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Investigating the Link between Ascaris Lumbricoides and Asthma in Human with Analysis of Fractal Fractional Caputo-Fabrizio of a Mathematical Model

Manal Adil Murad1, Shayma Adil Murad2,*, Thabet Abdeljawad3,4,5,6,*, Aziz Khan3, D. K. Almutairi7

1 Department of Biology, College of Science, University of Duhok, Duhok, 42001, Iraq
2 Department of Mathematics, College of Science, University of Duhok, Duhok, 42001, Iraq
3 Department of Mathematics and Sciences, Prince Sultan University, Riyadh, 11586, Saudi Arabia
4 Department of Medical Research, China Medical University, Taichung, 40402, Taiwan
5 Center for Applied Mathematics and Bioinformatics (CAMB), Gulf University for Science and Technology, Hawally, 32093, Kuwait
6 Department of Mathematics and Applied Mathematics, Sefako Makgatho Health Sciences University, Garankuwa, Medusa, 40204, South Africa
7 Department of Mathematics, College of Science Al-Zulfi, Majmaah University, Al-Majmaah, 11952, Saudi Arabia

* Corresponding Authors: Shayma Adil Murad. Email: email; Thabet Abdeljawad. Email: email

(This article belongs to the Special Issue: Analytical and Numerical Solution of the Fractional Differential Equation)

Computer Modeling in Engineering & Sciences 2025, 143(3), 3377-3409. https://doi.org/10.32604/cmes.2025.064245

Abstract

Asthma is the most common allergic disorder and represents a significant global public health problem. Strong evidence suggests a link between ascariasis and asthma. This study aims primarily to determine the prevalence of Ascaris lumbricoides infection among various risk factors, to assess blood parameters, levels of immunoglobulin E (IgE) and interleukin-4 (IL-4), and to explore the relationship between ascariasis and asthma in affected individuals. The secondary objective is to examine a fractal-fractional mathematical model that describes the four stages of the life cycle of Ascaris infection, specifically within the framework of the Caputo-Fabrizio derivative. A case-control study was conducted that involved 270 individuals with asthma and 130 healthy controls, all of whom attended general hospitals in Duhok City, Iraq. Pulmonary function tests were performed using a micromedical spirometer. The presence of Ascaris lumbricoides antibodies-Immunoglobulin M (IgM), Immunoglobulin G (IgG), and Immunoglobulin E (IgE)-was detected using ELISA. Blood parameters were analyzed using a Coulter counter. The overall infection rate was (42.5%), with the highest rates observed among asthmatic men (70.0%) and rural residents (51.4%). Higher infection rates were also recorded among low-income individuals (64.3%) and those with frequent contact with the soil (58.6%). In particular, infected individuals exhibited a significant decrease in red blood cell count and hemoglobin concentration, while a marked increase in white blood cell count was recorded. In addition, levels of Immunoglobulin E (IgE) and interleukin-4 were significantly higher in the infected group compared to the controls. Effective disease awareness strategies that incorporate health education and preventive measures are needed. Exposure to Ascaris has been associated with reduced lung function and an increased risk of asthma. More research is required to elucidate the precise mechanisms that link Ascaris infection with asthma. Furthermore, the existence and uniqueness of solutions for the proposed model are investigated using the Krasnosel’skii and Banach fixed-point theorems. The Ulam-Hyers and Ulam-Hyers-Rassias stability types are explained within the framework of nonlinear analysis in -space. Finally, an application is presented, including tabulated results and figures generated using MATLAB to illustrate the validity of the theoretical findings.

Keywords

Ascaris lumbricoides; asthma; fractal-fractional differential equation; Caputo-Fabrizio derivative; stability analysis

1  Introduction

Ascaris lumbricoides is a soil-transmitted parasite responsible for ascariasis. It ranks as the most prevalent parasitic helminth infection globally and causes significant health problems in humans, including lung diseases and intestinal obstructions [1]. The impact of this infection is particularly severe in impoverished populations that do not have access to clean water, sanitation, and hygiene facilities, especially in tropical and subtropical regions, due to the parasite’s life cycle relying on fecal soil contamination [2].

Beyond its substantial health implications, the migration of Ascaris larvae through the lungs can contribute to various pulmonary diseases, including asthma. In addition, chronic intestinal ascariasis can result in growth stunting, malnutrition, and severe abdominal pain [3]. The immune response to this parasite plays a role in the pathogenesis of allergic diseases, studies indicating that antibody responses to its proteins are linked to asthma symptoms [4]. According to [5], recent advances focus on understanding tissue-specific Type 2 immune responses to helminths, including the discovery of immune cells and cytokine pathways that contribute to immunity, tissue repair, and tolerance to parasites, as well as comparisons with immune-related diseases such as asthma and allergies. Upon exposure to allergens, crosslinking of IgE triggers the release of histamine, leukotrienes, and prostaglandins, leading to bronchoconstriction [6].

Pulmonary function tests are commonly used to assess lung function by measuring lung volumes and capacities. The connection between ascariasis and asthma remains unclear and is currently being investigated in regions that transition from high to low prevalence of helminthiasis [7]. Previous studies in Iraq have examined various aspects of ascariasis [810], while global research has been conducted in Brazil, Colombia, and Europe [1113].

Recently, mathematical models and fractional calculus have been widely used to analyze the spread and control of infectious diseases, providing insight into epidemic dynamics, as demonstrated in studies on dengue infection [14] and breast cancer [15]. In [16], the authors analyze the dynamics of monkeypox in the UK and evaluate the impact of vaccination using a fractional mathematical model based on real data to inform effective disease control strategies. The stability of the Bcl-2/Bax ratio over time in reproductive cancer has been studied using Atangana-Baleanu fractional derivative operators, along with an investigation of the effect of the ABT-737 inhibitor on mitochondrial apoptosis through mathematical modeling and numerical simulations [17]. A fractal-fractional cancer model has been developed to examine the interactions between stem cells, effector cells, and tumor cells, both with and without chemotherapy, as well as to assess the role of chemotherapy in cancer treatment [18]. In addition, the study in [19] explored the effectiveness of seasonally timed treatment programs to control Ascaris lumbricoides infections using mathematical modeling for the four different stages of the life cycle of A. lumbricoides, intending to educate public health strategies by optimizing treatment schedules and maximizing the impact of intervention.

Over the years, fixed-point theory has become a crucial and effective tool for studying nonlinear phenomena. For example, the authors of [20] discussed that the Banach theorem has been utilized to establish the uniqueness, stability, and existence of stable solutions for the fractional-order mathematical model for cervical cancer in the sense of the Caputo-Fabrizio operator. Various fixed-point theorems and stability analyzes have been used to determine the conditions under which solutions exist and remain unique for different types of fractional differential problems; see [2124]. Recently, stability has been an important topic in differential equations and guaranteeing that there is a close and exact solution. Several articles have been published related to Ulam-Hyers and Ulam-Hyers-Rassias stability; see [2528]. Some researchers have begun to focus on the existence and stability of p-integrable solutions under specific conditions, with the aid of Hölder’s inequality, which helps prove the continuity or boundedness of operators in the space. In particular, the existence and uniqueness results of fractional differential equations with boundary conditions when (0<α1) in Łp space have been studied in [29,30]; for additional details, one can refer to [3133].

Motivated by the above work, the objective of this study is to assess the relationship between ascariasis and asthma in humans. This research aims to increase public awareness about the health complications associated with this parasite, highlighting the importance of risk reduction and early treatment. Furthermore, by using fresh mathematical techniques, this study generalizes the model presented in [19] using the fractal-fractional Caputo-Fabrizio (FFCF) derivative of order α as follows:

Dα,cFFCFJ(η)=BL(η)(1τ1+M1)J(η),Dα,cFFCFM(η)=1τ1J(η)M2M(η),Dα,cFFCFE(η)=sNλM(η)(1τ2+γ1)E(η),Dα,cFFCFL(η)=1τ2E(η)(BN+γ2)L(η),(1)

with the initial conditions

J(0)=J0,M(0)=M0,E(0)=E0,L(0)=L0.

Here, we present an analysis of the existence and uniqueness of a fractal-fractional Ascaris lumbricoides mathematical model by applying Banach’s contraction mapping principle and Krasnosel’skii’s fixed point theorem, along with the Hölder inequality in the Łp space. Furthermore, the stability of the model was investigated under sufficient conditions through the Ulam-Hyers and Ulam-Hyers-Rassias stability approaches. To the best of our knowledge, this is the first attempt to investigate the existence and stability of a fractal-fractional Ascaris lumbricoides model in Łp space.

The structure of the manuscript is as follows: Section 1 presents the introduction and motivation. Section 2 outlines the materials and methods, while Section 3 displays the results. The definitions and fundamental concepts relevant to this study are introduced in Section 4. The fractal-fractional extension of the mathematical model for Ascaris infection is formulated in Section 5. The existence and uniqueness theorems for the fractal-fractional model are established in Section 6. The Ulam-Hyers and Ulam-Hyers-Rassias stability is analyzed in Section 7. Finally, the discussion and conclusion are provided in Sections 8 & 9, respectively.

2  Materials and Methods

This section outlines the study design, including participant grouping, laboratory procedures to detect ascariasis, serological tests for anti-Ascaris lumbricoides antibodies, data collection, and statistical analysis methods.

Patients: This study included 270 individuals with asthma and 130 controls who visited general hospitals in Duhok city, Iraq. A specialist physician confirmed the asthma diagnosis prior to the enrollment of patients in the study. The participants ranged in age from 15 to 80 years. A questionnaire was developed to collect information from each participant.

Pulmonary function tests: Pulmonary function tests (PFT) were conducted on all subjects using a MicroMedical Spirometer (MIR SpirolabIII Diagnostic Spirometer, Ltd., England), which is effective for accurate diagnosis of respiratory conditions such as asthma and pulmonary diseases. All participants underwent spirometry and received instructions to forcefully and continuously exhale into the instrument’s mouthpiece. This test was performed as a confirmatory diagnosis for asthma.

Blood Sample Collection: A volume of five milliliters of venous blood was collected from participants using a sterile syringe. One milliliter of this blood was placed in a tube containing anticoagulants for blood parameter analysis using the Coulter Count machine (Swelab, Germany). In [34], the remaining four milliliters was transferred to a second tube without anticoagulants, allowed to clot for 20 min, and then centrifuged for 10 min at 3000 rpm to obtain the serum. The collected serum was stored in sterile Eppendorf tubes at −20°C until it was needed for analysis in [35].

Measurement of blood parameters by Coulter Count machine: A volume of one milliliter of the blood sample was placed into a tube containing anticoagulant and analyzed using the Coulter Count machine to assess blood parameters [36].

Parasite examination: This study assessed A. lumbricoides using anti-A. lumbricoides IgM (AFG Bioscience, USA) and anti-E. granulosus IgG antibodies (AFG Bioscience, USA).

Serum total IgE measurement: The measurement of total IgE levels in serum was conducted using an ELISA kit (AFG Bioscience, USA), which allows for a quantitative assessment of human IgE in vitro. The procedure was carried out in accordance with the manufacturer’s guidelines.

Measurement of IL-4 using ELISA: In this study, interleukin-4 was measured using a kit (AFG Bioscience, USA), following the manufacturer’s guidelines. The optical density was recorded at 450 nm with a BioTek ELISA plate reader (USA). The procedure was carried out following the manufacturer’s guidelines.

Inclusion criteria: Subjects who agreed to participate in the current study were included.

Exclusion criteria: Individuals who declined to participate in this study, along with those suffering from infectious, non-infectious, chronic, and autoimmune diseases, were excluded.

Statistical analysis: All data were analyzed using the statistical program R and a chi-square test. Descriptive statistics included means, standard deviations, and ranges for numerical variables, along with frequencies (n) and percentages (%) for categorical data. The results are presented in tables and histogram charts. A p-value of less than 0.05 was considered statistically significant.

3  Results

In this section, the results of the study are presented, including the distribution of ascariasis infection among different groups, the serological findings, and statistical analysis of the data.

A total of 400 subjects aged 15 to 80 years participated in this study, with 170 (42.5%) found to be infected with ascariasis. Among the infected cases, 45 individuals (26.5%) tested positive for anti-A. lumbricoides IgM antibodies, while 125 (73.5%) had IgG antibodies. The asthmatic group included 270 subjects and 130 controls. Within the asthmatic patients, 140 (51.9%) tested positive for ascariasis, while only 30 infections (23.1%) had been detected in the control group, as explained in Table 1.

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Table 2 displays the distribution of various demographic characteristics between asthmatic and control subjects. Concerning asthmatic patients, the majority were male, with 170 cases (63.0%), while females made up 100 cases (37.5%). The age group with the highest occurrence was 48 to 58 years, accounting for (37.0%) of the cases, whereas only 8 cases (3.0%) observed in the 70 to 80-year age range. The data indicated that 160 cases (59.3%) from urban areas, in contrast to 110 cases (40.7%) from rural locations. A notable proportion of asthmatic patients had completed secondary education, totaling 190 cases (70.4%), compared to 16 cases (5.9%) among individuals with lower educational qualifications, within the asthmatic cohort, 160 cases (59.2%) ported having a low income, while 35 patients (13.0%) reported having a high income. In addition, 150 cases (55.6%) reported did not wash their hands before meals, while (44.4%) practiced hand washing. Finally, 140 asthmatic patients (51.9%) had exposure to soil, while 130 cases (48.1%) did not.

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The analysis of ascariasis among the examined subjects is illustrated in Fig. 1. Out of 270 asthmatic patients, 140 (51.9%) tested seropositive for Ascaris, while 130 (48.1%) showed no infection.

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Figure 1: Distribution of ascariasis among examined individuals

Fig. 2 shows the sociodemographic features among individuals. Regarding asthmatic patients, males comprised the majority of cases of 170 (63.0%), followed by 100 females (37.0%). The highest cases belonged to age group 48–58 years represented 100 (37.0%) and the lowest found to be 8 (3.0%) as 70–80 years old. The rates of asthmatic patients from urban and rural areas accounted for (59.3%) and (40.7%), respectively. Secondary qualification reported 190 (70.4%) and illiterates 16 (5.9%). In terms of monthly income, 160 (59.2%) cases recorded a monthly income below 150.000 Dinars, and 35 subjects (13.0%) had more than 300.000 Dinars. About, 140 (51.9%) cases had a soil contact and 130 (48.1%) did not have it.

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Figure 2: Demographic characters among subjects

Fig. 3 shows the infected and non-infected cases among asthmatic patients. About, the infection rate among males and females are 98 (70.0%) and 42 (30.0%), respectively. The age group 48–58 years old assessed 45 (32.1%) and 6 cases (4.3%) among 70–80 years old. Infected rural patients reported 72 (51.4%) and urban ones 68 (48.6%).

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Figure 3: Cases of seropositive and seronegative ascariasis among asthmatic patients

Table 3 clarifies the prevalence of ascariasis according to various factors. About asthmatic patients, 98 males (70.0%) had been infected, while females constituted 42 cases (30.0%). The highest infection rate, at (32.1%), was observed in the 48–58 age group, whereas only (4.3%) of those aged 70–80 were infected. Infection rates in rural areas stood at (51.4%), compared to (48.6%) in urban settings. A significantly high rate of infection was found among individuals with secondary education, accounting for (75.0%), in contrast to just (7.1%) among those with higher education. Concerning monthly income, the majority of infections were found in the low-income group (64.3%), while only (5.7%) noted among high-income individuals. Also, the rate of infection was (53.6%) among subjects who did not practice hand washing, compared to (46.4%) among hand washing. Finally, individuals with soil contact had an infection rate of (58.6%), while those without such contact had a rate of (41.4%). All the studied risk factors had an association with infection with a p-value <0.05.

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Table 4 presents the mean values ± standard deviation (SD) for different blood parameters, IgE and IL-4, for both infected asthmatic individuals and the control group. In the infected asthmatic group, there was a notable reduction in the number of red blood cells and hemoglobin concentration, while their white blood cell count showed a significant increase compared to controls. Furthermore, both IgE and IL-4 levels were significantly higher in the patients. All the studied parameters had an association with infection with p-value <0.05.

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4  Fractional Calculus and Fundamental Concepts

This section introduces the fundamental definitions, lemmas, and prerequisite results that are crucial for developing the theoretical framework of the study.

The Caputo-Fabrizio derivative of order 0<α<1 (in the sense of Caputo) is defined as:

Definition 1. [37] Let aR, 0<α1 and ϝ be a continuous on (a,b), then the fractional derivative of order α in the sense of Caputo-Fabrizio is given by

DaαCFϝ(η)=S(α)1α aηϝ(θ) e(α1α(ηθ))dθ,0<α1,

where S(0)=S(1)=1.

According to Riemann’s definition, it is formulated as follows:

DaαCFRϝ(η)=S(α)1α ddηaηϝ(θ) e(α1α(ηθ))dθ,0<α1.

Then the corresponding Caputo Fabrizio integral is defined by

IaαCFϝ(η)=1αS(α)ϝ(η)+αS(α)aηϝ(θ)dθ,

so that

IaαCFDaαCFRϝ(η)=DaαCFRIaαCFϝ(η)=ϝ(η),

and

IaαCFDaαCFϝ(η)=ϝ(η)ϝ(a).(2)

However, it has been observed that

DaαCFIaαCFϝ(η)=ϝ(η)S(α)ϝ(a)eλα(ta)1α,λα=α1α.(3)

The fractal of order c>0, initiated at a, for a function ϝ is defined as

dϝ(θ)dθc=limηθϝ(η)ϝ(θ)(ηa)c(θa)c.

It is clear that ϝ(θ) is differentiable, and by applying L’Hôpital’s rule, the following is obtained

dϝ(η)dηc=ϝ(η)c(ηa)c1.

Definition 2. [38,39] Suppose that ϝ(η) is a continuous function and fractal differentiable on an open interval (a,b) with order c. Then, a α-order fractal-fractional derivative of ϝ(η) in a Caputo sense with an exponential decay type kernel is given by

Daα,cFFCFϝ(η)=S(α)1α aηdϝ(θ)dθc e(α1α(ηθ))dθ,0<α1,c>0.

where S(0)=S(1)=1.

The fractal-fractional derivative in the Riemann sense with an exponential law is defined as

Daα,cFFCFRϝ(η)=S(α)1α ddηcaηϝ(θ) e(α1α(ηθ))dθ,0<α1,c>0.

Definition 3. [39] Suppose that ϝ is a continuous function on (a,b), the fractal-fractional integral of ϝ(η) with an exponential decaying type kernel is given by

Iaα,cϝ(η)=(1α) cS(α)(ηa)c1ϝ(η)+α cS(α)aη(ηθ)c1ϝ(θ)dθ,=IaαCF(c(ηa)c1ϝ(η)),

where S(0)=S(1)=1.

Notice that for c>1, it holds that (Iaα,cϝ)(a)=0.

Remark 4. Following [39], in Definition (3), the author selects the fractal order c to lie between 0 and 1. However, this choice prevents the corresponding integral operator from vanishing at the initial time η=0. As a result, the solution generated in the form of an integral equation does not satisfy the initial condition unless the right-hand side of the model also vanishes at η=0. This imposes a constraint on the initial population size. Moreover, it becomes impossible to verify the solution in the backward direction. To overcome this issue, we choose the value of c to be greater than one; for instance, 1<c2.

Further, it is clear that

Iaα,cDaα,cFFCFRϝ(η)=Daα,cFFCFRIaα,cϝ(η)=ϝ(η),

but not able to prove that

Iaα,cDaα,cFFCFϝ(η)=ϝ(η)ϝ(a).

Due to this fact and Remark 4, the following new fractal fractional derivative with exponential law is defined in the Caputo sense as

Definition 5. Suppose that ϝ(η) is a continuous function and fractal differentiable on an open interval (a,b) with order c. Then, a α-order fractal-fractional derivative of ϝ(η) in a Caputo sense with an exponential decay type kernel is given by

Daα,cFFCFϝ(η)=DaαCFϝ(η)c(ηa)c1,0<α1, c>1.

The following lemma is crucial for advancing the solution representation of the system that describes the investigated model. The solution will satisfy the dynamic equation on both sides and verify the initial data.

Lemma 6. For c>1,0< α<1 and a function ϝ:[a,b] whose derivative is integrable, it follows that

•   

Iaα,cDaα,cFFCFϝ(η)=ϝ(η)ϝ(a).(4)

•   

Daα,cFFCFIaα,cϝ(η)=ϝ(η).(5)

Proof.   •  From definition and (2), the result is

Iaα,cDaα,cFFCFϝ(η)=IaαCF[c(ηa)c1DaαCFϝ(η)c(ηa)c1]=ϝ(η)ϝ(a).

•   From definition of the fractal fractional operators, (3), and that (ηa)c1 vanishes at a, one can has

Daα,cFFCFIaα,cϝ(η)=DaαCFIaαCF[c(ηa)c1ϝ(η)]c(ηa)c1ϝ(η)=ϝ(η).

Lemma 7. [40] The measurable function ϝ:[a,b]× is Bochner integrable, if ||ϝ|| is Lebesgue integrable.

Theorem 8. (Kolmogorov) [40]

Suppose ϝ^ is a set of functions in Łp[0,J], 1p<. To ensure that this set is relatively compact, it is essential and adequate for both of the subsequent conditions to be fulfilled:

(A) The set ϝ^ is bounded in Łp;

(B) limg0||HgH||=0 uniformly with respect Hϝ^, where

Hg(η)=1gηη+gH(θ)dθ.

Lemma 9. (Hölder’s inequality) [40]

Let B be a measurable space and f1 and f2 satisfy the condition 1f1+1f2=1. 1f1<, 1f2< with (mn)Ł(B), which is satisfied if m belong to Łf1(B) and n belong to Łf2(B).

B|mn|dη(B|m|df1η)1f1(B|n|df2η)1f2.

Theorem 10. (Krasnosel’skii theorem) [41]. Let M be a closed, bounded, convex, and nonempty subset of a Banach space V. Let A and B be two operators such that

(1)   Az1+Bz2M whenever z1,z2M;

(2)   A is compact and continuous;

(3)   B is a contraction mapping.

Then there exists zM such that z=Az+Bz.

Mathematical model of the dynamics of Ascaris infection

5  Fractal-Fractional Mathematical Model of Ascaris Infection

Mathematical modeling is an essential tool for effectively illustrating and understanding the epidemic models and intricacies of scientific phenomena. In this section, we discuss the mathematical model developed by [19] for the four stages of the A. lumbricoides life cycle, as described below.

dJdη=BL(η)(1τ1+M1)J(η),dMdη=1τ1J(η)M2M(η)dEdη=sNλM(η)(1τ2+γ1)E(η)dLdη=1τ2E(η)(BN+γ2)L(η)(6)

with initial conditions

J(0)=J0>0,M(0)=M0>0,E(0)=E0>0,L(0)=L0>0,

where B is ingestion or uptake rate seasonal; τ1 is the maturation rate from juvenile stage to adult worm; τ2 is maturation rate from eggs to infective larvae; μ is death rate of hosts; M1 is death rate of juvenile worms; M2 is death rate of adult worms; γ1 is death rate of immature eggs; γ2 is death rate of infective larval stages; s is sex ratio in adult worms (proportion female); λ is baseline fecundity per adult female worm; N is host population size; J is juvenile worms (inside the host); M is mature worms (inside the host); E is eggs (developing in the environment); and L is larvae (at infectious stage in the environment). These states are denoted by the letters; J and M are taken to be mean values per host, whereas E and L are total values in the environment.

The work mentioned above serves as our inspiration, as we examine the model (6) in the fractal-fractional sense, in the Caputo-Fabrizio (CF) sense:

Dα,cFFCFJ(η)=BL(η)(1τ1+M1)J(η),Dα,cFFCFM(η)=1τ1J(η)M2M(η),Dα,cFFCFE(η)=sNλM(η)(1τ2+γ1)E(η),Dα,cFFCFL(η)=1τ2E(η)(BN+γ2)L(η).(7)

The functions gi for i=1,2,3,4 are provided as follows:

g1(η,J(η))=BL(η)(1τ1+M1)J(η),g2(η,M(η))=1τ1J(η)M2M(η),g3(η,E(η))=sNλM(η)(1τ2+γ1)E(η),g4(η,L(η))=1τ2E(η)(BN+γ2)L(η).

Dα,cFFCFS(η)={Dα,cFFCFJ(η),Dα,cFFCFM(η),Dα,cFFCFE(η),Dα,cFFCFL(η),S(η)={J(η),M(η),E(η),L(η),

S0=S(0)={J(0),M(0),E(0),L(0),ϖ(η,S(η))={g1(η,J(η)),g2(η,M(η)),g3(η,E(η)),g4(η,L(η)).

The fractal-fractional mathematical model (7) can be reformulated as the following problem

Dα,cFFCFS(η)=ϖ(η,S(η)),0<α1S(0)=S0,ηJ=[0,Q].(8)

Lemma 11. Let Łp(K,R), then the initial value problem (8) has a solution

S(η)=S0+(1α)cS(α)ηc1ϖ(η,S(η))+αcS(α)0ηθc1ϖ(θ,S(θ)) dθ.(9)

Proof. Applying the fractal-fractional integral I0α,c to both sides of Eq. (8), and utilizing (4) from Lemma 6 with a=0, yields the solution representation given by Eq. (9). Conversely, applying the fractal-fractional derivative to the solution representation in Eq. (9), and using (5) in Lemma 6, recovers the right-hand side of Eq. (8). Moreover, the solution given in Eq. (9) satisfies the initial data. The proof is complete. □

The solutions can be expressed as follows:

J(η) = J(0)+(1α) cS(α)ηc1g1(η,J(η))+α cS(α)0ηθc1g1(θ,J(θ))dθ,M(η) = M(0)+(1α) cS(α)ηc1g2(η,M(η))+α cS(α)0ηθc1g2(θ,M(θ))dθ,E(η) = E(0)+(1α) cS(α)ηc1g3(η,E(η))+α cS(α)0ηθc1g3(θ,E(θ))dθ,L(η) = L(0)+(1α) cS(α)ηc1g4(η,L(η))+α cS(α)0ηθc1g4(θ,L(θ))dθ.(10)

DαCFS(η)=cηc1ϖ(η,S(η)),DαCFS(η)cηc1=ϖ(η,S(η)),c>1.DαFFCFS(η)=ϖ(η,S(η)).

6  Existence and Uniqueness of Fractal-Fractional Model

This section focuses on studying the existence and uniqueness of the fractal-fractional model (8) under certain conditions. For a measurable function denoted by ϖ, equipped with the following norm

ϖpp=0Q|ϖ(η)|pdη,(1p<).

In this case, Łp(J,) denotes the Banach space of all Lebesgue measurable functions.

The assumptions below are fundamental to this analysis:

(1) a positive functions ψ(η),ψ1(η),ψ2(η),ψ3(η),ψ4(η) such that

|ϖ(η,S(η))|ψ(η), |g1(η,J(η))|ψ1(η), |g2(η,E(η))|ψ2(η), |g3(η,M(η))|ψ3(η),|g4(η,L(η))|ψ4(η).

(2) a constants ,1,2,3,4>0 such that =sup|ϖ(θ,0)|, 1=sup|g1(θ,0)|, 2=sup|g2(θ,0)|, 3=sup|g3(θ,0)|, 4=sup|g4(θ,0)|.

For simplicity, we define the notation as follows:

𝒩1=[((1α)cS(α))pQp(c1)+1p(c1)+1+(αcS(α))p(p1pc1)p1Qpc+1pc+1],𝒩2=[((1α)cS(α))pQp(c1)+1p(c1)+1+(αcS(α))p(p1pc1)p1Qpcpc],

𝒢=(((1α)cS(α))pQp(c1)+1p(c1)+1+(αS(α))pQpc+1pc+1),Ω1=2 K1𝒩21p,Ω2=2 M2𝒩21p,Ω3=2 K2𝒩21p,Ω4=2 K3𝒩21p.Ω=2 Q1 𝒩21p.

Lemma 12. The function ϖ(η,S(η)) defined in Eq. (8) satisfies the Lipschitz condition with respect to ϖ, and the following Lipschitz constant is obtained

Q1=max((1τ1+M1),M2,(1τ2+γ1),(BN+γ2))

Proof.

|g1(η,J(η))g1(η,J^(η))|K1|J(η)J^(η)|.

In the same way

|g2(η,M(η))g2(η,M^(η))|M2|M(η)M^(η)|,|g3(η,E(η))g3(η,E^(η))|K2|E(η)E^(η)|,|g4(η,L(η))g4(η,L^(η))|K3|L(η)L^(η)|.(11)

where

K1=(1τ1+M1), K2=(1τ2+γ1), K3=(BN+γ2).

By including all equations, it concludes that

|ϖ(η,S(η))ϖ(η,S^(η))|Q1|S(η)S^(η)|.(12)

Theorem 13. Assume that ϖ satisfy the condition (12). If Ω1,2,3,4<1, then the problem (8) has a only one solution.

Proof. First, consider the operator H defined by

(HJ)(η)=S(0)+(1α)cS(α)ηc1g1(η,J(η))+αcS(α)0ηθc1g1(θ,J(θ))dθ,(HM)(η)=M(0)+(1α)cS(α)ηc1g2(η,M(η))+αcS(α)0ηθc1g2(θ,M(θ))dθ,(HE)(η)=E(0)+(1α)cS(α)ηc1g3(η,E(η))+αcS(α)0ηθc1g3(θ,E(θ))dθ,(HL)(η)=L(0)+(1α)cS(α)ηc1g4(η,L(η))+αcS(α)0ηθc1g4(θ,L(θ))dθ.(13)

To derive the Banach fixed point theorem, defined the set:

O={S,J,M,E,LŁp:||S||ppOp,||J||ppO1p, ||M||ppO2p, ||E||ppO3p, ||L||ppO4p,  O,O1,O2,O3,O4>0}.

Choose

O(2p|S(0)|pQ+23pp𝒩1123pQ1p𝒩2)1p,

for SO, we have

0Q|(HJ)(η)|pdη2p|J(0)|pQ+22p((1α)cS(α))p0Qηp(c1)|g1(η,J(η))g1(η,0)+g1(η,0)|pdη+22p(α cS(α))p0Q(0ηθc1|g1(θ,J(θ))g1(θ,0)+g1(θ,0)|dθ)pdη.,0Q|(HM)(η)|pdη2p|M(0)|pQ+22p((1α)cS(α))p0Qηp(c1)|g2(η,M(η))g2(η,0)+g2(η,0)|pdη+22p(αcS(α))p0Q(0ηθc1|g2(θ,M(θ))g2(θ,0)+g2(θ,0)|dθ)pdη,0Q|(HE)(η)|pdη2p|E(0)|pQ+22p((1α)cS(α))p0Qηp(c1)|g3(η,E(η))g3(η,0)+g3(η,0)|pdη+22p(α cS(α))p0Q(0ηθc1|g3(θ,E(θ))g3(θ,0)+g3(θ,0)|dθ)pdη,0Q|(HL)(η)|pdη2p|L(0)|pQ+22p((1α)cS(α))p0Qηp(c1)|g4(η,L(η))g4(η,0)+g4(η,0)|pdη+22p(α cS(α))p0Q(0ηθc1|g4(θ,L(θ))g4(θ,0)+g4(θ,0)|dθ)pdη.(14)

Thus, (0ηθc1|g1(θ,J(θ))g1(θ,0)+g1(θ,0)|dθ)p, along with all other terms in Eq. (14), is Lebesgue integrable. Therefore, it is Bochner-integrable. To simplify the third term of Eq. (14), Hölder’s inequality can now be applied as follows:

0Q|(HJ)(η)|pdη2p|J(0)|pQ+23p((1α)cS(α))p(0Qηp(c1)|g1(η,J(η))g1(η,0)|pdη+0Qηp(c1)|g1(η,0)|pdη)+23p(αcS(α))p(p1pc1)p10Qηpc10η(|g1(θ,J(θ))g1(θ,0)|p+|g1(θ,0)|p)dθdη,0Q|(HM)(η)|pdη2p|M(0)|pQ+23p((1α)cS(α))p(0Qηp(c1)|g2(η,M(η))g2(η,0)|pdη+0Qηp(c1)|g2(η,0)|pdη)+23p(αcS(α))p(p1pc1)p10Qηpc10η(|g2(θ,M(θ))g2(θ,0)|p+|g2(θ,0)|p)dθdη,

0Q|(HE)(η)|pdη2p|E(0)|pQ+23p((1α)cS(α))p(0Qηp(c1)|g3(η,E(η))g3(η,0)|pdη+0Qηp(c1)|g3(η,0)|pdη)+23p(αcS(α))p(p1pc1)p10Qηpc10η(|g3(θ,E(θ))g3(θ,0)|p+|g3(θ,0)|p)dθdη,

0Q|(HL)(η)|pdη2p|L(0)|pQ+23p((1α)cS(α))p(0Qηp(c1)|g4(η,L(η))g4(η,0)|pdη+0Qηp(c1)|g4(η,0)|pdη)+23p(αcS(α))p(p1pc1)p10Qηpc10η(|g4(θ,L(θ))g4(θ,0)|p+|g4(θ,0)|p)dθdη.

From (2) and the Lipschitz condition, the following is obtained

||HJ||pp2p|J(0)|pQ+23p1p𝒩1+23pK1p𝒩1O1pO1p,||HM||pp2p|M(0)|pQ+23p2p𝒩1+23pM2p𝒩1O2pO2p,||HE||pp2p|E(0)|pQ+23p3p𝒩1+23pK2p𝒩1O3pO3p,||HL||pp2p|L(0)|pQ+23p4p𝒩1+23pK3p𝒩1O4pO4p,and||HS||pp2p|S(0)|pQ+23pp𝒩1+23pQ1p𝒩1OpOp,

which implies that HOO.

Hence, H:OO.

Now, to prove that H is a contraction mapping, let (J1,J2,M1,M2,E1,E2,L1,L2)Łp, we get

||HJ1HJ2||p Ω1 ||J1J2||p,||HM1HM2||p Ω2 ||M1M2||p,||HE1HE2||p Ω3 ||E1E2||p,||HL1HL2||p Ω4 ||L1L2||p.

Then,

||HS1HS2||pΩ||S1S2||p.

If Ω<1, then the problem (8) has a only one solution.

The following result illustrates the application of Krasnosel’skii’s fixed point technique

Theorem 14. Assume that th condition (11) and (1) hold. Then, the fractal fractional mathematical model (8) has at least one solution.

Proof. Define the following operators based on Eqs. (9) and (10) as

𝒱11J(η)=αcS(α)0ηθc1g1(θ,J(θ))dθ,𝒱12J(η) =J(0)+(1α)cS(α)ηc1g1(η,J(η)),𝒱21M(η)=αcS(α)0ηθc1g2(θ,M(θ))dθ,𝒱22M(η) = M(0)+(1α)cS(α)ηc1g2(η,M(η)),𝒱31E(η)=αcS(α)0ηθc1g3(θ,E(θ))dθ,𝒱32E(η) =E(0)+(1α)cS(α)ηc1g3(η,E(η)),𝒱41L(η)=αcS(α)0ηθc1g4(θ,L(θ))dθ,𝒱42L(η) = L(0)+(1α)cS(α)ηc1g4(η,L(η)),𝒱1S(η)=αcS(α)0ηθc1ϖ(θ,S(θ))dθ,𝒱2S(η) = S(0)+(1α)cS(α)ηc1ϖ(η,S(η)).

Consider a set defined as U𝒳={S,J,M,E,LŁp:||S||pp𝒳p,||J||pp𝒳1p,||M||pp𝒳2p,

||E||pp𝒳3p,||L||pp𝒳4p,𝒳,𝒳1,2,3,4>0}.

Let us observe that if S,S^,J,J^,M,M^,E,E^,L,L^,U𝒳, we have

0Q|(𝒱11J)(η)+(𝒱12J^)(η)|pdη2p|J(0)|pQ+22p((1α)cS(α))p0Qθp(c1)|g1(θ,J^(θ))|pdθ+22p(αcS(α))p0Q(0ηθc1|g1(θ,J(θ))|dθ)pdη.

By the Lipschitz condition and Hölder’s inequality, the following result is obtained

||𝒱11J+𝒱12J^||pp2p|J(0)|pQ+22p((1α)cS(α))p||ψ1||ppQp(c1)+1p(c1)+1+22p(αcS(α))p(p1pc1)p1||ψ1||ppQpcpc.

By the same technique, one can have

||𝒱21M+𝒱22M^||pp2p|M(0)|pQ+22p((1α)cS(α))p||ψ2||ppQp(c1)+1p(c1)+1+22p(αcS(α))p(p1pc1)p1||ψ2||ppQpcpc,||𝒱31E+𝒱32E^||pp2p|E(0)|pQ+22p((1α)cS(α))p||ψ3||ppQp(c1)+1p(c1)+1+22p(αcS(α))p(p1pc1)p1||ψ3||ppQpcpc,||𝒱41L+𝒱42L^||pp2p|L(0)|pQ+22p((1α)cS(α))p||ψ4||ppQp(c1)+1p(c1)+1+22p(αcS(α))p(p1pc1)p1||ψ4||ppQpcpc.Hence||𝒱1S+𝒱2S^||pp2p|S(0)|pQ+22p((1α)cS(α))p||ψ||ppQp(c1)+1p(c1)+1+22p(αcS(α))p(p1pc1)p1||ψ||ppQpcpc.

This shows that the operators 𝒱12,𝒱22,𝒱32,𝒱42 are contractions. For this J,J¯Łp(J,), we have

||𝒱12J𝒱12J¯||pW1 ||JJ¯||p.

Similarly, it follows that

||𝒱22M𝒱22M¯||pW2 ||MM¯||p,||𝒱32E𝒱32E¯||pW3 ||EE¯||p,||𝒱42L𝒱42L¯||p W4 ||LL¯||p.

Then,

||𝒱2S𝒱2S¯||p W5 ||SS¯||p,

where

W1=(1α)cS(α)Q(c1)+1p(p(c1)+1)1p K1,W2=(1α)cS(α)Q(c1)+1p(p(c1)+1)1p M2,W3=(1α)cS(α)Q(c1)+1p(p(c1)+1)1p K2,W4=(1α)cS(α)Q(c1)+1p(p(c1)+1)1p K3,W5=(1α)cS(α)Q(c1)+1p(p(c1)+1)1p Q1.

If Wi<1,(i=1,...,5), then 𝒱2 is a contraction.

Next, to prove that the operator 𝒱1,𝒱11,𝒱21,𝒱31,𝒱41 are compact and continuous, we have

||𝒱11J||pαcS(α)(p1pc1)p1pQc(pc)1p||ψ1||p,||𝒱21M||pαcS(α)(p1pc1)p1pQc(pc)1p||ψ2||p,||𝒱31E||pαcS(α)(p1pc1)p1pQc(pc)1p||ψ3||p,||𝒱41L||pαcS(α)(p1pc1)p1pQc(pc)1p||ψ4||p,

Then,

||𝒱1S||pαcS(α)(p1pc1)p1pQc(pc)1p||ψ||p.

Therefore, 𝒱1,𝒱11,𝒱21,𝒱31,𝒱41 are bounded. At this point, to demonstrate that these operators are completely continuous, we apply Theorem (8). Let ω be a bounded subset of U𝒳.

Then, 𝒱1(ω),𝒱11(ω),𝒱21(ω),𝒱31(ω),𝒱41(ω) are bounded in Łp(J), i.e., condition (A) of Theorem (8) is satisfied. It remains to show that (𝒱11J)g𝒱11J in Łp(J) as g0, uniformly with respect to Jω. We have the following estimation

||(𝒱11J)g(η)(𝒱11J)(η)||pp0Q|1gηη+g(𝒱11J)(θ)dθ(𝒱11J)(η)|pdη0Q1gηη+g|Ig1(θ,J(θ))Ig1(η,J(η))|pdθdη,

and

||(𝒱1S)g(η)(𝒱1S)(η)||pp=0Q|(𝒱1S)g(θ)(𝒱1S)(η)|pdη0Q|1gηη+g(𝒱1S)(θ)dθ(𝒱1S)(η)|pdη0Q1gηη+g|Iϖ(θ,S(θ))Iϖ(η,S(η))|pdθdη,

Since ωŁp(J), it follows that IωŁp(J). Thus, one can conclude that

|Ig1(θ,J(θ))Ig1(η,J(η))|p0.

Hence

(𝒱11J)g(η)(𝒱11J)(η),uniformly ~ as g0.

Similarly

(𝒱21M)g(η)(𝒱21M)(η),uniformly ~ as g0,(𝒱31E)g(η)(𝒱31E)(η),uniformly ~ as g0,(𝒱41L)g(η)(𝒱41L)(η),uniformly ~ as g0,

Hence

(𝒱1S)g(η)(𝒱1S)(η),uniformly ~ as g0.

Then, by Theorem (8), it can be concluded that 𝒱1(ω) is relatively compact, which implies that 𝒱1 is a compact operator. As a consequence of Krasnosel’skii’s fixed point theorem, the fractal-fractional mathematical model (8) has at least one solution.

7  Ulam-Hyers and Ulam-Hyers-Rassias Stability

This section is dedicated to establishing the stability for the problem (8) in the sense of Ulam-Hyers and Ulam-Hyers-Rassias. The following definitions and conditions are introduced.

Definition 15. The Eq. (8) is Ulam-Hyers stable, if there exists a positive real number zd such that Δ>0 and for each solution ΥŁp(J,) of the following

|𝒞Dα,cΥ(η)ϖ(η,Υ(η))|Δ,ηJ.(15)

a solution SŁp of Eq. (8) with |Υ(η)S(η)|zeΔ.

Definition 16. The Eq. (8) is Ulam-Hyers-Rassias-stable, if there exists a positive real number zd such that Δ>0 and for each solution ΥŁp of the following

|𝒞Dα,cΥ(η)ϖ(η,Υ(η))|Δ Φ(η),(16)

for some non-negative function Φ defined on J, a solution SŁp of Eq. (8) with

|Υ(η)S(η)|zdΦΔ.

(3) Φ,Φ1,Φ2,Φ3,Φ4 are increasing functions in Łp and Λ^Φ>0 such that, for any ηJ, the following holds

0ηθc1Φ1(θ)dθΛ^Φ1Φ1(η),0ηθc1Φ2(θ)dθΛ^Φ2Φ2(η),0ηθc1Φ3(θ)dθΛ^Φ3Φ3(η),0ηθc1Φ4(θ)dθΛ^Φ4Φ4(η),0ηθc1Φ(θ)dθΛ^ΦΦ(η).

Theorem 17. The fractal-fractional mathematical problem (8) is Ulam-Hyers-stable.

If χ1,2,3,4<1, where χ1=22pK1p𝒩2, χ2=22pM2p𝒩2,χ3=22pK2p𝒩2,χ4=22pK3p𝒩2.

Proof. For Δ,Δ1,Δ2,Δ3,Δ4>0, and Υ,Υ1,Υ2,Υ3,Υ4 are solutions that satisfy the following inequalities

|Dα,c𝒞Υ1(η)g1(η,Υ1(η))|Δ1,|Dα,c𝒞Υ2(η)g2(η,Υ2(η))|Δ2,|Dα,c𝒞Υ3(η)g3(η,Υ3(η))|Δ3,|Dα,c𝒞Υ4(η)g4(η,Υ4(η))|Δ4,|Dα,c𝒞Υ(η)ϖ(η,Υ(η))|Δ,(17)

which give

|Υ1(η)Υ1(0)(1α)cS(α)ηc1g1(η,Υ1(η))αcS(α)0ηθc1g1(θ,Υ1(θ))dθ|p2pΔ1p(((1α)cS(α))pηp(c1)+(αS(α))pηpc),

|Υ2(η)Υ2(0)(1α)cS(α)ηc1g2(η,Υ2(η))αcS(α)0ηθc1g2(θ,Υ2(θ))dθ|p2pΔ2p(((1α)cS(α))pηp(c1)+(αS(α))pηpc),|Υ3(η)Υ3(0)(1α)cS(α)ηc1g3(η,Υ3(η))αcS(α)0ηθc1g3(θ,Υ3(θ))dθ|p2pΔ3p(((1α)cS(α))pηp(c1)+(αS(α))pηpc),

|Υ4(η)Υ4(0)(1α)cS(α)ηc1g4(η,Υ4(η))αcS(α)0ηθc1g4(θ,Υ4(θ))dθ|p2pΔ4p(((1α)cS(α))pηp(c1)+(αS(α))pηpc),and|Υ(η)Υ(0)(1α)cS(α)ηc1ϖ(η,Υ(η))αcS(α)0ηθc1ϖ(θ,Υ(θ))dθ|p2pΔp(((1α)cS(α))pηp(c1)+(αS(α))pηpc).

For each ηJ, we have

0Q|Υ1(η)J(η)|pdη0Q|Υ1(η)J(0)(1α)cS(α)ηc1g1(η,J(η))αcS(α)0ηθc1g1(θ,J(θ))dθ|pdη,0Q|Υ2(η)M(η)|pdη0Q|Υ2(η)M(0)(1α)cS(α)ηc1g2(η,M(η))αcS(α)0ηθc1g2(θ,M(θ))dθ|pdη,0Q|Υ3(η)E(η)|pdη0Q|Υ3(η)E(0)(1α)cS(α)ηc1g3(η,E(η))αcS(α)0ηθc1g3(θ,E(θ))dθ|pdη,

0Q|Υ4(η)L(η)|pdη0Q|Υ4(η)L(0)(1α)cS(α)ηc1g4(η,L(η))αcS(α)0ηθc1g4(θ,L(θ))dθ|pdη,0Q|Υ(η)S(η)|pdη0Q|Υ(η)S(0)(1α)cS(α)ηc1ϖ(η,S(η))αcS(α)0ηθc1ϖ(θ,S(θ))dθ|pdη.

Then, using condition (11) and Hölder’s inequality, the results follow

||Υ1J||p4Δ1𝒢1p (1χ1)1p,||Υ2M||p4Δ2 𝒢1p (1χ2)1p,||Υ3E||p4Δ3 𝒢1p (1χ3)1p,||Υ4L||p4Δ4 𝒢1p (1χ4)1p,||ΥS||p4Δ 𝒢1p (122pQ1p𝒩2)1p.

Hence

||Υ1J||pze1 Δ1,||Υ2M||pze2 Δ2,||Υ3E||pze3 Δ3,||Υ4L||pze4 Δ4,||ΥS||pze Δ,whereze=4 𝒢1p (1ß)1p, andß=22pQ1p𝒩2.

Hence, the fractal fractional mathematical model (8) is Ulam-Hyers stable.

Theorem 18. Assume that g1,g2,g3 and g4 be a continuous functions and the condition (11) holds. If χi<1,i=1,2,3,4. Then the fractal-fractional mathematical problem (8) is Ulam-Hyers-Rassias stable.

Proof. The solutions Υ,Υ1,Υ2,Υ3,Υ4 are satisfies the following inequality

|𝒞Dα,cΥ1(η)g1(η,Υ1(η))|Δ1 Φ1(η),|𝒞Dα,cΥ2(η)g2(η,Υ2(η))|Δ2 Φ2(η),|𝒞Dα,cΥ3(η)g3(η,Υ3(η))|Δ3 Φ3(η),|𝒞Dα,cΥ4(η)g4(η,Υ4(η))|Δ4 Φ4(η),|𝒞Dα,cΥ(η)ϖ(η,Υ(η))|Δ Φ(η),(18)

which gives

|Υ1(η)Υ1(0)(1α)cS(α)ηc1g1(η,Υ1(η))αcS(α)0ηθc1g1(θ,Υ1(θ))dθ|p2pΔ1p(((1α)cS(α))pηp(c1)(Φ1(η))p+(αcS(α))p(Λ^Φ1Φ1(η))p),|Υ2(η)Υ2(0)(1α)cS(α)ηc1g2(η,Υ2(η))αcS(α)0ηθc1g2(θ,Υ2(θ))dθ|p2pΔ2p(((1α)cS(α))pηp(c1)(Φ2(η))p+(αcS(α))p(Λ^Φ2Φ2(η))p),|Υ3(η)Υ3(0)(1α)cS(α)ηc1g3(η,Υ3(η))αcS(α)0ηθc1g3(θ,Υ3(θ))dθ|p2pΔ3p(((1α)cS(α))pηp(c1)(Φ3(η))p+(αcS(α))p(Λ^Φ3Φ3(η))p),|Υ4(η)Υ4(0)(1α)cS(α)ηc1g4(η,Υ4(η))αcS(α)0ηθc1g4(θ,Υ4(θ))dθ|p2pΔ4p(((1α)cS(α))pηp(c1)(Φ4(η))p+(αcS(α))p(Λ^Φ4Φ4(η))p),|Υ(η)Υ(0)(1α)cS(α)ηc1ϖ(η,Υ(η))αcS(α)0ηθc1ϖ(θ,Υ(θ))dθ|p2pΔp(((1α)cS(α))pηp(c1)(Φ(η))p+(αcS(α))p(Λ^ΦΦ(η))p).

Thus,

0Q|Υ1(η)J(η)|pdη22p[Δ1p0Q(((1α)cS(α))pηp(c1)(Φ1(η))p+(αcS(α))p(Λ^Φ1Φ1(η))p)dη+((1α)cS(α))p0Qηp(c1)|g1(η,Υ1(η))g1(η,J(η))|pdη+(αcS(α))p0Q(0ηθc1|g1(θ,Υ1(θ))g1(θ,J(θ))|dθ)pdη].(19)

Using the same technique and considering condition (11) alongside Hölder’s inequality, it follows that

||Υ1J||pzd1 Δ1 ||Φ1||p ,||Υ2M||pzd2 Δ2 ||Φ2||p ,||Υ3E||pzd3 Δ3 ||Φ3||p ,||Υ4L||pzd4 Δ4 ||Φ4||p ,||ΥS||pzd Δ ||Φ||p ,

wherezd1=4N21p(1χ1)1p,zd2=4N21p(1χ2)1p,zd3=4N21p(1χ3)1p,zd4=4N21p(1χ4)1p,and zd=4N21p(1ß)1p.

Then, the fractal fractional mathematical model (8) is Ulam-Hyers-Rassias-stable.

Example 19. To estimate the obtained results for the Banach contraction mapping and 𝒰,𝒰 stable of the mathematical model (8), apply Theorems (13), (18) and (17), all the parameters of the problem (8) are taken from [19].

8  Discussion

The current study found a prevalence of ascariasis in Duhok city at an overall rate of (42.5%). This finding aligns with the results of [42] reported an Ascaris infection rate of (41.4%), and the authors in [12] found a similar prevalence of (43.3%). However, the current results differ from those of [11] and [43] reported infection rates of only (23.1%) and (6.25%), respectively. Also, the present study indicated that the infection rate among males was higher than in females, consistent with the findings of [44] showed that males had an infection rate of (59.0%) compared to (41.0%) for females. This is linked to the everyday participation of males in agricultural activities that bring them into contact with the soil. In contrast, Ref. [43] found a higher incidence of infection in females (57.1%) compared to males (42.9%), as most of their participants lived in rural areas and lacked knowledge of infection. The current findings also revealed a higher infection rate in rural residents compared to urban ones, with [45] reporting prevalence rates of (69.0%) in rural areas and (31.0%) in urban settings. This trend can be attributed to the limited access to sanitation facilities and healthcare in rural regions. However, some studies, like that of [46], reported that urban residents had a higher infection rate (16.5%) compared to rural residents (3.6%), attributing this to the high population density in urban areas and the lack of effective infection prevention and control strategies. This study found a link between poverty and increased exposure to parasitic infections due to inadequate clean water, poor sanitation, and crowded living conditions [45], supported the current results and investigated the infection rates among low-income and high-income patients, which (55.0%) and (18.0%), respectively. Ref. [47] noted that elevated IgE levels associated with Ascaris increase the risk of asthma by inducing larval migration through the lungs, leading to pulmonary infiltrates and airway obstruction [13] also found that elevated serum IgG antibody levels against Ascaris are associated with significantly reduced lung function and increased asthma symptoms. On the other hand, Ref. [9] provided contrasting results, suggesting that this parasite provokes an immune response in children, manifested by significant changes in white blood cell counts, eosinophils, and IgE; it did not have a substantial impact on pulmonary function tests (PFTs). Researchers found that the PFT results of asthmatic children were significantly worse than those of Ascaris-infected children, implying that the impairment in PFTs was primarily due to asthma rather than Ascaris infection. As well, Ref. [3] reported findings that contrasted with the current study, indicating no correlation between allergic reactions and parasitic infections in children. In terms of hematological parameters and IgE levels, the present study detected significant variations (p<0.05) across all blood metrics.

According to recent research, patients infected with A. lumbricoides showed reduced red blood cell counts and hemoglobin levels compared to the control group. Supporting this finding, Ref. [48] stated that infected individuals also exhibited lower red blood cell and hemoglobin concentrations. This decrease may be attributed to the parasite’s ability to cause hemolysis of red blood cells, resulting in a reduction in their overall number. Ascaris infection appears to be associated with elevated levels of white blood cells, eosinophils, IgE, and IL-4, reflecting an immune response similar to that seen in asthma [49] indicating that the immune response to helminthic parasites results in elevated levels of IgE, eosinophilia, interleukins 4, 5, and 13. In a similar vein, understanding the mathematical models that describe immune responses can benefit from a solid grasp of contraction mapping. Contraction mapping is fundamental in many areas of mathematics and applied sciences. Understanding their properties, particularly the importance of the contraction constant being less than 1, is crucial for ensuring convergence to a unique solution. Consequently, the contraction constant was examined in different cases, with the findings presented in tables and diagrams for further clarity.

To highlight the efficiency of the Banach contraction principle and the fractal-fractional Caputo-Fabrizio mathematical model of Ascaris lumbricoides in ensuring a unique solution, we will evaluate the values of the contraction parameters Ω1,Ω2,Ω3,Ω4 across several different values of α, p and c. Figs. 47 illustrate these findings on the interval [0,1]. In addition, Table 5 shows the computed results of Ω1,2,3,4< 1, which guarantees the existence of a unique fixed point on the interval [0,1]. Now, To explain that the problem (7) is Ulam-Hyers and Ulam-Hyers-Rassias stable, the results of χ1,2,3,4 has been investigated at many values of 0<α1, c>1 and 1p<. The graphical representation and numerical results of χ1,2,3,4 at various values of p, α, and c are presented in Figs. 811 and Table 6. Furthermore, the behavior of χ1,χ2,χ3,χ4 that is attractively plotted in Fig. 12 shows that the solution of the mathematical model is stable when c[1,2] and α(0,1] at different values  a) p=2,η=0.2;   b) p=3,η=0.9   c) p=4,η=0.5. It was deduced that the condition of Theorems (18) and (17) is satisfied, then the mathematical model (7) is Ulam-Hyers and Ulam-Hyers-Rassias stable.

images

Figure 4: Behavior of the contraction parameters Ω1,Ω2,Ω3,Ω4 for different values of α,c&p. a) α=0.2,c=1.65,p=2; b) α=0.3,c=1.95,p=4; c) α=0.75,c=1.3, p=10; d) α=0.5,c=1.5, p=20

images

Figure 5: To show the efficiency of the Banach contraction principle and that the problem has a unique solution, the graphical 3D representation of the contraction parameter Ω1,2,3,4<1 for α(0,1] are plotted at p=2,c=1.4 . a)  Ω1; b)  Ω2; c)  Ω3; d) Ω4

images

Figure 6: To explain the applicability of the Banach fixed theorem, Geometrical behaviour of Ω1,Ω2,Ω3,Ω4 are graphed at  0<α1, p=9,c=1.1  a)  Ω1; b)  Ω2; c)  Ω3; d)  Ω4

images

Figure 7: To establish a solution exists and there is only one solution to the mathematical model at selected points, the behavior of the parameters Ωi,i=1,2,3,3 is illustrated in the graph at some points. p=15, c=1.53 and 0<α1. a)  Ω1; b)  Ω2; c)  Ω3; d)  Ω4

images

images

images

Figure 8: The visual analysis of χ1,χ2,χ3,χ4 has been investigated to check that the mathematical model (7) is (𝒰) stable. In certain cases, where α(0,1], c>1 and 1p<, it is implied that the condition for stability is satisfied, when a) p=2,c=1.5,α=0.3; b) p=3,c=1.95,α=0.2; c) p=4,c=1.2,α=0.25

images

Figure 9: Graphical representation of the parameters χ1,2,3,4 is provided to verify the Ulam-Hyers and Ulam-Hyers Rassias stability of the solution to the mathematical model at α(0,1], p=2 and c=1.6 a) χ1; b) χ2; c) χ3; d) χ4

images

Figure 10: Shows the values χ1,2,3,4<1 on η[0,1] for various α(0,1] at p=8 and c=1.2. a) χ1; b) χ2; c) χ3; d) χ4

images

Figure 11: To clarify the stability in the sense of (𝒰)(𝒰), a graphical representation is provided to show the behavior of χ1,2,3,4<1 for α(0,1] with p=13, and c=1.9 a) χ1; b) χ2; c) χ3; d) χ4

images

images

images

Figure 12: The graphical representation demonstrates that χ1,2,3,4<1 at 1<c2, α(0,1], confirming that the conditions of Theorems (18) and (17) are hold. As a result, the solution of the mathematical model is (𝒰)(𝒰) stable. a)  p=2,η=0.2; b)  p=3,η=0.9 c)  p=4,η=0.5

9  Conclusion

Public health interventions that focus on improving sanitation, access to clean water, and health education are crucial in reducing the burden of ascariasis in this region. A total of 400 people participated, including 270 with asthma and 130 controls, who visited general hospitals in Duhok City, Iraq. The results indicate that the presence of ascariasis reduced lung function and was associated with a higher prevalence of asthma among the participants. In addition, the findings emphasize the need to investigate the effects of helminth infections on long-term lung health worldwide. Additionally, mathematical analysis of the solution for the fractal-fractional mathematical model for the four stages of the life cycle of Ascaris lumbricoides has been conducted in the sense of the Caputo-Fabrizio derivative. The uniqueness theorem is proved using Banach’s contraction mapping with the Hölder inequality, and the Krasnosel’skii fixed-point theorem is used in proving the existence of the solution. To understand the behavior of the solution, the (Ulam-Hyers, Ulam-Hyers-Rassias) stability is also discussed in Łp-space. In future work, the mathematical model can be extended to include more fractional derivatives, evaluate the equilibrium points, and analyze the stability of the system. Numerical simulations will help to understand the outbreak of ascariasis and develop control strategies.

There are some limitations in this study. Firstly, it is confined to Duhok City, Iraq, which limits the generalizability of the findings to other regions or populations. Secondly, it was difficult to follow up with the patients to fully understand the exact mechanism of the pathogenicity of Ascaris lumbricoides in causing asthma. Thirdly, it was unable to find patients under the age of 15.

Acknowledgement: D. K. Almutairi extends sincere appreciation to the Deanship of Postgraduate Studies and Scientific Research at Majmaah University for funding this research. Thabet Abdeljawad and Aziz Khan would like to thank Prince Sultan University for covering the article processing charges (APC) and for the support provided through the TAS Research Lab.

Funding Statement: The authors received no specific funding for this study.

Author Contributions: Manal Adil Murad: Conceptualization, Methodology, Data curation, Interpretation, Formal analysis, Investigation, Validation, Writing—original draft, Writing—review and editing, Supervision. Shayma Adil Murad: Conceptualization, Methodology, Formal analysis, Investigation, Validation, Writing—original draft, Writing—review and editing, Supervision. Thabet Abdeljawad: Conceptualization, Investigation, Methodology, Writing—review and editing, Supervision. Aziz Khan & D. K. Almutairi: Validation, Methodology, Visualization, Resources. All authors reviewed the results and approved the final version of the manuscript.

Availability of Data and Materials: All data generated or analyzed during this study are included in this published article.

Ethics Approval: The ethical approval was obtained from the Research Ethics Committee of the General Health Directorate, Duhok, Iraq. No. 05022025-2-5.

Informed Consent: Informed written consent was obtained from all participants, and data collection was primarily conducted by administering a questionnaire to gather the necessary information.

Conflicts of Interest: The authors declare no conflicts of interest to report regarding the present study.

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Cite This Article

APA Style
Murad, M.A., Murad, S.A., Abdeljawad, T., Khan, A., Almutairi, D.K. (2025). Investigating the Link between Ascaris Lumbricoides and Asthma in Human with Analysis of Fractal Fractional Caputo-Fabrizio of a Mathematical Model. Computer Modeling in Engineering & Sciences, 143(3), 3377–3409. https://doi.org/10.32604/cmes.2025.064245
Vancouver Style
Murad MA, Murad SA, Abdeljawad T, Khan A, Almutairi DK. Investigating the Link between Ascaris Lumbricoides and Asthma in Human with Analysis of Fractal Fractional Caputo-Fabrizio of a Mathematical Model. Comput Model Eng Sci. 2025;143(3):3377–3409. https://doi.org/10.32604/cmes.2025.064245
IEEE Style
M. A. Murad, S. A. Murad, T. Abdeljawad, A. Khan, and D. K. Almutairi, “Investigating the Link between Ascaris Lumbricoides and Asthma in Human with Analysis of Fractal Fractional Caputo-Fabrizio of a Mathematical Model,” Comput. Model. Eng. Sci., vol. 143, no. 3, pp. 3377–3409, 2025. https://doi.org/10.32604/cmes.2025.064245


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