instruction:
In this task, you are given a passage which has a question and the context. You have to generate an answer to the question based on the information present in the context.
question:
Context: Animals control the speed of motion to meet behavioral demands. Yet, the underlying neuronal mechanisms remain poorly understood. Here we show that a class of segmentally arrayed local interneurons (period-positive median segmental interneurons, or PMSIs) regulates the speed of peristaltic locomotion in Drosophila larvae.', 'PMSIs formed glutamatergic synapses on motor neurons and, when optogenetically activated, inhibited motor activity, indicating that they are inhibitory premotor interneurons. Calcium imaging showed that PMSIs are rhythmically active during peristalsis with a short time delay in relation to motor neurons. Optogenetic silencing of these neurons elongated the duration of motor bursting and greatly reduced the speed of larval locomotion.\Question: Does a group of segmental premotor interneurons regulate the speed of axial locomotion in Drosophila larvae?
answer:
Our results suggest that PMSIs control the speed of axial locomotion by limiting, via inhibition, the duration of motor outputs in each segment. Similar mechanisms are found in the regulation of mammalian limb locomotion, suggesting that common strategies may be used to control the speed of animal movements in a diversity of species.

question:
Context: The use of a system for continuous control of endotracheal tube cuff pressure reduced the incidence of ventilator-associated pneumonia (VAP) in one randomized controlled trial (RCT) with 112 patients but not in another RCT with 142 patients. In several guidelines on the prevention of VAP, the use of a system for continuous or intermittent control of endotracheal cuff pressure is not reviewed. The objective of this study was to compare the incidence of VAP in a large sample of patients (n=284) treated with either continuous or intermittent control of endotracheal tube cuff pressure.', 'We performed a prospective observational study of patients undergoing mechanical ventilation during more than 48 hours in an intensive care unit (ICU) using either continuous or intermittent endotracheal tube cuff pressure control. Multivariate logistic regression analysis (MLRA) and Cox proportional hazard regression analysis were used to predict VAP. The magnitude of the effect was expressed as odds ratio (OR) or hazard ratio (HR), respectively, and 95% confidence interval (CI).', 'We found a lower incidence of VAP with the continuous (n=150) than with the intermittent (n=134) pressure control system (22.0% versus 11.2%; p=0.02). MLRA showed that the continuous pressure control system (OR=0.45; 95% CI=0.22-0.89; p=0.02) and the use of an endotracheal tube incorporating a lumen for subglottic secretion drainage (SSD) (OR=0.39; 95% CI=0.19-0.84; p=0.02) were protective factors against VAP. Cox regression analysis showed that the continuous pressure control system (HR=0.45; 95% CI=0.24-0.84; p=0.01) and the use of an endotracheal tube incorporating a lumen for SSD (HR=0.29; 95% CI=0.15-0.56; p<0.001) were protective factors against VAP. However, the interaction between type of endotracheal cuff pressure control system (continuous or intermittent) and endotracheal tube (with or without SSD) was not statistically significant in MLRA (OR=0.41; 95% CI=0.07-2.37; p=0.32) or in Cox analysis (HR=0.35; 95% CI=0.06-1.84; p=0.21).\Question: Does continuous endotracheal tube cuff pressure control system protect against ventilator-associated pneumonia?
answer:
The use of a continuous endotracheal cuff pressure control system and/or an endotracheal tube with a lumen for SSD could help to prevent VAP in patients requiring more than 48 hours of mechanical ventilation.

question:
Context: We examined the use of occupational therapy services in a sample of people aging with multiple sclerosis (MS).', 'A total of 1,282 people with MS, ages 45 to 90, participated in telephone interviews to identify unmet health-related service needs. Occupational therapy was 1 of 22 services examined. Proportional odds models were used to examine factors associated with how recently services were used.', 'Four hundred eighty-four participants (38.2%) had used occupational therapy services at some point since their diagnosis; 211 had used these services in the year before the interview. Recent users identified occupational therapy services as important to health and well-being. Satisfaction with services was high. Greater activity limitations and living in an urban or suburban area were associated with more recent use of occupational therapy services.\Question: Do occupational therapy service use among people aging with multiple sclerosis?
answer:
The results raise questions about what constitutes appropriate levels of occupational therapy service use and how to ensure that these levels are achieved.