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1.
Biomed Phys Eng Express ; 9(3)2023 04 21.
Article in English | MEDLINE | ID: mdl-37054685

ABSTRACT

Closed-loop treatment for insulin dependent type 1 diabetes patients is a recent medical practice in insulin delivery (bionic pancreas) which aims to achieve tight control of glucose level in plasma and ensure minimizing risk of hypoglicemia. Among those most popular closed-loop controller strategies, proportional integral derivative (PID) and linear quadratic Gaussian (LQG) controllers are designed and compared for insulin delivery in diabetic patients. The controllers are designed based on individual and nominal model which is to study the ability of each controller in order to maintain blood glucose concentration for similar patient's dynamic. The comparison is conducted numerically not only for for patients suffering type 1 diabetes mellitus (T1DM), but also type 2 diabetes mellitus (T2DM), and double diabetes mellitus (DDM) in the present of internal delay systems, which causes instability. The responses show that the proposed PID controller is better at maintaining the blood glucose level in the normal range for a longer delay of delay in hepatic glucose production. The patient with longer performing physical exercise has lower oscillation peaks in blood glucose concentration.


Subject(s)
Diabetes Mellitus, Type 1 , Diabetes Mellitus, Type 2 , Humans , Algorithms , Blood Glucose , Computer Simulation , Diabetes Mellitus, Type 2/complications , Glucose , Diabetes Mellitus, Type 1/complications , Insulin
2.
J Clin Monit Comput ; 35(5): 1037-1045, 2021 10.
Article in English | MEDLINE | ID: mdl-32833146

ABSTRACT

Inter-individual variability possesses a major challenge in the regulation of hypnosis in anesthesia. Understanding the variability towards anesthesia effect is expected to assist the design of controller for anesthesia regulation. However, such studies are still very scarce in the literature. This study aims to analyze the inter-individual variability in propofol pharmacokinetics/pharmacodynamics (PK/PD) model and proposed a suitable controller to tackle the variability. This study employed Sobol' sensitivity analysis to identify significance parameters in propofol PK/PD model that affects the model output Bispectral Index (BIS). Parameters' range is obtained from reported clinical data. Based on the finding, a multi-model generalized predictive controller was proposed to regulate propofol in tackling patient variability. [Formula: see text] (concentration that produces 50% of the maximum effect) was found to have a highly-determining role on the uncertainty of BIS. In addition, the Hill coefficient, [Formula: see text], was found to be significant when there is a drastic input, especially during the induction phase. Both of these parameters only affect the process gain upon model linearization. Therefore, a predictive controller based on switching of model with different process gain is proposed. Simulation result shows that it is able to give a satisfactory performance across a wide population. Both the parameters [Formula: see text] and [Formula: see text], which are unknown before anesthesia procedure, were found to be highly significant in contributing the uncertainty of BIS. Their range of variability must be considered during the design and evaluation of controller. A linear controller may be sufficient to tackle most of the variability since both [Formula: see text] and [Formula: see text] would be translated into process gain upon linearization.


Subject(s)
Anesthesia , Anesthetics , Propofol , Anesthesia, Intravenous , Anesthetics, Intravenous , Computer Simulation , Humans
3.
ISA Trans ; 111: 24-34, 2021 May.
Article in English | MEDLINE | ID: mdl-33309159

ABSTRACT

Patient having type 1 diabetes mellitus (having insulin resistance experience) cannot be treated solely by treatment procedure of type 1 patient nor does treatment employed for type 2 diabetes work for such patient. This type of diabetes patient needs a specific insulin injection procedure. For continuous insulin injection, the patient has to be classified as a different group from type 1 and type 2 patient. The patients experiencing both type 1 and 2 are called double diabetes mellitus (DDM) patient. Dynamic behavior of the patient was presented in delay differential equation (DDE). Based on the developed DDE of DDM model, controllers and observers fulfilling H∞ norm bound are designed for this specific group of diabetes mellitus patient. Also, a nominal controller and a nominal observer are synthesized to check the proposed controller's ability for disturbance rejection, which is the glucose intake. The performance of the designed controller and observer is evaluated for a population of simulated patients. It shows that controller and observer are able to regulate and estimate, respectively, glycaemic for population of double diabetes patients.


Subject(s)
Computer Simulation , Diabetes Mellitus, Type 1 , Diabetes Mellitus, Type 2 , Algorithms , Blood Glucose , Diabetes Mellitus, Type 1/drug therapy , Diabetes Mellitus, Type 2/drug therapy , Humans , Hypoglycemic Agents/administration & dosage , Insulin/administration & dosage
4.
ISA Trans ; 91: 66-77, 2019 Aug.
Article in English | MEDLINE | ID: mdl-30782432

ABSTRACT

This paper investigates a novel offset-free control scheme based on a multiple model predictive controller (MMPC) and an adaptive integral action controller for nonlinear processes. Firstly, the multiple model description captures the essence of the nonlinear process, while keeping the MPC optimization linear. Multiple models also enable the controller to deal with the uncertainty associated with changing setpoint. Then, a min-max approach is utilized to counter the effect of parametric uncertainty between the linear models and the nonlinear process. Finally, to deal with other uncertainties, such as input and output disturbances, an adaptive integral action controller is run in parallel to the MMPC. Thus creating a novel offset-free approach for nonlinear systems that is more easily tuned than observer-based MPC. Simulation results for a pH-controller, which acts as an example of a nonlinear process, are presented to demonstrate the usefulness of the technique compared to using an observer-based MPC.

5.
J Clin Monit Comput ; 29(2): 231-9, 2015 Apr.
Article in English | MEDLINE | ID: mdl-24961365

ABSTRACT

Anaesthesia is a multivariable problem where a combination of drugs are used to induce desired hypnotic, analgesia and immobility states. The automation of anaesthesia may improve the safety and cost-effectiveness of anaesthesia. However, the realization of a safe and reliable multivariable closed-loop control of anaesthesia is yet to be achieved due to a manifold of challenges. In this paper, several significant challenges in automation of anaesthesia are discussed, namely model uncertainty, controlled variables, closed-loop application and dependability. The increasingly reliable measurement device, robust and adaptive controller, and better fault tolerance strategy are paving the way for automation of anaesthesia.


Subject(s)
Anesthetics/administration & dosage , Anesthetics/pharmacokinetics , Consciousness/drug effects , Drug Monitoring/methods , Drug Therapy, Computer-Assisted/methods , Models, Biological , Algorithms , Computer Simulation , Electroencephalography/drug effects , Feedback, Physiological/drug effects , Humans , Multivariate Analysis
6.
ISA Trans ; 50(1): 82-90, 2011 Jan.
Article in English | MEDLINE | ID: mdl-20817160

ABSTRACT

A control technique based on Reinforcement Learning is proposed for the thermal sterilization of canned foods. The proposed controller has the objective of ensuring a given degree of sterilization during Heating (by providing a minimum temperature inside the cans during a given time) and then a smooth Cooling, avoiding sudden pressure variations. For this, three automatic control valves are manipulated by the controller: a valve that regulates the admission of steam during Heating, and a valve that regulate the admission of air, together with a bleeder valve, during Cooling. As dynamical models of this kind of processes are too complex and involve many uncertainties, controllers based on learning are proposed. Thus, based on the control objectives and the constraints on input and output variables, the proposed controllers learn the most adequate control actions by looking up a certain matrix that contains the state-action mapping, starting from a preselected state-action space. This state-action matrix is constantly updated based on the performance obtained with the applied control actions. Experimental results at laboratory scale show the advantages of the proposed technique for this kind of processes.


Subject(s)
Artificial Intelligence , Food Industry/methods , Sterilization/methods , Air Pressure , Algorithms , Computer Systems , Food , Food Industry/standards , Food Packaging , Models, Statistical , Reinforcement, Psychology , Steam , Sterilization/standards , Temperature
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