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Maria HBM Lopes PhD Carlos AL D'Ancona PhD Neli RS Ortega PhD Paulo SP Silveira PhD Anna C Faleiros‐Martins PhD Heimar F Marin PhD 《International Journal of Urological Nursing》2016,10(3):146-153
Lower urinary tract dysfunctions (LUTD) restrict quality of life, resulting in decreased work productivity and emotional well‐being. However, most people are not diagnosed because they do not seek medical treatment. In addition, some facilities do not adequately train health professionals in the evaluation, diagnosis and treatment of these conditions. The study's objective was to develop a decision support system modelled on fuzzy logic that defines LUTD using the terminology of the International Continence Society. This methodological study aimed to develop a model that uses the maximum–minimum composition (max–min) of fuzzy relations that can perform differential diagnoses of LUTD. The model was tested in 100 cases (50 men and 50 women), and the data were obtained from medical records containing the clinical data and results of urodynamic studies. All medical records were reviewed by a specialist in urology. The model was capable of determining a diagnosis in full (62%) or partial (36%) agreement with the medical report. Agreement between the model and the medical report was excellent (kappa = 0·98, p ? 0·001, CI = 0·88–1) or substantial (kappa = 0·53, p ? 0·001, CI = 0·45–0·60), considering overestimative accordance (where accordance is assumed when at least one diagnosis is equal) and underestimative accordance (where accordance is assumed when all diagnoses are equal), respectively. The proposed model based on the max–min composition of fuzzy relationships is very simple and performed well. However, more tests are recommended before the model is used as a decision support system. 相似文献
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El Hadji Souleymane Camara Ablaye Bousso Mouhamed Tall Mouhamed Habib Sy 《European journal of orthopaedic surgery & traumatology : orthopedie traumatologie》2009,19(1):7-9
The frequency of posterior sternoclavicular dislocations represents 0.019% of the shoulder injuries in the Centre of Traumatology
and Orthopedics of Dakar. The posterior form is 0.033% compared to the anterior form. The authors report the cases of posterior
sternoclavicular dislocations, occurred with seven men and one woman. Seven of these dislocations were located on the left
side, including one case of polytraumatism, one associated with a brachial plexus compression, and one case with a fracture
of the kneecap. The authors show the interest of the incidence of Heinig in the diagnosis. The open treatment following the
technique of burrows which uses the tendon of the subclavius gives satisfactory results in both functional and anatomical
respects. They discuss the orthopaedic methods and insist on their disadvantages, especially in the event of vascular lesion
with a risk of haemorrhage of a clogged breach or source of instability, and the difficulty of radiological control after
reduction. 相似文献
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