The vasopressin Avprlb receptor: Molecular and pharmacological studies

The distribution, pharmacology and function of the arginine vasopressin (Avp) lb receptor subtype (Avprlb) has proved more challenging to investigate compared to other members of the Avp receptor family. Avp is increasingly recognised as an important modulator of the hypothalamic–pituitary–adrenal (HPA) axis, an action mediated by the Avprlb present on anterior pituitary corticotrophs. The Avprlb is also expressed in some peripheral tissues including pancreas and adrenal, and in the hippocampus (HIP), paraventricular nucleus and olfactory bulb of the rodent brain where its function is unknown. The central distribution of Avprlbs is far more restricted than that of the Avprla, the main Avp receptor subtype found in the brain. Whether Avprlb expression in rodent tissues is dependent on differences in the length of microsatellite dinucleotide repeats present in the 5′ promoter region of the Avprlb gene remains to be determined. One difficulty of functional studies on the Avprlb, especially its involvement in the HPA axis response to stress, which prompted the generation of Avprlb knockout (KO) mouse models, was the shortage of commercially available Avprlb ligands, particularly antagonists. Research on mice lacking functional Avprlbs has highlighted behavioural deficits in social memory and aggression. The Avprlb KO also appears to be an excellent model to study the contribution of the Avprlb in the HPA axis response to acute and perhaps some chronic (repeated) stressors where corticotrophin-releasing hormone and other genes involved in the HPA axis response to stress do not appear to compensate for the loss of the Avprlb

Simulated patients' experiences and perspectives of an interprofessional ward simulation: an exploratory qualitative analysis.

Background: Interprofessional simulation-based education (IPSE) prepares healthcare students for future collaborative practice. Whilst experiences of IPSE have previously been reported by students and faculty, there is a limited understanding of simulated patients' (SPs) experience. Purpose: This study explored SPs' perceptions of the quality of an interprofessional ward simulation (IPWS); experiences of the interprofessional care (IPC) they received, and their perceptions of effective IPC. Method: Undergraduate nursing, medical and pharmacy students participated in an IPWS. Focus groups were used to collect data from 27 SPs following their participation in the IPWS. Discussion: IPC was perceived to vary between groups of students. Recognition of roles, responsibilities and boundaries to prevent overlap of workload and improve efficiency of teamwork were perceived as important for making IPC effective. Findings suggested that SPs may not be fully aware of the changing scope of practice in healthcare. SPs reported that they would have liked more involvement in the creation of their role and how this played out in the simulation. Conclusion: SPs' play an important role in IPSE in healthcare education and recognise that understanding roles and responsibilities contributes to effective IPC. An additional finding of this study was that the public may not be aware of the changing scope of professional practice

The Copernicus surface velocity platform drifter with barometer and reference sensor for temperature (SVP-BRST): genesis, design, and initial results

To support calibration and validation of satel- lite sea surface temperature (SST) retrievals, over 60 high- resolution SST (HRSST) drifting buoys were deployed at sea between 2012 and 2017. Their data record is reviewed here. It is confirmed that sea state and immersion depth play an important role in understanding the data collected by such buoys and that the SST sensors need adequate insu- lation. In addition, calibration verification of three recovered drifters suggests that the sensor drift is low, albeit negative at around −0.01 K year−1. However, the statistical significance of these results is limited, and the calibration procedure could not be exactly reproduced, introducing additional uncertain- ties into this drift assessment. Based on lessons learnt from these initial buoys, a new sensor package for the Surface Velocity Platform with Barometer (SVP-B) was designed to serve calibration of SST retrievals by European Union’s Copernicus satellites. The novel sensor package includes an HRSST sensor calibrated by a metrology laboratory. The sensor includes a pressure probe to monitor immersion depth in calm water and acquires SST data at 1 Hz over a 5 min in- terval every hour. This enables the derivation of mean SST as well as several percentiles of the SST distribution. The HRSST sensor is calibrated with an uncertainty better than 0.01 K. Analysis of the data collected by two prototypes de- ployed in the Mediterranean Sea shows that the buoys are able to capture small-scale SST variations. These variations are found to be smaller when the sea state is well mixed and when the buoys are located within eddy cores. This affects the drifter SST data representativeness, which is an aspect of importance for optimal use of these data

Addressing complex pharmacy consultations: methods used to develop a person-centred intervention to highlight alcohol within pharmacist reviews of medications

Background: Alcohol is challenging to discuss, and patients may be reluctant to disclose drinking partly because of concern about being judged. This report presents an overview of the development of a medications review intervention co-produced with the pharmacy profession and with patients, which breaks new ground by seeking to give appropriate attention to alcohol within these consultations. // Methods: This intervention was developed in a series of stages and refined through conceptual discussion, literature review, observational and interview studies, and consultations with advisory groups. In this study we reflect on this process, paying particular attention to the methods used, where lessons may inform innovations in other complex clinical consultations. // Results: Early work with patients and pharmacists infused the entire process with a heightened sense of the complexity of consultations in everyday practice, prompting careful deliberation on the implications for intervention development. This required the research team to be highly responsive to both co-production inputs and data gathered in formally conducted studies, and to be committed to working through the implications for intervention design. The intervention thus evolved significantly over time, with the greatest transformations resulting from patient and pharmacist co-design workshops in the second stage of the process, where pharmacists elaborated on the nature of the need for training in particular. The original research plans provided a helpful structure, and unanticipated issues for investigation emerged throughout the process. This underscored the need to engage dynamically with changing contexts and contents and to avoid rigid adherence to any early prescribed plan. // Conclusions: Alcohol interventions are complex and require careful developmental research. This can be a messy enterprise, which can nonetheless shed new insights into the challenges involved in optimising interventions, and how to meet them, if embraced with an attitude of openness to learning. We found that exposing our own research plans to scrutiny resulted in changes to the intervention design that gained the confidence of different stakeholders. Our understanding of the methods used, and their consequences, may be bounded by the person-centred nature of this particular intervention

The Associations Between Children's and Adolescents’ Suicidal and Self-Harming Behaviors, and Related Behaviors Within Their Social Networks: A Systematic Review

© 2017, Copyright © International Academy for Suicide Research.Social influences—including the suicidal and self-harming behaviors of others—have been highlighted as a risk factor for suicidal and self-harming behavior in young people, but synthesis of the evidence is lacking. A systematic review of 86 relevant papers was conducted. Considerable published evidence was obtained for positive associations between young people's suicidal and self-harming behavior and that of people they know, with those reporting knowing people who had engaged in suicidal or self-harming behaviors more likely to report engaging in similar behaviors themselves. Findings are discussed in relation to a number of methodological and measurement issues—including the role of normative perceptions—and implications for the prevention of suicidal and self-harming behavior are considered

MicroRNA biogenesis is required for mouse primordial germ cell development and spermatogenesis.

BACKGROUND: MicroRNAs (miRNAs) are critical regulators of transcriptional and post-transcriptional gene silencing, which are involved in multiple developmental processes in many organisms. Apart from miRNAs, mouse germ cells express another type of small RNA, piwi-interacting RNAs (piRNAs). Although it has been clear that piRNAs play a role in repression of retrotransposons during spermatogenesis, the function of miRNA in mouse germ cells has been unclear. METHODOLOGY/PRINCIPAL FINDINGS: In this study, we first revealed the expression pattern of miRNAs by using a real-time PCR-based 220-plex miRNA expression profiling method. During development of germ cells, miR-17-92 cluster, which is thought to promote cell cycling, and the ES cell-specific cluster encoding miR-290 to -295 (miR-290-295 cluster) were highly expressed in primordial germ cells (PGCs) and spermatogonia. A set of miRNAs was developmentally regulated. We next analysed function of miRNA biogenesis in germ cell development by using conditional Dicer-knockout mice in which Dicer gene was deleted specifically in the germ cells. Dicer-deleted PGCs and spermatogonia exhibited poor proliferation. Retrotransposon activity was unexpectedly suppressed in Dicer-deleted PGCs, but not affected in the spermatogonia. In Dicer-deleted testis, spermatogenesis was retarded at an early stage when proliferation and/or early differentiation. Additionally, we analysed spermatogenesis in conditional Argonaute2-deficient mice. In contrast to Dicer-deficient testis, spermatogenesis in Argonaute2-deficient testis was indistinguishable from that in wild type. CONCLUSION/SIGNIFICANCE: These results illustrate that miRNAs are important for the proliferation of PGCs and spermatogonia, but dispensable for the repression of retrotransposons in developing germ cells. Consistently, miRNAs promoting cell cycling are highly expressed in PGCs and spermatogonia. Furthermore, based on normal spermatogenesis in Argonaute2-deficient testis, the critical function of Dicer in spermatogenesis is independent of Argonaute2