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| The key can be defined as "Real context". | | The key can be defined as "Real context". |
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− | [[File:Question_2.jpg|link=https://it.masticationpedia.org/index.php/File:Question_2.jpg|left|86x86px]]<br />{{q2|Why do you say that the patient's "key" is defined as the REAL one?|difficult answer, but observe the Gate Control phenomenon and you will understand}}
| + | {{q4|Why do you say that the patient's "key" is defined as the REAL one?|difficult answer, but observe the Gate Control phenomenon and you will understand}} |
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| First of all: 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>. While in the case of a biological system a ‘Stochastic Observability’ of linear dynamic systems <ref>{{cita libro | | First of all: 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>. While in the case of a biological system a ‘Stochastic Observability’ of linear dynamic systems <ref>{{cita libro |
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| 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 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. |
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| + | {{q4|Why, then, are we relatively successful in diagnostics? |An entire separate encyclopedia would be needed to answer to this question, but without going too far, let's try to discuss the reasons.}} |
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− | {{q2|Why, then, are we relatively successful in diagnostics? |An entire separate encyclopedia would be needed to answer to this question, but without going too far, let's try to discuss the reasons.}} | |
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| Basic diagnostic intuition is a quick, non-analytical and unconscious way of reasoning. 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. 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. 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>Meredith Vanstone, Sandra Monteiro, Eamon Colvin, Geoff Norman, Jonathan Sherbino, Matthew Sibbald, Kelly Dore, Amanda Peters . [https://pubmed.ncbi.nlm.nih.gov/30877781/?from_term=%22diagnostic+intuition%22&from_pos=1 Experienced Physician Descriptions of Intuition in Clinical Reasoning: A Typology]. 2019 Aug 27;6(3):259-268. doi: 10.1515/dx-2018-0069.</ref> | | Basic diagnostic intuition is a quick, non-analytical and unconscious way of reasoning. 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. 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. 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>Meredith Vanstone, Sandra Monteiro, Eamon Colvin, Geoff Norman, Jonathan Sherbino, Matthew Sibbald, Kelly Dore, Amanda Peters . [https://pubmed.ncbi.nlm.nih.gov/30877781/?from_term=%22diagnostic+intuition%22&from_pos=1 Experienced Physician Descriptions of Intuition in Clinical Reasoning: A Typology]. 2019 Aug 27;6(3):259-268. doi: 10.1515/dx-2018-0069.</ref> |
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| Therefore, there is a need for: | | Therefore, there is a need for: |
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| + | {{q4|A System Logic that integrates the sequence of the machine language code|true! we'll get there with a little patience}} |
− | {{q2|A System Logic that integrates the sequence of the machine language code|true! we'll get there with a little patience}} | |
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| ==Final Considerations== | | ==Final Considerations== |
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| The problem, on the other hand, lies in the mindset of mankind that prefers a deterministic reality to a stochastic one. We will discuss these topics in detail | | The problem, on the other hand, lies in the mindset of mankind that prefers a deterministic reality to a stochastic one. We will discuss these topics in detail |
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| In the following chapters, all dealing with logic, we will try to shift the attention from the symptom and clinical sign to the encrypted machine language: for the latter, the arguments of the Donald E Stanley-Daniel G Campos duo and Pat Croskerry are welcome, but are to be translated into topic ‘time’ (anticipation of the symptom) and into the message (assembler and non-verbal machine language). Obviously, this does not preclude the validity of the clinical history (semeiotics), essentially built on a verbal language rooted in medical reality. | | In the following chapters, all dealing with logic, we will try to shift the attention from the symptom and clinical sign to the encrypted machine language: for the latter, the arguments of the Donald E Stanley-Daniel G Campos duo and Pat Croskerry are welcome, but are to be translated into topic ‘time’ (anticipation of the symptom) and into the message (assembler and non-verbal machine language). Obviously, this does not preclude the validity of the clinical history (semeiotics), essentially built on a verbal language rooted in medical reality. |
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| We are aware that our Linux Sapiens is perplexed and wondering: | | We are aware that our Linux Sapiens is perplexed and wondering: |
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− | {{q2|.... could the logic of Classical language help us to solve the poor Mary Poppins' dilemma?|You will see that much of medical thinking is based on the logic of Classical language but there are limits}} | + | {{q4|.... could the logic of Classical language help us to solve the poor Mary Poppins' dilemma?|You will see that much of medical thinking is based on the logic of Classical language but there are limits}} |
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| {{Btnav|Introduction|The logic of classical language}} | | {{Btnav|Introduction|The logic of classical language}} |