firs CME Group Reports All-Time High ADV for March and First-Quarter 2020 By feedproxy.google.com Published On :: 2020-04-02T11:31:01Z Full Article
firs CME Group Inc. Reports First-Quarter 2020 Financial Results By feedproxy.google.com Published On :: 2020-04-29T11:01:01Z Full Article
firs FIRST Tech Challenge – Kick off the 2019-2020 season with SOLIDWORKS By blogs.solidworks.com Published On :: Fri, 13 Sep 2019 12:00:31 +0000 The 2019-2020 season, FIRST® RISESMpowered by Star Wars: Force for Change, is setting out to inspire citizens of the galaxy. Throughout history, great civilizations have risen, then fallen. Now it’s our turn to rise—building and bolstering our own planetary metropolis. The Author information Sara Junghans Senior Manager, Education and Early Engagement at DS SolidWorks Corp. Just a working mom with three kids trying to find the happy balance of life! The post FIRST Tech Challenge – Kick off the 2019-2020 season with SOLIDWORKS appeared first on SOLIDWORKS Education Blog. Full Article CAD CAD Instructor CAD Teacher Certificaiton Design Education Electrical FIRST Robotics Science STEM Science Technology Engineering and Math STEM Teacher Technology 3d 3D CAD Dassault Systemes design edu education Electrical Enginering engineering First Robotics First TEch Challenge FTC robotics student Student competition. Mechanical Engineering
firs FIRST Global Challenge Dubai Inspires STEM Students and the World By blogs.solidworks.com Published On :: Wed, 30 Oct 2019 15:50:01 +0000 Great challenges face our planet. Today’s students will solve our biggest problems. The FIRST Global Challenge is a Science, Technology, Engineering and Math (STEM) Olympic – like competition that showcases students’ abilities to solve one of the 14 Grand Challenges Author information Marie Planchard Director of Education & Early Engagement, SolidWorks at Dassault Systemes SolidWorks Corporation Marie Planchard is an education and engineering advocate. As Senior Director of Education & Early Engagement, SOLIDWORKS, she is responsible for global development of content and social outreach for the 3DEXPERIENCE Works products across all levels of learning including educational institutions, Fab Labs, and entrepreneurship. The post FIRST Global Challenge Dubai Inspires STEM Students and the World appeared first on SOLIDWORKS Education Blog. Full Article Competitions Current Affairs FIRST SOLIDWORKS Apps For Kids STEM Science Technology Engineering and Math Dubai Engineering Global Challenges FGCDubai2019 FIRST Global FTCTeams SOLIDWORKS The Dubai Future Foundation
firs Mastering SOLIDWORKS Visualize and Creating the FIRST Global Challenge Field By blogs.solidworks.com Published On :: Tue, 26 Nov 2019 13:00:22 +0000 In this blog by intern Ben, he explains how to learn and master SOLIDWORKS Visualize Author information Ben Horton I am an intern and a mentor in the 3DEXPERIENCE Lab here at the DASSAULT SYSTEMS Waltham campus. Currently I am studying Mechanical Engineering at the University of Massachusetts, Lowell. I am also the Vice-President of the Society of Automotive Engineers at UMass Lowell. My interests include building racecars, petting dogs, being a maker, and going on adventures in my Outback! The post Mastering SOLIDWORKS Visualize and Creating the FIRST Global Challenge Field appeared first on SOLIDWORKS Education Blog. Full Article Competitions Design FIRST Intern Stories Uncategorized Dassault Systemes drawing tools edrawings FIRST GLOBAL CHALLENGE First Robotics MySolidWorks Render SOLIDWORKS SolidWorks Education STEM Tools visualize
firs FIRST Teams Rise with SOLIDWORKS Sponsorship and Kit of Parts By blogs.solidworks.com Published On :: Sat, 04 Jan 2020 20:00:14 +0000 SOLDIWORKS is a proud sponsor of over 1,000 FIRST Robotics Competition teams worldwide, providing free software and support to teams of all sizes, from rookies to well-established robot builders. We are excited to continue our support during the 2019-2020 season, FIRST ® RISE powered by Star Wars: Force for Change. And we’re ready to empower FRC teams during INFINITE RECHARGE. Author information Sara Zuckerman Sara Zuckerman is a Content Marketing Specialist in Brand Offer Marketing for SOLIDWORKS and 3DEXPERIENCE Works. The post FIRST Teams Rise with SOLIDWORKS Sponsorship and Kit of Parts appeared first on SOLIDWORKS Education Blog. Full Article Competitions FIRST FIRST RISE First Robotics first robotics competition FRC INFINITE RECHARGE RISE SOLIDWORKS SolidWorks Education Sponsorship sponsorships student sponsorship student teams
firs Apple's first Mini LED product might not launch until 2021 By appleinsider.com Published On :: Thu, 07 May 2020 05:44:53 -0400 Apple's first product to integrate Mini LED display technology might see a later-than-expected launch timeline due to setbacks caused by the coronavirus pandemic, according to new research from TF Securities analyst Ming-Chi Kuo. Full Article
firs Osama Bin Laden’s First Draft By www.nytimes.com Published On :: Tue, 20 Oct 2015 07:21:05 GMT Jonathan Mahler’s piece on the Osama bin Laden raid is as much about the nature of journalism as it is about the facts surrounding the event. Full Article
firs First Lady's special visit By feedproxy.google.com Published On :: Fri, 28 Sep 2018 18:12:25 +0000 Puerto Quetzal, Guatemala :: Guatemala's First Lady visits Logos Hope and thanks the crewmembers for sharing knowledge, help and hope to the nations. Full Article
firs Freedom Climbers complete first leg By feedproxy.google.com Published On :: Mon, 16 Jan 2012 10:09:28 +0000 The Freedom Climbers have completed the first leg of their trek up Mt. Kilimanjaro. They climb to raise awareness and funds to combat slavery. Full Article
firs Freedom Climbers complete first few days By feedproxy.google.com Published On :: Fri, 19 Apr 2013 15:34:08 +0000 The Freedom Climb team completes the first few days of the journey to Mt. Everest Base Came and Kala Patthar Peak. Please pray for them. Full Article
firs Easter: first taste of church By feedproxy.google.com Published On :: Wed, 12 Apr 2017 18:43:43 +0000 When a worker apologises for a loud in-home worship gathering, her neighbour responds with the desire to attend church. Full Article
firs Fin24.com | MONEY CLINIC: Which debt should I pay off first in order to improve my credit score? By www.fin24.com Published On :: Wed, 12 Feb 2020 05:00:11 +0200 A Fin24 user wants to know whether paying off a car loan or credit card will make her credit score 'look better.' Full Article
firs Millie Small...Jamaica's first big star By www.jamaicaobserver.com Published On :: Sat, 9, May, 2020 12:51:50 GMT MOST people's memories of Millie Small in 1964 are of her climbing international charts with the massive hit song, My Boy Lollipop. But for Dennis Smith, it was her return to Jamaica that year that made the greatest impression. Full Article Entertainment Local Entertainment Slider
firs First steps to new life for the women in Las Tablas By feedproxy.google.com Published On :: Tue, 12 Jun 2012 12:14:19 +0000 The Lord opens doors for women in Las Tablas, a slum near San José, to learn how to sew and make mosaics. Full Article
firs Evidence-Based Updates on the First Week of Exclusive Breastfeeding Among Infants >=35 Weeks By pediatrics.aappublications.org Published On :: 2020-04-01T01:00:57-07:00 The nutritional and immunologic properties of human milk, along with clear evidence of dose-dependent optimal health outcomes for both mothers and infants, provide a compelling rationale to support exclusive breastfeeding. US women increasingly intend to breastfeed exclusively for 6 months. Because establishing lactation can be challenging, exclusivity is often compromised in hopes of preventing feeding-related neonatal complications, potentially affecting the continuation and duration of breastfeeding. Risk factors for impaired lactogenesis are identifiable and common. Clinicians must be able to recognize normative patterns of exclusive breastfeeding in the first week while proactively identifying potential challenges. In this review, we provide new evidence from the past 10 years on the following topics relevant to exclusive breastfeeding: milk production and transfer, neonatal weight and output assessment, management of glucose and bilirubin, immune development and the microbiome, supplementation, and health system factors. We focus on the early days of exclusive breastfeeding in healthy newborns ≥35 weeks’ gestation managed in the routine postpartum unit. With this evidence-based clinical review, we provide detailed guidance in identifying medical indications for early supplementation and can inform best practices for both birthing facilities and providers. Full Article
firs Edinburgh firm to open first public hydrogen refuelling station in central belt By www.heraldscotland.com Published On :: Wed, 04 Mar 2020 05:00:00 +0000 AN EDINBURGH-BASED hydrogen technology firm is to open the first public hydrogen refuelling station for vehicles in Scotland’s central belt. Full Article
firs Coronavirus: Schools in Wales could reopen in June, first minister says By www.heraldscotland.com Published On :: Sun, 03 May 2020 13:21:22 +0100 Schools in Wales could be allowed to reopen their doors next month in a phased approach, the first minister has said. Full Article
firs Obituary: Jill Gascoine, actress who played the first female police detective on British television By www.heraldscotland.com Published On :: Fri, 01 May 2020 05:04:28 +0100 Jill Gascoine, actress and novelist Full Article
firs TV review: State of Happiness; Inside Central Station; The A Word; First Dates Hotel By www.heraldscotland.com Published On :: Sat, 09 May 2020 05:30:00 +0100 SOMETIMES, for a giggle, I like to imagine what Scotland would have been like had we kept the oil for ourselves. Like Saudi Arabia without the weather and executions, maybe? Or more like canny Norway, investing the cash in a big brolly for some future rainy day? Full Article
firs Prevalence, Patterns, and Persistence of Sleep Problems in the First 3 Years of Life By pediatrics.aappublications.org Published On :: 2012-01-04T00:08:04-08:00 Sleep problems are common during childhood, but screening for sleep problems in the clinic setting is often cursory. Moreover, there are few longitudinal studies examining the prevalence and persistence of sleep problems in young children.Patterns of sleep problems vary across early development, but sleep problems arising in infancy persist in 21% of children through 36 months of age. Parent response to a nonspecific query about sleep problems may overlook relevant sleep symptoms and behaviors. (Read the full article) Full Article
firs Birth by Cesarean Delivery and Failure on First Otoacoustic Emissions Hearing Test By pediatrics.aappublications.org Published On :: 2012-06-11T00:08:09-07:00 Neonatal hearing screening occasionally fails because of several perinatal and neonatal factors. However, the effect of mode of delivery on hearing screening has not yet been established.We show significantly more failures on hearing screening in cesarean delivery infants. Hence, the timing of screening after cesarean delivery should preferably be postponed beyond 48 hours to improve success rate, minimize maternal anxiety, and decrease costs. (Read the full article) Full Article
firs Socioeconomic Outcomes in Adults Malnourished in the First Year of Life: A 40-Year Study By pediatrics.aappublications.org Published On :: 2012-06-25T00:07:30-07:00 Infant malnutrition is known to be associated with behavioral and cognitive impairment throughout childhood, adolescence, and young adulthood. However, controlled studies addressing adult outcomes in middle life, including earning potential, educational attainment, and standard of living, are limited.A discrete episode of moderate to severe malnutrition in infancy, with good rehabilitation thereafter, is associated with lower adult social status and a widening income gap relative to healthy controls, partially attributable to cognitive impairment in the previously malnourished. (Read the full article) Full Article
firs Respiratory Tract Illnesses During the First Year of Life: Effect of Dog and Cat Contacts By pediatrics.aappublications.org Published On :: 2012-07-09T00:07:45-07:00 Respiratory infectious symptoms are common during the first year of life. Day care attendance, older siblings, and lack of breastfeeding have been considered as possible factors influencing early respiratory tract infections.Children with early dog contacts seem to have fewer infectious respiratory symptoms and diseases, especially otitis, during the first year of life. (Read the full article) Full Article
firs Thrombocytopenia in the First 24 Hours After Birth and Incidence of Patent Ductus Arteriosus By pediatrics.aappublications.org Published On :: 2012-08-06T00:08:23-07:00 To date, 4 small to moderate sized studies have revealed conflicting results on the clinically important question whether thrombocytopenia contributes to persistent patent ductus arteriosus (PDA) in very immature, preterm infants.Thrombocytopenia in the first 24 hours after birth was not associated with the incidence of PDA at postnatal day of life 4 to 5 in a large cohort of preterm infants with <1500 g birth weight. Platelet dysfunction, rather than platelet number, might play a role in ductus arteriosus patency. (Read the full article) Full Article
firs Metformin's Effect on First-Year Weight Gain: A Follow-up Study By pediatrics.aappublications.org Published On :: 2012-10-15T00:08:07-07:00 The use of metformin in pregnancy is increasing in the treatment of both gestational diabetes and polycystic ovary syndrome. Metformin crosses the placenta. Teratogenicity is not reported. Possible long-term effects are undetermined.Intrauterine metformin exposure seems to have long-term effects on infant weight. At 1 year of age, infants born to women and exposed to metformin weigh more than those exposed to placebo in utero. (Read the full article) Full Article
firs Carnitine Palmitoyltransferase I and Sudden Unexpected Infant Death in British Columbia First Nations By pediatrics.aappublications.org Published On :: 2012-10-22T00:07:42-07:00 The CPT1A p.P479L variant is common to northern aboriginal populations, leads to reduced enzyme activity, and may be associated with increased infant mortality rates.The p.P479L variant is common in British Columbia First Nations with a coastal distribution correlated with regions of high infant mortality. Homozygotes display an altered acylcarnitine profile and are overrepresented in cases of sudden unexpected infant death in these areas. (Read the full article) Full Article
firs Hospitalization of Rural and Urban Infants During the First Year of Life By pediatrics.aappublications.org Published On :: 2012-11-05T00:07:49-08:00 Patients living in rural versus urban counties encounter different health care environments. Whether these differences result in different health care utilization for rural versus urban infants is not known.In this study, infants living in rural California counties were hospitalized less often than infants living in urban counties. Among those hospitalized, infants living in rural counties were hospitalized for fewer cumulative days than infants residing in urban counties. (Read the full article) Full Article
firs Physical Activity During School in Urban Minority Kindergarten and First-Grade Students By pediatrics.aappublications.org Published On :: 2012-12-03T00:07:45-08:00 Physical inactivity is one of the major modifiable factors contributing to the growing national epidemic of childhood obesity. There is lack of literature on pedometer-determined physical activity (PA) during the school day in US minority kindergarten and first-grade students.This is the first study to assess school-day PA in US urban minority kindergarten and first-grade students. Higher grade level, participation in physical education class, and outdoor recess were found to be independent predictors of PA. (Read the full article) Full Article
firs A Model to Determine the Likely Age of an Adolescent's First Drink of Alcohol By pediatrics.aappublications.org Published On :: 2013-01-06T23:57:26-08:00 First drink before age 15 greatly increases the likelihood for later alcohol abuse or dependence. Separate investigations have linked many variables to alcohol initiation, but few have attempted to identify the optimal combination of predictors for age of alcohol initiation.This article supports the screening questions selected in the joint National Institute on Alcohol Abuse and Alcoholism and the American Academy of Pediatrics initiative to identify and initiate intervention in youth at risk for early use of alcohol. (Read the full article) Full Article
firs Different Guidelines for Imaging After First UTI in Febrile Infants: Yield, Cost, and Radiation By pediatrics.aappublications.org Published On :: 2013-02-25T00:07:01-08:00 There is a lack of consensus regarding the optimal investigative approach after a first febrile urinary tract infection. This is because of uncertainty regarding the long-term clinical significance of vesicoureteral reflux and urinary tract infection–related renal scarring.No ideal diagnostic algorithm exists. We found marked variability in sensitivity and specificity for detection of abnormalities using current protocols. We also highlight the considerable cost differences, both financially and in terms of radiation dose, of different protocols. (Read the full article) Full Article
firs Perinatal Origins of First-Grade Academic Failure: Role of Prematurity and Maternal Factors By pediatrics.aappublications.org Published On :: 2013-03-25T01:07:28-07:00 Extreme prematurity is a well-established cause of cognitive and motor impairment. There is some evidence that late prematurity and modifiable maternal attributes may negatively influence scholastic achievement, including standardized test performance.We found that preterm birth significantly increases risk of first-grade failure rate even when the birth is just a few weeks before term gestation. Low maternal education status compounds the effect of prematurity. (Read the full article) Full Article
firs Spanking and Child Development Across the First Decade of Life By pediatrics.aappublications.org Published On :: 2013-10-21T00:07:34-07:00 A large and growing literature has demonstrated significant associations between the use of spanking and later child aggression, but we know less about paternal spanking, effects of spanking on cognitive development, and longer-term effects.Accounting for a broad array of risk factors, spanking predicts both aggression and receptive vocabulary across the first decade of life. Importantly, we include paternal spanking, cognitive outcomes, and a longitudinal span longer than that of much of the literature. (Read the full article) Full Article
firs Age at Menarche and Age at First Sexual Intercourse: A Prospective Cohort Study By pediatrics.aappublications.org Published On :: 2013-11-11T00:07:46-08:00 Young age at first sexual intercourse (FSI) is related to risk-taking behaviors and negative outcomes. Previous studies using a cohort or cross-sectional design have concluded that younger age at menarche (AAM) is related to younger age at FSI.This large birth cohort study is the first to address the temporal relationship between AAM and FSI. We found that younger AAM does not confer higher risk of early FSI, whether in terms of calendar age or time since menarche. (Read the full article) Full Article
firs Duration of Protection After First Dose of Acellular Pertussis Vaccine in Infants By pediatrics.aappublications.org Published On :: 2014-02-10T00:07:08-08:00 Waning effectiveness of 5 doses of acellular pertussis vaccines is well documented after 6 years of age, but data are lacking for fewer doses in younger children.In 2- to 3-month-old infants, 1 dose of the diphtheria–tetanus–acellular pertussis vaccine gave significant protection against hospitalized pertussis. The effectiveness of 3 doses decreased from 84% between 6 and 11 months to 59% after 3 years. (Read the full article) Full Article
firs Peer Mentoring for Type 2 Diabetes Prevention in First Nations Children By pediatrics.aappublications.org Published On :: 2014-05-12T00:06:54-07:00 Type 2 diabetes mellitus is one of the fastest growing pediatric chronic illnesses worldwide and disproportionately affects indigenous people from all continents.These data support the growing body of evidence that peer mentoring is an attractive strategy for teaching health behaviors and improving health outcomes in children. (Read the full article) Full Article
firs Cognitive Deficit and Poverty in the First 5 Years of Childhood in Bangladesh By pediatrics.aappublications.org Published On :: 2014-09-29T00:06:48-07:00 More than 200 million children <5 years old in low- and middle-income countries are not reaching their potential in cognitive development because of factors associated with poverty.Poverty affects children’s cognition as early as 7 months and continues to increase until 5 years of age. It is mainly mediated by parental education, birth weight, home stimulation throughout the 5 years, and growth in the first 24 months. (Read the full article) Full Article
firs Gender Differences in Adult-Infant Communication in the First Months of Life By pediatrics.aappublications.org Published On :: 2014-11-03T00:06:29-08:00 Studies have shown that reciprocal vocalizations between mother and infant have positive effects on language development. It has been shown that girls acquire vocabulary and language skills earlier than boys.Mothers more readily respond to their infant’s vocal cues than fathers, and infants show a preferential vocal response to their mothers in the first months of life. Mothers respond preferentially to infant girls versus boys at birth and 44 weeks. (Read the full article) Full Article
firs Duration of Rhinovirus Shedding in the Upper Respiratory Tract in the First Year of Life By pediatrics.aappublications.org Published On :: 2014-11-17T00:06:23-08:00 Rhinoviruses are commonly detected in both acutely ill and asymptomatic infants and children. The finding may represent new infection or prolonged presence of rhinovirus RNA in the respiratory tract.In young, otherwise healthy infants, shedding of RNA from the same rhinovirus strain rarely persisted longer than 30 days. (Read the full article) Full Article
firs Childhood Behavior Problems and Age at First Sexual Intercourse: A Prospective Birth Cohort Study By pediatrics.aappublications.org Published On :: 2015-01-26T00:05:26-08:00 Early first sexual intercourse (FSI) is a risk factor for unplanned teenage pregnancy, sexually transmitted infection, and adverse health outcomes in adolescence and into adulthood. In girls, externalizing behaviors are more strongly associated with earlier FSI than internalizing behaviors.Externalizing behavior from as early as 5 in boys and 10 in girls is a significant risk factor for earlier age at FSI. Internalizing behavior at ages 8 and 10 was associated with early FSI for boys but not girls. (Read the full article) Full Article
firs New Pediatricians: First Jobs and Future Workplace Goals By pediatrics.aappublications.org Published On :: 2015-03-23T00:05:24-07:00 Concern exists about the ability of new general pediatricians to find jobs that match their career goals.A large majority of new pediatricians secure positions consistent with their career goals and desired responsibilities. (Read the full article) Full Article
firs Antibiotic Exposure in Infancy and Risk of Being Overweight in the First 24 Months of Life By pediatrics.aappublications.org Published On :: 2015-03-30T00:05:22-07:00 Subtherapeutic doses of antibiotics have been used as growth promoters in animal farming since the 1950s. Antibiotic exposure during infancy is associated with increased body mass in humans.The weight-promoting effect of antibiotics is most pronounced when the exposure occurs at <6 months of age or repeatedly during infancy. Increased body mass is distinctly associated with exposure to cephalosporins and macrolides, especially in boys. (Read the full article) Full Article
firs First Use of a Serogroup B Meningococcal Vaccine in the US in Response to a University Outbreak By pediatrics.aappublications.org Published On :: 2015-04-27T00:05:19-07:00 Outbreaks of serogroup B meningococcal disease occur at universities and other organizations. Until October 2014, options for control of serogroup B outbreaks were limited by the absence of a licensed vaccine for serogroup B meningococcal disease in the United States.We describe a serogroup B outbreak at a university in 2013 and the campaign with investigational serogroup B vaccine held in response. This was the first use of a serogroup B vaccine as an outbreak response in the United States. (Read the full article) Full Article
firs First Pertussis Vaccine Dose and Prevention of Infant Mortality By pediatrics.aappublications.org Published On :: 2015-05-04T00:05:17-07:00 Few studies have established the protective efficacy of 1 to 3 primary doses of diphtheria-tetanus-whole-cell pertussis (DTwP)/diphtheria-tetanus-acellular pertussis (DTaP) vaccines against pertussis, hospitalization, or pertussis complications in infants. However, vaccine effectiveness against infant pertussis death has not been previously reported.This is the first study to report the protective role of ≥1 DTwP/DTaP doses among vaccine-eligible infants aged ≥6 weeks against death, hospitalization, and complications from pertussis. It describes risk markers for death among vaccine-ineligible infants aged <6 weeks. (Read the full article) Full Article
firs Outcome of Patients Initiating Chronic Peritoneal Dialysis During the First Year of Life By pediatrics.aappublications.org Published On :: 2015-08-24T00:07:08-07:00 Historically, children with end-stage renal disease who initiated chronic dialysis during the first year of life were far less likely to survive or successfully receive a kidney transplant compared with those who initiated chronic dialysis at older ages.In recent years, survival has improved markedly among children who initiate chronic peritoneal dialysis at <1 year of age. Among those infants who initiate dialysis after the neonatal period and later undergo kidney transplantation, graft survival has improved as well. (Read the full article) Full Article
firs How Schools Are Putting Equity First in Math Instruction By feedproxy.google.com Published On :: Tue, 05 May 2020 00:00:00 +0000 Educators are changing instructional priorities, altering lessons, and working on ways to help teachers grow professionally, all in an effort to raise math achievement. Full Article Mathematics
firs Straight Up Conversation: First American to Win WISE Prize for Education Innovation By feedproxy.google.com Published On :: Thu, 12 Dec 2019 00:00:00 +0000 Rick talks with Larry Rosenstock, education icon, the founder and CEO of High Tech High, and recent recipient of the WISE Prize for Education, about what he's learned after a half century in education. Full Article Innovation
firs First nursing cohorts graduate from new Penn College at Wellsboro facility By news.psu.edu Published On :: Mon, 02 Mar 2020 11:59 -0500 Twenty-two students recently graduated from Penn College at Wellsboro’s practical nursing program, the first to fulfill their requirements at a facility dedicated in May. Full Article
firs First hatches reported: Spotted lanternfly expert provides tips for management By news.psu.edu Published On :: Tue, 28 Apr 2020 12:32 -0400 Even before the recent news of the season’s first confirmed spotted lanternfly hatches in the Philadelphia region, homeowners in many parts of Pennsylvania were gearing up for their annual battle with the destructive pest. Full Article
firs Combination Therapy with Ibrexafungerp (formerly SCY-078), a First-in-Class Triterpenoid Inhibitor of (1->3)-{beta}-D-Glucan Synthesis, and Isavuconazole for Treatment of Experimental Invasive Pulmonary Aspergillosis [Experimental Therapeutics] By aac.asm.org Published On :: 2020-03-16T08:17:36-07:00 Ibrexafungerp (formerly SCY-078) is a semisynthetic triterpenoid and potent (1->3)-β-D-glucan synthase inhibitor. We investigated the in vitro activity, pharmacokinetics, and in vivo efficacy of ibrexafungerp (SCY) alone and in combination with anti-mould triazole isavuconazole (ISA) against invasive pulmonary aspergillosis (IPA). The combination of ibrexafungerp and isavuconazole in in vitro studies resulted in an additive and synergistic interactions against Aspergillus spp. Plasma concentration-time curves of ibrexafungerp were compatible with linear dose proportional profile. In vivo efficacy was studied in a well established persistently neutropenic NZW rabbit model of experimental IPA. Treatment groups included untreated rabbits (UC) and rabbits receiving ibrexafungerp at 2.5(SCY2.5) and 7.5(SCY7.5) mg/kg/day, isavuconazole at 40(ISA40) mg/kg/day, or combinations of SCY2.5+ISA40 and SCY7.5+ISA40. The combination of SCY+ISA produced in vitro synergistic interaction. There was significant in vivo reduction of residual fungal burden, lung weights, and pulmonary infarct scores in SCY2.5+ISA40, SCY7.5+ISA40, and ISA40-treatment groups vs that of SCY2.5-treated, SCY7.5-treated and UC (p<0.01). Rabbits treated with SCY2.5+ISA40 and SCY7.5+ISA40 had prolonged survival in comparison to that of SCY2.5-, SCY7.5-, ISA40-treated or UC (p<0.05). Serum GMI and (1->3)-β-D-glucan levels significantly declined in animals treated with the combination of SCY7.5+ISA40 in comparison to those treated with SCY7.5 or ISA40 (p<0.05). Ibrexafungerp and isavuconazole combination demonstrated prolonged survival, decreased pulmonary injury, reduced residual fungal burden, lower GMI and (1->3)-β-D-glucan levels in comparison to those of single therapy for treatment of IPA. These findings provide an experimental foundation for clinical evaluation of the combination of ibrexafungerp and an anti-mould triazole for treatment of IPA. Full Article