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  1. Article: Bilirubin Metabolism.

    Billing, B H

    Postgraduate medical journal

    2011  Volume 39, Issue 450, Page(s) 176–187

    Language English
    Publishing date 2011-01-06
    Publishing country England
    Document type Journal Article
    ZDB-ID 80325-x
    ISSN 1469-0756 ; 0032-5473
    ISSN (online) 1469-0756
    ISSN 0032-5473
    DOI 10.1136/pgmj.39.450.176
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Nurse-Administered Auricular Point Acupressure for Cancer-Related Pain.

    Van de Castle, Barb / Lukkahatai, Nada / Billing, Bsn Lynn / Huang, Xinran / Wu, Hulin / Zhang, Jingyu / Abdi, Salahadin / Kameoka, Jun / Smith, Thomas J

    Integrative cancer therapies

    2023  Volume 22, Page(s) 15347354231198086

    Abstract: Purpose: The study aimed to (1) examine the feasibility of providing a training course on auricular point acupressure (APA) for clinical oncology nurses to integrate APA into real-world nursing care settings, and (2) examine the effectiveness of APA on ... ...

    Abstract Purpose: The study aimed to (1) examine the feasibility of providing a training course on auricular point acupressure (APA) for clinical oncology nurses to integrate APA into real-world nursing care settings, and (2) examine the effectiveness of APA on cancer-related pain (CRP) under usual inpatient oncology ward conditions.
    Methods: This was a 2-phase feasibility study. Phase 1, an in-person, 8 hour training program was provided to oncology nurses. Phase 2, a prospective and feasibility study was conducted to evaluate the integration of APA into nursing care activities to manage CRP. Oncology patients were included if their pain was rated at ≥4 on a 0 to 10 numeric rating scale in the past 24 hours. Patients received 1 APA treatment administered by the nurses and were instructed to stimulate the points for 3 days. Study outcomes (pain intensity, fatigue, and sleep disturbance), pain medication use, and APA practice were measured by a phone survey daily.
    Results: Ten oncology nurses received APA training in phase 1. APA had been added to the hospital's electronic health records (EHRs) as a pain treatment. In phase 2, 33 oncology patients received APA treatment with a 100% adherence rate (pressing the seeds 3 times per day, 3 minutes per time based on the suggestion). The side effects of APA were minimal (~8%-12% felt tenderness on the ear). After 3 days of APA, patients reported 38% pain relief, 39% less fatigue, and 45% improvement in sleep disturbance; 24% reduced any type of pain medication use and 19% reduced opioid use (10 mg opioids using milligram morphine equivalent). The major barrier to integrating APA into routine nursing practice was time management (how to include APA in a daily workflow).
    Conclusion: It is feasible to provide 8-hour training to oncology nurses for mastering APA skill and then integrating APA into their daily nursing care for patients with CRP. Based on the promising findings (decreased pain, improved fatigue and sleep disturbance, and less opioid use), the next step is to conduct a randomized clinical trial with a larger sample to confirm the efficacy of APA for oncology nurses to treat CRP in real-world practice.ClinicalTrial.gov identifier number: NCT04040140.
    MeSH term(s) Humans ; Acupressure ; Analgesics, Opioid ; Cancer Pain/therapy ; Fatigue ; Feasibility Studies ; Neoplasms/complications ; Prospective Studies ; Treatment Outcome
    Chemical Substances Analgesics, Opioid
    Language English
    Publishing date 2023-09-14
    Publishing country United States
    Document type Clinical Study ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2182320-0
    ISSN 1552-695X ; 1534-7354
    ISSN (online) 1552-695X
    ISSN 1534-7354
    DOI 10.1177/15347354231198086
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Chest configuration in children and adolescents with infantile nephropathic cystinosis compared with other chronic kidney disease entities and its clinical determinants.

    Müller, Sophia / Kluck, Rika / Jagodzinski, Celina / Brügelmann, Malina / Hohenfellner, Katharina / Büscher, Anja / Kemper, Markus J / Fröde, Kerstin / Oh, Jun / Billing, Heiko / Thumfart, Julia / Weber, Lutz T / Acham-Roschitz, Birgit / Arbeiter, Klaus / Tönshoff, Burkhard / Hagenberg, Martina / Pavičić, Leo / Haffner, Dieter / Zivicnjak, Miroslav

    Pediatric nephrology (Berlin, Germany)

    2023  Volume 38, Issue 12, Page(s) 3989–3999

    Abstract: Background: Infantile nephropathic cystinosis (INC) is a systemic lysosomal storage disease causing intracellular cystine accumulation, resulting in renal Fanconi syndrome, progressive kidney disease (CKD), rickets, malnutrition, and myopathy. An INC- ... ...

    Abstract Background: Infantile nephropathic cystinosis (INC) is a systemic lysosomal storage disease causing intracellular cystine accumulation, resulting in renal Fanconi syndrome, progressive kidney disease (CKD), rickets, malnutrition, and myopathy. An INC-specific disproportionately diminished trunk length compared to leg length poses questions regarding the functionality of the trunk.
    Methods: Thus, we prospectively investigated thoracic dimensions and proportions, as well as their clinical determinants in 44 pediatric patients with INC with CKD stages 1-5 and 97 age-matched patients with CKD of other etiology between the ages of 2-17 years. A total of 92 and 221 annual measurements of patients with INC and CKD, respectively, were performed, and associations between anthropometric and clinical parameters were assessed using linear mixed-effects models.
    Results: Patients with INC exhibited altered chest dimensions that were distinct from CKD controls, characterized by markedly increased chest depth to height and chest depth to chest width ratio z-scores (> 1.0), while those of patients with CKD were only mildly affected (z-score within ± 1.0). Ratio z-scores differed significantly between both patient groups from 2-6 years of age onward. The degree of chest disproportion in INC patients was significantly associated with both the degree of CKD and tubular dysfunction (e.g., low serum phosphate and bicarbonate) across three different age groups (2-6, 7-12, and 13-17 years).
    Conclusion: Our data show an INC-specific alteration in thoracic shape from early childhood onward, which is distinct from CKD of other etiologies, suggesting early childhood subclinical changes of the musculoskeletal unit of the thoracic cage, which are associated with kidney function. A higher resolution version of the Graphical abstract is available as Supplementary information.
    MeSH term(s) Humans ; Child ; Child, Preschool ; Adolescent ; Cystinosis/complications ; Kidney ; Fanconi Syndrome/complications ; Renal Insufficiency, Chronic/complications
    Language English
    Publishing date 2023-07-07
    Publishing country Germany
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 631932-4
    ISSN 1432-198X ; 0931-041X
    ISSN (online) 1432-198X
    ISSN 0931-041X
    DOI 10.1007/s00467-023-06058-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Codetections of Other Respiratory Viruses Among Children Hospitalized With COVID-19.

    Agathis, Nickolas T / Patel, Kadam / Milucky, Jennifer / Taylor, Christopher A / Whitaker, Michael / Pham, Huong / Anglin, Onika / Chai, Shua J / Alden, Nisha B / Meek, James / Anderson, Evan J / Weigel, Andy / Kim, Sue / Lynfield, Ruth / Smelser, Chad / Muse, Alison / Popham, Kevin / Billing, Laurie M / Sutton, Melissa /
    Talbot, H Keipp / George, Andrea / McMorrow, Meredith / Havers, Fiona P

    Pediatrics

    2023  Volume 151, Issue 2

    Abstract: Objectives: To assess the clinical impact of respiratory virus codetections among children hospitalized with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection.: Methods: During March 2020 to February 2022, the US coronavirus ... ...

    Abstract Objectives: To assess the clinical impact of respiratory virus codetections among children hospitalized with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection.
    Methods: During March 2020 to February 2022, the US coronavirus disease 2019 (COVID-19)-Associated Hospitalization Surveillance Network (COVID-NET) identified 4372 children hospitalized with SARS-CoV-2 infection admitted primarily for fever, respiratory illness, or presumed COVID-19. We compared demographics, clinical features, and outcomes between those with and without codetections who had any non-SARS-CoV-2 virus testing. Among a subgroup of 1670 children with complete additional viral testing, we described the association between presence of codetections and severe respiratory illness using age-stratified multivariable logistic regression models.
    Results: Among 4372 children hospitalized, 62% had non-SARS-CoV-2 respiratory virus testing, of which 21% had a codetection. Children with codetections were more likely to be <5 years old (yo), receive increased oxygen support, or be admitted to the ICU (P < .001). Among children <5 yo, having any viral codetection (<2 yo: adjusted odds ratio [aOR] 2.1 [95% confidence interval [CI] 1.5-3.0]; 2-4 yo: aOR 1.9 [95% CI 1.2-3.1]) or rhinovirus/enterovirus codetection (<2 yo: aOR 2.4 [95% CI 1.6-3.7]; 2-4: aOR 2.4 [95% CI 1.2-4.6]) was significantly associated with severe illness. Among children <2 yo, respiratory syncytial virus (RSV) codetections were also significantly associated with severe illness (aOR 1.9 [95% CI 1.3-2.9]). No significant associations were seen among children ≥5 yo.
    Conclusions: Respiratory virus codetections, including RSV and rhinovirus/enterovirus, may increase illness severity among children <5 yo hospitalized with SARS-CoV-2 infection.
    MeSH term(s) Humans ; Male ; Female ; Child, Preschool ; Child ; COVID-19/diagnosis ; COVID-19/epidemiology ; Respiratory Tract Infections/diagnosis ; Respiratory Tract Infections/epidemiology ; Hospitalization ; Coinfection ; SARS-CoV-2/isolation & purification ; Viruses ; Infant ; Adolescent ; Cross-Sectional Studies
    Language English
    Publishing date 2023-04-13
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 207677-9
    ISSN 1098-4275 ; 0031-4005
    ISSN (online) 1098-4275
    ISSN 0031-4005
    DOI 10.1542/peds.2022-059037
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Vaccination Status and Trends in Adult Coronavirus Disease 2019-Associated Hospitalizations by Race and Ethnicity: March 2020-August 2022.

    Ko, Jean Y / Pham, Huong / Anglin, Onika / Chai, Shua J / Alden, Nisha B / Meek, James / Anderson, Evan J / Weigel, Andy / Kohrman, Alexander / Lynfield, Ruth / Rudin, Dominic / Barney, Grant / Bennett, Nancy M / Billing, Laurie M / Sutton, Melissa / Talbot, H Keipp / Swain, Ashley / Havers, Fiona P / Taylor, Christopher A

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

    2023  Volume 77, Issue 6, Page(s) 827–838

    Abstract: Background: We sought to determine whether race/ethnicity disparities in severe coronavirus disease 2019 (COVID-19) outcomes persist in the era of vaccination.: Methods: Population-based age-adjusted monthly rate ratios (RRs) of laboratory-confirmed ... ...

    Abstract Background: We sought to determine whether race/ethnicity disparities in severe coronavirus disease 2019 (COVID-19) outcomes persist in the era of vaccination.
    Methods: Population-based age-adjusted monthly rate ratios (RRs) of laboratory-confirmed COVID-19-associated hospitalizations were calculated among adult patients from the COVID-19-Associated Hospitalization Surveillance Network, March 2020 - August 2022 by race/ethnicity. Among randomly sampled patients July 2021 - August 2022, RRs for hospitalization, intensive care unit (ICU) admission, and in-hospital mortality were calculated for Hispanic, Black, American Indian/Alaskan Native (AI/AN), and Asian/Pacific Islander (API) persons vs White persons.
    Results: Based on data from 353 807 patients, hospitalization rates were higher among Hispanic, Black, and AI/AN vs White persons March 2020 - August 2022, yet the magnitude declined over time (for Hispanic persons, RR = 6.7; 95% confidence interval [CI], 6.5-7.1 in June 2020 vs RR < 2.0 after July 2021; for AI/AN persons, RR = 8.4; 95% CI, 8.2-8.7 in May 2020 vs RR < 2.0 after March 2022; and for Black persons RR = 5.3; 95% CI, 4.6-4.9 in July 2020 vs RR < 2.0 after February 2022; all P ≤ .001). Among 8706 sampled patients July 2021 - August 2022, hospitalization and ICU admission RRs were higher for Hispanic, Black, and AI/AN patients (range for both, 1.4-2.4) and lower for API (range for both, 0.6-0.9) vs White patients. All other race and ethnicity groups had higher in-hospital mortality rates vs White persons (RR range, 1.4-2.9).
    Conclusions: Race/ethnicity disparities in COVID-19-associated hospitalizations declined but persist in the era of vaccination. Developing strategies to ensure equitable access to vaccination and treatment remains important.
    MeSH term(s) Adult ; Humans ; Asian People ; COVID-19/epidemiology ; COVID-19/ethnology ; COVID-19/prevention & control ; COVID-19/therapy ; Ethnicity/statistics & numerical data ; Hospitalization/statistics & numerical data ; White ; Hispanic or Latino ; Black or African American ; American Indian or Alaska Native ; Asian American Native Hawaiian and Pacific Islander ; COVID-19 Vaccines/therapeutic use ; Racial Groups/statistics & numerical data ; Hospital Mortality/ethnology ; Intensive Care Units/statistics & numerical data ; United States/epidemiology
    Chemical Substances COVID-19 Vaccines
    Language English
    Publishing date 2023-02-22
    Publishing country United States
    Document type Comparative Study ; Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 1099781-7
    ISSN 1537-6591 ; 1058-4838
    ISSN (online) 1537-6591
    ISSN 1058-4838
    DOI 10.1093/cid/ciad266
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  6. Article: Akute antikörpervermittelte Rejektion nach Nierentransplantation. Verminderte Inzidenz bei hochimmunisierten Patienten durch Eculizumab. Acute antibody-mediated rejection in sensitized renal transplant recipients. Decreased Incidence in with eculizumab

    Billing, H. / Tönshoff, B.

    Der Nephrologe

    2012  Volume 7, Issue 1, Page(s) 48

    Language German
    Document type Article
    ZDB-ID 2274530-0
    ISSN 1862-040X
    Database Current Contents Medicine

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  7. Article ; Online: Mineralogy and geochemistry of efflorescent minerals on mine tailings and their potential impact on water chemistry.

    Grover, B P C / Johnson, R H / Billing, D G / Weiersbye, I M G / Tutu, H

    Environmental science and pollution research international

    2016  Volume 23, Issue 8, Page(s) 7338–7348

    Abstract: In the gold mining Witwatersrand Basin of South Africa, efflorescent mineral crusts are a common occurrence on and nearby tailings dumps during the dry season. The crusts are readily soluble and generate acidic, metal- and sulphate-rich solutions on ... ...

    Abstract In the gold mining Witwatersrand Basin of South Africa, efflorescent mineral crusts are a common occurrence on and nearby tailings dumps during the dry season. The crusts are readily soluble and generate acidic, metal- and sulphate-rich solutions on dissolution. In this study, the metal content of efflorescent crusts at an abandoned gold mine tailings dump was used to characterise surface and groundwater discharges from the site. Geochemical modelling of the pH of the solution resulting from the dissolution of the crusts was used to better understand the crusts' potential impact on water chemistry. The study involved two approaches: (i) conducting leaching experiments on oxidised and unoxidised tailings using artificial rainwater and dilute sulphuric acid and correlating the composition of crusts to these leachates and (ii) modelling the dissolution of the crusts in order to gain insight into their mineralogy and their potential impact on receiving waters. The findings suggested that there were two chemically distinct discharges from the site, namely an aluminium- and magnesium-rich surface water plume and an iron-rich groundwater plume. The first plume was observed to originate from the oxidised tailings following leaching with rainwater while the second plume originated from the underlying unoxidised tailings with leaching by sulphuric acid. Both groups of minerals forming from the respective plumes were found to significantly lower the pH of the receiving water with simulations of their dissolution found to be within 0.2 pH units of experimental values. It was observed that metals in a low abundance within the crust (for example, iron) had a stronger influence on the pH of the resulting solutions than metals in a greater abundance (aluminium or magnesium). Techniques such as powder X-ray diffraction (PXRD) and in situ mineral determination techniques such as remote sensing can effectively determine the dominant mineralogy. However, the minerals or metals incorporated through solid solution into bulk mineralogy that dominates the chemistry of the solutions upon their dissolution may occur in minor quantities that can only be predicted using chemical analysis. Their mineralogy can be predicted using geochemical modelling and can provide a set of hypothetical minerals that upon dissolution yield a solution similar to that of the actual crusts. This realisation has a bearing on decision-making such as in risk assessment and designing pollutant mitigation strategies.
    MeSH term(s) Environmental Monitoring/methods ; Minerals/analysis ; Mining ; Models, Theoretical ; South Africa ; Water/chemistry ; Water Pollutants, Chemical/analysis
    Chemical Substances Minerals ; Water Pollutants, Chemical ; Water (059QF0KO0R)
    Language English
    Publishing date 2016-04
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1178791-0
    ISSN 1614-7499 ; 0944-1344
    ISSN (online) 1614-7499
    ISSN 0944-1344
    DOI 10.1007/s11356-015-5870-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Rates of Severe Influenza-Associated Outcomes Among Older Adults Living With Diabetes-Influenza Hospitalization Surveillance Network (FluSurv-NET), 2012-2017.

    Owusu, Daniel / Rolfes, Melissa A / Arriola, Carmen S / Daily Kirley, Pam / Alden, Nisha B / Meek, James / Anderson, Evan J / Monroe, Maya L / Kim, Sue / Lynfield, Ruth / Angeles, Kathy / Spina, Nancy / Felsen, Christina B / Billing, Laurie / Thomas, Ann / Keipp Talbot, H / Schaffner, William / Chatelain, Ryan / Reed, Carrie /
    Garg, Shikha

    Open forum infectious diseases

    2022  Volume 9, Issue 5, Page(s) ofac131

    Abstract: Background: Diabetes mellitus (DM) is common among older adults hospitalized with influenza, yet data are limited on the impact of DM on risk of severe influenza-associated outcomes.: Methods: We included adults aged ≥65 years hospitalized with ... ...

    Abstract Background: Diabetes mellitus (DM) is common among older adults hospitalized with influenza, yet data are limited on the impact of DM on risk of severe influenza-associated outcomes.
    Methods: We included adults aged ≥65 years hospitalized with influenza during 2012-2013 through 2016-2017 from the Influenza Hospitalization Surveillance Network (FluSurv-NET), a population-based surveillance system for laboratory-confirmed influenza-associated hospitalizations conducted in defined counties within 13 states. We calculated population denominators using the Centers for Medicare and Medicaid Services county-specific DM prevalence estimates and National Center for Health Statistics population data. We present pooled rates and rate ratios (RRs) of intensive care unit (ICU) admission, pneumonia diagnosis, mechanical ventilation, and in-hospital death for persons with and without DM. We estimated RRs and 95% confidence intervals (CIs) using meta-analysis with site as a random effect in order to control for site differences in the estimates.
    Results: Of 31 934 hospitalized adults included in the analysis, 34% had DM. Compared to those without DM, adults with DM had higher rates of influenza-associated hospitalization (RR, 1.57 [95% CI, 1.43-1.72]), ICU admission (RR, 1.84 [95% CI, 1.67-2.04]), pneumonia (RR, 1.57 [95% CI, 1.42-1.73]), mechanical ventilation (RR, 1.95 [95% CI, 1.74-2.20]), and in-hospital death (RR, 1.48 [95% CI, 1.23-1.80]).
    Conclusions: Older adults with DM have higher rates of severe influenza-associated outcomes compared to those without DM. These findings reinforce the importance of preventing influenza virus infections through annual vaccination, and early treatment of influenza illness with antivirals in older adults with DM.
    Language English
    Publishing date 2022-03-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2757767-3
    ISSN 2328-8957
    ISSN 2328-8957
    DOI 10.1093/ofid/ofac131
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Hospitalizations of Children Aged 5-11 Years with Laboratory-Confirmed COVID-19 - COVID-NET, 14 States, March 2020-February 2022.

    Shi, Dallas S / Whitaker, Michael / Marks, Kristin J / Anglin, Onika / Milucky, Jennifer / Patel, Kadam / Pham, Huong / Chai, Shua J / Kawasaki, Breanna / Meek, James / Anderson, Evan J / Weigel, Andy / Henderson, Justin / Lynfield, Ruth / Ropp, Susan L / Muse, Alison / Bushey, Sophrena / Billing, Laurie M / Sutton, Melissa /
    Talbot, H Keipp / Price, Andrea / Taylor, Christopher A / Havers, Fiona P

    MMWR. Morbidity and mortality weekly report

    2022  Volume 71, Issue 16, Page(s) 574–581

    Abstract: ... Practices' recommendation followed on November 2, 2021.* In late December 2021, the B.1.1.529 (Omicron ...

    Abstract On October 29, 2021, the Food and Drug Administration expanded the Emergency Use Authorization for Pfizer-BioNTech COVID-19 vaccine to children aged 5-11 years; CDC's Advisory Committee on Immunization Practices' recommendation followed on November 2, 2021.* In late December 2021, the B.1.1.529 (Omicron) variant of SARS-CoV-2 (the virus that causes COVID-19) became the predominant strain in the United States,
    MeSH term(s) BNT162 Vaccine ; COVID-19/epidemiology ; Child ; Ethnicity ; Hospitalization ; Humans ; Minority Groups ; SARS-CoV-2 ; United States/epidemiology
    Chemical Substances BNT162 Vaccine (N38TVC63NU)
    Language English
    Publishing date 2022-04-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 412775-4
    ISSN 1545-861X ; 0149-2195
    ISSN (online) 1545-861X
    ISSN 0149-2195
    DOI 10.15585/mmwr.mm7116e1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: COVID-19-Associated Hospitalizations Among Adults During SARS-CoV-2 Delta and Omicron Variant Predominance, by Race/Ethnicity and Vaccination Status - COVID-NET, 14 States, July 2021-January 2022.

    Taylor, Christopher A / Whitaker, Michael / Anglin, Onika / Milucky, Jennifer / Patel, Kadam / Pham, Huong / Chai, Shua J / Alden, Nisha B / Yousey-Hindes, Kimberly / Anderson, Evan J / Teno, Kenzie / Reeg, Libby / Como-Sabetti, Kathryn / Bleecker, Molly / Barney, Grant / Bennett, Nancy M / Billing, Laurie M / Sutton, Melissa / Talbot, H Keipp /
    McCaffrey, Keegan / Havers, Fiona P

    MMWR. Morbidity and mortality weekly report

    2022  Volume 71, Issue 12, Page(s) 466–473

    Abstract: Beginning the week of December 19-25, 2021, the B.1.1.529 (Omicron) variant of SARS-CoV-2 ...

    Abstract Beginning the week of December 19-25, 2021, the B.1.1.529 (Omicron) variant of SARS-CoV-2 (the virus that causes COVID-19) became the predominant circulating variant in the United States (i.e., accounted for >50% of sequenced isolates).* Information on the impact that booster or additional doses of COVID-19 vaccines have on preventing hospitalizations during Omicron predominance is limited. Data from the COVID-19-Associated Hospitalization Surveillance Network (COVID-NET)
    MeSH term(s) Adult ; COVID-19/ethnology ; COVID-19 Vaccines ; Hospitalization/statistics & numerical data ; Humans ; Immunization, Secondary ; SARS-CoV-2 ; United States/epidemiology ; Vaccination/statistics & numerical data
    Chemical Substances COVID-19 Vaccines
    Language English
    Publishing date 2022-03-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 412775-4
    ISSN 1545-861X ; 0149-2195
    ISSN (online) 1545-861X
    ISSN 0149-2195
    DOI 10.15585/mmwr.mm7112e2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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