Objective Medical Decision-making; Systems Approach in Acute Disease

1. Front Matter

   Pages N2-VIII

   PDF

2. Keynote papers

   1. Critical Decision Making and Simulation

      • E. S. Derviniotis

      Pages 1-6

   2. Fuzzy Sets Theory for Medical Decision Making

      • Philippe Smets

      Pages 7-19

3. Diagnosis

   1. Pre-Operative Assessment of ‘Risk’

      • P. W. Keane

      Pages 20-23

   2. Evaluation of Cardiorespiratory Function During Sleep in Infants at Risk for Sudden Infant Death Syndrome: A Computer System for Acquisition and Analysis

      • M. J. Challamel, R. Bruckert, F. Perrin, J. Pernier, M. C. Leszczynski, M. Revol

      Pages 24-31

   3. Evaluation of Cardiac Function in Acute Coronary Disease by Integration of Computerized Cardiovascular Signals

      • J. Col, J. L. Bachy, Ch. Doyen, M. Pierart, J. Trémouroux, L. Lambotte

      Pages 32-41

   4. Evaluation of Decision Making by Humans and Computers in Acute Abdominal and Acute Chest Pain

      • F. T. de Dombal

      Pages 42-53

   5. Results of the Discussion Around the Subject “Diagnosis”

      • S. M. Lavelle

      Pages 54-56

4. Monitoring

   1. The Use of the Auditory Evoked Response to Measure Graded Effects of General Anaesthetics

      • J. G. Jones, C. Thornton, C. P. H. Heneghan, M. F. M. James, M. Navaratnarajan

      Pages 57-64

   2. EEG-Analysis in Monitoring Anesthesia

      • A. J. R. Simons, R. A. F. Pronk

      Pages 65-75

   3. An Individual Microprocessor Device for Gas Exchanges Monitoring During Artificial Ventilation

      • C. Chopin, M. C. Chambrin

      Pages 76-84

   4. Man-machine Interaction in Disease Pattern Classification

      • J. H. van Bemmel, E. S. Gelsema, A. Hasman, J. L. Talmon, J. S. Duisterhout

      Pages 85-100

   5. A Data Acquisition and Display System for Improved Medical Pattern Recognition

      • A. P. Meijler, J. E. W. Beneken, A. Nandorff, H. M. van Kessel, J. Spierdijk

      Pages 101-112

   6. Results of the Discussion Around the Subject “Monitoring”

      • E. Epple

      Pages 113-116

5. Therapy and control

   1. Diabetes Manegement: Insight from Mathematical Modeling

      • C. Cobelli

      Pages 117-130

   2. Role of the Artificial Pancreas in the Understanding of the Mode of Action of Insulin

      • L. Lambotte

      Pages 131-140

   3. Towards a Generalized Approach in Clinical Control Systems

      • J. A. Blom, J. E. W. Beneken, N. P. de Bruijn, J. Spierdijk

      Pages 141-161

   4. Measurement and Usefulness of Flow, Volume and Airway Pressure During Mechanical Ventilation

      • D. Robert, F. Perrin, L. Holzapfel, J. Pernier

      Pages 162-168

   5. Automatic Control System of O2 and CO2 in Artificial Ventilation

      • F. Perrin, M. H. Giard, O. Bertrand, D. Robert, J. Pernier

      Pages 169-175

   6. Model Simulation for the Prediction of Haemodialysis

      • Steen Dawids, Anton Caspersen

      Pages 176-184

Objective medical decision~making has shown itself to be an emerging discipline which is sufficiently robust to promote its further development. This book identifies many important areas for applications in the field of acute patient care. The different approaches require testing, evaluation and mutual co~parisons to ensure that the right method is used to solve the existing problem. Medical sciences and patient care are increasingly supported by system sciences, resulting in growing multi- and interdisciplinary research and development areas. In this context, system sciences involve the methods, techniques, concepts and approaches obtained f~om disciplines such as mathematics, statistics, stochastic signal theory, fuzzy set theory, systems and control theory, signal analysis, pattern recogni­ tion, simulation, computer languages, structured programming, data base management and computer sciences. This book contains the papers of a workshop "Objective Medical Decision making f Systems approach in acute disease" which was initia­ ted and supported by the SWG/COMAC on Biomedical Engineering, Evaluation of Technology, Transfer and Standardization of CRM/CREST of the European Community. In setting up the original programme we have been assisted by a group of experts and for their cooperation we are very gratef.ul to S. Dawids, Copenhagen E. Epple, Tlibingen ; J. Jones, Harrow; L. Lambotte, Brussels C. Marchesi, Pisa and D. Robert, Lyon. The papers have been arranged in four groups, each followed by a brief synopsis. The four groups are : diagnosis, monitoring, therapy and control, and evaluation of criteria and procedures.

• Medizinische Informatik
• Narkose
• Notfallmedizin
• Radiologieinformationssystem
• classification
• data acquisition
• diagnosis
• evaluation
• informatics
• medical informatics
• standardization
• statistics

• Division of Medical Electrical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands

  J. E. W. Beneken

• Department of Experimental Medicine, University College, Galway, Ireland

  S. M. Lavelle

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