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Negative triangularity experiments in DIII-D point to an emergent reactor scenario free of sawteeth, endowed with benign, nondisruptive n=2 tearing modes, which experience qmin ≥ 1 similar to the positive triangularity hybrid scenario. Plasmas exhibiting this behavior attain β_N>3, high enough to reconsider long held views of negative triangularity stability. Ideal MHD and tearing stability analysis of hybrid-like plasmas predict that among shape parameters, MHD stability limits are only sensitive to average triangularity. Operation is predicted to be possible at β_N relevant to upcoming tokamaks and commercial negative triangularity reactors.

The National Collection of Type Cultures (NCTC) was founded on 1 January 1920 in order to fulfil a recognized need for a centralized repository for bacterial and fungal strains within the UK. It is among the longest-established collections of its kind anywhere in the world and today holds approximately 6000 type and reference bacterial strains – many of medical, scientific and veterinary importance – available to academic, health, food and veterinary institutions worldwide. Recently, a collaboration between NCTC, Pacific Biosciences and the Wellcome Sanger Institute established the NCTC3000 project to long-read sequence and assemble the genomes of up to 3000 NCTC strains. Here, at the beginning of the collection’s second century, we introduce the resulting NCTC3000 sequence read datasets, genome assemblies and annotations as a unique, historically and scientifically relevant resource for the benefit of the international bacterial research community.

During cancer progression, malignant cells undergo epithelial-mesenchymal transitions (EMT) and mesenchymal-epithelial transitions (MET) as part of a broad invasion and metastasis program. We previously observed MET events among lung metastases in a preclinical model of prostate adenocarcinoma that suggested a relationship between epithelial plasticity and metastatic spread. We thus sought to translate these findings into clinical evidence by examining the existence of EMT in circulating tumor cells (CTC) from patients with progressive metastatic solid tumors, with a focus on men with castration-resistant prostate cancer (CRPC) and women with metastatic breast cancer. We showed that the majority (>80%) of these CTCs in patients with metastatic CRPC coexpress epithelial proteins such as epithelial cell adhesion molecule (EpCAM), cytokeratins (CK), and E-cadherin, with mesenchymal proteins including vimentin, N-cadherin and O-cadherin, and the stem cell marker CD133. Equally, we found that more than 75% of CTCs from women with metastatic breast cancer coexpress CK, vimentin, and N-cadherin. The existence and high frequency of these CTCs coexpressing epithelial, mesenchymal, and stem cell markers in patients with progressive metastases has important implications for the application and interpretation of approved methods to detect CTCs. Mol Cancer Res; 9(8); 997–1007. ©2011 AACR.

Supplementary Tables 1-4, Figures 1-4 from Circulating Tumor Cells from Patients with Advanced Prostate and Breast Cancer Display Both Epithelial and Mesenchymal Markers

Purpose Retinal microvascular endothelial dysfunction is thought to be of importance in the development of ocular vascular diseases. Obstructive sleep apnoea (OSA) causes macrovascular endothelial dysfunction, but the effect of OSA on retinal microvascular endothelial function is not known. We aimed to determine the effect of OSA on retinal microvascular function. Methods We conducted a multi-centre, double-blind, randomised, parallel, controlled trial in patients with known moderate-to-severe OSA, established on continuous positive airway pressure (CPAP). Participants were randomised to 14 nights of either continued CPAP or sham CPAP to generate a return of OSA. Retinal vascular responses to flickering light were measured using dynamic vessel analysis both at baseline and after 14 nights of intervention. The primary outcome was the change from baseline to follow-up in the area under the curve of the arteriolar response to flickering light, sham CPAP versus continued CPAP. Results Nineteen patients were randomised to sham CPAP, and 18 patients were randomised to continued CPAP. There was no significant effect of CPAP withdrawal and return of OSA on retinal responses, with a change in the area under the curve of the arteriole response to flickering light of + 3.8 arbitrary units (95% CI − 10.6 to + 18.2, p = 0.59), sham CPAP versus continued CPAP. Conclusions CPAP withdrawal and a return of OSA had no significant effect on retinal microvascular responses. This contrasts with the effect of CPAP withdrawal on macrovascular endothelial function and suggests that OSA has different effects on macrovascular and microvascular endothelial function. ISRCTN 78082983, 23/10/2014, Prospectively registered.

Four calving events of Petermann Glacier happened in 2008, 2010, 2011, and 2012, which resulted in the drift and deterioration of numerous ice islands, some reaching as far as offshore Newfoundland. The presence of these ice islands in the eastern Canadian Arctic increases the risk of interaction with offshore operations and shipping activities. This study used the recently developed Canadian Ice Island Drift, Deterioration and Detection database to investigate the fracture events that these ice islands experienced, and presented a probabilistic model for the conditional occurrence of such events by analyzing the atmospheric and oceanic conditions that drive the causes behind the ice island fracture events. Variables representing the atmospheric and oceanic conditions that the ice islands were subjected to were extracted from reanalysis datasets and then interpolated to evaluate their distributions for both fracture and non-fracture events. The probability of fracture event occurrence for different combinations of input variable conditions were quantified using Bayes theorem. Out of the seven variables analyzed in this study, water temperature and ocean current speed were identified as the most and least important contributors, respectively, to the fracture events of the Petermann ice islands. It was also revealed that the ice island fracture probability increased to 75 % as the ice islands encountered extreme (very high) atmospheric and oceanic conditions. A validation scheme was presented using cross-validation approach and Pareto principle, and an average error of 13–39 % was reported in the fracture probability estimations. The presented probabilistic model has a predictive capability for future fracture events of ice islands and could be of particular interest to offshore and marine activities in the eastern Canadian Arctic. Future research, however, is necessary for model training and testing to further validate the presented ice island fracture model.

Measurements of laser absorption in high-temperature, underdense plasmas produced at the Omega Laser Facility are made using two near-field imaging detectors that diagnose the spatial profile and energy of the port P9 beam before and after it transmits through the plasma. The incident beam is sampled using a partial reflection from a full-aperture, (30 cm-diam) uncoated wedge pickoff located before the target chamber vacuum window and final focus lens assembly. A concave mirror reduces the reflected beam size, allowing it to be recorded directly using a charged-coupled device (CCD) camera. The P9 transmitted beam diagnostic (P9TBD) characterizes the transmitted light by terminating the expanded beam on a semi-transparent diffuser and imaging the illuminated surface using a lens and CCD camera. The P9TBD samples a numerical aperture twice as large as the input beam, allowing the energy of transmitted beams with moderate levels of beam spray to be measured accurately. Calibration shots with no plasma provide a path to infer absorption without absolute photometric calibration of either detector. The cross-calibration between the two detectors was measured to remain stable at ±200 ppm, enabling measurements of total beam absorption below 1% with ±0.07% error.

International audience; Ray-based cross-beam energy transfer (CBET) models have become a common feature of the radiation-hydrodynamic codes used to simulate inertial confinement fusion experiments. These models are necessary for achieving better agreement with experimental measurements, but their detailed implementation can vary widely between the codes and often rely on artificial multipliers. To address this, a series of 2D and 3D test cases has been developed with validated solutions from wave-based calculations. Comparisons of various ray-based CBET models to the wave-based calculations highlight the essential physics that is required for accurate ray-based CBET modeling. Quantitative comparison metrics and/or field data from the wave-based calculations have been made available for use in the validation of other ray-based CBET codes.

Variovorax durovernum nov. sp.was isolated from an infected, prosthetic endovascular graft explanted from a shepherd. Variovorax durovernum nov.sp. was isolated from blood agar, chocolate and MacConkey agar incubated at 37°C in an aerobic environment after 48h of incubation. Variovorax durovernum nov sp. is an aerobic, Gram-negative, motile, curved rod. Whole genome sequence (WGS) and targeted 16S sequencing was performed to retrieve nucleotide sequences representing the 16S rRNA gene of the isolate. The 16S gene were compared with all available Variovorax species.The 16S rRNA gene of Variovorax isolates differed by a minimum of 6 SNPs (99.6% identity) for V. paradoxus and 7 SNPs for V. boronicumulans (99.5%). The phylogeny of 16S gene placed Variovorax durovernum nov.sp. in a monophyletic cluster with closest relative being V. boronicumulans. The fatty acid profile consisted of 10:0 3OH (9.90%), Sum In Feature 3 (16:1 ω7c/16:1 ω6c - 16.36%), 16:0 (24.23%), 17:0 cyclo (13,35%), and Sum in Feature 8 (18:1 ω7c, 18:1 ω6c).In silico DNA-DNA hybridisation between the isolate and other Variovorax species was estimated at 32.1% for V. boronicumulans and 31.9% for V. paradoxus. Based on these results, Variovorax durovernum nov. sp. was designated as a novel species within the Variovorax genus, identified as the first case of human pathology caused by any Variovorax sp.

Clubroot, a damaging disease of canola ( Brassica napus L.) caused by the soilborne parasite Plasmodiophora brassicae Woronin, is spreading across Alberta and other provinces of western Canada. The movement of infested soil on field machinery is the main mechanism of dispersal, with clubroot generally occurring first as localized patches near field entrances. In this study, the soil fumigant Vapam (metam sodium) was evaluated as a management option for foci of P. brassicae infestation. Replicated experiments at two field sites in central Alberta showed reductions in clubroot severity ranging from 9% to 51% following treatment with varying rates of Vapam. Decreases in clubroot severity of up to 28% were observed in the year following Vapam treatment, indicating some potential residual effects and (or) a reduction in the amount of inoculum returned to the soil in the previous year. While Vapam shows some promise as a clubroot management tool, an integrated approach will be required for the sustainable management of this disease on canola.

Clubroot, caused by Plasmodiophora brassicae, is an important soilborne disease of canola (Brassica napus) in Alberta, Canada. As clubroot prefers acidic soils, the application of lime to increase ...

[Purpose] The purpose of this study was to investigate the effects of a high-fat high-sucrose (HFHS) diet on previously reported adaptations of cardiac morphological and contractile properties to resistance training.[Methods] Twelve-week-old rats participated in 12-weeks of resistance exercise training and consumed an HFHS diet. Echocardiography and skinned cardiac muscle fiber bundle testing were performed to determine the structural and mechanical adaptations.[Results] Compared to chow-fed sedentary animals, both HFHS- and chow-fed resistance-trained animals had thicker left ventricular walls. Isolated trabecular fiber bundles from chow-fed resistance-trained animals had greater force output, shortening velocities, and calcium sensitivities than those of chow-fed sedentary controls. However, trabeculae from the HFHS resistance-trained animals had greater force output but no change in unloaded shortening velocity or calcium sensitivity than those of the chow-fed sedentary group animals.[Conclusion] Resistance exercise training led to positive structural and mechanical adaptations of the heart, which were partly offset by the HFHS diet.

INTRODUCTION Aerobic and resistance exercise training results in distinct structural changes of the heart. The mechanics of how cardiac cells adapt to resistance training and the benefits to cells when combining aerobic and resistance exercise remains largely unknown. The purpose of this study was to compare mechanical adaptations of skinned cardiac fiber bundles after chronic resistance, aerobic and combined exercise training in rats. We hypothesized that differences in mechanical function on the fiber bundle level coincide with differences previously reported in the structure of the heart. METHOD Twelve-week-old rats were assigned to (i) an aerobic running group (n = 6), (ii) a ladder climbing resistance group (n = 6), (iii) a combination group subjected to aerobic and resistance training (n = 6), or (iv) a sedentary (control) group (n = 5). Echocardiography was used to measure cardiac structural remodeling. Skinned cardiac fiber bundles were used to determine active and passive force properties, maximal shortening velocity, and calcium sensitivity. RESULTS Aerobically trained animals had 43%-49% greater ventricular volume and myocardial thickness, and a 4%-17% greater shortening velocity and calcium sensitivity compared with control group rats. Resistance-trained rats had 37%-71% thicker ventricular walls, a 56% greater isometric force production, a 9% greater shortening velocity, and a 4% greater calcium sensitivity compared with control group rats. The combination exercise-trained rats had 25%-43% greater ventricular volume and myocardial wall thickness, a 55% greater active force production, a 7% greater shortening velocity, and a 60% greater cross-bridge cooperativity compared with control group rats. CONCLUSIONS The heart adapts differently to each exercise modality, and a combination of aerobic and resistance training may have the greatest benefit for cardiac health and performance.

Obstructive sleep apnoea (OSA) was traditionally thought to be mainly caused by obesity and upper airway crowding, and hence OSA management was not personalised according to particular characteristics, with most symptomatic patients receiving continuous positive airway pressure therapy. Recent advances in our understanding have identified additional potential and distinct causes of OSA (endotypes), and subgroups of patients (phenotypes) with increased risk of cardiovascular complications. In this review, we discuss the evidence to date as to whether there are distinct clinically useful endotypes and phenotypes of OSA, and the challenges to the field in moving towards delivering personalised therapy in OSA.

Broadband lasers have the potential to mitigate cross-beam energy transfer (CBET) in direct-drive inertial confinement fusion (ICF) experiments. A quantitative assessment of the bandwidth required for CBET mitigation necessitates the development of broadband ray-based CBET models that can be implemented in the radiation-hydrodynamic codes that are used to design ICF experiments. Two different approaches to broadband ray-based CBET modeling (discrete and fixed spectrum) are developed and compared to wave-based calculations. Both approaches give good agreement with wave-based calculations in ICF-relevant configurations. Full-scale 3D calculations show that the bandwidth required for adequate CBET mitigation increases with increasing scale and drive intensity.

In indirect-drive implosions, the final core hot spot energy and pressure and, hence, neutron yield attainable in 1D increase with increasing laser peak power and, hence, radiation drive temperature at the fixed capsule and Hohlraum size. We present simple analytic scalings validated by 1D simulations that quantify the improvement in performance and use this to explain existing data and simulation trends. Extrapolating to the 500 TW National Ignition Facility peak power limit in a low gas-fill 5.4 mm diameter Hohlraum based on existing high adiabat implosion data at 400 TW, 1.3 MJ and 1 × 1016 yield, we find that a 2–3 × 1017 yield (0.5–0.7 MJ) is plausible using only 1.8 MJ of laser energy. Based on existing data varying deuterium–tritium (DT) fuel thickness and dopant areal density, further improvements should be possible by increasing DT fuel areal density, and hence confinement time and yield amplification.

Infection by Leptosphaeria maculans (Desm.) Ces. & de Not., the causal agent of blackleg of canola (Brassica napus L.), can result in seedling death, foliar lesions, and the development of stem cankers on adult plants. Strobilurin fungicides such as pyraclostrobin are popular, as they are effective against a broad range of fungal pathogens, have novel target specificity, and translaminar activity within the plant. The seed treatment Prosper FX (carbathiin + trifloxystrobin + metalaxyl) and an experimental formulation BAS 720 F (pyraclostrobin + fluxapyroxad + metalaxyl) were evaluated for their efficacy in managing blackleg when applied alone or in combination with the foliar fungicides Priaxor (pyraclostrobin + fluxapyroxad) or Tilt 250 EC (propiconazole). Experiments were conducted with the blackleg-susceptible cultivar ‘Westar’ and the moderately resistant cultivar ‘Dekalb 73-15 RR’ under greenhouse and field conditions in 2012 and 2013. In one greenhouse trial, all fungicide treatments significantly reduced stem blackleg severity on ‘73-15’ and ‘Westar’ compared with the inoculated–untreated controls. During 3 of 4 site-years, the combination of the experimental seed treatment BAS 720 F and Priaxor significantly reduced stem disease severity relative to the inoculated–untreated control by 60%–77% for ‘73-15’ and by 50%–75% for ‘Westar’. This treatment also resulted in a significant yield increase relative to the inoculated–untreated control in ‘Westar’ in 2 site-years by 24% and 56%. The results of the study suggest a reduction in blackleg symptoms and improved yields when canola is treated with a combination of seed and foliar fungicides, especially when cropping a susceptible cultivar.

Clubroot of canola (Brassica napus L.), caused by Plasmodiophora brassicae Woronin, has spread to more than 3000 fields in Alberta, Canada, since it was first identified in 2003, but the disease ha...

Background Empagliflozin, an SGLT2 inhibitor, has shown remarkable reductions in cardiovascular mortality and heart failure admissions (EMPA-REG OUTCOME). However, the mechanism underlying the heart failure protective effects of empagliflozin remains largely unknown. Cardiac fibroblasts play an integral role in the progression of structural cardiac remodelling and heart failure, in part, by regulating extracellular matrix (ECM) homeostasis. The objective of this study was to determine if empagliflozin has a direct effect on human cardiac myofibroblast-mediated ECM remodelling. Methods Cardiac fibroblasts were isolated via explant culture from human atrial tissue obtained at open heart surgery. Collagen gel contraction assay was used to assess myofibroblast activity. Cell morphology and cell-mediated ECM remodelling was examined with the use of confocal microscopy. Gene expression of profibrotic markers was assessed with the use of reverse-transcription quantitative polymerase chain reaction. Results Empagliflozin significantly attenuated transforming growth factor β1–induced fibroblast activation via collagen gel contraction after 72-hour exposure, with escalating concentrations (0.5 μmol/L, 1 μmol/L, and 5 μmol/L) resulting in greater attenuation. Morphologic assessment showed that myofibroblasts exposed to empagliflozin were smaller in size with shorter and fewer number of extensions, indicative of a more quiescent phenotype. Moreover, empagliflozin significantly attenuated cell-mediated ECM remodelling as measured by collagen fibre alignment index. Gene expression profiling revealed significant suppression of critical profibrotic markers by empagliflozin, including COL1A1, ACTA2, CTGF, FN1, and MMP-2. Conclusions We provide novel data showing a direct effect of empagliflozin on human cardiac myofibroblast phenotype and function by attenuation of myofibroblast activity and cell-mediated collagen remodelling. These data provide critical insights into the profound effects of empagliflozin as noted in the EMPA-REG OUTCOME study.

On 29 April 2015, four beacons were deployed onto an ice island in the Strait of Belle Isle to record positional data. The ice island later broke up into many fragments, four of which were tracked by the beacons. The relative influences of wind drag, current drag, Coriolis force, sea surface height gradient and sea-ice force on the drift of the tracked ice island fragments were analyzed. Using atmospheric and oceanic model outputs, the sea-ice force was calculated as the residual of the fragments' net forces and the sum of all other forces. This was compared against the force obtained through ice concentration-dependent relationships when sea ice was present. The sea-ice forces calculated from the residual approach and concentration-dependent relationships were significant only when sea ice was present at medium-high concentrations in the vicinity of the ice island fragments. The forces from ocean currents and sea surface tilt contributed the most to the drift of the ice island fragments. Wind, however, played a minimal role in the total force governing the drift of the four ice island fragments, and Coriolis force was significant when the fragments were drifting at higher speeds.

Introduction The severity of obstructive sleep apnoea (OSA) is highly variable on a night-to-night basis. Patients are commonly categorised based on the severity of their OSA, and this is then used to influence management and reimbursement, including continuous positive airway pressure (CPAP). We aimed to establish to what extent the OSA severity category changes during two periods of OSA, based on mean and maximum oxygen desaturation index (ODI). Methods Patients with a diagnosis of moderate to severe OSA who had been on CPAP for greater than 1 year were included in this study. Subjects underwent two periods of CPAP withdrawal for four nights each. Results Twenty-five patients completed the study. Based on the mean ODI of the four nights, 14 (56%) patients changed OSA severity categorisation, with three (12%) changing category to mild. Based on the maximum ODI of the four nights, nine (36%) patients changed OSA severity categorisation, with one (4%) changing category to mild. One third to a half of patients’ OSA severity category changed between the two periods of four night’s CPAP withdrawal. Conclusions OSA is highly variable on a period-to-period basis as well as on a night-to-night basis. We believe the concept of patients having a definable and ‘real’ level of OSA severity is therefore flawed. OSA severity should be based mainly on symptoms, as these are the dominant reasons for treatment, and the sleep study should be used qualitatively to ascertain whether respiratory events are the likely cause of the symptoms. Trial Registration ISRCTN17987510.

We describe a 40-year-old female who presented with progressive breathlessness and hypercapnic respiratory failure during pregnancy secondary to undiagnosed muscle-specific kinase myasthenia gravis. Her presentation was progressive and protracted, having over five contacts with healthcare professionals over nine months, many of these predating her pregnancy. Her atypical presentation for myasthenia with minimal limb weakness led to consideration of other causes of hypercapnic respiratory failure. Once diagnosed, she was treated with intravenous immunoglobulin and non-invasive ventilation. She gave birth to a pre-term infant by planned caesarean section. Her insidious presentation and the progressive nature of her breathlessness were unusual and our report highlights the predominant involvement of respiratory muscles in muscle-specific kinase myasthenia. Her pregnancy may have further delayed her diagnosis due the attribution of some symptoms to normal pregnancy. Early recognition and treatment of myasthenia gravis are important to prevent life-threatening complications.

The independent-hot-spot model is used to develop an analytic formulation for multibeam laser-plasma instabilities in inhomogeneous plasmas. The model is applied to the absolute two-plasmon-decay instability and shows good agreement with simulations and experiments. The success of the model indicates the emergence of single-speckle behavior for sufficiently large speckles sizes.

Clubroot, caused by Plasmodiophora brassicae, is an important constraint on canola (Brassica napus) production in Canada. Rotations of clubroot-resistant (CR) canola cultivars in various sequences and planting intervals between canola with non-host crops and fallow periods were evaluated to determine their effects on clubroot severity and P. brassicae resting spore populations under field and micro-plot conditions. Under micro-plot conditions, the rotation sequences including CR canola, continuous fallow, and the non-host barley reduced gall weight by 63%–100% and clubroot severity by 34%–100% compared with continuous planting of susceptible canola. No visible clubroot symptoms developed following continuous fallow or the non-host crop. Under field conditions, clubroot severity was very high (78% disease index) in the continuous susceptible canola sequence. Most of the CR canola rotation sequences significantly reduced clubroot severity by 12%–23%, but continuous fallow, continuous barley, and alternating the CR canola cultivars ‘45H29’ or ‘73-47’ with ‘TC72429-10’ reduced clubroot severity by 32%–36%. A comparison of intervals between canola crops and four cropping sequences (continuous susceptible canola, alternating canola with barley or pea, a 2-yr non-host interval between canola crops, and a 3-yr non-host interval between canola crops) was conducted over 5 yr. A 2- or 3-yr non-host interval improved plant height, plant biomass, and seed yield, and reduced gall mass, P. brassicae propagules in the soil, and clubroot severity. A significant yield increase of more than 3600% was observed in a 3-yr non-host interval.

The COVID-19 pandemic changed continuous positive airway pressure (CPAP) setup pathways. We evaluated patients commenced on CPAP in 2019 (prepandemic) and 2020 (post-first UK wave). Face-to-face (F2F) setup numbers, with CPAP turned on, decreased from 613 patients (98.9%) in 2019, to 6 (1.1%) in 2020. In 2020, setups were F2F without CPAP turned on (403 (71.1%)), or remote (158 (27.9%)). Prepandemic median CPAP usage at first follow-up was 5.4 (2.7–6.9) hours/night and fell by 0.9 hours/night (95% CI 0.5 to 1.2, p

IntroductionRespiratory high-dependency units (rHDUs) are used to manage respiratory failure in COVID-19 outside of the intensive care unit (ICU). The alpha variant of COVID-19 has been linked to increased rates of mortality and admission to ICU; however, its impact on a rHDU population is not known. We aimed to compare rHDU outcomes between the two main UK waves of COVID-19 infection and evaluate the impact of the alpha variant on second wave outcomes.MethodsWe conducted a single-centre, retrospective analysis of all patients with a diagnosis of COVID-19 admitted to the rHDU of our teaching hospital for respiratory support during the first and second main UK waves.ResultsIn total, 348 patients were admitted to rHDU. In the second wave, mortality (26.7% s vs 50.7% first wave, χ2=14.7, df=1, p=0.0001) and intubation rates in those eligible (24.3% s vs 58.8% first wave, χ2=17.3, df=2, p=0.0002) were improved compared with the first wave. In the second wave, the alpha variant had no effect on mortality (OR 1.18, 95% CI 0.60 to 2.32, p=0.64). Continuous positive airway pressure (CPAP) (89.5%) and awake proning (85.6%) were used in most patients in the second wave.DiscussionOur single-centre experience shows that rHDU mortality and intubation rates have improved over time in spite of the emergence of the alpha variant. Our data support the use of CPAP and awake proning, although improvements in outcome are likely to be multifactorial.

Inertial confinement fusion experiments are sensitive to cross-beam energy transfer (CBET), a laser-plasma instability that redistributes laser energy in the coronal plasma through self-generated ion acoustic wave (IAW) gratings. The detailed CBET coupling depends on the polarization state of the crossing wavefields. CBET itself can also scramble the beam polarizations by inducing ellipticity through the IAW grating, and rotating the seed polarization toward that of the pump. We develop a ray-based model that describes the polarized CBET coupling and that is compatible with the framework of 3D inline radiative hydrodynamics simulations. The model is implemented in the ASTER/IFRIIT code and verified against an academic test case and an offline polarized CBET post-processor. It is then applied to the detailed configuration of the distributed polarization rotator system on OMEGA, where results highlight how polarized CBET induces significant low modes in the collisional absorption source term. Finally, the modeling is applied to a simple indirect-drive configuration, comparing CBET calculations with 96 unpolarized or polarized beams with 24 unpolarized quads. It is shown that these cases produce similar power amplification per cone of beams grouped with similar polar angles. However, the 96 beam geometry itself is found to reduce azimuthal variations in quad power after the interaction and favors beams with larger polar angles within the cones, an effect that is amplified by the polarized CBET. Application of the model to inline calculations of OMEGA implosions are presented in a companion paper.

P217 Table 1A comparison of first and second wave characteristics, treatment and outcome data First wave Second wave Mean difference (95%CI) X2 (df) P value Age (years) 69.0 (52.0, 80.0) 62.0 (52.0, 71.0) -3.4 (-7.8 to +1.1) - 0.14 Sex: - Male - Female 49 (69.0%) 22 (31.0%) 180 (65.0%) 97 (35.0%) - 0.4 (1) 0.52 BMI (kg/m2) 28.5 (24.9, 33.6) 29.6 (24.8, 34.9) +0.6 (-1.7 to +2.9) - 0.63 Clinical Frailty Score: - 1 to 2 (fit) 18 (25.4%) 132 (47.7%) - 15.6 (5) 0.008 CT severity score - Moderate/severe - Severe 11 (29.7%) 23 (62.2%) 131 (52.2%) 113 (45.0%) - 16.0 (3) 0.0012 CRP prior to rHDU admission (mg/L) 180.6 (118.0, 210.0) 124.1 (78.1, 175.6) -44.1 (-66.9 to -21.3) - 0.0002 Spike gene testing - VOC B.1.1.7 variant - Wild-type - Ambiguous - - - 143 (67.1%) 57 (26.8%) 13 (6.1%) - - - Dexamethasone 3 (4.2%) 266 (96.0%) - 271.4 (1)

For obstructive sleep apnoea (OSA), few mechanical treatment options are available and no pharmacotherapy is approved [1–3]. However, safe and efficacious pharmacotherapy would have substantial appeal for many people with OSA., BAY 2253651 is a nasally applied genioglossus muscle activator via pharyngeal mucosal receptor stimulation (potassium channel blocker) aimed to treat obstructive sleep apnoea. Although well-tolerated and safe, there was no significant therapeutic effect. https://bit.ly/3zDbyia