Every year the NHS faces a financial crisis.1 Seventy per cent of the NHS budget is spent on long term conditions, all of which could be improved or prevented (by some 20-40%) by physical activity….
Encouraging active travel to improve health and save money
Every year the NHS faces a financial crisis.1 Seventy per cent of the NHS budget is spent on long term conditions, all of which could be improved or prevented (by some 20-40%) by physical activity….
Apoptotic colopathy: a pragmatic approach to diagnosis
‘Apoptotic colopathy’ is an umbrella term signifying a pattern of injury where the gastrointestinal biopsy shows a colitic picture with apoptosis as the predominant histological feature. Although the entities within apoptotic colopathy share a common histological feature— ‘apoptosis’, there is
Cast of the Right Bronchial Tree
Figure 1.
Attention Deficit–Hyperactivity Disorder and Month of School Enrollment
Variable rates of diagnosis and treatment of attention deficit–hyperactivity disorder (ADHD) across the United States have aroused concern about overdiagnosis, underdiagnosis, and appropriate treatment. Over the past two decades, rates of diagnosis and treatment of ADHD have increased. Among…
Attention Deficit–Hyperactivity Disorder and Month of School Enrollment
Variable rates of diagnosis and treatment of attention deficit–hyperactivity disorder (ADHD) across the United States have aroused concern about overdiagnosis, underdiagnosis, and appropriate treatment. Over the past two decades, rates of diagnosis and treatment of ADHD have increased. Among…
Attention Deficit–Hyperactivity Disorder and Month of School Enrollment
Variable rates of diagnosis and treatment of attention deficit–hyperactivity disorder (ADHD) across the United States have aroused concern about overdiagnosis, underdiagnosis, and appropriate treatment. Over the past two decades, rates of diagnosis and treatment of ADHD have increased. Among…
Mutagenesis in Norovirus in Response to Favipiravir Treatment
To the Editor: Chronic norovirus infection in immunocompromised patients can lead to malabsorption and other complications; currently, no treatment has proved to be effective. Favipiravir is an antiviral medication that has been approved for the treatment of influenza in Japan
The FDA Sentinel Initiative — An Evolving National Resource
The Food and Drug Administration (FDA) Sentinel Initiative, which was launched in 2008, has matured from a pilot program designed to assess potential drug-safety signals in insurance claims into a core component of the agency’s evolving safety surveillance system. Sentinel
Mutagenesis in Norovirus in Response to Favipiravir Treatment
To the Editor: Chronic norovirus infection in immunocompromised patients can lead to malabsorption and other complications; currently, no treatment has proved to be effective. Favipiravir is an antiviral medication that has been approved for the treatment of influenza in Japan
Nail Pitting in Psoriasis
Figure 1.
Cast of the Right Bronchial Tree
Figure 1.
Olaparib Desensitization in a Patient with Recurrent Peritoneal Cancer
To the Editor: Olaparib, a poly(adenosine diphosphate [ADP]–ribose) polymerase (PARP) inhibitor, is a recommended and effective treatment option for patients who have relapsed, platinum-sensitive ovarian cancer, tubal cancer, or primary peritoneal cancer, regardless of BRCA mutation status.…
Effect of Genetic Diagnosis on Patients with Previously Undiagnosed Disease
Many patients with chronic diseases remain without a diagnosis despite extensive medical evaluation. In 2008, the Undiagnosed Diseases Program (UDP) was established at the National Institutes of Health (NIH) Clinical Center to meet the needs of patients with undiagnosed diseases
The value of genetic testing for family health history of adopted persons
The value of genetic testing for family health history of adopted persons The value of genetic testing for family health history of adopted persons, Published online: 29 November 2018; doi:10.1038/s41576-018-0080-4 The lack of family health history experienced by most adopted
Olaparib Desensitization in a Patient with Recurrent Peritoneal Cancer
To the Editor: Olaparib, a poly(adenosine diphosphate [ADP]–ribose) polymerase (PARP) inhibitor, is a recommended and effective treatment option for patients who have relapsed, platinum-sensitive ovarian cancer, tubal cancer, or primary peritoneal cancer, regardless of BRCA mutation status.…
Trauma-Informed Care — Reflections of a Primary Care Doctor in the Week of the Kavanaugh Hearing
Today, it was my third patient of the morning: a woman with a history of childhood sexual abuse and an abusive marriage. She shared with me her distress, her escalating nightmares and flashbacks over the past week. She held out
Rethinking community based strategies to tackle health inequities in South Asia
The world recently celebrated the 40th anniversary of the Alma Ata declaration in 1978 to provide “health for all by the year 2000.” That remarkable call for action was not followed by concerted…
From high performance to clinical practice
Bringing us all together under one roof Next October we look forward to welcoming the sports medicine world to Vancouver for Sport Physiotherapy Canada’s 1st Biennial Congress and the 3rd World Congress of Sports Physical Therapy (#SPC2019)! Together, under one
Electrophysiological properties of the South Asian heart
Objective The South Asian population has a lower burden of arrhythmia compared with Caucasians despite a higher prevalence of traditional cardiovascular risk factors. We aimed to determine whether this was due to differences in the electrophysiological properties of the South
Science is social
Science is social Science is social, Published online: 28 November 2018; doi:10.1038/s41588-018-0308-4 Well-designed science education via social media may help to reach a larger group of audiences with the aim of reducing the boundaries between researchers and the public. This
Case 36-2018: A 29-Year-Old Man with an Incidentally Discovered Renal Mass
Presentation of Case. Dr. Keyan Salari (Urology): A 29-year-old man was seen at this hospital because of an incidentally discovered renal mass. The patient had been well until 6 weeks before this evaluation, when he identified a painless lump above
Take It with a Grain of Salt
A 56-year-old woman presented to the emergency department with a 1-week history of frontotemporal headaches and nausea. She also noted mild upper respiratory symptoms and cough, which she had treated with codeine. When her headaches had progressed to what she
AR101 Oral Immunotherapy for Peanut Allergy
The prevalence of peanut allergy among children in the United States and other industrialized countries is on the rise. Peanut allergy usually persists into adulthood, is occasionally life-threatening, and accounts for the majority of deaths related to food allergy. Because
Reducing Protections for Noncitizen Children — Exacerbating Harm and Trauma
On June 26, 2018, a federal judge ordered the Trump administration to reunite families that it had separated at the U.S.–Mexico border. As of mid-October, however, an analysis by the American Civil Liberties Union showed that 245 children were still
Highlights for November 27, 2018
Obituary Krishna Murari Goel—updated version
The original version of this obituary (BMJ 2018;363:k4587, doi:10.1136/bmj.k4587, 1 November 2018) by Joyce Goel et al contained numerous errors as a result of miscommunication between the authors….
Case 36-2018: A 29-Year-Old Man with an Incidentally Discovered Renal Mass
Presentation of Case. Dr. Keyan Salari (Urology): A 29-year-old man was seen at this hospital because of an incidentally discovered renal mass. The patient had been well until 6 weeks before this evaluation, when he identified a painless lump above
Clinical epigenetics: seizing opportunities for translation
Clinical epigenetics: seizing opportunities for translation Clinical epigenetics: seizing opportunities for translation, Published online: 27 November 2018; doi:10.1038/s41576-018-0074-2 Disruptions to the epigenome occur during the pathogenesis of various human diseases. In this Review, Berdasco and Esteller describe the challenges and
AR101 Oral Immunotherapy for Peanut Allergy
The prevalence of peanut allergy among children in the United States and other industrialized countries is on the rise. Peanut allergy usually persists into adulthood, is occasionally life-threatening, and accounts for the majority of deaths related to food allergy. Because
Absence of chest pain and long-term mortality in patients with acute myocardial infarction
Objective Chest pain is the predominant symptom in patients with acute myocardial infarction (AMI). A lack of chest pain in patients with AMI is associated with higher in-hospital mortality, but whether this outcome is sustained throughout the first years after
Portal Venous Gas
Figure 1.
Probiotics for Children with Gastroenteritis
In clinical practices for adults and children, probiotics — live bacteria that are intended to have a beneficial effect in the host — are frequently recommended to treat a wide variety of diarrheal diseases. The results of thousands of studies
Take It with a Grain of Salt
A 56-year-old woman presented to the emergency department with a 1-week history of frontotemporal headaches and nausea. She also noted mild upper respiratory symptoms and cough, which she had treated with codeine. When her headaches had progressed to what she
Rebuilding the excitement of surgery: five minutes with . . . Michael Griffins
“The most important things for me, in the three years that I’ll be president, are the workforce and the workplace. We are facing a crisis in the recruitment of surgeons, not just at the top end with…
Heartbeat: The worldwide burden of atrial fibrillation
Atrial fibrillation (AF) has emerged as one of the few cardiovascular diseases in which both the number of cases and the age-adjusted prevalence has increased over the last decades in developed countries, leading to a substantial economic burden. Most data
Brigatinib versus Crizotinib in ALK-Positive Non–Small-Cell Lung Cancer
Rearrangements of the oncogenic anaplastic lymphoma kinase (ALK) gene occur in 3 to 5% of patients with non–small-cell lung cancer (NSCLC). A previous phase 3 trial showed that progression-free survival was significantly longer among patients who received crizotinib, a first-generation
Postpartum Care in the United States — New Policies for a New Paradigm
In April 2018, the American College of Obstetricians and Gynecologists (ACOG) called for a new paradigm for postpartum care in the United States. According to the ACOG committee opinion, postpartum care should be an ongoing, individualized, and woman-centered process, rather
Selective effects of heterozygous protein-truncating variants
Selective effects of heterozygous protein-truncating variants Selective effects of heterozygous protein-truncating variants, Published online: 26 November 2018; doi:10.1038/s41588-018-0291-9 Selective effects of heterozygous protein-truncating variants
A Novel Familial Cardiac Arrhythmia Syndrome with Widespread ST-Segment Depression
To the Editor: Several classic cardiac genetic disorders have been identified from specific electrocardiographic (ECG) patterns. Here, we describe five unrelated families, from three different countries, with features that appear to represent a previously unrecognized autosomal dominant syndrome.…
New Tools in the Ebola Arsenal
Human Ebola virus disease can be caused by four viruses: Sudan virus, Tai Forest virus, Bundibugyo virus, and Ebola virus (EBOV, species Zaire ebolavirus). The 2014 outbreak of EBOV in West Africa was the worst ever, with more than 28,000
New Tools in the Ebola Arsenal
Human Ebola virus disease can be caused by four viruses: Sudan virus, Tai Forest virus, Bundibugyo virus, and Ebola virus (EBOV, species Zaire ebolavirus). The 2014 outbreak of EBOV in West Africa was the worst ever, with more than 28,000
Complements from the Lung
Foreword. In this Journal feature, information about a real patient is presented in stages (boldface type) to an expert clinician, who responds to the information by sharing relevant background and reasoning with the reader (regular type). The authors’ commentary follows.
Becoming a Caregiver — Lessons from My Dad
When I imagined this moment, I always thought that it would crush me. Dad stared at me and then back at the social worker. She stood in the doorway, smiling expectantly. She asked again, more loudly than necessary: “Can you
Lethal Fentanyl and Cocaine Intoxication
To the Editor: The opioid crisis has rapidly transitioned from prescription opioids to heroin and fentanyl. We describe an outbreak of opioid intoxication in patients who had not used opioids previously and who had nonopioid substance-use disorder. Late on a
Parinaud’s Oculoglandular Syndrome in Cat Scratch Disease
Figure 1.
How lobbying blocked European safety checks for dangerous medical implants
For the past decade, European lawmakers have been at the centre of a lobbying storm. Bold plans to overhaul safety regulations for the millions of medical implants embedded in patients each…
Misconduct in science: the Panama Papers and more, much more…
Medical device industry: international investigation exposes lax regulation
The results of an international investigation tracking the harms of medical devices that have been tested inadequately or not at all are being released today. The investigation, called the Implant…
Follow the trail: Using insights from the growth of palliative care to propose a roadmap for cancer rehabilitation
Abstract Despite research explicating the benefits of cancer rehabilitation interventions to optimize physical, social, emotional, and vocational functioning, many reports document low rates of referral to and uptake of rehabilitation in oncology. Cancer rehabilitation clinicians, researchers, and policy makers could
Research Letter: Evaluation of Proposed Criteria for Research Reporting of Amniotic Fluid Embolism
[Editorial] Lung cancer screening in Europe: hurdles to overcome
Nothing worthwhile is ever easy, and this rings particularly true in the case of lung cancer screening. 1 year since the publication of a European position statement calling for the implementation of screening programmes throughout Europe, it is useful to
Agatston score of the descending aorta is independently associated with coronary events in a low-risk population
Objectives A standard coronary artery calcium scan includes part of the aorta. This additional information is often not included in routine analyses. We aimed to determine the feasibility of assessing the Agatston score of the descending aorta calcification (DAC) on
Optimal duration and predictors of diagnostic utility of patient-activated ambulatory ECG monitoring
Objective We studied the optimal duration of ambulatory event monitors for symptomatic patients and the predictors of detected events. Methods Patients with palpitations or dizziness received a patient-activated handheld event monitor which records 30 s single-lead ECG strips. Patients were
[Editorial] The most wonderful time of the year
The holiday season is almost upon us: a time of year that, for most people, brings happiness. Worries forgotten, many curl up in front of the TV to watch It’s a Wonderful Life (or the arguably superior Muppet Christmas Carol),
[Editorial] We need to talk about meat
Humans and the livestock they consume is a tale that impacts lives in a deep and meaningful sense. Human history is interwoven with production of meat for consumption, and its availability and nutritional value as a source of protein has
Thrombectomy can be considered up to 24 hours after onset of stroke, says NICE
Patients with acute ischaemic stroke should be considered for thrombectomy up to 24 hours after the onset of symptoms, the National Institute for Health and Care Excellence (NICE) has recommended in…
Correction: Role of cardiovascular imaging for the diagnosis and prognosis of cardiac amyloidosis
June 2018 (vol. 218, no. 6, pages 618.e1-7)
Einerson BD, Rodriguez CE, Kennedy AM, et al. Magnetic resonance imaging is often misleading when used as an adjunct to ultrasound in the management of placenta accreta spectrum disorders. Am J Obstet Gynecol 2018;218:618.e1-7.
Pre-Clinical Testing of Therapies for Traumatic Brain Injury
Journal of Neurotrauma, Volume 35, Issue 23, Page 2737-2754, December 1, 2018.
Investigation of clinically relevant germline variants detected by next-generation sequencing in patients with childhood cancer: a review of the literature
Genetic predisposition is an important underlying cause of childhood cancer, although the proportion of patients with childhood cancer carrying predisposing pathogenic germline variants is uncertain. This review considers the pathogenic or likely pathogenic germline variants reported by six studies that
Highlights from this issue
Acanthamoeba keratitis: confirmation of the UK outbreak and a prospective case–control study identifying contributing risk factors (see page 1621) There has been a threefold increase in Acanthamoeba keratitis among contact lens users in South East England since 2010–2011. Risk factors
Viagra for fetal growth restriction: STRIDER Consortium replies to letter by Symonds and Budge
Symonds and Budge’s comments on a news article in The BMJ about the Dutch STRIDER trial are erroneous.12 They state that the “intervention resulted in 11 infant deaths due to lung related problems.”…
In review
The end of the year is a conventional time to take stock and assess ones performance over the preceding 12-month period. Comparisons are invariably the currency of these evaluations. Both the notion of evaluation, and the use of comparisons as
The importance of ethical expertise
The kind of expertise someone who specialises in ethics has, or indeed whether it makes sense to talk of moral expertise, is keenly debated and is a far from settled issue. It has been of interest to moral philosophers, partly
Highlights from this issue
Since the UK’s Venereal Diseases Act of 1917, the burden of STI has fluctuated as described by Mohammed et al in a review surveillance data.1 While technology has changed some aspects of sexual health, many others remain all too familiar.
Less invasive is not always better
Less invasive is not always better Less invasive is not always better, Published online: 21 November 2018; doi:10.1038/s41571-018-0133-9 Less invasive is not always better
Comparison of In-Hospital and Long-term Outcomes of Sublobar Lung Cancer Surgery by VATS and Open Techniques
Objective: Sublobar resection is often used as an alternative surgical approach in lung cancer patients who are unlikely to tolerate a full lobe resection. This study aims to assess outcomes of video-assisted thoracoscopic surgeries (VATS) sublobar resection as a surgical
Integrative Proteomic Profiling Reveals PRC2-Dependent Epigenetic Crosstalk Maintains Ground-State Pluripotency
Marks and colleagues use integrative mass spectrometry to profile post-translational histone modifications and the chromatin-associated proteome in ground-state pluripotency. This reveals H3K27me3 and PRC2 as widespread hallmarks on euchromatin and heterochromatin. They show that ubiquitous chromatin-associated PRC2 protects the epigenome
KDM5 Histone Demethylase Activity Links Cellular Transcriptomic Heterogeneity to Therapeutic Resistance
Hinohara et al. demonstrate that histone demethylases KDM5A and KDM5B are key regulators of phenotypic heterogeneity in estrogen receptor (ER)-positive breast cancer. Inhibition of KDM5 activity increases sensitivity to endocrine therapy by modulating ER signaling.
Preparing For A Post-Roe World
Changes in the make-up of the Supreme Court make an overturn of the Roe v Wade decision a realistic possibility. In order to mitigate any adverse health consequences that could result from a change in the law, all stakeholders in
Single-Cell RNA Sequencing of Microglia throughout the Mouse Lifespan and in the Injured Brain Reveals Complex Cell-State Changes
Hammond et al. redefine mouse microglia states using single-cell RNA-seq and in situ brain mapping. They find that microglia are most diverse in the developing, aged, and injured brain. Using focal demyelination, they show that microglia activation states are transcriptionally and
Dangerous encounters: triggers of fatal ventricular arrhythmias and safety of interventional treatment strategies
Defined Paraventricular Hypothalamic Populations Exhibit Differential Responses to Food Contingent on Caloric State
The hypothalamic paraventricular nucleus has long been implicated in appetite regulation. Li et al. employ a multidisciplinary approach to investigate the physiological response properties of genetically labeled neural populations in this structure to food. They highlight neurons marked by glucagon-like peptide
[Editorial] The Astana Declaration: time to focus on primary health care
It has been 40 years since the Alma-Ata Declaration enshrined health as a fundamental human right and argued that primary health care was the key to delivering health for all. Although ambitious, the Declaration was just. And yet it failed.
Higher-Order Thalamocortical Inputs Gate Synaptic Long-Term Potentiation via Disinhibition
Using ex vivo patch-clamp recordings, optogenetics, and chemogenetics, Williams and Holtmaat dissect the circuits underlying sensory-driven LTP in the cortex. This reveals a circuit motif in which higher-order thalamocortical input gates plasticity of intracortical synapses via VIP-mediated disinhibition.
Excising the “surgeon ego” to accelerate progress in the culture of surgery
Recent years have seen a palpable change in the surgical community, with major efforts made to shift towards a more positive, humanistic surgical culture.123 This reflects a broad recognition that…
Retraction
Sato Y, Asoh T, Metoki N, et al. Efficacy of methylprednisolone pulse therapy on neuroleptic malignant syndrome in Parkinson’s disease. J Neurol Neurosurg Psychiatry 2003;74:574–576. This article has been retracted. The editor received a letter from Dr Yoshihiro Sato retracting this article
Highlights from this issue
Palliative care in the ED Heart failure, a common presentation in the ED is associated with significant morbidity and mortality. This is a patient group that have a poor quality of life and would benefit from early palliative care but
Testing the generality of non-genetic inheritance
Testing the generality of non-genetic inheritance Testing the generality of non-genetic inheritance, Published online: 20 November 2018; doi:10.1038/s41576-018-0079-x A study in Cell examines the pervasiveness of a classic form of non-genetic inheritance involving transposable element DNA methylation in mice. It
Highlights for November 20, 2018
Highlights for November 20, 2018
[Editorial] Family matters in diabetes care
World Diabetes Day takes place each year on Nov 14—the birthday of Frederick Banting, the Canadian physician and scientist who shared the 1923 Nobel Prize in Physiology or Medicine for his central role in the discovery and its potential for
GSK tops ranking for making drugs available to poor people
GSK, Novartis, Johnson and Johnson, and Merck KGaA have retained their 2016 positions as the leading drug companies in terms of making their products available to patients in low and middle income…
GSK tops ranking for making drugs available to poor people
GSK, Novartis, Johnson and Johnson, and Merck KGaA have retained their 2016 positions as the leading drug companies in terms of making their products available to patients in low and middle income…
Highlights from this issue
Evolving… I’ve always had a fear (and I accept it might be irrational) of becoming fixed in any set way of thinking, the ‘that’s how it’s done’ stance. Practices from 25 years ago, are now looked at (affectionately) as historical
ROBO4 variants predispose individuals to bicuspid aortic valve and thoracic aortic aneurysm
ROBO4 variants predispose individuals to bicuspid aortic valve and thoracic aortic aneurysm ROBO4 variants predispose individuals to bicuspid aortic valve and thoracic aortic aneurysm, Published online: 19 November 2018; doi:10.1038/s41588-018-0265-y Individuals with biscuspid aortic valve and ascending aortic aneurysm show
Reduced MHCII levels in relapsed AML
Reduced MHCII levels in relapsed AML Reduced MHCII levels in relapsed AML, Published online: 19 November 2018; doi:10.1038/s41571-018-0132-x Reduced MHCII levels in relapsed AML
Trial of labor after cesarean delivery in twin gestations: Systematic review and meta-analysis
Trial of labor after cesarean is offered as a routine option for singleton gestations with previous cesarean delivery. However, adequate data are not available to determine if the approach is equally valid in women with twin gestation.
Interactions between the Ig-Superfamily Proteins DIP-α and Dpr6/10 Regulate Assembly of Neural Circuits
Xu et al. demonstrate that DIP-α and Dpr6/10 heterophilic and DIP-α homophilic interactions regulate multiple aspects of circuit assembly including layer-specific targeting, cell survival, and synapse number and distribution in the Drosophila visual system.
Over half of anaesthetists have nowhere to rest during or after a shift, survey finds
The Royal College of Anaesthetists and the BMA are calling on the health secretary for England to ensure that all healthcare staff have access to high quality rest facilities.The call comes after a…
A blueprint for cancer screening and early detection: Advancing screening’s contribution to cancer control
Abstract From the mid‐20th century, accumulating evidence has supported the introduction of screening for cancers of the cervix, breast, colon and rectum, prostate (via shared decisions), and lung. The opportunity to detect and treat precursor lesions and invasive disease at
Risk classification in primary prevention of CVD according to QRISK2 and JBS3 ‘heart age, and prevalence of elevated high-sensitivity C reactive protein in the UK cohort of the EURIKA study
Objectives This study assessed cardiovascular disease (CVD) risk classification according to QRISK2, JBS3 ‘heart age’ and the prevalence of elevated high-sensitivity C reactive protein (hsCRP) in UK primary prevention patients. Method The European Study on Cardiovascular Prevention and Management in
Top-cited articles in The American Journal of Obstetrics & Gynecology: a bibliometric analysis
The American Journal of Obstetrics and Gynecology (AJOG) has had a profound influence in nearly 150 years of publishing. A bibliometric analysis, which uses citation analysis to evaluate the impact of articles, can be used to identify the most impactful
PIWI-interacting RNAs: small RNAs with big functions
PIWI-interacting RNAs: small RNAs with big functions PIWI-interacting RNAs: small RNAs with big functions, Published online: 16 November 2018; doi:10.1038/s41576-018-0073-3 PIWI-interacting RNAs (piRNAs) have numerous crucial biological roles, particularly transposon silencing in the germ line. In this Review, the authors
One-Year Outcomes after PCI Strategies in Cardiogenic Shock
Early revascularization has been shown to reduce mortality among patients with acute myocardial infarction that is complicated by cardiogenic shock. Most patients with cardiogenic shock present with multivessel coronary artery disease, which is associated with higher mortality than single-vessel…
One-Year Outcomes after PCI Strategies in Cardiogenic Shock
Early revascularization has been shown to reduce mortality among patients with acute myocardial infarction that is complicated by cardiogenic shock. Most patients with cardiogenic shock present with multivessel coronary artery disease, which is associated with higher mortality than single-vessel…
Nintedanib plus Sildenafil in Patients with Idiopathic Pulmonary Fibrosis
Idiopathic pulmonary fibrosis (IPF) is characterized by a decline in lung function, dyspnea, and impaired health-related quality of life. Recurrent epithelial injury, accelerated aging, and aberrant cellular repair mechanisms, resulting in excess deposition of extracellular matrix, are viewed as…
Brexit: Doctors must speak up about risks to patients, says BMA chair
Doctors have a “duty” to speak up about the risks that Brexit poses to patients, the BMA has said.Chaand Nagpaul, the association’s chair of council, said that the UK’s departure from the EU might…
Highlights from this issue
Artificial intelligence promises to provide innovations for many aspects of life in the 21st century, from unbeatable chess players and self-driving cars to smart houses. We can anticipate it will improve healthcare. The exponential growth of computing power makes machine
PT and OT Helper Golf Elbow: a mobile app user guide for getting a grip on medial epicondylalgia
Name of the mobile application PT and OT Helper: Golf Elbow. Category of the mobile application Health and fitness. Platform iOS V.8.0 or later; Android V.2.3 and up. Cost Apple iTunes $A12.99; Google Play $A10.99. About the app PT and
Calprotectin is not independent from baseline erosion in predicting radiological progression in early rheumatoid arthritis. Comment on ‘Calprotectin as a marker of inflammation in patients with early rheumatoid arthritis by Jonsson et al
We have read with great interest the article by Jonsson et al that was recently published online in ARD,1 which suggested that calprotectin, also known as S100A8/S100A9 heterodimer, was associated with radiographic progression in early rheumatoid arthritis (RA). Calprotectin correlates
Lessons learned from a multicentre clinical trial in Africa
Lessons learned from a multicentre clinical trial in Africa Lessons learned from a multicentre clinical trial in Africa, Published online: 15 November 2018; doi:10.1038/s41571-018-0121-0 The International Society of Paediatric Oncology (SIOP)–Paediatric Oncology in Developing Countries (PODC) Collaborative Wilms Tumour Africa
Oncogenic Amplification of Zygotic Dux Factors in Regenerating p53-Deficient Muscle Stem Cells Defines a Molecular Cancer Subtype
Kim and colleagues show that tissue regeneration elicits formation of tumors originating from adult stem cells. Purification of tumor cells enabled identification of oncogenic drivers, including Duxbl, that are normally expressed in early zygotes. Dux factors initiate tumorigenesis through an
Smoking Cessation Aids Alone Do Not Help Smokers Quit
Personalized DNA methylomics
Personalized DNA methylomics Personalized DNA methylomics, Published online: 15 November 2018; doi:10.1038/s41576-018-0076-0 A study in Nature Medicine reports the DNA methylome and transcriptome of an individual, and suggests that changes in the methylome and transcriptome might be associated with chronic
Hepatocyte-Macrophage Acetoacetate Shuttle Protects against Tissue Fibrosis
Puchalska et al. combine stable isotope tracing with untargeted metabolomics to identify the specific roles of the ketone bodies, acetoacetate (AcAc) and D-β-hydroxybutyrate (D-βOHB), in mediating metabolic plasticity in macrophages. They unveil a hepatocyte-macrophage ketone shuttle and show that AcAc protects
Transcription Factors Activate Genes through the Phase-Separation Capacity of Their Activation Domains
Activation domains from a diverse array of mammalian and yeast transcription factors form phase-separated condensates with Mediator to activate gene expression.
[Editorial] Looking beyond the Decade of Vaccines
When in 2010 the global health community declared the so-called Decade of Vaccines, it marked a path towards an ambitious vision for 2020: a world in which all individuals and communities enjoy lives free from vaccine-preventable diseases. The Global Vaccine
Whole-Brain Neuronal Activity Displays Crackling Noise Dynamics
Ponce-Alvarez et al. show that zebrafish larvae generate spontaneous neuronal avalanches across the entire brain. These collective cascading events exhibit scale invariance, typical of critical phenomena (e.g., earthquakes, paper crumpling). The brain’s critical dynamics are modulated during interactions with the environment.
Cuba pulls more than 8000 doctors out of Brazil after qualifications are questioned
Cuba has said that it will bring more than 8000 doctors back from Brazil after that country’s president elect, Jair Bolsonaro, made comments that Cuba’s health ministry called “contemptuous and…
Job-exposure matrices addressing lifestyle factors
This issue of Occupational and Environmental Medicine includes the description of a novel job-exposure matrix (JEM) designed to characterise job-specific differences in lifestyle risk factors developed by Bondo Petersen et al,1 with the aim to provide lifestyle adjustment in aetiological analyses
Ecological dynamics of the vaginal microbiome in relation to health and disease
The bacterial composition of the vaginal microbiome is thought to be related to health and disease states of women. This microbiome is particularly dynamic, with compositional changes related to pregnancy, menstruation, and disease states such as bacterial vaginosis. In order
Author Correction: Germline HAVCR2 mutations altering TIM-3 characterize subcutaneous panniculitis-like T cell lymphomas with hemophagocytic lymphohistiocytic syndrome
Author Correction: Germline HAVCR2 mutations altering TIM-3 characterize subcutaneous panniculitis-like T cell lymphomas with hemophagocytic lymphohistiocytic syndrome Author Correction: Germline HAVCR2 mutations altering TIM-3 characterize subcutaneous panniculitis-like T cell lymphomas with hemophagocytic lymphohistiocytic syndrome, Published online: 14 November 2018; doi:10.1038/s41588-018-0304-8
Cancer chromatin accessed
Cancer chromatin accessed Cancer chromatin accessed, Published online: 14 November 2018; doi:10.1038/s41576-018-0075-1 A study in Science reports the genome-wide chromatin accessibility profiles across 23 cancer types from The Cancer Genome Atlas and notably increases the number of known gene regulatory
Heart failure and its causes: high blood pressure, atrial fibrillation, radiotherapy, and chemotherapy
A dental sinus mimicking skin cancer
A 79 year old man was investigated for a six month history of an asymptomatic, slowly growing, indurated area on the cheek (fig 1). Histology excluded malignancy. Orthopantomography showed an…
Marital status and cardiovascular disease risk
The association between marital status and outcomes in patients with cardiovascular disease (CVD) has been controversial. In order to address this issue, Wong and colleagues1 performed a meta-analysis that included 34 studies with more than two million participants. Being unmarried,
Highlights from this issue
Complete control ‘Complete control’, the 1977 single from the Clash, was a violent response to attempts by record company executives to control the band’s output. Health professionals and patients, also aspire to complete control – of asthma. In a systematic
Self-Administered Vaginal Lidocaine Gel for Pain Management with Intrauterine Device Insertion: A Blinded, Randomized Controlled Trial
A major barrier to intrauterine device use is fear of pain during insertion. Trials exploring analgesic interventions for intrauterine device insertion have yielded mixed results, and no standardized pain management guidelines currently exist for this procedure. In an abortion-related study,
The Microbial Metabolite Butyrate Stimulates Bone Formation via T Regulatory Cell-Mediated Regulation of WNT10B Expression
Tyagi et al. show that oral supplementation with the widely used probiotic, Lactobacillus rhamnosus GG (LGG), increases bone mass in mice by increasing the serum levels of the short chain fatty acid butyrate. LGG or butyrate increase the frequency of regulatory
Publisher Correction: Allele-defined genome of the autopolyploid sugarcane Saccharum spontaneum L
Publisher Correction: Allele-defined genome of the autopolyploid sugarcane Saccharum spontaneum L Publisher Correction: Allele-defined genome of the autopolyploid sugarcane Saccharum spontaneum L, Published online: 13 November 2018; doi:10.1038/s41588-018-0293-7 Publisher Correction: Allele-defined genome of the autopolyploid sugarcane Saccharum spontaneum L
[Editorial] Will Europe be ready for the treatment of Alzheimer’s disease?
Tremendous effort has been dedicated by the research community to further our understanding of the complexities of Alzheimer’s disease. Knowledge that pathological processes start many years before clinical symptoms has highlighted the importance of identifying a disease-modifying drug that can
[Editorial] The EpiPen shortage: how has it come to this?
Children with severe allergies, and their parents, remain in a state of anxiety as an international shortage of life-saving medication continues. EpiPens, the leading brand of epinephrine autoinjectors used to treat anaphylaxis, have been in short supply since November, 2017.
Highlights for November 13, 2018
Mesh scandal: lessons from Wall Street ignored
The mesh scandal is all too familiar.1 It joins a growing list of scandals where commercial conflicts of interest (COIs) and effective marketing of a defective product have led to serious injury and…
Addendum: Low-value approvals and high prices might incentivize ineffective drug development
Addendum: Low-value approvals and high prices might incentivize ineffective drug development Addendum: Low-value approvals and high prices might incentivize ineffective drug development, Published online: 12 November 2018; doi:10.1038/s41571-018-0120-1 Addendum: Low-value approvals and high prices might incentivize ineffective drug development
Widespread Selection for Oncogenic Mutant Allele Imbalance in Cancer
Bielski et al. describe widespread allele imbalance in cancer, which is selected for via modest dosage increases of gain-of-fitness mutations and can be driven by antecedent oncogenic mutations. Loss of the normal allele is driven by competitive fitness and correlates with
Author Correction: Reference component analysis of single-cell transcriptomes elucidates cellular heterogeneity in human colorectal tumors
Author Correction: Reference component analysis of single-cell transcriptomes elucidates cellular heterogeneity in human colorectal tumors Author Correction: Reference component analysis of single-cell transcriptomes elucidates cellular heterogeneity in human colorectal tumors, Published online: 12 November 2018; doi:10.1038/s41588-018-0299-1 Author Correction: Reference component
Concern about NHS is key factor in shift in views on Brexit
Concern about the NHS is a key factor in driving “leavers” to want to back “remain” in any new referendum on Brexit, results of a YouGov poll indicate.The YouGov survey of about 8000 UK citizens was…
Reuse of catheters and devices labelled for single use: evidence, recommendations and oversight
Introduction Cardiovascular disease has become the most common cause of death and morbidity throughout the world, not just the affluent societies. In 2015, there were 422 million prevalent cases of cardiovascular disease worldwide, and it accounted for an estimated 30%
Patient and physician view on patient information and decision-making in congenital aortic and pulmonary valve surgery
Background To assess the current state of patient information and decision-making in congenital aortic and pulmonary valve disease, we conducted a survey among patients, parents and physicians. Methods A questionnaire was sent by ground mail to 157 adults and 32
Active surveillance for prostate and thyroid cancers: evolution in clinical paradigms and lessons learned
Active surveillance for prostate and thyroid cancers: evolution in clinical paradigms and lessons learned Active surveillance for prostate and thyroid cancers: evolution in clinical paradigms and lessons learned, Published online: 09 November 2018; doi:10.1038/s41571-018-0116-x Broad population screening of asymptomatic individuals
Clarifications in reply to Rottenstreich and colleagues
Audit paints “bleak picture” of diabetes care in England and Wales
Around 1.5 million people with diabetes are not getting the care they need, in what health campaigners describe as a “bleak picture” of treatment.Although a growing number of people with diabetes in…
Whats in a name? ‘Non-coeliac gluten or wheat sensitivity: controversies and mechanisms related to wheat and gluten causing gastrointestinal symptoms or disease
Introduction The global population has more than doubled over the past 40 years, supported by the ‘green revolution’ in agriculture producing high-yield grain varieties, including wheat, that are central to the modern diet.1 Wheat covers more than 200 million hectares
Olaparib maintenance moves to first line
Olaparib maintenance moves to first line Olaparib maintenance moves to first line, Published online: 08 November 2018; doi:10.1038/s41571-018-0126-8 Olaparib maintenance moves to first line
In Vitro Expansion of Primary Human Hepatocytes with Efficient Liver Repopulation Capacity
Hui et al. developed a defined medium to expand primary human hepatocytes to a large quantity. Proliferating human hepatocytes show both hepatocyte and progenitor features and could be reverted to mature phenotypes in an organoid culture and notably can repopulate mouse
Current and future perspectives of liquid biopsies in genomics-driven oncology
Current and future perspectives of liquid biopsies in genomics-driven oncology Current and future perspectives of liquid biopsies in genomics-driven oncology, Published online: 08 November 2018; doi:10.1038/s41576-018-0071-5 Liquid biopsies enable non-invasive, longitudinal analysis of tumour components (including circulating tumour cells and circulating tumour
Interleukin-17 Drives Interstitial Entrapment of Tissue Lipoproteins in Experimental Psoriasis
HDL removes tissue cholesterol and recirculates to the plasma. Huang et al. generated a photoactivatable HDL tracking tool that they applied to psoriasis, which has been clinically linked to cardiovascular comorbidity. They find that Th17 autoimmunity promotes collagen deposition in skin
Merkel Cells Activate Sensory Neural Pathways through Adrenergic Synapses
Hoffman et al. reveal the molecular machinery underlying neurotransmission at a gentle-touch receptor. Employing Eccles’s classical criteria for a chemical synapse, they show that epithelial Merkel cells communicate with sensory neurons through β2-adrenergic receptors at excitatory synapses.
Reconstructing the Deep Population History of Central and South America
A large-scale analysis of ancient genomes from Central and South America yields insights into the peopling of the Americas, including four southward population spreads and notable population continuity in much of South America after arrival.
[Editorial] GBD 2017: a fragile world
Since The Lancet published the first Global Burden of Disease Study (GBD) over 10 years ago, every new iteration has brought improvements in data quality and quantity. With the sharpening of these estimates came a reassuring message: year on year,
Antibiotic resistant bacteria cause nearly one in five infections in wealthy countries, report warns
Resistance to second and third line antibiotics is set to increase by 70% by 2030 if effective public health measures are not implemented, a report has warned.1Nearly a fifth of infections occurring…
Two-stage screening for preterm preeclampsia at 11-13 weeks’ gestation
Screening for preeclampsia (PE) at 11-13 weeks’ gestation by a combination of maternal factors, mean arterial pressure (MAP), uterine artery pulsatility index (UtA-PI) and serum placental growth factor (PlGF) (triple test) can predict about 90% of PE, with delivery at
Human disease mutations highlight the inhibitory function of TIM-3
Human disease mutations highlight the inhibitory function of TIM-3 Human disease mutations highlight the inhibitory function of TIM-3, Published online: 07 November 2018; doi:10.1038/s41588-018-0289-3 A new study identifies loss-of-function mutations in HAVCR2, which encodes TIM-3, in patients with a rare
What’s new in the Fourth Universal Definition of Myocardial infarction?
When myocardial infarction (MI) was redefined in 2000 it was stated that myocardial injury detected by abnormal cardiac biomarkers in the setting of acute myocardial ischaemia should be labelled as myocardial infarction. Since then, this principle has remained a fundamental
[Editorial] Drug pricing: still a barrier to elimination of HCV
On Sept 24, 2018, Gilead announced plans to introduce generic versions of two of their key treatment regimens for chronic hepatitis C virus (HCV) infection—the pangenotypic combination sofosbuvir/velpatasvir (marketed as Epclusa) and sofosbuvir/ledipasvir (Harvoni)—in the USA. The generic versions will
Under 16s are at highest risk of being stabbed going home from school, UK study finds
Children under 16 are at the highest risk of being stabbed when going home from school, a large UK study has found.1“The period immediately after school accounts for a large proportion of [stabbing]…
Interferon enhances immune-checkpoint inhibition
Interferon enhances immune-checkpoint inhibition Interferon enhances immune-checkpoint inhibition, Published online: 06 November 2018; doi:10.1038/s41571-018-0128-6 Interferon enhances immune-checkpoint inhibition
Equitably improving outcomes for cancer survivors and supporting caregivers: A blueprint for care delivery, research, education, and policy
Abstract Cancer care delivery is being shaped by growing numbers of cancer survivors coupled with provider shortages, rising costs of primary treatment and follow‐up care, significant survivorship health disparities, increased reliance on informal caregivers, and the transition to value‐based care.
Author Correction: Distinguishing genetic correlation from causation across 52 diseases and complex traits
Author Correction: Distinguishing genetic correlation from causation across 52 diseases and complex traits Author Correction: Distinguishing genetic correlation from causation across 52 diseases and complex traits, Published online: 06 November 2018; doi:10.1038/s41588-018-0296-4 Author Correction: Distinguishing genetic correlation from causation across
Hippo Kinases Mst1 and Mst2 Sense and Amplify IL-2R−STAT5 Signaling in Regulatory T Cells to Establish Stable Regulatory Activity
Treg cells respond to low IL-2 levels, but how STAT5 is activated under these conditions remains uncertain. Shi et al. demonstrate that the serine/threonine kinases Mst1 and Mst2 sense IL-2 signals to promote STAT5 activation to maintain Treg cell homeostasis, lineage
Disability-free survival after coronary artery bypass grafting in women and men with heart failure
Objective Heart failure (HF) impairs survival post coronary artery bypass grafting (CABG), but little is known about the postoperative quality of life (QoL) in patients with HF. We derived a patient-centred QoL surrogate and assessed the impact of different HF
Highlights for November 6, 2018
Public spending must improve health, not just healthcare
Last week’s budget held few surprises for the NHS because the “star bunnies”1 had already been released from the chancellor’s hat by the prime minister, whose summer announcement included a £20.5bn…
Survival data from PALOMA-3 reported
Survival data from PALOMA-3 reported Survival data from PALOMA-3 reported, Published online: 05 November 2018; doi:10.1038/s41571-018-0125-9 Survival data from PALOMA-3 reported
A deep learning approach to automate refinement of somatic variant calling from cancer sequencing data
A deep learning approach to automate refinement of somatic variant calling from cancer sequencing data A deep learning approach to automate refinement of somatic variant calling from cancer sequencing data, Published online: 05 November 2018; doi:10.1038/s41588-018-0257-y A machine learning approach
[Editorial] Microelimination could be a big deal for HCV and HIV services
On October 10, the British HIV Association (BHIVA) announced ambitious targets for the elimination of hepatitis C virus (HCV) in patients with HIV by 2021: the aim is to cure HCV in 80% of those co-infected by April 2019, 90%
State of the Science on Pediatric Mild Traumatic Brain Injury
Over the past 20 years, medical professionals and the general public have gained clearer understanding that mild traumatic brain injury (mTBI), or concussion, is often not a benign, self-limited condition as once thought. Rather, it may result in persistent physical,
Hospital suspends chemotherapy because of nurse shortage
The decision by a NHS trust to stop providing chemotherapy at one of its hospitals because it has too few specialist cancer nurses to staff the unit has reignited the debate about nursing…
Spontaneous coronary artery dissection: contemporary aspects of diagnosis and patient management
Spontaneous coronary artery dissection is an increasingly recognised cause of acute coronary syndromes, especially in young and middle-age women. Recognising its particularities and differences with atherosclerotic disease is central for appropriately identifying and approaching these patients. The authors review the
A case for not adjusting birth weight customized standards for ethnicity: Observations from a unique Australian cohort
Low birth weight is more common in infants of Indigenous (Aboriginal and/or Torres Strait Islander) than of Caucasian Australian mothers. Controversy exists on whether fetal growth is normally different in different populations.
Civilian Gunshot Wounds to the Head: Prognostic Factors Affecting Mortality: Meta-Analysis of 1774 Patients
Journal of Neurotrauma, Volume 35, Issue 22, Page 2605-2614, November 15, 2018.
Author Correction: A genome-wide cross-trait analysis from UK Biobank highlights the shared genetic architecture of asthma and allergic diseases
Author Correction: A genome-wide cross-trait analysis from UK Biobank highlights the shared genetic architecture of asthma and allergic diseases Author Correction: A genome-wide cross-trait analysis from UK Biobank highlights the shared genetic architecture of asthma and allergic diseases, Published online:
Autism spectrum disorder: insights into convergent mechanisms from transcriptomics
Autism spectrum disorder: insights into convergent mechanisms from transcriptomics Autism spectrum disorder: insights into convergent mechanisms from transcriptomics, Published online: 02 November 2018; doi:10.1038/s41576-018-0066-2 Transcriptome profiling in different brain regions has revealed distinct patterns of gene and non-coding RNA expression,
Pre-test characteristics of unstable angina patients with obstructive coronary artery disease confirmed by coronary angiography
Objective Patients referred for acute coronary angiography (CAG) with unstable angina (UA) have low mortality and low rate of obstructive coronary artery disease (CAD). Better pre-test selection criteria are warranted. We aimed to assess the current guidelines against other clinical
[Comment] 9 weeks that matter for patients with gastric cancer
Unresectable advanced or metastatic gastric cancer remains a difficult-to-manage disease, with poor median overall survival associated with first-line and second-line palliative systemic treatment. Therefore, there is an urgent need to further improve survival and to provide additional therapeutic options to
[Comment] Bortezomib-based chemotherapy in mantle cell lymphoma
Management of patients with newly diagnosed mantle cell lymphoma is fairly well established. For younger patients, treatment involves high-dose cytarabine-based chemotherapy, which is usually consolidated with stem-cell transplantation and rituximab maintenance therapy. For older patients, in whom high-intensity therapy is
[Comment] Genotype-guided fluoropyrimidine dosing: ready for implementation
More than 20 years have passed since dihydropyrimidine dehydrogenase (DPD; encoded by the gene DPYD) deficiency was first described as a pharmacogenetic syndrome, which puts patients with reduced activity of this key catabolic enzyme at risk of toxicity from fluoropyrimidine-based
[Comment] Avelumab in non-small-cell lung cancer
Antibodies targeting PD-1 (eg, nivolumab and pembrolizumab), or its ligand, PD-L1 (eg, atezolizumab), are approved as second-line therapy in non-small-cell lung cancer (NSCLC). The American Society of Clinical Oncology’s 2017 Clinical Practice Guideline1 recommended pembrolizumab as second-line therapy in patients
[Comment] Elastic compression therapy to prevent post-thrombotic syndrome
Several studies have been done to evaluate the effects of elastic compression stockings in reducing the intensity of post-thrombotic syndrome. Most of the studies have shown benefit of the application of elastic compression therapy in patients with acute proximal deep
Hemoglobinopathies in the Fetal Position
The hemoglobinopathies, disorders that are caused by mutations in genes that encode the “adult” globins, exert a devastating toll on patients and their families. Worldwide, approximately 300,000 babies are born with sickle cell disease and 60,000 are born with β-thalassemia
Case 33-2018: A 57-Year-Old Man with Confusion, Fever, Malaise, and Weight Loss
Presentation of Case. Dr. Joshua A. Cohen (Medicine): A 57-year-old man presented to this hospital with confusion, cough, fever, and unintentional weight loss. The patient had been in his usual state of health until approximately 7 weeks before this presentation,
Aplastic Anemia
Aplastic anemia is a disease with a long history. The first case description was published by Paul Ehrlich in 1888, the term “anemia aplastique” originated with Louis Henri Vaquez in 1904, and clinical features were described by Richard C. Cabot
Using HPV test in cervical screening may allow some women to stop earlier
Replacing traditional smear tests used in cervical cancer screening with a new test that detects human papillomavirus (HPV) DNA may allow regular testing to stop earlier for some women, a study…
Efficacy and safety of ramucirumab-containing chemotherapy in patients with pretreated metastatic gastric neuroendocrine carcinoma
Background Ramucirumab (RAM), a monoclonal antibody for vascular endothelial growth factor 2 (VEGFR2), has been effective for advanced gastric adenocarcinoma (AC). However, little is known about the efficacy of RAM-containing chemotherapy (RAM-CTx) in gastric neuroendocrine carcinoma (G-NEC). Methods We retrospectively
Introducing the Metastatic Breast Cancer Project: a novel patient-partnered initiative to accelerate understanding of MBC
Click here to listen to the Podcast
Hemoglobinopathies in the Fetal Position
The hemoglobinopathies, disorders that are caused by mutations in genes that encode the “adult” globins, exert a devastating toll on patients and their families. Worldwide, approximately 300,000 babies are born with sickle cell disease and 60,000 are born with β-thalassemia
The causes of evolvability and their evolution
The causes of evolvability and their evolution The causes of evolvability and their evolution, Published online: 01 November 2018; doi:10.1038/s41576-018-0069-z In this article, Payne and Wagner discuss how recent experimental studies are complementing theoretical work to enhance our understanding of
Spinal Brucellosis
Figure 1.
Syphilitic Alopecia
Figure 1.
Frontiers in cardiovascular computed tomography: FFRCT, CT/PET, and radiation exposure
For the podcast associated with this article, please visit https://academic.oup.com/eurheartj/pages/Podcasts.
Case 33-2018: A 57-Year-Old Man with Confusion, Fever, Malaise, and Weight Loss
Presentation of Case. Dr. Joshua A. Cohen (Medicine): A 57-year-old man presented to this hospital with confusion, cough, fever, and unintentional weight loss. The patient had been in his usual state of health until approximately 7 weeks before this presentation,
Diverticulitis
Foreword. This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author’s clinical recommendations. Stage.
Hemoglobinopathies in the Fetal Position
The hemoglobinopathies, disorders that are caused by mutations in genes that encode the “adult” globins, exert a devastating toll on patients and their families. Worldwide, approximately 300,000 babies are born with sickle cell disease and 60,000 are born with β-thalassemia
Food Sensation Modulates Locomotion by Dopamine and Neuropeptide Signaling in a Distributed Neuronal Network
In this study of C. elegans food response behavior, the underlying circuitry is identified by dopaminergic neurons signaling the presence of food to interneurons that release neuropeptides and regulate locomotion by conferring distinct motoneuron responses via specific neuropeptide receptor expression.
Brain Tissue–Volume Changes in Cosmonauts
To the Editor: Long-duration spaceflight has detrimental effects in several physiological systems. Several studies have shown an upward shift of the cerebral hemispheres, a decrease in frontotemporal volume, and an increase in ventricle size after spaceflight. However, information is limited
Neuroendocrine neoplasia goes molecular — time for a change
Neuroendocrine neoplasia goes molecular — time for a change Neuroendocrine neoplasia goes molecular — time for a change, Published online: 02 November 2018; doi:10.1038/s41571-018-0118-8 In a cohort of 100 patients with neuroendocrine cancer, the use of NETest enabled earlier prediction
Distinct Regulation of Th17 and Th1 Cell Differentiation by Glutaminase-Dependent Metabolism
Glutamine metabolism, and its effects on chromatin, promotes Th17 but constrains Th1 and CTL effector cell differentiation.
[Editorial] High noon for a sensible decision on Brexit
In the past 2 weeks, the sorry state of the political stalemate over Brexit negotiations—the conditions under which the UK will leave the EU on March 29, 2019—have taken a turn for the worse. With 146 days to go, the
Triple CFTR Modulator Therapy for Cystic Fibrosis
Cystic fibrosis is one of the most common life-threatening autosomal recessive disorders, affecting approximately 80,000 children and adults worldwide. It is caused by mutations that result in deficient or defective function of the cystic fibrosis transmembrane conductance regulator (CFTR), an…
Psychiatric disorders associated with intimate partner violence and sexual violence in Thai women: Aresult from the Thai National Mental Health Survey
Background Intimate partner violence (IPV) and sexual violence (SV) occur commonly and are a violation of basic human rights. There are limited studies to date that examine the impact of IPV, SV and mental health outcomes in Thailand. Aims The
Why junior doctors need more autonomy
Junior doctors are discontented. Our professional bodies acknowledge low morale and high stress, but key concerns remain.In a national BMA survey conducted in 2017, 61% of 422 English doctors in…
Scandinavian sports medicine congress with high impact
Welcome to this year’s Danish Society of Sports Physical Therapy issue. We highlight some of the researchers whose work we had the privilege of presenting at the Scandinavian Congress of Medicine and Science in Sports in Copenhagen, February 2018. You
Hairy Cell Leukemia Treatment Approved [News in Brief]
The FDA approved moxetumomab pasudotox-tdfk, a CD22-directed recombinant immunotoxin, for patients with relapsed/refractory hairy cell leukemia who have not responded to at least two prior treatments, including a purine nucleoside analogue.
Modified T Cells Home to Brain Tumors [News in Brief]
In a recent study, researchers investigated why brain cancers are impervious to T cells, and used their findings to create reengineered T cells that are better able to move into tumors. Their “homing system” could improve CAR T-cell therapies for
Osimertinib Treats CNS Metastases in NSCLC [News in Brief]
The EGFR inhibitor osimertinib may be an effective therapy for patients with untreated non–small cell lung cancer who have brain metastases. In a recent study, the drug extended median progression-free survival and increased objective response rates compared with the first-generation
Illuminating Aberrant mRNA Events in CLL [News in Brief]
Findings from a recent study suggest that intronic polyadenylation, a form of mRNA processing, is aberrant and widespread in chronic lymphocytic leukemia, targeting multiple genes. This results in truncated proteins that no longer function as effective tumor suppressors and, in
Epacadostat plus Pembrolizumab Is Well Tolerated in a Phase I Trial [Clinical Trials]
Epacadostat plus pembrolizumab achieved responses in 40% of patients with advanced solid tumors.