Publications by authors named "LOW N"

New, first-in-class oral antibiotics like zoliflodacin, developed in a public-private partnership, require an optimal introduction strategy while ensuring antibiotic stewardship. Zoliflodacin, given as a single dose for uncomplicated urogenital gonorrhoea, recently demonstrated non-inferiority to ceftriaxone plus azithromycin and safety in a phase 3 randomised controlled trial. Following regulatory approval, zoliflodacin could improve sexually transmitted infection (STI) management and help address the threat of untreatable gonorrhoea, as levels of resistance to current first-line treatments increase.

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Aplasia cutis congenita (ACC) is a rare congenital condition characterized by the absence of skin and subcutaneous tissue, typically affecting the scalp. This case report presents a female infant born at 38+3 weeks with a posterior midline scalp defect measuring 15×12.5 mm, involving skin, subcutaneous tissue, and calvarium.

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Recent reports raise concerns on the changing epidemiology of mpox in the Democratic Republic of the Congo (DRC). High-quality genomes were generated for 337 patients from 14/26 provinces to document whether the increase in number of cases is due to zoonotic spillover events or viral evolution, with enrichment of APOBEC3 mutations linked to human adaptation. Our study highlights two patterns of transmission contributing to the source of human cases.

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  • Tissue expansion is used in pediatric patients to create a safe space for baclofen pump insertion, reducing risks like pump migration and infection.
  • This case series reports on three patients treated over four years, with careful monitoring after the procedure by a senior surgeon.
  • The results showed minor complications that didn't hinder the process, and all patients achieved successful outcomes six months post-insertion, highlighting the technique's effectiveness.
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  • The emergence of Clade Ib monkeypox virus (MPXV), known for sustained human-to-human transmission, has raised public health concerns as it spreads beyond endemic regions, first identified in South Kivu province.
  • Recent cases of Clade Ib in North Kivu province highlight the need for public health efforts to address non-sexual transmission, especially involving children under 15, and to adapt community messaging accordingly.
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Mid-crustal magma domains are the source of many basaltic eruptions. Lavas from individual eruptions are often chemically homogeneous, suggesting that they derive from single, well-mixed magma reservoirs. The 2023 to 2024 eruptions at Sundhnúksgígar in the Svartsengi volcanic system in Iceland provide an opportunity to observe the behavior of a mid-crustal magma domain at high spatial and temporal resolution by detailed sampling and geochemical characterization.

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  • Between January and August 2024, nearly all provinces of the Democratic Republic of the Congo reported cases of mpox.
  • Genome sequencing from 11 cases in Kinshasa revealed the presence of two subclades, Ia and Ib, co-circulating in the Limete health zone.
  • Phylogenetic analyses indicated that these subclades have multiple introductions in Kinshasa, highlighting the increasing complexity of mpox outbreaks in the DRC.
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We linked 4 mpox cases in South Ubangi, Democratic Republic of the Congo, to transboundary transmission from Central African Republic. Viral genome sequencing demonstrated that the monkeypox virus sequences belonged to distinct clusters of subclade Ia. This finding demonstrates the borderless nature of mpox and highlights the need for vigilant regional surveillance.

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Surveillance of SARS-CoV-2 through reported positive RT-PCR tests is biased due to non-random testing. Prevalence estimation in population-based samples corrects for this bias. Within this context, the pooled testing design offers many advantages, but several challenges remain with regards to the analysis of such data.

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Background: This study aimed to examine the transmission dynamics of Neisseria gonorrhoeae (NG) in heterosexual sex work networks (HSWNs) and the impact of variation in sexual behavior and interventions on NG epidemiology.

Methods: The study employed an individual-based mathematical model to simulate NG transmission dynamics in sexual networks involving female sex workers (FSWs) and their clients, primarily focusing on the Middle East and North Africa region. A deterministic model was also used to describe NG transmission from clients to their spouses.

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Objectives: The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement, first published in 2009, has been widely endorsed and compliance is high in systematic reviews (SRs) of intervention studies. SRs of prevalence studies are increasing in frequency, but their characteristics and reporting quality have not been examined in large studies. Our objectives were to describe the characteristics of SRs of prevalence studies in adults, evaluate the completeness of reporting, and explore study-level characteristics associated with the completeness of reporting.

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Curable sexually transmitted infections (STIs) are neglected in public health policy, services and society at large. Effective interventions are available for some STI but seem not to be prioritised at global, regional or local levels. Zambia and Papua New Guinea (PNG) have a high burden of STIs among pregnant women but little is known about the prioritisation of STI treatment and care among this group.

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Introduction: The COVID-19 pandemic affected people's health behaviours and health outcomes. Political or affective polarization could be associated with health behaviours such as mask-wearing or vaccine uptake and with health outcomes, e.g.

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The COVID-19 pandemic led to unprecedented changes in behaviour. To estimate if these persisted, a final round of the CoMix social contact survey was conducted in four countries at a time when all societal restrictions had been lifted for several months. We conducted a survey on a nationally representative sample in the UK, Netherlands (NL), Belgium (BE), and Switzerland (CH).

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To mitigate the spread of SARS-CoV-2, the Swiss government enacted restrictions on social contacts from 2020 to 2022. In addition, individuals changed their social contact behavior to limit the risk of COVID-19. In this study, we aimed to investigate the changes in social contact patterns of the Swiss population.

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Purpose: Corneal neurotization is an emerging technique that offers potential for visual rehabilitation in neurotrophic keratopathy. This study reports on a multicenter experience and outcomes for both direct and indirect methods of corneal neurotization.

Methods: Retrospective case series.

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  • - This study aimed to explore the link between burn injuries and subsequent hospitalization for mental health issues over a span of up to 30 years.
  • - Analyzing data from over 23,000 burn patients in Quebec, researchers found that those with burns faced an increased risk (1.76 times greater) of being hospitalized for mental health disorders, especially notable for extensive burns and those requiring skin grafts.
  • - The findings indicate that burn patients are at heightened risk for mental health hospitalizations, particularly for issues like eating disorders, substance abuse, and suicide attempts, with the most significant risks occurring within the first five years post-burn.
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  • The study investigated the impact of antenatal point-of-care testing and immediate treatment for infections like Chlamydia and Gonorrhea on maternal and perinatal outcomes, comparing it against the current standard of care which is symptom-based treatment.
  • The research involved a randomized trial with women attending antenatal clinics in Papua New Guinea, where clusters were switched between the intervention and control groups after a washout period.
  • The primary focus was on measuring outcomes like preterm birth and low birthweight among the participants, with data collected from 4,526 enrolled women from 2017 to 2021.
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Background: The endocannabinoid (eCB) system and the serotonin (5-HT) are both implicated in the severity of the depression. 5-HT is synthesized from the amino acid tryptophan (Trp), which is also a precursor for kynurenine (Kyn) whose production is increased at the expense of 5-HT in depressed patients. No clinical studies have investigated the crosstalk between the eCB system and the Trp/5-HT/Kyn pathways.

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Introduction: Sexually transmitted infections (STIs) are a significant public health challenge, but there is a perceived lack of political priority in addressing STIs as a global health issue. Our study aimed to understand the determinants of global political priority for STIs since the 1980s and to discern implications for future prioritisation.

Methods: Through semistructured interviews from July 2021 to February 2022, we engaged 20 key stakeholders (8 women, 12 men) from academia, United Nations agencies, international non-governmental organisations, philanthropic organisations and national public health agencies.

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Introduction: Preterm birth complications are the most common cause of death in children under 5 years. The presence of multiple microorganisms and genital tract inflammation could be the common mechanism driving early onset of labour. South Africa has high levels of preterm birth, genital tract infections and HIV infection among pregnant women.

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Background: While recognized as a key HIV prevention strategy, preexposure prophylaxis (PrEP) availability and accessibility are not well documented globally. We aimed to describe PrEP drug registration status and the availability of PrEP services across HIV care sites participating in the International epidemiology Databases to Evaluate AIDS (IeDEA) research consortium.

Methods: We used country-level PrEP drug registration status from the AIDS Vaccine Advocacy Coalition and data from IeDEA surveys conducted in 2014, 2017 and 2020 among participating HIV clinics in seven global regions.

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