The Co-Piloting Model for Using Artificial Intelligence Systems in Medicine: Implementing the Constrained-Disorder-Principle-Based Second-Generation System DOI Creative Commons
Yaron Ilan

Bioengineering, Год журнала: 2024, Номер 11(11), С. 1111 - 1111

Опубликована: Ноя. 3, 2024

The development of artificial intelligence (AI) and machine learning (ML)-based systems in medicine is growing, these are being used for disease diagnosis, drug development, treatment personalization. Some designed to perform activities that demand human cognitive function. However, use routine care by patients caregivers lags behind expectations. This paper reviews several challenges healthcare face the obstacles integrating digital into care. focuses on with physicians. It describes second-generation AI move closer biology reduce complexity, augmenting but not replacing physicians improve patient outcomes. constrained disorder principle (CDP) defines complex biological their degree regulated variability. CDP-based platform, which basis Digital Pill humanizing moving via using inherent variability improving system augments physicians, assisting them decision-making patients' responses adherence providers. restores efficacy chronic drugs improves while generating data-driven therapeutic regimens. While can substitute many medical activities, it unlikely replace Human doctors will continue serving capabilities augmented AI. described co-piloting model better reflects pathways provides assistance

Язык: Английский

Antimicrobial resistance: Impacts, challenges, and future prospects DOI Creative Commons
Sirwan Khalid Ahmed, Safin Hussein, Karzan Qurbani

и другие.

Journal of Medicine Surgery and Public Health, Год журнала: 2024, Номер 2, С. 100081 - 100081

Опубликована: Март 2, 2024

Antimicrobial resistance (AMR) is a critical global health issue driven by antibiotic misuse and overuse in various sectors, leading to the emergence of resistant microorganisms. The history AMR dates back discovery penicillin, with rise multidrug-resistant pathogens posing significant challenges healthcare systems worldwide. antibiotics human animal health, as well agriculture, contributes spread genes, creating "Silent Pandemic" that could surpass other causes mortality 2050. affects both humans animals, treating infections. Various mechanisms, such enzymatic modification biofilm formation, enable microbes withstand effects antibiotics. lack effective threatens routine medical procedures lead millions deaths annually if left unchecked. economic impact substantial, projected losses trillions dollars financial burdens on agriculture. Artificial intelligence being explored tool combat improving diagnostics treatment strategies, although data quality algorithmic biases exist. To address effectively, One Health approach considers human, animal, environmental factors crucial. This includes enhancing surveillance systems, promoting stewardship programs, investing research development for new antimicrobial options. Public awareness, education, international collaboration are essential combating preserving efficacy future generations.

Язык: Английский

Процитировано

204

A second-generation artificial intelligence-based therapeutic regimen improves diuretic resistance in heart failure: Results of a feasibility open-labeled clinical trial DOI Open Access

Ram Gelman,

Noa Hurvitz,

Rima Nesserat

и другие.

Biomedicine & Pharmacotherapy, Год журнала: 2023, Номер 161, С. 114334 - 114334

Опубликована: Март 9, 2023

Diuretics are a mainstay therapy for congestive heart failure (CHF); however, over one-third of patients develop diuretic resistance. Second-generation artificial intelligence (AI) systems introduce variability into treatment regimens to overcome the compensatory mechanisms underlying loss effectiveness diuretics. This open-labeled, proof-of-concept clinical trial sought investigate ability improve resistance by implementing algorithm-controlled therapeutic regimens.Ten CHF with were enrolled in an open-labeled where Altus Care™ app managed diuretics' dosage and administration times. The provides personalized regimen creating dosages times within pre-defined ranges. Response was measured Kansas City Cardiomyopathy Questionnaire (KCCQ) score, 6-minute walk test (SMW), N-terminal pro-brain natriuretic peptide (NT-proBNP) levels, renal function.The second-generation, AI-based, alleviated All evaluable demonstrated improvement ten weeks intervention. A dose reduction (based on three-week average before last three intervention) achieved 7/10 (70 %, p = 0.042). KCCQ score improved 9/10 (90 0.002), SMW 9/9 (100 0.006), NT-proBNP decreased 0.02), serum creatinine 6/10 (60 0.05). intervention associated reduced number emergency room visits CHF-associated hospitalizations.The results support that randomization guided second-generation AI algorithm improves response therapy. Prospective controlled studies needed confirm these findings.

Язык: Английский

Процитировано

23

Constrained disorder principle-based variability is fundamental for biological processes: Beyond biological relativity and physiological regulatory networks DOI
Yaron Ilan

Progress in Biophysics and Molecular Biology, Год журнала: 2023, Номер 180-181, С. 37 - 48

Опубликована: Апрель 15, 2023

Язык: Английский

Процитировано

17

Overcoming Low Adherence to Chronic Medications by Improving their Effectiveness Using a Personalized Second-generation Digital System DOI
Areej Bayatra,

Rima Nasserat,

Yaron Ilan

и другие.

Current Pharmaceutical Biotechnology, Год журнала: 2024, Номер 25(16), С. 2078 - 2088

Опубликована: Янв. 29, 2024

Low adherence to chronic treatment regimens is a significant barrier improving clinical outcomes in patients with diseases. result of multiple factors.

Язык: Английский

Процитировано

8

Improving the response to lenvatinib in partial responders using a Constrained-Disorder-Principle-based second-generation artificial intelligence-therapeutic regimen: a proof-of-concept open-labeled clinical trial DOI Creative Commons

Tal Sigawi,

Ram Gelman,

Ofra Maimon

и другие.

Frontiers in Oncology, Год журнала: 2024, Номер 14

Опубликована: Июль 30, 2024

Introduction The main obstacle in treating cancer patients is drug resistance. Lenvatinib treatment poses challenges due to loss of response and the common dose-limiting adverse events (AEs). Constrained-disorder-principle (CDP)-based second-generation artificial intelligence (AI) systems introduce variability into regimens offer a potential strategy for enhancing efficacy. This proof-of-concept clinical trial aimed assess impact personalized algorithm-controlled therapeutic regimen on lenvatinib effectiveness tolerability. Methods A 14-week open-label, non-randomized was conducted with five receiving lenvatinib—an AI-assisted application tailored each patient, which physician approved. study assessed changes tumor through FDG-PET-CT markers quality life via EORTC QLQ-THY34 questionnaire, AEs, laboratory evaluations. app monitored adherence. Results At 14 weeks follow-up, disease control rate (including following outcomes: complete response, partial stable disease) 80%. scan-based RECIST v1.1 PERCIST criteria showed 40% an additional patients. One patient experienced progressing disease. Of participants thyroid cancer, 75% reduction thyroglobulin levels, 60% all decrease neutrophil-to-lymphocyte ratio during treatment. Improvement median social support score among utilizing system supports ancillary benefit intervention. No grade 4 AEs or functional deteriorations were recorded. Summary results this open-labeled suggest that CDP-based AI system-generated recommendations may improve manageable AEs. Prospective controlled studies are needed determine efficacy approach.

Язык: Английский

Процитировано

7

The Constrained Disorder Principle May Account for Consciousness DOI Creative Commons

Tal Sigawi,

Omer Hamtzany, Josef Daniel Shakargy

и другие.

Brain Sciences, Год журнала: 2024, Номер 14(3), С. 209 - 209

Опубликована: Фев. 23, 2024

There is still controversy surrounding the definition and mechanisms of consciousness. The constrained disorder principle (CDP) defines complex systems by their dynamic borders, limiting inherent disorder. In line with CDP, brain exhibits a bounded borders essential for proper function, efficient energy use, life support under continuous perturbations. brain’s variability contributes to its adaptability flexibility. Neuronal signal challenges association structures consciousness methods assessing present paper discusses some theories about consciousness, emphasizing failure explain variability. This describes how CDP accounts consciousness’s variability, complexity, entropy, uncertainty. Using newly developed second-generation artificial intelligence systems, we describe CDP-based platforms may improve disorders (DoC) accounting platform could be used response current interventions develop new therapeutic regimens patients DoC in future studies.

Язык: Английский

Процитировано

6

A Feasibility Open-Labeled Clinical Trial Using a Second-Generation Artificial-Intelligence-Based Therapeutic Regimen in Patients with Gaucher Disease Treated with Enzyme Replacement Therapy DOI Open Access

Noa Hurvitz,

Tama Dinur, Shoshana Revel‐Vilk

и другие.

Journal of Clinical Medicine, Год журнала: 2024, Номер 13(11), С. 3325 - 3325

Опубликована: Июнь 5, 2024

Background/Objectives: Gaucher Disease type 1 (GD1) is a recessively inherited lysosomal storage disorder caused by deficiency in the enzyme β-glucocerebrosidase. Enzyme replacement therapy (ERT) has become standard of care for patients with GD. However, over 10% experience an incomplete response or partial loss to ERT, necessitating exploration alternative approaches enhance treatment outcomes. The present feasibility study aimed determine using second-generation artificial intelligence (AI) system that introduces variability into dosing regimens ERT improve and potentially overcome enzyme. Methods: This was open-label, prospective, single-center proof-of-concept study. Five GD1 who received were enrolled. used Altus Care™ cellular-phone-based application, which incorporated algorithm-based approach offer random within pre-defined range set physician. app enabled personalized therapeutic variations dosages administration times. Results: AI-based regimen associated stable responses GD1. SF-36 quality life scores improved one patient, sense change health two; platelet levels increased two patients, hemoglobin remained stable. demonstrated high engagement rate among caregivers, showing compliance regimen. Conclusions: highlights potential variability-based effectiveness GD calls further longer trials validate these findings.

Язык: Английский

Процитировано

6

The Constrained-Disorder Principle Assists in Overcoming Significant Challenges in Digital Health: Moving from “Nice to Have” to Mandatory Systems DOI Creative Commons

Noa Hurvitz,

Yaron Ilan

Clinics and Practice, Год журнала: 2023, Номер 13(4), С. 994 - 1014

Опубликована: Авг. 20, 2023

The success of artificial intelligence depends on whether it can penetrate the boundaries evidence-based medicine, lack policies, and resistance medical professionals to its use. failure digital health meet expectations requires rethinking some challenges faced. We discuss most significant faced by patients, physicians, payers, pharmaceutical companies, systems in world. goal healthcare is improve outcomes. Assisting diagnosing, collecting data, simplifying processes a "nice have" tool, but not essential. Many these have yet be shown Current outcome-based economic constraints make have," "assists," "ease processes" insufficient. Complex biological are defined their inherent disorder, bounded dynamic boundaries, as described constrained disorder principle (CDP). It provides platform for correcting systems' malfunctions regulating degree variability. A CDP-based second-generation system solutions faces. Therapeutic interventions held outcomes with systems. In addition improving clinically meaningful endpoints, algorithms ensure patient physician engagement reduce system's costs.

Язык: Английский

Процитировано

15

Using Constrained-Disorder Principle-Based Systems to Improve the Performance of Digital Twins in Biological Systems DOI Creative Commons

Tal Sigawi,

Yaron Ilan

Biomimetics, Год журнала: 2023, Номер 8(4), С. 359 - 359

Опубликована: Авг. 11, 2023

Digital twins are computer programs that use real-world data to create simulations predict the performance of processes, products, and systems. may integrate artificial intelligence improve their outputs. Models for dealing with uncertainties noise used accuracy digital twins. Most currently systems aim reduce Nevertheless, biological characterized by inherent variability, which is necessary proper function. The constrained-disorder principle defines living as having a disorder part existence operation while kept within dynamic boundaries. In present paper, we review role in complex its bioengineering. We describe medical applications current methods modeling. paper presents effectiveness twin continuously implementing variability signatures simultaneously reducing unwanted inputs Accounting noisy internal external environments future design improved, more accurate

Язык: Английский

Процитировано

13

Free Will as Defined by the Constrained Disorder Principle: a Restricted, Mandatory, Personalized, Regulated Process for Decision-Making DOI Creative Commons
Yaron Ilan

Integrative Psychological and Behavioral Science, Год журнала: 2024, Номер unknown

Опубликована: Июнь 20, 2024

Abstract The concept of free will has challenged physicists, biologists, philosophers, and other professionals for decades. constrained disorder principle (CDP) is a fundamental law that defines systems according to their inherent variability. It provides mechanisms adapting dynamic environments. This work examines the CDP's perspective concerning various theories. Per CDP, lack intentions, "freedom" select act built into design. embedded within response range determined by boundaries systems' built-in self-generating mechanism enables cope with perturbations. According neither dualism nor an unknown metaphysical apparatus dictates choices. Brain variability facilitates cognitive adaptation complex, unpredictable situations across Human behaviors decisions reflect underlying physical in brain organs dealing noises. Choices are not predetermined but ongoing processes prssu½res. Malfunctions disease states characterized inappropriate variability, reflecting inability respond adequately Incorporating CDP-based interventions can overcome malfunctions improve decision processes. second-generation artificial intelligence platforms being evaluated augment personal development, wellness, health.

Язык: Английский

Процитировано

5