3094. 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.
3096. 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.
3098. 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.
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