Experts conducted a free statewide series on antibiotic stewardship for hospital, outpatient, and long-term care settings. In total, 366 participants from 244 sites represented 66% of counties in the state. Furthermore, 62% worked in nonmetropolitan counties, and 55% were from counties with medium-to-high social vulnerability, demonstrating reach into diverse sites.

Plants in the genera Astragalus and Oxytropis, collectively referred to as “locoweeds,” contain swainsonine, a toxic alkaloid synthesized by their fungal endophyte Alternaria sect. Undifilum. The ecological role of this endophyte across the mutualism–commensalism–parasitism continuum is unknown. We examined the fitness traits of Astragalus and Oxytropis species growing with and without the endophyte, in a 9-yr, common-garden experiment. Silky crazyweed (Oxytropis sericea Nutt.) and woolly loco (Astragalus mollissimus Torr.) plants germinated from seeds that naturally host the endophyte (E+) and with it mechanically removed (E−) were established in a common garden in southwest Montana. We measured mortality, gas exchange, flower and seed production, seed germination, and final biomass. Astragalus mollissimus plants grew as annuals under common-garden conditions regardless of endophyte status. Oxytropis sericea plants grew as perennials with survival unaffected by endophyte; however, E+ O. sericea plants produced slightly more reproductive stems, flowers per stem, and crown and stem biomass. Maternal effects detected in the parental generation disappeared in subsequent generations. Gas exchange, fecundity, and seed germination were unaffected by endophyte. Contrary to our initial hypothesis of mutualism, the endophyte did not improve host survival or fecundity, nor did we detect transgenerational effects. However, the endophyte did slightly increase the number of reproductive stems and flowers per stem and crown and stem mass in O. sericea, suggesting endophytic effects on carbohydrate biochemistry and pollination parameters should be examined. Lack of selection for or against endophyte-containing plants allows both nontoxic and toxic swainsonine-producing plants to persist in Astragalus and Oxytropis populations, posing a continued threat to grazing livestock.

Multicenter clinical trials are essential for evaluating interventions but often face significant challenges in study design, site coordination, participant recruitment, and regulatory compliance. To address these issues, the National Institutes of Health’s National Center for Advancing Translational Sciences established the Trial Innovation Network (TIN). The TIN offers a scientific consultation process, providing access to clinical trial and disease experts who provide input and recommendations throughout the trial’s duration, at no cost to investigators. This approach aims to improve trial design, accelerate implementation, foster interdisciplinary teamwork, and spur innovations that enhance multicenter trial quality and efficiency. The TIN leverages resources of the Clinical and Translational Science Awards (CTSA) program, complementing local capabilities at the investigator’s institution. The Initial Consultation process focuses on the study’s scientific premise, design, site development, recruitment and retention strategies, funding feasibility, and other support areas. As of 6/1/2024, the TIN has provided 431 Initial Consultations to increase efficiency and accelerate trial implementation by delivering customized support and tailored recommendations. Across a range of clinical trials, the TIN has developed standardized, streamlined, and adaptable processes. We describe these processes, provide operational metrics, and include a set of lessons learned for consideration by other trial support and innovation networks.

Geyer larkspur is a native perennial forb that is toxic to cattle. Herbicide control of Geyer larkspur is variable and depends on the growth stage of the plant when the herbicide is applied. The objectives of this study were to 1) evaluate aminopyralid, aminopyralid + florpyrauxifen-benzyl, aminopyralid + 2,4-D, aminopyralid + metsulfuron-methyl, metsulfuron-methyl, triclopyr, and triclopyr + 2,4-D for efficacy in controlling Geyer larkspur; 2) determine whether plant growth stage (vegetative or flowering) at the time of herbicide application influences herbicide effectiveness; and 3) determine whether herbicide treatment alters the norditerpenoid alkaloid content of Geyer larkspur. Plots were established in eastern Wyoming in 2021 and northern Colorado in 2022. Herbicide application at the different phenological stages did not affect Geyer larkspur density at the Wyoming site (P = 0.1065; data not shown). Geyer larkspur density at the Wyoming site was reduced by all herbicide treatments 1 yr after treatment (YAT) at the vegetative stage and by all herbicides except triclopyr 2 YAT (P = 0.0249). Geyer larkspur density at the flowering stage was reduced by all herbicides except metsulfuron-methyl, triclopyr, and triclopyr + 2,4-D at 1 YAT and by triclopyr and triclopyr + 2,4-D at 2 YAT. In contrast, there were no differences in Geyer larkspur density across treatments at the Colorado site (P = 0.9621). Precipitation was below average several months prior to herbicide application, which may have affected herbicide effectiveness. The metsulfuron-methyl treatment resulted in the highest total alkaloid concentrations of Geyer larkspur at the vegetative stage and the lowest concentrations at the flowering stage at the Wyoming site. Efforts to control Geyer larkspur in semiarid rangelands can be effectively accomplished by applying aminopyralid herbicides at either the vegetative or flowering growth stage provided environmental conditions prior to herbicide application are sufficient for plant growth and uptake of the herbicide.

OBJECTIVES/GOALS: Adoption of the Observational Medical Outcomes Partnership (OMOP) common data model promises to transform large-scale observational health research. However, there are diverse challenges for operationalizing OMOP in terms of interoperability and technical skills among coordinating centers throughout the US. METHODS/STUDY POPULATION: A team from the Critical Path Institute (C-Path) collaborated with the informatics team members at Johns Hopkins to provide technical support to participating sites as part of the Extract, Transform, and Load (ETL) process linking existing concepts to OMOP concepts. Health systems met regularly via teleconference to review challenges and progress in ETL process. Sites were responsible for performing the local ETL process with assistance and securely provisioning de-identified data as part of the CURE ID program. RESULTS/ANTICIPATED RESULTS: More than twenty health systems participated in the CURE ID effort.Laboratory measures, basic demographics, disease diagnoses and problem list were more easily mapped to OMOP concepts by CURE ID partner institutions. Outcomes, social determinants of health, medical devices, and specific treatments were less easily characterized as part of the project. Concepts within the medical record presented very different technical challenges in terms of representation. There is a lack of standardization in OMOP implementation even among centers using the same electronic medical health record. Readiness to adopt OMOP varied across the institutions who participated. Health systems achieved variable level of coverage using OMOP medical concepts as part of the initiative. DISCUSSION/SIGNIFICANCE: Adoption of OMOP involves local stakeholder knowledge and implementation. Variable complexity of health concepts contributed to variable coverage. Documentation and support require extensive time and effort. Open-source software can be technically challenging. Interoperability of secure data systems presents unique problems.

We took a multilevel developmental contextual approach and characterized trajectories of alcohol misuse from adolescence through early midlife, examined genetic and environmental contributions to individual differences in those trajectories, and identified adolescent and young adult factors associated with change in alcohol misuse. Data were from two longitudinal population-based studies. FinnTwin16 is a study of Finnish twins assessed at 16, 17, 18, 25, and 35 years (N = 5659; 52% female; 32% monozygotic). The National Longitudinal Study of Adolescent to Adult Health (Add Health) is a study of adolescents from the United States, who were assessed at five time points from 1994 to 2018 (N = 18026; 50% female; 64% White, 21% Black, 4% Native American, 7% Asian, 9% Other race/ethnicity). Alcohol misuse was measured as frequency of intoxication in FinnTwin16 and frequency of binge drinking in Add Health. In both samples, trajectories of alcohol misuse were best described by a quadratic growth curve: Alcohol misuse increased across adolescence, peaked in young adulthood, and declined into early midlife. Individual differences in these trajectories were primarily explained by environmental factors. Several adolescent and young adult correlates were related to the course of alcohol misuse, including other substance use, physical and mental health, and parenthood.