Partial remission after major depressive disorder (MDD) is common and a robust predictor of relapse. However, it remains unclear to which extent preventive psychological interventions reduce depressive symptomatology and relapse risk after partial remission. We aimed to identify variables predicting relapse and to determine whether, and for whom, psychological interventions are effective in preventing relapse, reducing (residual) depressive symptoms, and increasing quality of life among individuals in partial remission. This preregistered (CRD42023463468) systematic review and individual participant data meta-analysis (IPD-MA) pooled data from 16 randomized controlled trials (n = 705 partial remitters) comparing psychological interventions to control conditions, using 1- and 2-stage IPD-MA. Among partial remitters, baseline clinician-rated depressive symptoms (p = .005) and prior episodes (p = .012) predicted relapse. Psychological interventions were associated with reduced relapse risk over 12 months (hazard ratio [HR] = 0.60, 95% confidence interval [CI] 0.43–0.84), and significantly lowered posttreatment depressive symptoms (Hedges’ g = 0.29, 95% CI 0.04–0.54), with sustained effects at 60 weeks (Hedges’ g = 0.33, 95% CI 0.06–0.59), compared to nonpsychological interventions. However, interventions did not significantly improve quality of life at 60 weeks (Hedges’ g = 0.26, 95% CI -0.06 to 0.58). No moderators of relapse prevention efficacy were found. Men, older individuals, and those with higher baseline symptom severity experienced greater reductions in symptomatology at 60 weeks. Psychological interventions for individuals with partially remitted depression reduce relapse risk and residual symptomatology, with efficacy generalizing across patient characteristics and treatment types. This suggests that psychological interventions are a recommended treatment option for this patient population.

The aardvark (Oryecteropus afer) is a fossorial species with a widespread distribution across sub-Saharan Africa. It leaves distinctive tracks and traces of its presence, including large burrows. However, despite a substantial body fossil record, few trace fossils registered by aardvarks have been described. Its distribution range in southern Africa during historic and prehistoric times was probably broadly similar to that of today, with the addition of the currently submerged Palaeo-Agulhas Plain during much of the Pleistocene. Five new trace fossil sites have been identified in Pleistocene aeolianites on the Cape coast and are here interpreted with varying degrees of confidence as large burrows that were made by aardvarks. In addition, a possible aardvark tracksite has been identified. Together these add to the sparse paleoichnological evidence of aardvarks and add to the global ichnological record of large vertebrate burrows. While at this point the evidence does not warrant the proposal of new ichnotaxa, the findings may act to spur further identification of fossilized traces of aardvarks and other fossorial species on the Cape coast and beyond.

OBJECTIVES/GOALS: The COVID-19 pandemic disrupted established social support networks (faith-based, community, family, friends), resulting in unprecedented health-related, financial, and employment challenges among African Americans (AAs). This study explores the psychosocial influences of the pandemic on the health and wellness of AAs. METHODS/STUDY POPULATION: The FAITH! (Fostering African-American Improvement in Total Health!) Program, an academic-community partnership with AA churches, shifted focus to COVID-19 prevention in AA communities. Funded by the Mayo Clinic Center for Clinical and Translation Sciences, this cross-sectional study recruited AA adults from FAITH!-affiliated churches and social media to complete a survey exploring the personal impact of the pandemic from hardships (e.g., food and housing insecurity, paying utilities) on healthy lifestyle (HL). The primary outcome was difficulty maintaining a HL during the pandemic. Logistic regression (odds ratios and associated 95% confidence intervals (CIs)) was used to examine the associations between difficulty maintaining a HL and factors including COVID-19 hardships and mental health. RESULTS/ANTICIPATED RESULTS: Participants (N=169, 71.4% female, 41.4% essential workers) had a mean age [SD] of 49.4 [14.9] years. Over half (91/169, 54%) reported difficulty maintaining a HL. Those reporting unemployment (OR 2.3; 95% CI [1.2,4.4]; p=0.008), difficulty paying rent (OR 4.1; 95% CI [2.1,8.6]; p<0.001), or food/utilities (OR 5.5; 95% CI [2.7,11.5]; p<0.001) all had greater odds of difficulty maintaining a HL. High stress (≥5/10, scale 1-10) was associated with difficulty maintaining a HL (OR 4.1; 95% CI [2.1,8.5]; p<0.001) compared to AAs with low stress. Negative mental health (depression (OR 3.4; 95% CI [1.0,13.7]; p<0.001), anger (OR 2.5; 95% CI [0.5,18.9]; p=0.005), and nervousness (OR 4.1; 95% CI [1.1,19.5]; p=0.003) was associated with difficulty maintaining a HL compared to AAs with positive mental health. DISCUSSION/SIGNIFICANCE: Our study findings revealed that COVID-19 hardships, stress, and negative mental health impacted the ability of AAs to maintain a HL. These issues should be considered in the design and implementation of community-based health programs to promote healthy living during future public health emergencies.

OBJECTIVES/GOALS: Recent in vitro evidence suggests that diverse parasite protein families called RIFINs and STEVORs are displayed on the surface of infected red blood cells and may have a role in severe malaria, but they remain sparsely studied in natural infections. We measured the RNA expression of these antigens in Malian children with severe or mild malaria illness. METHODS/STUDY POPULATION: We collected blood samples from Malian children aged six months to five years, including 14 with cerebral malaria, 10 with severe malarial anemia, and demographic-matched controls with mild, uncomplicated malaria. We extracted total RNA from each patient and used a custom capture array to selectively enrich Plasmodium falciparum parasite RNA. We then performed Illumina next-generation RNA sequencing and reconstructed parasite transcriptomes using reference-free de novo assembly. We identified RNA encoding RIFINs and STEVORs using an in-house classifier, then measured the diversity and abundance of gene expression for each infection. Expression diversity was defined as the number of unique variants transcribed. Expression abundance was calculated as transcripts per million (TPM). RESULTS/ANTICIPATED RESULTS: Cerebral malaria cases, but not severe malarial anemia cases, had higher diversity and abundance of RIFIN expression compared to mild infections. Type A RIFINs predominated over Type B RIFINs, and the same two RIFINs were predominantly expressed in all disease phenotypes. We anticipate that predominantly expressed RIFINs share high sequence homology with variants previously shown to bind blood antigens or immune inhibitory receptors. STEVOR expression was also higher in cerebral malaria compared to mild malaria, but STEVOR transcripts were sparse overall. DISCUSSION/SIGNIFICANCE: Elevated RIFIN expression in cerebral malaria over mild malaria supports a role for these antigens in pathogenesis. Severe malarial anemia may progress through a different pathogenic mechanism. Predominantly expressed RIFIN variants may be promising targets for vaccines and therapeutics to protect children against cerebral malaria.

The giant Cape zebra (Equus capensis) is one of the extinct Quaternary large mammal species of southern Africa, and the largest equid from the Quaternary of Africa. Twenty-six Pleistocene equid tracksites have been identified in aeolianites on the Cape south coast of South Africa. An age range of 161 ± 12 ka to 43 ± 4 ka has been established through Optically Stimulated Luminescence. More than half of the sites contain large-equid tracks, representing the first ichnosites attributed to E. capensis. Smaller equid tracks may have been registered by the quagga (E. quagga quagga). The abundance of E. capensis tracksites on the Cape south coast contrasts with the paucity of body fossils of the species from the region, contrasting with the impression obtained from the body fossil record that E. capensis was predominantly a west coast species in the region. The new data illustrate the capacity of the body fossil and trace fossil records to complement each other. The loss of suitable habitat provided by the Palaeo-Agulhas Plain was probably a contributing factor in the extinction of this large-bodied grazer. A long trackway at Driefontein, attributed to E. capensis, adds to a sparse global record of fossil horse trackways.

Although tortoises (Testudinidae) are a familiar clade of reptiles, with a body fossil record extending to at least the Eocene, hitherto no tortoise ichnosites have been described. Here, a number of sites attributed to tortoise trackmakers are identified within Pleistocene aeolianites on South Africa's Cape south coast. These date from late Marine Isotope Stage 6 to Marine Isotope Stage 4. The findings indicate large trackmakers, with evidence of a trackmaker length of more than a meter—substantially longer than the largest extant tortoises in southern Africa. This suggests either the presence of an extinct very large tortoise species, or that Pleistocene leopard tortoises in the region were larger than their descendants. Variations in substrate properties are responsible for a variety of track and trace forms. A mismatch exists between the reported ichnological evidence for large tortoises, and the regional archaeological and body fossil records, which almost exclusively comprise smaller tortoises. The findings illustrate the potential of ichnology to complement and augment the paleontological and archaeological records.

In September 2021, a cluster of 6 patients with nosocomial coronavirus disease 2019 (COVID-19) were identified in a transplant unit. A visitor and 11 healthcare workers also tested positive for severe acute respiratory coronavirus virus 2 (SARS-CoV-2). Genomic sequencing identified 3 separate introductions of SARS-CoV-2 with related transmission among the identified patients and healthcare workers.

The history of maize in Central America and surrounding areas has implications for the slow transition from hunting and gathering to agriculture. The spread of early forms of domesticated maize from southern Mexico across Mesoamerica and into South America has been dated to about 8,700–6,500 years ago on the basis of a handful of studies relying primarily on the analysis of pollen, phytoliths, or starch grains. Recent genomic data from southern Belize have been used to identify Archaic period south-to-north population movements from lower Central America, suggesting this migration pattern as a mechanism that introduced genetically improved maize races from South America. Gradually, maize productivity increased to the point that it was suitable for use as a staple crop. Here we present a summary of paleoecological data that support the late and uneven entry of maize into the Maya area relative to other regions of Central America and identify the Pacific coastal margin as the probable route by which maize spread southward into Panama and South America. We consider some implications of the early appearance of maize for Late Archaic populations in these areas; for example, with respect to the establishment of sedentary village life.

Early in the COVID-19 pandemic, the World Health Organization stressed the importance of daily clinical assessments of infected patients, yet current approaches frequently consider cross-sectional timepoints, cumulative summary measures, or time-to-event analyses. Statistical methods are available that make use of the rich information content of longitudinal assessments. We demonstrate the use of a multistate transition model to assess the dynamic nature of COVID-19-associated critical illness using daily evaluations of COVID-19 patients from 9 academic hospitals. We describe the accessibility and utility of methods that consider the clinical trajectory of critically ill COVID-19 patients.

A trackway and burrows of a small rodent-sized bounding mammal (attributed to the Cape gerbil, Gerbilliscus afra) and a traceway of a large arachnid (spider) from the Pleistocene Waenhuiskrans Formation represent two biological groups not previously reported from this track-rich dune facies, which is widely distributed along the Cape south coast of South Africa. This may be due to biases against the preservation of small tracks. Trackways of hopping or bounding rodent-sized mammals are rare in the fossil record, occurring at only two known Mesozoic sites and three Cenozoic sites. Where these occur in dune facies, they are commonly associated with arachnid and other arthropod surface trails. The arachnid trace fossils commonly include the spider traceway Octopodichnus, known from the Permian to Recent, which is also the temporal range of the eponymous Octopodichnus ichnofacies. The abundance of small-mammal tracks associated with dune ichnofaunas led to the naming of the late Palaeozoic and Mesozoic Chelichnus ichnofacies, which is largely co-extensive with the Octopodichnus ichnofacies at this time. However, the recognition of similar mammal–arthropod dune facies assemblages in the Cenozoic requires adjusting our understanding of their distribution in space and time, and extends the known distribution of dune ichnofacies.

Aeolianites and cemented foreshore deposits on South Africa's Cape south coast have the capacity to record and preserve events that transpired on them when they were composed of unconsolidated sand. Thirty-five Pleistocene elephant tracksites have been identified along this coastline. This abundance of sites along what was the margin of the vast Palaeo-Agulhas Plain allows for an appreciation of the forms that elephant tracks and traces can take in the context of the global proboscidean track record. They point to a significant regional elephant presence from Marine Isotope Stage (MIS) 11 (~400 ka) through MIS 5 (~130–80 ka) to MIS 3 (~35 ka) and also indicate repeated use of certain dune areas. They buttress Holocene and historical evidence that elephants made use of open areas in the region, and that the remaining “Knysna elephants” retreated into dense afrotemperate forest for protection in recent centuries. Analogies can be drawn between Pleistocene elephant tracks and Mesozoic dinosaur tracks, and some of the Cape south coast elephant tracks are among the largest Cenozoic (and hence, Quaternary) tracks ever to be described. A newly identified tracksite in this area may provide the first reported evidence of elephant trunk-drag impressions.

Adelges tsugae Annand (Hemiptera: Adelgidae), a nonindigenous insect pest of hemlock (Tsuga spp.) (Pinaceae) in eastern North America, spends most of its life cycle within an ovisac, which resembles a woolly white mass on twigs. We evaluated the probability of detecting adelgid wool with Velcro®-covered balls when taking an increasing number of samples per tree (field sampling) and number of trees per simulated stand. We examined the relationship between the detection of adelgid wool using this technique and the incidence of A. tsugae-infested twigs by sampling lower-crown branch tips of the same trees. We found that the probability of detecting wool with ball sampling increased with number of ball samples per tree, with number of trees per simulated stand, and with increasing incidence of ovisacs in the lower crown. When sampling an individual tree, we found that 20 ball samples per tree achieved a targeted precision level of 0.75, but when sampling a stand, we found that 10 ball samples per tree took the least time for the range of simulated A. tsugae infestations we tested. These sample sizes are recommended for detection of A. tsugae infestations on an individual tree and in a hemlock stand.