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Clinical guidelines for personality disorder emphasise the importance of patients being supported to develop psychological skills to help them manage their symptoms and behaviours. But where these mechanisms fail, and hospital admission occurs, little is known about how episodes of acutely disturbed behaviour are managed.
Aims
To explore the clinical characteristics and management of episodes of acutely disturbed behaviour requiring medication in in-patients with a diagnosis of personality disorder.
Method
Analysis of clinical audit data collected in 2024 by the Prescribing Observatory for Mental Health, as part of a quality improvement programme addressing the pharmacological management of acutely disturbed behaviour. Data were collected from clinical records using a bespoke proforma.
Results
Sixty-two mental health Trusts submitted data on 951 episodes of acutely disturbed behaviour involving patients with a personality disorder, with this being the sole psychiatric diagnosis in 471 (50%). Of the total, 782 (82%) episodes occurred in female patients. Compared with males, episodes in females were three times more likely to involve self-harming behaviour or be considered to pose such a risk (22% and 70% respectively: p < 0.001). Parenteral medication (rapid tranquillisation) was administered twice as often in episodes involving females than in males (64 and 34% respectively: p < 0.001).
Conclusions
Our findings suggest that there are a large number of episodes of acutely disturbed behaviour on psychiatric wards in women with a diagnosis of personality disorder. These episodes are characterised by self-harm and regularly prompt the administration of rapid tranquillisation. This has potential implications for service design, staff training, and research.
The advent of next-generation telescope facilities brings with it an unprecedented amount of data, and the demand for effective tools to process and classify this information has become increasingly important. This work proposes a novel approach to quantify the radio galaxy morphology, through the development of a series of algorithmic metrics that can quantitatively describe the structure of radio source, and can be applied to radio images in an automatic way. These metrics are intuitive in nature and are inspired by the intrinsic structural differences observed between the existing Fanaroff-Riley (FR) morphology types. The metrics are defined in categories of asymmetry, blurriness, concentration, disorder, and elongation (ABCDE/single-lobe metrics), as well as the asymmetry and angle between lobes (source metrics). We apply these metrics to a sample of 480 sources from the Evolutionary Map of the Universe Pilot Survey (EMU-PS) and 72 well resolved extensively studied sources from An Atlas of DRAGNs, a subset of the revised Third Cambridge Catalogue of Radio Sources (3CRR). We find that these metrics are relatively robust to resolution changes, independent of each other, and measure fundamentally different structural components of radio galaxy lobes. These metrics work particularly well for sources with reasonable signal-to-noise and well separated lobes. We also find that we can recover the original FR classification using probabilistic combinations of our metrics, highlighting the usefulness of our approach for future large data sets from radio sky surveys.
Almost 12 % of the human population have insufficient access to food and hence are at risk from nutrient deficiencies and related conditions, such as anaemia and stunting. Ruminant meat and milk are rich in protein and micronutrients, making them a highly nutritious food source for human consumption. Conversely, ruminant production contributes to methane (CH4) emissions, a greenhouse gas (GHG) with a global warming potential (GWP) 27–30 times greater than that of carbon dioxide (CO2). Nonetheless, ruminant production plays a crucial role in the circular bioeconomy in terms of upcycling agricultural products that cannot be consumed by humans, into valuable and nutritional food, whilst delivering important ecosystem services. Taking on board the complexities of ruminant production and the need to improve both human and planetary health, there is increasing emphasis on developing innovative solutions to achieve sustainable ruminant production within the ‘One Health’ framework. Specifically, research and innovation will undoubtedly continue to focus on (1) Genetics and Breeding; (2) Animal nutrition and (3) Animal Health, to achieve food security and human health, whilst limiting environmental impact. Implementation of resultant innovations within the agri-food sector will require several enablers, including large-scale investment, multi-actor partnerships, scaling, regulatory approval and importantly social acceptability. This review outlines the grand challenges of achieving sustainable ruminant production and likely research and innovation landscape over the next 15 years and beyond, specifically outlining the pathways and enablers required to achieve sustainable ruminant production within the One Health framework.
We report the radio continuum detection of well known Galactic Planetary Nebula (PN) NGC5189, observed at 943MHz during the Australian Square Kilometre Array Pathfinder (ASKAP) Evolutionary Map of the Universe (EMU) survey. Two detections of NGC5189 have been made during the survey, of better resolution than previous radio surveys. Both measurements of the integrated flux density are consistent with each other, at S943 MHz = 0.33 ± 0.03 Jy, and the spectral luminosity is L943 MHz = 8.89 × 1013 W m–2 Hz–1. Using available flux density measurements for radio-detections of NGC5189, we calculate a radio surface brightness at 1GHz and measure Σ1 GHz = 6.0 × 10–21 W m–2 Hz–1 sr–1, which is in the expected range for Galactic PNe. We measure an apparent size of 3.′4×2.′2 corresponding to physical diameters of 1.48 pc × 0.96 pc, and combine available radio observations of NGC5189 to estimate a spectral index of α = 0.12 ± 0.05. Hence, we agree with previous findings that NGC5189 is a thermal (free–free) emitting nebula. Additional measurements of the optical depth (τ = 0.00246) and electron density (Ne = 138 cm–3) support our findings that NGC5189 is optically thin at 943 MHz. Furthermore, the radio contours from the ASKAP–EMU image have been overlaid onto a Hubble Space Telescope (HST) Wide Field Camera 3 image, demonstrating that the radio morphology closely traces the optical. Notably, the contour alignment for the innermost region highlights the two envelopes of gas previously reported to be low-ionisation structures, which is considered a defining feature of post common–envelope PNe that surround a central Wolf-Rayet star.
We present new Australia Telescope Compact Array (ATCA) radio observations towards N 49, one of the brightest extragalactic supernova remnants (SNRs) located in the Large Magellanic Cloud (LMC). Our new and archival ATCA radio observations were analysed along with Chandra X-ray data. These observations show a prominent ‘bullet’ shaped feature beyond the southwestern boundary of the SNR. Both X-ray morphology and radio polarisation analysis support a physical connection of this feature to the SNR. The ‘bullet’ feature’s apparent velocity is estimated at $\sim$1 300 km s$^{-1}$, based on its distance ($\sim$10 pc) from the remnant’s geometric centre and estimated age ($\sim$7 600 yr). we estimated the radio spectral index, $\alpha= -0.55 \pm 0.03$ which is typical of middle-age SNRs. Polarisation maps created for N 49 show low to moderate levels of mean fractional polarisation estimated at 7$\pm$1% and 10$\pm$1% for 5.5 and 9 GHz, respectively. These values are noticeably larger than found in previous studies. Moreover, the mean value for the Faraday rotation of SNR N 49 from combining CABB data is 212$\pm$65 rad m$^{-2}$ and the maximum value of RM is 591$\pm$103 rad m$^{-2}$.
Well-crystallized laumontite has been found for the first time precipitating naturally at the earth's surface at temperatures of 89° to 43°C as a component of gray to white coatings and efflorescences on exterior surface and as precipitates on interior fractures of stones and blocks lining Hot Springs Creek immediately downstream from Sespe Hot Springs, Ventura County, California. X-ray powder diffraction, scanning electron microscope (SEM), and electron microprobe analyses show thenardite to be the dominant phase in the exterior coatings, in association with minor microcrystalline (<50 μm) laumontite and gypsum. Macrocrystalline (>1 mm) laumontite is the dominant phase in interior fracture coatings and is associated with quartz, potassium feldspar, and gypsum. Trace amounts of smectite(?), halite, a mercury sulfide, an iron sulfide, an iron-bearing mineral (possibly an oxide or carbonate), and a copper mineral are also present. Zeolites other than laumontite have not been seen, and carbonate minerals are either entirely or nearly absent. SEM textures indicate nonreactive intergrowths of laumontite, quartz, potassium feldspar, and gypsum. Unbroken laumontite crystals are generally euhedral or have skeletal growth characteristics and exhibit sharp, fresh, non-corroded faces, edges, and corners.
The water issuing from the hottest and largest spring is 89°C, has a pH of 7.74, 1200 mg/liter total dissolved solids, and contains Na+, Cl−, SO42-, and H4SiO4 as the dominant dissolved species. Computations indicate that the water is supersaturated with respect to laumontite, quartz, chlorite, and prehnite and is slightly undersaturated with respect to calcite and noncrystalline silica. Water-dominated water-rock interaction is indicated by isotopic analyses. The δO18 composition expectable on the basis of the −81‰ δD composition is −11.38‰ instead of the −9.5‰ actually found (all referred to SMOW). The water chemistry suggests that the subsurface water source may have a temperature of 125°–135°C. This temperature range, together with the regionally low geothermal gradient, implies that the source is probably 3550 to 3900 m beneath the springs in fractured and permeable Mesozoic and older plutonites and gneisses.
The discovery of laumontite crystallizing at atmospheric pressure and 43°C (or lower) provides important insight into the processes responsible for burial diagenetic laumontite and a valuable perspective on the zeolite metamorphic facies.
Mixing ammonium sulfate (AMS) can increase dicamba volatility. Therefore, AMS cannot be used with dicamba products in dicamba-resistant soybean. However, most dicamba products applied in corn are labeled to mix with AMS. The objectives of this study were to evaluate broadleaf weed control with dicamba (DiFlexx®) and dicamba/tembotrione (DiFlexx® DUO) applied alone or with AMS or AMS substitute and their effect on broadleaf weed density and biomass. Field experiments were conducted in Illinois, Missouri, and Nebraska in 2018 and 2019. In Illinois and Nebraska, mixing AMS + crop oil concentrate (COC) with dicamba applied at 1,120 g ae ha−1 increased the control of Palmer amaranth and waterhemp (Amaranthus species) from 78% to 92% and velvetleaf from 73% to 96% compared with dicamba applied alone 14 d after application (DAA); however, Missouri data showed no difference. Mixing AMS + COC with dicamba/tembotrione at 597 and 746 g ai ha−1 did not improve broadleaf weed control 14 DAA at any site compared with dicamba/tembotrione applied alone. Control of Amaranthus species was increased from 82% with dicamba applied at 840 g ae ha−1 to 96% when mixed with AMS + COC 28 DAA in Illinois; however, control was similar to dicamba applied at 1,120 g ae ha−1. Broadleaf weed control did not differ among dicamba or dicamba/tembotrione 28 and 56 DAA in Missouri and Nebraska. Broadleaf weed density decreased from 64 plants m−2 to 24 plants m−2 with dicamba at 1,120 g ae ha−1 with AMS + COC 14 DAA in Nebraska; however, no differences were observed in broadleaf weed density or biomass 56 DAA in any state. The results suggest that dicamba or dicamba/tembotrione can be applied without AMS or AMS substitute, especially at higher rates, without losing broadleaf weed control efficacy.
OBJECTIVES/GOALS: Idiopathic pulmonary fibrosis (IPF) is a chronic lung disease characterized by dysregulated collagen accumulation in the lung parenchyma. Our goal is to investigate the role of O-linked N-Acetylglucosamine (O-GlcNAc) transferase (OGT) in pulmonary fibrosis to ultimately discover novel therapies for fibrosis resolution. METHODS/STUDY POPULATION: Lung tissue from IPF and non-IPF donors was subjected to immunohistochemistry (IHC) to assess O-GlcNAc levels. Primary human lung fibroblasts were treated with OGT or O-GlcNAcase (OGA) inhibitors followed by transforming growth factor-beta 1 (TGF-β1) stimulation to assess O-GlcNAc regulation of fibroblast-to-myofibroblast transition (FMT) markers [alpha smooth muscle actin (α-SMA) and type 1 and type 3 collagen (COL1α1, COL3α1)] In Drosophila melanogaster, OGT knockdown (KD)/overexpression (OE) was conditionally induced to assess pericardin, a type IV collagen-like protein, regulation by immunofluorescence. Lastly, a mouse model of bleomycin-induced pulmonary fibrosis was examined following OGT KD and assessed for fibrosis resolution via histology, hydroxyproline assay, and western blotting. RESULTS/ANTICIPATED RESULTS: O-GlcNAc staining was increased in IPF lung tissue compared to non-IPF control lungs. In primary human lung fibroblasts, TGF-α1 administration resulted in increased FMT markers (α-SMA, COL1α1, and COL3α1), which were reduced or increased by OGT or OGA inhibition, respectively. Genetic manipulation in the Drosophila models showed decreased pericardin expression with OGT KD compared to the wild-type, whereas OGT OE increased pericardin compared to control. Additionally, OGT KD in bleomycin treated aged mice resulted in reduced collagen levels at the transcript and protein level and concurrent fibrosis resolution as assessed by Masson’s trichrome staining and total hydroxyproline analysis. Collectively, showing OGT/O-GlcNAc regulating collagen in fibrosis resolution. DISCUSSION/SIGNIFICANCE: These data suggest that the OGT/O-GlcNAc axis regulates collagen deposition in pulmonary fibrosis, and we show that O-GlcNAc is implicated in the pathogenesis of IPF. We identified OGT as a therapeutic target to overcome current drug limitations, opening new horizons for biomedical treatment.
The role of adsorbed and structural Fe3+ in palygorskite and sepiolite with respect to the oxidation of hydrocortisone in aqueous suspension has been evaluated using electron spin resonance and UV-visible spectroscopy. Natural surface-adsorbed Fe3+ showed an important activity in the oxidation process, although smaller than octahedral Fe3+. The kinetics of oxidative degradation of hydrocortisone by palygorskite appear to be composed of two apparent first order reactions which may be associated with two kinds of sites for Fe in palygorskite. The lower oxidizing power of sepiolite for hydrocortisone degradation is due to its very low Fe3+ content.
n-3 fatty acid consumption during pregnancy is recommended for optimal pregnancy outcomes and offspring health. We examined characteristics associated with self-reported fish or n-3 supplement intake.
Design:
Pooled pregnancy cohort studies.
Setting:
Cohorts participating in the Environmental influences on Child Health Outcomes (ECHO) consortium with births from 1999 to 2020.
Participants:
A total of 10 800 pregnant women in twenty-three cohorts with food frequency data on fish consumption; 12 646 from thirty-five cohorts with information on supplement use.
Results:
Overall, 24·6 % reported consuming fish never or less than once per month, 40·1 % less than once a week, 22·1 % 1–2 times per week and 13·2 % more than twice per week. The relative risk (RR) of ever (v. never) consuming fish was higher in participants who were older (1·14, 95 % CI 1·10, 1·18 for 35–40 v. <29 years), were other than non-Hispanic White (1·13, 95 % CI 1·08, 1·18 for non-Hispanic Black; 1·05, 95 % CI 1·01, 1·10 for non-Hispanic Asian; 1·06, 95 % CI 1·02, 1·10 for Hispanic) or used tobacco (1·04, 95 % CI 1·01, 1·08). The RR was lower in those with overweight v. healthy weight (0·97, 95 % CI 0·95, 1·0). Only 16·2 % reported n-3 supplement use, which was more common among individuals with a higher age and education, a lower BMI, and fish consumption (RR 1·5, 95 % CI 1·23, 1·82 for twice-weekly v. never).
Conclusions:
One-quarter of participants in this large nationwide dataset rarely or never consumed fish during pregnancy, and n-3 supplement use was uncommon, even among those who did not consume fish.
One common concern amongst the aging population is that of worsening memory. Speed of processing and executive functions are also areas of age-related decline that affect daily living. Lifestyle modifications such as diet, exercise, and sleep have garnered intense interest as potential methods to prevent or delay cognitive decline. Among dietary factors, omega-3 fatty acids (FAs) have been documented as containing a myriad of health benefits, including neuroprotective effects. The aim of this study is to examine the associations between omega-3 FAs, cognitive function, and neuroanatomical regions of interest in a healthy aging population.
Participants and Methods:
Adults aged 65 and older (n=40, 48.9% Female) were recruited for the Loma Linda University Adventist Health Study-2 Cognitive and Neuroimaging Substudy. Participants had a mean age of 76.25 years (SD=8.29), 16.78 years of education (SD=2.53), and were predominantly White (85.0%). Participants received a two-hour neurocognitive battery, including measures of immediate and delayed memory (Rey Auditory Verbal Learning Test, RAVLT; WMS-IV Logical Memory, LM), processing speed (Stroop), and executive functions (Stroop Color/Word). Participants underwent brain imaging on a 3T Siemens MRI, including a 3D T1-weighted MPRAGE sequence. Cortical reconstruction and volumetric segmentation were performed using FreeSurfer software. Blood samples were collected for fatty acid analysis. Individual FAs were expressed as a percent of total FAs. An omega-3 index was constructed as the sum of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) FAs. Correlational analyses, controlling for age, sex, and education, investigated relationships between omega-3 levels (individual and index) and (a) cognitive function (immediate and delayed memory, processing speed, executive functions), and (b) brain volumes in specific regions of interest (hippocampus, entorhinal cortex, frontal pole, white matter).
Results:
EPA was significantly positively correlated with Stroop Color (r=.34, p=.048). Although not statistically significant, trends were observed between the omega-3 index and Stroop Color (r=.30, p=.08), and between both DHA and the omega-3 index with RAVLT – delayed recall (r=.29, p=.095; r=.30, p=.08, respectively). With regards to regional brain volumes, EPA and the omega-3 index were both significantly positively correlated with the entorhinal cortex (r=.34, p=.041; r=.41, p=.01, respectively) and white matter volume (r=.36, p=.028; r=.34, p=.038, respectively). DHA was significantly positively correlated with white matter volume (r=.34, p=.044).
Conclusions:
Blood levels of EPA were positively correlated with a measure of processing speed, and trends were observed between DHA, the omega-3 index and[GN1] verbal memory, and between the omega-3 index and processing speed. We also found that omega-3 FA values were associated with greater brain volume in the entorhinal cortex and white matter in our sample of healthy older adults. Atrophy of the entorhinal cortex has been associated with pathological processes. Additionally, white matter is known to effect processing speed. These findings may offer support for the idea that omega-3 FAs exert their neuroprotective effects by fortifying areas of the brain, specifically the entorhinal cortex and white matter, that promote maintenance of cognitive function in late life.
Patients with Fontan failure are high-risk candidates for heart transplantation and other advanced therapies. Understanding the outcomes following initial heart failure consultation can help define appropriate timing of referral for advanced heart failure care.
Methods:
This is a survey study of heart failure providers seeing any Fontan patient for initial heart failure care. Part 1 of the survey captured data on clinical characteristics at the time of heart failure consultation, and Part 2, completed 30 days later, captured outcomes (death, transplant evaluation outcome, and other interventions). Patients were classified as “too late” (death or declined for transplant due to being too sick) and/or “care escalation” (ventricular assist device implanted, inotrope initiated, and/or listed for transplant), within 30 days. “Late referral” was defined as those referred too late and/or had care escalation.
Results:
Between 7/2020 and 7/2022, 77 Fontan patients (52% inpatient) had an initial heart failure consultation. Ten per cent were referred too late (6 were too sick for heart transplantation with one subsequent death, and two others died without heart transplantation evaluation, within 30 days), and 36% had care escalation (21 listed ± 5 ventricular assist device implanted ± 6 inotrope initiated). Overall, 42% were late referrals. Heart failure consultation < 1 year after Fontan surgery was strongly associated with late referral (OR 6.2, 95% CI 1.8–21.5, p=0.004).
Conclusions:
Over 40% of Fontan patients seen for an initial heart failure consultation were late referrals, with 10% dying or being declined for transplant within a month of consultation. Earlier referral, particularly for those with heart failure soon after Fontan surgery, should be encouraged.
Edited by
Cecilia McCallum, Universidade Federal da Bahia, Brazil,Silvia Posocco, Birkbeck College, University of London,Martin Fotta, Institute of Ethnology, Czech Academy of Sciences
Black feminist anthropology has been and continues to be rooted in intellectual engagements with transnational Blackness, transnational feminism, queer politics, global anti-Blackness, anti-imperialism, and anticapitalism. Black feminist anthropology is a global endeavor that applies theory and lived experience to restructure ethnography and praxis that is engaged in an intersectional analysis of various oppressions and strategies for resistance, survival, and freedom. This chapter builds on those studies that identify the importance of including transnational Black feminism in the anthropological canon and supporting scholars who center Black women’s experiences throughout the diaspora. The aim is to encourage the use of a transnational Black feminist analytic to transform anthropological approaches to the study of Africa and its diaspora; constructions of labor, production, and reproduction; racialized identity formation; the performance of those identities across gender and sexuality; and narratives of oppression, resistance, and survival. The author centers transnational Black feminist frameworks that see the formation of diaspora as a site for solidarity that coalesce as a result of, around, and between women-led and gender-based political movements. For Black feminist anthropologists it names what was already possible, while providing an intentional epistemic framework and methodology for collaboration with Black feminists throughout Africa and its diaspora.
A simple method for adding uncertainty to neural network regression tasks in earth science via estimation of a general probability distribution is described. Specifically, we highlight the sinh-arcsinh-normal distributions as particularly well suited for neural network uncertainty estimation. The methodology supports estimation of heteroscedastic, asymmetric uncertainties by a simple modification of the network output and loss function. Method performance is demonstrated by predicting tropical cyclone intensity forecast uncertainty and by comparing two other common methods for neural network uncertainty quantification (i.e., Bayesian neural networks and Monte Carlo dropout). The simple approach described here is intuitive and applicable when no prior exists and one just wishes to parameterize the output and its uncertainty according to some previously defined family of distributions. The authors believe it will become a powerful, go-to method moving forward.
The first experimental campaigns have proven that, due to the optimization of the magnetic configuration with respect to neoclassical transport, the contribution of turbulence is essential to understand and predict the total particle and energy transport in Wendelstein 7-X (W7-X). This has spurred much work on gyrokinetic modelling for the interpretation of the available experimental results and for the preparation of the next campaigns. At the same time, new stellarator gyrokinetic codes have just been or are being developed. It is therefore desirable to have a sufficiently complete, documented and verified set of gyrokinetic simulations in W7-X geometry against which new codes or upgrades of existing codes can be tested and benchmarked. This paper attempts to provide such a set of simulations in the form of a comprehensive benchmark between the recently developed code stella and the well-established code GENE. The benchmark consists of electrostatic gyrokinetic simulations in the W7-X magnetic geometry and includes different flux tubes, linear ion-temperature-gradient (ITG) and trapped-electron-mode stability analyses, computation of linear zonal-flow responses and calculation of ITG-driven heat fluxes.
A fundamental question for theories of massive star formation is whether OB stars can form in isolation. We assess the contribution of any in-situ OB star formation by using 210 field OB stars in the Small Magellanic Cloud (SMC) from the Runaways and Isolated O-Type Star Spectroscopic Survey of the SMC (RIOTS4). We search for tiny, sparse clusters around our target OB stars using cluster-finding algorithms. Employing statistical tests, we compare these observations with random-field data sets. We find that ∼5% of our target fields do show evidence of higher central stellar densities, implying the presence of small clusters. This frequency of small clusters is low and within errors, it is also consistent with the field OB population being composed entirely of runaway and walkaway stars. Assuming this small cluster fraction is real, it implies that some OB stars may form in highly isolated conditions. The low frequency could be caused by these clusters evaporating on a short timescale. However, another interpretation is that the low fraction of small clusters is observed because these form rarely, or not at all, implying a higher cluster lower-mass limit and generally consistent with a relationship between maximum stellar mass (mmax) and the cluster mass (Mcl).
OBJECTIVES/GOALS: Our long-term goal is to improve the clinical outcomes of patients with status epilepticus through increasing the level of evidence surrounding guidelines. The specific objective of our proposed work is to compare the outcomes and adverse drug events between the Neurocritical Care and American Epilepsy Society levetiracetam dose recommendations. METHODS/STUDY POPULATION: This is a retrospective, single site, cohort study comparing outcomes of hospitalized patients with status epilepticus treated with levetiracetam bolus at the University of Kansas Health System. Patients outcomes will be compared based on levetiracetam bolus dose received. The primary outcome will be seizure reoccurrence within 24 hours. Secondary outcomes include number of additional anti-epileptic drugs administered, cumulative dose of benzodiazepines administered within 24 hours of levetiracetam bolus administration and incidence of adverse drug reactions. All study data will be extracted retrospectively from the EPIC chart review following patient list generation through the HERON i2b2 database query. RESULTS/ANTICIPATED RESULTS: Aim 1 will characterize levetiracetam dosing among patients admitted to the University of Kansas Medical Center for status epilepticus during routine clinical care. We hypothesize that given the inconsistency in dosing recommendations from various professional societies and drug references, we will observe inconsistent dosing of levetiracetam among those hospitalized due to status epilepticus.
Aim 2 will evaluate effectiveness and safety across the various levetiracetam doses. We estimate that adherence to the higher weight-based dosing recommendations of the 2016 American Epilepsy Society guideline may result in improved outcomes with a similar frequency and severity of adverse drug events compared to lower/fixed-dose levetiracetam dose recommendation of the 2012 Neurocritical Care guideline. DISCUSSION/SIGNIFICANCE: Notable inconsistencies across the dosing recommendations for levetiracetam exist between the guidelines for treatment of status epilepticus and commonly used tertiary drug information databases. This variation in guidance may lead to differences in dosing and warrants further exploration to better support the management of status epilepticus.