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  1. Article ; Online: Rat hepatitis E virus (

    Casares-Jimenez, María / Rivero-Juarez, Antonio / Lopez-Lopez, Pedro / Montes, María Luisa / Navarro-Soler, Roser / Peraire, Joaquín / Espinosa, Nuria / Alemán-Valls, María Remedios / Garcia-Garcia, Tránsito / Caballero-Gomez, Javier / Corona-Mata, Diana / Perez-Valero, Ignacio / Ulrich, Rainer G / Rivero, Antonio

    Emerging microbes & infections

    2023  Volume 13, Issue 1, Page(s) 2295389

    Abstract: Rat hepatitis E virus (ratHEV; species ...

    Abstract Rat hepatitis E virus (ratHEV; species
    MeSH term(s) Male ; Humans ; Animals ; Rats ; Hepatitis E virus/genetics ; Hepatitis E/epidemiology ; Hepatitis Antibodies ; RNA, Viral ; Immunoglobulin G ; HIV Infections/complications
    Chemical Substances Hepatitis Antibodies ; RNA, Viral ; Immunoglobulin G
    Language English
    Publishing date 2023-12-30
    Publishing country United States
    Document type Multicenter Study ; Journal Article
    ZDB-ID 2681359-2
    ISSN 2222-1751 ; 2222-1751
    ISSN (online) 2222-1751
    ISSN 2222-1751
    DOI 10.1080/22221751.2023.2295389
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Optimization of the molecular diagnosis of the acute hepatitis E virus infection.

    Lopez-Lopez, Pedro / Frias, Mario / Perez-Jimenez, Ana Belén / Freyre-Carrillo, Carolina / Pineda, Juan A / Aguilera, Antonio / Fuentes, Ana / Alados, Juan Carlos / Reina, Gabriel / Ramirez-Arellano, Encarnación / Viciana, Isabel / Mesquita, Joao / Caballero-Gomez, Javier / Rivero-Juarez, Antonio / Rivero, Antonio

    Microbial biotechnology

    2023  Volume 16, Issue 6, Page(s) 1325–1332

    Abstract: ... different and conserved regions of the viral genome for the diagnosis of acute Hepatitis E virus (HEV ...

    Abstract To evaluate the diagnostic value of the combination of two broad-range PCR assays targeting two different and conserved regions of the viral genome for the diagnosis of acute Hepatitis E virus (HEV) infection. Patients with acute hepatitis were prospectively recruited. In all, HEV-IgM antibodies were tested together with evaluation of HEV viraemia by two PCR assays (ORF3 and ORF1). The number of individuals exhibiting negative IgM antibody results but carrying viral RNA was calculated by each PCR assay. Four-hundred and seventy individuals were included, of whom 145 (30.8%) were diagnosed as having acute HEV. Of them, 122 (84.1%) exhibited HEV-IgM antibodies, and 81 (55.8%) had detectable viral RNA for at least one PCR. Using the ORF3 molecular assay, 70 (48.3%) individuals were identified with HEV infection. When the ORF1 molecular assay was applied, 49 (33.8%) individuals were identified. The ORF3 assay detected viral RNA in 32 patients not detected by the ORF1 assay. In contrast, the ORF1 assay could amplify viral RNA in 11 patients who were not detected by the ORF3 assay. The parallel use of two broad-range PCR assays significantly increased the performance of the molecular diagnosis of HEV.
    MeSH term(s) Humans ; Hepatitis E virus/genetics ; Hepatitis E/diagnosis ; Hepatitis Antibodies ; Immunoglobulin M ; RNA, Viral/genetics
    Chemical Substances Hepatitis Antibodies ; Immunoglobulin M ; RNA, Viral
    Language English
    Publishing date 2023-03-25
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2406063-X
    ISSN 1751-7915 ; 1751-7915
    ISSN (online) 1751-7915
    ISSN 1751-7915
    DOI 10.1111/1751-7915.14247
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Breakthrough SARS-CoV-2 infection and disease flares in patients with rheumatoid arthritis: result from COVAD e-survey study.

    Santos, Cristiana Sieiro / Chen, Jun-Peng / Nikiphorou, Elena / Tseng, Chi-Wei / Gutiérrez, Carlos Enrique Toro / Tan, Ai Lyn / Nune, Arvind / Kadam, Esha / Kuwana, Masataka / Day, Jessica / Saha, Sreoshy / Velikova, Tsvetelina / Lilleker, James B / Caballero-Uribe, Carlo V / Sen, Parikshit / Chinoy, Hector / Aggarwal, Rohit / Agarwal, Vikas / Gupta, Latika /
    Chen, Yi-Ming

    Rheumatology international

    2024  Volume 44, Issue 5, Page(s) 805–817

    Abstract: COVID-19 has been suggested as a possible trigger of disease flares in patients with rheumatoid arthritis (RA). However, factors associated with disease flares remain unknown. This study aimed to identify factors associated with breakthrough infection ( ... ...

    Abstract COVID-19 has been suggested as a possible trigger of disease flares in patients with rheumatoid arthritis (RA). However, factors associated with disease flares remain unknown. This study aimed to identify factors associated with breakthrough infection (BIs) and disease flares in patients with RA following COVID-19. We analysed data from RA patients who participated in the COVID-19 vaccination in autoimmune diseases (COVAD) study. Demographic data, patient-reported outcomes, comorbidities, pharmacologic treatment and details regarding disease flares were extracted from the COVAD database. Factors associated with disease flare-ups were determined by multivariate logistic regression analysis. The analysis comprised 1928 patients with RA who participated in the COVAD study. Younger age, Caucasian ethnicity, comorbidities with obstructive chronic pulmonary disease and asthma were associated with COVID-19 breakthrough infection. Moreover, younger age (odds ratio (OR): 0.98, 95% CI 0.96-0.99, p < 0.001), ethnicity other than Asian, past history of tuberculosis (OR: 3.80, 95% CI 1.12-12.94, p = 0.033), treatment with methotrexate (OR: 2.55, 95% CI: 1.56-4.17, p < 0.001), poor global physical health (OR: 1.07, 95% CI 1.00-1.15, p = 0.044) and mental health (OR: 0.91, 95% CI 0.87-0.95, p < 0.001) were independent factors associated disease flares in patients with RA. Our study highlights the impact of socio-demographic factors, clinical characteristics and mental health on disease flares in patients with RA. These insights may help determine relevant strategies to proactively manage RA patients at risk of flares.
    MeSH term(s) Humans ; COVID-19 ; Symptom Flare Up ; COVID-19 Vaccines/therapeutic use ; SARS-CoV-2 ; Arthritis, Rheumatoid/drug therapy ; Arthritis, Rheumatoid/epidemiology ; Breakthrough Infections
    Chemical Substances COVID-19 Vaccines
    Language English
    Publishing date 2024-03-12
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 8286-7
    ISSN 1437-160X ; 0172-8172
    ISSN (online) 1437-160X
    ISSN 0172-8172
    DOI 10.1007/s00296-024-05542-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Impaired health-related quality of life in idiopathic inflammatory myopathies: a cross-sectional analysis from the COVAD-2 e-survey.

    Yoshida, Akira / Li, Yuan / Maroufy, Vahed / Kuwana, Masataka / Sazliyana Shaharir, Syahrul / Makol, Ashima / Sen, Parikshit / Lilleker, James B / Agarwal, Vishwesh / Kadam, Esha / Akawatcharangura Goo, Phonpen / Day, Jessica / Milchert, Marcin / Chen, Yi-Ming / Dey, Dzifa / Velikova, Tsvetelina / Saha, Sreoshy / Edgar Gracia-Ramos, Abraham / Parodis, Ioannis /
    Nikiphorou, Elena / Tan, Ai Lyn / Nune, Arvind / Cavagna, Lorenzo / Toro Gutiérrez, Carlos Enrique / Caballero-Uribe, Carlo Vinicio / Saavedra, Miguel A / Shinjo, Samuel Katsuyuki / Ziade, Nelly / El Kibbi, Lina / Knitza, Johannes / Distler, Oliver / Chinoy, Hector / Agarwal, Vikas / Aggarwal, Rohit / Gupta, Latika

    Rheumatology advances in practice

    2024  Volume 8, Issue 2, Page(s) rkae028

    Abstract: ... COVAD-2) e-survey database.: Methods: Demographics, diagnosis, comorbidities, disease activity ...

    Abstract Objectives: To investigate health-related quality of life in patients with idiopathic inflammatory myopathies (IIMs) compared with those with non-IIM autoimmune rheumatic diseases (AIRDs), non-rheumatic autoimmune diseases (nrAIDs) and without autoimmune diseases (controls) using Patient-Reported Outcome Measurement Information System (PROMIS) instrument data obtained from the second COVID-19 vaccination in autoimmune disease (COVAD-2) e-survey database.
    Methods: Demographics, diagnosis, comorbidities, disease activity, treatments and PROMIS instrument data were analysed. Primary outcomes were PROMIS Global Physical Health (GPH) and Global Mental Health (GMH) scores. Factors affecting GPH and GMH scores in IIMs were identified using multivariable regression analysis.
    Results: We analysed responses from 1582 IIM, 4700 non-IIM AIRD and 545 nrAID patients and 3675 controls gathered through 23 May 2022. The median GPH scores were the lowest in IIM and non-IIM AIRD patients {13 [interquartile range (IQR) 10-15] IIMs
    Conclusion: Both physical and mental health are significantly impaired in IIM patients, particularly in those with comorbidities and increased fatigue, emphasizing the importance of patient-reported experiences and optimized multidisciplinary care to enhance well-being in people with IIMs.
    Language English
    Publishing date 2024-03-04
    Publishing country England
    Document type Journal Article
    ISSN 2514-1775
    ISSN (online) 2514-1775
    DOI 10.1093/rap/rkae028
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Indoxyl sulfate impairs erythropoiesis at BFU-E stage in chronic kidney disease.

    Hamza, Eya / Vallejo-Mudarra, Mercedes / Ouled-Haddou, Hakim / García-Caballero, Cristina / Guerrero-Hue, Melania / Santier, Laure / Rayego-Mateos, Sandra / Larabi, Islam Amine / Alvarez, Jean-Claude / Garçon, Loïc / Massy, Ziad A / Choukroun, Gabriel / Moreno, Juan Antonio / Metzinger, Laurent / Meuth, Valérie Metzinger-Le

    Cellular signalling

    2022  Volume 104, Page(s) 110583

    Abstract: Chronic kidney disease (CKD) is a global health condition characterized by a progressive deterioration of kidney function. It is associated with high serum levels of uremic toxins (UT), such as Indoxyl Sulfate (IS), which may participate in the genesis ... ...

    Abstract Chronic kidney disease (CKD) is a global health condition characterized by a progressive deterioration of kidney function. It is associated with high serum levels of uremic toxins (UT), such as Indoxyl Sulfate (IS), which may participate in the genesis of several uremic complications. Anemia is one of the major complications in CKD patients that contribute to cardiovascular disease, increase morbi-mortality, and is associated with a deterioration of kidney failure in these patients. Our study aimed to characterize the impact of IS on CKD-related erythropoiesis. Using cellular and pre-clinical models, we studied cellular and molecular effects of IS on the growth and differentiation of erythroid cells. First, we examined the effect of clinically relevant concentrations of IS (up to 250 μM) in the UT7/EPO cell line. IS at 250 μM increased apoptosis of UT7/EPO cells at 48 h compared to the control condition. We confirmed this apoptotic effect of IS in erythropoiesis in human primary CD34
    MeSH term(s) Mice ; Animals ; Humans ; Erythropoiesis/physiology ; Indican/metabolism ; Indican/pharmacology ; Erythropoietin ; Erythroid Precursor Cells/metabolism ; Anemia/metabolism ; Renal Insufficiency, Chronic/metabolism
    Chemical Substances Indican (N187WK1Y1J) ; Erythropoietin (11096-26-7)
    Language English
    Publishing date 2022-12-31
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1002702-6
    ISSN 1873-3913 ; 0898-6568
    ISSN (online) 1873-3913
    ISSN 0898-6568
    DOI 10.1016/j.cellsig.2022.110583
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Monitoring of hepatitis E virus in zoo animals from Spain, 2007-2021.

    Caballero-Gómez, Javier / García-Bocanegra, Ignacio / Cano-Terriza, David / Beato-Benítez, Adrián / Ulrich, Rainer G / Martínez, Javier / Guerra, Rafael / Martínez-Valverde, Rosa / Martínez-Nevado, Eva / Ángel Quevedo-Muñoz, Miguel / Sierra-Arqueros, Cecilia / Planas, Javier / de Castro-García, Noelia / Rivero, Antonio / Rivero-Juarez, Antonio

    Transboundary and emerging diseases

    2022  Volume 69, Issue 6, Page(s) 3992–4001

    Abstract: Hepatitis E virus (HEV, family Hepeviridae) is an important emerging and zoonotic pathogen ... In recent decades, the number of human cases of zoonotic hepatitis E has increased considerably ...

    Abstract Hepatitis E virus (HEV, family Hepeviridae) is an important emerging and zoonotic pathogen. In recent decades, the number of human cases of zoonotic hepatitis E has increased considerably in industrialized countries and HEV has been detected in an expanding range of mammal species. Although domestic pigs and wild boar are considered the main reservoirs of zoonotic HEV genotypes, the role of other susceptible animals in the epidemiology of the virus is still poorly understood. A large-scale, long-term study was carried out (1) to assess HEV exposure in captive zoo animals in Spain and (2) to determine the dynamics of seropositivity in individuals that were sampled longitudinally during the study period. Between 2007 and 2021, serum samples from 425 zoo animals belonging to 109 animal species (including artiodactyls, carnivores, perissodactyls, proboscideans and rodents) were collected from 11 different zoological parks in Spain. Forty-six of these animals at seven of these zoos were also longitudinally sampled. Anti-HEV antibodies were detected in 36 (8.5%; 95% CI: 5.8-11.1) of 425 sampled zoo animals. Specific antibodies against HEV-3 and HEV-C1 antigens were confirmed in ELISA-positive animals using western blot assay. Two of 46 longitudinally surveyed animals seroconverted during the study period. Seropositivity was significantly higher in carnivores and perissodactyls than in artiodactyls, and also during the period 2012-2016 compared with 2007-2011. HEV RNA was not detected in any of the 262 animals that could be tested by RT-PCR. To the best of the author's knowledge, this is the first large-scale, long-term surveillance on HEV in different orders of zoo mammals. Our results indicate exposure to HEV-3 and HEV-C1 in zoo animals in Spain and confirm a widespread but not homogeneous spatiotemporal circulation of HEV in captive species in this country. Further studies are required to determine the role of zoo species, particularly carnivores and perissodactyls, in the epidemiology of HEV and to clarify the origins of infection in zoological parks.
    MeSH term(s) Swine ; Humans ; Animals ; Hepatitis E virus/genetics ; Spain/epidemiology ; Animals, Zoo ; Hepatitis E/epidemiology ; Hepatitis E/veterinary ; Sus scrofa ; Zoonoses/epidemiology ; Swine Diseases
    Language English
    Publishing date 2022-09-22
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2414822-2
    ISSN 1865-1682 ; 1865-1674
    ISSN (online) 1865-1682
    ISSN 1865-1674
    DOI 10.1111/tbed.14702
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Detection of Rat Hepatitis E Virus in Pigs, Spain, 2023.

    Rios-Muñoz, Lucia / Gonzálvez, Moisés / Caballero-Gomez, Javier / Castro-Scholten, Sabrina / Casares-Jimenez, María / Agulló-Ros, Irene / Corona-Mata, Diana / García-Bocanegra, Ignacio / Lopez-Lopez, Pedro / Fajardo, Tomás / Mesquita, João R / Risalde, María A / Rivero-Juarez, Antonio / Rivero, Antonio

    Emerging infectious diseases

    2024  Volume 30, Issue 4, Page(s) 823–826

    Abstract: We identified rat hepatitis E virus (HEV) RNA in farmed pigs from Spain. Our results indicate ...

    Abstract We identified rat hepatitis E virus (HEV) RNA in farmed pigs from Spain. Our results indicate that pigs might be susceptible to rat HEV and could serve as viral intermediaries between rodents and humans. Europe should evaluate the prevalence of rat HEV in farmed pigs to assess the risk to public health.
    MeSH term(s) Humans ; Rats ; Animals ; Swine ; Spain/epidemiology ; Hepatitis E virus/genetics ; Europe ; Farms ; Public Health ; RNA
    Chemical Substances RNA (63231-63-0)
    Language English
    Publishing date 2024-03-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1380686-5
    ISSN 1080-6059 ; 1080-6040
    ISSN (online) 1080-6059
    ISSN 1080-6040
    DOI 10.3201/eid3004.231629
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  8. Article: Detection of Hepatitis E Virus in

    Rivero-Juarez, Antonio / Risalde, María A / Gortázar, Christian / Lopez-Lopez, Pedro / Barasona, Jose A / Frias, Mario / Caballero-Gomez, Javier / de la Fuente, José / Rivero, Antonio

    Frontiers in microbiology

    2021  Volume 12, Page(s) 692147

    Abstract: ... in wildlife, such as hepatitis E virus (HEV), which do not require ticks for transmission between animals and ...

    Abstract Little is known about the role of ticks in maintaining highly prevalent zoonotic viruses in wildlife, such as hepatitis E virus (HEV), which do not require ticks for transmission between animals and humans. In this cross-sectional study, adult female ticks were collected from Eurasian wild boar (
    Language English
    Publishing date 2021-07-09
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2587354-4
    ISSN 1664-302X
    ISSN 1664-302X
    DOI 10.3389/fmicb.2021.692147
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Correlation of hepatitis E and rat hepatitis E viruses urban wastewater monitoring and clinical cases.

    Casares-Jimenez, Maria / Garcia-Garcia, Transito / Suárez-Cárdenas, José M / Perez-Jimenez, Ana B / Martín, María A / Caballero-Gómez, Javier / Michán, Carmen / Corona-Mata, Diana / Risalde, María A / Perez-Valero, Ignacio / Guerra, Rafael / Garcia-Bocanegra, Ignacio / Rivero, Antonio / Rivero-Juarez, Antonio / Garrido, Juan J

    The Science of the total environment

    2023  Volume 908, Page(s) 168203

    Abstract: Background: Wastewater pathogen monitoring is useful for surveillance of enteric pathogens. Information about the presence of Paslahepevirus balayani (HEV) and emergent Rocahepevirus ratti (RHEV) in untreated water and their correlation with clinical ... ...

    Abstract Background: Wastewater pathogen monitoring is useful for surveillance of enteric pathogens. Information about the presence of Paslahepevirus balayani (HEV) and emergent Rocahepevirus ratti (RHEV) in untreated water and their correlation with clinical cases is scarce. Aim To longitudinally monitor HEV and RHEV in wastewater and to evaluate their possible correlation with human cases.
    Methods: This study was carried out in the city of Cordoba (southern Spain) from March 2021 to March 2023. HEV and RHEV occurrence were evaluated by PCR in three sample types: i) sera from patients with acute hepatitis attended at the reference hospital, ii) liver and faeces from urban rodents, and iii) grab sewage samples collected weekly from the municipal wastewater treatment plant.
    Results: We analysed 106 untreated wastewater samples, 304 individuals with acute hepatitis, and 20 rodents. HEV and RHEV were detected in only one (0.9 %) and almost all samples (94.3 %) of wastewater samples, respectively. A total of 22 cases of acute HEV infection (7.2 %) and two cases of RHEV (0.7 %) were detected from all acute hepatitis cases observed. Only RHEV was found in rodents, with a positive frequency of 55 %. The presence of HEV in wastewater coincided with the detection of one case in which the same HEV genotype was isolated. A concentration of HEV clinical cases between June and July of 2022 was observed but not detected in water. Both RHEV clinical cases were detected in summer 2022, but no correlation was found with wastewater detection.
    Conclusions: Our study shows that there is no correlation between clinical cases and wastewater detection of HEV or RHEV.
    MeSH term(s) Humans ; Animals ; Rats ; Hepatitis E/epidemiology ; Hepatitis E virus ; Wastewater ; Water
    Chemical Substances Wastewater ; Water (059QF0KO0R)
    Language English
    Publishing date 2023-10-31
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 121506-1
    ISSN 1879-1026 ; 0048-9697
    ISSN (online) 1879-1026
    ISSN 0048-9697
    DOI 10.1016/j.scitotenv.2023.168203
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  10. Article ; Online: Serological and molecular survey of hepatitis E virus in cats and dogs in Spain.

    Caballero-Gómez, Javier / Rivero-Juarez, Antonio / Jurado-Tarifa, Estefanía / Jiménez-Martín, Débora / Jiménez-Ruiz, Elena / Castro-Scholten, Sabrina / Ulrich, Rainer G / López-López, Pedro / Rivero, Antonio / García-Bocanegra, Ignacio

    Transboundary and emerging diseases

    2022  Volume 69, Issue 2, Page(s) 240–248

    Abstract: Hepatitis E virus (HEV) is an emerging zoonotic pathogen that is currently recognized as one ... of the major causes of acute human hepatitis worldwide. In Europe, the increasing number of hepatitis E cases ...

    Abstract Hepatitis E virus (HEV) is an emerging zoonotic pathogen that is currently recognized as one of the major causes of acute human hepatitis worldwide. In Europe, the increasing number of hepatitis E cases is mainly associated with the consumption of animal food products or contact with infected animals. Dogs and cats have been suggested as a zoonotic source of HEV infection. The aim of this study was to assess Orthohepevirus circulation, including HEV-A, HEV-B and HEV-C species, in sympatric urban cats and dogs in southern Spain. Between 2017 and 2020, blood samples were collected from 144 stray cats and 152 dogs, both strays and pets. The presence of antibodies against HEV were tested using a double-antigen sandwich ELISA and seropositive samples were further analysed by western blot. A RT-PCR was performed to detect RNA of Orthohepevirus species (HEV-A, HEV-B and HEV-C). A total of 19 (6.4%; 95%CI: 3.6-9.2) of the 296 animals tested showed anti-HEV antibodies by ELISA. Seropositivity was significantly higher in dogs (9.9%; 15/152; 95%CI: 5.1-14.6) than in cats (2.8%; 4/144; 95%CI: 0.1-5.5). Ten of the 18 ELISA-positive animals that could be further analysed by western blot, reacted against HEV-3 and/or HEV-C1 antigens, which suggest circulation of both genotypes in urban cats and dogs in the study area. However, HEV-A, HEV-B and HEV-C RNA were not detected in any of the tested sera. This is the first study to assess HEV circulation in both stray cats and dogs in Europe. Our results provide evidence of HEV exposure in sympatric urban cat and dog populations in southern Spain. Further studies are needed to determine the role of these species in the epidemiology of HEV.
    MeSH term(s) Animals ; Cat Diseases/epidemiology ; Cats ; Dog Diseases/epidemiology ; Dogs ; Hepatitis Antibodies ; Hepatitis E/epidemiology ; Hepatitis E/veterinary ; Hepatitis E virus/genetics ; Spain/epidemiology
    Chemical Substances Hepatitis Antibodies
    Language English
    Publishing date 2022-01-07
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2414822-2
    ISSN 1865-1682 ; 1865-1674
    ISSN (online) 1865-1682
    ISSN 1865-1674
    DOI 10.1111/tbed.14437
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