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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>A systematic review of contamination (aerosol, splatter and droplet generation) associated with oral surgery and its relevance to COVID-19</text>
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                <text>Jennifer E. Gallagher, Sukriti K.C., Ilona G. Johnson, Waraf Al-Yaseen, Rhiannon Jones, Scott McGregor, Mark Robertson, Rebecca Harris, Nicola Innes, William G. Wade</text>
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                <text>Abstract Introduction The current COVID-19 pandemic caused by the SARS-CoV-2 virus has impacted the delivery of dental care globally and has led to re-evaluation of infection control standards. However, lack of clarity around what is known and unknown regarding droplet and aerosol generation in dentistry (including oral surgery and extractions), and their relative risk to patients and the dental team, necessitates a review of evidence relating to specific dental procedures. This review is part of a wider body of research exploring the evidence on bioaerosols in dentistry and involves detailed consideration of the risk of contamination in relation to oral surgery. Methods A comprehensive search of Medline (OVID), Embase (OVID), Cochrane Central Register of Controlled Trials, Scopus, Web of Science, LILACS and ClinicalTrials.Gov was conducted using key terms and MeSH (Medical Subject Headings) words relating to the review questions. Methodological quality including sensitivity was assessed using a schema developed to measure quality aspects of studies using a traffic light system to allow inter- and intra-study overview and comparison. A narrative synthesis was conducted for assessment of the included studies and for the synthesis of results. Results Eleven studies on oral surgery (including extractions) were included in the review. They explored microbiological (bacterial and fungal) and blood (visible and/or imperceptible) contamination at the person level (patients, operators and assistants) and/or at a wider environmental level, using settle plates, chemiluminescence reagents or air samplers; all within 1 m of the surgical site. Studies were of generally low to medium quality and highlighted an overall risk of contaminated aerosol, droplet and splatter generation during oral surgery procedures, most notably during removal of impacted teeth using rotatory handpieces. Risk of contamination and spread was increased by factors, including proximity to the operatory site, longer duration of treatment, higher procedural complexity, non-use of an extraoral evacuator and areas involving more frequent contact during treatment. Conclusion A risk of contamination (microbiological, visible and imperceptible blood) to patients, dental team members and the clinical environment is present during oral surgery procedures, including routine extractions. However, the extent of contamination has not been explored fully in relation to time and distance. Variability across studies with regards to the analysis methods used and outcome measures makes it difficult to draw robust conclusions. Further studies with improved methodologies, including higher test sensitivity and consideration of viruses, are required to validate these findings.</text>
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                <text>2020</text>
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            <name>Identifier</name>
            <description>An unambiguous reference to the resource within a given context</description>
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              <elementText elementTextId="71255">
                <text>10.1038/s41405-020-00053-2</text>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
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                <text>Epidemiology and Health</text>
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                <text>Korean Society of Epidemiology</text>
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                <text>Dentistry</text>
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                  <text>Coronavirus</text>
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              <description>An account of the resource</description>
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                  <text>Dominio científico: Coronavirus</text>
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                <text>Health practitioners should caution about misinformation and association of adverse effects of electronic cigarette use and COVID-19.</text>
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                <text>Eric K Soule, Farrah Kheradmand, Thomas Eissenberg</text>
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                <text>2020</text>
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                <text>10.1016/j.pmedr.2020.101255</text>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
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                <text>Preventive medicine reports</text>
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              <description>An account of the resource</description>
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                  <text>Dominio científico: Coronavirus</text>
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            <description>A name given to the resource</description>
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                <text>Challenges facing harm reduction interventions in the era of COVID-19 in Africa.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
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              <elementText elementTextId="71265">
                <text>Simon Karanja, Catherine Mwangi, John Gachohi</text>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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                <text>2020</text>
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            <name>Identifier</name>
            <description>An unambiguous reference to the resource within a given context</description>
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              <elementText elementTextId="71267">
                <text>10.1016/j.sciaf.2020.e00506</text>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
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              <elementText elementTextId="71268">
                <text>Scientific African</text>
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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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              <name>Description</name>
              <description>An account of the resource</description>
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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>A name given to the resource</description>
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                <text>Lack of skin manifestations in COVID-19 hospitalized patients during the second epidemic wave in Spain: a possible association with a novel SARS-CoV-2 variant - a cross-sectional study.</text>
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            <description>An entity primarily responsible for making the resource</description>
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              <elementText elementTextId="71270">
                <text>D Fernandez-Nieto, D Ortega-Quijano, A Suarez-Valle, J Jimenez-Cauhe, P Jaen-Olasolo, M Fernandez-Guarino</text>
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            <name>Date</name>
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                <text>2021</text>
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            <name>Identifier</name>
            <description>An unambiguous reference to the resource within a given context</description>
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                <text>10.1111/jdv.17051</text>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="71273">
                <text>Journal of the European Academy of Dermatology and Venereology : JEADV</text>
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              <name>Title</name>
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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>Implementing Delirium Prevention in the Era of COVID-19.</text>
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                <text>Nila S Radhakrishnan, Mariam Mufti, Daniel Ortiz, Suzanne T Maye, Jennifer Melara, Duke Lim, Eric I Rosenberg, Catherine C Price</text>
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                <text>Patients admitted with COVID-19 can develop delirium due to predisposing factors, isolation, and the illness itself. Standard delirium prevention methods focus on interaction and stimulation. It can be challenging to deliver these methods of care in COVID settings where it is necessary to increase patient isolation. This paper presents a typical clinical vignette of representative patients in a tertiary care hospital and how a medical team modified an evidence-based delirium prevention model to deliver high-quality care to COVID-19 patients. The implemented model focuses on four areas of delirium-prevention: Mobility, Sleep, Cognitive Stimulation, and Nutrition. Future studies will be needed to track quantitative outcome measures.</text>
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                <text>2021</text>
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                <text>covid-19, Hospitalization, dementia, Alzheimer’s disease, quality of health care, tertiary care centers</text>
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                <text>10.3233/JAD-200696</text>
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                <text>Journal of Alzheimer's disease : JAD</text>
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                  <text>Dominio científico: Coronavirus</text>
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                <text>U.S. Navy's Response to a Shipboard Coronavirus Outbreak: Considerations for a Medical Management Plan at Sea.</text>
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                <text>Diego Vicente, Ryan Maves, Eric Elster, Alfred Shwayhat</text>
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