1.Assessment of upper limb rehabilitation exercise participation based on trajectory errors and surface electromyography signals.
Xiaohong WANG ; Jian LYU ; Shengbo FANG
Journal of Biomedical Engineering 2025;42(2):308-317
At present, upper limb motor rehabilitation relies on specific rehabilitation aids, ignoring the initiative of upper limb motor of patients in the middle and late stages of rehabilitation. This paper proposes a fuzzy evaluation method for active participation based on trajectory error and surface electromyography (sEMG) for patients who gradually have the ability to generate active force. First, the level of motor participation was evaluated using trajectory error signals represented by computer vision. Then, the level of physiological participation was quantified based on muscle activation (MA) characterized by sEMG. Finally, the motor performance and physiological response parameters were input into the fuzzy inference system (FIS). This system was then used to construct the fuzzy decision tree (FDT), which ultimately outputs the active participation level. A controlled experiment of upper limb flexion and extension exercise in 16 healthy subjects demonstrated that the method presented in this paper was effective in quantifying difference in the active participation level of the upper limb in different force-generating states. The calculation results of this method and the active participation assessment method based on sEMG during the task cycle showed that the active participation evaluation values of both methods peaked in the initial cycle: (82.34 ± 9.3) % for this paper's method and (78.44 ± 7.31) % for the sEMG method. In the subsequent cycles, the values of both showed a dynamic change trend of rising first and then falling. Trend consistency verifies the effectiveness of the active participation assessment strategy in this paper, providing a new idea for quantifying the participation level of patients in middle and late stages of upper limb rehabilitation without special equipment mediation.
Humans
;
Electromyography/methods*
;
Upper Extremity/physiology*
;
Fuzzy Logic
;
Exercise Therapy/methods*
;
Muscle, Skeletal/physiology*
;
Male
2.Application Status of Machine Learning in Assisted Diagnosis Techniques of Cardiovascular Diseases.
Pinliang LIAO ; Zihong WANG ; Miao TIAN ; Hong CHAI ; Xiaoyu CHEN
Chinese Journal of Medical Instrumentation 2025;49(1):24-34
In recent years, cardiovascular disease has become a common disease. With the development of machine learning and big data technologies, the processing ability of electrocardiogram (ECG) signals has been greatly enhanced through new computer technologies, enabling the auxiliary diagnosis technology for cardiovascular disease (CVD) to achieve new improvements. This article discusses the application of machine learning in ECG processing, especially in the auxiliary diagnosis of diseases. Firstly, the conventional signal preprocessing methods are introduced, and then the EEG signal processing methods based on feature extraction and fuzzy classification are explored. Secondly, the application of auxiliary diagnosis in CVD is further summarized. Finally, the advantages and disadvantages of the two methods are analyzed, and based on this, a design of an auxiliary diagnostic system compatible with the two methods is proposed, providing a new perspective for similar applied researches in the future.
Machine Learning
;
Cardiovascular Diseases/diagnosis*
;
Humans
;
Electrocardiography
;
Signal Processing, Computer-Assisted
;
Diagnosis, Computer-Assisted
;
Fuzzy Logic
;
Electroencephalography
3.Failure Diagnosis Analysis of Medical Equipment Based on Fault Tree and Fuzzy Bayesian Network.
Chinese Journal of Medical Instrumentation 2025;49(5):540-544
OBJECTIVE:
To enhance the reliability of medical equipment, this study aims to develop a failure cause diagnosis model and provide rational suggestions for efficient equipment use.
METHODS:
Combine fault tree analysis (FTA) to identify basic events causing equipment failure and calculate their prior probabilities. Obtain conditional probability tables for each node through expert assessment. Integrate triangular fuzzy number theory with Bayesian network (BN) to construct a fuzzy Bayesian network (FBN) for posterior probability inference and sensitivity analysis.
RESULTS:
Using endoscopes as the subject, the analysis shows that the model accurately calculates the endoscope failure probability at 0.385%, and identifies the key causes: improper cleaning ( X5, posterior probability 0.36064), untimely fault detection ( X8, posterior probability 0.23571), irregular transportation ( X6, posterior probability 0.11344), and natural aging ( X10, posterior probability 0.11377). Sensitivity analysis also confirms their influence weights (mutual information values are 0.00749, 0.00591, 0.00202, 0.00174).
CONCLUSION
The model can accurately perform quantitative analysis and rapid fault location of medical equipment failures, enabling effective preventive measures.
Bayes Theorem
;
Fuzzy Logic
;
Equipment Failure Analysis/methods*
;
Equipment Failure
;
Algorithms
4.Research on Logic Design of Proton Treatment Control System.
Zhuofan CAI ; Rong XIE ; Jianchun DENG ; Zhiyong YANG
Chinese Journal of Medical Instrumentation 2023;47(4):370-376
The proton treatment control system is the supporting software of the proton therapy device, which specifically coordinates and controls the status and work of each subsystem. In this study, the software architecture and hardware implementation of the proton treatment control system was developed and built a foundation for the overall debugging. Using C# programming language and WPF programming techniques, TCP network communication protocol specified by the proton treatment technical document and MVVM pattern in Windows system, the logic design and implementation of each level were studied. Meanwhile, the communication interface between the subsystems under TCP communication protocol was agreed. The logic design and research of the setup field and treatment field were carried out. And the User Interface was designed and developed using the above technology. The program realizes the communication and interaction between the proton treatment control system and each subsystem, so as to control and monitor the whole treatment process. The proton treatment control system provides a software basis for the remote overall debugging and on-line monitor and control of proton treatment device.
Protons
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User-Computer Interface
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Software
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Computers
;
Logic
5.Application of fuzzy analytic hierarchy process in risk assessment in medicine related fields.
Chinese Journal of Epidemiology 2022;43(5):766-770
Risks exist in medicine related fields, which cannot be defined and quantified precisely. It is necessary to adopt a method for the risk assessment of uncertain and fuzzy phenomenon. This paper summarizes the thinking, procedure, advantage and application of fuzzy analytic hierarchy process in the risk assessment in medicine related fields for the purpose of providing reference for its further application.
Analytic Hierarchy Process
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Fuzzy Logic
;
Humans
;
Risk Assessment/methods*
6.Biotechnical system based on fuzzy logic prediction for surgical risk classification using analysis of current-voltage characteristics of acupuncture points.
Sergey FILIST ; Riad Taha AL-KASASBEH ; Olga SHATALOVA ; Nikolay KORENEVSKIY ; Ashraf SHAQADAN ; Zeinab PROTASOVA ; Maksim ILYASH ; Mikhail LUKASHOV
Journal of Integrative Medicine 2022;20(3):252-264
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.
Acupuncture Points
;
Acupuncture Therapy
;
Fuzzy Logic
7.Study on endpoint determination method of tablet coating based on 3σ criteria and logic regression.
Zheng-Ji JIN ; Xiao-Jian LUO ; Qing TAO ; Guo-Ping ZHAN ; Yan HE ; Xiao-Yong RAO ; De-Cheng PAN
China Journal of Chinese Materia Medica 2021;46(16):4124-4130
This paper explores the statistical distribution characteristics of coating film thickness, so as to present a new method for determining coating endpoint based on 3σ criterion and logic regression. Firstly, the spectrum and thickness of 4 batch samples were collected. Secondly, the spectral range of normal products was obtained by 3σ criterion, with the spectral feature NI as the number of test spectrum in the above range. Then, the model based on 3σ criterion and logic regression was built according to the best condition in K-fold cross-validation and the determined threshold of qualified rate in the coating endpoint. Finally, the qualified rate of test set samples at different time points was calculated by the above model, and the above change trend and the threshold value were combined to determine the coating endpoint. The results of KS analysis showed the distribution of thickness of the qualified products followed the normal distribution(P=0.081>0.05). The accuracy of the coating endpoint determination was as high as 100% by the model based on 3σ criterion and logic regression when the determined threshold of qualified rate was 90%. Therefore, the 3σ criterion was feasible to the research of coating eligibility. This paper reveals certain random phenomena in the coating process, and the method features a high accuracy, quick analysis and a good interpretability, which provides a reference for online detection and qualify evaluation in future.
Endpoint Determination
;
Logic
;
Research Design
;
Tablets
8.Life and Ideas of LEE Kap-Soo: Focusing on the Ideas and Activities Related to Eugenics
Young jeon SHIN ; Ilyeong JEONG
Korean Journal of Medical History 2019;28(1):43-88
Lee Kap-Soo (April 23, 1889–December 5, 1973) graduated from Gyeongseong Medical College in 1920, went to Germany to study, and returned to Korea after graduating from Berlin University in 1924. On September 14, 1933, he played a leading role in the founding of the Joseon Eugenics Society, and he contributed eugenic ideas through written publications and lectures. He was a leading eugenicist who continued his activities related to eugenics, such as re-establishing the Korean National Eugenics Society and making efforts to enact the Eugenics Act after Korea's liberation from Japanese occupation. His ideas on eugenics were then a rapid acceptance of the world's times and science, and his ideas were an expanded eugenics that emphasized the nation. He actively carried out the campaign for eugenics and maintained a consistent stance before and after liberation. His eugenic ideas and activities show that Korean society was not free from the influence of eugenics that was gaining popularity around the world. His eugenic ideas were related to enlightenment, but the basis of eugenics was the logic of discrimination and exclusion. In particular, his eugenic ideas and activities have caused pain to Hansen's patients through forced isolation and discontinuation. In addition, his doctrine of eugenics still holds sway in Korean society. The history of Lee Kap-Soo's life and eugenics-related activities shows the important points and characteristics of the history of eugenics in Korean society before and after the liberation from Japan, and furthermore provides an important clue in understanding and explaining the colonial vestige in Korean society, economic growth first ideology, enthusiasm for scientific development, and competitive social culture.
Asian Continental Ancestry Group
;
Berlin
;
Discrimination (Psychology)
;
Economic Development
;
Eugenics
;
Germany
;
Humans
;
Japan
;
Korea
;
Lectures
;
Leprosy
;
Logic
;
Occupations
9.Evaluation of the Suitability of Establishing Biological Exposure Indices of Styrene
Ah rum CHOI ; Sung guk IM ; Mi young LEE ; Se Hoon LEE
Safety and Health at Work 2019;10(1):103-108
BACKGROUND: This study was designed to provide logical backgrounds for the revision of biological exposure indices (BEIs) for styrene exposure in Korea. In order to investigate the correlation between airborne styrene and biological exposure indices, we measured urinary mandelic acid (MA) and phenylglyoxylic acid (PGA) in workers exposed to styrene occupationally, as well as airborne styrene at workplaces. METHODS: Surveys were conducted for 56 subjects. The concentrations of airborne styrene and urinary metabolites of styrene were measured in 36 workers who were occupationally exposed to styrene, and in 20 controls. Air samples were collected using personal air samplers and analyzed by gas chromatography. Urine samples were collected at the end of the shift and analyzed by high performance liquid chromatography. RESULTS: The geometric mean concentration of airborne styrene was 9.6 ppm. The concentrations of urinary MA, PGA, and MA+PGA in the exposure group were 267.7, 143.3, and 416.8 mg/g creatinine, respectively. The correlation coefficients for correlation between airborne styrene and MA, PGA, and MA+PGA were 0.714, 0.604, and 0.769, respectively. The sum of urinary MA and PGA corresponding to an exposure of 20 ppm styrene was 603 mg/g creatinine. CONCLUSION: The correlation of the sum of urinary MA and PGA with airborne styrene was better than the correlation of each individual urinary determinant. It is considered appropriate to amend the concentration of urinary MA+PGA to 600 mg/g creatinine as a BEI, which corresponds to an airborne styrene concentration of 20 ppm in Korea.
Chromatography, Gas
;
Chromatography, Liquid
;
Creatinine
;
Humans
;
Korea
;
Logic
;
Occupations
;
Styrene
10.Critical Thinking and Scientific Writing Skills of Non-Anglophone Medical Students: a Model of Training Course.
Edward BARROGA ; Hiroshi MITOMA
Journal of Korean Medical Science 2019;34(3):e18-
There are currently very limited reports on the strengths and weaknesses of Japanese medical students in processing (i.e., searching, reading, synthesizing, writing, editing, refining) and presenting medical content based on scholarly journal articles. We developed and offered a 3-week group independent research course in English as a summer elective named “Improving Medical English Skills and Creating English Medical Content (PPT and video) Based on Medical Journal Articles” to our fourth-year Japanese medical students who follow a 6-year medical curriculum as the target audience. Herein, we describe the specific strengths and weaknesses of 6 students who chose and completed the course. Thereafter, we assessed the possible reasons underlying these weaknesses, pondered on the potential implications of such weaknesses on the critical thinking, logical reasoning, and communication skills of Japanese medical students, and suggested approaches to further enhance these skills. The assessments, implications, and suggestions given may provide medical educators new insights on how to newly organize educational and clinical programs to address such weaknesses, improve searching, reading, writing, editing, and presentation skills, enhance critical thinking and logical reasoning abilities, and gain in-depth knowledge essential for effectively appraising and communicating medical content.
Asian Continental Ancestry Group
;
Curriculum
;
Humans
;
Logic
;
Students, Medical*
;
Thinking*
;
Writing*

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