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Difference between revisions of "Conclusions on the status quo in the logic of medical language regarding the masticatory system"
Conclusions on the status quo in the logic of medical language regarding the masticatory system (view source)
Revision as of 17:22, 19 October 2024
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'''Abstract:''' The "Introduction" chapter explores the evolution of diagnostic practices in the masticatory system, focusing on the epistemological challenges of shifting paradigms. Drawing from scientific philosophies, particularly Kuhn's theory of paradigm shifts, the chapter addresses the inherent resistance to new ideas, often caused by the disruption of established power structures. The primary concern, however, is the impact on patients, as outdated diagnostic methods can hinder accurate diagnosis and treatment. | |||
This chapter outlines the critical need for standardized nomenclature and interdisciplinary approaches to overcome diagnostic errors. It highlights the complexity of the diagnostic process, where multiple stakeholders, including the patient, clinicians, and healthcare systems, must collaborate effectively. The chapter also discusses the role of epistemology and interdisciplinarity in fostering clearer diagnostic models, emphasizing the importance of a scientific method that incorporates formal methodologies rather than subjective descriptions. | |||
A key point in the discussion is the limitations of classical probability models, particularly the P-value, in accurately reflecting the complexities of biological systems. The chapter introduces the idea of quantum-like diagnostics, which, while not rooted in quantum particle physics, borrow probabilistic approaches to more accurately model biological processes. This is exemplified by a practical case study involving the evaluation of occlusal conditions and neurophysiological responses. | |||
Finally, the chapter sets the stage for introducing a new diagnostic model called "Index Ψ," which aims to integrate neurophysiological data to evaluate the trigeminal system and determine whether a patient is in "Normocclusion" or "Malocclusion." The chapter closes by emphasizing the importance of continuing treatment with a clear neurophysiological understanding, marking a shift towards a more informed and precise approach to dental and masticatory diagnostics. | |||
==Introduction== | ==Introduction== | ||
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Having said that, however, the fact is that here there is a human being called 'Patient' involved, and the restriction of the cultural and progressive field does not go to the detriment of the man of power (a professor, a politician, ...) but exclusively of the patient. Since the project follows the Feyerabend philosophy, as already said in previous pages, Masticationpedia shows all its loyal, democratic and ethical scientific thinking with ideas, facts and clinical cases, the rest will be time to judge the veracity of the project. | Having said that, however, the fact is that here there is a human being called 'Patient' involved, and the restriction of the cultural and progressive field does not go to the detriment of the man of power (a professor, a politician, ...) but exclusively of the patient. Since the project follows the Feyerabend philosophy, as already said in previous pages, Masticationpedia shows all its loyal, democratic and ethical scientific thinking with ideas, facts and clinical cases, the rest will be time to judge the veracity of the project. | ||
===Diagnostic errors and causes === | ===Diagnostic errors and causes=== | ||
Medical errors diagnose as much as the axioms on which therapeutic models are based are continually clashing between titans of the clinical scientific scene as some studies on the subject point out: | Medical errors diagnose as much as the axioms on which therapeutic models are based are continually clashing between titans of the clinical scientific scene as some studies on the subject point out: | ||
* The lack of standardized nomenclature and overlapping definitions of medical errors has hindered the analysis, the synthesis and data evaluation.<ref>{{cita libro | *The lack of standardized nomenclature and overlapping definitions of medical errors has hindered the analysis, the synthesis and data evaluation.<ref>{{cita libro | ||
| autore = Rodziewicz TL | | autore = Rodziewicz TL | ||
| autore2 = Houseman B | | autore2 = Houseman B | ||
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}}</ref> | }}</ref> | ||
These three bibliographic references were enough to extrapolate some essential concepts such as: | These three bibliographic references were enough to extrapolate some essential concepts such as: | ||
*'''standardized nomenclature''', which presupposes the need for formal methodologies, like in mathematical and physical sciences, and not subjective and/or exclusively descriptive models. | *'''standardized nomenclature''', which presupposes the need for formal methodologies, like in mathematical and physical sciences, and not subjective and/or exclusively descriptive models. | ||
*the '''diagnostic process''' understood as an 'Observable' in which several elements are involved, such as the observer, the measuring instrument, the patient as well as the ability to interpret verbal language and decode the encrypted signal of the observed system; | *the '''diagnostic process''' understood as an 'Observable' in which several elements are involved, such as the observer, the measuring instrument, the patient as well as the ability to interpret verbal language and decode the encrypted signal of the observed system; | ||
*place greater emphasis on '''differential diagnosis''', a key element that we will try to demonstrate practically with some cases mentioned in the previous chapters. | *place greater emphasis on '''differential diagnosis''', a key element that we will try to demonstrate practically with some cases mentioned in the previous chapters. | ||
== A coherent language== | ==A coherent language== | ||
These quotations and questions have led us to a more appropriate and profound description of the topics covered in the previous chapters, because we cannot talk about standardized nomenclature, diagnostic process and differential diagnosis without talking about: | These quotations and questions have led us to a more appropriate and profound description of the topics covered in the previous chapters, because we cannot talk about standardized nomenclature, diagnostic process and differential diagnosis without talking about: | ||
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| OCLC = | | OCLC = | ||
}}</ref> and all that is <nowiki>'</nowiki>'''Epistomology'''<nowiki>'</nowiki>, that almost spontaneously highlighted another fundamental passage that of 'Interdisciplinarity', a phenomenon that only with great effort is recognized as important as the specialized disciplines. | }}</ref> and all that is <nowiki>'</nowiki>'''Epistomology'''<nowiki>'</nowiki>, that almost spontaneously highlighted another fundamental passage that of 'Interdisciplinarity', a phenomenon that only with great effort is recognized as important as the specialized disciplines. | ||
*'''Interdisciplinarity''' | * '''Interdisciplinarity''' | ||
The proposed alternative philosophical paradigm, called the "Engineering Paradigm of Science" implies alternative philosophical assumptions regarding aspects such as the purpose of science, the character of knowledge, the epistemic and pragmatic criteria for the acceptance of knowledge and the role of technological tools. Consequently, scientific researchers need so-called metacognitive scaffolds to aid in the analysis and reconstruction of how "knowledge" is constructed in different disciplines. <ref>Boon M, Van Baalen S, «'''Epistemology for interdisciplinary research - shifting philosophical paradigms of science'''», in [[:Category:Citations from Eur J Philos Sci|Eur J Philos Sci]], 2019. <small>DOI:10.1007/s13194-018-0242-4</small> </ref><ref>Boon M, «'''An engineering paradigm in the biomedical sciences: Knowledge as epistemic tool'''», in [[:Category:Citations from Prog Biophys Mol Biol|Prog Biophys Mol Biol]], 2017.<small>DOI:10.1016/j.pbiomolbio.2017.04.001</small> </ref> Precisely these 'Metacognitive Scaffolds' have allowed us to consider an important requirement in diagnostics that of 'basic knowledge' which tends to reduce the vagueness and ambiguity of the logic of medical language.<ref>Codish S, Shiffman RN, «'''A model of ambiguity and vagueness in clinical practice guideline recommendations'''», in [[:Category:Citations from AMIA Annu Symp Proc|AMIA Annu Symp Proc]], 2005.<small>PMID:16779019</small></ref> | The proposed alternative philosophical paradigm, called the "Engineering Paradigm of Science" implies alternative philosophical assumptions regarding aspects such as the purpose of science, the character of knowledge, the epistemic and pragmatic criteria for the acceptance of knowledge and the role of technological tools. Consequently, scientific researchers need so-called metacognitive scaffolds to aid in the analysis and reconstruction of how "knowledge" is constructed in different disciplines. <ref>Boon M, Van Baalen S, «'''Epistemology for interdisciplinary research - shifting philosophical paradigms of science'''», in [[:Category:Citations from Eur J Philos Sci|Eur J Philos Sci]], 2019. <small>DOI:10.1007/s13194-018-0242-4</small> </ref><ref>Boon M, «'''An engineering paradigm in the biomedical sciences: Knowledge as epistemic tool'''», in [[:Category:Citations from Prog Biophys Mol Biol|Prog Biophys Mol Biol]], 2017.<small>DOI:10.1016/j.pbiomolbio.2017.04.001</small> </ref> Precisely these 'Metacognitive Scaffolds' have allowed us to consider an important requirement in diagnostics that of 'basic knowledge' which tends to reduce the vagueness and ambiguity of the logic of medical language.<ref>Codish S, Shiffman RN, «'''A model of ambiguity and vagueness in clinical practice guideline recommendations'''», in [[:Category:Citations from AMIA Annu Symp Proc|AMIA Annu Symp Proc]], 2005.<small>PMID:16779019</small></ref> | ||
*'''Logic of medical language''' | *'''Logic of medical language''' | ||
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{| width="80%" | | {| width="80%" | | ||
|- | |- | ||
| width="10%" | {{CD1}}Exit level:{{CD2}} | | width="10%" |{{CD1}}Exit level:{{CD2}} | ||
| width="10%" |'''Normocclusion''' | | width="10%" | '''Normocclusion''' | ||
| align="right" width="10%" |'''Malocclusion''' | | align="right" width="10%" | '''Malocclusion''' | ||
|} | |} | ||
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