Abstract
Control system concepts and approaches, derived mainly from engineering, have been found to be of great value when applied in other areas of science and technology. Nowhere is this more apparent than in medicine. In this chapter some general ideas concerning the nature of such an approach will be outlined. It will be shown how the health care system can be viewed as a control problem, how the techniques of signal analysis and mathematical modelling can be applied in patient management, and how the doctor-patient relationship must be seen within the wider context of a total health care system.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Adams, J. M., Attinger, E. O., and Attinger, F. M., 1978, Cluster analysis of respiratory time series,Biol. Cybern., 28: 183.
Albisser, A. M., 1979, Devices for the control of diabetes mellitus,Proc. IEEE, 67: 1308.
Beneken, J. E. W., Blom, J. A., Jorritsma, S. F., Nandorff, A., and Spierdijk, J., 1979, Prognosis, trend, prediction and models in patient management,J. Biomed. Eng., 1: 185.
Berzuini, C., and Stefanelli, M., 1982, KIRON: A computer system and a methodology applicable to the study of erythroid disorders,Comput. Biomed. Res., 15: 361.
Bloch, R., Ingram, D., Sweeney, G. D., Ahmed, K., and Dickinson, C. J., 1980, MacDope: a simulation of drug disposition in the human body. Mathematical considerations,J. Theoret. Biol., 87: 211.
Brown, B. H., Ashbury, A. J., Linkens, D. A., Perks, P., and Anthony, M., 1980, Closed-loop control of muscle relaxation during surgery,Clin. Phys. Physiol. Meas., 1: 203.
Cantrill, S. V., 1979, Computerisation of the problem orientated record, in: “Problem Orientated Medical Records”, J. C. Petrie and N. Mclntyre, eds., Churchill Livingstone, Edinburgh: 176.
Carson, E. R., Cobelli, C., and Finkelstein, L., 1981, Modeling and identification of metabolic systems,Am. J. Physiol., 240: R120.
Carson, E. R., Cobelli, C., and Finkelstein, L., 1983, “Mathematical Modeling of Metabolic and Endocrine Systems: Model Formulation, Identification and Validation”, Wiley, New York.
Chi1coat, R. T., 1980, A review of the control of the depth of anaesthesia,Trans. Inst. Meas. Contr., 2: 38.
Cobelli, C., Carson, E. R., Finkelstein, L., and Leaning, M. S., 1984, The validation of simple and complex models in physiology and medicine,Am. J. Physiol., 246: R259.
Dickinson, C. J., 1977, “A Computer Model of Human Respiration”, MTP, Lancaster.
Edwards, P. R., Britton, K. E., Carson, E. R., Ekins, R. P., and Finkelstein, L., 1977, A control system approach to thyroid health care, in: “Medinfo 77”, D. B. Shires and H. Wolf, eds., North Holland, Amsterdam: 507.
Edwards, P. R., Britton, K. E., Carson, E. R., Ekins, R. P., and Finkelstein, L., 1978, A control system approach to the management of thyroid disease, in: “A Link Between Science and Application of Automatic Control”, A. Niemi, ed., Pergamon, Oxford: 541.
Gheorghe, A. V., Bali, H. N., Hill, W. J., and Carson, E. R., 1976, Dynamic decision models for clinical diagnosis,Int. J. Biomed. Comput., 7: 81.
Godfrey, K. R., 1983, “Compartmental Models and their Application”, Academic Press, London.
Jacobs, O. L. R., Bullingham, R. E. S., McQuay, H. J., and Reasbeck, M. P., 1983, On-line estimation in the control of post-operative pain, in: “Identification and System Parameter Estimation 1982”, G. A. Bekey and G. W. Saridis, eds., Pergamon, Oxford: 890.
Kitabachi, A. E., Fisher, J. N., Matteri, R., and Murphy, M. B., 1983, The use of continuous insulin delivery systems in treatment of diabetes mellitus, Adv. Intern. Med., 28: 449.
Leaning, M. S., Uttamsingh, R. J., Carson, E. R., and Finkelstein, L., 1982, A systems model of renal dialysis: formulation, validation and identification, Proc. IEE (Part A), 129: 707.
Leaning, M. S., Pullen, H. E., Carson, E. R., and Finkelstein, L., 1983, Modelling a complex biological system: the human cardiovascular system - I Methodology and model description, Trans. Inst. Meas. Contr., 5: 71.
Mclntyre, N., and Wadbrook, D., 1981, Instant information, Health and Social Service J., August 14, 980.
Molino, G. P., Milanese, M., Villa, A., Cavanna, A., and Gaiolano, G. P., 1978, Discrimination of hepatobiliary diseases by the evaluation of bromosulfophthalein blood kinetics, J. Lab. Clin. Med., 91: 396.
Naghdy, F., 1981, “Monitoring and Forecasting the Status of Post- cardiac Surgical Patients”, Ph.D. Thesis, University of Bradford.
Price, D. J., Dugdale, R. E., and Mason, J., 1980, The control of ICP using three asynchronous closed loops, in: “Intracranial Pressure IV”, K. Shulman, ed., Springer-Verlag, Berlin: 395.
Slate, J. B., and Sheppard, L. C., 1981, Automatic control of blood pressure by drug infusion, Proc. IEE (Part A), 129: 639.
Smallwood, R. D., Sondik, E. J., and Offensend, F. J., 1971, Toward an integrated methodology for the analysis of health care systems, Oper. Res., 18: 1300.
Weed, L. L., 1969, “Medical Records, Medical Education and Patient Care”, Case Western Reserve University Press, Cleveland.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1985 Plenum Press, New York
About this chapter
Cite this chapter
Carson, E.R., Cramp, D.G., Finkelstein, L., Ingram, D. (1985). Control System Concepts and Approaches in Clinical Medicine. In: Carson, E.R., Cramp, D.G. (eds) Computers and Control in Clinical Medicine. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2437-9_1
Download citation
DOI: https://doi.org/10.1007/978-1-4613-2437-9_1
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4612-9482-5
Online ISBN: 978-1-4613-2437-9
eBook Packages: Springer Book Archive