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Steinernema carpocapsae is an entomopathogenic nematode with established efficacy against various agricultural pests. However, its impact on key lepidopteran pests, including Ostrinia furnacalis, Mythimna separata, and Spodoptera litura, remains underexplored, particularly at the pupal stage. This study evaluates the efficacy of the nematode through a combination of choice-based attraction assays, non-choice infection performance bioassays involving direct application to specific pupal body parts, and assessments of sublethal effects on adult survival and oviposition following pupal-stage exposure. S. carpocapsae exhibited a clear preference for pupae of all three pests over blank controls and for previously infected pupae over healthy pupae. When presented with different pupal genders, S. carpocapsae preferred female M. separata over males but showed no gender preference for O. furnacalis and S. litura. Infection performance varied by body part, with a higher infection performance on the abdomen and thorax compared to the head for O. furnacalis and S. litura, and on the abdomen over the thorax and head for M. separata. Adult survival probability was significantly lower when pupae were infected, and female oviposition was reduced when either member of a mating pair had been infected. These findings highlight the efficacy of S. carpocapsae as a promising biological control agent against these lepidopteran pests, particularly when targeting the pupal stage.
Depression is closely associated with abnormalities in brain function. Traditional static functional connectivity analyses offer limited insight into the temporal variability of brain activity. Recent advances in dynamic analyses enable a deeper understanding of how depression relates to temporal fluctuations in brain activity.
Methods
This study utilized a large resting-state functional magnetic resonance imaging dataset (N = 696) to examine the association between brain dynamics and depression. Two complementary approaches were employed. Hidden Markov modeling (HMM) was used to identify discrete brain states and quantify their temporal switching patterns; temporal variability was computed within and between large-scale functional networks to capture time-varying fluctuations in functional connectivity.
Results
Depression scores were positively associated with switching rate and negatively associated with maximum fractional occupancy. Furthermore, depression scores were significantly associated with greater temporal variability both within and between networks, with particularly strong effects observed in the default mode network, ventral attention network, and frontoparietal network. Together, these findings suggest that individuals with higher depression scores exhibit more unstable brain dynamics.
Conclusion
Our findings reveal that individuals with higher depression levels exhibit greater instability in brain state transitions and increased temporal variability in functional connectivity across large-scale networks. This instability in brain dynamics may contribute to difficulties in emotion regulation and cognitive control. By capturing whole-brain temporal patterns, this study offers a novel perspective on the neural basis of depression.
Background: Axonal degeneration has been recognized as a key early contributor to the clinical presentation and pathogenesis of amyotrophic lateral sclerosis (ALS). Activation of the calcium-dependent cysteine protease calpain-2 is considered a critical effector of axonal degeneration. Based on evidence supporting a potential benefit of calpain-2 modulation in ALS and other neurodegenerative diseases, Amylyx developed AMX0114, an antisense oligonucleotide (ASO) inhibitor of calpain-2. This phase 1 study will assess the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of AMX0114 in people with ALS. Methods: LUMINA is planned to be conducted at ~15 sites in North America enrolling approximately 48 participants randomized 3:1 to receive AMX0114 or placebo. After study completion, an open-label extension study of AMX0114 will be implemented if data supports a positive benefit-risk profile. Results: The primary endpoints of the study include the incidence of adverse events (AEs), serious AEs, and dose-limiting toxicities. Secondary and tertiary endpoints include PK measurements (plasma and cerebrospinal fluid [CSF] levels of AMX0114), PD biomarkers, and functional measures of ALS progression. Conclusions: LUMINA is a first-in-human study evaluating the safety, tolerability, PK, and PD of AMX0114, the first ASO targeting calpain-2 in adult participants with ALS. Enrollment is planned to begin in Canada in early 2025.
Background: Amyotrophic Lateral Sclerosis (ALS) leads to progressive functional decline and reduced survival. Identifying clinical predictors like ALSFRS-R and FVC is essential for prognosis and disease management. Understanding progression profiles based on diagnostic characteristics supports clinical trial design and assessment of treatment response. This study evaluates disease progression and survival predictors in ALS patients from the CNDR. Methods: 1565 ALS patients in the CNDR were analyzed to assess baseline ALSFRS-R, FVC, time from symptom onset to diagnosis, and their association with disease progression and survival. Results: At diagnosis, ALSFRS-R was 44.7 (SD = 5.46), with 72.3% scoring ≥44. Mean FVC was 84.2% (SD = 23.3), with 78.3% of patients having FVC ≥65%. ALSFRS-R declined at 1.06 points/month (SD = 1.33), with faster progression in patients diagnosed within 24 months (1.61 points/month). Patients with ALSFRS-R ≥44 had a median survival of 41.8 months, compared to 30.9 months for those <44 (p < 0.001). Similarly, FVC ≥65% was associated with longer survival (35.4 vs. 29.5 months, p = 0.002). Conclusions: ALSFRS-R and FVC at diagnosis predict survival and inform clinical decision-making. These findings highlight the importance of early diagnosis and targeted interventions to slow disease progression and improve patient outcomes.
This study aimed to compare the clinical outcomes of using refrigerated versus pre-warmed media for preparing time-lapse dishes in in vitro fertilization (IVF). Patients undergoing their first IVF/ICSI cycle were divided into two groups. The control group used pre-warmed culture media, while the experimental group used refrigerated culture media. The osmotic pressure of the culture droplets in both groups was tested. No statistical differences were found between the two groups’ basic data. The proportion of air microbubbles affecting imaging significantly decreased (4.55% vs. 37.97%, P < 0.001) when using pre-warmed media. However, the blastocyst formation rate (56.62% vs. 49.70%, P = 0.046) and total high-quality embryo rate (22.26% vs. 17.06%, P = 0.047) were significantly higher in the refrigerated media group compared to the pre-warmed media group. The higher rate of high-quality embryos in the refrigerated media group might result in a higher single embryo transfer rate (45.10% vs. 18.52%, P = 0.020) and implantation rate (58.23% vs. 34.69%, P = 0.010). From day –1 to day 1, osmolality increased, with the P-3.5 group showing a significant elevation compared to the other three groups. After 5 days of incubation, the osmotic pressure of group R-4.0 was significantly lower than that of groups P-3.5, P-4.0 and P-3.5. In conclusion, refrigerated culture media dishes helped stabilize the osmotic pressure of the culture microenvironment and reduce water evaporation. The refrigerated group showed a higher rate of high-quality embryos and live births, although pre-warmed culture media effectively reduced the occurrence of air microbubbles that affect embryo imaging in the next day’s dishes.
This paper presents a low-profile miniaturized dual-band antenna utilizing the quarter-mode substrate integrated waveguide (QMSIW) structure. The two modes of TE110 and TE220 of a single QMSIW structure are employed, enabling a dual-band operation. The frequency ratio between the two bands can be tuned by loading a capacitive structure, which is comprised of a capacitive-loaded patch and a short circuit post, inside the QMSIW structure. By introducing parasitic QMSIW structures through magnetic coupling, a dual-band antenna with enhanced bandwidths is achieved. The antenna has dimensions of smaller than 400 mm2 (0.048λL2) with a uniform height of 1.4 mm (0.016λL). Measurement results indicate that the −6 dB impedance bandwidths of the antennas can cover the 5G N78 (3.3–3.6 GHz) and N79 (4.8–5 GHz) bands, and the average efficiencies is better than −2.5 dB. To the authors’ knowledge, the proposed designs offer dual-wideband operation while having the smallest planar dimension compared to the previously reported antennas. Furthermore, an extended electric coupling dual-band antenna configuration is also described and measured, which achieves similar bandwidth extension as the proposed antenna.
Advertising click-through rate (CTR) prediction is a fundamental task in recommender systems, aimed at estimating the likelihood of users interacting with advertisements based on their historical behavior. This prediction process has evolved through two main stages: from traditional shallow interaction models to more advanced deep learning approaches. Shallow models typically operate at the level of individual features, failing to fully leverage the rich, multilevel information available across different feature sets, leading to less accurate predictions. In contrast, deep learning models exhibit superior feature representation and learning capabilities, enabling a more realistic simulation of user interactions and improving the accuracy of CTR prediction. This paper provides a comprehensive overview of CTR prediction algorithms in the context of recommender systems. The algorithms are categorized into two groups: shallow interactive models and deep learning-based prediction models, including deep neural networks, convolutional neural networks, recurrent neural networks, and graph neural networks. Additionally, this paper also discusses the advantages and disadvantages of the aforementioned algorithms, as well as the benchmark datasets and model evaluation methods used for CTR prediction. Finally, it identifies potential future research directions in this rapidly advancing field.
Carbon storage in saline aquifers is a prominent geological method for reducing CO2 emissions. However, salt precipitation within these aquifers can significantly impede CO2 injection efficiency. This study examines the mechanisms of salt precipitation during CO2 injection into fractured matrices using pore-scale numerical simulations informed by microfluidic experiments. The analysis of varying initial salt concentrations and injection rates revealed three distinct precipitation patterns, namely displacement, breakthrough and sealing, which were systematically mapped onto regime diagrams. These patterns arise from the interplay between dewetting and precipitation rates. An increase in reservoir porosity caused a shift in the precipitation pattern from sealing to displacement. By incorporating pore structure geometry parameters, the regime diagrams were adapted to account for varying reservoir porosities. In hydrophobic reservoirs, the precipitation pattern tended to favour displacement, as salt accumulation occurred more in larger pores than in pore throats, thereby reducing the risk of clogging. The numerical results demonstrated that increasing the gas injection rate or reducing the initial salt concentration significantly enhanced CO2 injection performance. Furthermore, identifying reservoirs with high hydrophobicity or large porosity is essential for optimising CO2 injection processes.
Asian corn borer, Ostrinia furnacalis Guenée (Lepidoptera: Crambidae), is a major pest in corn production, and its management remains a significant challenge. Current control methods, which rely heavily on synthetic chemical pesticides, are environmentally detrimental and unsustainable, necessitating the development of eco-friendly alternatives. This study investigates the potential of the entomopathogenic nematode Steinernema carpocapsae as a biological control agent for O. furnacalis pupae, focusing on its infection efficacy and the factors influencing its performance. We conducted a series of laboratory experiments to evaluate the effects of distance, pupal developmental stage, soil depth, and light conditions on nematode attraction, pupal mortality and sublethal impacts on pupal longevity and oviposition. Results demonstrated that S. carpocapsae exhibited the highest attraction to pupae at a 3 cm distance, with infection declining significantly at greater distances. Younger pupae (<12 h old), were more attractive to nematodes than older pupae, and female pupae were preferred over males. Nematode infection was highest on the head and thorax of pupae, with a significant reduction in infection observed after 24 h. Infection caused 100% mortality in pupae within 2 cm soil depth, though efficacy was reduced under light conditions. Sublethal effects included a significant reduction in the longevity of infected adults and a decrease in the number of eggs laid by infected females compared to controls. These findings underscore the potential of S. carpocapsae as an effective biocontrol agent for sustainable pest management in corn production, offering a viable alternative to chemical pesticides.
Machine learning’s integration into reliability analysis holds substantial potential to ensure infrastructure safety. Despite the merits of flexible tree structure and formulable expression, random forest (RF) and evolutionary polynomial regression (EPR) cannot contribute to reliability-based design due to absent uncertainty quantification (UQ), thus hampering broader applications. This study introduces quantile regression and variational inference (VI), tailored to RF and EPR for UQ, respectively, and explores their capability in identifying material indices. Specifically, quantile-based RF (QRF) quantifies uncertainty by weighting the distribution of observations in leaf nodes, while VI-based EPR (VIEPR) works by approximating the parametric posterior distribution of coefficients in polynomials. The compression index of clays is taken as an exemplar to develop models, which are compared in terms of accuracy and reliability, and also with deterministic counterparts. The results indicate that QRF outperforms VIEPR, exhibiting higher accuracy and confidence in UQ. In the regions of sparse data, predicted uncertainty becomes larger as errors increase, demonstrating the validity of UQ. The generalization ability of QRF is further verified on a new creep index database. The proposed uncertainty-incorporated modeling approaches are available under diverse preferences and possess significant prospects in broad scientific computing domains.
To assess the feasibility of transcatheter closure in patients with dextrocardia and isolated atrial septal defect or ventricular septal defect.
Methods:
A retrospective analysis was performed on the clinical data of 10 patients with dextrocardia and atrial septal defect or ventricular septal defect from June 2013 to January 2023 and successfully underwent transcatheter closure. Patient data were meticulously collected.
Results:
The study cohort comprised 10 patients, with three males, aged between 3 and 38 years. Intraoperative right heart catheterisation revealed the following measurements: the mean pulmonary arterial pressure of 20.5(18,24,3) mmHg, and a pulmonary-to-systemic flow ratio of 1.80(1.58,2.15). There were five atrial septal defects, with defect diameters of 26(20,30) mm, comprising three dextroversion and two mirror-image dextrocardia. Intraoperative echocardiography confirmed the absence of any residual shunt. Among them, a patient with mirror-image dextrocardia, atrial septal defects, and interrupted inferior vena cava required an alternative approach due to femoral vein limitations. The right internal jugular vein was punctured, and a 22 mm atrial septal occluder was successfully deployed via this route. The study identified five ventricular septal defects, with defect diameters of 4(3.5,5.5) mm, including two dextroversion and three mirror-image dextrocardia. Upon post-operative repeat left ventriculography, no residual shunt was detected in all but one case, which exhibited a minimal residual shunt. Throughout the perioperative period and subsequent post-operative follow-up, no severe complications were observed.
Conclusion:
For patients with dextrocardia accompanied by simple CHD, transcatheter closure is a viable option when interventional treatment is indicated. Although transcatheter closure of atrial septal defects or ventricular septal defect in patients with dextrocardia presents unique challenges, it is safe and effective when the anatomical nuances of dextrocardia are thoroughly understood.
This article examines how the British colonial administration and the local Chinese population interacted around the issue of obscene prints in 1900s–1930s Singapore, with a particular focus on the policing of the female nude. The notion of obscenity acquired different meanings as prints crossed geographical, cultural, and linguistic boundaries. What was deemed ‘obscene’ in Republican Shanghai or Edwardian London was not necessarily viewed the same way in colonial Singapore, and vice versa. By tracing the contradictory assumptions about the relationship between nudity and obscenity in a multiracial and multicultural colonial context, this article demonstrates that obscenity regulation in Singapore was intimately tied to what Partha Chatterjee has termed ‘the rule of colonial difference’,1 with race being the most obvious marker of difference. On an institutional level, the rule of colonial difference led to a division of regulatory labour that ultimately rendered Chinese salacious materials invisible to the British colonial government in the early twentieth century. In terms of definitions of nudity and obscenity, perceived racial–cultural differences—central to the rule of colonial difference—were used both to justify and to contest the public display of naked female bodies to non-Western audiences. This situates the Singapore case within the broader scholarship on obscenity regulation and colonialism, and offers fresh insights into the difference in imperial models of obscenity regulation. By exploring how obscenity regulation was premised on the process of racial ‘othering’, this article also highlights race as an underexplored factor in existing scholarship on obscenity regulation.
Many real-world intertemporal decisions involve a group of two or more individuals making consensual decisions through group collaboration. Here, we ask how group collaboration affects intertemporal choices. In two experiments, participants completed intertemporal choices individually first (the precollaboration phase). Then, participants were placed into groups of two or three and completed a similar intertemporal task, with the group arriving at a consensual decision on each trial (the group collaboration phase). Finally, participants once again completed the intertemporal choices individually (the postcollaboration phase). Results showed that after group collaboration, the delay discounting significantly decreased compared to before collaboration both at group level and at individual level. The effect of group collaboration on individual intertemporal choices was no longer discernible by 1 week later. Therefore, the current research demonstrates the effectiveness of group collaboration and provides a way to nudge both groups and individuals to make farsighted choices.
Although the interaction between microswimmers and walls during near-wall swimming has been extensively studied, the effect of microswimmer shapes and slip boundary conditions on the dynamic characteristics of near-wall microswimmers has received less attention. In this study, elliptical microswimmer models have been developed with various aspect ratios based on circular microswimmers. The lattice Boltzmann method has been used for the numerical simulation of the dynamic behaviour of microswimmers near walls. Under slip boundary conditions, the escape or capture of microswimmers by the walls is influenced by the swimming Reynolds number (Res), wall slip length (ls) and the aspect ratio (Cab) of a microswimmer. Changes in the Cab value of a microswimmer considerably affect its swimming state, especially for puller-type microswimmers. The tendency of pullers to be captured by the wall increases with increasing Cab. Moreover, changes in ls within the slip boundary condition of a puller can induce a transition in its movement state from a wall oscillation state to a stable sliding state and eventually to a wall lock-up state, a process influenced by the Cab value of the puller. Pusher-type microswimmers show a considerably increased tendency to escape from walls with increasing Cab and no wall lock-up state is observed, which is opposite to the case of pullers. Pushers and pullers show an increased tendency to be captured by the wall with increasing initial swimming angle of the microswimmer. The findings of this study enhance our understanding of the swimming patterns of natural microswimmers near walls and are of substantial importance for the design of artificial microswimmers and microfluidic devices.
Cryogenic carbon capture (CCC) is an innovative technology to desublimate $\text {CO}_2$ out of industrial flue gases. A comprehensive understanding of $\text {CO}_2$ desublimation and sublimation is essential for widespread application of CCC, which is highly challenging due to the complex physics behind. In this work, a lattice Boltzmann (LB) model is proposed to study $\text {CO}_2$ desublimation and sublimation for different operating conditions, including the bed temperature (subcooling degree $\Delta T_s$), gas feed rate (Péclet number $Pe $) and bed porosity ($\psi$). The $\text {CO}_2$ desublimation and sublimation properties are reproduced. Interactions between convective $\text {CO}_2$ supply and desublimation/sublimation intensity are analysed. In the single-grain case, $Pe $ is suggested to exceed a critical value $Pe _c$ at each $\Delta T_s$ to avoid the convection-limited regime. Beyond $Pe _c$, the $\text {CO}_2$ capture rate ($v_c$) grows monotonically with $\Delta T_s$, indicating a desublimation-limited regime. In the packed bed case, multiple grains render the convective $\text {CO}_2$ supply insufficient and make CCC operate under the convection-limited mechanism. Besides, in small-$\Delta T_s$ and high-$Pe $ tests, $\text {CO}_2$ desublimation becomes insufficient compared with convective $\text {CO}_2$ supply, thus introducing the desublimation-limited regime with severe $\text {CO}_2$ capture capacity loss ($\eta _d$). Moreover, large $\psi$ enhances gas mobility while decreasing cold grain volume. A moderate porosity $\psi _c$ is recommended for improving the $\text {CO}_2$ capture performance. By analysing $v_c$ and $\eta _d$, regime diagrams are proposed in $\Delta T_s$–$Pe $ space to show distributions of convection-limited and desublimation-limited regimes, thus suggesting optimal conditions for efficient $\text {CO}_2$ capture. This work develops a viable LB model to examine CCC under extensive operating conditions, contributing to facilitating its application.
In 2017, Brosseau & Vlahovska (Phys. Rev. Lett, vol. 119, no. 3, 2017, p. 034501) found that, in a strong electric field, a weakly conductive, low-viscosity droplet immersed in a highly conductive, high-viscosity medium formed a lens shape, and liquid rings continuously detached from its equatorial plane and subsequently broke up into satellite droplets. This fascinating multiphase electrohydrodynamic (EHD) phenomenon is known as droplet equatorial streaming. In this paper, based on the unified lattice Boltzmann method framework proposed by Luo et al. (Phil. Trans. R. Soc. A Math. Phys. Engng Sci, vol. 379, no. 2208, 2021, p. 20200397), a novel lattice Boltzmann (LB) model is constructed for multiphase EHD by coupling the Allen–Cahn type of multiphase LB model and two new LB equations to solve the Poisson equation of the electric field and the conservation equation of the surface charge. Using the proposed LB model, we successfully reproduced, for the first time, the complete process of droplet equatorial streaming, including the continuous ejection and breakup of liquid rings on the equatorial plane. In addition, it is found that, under conditions of high electric field strength or significant electrical conductivity contrast, droplets exhibit fingering equatorial streaming that was unknown before. A power-law relationship is discovered for droplet total charge evolution and a theoretical model is then proposed to describe the droplet radius and height over time. The breakup of liquid rings is found to be dominated by capillary instability, while the breakup of liquid fingers is governed by the end-pinching mechanism. Finally, a phase diagram is constructed for fingering equatorial streaming and ring equatorial streaming, and a criterion equation is established for the phase boundary.
In the contemporary maritime industry, characterised by intense competition, reduced visibility due to heavy fog is a primary cause of accidents, significantly impairing maritime operational efficiency. Consequently, investigating foggy weather navigation safety holds crucial practical significance. This paper, through an analysis and synthesis of various aspects of foggy navigation technology, including foggy navigation regulations at different ports, fog warnings, foggy vessel environmental perception and foggy auxiliary navigation systems, explores the key issues concerning vessel navigation during foggy conditions from a scientific perspective. This discussion encompasses the aspects of regulatory frameworks, standardisation, and the development of intelligent and responsive onboard equipment. Finally, the paper offers a glimpse into potential strategies for fog navigation.
Background: Zilucoplan, a macrocyclic peptide complement component 5 inhibitor, sustained efficacy for up to 60 weeks of treatment, with a favourable safety profile in patients with acetylcholine receptor autoantibody-positive generalised myasthenia gravis in an interim analysis of RAISE-XT (NCT04225871). We evaluate the safety and efficacy of zilucoplan up to 96 weeks. Methods: RAISE-XT, a Phase 3, multicentre, open-label extension study, included patients who participated in the double-blind Phase 2 (NCT03315130) and Phase 3 (NCT04115293) zilucoplan studies. Patients self-administered daily subcutaneous zilucoplan 0.3mg/kg injections. Primary outcome was incidence of treatment-emergent adverse events (TEAEs). Secondary outcomes included change from baseline in Myasthenia Gravis Activities of Daily Living (MG-ADL) score. Results: At data cut-off (11 May 2023), median (range) exposure to zilucoplan was 1.8 (0.11–5.1) years (N=200). TEAEs occurred in 191 (95.5%) patients; the most common TEAE was COVID-19 (n=64; 32.0%). At Week 96, mean (standard error) change in MG-ADL score from double-blind study baseline was –6.33 (0.49) and –7.83 (0.60) for patients who received zilucoplan 0.3mg/kg and placebo in the double-blind studies, respectively. Conclusions: Zilucoplan demonstrated a favourable long-term safety profile. Efficacy was sustained for 96 weeks in patients who had previously received zilucoplan and who switched from placebo.
Background: In the Phase 3 RAISE study (NCT04115293), zilucoplan significantly improved MG-specific outcomes in patients with acetylcholine receptor autoantibody-positive generalised MG. After the first 12 weeks of the open-label extension study, RAISE-XT (NCT04225871), corticosteroid dose could be changed per the investigator’s discretion. We evaluate changes in corticosteroid dose during treatment with zilucoplan in RAISE-XT. Methods: In RAISE-XT, adults who completed the Phase 2 or RAISE studies (N=200) self-administered daily subcutaneous zilucoplan 0.3mg/kg, either continuing with zilucoplan or switching from placebo. Primary outcome was incidence of treatment-emergent adverse events (TEAEs). We assessed (post-hoc) the proportion of patients who discontinued/reduced or increased corticosteroid dose relative to double-blind baseline up to Week 60. Results: At Week 60, 30% (n=18/60) and 22% (n=12/54) of patients receiving corticosteroids in the zilucoplan and placebo-switch groups, respectively, reduced/discontinued corticosteroids (mean dose reductions: 14mg and 16mg; mean [SD] CFB in MG-ADL scores: -5.00 [3.96] and -5.67 [6.89]. 12% (n=7/60) and 7% (n=4/54) of patients in the zilucoplan and placebo-switch groups, respectively, increased corticosteroid dose (~12mg mean increase in both groups). TEAEs occurred in 188 (94.0%) patients (data cut-off: 08 September 2022). Conclusions: While receiving zilucoplan, discontinuation or dose reduction in concomitant corticosteroids was possible with maintained efficacy.
Background: Efgartigimod is a human IgG1 antibody Fc fragment recently approved by Health Canada for patients with acetylcholine receptor antibody positive (AChR-Ab+) generalized myasthenia gravis (gMG). We assessed cost-effectiveness of efgartigimod vs chronic IVIg for adult patients with AChR-Ab+ gMG. Methods: A Markov model estimated costs (treatment and administration, disease monitoring, complications from chronic corticosteroid use, exacerbation and crisis management, adverse events, end-of-life care) and benefits (quality-adjusted life-years [QALYs]). The analysis was conducted from the Canadian healthcare system perspective. Health state transition probabilities were estimated using data from ADAPT, ADAPT+, and a network meta-analysis comparing efgartigimod with chronic IVIg. Utility values were obtained from MyRealWorld MG. Patients with MG-ADL ≥5 who did not die/discontinue were assumed to receive treatment every 4 weeks or every 3 weeks over the lifetime horizon. Results: Over the lifetime horizon, efgartigimod and chronic IVIg were predicted to have total discounted QALYs of 16.80 and 13.35, and total discounted costs of $1,913,294 and $2,170,315, respectively. Efgartigimod dominated chronic IVIg with incremental QALYs of 3.45 and cost savings of $257,020 over the lifetime horizon. Conclusions: Efgartigimod may provide greater benefit at lower costs than chronic IVIg for Canadian patients with AChR-Ab+ gMG, with substantial healthcare system savings over the lifetime horizon.