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Journal ArticleDOI
01 Apr 2022-Science
TL;DR: The T2T-CHM13-T2T Consortium presented a complete 3.055 billion-base pair sequence of a human genome, including gapless assemblies for all chromosomes except Y, corrected errors in the prior references, and introduced nearly 200 million base pairs of sequence containing gene predictions, 99 of which are predicted to be protein coding as discussed by the authors .
Abstract: Since its initial release in 2000, the human reference genome has covered only the euchromatic fraction of the genome, leaving important heterochromatic regions unfinished. Addressing the remaining 8% of the genome, the Telomere-to-Telomere (T2T) Consortium presents a complete 3.055 billion-base pair sequence of a human genome, T2T-CHM13, that includes gapless assemblies for all chromosomes except Y, corrects errors in the prior references, and introduces nearly 200 million base pairs of sequence containing 1956 gene predictions, 99 of which are predicted to be protein coding. The completed regions include all centromeric satellite arrays, recent segmental duplications, and the short arms of all five acrocentric chromosomes, unlocking these complex regions of the genome to variational and functional studies.

717 citations


Journal ArticleDOI
TL;DR: Identification of specific antigens and T-cell clones that drive the disease will be the first steps to elucidate the pathogenesis of IgG4-related disease.

717 citations


Journal ArticleDOI
TL;DR: To update the 2009 Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA) treatment recommendations for the spectrum of manifestations affecting patients with psoriatic arthritis (PsA).
Abstract: Objective To update the 2009 Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA) treatment recommendations for the spectrum of manifestations affecting patients with psoriatic arthritis (PsA). Methods GRAPPA rheumatologists, dermatologists, and PsA patients drafted overarching principles for the management of PsA, based on consensus achieved at face-to-face meetings and via online surveys. We conducted literature reviews regarding treatment for the key domains of PsA (arthritis, spondylitis, enthesitis, dactylitis, skin disease, and nail disease) and convened a new group to identify pertinent comorbidities and their effect on treatment. Finally, we drafted treatment recommendations for each of the clinical manifestations and assessed the level of agreement for the overarching principles and treatment recommendations among GRAPPA members, using an online questionnaire. Results Six overarching principles had ≥80% agreement among both health care professionals (n = 135) and patient research partners (n = 10). We developed treatment recommendations and a schema incorporating these principles for arthritis, spondylitis, enthesitis, dactylitis, skin disease, nail disease, and comorbidities in the setting of PsA, using the Grading of Recommendations, Assessment, Development and Evaluation process. Agreement of >80% was reached for approval of the individual recommendations and the overall schema. Conclusion We present overarching principles and updated treatment recommendations for the key manifestations of PsA, including related comorbidities, based on a literature review and consensus of GRAPPA members (rheumatologists, dermatologists, other health care providers, and patient research partners). Further updates are anticipated as the therapeutic landscape in PsA evolves.

717 citations


Journal ArticleDOI
TL;DR: In this paper, the authors present multiple lines of evidence suggesting that this cooling may be due to a reduction in the AMOC over the twentieth century and particularly after 1970, and discuss a possible contribution of the melting of the Greenland Ice Sheet to the slowdown.
Abstract: Possible changes in Atlantic meridional overturning circulation (AMOC) provide a key source of uncertainty regarding future climate change. Maps of temperature trends over the twentieth century show a conspicuous region of cooling in the northern Atlantic. Here we present multiple lines of evidence suggesting that this cooling may be due to a reduction in the AMOC over the twentieth century and particularly after 1970. Since 1990 the AMOC seems to have partly recovered. This time evolution is consistently suggested by an AMOC index based on sea surface temperatures, by the hemispheric temperature difference, by coral-based proxies and by oceanic measurements. We discuss a possible contribution of the melting of the Greenland Ice Sheet to the slowdown. Using a multi-proxy temperature reconstruction for the AMOC index suggests that the AMOC weakness after 1975 is an unprecedented event in the past millennium (p > 0.99). Further melting of Greenland in the coming decades could contribute to further weakening of the AMOC.

717 citations


Journal ArticleDOI
TL;DR: Improved high-throughput methods for single-nucleus droplet-based sequencing and single-cell transposome hypersensitive site sequencing are reported, which revealed regulatory elements and transcription factors that underlie cell-type distinctions and mapped disease-associated risk variants to specific cellular populations, which provided insights into normal and pathogenic cellular processes in the human brain.
Abstract: Detailed characterization of the cell types in the human brain requires scalable experimental approaches to examine multiple aspects of the molecular state of individual cells, as well as computational integration of the data to produce unified cell-state annotations. Here we report improved high-throughput methods for single-nucleus droplet-based sequencing (snDrop-seq) and single-cell transposome hypersensitive site sequencing (scTHS-seq). We used each method to acquire nuclear transcriptomic and DNA accessibility maps for >60,000 single cells from human adult visual cortex, frontal cortex, and cerebellum. Integration of these data revealed regulatory elements and transcription factors that underlie cell-type distinctions, providing a basis for the study of complex processes in the brain, such as genetic programs that coordinate adult remyelination. We also mapped disease-associated risk variants to specific cellular populations, which provided insights into normal and pathogenic cellular processes in the human brain. This integrative multi-omics approach permits more detailed single-cell interrogation of complex organs and tissues.

717 citations


Journal ArticleDOI
14 Sep 2017-Nature
TL;DR: This work presents the leading proposals to achieve quantum supremacy, and discusses how to reliably compare the power of a classical computer to thePower of a quantum computer.
Abstract: The field of quantum algorithms aims to find ways to speed up the solution of computational problems by using a quantum computer. A key milestone in this field will be when a universal quantum computer performs a computational task that is beyond the capability of any classical computer, an event known as quantum supremacy. This would be easier to achieve experimentally than full-scale quantum computing, but involves new theoretical challenges. Here we present the leading proposals to achieve quantum supremacy, and discuss how we can reliably compare the power of a classical computer to the power of a quantum computer. Proposals for demonstrating quantum supremacy, when a quantum computer supersedes any possible classical computer at a specific task, are reviewed.

717 citations


Proceedings ArticleDOI
15 Jun 2019
TL;DR: It is suggested that adversarial perturbations on images lead to noise in the features constructed by these networks, and new network architectures are developed that increase adversarial robustness by performing feature denoising.
Abstract: Adversarial attacks to image classification systems present challenges to convolutional networks and opportunities for understanding them. This study suggests that adversarial perturbations on images lead to noise in the features constructed by these networks. Motivated by this observation, we develop new network architectures that increase adversarial robustness by performing feature denoising. Specifically, our networks contain blocks that denoise the features using non-local means or other filters; the entire networks are trained end-to-end. When combined with adversarial training, our feature denoising networks substantially improve the state-of-the-art in adversarial robustness in both white-box and black-box attack settings. On ImageNet, under 10-iteration PGD white-box attacks where prior art has 27.9% accuracy, our method achieves 55.7%; even under extreme 2000-iteration PGD white-box attacks, our method secures 42.6% accuracy. Our method was ranked first in Competition on Adversarial Attacks and Defenses (CAAD) 2018 --- it achieved 50.6% classification accuracy on a secret, ImageNet-like test dataset against 48 unknown attackers, surpassing the runner-up approach by ~10%. Code is available at https://github.com/facebookresearch/ImageNet-Adversarial-Training.

717 citations


Journal ArticleDOI
TL;DR: A stable lithium–scaffold composite electrode is developed by lithium melt infusion into a 3D porous carbon matrix with “lithiophilic” coating, which possesses a high conductive surface area and excellent structural stability upon galvanostatic cycling.
Abstract: Lithium metal-based battery is considered one of the best energy storage systems due to its high theoretical capacity and lowest anode potential of all. However, dendritic growth and virtually relative infinity volume change during long-term cycling often lead to severe safety hazards and catastrophic failure. Here, a stable lithium–scaffold composite electrode is developed by lithium melt infusion into a 3D porous carbon matrix with “lithiophilic” coating. Lithium is uniformly entrapped on the matrix surface and in the 3D structure. The resulting composite electrode possesses a high conductive surface area and excellent structural stability upon galvanostatic cycling. We showed stable cycling of this composite electrode with small Li plating/stripping overpotential (

717 citations


Posted Content
TL;DR: Empirical evaluation demonstrates the effectiveness of the unsupervised learning framework for monocular depth performs comparably with supervised methods that use either ground-truth pose or depth for training, and pose estimation performs favorably compared to established SLAM systems under comparable input settings.
Abstract: We present an unsupervised learning framework for the task of monocular depth and camera motion estimation from unstructured video sequences. We achieve this by simultaneously training depth and camera pose estimation networks using the task of view synthesis as the supervisory signal. The networks are thus coupled via the view synthesis objective during training, but can be applied independently at test time. Empirical evaluation on the KITTI dataset demonstrates the effectiveness of our approach: 1) monocular depth performing comparably with supervised methods that use either ground-truth pose or depth for training, and 2) pose estimation performing favorably with established SLAM systems under comparable input settings.

717 citations


Journal ArticleDOI
TL;DR: In this article, the itsa command is introduced to perform interrupted time-series analysis for single and multiple-group comparisons, where an outcome variabilistic outcome is obtained by a single-and multi-group comparison.
Abstract: In this article, I introduce the itsa command, which performs interrupted time-series analysis for single- and multiple-group comparisons. In an interrupted time-series analysis, an outcome variabl...

717 citations


Journal ArticleDOI
22 May 2015-Science
TL;DR: It is found that environmental factors are incomplete predictors of community structure and associations across plankton functional types and phylogenetic groups to be nonrandomly distributed on the network and driven by both local and global patterns.
Abstract: Species interaction networks are shaped by abiotic and biotic factors. Here, as part of the Tara Oceans project, we studied the photic zone interactome using environmental factors and organismal abundance profiles and found that environmental factors are incomplete predictors of community structure. We found associations across plankton functional types and phylogenetic groups to be nonrandomly distributed on the network and driven by both local and global patterns. We identified interactions among grazers, primary producers, viruses, and (mainly parasitic) symbionts and validated network-generated hypotheses using microscopy to confirm symbiotic relationships. We have thus provided a resource to support further research on ocean food webs and integrating biological components into ocean models.

Proceedings Article
04 Dec 2017
TL;DR: This paper proposes a unique combination of reinforcement learning and graph embedding that behaves like a meta-algorithm that incrementally constructs a solution, and the action is determined by the output of agraph embedding network capturing the current state of the solution.
Abstract: The design of good heuristics or approximation algorithms for NP-hard combinatorial optimization problems often requires significant specialized knowledge and trial-and-error. Can we automate this challenging, tedious process, and learn the algorithms instead? In many real-world applications, it is typically the case that the same optimization problem is solved again and again on a regular basis, maintaining the same problem structure but differing in the data. This provides an opportunity for learning heuristic algorithms that exploit the structure of such recurring problems. In this paper, we propose a unique combination of reinforcement learning and graph embedding to address this challenge. The learned greedy policy behaves like a meta-algorithm that incrementally constructs a solution, and the action is determined by the output of a graph embedding network capturing the current state of the solution. We show that our framework can be applied to a diverse range of optimization problems over graphs, and learns effective algorithms for the Minimum Vertex Cover, Maximum Cut and Traveling Salesman problems.

Journal ArticleDOI
TL;DR: The process of adult neurogenesis encompasses the proliferation of resident neural stem and progenitor cells and their subsequent differentiation, migration, and functional integration into the pre-existing circuitry.
Abstract: New neurons continue to be generated in two privileged areas of the adult brain: the dentate gyrus of the hippocampal formation and the olfactory bulb. Adult neurogenesis has been found in all mammals studied to date, including humans. The process of adult neurogenesis encompasses the proliferation of resident neural stem and progenitor cells and their subsequent differentiation, migration, and functional integration into the pre-existing circuitry. This article summarizes recent findings regarding the developmental steps involved in adult hippocampal neurogenesis and the possible functional roles that new hippocampal neurons might play.

Posted Content
TL;DR: A simple re-implementation of BERT for query-based passage re-ranking on the TREC-CAR dataset and the top entry in the leaderboard of the MS MARCO passage retrieval task, outperforming the previous state of the art by 27% in MRR@10.
Abstract: Recently, neural models pretrained on a language modeling task, such as ELMo (Peters et al., 2017), OpenAI GPT (Radford et al., 2018), and BERT (Devlin et al., 2018), have achieved impressive results on various natural language processing tasks such as question-answering and natural language inference. In this paper, we describe a simple re-implementation of BERT for query-based passage re-ranking. Our system is the state of the art on the TREC-CAR dataset and the top entry in the leaderboard of the MS MARCO passage retrieval task, outperforming the previous state of the art by 27% (relative) in MRR@10. The code to reproduce our results is available at this https URL

Journal ArticleDOI
01 Oct 2015-Nature
TL;DR: It is shown at the single-cell level that early stage metastatic cells possess a distinct stem-like gene expression signature, which supports a hierarchical model for metastasis, in which metastases are initiated by stem- like cells that proliferate and differentiate to produce advanced metastatic disease.
Abstract: Despite major advances in understanding the molecular and genetic basis of cancer, metastasis remains the cause of >90% of cancer-related mortality. Understanding metastasis initiation and progression is critical to developing new therapeutic strategies to treat and prevent metastatic disease. Prevailing theories hypothesize that metastases are seeded by rare tumour cells with unique properties, which may function like stem cells in their ability to initiate and propagate metastatic tumours. However, the identity of metastasis-initiating cells in human breast cancer remains elusive, and whether metastases are hierarchically organized is unknown. Here we show at the single-cell level that early stage metastatic cells possess a distinct stem-like gene expression signature. To identify and isolate metastatic cells from patient-derived xenograft models of human breast cancer, we developed a highly sensitive fluorescence-activated cell sorting (FACS)-based assay, which allowed us to enumerate metastatic cells in mouse peripheral tissues. We compared gene signatures in metastatic cells from tissues with low versus high metastatic burden. Metastatic cells from low-burden tissues were distinct owing to their increased expression of stem cell, epithelial-to-mesenchymal transition, pro-survival, and dormancy-associated genes. By contrast, metastatic cells from high-burden tissues were similar to primary tumour cells, which were more heterogeneous and expressed higher levels of luminal differentiation genes. Transplantation of stem-like metastatic cells from low-burden tissues showed that they have considerable tumour-initiating capacity, and can differentiate to produce luminal-like cancer cells. Progression to high metastatic burden was associated with increased proliferation and MYC expression, which could be attenuated by treatment with cyclin-dependent kinase (CDK) inhibitors. These findings support a hierarchical model for metastasis, in which metastases are initiated by stem-like cells that proliferate and differentiate to produce advanced metastatic disease.

Journal ArticleDOI
TL;DR: Brief growth-mind-set and sense-of-purpose interventions through online modules were intended to help students persist when they experienced academic difficulty and were predicted to be most beneficial for poorly performing students.
Abstract: The efficacy of academic-mind-set interventions has been demonstrated by small-scale, proof-of-concept interventions, generally delivered in person in one school at a time. Whether this approach could be a practical way to raise school achievement on a large scale remains unknown. We therefore delivered brief growth-mind-set and sense-of-purpose interventions through online modules to 1,594 students in 13 geographically diverse high schools. Both interventions were intended to help students persist when they experienced academic difficulty; thus, both were predicted to be most beneficial for poorly performing students. This was the case. Among students at risk of dropping out of high school (one third of the sample), each intervention raised students’ semester grade point averages in core academic courses and increased the rate at which students performed satisfactorily in core courses by 6.4 percentage points. We discuss implications for the pipeline from theory to practice and for education reform.

Journal ArticleDOI
TL;DR: An efficient and rather robust face spoof detection algorithm based on image distortion analysis (IDA) that outperforms the state-of-the-art methods in spoof detection and highlights the difficulty in separating genuine and spoof faces, especially in cross-database and cross-device scenarios.
Abstract: Automatic face recognition is now widely used in applications ranging from deduplication of identity to authentication of mobile payment. This popularity of face recognition has raised concerns about face spoof attacks (also known as biometric sensor presentation attacks), where a photo or video of an authorized person’s face could be used to gain access to facilities or services. While a number of face spoof detection techniques have been proposed, their generalization ability has not been adequately addressed. We propose an efficient and rather robust face spoof detection algorithm based on image distortion analysis (IDA). Four different features (specular reflection, blurriness, chromatic moment, and color diversity) are extracted to form the IDA feature vector. An ensemble classifier, consisting of multiple SVM classifiers trained for different face spoof attacks (e.g., printed photo and replayed video), is used to distinguish between genuine (live) and spoof faces. The proposed approach is extended to multiframe face spoof detection in videos using a voting-based scheme. We also collect a face spoof database, MSU mobile face spoofing database (MSU MFSD), using two mobile devices (Google Nexus 5 and MacBook Air) with three types of spoof attacks (printed photo, replayed video with iPhone 5S, and replayed video with iPad Air). Experimental results on two public-domain face spoof databases (Idiap REPLAY-ATTACK and CASIA FASD), and the MSU MFSD database show that the proposed approach outperforms the state-of-the-art methods in spoof detection. Our results also highlight the difficulty in separating genuine and spoof faces, especially in cross-database and cross-device scenarios.

Journal ArticleDOI
TL;DR: The results reveal a mechanism by which plants determine the composition of rhizosphere microbiota, plant performance and plant-herbivore interactions of the next generation by modifying root-associated microbiota.
Abstract: By changing soil properties, plants can modify their growth environment. Although the soil microbiota is known to play a key role in the resulting plant-soil feedbacks, the proximal mechanisms underlying this phenomenon remain unknown. We found that benzoxazinoids, a class of defensive secondary metabolites that are released by roots of cereals such as wheat and maize, alter root-associated fungal and bacterial communities, decrease plant growth, increase jasmonate signaling and plant defenses, and suppress herbivore performance in the next plant generation. Complementation experiments demonstrate that the benzoxazinoid breakdown product 6-methoxy-benzoxazolin-2-one (MBOA), which accumulates in the soil during the conditioning phase, is both sufficient and necessary to trigger the observed phenotypic changes. Sterilization, fungal and bacterial profiling and complementation experiments reveal that MBOA acts indirectly by altering root-associated microbiota. Our results reveal a mechanism by which plants determine the composition of rhizosphere microbiota, plant performance and plant-herbivore interactions of the next generation.

Posted Content
TL;DR: This review places special emphasis on the fundamental principles of flow design, and discusses foundational topics such as expressive power and computational trade-offs, and summarizes the use of flows for tasks such as generative modeling, approximate inference, and supervised learning.
Abstract: Normalizing flows provide a general mechanism for defining expressive probability distributions, only requiring the specification of a (usually simple) base distribution and a series of bijective transformations. There has been much recent work on normalizing flows, ranging from improving their expressive power to expanding their application. We believe the field has now matured and is in need of a unified perspective. In this review, we attempt to provide such a perspective by describing flows through the lens of probabilistic modeling and inference. We place special emphasis on the fundamental principles of flow design, and discuss foundational topics such as expressive power and computational trade-offs. We also broaden the conceptual framing of flows by relating them to more general probability transformations. Lastly, we summarize the use of flows for tasks such as generative modeling, approximate inference, and supervised learning.

Journal ArticleDOI
TL;DR: In this editorial, some first insights into this willingness to be vaccinated are provided, based on a multi-country European study.
Abstract: In this editorial, we provide some first insights into this willingness to be vaccinated, based on a multi-country European study

Journal ArticleDOI
TL;DR: Observational Health Data Sciences and Informatics has built on learnings from the Observational Medical Outcomes Partnership to turn methods research and insights into a suite of applications and exploration tools that move the field closer to the ultimate goal of generating evidence about all aspects of healthcare.
Abstract: The vision of creating accessible, reliable clinical evidence by accessing the clincial experience of hundreds of millions of patients across the globe is a reality. Observational Health Data Sciences and Informatics (OHDSI) has built on learnings from the Observational Medical Outcomes Partnership to turn methods research and insights into a suite of applications and exploration tools that move the field closer to the ultimate goal of generating evidence about all aspects of healthcare to serve the needs of patients, clinicians and all other decision-makers around the world.

Journal ArticleDOI
TL;DR: It is demonstrated that projected urban area expansion will take place on some of the world’s most productive croplands, in particular in megaurban regions in Asia and Africa, which adds pressure to potentially strained future food systems and threatens livelihoods in vulnerable regions.
Abstract: Urban expansion often occurs on croplands. However, there is little scientific understanding of how global patterns of future urban expansion will affect the world's cultivated areas. Here, we combine spatially explicit projections of urban expansion with datasets on global croplands and crop yields. Our results show that urban expansion will result in a 1.8-2.4% loss of global croplands by 2030, with substantial regional disparities. About 80% of global cropland loss from urban expansion will take place in Asia and Africa. In both Asia and Africa, much of the cropland that will be lost is more than twice as productive as national averages. Asia will experience the highest absolute loss in cropland, whereas African countries will experience the highest percentage loss of cropland. Globally, the croplands that are likely to be lost were responsible for 3-4% of worldwide crop production in 2000. Urban expansion is expected to take place on cropland that is 1.77 times more productive than the global average. The loss of cropland is likely to be accompanied by other sustainability risks and threatens livelihoods, with diverging characteristics for different megaurban regions. Governance of urban area expansion thus emerges as a key area for securing livelihoods in the agrarian economies of the Global South.

Journal ArticleDOI
TL;DR: In this article, the authors apply a hierarchical Bayesian statistical approach to the sample of Kepler transiting sub-Neptune planets with Keck RV follow-up, constrain the fraction of close-in planets (with orbital periods less than ~50 days) that are sufficiently dense to be rocky, as a function of planet radius.
Abstract: The Kepler mission, combined with ground-based radial velocity (RV) follow-up and dynamical analyses of transit timing variations, has revolutionized the observational constraints on sub-Neptune-sized planet compositions. The results of an extensive Kepler follow-up program including multiple Doppler measurements for 22 planet-hosting stars more than doubles the population of sub-Neptune-sized transiting planets that have RV mass constraints. This unprecedentedly large and homogeneous sample of planets with both mass and radius constraints opens the possibility of a statistical study of the underlying population of planet compositions. We focus on the intriguing transition between rocky exoplanets (comprised of iron and silicates) and planets with voluminous layers of volatiles (H/He and astrophysical ices). Applying a hierarchical Bayesian statistical approach to the sample of Kepler transiting sub-Neptune planets with Keck RV follow-up, we constrain the fraction of close-in planets (with orbital periods less than ~50 days) that are sufficiently dense to be rocky, as a function of planet radius. We show that the majority of 1.6 R⊕ planets have too low density to be comprised of Fe and silicates alone. At larger radii, the constraints on the fraction of rocky planets are even more stringent. These insights into the size demographics of rocky and volatile-rich planets offer empirical constraints to planet formation theories, and guide the range of planet radii to be considered in studies of the occurrence rate of "Earth-like" planets, η⊕.

Proceedings ArticleDOI
04 Feb 2021
TL;DR: MPRNet as discussed by the authors proposes a multi-stage architecture that progressively learns restoration functions for the degraded inputs, thereby breaking down the overall recovery process into more manageable steps, and introduces a novel per-pixel adaptive design that leverages in-situ supervised attention to reweight the local features.
Abstract: Image restoration tasks demand a complex balance between spatial details and high-level contextualized information while recovering images. In this paper, we propose a novel synergistic design that can optimally balance these competing goals. Our main proposal is a multi-stage architecture, that progressively learns restoration functions for the degraded inputs, thereby breaking down the overall recovery process into more manageable steps. Specifically, our model first learns the contextualized features using encoder-decoder architectures and later combines them with a high-resolution branch that retains local information. At each stage, we introduce a novel per-pixel adaptive design that leverages in-situ supervised attention to reweight the local features. A key ingredient in such a multi-stage architecture is the information exchange between different stages. To this end, we propose a two-faceted approach where the information is not only exchanged sequentially from early to late stages, but lateral connections between feature processing blocks also exist to avoid any loss of information. The resulting tightly interlinked multi-stage architecture, named as MPRNet, delivers strong performance gains on ten datasets across a range of tasks including image deraining, deblurring, and denoising. The source code and pre-trained models are available at https://github.com/swz30/MPRNet.

Journal ArticleDOI
TL;DR: The physiological rationale for physical activity, risks of adverse events, societal and psychological factors are discussed with a view to inform public health initiatives for the relatively healthy older person as well as those with physical frailty.
Abstract: Regular physical activity helps to improve physical and mental functions as well as reverse some effects of chronic disease to keep older people mobile and independent. Despite the highly publicised benefits of physical activity, the overwhelming majority of older people in the United Kingdom do not meet the minimum physical activity levels needed to maintain health. The sedentary lifestyles that predominate in older age results in premature onset of ill health, disease and frailty. Local authorities have a responsibility to promote physical activity amongst older people, but knowing how to stimulate regular activity at the population-level is challenging. The physiological rationale for physical activity, risks of adverse events, societal and psychological factors are discussed with a view to inform public health initiatives for the relatively healthy older person as well as those with physical frailty. The evidence shows that regular physical activity is safe for healthy and for frail older people and the risks of developing major cardiovascular and metabolic diseases, obesity, falls, cognitive impairments, osteoporosis and muscular weakness are decreased by regularly completing activities ranging from low intensity walking through to more vigorous sports and resistance exercises. Yet, participation in physical activities remains low amongst older adults, particularly those living in less affluent areas. Older people may be encouraged to increase their activities if influenced by clinicians, family or friends, keeping costs low and enjoyment high, facilitating group-based activities and raising self-efficacy for exercise.

Journal ArticleDOI
14 Oct 2016-Science
TL;DR: It is shown that rapid light–induced free-radical polymerization at ambient temperature produces multifunctional fluorinated photopolymer coatings that confer luminescent and easy-cleaning features on the front side of the devices, while concurrently forming a strongly hydrophobic barrier toward environmental moisture on the back contact side.
Abstract: Organometal halide perovskite solar cells have demonstrated high conversion efficiency but poor long-term stability against ultraviolet irradiation and water. We show that rapid light-induced free-radical polymerization at ambient temperature produces multifunctional fluorinated photopolymer coatings that confer luminescent and easy-cleaning features on the front side of the devices, while concurrently forming a strongly hydrophobic barrier toward environmental moisture on the back contact side. The luminescent photopolymers re-emit ultraviolet light in the visible range, boosting perovskite solar cells efficiency to nearly 19% under standard illumination. Coated devices reproducibly retain their full functional performance during prolonged operation, even after a series of severe aging tests carried out for more than 6 months.

Journal ArticleDOI
TL;DR: Consensus guidelines are presented on central aspects of CAR assessment, including objective control of sampling accuracy/adherence, participant instructions, covariate accounting, sampling protocols, quantification strategies as well as reporting and interpreting of CAR data.

Journal ArticleDOI
TL;DR: The randomised phase 3 METEOR trial compared the efficacy and safety of cabozantinib versus the mTOR inhibitor everolimus in patients with advanced renal cell carcinoma who progressed after previous VEGFR tyrosine-kinase inhibitor treatment.
Abstract: Summary Background Cabozantinib is an oral inhibitor of tyrosine kinases including MET, VEGFR, and AXL. The randomised phase 3 METEOR trial compared the efficacy and safety of cabozantinib versus the mTOR inhibitor everolimus in patients with advanced renal cell carcinoma who progressed after previous VEGFR tyrosine-kinase inhibitor treatment. Here, we report the final overall survival results from this study based on an unplanned second interim analysis. Methods In this open-label, randomised phase 3 trial, we randomly assigned (1:1) patients aged 18 years and older with advanced or metastatic clear-cell renal cell carcinoma, measurable disease, and previous treatment with one or more VEGFR tyrosine-kinase inhibitors to receive 60 mg cabozantinib once a day or 10 mg everolimus once a day. Randomisation was done with an interactive voice and web response system. Stratification factors were Memorial Sloan Kettering Cancer Center risk group and the number of previous treatments with VEGFR tyrosine-kinase inhibitors. The primary endpoint was progression-free survival as assessed by an independent radiology review committee in the first 375 randomly assigned patients and has been previously reported. Secondary endpoints were overall survival and objective response in all randomly assigned patients assessed by intention-to-treat. Safety was assessed per protocol in all patients who received at least one dose of study drug. The study is closed for enrolment but treatment and follow-up of patients is ongoing for long-term safety evaluation. This trial is registered with ClinicalTrials.gov, number NCT01865747. Findings Between Aug 8, 2013, and Nov 24, 2014, 658 patients were randomly assigned to receive cabozantinib (n=330) or everolimus (n=328). The median duration of follow-up for overall survival and safety was 18·7 months (IQR 16·1–21·1) in the cabozantinib group and 18·8 months (16·0–21·2) in the everolimus group. Median overall survival was 21·4 months (95% CI 18·7–not estimable) with cabozantinib and 16·5 months (14·7–18·8) with everolimus (hazard ratio [HR] 0·66 [95% CI 0·53–0·83]; p=0·00026). Cabozantinib treatment also resulted in improved progression-free survival (HR 0·51 [95% CI 0·41–0·62]; p vs 3% [2–6] with everolimus; p vs 12 [4%] in the everolimus group), diarrhoea (43 [13%] vs 7 [2%]), fatigue (36 [11%] vs 24 [7%]), palmar-plantar erythrodysaesthesia syndrome (27 [8%] vs 3 [1%]), anaemia (19 [6%] vs 53 [17%]), hyperglycaemia (3 [1%] vs 16 [5%]), and hypomagnesaemia (16 [5%] vs none). Serious adverse events grade 3 or worse occurred in 130 (39%) patients in the cabozantinib group and in 129 (40%) in the everolimus group. One treatment-related death occurred in the cabozantinib group (death; not otherwise specified) and two occurred in the everolimus group (one aspergillus infection and one pneumonia aspiration). Interpretation Treatment with cabozantinib increased overall survival, delayed disease progression, and improved the objective response compared with everolimus. Based on these results, cabozantinib should be considered as a new standard-of-care treatment option for previously treated patients with advanced renal cell carcinoma. Patients should be monitored for adverse events that might require dose modifications. Funding Exelixis Inc.

Journal ArticleDOI
TL;DR: This article discuss three distinct weighting motives: (1) to achieve precise estimates by correcting for heteroskedasticity, (2) to maintain consistent estimates by adjusting endogenous sampling, and (3) to identify average partial effects in the presence of unmodeled heterogeneity of effects.
Abstract: :When estimating population descriptive statistics, weighting is called for if needed to make the analysis sample representative of the target population. With regard to research directed instead at estimating causal effects, we discuss three distinct weighting motives: (1) to achieve precise estimates by correcting for heteroskedasticity; (2) to achieve consistent estimates by correcting for endogenous sampling; and (3) to identify average partial effects in the presence of unmodeled heterogeneity of effects. In each case, we find that the motive sometimes does not apply in situations where practitioners often assume it does.

Journal ArticleDOI
TL;DR: Comparisons of 12 combinations of eight promoters and two terminators found that the efficiency of the egg cell-specific promoter-controlled CRISPR/Cas9 system depended on the presence of a suitable terminator, and the composite promoter generated by fusing two eggcell-specific promoters resulted in much higher efficiency of mutation in the T1 generation compared with the single promoters.
Abstract: Arabidopsis mutants produced by constitutive overexpression of the CRISPR/Cas9 genome editing system are usually mosaics in the T1 generation. In this study, we used egg cell-specific promoters to drive the expression of Cas9 and obtained non-mosaic T1 mutants for multiple target genes with high efficiency. Comparisons of 12 combinations of eight promoters and two terminators found that the efficiency of the egg cell-specific promoter-controlled CRISPR/Cas9 system depended on the presence of a suitable terminator, and the composite promoter generated by fusing two egg cell-specific promoters resulted in much higher efficiency of mutation in the T1 generation compared with the single promoters.