CORD-19_Custom_license_subset  

CORD-19:9e931adbee903a23a6a1453f276a4f9b1f8d79c4 JSONTXT 12 Projects

Annnotations TAB TSV DIC JSON TextAE

Id Subject Object Predicate Lexical cue
T1 0-59 Sentence denotes mask for health workers not a defensible position for Ebola
T2 61-69 Sentence denotes Abstract
T3 72-178 Sentence denotes Martin-Moreno et al. suggest that we have misunderstood their commentary (Martin-Moreno et al., 2014a,b) .
T4 179-297 Sentence denotes However, we quoted directly from their commentary in our editorial, so cannot identify the scope for misunderstanding.
T5 298-599 Sentence denotes A fuller direct quote than we included in our editorial is ''In fact, goggles and masks might not even be necessary to speak with conscious (Ebola) patients, as long as a distance of 1-2 metres is maintained (the maximum distance that infectious droplets might reach)'' (Martin-Moreno et al., 2014a) .
T6 600-650 Sentence denotes We maintain that we do not support this statement.
T7 651-784 Sentence denotes We advocate for a N95 respirator to be the minimum respiratory protection, not a surgical mask (or worse, no mask) in this situation.
T8 785-1067 Sentence denotes As we outline in our editorial, given the high case fatality rate of Ebola and the uncertainty about transmis-sion modes of Ebola, the precautionary principle must to invoked to ensure the occupational health and safety (OHS) of health care workers (HCWs) caring for Ebola patients.
T9 1068-1186 Sentence denotes Further, it is unrealistic to expect HCWs to be aware of the exact distance between them and the patient at all times.
T10 1187-1325 Sentence denotes The unpredictability and changeable nature of the acute clinical setting makes it unfeasible and impractical to make such recommendations.
T11 1326-1473 Sentence denotes The three cases of transmission of Ebola outside West Africa have all been in nurses, all apparently following PPE guidelines, in the US and Spain.
T12 1474-1601 Sentence denotes The nurse who cared for a known Ebola patient in Spain contracted Ebola in September 2014 despite following WHO PPE guidelines.
T13 1602-1837 Sentence denotes Instead of questioning the guidelines, authorities have blamed the nurses for lapses in protocol, resulting in Spanish health workers protesting for lack of adequate protection and respect for their rights (Phillip and Ferdman, 2014) .
T14 1838-1990 Sentence denotes If our health workers do not feel confident in the level of protection afforded, this will compromise the ability of health systems to respond to Ebola.
T15 1991-2083 Sentence denotes The indisputable fact is that health workers continue to become infected and die from Ebola.
T16 2084-2306 Sentence denotes It has come to light that several health workers in West Africa adhered to strict infection control protocols but contracted Ebola anyway, which suggests transmission modes are not as clear-cut as suggested (Cohen, 2014) .
T17 2307-2521 Sentence denotes Blaming this entirely on failure to don and doff properly is pure speculation, not supported by evidence (Fischer II et al., 2014) , whereas there is ample evidence that Ebola can spread through non-contact modes .
T18 2522-2726 Sentence denotes Martin-Moreno et al. rely on a classification of transmission as exclusively droplet or aerosol, which is based on outdated and misleading experiments, as recently pointed out (Brosseau and Jones, 2014) .
T19 2727-2953 Sentence denotes International Journal of Nursing Studies 51 (2014) [1694] [1695] Few organisms are transmitted by a single mode alone, and transmission in the clinical setting is more complex than the prevalent dogma of unimodal transmission.
T20 2954-3121 Sentence denotes It is time to reject artificial, dangerous and outdated classifications of respiratory transmission as purely contact, droplet or airborne (Brosseau and Jones, 2014) .
T21 3122-3241 Sentence denotes What we have further raised is a serious inconsistency of Ebola PPE guidelines for HCWs compared to laboratory workers.
T22 3242-3509 Sentence denotes This inconsistency of PPE guidelines is also seen with Middle East Respiratory Syndrome Coronavirus (MERS-CoV), which is primarily transmitted through close contact (Center for Disease Control and Prevention (CDC) 2014b) and has a lower case-fatality rate than Ebola.
T23 3510-3739 Sentence denotes Yet the Centers for Disease Control and Prevention (CDC) advocates airborne precautions for management of known and suspected cases of MERS-CoV and use of an N95 respirator (Center for Disease Control and Prevention (CDC) 2014a).
T24 3740-3950 Sentence denotes This is despite it being documented that MERS Co-V is not easily transmitted from human to human (Drosten et al., 2014) , nor present in high concentrations in the upper respiratory tract (Guery et al., 2013) .
T25 3951-4092 Sentence denotes Finally, arguments about comfort and duration of tolerance of PPE raised by Martin-Moreno et al. are secondary to the risk of death for HCWs.
T26 4093-4213 Sentence denotes Many HCWs have contracted Ebola despite wearing PPE, which in itself supports the case for conservative recommendations.
T27 4214-4481 Sentence denotes Whilst there is some increase in discomfort with use of a N95 respirator compared to a mask, (MacIntyre et al., 2011 (MacIntyre et al., , 2013 comfort should not be the primary consideration in making recommendations for a disease with such a high case-fatality rate.
T28 4482-4551 Sentence denotes Nor should the duration of tolerability of PPE drive recommendations.
T29 4552-4651 Sentence denotes The OHS of the HCW is the primary consideration and reason for recommending PPE in the first place.
T30 4652-4815 Sentence denotes The choice of respiratory protection is one facet of an array of PPE for ensuring the OHS of health workers, including gowns, gloves, goggles and protective suits.
T31 4816-4973 Sentence denotes Suggesting HCWs use lesser protection because they could work 3 h instead of 40 min is illogical, when the risk of working longer in lesser PPE may be death.
T32 4974-5148 Sentence denotes Whether they comply or not due to comfort is their choice, but to recommend less for frontline doctors and nurses than for laboratory workers, is not defensible on any level.
T33 5149-5329 Sentence denotes Under pressure after the infection of two nurses, along with reasoned arguments such as ours, the CDC revised their guidelines to a higher level of protection on October 21st 2014.
T34 5330-5450 Sentence denotes The guidelines of WHO and many countries for a surgical mask for HCWs caring for Ebola patients need to also be revised.
T35 5451-5528 Sentence denotes We apologise for the error in the citation, and have published a corrigendum.