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    LitCovid-PD-MONDO

    {"project":"LitCovid-PD-MONDO","denotations":[{"id":"T154","span":{"begin":57,"end":65},"obj":"Disease"},{"id":"T155","span":{"begin":1777,"end":1786},"obj":"Disease"},{"id":"T156","span":{"begin":1902,"end":1909},"obj":"Disease"},{"id":"T157","span":{"begin":2136,"end":2144},"obj":"Disease"},{"id":"T158","span":{"begin":2179,"end":2187},"obj":"Disease"},{"id":"T159","span":{"begin":2281,"end":2289},"obj":"Disease"},{"id":"T160","span":{"begin":2381,"end":2389},"obj":"Disease"},{"id":"T161","span":{"begin":2756,"end":2764},"obj":"Disease"},{"id":"T162","span":{"begin":3206,"end":3214},"obj":"Disease"},{"id":"T163","span":{"begin":3235,"end":3243},"obj":"Disease"}],"attributes":[{"id":"A154","pred":"mondo_id","subj":"T154","obj":"http://purl.obolibrary.org/obo/MONDO_0100096"},{"id":"A155","pred":"mondo_id","subj":"T155","obj":"http://purl.obolibrary.org/obo/MONDO_0000675"},{"id":"A156","pred":"mondo_id","subj":"T156","obj":"http://purl.obolibrary.org/obo/MONDO_0100096"},{"id":"A157","pred":"mondo_id","subj":"T157","obj":"http://purl.obolibrary.org/obo/MONDO_0100096"},{"id":"A158","pred":"mondo_id","subj":"T158","obj":"http://purl.obolibrary.org/obo/MONDO_0100096"},{"id":"A159","pred":"mondo_id","subj":"T159","obj":"http://purl.obolibrary.org/obo/MONDO_0100096"},{"id":"A160","pred":"mondo_id","subj":"T160","obj":"http://purl.obolibrary.org/obo/MONDO_0100096"},{"id":"A161","pred":"mondo_id","subj":"T161","obj":"http://purl.obolibrary.org/obo/MONDO_0100096"},{"id":"A162","pred":"mondo_id","subj":"T162","obj":"http://purl.obolibrary.org/obo/MONDO_0100096"},{"id":"A163","pred":"mondo_id","subj":"T163","obj":"http://purl.obolibrary.org/obo/MONDO_0100096"}],"text":"Resource allocation guidelines pertaining to in‐hospital COVID‐19 emergencies have the objective of fairly apportioning access to scarce critical care resources. In this specific context, what criteria ought to be applied? How can the interests of the worst off be protected? A survey undertaken before the current pandemic identified various criteria that have been offered for the allocation of critical care resources, including: “‘sickest first’, ‘waiting list’, ‘prognosis’, ‘behaviour’ (i.e., those who engage in risky behaviour should not be prioritized), ‘instrumental value’ (e.g., health care workers should be favoured during epidemics), ‘combination of criteria’ (i.e., a sequence of the ‘youngest first’, ‘prognosis’, and ‘lottery’ principles), ‘reciprocity’ (i.e., those who provided services to the society in the past should be rewarded), ‘youngest first’, ‘lottery’, and ‘monetary contribution’.”147 Krütli, P., et al. (2016) How to Fairly Allocate Scarce Medical Resources: Ethical Argumentation under Scrutiny by Health Professionals and Lay People. PLoS ONE. 11(7): e0159086. Retrieved March 23, 2020, from https://doi.org/10.1371/journal. pone.0159086\nWith specific reference to COVD‐19, guidelines coming out of many countries have been offered, including those from the United States,148 Emanuel, E.J., et al. (2020, March 23). Fair Allocation of Scarce Medical Resources in the Time of Covid‐ 19. The New England Journal of Medicine. Retrieved March 23, 2020, from https://www.nejm.org/doi/full/10.1056/NEJMsb2005114?query=featured_coronavirus.\nItaly,149 Vergano, M., et al. (2020, March 16). Clinical Ethics Recommendations for the Allocation of Intensive Care Treatments, in Exceptional, Resource‐Limited Circumstances. Italian Society of Anesthesia, Analgesia, Resuscitation, and Intensive Care (SIAARTI). Retrieved March 23, 2020, from http://www.siaarti.it/SiteAssets/News/COVID19%20‐%20documenti%20SIAARTI/SIAARTI%20‐%20Covid‐19%20‐%20Clinical%20Ethics%20Reccomendations.pdf. opens in new tab).\nFrance,150 Azoulay, E., et al. (2020). Admission Decisions to Intensive Care Units in the Context of the Major COVID‐19 Outbreak: Local Guidance from the COVID‐19 Paris‐Region Area. Critical Care. 24:1.\nand the Philippines.151 Task Force Ethics Guidelines COVID‐19 Philippines. (2020). Ethical Guidelines for Leaders in Health Care Institutions during the COVID‐19 Pandemic. Philippine Journal of Internal Medicine. 58(1). Retrieved April 9, 2020, from https://www.pcp.org.ph/index.php/pjim/pjim/1094‐phil‐journal‐of‐internal‐medicine‐vol‐58‐no‐1.\nConsidering that issues may arise in variable contexts, it is helpful to be clear about the level of scarcity obtaining in a particular situation. The WHO Working Group on Ethics and COVID‐19 distinguishes three levels of scarcity and their corresponding effects on the fair allocation of resources like ventilators: first, with little scarcity, first come, first served may be best for equality; second, with more scarcity, the prioritization of the worst off may be best; and third, “with even greater scarcity, a principle that aims to maximize benefit from the resource may be most justified.”152 WHO Working Group on Ethics and COVID‐19. (2020). Ethics and COVID‐19: Resource Allocation and Priority Setting. Retrieved June 29, 2020, from https://www.who.int/ethics/publications/ethics‐covid‐19‐resource‐allocation.pdf?ua=1"}

    LitCovid-PD-CLO

    {"project":"LitCovid-PD-CLO","denotations":[{"id":"T1","span":{"begin":2696,"end":2697},"obj":"http://purl.obolibrary.org/obo/CLO_0001020"},{"id":"T2","span":{"begin":3087,"end":3088},"obj":"http://purl.obolibrary.org/obo/CLO_0001020"},{"id":"T521","span":{"begin":87,"end":96},"obj":"http://purl.obolibrary.org/obo/BFO_0000030"},{"id":"T522","span":{"begin":276,"end":277},"obj":"http://purl.obolibrary.org/obo/CLO_0001020"},{"id":"T523","span":{"begin":564,"end":576},"obj":"http://purl.obolibrary.org/obo/OBI_0000968"},{"id":"T524","span":{"begin":682,"end":683},"obj":"http://purl.obolibrary.org/obo/CLO_0001020"},{"id":"T525","span":{"begin":1079,"end":1081},"obj":"http://purl.obolibrary.org/obo/CLO_0053733"},{"id":"T526","span":{"begin":1307,"end":1310},"obj":"http://purl.obolibrary.org/obo/CLO_0001079"}],"text":"Resource allocation guidelines pertaining to in‐hospital COVID‐19 emergencies have the objective of fairly apportioning access to scarce critical care resources. In this specific context, what criteria ought to be applied? How can the interests of the worst off be protected? A survey undertaken before the current pandemic identified various criteria that have been offered for the allocation of critical care resources, including: “‘sickest first’, ‘waiting list’, ‘prognosis’, ‘behaviour’ (i.e., those who engage in risky behaviour should not be prioritized), ‘instrumental value’ (e.g., health care workers should be favoured during epidemics), ‘combination of criteria’ (i.e., a sequence of the ‘youngest first’, ‘prognosis’, and ‘lottery’ principles), ‘reciprocity’ (i.e., those who provided services to the society in the past should be rewarded), ‘youngest first’, ‘lottery’, and ‘monetary contribution’.”147 Krütli, P., et al. (2016) How to Fairly Allocate Scarce Medical Resources: Ethical Argumentation under Scrutiny by Health Professionals and Lay People. PLoS ONE. 11(7): e0159086. Retrieved March 23, 2020, from https://doi.org/10.1371/journal. pone.0159086\nWith specific reference to COVD‐19, guidelines coming out of many countries have been offered, including those from the United States,148 Emanuel, E.J., et al. (2020, March 23). Fair Allocation of Scarce Medical Resources in the Time of Covid‐ 19. The New England Journal of Medicine. Retrieved March 23, 2020, from https://www.nejm.org/doi/full/10.1056/NEJMsb2005114?query=featured_coronavirus.\nItaly,149 Vergano, M., et al. (2020, March 16). Clinical Ethics Recommendations for the Allocation of Intensive Care Treatments, in Exceptional, Resource‐Limited Circumstances. Italian Society of Anesthesia, Analgesia, Resuscitation, and Intensive Care (SIAARTI). Retrieved March 23, 2020, from http://www.siaarti.it/SiteAssets/News/COVID19%20‐%20documenti%20SIAARTI/SIAARTI%20‐%20Covid‐19%20‐%20Clinical%20Ethics%20Reccomendations.pdf. opens in new tab).\nFrance,150 Azoulay, E., et al. (2020). Admission Decisions to Intensive Care Units in the Context of the Major COVID‐19 Outbreak: Local Guidance from the COVID‐19 Paris‐Region Area. Critical Care. 24:1.\nand the Philippines.151 Task Force Ethics Guidelines COVID‐19 Philippines. (2020). Ethical Guidelines for Leaders in Health Care Institutions during the COVID‐19 Pandemic. Philippine Journal of Internal Medicine. 58(1). Retrieved April 9, 2020, from https://www.pcp.org.ph/index.php/pjim/pjim/1094‐phil‐journal‐of‐internal‐medicine‐vol‐58‐no‐1.\nConsidering that issues may arise in variable contexts, it is helpful to be clear about the level of scarcity obtaining in a particular situation. The WHO Working Group on Ethics and COVID‐19 distinguishes three levels of scarcity and their corresponding effects on the fair allocation of resources like ventilators: first, with little scarcity, first come, first served may be best for equality; second, with more scarcity, the prioritization of the worst off may be best; and third, “with even greater scarcity, a principle that aims to maximize benefit from the resource may be most justified.”152 WHO Working Group on Ethics and COVID‐19. (2020). Ethics and COVID‐19: Resource Allocation and Priority Setting. Retrieved June 29, 2020, from https://www.who.int/ethics/publications/ethics‐covid‐19‐resource‐allocation.pdf?ua=1"}

    LitCovid-PD-CHEBI

    {"project":"LitCovid-PD-CHEBI","denotations":[{"id":"T34","span":{"begin":1074,"end":1077},"obj":"Chemical"},{"id":"T35","span":{"begin":2222,"end":2226},"obj":"Chemical"},{"id":"T36","span":{"begin":2551,"end":2559},"obj":"Chemical"}],"attributes":[{"id":"A34","pred":"chebi_id","subj":"T34","obj":"http://purl.obolibrary.org/obo/CHEBI_58972"},{"id":"A35","pred":"chebi_id","subj":"T35","obj":"http://purl.obolibrary.org/obo/CHEBI_36032"},{"id":"A36","pred":"chebi_id","subj":"T36","obj":"http://purl.obolibrary.org/obo/CHEBI_23888"}],"text":"Resource allocation guidelines pertaining to in‐hospital COVID‐19 emergencies have the objective of fairly apportioning access to scarce critical care resources. In this specific context, what criteria ought to be applied? How can the interests of the worst off be protected? A survey undertaken before the current pandemic identified various criteria that have been offered for the allocation of critical care resources, including: “‘sickest first’, ‘waiting list’, ‘prognosis’, ‘behaviour’ (i.e., those who engage in risky behaviour should not be prioritized), ‘instrumental value’ (e.g., health care workers should be favoured during epidemics), ‘combination of criteria’ (i.e., a sequence of the ‘youngest first’, ‘prognosis’, and ‘lottery’ principles), ‘reciprocity’ (i.e., those who provided services to the society in the past should be rewarded), ‘youngest first’, ‘lottery’, and ‘monetary contribution’.”147 Krütli, P., et al. (2016) How to Fairly Allocate Scarce Medical Resources: Ethical Argumentation under Scrutiny by Health Professionals and Lay People. PLoS ONE. 11(7): e0159086. Retrieved March 23, 2020, from https://doi.org/10.1371/journal. pone.0159086\nWith specific reference to COVD‐19, guidelines coming out of many countries have been offered, including those from the United States,148 Emanuel, E.J., et al. (2020, March 23). Fair Allocation of Scarce Medical Resources in the Time of Covid‐ 19. The New England Journal of Medicine. Retrieved March 23, 2020, from https://www.nejm.org/doi/full/10.1056/NEJMsb2005114?query=featured_coronavirus.\nItaly,149 Vergano, M., et al. (2020, March 16). Clinical Ethics Recommendations for the Allocation of Intensive Care Treatments, in Exceptional, Resource‐Limited Circumstances. Italian Society of Anesthesia, Analgesia, Resuscitation, and Intensive Care (SIAARTI). Retrieved March 23, 2020, from http://www.siaarti.it/SiteAssets/News/COVID19%20‐%20documenti%20SIAARTI/SIAARTI%20‐%20Covid‐19%20‐%20Clinical%20Ethics%20Reccomendations.pdf. opens in new tab).\nFrance,150 Azoulay, E., et al. (2020). Admission Decisions to Intensive Care Units in the Context of the Major COVID‐19 Outbreak: Local Guidance from the COVID‐19 Paris‐Region Area. Critical Care. 24:1.\nand the Philippines.151 Task Force Ethics Guidelines COVID‐19 Philippines. (2020). Ethical Guidelines for Leaders in Health Care Institutions during the COVID‐19 Pandemic. Philippine Journal of Internal Medicine. 58(1). Retrieved April 9, 2020, from https://www.pcp.org.ph/index.php/pjim/pjim/1094‐phil‐journal‐of‐internal‐medicine‐vol‐58‐no‐1.\nConsidering that issues may arise in variable contexts, it is helpful to be clear about the level of scarcity obtaining in a particular situation. The WHO Working Group on Ethics and COVID‐19 distinguishes three levels of scarcity and their corresponding effects on the fair allocation of resources like ventilators: first, with little scarcity, first come, first served may be best for equality; second, with more scarcity, the prioritization of the worst off may be best; and third, “with even greater scarcity, a principle that aims to maximize benefit from the resource may be most justified.”152 WHO Working Group on Ethics and COVID‐19. (2020). Ethics and COVID‐19: Resource Allocation and Priority Setting. Retrieved June 29, 2020, from https://www.who.int/ethics/publications/ethics‐covid‐19‐resource‐allocation.pdf?ua=1"}

    LitCovid-PD-GO-BP

    {"project":"LitCovid-PD-GO-BP","denotations":[{"id":"T29","span":{"begin":481,"end":490},"obj":"http://purl.obolibrary.org/obo/GO_0007610"},{"id":"T30","span":{"begin":525,"end":534},"obj":"http://purl.obolibrary.org/obo/GO_0007610"}],"text":"Resource allocation guidelines pertaining to in‐hospital COVID‐19 emergencies have the objective of fairly apportioning access to scarce critical care resources. In this specific context, what criteria ought to be applied? How can the interests of the worst off be protected? A survey undertaken before the current pandemic identified various criteria that have been offered for the allocation of critical care resources, including: “‘sickest first’, ‘waiting list’, ‘prognosis’, ‘behaviour’ (i.e., those who engage in risky behaviour should not be prioritized), ‘instrumental value’ (e.g., health care workers should be favoured during epidemics), ‘combination of criteria’ (i.e., a sequence of the ‘youngest first’, ‘prognosis’, and ‘lottery’ principles), ‘reciprocity’ (i.e., those who provided services to the society in the past should be rewarded), ‘youngest first’, ‘lottery’, and ‘monetary contribution’.”147 Krütli, P., et al. (2016) How to Fairly Allocate Scarce Medical Resources: Ethical Argumentation under Scrutiny by Health Professionals and Lay People. PLoS ONE. 11(7): e0159086. Retrieved March 23, 2020, from https://doi.org/10.1371/journal. pone.0159086\nWith specific reference to COVD‐19, guidelines coming out of many countries have been offered, including those from the United States,148 Emanuel, E.J., et al. (2020, March 23). Fair Allocation of Scarce Medical Resources in the Time of Covid‐ 19. The New England Journal of Medicine. Retrieved March 23, 2020, from https://www.nejm.org/doi/full/10.1056/NEJMsb2005114?query=featured_coronavirus.\nItaly,149 Vergano, M., et al. (2020, March 16). Clinical Ethics Recommendations for the Allocation of Intensive Care Treatments, in Exceptional, Resource‐Limited Circumstances. Italian Society of Anesthesia, Analgesia, Resuscitation, and Intensive Care (SIAARTI). Retrieved March 23, 2020, from http://www.siaarti.it/SiteAssets/News/COVID19%20‐%20documenti%20SIAARTI/SIAARTI%20‐%20Covid‐19%20‐%20Clinical%20Ethics%20Reccomendations.pdf. opens in new tab).\nFrance,150 Azoulay, E., et al. (2020). Admission Decisions to Intensive Care Units in the Context of the Major COVID‐19 Outbreak: Local Guidance from the COVID‐19 Paris‐Region Area. Critical Care. 24:1.\nand the Philippines.151 Task Force Ethics Guidelines COVID‐19 Philippines. (2020). Ethical Guidelines for Leaders in Health Care Institutions during the COVID‐19 Pandemic. Philippine Journal of Internal Medicine. 58(1). Retrieved April 9, 2020, from https://www.pcp.org.ph/index.php/pjim/pjim/1094‐phil‐journal‐of‐internal‐medicine‐vol‐58‐no‐1.\nConsidering that issues may arise in variable contexts, it is helpful to be clear about the level of scarcity obtaining in a particular situation. The WHO Working Group on Ethics and COVID‐19 distinguishes three levels of scarcity and their corresponding effects on the fair allocation of resources like ventilators: first, with little scarcity, first come, first served may be best for equality; second, with more scarcity, the prioritization of the worst off may be best; and third, “with even greater scarcity, a principle that aims to maximize benefit from the resource may be most justified.”152 WHO Working Group on Ethics and COVID‐19. (2020). Ethics and COVID‐19: Resource Allocation and Priority Setting. Retrieved June 29, 2020, from https://www.who.int/ethics/publications/ethics‐covid‐19‐resource‐allocation.pdf?ua=1"}

    LitCovid-PubTator

    {"project":"LitCovid-PubTator","denotations":[{"id":"1046","span":{"begin":1061,"end":1067},"obj":"Species"},{"id":"1047","span":{"begin":1086,"end":1094},"obj":"Chemical"},{"id":"1049","span":{"begin":1777,"end":1786},"obj":"Disease"},{"id":"1052","span":{"begin":2136,"end":2144},"obj":"Disease"},{"id":"1053","span":{"begin":2179,"end":2187},"obj":"Disease"},{"id":"1056","span":{"begin":2281,"end":2289},"obj":"Disease"},{"id":"1057","span":{"begin":2381,"end":2389},"obj":"Disease"},{"id":"1061","span":{"begin":3206,"end":3214},"obj":"Disease"},{"id":"1062","span":{"begin":3235,"end":3243},"obj":"Disease"},{"id":"1063","span":{"begin":3364,"end":3372},"obj":"Disease"},{"id":"1066","span":{"begin":57,"end":65},"obj":"Disease"},{"id":"1067","span":{"begin":2756,"end":2764},"obj":"Disease"}],"attributes":[{"id":"A1046","pred":"tao:has_database_id","subj":"1046","obj":"Tax:9606"},{"id":"A1049","pred":"tao:has_database_id","subj":"1049","obj":"MESH:D000699"},{"id":"A1052","pred":"tao:has_database_id","subj":"1052","obj":"MESH:C000657245"},{"id":"A1053","pred":"tao:has_database_id","subj":"1053","obj":"MESH:C000657245"},{"id":"A1056","pred":"tao:has_database_id","subj":"1056","obj":"MESH:C000657245"},{"id":"A1057","pred":"tao:has_database_id","subj":"1057","obj":"MESH:C000657245"},{"id":"A1061","pred":"tao:has_database_id","subj":"1061","obj":"MESH:C000657245"},{"id":"A1062","pred":"tao:has_database_id","subj":"1062","obj":"MESH:C000657245"},{"id":"A1063","pred":"tao:has_database_id","subj":"1063","obj":"MESH:C000657245"},{"id":"A1066","pred":"tao:has_database_id","subj":"1066","obj":"MESH:C000657245"},{"id":"A1067","pred":"tao:has_database_id","subj":"1067","obj":"MESH:C000657245"}],"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":"Resource allocation guidelines pertaining to in‐hospital COVID‐19 emergencies have the objective of fairly apportioning access to scarce critical care resources. In this specific context, what criteria ought to be applied? How can the interests of the worst off be protected? A survey undertaken before the current pandemic identified various criteria that have been offered for the allocation of critical care resources, including: “‘sickest first’, ‘waiting list’, ‘prognosis’, ‘behaviour’ (i.e., those who engage in risky behaviour should not be prioritized), ‘instrumental value’ (e.g., health care workers should be favoured during epidemics), ‘combination of criteria’ (i.e., a sequence of the ‘youngest first’, ‘prognosis’, and ‘lottery’ principles), ‘reciprocity’ (i.e., those who provided services to the society in the past should be rewarded), ‘youngest first’, ‘lottery’, and ‘monetary contribution’.”147 Krütli, P., et al. (2016) How to Fairly Allocate Scarce Medical Resources: Ethical Argumentation under Scrutiny by Health Professionals and Lay People. PLoS ONE. 11(7): e0159086. Retrieved March 23, 2020, from https://doi.org/10.1371/journal. pone.0159086\nWith specific reference to COVD‐19, guidelines coming out of many countries have been offered, including those from the United States,148 Emanuel, E.J., et al. (2020, March 23). Fair Allocation of Scarce Medical Resources in the Time of Covid‐ 19. The New England Journal of Medicine. Retrieved March 23, 2020, from https://www.nejm.org/doi/full/10.1056/NEJMsb2005114?query=featured_coronavirus.\nItaly,149 Vergano, M., et al. (2020, March 16). Clinical Ethics Recommendations for the Allocation of Intensive Care Treatments, in Exceptional, Resource‐Limited Circumstances. Italian Society of Anesthesia, Analgesia, Resuscitation, and Intensive Care (SIAARTI). Retrieved March 23, 2020, from http://www.siaarti.it/SiteAssets/News/COVID19%20‐%20documenti%20SIAARTI/SIAARTI%20‐%20Covid‐19%20‐%20Clinical%20Ethics%20Reccomendations.pdf. opens in new tab).\nFrance,150 Azoulay, E., et al. (2020). Admission Decisions to Intensive Care Units in the Context of the Major COVID‐19 Outbreak: Local Guidance from the COVID‐19 Paris‐Region Area. Critical Care. 24:1.\nand the Philippines.151 Task Force Ethics Guidelines COVID‐19 Philippines. (2020). Ethical Guidelines for Leaders in Health Care Institutions during the COVID‐19 Pandemic. Philippine Journal of Internal Medicine. 58(1). Retrieved April 9, 2020, from https://www.pcp.org.ph/index.php/pjim/pjim/1094‐phil‐journal‐of‐internal‐medicine‐vol‐58‐no‐1.\nConsidering that issues may arise in variable contexts, it is helpful to be clear about the level of scarcity obtaining in a particular situation. The WHO Working Group on Ethics and COVID‐19 distinguishes three levels of scarcity and their corresponding effects on the fair allocation of resources like ventilators: first, with little scarcity, first come, first served may be best for equality; second, with more scarcity, the prioritization of the worst off may be best; and third, “with even greater scarcity, a principle that aims to maximize benefit from the resource may be most justified.”152 WHO Working Group on Ethics and COVID‐19. (2020). Ethics and COVID‐19: Resource Allocation and Priority Setting. Retrieved June 29, 2020, from https://www.who.int/ethics/publications/ethics‐covid‐19‐resource‐allocation.pdf?ua=1"}

    LitCovid-sentences

    {"project":"LitCovid-sentences","denotations":[{"id":"T869","span":{"begin":0,"end":161},"obj":"Sentence"},{"id":"T870","span":{"begin":162,"end":222},"obj":"Sentence"},{"id":"T871","span":{"begin":223,"end":275},"obj":"Sentence"},{"id":"T872","span":{"begin":276,"end":991},"obj":"Sentence"},{"id":"T873","span":{"begin":992,"end":1068},"obj":"Sentence"},{"id":"T874","span":{"begin":1069,"end":1078},"obj":"Sentence"},{"id":"T875","span":{"begin":1079,"end":1095},"obj":"Sentence"},{"id":"T876","span":{"begin":1096,"end":1172},"obj":"Sentence"},{"id":"T877","span":{"begin":1173,"end":1350},"obj":"Sentence"},{"id":"T878","span":{"begin":1351,"end":1420},"obj":"Sentence"},{"id":"T879","span":{"begin":1421,"end":1457},"obj":"Sentence"},{"id":"T880","span":{"begin":1458,"end":1568},"obj":"Sentence"},{"id":"T881","span":{"begin":1569,"end":1616},"obj":"Sentence"},{"id":"T882","span":{"begin":1617,"end":1745},"obj":"Sentence"},{"id":"T883","span":{"begin":1746,"end":1832},"obj":"Sentence"},{"id":"T884","span":{"begin":1833,"end":2024},"obj":"Sentence"},{"id":"T885","span":{"begin":2025,"end":2063},"obj":"Sentence"},{"id":"T886","span":{"begin":2064,"end":2154},"obj":"Sentence"},{"id":"T887","span":{"begin":2155,"end":2206},"obj":"Sentence"},{"id":"T888","span":{"begin":2207,"end":2221},"obj":"Sentence"},{"id":"T889","span":{"begin":2222,"end":2227},"obj":"Sentence"},{"id":"T890","span":{"begin":2228,"end":2310},"obj":"Sentence"},{"id":"T891","span":{"begin":2311,"end":2399},"obj":"Sentence"},{"id":"T892","span":{"begin":2400,"end":2440},"obj":"Sentence"},{"id":"T893","span":{"begin":2441,"end":2447},"obj":"Sentence"},{"id":"T894","span":{"begin":2448,"end":2572},"obj":"Sentence"},{"id":"T895","span":{"begin":2573,"end":2719},"obj":"Sentence"},{"id":"T896","span":{"begin":2720,"end":3223},"obj":"Sentence"},{"id":"T897","span":{"begin":3224,"end":3244},"obj":"Sentence"},{"id":"T898","span":{"begin":3245,"end":3286},"obj":"Sentence"},{"id":"T899","span":{"begin":3287,"end":3401},"obj":"Sentence"}],"namespaces":[{"prefix":"_base","uri":"http://pubannotation.org/ontology/tao.owl#"}],"text":"Resource allocation guidelines pertaining to in‐hospital COVID‐19 emergencies have the objective of fairly apportioning access to scarce critical care resources. In this specific context, what criteria ought to be applied? How can the interests of the worst off be protected? A survey undertaken before the current pandemic identified various criteria that have been offered for the allocation of critical care resources, including: “‘sickest first’, ‘waiting list’, ‘prognosis’, ‘behaviour’ (i.e., those who engage in risky behaviour should not be prioritized), ‘instrumental value’ (e.g., health care workers should be favoured during epidemics), ‘combination of criteria’ (i.e., a sequence of the ‘youngest first’, ‘prognosis’, and ‘lottery’ principles), ‘reciprocity’ (i.e., those who provided services to the society in the past should be rewarded), ‘youngest first’, ‘lottery’, and ‘monetary contribution’.”147 Krütli, P., et al. (2016) How to Fairly Allocate Scarce Medical Resources: Ethical Argumentation under Scrutiny by Health Professionals and Lay People. PLoS ONE. 11(7): e0159086. Retrieved March 23, 2020, from https://doi.org/10.1371/journal. pone.0159086\nWith specific reference to COVD‐19, guidelines coming out of many countries have been offered, including those from the United States,148 Emanuel, E.J., et al. (2020, March 23). Fair Allocation of Scarce Medical Resources in the Time of Covid‐ 19. The New England Journal of Medicine. Retrieved March 23, 2020, from https://www.nejm.org/doi/full/10.1056/NEJMsb2005114?query=featured_coronavirus.\nItaly,149 Vergano, M., et al. (2020, March 16). Clinical Ethics Recommendations for the Allocation of Intensive Care Treatments, in Exceptional, Resource‐Limited Circumstances. Italian Society of Anesthesia, Analgesia, Resuscitation, and Intensive Care (SIAARTI). Retrieved March 23, 2020, from http://www.siaarti.it/SiteAssets/News/COVID19%20‐%20documenti%20SIAARTI/SIAARTI%20‐%20Covid‐19%20‐%20Clinical%20Ethics%20Reccomendations.pdf. opens in new tab).\nFrance,150 Azoulay, E., et al. (2020). Admission Decisions to Intensive Care Units in the Context of the Major COVID‐19 Outbreak: Local Guidance from the COVID‐19 Paris‐Region Area. Critical Care. 24:1.\nand the Philippines.151 Task Force Ethics Guidelines COVID‐19 Philippines. (2020). Ethical Guidelines for Leaders in Health Care Institutions during the COVID‐19 Pandemic. Philippine Journal of Internal Medicine. 58(1). Retrieved April 9, 2020, from https://www.pcp.org.ph/index.php/pjim/pjim/1094‐phil‐journal‐of‐internal‐medicine‐vol‐58‐no‐1.\nConsidering that issues may arise in variable contexts, it is helpful to be clear about the level of scarcity obtaining in a particular situation. The WHO Working Group on Ethics and COVID‐19 distinguishes three levels of scarcity and their corresponding effects on the fair allocation of resources like ventilators: first, with little scarcity, first come, first served may be best for equality; second, with more scarcity, the prioritization of the worst off may be best; and third, “with even greater scarcity, a principle that aims to maximize benefit from the resource may be most justified.”152 WHO Working Group on Ethics and COVID‐19. (2020). Ethics and COVID‐19: Resource Allocation and Priority Setting. Retrieved June 29, 2020, from https://www.who.int/ethics/publications/ethics‐covid‐19‐resource‐allocation.pdf?ua=1"}