Similarly, there are only two possible configurations for the int

Similarly, there are only two possible configurations for the introduced Idasanutlin DNA – as a single copy or as multiple copies (Turgeon et al., 2010). In this study, PCR analysis clearly demonstrated the presence of nearly consistent hph and

amp genes in plasmid pSH75 and transformants but absence of the two genes in wild-type B. eleusines. It appears that PCR can confirm the genome integration rapidly, but may not detect multiple copies of insertion. Southern blot analysis may be used for further verification of single insertion or stability of the transformants. Biosynthesis of ophiobolin compounds as secondary metabolites can be a complex process and would require many enzymatic steps. Why fungi produce ophiobolin compounds remains unknown and the molecular pathway involved is not yet clear. Therefore, understanding the biosynthetic pathway in the filamentous fungus B. eleusines may help in improving ophiobolin yields via genetic engineering of the organism. REMI has been extensively used to tag pathogenicity genes or to study gene functions in numerous fungal pathogens (Bolker et al., 1995; Jin et al., 2005; Zhou et al., 2007). In addition, it can be used to clone the genes related to mutant characteristics by plasmid rescue in Eschericha coli (Kahmann & Basse, 1999) or by thermal asymmetric interlaced-(TAIL) PCR (Weld et al., Small molecule library 2006).

Therefore, REMI is an effective approach for isolating genes from fungal mutants, especially for those with little known genetic background. Screening and identifying ophiobolin A-deficient mutants of B. eleusines using REMI may lead to cloning the genes that influence or are potentially involved in the biosynthesis of ophiobolin compounds

using TAIL-PCR and/or plasmid rescue in E. coli. This information may be helpful in studying and unveiling the mechanism of ophiobolin production in filamentous fungi. In conclusion, a transformation system for B. eleusines has been developed using REMI. Screening and identification of ophiobolin A-deficient mutants were successively completed using bioassays coupled with HPLC and PCR techniques for confirmation. One stable ophiobolin A-deficient mutant was obtained. These techniques are relatively simple and provide a new approach for further studying the mechanism of microbial-based ophiobolin production. They may also help to improve Cytidine deaminase the yield of toxin production by transferring genes responsible for up-regulation of the biosynthetic pathways of B. eleusines. We thank Dr Gary Peng, Saskatoon Research Centre, Agriculture and Agri-Food Canada, for reviewing this manuscript and providing comments. We also thank Dr Sheng Qiang (Nanjing Agricultural University, China) and Dr Shiwen Huang (China National Rice Research Institute, China) for providing plasmid pSH75 and Rhizoctoni solani AG-1-IA, respectively. This work was financially supported by the National Natural Science Foundation of China (No.

Spinal cords were obtained from 3- to 5-week-old male Sprague–Daw

Spinal cords were obtained from 3- to 5-week-old male Sprague–Dawley rats by dorsal laminectomy. The rats were anesthetized with 3% isoflurane in an induction box and kept under isoflurane anesthesia during the extraction of the spinal cord, which took < 2 min and included euthanasia by bilateral thoracotomy. Coronal slices (400 μm) were cut with a vibratome (Integraslice 7550PSDS; Campden Instruments USA, Lafayette, IN, USA) from a lumbar http://www.selleckchem.com/products/ABT-737.html spinal cord segment (L2–L4), as described (Marvizon et al., 2003a; Lao & Marvizon, 2005; Adelson et al., 2009). The spinal cord segment was glued vertically

to a block of agar on the stage of the vibratome and immersed in ice-cold sucrose-aCSF. Slices were cut using minimum forward speed and maximum vibration while CX-5461 cell line under observation with a stereo microscope mounted over the vibratome. Slices were prepared either without roots or with

one dorsal root, which was used for electrical stimulation. In the later case, fiber continuity between the dorsal root and the dorsal horn was assessed by examining the dorsal root and the dorsal surface of the slice with the stereo microscope. Slices were discarded if they did not meet the following criteria: (i) at least 80% of the dorsal funiculus had to be continuous with the dorsal root, and (ii) the dorsal root had no cuts or compression damage. Slices were kept for 1 h in K+-aCSF at 35°C, and then in regular aCSF at 35°C. The dorsal root attached to the slice was electrically stimulated using a custom-made chamber, as previously described (Marvizon et al., 2003b; Adelson et al., 2009). The root was placed on a bipolar stimulation electrode (platinum wire of 0.5 mm diameter, 1 mm pole separation) in a compartment separated from the superfusion chamber by a grease bridge. The root and the electrodes were covered with mineral oil, and

any excess aCSF was suctioned away. This ensured that electrical current circulated through the root and that the stimulus was consistent between preparations. Electrical stimulation was provided by a Master-8 stimulator and SIU5A stimulus isolating unit (A.M.P. Phospholipase D1 Instruments, Jerusalem, Israel), and consisted of 1000 square pulses of 20 V and 0.4 ms (C-fiber intensity) delivered at 1 Hz or 100 Hz. In some experiments, the root was chemically stimulated by incubating it for 10 min with 1 μm capsaicin in aCSF in the side compartment of the chamber, as described (Lao et al., 2003). Slices were superfused at 3–6 mL/min with aCSF at 35°C. Drugs were present in the superfusate continuously starting 5 or 10 min before root stimulation. Ten minutes after the stimulus slices were fixed by immersion in ice-cold fixative (4% paraformaldehyde and 0.18% picric acid in 0.1 m sodium phosphate buffer). A round hole was punched in the ventral horn of the slice ipsilateral to the stimulus in order to identify it in the histological sections after immunohistochemistry.

The resulting peptides were extracted from

The resulting peptides were extracted from selleckchem the gel plug with 0.1% (v/v) trifluoroacetic acid/50% (v/v) acetonitrile. Digests were spotted on a MALDI target using α-cyano-4-hydroxycinnamic acid as a matrix. Spectra were acquired on a 4800 MALDI TOF/TOF analyser (Applied Biosystems, Foster City, CA). Data

analysis and MS database searching were performed using GPS Explorer™ and mascot software. Total RNA was isolated from P. gingivalis cells grown to mid-exponential phase (OD600 nm of c. 1.0) by using an RNeasy Mini kit (Qiagen Science). DNA was removed with RNase-Free DNase. cDNA was generated in a reaction mixture containing a random primer (Promega), dNTP mixture, RNase inhibitor, DTT, Superscript III Reverse Transcriptase (Invitrogen) and

DEPC-treated water. Real-time qPCR was performed using Brilliant SYBR Green II QPCR Master Mix (Stratagene) with an Mx3005P™ Real-Time PCR System (Stratagene) according to the manufacturer’s instructions. Primers for the real-time qPCR are listed in Table S1 and were designed using the primer3 program. Real-time qPCR conditions were as follows: one cycle at 95 °C for 10 min, and 35 cycles of 95 °C for 30 s and 60 °C for 1 min. At each cycle, accumulation of PCR products was detected by the reporter dye from the dsDNA-binding SYBR Green. To confirm that a single PCR product was amplified, after the PCR, a dissociation curve (melting curve) was constructed in the range 55–95 °C. All data were analysed using Mx3005P software. The expression level of each targeted EPZ-6438 supplier gene was normalized to that of the 16S rRNA gene, which was used as a reference. All

PCR reactions were carried out in triplicate. The efficiency of primer binding was determined by linear regression by plotting the cycle threshold (CT) value versus the log of the cDNA dilution. Relative quantification of transcript was determined triclocarban using the comparative CT method () calibrated to 16S rRNA gene. qPCR experiments were performed multiple times independently, yielding comparable results. We constructed an rgpA rgpB kgp porK mutant from an rgpA rgpB kgp strain and compared secreted proteins between the rgpA rgpB kgp and rgpA rgpB kgp porK strains to avoid degradation of secreted and surface proteins by gingipains as the wild-type strain secreted gingipains that had the ability to process both secreted and surface proteins, while the porK mutant secreted no gingipains. 2D-PAGE of the particle-free (membrane-free) culture supernatants from the kgp rgpA rgpB and kgp rgpA rgpB porK mutants was performed. As a control, three protein spots in each 2D gel, which exhibited the same amounts of proteins with the same molecular masses and isoelectric points, were subjected to MALDI-TOF mass analysis, resulting in the same proteins (PGN_0916, PGN_1367 and PGN_1587; Fig. 1). Their molecular masses and isoelectric points calculated from their amino acid sequences were 69 044 and 4.88 for PGN_0916, 49 199 and 5.

There were no other reports of close contact

with bats or

There were no other reports of close contact

with bats or exploration of caves during the field trip. One student with serologically confirmed histoplasmosis had merely peered into the tree through the window in its trunk. Nine of the 13 students developed symptoms in the first 15 days after leaving the buy NU7441 rainforest (symptom onset was 40 days in one case; unknown in three). The students left the rainforest on July 20, 2011. Seven students specified a date between July 26 and August 4, 2011, when their symptoms began, supporting the likelihood of a common source. Six were not in their country of residence when they first needed medical attention (two still in Uganda, two in Kenya, one in Indonesia, and one in Canada). At least three were hospitalized for further investigation. Not all the cases were diagnosed as acute pulmonary histoplasmosis, but in each case the clinical picture was highly suggestive of this diagnosis retrospectively. In five cases the diagnosis of histoplasmosis was confirmed with positive serology. At least six students

were initially thought to have miliary tuberculosis and two commenced antituberculous medication. This is the largest outbreak of pulmonary histoplasmosis reported in short-term travelers to Africa, with an intriguing source, a hollow selleck chemical bat-infested tree trunk in the Ugandan rainforest. The presentation and Thiamet G diagnosis of pulmonary histoplasmosis in travelers are discussed below. Histoplasma capsulatum is a dimorphic fungus. There are two varieties that are pathogenic to humans, var. duboisii and var. capsulatum. The former exists only in Africa, while var. capsulatum is most prevalent in regions of North, Central, and South America but has also been reported from parts of Africa, Southern and Eastern Europe, Eastern Asia, and Australia.[1, 2] Histoplasmosis grows as a mold in soil enriched with large amounts

of bird or bat guano.[1] Humans become infected when such soil is disturbed, allowing aerosolization and inhalation of the infectious microconidia. Activities associated with exposure include cleaning chicken coops, bird roosts, attics, and barns; caving; excavation; construction, renovation, and demolition.[3] Histoplasma capsulatum var. duboisii mainly involves the skin, subcutaneous tissues, lymph nodes, and bones. It rarely affects the lungs and appears to pose less of a risk to travelers.[4] The clinical features of the outbreak described in this article are much more consistent with infection caused by H capsulatum var. capsulatum. Its clinical manifestations vary according to host immunity and exposure intensity, ranging from asymptomatic infection (in most healthy persons exposed to a low inoculum) to life-threatening pneumonia with respiratory failure.

There were no other reports of close contact

with bats or

There were no other reports of close contact

with bats or exploration of caves during the field trip. One student with serologically confirmed histoplasmosis had merely peered into the tree through the window in its trunk. Nine of the 13 students developed symptoms in the first 15 days after leaving the Selleckchem isocitrate dehydrogenase inhibitor rainforest (symptom onset was 40 days in one case; unknown in three). The students left the rainforest on July 20, 2011. Seven students specified a date between July 26 and August 4, 2011, when their symptoms began, supporting the likelihood of a common source. Six were not in their country of residence when they first needed medical attention (two still in Uganda, two in Kenya, one in Indonesia, and one in Canada). At least three were hospitalized for further investigation. Not all the cases were diagnosed as acute pulmonary histoplasmosis, but in each case the clinical picture was highly suggestive of this diagnosis retrospectively. In five cases the diagnosis of histoplasmosis was confirmed with positive serology. At least six students

were initially thought to have miliary tuberculosis and two commenced antituberculous medication. This is the largest outbreak of pulmonary histoplasmosis reported in short-term travelers to Africa, with an intriguing source, a hollow BTK inhibitor bat-infested tree trunk in the Ugandan rainforest. The presentation and Montelukast Sodium diagnosis of pulmonary histoplasmosis in travelers are discussed below. Histoplasma capsulatum is a dimorphic fungus. There are two varieties that are pathogenic to humans, var. duboisii and var. capsulatum. The former exists only in Africa, while var. capsulatum is most prevalent in regions of North, Central, and South America but has also been reported from parts of Africa, Southern and Eastern Europe, Eastern Asia, and Australia.[1, 2] Histoplasmosis grows as a mold in soil enriched with large amounts

of bird or bat guano.[1] Humans become infected when such soil is disturbed, allowing aerosolization and inhalation of the infectious microconidia. Activities associated with exposure include cleaning chicken coops, bird roosts, attics, and barns; caving; excavation; construction, renovation, and demolition.[3] Histoplasma capsulatum var. duboisii mainly involves the skin, subcutaneous tissues, lymph nodes, and bones. It rarely affects the lungs and appears to pose less of a risk to travelers.[4] The clinical features of the outbreak described in this article are much more consistent with infection caused by H capsulatum var. capsulatum. Its clinical manifestations vary according to host immunity and exposure intensity, ranging from asymptomatic infection (in most healthy persons exposed to a low inoculum) to life-threatening pneumonia with respiratory failure.

g within 6 months prior to the date of the ACS event or censorsh

g. within 6 months prior to the date of the ACS event or censorship) therapy with thymidine nucleoside reverse transcriptase inhibitors, abacavir or protease inhibitors. ACS was defined according to the criteria of The Joint European Society of Cardiology and the American College of Cardiology Committee for the Redefinition of Myocardial Infarction [31]. The study was approved by the Selleckchem Gefitinib Ethics Committee at each participating centre. For the HIV-positive

case–control study, we identified HIV-positive adults diagnosed with ACS between 1997 and 2009 (HIV+/ACS) from hospital records. For each subject in the HIV+/ACS group, we selected three HIV-positive Pictilisib research buy patients without ACS from HIV databases, matched for age (± 3 years), gender and known duration

of HIV infection (± 3 years) (HIV+/noACS). For the HIV-negative case–control study, we identified patients diagnosed with ACS between 1997 and 2009 with no known diagnosis of HIV infection at the time of the ACS event (HIV–/ACS) and, for each individual in the HIV+/ACS group, we randomly selected three HIV–/ACS individuals matched for age (± 3 years), gender and calendar date of ACS diagnosis (± 3 years). Each of these HIV–/ACS individuals was matched for age (± 3 years) and gender with a healthy adult volunteer (HIV–/noACS) selected from Hospital Clínic Primary Care Centre databases. After matching, the ratio of numbers of individuals in the HIV+/ACS, HIV+/noACS, HIV–/ACS and HIV–/noACS groups was therefore 1 : 3 : 3 : 3, respectively. The effects of smoking, diabetes, hypertension and other available cardiovascular risk factors on ACS in each case–control study were assessed by unconditional logistic regression adjusted for the matching criteria. Odds ratios (ORs) and their

corresponding 95% confidence intervals (CIs) were calculated for every risk factor of interest. PARs for smoking, diabetes and hypertension CYTH4 were calculated by unconditional logistic regression within each case–control study [32]. PARs were adjusted for confounders in a similar manner to the corresponding logistic regression models for OR estimates. Statistical analyses were performed with sas version 9.2 (SAS Institute, Cary, NC) and stata, release 9.1 (Stata Corp, College Station, TX). All statistical tests of hypotheses were two-sided. Although 71 HIV+/ACS patients were identified, 14 (all men) were excluded from the analysis because they did not have sufficient data available for the purpose of this study. Therefore, there were 57 subjects in the HIV+/ACS group, 173 in the HIV+/noACS group, 168 in the HIV–/ACS group and 171 in the HIV–/noACS group.

This suggests the necessity for routine postoperative radiographs

This suggests the necessity for routine postoperative radiographs for IPT- and 3Mix-MP-treated teeth, similar to other pulp treatment techniques of primary teeth. In our study, the percentage of PCO in each group was similar with a slightly higher percentage in the 3Mix-MP group,

which was comparable with a previous pulpotomy study[22]. PCO, resulting from the uncontrolled activity of odontoblast-like cells, indicated that the tooth had retained pulp vitality[28, 29] and, therefore, was not regarded as a failure. Vital pulp therapy is a rapidly emerging field where the goal is the regeneration of the dentine-pulp complex to reproduce normal tissue architecture. Our understanding of the molecular mechanisms controlling odontoblast-like cell function is still limited, and PCO is often seen following vital pulp therapy[22]. Calcium hydroxide Small molecule library datasheet is still a good choice of material for IPT. Its bactericidal effect and stimulation of dentine remineralization induce repair of the dentine-pulp complex[30]. Calcium hydroxide is available as a commercial dental product and is easy to handle. Currently, 3Mix-MP is not available as a selleck compound commercial product, and each antibiotic can only be stored one month after being pulverised into powder. After mixing the

three antibiotics with macrogol and propylene glycol (MP), the mixture must be used within 1 day. Unfortunately, minocycline is not currently generally available in Thailand. There are no studies on the possible systemic adverse reactions from the local use of 3Mix-MP such as antibiotic resistance, tooth staining from minocycline, etc. Long-term studies on these issues need to be conducted. Longer studies are also needed to compare CH-IPT versus 3Mix-MP success rates for the treatment of deep caries in primary teeth. Further study should focus on the molecular and cellular responses of IPT and 3Mix-MP techniques in the treatment of mafosfamide deep carious lesions in primary teeth and the long-term effect of the local use of 3Mix-MP in paediatric dentistry. There was no statistically significant difference in overall success rates between calcium hydroxide indirect pulp treatment (CH-IPT) and 3Mix-MP

sterilization (3Mix-MP) for the treatment of deep caries approaching the pulp in mandibular primary molars at either the 6–11 month or the 12–29 month follow-ups. This study was partially supported by Chulalongkorn University postgraduate research fund. The authors thank Dr. Kevin Tompkins for his critical review. The authors report no conflict of interest. What this paper adds This study shows that after nearly 2 years, the success rate of the 3Mix-MP sterilization of caries was lower than CH-IPT but not statistically different. Why this paper is important to paediatric dentists An antibiotic sterilization vital pulp therapy in primary teeth is introduced. 3Mix-MP sterilization may be an alternative technique with success rates comparable with CH-IPT after almost 2 years.

, 2009) A close inspection of the PhaR-binding sequences of thes

, 2009). A close inspection of the PhaR-binding sequences of these genes

revealed a very striking similarity among them. The PhaR-binding sequence present in the phaZ promoter is CTGCCATGCAG (located at nucleotides −77 to −67 relative to the initiation codon of phaZ). The one located in the phaC promoter is CTGCATGGCAG (nucleotides −35 to −25 relative to the initiation codon of phaC), and that in the phaR promoter is CTGCAGCCGCAG (located at nucleotides −31 to −20 relative to the initiation codon of phaR). The only difference among these sequences is in the space Doramapimod concentration region. The sequence of the spacer region of the PhaR-binding motif of the phaZ gene is CAT, and those for phaC and phaR are ATG and AGCC, respectively. This is consistent with our finding that the sequences in the two dyad regions of the PhaR-binding motif cannot be changed, but that in the spacer can be substituted by any three or four nucleotides (Fig. 2). Although PhaR can bind to the promoter regions of phaP, phaR, phaZ, and phaC, it regulates these genes differently. PhaR represses the expression of phaP, CHIR-99021 manufacturer phaR, and phaZ, but not phaC (Chou et al., 2009). The phaZ and phaC genes are located next to each other in an opposite direction and share the same PhaR-binding motif.

However, binding of PhaR to this motif inhibits phaZ expression, but has no suppressive effect on phaC (Chou et al., 2009). This interesting regulatory mechanism is being investigated. We thank Chao-Hung Lee for valuable discussions and critical editing of the manuscript. This study was supported by a grant (NSC96-2311-B-030-001) from the National Science Council, ADP ribosylation factor Taipei, Taiwan. “
“Alarmone Guanosine 5′-diphosphate (or 5′-triphosphate) 3′-diphosphate [(p)ppGpp]

is the key component that globally regulates stringent control in bacteria. There are two homologous enzymes, RelA and SpoT in Escherichia coli, which are responsible for fluctuations in (p)ppGpp concentration inside the cell, whereas there exists only a single RelA/SpoT enzyme in Gram-positive bacteria. We have identified a bifunctional enzyme with (p)ppGpp-hydrolase/synthase activity in Leptospira interrogans. We show that the relLin gene (LA_3085) encodes a protein that fully complements the relA/spoT double mutants in E. coli. The protein functions as a (p)ppGpp degradase as well as a (p)ppGpp synthase when the cells encounter amino acid stress and deprivation of carbon sources. N-terminus HD and RSD domains of relLin (relLinN) were observed to restore growth of double mutants of E. coli. Finally, We demonstrate that purified RelLin and RelLinN show high (p)ppGpp synthesis activity in vitro. Taken together, our results suggest that L. interrogans contain a single Rel-like bifunctional protein, RelLin, which plays an important role in maintaining the basal level of (p)ppGpp in the cell potentially contributing to the regulation of bacterial stress response.

Based on the results of this study, the literature and the theore

Based on the results of this study, the literature and the theoretical framework of Collaborative Working Relationships,[51] R428 in vivo a model for the development of collaborative relationships in primary

care has been postulated (Figure 1), the relevance and implications of which will be discussed. At this stage it is also important to acknowledge that the results of this study will be discussed in light of the strengths and limitations of this research. The strength of this study is that it has resulted in the postulation of a process for achieving collaboration in primary care, which is based on empirical data and a theoretical framework. It advances knowledge in this field, because to date, despite the abundance of data, understanding the process by which practising HCPs can develop collaborative relationships has not been postulated. The limitations of this study are that it focuses on GPs and pharmacists only and that it does not explore disease states other than asthma. Further it should be noted that although the overall response rate was 38%, even though saturation of data was achieved with 18 pharmacists (18/25, i.e. 72% response rate), only seven GPs (7/40, i.e. 18% response rate for GPs) were

required to reach saturation Ibrutinib of data. As recruitment continued until saturation was reached, it is not clear whether this is reflective of the current flux in the status of pharmacy in Australia (in which pharmacist’s roles are evolving over a wide range of chronic and acute conditions) compared with the static status of general practice, or whether it is associated with the particular participants in this study. Further exploration of this model would help to articulate this as well as validate the model.

Despite any limitations, this research adds knowledge to this field of research and dovetails with the current published international literature. The following paragraphs explain the basis of the model postulated in light of this. At the outset, it is important to recognise that a relationship between GPs and pharmacists in primary care in Australia currently Dapagliflozin exists. GPs and pharmacists have, overall, a favourable attitude towards one another and believe that ‘collaboration’ can result in benefits. Further, they both recognise that they might have a common barrier in the form of the patient who often presents challenges for both GPs and pharmacists. However, pharmacists and GPs, in particular, appear to have limited understanding/confidence in the breadth of knowledge of their cross-disciplinary colleagues, have differing needs and expectations of one another and even differ in their percepts of patient needs.

The service was established in response to evidence which reports

The service was established in response to evidence which reports between 14 and 87% discrepancies in patients’ medicines following discharge from hospital.1 The aim of the studies were to capture CPs and HPs’ views about the DMR scheme. Study approval was granted from six Health Boards’ (HB) Research and Development Offices. Two questionnaires were developed; one for CPs and another for HPs. Content-setting for the questionnaires were informed by semi-structured interviews (seven CPs and six HPs). Both questionnaires ascertained:

the pharmacist’s engagement with the scheme, the discharge information provided and how it was communicated, barriers and facilitators to implementing DMRs and suggestions to overcome the barriers. In addition the CP Selleckchem R788 Selleck Pritelivir questionnaire asked pharmacists views about the service and how it has impacted on patient care. The questionnaires

were piloted (9 CPs and 10HPs) and distributed electronically, in December 2013 to all CPs in Wales (n = 704) and in January 2014 to 369 HPs, using Survey Monkey®. Reminders were issued via e-mail. Data were analysed in Microsoft Excel® and Word®. The CPs questionnaire obtained a response rate of 20% (n = 143). In the last month, 22% had undertaken two to three DMRs and 41% had not undertaken any. Overall, pharmacists’ views about the service were positive, stating they contributed more to patient care (85%) and were ‘doing something for the patient’ (84%). Over half (51%) stated discrepancies identified were ‘significant’. Specific barriers reported were: not knowing when the patient is discharged (78%), lack of access to discharge information (58%), lack of referral of patients Carbohydrate (48%) and the nature of the DMR paperwork (44%). Over 80% of

respondents called for discharge medicines information to be sent to the pharmacy or to enable access to electronic discharge information. The HPs questionnaire obtained a response rate of 25% (n = 94). Only 60% of respondents had ever referred a patient for a DMR. The main barriers identified were: other priorities within the hospital service (52%), lack of IT infrastructure (49%) and lack of promotion of the service to hospital pharmacists (42%) and patients (41%). Methods of communicating with CPs varied depending upon whether the patient required a compliance aid. In addition to rectifying the barriers identified, the main suggestion was for hospitals to receive feedback on their local DMR service (38%). Although the response rates for the two questionnaires were low, the results identified barriers to implementing the scheme and potential solutions. It also identified that some CPs and HPs are engaged with the process, while others are not.