Synthesis of Models for Predicting and Diagnosing Occupational Diseases Based on Hybrid Fuzzy Technology

R. I. Safronov, K. V. Razumova, А. Y. Rybakov, А. V. Lyakh
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Abstract

The purpose of research is to develop a method for synthesizing models for predicting and diagnosing occupational diseases based on hybrid fuzzy technology, providing an increase in the quality of decision-making in occupational pathology.Methods. It is established that most of the problems related to the topic under study (forecasting, early diagnosis, assessment of the severity and dynamics of the development of professional diseases) belong to the class of poorly formalized problems with fuzzy and incomplete data structure, which are recommended to be solved using the methodology of synthesis of hybrid fuzzy solving rules based on on the interaction of the natural intelligence of doctors and a cognitive engineer with artificial hybrid intelligence. Using the chosen mathematical apparatus, a method for the synthesis of fuzzy models of forecasting and diagnosis of occupational diseases is proposed.Results. As a concrete example, the problem of predicting and diagnosing ischemic heart disease (CHD) in electric train drivers has been solved with the allocation of such classes of conditions as: "healthy and the appearance of CHD is not expected"; "healthy, but the appearance of CHD is expected after the predicted time"; "early stage of CHD"; "CHD disease has been detected". As a result of expert evaluation, it was shown that the confidence in the correct classification is at the level of 0.9. The same result was confirmed by the results of statistical tests on representative control samples in terms of diagnostic sensitivity and specificity.Conclusion. The proposed method of synthesis of hybrid fuzzy models makes it possible to synthesize hybrid decision rules that improve the quality of prediction and early diagnosis of the studied class of diseases both in the presence of training samples and in their absence by compensating for the lack of statistical material by methods of formalization of clinical thinking. As a concrete example, the problem of predicting and diagnosing ischemic heart disease in electric train drivers has been solved. It is shown that the confidence in the correct classification is at the level of 0.9, which allows us to recommend the results obtained for practical use in occupational pathology.
基于混合模糊技术的职业病预测和诊断模型综述
研究的目的是开发一种基于混合模糊技术的职业病预测和诊断模型的综合方法,从而提高职业病学决策的质量。研究发现,与研究主题相关的大多数问题(职业病的预测、早期诊断、严重程度评估和发展动态)都属于形式化程度低、数据结构模糊且不完整的问题,建议使用基于医生自然智能和认知工程师与人工混合智能交互的混合模糊求解规则合成方法来解决。利用所选择的数学工具,提出了职业病预测和诊断模糊模型的合成方法。作为一个具体例子,通过分配以下条件类别,解决了电动火车司机缺血性心脏病(CHD)的预测和诊断问题:"健康,预计不会出现缺血性心脏病";"健康,但预计会在预测时间后出现缺血性心脏病";"缺血性心脏病早期";"已发现缺血性心脏病"。专家评估结果表明,正确分类的置信度为 0.9。对具有代表性的对照样本进行的诊断灵敏度和特异性统计检验结果也证实了这一结果。所提出的混合模糊模型合成方法可以合成混合决策规则,从而在有训练样本和没有训练样本的情况下,通过临床思维形式化方法弥补统计资料的不足,提高所研究疾病类别的预测和早期诊断质量。一个具体的例子是,对电动火车司机缺血性心脏病的预测和诊断问题已经得到解决。结果表明,正确分类的置信度为 0.9,这使我们可以建议将所获得的结果用于职业病理学的实际应用。
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