory system and, using their Fourier analysis, descriptors can be obtained for training neural network classifiers of the functional state of the respiratory system.


Assuntos
Redes Neurais de Computação , Sistema Respiratório , Humanos
3.
J Integr Med ; 20(3): 252-264, 2022 05.
Artigo em Inglês | MEDLINE | ID: mdl-35288062

RESUMO

OBJECTIVE: This study aimed to develop expert fuzzy logic model to assist physicians in the prediction of postoperative complications of prostatic hyperplasia before surgery. METHODS: A method for classification of surgical risks was developed. The effect of rotation of the current-voltage characteristics at biologically active points (acupuncture points) was used for the formation of classifier descriptors. The effect determined reversible and non-reversible changes in electrical resistance at acupuncture points with periodic exposure to a sawtooth probe current. Then, the developed method was tested on the prediction of the success of surgical treatment of benign prostatic hyperplasia. RESULTS: Input descriptors were obtained from collected data including current-voltage characteristics of 5 acupuncture points and composed of 27 arrays feeding in the model. The maximum diagnostic sensitivity of the classifier for the success of a surgical operation in the control sample was 88% and for testing data set prediction accuracy was 97%. CONCLUSION: The use of tuples of current-voltage characteristic descriptors of acupuncture points in the classifiers could be used to predict the success of surgical treatment with satisfactory accuracy. The model can be a valuable tool to support physicians' diagnosis.


Assuntos
Terapia por Acupuntura , Lógica Fuzzy , Pontos de Acupuntura
4.
Comput Methods Biomech Biomed Engin ; 25(8): 908-921, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34882035

RESUMO

Coronary vascular disease (CHD) is one of the most fatal diseases worldwide. Cardio vascular diseases are not easily diagnosed in early disease stages. Early diagnosis is important for effective treatment, however, medical diagnoses are based on physician's personal experiences of the disease which increase time and testing cost to reach diagnosis. Physicians assess patients' condition based on electrocardiography, sonography and blood test results. In this research we develop classification model of the functional state of the cardiovascular system based on the monitoring of the evolution of the amplitudes of the first and second harmonics of the system rhythm of 0.1 Hz. We separate the signal to three streams; the first stream works with natural electro cardio signal, the other two streams are obtained as a result of frequency analysis of the amplitude- and frequency-detected electro cardio signal. We use sliding window of a demodulated electro cardio signal by means of amplitude and frequency detectors. The developed NN model showed an increase in accuracy of diagnostic efficiency by 11%. The neural network model can be trained to give accurate early detection of disease class.


Assuntos
Sistema Cardiovascular , Doença da Artéria Coronariana , Eletrocardiografia/métodos , Coração/diagnóstico por imagem , Humanos , Redes Neurais de Computação , Processamento de Sinais Assistido por Computador
5.
Crit Rev Biomed Eng ; 50(4): 13-30, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36734864

RESUMO

Ischemic disease has severe impact on patients which makes accurate diagnosis vital for health protection. Improving the quality of prediction of patients with ischemic extremity disease by using hybrid fuzzy model allows for early and accurate prognosis of the development of the disease at various stages. The prediction of critical ischemia of lower extremity (CLI) at various disease stages is complex problem due to inter-related factors. We developed hybrid fuzzy decision rules to classify ischemic severity using clinical thinking (natural intelligence) with artificial intelligence, which allows achieving a new quality in solving complex systemic problems and is innovative. In this study mathematical model was developed to classify the risk level of CLI into: subcritical ischemia, favorable outcome, questionable outcome, and unfavorable outcome. The prognosis is made using such complex indicators as confidence that the patient will develop gangrene of the lower extremity (unfavorable outcome), complex coefficient of variability, and reversibility of the ischemic process. Model accuracy was calculated using representative control samples that showed high diagnostic accuracy and specificity characterizing the quality of prediction are 0.9 and higher, which makes it possible to recommend their use in medical practice.


Assuntos
Inteligência Artificial , Extremidade Inferior , Humanos , Isquemia/diagnóstico
6.
Crit Rev Biomed Eng ; 49(1): 67-75, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34347988

RESUMO

Urologists and nephrologists attribute pyelonephritis of pregnant women to the category of complicated upper urinary tract infections that threaten the development of a severe purulent-septic process. The frequency of pyelonephritis in pregnant women ranges from 12.2 to 33.8%. In this research, laboratory indicators of the state of immunity and lipid peroxidation using fuzzy decision logic are used to improve the quality of differential diagnosis of serous and purulent pyelonephritis in pregnant women. A space of informative indicators was formed that characterize the state of immune changes, making it possible to carry out the differential diagnosis of pyelonephritis forms in pregnant women with high accuracy. Results of the operation of the obtained decision rules in the control sample showed that the diagnostic efficiency of the proposed method reaches 93%, which is acceptable for use in medical practice.


Assuntos
Gestantes , Pielonefrite , Diagnóstico Diferencial , Feminino , Lógica Fuzzy , Humanos , Gravidez , Pielonefrite/diagnóstico
7.
Comput Methods Biomech Biomed Engin ; 24(13): 1504-1516, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34176395

RESUMO

The work investigates neural network model for prediction of post-surgical treatment risks. The descriptors of the risk classifiers are formed on the basis of the analysis of the current-voltage characteristics of one, two and three biologically active points. The training and verification samples were formed by examining 120 patients with a diagnosis of benign prostatic hyperplasia. Of these, 62 patients were successfully operated on (class C1), 30 had various complications after surgery (class C2), 28 patients required additional treatment (class C3). The constructed classifiers showed a high quality of predicting critical conditions during surgical treatment.


Assuntos
Redes Neurais de Computação , Humanos , Período Pós-Operatório
8.
Crit Rev Biomed Eng ; 49(6): 41-55, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-35993950

RESUMO

Several researchers studied the health impacts of electromagnetic fields in work environment. However, the previous research focuses on the statistical analysis of past exposure. There are no studies that addressed prediction of health symptoms. Prediction and early diagnosis of occupational diseases of electric power workers with acceptable accuracy is needed. The objective of this study is to develop a data driven mathematical model for predicting and diagnosis of occupational diseases in workers in electric power industry. The complex nature of disease occurrence due to electromagnetic radiation is appropriate for the fuzzy rules set by medical experts which are analyzed and validated to produce hybrid fuzzy decision rules. The selected group of medical experts suggested using hormonal disorders, endocrine diseases, coffee abuse, chronic diseases of the internal organs, allergic diseases, cervical osteochondrosis, severe course of infectious diseases, intoxication, injury. The developed hybrid fuzzy logic model predicts high risk of developing nervous system diseases. The prediction accuracy exceeded 0.88, which is acceptable for supporting tool.

9.
Crit Rev Biomed Eng ; 49(5): 1-12, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-35695583

RESUMO

The study focuses on the choice of prevention schemes of the appearance and recurrence of gangrene of the lower extremities, depending on any of the degrees of confidence that the patient will have gangrene or will experience its relapse. The degree of confidence is determined using the fuzzy logic of decision making on the relevant membership functions. For each of the selected classes, an appropriate prevention scheme has been developed, the effectiveness of which was tested using the theory of measuring latent variables and the synthesis of mathematical models of their choice depending on the degree of risk of the occurrence and recurrence of lower extremities gangrene. Model statistical tests showed that compared with traditional prevention schemes the use of the proposed models can increase the rate of positive results in the absence of lower extremities gangrene and reduce the possibility of relapse (recurrent changes by 42%, risk of amputation by 35%).


Assuntos
Gangrena , Extremidade Inferior , Amputação Cirúrgica , Lógica Fuzzy , Gangrena/prevenção & controle , Gangrena/cirurgia , Humanos , Recidiva
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