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Occurrence of Extended Spectrum Beta Lactamase Encoding Genes among Urinary Pathogenic <i>Escherichia coli</i>and <i>Klebsiella pneumoniae</i>Isolates Obtained from a Tertiary Hospital in Gombe Nigeria

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Journal of Biosciences and Medicines 2020年第9期8卷 42-55页

作者： Adamu Yarima Ali Ahmed Haroun Timothy Bulus mohammed M. manga Department of Plant Science Bioresource Development Center Michika National Biotechnology Development Agency Abuja Nigeria Department of Biological Sciences Nigerian Defence Academy Kaduna Nigeria Department of Biochemistry Kaduna State University Kaduna Nigeria Department of Medical Microbiology and Immunology Gombe State University and Federal Teaching Hospital Gombe Gombe Nigeria

This study was conducted to assess the occurrence and nature of extended-spectrum beta lactamase (ESBL) producing Escherichia coli and Klebsiella pneumoniae isolates from patients who presented with urinary tract infection at Federal Teaching Hospital Gombe. Isolates collected were recovered on MacConkey agar at 35°C and were identified as members of Enterobacteriaceae, and further screened for antimicrobial susceptibility and resistance by disc diffusion method. Isolates resistant to oxyimino-cephalosporins were confirmed as ESBL producers using Double Disks Synergy Test (DDST). The study shows 66% resistance to ceftriaxone (30 μg) in K. pneumoniae, which was the highest value recorded and a 51% resistance to cefpodoxime (10 μg) in E. coli. The sensitivity of E. coli and K. pneumoniae isolates to cefpodoxime (10 μg) were 49% and 33.9% respectively. ESBLs were detected among 40% (40/100) of E. coli and 54.13% (59/109) of K. pneumoniae isolates. Molecular characterization of ESBL encoding genes among E. coli isolates using multiplex-PCR showed 10% prevalence of SHV gene and 5% prevalence for CTX-M gene while TEM gene was not detected. In K. pneumoniae isolates, 5% prevalence was recorded for each of the three genes screened. The study revealed a co-occurrence of SHV and CTX-M in 75% of the E. coli and 70% of the K. pneumoniae isolates;the occurrence of all the three genes was seen in 10% and 5% of K. pneumoniae and E. coli respectively. Multiplex-PCR method provided an efficient and rapid detection of ESBL related genes, hence could be used in epidemiological studies among ESBL isolates. Monitoring dissemination and transmissions of ESBL producers are highly recommended for optimum patient care and preventing the spread of multidrug resistant (MDR) pathogens.

关键词： ESBL Double Disk Synergy Test M-PCR TEM SHV CTX-M Genes Nigeria

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Virologic Response among Children and Adults in an Antiretroviral Therapy Programme in Northern Nigeria: A Cross-Sectional Descriptive Study

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World Journal of AIDS 2023年第4期13卷 178-192页

作者： Elon Warnow Isaac Ayomikun Ajani mohammed manga Abubakar Joshua Difa Oyeniyi Christianah Oluwaseun mohammed Hassan Danlami Department of Paediatrics College of Medical Sciences Gombe State University Gombe Nigeria Kettering General Hospital University Hospitals of Northamptonshire Northamptonshire UK Department of Medical Microbiology College of Medical Sciences Gombe State University Gombe Nigeria Department of Community Medicine College of Medical Sciences Gombe State University Gombe Nigeria Infectious Disease Training and Research Group Gombe Nigeria Department of Molecular Microbiology Federal Teaching Hospital Gombe Nigeria

Introduction: Viral load suppression is a key determinant of successful anti-retroviral therapy. The study aimed to determine virologic response to Antiretroviral therapy in the large cohort of children and adults living with Human Immune deficiency Virus. Materials and Methods: Viral Load results from the HIV Ribonucleic Acid Polymerase Chain Reaction register of 10,887 children and adults on cART in 4 states in Northern Nigeria between 2017 and 2019 were retrieved and analyzed in the PCR Molecular Laboratory of the Federal Teaching Hospital, Gombe. Results: 10,887 children and adults were analyzed. Males were 28.4% (3094) and 71.6% (7793) females. 2.9% (311);3.5% (386);7.3% (797);65.2% (7098);14.5% (1583);5.2% (562) and 1.3% (150) were aged 0 - 9 years, 11 - 18 years;19 - 25 years, 26 - 45 years;46 - 55 years;56 - 65 years and 10 years. The most recent CD4count before viral load request was ≥1000/μL in 7.4% (810/10887);500 -999/μL in 39.0% (4240);350 - 499 μL in 22.7% (2466) and 1000 c/mL in 26.5% (821/3094) males and 24.1% (1876/7793) females. Viral load was significantly lower among females (p-value 0.007). 50.5% (157/311);52.1% (201/386);28.5% (227/797);23.5% (1670/7098);19.9% (315/1583);17.8% (100/562) and 18.0% (27/150) aged 0 - 9 years, 11 - 18 years;19 - 25 years, 26 - 45 years;46 - 55 years;56 - 65 years and 1000 c/mL respectively. Viral load was >1000 c/mL in 28.2% (229/811) for those on HAART for 6 months - 1 year and 23.6% (1243/5275) after receiving Highly Active Antiretroviral Therapy (HAART) for 1 - 5 years. 26.3% (1072/4075) and 21.1% (153/726) had viral load > 1000 c/mL after receiving HAART for 6 - 10 and >10 years respectively (p-value 0.001). Conclusion: HIV viral suppression was below the WHO recommended threshold.

关键词： HIV cART Viral Load Viral Suppression Children Adults Nigeria

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Bacterial Blood Isolates in Children: Conventional vs. Bactec Automated Blood Culture System in a Tertiary Health Centre in Gombe, North East Nigeria

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Open Journal of Medical Microbiology 2022年第3期12卷 101-116页

作者： Elon Warnow Isaac Iliya Jalo Abubakar Joshua Difa Mercy Raymond Poksireni Oyeniyi Christianah Muhammad Saminu Charanci Ibrahim mohammed mohammed mohammed manga Department of Paediatrics College of Medical Sciences Gombe State University and Federal Teaching Gombe Nigeria Infectious Disease Training and Research Group Gombe Nigeria Department of Community Medicine College of Medical Sciences Gombe State University and Federal Teaching Gombe Nigeria Department of Medical Microbiology and Immunology Federal Teaching Hospital Gombe Nigeria Department of Medical Microbiology and Immunology College of Medical Sciences Gombe State University Gombe Nigeria

Background/Aim: Blood culture is critical in the diagnosis and treatment of blood stream infections (BSIs) especially in children. BSIs are among the most common cause of morbidity/mortality and blood culture has remained the gold standard for diagnosis. We sought to compare Blood Culture Isolates (BCI) from conventional and Bactec automated blood culture system (ABCS) among paediatric patients at the Federal Teaching Hospital Gombe (FTHG) Nigeria. Methods: BCI in children (0 - 18 years) by conventional method from 2008-2012 and Bactec Automated culture system from 2015-2020 were retrieved from the clinical microbiology laboratory register. Information analyzed included, age, sex, month, and year and blood culture isolates. Results: There were 5276 (56.9% males, 43.1% females) and 1169 (54% males, 46% females) Blood Culture Isolates by CM and ABCS respectively. Overall positive culture isolates were 9.7% (515/5276) in CM and 45.9% (536/1169) in ABCS (p = 0.01). Positivity rate in newborn was 13.3% (282/2114) by CM and 40.9% (219/263) by ABCS p = 0.01;under-5 was 10.5% (448/4253) vs. 37% (359/873) (p = 0.01);Gram positive 32.6% (172) vs. 65% (759) (p = 0.01;Gram negative 55% (2910) vs. 34% (397) (p = 0.01). Staph aureus 22% (114/515) by CM vs. 61.9% (332/536)) by ABCS (p = 0.01);Klebsiella 24.9% (128/515) by CM vs. 7.5% (40/536) p = 0.01) in ABCS, E. coli 8.9% (46/515) vs. 2.1% (11/536) p = 0.01;Proteus vs. 1.1% (6/515) by ABCS, Pseudomonas 3.3% (17/515) vs. 5.6% (30/536) p = 0.05, Alkaligenes 1% (5/515) vs. 8.2% (44/536) p = 0.01 and Citrobacter 1% (5/515) vs. 8.4% (45/536) p = 0.01. Conclusion: Blood culture yield was five times higher with Bactec compared with Conventional method.

关键词： Children Blood Culture Isolates Manual Automated

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Trends in Bacterial Blood Culture Isolates and Resistance in Children in Two Microbiologic Eras from a Tertiary Health Facility in North East Nigeria

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Open Journal of Medical Microbiology 2023年第2期13卷 159-182页

作者： Elon Warnow Isaac Iliya Jalo mohammed M. manga Abubakar Joshua Difa Mercy Raymond Poksireni Oyeniyi Christianah Ibrahim mohammed Muhammad Saminu Charanci Department of Paediatrics College of Medical Sciences Gombe State University Tudun Wada Nigeria Infectious Disease Training and Research Group Gombe (INDITREGO) Gombe Nigeria Department of Medical Microbiology College of Medical Sciences Gombe State University Tudun Wada Nigeria Department of Community Medicine College of Medical Sciences Gombe State University Tudun Wada Nigeria Microbiology Laboratory Federal Teaching Hospital Gombe Gombe Nigeria

Introduction: Antimicrobial Resistance surveillance is predicated on blood culture as a priority clinical specimen in especially resource limited settings. Establishing trends in blood stream infections and resistance patterns can inform institutional and national policy on antimicrobial stewardship, surveillance, infection prevention and control. Methodology: Blood Culture isolates in children (0 - 18 years) by conventional method from 2008-2012 and Bactec Automated culture system from 2015-2020 were retrieved. Information analyzed included age, sex, month, and year and culture growth/identity of microorganisms and their sensitivity/resistance patterns. Clinical and Laboratory Standards Institute (CLSI) guideline for antibiotic susceptibility testing was used. Results: 20,540 children were admitted: 8964 (44.6%) and 11,630 (55.4%) in the Manual and Bactec blood culture era respectively. Blood cultures were done in 5271 in the manual culture era and 1077 in the Bactec culture era;of these cultures, 514 (9.7%) and 461 (42.8%) were positive for isolates in the respective era (p = 0.01). There were no statistically significant differences in trend between positive and negative blood cultures in males and females. Newborns, followed by children 1 - 5 years had more blood culture performed on them than other age categories. In general, there is no significant relationship in blood culture outcomes between the age categories and sex of the patients. The isolation of Staph aureus, Citrobacter and Alkaligenes increased two-fold with Bactec automated system. Resistance to the quinolones and the penicillin was high. Resistance trend to Genticin, an aminoglycoside was less than 40%. Resistance to Ceftazidime was high. Conclusion: Antimicrobial resistance surveillance is critical to reduce AMR related morbidity and mortality.

关键词： Trend Blood Culture Isolates Children Manual Bactec Resistance

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Transitioning to Automated Microbiologic Era: Blood Culture Isolates in Children and Adults in Federal Teaching Hospital in Gombe, North East Nigeria 2016-2020

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Open Journal of Medical Microbiology 2022年第4期12卷 184-203页

作者： Elon Warnow Isaac Iliya Jalo mohammed M. manga Abubakar Joshua Difa Mercy Raymond Poksireni Oyeniyi Christianah Ibrahim mohammed Muhammad Saminu Charanci Department of Paediatrics College of Medical Sciences Gombe State University Tudun Wada Gombe Nigeria Department of Medical Microbiology College of Medical Sciences Gombe State University Tudun Wada Gombe Nigeria Department of Community Medicine College of Medical Sciences Gombe State University Tudun Wada Gombe Nigeria Infectious Disease Training and Research Group Gombe Gombe Nigeria Microbiology Laboratory Federal Teaching Hospital Gombe Gombe Nigeria

Introduction: Automated blood culture systems for incubation and growth monitoring have become the standard in high-income countries (HICs), but are still relatively expensive and not universally available for implementation in most low- and middle-income countries (LMIC). We aimed to report blood culture isolates using Automated technique in children and adults admitted into the Federal Teaching Hospital Gombe from 2016 to 2020. Materials and Methods: Blood Culture Isolates in children (0 - 18 years) and adults (>19 yrs) by Bactec 9050 Automated culture system from 2016-2020 were retrieved from the medical and laboratory register. Information analyzed included, age, sex, month, and year and culture growth and reported antibiotic sensitivity. A Bactec Blood culture tests is $20 in this facility. In Nigeria, the minimum monthly wage is $70 (Official currency exchange rate is N423/US Dollar). Results: Of the 1713 blood cultures performed, children 0 - 18 years were 1322 (77.2%) and adult (19 years above) (22.8%). Overall positivity was 733 (42.2%) with males 385 (52.5%). Of the 1322 Blood cultures (BC) in children 615 (46.5%) were positive for isolates and adults 118 (30.2)%. Blood culture positivity decreased with increasing age with newborns 251 (34.5%) and adults > 65 years 18 (2.5%). Staphylococcus aureus constituted 61.3% of all isolates and was the leading isolates in all age groups;Alkaligenes (9.1%);Citrobacter 8.1%, Klebsiella 6.7%;Pseudomonas 6.1%;E. coli 2.7%;Enterococcus 2%;Proteus 1%. Of the Antimicrobial resistance priority isolates E. coli susceptibility ranged from 71% to Gentamycin and 100% to Cefixime;Klebsiella from 25% sensitivity to Amikacin to 78% each to chloramphenicol and ciprofloxacin;Salmonella was 100% sensitive to chloramphenicol, ciprofloxacin and cefuroxime. Klebsiella was 100% sensitive to Cefoxitin;Proteus sensitivity ranged from 35% to ampicillin and 100% to ciprofloxacin and cefuroxime. Staph aureus sensitivity was 35% to cefoxitin,

关键词： Children Adults Blood Culture Isolates Bactec Sensitivity

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Deoxyribonucleic Acid-Polymerase Chain Reaction Status of HIV Exposed Infants in a Sub Regional Prevention of Mother-to-Child Transmission of HIV Programme during the Period 2009-2020

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Open Journal of Epidemiology 2023年第4期13卷 328-341页

作者： Elon Warnow Isaac Ayomikun Ajani Jalo Iliya mohammed manga Abubakar Joshua Difa Oyeniyi Christianah Oluwaseun Muhammad Danlami Hassan Department of Paediatrics College of Medical Sciences Gombe State University Gombe Nigeria Infectious Disease Training and Research Group Gombe Gombe Nigeria Kettering General Hospital University Hospitals of Northamptonshire Kettering United Kingdom Department of Medical Microbiology College of Medical Sciences Gombe State University Gombe Nigeria Department of Community Medicine College of Medical Sciences Gombe State University Gombe Nigeria Department of Molecular Microbiology Federal Teaching Hospital Gombe Gombe Nigeria

Introduction: Transitioning to more efficacious Antiretrovirals for HIV infected pregnant women and infant prophylaxis has reduced Mother to child transmission of HIV significantly. This study aimed to determine HIV infection status in HIVexposed infants who had their first DNA polymerase chain reaction test in our molecular Laboratory. Subjects, Materials and Methods: Dried Blood Spots for HIV DNA results from 5 states between 2009 and 2020 were analyzed in the PCR laboratory of the Federal Teaching Hospital, Gombe. Results: Nine thousand eight hundred and twenty-three Human Immunodeficiency Virus Deoxyribonucleic acid polymerase Chain Reaction results were analysed;4937 (50.2%) were males. During the study period, there was an overall declining trend in the mother-to-child transmission rate from 3.8% in 2009 to 1.0% in 2020. 6120 (62.3%) of HIV + mothers received Highly active antiretroviral therapy HAART before pregnancy. 7845 (76.2%) of the infants received Nevirapine prophylaxis. Dried blood spot samples were collected from 4077 (41.5%) at 6 - 8 weeks. 8438 (85.9%) received cotrimoxazole. 9469 (96.4%) were ever breastfed. Of the 9823 HIV DNA PCR results, 255 (2.6%) were positive while 69/4077 (1.7%) and 109/2662 (4.1%) were positive for HIV DNA at 6 - 8 weeks and > 12 weeks respectively. (p = 0.001). 86/747 (11.5%) of infants whose HIV-positive mothers received no ARVS were HIV DNA positive. (p = 0.001). 106/884 (12.0%) of infants who had no Antiretroviral prophylaxis had positive HIV DNA results;7/413 (1.7%) with Zidovudine/Nevirapine prophylaxis had positive results. (p = 0.001). 246/9469 (2.6%) of infants that were ever breastfed were positive for HIV DNA;11/354 (3.0%) that never breastfed had positive HIV DNA. Conclusion: Lack of maternal/infant ARVs and prolonged breastfeeding increased the risk of infant HIV infection.

关键词： Mother to Child Transmission of HIV Antiretrovirals HIV Exposed Infants Deoxyribonucleic Acid Polymerase Chain Reaction Early Infant Diagnosis

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Decoding molecular mechanisms:brain aging and Alzheimer's disease

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Neural Regeneration Research 2025年第8期20卷 2279-2299页

作者： Mahnoor Hayat Rafay Ali Syed Hammad Qaiser Mohammad Uzair Khalid Al-Regaiey Roaa Khallaf Lubna Abdullah mohammed Albassam Imdad Kaleem Xueyi Wang Ran Wang Mehwish SBhatti Shahid Bashir Atta-ur-Rahman School of Applied Biosciences(ASAB) National University of Sciences and Technology(NUST)IslamabadPakistan Department of Biotechnology Quaid-i-Azam UniversityIslamabadPakistan Department of Biological Sciences Faculty of Basic&Applied SciencesInternational Islamic University Islamabad(IIUI)IslamabadPakistan Department of Bioengineering King Fahd University of Petroleum and MineralsDhahranSaudi Arabia Department of Physiology College of MedicineKing Saud UniversityRiyadhSaudi Arabia Department of Neurology Neuroscience CenterKing Fahad Specialist HospitalDammamSaudi Arabia Department of Mental Health Neuroscience CenterKing Fahad Specialist HospitalDammamSaudi Arabia Department of Biosciences Commission on Science and Technology for Sustainable Development in the South(COMSATS University)IslamabadPakistan Department of Psychiatry The First Hospital of Hebei Medical UniversityShijiazhuangHebei ProvinceChina Mental Health Institute of Hebei Medical University ShijiazhuangHebei ProvinceChina Department of Neurobiology and Behavior University of CaliforniaIrvineCAUSA Neuroscience Center King Fahad Specialist Hospital DammamDammamSaudi Arabia

The complex morphological,anatomical,physiological,and chemical mechanisms within the aging brain have been the hot topic of research for *** aging process alters the brain structure that affects functions and cognitions,but the worsening of such processes contributes to the pathogenesis of neurodegenerative disorders,such as Alzheimer's *** these observable,mild morphological shifts,significant functional modifications in neurotransmission and neuronal activity critically influence the aging *** these changes is important for maintaining cognitive health,especially given the increasing prevalence of age-related conditions that affect *** review aims to explore the age-induced changes in brain plasticity and molecular processes,differentiating normal aging from the pathogenesis of Alzheimer's disease,thereby providing insights into predicting the risk of dementia,particularly Alzheimer's disease.

关键词： Alzheimer’s disease brain aging cognitive health dementia molecular mechanisms neuronal activity neuroplasticity neurotransmission

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Advanced Functional Electromagnetic Shielding Materials:A Review Based on Micro‑Nano Structure Interface Control of Biomass Cell Walls

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Nano-Micro Letters 2025年第1期17卷 98-134页

作者： Yang Shi Mingjun Wu Shengbo Ge Jianzhang Li Anoud Saud Alshammari Jing Luo mohammed A.Amin Hua Qiu Jinxuan Jiang Yazeed M.Asiri Runzhou Huang Hua Hou Zeinhom M.El‑Bahy Zhanhu Guo Chong Jia Kaimeng Xu Xiangmeng Chen Co‑Innovation Center of Efficient Processing and Utilization of Forest Resources College of Materials Science and EngineeringNanjing Forestry UniversityNanjing 210037People’s Republic of China State Key Laboratory of Efficient Production of Forest Resourced Beijing Forestry UniversityQinghua East Road 35Haidian DistrictBeijing 100083People’s Republic of China Department of Physics Faculty of Sciences‑ArarNorthern Border UniversityArar 91431Saudi Arabia Department of Chemistry College of ScienceTaif UniversityP.O.Box 1109921944 TaifSaudi Arabia Shaanxi Key Laboratory of Macromolecular Science and Technology School of Chemistry and Chemical EngineeringNorthwestern Polytechnical UniversityXi’anShaanxi 710072People’s Republic of China Integrated Composites Lab Department of Mechanical and Construction EngineeringNorthumbria UniversityNewcastle Upon Tyne NE18STUK College of Materials Science and Engineering Taiyuan University of Science and TechnologyTaiyuan 030024People’s Republic of China Department of Chemistry Faculty of ScienceAl-Azhar UniversityNasr CityCairo 11884Egypt Yunnan Provincial Key Laboratory of Wood Adhesives and Glued Products International Joint Research Center for Biomass MaterialsSouthwest Forestry UniversityKunming 650224People’s Republic of China School of Science Henan Agricultural UniversityZhengzhou 450002People’s Republic of China

Research efforts on electromagnetic interference(EMI)shielding materials have begun to converge on green and sustainable biomass *** materials offer numerous advantages such as being lightweight,porous,and *** to their porous nature,interfacial compatibility,and electrical conductivity,biomass materials hold significant potential as EMI shielding *** concerted efforts on the EMI shielding of biomass materials have been reported,this research area is still relatively new compared to traditional EMI shielding *** particular,a more comprehensive study and summary of the factors influencing biomass EMI shielding materials including the pore structure adjustment,preparation process,and micro-control would be *** preparation methods and characteristics of wood,bamboo,cellulose and lignin in EMI shielding field are critically discussed in this paper,and similar biomass EMI materials are summarized and *** composite methods and fillers of various biomass materials were *** paper also highlights the mechanism of EMI shielding as well as existing prospects and challenges for development trends in this field.

关键词： Biomass materials Electromagnetic interference shielding Micro-nano structure interface control Conductivity

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Deflection behavior of a prestressed concrete beam reinforced with carbon fibers at elevated temperatures

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Frontiers of Structural and Civil Engineering 2019年第1期13卷 81-91页

作者： mohammed FARUQI mohammed Sheroz KHAN Department of Civil and Architectural Engineering Texas A&M University--KingsvilleTexasUSA

Fiber reinforced polymer(FRP) have unique advantages like high strength to weight ratio,excellent corrosion resistance,improving deformability and cost *** advantages have gained wide acceptance in civil engineering *** tendons for prestressing applications are emerging as one of the most promising technologies in the civil engineering ***,the behavior of such members under the influence of elevated temperatures is still *** knowledge and application of this could lead to a cost effective and practical considerations in fire safety ***,this study examines the deflection behavior of the carbon fiber reinforced polymer(CFRP) prestressed concrete beam at elevated *** this article,an analytical model is developed which integrates the temperature dependent changes of effective modulus of FRP in predicting the deflection behavior of CFRP prestressed concrete beams within the range of practical *** model is compared with a finite element mode (FEM) of a simply supported concrete beam prestressed with CFRP subjected to practical elevated *** addition,comparison is also made with an indirect reference to the real behavior of the *** results of the model correlated reasonably with the finite element model and the real ***,a practical application is provided.

关键词： FRP CFRP concrete elevated temperatures deflections prestress

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MULTIDIMENSIONAL RELAXATION APPROXIMATIONS FOR HYPERBOLIC SYSTEMS OF CONSERVATION LAWS

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Journal of Computational Mathematics 2007年第4期25卷 440-457页

作者： mohammed Seaid UniversitSt Kaiserslautern Fachbereich Mathematik 67663 Kaiserslautern Germany

We construct and implement a non-oscillatory relaxation scheme for multidimensional hyperbolic systems of conservation laws. The method transforms the nonlinear hyperbolic system to a semilinear model with a relaxation source term and linear characteristics which can be solved numerically without using either Riemann solver or linear iterations. To discretize the relaxation system we consider a high-resolution reconstruction in space and a TVD Runge-Kutta time integration. Detailed formulation of the scheme is given for problems in three space dimensions and numerical experiments are implemented in both scalar and system cases to show the effectiveness of the method.

关键词： Multidimensional hyperbolic systems Relaxation methods Non-oscillatory reconstructions Asymptotic-preserving schemes.

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