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A Study of Logistic Regression for Fatigue Classification Based on Data of Tongue and Pulse. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE 2022; 2022:2454678. [PMID: 35287309 PMCID: PMC8917949 DOI: 10.1155/2022/2454678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/03/2021] [Accepted: 01/05/2022] [Indexed: 12/02/2022]
Abstract
Methods The Tongue and Face Diagnosis Analysis-1 instrument and Pulse Diagnosis Analysis-1 instrument were used to collect the tongue image and sphygmogram of the subhealth fatigue population (n = 252) and disease fatigue population (n = 1160), and we mainly analyzed the tongue and pulse characteristics and constructed the classification model by using the logistic regression method. Results The results showed that subhealth fatigue people and disease fatigue people had different characteristics of tongue and pulse, and the logistic regression model based on tongue and pulse data had a good classification effect. The accuracies of models of healthy controls and subhealth fatigue, subhealth fatigue and disease fatigue, and healthy controls and disease fatigue were 68.29%, 81.18%, and 84.73%, and the AUC was 0.698, 0.882, and 0.924, respectively. Conclusion This study provided a new noninvasive method for the fatigue diagnosis from the perspective of objective tongue and pulse data, and the modern tongue diagnosis and pulse diagnosis have good application prospects.
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Shi Y, Yao X, Xu J, Hu X, Tu L, Lan F, Cui J, Cui L, Huang J, Li J, Bi Z, Li J. A New Approach of Fatigue Classification Based on Data of Tongue and Pulse With Machine Learning. Front Physiol 2022; 12:708742. [PMID: 35197858 PMCID: PMC8859319 DOI: 10.3389/fphys.2021.708742] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Accepted: 11/03/2021] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Fatigue is a common and subjective symptom, which is associated with many diseases and suboptimal health status. A reliable and evidence-based approach is lacking to distinguish disease fatigue and non-disease fatigue. This study aimed to establish a method for early differential diagnosis of fatigue, which can be used to distinguish disease fatigue from non-disease fatigue, and to investigate the feasibility of characterizing fatigue states in a view of tongue and pulse data analysis. METHODS Tongue and Face Diagnosis Analysis-1 (TFDA-1) instrument and Pulse Diagnosis Analysis-1 (PDA-1) instrument were used to collect tongue and pulse data. Four machine learning models were used to perform classification experiments of disease fatigue vs. non-disease fatigue. RESULTS The results showed that all the four classifiers over "Tongue & Pulse" joint data showed better performances than those only over tongue data or only over pulse data. The model accuracy rates based on logistic regression, support vector machine, random forest, and neural network were (85.51 ± 1.87)%, (83.78 ± 4.39)%, (83.27 ± 3.48)% and (85.82 ± 3.01)%, and with Area Under Curve estimates of 0.9160 ± 0.0136, 0.9106 ± 0.0365, 0.8959 ± 0.0254 and 0.9239 ± 0.0174, respectively. CONCLUSION This study proposed and validated an innovative, non-invasive differential diagnosis approach. Results suggest that it is feasible to characterize disease fatigue and non-disease fatigue by using objective tongue data and pulse data.
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Affiliation(s)
- Yulin Shi
- Basic Medical College, Shanghai University of Traditional Chinese Medicine, Pudong, China
| | - Xinghua Yao
- Basic Medical College, Shanghai University of Traditional Chinese Medicine, Pudong, China
| | - Jiatuo Xu
- Basic Medical College, Shanghai University of Traditional Chinese Medicine, Pudong, China
| | - Xiaojuan Hu
- Shanghai Innovation Center of TCM Health Service, Shanghai University of Traditional Chinese Medicine, Pudong, China
| | - Liping Tu
- Basic Medical College, Shanghai University of Traditional Chinese Medicine, Pudong, China
| | - Fang Lan
- Basic Medical College, Shanghai University of Traditional Chinese Medicine, Pudong, China
| | - Ji Cui
- Basic Medical College, Shanghai University of Traditional Chinese Medicine, Pudong, China
| | - Longtao Cui
- Basic Medical College, Shanghai University of Traditional Chinese Medicine, Pudong, China
| | - Jingbin Huang
- Basic Medical College, Shanghai University of Traditional Chinese Medicine, Pudong, China
| | - Jun Li
- Basic Medical College, Shanghai University of Traditional Chinese Medicine, Pudong, China
| | - Zijuan Bi
- Basic Medical College, Shanghai University of Traditional Chinese Medicine, Pudong, China
| | - Jiacai Li
- Basic Medical College, Shanghai University of Traditional Chinese Medicine, Pudong, China
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Shi Y, Hu X, Cui J, Cui L, Huang J, Ma X, Jiang T, Yao X, Lan F, Li J, Bi Z, Li J, Wang Y, Fu H, Wang J, Lin Y, Bai J, Guo X, Tu L, Xu J. Clinical data mining on network of symptom and index and correlation of tongue-pulse data in fatigue population. BMC Med Inform Decis Mak 2021; 21:72. [PMID: 33627103 PMCID: PMC7905588 DOI: 10.1186/s12911-021-01410-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2020] [Accepted: 01/28/2021] [Indexed: 12/19/2022] Open
Abstract
Background Fatigue is a kind of non-specific symptom, which occurs widely in sub-health and various diseases. It is closely related to people's physical and mental health. Due to the lack of objective diagnostic criteria, it is often neglected in clinical diagnosis, especially in the early stage of disease. Many clinical practices and researches have shown that tongue and pulse conditions reflect the body's overall state. Establishing an objective evaluation method for diagnosing disease fatigue and non-disease fatigue by combining clinical symptom, index, and tongue and pulse data is of great significance for clinical treatment timely and effectively. Methods In this study, 2632 physical examination population were divided into healthy controls, sub-health fatigue group, and disease fatigue group. Complex network technology was used to screen out core symptoms and Western medicine indexes of sub-health fatigue and disease fatigue population. Pajek software was used to construct core symptom/index network and core symptom-index combined network. Simultaneously, canonical correlation analysis was used to analyze the objective tongue and pulse data between the two groups of fatigue population and analyze the distribution of tongue and pulse data. Results Some similarities were found in the core symptoms of sub-health fatigue and disease fatigue population, but with different node importance. The node-importance difference indicated that the diagnostic contribution rate of the same symptom to the two groups was different. The canonical correlation coefficient of tongue and pulse data in the disease fatigue group was 0.42 (P < 0.05), on the contrast, correlation analysis of tongue and pulse in the sub-health fatigue group showed no statistical significance. Conclusions The complex network technology was suitable for correlation analysis of symptoms and indexes in fatigue population, and tongue and pulse data had a certain diagnostic contribution to the classification of fatigue population.
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Affiliation(s)
- Yulin Shi
- Basic Medical College, Shanghai University of Traditional Chinese Medicine, 1200 Cailun Road, Pudong, Shanghai, China
| | - Xiaojuan Hu
- Shanghai Innovation Center of TCM Health Service, Shanghai University of Traditional Chinese Medicine, 1200 Cailun Road, Pudong, Shanghai, China
| | - Ji Cui
- Basic Medical College, Shanghai University of Traditional Chinese Medicine, 1200 Cailun Road, Pudong, Shanghai, China
| | - Longtao Cui
- Basic Medical College, Shanghai University of Traditional Chinese Medicine, 1200 Cailun Road, Pudong, Shanghai, China
| | - Jingbin Huang
- Basic Medical College, Shanghai University of Traditional Chinese Medicine, 1200 Cailun Road, Pudong, Shanghai, China
| | - Xuxiang Ma
- Basic Medical College, Shanghai University of Traditional Chinese Medicine, 1200 Cailun Road, Pudong, Shanghai, China
| | - Tao Jiang
- Basic Medical College, Shanghai University of Traditional Chinese Medicine, 1200 Cailun Road, Pudong, Shanghai, China
| | - Xinghua Yao
- Basic Medical College, Shanghai University of Traditional Chinese Medicine, 1200 Cailun Road, Pudong, Shanghai, China
| | - Fang Lan
- Basic Medical College, Shanghai University of Traditional Chinese Medicine, 1200 Cailun Road, Pudong, Shanghai, China
| | - Jun Li
- Basic Medical College, Shanghai University of Traditional Chinese Medicine, 1200 Cailun Road, Pudong, Shanghai, China
| | - Zijuan Bi
- Basic Medical College, Shanghai University of Traditional Chinese Medicine, 1200 Cailun Road, Pudong, Shanghai, China
| | - Jiacai Li
- Basic Medical College, Shanghai University of Traditional Chinese Medicine, 1200 Cailun Road, Pudong, Shanghai, China
| | - Yu Wang
- Basic Medical College, Shanghai University of Traditional Chinese Medicine, 1200 Cailun Road, Pudong, Shanghai, China
| | - Hongyuan Fu
- Basic Medical College, Shanghai University of Traditional Chinese Medicine, 1200 Cailun Road, Pudong, Shanghai, China
| | - Jue Wang
- Basic Medical College, Shanghai University of Traditional Chinese Medicine, 1200 Cailun Road, Pudong, Shanghai, China
| | - Yanting Lin
- Basic Medical College, Shanghai University of Traditional Chinese Medicine, 1200 Cailun Road, Pudong, Shanghai, China
| | - Jingxuan Bai
- Basic Medical College, Shanghai University of Traditional Chinese Medicine, 1200 Cailun Road, Pudong, Shanghai, China
| | - Xiaojing Guo
- Basic Medical College, Shanghai University of Traditional Chinese Medicine, 1200 Cailun Road, Pudong, Shanghai, China
| | - Liping Tu
- Basic Medical College, Shanghai University of Traditional Chinese Medicine, 1200 Cailun Road, Pudong, Shanghai, China.
| | - Jiatuo Xu
- Basic Medical College, Shanghai University of Traditional Chinese Medicine, 1200 Cailun Road, Pudong, Shanghai, China.
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Physiological Acclimatization of the Liver to 180-Day Isolation and the Mars Solar Day. BIOMED RESEARCH INTERNATIONAL 2020; 2020:2796510. [PMID: 32280684 PMCID: PMC7115137 DOI: 10.1155/2020/2796510] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/17/2019] [Revised: 01/10/2020] [Accepted: 02/21/2020] [Indexed: 01/31/2023]
Abstract
Physiological changes in humans are evident under environmental conditions similar to those on a Mars mission involving both a space factor (long-term isolation) and a time factor (the Mars solar day). However, very few studies have investigated the response of the liver to those conditions. Serum protein levels, bilirubin levels, aminotransferase activities, blood alkaline phosphatase, gamma-glutamyltransferase, lipid levels, and serum cytokines interleukin-6 and interferon-γ levels were analyzed 30 days before the mock mission; on days 2, 30, 60, 75, 90, 105, 120, 150, and 175 of the mission; and 30 days after the mission, in four subjects in 4-person 180-day Controlled Ecological Life Support System Experiment. Serum protein levels (total protein and globulin) decreased and bilirubin increased under the isolation environment from day 2 and exhibited chronic acclimatization from days 30 to 175. Effects of the Mars solar day were evident on day 75. Blood lipid levels were somewhat affected. No obvious peak in any enzyme level was detected during the mission. The change tendency of these results indicated that future studies should explore whether protein parameters especially globulin could serve as indicators of immunological function exposure to the stress of a Mars mission.
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Chen J, Huang H, Hao W, Xu J. A machine learning method correlating pulse pressure wave data with pregnancy. INTERNATIONAL JOURNAL FOR NUMERICAL METHODS IN BIOMEDICAL ENGINEERING 2020; 36:e3272. [PMID: 31709770 DOI: 10.1002/cnm.3272] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/19/2019] [Revised: 09/26/2019] [Accepted: 09/30/2019] [Indexed: 06/10/2023]
Abstract
Pulse feeling , representing the tactile arterial palpation of the heartbeat, has been widely used in traditional Chinese medicine (TCM) to diagnose various diseases. The quantitative relationship between the pulse wave and health conditions however has not been investigated in modern medicine. In this paper, we explored the correlation between pulse pressure wave (PPW), rather than the pulse key features in TCM, and pregnancy by using deep learning technology. This computational approach shows that the accuracy of pregnancy detection by the PPW is 84% with an area under the curve (AUC) of 91%. Our study is a proof of concept of pulse diagnosis and will also motivate further sophisticated investigations on pulse waves.
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Affiliation(s)
- Jianhong Chen
- Department of Mathematics, Pennsylvania State University, State College, Pennsylvania
| | - Huang Huang
- School of Mathematical Sciences, Peking University, Beijing, China
| | - Wenrui Hao
- Department of Mathematics, Pennsylvania State University, State College, Pennsylvania
| | - Jinchao Xu
- Department of Mathematics, Pennsylvania State University, State College, Pennsylvania
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Syndrome Differentiation of Chinese Medicine in Mars 500 Long-Term Closed Environment. Chin J Integr Med 2019; 26:428-433. [PMID: 31456137 DOI: 10.1007/s11655-019-3074-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/13/2017] [Indexed: 10/26/2022]
Abstract
OBJECTIVE To summarize and elucidate the characteristics and evolvement of Chinese medicine (CM) patterns reflecting the physical and mental conditions of participants in the Mars 500 long-term closed environment. METHODS The DS01-T Digital TCM Four-Diagnostic Instrument and CM Inquiring Diagnostic Questionnaire were used to collect information from 6 participants in the Mars 500 International Joint Research Project, through diagnostic methods of observation, palpation and inquiry according to CM theory. During the 520 days of the experiment, data collection was performed 37 times; a total of over 400 digital images of tongues and facial complexion and over 20,000 data were collected. These data were then analyzed by a team of experts in CM, statistics, and data mining. RESULTS The CM pattern evolvement of participants in the long-term closed environment followed some common trends. Qi deficiency was the main CM pattern observed, with individual features depending on constitutional differences [manifested in varying degrees of accompanying patterns of Gan (Liver) qi stagnation, Pi (Spleen) deficiency, dampness encumbering, or yin deficiency]. CONCLUSION The research has verified the effectiveness of CM syndrome differentiation based on the four diagnostic methods, which should serve as a solid foundation for observation, monitoring, and intervention in regard to the health conditions of astronauts in long-term space flights in the future.
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