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Johansson B. Challenges and Controversies in COVID-19: Masking the General Population may Attenuate This Pandemic's Outbreak. Front Public Health 2021; 9:643991. [PMID: 34568248 PMCID: PMC8455895 DOI: 10.3389/fpubh.2021.643991] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2020] [Accepted: 06/22/2021] [Indexed: 11/13/2022] Open
Abstract
SARS-CoV-2, the virus that causes COVID-19, spreads i. a., by respiratory droplets. The use of masks in preventing spread is controversial; masks are considered useless by many, while being mandated in some locations. Here, the effect of masking the general population on a COVID-19-like epidemic is estimated by computer simulation using three separate types of software. The main questions are whether mask use by the general population can limit the spread of SARS-CoV-2 in a country and how to identify opportunities when mask use is cost-effective and safe. To address these questions, the protective effects of different types of masks, the side-effects of masks, and avenues for improvements of masks and masking are addressed. Main results: (i) Any type of mask, even simple home-made ones, may be of value, even if the protective effect of each mask (here dubbed "one mask-protection") is low. Strict adherence to mask use does not appear to be critical but increasing one mask-protection to >50% was found to be advantageous. (ii) Masks do seem to reduce the number of new cases even if introduced at a late stage in an epidemic, but early implementation helps reduce the cumulative and total number of cases. (iii) The simulations suggest that it might be possible to eliminate a COVID-19 outbreak by widespread mask use during a limited period. There is a brief discussion of why the reported effect size of masking varies widely, and is expected to do so, because of different filtration abilities of different masks, differences in compliance and fitting, other routes of transmission, pre-existing immunity, and because a system of interconnected, disease-prone individuals has non-linear properties. A software solution to visualize infection spread is presented. The results from these simulations are encouraging, but do not necessarily represent the real-life situation, so it is suggested that clinical trials of masks are now carried out while continuously monitoring effects and side-effects. As mask use is not without risks and costs, it is suggested that governments and scientists have an important role in advising the public about the sensible use of masks.
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Affiliation(s)
- Björn Johansson
- Theme Aging, Karolinska University Hospital, Stockholm, Sweden
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
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de Lima VMF, Hanke W. Reversibility of excitation waves in brain and heart and the energy of interfacial water. Can reversibility be explained by it? PROGRESS IN BIOPHYSICS AND MOLECULAR BIOLOGY 2021; 162:129-140. [PMID: 33279573 DOI: 10.1016/j.pbiomolbio.2020.11.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/01/2020] [Revised: 10/18/2020] [Accepted: 11/13/2020] [Indexed: 11/20/2022]
Abstract
In this manuscript, we interpret the implications of a discovery we made in 1993 for the understanding of the spread of excitation waves in axon, central gray matter (isolated retina) and heart. We propose that the initial burst of energy dissipation in these waves measured as potentials drops, ionic activities marked changes or optical properties being mostly the effect of dissociated water becoming liquid water and be reversible due to the further on dissociation during the refractory period. We also propose experiments in order to falsify or agree with this conjecture.
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Affiliation(s)
- Vera Maura Fernandes de Lima
- Centro de Biotecnologia CNEN/IPEN-SP, Av. Prof. Lineu Prestes, 2242 Butantan, CEP 05508-000, São Paulo, SP, Brazil
| | - Wolfgang Hanke
- Universität Hohenheim, Institute of Physiology, arbenstrasse 30 70599, Stuttgart, Germany.
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Taylor AF. Mechanism and Phenomenology of an Oscillating Chemical Reaction. PROGRESS IN REACTION KINETICS AND MECHANISM 2019. [DOI: 10.3184/007967402103165414] [Citation(s) in RCA: 97] [Impact Index Per Article: 19.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Chemical reactions, which are far from equilibrium, are capable of displaying oscillations in species concentrations and hence in colour, electrode potential, pH and/or temperature. The oscillations arise from the interplay between positive and negative kinetic feedback. Mechanisms for such reactions are presented, along with the rich phenomenology that these systems exhibit, from complex oscillations and chemical waves, to stationary concentration patterns. This review will focus on the Belousov-Zhabotinksy reaction but reference to other reactions will be made where appropriate.
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Electrophysiological experiments in microgravity: lessons learned and future challenges. NPJ Microgravity 2018; 4:7. [PMID: 29619409 PMCID: PMC5876337 DOI: 10.1038/s41526-018-0042-3] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2017] [Revised: 03/07/2018] [Accepted: 03/07/2018] [Indexed: 02/08/2023] Open
Abstract
Advances in electrophysiological experiments have led to the discovery of mechanosensitive ion channels (MSCs) and the identification of the physiological function of specific MSCs. They are believed to play important roles in mechanosensitive pathways by allowing for cells to sense their mechanical environment. However, the physiological function of many MSCs has not been conclusively identified. Therefore, experiments have been developed that expose cells to various mechanical loads, such as shear flow, membrane indentation, osmotic challenges and hydrostatic pressure. In line with these experiments, mechanical unloading, as experienced in microgravity, represents an interesting alternative condition, since exposure to microgravity leads to a series of physiological adaption processes. As outlined in this review, electrophysiological experiments performed in microgravity have shown an influence of gravity on biological functions depending on ion channels at all hierarchical levels, from the cellular level to organs. In this context, calcium signaling represents an interesting cellular pathway, as it involves the direct action of calcium-permeable ion channels, and specific gravitatic cells have linked graviperception to this pathway. Multiple key proteins in the graviperception pathways have been identified. However, measurements on vertebrae cells have revealed controversial results. In conclusion, electrophysiological experiments in microgravity have shown that ion-channel-dependent physiological processes are altered in mechanically unloaded conditions. Future experiments may provide a better understanding of the underlying mechanisms.
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Fernandes de Lima VM, Hanke W. Extracellular matrix and its role in conveying glial/neural interactions in health and disease. J Integr Neurosci 2017; 16:93-106. [DOI: 10.3233/jin-170012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Affiliation(s)
- Vera Maura Fernandes de Lima
- Centro de Biotecnologia, CNEN-IPEN/SP, Av. Lineu Prestes 2242, Campus USP, São Paulo, SP, Brazil, 05508-000
- LIM-26 Faculdade de Medicina da USP-SP, São Paulo, Brazil
| | - Wolfgang Hanke
- Membrane Physiology Division, Institute of Physiology 230, Hohenheim University, Stuttgart, Germany
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Fernandes de Lima VM, Pereira A. The Plastic Glial-Synaptic Dynamics within the Neuropil: A Self-Organizing System Composed of Polyelectrolytes in Phase Transition. Neural Plast 2016; 2016:7192427. [PMID: 26949548 PMCID: PMC4753343 DOI: 10.1155/2016/7192427] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2015] [Accepted: 12/27/2015] [Indexed: 11/17/2022] Open
Abstract
Several explanations have been proposed to account for the mechanisms of neuroglial interactions involved in neural plasticity. We review experimental results addressing plastic nonlinear interactions between glial membranes and synaptic terminals. These results indicate the necessity of elaborating on a model based on the dynamics of hydroionic waves within the neuropil. These waves have been detected in a small scale experimental model of the central nervous system, the in vitro retina. We suggest that the brain, as the heart and kidney, is a system for which the state of water is functional. The use of nonlinear thermodynamics supports experiments at convenient biological spatiotemporal scales, while an understanding of the properties of ions and their interactions with water requires explanations based on quantum theories. In our approach, neural plasticity is seen as part of a larger process that encompasses higher brain functions; in this regard, hydroionic waves within the neuropil are considered to carry both physiological and cognitive functions.
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Affiliation(s)
- Vera Maura Fernandes de Lima
- Centro de Biotecnologia, IPEN-CNEN/SP, Avenida Prof. Lineu Prestes 2242, Butantã, 05508-000 São Paulo, SP, Brazil
| | - Alfredo Pereira
- Institute of Biosciences of Botucatu, São Paulo State University (UNESP), Campus Rubião Jr., 18618-970 Botucatu, SP, Brazil
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Guedes RCA, de Oliveira JAC, Amâncio-Dos-Santos A, García-Cairasco N. Sexual differentiation of cortical spreading depression propagation after acute and kindled audiogenic seizures in the Wistar audiogenic rat (WAR). Epilepsy Res 2008; 83:207-14. [PMID: 19101119 DOI: 10.1016/j.eplepsyres.2008.11.003] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2007] [Revised: 10/21/2008] [Accepted: 11/05/2008] [Indexed: 10/21/2022]
Abstract
SUMMARY Brain excitability diseases like epilepsy constitute one factor that influences brain electrophysiological features. Cortical spreading depression (CSD) is a phenomenon that can be altered by changes in brain excitability. CSD propagation was presently characterized in adult male and female rats from a normal Wistar strain and from a genetically audiogenic seizure-prone strain, the Wistar audiogenic rat (WAR), both previously submitted (RAS(+)), or not (RAS(-)), to repetitive acoustic stimulation, to provoke audiogenic kindling in the WAR-strain. A gender-specific change in CSD-propagation was found. Compared to seizure-resistant animals, in the RAS(-) condition, male and female WARs, respectively, presented CSD-propagation impairment and facilitation, characterized, respectively, by lower and higher propagation velocities (P<0.05). In contraposition, in the RAS(+) condition, male and female WARs displayed, respectively, higher and lower CSD-propagation rates, as compared to the corresponding controls. In some Wistar and WAR females, we determined estrous cycle status on the day of the CSD-recording as being either estrous or diestrous; no cycle-phase-related differences in CSD-propagation velocities were detected. In contrast to other epilepsy models, such as Status Epilepticus induced by pilocarpine, despite the CSD-velocity reduction, in no case was CSD propagation blocked in WARs. The results suggest a gender-related, estrous cycle-phase-independent modification in the CSD-susceptibility of WAR rats, both in the RAS(+) and RAS(-) situation.
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Hanke W, de Lima VMF. Central nervous tissue: an excitable medium. a study using the retinal spreading depression as a tool. PHILOSOPHICAL TRANSACTIONS. SERIES A, MATHEMATICAL, PHYSICAL, AND ENGINEERING SCIENCES 2008; 366:359-68. [PMID: 17673413 DOI: 10.1098/rsta.2007.2094] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
According to its physicochemical properties, neuronal tissue, including the central nervous system (CNS) and thus the human brain, is an excitable medium, which consequently exhibits, among other things, self-organization, pattern formation and propagating waves. Furthermore, such systems can be controlled by weak external forces. The spreading depression (SD), a propagating wave of excitation-depression, is such an event, which is additionally linked to a variety of medically important situations, classical migraine being just one example. Especially in retinal tissue, a true part of the CNS, the SD can be observed very easily with the naked eye and by video imaging techniques due to its big intrinsic optical signal. We have investigated the retinal SD and its control by external physical parameters such as gravity and temperature. Beyond this, especially due to its medical relevance, the control of CNS excitability by pharmacological tools is of specific interest, and we have studied this question in detail using the retinal SD as an experimental tool to collect information about the control of CNS tissue excitability.
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Affiliation(s)
- Wolfgang Hanke
- University of Hohenheim, Institute of Physiology-230, Stuttgart 70599, Germany.
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Vincent W, Andrasik F, Sherman R. Headache Treatment with Pulsing Electromagnetic Fields: A Literature Review. Appl Psychophysiol Biofeedback 2007; 32:191-207. [DOI: 10.1007/s10484-007-9045-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2007] [Accepted: 10/09/2007] [Indexed: 11/28/2022]
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Hanke W, Fernandes de Lima VM, Wiedemann M, Meissner K. Microgravity dependence of excitable biological and physicochemical media. PROTOPLASMA 2006; 229:235-42. [PMID: 17180507 DOI: 10.1007/s00709-006-0211-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/04/2005] [Accepted: 11/03/2005] [Indexed: 05/13/2023]
Abstract
Neuronal tissue and especially the central nervous system (CNS) is an excitable medium. Self-organisation, pattern formation, and propagating excitation waves as typical characteristics in excitable media consequently have been found in neuronal tissue. The properties of such phenomena in excitable media do critically depend on the parameters (i.e., electromagnetic fields, temperature, chemical drugs) of the system and on small external forces to which gravity belongs. The spreading depression, a propagating excitation depression wave of neuronal activity, is one of the best described of the those wave phenomena in the CNS. Especially in the retina as a true part of the CNS it can be easily observed with optical techniques due to the high intrinsic optical signal of this tissue. Another of such waves in neuronal tissue is the propagating action potential in nerve fibres. In this paper, data from our laboratories concerning the influence of gravity on the velocity of propagating waves in excitable media are summarized mainly in terms of the retinal spreading depression and propagating action potentials. Additionally, we have used waves in gels of the Belousov-Zhabotinsky reaction as the physicochemical model system of biological activity as the properties of these waves follow the same theories as the spreading depression and action potentials and they have some striking similarities in wave behavior. Thus propagating Belousov-Zhabotinsky waves are described by their gravity dependence.
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Affiliation(s)
- W Hanke
- Institute of Physiology, University of Hohenheim, Stuttgart, Federal Republic of Germany.
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Wiedemann M, Piffel A, Hanke W. Effects of different gravity conditions on self organizing biological systems. ACTA ACUST UNITED AC 2006. [DOI: 10.1002/sita.200600101] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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Gravitational impact on ion channels incorporated into planar lipid bilayers. ACTA ACUST UNITED AC 2003. [DOI: 10.1016/s0927-5193(03)80048-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register]
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