The Grizzly, April 5, 2012

String Ensemble Impresses Hope • Career Services Hosts Webinar • Ball at the Bellevue a Success, Continues to Draw Large Number of Student Participants • Sue Thomas Retires from Admissions Staff • Caitlin Callahan Interns as Veterinary Tech • Greek Week Approaches, MAA and Quiz Club Plan to Participate • UC Welcomes Teisa Brown to President\u27s Staff • Nothing to Hate About this Hamlet • Phillies to Continue Success Despite Worries • Senior Spotlight: Garrett Smith, Baseball • Bears Battle Through Wet Weekend • Player Spotlight: Jenni Weber, Softballhttps://digitalcommons.ursinus.edu/grizzlynews/1857/thumbnail.jp

The Grizzly, April 12, 2012

Fong Inauguration Approaching • UCDC Mixing Up Spring Routine • Housing Lottery Anxiety Addressed • Cuts for a Cause on Campus This Weekend • Ursinus Alumni Return to Work at Alma Mater • UC Students Travel to National Model UN Competition in NYC • Hart Interns at Great Wall Club in Beijing, China • Opinion: Saying No is Man\u27s Responsibility, Too; Delphi was a Positive Experience Despite Criticism • Men\u27s Lacrosse Battles #18 Gettysburg • Seniors Wrapping up Athletic Careershttps://digitalcommons.ursinus.edu/grizzlynews/1858/thumbnail.jp

The Grizzly, April 19, 2012

Berman Director Announces Departure • Lantern Celebrates 81 Years • McGown to Join Math Department • Professors Host Facebook Discussion in New Hall • Ursinus Students Promote Autism Awareness • Passion for Historical Reenactments • Hon. Richard Murphy Addressed Campus • Meerbergen Co-Leads Therapy Sessions in Pottstown • Opinion: Obama Will Need Help Come November; New York City Isn\u27t All It\u27s Cracked Up to Be • Class of 2012 Athletes Leave Holes to Fill • Field Hockey: Heading to Hollandhttps://digitalcommons.ursinus.edu/grizzlynews/1859/thumbnail.jp

The Grizzly, October 11, 2012

Students Debate Alcohol Rules • UC Conservatives Feel Outnumbered • UC Celebrates LGBT History • Art, Music Festival • Literary Society Welcomes Student Writers • No Bells Ever Resided in Bomberger Bell Tower • R.D. Brooks Karns is a 2nd Lt. in the National Guard • UCTV Returns to Campus After 3-Year Absence • Opinion: We Must Inform Ourselves on Syria; Romney, a Stronger Candidate After Debate • UC Athletics Struggle Throughout Week • Senior Spotlight: Leah Shaw, Soccer • Sports Spotlight: Bryan Ellis, Footballhttps://digitalcommons.ursinus.edu/grizzlynews/1866/thumbnail.jp

The Grizzly, September 13, 2012

UC Remembers Lindsay Budnick • Greek Recruitment Changes • UC Fringe Returns • Film Fest to Celebrate Cultures • Bear Bucks Defined • CIE Fellows Aid CIE Students • CAB Welcomes New Executive Board and Events • Tree Planting Efforts Along the Perkiomen Creek • Opinion: New Allowances Limit SPINT Events; DNC Speakers Successfully Promote Obama • Season Preview: Women\u27s Soccer • Coach Profile: Kelly Wakeman, Women\u27s Soccer • Men\u27s Soccer Goes Young for Successhttps://digitalcommons.ursinus.edu/grizzlynews/1862/thumbnail.jp

The Lantern, 2012-2013

• How They Run • What Was Said in Boston • On the Last Day of the Month • An Angel Tries to Surprise Humans • I Wonder if God Modeled Boys After Books • Marred with Modern Scars • Feather Bed • Ode to a Pen • Objet Petit A • Breaking News: Grownups Fear Return of Disco • Neuroscience • New Document • We Were Stars, and the Sky was Our Grass • About a Man • Trojan • An Ode • Yr Body Sour • That Lake in Jamaica • Live While Chiefs are Still Fighting • Lament for Mathematics • The Robert Frost House • People Fell in Love on Me • Sunday Review • Looks Silly in Tiny Desk Chairs • Two Years Later • Better Than Nothing • Istanbul • Packs of Cigarettes • Sonnet • Outside King of Steaks • Obstinance • Coffee Grinds • Autumn Equinox • Homecoming • Oh, San Francisco • Slide: A Beginning • Slowly Last Summer • Of Dogs and Men • Letters Not Sent • Before the Race • The Little Things • Tarpon Springs • Payment for Rebellion • Wednesday • When is President\u27s Day? • Heartless Parallels and Perpendiculars • Railway • Presto Agitato • Easier Said Than Done • Waves • Four White Women • Rope • Alter Ego Self Portrait • Pebbles • Coney Island • Guanjuanto • Growth • Evolve • Winter Blackout • Honeybee • Frames • Wanderlust • Guiding Light 1 • Frick\u27s Lock • The Ones That Never Leave • In Memoriam: Rachel Blunthttps://digitalcommons.ursinus.edu/lantern/1179/thumbnail.jp

Large expert-curated database for benchmarking document similarity detection in biomedical literature search

Document recommendation systems for locating relevant literature have mostly relied on methods developed a decade ago. This is largely due to the lack of a large offline gold-standard benchmark of relevant documents that cover a variety of research fields such that newly developed literature search techniques can be compared, improved and translated into practice. To overcome this bottleneck, we have established the RElevant LIterature SearcH consortium consisting of more than 1500 scientists from 84 countries, who have collectively annotated the relevance of over 180 000 PubMed-listed articles with regard to their respective seed (input) article/s. The majority of annotations were contributed by highly experienced, original authors of the seed articles. The collected data cover 76% of all unique PubMed Medical Subject Headings descriptors. No systematic biases were observed across different experience levels, research fields or time spent on annotations. More importantly, annotations of the same document pairs contributed by different scientists were highly concordant. We further show that the three representative baseline methods used to generate recommended articles for evaluation (Okapi Best Matching 25, Term Frequency-Inverse Document Frequency and PubMed Related Articles) had similar overall performances. Additionally, we found that these methods each tend to produce distinct collections of recommended articles, suggesting that a hybrid method may be required to completely capture all relevant articles. The established database server located at https://relishdb.ict.griffith.edu.au is freely available for the downloading of annotation data and the blind testing of new methods. We expect that this benchmark will be useful for stimulating the development of new powerful techniques for title and title/abstract-based search engines for relevant articles in biomedical research.Peer reviewe

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

Effect of angiotensin-converting enzyme inhibitor and angiotensin receptor blocker initiation on organ support-free days in patients hospitalized with COVID-19

IMPORTANCE Overactivation of the renin-angiotensin system (RAS) may contribute to poor clinical outcomes in patients with COVID-19. Objective To determine whether angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) initiation improves outcomes in patients hospitalized for COVID-19. DESIGN, SETTING, AND PARTICIPANTS In an ongoing, adaptive platform randomized clinical trial, 721 critically ill and 58 non–critically ill hospitalized adults were randomized to receive an RAS inhibitor or control between March 16, 2021, and February 25, 2022, at 69 sites in 7 countries (final follow-up on June 1, 2022). INTERVENTIONS Patients were randomized to receive open-label initiation of an ACE inhibitor (n = 257), ARB (n = 248), ARB in combination with DMX-200 (a chemokine receptor-2 inhibitor; n = 10), or no RAS inhibitor (control; n = 264) for up to 10 days. MAIN OUTCOMES AND MEASURES The primary outcome was organ support–free days, a composite of hospital survival and days alive without cardiovascular or respiratory organ support through 21 days. The primary analysis was a bayesian cumulative logistic model. Odds ratios (ORs) greater than 1 represent improved outcomes. RESULTS On February 25, 2022, enrollment was discontinued due to safety concerns. Among 679 critically ill patients with available primary outcome data, the median age was 56 years and 239 participants (35.2%) were women. Median (IQR) organ support–free days among critically ill patients was 10 (–1 to 16) in the ACE inhibitor group (n = 231), 8 (–1 to 17) in the ARB group (n = 217), and 12 (0 to 17) in the control group (n = 231) (median adjusted odds ratios of 0.77 [95% bayesian credible interval, 0.58-1.06] for improvement for ACE inhibitor and 0.76 [95% credible interval, 0.56-1.05] for ARB compared with control). The posterior probabilities that ACE inhibitors and ARBs worsened organ support–free days compared with control were 94.9% and 95.4%, respectively. Hospital survival occurred in 166 of 231 critically ill participants (71.9%) in the ACE inhibitor group, 152 of 217 (70.0%) in the ARB group, and 182 of 231 (78.8%) in the control group (posterior probabilities that ACE inhibitor and ARB worsened hospital survival compared with control were 95.3% and 98.1%, respectively). CONCLUSIONS AND RELEVANCE In this trial, among critically ill adults with COVID-19, initiation of an ACE inhibitor or ARB did not improve, and likely worsened, clinical outcomes. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT0273570