Department of Critical Care Medicine, University of Pittsburgh, Pittsburg, PA, USA.
Crit Care Med. 2010 Oct;38(10 Suppl):S649-55. doi: 10.1097/CCM.0b013e3181f24484.
Biological systems are innately complex, display nonlinear behavior, and respond to both disease and its treatment in similar complex ways. Complex systems display self-organization and predictive behavior along a range of possible states, often referred to as chaotic behavior, and can be both characterized and quantified in terms of this chaotic behavior, which defined strange attractors (ρ) and variability. In this context, disease can be characterized as a difference in a disease state ρ and a healthy ρ. Furthermore, effectiveness of treatment can be defined as a minimization problem to decrease the phase-state difference between disease and health ρ values, such that effective treatment is defined as the ability to restore the healthy ρ. Importantly, this approach will be effective without anything being known about the physiologic processes that define health or disease. The implication is that this approach is a powerful tool to define the determinants of instability as compared with normal variability, to answer why disease is not healthy, and to identify all potentially effective treatment options independent of known pharmacology and physiology.
生物系统天生复杂,表现出非线性行为,并以类似的复杂方式对疾病及其治疗做出反应。复杂系统沿着一系列可能的状态表现出自组织和预测行为,通常被称为混沌行为,并且可以根据这种混沌行为来进行特征描述和量化,这种混沌行为定义了奇异吸引子(ρ)和可变性。在这种情况下,疾病可以被描述为疾病状态 ρ 和健康 ρ 之间的差异。此外,治疗的有效性可以定义为一个最小化问题,以减少疾病和健康 ρ 值之间的相位状态差异,从而将有效的治疗定义为恢复健康 ρ 的能力。重要的是,这种方法在不了解定义健康或疾病的生理过程的情况下也是有效的。这意味着这种方法是一种强大的工具,可以定义不稳定性与正常可变性的决定因素,回答为什么疾病不健康,并识别所有潜在的有效治疗方案,而不依赖于已知的药理学和生理学。