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Elsevier - PMC COVID-19 Collection logoLink to Elsevier - PMC COVID-19 Collection
. 2022 Aug 18;61(11):9235–9242. doi: 10.1016/j.aej.2022.08.022

On a global continuum model for COVID-19 virus in the presence of vaccine and induced immunity. Stability and initial states control

Hamdy I Abdel-Gawad a, Ahmed H Abdel-Gawad b,
PMCID: PMC9385775

Abstract

The dynamics of COVID-19 virus were investigated in the literature via mathematical models. These models take into account the action of the suspected-exposed-infected-recovered people (SEIR). Also, among them, those which account for quarantined, social distancing functions or health isolation, were presented. In the absence of effective vaccines or therapies, prevention and treatment strategies for COVID-19 infections can not issue to non-epidemic state. Over the world, vaccination against the virus is set on. This motivated us to develop a model for inspecting if this treatment will issue to non endemic state. To this end, a global continuum model for the dynamics of this virus in the presence of vaccine and stimulated immunity is constructed. The present model deals with EIR - deceased individuals (EIRD) together with action of the health isolation and travelers (HIT). Which is described by nonlinear dynamical system (NLDS). Our aim here is to reduce the problem of solving this system to the case of solving LDS. This is carried by introducing the unified method (UM) via an approach present by the authors. By the UM, the solutions of a NLDS are recast to solutions of LDS via auxiliary equations. Numerical results of the exact solutions are evaluated, with initial data for the EIRD together with the number of vaccinated people. Real data are taken from Egypt (can be from elsewhere) at the end of the first wave, and they are considered as the initial conditions. These results are compared with a previous work by the authors in the absence of vaccination. The results of exposed, infected, recovered and deceased people are computed. It is found that the number of infected people decays to zero asymptotically, while, the number of infected people decays to an asymptotic value. This is in contrast to the results found previously in the case of absence of vaccination, where, these numbers grow monotonically. This is completely new. It is shown that locking-down has a remarkable effect in diminishing the number of infected people. The region of initial conditions for I-E people, that guarantee non-epidemic, non-endemic states, is determined via initial states control analysis. A software tool, based on this model, for simplifying the utilization of various data of different countries is developed. It is worth to mention that, the exact solutions of nonlinear dynamical equations, found here, are novel.

Keywords: COVID-19 vaccination, Global model, Exact solution, Stability, Initial state, Control

1. Introduction

In the last two years, COVID-19 pandemic acted as global health and economic crisis. An important role in the management and control of the crisis is handled by mathematical models which can help for developing a strategy to overcome the spreading of COVID-19 [1]. A mathematical model with input parameters based on actual data from the European Center for Disease was presented in [2]. COVID-19 virus is transmitted among people through respiratory droplets [3], [4], [5], [6]. The asymptomatic ratio estimate may lead to understanding the virus transmission [7]. All relative effect on infections accompanied by various interventions are subject to uncertainty and anxiety. Mathematical models are needed to predict future health care requirement [8]. Some mathematical models for the outbreak of COVID-19 were presented in [9]. The dynamical behavior of COVID-19 infection by incorporating isolation class was studied in [10]. In this work, the most suitable values of its parameters are inspected. Due to Egypt’s high population density, the control of the pandemic COVID-19 is too necessary in the premier stage and it is a duty problem. Reducing the outbreak size due to the influential parameter was proposed to study the COVID-19 dynamics via many mathematical models [11]. By introducing a quarantine class and intervention rules, to slow down disease transmission, a mathematical model was formulated in [12]. In [13], a mathematical model for inspecting the spread of covid-19 epidemic, with implementation of the population intervention, in Italy was proposed. Also, a discrete and continuum model for COVID-19 by accounting for health isolation and travelers effects was constructed, by the authors, in the absence of vaccination [14]. While, this work takes into account of the effects of vaccination and induced immunity. In [14], it was found that the numbers of infected and exposed (IE) people are strictly increasing with time. While in the present work, it will be shown that, the numbers of IE people decrease asymptotically to zero with time. These results are completely novel.

Recently, the role of the cellular immune response has an evidence in defense against viral infections, and tumor progression [15], [16], [17]. Some relevant works were carried in the literature [18], [19], [20], [21], [22], [23], [24], [25], [26], [27], [28], [29].Vaccines that induce large quantities of high affinity virus-neutralizing antibodies may globally prevent infection. Vaccination requires a precise clinical management, followed by detailed evaluation of safety and immune responses [30], [31], [32], [33]. Also, it leads to neutralizing antibodies, protection and no undesirable disease elevation. For safe immunization of the population against COVID-19, there is an urgent need to accelerate vaccination.

2. Global continuum model

We propose a EIRD-HIT model in the presence of vaccine and induced immunity by,

dE(t)dt=-σE(t)-αE(t)I(t)N+k1-δ1-μ1E(t)Im(t),I(t)dt=-σI(t)+αE(t)I(t)N+k2-δ2-μ2I(t)Im(t),dIm(t))dt=μ1E(t)Im(t)+μ2I(t)Im(t),dR(t)dt=βI(t)+μ2I(t)Im(t),dD(t)dt=γI(t)-μ2I(t)Im(t),t0, (1)

where

α Exposed to infection rate
β Interaction of recovered with infected rate

γ Interaction of deceased with deceased rate

σ Isolated rate

k1 Exposed travelers pumping rate

k2 Infected travelers pumping rate

δ1 Exposed vaccinated pumping rate

δ2 Infected vaccinated pumping rate

μ1 Induced immunity rate in exposed

μ2 Induced immunity rate in infected

N Population number in a country

Indeed, in (3), it is plausible to take into consideration that there is a time lag between infection and decease or recovered, that is diseased or recovered people were antecedent infected. Thus, a time delay should be in (3), in I(t).

That is by accounting for the laps of time required for an infected individual to be recovered or diseased, are taken τ1and τ2 respectively. Eq. (1) becomes,

dE(t)dt=-σE(t)-αE(t)I(t)N+k1-δ1-μ1E(t)Im(t),I(t)dt=-σI(t)+αE(t)I(t)N+k2-δ2-μ2I(t)Im(t),dIm(t))dt=μ1E(t)Im(t)+μ2I(t)Im(t)dR(t)dt=βI(t-τ1)+μ2I(t-τ1)Im(t),dD(t)dt=γI(t-τ2)-μ2I(t-τ1)Im(t),t0, (2)

where τ1 and τ2are the measure of time lags which are estimated from the real data. It is worth noticing that the first three equations are closed. When the solutions I(t) and Im(t) are known, then R(t) and D(t) are obtained by direct integrals.

It is worthy to mention that, in the present work, the initial state-real data for exposed, infected, and diseased people are taken here, when t=t0 where 0t<t0 is the period of the first wave of COVID-19 in the absence of vaccination. Consequently, t>t0 stands to the second and later waves. Thus, we bear this in mind, when interpreting the results found later on. As COVID-19 may lead to different symptoms in different local spaces, so the model presented here holds in the case when the vaccine is designed appropriately with relevance to the specific space.

The scheme of the model is shown in Fig. 1 .

Fig. 1.

Fig. 1

Proposed model.

3. The approach and exact solutions of (2)

3.1. The approach

We consider the NLDS,

u˙=f1(u,v,w),v˙=f2(u,v,w),w˙=f3(u,y,z), (3)

where fi,i=1,2,3 are of quadratic nonlinearity.

The approach is based on recasting the problem of solving (3) to solve coupled linear ODEs (or LDS) via implementing the unified method for rational solutions, as in what follows.

We write the solutions of (3) in the forms,

u(t)=1Q(a0+a1g1(t)+a2g2(t)),v(t)=1Q(b0+b1g1(t)+b2g2(t))w(t)=1Q(d0+d1g1(t)+d2g2(t)),Q=s0+s1g1(t)+s2g2(t), (4)

where gi(t),i=1,2 are auxiliary functions that satisfy the auxiliary equations,

g1(t)=α0+α1g1(t)+α2g2(t),g2(t)=β0+β1g1(t)+β2g2(t). (5)

By substituting (4) and (5) into (3) and by setting the coefficients of gij,i=1,2,j=0,1,2,equal to zero gives rise to a set of nonlinear algebraic equations, which are then solved.

3.2. Exact solutions of (2)

In (2), we remark that the first three equations are in a closed form. Thus, we find the solutions of these equations. To this end, we write,

E(t)=1P(a0+a1g1(t)+a2g2(t)),I(t)=1P(b0+b1g1(t)+b2g2(t))Im(t)=1P(d0+d1g1(t)+d2g2(t)),P=s0+s1g1(t)+s2g2(t),g1(t)=α0+α1g1(t)+α2g2(t),g2(t)=β0+β1g1(t)+β2g2(t),t0. (6)

By substituting from (6) into (2) and by using Section 3.1, the solutions of the third, second and first equations give rise, respectively, to,

a1=1d1μ1(β1d2s1-d1(b1μ2+β1μ2)),a2=1d12μ1(d12(s2(α1-β2)-b2μ2)+d1d2(s1(β2-α1)+β1s2)-β1d22s1),a0=1d12μ1(d12(-b0μ2-β0s1+α1s0)+d1(β0d2s1+β1d2s0-d0α1s1)-β1d2d0s1),α2=1d12d2(d1(α1-β1)+β1d2),α1=d1α0d0-d2β1d1+d2β0d0, (7)
d2=1b1s1αβ1d1(μ1Ns1(β1b2-k2s1+δ2s1)+b1β1s2(α-μ1N)α+b12μ2+b1μ1N(d1μ2+s1(β+γ)),b0=b1d0d1,δ2=1d12μ1Ns1s0(β0s1-β1s0)(d12k2μ1Ns1s0(β0s1-β1s0)α+b12μ2β1d02s1-βod12so+b1d1(d0s1β1(μ1s0N(β+γ)α0+s1(α-μ1N)+β0s2(α-μ1N))β1+d02μ1μ2Ns0-d1s0(αα0β1s1β0d1μ1μ2N+μ1+Ns1(βo(β+γ)-α0β1)+β1β0s2(α-μ1N)))),β0=1d1μ1s1N(αβ1d1s0+β1μ1s1d0N+α-β1d0s1),γ=1b1μ1s1N(β1s1b2(α-μ1N)-b1(αb1μ2+d1μ1μ2N+βμ1s1N+β1s2(α-μ1N))),α0=1(b1d1Ns12μ1(-α+Nμ1)α2b1d1β1s2s0+2αb1β1d0μ1Ns2s0+α2(-b1β1d0s1s2-2αb1d1β1μ1Ns2s0--b1β1d0μ12N2s1s2+αβ1+b2d1μ1Ns1s0αb12d0μ1μ2Ns1+b1d1d0μ12μ2N2s1+β1b1d1μ12N2s2s0-b2d1β1μ12N2s1s0,d1=1b1μ12μ2N2(b1β1s2(α-μ1N)2-α2b1μ2-β1s1b2(α-μ1N)2),b2=1β1μ1Ns1(α-μ1No)(α2b12μ2-b1β1μ12N2s2-αβ2μ1b1Nos1+2αμ1β1b1Nos2), (8)
δ1=1μ13μ2N2s12(μ1No-α)-α3b1μ2(b1μ2(μ1+μ2)-β2μ1s1+β1μ1s2)+N2αμ12b12μ1μ22+b1β2μ2s1(μ2-2μ1)+β12s22(μ1-μ2)β1s2(b1μ2(2μ1-μ2)+2β2s1(-μ1+μ2))++s12β22(μ1-μ2)-k1μ1μ2-Nα2μ1b12μ23-b1s1β2μ2(μ1+2μ2)+β22μ1s12+β12μ1s22+s2β1(b1μ2(μ1+2μ2)-2β2μ1s1)+μ13μ2N3s1(σ(b1μ2-β2s1+β1s2)+k1μ1s1),b1=1αμ2μ1N(β2s1-β1s2),β1=s1s2α2+μ1N2(-2μ1+μ2)+αN(μ1+μ2)α2β2+μ1N2(β2(μ2-2μ1)-μ2σ)+αN(β2(μ1+μ2)-μ2σ). (9)

By substituting (7)-(9) into (6), we find the solutions,

E(t)=1α2μ1H(N(α+μ1N)μ2α2d0μ1-2d0μ13N2+αd0μ12N+αd0Nμ1μ2+d0μ12μ2N2-αμ1Nσs1g1(t)-αμ1Nσs2g2(t)+α2σs0,I(t)=1α2HN2μ1d0μ1-α2+μ1N2(2μ1-μ2)-αN(μ1+μ2)ασ+s1g1(t)(α+μ1N)+ασs2g2(t)(α+μ1N)),Im(t)=-1μ1H(d0μ1-α2+μ1N2(2μ1-μ2)-αN(μ1+μ2)ασ+s1(α+μ1N)g1(t))+ασ(α+μ1N)s2g2(t)),H=α2+μ1N2(-2μ1+μ2)+αN(μ1+μ2)(s0+s1g1(t)+s2g2(t)). (10)

The solutions of the auxiliary equations are,

g1(t)=1s1Q(k1+αμ1μ2N2σ2s1(α+μ1N)2expμ2Nσt(α+μ1N)α2+μ1N2(-2μ1+μ2)+αN(μ1+μ2)αN(μ1+μ2+β2μ1(-t)+μ2t(σ-β2))+α2(1-β2t)+μ1N2(μ2+2μ1(β2t-1)+μ2t(σ-β2))g1(0)-αμ1μ2N2σ2s2t(α+μ1N)2expμ2Nσt(α+μ1N)α2+μ1N2(-2μ1+μ2)+αN(μ1+μ2)α2β2+μ1N2(β2(-2μ1+μ2)-μ2σ)+αN(β2(μ1+μ2)-μ2σ)g2(0),g2(t)=1s2Qk2+expμ2Nσt(α+μ1N)α2+μ1N2(-2μ1+μ2)+αN(μ1+μ2)N2s1tαμ1(α+μ1N)2μ2σ2(α2β2+μ1N2(β2(-2μ1+μ2)-μ2σ)α+N(β2(μ1+μ2)-μ2σ)g1(0)+αμ1μ2N2s2(α+μ1N)2expμ2Nσt(α+μ1N)α2+μ1N2(-2μ1+μ2)+αN(μ1+μ2)αN(μ1+μ2+β2μ1t+μ2t(β2-σ))+α2(β2t+1)μ1+N2(μ2-2μ1(β2t+1)+μ2t(β2-σ))σ2g2(0),Q=αμ1μ2N2σ2α+μ1N2α2+μ1N2(-2μ1+μ2)+αN(μ1+μ2),k1=1β02μ13N2(2μ1N-α)2α3α0β1+β0β22-5α2μ1Nα0β1+β0β22μ13+N3-α02β12-2α0β0β1β2-β02β22-2δ1μ1αμ12+N23α02β12+6α0β0β1β2+β023β22-2δμ1,k2=-1β02μ12μ2No2(α-2μ1N)3α2μ1Nα0β1+β0β222-α3α0β1+β0β222αμ12-N23α02β12+6α0β0β1β2+β023β22+δ2μ2μ13+N3αo2β12+2α0β0β1β2+βo2β22+2δ2μ2. (11)

The values of gi(0),i=1,2 are determined from the initial conditions I(0),E(0) and Im(0).We have

g1(0)=1H1d0μ1μ2N(α+μ1N)α2+μ1N2(μ2-2μ1)+αN(μ1+μ2)-αα3E(0)μ1(g2(0)s2+s0)+g2(0)μ12μ2N3σs2α2+NE(0)g2(0)μ1s2(μ1+μ2)+s0E(0)μ12+E(0)μ1μ2-μ2σαμ1N2g2(0)s2-2E(0)μ12+E(0)μ1μ2+μ2σ+s0-2E(0)μ12+E(0)μ1μ2-μ2σ,H1=αμ1s1α3E(0)+αN2μ2(E(0)μ1+σ)-2E(0)μ12+α2E(0)N(μ1+μ2)+μ1μ2N3E(0)=1μ12No-α2+2μ12N2-μ1μ2N2-αμ1No-αμ2Noα3I(0)μ2-αI(0)μ12μ2N2-2I(0)μ13μ2N3+2α2I(0)μ1μ2N+α2I(0μ22N-αμ1μ2N2σ-μ12μ2N3σ+2αI(0)μ1μ22N2+I(0)μ12μ22N3,Im(0)=α2I(0)/N2μ12,Im(0)=1b22s12-3b12s223b1s2(-2b1b2+b2s1I(0)+b1s2I(0)), (12)

where g2(0) and si,i=0,1,2 are arbitrary. When substituting from (11) and (12) into (10), we get the final solutions,

E(t)=P1μQ0,P1=-Nα+μ1Nμ2σ-d0μ1α2+μ1N2(μ2-2μ1)+αN(μ1+μ2)σ(-(α+μ1N))αs0-μ1N(g1(0)s1+g2(0)s2)expμ2Nσt(α+μ1N)α2+μ1N2(-2μ1+μ2)+αN(μ1+μ2),I(t)=P2Q0,P2=μ1N2σ2(α+μ1N)2(g1(0)s1+g2(0)s2)expμ2Nσt(α+μ1N)α2+μ1N2(-2μ1+μ2)+αN(μ1+μ2),Im(t)=P3μ1Q0,P3=-α2σ2(α+μ1N)2(g1(0)s1+g2(0)s2)expμ2Nσt(α+μ1N)α2+μ1N2(-2μ1+μ2)+αN(μ1+μ2),Q0=α2+μ1N2(μ2-2μ1)+αN(μ1+μ2)d0μ1α2+μ1N2(μ2-2μ1)+αN(μ1+μ2)+ασ(α+μ1N)(g1(0)s1+g2(0)s2)expμ2Nσt(α+μ1N)α2+μ1N2(-2μ1+μ2)+αN(μ1+μ2)+s0, (13)

together with the equations,

δ1=k1+μ2N3σ2(α+μ1N)(α(μ1+μ2)+μ1N(μ2-μ1))αα2+μ1N2(μ2-2μ1)+αN(μ1+μ2)2,σ=μ1(β+γ)α2+μ1N2(μ2-2μ1)+αN(μ1+μ2)μ2α2-μ12N2. (14)

4. Numerical results

The solutions in (13) are evaluated numerically and they are displayed in in the following figures. Here, it is assumed that the vaccine is applied at May 1st, 2021 and the real data are taken in Egypt at this date [34].

In Fig. 2 (i)-(iii) for the exposed, infected and immunity are displayed against t (in days).

Fig. 2.

Fig. 2

(i)-(iii) are displayed when N=100000000, δ1=193782,δ2=10000,σ=0.0028,γ=0.00001,I(0)=228584,R(0)=103913, α=0.0045,β=0.003,s0=0.002,k1=500,k2=100,s1=0.5,s2=0.6,μ1=0.4,μ2=0.1,β2=0.3,g2(0)=3×104, d0=0.0001.

These figures show that the number of exposed decreases with time and it attains an asymptotic value. While the number of infected people decreases to an asymptotic value.

In Fig. 3 (i) and (ii), the numbers of deceased with time and recovered people are shown respectively.

Fig. 3.

Fig. 3

(i) and (ii). By using the caption in Figs. 2 (i)-(iii), the numbers of deceased and recovered people are displayed for when D(0)=43640,R(0)=171542,τ1=10,τ2=15.

These figures show that the numbers of deceased and recovered people increase and attain a steady state. We observe that these calculated numbers are highly oscillatory, and we estimate that they are determined up to uncertain range.

A MATLAB software application is developed based on the final equations (9) and (10) to permit researchers to employ this model for various real data of different countries up to parameters and real data adaptation. See [34]. Fig. 4 shows a screenshot for the tool.

Fig. 4.

Fig. 4

Screenshot for the MATLAB software application.

5. Stability and initial states control

5.1. Stability

Here we consider the closed equations in (2) for E(t),I(t) and Im(t). The equilibrium states are

Ee=(-k1-k2+δ1+δ2)μ2-μ1(β+γ)+μ2σ,Ie=(-k1-k2+δ1+δ2)μ1μ1(β+γ)-μ2σ,Ime=P1Q1,P1=(-k12αμ1μ2-α(-k2+δ1+δ2)2μ1μ2+N(μ1(β+γ)-μ2σ)((β+γ)δ1μ1+(-k2+δ2μ2σ)+k1μ1(2α(-k2+δ1+δ2)μ2-N(β+γ)(μ1(β+γ)-μ2σ))),Q1=Nμ1μ2(k1+k2-δ1-δ2)(μ1(β+γ)-μ2σ). (15)

We mention that there exist two other equilibrium states,

Ee=H1H22ασ,Ie=H1±H22ασ(β+γ),Ime=0,H1=(k1+k2)α-α(δ1+δ2)-(β+γ)Nσ,H2=4Nα(β+γ)(k2-σδ2-α(k1+k2)+α(δ1+δ2)+Nβσ+Nγσ)2. (16)

The results in (16) are not realistic and will not be considered here.

Now, we write

E(t)=Ee+ε1eλt,I(t)=Ie+ε2eλt,Im(t)=Ime+ε3eλt. (17)

By substituting (16) into (2), the eigenvalues are determined by the equation

DetM=0,M=m11m12m13m21m22m23m31m32m33m11=IeαN+λ+Imeμ1+σ,m12=EeαN,m13=Eeμ1,m21=-IeαN,m22=-EeαN+β+γ+λ+Imeμ2,m23=Ieμ2,m31=-Imeμ1,m32=Imeμ2,m33=λ-Eeμ1-Ieμ2. (18)

The Eq. (18) gives rise to

-Imeμ1((Ee)2αμ1N-Eeμ1(β+γ)-Eeλμ1+EeIeαμ2N-EeImeμ1μ2)-Imeμ2(EeIeαμ1N+(Ie)2αμ2N+Ieλμ2+IeImeμ1μ2+Ieμ2σ)+(λ-Eeμ1-Ieμ2)(EeIeα2N2+(-(Eeα)N+β+γ+λ+Imeμ2)(IeαN+λ+Imeμ1+σ))=0. (19)

When eliminating Ee,Ie and Ime in(19), by using (15) we get the equation that determines the eigenvalues. It is very lengthy and will not produced here. Instead, we show this by carrying the contour plot of the final equation in Fig. 5 .

Fig. 5.

Fig. 5

When N=100000000,β=0.04,σ=0.45,k1=500,k2=100,μ1=0.02,γ=0.0001,μ2=0.209,α=0.1.

This figure shows that λ<0 so that the NLDS is asymptotically stable.

5.2. Initial states control

To analyze the initial states control, we impose the conditions, dE(t)dtt=0<0,dI(t)dtt=0<0, and dD(t)dtt=0<0. These equations give rise to

δ1>k1-αE(0)I(0)N+σE(0)-μ1I(0)Im(0),δ2>k2+αE(0)I(0)N-σI(0)-μ2I(0)Im(0),Im(0)>γμ2. (20)

Eq. (20) reveals that the number of vaccinated peoples, among infected and exposed, should have a lower bound. to inspect the domain of controlled states, we rewrite (18) in the form,

Im(0)>1μ1E(0)(k1-αE(0)I(0)N+σE(0)-δ1),Im(0)>1μ2I(0)(k2+αE(0)I(0)N-σI(0)-δ2)Im(0)>γμ2. (21)

The results in (21) are displayed in Fig. 6 .

Fig. 6.

Fig. 6

When δ1=2000,δ2=10000,γ=0.00001,N=100000000,k1=500,k2=100,μ1=0.2,μ2=0.02,α=0.00000045.

According to Fig. 6, the filling region is controlled which diminishes with increasing the number of exposed peoples.

6. Conclusions

In this work, a global continuum model that accounts for the exposed, infected, recovered, deceased, locked-down and travelers, EIRD-HIT and in the presence of vaccine and induced immunity is presented. This is with relevance to the second and later waves of COVID-19. The exact solutions of the model equations are found via a novel approach where the unified method, with coupled linear auxiliary equations, is used. Numerical evaluation of the solutions are done by assuming that the vaccine is applied at May 1st, 2021, so that the real data in Egypt, at this date, are taken into consideration. It is found that the numbers of exposed and infected people decrease to zero asymptotically. This in contrast to the results found when studying the dynamics of COVID-19 in the absence of vaccination. In the later case, it was found that the numbers of exposed and infected people increase strictly. These results are new. Furthermore, the stability of the dynamic system of COVID-19 is studied. It is found that the dynamical system of the second and later waves of COVID-19 is asymptotically stable which has an impact on the dynamic of the virus, that is, it will not be endemic. Further, the conditions for save initial states, non epidemic, are inspected and it is found that the initial states control domain diminishes with increasing the initial umber of exposed peoples, which is realistic.

7. Data Statement

The data used throughout the paper are the public numbers of reported cases by the Ministry of Health and Population in Egypt available for download through [23].

Declaration of Competing Interest

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Footnotes

Peer review under responsibility of Faculty of Engineering, Alexandria University.

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