<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1886-5887</journal-id>
<journal-title><![CDATA[Revista de Bioética y Derecho]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Bioética y Derecho]]></abbrev-journal-title>
<issn>1886-5887</issn>
<publisher>
<publisher-name><![CDATA[Observatori de Bioètica i Dret - Cátedra UNESCO de Bioética]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1886-58872020000300006</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[La soledad de los pacientes con COVID-19 al final de sus vidas]]></article-title>
<article-title xml:lang="en"><![CDATA[The loneliness of COVID-19 patients at the end of their lives]]></article-title>
<article-title xml:lang="ca"><![CDATA[La soledat dels pacients amb COVID-19 al final de les seves vides]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Consuegra-Fernández]]></surname>
<given-names><![CDATA[Marta]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A1b"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández-Trujillo]]></surname>
<given-names><![CDATA[Alejandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A2b"/>
</contrib>
</contrib-group>
<aff id="A1a">
<institution><![CDATA[,Universitat de Barcelona Observatorio de Bioética y Derecho ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="A1b">
<institution><![CDATA[,Universitat de Barcelona Facultad de Filología y Comunicación ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="A2a">
<institution><![CDATA[,Universitat de Barcelona Facultad de Filología y Comunicación ]]></institution>
<addr-line><![CDATA[Barcelona ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="A2b">
<institution><![CDATA[,Hospital Universitari Parc Taulí Unidad de Cuidados Intensivos]]></institution>
<addr-line><![CDATA[Barcelona ]]></addr-line>
<country>Spain</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<numero>50</numero>
<fpage>81</fpage>
<lpage>98</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1886-58872020000300006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1886-58872020000300006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1886-58872020000300006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Las medidas de seguridad de salud pública tomadas en todo el mundo para detener el ascenso de contagios por SARS-CoV-2 ha despertado el interés por determinados aspectos de la ética asistencial. Se ha hablado ampliamente de las recomendaciones médicas para priorizar la atención sanitaria de pacientes críticos o la distribución equitativa de recursos bajo la amenaza de saturación de los servicios. No obstante, se ha prestado mínima atención a la soledad inevitable de los enfermos con COVID-19 al final de sus vidas. Los procedimientos y normativas de seguridad sanitaria actuales exigen el aislamiento de las personas diagnosticados con COVID-19 o de aquellas bajo sospecha de contagio por falta de pruebas confirmatorias. Estas pautas de actuación conllevan una serie de condiciones que atentan los derechos del paciente, con especial relevancia al final de vida, como el derecho a una muerte digna y al acompañamiento, y que contribuyen a un elevado número de muertes en soledad. Si bien el aislamiento es una de las medidas de prevención de la infección más eficaces, es necesario adaptar un protocolo para situaciones de final de vida que contemple flexibilizar el aislamiento de estos pacientes siempre que haya una voluntad expresa por su parte. El presente manuscrito analiza la vulneración de los derechos del paciente al final de vida en situación de emergencia sanitaria y plantea una serie de recomendaciones para promover el respeto a su libertad y autonomía sin que ello suponga la asunción de riesgo colectivo excesivo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Public health security measures launched worldwide in order to prevent the rapid transmission of SARS-CoV-2 have renewed the interest in certain aspects of health care ethics. General medical recommendations such as critically ill patient prioritization or equitable distribution of scarce resources have been widely discussed. Nevertheless, little consideration has so far been given to the loneliness of patients with COVID-19 at the end of their lives. Present health safety policies and regulations inevitably entail the isolation of people diagnosed with COVID-19 or those suspected of being infected -due to shortage of diagnostic tests. This procedure necessarily spells patient's rights violation particularly affecting the right to a dignified death and end-of-life care, thus contributing to a high number of lonely deaths. Although the isolation is one of the best strategies to prevent the infection, it is needed to ease such policy towards a relaxation of these measures whenever patients expressly requests it. To this aim, the current manuscript analyzes patient end-of-life right infringements within the context of the health crisis caused by COVID-19 and provides recommendations to promote respect for their freedom and autonomy with negligible social risk-taking.]]></p></abstract>
<abstract abstract-type="short" xml:lang="ca"><p><![CDATA[Resum Les mesures de seguretat de salut pública preses a tot el món per aturar l'ascens de contagis per SARS-CoV-2 han despertat l'interès per determinats aspectes de l'ètica assistencial. S'ha parlat àmpliament de les recomanacions ètiques per prioritzar l'atenció de pacients crítics o la distribució equitativa de recursos sota l'amenaça de saturació dels serveis. Malauradament, s'ha prestat una atenció mínima a la solitud inevitable dels malalts amb COVID-19 a la fi de les seves vides. Els procediments i normatives de seguretat sanitària actuals exigeixen l'aïllament de les persones diagnosticats amb COVID-19 o d'aquelles sota sospita de contagi per falta de proves confirmatòries. Aquestes pautes d'actuació comporten una sèrie de condicions que atempten els drets del pacient, amb especial rellevància al final de vida, com el dret a una mort digna i a l'acompanyament, i que contribueixen a un elevat nombre de morts en soledat. Si bé l'aïllament és una de les mesures de prevenció de la infecció més eficaces, és necessari adaptar un protocol per a situacions de final de vida que contempli flexibilitzar l'aïllament d'aquests pacients sempre que hi hagi una voluntat expressa per part seva. El present manuscrit analitza la vulneració dels drets del pacient a la fi de vida en situació d'emergència sanitària i planteja una sèrie de recomanacions per promoure el respecte a la seva llibertat i autonomia sense que això suposi l'assumpció d'una amenaça col·lectiva excessiva.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[muerte]]></kwd>
<kwd lng="es"><![CDATA[soledad]]></kwd>
<kwd lng="es"><![CDATA[cuidados paliativos]]></kwd>
<kwd lng="es"><![CDATA[pacientes]]></kwd>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[death]]></kwd>
<kwd lng="en"><![CDATA[loneliness]]></kwd>
<kwd lng="en"><![CDATA[palliative care]]></kwd>
<kwd lng="en"><![CDATA[patients]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="ca"><![CDATA[mort]]></kwd>
<kwd lng="ca"><![CDATA[soledat]]></kwd>
<kwd lng="ca"><![CDATA[cures pal·liatives]]></kwd>
<kwd lng="ca"><![CDATA[pacients]]></kwd>
<kwd lng="ca"><![CDATA[COVID-19]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>&#9830;</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Banerjee]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Pasea]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Harris]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Gonzalez-Izquierdo]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Torralbo]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Shallcross]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Noursadeghi]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Pillay]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Sebire]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Holmes]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Pagel]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Wong]]></surname>
<given-names><![CDATA[WK]]></given-names>
</name>
<name>
<surname><![CDATA[Langenberg]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Williams]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Denaxas]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Hemingway]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Estimating excess 1-year mortality associated with the COVID-19 pandemic according to underlying conditions and age: a population-based cohort study]]></article-title>
<source><![CDATA[The Lancet]]></source>
<year>2020</year>
<volume>395</volume>
<page-range>1715-25</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>&#9830;</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bayés]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Psicología del sufrimiento y de la muerte]]></article-title>
<source><![CDATA[Anuario de Psicología]]></source>
<year>1998</year>
<volume>29</volume>
<page-range>5-17</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>&#9830;</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Carulla-Torrent]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez Lianes]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Guzmán-Pérez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Despedida del paciente en la fase final de la vida]]></article-title>
<source><![CDATA[Sociedad Española de Oncología Médica]]></source>
<year>2002</year>
</nlm-citation>
</ref>
<ref id="B4">
<label>&#9830;</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chughtai]]></surname>
<given-names><![CDATA[AA]]></given-names>
</name>
<name>
<surname><![CDATA[Seale]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Islam]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
<name>
<surname><![CDATA[Owais]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Macintyre]]></surname>
<given-names><![CDATA[CR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Policies on the use of respiratory protection for hospital health workers to protect from coronavirus disease (COVID-19)]]></article-title>
<source><![CDATA[International Journal of Nursing Studies]]></source>
<year>2020</year>
<volume>105</volume>
<publisher-name><![CDATA[Elsevier Ltd]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<label>&#9830;</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Codagnone]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Lupiañez-Villanueva]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Liva]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Bogliacino]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Charris]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Gómez]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Montealegre]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Veltri]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Reith]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<source><![CDATA[Estudio sobre los efectos del Covid-19 y el confinamiento en Italia, España y Reino Unido]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B6">
<label>&#9830;</label><nlm-citation citation-type="">
<collab>Colegio Oficial de Enfermería de Madrid</collab>
<source><![CDATA[La Consejería de Sanidad facilita la atención psicológica en los hospitales para los profesionales por el impacto emocional de la crisis del coronavirus - COVID-19]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B7">
<label>&#9830;</label><nlm-citation citation-type="">
<collab>Colegio Oficial de la Psicología de Madrid</collab>
<source><![CDATA[Más de 700 llamadas atendidas en el teléfono gratuito de apoyo psicológico de la Comunidad de Madrid gestionado por el Colegio Oficial de la Psicología de Madrid]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B8">
<label>&#9830;</label><nlm-citation citation-type="">
<collab>Comité de Bioética de España</collab>
<source><![CDATA[Declaración del Comité de Bioética de España sobre el derecho y deber de facilitar el acompañamiento y la asistencia espiritual a los pacientes con COVID-19 al final de sus vidas y en situaciones de especial vulnerabilidad]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B9">
<label>&#9830;</label><nlm-citation citation-type="">
<collab>Consejería de Sanidad</collab>
<source><![CDATA[Protocolo de atención a pacientes y familias al final de la vida durante la pandemia por COVID-19 en centros socio sanitarios]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B10">
<label>&#9830;</label><nlm-citation citation-type="">
<collab>Consejo de Enfermería de la Comunidad Valenciana</collab>
<source><![CDATA[El CECOVA plantea mejoras en el protocolo de la Conselleria de Sanidad sobre el acompañamiento al final de la vida durante la pandemia del COVID-19]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B11">
<label>&#9830;</label><nlm-citation citation-type="">
<collab>Conselleria de Sanidad Universal y Salud Pública</collab>
<source><![CDATA[Protocolo de acompañamiento al paciente en el final de la vida durante la pandemia COVID-19]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B12">
<label>&#9830;</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[DeForest]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Better words for better deaths]]></article-title>
<source><![CDATA[New England Journal of Medicine]]></source>
<year>2019</year>
<volume>380</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>211-3</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>&#9830;</label><nlm-citation citation-type="">
<collab>El Financiero</collab>
<source><![CDATA[Muerte en soledad: enfermos de COVID-19 fallecen solos por el temor a contagiar a su familia]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B14">
<label>&#9830;</label><nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[España. Ley 4/2019, de 19 de marzo, por el que se modifica la Ley 2/2007, de 7 de marzo, del Estatuto Jurídico del Personal Estatutario del Servicio de Salud de Castilla y León, para la creación de la categoría de Médico de Cuidados Paliativos]]></article-title>
<source><![CDATA[Boletín Oficial del Estado, Madrid, España]]></source>
<year>2019</year>
</nlm-citation>
</ref>
<ref id="B15">
<label>&#9830;</label><nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[España. Ley 4/2017, de 9 de marzo, de Derechos y Garantías de las Personas en el Proceso de Morir]]></article-title>
<source><![CDATA[Boletín Oficial del Estado, Madrid, España]]></source>
<year>2017</year>
</nlm-citation>
</ref>
<ref id="B16">
<label>&#9830;</label><nlm-citation citation-type="journal">
<collab>Europa Press</collab>
<article-title xml:lang=""><![CDATA[Vithas implanta un plan de seguimiento para los pacientes aislados por Covid-19]]></article-title>
<source><![CDATA[Europa Press]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B17">
<label>&#9830;</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Firstenberg]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
<name>
<surname><![CDATA[Libby]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Ochs]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Hanna]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Mangino]]></surname>
<given-names><![CDATA[JE]]></given-names>
</name>
<name>
<surname><![CDATA[Forrester]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Isolation protocol for a COVID-2019 patient requiring emergent surgical intervention: Case presentation]]></article-title>
<source><![CDATA[Patient Safety in Surgery]]></source>
<year>2020</year>
<volume>14</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B18">
<label>&#9830;</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gabilondo]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<source><![CDATA[El hospital de Madrid al que van a morir enfermos terminales con coronavirus]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B19">
<label>&#9830;</label><nlm-citation citation-type="">
<collab>Gerencia Regional de Salud</collab>
<source><![CDATA[Protocolo integral de actuación ante situaciones específicas de gravedad, últimos días y fallecimiento en la crisis COVID-19]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B20">
<label>&#9830;</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gómez-Esteban]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[El médico frente a la muerte]]></article-title>
<source><![CDATA[Revista de la Asociación Española de Neuropsiquiatría]]></source>
<year>2012</year>
<volume>32</volume>
<numero>113</numero>
<issue>113</issue>
<page-range>67-82</page-range></nlm-citation>
</ref>
<ref id="B21">
<label>&#9830;</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hawkley]]></surname>
<given-names><![CDATA[LC]]></given-names>
</name>
<name>
<surname><![CDATA[Thisted]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
<name>
<surname><![CDATA[Masi]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<name>
<surname><![CDATA[Cacioppo]]></surname>
<given-names><![CDATA[JT]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Loneliness Predicts Increased Blood Pressure: 5-Year Cross-Lagged Analyses in Middle-Aged and Older Adults]]></article-title>
<source><![CDATA[Psychology and Aging]]></source>
<year>2010</year>
<volume>25</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>132-42</page-range></nlm-citation>
</ref>
<ref id="B22">
<label>&#9830;</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Holt-Lunstad]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Smith]]></surname>
<given-names><![CDATA[TB]]></given-names>
</name>
<name>
<surname><![CDATA[Baker]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Harris]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Stephenson]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Loneliness and Social Isolation as Risk Factors for Mortality: A Meta-Analytic Review]]></article-title>
<source><![CDATA[Perspectives on Psychological Science]]></source>
<year>2015</year>
<volume>10</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>227-37</page-range></nlm-citation>
</ref>
<ref id="B23">
<label>&#9830;</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Keesara]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Jonas]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Schulman]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Covid-19 and health care's digital revolution]]></article-title>
<source><![CDATA[New England Journal of Medicine]]></source>
<year>2020</year>
<volume>382</volume>
<numero>23</numero>
<issue>23</issue>
</nlm-citation>
</ref>
<ref id="B24">
<label>&#9830;</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Koplan]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
<name>
<surname><![CDATA[Bond]]></surname>
<given-names><![CDATA[TC]]></given-names>
</name>
<name>
<surname><![CDATA[Merson]]></surname>
<given-names><![CDATA[MH]]></given-names>
</name>
<name>
<surname><![CDATA[Reddy]]></surname>
<given-names><![CDATA[KS]]></given-names>
</name>
<name>
<surname><![CDATA[Rodriguez]]></surname>
<given-names><![CDATA[MH]]></given-names>
</name>
<name>
<surname><![CDATA[Sewankambo]]></surname>
<given-names><![CDATA[NK]]></given-names>
</name>
<name>
<surname><![CDATA[Wasserheit]]></surname>
<given-names><![CDATA[JN]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Towards a common definition of global health]]></article-title>
<source><![CDATA[The Lancet]]></source>
<year>2009</year>
<volume>373</volume>
<numero>9679</numero>
<issue>9679</issue>
<page-range>1993-5</page-range><publisher-name><![CDATA[Elsevier Limited]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B25">
<label>&#9830;</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Livingston]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Desai]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Berkwits]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Sourcing Personal Protective Equipment during the COVID-19 Pandemic]]></article-title>
<source><![CDATA[JAMA-Journal of the American Medical Association]]></source>
<year>2020</year>
<volume>323</volume>
<numero>19</numero>
<issue>19</issue>
<page-range>E1-3</page-range><publisher-name><![CDATA[American Medical Association]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B26">
<label>&#9830;</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Matey]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<source><![CDATA[Plan de humanización]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B27">
<label>&#9830;</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Meo]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
<name>
<surname><![CDATA[Alhowikan]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Khlaiwi]]></surname>
<given-names><![CDATA[TAL]]></given-names>
</name>
<name>
<surname><![CDATA[Meo]]></surname>
<given-names><![CDATA[IM]]></given-names>
</name>
<name>
<surname><![CDATA[Halepoto]]></surname>
<given-names><![CDATA[DM]]></given-names>
</name>
<name>
<surname><![CDATA[Iqbal]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Usmani]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Hajjar]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Ahmed]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Novel coronavirus 2019-nCoV: Prevalence, biological and clinical characteristics comparison with SARS-CoV and MERS-CoV]]></article-title>
<source><![CDATA[European Review for Medical and Pharmacological Sciences]]></source>
<year>2020</year>
<volume>24</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>2012-9</page-range><publisher-name><![CDATA[Verduci Editore s.r.l]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B28">
<label>&#9830;</label><nlm-citation citation-type="">
<collab>Ministerio de Sanidad</collab>
<source><![CDATA[Enfermedad por coronavirus, COVID-19]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B29">
<label>&#9830;</label><nlm-citation citation-type="">
<collab>Ministerio de Sanidad</collab>
<source><![CDATA[Manejo en urgencias del COVID-19]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B30">
<label>&#9830;</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Quesada Arratia]]></surname>
<given-names><![CDATA[AA]]></given-names>
</name>
</person-group>
<source><![CDATA[Resum de projectes de les convocatòries COVID-19]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B31">
<label>&#9830;</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rico-Uribe]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
<name>
<surname><![CDATA[Caballero]]></surname>
<given-names><![CDATA[FF]]></given-names>
</name>
<name>
<surname><![CDATA[Martín-María]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Cabello]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Ayuso-Mateos]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Miret]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Association of loneliness with all-cause mortality: A meta-analysis]]></article-title>
<source><![CDATA[PLOS ONE]]></source>
<year>2018</year>
<volume>13</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B32">
<label>&#9830;</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Salamero Teixidó]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Derechos individuales frente a salud pública en la protección ante enfermedades contagiosas: propuestas de mejora del marco regulatorio vigente]]></article-title>
<source><![CDATA[Gaceta Sanitaria]]></source>
<year>2016</year>
<volume>30</volume>
<page-range>69-73</page-range><publisher-name><![CDATA[Ediciones Doyma, SL]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B33">
<label>&#9830;</label><nlm-citation citation-type="">
<collab>Salut/Servei Català de la Salut</collab>
<source><![CDATA[Instrucció 03/2020 Pla d'acció per al suport emocional i la gestió de l'estrès agut de la ciutadania davant la situació de pandèmia causada pel nou coronavirus, la comunicació a familiars de pacients i l'acompanyament del dol per la COVID-19]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B34">
<label>&#9830;</label><nlm-citation citation-type="">
<collab>Servicio de Salud</collab>
<source><![CDATA[Acompañamiento al paciente en el final de la vida durante la pandemia COVID-19]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B35">
<label>&#9830;</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sinha]]></surname>
<given-names><![CDATA[IP]]></given-names>
</name>
<name>
<surname><![CDATA[Harwood]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Semple]]></surname>
<given-names><![CDATA[MG]]></given-names>
</name>
<name>
<surname><![CDATA[Hawcutt]]></surname>
<given-names><![CDATA[DB]]></given-names>
</name>
<name>
<surname><![CDATA[Thursfield]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Narayan]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Kenny]]></surname>
<given-names><![CDATA[SE]]></given-names>
</name>
<name>
<surname><![CDATA[Vine]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Hewer S]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Southern]]></surname>
<given-names><![CDATA[KW]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[COVID-19 infection in children]]></article-title>
<source><![CDATA[The Lancet Respiratory Medicine]]></source>
<year>2020</year>
<volume>8</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>446-7</page-range></nlm-citation>
</ref>
<ref id="B36">
<label>&#9830;</label><nlm-citation citation-type="">
<collab>Sociedad Española de Cuidados Paliativos</collab>
<source><![CDATA[Recomendaciones sobre cuidar y acompañar personas en situación de últimos días y a su familia y/o cuidadores]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B37">
<label>&#9830;</label><nlm-citation citation-type="journal">
<collab>The Lancet Editorial</collab>
<article-title xml:lang=""><![CDATA[Palliative care and the COVID-19 pandemic]]></article-title>
<source><![CDATA[The Lancet]]></source>
<year>2020</year>
<volume>395</volume>
<numero>10231</numero>
<issue>10231</issue>
<page-range>1168</page-range><publisher-name><![CDATA[Lancet Publishing Group]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B38">
<label>&#9830;</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Torralba]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Aproximación a la esencia del sufrimiento]]></article-title>
<source><![CDATA[An. Sist. Sanit. Navar]]></source>
<year>2007</year>
<volume>30</volume>
<page-range>23-37</page-range></nlm-citation>
</ref>
<ref id="B39">
<label>&#9830;</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Valtorta]]></surname>
<given-names><![CDATA[NK]]></given-names>
</name>
<name>
<surname><![CDATA[Kanaan]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Gilbody]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Hanratty]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Loneliness, social isolation and risk of cardiovascular disease in the English Longitudinal Study of Ageing]]></article-title>
<source><![CDATA[European Journal of Preventive Cardiology]]></source>
<year>2018</year>
<volume>25</volume>
<numero>13</numero>
<issue>13</issue>
<page-range>1387-96</page-range></nlm-citation>
</ref>
<ref id="B40">
<label>&#9830;</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Venter]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Richter]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Towards effective diagnostic assays for COVID-19: a review]]></article-title>
<source><![CDATA[Journal of Clinical Pathology]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B41">
<label>&#9830;</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wakam]]></surname>
<given-names><![CDATA[GK]]></given-names>
</name>
<name>
<surname><![CDATA[Montgomery]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
<name>
<surname><![CDATA[Biesterveld]]></surname>
<given-names><![CDATA[BE]]></given-names>
</name>
<name>
<surname><![CDATA[Brown]]></surname>
<given-names><![CDATA[CS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Not Dying Alone - Modern Compassionate Care in the Covid-19 Pandemic]]></article-title>
<source><![CDATA[New England Journal of Medicine]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B42">
<label>&#9830;</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Whitelaw]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Mamas]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Topol]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Van-Spall]]></surname>
<given-names><![CDATA[HGC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Applications of digital technology in COVID-19 pandemic planning and response]]></article-title>
<source><![CDATA[The Lancet Digital Health]]></source>
<year>2020</year>
<numero>0</numero>
<issue>0</issue>
<page-range>1-6</page-range></nlm-citation>
</ref>
<ref id="B43">
<label>&#9830;</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wichmann]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Sperhake]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
<name>
<surname><![CDATA[Lütgehetmann]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Steurer]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Edler]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Heinemann]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Heinrich]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Mushumba]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Kniep]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Schröder]]></surname>
<given-names><![CDATA[AS]]></given-names>
</name>
<name>
<surname><![CDATA[Burdelski]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[de-Heer]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Nierhaus]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Frings]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Pfefferle]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Becker]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Bredereke-Wiedling]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[de-Weerth]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Paschen]]></surname>
<given-names><![CDATA[HR]]></given-names>
</name>
<name>
<surname><![CDATA[Kluge]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Autopsy Findings and Venous Thromboembolism in Patients With COVID-19]]></article-title>
<source><![CDATA[Annals of Internal Medicine]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B44">
<label>&#9830;</label><nlm-citation citation-type="">
<collab>World Health Organization</collab>
<source><![CDATA[Cuidados paliativos]]></source>
<year>2018</year>
</nlm-citation>
</ref>
<ref id="B45">
<label>&#9830;</label><nlm-citation citation-type="journal">
<collab>World Health Organization</collab>
<article-title xml:lang=""><![CDATA[Coronavirus disease (COVID-19)]]></article-title>
<source><![CDATA[Situation Report]]></source>
<year>2020</year>
<volume>102</volume>
</nlm-citation>
</ref>
<ref id="B46">
<label>&#9830;</label><nlm-citation citation-type="">
<collab>World Health Organization</collab>
<source><![CDATA[Coronavirus disease (COVID-19) technical guidance: Maintaining Essential Health Services and Systems]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B47">
<label>&#9830;</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Yan]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Shin]]></surname>
<given-names><![CDATA[WI]]></given-names>
</name>
<name>
<surname><![CDATA[Pang]]></surname>
<given-names><![CDATA[YX]]></given-names>
</name>
<name>
<surname><![CDATA[Meng]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Lai]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[You]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Zhao]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Lester]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Wu]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Pang]]></surname>
<given-names><![CDATA[CH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The first 75 days of novel coronavirus (SARS-CoV-2) outbreak: Recent advances, prevention, and treatment]]></article-title>
<source><![CDATA[International Journal of Environmental Research and Public Health]]></source>
<year>2020</year>
<volume>17</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>2323</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
