PMC:7163184 / 2442-6543 JSONTXT

Annnotations TAB JSON ListView MergeView

    LitCovid-PD-FMA-UBERON

    {"project":"LitCovid-PD-FMA-UBERON","denotations":[{"id":"T3","span":{"begin":1538,"end":1542},"obj":"Body_part"},{"id":"T4","span":{"begin":2398,"end":2402},"obj":"Body_part"},{"id":"T5","span":{"begin":2546,"end":2550},"obj":"Body_part"},{"id":"T6","span":{"begin":2710,"end":2714},"obj":"Body_part"}],"attributes":[{"id":"A3","pred":"fma_id","subj":"T3","obj":"http://purl.org/sig/ont/fma/fma24728"},{"id":"A4","pred":"fma_id","subj":"T4","obj":"http://purl.org/sig/ont/fma/fma25056"},{"id":"A5","pred":"fma_id","subj":"T5","obj":"http://purl.org/sig/ont/fma/fma9712"},{"id":"A6","pred":"fma_id","subj":"T6","obj":"http://purl.org/sig/ont/fma/fma25056"}],"text":"Force protection\nParamount in the care of COVID-19 patients is preservation of staff. We cannot deal with a prolonged mass casualty event when many of our staff are sidelined owing to quarantine or illness. Above and beyond standard precautions, this specific type of pandemic requires screening outpatients for symptoms and testing before entering hospitals, seeing only outpatients with MN-TS concerns, and avoiding burnout and unprotected exposure to infected patients. Leveraging telehealth encounters can improve both provider and patient safety and can lead to excellent patient satisfaction. Standard precautions are not only indicated for any encounter with a person under investigation or a +COVID-19 patient, but should also be considered for quarantined patients, personal protective equipment (PPE) availability permitting. Social distancing applies to the workplace as well, and, therefore, routine gatherings, such as meetings, academics, morning report, etc, should be cancelled or converted to tele- or video conferences. These practices avoid the “COVID-19 grenade,” whereby 1 staff member becomes positive and sidelines critical portions of the workforce.\nIncreased precautions are indicated for treating COVID-19 patients both within and outside the operating room (OR). Airborne precaution-level PPE is advocated for OR staff during induction and intubation/extubation of even non-COVID-19 patients, owing to the potential for asymptomatic transmission and aerosolization.2 This practice should include N95 masks with face shield or powered air-purifying respirator in a negative-pressure environment. Furthermore, staff not actively participating in patient care owing to curtailed routine clinic and OR activities should be at home. They are not quarantined, but they are on the proverbial “bench” to act as a potential ready reserve if needed. Quarantine periods for both staff and patients who have been exposed to any person under investigation have been set provisionally at 14 days; however, in a critical staffing shortage, it is reasonable to return staff to work after 8 to 9 days of quarantine provided they are symptom-free. In some situations, this requirement, including a negative COVID-19 test, might be waived altogether owing to crisis-level shortages in staffing. In the extreme scenario in which a staff member with a COVID-19 positive test is asked to come back to work, the staffer should at the very least be symptom-free for no less than 72 hours and, upon return, should wear a mask and practice good hand hygiene.\n\nSurge capacity and triage\nIn the event of overwhelming circumstances owing to patient numbers and staff, bed, and resource scarcity, we need to fall back to trauma training and the scenarios of mass casualty. Recovery rooms may be used for patient bedding, preoperative areas can be used for staff berthing, and each OR, equipped with its own medical gas, suction, and ventilator, is a potential ICU bed. Many types of PPE, particularly N95 respirators and surgical masks, can and should be worn for the duration of your shift and reused after appropriate cleaning for multiple days, if not overtly soiled.3 Critical to avoiding being overwhelmed is proper triage. Patients who can go home should never be admitted. Under dire circumstances, the most difficult decision may be labeling a living patient (likely critically ill or with major comorbidities) moribund and moving on to the next patient with a greater chance of survival.\nIn conclusion, the COVID-19 pandemic continues to wreak havoc on our providers, medical systems, economy, and populace. But as the saying goes, crisis creates opportunity. In this case, the opportunity for us as a surgical community is to lead by applying our lessons learned from combat, trauma, and critical care patient management and to take an active role in triage, resource allocation, contingency planning, and even in the care of the gravely ill patient. The alternative is to sit on the sidelines and be marginalized for a nonsurgical problem when our nation, hospitals, and patients need us most."}

    LitCovid-PD-UBERON

    {"project":"LitCovid-PD-UBERON","denotations":[{"id":"T3","span":{"begin":1538,"end":1542},"obj":"Body_part"},{"id":"T4","span":{"begin":2546,"end":2550},"obj":"Body_part"}],"attributes":[{"id":"A3","pred":"uberon_id","subj":"T3","obj":"http://purl.obolibrary.org/obo/UBERON_0001456"},{"id":"A4","pred":"uberon_id","subj":"T4","obj":"http://purl.obolibrary.org/obo/UBERON_0002398"}],"text":"Force protection\nParamount in the care of COVID-19 patients is preservation of staff. We cannot deal with a prolonged mass casualty event when many of our staff are sidelined owing to quarantine or illness. Above and beyond standard precautions, this specific type of pandemic requires screening outpatients for symptoms and testing before entering hospitals, seeing only outpatients with MN-TS concerns, and avoiding burnout and unprotected exposure to infected patients. Leveraging telehealth encounters can improve both provider and patient safety and can lead to excellent patient satisfaction. Standard precautions are not only indicated for any encounter with a person under investigation or a +COVID-19 patient, but should also be considered for quarantined patients, personal protective equipment (PPE) availability permitting. Social distancing applies to the workplace as well, and, therefore, routine gatherings, such as meetings, academics, morning report, etc, should be cancelled or converted to tele- or video conferences. These practices avoid the “COVID-19 grenade,” whereby 1 staff member becomes positive and sidelines critical portions of the workforce.\nIncreased precautions are indicated for treating COVID-19 patients both within and outside the operating room (OR). Airborne precaution-level PPE is advocated for OR staff during induction and intubation/extubation of even non-COVID-19 patients, owing to the potential for asymptomatic transmission and aerosolization.2 This practice should include N95 masks with face shield or powered air-purifying respirator in a negative-pressure environment. Furthermore, staff not actively participating in patient care owing to curtailed routine clinic and OR activities should be at home. They are not quarantined, but they are on the proverbial “bench” to act as a potential ready reserve if needed. Quarantine periods for both staff and patients who have been exposed to any person under investigation have been set provisionally at 14 days; however, in a critical staffing shortage, it is reasonable to return staff to work after 8 to 9 days of quarantine provided they are symptom-free. In some situations, this requirement, including a negative COVID-19 test, might be waived altogether owing to crisis-level shortages in staffing. In the extreme scenario in which a staff member with a COVID-19 positive test is asked to come back to work, the staffer should at the very least be symptom-free for no less than 72 hours and, upon return, should wear a mask and practice good hand hygiene.\n\nSurge capacity and triage\nIn the event of overwhelming circumstances owing to patient numbers and staff, bed, and resource scarcity, we need to fall back to trauma training and the scenarios of mass casualty. Recovery rooms may be used for patient bedding, preoperative areas can be used for staff berthing, and each OR, equipped with its own medical gas, suction, and ventilator, is a potential ICU bed. Many types of PPE, particularly N95 respirators and surgical masks, can and should be worn for the duration of your shift and reused after appropriate cleaning for multiple days, if not overtly soiled.3 Critical to avoiding being overwhelmed is proper triage. Patients who can go home should never be admitted. Under dire circumstances, the most difficult decision may be labeling a living patient (likely critically ill or with major comorbidities) moribund and moving on to the next patient with a greater chance of survival.\nIn conclusion, the COVID-19 pandemic continues to wreak havoc on our providers, medical systems, economy, and populace. But as the saying goes, crisis creates opportunity. In this case, the opportunity for us as a surgical community is to lead by applying our lessons learned from combat, trauma, and critical care patient management and to take an active role in triage, resource allocation, contingency planning, and even in the care of the gravely ill patient. The alternative is to sit on the sidelines and be marginalized for a nonsurgical problem when our nation, hospitals, and patients need us most."}

    LitCovid-PD-MONDO

    {"project":"LitCovid-PD-MONDO","denotations":[{"id":"T15","span":{"begin":42,"end":50},"obj":"Disease"},{"id":"T16","span":{"begin":392,"end":394},"obj":"Disease"},{"id":"T18","span":{"begin":701,"end":709},"obj":"Disease"},{"id":"T19","span":{"begin":1065,"end":1073},"obj":"Disease"},{"id":"T20","span":{"begin":1223,"end":1231},"obj":"Disease"},{"id":"T21","span":{"begin":1401,"end":1409},"obj":"Disease"},{"id":"T22","span":{"begin":2216,"end":2224},"obj":"Disease"},{"id":"T23","span":{"begin":2358,"end":2366},"obj":"Disease"},{"id":"T24","span":{"begin":2718,"end":2724},"obj":"Disease"},{"id":"T25","span":{"begin":3513,"end":3521},"obj":"Disease"},{"id":"T26","span":{"begin":3783,"end":3789},"obj":"Disease"}],"attributes":[{"id":"A15","pred":"mondo_id","subj":"T15","obj":"http://purl.obolibrary.org/obo/MONDO_0100096"},{"id":"A16","pred":"mondo_id","subj":"T16","obj":"http://purl.obolibrary.org/obo/MONDO_0010979"},{"id":"A17","pred":"mondo_id","subj":"T16","obj":"http://purl.obolibrary.org/obo/MONDO_0016455"},{"id":"A18","pred":"mondo_id","subj":"T18","obj":"http://purl.obolibrary.org/obo/MONDO_0100096"},{"id":"A19","pred":"mondo_id","subj":"T19","obj":"http://purl.obolibrary.org/obo/MONDO_0100096"},{"id":"A20","pred":"mondo_id","subj":"T20","obj":"http://purl.obolibrary.org/obo/MONDO_0100096"},{"id":"A21","pred":"mondo_id","subj":"T21","obj":"http://purl.obolibrary.org/obo/MONDO_0100096"},{"id":"A22","pred":"mondo_id","subj":"T22","obj":"http://purl.obolibrary.org/obo/MONDO_0100096"},{"id":"A23","pred":"mondo_id","subj":"T23","obj":"http://purl.obolibrary.org/obo/MONDO_0100096"},{"id":"A24","pred":"mondo_id","subj":"T24","obj":"http://purl.obolibrary.org/obo/MONDO_0021178"},{"id":"A25","pred":"mondo_id","subj":"T25","obj":"http://purl.obolibrary.org/obo/MONDO_0100096"},{"id":"A26","pred":"mondo_id","subj":"T26","obj":"http://purl.obolibrary.org/obo/MONDO_0021178"}],"text":"Force protection\nParamount in the care of COVID-19 patients is preservation of staff. We cannot deal with a prolonged mass casualty event when many of our staff are sidelined owing to quarantine or illness. Above and beyond standard precautions, this specific type of pandemic requires screening outpatients for symptoms and testing before entering hospitals, seeing only outpatients with MN-TS concerns, and avoiding burnout and unprotected exposure to infected patients. Leveraging telehealth encounters can improve both provider and patient safety and can lead to excellent patient satisfaction. Standard precautions are not only indicated for any encounter with a person under investigation or a +COVID-19 patient, but should also be considered for quarantined patients, personal protective equipment (PPE) availability permitting. Social distancing applies to the workplace as well, and, therefore, routine gatherings, such as meetings, academics, morning report, etc, should be cancelled or converted to tele- or video conferences. These practices avoid the “COVID-19 grenade,” whereby 1 staff member becomes positive and sidelines critical portions of the workforce.\nIncreased precautions are indicated for treating COVID-19 patients both within and outside the operating room (OR). Airborne precaution-level PPE is advocated for OR staff during induction and intubation/extubation of even non-COVID-19 patients, owing to the potential for asymptomatic transmission and aerosolization.2 This practice should include N95 masks with face shield or powered air-purifying respirator in a negative-pressure environment. Furthermore, staff not actively participating in patient care owing to curtailed routine clinic and OR activities should be at home. They are not quarantined, but they are on the proverbial “bench” to act as a potential ready reserve if needed. Quarantine periods for both staff and patients who have been exposed to any person under investigation have been set provisionally at 14 days; however, in a critical staffing shortage, it is reasonable to return staff to work after 8 to 9 days of quarantine provided they are symptom-free. In some situations, this requirement, including a negative COVID-19 test, might be waived altogether owing to crisis-level shortages in staffing. In the extreme scenario in which a staff member with a COVID-19 positive test is asked to come back to work, the staffer should at the very least be symptom-free for no less than 72 hours and, upon return, should wear a mask and practice good hand hygiene.\n\nSurge capacity and triage\nIn the event of overwhelming circumstances owing to patient numbers and staff, bed, and resource scarcity, we need to fall back to trauma training and the scenarios of mass casualty. Recovery rooms may be used for patient bedding, preoperative areas can be used for staff berthing, and each OR, equipped with its own medical gas, suction, and ventilator, is a potential ICU bed. Many types of PPE, particularly N95 respirators and surgical masks, can and should be worn for the duration of your shift and reused after appropriate cleaning for multiple days, if not overtly soiled.3 Critical to avoiding being overwhelmed is proper triage. Patients who can go home should never be admitted. Under dire circumstances, the most difficult decision may be labeling a living patient (likely critically ill or with major comorbidities) moribund and moving on to the next patient with a greater chance of survival.\nIn conclusion, the COVID-19 pandemic continues to wreak havoc on our providers, medical systems, economy, and populace. But as the saying goes, crisis creates opportunity. In this case, the opportunity for us as a surgical community is to lead by applying our lessons learned from combat, trauma, and critical care patient management and to take an active role in triage, resource allocation, contingency planning, and even in the care of the gravely ill patient. The alternative is to sit on the sidelines and be marginalized for a nonsurgical problem when our nation, hospitals, and patients need us most."}

    LitCovid-PD-CLO

    {"project":"LitCovid-PD-CLO","denotations":[{"id":"T12","span":{"begin":106,"end":107},"obj":"http://purl.obolibrary.org/obo/CLO_0001020"},{"id":"T13","span":{"begin":325,"end":332},"obj":"http://purl.obolibrary.org/obo/UBERON_0000473"},{"id":"T14","span":{"begin":666,"end":667},"obj":"http://purl.obolibrary.org/obo/CLO_0001020"},{"id":"T15","span":{"begin":698,"end":699},"obj":"http://purl.obolibrary.org/obo/CLO_0001020"},{"id":"T16","span":{"begin":1538,"end":1542},"obj":"http://purl.obolibrary.org/obo/UBERON_0001456"},{"id":"T17","span":{"begin":1589,"end":1590},"obj":"http://purl.obolibrary.org/obo/CLO_0001020"},{"id":"T18","span":{"begin":1645,"end":1653},"obj":"http://purl.obolibrary.org/obo/CLO_0001658"},{"id":"T19","span":{"begin":1725,"end":1735},"obj":"http://purl.obolibrary.org/obo/CLO_0001658"},{"id":"T20","span":{"begin":1830,"end":1831},"obj":"http://purl.obolibrary.org/obo/CLO_0001020"},{"id":"T21","span":{"begin":2022,"end":2023},"obj":"http://purl.obolibrary.org/obo/CLO_0001020"},{"id":"T22","span":{"begin":2205,"end":2206},"obj":"http://purl.obolibrary.org/obo/CLO_0001020"},{"id":"T23","span":{"begin":2225,"end":2229},"obj":"http://purl.obolibrary.org/obo/UBERON_0000473"},{"id":"T24","span":{"begin":2310,"end":2317},"obj":"http://www.ebi.ac.uk/efo/EFO_0000876"},{"id":"T25","span":{"begin":2336,"end":2337},"obj":"http://purl.obolibrary.org/obo/CLO_0001020"},{"id":"T26","span":{"begin":2356,"end":2357},"obj":"http://purl.obolibrary.org/obo/CLO_0001020"},{"id":"T27","span":{"begin":2376,"end":2383},"obj":"http://purl.obolibrary.org/obo/UBERON_0000473"},{"id":"T28","span":{"begin":2521,"end":2522},"obj":"http://purl.obolibrary.org/obo/CLO_0001020"},{"id":"T29","span":{"begin":2945,"end":2946},"obj":"http://purl.obolibrary.org/obo/CLO_0001020"},{"id":"T30","span":{"begin":3338,"end":3346},"obj":"http://purl.obolibrary.org/obo/CLO_0007225"},{"id":"T31","span":{"begin":3347,"end":3348},"obj":"http://purl.obolibrary.org/obo/CLO_0001020"},{"id":"T32","span":{"begin":3464,"end":3465},"obj":"http://purl.obolibrary.org/obo/CLO_0001020"},{"id":"T33","span":{"begin":3706,"end":3707},"obj":"http://purl.obolibrary.org/obo/CLO_0001020"},{"id":"T34","span":{"begin":3843,"end":3849},"obj":"http://purl.obolibrary.org/obo/CLO_0001658"},{"id":"T35","span":{"begin":4025,"end":4026},"obj":"http://purl.obolibrary.org/obo/CLO_0001020"}],"text":"Force protection\nParamount in the care of COVID-19 patients is preservation of staff. We cannot deal with a prolonged mass casualty event when many of our staff are sidelined owing to quarantine or illness. Above and beyond standard precautions, this specific type of pandemic requires screening outpatients for symptoms and testing before entering hospitals, seeing only outpatients with MN-TS concerns, and avoiding burnout and unprotected exposure to infected patients. Leveraging telehealth encounters can improve both provider and patient safety and can lead to excellent patient satisfaction. Standard precautions are not only indicated for any encounter with a person under investigation or a +COVID-19 patient, but should also be considered for quarantined patients, personal protective equipment (PPE) availability permitting. Social distancing applies to the workplace as well, and, therefore, routine gatherings, such as meetings, academics, morning report, etc, should be cancelled or converted to tele- or video conferences. These practices avoid the “COVID-19 grenade,” whereby 1 staff member becomes positive and sidelines critical portions of the workforce.\nIncreased precautions are indicated for treating COVID-19 patients both within and outside the operating room (OR). Airborne precaution-level PPE is advocated for OR staff during induction and intubation/extubation of even non-COVID-19 patients, owing to the potential for asymptomatic transmission and aerosolization.2 This practice should include N95 masks with face shield or powered air-purifying respirator in a negative-pressure environment. Furthermore, staff not actively participating in patient care owing to curtailed routine clinic and OR activities should be at home. They are not quarantined, but they are on the proverbial “bench” to act as a potential ready reserve if needed. Quarantine periods for both staff and patients who have been exposed to any person under investigation have been set provisionally at 14 days; however, in a critical staffing shortage, it is reasonable to return staff to work after 8 to 9 days of quarantine provided they are symptom-free. In some situations, this requirement, including a negative COVID-19 test, might be waived altogether owing to crisis-level shortages in staffing. In the extreme scenario in which a staff member with a COVID-19 positive test is asked to come back to work, the staffer should at the very least be symptom-free for no less than 72 hours and, upon return, should wear a mask and practice good hand hygiene.\n\nSurge capacity and triage\nIn the event of overwhelming circumstances owing to patient numbers and staff, bed, and resource scarcity, we need to fall back to trauma training and the scenarios of mass casualty. Recovery rooms may be used for patient bedding, preoperative areas can be used for staff berthing, and each OR, equipped with its own medical gas, suction, and ventilator, is a potential ICU bed. Many types of PPE, particularly N95 respirators and surgical masks, can and should be worn for the duration of your shift and reused after appropriate cleaning for multiple days, if not overtly soiled.3 Critical to avoiding being overwhelmed is proper triage. Patients who can go home should never be admitted. Under dire circumstances, the most difficult decision may be labeling a living patient (likely critically ill or with major comorbidities) moribund and moving on to the next patient with a greater chance of survival.\nIn conclusion, the COVID-19 pandemic continues to wreak havoc on our providers, medical systems, economy, and populace. But as the saying goes, crisis creates opportunity. In this case, the opportunity for us as a surgical community is to lead by applying our lessons learned from combat, trauma, and critical care patient management and to take an active role in triage, resource allocation, contingency planning, and even in the care of the gravely ill patient. The alternative is to sit on the sidelines and be marginalized for a nonsurgical problem when our nation, hospitals, and patients need us most."}

    LitCovid-PD-CHEBI

    {"project":"LitCovid-PD-CHEBI","denotations":[{"id":"T7","span":{"begin":389,"end":391},"obj":"Chemical"},{"id":"T8","span":{"begin":392,"end":394},"obj":"Chemical"}],"attributes":[{"id":"A7","pred":"chebi_id","subj":"T7","obj":"http://purl.obolibrary.org/obo/CHEBI_141442"},{"id":"A8","pred":"chebi_id","subj":"T8","obj":"http://purl.obolibrary.org/obo/CHEBI_73664"}],"text":"Force protection\nParamount in the care of COVID-19 patients is preservation of staff. We cannot deal with a prolonged mass casualty event when many of our staff are sidelined owing to quarantine or illness. Above and beyond standard precautions, this specific type of pandemic requires screening outpatients for symptoms and testing before entering hospitals, seeing only outpatients with MN-TS concerns, and avoiding burnout and unprotected exposure to infected patients. Leveraging telehealth encounters can improve both provider and patient safety and can lead to excellent patient satisfaction. Standard precautions are not only indicated for any encounter with a person under investigation or a +COVID-19 patient, but should also be considered for quarantined patients, personal protective equipment (PPE) availability permitting. Social distancing applies to the workplace as well, and, therefore, routine gatherings, such as meetings, academics, morning report, etc, should be cancelled or converted to tele- or video conferences. These practices avoid the “COVID-19 grenade,” whereby 1 staff member becomes positive and sidelines critical portions of the workforce.\nIncreased precautions are indicated for treating COVID-19 patients both within and outside the operating room (OR). Airborne precaution-level PPE is advocated for OR staff during induction and intubation/extubation of even non-COVID-19 patients, owing to the potential for asymptomatic transmission and aerosolization.2 This practice should include N95 masks with face shield or powered air-purifying respirator in a negative-pressure environment. Furthermore, staff not actively participating in patient care owing to curtailed routine clinic and OR activities should be at home. They are not quarantined, but they are on the proverbial “bench” to act as a potential ready reserve if needed. Quarantine periods for both staff and patients who have been exposed to any person under investigation have been set provisionally at 14 days; however, in a critical staffing shortage, it is reasonable to return staff to work after 8 to 9 days of quarantine provided they are symptom-free. In some situations, this requirement, including a negative COVID-19 test, might be waived altogether owing to crisis-level shortages in staffing. In the extreme scenario in which a staff member with a COVID-19 positive test is asked to come back to work, the staffer should at the very least be symptom-free for no less than 72 hours and, upon return, should wear a mask and practice good hand hygiene.\n\nSurge capacity and triage\nIn the event of overwhelming circumstances owing to patient numbers and staff, bed, and resource scarcity, we need to fall back to trauma training and the scenarios of mass casualty. Recovery rooms may be used for patient bedding, preoperative areas can be used for staff berthing, and each OR, equipped with its own medical gas, suction, and ventilator, is a potential ICU bed. Many types of PPE, particularly N95 respirators and surgical masks, can and should be worn for the duration of your shift and reused after appropriate cleaning for multiple days, if not overtly soiled.3 Critical to avoiding being overwhelmed is proper triage. Patients who can go home should never be admitted. Under dire circumstances, the most difficult decision may be labeling a living patient (likely critically ill or with major comorbidities) moribund and moving on to the next patient with a greater chance of survival.\nIn conclusion, the COVID-19 pandemic continues to wreak havoc on our providers, medical systems, economy, and populace. But as the saying goes, crisis creates opportunity. In this case, the opportunity for us as a surgical community is to lead by applying our lessons learned from combat, trauma, and critical care patient management and to take an active role in triage, resource allocation, contingency planning, and even in the care of the gravely ill patient. The alternative is to sit on the sidelines and be marginalized for a nonsurgical problem when our nation, hospitals, and patients need us most."}

    LitCovid-sentences

    {"project":"LitCovid-sentences","denotations":[{"id":"T19","span":{"begin":0,"end":16},"obj":"Sentence"},{"id":"T20","span":{"begin":17,"end":85},"obj":"Sentence"},{"id":"T21","span":{"begin":86,"end":206},"obj":"Sentence"},{"id":"T22","span":{"begin":207,"end":472},"obj":"Sentence"},{"id":"T23","span":{"begin":473,"end":598},"obj":"Sentence"},{"id":"T24","span":{"begin":599,"end":835},"obj":"Sentence"},{"id":"T25","span":{"begin":836,"end":1037},"obj":"Sentence"},{"id":"T26","span":{"begin":1038,"end":1173},"obj":"Sentence"},{"id":"T27","span":{"begin":1174,"end":1289},"obj":"Sentence"},{"id":"T28","span":{"begin":1290,"end":1621},"obj":"Sentence"},{"id":"T29","span":{"begin":1622,"end":1754},"obj":"Sentence"},{"id":"T30","span":{"begin":1755,"end":1866},"obj":"Sentence"},{"id":"T31","span":{"begin":1867,"end":2156},"obj":"Sentence"},{"id":"T32","span":{"begin":2157,"end":2302},"obj":"Sentence"},{"id":"T33","span":{"begin":2303,"end":2559},"obj":"Sentence"},{"id":"T34","span":{"begin":2561,"end":2586},"obj":"Sentence"},{"id":"T35","span":{"begin":2587,"end":2769},"obj":"Sentence"},{"id":"T36","span":{"begin":2770,"end":2965},"obj":"Sentence"},{"id":"T37","span":{"begin":2966,"end":3225},"obj":"Sentence"},{"id":"T38","span":{"begin":3226,"end":3276},"obj":"Sentence"},{"id":"T39","span":{"begin":3277,"end":3493},"obj":"Sentence"},{"id":"T40","span":{"begin":3494,"end":3613},"obj":"Sentence"},{"id":"T41","span":{"begin":3614,"end":3665},"obj":"Sentence"},{"id":"T42","span":{"begin":3666,"end":3957},"obj":"Sentence"},{"id":"T43","span":{"begin":3958,"end":4101},"obj":"Sentence"}],"namespaces":[{"prefix":"_base","uri":"http://pubannotation.org/ontology/tao.owl#"}],"text":"Force protection\nParamount in the care of COVID-19 patients is preservation of staff. We cannot deal with a prolonged mass casualty event when many of our staff are sidelined owing to quarantine or illness. Above and beyond standard precautions, this specific type of pandemic requires screening outpatients for symptoms and testing before entering hospitals, seeing only outpatients with MN-TS concerns, and avoiding burnout and unprotected exposure to infected patients. Leveraging telehealth encounters can improve both provider and patient safety and can lead to excellent patient satisfaction. Standard precautions are not only indicated for any encounter with a person under investigation or a +COVID-19 patient, but should also be considered for quarantined patients, personal protective equipment (PPE) availability permitting. Social distancing applies to the workplace as well, and, therefore, routine gatherings, such as meetings, academics, morning report, etc, should be cancelled or converted to tele- or video conferences. These practices avoid the “COVID-19 grenade,” whereby 1 staff member becomes positive and sidelines critical portions of the workforce.\nIncreased precautions are indicated for treating COVID-19 patients both within and outside the operating room (OR). Airborne precaution-level PPE is advocated for OR staff during induction and intubation/extubation of even non-COVID-19 patients, owing to the potential for asymptomatic transmission and aerosolization.2 This practice should include N95 masks with face shield or powered air-purifying respirator in a negative-pressure environment. Furthermore, staff not actively participating in patient care owing to curtailed routine clinic and OR activities should be at home. They are not quarantined, but they are on the proverbial “bench” to act as a potential ready reserve if needed. Quarantine periods for both staff and patients who have been exposed to any person under investigation have been set provisionally at 14 days; however, in a critical staffing shortage, it is reasonable to return staff to work after 8 to 9 days of quarantine provided they are symptom-free. In some situations, this requirement, including a negative COVID-19 test, might be waived altogether owing to crisis-level shortages in staffing. In the extreme scenario in which a staff member with a COVID-19 positive test is asked to come back to work, the staffer should at the very least be symptom-free for no less than 72 hours and, upon return, should wear a mask and practice good hand hygiene.\n\nSurge capacity and triage\nIn the event of overwhelming circumstances owing to patient numbers and staff, bed, and resource scarcity, we need to fall back to trauma training and the scenarios of mass casualty. Recovery rooms may be used for patient bedding, preoperative areas can be used for staff berthing, and each OR, equipped with its own medical gas, suction, and ventilator, is a potential ICU bed. Many types of PPE, particularly N95 respirators and surgical masks, can and should be worn for the duration of your shift and reused after appropriate cleaning for multiple days, if not overtly soiled.3 Critical to avoiding being overwhelmed is proper triage. Patients who can go home should never be admitted. Under dire circumstances, the most difficult decision may be labeling a living patient (likely critically ill or with major comorbidities) moribund and moving on to the next patient with a greater chance of survival.\nIn conclusion, the COVID-19 pandemic continues to wreak havoc on our providers, medical systems, economy, and populace. But as the saying goes, crisis creates opportunity. In this case, the opportunity for us as a surgical community is to lead by applying our lessons learned from combat, trauma, and critical care patient management and to take an active role in triage, resource allocation, contingency planning, and even in the care of the gravely ill patient. The alternative is to sit on the sidelines and be marginalized for a nonsurgical problem when our nation, hospitals, and patients need us most."}

    LitCovid-PMC-OGER-BB

    {"project":"LitCovid-PMC-OGER-BB","denotations":[{"id":"T11","span":{"begin":42,"end":50},"obj":"SP_7"},{"id":"T12","span":{"begin":668,"end":674},"obj":"NCBITaxon:1"},{"id":"T13","span":{"begin":701,"end":709},"obj":"SP_7"},{"id":"T14","span":{"begin":1065,"end":1073},"obj":"SP_7"},{"id":"T15","span":{"begin":1223,"end":1231},"obj":"SP_7"},{"id":"T16","span":{"begin":1401,"end":1409},"obj":"SP_7"},{"id":"T17","span":{"begin":1538,"end":1542},"obj":"UBERON:0001456"},{"id":"T18","span":{"begin":1943,"end":1949},"obj":"NCBITaxon:1"},{"id":"T19","span":{"begin":2216,"end":2224},"obj":"SP_7"},{"id":"T20","span":{"begin":2358,"end":2366},"obj":"SP_7"},{"id":"T21","span":{"begin":2546,"end":2550},"obj":"UBERON:0002398"},{"id":"T22","span":{"begin":3513,"end":3521},"obj":"SP_7"},{"id":"T42610","span":{"begin":42,"end":50},"obj":"SP_7"},{"id":"T77305","span":{"begin":668,"end":674},"obj":"NCBITaxon:1"},{"id":"T23844","span":{"begin":701,"end":709},"obj":"SP_7"},{"id":"T67138","span":{"begin":1065,"end":1073},"obj":"SP_7"},{"id":"T194","span":{"begin":1223,"end":1231},"obj":"SP_7"},{"id":"T35711","span":{"begin":1401,"end":1409},"obj":"SP_7"},{"id":"T27241","span":{"begin":1538,"end":1542},"obj":"UBERON:0001456"},{"id":"T57255","span":{"begin":1943,"end":1949},"obj":"NCBITaxon:1"},{"id":"T40952","span":{"begin":2216,"end":2224},"obj":"SP_7"},{"id":"T5592","span":{"begin":2358,"end":2366},"obj":"SP_7"},{"id":"T62837","span":{"begin":2546,"end":2550},"obj":"UBERON:0002398"},{"id":"T98124","span":{"begin":3513,"end":3521},"obj":"SP_7"}],"text":"Force protection\nParamount in the care of COVID-19 patients is preservation of staff. We cannot deal with a prolonged mass casualty event when many of our staff are sidelined owing to quarantine or illness. Above and beyond standard precautions, this specific type of pandemic requires screening outpatients for symptoms and testing before entering hospitals, seeing only outpatients with MN-TS concerns, and avoiding burnout and unprotected exposure to infected patients. Leveraging telehealth encounters can improve both provider and patient safety and can lead to excellent patient satisfaction. Standard precautions are not only indicated for any encounter with a person under investigation or a +COVID-19 patient, but should also be considered for quarantined patients, personal protective equipment (PPE) availability permitting. Social distancing applies to the workplace as well, and, therefore, routine gatherings, such as meetings, academics, morning report, etc, should be cancelled or converted to tele- or video conferences. These practices avoid the “COVID-19 grenade,” whereby 1 staff member becomes positive and sidelines critical portions of the workforce.\nIncreased precautions are indicated for treating COVID-19 patients both within and outside the operating room (OR). Airborne precaution-level PPE is advocated for OR staff during induction and intubation/extubation of even non-COVID-19 patients, owing to the potential for asymptomatic transmission and aerosolization.2 This practice should include N95 masks with face shield or powered air-purifying respirator in a negative-pressure environment. Furthermore, staff not actively participating in patient care owing to curtailed routine clinic and OR activities should be at home. They are not quarantined, but they are on the proverbial “bench” to act as a potential ready reserve if needed. Quarantine periods for both staff and patients who have been exposed to any person under investigation have been set provisionally at 14 days; however, in a critical staffing shortage, it is reasonable to return staff to work after 8 to 9 days of quarantine provided they are symptom-free. In some situations, this requirement, including a negative COVID-19 test, might be waived altogether owing to crisis-level shortages in staffing. In the extreme scenario in which a staff member with a COVID-19 positive test is asked to come back to work, the staffer should at the very least be symptom-free for no less than 72 hours and, upon return, should wear a mask and practice good hand hygiene.\n\nSurge capacity and triage\nIn the event of overwhelming circumstances owing to patient numbers and staff, bed, and resource scarcity, we need to fall back to trauma training and the scenarios of mass casualty. Recovery rooms may be used for patient bedding, preoperative areas can be used for staff berthing, and each OR, equipped with its own medical gas, suction, and ventilator, is a potential ICU bed. Many types of PPE, particularly N95 respirators and surgical masks, can and should be worn for the duration of your shift and reused after appropriate cleaning for multiple days, if not overtly soiled.3 Critical to avoiding being overwhelmed is proper triage. Patients who can go home should never be admitted. Under dire circumstances, the most difficult decision may be labeling a living patient (likely critically ill or with major comorbidities) moribund and moving on to the next patient with a greater chance of survival.\nIn conclusion, the COVID-19 pandemic continues to wreak havoc on our providers, medical systems, economy, and populace. But as the saying goes, crisis creates opportunity. In this case, the opportunity for us as a surgical community is to lead by applying our lessons learned from combat, trauma, and critical care patient management and to take an active role in triage, resource allocation, contingency planning, and even in the care of the gravely ill patient. The alternative is to sit on the sidelines and be marginalized for a nonsurgical problem when our nation, hospitals, and patients need us most."}

    LitCovid-PubTator

    {"project":"LitCovid-PubTator","denotations":[{"id":"41","span":{"begin":51,"end":59},"obj":"Species"},{"id":"42","span":{"begin":463,"end":471},"obj":"Species"},{"id":"43","span":{"begin":536,"end":543},"obj":"Species"},{"id":"44","span":{"begin":577,"end":584},"obj":"Species"},{"id":"45","span":{"begin":710,"end":717},"obj":"Species"},{"id":"46","span":{"begin":765,"end":773},"obj":"Species"},{"id":"47","span":{"begin":42,"end":50},"obj":"Disease"},{"id":"48","span":{"begin":454,"end":462},"obj":"Disease"},{"id":"49","span":{"begin":701,"end":709},"obj":"Disease"},{"id":"50","span":{"begin":1065,"end":1073},"obj":"Disease"},{"id":"51","span":{"begin":389,"end":391},"obj":"CellLine"},{"id":"60","span":{"begin":1232,"end":1240},"obj":"Species"},{"id":"61","span":{"begin":1410,"end":1418},"obj":"Species"},{"id":"62","span":{"begin":1671,"end":1678},"obj":"Species"},{"id":"63","span":{"begin":1905,"end":1913},"obj":"Species"},{"id":"64","span":{"begin":1223,"end":1231},"obj":"Disease"},{"id":"65","span":{"begin":1401,"end":1409},"obj":"Disease"},{"id":"66","span":{"begin":2216,"end":2224},"obj":"Disease"},{"id":"67","span":{"begin":2358,"end":2366},"obj":"Disease"},{"id":"75","span":{"begin":2639,"end":2646},"obj":"Species"},{"id":"76","span":{"begin":2801,"end":2808},"obj":"Species"},{"id":"77","span":{"begin":3226,"end":3234},"obj":"Species"},{"id":"78","span":{"begin":3356,"end":3363},"obj":"Species"},{"id":"79","span":{"begin":3451,"end":3458},"obj":"Species"},{"id":"80","span":{"begin":2718,"end":2724},"obj":"Disease"},{"id":"81","span":{"begin":3372,"end":3386},"obj":"Disease"},{"id":"87","span":{"begin":3809,"end":3816},"obj":"Species"},{"id":"88","span":{"begin":3949,"end":3956},"obj":"Species"},{"id":"89","span":{"begin":4079,"end":4087},"obj":"Species"},{"id":"90","span":{"begin":3513,"end":3521},"obj":"Disease"},{"id":"91","span":{"begin":3783,"end":3789},"obj":"Disease"}],"attributes":[{"id":"A41","pred":"tao:has_database_id","subj":"41","obj":"Tax:9606"},{"id":"A42","pred":"tao:has_database_id","subj":"42","obj":"Tax:9606"},{"id":"A43","pred":"tao:has_database_id","subj":"43","obj":"Tax:9606"},{"id":"A44","pred":"tao:has_database_id","subj":"44","obj":"Tax:9606"},{"id":"A45","pred":"tao:has_database_id","subj":"45","obj":"Tax:9606"},{"id":"A46","pred":"tao:has_database_id","subj":"46","obj":"Tax:9606"},{"id":"A47","pred":"tao:has_database_id","subj":"47","obj":"MESH:C000657245"},{"id":"A48","pred":"tao:has_database_id","subj":"48","obj":"MESH:D007239"},{"id":"A49","pred":"tao:has_database_id","subj":"49","obj":"MESH:C000657245"},{"id":"A50","pred":"tao:has_database_id","subj":"50","obj":"MESH:C000657245"},{"id":"A51","pred":"tao:has_database_id","subj":"51","obj":"CVCL:U508"},{"id":"A60","pred":"tao:has_database_id","subj":"60","obj":"Tax:9606"},{"id":"A61","pred":"tao:has_database_id","subj":"61","obj":"Tax:9606"},{"id":"A62","pred":"tao:has_database_id","subj":"62","obj":"Tax:9606"},{"id":"A63","pred":"tao:has_database_id","subj":"63","obj":"Tax:9606"},{"id":"A64","pred":"tao:has_database_id","subj":"64","obj":"MESH:C000657245"},{"id":"A65","pred":"tao:has_database_id","subj":"65","obj":"MESH:C000657245"},{"id":"A66","pred":"tao:has_database_id","subj":"66","obj":"MESH:C000657245"},{"id":"A67","pred":"tao:has_database_id","subj":"67","obj":"MESH:C000657245"},{"id":"A75","pred":"tao:has_database_id","subj":"75","obj":"Tax:9606"},{"id":"A76","pred":"tao:has_database_id","subj":"76","obj":"Tax:9606"},{"id":"A77","pred":"tao:has_database_id","subj":"77","obj":"Tax:9606"},{"id":"A78","pred":"tao:has_database_id","subj":"78","obj":"Tax:9606"},{"id":"A79","pred":"tao:has_database_id","subj":"79","obj":"Tax:9606"},{"id":"A80","pred":"tao:has_database_id","subj":"80","obj":"MESH:D014947"},{"id":"A81","pred":"tao:has_database_id","subj":"81","obj":"MESH:D016638"},{"id":"A87","pred":"tao:has_database_id","subj":"87","obj":"Tax:9606"},{"id":"A88","pred":"tao:has_database_id","subj":"88","obj":"Tax:9606"},{"id":"A89","pred":"tao:has_database_id","subj":"89","obj":"Tax:9606"},{"id":"A90","pred":"tao:has_database_id","subj":"90","obj":"MESH:C000657245"},{"id":"A91","pred":"tao:has_database_id","subj":"91","obj":"MESH:D014947"}],"namespaces":[{"prefix":"Tax","uri":"https://www.ncbi.nlm.nih.gov/taxonomy/"},{"prefix":"MESH","uri":"https://id.nlm.nih.gov/mesh/"},{"prefix":"Gene","uri":"https://www.ncbi.nlm.nih.gov/gene/"},{"prefix":"CVCL","uri":"https://web.expasy.org/cellosaurus/CVCL_"}],"text":"Force protection\nParamount in the care of COVID-19 patients is preservation of staff. We cannot deal with a prolonged mass casualty event when many of our staff are sidelined owing to quarantine or illness. Above and beyond standard precautions, this specific type of pandemic requires screening outpatients for symptoms and testing before entering hospitals, seeing only outpatients with MN-TS concerns, and avoiding burnout and unprotected exposure to infected patients. Leveraging telehealth encounters can improve both provider and patient safety and can lead to excellent patient satisfaction. Standard precautions are not only indicated for any encounter with a person under investigation or a +COVID-19 patient, but should also be considered for quarantined patients, personal protective equipment (PPE) availability permitting. Social distancing applies to the workplace as well, and, therefore, routine gatherings, such as meetings, academics, morning report, etc, should be cancelled or converted to tele- or video conferences. These practices avoid the “COVID-19 grenade,” whereby 1 staff member becomes positive and sidelines critical portions of the workforce.\nIncreased precautions are indicated for treating COVID-19 patients both within and outside the operating room (OR). Airborne precaution-level PPE is advocated for OR staff during induction and intubation/extubation of even non-COVID-19 patients, owing to the potential for asymptomatic transmission and aerosolization.2 This practice should include N95 masks with face shield or powered air-purifying respirator in a negative-pressure environment. Furthermore, staff not actively participating in patient care owing to curtailed routine clinic and OR activities should be at home. They are not quarantined, but they are on the proverbial “bench” to act as a potential ready reserve if needed. Quarantine periods for both staff and patients who have been exposed to any person under investigation have been set provisionally at 14 days; however, in a critical staffing shortage, it is reasonable to return staff to work after 8 to 9 days of quarantine provided they are symptom-free. In some situations, this requirement, including a negative COVID-19 test, might be waived altogether owing to crisis-level shortages in staffing. In the extreme scenario in which a staff member with a COVID-19 positive test is asked to come back to work, the staffer should at the very least be symptom-free for no less than 72 hours and, upon return, should wear a mask and practice good hand hygiene.\n\nSurge capacity and triage\nIn the event of overwhelming circumstances owing to patient numbers and staff, bed, and resource scarcity, we need to fall back to trauma training and the scenarios of mass casualty. Recovery rooms may be used for patient bedding, preoperative areas can be used for staff berthing, and each OR, equipped with its own medical gas, suction, and ventilator, is a potential ICU bed. Many types of PPE, particularly N95 respirators and surgical masks, can and should be worn for the duration of your shift and reused after appropriate cleaning for multiple days, if not overtly soiled.3 Critical to avoiding being overwhelmed is proper triage. Patients who can go home should never be admitted. Under dire circumstances, the most difficult decision may be labeling a living patient (likely critically ill or with major comorbidities) moribund and moving on to the next patient with a greater chance of survival.\nIn conclusion, the COVID-19 pandemic continues to wreak havoc on our providers, medical systems, economy, and populace. But as the saying goes, crisis creates opportunity. In this case, the opportunity for us as a surgical community is to lead by applying our lessons learned from combat, trauma, and critical care patient management and to take an active role in triage, resource allocation, contingency planning, and even in the care of the gravely ill patient. The alternative is to sit on the sidelines and be marginalized for a nonsurgical problem when our nation, hospitals, and patients need us most."}