@saibolla/ada 0.1.2

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Files changed (1432) hide show
  1. package/.ada/SYSTEM.md +81 -0
  2. package/.ada/agents/researcher.md +69 -0
  3. package/.ada/agents/reviewer.md +92 -0
  4. package/.ada/agents/verifier.md +45 -0
  5. package/.ada/agents/writer.md +54 -0
  6. package/.ada/settings.json +32 -0
  7. package/.ada/themes/ada.json +85 -0
  8. package/.env.example +31 -0
  9. package/AGENTS.md +79 -0
  10. package/LICENSE +191 -0
  11. package/README.md +188 -0
  12. package/bin/ada.js +26 -0
  13. package/dist/bootstrap/sync.js +143 -0
  14. package/dist/cli.js +404 -0
  15. package/dist/config/paths.js +32 -0
  16. package/dist/index.js +10 -0
  17. package/dist/model/catalog.js +255 -0
  18. package/dist/model/commands.js +180 -0
  19. package/dist/pi/launch.js +33 -0
  20. package/dist/pi/package-presets.js +55 -0
  21. package/dist/pi/runtime.js +81 -0
  22. package/dist/pi/settings.js +108 -0
  23. package/dist/pi/web-access.js +74 -0
  24. package/dist/search/commands.js +12 -0
  25. package/dist/setup/doctor.js +126 -0
  26. package/dist/setup/preview.js +117 -0
  27. package/dist/setup/prompts.js +34 -0
  28. package/dist/setup/setup.js +98 -0
  29. package/dist/setup/update.js +133 -0
  30. package/dist/system/executables.js +38 -0
  31. package/dist/system/node-version.js +31 -0
  32. package/dist/system/open-url.js +35 -0
  33. package/dist/system/promise-polyfill.js +12 -0
  34. package/dist/ui/terminal.js +64 -0
  35. package/dist/web/launch.js +48 -0
  36. package/dist/web-search.js +1 -0
  37. package/extensions/docparser/constants.ts +62 -0
  38. package/extensions/docparser/deps.ts +584 -0
  39. package/extensions/docparser/doctor.ts +353 -0
  40. package/extensions/docparser/index.ts +9 -0
  41. package/extensions/docparser/input.ts +230 -0
  42. package/extensions/docparser/request.ts +67 -0
  43. package/extensions/docparser/schema.ts +82 -0
  44. package/extensions/docparser/tool.ts +305 -0
  45. package/extensions/docparser/types.ts +99 -0
  46. package/extensions/research-tools/alpha.ts +107 -0
  47. package/extensions/research-tools/header.ts +284 -0
  48. package/extensions/research-tools/help.ts +93 -0
  49. package/extensions/research-tools/project-scaffold.ts +64 -0
  50. package/extensions/research-tools/project.ts +123 -0
  51. package/extensions/research-tools/shared.ts +16 -0
  52. package/extensions/research-tools.ts +42 -0
  53. package/logo.d.mts +3 -0
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  55. package/metadata/commands.d.mts +46 -0
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  63. package/prompts/jobs.md +16 -0
  64. package/prompts/litreview.md +18 -0
  65. package/prompts/log.md +14 -0
  66. package/prompts/replicate.md +24 -0
  67. package/prompts/review.md +18 -0
  68. package/prompts/watch.md +16 -0
  69. package/scripts/build-native-bundle.mjs +349 -0
  70. package/scripts/check-node-version.mjs +35 -0
  71. package/scripts/patch-embedded-pi.mjs +588 -0
  72. package/scripts/prepare-runtime-workspace.mjs +162 -0
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@@ -0,0 +1,247 @@
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+ # Cell Press Summary, Highlights, and eTOC Examples
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+
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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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+ ---
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+
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+ ## Complete Example 1: Senescence and Aging
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+
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+ ### Summary (150 words max)
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+
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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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+
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+ ### Highlights (≤85 characters each)
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+
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+ ```
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+ • FOXO4 is selectively upregulated in senescent cells and binds p53
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+
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+ • FOXO4-p53 interaction retains p53 in the nucleus, preventing apoptosis
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+
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+ • A FOXO4-targeting peptide induces apoptosis specifically in senescent cells
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+
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+ • FOXO4 peptide treatment restores fitness and organ function in aged mice
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+ ```
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+
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+ ### eTOC Blurb (30-50 words)
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+
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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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+ ```
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+
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+ ### In Brief (1 sentence)
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+
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+ ```
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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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+
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+ ---
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+
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+ ## Complete Example 2: Genome Organization
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+
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+ ### Summary (150 words max)
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+
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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
71
+ of BRD4 condensates is sufficient to remodel chromosome topology and
72
+ activate transcription within minutes. Conversely, disruption of BRD4
73
+ condensates with the small molecule JQ1 dissolves chromatin hubs and
74
+ rapidly silences super-enhancer-controlled genes. Single-molecule
75
+ tracking reveals that condensate formation increases the local
76
+ concentration of transcription machinery 100-fold, explaining the
77
+ transcriptional potency of super-enhancers. These results establish
78
+ phase separation as a mechanism for chromatin organization and
79
+ transcriptional control with implications for understanding and
80
+ targeting oncogenic super-enhancers.
81
+ ```
82
+
83
+ ### Highlights
84
+
85
+ ```
86
+ • BRD4 forms liquid condensates at super-enhancers in living cells
87
+
88
+ • BRD4 condensates organize chromatin into transcriptionally active hubs
89
+
90
+ • Optogenetic condensate induction rapidly remodels chromatin topology
91
+
92
+ • Condensates concentrate transcription machinery 100-fold locally
93
+ ```
94
+
95
+ ### eTOC Blurb
96
+
97
+ ```
98
+ Sabari et al. demonstrate that BRD4 forms phase-separated condensates
99
+ at super-enhancers that organize chromatin into hub structures and
100
+ concentrate transcription machinery. Optogenetic manipulation reveals
101
+ that condensate formation directly drives chromatin remodeling and
102
+ transcriptional activation.
103
+ ```
104
+
105
+ ---
106
+
107
+ ## Complete Example 3: Metabolism and Immunity
108
+
109
+ ### Summary (150 words max)
110
+
111
+ ```
112
+ Immune cells undergo dramatic metabolic reprogramming upon activation,
113
+ switching from oxidative phosphorylation to aerobic glycolysis. This
114
+ metabolic shift is thought to support the biosynthetic demands of
115
+ rapid proliferation, but whether specific metabolites directly regulate
116
+ immune cell function remains largely unexplored. Here, we show that
117
+ the glycolytic metabolite phosphoenolpyruvate (PEP) sustains T cell
118
+ receptor signaling by inhibiting sarco/endoplasmic reticulum Ca²⁺-ATPase
119
+ (SERCA) activity. PEP accumulates in activated T cells and directly
120
+ binds SERCA, preventing calcium reuptake and prolonging store-operated
121
+ calcium entry. Genetic or pharmacological enhancement of PEP levels
122
+ augments T cell effector function and anti-tumor immunity in vivo.
123
+ Conversely, tumor-derived lactate suppresses PEP levels and impairs
124
+ T cell calcium signaling, contributing to tumor immune evasion. These
125
+ findings reveal an unexpected signaling role for a glycolytic
126
+ intermediate and suggest metabolic strategies to enhance T cell
127
+ responses in cancer immunotherapy.
128
+ ```
129
+
130
+ ### Highlights
131
+
132
+ ```
133
+ • Phosphoenolpyruvate (PEP) accumulates during T cell activation
134
+
135
+ • PEP directly binds and inhibits SERCA to sustain calcium signaling
136
+
137
+ • Enhancing PEP levels augments anti-tumor T cell immunity
138
+
139
+ • Tumor lactate suppresses T cell PEP levels and calcium signaling
140
+ ```
141
+
142
+ ### eTOC Blurb
143
+
144
+ ```
145
+ Ho et al. discover that the glycolytic metabolite phosphoenolpyruvate
146
+ directly regulates T cell calcium signaling by inhibiting SERCA. This
147
+ metabolic-signaling link is exploited by tumors through lactate
148
+ secretion and offers new targets for cancer immunotherapy.
149
+ ```
150
+
151
+ ---
152
+
153
+ ## Graphical Abstract Description Examples
154
+
155
+ ### For Senescence Paper
156
+
157
+ ```
158
+ "Graphical abstract for Cell paper on FOXO4 and senescence:
159
+
160
+ Left panel: Senescent cell (enlarged, irregular shape) with FOXO4 (blue
161
+ oval) binding p53 (green oval) in nucleus, preventing apoptosis. Label:
162
+ 'FOXO4 sequesters p53 → Senescent cell survival'
163
+
164
+ Center panel: Same senescent cell with FOXO4 peptide (red wedge)
165
+ disrupting FOXO4-p53 interaction. p53 moves to mitochondria (orange
166
+ organelles). Label: 'FOXO4 peptide disrupts interaction'
167
+
168
+ Right panel: Senescent cell undergoing apoptosis (fragmenting). Label:
169
+ 'Selective senescent cell death'
170
+
171
+ Bottom: Aged mouse (grey, hunched) → Treatment arrow → Rejuvenated mouse
172
+ (brown, active). Label: 'Restored fitness in aged mice'
173
+
174
+ Color scheme: Blue for FOXO4, green for p53, red for peptide, grey
175
+ background for cells."
176
+ ```
177
+
178
+ ### For Chromatin Paper
179
+
180
+ ```
181
+ "Graphical abstract for Cell paper on BRD4 condensates:
182
+
183
+ Top row: Diagram showing BRD4 molecules (purple dots) clustering at
184
+ super-enhancer (yellow region on DNA strand), forming condensate
185
+ (purple droplet). Transcription factors (orange, green, blue small
186
+ circles) accumulate inside condensate.
187
+
188
+ Middle: Chromatin fibers (grey) being pulled into hub structure around
189
+ condensate. Arrow showing '100× local concentration increase'
190
+
191
+ Bottom: Two panels - Left shows 'JQ1' treatment dissolving condensate
192
+ and chromatin hub dispersing. Right shows 'Optogenetic activation'
193
+ creating new condensate with chromatin reorganization. Gene expression
194
+ indicators (up arrow, down arrow) for each condition."
195
+ ```
196
+
197
+ ---
198
+
199
+ ## Writing Tips for Cell Elements
200
+
201
+ ### Summary Tips
202
+
203
+ 1. **First sentence**: Establish the biological context
204
+ 2. **Second sentence**: State what was unknown (the gap)
205
+ 3. **"Here, we show/identify/demonstrate"**: Clear transition to your work
206
+ 4. **Middle sentences**: Key findings with mechanism
207
+ 5. **Final sentence**: Significance and implications
208
+
209
+ ### Highlights Tips
210
+
211
+ - **Start with a noun or verb**: "FOXO4 forms..." or "Activation of..."
212
+ - **One finding per bullet**: Don't combine multiple points
213
+ - **Be specific**: Include the protein/gene/pathway name
214
+ - **Check character count**: Strictly ≤85 characters including spaces
215
+ - **Cover different findings**: Don't repeat the same point
216
+
217
+ ### eTOC Blurb Tips
218
+
219
+ - **Start with author names**: "Smith et al. show that..."
220
+ - **One or two sentences only**: Keep it punchy
221
+ - **Include the key mechanism**: Not just the finding
222
+ - **End with significance**: Why readers should care
223
+
224
+ ---
225
+
226
+ ## Character Counting for Highlights
227
+
228
+ Use this to check your highlights:
229
+
230
+ ```
231
+ • This highlight is exactly 52 characters long including sp
232
+ ↑ Count: 52 characters ✓ (under 85)
233
+
234
+ • This highlight is getting close to the maximum allowed character limit
235
+ ↑ Count: 73 characters ✓ (under 85)
236
+
237
+ • This highlight demonstrates what happens when you try to include way too much info
238
+ ↑ Count: 88 characters ✗ (over 85 - need to shorten)
239
+ ```
240
+
241
+ ---
242
+
243
+ ## See Also
244
+
245
+ - `cell_press_style.md` - Comprehensive Cell Press writing guide
246
+ - `nature_abstract_examples.md` - Compare with Nature abstract style
247
+
@@ -0,0 +1,313 @@
1
+ # Medical Journal Structured Abstract Examples
2
+
3
+ Examples of structured abstracts for NEJM, Lancet, JAMA, and BMJ showing the labeled section format expected at medical journals.
4
+
5
+ ---
6
+
7
+ ## NEJM Style (250 words max)
8
+
9
+ ### Example 1: Clinical Trial
10
+
11
+ ```
12
+ BACKGROUND
13
+ Sodium-glucose cotransporter 2 (SGLT2) inhibitors reduce cardiovascular
14
+ events in patients with type 2 diabetes and established cardiovascular
15
+ disease. Whether these benefits extend to patients with heart failure and
16
+ reduced ejection fraction, regardless of diabetes status, is unknown.
17
+
18
+ METHODS
19
+ We randomly assigned 4,744 patients with heart failure and an ejection
20
+ fraction of 40% or less to receive dapagliflozin (10 mg once daily) or
21
+ placebo, in addition to recommended therapy. The primary outcome was a
22
+ composite of worsening heart failure (hospitalization or urgent visit
23
+ requiring intravenous therapy) or cardiovascular death.
24
+
25
+ RESULTS
26
+ Over a median of 18.2 months, the primary outcome occurred in 386 of
27
+ 2,373 patients (16.3%) in the dapagliflozin group and in 502 of 2,371
28
+ patients (21.2%) in the placebo group (hazard ratio, 0.74; 95% confidence
29
+ interval [CI], 0.65 to 0.85; P<0.001). A first worsening heart failure
30
+ event occurred in 237 patients (10.0%) in the dapagliflozin group and
31
+ in 326 patients (13.7%) in the placebo group (hazard ratio, 0.70; 95%
32
+ CI, 0.59 to 0.83). Death from cardiovascular causes occurred in 227
33
+ patients (9.6%) and 273 patients (11.5%), respectively (hazard ratio,
34
+ 0.82; 95% CI, 0.69 to 0.98). Effects were similar in patients with and
35
+ without diabetes. Serious adverse events were similar between groups.
36
+
37
+ CONCLUSIONS
38
+ Among patients with heart failure and a reduced ejection fraction,
39
+ dapagliflozin reduced the risk of worsening heart failure or
40
+ cardiovascular death, regardless of the presence of diabetes.
41
+ ```
42
+
43
+ **Key Features**:
44
+ - Four labeled sections (BACKGROUND, METHODS, RESULTS, CONCLUSIONS)
45
+ - Background: 2 sentences (problem + gap)
46
+ - Methods: Study design, population, intervention, primary outcome
47
+ - Results: Primary outcome with HR and 95% CI, key secondary outcomes
48
+ - Conclusions: Clear, measured statement of findings
49
+
50
+ ---
51
+
52
+ ### Example 2: Observational Study
53
+
54
+ ```
55
+ BACKGROUND
56
+ Long-term use of proton-pump inhibitors (PPIs) has been associated with
57
+ adverse outcomes in observational studies, but causality remains uncertain.
58
+ The relationship between PPI use and chronic kidney disease is unclear.
59
+
60
+ METHODS
61
+ We conducted a prospective cohort study using data from 10,482 participants
62
+ in the Atherosclerosis Risk in Communities study who were free of kidney
63
+ disease at baseline. PPI use was ascertained at baseline and follow-up
64
+ visits. The primary outcome was incident chronic kidney disease, defined
65
+ as an estimated glomerular filtration rate less than 60 ml per minute per
66
+ 1.73 m² of body-surface area.
67
+
68
+ RESULTS
69
+ Over a median follow-up of 13.9 years, incident chronic kidney disease
70
+ occurred in 56.0 per 1000 person-years among PPI users and in 42.0 per
71
+ 1000 person-years among non-users (adjusted hazard ratio, 1.50; 95%
72
+ confidence interval [CI], 1.14 to 1.96). The association persisted after
73
+ adjustment for potential confounders, including indication for PPI use
74
+ and baseline kidney function. Sensitivity analyses using propensity-score
75
+ matching yielded similar results. No association was observed for
76
+ histamine H2-receptor antagonist use (hazard ratio, 1.08; 95% CI, 0.87
77
+ to 1.34).
78
+
79
+ CONCLUSIONS
80
+ PPI use was associated with an increased risk of incident chronic kidney
81
+ disease in this community-based cohort. These findings warrant cautious
82
+ use of PPIs and further investigation to establish causality.
83
+ ```
84
+
85
+ **Key Features**:
86
+ - Appropriate hedging for observational study ("associated with")
87
+ - Incidence rates provided (per 1000 person-years)
88
+ - Sensitivity analyses mentioned
89
+ - Negative control (H2-receptor antagonists)
90
+ - Cautious conclusion acknowledging limitation
91
+
92
+ ---
93
+
94
+ ## Lancet Style (300 words max)
95
+
96
+ ### Example 3: Clinical Trial with Summary Box
97
+
98
+ ```
99
+ BACKGROUND
100
+ Dexamethasone has been shown to reduce mortality in hospitalized patients
101
+ with COVID-19 requiring respiratory support. We aimed to evaluate whether
102
+ higher doses of corticosteroids would provide additional benefit in
103
+ patients with severe COVID-19 pneumonia.
104
+
105
+ METHODS
106
+ In this randomized, controlled, open-label trial conducted at 18 hospitals
107
+ in Brazil, we assigned patients with moderate-to-severe COVID-19 (PaO2/FiO2
108
+ ≤200 mm Hg) to receive high-dose dexamethasone (20 mg once daily for 5
109
+ days, then 10 mg once daily for 5 days) or standard dexamethasone (6 mg
110
+ once daily for 10 days). The primary outcome was ventilator-free days
111
+ at 28 days.
112
+
113
+ FINDINGS
114
+ Between June 17, 2020, and September 20, 2021, we enrolled 299 patients
115
+ (151 assigned to high-dose dexamethasone and 148 to standard
116
+ dexamethasone). The mean number of ventilator-free days at 28 days was
117
+ 14·2 (SD 10·8) in the high-dose group and 15·5 (SD 10·4) in the standard
118
+ group (difference, −1·3 days; 95% CI, −3·9 to 1·3; P=0·32). There was
119
+ no significant difference in 28-day mortality (high dose 35·8% vs
120
+ standard 31·8%; hazard ratio 1·16; 95% CI, 0·79 to 1·70). Hyperglycemia
121
+ requiring insulin was more frequent with high-dose dexamethasone (66·0%
122
+ vs 53·4%; P=0·027).
123
+
124
+ INTERPRETATION
125
+ In patients with moderate-to-severe COVID-19 pneumonia, high-dose
126
+ dexamethasone did not improve ventilator-free days and was associated
127
+ with increased hyperglycemia compared with standard-dose dexamethasone.
128
+ These findings do not support the use of high-dose corticosteroids in
129
+ COVID-19.
130
+
131
+ FUNDING
132
+ Ministry of Health of Brazil.
133
+ ```
134
+
135
+ **Key Features**:
136
+ - Lancet uses "Findings" instead of "Results"
137
+ - Lancet uses "Interpretation" instead of "Conclusions"
138
+ - Includes funding statement in abstract
139
+ - Decimal point (·) instead of period in numbers (Lancet style)
140
+
141
+ ---
142
+
143
+ ## JAMA Style (350 words max)
144
+
145
+ ### Example 4: Diagnostic Study
146
+
147
+ ```
148
+ IMPORTANCE
149
+ Lung cancer screening with low-dose computed tomography (CT) reduces
150
+ mortality but identifies many indeterminate pulmonary nodules, leading
151
+ to unnecessary invasive procedures. Improved risk prediction could
152
+ reduce harms while preserving benefits.
153
+
154
+ OBJECTIVE
155
+ To develop and validate a deep learning model for predicting malignancy
156
+ risk of lung nodules detected on screening CT.
157
+
158
+ DESIGN, SETTING, AND PARTICIPANTS
159
+ This retrospective cohort study included 14,851 participants with
160
+ lung nodules from the National Lung Screening Trial (NLST) for model
161
+ development and 5,402 participants from an independent multi-site
162
+ validation cohort (2016-2019). Data analysis was performed from
163
+ January to November 2022.
164
+
165
+ EXPOSURES
166
+ Deep learning model prediction of malignancy risk based on CT imaging.
167
+
168
+ MAIN OUTCOMES AND MEASURES
169
+ The primary outcome was lung cancer diagnosis within 2 years. Model
170
+ performance was assessed by area under the receiver operating
171
+ characteristic curve (AUC), sensitivity, specificity, and comparison
172
+ with radiologist assessments.
173
+
174
+ RESULTS
175
+ In the validation cohort (median age, 65 years; 57% male), 312 nodules
176
+ (5.8%) were diagnosed as lung cancer within 2 years. The deep learning
177
+ model achieved an AUC of 0.94 (95% CI, 0.92-0.96), compared with 0.85
178
+ (95% CI, 0.82-0.88) for the Lung-RADS categorization used by radiologists
179
+ (P<0.001). At 95% sensitivity, the model achieved 68% specificity compared
180
+ with 38% for Lung-RADS, corresponding to a 49% reduction in false-positive
181
+ nodules requiring follow-up. The model's performance was consistent across
182
+ subgroups defined by nodule size, location, and patient demographics.
183
+
184
+ CONCLUSIONS AND RELEVANCE
185
+ A deep learning model for lung nodule malignancy prediction outperformed
186
+ current clinical standards and could substantially reduce false-positive
187
+ findings in lung cancer screening, decreasing unnecessary surveillance
188
+ and invasive procedures.
189
+ ```
190
+
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
+ ---
199
+
200
+ ## BMJ Style (300 words max)
201
+
202
+ ### Example 5: Cohort Study
203
+
204
+ ```
205
+ OBJECTIVE
206
+ To examine the association between statin use and risk of Parkinson's
207
+ disease in a large population-based cohort.
208
+
209
+ DESIGN
210
+ Prospective cohort study.
211
+
212
+ SETTING
213
+ UK Biobank, 2006-2021.
214
+
215
+ 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
+