ABSTRACT
Objective To explore the efficacy and safety of recombinant human anti-severe acute respiratory syn-drome coronavirus 2(anti-SARS-CoV-2)monoclonal antibody injection(F61 injection)in the treatment of patients with coronavirus disease 2019(COVID-19)combined with renal damage.Methods Patients with COVID-19 and renal damage who visited the PLA General Hospital from January to February 2023 were selected.Subjects were randomly divided into two groups.Control group was treated with conventional anti-COVID-19 therapy,while trial group was treated with conventional anti-COVID-19 therapy combined with F61 injection.A 15-day follow-up was conducted after drug administration.Clinical symptoms,laboratory tests,electrocardiogram,and chest CT of pa-tients were performed to analyze the efficacy and safety of F61 injection.Results Twelve subjects(7 in trial group and 5 in control group)were included in study.Neither group had any clinical progression or death cases.The ave-rage time for negative conversion of nucleic acid of SARS-CoV-2 in control group and trial group were 3.2 days and 1.57 days(P=0.046),respectively.The scores of COVID-19 related target symptom in the trial group on the 3rd and 5th day after medication were both lower than those of the control group(both P＜0.05).According to the clinical staging and World Health Organization 10-point graded disease progression scale,both groups of subjects improved but didn't show statistical differences(P＞0.05).For safety,trial group didn't present any infusion-re-lated adverse event.Subjects in both groups demonstrated varying degrees of elevated blood glucose,elevated urine glucose,elevated urobilinogen,positive urine casts,and cardiac arrhythmia,but the differences were not statistica-lly significant(all P＞0.05).Conclusion F61 injection has initially demonstrated safety and clinical benefit in trea-ting patients with COVID-19 combined with renal damage.As the domestically produced drug,it has good clinical accessibility and may provide more options for clinical practice.
ABSTRACT
Objective To investigate the cooling effect of blood flow on living tissue heating. MethodThe ultrasonic tissue phantom with a U-tube was used to simulate the living tissue with counter-current vessels. The distilled water with constant temperature (37.5 °C) was pumped into the phantom through the U-tube. The phantom was then immersed in another water bath and heated from 37.5 °C to 43.5 °C with a constant heating rate in order to simulate the environment of hyperthermia. Meanwhile, 46 thermocouples were employed to measure the temperatures of liquid flow, tube wall and the phantom. Finally, the experimental results of the temperature distribution were visualized by AVS (Advanced Visual System) software. ResultsWith the increase of flow velocity, the temperature of tissue was reduced, especially in the area surrounded by the U-tube. Moreover, the temperatures in the U tube bounded area reduced more significantly when the Reynolds number varied from 50 to 130. ConclusionsThis perfusion phantom experiment was successful to simulate the influences of the counter-current flow on the characteristics of the heat transfer. It showed that because of the existence of the counter-current vessels, the cooling effect of internal tissue surrounded by U-shaped tube was more evident.