Journal of Medical Virology,
Journal Year:
2022,
Volume and Issue:
94(7), P. 2939 - 2961
Published: March 1, 2022
Accumulating
evidence
shows
a
progressive
decline
in
the
efficacy
of
coronavirus
disease
2019
(COVID-19)
(severe
acute
respiratory
syndrome
2
[SARS-CoV-2])
messenger
RNA
(mRNA)
vaccines
such
as
Pfizer-BioNTech
(mRNA
BNT161b2)
and
Moderna
(mRNA-1273)
preventing
breakthrough
infections
due
to
diminishing
humoral
immunity
over
time.
Thus,
this
review
characterizes
kinetics
anti-SARS-CoV-2
antibodies
after
second
dose
primary
cycle
COVID-19
mRNA
vaccination.
A
systematic
search
literature
was
performed
total
18
articles
(N
=
15
980
participants)
were
identified
reviewed.
The
percent
difference
means
reported
antibody
titers
then
calculated
determine
response
peak
levels
postvaccination.
Findings
revealed
that
reached
at
21-28
days
dose,
which
serum
progressively
diminished
4-6-month
Additionally,
results
showed
regardless
age,
sex,
serostatus,
presence
comorbidities,
longitudinal
data
reporting
measurement
exhibited
both
anti-receptor
binding
domain
immunoglobulin
G
(IgG)
anti-spike
IgG,
ranging
from
94%
95%
90-180
55%-85%
140-160
days,
respectively,
response.
This
suggests
rate
may
be
independent
patient-related
factors
but
mainly
function
time
class/molecular
target.
Hence,
study
highlights
necessity
more
efficient
vaccination
strategies
provide
booster
administration
attenuating
effects
waning
immunity,
especially
appearance
new
variants
concerns.
Oxford University Press eBooks,
Journal Year:
2023,
Volume and Issue:
unknown
Published: Nov. 23, 2023
Abstract
The
2001
(first)
edition
of
this
Handbook
was
a
comprehensive
review
history,
research,
and
discussions
on
religion
health
through
the
year
2000.
Appendix
listed
1,200
separate
quantitative
studies
each
rated
in
quality
0–10
scale,
followed
by
about
2,000
references
an
extensive
index
for
rapid
topic
identification.
2012
(second)
systematically
updated
research
from
2000
to
2010,
with
number
then
reaching
thousands.
This
2023
(third)
is
most
scientifically
rigorous
date,
covering
best
published
2021
emphasis
prospective
randomized
controlled
trials.
Beginning
Foreword
Dr.
Howard
K.
Koh,
former
US
Assistant
Secretary
Health
Department
Human
Services,
nearly
600,000-word
volume
examines
almost
every
aspect
health,
reviewing
past
more
recent
relationship
between
outcomes.
Furthermore,
all
its
34
chapters
conclude
clinical
community
applications,
making
text
relevant
both
healthcare
professionals
(physicians,
nurses,
social
workers,
rehabilitation
therapists,
counselors,
psychologists,
sociologists,
etc.)
clergy
(community
clergy,
chaplains,
pastoral
etc.).
book’s
focuses
studies,
describing
study
single
line,
allowing
researchers
quickly
locate
existing
research.
It
should
not
be
surprising
that
two
decades
has
been
cited
health.
BMJ,
Journal Year:
2021,
Volume and Issue:
unknown, P. n1137 - n1137
Published: May 19, 2021
Abstract
Objective
To
estimate
the
direct
and
indirect
effects
of
covid-19
pandemic
on
mortality
in
2020
29
high
income
countries
with
reliable
complete
age
sex
disaggregated
data.
Design
Time
series
study
countries.
Setting
Austria,
Belgium,
Czech
Republic,
Denmark,
England
Wales,
Estonia,
Finland,
France,
Germany,
Greece,
Hungary,
Israel,
Italy,
Latvia,
Lithuania,
Netherlands,
New
Zealand,
Northern
Ireland,
Norway,
Poland,
Portugal,
Scotland,
Slovakia,
Slovenia,
South
Korea,
Spain,
Sweden,
Switzerland,
United
States.
Participants
Mortality
data
from
Short-term
Fluctuations
Human
Database
for
2016-20,
harmonised
by
sex.
Interventions
Covid-19
associated
policy
measures.
Main
outcome
measures
Weekly
excess
deaths
(observed
versus
expected
predicted
model)
2020,
(0-14,
15-64,
65-74,
75-84,
≥85
years),
estimated
using
an
over-dispersed
Poisson
regression
model
that
accounts
temporal
trends
seasonal
variability
mortality.
Results
An
979
000
(95%
confidence
interval
954
to
1
001
000)
occurred
analysed.
All
had
except
Denmark.
The
five
highest
absolute
number
were
US
(458
000,
454
461
000),
Italy
(89
100,
87
500
90
700),
Wales
(85
400,
83
900
86
800),
Spain
(84
82
800
85
300),
Poland
(60
58
61
300).
Zealand
lower
overall
than
(−2500,
−2900
−2100).
In
many
countries,
substantially
exceeded
reported
covid-19.
death
rates
(per
100
men
Lithuania
(285,
259
311),
(191,
184
197),
(179,
174
184),
Hungary
(174,
161
188),
(168,
163
173);
women
(210,
185
234),
(180,
175
185),
(169,
156
182),
Slovenia
(158,
132
Belgium
(151,
141
162).
Little
evidence
was
found
subsequent
compensatory
reductions
following
Conclusion
Approximately
one
million
these
Age
standardised
higher
almost
all
Excess
indicating
determining
full
impact
requires
assessment
deaths.
Many
children
<15
years.
Sex
inequality
widened
further
most
2020.
Nature Medicine,
Journal Year:
2021,
Volume and Issue:
28(1), P. 201 - 211
Published: Nov. 15, 2021
Abstract
Although
critical
for
host
defense,
innate
immune
cells
are
also
pathologic
drivers
of
acute
respiratory
distress
syndrome
(ARDS).
Innate
dynamics
during
Coronavirus
Disease
2019
(COVID-19)
ARDS,
compared
to
ARDS
from
other
pathogens,
is
unclear.
Moreover,
mechanisms
underlying
the
beneficial
effects
dexamethasone
severe
COVID-19
remain
elusive.
Using
single-cell
RNA
sequencing
and
plasma
proteomics,
we
discovered
that,
bacterial
was
associated
with
expansion
distinct
neutrophil
states
characterized
by
interferon
(IFN)
prostaglandin
signaling.
Dexamethasone
affected
circulating
neutrophils,
altered
IFN
active
downregulated
interferon-stimulated
genes
activated
IL-1R2
+
neutrophils.
expanded
immunosuppressive
immature
neutrophils
remodeled
cellular
interactions
changing
information
receivers
into
providers.
Male
patients
had
higher
proportions
preferential
steroid-induced
expansion,
potentially
affecting
outcomes.
Our
atlas
(see
‘Data
availability’
section)
defines
COVID-19-enriched
molecular
action
develop
targeted
immunotherapies
COVID-19.
PLoS ONE,
Journal Year:
2021,
Volume and Issue:
16(7), P. e0254066 - e0254066
Published: July 9, 2021
The
coronavirus
disease
2019
(COVID-19)
pandemic
continues
to
be
a
global
threat,
with
tremendous
resources
invested
into
identifying
risk
factors
for
severe
COVID-19
illness.
objective
of
this
study
was
analyze
the
characteristics
and
outcomes
male
compared
female
adults
who
required
hospitalization
within
US
academic
centers.Using
Vizient
clinical
database,
discharge
records
diagnosis
between
March
1,
2020
November
30,
were
reviewed.
Outcome
measures
included
demographics,
characteristics,
length
hospital
stay,
rate
respiratory
intubation
mechanical
ventilation,
in-hospital
mortality
vs
according
age,
race/ethnicity,
presence
preexisting
comorbidities.Among
COVID-19,
161,206
while
146,804
female.
Adult
males
more
likely
have
hypertension
(62.1%
59.6%,
p
<0.001%),
diabetes
(39.2%
36.0%,
renal
failure
(22.3%
18.1%,
congestive
heart
(15.3%
14.6%,
liver
(5.9%
4.5%,
<0.001%).
females
obese
(32.3%
25.7%,
p<0.001)
chronic
pulmonary
(23.7%
<0.001).
Gender
significantly
different
among
races
(p<0.001),
there
lower
proportion
versus
in
African
American
patients
COVID-19.
Comparison
vs.
is
depicted
Table
2.
Compared
females,
had
higher
(13.8%
10.2%,
respectively,
<0.001);
(21.4%
longer
stay
(9.5
±
12.5
days
7.8
9.8
days,
p<0.001).
In-hospital
analyzed
age
groups,
payers,
comorbidities
consistently
showed
death
(Table
2).
associated
odds
their
counterparts
across
all
effect
being
most
pronounced
18-30
group
(OR,
3.02
[95%
CI,
2.41-3.78]).This
large
analysis
308,010
hospitalized
at
centers
that
even
when
comorbidity.
EClinicalMedicine,
Journal Year:
2021,
Volume and Issue:
36, P. 100928 - 100928
Published: June 1, 2021
Literature
data
suggests
that
age,
gender
and
body
mass
index
(BMI)
could
be
associated
with
difference
in
immune
responses
to
vaccines.
The
first
goal
of
the
study
was
analyze
antibody
titre
seven
days
after
second
dose
BNT162b2
vaccine
a
group
248
healthcare
workers
(HCWs).
how
changes
correlation
gender,
BMI
hypertension.An
immunogenicity
evaluation
carried
out
among
HCWs
vaccinated
at
Istituti
Fisioterapici
Ospitalieri
(IFO),
Rome,
Italy.
All
were
asked
by
Italian
national
campaign
beginning
2021.
260
enrolled
study.
eligible
participants
assigned
receive
priming
two
weeks'
time
booster
exactly
21
thereafter.
Blood
nasopharyngeal
swabs
collected
baseline
7
vaccine.
Quantitative
measurements
IgG
antibodies
against
S1/S2
antigens
SARS-CoV-2
performed
commercial
chemiluminescent
immunoassay.
Presence
SARS-Cov-2
swab
determined
RT-PCR
testing.248
HWCs
analyzed,
158
women
(63.7%)
90
men
(36.3%).
After
vaccine,
99.5%
developed
humoral
response.
geometric
mean
concentration
subjects
(285.9
AU/mL
95%
CI:
249.5-327.7)
higher
than
human
convalescent
sera
(39.4
AU/mL,
33.1-46.9),
p<0.0001.
Multivariate
linear
regression
analysis
multivariate
inclusion
covariates.
This
demonstrated
age
(p<0.0001)
(p
=
0.038)
are
statistically
differences
response
vaccination,
whereas
hypertension
have
no
significant
association
0.078
p
0.52
respectively).99.5%
HCW
female
young
seem
an
increased
capacity
mount
responses.
not
vaccine.None.
Frontiers in Immunology,
Journal Year:
2021,
Volume and Issue:
12
Published: Aug. 31, 2021
The
ongoing
COVID-19
pandemic
has
increased
awareness
about
sex-specific
differences
in
immunity
and
outcomes
following
SARS-CoV-2
infection.
Strong
evidence
of
a
male
bias
disease
severity
is
hypothesized
to
be
mediated
by
sex
differential
immune
responses
against
SARS-CoV-2.
This
hypothesis
based
on
data
from
other
viral
infections,
including
influenza
viruses,
HIV,
hepatitis
others
that
have
demonstrated
infections.
Although
males
are
more
susceptible
most
females
possess
immunological
features
render
them
vulnerable
distinct
immune-related
outcomes.
Both
chromosome
complement
related
genes
as
well
steroids
play
important
roles
mediating
the
development
JAMA Network Open,
Journal Year:
2021,
Volume and Issue:
4(5), P. e2111398 - e2111398
Published: May 25, 2021
Importance
Male
sex
is
a
risk
factor
for
developing
severe
COVID-19
illness.
It
not
known
whether
hormones
contribute
to
this
predisposition.
Objective
To
investigate
the
association
of
concentrations
serum
testosterone,
estradiol,
and
insulinlike
growth
1
(IGF-1,
which
are
regulated
by
hormone
signaling)
with
severity.
Design,
Setting,
Participants
This
prospective
cohort
study
was
conducted
using
samples
collected
from
consecutive
patients
who
presented
March
through
May
2020
Barnes
Jewish
Hospital
in
St
Louis,
Missouri,
(diagnosed
nasopharyngeal
swabs).
Exposures
Testosterone,
IGF-1
were
measured
at
time
presentation
(ie,
day
0)
days
3,
7,
14,
28
after
admission
(if
patient
remained
hospitalized).
Main
Outcomes
Measures
Baseline
compared
among
had
vs
those
milder
RNA
sequencing
performed
on
circulating
mononuclear
cells
understand
mechanistic
altered
cellular
signaling
pathways.
Results
Among
152
(90
[59.2%]
men;
62
[40.8%]
women;
mean
[SD]
age,
63
[16]
years),
143
(94.1%)
hospitalized.
66
men
COVID-19,
median
[interquartile
range]
testosterone
lower
0
(53
[18
114]
ng/dL
151
[95
217]
ng/dL;P
=
.01)
3
(19
[6
68]
111
[49
274]
.006)
24
disease.
Testosterone
inversely
associated
interleukin
6
(β
−0.43;
95%
CI,
−0.52
−0.17;P
<
.001),
C-reactive
protein
−0.38;
−0.78
−0.16;P
.004),
receptor
antagonist
−0.29;
−0.64
−0.06;P
.02),
hepatocyte
−0.46;
−0.69
−0.25;P
interferon
γ–inducible
10
−0.32;
−0.62
−0.10;P
.007).
Estradiol
severity
men.
similar
women
without
COVID-19.
Gene
set
enrichment
analysis
revealed
upregulated
pathways
CD14+CD16−(ie,
classical)
monocytes
CD14−CD16+(ie,
nonclassical)
male
needed
intensive
care
unit
treatment
did
not.
Conclusions
Relevance
In
single-center
during
hospitalization
increased
disease
inflammation
Hormone
parallel
concentrations,
further
investigation
required
their
pathophysiologic
Frontiers in Psychology,
Journal Year:
2021,
Volume and Issue:
12
Published: Aug. 5, 2021
The
COVID-19
pandemic
has
led
many
people
to
suffer
from
emotional
distress.
Previous
studies
suggest
that
women
process
and
express
affective
experiences,
such
as
fear,
with
a
greater
intensity
compared
men.
We
administered
an
online
survey
sample
of
participants
in
the
United
States
measures
fear
COVID-19,
perceptions
about
health
financial
risks,
preventative
taken.
Despite
empirical
fact
men
are
more
likely
experience
adverse
consequences
report
negative
expectations
health-related
than
However,
optimistic
regarding
pandemic.
Women
also
experiences
generally
during
pandemic,
particularly
situations
where
other
or
government
take
actions
make
matters
worse.
Though
taking
response
gender
differences
behavior
reduced
after
controlling
for
fear.
These
results
shed
light
on
how
may
inform
policy
interventions.