The bacteria sense these compounds and respond by inducing the ex

The bacteria sense these compounds and respond by inducing the expression of nod genes and the production of Nod factors. During rhizobia–legume symbiosis, bacteria usually invade and colonize roots through structures called ‘infection threads.’

Various types of surface polysaccharides, including exopolysaccharides (EPS), lipopolysaccharides, and capsular polysaccharides, play important roles during the infection and formation of active nodules (Fraysse et al., 2003; Skorupska et al., 2006). Mutants deficient in the production of these polysaccharides fail to induce infection thread formation or to develop effective nodules (Hirsch, 1999). Cyclic glucans, present in bacterial periplasm and secreted into the culture Seliciclib medium, are essential for osmoadaptation

of the bacteria, and may play a role in the symbiosis (Zorreguieta et al., 1990). Bacterial surface components, particularly exopolysaccharides, flagella, and lipopolysaccharides, in combination with the presence of bacterial functional signals, are crucial for the formation of biofilms in all species studied so far. Biofilms are defined as bacterial communities surrounded by a self-produced polymeric matrix, and reversibly attached to an inert or a biotic surface (Costerton et al., 1995). After attachment to the surface, the bacteria multiply, and the communities acquire a three-dimensional structure, in some cases permeated by channels. The channels act as a ‘circulatory system,’ allowing

N-acetylglucosamine-1-phosphate transferase the I-BET-762 bacteria to exchange water, nutrients, enzymes, and signals, dispose of potentially toxic metabolites, and enhance metabolic cooperativity (Costerton et al., 1995; Stanley & Lazazzera, 2004). However, it is difficult to draw a clear line between simple aggregates vs. firmly attached biofilms on a surface. It seems that the term ‘biofilm’ is now applied to what were previously described as bacterial aggregation, microcolony, agglutination, and flocculation. Biofilm composition differs depending on the system. The major components are typically water and bacterial cells. The next most important component is a polysaccharide matrix composed of exopolysaccharides (Sutherland, 2001), which provides a physical barrier against diffusion of compounds such as antibiotics and defense substances from the host, and protection against environmental stress factors such as UV radiation, pH changes, osmotic stress, and desiccation (Flemming, 1993; Gilbert et al., 1997). In Agrobacterium tumefaciens, a plant pathogen that persists as surface-associated populations on plants or soil particles, cellulose overproduction resulted in increased biofilm formation on roots (Matthysse et al., 2005). Minor components include macromolecules such as proteins, DNA, and various products released by lysis (Branda et al., 2005), which also affect the properties of biofilms as a whole.

ABC-3TC is an acceptable alternative option in patients with a ba

ABC-3TC is an acceptable alternative option in patients with a baseline VL <100 000 copies/mL, but must only be MG-132 in vivo used after ensuring a patient is HLA-B*57:01 negative. When selecting an NRTI backbone, factors such as potential side effects, co-morbidities, patient preference and cost should also be considered. Observational studies have variably reported associations between ABC and CVD [11-13], and TDF may cause renal disease [14]. These aspects will be discussed in more detail in Section 8. However, based on the balance of current evidence we suggest

ABC is not used in individuals at high risk of CVD (see Section 8.6 Cardiovascular disease) and TDF is not used in patients with stage 3–5 CKD or at high risk of progression of CKD (see Section 8.5 Chronic kidney disease) if acceptable alternative ARVs are available. Proteasome inhibitor review The Writing Group believes there is no routine role for other NRTI backbones in the treatment of ART-naïve patients. Zidovudine (ZDV)-3TC may be considered in certain specific circumstances (e.g. pregnancy; see BHIVA Guidelines for the Management of HIV Infection in Pregnant Women 2012 [15]) but should not be given routinely due to the proven association with mitochondrial toxicity, particularly lipoatrophy, with ZDV. There is no place for the use of stavudine- or didanosine-containing regimens as initial therapy, due to the associations with

significant mitochondrial and hepatic toxicities. We recommend therapy-naïve patients start combination ART containing

ATV/r, DRV/r, EFV, RAL or ELV/COBI as the third agent (1A). We suggest that for therapy-naïve patients LPV/r and FPV/r are acceptable alternative PIs, and NVP and RPV are acceptable alternative NNRTIs (2A). NVP must only be used according to CD4 criteria and RPV should only be used in patients with baseline VL <100 000 copies/mL. The BHIVA Guidelines for the Treatment of HIV-1-infected Adults with Antiretroviral Therapy 2008 [16] recommended EFV as the preferred third agent in view of significantly better virological outcomes compared with LPV/r [17]. A similar outcome was subsequently reported in a smaller randomized study of patients commencing ART with advanced disease, as defined Thymidine kinase by a CD4 cell count of <200 cells/μL [18]. Since the 2008 guidelines, a number of comparative studies against either EFV, LPV/r or ATV/r have been reported, investigating alternative third agents. Comparison with EFV: ATV/r [19-25]; RAL [26-29]; RPV [30-32]; ELV/COBI [33]. Comparison with LPV/r: ATV/r [32]; DRV/r [35-37]. Comparison with r/ATV; ELV/COBI [34]. For the current guidelines, evidence for agreed treatment outcomes for each potential third agent was compared with EFV, either directly or indirectly depending on the available evidence (Appendix 3). ATV/r and RAL have been compared directly with EFV in RCTs. For critical virological efficacy and safety outcomes, no differences were identified between EFV and either ATV/r or RAL.

Expectancy ratings and SCR amplitudes were higher for CS+ as comp

Expectancy ratings and SCR amplitudes were higher for CS+ as compared with CS– conditions during acquisition and reversal,

indicating that participants successfully learned the CS–US contingencies in both stages of the experiment. Expectancy values were used in turn for model fitting and model comparison, which confirmed the hypothesis that an RW/PH hybrid model provided a significantly learn more more accurate explanation of behaviour than an RW learning rule in line with previous accounts (Le Pelley, 2004; Li et al., 2011). BOLD responses in the CM and ventral midbrain tracked the unsigned PE at the time of outcome, whereas activity in the BLA correlated negatively with associability at the time of CS onset. Dopamine neurons in the ventral midbrain in monkeys have recently been shown to signal unexpected positive check details and negative events similar to unsigned PEs (Matsumoto & Hikosaka, 2009) in addition to their well-known role in the encoding of signed PEs (Schultz & Dickinson, 2000). Likewise, the amygdala has been shown to be sensitive to unexpected events irrespective of their valence (Belova et al., 2007; Metereau & Dreher, 2012)

and to unpredictability itself (Herry et al., 2007). Also, unsigned PE signals have been reported during reward learning in the rodent amygdala (Roesch et al., 2010). Our findings are in line with these reports, demonstrating for the first time an unsigned PE signal during aversive learning in the human amygdala and in Gemcitabine in vivo the ventral midbrain. The unsigned PE reported here represents a US processing signal that is large for unexpected shocks and unexpected omissions, and has equal characteristics for CS– and CS100 as it decreases when outcomes become more expected and increases again at the beginning of the reversal stage. Being derived from an RW/PH hybrid learning model, it reflects a signal of immediate surprise that guides attention to unexpected outcomes and thereby reinforces subsequent learning. In particular, the central nucleus of the amygdala (CE; located within the CM) is widely known for its critical role in mediating

attention and vigilance, and many lesion studies in rodents have shown that a circuitry including the CE is critical for surprise/attention-induced enhancement of learning (Holland & Gallagher, 1999; Davis & Whalen, 2001). In a typical experimental setting, rats are trained to a tone–light sequence. Omission of the tone increases attention to the light and accelerates subsequent learning of light–food associations. The surprise-induced enhancement of learning was, however, absent in rats with lesions of the CE (Holland & Gallagher, 1993). Equally, rats in which the communication between the CE and SN was disrupted showed no surprise-enhanced learning and CE–SN projections have been suggested to reflect PE information in appetitive conditioning (Lee et al., 2006, 2010).

However, glial fibrillary acidic protein-expressing astrocytes we

However, glial fibrillary acidic protein-expressing astrocytes were withdrawn from the perilesional area in EphA4 KO, suggesting that gliosis down-regulation

may locally contribute to improve axonal growth at the injury site. In summary, our three-dimensional analysis of injured mouse optic nerves reveals beneficial effects of EphA4 ablation on the intensity Crizotinib cell line and the pattern of optic nerve axon regeneration. “
“Stop-signal paradigms operationalize a basic test of goal-directed behaviour whereby an overarching stop goal that is performed intermittently must be maintained throughout ongoing performance of a reaction time go task (go goal). Previous studies of sustained brain activation during stop-signal task performance in humans did not observe activation of the dorsolateral prefrontal cortex

(DLPFC) that, in concert with the parietal cortex, is known to subserve goal maintenance. Here we explored the hypothesis that Ion Channel Ligand Library concentration a DLPFC and parietal network has a key role in supporting ongoing stop-signal task performance. We used a blocked functional magnetic resonance imaging design that included blocks of trials containing typical stop-signal paradigm stimuli that were performed under three conditions: Stop condition, which required reaction time responding to go stimuli and inhibition of cued responses upon presentation of a stop signal; Go condition, identical except that the tone was ignored; and Passive condition, which required only quiescent attention to stimuli. We found that, whereas a distributed corticothalamic network was more active in Stop compared with Go, only the right DLPFC and bilateral parietal cortex survived after masking that contrast with Stop compared with Passive. These findings indicate that sustained activation of a right dominant frontoparietal network supports stop goal processes Interleukin-3 receptor during ongoing performance of the stop-signal task. “
“Circumstances may render the

consequence of falling quite severe, thus maximising the motivation to control postural sway. This commonly occurs when exposed to height and may result from the interaction of many factors, including fear, arousal, sensory information and perception. Here, we examined human vestibular-evoked balance responses during exposure to a highly threatening postural context. Nine subjects stood with eyes closed on a narrow walkway elevated 3.85 m above ground level. This evoked an altered psycho-physiological state, demonstrated by a twofold increase in skin conductance. Balance responses were then evoked by galvanic vestibular stimulation. The sway response, which comprised a whole-body lean in the direction of the edge of the walkway, was significantly and substantially attenuated after ~800 ms. This demonstrates that a strong reason to modify the balance control strategy was created and subjects were highly motivated to minimise sway.

Electron microscopy also showed that in the case of the wild-type

Electron microscopy also showed that in the case of the wild-type S. Enteritidis uptake, the Salmonella-containing vacuoles (SCV) developed towards the spacious ones while in the case of all the rfa mutants, the vacuole closely fitted the S. Enteritidis cell inside and signs of bacterial cell disintegration could be observed inside the vacuole (Fig. 2). In this study, we have characterized the interactions between attenuated S. Enteritidis mutants and porcine WBC in vitro. Such knowledge might be useful for the prediction of the properties of attenuated HDAC inhibitor S. enterica mutants used as vaccines against salmonellosis itself or as vectors for targeting particular cell types including cancer cells. Three different

types of association profiles have been found among the tested attenuated mutants. First, the phoP and aroA mutants did not differ from the wild-type S. Enteritidis in any of the assays. Second, the see more fliC and ΔSPI1-5 mutants, exhibited only minor differences when compared with the wild-type strain – likely due to the defect in chemotaxis in the fliC mutant (Khoramian-Falsafi et al., 1990; Jones et al., 1992) and the defect in cell invasion in the ΔSPI1-5 mutant (Kaniga et al., 1995). The last group comprising of rfaC,

rfaG and rfaL mutants was characterized by a highly increased association with the host immune cells. The differences from the interaction with the wild-type strain could also be seen in the development of SCV, which, unlike the spacious one seen after the wild-type strain infection (Alpuche-Aranda et al., 1994; Boyen et al., 2006), fitted closely to the surface of the rfaC mutant (Fig. 2). Our results show that type III secretion systems encoded by SPI-1, SPI-2 or flagellar operons have only a minor influence on the initial interactions of S. Enteritidis with porcine leukocytes. Instead, this interaction was dependent on the oligosaccharides Phospholipase D1 exposed at the surface of S. Enteritidis. Interestingly, even within the rfa mutants, there were certain differences. In the absence of serum, the rfaL mutant expressing

lipopolysaccharide without the O-antigen exhibited an increased affinity for T-lymphocytes while the rfaC and rfaG mutants expressing lipopolysaccharide without the outer and the inner oligosaccharide core, respectively, associated more than the rfaL mutant with B-lymphocytes. All of these results might be used in rational vaccine design. However, if critically evaluated, live Salmonella vaccines for animal use are administered orally and therefore will be exposed to blood leukocytes only very rarely. On the other hand, attenuated S. enterica strains that were tested for tumor therapy in mice and humans were administered intravenously (Toso et al., 2002; Zhao et al., 2005; Leschner et al., 2009; Vendrell et al., 2011), i.e. they were immediately subjected to interactions with the blood leukocytes and via the circulation also to other cell types.

The secure environment, of which prison is one, is an area in whi

The secure environment, of which prison is one, is an area in which the care and management of diabetes have been currently identified as being quite variable in terms of practice. This Selleck Pictilisib clearly needs to be investigated

in order to strive for the implementation of gold standards of care for this client group. This article pinpoints the current strengths and weaknesses, as well as suggesting potential recommendations to improve current clinical practices regarding the care and management of prisoners with diabetes. The focus is primarily on the United Kingdom, but a number of the points made, as well as the potential care recommendations, could be implemented globally. Copyright © 2014 John Wiley & Sons. Practical Diabetes 2014; 31(2):

62–66 “
“This article aims to investigate the prevalence of female sexual dysfunction and sexual health problems in women with diabetes. We explore the causes, natural history and available treatments. We have examined evidence from clinical PLX4032 in vitro and non-clinical studies for sexual dysfunction in women with diabetes and report this information alongside our own large, self-reported study of sexual health problems. Sexual dysfunction is more prevalent in diabetic women compared to controls. Problems identified include reduced vaginal lubrication, inability to achieve orgasm, dyspareunia and reduction in libido. Other sexual health concerns include genito-urinary infection, problems of self-image, depression and mood-related issues, plus a range of reproductive and contraceptive worries. Leukotriene-A4 hydrolase In conclusion, sexual health problems are common in women with diabetes. Women should be encouraged to talk about sexual health issues, and specialist advice and therapies should be made available to those who need it. Psychological factors have a more profound effect on sexual functioning in women with diabetes compared to men where physical sexual dysfunction (erectile dysfunction) is the

dominant problem. Copyright © 2013 John Wiley & Sons. “
“The aim of this study was to establish the characteristics of adults with type 1 diabetes who disengaged entirely from diabetes care provision. Those who were classified as disengaged had no recorded HbA1c value in either primary or secondary care during the preceding 15 months. A clinical database was used to identify patients with type 1 diabetes who were disengaged and to generate comparative data on those patients who had at least one HbA1c value recorded in the previous 15 months (classified as engaged). Of 2772 adults with type 1 diabetes in Grampian, there was no recorded HbA1c value for 229 (8.3%) in the previous 15 months. Those who were disengaged were significantly younger (p<0.001), more commonly experienced clinical levels of anxiety (Fisher’s exact test, p=0.0442) and depression (Fisher’s exact test, p=0.

In this case, we used a 32-electrode set (10–20 system), and chos

In this case, we used a 32-electrode set (10–20 system), and chose a

common deviant probability value across blocks (16.67%), under the assumption that refractoriness issues are less relevant at larger SOA values (for an illustration of the effects of refractoriness on deviant N1 in rapid auditory trains, see the Supporting Information, section B). Anisochrony was limited to a ± 20% SOA jitter, as in the main experiment. Blocks comprised three different deviant repetition probability levels: 50%, 75% and 100%, administered in either ascending or descending order, counterbalanced between subjects. For the sake of the present analysis, only 50% and 100% blocks were considered (for the 75% probability level, see the Supporting Information, section A). EEG processing parameters Regorafenib and statistical analyses were unchanged, except that each ERP was individually baselined. Z-VAD-FMK mouse The slow presentation rate yielded a more distinct N1, so that the N1 and MMN could be disentangled in time (at Fz, the N1 was analysed in a 90–130-ms

window and the N2/MMN in a 150–190-ms window). A significant effect of stimulus type was found for the N1 responses to both first and repeated deviant tones. First deviant tones significantly differed from standard tones: F1,14 = 45.386, P < 0.001, partial η2 = 0.764. The response to first deviant tones (mean = −2.368 μV, SE = 0.273 μV) was more negative than the standard tone response (mean = −0.386 μV, SE = 0.056 μV). Repeated deviant tones also significantly differed from standard tones: F1,14 = 20.911, P < 0.001, partial η2 = 0.599. Again, the response to deviant tones (mean = −1.747 μV, SE = 0.279 μV) was more negative than the standard tone response (see the main experiment section of Table 1 for the omnibus anova results. As there was no significant temporal regularity × stimulus type interaction, we infer that temporal information does not enter the computation of first-order prediction error in fast auditory sequences. Figure 2 displays the grand average standard, first and repeated deviant ERPs, overlaid for a direct

comparison. Table 2 (main experiment section) shows the relevant omnibus anova results on MMN amplitudes. Crucially, Acyl CoA dehydrogenase the repetition × repetition probability × temporal regularity interaction was significant: F1,14 = 5.859, P = 0.030, partial η2 = 0.295. Follow-up tests were conducted separately for the two temporal regularity levels. A significant repetition × repetition probability interaction emerged within isochronous sequences: F1,14 = 5.313, P = 0.037, partial η2 = 0.275. A significant difference between first deviant tones and highly probable deviant tone repetitions was shown using t-tests: t14 = −2.376, P = 0.032. The response to highly probable deviant repetitions (mean = −0.926 μV, SE = 0.377 μV) was largely attenuated compared with the first deviant tone response (mean = −1.893 μV, SE = 0.505 μV).

pylori infection should have an apparent effect in preventing vir

pylori infection should have an apparent effect in preventing virulence factor release by stressed or dying bacteria apart from its bacteriostatic or bactericidal activity. Additionally, when allitridi undergoes partial degradation in vivo or there is interference with other factors, it would still be helpful for patients because subinhibitory concentrations of allitridi

effectively suppresses the production of virulence proteins. It has been well documented that VacA plays a role in H. pylori colonization, survival (Salama et al., 2001) and epithelial damage (Telford et al., 1994), whereas CagA is associated with higher grades of gastric www.selleckchem.com/screening/anti-infection-compound-library.html mucosal inflammation, atrophic gastritis and gastric carcinoma (Hatakeyama & Higashi, 2005). Therefore, application of allitridi can be expected to decrease the probability of H. pylori infection and to prevent the incidence of H. pylori-related gastric diseases. In this study, our data indicate that the bacteriostatic mechanism of allitridi in H. pylori can

be attributed to its multitarget BIBW2992 purchase inhibitory effects. Figure 4 shows a simple model of the antibacterial mode of action of allitridi according to our results. However, it is still unclear whether this inhibitory effect is direct or indirect. The chemical structure of DATS is allyl-S-S-S-allyl (C6H10S3) (Davis, 2005). It has been suggested that garlic-derived organosulfur compounds can modify SH-containing enzymes via thiol-disulfide exchange (Pinto et al., 2006). The reaction of DATS with protein thiols is allyl-S-S-S-allyl+protein-SHprotein-S-S-allyl+allyl-S-SH. This reaction may either activate or inactivate the SH-containing protein, which is dependent on the intrinsic nature of a protein or an enzyme (Klatt Leukocyte receptor tyrosine kinase & Lamas, 2000). We postulate that the primary targets of allitridi are likely to

be the SH-containing proteins, and the activity variation of SH-containing protein would result in abundant changes in certain proteins. In summary, to our knowledge, the present study, for the first time, elucidates the antibacterial mode of action of allitridi at a global protein level, which provides a theoretical basis for the potential application of allitridi as a therapeutic agent against H. pylori infection. However, more clinical evaluations of the anti-H. pylori activity of allitridi are still needed. This work was supported by the National Natural Science Foundation of China (accession numbers 30770118, 3000406, 30800037, 30972775 and 30800614), the National Basic Research Program of China (973 Program 2007CB512001) and the Science Foundation of Shandong Province (accession numbers 2005GG3202087 and Y2004C03). S.L. and Y.S. contributed equally to this work. “
“During the establishment of Escherichia coli O157:H7 infection, its capacity to adhere to host intestinal epithelial cells is the critical first step in pathogenesis.

Dechloromonas, the most abundant genus of them, has been isolated

Dechloromonas, the most abundant genus of them, has been isolated from the gut of earthworms and was shown to have the ability to produce N2O and carry out complete denitrification (Horn et al., 2005). Desulfomicrobium norvegicum was one of the dominant species of Deltaproteobacteria and is able to tolerate microaerophilic conditions. It was originally described as a member of the genus Desulfovibrio (Genthner et al., 1997), Alisertib molecular weight which was also detected in the reed rhizosphere and considered to be

able to use carbohydrates and propanediols as carbon sources (Basso et al., 2005; Vladar et al., 2008). Pelobacter propionicus, another dominant species in Deltaproteobacteria, can use 2,3-butanediol, acetoin, ethanol, pyruvate, and lactate for growth under strictly anaerobic conditions and induce propionate formation Talazoparib from C2 compounds (Schink, 1984). In addition, other species detected in this research such as D. limimaris, D. catecholicum, and D. putealis reflected the diversity of SRB in reed roots, which was quite similar to that found in the rhizosphere of P. australis in Lake Velencei in Hungary (Vladar et al., 2008). Sulfurospirillum halorespirans in the Epsilonproteobacteria subgroup was detected in our library and has been reported to be capable of reducing

tetrachloroethene to cis-dichloroethene in an anaerobic environment (Luijten et al., 2004). In addition, they were also able to reduce oxidized metals and to reduce and oxidize quinone moieties coupled to energy conservation

(Luijten et al., 2004). All 15 clones assigned to Firmicutes belonged to order Clostridiales. The genus Clostridium has been reported to be a ubiquitous Tacrolimus (FK506) endophytic bacterium in gramineous plants and has exhibited nitrogen-fixing capability in association with nondiazotrophic endophytes (Minamisawa et al., 2004). In addition, sequences of some clones showed low identity to the cultured bacterial genera, but a high identity to the uncultured bacteria, revealing the presence of some uncultured bacteria in the reed endophytic bacterial community. Water eutrophication is one of the most challenging environmental problems in the world. At present, N and P input and enrichment in water are the primary factors thought to be responsible for eutrophication. Phragmites australis has been confirmed as an important plant with the capacity to degrade N and P in wetland systems. The water quality index analysis in this research showed that it contributed to removing approximately 56%, 48%, and 13% of the total N, P, and organic matter, respectively, in our study system. As reported, P. australis could absorb N and P in tissues to remove the nutrient in the water (Tian et al., 2009). In our clone library, we found many endophytic bacteria that were considered to have the capacity to fix nitrogen, such as P. oryzae and A. picis; we also detected some bacteria that might reduce nitrate to nitrite, such as A.

Arousal was not formally assessed in our study, eg by scores or

Arousal was not formally assessed in our study, e.g. by scores or skin conductance responses. Therefore, we cannot make judgements regarding the level of arousal. However, the fact that there was a matching in the behavioural results of the tasks does aid the interpretation of the motor data in that any differences seen for the two behavioural conditions are a consequence of differences relating to underlying processes in performing them (presumably related to the differences in external and internal attention) rather than potentially a result of different associated difficulties. Whatever

the final explanation, the results are of relevance to a number of different disorders. As noted in the Introduction, focal dystonia often appears to be associated with the repeated performance of movements made under conditions of highly focussed attention, EPZ5676 concentration such as occur in professional musicians. Indeed, attention is an important part of learning. However, too great a focus on one area may reduce inhibitory control in other areas and potentially contribute to an overflow of activity. In healthy individuals, this is often seen in the early phases of learning a see more new skill, but this is gradually reduced as learning progresses. It may that this natural process is defective in focal dystonia and leads to the persisting and unwanted activity characteristic

of the condition. It is remarkable how widespread is the range of disorders that involve abnormal SICI, e.g. dystonia (Sommer et al., 2002), Tourette’s syndrome (Orth & Rothwell, 2009), and first-episode schizophrenia (Wobrock et al., 2008). The interpretation tends to be that intracortical GABAA circuits per se are impaired. The

current study demonstrates a modulation towards a reduced amount of SICI when healthy participants pay attention to an internal or external locus. Therefore, the reduced inhibition seen in so many disorders might, in some cases, be explained by differences in cognitive states (attention state) rather than being a genuine physiological marker. A practical relevance of the present results seems more striking. High levels of attention are required for learning that interacts with synaptic plasticity processes (Ziemann et al., 2004). Behavioural data are supported by experimental methods that demonstrate the from interaction between attention and plasticity-inducing protocols (Stefan et al., 2004) that are facilitated by directing the subject’s attention to their own hand. This might be mediated via the fine tuning of inhibitory and excitatory circuits in the M1. A necessity of all goal-directed movements is the right balance between inhibiting and facilitating components. To reach an overall economical activation it is vital to be able to relax, for example, antagonistic muscles. The playing-related health problems of musicians are often the end-stage of suboptimal learning processes.