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This volume synthesizes theoretical and practical aspects of both the mathematical and life science viewpoints needed for modeling of the cardiovascular-respiratory system specifically and physiological systems generally. Theoretical points include model design, model complexity and validation in the light of available data, as well as control theory approaches to feedback delay and Kalman filter applications to parameter identification. State of the art approaches using parameter sensitivity are discussed for enhancing model identifiability through joint analysis of model structure and data. Practical examples illustrate model development at various levels of complexity based on given physiological information. The sensitivity-based approaches for examining model identifiability are illustrated by means of specific modeling examples. The themes presented address the current problem of patient-specific model adaptation in the clinical setting, where data is typically limited.
Experimentalists tend to revel in the complexity and multidimensionality of biological processes. Modelers, on the other hand, generally look towards parsimony as a guiding prin ciple in their approach to understanding physiological systems. It is therefore not surprising that a substantial degree of miscommunication and misunderstanding still exists between the two groups of truth-seekers. However, there have been numerous instances in physiology where the marriage of mathematical modeling and experimentation has led to powerful in sights into the mechanisms being studied. Respiratory control represents one area in which this kind of cross-pollination has proven particularly fruitful. While earlier modeling ef forts were directed primarily at the chemical control of ventilation, more recent studies have extended the scope of modeling to include the neural and mechanical aspects pertinent to respiratory control. As well, there has been a greater awareness of the need to incorpo rate interactions with other organ systems. Nevertheless, it is necessary from time to time to remind experimentalists of the existence of modelers, and vice versa. The 4th Annual Biomedical Simulations Resource (BMSR) Short Course was held in Marina Del Rey on May 21-22,1989, to acquaint respiratory physiologists and clinical researchers with state-of-the art methodologies in mathematical modeling, experiment design and data analysis, as well as to provide an opportunity for experimentalists to challenge modelers with their more recent findings.
Cardiovascular and Respiratory Systems: Modeling, Analysis, and Control uses a principle-based modeling approach and analysis of feedback control regulation to elucidate the physiological relationships. Models are arranged around specific questions or conditions, such as exercise or sleep transition, and are generally based on physiological mechanisms rather than on formal descriptions of input-output behavior. The authors ask open questions relevant to medical and clinical applications and clarify underlying themes of physiological control organization. Current problems, key issues, developing trends, and unresolved questions are highlighted. Researchers and graduate students in mathematical biology and biomedical engineering will find this book useful. It will also appeal to researchers in the physiological and life sciences who are interested in mathematical modeling.
With cardiovascular diseases being one of the main causes of death in the world, quantitative modeling, assessment and monitoring of the cardiovascular control system plays a critical role in bringing important breakthroughs to cardiovascular care. Quantification of cardiovascular physiology and its control dynamics from physiological recordings and by use of mathematical models and algorithms has been proved to be of important value in understanding the causes of cardiovascular diseases and assisting the prognostic or diagnostic process. Nowadays, development of new recording technologies (e.g., electrophysiology, imaging, ultrasound, etc) has enabled us to improve and expand acquisition of a wide spectrum of physiological measures related to cardiovascular control. An emerging challenge is to process and interpret such increasing amount of information by using state-of-the-art approaches in systems modeling, estimation and control, and signal processing, which would lead to further insightful scientific findings. In particular, multi-disciplinary engineering-empowered approaches of studying cardiovascular systems would greatly deepen our understanding of cardiovascular functions (e.g., heart rate variability, baroreflex sensitivity) and autonomic control, as it would also improve the knowledge about heart pathology, cardiovascular rehabilitation and therapy. Meanwhile, developing cardiovascular biomedical devices or heart-machine interface for either clinical monitoring or rehabilitation purpose is of greater and greater interest for both scientific advancement and potential medical benefits. This Research Topic will bring together established experts whose areas of research cover a wide range of studies and applications. Contributions include but are not limited to state-of-the-art modeling methodologies, algorithmic development in signal processing and estimation, as well as applications in cardiovascular rehabilitation, and clinical monitoring. The Research Topic will consider both invited reviews and original research.
This presentation describes various aspects of the regulation of tissue oxygenation, including the roles of the circulatory system, respiratory system, and blood, the carrier of oxygen within these components of the cardiorespiratory system. The respiratory system takes oxygen from the atmosphere and transports it by diffusion from the air in the alveoli to the blood flowing through the pulmonary capillaries. The cardiovascular system then moves the oxygenated blood from the heart to the microcirculation of the various organs by convection, where oxygen is released from hemoglobin in the red blood cells and moves to the parenchymal cells of each tissue by diffusion. Oxygen that has diffused into cells is then utilized in the mitochondria to produce adenosine triphosphate (ATP), the energy currency of all cells. The mitochondria are able to produce ATP until the oxygen tension or PO2 on the cell surface falls to a critical level of about 4–5 mm Hg. Thus, in order to meet the energetic needs of cells, it is important to maintain a continuous supply of oxygen to the mitochondria at or above the critical PO2 . In order to accomplish this desired outcome, the cardiorespiratory system, including the blood, must be capable of regulation to ensure survival of all tissues under a wide range of circumstances. The purpose of this presentation is to provide basic information about the operation and regulation of the cardiovascular and respiratory systems, as well as the properties of the blood and parenchymal cells, so that a fundamental understanding of the regulation of tissue oxygenation is achieved.
On 15 November 1997, the first international symposium "Neural and Chemical Control of Breathing: Pharmacological and Clinical Aspects" was held at Leiden University Medical Center on the occasion of the retirement of one of the members of the Control of Breathing Research Group of the Departments of Physiology and Anesthesiology, Dr. Aad Berkenbosch. Among others, Dr. Berkenbosch, played an important role in this research group, which made a large and significant contribution to scientific research on the regulation of breathing. This book presents the proceedings of that meeting together with papers of several authors who have strong bonds with the Leiden Departments of Physiology and Anesthesiology. All studies represent state of the art work on the subject of respiratory control and cardiovascular medicine, with emphasis on the physiological, pharmacological and anesthesiological aspects of both fields. The book is divided in several sections: Oxygen Physiology. Prof. John Severinghaus presents among other things his ideas on oxygen sensing and high altitude related diseases. Prof. Honda gives results from studies in a unique set of subjects without carotid bodies. The findings of Honda's group support the idea that an intact hypoxic drive from the carotid bodies is necessary for the generation of central hypoxic depression. Dr. Hans van Beek discusses the effects of hypoxia and hypercapnia on cardiac contractility in animal models. Prof. Oeseburg demonstrates the feasibility of Near Infra Red Oximetry for monitoring tissue oxygenation in patients. Central Chemoreception.