糖尿病患者的单一概况

A. A. Younes, Frédéric Blanchard, B. Delemer, M. Herbin
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引用次数: 1

摘要

在家对患者进行治疗性监测会产生大量数据,需要新的分析和处理方法。医疗数据处理的主要挑战是管理高学科内和学科间的变量。另一个困难是需要为患者和具有相似治疗行为的患者群体提供特定的指示板。本文描述了一种新的方法来分析这样的医疗数据,通过使用单一档案的老年患者的人口与2型糖尿病。我们的目标是开发一种数据处理方法,用于在家跟踪胰岛素治疗。处理的第一步是对数据样本内的属性进行模糊化,以确保方法的鲁棒性。我们提出的奇异性指标评估相对于每个病人的模糊属性。该指标是通过计算与每个属性相关联的模糊集的幂得到的。这些特征的独特性使我们能够给出每个病人的独特特征。可视化步骤引导我们提出经验规则,以获得三种不同的轮廓。这种稳健的方法也使我们能够突出老年糖尿病患者的三组。这三种聚类看起来与使用经典的自动聚类方法(如k- medioids)所获得的聚类非常相似。通过扩展这种方法,我们未来发展的最终目标是为2型糖尿病患者设计胰岛素治疗推荐系统。
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Singular profile of diabetics
The therapeutic monitoring of patients at home produces a mass of data that requires new methods for analyzing and processing. The main challenge of medical data processing is the management of high intra-subject and inter-subject variabilities. The need for specific dashboards for both the patient and the group of patients with similar therapeutic behaviors is another difficulty. This paper describes a new way to analyze such medical data through the use of singular profiles of elderly patients in a population with type 2 diabetes. Our goal is to develop a methodology of data processing for following the insulin therapy at home. The first step of processing consists in the fuzzification of the attributes within the data samples to ensure the robustness of the method. The singularity index we propose assesses the fuzzy attributes relative to each patient. This index is obtained by computing the power of the fuzzy set associated with each attribute. The singularity of the attributes permits us to give the singular profile of each patient. The visualization step leads us to propose empirical rules to obtain three kinds of different profiles. This robust approach also permits us to highlight three clusters of elderly diabetics. The three clusters appear very similar as the ones obtained when using classical automated methods of clustering such as the k-medoids. By extending this approach, the ultimate goal of our future developments is the design of a recommender system for type 2 diabetics with insulin therapy.
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