Which of the following is an example of a double-blind study?

Down syndrome is a genetic disorder caused by the presence of an extra copy of chromosome 21. It is also known as trisomy 21 because affected individuals have three copies of chromosome 21 instead of the normal two.

The extra chromosome 21 in Down syndrome occurs due to a random error in cell division, which leads to the production of an abnormal gamete (egg or sperm) with an extra copy of the chromosome. When this gamete fuses with a normal gamete during fertilization, the resulting zygote has 47 chromosomes instead of the usual 46 and develops into a fetus with Down syndrome.

Down syndrome is characterized by a range of physical and intellectual symptoms, including developmental delays, intellectual disability, distinctive facial features, heart defects, and increased risk of certain medical conditions such as leukemia and Alzheimer's disease. However, the severity and expression of these symptoms can vary widely among affected individuals.

Muscle contraction is a complex process that involves the interaction between actin and myosin filaments in the muscle fibers. The sliding of these filaments is initiated by the release of calcium ions from the sarcoplasmic reticulum, a specialized organelle in muscle cells. The calcium ions bind to the protein troponin, which causes a conformational change in the troponin-tropomyosin complex, exposing the myosin-binding sites on actin. This allows the myosin heads to bind to actin, forming cross-bridges that pull the actin filaments toward the center of the sarcomere, resulting in muscle contraction.

Option a) is incorrect because calcium does not bind to tropomyosin directly, but rather binds to the protein troponin, causing a conformational change in the troponin-tropomyosin complex.

Option c) is incorrect because calcium does not activate motor neurons, but rather is released from the sarcoplasmic reticulum in response to an action potential that travels down the motor neuron to the neuromuscular junction.

Option d) is incorrect because calcium is required for muscle contraction, not relaxation. The relaxation of muscles after contraction is due to the active transport of calcium ions back into the sarcoplasmic reticulum, which allows the troponin-tropomyosin complex to return to its resting conformation, blocking the myosin-binding sites on actin and ending the cross-bridge cycle.