Diagnostic accuracy of a clinical diagnosis of idiopathic pulmonary fibrosis: An international case-cohort study

We conducted an international study of idiopathic pulmonary fibrosis (IPF) diagnosis among a large group of physicians and compared their diagnostic performance to a panel of IPF experts. A total of 1141 respiratory physicians and 34 IPF experts participated. Participants evaluated 60 cases of interstitial lung disease (ILD) without interdisciplinary consultation. Diagnostic agreement was measured using the weighted kappa coefficient (\u3baw). Prognostic discrimination between IPF and other ILDs was used to validate diagnostic accuracy for first-choice diagnoses of IPF and were compared using the Cindex. A total of 404 physicians completed the study. Agreement for IPF diagnosis was higher among expert physicians (\u3baw=0.65, IQR 0.53-0.72, p20 years of experience (C-index=0.72, IQR 0.0-0.73, p=0.229) and non-university hospital physicians with more than 20 years of experience, attending weekly MDT meetings (C-index=0.72, IQR 0.70-0.72, p=0.052), did not differ significantly (p=0.229 and p=0.052 respectively) from the expert panel (C-index=0.74 IQR 0.72-0.75). Experienced respiratory physicians at university-based institutions diagnose IPF with similar prognostic accuracy to IPF experts. Regular MDT meeting attendance improves the prognostic accuracy of experienced non-university practitioners to levels achieved by IPF experts

Physical Principles of Retroviral Integration in the Human Genome

Some retroviruses, including HIV, insert their DNA in a non-random manner in the host genome through a poorly understood selection mechanism. Here the authors develop a biophysical model of retroviral integration, identifying previously unnoticed universal principles that regulate this phenomenon

Teaching: Natural or Cultural?

In this chapter I argue that teaching, as we now understand the term, is historically and cross-culturally very rare. It appears to be unnecessary to transmit culture or to socialize children. Children are, on the other hand, primed by evolution to be avid observers, imitators, players and helpers—roles that reveal the profoundly autonomous and self-directed nature of culture acquisition (Lancy in press a). And yet, teaching is ubiquitous throughout the modern world—at least among the middle to upper class segment of the population. This ubiquity has led numerous scholars to argue for the universality and uniqueness of teaching as a characteristically human behavior. The theme of this chapter is that this proposition is unsustainable. Teaching is largely a result of recent cultural changes and the emergence of modern economies, not evolution

Population structure, growth and production of the yellow clam Mesodesma mactroides (Bivalvia: Mesodesmatidae) from a high-energy, temperate beach in northern Argentina

The yellow clam Mesodesma mactroides (Bivalvia: Mesodesmatidae) was once the most abundant intertidal species on the Atlantic coast of northern Argentina and an important commercial resource in South America. This study of a population inhabiting the intertidal zone of the sheltered-dissipative sandy beach Santa Teresita documents the species' population biology, including demographic structure, growth and production during December 2004 and December 2006, and adumbrates the critical state of M. mactroides at present. A total of 3,015 M. mactroides were collected and measured, whereas individuals were found with an anterior-posterior shell length between 2 and 64 mm. A von Bertalanffy growth function with an asymptotic length (L∞) of 85 mm and a growth constant (K) of 0.47 year-1 was established from length-frequency distributions. The longevity of the species is estimated at approximately 6 years, and instantaneous mortality rate was about three times higher than 40 years ago. Besides, this study confirmed that the overall growth performance index (OGP) is habitat-specific and can be used to group M. mactroides and M. donacium from different areas into temperate and upwelling species. Furthermore, OGP is inversely correlated with the latitudinal distribution of Mesodesma populations. The intertidal biomass ranged between 0.06 and 0.07 g AFDM m-2 year-1. Individual production was observed to be highest at 47 mm length (0.35 g AFDM m-2 year-1), and annual production ranged between 0.12 and 0.19 g AFDM m-2 year-1, resulting in productivity values (P/B) between 1.84 and 2.93. The comparison of the results of the present study with those of growth studies conducted on M. mactroides 40 years ago revealed the following considerable differences in the population structure of M. mactroides, indicating the conservation status of this intertidal bivalve as endangered: (1) present growth rates are faster, but that the maximum length attained has decreased, (2) the numbers of individuals per square metre were many times higher in the past than in the present, (3) bivalves from the present work never reached the 'commercial size' of 60 mm and (4) 40 years ago, the population of M. mactroides was composed of up to three cohorts, whereas in this study, there was only one single cohort visible.Fil: Herrmann, Marko. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Museo Argentino de Ciencias Naturales “Bernardino Rivadavia”; Argentina. Johann Heinrich von Thünen Institute; AlemaniaFil: Fernandez Alfaya, Jose Elias. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Museo Argentino de Ciencias Naturales “Bernardino Rivadavia”; ArgentinaFil: Lepore, Mauro L.. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Museo Argentino de Ciencias Naturales “Bernardino Rivadavia”; ArgentinaFil: Penchaszadeh, Pablo Enrique. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Museo Argentino de Ciencias Naturales “Bernardino Rivadavia”; ArgentinaFil: Arntz, Wolf E.. Institute for Polar and Marine Research; Alemani