Fuzzy logic as a decision-making support system for the indication of bariatric surgery based on an index (OBESINDEX) generated by the association between body fat and body mass index

Background: A Fuzzy Obesity Index (OBESINDEX) for use as an alternative in bariatric surgery indication (BSI) is presented. The search for a more accurate method to evaluate obesity and to indicate a better treatment is important in the world health context. BMI (body mass index) is considered the main criteria for obesity treatment and BSI. Nevertheless, the fat excess related to the percentage of Body Fat (%BF) is actually the principal harmful factor in obesity disease that is usually neglected. This paper presents a new fuzzy mechanism for evaluating obesity by associating BMI with %BF that yields a fuzzy obesity index for obesity evaluation and treatment and allows building up a Fuzzy Decision Support System (FDSS) for BSI.

Methods: Seventy-two patients were evaluated for both BMI and %BF. These data are modified and treated as fuzzy sets. Afterwards, the BMI and %BF classes are aggregated yielding a new index (OBESINDEX) for input linguistic variable are considered the BMI and %BF, and as output linguistic variable is employed the OBESINDEX, an obesity classification with entirely new classes of obesity in the fuzzy context as well is used for BSI.

Results: There is a gradual, smooth obesity classification and BSI when using the proposed fuzzy obesity index when compared with other traditional methods for dealing with obesity.

Conclusion: The BMI is not adequate for surgical indication in all the conditions and fuzzy logic becomes an alternative for decision making in bariatric surgery indication based on the OBESINDEX

Fuzzy logic as a decision-making support system for the indication of bariatric surgery based on an index (MAFOI) generated by the association between body fat and body mass index.

Background: A fuzzy obesity index (MAFOI) for use as an alternative to bariatric surgery indication (BSI) is presented. The search for a more accurate method to evaluate obesity and to indicate a better treatment is important in the world health context. BMI (body mass index) is considered the main criteria for obesity treatment and BSI. Nevertheless, the fat excess related to the percentage of Body Fat (%BF) is actually the principal harmful factor in obesity disease that is usually neglected. This paper presents a new fuzzy mechanism for evaluating obesity by associating BMI with %BF that yields a fuzzy obesity index for obesity evaluation and treatment and allows building up a Fuzzy Decision Support System (FDSS) for BSI. Methods: Seventy-two patients were evaluated for both BMI and %BF. These data are modified and treated as fuzzy sets. Afterwards, the BMI and %BF classes are aggregated yielding a new index (MAFOI) for input linguistic variable are considered the BMI and %BF, and as output linguistic variable is employed the MAFOI, an obesity classification with entirely new classes of obesity in the fuzzy context as well as is used for BSI. Results: There is gradual, smooth obesity classification and BSI when using the proposed fuzzy obesity index when compared with other traditional methods for dealing with obesity.
Conclusion: The BMI is not adequate for surgical indication in all the conditions and fuzzy logic becomes an alternative for decision making in bariatric surgery indication based on the MAFOI

Fuzzy obesity index (MAFOI) for obesity evaluation and bariatric surgery indication

Background: the Miyahira-Araujo Fuzzy Obesity Index (MAFOI) for being used as an alternative in bariatric surgery indication (BSI) is validated in this paper. the search for a more accurate method to evaluate obesity and to indicate a better treatment is important in the world health context. Body mass index (BMI) is considered the main criteria for obesity treatment and BSI. Nevertheless, the fat excess related to the percentage of Body Fat (%BF) is actually the principal harmful factor in obesity disease that is usually neglected. the aim of this research is to validate a previous fuzzy mechanism by associating BMI with %BF that yields the Miyahira-Araujo Fuzzy Obesity Index (MAFOI) for obesity evaluation, classification, analysis, treatment, as well for better indication of surgical treatment.Methods: Seventy-two patients were evaluated for both BMI and %BF. the BMI and %BF classes are aggregated yielding a new index (MAFOI). the input linguistic variables are the BMI and %BF, and the output linguistic variable is employed an obesity classification with entirely new types of obesity in the fuzzy context, being used for BSI, as well.Results: There is gradual and smooth obesity classification and BSI criteria when using the Miyahira-Araujo Fuzzy Obesity Index (MAFOI), mainly if compared to BMI or %BF alone for dealing with obesity assessment, analysis, and treatment.Conclusion: the resulting fuzzy decision support system (MAFOI) becomes a feasible alternative for obesity classification and bariatric surgery indication

Implementation and Evaluation of A Type-1 Fuzzy Logic Controller for Healthcare Diagnosis and Monitoring

Type-1 fuzzy inference systems have shown potential to improve clinician performance by imitating human thought processes in complex circumstances and accurately executing repetitive tasks to which humans are ill-suited. This paper addresses the implementation of a type-1fuzzy model for pregnancy health risk diagnosis and monitoring to enhance control strategies in the medical discipline of diagnosis and monitoring pregnancy health conditions. Twenty-five pregnant patients are selected and studied and the observed results computed in the range of predefined limit by the domain experts. Both the design model and simulation result are same. The system is developed using NETBEANS IDE, JAVA, MYSQL, etc using Windows Vista as operating system platform. Results indicate that, the study has ascertained the association of the risk factors with pregnancy outcomes. It is observed that, the paper will serve as a tool for medical practitioners in educating the women more about the degree of influence of risk on pregnancy impacted by pregnancy risk factors. Thus encourage them to begin antenatal clinic early in pregnancy. It is believed that our application will reduce doctors’ workload during consultation and help to eradicate major negative pregnancy outcomes; thus promoting positive pregnancy outcomes. Keywords: Type-1 fuzzy inference system, Fuzzy logic decision support, Pregnancy health risk, Infant mortalit

Design Methodology of Fuzzy Expert System for the Diagnosis and Control of Obesity

Both developed and developing nations of the world have overtime experienced enormous increase in food and other consumables production. This has led to a rise in calorie intake by people living in these nations of the world. As calorie intake increases in the human system, lack of early detection or control leads to obesity. The study of obesity is gaining utmost importance because of the major health issues associated with it. If an obese prone patient is detected early enough, then quite a number of diseases can be prevented. The ability of fuzzy logic to reason with uncertain and imprecise data in addressing the specific problem of diagnosis and monitoring of diseases in our society cannot be over emphasized. In this paper we design methodology of fuzzy expert system to diagnose and monitor obesity in persons at early stage. The study will help reduce to a great minimum the fast rise of obesity in our society and the world at large. The proposed study is validated with MatLab, and is used as a tracking system with accuracy and robustness. Keywords: Obesity, Fuzzy Inference System, Body Mass Index, Body fat, Waist circumference

Named Entity Recognition in Electronic Health Records Using Transfer Learning Bootstrapped Neural Networks

Neural networks (NNs) have become the state of the art in many machine learning applications, especially in image and sound processing [1]. The same, although to a lesser extent [2,3], could be said in natural language processing (NLP) tasks, such as named entity recognition. However, the success of NNs remains dependent on the availability of large labelled datasets, which is a significant hurdle in many important applications. One such case are electronic health records (EHRs), which are arguably the largest source of medical data, most of which lies hidden in natural text [4,5]. Data access is difficult due to data privacy concerns, and therefore annotated datasets are scarce. With scarce data, NNs will likely not be able to extract this hidden information with practical accuracy. In our study, we develop an approach that solves these problems for named entity recognition, obtaining 94.6 F1 score in I2B2 2009 Medical Extraction Challenge [6], 4.3 above the architecture that won the competition. Beyond the official I2B2 challenge, we further achieve 82.4 F1 on extracting relationships between medical terms. To reach this state-of-the-art accuracy, our approach applies transfer learning to leverage on datasets annotated for other I2B2 tasks, and designs and trains embeddings that specially benefit from such transfer.Comment: 11 pages, 4 figures, 8 table

Fuzzy Multi-Agent Simulation of COVID-19 Pandemic Spreading

In this paper, we present a new approach for Covid-19 Pandemic spreading simulation based on fuzzy multi agents. The agent parameters consider distribution of the population according to age, and the index of socio-economic fragility. Medical knowledge affirms that the COVID-19 main risk factors are age and obesity. The worst medical situation is caused by the combination of these two risk factors which in almost99% of cases finish in ICU. The appearance of virus variants is another aspect parameter by our simulation through a simplified modeling of the contagiousness. Using real data from people from West Indies (Guadeloupe, F.W.I.), we modeled the infection rate of the risk population, if neither vaccination nor barrier gestures are respected. The results show that hospital capacities are exceeded, and the number of deaths exceeds 2% of the infected population, which is close to the reality

A Fuzzy Intelligent Framework for Healthcare Diagnosis and Monitoring of Pregnancy Risk Factor in Women

The harmful effect of pregnancy risk factors to the body cannot be underestimated. Pregnancy risk factors are all the aspects that endanger the life of the mother and the baby. The infant mortality rates are still high in developing countries despite national and international efforts to redress this problem of pregnancy risk factors. The operations of the prediction of pregnancy risk factors are complex and risky due to fluctuation in the diagnosis of these risk factors. This is due to the vagueness, incompleteness, and uncertainty of the information used. Also, the health population index, which is based primarily on the result of medical research, has a strong impact upon all human activities. Medical experts are considered best fit for interpretation of data and setting the diagnosis, but medical decision making becomes a very hard activity because the human experts, who have to make decision, can hardly process the huge amount of data. This paper presents a fuzzy logic model for the diagnosis and monitoring of pregnancy risk factor for in order to make accurate reasoning with huge amount of uncertain knowledge. The model is developed based on clinical observations, medical diagnosis and the expert’s knowledge. Twenty-five pregnant patients are selected and studied and the observed results computed in the range of predefined limit by the domain experts. The model will provide decision support platform to pregnancy risk factor researchers, physicians and other healthcare practitioners in obstetrical. The study will also guide healthcare practitioners in obstetrical and gynecology clinic regions in educating the women more about the pregnancy risk factors and encouraged them to start antenatal clinic early in pregnancy. Keyword: Fuzzy inference System, Artificial Intelligence, Expert System, Pregnancy risk factors, Infant mortality, Pregnancy outcom

Thrombophilia screening: An artificial neural network approach

Thrombotic disorders have severe consequences for the patients and for the society in general, being one of the main causes of death. These facts reveal that it is extremely important to be preventive; being aware of how probable is to have that kind of syndrome. Indeed, this work will focus on the development of a decision support system that will cater for an individual risk evaluation with respect to the surge of thrombotic complaints. The Knowledge Representation and Reasoning procedures used will be based on an extension to the Logic Programming language, allowing the handling of incomplete and/or default data. The computational framework in place will be centered on Artificial Neural Networks.This work is funded by National Funds through the FCT – Fundação para a Ciência e a Tecnologia (Portuguese Foundation for Science and Technology) within projects PEst-OE/EEI/UI0752/2014 and PEst-OE/QUI/UI0619/2012