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The genome sequence of the Spanish Fritillary, Euphydryas desfontainii (Godart, 1819) (Lepidoptera: Nymphalidae). 西班牙贝母,Euphydryas desfontainii (Godart, 1819)的基因组序列(鳞翅目:蛱蝶科)。
Q1 Medicine Pub Date : 2026-02-16 eCollection Date: 2026-01-01 DOI: 10.12688/wellcomeopenres.25888.1
Joan Carles Hinojosa, Daniel Linke, Roger Vila, Charlotte J Wright, Joana I Meier, Mark L Blaxter

We present a genome assembly from a male specimen of Euphydryas desfontainii (Spanish Fritillary; Arthropoda; Insecta; Lepidoptera; Nymphalidae). The assembly contains two haplotypes with total lengths of 755.68 megabases and 751.57 megabases. Most of haplotype 1 (99.77%) is scaffolded into 30 chromosomal pseudomolecules, including the Z sex chromosome. Haplotype 2 was assembled to scaffold level. The mitochondrial genome has also been assembled, with a length of 16.56 kilobases. Gene annotation of this assembly on Ensembl identified 14 303 protein-coding genes. This work is part of Project Psyche, a collaborative programme generating genomes for European butterflies and moths.

本文报道了一种雄性贝母(西班牙贝母;节肢动物;昆虫科;鳞翅目;蛱蝶科)的基因组组装。该组合包含两个单倍型,总长度分别为755.68兆碱基和751.57兆碱基。大多数单倍型1(99.77%)被支架成30个染色体假分子,包括Z性染色体。单倍型2组装到支架水平。线粒体基因组也已组装完成,其长度为16.56千碱基。该组装体在Ensembl上的基因注释鉴定出14个 303个蛋白质编码基因。这项工作是普赛克项目的一部分,这是一个为欧洲蝴蝶和飞蛾生成基因组的合作项目。
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引用次数: 0
Baseline nowcasting methods for handling delays in epidemiological data. 处理流行病学数据延迟的基线临近预报方法。
Q1 Medicine Pub Date : 2026-02-14 eCollection Date: 2025-01-01 DOI: 10.12688/wellcomeopenres.25027.2
Kaitlyn E Johnson, Maria L Tang, Emily Tyszka, Laura Jones, Barbora Nemcova, Daniel Wolffram, Rosa Ergas, Nicholas G Reich, Sebastian Funk, Jonathon Mellor, Johannes Bracher, Sam Abbott

Background: Up-to-date real-time disease surveillance data can provide critical public health insights, however reporting delays can create downward bias in the latest data. Nowcasting methods designed to correct for this bias remain underused in public health practice due to their complexity, lack of tailored documentation, or technical barriers. Methodological advances in nowcasting are also hampered by the absence of standardised benchmarks for evaluating new methods.

Methods: To address these needs, we developed a family of nowcasting methods and an accompanying R package, baselinenowcast. We validated our method against the baseline method that was used in the German COVID-19 Nowcast Hub and on which our approach was based. Using this data, we conducted an analysis to compare different specifications of our method which were designed to address common issues in epidemiology such as weekday patterns in reporting and the ability to share estimates across different strata. We used our approach on norovirus surveillance data from the United Kingdom Health Security Agency (UKHSA) and compared the performance of three of our method specifications against three methods evaluated in a previous study.

Results: Our baseline method improved estimates compared to unadjusted data across all case studies. We found that the optimal choice of baseline method specification depends on context but that our default method specification performed well in a range of settings. Applied to UKHSA norovirus data, our method helped us understand the performance of the model currently used in public health practice.

Conclusions: Our method and software can be used both as a straightforward nowcasting method and provides a benchmark for nowcasting model development.

背景:最新的实时疾病监测数据可以提供关键的公共卫生见解,然而报告延迟可能会导致最新数据的向下偏差。旨在纠正这种偏差的临近预报方法由于其复杂性、缺乏量身定制的文件或技术障碍,在公共卫生实践中仍未得到充分利用。临近预报方法的进步也因缺乏评估新方法的标准化基准而受到阻碍。方法:为了满足这些需求,我们开发了一系列近播方法和配套的R包baselinenowcast。我们根据德国COVID-19临近预报中心使用的基线方法验证了我们的方法,该方法是我们方法的基础。利用这些数据,我们进行了一项分析,以比较我们的方法的不同规范,这些方法旨在解决流行病学中的常见问题,如报告中的工作日模式和跨不同阶层共享估计的能力。我们将我们的方法用于英国卫生安全局(UKHSA)的诺如病毒监测数据,并将我们的三种方法规范与先前研究中评估的三种方法的性能进行了比较。结果:与所有案例研究中未调整的数据相比,我们的基线方法提高了估计值。我们发现基线方法规范的最佳选择取决于上下文,但是我们的默认方法规范在一系列设置中表现良好。应用于UKHSA诺如病毒数据,我们的方法帮助我们了解目前在公共卫生实践中使用的模型的性能。结论:我们的方法和软件既可以作为一种直接的临近铸造方法,也可以为临近铸造模型的开发提供一个基准。
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引用次数: 0
The genome sequence of the Dusky Thorn moth, Ennomos fuscantarius (Haworth, 1809). 褐刺蛾的基因组序列(Ennomos fuscantarius, 1809)。
Q1 Medicine Pub Date : 2026-02-14 eCollection Date: 2023-01-01 DOI: 10.12688/wellcomeopenres.20174.2
Douglas Boyes, Dominic Phillips

We present a genome assembly from an individual male Ennomos fuscantarius (the Dusky Thorn; Arthropoda; Insecta; Lepidoptera; Geometridae). The genome sequence is 444.9 megabases in span. Most of the assembly is scaffolded into 31 chromosomal pseudomolecules, including the Z sex chromosome. The mitochondrial genome has also been assembled and is 15.49 kilobases in length. Gene annotation of this assembly on Ensembl identified 12,173 protein coding genes.

我们提出了一个基因组组装从单个雄性褐刺蝇(暗刺;节肢动物;昆虫;鳞翅目;尺蛾科)。基因组序列全长444.9兆碱基。大部分的组装被搭建成31个染色体假分子,包括Z性染色体。线粒体基因组也已组装完毕,长度为15.49千碱基。该组合在Ensembl上的基因注释鉴定出12173个蛋白质编码基因。
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引用次数: 0
The Discovery Research Platform for Medical Humanities responds to the Wellcome Trust's report on Archives, manuscripts and material culture (AMCs) in life, health, and wellbeing research. 医学人文探索研究平台回应了惠康基金会关于档案、手稿和物质文化(amc)在生命、健康和福祉研究中的报告。
Q1 Medicine Pub Date : 2026-02-14 eCollection Date: 2026-01-01 DOI: 10.12688/wellcomeopenres.25676.1
Harriet Barratt, Fiona Johnstone, Coreen McGuire

This open letter from Durham University's Discovery Research Platform for Medical Humanities responds to the Wellcome Trust's 2025 report on archives, manuscripts, and material culture (AMCs) in health research. We applaud the report's recognition of AMCs as foundational infrastructures for discovery research and its emphasis on pluralistic values, and we use this letter to expand upon three critical dimensions. First, we reinforce the point that medical humanities work with AMCs generates transformational biomedical and cultural knowledge capable of effecting real-world reform, exemplified by recent challenges to race-based lung capacity evaluations citing Platform research. Second, we urge caution regarding digitisation initiatives, particularly concerning A.I. training using existing collections, emphasising the need for ethical consideration of environmental impact, intellectual property, and the perpetuation of structural inequities in digital infrastructure. Third, we advocate for expansive definitions of health-related material culture beyond biomedical paradigms, encompassing artistic collections and emphasising the irreplaceable value of sensory and affective experiences in hands-on collections work. We draw attention to the tensions inherent in the use of digital surrogates, which, though vital for accessibility, cannot fully replace original collections. We conclude by emphasising the Platform's commitment to further collaborative work to transform the report's recommendations into sustainable practice.

这封来自杜伦大学医学人文探索研究平台的公开信回应了威康信托基金会2025年关于健康研究中的档案、手稿和物质文化(amc)的报告。我们赞赏该报告承认amc是发现研究的基础设施,并强调多元价值,我们用这封信扩展了三个关键方面。首先,我们强调,医学人文学科与amc的合作产生了能够影响现实世界改革的变革性生物医学和文化知识,最近引用平台研究对基于种族的肺活量评估的挑战就是例证。其次,我们敦促对数字化举措保持谨慎,特别是使用现有馆藏进行人工智能培训,强调需要对环境影响、知识产权和数字基础设施中持续存在的结构性不平等进行道德考虑。第三,我们主张在生物医学范式之外扩大与健康相关的物质文化的定义,包括艺术收藏,并强调在实际收藏工作中感官和情感体验的不可替代的价值。我们提请注意使用数字替代品所固有的紧张关系,尽管数字替代品对可访问性至关重要,但不能完全取代原始收藏。最后,我们强调平台承诺进一步开展合作,将报告的建议转化为可持续的做法。
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引用次数: 0
Disability Inclusive Youth (DIY) Research: an innovative and co-creative study to improve inclusion of children and youth with disabilities in health research in East Africa: a mixed-method study protocol. 残疾包容青年(DIY)研究:一项创新和共同创造的研究,旨在改善东非卫生研究中残疾儿童和青年的包容性:一项混合方法研究协议。
Q1 Medicine Pub Date : 2026-02-14 eCollection Date: 2025-01-01 DOI: 10.12688/wellcomeopenres.24916.2
Femke Bannink Mbazzi, David John Musendo, Gatera Fiston Kitema, Joyce Muhenge Olenja, Andrew Sentoogo Ssemata

Young people with disabilities are rarely included in research, yet 75% of the East African population is under 30 years old and an estimated 15% have a disability. Without including young persons with disabilities in designing and implementing health research, we will not achieve global development goals. The aim of Disability Inclusive Youth (DIY) study is to explore barriers and facilitators to inclusion of children and youth with disabilities in health research, co-create solutions to make health research in East Africa disability inclusive, and create a disability knowledge and research centre to inform and support inclusive health research in the region. The DIY study will develop a novel participatory approach to enhance the inclusion of children and youth with disabilities in health research in East Africa. We will build capacity of 12 youth with disabilities from Uganda, Kenya, and Rwanda through a research training programme. The youth researchers will conduct interviews with 75 leading health researchers, 30 key health stakeholders, and 60 children and youth with disabilities and their caregivers. Together with the youth we will design recommendations to make health research more inclusive of children and youth with disabilities through participatory workshops. At the end of the study we will have established a regional knowledge and research centre where children and youth with disabilities contribute to and health researchers consult about disability inclusive health research. Data collection methods include survey questionnaires, in-depth interviews, case studies, video and photovoice. Data will be analysed qualitatively using a thematic approach in NVIVO and quantitatively using STATA. This is a 5 year study funded by Wellcome, through the London School of Hygiene and Tropical Medicine, in partnership with the MRC/UVRI & LSHTM Uganda Research Unit, the University of Nairobi and the University of Rwanda / Lifetime Research Group.

残疾青年很少被纳入研究,但75%的东非人口年龄在30岁以下,估计有15%的人患有残疾。如果不让残疾青年参与设计和实施保健研究,我们就无法实现全球发展目标。残疾包容青年(DIY)研究的目的是探索将残疾儿童和青年纳入卫生研究的障碍和促进因素,共同制定解决办法,使东非的残疾问题卫生研究具有包容性,并创建一个残疾知识和研究中心,为该区域的包容性卫生研究提供信息和支持。DIY研究将制定一种新的参与性方法,以加强将残疾儿童和青年纳入东非的卫生研究。我们将通过一个研究培训项目,为来自乌干达、肯尼亚和卢旺达的12名残疾青年建立能力。青年研究人员将与75名主要卫生研究人员、30名主要卫生利益攸关方以及60名残疾儿童和青年及其照顾者进行访谈。我们将与青年一道制定建议,通过参与性讲习班使卫生研究更加包容残疾儿童和青年。在研究结束时,我们将建立一个区域知识和研究中心,残疾儿童和青年将在该中心就残疾包容性健康研究作出贡献,并向卫生研究人员提供咨询。数据收集方法包括调查问卷、深度访谈、案例研究、视频和照片语音。数据将在NVIVO中使用专题方法进行定性分析,并使用STATA进行定量分析。这是一项为期5年的研究,由惠康资助,通过伦敦卫生和热带医学学院,与MRC/UVRI和LSHTM乌干达研究单位、内罗毕大学和卢旺达大学/终身研究小组合作。
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引用次数: 0
New title: Re-evaluating environmental associations with meningitis risk across Africa. 新标题:重新评估非洲各地环境与脑膜炎风险的关系。
Q1 Medicine Pub Date : 2026-02-13 eCollection Date: 2025-01-01 DOI: 10.12688/wellcomeopenres.24771.2
Molly Cliff, Sally Jahn, Andre Bita Fouda, Anderson Latt, Clement Lingani, Caroline Trotter

Background: Previous analytical work, defining the distribution of meningitis epidemics in Africa is over 20 years old, with climate change representing an ongoing issue. We aim to update this analysis and determine if the meningitis belt geography and associated environmental risk factors have changed in the last two decades.

Methods: Epidemic bacterial meningitis data from 2003-2022 were provided by WHO-AFRO. Districts across Africa were coded 1 if they experienced a meningitis outbreak and 0 if not. Monthly means of windspeed, rainfall, dust, and humidity were processed into climatic profiles using k-means clustering. We undertook logistic regression with meningitis epidemic history as the dependent variable and k-means clusters of rainfall, dust, humidity, and windspeed, alongside land-cover type as independent variables. A sensitivity analysis was conducted, excluding the Democratic Republic of Congo (DRC), due to limited laboratory confirmation of cases.

Results: Rainfall, dust, windspeed and humidity demonstrated the strongest statistical association with outbreaks and were included in our final model. With a probability cut-off >0.4, our model had specificity and sensitivity of 82.07% and 82.22%, respectively, in identifying districts having experienced a meningitis epidemic. The Sahelian region had the highest risk of meningitis outbreaks (probability >0.8), consistent with previous findings. The inclusion/exclusion of the DRC had a significant impact on our model. In the full model the Republic of the Congo, Gabon, and Angola had a moderate risk of meningitis (probability >0.4), suggesting a possible expansion of the belt. However, when the DRC was excluded, no countries surrounding the meningitis belt were at risk for outbreaks, highlighting the importance of laboratory testing and case confirmation.

Conclusions: The apparent extension of risk beyond the belt possibly reflects surveillance limitations rather than alterations in disease ecology. Where possible, laboratory confirmation should be used to support surveillance of suspected meningitis outbreaks and cases.

背景:以往确定非洲脑膜炎流行分布的分析工作已有20多年的历史,气候变化是一个持续存在的问题。我们的目标是更新这一分析,并确定脑膜炎带的地理和相关环境风险因素在过去二十年中是否发生了变化。方法:2003-2022年流行性细菌性脑膜炎资料由WHO-AFRO提供。非洲各地发生脑膜炎疫情的地区被编码为1,未发生脑膜炎疫情的地区被编码为0。利用k-均值聚类方法将风速、降雨量、沙尘和湿度的月平均值处理成气候剖面。我们以脑膜炎流行史作为因变量,以降雨、沙尘、湿度和风速的k-均值集群以及土地覆盖类型作为自变量,进行了logistic回归。由于实验室确诊病例有限,对刚果民主共和国(DRC)除外进行了敏感性分析。结果:降雨、沙尘、风速和湿度与疫情表现出最强的统计关联,并包含在我们的最终模型中。我们的模型在识别脑膜炎流行地区的特异性和敏感性分别为82.07%和82.22%,截断概率为>.4。萨赫勒地区爆发脑膜炎的风险最高(概率为>.8),与先前的研究结果一致。刚果民主共和国的纳入/排除对我们的模型产生了重大影响。在完整的模型中,刚果共和国、加蓬和安哥拉患脑膜炎的风险中等(概率为>.4),这表明该带可能扩大。然而,当刚果民主共和国被排除在外时,脑膜炎带周围的国家都没有暴发的风险,这突出了实验室检测和病例确认的重要性。结论:风险明显延伸至疫区以外,可能反映了监测的局限性,而非疾病生态的变化。在可能的情况下,应使用实验室确认来支持对疑似脑膜炎暴发和病例的监测。
{"title":"New title: Re-evaluating environmental associations with meningitis risk across Africa.","authors":"Molly Cliff, Sally Jahn, Andre Bita Fouda, Anderson Latt, Clement Lingani, Caroline Trotter","doi":"10.12688/wellcomeopenres.24771.2","DOIUrl":"https://doi.org/10.12688/wellcomeopenres.24771.2","url":null,"abstract":"<p><strong>Background: </strong>Previous analytical work, defining the distribution of meningitis epidemics in Africa is over 20 years old, with climate change representing an ongoing issue. We aim to update this analysis and determine if the meningitis belt geography and associated environmental risk factors have changed in the last two decades.</p><p><strong>Methods: </strong>Epidemic bacterial meningitis data from 2003-2022 were provided by WHO-AFRO. Districts across Africa were coded 1 if they experienced a meningitis outbreak and 0 if not. Monthly means of windspeed, rainfall, dust, and humidity were processed into climatic profiles using k-means clustering. We undertook logistic regression with meningitis epidemic history as the dependent variable and k-means clusters of rainfall, dust, humidity, and windspeed, alongside land-cover type as independent variables. A sensitivity analysis was conducted, excluding the Democratic Republic of Congo (DRC), due to limited laboratory confirmation of cases.</p><p><strong>Results: </strong>Rainfall, dust, windspeed and humidity demonstrated the strongest statistical association with outbreaks and were included in our final model. With a probability cut-off >0.4, our model had specificity and sensitivity of 82.07% and 82.22%, respectively, in identifying districts having experienced a meningitis epidemic. The Sahelian region had the highest risk of meningitis outbreaks (probability >0.8), consistent with previous findings. The inclusion/exclusion of the DRC had a significant impact on our model. In the full model the Republic of the Congo, Gabon, and Angola had a moderate risk of meningitis (probability >0.4), suggesting a possible expansion of the belt. However, when the DRC was excluded, no countries surrounding the meningitis belt were at risk for outbreaks, highlighting the importance of laboratory testing and case confirmation.</p><p><strong>Conclusions: </strong>The apparent extension of risk beyond the belt possibly reflects surveillance limitations rather than alterations in disease ecology. Where possible, laboratory confirmation should be used to support surveillance of suspected meningitis outbreaks and cases.</p>","PeriodicalId":23677,"journal":{"name":"Wellcome Open Research","volume":"10 ","pages":"497"},"PeriodicalIF":0.0,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12982989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147469329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The genome sequence of the red ripple bryozoan, Watersipora subatra (Ortmann, 1890). 红纹苔藓虫,水孢子虫的基因组序列(奥特曼,1890)。
Q1 Medicine Pub Date : 2026-02-11 eCollection Date: 2024-01-01 DOI: 10.12688/wellcomeopenres.22824.2
John Bishop, Christine A Wood

We present a genome assembly from an individual Watersipora subatra (the red ripple bryozoan; Bryozoa; Gymnolaemata; Cheilostomatida; Watersiporidae). The genome sequence spans 783.70 megabases. Most of the assembly is scaffolded into 11 chromosomal pseudomolecules. The mitochondrial genome has also been assembled and is 14.14 kilobases in length. Gene annotation of this assembly on Ensembl identified 16,835 protein-coding genes. This assembly was generated as part of the Darwin Tree of Life project, which produces reference genomes for eukaryotic species found in Britain and Ireland.

我们展示了一个水孢子虫个体的基因组组装(红波纹苔藓虫;苔藓虫;Gymnolaemata; Cheilostomatida;水孢子虫科)。基因组序列跨越783.70兆碱基。大部分的组装被搭建成11个染色体假分子。线粒体基因组也已组装完毕,长度为14.14千碱基。该组合在Ensembl上的基因注释鉴定出16835个蛋白质编码基因。这个组合是作为达尔文生命之树项目的一部分产生的,该项目为在英国和爱尔兰发现的真核生物物种提供参考基因组。
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引用次数: 0
The genome sequence of the Bicolour Sedge, Triaenodes bicolor (Curtis, 1834) (Trichoptera: Leptoceridae). 双色莎草,Triaenodes bicolor (Curtis, 1834)的基因组序列(毛翅目:细蛾科)。
Q1 Medicine Pub Date : 2026-02-05 eCollection Date: 2026-01-01 DOI: 10.12688/wellcomeopenres.25183.2
Derek Coleman, Maja Hrynowiecka

We present a genome assembly from an individual male Triaenodes bicolor (Bicolour Sedge; Arthropoda; Insecta; Trichoptera; Leptoceridae). The assembly contains two haplotypes with total lengths of 615.75 megabases and 613.86 megabases. Most of haplotype 1 (99.48%) is scaffolded into 21 chromosomal pseudomolecules, including the Z sex chromosome. Haplotype 2 was assembled to scaffold level. The mitochondrial genome has also been assembled, with a length of 16.2 kilobases. This assembly was generated as part of the Darwin Tree of Life project, which produces reference genomes for eukaryotic species found in Britain and Ireland.

我们展示了一只雄性双色三叶蝉(双色莎草;节肢动物;昆虫;毛翅目;细尾蝇科)的基因组组装。该组合包含两个单倍型,总长度分别为615.75兆碱基和613.86兆碱基。大多数单倍型1(99.48%)被支架成21个染色体假分子,包括Z性染色体。单倍型2组装到支架水平。线粒体基因组也已组装完成,其长度为16.2千碱基。这个组合是作为达尔文生命之树项目的一部分产生的,该项目为在英国 和 爱尔兰发现的真核物种提供参考基因组。
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引用次数: 0
A study protocol for a baseline community-based cross-sectional study to investigate malaria and dengue transmission dynamics in a development area of new capital city, Indonesia. 一项基线社区横断面研究的研究方案,以调查印度尼西亚新首都一个开发区的疟疾和登革热传播动态。
Q1 Medicine Pub Date : 2026-02-03 eCollection Date: 2026-01-01 DOI: 10.12688/wellcomeopenres.25303.1
Alfa Pradana, Margareta Oktaviani, Hellen Prameswari, Dedy Supriyanto, Ponco Waluyo, Ermi Ndoen, Dian Rosadi, Inke Lubis, Suwarti Suwarti, Decy Subekti, Tina Kusumaningrum, Miles Carroll, Bimandra Djaafara, Ruklanthi de Alwis, Swapnil Mishra, Chris Drakeley, Karin Leder, Alex Lechner, Kimberly Fornace, Iqbal Elyazar, Henry Surendra

Background: The relocation of Indonesia's capital to Ibu Kota Nusantara (IKN) in East Kalimantan, a malaria and dengue hotspot, presents new risks of infectious disease transmission due to land-use changes and population movements. Current knowledge on the impact of these changes on vector-borne diseases, especially Plasmodium knowlesi malaria and other arboviruses, is limited. Serological surveillance offers a robust method for assessing population exposure.

Method: A community-based cross-sectional study will be conducted in IKN and its surrounding area, in East Kalimantan. Approximately 2,000 individuals aged >1 year will be enrolled. Finger-prick blood samples will be collected for serological analysis (multiplex bead-based assays for malaria species, and dengue virus serotypes) and malaria RDTs. Demographic, clinical, environmental, and geolocation data will also be collected. Statistical and geostatistical models will be used to assess seroprevalence, spatial patterns, and risk factors of exposure to malaria and dengue.

背景:印度尼西亚首都迁至疟疾和登革热热点地区东加里曼丹的伊布哥打努沙塔拉(iku Kota Nusantara),由于土地利用变化和人口流动,带来了传染病传播的新风险。目前关于这些变化对病媒传播疾病,特别是诺氏疟原虫疟疾和其他虫媒病毒的影响的知识有限。血清学监测为评估人群暴露提供了一种可靠的方法。方法:以社区为基础的横断面研究将在东加里曼丹的IKN及其周边地区进行。大约有2000名年龄在10到11岁之间的人将被招募。将收集手指刺血样本,用于血清学分析(针对疟疾种类和登革热病毒血清型的多重头部检测)和疟疾快速诊断试验。还将收集人口统计、临床、环境和地理位置数据。统计和地理统计模型将用于评估疟疾和登革热的血清流行率、空间格局和风险因素。
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引用次数: 0
A study to determine a capillary alternative to the gold standard oral glucose tolerance test -  Protocol. 确定毛细管替代金标准口服葡萄糖耐量试验的研究-方案。
Q1 Medicine Pub Date : 2026-01-29 eCollection Date: 2024-01-01 DOI: 10.12688/wellcomeopenres.23028.2
Rabbi Swaby, Claire Scudder, Tabitha Randell, M Loredana Marcovecchio, Kathleen Gillespie, Yuk-Fun Liu, John A Todd, Gareth Dunseath, Steve Luzio, Colin Dayan, Rachel E J Besser

Type 1 diabetes (T1D) is a chronic condition caused by the immune destruction of the pancreatic beta cells. T1D has recognised asymptomatic pre-clinical stages, providing an opportunity for early diagnosis, education and treatment which may delay the onset of symptoms. The oral glucose tolerance test (OGTT) is the gold standard method to stage and monitor early-stage T1D, which can be poorly tolerated and may contribute to marked loss to follow-up. Our study aims to test the accuracy, feasibility, and acceptability of a capillary alternative ('GTT@home' test kit) to the gold standard OGTT. We will invite 45 children and young people (CYP) across the spectrum of glycaemia with or without diabetes, from established research platforms or clinical care, to have a standard 2-hour OGTT, with capillary samples collected alongside their venous samples, at 0 and 120 minutes. A subgroup (n=20) will also have 60-minute capillary and venous samples collected. We will also invite 45 CYP from established research platforms, who are known to have two or more islet autoantibodies and are not on insulin, to undergo a capillary OGTT at home, using the GTT@home kit. We will assess the agreement of capillary and venous glucose and measure diagnostic accuracy by calculating the sensitivity and specificity of capillary measures at established diagnostic thresholds (fasting [5.6 mmol/L, 7.0 mmol/L], 60 minutes post glucose load [11.1 mmol/L] and 120 minutes post glucose load [7.8 mmol/L and 11.1 mmol/L]), using venous glucose as the gold standard. These studies will inform our understanding of whether the GTT@home device can be used in CYP in routine clinical care.

1型糖尿病(T1D)是一种由胰腺细胞免疫破坏引起的慢性疾病。T1D有公认的无症状临床前阶段,为早期诊断、教育和治疗提供了机会,这可能会延迟症状的出现。口服葡萄糖耐量试验(OGTT)是早期T1D分期和监测的金标准方法,其耐受性较差,可能导致明显的随访损失。我们的研究旨在测试毛细管替代金标准OGTT的准确性,可行性和可接受性(“GTT@home”测试套件)。我们将邀请45名患有糖尿病或无糖尿病的儿童和年轻人(CYP),从已建立的研究平台或临床护理中接受标准的2小时OGTT,并在0和120分钟收集毛细血管样本和静脉样本。一个亚组(n=20)也将采集60分钟的毛细血管和静脉样本。我们还将邀请45名来自已建立的研究平台的CYP,他们已知有两种或两种以上的胰岛自身抗体,并且不使用胰岛素,使用GTT@home试剂盒在家中进行毛细管OGTT。我们将评估毛细血管和静脉血糖的一致性,并通过计算在既定诊断阈值(空腹[5.6 mmol/L, 7.0 mmol/L],葡萄糖负荷后60分钟[11.1 mmol/L]和葡萄糖负荷后120分钟[7.8 mmol/L和11.1 mmol/L])下毛细血管测量的敏感性和特异性来测量诊断准确性,以静脉血糖为金标准。这些研究将使我们了解GTT@home装置是否可以用于CYP的常规临床护理。
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引用次数: 0
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