New one-week, low-dose triple therapy for the treatment of duodenal ulcer with Helicobacter pylori infection

BACKGROUND: Antimicrobial therapy is the recommended treatment for duodenal ulcer associated with Helicobacter pylori infection. The eradication of bismuth-based triple therapy with bismuth subcitrate, metronidazole and amoxicillin is limited by low compliance, drug resistance and side-effects. Two-week proton pump inhibitor (PPI)-based triple therapy has a higher eradication rate but is costly. This study was designed to compare the efficacy, patient compliance and cost of short-term PPI-based triple therapy with those of bismuth-based triple therapy. METHODS: Ninety patients with active duodenal ulcer disease and H pylori infection, proven with the 13C-urea breath test and CLO test (Campylobacter-like organism test) were treated randomly in three therapeutic groups: Group A, DeNol 120 mg, amoxicillin 500 mg and metronidazole 250 mg four times a day orally for 14 days; Group B, omeprazole 20 mg plus clarithromycin 500 mg twice a day and amoxicillin 500 mg four times a day for 14 days; Group C, omeprazole 20 mg, clarithromycin 250 mg and metronidazole 500 mg twice a day for seven days. Nizatidine 150 mg twice a day was given continuously following the end of anti-H pylori therapy for each group. Two months later, endoscopy, the CLO test and 13C-urea breath test were repeated to assess the eradication rate of H pylori and the ulcer-healing rate. Drug tolerance was evaluated by patients themselves by daily recording of any side-effects. RESULTS: Eighty-four patients completed the entire course of therapy and evaluation for H pylori infection. The H pylori eradication rates in Groups A, B and C were 75% (21/28), 93% (26/28) and 89% (25/28), respectively (p = 0.466). The ulcer healing rate was 86% (24/28) in Group A and 89% (25/28) in Groups B and C (p = 0.764). A total of 74 patients (88%) were free from symptoms at the end of the triple therapy. Symptom relief was faster in patients with PPI-based triple therapy (Groups B and C) (days 3 and 4) than for patients with bismuth-based triple therapy (day 5). The cost of Group C therapy was lower than that for Groups A and B. There were no major side-effects in any of the patients. CONCLUSIONS: One-week triple therapy with omeprazole, clarithromycin and metronidazole is highly effected for the eradication of H pylori. A therapeutic regime of one week's duration with lower cost, good compliance and mild side-effects may offer a good choice for treatment of duodenal ulcer associated with H pylori infection in clinical practice.     

New nonsteroidal androgen receptor modulators based on 4-(trifluoromethyl)-2(1H)-pyrrolidino[3,2-g] quinolinone

Typhoid fever is often associated with abnormal liver biochemical tests, but severe hepatic involvement with a clinical feature of acute hepatitis is a rare complication. There have been more than 150 cases of salmonella hepatitis reported from both developed and developing countries. The documented incidence varies widely from less than 1% to 26% patients with enteric fever. The possible associated factors for development of salmonella hepatitis are virulence of the organisms, delayed treatment and poor general health of the patients. The pathogenesis of severe hepatic involvement in salmonella infection may be multifactorial and includes endotoxin, local inflammatory and/or host immune reactions. Clinical jaundice in salmonella hepatitis usually occurs within the first 2 weeks of the febrile illness. Hepatomegaly and moderate elevation of transaminase levels are common findings. Extreme hepatic dysfunction with hepatic encephalopathy is a rare coexisting complication in salmonella hepatitis. A positive culture for salmonella from blood or stool is essential to differentiate salmonella hepatitis from other causes of acute hepatitis. Hepatic pathology is characterized by the presence of typhoid nodules with marked hyperplasia of reticuloendothelial cells. The prognosis is usually good as salmonella hepatitis responds well to a specific antibiotic therapy and juandice resolves with clinical improvement. The clinical course can be severe with a mortality rate as high as 20%, particularly with delayed treatment or in patients with other complications of salmonella infection. As enteric fever is a common infection, the recognition of salmonella hepatitis is of clinical importance.     

Two-dimensional ultrasonic tomography in nondestructive evaluation by using area functions

It is shown that the (normalized) area function based on the Born approximation offers a simple connection between the ultrasonic scattering response and the monochromatic ray sum in X-ray CT (computerized tomography). Because of this simple association, it is possible to apply the ultrasonic signals in the computationally direct and efficient parallel-beam X-ray CT algorithm to reproduce the vertical thickness function of an ultrasonic scatterer. The development of this imaging methodology is demonstrated for flaws of simple geometry; theoretical as well as experimental results for two model scatterers using this imaging technique are reported. Specifically, the area functions for a two-to-one spheroid and a circular cylinder are calculated and applied to a filtered backprojection algorithm of X-ray CT to obtain the vertical thickness function images. These images are then compared with the true vertical thickness functions of the targets based on their geometry. With theoretical data, this method was found to work very well. Even when experimental data containing creeping waves were used, the method produced satisfactory results for objects with continuously smooth surface.     

Support NNEF execution model for NNAPI

The Journal of Supercomputing - With growing applications such as image recognition, speech recognition, ADAS, and AIoT, artificial intelligence (AI) frameworks are becoming popular in various...     

Smart remote-controller designed with combining speech-recognition microprocessor and wireless sensor networks

Microsystem Technologies - The objective of this study was to design a smart remote-controller combining with speech-recognition and self-learning function Module and blue-tooth wireless sensor...     

Growing Self-Organizing Map with cross insert for mixed-type data clustering

Self-Organizing Map (SOM) possesses effective capability for visualizing high-dimensional data. Therefore, SOM has numerous applications in visualized clustering. Many growing SOMs have been proposed to overcome the constraint of having a fixed map size in conventional SOMs. However, most growing SOMs lack a robust solution to process mixed-type data which may include numeric, ordinal and categorical values in a dataset. Moreover, the growing scheme has an impact on the quality of resultant maps. In this paper, we propose a Growing Mixed-type SOM (GMixSOM), combining a value representation mechanism distance hierarchy with a novel growing scheme to tackle the problem of analyzing mixed-type data and to improve the quality of the projection map. Experimental results on synthetic and real-world datasets demonstrate that the proposed mechanism is feasible and the growing scheme yields better projection maps than the existing method.     

Thermal and dielectric properties of zirconyl phosphate compact

Experimental results are presented on the measurements of thermal expansion (up to 1500°C), thermal conductivity (up to 1000°C), dielectric constant (up to 450 °C) and tan (up to 800 °C) of zirconyl phosphate compacts obtained by sintering at 1600°C. The thermal expansion coefficient of the samples at the temperature below 1100°C was less than 1.7 × 10^–6°C^–1. The samples showed a definite shrinkage at temperatures of 1110 and 1470°C due to the phase transformations. The expansion at 1500°C was less than that at 1100°C probably because of the phase transformation. The thermal conductivity at room temperature was a very small value (0.0046 to 0.0065 cal s^–1 cm°C^–1 cm^–2). The dielectric constant was close to 9. The value of tan° (–0.0001) measured is one of the lowest values for ceramic materials.     

Photothermal radiometric detection and imaging of surface cracks

This paper discusses surface crack detection by photothermal radiometric imaging (PRI). In PRI, also called dynamic infrared scanning, a surface is scanned with a spot of heat. Imperfections are detected by radiometrically sensing changes in the surface temperature of a small area in the vicinity of this spot. In the work described, cracks narrower than 25 µm (0.001 in.) in a lightly rusted steel surface have been detected. Indiscrete scanning an amplitude modulated heating beam is moved in steps, remaining at each location long enough to measure amplitude and phase of the AC temperature. Incontinuous scanning a constant intensity heating beam is moved continuously while the temperature deviations are measured. This paper presents methods of calculating amplitude and phase of surface temperature for discrete scanning and instantaneous temperature for continuous scanning across a surface crack. For a steel surface scanned by a watt-level laser beam, predicted surface temperature deviations when crossing the crack are several degrees Celsius, with expected radiometrically detected power several orders of magnitude above the detector noise. In experiments performed, both techniques easily detected narrow cracks in a smooth, clean surface. Discolorations and pits, on the other hand, generate a disturbing type of surface noise. This noise was minimized by differential detection. Based on results obtained, continuously scanned PRI with a fan-type heating beam and array detection could become a viable way of mapping surface cracks at practical scanning speeds.     

Copper Assisted Inverted Pyramids Texturization of Monocrystalline Silicon in a Nitrogen Bubbling Bath for Highly Efficient Light Trapping

Silicon - Inverted pyramid (IP) texturization on silicon wafers has recently attracted attention for the structure’s light trapping ability and low specific surface area. The later property...