However, it is very likely that more comprehensive studies would

However, it is very likely that more comprehensive studies would detect SXT-related elements in many pathogenic and nonpathogenic bacterial species. Coral mucus is a rich substrate for microorganisms (Lampert et al., 2006). To date, very few systematic studies have been undertaken on abundance and diversity of microorganisms associated with the corals from Andaman Sea. In this study, we present our results on the identification of 18 heterotrophic culturable bacteria from the mucus of the coral Fungia echinata from Andaman Sea and Nicobar Islands, India, and detection of SXT/R391 ICEs targeting the

integrase gene. Coral samples were collected in the Havelock Island, Andaman Sea (Coordinates: 11°59′54″N, 92°58′32″E), http://www.selleckchem.com/JNK.html during November 2010 from a depth of about 5 m. Mucus samples of ca. 1 cm2 coral surface area from four individual species of F. echinata were taken using sterile cotton swabs (Guppy & Bythell, 2006) and transferred into a sterile tube with 1 mL of filter-sterilized seawater. All samples were transported to the laboratory for further analysis. The bacteria from the cotton swabs were suspended in seawater by vigorous vortexing and used as a master mix. An aliquot (100 μL) of the mixed samples was serially

diluted using phosphate-buffered saline and plated onto Bacto Marine agar 2216 (Difco, Sparks Glencoe, MD). All plates were incubated at 25 °C, corresponding to the seawater temperature of the site for 4 days. Colonies appeared on marine agar plates were picked up, purified, and buy CX-5461 preserved in 15% glycerol at −80 °C. For the identification of the cultivable bacteria, 16S rRNA gene sequence Phospholipase D1 analysis was performed. For this, genomic DNA was isolated using standard methods (Sambrook et al., 1989; Jyoti et al., 2010). PCR amplification of 16S rRNA gene was performed in a thermal cycler (PCT-200; MJ Research, Waltham, MA) using the universal bacterial primers, 27F (5′-GAGTTTGA TCCTGGCTCAG-3′) and 1525R (5′-AAAGGAGGTGATCCAGCC-3′) (Panday et al., 2011). Negative control was prepared with water replacing template DNA. PCR products

of ∼ 1.5 kb length were purified from excised portion of the agarose gel with QIAquick gel Extraction Kit (Qiagen, Hilden, Germany). Purified PCR products were ligated with pGEM-TEasy vector (Promega, Madison, WI) and transformed into Escherichia coli DH5α (Sambrook et al., 1989). Transformed clones were checked for the appropriate size of insert by restriction digestion with EcoRI enzyme and sequencing of the insert which was cloned into a pGEM-TEasy vector. Sequencing was performed with SP6 and T7 primers using a CEQ Dye Terminator Cycle Sequencing Kit in an automated DNA sequencer (CEQ 8000; Beckman Coulter, Fullerton, CA). Nucleotide sequences were assembled using the sequence alignment editor program BioEdit (http://www.mbio.ncsu.edu/bioedit/bioedit.html).

However, Voyich et al (2009) reported that ssl11 and

the

However, Voyich et al. (2009) reported that ssl11 and

the agr operon in a saeR/S mutant of MW2 strain is downregulated by ∼16- and 2-fold, respectively, at the early stationary growth phase. In concordance with our data, Liang et al. (2006) showed, by RT-PCR analysis, that agrA mRNA levels were significantly upregulated in the saeS null mutant compared with its wild-type strain, WCUH29, a virulent clinical isolate. Taken together, these data suggest that the influence of saeR/S on the transcriptional regulation of virulence genes is probably dependent on multiple factors including the genomic background of the strain studied (Liang et al., 2006; Rogasch et al., 2006). Interestingly, in the agr/sigB double mutant, the expressions of ssl5, ssl8, and sae was downregulated (Fig. PI3K inhibitor 2). However, in the agr mutant strain, these genes were upregulated, whereas the expression of either ssl5 or ssl8 did not change in

a Newman sigB mutant. This suggests that SigB probably acts synergistically with Agr, but not alone, to upregulate ssl5 and ssl8. This could very well be mediated by sae specifically in the Newman strain. An analogous phenomenon such as enhanced repression of exotoxin-encoding genes in double mutants of regulatory genes in S. aureus is not uncommon. For example, sar and agr double mutants are less virulent compared with the agr single mutant (Booth et al., 1997). Differences in the transcript levels of regulatory genes (agr, sarA, sigB, and saeR/S) have been reported between COL and Newman strains that correlate well with the expression of virulence-associated genes (Rogasch et al., 2006). In summary, ssl5 5-Fluoracil price and ssl8 expression in S. aureus clinical isolates is strain dependent and not influenced by differences in their alleles. They are positively regulated by Sae and negatively

Adenosine by Agr in the Newman strain. Furthermore, the ssl5 and ssl8 repression by Agr is probably achieved by the downregulation of Sae in the Newman strain. This is the first report of a negative regulation of an ssl gene by Agr. This study also highlights the potential challenges in managing infections due to S. aureus strains, which could potentially produce varying amounts of SSLs. Understanding the intricacy of global regulatory genes and their mode of regulation in different genetic backgrounds would provide an important insight into the molecular mechanisms of staphylococcal virulence. This may perhaps reveal specific targets, which would enable therapeutic intervention in S. aureus infections. This research was funded in part by research grant RO1 AI061385 from the National Institutes of Allergy and Infectious Diseases to S.K.S. The authors thank James Burmester and Joseph Mazza, Marshfield Clinic Research Foundation, for critically reviewing the manuscript. Table S1. List of SNPs identified in the ssl5 coding and upstream regions in Staphylococcus aureus strains.

To address these issues, we conducted a neuroimaging study in whi

To address these issues, we conducted a neuroimaging study in which human subjects observed the making of Paleolithic stone tools. Stone toolmaking is the click here earliest known uniquely human behaviour (Roux & Bril, 2005), dating back at least 2.6 million years (Semaw et al., 2003). Previous research (Stout & Chaminade, 2007) used FDG-positron emission tomography (PET) to study brain

activation during stone toolmaking. In the earliest, ‘Oldowan’, technology a ‘hammerstone’ held in the dominant hand is used to strike sharp ‘flakes’ from a cobble ‘core’ manipulated by the other hand. We found this method to be associated with activation of parietal and frontal brain regions involved in sensorimotor coordination, grip selection and 3D shape perception. After that, 1.7 million years ago, more complex ‘Acheulean’ technology developed. Here AZD1208 price cores were intentionally shaped into large cutting tools known as ‘handaxes’. We found this method

to be associated with activation of the right inferior frontal gyrus (Stout et al., 2008), a region implicated in the hierarchical organization of action (Koechlin & Jubault, 2006). In the present study we used functional magnetic resonance imaging (fMRI) to compare brain activation during the observation of Oldowan and Acheulean toolmaking. The Motor Cognition Hypothesis proposes that action understanding is tied to motor expertise (Gallese et al., 2009), but learning clearly requires understanding of actions not yet in the observer’s repertoire. Our design crossed observer expertise (Naïve, Trained, Expert) with technological sophistication (Oldowan, Acheulean) to examine the contribution of resonance and interpretation in understanding actions of varying familiarity and complexity. An account in terms of motor

resonance Epothilone B (EPO906, Patupilone) predicts expertise effects in the putative human mirror neuron system (Rizzolatti & Craighero, 2004) and dorsolateral prefrontal cortex (Buccino et al., 2004; Vogt et al., 2007), regardless of complexity. An inferential account (Saxe, 2005) predicts complexity effects in brain regions associated with mental state attribution, including the medial prefrontal cortex (Frith & Frith, 2006). A mixed model (Grafton, 2009) makes less exclusive predictions, but might involve a shift from resonance to inference with increasing complexity and expertise. The Paleolithic technologies investigated here are the same that were addressed in previous FDG-PET studies of subjects actually making stone tools (Stout & Chaminade, 2007; Stout et al., 2008). Oldowan flaking, known from approximately 2.6–1.6 million years ago, is a simple process of striking sharp cutting flakes from a stone core using direct percussion.

623) Within univariate analysis, participants who were married o

623). Within univariate analysis, participants who were married or lived with a partner were less likely to report they had given information (34.9%) compared with those who were single/widowed/divorced (44.1%; GDC-0449 P = 0.018). There

were no other significant differences found between those who did and did not give information for any other demographic or pharmacy behaviour. Generally, information givers had higher scores on TPB variables indicating positive views of giving information compared with non-givers and this was significant for all except attitude and PBC. Logistic regression analysis predicting behaviour showed intention (TPB BI) was predictive of giving information (Table 3). When marital status was added at step 3, those who were married or living with a partner were nearly half as likely to give information to MCAs as those who lived alone

(odds ratio (OR) 0.53, 95% CI 0.37, 0.78). In addition, those with greater intention to give information were more likely to give information (OR 1.38, 95% CI, 1.21, 1.57), i.e. each increase of one point on the 7-point intention scale was associated with an increase of 38% in the likelihood of giving information. Univariate analysis (data not shown) suggested significant associations C59 wnt in vivo of TPB BI and BI-WWHAM with education, use of the same pharmacy and pharmacy type. Post-school education provided significantly lower behaviour intention scores, with using the same pharmacy all the time giving the highest intention scores. BI also significantly differed by pharmacy type, i.e. it was highest for independent single outlet pharmacies and lowest for supermarket pharmacies. Linear regression models selleck chemicals llc to predict BI included subjective norm, attitude and PBC. The estimates from the final model are shown in Table 4. The model explained 36% of the variance in BI and attitude, subjective norm, PBC and education were significant.

A similar analysis predicted 34.4% of the variance in BI-WWHAM with attitude and subjective norm being significant (Table 4). Behavioural beliefs The next time I buy a pharmacy medicine, if I give information to the MCA Control beliefs The next time I buy a pharmacy medicine, I am confident that I will give information to the MCA if Normative beliefs The next time I buy a pharmacy medicine There were significant differences between respondents who did and did not give information for two behavioural beliefs and for three of the four normative belief items; in each case information givers had slightly higher scores (i.e. more agreement with the belief statement; Table 5). Based on the correlation coefficient, the rank order of beliefs with respect to BI was obtained (Table 5). Three normative beliefs (‘family members/my doctor/the NHS … think I should give information to MCAs’) showed the strongest association with BI and also showed the biggest difference when comparing information givers to the non-givers.

Previous work in both METH-pretreated animals and the 6-hydroxydo

Previous work in both METH-pretreated animals and the 6-hydroxydopamine model of Parkinson’s disease suggests that a disruption of phasic DA signaling, which is important for learning and goal-directed behavior, may be such a link. However, previous studies

used electrical stimulation to elicit phasic-like DA responses and were also performed under anesthesia, which alters DA neuron activity and presynaptic function. Here we investigated the consequences of METH-induced DA terminal loss on both electrically evoked phasic-like DA signals and so-called ‘spontaneous’ www.selleckchem.com/products/pd-0332991-palbociclib-isethionate.html phasic DA transients measured by voltammetry in awake rats. Not ostensibly attributable to discrete stimuli, these subsecond DA changes may play a role in enhancing selleck screening library reward–cue associations. METH pretreatment reduced tissue

DA content in the dorsomedial striatum and nucleus accumbens by ~55%. Analysis of phasic-like DA responses elicited by reinforcing stimulation revealed that METH pretreatment decreased their amplitude and underlying mechanisms for release and uptake to a similar degree as DA content in both striatal subregions. Most importantly, characteristics of DA transients were altered by METH-induced DA terminal loss, with amplitude and frequency decreased and duration increased. These results demonstrate for the first time that denervation of DA neurons alters naturally occurring DA transients Fossariinae and are consistent

with diminished phasic DA signaling as a plausible mechanism linking METH-induced striatal DA depletions and cognitive deficits. “
“Antisaccades are widely used in the study of voluntary behavioural control: a subject told to look in the opposite direction to a stimulus must suppress the automatic response of looking towards it, leading to delays and errors that are commonly believed to be generated by competing decision processes. However, currently we lack a precise model of the details of antisaccade behaviour, or indeed detailed quantitative data in the form of full reaction time distributions by which any such model could be evaluated. We measured subjects’ antisaccade latency distributions and error rates, and found that we could account precisely for both distributions and errors with a model having three competing LATER processes racing to threshold. In an even more stringent test, we manipulated subjects’ expectation of the stimulus, leading to large changes in behaviour that were nevertheless still accurately predicted. The antisaccade task is widely used in the laboratory and clinic because of the relative complexity and vulnerability of the underlying decision mechanisms: our model, grounded in detailed quantitative data, is a robust way of conceptualizing these processes.

[64-66]Acetazolamide and low-dose sustained-release theophylline

[64-66]Acetazolamide and low-dose sustained-release theophylline both appear to act by increasing central stimulation of respiratory drive,[67, 68] and both improve sleep-disordered breathing. There are insufficient data to advocate prevention with hypnotic agents alone or in combination with other drugs.[56] Dexamethasone is a powerful drug with the potential to prevent AMS, HACE, and HAPE.[69-71] However, in contrast to acetazolamide, dexamethasone does not assist in the process of acclimatization.[11] The calcium-channel blocker nifedipine and the phosphodiesterase-5 inhibitor tadalafil reduce pulmonary hypertension, and have been shown in demonstration

PF-2341066 studies to prevent HAPE in HAPE-susceptible PS-341 research buy subjects.[23, 71] Beta2-agonists such as salmeterol facilitate alveolar fluid clearance, and have also been shown to prevent HAPE in susceptible individuals.[72] However, they are not as effective as nifedipine and tadalafil for this purpose. Once promising, ginkgo biloba has no specific or additional preventive effect on AMS.[83] Beneficial preventive effects have been reported by two recent studies on the use of sumatriptan or gabapentin for AMS prophylaxis.[84,

85] However, further studies are required before a firm conclusion can be reached.[86] The low oxygen environment at high altitude is the primary cause of all hypoxia-related high-altitude illness.[87] Thus, descent from high altitude represents the therapy of choice, with medications including oxygen

as adjunctive measures. Self-medication for moderate to severe AMS, HACE, or HAPE is untested, but commonly used. If the traveler is part of a group trek or expedition, adequate treatment is ideally provided by an experienced physician, or realistically by a trained guide or someone with adequate medical training. In mild AMS (ie, a Lake Louise score of 4–9), the affected person can stay at that altitude, relax, take antiemetics, maintain fluid intake, and take pain relievers until symptoms subside. If symptoms persist or are even intensified, descent is recommended. For severe AMS, HAPE, and HACE, oxygen (4–6 L/min) Suplatast tosilate should be given while planning descent and evacuation if available. Other nonpharmacologic measures to increase oxygenation include pursed lip breathing, application of positive airway pressure by a helmet or facemask, and use of a portable hyperbaric chamber.[11, 88, 89] Simultaneously with these measures, appropriate drug therapy should be started. There are only a few drugs that have proven effectiveness for the treatment of high-altitude illnesses. Acetazolamide (a carbonic anhydrase inhibitor) can be used to treat mild AMS, but should be avoided in pregnancy.[73] Again, NSAIDs (eg, ibuprofen, naproxen, and aspirin) and acetaminophen are effective for treating headache at high altitude.[74, 75] Dexamethasone (a corticosteroid) is an excellent drug to treat AMS and HACE.

These photos have been previously reported to activate monkey amy

These photos have been previously reported to activate monkey amygdalar neurons (Tazumi et al., 2010). The facial photos, obtained using five human models, consisted of three head orientations: straight ahead (frontal face); 30° to the right (profile face); and 30° to the left (profile face). The frontal faces consisted of three gaze directions (directed toward, and averted to the AP24534 left or right of the monkey), and the profile faces comprised two gaze directions (directed toward, and averted to the right and left of the monkey).

The facial stimuli were 256 digitized color-scale images. Stimuli were presented on a black background of 0.7 cd/m2 with their centers at the center of the display. The luminance of each stimulus was determined by measuring luminance of the circular area (radius, 6.35 cm) including each stimulus inside the circle by means of a luminance meter (BM-7A; Topcon, Tokyo). The luminance of these stimuli ranged from 1.36 to 3.66 cd/m2 [luminous intensity (total luminance) ranged from

16.4 to 44.2 mcd]. We did not use facial stimuli Selleck RO4929097 with profiles rotated by 30° to the right and gaze direction averted to the right, or profiles rotated by 30° to the left and gaze direction averted to the left. In these facial stimuli, it is difficult to detect the dark iris; only the white sclera could be seen. In monkey faces, the iris can always be recognized as it occupies the major part of the visible eye. Therefore, this type of human facial stimuli appears to be unusual for monkeys. In addition, the iris can be recognized in all of the frontal faces, Nintedanib cell line regardless of gaze direction, whereas in these particular profiles the iris cannot be recognized. The lack of the iris produces a qualitative difference among the facial stimuli. For these reasons,

we avoided profiles without a visible iris. Figure 1B shows line drawings of faces with three gaze directions (cartoon faces), eye-like patterns and face-like patterns (J1–4) that newborn babies orient toward (Johnson et al., 1991). The luminance of the white and black areas inside these illustrations was 36.5 and 0.7 cd/m2, respectively (total luminance of the cartoon faces, eye-like patterns and face-like patterns were 38.7, 188.6 and 179.3 mcd, respectively). In addition, as control stimuli, four simple geometric patterns (circle, cross, square and star) were used. Luminance of the white areas inside the simple geometric patterns was 36.5 cd/m2 (total luminance of the circle, cross, square and star were 151.6, 96.0, 188.1 and 61.0 mcd, respectively). The cartoon faces, eye-like patterns and face-like patterns comprised 256 digitized RGB images; the four simple geometric patterns comprised 256 digitized images. These stimuli were displayed on a CRT monitor with a resolution of 640 × 480 pixels, and the size of the stimulus area was 5–7 × 5–7°. Some of the pulvinar neurons were further tested with scrambled images of the stimuli that elicited the strongest responses.

These photos have been previously reported to activate monkey amy

These photos have been previously reported to activate monkey amygdalar neurons (Tazumi et al., 2010). The facial photos, obtained using five human models, consisted of three head orientations: straight ahead (frontal face); 30° to the right (profile face); and 30° to the left (profile face). The frontal faces consisted of three gaze directions (directed toward, and averted to the check details left or right of the monkey), and the profile faces comprised two gaze directions (directed toward, and averted to the right and left of the monkey).

The facial stimuli were 256 digitized color-scale images. Stimuli were presented on a black background of 0.7 cd/m2 with their centers at the center of the display. The luminance of each stimulus was determined by measuring luminance of the circular area (radius, 6.35 cm) including each stimulus inside the circle by means of a luminance meter (BM-7A; Topcon, Tokyo). The luminance of these stimuli ranged from 1.36 to 3.66 cd/m2 [luminous intensity (total luminance) ranged from

16.4 to 44.2 mcd]. We did not use facial stimuli Stem Cell Compound Library with profiles rotated by 30° to the right and gaze direction averted to the right, or profiles rotated by 30° to the left and gaze direction averted to the left. In these facial stimuli, it is difficult to detect the dark iris; only the white sclera could be seen. In monkey faces, the iris can always be recognized as it occupies the major part of the visible eye. Therefore, this type of human facial stimuli appears to be unusual for monkeys. In addition, the iris can be recognized in all of the frontal faces, Phosphoribosylglycinamide formyltransferase regardless of gaze direction, whereas in these particular profiles the iris cannot be recognized. The lack of the iris produces a qualitative difference among the facial stimuli. For these reasons,

we avoided profiles without a visible iris. Figure 1B shows line drawings of faces with three gaze directions (cartoon faces), eye-like patterns and face-like patterns (J1–4) that newborn babies orient toward (Johnson et al., 1991). The luminance of the white and black areas inside these illustrations was 36.5 and 0.7 cd/m2, respectively (total luminance of the cartoon faces, eye-like patterns and face-like patterns were 38.7, 188.6 and 179.3 mcd, respectively). In addition, as control stimuli, four simple geometric patterns (circle, cross, square and star) were used. Luminance of the white areas inside the simple geometric patterns was 36.5 cd/m2 (total luminance of the circle, cross, square and star were 151.6, 96.0, 188.1 and 61.0 mcd, respectively). The cartoon faces, eye-like patterns and face-like patterns comprised 256 digitized RGB images; the four simple geometric patterns comprised 256 digitized images. These stimuli were displayed on a CRT monitor with a resolution of 640 × 480 pixels, and the size of the stimulus area was 5–7 × 5–7°. Some of the pulvinar neurons were further tested with scrambled images of the stimuli that elicited the strongest responses.

Instead, other members of the Proteobacteria, known for hosting m

Instead, other members of the Proteobacteria, known for hosting many known hydrocarbon degraders (Widdel & Rabus, 2001), were identified (Fig. S2 in Appendix S1). One sequence was closely related to a clone identified at the Gullfaks and Tommeliten oil field methane seeps of the North Sea (Wegener et al., 2008). AOM rates were determined to assess potential methane losses

during incubation time. These rates were 3-Methyladenine clinical trial in good agreement with those observed typically in methane-fed environments (Knittel & Boetius, 2009). However, methane seepage was apparently not the major energy source of Zeebrugge sediments. Therefore, in situ AOM possibly depended on hydrocarbon-derived methane, as indicated by the growth of the AOM community in hexadecane-amended microcosms (Fig. 5). Based on the methane partial pressure-dependent and cell-specific AOM rate constant reported by Thauer & Shima (2008), we calculated a loss of no more than 12% of the produced methane in hydrocarbon-amended microcosms. To fully exploit exhausted oil reservoirs, the conversion of residual oil to methane seems to be a viable technique to recover energy that would otherwise be lost. As a possible contribution for this application, our experiments demonstrated that additional sulfate or trivalent iron accelerated methanogenesis in aliphatic and

aromatic hydrocarbon (e.g. BTEX)-degrading communities. In contrast, the inhibitory effect AZD5363 of nitrate, commonly used to suppress sulfate reducers in oil fields, most likely prohibits its application for oil recovery as methane. Additionally, we present convincing evidence for the conversion of a PAH to methane. Consequently, our results also provide novel insights for bioremediation, where the conversion of hydrocarbon contaminants to

volatile methane Lonafarnib datasheet seems to be an option. Nevertheless, methane is a much more potent greenhouse gas than CO2. Therefore, the addition of high amounts of nitrate or sulfate may be preferred to stimulate biodegradation when methanogenesis is unwanted and oxygen treatment is impossible. Funding was partially provided by the Deutsche Forschungsgemeinschaft (grants KR 3311/5-1 & 6-1), the Bundesministerium für Bildung und Forschung (grant 03G0189A), the Landesanstalt für Altlastenfreistellung Magdeburg and the Flemish Environmental and Technology Innovation Platform (MIP, project ‘In situ conditioning of dredged and mineral sludge’). We thank Dr Axel Schippers for fruitful discussions and for improving the manuscript. Appendix S1. Eckernförde Bay. Please note: Wiley-Blackwell is not responsible for the content or functionality of any supporting materials supplied by the authors. Any queries (other than missing material) should be directed to the corresponding author for the article. “
“Listeria monocytogenes is a food-borne pathogen that causes severe opportunistic infection in humans and animals.

The government agenda in the UK is for community pharmacists to b

The government agenda in the UK is for community pharmacists to become involved in chronic disease management, and COPD is one area where they are ideally located to provide a comprehensive service. This

study aims to evaluate the effect of a community pharmacy–based COPD service on patient outcomes. Patients in one UK location were recruited over a 10-week period to receive a community pharmacy–based COPD support service consisting of signposting to or provision of smoking-cessation service, therapy optimisation and recommendation to obtain a rescue pack containing steroid and antibiotic to prevent hospitalisation as a result of chest infection. Data were collected over a 6-month period for all recruited patients. EPZ-6438 in vitro Appropriate clinical outcomes, patient reported medication adherence, quality of life and National Health Service (NHS) resource utilisation were measured. Three hundred six patients accessed the service. Data to enable comparison before and after intervention was available for 137 patients. Significant improvements in patient reported

adherence, utilisation of rescue packs, quality of life and a reduction in routine general practitioner (GP) visits were identified. The intervention cost was estimated to be off-set by reductions in the use of other NHS services (GP and accident and emergency visits and hospital admissions). Results suggest that the service improved patient medicine taking behaviours and that it was cost-effective. “
“To explore pharmacy stakeholders’ views on developing a postgraduate course to prepare hospital pharmacists for collaborative prescribing in Australia.

MI-503 datasheet Semi-structured interviews were conducted with pharmacy stakeholders from universities, hospitals and professional organisations Silibinin (n = 25) to gather views on the content, structure and delivery methods of a possible postgraduate prescribing course for pharmacists. Transcripts were analysed thematically and coded using NVivo software. There was strong support for collaborative prescribing as an appropriate role for advanced pharmacist practitioners and acknowledgement that further training is needed to implement this new role. It was proposed that postgraduate training for hospital pharmacists should be based on a national prescribing competency framework and participants highlighted key aspects of the prescribing process in which pharmacists need particular up-skilling: diagnosis, physical assessments, clinical decision-making and consultations. The training model used in the UK was favoured, where candidates undertake university-based study combined with collaborative training with a doctor and a practical assessment of competency. The findings from this study have provided valuable information which can provide a pathway for the development of a postgraduate course to prepare Australian hospital pharmacists for prescribing.