Through the back door: expiratory accumulation of SARS-CoV-2 in the olfactory mucosa as mechanism for CNS penetration

Introduction: SARS-CoV-2 is a respiratory virus supposed to enter the organism through aerosol or fomite transmission to the nose, eyes and oropharynx. It is responsible for various clinical symptoms, including hyposmia and other neurological ones. Current literature suggests the olfactory mucosa as a port of entry to the CNS, but how the virus reaches the olfactory groove is still unknown. Because the first neurological symptoms of invasion (hyposmia) do not correspond to first signs of infection, the hypothesis of direct contact through airborne droplets during primary infection and therefore during inspiration is not plausible. The aim of this study is to evaluate if a secondary spread to the olfactory groove in a retrograde manner during expiration could be more probable. Methods: Four three-dimensional virtual models were obtained from actual CT scans and used to simulate expiratory droplets. The volume mesh consists of 25 million of cells, the simulated condition is a steady expiration, driving a flow rate of 270 ml/s, for a duration of 0.6 seconds. The droplet diameter is of 5 µm. Results: The analysis of the simulations shows the virus to have a high probability to be deployed in the rhinopharynx, on the tail of medium and upper turbinates. The possibility for droplets to access the olfactory mucosa during the expiratory phase is lower than other nasal areas, but consistent. Discussion: The data obtained from these simulations demonstrates the virus can be deployed in the olfactory groove during expiration. Even if the total amount in a single act is scarce, it must be considered it is repeated tens of thousands of times a day, and the source of contamination continuously acts on a timescale of several days. The present results also imply CNS penetration of SARS-CoV-2 through olfactory mucosa might be considered a complication and, consequently, prevention strategies should be considered in diseased patients

Comparison of different optimization techniques in antenna design - Part II

In this paper an elliptical reflectarray antenna is optimized by some novel evolutionary techniques: Ant Colony Optimization (ACO), Biogeography Based Optimization (BBO), Differential Evolution (DE), Population-Based Incremental Learning (PBIL) and Stud Genetic Algorithm (SGA). The optimized design of the reflectarray is aimed to compare their performances on a complex EM optimization problem. Results show that some techniques (DE, BBO, SGA) are particularly effective in dealing with antenna optimization

Tiber River Quality in the Stretch of a Sewage Treatment Plant: Effects of River Water or Disinfectants to Daphnia and Structure of Benthic Macroinvertebrates Community

The evaluation of Tiber River quality, in a stretch including a sewage treatment plant, has been carried out by the contemporary evaluation of water effect on Daphnia and benthic macroinvertebrates community structure. To achieve a good status of a river water by the end of 2015, as provided in the Water Framework Directive (WFD) 2000/60/EC, is necessary to know the quality starting point. To this end, several endpoints are expected by the WFD, including Daphnia toxicity test and macroinvertebrate community analysis. River water sampling was conducted in the four seasons, from upstream to downstream a sewage treatment plant. I endpoint. At the outfall of the sewage treatment plant, river water showed very high acute toxicity to Daphnia only in summer; some toxic effect can be found also upstream in spring. Results at the outfall were consistent with the hypothesis that disinfectants, mainly used in summer to treat discharging waters, are responsible of river water acute toxicity: Daphnia tests with each disinfectant (NaClO, PAA, ClO2) showed high toxicity. River waters were also utilized in Daphnia reproduction tests. Samples at the outfall (excluding the summer one, undoubtedly toxic) caused slight reduction in survival and fecundity. Disinfectants were also checked in reproduction tests. Still at NOEC24h, they caused a significant toxicity on both death rate and reproduction. II endpoint. Macroinvertebrate benthic community composition was evaluated upstream and downstream the sewage treatment plant, on these data Extended Biotic Index (EBI), was determined to get a score as quality class. A reduction of water quality score was found downstream the plant, one season delayed (autumn) respect the acute test on Daphnia. Effect of disinfectant discharge, river dilution capability on a short spatial scale and use of different endpoints are discussed in term of river stretch quality