Publications by authors named "Wi T"

Background: Tecovirimat, an antiviral treatment for smallpox, was approved as a treatment for mpox by the European Medicines Agency in January 2022. Approval was granted under "exceptional circumstances" based on effectiveness found in pre-clinical challenge studies in animals and safety studies in humans showing minimal side effects. As clinical efficacy studies are still ongoing, there is currently limited information with regard to the acceptability of tecovirimat to treat mpox.

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The functional specialization of CD4 T lymphocytes into various subtypes, including T1 and T cells, is crucial for effective immune responses. T cells facilitate B cell differentiation within germinal centers, while T1 cells are vital for cell-mediated immunity against intracellular pathogens. Integrin α4, a cell surface adhesion molecule, plays significant roles in cell migration and co-stimulatory signaling.

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The WHO research agenda for antimicrobial resistance (AMR) in human health has identified 40 research priorities to be addressed by the year 2030. These priorities focus on bacterial and fungal pathogens of crucial importance in addressing AMR, including drug-resistant pathogens causing tuberculosis. These research priorities encompass the entire people-centred journey, covering prevention, diagnosis, and treatment of antimicrobial-resistant infections, in addition to addressing the overarching knowledge gaps in AMR epidemiology, burden and drivers, policies and regulations, and awareness and education.

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There is an unmet need for developing drugs for the treatment of gonorrhea, due to rapidly evolving resistance of Neisseria gonorrhoeae against antimicrobial drugs used for empiric therapy, an increase in globally reported multidrug resistant cases, and the limited available therapeutic options. Furthermore, few drugs are under development. Development of antimicrobials is hampered by challenges in clinical trial design, limitations of available diagnostics, changes in and varying standards of care, lack of robust animal models, and clinically relevant pharmacodynamic targets.

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  • STIs are a major global health issue that adversely impacts sexual and reproductive health, especially in low-resource settings due to gaps in evidence and tools.
  • In 2022, the WHO launched an initiative to prioritize STI research, identifying 40 key areas, with a focus on developing affordable diagnostic tests, new treatments, and enhanced epidemiologic data.
  • The priorities also emphasize innovative approaches to STI communication and partner management, and include research related to mpox, highlighting the need for STI studies during disease outbreaks linked to sexual transmission.
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Background: The ongoing multi-country mpox outbreak in previously unaffected countries is primarily affecting sexual networks of men who have sex with men. Evidence is needed on the effectiveness of recommended preventive interventions. To inform WHO guidelines, a systematic review and qualitative evidence synthesis were conducted on mpox preventive behavioural interventions to reduce: (i) sexual acquisition; (ii) onward sexual transmission from confirmed/probable cases; and (iii) utility of asymptomatic testing.

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To determine antimicrobial susceptibility of Neisseria gonorrhoeae, we analyzed phenotypes and genomes of 72 isolates collected in Cambodia in 2023. Of those, 9/72 (12.5%) were extensively drug resistant, a 3-fold increase from 2022.

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  • MDR and XDR strains of Neisseria gonorrhoeae are significant global health threats, prompting the importance of monitoring antimicrobial resistance (AMR) through WHO programs like GASP and EGASP.
  • The 2024 WHO gonococcal reference strains include 15 strains characterized phenotypically and genomically, consisting of both new strains and updates to earlier ones.
  • These reference strains showcase various resistance profiles and genetic features vital for quality assurance in laboratories and are crucial for diagnosing gonorrhea and predicting AMR trends.
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  • Electrochemical carbon dioxide reduction to valuable fuels like formic acid is a promising method for achieving carbon neutrality, with a focus on enhancing activity and selectivity for commercialization.
  • Researchers developed metal-doped bismuth nanosheets that efficiently produced high-purity formic acid using a porous solid electrolyte, with Co-doped Bi showing about 90% selectivity and low energy requirements for the reaction.
  • The study utilized density functional theory to demonstrate that Co-doped Bi has a stronger binding energy to important intermediates, which improves its catalytic performance and stability in long-term operations.
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The increasing use of low-cost lithium iron phosphate cathodes in low-end electric vehicles has sparked interest in Prussian blue analogues (PBAs) for lithium-ion batteries. A major challenge with iron hexacyanoferrate (FeHCFe), particularly in lithium-ion systems, is its slow kinetics in organic electrolytes and valence state inactivation in aqueous ones. We have addressed these issues by developing a polymeric cathode electrolyte interphase (CEI) layer through a ring-opening reaction of ethylene carbonate triggered by OH radicals from structural water.

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Germinal center (GC) responses are essential for establishing protective, long-lasting immunity through the differentiation of GC B cells (B) and plasma cells (B), along with the generation of antigen-specific antibodies. Among the various pathways influencing immune responses, the STING (Stimulator of Interferon Genes) pathway has emerged as significant, especially in innate immunity, and extends its influence to adaptive responses. In this study, we examined how the STING ligand cGAMP can modulate these key elements of the adaptive immune response, particularly in enhancing GC reactions and the differentiation of B, B, and follicular helper T cells (T).

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  • Antimicrobial resistance (AMR) is a significant global health issue, particularly for gonorrhoea treatment, with ceftriaxone being the last effective option, yet resistance cases from Asia have been reported.
  • A study conducted by the WHO in Cambodia analyzed 437 male patients from January 2022 to June 2023, revealing resistance rates of 15.4% for ceftriaxone and high levels for other antibiotics, including 6.2% of samples being extensively drug-resistant (XDR).
  • The findings emphasize the urgent need for improved AMR surveillance, updates to treatment protocols, mandatory follow-up testing, and the development of new antibiotics to effectively combat gonorrhoea.
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  • The WHO Model List of Essential Medicines (EML) focuses on prioritizing medicines that are crucial for global public health, particularly in the context of antibiotic use and resistance.
  • In response to the rise of antimicrobial resistance, the EML introduced a new classification system called AWaRe, which categorizes antibiotics into Access, Watch, and Reserve groups to guide appropriate usage.
  • The 2023 AWaRe classification includes 41 essential antibiotics and aims to enhance global antibiotic prescribing practices, promoting the use of Access antibiotics to optimize treatment and reduce misuse to prolong the effectiveness of these medications.
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  • - Neisseria gonorrhoeae (gonorrhoea) poses serious global health issues, with risks like infertility and complications during pregnancy, alongside an increased vulnerability to HIV infections, and is becoming more difficult to treat due to rising antibiotic resistance.
  • - There are currently no licensed vaccines specifically for gonorrhoea, but research indicates that some existing meningitis vaccines may offer partial protection against gonorrhoea; clinical trials for these potential vaccines are in progress.
  • - A comprehensive vaccine value profile has been created by experts to evaluate the potential public health benefits and societal implications of new gonorrhoea vaccines, focusing on accessibility and affordability to ensure those most affected can receive treatment.
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Objectives: Rising antimicrobial resistance (AMR) in is a global public health concern. Many ceftriaxone-resistant cases have been linked to Asia. In the WHO/CDC global Enhanced Gonococcal Antimicrobial Surveillance Programme (EGASP), we conducted AMR surveillance at two clinical sites in Bangkok, Thailand, 2015-21.

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Benzathine benzylpenicillin is a globally indispensable medicine. As a long-lasting injectable penicillin, it serves as the primary treatment for syphilis, group A streptococcal infections, rheumatic fever and rheumatic heart disease. A competitive market and low profit margins, compounded by limited visibility of demand, have resulted in a decreased number of active pharmaceutical ingredient (API) manufacturers.

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We investigate silicon oxycarbide nanotubes that incorporate Si, SiC, and silicon oxycarbide phases, which exhibit near zero-strain volume expansion, leading to reduced electrolyte decomposition. The composite effectively accommodates the formation of -LiSi, as validated by TEM analyses and electrochemical tests, thereby proposing a promising solution for Li-ion battery anodes.

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Electrochemical carbon-capture technologies, with renewable electricity as the energy input, are promising for carbon management but still suffer from low capture rates, oxygen sensitivity or system complexity. Here we demonstrate a continuous electrochemical carbon-capture design by coupling oxygen/water (O/HO) redox couple with a modular solid-electrolyte reactor. By performing oxygen reduction reaction (ORR) and oxygen evolution reaction (OER) redox electrolysis, our device can efficiently absorb dilute carbon dioxide (CO) molecules at the high-alkaline cathode-membrane interface to form carbonate ions, followed by a neutralization process through the proton flux from the anode to continuously output a high-purity (>99%) CO stream from the middle solid-electrolyte layer.

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  • Global antimicrobial resistance (AMR) surveillance in Neisseria gonorrhoeae is crucial, with only 10.6% of WHO African Region countries reporting in 2017-18; this study focuses on genomic diversity and AMR determinants in Uganda, Malawi, and South Africa from 2015-2020.
  • Gonococcal isolates from these countries were sequenced, revealing high resistance to ciprofloxacin (57.1%-100%), while most strains were susceptible to ceftriaxone, cefixime, and spectinomycin.
  • The findings indicate a need for stronger AMR surveillance in gonorrhea due to high ciprofloxacin resistance and emerging azithromycin resistance, supporting WHO’s Global
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Background: STIs in older adults (adults aged 50 years and older) are on the rise due to variable levels of sex literacy and misperceived susceptibility to infections, among other factors. We systematically reviewed evidence on the effect of non-pharmacological interventions for the primary prevention of sexually transmitted infections (STIs) and high-risk sexual behaviour in older adults.

Methods: We searched EMBASE, MEDLINE, PSYCINFO, Global Health and the Cochrane Library from inception until March 9th, 2022.

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Over the past decade, lithium metal has been considered the most attractive anode material for high-energy-density batteries. However, its practical application has been hindered by its high reactivity with organic electrolytes and uncontrolled dendritic growth, resulting in poor Coulombic efficiency and cycle life. In this paper, we propose a design strategy for interface engineering using a conversion-type reaction of metal fluorides to evolve a LiF passivation layer and Li-M alloy.

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Background: Regular chlamydia and gonorrhea testing are essential for key populations, such as female sex workers (FSWs). However, testing cost, stigma, and lack of access prevent FSWs in low- and middle-income countries from receiving chlamydia and gonorrhea testing. A social innovation to address these problems is "pay it forward," where an individual receives a gift (free testing) and then asks whether they would like to give a gift to another person in the community.

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  • Neisseria gonorrhoeae poses a significant public health risk due to rising cases and antimicrobial resistance, with whole-genome sequencing (WGS) evaluated for predicting susceptibility to various antimicrobials.
  • 481 isolates from five countries were analyzed, revealing that susceptibility to ciprofloxacin is linked to a specific genetic marker (gyrA codon 91), while predicting susceptibility to other drugs requires a multilocus approach.
  • All isolates tested were susceptible to zolifodacin, and while a single marker can guide ciprofloxacin treatment, a combination of markers is necessary for other medications.
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  • Understanding the local cation order in crystal structures is key to improving the electrochemical performance of high-energy Mn-rich cathode materials for Li-ion batteries, particularly layered and disordered rock-salt types.
  • The study reveals that ultrahigh-capacity partially ordered cathodes have a heterogeneous nature with distinct phases, contrasting with traditional single-phase designs.
  • By engineering these materials through Ti doping, researchers can enhance rock-salt content and particle heterogeneity, leading to significantly improved cycling stability and capacity retention in the cathodes.
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