Publications by authors named "Ghazal ArabiDarrehDor"

Article Synopsis
  • Extensive burn injuries need personalized fluid resuscitation protocols to prevent shock and reduce swelling, leading to efforts to improve treatment methods through mathematical modeling of burn physiology.
  • The research developed an advanced mathematical model that integrates cardiovascular, hormonal, and kidney function systems to enhance predictions about fluid regulation in burn patients.
  • The model was validated against experimental data from animals and clinical data from human burn patients, successfully predicting key health indicators like cardiac output and urinary output.
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Large language models (LLMs) are sophisticated AI-driven models trained on vast sources of natural language data. They are adept at generating responses that closely mimic human conversational patterns. One of the most notable examples is OpenAI's ChatGPT, which has been extensively used across diverse sectors.

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Physiological closed-loop controlled (PCLC) medical devices, such as those designed for blood pressure regulation, can be tested for safety and efficacy in real-world clinical settings. However, relying solely on limited animal and clinical studies may not capture the diverse range of physiological conditions. Credible mathematical models can complement these studies by allowing the testing of the device against simulated patient scenarios.

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Deep learning neural networks are often described as black boxes, as it is difficult to trace model outputs back to model inputs due to a lack of clarity over the internal mechanisms. This is even true for those neural networks designed to emulate mechanistic models, which simply learn a mapping between the inputs and outputs of mechanistic models, ignoring the underlying processes. Using a mechanistic model studying the pharmacological interaction between opioids and naloxone as a proof-of-concept example, we demonstrated that by reorganizing the neural networks' layers to mimic the structure of the mechanistic model, it is possible to achieve better training rates and prediction accuracy relative to the previously proposed black-box neural networks, while maintaining the interpretability of the mechanistic simulations.

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Article Synopsis
  • Urinary output (UOP) is commonly used to gauge fluid resuscitation during burns, but it's not very reliable for assessing fluid responsiveness.
  • This study tested whether advanced monitoring methods, like arterial pulse wave analysis (PWA), could provide better insights into cardiac output (CO) and stroke volume (SV) during burn treatment.
  • Results showed that PWA-derived indices closely matched reference CO and SV measurements and may offer valuable information alongside UOP for effective burn resuscitation.
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Article Synopsis
  • * A new framework is proposed that combines an in silico disease model and a pharmacological model to better connect nonclinical findings to real clinical results, specifically focusing on the dynamics of the virus and immune responses.
  • * Using the drug remdesivir as an example, the model effectively predicted clinical trial outcomes, demonstrating its potential to improve drug selection and clinical trial design for COVID-19 therapies.
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Objective: Existing burn resuscitation protocols exhibit a large variability in treatment efficacy. Hence, they must be further optimized based on comprehensive knowledge of burn pathophysiology. A physics-based mathematical model that can replicate physiological responses in diverse burn patients can serve as an attractive basis to perform non-clinical testing of burn resuscitation protocols and to expand knowledge on burn pathophysiology.

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This paper presents a mathematical model of blood volume kinetics and renal function in response to burn injury and resuscitation, which is applicable to the development and non-clinical testing of burn resuscitation protocols and algorithms. Prior mathematical models of burn injury and resuscitation are not ideally suited to such applications due to their limited credibility in predicting blood volume and urinary output observed in wide-ranging burn patients as well as in incorporating contemporary knowledge of burn pathophysiology. Our mathematical model consists of an established multi-compartmental model of blood volume kinetics, a hybrid mechanistic-phenomenological model of renal function, and novel lumped-parameter models of burn-induced perturbations in volume kinetics and renal function equipped with contemporary knowledge on burn-related physiology and pathophysiology.

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