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Individual-based multi-objective optimal structured treatment interruption for HIV infection
Abstract:In this paper, based on the measurable quantities from an individual patient that has infection to human immunodeficiency virus (HIV) and his/her condition is near to acquired immune deficiency syndrome (AIDS), individual-based multi-objective optimal treatments have been proposed. Firstly, the most effective parameters of the patient in computing Long-term non-progressor (LTNP) equilibrium are derived using global sensitivity analysis (GSA). To accomplish GSA effectively, Latin hypercube sampling (LHS) and partial rank correlation coefficients (PRCC) are utilized to rank each of the parameters based on each state of the 5-dimensional model. Then, these results are used by Dempster–Shafer (D–S) evidence theory (DSET) to rank the most effective parameters comprehensively. Now, these effective identified parameters are estimated using extended Kalman filter (EKF), which its covariance matrices are optimized based on particle swarm optimization (PSO) algorithm. Thus, the proposed methodology gives a calibrated model corresponding to the individual patient. Based on this calibrated model, the LTNP equilibrium related to the individual patient is derived. Using the derived individual-based LTNP equilibrium optimal structured treatment interruption (STI) strategies are extracted by defining suitable multi-objective optimization problem and solving it through using non-dominated sorting genetic algorithm-II (NSGA-II). The results demonstrate that the proposed optimal treatments are able to effectively reach LTNP equilibrium with using the minimum and maximum drug usage of 3.6% and 35.1% of full drug usage treatment. Meanwhile, the different optimal treatments give the decision-makers enough flexibility to choose the suitable treatment based on existing facilities and necessities.
Keywords:HIV/AIDS  Long-term non-progressor (LTNP)  Latin hypercube sampling (LHS)  Partial rank correlation coefficients (PRCC)  Dempster–Shafer (D–S) evidence theory  Extended Kalman filter (EKF)  Particle swarm optimization (PSO)  Multi-objective optimization  Optimal structured treatment interruption (STI)
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