Student’s Name: Canaria, Mark Neil M.

Date: August 17, 2022

Year/Block/Group: 2nd/03                             

Summary of Journal Reviewed

Fever lasting for >five days with tachypnoea, tachycardia or hypotension are indications
for urgent attention and hospitalization in a patient with suspected COVID-19. The novel
coronavirus disease 2019 (COVID-19) with its early origin from Wuhan city in China has
evolved into a global pandemic. Among the currently available drugs, hydroxychloroquine
and lopinavir/ritonavir may be considered for patients with severe COVID-19 infection,
awaiting further clinical trials. Stringent droplet and contact precautions will protect
healthcare workers against most clinical exposures to COVID-19. Advanced age,
cardiovascular disease, diabetes, hypertension and cancer have been found to be the risk
factors for severe disease. While many drugs have shown in vitro activity against severe
acute respiratory syndrome coronavirus 2 (SARS-CoV-2), there are insufficient clinical
data to promote or dissuade their usage. At present, reverse transcription-polymerase chain
reaction (RT-PCR) from the upper respiratory tract samples is the diagnostic test of
choice. Maximal precautionary measures and resources have been put forward by most
nations in war footing to mitigate transmission and decrease fatality rates. This article was
aimed to review the evidence on clinical management and to deal with the identification of
high-risk groups, warning signs, appropriate investigations, proper sample collection for
confirmation, general and specific treatment measures, strategies as well as infection
control in the healthcare settings.
Thus, an attempt was made to summarize the clinical management of COVID-19 for Indian
physicians. COVID-19 in the majority of the population (80%) presents as an
asymptomatic or mild infection4.Today, the world stands in combat against the
coronavirus disease 2019 (COVID-19), an unfolding viral pandemic exacting a significant
toll on the human race. Multiple protocols and management strategies are currently being
developed worldwide to overcome this issue. These remaining 20 percent of infected
patients will need admission and hospital care, including five percent of them who require
intensive care and ventilator support4. However, in resource-limited settings like India
which deal with a huge population base, it is critical for the doctors to be well equipped to
speedily identify and treat patients who require admission and critical care. However, the
disease is known to cause severe pneumonia and multiple complications, especially in
certain high-risk groups. This will ensure proficient utilization of resources and facilities
available without overburdening the existing healthcare system. As of mid-April 2020, the
infection has spread to over 185 countries, infected more than two million people, and
resulted in over 127,000 deaths globally3. With its beginnings in Wuhan city, China, as a
cluster of cases of pneumonia with unidentified etiology, it was soon identified to be
caused by a novel strain of coronavirus (CoV), now named severe acute respiratory
syndrome CoV-2 (SARS-CoV-2), which spread primarily through droplets, respiratory
secretions, and direct contact
Reflection (minimum of 200 words)
Our country is battling for an unseen enemy which is the COVID-19 Virus that spreads around the world
since March 2020. As fast as the virus spreads it is as slow as this country responded to the threats of
this pandemic. The flip-flop from General Community Quarantine (GCQ) to Moderate Enhanced
Community Quarantine (MECQ) is proof positive of the ineptitude and cruelty of the government. It
shows how Durerte Administration in Malacañang hands down decisions without giving due
considerations to all the variables. It shows such entitlement that it can change its mind with a flick of a
finger and to hell those who are affected.

But what about the businesses that are prepared to reopen? Those who already recalled their
employees from provinces, those who have started to manufacture their inventories, those who began
accepting reservations again. Will the government compensate for the damage? Of course not! As
always, the public is made to bear the brunt of this government’s ineptitude.

The truth is, Duterte administration has led us to have the worst COVID-19 response in Asia, if not the
world, simply because it failed to install a nationwide testing and tracking mechanism to control the
spread of the virus. This is fundamental and it had 18 months to do so. Instead, it used the time to wage
revenge against ABS-CBN and engage in petty politics. Adding insult to the injury is that it plundered the
limited sources the country had to fight this unseen enemy. This will eventually be proven in the Senate
and/or in the Court of Law.

I write off that Duterte administration as being the worst. It is the ineptest. The most entitled. The most
violent. The most corrupt. The most shameless. And the cruelest. History will validate this. He has
turned our country into a Banana Republic. How far we have fallen as a nation. May we never again vote
for a feudal, simple-minded leader who treats the country like his provincial backyard. We all deserve
better. The Filipino people deserve way better than this.

Reference: https://www.worldometers.info/coronavirus/country/philippines/