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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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                <text>Clinical outcomes among hospital patients with Middle East respiratory syndrome coronavirus (MERS-CoV) infection</text>
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                <text>Abdulrahman Mohammed G. Habib, Mohamed Abd Elghafour Ali, Baha R. Zouaoui, Mustafa Ahmed H. Taha, Bassem Sahsah Mohammed, Nazmus Saquib</text>
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                <text>Abstract Background Mortality is high among patients with Middle East Respiratory Syndrome Coronavirus (MERS-CoV) infection. We aimed to determine hospital mortality and the factors associated with it in a cohort of MERS-CoV patients. Methods We reviewed hospital records of confirmed cases (detection of virus by polymerase chain reaction from respiratory tract samples) of MERS-CoV patients (n = 63) admitted to Buraidah Central Hospital in Al-Qassim, Saudi Arabia between 2014 and 2017. We abstracted data on demography, vital signs, associated conditions presented on admission, pre-existing chronic diseases, treatment, and vital status. Bi-variate comparisons and multiple logistic regressions were the choice of data analyses. Results The mean age was 60 years (SD = 18.2); most patients were male (74.6%) and Saudi citizens (81%). All but two patients were treated with Ribavirin plus Interferon. Hospital mortality was 25.4%. Patients who were admitted with septic shock and/or organ failure were significantly more likely to die than patients who were admitted with pneumonia and/or acute respiratory distress syndrome (OR = 47.9, 95% CI = 3.9, 585.5, p-value 0.002). Age, sex, and presence of chronic conditions were not significantly associated with mortality. Conclusion Hospital mortality was 25%; septic shock/organ failure at admittance was a significant predictor of mortality.</text>
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            <name>Date</name>
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              <elementText elementTextId="11190">
                <text>2019</text>
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            <name>Subject</name>
            <description>The topic of the resource</description>
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                <text>ribavirin, interferon alpha, MERS-CoV, Mortality</text>
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                <text>DOI: 10.1186/s12879-019-4555-5</text>
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                <text>BMC Infectious Diseases</text>
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                <text>BMC</text>
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            <description>The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant</description>
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                <text>Infectious and parasitic diseases</text>
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                <text>EN</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>
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                <text>Clinical outcomes and risk factors for COVID-19 among migrant populations in high-income countries: A systematic review.</text>
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                <text>Jessica Carter, Martin McKee, Cherie Cheng, Alison Crawshaw, Miriam Orcutt, Tushna F Vandrevala, Marie Norredam, Manuel Carballo, Yusuf Ciftci, Ana Requena-Méndez, Christina Greenaway, Felicity Knights, Anushka Mehrotra, Farah Seedat, Apostolos Veizis, Ines Campos-Matos, Fatima Wurie, Bernadette Kumar, Sally E Hayward, Anna Deal, Kayvan Bozorgmehr, Sally Hargreaves</text>
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                <text>Migrants in high-income countries may be at increased risk of COVID-19 due to their health and social circumstances, yet the extent to which they are affected and their predisposing risk factors are not clearly understood. We did a systematic review to assess clinical outcomes of COVID-19 in migrant populations, indirect health and social impacts, and to determine key risk factors. We did a systematic review following PRISMA guidelines (PROSPERO CRD42020222135). We searched multiple databases to 18/11/2020 for peer-reviewed and grey literature on migrants (foreign-born) and COVID-19 in 82 high-income countries. We used our international networks to source national datasets and grey literature. Data were extracted on primary outcomes (cases, hospitalisations, deaths) and we evaluated secondary outcomes on indirect health and social impacts and risk factors using narrative synthesis. 3016 data sources were screened with 158 from 15 countries included in the analysis (35 data sources for primary outcomes: cases [21], hospitalisations [4]; deaths [15]; 123 for secondary outcomes). We found that migrants are at increased risk of infection and are disproportionately represented among COVID-19 cases. Available datasets suggest a similarly disproportionate representation of migrants in reported COVID-19 deaths, as well as increased all-cause mortality in migrants in some countries in 2020. Undocumented migrants, migrant health and care workers, and migrants housed in camps have been especially affected. Migrants experience risk factors including high-risk occupations, overcrowded accommodation, and barriers to healthcare including inadequate information, language barriers, and reduced entitlement. Migrants in high-income countries are at high risk of exposure to, and infection with, COVID-19. These data are of immediate relevance to national public health and policy responses to the pandemic. Robust data on testing uptake and clinical outcomes in migrants, and barriers and facilitators to COVID-19 vaccination, are urgently needed, alongside strengthening engagement with diverse migrant groups.</text>
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                <text>2021</text>
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            <name>Identifier</name>
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                <text>10.1016/j.jmh.2021.100041</text>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="77845">
                <text>Journal of migration and health</text>
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              <name>Title</name>
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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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            <description>A name given to the resource</description>
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                <text>Clinical Profile of COVID-19 in Children and Research Progress on Angiotensin-converting Enzyme 2: A Mini-review</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="64766">
                <text>Qian Gao, Jing Liu, Zhilong Mu, Xianpeng  Yan, Jay Narayan Shah, Fuyong Jiao</text>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
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                <text>The cases of coronavirusdisease 2019 in children have been increasing with the ongoing pandemic.The finding suggests children have mild symptoms and a short course of the disease. Angiotensinconverting enzyme-2 mediates entry of the virus into the cell, the combination of virus and ACE2 leads to an increase in activity of angiotensin II, resulting in acute injury to lungs, myocardium and other organs. The infection causes down-regulation of ACE2 expression. The ACE2 plays an important role in the infection progression and clinical characteristics of COVID-19. Works on ACE2 and virus spike protein have future prospects of strategic information on prevention, management as well as vaccine development.</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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          <element elementId="49">
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            <description>The topic of the resource</description>
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                <text>children; Coronavirus Disease 2019 (COVID-19); SARS-Cov-2; Angiotensin-Converting Enzyme 2 (ACE2)</text>
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            <description>An unambiguous reference to the resource within a given context</description>
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                <text>10.31729/jnma.5436</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>Journal of Nepal Medical Association</text>
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            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
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              <elementText elementTextId="64772">
                <text>Nepal Medical Association</text>
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            <description>The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant</description>
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                <text>Medicine (General)</text>
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                  <text>Dominio científico: Coronavirus</text>
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                <text>Clinical Profile of Covid-19 in Children, Review of Existing Literatures</text>
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              <elementText elementTextId="40924">
                <text>Tiruneh Tiyare F</text>
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                <text>Firew Tiyare Tiruneh Department of Midwifery, College of Health Science, Mizan Tepi University, Mizan Teferi, EthiopiaCorrespondence: Firew Tiyare TirunehDepartment of Midwifery, College of Health Science, Mizan Tepi University, PO Box- 260, Mizan Teferi, EthiopiaTel +251-917-83-0101Email mtu2012x@gmail.comAbstract: WHO has confirmed that COVID-19 disease is a pandemic on March 11, 2020. The disease is caused by a new virus called SARS-CoV-2. Since, the pandemic was announced around 18,854,287 cases and 708,639 deaths were reported as of August 7, 2020. This review aimed to explore the etiology, pathogenesis, manifestation and complication. The phylogenetic study showed that SARS-CoV-2 is a single-stranded RNA virus. The virus is very contagious and has rapidly spread globally. Its unique structure called S glycoproteins help the virus enters in and cause infection in the body. Children&amp;rsquo;s body reacts against SARS-CoV-2 infections through the involvement of innate and adaptive immune system. The clinical manifestation in children is not specific and not determined. However, fever and cough have mostly been profiled. Though the severe condition is rarely reported in children compared with adults, life-threatening complications, and death associated with COVID-19 disease have been documented. Underlying chronic pulmonary disease, cardiovascular disease, immunosuppression, and obesity significantly contribute to the complications.Keywords: SARS-CoV-2, COVID-19, children, pandemic, clinical profile</text>
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                <text>2020</text>
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                <text>Children, covid-19, Pandemic, SARS-CoV-2, Clinical profile</text>
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                <text>Biotemas</text>
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                <text>Universidade Federal de Santa Catarina</text>
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                <text>Pediatrics</text>
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                <text>Erlina Burhan, Prasenohadi Prasenohadi, Rita Rogayah, Fathiyah Isbaniyah, Tina Reisa, Ibrahim Dharmawan</text>
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                <text>Coronavirus Disease 2019 (COVID-19), previously called 2019-nCoV, is a novel disease caused by SARS- CoV-2 which was first identified as outbreak of unknown respiratory illness in Wuhan, China. COVID- 19 was declared as global health emergency by WHO on March 11, 2020 and quickly elevated to global pandemic on 11 March 2020. COVID-19 symptom is highly various in each patient, with fever, fatigue, shortness of breath, and cough as the main presenting symptoms. Patient with COVID-19 may shows severe symptom with severe pneumonia and ARDS, mild symptom resembling simple upper respiration tract infection, or even completely asymptomatic. Approximately 80% of cases is mild. However the number may changes as more people are getting tested. Some experts are estimating that up to 50% of all cases may be asymptomatic carrier.</text>
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                <text>COVID-19, SARS, cov-2-</text>
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              <elementText elementTextId="15048">
                <text>Acta Medica Indonesiana</text>
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            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
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                <text>Interna Publishing</text>
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                <text>Internal medicine</text>
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            <description>A language of the resource</description>
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              <name>Title</name>
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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>Clinical research activities during COVID-19: the point of view of a promoter of academic clinical trials</text>
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                <text>Giovanni Martinelli, Oriana Nanni, Linda Valmorri, Bernadette Vertogen, Chiara Zingaretti, Anna Miserocchi, Roberta Volpi, Alberto Clemente, Isabella Bondi, Irene Valli, Britt Rudnas</text>
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                <text>Abstract Background During the COVID-19 emergency, IRST IRCCS, an Italian cancer research institute and promoter of no profit clinical studies, adapted its activities and procedures as per European and national guidelines to maintain a high standard of clinical trials, uphold participant safety and guarantee the robustness and reliability of the data collected. This study presents the measures adopted by our institute with the aim of providing information that could be useful to other academic centers promoting clinical trials during the pandemic. Main text After an in-depth analysis of European and Italian guidelines and consultation and analysis of publications regarding the actions implemented by international no profit clinical trial promoters during the emergency, we monitored the way in which the institute managed clinical trials, verifying compliance with regulatory guidelines and clinical procedures, and evaluating screening and recruitment trends in studies. During the pandemic, our center activated a new clinical trial for the treatment of patients with COVID-19. A number of procedural changes in clinical trials were also authorized through notified amendments, in accordance with Italian Medicines Agency (AIFA) guidelines. Patient screening and enrolment was not interrupted in any site participating in multicenter interventional clinical trials on drugs. The institute provided clear indications about essential procedures to be followed, identifying those that could be postponed or carried out by telephone/teleconference. All external sites were monitored remotely, avoiding on-site visits. Although home-working was encouraged, the presence of staff in the central office was also guaranteed to ensure the continuity of promoter activities. Conclusions Some measures adopted by IRST could also be effective outside of the COVID-19 period, e.g. numerous activities relating to clinical trial management could be performed on a home-working basis, using suitable digital technologies. In the future, electronic medical records and shared guidelines will be essential for the correct identification and management of trial risks, including the protection of the rights and privacy of subjects taking part. Promoter supervision could be increased by implementing centralized monitoring tools to guarantee data quality. Closer collaboration between promoters and local study staff is needed to optimize trial management.</text>
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                <text>2021</text>
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            <name>Subject</name>
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                <text>management, covid-19, Clinical trials, Promoter, no-profit</text>
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            <name>Identifier</name>
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              <elementText elementTextId="63288">
                <text>10.1186/s12874-021-01291-0</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="63289">
                <text>Biotemas</text>
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            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
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              <elementText elementTextId="63290">
                <text>Universidade Federal de Santa Catarina</text>
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            <name>Coverage</name>
            <description>The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant</description>
            <elementTextContainer>
              <elementText elementTextId="63291">
                <text>Medicine (General)</text>
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              <name>Title</name>
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            <element elementId="41">
              <name>Description</name>
              <description>An account of the resource</description>
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                <elementText elementTextId="2">
                  <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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      <elementSet elementSetId="1">
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                <text>Clinical research during the COVID-19 pandemic: gastroenterology researchers' perspective.</text>
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              <elementText elementTextId="77989">
                <text>Madunil Anuk Niriella, Arjuna Priyadarshin De Silva, Hithanadura Asita de Silva, Hithanadura Janaka de Silva</text>
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                <text>2021</text>
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              <elementText elementTextId="77991">
                <text>Clinical trials, Health service research</text>
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              <elementText elementTextId="77992">
                <text>10.1136/flgastro-2020-101585</text>
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              <elementText elementTextId="77993">
                <text>Frontline gastroenterology</text>
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  <item itemId="2416" public="1" featured="0">
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            <element elementId="50">
              <name>Title</name>
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                  <text>Coronavirus</text>
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            <element elementId="41">
              <name>Description</name>
              <description>An account of the resource</description>
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                <elementText elementTextId="2">
                  <text>Dominio científico: Coronavirus</text>
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              </elementTextContainer>
            </element>
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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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      <elementSet elementSetId="1">
        <name>Dublin Core</name>
        <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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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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              <elementText elementTextId="23158">
                <text>Clinical Time Features and Chest Imaging of 85 Patients With COVID-19 in Zhuhai, China</text>
              </elementText>
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          <element elementId="39">
            <name>Creator</name>
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              <elementText elementTextId="23159">
                <text>Xi Liu, Li Ding, Xinghua Li, Chao-Hui Zhao, Jinyu Xia, Xiao-Qing Luo, Wentao Luo, Zhuobing Liu, Gongqi Chen</text>
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          <element elementId="41">
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            <description>An account of the resource</description>
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              <elementText elementTextId="23160">
                <text>Background: An outbreak of SARS-CoV-2 infections began in Wuhan, China, and quickly spread to the entire country. We sought to delineate the time features of clinical symptoms, virological conversion, and chest radiological abnormalities in individuals infected with this virus in Zhuhai, China.Methods: In this retrospective study, we assessed 85 confirmed cases of COVID-19 in the Fifth Hospital of Sun Yat-sen University, Zhuhai, from the 17th of January to the 11th of February 2020. Outcomes were followed up until the 24th of February 2020.Results: The median age of the 85 patients with COVID-19 was 43 years (range, 1–80); 56.5% (48/85) were female. The median time from the last known contact to the first SARS-CoV-2 positive test result was 8 days (0–18). The time to throat swab negativity for SARS-CoV-2 ranged from 5 to 36 days after illness onset. Patients with abnormal chest imaging findings on admission were older than those with normal imaging findings (median age, 50 [3-80] vs. 37 [1-69], P = 0.031). Among patients with lung changes on admission, the risk of lesions was 13.8 times greater in the left lower lobe than in the right middle lobe. Most lung lesions appeared within 2 weeks of onset (median 4–5 days). The overall rates of lesions in the right upper/middle/lower lobe and left upper/lower lobe were 47.1, 30.6, 62.4% as well as 49.4 and 63.5%, respectively.Conclusions: The incubation period of SARS-CoV-2 may be longer than 14 days; thus, medical surveillance after contact is required for longer than this. The predominant sites of lung lesions are both lower lungs, whereas the lowest risk region is the right middle lobe.</text>
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                <text>2020</text>
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                <text>risk factor, CT imaging, clinical characteristics, Incubation period, COVID-19</text>
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              <elementText elementTextId="23163">
                <text>DOI: 10.3389/fmed.2020.00209</text>
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              <elementText elementTextId="23164">
                <text>Frontiers in Medicine</text>
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              <elementText elementTextId="23165">
                <text>Frontiers Media S.A.</text>
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            <description>The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant</description>
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                <text>Medicine (General)</text>
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              <name>Title</name>
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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 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>Clinical Trials and Novel Pathogens: Lessons Learned from SARS</text>
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                <text>Matthew P. Muller, Allison McGeer, Sharon E. Straus, Laura Hawryluck, Wayne L Gold</text>
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            <description>An account of the resource</description>
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                <text>During the recent global outbreak of severe acute respiratory syndrome (SARS), thousands of patients received treatments of uncertain efficacy and known toxicity such as ribavirin and corticosteroids. Despite this, no controlled clinical trials assessing the efficacy of these agents were conducted. If a second global SARS outbreak occurred, clinicians would not have controlled data on which to base therapeutic decisions. We discuss the unique methodologic and logistical challenges faced by researchers who attempt to conduct controlled trials of therapeutic agents during an outbreak of a novel or unknown infectious pathogen. We draw upon our own experience in attempting to conduct a randomized controlled trial (trial) of ribavirin therapy for SARS and discuss the lessons learned. Strategies to facilitate future clinical trials during outbreaks of unknown or novel pathogens are also presented.</text>
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                <text>2004</text>
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                <text>severe acute respiratory syndrome, Randomized controlled trials, Disease Outbreaks, Canada</text>
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                <text>DOI: 10.3201/eid1003.030702</text>
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                <text>Emerging Infectious Diseases</text>
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                <text>Centers for Disease Control and Prevention</text>
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                <text>Infectious and parasitic diseases, Medicine</text>
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                <text>EN</text>
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                <text>Clinical trials during the COVID-19 pandemic: Challenges of putting scientific and ethical principles into practice</text>
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                <text>Arun Bhatt</text>
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                <text>Global pandemic of COVID-19 is a serious unmet medical need requiring clinical research into effective therapies. Clinical trials during pandemics of infections face complex challenges of putting scientific and ethical principles into practice. Some of these issues – selection of investigational product and participants, study design, assessment of efficacy and safety, ethics review, informed consent and publication, sample size, and publications – require in-depth consideration in planning and implementation of clinical trials during pandemics.</text>
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                <text>clinical trial, Ethical, Pandemic, scientific, COVID-19</text>
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                <text>DOI: 10.4103/picr.PICR_77_20</text>
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                <text>Perspectives in Clinical Research</text>
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                <text>Wolters Kluwer Medknow Publications</text>
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                <text>Medicine (General), Medicine</text>
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