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Sensitivity Analysis and Modeling the Impact of Screening on the Transmission Dynamics of Human Papilloma Virus (HPV)

机译:敏感性分析和筛选对人乳头瘤病毒(HPV)传播动力学影响的建模

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In this paper, a mathematical model on the Human Papilloma Virus (HPV) governed by a system of ordinary differential equations is developed. The aim of this study is to investigate the role of screening as a control strategy in reducing the transmission of the disease. It is shown that a solution for the system of model equations exists and is unique. Further, it is shown that the solution is both bounded and positive. Hence, it is claimed that the model developed and presented in this paper is biologically meaningful and mathematically valid. The model is analyzed qualitatively for verifying the existence and stability of disease free and endemic equilibrium points using threshold parameter that governs the disease transmission. Furthermore, sensitivity analysis is performed on the key parameters driving Human Papilloma Virus and to determine their relative importance and potential impact on the dynamics of Human Papilloma Virus. Numerical result shows that Human Papilloma Virus infection is reduced using screening strategies. Due to the presence of interventions, the number of susceptible cells decreases implying that, most of the susceptible cells are screened. Similarly, the number of unaware infected cells decreases. This happens because unaware cells become aware after screening. The screened infected cells initially increase and then start to diminish after the equilibrium point. This is because many people from screened class recovered through treatment. Also, the number of cells with cancer decreases and this may be due to disease induced death. Furthermore, the number of recovered cells increases because there are two ways of recovering, through immune system or treatment. With R_0=0.5677, implies that screening can reduce the transmission of the disease in the population when R_0 1.
机译:本文建立了由常微分方程组控制的人乳头瘤病毒(HPV)数学模型。这项研究的目的是调查筛选作为减少疾病传播的控制策略的作用。结果表明,存在一个模型方程组的解并且它是唯一的。进一步地,表明该解是有界的和正的。因此,据称本文开发和提出的模型具有生物学意义和数学有效性。定性分析该模型,以使用控制疾病传播的阈值参数来验证无疾病和地方病平衡点的存在和稳定性。此外,对驱动人乳头瘤病毒的关键参数进行敏感性分析,以确定它们的相对重要性和对人乳头瘤病毒动力学的潜在影响。数值结果表明,采用筛选策略可以减少人乳头瘤病毒感染。由于干预的存在,易感细胞的数量减少,这意味着大多数易感细胞都经过了筛选。同样,未察觉的感染细胞数量也减少了。发生这种情况是因为不知道的细胞在筛选后就可以感知。筛选的感染细​​胞最初会增加,然后在平衡点后开始减少。这是因为许多接受过筛查的人通过治疗得以康复。同样,患有癌症的细胞数量减少,这可能是由于疾病引起的死亡。此外,由于存在两种通过免疫系统或治疗进行恢复的方式,因此恢复的细胞数量增加。如果R_0 = 0.5677,则意味着当R_0 <1时,筛查可以减少人群中疾病的传播。

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