In Denmark and Sweden, surveys were undertaken to estimate the prevalence of leg problems in conventional broiler production. The Danish survey included 28 Ross 208 flocks, and the Swedish survey included 15 Ross 208 and 16 Cobb flocks. Leg problems included reduced walking ability (gait), tibial dyschondroplasia (TD), varus/valgus deformations (VV) and foot-pad dermatitis (FPD). Danish Ross chicks showed a significantly higher prevalence of gait score > 0, gait score > 2 and TD, but a lower prevalence of VV, than Swedish Ross chicks. Cobb chicks showed a significantly higher prevalence of gait score > 0, gait score > 2 and TD than Swedish Ross chicks, a significantly higher prevalence of VV than Danish Ross chicks, and a significantly lower prevalence of FPD than both Danish and Swedish Ross chicks. The two genotypes of Swedish chicks showed similar relationships between body weight and probability of gait score > 0, TD and VV, indicating that the difference in prevalence of these leg problems may be due to the difference in mean body weight at slaughter age. At body weights below 2300 g, Danish chicks showed a higher probability of gait score > 2 than Swedish chicks. Furthermore, at body weights below 1900 g, Danish chicks had a higher probability of TD than Swedish chicks, whereas at body weights above 2200 g they had a lower probability of TD. This indicates that the difference in prevalence of TD between Danish and Swedish chicks was due to differences in mean body weight at slaughter age as well as housing conditions. Therefore, further studies on the risk factors in relation to management and housing conditions are required.

We present analysis of the far ultraviolet (FUV) emission of sources in the central region of the Coma cluster ( $z=0.023$ ) using the data taken by the UVIT aboard the multi-wavelength satellite mission AstroSat. We find a good correlation between the UVIT FUV flux and the fluxes in both wavebands of the Galex mission, for the common sources. We detect stars and galaxies, amongst which the brightest ( $r \lesssim 17$ mag) galaxies in the field of view are mostly members of the Coma cluster. We also detect three quasars ( $z = 0.38, 0.51, 2.31$ ), one of which is likely the farthest object observed by the UVIT so far. In almost all the optical and UV colour-colour and colour-magnitude planes explored in this work, the Coma galaxies, other galaxies and bright stars could be separately identified, but the fainter stars and quasars often coincide with the faint galaxies. We have also investigated galaxies with unusual FUV morphology which are likely to be galaxies experiencing ram-pressure stripping in the cluster. Amongst others, two confirmed cluster members which were not investigated in the literature earlier, have been found to show unusual FUV emission. All the distorted sources are likely to have fallen into the cluster recently, and hence have not virialised yet. A subset of our data have optical spectroscopic information available from the archives. For these sources ( ${\sim} 10\%$ of the sample), we find that 17 galaxies identify as star-forming, 18 as composite and 13 as host galaxies for active galactic nuclei, respectively on the emission-line diagnostic diagram.

This work investigates the role of flexibility and resonant excitation on the deformation mechanism and aerodynamic performance of flapping wings. A hummingbird-inspired wing (HIW) is considered and designed to have a bone-like stiffener made of carbon fibre/epoxy (CF/E) composite attached to a membrane made of carbon nanotubes/polypropylene (CNTs/PP) nanocomposite representing the flexible part of the natural wing. The designed HIW model is analysed through fluid-structure interaction simulations performed at frequencies near and at resonant frequency. It is found that HIW generates desired bending and twisting deformations that are coupled. These deformation mechanisms are studied in detail with the help of time-varying deflections and bending-twisting angles. Further, the simultaneous effect of these parameters on the aerodynamic performance of the wing is also investigated. It is observed that the coupled nature of bending and twisting deformations is critical in enhancing the aerodynamic performance of flapping wings. In addition to that, the resonance generates higher amplitude of desired structural deformations that further enhances thrust as well as lift generation capability of the wing. The underlying mechanism for this is also explained by studying the flow around the deflected surface of the wing. Compared to off-resonant frequencies, vorticity and pressures are substantially higher for the wing at resonance. A physical model of HIW is realised using CNTs/PP and CF/E composites to perform experimental wing motion analysis and to validate the computational results. In conclusion, the present study provides a basis to design efficient biomimetic flapping wings for micro aerial vehicles (MAVs) by exploring flexibility and resonant excitation.

Background: There are uncertainties regarding the optimal management of acutely symptomatic carotid stenosis (“hot carotids”). We sought to explore the approaches of stroke physicians to anti-thrombotic management, imaging, and revascularization in patients with “hot carotids”. Methods: We used a qualitative descriptive methodology to examine decision-making approaches of physicians regarding the management of hot carotids. We conducted semi-structured interviews with 22 stroke physicians from various specialties in 16 centers across 4 continents. Results: Important themes regarding anti-thrombotic included limitations of existing clinical trial evidence, competing physician preferences, antiplatelet therapy while awaiting revascularization and various regional differences. Timely imaging availability, breadth of information gained, and surgeon/interventionalist preferences were important themes influencing the choice of imaging modality. The choice of revascularization intervention was influenced by healthcare system factors such as use of multidisciplinary review and operating room/angiography suite availability, and patient factors like age and infarct size. Many themes related to uncertainties in the management of hot carotids were also discussed. Conclusions: Our study revealed themes that are important to international stroke experts. We highlight common and divergent practices while underscoring important areas of clinical equipoise and uncertainty. Teams designing international carotid trials may wish to accommodate identified variations in practice patterns and areas of uncertainty.

Background: Chordomas are rare malignant skull-base/spine cancers with devastating neurological morbidities and mortality. Unfortunately, no reliable prognostic factors exist to guide treatment decisions. This work identifies DNA methylation-based prognostic chordoma subtypes that are detectable non-invasively in plasma. Methods: Sixty-eight tissue samples underwent DNA methylation profiling and plasma methylomes were obtained for available paired samples. Immunohistochemical staining and publicly available methylation and gene expression data were utilized for validation. Results: Unsupervised clustering identified two prognostic tissue clusters (log-rank p=0.0062) predicting disease-specific survival independent of clinical factors (Multivariable Cox: HR=16.5, 95%CI: 2.8-96, p=0.0018). The poorer-performing cluster showed immune-related pathway promoter hypermethylation and higher immune cell abundance within tumours, which was validated with external RNA-seq data and immunohistochemical staining. The better-performing cluster showed higher tumour cellularity. Similar clusters were seen in external DNA methylation data. Plasma methylome-based models distinguished chordomas from differential diagnoses in independent testing sets (AUROC=0.84, 95%CI: 0.52-1.00). Plasma methylomes were highly correlated with tissue-based signals for both clusters (r=0.69 & 0.67) and leave-one-out models identified the correct cluster in all plasma cases. Conclusions: Prognostic molecular chordoma subgroups are for the first time identified, characterized, and validated. Plasma methylomes can detect and subtype chordomas which may transform chordoma treatment with personalized approaches tailored to prognosis.

Background: Whereas the beneficial effect of antiplatelet therapy for recurrent stroke prevention is well-established, uncertainties remain regarding the optimal anti-thrombotic regimen for acutely symptomatic carotid stenosis (“hot carotid”), particularly as patients await revascularization. We sought to explore the approaches of stroke physicians to peri-procedural anti-thrombotic management of patients with “hot carotids”. Methods: We conducted semi-structured interviews regarding “hot carotid” management with purposive sampling of 20 stroke physicians from 14 centres in North America, Europe, Asia, and Australia. We identified key themes using conventional qualitative content analysis. Results: Important themes revealed from our discussion included limitations of existing clinical trial evidence, competing surgeon versus neurologist/internist preferences, and single vs dual antiplatelet therapy (DAPT) while awaiting revascularization. Areas of uncertainty included the management of stroke while on aspirin, implications of non-stenotic features of carotid disease (intraluminal thrombus, plaque morphology), the role of newer anti-platelet agents or anticoagulants, platelet aggregation testing, and how soon to start DAPT. Conclusions: Our qualitative analysis revealed themes that were important to stakeholders in stroke care. Teams designing international trials will have to accommodate identified variations in anti-thrombotic practice patterns and take into consideration areas of uncertainty, such as newer anti-thrombotic agents, and the implication of non-stenotic features of carotid disease.

Background: Evidence informing the choice between endarterectomy and stenting for acutely symptomatic carotid stenosis (“hot carotid”) is dated, and uncertainties remain regarding the optimal imaging modality. We sought to explore the thoughts of stroke physicians regarding the perioperative management of patients with acute symptomatic carotid stenosis. Methods: We conducted semi-structured interviews regarding “hot carotid” management with purposive sampling of 20 stroke physicians from 14 centres in North America, Europe, Asia, and Australia. We identified key themes using conventional qualitative content analysis. Results: Timely imaging availability, breadth of information gained, and surgeon/interventionalist preference emerged as important themes informing the choice of imaging modality. Multidisciplinary decision making, operating room/angiography suite availability, and implications of patient age and infarct size were important themes related to the choice of revascularization. Areas of uncertainty included utility of carotid plaque imaging, timing of revascularization, and the role of intervention with borderline stenosis or intraluminal thrombus. Conclusions: Our qualitative analysis revealed themes that were important to stroke experts. Teams designing international trials will have to accommodate identified variations in practice patterns and take into consideration areas of uncertainty, such as timing of revascularization, imaging of carotid plaque and non-stenotic features of carotid disease (intraluminal thrombus, plaque morphology).

Background: Patients with acutely symptomatic carotid stenosis (“hot carotid”) have high up-front risk of recurrent strokes. Uncertainties remain regarding optimal anti-thrombotic management, particularly while awaiting revascularization with endarterectomy or stenting (CEA/CAS). Methods: We administered a worldwide electronic survey through Neurology: Clinical Practice. Respondents chose their preferred antithrombotic regimen (1) in a general case of acutely symptomatic carotid stenosis, (2) if the patient was already on aspirin, or (3) had associated intraluminal thrombus(ILT). Responses among different groups were compared using multivariable logistic regression. Results: We received 668 responses from 71 countries. Most respondents favoured CEA(69.1%) over CAS, an aspirin-containing regimen(88.5%), and a clopidogrel-containing regimen(64.4%) if already on aspirin. Monotherapy was favoured by 54.4-70.6% across scenarios. The preferred dual therapy was low-dose aspirin(75-100mg) plus clopidogrel(22.2%), or high-dose aspirin(160-325mg) plus clopidogrel if already on aspirin(12.2%). Respondents favouring CAS more often chose ≥2 agents (adjusted odds-ratio[aOR] vs CEA: 2.00, 95%CI 1.36-2.95,p=0.001) or clopidogrel-containing regimens (aOR:1.77,1.16-2.70,p=0.008). Respondents from Europe less commonly chose multiple agents (aOR vs United States/Canada: 0.57,0.35–0.93,p=0.023) while those from Asia more often favored multi-agent regimens (aOR:1.95,1.11–3.43,p=0.020). Conclusions: Our results highlight the heterogeneous anti-thrombotic management of hot carotids. Future trials should likely include high-dose aspirin monotherapy or low-dose aspirin/clopidogrel dual-therapy as a comparator arm to stimulate enrolment.

Background: Medulloblastoma (MB) is the most common solid malignant pediatric brain neoplasm. Group 3 (G3) MB, particularly MYC amplified G3 MB, is the most aggressive subgroup with the highest frequency of children presenting with metastatic disease, and is associated with a poor prognosis. To further our understanding of the role of MSI1 in MYC amplified G3 MB, we performed an unbiased integrative analysis of eCLIP binding sites, with changes observed at the transcriptome, the translatome, and the proteome after shMSI1 inhibition. Methods: Primary human pediatric MBs, SU_MB002 and HD-MB03 were kind gifts from Dr. Yoon-Jae Cho (Harvard, MS) and Dr. Till Milde (Heidelberg) and cultured for in vitro and in vivo experiments. eCLIP, RNA-seq, Polysome-seq, and TMT-MS were completed as previously described. Results:MSI1 is overexpressed in G3 MB. shRNA Msi1 interference resulted in a reduction in tumour burden conferring a survival advantage to mice injected with shMSI1 G3MB cells. Robust ranked multiomic analysis (RRA) identified an unconventional gene set directly perturbed by MSI1 in G3 MB. Conclusions: Our robust unbiased integrative analysis revealed a distinct role for MSI1 in the maintenance of the stem cell state in G3 MB through post-transcriptional modification of multiple pathways including identification of unconventional targets such as HIPK1.

The CLEAR Trial recently found that decolonization reduced infections and hospitalizations in MRSA carriers in the year following hospital discharge. In this secondary analysis, we explored whether decolonization had a similar benefit in the subgroup of trial participants who harbored USA300, using two different definitions for the USA300 strain-type.

In May 2021, the Scientific Advisory Committee on Nutrition (SACN) published a risk assessment on lower carbohydrate diets for adults with type 2 diabetes (T2D)(1). The purpose of the report was to review the evidence on ‘low’-carbohydrate diets compared with the current UK government advice on carbohydrate intake for adults with T2D. However, since there is no agreed and widely utilised definition of a ‘low’-carbohydrate diet, comparisons in the report were between lower and higher carbohydrate diets. SACN’s remit is to assess the risks and benefits of nutrients, dietary patterns, food or food components for health by evaluating scientific evidence and to make dietary recommendations for the UK based on its assessment(2). SACN has a public health focus and only considers evidence in healthy populations unless specifically requested to do otherwise. Since the Committee does not usually make recommendations relating to clinical conditions, a joint working group (WG) was established in 2017 to consider this issue. The WG comprised members of SACN and members nominated by Diabetes UK, the British Dietetic Association, Royal College of Physicians and Royal College of General Practitioners. Representatives from NHS England and NHS Health Improvement, the National Institute for Health and Care Excellence and devolved health departments were also invited to observe the WG. The WG was jointly chaired by SACN and Diabetes UK.

In a prospective cohort study, we compared a 2-swabs-per-nostril 5% iodophor regimen with a 1-swab-per-nostril 10% iodophor regimen on methicillin-resistant Staphylococcus aureus carriage in nursing-home residents. Compared with baseline, both single-swab and double-swab regimens resulted in an identical 40% reduction in nasal carriage and 60% reduction in any carriage, skin or nasal.

We performed secondary analyses of a postdischarge decolonization trial of MRSA carriers that reduced MRSA infection and hospitalization by 30%. Hospitalized MRSA infection was associated with 7.9 days of non-MRSA antibiotics and CDI in 3.9%. Preventing MRSA infection and associated hospitalization may reduce antibiotic use and CDI incidence.

Finding less complicated coils that have adequately low field errors is a crucial step in stellarator development. One coil metric that is of high importance is the maximum curvature of the coil centreline, or coil single filament. Conductors cannot be bent below some threshold minimum radius of curvature. High coil curvatures can cause strains to exceed acceptable levels, especially in superconducting coils. We investigate three ways to optimize coil curvature and find that applying penalty functions to the coil curvature solves for coils that have a constrained maximum curvature and low field error. Penalty functions are implemented in FOCUS and coil solutions optimized for an HSX-like ‘plasma boundary’ are presented.