The Global Landscape of Pediatric Bacterial Meningitis Data Reported to the World Health Organization-Coordinated Invasive Bacterial Vaccine-Preventable Disease Surveillance Network, 2014-2019.

BACKGROUND: The World Health Organization (WHO) coordinates the Global Invasive Bacterial Vaccine-Preventable Diseases (IB-VPD) Surveillance Network to support vaccine introduction decisions and use. The network was established to strengthen surveillance and laboratory confirmation of meningitis caused by Streptococcus pneumoniae, Haemophilus influenzae, and Neisseria meningitidis. METHODS: Sentinel hospitals report cases of children 137 000 suspected meningitis cases were reported by 58 participating countries, with 44.6% (n = 61 386) reported from countries in the WHO African Region. More than half (56.6%, n = 77 873) were among children <1 year of age, and 4.0% (n = 4010) died among those with reported disease outcome. Among suspected meningitis cases, 8.6% (n = 11 798) were classified as probable bacterial meningitis. One of 3 bacterial pathogens was identified in 30.3% (n = 3576) of these cases, namely S. pneumoniae (n = 2177 [60.9%]), H. influenzae (n = 633 [17.7%]), and N. meningitidis (n = 766 [21.4%]). Among confirmed bacterial meningitis cases with outcome reported, 11.0% died; case fatality ratio varied by pathogen (S. pneumoniae, 12.2%; H. influenzae, 6.1%; N. meningitidis, 11.0%). Among the 277 children who died with confirmed bacterial meningitis, 189 (68.2%) had confirmed S. pneumoniae. The proportion of pneumococcal cases with pneumococcal conjugate vaccine (PCV) serotypes decreased as the number of countries implementing PCV increased, from 77.8% (n = 273) to 47.5% (n = 248). Of 397 H. influenzae specimens serotyped, 49.1% (n = 195) were type b. Predominant N. meningitidis serogroups varied by region. CONCLUSIONS: This multitier, global surveillance network has supported countries in detecting and serotyping the 3 principal invasive bacterial pathogens that cause pediatric meningitis. Streptococcus pneumoniae was the most common bacterial pathogen detected globally despite the growing number of countries that have nationally introduced PCV. The large proportions of deaths due to S. pneumoniae reflect the high proportion of meningitis cases caused by this pathogen. This global network demonstrated a strong correlation between PCV introduction status and reduction in the proportion of pneumococcal meningitis infections caused by vaccine serotypes. Maintaining case-based, active surveillance with laboratory confirmation for prioritized vaccine-preventable diseases remains a critical component of the global agenda in public health.The World Health Organization (WHO)-coordinated Invasive Bacterial Vaccine-Preventable Disease (IB-VPD) Surveillance Network reported data from 2014 to 2019, contributing to the estimates of the disease burden and serotypes of pediatric meningitis caused by Streptococcus pneumoniae, Haemophilus influenzae and Neisseria meningitidis

Geographical migration and fitness dynamics of Streptococcus pneumoniae

Streptococcus pneumoniae is a leading cause of pneumonia and meningitis worldwide. Many different serotypes co-circulate endemically in any one location1,2. The extent and mechanisms of spread and vaccine-driven changes in fitness and antimicrobial resistance remain largely unquantified. Here using geolocated genome sequences from South Africa (n = 6,910, collected from 2000 to 2014), we developed models to reconstruct spread, pairing detailed human mobility data and genomic data. Separately, we estimated the population-level changes in fitness of strains that are included (vaccine type (VT)) and not included (non-vaccine type (NVT)) in pneumococcal conjugate vaccines, first implemented in South Africa in 2009. Differences in strain fitness between those that are and are not resistant to penicillin were also evaluated. We found that pneumococci only become homogenously mixed across South Africa after 50 years of transmission, with the slow spread driven by the focal nature of human mobility. Furthermore, in the years following vaccine implementation, the relative fitness of NVT compared with VT strains increased (relative risk of 1.68; 95% confidence interval of 1.59–1.77), with an increasing proportion of these NVT strains becoming resistant to penicillin. Our findings point to highly entrenched, slow transmission and indicate that initial vaccine-linked decreases in antimicrobial resistance may be transient

MESSBAUER INVESTIGATIONS OF MAGNETOOPTIC THIN AMORPHOUS FILMS OF Tb-Fe

The aim is to determine the orientation the vectors of the magnetic moments in the iron atoms of the Tb-Fe films and also to test experimentally the hypothesis about deciding contribution of the iron subsystem into the magnetooptic effects and to investigate the processes of the ageing and structural relaxation under action of the thermic and laser annealing the amorphous films of Tb-Fe. The methods for deposition of the thin films have been developed specially for the Messbauer investigations, and the thin Tb-Fe films enriched with the isotope *995*997Fe have been manufactured. The super-thin interaction parameters of the *995*997Fe nuclei in the thin amorphous films in the wide range of the temperatures and concentrations have been obtained firstly. It has been determined that the magnetic moment values of the iron atoms grow linearily with concentration growth of Fe. The presence of the effective angle (18 - 34 grad.) between magnetic moments of the iron and normal to the film plane in the Tb-Fe films possessing the perpendicular magnetic anisotropy has been determined in experiments. The deciding contribution of the iron subsystem into forming magnetooptic activity of the films has been firstly proved experimentally. The basic regularities of the structural changes taking place in the amorphous films under action of the thermic and laser annealing have been determined. The obtained results will permit to optimize the creation of the media for the magnetooptic information recording. Application field: magnetooptic recording engineering and Messbauer spectroscopyAvailable from VNTIC / VNTIC - Scientific & Technical Information Centre of RussiaSIGLERURussian Federatio

Considering cognitive styles when teaching the language to representatives of different cultures

The study is devoted to the consideration of the possibilities of taking cognitive styles into account when teaching a foreign language to representatives of different cultures. In modern foreign teaching practice, the cognitive style is a fundamental variable of individual differences in the degree of mastery of the material, as well as in the degree of adequate understanding of the teacher’s explanations. The study aims to analyze the process of the cognitive functioning of an individual in connection with their behavior and subsequent changes in a certain situation and identify cognitive styles that are directly related to the expression of individual character traits and their relationship with all human properties. As the main method, the authors of the work use an integrated approach that combines the method of psychological observation, cognitive-centered and educational-centered, the questionnaire method, and other empirical methods, using appropriate models and necessary research tools. The results of the study based on the experiment carried out by the authors among foreign students reveal a set of basic cognitive styles with clearly defined characteristics. Knowledge of this system will allow teachers to increase the effectiveness of the learning process and show the most effective methods for introducing and presenting new material in the classroom. The cognitive style allows students from different cultures to be classified according to their preferred way of receiving information (perception or intuitive perception) and their preferred way of processing information and then making decisions (thinking or feeling)

Approaches to the Modification of Perfluorosulfonic Acid Membranes

Polymer ion-exchange membranes are featured in a variety of modern technologies including separation, concentration and purification of gases and liquids, chemical and electrochemical synthesis, and hydrogen power generation. In addition to transport properties, the strength, elasticity, and chemical stability of such materials are important characteristics for practical applications. Perfluorosulfonic acid (PFSA) membranes are characterized by an optimal combination of these properties. Today, one of the most well-known practical applications of PFSA membranes is the development of fuel cells. Some disadvantages of PFSA membranes, such as low conductivity at low humidity and high temperature limit their application. The approaches to optimization of properties are modification of commercial PFSA membranes and polymers by incorporation of different additive or pretreatment. This review summarizes the approaches to their modification, which will allow the creation of materials with a different set of functional properties, differing in ion transport (first of all proton conductivity) and selectivity, based on commercially available samples. These approaches include the use of different treatment techniques as well as the creation of hybrid materials containing dopant nanoparticles. Modification of the intrapore space of the membrane was shown to be a way of targeting the key functional properties of the membranes

Correlation between Nafion Morphology in Various Dispersion Liquids and Properties of the Cast Membranes

Nafion is a perfluorosulfonic acid polymer that is most commonly used in proton-exchange membrane fuel cells. The processes of pretreatment and formation of such membranes strongly affect their properties. In this work, dispersions of Nafion in various ionic forms and dispersing liquids (ethylene glycol, N,N-dimethylformamide, N-methyl-2-pyrrolidone and isopropyl alcohol–water mixtures in different ratios) were obtained and studied. Membranes fabricated by casting of the various dispersions were also studied. The effect of the nature of the dispersing liquid and the counterion on the properties of Nafion dispersions, the morphology of the polymer in the dispersions and the characteristics of the membranes obtained from them has been shown. Based on the overall results, it can be concluded that the use of perfluorosulfonic acid dispersions in aprotic polar solvents is advisable for obtaining membranes by the casting procedure. This is because it provides optimal polymer morphology in the dispersion, which leads to the formation of films with good selectivity, mechanical and transport properties. The performed investigations show the relationship between the composition of dispersions, the morphology of the polymer and the properties of the membranes formed from them by the casting procedure

On the Properties of Nafion Membranes Recast from Dispersion in <i>N</i>-Methyl-2-Pyrrolidone

Perfluorosulfonic acid Nafion membranes are widely used as an electrolyte in electrolysis processes and in fuel cells. Changing the preparation and pretreatment conditions of Nafion membranes allows for the optimization of their properties. In this work, a Nafion-NMP membrane with a higher conductivity than the commercial Nafion® 212 membrane (11.5 and 8.7 mS∙cm−1 in contact with water at t = 30 °C) and a comparable hydrogen permeability was obtained by casting from a Nafion dispersion in N-methyl-2-pyrrolidone. Since the ion-exchange capacity and the water uptake of these membranes are similar, it can be assumed that the increase in conductivity is the result of optimizing the Nafion-NMP microstructure by improving the connectivity of the pores and channels system. This leads to a 27% increase in the capacity of the membrane electrode assembly with the Nafion-NMP membrane compared to the Nafion® 212 membrane. Thus, the method of obtaining a Nafion membrane has a great influence on its properties and performance of fuel cells based on them