107 results on '"Raquel Rubio"'
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2. Long-term monitoring of SARS-CoV-2 seroprevalence and variants in Ethiopia provides prediction for immunity and cross-immunity
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Simon Merkt, Solomon Ali, Esayas Kebede Gudina, Wondimagegn Adissu, Addisu Gize, Maximilian Muenchhoff, Alexander Graf, Stefan Krebs, Kira Elsbernd, Rebecca Kisch, Sisay Sirgu Betizazu, Bereket Fantahun, Delayehu Bekele, Raquel Rubio-Acero, Mulatu Gashaw, Eyob Girma, Daniel Yilma, Ahmed Zeynudin, Ivana Paunovic, Michael Hoelscher, Helmut Blum, Jan Hasenauer, Arne Kroidl, and Andreas Wieser
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Science - Abstract
Abstract Under-reporting of COVID-19 and the limited information about circulating SARS-CoV-2 variants remain major challenges for many African countries. We analyzed SARS-CoV-2 infection dynamics in Addis Ababa and Jimma, Ethiopia, focusing on reinfection, immunity, and vaccination effects. We conducted an antibody serology study spanning August 2020 to July 2022 with five rounds of data collection across a population of 4723, sequenced PCR-test positive samples, used available test positivity rates, and constructed two mathematical models integrating this data. A multivariant model explores variant dynamics identifying wildtype, alpha, delta, and omicron BA.4/5 as key variants in the study population, and cross-immunity between variants, revealing risk reductions between 24% and 69%. An antibody-level model predicts slow decay leading to sustained high antibody levels. Retrospectively, increased early vaccination might have substantially reduced infections during the delta and omicron waves in the considered group of individuals, though further vaccination now seems less impactful.
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- 2024
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3. Evolution of protective SARS-CoV-2-specific B and T cell responses upon vaccination and Omicron breakthrough infection
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Mohamed I.M. Ahmed, Sebastian Einhauser, Clemens Peiter, Antonia Senninger, Olga Baranov, Tabea M. Eser, Manuel Huth, Laura Olbrich, Noemi Castelletti, Raquel Rubio-Acero, George Carnell, Jonathan Heeney, Inge Kroidl, Kathrin Held, Andreas Wieser, Christian Janke, Michael Hoelscher, Jan Hasenauer, Ralf Wagner, and Christof Geldmacher
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immunology ,microbiology ,virology ,Science - Abstract
Summary: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Omicron breakthrough infection (BTI) induced better protection than triple vaccination. To address the underlying immunological mechanisms, we studied antibody and T cell response dynamics during vaccination and after BTI. Each vaccination significantly increased peak neutralization titers with simultaneous increases in circulating spike-specific T cell frequencies. Neutralization titers significantly associated with a reduced hazard rate for SARS-CoV-2 infection. Yet, 97% of triple vaccinees became SARS-CoV-2 infected. BTI further boosted neutralization magnitude and breadth, broadened virus-specific T cell responses to non-vaccine-encoded antigens, and protected with an efficiency of 88% from further infections by December 2022. This effect was then assessed by utilizing mathematical modeling, which accounted for time-dependent infection risk, the antibody, and T cell concentration at any time point after BTI. Our findings suggest that cross-variant protective hybrid immunity induced by vaccination and BTI was an important contributor to the reduced virus transmission observed in Bavaria in late 2022 and thereafter.
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- 2024
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4. Understanding the Omicron Variant Impact in Healthcare Workers: Insights from the Prospective COVID-19 Post-Immunization Serological Cohort in Munich (KoCo-Impf) on Risk Factors for Breakthrough and Reinfections
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Christian Janke, Raquel Rubio-Acero, Maximilian Weigert, Christina Reinkemeyer, Yeganeh Khazaei, Lisa Kleinlein, Ronan Le Gleut, Katja Radon, Marlene Hannes, Francesco Picasso, Anne Elisabeth Lucke, Michael Plank, Irene Charlotte Kotta, Ivana Paunovic, Ana Zhelyazkova, Ivan Noreña, Simon Winter, Michael Hoelscher, Andreas Wieser, Helmut Küchenhoff, Noemi Castelletti, and on behalf of the ORCHESTRA Working Group
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COVID-19 ,SARS-CoV-2 ,health care workers ,vaccination ,immunologic response ,antibodies ,Microbiology ,QR1-502 - Abstract
This study analyzes immune responses to SARS-CoV-2 vaccination and infection, including asymptomatic cases, focusing on infection risks during the Omicron wave, particularly among high-risk healthcare workers. In the KoCo-Impf study, we monitored 6088 vaccinated participants in Munich aged 18 and above. From 13 May to 31 July 2022, 2351 participants were follow-uped. Logistic regression models evaluated primary, secondary, and breakthrough infections (BTIs). Roche Elecsys® Anti-SARS-CoV-2 assays detected prior infections (via anti-Nucleocapsid antibodies) and assessed vaccination/infection impact (via anti-Spike antibodies) using dried blood spots. Our findings revealed an anti-Nucleocapsid seroprevalence of 44.1%. BTIs occurred in 38.8% of participants, with reinfections in 48.0%. Follow-up participation was inversely associated with current smoking and non-vaccination, while significantly increasing with age and receipt of three vaccine doses. Larger household sizes and younger age increased infection risks, whereas multiple vaccinations and older age reduced them. Household size and specific institutional subgroups were risk factors for BTIs. The anti-Nucleocapsid value prior to the second infection was significantly associated with reinfection risk. Institutional subgroups influenced all models, underscoring the importance of tailored outbreak responses. The KoCo-Impf study underscores the importance of vaccination, demographic factors, and institutional settings in understanding SARS-CoV-2 infection risks during the Omicron wave.
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- 2024
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5. Studying temporal titre evolution of commercial SARS-CoV-2 assays reveals significant shortcomings of using BAU standardization for comparison
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Inge Kroidl, Simon Winter, Raquel Rubio-Acero, Abhishek Bakuli, Christof Geldmacher, Tabea M. Eser, Flora Déak, Sacha Horn, Anna Zielke, Mohamed I. M. Ahmed, Paulina Diepers, Jessica Guggenbühl, Jonathan Frese, Jan Bruger, Kerstin Puchinger, Jakob Reich, Philine Falk, Alisa Markgraf, Heike Fensterseifer, Ivana Paunovic, Angelika Thomschke, Michael Pritsch, Friedrich Riess, Elmar Saathoff, Michael Hoelscher, Laura Olbrich, Noemi Castelletti, Andreas Wieser, and KoCo19/ORCHESTRA Study Group
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Antibody ,COVID-19 ,Nucleocapsid ,RBD ,SARS-CoV-2 ,Serology ,Infectious and parasitic diseases ,RC109-216 - Abstract
Abstract Background Measuring specific anti-SARS-CoV-2 antibodies has become one of the main epidemiological tools to survey the ongoing SARS-CoV-2 pandemic, but also vaccination response. The WHO made available a set of well-characterized samples derived from recovered individuals to allow normalization between different quantitative anti-Spike assays to defined Binding Antibody Units (BAU). Methods To assess sero-responses longitudinally, a cohort of ninety-nine SARS-CoV-2 RT-PCR positive subjects was followed up together with forty-five vaccinees without previous infection but with two vaccinations. Sero-responses were evaluated using a total of six different assays: four measuring anti-Spike proteins (converted to BAU), one measuring anti-Nucleocapsid proteins and one SARS-CoV-2 surrogate virus neutralization. Both cohorts were evaluated using the Euroimmun Anti-SARS-CoV-2-ELISA anti-S1 IgG and the Roche Elecsys Anti-SARS-CoV-2 anti-S1 assay. Results In SARS-CoV-2-convalesce subjects, the BAU-sero-responses of Euroimmun Anti-SARS-CoV-2-ELISA anti-S1 IgG and Roche Elecsys Anti-SARS-CoV-2 anti-S1 peaked both at 47 (43–51) days, the first assay followed by a slow decay thereafter (> 208 days), while the second assay not presenting any decay within one year. Both assay values in BAUs are only equivalent a few months after infection, elsewhere correction factors up to 10 are necessary. In contrast, in infection-naive vaccinees the assays perform similarly. Conclusion The results of our study suggest that the establishment of a protective correlate or vaccination booster recommendation based on different assays, although BAU-standardised, is still challenging. At the moment the characteristics of the available assays used are not related, and the BAU-standardisation is unable to correct for that.
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- 2023
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6. A Dried Blood Spot protocol for high-throughput quantitative analysis of SARS-CoV-2 RBD serology based on the Roche Elecsys system
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Noemi Castelletti, Ivana Paunovic, Raquel Rubio-Acero, Jessica Beyerl, Michael Plank, Christina Reinkemeyer, Inge Kroidl, Ivan Noreña, Simon Winter, Laura Olbrich, Christian Janke, Michael Hoelscher, and Andreas Wieser
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COVID-19 ,SARS-CoV-2 ,DBS ,antibody ,serology ,Roche Elecsys ,Microbiology ,QR1-502 - Abstract
ABSTRACTSARS-CoV-2 spreads pandemically since 2020; in 2021, effective vaccinations became available and vaccination campaigns commenced. Still, it is hard to track the spread of the infection or to assess vaccination success in the broader population. Measuring specific anti-SARS-CoV-2 antibodies is the most effective tool to track the spread of the infection or successful vaccinations. The need for venous-blood sampling however poses a significant barrier for large studies. Dried-blood-spots on filter-cards (DBS) have been used for SARS-CoV-2 serology in our laboratory, but so far not to follow quantitative SARS-CoV-2 anti-spike reactivity in a longitudinal cohort. We developed a semi-automated protocol or quantitative SARS-CoV-2 anti-spike serology from self-sampled DBS, validating it in a cohort of matched DBS and venous-blood samples (n = 825). We investigated chromatographic effects, reproducibility, and carry-over effects and calculated a positivity threshold as well as a conversion formula to determine the quantitative binding units in the DBS with confidence intervals. Sensitivity and specificity reached 96.63% and 97.81%, respectively, compared to the same test performed in paired venous samples. Between a signal of 0.018 and 250 U/mL, we calculated a correction formula. Measuring longitudinal samples during vaccinations, we demonstrated relative changes in titers over time in several individuals and in a longitudinal cohort over four follow-ups. DBS sampling has proven itself for anti-nucleocapsid serosurveys in our laboratory. Similarly, anti-spike high-throughput DBS serology is feasible as a complementary assay. Quantitative measurements are accurate enough to follow titer dynamics in populations also after vaccination campaigns. This work was supported by the Bavarian State Ministry of Science and the Arts; LMU University Hospital, LMU Munich; Helmholtz Center Munich; University of Bonn; University of Bielefeld; German Ministry for Education and Research (proj. nr.: 01KI20271 and others) and the Medical Biodefense Research Program of the Bundeswehr Medical Service. Roche Diagnostics provided kits and machines for analyses at discounted rates. The project is funded also by the European-wide Consortium ORCHESTRA. The ORCHESTRA project has received funding from the European Union’s Horizon 2020 research and innovation program under grant agreement No 101016167. The views expressed in this publication are the sole responsibility of the author, and the Commission is not responsible for any use that may be made of the information it contains.IMPORTANCESARS-CoV-2 has been spreading globally as a pandemic since 2020. To determine the prevalence of SARS-CoV-2 antibodies among populations, the most effective public health tool is measuring specific anti-SARS-CoV-2 antibodies induced by infection or vaccination. However, conducting large-scale studies that involve venous-blood sampling is challenging due to the associated feasibility and cost issues. A more cost-efficient and less invasive method for SARS-CoV-2 serological testing is using Dried-Blood-Spots on filter cards (DBS). In this paper, we have developed a semi-automated protocol for quantifying SARS-CoV-2 anti-spike antibodies from self-collected DBS. Our laboratory has previously successfully used DBS sampling for anti-nucleocapsid antibody surveys. Likewise, conducting high-throughput DBS serology for anti-spike antibodies is feasible as an additional test that can be performed using the same sample preparation as the anti-nucleocapsid analysis. The quantitative measurements obtained are accurate enough to track the dynamics of antibody levels in populations, even after vaccination campaigns.
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- 2024
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7. El abordaje de lo grupal en el proceso de formación del Trabajo Social
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Raquel Rubio
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Trabajo Social ,abordajes grupales ,desafíos ,Social sciences (General) ,H1-99 - Abstract
Este artículo repasa de manera acotada nuestra historia como profesión vinculada a lo grupal, recuperando las corrientes teóricas que nos aporta la carrera de Trabajo Social referidos a la problemática de lo grupal o de los abordajes grupales y su impacto en nuestro proceso de formación. Considerando que los espacios institucionales implicados en diferentes campos de la actuación profesional (Educación, Justicia Penal Juvenil y de Adultos, Niñeces, Juventudes, Salud y Salud Mental, Genero y Diversidades Sexuales, Vejeces, Economía Popular, Movimientos Sociales, etc.) se encuentran atravesados por proyectos o programas que explicitan formalmente el “encargo” de intervenir con grupos. En contextos marcados por crecientes desigualdades sociales ubicando al Trabajo Social frente a nuevos desafíos teóricos-interventivos. This article briefly reviews our history as a profession linked to the group, recovering the theoretical currents that the Social Work career provides us with referring to the problems of the group or group approaches and their impact on our training process. Considering that the institutional spaces involved in different fields of professional action (Education, Juvenile and Adult Criminal Jusitce, Children, Youth, Health and Mental Health, Gender and Sexual Diversities, Old Age, popular Economiy, Social Movements, etc.)are crossed by projets or programs that formally explain the “assignement” if ubtervebubg with groups. In contexts marked by growing social inequalities, placing Social Work in tehe face of new theoretical-interventional challenges
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- 2024
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8. The representative COVID-19 cohort Munich (KoCo19): from the beginning of the pandemic to the Delta virus variant
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Ronan Le Gleut, Michael Plank, Peter Pütz, Katja Radon, Abhishek Bakuli, Raquel Rubio-Acero, Ivana Paunovic, Friedrich Rieß, Simon Winter, Christina Reinkemeyer, Yannik Schälte, Laura Olbrich, Marlene Hannes, Inge Kroidl, Ivan Noreña, Christian Janke, Andreas Wieser, Michael Hoelscher, Christiane Fuchs, Noemi Castelletti, and the KoCo19/ORCHESTRA-study group
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COVID-19 ,SARS-CoV-2 ,Population-based cohort study ,Sero-prevalence ,Sero-incidence ,Vaccination status ,Infectious and parasitic diseases ,RC109-216 - Abstract
Abstract Background Population-based serological studies allow to estimate prevalence of SARS-CoV-2 infections despite a substantial number of mild or asymptomatic disease courses. This became even more relevant for decision making after vaccination started. The KoCo19 cohort tracks the pandemic progress in the Munich general population for over two years, setting it apart in Europe. Methods Recruitment occurred during the initial pandemic wave, including 5313 participants above 13 years from private households in Munich. Four follow-ups were held at crucial times of the pandemic, with response rates of at least 70%. Participants filled questionnaires on socio-demographics and potential risk factors of infection. From Follow-up 2, information on SARS-CoV-2 vaccination was added. SARS-CoV-2 antibody status was measured using the Roche Elecsys® Anti-SARS-CoV-2 anti-N assay (indicating previous infection) and the Roche Elecsys® Anti-SARS-CoV-2 anti-S assay (indicating previous infection and/or vaccination). This allowed us to distinguish between sources of acquired antibodies. Results The SARS-CoV-2 estimated cumulative sero-prevalence increased from 1.6% (1.1-2.1%) in May 2020 to 14.5% (12.7-16.2%) in November 2021. Underreporting with respect to official numbers fluctuated with testing policies and capacities, becoming a factor of more than two during the second half of 2021. Simultaneously, the vaccination campaign against the SARS-CoV-2 virus increased the percentage of the Munich population having antibodies, with 86.8% (85.5-87.9%) having developed anti-S and/or anti-N in November 2021. Incidence rates for infections after (BTI) and without previous vaccination (INS) differed (ratio INS/BTI of 2.1, 0.7-3.6). However, the prevalence of infections was higher in the non-vaccinated population than in the vaccinated one. Considering the whole follow-up time, being born outside Germany, working in a high-risk job and living area per inhabitant were identified as risk factors for infection, while other socio-demographic and health-related variables were not. Although we obtained significant within-household clustering of SARS-CoV-2 cases, no further geospatial clustering was found. Conclusions Vaccination increased the coverage of the Munich population presenting SARS-CoV-2 antibodies, but breakthrough infections contribute to community spread. As underreporting stays relevant over time, infections can go undetected, so non-pharmaceutical measures are crucial, particularly for highly contagious strains like Omicron.
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- 2023
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9. Elderly care who live in mountainous areas: nursing professional’s knowledge importance
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Dayamí Guerra Villalpanda, Eneida Bravo Polanco, and Raquel Rubio Rojas
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atención de enfermería ,atención dirigida al paciente ,enfermería rural ,anciano ,Medicine (General) ,R5-920 ,Public aspects of medicine ,RA1-1270 - Abstract
Nursing care must be approached from a holistic perspective that allows covering the patients’ real needs in their environment. One of the functions of the nurse is to help the sick or healthy elderly person to carry out the activities that contribute to their health, recovery or a peaceful death in the community. This article aims to reflect on the role that nurses play in caring for the elderly who live in mountainous areas and the importance of increasing these professionals’ knowledge of in this regard.
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- 2023
10. Tailoring COVID-19 Vaccination Strategies in High-Seroprevalence Settings: Insights from Ethiopia
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Esayas Kebede Gudina, Kira Elsbernd, Daniel Yilma, Rebecca Kisch, Karina Wallrafen-Sam, Gemeda Abebe, Zeleke Mekonnen, Melkamu Berhane, Mulusew Gerbaba, Sultan Suleman, Yoseph Mamo, Raquel Rubio-Acero, Solomon Ali, Ahmed Zeynudin, Simon Merkt, Jan Hasenauer, Temesgen Kabeta Chala, Andreas Wieser, and Arne Kroidl
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cost-effectiveness ,COVID-19 vaccine ,Ethiopia ,low-income setting ,hybrid immunity ,SARS-CoV-2 infection ,Medicine - Abstract
This study aimed to retrospectively assess the cost-effectiveness of various COVID-19 vaccination strategies in Ethiopia. It involved healthcare workers (HCWs) and community participants; and was conducted through interviews and serological tests. Local SARS-CoV-2 variants and seroprevalence rates, as well as national COVID-19 reports and vaccination status were also analyzed. A cost-effectiveness analysis was performed to determine the most economical vaccination strategies in settings with limited vaccine access and high SARS-CoV-2 seroprevalence. Before the arrival of the vaccines, 65% of HCWs had antibodies against SARS-CoV-2, indicating prior exposure to the virus. Individuals with prior infection exhibited a greater antibody response to COVID-19 vaccines and experienced fewer new infections compared to those without prior infection, regardless of vaccination status (5% vs. 24%, p < 0.001 for vaccinated; 3% vs. 48%, p < 0.001 for unvaccinated). The cost-effectiveness analysis indicated that a single-dose vaccination strategy is optimal in settings with high underlying seroprevalence and limited vaccine availability. This study underscores the need for pragmatic vaccination strategies tailored to local contexts, particularly in high-seroprevalence regions, to maximize vaccine impact and minimize the spread of COVID-19. Implementing a targeted approach based on local seroprevalence information could have helped Ethiopia achieve higher vaccination rates and prevent subsequent outbreaks.
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- 2024
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11. Nucleocapsid-specific T cell responses associate with control of SARS-CoV-2 in the upper airways before seroconversion
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Tabea M. Eser, Olga Baranov, Manuel Huth, Mohammed I. M. Ahmed, Flora Deák, Kathrin Held, Luming Lin, Kami Pekayvaz, Alexander Leunig, Leo Nicolai, Georgios Pollakis, Marcus Buggert, David A. Price, Raquel Rubio-Acero, Jakob Reich, Philine Falk, Alissa Markgraf, Kerstin Puchinger, Noemi Castelletti, Laura Olbrich, Kanika Vanshylla, Florian Klein, Andreas Wieser, Jan Hasenauer, Inge Kroidl, Michael Hoelscher, and Christof Geldmacher
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Science - Abstract
Abstract Despite intensive research since the emergence of SARS-CoV-2, it has remained unclear precisely which components of the early immune response protect against the development of severe COVID-19. Here, we perform a comprehensive immunogenetic and virologic analysis of nasopharyngeal and peripheral blood samples obtained during the acute phase of infection with SARS-CoV-2. We find that soluble and transcriptional markers of systemic inflammation peak during the first week after symptom onset and correlate directly with upper airways viral loads (UA-VLs), whereas the contemporaneous frequencies of circulating viral nucleocapsid (NC)-specific CD4+ and CD8+ T cells correlate inversely with various inflammatory markers and UA-VLs. In addition, we show that high frequencies of activated CD4+ and CD8+ T cells are present in acutely infected nasopharyngeal tissue, many of which express genes encoding various effector molecules, such as cytotoxic proteins and IFN-γ. The presence of IFNG mRNA-expressing CD4+ and CD8+ T cells in the infected epithelium is further linked with common patterns of gene expression among virus-susceptible target cells and better local control of SARS-CoV-2. Collectively, these results identify an immune correlate of protection against SARS-CoV-2, which could inform the development of more effective vaccines to combat the acute and chronic illnesses attributable to COVID-19.
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- 2023
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12. SARS-CoV-2 Seroprevalence in a Berlin Kindergarten Environment: A Cross-Sectional Study, September 2021
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Julian Bernhard, Stefanie Theuring, Welmoed van Loon, Marcus A. Mall, Joachim Seybold, Tobias Kurth, Raquel Rubio-Acero, Andreas Wieser, and Frank P. Mockenhaupt
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kindergarten ,daycare ,SARS-CoV-2 ,COVID-19 ,antibody ,seroprevalence ,Pediatrics ,RJ1-570 - Abstract
SARS-CoV-2 serology may be helpful to retrospectively understand infection dynamics in specific settings including kindergartens. We assessed SARS-CoV-2 seroprevalence in individuals connected to kindergartens in Berlin, Germany in September 2021. Children, staff, and household members from 12 randomly selected kindergartens were interviewed on COVID-19 history and sociodemographic parameters. Blood samples were collected on filter paper. SARS-CoV-2 anti-S and anti-N antibodies were assessed using Roche Elecsys. We assessed seroprevalence and the proportion of so far unrecognized SARS-CoV-2 infections. We included 277 participants, comprising 48 (17.3%) kindergarten children, 37 (13.4%) staff, and 192 (69.3%) household members. SARS-CoV-2 antibodies were present in 65.0%, and 52.7% of all participants were vaccinated. Evidence of previous infection was observed in 16.7% of kindergarten children, 16.2% of staff, and 10.4% of household members. Undiagnosed infections were observed in 12.5%, 5.4%, and 3.6%, respectively. Preceding infections were associated with facemask neglect. In conclusion, two-thirds of our cohort were SARS-CoV-2 seroreactive in September 2021, largely as a result of vaccination in adults. Kindergarten children showed the highest proportion of non-vaccine-induced seropositivity and an increased proportion of previously unrecognized SARS-CoV-2 infection. Silent infections in pre-school children need to be considered when interpreting SARS-CoV-2 infections in the kindergarten context.
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- 2024
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13. Protective immune trajectories in early viral containment of non-pneumonic SARS-CoV-2 infection
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Kami Pekayvaz, Alexander Leunig, Rainer Kaiser, Markus Joppich, Sophia Brambs, Aleksandar Janjic, Oliver Popp, Daniel Nixdorf, Valeria Fumagalli, Nora Schmidt, Vivien Polewka, Afra Anjum, Viktoria Knottenberg, Luke Eivers, Lucas E. Wange, Christoph Gold, Marieluise Kirchner, Maximilian Muenchhoff, Johannes C. Hellmuth, Clemens Scherer, Raquel Rubio-Acero, Tabea Eser, Flora Deák, Kerstin Puchinger, Niklas Kuhl, Andreas Linder, Kathrin Saar, Lukas Tomas, Christian Schulz, Andreas Wieser, Wolfgang Enard, Inge Kroidl, Christof Geldmacher, Michael von Bergwelt-Baildon, Oliver T. Keppler, Mathias Munschauer, Matteo Iannacone, Ralf Zimmer, Philipp Mertins, Norbert Hubner, Michael Hoelscher, Steffen Massberg, Konstantin Stark, and Leo Nicolai
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Science - Abstract
Infection with SARS-COV-2 can result in self-limited upper airway infection or progress to a more systemic inflammatory condition including pneumonic COVID-19. Here the authors utilise a multi-omics approach to interrogate the immune response of patients with self-limiting upper respiratory SARS-CoV-2 infection and reveal a temporal immune trajectory they associate with viral containment and restriction from pneumonic progressive disease.
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- 2022
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14. Enhanced Spike-specific, but attenuated Nucleocapsid-specific T cell responses upon SARS-CoV-2 breakthrough versus non-breakthrough infections
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Mohamed Ibraheem Mahmoud Ahmed, Paulina Diepers, Christian Janke, Michael Plank, Tabea M. Eser, Raquel Rubio-Acero, Anna Fuchs, Olga Baranov, Noemi Castelletti, Inge Kroidl, Laura Olbrich, Bernadette Bauer, Danni Wang, Martina Prelog, Johannes G. Liese, Christina Reinkemeyer, Michael Hoelscher, Philipp Steininger, Klaus Überla, Andreas Wieser, and Christof Geldmacher
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COVID-19 ,adaptive immunity ,vaccine ,SARS Cov 2 ,breakthrough infection ,T cell response ,Immunologic diseases. Allergy ,RC581-607 - Abstract
SARS-CoV-2 vaccine breakthrough infections frequently occurred even before the emergence of Omicron variants. Yet, relatively little is known about the impact of vaccination on SARS-CoV-2-specific T cell and antibody response dynamics upon breakthrough infection. We have therefore studied the dynamics of CD4 and CD8 T cells targeting the vaccine-encoded Spike and the non-encoded Nucleocapsid antigens during breakthrough infections (BTI, n=24) and in unvaccinated control infections (non-BTI, n=30). Subjects with vaccine breakthrough infection had significantly higher CD4 and CD8 T cell responses targeting the vaccine-encoded Spike during the first and third/fourth week after PCR diagnosis compared to non-vaccinated controls, respectively. In contrast, CD4 T cells targeting the non-vaccine encoded Nucleocapsid antigen were of significantly lower magnitude in BTI as compared to non-BTI. Hence, previous vaccination was linked to enhanced T cell responses targeting the vaccine-encoded Spike antigen, while responses against the non-vaccine encoded Nucleocapsid antigen were significantly attenuated.
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- 2022
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15. Educational intervention on COVID-19 in older adults of the Family Doctor´s Office No. 4. Cumanayagua, 2020
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Dayamí Guerra Villarpanda, Vivian González Suárez, Eneida Bravo Polanco, Rosario Cavada Fernández, Carmen Benítez Cabrera, and Raquel Rubio Roque
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intervención médica temprana ,educación en salud ,atención primaria de salud, infecciones por coronavirus ,Medicine (General) ,R5-920 ,Public aspects of medicine ,RA1-1270 - Abstract
Background: the COVID 19 pandemic causes the death of many people, mainly older adults. Knowing about it is one way to prevent it.Objective: to describe the results of an educational intervention on COVId 19, in older adults.Methods: educational intervention carried out in a universe of 230 older adults, from which a sample of 178 dispensed elderly people belonging to the Family Doctor´s Office No. 4 in Cumanayagua was selected. A diagnosis was made to identify the level of knowledge about COVID-19, in which aspects about the disease were investigated, such as: symptoms, prevention measures, transmission routes. They were also asked about compliance with prevention measures. On that basis, an educational intervention was developed. Results: The 50 % present risk factors; knowledge about symptoms increased from 10.1% before the intervention to 100% after; on transmission routes from 35.9 % to 83.7 % and that of preventive measures from 53.9 % to 91.7 %. They learned to use the mask correctly. The satisfaction of the elderly with the educational actions was high.Conclusions: after the application of educational actions, there was an increase in knowledge about the disease, which may be favorable for its prevention in this group of elderly.
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- 2021
16. From first to second wave: follow-up of the prospective COVID-19 cohort (KoCo19) in Munich (Germany)
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Katja Radon, Abhishek Bakuli, Peter Pütz, Ronan Le Gleut, Jessica Michelle Guggenbuehl Noller, Laura Olbrich, Elmar Saathoff, Mercè Garí, Yannik Schälte, Turid Frahnow, Roman Wölfel, Michael Pritsch, Camilla Rothe, Michel Pletschette, Raquel Rubio-Acero, Jessica Beyerl, Dafni Metaxa, Felix Forster, Verena Thiel, Noemi Castelletti, Friedrich Rieß, Maximilian N. Diefenbach, Günter Fröschl, Jan Bruger, Simon Winter, Jonathan Frese, Kerstin Puchinger, Isabel Brand, Inge Kroidl, Andreas Wieser, Michael Hoelscher, Jan Hasenauer, Christiane Fuchs, and the KoCo19 study group
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COVID-19 ,SARS-CoV-2 ,Population-based cohort study ,Sero-prevalence ,Sero-incidence ,ORCHESTRA ,Infectious and parasitic diseases ,RC109-216 - Abstract
Abstract Background In the 2nd year of the COVID-19 pandemic, knowledge about the dynamics of the infection in the general population is still limited. Such information is essential for health planners, as many of those infected show no or only mild symptoms and thus, escape the surveillance system. We therefore aimed to describe the course of the pandemic in the Munich general population living in private households from April 2020 to January 2021. Methods The KoCo19 baseline study took place from April to June 2020 including 5313 participants (age 14 years and above). From November 2020 to January 2021, we could again measure SARS-CoV-2 antibody status in 4433 of the baseline participants (response 83%). Participants were offered a self-sampling kit to take a capillary blood sample (dry blood spot; DBS). Blood was analysed using the Elecsys® Anti-SARS-CoV-2 assay (Roche). Questionnaire information on socio-demographics and potential risk factors assessed at baseline was available for all participants. In addition, follow-up information on health-risk taking behaviour and number of personal contacts outside the household (N = 2768) as well as leisure time activities (N = 1263) were collected in summer 2020. Results Weighted and adjusted (for specificity and sensitivity) SARS-CoV-2 sero-prevalence at follow-up was 3.6% (95% CI 2.9–4.3%) as compared to 1.8% (95% CI 1.3–3.4%) at baseline. 91% of those tested positive at baseline were also antibody-positive at follow-up. While sero-prevalence increased from early November 2020 to January 2021, no indication of geospatial clustering across the city of Munich was found, although cases clustered within households. Taking baseline result and time to follow-up into account, men and participants in the age group 20–34 years were at the highest risk of sero-positivity. In the sensitivity analyses, differences in health-risk taking behaviour, number of personal contacts and leisure time activities partly explained these differences. Conclusion The number of citizens in Munich with SARS-CoV-2 antibodies was still below 5% during the 2nd wave of the pandemic. Antibodies remained present in the majority of SARS-CoV-2 sero-positive baseline participants. Besides age and sex, potentially confounded by differences in behaviour, no major risk factors could be identified. Non-pharmaceutical public health measures are thus still important.
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- 2021
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17. Determinants of anti-S immune response at 6 months after COVID-19 vaccination in a multicentric European cohort of healthcare workers – ORCHESTRA project
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Giulia Collatuzzo, Giovanni Visci, Francesco S. Violante, Stefano Porru, Gianluca Spiteri, Maria Grazia Lourdes Monaco, Francesca Larese Fillon, Corrado Negro, Christian Janke, Noemi Castelletti, Giuseppe De Palma, Emanuele Sansone, Dana Mates, Silvia Teodorescu, Eleonóra Fabiánová, Jana Bérešová, Luigi Vimercati, Silvio Tafuri, Mahsa Abedini, Giorgia Ditano, Shuffield S. Asafo, Paolo Boffetta, Orchestra WP5 Working Group, Carlotta Zunarelli, Roberta Bonfiglioli, Angela Carta, Giuseppe Verlato, Giuseppe Lippi, Davide Gibellini, Maria Diletta Pezzani, Lorena Torroni, Michael Hoelscher, Andreas Wieser, Christina Reinkemeyer, Michael Plank, Ivan Noreña, Raquel Rubio-Acero, Simon Winter, Mihaela Leustean, Ovidiu Perseca, Madalina Ipate, Agripina Rascu, Jozef Strhársky, Petra Hellebrandt, Daniela Križanová, Marianna Mrázová, Luigi De Maria, Stefania Sponselli, Pasquale Stefanizzi, and Antonio Caputi
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vaccine ,COVID – 19 ,serology ,health care workers (HCW) ,immune response ,Immunologic diseases. Allergy ,RC581-607 - Abstract
BackgroundThe duration of immune response to COVID-19 vaccination is of major interest. Our aim was to analyze the determinants of anti-SARS-CoV-2 IgG titer at 6 months after 2-dose vaccination in an international cohort of vaccinated healthcare workers (HCWs).MethodsWe analyzed data on levels of anti-SARS-CoV-2 Spike antibodies and sociodemographic and clinical characteristics of 6,327 vaccinated HCWs from 8 centers from Germany, Italy, Romania and Slovakia. Time between 1st dose and serology ranged 150-210 days. Serological levels were log-transformed to account for the skewness of the distribution and normalized by dividing them by center-specific standard errors, obtaining standardized values. We fitted center-specific multivariate regression models to estimate the cohort-specific relative risks (RR) of an increase of 1 standard deviation of log antibody level and corresponding 95% confidence interval (CI), and finally combined them in random-effects meta-analyses.ResultsA 6-month serological response was detected in 99.6% of HCWs. Female sex (RR 1.10, 95%CI 1.00-1.21), past infection (RR 2.26, 95%CI 1.73-2.95) and two vaccine doses (RR 1.50, 95%CI 1.22-1.84) predicted higher IgG titer, contrary to interval since last dose (RR for 10-day increase 0.94, 95%CI 0.91-0.97) and age (RR for 10-year increase 0.87, 95%CI 0.83-0.92). M-RNA-based vaccines (p
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- 2022
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18. The Prospective COVID-19 Post-Immunization Serological Cohort in Munich (KoCo-Impf): Risk Factors and Determinants of Immune Response in Healthcare Workers
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Christina Reinkemeyer, Yeganeh Khazaei, Maximilian Weigert, Marlene Hannes, Ronan Le Gleut, Michael Plank, Simon Winter, Ivan Noreña, Theresa Meier, Lisa Xu, Raquel Rubio-Acero, Simon Wiegrebe, Thu Giang Le Thi, Christiane Fuchs, Katja Radon, Ivana Paunovic, Christian Janke, Andreas Wieser, Helmut Küchenhoff, Michael Hoelscher, and Noemi Castelletti
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COVID-19 ,SARS-CoV-2 ,health care workers ,vaccination ,immunologic response ,antibodies ,Microbiology ,QR1-502 - Abstract
Antibody studies analyze immune responses to SARS-CoV-2 vaccination and infection, which is crucial for selecting vaccination strategies. In the KoCo-Impf study, conducted between 16 June and 16 December 2021, 6088 participants aged 18 and above from Munich were recruited to monitor antibodies, particularly in healthcare workers (HCWs) at higher risk of infection. Roche Elecsys® Anti-SARS-CoV-2 assays on dried blood spots were used to detect prior infections (anti-Nucleocapsid antibodies) and to indicate combinations of vaccinations/infections (anti-Spike antibodies). The anti-Spike seroprevalence was 94.7%, whereas, for anti-Nucleocapsid, it was only 6.9%. HCW status and contact with SARS-CoV-2-positive individuals were identified as infection risk factors, while vaccination and current smoking were associated with reduced risk. Older age correlated with higher anti-Nucleocapsid antibody levels, while vaccination and current smoking decreased the response. Vaccination alone or combined with infection led to higher anti-Spike antibody levels. Increasing time since the second vaccination, advancing age, and current smoking reduced the anti-Spike response. The cumulative number of cases in Munich affected the anti-Spike response over time but had no impact on anti-Nucleocapsid antibody development/seropositivity. Due to the significantly higher infection risk faced by HCWs and the limited number of significant risk factors, it is suggested that all HCWs require protection regardless of individual traits.
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- 2023
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19. Surveillance of Acute SARS-CoV-2 Infections in Elementary Schools and Daycare Facilities in Bavaria, Germany (09/2020–03/2021)
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Anna Kern, Pia H. Kuhlmann, Stefan Matl, Markus Ege, Nicole Maison, Jana Eckert, Ulrich von Both, Uta Behrends, Melanie Anger, Michael C. Frühwald, Michael Gerstlauer, Joachim Woelfle, Antje Neubert, Michael Melter, Johannes Liese, David Goettler, Andreas Sing, Bernhard Liebl, Johannes Hübner, Christoph Klein, the COVID Kids Bavaria Consortium, Hannah Kindermann, Tilmann Schober, Patricia Schmied, Alexander Neuner, Laura Dech, Nikolaus Rieber, Jonas Geisperger, Philip Oehler, Anna Mittermeier, Katrin Moritz, Christopher Schulze, Irmgard Toni, Ludwig Seebauer, Christoph Härtel, Andrea Streng, Patricia Niekler, Ute Eberle, Nikolaus Ackermann, Andreas Wieser, and Raquel Rubio Acero
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SARS-CoV-2 ,surveillance ,children ,elementary school ,preschool ,PCR ,Pediatrics ,RJ1-570 - Abstract
IntroductionHere we report our results of a multi-center, open cohort study (“COVID-Kids-Bavaria”) investigating the distribution of acute SARS-CoV-2 infections among children and staff in 99 daycare facilities and 48 elementary schools in Bavaria, Germany.Materials and MethodsOverall, 2,568 children (1,337 school children, 1,231 preschool children) and 1,288 adults (466 teachers, 822 daycare staff) consented to participate in the study and were randomly tested in three consecutive phases (September/October 2020, November/December 2020, March 2021). In total, 7,062 throat swabs were analyzed for SARS-CoV-2 by commercial RT-PCR kits.ResultsIn phase I, only one daycare worker tested positive. In phase II, SARS-CoV-2 was detected in three daycare workers, two preschool children, and seven school children. In phase III, no sample tested positive. This corresponds to a positive test rate of 0.05% in phase I, 0.4% in phase II and 0% in phase III. Correlation of a positive PCR test result with the local-7-day incidence values showed a strong association of a 7-day-incidence of more than 100/100,000 as compared to
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- 2022
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20. Problematizar las practicas pre-profesionales de Trabajo Social durante la pandemia: entre paradojas y absurdos
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Raquel Rubio, Betina Bovino, Mariano Espinoza, and Silvia Cucchiara
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prácticas pre-profesionales ,proceso pedagógico ,pandemia COVID-19 ,investigación ,History of scholarship and learning. The humanities ,AZ20-999 ,Social sciences (General) ,H1-99 - Abstract
El presente artículo reflexiona sobre el impacto que produjo la irrupción de la pandemia COVID-19 en el desarrollo de un proyecto investigativo abocado a analizar practicas pre profesionales en salud a cargo de estudiantes avanzados de la Licenciatura en Trabajo Social de la Facultad de Ciencia Política y Relaciones Internacionales, Universidad Nacional de Rosario. La pandemia no solo interpela a las políticas públicas y a las capacidades estatales de reaccionar simultáneamente en diversos planos, sino también los modos de intervenir en situaciones prioritarias en contextos de aislamiento social preventivo y obligatorio, como de distanciamiento social preventivo y obligatorio. Como Trabajadores Sociales y docentes universitarios, nuestros procesos no quedaron al margen, y el desafío de sostener un vinculo pedagógico a distancia, con las insuficiencias que ello implica, puso en tensión la estrategia metodológica asumida, incorporando la idea de lo paradojal y lo absurdo. La producción de conocimientos se constituye como un imperativo ético no sólo para otorgar mayor jerarquía al quehacer profesional, sino porque las problemáticas de este momento histórico y los desgarramientos sociales a los que asistimos así lo exigen. En esa línea la formación para la práctica profesional se torna una cuestión inquietante e ineludible desde el punto de vista político-pedagógico.
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- 2022
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21. Impact of Omicron Variant Infection on Assessment of Spike-Specific Immune Responses Using the EUROIMMUN Quan-T-Cell SARS-CoV-2 Assay and Roche Elecsys Anti-SARS-CoV-2-S
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Mohamed I. M. Ahmed, Michael Plank, Noemi Castelletti, Paulina Diepers, Tabea M. Eser, Raquel Rubio-Acero, Ivan Noreña, Christina Reinkemeyer, Dorinja Zapf, Michael Hoelscher, Christian Janke, Andreas Wieser, Christof Geldmacher, and on behalf of the KoCo19/ORCHESTRA Study Group
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SARS-CoV-2 ,spike-specific immune response ,omicron ,breakthrough infections ,Medicine (General) ,R5-920 - Abstract
The currently prevailing variants of SARS-CoV-2 are subvariants of the Omicron variant. The aim of this study was to analyze the effect of mutations in the Spike protein of Omicron on the results Quan-T-Cell SARS-CoV-2 assays and Roche Elecsys anti-SARS-CoV-2 anti-S1. Omicron infected subjects ((n = 37), vaccinated (n = 20) and unvaccinated (n = 17)) were recruited approximately 3 weeks after a positive PCR test. The Quan-T-Cell SARS-CoV-2 assays (EUROIMMUN) using Wuhan and the Omicron adapted antigen assay and a serological test (Roche Elecsys anti-SARS-CoV-2 anti-S1) were performed. Using the original Wuhan SARS-CoV-2 IGRA TUBE, in 19 of 21 tested Omicron infected subjects, a positive IFNy response was detected, while 2 non-vaccinated but infected subjects did not respond. The Omicron adapted antigen tube resulted in comparable results. In contrast, the serological assay detected a factor 100-fold lower median Spike-specific RBD antibody concentration in non-vaccinated Omicron infected patients (n = 12) compared to patients from the pre Omicron era (n = 12) at matched time points, and eight individuals remained below the detection threshold for positivity. For vaccinated subjects, the Roche assay detected antibodies in all subjects and showed a 400 times higher median specific antibody concentration compared to non-vaccinated infected subjects in the pre-Omicron era. Our results suggest that Omicron antigen adapted IGRA stimulator tubes did not improve detection of SARS-CoV-2-specific T-cell responses in the Quant-T-Cell-SARS-CoV-2 assay. In non-vaccinated Omicron infected individuals, the Wuhan based Elecsys anti-SARS-CoV-2 anti-S1 serological assay results in many negative results at 3 weeks after diagnosis.
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- 2023
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22. Community SARS-CoV-2 seroprevalence before and after the second wave of SARS-CoV-2 infection in Harare, Zimbabwe
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Arun Fryatt, Victoria Simms, Tsitsi Bandason, Nicol Redzo, Ioana D. Olaru, Chiratidzo E Ndhlovu, Hilda Mujuru, Simbarashe Rusakaniko, Michael Hoelscher, Raquel Rubio-Acero, Ivana Paunovic, Andreas Wieser, Prosper Chonzi, Kudzai Masunda, Rashida A Ferrand, and Katharina Kranzer
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SARS-CoV-2 seroprevalence ,Zimbabwe ,Medicine (General) ,R5-920 - Abstract
Abstracts: Background: By the end of July 2021 Zimbabwe, has reported over 100,000 SARS-CoV-2 infections. The true number of SARS-CoV-2 infections is likely to be much higher. We conducted a seroprevalence survey to estimate the prevalence of past SARS-CoV-2 in three high-density communities in Harare, Zimbabwe before and after the second wave of SARS-CoV-2. Methods: Between November 2020 and April 2021 we conducted a cross-sectional study of randomly selected households in three high-density communities (Budiriro, Highfield and Mbare) in Harare. Consenting participants answered a questionnaire and a dried blood spot sample was taken. Samples were tested for anti-SARS-CoV-2 nucleocapsid antibodies using the Roche e801 platform. Findings: A total of 2340 individuals participated in the study. SARS-CoV-2 antibody results were available for 70·1% (620/885) and 73·1% (1530/2093) of eligible participants in 2020 and 2021. The median age was 22 (IQR 10-37) years and 978 (45·5%) were men. SARS-CoV-2 seroprevalence was 19·0% (95% CI 15·1-23·5%) in 2020 and 53·0% (95% CI 49·6-56·4) in 2021. The prevalence ratio was 2·47 (95% CI 1·94-3·15) comparing 2020 with 2021 after adjusting for age, sex, and community. Almost half of all participants who tested positive reported no symptoms in the preceding six months. Interpretation: Following the second wave, one in two people had been infected with SARS-CoV-2 suggesting high levels of community transmission. Our results suggest that 184,800 (172,900-196,700) SARS-CoV-2 infections occurred in these three communities alone, greatly exceeding the reported number of cases for the whole city. Further seroprevalence surveys are needed to understand transmission during the current third wave despite high prevalence of past infections. Funding: GCRF, Government of Canada, Wellcome Trust, Bavarian State Ministry of Sciences, Research, and the Arts
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- 2021
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23. A dried blood spot protocol for high throughput analysis of SARS-CoV-2 serology based on the Roche Elecsys anti-N assay
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Jessica Beyerl, Raquel Rubio-Acero, Noemi Castelletti, Ivana Paunovic, Inge Kroidl, Zohaib N. Khan, Abhishek Bakuli, Andreas Tautz, Judith Oft, Michael Hoelscher, and Andreas Wieser
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COVID-19 ,SARS-CoV-2 ,Dried blood spot ,DBS ,Filter paper ,Antibody ,Medicine ,Medicine (General) ,R5-920 - Abstract
Background: Since 2020 SARS-CoV-2 spreads pandemically, infecting more than 119 million people, causing >2·6 million fatalities. Symptoms of SARS-CoV-2 infection vary greatly, ranging from asymptomatic to fatal. Different populations react differently to the disease, making it very hard to track the spread of the infection in a population. Measuring specific anti-SARS-CoV-2 antibodies is an important tool to assess the spread of the infection or successful vaccinations. To achieve sufficient sample numbers, alternatives to venous blood sampling are needed not requiring medical personnel or cold-chains. Dried-blood-spots (DBS) on filter-cards have been used for different studies, but not routinely for serology. Methods: We developed a semi-automated protocol using self-sampled DBS for SARS-CoV-2 serology. It was validated in a cohort of matched DBS and venous-blood samples (n = 1710). Feasibility is demonstrated with two large serosurveys with 10247 company employees and a population cohort of 4465 participants. Findings: Sensitivity and specificity reached 99·20% and 98·65%, respectively. Providing written instructions and video tutorials, 99·87% (4465/4471) of the unsupervised home sampling DBS cards could be analysed. Interpretation: DBS-sampling is a valid and highly reliable tool for large scale serosurveys. We demonstrate feasibility and accuracy with a large validation cohort including unsupervised home sampling. This protocol might be of big importance for surveillance in resource-limited settings, providing low-cost highly accurate serology data. Funding: Provided by Bavarian State Ministry of Science and the Arts, LMU University-Hospital; Helmholtz-Centre-Munich, German Ministry for Education and Research (project01KI20271); University of Bonn; University of Bielefeld; the Medical Biodefense Research Program of Bundeswehr-Medical-Service; Euroimmun, RocheDiagnostics provided discounted kits and machines
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- 2021
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24. Enseñanza de español para migrantes: significados construidos por estudiantes universitarios sobre la interacción pedagógica en el aula
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Manuel Rubio and Raquel Rubio
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Enseñanza de español a migrantes ,modelo de formación ,diálogo intercultural ,cambio de representaciones ,Philosophy (General) ,B1-5802 - Abstract
Este artículo apunta a describir los significados que un grupo de universitarios ha construido sobre la experiencia de enseñar español a migrantes haitianos. La metodología corresponde a un estudio de caso cualitativo. El caso es un proyecto de responsabilidad social universitaria gestionado por académicos de la Universidad de Santiago de Chile, quienes forman, orientan y acompañan a un grupo de universitarios en su labor como monitores. La muestra estuvo conformada por 9 estudiantes (monitores), con un año de experiencia en el proyecto, distribuidos en dos grupos de conversación. El análisis fue de carácter inductivo. Los resultados indican que los monitores experimentaron un proceso de ajuste de expectativas en torno a la enseñanza de una lengua, las situaciones emergentes, el grado de autonomía, la interacción didáctica, los aprendices y sus propias habilidades como docentes, entre otros. Se concluye que el modelo de intervención basado en el aprender haciendo y el aprendizaje cooperativo es válido para la formación de especialistas en enseñanza de ELE, aunque se requiere repensar el proceso de acompañamiento en aula por parte de los académicos encargados del proyecto.
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- 2021
25. Broad T Cell Targeting of Structural Proteins After SARS-CoV-2 Infection: High Throughput Assessment of T Cell Reactivity Using an Automated Interferon Gamma Release Assay
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Isabel Brand, Leonard Gilberg, Jan Bruger, Mercè Garí, Andreas Wieser, Tabea M. Eser, Jonathan Frese, Mohamed I. M. Ahmed, Raquel Rubio-Acero, Jessica M. Guggenbuehl Noller, Noemi Castelletti, Jana Diekmannshemke, Sophie Thiesbrummel, Duc Huynh, Simon Winter, Inge Kroidl, Christiane Fuchs, Michael Hoelscher, Julia Roider, Sebastian Kobold, Michael Pritsch, and Christof Geldmacher
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SARS-CoV-2 ,COVID-19 ,T cell response ,interferon gamma release assay (IGRA) ,high through put ,Immunologic diseases. Allergy ,RC581-607 - Abstract
BackgroundAdaptive immune responses to structural proteins of the virion play a crucial role in protection against coronavirus disease 2019 (COVID-19). We therefore studied T cell responses against multiple SARS-CoV-2 structural proteins in a large cohort using a simple, fast, and high-throughput approach.MethodsAn automated interferon gamma release assay (IGRA) for the Nucleocapsid (NC)-, Membrane (M)-, Spike-C-terminus (SCT)-, and N-terminus-protein (SNT)-specific T cell responses was performed using fresh whole blood from study subjects with convalescent, confirmed COVID-19 (n = 177, more than 200 days post infection), exposed household members (n = 145), and unexposed controls (n = 85). SARS-CoV-2-specific antibodies were assessed using Elecsys® Anti-SARS-CoV-2 (Ro-N-Ig) and Anti-SARS-CoV-2-ELISA (IgG) (EI-S1-IgG).Results156 of 177 (88%) previously PCR confirmed cases were still positive by Ro-N-Ig more than 200 days after infection. In T cells, most frequently the M-protein was targeted by 88% seropositive, PCR confirmed cases, followed by SCT (85%), NC (82%), and SNT (73%), whereas each of these antigens was recognized by less than 14% of non-exposed control subjects. Broad targeting of these structural virion proteins was characteristic of convalescent SARS-CoV-2 infection; 68% of all seropositive individuals targeted all four tested antigens. Indeed, anti-NC antibody titer correlated loosely, but significantly with the magnitude and breadth of the SARS-CoV-2-specific T cell response. Age, sex, and body mass index were comparable between the different groups.ConclusionSARS-CoV-2 seropositivity correlates with broad T cell reactivity of the structural virus proteins at 200 days after infection and beyond. The SARS-CoV-2-IGRA can facilitate large scale determination of SARS-CoV-2-specific T cell responses with high accuracy against multiple targets.
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- 2021
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26. Enseñanza de lenguas: una comparación de las representaciones sociales de alumnos de primer y quinto año de la carrera de Lingüística Aplicada a la Traducción
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Néstor Singer, Manuel Rubio, and Raquel Rubio
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representaciones sociales ,estudios de traducción ,enseñanza de segundas lenguas ,formación de traductores ,Philology. Linguistics ,P1-1091 - Abstract
RESUMEN Este artículo compara las representaciones sobre el proceso de enseñanza y aprendizaje de lenguas extranjeras que tienen estudiantes de primer y quinto año de la carrera de Lingüística Aplicada a la Traducción de la Universidad de Santiago de Chile (USACH). El concepto de representación social se toma desde la psicología social (Jodelet 1988, 2008; Moscovici, 1979). Se utilizó una asociación libre de conceptos y una entrevista semiestructurada a cuatro grupos de estudiantes. Los resultados reflejan cambios significativos relacionados con el dominio, enseñanza y aprendizaje de las lenguas estudiadas. Se concluye que dichos cambios facilitarían la adopción de nuevas metodologías para los cursos de lenguas extranjeras en este programa de traducción.
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- 2019
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27. El resumen en japonés y en español de artículos de investigación en medicina
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Raquel Rubio, Édinson Muñoz, Juan Luis Perelló, and Pablo Hevia
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movida retórica ,resumen ,análisis contrastivo ,Philology. Linguistics ,P1-1091 - Abstract
A pesar de que los estudios de retórica sobre el resumen del artículo científico no son pocos, aquellos centrados en la lengua española y japonesa, tanto por separado como en un análisis contrastivo, son escasos o incluso inexistentes. En el presente trabajo proponemos un análisis retórico contrastivo de los resúmenes de artículos científicos de medicina aplicando el modelo de movida retórica de Swales & Feak (2009). Estos resúmenes se encuentran en revistas indexadas, 10 de ellos están escritos en japonés y 10 en español. Los resultados del análisis ofrecen una clara diferencia estructural entre los resúmenes en español y japonés, siendo más homogénea y completa la estructura de los resúmenes en lengua española que japonesa, debido a que básicamente aparecen con mayor frecuencia todas las movidas analizadas. Por otro lado, en ambos casos se prefieren las movidas antecedentes y objetivos sobre los métodos, resultados y conclusiones, hecho que deja abierta una mayor investigación para reflexionar sobre las posibles causas de esta incoherencia con la organización retórica deseada. Se concluye también, la necesidad de realizar un análisis más detallado del contenido de cada movida, diferenciando algunos de los pasos característicos en cada caso, para poder extraer conclusiones significativas sobre el contenido y la intención comunicativa, así como ampliar el corpus de investigación tanto dentro del campo de la medicina como en otras disciplinas.
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- 2019
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28. Potential of pre–gestational intake of Laportea interrupta L. (stinging nettle) leaf decoction as an aid for fetal–maternal health
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Jeriz Anne S. de Guzman, Reymond John L. Beltran, Raquel Rubio, and Gliceria B. Ramos
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Laportea interrupta ,Nettle tea ,Placenta ,Placental labyrinth ,Junctional zone ,Fetal resorption ,Vasculo-angiogenesis ,Antioxidant ,Medicine - Abstract
Objective: To examine the potential of pre-gestational intake of Laportea interrupta L. (L. interrupta) leaf decoction as an aid for fetal-maternal health by determining its influence on embryonic implantation and growth, placental labyrinth vasculo-angiogenesis, and junctional zone morphology. Methods: Eight-week-old female mice were divided into groups and fed daily with 3.5 g food/mouse. The control was given drinking water, the treatment groups, low (LC), medium (MC), and high (HC) concentrations, were given 25%, 50%, and 100% v/v stock solution, respectively for 14 days, prior to mating. Pregnant mice were sacrificed at 14.5 days post-coitus. The uteri and placentae were collected and weighed; implantation sites were counted as either viable or resorbing. The estimated weight (g)/ embryo, as a function of the number of implantation sites, was evaluated. The histology of placental labyrinth angiogenesis and junctional zone morphology was examined. Results: The viable site ratios increased as leaf decoction concentration increased. This was most significant in the HC group (P
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- 2015
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29. Twitter y la teoría de la Agenda-Setting: mensajes de la opinión pública digital
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Raquel Rubio García
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Agenda-Setting ,Twitter ,agenda pública ,agenda mediática ,medios sociales. ,Communication. Mass media ,P87-96 ,Journalism. The periodical press, etc. ,PN4699-5650 - Abstract
El presente artículo pretende comprobar si la teoría de la AgendaSetting mantiene su vigencia dentro del creciente entorno digital; concretamente dentro del contexto de los social media como categoría en la que se engloba la red social Twitter. Se parte de la consideración de que Twitter se ha constituido como un reflejo de la agenda pública. Por ello, resulta esencial analizar cuáles son las cuestiones que más interesan a los usuarios españoles, para determinar si los medios de comunicación tradicionales marcan los temas más comentados por los usuarios de Twitter España, entendidos estos como opinión pública. Esta investigación ha encontrado que existe una fuerte correspondencia entre la agenda de los medios y la agenda pública reflejada en Twitter.
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- 2014
30. Longitudinal effects of SARS-CoV-2 breakthrough infection on imprinting of neutralizing antibody responses
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Messmann, Helmut, Fuchs, Andre, Ebigbo, Alanna, Römmele, Christoph, Ullrich, Maximilian, Freitag, Marie, Traidl-Hoffmann, Claudia, Goekkaya, Mehmet, Metz, Aline, Holetschek, Corinna, Neumann, Avidan, Hoffmann, Reinhard, Kling, Elisabeth, Pruteanu, Mihail, Wibmer, Thomas, Rost, Susanne, Überla, Klaus, Steininger, Philipp, Wytopil, Monika, Beileke, Stephanie, Müller-Schmucker, Sandra, Korn, Klaus, Hastreiter, Tamara, Fraedrich, Kirsten, Obergfäll, Debora, Neumann, Frank, Kuhn, Claudia, Günther, Katja, Friedrich, Elke, Hoelscher, Michael, Wieser, Andreas, Geldmacher, Christof, Janke, Christian, Plank, Michael, Guggenbühl, Jessica, Reinkemeyer, Christina, Noreña, Ivan, Castelletti, Noemi, Acero, Raquel Rubio, Ahmed, M.I.M., Diepers, Paulina, Eser, Tabea M., Fuchs, Anna, Baranov, Olga, Bauer, Bernadette, Wang, Danni, Paunovic, Ivana, Protzer, Ulrike, Jeske, Samuel D., Christa, Catharina, Tinnefeld, Kathrin, Vu, Martin, Willmann, Annika, Roggendorf, Hedwig, Körber, Nina, Bauer, Tanja, Gleich, Sabine, Wagner, Ralf, Asam, Claudia, Einhauser, Sebastian, Weps, Manuela, Senninger, Antonia, Carnell, George, Heeney, Jonathan Luke, Ebner, Antonia, José de Schultz, Maria, Rajes, Cedric, Al Wafai, Aya, Brenner, David, Sicheneder, Laura, Berr, Melanie, Schütz, Anja, Bauernfeind, Stilla, Hiergeist, Andreas, Gessner, André, Schmidt, Barbara, Niller, Hans-Helmut, Wenzel, Jürgen, Biermeier, Daniela, Lampl, Benedikt, Rothe, Ulrich, Gleißner, Ute, Brückner, Susanne, Treml, Michaela, Schedl, Holger, Biermaier, Beate, Achatz, Markus, Hierhammer, Daniela, Englhardt, Johanna, Scheidl, Werner, Jeyaraman, Sivaji, Schutt, Barbara, Liese, Johannes, Prelog, Martina, Almanzar, Giovanni, Schwägerl, Valeria, Bley, Julia, Vogt, Tim, Kousha, Kimia, Ziegler, Lars, Stein, Astrid, Förg, Franziska, Löw, Johann, Finkenberg, Barbara, Pollak, Dennis, Zamzow, Alexander, Eberbach, Nicole, Balkie, Lara, Kretzschmann, Tanja, Gehrig, Matthias, Bandorf, Matthias, Keck, Kilian, Allmanritter, Jan, Rafique, Shahid, Finster, Mona, Baumgart, Ingo, Heumüller-Klug, Sabine, Koglin, Hans-Jürgen, Gefeller, Olaf, Gall, Christine, Pfahlberg, Annette B., Kaiser, Isabelle, Scheidt, Jörg, Drescher, Johannes, Siebenhaar, Yannic, Wogenstein, Florian, Reinel, Dirk, Weber, Beatrix, Zarzitzky, Fabian, Liebl, Bernhard, Herr, Caroline, Katz, Katharina, Sing, Andreas, Dangel, Alexandra, Peterhoff, David, Asbach, Benedikt, Carnell, George William, and Fuchs, André
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- 2024
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31. Genotoxicity of Two Organophosphate Insecticides Based on Allium Test
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Adoracion Arañez and Raquel Rubio
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organophosphate insecticides ,genotoxicity ,chromosomal abnormalities ,Science ,Science (General) ,Q1-390 - Abstract
The genotoxicity of two organophosphate insecticides, Folidol and Malathion, was each determined on root tip chromosomes of onion (Allium cepa L.). Acetocarmine squash preparations of roots grown from seeds untreated (control) and treated with two concentrations of Folidol (0%, 0.5% and 0.75%) and three of Malathion (0.5%, 0.75%, and 1.0%) resulted in statistically insignificant differences in mitotic indices. The root cells grown from pesticide-treated seeds exhibited chromosomal abnormalities such as rings, laggards, bridges, disoriented and precocious chromosomes, as well as polyploidy. Frequency of chromosomal aberrations for seeds treated with 0%, 0.5%, and 0.75% Folidol were 2%, 10%, and 12%, respectively, while those treated with 0%, 0.5%, 0.75%, and 1.0% Malathion were 3.1%, 6.01%, 8.9%, and 8.3%, respectively.
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- 1993
32. Dinámicas históricas, religiosas e iconográficas en el norte de África
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Garcés, Fabiola Salcedo, Sánchez, Jorge García, González, Raquel Rubio, Garcés, Fabiola Salcedo, Sánchez, Jorge García, and González, Raquel Rubio
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- 2024
33. Spatially resolved qualified sewage spot sampling to track SARS-CoV-2 dynamics in Munich - One year of experience
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Emad, Alamoudi, Jared, Anderson, Abhishek, Bakuli, Maxilmilian, Baumann, Marc, Becker, Franziska, Bednarzki, Olimbek, Bemirayev, Jessica, Beyerl, Patrick, Bitzer, Rebecca, Böhnlein, Isabel, Brand, Jan, Bruger, Friedrich, Caroli, Noemi, Castelletti, Josephine, Coleman, Lorenzo, Contento, Alina, Czwienzek, Flora, Deák, Diefenbach Maximilian, N., Jana, Diekmannshemke, Gerhard, Dobler, Jürgen, Durner, Ute, Eberle, Judith, Eckstein, Tabea, Eser, Philine, Falk, Manuela, Feyereisen, Volker, Fingerle, Felix, Forster, Turid, Frahnow, Jonathan, Frese, Günter, Fröschl, Christiane, Fuchs, Mercè, Garí, Otto, Geisenberger, Christof, Geldmacher, Leonard, Gilberg, Kristina, Gillig, Philipp, Girl, Elias, Golschan, Michelle, Guggenbuehl Noller Jessica, Maria, Guglielmini Elena, Pablo, Gutierrez, Anslem, Haderer, Marlene, Hannes, Lena, Hartinger, Jan, Hasenauer, Alejandra, Hernandez, Leah, Hillari, Christian, Hinske, Tim, Hofberger, Michael, Hölscher, Sacha, Horn, Kristina, Huber, Christian, Janke, Ursula, Kappl, Antonia, Keßler, Zohaib, Khan, Johanna, Kresin, Inge, Kroidl, Arne, Kroidl, Magdalena, Lang, Clemens, Lang, Silvan, Lange, Michael, Laxy, Ronan, Le Gleut, Reiner, Leidl, Leopold, Liedl, Xhovana, Lucaj, Fabian, Luppa, Sophie, Nafziger Alexandra, Petra, Mang, Alisa, Markgraf, Rebecca, Mayrhofer, Dafni, Metaxa, Hannah, Müller, Katharina, Müller, Laura, Olbrich, Ivana, Paunovic, Michael, Plank, Claire, Pleimelding, Michel, Pletschette, Michael, Pritsch, Stephan, Prückner, Kerstin, Puchinger, Peter, Pütz, Katja, Radon, Elba, Raimundéz, Jakob, Reich, Friedrich, Riess, Camilla, Rothe, Raquel, Rubio-Acero, Viktoria, Ruci, Elmar, Saathoff, Nicole, Schäfer, Yannik, Schälte, Benedikt, Schluse, Lara, Schneider, Mirjam, Schunk, Lars, Schwettmann, Alba, Soler, Peter, Sothmann, Kathrin, Strobl, Jeni, Tang, Fabian, Theis, Verena, Thiel, Sophie, Thiesbrummel, Vincent, Vollmayr, Emilia, Von Lovenberg, Jonathan, Von Lovenberg, Julia, Waibel, Claudia, Wallrauch, Andreas, Wieser, Simon, Winter, Roman, Wölfel, Julia, Wolff, Tobias, Würfel, Sabine, Zange, Eleftheria, Zeggini, Anna, Zielke, Thorbjörn, Zimmer, Rubio-Acero, Raquel, Beyerl, Jessica, Muenchhoff, Maximilian, Roth, Marc Sancho, Castelletti, Noemi, Paunovic, Ivana, Radon, Katja, Springer, Bernd, Nagel, Christian, Boehm, Bernhard, Böhmer, Merle M., Graf, Alexander, Blum, Helmut, Krebs, Stefan, Keppler, Oliver T., Osterman, Andreas, Khan, Zohaib Nisar, Hoelscher, Michael, and Wieser, Andreas
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- 2021
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34. Seasons, Seeds, and Souls
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Goldsmith, Raquel Rubio, primary
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- 2022
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35. Linfoma anaplásico de células grandes asociado a implantes mamarios. Cuatro casos diagnosticados en la provincia de Alicante, España
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Mauricio Umaña Ordóñez, César A Recalde Losada, Raquel Rubio Verdú, Francisco Solesio Pilarte, Gloria Peiro Cabrera, and Elena Lorda Barraguer
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Implante mamario ,Prótesis mamarias ,Linfoma anaplásico de células grandes ,Medicine ,Surgery ,RD1-811 - Abstract
Resumen Introducción y Objetivo El linfoma anaplásico de células grandes asociado a implantes mamarios es un subtipo de linfoma de células T periférico que se puede encontrar en la cápsula periprotésica, el fluido entre implante y cápsula en forma de seroma o en casos avanzados como enfermedad metastásica. Aportamos 4 casos clínicos de este tipo de linfoma diagnosticados en la provincia de Alicante, España, siendo de interés por ser escasa la incidencia reportada y pocos los trabajos científicos publicados a nivel nacional sobre esta patología. Material y método Describimos estos 4 casos registrando: edad, antecedentes, indicación del implante, detalles de la cirugía previa, tipo de superficie y marca del implante, presentación clínica del cuadro y tratamiento administrado. Resultados Dos casos correspondieron a cirugía estética y 2 a cirugía reconstructiva, la presentación clínica en 3 casos fue como seroma tardío y en 1 como linfadenopatía. Tres implantes eran de superficie texturizada y 1 de poliuretano. En todos los casos se realizó capsulectomía bilateral. Conclusiones La aportación de nuestra serie contribuye a destacar la importancia de reportar los casos diagnosticados dada la escasa incidencia de la enfermedad y el reducido número de publicaciones sobre la misma en el ámbito iberolatinoamericano.
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36. Clinical and immunological benefits of full primary COVID-19 vaccination in individuals with SARS-CoV-2 breakthrough infections: a prospective cohort study in non-hospitalized adults
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Prelog, Martina, primary, Jeske, Samuel D., additional, Asam, Claudia, additional, Fuchs, Andre, additional, Wieser, Andreas, additional, Gall, Christine, additional, Wytopil, Monika, additional, Mueller-Schmucker, Sandra M., additional, Beileke, Stephanie, additional, Goekkaya, Mehmet, additional, Kling, Elisabeth, additional, Geldmacher, Christof, additional, Rubio-Acero, Raquel, additional, Plank, Michael, additional, Christa, Catharina, additional, Willmann, Annika, additional, Vu, Martin, additional, Einhauser, Sebastian, additional, Weps, Manuela, additional, Lampl, Benedikt M.J., additional, Almanzar, Giovanni, additional, Kousha, Kimia, additional, Schwägerl, Valeria, additional, Liebl, Bernhard, additional, Weber, Beatrix, additional, Drescher, Johannes, additional, Scheidt, Jörg, additional, Gefeller, Olaf, additional, Messmann, Helmut, additional, Protzer, Ulrike, additional, Liese, Johannes, additional, Hoelscher, Michael, additional, Wagner, Ralf, additional, Überla, Klaus, additional, Steininger, Philipp, additional, Ebigbo, Alanna, additional, Römmele, Christoph, additional, Ullrich, Maximilian, additional, Freitag, Marie, additional, Traidl-Hoffmann, Claudia, additional, Metz, Aline, additional, Holetschek, Corinna, additional, Neumann, Avidan, additional, Hoffmann, Reinhard, additional, Pruteanu, Mihail, additional, Wibmer, Thomas, additional, Rost, Susanne, additional, Müller-Schmucker, Sandra M., additional, Korn, Klaus, additional, Hastreiter, Tamara, additional, Fraedrich, Kirsten, additional, Obergfäll, Debora, additional, Neumann, Frank, additional, Kuhn, Claudia, additional, Günther, Katja, additional, Friedrich, Elke, additional, Janke, Christian, additional, Guggenbühl, Jessica, additional, Reinkemeyer, Christina, additional, Noreña, Ivan, additional, Castelletti, Noemi, additional, Acero, Raquel Rubio, additional, Ahmed, M. I.M., additional, Diepers, Paulina, additional, Eser, Tabea M., additional, Fuchs, Anna, additional, Baranov, Olga, additional, Bauer, Bernadette, additional, Wang, Danni, additional, Paunovic, Ivana, additional, Tinnefeld, Kathrin, additional, Roggendorf, Hedwig, additional, Körber, Nina, additional, Bauer, Tanja, additional, Gleich, Sabine, additional, Senninger, Antonia, additional, Carnell, George, additional, Heeney, Jonathan Luke, additional, Ebner, Antonia, additional, de Schultz, Maria José, additional, Rajes, Cedric, additional, Wafai, Aya Al, additional, Brenner, David, additional, Sicheneder, Laura, additional, Berr, Melanie, additional, Schütz, Anja, additional, Bauernfeind, Stilla, additional, Gessner, André, additional, Schmidt, Barbara, additional, Biermeier, Daniela, additional, Rothe, Ulrich, additional, Gleißner, Ute, additional, Brückner, Susanne, additional, Treml, Michaela, additional, Schedl, Holger, additional, Biermaier, Beate, additional, Achatz, Markus, additional, Hierhammer, Daniela, additional, Englhardt, Johanna, additional, Scheidl, Werner, additional, Jeyaraman, Sivaji, additional, Schutt, Barbara, additional, Prelog, Martina, additional, Bley, Julia, additional, Vogt, Tim, additional, Ziegler, Lars, additional, Stein, Astrid, additional, Förg, Franziska, additional, Löw, Johann, additional, Finkenberg, Barbara, additional, Pollak, Dennis, additional, Zamzow, Alexander, additional, Eberbach, Nicole, additional, Balkie, Lara, additional, Kretzschmann, Tanja, additional, Gehrig, Matthias, additional, Bandorf, Matthias, additional, Keck, Kilian, additional, Allmanritter, Jan, additional, Rafique, Shahid, additional, Finster, Mona, additional, Baumgart, Ingo, additional, Heumüller-Klug, Sabine, additional, Koglin, Hans-Jürgen, additional, Pfahlberg, Annette B., additional, Kaiser, Isabelle, additional, Siebenhaar, Yannic, additional, Wogenstein, Florian, additional, Reinel, Dirk, additional, Zarzitzky, Fabian, additional, Herr, Caroline, additional, Katz, Katharina, additional, Sing, Andreas, additional, and Dangel, Alexandra, additional
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- 2023
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37. Los relieves de Victorias del Museo Nacional de Cartago (Túnez)
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González, Raquel Rubio, primary
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- 2018
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38. El sarcófago antropoide masculino del Museo Nacional de Cartago
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González, Raquel Rubio, primary and Martín, M. Inmaculada Martín, additional
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- 2018
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39. Hacia un Sistema Integrado de Salud en Argentina. La historia del presente del campo de la Salud: devenir y pandemia
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Betina Bovino and Raquel Rubio
- Abstract
Este artículo desarrolla una síntesis contextualizada sobre los principales hechos, discursos, acontecimientos, prácticas y paradigmas que vienen participando del proceso de hechura del campo salud y, por consiguiente de los diferentes sentidos/nociones/pertcepciones que esto produce. Un recorrido histórico-genealógico por las conceptualizaciones nos permite ubicar su carácter político e inexorablemente ligado a los mecanismos de circulación de saber-poder en los distintos momentos socio-históricos. Entendemos que el campo salud da cuenta de una trayectoria, de un devenir (que contiene elementos sincrónicos y diacrónicos) atravesado por distintos agentes, actores, prácticas, disciplinas y discursos que lo convierten en un campo dinámico, complejo y en permanente tensión. De esta manera podemos observar los trazos, las marcas y las heridas que definen su momento actual reconociendo posturas fuertemente desiguales pero en franca coexistencia.
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- 2022
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40. Early nucleocapsid-specific T cell responses associate with control of SARS-CoV-2 in the upper airways and reduced systemic inflammation before seroconversion
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Tabea M. Eser, Olga Baranov, Manuel Huth, Mohamed I. M. Ahmed, Flora Deák, Kathrin Held, Luming Lin, Kami Perkayvaz, Alexander Leuning, Leo Nicolai, Georgios Pollakis, Marcus Buggert, David A. Price, Raquel Rubio-Acero, Jakob Reich, Philine Falk, Alisa Markgraf, Kerstin Puchinger, Noemi Castellitti, Laura Olbrich, Kanika Vanshylla, Florian Klein, Andreas Wieser, Jan Hasenauer, Inge Kroidl, Michael Hölscher, and Christof Geldmacher
- Abstract
Despite intensive research since the emergence of SARS-CoV-2, it has remained unclear precisely which components of the early immune response protect against the development of severe COVID-19. To address this issue, we performed a comprehensive immunogenetic and virologic analysis of nasopharyngeal and peripheral blood samples obtained during the acute phase of infection with SARS-CoV-2. We found that soluble and transcriptional markers of systemic inflammation peaked during the first week after symptom onset and correlated directly with the upper airways viral loads (UA-VLs), whereas the contemporaneous frequencies of circulating viral nucleocapsid (NC)-specific CD4+ and CD8+ T cells correlated inversely with various inflammatory markers and UA-VLs. In addition, we observed high frequencies of activated CD4+ and CD8+ T cells in acutely infected nasopharyngeal tissue, many of which expressed genes encoding various effector molecules, such as cytotoxic proteins and IFN-γ. The presence of functionally active T cells in the infected epithelium was further linked with common patterns of gene expression among virus-susceptible target cells and better local control of SARS-CoV-2. Collectively, these results identified an immune correlate of protection against SARS-CoV-2, which could inform the development of more effective vaccines to combat the acute and chronic illnesses attributable to COVID-19.
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- 2022
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41. La dimensión cultural en la formación de enseñantes de español para inmigrantes
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Manuel Rubio and Raquel Rubio Martín
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Linguistics and Language ,Demography - Abstract
El propósito de este trabajo es caracterizar el rol de la dimensión cultural desde la perspectiva del desarrollo de la competencia intercultural, experimentado por un grupo de estudiantes universitarios que enseñan español como lengua extranjera a inmigrantes adultos de diferentes nacionalidades. La investigación se basa en el análisis cualitativo de las experiencias docentes de este grupo de monitores, mediante el proceso de reflexión sobre la acción e identificación de incidentes críticos para construir conocimiento pedagógico compartido. Como resultado se identifica en los monitores un cambio en la concepción estática de la cultura que inicialmente expresaban, una relativización de la cultura propia y el perfilamiento de una idea de la cultura como un elemento dinámico, que se reconfigura mediante el diálogo en un marco de reconocimiento mutuo y empático.
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- 2022
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42. Tensiones y desafíos en el proceso de enseñanza-aprendizaje de la Práctica Profesional del Trabajo Social en contexto de la pandemia por Covid-19
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Facundo Zamarreño, Raquel Rubio, Maya Alejandra Fugini, Silvina Boschetti, Alicia Vilamajó, and Nadia Fabiana Ramírez Benites
- Abstract
En el marco de la pandemia por Covid-19, las medidas de Aislamiento Social, Preventivo y Obligatorio dieron en el corazón de las Prácticas Profesionales dentro de la formación académica en Trabajo Social e interpelaron los modos y fundamentos tradicionales de dictado y cursado de este tipo de materias.En el presente escrito, compartimos en clave reflexiva la propuesta de ateneos como dispositivo habilitante de procesos de enseñanza-aprendizaje que contribuya a no sucumbir a la paradoja de una práctica “sin prácticas” ni a la inmovilidad de la perplejidad que produce esta situación inédita y disruptiva.
- Published
- 2021
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43. Seasons, Seeds, and Souls
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Raquel Rubio Goldsmith
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- 2022
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44. Aspectos de lengua y cultura de Japón. Homenaje a Ana María Goy Yamamoto.
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Martín, Raquel Rubio
- Subjects
JAPANESE language ,DYNAMICAL systems ,SOCIOLINGUISTICS ,CULTURE ,LANGUAGE & languages - Abstract
Copyright of Mirai. Estudios Japoneses is the property of Universidad Complutense de Madrid and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2024
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45. Participatory Health Systems Strengthening: Reflections from Malawi and Kenya
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Yeukai Mukorombindo, Yeukai Mukorombindo, Raquel Rubio, Courtney Tolmie, Yeukai Mukorombindo, Yeukai Mukorombindo, Raquel Rubio, and Courtney Tolmie
- Abstract
Systems thinking is a phrase development practitioners and funders hear often, but isn't always aligned with the day to day experiences of local actors. It does not have to be that way.Systems thinking is not about big shifts and changes and reinventing strategies. Small tweaks that often require limited resources and short timelines can have a big impact as long as they are grounded in a deep understanding of the context and its dynamics.Systems thinking reveals multiple reasons for a problem and multiple solutions. We believe systems thinking is an approach that can help uncover structural factors underlying a problem.Global Integrity came to this project to learn about the value and limitations of applying a participatory systems thinking approach (PSTA) that could contribute to better health outcomes, by sparking small, and incremental changes in the system. We wanted to answer the following questions:What are the critical components in systems thinking to address health service delivery challenges?How would it be to engage with civil society and grassroots organizations to implement systems thinking in a short period of time and with limited resources?To what extent is systems thinking for everyone? What would result from it?What could our partners change within their radar and sphere of control?
- Published
- 2022
46. Learning Report of the Using Participatory Approaches for Health Systems Strengthening Project
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Yeukai Mukorombindo, Yeukai Mukorombindo, Raquel Rubio, Courtney Tolmie, Yeukai Mukorombindo, Yeukai Mukorombindo, Raquel Rubio, and Courtney Tolmie
- Abstract
Problems within the health systems that lead to poor outcomes are complex, multifaceted, and differ across contexts, countries, and even communities. Systems thinking approaches have great potential to address these deeply embedded challenges and the technical, political, economic, and social causes that underlie them. However, systems thinking has traditionally been designed and tested with academic partners and with significant resources, without adaptation to engage with civil society and grassroots organizations.In this report, we share findings from a developmental evaluation that analyzed a participatory systems thinking approach that differs from traditional approaches in three core ways: (1) it is led by domestic civil society organization partners rather than academics or international partners, (2) it is time-constrained to under twelve months, and (3) it does not include outside resources for partners to undertake actions designed as part of the systems thinking process.Working with partners in Malawi and Kenya, we found that a systems thinking approach can be adapted to be more participatory and to achieve several critical outcomes, including increasing stakeholder understanding of root causes, supporting more diverse and stronger alliances among stakeholders, increasing collaboration on collective action, and increasing adaptation of actions. While the project and evaluation timeline does not allow us to observe changes in the health system, the evaluation did provide evidence that the within-partner changes related to systems thinking and multi-stakeholder collaboration have continued to expand beyond partners to their constituents and stakeholders, including youth and government leaders.
- Published
- 2022
47. civilization, barbarism, and norteña gardens
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RAQUEL RUBIO-GOLDSMITH
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- 2022
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48. Surveillance of acute SARS-CoV-2 infections in elementary schools and daycare facilities in Bavaria, Germany (09/2020-03/2021)
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Anna, Kern, Pia H, Kuhlmann, Stefan, Matl, Markus, Ege, Nicole, Maison, Jana, Eckert, Ulrich, von Both, Uta, Behrends, Melanie, Anger, Michael C, Frühwald, Michael, Gerstlauer, Joachim, Woelfle, Antje, Neubert, Michael, Melter, Johannes, Liese, David, Goettler, Andreas, Sing, Bernhard, Liebl, Johannes, Hübner, Christoph, Klein, and Raquel Rubio, Acero
- Subjects
Pcr ,Sars-cov-2 ,Children ,Elementary School ,Preschool ,Seroprevalence ,Surveillance ,ddc:610 - Abstract
Introduction: Here we report our results of a multi-center, open cohort study ("COVID-Kids-Bavaria") investigating the distribution of acute SARS-CoV-2 infections among children and staff in 99 daycare facilities and 48 elementary schools in Bavaria, Germany. Materials and Methods: Overall, 2,568 children (1,337 school children, 1,231 preschool children) and 1,288 adults (466 teachers, 822 daycare staff) consented to participate in the study and were randomly tested in three consecutive phases (September/October 2020, November/December 2020, March 2021). In total, 7,062 throat swabs were analyzed for SARS-CoV-2 by commercial RT-PCR kits. Results: In phase I, only one daycare worker tested positive. In phase II, SARS-CoV-2 was detected in three daycare workers, two preschool children, and seven school children. In phase III, no sample tested positive. This corresponds to a positive test rate of 0.05% in phase I, 0.4% in phase II and 0% in phase III. Correlation of a positive PCR test result with the local-7-day incidence values showed a strong association of a 7-day-incidence of more than 100/100,000 as compared to
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- 2022
49. The interplay of viral loads, clinical presentation, and serological responses in SARS-CoV-2 – results from a prospective cohort of outpatient COVID-19 cases
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Kerstin Puchinger, Noemi Castelletti, Raquel Rubio-Acero, Christof Geldmacher, Tabea M. Eser, Flora Deák, Ivana Paunovic, Abhishek Bakuli, Elmar Saathoff, Alexander von Meyer, Alisa Markgraf, Philine Falk, Jakob Reich, Friedrich Riess, Philipp Girl, Katharina Müller, Katja Radon, Jessica Michelle Guggenbuehl Noller, Roman Wölfel, Michael Hoelscher, Inge Kroidl, Andreas Wieser, Laura Olbrich, Emad Alamoudi, Jared Anderson, Maximilian Baumann, Marieke Behlen, Jessica Beyerl, Rebecca Böhnlein, Anna Brauer, Vera Britz, Jan Bruger, Friedrich Caroli, Lorenzo Contento, Jana Diekmannshemke, Anna Do, Gerhard Dobler, Ute Eberle, Judith Eckstein, Jonathan Frese, Felix Forster, Turid Frahnow, Günter Fröschl, Otto Geisenberger, Kristina Gillig, Arlett Heiber, Christian Hinske, Janna Hoefflin, Tim Hofberger, Michael Höfinger, Larissa Hofmann, Sacha Horn, Kristina Huber, Christian Janke, Ursula Kappl, Charlotte Kiani, Arne Kroidl, Michael Laxy, Reiner Leidl, Felix Lindner, Rebecca Mayrhofer, Anna-Maria Mekota, Hannah Müller, Dafni Metaxa, Leonie Pattard, Michel Pletschette, Stephan Prückner, Konstantin Pusl, Elba Raimúndez, Camila Rothe, Nicole Schäfer, Paul Schandelmaier, Lara Schneider, Sophie Schultz, Mirjam Schunk, Lars Schwettmann, Heidi Seibold, Peter Sothmann, Paul Stapor, Fabian Theis, Verena Thiel, Sophie Thiesbrummel, Niklas Thur, Julia Waibel, Claudia Wallrauch, Simon Winter, Julia Wolff, Pia Wullinger, Houda Yaqine, Sabine Zange, Eleftheria Zeggini, Thomas Zimmermann, Anna Zielke, Mohamed Ibraheem, Mohamed Ahmed, Marc Becker, Paulina Diepers, Yannik Schälte, Mercè Garí, Peter Pütz, Michael Pritsch, Volker Fingerle, Ronan Le Gleut, Leonard Gilberg, Isabel Brand, Max Diefenbach, Tabea Eser, Franz Weinauer, Silke Martin, Ernst-Markus Quenzel, Jürgen Durner, Christiane Fuchs, and Jan Hasenauer
- Subjects
Adult ,Adolescent ,SARS-CoV-2 ,COVID-19 ,Middle Aged ,Viral Load ,Cohort Studies ,Young Adult ,Virology ,Host-Pathogen Interactions ,Outpatients ,Humans ,Serologic Tests ,Longitudinal Studies ,ddc:610 ,Symptom Assessment ,Child ,Pandemics ,Covid-19 ,Immune Response ,Public Health ,Rt-pcr ,Sars-cov-2 ,Serological Testing ,Viral Culture - Abstract
Risk factors for disease progression and severity of SARS-CoV-2 infections require an understanding of acute and long-term virological and immunological dynamics. Fifty-one RT-PCR positive COVID-19 outpatients were recruited between May and December 2020 in Munich, Germany, and followed up at multiple defined timepoints for up to one year. RT-PCR and viral culture were performed and seroresponses measured. Participants were classified applying the WHO clinical progression scale. Short symptom to test time (median 5.0 days; p = 0.0016) and high viral loads (VL; median maximum VL: 3∙108 copies/mL; p = 0.0015) were indicative for viral culture positivity. Participants with WHO grade 3 at baseline had significantly higher VLs compared to those with WHO 1 and 2 (p = 0.01). VLs dropped fast within 1 week of symptom onset. Maximum VLs were positively correlated with the magnitude of Ro-N-Ig seroresponse (p = 0.022). Our results describe the dynamics of VLs and antibodies to SARS-CoV-2 in mild to moderate cases that can support public health measures during the ongoing global pandemic.
- Published
- 2022
50. Community SARS-CoV-2 seroprevalence before and after the second wave of SARS-CoV-2 infection in Harare, Zimbabwe
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Kudzai P.E. Masunda, Michael Hoelscher, Rashida A. Ferrand, Andreas Wieser, Simbarashe Rusakaniko, Hilda Mujuru, Ioana D. Olaru, Ivana Paunovic, Victoria Simms, Nicol Redzo, Chiratidzo E. Ndhlovu, Prosper Chonzi, Katharina Kranzer, Raquel Rubio-Acero, Arun Fryatt, and Tsitsi Bandason
- Subjects
Zimbabwe ,2019-20 coronavirus outbreak ,Medicine (General) ,High prevalence ,business.industry ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,General Medicine ,Article ,law.invention ,Transmission (mechanics) ,R5-920 ,law ,Medicine ,Seroprevalence ,Christian ministry ,SARS-CoV-2 seroprevalence ,Prevalence ratio ,business ,Third wave ,Demography - Abstract
s: Background: By the end of July 2021 Zimbabwe, has reported over 100,000 SARS-CoV-2 infections. The true number of SARS-CoV-2 infections is likely to be much higher. We conducted a seroprevalence survey to estimate the prevalence of past SARS-CoV-2 in three high-density communities in Harare, Zimbabwe before and after the second wave of SARS-CoV-2. Methods: Between November 2020 and April 2021 we conducted a cross-sectional study of randomly selected households in three high-density communities (Budiriro, Highfield and Mbare) in Harare. Consenting participants answered a questionnaire and a dried blood spot sample was taken. Samples were tested for anti-SARS-CoV-2 nucleocapsid antibodies using the Roche e801 platform. Findings: A total of 2340 individuals participated in the study. SARS-CoV-2 antibody results were available for 70·1% (620/885) and 73·1% (1530/2093) of eligible participants in 2020 and 2021. The median age was 22 (IQR 10-37) years and 978 (45·5%) were men. SARS-CoV-2 seroprevalence was 19·0% (95% CI 15·1-23·5%) in 2020 and 53·0% (95% CI 49·6-56·4) in 2021. The prevalence ratio was 2·47 (95% CI 1·94-3·15) comparing 2020 with 2021 after adjusting for age, sex, and community. Almost half of all participants who tested positive reported no symptoms in the preceding six months. Interpretation: Following the second wave, one in two people had been infected with SARS-CoV-2 suggesting high levels of community transmission. Our results suggest that 184,800 (172,900-196,700) SARS-CoV-2 infections occurred in these three communities alone, greatly exceeding the reported number of cases for the whole city. Further seroprevalence surveys are needed to understand transmission during the current third wave despite high prevalence of past infections. Funding: GCRF, Government of Canada, Wellcome Trust, Bavarian State Ministry of Sciences, Research, and the Arts
- Published
- 2021
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