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A control theoretic approach to HIV/AIdS drug dosage design and timing the initiation of therapy

Thesis (PhD)--University of Pretoria, 2006.

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Other Authors: Xia, Xiaohua
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Published: University of Pretoria 2013
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access_status_str Open Access
author2 Xia, Xiaohua
author_browse Xia, Xiaohua
author_facet Xia, Xiaohua
collection Thesis
dc_rights_str_mv © 2006, University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria.
description Thesis (PhD)--University of Pretoria, 2006.
format Thesis
id oai:repository.up.ac.za:2263/30379
institution University of Pretoria (South Africa)
last_indexed 2026-06-10T12:37:52.763Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository
publishDate 2013
publishDateRange 2013
publishDateSort 2013
publisher University of Pretoria
publisherStr University of Pretoria
record_format dspace
source_str UPSpace — University of Pretoria Institutional Repository
spelling oai:repository.up.ac.za:2263/30379 A control theoretic approach to HIV/AIdS drug dosage design and timing the initiation of therapy Xia, Xiaohua jeffreym@mopipi.ub.bw Craig, Ian K. Jeffrey, Annah Mandu Hiv/aids models HIV immunology Initiate HIV therapy HIV/AIDS model analysis Biomedical engineering Model predictive control Control engineering in medicine Immune based therapy Protocol design Structured treatment interruption Drug dosage design UCTD Thesis (PhD)--University of Pretoria, 2006. Current research on HIV therapy is diverse and multi-disciplinary. Engineers however, were late in joining the research movement and as such, engineering literature related to HIV chemotherapy is limited. Control engineers in particular, should have risen to the challenge, as it is apparent that HIV chemotherapy and control engineering have a lot in common. From a control theoretic point of view, HIV chemotherapy is control of a time varying nonlinear dynamical system with constrained controls. Once a suitable model has been developed or identified, control system theoretical concepts and design principles can be applied. The adopted control approach or strategy depends primarily on the control objectives, performance specifications and the control constraints. In principle, the designed control system can then be validated with clinical data. Obtaining measurements of the controlled variables however, has the potential to hinder effective control. The first part of this research focused on the application of control system analytical tools to HIV/AIDS models. The intention was to gain some insights into the HIV infection dynamics from a control theoretic perspective. The issues that needed to be addressed are: Persistent virus replication under potent HAART, variability in response to therapy between individuals on the same regimen, transient rebounds of plasma viremia after periods of suppression, the attainment, or lack thereof, of maximal and durable suppression of the viral load. The questions to answer were: When are the above mentioned observed responses to therapy most likely to occur as the HIV infection progresses, and does attaining one necessarily imply the other? Furthermore, the prognostic markers of virologic success, the possibility of individualizing therapy and timing the initiation of antiretroviral therapy such that the benefits of therapy are maximized, are matters that were also investigated. The primary objective of this thesis was to analyze models for the eventual control of the HIV infection. HIV therapy has multiple and often conflicting objectives, and these objectives had to be prioritized. The intention of the proposed control strategy was to produce practical solutions to the current antiretroviral problems. To this end, the second part of the research focused on addressing the HIV/AIDS control issues of sampling for effective control given the invasive nature of drawing blood from a patient and the derivation of drug dosage sequences to strike a balance between maximal suppression and toxicity reduction, when multiple drugs are concomitantly used to treat the infection. Electrical, Electronic and Computer Engineering Unrestricted 2013-09-07T18:55:01Z 2006-12-15 2013-09-07T18:55:01Z 2006-09-05 2006-12-15 2006-12-15 Thesis Jeffrey, A 2006, A control theoretic approach to HIV/AIdS drug dosage design and timing the initiation of therapy, PhD thesis, University of Pretoria, Pretoria, viewed yymmdd < http://hdl.handle.net/2263/30379 > http://hdl.handle.net/2263/30379 http://upetd.up.ac.za/thesis/available/etd-12152006-104428/ © 2006, University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf University of Pretoria
spellingShingle Hiv/aids models
HIV immunology
Initiate HIV therapy
HIV/AIDS model analysis
Biomedical engineering
Model predictive control
Control engineering in medicine
Immune based therapy
Protocol design
Structured treatment interruption
Drug dosage design
UCTD
A control theoretic approach to HIV/AIdS drug dosage design and timing the initiation of therapy
title A control theoretic approach to HIV/AIdS drug dosage design and timing the initiation of therapy
title_full A control theoretic approach to HIV/AIdS drug dosage design and timing the initiation of therapy
title_fullStr A control theoretic approach to HIV/AIdS drug dosage design and timing the initiation of therapy
title_full_unstemmed A control theoretic approach to HIV/AIdS drug dosage design and timing the initiation of therapy
title_short A control theoretic approach to HIV/AIdS drug dosage design and timing the initiation of therapy
title_sort control theoretic approach to hiv aids drug dosage design and timing the initiation of therapy
topic Hiv/aids models
HIV immunology
Initiate HIV therapy
HIV/AIDS model analysis
Biomedical engineering
Model predictive control
Control engineering in medicine
Immune based therapy
Protocol design
Structured treatment interruption
Drug dosage design
UCTD
url http://hdl.handle.net/2263/30379
http://upetd.up.ac.za/thesis/available/etd-12152006-104428/