@saibolla/ada 0.1.2
This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
- package/.ada/SYSTEM.md +81 -0
- package/.ada/agents/researcher.md +69 -0
- package/.ada/agents/reviewer.md +92 -0
- package/.ada/agents/verifier.md +45 -0
- package/.ada/agents/writer.md +54 -0
- package/.ada/settings.json +32 -0
- package/.ada/themes/ada.json +85 -0
- package/.env.example +31 -0
- package/AGENTS.md +79 -0
- package/LICENSE +191 -0
- package/README.md +188 -0
- package/bin/ada.js +26 -0
- package/dist/bootstrap/sync.js +143 -0
- package/dist/cli.js +404 -0
- package/dist/config/paths.js +32 -0
- package/dist/index.js +10 -0
- package/dist/model/catalog.js +255 -0
- package/dist/model/commands.js +180 -0
- package/dist/pi/launch.js +33 -0
- package/dist/pi/package-presets.js +55 -0
- package/dist/pi/runtime.js +81 -0
- package/dist/pi/settings.js +108 -0
- package/dist/pi/web-access.js +74 -0
- package/dist/search/commands.js +12 -0
- package/dist/setup/doctor.js +126 -0
- package/dist/setup/preview.js +117 -0
- package/dist/setup/prompts.js +34 -0
- package/dist/setup/setup.js +98 -0
- package/dist/setup/update.js +133 -0
- package/dist/system/executables.js +38 -0
- package/dist/system/node-version.js +31 -0
- package/dist/system/open-url.js +35 -0
- package/dist/system/promise-polyfill.js +12 -0
- package/dist/ui/terminal.js +64 -0
- package/dist/web/launch.js +48 -0
- package/dist/web-search.js +1 -0
- package/extensions/docparser/constants.ts +62 -0
- package/extensions/docparser/deps.ts +584 -0
- package/extensions/docparser/doctor.ts +353 -0
- package/extensions/docparser/index.ts +9 -0
- package/extensions/docparser/input.ts +230 -0
- package/extensions/docparser/request.ts +67 -0
- package/extensions/docparser/schema.ts +82 -0
- package/extensions/docparser/tool.ts +305 -0
- package/extensions/docparser/types.ts +99 -0
- package/extensions/research-tools/alpha.ts +107 -0
- package/extensions/research-tools/header.ts +284 -0
- package/extensions/research-tools/help.ts +93 -0
- package/extensions/research-tools/project-scaffold.ts +64 -0
- package/extensions/research-tools/project.ts +123 -0
- package/extensions/research-tools/shared.ts +16 -0
- package/extensions/research-tools.ts +42 -0
- package/logo.d.mts +3 -0
- package/logo.mjs +14 -0
- package/metadata/commands.d.mts +46 -0
- package/metadata/commands.mjs +133 -0
- package/package.json +80 -0
- package/prompts/audit.md +17 -0
- package/prompts/autoresearch.md +66 -0
- package/prompts/compare.md +18 -0
- package/prompts/deepresearch.md +189 -0
- package/prompts/draft.md +19 -0
- package/prompts/jobs.md +16 -0
- package/prompts/litreview.md +18 -0
- package/prompts/log.md +14 -0
- package/prompts/replicate.md +24 -0
- package/prompts/review.md +18 -0
- package/prompts/watch.md +16 -0
- package/scripts/build-native-bundle.mjs +349 -0
- package/scripts/check-node-version.mjs +35 -0
- package/scripts/patch-embedded-pi.mjs +588 -0
- package/scripts/prepare-runtime-workspace.mjs +162 -0
- package/scripts/prune-runtime-deps.mjs +131 -0
- package/scripts/release.sh +152 -0
- package/skills/adaptyv/SKILL.md +112 -0
- package/skills/adaptyv/reference/api_reference.md +308 -0
- package/skills/adaptyv/reference/examples.md +913 -0
- package/skills/adaptyv/reference/experiments.md +360 -0
- package/skills/adaptyv/reference/protein_optimization.md +637 -0
- package/skills/aeon/SKILL.md +372 -0
- package/skills/aeon/references/anomaly_detection.md +154 -0
- package/skills/aeon/references/classification.md +144 -0
- package/skills/aeon/references/clustering.md +123 -0
- package/skills/aeon/references/datasets_benchmarking.md +387 -0
- package/skills/aeon/references/distances.md +256 -0
- package/skills/aeon/references/forecasting.md +140 -0
- package/skills/aeon/references/networks.md +289 -0
- package/skills/aeon/references/regression.md +118 -0
- package/skills/aeon/references/segmentation.md +163 -0
- package/skills/aeon/references/similarity_search.md +187 -0
- package/skills/aeon/references/transformations.md +246 -0
- package/skills/alpha-research/SKILL.md +42 -0
- package/skills/alpha-vantage/SKILL.md +142 -0
- package/skills/alpha-vantage/references/commodities.md +153 -0
- package/skills/alpha-vantage/references/economic-indicators.md +158 -0
- package/skills/alpha-vantage/references/forex-crypto.md +154 -0
- package/skills/alpha-vantage/references/fundamentals.md +223 -0
- package/skills/alpha-vantage/references/intelligence.md +138 -0
- package/skills/alpha-vantage/references/options.md +93 -0
- package/skills/alpha-vantage/references/technical-indicators.md +374 -0
- package/skills/alpha-vantage/references/time-series.md +157 -0
- package/skills/alphafold-database/SKILL.md +511 -0
- package/skills/alphafold-database/references/api_reference.md +423 -0
- package/skills/anndata/SKILL.md +398 -0
- package/skills/anndata/references/best_practices.md +525 -0
- package/skills/anndata/references/concatenation.md +396 -0
- package/skills/anndata/references/data_structure.md +314 -0
- package/skills/anndata/references/io_operations.md +404 -0
- package/skills/anndata/references/manipulation.md +516 -0
- package/skills/arboreto/SKILL.md +241 -0
- package/skills/arboreto/references/algorithms.md +138 -0
- package/skills/arboreto/references/basic_inference.md +151 -0
- package/skills/arboreto/references/distributed_computing.md +242 -0
- package/skills/arboreto/scripts/basic_grn_inference.py +97 -0
- package/skills/arxiv-database/SKILL.md +362 -0
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- package/skills/arxiv-database/scripts/arxiv_search.py +414 -0
- package/skills/astropy/SKILL.md +329 -0
- package/skills/astropy/references/coordinates.md +273 -0
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- package/skills/autoresearch/SKILL.md +12 -0
- package/skills/benchling-integration/SKILL.md +478 -0
- package/skills/benchling-integration/references/api_endpoints.md +883 -0
- package/skills/benchling-integration/references/authentication.md +379 -0
- package/skills/benchling-integration/references/sdk_reference.md +774 -0
- package/skills/bgpt-paper-search/SKILL.md +81 -0
- package/skills/bindingdb-database/SKILL.md +332 -0
- package/skills/bindingdb-database/references/affinity_queries.md +178 -0
- package/skills/biopython/SKILL.md +441 -0
- package/skills/biopython/references/advanced.md +577 -0
- package/skills/biopython/references/alignment.md +362 -0
- package/skills/biopython/references/blast.md +455 -0
- package/skills/biopython/references/databases.md +484 -0
- package/skills/biopython/references/phylogenetics.md +566 -0
- package/skills/biopython/references/sequence_io.md +285 -0
- package/skills/biopython/references/structure.md +564 -0
- package/skills/biorxiv-database/SKILL.md +481 -0
- package/skills/biorxiv-database/references/api_reference.md +280 -0
- package/skills/biorxiv-database/scripts/biorxiv_search.py +445 -0
- package/skills/bioservices/SKILL.md +359 -0
- package/skills/bioservices/references/identifier_mapping.md +685 -0
- package/skills/bioservices/references/services_reference.md +636 -0
- package/skills/bioservices/references/workflow_patterns.md +811 -0
- package/skills/bioservices/scripts/batch_id_converter.py +347 -0
- package/skills/bioservices/scripts/compound_cross_reference.py +378 -0
- package/skills/bioservices/scripts/pathway_analysis.py +309 -0
- package/skills/bioservices/scripts/protein_analysis_workflow.py +408 -0
- package/skills/brenda-database/SKILL.md +717 -0
- package/skills/brenda-database/references/api_reference.md +537 -0
- package/skills/brenda-database/scripts/brenda_queries.py +844 -0
- package/skills/brenda-database/scripts/brenda_visualization.py +772 -0
- package/skills/brenda-database/scripts/enzyme_pathway_builder.py +1053 -0
- package/skills/cbioportal-database/SKILL.md +367 -0
- package/skills/cbioportal-database/references/study_exploration.md +128 -0
- package/skills/cellxgene-census/SKILL.md +509 -0
- package/skills/cellxgene-census/references/census_schema.md +182 -0
- package/skills/cellxgene-census/references/common_patterns.md +351 -0
- package/skills/chembl-database/SKILL.md +387 -0
- package/skills/chembl-database/references/api_reference.md +272 -0
- package/skills/chembl-database/scripts/example_queries.py +278 -0
- package/skills/cirq/SKILL.md +344 -0
- package/skills/cirq/references/building.md +307 -0
- package/skills/cirq/references/experiments.md +572 -0
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- package/skills/cirq/references/transformation.md +416 -0
- package/skills/citation-management/SKILL.md +1113 -0
- package/skills/citation-management/assets/bibtex_template.bib +264 -0
- package/skills/citation-management/assets/citation_checklist.md +386 -0
- package/skills/citation-management/references/bibtex_formatting.md +908 -0
- package/skills/citation-management/references/citation_validation.md +794 -0
- package/skills/citation-management/references/google_scholar_search.md +725 -0
- package/skills/citation-management/references/metadata_extraction.md +870 -0
- package/skills/citation-management/references/pubmed_search.md +839 -0
- package/skills/citation-management/scripts/doi_to_bibtex.py +204 -0
- package/skills/citation-management/scripts/extract_metadata.py +569 -0
- package/skills/citation-management/scripts/format_bibtex.py +349 -0
- package/skills/citation-management/scripts/search_google_scholar.py +282 -0
- package/skills/citation-management/scripts/search_pubmed.py +398 -0
- package/skills/citation-management/scripts/validate_citations.py +497 -0
- package/skills/clinical-decision-support/SKILL.md +510 -0
- package/skills/clinical-decision-support/assets/biomarker_report_template.tex +380 -0
- package/skills/clinical-decision-support/assets/clinical_pathway_template.tex +222 -0
- package/skills/clinical-decision-support/assets/cohort_analysis_template.tex +359 -0
- package/skills/clinical-decision-support/assets/color_schemes.tex +149 -0
- package/skills/clinical-decision-support/assets/example_gbm_cohort.md +208 -0
- package/skills/clinical-decision-support/assets/recommendation_strength_guide.md +328 -0
- package/skills/clinical-decision-support/assets/treatment_recommendation_template.tex +529 -0
- package/skills/clinical-decision-support/references/README.md +129 -0
- package/skills/clinical-decision-support/references/biomarker_classification.md +719 -0
- package/skills/clinical-decision-support/references/clinical_decision_algorithms.md +604 -0
- package/skills/clinical-decision-support/references/evidence_synthesis.md +840 -0
- package/skills/clinical-decision-support/references/outcome_analysis.md +640 -0
- package/skills/clinical-decision-support/references/patient_cohort_analysis.md +427 -0
- package/skills/clinical-decision-support/references/treatment_recommendations.md +521 -0
- package/skills/clinical-decision-support/scripts/biomarker_classifier.py +384 -0
- package/skills/clinical-decision-support/scripts/build_decision_tree.py +447 -0
- package/skills/clinical-decision-support/scripts/create_cohort_tables.py +524 -0
- package/skills/clinical-decision-support/scripts/generate_survival_analysis.py +422 -0
- package/skills/clinical-decision-support/scripts/validate_cds_document.py +335 -0
- package/skills/clinical-reports/SKILL.md +1131 -0
- package/skills/clinical-reports/assets/case_report_template.md +352 -0
- package/skills/clinical-reports/assets/clinical_trial_csr_template.md +353 -0
- package/skills/clinical-reports/assets/clinical_trial_sae_template.md +359 -0
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- package/skills/clinical-reports/assets/pathology_report_template.md +249 -0
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- package/skills/clinical-reports/scripts/check_deidentification.py +346 -0
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- package/skills/clinical-reports/scripts/extract_clinical_data.py +102 -0
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- package/skills/clinical-reports/scripts/generate_report_template.py +163 -0
- package/skills/clinical-reports/scripts/terminology_validator.py +133 -0
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- package/skills/clinical-reports/scripts/validate_trial_report.py +89 -0
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- package/skills/clinicaltrials-database/scripts/query_clinicaltrials.py +215 -0
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# Cell Press Summary, Highlights, and eTOC Examples
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Examples of Cell Press-specific elements including Summary (abstract), Highlights, and eTOC blurb.
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---
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## Complete Example 1: Senescence and Aging
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### Summary (150 words max)
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```
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Cellular senescence is a stress response that prevents damaged cell
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proliferation but can drive tissue dysfunction through the senescence-
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associated secretory phenotype (SASP). How senescent cells resist
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apoptosis despite expressing pro-apoptotic p53 has remained unclear.
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Here, we identify FOXO4 as a pivotal mediator of senescent cell viability.
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FOXO4 is highly expressed in senescent cells and directly interacts with
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p53, retaining it in the nucleus and preventing p53-mediated apoptosis.
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A cell-permeable peptide that disrupts FOXO4-p53 interaction selectively
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induces p53 nuclear exclusion and apoptosis in senescent cells without
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affecting proliferating cells. In vivo, this FOXO4 peptide neutralizes
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doxorubicin-induced senescent cells and restores fitness, fur density,
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and renal function in naturally aged mice. These findings establish
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FOXO4-mediated p53 sequestration as a senescence-specific survival
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pathway and demonstrate the therapeutic potential of targeted senescent
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cell elimination.
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```
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### Highlights (≤85 characters each)
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```
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• FOXO4 is selectively upregulated in senescent cells and binds p53
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• FOXO4-p53 interaction retains p53 in the nucleus, preventing apoptosis
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• A FOXO4-targeting peptide induces apoptosis specifically in senescent cells
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• FOXO4 peptide treatment restores fitness and organ function in aged mice
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```
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### eTOC Blurb (30-50 words)
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```
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Baar et al. identify FOXO4 as a critical mediator of senescent cell survival
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through p53 sequestration. A peptide disrupting FOXO4-p53 interaction
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selectively eliminates senescent cells and restores tissue function in
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aged mice, establishing proof-of-concept for targeted senolytic therapy.
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### In Brief (1 sentence)
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A FOXO4-targeting peptide selectively eliminates senescent cells by
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releasing p53, restoring tissue function in aged mice.
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---
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The three-dimensional organization of chromosomes within the nucleus
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influences gene expression, DNA replication, and genome stability.
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Phase separation has emerged as a potential mechanism for organizing
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nuclear contents, but whether condensates can shape chromosome
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structure in vivo remains unknown. Here, we show that the transcriptional
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coactivator BRD4 forms liquid-like condensates at super-enhancers that
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organize associated chromatin into hub structures. Optogenetic induction
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of BRD4 condensates is sufficient to remodel chromosome topology and
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activate transcription within minutes. Conversely, disruption of BRD4
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condensates with the small molecule JQ1 dissolves chromatin hubs and
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rapidly silences super-enhancer-controlled genes. Single-molecule
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tracking reveals that condensate formation increases the local
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concentration of transcription machinery 100-fold, explaining the
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transcriptional potency of super-enhancers. These results establish
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phase separation as a mechanism for chromatin organization and
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transcriptional control with implications for understanding and
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targeting oncogenic super-enhancers.
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• BRD4 forms liquid condensates at super-enhancers in living cells
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Sabari et al. demonstrate that BRD4 forms phase-separated condensates
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at super-enhancers that organize chromatin into hub structures and
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concentrate transcription machinery. Optogenetic manipulation reveals
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that condensate formation directly drives chromatin remodeling and
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transcriptional activation.
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Immune cells undergo dramatic metabolic reprogramming upon activation,
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switching from oxidative phosphorylation to aerobic glycolysis. This
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metabolic shift is thought to support the biosynthetic demands of
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rapid proliferation, but whether specific metabolites directly regulate
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immune cell function remains largely unexplored. Here, we show that
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the glycolytic metabolite phosphoenolpyruvate (PEP) sustains T cell
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receptor signaling by inhibiting sarco/endoplasmic reticulum Ca²⁺-ATPase
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(SERCA) activity. PEP accumulates in activated T cells and directly
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binds SERCA, preventing calcium reuptake and prolonging store-operated
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calcium entry. Genetic or pharmacological enhancement of PEP levels
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augments T cell effector function and anti-tumor immunity in vivo.
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T cell calcium signaling, contributing to tumor immune evasion. These
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findings reveal an unexpected signaling role for a glycolytic
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intermediate and suggest metabolic strategies to enhance T cell
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responses in cancer immunotherapy.
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• Enhancing PEP levels augments anti-tumor T cell immunity
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```
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Ho et al. discover that the glycolytic metabolite phosphoenolpyruvate
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directly regulates T cell calcium signaling by inhibiting SERCA. This
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metabolic-signaling link is exploited by tumors through lactate
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secretion and offers new targets for cancer immunotherapy.
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## Graphical Abstract Description Examples
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"Graphical abstract for Cell paper on FOXO4 and senescence:
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Left panel: Senescent cell (enlarged, irregular shape) with FOXO4 (blue
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oval) binding p53 (green oval) in nucleus, preventing apoptosis. Label:
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'FOXO4 sequesters p53 → Senescent cell survival'
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Center panel: Same senescent cell with FOXO4 peptide (red wedge)
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disrupting FOXO4-p53 interaction. p53 moves to mitochondria (orange
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organelles). Label: 'FOXO4 peptide disrupts interaction'
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Right panel: Senescent cell undergoing apoptosis (fragmenting). Label:
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'Selective senescent cell death'
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Bottom: Aged mouse (grey, hunched) → Treatment arrow → Rejuvenated mouse
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(brown, active). Label: 'Restored fitness in aged mice'
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Color scheme: Blue for FOXO4, green for p53, red for peptide, grey
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background for cells."
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### For Chromatin Paper
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"Graphical abstract for Cell paper on BRD4 condensates:
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condensate. Arrow showing '100× local concentration increase'
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creating new condensate with chromatin reorganization. Gene expression
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indicators (up arrow, down arrow) for each condition."
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# Medical Journal Structured Abstract Examples
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Examples of structured abstracts for NEJM, Lancet, JAMA, and BMJ showing the labeled section format expected at medical journals.
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---
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## NEJM Style (250 words max)
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### Example 1: Clinical Trial
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```
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BACKGROUND
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Sodium-glucose cotransporter 2 (SGLT2) inhibitors reduce cardiovascular
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events in patients with type 2 diabetes and established cardiovascular
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disease. Whether these benefits extend to patients with heart failure and
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reduced ejection fraction, regardless of diabetes status, is unknown.
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METHODS
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We randomly assigned 4,744 patients with heart failure and an ejection
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fraction of 40% or less to receive dapagliflozin (10 mg once daily) or
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placebo, in addition to recommended therapy. The primary outcome was a
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composite of worsening heart failure (hospitalization or urgent visit
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requiring intravenous therapy) or cardiovascular death.
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RESULTS
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Over a median of 18.2 months, the primary outcome occurred in 386 of
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2,373 patients (16.3%) in the dapagliflozin group and in 502 of 2,371
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patients (21.2%) in the placebo group (hazard ratio, 0.74; 95% confidence
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interval [CI], 0.65 to 0.85; P<0.001). A first worsening heart failure
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event occurred in 237 patients (10.0%) in the dapagliflozin group and
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in 326 patients (13.7%) in the placebo group (hazard ratio, 0.70; 95%
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CI, 0.59 to 0.83). Death from cardiovascular causes occurred in 227
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patients (9.6%) and 273 patients (11.5%), respectively (hazard ratio,
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0.82; 95% CI, 0.69 to 0.98). Effects were similar in patients with and
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without diabetes. Serious adverse events were similar between groups.
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CONCLUSIONS
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Among patients with heart failure and a reduced ejection fraction,
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dapagliflozin reduced the risk of worsening heart failure or
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cardiovascular death, regardless of the presence of diabetes.
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```
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**Key Features**:
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- Four labeled sections (BACKGROUND, METHODS, RESULTS, CONCLUSIONS)
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- Background: 2 sentences (problem + gap)
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- Methods: Study design, population, intervention, primary outcome
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- Results: Primary outcome with HR and 95% CI, key secondary outcomes
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- Conclusions: Clear, measured statement of findings
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---
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### Example 2: Observational Study
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```
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BACKGROUND
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Long-term use of proton-pump inhibitors (PPIs) has been associated with
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adverse outcomes in observational studies, but causality remains uncertain.
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The relationship between PPI use and chronic kidney disease is unclear.
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METHODS
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We conducted a prospective cohort study using data from 10,482 participants
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in the Atherosclerosis Risk in Communities study who were free of kidney
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disease at baseline. PPI use was ascertained at baseline and follow-up
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visits. The primary outcome was incident chronic kidney disease, defined
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as an estimated glomerular filtration rate less than 60 ml per minute per
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1.73 m² of body-surface area.
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RESULTS
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Over a median follow-up of 13.9 years, incident chronic kidney disease
|
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occurred in 56.0 per 1000 person-years among PPI users and in 42.0 per
|
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1000 person-years among non-users (adjusted hazard ratio, 1.50; 95%
|
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confidence interval [CI], 1.14 to 1.96). The association persisted after
|
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adjustment for potential confounders, including indication for PPI use
|
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and baseline kidney function. Sensitivity analyses using propensity-score
|
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matching yielded similar results. No association was observed for
|
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histamine H2-receptor antagonist use (hazard ratio, 1.08; 95% CI, 0.87
|
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to 1.34).
|
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|
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CONCLUSIONS
|
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PPI use was associated with an increased risk of incident chronic kidney
|
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+
disease in this community-based cohort. These findings warrant cautious
|
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use of PPIs and further investigation to establish causality.
|
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+
```
|
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**Key Features**:
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- Appropriate hedging for observational study ("associated with")
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- Incidence rates provided (per 1000 person-years)
|
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- Sensitivity analyses mentioned
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- Negative control (H2-receptor antagonists)
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- Cautious conclusion acknowledging limitation
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---
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## Lancet Style (300 words max)
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### Example 3: Clinical Trial with Summary Box
|
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```
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BACKGROUND
|
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Dexamethasone has been shown to reduce mortality in hospitalized patients
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with COVID-19 requiring respiratory support. We aimed to evaluate whether
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higher doses of corticosteroids would provide additional benefit in
|
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patients with severe COVID-19 pneumonia.
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METHODS
|
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In this randomized, controlled, open-label trial conducted at 18 hospitals
|
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in Brazil, we assigned patients with moderate-to-severe COVID-19 (PaO2/FiO2
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≤200 mm Hg) to receive high-dose dexamethasone (20 mg once daily for 5
|
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days, then 10 mg once daily for 5 days) or standard dexamethasone (6 mg
|
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once daily for 10 days). The primary outcome was ventilator-free days
|
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at 28 days.
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FINDINGS
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Between June 17, 2020, and September 20, 2021, we enrolled 299 patients
|
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(151 assigned to high-dose dexamethasone and 148 to standard
|
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dexamethasone). The mean number of ventilator-free days at 28 days was
|
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14·2 (SD 10·8) in the high-dose group and 15·5 (SD 10·4) in the standard
|
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group (difference, −1·3 days; 95% CI, −3·9 to 1·3; P=0·32). There was
|
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no significant difference in 28-day mortality (high dose 35·8% vs
|
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standard 31·8%; hazard ratio 1·16; 95% CI, 0·79 to 1·70). Hyperglycemia
|
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requiring insulin was more frequent with high-dose dexamethasone (66·0%
|
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vs 53·4%; P=0·027).
|
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INTERPRETATION
|
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In patients with moderate-to-severe COVID-19 pneumonia, high-dose
|
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dexamethasone did not improve ventilator-free days and was associated
|
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with increased hyperglycemia compared with standard-dose dexamethasone.
|
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These findings do not support the use of high-dose corticosteroids in
|
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COVID-19.
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FUNDING
|
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Ministry of Health of Brazil.
|
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+
```
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|
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**Key Features**:
|
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- Lancet uses "Findings" instead of "Results"
|
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- Lancet uses "Interpretation" instead of "Conclusions"
|
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- Includes funding statement in abstract
|
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- Decimal point (·) instead of period in numbers (Lancet style)
|
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|
|
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---
|
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|
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## JAMA Style (350 words max)
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|
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+
### Example 4: Diagnostic Study
|
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+
|
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```
|
|
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+
IMPORTANCE
|
|
149
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+
Lung cancer screening with low-dose computed tomography (CT) reduces
|
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+
mortality but identifies many indeterminate pulmonary nodules, leading
|
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+
to unnecessary invasive procedures. Improved risk prediction could
|
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+
reduce harms while preserving benefits.
|
|
153
|
+
|
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+
OBJECTIVE
|
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To develop and validate a deep learning model for predicting malignancy
|
|
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+
risk of lung nodules detected on screening CT.
|
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+
|
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+
DESIGN, SETTING, AND PARTICIPANTS
|
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+
This retrospective cohort study included 14,851 participants with
|
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lung nodules from the National Lung Screening Trial (NLST) for model
|
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+
development and 5,402 participants from an independent multi-site
|
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+
validation cohort (2016-2019). Data analysis was performed from
|
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January to November 2022.
|
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+
|
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EXPOSURES
|
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Deep learning model prediction of malignancy risk based on CT imaging.
|
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+
|
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+
MAIN OUTCOMES AND MEASURES
|
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169
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+
The primary outcome was lung cancer diagnosis within 2 years. Model
|
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+
performance was assessed by area under the receiver operating
|
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+
characteristic curve (AUC), sensitivity, specificity, and comparison
|
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+
with radiologist assessments.
|
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173
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+
|
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+
RESULTS
|
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+
In the validation cohort (median age, 65 years; 57% male), 312 nodules
|
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+
(5.8%) were diagnosed as lung cancer within 2 years. The deep learning
|
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+
model achieved an AUC of 0.94 (95% CI, 0.92-0.96), compared with 0.85
|
|
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|
+
(95% CI, 0.82-0.88) for the Lung-RADS categorization used by radiologists
|
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+
(P<0.001). At 95% sensitivity, the model achieved 68% specificity compared
|
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+
with 38% for Lung-RADS, corresponding to a 49% reduction in false-positive
|
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+
nodules requiring follow-up. The model's performance was consistent across
|
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182
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+
subgroups defined by nodule size, location, and patient demographics.
|
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183
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+
|
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184
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+
CONCLUSIONS AND RELEVANCE
|
|
185
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+
A deep learning model for lung nodule malignancy prediction outperformed
|
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+
current clinical standards and could substantially reduce false-positive
|
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+
findings in lung cancer screening, decreasing unnecessary surveillance
|
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+
and invasive procedures.
|
|
189
|
+
```
|
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|
+
|
|
191
|
+
**Key Features**:
|
|
192
|
+
- JAMA-specific sections (IMPORTANCE, OBJECTIVE, DESIGN...)
|
|
193
|
+
- "Importance" section required (2-3 sentences on why this matters)
|
|
194
|
+
- Detailed design section
|
|
195
|
+
- "Exposures" clearly stated
|
|
196
|
+
- "Main Outcomes and Measures" explicit
|
|
197
|
+
|
|
198
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+
---
|
|
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|
|
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## BMJ Style (300 words max)
|
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+
|
|
202
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+
### Example 5: Cohort Study
|
|
203
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+
|
|
204
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+
```
|
|
205
|
+
OBJECTIVE
|
|
206
|
+
To examine the association between statin use and risk of Parkinson's
|
|
207
|
+
disease in a large population-based cohort.
|
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+
|
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209
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+
DESIGN
|
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+
Prospective cohort study.
|
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|
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SETTING
|
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UK Biobank, 2006-2021.
|
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214
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+
|
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215
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+
PARTICIPANTS
|
|
216
|
+
402,251 adults aged 40-69 years without Parkinson's disease at baseline.
|
|
217
|
+
|
|
218
|
+
MAIN OUTCOME MEASURES
|
|
219
|
+
Incident Parkinson's disease identified through hospital admissions,
|
|
220
|
+
primary care records, and death certificates. Hazard ratios were
|
|
221
|
+
estimated using Cox regression, adjusted for age, sex, education,
|
|
222
|
+
smoking, alcohol, physical activity, body mass index, and comorbidities.
|
|
223
|
+
|
|
224
|
+
RESULTS
|
|
225
|
+
Over a median follow-up of 12.3 years, 2,841 participants developed
|
|
226
|
+
Parkinson's disease (incidence rate 5.7 per 10,000 person-years).
|
|
227
|
+
Statin use at baseline was not associated with incident Parkinson's
|
|
228
|
+
disease (adjusted hazard ratio 0.95, 95% confidence interval 0.87 to
|
|
229
|
+
1.04). Results were consistent across analyses stratified by statin
|
|
230
|
+
type (lipophilic vs hydrophilic), dose, and duration of use, and in
|
|
231
|
+
sensitivity analyses accounting for reverse causation. No protective
|
|
232
|
+
association was observed in analyses restricted to participants with
|
|
233
|
+
high cardiovascular risk or in propensity-score matched cohorts.
|
|
234
|
+
|
|
235
|
+
CONCLUSIONS
|
|
236
|
+
In this large prospective cohort, statin use was not associated with
|
|
237
|
+
reduced risk of Parkinson's disease, contrary to findings from some
|
|
238
|
+
previous observational studies. The null findings were robust across
|
|
239
|
+
multiple sensitivity analyses. These results do not support a
|
|
240
|
+
neuroprotective effect of statins against Parkinson's disease.
|
|
241
|
+
|
|
242
|
+
WHAT IS ALREADY KNOWN ON THIS TOPIC
|
|
243
|
+
Previous observational studies have yielded inconsistent results
|
|
244
|
+
regarding statin use and Parkinson's disease risk.
|
|
245
|
+
|
|
246
|
+
WHAT THIS STUDY ADDS
|
|
247
|
+
This large prospective study with long follow-up found no evidence
|
|
248
|
+
that statin use protects against Parkinson's disease.
|
|
249
|
+
```
|
|
250
|
+
|
|
251
|
+
**Key Features**:
|
|
252
|
+
- BMJ uses abbreviated section headers
|
|
253
|
+
- Includes "What is already known" and "What this study adds" boxes
|
|
254
|
+
- Design, Setting, and Participants as separate sections
|
|
255
|
+
- Clear Main Outcome Measures section
|
|
256
|
+
|
|
257
|
+
---
|
|
258
|
+
|
|
259
|
+
## Key Differences Between Journals
|
|
260
|
+
|
|
261
|
+
| Element | NEJM | Lancet | JAMA | BMJ |
|
|
262
|
+
|---------|------|--------|------|-----|
|
|
263
|
+
| **Word limit** | 250 | 300 | 350 | 300 |
|
|
264
|
+
| **Results label** | RESULTS | FINDINGS | RESULTS | RESULTS |
|
|
265
|
+
| **Conclusions label** | CONCLUSIONS | INTERPRETATION | CONCLUSIONS AND RELEVANCE | CONCLUSIONS |
|
|
266
|
+
| **Unique sections** | — | Funding in abstract | IMPORTANCE | What is known/adds |
|
|
267
|
+
| **Decimal style** | Period (.) | Centered dot (·) | Period (.) | Period (.) |
|
|
268
|
+
|
|
269
|
+
---
|
|
270
|
+
|
|
271
|
+
## Essential Elements for All Medical Abstracts
|
|
272
|
+
|
|
273
|
+
### Background/Context
|
|
274
|
+
- Disease burden or clinical problem (1 sentence)
|
|
275
|
+
- Knowledge gap or rationale for study (1 sentence)
|
|
276
|
+
|
|
277
|
+
### Methods
|
|
278
|
+
- Study design (RCT, cohort, case-control)
|
|
279
|
+
- Setting (number of sites, country/region)
|
|
280
|
+
- Participants (N, key inclusion criteria)
|
|
281
|
+
- Intervention or exposure
|
|
282
|
+
- Primary outcome with definition
|
|
283
|
+
|
|
284
|
+
### Results
|
|
285
|
+
- Number enrolled and analyzed
|
|
286
|
+
- Primary outcome with effect size and 95% CI
|
|
287
|
+
- Key secondary outcomes
|
|
288
|
+
- P-values for primary comparisons
|
|
289
|
+
- Adverse events (if applicable)
|
|
290
|
+
|
|
291
|
+
### Conclusions
|
|
292
|
+
- Clear statement of main finding
|
|
293
|
+
- Appropriate hedging based on study design
|
|
294
|
+
- Clinical implication (optional, 1 sentence)
|
|
295
|
+
|
|
296
|
+
---
|
|
297
|
+
|
|
298
|
+
## Common Mistakes in Medical Abstracts
|
|
299
|
+
|
|
300
|
+
❌ **Missing confidence intervals**: "HR 0.75, P=0.02" → include 95% CI
|
|
301
|
+
❌ **Relative risk only**: Add absolute risk reduction, NNT
|
|
302
|
+
❌ **Causal language for observational studies**: "PPIs cause kidney disease"
|
|
303
|
+
❌ **Overstated conclusions**: Claims exceeding evidence
|
|
304
|
+
❌ **Missing sample sizes**: Always include N for each group
|
|
305
|
+
❌ **Vague outcomes**: "Improved outcomes" without specific definition
|
|
306
|
+
|
|
307
|
+
---
|
|
308
|
+
|
|
309
|
+
## See Also
|
|
310
|
+
|
|
311
|
+
- `medical_journal_styles.md` - Comprehensive medical writing guide
|
|
312
|
+
- `venue_writing_styles.md` - Style comparison across venues
|
|
313
|
+
|