AN UNSUPERVISED PATTERN (SYNDROME IN TRADITIONAL CHINESE MEDICINE) DISCOVERY ALGORITHM BASED ON ASSOCIATION DELINEATED BY REVISED MUTUAL INFORMATION IN CHRONIC RENAL FAILURE DATA

2007 ◽  
Vol 15 (04) ◽  
pp. 435-451 ◽  
Author(s):  
JIANXIN CHEN ◽  
GUANGCHENG XI ◽  
JING CHEN ◽  
YISONG ZHEN ◽  
YANWEI XING ◽  
...  

The syndrome is the basic pathological unit and the key concept in traditional Chinese medicine (TCM), and the herbal remedy is prescribed according to the syndrome a patient catches. Nevertheless, few studies are dedicated to investigate the number of syndromes in chronic renal failure (CRF) patients and what these syndromes are. In this paper, we carry out a clinical epidemiology survey and obtain 601 CRF cases, including 72 symptoms in each report. Based on association delineated by mutual information, we propose a novel pattern discovery algorithm to discover syndromes, which probably have overlapped symptoms in TCM. A revised version of mutual information is presented here to discriminate positive and negative association. The algorithm self-organizedly discovers 16 effective patterns, each of which is verified manually by TCM physicians to recognize the syndrome it belongs to. The super-additivity of cluster by mutual information is proved and n-class association concept is introduced in our model to reduce computational complexity. Validation of the algorithm is performed by using the syndrome data and consolidated clinically to have 16 patterns. The results indicate that the algorithm achieves a high sensitivity with 96.48% and each classified pattern is of clinical significance. Therefore, we conclude that the algorithm provides an excellent solution to chronic renal failure problem in the context of traditional Chinese medicine.

2017 ◽  
Vol 145 (3-4) ◽  
pp. 118-123
Author(s):  
Dejan Petrovic ◽  
Marina Deljanin-Ilic ◽  
Sanja Stojanovic

Introduction/Objective. Clinical risk stratification of patients hospitalized due to acute heart failure (AHF) applying B-type natriuretic peptide (BNP), troponin I (TnI), and high-sensitivity C-reactive protein (hsCRP) biochemical markers can contribute to early diagnosis of AHF and lower mortality rates. The aim of this study was to investigate the prognostic significance of biomarkers (BNP, TnI, and hsCRP) and co-morbidities concerning one-year mortality in patients with AHF. Methods. Clinical group comprised 124 consecutive unselected patients, age 60?80 years, treated at the Coronary Care Unit of the Niska Banja Institute, Nis. The patients were monitored for one year after the discharge. During the first 24 hours after admission, BNP, TnI, and hsCRP were measured in fasting serum. Results. Total one-year mortality was 29.8%. The levels of serum BNP were significantly higher in the group of non-survivors compared to the group of survivors (1353.8 ?} 507.8 vs. 718.4 ?} 387.6 pg/mL, p < 0.001). We identified several clinical and biochemical prognostic risk factors by univariate and multivariate analysis. Independent predictors of one-year mortality were the following: BNP, TnI, depression, hypotension, chronic renal failure, ejection fraction, and right-ventricle systolic pressure. Conclusion. The presence of BNP and TnI biomarkers and several co-morbidities such as depression or chronic renal failure have significant influence on one-year mortality in patients with AHF.


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