24 research outputs found

    COVID-19 symptoms at hospital admission vary with age and sex: results from the ISARIC prospective multinational observational study

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    Background: The ISARIC prospective multinational observational study is the largest cohort of hospitalized patients with COVID-19. We present relationships of age, sex, and nationality to presenting symptoms. Methods: International, prospective observational study of 60 109 hospitalized symptomatic patients with laboratory-confirmed COVID-19 recruited from 43 countries between 30 January and 3 August 2020. Logistic regression was performed to evaluate relationships of age and sex to published COVID-19 case definitions and the most commonly reported symptoms. Results: ‘Typical’ symptoms of fever (69%), cough (68%) and shortness of breath (66%) were the most commonly reported. 92% of patients experienced at least one of these. Prevalence of typical symptoms was greatest in 30- to 60-year-olds (respectively 80, 79, 69%; at least one 95%). They were reported less frequently in children (≀ 18 years: 69, 48, 23; 85%), older adults (≄ 70 years: 61, 62, 65; 90%), and women (66, 66, 64; 90%; vs. men 71, 70, 67; 93%, each P < 0.001). The most common atypical presentations under 60 years of age were nausea and vomiting and abdominal pain, and over 60 years was confusion. Regression models showed significant differences in symptoms with sex, age and country. Interpretation: This international collaboration has allowed us to report reliable symptom data from the largest cohort of patients admitted to hospital with COVID-19. Adults over 60 and children admitted to hospital with COVID-19 are less likely to present with typical symptoms. Nausea and vomiting are common atypical presentations under 30 years. Confusion is a frequent atypical presentation of COVID-19 in adults over 60 years. Women are less likely to experience typical symptoms than men

    Genes Dev

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    The fusion of the gametes upon fertilization results in the formation of a totipotent cell. Embryonic chromatin is expected to be able to support a large degree of plasticity. However, whether this plasticity relies on a particular conformation of the embryonic chromatin is unknown. Moreover, whether chromatin plasticity is functionally linked to cellular potency has not been addressed. Here, we adapted fluorescence recovery after photobleaching (FRAP) in the developing mouse embryo and show that mobility of the core histones H2A, H3.1, and H3.2 is unusually high in two-cell stage embryos and decreases as development proceeds. The transition toward pluripotency is accompanied by a decrease in histone mobility, and, upon lineage allocation, pluripotent cells retain higher mobility than the differentiated trophectoderm. Importantly, totipotent two-cell-like embryonic stem cells also display high core histone mobility, implying that reprogramming toward totipotency entails changes in chromatin mobility. Our data suggest that changes in chromatin dynamics underlie the transitions in cellular plasticity and that higher chromatin mobility is at the nuclear foundations of totipotency

    Les architectures constitutionnelles des régimes politiques arabes

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    L'Ă©tude des rĂ©gimes politiques arabes ne s'est guĂšre intĂ©ressĂ©e aux architectures constitutionnelles, considĂ©rant que les constitutions et, plus largement, les relations politiques institutionnelles Ă©taient plutĂŽt un habillage de l'autoritarisme qu'un ressort de son organisation. Cette livraison d'Égypte/Monde arabe se propose au contraire, de prendre les constitutions et les institutions au sĂ©rieux, en soulignant la place centrale qu'elles occupent dans les rĂ©gimes autoritaires. Ceux-ci sont, en effet, bien organisĂ©s par des constitutions et les trucages mĂȘme de la vie politique qui permettent aux gouvernants d'imposer leur leadership, se coulent dans les spĂ©cifications du texte constitutionnel. Ce trait explique que, paradoxalement sans doute, les rĂ©gimes autoritaires sont Ă©galement soumis au droit et que leur droit peut se retourner contre leur domination. Cette caractĂ©ristique, au demeurant, n'est pas nouvelle et plusieurs contributions s'attachent Ă  rappeler l'anciennetĂ© des questions constitutionnelles dans la rĂ©gion. Les autres portent sur l'organisation actuelle des rĂ©gimes et insistent, exemples Ă  l'appui, sur la place du constitutionnalisme dans la vie politique des pays de la rĂ©gion

    Exploiting single-molecule transcript sequencing for eukaryotic gene prediction

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    We develop a method to predict and validate gene models using PacBio single-molecule, real-time (SMRT) cDNA reads. Ninety-eight percent of full-insert SMRT reads span complete open reading frames. Gene model validation using SMRT reads is developed as automated process. Optimized training and prediction settings and mRNA-seq noise reduction of assisting Illumina reads results in increased gene prediction sensitivity and precision. Additionally, we present an improved gene set for sugar beet (Beta vulgaris) and the first genome-wide gene set for spinach (Spinacia oleracea). The workflow and guidelines are a valuable resource to obtain comprehensive gene sets for newly sequenced genomes of non-model eukaryotes
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