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Article ; Online: From awareness to usage of long-acting reversible contraceptives: Results of a large European survey.

Caetano, Cecilia / Bliekendaal, Stefan / Engler, Yvonne / Lombardo, Massimo

International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

2020 Volume 151, Issue 3, Page(s) 366–376

Abstract: Objective: The PULSE survey investigated contraceptive decision making, focusing on the use of long-acting reversible contraceptives (LARCs) to determine reasons for their low adoption rates.: Methods: An online questionnaire was sent to women aged ... ...

Abstract	Objective: The PULSE survey investigated contraceptive decision making, focusing on the use of long-acting reversible contraceptives (LARCs) to determine reasons for their low adoption rates. Methods: An online questionnaire was sent to women aged 18-49 years in 14 European countries who were considering starting or changing contraceptive method and asked questions based on four stages of contraceptive decision making: awareness, consideration, consultation, and adoption. Results: Overall, 7221 women responded. LARC awareness was high (~73%) but current usage was low (11.3%). Only 24% of LARC-aware women would consider switching to them. Factors associated with decision making differed depending on the stage: e.g. at the awareness phase, women were concerned with suitability, reversibility, and whether the method is hormonal; and at the consideration phase, the efficacy, convenience, and adverse-effect profile were important. Healthcare professionals (HCPs) were the most trusted information source for women's contraceptive decision making. LARCs were discussed less frequently during consultations than other contraceptives and HCPs may be perceived to hold negative opinions on LARCs. Conclusion: A lack of knowledge about the features and benefits of LARCs can contribute to misconceptions and low adoption rates. HCPs play an important role in addressing this, as information conveyed during consultations influences women's contraceptive choices.
MeSH term(s)	Adolescent ; Adult ; Contraception Behavior/psychology ; Contraception Behavior/statistics & numerical data ; Decision Making ; Europe ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Long-Acting Reversible Contraception/psychology ; Long-Acting Reversible Contraception/statistics & numerical data ; Middle Aged ; Surveys and Questionnaires ; Young Adult
Language	English
Publishing date	2020-10-08
Publishing country	United States
Document type	Journal Article
ZDB-ID	80149-5
ISSN	1879-3479 ; 0020-7292
ISSN (online)	1879-3479
ISSN	0020-7292
DOI	10.1002/ijgo.13363
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Article ; Online: Psychological impact of Covid-19 pandemic in mental healthcare workers: a cross-sectional study in an Italian Department of Mental Health.

Vita, Antonio / Nibbio, Gabriele / Marini, Marco / Minelli, Alessandra / Carletto, Sara / Abrami, Maria Angela / Indelicato, Annamaria / Lombardo, Massimo / Barlati, Stefano

Rivista di psichiatria

2023 Volume 58, Issue 6, Page(s) 271–283

Abstract: Aim: The Covid-19 pandemic is having a great impact on the lives of healthcare workers, but its psychological impact on Mental Healthcare Workers (MHWs) remains to be better explored. The aims of the present study were to assess the correlates and ... ...

Abstract	Aim: The Covid-19 pandemic is having a great impact on the lives of healthcare workers, but its psychological impact on Mental Healthcare Workers (MHWs) remains to be better explored. The aims of the present study were to assess the correlates and predictors of stress and adverse psychological effects in MHWs during the first waves of the Covid-19 pandemic. Methods: A total of 124 MHWs (psychiatrist/psychiatry resident, nurse, psychologist/psychotherapist, psychiatric rehabilitation therapist/educator, other mental health professional) working in public facilities of the ASST Spedali Civili of Brescia, Italy, was assessed between June 28, 2020 and August 10, 2020 with an online questionnaire that included sociodemographic, professional and Covid-19 exposure information, the Impact of Event Scale - Revised and the Depression Anxiety Stress Scales 21. Multivariate linear regression models were designed to identify individual predictors of post-traumatic, depressive, anxiety and stress-symptoms. Results: The professional role of nurse, having more years of professional experience and experiencing the death of a patient emerged as predictors of more severe post-traumatic symptoms. The professional role of nurse emerged as the only predictor of more severe depressive symptoms; the professional role of nurse and having more years of professional experience emerged as predictors of more severe anxiety symptoms; more years of professional experience, higher workloads, worse team relationships and experiencing the death of a loved one emerged as predictors of more severe stress symptoms. Conclusions: Alongside other stressful factors, the professional role of nurse and more years of professional experience emerged as predictors of adverse psychological events. Working as a MHW, particularly with high levels of contact with patients during the Covid-19 pandemic, may be considered strenuous work, requiring dedicated training and interventions to improve resilience. Key words: Anxiety, Covid-19, depression, mental healthcare workers, stress-related disorder, stressful life events.
MeSH term(s)	Humans ; COVID-19/epidemiology ; Cross-Sectional Studies ; Mental Health ; Pandemics ; SARS-CoV-2 ; Health Personnel/psychology ; Anxiety/epidemiology ; Anxiety/etiology ; Depression/epidemiology ; Depression/etiology
Language	English
Publishing date	2023-11-27
Publishing country	Italy
Document type	Journal Article
ZDB-ID	205570-3
ISSN	2038-2502 ; 0035-6484
ISSN (online)	2038-2502
ISSN	0035-6484
DOI	10.1708/4143.41407
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Article ; Online: Performance of a DNA Probe-Based Salmonella Test in the AACC Check Sample Program.

Sall, Barry S / Lombardo, Massimo / Sheridan, Brendan / Parsons, George H

Journal of food protection

2019 Volume 51, Issue 7, Page(s) 579–580

Abstract: The performance of the GENE- ... ...

Abstract	The performance of the GENE-TRAK
Language	English
Publishing date	2019-04-26
Publishing country	United States
Document type	Journal Article
ZDB-ID	243284-5
ISSN	1944-9097 ; 0362-028X
ISSN (online)	1944-9097
ISSN	0362-028X
DOI	10.4315/0362-028X-51.7.579
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Article: The Epidemiology of Fractures and Muskulo-Skeletal Traumas During COVID-19 Lockdown: A Detailed Survey of 17.591 Patients in a Wide Italian Metropolitan Area.

Dolci, Andrea / Marongiu, Giuseppe / Leinardi, Lorenzo / Lombardo, Massimo / Dessì, Giuseppe / Capone, Antonio

Geriatric orthopaedic surgery & rehabilitation

2020 Volume 11, Page(s) 2151459320972673

Abstract: Introduction: On 9 March 2020 the Italian Government declared a national lockdown to curb the spread of Covid-19. The aim of our study was to analyze the effects of such intervention on the traumatological emergency service, with particular emphasis on ... ...

Abstract	Introduction: On 9 March 2020 the Italian Government declared a national lockdown to curb the spread of Covid-19. The aim of our study was to analyze the effects of such intervention on the traumatological emergency service, with particular emphasis on variations in trauma incidence and patients' characteristics. Materials and methods: An observational analysis was performed. Medical records were collected from 3 different trauma centers within a wide metropolitan area, and compared between 2 time periods: the full Italian lockdown period and the same period from the past year. The study population included all patients who were admitted to the Emergency Department (ED). For those who accessed for orthopedic reasons, the analyzed variables included the date of ED admission, age, gender, after visit discharge or hospitalization, place where the injury occurred, traumatic mechanism, diagnosis, relationship with sport activity, and time from injury/symptoms debut to ED access. Results: A total of 17591 ED accesses and 3163 ED trauma visits were identified. During the lockdown, ED trauma visits decreased by -59.8%, but required patient's hospitalization significantly more frequently. The rate of ED trauma admissions in the elderlies significantly increased, together with the proportion of fragility fractures such as hip fractures. Road accident traumas (-79.6%) and sport-related injuries (-96.2%) significantly dropped. Admissions for less-severe reasons such as atraumatic musculoskeletal pain significantly decreased (-81.6%). Conclusions: The lockdown reduced the pressure on the Health System in at least 2 ways: directly, by curbing viral transmission and indirectly, by more than halving the ED trauma visits. Nonetheless, we observed an increased proportion of traumas in older patients, requiring hospitalizations, while the rate of less-severe cases decreased. This analysis may raise awareness of the effects of a lockdown on trauma services and may be helpful for those ones around the world who are now facing the emergency.
Language	English
Publishing date	2020-11-11
Publishing country	United States
Document type	Journal Article
ZDB-ID	2589094-3
ISSN	2151-4593 ; 2151-4585
ISSN (online)	2151-4593
ISSN	2151-4585
DOI	10.1177/2151459320972673
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Article ; Online: Genome-wide association studies of response and side effects to the BNT162b2 vaccine in Italian healthcare workers: Increased antibody levels and side effects in carriers of the HLA-A*03:01 allele.

Magri, Chiara / Marchina, Eleonora / Sansone, Emanuele / D'Adamo, Adamo Pio / Cappellani, Stefania / Bonfanti, Carlo / Terlenghi, Luigina / Biasiotto, Giorgio / Zanella, Isabella / Sala, Emma / Caruso, Arnaldo / Lombardo, Massimo / Gasparini, Paolo / De Palma, Giuseppe / Gennarelli, Massimo

HLA

2023 Volume 102, Issue 6, Page(s) 707–719

Abstract: The remarkable variability of response to vaccines against SARS-CoV-2 is apparent. The present study aims to estimate the extent to which the host genetic background contributes to this variability in terms of immune response and side effects following ... ...

Abstract	The remarkable variability of response to vaccines against SARS-CoV-2 is apparent. The present study aims to estimate the extent to which the host genetic background contributes to this variability in terms of immune response and side effects following the administration of the BNT162b2 vaccine. We carried out a genome wide association study (GWAS) by genotyping 873 Italian healthcare workers who underwent anti-SARS-CoV-2 vaccination with the BNT162b2 vaccine and for whom information about anti-SARS-CoV-2 spike antibodies titers and vaccine side effects were available. The GWAS revealed a significant association between the HLA locus and the anti-SARS-CoV-2 Spike antibodies level at 2 months following the first dose of vaccine (SNP: rs1737060; p = 9.80 × 10
MeSH term(s)	Humans ; Genome-Wide Association Study ; Alleles ; BNT162 Vaccine ; COVID-19 Vaccines/adverse effects ; Vaccines ; Antibodies, Viral ; Health Personnel ; HLA-A Antigens
Chemical Substances	BNT162 Vaccine ; COVID-19 Vaccines ; Vaccines ; Antibodies, Viral ; HLA-A Antigens
Language	English
Publishing date	2023-07-19
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2845111-9
ISSN	2059-2310 ; 2059-2302
ISSN (online)	2059-2310
ISSN	2059-2302
DOI	10.1111/tan.15157
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Article: Immune Responses to SARS-CoV-2 Infection and Vaccine in a Big Italian COVID-19 Hospital: An 18-Month Follow-Up.

Sansone, Emanuele / Bonfanti, Carlo / Sala, Emma / Renzetti, Stefano / Terlenghi, Luigina / Matteelli, Alberto / Tiraboschi, Mara Maria / Pedrazzi, Tatiana / Lombardo, Massimo / Rossi, Camillo / Indelicato, Anna Maria / Caruso, Arnaldo / De Palma, Giuseppe

Vaccines

2022 Volume 11, Issue 1

Abstract: Objectives: This is a longitudinal prospective study which was designed to assess the trend of anti-SARS-CoV-2 antibodies targeting the Spike (anti-S) and Nucleocapside protein (anti-N) viral antigens over a 9-month period after the administration of an ...

Abstract	Objectives: This is a longitudinal prospective study which was designed to assess the trend of anti-SARS-CoV-2 antibodies targeting the Spike (anti-S) and Nucleocapside protein (anti-N) viral antigens over a 9-month period after the administration of an anti-SARS-CoV-2 vaccine in a big COVID-19 hospital located in Northern Italy. Participants: 7411 vaccinated workers were included in a linear mixed-effect model analysis performed to model the anti-S decay over the 9 months following the vaccination, during serological screening performed approximately 2, 4, and 9 months following the first jab administration. Serological tests performed in the 9 months preceding vaccine administration were retrospectively analysed to identify the burden of infections occurring before vaccination. Results: The serological assays were used for monitoring the antibody titres during the observational period. Vaccination significantly reduced the rate of infection and elicited a specific humoral response, which lasted during the whole observational period (9 months). A decay was observed in all considered subgroups. At 35 weeks, workers with no history of pre-vaccine infection showed a significantly lower anti-S titre (-2522 U/mL on average (-2589.7 to -2445.7)); younger workers showed significantly higher anti-S titres (140.2 U/mL on average (82.4 to 201.3)). Only seven immunocompromised workers did not show significant levels of anti-S antibodies; three of them, all females, showed a specific T-cell response. Conclusions: Comparing the 9-month periods before and after the first vaccine dose, a significant reduction in infection rate was observed (1708 cases vs. 156). Pre-vaccine infection, especially if contracted during the first pandemic wave, greatly enhanced the response to vaccination, which was significantly affected also by age both in extent and duration (inversely related). A gender effect on the T-cell immune response was observed in a small group of workers who did not produce antibodies after vaccine administration.
Language	English
Publishing date	2022-12-20
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2703319-3
ISSN	2076-393X
ISSN	2076-393X
DOI	10.3390/vaccines11010008
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Article ; Online: The impact of magnetic resonance imaging in the diagnostic and classification process of osteoporotic vertebral fractures.

Marongiu, Giuseppe / Congia, Stefano / Verona, Marco / Lombardo, Massimo / Podda, Daniele / Capone, Antonio

Injury

2018 Volume 49 Suppl 3, Page(s) S26–S31

Abstract: Introduction: Standard radiographs are still considered as the gold standard for the early assessment of thoraco-lumbar osteoporotic vertebral fractures (OVFs), although several studies demonstrated superior accuracy of magnetic resonance imaging (MRI) ... ...

Abstract	Introduction: Standard radiographs are still considered as the gold standard for the early assessment of thoraco-lumbar osteoporotic vertebral fractures (OVFs), although several studies demonstrated superior accuracy of magnetic resonance imaging (MRI) in the diagnostic process of OVFs. The aim of this study was to quantify the misdiagnosis rate of OVFs and analyse the impact of MRI on early diagnosis and classification, compared to standard radiographs alone. Materials and methods: A total of 173 patients were enrolled in this study. All participants were 55 years of age or older (60 years for men) and complained acute back pain with suspected thoracolumbar OVFs without history of high-energy trauma. Diagnosis of OVF was initially performed on standard radiographs obtained in the emergency room. Then, all the patients underwent MRI scan with short-tau inversion recovery (STIR) sequencing within 7 days. We compared the level and number of fractures identified on standard radiographs with the MRI scan results. The discordance between radiographic and MRI diagnosis was quantified. Fractures were classified according to AO Spine Classification. Results: Mean age of the study participant was 74.2 years (range 55-92). They were 100 males and 73 females. MRI modified initial diagnosis in 52% (90/173) of our patients: in 43.9% of patients MRI identified one or more new thoracolumbar fracture. In 14 cases (8.1%) MRI disproved the evidence of any thoracolumbar fracture, even those recognized at plain X-rays. Bone bruise was detected by MRI in 19 vertebral bodies in 8 patients (4.6%) at levels that were classified as unremarkable on X-ray alone. In addition, 63 patients (36.4%) presented a total of 93 old fractures. The classification of fracture pattern after MRI changed in 28.90% of the patients (changes mostly involved AO type A1 patterns). Conclusions: Underdiagnosis of osteoporotic vertebral fractures is a common problem due to a lack of radiographic detection. Our results showed that the extensive use of MRI imaging allows better accuracy in the diagnostic process and in the classification assessment, compared to conventional radiographs. Further investigation should provide additional information about the impact of early MRI on treatment and management of elderly patients with suspected OVFs, including the decision to hospitalize or not, and how it could affect clinical outcome and social costs.
MeSH term(s)	Aged ; Aged, 80 and over ; Female ; Fractures, Compression/classification ; Fractures, Compression/diagnostic imaging ; Fractures, Compression/physiopathology ; Humans ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Osteoporotic Fractures/classification ; Osteoporotic Fractures/diagnostic imaging ; Osteoporotic Fractures/physiopathology ; Retrospective Studies ; Spinal Fractures/classification ; Spinal Fractures/diagnostic imaging ; Spinal Fractures/physiopathology ; Thoracic Vertebrae/diagnostic imaging ; Thoracic Vertebrae/injuries ; Treatment Outcome
Language	English
Publishing date	2018-11-10
Publishing country	Netherlands
Document type	Comparative Study ; Journal Article
ZDB-ID	218778-4
ISSN	1879-0267 ; 0020-1383
ISSN (online)	1879-0267
ISSN	0020-1383
DOI	10.1016/j.injury.2018.10.006
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Article: Serological response after SARS-CoV2 vaccination in healthcare workers: a multicenter study.

Visci, Giovanni / Zunarelli, Carlotta / Mansour, Ihab / Porru, Stefano / De Palma, Giuseppe / Duval, Xavier / Monaco, Maria Grazia Lourdes / Spiteri, Gianluca / Carta, Angela / Lippi, Giuseppe / Verlato, Giuseppe / Sansone, Emanuele / Sala, Emma / Lombardo, Massimo / Abedini, Mahsa / Violante, Francesco / Boffetta, Paolo

La Medicina del lavoro

2022 Volume 113, Issue 2, Page(s) e2022022

Abstract: Introduction: Characterizing immunological response following COVID-19 vaccination is an important public health issue. The objectives of the present analysis were to investigate the proportion, level and the determinants of humoral response from 21 ... ...

Abstract	Introduction: Characterizing immunological response following COVID-19 vaccination is an important public health issue. The objectives of the present analysis were to investigate the proportion, level and the determinants of humoral response from 21 days to three months after the first dose in vaccinated healthcare workers (HCWs). Methods: We abstracted data on level of anti-SARS-CoV-2 Spike antibodies (IgG) and sociodemographic characteristics of 17,257 HCWs from public hospitals and public health authorities from three centers in Northern Italy who underwent COVID-19 vaccination (average 70.6 days after first dose). We fitted center-specific multivariate regression models and combined them using random-effects meta-analyses. Results: A humoral response was elicited in 99.3% of vaccinated HCW. Female sex, young age, and previous COVID-19 infection were predictors of post-vaccination antibody level, and a positive association was also detected with pre-vaccination serology level and with time between pre- and post-vaccination testing, while a decline of antibody level was suggested with time since vaccination. Conclusions: These results stress the importance of analyzing retrospective data collected via occupational health surveillance of HCWs during the COVID-19 epidemic and following vaccination. They need to be confirmed in larger series based on prospectively collected data.
MeSH term(s)	Antibodies, Viral ; COVID-19/epidemiology ; COVID-19/prevention & control ; COVID-19 Vaccines ; Female ; Health Personnel ; Humans ; RNA, Viral ; Retrospective Studies ; SARS-CoV-2 ; Vaccination/methods
Chemical Substances	Antibodies, Viral ; COVID-19 Vaccines ; RNA, Viral
Language	English
Publishing date	2022-04-26
Publishing country	Italy
Document type	Journal Article ; Multicenter Study
ZDB-ID	123678-7
ISSN	0025-7818
ISSN	0025-7818
DOI	10.23749/mdl.v113i2.13017
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Article: Effectiveness of BNT162b2 vaccine against SARS-CoV-2 among healthcare workers.

Sansone, Emanuele / Sala, Emma / Tiraboschi, Mara / Albini, Elisa / Lombardo, Massimo / Indelicato, Annamaria / Rosati, Cristina / Boniotti, Maria Beatrice / Castelli, Francesco / De Palma, Giuseppe

La Medicina del lavoro

2021 Volume 112, Issue 3, Page(s) 250–255

Abstract: Background: The present study was aimed at evaluating the effectiveness of BNT162b2 among HCWs of a university hospital while a recrudescence of pandemics was hitting the province, with a high rate of the B.1.1.7 variant. Methods: The study was ... ...

Abstract	Background: The present study was aimed at evaluating the effectiveness of BNT162b2 among HCWs of a university hospital while a recrudescence of pandemics was hitting the province, with a high rate of the B.1.1.7 variant. Methods: The study was performed in the context of health surveillance at the workplaces. We monitored the SARS-CoV-2 infection and COVID-19 symptoms among HCWs classified by having received the entire vaccine schedule or not; the latter further classified in not vaccinated workers and workers who had received the first shot more than 14 days earlier. The SARS-CoV-2 infection was diagnosed by conventional RT-PCR on rhino-pharyngeal swabs, followed by gene sequencing in positive vaccinated HCWs. The cumulative incidence of infections in the period was normalised to 100,000 people. Results: At the end of the observation period, HCWs that had completed the full schedule were at lower infection risk than both unvaccinated HCWs and the workforce who had not yet gained the complete theoretical protection from the vaccine (by 2.4-folds). Overall, ninety-two SARS-CoV-2 infections were observed among HCWs, mostly among not protected workers (52 cases) but none of them showed symptoms requiring hospitalisation. Conclusions: The vaccination campaign effectively reduced the appearance of symptoms and the incidence of infections among vaccinated HCWs. Among vaccinated HCWs, gene sequencing was possible in five cases only, 4 B.1.1.7 and 1 B1.525 variants. The high rate of unsuccessful gene sequencing observed among infected vaccinated workers could be explained by a low viral burden. Vaccination for COVID-19 should be mandatory in occupational settings with a high infective risk.
MeSH term(s)	COVID-19 ; COVID-19 Vaccines ; Health Personnel ; Humans ; SARS-CoV-2
Chemical Substances	COVID-19 Vaccines ; BNT162 vaccine (N38TVC63NU)
Language	English
Publishing date	2021-06-15
Publishing country	Italy
Document type	Journal Article
ZDB-ID	123678-7
ISSN	0025-7818
ISSN	0025-7818
DOI	10.23749/mdl.v112i3.11747
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Article ; Online: Prevalence of SARS-CoV-2 specific neutralising antibodies in blood donors from the Lodi Red Zone in Lombardy, Italy, as at 06 April 2020.

Percivalle, Elena / Cambiè, Giuseppe / Cassaniti, Irene / Nepita, Edoardo Vecchio / Maserati, Roberta / Ferrari, Alessandro / Di Martino, Raffaella / Isernia, Paola / Mojoli, Francesco / Bruno, Raffaele / Tirani, Marcello / Cereda, Danilo / Nicora, Carlo / Lombardo, Massimo / Baldanti, Fausto

Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin

2020 Volume 25, Issue 24

Abstract: We evaluated SARS-CoV-2 RNA and neutralising antibodies in blood donors (BD) residing in the Lodi Red Zone, Italy. Of 390 BDs recruited after 20 February 2020 - when the first COVID-19 case in Lombardy was identified, 91 (23%) aged 19-70 years were ... ...

Abstract	We evaluated SARS-CoV-2 RNA and neutralising antibodies in blood donors (BD) residing in the Lodi Red Zone, Italy. Of 390 BDs recruited after 20 February 2020 - when the first COVID-19 case in Lombardy was identified, 91 (23%) aged 19-70 years were antibody positive. Viral RNA was detected in an additional 17 (4.3%) BDs, yielding ca 28% (108/390) with evidence of virus exposure. Five stored samples collected as early as 12 February were seropositive.
MeSH term(s)	Adult ; Aged ; Antibodies, Neutralizing/immunology ; Betacoronavirus/immunology ; Blood Donors ; COVID-19 ; COVID-19 Testing ; COVID-19 Vaccines ; Clinical Laboratory Techniques ; Coronavirus Infections/diagnosis ; Coronavirus Infections/epidemiology ; Coronavirus Infections/immunology ; Coronavirus Infections/therapy ; Female ; Humans ; Immunization, Passive ; Italy/epidemiology ; Male ; Middle Aged ; Neutralization Tests ; Pandemics ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/immunology ; Pneumonia, Viral/therapy ; Prevalence ; Real-Time Polymerase Chain Reaction ; Reverse Transcriptase Polymerase Chain Reaction ; SARS-CoV-2 ; Seroepidemiologic Studies ; Young Adult
Chemical Substances	Antibodies, Neutralizing ; COVID-19 Vaccines ; Covid-19 aAPC vaccine
Keywords	covid19
Language	English
Publishing date	2020-06-24
Publishing country	Sweden
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1338803-4
ISSN	1560-7917 ; 1025-496X
ISSN (online)	1560-7917
ISSN	1025-496X
DOI	10.2807/1560-7917.ES.2020.25.24.2001031
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