OBJECTIVES/GOALS: Highly Active Antiretroviral Therapy (HAART) is beneficial for managing HIV infection, however the long-term use of HAART may be problematic for healthy weight maintenance. The aim of the study was to investigate the association of race, weight status, and co-morbidities among individuals with HIV. METHODS/STUDY POPULATION: Self-reported data from 283 participants who completed the Symptom Checklist, the Co-Morbidity Questionnaire, and the Sociodemographic Questionnaire were included in the data analyses. Data were analyzed using Latent Class Analysis on JMP 13. Approximately 50% of participants self-identified as Black, 69% as male, and 35% as having AIDS. Participants’ age ranged from 25 to 66 years (mean age = 43.70 years, SD = 8.14). Participants were grouped by race (self- reported Black or non-Black), and then each group was clustered based on the top three most prevalent symptoms. The clusters identified were least symptomatic, weight gain, and weight loss. RESULTS/ANTICIPATED RESULTS: The non-Black weight gain cluster reported a higher incidence of AIDS (70.6% vs 38.2%), nausea (70.6% vs 17.6%), diarrhea (70.6% vs 26.5%), and shortness of breath (58.8% vs 20.6%) compared to the Black weight gain cluster. The Black weight loss cluster reported a higher incidence of cardiovascular symptoms including chest palpitations (42.2% vs 2.7%), chest pain (44.4% vs 8.1%), and shortness of breath (73.3% vs 35.1%) and a higher incidence of all GI symptoms with the most prominent being diarrhea (71.1% vs 48.6%) compared to the non-Black weight loss cluster. DISCUSSION/SIGNIFICANCE OF IMPACT: Future studies supporting these results will assist practitioners to target treatments that may prevent adverse health outcomes for individuals with HIV on HAART. Further studies will also assist with setting standards that allow practitioners to provide personalized care for individuals with HIV on HAART.

OBJECTIVES/SPECIFIC AIMS: To understand the mechanisms of how a non-antimicrobial can reshape a commensal microbe community to cure a ubiquitous human disease. METHODS/STUDY POPULATION: Whole genome sequencing of bacterial isolates, metabolomic investigations of previously collected skin microbe isolates from patients, and structural investigations of a protein from these skin microbes. RESULTS/ANTICIPATED RESULTS: Metabolic pathways associated with adaptation to a changing skin microenvironment, novel antimicrobial characterization, and a structural understanding of a novel nutrient acquisition protein. DISCUSSION/SIGNIFICANCE OF IMPACT: Multiple angles of this investigation are poised to improve current non-antimicrobial dermatologic treatments and they have the potential to impact microbe-related diseases in other human microenvironments.

A middle Cenomanian faunule from the Moonkinu Formation of Bathurst Island in Northern Australia contains the best-preserved suite of benthic Mollusca known from the Cretaceous of the Australian region. Twenty-four species of bivalves, gastropods, and scaphopods, many exquisitely preserved with original aragonitic nacre, are recognized. Thirteen are new: Nucula s.l. meadinga n. sp. (Nuculidae), Nuculana bathurstensis n. sp. (Nuculanidae), Jupiteria? n. sp. A (Nuculanidae), Varicorbula cretaustrina n. sp. (Corbulidae), Vanikoropsis demipleurus n. sp. (Vanikoridae), Euspira n. sp. A (Naticidae), Amuletum praeturriformis n. sp. (Turridae), Granosolarium cretasteum n. sp. (Architectonicidae), Echinimathilda moonkinua n. sp. (Mathildidae), Acteon bathurstensis n. sp. (Acteonidae), Biplica antichthona n. sp. (Ringiculidae), Goniocylichna australocylindricata n. sp. (Cylichnidae), and Dentalium (Dentalium) n. sp. A (Dentaliidae). Nominal species of Nuculana, Grammatodon, Cylichna, and Laevidentalium also are present. The occurrence of ammonites, including taxa that occur in the type Cenomanian, securely establishes the fauna as middle Cenomanian (Acanthoceras rhotomagense Zone). The Moonkinu Formation and its faunule were deposited in a high-energy, shallow-shelfal setting, as part of a large-scale regressive cycle recognized as the Money Shoals Platform of northern Australia. The assemblage represents a parauthochthonous suite which experienced little or no post mortem transport. Epifaunal and infaunal suspension feeders (some 60 percent) dominate the bivalve fauna with a subordinate representation of deposit-feeding infaunal burrowers (some 40 percent). Nearly all of the gastopods were carnivores with the aporrhaid Latiala mountnorrisi (Skwarko), probably a deposit feeder, the only exception. The scaphopods were probably micro-carnivores. Concentrations of the ammonite Sciponoceras glaessneri are likely the result of mass kills in surface waters. The cosmopolitan nature of the Bathurst Island fauna at the genus-level reflects unrestricted oceanic circulation patterns and an equitable climate on a global scale during the Cenomanian. The retreat and disappearance of the Australian epicontinental sea at the close of the Albian coincided with reduced endemism in the molluscan faunas, after which time the continental shelves hosted a rich suite of cosmopolitan affinity. The high number of endemic species in the Moonkinu Formation probably represents an early stage of broad-scale genetic separation among Southern Hemisphere molluscan stocks, a trend that became increasingly pronounced through the Late Cretaceous. The new records of Varicorbula, Amuletum, Granosolarium, Echinimathilda, and Goniocylichna represent the oldest occurrences recorded for these genera and are suggestive of Southern Hemisphere origins.

This paper takes issue with arguments emanating from the global social policy literature that neoliberal policy agendas have been largely a consequence of the interplay of international agencies with indigenous reform interests. While relevant, such arguments grasp only part of the story of social policy change. By means of a case study of Hungary between 1990 and 2002, this article emphasises the role played by the bureaucratic reconstitution of the state and changing forms of national economic governance in the explanation of social policy change. We show how the bureaucratic redesign of the Hungarian state generated a ‘finance-driven’ form of economic governance with the state bureaucracy reconfigured around the fiscal control of the Finance Ministry. These changes had significant implications, not simply for social expenditure, but for the intellectual nature and bureaucratic space for social policy-making. Whereas critiques of neoliberal social policy reform tend to focus on the ideological nature of the projects, this analysis highlights the need to develop visions of, and arguments for, an alternative to the finance-driven forms of economic governance that have become the de facto bureaucratic archetype for re-designing welfare states.

Poisoning is an uncommon but potentially fatal outcome of toxic alcohol ingestion. The toxic alcohols methanol, ethylene glycol and isopropyl alcohol are commonly found in household and commercial products. Because the toxic effects are caused by the metabolites of methanol and ethylene glycol rather than the agents themselves, there is often a substantial delay between ingestion and onset of clinical toxicity. Anion and osmolar gaps are often used for the diagnosis and exclusion of these sometimes subtle overdoses. The pitfalls of using these tests to rule out alcohol ingestion are reviewed. Ethanol infusion is the traditional therapy for such overdoses. In addition to the pathophysiology and clinical findings in poisoning, recent evidence for the use of fomepizole and adjuvant therapies is reviewed.