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检测和治疗对乙型肝炎病毒动力学的影响。

The impact of testing and treatment on the dynamics of Hepatitis B virus.

机构信息

Physical sciences, Landmark University, Omu Aran, Kwara State, Nigeria.

Physical Sciences, Landmark University, Omu Aran, Kwara, Nigeria.

出版信息

F1000Res. 2021 Sep 17;10:936. doi: 10.12688/f1000research.72865.1. eCollection 2021.

DOI:10.12688/f1000research.72865.1
PMID:34987771
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8686325/
Abstract

Despite the intervention of WHO on vaccination for reducing the spread of Hepatitis B Virus (HBV), there are records of the high prevalence of HBV in some regions. In this paper, a mathematical model was formulated to analyze the acquisition and transmission process of the virus with the view of identifying the possible way of reducing the menace and mitigating the risk of the virus. The models' positivity and boundedness were demonstrated using well-known theorems. Equating the differential equations to zero demonstrates the equilibria of the solutions i.e., the disease-free and endemic equilibrium. The next Generation Matrix method was used to compute the basic reproduction number for the models. Local and global stabilities of the models were shown via linearization and Lyapunov function methods respectively. The importance of testing and treatment on the dynamics of HBV were fully discussed in this paper. It was discovered that testing at the acute stage of the virus and chronic unaware state helps in better management of the virus.

摘要

尽管世界卫生组织(WHO)采取了接种疫苗的干预措施,以减少乙型肝炎病毒(HBV)的传播,但仍有一些地区 HBV 高发的记录。本文建立了一个数学模型,分析病毒的获取和传播过程,以期找到降低危害和减轻病毒风险的可能途径。利用著名的定理证明了模型的正定性和有界性。将微分方程等于零证明了解的平衡点,即无病平衡点和地方病平衡点。利用下一代矩阵方法计算了模型的基本再生数。通过线性化和李雅普诺夫函数方法分别显示了模型的局部和全局稳定性。本文充分讨论了检测和治疗对 HBV 动力学的重要性。研究发现,在病毒急性阶段和慢性无症状状态下进行检测有助于更好地管理病毒。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c87/8686325/ef18c8463074/f1000research-10-76473-g0006.jpg
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本文引用的文献

1
Chronic hepatitis B in 2014: great therapeutic progress, large diagnostic deficit.2014年慢性乙型肝炎:治疗取得重大进展,诊断存在巨大不足。
World J Gastroenterol. 2014 Sep 7;20(33):11595-617. doi: 10.3748/wjg.v20.i33.11595.
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Antibody responses during hepatitis B viral infection.乙型肝炎病毒感染期间的抗体反应。
PLoS Comput Biol. 2014 Jul 31;10(7):e1003730. doi: 10.1371/journal.pcbi.1003730. eCollection 2014 Jul.
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Targeted case finding for hepatitis B using dry blood spot testing in the British-Chinese and South Asian populations of the North-East of England.
利用干式血斑检测技术在英格兰东北部的英籍华人及南亚人群中针对乙型肝炎进行目标性病例发现。
J Viral Hepat. 2013 Sep;20(9):638-44. doi: 10.1111/jvh.12084. Epub 2013 Mar 12.
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Is chronic hepatitis B being undertreated in the United States?美国是否存在慢性乙型肝炎治疗不足的情况?
J Viral Hepat. 2011 Jun;18(6):377-83. doi: 10.1111/j.1365-2893.2010.01401.x. Epub 2010 Dec 8.
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Dynamical behavior of a hepatitis B virus transmission model with vaccination.具有疫苗接种的乙型肝炎病毒传播模型的动力学行为
J Theor Biol. 2010 Aug 21;265(4):572-8. doi: 10.1016/j.jtbi.2010.05.038. Epub 2010 Jun 8.
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Prevalence of hepatitis B and hepatitis C virus infections in France in 2004: social factors are important predictors after adjusting for known risk factors.2004 年法国乙型肝炎和丙型肝炎病毒感染的流行情况:在调整已知危险因素后,社会因素是重要的预测因素。
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Europe's hepatitis challenge: defusing the "viral time bomb".欧洲肝炎挑战:拆除“病毒定时炸弹”。
J Hepatol. 2009 Dec;51(6):1068-73. doi: 10.1016/j.jhep.2009.09.010. Epub 2009 Oct 8.
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Stopping a silent killer in the underserved asian and pacific islander community: a chronic hepatitis B and liver cancer prevention clinic by medical students.在服务欠缺的亚太岛民社区中阻止一个无声杀手:医学生开设的慢性乙型肝炎和肝癌预防诊所
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