Title :
When to initiate HIV therapy: a control theoretic approach
Author :
Jeffrey, Annah M. ; Xia, Xiaohua ; Craig, Ian K.
Author_Institution :
Dept. of Electr., Electron., & Comput. Eng., Pretoria Univ., South Africa
Abstract :
This paper shows an application of control theory to human immunodeficiency virus (HIV)/AIDS models. Minimum singular value decomposition is applied to HIV/AIDS models to measure the extent to which the different stages in the progression of HIV/AIDS disease are controllable and, consequently, when best to initiate therapy such that the general objectives of therapy are satisfied. Simulations are used to demonstrate the effect of treatment at various stages. Comparisons are made between mono-class and combination therapies and between when therapy is initiated at the acute infection, asymptomatic and the advanced stages.
Keywords :
diseases; microorganisms; optimal control; patient treatment; physiological models; singular value decomposition; HIV therapy; HIV/AIDS models; chemotherapy; combination therapies; control theoretic approach; controllability; minimum singular value decomposition; mono-class therapies; Acquired immune deficiency syndrome; Africa; Control theory; Diseases; Drugs; Guidelines; Human immunodeficiency virus; Immune system; Medical treatment; Singular value decomposition; Anti-Retroviral Agents; Computer Simulation; Disease Progression; Dose-Response Relationship, Drug; Drug Administration Schedule; Drug Therapy, Combination; Drug Therapy, Computer-Assisted; HIV; HIV Infections; Humans; Models, Biological; Population Dynamics; Systems Theory; Viral Load;
Journal_Title :
Biomedical Engineering, IEEE Transactions on
DOI :
10.1109/TBME.2003.818465