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1.
International Journal of Contemporary Hospitality Management ; 35(7):2289-2321, 2023.
Article in English | ProQuest Central | ID: covidwho-20238618

ABSTRACT

PurposeA proliferation of articles surrounding the COVID-19 pandemic is calling for new insights through review. This paper aims to bibliometrically analyze the current progress of research around hospitality and tourism to define the research directions on herd immunity and the prevention of disease under the "new normal.”Design/methodology/approachThis paper analyzed 326 articles regarding COVID-19 published in SSCI hospitality, leisure and tourism journals in 2020 and 2021 by combining manual analysis and bibliometrics to reveal research topics and to gain insight into research structures.FindingsThe results of this paper summarized topics related to stakeholders' mentality and behavior, responses of travel suppliers to the COVID-19 pandemic, economic impact and demand forecasting, social issues of human rights and racism and reflection on tourism and transformation of the industry. More research is called for in the future to focus on a better response to the crisis, including crisis management education and training and the improving the resilience of small- and medium-sized enterprises.Research limitations/implicationsA three-dimensional consideration was proposed to promote the sustainable development of hospitality and tourism.Originality/valueIn the "new normal” phase of herd immunity and disease prevention, to the best of the authors' knowledge, this is the first paper that provides an up-to-date systematic overview of the evolution of COVID-19 research in tourism and hospitality and encourages more conceptual, practical and futuristic studies.

2.
China Tropical Medicine ; 23(3):272-276, 2023.
Article in Chinese | GIM | ID: covidwho-2322742

ABSTRACT

Objective: To investigate the chest computed tomography (CT) manifestations and dynamic changes of coronavirus disease 2019 (COVID-19) in the patients younger than 18 years old infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Omicron variant, and to provide a basis for determining the chest CT changes and efficacy of COVID-19 caused by Omicron virus variant in patients younger than 18 years old. Methods The clinical and imaging data of 30 cases of patients younger than 18 years old infected with COVID-19 Omicron variant, who admitted to the Third People's Hospital of Shenzhen from February 11 to March 26, 2022 were collected and retrospectively analyzed. The clinical manifestations, imaging features and dynamic changes of lesions were summarized. Results A total of 41 intrapulmonary lesions in 30 patients with COVID-19 caused by SARS-CoV-2 Omicron variant. The main manifestations were patchy or nodular ground-glass opacities and/or consolidation, with focal subpleural distribution, lesions mainly occur in the right lung (70.73%, 29/41). There were 42 lesion morphologies, with 22 (52.38%) striped shadows and 16 (38.10%) nodular shadows, with small lamellar and patchy shadows predominating. There were 36 lesion density variations, with ground glass shadows being the most common, with a total of 24 ground glass shadows (66.66%) in each lobe of the lung, and also 6 consolidation lesions (16.67%) and 6 mixed ground glass opacity and consolidation lesions (16.67%). With the progression of the disease, lesions gradually enlarged, appeared on the 2nd day (312.93 mm3), peaked on the 9th day (1 837.18 mm3). The average absorption time of the lesions was (16+or-3) days, and there was no significant difference between the absorption time of patchy and nodular lesions (ground glass and/or consolidation) (t=0.853, P > 0.05). The lesions showed focal ground-glass opacity in the early stage, 77.78% lesions were absorbed after treatment in the late stage. Inflammatory nodules were absorbed slowly (9-19 days), without residual fibrotic changes. Conclusions The imaging manifestations of COVID-19 in patients younger than 18 years old infected with SARS-CoV-2 Omicron variant have certain characteristics, showed patchy or nodular ground glass opacities and/or consolidation, mainly distributed in the subpleural area, with small and few lesions and slow change, didn't remain fibrosis. Being familiar with its clinical and imaging manifestations can assist in early diagnosis, but confirming the diagnosis requires a combination of epidemiological history, clinical symptoms, SARS-CoV-2 nucleic acid and radiological manifestations.

3.
International Journal of Contemporary Hospitality Management ; 35(4):1264-1283, 2022.
Article in English | CAB Abstracts | ID: covidwho-2316569

ABSTRACT

Purpose: This study aims to understand Chinese consumers' perceived barriers to using peer-to-peer (P2P) accommodation before and after the outbreak of COVID-19 and the negotiation strategies they applied in overcoming the barriers and enabling consumption. Design/methodology/approach: A qualitative research design with 28 semi-structured interviews was used. Data were analysed by content analysis. Findings: Five psychological barriers and four functional barriers were found to inhibit consumers from using P2P accommodation both before and after the COVID-19 outbreak. In overcoming the perceived barriers, consumers applied both behavioural negotiation strategies, including seeking information, behavioural adaptation, selective choice and seeking social support, and cognitive negotiation strategies, including cognitive adaptation and trusting agents. COVID-19 was found to serve as both a barrier and a facilitator for using P2P accommodation. A barriers-negotiation framework was developed in the context. Research limitations/implications: Theoretically, this study advances consumer resistance and perceived barriers literature by integrating negotiation and developing a barriers-negotiation framework of P2P accommodation usage. This study also offers insights for practitioners in the P2P accommodation industry. Originality/value: This study showcases the role of negotiation in understanding barriers to using P2P accommodation, paving the way to extend relevant knowledge to advance consumer resistance research, which is an emerging topic in the broader management domain.

4.
International Journal of Contemporary Hospitality Management ; 35(4):1264-1283, 2023.
Article in English | ProQuest Central | ID: covidwho-2298805

ABSTRACT

PurposeThis study aims to understand Chinese consumers' perceived barriers to using peer-to-peer (P2P) accommodation before and after the outbreak of COVID-19 and the negotiation strategies they applied in overcoming the barriers and enabling consumption.Design/methodology/approachA qualitative research design with 28 semi-structured interviews was used. Data were analysed by content analysis.FindingsFive psychological barriers and four functional barriers were found to inhibit consumers from using P2P accommodation both before and after the COVID-19 outbreak. In overcoming the perceived barriers, consumers applied both behavioural negotiation strategies, including seeking information, behavioural adaptation, selective choice and seeking social support, and cognitive negotiation strategies, including cognitive adaptation and trusting agents. COVID-19 was found to serve as both a barrier and a facilitator for using P2P accommodation. A barriers–negotiation framework was developed in the context.Research limitations/implicationsTheoretically, this study advances consumer resistance and perceived barriers literature by integrating negotiation and developing a barriers–negotiation framework of P2P accommodation usage. This study also offers insights for practitioners in the P2P accommodation industry.Originality/valueThis study showcases the role of negotiation in understanding barriers to using P2P accommodation, paving the way to extend relevant knowledge to advance consumer resistance research, which is an emerging topic in the broader management domain.

5.
Ann Oper Res ; : 1-29, 2023 Apr 25.
Article in English | MEDLINE | ID: covidwho-2306461

ABSTRACT

Accurate carbon price forecasting can better allocate carbon emissions and thus ensure a balance between economic development and potential climate impacts. In this paper, we propose a new two-stage framework based on processes of decomposition and re-estimation to forecast prices across international carbon markets. We focus on the Emissions Trading System (ETS) in the EU, as well as the five main pilot schemes in China, spanning the period from May 2014 to January 2022. In this way, the raw carbon prices are first separated into multiple sub-factors and then reconstructed into factors of 'trend' and 'period' with the use of Singular Spectrum Analysis (SSA). Once the subsequences have been thus decomposed, we further apply six machine learning and deep learning methods, allowing the data to be assembled and thus facilitating the prediction of the final carbon price values. We find that from amongst these machine learning models, the Support vector regression (SSA-SVR) and Least squares support vector regression (SSA-LSSVR) stand out in terms of performance for the prediction of carbon prices in both the European ETS and equivalent models in China. Another interesting finding to come out of our experiments is that the sophisticated algorithms are far from being the best performing models in the prediction of carbon prices. Even after accounting for the impacts of the COVID-19 pandemic and other macro-economic variables, as well as the prices of other energy sources, our framework still works effectively.

6.
Journal of Travel Research ; 62(5):1121-1139, 2023.
Article in English | Academic Search Complete | ID: covidwho-2280857

ABSTRACT

Economic globalization, the primary mechanism of globalization, has driven the flourishing of international tourism. However, little research has empirically revealed how it affects international tourism from a structural perspective. Based on network theory, this study applies network analysis and fixed-effects panel data estimation techniques to examine the impact of economic globalization on the structure of international tourism and the moderating role of uncertainty avoidance as an inertia factor in this relationship. The statistics are derived from panel data for 47 countries from 1995 to 2018. The empirical results indicate that there is a positive relationship between economic globalization and countries' network prominence in both outbound and inbound tourism, and the effects vary under different degrees of uncertainty avoidance. This study offers insights and practical implications for policymakers, tourism marketers, and transnational tourism corporations to formulate tourism recovery strategies against the de-globalization caused by the COVID-19 pandemic. [ABSTRACT FROM AUTHOR] Copyright of Journal of Travel Research is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

7.
Journal of Hospitality and Tourism Management ; 54:457-471, 2023.
Article in English | ScienceDirect | ID: covidwho-2241617

ABSTRACT

Interpersonal trust is a critical psychological factor that reveals the quality of resident-tourist relationship in tourism destinations. However, residents' positive attitudes toward tourists are gradually taken for granted, with research on residents' psychological tendency (i.e., interpersonal trust) in providing tourism services and creating mutually beneficial resident-tourist interaction lagging behind. Based on interpersonal relationship theory and social exchange theory, this study employed a sequential mixed-methods design to examine the formation of interpersonal trust in tourists during resident participation in rural tourism. The dimensions of resident participation (i.e., decision-making, economic, and social participation) and the conceptual model were first identified through qualitative analysis. Subsequently, through the PLS-based structural equation modeling using a sample of 469 residents from Jiuzhai Valley, China, the study suggested that economic and social participation were instrumental in shaping residents' cognitive and affective trust in tourists both directly and indirectly through residents' perceived benefits of tourism. This study offers implications for academia and destination management to promote sustainable tourism development and social harmony against the crisis of trust between residents and tourists caused by the COVID-19 pandemic.

8.
Anal Chem ; 94(51): 17795-17802, 2022 12 27.
Article in English | MEDLINE | ID: covidwho-2160134

ABSTRACT

Addressing the spread of coronavirus disease 2019 (COVID-19) has highlighted the need for rapid, accurate, and low-cost diagnostic methods that detect specific antigens for SARS-CoV-2 infection. Tests for COVID-19 are based on reverse transcription PCR (RT-PCR), which requires laboratory services and is time-consuming. Here, by targeting the SARS-CoV-2 spike protein, we present a point-of-care SERS detection platform that specifically detects SARS-CoV-2 antigen in one step by captureing substrates and detection probes based on aptamer-specific recognition. Using the pseudovirus, without any pretreatment, the SARS-CoV-2 virus and its variants were detected by a handheld Raman spectrometer within 5 min. The limit of detection (LoD) for the pseudovirus was 124 TU µL-1 (18 fM spike protein), with a linear range of 250-10,000 TU µL-1. Moreover, this assay can specifically recognize the SARS-CoV-2 antigen without cross reacting with specific antigens of other coronaviruses or influenza A. Therefore, the platform has great potential for application in rapid point-of-care diagnostic assays for SARS-CoV-2.


Subject(s)
COVID-19 , SARS-CoV-2 , Humans , COVID-19/diagnosis , Point-of-Care Systems , COVID-19 Testing , Clinical Laboratory Techniques/methods
9.
International Journal of Contemporary Hospitality Management ; 2022.
Article in English | Web of Science | ID: covidwho-2032217

ABSTRACT

Purpose This study aims to understand Chinese consumers' perceived barriers to using peer-to-peer (P2P) accommodation before and after the outbreak of COVID-19 and the negotiation strategies they applied in overcoming the barriers and enabling consumption. Design/methodology/approach A qualitative research design with 28 semi-structured interviews was used. Data were analysed by content analysis. Findings Five psychological barriers and four functional barriers were found to inhibit consumers from using P2P accommodation both before and after the COVID-19 outbreak. In overcoming the perceived barriers, consumers applied both behavioural negotiation strategies, including seeking information, behavioural adaptation, selective choice and seeking social support, and cognitive negotiation strategies, including cognitive adaptation and trusting agents. COVID-19 was found to serve as both a barrier and a facilitator for using P2P accommodation. A barriers-negotiation framework was developed in the context. Research limitations/implications Theoretically, this study advances consumer resistance and perceived barriers literature by integrating negotiation and developing a barriers-negotiation framework of P2P accommodation usage. This study also offers insights for practitioners in the P2P accommodation industry. Originality/value This study showcases the role of negotiation in understanding barriers to using P2P accommodation, paving the way to extend relevant knowledge to advance consumer resistance research, which is an emerging topic in the broader management domain.

10.
Journal of Travel Research ; 2022.
Article in English | Web of Science | ID: covidwho-2020760

ABSTRACT

Economic globalization, the primary mechanism of globalization, has driven the flourishing of international tourism. However, little research has empirically revealed how it affects international tourism from a structural perspective. Based on network theory, this study applies network analysis and fixed-effects panel data estimation techniques to examine the impact of economic globalization on the structure of international tourism and the moderating role of uncertainty avoidance as an inertia factor in this relationship. The statistics are derived from panel data for 47 countries from 1995 to 2018. The empirical results indicate that there is a positive relationship between economic globalization and countries' network prominence in both outbound and inbound tourism, and the effects vary under different degrees of uncertainty avoidance. This study offers insights and practical implications for policymakers, tourism marketers, and transnational tourism corporations to formulate tourism recovery strategies against the de-globalization caused by the COVID-19 pandemic.

11.
Signal Transduct Target Ther ; 7(1): 261, 2022 08 01.
Article in English | MEDLINE | ID: covidwho-1967592

ABSTRACT

Apolipoprotein E (APOE) plays a pivotal role in lipid including cholesterol metabolism. The APOE ε4 (APOE4) allele is a major genetic risk factor for Alzheimer's and cardiovascular diseases. Although APOE has recently been associated with increased susceptibility to infections of several viruses, whether and how APOE and its isoforms affect SARS-CoV-2 infection remains unclear. Here, we show that serum concentrations of APOE correlate inversely with levels of cytokine/chemokine in 73 COVID-19 patients. Utilizing multiple protein interaction assays, we demonstrate that APOE3 and APOE4 interact with the SARS-CoV-2 receptor ACE2; and APOE/ACE2 interactions require zinc metallopeptidase domain of ACE2, a key docking site for SARS-CoV-2 Spike protein. In addition, immuno-imaging assays using confocal, super-resolution, and transmission electron microscopies reveal that both APOE3 and APOE4 reduce ACE2/Spike-mediated viral entry into cells. Interestingly, while having a comparable binding affinity to ACE2, APOE4 inhibits viral entry to a lesser extent compared to APOE3, which is likely due to APOE4's more compact structure and smaller spatial obstacle to compete against Spike binding to ACE2. Furthermore, APOE ε4 carriers clinically correlate with increased SARS-CoV-2 infection and elevated serum inflammatory factors in 142 COVID-19 patients assessed. Our study suggests a regulatory mechanism underlying SARS-CoV-2 infection through APOE interactions with ACE2, which may explain in part increased COVID-19 infection and disease severity in APOE ε4 carriers.


Subject(s)
COVID-19 , SARS-CoV-2 , Angiotensin-Converting Enzyme 2/genetics , Apolipoprotein E3/metabolism , Apolipoprotein E4/genetics , Apolipoprotein E4/metabolism , Apolipoproteins E/genetics , Apolipoproteins E/metabolism , Binding Sites , COVID-19/genetics , Humans , Inflammation/genetics , Protein Binding , Spike Glycoprotein, Coronavirus
12.
J Virol Methods ; 307: 114564, 2022 09.
Article in English | MEDLINE | ID: covidwho-1878302

ABSTRACT

The COVID-19 pandemic caused by SARS-CoV-2 infections has led to excess deaths worldwide. Neutralizing antibodies (nAbs) against viral spike protein acquired from natural infections or vaccinations contribute to protection against new- and re-infections. Besides neutralization, antibody-mediated cellular cytotoxicity (ADCC) and phagocytosis (ADCP) are also important for viral clearance. However, due to the lack of convenient methods, the ADCC and ADCP responses elicited by viral infections or vaccinations remain to be explored. Here, we developed cell-based assays using target cells stably expressing SARS-CoV-2 spikes and Jurkat-NFAT-CD16a/CD32a effector cells for ADCC/ADCP measurements of monoclonal antibodies and human convalescent COVID-19 plasmas (HCPs). In control samples (n = 190), the specificity was 99.5% (95%CI: 98.4-100%) and 97.4% (95%CI: 95.1-99.6%) for the ADCC and ADCP assays, respectively. Among 87 COVID-19 HCPs, 83 (sensitivity: 95.4%, 95%CI: 91.0-99.8%) and 81 (sensitivity: 93.1%, 95%CI: 87.8-98.4%) showed detectable ADCC (titer range: 7.4-1721.6) and ADCP activities (titer range: 4-523.2). Notably, both ADCC and ADCP antibody titers positively correlated with the nAb titers in HCPs. In summary, we developed new tools for quantitative ADCC and ADCP analysis against SARS-CoV-2, which may facilitate further evaluations of Fc-mediated effector functions in preventing and treating against SARS-CoV-2.


Subject(s)
Antibody-Dependent Cell Cytotoxicity , SARS-CoV-2 , Spike Glycoprotein, Coronavirus , Antibodies, Neutralizing , Antibodies, Viral , COVID-19 , Humans , Immunoassay/methods , Pandemics , Phagocytosis , SARS-CoV-2/chemistry , SARS-CoV-2/metabolism , Spike Glycoprotein, Coronavirus/metabolism
13.
Sci China Life Sci ; 65(10): 1971-1984, 2022 10.
Article in English | MEDLINE | ID: covidwho-1826874

ABSTRACT

Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is characterized by a strong production of inflammatory cytokines such as TNF and IL-6, which underlie the severity of the disease. However, the molecular mechanisms responsible for such a strong immune response remains unclear. Here, utilizing targeted tandem mass spectrometry to analyze serum metabolome and lipidome in COVID-19 patients at different temporal stages, we identified that 611 metabolites (of 1,039) were significantly altered in COVID-19 patients. Among them, two metabolites, agmatine and putrescine, were prominently elevated in the serum of patients; and 2-quinolinecarboxylate was changed in a biphasic manner, elevated during early COVID-19 infection but levelled off. When tested in mouse embryonic fibroblasts (MEFs) and macrophages, these 3 metabolites were found to activate the NF-κB pathway that plays a pivotal role in governing cytokine production. Importantly, these metabolites were each able to cause strong increase of TNF and IL-6 levels when administered to wildtype mice, but not in the mice lacking NF-κB. Intriguingly, these metabolites have little effects on the activation of interferon regulatory factors (IRFs) for the production of type I interferons (IFNs) for antiviral defenses. These data suggest that circulating metabolites resulting from COVID-19 infection may act as effectors to elicit the peculiar systemic inflammatory responses, exhibiting severely strong proinflammatory cytokine production with limited induction of the interferons. Our study may provide a rationale for development of drugs to alleviate inflammation in COVID-19 patients.


Subject(s)
Agmatine , COVID-19 , Interferon Type I , Animals , Antiviral Agents/therapeutic use , Cytokines/metabolism , Fibroblasts/metabolism , Interferon Regulatory Factors/metabolism , Interferon Type I/metabolism , Interleukin-6/metabolism , Mice , NF-kappa B/metabolism , Putrescine , SARS-CoV-2
14.
Tourism Review of AIEST - International Association of Scientific Experts in Tourism ; 77(2):484-502, 2022.
Article in French | ProQuest Central | ID: covidwho-1722844

ABSTRACT

Purpose>COVID-19 is currently the most serious crisis facing the world, and scholars in the medical and social sciences are working to save lives and mitigate the societal effects of the pandemic. This global public health emergency requires interdisciplinary work to provide comprehensive insight into a rapidly changing situation. However, attempts to integrate the medical and social sciences have met several barriers. This paper aims to identify feasible research opportunities for interdisciplinary studies across tourism and public health regarding COVID-19.Design/methodology/approach>This paper presents a critical review of the literature and generates corresponding conceptual and theoretical frameworks to provide an in-depth discussion.Findings>Tourism-related issues of destination management policies and capital are addressed from an interdisciplinary perspective. The conclusions encourage interdisciplinary research into global health problems, which will promote tourism’s renaissance and sustainable development while enhancing social welfare.Practical implications>This study focuses on integrating tourism and public health to offer stakeholders recommendations regarding destination management and tourism industry recovery amid COVID-19.Originality/value>This paper represents a frontier study, critically uncovering a host of innovative interdisciplinary research directions and tourism-focused collaboration opportunities related to COVID-19.

15.
Current Issues in Tourism ; 25(1):14-20, 2022.
Article in English | CAB Abstracts | ID: covidwho-1721981

ABSTRACT

Reopen major tourist destinations is one of the significant recovery initiatives for the tourism industry after the outbreak of crises. However, few studies have focused on management measures during the reopening of tourist destinations. In this regard, this study adopts the co-word analysis to map the topics of 273 notices of the reopened national 5A scenic areas in China. The key themes are identified including (i) prevention measures, (ii) business scope, (iii) rules for tourists and (iv) preferential measures. Moreover, the management focus varies between natural and cultural destinations. This study provides suggestions for research on epidemic-induced crisis management in tourism.

16.
Current Issues in Tourism ; 25(2):198-205, 2022.
Article in English | CAB Abstracts | ID: covidwho-1721974

ABSTRACT

News coverage plays a significant role in the tourism industry. 2019 Coronavirus Disease (COVID-19) has severely affected the tourism-related businesses and has been featured in Chinese news coverage. This research studied 499 newspaper articles through automated content analysis. Nine key themes were identified, including COVID-19's impact on tourism, people's sentiment, control of tourism activities and cultural venues, the role of the hospitality industry, national command and local response, tourism disputes and solutions, corporate self-improvement strategies, government assistance, and post-crisis tourism product. This research provides insights into future investigations of the tourism crisis related to an epidemic.

17.
Tourism Review of AIEST - International Association of Scientific Experts in Tourism ; 77(1):322-338, 2022.
Article in English | ProQuest Central | ID: covidwho-1642518

ABSTRACT

PurposeThis study aims to present a holistic synopsis of the current scientific structure of inbound tourism research and suggest further research directions.Design/methodology/approachA 30-year bibliometric analysis was conducted using the Web of Science Core Collection database through CiteSpace, covering 568 Social Sciences Citation Index articles.FindingsThis study systematically identifies the evolution of scientific structures and emerging research trends in the inbound tourism field. The findings show that: co-authorship patterns reveal a trend of international cooperation;the evolution of research themes is consistent with the development of the macro-environment and inbound tourism industry, the most recent focus being on sustainable development of destinations;varied multivariate data analysis methods dominate current empirical analysis;there exist three major research dimensions in the inbound tourism field;and unilateral political factors in destinations and bilateral linkage factors affecting inbound tourism demand have aroused research interest increasingly.Practical implicationsThis study helps scholars and practitioners understand the current issues and needs of the inbound tourism industry and develops a future research agenda to promote the industry’s continuous development.Originality/valueThis study is the first attempt to provide insights into the theoretical development of inbound tourism over the past three decades from the perspective of a knowledge-based platform and further facilitate sustainable development of the industry.

18.
Current Issues in Tourism ; : 1-20, 2022.
Article in English | Taylor & Francis | ID: covidwho-1625446
19.
Tour Manag Perspect ; 40: 100895, 2021 Oct.
Article in English | MEDLINE | ID: covidwho-1466929

ABSTRACT

This paper examines the impacts of COVID-19 on Chinese nationals' tourism preferences. Employing a mixed-method research design, two rounds of nation-wide online surveys were conducted, one in February 2020 when COVID-19 cases started to peak in China and another one in June 2020 when COVID-19 was a global pandemic; both survey studies were accompanied with semi-structured in-depth interviews and altogether 37 interviews were conducted in two stages. Based on both quantitative survey data and qualitative interview data, the research identified that: 1) COVID-19 significantly reduced Chinese nationals' preferences to travel to countries with high infection numbers, and geographically faraway, administratively and culturally distant outbound destinations; 2) Chinese nationals reduced their preferences in all travel modes and most of the tourism forms, but most of them would prefer nature-based, rural, and cultural destinations after COVID-19; and 3) shortened trips in short travel distance are preferred after COVID-19. The findings offer rich insights and practical implications for governments, industry organisations, and tourism operators to formulate tourism recovery strategies toward Chinese tourists.

20.
Clin Infect Dis ; 71(16): 2027-2034, 2020 11 19.
Article in English | MEDLINE | ID: covidwho-1153138

ABSTRACT

BACKGROUND: The novel coronavirus SARS-CoV-2 is a newly emerging virus. The antibody response in infected patients remains largely unknown, and the clinical value of antibody testing has not been fully demonstrated. METHODS: 173 patients with SARS-CoV-2 infection were enrolled. Their serial plasma samples (n = 535) collected during hospitalization were tested for total antibodies (Ab), IgM, and IgG against SARS-CoV-2. The dynamics of antibodies with disease progress were analyzed. RESULTS: Among 173 patients, the seroconversion rates for Ab, IgM, and IgG were 93.1%, 82.7%, and 64.7%, respectively. The reason for the negative antibody findings in 12 patients might be due to the lack of blood samples at the later stage of illness. The median seroconversion times for Ab, IgM, and then IgG were days 11, 12, and 4, respectively. The presence of antibodies was <40% among patients within 1 week of onset, and rapidly increased to 100.0% (Ab), 94.3% (IgM), and 79.8% (IgG) by day 15 after onset. In contrast, RNA detectability decreased from 66.7% (58/87) in samples collected before day 7 to 45.5% (25/55) during days 15-39. Combining RNA and antibody detection significantly improved the sensitivity of pathogenic diagnosis for COVID-19 (P < .001), even in the early phase of 1 week from onset (P = .007). Moreover, a higher titer of Ab was independently associated with a worse clinical classification (P = .006). CONCLUSIONS: Antibody detection offers vital clinical information during the course of SARS-CoV-2 infection. The findings provide strong empirical support for the routine application of serological testing in the diagnosis and management of COVID-19 patients.


Subject(s)
COVID-19/immunology , COVID-19/virology , SARS-CoV-2/immunology , SARS-CoV-2/pathogenicity , Adult , Aged , Antibodies, Viral/metabolism , Antibody Formation/physiology , Enzyme-Linked Immunosorbent Assay , Female , Humans , Immunoglobulin G/metabolism , Immunoglobulin M/metabolism , Male , Middle Aged , Pandemics , Serologic Tests
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