We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
How did women come to be seen as 'at-risk' for HIV? In the early years of the AIDS crisis, scientific and public health experts questioned whether women were likely to contract HIV in significant numbers and rolled out a response that effectively excluded women. Against a linear narrative of scientific discovery and progress, Risk and Resistance shows that it was the work of feminist lawyers and activists who altered the legal and public health response to the AIDS epidemic. Feminist AIDS activists and their allies took to the streets, legislatures, administrative agencies, and courts to demand the recognition of women in the HIV response. Risk and Resistance recovers a key story in feminist legal history – one of strategy, struggle, and competing feminist visions for a just and healthy society. It offers a clear and compelling vision of how social movements have the capacity to transform science in the service of legal change.
The present study was designed to report the prevalence of spotted fever group Rickettsia and Anaplasma in ticks from Pakistan. To address this knowledge gap, ticks were collected from October 2019 to November 2020 from livestock hosts. 390 ticks from Punjab, Khyber Pakhtunkhwa, and Islamabad were investigated for the presence of Rickettsia and Anaplasma. The collected ticks were subjected to molecular studies for detection and characterization of spotted fever group Rickettsia and Anaplasma in ticks from Pakistan. PCR amplification of the ompA gene was used for detection of Rickettsia and portions of the 16S rDNA gene for detection of Anaplasma. Nine species of ticks were tested. 7/390 (2.58%) of ticks were positive for Rickettsia. Rickettsia spp. were detected in Haemaphysalis punctata, Hyalomma anatolicum, Hyalomma scupense, Rhipicephalus microplus, and Rhipicephalus sanguineus. Unknown Rickettsia was detected in Hy. scupense. 57 (14.6%) ticks were also positive for Anaplasma spp. Anaplasma ovis was detected in Hy. anatolicum, Hy. scupense, Hy. excavatum, Rhipicephalus decoloratus, R. microplus, and R. sanguineus. Anaplasma marginale was detected in Hy. anatolicum, Hy. scupense, R. microplus, R. decoloratus, and R. sanguineus. The Anaplasma sequences obtained from this experiment were 99–100% similar to those of documented strains. This study provides information and confirms the presence of spotted fever group Rickettsia and Anaplasma spp. in different tick species. It also highlights the need for control programs to prevent health risks. Further investigation to determine the prevalence and disease burden of these pathogens in Pakistan is necessary.
Given the increased risk of cardiac toxicity with higher doses, cardiac sparing is crucial for left-sided breast cancer patients. Deep inspiration breath hold (DIBH) is one approach, but its reproducibility is questioned. This study evaluates the reproducibility of DIBH with an active breathing coordinator (ABC) device, focusing on its dosimetric impact in maintaining consistent cardiac sparing for patients undergoing partial breast irradiation (PBI).
Methods:
Thirty-three patients undergoing PBI with a prescription dose of 30 Gy in five fractions were randomly selected. Each patient was treated with 6 MV photons using volumetric modulated arc therapy (VMAT) with DIBH using an ABC device. Prior to each fraction, kilo-voltage cone beam computed tomography (kV-CBCT) images were acquired to assess inter-fractional heart motion. Contours of the whole heart and left anterior descending artery (LAD) were transferred from the planning CT to CBCTs and back, using rigid alignment and isocentre shifts to represent treatment positions. Agreement between delivered and planned doses assessed DIBH reproducibility.
Results:
Throughout the entire treatment course, changes in mean and maximum cardiac doses were less than 16·4 cGy and 264·8 cGy, respectively. Changes in mean and maximum LAD doses were less than 54·0 cGy and 160·2 cGy, respectively. Overall, the mean cardiac dose increased by 2·4 ± 6·6 cGy, and the maximum by 23·3 ± 58·0 cGy. The mean LAD dose increased by 4·8 ± 18·5 cGy, and the maximum by 17·0 ± 51·0 cGy.
Conclusions:
DIBH can be effectively reproduced with the ABC device, limiting inter-fractional cardiac dose changes.
Premenstrual symptoms are a cyclic set of symptoms that affect women’s psychological and physical wellbeing. Growing evidence suggests that micronutrients may contribute to the risk and severity of premenstrual symptoms such as depression. Yet the relationship between folate and premenstrual symptoms remains inconclusive. The objective of this study was to determine the association between folate intake and MTHFR genotype with premenstrual symptoms. Females (n=678) aged 20-29 years from the Toronto Nutrigenomics and Health Study self-reported fifteen premenstrual symptoms. Dietary intake was measured using a validated 196-item Toronto-modified Harvard food frequency questionnaire. DNA was isolated from peripheral white blood cells and genotyped for the C677T MTHFR (rs1801133) polymorphism. Using logistic regression, the odds of experiencing premenstrual symptoms were compared between total folate intake below and above the median (647 mcg/d), and between MTHFR genotypes. We found associations between MTHFR genotype and some premenstrual symptoms. Among women with low folate intake, an additive association was observed for the T allele of MTHFR and premenstrual depression. Compared to those with the CC genotype, the OR (95% CI) for depression was 1.66 (0.98, 2.87) for those with the CT genotype and 2.41 (1.08, 5.38) for those with the TT genotype. No associations were observed between MTHFR genotype and premenstrual depression among those with higher habitual intakes of folate. Since the MTHFR genotype is involved in the folate metabolic pathway, these findings suggest that folate or its metabolites may be related to risk of premenstrual depression.
Edited by
David Mabey, London School of Hygiene and Tropical Medicine,Martin W. Weber, World Health Organization,Moffat Nyirenda, London School of Hygiene and Tropical Medicine,Dorothy Yeboah-Manu, Noguchi Memorial Institute for Medical Research, University of Ghana,Jackson Orem, Uganda Cancer Institute, Kampala,Laura Benjamin, University College London,Michael Marks, London School of Hygiene and Tropical Medicine,Nicholas A. Feasey, Liverpool School of Tropical Medicine
The leishmaniases are a group of diseases caused by the protozoan parasite Leishmania which belongs to the order of Kinetoplastidae. Infection affects the skin and mucosal surfaces, causes disseminated disease or a combination. The geographic distribution, clinical manifestations and prevalence of each form of the disease are the result of an intricate interplay between a particular strain of Leishmania, the susceptibility of the population, the presence of a reservoir and the sand fly vector; socioeconomic factors, changes in climate and ecology and population movements all play a role. Given these relationships, a One Health approach should be advocated (Hong et al. 2020). Worldwide 88 countries are affected with a global annual incidence of 0.7–1 million new cases annually, of which 0.6–1 million are cutaneous leishmaniasis (CL) cases and 50,000–90,000 are visceral leishmaniasis (VL) cases.
Leptospirosis in NZ has historically been associated with male workers in livestock industries; however, the disease epidemiology is changing. This study identified risk factors amid these shifts. Participants (95 cases:300 controls) were recruited nationwide between 22 July 2019 and 31 January 2022, and controls were frequency-matched by sex (90% male) and rurality (65% rural). Multivariable logistic regression models, adjusted for sex, rurality, age, and season—with one model additionally including occupational sector—identified risk factors including contact with dairy cattle (aOR 2.5; CI: 1.0–6.0), activities with beef cattle (aOR 3.0; 95% CI: 1.1–8.2), cleaning urine/faeces from yard surfaces (aOR 3.9; 95% CI: 1.5–10.3), uncovered cuts/scratches (aOR 4.6; 95% CI: 1.9–11.7), evidence of rodents (aOR 2.2; 95% CI: 1.0–5.0), and work water supply from multiple sources—especially creeks/streams (aOR 7.8; 95% CI: 1.5–45.1) or roof-collected rainwater (aOR 6.6; 95% CI: 1.4–33.7). When adjusted for occupational sector, risk factors remained significant except for contact with dairy cattle, and slaughter without gloves emerged as a risk (aOR 3.3; 95% CI: 0.9–12.9). This study highlights novel behavioural factors, such as uncovered cuts and inconsistent glove use, alongside environmental risks from rodents and natural water sources.
This study characterises the radio luminosity functions (RLFs) for SFGs and AGN using statistical redshift estimation in the absence of comprehensive spectroscopic data. Sensitive radio surveys over large areas detect many sources with faint optical and infrared counterparts, for which redshifts and spectra are unavailable. This challenges our attempt to understand the population of radio sources. Statistical tools are often used to model parameters (such as redshift) as an alternative to observational data. Using the data from GAMA G23 and EMU early science observations, we explore simple statistical techniques to estimate the redshifts in order to measure the RLFs of the G23 radio sources as a whole and for SFGs and AGN separately. Redshifts and AGN/SFG classifications are assigned statistically for those radio sources without spectroscopic data. The calculated RLFs are compared with existing studies, and the results suggest that the RLFs match remarkably well for low redshift galaxies with an optical counterpart. We use a more realistic high redshift distribution to model the redshifts of (most likely) high redshift radio sources and find that the LFs from our approach match well with measured LFs. We also look at strategies to compare the RLFs of radio sources without an optical counterpart to existing studies.
End-of-life care poses significant ethical challenges for nurses, requiring a deep understanding of moral empathy and ethical decision-making. This study examines the impact of these factors on end-of-life decision-making among nurses in oncology and pain management units in Egypt.
Methods
A cross-sectional design was employed to gather data from participants at a single point in time, facilitating an analysis of the relationships among ethical principles, moral empathy, and nursing practice. The study involved 246 registered nurses with at least 6 months of experience, selected through stratified random sampling from oncology and pain management units in Damietta, Egypt. These settings were chosen due to their central role in palliative care, as Damietta serves as a regional healthcare hub with specialized units addressing chronic and end-of-life conditions. This selection allows for an in-depth exploration of the ethical dimensions involved in providing palliative care. Informed consent was acquired from all participants, ensuring confidentiality and the right to withdraw from the study at any time.
Results
The findings indicated that 72% of participants reported high levels of moral empathy, which positively correlated with ethical decision-making scores (r = 0.65, p < 0.01). However, 58% of the nurses also reported experiencing moderate to high levels of moral distress in various clinical scenarios. Additionally, nurses in supportive ethical climates experienced significantly lower moral distress than those in less supportive settings (p < 0.05).
Significance of results
This study highlights the importance of integrating ethical training and moral empathy into nursing education and practice. The findings underscore the need for policy reforms to embed ethics and empathy training in nursing curricula and professional development programs, fostering ethical competence and enhancing patient care quality.
We present the Evolutionary Map of the Universe (EMU) survey conducted with the Australian Square Kilometre Array Pathfinder (ASKAP). EMU aims to deliver the touchstone radio atlas of the southern hemisphere. We introduce EMU and review its science drivers and key science goals, updated and tailored to the current ASKAP five-year survey plan. The development of the survey strategy and planned sky coverage is presented, along with the operational aspects of the survey and associated data analysis, together with a selection of diagnostics demonstrating the imaging quality and data characteristics. We give a general description of the value-added data pipeline and data products before concluding with a discussion of links to other surveys and projects and an outline of EMU’s legacy value.
Task sharing is endorsed as one of the strategies to address the treatment gap in common perinatal mental health conditions. There is a well-established body of evidence on the effectiveness of psychological interventions delivered by nonspecialist health workers (NSHWs); however, there is a dearth of evidence documenting factors determining the feasibility, acceptability and sustainability of integrating and implementing these interventions. This systematic review aims to synthesize the implementation outcomes and implementation process of NSHWs-delivered psychological interventions for the management of perinatal depression and anxiety using Proctor’s implementation science framework outlining eight constructs: feasibility, acceptability, appropriateness, adoption, cost, fidelity, penetration and sustainability. We searched PubMed, Web of Science and Cochrane Center Register of Controlled Trials for studies published in English and between 2000 and 2022 using search terms under five broad categories: (a) “perinatal”; (b) “common mental disorders”; (c) “psychological interventions”; (d) “nonspecialist” and (e) “implementation outcomes.” Secondary publications were also hand-searched for data extraction. Two authors independently reviewed abstracts and full-text articles. Data for included articles were extracted using a standard data extraction sheet. A narrative synthesis of qualitative evidence was conducted. Initial searches identified 885 articles of which full text of 128 articles were screened for eligibility, with 56 studies meeting the inclusion criteria. Out of the eight constructs of Proctor’s framework, “feasibility,” “acceptability,” “appropriateness” and “fidelity” were the most evaluated outcomes. None of the studies reported “penetration” and very few reported “sustainability,” “adoption” or “cost.” None of the studies used any implementation science framework for the study evaluation. Despite the well-established evidence on the effectiveness of psychosocial interventions for perinatal depression and anxiety by NSHWs, these interventions are rarely adopted into the health system. More studies applying systems thinking are needed to explore facilitators, barriers and mechanisms for integrating interventions in the health system. Using implementation science frameworks to design, plan, execute and evaluate psychosocial interventions by NSHWs can address this gap in evidence.
We introduce a new approach to quantifying dust in galaxies by combining information from the Balmer decrement (BD) and the dust mass (Md). While there is no explicit correlation between these two properties, they jointly probe different aspects of the dust present in galaxies. We explore two new parameters that link BD with Md by using star formation rate sensitive luminosities at several wavelengths (ultraviolet, Hα, and far-infrared). This analysis shows that combining the BD and Md in these ways provides new metrics that are sensitive to the degree of optically thick dust affecting the short wavelength emission. We show how these new “dust geometry” parameters vary as a function of galaxy mass, star formation rate, and specific star formation rate. We demonstrate that they are sensitive probes of the dust geometry in galaxies, and that they support the “maximal foreground screen” model for dust in starburst galaxies.
The scatter in global atomic hydrogen (Hi) scaling relations is partly attributed to differences in how Hi and stellar properties are measured, with Hi reservoirs typically extending beyond the inner regions of galaxies where star formation occurs. Using pilot observations from the Widefield ASKAP L-band Legacy All-sky Blind Survey (WALLABY), we present the first measurements of Hi mass enclosed within the stellar-dominated regions of galaxies for a statistical sample of 995 local gas-rich systems, investigating the factors driving its variation. We examine how global Hi scaling relations change when measurements are restricted to $R_{\text{25}}$ and $R_{\text{24}}$ – the isophotal radii at 25 and 24 mag arcsec$^{-2}$ in the i-band – and explore how the fraction of Hi mass and Hi surface density within these radii correlate with other galaxy properties. On average, 68% of the total Hi mass is enclosed within $R_{\text{25}}$ and 54% within $R_{\text{24}}$, though significant variation exists between galaxies, ranging from $\sim$20% to 100%. The fraction of Hi mass within $R_{\text{25}}$ shows a mild correlation with stellar properties, with galaxies of higher stellar mass, greater stellar surface density, or redder colours enclosing a larger fraction of their Hi reservoirs. These correlations do not significantly strengthen when considering $R_{\text{24}}$. Conversely, global Hi surface densities show no significant correlation with stellar mass or stellar surface density, but trends start emerging when these are measured within the inner regions of galaxies. The strongest correlation is observed with optical colour, with bluer galaxies having higher average Hi surface densities within $R_{\text{25}}$. This trend of the average Hi surface density with optical colour strengthens when we restrict from $R_{\text{25}}$ to $R_{\text{24}}$, suggesting a closer connection between inner Hi reservoirs and star formation. This study underscores the value of (at least marginally) resolved Hi surveys of statistical samples for advancing our understanding of the gas-star formation cycle in galaxies.
Extreme heat waves are a growing global health concern, with their frequency and intensity escalating due to climate change. Understanding past trends in heat wave impacts is crucial for informing effective mitigation and adaptation strategies.
Objectives:
This study aims to analyze the historical impact of extreme heat waves on global mortality and morbidity, identifying geographical and temporal trends to inform public health interventions.
Method/Description:
We conducted a retrospective analysis using data from the Emergency Events Database. This comprehensive database provided records of heat wave events and associated mortality and morbidity data spanning recent decades. Statistical analysis was performed to identify trends and patterns in heat wave occurrences and their health impacts.
Results/Outcomes:
Our analysis reveals a concerning increase in both the frequency and severity of extreme heat waves globally. This trend corresponds with a significant rise in heat-related mortality and morbidity, particularly in regions with limited adaptive capacity and among vulnerable populations such as the elderly and those with pre-existing health conditions.
Conclusion:
The findings underscore the urgent need for proactive measures to mitigate the health risks posed by extreme heat. These include strengthening healthcare infrastructure to manage heat-related illnesses, developing effective early warning systems, and implementing community-based interventions to reduce heat exposure. This research provides a critical historical perspective on the growing threat of extreme heat, emphasizing the importance of global cooperation and immediate action to protect populations from this escalating public health challenge.
There is a need for high-quality disaster training in lower income communities that bear an increasing burden of MCIs. Tabletop exercises (TTX) are low-fidelity, low-cost training methods consisting of facilitator-moderated, discussion-based activities. Simulation education (SIM) is a high-fidelity modality mimicking psychological stress, muscle memory and cognitive load of an MCI. These represent economical training strategies which are standardizable across different regions, developing disaster management skills for first responders.
Objectives:
This study compares the effectiveness of TTX and SIM in building knowledge for Emergency Physicians (EPs) involved in MCIs and increasing comfort in managing disaster scenarios.
Method/Description:
64 EPs were randomly assigned to a 1-hour session of TTX or SIM on MCIs and completed assessments testing knowledge and self-perceived comfort levels. Simulation and Disaster Medicine faculty members subsequently moderated debriefing sessions.
Results/Outcomes:
TTX participants (N=38) had median knowledge scores of 71% compared to 57% in SIM participants (N=25). TTX participants’ comfort level in dealing with MCIs after the education sessions showed a median comfort level of 5/5 compared to 3/5 in SIM participants. TTX showed an average change in comfort level of 2.13 (SD 1.53) pre- and post-education sessions compared to 1.68 (SD 1.38) in the SIM group, with no statistically significant difference between the groups.
Conclusion:
Both modalities increased comfort level in managing MCIs, although participants in TTX performed better on the post-exercise assessment. This data suggests TTX may be an efficacious cost-effective strategy to increase knowledge and comfort in preparing staff for MCIs.
Emergency Medical Teams (EMTs) face several challenges in conducting cost-effective and time-efficient training exercises, particularly in resource-limited settings. HOSPEX TABLETOP is a low-tech classroom-based interactive field hospital simulation exercise designed to train and test casualty management protocols, field hospital layouts, standard operating procedures (SOPs), and team decision-making before expensive full-scale exercises or deployment. The Belgium and Denmark EMTs have already adopted the simulation. The Royal College of Surgeons of England collaborated with the founder of HOSPEX Tabletop to pilot this training with the Ethiopian EMT and assess its impact.
Objectives:
To train Ethiopian EMT staff in field hospital operations and develop a cadre of instructors to deliver HOSPEX tabletop training in other LMICs.
Method/Description:
A HOSPEX Tabletop, customized to reflect the layout and staffing of the Ethiopian EMT, was used to train 34 participants from diverse specialties and experience levels over four days, including an instructor training day. Questionnaires were used to assess the impact.
Results/Outcomes:
Participants were actively engaged throughout the training, rapidly adapting to the simulated environment. They gained experience in using SOPs, managing trauma, diseases, and conflict cases, and applying major incident medical management principles. The training highlighted areas for improving the SOPs and prompted significant changes to Ethiopia’s EMT layout, tested within the exercise.
Conclusion:
HOSPEX Tabletop proved to be an effective and engaging training tool, yielding very positive feedback. It enhanced participants’ knowledge and skills, whilst also identifying and developing potential instructors. Insights gained from the training have already contributed to improvements in the EMT’s awareness and preparedness.
This chapter argues that the relationship between administrative law and constitutional law is significant and that this relationship sheds light on the nature of both areas of law. The chapter develops the idea that administrative law regulates delegates and constitutional law regulates delegators. This idea, the chapter argues, helps us make sense of the nature and content of administrative law, as well as how it relates to constitutional law.
Objectives/Goals: This work aims to identify functional brain networks that differentiate opioid use disorder (OUD) subjects from healthy controls (HC) using machine learning (ML) analysis of resting-state fMRI (rs-fMRI). We investigate the default mode network (DMN), salience network (SN), and executive control network (ECN), as well as demographic features. Methods/Study Population: This work uses high-resolution rs-fMRI data from a National Institute on Drug Abuse study (IRB #HM20023630) with 31 OUD and 45 HC subjects. We extract rs-fMRI blood oxygenation level-dependent (BOLD) features from the DMN, SN, and ECN. The Boruta ML algorithm identifies statistically significant features and brain activity mapping visualizes regions of heightened neural activity for OUD. We conduct fivefold cross-validation classification experiments (OUD vs. HC) to assess the discriminative power of functional network features with and without incorporating demographic features. Demographic features are ranked based on ML classification importance. Follow-up Boruta analysis is performed to study the medial prefrontal cortex (mPFC), posterior cingulate cortex, and temporoparietal junctions in the DMN. Results/Anticipated Results: Boruta ML analysis identifies the DMN as the most salient functional network for differentiating OUD from HC, with 33% of DMN features found significant (p < 0.05), compared to 10% and 0% for the SN and ECN, respectively. The Boruta ML algorithm identifies age and education as the most significant demographic features. Brain activity mapping shows heightened neural activity in the DMN for OUD. The DMN exhibits the greatest discriminative power, with a mean AUC of 69.74%, compared to 47.14% and 54.15% for the SN and ECN, respectively. Fusing DMN BOLD features with the most important demographic features improves the mean AUC to 80.91% and the F1 score to 73.97%. Follow-up Boruta analysis highlights the mPFC as the most important functional hub within the DMN, with 65% significant features. Discussion/Significance of Impact: Our study enhances the understanding of OUD neurobiology, identifying the DMN as the most significant network using ML rs-fMRI BOLD feature analysis. Ethnicity, education, and age rank are the most important demographic features and the mPFC emerges as a key functional hub for OUD. Future research can build on these findings to inform treatment of OUD.
Objectives/Goals: In mice, it has been shown that loss of Cib2 (calcium and integrin-binding protein 2) results in progressive retinal disease that recapitulates many characteristics of age-related macular degeneration (AMD). This study aims to characterize transcriptional changes in the retinal pigment epithelium (RPE) that underlie this disease process. Methods/Study Population: RPE tissue samples, pooled from 2–3 mice for each biological group, were collected from Cib2-KO and wildtype (WT) mice at two (young) and eight (aged) months of age. Bulk mRNA sequencing was performed using the Illumina HiSeq 4000. Reads were aligned to the UCSC mouse reference genome and quantified using HTSeq. Significant differentially expressed genes (DEGs) between mouse genotype and age groups were assessed using DESeq. CLICK unsupervised clustering followed by gene ontology analysis was performed to identify cellular processes and molecular pathways affected by loss of Cib2 as well as age. Results/Anticipated Results: CLICK analysis revealed several functional pathways that are differentially expressed between sample groups. For example, in both young and aged mice, pathways upregulated in Cib2-KO samples included calcium signaling, RhoA signaling, and integrin signaling. Uniquely downregulated DEGs in young Cib2-KO animals were related to complement and coagulation cascades, LXR/RXR activation (related to lipid synthesis and transport), and phagosomes. Aged Cib2-KO mice displayed the most significant downregulation of genes in the phototransduction pathway, indicating temporal changes in functional pathways that correlate with disease progression. Next steps in analysis include investigating patterns in RPE- and AMD-signature gene sets that may identify molecular pathways more specific to human disease. Discussion/Significance of Impact: Many current studies investigate the role of complement activation, vesicle trafficking, and ion transport as top contributors to AMD development. We identified DEGs paralleling many of these molecular pathways in Cib2-KO mice, highlighting their potential as a model to study age-related RPE pathologies and evaluate therapeutic interventions.
Objectives/Goals: Predictive performance alone may not determine a model’s clinical utility. Neurobiological changes in obesity alter brain structures, but traditional voxel-based morphometry is limited to group-level analysis. We propose a probabilistic model with uncertainty heatmaps to improve interpretability and personalized prediction. Methods/Study Population: The data for this study are sourced from the Human Connectome Project (HCP), with approval from the Washington University in St. Louis Institutional Review Board. We preprocessed raw T1-weighted structural MRI scans from 525 patients using an automated pipeline. The dataset is divided into training (357 cases), calibration (63 cases), and testing (105 cases). Our probabilistic model is a convolutional neural network (CNN) with dropout regularization. It generates a prediction set containing high-probability correct predictions using conformal prediction techniques, which add an uncertainty layer to the CNN. Additionally, gradient-based localization mapping is employed to identify brain regions associated with low uncertainty cases. Results/Anticipated Results: The performance of the computational conformal model is evaluated using training and testing data with varying dropout rates from 0.1 to 0.5. The best results are achieved with a dropout rate of 0.5, yielding a fivefold cross-validated average precision of 72.19% and an F1-score of 70.66%. Additionally, the model provides probabilistic uncertainty quantification along with gradient-based localization maps that identify key brain regions, including the temporal lobe, putamen, caudate, and occipital lobe, relevant to obesity prediction. Comparisons with standard segmented brain atlases and existing literature highlight that our model’s uncertainty quantification mapping offers complementary evidence linking obesity to structural brain regions. Discussion/Significance of Impact: This research offers two significant advancements. First, it introduces a probabilistic model for predicting obesity from structural magnetic resonance imaging data, focusing on uncertainty quantification for reliable results. Second, it improves interpretability using localization maps to identify key brain regions linked to obesity.