Literature DB >> 35498557

Post-symptomatic detection of COVID-2019 grade based mediative fuzzy projection.

Mukesh Kumar Sharma1, Nitesh Dhiman1, Vishnu Narayan Mishra2, Lakshmi Narayan Mishra3, Arvind Dhaka4, Deepika Koundal5.   

Abstract

The concept of fuzzy set, intuitionistic set, and mediative fuzzy set as a generalization of a crisp set have been introduced in many real-life applications. The concept of crisp relation between elements of sets can be extended to fuzzy relations. Extended relations will be considered as relations on fuzzy sets. In this work, we developed the concept of mediative fuzzy relation and meditative fuzzy projection in the context of fuzzy relation and fuzzy projection. We extended the basic operations of fuzzy projection into intuitionistic fuzzy projection and then in the mediative fuzzy projection. We have shown the credibility and impact of mediative index factor involves in the mediative fuzzy projection in context of prediction work in relation to the proposed model. Further, we applied the mediative fuzzy projection in the medical diagnosis in post-COVID-19 patients. The obtained results have also been discussed with their geometrical representation.
© 2022 Elsevier Ltd. All rights reserved.

Entities:  

Keywords:  Intuitionistic fuzzy projection; Intuitionistic fuzzy relation; Intuitionistic fuzzy set; Mediative fuzzy projection

Year:  2022        PMID: 35498557      PMCID: PMC9042789          DOI: 10.1016/j.compeleceng.2022.108028

Source DB:  PubMed          Journal:  Comput Electr Eng        ISSN: 0045-7906            Impact factor:   4.152


Introduction

L. A. Zadeh [1] introduced the concept of fuzzy set theory. Researchers are continuously working on the extension of classical set theory into the form of fuzzy set Logic and their extensions. Fuzzy logic is a mathematical tool to design a computer-based machine that is capable of solving problems involving imprecision. The fundamental notions in pure and applied mathematics are the concept of a relation. In the same manner fuzzy relation [2] generalized the concept of relationships as fuzzy set generalizes the concept of classical set. Fuzzy relation has also been in eigen fuzzy sets and their mathematical analysis. Montiel et al. [3] gave a new method that​ can handle contrary information and provided a logical solution known as the meditative solution. Mediative fuzzy logic is a novel approach for the management of contradictory knowledge by generalizing the concept of an intuitionistic fuzzy set [4]. The concept of mediative fuzzy logic has widely been used in disease diagnosis [5]; Multi-Criteria Decision Support System [6]; in COVID-19 pandemic [7] and many more. Almost every content of the mathematical problems involves imprecision. To deal with such a type of imprecision and contradictory concept, the existing methods of fuzzy set and intuitionistic fuzzy set theory are insufficient to deal with the existing uncertainty and these concepts need to be extended to another mathematical tool. The mediative fuzzy logic tool is one of the concepts to overcome the contradiction. A fuzzy relation is a mathematical concept where the certain elements of fuzzy sets are related to another under some membership grade-based rule. Fuzzy relations have been applied in many fields [8] such as clustering with a covariance matrix [9], L1-norm based clustering [10], clustering with partial supervision,controlling a dynamic plant, mathematical programming and reasoning [11] including mathematical modeling. In real-life applications, there exist some situations that cannot be dealt with the mathematical aspect of uncertainty. In such a situation intuitionistic fuzzy relation comes under the picture. To introduce the concept of intuitionistic fuzzy relation [12] Cartesian products of intuitionistic fuzzy sets have been defined. The properties of intuitionistic fuzzy relation have also been studied in the existing literature. Later on, the effects of Atanassov's operators [13] on the properties of intuitionistic fuzzy relation have also been studied. Intuitionistic fuzzy sets have many applications in the medical field [14] including diagnosis [15] and medicine [16]. Fuzzy relations can be defined in universes of different dimensions. Sometimes there is a need to increase or decrease the dimensions of one of the fuzzy relations. For this purpose; projection and its operations were defined in the existing literature, including analytic and geometric methods of map projections [17], datum and map projections [18], album of map projections [19], map projection transformation [20], improved projection for multidimensional spaces [21], cylindrical map projection [22]. In this proposed work we introduce the concept of projection in a mediative fuzzy environment. In the contrast to classic sets, this concept allows for the partial membership of objects. Mediative fuzzy logic is the best mathematically proven logic to represent contradictory expressions. We will also discuss the mediative extension principle, which allows for the extension of traditional mathematical functions to mediative fuzzy sets, followed by the idea of a mediative fuzzy relation. The interpretation of mediative fuzzy projection has also been discussed in the medical field [23]. The diagnosis of the disease involves several levels of imprecision and uncertainty, and it is essential in the medical field. In real-life situations, a single disease may exhibit itself in a contrary fashion, depending upon the patient, and with the different severity level. More precisely one single symptom may associate with a different type of disease. The purpose of the proposed mediative fuzzy projection is to present a generalized idea (mediated solution) of the present applications of fuzzy logic in the medical field. We particularly review the medical literature using fuzzy logic, intuitionistic fuzzy logic, and mediative fuzzy logic. We then recall the geometrical interpretation of mediative fuzzy sets with the help of mediative fuzzy logic and present the illustrations through medicine (medical images).

COVID-19

Coronavirus disease is caused by a novel discovered coronavirus. COVID-19 spreads through droplets discharged from the nose while the infected person sneezes and makes contact with the infected patient. Many mathematical researcheshave been conducted to respond to the COVID-19 in diagnosis, breakdown speed, and mathematical serve [24]. A contradictory management prediction model in COVID-19 pandemic using mediative fuzzy logic mathematical model has been given in the existing model. In this work, the mediative fuzzy correlation technique provides the relation between the increments ofthe COVID-19 positive patients with respect to time. The peaks of infected cases in connection with the other condition are estimated from the available data. It is a highly infectious disease and spreads from people to people. Most people of the world have experienced mild-to-moderate respiratory illness. Some people are recovering without any special treatment of COVID-19. But those people who are underlying some medical problems like, diabetes, cancer, chronic respiratory disease are more likely to develop some serious illness issue. The best way to protect you from COVID-19 disease is to keep yourself in some isolated circumferences and washing hands with an alcohol-based sanitizer. Due to COVID-19 disease, hospitalization is a major concern for the government. The hospitalized patient may have post-traumatic stress disorder which involves long-term illness problems and after a patient returns to home it may remain in the patient.

Post COVID-19

In the case of a COVID-19 patient cure, there is a chance that the patient may get recovered in few days. Out of these infected patients, some have experienced post-COVID-19 effects. Post-COVID-19 condition is related to the long-term health effects associated with the novel coronavirus. Post-COVID-19 effects may occur due to returning COVID-19 or novel health problems. These novels or returning problems may remain present in the patient for a month after first being infected. Infact, non-symptomatic infected patients may have a post-COVID-19 situation. The effects of the post-COVID-19 patient may vary from patient to patient for a different time. There are various kinds of post-COVID-19 conditions which involve; Novel or ongoing symptomatic problems: This condition occurs in patients who had severe health issues or sometimes these can happen in less or mild severe conditions in COVID-19 infected patients. Tiredness or headache: Patients who had COVID-19 problems may face headache and tiredness problems after being recovered from the COVID-19 disease, due to the post-COVID-19 effects. Various post-COVID-19 problems are as follows: Mental illness: Post – COVID-19 conditions affect the mental fitness of most of the patients after been recovered from the COVID-19 disease. Breathing difficulty: In some cases of COVID-19 recovered patients, people may face shortness of breath. Insomnia: Post-COVID-19 situation may affect the sleep disorder of the recovered patients. These people have difficulty while sleeping. People with insomnia may lead to fatigue, mood change, lack of concentration, and many more problems. The main objectives of this study are; e) We will show the impact and credibility of mediative factor in context of prediction work in relation to the proposed model. To define an intuitionistic fuzzy relation between the set of patients and the set of diseases and extension of this concept over mediative fuzzy logic. To develop an intuitionistic fuzzy projection technique and its extension in the mediative fuzzy logic environment to form the mediative fuzzy projection technique. The numerical illustration of the proposed mediative fuzzy logic projection technique in the medical field to diagnose the disease in the patients amongst the set of various diseases. In this study, a study has been conducted based on data of post-COVID-19 patients collected from various hospitals in India. The present research work has been divided into eight sections. The second section discusses the concepts of crisp relation, fuzzy relation, and intuitionistic fuzzy relation together with the introduction of mediative fuzzy relation and their extensions. The third section is dedicated to projections associated with fuzzy sets and intuitionistic fuzzy sets. Subsequent sections describe projection in a mediative fuzzy environment. In the fifth section, we have described various steps of the proposed algorithm. In the sixth section, the post-Covid 19 data of the patients including HRCT thorax, blood report, chest X-ray, U.S.G. report, kidney & liver function test, and RTPCR reports, a block diagram of the proposed algorithm has also been given. The seventh section discusses the interpretation of proposed mediative projection in the medical field. Finally, the last section summarizes the entire work of the article.

Basic concepts

In this section, we discussed the concept of crisp relation, fuzzy relation, intuitionistic fuzzy relation, and mediative fuzzy relation and their extensions;

Crisp relation

Let P and Q be two sets, then a set of order pairs (p, q) where p is called a relation R on given sets.if (p,  q)∉R then we say p is not related to q.

Fuzzy relation

Fuzzy relation has a degree of membership lies between [0, 1] i.e., μ :  P × Q → [0,  1] called the membership value and fuzzy relation is denoted by; Example: - Let A = {(a,  0.2),  (b,  0.4),  (c,  0.5)}, B = {(d,  0.5),  (e,  0.1),  (f,  0.7)} or Here, a, b, c,denote rows and d, e, f, denote columns. The concept of fuzzy relation can be extended over n-dimensional space. Let A 1,A 2,A 3.......A be fuzzy sets defined on the universe of discourse X 1,X 2,X 3.......,X respectively. A fuzzy relation R ⊆A 1 × A 2 × A 3..... × A , can be defend as;

Intuitionistic fuzzy relation

For two-dimensional space, let A,  Bbe two intuitionistic fuzzy sets defined on the universe of discourse X,  Y respectively. An intuitionistic fuzzy relation R ⊆A × B can be defended as, For n-dimensional space, let A 1,A 2,A 3.......A be intuitionistic fuzzy sets defined on the universe of discourse X 1,X 2,X 3......., X respectively. A fuzzy relation R ⊆A 1 × A 2 × A 3..... × A , can be defend as, Example: - LetA = {(a,  0.2, 07),  (b,  0.4, .6),  (c,  0.5,  0.3)}, or

Extension for intuitionistic fuzzy sets

Let  =  1 2 …… , where ,  = 1,  2…… are intuitionistic fuzzy sets and let be another set. Let :   →  such that  = () = ( 1, 2……. ); ∈  = ( 1, 2....... ) ∈ , then the extension defines another intuitionistic fuzzy set in as:  = {(,   (),  ():  () =  ∈ )}where;andwhere −1() is the inverse image of y under .

Mediative fuzzy relation

Mediative fuzzy relation has a degree of membership as well as non-membership lies between [0, 1] i.e., , :   ×  → [0,  1] and denoted by

Extension for mediative fuzzy sets

Let  =  1 2 …… , where ,  = 1,  2……,  the mediative fuzzy sets [4] are and let be another set. Let :   →  such that  = () = ( 1, 2……. ); ∈  = ( 1, 2....... ) ∈ . Then the extension defines another mediative fuzzy set in as: = {(,   (),  ():  () =  ∈ )} with contradictory value ()defined as; Where

Fuzzy projection and intuitionistic fuzzy projection

In this section, we discuss the concept fuzzy projection and intuitionistic fuzzy projection in two and there in n-dimensional spaces;

Fuzzy projection

For two-dimensional space, let projection of relation R on A is denoted by R and their membership value is defined as (see the example of section II); Projection of relation R on B is denoted by R  and their membership value is defined as (see the example of section II); For n-dimensional space, let A 1,A 2,A 3.......A be n fuzzy sets defined on X 1,X 2,X 3.......X then the projection of relation R on A 1,A 2,A 3.......A is denoted by and their membership value is defined as; The geometrical representation of fuzzy projection is given by Fig. 1 .
Fig. 1

Geometrical representation of the fuzzy projection.

Geometrical representation of the fuzzy projection.

Intuitionistic fuzzy projection

For two-dimensional space, projection of relation R on A is denoted by R with their membership and non-membership values are defined as; Projection of relation R on B is denoted by R with their membership and non-membership values are defined as, For, n-dimensional based space, A 1,A 2,A 3.......A be n intuitionistic fuzzy sets defined on X 1,X 2,X 3.......X then the projection of relation R on A 1,A 2,A 3.......A is denoted by and their membership value and non-membership values are defined as;

Mediative fuzzy projection: a mediative fuzzy logic approach

In this section, we discuss the concept of relation, projection in the respect of mediative fuzzy set, which is described as follows;

Mediative fuzzy projection

For two-dimensional space, the projection of relation R on A is denoted by R and their mediative index is defined as; Where . The projection of relation R on B is denoted by R and their mediative index value is defined as; For n-dimensional based space, A 1,A 2,A 3.......A be n intuitionistic fuzzy sets defined on X 1,X 2,X 3.......X then the projection of relation R on A 1,A 2,A 3.......A is denoted by and their mediative index value is defined as;

Algorithm of the proposed work

In this section, we proposed an algorithm, given algorithm contains eight steps, and the various steps of the algorithm are defined in a systematic manner as follows;and set of ‘m’ disease D = {d 1,d 2,d 3,d 4...d } associated with the set of ‘k’ symptoms Step 1: Let us consider the mediative fuzzy set for the set of ‘n’ patients P = {p 1,p 2,…p } S = {s 1,s 2,.....s } of the patient denoted as; where and .where;and, (s ,s ) ∈ P × D.where; and. where,. Step 2: Define an intuitionistic fuzzy relation R between the patients P and diseases D defined as, R = {(s ,s ), μ (s ,s ),ν (s ,s ):  (s ,s ) ∈ P × D,  1 ≤ i, j ≤ k} Step 3: Define an intuitionistic fuzzy projection of R on the set of patients P defined as, Step 4: Define an intuitionistic fuzzy projection of R on the set of disease D defined as, Step 5: Now, find the mediative fuzzy projection of relation R on mediative fuzzy set P denoted by and defined as;(for each P = {p , 1 ≤ i ≤ n}) Now, we fixed the patient p  (for  some 1 ≤ i ≤ n) in the set P and evaluate the mediative fuzzy projection of relation R on p  i.e., Step 6: Now, find the mediative fuzzy projection of relation R mediative fuzzy set D defined as (for D = {d , 1 ≤ j ≤ m}), Where, . In this step, we evaluate the projection of mediative fuzzy set R on each d , for  each 1 ≤ j ≤ m. Step 7: We now change the disease d and repeat the process from steps 2 to 6. Now, we will check whether the mediative fuzzy projection gives the highest value or not i.e., that if the mediative fuzzy projection of R gives the highest value for some d , 1 ≤ j ≤ m. Then the patient p (for  some  fixed  i) will be suffering from the disease d . Step 8: After step 7, we change the patient p , for  some  fixed 1 ≤ i ≤ n and repeat the step 5 &7. In this manner, we can easily find out that the set of the patient P will be suffering from a particular disease in the set of diseases D.

Data collection

In this section, we describe the data for post-COVID-19 patients with their HRCT thorax, blood report, chest X-ray, U.S.G. report, kidney & liver function test and RT PCR reports as shown in Table 1 , the data for post COVID-19 patients has been collected from Yug hospital, Meerut, India. In this segment, we have given the data of seven post-covid-19 patients, the proposed methodology can easily be applicable over more available infected patients data.
Table 1

Collected data for post-COVID 19 patients.

PatientsIDHRCT THORAXBLOOD TESTCHEST X-RAYU.G.C. WHOLE ABDOMENKIDNEY FUNCTION TESTLIVER FUNCTION TESTCOVID-19 RT PCR
P-ICardiothoracicratio increasedTotal leucocyte counts increasedRt. Lung field is hazy and no focal parenchymal lesion seenModerate ++He patomegaly and Moderate SplenomegalyBlood urea is 51.20mg/l, serum sodium is 134.40 mmol/LSGPT/ALT IS 175.4 IU/L, CRP IS 103.2mg/L
P-IIMild bilateral pleural effusion noted, minimal pericardial effusion noted and suggestive of infective etiologyHaemoglobin is 9.7 gm/dl and monocyte are 00% with platelet count 0.34 lakh/Cum mI11-defined in homogeneous patchy opiates seen in both lung fieldModerate ++He pato- Splenomegaly, small ascites, small rt. Pleural effusion, B/L kidney stones.
P-IIIFeatures are typical of COVID-19 infection CO-RADS-5, CT severity score 10/25 and there is evidence of 40% lung correlationHaemoglobin is 10.9, TLC is 17700/cumm, lymphocytes is 00%, segmented neutrophils is 78%, absolute neutrophils 13806/cumm with P.C.V./haematocrit value 31.2% and MCHC (mean crop hbconc) 34.9g/dlSmall pneumothorax with infiltration seen in the lt. lungPositive
P-IVMultiple patcy areas of ground glassing with septal thickening noted in bilateral lung field infective etiology and consolidation with air bronchogram noted in posterior segment of bilateral upper and lower lobesTotal leucocyte count is 134400Cu Cmm. Blood ures is 105 mg/dl and serum creatinine are 4.8 mg/dlFatty infiltration of liver, left kidney is small in size with renal internal echoes with reduced corticomedullary differentiation and bowel loops are gas filledPositive
P-VCotton wool shadows are seen in both lung fieldsTotal blood count is 19500 Cu. Cmm, monocytes 00%Negative
P-VIMultiple patchy areas of ground glassingwith segment thickness noted in bilateral lung fieldsTLC-12900 CuCmm. Monocytes 00% and CRP-turbilatex is 58.5 mg/l
P-VIICT severity index is 12 suggestive of moderate diseaseS. Ferritin is 656-50 ng/ml. L D H is 437-0 U/L and D. Dimer is e 1120ng/mlThrombus is seen in right common iliach, right external iliach, right common femoral, superficial femoral, femoral, popliteal, anterior tibial, posterior tibial and dorsalis pedis arteries with no flow
Collected data for post-COVID 19 patients. The block diagram of the proposed alorithm is given in Fig. 2 . As;
Fig. 2

Block diagram.

Block diagram.

Numerical computations

In this section, we now present an example of the use of the mediative fuzzy projection in a medical field in which we discuss the projection of relation on COVID-19, pneumonia, and viral fever. CT Scan, X-Ray, Blood report and U.S.G. Whole abdomen factors have been taken for the diagnostic process of the patient. We have also taken a set ofthree diseases; COVID-19, pneumonia, and viral fever. On behalf of these diseases, we will diagnose the disease in the patients with the help of mediative fuzzy projection. We divide the levels of severity in two three categories with certain rages based on the medical experts (physician or doctor) recommendations; High-resolution CT (HRCT) of the chest, also referred to as HRCT of the lungs, refers to a CT technique in which thin-slice chest images are obtained and post-processed in a high-spatial-frequency reconstruction algorithm. CT scan reports have been divided into three linguistic categories as shown in table 2 .
Table 2

CT scan severity level and respective score.

ScoreCT Severity
< 8Mild
9-15Moderate
>15Severe
CT scan severity level and respective score. A fully computerized lab report with auto analyzer and Elisa reader for the blood test (which includes hemoglobin count, total leucocyte count, differential leucocyte count, absolute leucocyte count, P.C.V./haematocrit value, mean crop volume, mean crop Hb, and mean crop Hb Conc) of the patient has alsobeen taken in this study.Further, based on the blood report the severity of the patient is also divided into three categories as shown in Table 3 ;
Table 3

Blood severity level and its respective score.

ScoreBlood Severity
< 5Mild
6-10Moderate
>10Severe
Blood severity level and its respective score. The severity level of X-ray (includes Rt. Lung fields, focal parenchymal lesion, cardiac size, c.p. angles with domes, bony cage & soft tissue) report of the patient is also divided into three categories as shown in Table 4 below;
Table 4

X-ray severity level and its respective score.

ScoreX-ray Severity
< 5Mild
6-10Moderate
>10Severe
X-ray severity level and its respective score. U.G.C. severity level and respective score. The U.S.G. whole abdomen report (which includes liver, C.B.D., GB walls, pancreas, kidneys, spleen, R.P., bladder, and prostate) is also categorized into three linguistic categories; Now, we consider a patient p 1 with HRCT thorax, blood report, chest X-ray, U.S.G. report, kidney & liver function test, and RTPCR report given in Table 1. Now, we diagnose the disease with the help of mediative fuzzy projection in various steps as follows; Step 1: Let us consider mediative fuzzy sets for the patient and diseases namely; COVID-19, pneumonia and viral fever; Step 2: Then the relation between p 1 and d 1 is defined in the form of mediative fuzzy set R as Step 3: Then the intuitionistic fuzzy projectionR 1is defined as; Step 4: Now, find the intuitionisticfuzzy projection R 2 is defined as; Step 5: Now, the mediative fuzzy projection is defined as; Step 6: Now, the mediative fuzzy projection is defined as; Step 7: For  pneumonia Now p 1 = {(s 1,0.9, 0.1), (s 2,0.8, 0.1), (s 3,0.6, 0.2), Then the relation between p 1 and d 2 is defined in the form of mediative fuzzy set R as; Then the intuitionistic fuzzy projection R 1is defined as; Now, find the intuitionistic fuzzy projection R 2 is defined as; Now, the mediative fuzzy projection is defined as; Now, the mediative fuzzy projection defined as; Now, for  viral  fever Then the relation between p 1 and d 3 is defined in the form of mediative fuzzy set R as; Then the intuitionistic fuzzy projectionR 1is defined as; Now, find the intuitionistic fuzzy projection R 2is defined as; Now, the mediative fuzzy projection is defined as; Now, the mediative fuzzy projection is defined as; Step 8: For the values obtained in step 7, we can easily observe the mediative projection values are highest in the case of viral fever. So that the patient p 1is suffering from viral fever disease. The effect of mediative fuzzy projection of fuzzy relation between COVID-19 and patient p1 is shown by Fig. 3 & 5 and Fig. 8 & 10 indicates the fuzzy relation and their mediative fuzzy projection on the relation defined between patient p1 and d2i.e., pneumonia. Furthermore, Fig. 13 & 15 represents the impact of mediative projection on patient p1 in case of disease d3 i.e., viral fever. After the numerical computation, we observed that the mediative fuzzy projection is greater in the case of viral fever as compared to the cases of COVID-19 and pneumonia.
Fig. 3

Geometrical representation of x projection and yprojection for membership values of COVID-19.

Fig. 5

Geometrical representation of x projection and yprojection for non-membership values of COVID-19.

Fig. 8

Geometrical representation of x projection and yprojection for membership values of Pneumonia.

Fig. 10

Geometrical representation of x and yprojection for non-membership values of Pneumonia.

Fig. 13

Geometrical representation of x projection and yprojection for membership values of viral fever.

Fig. 15

Geometrical representation of x projection and yprojection for non-membership values of viral fever.

Geometrical representation of x projection and yprojection for membership values of COVID-19.

Conclusion

Due to the contradictory, non-contradictory, and doubtful situations, the mediative fuzzy logic concept comes under the study to handle such situations more appropriately than the fuzzy and intuitionistic fuzzy logic. The entire work done in this article is illustrated by the following points; The proposed mediative fuzzy projectioncan easily handle the contradictory and non-contradictory, and doubtful situations that cannot be dealt with the previously existing logic (like fuzzy logic and intuitionistic fuzzy logic). In the numerical computation section, we gave a score value to each input factor that involves; CT scan, X-Ray, Blood report etc. with their respective ranges provided by the medical experts. Further, for the significance prospective in Fig 3, Fig 5, Fig 8, Fig 10, Fig 13, & Fig 15, mediative projection on x is shown by ‘red colour’, mediative projection on y is shown by ‘green colour’, and ‘blue colour’ represents the fuzzy relation among them. To make it easier for the reader, we also gave bar graphs, to represent the mediative fuzzy relation (for membership and non-membership values) between patient p1 and disease d1(as shown in Fig 4 & 6 ). The mediative projection for disease d1 on x and y axes is also given in Fig. 7 .
Fig. 4

Graph of mediative fuzzy relation between patient p1and disease d1 using membership value.

Fig. 6

Graph of mediative fuzzy relation between patient p1 and disease d1 using non-membership value.

Fig. 7

Projection graph of x projection and y projection for mediative grades for disease d1.

Graph of mediative fuzzy relation between patient p1and disease d1 using membership value. Geometrical representation of x projection and yprojection for non-membership values of COVID-19. Graph of mediative fuzzy relation between patient p1 and disease d1 using non-membership value. Projection graph of x projection and y projection for mediative grades for disease d1. Geometrical representation of x projection and yprojection for membership values of Pneumonia. The mediative fuzzy relation (for membership and non-membership values) between patient p1 and disease d2 (as shown in Fig 9 & 11). The mediative projection for disease d2 on x and y axes is also given in Fig. 12 .
Fig. 9

Graph of mediative fuzzy relation between patient p1and disease d2 using membership value.

Fig. 11

Graph of mediative fuzzy relation between patient p1and disease d2 using non-membership value.

Fig. 12

Projection of x projection andy projection mediative gradesfor disease d2.

Graph of mediative fuzzy relation between patient p1and disease d2 using membership value. Geometrical representation of x and yprojection for non-membership values of Pneumonia. Graph of mediative fuzzy relation between patient p1and disease d2 using non-membership value. Projection of x projection andy projection mediative gradesfor disease d2. Geometrical representation of x projection and yprojection for membership values of viral fever. Fig 14 & 16 , represent the mediative fuzzy relation (for membership and non-membership values) between patient p1 and disease d2. Fig. 17 represents the mediative projection for disease d2 on x and y axes respectively.
Fig. 14

Graph of mediative fuzzy relation between patient p1and disease d3 using non-membership value.

Fig. 16

Graph of mediative fuzzy relation between patient p1and disease d3 using non-membership value.

Fig. 17

Graph of x projection and y projection mediative grades for disease d3.

Graph of mediative fuzzy relation between patient p1and disease d3 using non-membership value. Geometrical representation of x projection and yprojection for non-membership values of viral fever. Graph of mediative fuzzy relation between patient p1and disease d3 using non-membership value. Graph of x projection and y projection mediative grades for disease d3. In addition, by making use of the proposed mediative fuzzy projection, we can easily analyze medical images for the disease diagnosis process of the patients.

Declaration of Competing Interest

The Author(s) declare(s) that there is no conflict of interest for the manuscript titled “Post-symptomatic Detection of COVID-2019 Grade based Mediative Fuzzy Projection” which is submitted for possible publication in the VSI:Covid of journal ‘Computers and Electrical Engineering’.
Table 5

U.G.C. severity level and respective score.

ScoreU.G.C. Severity
< 5Mild
6-10Moderate
>10Severe
  1 in total

1.  Mediative fuzzy logic mathematical model: A contradictory management prediction in COVID-19 pandemic.

Authors:  M K Sharma; Nitesh Dhiman; Vishnu Narayan Mishra
Journal:  Appl Soft Comput       Date:  2021-03-09       Impact factor: 6.725

  1 in total
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1.  Computational Intelligence-Based Method for Automated Identification of COVID-19 and Pneumonia by Utilizing CXR Scans.

Authors:  Bhavana Kaushik; Deepika Koundal; Neelam Goel; Atef Zaguia; Assaye Belay; Hamza Turabieh
Journal:  Comput Intell Neurosci       Date:  2022-07-04
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