Abstract
The coexistence of multiple medical conditions in an individual presents a complex challenge in healthcare. This research aims to enhance the analysis of comorbidity treatment plans by capturing nuanced interactions between different medical conditions and treatment interventions. Reaction systems provide a formal framework for modelling and analysing systems in which the dynamics is driven by promotion/inhibition mechanisms and external intervention of context processes. This study explores the integration of guards into context processes to increase the expressiveness of the formalism in order to analyse treatment plans for comorbidities. Through the analysis of combined clinical guidelines for atrial fibrillation and hypertension, we demonstrate the applicability and utility of this approach in optimizing patient care and improving health outcomes in the context of complex medical scenarios.
Research supported by the Next Generation EU project PNRR ECS00000017 “THE - Tuscany Health Ecosystem” (Spoke 3 - CUP B63C22000680007, and Spoke 6 - CUP I53C22000780001), the Next Generation EU projects MEDICA (PRIN 2022, CUP_B53D23013170006 CUP_I53D23003720006), DELICE (PRIN PNRR 2022, P20223T2MF), RAP (PRIN PNRR 2022, P2022HXNSC), the INdAM GNCS project CUP_E53C22001930001, and the Austrian Science Fund (FWF) project Meitner M 3338-N.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Notes
- 1.
See details in the NICE guideline NG136 at www.nice.org.uk.
References
Ashley, E.A.: Towards precision medicine. Nat. Rev. Genet. 17(9), 507–522 (2016). https://doi.org/10.1038/nrg.2016.86
BioReSolve web page, a prolog interpreter for Reaction Systems analysis. http://www.di.unipi.it/~bruni/LTSRS/. Accessed 3 May 2024
Bowles, J.K.F., Caminati, M.B.: A flexible approach for finding optimal paths with minimal conflicts. In: Duan, Z., Ong, L. (eds.) ICFEM 2017. LNCS, vol. 10610, pp. 209–225. Springer, Cham (2017). https://doi.org/10.1007/978-3-319-68690-5_13
Bowles, J.K.F., Caminati, M.B.: Balancing prescriptions with constraint solvers. In: Liò, P., Zuliani, P. (eds.) Automated Reasoning for Systems Biology and Medicine. CB, vol. 30, pp. 243–267. Springer, Cham (2019). https://doi.org/10.1007/978-3-030-17297-8_9
Bowles, J., Caminati, M.: Correct composition in the presence of behavioural conflicts and dephasing. Sci. Comput. Program. 185 (2020). https://doi.org/10.1016/j.scico.2019.102323
Bowles, J., Caminati, M., Cha, S., Mendoza, J.: A framework for automated conflict detection and resolution in medical guidelines. Sci. Comput. Program. 182, 42–63 (2019). https://doi.org/10.1016/j.scico.2019.07.002
Brijder, R., Ehrenfeucht, A., Main, M., Rozenberg, G.: A tour of reaction systems. Int. J. Found. Comput. Sci. 22(07), 1499–1517 (2011). https://doi.org/10.1142/S0129054111008842
Brodo, L., Bruni, R., Falaschi, M.: A process algebraic approach to reaction systems. Theoret. Comput. Sci. 881, 62–82 (2021). https://doi.org/10.1016/j.tcs.2020.09.001
Brodo, L., Bruni, R., Falaschi, M.: A logical and graphical framework for reaction systems. Theoret. Comput. Sci. 875, 1–27 (2021). https://doi.org/10.1016/j.tcs.2021.03.024
Brodo, L., Bruni, R., Falaschi, M.: Dynamic slicing of reaction systems based on assertions and monitors. In: Hanus, M., Inclezan, D. (eds.) PADL 2023. LNCS, vol. 13880, pp. 107–124. Springer, Cham (2023). https://doi.org/10.1007/978-3-031-24841-2_8
Brodo, L., Bruni, R., Falaschi, M.: A framework for monitored dynamic slicing of reaction systems. Nat. Comput. (2024). https://doi.org/10.1007/s11047-024-09976-3
Brodo, L., Bruni, R., Falaschi, M., Gori, R., Levi, F., Milazzo, P.: Quantitative extensions of reaction systems based on SOS semantics. Neural Comput. Appl. 35(9), 6335–6359 (2023). https://doi.org/10.1007/s00521-022-07935-6
Brodo, L., Bruni, R., Falaschi, M., Gori, R., Milazzo, P.: Attractor and slicing analysis of a T Cell differentiation model based on reaction systems. In: Proceedings of DataMod 2023. LNCS. Springer, Berlin (in press)
Github repository with the RS model and Python script developed for this paper. https://github.com/Unipisa/AFib-Hyper-GuidelinesAnalysis. Accessed 3 May 2024
Ehrenfeucht, A., Rozenberg, G.: Reaction systems. Fundam. Inf. 75(1-4), 263–280 (2007). http://content.iospress.com/articles/fundamenta-informaticae/fi75-1-4-15
Feder, G., Eccles, M., Grol, R., Griffiths, C., Grimshaw, J.: Using clinical guidelines. BMJ 318(7185), 728–730 (1999). https://doi.org/10.1136/bmj.318.7185.728
Hughes, L., McMurdo, M.E.T., Guthrie, B.: Guidelines for people not for diseases: the challenges of applying UK clinical guidelines to people with multimorbidity. Age Ageing 42, 62–69 (2013). https://doi.org/10.1093/ageing/afs100
Kovalov, A., Bowles, J.K.F.: Avoiding medication conflicts for patients with multimorbidities. In: Ábrahám, E., Huisman, M. (eds.) IFM 2016. LNCS, vol. 9681, pp. 376–390. Springer, Cham (2016). https://doi.org/10.1007/978-3-319-33693-0_24
Milner, R.: A Calculus of Communicating Systems. LNCS, vol. 92. Springer, Heidelberg (1980). https://doi.org/10.1007/3-540-10235-3
Plotkin, G.D.: A structural approach to operational semantics. J. Log. Algebraic Methods Program. 60–61, 17–139 (2004)
SWI-Prolog home page. https://www.swi-prolog.org/. Accessed 3 May 2024
Woolf, S.H., Grol, R., Hutchinson, A., Eccles, M., Grimshaw, J.: Potential benefits, limitations, and harms of clinical guidelines. BMJ 318(7182), 527–530 (1999). https://doi.org/10.1136/bmj.318.7182.527
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2024 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this paper
Cite this paper
Bowles, J., Brodo, L., Bruni, R., Falaschi, M., Gori, R., Milazzo, P. (2024). Enhancing Reaction Systems with Guards for Analysing Comorbidity Treatment Strategies. In: Gori, R., Milazzo, P., Tribastone, M. (eds) Computational Methods in Systems Biology. CMSB 2024. Lecture Notes in Computer Science(), vol 14971. Springer, Cham. https://doi.org/10.1007/978-3-031-71671-3_3
Download citation
DOI: https://doi.org/10.1007/978-3-031-71671-3_3
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-71670-6
Online ISBN: 978-3-031-71671-3
eBook Packages: Computer ScienceComputer Science (R0)