Closed loop control of oxgenation and ventilation

Closed loop control of oxygenation and ventilation during mechanical ventilatory support is essential for remote medical care in an austere environment. Closed loop control allows for expert systems to provide the current standard of care in the absence of on-site expertise. Ventilation may be controlled by simple systems incorporating patient height or by advanced systems incorporating measurements of end-tidal carbon dioxide (ETCO2) and pulmonary impedance. Oxygenation may be controlled by adjustments of inspired oxygen concentrations (FIO2) and positive end-expiratory pressure (PEEP) using pulse oximetry (SpO2) as the input. Control of oxygenation can prevent hypoxemia and has the potential to reduce oxygen requirements. A double closed loop system of oxygenation control including control of FIO2 via SpO2 and control of oxygen generation by a portable oxygen generator (POG) based on FIO2 and minute ventilation (VE) promises safety and efficiency. Remote control of ventilation and oxygenation is possible using existing technology.     

Hypothalamic control of body temperature: insights from the past

This essay looks at the historical significance of three APS classic papers that are freely available online: Hammel HT, Hardy JD, and Fusco MM. Thermoregulatory responses to hypothalamic cooling in unanesthetized dogs. Am J Physiol 198: 481-486, 1960 (http://ajplegacy.physiology.org/cgi/reprint/198/3/481). Hammel HT, Jackson DC, Stolwijk JAJ, Hardy JD, and Stromme SB. Temperature regulation by hypothalamic proportional control with an adjustable set point. J Appl Physiol 18: 1146-1154, 1963 (http://jap.physiology.org/cgi/reprint/18/6/1146). Hellstrom B and Hammel HT. Some characteristics of temperature regulation in the unanesthetized dog. Am J Physiol 213: 547-556, 1967 (http://ajplegacy.physiology.org/cgi/reprint/213/2/547).     

A model of human cardiovascular system containing a loop for the autonomic control of mean blood pressure

We propose a model for the human cardiovascular system that describes the cardiac cycle, the autonomic regulation of heart and vessels, the baroreflex, and the formation of blood pressure. The model also allows for the influence of respiration on these processes. It has been found that an allowance for nonlinearity and insertion of a loop for the autonomic control of mean blood pressure (having the form of selfoscillating time-delay system) enables obtaining model signals with statistical and spectral characteristics that are qualitatively and quantitatively similar to those for experimental signals. The model reproduces the phenomenon of synchronization of the loop for mean blood pressure regulation with a basic frequency of approximately 10 s by the signal of respiration.     

Reduction of a Hodgkin-Huxley-type model for a mammalian neuron at body temperature

Hodgkin-Huxley-type models mimick the electrical behavior of excitable membranes quite realistically. However, inclusion of many different ionic channels into such a model yields a highly complex set of differential equations. In this paper a reduction of a full Hodgkin-Huxley-type model based on voltage-clamp data from small rat neurons in the supraoptic nucleus area is introduced. It was found that two of the ionic channel gating variables of the full model preserved a rather close relationship during simulations. This allowed to express one of these gating variables in terms of the other one thus reducing the number of differential equations the model is based on. The behavior of the reduced model was very similar to that of the full model. In particular, important physiological features as spike shape and constant-input-to-interspike-interval relationship were (almost) identical in the full and the reduced model.     

Assessment of body mapping sportswear using a manikin operated in constant temperature mode and thermoregulatory model control mode

Regional sweating patterns and body surface temperature differences exist between genders. Traditional sportswear made from one material and/or one fabric structure has a limited ability to provide athletes sufficient local wear comfort. Body mapping sportswear consists of one piece of multiple knit structure fabric or of different fabric pieces that may provide athletes better wear comfort. In this study, the ‘modular’ body mapping sportswear was designed and subsequently assessed on a ‘Newton’ type sweating manikin that operated in both constant temperature mode and thermophysiological model control mode. The performance of the modular body mapping sportswear kit and commercial products were also compared. The results demonstrated that such a modular body mapping sportswear kit can meet multiple wear/thermal comfort requirements in various environmental conditions. All body mapping clothing (BMC) presented limited global thermophysiological benefits for the wearers. Nevertheless, BMC showed evident improvements in adjusting local body heat exchanges and local thermal sensations.     

Hypothalamic substances in the control of body temperature: general characteristics

Although it has been demonstrated that their central, exogenous application induces thermal responses, it is not yet established whether various substances found in the hypothalami of many species function as neurotransmitters in central thermoregulatory pathways. Available data concerning their presence, synthesis, release, possible binding sites, and inactivation are reviewed in the light established criteria for determining a neurotransmitter role for such substances.     

A study on a vibratory model of a human body

This paper is concerned with the modeling of the human body as a spring mass system. Based on certain assumptions, an analysis for evaluating the mass and stiffness values of the model is developed. As an illustration of the modeling procedure, a 15-degree-of-freedom model of a male body is considered. The computed natural frequencies of the model are found to be within the range of available experimental values.     

A body temperature model for lizards as estimated from the thermal environment

A physically based model was built to predict the transient body temperature of lizards in a thermally heterogeneous environment. Six heat transfer terms were taken into account in this model: solar radiation, convective heat flow, longwave radiation, conductive heat flow, metabolic heat gain and respiratory energy loss. In order to enhance the model predictive power, a Monte Carlo simulation was employed to calibrate the bio-physical parameters of the target animal. Animal experiments were conducted to evaluate the calibrated body temperature model in a terrarium under a controlled thermal environment. To avoid disturbances of the animal, thermal infrared imagers were used to measure the land surface temperature and the body temperature. The results showed that the prediction accuracy of lizard's transient temperature was substantially increased by the use of Monte Carlo techniques (RMSE=0.59 °C) compared to standard model parameterization (RMSE=1.35 °C). Because the model calibration technique presented here is based on physical principles, it should be also useful in more complex, field situations.     

UKF-based closed loop iterative learning control of epileptiform wave in a neural mass model

A novel closed loop control framework is proposed to inhibit epileptiform wave in a neural mass model by external electric field, where the unscented Kalman filter method is used to reconstruct dynamics and estimate unmeasurable parameters of the model. Specifically speaking, the iterative learning control algorithm is introduced into the framework to optimize the control signal. In the proposed method, the control effect can be significantly improved based on the observation of the past attempts. Accordingly, the proposed method can effectively suppress the epileptiform wave as well as showing robustness to noises and uncertainties. Lastly, the simulation is carried out to illustrate the feasibility of the proposed method. Besides, this work shows potential value to design model-based feedback controllers for epilepsy treatment.     

Closed loop bioreactor system for the ex vivo expansion of human T cells

Background aim

Translation of therapeutic cell therapies to clinical-scale products is critical to realizing widespread success. Currently, however, there are limited tools that are accessible at the research level and readily scalable to clinical-scale needs.

Optimal temperature control for a structured model of plant cell culture

This article calculates optimal open-loop temperature trajectories that maximize the average rate of product synthesis of a plant cell culture. It uses a previously published five-state mathematical model which describes the growth and product synthesis of a batch plant cell suspension culture of Catharanthus roseus under temperature control. The optimal open-loop temperatures maximize the final product concentration for predefined fermentation periods. A single switch in temperature is shown by computer simulation to be near optimal, with a 22% increase in final product yield over that obtained at the optimal constant temperature. Examination of the achieved final product yield as a function of fermentation period allows this period also to be chosen optimally. This time is reduced from 16 days in the constant temperature case to 12 days in the switched temperature case.     

Properties of central control of body temperature in the rabbit

The structure of the central temperature controller in rabbits has been analysed. On the one hand, experiments were carried out to obtain the necessary data for system analysis; on the other hand, a mathematical model of the passive system was developed which describes the thermal characteristics of the body in accordance with the experimental results. In applying the model, different controller equations for the effector mechanisms involved were tested to fit the experimental data best. They are compared with already existing models of metabolic control. In addition, mechanisms of the effector coordination are discussed. It is shown that the three effectors make use of a similar controller structure thet feeds core temperature as well as skin temperature back into the controller. The system is insensitive to variations of the controller gains, whereas a slight change in the controller reference temperature causes significant changes of the controlled core temperature. Furthermore it is shown that any mutual effector blockings are dispensible.