Development of Bioinformatics Infrastructure for Genomics Research:

Although pockets of bioinformatics excellence have developed in Africa, generally, large-scale genomic data analysis has been limited by the availability of expertise and infrastructure. H3ABioNet, a pan-African bioinformatics network, was established to build capacity specifically to enable H3Africa (Human Heredity and Health in Africa) researchers to analyze their data in Africa. Since the inception of the H3Africa initiative, H3ABioNet's role has evolved in response to changing needs from the consortium and the African bioinformatics community

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

Platinum-Coated Copper Nanowires with High Activity for Hydrogen Oxidation Reaction in Base

Platinum (Pt)-coated copper (Cu) nanowires (Pt/CuNWs) are synthesized by the partial galvanic displacement of CuNWs and have a 100 nm diameter and are 25–40 μm length. Pt/CuNWs are studied as a hydrogen oxidation reaction (HOR) catalyst in base along with Cu templated Pt nanotubes (PtNT (Cu)), a 5% Cu monolayer on a bulk polycrystalline Pt electrode (5% ML Cu/BPPt), BPPt, and carbon supported Pt (Pt/C). Comparison of these catalysts demonstrates that the inclusion of Cu benefited the HOR activity of Pt/CuNWs likely by providing compressive strain on Pt; surface Cu further aids in hydroxyl adsorption, thereby improving the HOR activity of Pt/CuNWs. Pt/CuNWs exceed the area and mass exchange current densities of carbon supported Pt by 3.5 times and 1.9 times

Discovering and Demonstrating a Novel High-Performing 2D-Patterned Electrode for Proton-Exchange Membrane Water Electrolysis Devices

Proton-exchange membrane water electrolysis (PEMWE) produces hydrogen with high efficiency and purity but uses high-loading platinum-group metal (PGM) catalysts. Such concerns call for the development of novel electrode architectures to improve catalyst utilization and mass activity, thus promoting PEMWE cost competitiveness for large-scale implementation. In this study, we demonstrated, for the first time, a novel two-dimensional (2D)-patterned electrode with edge effects to address these challenges. The edge effect was induced by membrane properties, potential distribution, and counter electrode coverage and could be optimized by tuning the catalyst layer dimensions. To achieve identical PEMWE performance, the optimal pattern saved the 21% anode PGM catalyst compared with the conventional catalyst fully covered electrode. The PGM catalyst could be further reduced by 61% to boost mass activity with no significant performance loss. The results also indicated that the electrode uniformity in PEMWE cells might not be as critical as that in PEM fuel cells. The novel 2D-patterned electrode could effectively reduce PGM catalyst loading, accelerating affordable and large-scale production of hydrogen and other value-added chemicals via electrolysis

Platinum-Coated Palladium Nanotubes as Oxygen Reduction Reaction Electrocatalysts

Platinum (Pt) coated palladium (Pd) nanotubes (Pt/PdNTs) with a wall thickness of 6 nm, outer diameter of 60 nm, and length of 5–20 μm are synthesized via the partial galvanic displacement of Pd nanotubes. Pt coatings are controlled to a loading of 9 (PtPd 9), 14 (PtPd 14), and 18 (PtPd 18) wt % and estimated to have a thickness of 1.1, 1.7, and 2.2 Pt atoms, respectively, if a uniform and continuous coating is assumed. Oxygen reduction experiments have been used to evaluate Pt/PdNTs, Pt nanotubes, Pd nanotubes, and supported Pt nanoparticle activity for proton exchange membrane fuel cell cathodes. The dollar and area (specific surface area) normalized ORR activities of Pt/PdNTs exceed the United States Department of Energy (DOE) targets. PtPd 9, PtPd 14, and PtPd 18 produce dollar activities of 10.4, 9.4, and 8.7 A$^–1, respectively; PtPd 9 exceeds the DOE dollar activity target (9.7 A$^–1) by 7%. Pt/PdNTs further exceed the DOE area activity target by 40–43%

Iridium-Based Nanowires as Highly Active, Oxygen Evolution Reaction Electrocatalysts

Iridium–nickel (Ir–Ni) and iridium–cobalt (Ir–Co) nanowires have been synthesized by galvanic displacement and studied for their potential to increase the performance and durability of electrolysis systems. Performances of Ir–Ni and Ir–Co nanowires for the oxygen evolution reaction (OER) have been measured in rotating disk electrode half-cells and single-cell electrolyzers and compared with commercial baselines and literature references. The nanowire catalysts showed improved mass activity, by more than an order of magnitude compared with commercial Ir nanoparticles in half-cell tests. The nanowire catalysts also showed greatly improved durability, when acid-leached to remove excess Ni and Co. Both Ni and Co templates were found to have similarly positive impacts, although specific differences between the two systems are revealed. In single-cell electrolysis testing, nanowires exceeded the performance of Ir nanoparticles by 4–5 times, suggesting that significant reductions in catalyst loading are possible without compromising performance

Mathematical Modeling of the Performance-Degradation Mechanisms of Cation-Contaminated Proton-Exchange-Membrane Water Electrolysis

The role of hydrogen as a commercial energy carrier is dependent on the development of robust processes to convert hydrogen into usable electricity as well as produce hydrogen at large scales. Proton-exchange-membrane water electrolysis (PEMWE) is a leading technology with the potential to produce hydrogen at projected consumption rates. In PEMWE, water is electrochemically split into hydrogen and oxygen gas using a membrane—electrode assembly, which uses a membrane capable of transporting both water and protons. Reactant water containing cationic impurities have been observed to degrade cell performance. Thus, developing an understanding of the influence of cationic contaminants is important to developing mitigation and recovery strategies for PEMWE systems. In the current work, mathematical models were developed to provide insight into the mechanisms of performance degradation due to cationic contaminants. The models are non-isothermal continuum models that describe multi-phase porous flow, electrochemical reactions, and concentrated-species transport in both the gas membrane, and ionomer phases. Simulations were performed in steady-state and transient operational modes for various cationic species at several ionic concentrations. The calibration and fitting of the models were performed using experimental measurements performed by the National Renewable Energy Laboratory. The mathematical models suggest that gradients facilitate the adsorption of cationic contaminants in reactant water, which subsequently accumulate in the cathode catalyst layer, as shown in Figure 1(a), and inhibit the PEMWE hydrogen-evolution reaction (HER) that consume protons and electrons to produce hydrogen gas. The models suggest that protonic conductivity is not significantly affected by low-concentration cationic species, but access to the catalyst active sites in the cathode catalyst layer is severely impeded. As a result, the evolution of hydrogen then proceeds by an alkaline mechanism, where water and electrons combine to produce hydrogen gas and hydroxide ions. An interpolated polarization curve shown in Figure 1(b) suggests that cell operation at high current densities favor the alkaline HER reaction due to the lack of protons in the cathode catalyst layer. This research is supported by DOE Hydrogen and Fuel Cell Technologies Office, through the H2NEW Consortia. Figure