Epidemiology and Health

Original Article

Asymptomatic Middle East Respiratory Syndrome coronavirus infection using a serologic survey in Korea: Yeong-jun Song, Jeong-Sun Yang, Hee Jung Yoon, Hae-Sung Nam, Soon Young Lee, Hae-Kwan Cheong, Woo-Jung Park, Sung Han Park, Bo Youl Choi, Sung Soon Kim, Moran Ki; Epidemiol Health. 2018;40:e2018014. Published online April 15, 2018; DOI: https://doi.org/10.4178/epih.e2018014

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Abstract

OBJECTIVES
The rates of asymptomatic infection with Middle East Respiratory Syndrome (MERS) coronavirus vary. A serologic study was conducted to determine the asymptomatic MERS infection rate in healthcare workers and non-healthcare workers by exposure status.

METHODS

Study participants were selected from contacts of MERS patients based on a priority system in 4 regions strongly affected by the 2015 MERS outbreak. A sero-epidemiological survey was performed in 1,610 contacts (average duration from exposure to test, 4.8 months), and the collected sera were tested using an enzyme-linked immunespecific assay (ELISA), immunofluorescence assay (IFA), and plaque reduction neutralization antibody test (PRNT). Among the 1,610 contacts, there were 7 ELISA-positive cases, of which 1 exhibited positive IFA and PRNT results.

RESULTS

The asymptomatic infection rate was 0.060% (95% confidence interval, 0.002 to 0.346). The asymptomatic MERS case was a patient who had been hospitalized with patient zero on the same floor of the hospital at the same time. The case was quarantined at home for 2 weeks after discharge, and had underlying diseases, including hypertension, angina, and degenerative arthritis.

CONCLUSIONS

The asymptomatic infection was acquired via healthcare-associated transmission. Thus, it is necessary to extend serologic studies to include inpatient contacts who have no symptoms.

Summary

Korean summary
2015년 국내 MERS 유행시에 자가격리를 시행하였던 접촉자 약 15,000명 (의료인과 비의료인 포함) 중에서 주요 유행지역, 노출 강도 등을 고려하여 선별된 3,291명을 대상으로 무증상 감염여부를 확인하기 위한 혈청 역학조사를 수행하였다. 최종 검사에 참여한 1,610명 중에서 7명이 ELISA 양성 반응을 보였고, 그 중 1명이 IFA와 PRNT에서도 양성 반응을 보여 무증상 감염률은 0.060%(95% CI: 0.002-0.346)로 기존 연구에 비하여 낮았다. 최종 양성을 보인 1명은 노출 당시 1번환자와 가까운 병실에 입원하였던 환자였다.

Citations

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MERS-Original Articles

Preventive behaviors by the level of perceived infection sensitivity during the Korea outbreak of Middle East Respiratory Syndrome in 2015: Soon Young Lee, Hee Jeong Yang, Gawon Kim, Hae-Kwan Cheong, Bo Youl Choi; Epidemiol Health. 2016;38:e2016051. Published online November 16, 2016; DOI: https://doi.org/10.4178/epih.e2016051

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Abstract Summary PDF Supplementary Material

Abstract

OBJECTIVES
This study was performed to investigate the relationship between community residents’ infection sensitivity and their levels of preventive behaviors during the 2015 Middle East Respiratory Syndrome (MERS) outbreak in Korea.

METHODS

Seven thousands two hundreds eighty one participants from nine areas in Gyeonggi-do including Pyeongtaek, the origin of the outbreak in 2015 agreed to participate in the survey and the data from 6,739 participants were included in the final analysis. The data on the perceived infection sensitivity were subjected to cluster analysis. The levels of stress, reliability/practice of preventive behaviors, hand washing practice and policy credibility during the outbreak period were analyzed for each cluster.

RESULTS

Cluster analysis of infection sensitivity due to the MERS outbreak resulted in classification of participants into four groups: the non-sensitive group (14.5%), social concern group (17.4%), neutral group (29.1%), and overall sensitive group (39.0%). A logistic regression analysis found that the overall sensitive group with high sensitivity had higher stress levels (17.80; 95% confidence interval [CI], 13.77 to 23.00), higher reliability on preventive behaviors (5.81; 95% CI, 4.84 to 6.98), higher practice of preventive behaviors (4.53; 95% CI, 3.83 to 5.37) and higher practice of hand washing (2.71; 95% CI, 2.13 to 3.43) during the outbreak period, compared to the non-sensitive group.

CONCLUSIONS

Infection sensitivity of community residents during the MERS outbreak correlated with gender, age, occupation, and health behaviors. When there is an outbreak in the community, there is need to maintain a certain level of sensitivity while reducing excessive stress, as well as promote the practice of preventive behaviors among local residents. In particular, target groups need to be notified and policies need to be established with a consideration of the socio-demographic characteristics of the community.

Summary

Korean summary
2015년 한국에서 발생한 메르스 유행 시 지역 주민이 인식하는 민감도와 예방행위 수준을 파악하고 연관성을 밝히고자 2015년 경기도 9개 시의 지역사회건강조사 대상자 6,739명을 대상으로 감염 민감도와 예방행위 등을 조사 분석하였다. 감염 민감도는 성별, 연령, 직업, 건강행위와 연관성이 있었으며, 감염에 대한 민감도가 높을수록 스트레스를 많이 받는 한편, 예방행위 실천에 긍정적인 영향을 미침을 알 수 있었다. 따라서 감염병 유행 시 지나친 스트레스는 줄이되 공중보건 위기에 대한 적정 수준의 민감도를 유지하고, 인구사회학적 특성을 고려한 관리정책이 요구된다.

Citations

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Mental health status of people isolated due to Middle East Respiratory Syndrome: Hyunsuk Jeong, Hyeon Woo Yim, Yeong-Jun Song, Moran Ki, Jung-Ah Min, Juhee Cho, Jeong-Ho Chae; Epidemiol Health. 2016;38:e2016048. Published online November 5, 2016; DOI: https://doi.org/10.4178/epih.e2016048

48,400 View
1,178 Download
673 Web of Science
700 Crossref

Abstract Summary PDF Supplementary Material

Abstract

OBJECTIVES
Isolation due to the management of infectious diseases is thought to affect mental health, but the effects are still unknown. We examined the prevalence of anxiety symptoms and anger in persons isolated during the Middle East Respiratory Syndrome (MERS) epidemic both at isolation period and at four to six months after release from isolation. We also determined risk factors associated with these symptoms at four to six months.

METHODS

Of 14,992 individuals isolated for 2-week due to having contact with MERS patients in 2015, when MERS was introduced to Korea, 1,692 individuals were included in this study. Anxiety symptoms were evaluated with the Generalized Anxiety Disorder 7-item scale and anger was assessed with the State-Trait Anger Expression Inventory at four to six months after release from isolation for MERS.

RESULTS

Of 1,692 who came in contact with MERS patients, 1,656 were not diagnosed with MERS. Among 1,656, anxiety symptoms showed 7.6% (95% confidence interval [CI], 6.3 to 8.9%) and feelings of anger were present in 16.6% (95% CI, 14.8 to 18.4%) during the isolation period. At four to six months after release from isolation, anxiety symptoms were observed in 3.0% (95%CI, 2.2 to 3.9%). Feelings of anger were present in 6.4% (95% CI, 5.2 to 7.6%). Risk factors for experiencing anxiety symptoms and anger at four to six months after release included symptoms related to MERS during isolation, inadequate supplies (food, clothes, accommodation), social networking activities (email, text, Internet), history of psychiatric illnesses, and financial loss.

CONCLUSIONS

Mental health problems at four to six month after release from isolation might be prevented by providing mental health support to individuals with vulnerable mental health, and providing accurate information as well as appropriate supplies, including food, clothes, and accommodation.

Summary

Korean summary
메르스 환자와의 밀착접촉으로 격리되었던 1,692명을 대상으로 격리 당시와 격리해제 후 4-6개월 시점의 불안증상과 분노감 유병율을 파악하고 격리 해제 후 4-6개월 시점에 불안증상과 분노감 유병과 연관된 격리기간 동안의 위험요인을 알아보고자 하였다. 메르스 격리자에서 격리시점의 불안증상 유병율은 7.6% (95%CI: 6.3-8.9%), 분노감 유병율은 16.6% (95%CI: 14.8-18.4%) 였고, 4-6개월 시점이 불안증상 유병율은 3.0% (95%CI: 2.2-3.9%), 분노감 유병율은 6.4% (95%CI: 5.2-7.6%) 이였다. 성별과 연령을 보정한 후 격리해제 4-6개월 지난 시점에서 불안증상 및 분노감 유병의 위험요인은 격리 당시 메르스 증상이 있었거나 구호품 보급이 충분하지 않았거나, 정신과 질환의 과거력이 있었던 경우, 재정 손실이 있었던 사람이었다.

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Universitas Psychologica.2021; 19: 1. CrossRef
Survey of Stress in COVID Patient Post Treatment
Neeraj Kancherla, Sameer Krishna Prasad Garlapati, Yeswanth Kumar Raparla, Maria Jamil, Javairia Jamil, Sai Mahitha Mannava
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Tonino Cantelmi, Emiliano Lambiase, Michela Pensavalli, Pasquale Laselva, Sara Cecchetti
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A Longitudinal Study on the Mental Health of College Students in Jinan During the Peak Stage of the COVID-19 Epidemic and the Society Reopening
Xiaolei Zheng, Yuji Guo, Wen Ma, Hui Yang, Liyan Luo, Li Wen, Xiaolan Zhou, Qing Li, Jianzhong Bi, Ping Wang, Hongxing Wang
Biomedicine Hub.2021; 6(3): 102. CrossRef
Estimates and Determinants of Psychological Problems of Pregnant Women during COVID-19 Epidemic in South Africa
A. M. Hoque, M. Hoque, M. E. Hoque, G. Van Hal
European Journal of Medical and Health Sciences.2021; 3(1): 143. CrossRef
Considering the psychological impact of quarantine in prisons
Charlotte Hodgkinson, Karen De Claire, Rachele Murphy
Forensic Update.2021; 1(136): 87. CrossRef
Impacto social y psicológico del COVID-19 en el personal sanitario. Caso Ecuador
Deysi Magali Bermejo Cayamcela, Robert Alvarez Ochoa, Verónica Del Rocío Lliguisupa Peláez, Diego José Pesántez Beltrán, César Edmundo Zhindón Arévalo
Revista Ciencias Pedagógicas e Innovación.2021; 9(2): 153. CrossRef
Mental Health of Individuals Infected With SARS-CoV-2 During Mandated Isolation and Compliance With Recommendations - A Population-Based Cohort Study
Anja Domenghino, Hélène Aschmann, Tala Ballouz, Dominik Menges, Sandra Derfler, Dominique Stella Strebel-Wermuth, Jan Fehr, Milo A. Puhan
SSRN Electronic Journal .2021;[Epub] CrossRef
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Supriya Davis, Madhura Samudra, Sana Dhamija, Suprakash Chaudhury, Daniel Saldanha
Industrial Psychiatry Journal.2021; 30(Suppl 1): S277. CrossRef
Assessment of Severity of Stress Among Medical and Dental Students During the COVID-19 Pandemic
Bindu Menon, Subram Sannapareddy, Medha Menon
Annals of Indian Academy of Neurology.2021; 24(5): 703. CrossRef
Psychosocial Impact of the COVID-19 Lockdown in School-Aged Children and Adolescents in Karaikal – A Longitudinal Study
Sree Latha B Venkat, K. R. Ananthakrishnan
Indian Journal of Social Psychiatry.2021; 37(1): 77. CrossRef
Short-Term Impact of Social Distancing Measures During the COVID-19 Pandemic on Cognitive Function and Health Perception of Brazilian Older Adults: A Pre-Post Study
Pedro H. T.Q. Almeida, Lilian D. Bernardo, Tatiana B. Pontes, Jane A. Davis, Tainá M. S. Deodoro, Rafaela G. Ferreira, Klysna I. Souza, Joy C. MacDermid
Journal of Applied Gerontology.2021; 40(9): 934. CrossRef
Mental Health Care Measures in Response to the 2019 Novel Coronavirus Outbreak in Korea
Seon-Cheol Park, Yong Chon Park
Psychiatry Investigation.2020; 17(2): 85. CrossRef
The psychological impact of quarantine and how to reduce it: rapid review of the evidence
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The Lancet.2020; 395(10227): 912. CrossRef
Mental Health Outcomes of Quarantine and Isolation for Infection Prevention: A Systematic Umbrella Review of the Global Evidence
Md Mahbub Hossain, Abida Sultana, Neetu Purohit
SSRN Electronic Journal .2020;[Epub] CrossRef
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Ashwin Venkatesh, Shantal Edirappuli
BMJ.2020; : m1379. CrossRef
COVID-19 in People with Mental Illness: Challenges and Vulnerabilities
Anjana Rao Kavoor
Asian Journal of Psychiatry.2020; 51: 102051. CrossRef
Certified Coronavirus Immunity as a Resource and Strategy to Cope with Pandemic Costs
Reiner Eichenberger, Rainer Hegselmann, David A. Savage, David Stadelmann, Benno Torgler
Kyklos.2020; 73(3): 464. CrossRef
Lifestyle at Time of COVID-19: How Could Quarantine Affect Cardiovascular Risk
Anna Vittoria Mattioli, Matteo Ballerini Puviani
American Journal of Lifestyle Medicine.2020; 14(3): 240. CrossRef
Living at the Peak: Health and Public Finance During the Covid-19 Pandemic
Dirk Foremny, Pilar Sorribas-Navarro, Judit Vall Castelló
SSRN Electronic Journal .2020;[Epub] CrossRef
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Kaushik Chatterjee, V.S. Chauhan
Medical Journal Armed Forces India.2020; 76(2): 125. CrossRef
Health Communication Through News Media During the Early Stage of the COVID-19 Outbreak in China: Digital Topic Modeling Approach
Qian Liu, Zequan Zheng, Jiabin Zheng, Qiuyi Chen, Guan Liu, Sihan Chen, Bojia Chu, Hongyu Zhu, Babatunde Akinwunmi, Jian Huang, Casper J P Zhang, Wai-Kit Ming
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Dealing with sleep problems during home confinement due to the COVID‐19 outbreak: Practical recommendations from a task force of the European CBT‐I Academy
Ellemarije Altena, Chiara Baglioni, Colin A. Espie, Jason Ellis, Dimitri Gavriloff, Brigitte Holzinger, Angelika Schlarb, Lukas Frase, Susanna Jernelöv, Dieter Riemann
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A Nationwide Survey of Psychological Distress among Italian People during the COVID-19 Pandemic: Immediate Psychological Responses and Associated Factors
Cristina Mazza, Eleonora Ricci, Silvia Biondi, Marco Colasanti, Stefano Ferracuti, Christian Napoli, Paolo Roma
International Journal of Environmental Research and Public Health.2020; 17(9): 3165. CrossRef
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Kim Usher, Navjot Bhullar, Debra Jackson
Journal of Clinical Nursing.2020; 29(15-16): 2756. CrossRef
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Anna Vittoria Mattioli, Matteo Ballerini Puviani, Milena Nasi, Alberto Farinetti
European Journal of Clinical Nutrition.2020; 74(6): 852. CrossRef
Impact of isolation on hospitalised patients who are infectious: systematic review with meta-analysis
Edward Purssell, Dinah Gould, Jane Chudleigh
BMJ Open.2020; 10(2): e030371. CrossRef
International Mental Health perspectives on the novel coronavirus SARS-CoV-2 pandemic
Jesús E. Ibáñez-Vizoso, Íñigo Alberdi-Páramo, Marina Díaz-Marsá
Revista de Psiquiatría y Salud Mental.2020; 13(2): 111. CrossRef
Online Mental Health Survey in a Medical College in China During the COVID-19 Outbreak
Jia Liu, Qing Zhu, Wenliang Fan, Joyman Makamure, Chuansheng Zheng, Jing Wang
Frontiers in Psychiatry.2020;[Epub] CrossRef
Posttraumatic stress disorder and depression of survivors 12 months after the outbreak of Middle East respiratory syndrome in South Korea
Hye Yoon Park, Wan Beom Park, So Hee Lee, Jeong Lan Kim, Jung Jae Lee, Haewoo Lee, Hyoung-Shik Shin
BMC Public Health.2020;[Epub] CrossRef
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Alberto Stefana, Eric A. Youngstrom, Christopher J. Hopwood, Antonios Dakanalis
European Archives of Psychiatry and Clinical Neuroscience.2020; 270(6): 785. CrossRef
Mass quarantine measures in the time of COVID‐19 pandemic: psychosocial implications for chronic skin conditions and a call for qualitative studies
S. Garcovich, F.S. Bersani, A. Chiricozzi, C. De Simone
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Psychiatric and neuropsychiatric presentations associated with severe coronavirus infections: a systematic review and meta-analysis with comparison to the COVID-19 pandemic
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İsmail BİÇER, Cuma ÇAKMAK, Halil DEMİR, Mehmet Emin KURT
Anadolu Kliniği Tıp Bilimleri Dergisi.2020; 25(Special Is): 216. CrossRef
Emerging Adults and COVID-19: The Role of Individualism-Collectivism on Perceived Risks and Psychological Maladjustment
Alessandro Germani, Livia Buratta, Elisa Delvecchio, Claudia Mazzeschi
International Journal of Environmental Research and Public Health.2020; 17(10): 3497. CrossRef
The prevalence and influencing factors in anxiety in medical workers fighting COVID-19 in China: a cross-sectional survey
Chen-Yun Liu, Yun-zhi Yang, Xiao-Ming Zhang, Xinying Xu, Qing-Li Dou, Wen-Wu Zhang, Andy S. K. Cheng
Epidemiology and Infection.2020;[Epub] CrossRef
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Souvik Dubey, Payel Biswas, Ritwik Ghosh, Subhankar Chatterjee, Mahua Jana Dubey, Subham Chatterjee, Durjoy Lahiri, Carl J. Lavie
Diabetes & Metabolic Syndrome: Clinical Research & Reviews.2020; 14(5): 779. CrossRef
The psychological impact of COVID-19 pandemic on health care workers in a MERS-CoV endemic country
Mohamad-Hani Temsah, Fahad Al-Sohime, Nurah Alamro, Ayman Al-Eyadhy, Khalid Al-Hasan, Amr Jamal, Ibrahim Al-Maglouth, Fadi Aljamaan, Maha Al Amri, Mazin Barry, Sarah Al-Subaie, Ali Mohammed Somily
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Compliance and Psychological Impact of Quarantine in Children and Adolescents due to Covid-19 Pandemic
Kumar Saurabh, Shilpi Ranjan
The Indian Journal of Pediatrics.2020; 87(7): 532. CrossRef
COVID-19: implicações e aplicações da Psicologia Positiva em tempos de pandemia
Cristian Zanon, Letícia Lovato Dellazzana-Zanon, Solange Muglia Wechsler, Rodrigo Rodrigues Fabretti, Karina Nalevaiko da Rocha
Estudos de Psicologia (Campinas).2020;[Epub] CrossRef
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Mariana Pires Luz, William Berger
Jornal Brasileiro de Psiquiatria.2020; 69(2): 79. CrossRef
COVID-19 quarantine: Post-traumatic stress symptomatology among Lebanese citizens
Mirna Fawaz, Ali Samaha
International Journal of Social Psychiatry.2020; 66(7): 666. CrossRef
Are we all in this together? Longitudinal assessment of cumulative adversities by socioeconomic position in the first 3 weeks of lockdown in the UK
Liam Wright, Andrew Steptoe, Daisy Fancourt
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Related Health Factors of Psychological Distress During the COVID-19 Pandemic in Spain
Juan Gómez-Salgado, Montserrat Andrés-Villas, Sara Domínguez-Salas, Diego Díaz-Milanés, Carlos Ruiz-Frutos
International Journal of Environmental Research and Public Health.2020; 17(11): 3947. CrossRef
Psychosocial and Behavioral Impact of COVID-19 in Autism Spectrum Disorder: An Online Parent Survey
Marco Colizzi, Elena Sironi, Federico Antonini, Marco Luigi Ciceri, Chiara Bovo, Leonardo Zoccante
Brain Sciences.2020; 10(6): 341. CrossRef
The psychological impact of COVID-19 pandemic on physicians in Saudi Arabia: A cross-sectional study
Eman Al Sulais, Mahmoud Mosli, Turki AlAmeel
Saudi Journal of Gastroenterology.2020; 26(5): 249. CrossRef
COVID‐19: psychological issues for people with diabetes and health care staff
Rowan Hillson
Practical Diabetes.2020; 37(3): 101. CrossRef
Mental health and psychological impact of COVID-19: Potential high-risk factors among different groups
Lijie Mi, Yufeng Jiang, He Xuan, Yafeng Zhou
Asian Journal of Psychiatry.2020; 53: 102212. CrossRef
Transplant Patients’ Isolation and Social Distancing Because of COVID-19: Analysis of the Resilient Capacities of the Transplant in the Management of the Coronavirus Emergency
Diana Lupi, Barbara Binda, Filippo Montali, Andrea Natili, Laura Lancione, Davide Chiappori, Ida Parzanese, Daniela Maccarone, Francesco Pisani
Transplantation Proceedings.2020; 52(9): 2626. CrossRef
Emotional well-being, mental health awareness, and prevention of suicide: Covid-19 pandemic and digital psychiatry
Anil Kakunje, Rajesh Mithur, M Kishor
Archives of Medicine and Health Sciences.2020; 8(1): 147. CrossRef
Exploring Lifestyle Habits, Physical Activity, Anxiety and Basic Psychological Needs in a Sample of Portuguese Adults during COVID-19
Raul Antunes, Roberta Frontini, Nuno Amaro, Rogério Salvador, Rui Matos, Pedro Morouço, Ricardo Rebelo-Gonçalves
International Journal of Environmental Research and Public Health.2020; 17(12): 4360. CrossRef
Evaluation of health-related quality of life using EQ-5D in China during the COVID-19 pandemic
Weiwei Ping, Jianzhong Zheng, Xiaohong Niu, Chongzheng Guo, Jinfang Zhang, Hui Yang, Yan Shi, Amir H. Pakpour
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Quarantine during COVID-19 outbreak: Changes in diet and physical activity increase the risk of cardiovascular disease
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Nutrition, Metabolism and Cardiovascular Diseases.2020; 30(9): 1409. CrossRef
Depression, anxiety, and stress and socio-demographic correlates among general Indian public during COVID-19
Shankey Verma, Aditi Mishra
International Journal of Social Psychiatry.2020; 66(8): 756. CrossRef
Mental health circumstances among health care workers and general public under the pandemic situation of COVID-19 (HOME-COVID-19)
Surapon Nochaiwong, Chidchanok Ruengorn, Ratanaporn Awiphan, Yongyuth Ruanta, Waraporn Boonchieng, Sirisak Nanta, Woravut Kowatcharakul, Wanida Pumpaisalchai, Penkarn Kanjanarat, Pajaree Mongkhon, Kednapa Thavorn, Brian Hutton, Nahathai Wongpakaran, Tinak
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G Serafini, B Parmigiani, A Amerio, A Aguglia, L Sher, M Amore
QJM: An International Journal of Medicine.2020; 113(8): 531. CrossRef
COVID-19 and Severe Mental Illness: Impact on patients and its relation with their awareness about COVID-19
Partheeban Muruganandam, Srinivasan Neelamegam, Vikas Menon, Johndinesh Alexander, Santosh K Chaturvedi
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A Look at the First Quarantined Community in the USA: Response of Religious Communal Organizations and Implications for Public Health During the COVID-19 Pandemic
Sarah L. Weinberger-Litman, Leib Litman, Zohn Rosen, David H. Rosmarin, Cheskie Rosenzweig
Journal of Religion and Health.2020; 59(5): 2269. CrossRef
Psychological Impact of Quarantine on Caregivers at a Children's Hospital for Contact with Case of COVID-19
Harin Kim, Kee Jeong Park, Yong-Wook Shin, Jung Sun Lee, Seockhoon Chung, Taeyeop Lee, Min-Jae Kim, Jiwon Jung, Jina Lee, Mi-Sun Yum, Beom Hee Lee, Kyung-Nam Koh, Tae-Sung Ko, Eunyoung Lim, Jung Soo Lee, Jee Yeon Lee, Ji Yeon Choi, Hyo Myung Han, Woo Ah S
Journal of Korean Medical Science.2020;[Epub] CrossRef
Mental health in chronic disease patients during the COVID-19 quarantine in Greece
Maya Louvardi, Panagiotis Pelekasis, George P. Chrousos, Christina Darviri
Palliative and Supportive Care.2020; 18(4): 394. CrossRef
For the Greater Good? The Devastating Ripple Effects of the Covid-19 Crisis
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When public health crises collide: Social disparities and COVID‐19
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International Journal of Clinical Practice.2020;[Epub] CrossRef
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Sunhee Park, Beomsoo Kim, Jaeil Lee
Asia Pacific Journal of Public Health.2020; 32(6-7): 360. CrossRef
Mental health of orthopaedic trauma patients during the 2020 COVID-19 pandemic
Erin Ohliger, Erica Umpierrez, Lauren Buehler, Andrew W. Ohliger, Steven Magister, Heather Vallier, Adam G. Hirschfeld
International Orthopaedics.2020; 44(10): 1921. CrossRef
The psychological status of 8817 hospital workers during COVID-19 Epidemic: A cross-sectional study in Chongqing
Xu Xiaoming, Ai Ming, Hong Su, Wang Wo, Chen Jianmei, Zhang Qi, Hu Hua, Li Xuemei, Wang Lixia, Cao Jun, Shi Lei, Lv Zhen, Du Lian, Li Jing, Yang Handan, Qiu Haitang, He Xiaoting, Chen Xiaorong, Chen Ran, Luo Qinghua, Zhou Xinyu, Tan Jian, Tu Jing, Jiang G
Journal of Affective Disorders.2020; 276: 555. CrossRef
Maternal psychological distress & mental health service use during the COVID-19 pandemic
Emily E. Cameron, Kayla M. Joyce, Chantal P. Delaquis, Kristin Reynolds, Jennifer L.P. Protudjer, Leslie E. Roos
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The moderating roles of psychological flexibility and inflexibility on the mental health impacts of COVID-19 pandemic and lockdown in Italy
Kenneth I. Pakenham, Giulia Landi, Giada Boccolini, Annalisa Furlani, Silvana Grandi, Eliana Tossani
Journal of Contextual Behavioral Science.2020; 17: 109. CrossRef
Mental health services for mood disorder outpatients in Milan during COVID-19 outbreak: The experience of the health care providers at San Raffaele hospital
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François Peinado Ibarra, Mehri Mehrad, Marina Di Mauro, Maria Fernanda Peraza Godoy, Eduard García Cruz, Mohammad Ali Nilforoushzadeh, Giorgio Ivan Russo
International braz j urol.2020; 46( suppl 1): 104. CrossRef
Sleep disturbances among Chinese residents during the Coronavirus Disease 2019 outbreak and associated factors
Jing Wang, Yanhong Gong, Zhenyuan Chen, Jianxiong Wu, Jie Feng, Shijiao Yan, Chuanzhu Lv, Zuxun Lu, Ketao Mu, Xiaoxv Yin
Sleep Medicine.2020; 74: 199. CrossRef
Comparison of the severity of psychological distress among four groups of an Iranian population regarding COVID-19 pandemic
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BMC Psychiatry.2020;[Epub] CrossRef
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Changes in Sex Life among People in Taiwan during the COVID-19 Pandemic: The Roles of Risk Perception, General Anxiety, and Demographic Characteristics
Nai-Ying Ko, Wei-Hsin Lu, Yi-Lung Chen, Dian-Jeng Li, Yu-Ping Chang, Chia-Fen Wu, Peng-Wei Wang, Cheng-Fang Yen
International Journal of Environmental Research and Public Health.2020; 17(16): 5822. CrossRef
Crossing barriers: Role of a tele-outreach program addressing psychosocial needs in the midst of COVID-19 pandemic
Swati Ravindran, Lakshmi Nirisha P, Naveen Kumar Channaveerachari, Shekhar P Seshadri, Sekar Kasi, Sanjeev Kumar Manikappa, Anish V. Cherian, Sivakumar Palanimuthu T, Paulomi Sudhir, Radhakrishnan Govindan, Bhasker Reddy P, Allen Daniel Christopher, Sobin
Asian Journal of Psychiatry.2020; 53: 102351. CrossRef
Past Epidemics, Natural Disasters, COVID19, and Mental Health: Learning from History as we Deal with the Present and Prepare for the Future
Emily Esterwood, Sy Atezaz Saeed
Psychiatric Quarterly.2020; 91(4): 1121. CrossRef
Mental health concerns in quarantined international air passengers during COVID-19 pandemic – An experiential account
Daniel Ritish, Damodharan Dinakaran, Rakesh Chander, Manisha Murugesan, Ferose Azeez Ibrahim, Rajani Parthasarathy, Pankaj Kumar Pandey, Manoj Kumar Sharma, Dhanasekara Pandian, Narayana Manjunatha, Senthil Kumar Reddi, Sydney Moirangthem, Chennaveerachar
Asian Journal of Psychiatry.2020; 53: 102364. CrossRef
The Effect of Environmental Stressors on Tinnitus: A Prospective Longitudinal Study on the Impact of the COVID-19 Pandemic
Winfried Schlee, Sondre Hølleland, Jan Bulla, Jorge Simoes, Patrick Neff, Stefan Schoisswohl, Stella Woelflick, Martin Schecklmann, Axel Schiller, Susanne Staudinger, Thomas Probst, Berthold Langguth
Journal of Clinical Medicine.2020; 9(9): 2756. CrossRef
COVID‐19 in the geriatric population
Justin Roy, Rohit Jain, Reshma Golamari, Rama Vunnam, Nitasa Sahu
International Journal of Geriatric Psychiatry.2020; 35(12): 1437. CrossRef
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Jesús E. Ibáñez-Vizoso, Íñigo Alberdi-Páramo, Marina Díaz-Marsá
Revista de Psiquiatría y Salud Mental (English Edition).2020; 13(2): 111. CrossRef
How Personality Relates to Distress in Parents during the Covid-19 Lockdown: The Mediating Role of Child’s Emotional and Behavioral Difficulties and the Moderating Effect of Living with Other People
Cristina Mazza, Eleonora Ricci, Daniela Marchetti, Lilybeth Fontanesi, Serena Di Giandomenico, Maria Cristina Verrocchio, Paolo Roma
International Journal of Environmental Research and Public Health.2020; 17(17): 6236. CrossRef
Post-traumatic stress disorder: A differential diagnostic consideration for COVID-19 survivors
Erin T. Kaseda, Andrew J. Levine
The Clinical Neuropsychologist.2020; 34(7-8): 1498. CrossRef
Chronotypes and trauma reactions in children with ADHD in home confinement of COVID-19: full mediation effect of sleep problems
Fatih Hilmi Çetin, Halit Necmi Uçar, Serhat Türkoğlu, Ece Merve Kahraman, Merve Kuz, Ahmet Güleç
Chronobiology International.2020; 37(8): 1214. CrossRef
A Mixed‐method Study of Individual, Couple, and Parental Functioning During the State‐regulated COVID‐19 Lockdown in Spain
Cristina Günther‐Bel, Anna Vilaregut, Eduard Carratala, Sonia Torras‐Garat, Carles Pérez‐Testor
Family Process.2020; 59(3): 1060. CrossRef
Inequality in practice: materialism in Brazilian schools in times of pandemic / Inequality in practice: materialism in Brazilian schools in times of pandemic
Aline Bueno Gonçalves
Pacha. Revista de Estudios Contemporáneos del Sur Global.2020; 1(2): 85. CrossRef
Cognitive Reappraisal and the Association Between Perceived Stress and Anxiety Symptoms in COVID-19 Isolated People
Chen Xu, Yanjun Xu, Song Xu, Qianhui Zhang, Xiaotong Liu, Yifan Shao, Xiaoxiao Xu, Li Peng, Min Li
Frontiers in Psychiatry.2020;[Epub] CrossRef
SARS-CoV-2 infection and COVID-19: The lived experience and perceptions of patients in isolation and care in an Australian healthcare setting
Ramon Z. Shaban, Shizar Nahidi, Cristina Sotomayor-Castillo, Cecilia Li, Nicole Gilroy, Matthew V.N. O'Sullivan, Tania C. Sorrell, Elizabeth White, Kate Hackett, Shopna Bag
American Journal of Infection Control.2020; 48(12): 1445. CrossRef
Impact of COVID-19 and other pandemics and epidemics on people with pre-existing mental disorders: a systematic review protocol and suggestions for clinical care
Anjali Sergeant, Emma Alaine van Reekum, Nitika Sanger, Alexander Dufort, Tea Rosic, Stephanie Sanger, Sandra Lubert, Lawrence Mbuagbaw, Lehana Thabane, Zainab Samaan
BMJ Open.2020; 10(9): e040229. CrossRef
Psychopathological Burden and Quality of Life in Substance Users During the COVID-19 Lockdown Period in Italy
Giovanni Martinotti, Maria Chiara Alessi, Chiara Di Natale, Antonella Sociali, Franca Ceci, Lorenza Lucidi, Elena Picutti, Francesco Di Carlo, Mariangela Corbo, Federica Vellante, Federica Fiori, Gaia Tourjansky, Gabriella Catalano, Maria Luisa Carenti, C
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COVID-19 and clinical neuropsychology: A review of neuropsychological literature on acute and chronic pulmonary disease
Patrick Riordan, Monica Stika, Joshua Goldberg, Michelle Drzewiecki
The Clinical Neuropsychologist.2020; 34(7-8): 1480. CrossRef
Beyond the COVID-19 pandemic: ‘Learning the hard way’ – adapting long-term IAPT service provision using lessons from past outbreaks
Lilian Skilbeck, Christopher Spanton, Ian Roylance
The Cognitive Behaviour Therapist.2020;[Epub] CrossRef
Early Psychological Correlates Associated With COVID-19 in A Spanish Older Adult Sample
Teresa Bobes-Bascarán, Pilar A Sáiz, Angela Velasco, Clara Martínez-Cao, Cristina Pedrosa, Almudena Portilla, Lorena de la Fuente-Tomas, Leticia García-Alvarez, María P García-Portilla, Julio Bobes
The American Journal of Geriatric Psychiatry.2020; 28(12): 1287. CrossRef
Risiken der „Stay at home“-Politik im Rahmen der COVID-19-Pandemie
G. Gäbel, K. Kröger
Gefässchirurgie.2020; 25(6): 403. CrossRef
Effects of Coronavirus (COVID-19) Pandemic on Health Anxiety Levels of Healthcare Professionals
Şenay KILINÇEL, Zeynep TUNCER, Oğuzhan KILINÇEL, Esma AKPINAR ASLAN, Rukiye AY, Gamze ERZİN, Zekiye ÇELİKBAŞ, Cengiz AKKAYA
Journal of Contemporary Medicine.2020; 10(3): 312. CrossRef
Beyond the First Wave: Consequences of COVID-19 on High-Risk Infants and Families
Monica E. Lemmon, Ira Chapman, William Malcolm, Kelli Kelley, Richard J. Shaw, Angelo Milazzo, C. Michael Cotten, Susan R. Hintz
American Journal of Perinatology.2020; 37(12): 1283. CrossRef
Psychological Impact of COVID-19 Confinement and Its Relationship with Meditation
Óliver Jiménez, Laura C. Sánchez-Sánchez, José M. García-Montes
International Journal of Environmental Research and Public Health.2020; 17(18): 6642. CrossRef
Depression in and after COVID-19 lockdown in Austria and the role of stress and loneliness in lockdown: A longitudinal study
Thomas Probst, Sanja Budimir, Christoph Pieh
Journal of Affective Disorders.2020; 277: 962. CrossRef
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Psychological impact of COVID-19 in the Swedish population: Depression, anxiety, and insomnia and their associations to risk and vulnerability factors
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European Psychiatry.2020;[Epub] CrossRef
Wie können Mentalisieren, Epistemisches Vertrauen und soziales Lernen in der Krise gelingen?
Jana Volkert
PDP - Psychodynamische Psychotherapie.2020; 19(3): 340. CrossRef
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MERS-Epidemiologic Investigation

Epidemiological investigation of the 119th confirmed Middle East Respiratory Syndrome coronavirus case with an indefinite mode of transmission during the Pyeongtaek outbreak in Korea: Jong Hyuk Choi, Byoungin Yoo, Soon Young Lee, Eun Gyu Lee, Moran Ki, Woncheol Lee, Jong Rak Jung, Kyujin Chang; Epidemiol Health. 2015;37:e2015054. Published online December 10, 2015; DOI: https://doi.org/10.4178/epih/e2015054

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Abstract Summary PDF Supplementary Material

Abstract

Since the first case was diagnosed on May 20, 2015, there were 186 confirmed cases of Middle East Respiratory Syndrome (MERS) until the end of outbreak in South Korea. Although medical institutions were the most identifiable sources of MERS transmission in South Korea, similar to other countries, in-depth epidemiological investigation was required for some confirmed cases with indefinite contact history or hospital visit records. The subject of epidemiological investigation in the present study was a 35 year-old male patient diagnosed with MERS (#119) who lived in Asan-city and worked in Pyeongtaek-city. Various potential sources of transmission were carefully investigated. While he could have been exposed to MERS through a friend from Saudi Arabia or confirmed MERS cases in his workplace, neighboring areas, and medical institutions, as well as contacts in his home, the chances of transmission were low; however, the potential for transmission through his local community could not be excluded. Practically, it was difficult to determine the modes of transmission for all outbreak cases in communicable disease that occurred in this short period of time. The investigation to identify the mode of transmission in this case was ultimately unsuccessful. However, the various data collected and analyzed to reveal modes of transmission provided detailed information that could not be collected using only interview surveys.

Summary

Korean summary
2015년 한국에서 유행한 메르스 환자들 중, 감염 경로가 불분명한 119번째 환자에 대한 심층 역학조사를 통해 다양한 감염경로의 가능성을 검토하였다. 감염경로를 명확하게 밝혀내지 못한 한계점이 있지만, 지역사회 전파에 대한 가능성을 제시하였다. 감염병 대유행시 효율적인 감염경로 파악을 위해서는 다방면의 자료에 대한 확보체계와 이를 신속히 분석하고 판단할 수 있는 전문 인력 확충이 필요하다.

Citations

Citations to this article as recorded by

A database of geopositioned Middle East Respiratory Syndrome Coronavirus occurrences
Rebecca E. Ramshaw, Ian D. Letourneau, Amy Y. Hong, Julia Hon, Julia D. Morgan, Joshua C. P. Osborne, Shreya Shirude, Maria D. Van Kerkhove, Simon I. Hay, David M. Pigott
Scientific Data.2019;[Epub] CrossRef

MERS-Original Article

Epidemiologic features of the first MERS outbreak in Korea: focus on Pyeongtaek St. Mary’s Hospital: Kyung Min Kim, Moran Ki, Sung-il Cho, Minki Sung, Jin Kwan Hong, Hae-Kwan Cheong, Jong-Hun Kim, Sang-Eun Lee, Changhwan Lee, Keon-Joo Lee, Yong-Shik Park, Seung Woo Kim, Bo Youl Choi; Epidemiol Health. 2015;37:e2015041. Published online September 17, 2015; DOI: https://doi.org/10.4178/epih/e2015041

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Abstract Summary PDF Supplementary Material

Abstract

OBJECTIVES
This study investigated the epidemiologic features of the confirmed cases of Middle East Respiratory Syndrome (MERS) in Pyeongtaek St. Mary’s Hospital, where the outbreak first began, in order to identify lessons relevant for the prevention and control of future outbreaks.

METHODS

The patients’ clinical symptoms and test results were collected from their medical records. The caregivers of patients were identified by phone calls.

RESULTS

After patient zero (case #1) was admitted to Pyeongtaek St. Mary’s Hospital (May 15-May 17), an outbreak occurred, with 36 cases between May 18 and June 4, 2015. Six patients died (fatality rate, 16.7%). Twenty-six cases occurred in the first-generation, and 10 in the second-generation. The median incubation period was five days, while the median period from symptom onset to death was 12.5 days. While the total attack rate was 3.9%, the attack rate among inpatients was 7.6%, and the inpatients on the eighth floor, where patient zero was hospitalized, had an 18.6% attack rate. In contrast, caregivers and medical staff showed attack rates of 3.3% and 1.1%, respectively.

CONCLUSIONS

The attack rates were higher than those of the previous outbreaks in other countries. The outbreak spread beyond Pyeongtaek St. Mary’s Hospital when four of the patients were moved to other hospitals without appropriate quarantine. The best method of preventing future outbreaks is to overcome the vulnerabilities observed in this outbreak, such as ward crowding, patient migration without appropriate data sharing, and the lack of an initial broad quarantine.

Summary

Korean summary
평택성모병원에서는 총 36명의 메르스 환자가 발생하여 이중 6명이 사망하였다. 또한 평택성모병원 유행의 발병률은 기존에 알려진 것보다 높았다. 한국의 메르스 유행이 시작된 평택성모병원에서 나타난 초기 방역 부족, 적절한 정보공유 없이 환자들이 병원간에 이동하는 것, 혼잡한 병동 문제 등의 감염병 전파 취약점을 극복하는 것이 향후 새로운 감염병 유행을 막을 수 있는 최선의 방법이 될 것이다.

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MERS-Epidemiologic Investigation

Surveillance operation for the 141st confirmed case of Middle East Respiratory Syndrome coronavirus in response to the patient’s prior travel to Jeju Island: Jong-Myon Bae; Epidemiol Health. 2015;37:e2015035. Published online August 7, 2015; DOI: https://doi.org/10.4178/epih/e2015035

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Abstract Summary PDF Supplementary Material

Abstract

The provincial government of Jeju, South Korea, was notified that a 42-year-old man infected with the Middle East Respiratory Syndrome (MERS) coronavirus had gone sightseeing in Jeju Island. Although the visiting period might be interpreted as the incubation period of MERS, the province decided to conduct active surveillance to prevent a worst-case scenario. Based on the channel of movement of the patient, healthy isolation and active monitoring were conducted for persons who came in contact with the patient. During the active surveillance, none of the 56 persons in self-isolation and 123 persons under active monitoring became infected. This fact supports that MERS is not contagious during the incubation period.

Summary

Korean summary
141번 MERS 양성확진자에 대한 역학조사를 통해 잠복기간에 제주도를 여행한 것이 확인되었다. 이에 제주도 MERS 방역본부는 최악의 경우를 염두에 두고, 밀접접촉자 56명과 일상접촉자 123명을 각각 자택격리와 능동모니터링 대상자로 조치하였다. 잠복기 14일을 기준으로 감시체계를 운영하였지만, 양성감염자는 전무하였다. 이는 MERS의 잠복기 동안에는 감염력이 없다는 근거가 된다.

Citations

Citations to this article as recorded by

Sources of Infection Among Confirmed Cases of COVID-19 in Jeju Province, Korea
Moonkyong Hwang, Jong-Myon Bae
Journal of Preventive Medicine and Public Health.2021; 54(4): 245. CrossRef
A database of geopositioned Middle East Respiratory Syndrome Coronavirus occurrences
Rebecca E. Ramshaw, Ian D. Letourneau, Amy Y. Hong, Julia Hon, Julia D. Morgan, Joshua C. P. Osborne, Shreya Shirude, Maria D. Van Kerkhove, Simon I. Hay, David M. Pigott
Scientific Data.2019;[Epub] CrossRef

MERS-Editorial

2015 MERS outbreak in Korea: hospital-to-hospital transmission: Moran Ki; Epidemiol Health. 2015;37:e2015033. Published online July 21, 2015; DOI: https://doi.org/10.4178/epih/e2015033

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Abstract Summary PDF Supplementary Material

Abstract

The distinct characteristic of the Middle East Respiratory Syndrome (MERS) outbreak in South Korea is that it not only involves intra-hospital transmission, but it also involves hospital-to-hospital transmission. It has been the largest MERS outbreak outside the Middle East, with 186 confirmed cases and, among them, 36 fatal cases as of July 26, 2015. All confirmed cases are suspected to be hospital-acquired infections except one case of household transmission and two cases still undergoing examination. The Korean health care system has been the major factor shaping the unique characteristics of the outbreak. Taking this as an opportunity, the Korean government should carefully assess the fundamental problems of the vulnerability to hospital infection and make short- as well as long-term plans for countermeasures. In addition, it is hoped that this journal, <i>Epidemiology and Health</i>, becomes a place where various topics regarding MERS can be discussed and shared.

Summary

Korean summary
한국의 메르스 유행은 병원내 감염뿐 아니라 병원에서 병원으로 전파되는 양상을 보인 것이 특징이다. 사우디아라비아 다음으로 가장 많은 환자가 발생하였는데 전체 확진자는 186명이고, 이중에 사망자는 36명이다. 확진자 대부분이 병원에서 감염된 것으로 추정된다. 가족간 감염이 의심되는 경우는 1명정도이며, 2명은 경로를 조사중인데 이중에 한명은 지역사회 감염이 의심된다. 한국의 의료체계 특성이 이번 유행에 중요한 요인이 되었다. 이 기회에 한국은 병원감염관리에 취약한 우리의 근본적인 문제점을 살펴서 장단기적인 대책을 마련하여야 할 것이다. 또한 역학회지가 메르스와 관련된 다양한 주제가 논의되는 장이 되기를 바란다.

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Salah T. Al Awaidy, Ali Abdullah Al Maqbali, Iyad Omer, Suad Al Mukhaini, Mohammed Ali Al Risi, Majed Sultan Al Maqbali, Ali Al Reesi, Mujahid Al Busaidi, Fatma Hashim Al Hashmi, Talib Khamis Al Maqbali, Vidyanand Vaidya, Elham Said Ahmed Al Risi, Talib K
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Yanqun Wang, Jing Sun, Xiaobo Li, Airu Zhu, Wenda Guan, De-Qiang Sun, Mian Gan, Xuefeng Niu, Jun Dai, Lu Zhang, Zhaoyong Zhang, Yongxia Shi, Shuxiang Huang, Chris Ka Pun Mok, Zifeng Yang, Zhongfang Wang, Wenjie Tan, Yimin Li, Ling Chen, Rongchang Chen, Ma
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Journal of Korean Medical Science.2017; 32(10): 1717. CrossRef
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Exploring Nursing Intention, Stress, and Professionalism in Response to Infectious Disease Emergencies: The Experience of Local Public Hospital Nurses During the 2015 MERS Outbreak in South Korea
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Recombinant Receptor-Binding Domains of Multiple Middle East Respiratory Syndrome Coronaviruses (MERS-CoVs) Induce Cross-Neutralizing Antibodies against Divergent Human and Camel MERS-CoVs and Antibody Escape Mutants
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Kohya SHIBA
Japanese Journal of Infection Prevention and Control.2016; 31(1): 1. CrossRef
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