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Showing papers by "Université libre de Bruxelles published in 2020"


Journal ArticleDOI
TL;DR: Olfactory and gustatory disorders are prevalent symptoms in European CO VID-19 patients, who may not have nasal symptoms, and the sudden anosmia or ageusia need to be recognized by the international scientific community as important symptoms of the COVID-19 infection.
Abstract: To investigate the occurrence of olfactory and gustatory dysfunctions in patients with laboratory-confirmed COVID-19 infection. Patients with laboratory-confirmed COVID-19 infection were recruited from 12 European hospitals. The following epidemiological and clinical outcomes have been studied: age, sex, ethnicity, comorbidities, and general and otolaryngological symptoms. Patients completed olfactory and gustatory questionnaires based on the smell and taste component of the National Health and Nutrition Examination Survey, and the short version of the Questionnaire of Olfactory Disorders-Negative Statements (sQOD-NS). A total of 417 mild-to-moderate COVID-19 patients completed the study (263 females). The most prevalent general symptoms consisted of cough, myalgia, and loss of appetite. Face pain and nasal obstruction were the most disease-related otolaryngological symptoms. 85.6% and 88.0% of patients reported olfactory and gustatory dysfunctions, respectively. There was a significant association between both disorders (p < 0.001). Olfactory dysfunction (OD) appeared before the other symptoms in 11.8% of cases. The sQO-NS scores were significantly lower in patients with anosmia compared with normosmic or hyposmic individuals (p = 0.001). Among the 18.2% of patients without nasal obstruction or rhinorrhea, 79.7% were hyposmic or anosmic. The early olfactory recovery rate was 44.0%. Females were significantly more affected by olfactory and gustatory dysfunctions than males (p = 0.001). Olfactory and gustatory disorders are prevalent symptoms in European COVID-19 patients, who may not have nasal symptoms. The sudden anosmia or ageusia need to be recognized by the international scientific community as important symptoms of the COVID-19 infection.

2,030 citations


Journal ArticleDOI
Qian Zhang1, Paul Bastard2, Paul Bastard3, Zhiyong Liu1  +169 moreInstitutions (34)
23 Oct 2020-Science
TL;DR: The COVID Human Genetic Effort established to test the general hypothesis that life-threatening COVID-19 in some or most patients may be caused by monogenic inborn errors of immunity to SARS-CoV-2 with incomplete or complete penetrance finds an enrichment in variants predicted to be loss-of-function (pLOF), with a minor allele frequency <0.001.
Abstract: Clinical outcome upon infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ranges from silent infection to lethal coronavirus disease 2019 (COVID-19). We have found an enrichment in rare variants predicted to be loss-of-function (LOF) at the 13 human loci known to govern Toll-like receptor 3 (TLR3)- and interferon regulatory factor 7 (IRF7)-dependent type I interferon (IFN) immunity to influenza virus in 659 patients with life-threatening COVID-19 pneumonia relative to 534 subjects with asymptomatic or benign infection. By testing these and other rare variants at these 13 loci, we experimentally defined LOF variants underlying autosomal-recessive or autosomal-dominant deficiencies in 23 patients (3.5%) 17 to 77 years of age. We show that human fibroblasts with mutations affecting this circuit are vulnerable to SARS-CoV-2. Inborn errors of TLR3- and IRF7-dependent type I IFN immunity can underlie life-threatening COVID-19 pneumonia in patients with no prior severe infection.

1,659 citations


Journal ArticleDOI
B. P. Abbott1, R. Abbott1, T. D. Abbott2, Sheelu Abraham3  +1271 moreInstitutions (145)
TL;DR: In 2019, the LIGO Livingston detector observed a compact binary coalescence with signal-to-noise ratio 12.9 and the Virgo detector was also taking data that did not contribute to detection due to a low SINR but were used for subsequent parameter estimation as discussed by the authors.
Abstract: On 2019 April 25, the LIGO Livingston detector observed a compact binary coalescence with signal-to-noise ratio 12.9. The Virgo detector was also taking data that did not contribute to detection due to a low signal-to-noise ratio, but were used for subsequent parameter estimation. The 90% credible intervals for the component masses range from to if we restrict the dimensionless component spin magnitudes to be smaller than 0.05). These mass parameters are consistent with the individual binary components being neutron stars. However, both the source-frame chirp mass and the total mass of this system are significantly larger than those of any other known binary neutron star (BNS) system. The possibility that one or both binary components of the system are black holes cannot be ruled out from gravitational-wave data. We discuss possible origins of the system based on its inconsistency with the known Galactic BNS population. Under the assumption that the signal was produced by a BNS coalescence, the local rate of neutron star mergers is updated to 250-2810.

1,189 citations


Journal ArticleDOI
TL;DR: The preparedness and vulnerability of African countries against their risk of importation of COVID-19 is evaluated, finding that countries with the highest importation risk have moderate to high capacity to respond to outbreaks and countries at moderate risk have variable capacity and high vulnerability.

939 citations


Journal ArticleDOI
TL;DR: This Consensus Statement is the outcome of a 2-year-long discussion among EMT researchers and aims to both clarify the nomenclature and provide definitions and guidelines for EMT research in future publications to reduce misunderstanding and misinterpretation of research data generated in various experimental models.
Abstract: Epithelial-mesenchymal transition (EMT) encompasses dynamic changes in cellular organization from epithelial to mesenchymal phenotypes, which leads to functional changes in cell migration and invasion. EMT occurs in a diverse range of physiological and pathological conditions and is driven by a conserved set of inducing signals, transcriptional regulators and downstream effectors. With over 5,700 publications indexed by Web of Science in 2019 alone, research on EMT is expanding rapidly. This growing interest warrants the need for a consensus among researchers when referring to and undertaking research on EMT. This Consensus Statement, mediated by 'the EMT International Association' (TEMTIA), is the outcome of a 2-year-long discussion among EMT researchers and aims to both clarify the nomenclature and provide definitions and guidelines for EMT research in future publications. We trust that these guidelines will help to reduce misunderstanding and misinterpretation of research data generated in various experimental models and to promote cross-disciplinary collaboration to identify and address key open questions in this research field. While recognizing the importance of maintaining diversity in experimental approaches and conceptual frameworks, we emphasize that lasting contributions of EMT research to increasing our understanding of developmental processes and combatting cancer and other diseases depend on the adoption of a unified terminology to describe EMT.

931 citations


Journal ArticleDOI
Richard J. Abbott1, T. D. Abbott2, Sheelu Abraham3, Fausto Acernese4  +1334 moreInstitutions (150)
TL;DR: In this paper, the authors reported the observation of a compact binary coalescence involving a 222 −243 M ⊙ black hole and a compact object with a mass of 250 −267 M ⋆ (all measurements quoted at the 90% credible level) The gravitational-wave signal, GW190814, was observed during LIGO's and Virgo's third observing run on 2019 August 14 at 21:10:39 UTC and has a signal-to-noise ratio of 25 in the three-detector network.
Abstract: We report the observation of a compact binary coalescence involving a 222–243 M ⊙ black hole and a compact object with a mass of 250–267 M ⊙ (all measurements quoted at the 90% credible level) The gravitational-wave signal, GW190814, was observed during LIGO's and Virgo's third observing run on 2019 August 14 at 21:10:39 UTC and has a signal-to-noise ratio of 25 in the three-detector network The source was localized to 185 deg2 at a distance of ${241}_{-45}^{+41}$ Mpc; no electromagnetic counterpart has been confirmed to date The source has the most unequal mass ratio yet measured with gravitational waves, ${0112}_{-0009}^{+0008}$, and its secondary component is either the lightest black hole or the heaviest neutron star ever discovered in a double compact-object system The dimensionless spin of the primary black hole is tightly constrained to ≤007 Tests of general relativity reveal no measurable deviations from the theory, and its prediction of higher-multipole emission is confirmed at high confidence We estimate a merger rate density of 1–23 Gpc−3 yr−1 for the new class of binary coalescence sources that GW190814 represents Astrophysical models predict that binaries with mass ratios similar to this event can form through several channels, but are unlikely to have formed in globular clusters However, the combination of mass ratio, component masses, and the inferred merger rate for this event challenges all current models of the formation and mass distribution of compact-object binaries

913 citations


Journal ArticleDOI
Jens Kattge1, Gerhard Bönisch2, Sandra Díaz3, Sandra Lavorel  +751 moreInstitutions (314)
TL;DR: The extent of the trait data compiled in TRY is evaluated and emerging patterns of data coverage and representativeness are analyzed to conclude that reducing data gaps and biases in the TRY database remains a key challenge and requires a coordinated approach to data mobilization and trait measurements.
Abstract: Plant traits-the morphological, anatomical, physiological, biochemical and phenological characteristics of plants-determine how plants respond to environmental factors, affect other trophic levels, and influence ecosystem properties and their benefits and detriments to people. Plant trait data thus represent the basis for a vast area of research spanning from evolutionary biology, community and functional ecology, to biodiversity conservation, ecosystem and landscape management, restoration, biogeography and earth system modelling. Since its foundation in 2007, the TRY database of plant traits has grown continuously. It now provides unprecedented data coverage under an open access data policy and is the main plant trait database used by the research community worldwide. Increasingly, the TRY database also supports new frontiers of trait-based plant research, including the identification of data gaps and the subsequent mobilization or measurement of new data. To support this development, in this article we evaluate the extent of the trait data compiled in TRY and analyse emerging patterns of data coverage and representativeness. Best species coverage is achieved for categorical traits-almost complete coverage for 'plant growth form'. However, most traits relevant for ecology and vegetation modelling are characterized by continuous intraspecific variation and trait-environmental relationships. These traits have to be measured on individual plants in their respective environment. Despite unprecedented data coverage, we observe a humbling lack of completeness and representativeness of these continuous traits in many aspects. We, therefore, conclude that reducing data gaps and biases in the TRY database remains a key challenge and requires a coordinated approach to data mobilization and trait measurements. This can only be achieved in collaboration with other initiatives.

882 citations


Journal ArticleDOI
R. Abbott1, T. D. Abbott2, Sheelu Abraham3, Fausto Acernese4  +1332 moreInstitutions (150)
TL;DR: It is inferred that the primary black hole mass lies within the gap produced by (pulsational) pair-instability supernova processes, with only a 0.32% probability of being below 65 M⊙, which can be considered an intermediate mass black hole (IMBH).
Abstract: On May 21, 2019 at 03:02:29 UTC Advanced LIGO and Advanced Virgo observed a short duration gravitational-wave signal, GW190521, with a three-detector network signal-to-noise ratio of 14.7, and an estimated false-alarm rate of 1 in 4900 yr using a search sensitive to generic transients. If GW190521 is from a quasicircular binary inspiral, then the detected signal is consistent with the merger of two black holes with masses of 85_{-14}^{+21} M_{⊙} and 66_{-18}^{+17} M_{⊙} (90% credible intervals). We infer that the primary black hole mass lies within the gap produced by (pulsational) pair-instability supernova processes, with only a 0.32% probability of being below 65 M_{⊙}. We calculate the mass of the remnant to be 142_{-16}^{+28} M_{⊙}, which can be considered an intermediate mass black hole (IMBH). The luminosity distance of the source is 5.3_{-2.6}^{+2.4} Gpc, corresponding to a redshift of 0.82_{-0.34}^{+0.28}. The inferred rate of mergers similar to GW190521 is 0.13_{-0.11}^{+0.30} Gpc^{-3} yr^{-1}.

876 citations


Journal ArticleDOI
08 Oct 2020-Nature
TL;DR: A global N2O inventory is presented that incorporates both natural and anthropogenic sources and accounts for the interaction between nitrogen additions and the biochemical processes that control N 2O emissions, using bottom-up, top-down and process-based model approaches.
Abstract: Nitrous oxide (N2O), like carbon dioxide, is a long-lived greenhouse gas that accumulates in the atmosphere. Over the past 150 years, increasing atmospheric N2O concentrations have contributed to stratospheric ozone depletion1 and climate change2, with the current rate of increase estimated at 2 per cent per decade. Existing national inventories do not provide a full picture of N2O emissions, owing to their omission of natural sources and limitations in methodology for attributing anthropogenic sources. Here we present a global N2O inventory that incorporates both natural and anthropogenic sources and accounts for the interaction between nitrogen additions and the biochemical processes that control N2O emissions. We use bottom-up (inventory, statistical extrapolation of flux measurements, process-based land and ocean modelling) and top-down (atmospheric inversion) approaches to provide a comprehensive quantification of global N2O sources and sinks resulting from 21 natural and human sectors between 1980 and 2016. Global N2O emissions were 17.0 (minimum-maximum estimates: 12.2-23.5) teragrams of nitrogen per year (bottom-up) and 16.9 (15.9-17.7) teragrams of nitrogen per year (top-down) between 2007 and 2016. Global human-induced emissions, which are dominated by nitrogen additions to croplands, increased by 30% over the past four decades to 7.3 (4.2-11.4) teragrams of nitrogen per year. This increase was mainly responsible for the growth in the atmospheric burden. Our findings point to growing N2O emissions in emerging economies-particularly Brazil, China and India. Analysis of process-based model estimates reveals an emerging N2O-climate feedback resulting from interactions between nitrogen additions and climate change. The recent growth in N2O emissions exceeds some of the highest projected emission scenarios3,4, underscoring the urgency to mitigate N2O emissions.

650 citations


Journal ArticleDOI
TL;DR: The clinical presentation of European patients with mild‐to‐moderate COVID‐19 infection is still unknown and further research is needed to determine the cause of death.
Abstract: Background: The clinical presentation of European patients with mild-to-moderate COVID-19 infection is still unknown. Objective: To study the clinical presentation of COVID-19 in Europe. Methods: Patients with positive diagnosis of COVID-19 were recruited from 18 European hospitals. Epidemiological and clinical data were obtained through a standardized questionnaire. Bayesian analysis was used for analysing the relationship between outcomes. Results: A total of 1,420 patients completed the study (962 females, 30.7% of healthcare workers). The mean age of patients was 39.17 ± 12.09 years. The most common symptoms were headache (70.3%), loss of smell (70.2%), nasal obstruction (67.8%), cough (63.2%), asthenia (63.3%), myalgia (62.5%), rhinorrhea (60.1%), gustatory dysfunction (54.2%) and sore throat (52.9%). Fever was reported by 45.4%. The mean duration of COVID-19 symptoms of mild-to-moderate cured patients was 11.5 ± 5.7 days. The prevalence of symptoms significantly varied according to age and sex. Young patients more frequently had ear, nose and throat complaints, whereas elderly individuals often presented fever, fatigue and loss of appetite. Loss of smell, headache, nasal obstruction and fatigue were more prevalent in female patients. The loss of smell was a key symptom of mild-to-moderate COVID-19 patients and was not associated with nasal obstruction and rhinorrhea. Loss of smell persisted at least 7 days after the disease in 37.5% of cured patients. Conclusion: The clinical presentation of mild-to-moderate COVID-19 substantially varies according to the age and the sex characteristics of patients. Olfactory dysfunction seems to be an important underestimated symptom of mild-to-moderate COVID-19 that needs to be recognized as such by the WHO.

609 citations


Journal ArticleDOI
Richard J. Abbott1, T. D. Abbott2, Sheelu Abraham3, Fausto Acernese4  +1330 moreInstitutions (149)
TL;DR: In this article, the authors reported the observation of gravitational waves from a binary-black-hole coalescence during the first two weeks of LIGO and Virgo's third observing run.
Abstract: We report the observation of gravitational waves from a binary-black-hole coalescence during the first two weeks of LIGO’s and Virgo’s third observing run. The signal was recorded on April 12, 2019 at 05∶30∶44 UTC with a network signal-to-noise ratio of 19. The binary is different from observations during the first two observing runs most notably due to its asymmetric masses: a ∼30 M⊙ black hole merged with a ∼8 M⊙ black hole companion. The more massive black hole rotated with a dimensionless spin magnitude between 0.22 and 0.60 (90% probability). Asymmetric systems are predicted to emit gravitational waves with stronger contributions from higher multipoles, and indeed we find strong evidence for gravitational radiation beyond the leading quadrupolar order in the observed signal. A suite of tests performed on GW190412 indicates consistency with Einstein’s general theory of relativity. While the mass ratio of this system differs from all previous detections, we show that it is consistent with the population model of stellar binary black holes inferred from the first two observing runs.

Journal ArticleDOI
TL;DR: Patients with COVID-19-associated ARDS have a form of injury that, in many aspects, is similar to that of those with ARDS unrelated to CO VID-19, who have a reduction in respiratory system compliance together with increased D-dimer concentrations have high mortality rates.


Journal ArticleDOI
20 Mar 2020-Science
TL;DR: Results support the radial unit hypothesis that different developmental mechanisms promote surface area expansion and increases in thickness and find evidence that brain structure is a key phenotype along the causal pathway that leads from genetic variation to differences in general cognitive function.
Abstract: The cerebral cortex underlies our complex cognitive capabilities, yet little is known about the specific genetic loci that influence human cortical structure. To identify genetic variants that affect cortical structure, we conducted a genome-wide association meta-analysis of brain magnetic resonance imaging data from 51,665 individuals. We analyzed the surface area and average thickness of the whole cortex and 34 regions with known functional specializations. We identified 199 significant loci and found significant enrichment for loci influencing total surface area within regulatory elements that are active during prenatal cortical development, supporting the radial unit hypothesis. Loci that affect regional surface area cluster near genes in Wnt signaling pathways, which influence progenitor expansion and areal identity. Variation in cortical structure is genetically correlated with cognitive function, Parkinson's disease, insomnia, depression, neuroticism, and attention deficit hyperactivity disorder.

Journal ArticleDOI
TL;DR: In this paper, a high-resolution and physically based description of Antarctica bed topography using mass conservation is presented, revealing previously unknown basal features with major implications for glacier response to climate change.
Abstract: The Antarctic ice sheet has been losing mass over past decades through the accelerated flow of its glaciers, conditioned by ocean temperature and bed topography. Glaciers retreating along retrograde slopes (that is, the bed elevation drops in the inland direction) are potentially unstable, while subglacial ridges slow down the glacial retreat. Despite major advances in the mapping of subglacial bed topography, significant sectors of Antarctica remain poorly resolved and critical spatial details are missing. Here we present a novel, high-resolution and physically based description of Antarctic bed topography using mass conservation. Our results reveal previously unknown basal features with major implications for glacier response to climate change. For example, glaciers flowing across the Transantarctic Mountains are protected by broad, stabilizing ridges. Conversely, in the marine basin of Wilkes Land, East Antarctica, we find retrograde slopes along Ninnis and Denman glaciers, with stabilizing slopes beneath Moscow University, Totten and Lambert glacier system, despite corrections in bed elevation of up to 1 km for the latter. This transformative description of bed topography redefines the high- and lower-risk sectors for rapid sea level rise from Antarctica; it will also significantly impact model projections of sea level rise from Antarctica in the coming centuries.

Journal ArticleDOI
Wannes Hubau1, Wannes Hubau2, Wannes Hubau3, Simon L. Lewis2, Simon L. Lewis4, Oliver L. Phillips2, Kofi Affum-Baffoe5, Hans Beeckman1, Aida Cuni-Sanchez4, Aida Cuni-Sanchez6, Armandu K. Daniels, Corneille E. N. Ewango7, Corneille E. N. Ewango8, Sophie Fauset9, Jaccques M. Mukinzi7, Jaccques M. Mukinzi10, Douglas Sheil11, Bonaventure Sonké12, Martin J. P. Sullivan2, Martin J. P. Sullivan13, Terry Sunderland14, Terry Sunderland15, Hermann Taedoumg16, Hermann Taedoumg12, Sean C. Thomas17, Lee J. T. White18, Katharine Abernethy18, Stephen Adu-Bredu19, C. Amani15, Timothy R. Baker2, Lindsay F. Banin, Fidèle Baya, Serge K. Begne12, Serge K. Begne2, Amy C. Bennett2, Fabrice Bénédet20, Fabrice Bénédet21, Robert Bitariho22, Yannick Enock Bocko23, Pascal Boeckx3, Patrick Boundja15, Patrick Boundja7, Roel J. W. Brienen2, Terry Brncic7, Eric Chezeaux, George B. Chuyong24, Connie J. Clark25, Murray Collins26, James A. Comiskey27, James A. Comiskey28, David A. Coomes29, Greta C. Dargie2, Thalès de Haulleville1, Marie Noel Djuikouo Kamdem24, Jean-Louis Doucet30, Adriane Esquivel-Muelbert2, Adriane Esquivel-Muelbert31, Ted R. Feldpausch32, Alusine Fofanah, Ernest G. Foli19, Martin Gilpin2, Emanuel Gloor2, Christelle Gonmadje, Sylvie Gourlet-Fleury21, Sylvie Gourlet-Fleury20, Jefferson S. Hall33, Alan Hamilton34, David Harris35, Terese B. Hart36, Terese B. Hart37, Mireille Breuer-Ndoundou Hockemba7, Annette Hladik, Suspense Averti Ifo23, Kathryn J. Jeffery18, Tommaso Jucker38, Emmanuel Kasongo Yakusu3, Emmanuel Kasongo Yakusu1, Emmanuel Kasongo Yakusu8, Elizabeth Kearsley3, Elizabeth Kearsley1, David Kenfack33, Alexander K. Koch4, Alexander K. Koch39, Miguel E. Leal7, Aurora Levesley2, Jeremy A. Lindsell40, Janvier Lisingo8, Gabriela Lopez-Gonzalez2, Jon C. Lovett41, Jon C. Lovett2, Jean-Remy Makana8, Yadvinder Malhi42, Andrew R. Marshall43, Andrew R. Marshall6, Jim Martin44, Emanuel H. Martin, Faustin M. Mbayu8, Vincent P. Medjibe25, Vianet Mihindou, Edward T. A. Mitchard26, Sam Moore42, Pantaleo K. T. Munishi45, Natacha Nssi Bengone, Lucas Ojo, Fidèle Evouna Ondo, Kelvin S.-H. Peh46, Kelvin S.-H. Peh29, Georgia Pickavance2, Axel Dalberg Poulsen35, John R. Poulsen25, Lan Qie47, Lan Qie2, Jan Reitsma, Francesco Rovero48, Michael D. Swaine49, Joey Talbot2, James Taplin50, David Taylor51, Duncan W. Thomas52, Benjamin Toirambe1, John Tshibamba Mukendi1, John Tshibamba Mukendi8, Darlington Tuagben, Peter M. Umunay7, Peter M. Umunay53, Geertje M. F. van der Heijden54, Hans Verbeeck3, Jason Vleminckx55, Jason Vleminckx56, Simon Willcock57, Hannsjörg Wöll, John T. Woods58, Lise Zemagho12 
Royal Museum for Central Africa1, University of Leeds2, Ghent University3, University College London4, Forestry Commission5, University of York6, Wildlife Conservation Society7, University of Kisangani8, University of Plymouth9, World Wide Fund for Nature10, Norwegian University of Life Sciences11, University of Yaoundé I12, Manchester Metropolitan University13, University of British Columbia14, Center for International Forestry Research15, Bioversity International16, University of Toronto17, University of Stirling18, Forestry Research Institute of Ghana19, Centre de coopération internationale en recherche agronomique pour le développement20, University of Montpellier21, Mbarara University of Science and Technology22, Marien Ngouabi University23, University of Buea24, Duke University25, University of Edinburgh26, National Park Service27, Smithsonian Institution28, University of Cambridge29, Gembloux Agro-Bio Tech30, University of Birmingham31, University of Exeter32, Smithsonian Tropical Research Institute33, Chinese Academy of Sciences34, Royal Botanic Garden Edinburgh35, American Museum of Natural History36, African Wildlife Foundation37, University of Bristol38, University of Hong Kong39, Royal Society for the Protection of Birds40, Royal Botanic Gardens41, Environmental Change Institute42, University of the Sunshine Coast43, Fleming College44, Sokoine University of Agriculture45, University of Southampton46, University of Lincoln47, University of Florence48, University of Aberdeen49, Innovate UK50, National University of Singapore51, Washington State University Vancouver52, Yale University53, University of Nottingham54, Florida International University55, Université libre de Bruxelles56, Bangor University57, University of Liberia58
04 Mar 2020-Nature
TL;DR: Overall, the uptake of carbon into Earth’s intact tropical forests peaked in the 1990s and independent observations indicating greater recent carbon uptake into the Northern Hemisphere landmass reinforce the conclusion that the intact tropical forest carbon sink has already peaked.
Abstract: Structurally intact tropical forests sequestered about half of the global terrestrial carbon uptake over the 1990s and early 2000s, removing about 15 per cent of anthropogenic carbon dioxide emissions. Climate-driven vegetation models typically predict that this tropical forest ‘carbon sink’ will continue for decades. Here we assess trends in the carbon sink using 244 structurally intact African tropical forests spanning 11 countries, compare them with 321 published plots from Amazonia and investigate the underlying drivers of the trends. The carbon sink in live aboveground biomass in intact African tropical forests has been stable for the three decades to 2015, at 0.66 tonnes of carbon per hectare per year (95 per cent confidence interval 0.53–0.79), in contrast to the long-term decline in Amazonian forests. Therefore the carbon sink responses of Earth’s two largest expanses of tropical forest have diverged. The difference is largely driven by carbon losses from tree mortality, with no detectable multi-decadal trend in Africa and a long-term increase in Amazonia. Both continents show increasing tree growth, consistent with the expected net effect of rising atmospheric carbon dioxide and air temperature. Despite the past stability of the African carbon sink, our most intensively monitored plots suggest a post-2010 increase in carbon losses, delayed compared to Amazonia, indicating asynchronous carbon sink saturation on the two continents. A statistical model including carbon dioxide, temperature, drought and forest dynamics accounts for the observed trends and indicates a long-term future decline in the African sink, whereas the Amazonian sink continues to weaken rapidly. Overall, the uptake of carbon into Earth’s intact tropical forests peaked in the 1990s. Given that the global terrestrial carbon sink is increasing in size, independent observations indicating greater recent carbon uptake into the Northern Hemisphere landmass reinforce our conclusion that the intact tropical forest carbon sink has already peaked. This saturation and ongoing decline of the tropical forest carbon sink has consequences for policies intended to stabilize Earth’s climate.

Journal ArticleDOI
TL;DR: The newly published World Health Organization (WHO) Classification of Tumours of the breast features significant changes compared to earlier editions, and this review outlines the major changes.
Abstract: The newly published World Health Organization (WHO) Classification of Tumours of the breast features significant changes compared to earlier editions. In this review, we outline the major changes in this important reference source for those diagnosing tumours, or engaged in cancer research, and describe the significant changes. For breast cancer, the overview acknowledges the treatment-relevant subtypes of invasive carcinoma (based on ER and HER2 status) and new data is added to support the differences in pathogenesis, treatment response and prognosis of these clinically relevant groupings. The WHO Classification of Tumours is increasingly evidence-based, with a clear update cycle, improved quality of illustrations, as well as content, led by an editorial board comprising pathologists, but increasingly incorporating input from other disciplines. The advent of the new website allows the use of whole slide images, and hyperlinks to evidence or external bodies that produce guidance on staging or reporting.

Journal ArticleDOI
Richard J. Abbott1, T. D. Abbott2, Sheelu Abraham3, Fausto Acernese4  +1329 moreInstitutions (150)
TL;DR: The GW190521 signal is consistent with a binary black hole (BBH) merger source at redshift 0.13-0.30 Gpc-3 yr-1.8 as discussed by the authors.
Abstract: The gravitational-wave signal GW190521 is consistent with a binary black hole (BBH) merger source at redshift 0.8 with unusually high component masses, 85-14+21 M o˙ and 66-18+17 M o˙, compared to previously reported events, and shows mild evidence for spin-induced orbital precession. The primary falls in the mass gap predicted by (pulsational) pair-instability supernova theory, in the approximate range 65-120 M o˙. The probability that at least one of the black holes in GW190521 is in that range is 99.0%. The final mass of the merger (142-16+28 M o˙) classifies it as an intermediate-mass black hole. Under the assumption of a quasi-circular BBH coalescence, we detail the physical properties of GW190521's source binary and its post-merger remnant, including component masses and spin vectors. Three different waveform models, as well as direct comparison to numerical solutions of general relativity, yield consistent estimates of these properties. Tests of strong-field general relativity targeting the merger-ringdown stages of the coalescence indicate consistency of the observed signal with theoretical predictions. We estimate the merger rate of similar systems to be 0.13-0.11+0.30 Gpc-3 yr-1. We discuss the astrophysical implications of GW190521 for stellar collapse and for the possible formation of black holes in the pair-instability mass gap through various channels: via (multiple) stellar coalescences, or via hierarchical mergers of lower-mass black holes in star clusters or in active galactic nuclei. We find it to be unlikely that GW190521 is a strongly lensed signal of a lower-mass black hole binary merger. We also discuss more exotic possible sources for GW190521, including a highly eccentric black hole binary, or a primordial black hole binary.

Journal ArticleDOI
Edoardo Aprà1, Eric J. Bylaska1, W. A. de Jong2, Niranjan Govind1, Karol Kowalski1, T. P. Straatsma3, Marat Valiev1, H. J. J. van Dam4, Yuri Alexeev5, J. Anchell6, V. Anisimov5, Fredy W. Aquino, Raymond Atta-Fynn7, Jochen Autschbach8, Nicholas P. Bauman1, Jeffrey C. Becca9, David E. Bernholdt10, K. Bhaskaran-Nair11, Stuart Bogatko12, Piotr Borowski13, Jeffery S. Boschen14, Jiří Brabec15, Adam Bruner16, Emilie Cauet17, Y. Chen18, Gennady N. Chuev19, Christopher J. Cramer20, Jeff Daily1, M. J. O. Deegan, Thom H. Dunning21, Michel Dupuis8, Kenneth G. Dyall, George I. Fann10, Sean A. Fischer22, Alexandr Fonari23, Herbert A. Früchtl24, Laura Gagliardi20, Jorge Garza25, Nitin A. Gawande1, Soumen Ghosh20, Kurt R. Glaesemann1, Andreas W. Götz26, Jeff R. Hammond6, Volkhard Helms27, Eric D. Hermes28, Kimihiko Hirao, So Hirata29, Mathias Jacquelin2, Lasse Jensen9, Benny G. Johnson, Hannes Jónsson30, Ricky A. Kendall10, Michael Klemm6, Rika Kobayashi31, V. Konkov32, Sriram Krishnamoorthy1, M. Krishnan18, Zijing Lin33, Roberto D. Lins34, Rik J. Littlefield, Andrew J. Logsdail35, Kenneth Lopata36, Wan Yong Ma37, Aleksandr V. Marenich20, J. Martin del Campo38, Daniel Mejía-Rodríguez39, Justin E. Moore6, Jonathan M. Mullin, Takahito Nakajima, Daniel R. Nascimento1, Jeffrey A. Nichols10, P. J. Nichols40, J. Nieplocha1, Alberto Otero-de-la-Roza41, Bruce J. Palmer1, Ajay Panyala1, T. Pirojsirikul42, Bo Peng1, Roberto Peverati32, Jiri Pittner15, L. Pollack, Ryan M. Richard43, P. Sadayappan44, George C. Schatz45, William A. Shelton36, Daniel W. Silverstein46, D. M. A. Smith6, Thereza A. Soares47, Duo Song1, Marcel Swart, H. L. Taylor48, G. S. Thomas1, Vinod Tipparaju49, Donald G. Truhlar20, Kiril Tsemekhman, T. Van Voorhis50, Álvaro Vázquez-Mayagoitia5, Prakash Verma, Oreste Villa51, Abhinav Vishnu1, Konstantinos D. Vogiatzis52, Dunyou Wang53, John H. Weare26, Mark J. Williamson54, Theresa L. Windus14, Krzysztof Wolinski13, A. T. Wong, Qin Wu4, Chan-Shan Yang2, Q. Yu55, Martin Zacharias56, Zhiyong Zhang57, Yan Zhao58, Robert W. Harrison59 
Pacific Northwest National Laboratory1, Lawrence Berkeley National Laboratory2, National Center for Computational Sciences3, Brookhaven National Laboratory4, Argonne National Laboratory5, Intel6, University of Texas at Arlington7, State University of New York System8, Pennsylvania State University9, Oak Ridge National Laboratory10, Washington University in St. Louis11, Wellesley College12, Maria Curie-Skłodowska University13, Iowa State University14, Academy of Sciences of the Czech Republic15, University of Tennessee at Martin16, Université libre de Bruxelles17, Facebook18, Russian Academy of Sciences19, University of Minnesota20, University of Washington21, United States Naval Research Laboratory22, Georgia Institute of Technology23, University of St Andrews24, Universidad Autónoma Metropolitana25, University of California, San Diego26, Saarland University27, Sandia National Laboratories28, University of Illinois at Urbana–Champaign29, University of Iceland30, Australian National University31, Florida Institute of Technology32, University of Science and Technology of China33, Oswaldo Cruz Foundation34, Cardiff University35, Louisiana State University36, Chinese Academy of Sciences37, National Autonomous University of Mexico38, University of Florida39, Los Alamos National Laboratory40, University of Oviedo41, Prince of Songkla University42, Ames Laboratory43, University of Utah44, Northwestern University45, Universal Display Corporation46, Federal University of Pernambuco47, CD-adapco48, Cray49, Massachusetts Institute of Technology50, Nvidia51, University of Tennessee52, Shandong Normal University53, University of Cambridge54, Advanced Micro Devices55, Technische Universität München56, Stanford University57, Wuhan University of Technology58, Stony Brook University59
TL;DR: The NWChem computational chemistry suite is reviewed, including its history, design principles, parallel tools, current capabilities, outreach, and outlook.
Abstract: Specialized computational chemistry packages have permanently reshaped the landscape of chemical and materials science by providing tools to support and guide experimental efforts and for the prediction of atomistic and electronic properties. In this regard, electronic structure packages have played a special role by using first-principle-driven methodologies to model complex chemical and materials processes. Over the past few decades, the rapid development of computing technologies and the tremendous increase in computational power have offered a unique chance to study complex transformations using sophisticated and predictive many-body techniques that describe correlated behavior of electrons in molecular and condensed phase systems at different levels of theory. In enabling these simulations, novel parallel algorithms have been able to take advantage of computational resources to address the polynomial scaling of electronic structure methods. In this paper, we briefly review the NWChem computational chemistry suite, including its history, design principles, parallel tools, current capabilities, outreach, and outlook.

Journal ArticleDOI
21 Apr 2020-JAMA
TL;DR: In a worldwide sample of patients admitted to ICUs in September 2017, the prevalence of suspected or proven infection was high, with a substantial risk of in-hospital mortality, and ICU-acquired infection was independently associated with higher risk of mortality.
Abstract: Importance Infection is frequent among patients in the intensive care unit (ICU). Contemporary information about the types of infections, causative pathogens, and outcomes can aid the development of policies for prevention, diagnosis, treatment, and resource allocation and may assist in the design of interventional studies. Objective To provide information about the prevalence and outcomes of infection and the available resources in ICUs worldwide. Design, Setting, and Participants Observational 24-hour point prevalence study with longitudinal follow-up at 1150 centers in 88 countries. All adult patients (aged ≥18 years) treated at a participating ICU during a 24-hour period commencing at 08:00 on September 13, 2017, were included. The final follow-up date was November 13, 2017. Exposures Infection diagnosis and receipt of antibiotics. Main Outcomes and Measures Prevalence of infection and antibiotic exposure (cross-sectional design) and all-cause in-hospital mortality (longitudinal design). Results Among 15 202 included patients (mean age, 61.1 years [SD, 17.3 years]; 9181 were men [60.4%]), infection data were available for 15 165 (99.8%); 8135 (54%) had suspected or proven infection, including 1760 (22%) with ICU-acquired infection. A total of 10 640 patients (70%) received at least 1 antibiotic. The proportion of patients with suspected or proven infection ranged from 43% (141/328) in Australasia to 60% (1892/3150) in Asia and the Middle East. Among the 8135 patients with suspected or proven infection, 5259 (65%) had at least 1 positive microbiological culture; gram-negative microorganisms were identified in 67% of these patients (n = 3540), gram-positive microorganisms in 37% (n = 1946), and fungal microorganisms in 16% (n = 864). The in-hospital mortality rate was 30% (2404/7936) in patients with suspected or proven infection. In a multilevel analysis, ICU-acquired infection was independently associated with higher risk of mortality compared with community-acquired infection (odds ratio [OR], 1.32 [95% CI, 1.10-1.60];P = .003). Among antibiotic-resistant microorganisms, infection with vancomycin-resistantEnterococcus(OR, 2.41 [95% CI, 1.43-4.06];P = .001),Klebsiellaresistant to β-lactam antibiotics, including third-generation cephalosporins and carbapenems (OR, 1.29 [95% CI, 1.02-1.63];P = .03), or carbapenem-resistantAcinetobacterspecies (OR, 1.40 [95% CI, 1.08-1.81];P = .01) was independently associated with a higher risk of death vs infection with another microorganism. Conclusions and Relevance In a worldwide sample of patients admitted to ICUs in September 2017, the prevalence of suspected or proven infection was high, with a substantial risk of in-hospital mortality.

Journal ArticleDOI
TL;DR: New findings from studies performed on human β-cells or on samples obtained from patients with type 1 or type 2 diabetes mellitus are highlighted, focusing on studies performed at the β-cell level and the identification and characterization of the role of T1DM and T2DM candidate genes at theβ-celllevel.
Abstract: Loss of functional β-cell mass is the key mechanism leading to the two main forms of diabetes mellitus - type 1 diabetes mellitus (T1DM) and type 2 diabetes mellitus (T2DM). Understanding the mechanisms behind β-cell failure is critical to prevent or revert disease. Basic pathogenic differences exist in the two forms of diabetes mellitus; T1DM is immune mediated and T2DM is mediated by metabolic mechanisms. These mechanisms differentially affect early β-cell dysfunction and eventual fate. Over the past decade, major advances have been made in the field, mostly delivered by studies on β-cells in human disease. These advances include studies of islet morphology and human β-cell gene expression in T1DM and T2DM, the identification and characterization of the role of T1DM and T2DM candidate genes at the β-cell level and the endoplasmic reticulum stress signalling that contributes to β-cell failure in T1DM (mostly IRE1 driven) and T2DM (mostly PERK-eIF2α dependent). Here, we review these new findings, focusing on studies performed on human β-cells or on samples obtained from patients with diabetes mellitus.

Journal ArticleDOI
TL;DR: EuReCa TWO has confirmed large variation in OHCA incidence, characteristics and outcome, and highlighted the extent to which OHCA is a public health burden across Europe.

Journal ArticleDOI
TL;DR: This guidance is based upon the best available evidence regarding assessment of risk during the current status of the COVID-19 pandemic and a consensus on which procedures to perform and the priorities on resumption and a list of potential research questions is presented.
Abstract: We are currently living in the throes of the COVID-19 pandemic that imposes a significant stress on health care providers and facilities. Europe is severely affected with an exponential increase in incident infections and deaths. The clinical manifestations of COVID-19 can be subtle, encompassing a broad spectrum from asymptomatic mild disease to severe respiratory illness. Health care professionals in endoscopy units are at increased risk of infection from COVID-19. Infection prevention and control has been shown to be dramatically effective in assuring the safety of both health care professionals and patients. The European Society of Gastrointestinal Endoscopy ( www.esge.com ) and the European Society of Gastroenterology and Endoscopy Nurses and Associates ( www.esgena.org ) are joining forces to provide guidance during this pandemic to help assure the highest level of endoscopy care and protection against COVID-19 for both patients and endoscopy unit personnel. This guidance is based upon the best available evidence regarding assessment of risk during the current status of the pandemic and a consensus on which procedures to perform and the priorities on resumption. We appreciate the gaps in knowledge and evidence, especially on the proper strategy(ies) for the resumption of normal endoscopy practice during the upcoming phases and end of the pandemic and therefore a list of potential research questions is presented. New evidence may result in an updated statement.

Journal ArticleDOI
15 Jun 2020-JAMA
TL;DR: This study characterizes the prevalence of antibodies against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) among hospital staff of a Belgian tertiary care center tested over 1 week in April 2020, and risk factors for seropositivity.
Abstract: This study characterizes the prevalence of antibodies against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) among hospital staff of a Belgian tertiary care center tested over 1 week in April 2020, and risk factors for seropositivity.

Journal ArticleDOI
Darlan da Silva Candido1, Darlan da Silva Candido2, Ingra Morales Claro1, Jaqueline Goes de Jesus1, William Marciel de Souza, Filipe R. R. Moreira3, Simon Dellicour4, Simon Dellicour5, Thomas A. Mellan6, Louis du Plessis2, Rafael Henrique Moraes Pereira, Flavia C. S. Sales1, Erika R. Manuli1, Julien Thézé7, Luiz Carlos de Almeida, Mariane Talon de Menezes3, Carolina M. Voloch3, Marcílio Jorge Fumagalli, Thais M. Coletti1, Camila A. M. Silva1, Mariana S. Ramundo1, Mariene R. Amorim8, Henrique Hoeltgebaum6, Swapnil Mishra6, Mandev S. Gill5, Luiz Max Carvalho9, Lewis F Buss1, Carlos A. Prete1, Jordan Ashworth10, Helder I. Nakaya1, Pedro S. Peixoto1, Oliver J. Brady11, Samuel M. Nicholls12, Amilcar Tanuri3, Átila Duque Rossi3, Carlos Kaue Vieira Braga, Alexandra L. Gerber, Ana Paula de C Guimarães, Nelson Gaburo, Cecila Salete Alencar1, Alessandro C. S. Ferreira, Cristiano Xavier Lima13, José Eduardo Levi14, Celso Francisco Hernandes Granato, Giulia M. Ferreira15, Ronaldo da Silva Francisco, Fabiana Granja8, Fabiana Granja16, Márcia Teixeira Garcia8, Maria Luiza Moretti8, Mauricio W. Perroud8, Terezinha M. P. P. Castineiras3, Carolina S. Lazari1, Sarah C. Hill2, Sarah C. Hill17, Andreza Aruska de Souza Santos2, Camila L. Simeoni8, Julia Forato8, Andrei C. Sposito8, Angelica Zaninelli Schreiber8, Magnun N. N. Santos8, Camila Zolini de Sá13, Renan P. Souza13, Luciana C. Resende-Moreira13, Mauro M. Teixeira13, Josy Hubner13, Patricia Asfora Falabella Leme8, Rennan G. Moreira13, Maurício Lacerda Nogueira18, Neil M. Ferguson1, Silvia Figueiredo Costa8, José Luiz Proença-Módena, Ana Tereza Ribeiro de Vasconcelos6, Samir Bhatt5, Philippe Lemey19, Chieh-Hsi Wu10, Andrew Rambaut12, Nicholas J. Loman13, Renato Santana Aguiar2, Oliver G. Pybus1, Ester Cerdeira Sabino2, Ester Cerdeira Sabino6, Ester Cerdeira Sabino1, Nuno R. Faria1, Nuno R. Faria6, Nuno R. Faria2 
23 Jul 2020-Science
TL;DR: New light is shed on the epidemic transmission and evolutionary trajectories of SARS-CoV-2 lineages in Brazil and evidence that current interventions remain insufficient to keep virus transmission under control in this country is provided.
Abstract: Brazil currently has one of the fastest-growing severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) epidemics in the world. Because of limited available data, assessments of the impact of nonpharmaceutical interventions (NPIs) on this virus spread remain challenging. Using a mobility-driven transmission model, we show that NPIs reduced the reproduction number from >3 to 1 to 1.6 in Sao Paulo and Rio de Janeiro. Sequencing of 427 new genomes and analysis of a geographically representative genomic dataset identified >100 international virus introductions in Brazil. We estimate that most (76%) of the Brazilian strains fell in three clades that were introduced from Europe between 22 February and 11 March 2020. During the early epidemic phase, we found that SARS-CoV-2 spread mostly locally and within state borders. After this period, despite sharp decreases in air travel, we estimated multiple exportations from large urban centers that coincided with a 25% increase in average traveled distances in national flights. This study sheds new light on the epidemic transmission and evolutionary trajectories of SARS-CoV-2 lineages in Brazil and provides evidence that current interventions remain insufficient to keep virus transmission under control in this country.

Journal ArticleDOI
Albert M. Sirunyan1, Armen Tumasyan1, Wolfgang Adam, Federico Ambrogi  +2248 moreInstitutions (155)
TL;DR: For the first time, predictions from pythia8 obtained with tunes based on NLO or NNLO PDFs are shown to reliably describe minimum-bias and underlying-event data with a similar level of agreement to predictions from tunes using LO PDF sets.
Abstract: New sets of CMS underlying-event parameters (“tunes”) are presented for the pythia8 event generator. These tunes use the NNPDF3.1 parton distribution functions (PDFs) at leading (LO), next-to-leading (NLO), or next-to-next-to-leading (NNLO) orders in perturbative quantum chromodynamics, and the strong coupling evolution at LO or NLO. Measurements of charged-particle multiplicity and transverse momentum densities at various hadron collision energies are fit simultaneously to determine the parameters of the tunes. Comparisons of the predictions of the new tunes are provided for observables sensitive to the event shapes at LEP, global underlying event, soft multiparton interactions, and double-parton scattering contributions. In addition, comparisons are made for observables measured in various specific processes, such as multijet, Drell–Yan, and top quark-antiquark pair production including jet substructure observables. The simulation of the underlying event provided by the new tunes is interfaced to a higher-order matrix-element calculation. For the first time, predictions from pythia8 obtained with tunes based on NLO or NNLO PDFs are shown to reliably describe minimum-bias and underlying-event data with a similar level of agreement to predictions from tunes using LO PDF sets.

Journal ArticleDOI
TL;DR: The 2019 motile active matter roadmap of Journal of Physics: Condensed Matter addresses the current state of the art of the field and provides guidance for both students as well as established scientists in their efforts to advance this fascinating area as discussed by the authors.
Abstract: Activity and autonomous motion are fundamental in living and engineering systems. This has stimulated the new field of 'active matter' in recent years, which focuses on the physical aspects of propulsion mechanisms, and on motility-induced emergent collective behavior of a larger number of identical agents. The scale of agents ranges from nanomotors and microswimmers, to cells, fish, birds, and people. Inspired by biological microswimmers, various designs of autonomous synthetic nano- and micromachines have been proposed. Such machines provide the basis for multifunctional, highly responsive, intelligent (artificial) active materials, which exhibit emergent behavior and the ability to perform tasks in response to external stimuli. A major challenge for understanding and designing active matter is their inherent nonequilibrium nature due to persistent energy consumption, which invalidates equilibrium concepts such as free energy, detailed balance, and time-reversal symmetry. Unraveling, predicting, and controlling the behavior of active matter is a truly interdisciplinary endeavor at the interface of biology, chemistry, ecology, engineering, mathematics, and physics. The vast complexity of phenomena and mechanisms involved in the self-organization and dynamics of motile active matter comprises a major challenge. Hence, to advance, and eventually reach a comprehensive understanding, this important research area requires a concerted, synergetic approach of the various disciplines. The 2020 motile active matter roadmap of Journal of Physics: Condensed Matter addresses the current state of the art of the field and provides guidance for both students as well as established scientists in their efforts to advance this fascinating area.

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TL;DR: In this paper, a systematic review and pooled analysis was performed to provide precise estimates of the mortality rate among patients with both cancer and coronavirus disease 2019 (COVID-19) who have underlying malignancy.

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TL;DR: The ESHRE Guideline on Female Fertility Preservation provides clinicians with clear advice on best practice in female FP, based on the best evidence currently available, and a list of research recommendations is provided to stimulate further studies in FP.
Abstract: STUDY QUESTION What is the recommended management for women and transgender men with regards to fertility preservation (FP), based on the best available evidence in the literature?

Journal ArticleDOI
TL;DR: This study shows accurate and equivalent performance of the five serological antibody assays (ELISA, CLIA and three lateral flow tests) in detecting SARS-CoV-2 antibodies 14 days after the onset of COVID-19 symptoms.