Constrained Time-Varying System Modelling

Author(s):  
Jerome R. Bellegarda ◽  
David C. Farden
2021 ◽  
Vol 8 (12) ◽  
pp. 222
Author(s):  
Nur Sa’adah Muhamad Sauki ◽  
Nor Salwa Damanhuri ◽  
Nor Azlan Othman ◽  
Belinda Chong Chiew Meng ◽  
Yeong Shiong Chiew ◽  
...  

Respiratory system modelling can assist clinicians in making clinical decisions during mechanical ventilation (MV) management in intensive care. However, there are some cases where the MV patients produce asynchronous breathing (asynchrony events) due to the spontaneous breathing (SB) effort even though they are fully sedated. Currently, most of the developed models are only suitable for fully sedated patients, which means they cannot be implemented for patients who produce asynchrony in their breathing. This leads to an incorrect measurement of the actual underlying mechanics in these patients. As a result, there is a need to develop a model that can detect asynchrony in real-time and at the bedside throughout the ventilated days. This paper demonstrates the asynchronous event detection of MV patients in the ICU of a hospital by applying a developed extended time-varying elastance model. Data from 10 mechanically ventilated respiratory failure patients admitted at the International Islamic University Malaysia (IIUM) Hospital were collected. The results showed that the model-based technique precisely detected asynchrony events (AEs) throughout the ventilation days. The patients showed an increase in AEs during the ventilation period within the same ventilation mode. SIMV mode produced much higher asynchrony compared to SPONT mode (p < 0.05). The link between AEs and the lung elastance (AUC Edrs) was also investigated. It was found that when the AEs increased, the AUC Edrs decreased and vice versa based on the results obtained in this research. The information of AEs and AUC Edrs provides the true underlying lung mechanics of the MV patients. Hence, this model-based method is capable of detecting the AEs in fully sedated MV patients and providing information that can potentially guide clinicians in selecting the optimal ventilation mode of MV, allowing for precise monitoring of respiratory mechanics in MV patients.


2020 ◽  
Vol 82 ◽  
pp. 199-209
Author(s):  
Mike B. Dodd ◽  
Katherine N. Tozer ◽  
Iris Vogeler ◽  
Rose Greenfield ◽  
David R. Stevens ◽  
...  

The improvement in forage quality and quantity of summer-dry hill country pasture resulting from the introduction of clover is well recognised. However, ensuring the persistence of the commonly availablecultivars is challenging, in the face of seasonal moisture stress, intensive grazing, competition from established well-adapted pasture species, low soil fertility and low soil pH – conditions typical of the East Coast of the North Island. Here we quantify the value proposition associated with the introduction of white clover into a case study on a Gisborne sheep and beef farm, using a six-step process. A topographically explicit approach is taken, using an understanding of the underlying spatial variability, based on a combination of soil and pasture measurements, APSIM simulation modelling of pasture growth and farm system modelling of enterprise performance. We show that from a baseline of a typical low-fertility, diverse species hill country pasture, white clover introduction can increase spring and summer forage consumption by 17%, enabling inclusion of an additional 6-month bull finishing enterprise generating a 32% greater carcass weight production and leading to a 49% improvement in farm system EBIT. This represents a positive net present value of over $360,000 for the original investment in white clover establishment into existing pastures.


2016 ◽  
Author(s):  
Felix Schindler ◽  
Bertram Steininger ◽  
Tim Kroencke

Sign in / Sign up

Export Citation Format

Share Document