Drought recorded by Ba/Ca in coastal benthic foraminifera

Increasing occurrences of extreme weather events, such as the 2018 drought over northern Europe, are a concerning issue under global climate change. High-resolution archives of natural hydroclimate proxies, such as rapidly accumulating sediments containing biogenic carbonates, offer the potential to investigate the frequency and mechanisms of such events in the past. Droughts alter the barium (Ba) concentration of near-continent seawater through the reduction in Ba input from terrestrial runoff, which in turn may be recorded as changes in the chemical composition (Ba/Ca) of foraminiferal calcium carbonates accumulating in sediments. However, so far the use of Ba/Ca as a discharge indicator has been restricted to planktonic foraminifera, despite the high relative abundance of benthic species in coastal, shallow-water sites. Moreover, benthic foraminiferal Ba/Ca has mainly been used in openocean records as a proxy for paleo-productivity. Here we report on a new geochemical data set measured from living (CTG-labeled) benthic foraminiferal species to investigate the capability of benthic Ba/Ca to record changes in river runoff over a gradient of contrasting hydroclimatic conditions. Individual foraminifera (Bulimina marginata, Non-ionellina labradorica) were analyzed by laser-ablation ICP-MS over a seasonal and spatial gradient within Gullmar Fjord, Swedish west coast, during 2018-2019. The results are compared to an extensive meteorological and hydrological data set, as well as sediment and pore-water geochemistry. Benthic foraminiferal Ba/Ca correlates significantly to riverine runoff; however, the signals contain both spatial trends with distance to Ba source and species-specific influences such as micro-habitat preferences. We deduce that shallow-infaunal foraminifera are especially suitable as proxy for terrestrial Ba input and discuss the potential influence of water-column and pore-water Ba cycling. While distance to Ba source, water depth, pore-water geochemistry, and species-specific effects need to be considered in interpreting the data, our results demonstrate confidence in the use of Ba/Ca of benthic foraminifera from near-continent records as a proxy for past riverine discharge and to identify periods of drought.Peer reviewe

Tip of an iceberg: skull fracture as an adult presentation of encephalocraniocutaneous lipomatosis

 The severity of seizures presenting to the emergency department ranges from benign to life threatening. There are also a wide number of possible etiologies. Computed tomography (CT) emergency imaging may be required at presentation to elucidate a possible cause and assess signs of intracranial trauma. This case describes a serious seizure episode in a young man while on holiday. A CT brain showed a skull fracture as a consequence of seizure-related head trauma but unexpectedly there were image findings consistent with encephalocraniocutaneous lipomatosis. The important radiological features of encephalocraniocutaneous lipomatosis and a differential diagnosis are presented

The consensus molecular subtypes of colorectal cancer

Colorectal cancer (CRC) is a frequently lethal disease with heterogeneous outcomes and drug responses. To resolve inconsistencies among the reported gene expression-based CRC classifications and facilitate clinical translation, we formed an international consortium dedicated to large-scale data sharing and analytics across expert groups. We show marked interconnectivity between six independent classification systems coalescing into four consensus molecular subtypes (CMSs) with distinguishing features: CMS1 (microsatellite instability immune, 14%), hypermutated, microsatellite unstable and strong immune activation; CMS2 (canonical, 37%), epithelial, marked WNT and MYC signaling activation; CMS3 (metabolic, 13%), epithelial and evident metabolic dysregulation; and CMS4 (mesenchymal, 23%), prominent transforming growth factor-beta activation, stromal invasion and angiogenesis. Samples with mixed features (13%) possibly represent a transition phenotype or intratumoral heterogeneity. We consider the CMS groups the most robust classification system currently available for CRC-with clear biological interpretability-and the basis for future clinical stratification and subtype-based targeted interventions

Principal component analysis for big data

Big data is transforming our world, revolutionizing operations and analytics everywhere, from financial engineering to biomedical sciences. The complexity of big data often makes dimension reduction techniques necessary before conducting statistical inference. Principal component analysis, commonly referred to as PCA, has become an essential tool for multivariate data analysis and unsupervised dimension reduction, the goal of which is to find a lower dimensional subspace that captures most of the variation in the dataset. This article provides an overview of methodological and theoretical developments of PCA over the last decade, with focus on its applications to big data analytics. We first review the mathematical formulation of PCA and its theoretical development from the view point of perturbation analysis. We then briefly discuss the relationship between PCA and factor analysis as well as its applications to large covariance estimation and multiple testing. PCA also finds important applications in many modern machine learning problems, and we focus on community detection, ranking, mixture model and manifold learning in this paper.Comment: review article, in press with Wiley StatsRe

How quick was marine recovery after the end-Triassic mass extinction and what role did anoxia play?

Oxygen restricted conditions were widespread in European shelf seas after the end-Triassic mass extinction event and they are reported to have hindered the recovery of marine benthos. Here we reconstruct the redox history of the Early Jurassic Blue Lias Formation of southwest Britain using pyrite framboid size analysis and compare this with the recovery of bivalves based on field and museum collections. Results suggest widespread dysoxia punctuated by periods of anoxia in the region, with the latter developing frequently in deeper water settings. Despite these harsh conditions, initial benthic recovery occurred rapidly in the British Jurassic, especially in shallowest settings, and shows no relationship with the intensity of dysoxia. A stable diversity was reached by the first recognised ammonite zone after the end-Triassic mass extinction. This contrasts with the deeper-water, more oxygen-poor sections where the diversity increase was still continuing in the earliest Sinemurian Stage, considerably longer than previously reported. Similar recovery rates are seen amongst other groups (brachiopods and ammonites). Oxygen-poor conditions have been suggested to delay recovery after the Permo-Triassic mass extinction, but this is not the case after the end-Triassic crisis. We suggest that this was because the European dysoxia was only a regional phenomenon and there were plenty of well-ventilated regions available to allow an untrammelled bounce back

Appetite Enhancement and Weight Gain by Peripheral Administration of TrkB Agonists in Non-Human Primates

Loss of function mutations in the receptor tyrosine kinase TrkB pathway resulted in hyperphagia and morbid obesity in human and rodents. Conversely, peripheral or central stimulation of TrkB by its natural ligands BDNF or NT4 reduced body weight and food intake in mice, supporting the idea that TrkB is a key anorexigenic signal downstream of the melanocortin-4 receptor (Mc4r) system. Here we show that in non-human primates TrkB agonists were anorexigenic when applied centrally, but surprisingly orexigenic, leading to gain in appetite, body weight, fat deposits and serum leptin levels, when given peripherally. The orexigenic and pro-obesity effects of peripherally administered TrkB agonists appear to be dose dependent, not associated with fluid retention nor with evidence of receptor down regulation. Our findings revealed that TrkB signaling exerts dual control on energy homeostasis in the primates that could be targeted for the treatment of either wasting disorders or obesity

Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries.

BACKGROUND: As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care. METHODS: We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary outcome was in-hospital complications. Secondary outcomes were death following a complication (failure to rescue) and death in hospital. Process measures were admission to critical care immediately after surgery or to treat a complication and duration of hospital stay. A single definition of critical care was used for all countries. RESULTS: A total of 474 hospitals in 19 high-, 7 middle- and 1 low-income country were included in the primary analysis. Data included 44 814 patients with a median hospital stay of 4 (range 2-7) days. A total of 7508 patients (16.8%) developed one or more postoperative complication and 207 died (0.5%). The overall mortality among patients who developed complications was 2.8%. Mortality following complications ranged from 2.4% for pulmonary embolism to 43.9% for cardiac arrest. A total of 4360 (9.7%) patients were admitted to a critical care unit as routine immediately after surgery, of whom 2198 (50.4%) developed a complication, with 105 (2.4%) deaths. A total of 1233 patients (16.4%) were admitted to a critical care unit to treat complications, with 119 (9.7%) deaths. Despite lower baseline risk, outcomes were similar in low- and middle-income compared with high-income countries. CONCLUSIONS: Poor patient outcomes are common after inpatient surgery. Global initiatives to increase access to surgical treatments should also address the need for safe perioperative care. STUDY REGISTRATION: ISRCTN5181700

Body size trends and recovery amongst bivalves following the end-Triassic mass extinction

Fossils in the immediate aftermath of mass extinctions are often of small size, a phenomenon attributed to the Lilliput Effect (temporary, size reduction of surviving species). There has been little attempt to study size trends during subsequent recovery intervals nor has the relationship between size, diversity and environmental controls been evaluated. Here we examine the recovery following the end-Triassic mass extinction amongst bivalves of the British Lower and Middle Lias. Three distinct phases of size change are seen that are independent of other recovery metrics: initially bivalves are small but the Lilliput Effect is a minor factor, the majority of small taxa belong to new species that undergo a later within-species size increase (the Brobdingnag Effect) throughout the subsequent Hettangian Stage. New species that appeared during the Hettangian were also progressively larger and Cope's Rule (size increase between successive species) is seen – notably amongst ammonites. The size increase was reversed during the Sinemurian Stage, when bivalves once again exhibited small body sizes. During the Pliensbachian Stage another phase of size increase occurred with further evidence of the Brobdingnag Effect. These three phases of size change are seen across all suspension feeding ecological guilds of bivalve but are not expressed among deposit feeders. Local environmental conditions explain some aspects of size patterns, but factors such as temperature, marine oxygenation and sea level, do not correlate with the long-term size trends. The Brobdingnag Effect may reflect increased availability/quality of food during the recovery interval: a factor that controlled bivalve size but not evolution

The Consensus Molecular Subtypes of Colorectal Cancer

Users may view, print, copy, and download text and data-mine the content in such documents, for the purposes of academic research, subject always to the full Conditions of use -- https://www.nature.com/authors/policies/license.html#termsColorectal cancer (CRC) is a frequently lethal disease with heterogeneous outcomes and drug responses. To resolve inconsistencies among the reported gene expression-based CRC classifications and facilitate clinical translation, we formed an international consortium dedicated to large-scale data sharing and analytics across expert groups. We show marked interconnectivity between six independent classification systems coalescing into four consensus molecular subtypes (CMS) with distinguishing features: CMS1 (MSI Immune, 14%), hypermutated, microsatellite unstable, strong immune activation; CMS2 (Canonical, 37%), epithelial, chromosomally unstable, marked WNT and MYC signaling activation; CMS3 (Metabolic, 13%), epithelial, evident metabolic dysregulation; and CMS4 (Mesenchymal, 23%), prominent transforming growth factor β activation, stromal invasion, and angiogenesis. Samples with mixed features (13%) possibly represent a transition phenotype or intra-tumoral heterogeneity. We consider the CMS groups the most robust classification system currently available for CRC - with clear biological interpretability - and the basis for future clinical stratification and subtype-based targeted interventions