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  1. Article: Comparative Analysis of SARS-CoV-2 Antibody Responses across Global and Lesser-Studied Vaccines.

    Zambrana, José Victor / Saenz, Carlos / Maier, Hannah E / Brenes, Mayling / Nuñez, Andrea / Matamoros, Anita / Hernández, Mabel / Dumas, Keyla / Toledo, Cristhian / Peralta, Leonardo / Gordon, Aubree / Balmaseda, Angel

    Vaccines

    2024  Volume 12, Issue 3

    Abstract: Few data are available on antibody response for some SARS-CoV-2 vaccines, and there is a lack of ability to compare vaccine responses in the same population. This cross-sectional study conducted in Nicaragua examines the SARS-CoV-2 antibody responses in ... ...

    Abstract Few data are available on antibody response for some SARS-CoV-2 vaccines, and there is a lack of ability to compare vaccine responses in the same population. This cross-sectional study conducted in Nicaragua examines the SARS-CoV-2 antibody responses in individuals, previously exposed to high infection rates who have received various vaccines. The vaccines under comparison include well-known ones like Pfizer (BNT162b2) and AstraZeneca (ChAdOx1-S), alongside less-studied vaccines including Soberana (Soberana 02), Abdala (CIGB-66), and Sputnik V/Sputnik Light. Overall, 3195 individuals participated, with 2862 vaccinated and 333 unvaccinated. We found that 95% of the unvaccinated were seropositive, with much lower titers than the vaccinated. Among the vaccinated, we found that Soberana recipients mounted the highest anti-spike response (mean difference (MD) = 36,498.8 [20,312.2, 52,685.5]), followed by Abdala (MD = 25,889.9 [10,884.1, 40,895.7]), BNT162b2 (MD = 12,967.2 [7543.7, 18,390.8]) and Sputnik with AstraZeneca as the reference group, adjusting for age, sex, vaccine status, days after last dose, and self-reported COVID-19. In addition, we found that subjects with complete vaccination series had higher antibody magnitude than those with incomplete series. Overall, we found no evidence of waning in the antibody magnitude across vaccines. Our study supports the conclusion that populations with high infection rates still benefit substantially from vaccination.
    Language English
    Publishing date 2024-03-19
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2703319-3
    ISSN 2076-393X
    ISSN 2076-393X
    DOI 10.3390/vaccines12030326
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Increased Influenza Severity in Children in the Wake of SARS-CoV-2.

    Hoy, Gregory / Maier, Hannah E / Kuan, Guillermina / Sánchez, Nery / López, Roger / Meyers, Alyssa / Plazaola, Miguel / Ojeda, Sergio / Balmaseda, Angel / Gordon, Aubree

    medRxiv : the preprint server for health sciences

    2023  

    Abstract: The SARS-CoV-2 pandemic and subsequent interruption of influenza circulation has lowered population immunity to influenza, especially among children with few pre-pandemic exposures. We compared the incidence and severity of influenza A/H3N2 and influenza ...

    Abstract The SARS-CoV-2 pandemic and subsequent interruption of influenza circulation has lowered population immunity to influenza, especially among children with few pre-pandemic exposures. We compared the incidence and severity of influenza A/H3N2 and influenza B/Victoria between 2022 and two pre-pandemic seasons and found an increased frequency of severe influenza in 2022.
    Language English
    Publishing date 2023-03-16
    Publishing country United States
    Document type Preprint
    DOI 10.1101/2023.03.11.23286858
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Reduction in Long COVID Symptoms and Symptom Severity in Vaccinated Compared to Unvaccinated Adults.

    Maier, Hannah E / Kowalski-Dobson, Theresa / Eckard, Ashley / Gherasim, Carmen / Manthei, David / Meyers, Alyssa / Davis, Dawson / Bakker, Kevin / Lindsey, Kathleen / Chu, Zijin / Warsinske, Lauren / Arnold, Matthew / Buswinka, Anna / Stoneman, Emily / Valdez, Riccardo / Gordon, Aubree

    Open forum infectious diseases

    2024  Volume 11, Issue 2, Page(s) ofae039

    Abstract: Background: The impact of vaccination prior to infection on postacute sequelae of coronavirus disease 2019 (COVID-19, PASC), also known as long COVID, remains unclear. Here we assess the protective effect of vaccination on long COVID in a community- ... ...

    Abstract Background: The impact of vaccination prior to infection on postacute sequelae of coronavirus disease 2019 (COVID-19, PASC), also known as long COVID, remains unclear. Here we assess the protective effect of vaccination on long COVID in a community-based setting.
    Methods: The Immunity Associated with SARS-CoV-2 (IASO) study is an ongoing prospective cohort of working adults that began in October 2020. Participants are actively followed for severe acute respiratory syndrome coronavirus 2 infection. We compared the prevalence of symptoms and symptom severity in vaccinated compared to unvaccinated cases. Our primary definition of long COVID was the presence of symptoms at 90 days postinfection; 30 days postinfection was also examined.
    Results: Overall, by 90 days postinfection, 13% of cases had long COVID, with 27% of unvaccinated cases and 8% of vaccinated cases reporting long COVID (relative risk [RR], 0.31 [95% confidence interval {CI}, .22-.42]). Vaccination was also associated with significantly lower average severity scores at all timepoints (eg, relative severity at 90 days postinfection: -2.70 [95% CI, -1.68 to -3.73]). In the pre-Omicron era, 28% of unvaccinated cases and 18% of vaccinated cases reported long COVID (
    Conclusions: Vaccinated cases had lower prevalence of long COVID and reduced symptom severity.
    Language English
    Publishing date 2024-01-23
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2757767-3
    ISSN 2328-8957
    ISSN 2328-8957
    DOI 10.1093/ofid/ofae039
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Increased influenza severity in children in the wake of SARS-CoV-2.

    Hoy, Gregory / Maier, Hannah E / Kuan, Guillermina / Sánchez, Nery / López, Roger / Meyers, Alyssa / Plazaola, Miguel / Ojeda, Sergio / Balmaseda, Angel / Gordon, Aubree

    Influenza and other respiratory viruses

    2023  Volume 17, Issue 7, Page(s) e13178

    Abstract: The SARS-CoV-2 pandemic and subsequent interruption of influenza circulation has lowered population immunity to influenza, especially among children with few prepandemic exposures. Using data from a prospective pediatric cohort study based in Managua, ... ...

    Abstract The SARS-CoV-2 pandemic and subsequent interruption of influenza circulation has lowered population immunity to influenza, especially among children with few prepandemic exposures. Using data from a prospective pediatric cohort study based in Managua, Nicaragua, we compared the incidence and severity of influenza A/H3N2 and influenza B/Victoria between 2022 and two prepandemic seasons. We found a higher incidence of A/H3N2 in older children in 2022 compared with pre-2020 and a higher proportion of severe influenza in 2022, primarily among children aged 0-4, suggesting an influence of the SARS-CoV-2 pandemic on influenza incidence and severity in children.
    MeSH term(s) Child ; Humans ; Influenza, Human/epidemiology ; SARS-CoV-2 ; Influenza A Virus, H3N2 Subtype ; Cohort Studies ; Prospective Studies ; COVID-19/epidemiology ; Seasons
    Language English
    Publishing date 2023-07-23
    Publishing country England
    Document type Journal Article
    ZDB-ID 2274538-5
    ISSN 1750-2659 ; 1750-2640
    ISSN (online) 1750-2659
    ISSN 1750-2640
    DOI 10.1111/irv.13178
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Protection Associated with Previous SARS-CoV-2 Infection in Nicaragua.

    Maier, Hannah E / Balmaseda, Angel / Saborio, Saira / Ojeda, Sergio / Barilla, Carlos / Sanchez, Nery / Lopez, Roger / Plazaola, Miguel / Cerpas, Cristhiam / van Bakel, Harm / Kubale, John / Harris, Eva / Kuan, Guillermina / Gordon, Aubree

    The New England journal of medicine

    2022  Volume 387, Issue 6, Page(s) 568–570

    MeSH term(s) Antibodies, Viral/immunology ; COVID-19/immunology ; Humans ; Immunity, Active/immunology ; Nicaragua/epidemiology ; SARS-CoV-2
    Chemical Substances Antibodies, Viral
    Language English
    Publishing date 2022-07-20
    Publishing country United States
    Document type Letter ; Research Support, N.I.H., Extramural
    ZDB-ID 207154-x
    ISSN 1533-4406 ; 0028-4793
    ISSN (online) 1533-4406
    ISSN 0028-4793
    DOI 10.1056/NEJMc2203985
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: The Nicaraguan Pediatric Influenza Cohort Study, 2011-2019: Influenza Incidence, Seasonality, and Transmission.

    Maier, Hannah E / Kuan, Guillermina / Gresh, Lionel / Chowell, Gerardo / Bakker, Kevin / Lopez, Roger / Sanchez, Nery / Lopez, Brenda / Schiller, Amy / Ojeda, Sergio / Harris, Eva / Balmaseda, Angel / Gordon, Aubree

    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

    2022  Volume 76, Issue 3, Page(s) e1094–e1103

    Abstract: Background: Children account for a large portion of global influenza burden and transmission, and a better understanding of influenza in children is needed to improve prevention and control strategies.: Methods: To examine the incidence and ... ...

    Abstract Background: Children account for a large portion of global influenza burden and transmission, and a better understanding of influenza in children is needed to improve prevention and control strategies.
    Methods: To examine the incidence and transmission of influenza we conducted a prospective community-based study of children aged 0-14 years in Managua, Nicaragua, between 2011 and 2019. Participants were provided with medical care through study physicians and symptomatic influenza was confirmed by reverse-transcription polymerase chain reaction (RT-PCR). Wavelet analyses were used to examine seasonality. Generalized growth models (GGMs) were used to estimate effective reproduction numbers.
    Results: From 2011 to 2019, 3016 children participated, with an average of ∼1800 participants per year and median follow-up time of 5 years per child, and 48.3% of the cohort in 2019 had been enrolled their entire lives. The overall incidence rates per 100 person-years were 14.5 symptomatic influenza cases (95% confidence interval [CI]: 13.9-15.1) and 1.0 influenza-associated acute lower respiratory infection (ALRI) case (95% CI: .8-1.1). Symptomatic influenza incidence peaked at age 9-11 months. Infants born during peak influenza circulation had lower incidence in the first year of their lives. The mean effective reproduction number was 1.2 (range 1.02-1.49), and we observed significant annual patterns for influenza and influenza A, and a 2.5-year period for influenza B.
    Conclusions: This study provides important information for understanding influenza epidemiology and informing influenza vaccine policy. These results will aid in informing strategies to reduce the burden of influenza.
    MeSH term(s) Child ; Humans ; Infant ; Cohort Studies ; Incidence ; Influenza Vaccines ; Influenza, Human/epidemiology ; Prospective Studies ; Respiratory Tract Infections/epidemiology ; Infant, Newborn ; Child, Preschool ; Adolescent
    Chemical Substances Influenza Vaccines
    Language English
    Publishing date 2022-06-02
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 1099781-7
    ISSN 1537-6591 ; 1058-4838
    ISSN (online) 1537-6591
    ISSN 1058-4838
    DOI 10.1093/cid/ciac420
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Pediatric burden and seasonality of human metapneumovirus over 5 years in Managua, Nicaragua.

    Hacker, Kathryn / Kuan, Guillermina / Vydiswaran, Nivea / Chowell-Puente, Gerardo / Patel, Mayuri / Sanchez, Nery / Lopez, Roger / Ojeda, Sergio / Lopez, Brenda / Mousa, Jarrod / Maier, Hannah E / Balmaseda, Angel / Gordon, Aubree

    Influenza and other respiratory viruses

    2022  Volume 16, Issue 6, Page(s) 1112–1121

    Abstract: Background: Human metapneumovirus (hMPV) is an important cause of pediatric respiratory infection. We leveraged the Nicaraguan Pediatric Influenza Cohort Study (NPICS) to assess the burden and seasonality of symptomatic hMPV infection in children.: ... ...

    Abstract Background: Human metapneumovirus (hMPV) is an important cause of pediatric respiratory infection. We leveraged the Nicaraguan Pediatric Influenza Cohort Study (NPICS) to assess the burden and seasonality of symptomatic hMPV infection in children.
    Methods: NPICS is an ongoing prospective study of children in Managua, Nicaragua. We assessed children for hMPV infection via real-time reverse-transcription polymerase chain reaction (RT-PCR). We used classical additive decomposition analysis to assess the temporal trends, and generalized growth models (GGMs) were used to estimate effective reproduction numbers.
    Results: From 2011 to 2016, there were 564 hMPV symptomatic infections, yielding an incidence rate of 5.74 cases per 100 person-years (95% CI 5.3, 6.2). Children experienced 3509 acute lower respiratory infections (ALRIs), of which 160 (4.6%) were associated with hMPV infection. Children under the age of one had 55% of all symptomatic hMPV infections (62/112) develop into hMPV-associated ALRIs and were five times as likely as children over one to have an hMPV-associated ALRI (rate ratio 5.5 95% CI 4.1, 7.4 p < 0.001). Additionally, symptomatic reinfection with hMPV was common. In total, 87 (15%) of all observed symptomatic infections were detected reinfections. The seasonality of symptomatic hMPV outbreaks varied considerably. From 2011 to 2016, four epidemic periods were observed, following a biennial seasonal pattern. The mean ascending phase of the epidemic periods were 7.7 weeks, with an overall mean estimated reproductive number of 1.2 (95% CI 1.1, 1.4).
    Conclusions: Symptomatic hMPV infection was associated with substantial burden among children in the first year of life. Timing and frequency of symptomatic hMPV incidence followed biennial patterns.
    MeSH term(s) Child ; Cohort Studies ; Humans ; Infant ; Influenza, Human ; Metapneumovirus/genetics ; Nicaragua/epidemiology ; Paramyxoviridae Infections/epidemiology ; Prospective Studies ; Respiratory Tract Infections/epidemiology
    Language English
    Publishing date 2022-08-14
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 2274538-5
    ISSN 1750-2659 ; 1750-2640
    ISSN (online) 1750-2659
    ISSN 1750-2640
    DOI 10.1111/irv.13034
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: SARS-CoV-2 infection-induced immunity and the duration of viral shedding: Results from a Nicaraguan household cohort study.

    Maier, Hannah E / Plazaola, Miguel / Lopez, Roger / Sanchez, Nery / Saborio, Saira / Ojeda, Sergio / Barilla, Carlos / Kuan, Guillermina / Balmaseda, Angel / Gordon, Aubree

    Influenza and other respiratory viruses

    2022  Volume 17, Issue 1, Page(s) e13074

    Abstract: Background: Much of the world's population has been infected with SARS-CoV-2. Thus, immunity from prior infection will play a critical role in future SARS-CoV-2 transmission. We investigated the impact of infection-induced immunity on viral shedding ... ...

    Abstract Background: Much of the world's population has been infected with SARS-CoV-2. Thus, immunity from prior infection will play a critical role in future SARS-CoV-2 transmission. We investigated the impact of infection-induced immunity on viral shedding duration and viral load.
    Methods: We conducted a household cohort study in Managua, Nicaragua, with an embedded transmission study that closely monitors participants regardless of symptoms. Real-time reverse-transcription polymerase chain reaction (RT-PCR) and enzyme-linked immunosorbent assays (ELISAs) were used to measure infections and seropositivity, respectively. Blood samples were collected twice annually and surrounding household intensive monitoring periods. We used accelerated failure time models to compare shedding times. Participants vaccinated ≥14 days prior to infection were excluded from primary analyses.
    Results: There were 600 RT-PCR-confirmed SARS-CoV-2 infections in unvaccinated participants between May 1, 2020, and March 10, 2022, with prior ELISA data. Prior infection was associated with 48% shorter shedding times (event time ratio [ETR] 0.52, 95% CI: 0.39-0.69, mean shedding: 13.7 vs. 26.4 days). A fourfold higher anti-SARS-CoV-2 spike titer was associated with 17% shorter shedding (ETR 0.83, 95% CI: 0.78-0.90). Similarly, maximum viral loads (lowest cycle threshold [CT]) were lower for previously infected individuals (mean CT 29.8 vs. 28.0, p = 4.02 × 10
    Conclusions: Prior infection-induced immunity was associated with shorter viral shedding and lower viral loads, which may be important in the transition from pandemic to endemicity.
    MeSH term(s) Adult ; Child ; Humans ; COVID-19/epidemiology ; SARS-CoV-2 ; Cohort Studies ; Virus Shedding ; COVID-19 Testing
    Language English
    Publishing date 2022-12-01
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
    ZDB-ID 2274538-5
    ISSN 1750-2659 ; 1750-2640
    ISSN (online) 1750-2659
    ISSN 1750-2640
    DOI 10.1111/irv.13074
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: An immune correlate of SARS-CoV-2 infection and severity of reinfections.

    Maier, Hannah E / Balmaseda, Angel / Ojeda, Sergio / Cerpas, Cristiam / Sanchez, Nery / Plazaola, Miguel / van Bakel, Harm / Kubale, John / Lopez, Roger / Saborio, Saira / Barilla, Carlos / Harris, Eva / Kuan, Guillermina / Gordon, Aubree

    medRxiv : the preprint server for health sciences

    2021  

    Abstract: Background: An immune correlate of protection from SARS-CoV-2 infection is urgently needed.: Methods: We used an ongoing household cohort with an embedded transmission study that closely monitors participants regardless of symptom status. Real-time ... ...

    Abstract Background: An immune correlate of protection from SARS-CoV-2 infection is urgently needed.
    Methods: We used an ongoing household cohort with an embedded transmission study that closely monitors participants regardless of symptom status. Real-time reverse-transcription polymerase chain reaction (RT-PCR) and Enzyme-linked immunosorbent assays (ELISAs) were used to measure infections and seropositivity. Sequencing was performed to determine circulating strains of SARS-CoV-2. We investigated the protection associated with seropositivity resulting from prior infection, the anti-spike antibody titers needed for protection, and we compared the severity of first and second infections.
    Results: In March 2021, 62.3% of the cohort was seropositive. After March 2021, gamma and delta variants predominated. Seropositivity was associated with 69.2% protection from any infection (95% CI: 60.7%-75.9%), with higher protection against moderate or severe infection (79.4%, 95% CI: 64.9%-87.9%). Anti-spike titers of 327 and 2,551 were associated with 50% and 80% protection from any infection; titers of 284 and 656 were sufficient for protection against moderate or severe disease. Second infections were less severe than first infections (Relative Risk (RR) of moderated or severe disease: 0.6, 95% CI: 0.38-0.98; RR of subclinical disease:1.9, 95% CI: 1.33-2.73).
    Conclusions: Prior infection-induced immunity is protective against infection when predominantly gamma and delta SARS-CoV-2 circulated. The protective antibody titers presented may be useful for vaccine policy and control measures. While second infections were somewhat less severe, they were not as mild as ideal. A strategy involving vaccination will be needed to ease the burden of the SARS-CoV-2 pandemic.
    Language English
    Publishing date 2021-11-24
    Publishing country United States
    Document type Preprint
    DOI 10.1101/2021.11.23.21266767
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Association of SARS-CoV-2 Seropositivity and Symptomatic Reinfection in Children in Nicaragua.

    Kubale, John / Balmaseda, Angel / Frutos, Aaron M / Sanchez, Nery / Plazaola, Miguel / Ojeda, Sergio / Saborio, Saira / Lopez, Roger / Barilla, Carlos / Vasquez, Gerald / Moreira, Hanny / Gajewski, Anna / Campredon, Lora / Maier, Hannah E / Chowdhury, Mahboob / Cerpas, Cristhiam / Harris, Eva / Kuan, Guillermina / Gordon, Aubree

    JAMA network open

    2022  Volume 5, Issue 6, Page(s) e2218794

    Abstract: Importance: The impact of the SARS-CoV-2 pandemic on children remains unclear. Better understanding of the burden of COVID-19 among children and their risk of reinfection is crucial, as they will be among the last groups vaccinated.: Objective: To ... ...

    Abstract Importance: The impact of the SARS-CoV-2 pandemic on children remains unclear. Better understanding of the burden of COVID-19 among children and their risk of reinfection is crucial, as they will be among the last groups vaccinated.
    Objective: To characterize the burden of COVID-19 and assess how risk of symptomatic reinfection may vary by age among children.
    Design, setting, and participants: In this prospective, community-based pediatric cohort study conducted from March 1, 2020, to October 15, 2021, 1964 nonimmunocompromised children aged 0 to 14 years were enrolled by random selection from the Nicaraguan Pediatric Influenza Cohort, a community-based cohort in District 2 of Managua, Nicaragua. Additional newborn infants aged 4 weeks or younger were randomly selected and enrolled monthly via home visits.
    Exposures: Prior COVID-19 infection as confirmed by positive anti-SARS-CoV-2 antibodies (receptor binding domain and spike protein) or real-time reverse transcriptase-polymerase chain reaction (RT-PCR)-confirmed COVID-19 infection at least 60 days before current COVID-19 infection.
    Main outcomes and measures: Symptomatic COVID-19 cases confirmed by real-time RT-PCR and hospitalization within 28 days of symptom onset of a confirmed COVID-19 case.
    Results: This cohort study assessed 1964 children (mean [SD] age, 6.9 [4.4] years; 985 [50.2%] male). Of 1824 children who were tested, 908 (49.8%; 95% CI, 47.5%-52.1%) were seropositive during the study. There were also 207 PCR-confirmed COVID-19 cases, 12 (5.8%) of which were severe enough to require hospitalization. Incidence of COVID-19 was highest among children younger than 2 years (16.1 cases per 100 person-years; 95% CI, 12.5-20.5 cases per 100 person-years), which was approximately 3 times the incidence rate in any other child age group assessed. In addition, 41 symptomatic SARS-CoV-2 episodes (19.8%; 95% CI, 14.4%-25.2%) were reinfections.
    Conclusions and relevance: In this prospective, community-based pediatric cohort study, rates of symptomatic and severe COVID-19 were highest among the youngest participants, with rates stabilizing at approximately 5 years of age. In addition, symptomatic reinfections represented a large proportion of symptomatic COVID-19 cases.
    MeSH term(s) Adolescent ; COVID-19/epidemiology ; Child ; Child, Preschool ; Cohort Studies ; Female ; Humans ; Infant ; Infant, Newborn ; Male ; Nicaragua/epidemiology ; Prospective Studies ; Reinfection ; SARS-CoV-2
    Language English
    Publishing date 2022-06-01
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ISSN 2574-3805
    ISSN (online) 2574-3805
    DOI 10.1001/jamanetworkopen.2022.18794
    Database MEDical Literature Analysis and Retrieval System OnLINE

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