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Rabinovitch A, Braunstein D, Rabinovitch R, Biton Y. Possible mechanism of schizophrenia origin by excess GABA and synaptic pruning. IBRO Neurosci Rep 2023; 15:126-130. [PMID: 37577408 PMCID: PMC10415689 DOI: 10.1016/j.ibneur.2023.07.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2022] [Revised: 06/19/2023] [Accepted: 07/27/2023] [Indexed: 08/15/2023] Open
Abstract
Schizophrenia is a psychotic disorder that affects approximately 1% of the global population. However, the etiology of this illness remains a subject of debate. One of the proposed mechanisms underlying schizophrenia is the synaptic pruning mediated by microglia in the brains of individuals with schizophrenia, although the precise mechanisms of this process remain elusive. In this regard, we propose that the potential development of the disease stems from both a genetic predisposition leading to an excessive production of GABAergic neurons and an exaggerated effort to maintain the E/I (excitation/inhibition) balance in the brain.
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Rabinovitch A, Rabinovitch R, Biton Y, Braunstein D, Thieberger R. A possible new cardiac heterogeneity as an arrhythmogenic driver. Sci Rep 2023; 13:7571. [PMID: 37165085 PMCID: PMC10172337 DOI: 10.1038/s41598-023-33438-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2022] [Accepted: 04/12/2023] [Indexed: 05/12/2023] Open
Abstract
Atrial fibrillation (AF) is the commonest cardiac arrhythmia, affecting 3 million people in the USA and 8 million in the EU (according to the European Society of Cardiology). So, why is it that even with the best medical care, around a third of the patients are treatment resistant. Extensive research of its etiology showed that AF and its mechanisms are still debatable. Some of the AF origins are ascribed to functional and ionic heterogeneities of the heart tissue and possibly to additional triggering agents. But, have all AF origins been detected? Are all accepted origins, in fact, arrhythmogenic? In order to study these questions and specifically to check our new idea of intermittency as an arrhythmogenesis agent, we chose to employ a mathematical model which was as simple as possible, but which could still be used to observe the basic network processes of AF development. At this point we were not interested in the detailed ionic propagations nor in the actual shapes of the induced action potentials (APs) during the AF outbreaks. The model was checked by its ability to exactly recapture the basic AF developmental stages known from experimental cardiac observations and from more elaborate mathematical models. We use a simple cellular automata 2D mathematical model of N × N matrices to elucidate the field processes leading to AF in a tissue riddled with randomly distributed heterogeneities of different types, under sinus node operation, simulated by an initial line of briefly stimulated cells inducing a propagating wave, and with or without an additional active ectopic action potential pulse, in turn simulated by a transitory operation of a specific cell. Arrhythmogenic contributions, of three different types of local heterogeneities in myocytes and their collaborations, in inducing AF are examined. These are: a heterogeneity created by diffuse fibrosis, a heterogeneity created by myocytes having different refractory periods, and a new heterogeneity type, created by intermittent operation of some myocytes. The developmental stages (target waves and spirals) and the different probabilities of AF occurring under each condition, are shown. This model was established as being capable of reproducing the known AF origins and their basic development stages, and in addition has shown: (1) That diffuse fibrosis on its own is not arrhythmogenic but in combination with other arrhythmogenic agents it can either enhance or limit AF. (2) In general, combinations of heterogeneities can act synergistically, and, most importantly, (3) The new type of intermittency heterogeneity proves to be extremely arrhythmogenic. Both the intermittency risk and the fibrosis role in AF generation were established. Knowledge of the character of these arrhythmogenesis agents can be of real importance in AF treatment.
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Lau S, Elliott M, Rabinovitch A, Makarem M, Kuang S, Schmid S, Sharma K, Lee J, Mackay K, Wong S, Wang B, Ohashi P, Tsao M, Shepherd F, Bradbury P, Liu G, Leighl N, McGaha T, Sacher A. 1298P PD-1 inhibitors combined with chemotherapy may preferentially improve survival in metastatic NSCLC with myeloid-mediated primary resistance to immunotherapy. Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.08.1900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Rabinovitch R, Biton Y, Braunstein D, Aviram I, Thieberger R, Rabinovitch A. Percolation and tortuosity in heart-like cells. Sci Rep 2021; 11:11441. [PMID: 34075111 PMCID: PMC8169828 DOI: 10.1038/s41598-021-90892-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2020] [Accepted: 04/15/2021] [Indexed: 11/25/2022] Open
Abstract
In the last several years, quite a few papers on the joint question of transport, tortuosity and percolation have appeared in the literature, dealing with passage of miscellaneous liquids or electrical currents in different media. However, these methods have not been applied to the passage of action potential in heart fibrosis (HF), which is crucial for problems of heart arrhythmia, especially of atrial tachycardia and fibrillation. In this work we address the HF problem from these aspects. A cellular automaton model is used to analyze percolation and transport of a distributed-fibrosis inflicted heart-like tissue. Although based on a rather simple mathematical model, it leads to several important outcomes: (1) It is shown that, for a single wave front (as the one emanated by the heart's sinus node), the percolation of heart-like matrices is exactly similar to the forest fire case. (2) It is shown that, on the average, the shape of the transport (a question not dealt with in relation to forest fire, and deals with the delay of action potential when passing a fibrotic tissue) behaves like a Gaussian. (3) Moreover, it is shown that close to the percolation threshold the parameters of this Gaussian behave in a critical way. From the physical point of view, these three results are an important contribution to the general percolation investigation. The relevance of our results to cardiological issues, specifically to the question of reentry initiation, are discussed and it is shown that: (A) Without an ectopic source and under a mere sinus node operation, no arrhythmia is generated, and (B) A sufficiently high refractory period could prevent some reentry mechanisms, even in partially fibrotic heart tissue.
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Rabinovitch A, Aviram I, Biton Y, Braunstein D. Explaining recent postictal epilepsy EEG results by the G-lymphatic clearance hypothesis. Med Hypotheses 2020; 137:109600. [DOI: 10.1016/j.mehy.2020.109600] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2019] [Revised: 01/24/2020] [Accepted: 01/24/2020] [Indexed: 11/29/2022]
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Rabinovitch A, Braunstein D, Aviram I, Thieberger R, Biton Y. Period and amplitude control stimulating pulses energies. Brain Stimul 2019. [DOI: 10.1016/j.brs.2018.12.274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Rabinovitch A, Aviram I, Biton Y, Braunstein D. Reentry as an Origin for Rotors. Bull Math Biol 2018; 80:3023-3037. [DOI: 10.1007/s11538-018-0506-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2018] [Accepted: 09/05/2018] [Indexed: 11/24/2022]
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Rabinovitch A, Biton Y, Friedmabn M, Aviram I, Braunstein D. A simple simulation model for spiral induced epilepsy. Brain Stimul 2017. [DOI: 10.1016/j.brs.2017.01.272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Rabinovitch A, Braunstein D, Biton Y, Friedman M, Aviram I. The Weiss–Lapicque and the Lapicque–Blair strength—duration curves revisited. Biomed Phys Eng Express 2016. [DOI: 10.1088/2057-1976/2/1/015019] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Rabinovitch A, Biton Y, Braunstein D, Friedman M, Aviram I. A Neuron under External Sinusoidal Stimulation. Brain Stimul 2015. [DOI: 10.1016/j.brs.2015.01.054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Rabinovitch A, Biton Y, Braunstein D, Friedman M, Aviram I, Yandrapalli S, Pandit SV, Berenfeld O. Singular Value Decomposition of Optically-Mapped Cardiac Rotors and Fibrillatory Activity. JOURNAL OF PHYSICS D: APPLIED PHYSICS 2015; 48:095401. [PMID: 26668401 PMCID: PMC4676718 DOI: 10.1088/0022-3727/48/9/095401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Our progress of understanding how cellular and structural factors contribute to the arrhythmia is hampered in part because of controversies whether a fibrillating heart is driven by a single, several, or multiple number of sources, and whether they are focal or reentrant, and how to localize them. Here we demonstrate how a novel usage of the neutral singular value decomposition (SVD) method enables the extraction of the governing spatial and temporal modes of excitation from a rotor and fibrillatory waves. Those modes highlight patterns and regions of organization in the midst of the otherwise seemingly-randomly propagating excitation waves. We apply the method to experimental models of cardiac fibrillation in rabbit hearts. We show that the SVD analysis is able to enhance the classification of the heart electrical patterns into regions harboring drivers in the form of fast reentrant activity and other regions of by-standing activity. This enhancement is accomplished without any prior assumptions regarding the spatial, temporal or spectral properties of those drivers. The analysis corroborates that the dominant mode has the highest activation rate and further reveals a new feature: A transfer of modes from the driving to the passive regions resulting in a partial reaction of the passive region to the driving region.
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Rabinovitch A, Biton Y, Braunstein D, Friedman M, Aviram I. Time-periodic lattice of spiral pairs in excitable media. Phys Rev E 2012; 85:036217. [PMID: 22587171 DOI: 10.1103/physreve.85.036217] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2011] [Revised: 09/08/2011] [Indexed: 11/07/2022]
Abstract
The feasibility of a spiral-type solution, periodic both in time and in space, of a reaction-diffusion equation (specifically the FitzHugh-Nagumo system) in an excitable medium is numerically demonstrated. The solution consists of arrays of interacting spiral pairs, which repeatedly create by partial annihilation a system of residual portions (RPs). The latter behaves as a source to the next generation of the spiral-pair array. If basic (highest) translational symmetry is not conserved, pointwise perturbations, above a certain threshold, are shown to be able to destroy the pattern after a certain transient time by changing its symmetry. If the basic translational symmetry is preserved, such perturbations do not cause destruction unless occurring at the nearest vicinity of the RP site. Singular value decomposition methods are used to analyze the structure of the pattern, revealing the importance of the spiral pairs and the RPs.
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Suarez-Pinzon WL, Cembrowski GS, Rabinovitch A. Combination therapy with a dipeptidyl peptidase-4 inhibitor and a proton pump inhibitor restores normoglycaemia in non-obese diabetic mice. Diabetologia 2009; 52:1680-2. [PMID: 19455306 DOI: 10.1007/s00125-009-1390-z] [Citation(s) in RCA: 52] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/02/2009] [Accepted: 04/23/2009] [Indexed: 02/06/2023]
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Qin HY, Suarez WL, Parfrey N, Power RF, Rabinovitch A. Mechanisms Of Complete Freund's Adjuvant Protection Against Diabetes in Bb Rats: Induction Of Non-Specific Suppressor Cells. Autoimmunity 2009; 12:193-9. [PMID: 1343767 DOI: 10.3109/08916939209148459] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
We have previously reported that a single injection of complete Freund's adjuvant (CFA) can prevent diabetes appearance in diabetes-prone (DP) BB rats. In this study, we investigated further the mechanism of CFA-induced protection from diabetes. We found that adoptive transfer of splenic cells from CFA-treated DP rats into young DP rats protected the latter from diabetes development. This suggested that CFA-induced protection from diabetes resulted from activation of regulatory (suppressor) cells. Cell mixing experiments in vitro indicated that CFA activated splenic cells with antigen-nonspecific suppressor activity (suppression of lymphoproliferative responses to lipopolysaccharide and to allogeneic splenic cells). Fractionation of splenic cells on Percoll revealed that the suppressor activity resided in low density cells relatively depleted of T-cells, B-cells, macrophages and NK cells. These results suggest that non-specific (natural) suppressor cells in CFA-treated BB rats may be responsible for suppressing autoimmune responses and preventing insulitis and diabetes development.
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Rabinovitch A, Biton Y, Gutman M, Aviram I. Dynamics of a spiral pair source and its interaction with plane waves. Comput Biol Med 2009; 39:405-11. [DOI: 10.1016/j.compbiomed.2009.01.015] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2008] [Revised: 01/25/2009] [Accepted: 01/28/2009] [Indexed: 11/17/2022]
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Rabinovitch A, Bahat D. Mirror-mist transition in brittle fracture. Phys Rev E 2009; 78:067102. [PMID: 19256981 DOI: 10.1103/physreve.78.067102] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2008] [Indexed: 11/07/2022]
Abstract
A consistent explanation for the abrupt appearance of the mist zone in high velocity brittle fractures is given. The dependence of the boundary on flaw sizes is calculated. For low velocity fractures a gradual mirror-mist transition is demonstrated.
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Itan E, Carmon G, Rabinovitch A, Fishov I, Feingold M. Shape of nonseptated Escherichia coli is asymmetric. PHYSICAL REVIEW. E, STATISTICAL, NONLINEAR, AND SOFT MATTER PHYSICS 2008; 77:061902. [PMID: 18643295 DOI: 10.1103/physreve.77.061902] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/04/2007] [Revised: 03/19/2008] [Indexed: 05/26/2023]
Abstract
The shape of Escherichia coli is approximately that of a cylinder with hemispherical caps. Since its size is not much larger than optical resolution, it has been difficult to quantify deviations from this approximation. We show that one can bypass this limitation and obtain the cell shape with subpixel accuracy. The resulting contours are shown to deviate from the hemisphere-cylinder-hemisphere shape. In particular, the cell is weakly asymmetric. Its two caps are different from each other and the sides are slightly curved. Most cells have convex sides. We discuss our results in light of several mechanisms that are involved in determining the shape of cells.
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Waisbourd M, Rabinovitch A, Heilweil G, Goldstein M, Loewenstein A. Awareness and the use of nutritional supplementation for age-related macular degeneration patients. Eye (Lond) 2007; 21:998-9. [PMID: 17369811 DOI: 10.1038/sj.eye.6702787] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Rabinovitch A, Gutman M, Biton Y, Aviram I, Rosenbaum DS. Dynamics of spiral pairs induced by unidirectional propagating pulses. PHYSICAL REVIEW. E, STATISTICAL, NONLINEAR, AND SOFT MATTER PHYSICS 2006; 74:061904. [PMID: 17280093 DOI: 10.1103/physreve.74.061904] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/27/2006] [Revised: 09/05/2006] [Indexed: 05/13/2023]
Abstract
The dynamics of unidirectionally propagating pulses in a two-dimensional uniform excitable reaction-diffusion medium is investigated. It is shown that under weak diffusion coupling between medium points such a pulse can evolve into a pair of counter-rotating spirals (spiral pair). We analyze the drift of such a pair and examine the collisions between several drifting pairs. It is demonstrated that collisions can result in a special type of reflection or, alternatively, in new types of complex stationary spiral structures. A possible application of these findings for the diagnosis of cardiac arrhythmias is suggested.
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Friedman M, Ovsyshcher IE, Fleidervish I, Crystal E, Rabinovitch A. Stimulation of unidirectional pulses in excitable systems. PHYSICAL REVIEW. E, STATISTICAL, NONLINEAR, AND SOFT MATTER PHYSICS 2004; 70:041903. [PMID: 15600431 DOI: 10.1103/physreve.70.041903] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/19/2004] [Indexed: 05/24/2023]
Abstract
Using a judicious spatial shape of input current pulses (and electrodes), responses of an excitable system (FitzHugh-Nagumo) appear as unidirectional pulses (UDP's) instead of bidirectional ones (in one dimension) or circular ones (in two dimensions). The importance of the UDP's for a possible mechanism for pinpointing the reentry cycle position and for a possible use in tachycardia suppression is discussed.
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Gutman M, Aviram I, Rabinovitch A. Abnormal frequency locking and the function of the cardiac pacemaker. PHYSICAL REVIEW. E, STATISTICAL, NONLINEAR, AND SOFT MATTER PHYSICS 2004; 70:037202. [PMID: 15524678 DOI: 10.1103/physreve.70.037202] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/01/2003] [Revised: 06/16/2004] [Indexed: 05/24/2023]
Abstract
A heterogeneous reaction-diffusion medium consisting of two adjoining uniform regions is analyzed. The first region is a purely oscillatory one, while the second is bistable (oscillatory/excitable). We show that such a construction allows an abnormal domination of the low natural frequency of the oscillatory regime over the whole medium (abnormal frequency locking). Bifurcations leading to the appearance of the bistable regime are discussed as well as the specific dynamics of the bistable oscillations. The abnormal frequency-locking phenomenon could explain some dynamical properties of the cardiac pacemaker.
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Gutman M, Aviram I, Rabinovitch A. Pseudoreflection from interface between two oscillatory media: extended driver. PHYSICAL REVIEW. E, STATISTICAL, NONLINEAR, AND SOFT MATTER PHYSICS 2004; 69:016211. [PMID: 14995697 DOI: 10.1103/physreve.69.016211] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/28/2003] [Revised: 07/03/2003] [Indexed: 05/24/2023]
Abstract
The dynamics of a reaction-diffusion medium composed of two uniform self-oscillating regions is considered. We analyze the phenomenon of pseudoreflection of waves at the region's interface. The reflected waves show an unusual change of wavelength, amplitude, and period. In contrast to our previous results, here this behavior can be perceived as an action of a spatially extended higher-frequency "driver." Observed also are the interesting phenomena of the appearance of narrow transient zones near the interface and of diffusion-induced bifurcations. Furthermore, the pseudoreflection is shown to be a possible mechanism of spiral and "target" waves generation. The relevance of the obtained results to the dynamics of the cardiac sinus node is discussed.
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Rabinovitch A, Gutman M, Aviram I. Reaction-diffusion dynamics in an oscillatory medium of finite size: pseudoreflection of waves. PHYSICAL REVIEW. E, STATISTICAL, NONLINEAR, AND SOFT MATTER PHYSICS 2003; 67:036212. [PMID: 12689158 DOI: 10.1103/physreve.67.036212] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/14/2002] [Indexed: 05/24/2023]
Abstract
Wave propagation in an oscillatory reaction-diffusion, one-dimensional domain of finite size with Dirichlet boundary conditions is analyzed. For sizes below a certain threshold length, the medium cannot sustain wave motion. Above this threshold we find that for a relatively small domain extent, a strong correlation exists between the dynamics of the system and its size. This correlation gradually disappears with increasing domain size. For still larger sizes, we observe an effect of wave pseudo reflection near the boundary. It is shown both numerically and analytically that pseudoreflected waves are periodically generated inside the medium by a fast, self-generated "source" near the boundary.
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Yellin E, Rabinovitch A. Properties and features of asymmetric partial devil's staircases deduced from piecewise linear maps. PHYSICAL REVIEW. E, STATISTICAL, NONLINEAR, AND SOFT MATTER PHYSICS 2003; 67:016202. [PMID: 12636580 DOI: 10.1103/physreve.67.016202] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/08/2002] [Indexed: 05/24/2023]
Abstract
A piecewise linear map with one discontinuity is used to link together iterated map properties with the shape of the ensuing staircases. In the main part of the paper, a three-segment map is treated, with a horizontal middle segment next to the discontinuity and the development of partial and asymmetric staircases is demonstrated. In particular, a possible hierarchy of partiality, connected with the ratio of the length of the horizontal segment to the discontinuity jump, is obtained. The map is used for constructing staircases that imitate various experimental and numerical staircases that appear in the literature for excitable systems.
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