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                  <text>Dominio científico: Coronavirus</text>
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                <text>Cancer and SARS-CoV-2 Infection: Diagnostic and Therapeutic Challenges.</text>
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                <text>Sebastiano Gangemi, Caterina Musolino, Giovanni Pioggia, Alessandro Allegra, Alessandro Tonacci</text>
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                <text>In late December 2019, a new infectious viral disease appeared. A new betacoronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-Cov-2), has been recognized as the pathogen responsible for this infection. Patients affected by tumors are more vulnerable to infection owing to poor health status, concomitant chronic diseases, and immunosuppressive conditions provoked by both the cancer and antitumor therapies. In this review, we have analyzed some lesser known aspects of the relationship between neoplasms and SARS-CoV-2 infection, starting from the different expression of the ACE2 receptor of the virus in the various neoplastic pathologies, and the roles that different cytokine patterns could have in vulnerability to infection and the appearance of complications. This review also reports the rationale for a possible use of drugs commonly employed in neoplastic therapy, such as bevacizumab, ibrutinib, selinexor, thalidomide, carfilzomib, and PD-1 inhibitors, for the treatment of SARS-CoV-2 infection. Finally, we have highlighted some diagnostic challenges in the recognition of SARS-CoV-2 infection in cancer-infected patients. The combination of these two health problems-tumors and a pandemic virus-could become a catastrophe if not correctly handled. Careful and judicious management of cancer patients with SARS-Cov-2 could support a better outcome for these patients during the current pandemic.</text>
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                <text>Epidemiology, cancer, treatment, immunosuppression, cytokines, Prognosis, risk factor, SARS-CoV-2, COVID-19</text>
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                <text>DOI: 10.3390/cancers12061581</text>
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                <text>Cancers</text>
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                <text>Reorganising the emergency department to manage the COVID-19 outbreak.</text>
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                <text>Evelyn Wong, Ying Ying Chua, Chin Siah Lim, Tzay-Ping Fua, Li Juan Joy Quah, Paul Weng Wan, Boon Kiat Kenneth Tan, Choon Peng Jeremy Wee, Gayathri Nadarajan, Nur Diana Zakaria, Shi-En Joanna Chan, Lin Tess Teo, Anantharaman Venkataraman</text>
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                <text>The COVID-19 disease outbreak that first surfaced in Wuhan, China, in December 2019, has taken the world by storm and ravaged almost every country in the world. Emergency departments (ED) in hospitals are on the frontlines, serving an essential function in identifying these patients, isolating them early whilst providing urgent medical care. This outbreak has reinforced the role of Emergency Medicine in public health. This paper documents the challenges faced and measures taken by a tertiary hospital's ED in Singapore, in response to the outbreak. The ED detected the first case of COVID-19 in Singapore on 22 January 2020 in a Chinese tourist and also the first case of locally transmitted COVID-19 on 3 February 2020. The patient journeys through the patient reception area in the ED and undergoes fever screening before being shunted to isolation areas within the ED. Management and disposition of suspect COVID-19 patients are guided by a close-knit collaboration between ED and department of infectious diseases. With increasing number of patients, back-up plans for expansion of space and staff augmentation have been enacted. Staff safety is also of utmost importance, with provision and guidelines for personal protective equipment and team segregation to ensure no cross-contamination across staff. These have been made possible with an early setup of an operational command and control structure within the ED, managing manpower, logistics, operations, communication and information management and liaison with other clinical departments. With the large numbers of undifferentiated patients managed by the ED to date, more than 820 patients with COVID-19 have been identified in the hospital. Not a single member of the staff of the SGH Emergency Department has come down with the illness. The various measures undertaken by the department have helped to ensure good staff morale and strict adherence to safety procedures. We share the lessons learnt so that others who manage EDs around the world can benefit from our experience.</text>
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                <text>2020</text>
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                <text>emergency department, COVID-19</text>
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                <text>DOI: 10.1186/s12245-020-00294-w</text>
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                <text>International Journal of Emergency Medicine</text>
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                  <text>Dominio científico: Coronavirus</text>
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                <text>COVID-19 poses novel challenges for global primary care.</text>
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                <text>Ioanna Tsiligianni, Siân Williams</text>
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                <text>DOI: 10.1038/s41533-020-0187-x</text>
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                <text>npj Primary Care Respiratory Medicine</text>
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                <text>Nature Publishing Group</text>
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                  <text>Dominio científico: Coronavirus</text>
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                <text>Performance Assessment of SARS-CoV-2 PCR Assays Developed by WHO Referral Laboratories.</text>
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                <text>Emilie Frobert, Antonin Bal, Valérie Cheynet, Guy Oriol, Florence Morfin, Karen Brengel-Pesce, Laurence Generenaz, Gregory Destras, Geneviève Billaud, Sibyle Etievant, Vanessa Escuret, Maude Bouscambert, Laurence Josset, Alexandre Gaymard</text>
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                <text>A reliable diagnostic assay is crucial to early detect new COVID-19 cases and limit severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission. Since the onset of the COVID-19 pandemic, the World Health Organization has published several diagnostic molecular approaches developed by referral laboratories, including Charité (Germany), HKU (Hong Kong), China CDC (China), US CDC (United States), and Institut Pasteur, Paris (France). We aimed to compare the sensitivity and specificity of these different RT-PCR assays using SARS-CoV-2 cell culture supernatants and clinical respiratory samples. Overall, the different RT-PCR assays performed well for SARS-CoV-2 detection and were all specific except the N Charité (Germany), and N2 US CDC (United States) assays. RdRp Institut Pasteur (IP2, IP4), N China CDC, and N1 US CDC were found to be the most sensitive assays. The data presented herein are of prime importance to facilitate the equipment choice of diagnostic laboratories, as well as for the development of marketed tests.</text>
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                <text>2020</text>
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                <text>RT-PCR, diagnostics, Sensitivity, SARS-CoV-2, COVID-19</text>
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                <text>DOI: 10.3390/jcm9061871</text>
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                <text>Journal of Clinical Medicine</text>
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            <description>An entity responsible for making the resource available</description>
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                <text>MDPI AG</text>
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                  <text>Dominio científico: Coronavirus</text>
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                <text>A Municipality-Based Approach Using Commuting Census Data to Characterize the Vulnerability to Influenza-Like Epidemic: The COVID-19 Application in Italy.</text>
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                <text>Paolo Calistri, Annamaria Conte, Lara Savini, Luca Candeloro</text>
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                <text>In February 2020, Italy became the epicenter for COVID-19 in Europe, and at the beginning of March, the Italian Government put in place emergency measures to restrict population movement. Aim of our analysis is to provide a better understanding of the epidemiological context of COVID-19 in Italy, using commuting data at a high spatial resolution, characterizing the territory in terms of vulnerability. We used a Susceptible-Infectious stochastic model and we estimated a municipality-specific infection contact rate () to capture the susceptibility to the disease. We identified in Lombardy, Veneto and Emilia Romagna regions (52% of all Italian cases) significant clusters of high , due to the simultaneous presence of connections between municipalities and high population density. Local simulated spreading in regions, with different levels of infection observed, showed different disease geographical patterns due to different values and commuting systems. In addition, we produced a vulnerability map (in the Abruzzi region as an example) by simulating the epidemic considering each municipality as a seed. The result shows the highest vulnerability values in areas with commercial hubs, close to the highest populated cities and the most industrial area. Our results highlight how human mobility can affect the epidemic, identifying particular situations in which the health authorities can promptly intervene to control the disease spread.</text>
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                <text>vulnerability, Infectious disease modeling, COVID-19, commuting census data, municipality-specific infection contact rate</text>
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                <text>DOI: 10.3390/microorganisms8060911</text>
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                <text>Microorganisms</text>
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                  <text>Dominio científico: Coronavirus</text>
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                <text>Lay perspectives on social distancing and other official recommendations and regulations in the time of COVID-19: a qualitative study of social media posts.</text>
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                <text>Sabahat Ölçer, Yüce Yilmaz-Aslan, Patrick Brzoska</text>
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                <text>COVID-19 caused by a new form of coronavirus (SARS-CoV-2) first appeared in China end of 2019 and quickly spread to all counties of the world. To slow down the spread of the virus and to limit the pressure on the health care systems, different regulations and recommendations have been implemented by authorities, comprising amongst others the closure of all entertainment venues and social distancing. These measures have received mixed reactions, particularly from young individuals, with many not following available advice. Drawing on the information in social media discussion forums, the present study explores the reasons why people ignore the orders and recommendations of the authorities and why the authorities are unable to produce a shared sense of inclusion concerning protective measures against the COVID-19 outbreak. Three open-access social media forums (Reddit, Twitter, and YouTube comments) were systematically searched with respect to COVID-19-related beliefs, attitudes, and behaviours of individuals. The data was retrieved in the first 3 weeks of March 2020. Qualitative document analysis and qualitative content analysis were used as the methodical approach. The data was reviewed by all authors and jointly interpreted to minimise inconsistencies. The study reveals that reasons such as information pollution on social media, the persistence of uncertainty about the rapidly spreading virus, the impact of the social environment on the individual, and fear of unemployment associated with inequality in the distribution of income lead people to ignore the orders and recommendations of the authorities. The findings suggest that government representatives and politicians could not produce a shared sense of inclusion concerning protective measures against the COVID-19 outbreak, due to not building trust among the public and taking concrete economic steps to satisfy them. In uncertain crises, transparency in the presentation of information and government policies emerge as influential determinants in creating social susceptibility and solidarity. The differences between social classes constitute one of the important factors that affect the decision-making mechanisms of individuals in determining the necessary steps to be undertaken in times of crisis.</text>
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                <text>social media, coronavirus, self-isolation, social distancing, SARS-CoV-2, COVID-19</text>
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                <text>DOI: 10.1186/s12889-020-09079-5</text>
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              <elementText elementTextId="36053">
                <text>BMC Public Health</text>
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              <elementText elementTextId="36054">
                <text>BMC</text>
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                  <text>Dominio científico: Coronavirus</text>
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                <text>Applying lessons from the Ebola vaccine experience for SARS-CoV-2 and other epidemic pathogens.</text>
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            <description>An entity primarily responsible for making the resource</description>
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                <text>Beth-Ann Coller, Samantha Bruno, Jayanthi Wolf, Michael Eichberg, Risat Jannat, Sharon Rudo, Susan VanRheenen</text>
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            <description>An account of the resource</description>
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                <text>The world is experiencing an unprecedented global pandemic of coronavirus disease 2019 (COVID-19) caused by a novel coronavirus, Severe Acute Respiratory Syndrome-coronavirus-2 (SARS-CoV-2). Development of new vaccines and therapeutics are important to achieve long-term prevention and control of the virus. Experience gained in the development of vaccines for Ebola virus disease provide important lessons in the regulatory, clinical, and manufacturing process that can be applied to SARS-CoV-2 and other epidemic pathogens. This report outlines the main lessons learned by Merck Sharp &amp; Dohme Corp., a subsidiary of Merck &amp; Co., Inc., Kenilworth, NJ, USA (MSD) during development of an Ebola Zaire vaccine (ERVEBO®) and looks ahead to critical lessons beyond vaccine development. It highlights focus areas for public-private partnership and regulatory harmonization that can be directly applied to current vaccine development efforts for SARS-CoV-2, while drawing attention to the need for parallel consideration of issues beyond development that are equally important to achieve global preparedness and response goals.</text>
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                <text>2020</text>
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            <description>The topic of the resource</description>
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                <text>Drug Development, Drug Regulation</text>
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              <elementText elementTextId="36060">
                <text>DOI: 10.1038/s41541-020-0204-7</text>
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              <elementText elementTextId="36061">
                <text>npj Vaccines</text>
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            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
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              <elementText elementTextId="36062">
                <text>Nature Publishing Group</text>
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        <src>https://www.socictopen.socict.org/files/original/335003eb019a963f7c036ace31dc35a0.pdf</src>
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              <name>Title</name>
              <description>A name given to the resource</description>
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                  <text>Coronavirus</text>
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                  <text>Dominio científico: Coronavirus</text>
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      <name>Text</name>
      <description>A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.</description>
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        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
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            <name>Title</name>
            <description>A name given to the resource</description>
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                <text>Surveillance and Testing for Middle East Respiratory Syndrome Coronavirus, Saudi Arabia, March 2016-March 2019.</text>
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            <description>An entity primarily responsible for making the resource</description>
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              <elementText elementTextId="36064">
                <text>Abdullah M. Assiri, Abdullah Alzahrani, Glen R. Abedi, John T. Watson, Holly M Biggs, Hani Jokhdar, Stephanie A Kujawski, Safaa Tunkar, Nada Alghawi</text>
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            <description>An account of the resource</description>
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                <text>During March 2016-March 2019, a total of 200,936 suspected cases of Middle East respiratory syndrome coronavirus infection were identified in Saudi Arabia; infections were confirmed in 698 cases (0.3% [0.7/100,000 population per year]). Continued surveillance is necessary for early case detection and timely infection control response.</text>
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                <text>2020</text>
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            <description>The topic of the resource</description>
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                <text>Surveillance, Respiratory Infections, Viruses, Zoonoses, coronavirus, Saudi Arabia, Testing, MERS-CoV, Middle East respiratory syndrome coronavirus</text>
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            <description>An unambiguous reference to the resource within a given context</description>
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                <text>DOI: 10.3201/eid2607.200437</text>
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            <description>A related resource from which the described resource is derived</description>
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              <elementText elementTextId="36069">
                <text>Emerging Infectious Diseases</text>
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                <text>Centers for Disease Control and Prevention</text>
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              <name>Title</name>
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                  <text>Coronavirus</text>
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              <name>Description</name>
              <description>An account of the resource</description>
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                  <text>Dominio científico: Coronavirus</text>
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                <text>Exploring Lifestyle Habits, Physical Activity, Anxiety and Basic Psychological Needs in a Sample of Portuguese Adults during COVID-19.</text>
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                <text>Raul Antunes, Roberta Frontini, Nuno Amaro, Rogério Salvador, Rui Matos, Pedro Morouço, Ricardo Rebelo-Gonçalves</text>
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            <description>An account of the resource</description>
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                <text>This cross-sectional study aimed to characterize the lifestyle habits, anxiety levels and basic psychological needs (BPN), in Portuguese adults during the Coronavirus Disease 2019 (COVID-19) pandemic, including a comparison between genders and age groups. In total, 1404 adults (36.4 ± 11.7 years; 69.6% female) answered sociodemographic data and three instruments: the International Physical Activity Questionnaire, the Basic Need General Satisfaction Scale and the State-Trait Anxiety Inventory. Males revealed higher values for the total energy expenditure (z = -2.26; p = 0.024; η 2 = 0.004) and for the level of satisfaction of competence (z = -2.62; p = 0.009; η 2 = 0.005). Females showed higher scores for the anxiety state (z = -7.87; p ≤ 0.001; η 2 = 0.044) and anxiety trait (z = -6.49; p ≤ 0.001; η 2 = 0.030). Regarding age, higher values for the anxiety trait (p ≤ 0.001; η H 2 = 0.030) were found in the 18-34 years-old group compared to all the other age groups, also presenting significantly higher values of total energy expenditure (χ² = 13.93; p = 0.008; η H 2 = 0.007) when compared to the 35-44 years-old group. Significant differences were observed between the 18-34 years-old group and the other age groups for the satisfaction of competence (χ² = 40.97; p ≤ 0.001; η H 2 = 0.026), except for the &gt;65 years-old group. Strategies for promoting well-being during periods of social isolation should consider the role of psychological dimensions and lifestyle habits according to the gender or age group.</text>
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                <text>2020</text>
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                <text>Anxiety, exercise, coronavirus, healthy eating, basic psychological needs, sleep routines</text>
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                <text>DOI: 10.3390/ijerph17124360</text>
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              <elementText elementTextId="36077">
                <text>International Journal of Environmental Research and Public Health</text>
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                <text>MDPI AG</text>
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              <name>Title</name>
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                  <text>Dominio científico: Coronavirus</text>
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      <description>A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.</description>
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                <text>Alessandra Amato, Massimo Amato, Roberto Rongo, Stefano Martina, Mario Caggiano</text>
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                <text>COVID-19 has severely impacted dentists, who are at a great risk of infection. This study aimed to investigate if dentists are anxious about returning to their daily activities, and what the perception of the risk is for dentists and orthodontists regarding orthodontic procedures. An online questionnaire, including the Patient Health Questionnaire-4 (PHQ-4), was sent to Italian dentists during the final days of the lockdown with items about anxiety, fear, distress, perceived risk for operators, and concerns about orthodontic patients caused by working during the COVID-19 outbreak. Data were analyzed with a chi-square test and logistic regression analysis. The level of significance was set as p &lt; 0.05. A total of 349 dentists completed the survey, including 183 orthodontists. Returning to their daily work activity was a source of anxiety for 192 participants and this was associated with the level of distress (odds ratio (OR) = 3.7; p &lt; 0.001). Most of the orthodontists (67.6%) thought that they would increase the number of working hours during the week (OR = 1.8; p = 0.007). Italian dentists were mostly scared to return to their daily activities because they considered their jobs a high risk to them and their families. Dentists with an exclusive/prevailing orthodontic activity were forced to increase their working day during the week.</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="36082">
                <text>2020</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="36083">
                <text>Anxiety, survey, Risk Management, dentistry, Orthodontics, COVID-19</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="43">
            <name>Identifier</name>
            <description>An unambiguous reference to the resource within a given context</description>
            <elementTextContainer>
              <elementText elementTextId="36084">
                <text>DOI: 10.3390/ijerph17124384</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="36085">
                <text>International Journal of Environmental Research and Public Health</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="45">
            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
            <elementTextContainer>
              <elementText elementTextId="36086">
                <text>MDPI AG</text>
              </elementText>
            </elementTextContainer>
          </element>
        </elementContainer>
      </elementSet>
    </elementSetContainer>
  </item>
</itemContainer>
