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{{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}} | ||
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 | ||
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| LCCN = | | LCCN = | ||
| OCLC = | | OCLC = | ||
}}</ref> | }}</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 | ||
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| LCCN = | | LCCN = | ||
| OCLC = | | OCLC = | ||
}}</ref>. | }}</ref>. | ||
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 | ||
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}}</ref>. | }}</ref>. | ||
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 | ||
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| DOI = 10.1073/pnas.95.8.4732 | | DOI = 10.1073/pnas.95.8.4732 | ||
| oaf = <!-- qualsiasi valore --> | | oaf = <!-- qualsiasi valore --> | ||
}}</ref> | }}</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> | |||
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|}} | ||
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| | 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: | |||
{{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. | |||
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.}} | ||
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 | ||
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| 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." | ||
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: | |||
{{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. | |||
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. | |||
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}} |
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