3111. Viral gastroenteritis.
作者: Thomas G Flynn.;Maribel Paredes Olortegui.;Margaret N Kosek.
来源: Lancet. 2024年403卷10429期862-876页
Since the discovery of norovirus in 1972 as a cause of what was contemporarily known as acute infectious non-bacterial gastroenteritis, scientific understanding of the viral gastroenteritides has continued to evolve. It is now recognised that a small number of viruses are the predominant cause of acute gastroenteritis worldwide, in both high-income and low-income settings. Although treatment is still largely restricted to the replacement of fluid and electrolytes, improved diagnostics have allowed attribution of illness, enabling both targeted treatment of individual patients and prioritisation of interventions for populations worldwide. Questions remain regarding specific genetic and immunological factors underlying host susceptibility, and the optimal clinical management of patients who are susceptible to severe or prolonged manifestations of disease. Meanwhile, the worldwide implementation of rotavirus vaccines has led to substantial reductions in morbidity and mortality, and spurred interest in vaccine development to diminish the impact of the most prevalent viruses that are implicated in this syndrome.
3113. Novel lateral flow assay for point-of-care detection of Neisseria gonorrhoeae infection in syndromic management settings: a cross-sectional performance evaluation.
作者: Remco P H Peters.;Jeffrey D Klausner.;Laura Mazzola.;Mandisa M Mdingi.;Hyunsul Jung.;Ranjana M S Gigi.;Jeremie Piton.;Joseph Daniels.;Lindsey de Vos.;Paul C Adamson.;Birgitta Gleeson.;Cecilia Ferreyra.
来源: Lancet. 2024年403卷10427期657-664页
A rapid and affordable point-of-care test is a priority for Neisseria gonorrhoeae control. WHO and Foundation for Innovative New Diagnostics (FIND) have a target product profile for a non-molecular N gonorrhoeae rapid point-of-care test that requires a clinical sensitivity of greater than 80% and a specificity over 95% to be considered useful in syndromic management; test turnaround time should be 30 min or under, and the test should cost less than US$3. A novel lateral flow assay (LFA) was developed to achieve that profile.
3115. Intracytoplasmic sperm injection versus conventional in-vitro fertilisation for couples with infertility with non-severe male factor: a multicentre, open-label, randomised controlled trial.
作者: Yuanyuan Wang.;Rong Li.;Rui Yang.;Danni Zheng.;Lin Zeng.;Ying Lian.;Yimin Zhu.;Junli Zhao.;Xiaoyan Liang.;Wen Li.;Jianqiao Liu.;Li Tang.;Yunxia Cao.;Guimin Hao.;Huichun Wang.;Hua Zhang.;Rui Wang.;Ben W Mol.;Hefeng Huang.;Jie Qiao.
来源: Lancet. 2024年403卷10430期924-934页
Introduced in 1992, intracytoplasmic sperm injection (ICSI) was initially indicated for severe male infertility; however, its use has since been expanded to non-severe male infertility. We aimed to compare the efficacy and safety of ICSI versus conventional in-vitro fertilisation (IVF) in couples with infertility with non-severe male factor.
3118. Safety and efficacy of malaria vaccine candidate R21/Matrix-M in African children: a multicentre, double-blind, randomised, phase 3 trial.
作者: Mehreen S Datoo.;Alassane Dicko.;Halidou Tinto.;Jean-Bosco Ouédraogo.;Mainga Hamaluba.;Ally Olotu.;Emma Beaumont.;Fernando Ramos Lopez.;Hamtandi Magloire Natama.;Sophie Weston.;Mwajuma Chemba.;Yves Daniel Compaore.;Djibrilla Issiaka.;Diallo Salou.;Athanase M Some.;Sharon Omenda.;Alison Lawrie.;Philip Bejon.;Harish Rao.;Daniel Chandramohan.;Rachel Roberts.;Sandesh Bharati.;Lisa Stockdale.;Sunil Gairola.;Brian M Greenwood.;Katie J Ewer.;John Bradley.;Prasad S Kulkarni.;Umesh Shaligram.;Adrian V S Hill.; .
来源: Lancet. 2024年403卷10426期533-544页
Recently, we found that a new malaria vaccine, R21/Matrix-M, had over 75% efficacy against clinical malaria with seasonal administration in a phase 2b trial in Burkina Faso. Here, we report on safety and efficacy of the vaccine in a phase 3 trial enrolling over 4800 children across four countries followed for up to 18 months at seasonal sites and 12 months at standard sites.
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