Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), the causative agent of coronavirus disease 2019 (COVID-19), has infected over 600 million individuals and caused nearly 7 million deaths worldwide (10 January 2023). Patients with renal disease undergoing hemodialysis are among those most adversely affected, with an increased predisposition to SARS-CoV-2 infection and death. This systematic review aimed to pool evidence assessing the humoral response of hemodialysis patients (HDP) post-mRNA SARS-CoV-2 vaccination. A systematic search of the literature was performed through MEDLINE, CINAHL, PubMed, EMBASE, and Web of Science databases, as well as medRxiv and bioRxiv preprint servers up to 10 January 2023. Cohort and case-control studies were included if they reported an immune response in one group of patients undergoing hemodialysis who received mRNA SARS-CoV-2 vaccination compared with another group of patients receiving the same vaccine but not on hemodialysis. The methodological quality was assessed using the Newcastle-Ottawa Scale. Meta-analysis was not deemed appropriate due to the high heterogeneity between studies. From the 120 studies identified, nine (n = 1969 participants) met the inclusion criteria. Most studies (n = 8/9, 88%) were of high or medium methodological quality (≥6/9 stars). The results revealed that HDP developed lower antibody levels across all timepoints post-vaccination when compared with controls. Patients with chronic kidney disease elicited the highest antibody immune response, followed by HDP and, lastly, kidney transplant recipients. Overall, post-vaccination antibody titers were comparatively lower than in the healthy population. Current results imply that robust vaccination strategies are needed to address waning immune responses in vulnerable populations.
With the lack of baseline information on avifauna within Bicol University and the adjacent forest fragment, this research aimed to identify bird species and compare their presence between an urbanized and forest areas. Avian diversity was documented within the Kalikasan Park and Bicol University Main Campus adjacent ecosystems, representing a forest fragment and semi-urbanized ecosystems, respectively. Bird survey was carried out through point count method. Identification was aided by existing taxonomic keys. A total of 44 species were recorded with eleven as Philippine endemics. Lonchura malacca(Chestnut Munia) and Aplonis panayensis (Asian Glossy Starling) were among the most frequently sighted. Bird species sighted was higher in the forest fragment as compared with the main campus area. The study recommends that Bicol University Main campus be transformed into an avian buffer and safe zone for the protection and conservation of these species and to provide policies to maintain high bird diversity.
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