Difference between revisions of "Logic of medical language"

Line 346: Line 346:
{{q2|<!--117-->Why do you say that the patient's "key" is defined as the REAL one?|<!--118-->difficult answer, but please observe the Gate Control phenomenon and you will understand}}
{{q2|<!--117-->Why do you say that the patient's "key" is defined as the REAL one?|<!--118-->difficult answer, but please observe the Gate Control phenomenon and you will understand}}


<!--119-->First of all: <!--120-->Only the patient is unconsciously aware of the disease that afflicts his own system, but he does not have the ability to transduce the signal from the machine language to the verbal language. The same procedure occurs in 'Systems Control Theory', in which a dynamic control procedure called ‘State Observer’ is designed to estimate the state of the system from output measurements. Matter of fact, in the control theory, observability is a measure of how much the internal state of a system can be deduced from the knowledge of its external outputs<ref>[[wikipedia:Observability|Osservability]] </ref>.  <!--121-->While in the case of a biological system a ‘Stochastic Observability’ of linear dynamic systemsis preferred<ref>{{cita libro  
First and foremost, it must be considered that only the patient is unconsciously aware of the disease afflicting their system, but lacks the ability to translate the signal from machine language to verbal language. This process draws upon "Systems Control Theory," in which a dynamic control procedure known as "State Observer" is designed to estimate the system's state from output measurements. In control theory, observability is a measure of how much the internal state of a system can be inferred from knowledge of its external outputs.<ref>[[wikipedia:Observability|Osservability]] </ref>While in the case of a biological system, stochastic observability of linear dynamic systems is preferred,<ref>{{cita libro  
  | autore = Chen HF
  | autore = Chen HF
  | titolo = On stochastic observability and controllability
  | titolo = On stochastic observability and controllability
Line 361: Line 361:
  | LCCN =  
  | LCCN =  
  | OCLC =  
  | OCLC =  
  }}</ref>, <!--122-->the Gramian matrices are used for the stochastic observability of nonlinear systems<ref>[[wikipedia:Controllability_Gramian|Controllability Gramian]]</ref><ref>{{cita libro  
  }}</ref> Gramian matrices are used for the stochastic observability of nonlinear systems.<ref>[[wikipedia:Controllability_Gramian|Controllability Gramian]]</ref><ref>{{cita libro  
  | autore = Powel ND
  | autore = Powel ND
  | autore2 = Morgansen KA
  | autore2 = Morgansen KA
Line 377: Line 377:
  | LCCN =  
  | LCCN =  
  | OCLC =  
  | OCLC =  
  }}</ref>.    
  }}</ref>.


<!--123-->This would already be enough to bring now our attention on an extraordinarily explanatory phenomenon called ''<!--124-->Gate Control''. <!--125-->If a child gets hit in the leg while playing soccer, in addition to crying, the first thing he does is to rub extensively the painful area so that the pain decreases. <!--126-->The child does not know the ‘Gate Control’, but unconsciously activates an action that, by stimulating the tactile receptors, closes the gate at the entrance of the nociceptive input of the C fibres, consequently decreasing the pain; the phenomenon was discovered only in 1965 by Ronald Melzack and Patrick Wall<ref>{{cita libro  
However, this concept brings our attention to an extraordinarily explanatory phenomenon called Gate Control. When a child is hit on the leg while playing soccer, in addition to crying, the first action they take is to rub the painful area extensively, to alleviate the pain. The child acts unconsciously, stimulating tactile receptors and closing the "gate" to the nociceptive entry of C fibers, thus reducing the pain; this phenomenon was discovered only in 1965 by Ronald Melzack and Patrick Wall.<ref>{{cita libro  
  | autore = Melzack R
  | autore = Melzack R
  | titolo =  The McGill Pain Questionnaire: major properties and scoring methods  
  | titolo =  The McGill Pain Questionnaire: major properties and scoring methods  
Line 458: Line 458:
  }}</ref>.
  }}</ref>.


<!--127-->As much as in computers, encryption-decryption also takes place in biology. In fact, in a recent research the authors examined the influence of molecular mechanisms of the ‘long-term potentiation’ (LTP) phenomenon in the hippocampus on the functional importance of synaptic plasticity for storage of information and the development of neuronal connectivity. <!--128-->It is not yet clear if the activity modifies the strength of the single synapses in a digital ('''01''', all or nothing) or analog (graduated) way. <!--129-->In the study it emerges that individual synapses appear to have an 'all or nothing' enhancement, indicative of highly cooperative processes, but different thresholds for undergoing enhancement. These findings raise the possibility that some forms of synaptic memory may be digitally stored in the brain<ref>{{cite book  
Similarly to computers, encryption and decryption also occur in biology. In recent research, authors examined the influence of molecular mechanisms of the "long-term potentiation" (LTP) phenomenon in the hippocampus on the functional importance of synaptic plasticity for information storage and the development of neuronal connectivity. It is not yet clear whether activity modifies the strength of individual synapses in a digital (on-off) or analog (graded) manner. The study suggests that individual synapses appear to have an "all-or-nothing" potentiation, indicative of highly cooperative processes, but with different thresholds for undergoing potentiation. These results raise the possibility that some forms of synaptic memory may be digitally stored in the brain.<ref>{{cite book  
  | autore = Petersen C
  | autore = Petersen C
  | autore2 = Malenka RC
  | autore2 = Malenka RC
Line 475: Line 475:
  | DOI = 10.1073/pnas.95.8.4732
  | DOI = 10.1073/pnas.95.8.4732
  | oaf = <!-- qualsiasi valore -->
  | oaf = <!-- qualsiasi valore -->
  }}</ref>.
  }}</ref>


==<!--130-->Decryption ==
----
<!--131-->Now, assuming that the machine language and the assembler code are well structured, we insert the encrypted message from the Mary Poppins System in the 'Mouth of Truth‘<ref>[[:wikipedia:Bocca_della_Verità|<!--132-->Mouth of truth in Wikipedia]]</ref>: 


<math>133755457655037A  </math>
==Decryption ==
Now, assuming that the machine language and assembler code are well-structured, let's insert the encrypted message from the Mary Poppins system into the 'Mouth of Truth':<ref>[[:wikipedia:Bocca_della_Verità|<!--132-->Mouth of truth in Wikipedia]]</ref><math>133755457655037A  </math>


<br /><!--133-->Let's pretend that we are Martians in possession of the right key (algorithm or context) the A key that corresponds to the 'Real Context'. We would be able to perfectly decrypt the message, as you can verify by entering the code in the appropriate window:  
Imagine we are Martians in possession of the right key (algorithm or context), key A, which corresponds to the 'Real Context'. We would be able to perfectly decrypt the message, as you can verify by entering the code in the appropriate window:


{{q2|Ephaptic|}}
{{q2|Ephaptic|}}


<!--134-->But, luckily or not, we are not Martians, so we will use, contextually to the information acquired from the social and scientific context, the dental key that correspond to B key, with the consequent decryption of the message into: 
But we're not Martians, so we will use, in conjunction with the information acquired from the social and scientific context, the dental key corresponding to key B. By entering the code in the decryption window, we would obtain:
 
{{q2|5GoI49E5!|}}
 
<!--135-->Using the C key that corresponds to the neurological context, the decryption of the message would be:  


{{q2|26k81n_g+|}}
The key B returns the decrypted message.{{q2|5GoI49E5!|}}


Using the C key that corresponds to the neurological context, the decryption of the message would be:


<!--136-->These are extraordinarily interesting elements of language logic, and please note that the encrypted message of the real context ‘meaning’ of the ‘disease’, the A key, is totally different from the one encrypted through the B keys and the C key: they are constructed in conventionally different contexts, while there is only one reality and this indicates a hypothetical '''diagnostic error'''.
{{q2|26k81n_g+|}}These concepts highlight very interesting aspects of the logic of medical language. It's crucial to note that the encrypted message in the real context of the "meaning" of "disease," using key A, is entirely different from that encrypted through keys B and C. These messages are generated in conventionally different contexts, although they reflect a single reality. Such discrepancy suggests the possibility of diagnostic errors.  


<!--137-->This means that medical language logics mainly built on an extension of verbal language, are not very efficient in being quick and detailed in diagnostics, especially the differential one. This is because the distortion due to the ambiguity and semantic vagueness of the linguistic expression, called ‘vagueness epistemic’ or ‘epistemic uncertainty’, or better ‘uncertain knowledge’, forcibly directs the diagnosis towards the '''specialist reference context''' and not on the exact and real one.  
This means that the logics of medical language, based primarily on the extension of verbal language, might not be optimal for making rapid and detailed diagnoses, especially differential ones. This is due to the distortion caused by the ambiguity and semantic vagueness of linguistic expression, known as "epistemic vagueness" or "epistemic uncertainty," which directs the diagnosis towards the specialist context of reference rather than the absolute truth.


{{q2|<!--138-->Why, then, are we relatively successful in diagnostics? |<!--139-->An entire separate encyclopedia would be needed to answer to this question, but without going too far, let's try to discuss the reasons.}}
These concepts highlight the complexity of communication in the medical field and underscore the importance of considering not just verbal language but also the contexts and nuances of meaning associated with the diagnosis and treatment of diseases.{{q2|<!--138-->Why, then, are we relatively successful in diagnostics? |<!--139-->An entire separate encyclopedia would be needed to answer to this question, but without going too far, let's try to discuss the reasons.}}


<!--140-->Basic diagnostic intuition is a quick, non-analytical and unconscious way of reasoning. <!--141-->A small body of evidence indicates the ubiquity of intuition and its usefulness in generating diagnostic hypotheses and ascertaining the severity of the disease. Little is known about how experienced doctors understand this phenomenon, and about how they work with it in clinical practice. <!--142-->Most reports of the physician’s diagnostic intuition have linked this phenomenon to non-analytical reasoning and have emphasized the importance of experience in developing a reliable sense of intuition that can be used to effectively engage analytical reasoning in order to evaluate the clinical evidence. <!--143-->In a recent study, the authors conclude that clinicians perceive clinical intuition as useful for correcting and advancing diagnoses of both common and rare conditions<ref>{{cite book  
The basic diagnostic intuition represents a process of rapid, non-analytical, and often unconscious reasoning. Although little is known about how expert physicians understand this phenomenon and how they apply it in clinical practice, a small body of evidence indicates the ubiquity and utility of intuition in generating diagnostic hypotheses and in assessing the severity of diseases. Most studies on physicians' diagnostic intuition have highlighted the connection of this phenomenon with non-analytical reasoning, emphasizing the importance of experience in its development and in its application to effectively integrate analytical reasoning in the interpretation of clinical evidence. In a recent study, the authors concluded that clinicians perceive clinical intuition as a useful tool for correcting and advancing the diagnosis of both common and rare conditions.<ref>{{cite book  
  | autore = Vanstone M
  | autore = Vanstone M
  | autore2 = Monteiro S
  | autore2 = Monteiro S
Line 522: Line 519:
  | DOI = 10.1515/dx-2018-0069
  | DOI = 10.1515/dx-2018-0069
  | oaf = <!-- qualsiasi valore -->
  | oaf = <!-- qualsiasi valore -->
  }}</ref>
  }}</ref>It's important to note that the biological system sends out a uniquely integrated encrypted message. Each piece of code has a precise meaning if taken individually, but only when matched with all the other pieces does it generate the complete code corresponding to the actual message, such as "Ephaptic."


<!--182-->It should also be noted that the Biological System sends a uniquely integrated encrypted message to the outside, in the sense that each piece of code will have a precise meaning when individually taken, while if combined with all the others it will generate the complete code corresponding to the real message, that is to "Efapsi".
However, a single instrumental report or a series of them is not sufficient to decrypt the machine's message in a way that fully corresponds to reality. If we hypothesize that the message is decrypted using 2/3 of the code, perhaps corresponding to a series of laboratory investigations, we would obtain the following decryption result:


<!--183-->In short, an instrumental report (or a series of instrumental reports) is not enough to decrypt the machine message in an exact way corresponding to reality. If we expect the message to be decrypted from 2/3 of the code, which perhaps corresponds to a series of laboratory investigations, we would get the following decryption result:
{{q2|Ef+£2|}}


{{q2|Ef+£2|}}
The result of the decoding comes from the deletion of the last two elements of the original code, namely <math>13375545765503</math>, thus obtaining the partial code (Ef) from the original <math>133755457655037A</math>. In this process, a part of the code is decrypted, while the rest remains encrypted.


<!--184-->This outcome comes from the deletion of the last two elements of the originating code: <math>13375545765503</math> <!--185-->resulting from <math>133755457655037A</math>. <!--186-->So, part of the code is decrypted ('''Ef''') while the rest remains encrypted and the conclusion speaks for itself: it is not enough to identify a series of specific tests, yet it is necessary to know how to tie them together in a specific way in order to complete the real concept and build the diagnosis.
This situation highlights the fact that it is not sufficient to identify a series of specific tests; it is equally important to know how to link them specifically to complete the actual concept and formulate an accurate diagnosis.


<!--144-->Therefore, there is a need for:  
Therefore, the importance of a logical order in medical language becomes evident:


{{q2|<!--145-->A System Logic that integrates the sequence of the machine language code|<!--146-->true! we'll get there with a little patience}}
{{q2|<!--145-->A System Logic that integrates the sequence of the machine language code|<!--146-->true! we'll get there with a little patience}}
Editor, Editors, USER, admin, Bureaucrats, Check users, dev, editor, founder, Interface administrators, oversight, Suppressors, Administrators, translator
10,784

edits