医学控制中几个变量间惊喜度量的比较

C. Helgason, T. Jobe
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引用次数: 0

摘要

利用模糊子集定理定义了模糊因果测度K。它是未知因素在确定模糊集的基数变化中的作用的度量。方法:我们测量了以下方面的K值:(1)使用10例缺血性卒中患者的低密度和高密度脂蛋白值的模糊集基数的变化,(2)专家意见对相同变量达到目标值的程度的模糊集基数的变化,以及(3)非专家对相同变量的控制程度分级的模糊基数的变化。我们比较了实验室结果、专家结果和非专家结果的K值变化。结果:与专家意见相比,10名患者和非专家的低、高密度脂蛋白值的K值变化程度最小。结论和解释:专家和非专家使用他们自己的归一化值来确定给定实验室结果满足临床目标值的程度。在专家的情况下,这种归一化根据他的经验以非线性的方式改变。对于根据书面临床指南的既定标准进行规范化的非专家来说,K没有变化,反映了一个严格的标准,抵消了任何其他因素对他的判断的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Comparison of the Measure of Surprise Between Several Variables for Medical Control
The fuzzy causation measure K has be defined using the fuzzy Subsethood theorem. It is a measure of the role of unknown factors in the determination of a change in cardinality of a fuzzy set. Methods: We measured the value of K for: (1) change in fuzzy set cardinality using low density and high density lipoprotein values in 10 patients with history of ischemic stroke, (2) the change in fuzzy set cardinality for expert opinion regarding the degree of goal value attained by same variables, and (3) the change in fuzzy cardinality for non-expert grading of degree of control of the same variables. We compared K values for change in lab results, expert results and non expert results. Results: The degree of change in K for low and high density lipoprotein values in each of 10 patients, and the non expert was minimal compared to that of the expert's opinion. Conclusion and Interpretation: The expert and the non expert use their own normalization values for determination of degree of clinical goal values met for a given laboratory result. In the case of the expert, this normalization changes based on his experience and in a non linear fashion. For the non expert who normalizes according to a set standard of written clinical guidelines, there is no change in K reflecting a rigid standard canceling out the effect of any other contributing factors on his judgment.
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