Variation of cell and matrix morphologies in articular cartilage among locations in the adult human knee

OBJECTIVE: Understanding of articular cartilage physiology, remodelling mechanisms, and evaluation of tissue engineering repair methods requires reference information regarding normal structural organization. Our goals were to examine the variation of cartilage cell and matrix morphology in different topographical areas of the adult human knee joint. METHODS: Osteochondral explants were acquired from seven distinct anatomical locations of the knee joints of deceased persons aged 20-40 years and prepared for analysis of cell, matrix and tissue morphology using confocal microscopy and unbiased stereological methods. Differences between locations were identified by statistical analysis. RESULTS: Medial femoral condyle cartilage had relatively high cell surface area per unit tissue volume in the superficial zone. In the transitional zone, meniscus-covered lateral tibia cartilage showed elevated chondrocyte densities compared to the rest of the knee while lateral femoral condyle cartilage exhibited particularly large chondrocytes. Statistical analyses indicated highly uniform morphology throughout the radial zone (lower 80% of cartilage thickness) in the knee, and strong similarities in cell and matrix morphologies among cartilage from the femoral condyles and also in the mediocentral tibial plateau. Throughout the adult human knee, the mean matrix volume per chondron was remarkably constant at approximately 224,000 microm(3), corresponding to approximately 4.6 x 10(6) chondrons per cm(3). CONCLUSIONS: The uniformity of matrix volume per chondron throughout the adult human knee suggests that cell-scale biophysical and metabolic constraints may place limitations on cartilage thickness, mechanical properties, and remodelling mechanisms. Data may also aid the evaluation of cartilage tissue engineering treatments in a site-specific manner. Results indicate that joint locations which perform similar biomechanical functions have similar cell and matrix morphologies; findings may therefore also provide clues to understanding conditions under which focal lesions leading to osteoarthritis may occur.

Cell and matrix morphology in articular cartilage from adult human knee and ankle joints suggests depth-associated adaptations to biomechanical and anatomical roles

OBJECTIVE Marked differences exist between human knee and ankle joints regarding risks and progression of osteoarthritis (OA). Pathomechanisms of degenerative joint disease may therefore differ in these joints, due to differences in tissue structure and function. Focussing on structural issues which are design goals for tissue engineering, we compared cell and matrix morphologies in different anatomical sites of adult human knee and ankle joints. METHODS Osteochondral explants were acquired from knee and ankle joints of deceased persons aged 20 to 40 years and analyzed for cell, matrix and tissue morphology using confocal and electron microscopy and unbiased stereological methods. Variations associated with joint (knee versus ankle) and biomechanical role (convex versus concave articular surfaces) were identified by 2-way analysis of variance and post-hoc analysis. RESULTS Knee cartilage exhibited higher cell densities in the superficial zone than ankle cartilage. In the transitional zone, higher cell densities were observed in association with convex versus concave articular surfaces, without significant differences between knee and ankle cartilage. Highly uniform cell and matrix morphologies were evident throughout the radial zone in the knee and ankle, regardless of tissue biomechanical role. Throughout the knee and ankle cartilage sampled, chondron density was remarkably constant at approximately 4.2×10(6) chondrons/cm(3). CONCLUSION Variation of cartilage cell and matrix morphologies with changing joint and biomechanical environments suggests that tissue structural adaptations are performed primarily by the superficial and transitional zones. Data may aid the development of site-specific cartilage tissue engineering, and help identify conditions where OA is likely to occur.

The human vestibular cortex revealed by coordinate-based activation likelihood estimation meta-analysis.

The vestibular system contributes to the control of posture and eye movements and is also involved in various cognitive functions including spatial navigation and memory. These functions are subtended by projections to a vestibular cortex, whose exact location in the human brain is still a matter of debate (Lopez and Blanke, 2011). The vestibular cortex can be defined as the network of all cortical areas receiving inputs from the vestibular system, including areas where vestibular signals influence the processing of other sensory (e.g. somatosensory and visual) and motor signals. Previous neuroimaging studies used caloric vestibular stimulation (CVS), galvanic vestibular stimulation (GVS), and auditory stimulation (clicks and short-tone bursts) to activate the vestibular receptors and localize the vestibular cortex. However, these three methods differ regarding the receptors stimulated (otoliths, semicircular canals) and the concurrent activation of the tactile, thermal, nociceptive and auditory systems. To evaluate the convergence between these methods and provide a statistical analysis of the localization of the human vestibular cortex, we performed an activation likelihood estimation (ALE) meta-analysis of neuroimaging studies using CVS, GVS, and auditory stimuli. We analyzed a total of 352 activation foci reported in 16 studies carried out in a total of 192 healthy participants. The results reveal that the main regions activated by CVS, GVS, or auditory stimuli were located in the Sylvian fissure, insula, retroinsular cortex, fronto-parietal operculum, superior temporal gyrus, and cingulate cortex. Conjunction analysis indicated that regions showing convergence between two stimulation methods were located in the median (short gyrus III) and posterior (long gyrus IV) insula, parietal operculum and retroinsular cortex (Ri). The only area of convergence between all three methods of stimulation was located in Ri. The data indicate that Ri, parietal operculum and posterior insula are vestibular regions where afferents converge from otoliths and semicircular canals, and may thus be involved in the processing of signals informing about body rotations, translations and tilts. Results from the meta-analysis are in agreement with electrophysiological recordings in monkeys showing main vestibular projections in the transitional zone between Ri, the insular granular field (Ig), and SII.

Paleomagnetic of basalts from the Kerguelen Plateau

Paleomagnetic measurements were performed on 106 basalt samples collected from Holes 747C, 748C, 749C, and 750B. Basalt samples were recovered from the southern portion of the Kerguelen Plateau and the transitional zone between the northern and southern plateau in the south central Indian Ocean. The ages of basalts range from 100 to 115 Ma. In addition to the preliminary shipboard measurements (Schlich, Wise, et al., 1989, doi:10.2973/odp.proc.ir.120.1989), characteristic inclinations of the magnetization were obtained using mainly stepwise thermal demagnetization of the samples. Reliable paleomagnetic results were obtained from three sites (Sites 747, 748, and 749). The paleomagnetic inclinations of Sites 747, 748, and 749 are -51°, -63°, and -62°, respectively. The considerable differences between the paleomagnetic and present inclinations of about 70° at Sites 747, 748, and 749 indicate that displacement in the direction of the geomagnetic meridian has taken place since formation of the basalt. Shallower paleomagnetic inclinations than the present inclinations at each site imply a southward movement of the sites with respect to the geomagnetic pole. By comparing the apparent polar wander path of Antarctica with the virtual geomagnetic pole (VGP) of the Southern Kerguelen Plateau, we have concluded that no major tectonic movement has taken place between the Kerguelen Plateau and Antarctica since formation of the basalt (i.e., 100-115 Ma). The angular dispersion of the VGP for the Kerguelen Plateau is calculated as 17°.

Composition of Fe-Mn micronodules, nodules and host bottom sediments from the Northeast Pacific Basin

Authigenic ferromanganese manifestations in bottom sediments from two horizons (0-10 and 240-250 cm) located in the low/high bioproductive transitional zone of the Pacific Ocean were studied. In addition two compositionally different types of micronodules, crusts and ferromanganese nodules were detected in the surface horizon (0-1 cm). Three size fractions (50-100, 100-250, and 250-500 µm) of manganese micronodules were investigated. In terms of surface morphology, color, and shape, the micronodules are divided into dull round (MN1) and angular lustrous (MN2) varieties with different mineral and chemical compositions. MN1 are enriched in Mn and depleted in Fe as compared with MN2. Mn/Fe ratio in MN1 varies from 13 to 14. Asbolane-buserite and birnessite are the major manganese minerals in them. MN2 is mainly composed of vernadite with Mn/Fe ratio from 4.3 to 4.8. Relative to MN1, fraction 50-100 µm of MN2 is enriched in Fe (2.6 times), W (1.8), Mo (3.2), Th (2.3), Ce (5.8), and REE (from 1.2 to 1.8). Relative to counterparts from MN1, separate fractions of MN2 are characterized by greater compositional difference. For example, increase in size of micronodules leads to decrease in contents of Fe (by 10 rel. %), Ce (2 times), W (2.1 times), Mo (2.2 times), and Co (1.5 times). At the same time one can see increase in contents of other elements: Th and Cu (2.1 times), Ni (1.9 times), and REE (from 1.2 to 1.6 times). Differences in chemical and mineral compositions of MN1 and MN2 fractions can be related to alternation of oxidative and suboxidative conditions in the sediments owing to input of labile organic matter, which acts as the major reducer, and allochthonous genesis of MN2.

Age model for the time between 3.45 and 2.45 Ma of ODP Site 189-1172

Calcareous nannoplankton assemblages and benthic d18O isotopes of Pliocene deep-sea sediments of ODP site 1172 (East of Tasmania) have been studied to improve our knowledge of the Southern Ocean paleoceanography. Our study site is located just north of the Subtropical Front (STF), an ideal setting to monitor migrations of the STF during our study period, between 3.45 and 2.45 Ma. The assemblage identified at ODP site 1172 has been interpreted as characteristic for the transitional zone water mass, located south of the STF, based on: (i) the low abundances (< 1%) of subtropical taxa, (ii) relatively high percentages of Coccolithus pelagicus, a subpolar type species, (iii) abundances from 2-10% of Calcidiscus leptoporus, a species that frequently inhabits the zone south of the STF and (iv) the high abundances of small Noelaerhabdaceae which at present dominates the zone south of the STF. Across our interval the calcareous nannoplankton manifests glacial-interglacial variability. We have identified cold events, characterized by high abundances of C. pelagicus which coincide with glacial periods, except during G7. After 3.1 Ma cold events are more frequent, in concordance with global cooling trends. Around 2.75 Ma, the interglacial stage G7 is characterized by anomalous low temperatures which most likely are linked to definite closure of the Central American Seaway (CAS), an event that is believed to have had global consequences. A gradual increase of very small Reticulofenestra across our section marks a significant trend in the small Noelaerhabdaceae species group and has been linked to a general enhanced mixing of the water column in agreement with previous studies. It is suggested that a rapid decline of small Gephyrocapsa after isotopic stage G7 might be related to the cooling observed in our study site after the closure of the CAS.

Lipid composition of particulate matter measured on water bottle samples during POLARSTERN cruise ARK-XI/1

The lipid composition of particulate matter in oceanic environments can provide informations on the nature and origin of the organic matter as well as on their transformation processes. Molecular characteristics for lipids in the Arctic environment have been used as indicators of the sources and transformation of organic particulate matter (Smith et al., 1997; Fahl and Stein, 1997, 1999). However, the features of the lipid composition of particulate matter in the Arctic with its high seasonality of ice Cover and primary productivity has been studied insufficiently. Lipids are one of the most important compounds of organic matter. On the one hand, the composition of lipids is a result of the variability of biological sources (phyto- and zooplankton, higher plants, bacteria etc.). On the other hand, the lipid composition of particulate matter is undergone significant alteration during vertical transport. The organic matter balance in the Arctic marginal seas, such as the Kara and Laptev seas, is characterized by the significant supply of dissolved and particulate material by the major Eurasian rivers - Ob, Yenisei and Lena (Cauwet and Sidorov, 1996; Gordeev et al., 1996, Martin et al., 1993). In relation to the world's ocean the primary productivity values are lower in the Arctic seas due to the ice-cover. However local increased values of primary productivity can be connected with the melting processes inducing increased phytoplankton growth near ice-edge (Nelson et al., 1989; Fahl and Stein, 1997) and enhanced river supply of nutrients, These features can influence the proportion of allochtonous and autochtonous components of the organic matter in the Arctic marginal seas (Fahl and Stein, 1997; Stein and Fahl, 1999). Furthermore, increased lipid contents in aquatic environments were found near density discontinuities (Parish et al., 1988). Although being less informative than lipid studies on the molecular level the character of lipid composition analysis on the group could also be used for studying of particulate organic matter and its transformation in sedimentation processes in the Arctic. In this paper the investigation of the characteristics of lipid composition performed by Alexandrova and Shevchenko (1997) in Arctic seas was continued.

Zooplankton and chlorophyll in upper water layers within research polygons in the Atlantic Ocean, June-September 2001

During Cruise 46 of R/V Akademik Mstislav Keldysh (from June to September 2001), vertical distributions of Radiolaria (Acantharia - Bac and Euradiolaria - Beur), mesozooplankton (from 0.2 to 3.0 mm size, Bm), and chlorophyll a (Cchl) in the epipelagic zone of the North Atlantic were studied. To examine the above-listed characteristics, samples were taken by Niskin 30 l bottles from 12-16 depth levels within the upper 100 to 200 m layer in the subarctic (48°11'N, 16°06'W) and subtropical (27°31'N, 75°51'W) waters, as well as in the transitional zone (41°44'N, 49°57'W). The latter proved to be characterized by the highest values of all averaged parameters examined by us within the upper 100 m layer (Bm - 365mg/m**3, Bac - 140 mg/m**3, Beur - 0.37 mg/m**3, and Cchl - 0.32 mg/m**3). For subarctic and subtropical waters corresponding characteristics were as follows: Bm - 123 and 53 mg/m**3, Bac - 0 and 0.06 mg/m**3, Beur - 0.17 and 0.19 mg/m**3, and Cchl - 0.27 and 0.05 mg/m**3, respectively. Percentage of Acantharia in total biomass of Radiolaria and zooplankton ranged from 0 to 39%, whereas that of Euradiolaria varied from 0.01 to 0.36%. Depth levels with maximum abundance of Acantharia were located above maxima of zooplankton and chlorophyll a or coincided with them. As for Euradiolaria, vertical profiles of their biomass were more diverse as compared with Acantharia. The latter group preferred more illuminated depth levels for its maximum development (10-100% of surface irradiance, E0) with respect to Euradiolaria (1-60% of E0). Possible reasons for this difference are discussed.

(Table 1) Summary statistics of taxa in samples of ODP Hole 181-1123B

Planktonic foraminifera are used to identify late Pliocene-Quaternary near surface water masses on the northeastern flank of Chatham Rise by comparison with faunas in core-tops east of New Zealand. In an overview study, distance measures, ordinations, and discriminant analysis are applied to 32 faunas from Site 1123B to identify similar faunas among 35 core-tops between 35 and 61°S east of New Zealand. Many Site 1123B faunas in the 2.72 myr interval sampled compare with those in core-tops on the northern side of Chatham Rise from a similar latitude, and are identified as transitional zone assemblages now associated with the subtropical gyre. This result is consistent with studies of late Quaternary planktonic foraminifera from this region and suggests that, typically, the Subtropical Front was locked to Chatham Rise through glacial and interglacial periods, at least back to the late Pliocene. However, a fauna at ca. 1.17 Ma compares with subpolar assemblages in core-tops between 44 and 48°S and identifies cooler surface water. Expectedly, closer sampling may reveal additional periods when southern water moved over the northeastern flank of Chatham Rise. Although the dominance of Globorotalia inflata, a species typical of the southern margin of subtropical gyres, is a principal feature of Site 1123B faunas, in a minority it is replaced as the most abundant species by dextral populations of Neogloboquadrina pachyderma, particularly about the time of the middle Pleistocene transition. Close analogues of these variant transitional assemblages are not present in core-tops about Chatham Rise but sediment trap and coretop data from other regions suggest that they identify high fertility in the mixed layer associated with upwelling or mixing of water masses. The proportion of sinistrally coiled Neogloboquadrina pachyderma rises to ca. 0.6 between ca. 2.45 and 2.57 Ma, soon after the intensification of Northern Hemisphere glaciation. Although the coiling data indicate subantarctic near surface water, the species remains rare. As the faunas retain their transitional zone character, only minor entrainment of subantarctic water may have occurred.

Phytoplankton abundance measured on water samples from rivers of the Lena Delta in 2010

The Lena Delta in Northern Siberia is one of the largest river deltas in the world. During peak discharge, after the ice melt in spring, it delivers between 60-8000 m**3/s of water and sediment into the Arctic Ocean. The Lena Delta and the Laptev Sea coast also constitute a continuous permafrost region. Ongoing climate change, which is particularly pronounced in the Arctic, is leading to increased rates of permafrost thaw. This has already profoundly altered the discharge rates of the Lena River. But the chemistry of the river waters which are discharged into the coastal Laptev Sea have also been hypothesized to undergo considerable compositional changes, e.g. by increasing concentrations of inorganic nutrients such as dissolved organic carbon (DOC) and methane. These physical and chemical changes will also affect the composition of the phytoplankton communities. However, before potential consequences of climate change for coastal arctic phytoplankton communities can be judged, the inherent status of the diversity and food web interactions within the delta have to be established. In 2010, as part of the AWI Lena Delta programme, the phyto- and microzooplankton community in three river channels of the delta (Trofimov, Bykov and Olenek) as well as four coastal transects were investigated to capture the typical river phytoplankton communities and the transitional zone of brackish/marine conditions. Most CTD profiles from 23 coastal stations showed very strong stratification. The only exception to this was a small, shallow and mixed area running from the outflow of Bykov channel in a northerly direction parallel to the shore. Of the five stations in this area, three had a salinity of close to zero. Two further stations had salinities of around 2 and 5 throughout the water column. In the remaining transects, on the other hand, salinities varied between 5 and 30 with depth. Phytoplankton counts from the outflow from the Lena were dominated by diatoms (Aulacoseira species) cyanobacteria (Aphanizomenon, Pseudanabaena) and chlorophytes. In contrast, in the stratified stations the plankton was mostly dominated by dinoflagellates, ciliates and nanoflagellates, with only an insignificant diatom component from the genera Chaetoceros and Thalassiosira (brackish as opposed to freshwater species). Ciliate abundance was significantly coupled with the abundance of total flagellates. A pronounced partitioning in the phytoplankton community was also discernible with depth, with a different community composition and abundance above and below the thermocline in the stratified sites. This work is a first analysis of the phytoplankton community structure in the region where Lena River discharge enters the Laptev Sea.

A 20 m spatial resolution seamless multisource Digital Elevation/Depth Model for Lizard Island, northern Great Barrier Reef

Hydrographers have traditionally referred to the nearshore area as the "white ribbon" area due to the challenges associated with the collection of elevation data in this highly dynamic transitional zone between terrestrial and marine environments. Accordingly, available information in this zone is typically characterised by a range of datasets from disparate sources. In this paper we propose a framework to 'fill' the white ribbon area of a coral reef system by integrating multiple elevation and bathymetric datasets acquired by a suite of remote-sensing technologies into a seamless digital elevation model (DEM). A range of datasets are integrated, including field-collected GPS elevation points, terrestrial and bathymetric LiDAR, single and multibeam bathymetry, nautical chart depths and empirically derived bathymetry estimations from optical remote sensing imagery. The proposed framework ranks data reliability internally, thereby avoiding the requirements to quantify absolute error and results in a high resolution, seamless product. Nested within this approach is an effective spatially explicit technique for improving the accuracy of bathymetry estimates derived empirically from optical satellite imagery through modelling the spatial structure of residuals. The approach was applied to data collected on and around Lizard Island in northern Australia. Collectively, the framework holds promise for filling the white ribbon zone in coastal areas characterised by similar data availability scenarios. The seamless DEM is referenced to the horizontal coordinate system MGA Zone 55 - GDA 1994, mean sea level (MSL) vertical datum and has a spatial resolution of 20 m.

Mineralogical, geochemical and magnetic signatures of surface sediments from the Canadian Beaufort Shelf and Amundsen Gulf (Canadian Arctic)

Mineralogical, geochemical, magnetic, and siliciclastic grain-size signatures of 34 surface sediment samples from the Mackenzie-Beaufort Sea Slope and Amundsen Gulf were studied in order to better constrain the redox status, detrital particle provenance, and sediment dynamics in the western Canadian Arctic. Redox-sensitive elements (Mn, Fe, V, Cr, Zn) indicate that modern sedimentary deposition within the Mackenzie-Beaufort Sea Slope and Amundsen Gulf took place under oxic bottom-water conditions, with more turbulent mixing conditions and thus a well-oxygenated water column prevailing within the Amundsen Gulf. The analytical data obtained, combined with multivariate statistical (notably, principal component and fuzzy c-means clustering analyses) and spatial analyses, allowed the division of the study area into four provinces with distinct sedimentary compositions: (1) the Mackenzie Trough-Canadian Beaufort Shelf with high phyllosilicate-Fe oxide-magnetite and Al-K-Ti-Fe-Cr-V-Zn-P contents; (2) Southwestern Banks Island, characterized by high dolomite-K-feldspar and Ca-Mg-LOI contents; (3) the Central Amundsen Gulf, a transitional zone typified by intermediate phyllosilicate-magnetite-K-feldspar-dolomite and Al-K-Ti-Fe-Mn-V-Zn-Sr-Ca-Mg-LOI contents; and (4) mud volcanoes on the Canadian Beaufort Shelf distinguished by poorly sorted coarse-silt with high quartz-plagioclase-authigenic carbonate and Si-Zr contents, as well as high magnetic susceptibility. Our results also confirm that the present-day sedimentary dynamics on the Canadian Beaufort Shelf is mainly controlled by sediment supply from the Mackenzie River. Overall, these insights provide a basis for future studies using mineralogical, geochemical, and magnetic signatures of Canadian Arctic sediments in order to reconstruct past variations in sediment inputs and transport pathways related to late Quaternary climate and oceanographic changes.

SHIFTING SCALES, ADJUSTING LENSES: A FRAMEWORK FOR INVESTIGATING BALTIMORE’S URBAN VACANCY

This thesis addresses contemporary gaps of vacancy within literature by using qualitative and quantitative methods and tools to determine the quantity, location, and interspatial relationships of vacant buildings and lots located in Baltimore Maryland. Spatial analyses were conducted to answer three questions of vacancy: 1) how many vacant lots and buildings exist, 2) whether there are spatial patterns of vacancy, such as clustering around geographic locations or within watersheds, and 3) how to prioritize intervention opportunities that respond to the city's larger issues? Using the city’s vacant lot and building data-sets, two concepts emerged from these investigations. First, Utilized Landscapes as a classification system that identifies lands that serve a function but have un-traditional qualities that make them susceptible to being labeled “vacant.” Second, the development of Transitional Zones, geographical areas with a high density of vacant buildings or lots that should be prioritized.

Review : Surfers Paradise foreshore redevelopment masterplan - urban plaza zone

The Centre for Subtropical Design has prepared this submission to assist the Gold Coast City Council to finalise a plan and detailed design guidelines for the Urban Plaza Zone of Surfers Paradise Foreshore Redevelopment Masterplan which will create a public open space ‘alive’ with the quality appropriate to a place which is both a local centre and an international destination. This review has been informed by the two over-arching values identified as characteristics of a subtropical place and people’s connection to it:  A sense of openness and permeability, and  Engagement with the natural environment. The existing qualities of the foreshore area proposed as the Urban Plaza Zone, reflect these subtropical place values, and are integral to the Surfers Paradise identity:  Seamless visual and spatial access to the beach and sea,  Permeable interface between beach and built zones provided by beach planting and shade to sand by Pandanus,  A shade zone mediating beach and linear promenade, road and commercial zones, enabling a variety of social and visual experiences, on soft and hard finishes, and  A lively, constantly moving shared road and pedestrian way catering for events and day to day activities with visual access to beach and shaded areas. The Centre for Subtropical Design commends the Gold Coast City Council on preparing a plan for a public open space that is a contemporary departure from the adhoc basis of development that has occurred, in that it will make this area more accessible. However, the proposed plan seems to be working too hard in terms of ‘program’. While providing an identifiable interruption in the linear extent of the Foreshore, the lack of continuity of design in terms of both hardscaping (such as perpendicular paving elements) and softscaping (such as tree selections) may contribute to a lack of definition for the entire Foreshore as a place that mediates, along its length, between sea and land. Providing a hard edge to a beach character of soft and planted transitional elements needs to balance the proposed visual and physical barrier with the need for perceived and actual easy access. The Surfers Paradise identity needs strengthening through attention to planting for shade, materials, particularly selection of paving colours, and stronger delineation of the linear nature of the Foreshore. The Urban Plaza zone is an appropriate interruption to the continuous planting, however the link from the commercial zone overtakes the public and beach zone. A more seamless transition from shop to sea, better integration of the roadway and pedestrian zone and improved physical transition from concrete to sand is recommended. Built form solutions must be robust and designed with the subtropical design principles and the Surfers Paradise identity as underpinning parameters for a lasting and memorable public open space.

The impact of computers on physical and psychological health: Strategies for staying in the "zone".

At a time when distance learning and flexible delivery of university courses are increasing, spending long hours on computers, working from home or in the laboratory, raises some unique problems for students. The paper presents a theoretical framework for first year students which helps to explain the developmental process that many students find themselves going through during their transitional phase at university. It will introduce the concept taken from sports psychology of "staying in the zone of peak academic performance" in order to accomplish the task of obtaining a degree whilst at the same time ensuring physical and psychological health. Strategies used by therapists to assist students to continue successfully in their course of choice and to achieve desirable outcomes will be discussed.