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.

Objectives/Goals: We recently showed that a single dose of psilocybin, a serotonergic psychedelic, attenuated mechanical hypersensitivity for up to 28 days in a rat model of formalin-induced chronic centralized pain. The goal of this study is to determine whether psilocybin can alleviate chronic pain in a rat model of reserpine-induced chronic centralized pain. Methods/Study Population: Adult Sprague-Dawley rats (male=12, female=12) will be surgically equipped with a chronic indwelling catheter in jugular vein for the delivery of psilocybin. After 14 days of post-surgical recovery, rats will undergo Randall–Selitto testing to assess their baseline muscle pressure threshold. Thereafter, the rats will receive subcutaneous reserpine (1mg/kg) for three consecutive days, which depletes biogenic amines that have been reported to be reduced in fibromyalgia patients. The rats will be tested again on the Randall–Selitto assay on post-reserpine days 1, 3, 5, 7, 14, 21, and 28. One subgroup of the rats will receive intravenous psilocybin (1mg/kg) on post-reserpine day 4, while the other subgroup will receive intravenous saline. Results/Anticipated Results: We have completed data collection from four female rats which shows that compared to baseline, reserpine reduced muscle pressure threshold on post-reserpine days 1–21 (mean ± SD, day 1: -18.33%±7.26%, day 3: -15.05%±7.2%, day 5: -29.19%±3.75%, day 7: -19.64%±14.67%, day 14: -30.02%±10.14%, day 21: -14.95%±12.9%). On day 28, muscle pressure thresholds approached baseline levels (-8.12%±14.73%). These data show that we have successfully reproduced the reserpine model in our laboratory. Based on our previous study showing alleviation of mechanical hypersensitivity in formalin-treated rats after a single dose of intravenous psilocybin, we expect that psilocybin will shorten the duration of reserpine-induced mechanical hypersensitivity as compared to the rats receiving 0.9% saline as vehicle control. Discussion/Significance of Impact: These studies are expected to provide a neuroscientific foundation for the emerging use of serotonergic psychedelics as a potential treatment for chronic pain conditions, including fibromyalgia.

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.

Adolescents in palliative care have complex emotional and developmental needs that make privacy within the built environment a crucial aspect of their comfort, dignity, and sense of control. However, in many paediatric hospice settings, privacy is often compromised by the continuous need for observation and accessibility in care delivery. This study explores how privacy in the built environment is understood and addressed in palliative care for children and adolescents, drawing on both medical and architectural perspectives. It combines a review of existing literature with qualitative analysis of interviews conducted with fourteen medical professionals and eight architects, together with a comparative examination of seven contemporary hospices. The analysis investigates spatial design features, such as bedroom layout, visibility, and zoning, shape the experience of privacy in care environments. While single bedrooms are now widely adopted, the findings of this study emphasise that these features alone may not adequately address the psychosocial and emotional dimensions of privacy. Continuous observation, glazed doors, and the placement of beds directly in line with doorways were identified as elements that can contribute to feelings of exposure and reduced autonomy. The study highlights a persistent gap between clinical functionality and environmental support for psychological well-being. It argues for more age-responsive design strategies, such as thoughtful spatial zoning, adaptable room configurations, and sensitive transitions between public and private areas, to better accommodate the needs of adolescents. Reconsidering how built environments mediate care and control can help create hospice settings that more effectively support privacy, autonomy, and dignity for young people nearing the end of life.

The early and sensitive detection of microbial contamination of kaolinite slurries is needed for timely treatment to prevent spoilage. The sensitivity, reproducibility, and time required by current methods, such as the dip-slide method, do not meet this challenge. A more sensitive, reproducible, and efficient method is required. The objective of the present study was to develop and validate such a method. The new method is based on the measured growth kinetics of indigenous kaolinite-slurry microorganisms. The microorganisms from kaolinite slurries with different contamination levels were eluted and quantified as colony-forming units (CFUs). Known quantities of E. coli (ATCC 11775) were inoculated into sterilized kaolinite slurries to relate kaolinite-slurry CFUs to true microbial concentrations. The inoculated slurries were subsequently incubated, re-extracted, and microbial concentrations quantified. The ratio of the known inoculated E. coli concentration to the measured concentration was expressed as the recovery efficiency coefficient. Indigenous microbial communities were serially diluted, incubated, and the growth kinetics measured and related to CFUs. Using the new method, greater optical densities (OD) and visible microbial growth were measured for greater dilutions of kaolinite slurries with large microbial-cell concentrations. Growth conditions were optimized to maximize the correlation between contamination level, microbial growth kinetics, and OD value. A Standard Bacterial Unit (SBU) scale with five levels of microbial contamination was designed for kaolinite slurries using the experimental results. The SBU scale was validated using a blind test of 50 unknown slurry samples with various contamination levels provided by the Imerys Company. The validation tests revealed that the new method using the SBU scale was more time efficient, sensitive, and reproducible than the dip-slide method.

Exposure investigations are labor intensive and vulnerable to recall bias. We developed an algorithm to identify healthcare personnel (HCP) interactions from the electronic health record (EHR), and we evaluated its accuracy against conventional exposure investigations. The EHR algorithm identified every known transmission and used ranking to produce a manageable contact list.