Recognition of advanced level practice against multiprofessional capabilities: Experiences of the first radiography applicants.

INTRODUCTION: Advanced practice is well established in the health professions with multiprofessional capabilities in place in England. To recognise achievement of these capabilities an ePortfolio (supported) route was initiated in 2022. This study aimed to review the demographics and experiences of radiographers applying for recognition in the first year of operation. METHODS: The multi method evaluation consisted of quantitative data analysis of information regarding the first three cohorts of radiographers (n = 40) participating in the NHS England (NHSE) scheme. Interviews with 12 participants was undertaken with thematic analysis of the transcripts. RESULTS: Self-rated scores of expertise were significantly higher by therapeutic radiographers (n = 8) compared to their 32 diagnostic colleagues (t = 5.556; p < 0.01). Radiographers saw the ePortfolio as an opportunity to validate their experience and to evidence parity with other professions. Participants felt the process also enabled critical reflection and gave unseen insight into themselves and their roles. The support of experienced educational supervisors was felt to be vital in this process and for successful completion of portfolio. CONCLUSIONS: Several radiographers have now achieved the necessary standards to achieve NHSE recognition. The evaluation exposed that most radiographers did not have the relevant evidence to hand and the ongoing collection of evidence around capabilities and impact is critical to evidencing advanced practice capabilities. IMPLICATIONS FOR PRACTICE: Radiographers are able to achieve the capabilities expected for multiprofessional practice. Cultural change is required to normalise recording of evidence within practice including case-based discussions, clinical supervision and feedback from colleagues and patients. The support of an experienced educational supervisor aided the critical reflection on practice level.

phoenixin(smim20), a gene coding for a novel reproductive ligand, is expressed in the brain of adult zebrafish.

Gonadotropin-releasing hormone (GnRH) is a highly conserved neuroendocrine decapeptide that is essential for the onset of puberty and the maintenance of the reproductive state. In addition to its role as hypothalamic releasing hormone, GnRH has multiple functions including modulator of neural activity within the nervous system and of resulting behaviors. These multiple functions are reflected by the existence of multiple isoforms. Despite its importance as a critical hypothalamic releasing hormone, the gnrh1 gene has been lost in zebrafish, and its reproductive function is not compensated for by other GnRH isoforms (GnRH2 and GnRH3), suggesting that, surprisingly, zebrafish do not use any of the GnRH peptides to control reproduction and fertility. Previously we proposed that Phoenixin/SMIM20, a novel peptide identified in mammals and the ligand for the orphan GPR173, is a potential candidate to control the initiation of sexual development and fertility in the zebrafish. Here we confirm the sequence of the zebrafish phoenixin/smim20 gene and by RT-PCR show that it is expressed early in development through adulthood. Subsequently we show that phoenixin/smim20 is expressed in the adult brain including the regions of the hypothalamus important in the control of fertility and reproduction.

A clinical pathway to minimize computed tomography for suspected nephrolithiasis in children.

INTRODUCTION: Ultrasound (US) imaging is preferred in the initial evaluation for children with suspected nephrolithiasis; however, computed tomography (CT) continues to be used in this setting with resultant unnecessary ionizing radiation exposure. The study institution implemented a standardized clinical pathway to reduce rates of CT utilization for children with nephrolithiasis. OBJECTIVE: The aim of this study was to evaluate the impact of this pathway on initial imaging strategies for children with suspected nephrolithiasis. STUDY DESIGN: A standardized pathway was designed and implemented using a systematic quality improvement process. A suspected cohort was created using 'reason for study' search terms consistent with a nephrolithiasis diagnosis. A confirmed cohort of children with a final diagnosis of nephrolithiasis was derived from this suspected cohort. The primary outcome was CT use as the initial imaging study in children with suspected or confirmed nephrolithiasis presenting to the emergency department (ED) between October 2013 and February 2018. Comparisons were made before and after pathway implementation (October 2015). Secondary outcomes included rates of CT scan within 30 days, while balancing measures included rates of admission, ED length of stay, and return visits. RESULTS: A total of 534 children with suspected (220 prepathway; 314 postpathway) and 90 children with confirmed (37 prepathway; 53 postpathway) nephrolithiasis were included. For the suspected cohort, CT scans performed as the initial imaging evaluation (9.2% vs 2.5%, P = 0.001) and at any time during the index visit (15.7% vs 5.7%, P = 0.001) decreased after pathway implementation. Within the confirmed cohort, a non-significant decrease in initial CT rates was observed after implementation. No differences were observed in admission rates or ED length of stay after implementation. A trend toward lower return visits to the ED was seen after pathway implementation (5.5% vs 2.2%, P = 0.058). DISCUSSION: Within a tertiary care pediatric ED associated with a strong institutional experience with clinical pathways, initial CT rates were decreased after pathway implementation for children with suspected nephrolithiasis. While retrospective assessment of suspected disease is limited, this is one of the first studies to address imaging patterns for nephrolithiasis beyond the final discharge diagnosis, thus capturing a broader cohort of children. Children with suspected nephrolithiasis can be safely managed with an US-first approach, and postvisit CT scans are rarely necessary for management. CONCLUSIONS: A standardized clinical pathway for suspected nephrolithiasis can reduce rates of initial and overall CT utilization without adversely impacting downstream care.

A glimpse at Ethology in Latin America

The state of the art of Ethology in five Latin America countries is briefly presented here. The overall outlook regarding research laboratories and themes is promising: the community is numerous, active and there are topics addressing all aspects of animal behavior, especially in large countries like Brazil and Argentina. Ethology as an undergraduate discipline is generally a sub-category of Biology, being taught mainly at Zoology/ Psychology/ Ecology/ Agriculture Courses and at Medical Veterinary Schools, often as an eligible discipline. Ethology as a formal major Graduate Program is rare and mainly restricted to Brazil. Regular Ethology meetings are held in Argentina, Brazil and Uruguay. In Chile and Venezuela there is a small but very active community. Studies of animal behavior are often carried out in other areas than Biology, and there is a clear overlap of interest regarding the major topics of Ethology. Behavioral ecology, conservation, management and animal welfare are a priority in most countries, probably reflecting a general concern regarding endangered species and habitats of the continent. Here we present information aiming to create a network that will increase collaborations among researchers working within the ethological framework in Latin America. The IV Simpósio de Etologia na América Latina, entitled "Desarrollo de la Etología en Latinoamérica:¿ hacia un futuro regional ?" was held in November, 2013, as part of the XXXI Encontro Anual de Etologia (EAE), in São Paulo, SP, Brazil. The state of art of Animal Behavior in Argentina, Brazil, Chile, Uruguay and Venezuela were presented there and a set of six questions guided the presentations: 1) What are the main Ethology topics being studied in laboratories in your country? - 2) Are there undergraduate or graduate programs in the main universities? - 3) Is there an Animal Behavior Society? How interested is the community in establishing close ties among institutes or laboratories elsewhere in Latin America? - 4) Is there a site, a journal, a page on a social networking site for contact, communication and divulgation of original data? - 5) How active is the community regarding the wiliness to organize congresses, symposia, meetings, workshops, on-line courses regarding Ethology? - 6) Are there funding agencies to support exchange programs and research in Ethology? Additional data were collected from the last two EAE regarding researchers from Latin America that attended EAE meetings and a list of names and laboratories was compiled (see appendix). It should be emphasized that the compilation of information presented here is far from complete. It represents a brief overview of the current status of Ethology in only five Latin American countries, and therefore it should be updated continuously with new data from the countries treated here as well as supplemented with data from other countries. Such a constantly updated list would facilitate the creation of networks that should increase collaborations among researchers working within the ethological framework in Latin America.(AU)

Presentamos brevemente el estado de la Etología en cinco países de América Latina. En general, con respecto a la investigación en laboratorios y temas de estudio la situación es prometedora: la comunidad es numerosa, activa, y los temas abarcan todos los aspectos del comportamiento animal, especialmente en países grandes como Brasil y Argentina. La Etología como disciplina de grado, por lo general es una subcategoría de la Biología, siendo impartida principalmente en cursos de Zoología /Psicología/ Ecología/Agricultura, y en las facultades de Medicina Veterinaria frecuentemente como disciplina opcional. No es frecuente que la Etología sea un programa formal de Posgrado, lo cual está principalmente restringido a Brasil. Se realizan encuentros regulares de Etología en Argentina, Brasil y Uruguay. En Chile y Venezuela se encuentran comunidades pequeñas pero muy activas, ligadas a la Etología. Los estudios de comportamiento animal se realizan frecuentemente en áreas distintas de la Biología, y hay una clara superposición de intereses respecto a los principales tópicos de la Etología. La ecología comportamental, la conservación, el manejo y el bienestar animal son prioridades en muchos países, lo que probablemente refleja una preocupación general respecto a las especies y hábitats amenazados en el continente. Aquí presentamos un informe preliminar orientado a crear una red que aumente la colaboración entre los investigadores que trabajan en el marco de la Etología en América Latina. El IV Simposio de Etología de América Latina, titulado "Desarrollo de la Etología en Latinoamérica:¿hacia un futuro regional?" se realizó en Noviembre de 2013, como parte del XXXI Encontro Anual de Etologia (EAE), en São Paulo, SP, Brasil. Invitados de cinco países -Argentina, Brasil, Chile, Uruguay y Venezuela- presentaron información sobre el estado del arte del comportamiento animal en sus naciones y las presentaciones fueron guiadas por un cuestionario de seis preguntas: 1) ¿Cuáles son los principales temas de estudio y laboratorios de Etología en su país? - 2) ¿Hay programas de grado o posgrado en las principales universidades? - 3) ¿Hay una sociedad de Comportamiento Animal? ¿Qué tan interesada está la comunidad en establecer vínculos estrechos entre institutos o laboratorios en otros lugares de América Latina? - 4) ¿Hay un sitio de internet, una revista o un en una red social para contacto, comunicación y divulgación de datos originales? - 5) ¿Qué tan activa es la comunidad respecto a la organización de congresos, simposios, encuentros, talleres y cursos on-line referidos a Etología? - 6) ¿Hay agencias de financiamiento para sostener programas de intercambio e investigación en Etología? Adicionalmente se recolectaron datos de los últimos dos EAE concerniente a los investigadores en América Latina que asistieron a los mismos y se compiló una lista de nombres y laboratorios.(AU)

A glimpse at ethology in latin america

The state of the art of Ethology in five Latin America countries is briefly presented here. The overall outlook regarding research laboratories and themes is promising: the community is numerous, active and there are topics addressing all aspects of animal behavior, especially in large countries like Brazil and Argentina. Ethology as an undergraduate discipline is generally a sub-category of Biology, being taught mainly at Zoology/ Psychology/ Ecology/ Agriculture Courses and at Medical Veterinary Schools, often as an eligible discipline. Ethology as a formal major Graduate Program is rare and mainly restricted to Brazil. Regular Ethology meetings are held in Argentina, Brazil and Uruguay. In Chile and Venezuela there is a small but very active community. Studies of animal behavior are often carried out in other areas than Biology, and there is a clear overlap of interest regarding the major topics of Ethology. Behavioral ecology, conservation, management and animal welfare are a priority in most countries, probably reflecting a general concern regarding endangered species and habitats of the continent. Here we present information aiming to create a network that will increase collaborations among researchers working within the ethological framework in Latin America. The IV Simpósio de Etologia na América Latina, entitled "Desarrollo de la Etología en Latinoamérica:¿ hacia un futuro regional ?" was held in November, 2013, as part of the XXXI Encontro Anual de Etologia (EAE), in São Paulo, SP, Brazil. The state of art of Animal Behavior in Argentina, Brazil, Chile, Uruguay and Venezuela were presented there and a set of six questions guided the presentations: 1).

Presentamos brevemente el estado de la Etología en cinco países de América Latina. En general, con respecto a la investigación en laboratorios y temas de estudio la situación es prometedora: la comunidad es numerosa, activa, y los temas abarcan todos los aspectos del comportamiento animal, especialmente en países grandes como Brasil y Argentina. La Etología como disciplina de grado, por lo general es una subcategoría de la Biología, siendo impartida principalmente en cursos de Zoología /Psicología/ Ecología/Agricultura, y en las facultades de Medicina Veterinaria frecuentemente como disciplina opcional. No es frecuente que la Etología sea un programa formal de Posgrado, lo cual está principalmente restringido a Brasil. Se realizan encuentros regulares de Etología en Argentina, Brasil y Uruguay. En Chile y Venezuela se encuentran comunidades pequeñas pero muy activas, ligadas a la Etología. Los estudios de comportamiento animal se realizan frecuentemente en áreas distintas de la Biología, y hay una clara superposición de intereses respecto a los principales tópicos de la Etología. La ecología comportamental, la conservación, el manejo y el bienestar animal son prioridades en muchos países, lo que probablemente refleja una preocupación general respecto a las especies y hábitats amenazados en el continente. Aquí presentamos un informe preliminar orientado a crear una red que aumente la colaboración entre los investigadores que trabajan en el marco de la Etología en América Latina. El IV Simposio de Etología de América Latina, titulado "Desarrollo de la Etología en Latinoamérica:¿hacia un futuro regional?" se realizó en Noviembre de 2013, como parte del XXXI Encontro Anual de Etologia (EAE), en São Paulo, SP, Brasil. Invitados de cinco países -Argentina, Brasil, Chile, Uruguay y Venezuela- presentaron información sobre el estado del arte del comportamiento animal en sus naciones y las presentaciones fueron guiadas por un cuestionario de seis preguntas: 1) .

Developing a sense of scents: plasticity in olfactory placode formation.

The sense organs of the vertebrate head arise predominantly from sensory placodes. The sensory placodes have traditionally been grouped as structures that share common developmental and evolutionary characteristics. In attempts to build a coherent model for development of all placodes, the fascinating differences that make placodes unique are often overlooked. Here I review olfactory placode development with special attention to the origin and cell movements that generate the olfactory placode, the derivatives of this sensory placode, and the degree to which it shows plasticity during development. Next, through comparison with adenohypophyseal, and lens placodes I suggest we revise our thinking and terminology for these anterior placodes, specifically by: (1) referring to the peripheral olfactory sensory system as neural ectoderm because it expresses the same series of genes involved in neural differentiation and differentiates in tandem with the olfactory bulb, and (2) grouping the anterior placodes with their corresponding central nervous system structures and emphasizing patterning mechanisms shared between placodes and these targets. Sensory systems did not arise independent of the central nervous system; they are part of a functional unit composed of peripheral sensory structures and their targets. By expanding our analyses of sensory system development to also include cell movements, gene expression and morphological changes observed in this functional unit, we will better understand the evolution of sensory structures.

Development of GnRH cells: Setting the stage for puberty.

Cells containing gonadotropin-releasing hormone (GnRH) are essential not only for reproduction but also for neuromodulatory functions in the adult animal. A variety of studies have hinted at multiple origins for GnRH-containing cells in the developing embryo. We have shown, using zebrafish as a model system, that GnRH cells originate from precursors lying outside the olfactory placode: the region of the anterior pituitary gives rise to hypothalamic GnRH cells and the cranial neural crest gives rise to the GnRH cells of the terminal nerve and midbrain. Cells of both the forming anterior pituitary and cranial neural crest are closely apposed to the precursors of the olfactory epithelium during early development. Disruption of kallmann gene function results in loss of the hypothalamic but not the terminal nerve GnRH cells during early development. The GnRH proteins are expressed early in development and this expression is mirrored by the onset of GnRH receptor (GnRH-R) expression during early development. Thus the signaling of the GnRH neuronal circuitry is set up early in development laying the foundation for the GnRH network that is activated at puberty leading to reproductive function in the mature animal.

Isolation and characterization of the laure olfactory behavioral mutant in the zebrafish, Danio rerio.

To initiate a genetic analysis of olfactory development and function in the zebrafish, Danio rerio, we developed a behavioral genetic screen for mutations affecting the olfactory sensory system. First, we characterized olfactory responses of wild-type zebrafish to various odors. We found that 3-day-old juvenile zebrafish reacted to the amino acid L-cysteine with an aversive behavioral response. We isolated one mutant, laure (lre), which showed no aversive behavioral response to L-cysteine at 3 days of development, and carried out a preliminary characterization of this mutant's defects. We found that lre mutant fish were also defective in their response to L-serine and L-alanine, but not to taurocholic acid, as young adults. In addition, lre mutant fish had significantly fewer primary olfactory sensory neurons than normal, and the axons of these neurons did not form the characteristic axon termination pattern in the developing olfactory bulb. Nevertheless, the olfactory epithelium of lre mutant fish showed normal or near normal electrophysiological responses to several odorants. Our data suggest that the behavioral defects observed in the lre mutant result from the disruption of the developing olfactory sensory neurons and their axonal connections within the olfactory bulb. The isolation of the lre mutant shows that our behavior-based screen represents a viable approach for carrying out a genetic dissection of olfactory behaviors in this vertebrate model system.

Phenotype of the zebrafish masterblind (mbl) mutant is dependent on genetic background.

The zebrafish masterblind (mbl) mutant is characterized by the lack of olfactory placodes and optic vesicles, reduced telencephalon, an expanded epiphysis (Heisenberg et al. [1996] Development 123:191-203), and enlarged jaw. To understand the cellular events giving rise to the olfactory placode defect of this mutant, we examined the expression pattern of the distal-less-3 (dlx3) gene in mbl. In the mutant, dlx3, which is normally expressed in the developing nose and ear, showed reduced expression in the olfactory placode field, but normal expression in the developing ear. To determine whether the loss of dlx3 expression was due to cell loss, we assayed cell death by using TUNEL labeling. Although cell death in the mutant was not concentrated in the region of dlx3 expression, there was increased cell death in the forebrain, epiphysis, and jaw region, as compared with that in wild-type controls. This cell death phenotype was cyclical in nature, showing an increase and decrease in cell death on a roughly 24-hr cycle. Further analysis showed that this cyclical phenotype was specific to the genetic background. The severity of the mbl phenotype, including cell death, expanded epiphysis, and enlarged jaw, decreased when the mutation was moved from the original "TL" background to the "AB" background. Thus, the severity of developmental defects in the mbl mutant is strongly dependent on genetic background. We examined the contribution of cell death to the morphologic defects of mbl by blocking cell death by using zVADfmk, a known caspase inhibitor. We found that this treatment partially rescued the expanded jaw defect and that this rescue was dependent on the genetic background. Therefore, the mbl mutant phenotypes result, in part, from genetic background effects that alter the pattern of programmed cell death early in development.

Gonadotropin-releasing hormone (GnRH) cells arise from cranial neural crest and adenohypophyseal regions of the neural plate in the zebrafish, Danio rerio.

The olfactory placodes generate the primary sensory neurons of the olfactory sensory system. Additionally, the olfactory placodes have been proposed to generate a class of neuroendocrine cells containing gonadotropin-releasing hormone (GnRH). GnRH is a multifunctional decapeptide essential for the development of secondary sex characteristics in vertebrates as well as a neuromodulator within the central nervous system. Here, we show that endocrine and neuromodulatory GnRH cells arise from two separate, nonolfactory regions in the developing neural plate. Specifically, the neuromodulatory GnRH cells of the terminal nerve arise from the cranial neural crest, and the endocrine GnRH cells of the hypothalamus arise from the adenohypophyseal region of the developing anterior neural plate. Our findings are consistent with cell types generated by the adenohypophysis, a source of endocrine tissue in vertebrate animals, and by neural crest, a source of cells contributing to the cranial nerves. The adenohypophysis arises from a region of the anterior neural plate flanked by the olfactory placode fields at early stages of development, and premigratory cranial neural crest lies adjacent to the caudal edge of the olfactory placode domain [Development 127 (2000), 3645]. Thus, the GnRH cells arise from tissue closely associated with the developing olfactory placode, and their different developmental origins reflect their different functional roles in the adult animal.

Reporter gene expression in fish following cutaneous infection with pantropic retroviral vectors.

A central issue in gene delivery systems is choosing promoters that will direct defined and sustainable levels of gene expression. Pantropic retroviral vectors provide a means to insert genes into either somatic or germline cells. In this study, we focused on somatic cell infection by evaluating the activity of 3 promoters inserted by vectors into fish cell lines and fish skin using pantropic retroviruses. In bluegill and zebrafish cell lines, the highest levels of luciferase expression were observed from the 5' murine leukemia virus long terminal repeat of the retroviral vector. The Rous sarcoma virus long terminal repeat and cytomegalovirus early promoter, as internal promoters, generated lower levels of luciferase. Luciferase reporter vectors infected zebrafish skin, as measured by the presence of viral DNA, and expressed luciferase. We infected developing walleye dermal sarcomas with retroviral vectors to provide an environment with enhanced cell proliferation, a condition necessary for integration of the provirus into the host genome. We demonstrated a 4-fold to 7-fold increase in luciferase gene expression in tumor tissue over infections in normal walleye skin.

The olfactory placodes of the zebrafish form by convergence of cellular fields at the edge of the neural plate.

The primary olfactory sensory system is part of the PNS that develops from ectodermal placodes. Several cell types, including sensory neurons and support cells, differentiate within the olfactory placode to form the mature olfactory organ. The olfactory placodes are thought to arise from lateral regions of the anterior neural plate, which separate from the plate through differential cell movements. We determined the origins of the olfactory placodes in zebrafish by labeling cells along the anterior-lateral edge of the neural plate at times preceding the formation of the olfactory placodes and examining the later fates of the labeled cells. Surprisingly, we found that the olfactory placode arises from a field of cells, not from a discrete region of the anterior neural plate. This field extends posteriorly to the anterior limits of cranial neural crest and is bordered medially by telencephalic precursors. Cells giving rise to progeny in both the olfactory organ and telencephalon express the distal-less 3 gene. Furthermore, we found no localized pockets of cell division in the anterior-lateral neural plate cells preceding the appearance of the olfactory placode. We suggest that the olfactory placodes arise by anterior convergence of a field of lateral neural plate cells, rather than by localized separation and proliferation of a discrete group of cells.

A transient population of neurons pioneers the olfactory pathway in the zebrafish.

Mechanisms guiding the first axons from the olfactory placode of the peripheral nervous system (PNS) to the olfactory bulb in the vertebrate CNS are unknown. We analyzed the initial outgrowth of axons from the olfactory placode in zebrafish and found a precocious transient class of pioneer neurons that prefigure the primary olfactory pathway before outgrowth of olfactory sensory axons or expression of olfactory receptor genes. Not only are the pioneers antigenically, morphologically, and spatially distinct from olfactory sensory neurons, they are also developmentally distinct; via fate mapping, we show that they arise from a more anterior region of the lateral neural plate than do the first sensory neurons. After the axons of the sensory neurons grow into the CNS, the pioneer neurons undergo apoptotic cell death. When we ablated the pioneers before axonogenesis, the following sensory axons showed severe misrouting. We propose that the pioneers provide the first necessary connection from the PNS to the CNS and that they establish an axonal scaffold for the later-arriving olfactory sensory neurons.

Development of wing sensory axons in the central nervous system of Drosophila during metamorphosis.

The development of new, adult-specific axonal pathways in the central nervous system (CNS) of insects during metamorphosis is still largely uncharacterized. Here we used axonal labeling with DiI to describe the timing and pattern of growth of sensory axons originating in the wing of Drosophila as they establish their adult projection pattern in the CNS during pupal life. The wing of Drosophila carries a small number of readily identifiable sensory organs (sensilla) whose neurons are located in the periphery and whose axons travel along specific routes within the adult CNS. The neurons are born and undergo axonogenesis in a characteristic order. The order of axon arrival in the CNS appears to be the same as that of their development in the periphery. Within the CNS, the formation of four prominent axon bundles leading to distant termination sites is followed by the formation of a compact axon termination site near the point of wing nerve entry into the CNS. This sensillum-specific pattern persists into adulthood without discernible modification. We also find a small number of axons filled with DiI prior to the formation of the four permanent bundles. We have only been able to fill them for a few hours in early pupal life and therefore consider them to be transient. The bundles of wing sensory axons travel within tracts that contain other axons as well. Using immunocytochemistry, the tracts start to be histologically identifiable at around 12 h after pupariation (AP), and grow substantially as metamorphosis proceeds. Wing sensory neurons are found in the tracts by 18-20 h AP and the full adult pattern is established by 48 h AP. When sensory axons first enter the CNS, they fan out in the region where their appropriate tracts are located, but they do not wander extensively. They quickly form bundles that become increasingly compact over time. Calculations show that the rate of axon extension within the CNS varies from bundle to bundle and is equal to or greater than that of the same axons growing through wing tissue.

Development of Drosophila wing sensory neurons in mutants with missing or modified cell surface molecules.

The neurons of the sensory receptors on the wing of Drosophila melanogaster have highly characteristic axon projections in the central nervous system (CNS). The morphology of these projections was studied in flies bearing mutations that affect cell surface molecules thought to be important in axon guidance. The animals used were mutant for the fasciclinI (fasI), fasciclinII (fasII), fasciclinIII (fasIII) and neurally altered carbohydrate (nac) genes. Axon populations were visualized by staining with DiI and light-reacting the dye with diaminobenzidine to yield permanent preparations. The fasI, fasII and fasIII mutants as well as the nac mutant display altered axonal trajectories in the CNS. One phenotype seen in fasII mutants and in animals mutant for both fasI and fasIII was extra branching within the axon projection pattern. A second phenotype observed was a reduction or complete loss of one of the tracts, apparently due to the axons shifting to a neighboring tract. This was seen in the most extreme form in nac mutants and to a lesser degree in fasIII mutants. To determine if the mutations discussed here affected axon guidance, wing discs were analyzed using the antibody 22C10 to label sensory neurons in the wing during metamorphosis. Both misrouting of axons and the appearance of ectopic neurons in the wing were observed. In the fasI:fasIII, the fasII and the nac mutants, there was misrouting of sensory axons in the developing wing. In addition, the fasII and nac mutants displayed ectopic sensory neurons in the wing. This implies that the cell surface molecules missing (fasciclins) or modified (by the nac gene product), in these mutants may play a role in both neurogenesis and axon guidance.

Guidepost cells.

Guidepost cells, as classically defined in the grasshopper embryo have only rarely been found in other systems. If the concept of guidepost cells is expanded, recognizing that any special role of specific cells in axon guidance is a function of the entire landscape in which axons are growing, and that growth cone--guidepost interactions may share mechanisms with many other cell--cell interactions, then numerous examples are found in both the peripheral and central nervous systems of many species.

The effect of inpatient psychiatric hospitalization on weight gain in children and adolescents.

Measures of weight were obtained both at admission and at discharge for children and adolescents receiving inpatient services at a private psychiatric hospital. The sample included 20 males and 20 females from each of three units: child psychiatric, adolescent psychiatric, and adolescent substance abuse. The difference between the actual weight change of the subjects and the weight change predicted from growth charts was obtained. Overall, subjects gained a significant amount of weight. The actual mean increase in weight was roughly 3.5 times greater than the predicted increase, and there were no significant differences in weight gain between males and females among patients from each of the three units. Potential explanations for this increase in weight are explored, and the implications are discussed.

Sexuality: a neglected component of child sexual abuse education and training.

Human sexuality is defined broadly as a function of total personality, especially to feelings of personal worth. A rationale, specific content, and teaching methodologies are suggested for the integration of sexuality content in the preparation of child welfare workers concerned with the prevention, intervention, and treatment of child sexual abuse.