抗逆转录病毒治疗(ART)滥用在艾滋病毒/艾滋病治疗动态中的作用的全局稳定性分析

Pub Date : 2021-03-04 DOI:10.11648/J.PAMJ.20211001.12
B. Bassey, A. O. Henry
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引用次数: 3

摘要

令人沮丧的是,尽管对艾滋病毒/艾滋病感染和治疗动态进行了长期的研究,但对现有模型的审查清楚地表明,那些接受治疗的人对治疗一致性的行为态度并没有得到应有的关注。此外,这些类别的传染病在本可避免的治疗中断和后来恢复治疗之后的不一致,可能导致巨大的药物滥用,也没有得到预期的考虑。因此,在本研究中,我们寻求并制定了一个非线性的6维确定性数学艾滋病毒/艾滋病动态模型,该模型考虑了抗逆转录病毒治疗滥用对艾滋病毒/艾滋病流行治疗作用的全局稳定性分析。该模型基于双线性控制函数下6个亚群与hi病毒之间的动态相互作用,并不断筛选易感人群。假设在纳入未准备接受抗逆转录病毒治疗的HIV意识感染者和具有截断治疗方案的HIV意识感染者后,截断后抗逆转录病毒治疗的恢复率小于初始抗逆转录病毒治疗截断率。研究了系统的数学适定性,并确定了停止治疗(有值)和开始治疗(有值)的模型繁殖数。我们考虑了停止治疗的模型,然后通过将LaSalle的不变原理纳入经典的Lyapunov函数方法,我们提出了一种用于抗逆转录病毒药物滥用在艾滋病毒/艾滋病治疗中的作用的全局稳定性分析方法。此外,本文的分析和结果展示了双线性控制函数的动态方法应用,以及对存在抗逆转录病毒药物滥用的艾滋病毒/艾滋病治疗的基本机制的完美理解。利用Mathcad曲面内建的精度为4阶的龙格库塔,对模型的数值有效性进行了验证,以研究理论和分析预测。结果表明,在ART滥用趋势下应用起治功能,易感人群恢复率在最初一个月内从0.5 cells/mm3增加到1.203 cells/mm3,并在20- 30个月的时间间隔内达到0.62 cells/mm3的稳定水平,使HIV/AIDS感染流行大幅下降。
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Global Stability Analysis of the Role of Antiretroviral Therapy (ART) Abuse in HIV/AIDS Treatment Dynamics
Devastatingly, in spite of the long standing research works on HIV/AIDS infection and treatment dynamics, reviews of existing models clearly shown that the behavioral attitude to treatment consistency by those screened to become aware and those receiving treatment have not been given the desired attention. Moreso, the inconsistency following avoidable treatment truncation and later resumption of treatment by these classes of infectives, which could lead to colossal drug abuse is also not accorded the much expected consideration. Therefore, in this present study, we sought and formulated a nonlinear 6-Dimensional deterministic mathematical HIV/AIDS dynamic model that accounted for the global stability analysis of the role of antiretroviral therapy abuse for the treatment of HIV/AIDS epidemic. The model is structured upon dynamical interactions between 6-subpopulations and HI-virus under bilinear control functions with constant screening of the susceptible. It is assumed that the rate of resumption of ART upon truncation is less than initial ART truncation following the incorporation of HIV aware infectives not ready to receive ART treatment and HIV aware infectives with truncated treatment protocol The system mathematical well-posedness was investigated and model reproduction number determined for both off- treatment (with value ) and for onset-treatment (with value ). We considered the model for off-treatment and thereafter by incorporating LaSalle’s invariant principle into classical Lyapunov function method, we presented an approach for the global stability analysis of the role of ART abuse in HIV/AIDS treatment. Furthermore, the analysis and results of this paper presented a dynamic methodological application of bilinear control functions and an impeccable understanding of the fundamental mechanism in HIV/AIDS treatment in the presence of ART abuse. Using in-built Runge-Kutta of order of precision 4 in a Mathcad surface, numerical validity of model is conducted to investigate the study theoretical and analytical predictions. Results shows that application of onset-treatment functions with trend of ART abuse yield tremendous reduction in HIV/AIDS infection epidemic following the recovery rate of the susceptible population with value increasing from 0.5 cells/mm3 to 1.203 cells/mm3 within the first months and attained stability of 0.62 cells/mm3 through the time interval of 20- 30 months.
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