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Saturday, September 30, 2023

Motor control

From Wikipedia, the free encyclopedia
https://en.wikipedia.org/wiki/Motor_control

Motor control is the regulation of movement in organisms that possess a nervous system. Motor control includes reflexes as well as directed movement.

To control movement, the nervous system must integrate multimodal sensory information (both from the external world as well as proprioception) and elicit the necessary signals to recruit muscles to carry out a goal. This pathway spans many disciplines, including multisensory integration, signal processing, coordination, biomechanics, and cognition, and the computational challenges are often discussed under the term sensorimotor control. Successful motor control is crucial to interacting with the world to carry out goals as well as for posture, balance, and stability.

Some researchers (mostly neuroscientists studying movement, such as Daniel Wolpert and Randy Flanagan) argue that motor control is the reason brains exist at all.

Neural control of muscle force

All movements, e.g. touching your nose, require motor neurons to fire action potentials that results in contraction of muscles. In humans, ~150,000 motor neurons control the contraction of ~600 muscles. To produce movements, a subset of 600 muscles must contract in a temporally precise pattern to produce the right force at the right time.

Motor units and force production

A single motor neuron and the muscle fibers it innervates are called a motor unit. For example, the rectus femoris contains approximately 1 million muscle fibers, which are controlled by around 1000 motor neurons. Activity in the motor neuron causes contraction in all of the innervated muscle fibers so that they function as a unit. Increasing action potential frequency (spike rate) in the motor neuron increases the muscle fiber contraction force, up to the maximal force. The maximal force depends on the contractile properties of the muscle fibers. Within a motor unit, all the muscle fibers are of the same type (e.g. type I (slow twitch) or Type II fibers (fast twitch)), and motor units of multiple types make up a given muscle. Motor units of a given muscle are collectively referred to as a motor pool.

The force produced in a given muscle thus depends on: 1) How many motor neurons are active, and their spike rates; 2) the contractile properties and number of muscle fibers innervated by the active neurons. To generate more force, increase the spike rates of active motor neurons and/or recruiting more and stronger motor units. In turn, how the muscle force produces limb movement depends on the limb biomechanics, e.g. where the tendon and muscle originate (which bone, and precise location) and where the muscle inserts on the bone that it moves.

Recruitment order

Motor units within a motor pool are recruited in a stereotypical order, from motor units that produce small amounts of force per spike, to those producing the largest force per spike. The gradient of motor unit force is correlated with a gradient in motor neuron soma size and motor neuron electrical excitability. This relationship was described by Elwood Henneman and is known as Henneman's size principle, a fundamental discovery of neuroscience and an organizing principle of motor control.[8]

For tasks requiring small forces, such as continual adjustment of posture, motor units with fewer muscle fibers that are slowly-contracting, but less fatigueable, are used. As more force is required, motor units with fast twitch, fast-fatigeable muscle fibers are recruited.

               High|
                   |                                     _________________
 Force required    |                                    /
                   |                                   |
                   |                                   |
                   |                      _____________|_________________
                   |           __________|_______________________________
                Low|__________|__________________________________________    
                              ↑          ↑             ↑                   Time
              Type I Recruit first    Type II A      Type IIB

Computational issues of motor control

The nervous system produces movement by selecting which motor neurons are activated, and when. The finding that a recruitment order exists within a motor pool is thought to reflect a simplification of the problem: if a particular muscle should produce a particular force, then activate the motor pool along its recruitment hierarchy until that force is produced.

But then how to choose what force to produce in each muscle? The nervous system faces the following issues in solving this problem.

  1. Redundancy. Infinite trajectories of movements can accomplish a goal (e.g. touch my nose). How is a trajectory chosen? Which trajectory is best?
  2. Noise. Noise is defined as small fluctuations that are unrelated to a signal, which can occur in neurons and synaptic connections at any point from sensation to muscle contraction.
  3. Delays. Motor neuron activity precedes muscle contraction, which precedes the movement. Sensory signals also reflect events that have already occurred. Such delays affect the choice of motor program.
  4. Uncertainty. Uncertainty arises because of neural noise, but also because inferences about the state of the world may not be correct (e.g. speed of on coming ball).
  5. Nonstationarity. Even as a movement is being executed, the state of the world changes, even through such simple effects as reactive forces on the rest of the body, causing translation of a joint while it is actuated.
  6. Nonlinearity. The effects of neural activity and muscle contraction are highly non-linear, which the nervous system must account for when predicting the consequences of a pattern of motor neuron activity.

Much ongoing research is dedicated to investigating how the nervous system deals with these issues, both at the behavioral level, as well as how neural circuits in the brain and spinal cord represent and deal with these factors to produce the fluid movements we witness in animals.

"Optimal feedback control" is an influential theoretical framing of these computation issues.

Model systems for motor control

All organisms face the computational challenges above, so neural circuits for motor control have been studied in humans, monkeys, horses, cats, mice, fish lamprey, flies, locusts, and nematodes, among many others. Mammalian model systems like mice and monkeys offer the most straightforward comparative models for human health and disease. They are widely used to study the role of higher brain regions common to vertebrates, including the cerebral cortex, thalamus, basal ganglia and deep brain medullary and reticular circuits for motor control. The genetics and neurophysiology of motor circuits in the spine have also been studied in mammalian model organisms, but protective vertebrae make it difficult to study the functional role of spinal circuits in behaving animals. Here, larval and adult fish have been useful in discovering the functional logic of the local spinal circuits that coordinate motor neuron activity. Invertebrate model organisms do not have the same brain regions as vertebrates, but their brains must solve similar computational issues and thus are thought to have brain regions homologous to those involved in motor control in the vertebrate nervous system, The organization of arthropod nervous systems into ganglia that control each leg as allowed researchers to record from neurons dedicated to moving a specific leg during behavior.

Model systems have also demonstrated the role of central pattern generators in driving rhythmic movements. A central pattern generator is a neural network that can generate rhythmic activity in the absence of an external control signal, such as a signal descending from the brain or feedback signals from sensors in the limbs (e.g. proprioceptors). Evidence suggests that real CPGs exist in several key motor control regions, such as the stomachs of arthropods or the pre-Boetzinger complex that control breathing in humans. Furthermore, as a theoretical concept, CPGs have been useful to frame the possible role of sensory feedback in motor control.

Sensorimotor feedback

Response to stimuli

The process of becoming aware of a sensory stimulus and using that information to influence an action occurs in stages. Reaction time of simple tasks can be used to reveal information about these stages. Reaction time refers to the period of time between when the stimulus is presented, and the end of the response. Movement time is the time it takes to complete the movement. Some of the first reaction time experiments were carried out by Franciscus Donders, who used the difference in response times to a choice task to determine the length of time needed to process the stimuli and choose the correct response. While this approach is ultimately flawed, it gave rise to the idea that reaction time was made up of a stimulus identification, followed by a response selection, and ultimately culminates in carrying out the correct movement. Further research has provided evidence that these stages do exist, but that the response selection period of any reaction time increases as the number of available choices grows, a relationship known as Hick's law.

Closed loop control

The classical definition of a closed loop system for human movement comes from Jack A. Adams (1971). A reference of the desired output is compared to the actual output via error detection mechanisms; using feedback, the error is corrected for. Most movements that are carried out during day-to-day activity are formed using a continual process of accessing sensory information and using it to more accurately continue the motion. This type of motor control is called feedback control, as it relies on sensory feedback to control movements. Feedback control is a situated form of motor control, relying on sensory information about performance and specific sensory input from the environment in which the movement is carried out. This sensory input, while processed, does not necessarily cause conscious awareness of the action. Closed loop control is a feedback based mechanism of motor control, where any act on the environment creates some sort of change that affects future performance through feedback. Closed loop motor control is best suited to continuously controlled actions, but does not work quickly enough for ballistic actions. Ballistic actions are actions that continue to the end without thinking about it, even when they no longer are appropriate. Because feedback control relies on sensory information, it is as slow as sensory processing. These movements are subject to a speed-accuracy trade-off, because sensory processing is being used to control the movement, the faster the movement is carried out, the less accurate it becomes.

Open loop control

The classical definition from Jack A. Adams is: “An open loop system has no feedback or mechanisms for error regulation. The input events for a system exert their influence, the system effects its transformation on the input and the system has an output...... A traffic light with fixed timing snarls traffic when the load is heavy and impedes the flow when the traffic is light. The system has no compensatory capability.”

Some movements, however, occur too quickly to integrate sensory information, and instead must rely on feed forward control. Open loop control is a feed forward form of motor control, and is used to control rapid, ballistic movements that end before any sensory information can be processed. To best study this type of control, most research focuses on deafferentation studies, often involving cats or monkeys whose sensory nerves have been disconnected from their spinal cords. Monkeys who lost all sensory information from their arms resumed normal behavior after recovering from the deafferentation procedure. Most skills were relearned, but fine motor control became very difficult. It has been shown that the open loop control can be adapted to different disease conditions and can therefore be used to extract signatures of different motor disorders by varying the cost functional governing the system.

Coordination

A core motor control issue is coordinating the various components of the motor system to act in unison to produce movement.

Peripheral neurons receive input from the central nervous system and innervate the muscles. In turn, muscles generate forces which actuate joints. Getting the pieces to work together is a challenging problem for the motor system and how this problem is resolved is an active area of study in motor control research.

Reflexes

In some cases the coordination of motor components is hard-wired, consisting of fixed neuromuscular pathways that are called reflexes. Reflexes are typically characterized as automatic and fixed motor responses, and they occur on a much faster time scale than what is possible for reactions that depend on perceptual processing. Reflexes play a fundamental role in stabilizing the motor system, providing almost immediate compensation for small perturbations and maintaining fixed execution patterns. Some reflex loops are routed solely through the spinal cord without receiving input from the brain, and thus do not require attention or conscious control. Others involve lower brain areas and can be influenced by prior instructions or intentions, but they remain independent of perceptual processing and online control.

The simplest reflex is the monosynaptic reflex or short-loop reflex, such as the monosynaptic stretch response. In this example, Ia afferent neurons are activated by muscle spindles when they deform due to the stretching of the muscle. In the spinal cord, these afferent neurons synapse directly onto alpha motor neurons that regulate the contraction of the same muscle. Thus, any stretching of a muscle automatically signals a reflexive contraction of that muscle, without any central control. As the name and the description implies, monosynaptic reflexes depend on a single synaptic connection between an afferent sensory neuron and efferent motor neuron. In general the actions of monosynaptic reflexes are fixed and cannot be controlled or influenced by intention or instruction. However, there is some evidence to suggest that the gain or magnitude of these reflexes can be adjusted by context and experience.

Polysynaptic reflexes or long-loop reflexes are reflex arcs which involve more than a single synaptic connection in the spinal cord. These loops may include cortical regions of the brain as well, and are thus slower than their monosynaptic counterparts due to the greater travel time. However, actions controlled by polysynaptic reflex loops are still faster than actions which require perceptual processing. While the actions of short-loop reflexes are fixed, polysynaptic reflexes can often be regulated by instruction or prior experience. A common example of a long loop reflex is the asymmetrical tonic neck reflex observed in infants.

Synergies

A motor synergy is a neural organization of a multi-element system that (1) organizes sharing of a task among a set of elemental variables; and (2) ensures co-variation among elemental variables with the purpose to stabilize performance variables. The components of a synergy need not be physically connected, but instead are connected by their response to perceptual information about the particular motor task being executed. Synergies are learned, rather than being hardwired like reflexes, and are organized in a task-dependent manner; a synergy is structured for a particular action and not determined generally for the components themselves. Nikolai Bernstein famously demonstrated synergies at work in the hammering actions of professional blacksmiths. The muscles of the arm controlling the movement of the hammer are informationally linked in such a way that errors and variability in one muscle are automatically compensated for by the actions of the other muscles. These compensatory actions are reflex-like in that they occur faster than perceptual processing would seem to allow, yet they are only present in expert performance, not in novices. In the case of blacksmiths, the synergy in question is organized specifically for hammering actions and is not a general purpose organization of the muscles of the arm. Synergies have two defining characteristics in addition to being task dependent; sharing and flexibility/stability.

"Sharing" requires that the execution of a particular motor task depends on the combined actions of all the components that make up the synergy. Often, there are more components involved than are strictly needed for the particular task (see "Redundancy" below), but the control of that motor task is distributed across all components nonetheless. A simple demonstration comes from a two-finger force production task, where participants are required to generate a fixed amount of force by pushing down on two force plates with two different fingers. In this task, participants generated a particular force output by combining the contributions of independent fingers. While the force produced by any single finger can vary, this variation is constrained by the action of the other such that the desired force is always generated.

Co-variation also provides "flexibility and stability" to motor tasks. Considering again the force production task, if one finger did not produce enough force, it could be compensated for by the other. The components of a motor synergy are expected to change their action to compensate for the errors and variability in other components that could affect the outcome of the motor task. This provides flexibility because it allows for multiple motor solutions to particular tasks, and it provides motor stability by preventing errors in individual motor components from affecting the task itself.

Synergies simplify the computational difficulty of motor control. Coordinating the numerous degrees of freedom in the body is a challenging problem, both because of the tremendous complexity of the motor system, as well as the different levels at which this organization can occur (neural, muscular, kinematic, spatial, etc.). Because the components of a synergy are functionally coupled for a specific task, execution of motor tasks can be accomplished by activating the relevant synergy with a single neural signal. The need to control all of the relevant components independently is removed because organization emerges automatically as a consequence of the systematic covariation of components. Similar to how reflexes are physically connected and thus do not require control of individual components by the central nervous system, actions can be executed through synergies with minimal executive control because they are functionally connected. Beside motor synergies, the term of sensory synergies has recently been introduced. Sensory synergy are believed to play an important role in integrating the mixture of environmental inputs to provide low-dimensional information to the CNS thus guiding the recruitment of motor synergies.

Synergies are fundamental for controlling complex movements, such as the ones of the hand during grasping. Their importance has been demonstrated for both muscle control and in the kinematic domain in several studies, lately on studies including large cohorts of subjects. The relevance of synergies for hand grasps is also enforced by studies on hand grasp taxonomies, showing muscular and kinematic similarities among specific groups of grasps, leading to specific clusters of movements.

Motor Programs

While synergies represent coordination derived from peripheral interactions of motor components, motor programs are specific, pre-structured motor activation patterns that are generated and executed by a central controller (in the case of a biological organism, the brain). They represent at top-down approach to motor coordination, rather than the bottom-up approach offered by synergies. Motor programs are executed in an open-loop manner, although sensory information is most likely used to sense the current state of the organism and determine the appropriate goals. However, once the program has been executed, it cannot be altered online by additional sensory information.

Evidence for the existence of motor programs comes from studies of rapid movement execution and the difficulty associated with changing those movements once they have been initiated. For example, people who are asked to make fast arm swings have extreme difficulty in halting that movement when provided with a "STOP" signal after the movement has been initiated. This reversal difficulty persists even if the stop signal is presented after the initial "GO" signal but before the movement actually begins. This research suggests that once selection and execution of a motor program begins, it must run to completion before another action can be taken. This effect has been found even when the movement that is being executed by a particular motor program is prevented from occurring at all. People who attempt to execute particular movements (such as pushing with the arm), but unknowingly have the action of their body arrested before any movement can actually take place, show the same muscle activation patterns (including stabilizing and support activation that does not actually generate the movement) as when they are allowed to complete their intended action.

Although the evidence for motor programs seems persuasive, there have been several important criticisms of the theory. The first is the problem of storage. If each movement an organism could generate requires its own motor program, it would seem necessary for that organism to possess an unlimited repository of such programs and where these would be kept is not clear. Aside from the enormous memory requirements such a facility would take, no motor program storage area in the brain has yet been identified. The second problem is concerned with novelty in movement. If a specific motor program is required for any particular movement, it is not clear how one would ever produce a novel movement. At best, an individual would have to practice any new movement before executing it with any success, and at worst, would be incapable of new movements because no motor program would exist for new movements. These difficulties have led to a more nuanced notion of motor programs known as generalized motor programs. A generalized motor program is a program for a particular class of action, rather than a specific movement. This program is parameterized by the context of the environment and the current state of the organism.

Redundancy

An important issue for coordinating the motor system is the problem of the redundancy of motor degrees of freedom. As detailed in the "Synergies" section, many actions and movements can be executed in multiple ways because functional synergies controlling those actions are able to co-vary without changing the outcome of the action. This is possible because there are more motor components involved in the production of actions than are generally required by the physical constraints on that action. For example, the human arm has seven joints which determine the position of the hand in the world. However, only three spatial dimensions are needed to specify any location the hand could be placed in. This excess of kinematic degrees of freedom means that there are multiple arm configurations that correspond to any particular location of the hand.

Some of the earliest and most influential work on the study of motor redundancy came from the Russian physiologist Nikolai Bernstein. Bernstein's research was primarily concerned with understanding how coordination was developed for skilled actions. He observed that the redundancy of the motor system made it possible to execute actions and movements in a multitude of different ways while achieving equivalent outcomes. This equivalency in motor action means that there is no one-to-one correspondence between the desired movements and the coordination of the motor system needed to execute those movements. Any desired movement or action does not have a particular coordination of neurons, muscles, and kinematics that make it possible. This motor equivalency problem became known as the degrees of freedom problem because it is a product of having redundant degrees of freedom available in the motor system.

Perception in motor control

Related, yet distinct from the issue of how the processing of sensory information affects the control of movements and actions is the question of how the perception of the world structures action. Perception is extremely important in motor control because it carries the relevant information about objects, environments and bodies which is used in organizing and executing actions and movements. What is perceived and how the subsequent information is used to organize the motor system is an ongoing area of research.

Model based control strategies

Most model based strategies of motor control rely on perceptual information, but assume that this information is not always useful, veridical or constant. Optical information is interrupted by eye blinks, motion is obstructed by objects in the environment, distortions can change the appearance of object shape. Model based and representational control strategies are those that rely on accurate internal models of the environment, constructed from a combination of perceptual information and prior knowledge, as the primary source information for planning and executing actions, even in the absence of perceptual information.

Inference and indirect perception

Many models of the perceptual system assume indirect perception, or the notion that the world that gets perceived is not identical to the actual environment. Environmental information must go through several stages before being perceived, and the transitions between these stages introduce ambiguity. What actually gets perceived is the mind's best guess about what is occurring in the environment based on previous experience. Support for this idea comes from the Ames room illusion, where a distorted room causes the viewer to see objects known to be a constant size as growing or shrinking as they move around the room. The room itself is seen as being square, or at least consisting of right angles, as all previous rooms the perceiver has encountered have had those properties. Another example of this ambiguity comes from the doctrine of specific nerve energies. The doctrine presents the finding that there are distinct nerve types for different types of sensory input, and these nerves respond in a characteristic way regardless of the method of stimulation. That is to say, the color red causes optical nerves to fire in a specific pattern that is processed by the brain as experiencing the color red. However, if that same nerve is electrically stimulated in an identical pattern, the brain could perceive the color red when no corresponding stimuli is present.

Forward models

Forward models are a predictive internal model of motor control that takes the available perceptual information, combined with a particular motor program, and tries to predict the outcome of the planned motor movement. Forward models structure action by determining how the forces, velocities, and positions of motor components affect changes in the environment and in the individual. It is proposed that forward models help with the Neural control of limb stiffness when individuals interact with their environment. Forward models are thought to use motor programs as input to predict the outcome of an action. An error signal is generated when the predictions made by a forward model do not match the actual outcome of the movement, prompting an update of an existing model and providing a mechanism for learning. These models explain why it is impossible to tickle yourself. A sensation is experienced as ticklish when it is unpredictable. However, forward models predict the outcome of your motor movements, meaning the motion is predictable, and therefore not ticklish.

Evidence for forward models comes from studies of motor adaptation. When a person's goal-directed reaching movements are perturbed by a force field, they gradually, but steadily, adapt the movement of their arm to allow them to again reach their goal. However, they do so in such a way that preserves some high level movement characteristics; bell-shaped velocity profiles, straight line translation of the hand, and smooth, continuous movements. These movement features are recovered, despite the fact that they require startlingly different arm dynamics (i.e. torques and forces). This recovery provides evidence that what is motivating movement is a particular motor plan, and the individual is using a forward model to predict how arm dynamics change the movement of the arm to achieve particular task level characteristics. Differences between the expected arm movement and the observed arm movement produces an error signal which is used as the basis for learning. Additional evidence for forward models comes from experiments which require subjects to determine the location of an effector following an unvisualized movement.

Inverse models

Inverse models predict the necessary movements of motor components to achieve a desired perceptual outcome. They can also take the outcome of a motion and attempt to determine the sequence of motor commands that resulted in that state. These types of models are particularly useful for open loop control, and allow for specific types of movements, such as fixating on a stationary object while the head is moving. Complementary to forward models, inverse models attempt to estimate how to achieve a particular perceptual outcome in order to generate the appropriate motor plan. Because inverse models and forward model are so closely associated, studies of internal models are often used as evidence for the roles of both model types in action.

Motor adaptation studies, therefore, also make a case for inverse models. Motor movements seem to follow predefined "plans" that preserve certain invariant features of the movement. In the reaching task mentioned above, the persistence of bell-shaped velocity profiles and smooth, straight hand trajectories provides evidence for the existence of such plans. Movements that achieve these desired task-level outcomes are estimated by an inverse model. Adaptation therefore proceeds as a process of estimating the necessary movements with an inverse model, simulating with a forward model the outcome of those movement plans, observing the difference between the desired outcome and the actual outcome, and updating the models for a future attempt.

Information based control

An alternative to model based control is information based control. Informational control strategies organize movements and actions based on perceptual information about the environment, rather than on cognitive models or representations of the world. The actions of the motor system are organized by information about the environment and information about the current state of the agent. Information based control strategies often treat the environment and the organism as a single system, with action proceeding as a natural consequence of the interactions of this system. A core assumption of information based control strategies is that perceptions of the environment are rich in information and veridical for the purposes of producing actions. This runs counter to the assumptions of indirect perception made by model based control strategies.

Direct perception

Direct perception in the cognitive sense is related to the philosophical notion of naïve or direct realism in that it is predicated on the assumption that what we perceive is what is actually in the world. James J. Gibson is credited with recasting direct perception as ecological perception. While the problem of indirect perception proposes that physical information about object in our environment is not available due to the ambiguity of sensory information, proponents of direct perception (like Gibson) suggest that the relevant information encoded in sensory signals is not the physical properties of objects, but rather the action opportunities the environment affords. These affordances are directly perceivable without ambiguity, and thus preclude the need for internal models or representations of the world. Affordances exist only as a byproduct of the interactions between an agent and its environment, and thus perception is an "ecological" endeavor, depending on the whole agent/environment system rather than on the agent in isolation.

Because affordances are action possibilities, perception is directly connected to the production of actions and movements. The role of perception is to provide information that specifies how actions should be organized and controlled, and the motor system is "tuned" to respond to specific type of information in particular ways. Through this relationship, control of the motor system and the execution of actions is dictated by the information of the environment. As an example, a doorway "affords" passing through, but a wall does not. How one might pass through a doorway is specified by the visual information received from the environment, as well as the information perceived about one's own body. Together, this information determines the pass-ability of a doorway, but not a wall. In addition, the act of moving towards and passing through the doorway generates more information and this in turn specifies further action. The conclusion of direct perception is that actions and perceptions are critically linked and one cannot be fully understood without the other.

Behavioral dynamics

Building on the assumptions of direct perception behavioral dynamics is a behavioral control theory that treats perceptual organisms as dynamic systems that respond to informational variables with actions, in a functional manner. Under this understanding of behavior, actions unfold as the natural consequence of the interaction between the organisms and the available information about the environment, which specified in body-relevant variables. Much of the research in behavioral dynamics has focused on locomotion, where visually specified information (such as optic flow, time-to-contact, optical expansion, etc.) is used to determine how to navigate the environment. Interaction forces between the human and the environment also affect behavioral dynamics as seen in by the Neural control of limb stiffness.

Planning in motor control

Individual movement optimization

There are several mathematical models that describe how the central nervous system (CNS) derives reaching movements of limbs and eyes. The minimum jerk model states that the CNS minimizes jerk of a limb endpoint trajectory over the time of reaching, which results in a smooth trajectory. However, this model is based solely on the kinematics of movement and does not consider the underlying dynamics of the musculoskeletal system. Hence, the minimum torque-change model was introduced as an alternative, where the CNS minimizes the joint torque change over the time of reaching.

Later it was argued that there is no clear explanation about how could the CNS actually estimate complex quantities such as jerk or torque change and then integrate them over the duration of a trajectory. In response, model based on signal-dependent noise was proposed instead, which states that the CNS selects a trajectory by minimizing the variance of the final position of the limb endpoint. Since there is a motor noise in the neural system that is proportional to the activation of the muscles, the faster movements induce more motor noise and are thus less precise. This is also in line with the Fitts' Law and speed-accuracy trade-off. Optimal control theory was used to further extend the model based on signal-dependent noise, where the CNS optimizes an objective function that consists of a term related to accuracy and additionally a term related to metabolic cost of movement.

Another type of models is based on cost-benefit trade-off, where the objective function includes metabolic cost of movement and a subjective reward related to reaching the target accurately. In this case the reward for a successful reach within the desired target is discounted by the duration of reaching, since the gained reward is perceived less valuable when spending more time on it. However, these models were deterministic and did not account for motor noise, which is an essential property of stochastic motor control that results in speed-accuracy trade-off. To address that, a new model was later proposed to incorporate the motor noise and to unify cost-benefit and speed-accuracy trade-offs.

Multi-component movements

Some studies observed that the CNS can split a complex movement into sub-movements. The initial sub-movement tends to be fast and imprecise in order to bring the limb endpoint into vicinity of the target as soon as possible. Then, the final sub-movement tends to be slow and precise in order to correct for accumulated error by the first initial sub-movement and to successfully reach the target. A later study further explored how the CNS selects a temporary target of the initial sub-movement in different conditions. For example, when the actual target size decreases and thus complexity increases, the temporary target of the initial sub-movement moves away from the actual target in order to give more space for the final corrective action. Longer reaching distances have a similar effect, since more error is accumulated in the initial sub-movement and thus requiring more complex final correction. In less complex conditions, when the final actual target is large and the movement is short, the CNS tends to use a single movement, without splitting it into multiple competents.

Cardiac conduction system

From Wikipedia, the free encyclopedia
Cardiac conduction system
Components of the heart's conduction system
 
Basic representation of cardiac electrical conduction

The cardiac conduction system (CCS) (also called the electrical conduction system of the heart) transmits the signals generated by the sinoatrial node – the heart's pacemaker, to cause the heart muscle to contract, and pump blood through the body's circulatory system. The pacemaking signal travels through the right atrium to the atrioventricular node, along the bundle of His, and through the bundle branches to Purkinje fibers in the walls of the ventricles. The Purkinje fibers transmit the signals more rapidly to stimulate contraction of the ventricles.

The conduction system consists of specialized heart muscle cells, situated within the myocardium. There is a skeleton of fibrous tissue that surrounds the conduction system which can be seen on an ECG. Dysfunction of the conduction system can cause irregular heart rhythms including rhythms that are too fast or too slow.

Structure

Graphical representation of the electrical conduction system of the heart that maintains the heart rate in the cardiac cycle

Electrical signals arising in the SA node (located in the right atrium) stimulate the atria to contract. Then the signals travel to the atrioventricular node (AV node), which is located in the interatrial septum. After a short delay that gives the ventricles time to fill with blood, the electrical signal diverges and is conducted through the left and right bundle branches of His to the respective Purkinje fibers for each side of the heart, as well as to the endocardium at the apex of the heart, then finally to the ventricular epicardium; causing the ventricles to contract. These signals are generated rhythmically, which results in the coordinated rhythmic contraction and relaxation of the heart.

On the microscopic level, the wave of depolarization propagates to adjacent cells via gap junctions located on the intercalated disc. The heart is a functional syncytium as opposed to a skeletal muscle syncytium. In a functional syncytium, electrical impulses propagate freely between cells in every direction, so that the myocardium functions as a single contractile unit. This property allows rapid, synchronous depolarization of the myocardium. While advantageous under normal circumstances, this property can be detrimental, as it has potential to allow the propagation of incorrect electrical signals. These gap junctions can close to isolate damaged or dying tissue, as in a myocardial infarction (heart attack).

Development

Embryologic evidence of generation of the cardiac conduction system illuminates the respective roles of this specialized set of cells. Innervation of the heart begins with a brain only centered parasympathetic cholinergic first order. It is then followed by rapid growth of a second order sympathetic adrenergic system arising from the formation of the thoracic spinal ganglia. The third order of electrical influence of the heart is derived from the vagus nerve as the other peripheral organs form.

Function

Action potential generation

Cardiac muscle has some similarities to neurons and skeletal muscle, as well as important unique properties. Like a neuron, a given myocardial cell has a negative membrane potential when at rest. Stimulation above a threshold value induces the opening of voltage-gated ion channels and a flood of cations into the cell. The positively charged ions entering the cell cause the depolarization characteristic of an action potential. Like skeletal muscle, depolarization causes the opening of voltage-gated calcium channels and release of Ca2+ from the t-tubules. This influx of calcium causes calcium-induced calcium release from the sarcoplasmic reticulum, and free Ca2+ causes muscle contraction. After a delay, potassium channels reopen, and the resulting flow of K+ out of the cell causes repolarization to the resting state.

There are important physiological differences between nodal cells and ventricular cells; the specific differences in ion channels and mechanisms of polarization give rise to unique properties of SA node cells, most importantly the spontaneous depolarizations necessary for the SA node's pacemaker activity.

Requirements for effective pumping

In order to maximize efficiency of contractions and cardiac output, the conduction system of the heart has:

  • Substantial atrial to ventricular delay. This will allow the atria to completely empty their contents into the ventricles; simultaneous contraction would cause inefficient filling and backflow. The atria are electrically isolated from the ventricles, connected only via the AV node which briefly delays the signal.
  • Coordinated contraction of ventricular cells. The ventricles must maximize systolic pressure to force blood through the circulation, so all the ventricular cells must work together.
    • Ventricular contraction begins at the apex of the heart, progressing upwards to eject blood into the great arteries. Contraction that squeezes blood towards the exit is more efficient than a simple squeeze from all directions. Although the ventricular stimulus originates from the AV node in the wall separating the atria and ventricles, the Bundle of His conducts the signal to the apex.
    • Depolarization propagates through cardiac muscle very rapidly. Cells of the ventricles contract nearly simultaneously.
    • The action potentials of cardiac muscle are unusually sustained. This prevents premature relaxation, maintaining initial contraction until the entire myocardium has had time to depolarize and contract.
  • Absence of tetany. After contracting, the heart must relax to fill up again. Sustained contraction of the heart without relaxation would be fatal, and this is prevented by a temporary inactivation of certain ion channels.

Electrical activity

Different wave shapes generated by different parts of the heart's action potential
The ECG complex. P=P wave, PR=PR interval, QRS=QRS complex, QT=QT interval, ST=ST segment, T=T wave
Principle of ECG formation. The red lines represent the depolarization wave, not bloodflow.

An electrocardiogram is a recording of the electrical activity of the heart.

SA node: P wave

Under normal conditions, electrical activity is spontaneously generated by the SA node, the cardiac pacemaker. This electrical impulse is propagated throughout the right atrium, and through Bachmann's bundle to the left atrium, stimulating the myocardium of the atria to contract. The conduction of the electrical impulses throughout the atria is seen on the ECG as the P wave.

As the electrical activity is spreading throughout the atria, it travels via specialized pathways, known as internodal tracts, from the SA node to the AV node.

AV node and bundles: PR interval

The AV node functions as a critical delay in the conduction system. Without this delay, the atria and ventricles would contract at the same time, and blood wouldn't flow effectively from the atria to the ventricles. The delay in the AV node forms much of the PR segment on the ECG, and part of atrial repolarization can be represented by the PR segment.

The distal portion of the AV node is known as the bundle of His. The bundle of His splits into two branches in the interventricular septum: the left bundle branch and the right bundle branch. The left bundle branch activates the left ventricle, while the right bundle branch activates the right ventricle.

The left bundle branch is short, splitting into the left anterior fascicle and the left posterior fascicle. The left posterior fascicle is relatively short and broad, with dual blood supply, making it particularly resistant to ischemic damage. The left posterior fascicle transmits impulses to the papillary muscles, leading to mitral valve closure. As the left posterior fascicle is shorter and broader than the right, impulses reach the papillary muscles just prior to depolarization, and therefore contraction, of the left ventricle myocardium. This allows pre-tensioning of the chordae tendinae, increasing the resistance to flow through the mitral valve during left ventricular contraction. This mechanism works in the same manner as pre-tensioning of car seatbelts.

Purkinje fibers/ventricular myocardium: QRS complex

The two bundle branches taper out to produce numerous Purkinje fibers, which stimulate individual groups of myocardial cells to contract.

The spread of electrical activity through the ventricular myocardium produces the QRS complex on the ECG.

Atrial repolarization occurs and is masked during the QRS complex by ventricular depolarization on the ECG.

Ventricular repolarization

The last event of the cycle is the repolarization of the ventricles. It is the restoring of the resting state. In the ECG, repolarization includes the J point, ST segment, and T and U waves. The transthoracically measured PQRS portion of an electrocardiogram is chiefly influenced by the sympathetic nervous system. The T (and occasionally U) waves are chiefly influenced by the parasympathetic nervous system guided by integrated brainstem control from the vagus nerve and the thoracic spinal accessory ganglia.

An impulse (action potential) that originates from the SA node at a relative rate of 60-100 bpm is known as a normal sinus rhythm. If SA nodal impulses occur at a rate less than 60 bpm, the heart rhythm is known as sinus bradycardia. If SA nodal impulses occur at a rate exceeding 100bpm, the consequent rapid heart rate is sinus tachycardia. These conditions are not necessarily bad symptoms, however. Trained athletes, for example, usually show heart rates slower than 60bpm when not exercising. If the SA node fails to initialize, the AV junction can take over as the main pacemaker of the heart. The AV junction consists of the AV node, the bundle of His, and the surrounding area; it has a regular rate of 40 to 60bpm. These "junctional" rhythms are characterized by a missing or inverted P wave. If both the SA node and the AV junction fail to initialize the electrical impulse, the ventricles can fire the electrical impulses themselves at a rate of 20 to 40 bpm and will have a QRS complex of greater than 120 ms. This is necessary for the heart to be in good function.

Clinical significance

Arrhythmia

An arrhythmia is an abnormal rhythm or speed of rhythm of the heartbeat. A slow heart rate of 60 or less beats per minute is defined as bradycardia. A fast heart rate of more than 100 beats per minute is defined as tachycardia. An arrythmia is defined as one that is not physiological such as the lowered heart rate that a trained athlete may naturally have developed; the resting heart rates may be less than 60 bpm.

When an arrhythmia cannot be treated by medication (or other standard cardioversion measures), an artificial pacemaker may be implanted to control the conduction system.

Effects of climate change on small island countries

From Wikipedia, the free encyclopedia
Surface area change of islands in the Central Pacific and Solomon Islands

The effect of climate change on small island countries can be extreme because of low-lying coasts, relatively small land masses, and exposure to extreme weather. The effects of climate change, particularly sea level rise and increasingly intense tropical cyclones, threaten the existence of many island countries, island peoples and their cultures, and will alter their ecosystems and natural environments. Several Small Island Developing States (SIDS) are among the most vulnerable nations to climate change.

Some small and low population islands are without adequate resources to protect their islands, inhabitants, and natural resources. In addition to the risks to human health, livelihoods, and inhabitable space, the pressure to leave islands is often barred by the inability to access the resources needed to relocate. The nations of the Caribbean, Pacific Islands and Maldives are already experiencing considerable impacts of climate change, making efforts to implement climate change adaptation a critical issue for them.

Efforts to combat these environmental changes are ongoing and multinational. Due to their vulnerability and limited contribution to greenhouse gas emissions, some island countries have made advocacy for global cooperation on climate change mitigation a key aspect of their foreign policy. Governments face a complex task when combining gray infrastructure with green infrastructure and nature-based solutions to help with disaster risk management in areas such as flood control, early warning systems, nature-based solutions, and integrated water resource management. As of March 2022, the Asian Development Bank has committed $3.62 billion to help small island developing states with climate change, transport, energy, and health projects.

Greenhouse gas emissions

Small Island Developing States make minimal contribution to global greenhouse gas emissions, with a combined total of less than 1%. However, that does not indicate that greenhouse emissions are not produced at all, and it is recorded that the annual total greenhouse gas emissions from islands could range from 292.1 to 29,096.2 [metric] tonne CO2-equivalent.

Impacts on the natural environment

Expected impacts on small islands include:

  • extreme weather events
  • changes in sea level
  • increased sensitivity and exposure to the effects of climate change.
  • deterioration in coastal conditions, such as beach erosion and coral bleaching, which will likely affect local resources such as fisheries, as well as the value of tourism destinations.
  • increased inundation, storm surge, erosion, and other coastal hazards caused by sea-level rise, threatening vital infrastructure, settlements, and facilities that support the livelihood of island communities.
  • reduction of already limited water resources to the point that they become insufficient to meet demand during low-rainfall periods by mid-century, especially on small islands (such as in the Caribbean and the Pacific Ocean)
  • invasion by non-native species increasing with higher temperatures, particularly in mid- and high-latitude islands.

There are many secondary effects of climate change and sea-level rise particular to island nations. According to the US Fish and Wildlife Service, climate change in the Pacific Islands will cause "continued increases in air and ocean surface temperatures in the Pacific, increased frequency of extreme weather events, and increased rainfall during the summer months and a decrease in rainfall during the winter months". This would entail distinct changes to the small, diverse, and isolated island ecosystems and biospheres present within many of these island nations.

Sea level rise

One of the dominant manifestations of climate change is sea level rise. NOAA estimates that "since 1992, new methods of satellite altimetry (the measurement of elevation or altitude) indicate a rate of rise of 0.12 inches per year". Similarly NASA calculates that the average sea level rise is 3.41 mm per year and that sea-level rise is directly caused by the expansion of water as it warms and the melting of polar ice caps. Both of these changes are dependent on global warming as a result of climate change. Sea level rise is especially threatening to low-lying island nations because seas are encroaching upon limited habitable land and threatening existing cultures. Stefan Rahmstorf, a professor of Ocean Physics at Potsdam University in Germany notes "even limiting warming to 2 degrees, in my view, will still commit some island nations and coastal cities to drown."

Research published in 2015 contradicts the claim that rising sea levels will necessarily submerge island nations. Studies by Paul Kench, a geomorphologist at the University of Auckland, have shown that "reef islands change shape and move around in response to shifting sediments, and that many of them are growing in size, not shrinking, as sea level inches upward". At the same time Kench says that "for the areas that have been transformed by human development, such as the capitals of Kiribati, Tuvalu, and the Maldives, the future is considerably gloomier" because these islands cannot adapt to rising sea levels and are therefore greatly threatened.

Impacts on people

September 2019 climate strikes in Dili, East Timor.

The Intergovernmental Panel on Climate Change warned in 2001 that small island countries will experience considerable economic and social consequences due to climate change.

A study that engaged the experiences of residents in atoll communities found that the cultural identities of these populations are strongly tied to these lands. Human rights activists argue that the potential loss of entire atoll countries, and consequently the loss of national sovereignty, self-determination, cultures, and indigenous lifestyles cannot be compensated for financially. Some researchers suggest that the focus of international dialogues on these issues should shift from ways to relocate entire communities to strategies that instead allow for these communities to remain on their lands.

Agriculture and fisheries

Climate change poses a risk to food security in many Pacific Islands, impacting fisheries and agriculture. As sea level rises, island nations are at increased risk of losing coastal arable land to degradation as well as salination. Once the limited available soil on these islands becomes salinated, it becomes very difficult to produce subsistence crops such as breadfruit. This would severely impact the agricultural and commercial sector in nations such as the Marshall Islands and Kiribati.

In addition, local fisheries would also be affected by higher ocean temperatures and increased ocean acidification. As ocean temperatures rise and the pH of oceans decreases, many fish and other marine species would die out or change their habits and range. As well as this, water supplies and local ecosystems such as mangroves, are threatened by global warming.

Economic impacts

SIDS may also have reduced financial and human capital to mitigate climate change risk, as many rely on international aid to cope with disasters like severe storms. Worldwide, climate change is projected to have an average annual loss of 0.5% GDP by 2030; in Pacific SIDS, it will be 0.75–6.5% GDP by 2030. Caribbean SIDS will have average annual losses of 5% by 2025, escalating to 20% by 2100 in projections without regional mitigation strategies. The tourism sector of many island countries is particularly threatened by increased occurrences of extreme weather events such as hurricanes and droughts.

Public health

Climate change impacts small island ecosystems in ways that have a detrimental effect on public health. In island nations, changes in sea levels, temperature, and humidity may increase the prevalence of mosquitoes and diseases carried by them such as malaria and Zika virus. Rising sea levels and severe weather such as flooding and droughts may render agricultural land unusable and contaminate freshwater drinking supplies. Flooding and rising sea levels also directly threaten populations, and in some cases may be a threat to the entire existence of the island.

Mitigation and adaptation

Relocation and migration

Climate migration has been discussed in popular media as a potential adaptation approach for the populations of islands threatened by sea level rise. A 2015 review in Climatic Change found that these depictions are often sensationalist or problematic, although migration may likely form a part of adaptation. Mobility has long been a part of life in islands, but could be used in combination with local adaptation measures.

Climate resilient economies

Many SIDS now understand the need to move towards low-carbon, climate resilient economies, as set out in the Caribbean Community (CARICOM) implementation plan for climate change-resilient development. SIDS often rely heavily on imported fossil fuels, spending an ever-larger proportion of their GDP on energy imports. Renewable technologies have the advantage of providing energy at a lower cost than fossil fuels and making SIDS more sustainable. Barbados has been successful in adopting the use of solar water heaters (SWHs). A 2012 report published by the Climate & Development Knowledge Network showed that its SWH industry now boasts over 50,000 installations. These have saved consumers as much as US$137 million since the early 1970s. The report suggested that Barbados' experience could be easily replicated in other SIDS with high fossil fuel imports and abundant sunshine.

International cooperation

International meeting of Small Island Developing States in 2014.
Maldives President Mohamed Nasheed speaks at the launch of the Climate Vulnerability Monitor in 2010.

The governments of several island nations have made political advocacy for greater international ambition on climate change mitigation and climate change adaptation a component of their foreign policy and international alliances. The Alliance of Small Island States (ASIS) have had some sway in the United Nations Framework Convention on Climate Change. The 43 members of the alliance have held the position of limiting global warming to 1.5°C, and advocated for this at the 2015 United Nations Climate Change Conference, influencing the goals of the Paris Agreement. Marshall Islands Prime Minister Tony deBrum was central in forming the High Ambition Coalition at the conference. Meetings of the Pacific Islands Forum have also discussed the issue.

The Maldives and Tuvalu particularly have played a prominent role on the international stage. In 2002, Tuvalu threatened to sue the United States and Australia in the International Court of Justice for their contribution to climate change and for not ratifying the Kyoto Protocol. The governments of both of these countries have cooperated with environmental advocacy networks, non-governmental organisations and the media to draw attention to the threat of climate change to their countries. At the 2009 United Nations Climate Change Conference, Tuvalu delegate Ian Fry spearheaded an effort to halt negotiations and demand a comprehensive, legally binding agreement.

By country and region

Caribbean

Graph showing historic temperature change globally and in the Caribbean region.
Climate change in the Caribbean poses major risks to the islands in the Caribbean. The main environmental changes expected to affect the Caribbean are a rise in sea level, stronger hurricanes, longer dry seasons and shorter wet seasons. As a result, climate change is expected to lead to changes in the economy, environment and population of the Caribbean. Temperature rise of 2 °C above preindustrial levels can increase the likelihood of extreme hurricane rainfall by four to five times in the Bahamas and three times in Cuba and Dominican Republic. Rise in sea level could impact coastal communities of the Caribbean if they are less than 3 metres (10 ft) above the sea. In Latin America and the Caribbean, it is expected that 29–32 million people may be affected by the sea level rise because they live below this threshold. The Bahamas is expected to be the most affected because at least 80% of the total land is below 10 meters elevation.

East Timor

East Timor's agriculture and food security is threatened by climate change. Sea level rise also threatens its coastal areas, including capital city Dili.

Maldives

The Maldives government have adapted infrastructure in capital city Malé to the threats of climate change, including beginning to build a wall around the city.
Climate change in the Maldives is a major issue for the country. As an archipelago of low-lying islands and atolls, many parts of the Maldives are threatened by sea level rise, with some predictions suggesting most of the nation will become uninhabitable during the 21st century. The country is striving to adapt to climate change, and Maldivian authorities have been prominent in international political advocacy to implement climate change mitigation.

Pacific islands

Fiji

Temperature change in Fiji, 1901 to 2020.

Climate change in Fiji is an exceptionally pressing issue for the country - as an island nation, Fiji is particularly vulnerable to rising sea levels, coastal erosion and extreme weather. These changes, along with temperature rise, will displace Fijian communities and will prove disruptive to the national economy - tourism, agriculture and fisheries, the largest contributors to the nation's GDP, will be severely impacted by climate change causing increases in poverty and food insecurity. As a party to both the Kyoto Protocol and the Paris Climate Agreement, Fiji hopes to achieve net-zero emissions by 2050 which, along with national policies, will help to mitigate the impacts of climate change.

The Human Rights Measurement Initiative finds that the climate crisis has worsened human rights conditions moderately (4.6 out of 6) in Fiji.

Kiribati

A sign on South Tarawa, Kiribati discussing the threat of sea level rise to the island, with its highest point being 3 metres above sea level.

The existence of the nation of Kiribati is imperilled by rising sea levels, with the country losing land every year. Many of its islands are currently or becoming inhabitable due to their shrinking size. Thus, the majority of the country's population resides in only a handful of islands, with more than half of its residents living on one island alone, Tarawa. This leads to other issues such as severe overcrowding in such a small area. In 1999, the uninhabited islands of Tebua Tarawa and Abanuea both disappeared underwater. The government's Kiribati Adaptation Program was launched in 2003 to mitigate the country's vulnerability to the issue. In 2008, fresh water supplies began being encroached by seawater, prompting President Anote Tong to request international assistance to begin relocating the country's population elsewhere.

Marshall Islands

Image of Majuro, Marshall Islands
Climate change in the Marshall Islands is a major issue for the country. As with many countries made up of low-lying islands, the Marshall Islands is highly vulnerable to sea level rise and other impacts of climate change. The atoll and capital city of Majuro are particularly vulnerable, and the issue poses significant implications for the country's population. These threats have prompted Marshallese political leaders to make climate change a key diplomatic issue, who have responded with initiatives such as the Majuro Declaration. The Human Rights Measurement Initiative finds that the climate crisis has worsened human rights conditions in the Marshall Islands greatly (5.0 out of 6). Human rights experts reported that the climate crisis has negatively impacted the economy, increased rates of unemployment, and lead to relocations to higher areas or migrations to other countries. 

Palau

The Palau government are concerned about the effects of climate change on the island nation. In 2008 Palau requested that the UN Security Council consider protection against rising sea levels due to climate change.

Tommy Remengesau, the president of Palau, has said:

Palau has lost at least one third of its coral reefs due to climate change related weather patterns. We also lost most of our agricultural production due to drought and extreme high tides. These are not theoretical, scientific losses -- they are the losses of our resources and our livelihoods.... For island states, time is not running out. It has run out. And our path may very well be the window to your own future and the future of our planet.

Solomon Islands

Between 1947 and 2014, six islands of the Solomon Islands disappeared due to sea level rise, while another six shrunk by between 20 and 62 per cent. Nuatambu Island was the most populated of these with 25 families living on it; 11 houses washed into the sea by 2011.

The Human Rights Measurement Initiative finds that the climate crisis has worsened human rights conditions in the Solomon Islands greatly (5.0 out of 6).  Human rights experts provided that the climate crisis has contributed to conflict in communities, negative future socio-economic outlook, and food instability. 

Tuvalu

Temperature change in Tuvalu, 1901 to 2020.
Satellite Image of Funafuti Atoll, Tuvalu

Tuvalu is a small Polynesian island nation located in the Pacific Ocean. It can be found about halfway between Hawaii and Australia. It is made up of nine tiny islands, five of which are coral atolls while the other four consists of land rising from the sea bed. All are low-lying islands with no point on Tuvalu being higher than 4.5m above sea level. Beside Funafuti, the capital of Tuvalu, sea-level rise is estimated at 1.2 ± 0.8 mm/year. As well as this, the dangerous peak high tides in Tuvalu are becoming higher causing greater danger. In response to sea level rise, Tuvalu is considering resettlement plans in addition to pushing for increased action in confronting climate change at the UN.

São Tomé and Príncipe

Annual temperature anomaly in São Tomé and Príncipe, 1901 to 2020.
Between 1950 and 2010, São Tomé and Príncipe experienced an increase of 1.5 °C in average annual temperature due to climate change. The country is considered highly vulnerable to its impacts. Climate change is projected to lead to an increased number of warm days and nights, hotter temperatures and increased precipitation. Sea level rise and saltwater intrusion will be major issues for the islands and climate change will have major impacts on agriculture in the country. The government began developing a National Adaptation Plan in 2022 to implement climate adaptation efforts, with support from the United Nations Environment Programme.

Seychelles

In the Seychelles, the impacts of climate change were observable in precipitation, air temperature and sea surface temperature by the early 2000s. Climate change poses a threat to its coral reef ecosystems, with drought conditions in 1999 and a mass bleaching event in 1998. Water management will be critically impacted.

Singapore

Singapore recognises that climate change in the decades ahead will have major implications for the island-nation. It has taken a three-prong approach to the issue - researching how the nation will be affected in specific details, implementing mitigation measures and adapting to the coming changes. For the research, a Centre for Climate Research Singapore (CCRS) has been established.

List of human positions

From Wikipedia, the free encyclopedia https://en.wikipedia.org/wiki/Lis...