Objective: To investigate the intragastric acid neutralization activity of a combined alginate-antacid formulation.
Significance: Published studies have investigated the reflux-suppressing alginate component of Gaviscon Double Action (Gaviscon DA; RB, UK) but intragastric acid neutralization activity of the antacid component has not been evaluated in vivo.
Methods: Intragastric pH monitoring, using a custom-made 10-electrode catheter, was evaluated in a two-part exploratory study in healthy subjects; Part I (n?=?6) tested suitability of the catheter using antacid tablets (Rennie; Bayer, Germany); Part II (n?=?12) evaluated gastric acid neutralization activity of Gaviscon DA liquid (20?ml) versus placebo in fasted subjects using a randomized, open-label, crossover design. The primary endpoint was the percentage of time that intragastric pH ≥4 was measured during 30?min post-treatment. A confirmatory study of identical design was subsequently conducted (n?=?20).
Results: Monitoring pH using the multielectrode catheter was a viable approach, directly detecting changes in intragastric pH following a single dose of antacid tablets. In the exploratory study, the percentage of time that pH ≥4 during 30?minutes post-treatment was 46.8% with Gaviscon DA liquid versus 4.7% with placebo (p?=?0.0004). These findings were supported by the confirmatory study, where pH ≥4 was recorded 50.8% of the time with Gaviscon DA versus 3.5% with placebo (p?=?0.0051). In this study, Gaviscon DA was safe and well tolerated.
Conclusions: These studies demonstrate the effective acid neutralizing capacity of Gaviscon DA versus placebo in healthy, fasted subjects. This adds to the evidence base for the combination of alginates and antacids. 相似文献
Some mathematical aspects of the development and design of a passive radon dosemeter are considered. In particular, a mathematical model is presented that is concerned with the gaseous diffusion of radon into a confined region bounded by a plastic material of known diffusion coefficient. The relationship between the time-integrated radon concentrations, inside and outside a sealed plastic container are derived. Estimates of the exposure of people to radon can be made using the time integrated radon concentration inside a calibrated container containing a CR-39 etched-track device. As a consequence of the analysis, it is possible to design a passive radon dosemeter that will be accurate, resistant to moisture and whose response will be independent of rapid variations in radon concentration. The possibility of using a container of this type for the measurement of diffusion coefficients is discussed. 相似文献
'Natural' treatment systems such as wetlands and reed beds have been proposed as sustainable means of reducing fluxes of faecal indicator organisms (FIOs) to recreational and shellfish harvesting waters. This is because FIO fluxes to coastal waters from both point (effluent) and diffuse (catchment) sources can cause non-compliance with microbiological standards for bathing and shellfish harvesting waters. The Water Framework Directive requires competent authorities in the member states to manage both point and diffuse sources of FIOs in an integrated manner to achieve compliance with 'good' water quality as defined in a series of daughter Directives. This study was undertaken to investigate the relative sources of FIOs to the popular bathing waters around Clacton, UK. In this predominantly arable (mainly cereal cropping) farming area, the principal land use predictor, explaining 76% of the variance in geometric mean presumptive Escherichia coli concentration at sub-catchment outlets during the bathing season, was the proportion of built-up (i.e. urbanised) land in each sub-catchment. This new finding contrasts with earlier studies in livestock farming regions where the proportion of improved grassland has proven to be the strongest predictor of microbial concentration. Also novel in this investigation, a flood defence wall has been built creating a wetland area which discharges every tidal cycle. The wetland produces over 97% reduction in the flux and concentrations of FIOs to the marine recreational waters. Also, FIO concentrations in water draining through the wetland to the sea were similar to concentrations measured in six UK sewage treatment plant effluents subject to secondary (biological) treatment followed by UV disinfection. 相似文献
Characterisation of faecal indicator organism (FIO) concentrations and export coefficients for catchments with particular combinations of land use and under specific climatic regimes is critical in developing models to predict daily loads and apportion sources of the microbial parameters used to regulate water quality. Accordingly, this paper presents a synthesis of FIO concentration and export coefficient data for the summer bathing season, with some comparative winter data, for 205 river/stream sampling points widely distributed across mainland UK. In terms of both geometric mean (GM) FIO concentrations and export coefficients (expressed as cfu km(-2) h(-1)), the results reveal (1) statistically significant elevations at high flow compared with base flow, with concentrations typically increasing by more than an order of magnitude and export coefficients by about two orders; (2) significantly higher values in summer than in winter under high-flow conditions; and (3) extremely wide variability between the catchments (e.g. four orders of magnitude range for GM faecal coliform concentrations), which closely reflects land use-with urban areas and improved pastures identified as key FIO sources. Generally, these two most polluting land uses are concentrated in lowland areas where runoff (m3 km(-2) h(-1)) is low compared with upland areas, which in the UK are dominated by rough grazing and forestry. Consequently, contrasts in export coefficients between land use types are less than for FIO concentrations. The GMs reported for most land use categories are based on 13 sites and exhibit quite narrow confidence intervals. They may therefore be applied with some confidence to other catchments in the UK and similar geographical regions elsewhere. Examples are presented to illustrate how the results can be used to estimate daily summer base- and high-flow FIO loads for catchments with different land use types, and to assess the likely effectiveness of certain strategies for reducing FIO pollutant loadings in areas with extensive areas of lowland improved pasture. 相似文献
When major incident emergencies occur in the UK (e.g., a terrorist attack), senior representatives convene from local emergency services, civil resource organizations, health agencies, and government. These groups make decisions that minimize the societal and economic impacts of major incidents. Their adherence to UK doctrine was assessed using video footage of 18 groups responding to a major incident in a simulation suite, and six groups responding to a large‐scale exercise. There were marked between‐group differences in the sequencing of decision‐making activities, and limited consideration of alternative courses of action. These results provide an impetus for future policy, guidance, and training to address (a) between‐group inconsistency in decision processes and (b) the lack of consideration of alternative courses of action. 相似文献
We describe a reduction from temporal property verification to a program analysis problem. First we present a proof system that, unlike the standard formulation, is more amenable to reasoning about infinite-state systems: disjunction is treated by partitioning, rather than enumerating, the state space and temporal operators are characterized with special sets of states called frontiers. We then describe a transformation that, with the use of procedures and nondeterminism, enables off-the-shelf program analysis tools to naturally perform the reasoning necessary for proving temporal properties (e.g. backtracking, eventuality checking, tree counterexamples for branching-time properties, abstraction refinement, etc.). Using examples drawn from the PostgreSQL database server, Apache web server, and Windows OS kernel, we demonstrate the practical viability of our work. 相似文献