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Malacostracan crustaceans are very diverse today, but their evolutionary history and biodiversity during the Paleozoic remain understudied. One clade within Malacostraca is Belotelsonidea, crustaceans with a shrimp-like body plan only known from the Carboniferous. We describe the fourth species of this group, Lobetelson feldmanni n. sp., from the Pennsylvanian (Kasimovian) of the Kinney Brick Quarry, New Mexico, USA. The holotype is a flattened, relatively complete specimen with an eye preserved. A second, less well-preserved specimen from the same locality might be referable to the new species. This record represents the youngest record of Belotelsonidea, now ranging from the upper Tournaisian to the Kasimovian, equivalent to ca. 40 Myr. Paleobiogeographically, belotelsonids are only known from Scotland and various parts of the USA thus far, located near the equator to ~20° south during the Carboniferous. Whereas most belotelsonids are thought to have lived in a marine environment, some of the oldest specimens from Scotland are interpreted to have inhabited areas with limited to no marine influence.
Penicillin allergies are reported in 10–15% of the US population, but the actual rate is less than 1%. Inappropriate penicillin allergies are associated with adverse patient outcomes, poor antimicrobial stewardship, and increased healthcare costs. Direct oral provocation testing (DOPT) is a safe and cost-effective way to remove false penicillin allergy labels (PAL). However, widespread implementation is currently limited due to inadequate safety data and protocol variations. This systematic review evaluates the safety of single-dose, nongraded DOPT by the nonallergist.
Design:
Systematic review. MEDLINE, Embase, Web of Science, and the Cochrane Central Register of Controlled Trials were searched from inception to May 2025.
Setting:
Inpatient (Intensive care unit (ICU) and general medical ward) and outpatient
Participants:
Adults with self-reported penicillin allergies deemed low risk by a validated scoring system.
Interventions:
DOPT by nonallergists with single-dose oral amoxicillin 250 mg with a 60-minute observation period.
Results:
3 352 studies were identified, 15 were included in the analysis. Of the 1786 patients who completed DOPT, 66 (3.7%) experienced any reaction: 27 (1.5%) immediate rashes, 24 (1.3%) delayed rashes, and 15 (.8%) other reactions. No cases of anaphylaxis, angioedema, or epinephrine use were reported.
Conclusion:
The use of single-dose DOPT in patients deemed low risk, using a validated risk scoring tool, is safe, with low rates of mild reactions and no serious adverse events. A nonallergist can significantly improve penicillin delabeling rates and patient outcomes using this approach.
OBJECTIVES/GOALS: A new mandate for Clinical & Translational Science Award (CTSA) Programs is for pilot grant funding to support clinical and translational science (CTS) projects that study challenges in the translational research pipeline. This pivot requires new structures and supports to help investigators design and implement high-quality CTS projects. METHODS/STUDY POPULATION: The Michigan Institute for Clinical & Health Research (MICHR) at the University of Michigan (U-M) has launched two rounds of pilot funding since March 2023. Faculty and staff across U-M’s three campuses, community members, and those at collaborating institutions and hospitals were eligible to apply. New pre-award supports included a CTS project framework; a recorded webinar that educated about CTS and the funding opportunity; office hours to provide tailored project feedback; a letter of intent to screen for alignment with CTS; and reviewer training for academic and community reviewers. Funded projects operate like 'mini cooperative agreements”, with MICHR experts partnering with awardees to refine evaluation plans, prepare work products, advise on dissemination, and navigate emergent challenges. RESULTS/ANTICIPATED RESULTS: The first round of funding was launched in the absence of pre-award supports; ten applications we received from faculty proposing translational research rather than CTS. We quickly re-released the FOA, expanding eligibility to staff. We received nine applications, ultimately funding four staff and one faculty studying operational challenges in translation and helping them create robust evaluation plans. We piloted the pre-award supports in our second round, with 40 individuals viewing our webinar and 11 attending office hours. Those who watched the webinar before attending office hours better understood how to embed CTS questions within their programs of research. We recently received 19 letters of intent, addressing both operational and scientific challenges, with 16 eligible to submit applications. DISCUSSION/SIGNIFICANCE: Education and personalized feedback seem to elicit a higher yield of CTS projects. Staff are already adept at solving operational challenges, so the pre-award supports were most critical for faculty accustomed to writing traditional translational research proposals. Staff have most benefited from guidance in evaluation and dissemination.
OBJECTIVES/GOALS: There is broad recognition that interdisciplinary research teams are uniquely suited to address complex research questions. At the Michigan Institute for Clinical & Health Research, we recognized a significant gap in support services at the University of Michigan for coordinating interdisciplinary teams to advance translational research. METHODS/STUDY POPULATION: The initial team science challenge we tackled was how to bring together cross-disciplinary groups, for the first time, to engage meaningfully and collaboratively with a ‘wicked’ problem of interest and create a shared vision. To address this, we developed Ideation Jams, which are facilitated experiences that help new groups build community, identify and prioritize research opportunities, determine how individual interests and other potential partners align with opportunities, and commit to next steps that will advance collaborative efforts. Ideation Jams leverage the methods and mindsets of design thinking, including divergence and convergence; making information visual; amplifying diversity; horizontal distribution of responsibility; and bias towards action. RESULTS/ANTICIPATED RESULTS: We have facilitated 11 Ideation Jams with 255 participants, including faculty, staff, health practitioners, and community members, who brought diverse expertise and insight to the research problems. Participant feedback has been overwhelmingly positive, with Ideation Jams fostering shared vision and innovation, and positively impacting various measures related to team performance. Participants have reported that Ideation Jams catalyzed various outcomes, including submission and award of grants, the introduction of new and specialized clinical offerings, and development of an interdisciplinary research agenda for their field of interest. Most recently, we trained representatives from five Clinical & Translational Science Award hubs to implement Ideation Jams at their universities. DISCUSSION/SIGNIFICANCE: Ideation Jams are ideal for mobilizing new groups around complex research problems, moving them from blue-sky thinking to action planning in three hours. Ideation Jams will be integrated into a suite of facilitated experiences, trainings, and grant development services to provide iterative support as teams advance their research priorities.
The U.S. Department of Agriculture–Agricultural Research Service (USDA-ARS) has been a leader in weed science research covering topics ranging from the development and use of integrated weed management (IWM) tactics to basic mechanistic studies, including biotic resistance of desirable plant communities and herbicide resistance. ARS weed scientists have worked in agricultural and natural ecosystems, including agronomic and horticultural crops, pastures, forests, wild lands, aquatic habitats, wetlands, and riparian areas. Through strong partnerships with academia, state agencies, private industry, and numerous federal programs, ARS weed scientists have made contributions to discoveries in the newest fields of robotics and genetics, as well as the traditional and fundamental subjects of weed–crop competition and physiology and integration of weed control tactics and practices. Weed science at ARS is often overshadowed by other research topics; thus, few are aware of the long history of ARS weed science and its important contributions. This review is the result of a symposium held at the Weed Science Society of America’s 62nd Annual Meeting in 2022 that included 10 separate presentations in a virtual Weed Science Webinar Series. The overarching themes of management tactics (IWM, biological control, and automation), basic mechanisms (competition, invasive plant genetics, and herbicide resistance), and ecosystem impacts (invasive plant spread, climate change, conservation, and restoration) represent core ARS weed science research that is dynamic and efficacious and has been a significant component of the agency’s national and international efforts. This review highlights current studies and future directions that exemplify the science and collaborative relationships both within and outside ARS. Given the constraints of weeds and invasive plants on all aspects of food, feed, and fiber systems, there is an acknowledged need to face new challenges, including agriculture and natural resources sustainability, economic resilience and reliability, and societal health and well-being.
The persistent popularity of the detective narrative, new obsessions with psychological and supernatural disturbances, as well as the resurgence of older narratives of mystery or the Gothic all constitute a vast proportion of contemporary film and television productions. New ways of watching film and television have also seen a reinvigoration of this 'most domestic of media'. But what does this 'domesticity' of genre and media look like 'Down Under' in the twenty first century? This collection traces representations of the Gothic on both the small and large screens in Australia and New Zealand in the twenty first century. It attends to the development and mutation of the Gothic in these post or neocolonial contexts, concentrating on the generic innovations of this temporal and geographical focus.
How do Antipodean films and television programmes represent their own sense of the Gothic? What does the contemporary Gothic look like on the large and small screen in productions from Australia and New Zealand? New ways of watching film and television via popular streaming services have seen a reinvigoration of this ‘most domestic of media’. What does this look like ‘Down Under’ in the twenty-first century? This introduction to the collection traces representations of the Gothic in film and television in Australia and New Zealand in the twenty-first century. It attends to the development and mutation of the Gothic in these post- or neo-colonial contexts, concentrating on the generic innovations of this temporal and geographical focus.
Keywords: contemporary Gothic; Australia; New Zealand; screen studies
The popular Netflix series Stranger Things (2016–) partly derives its terror from its construction of a parallel universe termed the ‘Upside Down’. This alternate dimension is a site of chaos, destruction, and invasion, a space constructed in opposition to the civilization and familiarity of the small North American town inhabited by the series’ teenaged protagonists. A similar concept appears in the second season of the American series Channel Zero (2016–2018) in which an uncanny alternate universe is accessed via the ‘No-End House’; in this subverted world, people and things look the same as they do in the ‘real world’, but behave, horrifically, very differently. We borrow the term ‘Upside Down’ because the Otherness it evokes mimics the construction of Australasia as the ‘Antipodes’, a space not only geographically opposite to the northern hemisphere but, in the lingering relics of colonial discourse, culturally and philosophically opposite too. In Australia and New Zealand, such an orientalist or carnivalesque construction supposes, everything is ‘upside down’, topsy-turvy, out of place. As the travel writer Jan Morris famously wrote of the Land Down Under, ‘the water goes down the plug-hole the other way in Australia, and it really is possible to imagine, if you are a fancifully minded visitor from the other hemisphere, that this metropolis is clinging upside-down to the bottom of the earth’ (470).
Sleep disturbance has a rich textual history, one that predates the Australian Gothic. However, in the Antipodean context, episodes of deranged and disordered sleep – from daymares and nightdreams to somnambulistic trances – cannot be read as simple restagings of early gothic concerns such as demonic activity or possession. Rather, sleep disturbance in the Australian Gothic brings to light more ordinary horror: the horror of embodied automaticity, the horror of blind complacency, and the horror of discovering the mechanical processes that hide behind the self. The televisual texts examined in this chapter can be linked thematically as a way of working through this horror, a necessity that demands female vigilance but which often culminates problematically in monstrous behaviour or monstrous transformation.
Keywords: Australian Gothic; gothic television; sleepwalking; nocturnal wandering; The Cry; white vanishing
Since the global outbreak of COVID-19 – ‘the most crucial health calamity of the century and the greatest challenge that humankind has faced since the Second World War’ (Chakraborty and Maity 1) – a number of sleep neurologists have reported an increase in sleep disorders associated with the pandemic. From insomnia and hypersomnia to recurrent nightmares and abnormal dreams, this surge in sleep disturbance has been coined ‘COVIDsomnia’ (Geffern qtd. in Goldfarb), a new epidemic of sleep pathologies that, according to one study, ‘could be short-lived […] abating once the pandemic subsides, or it could become, in some cases, a chronic condition’ (Taylor et al. 713). Initially linked to a fear of infection, including a fear of infecting others, reported declines in sleep quality have been reconceptualized through the development of multi-factorial measures of pandemic-related distress. For example, a recent study of COVID Stress Syndrome identified five correlated facets of the syndrome's severity: (1) fear of the danger of COVID-19, including a fear of coming into contact with contaminated objects and surfaces; (2) concern about socioeconomic impacts, such as stress on finances; (3) xenophobic fears that foreigners are spreading the virus; (4) traumatic stress symptoms associated with direct or vicarious exposure to the virus, such as nightmares and intrusive thoughts or images; and (5) compulsive news checking and reassurance seeking from family and friends (Taylor et al. 707).
This study aims to look at the trends in our head and neck cancer patient population over the past 5 years with an emphasis on the past 2 years to evaluate how the coronavirus disease 2019 (COVID-19) pandemic has impacted our disparities and availability of care for patients, especially those living in rural areas. An additional aim is to identify existing disparities at our institution in the treatment of head and neck patients and determine solutions to improve patient care.
Materials and Methods:
A retrospective chart review was performed to identify patients who were consulted and subsequently treated with at least one fraction of radiation therapy at our institution with palliative or curative intent. Patient demographic information was collected including hometown, distance from the cancer centre based on zip-codes and insurance information and type of appointment (in-person or telehealth). Rural–urban continuum codes were used to determine rurality.
Results:
A total of 490 head and neck cancer patients (n = 490) were treated from 2017 to 2021. When broken down by year, there were no significant trends in patient population regarding travel distance or rurality. Roughly 20–30% of our patients live in rural areas and about 30% have a commute > 50 miles for radiation treatment. A majority of our patients rely on public insurance (68%) with a small percentage of those uninsured (4%). Telehealth visits were rare prior to 2019 and rose to 5 and 2 visits in 2020 and 2021, respectively.
Conclusions:
Head and neck cancer patients, despite rurality or distance from a cancer centre, may present with alarmingly enough symptoms despite limitations and difficulties with seeking medical attention even during the COVID-19 pandemic in 2020. However, providers must be aware of these potential disparities that exist in the rural population and seek to address these.
Funding agencies are increasingly seeking team-based approaches to tackling complex research questions, but there is a need to mobilize translational teams and create shared visions and strategic action plans long before specific funding opportunities are considered or even released. This is particularly evident for teams who want to pursue large-scale grants, where cross-disciplinary synergy is often required. In response, we created Research Jams, which are engaging yet structured brainstorming sessions that bring together groups for the first time to collectively generate novel research ideas, critically map the future of initiatives, prioritize opportunities and next steps, and build community. Research Jams leveraged various aspects of design thinking, including divergence and convergence, visual thinking, and amplifying diversity. We piloted seven Research Jams for a collective 129 researchers, staff, and partners across 50 University of Michigan units and external organizations. Feedback was overwhelmingly positive, with the vast majority of survey respondents indicating that the sessions were helpful for surfacing shared ideas or visions and that opportunities emerged they would like to pursue. Research Jams were ideal for cross-disciplinary groups who wanted to collaboratively ideate and strategize around complex problems in translational research. Importantly, these models have the potential for implementation with groups in any disciplinary domain who want to spur collaborations to address challenging problems. Our ultimate goal is for Research Jams to be the first intervention within a comprehensive support pathway that extends from early brainstorming all the way to grant submission.
Vaginal cancer is a rare malignancy that poses a challenge to treat and cure, as surgical excision requires life-changing procedures because of the proximity and involvement of rectum, bladder and anus. We report in this case study the successful delivery of stereotactic ablative radiotherapy (SABR) for a patient with vaginal cancer after previous radiotherapy.
Methods:
A 71-year-old white female who presented with dyspareunia and irritative urinary symptoms proven by biopsy was our candidate patient. Subsequent PET/CT revealed a hypermetabolic 3 cm lesion at the 12–1 o’clock position in the distal vagina involving the clitoris. The patient was initially treated with volumetric-modulated arc therapy (VMAT) with simultaneous integrated boost technique to the involved nodes, and later upon recurrence treated with SABR using 30 Gy in six fractions.
Findings:
To our knowledge, this is the first report of a vaginal cylinder used to physically distance organs at risk from the treatment target and also as a localising device with image guidance for the delivery of SABR using an external beam.
Inflammatory bowel disease (IBD) [i.e., Crohn’s disease (CD) and ulcerative colitis (UC)] has been considered a relative contraindication for radiation therapy (RT) to the abdomen or pelvis, potentially preventing patients with a diagnosis of IBD from receiving definitive therapy for their malignancy.
Method:
Using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) conventions, a PubMed/MEDLINE literature search was conducted using the keywords RT, brachytherapy, inflammatory bowel disease, Crohn’s disease, ulcerative colitis and toxicity.
Results:
A total of 1,206 publications were screened with an addition of 8 studies identified through hand searching. Nineteen studies met the inclusion criteria for quantitative analysis. The total population across all studies was 497 patients, 50·5% having UC, 37% having CD and an additional 12·5% having unspecified IBD. Primary gastrointestinal malignancy (55%) followed by prostate cancer (40%) composed the bulk of the population. Acute and late grade 3 or greater gastrointestinal specific toxicity ranged from 0–23% to 0–13% respectively for those patients with IBD treated with RT to the abdomen or pelvis. In the literature reviewed, RT does not appear to increase fistula or stricture formation or IBD flares; however, one study did note RT to be a statistically significant risk factor for subsequent IBD flare on multivariate analysis.
Conclusions:
A review of reported acute and late toxicities suggests that patients with IBD should still be considered for definitive radiotherapy. Patient characteristics including IBD distribution relative to the irradiated field, inflammatory activity at the time of radiation, overall disease severity and disease phenotype in the case of CD (fistulising versus stricturing versus inflammatory only) should be considered on an individual basis when evaluating potential patients. When possible, advanced techniques with strict organ at risk dose constraints should be employed to limit toxicity in this patient population.
To evaluate the Child and Adult Care Food Program (CACFP) rule that allows a meat/meat alternative to replace the breakfast grain requirement three times per week.
Design:
A 5-week menu including breakfast, lunch and snack was developed with meat/meat alternative replacing the breakfast grain requirement three times per week. Menu nutrients based on the minimum requirements were compared with reference values representing the Acceptable Macronutrient Distribution Range for fat and a range of reference values representing two-thirds the Dietary Reference Intake for 3-year-olds and 4–5-year-olds. The meal pattern minimum requirements were compared with two-thirds of those recommended by the Dietary Guidelines for Americans (DGA).
Setting:
Evaluation took place between April and June 2019.
Participants:
Human subjects were not utilized.
Results:
The CACFP minimum grain requirement is well below the DGA reference value (0·5–1·5 v. 3·33 ounce-equivalents). Energy (2208·52 kJ) was below the reference values (3126·83–4362·53 kJ). Protein (34·43 g) was above the reference values (9·87–10·81 g). Carbohydrate (76·65 g), fibre (7·46 g) and vitamin E (1·69 mg) were below their reference values of 86·67 g, 10·46–14·60 g and 4–4·76 mg, respectively. Fat (22·57 %) was below the reference range (25–40 %).
Conclusions:
The CACFP rule which allows a meat/meat alternative to replace the breakfast grain requirement three times per week may result in meal patterns low in energy, carbohydrate, fat, fibre and vitamin E, while providing an excessive amount of protein.
Moist Rayleigh–Bénard convection with water saturated boundaries is explored using a One-Dimensional Turbulence model. The system involves both temperature $T$ and water vapour pressure $e_{v}$ as driving scalars. The emphasis of the work is on a supersaturation $s$, a nonlinear combination of $T$ and $e_{v}$ that is crucial to cloud formation. Its mean as well as fluctuation statistics determine cloud droplet growth and therefore precipitation formation and cloud optical properties. To explore the role of relative scalar diffusivities for temperature ($D_{t}$) and water vapour ($D_{v}$), three different regimes are considered: $D_{v}>D_{t}$, $D_{v}\approx D_{t}$ and $D_{v}<D_{t}$. Scalar fluxes (Nusselt number, $Nu$ and Sherwood number, $Sh$) and their scalings with moist Rayleigh number $Ra_{moist}$ are consistent with previous studies of one-component convection. Moreover, variances of the scalars in the bulk region increase with their diffusivities and also reasonably follow derived scaling expressions. Eulerian properties plotted in $(T,e_{v})$ coordinates have a different slope compared to an idealized mixing process. Additionally, the scalars are highly correlated, even in the cases of high relative diffusivities (factor of four) $D_{v}$ and $D_{t}$. Based on the above fact and the scaling relation of the scalars, the supersaturation variance is found to vary approximately as $Ra_{moist}^{5/3}$, in agreement with numerical results. Finally, the supersaturation profile in the boundary layer is explored and compares well with scalar boundary layer models. A sharp peak appears in the boundary-layer-supersaturation profile, not only in the variance but also in the mean profile, due to relative diffusivities of the scalars.