scholarly journals A Damaged-Informed Lung Ventilator Model for Ventilator Waveforms

2021 ◽  
Vol 12 ◽  
Author(s):  
Deepak K. Agrawal ◽  
Bradford J. Smith ◽  
Peter D. Sottile ◽  
David J. Albers

Motivated by a desire to understand pulmonary physiology, scientists have developed physiological lung models of varying complexity. However, pathophysiology and interactions between human lungs and ventilators, e.g., ventilator-induced lung injury (VILI), present challenges for modeling efforts. This is because the real-world pressure and volume signals may be too complex for simple models to capture, and while complex models tend not to be estimable with clinical data, limiting clinical utility. To address this gap, in this manuscript we developed a new damaged-informed lung ventilator (DILV) model. This approach relies on mathematizing ventilator pressure and volume waveforms, including lung physiology, mechanical ventilation, and their interaction. The model begins with nominal waveforms and adds limited, clinically relevant, hypothesis-driven features to the waveform corresponding to pulmonary pathophysiology, patient-ventilator interaction, and ventilator settings. The DILV model parameters uniquely and reliably recapitulate these features while having enough flexibility to reproduce commonly observed variability in clinical (human) and laboratory (mouse) waveform data. We evaluate the proof-in-principle capabilities of our modeling approach by estimating 399 breaths collected for differently damaged lungs for tightly controlled measurements in mice and uncontrolled human intensive care unit data in the absence and presence of ventilator dyssynchrony. The cumulative value of mean squares error for the DILV model is, on average, ≈12 times less than the single compartment lung model for all the waveforms considered. Moreover, changes in the estimated parameters correctly correlate with known measures of lung physiology, including lung compliance as a baseline evaluation. Our long-term goal is to use the DILV model for clinical monitoring and research studies by providing high fidelity estimates of lung state and sources of VILI with an end goal of improving management of VILI and acute respiratory distress syndrome.

2020 ◽  
Author(s):  
Deepak. K. Agrawal ◽  
Bradford J. Smith ◽  
Peter D. Sottile ◽  
David J. Albers

AbstractThe acute respiratory distress syndrome (ARDS) is characterized by the acute development of diffuse alveolar damage (DAD) resulting in increased vascular permeability and decreased alveolar gas exchange. Mechanical ventilation is a potentially lifesaving intervention to improve oxygen exchange but has the potential to cause ventilator-induced lung injury (VILI). A general strategy to reduce VILI is to use low tidal volume and low-pressure ventilation, but optimal ventilator settings for an individual patient are difficult for the bedside physician to determine and mortality from ARDS remains unacceptably high. Motivated by the need to minimize VILI, scientists have developed models of varying complexity to understand diseased pulmonary physiology. However, simple models often fail to capture real-world injury while complex models tend to not be estimable with clinical data, limiting the clinical utility of existing models. To address this gap, we present a physiologically anchored data-driven model to better model lung injury. Our approach relies on using clinically relevant features in the ventilator waveform data that contain information about pulmonary physiology, patients-ventilator interaction and ventilator settings. Our lung model can reproduce essential physiology and pathophysiology dynamics of differently damaged lungs for both controlled mouse model data and uncontrolled human ICU data. The estimated parameters values that are correlated with a known measure of lung physiology agree with the observed lung damage. In future endeavors, this model could be used to phenotype ventilator waveforms and serve as a basis for predicting the course of ARDS and improving patient care.


Author(s):  
R. Darin Ellis ◽  
Kentaro Kotani

A visco-elastic model of the mechanical properties of muscle was used to describe age-differences in the buildup of force in isometric elbow flexion. Given information from the literature on age-related physiological changes, such as decreasing connective-tissue elasticity, one would expect changes in the mechanical properties of skeletal muscle and their related model parameters. Force vs. time curves were obtained for 7 young (aged 21–27) and 7 old (aged 69–83) female subject. There were significant age group differences in steady-state force level and the best fitting model parameters. In particular, the viscous damping element of the model plays a large role in describing the increased time to reach steady-state force levels in the older subject group. Implications of this research include incorporating parameter differences into more complex models, such as crash impact models.


2013 ◽  
Vol 5 (2) ◽  
pp. 55-77 ◽  
Author(s):  
Anthony H. Dekker

In this paper, the author explores epistemological aspects of simulation with a particular focus on using simulations to provide recommendations to managers and other decision-makers. The author presents formal definitions of knowledge (as justified true belief) and of simulation. The author shows that a simple model, the Kuramoto model of coupled-oscillators, satisfies the simulation definition (and therefore generates knowledge) through a justified mapping from the real world. The author argues that, for more complex models, such a justified mapping requires three techniques: using an appropriate and justified theoretical construct; using appropriate and justified values for model parameters; and testing or other verification processes to ensure that the mapping is correctly defined. The author illustrates these three techniques with experiments and models from the literature, including the Long House Valley model of Axtell et al., the SAFTE model of sleep, and the Segregation model of Wilensky.


2018 ◽  
Vol 108 (2) ◽  
pp. 946-965 ◽  
Author(s):  
Ch. Kkallas ◽  
C. B. Papazachos ◽  
B. N. Margaris ◽  
D. Boore ◽  
Ch. Ventouzi ◽  
...  

Abstract We employ the stochastic finite‐fault modeling approach of Motazedian and Atkinson (2005), as adapted by Boore (2009), for the simulation of Fourier amplitude spectra (FAS) of intermediate‐depth earthquakes in the southern Aegean Sea subduction (southern Greece). To calibrate the necessary model parameters of the stochastic finite‐fault method, we used waveform data from both acceleration and broadband‐velocity sensor instruments for intermediate‐depth earthquakes (depths ∼45–140  km) with M 4.5–6.7 that occurred along the southern Aegean Sea Wadati–Benioff zone. The anelastic attenuation parameters employed for the simulations were adapted from recent studies, suggesting large back‐arc to fore‐arc attenuation differences. High‐frequency spectral slopes (kappa values) were constrained from the analysis of a large number of earthquakes from the high‐density EGELADOS (Exploring the Geodynamics of Subducted Lithosphere Using an Amphibian Deployment of Seismographs) temporary network. Because of the lack of site‐specific information, generic site amplification functions available for the Aegean Sea region were adopted. Using the previous source, path, and site‐effect constraints, we solved for the stress‐parameter values by a trial‐and‐error approach, in an attempt to fit the FAS of the available intermediate‐depth earthquake waveforms. Despite the fact that most source, path, and site model parameters are based on independent studies and a single source parameter (stress parameter) is optimized, an excellent comparison between observations and simulations is found for both peak ground acceleration (PGA) and peak ground velocity (PGV), as well as for FAS values. The final stress‐parameter values increase with moment magnitude, reaching large values (>300  bars) for events M≥6.0. Blind tests for an event not used for the model calibration verify the good agreement of the simulated and observed ground motions for both back‐arc and along‐arc stations. The results suggest that the employed approach can be efficiently used for the modeling of large historical intermediate‐depth earthquakes, as well as for seismic hazard assessment for similar intermediate‐depth events in the southern Aegean Sea area.


2018 ◽  
Vol 315 (4) ◽  
pp. L517-L525 ◽  
Author(s):  
Meghan S. Vermillion ◽  
Andrew Nelson ◽  
Landon vom Steeg ◽  
Jeffery Loube ◽  
Wayne Mitzner ◽  
...  

Pregnancy is associated with significant anatomic and functional changes to the cardiopulmonary system. Using pregnant C57BL/6 mice, we characterized changes in pulmonary structure and function during pregnancy in healthy animals and following infection with influenza A virus (IAV). We hypothesized that pregnancy-associated alterations in pulmonary physiology would contribute to the more severe outcome of IAV infection. Nonpregnant and pregnant females (at embryonic day 10.5) were either mock-infected or infected with 2009 H1N1 IAV for assessment of pulmonary function, structure, and inflammation at 8 days postinoculation. There were baseline differences in pulmonary function, with pregnant females having greater lung compliance, total lung capacity, and fixed lung volume than nonpregnant females. Following IAV infection, both pregnant and nonpregnant females exhibited reduced circulating progesterone, which in nonpregnant females was associated with increased pulmonary resistance and decreased lung compliance, minute ventilation, and oxygen diffusing capacity compared with uninfected nonpregnant females. In pregnant females, reduced concentrations of progesterone were associated with adverse pregnancy outcomes, but measures of pulmonary function were preserved following IAV infection and were not significantly different from uninfected pregnant mice. Following IAV infection, infectious virus titers and total numbers of pulmonary leukocytes were similar between pregnant and nonpregnant females, but the histological density of pulmonary inflammation was reduced in pregnant animals. These data suggest that pregnancy in mice is associated with significant alterations in pulmonary physiology but that these changes served to preserve lung function during IAV infection. Pregnancy-associated alterations in pulmonary physiology may serve to protect females during severe influenza.


2009 ◽  
Vol 6 (40) ◽  
pp. 979-987 ◽  
Author(s):  
L. Pellis ◽  
N. M. Ferguson ◽  
C. Fraser

The basic reproduction number R 0 is one of the most important concepts in modern infectious disease epidemiology. However, for more realistic and more complex models than those assuming homogeneous mixing in the population, other threshold quantities can be defined that are sometimes more useful and easily derived in terms of model parameters. In this paper, we present a model for the spread of a permanently immunizing infection in a population socially structured into households and workplaces/schools, and we propose and discuss a new household-to-household reproduction number R H for it. We show how R H overcomes some of the limitations of a previously proposed threshold parameter, and we highlight its relationship with the effort required to control an epidemic when interventions are targeted at randomly selected households.


2004 ◽  
Vol 824 ◽  
Author(s):  
M.M. Askarieh ◽  
T.G. Heath ◽  
W.M. Tearle

AbstractA Monte Carlo-based approach has been adopted for development of a chemical thermodynamic model to describe the goethite surface in contact with sodium nitrate solutions. The technique involves the calculation of the goethite surface properties for the chemical conditions corresponding to each experimental data point. The representation of the surface was based on a set of model parameters, each of which was either fixed or was randomly sampled from a specified range of values. Thousands of such model representations were generated for different selected sets of parameter values with the use of the standard geochemical speciation computer program, HARPHRQ. The method allowed many combinations of parameter values to be sampled that might not be achieved with a simple least-squares fitting approach. It also allowed the dependence of the quality of fit on each parameter to be analysed. The Monte Carlo approach is most appropriate in the development of complex models involving the fitting of several datasets with several fitting parameters.Introduction of selenate surface complexes allowed the model to be extended to represent selenate ion sorption, selenium being an important radioelement in evaluation of the long-term safety of ILW disposal. The sorption model gave good agreement with a wide range of experimental sorption datasets for selenate.


Author(s):  
Petra Bubáková

This paper deals with an investigation of breakdates in agricultural prices. A structural break has occurred if at least one of the model parameters has changed at some date. This date is a breakdate. Ignoring structural breaks in time series can lead to serious problems with economic models of time series. The aim is to determine the number and date of the breakdates in individual time series and connect them with changes in the market and economic environment. The time series of agricultural price relating to animal production, namely the prices of pork, beef, chicken, milk and eggs, are analyzed for the period from January 1996 to December 2011. The autoregressive model (AR) model of Box-Jenkins methodology and stability testing according to Quandt or Wald statistics are used for the purposes of this paper. Multiple breakdates are found in the case of eggs (September 1998, May 2004), milk (October 1999, December 2007) and chicken (October 2002, February 2005) prices. One breakdate was detected in the prices of beef (April 2002) and none in the case of pork prices. The results show the importance of multiple breakdate testing. The Quandt statistic provides one possible way of applying a multiple approach. All breakdates which were confirmed using these statistics can be associated with changes in the agri-food market and economic environment. Information about the date of changes in the time series can be used for other unbiased modelling in more complex models.


2016 ◽  
Vol 2016 (3) ◽  
pp. 233-242 ◽  
Author(s):  
Владислав Колякин ◽  
Vladislav Kolyakin ◽  
Владимир Аверченков ◽  
Vladimir Averchenkov ◽  
Максим Терехов ◽  
...  

Virtual threedimensional (3 D) models of complex objects are used in many fields of science and engineering, such as architecture, industry, medicine, robotics. Besides, 3D models are used in geoinformation systems, computer games, virtual and supplemented reality and so on. Three dimensional models can be formed in dif-ferent ways, one of which consists in 3 D reconstruc-tion. One of the stages of the 3 D reconstruction of complex models of real objects is a definition of the mathematical models of geometric primitives emphasized on the image. One of the ways for the estimate of model parameters is a method of Hough vote and its modifications – Hough probabilistic transformation, Hough random transformation, Hough hierarchical transformation, phase space blurriness, use of a gra-dient of image brightness and so on. As an alternative way for models selection is a choice of suitable points from a set of data.


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