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1.
J Physiol ; 602(1): 153-181, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-37987552

RESUMO

The whisker system is widely used as a model system for understanding sensorimotor integration. Purkinje cells in the crus regions of the cerebellum have been reported to linearly encode whisker midpoint, but it is unknown whether the paramedian and simplex lobules as well as their target neurons in the cerebellar nuclei also encode whisker kinematics and if so which ones. Elucidating how these kinematics are represented throughout the cerebellar hemisphere is essential for understanding how the cerebellum coordinates multiple sensorimotor modalities. Exploring the cerebellar hemisphere of mice using optogenetic stimulation, we found that whisker movements can be elicited by stimulation of Purkinje cells in not only crus1 and crus2, but also in the paramedian lobule and lobule simplex; activation of cells in the medial paramedian lobule had on average the shortest latency, whereas that of cells in lobule simplex elicited similar kinematics as those in crus1 and crus2. During spontaneous whisking behaviour, simple spike activity correlated in general better with velocity than position of the whiskers, but it varied between protraction and retraction as well as per lobule. The cerebellar nuclei neurons targeted by the Purkinje cells showed similar activity patterns characterized by a wide variety of kinematic signals, yet with a dominance for velocity. Taken together, our data indicate that whisker movements are much more prominently and diversely represented in the cerebellar cortex and nuclei than assumed, highlighting the rich repertoire of cerebellar control in the kinematics of movements that can be engaged during coordination. KEY POINTS: Excitation of Purkinje cells throughout the cerebellar hemispheres induces whisker movement, with the shortest latency and longest duration within the paramedian lobe. Purkinje cells have differential encoding for the fast and slow components of whisking. Purkinje cells encode not only the position but also the velocity of whiskers. Purkinje cells with high sensitivity for whisker velocity are preferentially located in the medial part of lobule simplex, crus1 and lateral paramedian. In the downstream cerebellar nuclei, neurons with high sensitivity for whisker velocity are located at the intersection between the medial and interposed nucleus.


Assuntos
Cerebelo , Vibrissas , Camundongos , Animais , Vibrissas/fisiologia , Fenômenos Biomecânicos , Cerebelo/fisiologia , Células de Purkinje/fisiologia , Córtex Cerebelar
2.
Elife ; 122023 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-37526175

RESUMO

The inferior olive provides the climbing fibers to Purkinje cells in the cerebellar cortex, where they elicit all-or-none complex spikes and control major forms of plasticity. Given their important role in both short-term and long-term coordination of cerebellum-dependent behaviors, it is paramount to understand the factors that determine the output of olivary neurons. Here, we use mouse models to investigate how the inhibitory and excitatory inputs to the olivary neurons interact with each other, generating spiking patterns of olivary neurons that align with their intrinsic oscillations. Using dual color optogenetic stimulation and whole-cell recordings, we demonstrate how intervals between the inhibitory input from the cerebellar nuclei and excitatory input from the mesodiencephalic junction affect phase and gain of the olivary output at both the sub- and suprathreshold level. When the excitatory input is activated shortly (~50 ms) after the inhibitory input, the phase of the intrinsic oscillations becomes remarkably unstable and the excitatory input can hardly generate any olivary spike. Instead, when the excitatory input is activated one cycle (~150 ms) after the inhibitory input, the excitatory input can optimally drive olivary spiking, riding on top of the first cycle of the subthreshold oscillations that have been powerfully reset by the preceding inhibitory input. Simulations of a large-scale network model of the inferior olive highlight to what extent the synaptic interactions penetrate in the neuropil, generating quasi-oscillatory spiking patterns in large parts of the olivary subnuclei, the size of which also depends on the relative timing of the inhibitory and excitatory inputs.


Assuntos
Núcleos Cerebelares , Núcleo Olivar , Camundongos , Animais , Núcleo Olivar/fisiologia , Neurônios/fisiologia , Células de Purkinje/fisiologia , Cerebelo/fisiologia , Potenciais de Ação/fisiologia
3.
Biomedicines ; 10(8)2022 Jul 29.
Artigo em Inglês | MEDLINE | ID: mdl-36009378

RESUMO

Neural activity exhibits oscillations, bursts, and resonance, enhancing responsiveness at preferential frequencies. For example, theta-frequency bursting and resonance in granule cells facilitate synaptic transmission and plasticity mechanisms at the input stage of the cerebellar cortex. However, whether theta-frequency bursting of Purkinje cells is involved in generating rhythmic behavior has remained neglected. We recorded and optogenetically modulated the simple and complex spike activity of Purkinje cells while monitoring whisker movements with a high-speed camera of awake, head-fixed mice. During spontaneous whisking, both simple spike activity and whisker movement exhibit peaks within the theta band. Eliciting either simple or complex spikes at frequencies ranging from 0.5 to 28 Hz, we found that 8 Hz is the preferred frequency around which the largest movement is induced. Interestingly, oscillatory whisker movements at 8 Hz were also generated when simple spike bursting was induced at 2 and 4 Hz, but never via climbing fiber stimulation. These results indicate that 8 Hz is the resonant frequency at which the cerebellar-whisker circuitry produces rhythmic whisking.

4.
Proc Natl Acad Sci U S A ; 119(17): e2204155119, 2022 04 26.
Artigo em Inglês | MEDLINE | ID: mdl-35452313
6.
Curr Biol ; 32(3): 654-670.e4, 2022 02 07.
Artigo em Inglês | MEDLINE | ID: mdl-35016009

RESUMO

Coordination of bilateral movements is essential for a large variety of animal behaviors. The olivocerebellar system is critical for the control of movement, but its role in bilateral coordination has yet to be elucidated. Here, we examined whether Purkinje cells encode and influence synchronicity of left-right whisker movements. We found that complex spike activity is correlated with a prominent left-right symmetry of spontaneous whisker movements within parts, but not all, of Crus1 and Crus2. Optogenetic stimulation of climbing fibers in the areas with high and low correlations resulted in symmetric and asymmetric whisker movements, respectively. Moreover, when simple spike frequency prior to the complex spike was higher, the complex spike-related symmetric whisker protractions were larger. This finding alludes to a role for rebound activity in the cerebellar nuclei, which indeed turned out to be enhanced during symmetric protractions. Tracer injections suggest that regions associated with symmetric whisker movements are anatomically connected to the contralateral cerebellar hemisphere. Together, these data point toward the existence of modules on both sides of the cerebellar cortex that can differentially promote or reduce the symmetry of left and right movements in a context-dependent fashion.


Assuntos
Células de Purkinje , Vibrissas , Potenciais de Ação/fisiologia , Animais , Cerebelo/fisiologia , Movimento , Optogenética , Células de Purkinje/fisiologia , Vibrissas/fisiologia
7.
Cell Rep ; 37(11): 110116, 2021 12 14.
Artigo em Inglês | MEDLINE | ID: mdl-34910904

RESUMO

The brain selectively allocates attention from a continuous stream of sensory input. This process is typically attributed to computations in distinct regions of the forebrain and midbrain. Here, we explore whether cerebellar Purkinje cells encode information about the selection of sensory inputs and could thereby contribute to non-motor forms of learning. We show that complex spikes of individual Purkinje cells change the sensory modality they encode to reflect changes in the perceived salience of sensory input. Comparisons with mouse models deficient in cerebellar plasticity suggest that changes in complex spike activity instruct potentiation of Purkinje cells simple spike firing, which is required for efficient learning. Our findings suggest that during learning, climbing fibers do not directly guide motor output, but rather contribute to a general readiness to act via changes in simple spike activity, thereby bridging the sequence from non-motor to motor functions.


Assuntos
Potenciais de Ação , Adaptação Fisiológica , Cerebelo/fisiologia , Comportamento de Escolha , Discriminação Psicológica , Atividade Motora , Células de Purkinje/fisiologia , Animais , Cerebelo/citologia , Feminino , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Células de Purkinje/citologia , Vibrissas
8.
Proc Natl Acad Sci U S A ; 118(2)2021 01 12.
Artigo em Inglês | MEDLINE | ID: mdl-33443203

RESUMO

Activity of sensory and motor cortices is essential for sensorimotor integration. In particular, coherence between these areas may indicate binding of critical functions like perception, motor planning, action, or sleep. Evidence is accumulating that cerebellar output modulates cortical activity and coherence, but how, when, and where it does so is unclear. We studied activity in and coherence between S1 and M1 cortices during whisker stimulation in the absence and presence of optogenetic Purkinje cell stimulation in crus 1 and 2 of awake mice, eliciting strong simple spike rate modulation. Without Purkinje cell stimulation, whisker stimulation triggers fast responses in S1 and M1 involving transient coherence in a broad spectrum. Simultaneous stimulation of Purkinje cells and whiskers affects amplitude and kinetics of sensory responses in S1 and M1 and alters the estimated S1-M1 coherence in theta and gamma bands, allowing bidirectional control dependent on behavioral context. These effects are absent when Purkinje cell activation is delayed by 20 ms. Focal stimulation of Purkinje cells revealed site specificity, with cells in medial crus 2 showing the most prominent and selective impact on estimated coherence, i.e., a strong suppression in the gamma but not the theta band. Granger causality analyses and computational modeling of the involved networks suggest that Purkinje cells control S1-M1 phase consistency predominantly via ventrolateral thalamus and M1. Our results indicate that activity of sensorimotor cortices can be dynamically and functionally modulated by specific cerebellar inputs, highlighting a widespread role of the cerebellum in coordinating sensorimotor behavior.


Assuntos
Córtex Motor/metabolismo , Células de Purkinje/metabolismo , Córtex Somatossensorial/metabolismo , Animais , Córtex Cerebelar , Cerebelo/metabolismo , Feminino , Humanos , Masculino , Camundongos , Camundongos Transgênicos , Optogenética , Córtex Sensório-Motor , Núcleos Ventrais do Tálamo , Vibrissas/fisiologia
9.
Front Cell Neurosci ; 14: 588445, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33281560

RESUMO

Rodents engage in active touch using their facial whiskers: they explore their environment by making rapid back-and-forth movements. The fast nature of whisker movements, during which whiskers often cross each other, makes it notoriously difficult to track individual whiskers of the intact whisker field. We present here a novel algorithm, WhiskEras, for tracking of whisker movements in high-speed videos of untrimmed mice, without requiring labeled data. WhiskEras consists of a pipeline of image-processing steps: first, the points that form the whisker centerlines are detected with sub-pixel accuracy. Then, these points are clustered in order to distinguish individual whiskers. Subsequently, the whiskers are parameterized so that a single whisker can be described by four parameters. The last step consists of tracking individual whiskers over time. We describe that WhiskEras performs better than other whisker-tracking algorithms on several metrics. On our four video segments, WhiskEras detected more whiskers per frame than the Biotact Whisker Tracking Tool. The signal-to-noise ratio of the output of WhiskEras was higher than that of Janelia Whisk. As a result, the correlation between reflexive whisker movements and cerebellar Purkinje cell activity appeared to be stronger than previously found using other tracking algorithms. We conclude that WhiskEras facilitates the study of sensorimotor integration by markedly improving the accuracy of whisker tracking in untrimmed mice.

10.
Cell Rep ; 32(1): 107867, 2020 07 07.
Artigo em Inglês | MEDLINE | ID: mdl-32640232

RESUMO

The cerebellum is involved in the control of voluntary and autonomic rhythmic behaviors, yet it is unclear to what extent it coordinates these in concert. We studied Purkinje cell activity during unperturbed and perturbed respiration in lobules simplex, crus 1, and crus 2. During unperturbed (eupneic) respiration, complex spike and simple spike activity encode the phase of ongoing sensorimotor processing. In contrast, when the respiratory cycle is perturbed by whisker stimulation, mice concomitantly protract their whiskers and advance their inspiration in a phase-dependent manner, preceded by increased simple spike activity. This phase advancement of respiration in response to whisker stimulation can be mimicked by optogenetic stimulation of Purkinje cells and prevented by cell-specific genetic modification of their AMPA receptors, hampering increased simple spike firing. Thus, the impact of Purkinje cell activity on respiratory control is context and phase dependent, highlighting a coordinating role for the cerebellar hemispheres in aligning autonomic and sensorimotor behaviors.


Assuntos
Sistema Nervoso Autônomo/fisiologia , Cerebelo/fisiologia , Sensação/fisiologia , Potenciais de Ação/fisiologia , Animais , Comportamento Animal/fisiologia , Feminino , Masculino , Camundongos Endogâmicos C57BL , Camundongos Knockout , Atividade Motora/fisiologia , Movimento , Optogenética , Probabilidade , Células de Purkinje/fisiologia , Receptores de AMPA/metabolismo , Respiração , Sinapses/fisiologia , Fatores de Tempo , Vibrissas/fisiologia
11.
Sci Rep ; 9(1): 9232, 2019 Jun 25.
Artigo em Inglês | MEDLINE | ID: mdl-31239449

RESUMO

The paper presents an unprecedented description of the climatology of ionospheric irregularities over the Arctic derived from the longest Global Navigation Satellite Systems data series ever collected for this specific aim. Two TEC and scintillation receivers are working at Ny-Ålesund (Svalbard, NO), the first of which has been installed in late September 2003. They sample the L1 and L2 signals at 50 Hz from all the GPS satellites in view. The receivers monitor an area of about 600 km radius that includes the auroral and cusp/cap regions in the European longitudinal sector. The length of the data series and the privileged site of observation allow describing the Arctic ionosphere along about two solar cycles, from the descending phase of cycle 23 to almost the end of cycle 24. Our analysis results into a detailed assessment of the long-term behaviour of the ionosphere under solar maximum and solar minimum conditions, including several periods of perturbed ionospheric weather caused by unfavourable helio-geophysical conditions. Since November 2015, a multi-constellation GNSS receiver has been deployed in Ny-Ålesund, providing the opportunity to perform the ionospheric climatology from Galileo signals. The results offer realistic features of the high latitude ionosphere that can substantially contribute to the necessary improvements of forecasting models, providing a broad spectrum of ionospheric reactions to different space weather conditions.

13.
Sensors (Basel) ; 19(11)2019 Jun 11.
Artigo em Inglês | MEDLINE | ID: mdl-31212588

RESUMO

We introduce a new information and communication technology (ICT) cloud-based architecture for Global Navigation Satellite System (GNSS) high-accuracy solutions, offering also a commercial overview of GNSS downstream market to show how the developed innovation is thought to fit in the real context. The designed architecture is featured by dynamic scalability, increased integrity, and greater agility of the ICT system. The novelty of the solution developed is a customized ICT architecture, obtained through unique and privileged access to user communities in the frame of the H2020 project TREASURE, allowing the development of a solution entirely driven by user needs. The economic outlook of GNSS downstream markets evolution highlights how the technology proposed effectively matches the evolving business environment, specifically in regard to the increasing need for flexibility and competitive advantage deriving from services. The simultaneous adoption of the technical and commercial perspective is meant to offer interesting findings to both the scientific community and GNSS industry, creating synergies previously unexplored.

14.
PLoS Comput Biol ; 15(5): e1006475, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-31059498

RESUMO

Inferior olivary activity causes both short-term and long-term changes in cerebellar output underlying motor performance and motor learning. Many of its neurons engage in coherent subthreshold oscillations and are extensively coupled via gap junctions. Studies in reduced preparations suggest that these properties promote rhythmic, synchronized output. However, the interaction of these properties with torrential synaptic inputs in awake behaving animals is not well understood. Here we combine electrophysiological recordings in awake mice with a realistic tissue-scale computational model of the inferior olive to study the relative impact of intrinsic and extrinsic mechanisms governing its activity. Our data and model suggest that if subthreshold oscillations are present in the awake state, the period of these oscillations will be transient and variable. Accordingly, by using different temporal patterns of sensory stimulation, we found that complex spike rhythmicity was readily evoked but limited to short intervals of no more than a few hundred milliseconds and that the periodicity of this rhythmic activity was not fixed but dynamically related to the synaptic input to the inferior olive as well as to motor output. In contrast, in the long-term, the average olivary spiking activity was not affected by the strength and duration of the sensory stimulation, while the level of gap junctional coupling determined the stiffness of the rhythmic activity in the olivary network during its dynamic response to sensory modulation. Thus, interactions between intrinsic properties and extrinsic inputs can explain the variations of spiking activity of olivary neurons, providing a temporal framework for the creation of both the short-term and long-term changes in cerebellar output.


Assuntos
Potenciais de Ação/fisiologia , Núcleo Olivar/fisiologia , Animais , Cerebelo/fisiologia , Fenômenos Eletrofisiológicos , Feminino , Junções Comunicantes/fisiologia , Masculino , Potenciais da Membrana/fisiologia , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Knockout , Neurônios/fisiologia , Periodicidade
16.
Elife ; 72018 12 18.
Artigo em Inglês | MEDLINE | ID: mdl-30561331

RESUMO

Cerebellar plasticity underlies motor learning. However, how the cerebellum operates to enable learned changes in motor output is largely unknown. We developed a sensory-driven adaptation protocol for reflexive whisker protraction and recorded Purkinje cell activity from crus 1 and 2 of awake mice. Before training, simple spikes of individual Purkinje cells correlated during reflexive protraction with the whisker position without lead or lag. After training, simple spikes and whisker protractions were both enhanced with the spiking activity now leading behavioral responses. Neuronal and behavioral changes did not occur in two cell-specific mouse models with impaired long-term potentiation at their parallel fiber to Purkinje cell synapses. Consistent with cerebellar plasticity rules, increased simple spike activity was prominent in cells with low complex spike response probability. Thus, potentiation at parallel fiber to Purkinje cell synapses may contribute to reflex adaptation and enable expression of cerebellar learning through increases in simple spike activity.


Assuntos
Potenciais de Ação/fisiologia , Cerebelo/fisiologia , Células de Purkinje/fisiologia , Reflexo/fisiologia , Vibrissas/fisiologia , Animais , Cerebelo/citologia , Potenciação de Longa Duração/fisiologia , Camundongos Endogâmicos C57BL , Camundongos Knockout , Camundongos Transgênicos , Estimulação Física , Tato
17.
Eur J Pediatr ; 177(9): 1371-1375, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-29353440

RESUMO

The board game Kaledo was proven to be effective in improving nutrition knowledge and in modifying dietary behavior in students attending middle and high school. The present pilot study aims to reproduce these results in younger students (7-11 years old) attending primary school. A total of 1313 children from ten schools were recruited to participate in the present study. Participants were randomized into two groups: (1) the treatment group which consisted of playing Kaledo over 20 sessions and (2) the no intervention group. Anthropometric measures were carried out for both groups at baseline (prior to any treatment) and at two follow-up post-assessments (8 and 18 months). All the participants completed a questionnaire concerning physical activity and a 1-week food diary at each assessment. The primary outcomes were (i) BMI z-score, (ii) scores on physical activity, and (iii) scores on a dietary questionnaire. BMI z-score was significantly lower in the treated group compared to the control group at 8 months. Frequency and duration of self-reported physical activity were also significantly augmented in the treated group compared to the control group at both post-assessments. Moreover, a significant increase in the consumption of healthy food and a significant decrease in junk food intake were observed in the treated group. CONCLUSION: The present results confirm the efficacy of Kaledo in younger students in primary schools, and it can be used as a useful nutritional tool for obesity prevention programs in children. What is Known: • Kaledo is a new educational board game to improve nutrition knowledge and to promote a healthy lifestyle. • In two cluster randomized trials conducted in Campania region (Italy), we showed that Kaledo could improve nutrition knowledge and dietary behavior and have a positive effect on the BMI z-score in children with age ranging from 9 to 14 years old attending school. • Kaledo may be used as an effective tool for obesity prevention programs in middle and high school students. What is New: • Investigating the effects of Kaledo on younger primary school children (7-11 year olds), Kaledo could be an effective tool in obesity prevention programs for children as young as 7 years old.


Assuntos
Exercício Físico/fisiologia , Jogos Recreativos , Promoção da Saúde/métodos , Estilo de Vida Saudável , Obesidade Pediátrica/prevenção & controle , Antropometria , Criança , Ingestão de Alimentos , Feminino , Comportamentos Relacionados com a Saúde/fisiologia , Humanos , Masculino , Projetos Piloto , Serviços de Saúde Escolar , Instituições Acadêmicas , Estudantes , Inquéritos e Questionários
18.
Eur J Pediatr ; 174(2): 217-28, 2015 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-25048788

RESUMO

UNLABELLED: During childhood and adolescence, a game could be an effective educational tool to learn healthy eating habits. We developed Kaledo, a new board game, to promote nutrition education and to improve dietary behavior. A two-group design with one pre-treatment assessment and two post-treatment assessments was employed. A total of 3,110 subjects (9-19 years old) from 20 schools in Campania, Italy, were included in the trial. In the treated group, the game was introduced each week over 20 consecutive weeks. Control group did not receive any intervention. The primary outcomes were (i) score on the "Adolescent Food Habits Checklist" (AFHC), (ii) scores on a dietary questionnaire, and (iii) BMI z-score. At the first post-assessment (6 months), the treated group obtained significantly higher scores than the control group on the AFHC (14.4 (95 % confidence interval (CI) 14.0 to 14.8) vs 10.9 (95 % CI 10.6 to -11.2); F(1,20) = 72.677; p < 0.001) and on four sections of the dietary questionnaire: "nutrition knowledge" (6.5 (6.4 to 6.6) vs 4.6 (4.5 to 4.7); F(1,16) = 78.763; p < 0.001), "healthy and unhealthy diet and food" (11.2 (11.0 to 11.4) vs 10.4 (10.3 to 10.6); F(1,32) = 21.324; p < 0.001), "food habits" (32.4 (32.0 to 32.8) vs 27.64 (27.3 to 28.0); F(1,26) = 195.039; p < 0.001), and "physical activity" (13.4 (13.2 to 13.7) vs 12.0 (11.8 to 12.6); F(1,20) = 20.765; p < 0.001). Moreover, the treated group had significantly lower BMI z-score with respect to the controls at the first (0.44 (0.42 to 0.46) vs 0.58 (0.56 to 0.59), F(1,18) = 16.584, p = 0.001) and at the second (18 months) (0.34 (0.30 to 0.38) vs 0.58 (0.54 to 0.62), F(1,13) = 7.577; p = 0.017) post-assessments. CONCLUSION: Kaledo improved nutrition knowledge and dietary behavior over 6 months and had a sustained effect on the BMI z-score. Therefore, it may be used as an effective tool in childhood and adolescence obesity prevention programs.


Assuntos
Ciências da Nutrição Infantil/educação , Ciências da Nutrição Infantil/instrumentação , Educação em Saúde/métodos , Promoção da Saúde/métodos , Estado Nutricional/fisiologia , Serviços de Saúde Escolar , Adolescente , Criança , Feminino , Comportamentos Relacionados com a Saúde , Humanos , Masculino , Obesidade Pediátrica/prevenção & controle
19.
J Neurosci ; 34(5): 1949-62, 2014 Jan 29.
Artigo em Inglês | MEDLINE | ID: mdl-24478374

RESUMO

Whisker-based object localization requires activation and plasticity of somatosensory and motor cortex. These parts of the cerebral cortex receive strong projections from the cerebellum via the thalamus, but it is unclear whether and to what extent cerebellar processing may contribute to such a sensorimotor task. Here, we subjected knock-out mice, which suffer from impaired intrinsic plasticity in their Purkinje cells and long-term potentiation at their parallel fiber-to-Purkinje cell synapses (L7-PP2B), to an object localization task with a time response window (RW). Water-deprived animals had to learn to localize an object with their whiskers, and based upon this location they were trained to lick within a particular period ("go" trial) or refrain from licking ("no-go" trial). L7-PP2B mice were not ataxic and showed proper basic motor performance during whisking and licking, but were severely impaired in learning this task compared with wild-type littermates. Significantly fewer L7-PP2B mice were able to learn the task at long RWs. Those L7-PP2B mice that eventually learned the task made unstable progress, were significantly slower in learning, and showed deficiencies in temporal tuning. These differences became greater as the RW became narrower. Trained wild-type mice, but not L7-PP2B mice, showed a net increase in simple spikes and complex spikes of their Purkinje cells during the task. We conclude that cerebellar processing, and potentiation in particular, can contribute to learning a whisker-based object localization task when timing is relevant. This study points toward a relevant role of cerebellum-cerebrum interaction in a sophisticated cognitive task requiring strict temporal processing.


Assuntos
Aprendizagem por Associação/fisiologia , Cerebelo/citologia , Cerebelo/fisiologia , Potenciação de Longa Duração/fisiologia , Células de Purkinje/fisiologia , Vibrissas/inervação , Potenciais de Ação/fisiologia , Animais , Animais Geneticamente Modificados , Comportamento de Ingestão de Líquido/fisiologia , Feminino , Potenciação de Longa Duração/genética , Camundongos , Percepção de Movimento/fisiologia , Proteínas do Tecido Nervoso/deficiência , Proteínas do Tecido Nervoso/genética , Tempo de Reação/fisiologia , Sinapses/fisiologia , Fatores de Tempo , Vigília , Privação de Água/fisiologia
20.
J Cardiovasc Med (Hagerstown) ; 14(7): 477-99, 2013 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-23615077

RESUMO

In Italy the existence of a law on health protection of competitive sports since 1982 has favored the creation and the revision of these cardiological guidelines (called COCIS), which have reached their fourth edition (1989-2009). The present article is the second English version, which has summarized the larger version in Italian. The experience of the experts consulted in the course of these past 20 years has facilitated the application and the compatibility of issues related to clinical cardiology to the sports medicine field. Such prolonged experience has allowed the clinical cardiologist to acquire knowledge of the applied physiology of exercise and, on the other hand, has improved the ability of sports physicians in cardiological diagnostics. All this work has produced these guidelines related to the judgment of eligibility for competitive sports in the individual clinical situations and in the different cardiovascular abnormalities and/or heart disease. Numerous arguments are debated, such as interpretation of the athlete's ECG, the utility of a preparticipation screening, arrhythmias, congenital heart disease, cardiomyopathies, arterial hypertension, ischemic heart disease and other particular issues.


Assuntos
Atletas , Definição da Elegibilidade , Cardiopatias/diagnóstico , Medicina Esportiva , Arritmias Cardíacas/diagnóstico , Cardiologia/métodos , Eletrocardiografia , Exercício Físico/fisiologia , Cardiopatias Congênitas/diagnóstico , Humanos , Itália , Exame Físico
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