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                <text>Available Evidence and Ongoing Clinical Trials of Remdesivir: Could It Be a Promising Therapeutic Option for COVID-19?</text>
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                <text>Mekonnen Sisay</text>
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                <text>The novel coronavirus strain, severe acute respiratory syndrome coronavirus-2, the causative agent of COVID-19 emerged in Wuhan, China, in December 2019 and is skyrocketing throughout the globe and become a global public health emergency. Despite promising preventive measures being taken, there is no vaccine or drug therapy officially approved to prevent or treat the infection. Everybody is waiting the findings of ongoing clinical trials in various chemical and biological products. This review is specifically aimed to summarize the available evidence and ongoing clinical trials of remdesivir as a potential therapeutic option for COVID-19. Remdesivir is an investigational drug having broad spectrum antiviral activity with its target RNA dependent RNA polymerase. It has not yet been officially approved for Ebola and Coronaviruses. Several studies showed that remdesivir had promising in vitro and in vivo antiviral activities against SARS-CoV-1 and MERS-CoV strains. On the top of this, it exhibited a promising in vitro activity against SARS-CoV-2 strains though there are no published studies that substantiate its activity in vivo until the time of this review. There are few phase 3 randomized double-blind placebo controlled trials on the way to investigate the safety and efficacy of remdesivir. Of which, one completed double blind, placebo controlled trial showed that remdesivir showed faster time to clinical improvement in severe COVID-19 patients compared to placebo though not found statistically significant. In addition, two phase 3 randomized open label clinical trials coordinated by Gilead Sciences are being conducted. In addition, WHO Solidarity trial and INSERM DisCoVeRy trials (randomized open labels) were launched recently.</text>
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                <text>2020</text>
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                <text>RdRp, remdesivir, GS-5734, SARS-CoV-2, COVID-19</text>
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                <text>DOI: 10.3389/fphar.2020.00791</text>
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                <text>Frontiers in Pharmacology</text>
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                <text>Frontiers Media S.A.</text>
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                <text>Therapeutics. Pharmacology</text>
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                <text>Ganesan Karthikeyan</text>
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                <text>DOI: 10.4103/ijmr.IJMR_864_20</text>
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                <text>Indian Journal of Medical Research</text>
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                <text>Wolters Kluwer Medknow Publications</text>
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                <text>The research community must meet the coronavirus disease 2019 challenge</text>
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                <text>Poonam Khetrapal Singh</text>
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                <text>DOI: 10.4103/ijmr.IJMR_832_20</text>
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                <text>The 2019 novel coronavirus disease (COVID-19) pandemic: A review of the current evidence</text>
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                <text>Raman R. Gangakhedkar, Sayantan Banerjee, Bhabatosh Das, Nivedita Gupta, Pranab Chatterjee, Swarup Sarkar, Anup Agarwal, Nazia Nagi</text>
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            <description>An account of the resource</description>
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                <text>A novel coronavirus (nCoV) spillover event, with its epicenter in Wuhan, People's Republic of China, has emerged as a public health emergency of international concern. This began as an outbreak in December 2019, and till February 28, 2020, there have been 83,704 confirmed cases of novel coronavirus disease 2019 (COVID-19) globally, with 2,859 deaths, resulting in an overall case fatality rate of 3.41 per cent (95% confidence interval 3.29-3.54%). By this time (February 28, 2020) 58 countries or territories and one international conveyance (Diamond Princess Cruise Ship) were affected. As a part of the global response to manage and contain the pandemic, major emphasis was placed on generating research intelligence to guide evidence-based responses to contain the virus, which was named severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), owing to its genetic similarities with the SARS virus. This review summarizes the emerging evidence which can help guide the public health response, particularly in India. Key areas have been identified in which research needs to be conducted to generate critical intelligence for advising prevention and control efforts. The emergence of SARS-CoV-2 has once again exposed the weaknesses of global health systems preparedness, ability to respond to an infectious threat, the rapidity of transmission of infections across international borders and the ineffectiveness of knee-jerk policy responses to emerging/re-emerging infectious disease threats. The review concludes with the key learning points from the ongoing efforts to prevent and contain COVID-19 and identifies the need to invest in health systems, community-led response mechanisms and the need for preparedness and global health security.</text>
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                <text>2020</text>
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                <text>covid-19 - epidemic - mers-cov - novel coronavirus - pandemic - quarantine - severe acute respiratory syndrome coronavirus 2 - transmission</text>
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                <text>DOI: 10.4103/ijmr.IJMR_519_20</text>
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                <text>Indian Journal of Medical Research</text>
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                <text>Wolters Kluwer Medknow Publications</text>
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              <name>Title</name>
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              <description>An account of the resource</description>
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                  <text>Dominio científico: Coronavirus</text>
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                <text>Strategic planning to augment the testing capacity for COVID-19 in India</text>
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                <text>Raman R. Gangakhedkar, Manoj Murhekar, Nivedita Gupta, Tarun Bhatnagar, Kiran Rade, ICMR COVID Team, Anu Nagar</text>
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                <text>Background &amp; objectives: Nearly 5,500 tests for coronavirus disease 2019 (COVID-19) had been conducted on March 31, 2020 across the Indian Council of Medical Research (ICMR)-approved public and private laboratories in India. Given the need to rapidly increase testing coverage, we undertook an exercise to explore and quantify interventions to increase the daily real-time reverse transcription-polymerase chain reaction (qRT-PCR)-based testing capacity over the next few months. The objective of this exercise was to prepare a potential plan to scale-up COVID-19 testing in India in the public sector. Methods: Potential increase in daily testing capacity of the existing public laboratories was calculated across the three base scenarios of shifts (9, 16 and 24 h). Additional testing capacity was added for each shift scenario based on interventions ranging from procurement of additional qRT-PCR machines, leveraging spare capacity on available qRT-PCR machines not drafted into COVID-19 testing, to in-laboratory process optimization efforts. Results: Moving to a 24 h working model in the existing approved laboratories can enhance the daily testing capacity to 40,464 tests/day. The capacity can be further bolstered by leveraging qRT-PCR and nucleic acid amplification test (NAAT)-based machines available with the Multidisciplinary Research Units (MRUs), National AIDS Control Organisation (NACO) and National Tuberculosis Elimination Programme (NTEP). Using combination/multiplex kits, and provision of automated RNA extraction platforms at all laboratories could also optimize run time and contribute to capacity increase by 1.5-2 times. Interpretation &amp; conclusions: Adopting these interventions could help increase public sector's daily testing capacity to nearly 100,000-120,000 tests/day. It is important to note that utilization of the scaled-up testing capacity will require deployment of additional workforce, procurement of corresponding commodities for testing and scale-up of sample collection and transportation efforts.</text>
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                <text>Any pandemic disorganizes the life of wider society. One of the manifestations of social activity is religious life. Despite progressing secularization, both religion, churches, and denominational associations have an impact on individual ethical choices and business decisions. This is true especially in Poland, where over 90 percent of the citizens declare affiliation with some religion, mostly Christian. The purpose of the present article is to demonstrate what activities are undertaken by churches in Poland at the time of the COVID-19 pandemic, and what differences there are in their organization of religious life. In order to achieve the set goal, qualitative methods were implemented in the research. As part of the qualitative paradigm, in-depth individual interviews were used, involving individuals responsible for organizing religious life at the parish or congregation level. The interviewees were clergymen from the most important denominations, ranging from Catholic and Orthodox to broadly understood Protestant denominations. The paper contains a review of relevant literature. It presents the results and discussion of qualitative research, and it also indicates the research limitations. The study reveals that individual churches have limited (Catholic and Orthodox) or totally suspended (Protestants) their religious life in the actual community-based dimension. The decisions made by the clergymen, regardless of their personal views, resulted from the assumed ecclesiology and tradition. While changing the organization of religious life, the churches maintained contact with the believers in various ways, using modern technologies and access to public media in this regard. Although the churches are not changing their doctrinal positions, they declare different forms of cooperation.</text>
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                <text>Christianity, Pandemic, COVID-19</text>
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                <text>DOI: 10.3390/rel11050254</text>
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                <text>Religions</text>
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                <text>MDPI AG</text>
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                <text>Religions. Mythology. Rationalism</text>
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                <text>Giovanni B. Agus</text>
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                <text>The recent and increased number of scientific reports on venous thrombosis and venous thromboembolism induced by corona- virus, suggests to improve our level of attention because thrombophlebitis could be a clinical manifestation of COVID-19. We need to be aware also of rare varieties of venous thrombosis such as Mondor disease. The comparison between the enigmatic breast discoloration of the Bathsheba painted by Rembrandt and a case of Mondor disease observed in 2020, becomes a cultural game to improve our clinical skills in diagnosing Mondor thrombophlebitis.</text>
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                <text>Venous thrombosis, thrombophlebitis, art and medicine, COVID-19, Mondor disease</text>
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                <text>DOI: 10.4081/vl.2020.9107</text>
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                <text>Veins and Lymphatics</text>
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                <text>PAGEPress Publications</text>
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                <text>Diseases of the circulatory (Cardiovascular) system</text>
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                <text>Ethics preparedness for infectious disease outbreaks research in India: A case for novel coronavirus disease 2019</text>
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                <text>DOI: 10.4103/ijmr.IJMR_463_20</text>
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                <text>Indian Journal of Medical Research</text>
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                <text>Wolters Kluwer Medknow Publications</text>
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                <text>S.K. Singh, S K Jain, Jai Prakash Narain, Preeti Padda, Kapil Goel, Tripurari Kumar, Sushma Chaudhary, Tanzin Dikid, Rajesh Sahu</text>
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                <text>DOI: 10.4103/ijmr.IJMR_761_20</text>
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                <text>Lopinavir/ritonavir combination therapy amongst symptomatic coronavirus disease 2019 patients in India: Protocol for restricted public health emergency use</text>
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                <text>As of February 29, 2020, more than 85,000 cases of coronavirus disease 2019 (COVID-19) have been reported from China and 53 other countries with 2,924 deaths. On January 30, 2020, the first laboratory-confirmed case of COVID was reported from Kerala, India. In view of the earlier evidence about effectiveness of repurposed lopinavir/ritonavir against severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS) coronavirus (CoV), as well as preliminary docking studies conducted by the ICMR-National Institute of Virology, Pune, the Central Drugs Standard Control Organization approved the restricted public health use of lopinavir/ritonavir combination amongst symptomatic COVID-19 patients detected in the country. Hospitalized adult patients with laboratory-confirmed SARS-CoV-2 infection with any one of the following criteria will be eligible to receive lopinavir/ritonavir for 14 days after obtaining written informed consent: (i) respiratory distress with respiratory rate ≥22/min or SpO2of</text>
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                <text>DOI: 10.4103/ijmr.IJMR_502_20</text>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
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                <text>Indian Journal of Medical Research</text>
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            <name>Publisher</name>
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                <text>Wolters Kluwer Medknow Publications</text>
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                <text>Medicine</text>
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