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1.
Adv Chronic Kidney Dis ; 29(5): 472-479, 2022 09.
Article in English | MEDLINE | ID: mdl-36253031

ABSTRACT

We reviewed some of the latest advancements in the use of mathematical models in nephrology. We looked over 2 distinct categories of mathematical models that are widely used in biological research and pointed out some of their strengths and weaknesses when applied to health care, especially in the context of nephrology. A mechanistic dynamical system allows the representation of causal relations among the system variables but with a more complex and longer development/implementation phase. Artificial intelligence/machine learning provides predictive tools that allow identifying correlative patterns in large data sets, but they are usually harder-to-interpret black boxes. Chronic kidney disease (CKD), a major worldwide health problem, generates copious quantities of data that can be leveraged by choice of the appropriate model; also, there is a large number of dialysis parameters that need to be determined at every treatment session that can benefit from predictive mechanistic models. Following important steps in the use of mathematical methods in medical science might be in the intersection of seemingly antagonistic frameworks, by leveraging the strength of each to provide better care.


Subject(s)
Nephrology , Artificial Intelligence , Forecasting , Humans , Machine Learning , Models, Theoretical
2.
Article in English | MEDLINE | ID: mdl-26172768

ABSTRACT

In this paper we study how hyperbolic and nonhyperbolic regions in the neighborhood of a resonant island perform an important role allowing or forbidding stickiness phenomenon around islands in conservative systems. The vicinity of the island is composed of nonhyperbolic areas that almost prevent the trajectory to visit the island edge. For some specific parameters tiny channels are embedded in the nonhyperbolic area that are associated to hyperbolic fixed points localized in the neighborhood of the islands. Such channels allow the trajectory to be injected in the inner portion of the vicinity. When the trajectory crosses the barrier imposed by the nonhyperbolic regions, it spends a long time abandoning the vicinity of the island, since the barrier also prevents the trajectory from escaping from the neighborhood of the island. In this scenario the nonhyperbolic structures are responsible for the stickiness phenomena and, more than that, the strength of the sticky effect. We show that those properties of the phase space allow us to manipulate the existence of extreme events (and the transport associated to it) responsible for the nonequilibrium fluctuation of the system. In fact we demonstrate that by monitoring very small portions of the phase space (namely, ≈1×10(-5)% of it) it is possible to generate a completely diffusive system eliminating long-time recurrences that result from the stickiness phenomenon.

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