Background: Efgartigimod, a human immunoglobulin G (IgG)1 antibody Fc fragment, blocks the neonatal Fc receptor, decreasing IgG recycling and reducing pathogenic IgG autoantibody levels. ADHERE assessed the efficacy and safety of efgartigimod PH20 subcutaneous (SC; co-formulated with recombinant human hyaluronidase PH20) in chronic inflammatory demyelinating polyneuropathy (CIDP). Methods: ADHERE enrolled participants with CIDP (treatment naive or on standard treatments withdrawn during run-in period) and consisted of open-label Stage A (efgartigimod PH20 SC once weekly [QW]), and randomized (1:1) Stage B (efgartigimod or placebo QW). Primary outcomes were clinical improvement (assessed with aINCAT, I-RODS, or mean grip strength; Stage A) and time to first aINCAT score deterioration (relapse; Stage B). Secondary outcomes included treatment-emergent adverse events (TEAEs) incidence. Results: 322 participants entered Stage A. 214 (66.5%) were considered responders, randomized, and treated in Stage B. Efgartigimod significantly reduced the risk of relapse (HR: 0.394; 95% CI: 0.25–0.61) versus placebo (p=0.000039). Reduced risk of relapse occurred in participants receiving corticosteroids, intravenous or SC immunoglobulin, or no treatment before study entry. Most TEAEs were mild to moderate; 3 deaths occurred, none related to efgartigimod. Conclusions: Participants treated with efgartigimod PH20 SC maintained a clinical response and remained relapse-free longer than those treated with placebo.

One of the major challenges in lameness management is prompt detection, especially before visible gait disturbance. This scoping review describes the potential biomarkers for lameness in dairy cows reported in the literature, their relevance in lameness diagnosis, identifying cows at risk of developing claw lesions and monitoring recovery after treatment. Using specific keywords, a comprehensive literature search was performed in three databases: PubMed, Google Scholar and ScienceDirect to retrieve relevant articles published between 2010 and 2022. A total of 31 articles fulfilling the inclusion criteria were analysed. The categories of potential markers for lameness reported in the literature included acute phase proteins (APPs), nociceptive neuropeptides, stress hormones, proteomes, inflammatory cytokines and metabolites in serum, urine and milk. Cortisol, APPs (serum amyloid A and haptoglobin) and serum, urinary and milk metabolites were the most studied biomarkers for lameness in dairy cows. While APPs, nociceptive neuropeptides and blood cortisol analyses assisted in elucidating the pain and stress experienced by lame cows during diagnosis and after treatment, evidence-based data are lacking to support their use in identifying susceptible animals. Meanwhile, metabolomic techniques revealed promising results in assessing metabolic alterations occurring before, during and after lameness onset. Several metabolites in serum, urinary and milk were reported that could be used to identify susceptible cows even before the onset of clinical signs. Nevertheless, further research is required employing metabolomic techniques to advance our knowledge of claw horn lesions and the discovery of novel biomarkers for identifying susceptible cows. The applicability of these biomarkers is challenging, particularly in the field, as they often require invasive procedures.

A new model of the steady boundary layer flow around a rotating sphere is developed that includes the widely observed collision and subsequent eruption of boundary layers at the equator. This is derived following the Segalini & Garrett (J. Fluid Mech., vol. 818, 2017, pp. 288–318) asymptotic approach for large Reynolds numbers but replacing the Smith & Duck (Q. J. Mech. Appl. Maths, vol. 30, issue 2, 1977, pp. 143–156) correction with a higher-order version of the Stewartson (Grenzschichtforschung/Boundary Layer Research, 1958, pp. 59–71. Springer) model of the equatorial flow. The Stewartson model is then numerically solved, for the first time, via a geometric multigrid method that solves the steady planar Navier–Stokes equations in streamfunction-vorticity form on large rectangular domains in a quick and efficient manner. The results are then compared with a direct numerical simulation of the full unsteady problem using the Semtex software package where it is found that there is broad qualitative agreement, namely the separation and reattachment of the boundary layer at the equator. However, the presence of unobserved behaviour such as a large area of reverse flow seen at lower Reynolds numbers than those observed in other studies, and that the absolute error increases with Reynolds number suggest the model needs improvement to better capture the physical dynamics.

An analysis about the backscattering characteristics of a metamaterial coated magnetodielectric sphere covered with a metasurface has been presented. The effects of various types of metamaterial coatings and surface reactances of lossless metasurface upon the backscattering cross-section of a metamaterial coated magnetodielectric sphere covered with a metasurface have been studied. It is shown that the negligible backscattering cross-section from a double near-zero metamaterial coated magnetodielectric sphere can be enhanced significantly by using specific types of lossless metasurfaces. These types of enhanced backscattering cross-section find applications in the radar detection problems. The proposed theory is also extended to the lossy double negative metamaterial coated magnetodielectric sphere covered with a lossless metasurface. During the study, it is found that for a specific part of the lossy double negative metamaterial bandwidth, two specific types of lossless metasurfaces can be used to reduce the backscattering cross-section as compared to the backscattering cross-section of a lossy double negative metamaterial coated magnetodielectric sphere without metasurface.

A compartmental model is proposed to predict the coronavirus 2019 (Covid-19) spread. It considers: detected and undetected infected populations, social sequestration, release from sequestration, plus reinfection. This model, consisting of seven coupled equations, has eight coefficients which are evaluated by fitting data for eight US states that make up 43% of the US population. The evolution of Covid-19 is fairly similar among the states: variations in contact and undetected recovery rates remain below 5%; however, variations are larger in recovery rate, death rate, reinfection rate, sequestration adherence and release rate from sequestration. Projections based on the current situation indicate that Covid-19 will become endemic. If lockdowns had been kept in place, the number of deaths would most likely have been significantly lower in states that opened up. Additionally, we predict that decreasing contact rate by 10%, or increasing testing by approximately 15%, or doubling lockdown compliance (from the current ~15% to ~30%) will eradicate infections in Texas within a year. Extending our fits for all of the US states, we predict about 11 million total infections (including undetected), and 8 million cumulative confirmed cases by 1 November 2020.

In the present study, an effective secondary selection of transgressive variants from a homozygous population of Pusa Sugandh 3 (PS3) has led to the development of basmati variant SKUA 494. SKUA 494 exhibited a grain yield (7.9 t/ha) with superiority of 21.5% over its progenitor (6.5 t/ha). Besides, the genotype revealed an earliness of about 13 and 15 days for flowering and maturity, respectively. Hulling, milling and head rice recovery traits of SKUA 494 were comparatively better over the controls PS3 and Pusa Basmati 1509. No significant differences in the cooking quality were observed in SKUA 494 over its parental line. Quality traits of SKUA 494 revealed an intermediate score for alkali spreading value, besides similar values for gel consistency and amylose content in comparison to PS3. On the basis of stability variables, stability index and overall mean for most of the traits, SKUA 494 depicted stable performance across the locations and over the years. Molecular analysis based on simple sequence repeat markers revealed polymorphism at locus flanking the quantitative trait loci for days to heading (Hd6) between SKUA 494 and its parent (PS3). Based on overall superiority in the performance and adaptability of SKUA 494, the variety has been recommended to farmers for general cultivation under temperate ecology.

This work examines the magnetohydrodynamic (MHD) flow of second grade fluid due to a stretching cylinder with viscous dissipation. Advance heat transfer technique namely the Newtonian heating is employed to explore the characteristics of heat transfer phenomenon in the presence of Joule heating. Mass transfer is discussed with the combination of both homogeneous and heterogeneous reactions. Diffusion coefficients of species A and B are considered of the same size. Heat production due to chemical reaction is assumed negligible. Appropriate transformations are employed to convert the nonlinear partial differential equations to the nonlinear ordinary differential equations. Convergent solutions of momentum, energy and concentration equations are developed. Characteristics of different involved parameters on the velocity and temperature fields are shown graphically. Numerical values of skin friction coefficient and Nusselt number are computed and analyzed. Higher values of homogeneous reaction parameter results in the reduction of concentration profile while opposite behavior is observed for heterogeneous reaction parameter.

Based upon its economical perspective, the phenomenon of forced moulting in the poultry industry has become a common practice to increase the productivity and reproductive life span of birds. Different feed supplements, including vitamins, minerals, probiotics and prebiotics have been extensively used by poultry farmers for many years. In the last decade, researchers have reported advantageous effects of these supplements in improving different health biomarkers of post moult poultry birds. Therefore, including with these supplements in post moult feed is believed to exhibit better results than moulting alone. The current review is aimed at highlighting the empirical data available on the importance of various feed supplements that are considered favourable in ameliorating the health status of moulted poultry birds.

In this study, a new centrifugal instability mode, which dominates within the boundary-layer flow over a slender rotating cone in still fluid, is used for the first time to model the problem within an enforced oncoming axial flow. The resulting problem necessitates an updated similarity solution to represent the basic flow more accurately than previous studies in the literature. The new mean flow field is subsequently perturbed, leading to disturbance equations that are solved via numerical and short-wavelength asymptotic approaches, yielding favourable comparisons with existing experiments. Essentially, the boundary-layer flow undergoes competition between the streamwise flow component, due to the oncoming flow, and the rotational flow component, due to effect of the spinning cone surface, which can be described mathematically in terms of a control parameter, namely the ratio of streamwise to axial flow. For a slender cone rotating in a sufficiently strong axial flow, the instability mode breaks down into Görtler-type counter-rotating spiral vortices, governed by an underlying centrifugal mechanism, which is consistent with experimental and theoretical studies for a slender rotating cone in otherwise still fluid.

Existing experimental and theoretical studies are discussed which lead to the clear hypothesis of a hitherto unidentified convective instability mode that dominates within the boundary-layer flow over slender rotating cones. The mode manifests as Görtler-type counter-rotating spiral vortices, indicative of a centrifugal mechanism. Although a formulation consistent with the classic rotating-disk problem has been successful in predicting the stability characteristics over broad cones, it is unable to identify such a centrifugal mode as the half-angle is reduced. An alternative formulation is developed and the governing equations solved using both short-wavelength asymptotic and numerical approaches to independently identify the centrifugal mode.