This article discusses the evolving real-world practice using nitazoxanide,nonsteroidal anti-inflammatory drugs(NSAIDs)and/or azithromycin(Kelleni’s protocol)to manage the evolving manifestations of severe acute resp...This article discusses the evolving real-world practice using nitazoxanide,nonsteroidal anti-inflammatory drugs(NSAIDs)and/or azithromycin(Kelleni’s protocol)to manage the evolving manifestations of severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)Omicron EG.5.1,its descendant HV.1 as well as BA.2.86 and its descendant JN.1 subvariants in Egypt in 2024.These subvariants are well-known for their highly evolved immune-evasive properties and the manifestations include some peculiar manifestations as persistent cough besides high fever in young children as well as high fever,persistent severe cough,change of voice,loss of taste and smell,epigastric pain,nausea,vomiting,diarrhea,generalized malaise and marked bone aches in adults including the high-risk groups.It’s suggested that the ongoing SARS-CoV-2 evolution is continuing to mostly affect the high-risk groups of patients,to some of whom we’ve also successfully prescribed nitazoxanide and/or NSAIDs for post-exposure prophylaxis of all household contacts.We also continue to recommend starting the immune-modulatory antiviral Kelleni’s protocol as soon as possible in the course of infection and adjusting it in a personalized manner to be more aggressive from the beginning for the high risk patients,at least until the currently encountered surge of infections subsides.展开更多
氢氟烃(HFC)/氢氟烃和氢氟烃/碳氢(HC)混合物是两类重要的制冷工质。采用PR状态方程结合Horon-Vidal(HV)混合规则对7种HFC/HFC和7种HFC/HC二元混合物的气液相平衡性质进行了计算,并与PR状态方程结合van der Waals(vdW)混合规则的计算结...氢氟烃(HFC)/氢氟烃和氢氟烃/碳氢(HC)混合物是两类重要的制冷工质。采用PR状态方程结合Horon-Vidal(HV)混合规则对7种HFC/HFC和7种HFC/HC二元混合物的气液相平衡性质进行了计算,并与PR状态方程结合van der Waals(vdW)混合规则的计算结果进行了对比。结果表明,HFC/HFC体系组元性质比较接近,非理想性不强,vdW混合规则即可达到较理想计算效果,HV混合规则对计算精度的提升有限;对非理想性较强的HFC/HC体系,vdW混合规则对共沸性质的描述不够理想,HV混合规则可以显著提升相平衡的计算精度。展开更多
文摘This article discusses the evolving real-world practice using nitazoxanide,nonsteroidal anti-inflammatory drugs(NSAIDs)and/or azithromycin(Kelleni’s protocol)to manage the evolving manifestations of severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)Omicron EG.5.1,its descendant HV.1 as well as BA.2.86 and its descendant JN.1 subvariants in Egypt in 2024.These subvariants are well-known for their highly evolved immune-evasive properties and the manifestations include some peculiar manifestations as persistent cough besides high fever in young children as well as high fever,persistent severe cough,change of voice,loss of taste and smell,epigastric pain,nausea,vomiting,diarrhea,generalized malaise and marked bone aches in adults including the high-risk groups.It’s suggested that the ongoing SARS-CoV-2 evolution is continuing to mostly affect the high-risk groups of patients,to some of whom we’ve also successfully prescribed nitazoxanide and/or NSAIDs for post-exposure prophylaxis of all household contacts.We also continue to recommend starting the immune-modulatory antiviral Kelleni’s protocol as soon as possible in the course of infection and adjusting it in a personalized manner to be more aggressive from the beginning for the high risk patients,at least until the currently encountered surge of infections subsides.
文摘氢氟烃(HFC)/氢氟烃和氢氟烃/碳氢(HC)混合物是两类重要的制冷工质。采用PR状态方程结合Horon-Vidal(HV)混合规则对7种HFC/HFC和7种HFC/HC二元混合物的气液相平衡性质进行了计算,并与PR状态方程结合van der Waals(vdW)混合规则的计算结果进行了对比。结果表明,HFC/HFC体系组元性质比较接近,非理想性不强,vdW混合规则即可达到较理想计算效果,HV混合规则对计算精度的提升有限;对非理想性较强的HFC/HC体系,vdW混合规则对共沸性质的描述不够理想,HV混合规则可以显著提升相平衡的计算精度。
