Background: Since 2018, several CGRP-targeted therapies have entered the migraine market, including eptinezumab. Minimal evidence exists evaluating the real-world effectiveness of switching from a subcutaneous to an intravenous anti-CGRP mAb. Methods: An observational, multi-site (n=4), US-based study, REVIEW evaluated real-world experiences of patients with chronic migraine (CM) treated with eptinezumab using a chart review, patient survey, and physician interviews. Adults (≥18 years) with a diagnosis of CM who had completed ≥2 consecutive eptinezumab infusion cycles were eligible. Results: Enrolled patients were primarily female (83%, 78/94), had a mean age of 49 years and a mean migraine diagnosis duration of 15.4 years. All patients (94/94) self-reported prior preventive therapy with 89% (84/94) reporting prior subcutaneous anti-CGRP mAb use (i.e., fremanezumab, galcanezumab, or erenumab). Regardless of prior exposure to a CGRP ligand or receptor blocker, the number of “good” days/month more than doubled following eptinezumab. Patients experienced a similar mean change in the number of “good” days/month regardless of the number and type of previous subcutaneous anti-CGRP mAb used. Conclusions: This real-world, patient survey showed that patients with prior exposure to subcutaneous anti-CGRP mAbs had high overall satisfaction with the effectiveness of eptinezumab treatment regardless of the number and type of previous therapies used.

In this study, morphological and molecular features were used to identify a new Steinernema sp. from Chhattisgarh, India. Morphological and molecular features provide evidence for placing the new species into the “bicornutum” clade. The new species is characterized by the following morphological features: infective juveniles with a body length of 587 (494–671) μm; a distance from the anterior end to excretory pore of 46 (43–50) μm; a distance from anterior end to nerve ring of 72 μm (61–85 μm); and E% of 88 (77–97). The first-generation males are characterised by 27 genital papillae and very short spicules, with a length of 61 μm (53–67) μm. The SW% and GS% ratio of S. shori n. sp. are 139 (107–190) and 75 (62–90), respectively. The new species is further characterized by sequences of the internal transcribed spacer and partial 28S regions of the ribosomal DNA. Phylogenetic analyses show that S. shori n. sp. is most closely related to S. abbasi, S. kandii, and S. yirgalemense.

The interaction of a droplet with a swirling airstream is investigated experimentally using shadowgraphy and particle image velocimetry techniques. In swirl flow, the droplet experiences oppose-flow, cross-flow and co-flow conditions depending on its ejection location, the velocity of the airstream and the swirl strength, which results in distinct droplet morphologies as compared with the straight airflow situation. We observe a new breakup phenomenon, termed as ‘retracting bag breakup’, as the droplet encounters a differential flow field created by the wake of the swirler's vanes and the central recirculation zone in swirl airflow. A regime map demarcating the various modes, such as no breakup, vibrational breakup, retracting bag breakup and bag breakup modes, is presented for different sets of dimensionless parameters influencing the droplet morphology and its trajectory. In contrast to the straight flow, the swirl flow promotes the development of the Rayleigh–Taylor instability, enhancing the stretching factor in the droplet deformation process, resulting in a larger number of fingers on the droplet's surface. In order to gain physical insight, a modified theoretical analysis based on the Rayleigh–Taylor instability is proposed for the swirl flow. The experimental behaviour of droplet deformation phenomena in swirl flow conditions can be determined by modifying the stretching factor in the theoretical model.

Camber morphing is an effective way to control the lift generated by any aerofoil and potentially improve the range (as measured by the lift-to-drag ratio) and endurance (as measured by $C_l^{3/2}/C_d$). This can be especially useful for fixed-wing Unmanned Aerial Vehicles (UAVs) undergoing different flying manoeuvres and flight phases. This work investigates the aerodynamic characteristics of the NACA0012 aerofoil morphed using a Single Corrugated Variable-Camber (SCVC) morphing approach. Structural analysis and morphed shapes are obtained based on small-deformation beam theory using chain calculations and validated using finite-element software. The aerofoil is then reconstructed from the camber line using a Radial Basis Function (RBF)-based interpolation method (J.H.S. Fincham and M.I. Friswell, “Aerodynamic optimisation of a camber morphing aerofoil,” Aerosp. Sci. Technol., 2015). The aerodynamic analysis is done by employing two different finite-volume solvers (OpenFOAM and ANSYS-Fluent) and a panel method code (XFoil). Results reveal that the aerodynamic coefficients predicted by the two finite-volume solvers using a fully turbulent flow assumption are similar but differ from those predicted by XFoil. The aerodynamic efficiency and endurance factor of morphed aerofoils indicate that morphing is beneficial at moderate to high lift requirements. Further, the optimal morphing angle increases with an increase in the required lift. Finally, it is observed for a fixed angle-of-attack that an optimum morphing angle exists for which the aerodynamic efficiency becomes maximum.

ABSTRACT IMPACT: The implementation of DPYD and UGT1A1 pharmacogenetic testing, a promising tool of precision medicine, translates evidence-based research into clinical oncology practice with personalized dosing to better predict interpatient variability in chemotherapy tolerability. OBJECTIVES/GOALS: Patients with DPYD and UGT1A1 genetic variants are at risk for severe toxicity from fluoropyrimidines and irinotecan, respectively. We propose that providing clinicians with the option to order a pharmacogenetic (PGx) test with relevant dose recommendations will increase test uptake to guide pharmacotherapy decisions and improve safety outcomes. METHODS/STUDY POPULATION: We plan to conduct a non-randomized, pragmatic, open-label study in 600 adult patients with gastrointestinal (GI) cancers initiating a fluoropyrimidine- and/or irinotecan-based regimen at three cancer centers within a health system. Implementation metrics of a new, in-house laboratory developed PGx test will be measured, including feasibility of returning results within one week, fidelity of providers following dose recommendations, and penetrance via test ordering rates. Clinical aims will include assessing severe toxicity during the first six months of chemotherapy. Outcomes will be compared to a historical control of GI cancer patients enrolled in a biobank and treated with standard dose chemotherapy. RESULTS/ANTICIPATED RESULTS: We anticipate that there will be an increase in PGx test uptake given its shorter turnaround time to facilitate clinical decision-making prior to the first dose of chemotherapy. Through integration of test results in the electronic health record (EHR) and clinical decision support tools for patients with actionable genotypes, we also expect that providers will have a high level of agreement to the recommended dose adjustments. We anticipate a decreased incidence of severe (Grade >3) toxicity among prospectively genotyped patients in the first six months of chemotherapy compared to DPYD and UGT1A1 variant carriers in the historical control group. Exploratory clinical utility data on costs of hospitalizations, chemotherapy treatment, PGx test, and medical services will also be reported. DISCUSSION/SIGNIFICANCE OF FINDINGS: This study aims to address barriers identified by key stakeholders to implementing PGx testing to better tailor chemotherapy dosing to the genetic profiles to patients. This may prevent adverse event-related hospitalizations, improve quality of life for patients, and reduce health system resource utilization costs.

As healthcare providers engage in the politics of reforming and humanizing our immigration and asylum “system” it is critical that they are able to refer their patients whose health is directly impacted by our immigration laws and policies to experts who can help them navigate the system and obtain the healthcare they need.

Utilization of low-input feed resources rich in plant bioactive compounds is a promising strategy for modulating the fatty acid profile in ruminant products. They manipulate microbes involved in rumen biohydrogenation and increase the accumulation of desirable fatty acids at the tissue level. Therefore, the present study was undertaken to assess the effect of dietary supplementation of aniseed straw and eucalyptus leaves on growth performance, carcass traits and fatty acid profile of finisher lambs. Thirty-six Malpura hogget were divided into three treatment groups of 12 each, reared individually in pen (1.6 m × 1.1 m) and fed ad libitum complete feed blocks made up of 55 parts concentrate, 5 parts molasses and 40 parts roughage. Roughage in control (Con) was 20 parts each of ardu (Ailanthus excelsa) leaves and oat (Avena sativa) straw. In test diets, that is, Con-as and Con-el, 10% aniseed (Pimpinella anisum) straw and Eucalyptus rudis leaves, respectively, were added by replacing 5% each of oat straw and eucalyptus leaves. The lambs were weighed weekly; and at the end of 3 months of feeding trial, the lambs were slaughtered to study the carcass traits, composition and product evaluation. Average daily gain (ADG) and DM intake (DMI) was higher (P < 0.05) in Con-as compared to Con and Con-el, while ADG and feed conversion ratio decreased (P < 0.05) by 29.4% and 36.4%, respectively, in Con-el compared to Con. Carcass traits showed lower (P < 0.05) loin eye area and chilling loss in the Con-el group compared to the Con-as and Con, and the total carcass fat compared to Con-as. However, the keeping quality of meat improved in both Con-as and Con-el which was reflected by lower (P < 0.05) thiobarbituric acid-reactive substances values. Nuggets prepared from Con and Con-as meat had superior (P < 0.05) sensory attributes with an overall palatability. Fatty acid profile of longissimus thoracis muscle showed lower (P < 0.05) atherogenic and thrombogenic indices in Con-as and higher (P < 0.05) in Con-el group. Moreover, in Con-as group, the proportion of C16:0 was lower (P < 0.05) and C18:3n-3 was higher (P < 0.05), but no effect was observed on the amount of conjugated linoleic acid (CLA; C18:2 c9t11). In case of adipose tissue, the content of CLA was higher (P < 0.05), and the ratio of n-6:n-3 was more nearer to desirable levels in Con-as group. Therefore, it can be concluded that aniseed straw is a promising feed supplement compared to eucalyptus leaves for improving meat quality and fatty acid profile in lambs.

In this paper, theoretical/simulation study of specific absorption rate (SAR) and/or temperature distributions in a bi-layered bio-media (fat and muscle)/realistic tri-layered bio-media (skin, fat, and muscle layers) in direct contact with water-loaded metal diagonal horn (MDH) designed at 915 MHz are investigated. The effects of fat thickness on the input reflection coefficient, reflection coefficient at the interface between the MDH and the bi-layered bio-media, and the SAR distribution in the bi-layered bio-media are also studied through simulation and theoretically at 915 MHz. Further, the SAR parameters such as penetration depth and effective field size inside the bi-layered bio-media due to the MDH are evaluated theoretically and the theoretical results are compared with the corresponding simulation results. Finally, SAR and temperature distributions in tri-layered bio-media without and with embedded irregular/oval-shaped tumor are provided for demonstrating the hyperthermia performance of the MDH applicator.

The Trapped Vortex Combustor (TVC) is a new design concept in which cavities are designed to trap a vortex flow structure established through the use of driver air jets located along the cavity walls. TVC offers many advantages when compared to conventional swirl-stabilised combustors. In the present work, numerical investigation of cold flow (non-reacting) through the two-cavity trapped vortex combustor is performed. The numerical simulation involves passive flow through the two-cavity TVC to obtain an optimum cavity size to trap stable vortices inside the second cavity and to observe the characteristics of the two cavity TVC. From the flow attributes, it is inferred that vortex stability is achieved by circulation and the vortex is trapped inside when a second afterbody is added.

Dengue fever, a mosquito-borne viral disease, has become a major public health problem with marked expansion in recent decades. Dengue has now become hyperendemic in India with co-circulation of all the four serotypes. Herein, we report an unprecedented outbreak which occurred during August to October 2011 in Odisha, eastern India. This is the first report of a large epidemic in Odisha. Detailed serological and molecular investigation was carried out to identify the aetiology. Almost half of the samples were found to be dengue antigen (NS1) positive. Further molecular assays revealed circulation of mixed dengue serotypes (DENV-2 and DENV-3). Cosmopolitan genotype of DENV-2 and -3 were identified as the aetiology by phylogenetic analysis. Interestingly, a new lineage of DENV-3 within cosmopolitan genotype was incriminated in this outbreak. The emergence of the unprecedented magnitude of the dengue outbreak with the involvement of a novel lineage of DENV in a newer state of India is a major cause for concern. There is an urgent need to monitor phylodynamics of dengue viruses in other endemic areas.

Anomalies of the innominate vein are uncommon in congenital cardiac disease. We report a case of duplicate innominate veins forming a vascular ring encircling the ascending aorta. We postulate that this vascular ring represents the failure of both a dorsal and ventral precardinal anastomosis to regress.

Experiments were carried out to determine the optimum temperatures and photoperiods for inducing diapause in the cabbage root fly, Erioischia brassicae (Bch.). The induction of diapause occurred at certain receptive stages between the first and third instars of larval development. When developing larvae were subjected to 20±1°C and a 16-h photoperiod for 7–14 days followed by 13±0·5°C and a 10-h photoperiod for 28–35 days, diapause was induced in 84–97% of the pupae; 88–99% of pupae entered diapause when developing larvae were subjected to 13±0·5°C and a 10-h photoperiod for 28–42 days followed by 20±1°C and a 16-h photoperiod for 11–18 days. Similar results were obtained when developing larvae were subjected to 13±0·5°C (day)/7±0·5°C (night) and a 6-h photoperiod. The fecundity of flies from the diapausing pupae was not adversely affected. Application of these results should enable cabbage root fly to be cultured economically for intermittent use.