OBJECTIVES/GOALS: The purpose of this retrospective cohort study was to evaluate the impact of mental illness on first-time transcatheter aortic valve replacement (TAVR) and repeat TAVR (viv-AVR) outcomes including postoperative atrial fibrillation (POAF/AFL), as well as trends over time. METHODS/STUDY POPULATION: Using de-identified data reports from the New York Statewide Planning and Research Cooperative System (SPARCS) database from 2005-2018, multivariate logistics models were used to predict endpoints including POAF, the Society of Cardiothoracic surgeon (STS) endpoint (MM), and 30-day readmission (READMIT) in patients with and without mental illness. The TAVR procedure was approved for high-risk patients after 2012, and intermediate-risk patients after 2016, indicting a need to analyze the two populations separately. Multivariate analysis was only conducted on the first-time TAVR patients because of the small n in the viv-TAVR population. RESULTS/ANTICIPATED RESULTS: After 2012, 13.05% (1,810/13,870) of patients undergoing TAVR and 20.83% (15/72) undergoing viv-TAVR were diagnosed with a mental illness before the procedure. After 2016, 15.59% (1,485/9,524) TAVR patients and 20.00% (11/55) viv-TAVR patients had a preoperative diagnosis of mental illness. Multivariate analysis showed that mentally ill patients did not have significant differences in rates of POAF, 30-day readmission, and 30-day composite outcomes when compared to patients without mental illnesses following TAVR procedures after 2012 and 2016. Patients with POAF after both 2012 and 2016 were significantly less likely to be mentally ill, Black, and Hispanic. DISCUSSION/SIGNIFICANCE: Of the mentally ill patients who underwent TAVR, there was no significant difference in short-term outcomes after 2012 vs. 2016, compared to patients without mental illnesses. The small number of mentally ill patients undergoing TAVR may point to provider bias as a contributor to this high selectivity, and further evaluation would be of clinical use.

A new mineral species, mikenewite (IMA2022-102), ideally Mn2+(S4+O3)⋅3H2O, has been discovered from the San Judas Chimney, Ojuela mine, Mapimí, Durango, Mexico. It occurs as spheres of platy crystals. Associated minerals include goethite, cryptomelane, adamite and lotharmeyerite. Mikenewite is yellowish in transmitted light, transparent with a white streak and vitreous lustre. It is brittle and has a Mohs hardness of 2½–3. Cleavage is perfect on {101}. The measured and calculated densities are 2.48(5) and 2.467 g/cm3, respectively. Optically, mikenewite is biaxial (+), with α = 1.606(5), β = 1.614(5), γ = 1.627(1) (white light), 2V(meas.) = 69(3)° and 2V(calc.) = 77°. An electron microprobe analysis yielded an empirical formula (based on 6 O apfu) of (Mn0.86Zn0.12Fe0.04Ca0.02)Σ1.04(S0.98O3)⋅3H2O, which can be simplified to (Mn,Zn,Fe)(SO3)⋅3H2O.

Mikenewite is the natural analogue of synthetic α-Mn2+(S4+O3)⋅3H2O, as well as the Mn-analogue of albertiniite, Fe2+(S4+O3)⋅3H2O. It is monoclinic, with space group P21/n and unit-cell parameters a = 6.6390(3), b = 8.8895(4), c = 8.7900(4) Å, β = 96.095(2)°, V = 515.83(4) Å3 and Z = 4. The crystal structure of mikenewite is characterised by each Mn atom coordinated octahedrally by six O atoms, three from different sulfite O atoms and three from H2O molecules. Each S4+O3 group is bonded to three Mn atoms, resulting in a sheet parallel to (101) with the sheet composition of Mn2+(S4+O3)⋅3H2O. Such sheets, stacked along [10$\bar{1}$], are joined together by hydrogen bonds, accounting for the perfect cleavage of the mineral. Mikenewite is dimorphous with orthorhombic Pnma gravegliaite, as albertiniite is with fleisstalite. Its discovery from the Ojuela mine, which is particularly rich in Zn, implies the possibility of finding Zn-bearing sulfites there as well.

A new mineral species, bernardevansite (IMA2022-057), ideally Al2(Se4+O3)3⋅6H2O, has been discovered from the El Dragón mine, Potosí Department, Bolivia. It occurs as aggregates or spheres of radiating bladed crystals on a matrix consisting of Co-bearing krut'aite–penroseite. Associated minerals are Co-bearing krut'aite–penroseite, chalcomenite and ‘clinochalcomenite’. Bernardevansite is colourless in transmitted light, transparent with white streak and vitreous lustre. It is brittle and has a Mohs hardness of 2½–3. Cleavage is not observed. The measured and calculated densities are 2.93(5) and 2.997 g/cm3, respectively. Optically, bernardevansite is biaxial (+), with α = 1.642(5), β = 1.686(5) and γ = 1.74(1) (white light). An electron microprobe analysis yielded an empirical formula (based on 15 O apfu) (Al1.26Fe3+0.82)Σ2.08(Se0.98O3)3⋅6H2O, which can be simplified to (Al,Fe3+)2(SeO3)3⋅6H2O.

Bernardevansite is the Al-analogue of mandarinoite, Fe3+2(SeO3)3⋅6H2O or dimorphous with P$\bar{6}$2c alfredopetrovite. It is monoclinic, with space group P21/c and unit-cell parameters a = 16.5016(5), b = 7.7703(2), c = 9.8524(3) Å, β = 98.258(3)°, V = 1250.21(6) Å3 and Z = 4. The crystal structure of bernardevansite consists of a corner-sharing framework of M3+O6 (M = Al and Fe) octahedra and Se4+O3 trigonal pyramids, leaving large voids occupied by the H2O groups. There are two unique M3+ positions: M1 is octahedrally coordinated by (4O + 2H2O) and M2 by (5O + H2O). The structure refinement indicates that Al preferentially occupies M1 (= 0.692Al + 0.308Fe) over M2 (= 0.516Al + 0.484Fe). The substitution of the majority of Fe in mandarinoite by Al results in a significant reduction in its unit-cell volume from 1313.4 Å3 to 1250.21(6) Å3 for bernardevansite. The discovery of bernardevansite begs the question whether the Fe3+ end-member, Fe3+2(SeO3)3⋅6H2O, has two polymorphs as well, one with P21/c symmetry, as for mandarinoite and the other P$\bar{6}$2c, as for alfredopetrovite.

A new beryllophosphate mineral species, loomisite (IMA2022-003), ideally Ba[Be2P2O8]⋅H2O, was found from the Big Chief mine near Keystone, Pennington County, South Dakota, USA. It occurs as divergent sprays of very thin bladed crystals with a tapered termination. Individual crystals are found up to 0.80 × 0.06 × 0.03 mm. Associated minerals include dondoellite, earlshannonite, mitridatite, rockbridgeite, jahnsite-(CaMnFe) and quartz. No twinning or parting is observed macroscopically. Loomisite is murky white in transmitted light, transparent with white streak and silky to vitreous lustre. It is brittle and has a Mohs hardness of 3½–4, with perfect cleavage on {100} and {$\bar{1}$10}. The measured and calculated densities are 3.46(5) and 3.512 g/cm3, respectively. Optically, loomisite is biaxial (+), with α = 1.579(5), β = 1.591(5), γ = 1.606(5) (white light), 2V (meas.) = 82(2)° and 2V (calc.) = 85°. It is non-pleochroic under polarised light, with a very weak (r > v) dispersion. The mineral is insoluble in water or hydrochloric acid. An electron microprobe analysis, along with the BeO content measured with an ICP-MS, yields an empirical formula (based on 9 O apfu) (Ba0.96Ca0.06)Σ1.02[(Be1.96Fe0.06)Σ2.02P1.99O8]⋅H2O, which can be simplified to (Ba,Ca)[(Be,Fe)2P2O8]⋅H2O.

Loomisite is monoclinic, with space group Pn and unit-cell parameters a = 7.6292(18), b = 9.429(2), c = 4.7621(11) Å, β = 91.272(5)°, V= 342.47(14) Å3 and Z = 2. Its crystal structure is characterised by a framework of corner-sharing PO4 and BeO4 tetrahedra. The framework can be considered as built from the stacking of sheets consisting of 4- and 8-membered rings (4.82 nets) along [001] or hexagonal layers (63 nets) along [010]. The extra-framework Ba2+ and H2O are situated in the channels formed by the 8-membered rings. Topologically, loomisite represents the first natural example with the zeolite ABW-type framework, which is adopted by over 100 synthetic compounds with different chemical compositions.

The great demographic pressure brings tremendous volume of beef demand. The key to solve this problem is the growth and development of Chinese cattle. In order to find molecular markers conducive to the growth and development of Chinese cattle, sequencing was used to determine the position of copy number variations (CNVs), bioinformatics analysis was used to predict the function of ZNF146 gene, real-time fluorescent quantitative polymerase chain reaction (qPCR) was used for CNV genotyping and one-way analysis of variance was used for association analysis. The results showed that there exists CNV in Chr 18: 47225201-47229600 (5.0.1 version) of ZNF146 gene through the early sequencing results in the laboratory and predicted ZNF146 gene was expressed in liver, skeletal muscle and breast cells, and was amplified or overexpressed in pancreatic cancer, which promoted the development of tumour through bioinformatics. Therefore, it is predicted that ZNF146 gene affects the proliferation of muscle cells, and then affects the growth and development of cattle. Furthermore, CNV genotyping of ZNF146 gene was three types (deletion type, normal type and duplication type) by Real-time fluorescent quantitative PCR (qPCR). The association analysis results showed that ZNF146-CNV was significantly correlated with rump length of Qinchuan cattle, hucklebone width of Jiaxian red cattle and heart girth of Yunling cattle. From the above results, ZNF146-CNV had a significant effect on growth traits, which provided an important candidate molecular marker for growth and development of Chinese cattle.

In March 2018, the US Food and Drug Administration (FDA), US Centers for Disease Control and Prevention, California Department of Public Health, Los Angeles County Department of Public Health and Pennsylvania Department of Health initiated an investigation of an outbreak of Burkholderia cepacia complex (Bcc) infections. Sixty infections were identified in California, New Jersey, Pennsylvania, Maine, Nevada and Ohio. The infections were linked to a no-rinse cleansing foam product (NRCFP), produced by Manufacturer A, used for skin care of patients in healthcare settings. FDA inspected Manufacturer A's production facility (manufacturing site of over-the-counter drugs and cosmetics), reviewed production records and collected product and environmental samples for analysis. FDA's inspection found poor manufacturing practices. Analysis by pulsed-field gel electrophoresis confirmed a match between NRCFP samples and clinical isolates. Manufacturer A conducted extensive recalls, FDA issued a warning letter citing the manufacturer's inadequate manufacturing practices, and federal, state and local partners issued public communications to advise patients, pharmacies, other healthcare providers and healthcare facilities to stop using the recalled NRCFP. This investigation highlighted the importance of following appropriate manufacturing practices to minimize microbial contamination of cosmetic products, especially if intended for use in healthcare settings.

A new mineral species, franksousaite (IMA2021-096), ideally PbCu(Se6+O4)(OH)2, has been found from the El Dragón mine, Antonio Quijarro Province, Potosí Department, Bolivia. It occurs as short prismatic crystals included in colourless anglesite. Associated minerals are Co-bearing krut'aite–penroseite, chalcomenite, schmiederite, olsacherite, phosgenite, anglesite and cerussite. Franksousaite is blue in transmitted light, transparent with very pale blue streak and has a vitreous lustre. It is brittle and has a Mohs hardness of 2–2½. Cleavage is perfect on {100}. The calculated density is 5.64 g/cm3. An electron microprobe analysis yielded an empirical formula (based on 6 O apfu) of Pb1.02Cu0.98[(Se0.84S0.17)Σ1.01O4)](OH)2, which is simplified to PbCu[(Se,S)O4)](OH)2.

Franksousaite is the Se6+ analogue of linarite, PbCu(SO4)(OH)2. It is monoclinic, with space group P21/m and unit-cell parameters a = 9.8208(3), b = 5.7340(2), c = 4.74980(10) Å, β = 102.683(2)°, V = 260.947(13) Å3 and Z = 2. The crystal structure of franksousaite consists of Jahn-Teller-distorted Cu2+O6 square bipyramids, which form chains along b by sharing trans edges across their square planes. The chains are decorated by SeO4 tetrahedra and linked to one another by hydrogen bonds to form layers parallel to (100). These layers are bound together by double layers of PbO8 and SeO4 polyhedra. The PbO8 polyhedron exhibits one-sided coordination typical of Pb2+ with a stereochemically active 6s2 lone-electron-pair. The major structural difference between franksousaite and linarite lies in the <Se–O> vs. <S–O> bond distances (1.615 vs. 1.482 Å), accounting for the larger unit-cell volume for franksousaite. A comparison of Raman spectra for the four minerals in the linarite group (linarite, franksousaite, munakataite and schmiederite) reveals the obvious differences among them, especially in the range from 700 to 1000 cm–1, indicative of the presence or absence of (Se4+O3)2–, (Se6+O4)2–, and/or (SO4)2– groups.

The aim of this study was to assess which machine, Radixact or CyberKnife, can deliver better treatment for lung and prostate stereotactic body radiation therapy (SBRT) with the use of Synchrony® real-time motion tracking system. Ten and eight patients treated with lung and prostate SBRT, respectively, using the CyberKnife system were selected for the assessment. For each patient, a retrospective Radixact plan was created and compared with the original CyberKnife plan. There was no statistically significant difference in the new conformity index of the Radixact plans and that of the Cyberknife plans in both lung and prostate SBRT. The average homogeneity index in the Radixact plans was better in both lung and prostate SBRT with statistical significance (p = 0·04 for lung and p = 0·02 for prostate). In lung SBRT, the dose to lungs was lower in Cyberknife plans (p = 0·002). In prostate SBRT, there was no statistically significant difference in organs at risk sparing between Cyberknife plans and Radixact plans. In conclusion, CyberKnife was better in lung SBRT while Radixact was better in prostate SBRT.

To investigate the downstream rim seal gas ingestion characteristics of a 1.5-stage turbine, the URANS equations were solved numerically using the SST turbulence model. The effects of different purge flow rates and the second vane on the ingestion characteristics of the aft cavity and the nonuniform fluctuations of the main gas path pressure are analysed. The results showed that the aft cavity is affected by the combined effects of the blade and the second vane, and the potential field at the leading edge of the second vane greatly influence the airflow variation in the aft cavity, which enhances the ingress of the mainstream into the wheel-space. The front purge flow weakens the egress between the suction side of the blade and the suction side of the second vane. The potential field at the leading edge of the second vane suppresses the nonuniform distribution of airflow in the aft cavity caused by the rotational effect of the blade.

The epidemic of tuberculosis has posed a serious burden in Qinghai province, it is necessary to clarify the epidemiological characteristics and spatial-temporal distribution of TB for future prevention and control measures. We used descriptive epidemiological methods and spatial statistical analysis including spatial correlation and spatial-temporal analysis in this study. Furthermore, we applied an exponential smoothing model for TB epidemiological trend forecasting. Of 43 859 TB cases, the sex ratio was 1.27:1 (M:F), and the average annual TB registered incidence was 70.00/100 000 of 2009–2019. More cases were reported in March and April, and the worst TB stricken regions were the prefectures of Golog and Yushu. High TB registered incidences were seen in males, farmers and herdsmen, Tibetans, or elderly people. 7132 cases were intractable, which were recurrent, drug resistant, or co-infected with other infections. Three likely cases clusters with significant high risk were found by spatial-temporal scan on data of 2009–2019. The exponential smoothing winters' additive model was selected as the best-fitting model to forecast monthly TB cases in the future. This research indicated that TB in Qinghai is still a serious threaten to the local residents' health. Multi-departmental collaboration and funds special for TB treatments and control are still needed, and the exponential smoothing model is promising which could be applied for forecasting of TB epidemic trend in this high-altitude province.

During emergency responses, public health leaders frequently serve in incident management roles that differ from their routine job functions. Leaders’ familiarity with incident management principles and functions can influence response outcomes. Therefore, training and exercises in incident management are often required for public health leaders. To describe existing methods of incident management training and exercises in the literature, we queried 6 English language databases and found 786 relevant articles. Five themes emerged: (1) experiential learning as an established approach to foster engaging and interactive learning environments and optimize training design; (2) technology-aided decision support tools are increasingly common for crisis decision-making; (3) integration of leadership training in the education continuum is needed for developing public health response leaders; (4) equal emphasis on competency and character is needed for developing capable and adaptable leaders; and (5) consistent evaluation methodologies and metrics are needed to assess the effectiveness of educational interventions.

These findings offer important strategic and practical considerations for improving the design and delivery of educational interventions to develop public health emergency response leaders. This review and ongoing real-world events could facilitate further exploration of current practices, emerging trends, and challenges for continuous improvements in developing public health emergency response leaders.

We conducted the first detailed mineral magnetic investigation of more than nine loess–paleosol couplets of the composite Titel-Stari Slankamen loess section in Serbia, which provides one of the longest and most complete terrestrial record of paleoclimatic changes in Europe since ~1.0 Ma. The results show that the ferrimagnetic mineral assemblage of the loess units is dominated by partially oxidized multidomain (MD) and pseudo-single domain (PSD) magnetite; however, with an increasing degree of pedogenesis, the eolian contribution is gradually masked by pedogenic superparamagnetic(SP) and single-domain (SD) ferrimagnets (mainly maghemite). The overall consistency of ferrimagnetic grain-size parameters indicates an absence of dissolution of the fine-grained ferrimagnetic fraction despite changes in climate regime over the past 1.0 Ma. The variations of normalized dJ/dT@120K and normalized χheating@530°C reflect a long-term stepwise increase in aridity during glacials with a major step at ~0.6–0.5 Ma, over the last 1.0 Ma. Overall, the results provide an improved basis for the future use of the magnetic properties of Serbian loess deposits for paleoclimatic reconstruction.

This work is the first in situ U–Pb geochronological study of perovskite and calcic garnet (andradite) from the Guli complex in the Maimecha–Kotuy alkaline province (Polar Siberia, Russia). The U–Pb isotopic compositions of perovskite from contact zones of the two carbonatite stocks (Southern and Northern) and from jacupirangite separating the stocks were determined by laser-ablation inductively-coupled-plasma mass-spectrometry (LA-ICPMS) and isotope-dilution thermal-ionisation mass-spectrometry (ID-TIMS). The LA-ICPMS and ID-TIMS data for perovskite from the Northern carbonatite stock are in good agreement, yielding 206Pb/238U ages of 250.4 ± 1.1 Ma and 249 ± 2 Ma, respectively. These ages are also within the analytical uncertainty from the ID-TIMS results for perovskite from jacupirangites (250 ± 1 Ma). The LA-ICPMS results for perovskite from the Southern carbonatite stock indicate its somewhat older age (255.3 ± 2.4 Ma), implying the possibility of small-volume mantle magmatism predating the eruption of the Siberian flood basalts at ca. 252–251 Ma. This interpretation is supported by reports of pre-flood magmatism elsewhere in eastern Siberia. Andradite crystals from the contact between the Southern stock and metasomatised melilitolite were analysed by ID-TIMS. These measurements are inconclusive (247 ± 6 Ma) and could not be used to constrain further the timing of carbonatitic magmatism in the southern part of the complex. The present contribution also presents a refined methodology for LA-ICPMS geochronological studies of perovskite with elevated levels of common lead, and addresses some of the problems with previously proposed calibration standards.