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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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                <text>Coronavirus</text>
              </elementText>
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            <name>Description</name>
            <description>An account of the resource</description>
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                <text>Dominio científico: Coronavirus</text>
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        <element elementId="50">
          <name>Title</name>
          <description>A name given to the resource</description>
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              <text>Excess Mortality Estimation During the COVID-19 Pandemic: Preliminary Data from Portugal</text>
            </elementText>
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        <element elementId="39">
          <name>Creator</name>
          <description>An entity primarily responsible for making the resource</description>
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              <text>Paulo Jorge Nogueira, Miguel de Araújo Nobre, Paulo Jorge Nicola, Cristina Furtado, António Vaz Carneiro</text>
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          <name>Description</name>
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              <text>Introduction: Portugal is experiencing the effects of the COVID-19 pandemic since March 2020. All-causes mortality in Portugal increased during March and April 2020 compared to previous years, but this increase is not explained by COVID-19 reported deaths. The aim of this study was to analyze and consider other criteria for estimating excessive all-causes mortality during the early COVID-19pandemic period. Material and Methods: Public data was used to estimate excess mortality by age and region between March 1 and April 22, proposing baselines adjusted for the lockdown period. Results: Despite the inherent uncertainty, it is safe to assume an observed excess mortality of 2400 to 4000 deaths. Excess mortality was associated with older age groups (over age 65). Discussion: The data suggests a ternary explanation for early excess mortality: COVID-19, non-identified COVID-19 and decrease in access to healthcare. The estimates have implications in terms of communication of non-pharmaceutical actions, for research, and to healthcare professionals. Conclusion: The excess mortality occurred between March 1 and April 22 was 3.5- to 5-fold higher than what can be explained by the official COVID-19 deaths.</text>
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          <name>Date</name>
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              <text>2020</text>
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          <name>Subject</name>
          <description>The topic of the resource</description>
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              <text>coronavirus, mortality, coronavirus infections, Disease Outbreaks, pandemics, Portugal</text>
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        <element elementId="43">
          <name>Identifier</name>
          <description>An unambiguous reference to the resource within a given context</description>
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            <elementText elementTextId="82148">
              <text>10.20344/amp.13928</text>
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          <name>Source</name>
          <description>A related resource from which the described resource is derived</description>
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            <elementText elementTextId="82149">
              <text>Acta Médica Portuguesa</text>
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          <name>Publisher</name>
          <description>An entity responsible for making the resource available</description>
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            <elementText elementTextId="82150">
              <text>Ordem dos Médicos</text>
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          </elementTextContainer>
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          <name>Coverage</name>
          <description>The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant</description>
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            <elementText elementTextId="82151">
              <text>Medicine, Medicine (General)</text>
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