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1.
Philos Trans A Math Phys Eng Sci ; 378(2172): 20190284, 2020 May 29.
Artigo em Inglês | MEDLINE | ID: mdl-32389081

RESUMO

The paper proposes a mathematical framework for the use of fractional-order impedance models to capture fluid mechanics properties in frequency-domain experimental datasets. An overview of non-Newtonian (NN) fluid classification is given as to motivate the use of fractional-order models as natural solutions to capture fluid dynamics. Four classes of fluids are tested: oil, sugar, detergent and liquid soap. Three nonlinear identification methods are used to fit the model: nonlinear least squares, genetic algorithms and particle swarm optimization. The model identification results obtained from experimental datasets suggest the proposed model is useful to characterize various degree of viscoelasticity in NN fluids. The advantage of the proposed model is that it is compact, while capturing the fluid properties and can be identified in real-time for further use in prediction or control applications. This article is part of the theme issue 'Advanced materials modelling via fractional calculus: challenges and perspectives'.

2.
J Clin Monit Comput ; 33(4): 675-686, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30311073

RESUMO

PURPOSE: We evaluated the feasibility and robustness of three methods for propofol-to-bispectral index (BIS) post-operative intensive care sedation, a manually-adapted target controlled infusion protocol (HUMAN), a computer-controlled predictive control strategy (EPSAC) and a computer-controlled Bayesian rule-based optimized control strategy (BAYES). METHODS: Thirty-six patients undergoing short lasting sedation following cardiac surgery were included to receive propofol to maintain a BIS between 40 and 60. Robustness of control for all groups was analysed using prediction error and spectrographic analysis. RESULTS: Although similar time courses of measured BIS were obtained in all groups, a higher median propofol effect-site concentration (CePROP) was required in the HUMAN group compared to the BAYES and EPSAC groups. The time course analysis of the remifentanil effect-site concentration (CeREMI) revealed a significant increase in CeREMI in the EPSAC group compared to BAYES and HUMAN during the case. Although similar bias and divergence in control was found in all groups, larger control inaccuracy was observed in HUMAN versus EPSAC and BAYES. Spectrographic analysis of the system behavior shows that BAYES covers the largest spectrum of frequencies, followed by EPSAC and HUMAN. CONCLUSIONS: Both computer-based control systems are feasible to be used during ICU sedation with overall tighter control than HUMAN and even with lower required CePROP. EPSAC control required higher CeREMI than BAYES or HUMAN to maintain stable control. Clinical trial number: NCT00735631.


Assuntos
Cuidados Críticos/métodos , Sedação Profunda/métodos , Monitorização Fisiológica/métodos , Propofol/administração & dosagem , Idoso , Algoritmos , Anestesia Intravenosa/métodos , Anestésicos Intravenosos/uso terapêutico , Teorema de Bayes , Eletroencefalografia , Feminino , Humanos , Infusões Intravenosas , Unidades de Terapia Intensiva , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Período Pós-Operatório , Reprodutibilidade dos Testes , Processamento de Sinais Assistido por Computador , Software
3.
Resuscitation ; 116: 46-48, 2017 07.
Artigo em Inglês | MEDLINE | ID: mdl-28487253

RESUMO

Defibrillation within the first minutes after sudden cardiac arrest can save many quality-adjusted life years. Yet, despite enormous investments, 'healthcare' is still unable to provide this for the majority of patients. Emergency Medical Services often have a too long mean response time and many issues surround Public Access Defibrillation programs. In this article we argument that AED-equipped drones could be the 'magic bullet'. They are easily deployed and fast, and have a relatively low operational cost. As such they could rapidly bring an AED next to the victim, irrespective of most geographical circumstances, give visual feedback and situational awareness to the EMS dispatcher and thus assist a bystander to provide better CPR. Although there are many real-life barriers to actual deployment, we argument these might all get solved once we have solved the described technological issues.


Assuntos
Aeronaves , Serviços Médicos de Emergência/métodos , Parada Cardíaca Extra-Hospitalar/terapia , Ambulâncias , Reanimação Cardiopulmonar/tendências , Desfibriladores/provisão & distribuição , Humanos , Fatores de Tempo
4.
IEEE Trans Biomed Circuits Syst ; 5(1): 83-9, 2011 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-23850980

RESUMO

The self similar branching arrangement of the airways makes the respiratory system an ideal candidate for the application of fractional calculus theory. The fractal geometry is typically characterized by a recurrent structure. This study investigates the identification of a model for the respiratory tree by means of its electrical equivalent based on intrinsic morphology. Measurements were obtained from seven volunteers, in terms of their respiratory impedance by means of its complex representation for frequencies below 5 Hz. A parametric modeling is then applied to the complex valued data points. Since at low-frequency range the inertance is negligible, each airway branch is modeled by using gamma cell resistance and capacitance, the latter having a fractional-order constant phase element (CPE), which is identified from measurements. In addition, the complex impedance is also approximated by means of a model consisting of a lumped series resistance and a lumped fractional-order capacitance. The results reveal that both models characterize the data well, whereas the averaged CPE values are supraunitary and subunitary for the ladder network and the lumped model, respectively.

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