Risk Factors for Tumor Size Increase During Active Surveillance of Papillary Thyroid Cancer: Meta-Analysis and Systematic Review

Background and Objectives The purpose of this study was to systematically review literatures on active surveillance for low-risk differentiated thyroid cancer, and to evaluate risk factors for tumor size increase during active surveillance.Subjects and Method We conducted a systematic review and a meta-analysis of studies reporting on tumor growth during active surveillance of papillary thyroid cancer. Using the MEDLINE and EMBASE databases, we searched studies published from the inception of database to December 2020. Studies were included if reported on at least one clinical risk parameter in addition to reporting on the change in tumor size during active surveillance.Results Out of 33 studies screened, seven were included in the meta-analysis. The odds ratio of a temporal size increase of more than 3 mm in papillary thyroid cancer was 0.011 person-years (95% confidence interval [CI]: 0.009 to 0.013). The odds ratio of lymph node metastasis was 0.002 person-years (95% CI: 0.001 to 0.003). Younger age was a significant risk factor for tumor growth during active surveillance, with a standardized median difference of -0.63 (95% CI: -1.00 to -0.27). In the three studies that evaluated the association of thyroid-stimulating hormone levels and tumor size, the results were contradictory.Conclusion Active surveillance may be used more cautiously for younger patients.

Covid-19 vaccine dialogues increase vaccination intentions and attitudes in a vaccine-hesitant UK population

Recently, Altay et al (2020) showed that five minutes of interaction with a chatbot led to increases in Covid-19 vaccination attitudes and intentions in a randomly sampled French population, compared to a brief control condition. Here we replicate and qualify this effect, whilst attempting to isolate what made the chatbot condition so effective. We reduce the chatbot information to several fact-checked and updated dialogues, and introduce strict controls to isolate the effect of choice of information. We control the amount of information provided, the time spent with the information, the trustworthiness of the information, and the level of interactivity. Like Altay et al, our experiment allowed participants to navigate a branching dialogue by choosing questions of interest, eliciting set answers on aspects of the Covid-19 vaccine. Our control condition used the same questions and answers but removed all elements of participant choice. In this way, our experiment isolated the effect of participant choice of information. We also specifically targeted those who were either against or neutral towards Covid-19 vaccinations, screening-out those with already positive attitudes. Replicating Altay et al, we found a similar size increase in positive attitudes towards vaccination, as well as a similar sized increase in intention to get vaccinated, after engaging with vaccine information. Unlike Altay et al, we found no difference between our conditions: choosing the questions did not increase vaccine attitudes or intentions anymore than our control condition. In common with Altay et al, we also found an effect of time spent with the information, across both conditions, in that those who spent between 4 and 16 minutes (above the median) reading the information were more likely to increase their vaccination attitudes (but not their intentions). These results suggest that the attitudes of the vaccine hesitant are modifiable with exposure to in-depth, trustworthy and engaging dialogues.

DNA transposon expansion is associated with genome size increase in mudminnows

Genome sizes of eukaryotic organisms vary substantially, with whole genome duplications (WGD) and transposable element expansion acting as main drivers for rapid genome size increase. The two North American mudminnows, Umbra limi and U. pygmaea, feature genomes about twice the size of their sister lineage Esocidae (e.g., pikes and pickerels). However, it is unknown whether all Umbra species share this genome expansion and which causal mechanisms drive this expansion. Using flow cytometry, we find that the genome of the European mudminnow is expanded similarly to both North American species, ranging between 4.5-5.4 pg per diploid nucleus. Observed blocks of interstitially located telomeric repeats in Umbra limi suggest frequent Robertsonian rearrangements in its history. Comparative analyses of transcriptome and genome assemblies show that the genome expansion in Umbra is driven by the expansion of DNA transposon and unclassified repeat sequences without WGD. Furthermore, we find a substantial ongoing expansion of repeat sequences in the Alaska blackfish Dallia pectoralis, the closest relative to the family Umbridae, which might mark the beginning of a similar genome expansion. Our study suggests that the genome expansion in mudminnows, driven mainly by transposon expansion, but not WGD, occurred before the separation into the American and European lineage.

Is Industry Size a Carrier for Wage Inequality? A Panel Study Addressing Independent Variables of Inherently Different Sizes across Units

We address how independent variables of inherently different sizes across units, e.g., small vs. large industries, in panel regression is an advantage interpretively. Analyzing a Norwegian industry panel, we find that wage inequality is a function of industry size, particularly size increase, in an absolute number of firms. A possible reason is that specialized skilled employees negotiate higher wages when there are many legal entities. The findings can also imply that wage inequality is more sensitive to random change, particularly an increase, in large rather than small industries. We conclude that particularly large industries are positive carriers of wage inequality and discuss potential underlying causal mechanisms such as monopolistic competition.

May predator body-size hamper furtive predation strategy by aphidophagous insects?

Furtive predation is an uncommon predation strategy within aphidophagous insects, as it can be constrained by several factors. So far, the few reported furtive predators are characterized by their small body-size, vermiform shape, and slow movement. They live within the aphid colonies, without triggering significant defensive acts, nor disrupting colony structure. In this study, we aim to determine how body-size may prevent adoption of a furtive predation strategy. For that, the American hoverfly, Eupeodes americanus (Wiedemann) (Diptera: Syrphidae) was selected as a model species, according to the great body-size increase experienced during the larval stage. We hypothesized that smaller instars will be furtive predators, whereas larger ones will be active-searching predators. After the inoculation close to a pea aphid, Acyrthosiphon pisum (Harris) (Hemiptera: Aphididae) colony, several behavioral parameters of the different larval instars were recorded. The elicited aphid colony disturbance was also evaluated and compared with that of the active-searching ladybird beetle, Harmonia axyridis (Pallas) (Coleoptera: Coccinellidae), and of the furtive predator, Aphidoletes aphidimyza (Rondani) (Diptera: Cecidomyiidae). Aphids showed significantly fewer defensive behaviors in the presence of E. americanus larvae than in the presence of the active-searching H. axyridis. Furthermore, our results clearly indicate that body-size increase was not a limit, since the three larval instars of the American hoverfly acted as furtive predators, just like the furtive A. aphidimyza. It is the first time a furtive predatory behavior has been recorded on such a large aphidophagous predator. The obtained results provide essential information about the biology of E. americanus, a potential biological control agent of aphids.

VCP maintains nuclear size by regulating the DNA damage-associated MDC1–p53–autophagy axis in Drosophila

The maintenance of constant karyoplasmic ratios suggests that nuclear size has physiological significance. Nuclear size anomalies have been linked to malignant transformation, although the mechanism remains unclear. By expressing dominant-negative TER94 mutants in Drosophila photoreceptors, here we show disruption of VCP (valosin-containing protein, human TER94 ortholog), a ubiquitin-dependent segregase, causes progressive nuclear size increase. Loss of VCP function leads to accumulations of MDC1 (mediator of DNA damage checkpoint protein 1), connecting DNA damage or associated responses to enlarged nuclei. TER94 can interact with MDC1 and decreases MDC1 levels, suggesting that MDC1 is a VCP substrate. Our evidence indicates that MDC1 accumulation stabilizes p53A, leading to TER94K2A-associated nuclear size increase. Together with a previous report that p53A disrupts autophagic flux, we propose that the stabilization of p53A in TER94K2A-expressing cells likely hinders the removal of nuclear content, resulting in aberrant nuclear size increase.

DNA transposon expansion is associated with genome size increase in mudminnows

Genome sizes of eukaryotic organisms vary substantially, with whole genome duplications (WGD) and transposable element expansion acting as main drivers for rapid genome size increase. The two North American mudminnows, Umbra limi and U. pygmaea, feature genomes about twice the size of their sister lineage Esocidae (e.g., pikes and pickerels). However, it is unknown whether all Umbra species share this genome expansion and which causal mechanisms drive this expansion. Using flow cytometry, we find that the genome of the European mudminnow is expanded similarly to both North American species, ranging between 4.5-5.4 pg per diploid nucleus. Observed blocks of interstitially located telomeric repeats in Umbra limi suggest frequent Robertsonian rearrangements in its history. Comparative analyses of transcriptome and genome assemblies show that the genome expansion in Umbra is driven by extensive DNA transposon expansion without WGD. Furthermore, we find a substantial ongoing expansion of repeat sequences in the Alaska blackfish Dallia pectoralis, the closest relative to the family Umbridae, which might mark the beginning of a similar genome expansion. Our study suggests that the genome expansion in mudminnows, driven mainly by transposon expansion, but not WGD, occurred before the separation into the American and European lineage.