This study directs the discussion of HIV disease with a novel kind of complex dynamical generalized and piecewise operator in the sense of classical and Atangana Baleanu(AB)derivatives having arbitrary order.The HIV i...This study directs the discussion of HIV disease with a novel kind of complex dynamical generalized and piecewise operator in the sense of classical and Atangana Baleanu(AB)derivatives having arbitrary order.The HIV infection model has a susceptible class,a recovered class,along with a case of infection divided into three sub-different levels or categories and the recovered class.The total time interval is converted into two,which are further investigated for ordinary and fractional order operators of the AB derivative,respectively.The proposed model is tested separately for unique solutions and existence on bi intervals.The numerical solution of the proposed model is treated by the piece-wise numerical iterative scheme of Newtons Polynomial.The proposed method is established for piece-wise derivatives under natural order and non-singular Mittag-Leffler Law.The cross-over or bending characteristics in the dynamical system of HIV are easily examined by the aspect of this research having a memory effect for controlling the said disease.This study uses the neural network(NN)technique to obtain a better set of weights with low residual errors,and the epochs number is considered 1000.The obtained figures represent the approximate solution and absolute error which are tested with NN to train the data accurately.展开更多
This paper shows how mathematical methods can be implemented to formulate guidelines for clinical testing and monitoring of HIV/AIDS disease. First, a mathematical model for HIV infection is presented which the measur...This paper shows how mathematical methods can be implemented to formulate guidelines for clinical testing and monitoring of HIV/AIDS disease. First, a mathematical model for HIV infection is presented which the measurement of the CD4+T cells and the viral load counts are needed to estimate all its parameters. Next, through an analysis of model properties, the minimal number of measurement samples is obtained. In the sequel, the effect of Reverse Transcriptase enzyme Inhibitor (RTI) on HIV progression is demonstrated by using a control function. Also the total cost of treatment by this kind of drugs has been minimized. The numerical results are obtained by a numerical method in discretization issue, called AVK.展开更多
An HIV model was considered. The parameters of the model are estimated by adjoint dada assimilation method. The results showed the method is valid. This method has potential application to a wide variety of models in ...An HIV model was considered. The parameters of the model are estimated by adjoint dada assimilation method. The results showed the method is valid. This method has potential application to a wide variety of models in biomathematics.展开更多
Considering the antiviral drugs can act on the fusion,reverse transcription,and budding stages of HIV infected cells,in this paper,we formulate a two-periodic delay heterogeneous space diffusion HIV model with three-s...Considering the antiviral drugs can act on the fusion,reverse transcription,and budding stages of HIV infected cells,in this paper,we formulate a two-periodic delay heterogeneous space diffusion HIV model with three-stage infection process to study the effects of periodic antiviral treatment and spatial heterogeneity on HIV infection process.We first study the well-posedness of the full system and then derive the basic reproduction number R_(0),which is defined as the spectral radius of the next generation operator.We further prove that R_(0) is a threshold for the elimination and persistence of HIV infection by comparison principle and persistence theory for non-autonomous system.In the spatial homogeneous case,the explicit expression of R_(0) is derived and the global attractivity of the positive steady state is proved by using the fluctuation method.Some numerical simulations are conducted to illustrate the theoretical results and our works suggest that both spatial heterogeneity and periodic delays caused by periodic antiviral therapy have a remarkable impact on the progression of HIV infection and should not be overlooked in clinical treatment process.展开更多
The dynamics of a single strain HIV model is studied. The basic reproduction number R0 used as a bifurcation parameter shows that the system undergoes transcritical and saddle-node bifurcations. The usual threshold un...The dynamics of a single strain HIV model is studied. The basic reproduction number R0 used as a bifurcation parameter shows that the system undergoes transcritical and saddle-node bifurcations. The usual threshold unit value of R0 does not completely determine the eradication of the disease in an HIV infected person. In particular, a sub-threshold value Rc is established which determines the system＇s number of endemic states： multiple if Rc 〈 Ro 〈 1, only one if Rc=Ro = 1, and none if R0 〈 Rc 〈 1.展开更多
Biologically,because of the impact of reproduction period and nonlocal dispersal of HIV-infected cells,time delay and spatial heterogeneity should be considered.In this paper,we establish an HIV infection model with n...Biologically,because of the impact of reproduction period and nonlocal dispersal of HIV-infected cells,time delay and spatial heterogeneity should be considered.In this paper,we establish an HIV infection model with nonlocal dispersal and infection age.Moreover,applying the theory of Fourier transformation and von Foerster rule,we transform the model to an integrodifferential equation with nonlocal time delay and dispersal.The well-posedness,positivity,and boundedness of the solution for the model are studied.展开更多
The HIV problem is studied by version of delay mathematical models which consider the apoptosis of uninfected CD4<sup>+</sup> T cells which cultured with infected T cells in big volume. The opportunistic i...The HIV problem is studied by version of delay mathematical models which consider the apoptosis of uninfected CD4<sup>+</sup> T cells which cultured with infected T cells in big volume. The opportunistic infection and the apoptosis of uninfected CD4<sup>+</sup> T cells are caused directly or indirectly by a toxic substance produced from HIV genes. Ubiquitously, the nonlinear incidence rate brings forth the increasing number of infected CD4<sup>+</sup> T cells with introduction of small time delay, and in addition, there also exists a natural time delay factor during the process of virus replication. With state feedback control of time delay, the bifurcating periodical oscillating phenomena is induced via Hopf bifurcation. Mathematically, with the geometrical criterion applied in the stability analysis of delay model, the critical threshold of Hopf bifurcation in multiple delay differential equations which satisfy the transversal condition is derived. By applying reduction dimensional method combined with the center manifold theory, the stability of the bifurcating periodical solution is analyzed by the perturbation near Hopf point.展开更多
HIV is a retrovirus that infects and impairs the cells and functions of the immune system. It has caused a great challenge to global public health systems and leads to Acquired Immunodeficiency Syndrome (AIDS), if not...HIV is a retrovirus that infects and impairs the cells and functions of the immune system. It has caused a great challenge to global public health systems and leads to Acquired Immunodeficiency Syndrome (AIDS), if not attended to in good time. Antiretroviral therapy is used for managing the virus in a patient’s lifetime. Some of the symptoms of the disease include lean body mass and many opportunistic infections. This study has developed a SIAT mathematical model to investigate the impact of inconsistency in treatment of the disease. The arising non-linear differential equations have been obtained and analyzed. The DFE and its stability have been obtained and the study found that it is locally asymptotically stable when the basic reproduction number is less than unity. The endemic equilibrium has been obtained and found to be globally asymptotically stable when the basic reproduction number is greater than unity. Numerical solutions have been obtained and analyzed to give the trends in the spread dynamics. The inconsistency in treatment uptake has been analyzed through the numerical solutions. The study found that when the treatment rate of those infected increases, it leads to an increase in treatment population, which slows down the spread of HIV and vice versa. An increase in the rate of treatment of those with AIDS leads to a decrease in the AIDS population, the reverse happens when this rate decreases. The study recommends that the community involvement in advocating for consistent treatment of HIV to curb the spread of the disease.展开更多
In this paper, we provide a new approach to solve approximately a system of fractional differential equations (FDEs). We extend this approach for approximately solving a fractional-order differential equation model of...In this paper, we provide a new approach to solve approximately a system of fractional differential equations (FDEs). We extend this approach for approximately solving a fractional-order differential equation model of HIV infection of CD4<sup>+</sup>T cells with therapy effect. The fractional derivative in our approach is in the sense of Riemann-Liouville. To solve the problem, we reduce the system of FDE to a discrete optimization problem. By obtaining the optimal solutions of new problem by minimization the total errors, we obtain the approximate solution of the original problem. The numerical solutions obtained from the proposed approach indicate that our approximation is easy to implement and accurate when it is applied to a systems of FDEs.展开更多
In this study, we consider two target-cell limited models with saturation type infec- tion rate and intracellular delay： one without self-proliferation and the other with self- proliferation of activated CD4＋T cells...In this study, we consider two target-cell limited models with saturation type infec- tion rate and intracellular delay： one without self-proliferation and the other with self- proliferation of activated CD4＋T cells. We discuss about the local and global behavior of both the systems in presence and absence of intracellular delay. It is shown that the endemic equilibrium of a target-cell limited model would be unstable in presence and absence of intraeellular delay only when self-proliferation of activated CD4＋T cell is considered. Otherwise, all positive solutions converge to the endemic equilibrium or disease-free equilibrium depending on whether the basic reproduction ratio is greater than or less than unity. Our study suggests that amplitude of oscillation is negatively correlated with the constant input rate of CD4＋T cell when intracellular delay is absent or low. However, they are positively correlated if the delay is too high. Amplitude of oscillation, on the other hand, is always positively correlated with the proliferation rate of CD4＋T cell for all delay. Our mathematical and simulation analysis also suggest that there are many potential contributors who are responsible for the variation of CD4＋T cells and virus particles in the blood plasma of HIV patients.展开更多
This study explored a novel systemic community-based model for detecting and manag-ing people living with HIV/AIDS (PLWHA). Both quantitative and qualitative research methods were used in this study. A quantitative qu...This study explored a novel systemic community-based model for detecting and manag-ing people living with HIV/AIDS (PLWHA). Both quantitative and qualitative research methods were used in this study. A quantitative questionnaire investigation was conducted in a sample of 1192 subjects which were randomly selected from two areas with high HIV prevalence, Xiangfan City and Shiyan City of Hubei Province, China. Twenty-two medical and health service staffs were inter-viewed by semi-structured questionnaire focusing on awareness, status, problems, and suggestions about community-based Voluntary Counseling and Testing and Provider Initiated Testing and Coun-seling (VCT/PITC). And they were organized to discuss about the aforementioned issues in Xiangfan City and Shiyan City, respectively. Our results showed that the accessibility and availability of the general VCT/PITC were bad. About 28.3% had known and only 4.9% had made use of VCT/PITC. Developing community-based VCT/PITC had some special advantages that can overcome some ex-isting problems to remedy the aforementioned defects. We are led to conclude that, to maximize the availability and uptake rate of the VCT/PITC, we plan to detect PLWHA by developing the commu-nity-based VCT/PITC through 4 paths. Then we establish the community HIV health care center con-stituted of 8 sectors to provide an overall management. Thus, we can effectively detect and manage the PLWHA with a new systemic community-based model.展开更多
Objective This study was to investigate the HIV current situation in Liangshan prefecture, in order to predict prevalence and transmission trends. Methods Region-specific population, behavior, serosurveillence, and po...Objective This study was to investigate the HIV current situation in Liangshan prefecture, in order to predict prevalence and transmission trends. Methods Region-specific population, behavior, serosurveillence, and policy/program data （from 1995 to 2020） were gathered from various local and national organizations and applied to the Asian Epidemic Model （AEM） and used to derive estimates of future HIV prevalence, epidemic trends, and outcomes of intervention strategies. Results The AEM projections for 2020 included increased number of people living with HIV （PLHIV; to 136 617）, increased HIV prevalence （2.51%）, and 8037 deaths from acquired immunodeficiency syndrome （AIDS） in this region. However, the overall HIV incidence rate （per 10 000） was projected to decline from 27 in 2015 to 22 in 2020, largely due to a predicted decrease in HIV infection rate （per 10 000） from 658 in 2013 to 621 in 2020 among intravenous drug users. In contrast, the cases of HIV infection per i0 000 was projected to increase from 420 in 2010 to 503 in 2020 among men who have sex with men, and from 8 in 2010 to 15 in 2020 among the general population. The predominant risk factor for HIV transmission over the next decade in Liangshan was casual sex. Community-based outreach strategies to reduce injected drug use and casual sex, and to promote condom use, were predicted as effective interventions to decrease HIV transmission. Conclusion Implementation of a comprehensive public health program, with targeting to the region-specific at-risk populations, will help to mitigate HIV/AIDS spread in Liangshan.展开更多
A delayed HIV/AIDS epidemic model with treatment and vertical transmission is investigated. The model allows some infected individuals to move from the symptomatic phase to the asymptomatic phase;next generation of in...A delayed HIV/AIDS epidemic model with treatment and vertical transmission is investigated. The model allows some infected individuals to move from the symptomatic phase to the asymptomatic phase;next generation of infected individuals may be infected and it will take them some time to get maturity and infect others. Mathematical analysis shows that the global dynamics of the spread of the HIV/AIDS are completely determined by the basic reproduction number R0 for our model. If R0 R0 > 1.展开更多
构建一类具有VCT(voluntary counseling and testing)意识及媒体报道影响的HIV/AIDS感染动力学模型.首先得到模型解的适定性,并给出模型的基本再生数.其次,借助Hurwitz判别法及Lyapunov函数分析模型的阈值动力学,当R_(0)<1时无病平...构建一类具有VCT(voluntary counseling and testing)意识及媒体报道影响的HIV/AIDS感染动力学模型.首先得到模型解的适定性,并给出模型的基本再生数.其次,借助Hurwitz判别法及Lyapunov函数分析模型的阈值动力学,当R_(0)<1时无病平衡点局部渐近稳定且当R_(0)≤1时全局渐近稳定;当R_(0)>1时,地方病平衡点局部渐近稳定.进一步,结合持续生存理论给出疾病的一致持续性.最后,数值模拟表明随着VCT意识比例的提高,艾滋病患者人数的峰值逐渐降低,而随着信息失效率的增大,艾滋病患者人数的峰值将有所提高.展开更多
HIV/AIDS is a public health problem especially in sub-Saharan Africa where majority of infections and deaths occur. Despite the large number of studies and efforts made in covering the data gap using mathematical mode...HIV/AIDS is a public health problem especially in sub-Saharan Africa where majority of infections and deaths occur. Despite the large number of studies and efforts made in covering the data gap using mathematical models, little is known on how model estimates are confounded by the transmission variabilities that exist in stages of HIV progression. This work investigates the impact of including stages of HIV transmission in HIV/AIDS models. A deterministic HIV/AIDS model is developed and extended to include stages of HIV progression of infected individuals. Theoretical investigation of the models and numerical analyses indicate that the two models produce different estimates, with the model without stages producing lower estimates than the staged model. These results call for a careful consideration in evaluating the efficiency of HIV/AIDS models that are used to estimate and project the burden of HIV/AIDS disease.展开更多
基金supported and funded by the Deanship of Scientific Research at Imam Mohammad Ibn Saud Islamic University(IMSIU)(grant number IMSIU-RP23066).
文摘This study directs the discussion of HIV disease with a novel kind of complex dynamical generalized and piecewise operator in the sense of classical and Atangana Baleanu(AB)derivatives having arbitrary order.The HIV infection model has a susceptible class,a recovered class,along with a case of infection divided into three sub-different levels or categories and the recovered class.The total time interval is converted into two,which are further investigated for ordinary and fractional order operators of the AB derivative,respectively.The proposed model is tested separately for unique solutions and existence on bi intervals.The numerical solution of the proposed model is treated by the piece-wise numerical iterative scheme of Newtons Polynomial.The proposed method is established for piece-wise derivatives under natural order and non-singular Mittag-Leffler Law.The cross-over or bending characteristics in the dynamical system of HIV are easily examined by the aspect of this research having a memory effect for controlling the said disease.This study uses the neural network(NN)technique to obtain a better set of weights with low residual errors,and the epochs number is considered 1000.The obtained figures represent the approximate solution and absolute error which are tested with NN to train the data accurately.
文摘This paper shows how mathematical methods can be implemented to formulate guidelines for clinical testing and monitoring of HIV/AIDS disease. First, a mathematical model for HIV infection is presented which the measurement of the CD4+T cells and the viral load counts are needed to estimate all its parameters. Next, through an analysis of model properties, the minimal number of measurement samples is obtained. In the sequel, the effect of Reverse Transcriptase enzyme Inhibitor (RTI) on HIV progression is demonstrated by using a control function. Also the total cost of treatment by this kind of drugs has been minimized. The numerical results are obtained by a numerical method in discretization issue, called AVK.
文摘An HIV model was considered. The parameters of the model are estimated by adjoint dada assimilation method. The results showed the method is valid. This method has potential application to a wide variety of models in biomathematics.
基金supported by the National Natural Science Foundation of China(No.12201557)the Foundation of Zhejiang Provincial Education Department(No.Y202249921).
文摘Considering the antiviral drugs can act on the fusion,reverse transcription,and budding stages of HIV infected cells,in this paper,we formulate a two-periodic delay heterogeneous space diffusion HIV model with three-stage infection process to study the effects of periodic antiviral treatment and spatial heterogeneity on HIV infection process.We first study the well-posedness of the full system and then derive the basic reproduction number R_(0),which is defined as the spectral radius of the next generation operator.We further prove that R_(0) is a threshold for the elimination and persistence of HIV infection by comparison principle and persistence theory for non-autonomous system.In the spatial homogeneous case,the explicit expression of R_(0) is derived and the global attractivity of the positive steady state is proved by using the fluctuation method.Some numerical simulations are conducted to illustrate the theoretical results and our works suggest that both spatial heterogeneity and periodic delays caused by periodic antiviral therapy have a remarkable impact on the progression of HIV infection and should not be overlooked in clinical treatment process.
文摘The dynamics of a single strain HIV model is studied. The basic reproduction number R0 used as a bifurcation parameter shows that the system undergoes transcritical and saddle-node bifurcations. The usual threshold unit value of R0 does not completely determine the eradication of the disease in an HIV infected person. In particular, a sub-threshold value Rc is established which determines the system＇s number of endemic states： multiple if Rc 〈 Ro 〈 1, only one if Rc=Ro = 1, and none if R0 〈 Rc 〈 1.
基金Supported by Funding for the National Natural Science Foundation of China(12201557,12001483,61807006)。
文摘Biologically,because of the impact of reproduction period and nonlocal dispersal of HIV-infected cells,time delay and spatial heterogeneity should be considered.In this paper,we establish an HIV infection model with nonlocal dispersal and infection age.Moreover,applying the theory of Fourier transformation and von Foerster rule,we transform the model to an integrodifferential equation with nonlocal time delay and dispersal.The well-posedness,positivity,and boundedness of the solution for the model are studied.
文摘The HIV problem is studied by version of delay mathematical models which consider the apoptosis of uninfected CD4<sup>+</sup> T cells which cultured with infected T cells in big volume. The opportunistic infection and the apoptosis of uninfected CD4<sup>+</sup> T cells are caused directly or indirectly by a toxic substance produced from HIV genes. Ubiquitously, the nonlinear incidence rate brings forth the increasing number of infected CD4<sup>+</sup> T cells with introduction of small time delay, and in addition, there also exists a natural time delay factor during the process of virus replication. With state feedback control of time delay, the bifurcating periodical oscillating phenomena is induced via Hopf bifurcation. Mathematically, with the geometrical criterion applied in the stability analysis of delay model, the critical threshold of Hopf bifurcation in multiple delay differential equations which satisfy the transversal condition is derived. By applying reduction dimensional method combined with the center manifold theory, the stability of the bifurcating periodical solution is analyzed by the perturbation near Hopf point.
文摘HIV is a retrovirus that infects and impairs the cells and functions of the immune system. It has caused a great challenge to global public health systems and leads to Acquired Immunodeficiency Syndrome (AIDS), if not attended to in good time. Antiretroviral therapy is used for managing the virus in a patient’s lifetime. Some of the symptoms of the disease include lean body mass and many opportunistic infections. This study has developed a SIAT mathematical model to investigate the impact of inconsistency in treatment of the disease. The arising non-linear differential equations have been obtained and analyzed. The DFE and its stability have been obtained and the study found that it is locally asymptotically stable when the basic reproduction number is less than unity. The endemic equilibrium has been obtained and found to be globally asymptotically stable when the basic reproduction number is greater than unity. Numerical solutions have been obtained and analyzed to give the trends in the spread dynamics. The inconsistency in treatment uptake has been analyzed through the numerical solutions. The study found that when the treatment rate of those infected increases, it leads to an increase in treatment population, which slows down the spread of HIV and vice versa. An increase in the rate of treatment of those with AIDS leads to a decrease in the AIDS population, the reverse happens when this rate decreases. The study recommends that the community involvement in advocating for consistent treatment of HIV to curb the spread of the disease.
文摘In this paper, we provide a new approach to solve approximately a system of fractional differential equations (FDEs). We extend this approach for approximately solving a fractional-order differential equation model of HIV infection of CD4<sup>+</sup>T cells with therapy effect. The fractional derivative in our approach is in the sense of Riemann-Liouville. To solve the problem, we reduce the system of FDE to a discrete optimization problem. By obtaining the optimal solutions of new problem by minimization the total errors, we obtain the approximate solution of the original problem. The numerical solutions obtained from the proposed approach indicate that our approximation is easy to implement and accurate when it is applied to a systems of FDEs.
文摘In this study, we consider two target-cell limited models with saturation type infec- tion rate and intracellular delay： one without self-proliferation and the other with self- proliferation of activated CD4＋T cells. We discuss about the local and global behavior of both the systems in presence and absence of intracellular delay. It is shown that the endemic equilibrium of a target-cell limited model would be unstable in presence and absence of intraeellular delay only when self-proliferation of activated CD4＋T cell is considered. Otherwise, all positive solutions converge to the endemic equilibrium or disease-free equilibrium depending on whether the basic reproduction ratio is greater than or less than unity. Our study suggests that amplitude of oscillation is negatively correlated with the constant input rate of CD4＋T cell when intracellular delay is absent or low. However, they are positively correlated if the delay is too high. Amplitude of oscillation, on the other hand, is always positively correlated with the proliferation rate of CD4＋T cell for all delay. Our mathematical and simulation analysis also suggest that there are many potential contributors who are responsible for the variation of CD4＋T cells and virus particles in the blood plasma of HIV patients.
基金supported by a grant from the Global Fund(No. 2008-NGS-26)
文摘This study explored a novel systemic community-based model for detecting and manag-ing people living with HIV/AIDS (PLWHA). Both quantitative and qualitative research methods were used in this study. A quantitative questionnaire investigation was conducted in a sample of 1192 subjects which were randomly selected from two areas with high HIV prevalence, Xiangfan City and Shiyan City of Hubei Province, China. Twenty-two medical and health service staffs were inter-viewed by semi-structured questionnaire focusing on awareness, status, problems, and suggestions about community-based Voluntary Counseling and Testing and Provider Initiated Testing and Coun-seling (VCT/PITC). And they were organized to discuss about the aforementioned issues in Xiangfan City and Shiyan City, respectively. Our results showed that the accessibility and availability of the general VCT/PITC were bad. About 28.3% had known and only 4.9% had made use of VCT/PITC. Developing community-based VCT/PITC had some special advantages that can overcome some ex-isting problems to remedy the aforementioned defects. We are led to conclude that, to maximize the availability and uptake rate of the VCT/PITC, we plan to detect PLWHA by developing the commu-nity-based VCT/PITC through 4 paths. Then we establish the community HIV health care center con-stituted of 8 sectors to provide an overall management. Thus, we can effectively detect and manage the PLWHA with a new systemic community-based model.
基金funded by China-MSD HIV/AIDS Partnership Project(2012-83)Comprehensive Assessment for HIV/AIDS Control and Prevention in Sichuan Province Project(2006-2010)
文摘Objective This study was to investigate the HIV current situation in Liangshan prefecture, in order to predict prevalence and transmission trends. Methods Region-specific population, behavior, serosurveillence, and policy/program data （from 1995 to 2020） were gathered from various local and national organizations and applied to the Asian Epidemic Model （AEM） and used to derive estimates of future HIV prevalence, epidemic trends, and outcomes of intervention strategies. Results The AEM projections for 2020 included increased number of people living with HIV （PLHIV; to 136 617）, increased HIV prevalence （2.51%）, and 8037 deaths from acquired immunodeficiency syndrome （AIDS） in this region. However, the overall HIV incidence rate （per 10 000） was projected to decline from 27 in 2015 to 22 in 2020, largely due to a predicted decrease in HIV infection rate （per 10 000） from 658 in 2013 to 621 in 2020 among intravenous drug users. In contrast, the cases of HIV infection per i0 000 was projected to increase from 420 in 2010 to 503 in 2020 among men who have sex with men, and from 8 in 2010 to 15 in 2020 among the general population. The predominant risk factor for HIV transmission over the next decade in Liangshan was casual sex. Community-based outreach strategies to reduce injected drug use and casual sex, and to promote condom use, were predicted as effective interventions to decrease HIV transmission. Conclusion Implementation of a comprehensive public health program, with targeting to the region-specific at-risk populations, will help to mitigate HIV/AIDS spread in Liangshan.
文摘A delayed HIV/AIDS epidemic model with treatment and vertical transmission is investigated. The model allows some infected individuals to move from the symptomatic phase to the asymptomatic phase;next generation of infected individuals may be infected and it will take them some time to get maturity and infect others. Mathematical analysis shows that the global dynamics of the spread of the HIV/AIDS are completely determined by the basic reproduction number R0 for our model. If R0 R0 > 1.
文摘构建一类具有VCT(voluntary counseling and testing)意识及媒体报道影响的HIV/AIDS感染动力学模型.首先得到模型解的适定性,并给出模型的基本再生数.其次,借助Hurwitz判别法及Lyapunov函数分析模型的阈值动力学,当R_(0)<1时无病平衡点局部渐近稳定且当R_(0)≤1时全局渐近稳定;当R_(0)>1时,地方病平衡点局部渐近稳定.进一步,结合持续生存理论给出疾病的一致持续性.最后,数值模拟表明随着VCT意识比例的提高,艾滋病患者人数的峰值逐渐降低,而随着信息失效率的增大,艾滋病患者人数的峰值将有所提高.
文摘HIV/AIDS is a public health problem especially in sub-Saharan Africa where majority of infections and deaths occur. Despite the large number of studies and efforts made in covering the data gap using mathematical models, little is known on how model estimates are confounded by the transmission variabilities that exist in stages of HIV progression. This work investigates the impact of including stages of HIV transmission in HIV/AIDS models. A deterministic HIV/AIDS model is developed and extended to include stages of HIV progression of infected individuals. Theoretical investigation of the models and numerical analyses indicate that the two models produce different estimates, with the model without stages producing lower estimates than the staged model. These results call for a careful consideration in evaluating the efficiency of HIV/AIDS models that are used to estimate and project the burden of HIV/AIDS disease.
