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We describe the latest iteration of upgrades (designated Phase III) to the Murchison Widefield Array (MWA), in the fourth paper in a series that covers the evolution of the telescope from design concept to initial operational facility, and through two major upgrades. As part of the Phase III upgrade of the MWA, we report the completion of work to design, build, and deploy a new fleet of digital receivers that further optimise the MWA for Epoch of Reionisation observations. These receivers complement existing receivers, such that the MWA now supports the full correlation of all 256 antenna tiles currently in the array. This step releases the MWA from the prior constraint of having to correlate only 128 of the 256 tiles at any given time, which means that the maximum instantaneous sensitivity of the MWA is doubled and the maximum number of interferometric baselines is approximately quadrupled. The upgrade is fundamentally enabled by the new MWAX correlator and various other improvements to the MWA sub-systems. In this paper we describe the new digital receivers and the other improvements that result in the Phase III system. A range of operational benefits arise from the upgrade and scientific flexibility is increased. We also comment on the transition from the MWA to the SKA-Low facility near the end of the decade, including a description of some unique science opportunities utilising joint MWA/SKA-Low data during the Science Verification phase of the SKA-Low Array Assembly 2 (AA2) period.
Diets low in diverse fibre-rich plant foods contribute to the rise of chronic disease. The BIOME study (NCT06231706; 6-week parallel randomised controlled trial) in 399 adults (35–65 years; BMI 18·5–40 kg/m2; fibre intake < 20 g/d) investigated a whole-food plant blend containing > 30 ingredients, rich in (poly)phenols, fibre and micronutrients. Participants were randomised (1:1:1) to the blend (30 g/d), an isoenergetic control (bread croutons, 28 g/d) or probiotic (Lactobacillus rhamnosus, 15bn CFU/d). Analysts were blinded to allocation. The primary outcome was change in ‘favourable’ and ‘unfavourable’ gut microbiome species (ZOE Microbiome Health Ranking 2025); secondary outcomes included blood metabolites, symptoms, stool output, anthropometry, hunger, sleep, energy and mood. A crossover sub-study explored postprandial glucose, hunger and mood. Of 349 participants analysed (fifty excluded), self-reported adherence was > 98 %. The 30+ plant blend resulted in more species changing relative abundance at 6 weeks v. control (57 v. 14 species-level genome bins (SGB), P < 0·001) and probiotic (57 v. 4 SGB, P < 0·001). There were no significant between-group differences in microbiome health ranks of significantly changing species (increasing or decreasing). Blend participants self-reported reduced indigestion, constipation, heartburn and flatulence and increased energy v. control (all P < 0·05). Six related but no serious adverse events occurred. In the sub-study, adding the blend to a high-carbohydrate meal (v. meal alone) reduced hunger, increased fullness and energy (3-h incremental AUC, all P < 0·05), with no effect on postprandial glucose. This 30+ plant blend represents a simple strategy to modify gut microbiome composition and benefit gastrointestinal symptoms in healthy adults.
Community structure in networks naturally arises in various applications. But while the topic has received significant attention for static networks, the literature on community structure in temporally evolving networks is more scarce. In particular, there are currently no statistical methods available to test for the presence of community structure in a sequence of networks evolving over time. In this work, we propose a simple yet powerful test using e-values, an alternative to p-values that is more flexible in certain ways. Specifically, an e-value framework retains valid testing properties even after combining dependent information, a relevant feature in the context of testing temporal networks. We apply the proposed test to synthetic and real-world networks, demonstrating various features inherited from the e-value formulation and exposing some of the inherent difficulties of testing on temporal networks.
Diets high in ultra-processed foods (UPFs) are associated with adverse health(1,2). In the UK and US, UPFs account for almost 60% of total energy intake(3). The NOVA system(4) classifies foods based on extent of processing but does not capture features that may underlie health associations. Proposed mechanisms include certain additives(5), unnaturally high sensory appeal or ‘hyper-palatability’(6), and food matrix disruption that increases the rate of energy intake (EIR)(7). There is an urgent need for a practical tool that characterises processing features relevant to health; to guide consumers in making healthier food choices. The aim of this study was to develop the novel ZOE Processed Food (ZPF) Risk Scale, based on processing features relevant to health, and to examine its associations with cardiometabolic outcomes.
Processing features included in the ZPF scale were additives and non-culinary ingredients (number and grading); hyper-palatability (true/false); and EIR (high ≥72kcal/min; low <72kcal/min)(8). Processed foods (whole foods excluded) were categorised into four classes, from ZPF1 (best) to ZPF4 (worst). Cross-sectional data from 550 US participants in the ZOE PREDICT 2 study (NCT03983733), were used to explore associations between mean daily energy intake (%EI) from ZPF1–4 and NOVA UPF categories (weighed food diaries) and anthropometry and blood biomarkers, using multivariable linear regression adjusted for age, sex, education, ethnicity, total energy intake, and diet quality (Healthy Eating Index), with false discovery rate correction (q<0.05).
Participants (74% female, mean±SD age 43.4±11.6y; BMI 25.8±5.2kg/m2) consumed 23.1%, 17.4%, 23.5%, and 17.5% of energy from ZPF1–4 respectively, compared with 38.4% from UPFs (NOVA). The proportion of unique logged foods (n=13,847) classified as UPF was 11.0%, 38.9%, 63.4%, and 72.5%, from ZPF1–4 respectively. Processed foods within food groups were distributed across ZPF classes (e.g. breakfast cereals (n=186); ZPF1-4, 18.8%, 45.2%, 19.9% and 16.1% respectively) compared to NOVA (UPF=78.5%). Higher %EI from ZPF4 was significantly associated with higher BMI (β=0.07kg/m2, q<0.001), weight (β=0.17kg, q=0.005), and glycA (inflammatory marker) (β=0.001μmol/L, q=0.003), whereas higher %EI from ZPF1 predicted lower BMI (β= −0.07kg/m2, q=0.001), weight (β= −0.14kg, q=0.022), and glycA (β= −0.002μmol/L, q=0.001).
The ZOE Processed Food Risk Scale captures specific processing features driving associations with health, providing a more precise and less stigmatising classification than NOVA. By distinguishing harmful from benign or potentially beneficial processed foods, the ZPF scale provides an evidence-based tool to inform consumer education, public health policy, and nutrition research.
Objectives/Goals: This study sought to gather older adult feedback on UCHealth’s artificial intelligence (AI) based chatbot, Livi, to ensure it is accessible and easy to navigate for end users to access fall prevention resources near their homes after an emergency department (ED) visit. Methods/Study Population: UCHealth’s electronic health record and ED operations team implemented an automated process to provide high fall-risk patients access to Livi via a QR code in their after-visit summary. Patients can then access evidence-based free or low-cost fall prevention resources based on their location. TO gather older adult feedback, rapid iterative testing was conducted at 3 community events (a religious center, assisted living facility, and academic medical campus). Research team members introduced Livi using an iPad and invited participants to explore the tool. End user feedback was gathered through notes taken on one-on-one guided conversation emphasizing first impressions and suggestions regarding Livi. Results/Anticipated Results: Suggestions from 93 community members included increasing font size and the addition of languages. Further resource suggestions included the following: increased locations, home modifications, and self-fall risk assessment. Based on these recommendations, our team increased font size, implemented the ability to switch from English to Spanish, added additional resources for other Colorado regions, added the ability to self-screen for fall risk using the National Council on Aging’s 13-question Screener, and fall prevention tips. Discussion/Significance of Impact: Many older adults do not follow up with primary care after a fall, increasing risk for subsequent falls. While Livi offers a pragmatic solution to this, ensuring end users can navigate it is key, so gathering feedback was a critical step before assessing Livi’s impact via randomized trial.
Objectives/Goals: This study evaluated whether the Geriatric Acute and Post-acute Fall Prevention (GAPcare) intervention reduced fall-related emergency department (ED) visits and hospitalizations within 12 months of the index visit at three EDs and described adherence to pharmacy and physical therapy (PT) recommendations. Methods/Study Population: We enrolled ED patients aged ≥65 years presenting within 7 days of an accidental fall (excluding syncope, assault, or vehicle strike), who were community-dwelling, expected to be discharged, and without fractures preventing PT. We used the six-item screener for cognitive screening. Patients scoring ≤4 assented with proxy consent. Participants were randomized 1:1 to usual care or GAPcare intervention (ED-initiated pharmacy and PT consults). The primary outcome was fall-related ED visits within 12 months. Outcome assessors were blinded. Analyses followed intention-to-treat and adjusted for age, sex, prior falls, comorbidity index, activities of daily living, injury status, site, index ED visit, hospitalization, and assistive device use using negative binomial regression. Results/Anticipated Results: Among 196 patients, 100 received usual care and 96 received the GAPcare intervention. Median age was 78 (IQR 72–84), 68.4% were female, and 83.1% were white. Fall-related ED visits occurred in 30% of both groups (adjusted IRR 0.90, 95% CI 0.53–1.53). Fall-related hospitalizations were significantly lower in the intervention group (11% vs 21%; adjusted IRR 0.45, 95% CI 0.20–0.96), Adherence to pharmacy recommendations was 81%, and PT recommendations was 65%, with frequent medication optimization and assistive device use. Discussion/Significance of Impact: While GAPcare did not reduce fall-related ED visits, it significantly lowered fall-related hospitalizations and showed high adherence to fall prevention recommendations. These findings highlight GAPcare’s feasibility and potential to address fall risk during a critical window.
Restrictive interventions are used in the treatment of some people with severe mental disorders such as psychosis – including psychiatric intensive care unit (PICU) admission, seclusion and restraint. Early Intervention in Psychosis (EIP) service input may improve outcomes in psychosis, but it is unclear whether specific components of EIP care reduce the need for restrictive practice.
Aims
To examine associations between EIP care components, demographic characteristics and restrictive interventions.
Method
We conducted a retrospective cohort study of 14 874 people who used EIP services in England, using linked data from the National Clinical Audit of Psychosis and the Mental Health Services Data Set. We examined associations between EIP components and time to PICU admission (primary outcome) alongside seclusion/physical restraint/injected chemical restraint/requests for police assistance (secondary outcomes), using multilevel Cox regression, adjusting for demographic factors and clustering by service.
Results
Higher hazards of restrictive interventions were observed among men, younger people and several minority ethnic groups. Individuals eligible for clozapine who were not offered it (hazard ratio 1.51, 95% CI 1.20–1.91) or refused it (hazard ratio 1.46, 95% CI 1.02–2.10) had higher hazards of PICU admission than those not eligible, whereas those who were eligible for clozapine and received it did not. There was weaker evidence of similar effects on hazards of physical restraint and seclusion. Receipt of CBT for psychosis was associated with reduced hazards of PICU admission (hazard ratio 0.80, 95% CI 0.67–0.95) and physical restraint (hazard ratio 0.68, 95% CI 0.47–0.98). Substance use was associated with increased hazards of PICU admission and requests for police assistance, although substance use interventions appeared to partially mitigate this.
Conclusions
Marked demographic disparities exist in the use of restrictive practice. Specific EIP care components may be associated with reductions. Strengthening evidence-based EIP provision and addressing structural inequalities may support progress towards less coercive and more equitable care.
In 250 men (21·4 (sd 2·9) years; BMI 24·2 (sd 3·0) kg·m–2) commencing arduous military training during winter, we investigated the effect of 12 weeks of vitamin D supplementation on lower body (pelvic girdle, sacrum, coccyx and lower limb) overuse musculoskeletal injury risk in a randomised, placebo-controlled trial. Participants received either simulated sunlight (1·3 × standard erythemal dose in T-shirt and shorts, three times per week for 4 weeks and then once per week for 8 weeks), oral vitamin D3 (1000 IU · d–1 for 4 weeks and then 400 IU · d–1 for 8 weeks) or placebo for each intervention. Serum vitamin D metabolites and bone metabolism biomarkers were measured at baseline, week 5 and week 12. At baseline, 29 % of participants were vitamin D sufficient (25-hydroxyvitamin D ≥ 50 nmol·L–1). Vitamin D supplementation achieved vitamin D sufficiency in 95 % of participants after 4 weeks. During 6 months of training and subsequent 3 years of military service, 100 lower body overuse musculoskeletal injuries were diagnosed by clinicians. Frailty models indicated no difference in injury risk between vitamin D and placebo during military training (HRplacebo:vitamin D = 1·23 (95 % CI 0·57, 2·66), P = 0·597) or military service (HRplacebo:vitamin D = 0·94 (95 % CI 0·60, 1·46), P = 0·782). Both safe simulated sunlight and oral vitamin D3 were effective in achieving and maintaining vitamin D sufficiency in almost all. There was no clear evidence that vitamin D affects the risk of lower body overuse musculoskeletal injury during 6 months of military training or subsequent 3 years of military service.
This study investigated changes in serum folate and B12, and associations with endurance performance and bone outcomes, in women during military training. Women (n 137) had serum folate and B12, haematological markers and endurance performance (2·4 km run) measured at the start (week 1) and end (week 13) of British Army basic training. Whole-body areal bone mineral density and markers of bone metabolism were measured at week 1. Training decreased serum folate (mean change (95 % CI), −2·3 (−3·0, −1·6) nmol ∙ l−1, P < 0·001), B12 (−16 (−32, 0) pmol ∙ l−1, P = 0·042), Hb (−0·7 (−0·9, −0·5) g ∙ dl−1, P < 0·001) and erythrocyte count (−0·2 (−0·3, −0·2) × 10^9 ∙ l−1, P < 0·001), but had no effect on mean corpuscular volume (P = 0·438) or erythrocyte distribution width (P = 0·088). There was no association between serum folate, serum B12, Hb or erythrocyte count with run time (P ≥ 0·518). Serum B12 was not associated with areal bone mineral density or bone metabolism at week 1 (P ≥ 0·152). Higher serum folate was associated with lower plasma c-telopeptide cross-links of type I collagen (standardised β (95 % CI) = −0·31 (−0·48, −0·15), P < 0·001), but not whole-body bone mineral density or plasma procollagen type I N-terminal propeptide (P ≥ 0·152). Serum folate and B12 decreased after military training in women, resulting in a high prevalence of folate deficiencies at the end of training. Low serum folate may contribute to increased bone resorption, the implications of which are unclear.
Linda Komaroff, long-time curator of the Art of the Middle East at the Los Angeles County Museum of Art (LACMA), has pioneered in the study and exhibition of Islamic art to include contemporary works. Her interests have long focused on the arts of Iran. With this volume her friends and colleagues celebrate her broad scope with essays exploring many new areas. These thirteen essays examine different media, including architecture, manuscripts, portable arts and textiles, as well as the contemporary arts of painting, photography, printmaking and video, from the early Islamic period to the present. In addition to traditional approaches to art-historical scholarship, such as textual analysis, connoisseurship, design, technical and material analysis, and archaeology, the contributors take on such newer themes as gift giving, the diaspora of Iranian art, political art, the relationship of the present to the past or vice versa, and the connections between Iranian art and the arts of the West. Some essays also deal with music and dance.
Antarctic ice-free coastal environments, like the Vestfold Hills (East Antarctica), are shaped by a complex interplay of physical processes. This study synthesizes new data and existing research from the Vestfold Hills across marine, terrestrial and cryosphere science, meteorology, geomorphology, coastal oceanography and hydrology to explore interconnected processes ranging from icescape morphology and sediment transport to ocean-floor scouring and ocean-atmosphere interactions. Coastal landforms and habitats result from the interaction of marine dynamics with the aeolian and fluvial transport of glacially derived sediments and geomorphic features. Rocky shorelines dominate the region, and extensive fjords are prominent coastal features, whereas intertidal sediments and beaches are scarce. The marine environment is characterized by slow currents, low-energy waves, annually variable land-fast ice, irregular sedimentation rates and a geomorphologically complex shoreline. Aeolian and fluvial sediment deposition into coastal waters and onto sea ice can significantly impact local ecological and physical processes. Human activity further modifies these dynamics. Ice-free coastal areas such as the Vestfold Hills are predicted to experience substantial environmental shifts due to climate change. Wind speeds, temperature and precipitation are increasing in the Vestfold Hills. Retreating grounded ice sheets are likely to expand this coastal area and increase meltwater and sediment inputs into nearshore marine systems. Concurrently, changes in sea-ice extent, thickness and/or duration may profoundly alter the structure and function of this coastal environment.
Collaboration across the Clinical and Translational Science Award (CTSA) consortium is essential for advancing translational science, yet institutional silos often hinder data-sharing and benchmarking efforts. This study examines the viability of a voluntary, multi-hub analysis of the CTSA education common metric on trainee and scholar engagement across five New York City-based sites or “hubs.” Using a structured framework for collaboration and field-tested operational guidelines, a team of evaluators dubbed “The Gotham Group” pooled de-identified common education data to assess post-training research engagement and demographic representation. Their primary objective was to establish a sustainable model for independent data-sharing without national mandates or technical support. A secondary goal was to reassess the metric’s usefulness as an impact benchmark. Results showed that NYC education engagement percentages remained stable despite institutional differences, suggesting the metric’s viability for regional comparison. More importantly, the collaboration itself proved as valuable as its outcomes, fostering professional relationships, facilitating knowledge exchange, and strengthening evaluation capacity within and across the hubs. This study highlights the potential of voluntary data-sharing partnerships to overcome data silos and to create valuable networks driving continuous improvement in translational science.
Paleontology provides insights into the history of the planet, from the origins of life billions of years ago to the biotic changes of the Recent. The scope of paleontological research is as vast as it is varied, and the field is constantly evolving. In an effort to identify “Big Questions” in paleontology, experts from around the world came together to build a list of priority questions the field can address in the years ahead. The 89 questions presented herein (grouped within 11 themes) represent contributions from nearly 200 international scientists. These questions touch on common themes including biodiversity drivers and patterns, integrating data types across spatiotemporal scales, applying paleontological data to contemporary biodiversity and climate issues, and effectively utilizing innovative methods and technology for new paleontological insights. In addition to these theoretical questions, discussions touch upon structural concerns within the field, advocating for an increased valuation of specimen-based research, protection of natural heritage sites, and the importance of collections infrastructure, along with a stronger emphasis on human diversity, equity, and inclusion. These questions offer a starting point—an initial nucleus of consensus that paleontologists can expand on—for engaging in discussions, securing funding, advocating for museums, and fostering continued growth in shared research directions.
This chapter provides an overview of minimally invasive approaches in neurosurgery. It explores the history of minimally invasive techniques and their current state and discusses the authors’ beliefs regarding future advancements. We highlight the transformative impact of minimally invasive approaches, including improved patient outcomes, quality of life, and reduced morbidity.
We compare different forms of communication in the context of cheap talk sender-receiver games. While previous experiments find evidence supporting the comparative statics prediction that more preference divergence leads to less information transmission, there is also a consistent pattern of overcommunication and exaggeration, not predicted by theory, in which subjects convey more information than predicted in equilibrium. The latter of these findings may be due to the restricted nature of the message space in most experimental cheap talk games, encouraging subjects to engage in exaggeration artificially, rather than allowing it to emerge naturally. We tested this hypothesis with an incentivized lab experiment, and found evidence both phenomena persist with natural language (text-based) communication. Moreover, we probe the consequences of this expanded message space for outcomes, showing that senders benefit more than receivers, but that the most notable effect is that text messages improve efficiency.
Forecasting of armed conflicts is a critical area of research with the potential to save lives and mitigate suffering. While existing forecasting models offer valuable point predictions, they often lack individual-level uncertainty estimates, limiting their usefulness for decision-making. Several approaches exist to estimate uncertainty, such as parametric and Bayesian prediction intervals, bootstrapping, quantile regression, but these methods often rely on restrictive assumptions, struggle to provide well-calibrated intervals across the full range of outcomes, or are computationally intensive. Conformal prediction offers a model-agnostic alternative that guarantees a user-specified level of coverage but typically provides only marginal coverage, potentially resulting in non-uniform coverage across different regions of the outcome space. In this article, we introduce a novel extension called bin-conditional conformal prediction (BCCP), which enhances standard conformal prediction (SCP) by ensuring consistent coverage rates across user-defined subsets (bins) of the outcome variable. We apply BCCP to simulated data as well as the forecasting of fatalities from armed conflicts, and demonstrate that it provides well-calibrated uncertainty estimates across various ranges of the outcome. Compared to SCP, BCCP offers improved local coverage, though this comes at the cost of slightly wider prediction intervals.
Patients with posttraumatic stress disorder (PTSD) exhibit smaller regional brain volumes in commonly reported regions including the amygdala and hippocampus, regions associated with fear and memory processing. In the current study, we have conducted a voxel-based morphometry (VBM) meta-analysis using whole-brain statistical maps with neuroimaging data from the ENIGMA-PGC PTSD working group.
Methods
T1-weighted structural neuroimaging scans from 36 cohorts (PTSD n = 1309; controls n = 2198) were processed using a standardized VBM pipeline (ENIGMA-VBM tool). We meta-analyzed the resulting statistical maps for voxel-wise differences in gray matter (GM) and white matter (WM) volumes between PTSD patients and controls, performed subgroup analyses considering the trauma exposure of the controls, and examined associations between regional brain volumes and clinical variables including PTSD (CAPS-4/5, PCL-5) and depression severity (BDI-II, PHQ-9).
Results
PTSD patients exhibited smaller GM volumes across the frontal and temporal lobes, and cerebellum, with the most significant effect in the left cerebellum (Hedges’ g = 0.22, pcorrected = .001), and smaller cerebellar WM volume (peak Hedges’ g = 0.14, pcorrected = .008). We observed similar regional differences when comparing patients to trauma-exposed controls, suggesting these structural abnormalities may be specific to PTSD. Regression analyses revealed PTSD severity was negatively associated with GM volumes within the cerebellum (pcorrected = .003), while depression severity was negatively associated with GM volumes within the cerebellum and superior frontal gyrus in patients (pcorrected = .001).
Conclusions
PTSD patients exhibited widespread, regional differences in brain volumes where greater regional deficits appeared to reflect more severe symptoms. Our findings add to the growing literature implicating the cerebellum in PTSD psychopathology.
Weight suppression represents the difference between highest and current body weight and predicts maintenance of bulimia nervosa and related syndromes (BN-S). This study tested a biobehavioral model of binge-eating severity in which greater weight suppression links to reduced leptin, which links to reduced glucagon-like peptide 1 (GLP-1) release, which links to both decreased reward satiation and increased reward valuation, which link, respectively, to excessive food intake and loss of control while eating – the defining features of DSM-5 binge-eating episodes.
Methods
Women (N = 399) who met DSM-5 criteria for bulimia nervosa or another eating disorder with binge eating (n = 321) or had no lifetime eating disorder symptoms (n = 78) participated in a multi-visit protocol, including structured clinical interviews, height, weight, weight history, percent body fat, fasting leptin, post-prandial GLP-1 response to a fixed meal, and self-report and behavioral assessments of food reward satiation (ad lib meal) and food and nonfood reward valuation (progressive ratio tasks).
Results
A structural equation model (SEM) demonstrated excellent fit to data with significant pathways from greater weight suppression to lower leptin, to blunted GLP-1 response, to lower reward satiation, to larger eating/binge-eating episode size, with significant indirect paths through leptin, GLP-1, and reward satiation. SEM with paths via reward valuation to loss of control eating demonstrated inadequate fit.
Conclusions
Findings specifically link reduced GLP-1 response to severity of binge-episode size and support weight history assessment in eating disorders, DSM-5 over ICD-11 criteria for binge eating, and may inform future clinical trials of GLP-1 agonists for BN-S.
The Art of Child and Adolescent Psychiatry is an engaging and authoritative account of the essential skills required to practice child and adolescent psychiatry for all those working in children's mental health, from trainees to experienced professionals in paediatrics, psychiatry, psychology, and psychotherapy. The practical tasks of meeting the child and family, planning treatments, and working with colleagues are all covered, building on existing texts that mainly focus on diagnostic criteria, protocols, and laws. This book respects the evidence base, while also pointing out its limitations, and suggests ways in which to deal with these. Psychiatry is placed within broader frameworks including strategy, learning, management, philosophy, ethics, and interpersonal relations. With over 200 educational vignettes of the authors' vast experience in the field, the book is also highly illustrated. The Art of Child and Adolescent Psychiatry is an indispensable guide to thoughtful practice in children's mental health.
A structurally transforming multi-mode product can realize a changing set of functions across its modes, replacing multiple related products while offering increased cost, space, and time efficiency. However, there is a lack of connected methods that address the additional design complexities due to the product’s physical transformations and the resulting structural component-sharing between modes. A framework, grounded in standard design practice and built upon existing methods, is proposed to help navigate the two most impacted design stages: 1. Problem Definition and 2. Conceptual Design. The Problem Definition stage in this new framework involves identifying the external factor that determines the product’s modes and defining the functional requirements for the modes and transformation methods. The Conceptual Design stage involves iteratively linking conceptualized forms of each mode to adjacent modes through conceptualized transformation methods. The framework is demonstrated in a case study involving the design of a structurally transforming multi-mode piece of children’s furniture that transforms between a cradle, floor seat and a multipurpose toddler step stool. The proposed framework is a promising step toward systematically, cohesively, and comprehensively addressing design challenges during the development of a wide variety of structurally transforming multi-mode products, therefore facilitating better, more effective product design.