基于模糊数学模型的氩气焊接工人支气管哮喘预测与早期诊断

И. Ю. Григоров, Л. В. Стародубцева, Станислав Петрович Серегин, Л. В. Шульга, I. Y. Grigorov, Lilia V. Starodubtseva, S. P. Seregin, L. V. Shulga
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引用次数: 0

摘要

研究的目的是建立预测和早期诊断氩焊接有毒物质影响下支气管哮喘的模糊数学模型,为实际医学方法提供可接受的决策质量。本文在混合模糊决策规则综合方法的基础上,采用综合模糊数学模型的方法,对东南联邦大学开发的工业农药作用引起的职业病进行预测和早期诊断,考虑到职业病的发生和发展风险与接触有害物质的浓度和时间之间的联系具有乘法性质化学物质。结果。利用所选择的方法,建立了焊接工人工业支气管哮喘预测与早期诊断的模糊混合模型,该模型除考虑臭氧、粉尘和纤维性危险因素对人体的影响外,还考虑了不利的环境因素和人体工程学因素,并结合个体健康特征。在建模和专家评估过程中,结果表明,所获得的数学模型对焊接工人工业支气管哮喘发生的正确预后的置信度至少为0.85,早期诊断的置信度至少为0.9。结论。建立了臭氧和纤维性粉尘对焊接工人职业性支气管哮喘个体、环境和工效学危险因素综合影响的预测和早期诊断的混合模糊模型,并对具有代表性的对照样本进行了质量检测。在对照检查中,预后模型的诊断特异性和敏感性为0.87,早期诊断模型的诊断特异性和敏感性为0.92,这对于所考虑的任务类别来说是一个很好的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prediction and Early Diagnosis of Bronchial Asthma in Workers Specializing in Argon Welding Based on Fuzzy Mathematical Models
   The purpose of research is to develop fuzzy mathematical models for predicting and early diagnosis of bronchial asthma developing under the influence of toxic substances released during argon welding providing an acceptable quality of decision-making for practical medicine   Methods. The paper uses the method of synthesis of fuzzy mathematical models of forecasting and early diagnosis of occupational diseases provoked by the action of industrial pesticides developed in the South-Eastern Federal University on the basis of the methodology of synthesis of hybrid fuzzy decision rules allowing to take into account the multiplicative nature of the links between the risk of occurrence and development of occupational diseases with the concentration and time of exposure to harmful chemicals.   Results. Using the chosen method, fuzzy hybrid models of forecasting and early diagnosis of industrial bronchial asthma in welding workers were obtained in which, in addition to the effects of ozone, dust and fibrogenic risk factors on the human body, unfavorable environmental and ergonomic factors combined with individual health characteristics are taken into account. In the course of modeling and expert evaluation, it was shown that the obtained mathematical model provides confidence in the correct prognosis of the occurrence of industrial bronchial asthma in welding workers at least 0.85, and early diagnosis at least 0.9.   Conclusion. Hybrid fuzzy models of forecasting and early diagnosis of industrial bronchial asthma in welding workers caused by the presence of ozone and fibrogenic dust in combination with individual, environmental and ergonomic risk factors were obtained, the quality of which was tested on representative control samples. During the control check, it was shown that the prognostic model provides diagnostic specificity and sensitivity at the level of 0.87, and the early diagnosis model - at the level of 0.92, which is a good result for the class of tasks under consideration.
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