, 2011) Additionally,

Rbt5, Pga10, and Csa1 have been sh

, 2011). Additionally,

Rbt5, Pga10, and Csa1 have been shown to be involved in heme binding (Weissman & Kornitzer, 2004). Csa2 is a small non-GPI protein (146 amino acids including its predicted 18 amino acid SP) and is only detected in the medium, while the others are GPI proteins that are covalently linked to the wall or plasma membrane. Although the function of Csa2 is unknown, these data suggest that it is involved in iron acquisition as well. Conceivably, it might http://www.selleckchem.com/products/INCB18424.html function similar to Pra1. Msb2 is a signaling mucin with a large, heavily glycosylated extracellular domain, a single transmembrane sequence, and a short cytoplasmic domain. It senses cell wall damage and activates the Cek1 MAP kinase pathway (Roman et al., 2009). Despite its transmembrane sequence, Msb2 will be discussed here, because its extracellular domain is regularly found in the medium. It is cleaved off close to the plasma membrane and released into the extracellular environment (Szafranski-Schneider et al., 2012). In contrast to the S. cerevisiae homolog ScMsb2, which is processed by the GPI-anchored Sap9 ortholog ScYps1

(Vadaie et al., 2008), shedding in C. albicans is not dependent on Sap9 or Sap10 activity (Szafranski-Schneider et al., 2012). Proteomic analysis has identified peptides originating from the cleavage region of Msb2 under almost every culture condition. This region is not glycosylated, which facilitates the identification of Msb2 (Sorgo et al., 2010, 2011; Ene et al., 2012; Szafranski-Schneider et al., 2012; Palbociclib molecular weight Heilmann et al., submitted). Strikingly, the liberated extracellular part of Msb2 binds antimicrobial peptides, thus protecting C. albicans from the host immune response (Szafranski-Schneider et al., 2012). Secreted proteins with wall-related functions are presumably very abundant, as multiple tryptic peptides were detected in almost every growth condition (Fig. 2). The core set of seven secreted proteins detected in all conditions examined are glycosyl hydrolases (Table 1). They are generally responsible for maintaining cell wall integrity and wall remodeling,

and many of them are involved in cell separation, acting downstream of the regulation Baricitinib of Ace2 and morphogenesis (RAM) network (Saputo et al., 2012). Sun41 and Sim1/Sun42 belong to the SUN family as they both contain the so-called ‘SUN’ domain. Like their ortholog in S. cerevisiae, mutations in UTH1 and SUN42, SIM1, and SUN42 of C. albicans are synthetically lethal, and their individual inactivation leads to a serious cell separation defect (Mouassite et al., 2000; Firon et al., 2007). Both secreted proteins were detected consistently under all growth conditions examined. Furthermore, they are required to maintain wall integrity of the mother cell after cell separation, which suggests them acting downstream of the RAM pathway (Firon et al., 2007).

, 2011) Additionally,

Rbt5, Pga10, and Csa1 have been sh

, 2011). Additionally,

Rbt5, Pga10, and Csa1 have been shown to be involved in heme binding (Weissman & Kornitzer, 2004). Csa2 is a small non-GPI protein (146 amino acids including its predicted 18 amino acid SP) and is only detected in the medium, while the others are GPI proteins that are covalently linked to the wall or plasma membrane. Although the function of Csa2 is unknown, these data suggest that it is involved in iron acquisition as well. Conceivably, it might Neratinib order function similar to Pra1. Msb2 is a signaling mucin with a large, heavily glycosylated extracellular domain, a single transmembrane sequence, and a short cytoplasmic domain. It senses cell wall damage and activates the Cek1 MAP kinase pathway (Roman et al., 2009). Despite its transmembrane sequence, Msb2 will be discussed here, because its extracellular domain is regularly found in the medium. It is cleaved off close to the plasma membrane and released into the extracellular environment (Szafranski-Schneider et al., 2012). In contrast to the S. cerevisiae homolog ScMsb2, which is processed by the GPI-anchored Sap9 ortholog ScYps1

(Vadaie et al., 2008), shedding in C. albicans is not dependent on Sap9 or Sap10 activity (Szafranski-Schneider et al., 2012). Proteomic analysis has identified peptides originating from the cleavage region of Msb2 under almost every culture condition. This region is not glycosylated, which facilitates the identification of Msb2 (Sorgo et al., 2010, 2011; Ene et al., 2012; Szafranski-Schneider et al., 2012; selleck chemicals llc Heilmann et al., submitted). Strikingly, the liberated extracellular part of Msb2 binds antimicrobial peptides, thus protecting C. albicans from the host immune response (Szafranski-Schneider et al., 2012). Secreted proteins with wall-related functions are presumably very abundant, as multiple tryptic peptides were detected in almost every growth condition (Fig. 2). The core set of seven secreted proteins detected in all conditions examined are glycosyl hydrolases (Table 1). They are generally responsible for maintaining cell wall integrity and wall remodeling,

and many of them are involved in cell separation, acting downstream of the regulation Methocarbamol of Ace2 and morphogenesis (RAM) network (Saputo et al., 2012). Sun41 and Sim1/Sun42 belong to the SUN family as they both contain the so-called ‘SUN’ domain. Like their ortholog in S. cerevisiae, mutations in UTH1 and SUN42, SIM1, and SUN42 of C. albicans are synthetically lethal, and their individual inactivation leads to a serious cell separation defect (Mouassite et al., 2000; Firon et al., 2007). Both secreted proteins were detected consistently under all growth conditions examined. Furthermore, they are required to maintain wall integrity of the mother cell after cell separation, which suggests them acting downstream of the RAM pathway (Firon et al., 2007).

The phenomenon may be seen in MRI as multiple focal lesions with

The phenomenon may be seen in MRI as multiple focal lesions with a linear or spotty appearance following gadolinium enhancement.6 Similar cases of acute neuroschistosomiasis at the time of larval invasion have been reported previously, and show close radiological abnormalities to those identified here.7–9 Furthermore, INCB024360 the two cases presented herein were brothers with a common genetic

background, and they were considered to have been infected simultaneously with the same pathogen. They showed a close form of inflammatory, poly-symptomatic encephalitis and were identically managed by initial administration of praziquantel with apparent rapid resolution of most systemic symptoms and of neurological involvement as well. Remaining or secondary symptoms accounting for pyramidal signs with tremor or gait disturbance were improved with a rapid resolution following a second administration of praziquantel and the initiation of corticosteroid treatment. This observation is in-line with standard care of acute neuroschistosomiasis10 considering the option challenge with high doses of corticosteroids as soon as possible to attenuate or avoid cerebral vasculitis.10,11 Thus, the first dose of praziquantel

should be given when neurological symptoms have abated, to prevent worsening of central inflammation through larval lysis.11,12 A second dose of praziquantel should be given routinely a few weeks after the first dose, as praziquantel is only effective against fully grown worms. ADEM associated with S mansoni larval invasion has been documented infrequently. Public health Everolimus ic50 campaigns aimed at traveler education and increasing awareness of these risks are thus of prime importance. The physician should be alerted by the presence of neurological symptoms in patients presenting with Katayama fever to perform an MRI and initiate corticosteroid treatment if necessary to avoid aggravation. We thank Dr A. Doble for the generous help and proof reading. The authors state they

have no conflicts of interest to declare. “
“Old World mucosal leishmaniasis is a rare but regularly reported disease in Southern Europe. We report the case of a 64-year-old woman who developed severe hypokalemia under meglumine antimoniate treatment and was successfully Amoxicillin treated under second line therapy with miltefosine. A 64-year-old Swiss woman was referred by her dentist with therapy-refractory painful mucosal lesions in the oral cavity, persisting over the last 6 months. The dental examination revealed multiple mucosal lesions on the hard and soft palate, gingiva, and base of the tongue, with the largest lesion measuring about 15 mm in diameter (Figure 1). Past medical history and physical examination were otherwise unremarkable revealing no history of skin lesions. Routine laboratory investigations—including tests for underlying immunodeficiency—were inconspicuous.

The phenomenon may be seen in MRI as multiple focal lesions with

The phenomenon may be seen in MRI as multiple focal lesions with a linear or spotty appearance following gadolinium enhancement.6 Similar cases of acute neuroschistosomiasis at the time of larval invasion have been reported previously, and show close radiological abnormalities to those identified here.7–9 Furthermore, selleck compound the two cases presented herein were brothers with a common genetic

background, and they were considered to have been infected simultaneously with the same pathogen. They showed a close form of inflammatory, poly-symptomatic encephalitis and were identically managed by initial administration of praziquantel with apparent rapid resolution of most systemic symptoms and of neurological involvement as well. Remaining or secondary symptoms accounting for pyramidal signs with tremor or gait disturbance were improved with a rapid resolution following a second administration of praziquantel and the initiation of corticosteroid treatment. This observation is in-line with standard care of acute neuroschistosomiasis10 considering the option challenge with high doses of corticosteroids as soon as possible to attenuate or avoid cerebral vasculitis.10,11 Thus, the first dose of praziquantel

should be given when neurological symptoms have abated, to prevent worsening of central inflammation through larval lysis.11,12 A second dose of praziquantel should be given routinely a few weeks after the first dose, as praziquantel is only effective against fully grown worms. ADEM associated with S mansoni larval invasion has been documented infrequently. Public health Selleckchem AG14699 campaigns aimed at traveler education and increasing awareness of these risks are thus of prime importance. The physician should be alerted by the presence of neurological symptoms in patients presenting with Katayama fever to perform an MRI and initiate corticosteroid treatment if necessary to avoid aggravation. We thank Dr A. Doble for the generous help and proof reading. The authors state they

have no conflicts of interest to declare. “
“Old World mucosal leishmaniasis is a rare but regularly reported disease in Southern Europe. We report the case of a 64-year-old woman who developed severe hypokalemia under meglumine antimoniate treatment and was successfully PRKACG treated under second line therapy with miltefosine. A 64-year-old Swiss woman was referred by her dentist with therapy-refractory painful mucosal lesions in the oral cavity, persisting over the last 6 months. The dental examination revealed multiple mucosal lesions on the hard and soft palate, gingiva, and base of the tongue, with the largest lesion measuring about 15 mm in diameter (Figure 1). Past medical history and physical examination were otherwise unremarkable revealing no history of skin lesions. Routine laboratory investigations—including tests for underlying immunodeficiency—were inconspicuous.

The PCPs only ordered an antibiotic for travelers’ diarrhea for h

The PCPs only ordered an antibiotic for travelers’ diarrhea for half of the patients who were indicated and less of their patients picked it from the pharmacy compared to the pharmacists. Since the PTC visits are consistently structured to include extensive counseling on food/water precautions and food/water-borne illnesses, this may help explain why higher antibiotic pickup rates occurred among the PTC group.

In both groups, pickup rates for antibiotics were lower than for antimalarials, suggesting that the study population may perceive food- and water-borne illnesses GPCR & G Protein inhibitor as less serious than malaria. Omission of recommendations for antimalarials and vaccines when indicated was also common among PCPs. Purpose of travel and activities planned were only documented in half of the PCP visits, suggesting that the providers either do not take these variables into consideration or simply do not routinely

document these patient-specific factors. Practice guidelines suggest that taking into account these itinerary variables impacts the assessment of each patient’s indication for medications and vaccines, learn more and thus this may have affected the recommendations of PCPs.9 The use of medications for travel to destinations where antimicrobial resistance exists, such as ciprofloxacin as self-treatment for travelers’ diarrhea in Thailand or chloroquine for malaria chemoprophylaxis in Africa was another area where the PTC consistently showed higher compliance with national/international travel guidelines. Other areas of inconsistency between PCPs and the PTC involved recommendations of vaccines for diseases where no risk exists, such as Yellow Fever vaccine for a traveler to Southeast Asia. The observations that the PTC saw more travelers with volunteer work as their primary purpose and the PCPs saw more travelers with school as their primary purpose

was expected. The PTC frequently conducts group consultations, which can be more convenient for large, organized volunteer groups. Many DNA ligase study abroad programs require a medical exam and clearance prior to a student enrolling, which would necessitate a traveler to have a visit with a PCP. Since visits with the PTC and PCP were equal in length, vaccines were administered in the same clinic, and medications were dispensed from the same pharmacy, these factors should not have influenced outcomes. The PCPs generally had family medicine or internal medicine training background and did receive a 1-hour travel medicine update every year as part of a health center grand rounds program. While previous studies of international community pharmacists have not been positive toward their travel medicine knowledge, no such study has been conducted in the United States, where all schools of pharmacy confer only the Doctor of Pharmacy degree after 6 to 8 years of training and many graduates pursue post-graduate residencies.

Just as language fluency requires knowledge of how to connect wor

Just as language fluency requires knowledge of how to connect words together in a meaningful way, fluency in neuroanatomy requires a comprehensive understanding of the connections between different regions and an interest in connecting structure to function. Nearly 150 years ago, Paul Broca linked brain structure to function in his description of what is commonly known as Broca’s aphasia (Broca, 1861). His description of functional deficits that follow damage to the left ventrolateral

prefrontal cortex were soon followed by Carl Wernicke’s description of language deficits following damage to left posterior temporal cortex (Wernicke, 1874), and the development by Brodmann of the learn more most famous and most commonly known cytoarchitectonic map (Brodmann, 1909). Brodmann’s map attempted to provide a link between our understanding of the brain at the microscopic and macroscopic scales, and today we associate Brodmann’s areas 44 and 45 with the term ‘Broca’s area’. But what about the RG 7204 anatomical

connections? In the human, it is fairly straightforward for neuroanatomists to study cytoarchitectonic divisions in post-mortem brain; however, attempts to use anterograde and retrograde tracers in post-mortem human tissue have not been very successful. For this reason, the gold standard for studying anatomical connections remains experimental tracing studies in animals, especially in the nonhuman primate. Advances in neuroimaging

have provided us with new methods for studying neuroanatomical structure and function, including diffusion tensor imaging methods for examining white matter fiber tracts and functional magnetic resonance imaging methods for examining function. The development of methods for examining functional connectivity using resting state functional connectivity (RSFC) and task-dependent functional connectivity methods extend our ability to map anatomical and functional connectivity in the human. In an article published in this issue of EJN, Clare Kelly and collaborators (Kelly et al., 2010) describe studies linking human brain RSFC data with anatomical tracing studies in nonhuman primates. More specifically, the authors examined the correspondence of patterns of connectivity between areas 6, 44 and 45 and posterior parietal D-malate dehydrogenase and temporal regions in the human, measured with RSFC methods, to anatomical connectivity studies between the homologues of these areas in the macaque monkey, measured in a separate nonhuman primate autoradiographic tracing study by Petrides & Pandya (2009). The studies demonstrate strong correspondence between the connectivity in the human and nonhuman primate. The clustering of anatomical data supports the existence of different functional connectivity patterns for ventral area 6 that are distinct from areas 44 and 45. Ventral area 6 shows strong connections with the rostral supramarginal gyrus of the parietal lobe.

This research was supported by Agencia Nacional de Promoción Cien

This research was supported by Agencia Nacional de Promoción Científica y Tecnológica and Universidad Nacional de Quilmes. M.E.L. and J.A.T. are research members at CONICET; C.W.R. is a CONICET fellow, Argentina. Maria Luján Cuestas is also gratefully acknowledged for her kind participation in the scientific revision of this manuscript. We appreciated Valeria Cappa’s collaboration in some experimental works. “
“Division of Natural Sciences, St. Norbert

College, De Pere, WI, USA Salmonella enterica can survive harsh environmental conditions, including hyperosmotic stress. It is well established that the alternative sigma factor, σs (RpoS), is required for maximal survival of enteric pathogens, including S. enterica. Although RpoS levels are greatest during stationary phase or stress conditions, RpoS can be found in S. enterica Luminespib nmr during growth. However, its activity during growth is poorly characterized. In this study, the impact of RpoS levels on the growth of S. enterica in LB supplemented

with 6% NaCl (LB-NaCl) was examined. Cells in stationary phase prior to inoculation into LB-NaCl had a shorter lag phase than Ferrostatin-1 solubility dmso did exponential-phase cells. In addition, the deletion of rpoS from S. enterica Typhimurium M-09 (M-09 ΔrpoS) increased the length of lag phase in LB-NaCl relative to the parental strain. Complementation of M-09 ΔrpoS in trans by an inducible plasmid encoding 4��8C rpoS reduced the length of lag phase. The length of lag phase in both the rpoS mutant and complemented strain was independent of their growth phase prior to inoculation of LB-NaCl. The results from this study demonstrate that the level of RpoS influences the length of lag phase and the growth of S. enterica in hyperosmotic growth conditions. “
“Citrobacter rodentium is a mouse pathogen that, because of its similarities with human enteropathogenic (EPEC) and enterohemorrhagic (EHEC) strains of Escherichia coli is widely used as a model system for in vivo and in vitro studies. Similarly

to EPEC and EHEC, C. rodentium carries the LEE (locus of enterocyte effacement) pathogenicity island, encoding virulence factors essential for causing transmissible colonic hyperplasia in mice by attaching and effacing (A/E) lesions. Expression of the genes carried by the LEE pathogenicity island is controlled by complex networks of transcriptional factors, including the global regulators H-NS, IHF, and Fis. In this study, we analyzed the role of Lrp, another global regulator of gene expression in enteric bacteria, on the expression of LEE genes of C. rodentium. To this aim, a real-time PCR approach was used and revealed a negative role of Lrp on the expression of all analyzed LEE genes. Mobility-shift experiments indicated that Lrp action is direct on LEE1 and indirect on all other analyzed LEE genes.

Test samples were left undisturbed for 15 min at room temperature

Test samples were left undisturbed for 15 min at room temperature. Thereafter, 100 μL aliquots were carefully withdrawn from just below the meniscus and added to 900 μL 100 mM EDTA, pH 7 contained in a cuvette. The absorbance of both control and test samples was determined at 600 nm. The average of five control

observations was obtained (denoted A). Each of the five individual test replicate observations (denoted B) was used to determine the replicate percentage sedimentation as follows: replicate % sedimentation=(A−B)/A. The percentage sedimentation of a sample was determined from an average of five replicate percentages as calculated above. The percentage sedimentation reported reflects the arithmetic mean of three independent determinations. Samples of fermented red wines containing lees were homogenized, diluted and filtered through 0.22-μm Durapore® membrane filters (Millipore Corporation, MA) and immediately frozen Pexidartinib order by plunging into subcooled liquid nitrogen (‘slush’). Thereafter, filters containing wine lees samples were freeze dried, lightly sputter-coated with gold and viewed with an LEO 1450 scanning electron

microscope (Carl Zeiss, Jena, Germany) at 5 kV accelerating voltage. Turbidity of the wines after racking was evaluated using an LP2000 turbidity meter (Hannah Instruments, Bedfordshire, UK). The turbidity meter was calibrated before use as detailed in the instruction manual. Bottled

wines (five per replicate fermentation) were allowed to stand undisturbed for p38 MAPK inhibitor review 5 days after racking. Thereafter, a 10-mL aliquot was removed from below the meniscus from each bottle and dispensed down the inside of a clean cuvette to avoid the formation of air bubbles. All measurements were taken with samples equilibrated to room temperature. The turbidity of wines is presented as formazine turbidity units. Values reported in this Racecadotril study reflect the mean of experiments performed in triplicate (five measurements per replicate) and error bars represent SDs. In this study, paired t-tests or one-way anova were used to statistically compare data obtained for BM45 and VIN13 wild-type strains with that of transgenic yeast strains. Statistical tests were performed using graphpad instat version 3.05 32 bit for Windows 95/NT (GraphPad Software, San Diego, CA). Using a microsatellite PCR strain-typing method that targets δ sequences confirmed that alcoholic red wine fermentations were performed by the inoculated BM45 and VIN13 wild-type wine yeast strains. As reported previously (Govender et al., 2010), using a screening system that incorporated sensitivity to SM, flocculation ability (FLO5 transformants) and lack of invasiveness (HSP30p-FLO11 transformants) confirmed that alcoholic red wine fermentations were performed by the inoculated transgenic wine yeast strains.

As both acute and chronic chorioamnionitis have been associated w

As both acute and chronic chorioamnionitis have been associated with perinatal transmission

[40, 267-269], albeit from studies largely performed in the pre-cART era, it is recommended that labour should be expedited for all women with ROM at term. Hence women with ROM at term with a viral load of < 50 HIV RNA copies/mL should have immediate induction with a low threshold for the treatment of intrapartum pyrexia. The NICE induction of labour guidelines selleck chemicals [270] and the NICE intrapartum guidelines [251] should be followed with regard to use of antibiotics and mode of induction. NSHPC data for the effect of ROM greater or less than 4 hours for women with a viral load of > 50 HIV RNA copies/mL are more difficult to interpret as the numbers are currently small. In women with VL 50–999 HIV RNA copies/mL there were two transmissions with ROM > 4 hours (2/51) and none in the women with ROM ≤ 4 hours (0/43). The two transmissions occurred in women who had emergency Caesarean sections but the timing of this is not known. GDC-0068 in vitro Although not statistically significant (P = 0.19), these limited unpublished data suggest a possible trend towards greater transmission risk with ruptured membranes

> 4 hours for those with viral loads ≥ 50 HIV RNA copies/mL, and until further data are available, it is the recommendation of the Writing Group that Caesarean section should be considered for women with a viral load of 50–999 HIV RNA copies/mL at term. Again, if Caesarean section is not undertaken, delivery should be expedited, as above. Data from the NSHPC for women with a viral load of > 1000 HIV RNA copies/mL are sparse at present, with 1/14 (7.1%) transmitting with

ROM ≤ 4hours compared to 3/15 (20%) with ROM > 4 hours. A single-centre study from Miami of 707 women on ART showed ROM > 4 hours to be associated with an increased risk of MTCT if the VL was > 1000 HIV RNA copies/mL. There was no association at < 1000 HIV RNA copies/mL but it is not possible to determine the number of women with a viral load NADPH-cytochrome-c2 reductase greater than 50 and less than 1000 HIV RNA copies/mL in this group. Until further data are available, an urgent (category 2) Caesarean section is recommended where the viral load is > 1000 HIV RNA copies/mL regardless of treatment [271]. In women who have a detectable viral load it may be possible to optimize their cART regimen to reduce the risk of MTCT (See Recommendation 4.2.6). 7.3.5 The management of prolonged premature rupture of membranes (PPROM) at ≥ 34 weeks is the same as term ROM (see Section 7.3 Management of spontaneous rupture of membranes) except women who are 34–37 weeks’ gestation will require group B streptococcus prophylaxis in line with national guidelines. Grading: 1C 7.3.


“The subiculum, considered to be the output structure of


“The subiculum, considered to be the output structure of

the hippocampus, modulates information flow from the hippocampus to various cortical and sub-cortical areas such as the nucleus accumbens, lateral septal region, thalamus, nucleus gelatinosus, medial nucleus and mammillary nuclei. Tonic inhibitory current plays an important role in neuronal physiology and pathophysiology by modulating the electrophysiological properties of neurons. While the alterations of various electrical properties due to tonic inhibition have been studied in neurons from different regions, its influence on intrinsic subthreshold resonance in pyramidal excitatory neurons expressing hyperpolarization-activated cyclic nucleotide-gated (HCN) channels is not known. Using pharmacological agents, we show the involvement of α5βγ GABAA receptors in the picrotoxin-sensitive tonic current in subicular pyramidal neurons. We further

find more investigated the contribution of tonic conductance in regulating subthreshold electrophysiological properties using current clamp and dynamic clamp experiments. We demonstrate that tonic GABAergic inhibition can actively modulate GSK1120212 mw subthreshold properties, including resonance due to HCN channels, which can potentially alter the response dynamics of subicular pyramidal neurons in an oscillating neuronal network. “
“Current therapies and research for epilepsy concentrate mainly on controlling the disease, but not on prevention of its development and progression. This is partly due to the under-appreciated heterogeneity of the different epileptic syndromes, and a lack of knowledge about the underlying mechanisms of hypersensitivity and hypersynchrony in epilepsy development and spread. In this study we investigate mechanisms underlying the increased susceptibility to acoustic startle in a mouse model homozygous for the Vildagliptin spontaneous megencephaly (mceph) mutation, which results in a lack of the functional potassium channel Kv1.1. Mceph mice are hypersensitive

to acoustic startle, a response that is not seen in the wild-type (WT) littermates. After acoustic startle, a strong activation of astrocytes, as indicated by glial fibrillary acidic protein, occurred in the inferior colliculus and hippocampus. Both the hypersensitivity of acoustic startle as well as activation of astrocytes could be maintained at WT levels by pre-treating the Mceph mice with the anti-epileptic drug valproate. Furthermore, we utilized the Mceph mouse model to investigate whether acoustic startle-induced hypersensitivity has negative consequences for synchronous neuronal activity in other, non-auditory, systems and networks in the brain, such as the hippocampus. Our findings show that acoustic startle-induced hypersensitivity primes hippocampal networks by increasing their excitability, which results in increased strength of rhythmic network activity.