Heightened sensation-seeking is related to the development of delinquency. Moreover, sensation-seeking, or biological correlates of sensation-seeking, are suggested as factors linking victimization to delinquency. Here, we focused on epigenetic correlates of sensation-seeking. First, we identified DNA methylation (DNAm) patterns related to sensation-seeking. Second, we investigated the association between sensation-seeking related DNAm and the development of delinquency. Third, we examined whether victimization was related to sensation-seeking related DNAm and the development of delinquency. Participants (N = 905; 49% boys) came from the Avon Longitudinal Study of Parents and Children. DNAm was assessed at birth, age 7 and age 15–17. Sensation-seeking (self-reports) was assessed at age 11 and 14. Delinquency (self-reports) was assessed at age 17–19. Sensation-seeking epigenome-wide association study revealed that no probes reached the critical significance level. However, 20 differential methylated probes reached marginal significance. With these 20 suggestive sites, a sensation-seeking cumulative DNAm risk score was created. Results showed that this DNAm risk score at age 15–17 was related to delinquency at age 17–19. Moreover, an indirect effect of victimization to delinquency via DNAm was found. Sensation-seeking related DNAm is a potential biological correlate that can help to understand the development of delinquency, including how victimization might be associated with adolescent delinquency.

Diet is important in determining positive health outcomes. Income constraints are often provided as an explanation for poor dietary choices made by households. We test this hypothesis by exploiting shocks to household budgets driven by changes in house prices. Using a comprehensive panel of household food purchases matched to house price data, we find that house prices have a positive impact on food expenditure, but no impact on diet quality. We also find that the total quantity of food purchased increases as budget constraints are relaxed suggesting that changes in quantity are the primary driver of the expenditure change. Finally, we demonstrate that the impact of budget constraints is larger for lower income and younger age households.

OBJECTIVES/GOALS: Using the covariate-rich Veteran Health Administration data, estimate the association between Proton Pump Inhibitor (PPI) use and severe COVID-19, rigorously adjusting for confounding using propensity score (PS)-weighting. METHODS/STUDY POPULATION: We assembled a national retrospective cohort of United States veterans who tested positive for SARS-CoV-2, with information on 33 covariates including comorbidity diagnoses, lab values, and medications. Current outpatient PPI use was compared to non-use (two or more fills and pills on hand at admission vs no PPI prescription fill in prior year). The primary composite outcome was mechanical ventilation use or death within 60 days; the secondary composite outcome included ICU admission. PS-weighting mimicked a 1:1 matching cohort, allowing inclusion of all patients while achieving good covariate balance. The weighted cohort was analyzed using logistic regression. RESULTS/ANTICIPATED RESULTS: Our analytic cohort included 97,674 veterans with SARS-CoV-2 testing, of whom 14,958 (15.3%) tested positive (6,262 [41.9%] current PPI-users, 8,696 [58.1%] non-users). After weighting, all covariates were well-balanced with standardized mean differences less than a threshold of 0.1. Prior to PS-weighting (no covariate adjustment), we observed higher odds of the primary (9.3% vs 7.5%; OR 1.27, 95% CI 1.13-1.43) and secondary (25.8% vs 21.4%; OR 1.27, 95% CI 1.18-1.37) outcomes among PPI users vs non-users. After PS-weighting, PPI use vs non-use was not associated with the primary (8.2% vs 8.0%; OR 1.03, 95% CI 0.91-1.16) or secondary (23.4% vs 22.9%;OR 1.03, 95% CI 0.95-1.12) outcomes. DISCUSSION/SIGNIFICANCE: The associations between PPI use and severe COVID-19 outcomes that have been previously reported may be due to limitations in the covariates available for adjustment. With respect to COVID-19, our robust PS-weighted analysis provides patients and providers with further evidence for PPI safety.

We propose a scientifically rigorous framework to find realistic optimal geometries of wave energy converters (WECs). For specificity, we assume WECs to be axisymmetric point absorbers in a monochromatic unidirectional incident wave, all within the context of linearised potential theory. We consider separately the problem of a WEC moving and extracting wave energy in heave only and then the more general case of motion and extraction in combined heave, surge and pitch. We describe the axisymmetric geometries using polynomial basis functions, allowing for discontinuities in slope. Our framework involves ensuring maximum power, specifying practical motion constraints and then minimising surface area (as a proxy for cost). The framework is robust and well-posed, and the optimisation produces feasible WEC geometries. Using the proposed framework, we develop a systematic computational and theoretical approach, and we obtain results and insights for the optimal WEC geometries. The optimisation process is sped up significantly by a new theoretical result to obtain roots of the heave resonance equation. For both the heave-only, and the heave-surge-pitch combined problems, we find that geometries which protrude outward below the waterline are generally optimal. These optimal geometries have up to 73 % less surface area and 90 % less volume than the optimal cylinders which extract the same power.

Efforts to improve antimicrobial prescribing are occurring within a changing healthcare landscape, which includes the expanded use of telehealth technology. The wider adoption of telehealth presents both challenges and opportunities for promoting antimicrobial stewardship. Telehealth provides 2 avenues for remote infectious disease (ID) specialists to improve inpatient antimicrobial prescribing: telehealth-supported antimicrobial stewardship and tele-ID consultations. Those 2 activities can work separately or synergistically. Studies on telehealth-supported antimicrobial stewardship have reported a reduction in inpatient antimicrobial prescribing, cost savings related to less antimicrobial use, a decrease in Clostridioides difficile infections, and improved antimicrobial susceptibility patterns for common organisms. Tele-ID consultation is associated with fewer hospital transfers, a shorter length of hospital stay, and decreased mortality. The implementation of these activities can be flexible depending on local needs and available resources, but several barriers may be encountered. Opportunities also exist to improve antimicrobial use in outpatient settings. Telehealth provides a more rapid mechanism for conducting outpatient ID consultations, and increasing use of telehealth for routine and urgent outpatient visits present new challenges for antimicrobial stewardship. In primary care, urgent care, and emergency care settings, unnecessary antimicrobial use for viral acute respiratory tract infections is common during telehealth encounters, as is the case for fact-to-face encounters. For some diagnoses, such as otitis media and pharyngitis, antimicrobials are further overprescribed via telehealth. Evidence is still lacking on the optimal stewardship strategies to improve antimicrobial prescribing during telehealth encounters in ambulatory care, but conventional outpatient stewardship strategies are likely transferable. Further work is warranted to fill this knowledge gap.

We analyse the stability of the interface between two immiscible fluids both flowing in the horizontal direction in a thin cell with vertically varying gap width. The dispersion relation for the growth rate of each mode is derived. The stability is approximately determined by the sign of a simple expression, which incorporates the density difference between the fluids and the effect of surface tension in the along- and cross-cell directions. The latter arises from the varying channel width: if the non-wetting fluid is in the thinner part of the channel, the interface is unstable as it will preferentially migrate into the thicker part. The density difference may suppress or complement this effect. The system is always stable to sufficiently large wavenumbers owing to the along-flow component of surface tension.

Existing studies have examined the demand elasticities for organic products only in select categories, and their results for consumers' sensitivity to price changes are inconsistent. Evidence regarding the effects of price promotions on the demand for organic foods vs non-organic foods is scarce. This study aims to (1) examine the own-price elasticities of organic foods vs non-organic counterparts both with and without a promotion in a variety of product categories, and (2) investigate how the distinctive promotion effects between organic and non-organic counterparts depend on food category features. Using purchase data for 36 food categories from the 2015 Nielsen Consumer Panel, we find differential own-price elasticities for organic and non-organic foods, regardless of whether the product is purchased with a promotion. When the products are purchased with a promotion, we find stronger price promotion effects of organic virtues than non-organic virtues and weaker price promotion effects of organic vices than conventional vices. Price promotions of organic foods are more likely to induce health-conscious consumers to switch from conventional purchases to organic purchases in virtues.

Dicamba residues in sprayers are difficult to remove and may interact with subsequent herbicides, including contact herbicides labeled for use in soybean. Without proper tank cleanout, applicators treating dicamba-resistant and non–dicamba resistant crops are at risk of contaminating the spray solution with dicamba residue from previous applications. Experiments were conducted in Fayetteville, AR, in 2018 and 2019, with the first experiment evaluating consequences of dicamba tank contamination with contact herbicides and the second experiment addressing the impact of dicamba exposure on a glufosinate-resistant soybean cultivar relative to a contact herbicide application. Experiments for tank contamination and timing of dicamba exposure were designed as a three-factor and a two-factor randomized complete block with four replications, respectively, considering site-year as a fixed effect in each experiment. Dicamba at 0, 0.056, 0.56, and 5.6 g ae ha−1 was applied alone, with glufosinate, with acifluorfen, or with glufosinate plus acifluorfen to V3 soybean. Dicamba applied in combination with contact herbicides exacerbated visible auxin symptomology over dicamba alone at 21 and 28 d after treatment (DAT), while dicamba at 5.6 g ae ha−1 reduced soybean height. Injury and height reductions caused by dicamba mixtures with contact herbicides did not reduce grain yield. In the second experiment, dicamba was applied at 2.8 g ae ha−1 at VC, V1, V2, and V3 and at 3, 7, and 10 d after a glufosinate application to V3 soybean (DATV3). Greater soybean injury was observed when dicamba exposure followed a glufosinate application than when dicamba preceded glufosinate or was applied in a mixture with glufosinate, with yield reductions resulting from 7 and 10 DATV3 dicamba applications. Dicamba exposure in the presence of contact herbicides resulted in increased auxin symptomology and can be intensified if soybean are exposed to dicamba following a contact herbicide application.

The Subglacial Antarctic Lakes Scientific Access (SALSA) Project accessed Mercer Subglacial Lake using environmentally clean hot-water drilling to examine interactions among ice, water, sediment, rock, microbes and carbon reservoirs within the lake water column and underlying sediments. A ~0.4 m diameter borehole was melted through 1087 m of ice and maintained over ~10 days, allowing observation of ice properties and collection of water and sediment with various tools. Over this period, SALSA collected: 60 L of lake water and 10 L of deep borehole water; microbes >0.2 μm in diameter from in situ filtration of ~100 L of lake water; 10 multicores 0.32–0.49 m long; 1.0 and 1.76 m long gravity cores; three conductivity–temperature–depth profiles of borehole and lake water; five discrete depth current meter measurements in the lake and images of ice, the lake water–ice interface and lake sediments. Temperature and conductivity data showed the hydrodynamic character of water mixing between the borehole and lake after entry. Models simulating melting of the ~6 m thick basal accreted ice layer imply that debris fall-out through the ~15 m water column to the lake sediments from borehole melting had little effect on the stratigraphy of surficial sediment cores.

Based on interview files and archival materials, this paper reconstructs the experiences of Kalmyk displaced persons (DPs) against the backdrop of the shifting international refugee regime in post-World War II Europe. Kalmyks came to western Europe in two waves: at the conclusion of the Russian Civil War in 1920 and during the German retreat from the Soviet Union in 1943–44. After the war, the majority of Kalmyks were repatriated; those who remained in Europe primarily ended up in DP camps in the American zone of western Germany. This paper details the strategies used by Kalmyk DPs to avoid repatriation to the Soviet Union and eventually secure resettlement in the United States in 1951. Individual histories offer insight into how the Kalmyks as a group made themselves legible to the international community in light of a changing geopolitical environment and evolving racial regimes.

Typically, the WTO Arbitrator, when charged with evaluating the permissible level of countermeasures (suspension of concessions), has chosen a counterfactual state of the world where the challenged (illegal) measure has not been adopted at all. The Arbitrator then would calculate the trade lost because of the adopted (illegal) measure, and thus, decide on the level of permissible countermeasures. In US–Washing Machines (Article 22.6-US), deviating from this custom, the Arbitrator adopted a different counterfactual, assuming that the complainant had adopted a different, ‘reasonable’ measure. The Arbitrator then evaluated the trade lost based on the distance between the adopted (illegal) and the ‘reasonable’ measure and calculated the level of countermeasures. In this paper, we explain the multitude of perils facing dispute settlement if this approach is adopted in future disputes. We also advance a few thoughts on rethinking the workings of the Arbitrator when measuring the level of permissible countermeasures, since similar slippery slopes risk being reproduced in future cases.