A review of remediation programs in pharmacy and other health professions

The Accreditation Council for Pharmacy Education (ACPE) Accreditation Standards and Guidelines 2007 states that colleges and schools of pharmacy must have a remediation policy. Few comparative studies on remediation have been published by colleges and schools of pharmacy, making it challenging to implement effective and validated approaches. Effective remediation policies should include early detection of problems in academic performance, strategies to help students develop better approaches for academic success, and facilitation of self-directed learning. While the cost of remediation can be significant, revenues generated either cover or exceed the cost of delivering the remediation service. Additional research on remediation in pharmacy education across the United States and abroad is needed to make sound decisions in developing effective policies. This paper provides a review of current practices and recommendations for remediation in pharmacy and health care education.

ANTI-HERBIVORE PROTECTION BY MUTUALISTIC SPIDERS AND THE ROLE OF PLANT GLANDULAR TRICHOMES

Although specific associations between spiders and particular types of plants have been reported for several taxonomic groups, their consequences for spiders and plants are still poorly understood. The most common South American lynx spiders, Peucetia flava and P. rubrolineata, live strictly associated with various plant species that have glandular trichomes. To understand more about these spider-plant relationships, we investigated the influence of the spiders on the fitness of a neotropical glandular shrub (Trichogoniopsis adenantha) and on the arthropod community structure on the plant. We also tested whether glandular hairs provided any benefit to the spiders. Spiders reduced the abundance of several species and guilds of herbivores on the leaves and inflorescences. Consequently, damage to the leaves, capitula, ovaries, corollas, and stigmas caused by leaf-mining and chewing insects, as well as endophagous insects, were strongly reduced in the presence of Peucetia spp. Although the spiders fed on flower visitors, their negative influence on ovary fertilization was only marginally nonsignificant (P = 0.065). Spiders on plants of Trichogoniopsis adenantha that fed on common fruit flies that had died before adhering to the glandular trichomes did not lose body mass. However, those living on plants without stalked glandular trichomes (Melissa officinalis) did not feed on dead flies and lost 13-20% of their biomass. These results indicate that Peucetia spiders are effective plant bodyguards and that when there is limited live prey they may feed on insect carcasses adhered to glandular trichomes. Since several spider species of the genus Peucetia live strictly associated with glandular trichome-bearing plants in neotropical, Neartic, Paleartic, and Afrotropical regions, this type of facultative mutualism involving Peucetia and glandular plants may be common worldwide.

Carnivorous syndrome in Asian pitcher plants of the genus Nepenthes

BACKGROUND AND AIMS

Pitcher plants Nepenthes alata and N. mirabilis are carnivorous species with leaves composed of a photosynthetic part (lamina) and a pitcher trap. This characteristic permitted direct physiological and anatomical comparison between these two distinct parts of the leaves to determine those features involved in the 'carnivorous syndrome', which include low net photosynthetic assimilation rate (A(N)) and low photosynthetic nitrogen use efficiency (PNUE).

METHODS

Photosynthetic rate (A(N)) and respiration rate (R(d)) were measured gasometrically, chlorophyll concentration was determined spectrophotometrically and nitrogen concentration was determined using a CHN elemental analyser in lamina and trap separately. Anatomy of N. alata was observed using light, fluorescence and transmission electron microscopy. A(N), foliar nitrogen and chlorophyll concentration were also compared with values for other carnivorous plant species (genera Sarracenia, Drosera) that combine both autotrophic and carnivorous functions into the same physical organ.

KEY RESULTS

It was found that the A(N) in Nepenthes lamina was low and PNUE was only slightly higher or similar in comparison with other carnivorous plants. It was not observed that the pitcher had a higher R(d) than the lamina, but A(N) in the pitcher was significantly lower than in the lamina. Nepenthes possesses a cluster of characters that could result in reduced photosynthesis in the pitcher and be responsible for carnivorous function of the leaf: replacement of chlorophyll-containing cells with digestive glands, low chlorophyll and nitrogen concentration, compact mesophyll with a small portion of intercellular spaces, absence of palisade parenchyma and low stomatal density.

CONCLUSION

Low photosynthetic capacity, nitrogen efficiency, chlorophyll and nitrogen concentration of Nepenthes pitchers was found, together with a set of features that characterized the carnivorous syndrome. Dual use of leaves for photosynthesis and nutrient gain can decrease photosynthetic efficiency in carnivorous plants in general.

Toward a cost/benefit analysis of physical fitness

This article, which is based, in part, on a paper presented to the Canadian Association of Sport Sciences, Quebec City, in November 1985, evaluates the principles of cost/benefit and cost-effectiveness analysis in the specific context of fitness programming. Because of difficulties in valuing all aspects of fitness and health-particularly survival after retirement-cost-effectiveness analysis is generally preferred. Allowance must be made for inflation, the discount rate (except in a "steady state" analysis), marginal costs of program expansion, opportunity costs incurred by participants, the changing fabric of society, the economic multiplication of investment in fitness, and anticipated participation rates. Benefits may be observed by the individual (improved health), the corporation (reduced turnover and absenteeism, increased productivity, fewer injuries), and the state (reduced direct and indirect costs of illness, improved lifestyle, reduced demand for geriatric services). Program costs vary widely with the activity that is undertaken, but even daily walking involves the participant in some expense. Employee programs often cost $500-$750 per participant/year, while, depending on the sport and local speculation by land "developers", community programs may cost $175-$1,000 per participant/year. Cost/effectiveness analyses allow governments to reach informed decisions, but they cannot always answer associated ethical problems such as determining the value of human life, and the rights of the individual as opposed to those of society.