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Treatment of Helicobacter pylori with potassium competitive acid blockers:A systematic review and meta-analysis

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World Journal of Gastroenterology 2024年第9期30卷 1213-1223页

作者： Joseph edwin Kanu Jonathan Soldera Post Graduate Program at Acute medicine and Gastroenterology University of South WalesCardiff CF371DLUnited Kingdom

BACKGROUND Helicobacter pylori(***)infects over half the global population,causing gastrointestinal diseases like dyspepsia,gastritis,duodenitis,peptic ulcers,GmALT lymphoma,and gastric *** *** is crucial for treating and preventing these *** conventional proton pump inhibitor(PPI)-based triple therapy is effective,there’s growing interest in longer acid suppression *** competitive acid blocker(P-CAB)triple and dual therapy are new regimens for *** *** used in Asian populations,vonoprazan(VPZ)has been recently Food and Drug Administration-approved for *** *** To assess the efficacy of regimens containing P-CABs in eradicating *** *** This study,following PRISmA 2020 guidelines,conducted a systematic review and meta-analysis by searching mEDLINE and Scopus libraries for randomized clinical trials(RCTs)or observational studies with the following command:[("Helicobacter pylori"OR"H pylori")AND("Treatment"OR"Therapy"OR"Eradication")AND("Vonaprazan"OR"Potassium-Competitive Acid Blocker"OR"P-CAB"OR"PCAB"OR"Revaprazan"OR"Linaprazan"OR"Soraprazan"OR"Tegoprazan")].Studies comparing the efficacy of P-CABs-based treatment to classical PPIs in eradicating *** were *** criteria included case reports,case series,unpublished trials,or conference *** variables encompassed age,diagnosis method,sample sizes,study duration,intervention and control,and *** eradication method were gathered by two independent ***-analysis was performed in R software,and forest plots were *** A total of 256 references were initially retrieved through the search ***,fifteen studies(7 RCTs,7 retrospective observational studies,and 1 comparative unique study)were included,comparing P-CAB triple therapy to PPI triple *** intention-to-treat analysis involved 8049 patients,with 4471 in the P-CAB intervention g

关键词： Helicobacter pylori infection Potassium competitive acid blockers Proton pump inhibitors Vonoprazan Amoxicillin

Basis for the diversity and extent in loss of digestible nutrients created by dietary phytin: Emphasis on fowl and swine

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动物营养学报 2024年第1期16卷 422-428页

作者： edwin T. moran michael R. Bedford Poultry Science Department Auburn University AL 36830-5416 USA AB Vista Woodstock Court Blenheim Road Marlborough Wiltshire SN8 4AN UK

Phytin is the Ca 2+ -mg 2+ -K + salt of phytic acid that is created and deposited in the aleurone layer and/or germ of grains and legumes. Its high presence in feedstuffs for fowl and swine diets results in it being a universal and significant impediment to optimum performance. Phytin impairs gastrointestinal recovery of a wide array of nutrients, the effect varying with the nutrient concerned. On exposure to low pH during gastric digestion, phytin dissociates into phytic acid and solubilized Ca 2+ . Even at low gastric pH, phytic acid is negatively charged which forms the basis of its anti-nutritive behavior. Pepsinogen has extensive basic amino acids on its activation peptide that are presented as cations at low pH which are targeted by pepsin for activation. Partially crystalized Ca 2+ near the enzyme's active site further stabilizes its newly formed structure. Thus, phytic acid appears to interfere with gastric digestion by several mechanisms; interfering with pepsinogen activation by binding to the polypeptide's basic amino acids; coordinating free Ca 2+ , destabilizing pepsin; binding some dietary proteins directly, further compromising gastric proteolysis. Upon digesta attaining neutrality in the duodenum, Ca 2+ and other cations re-bind with accessible anions, phytic acid being a significant contender. Phytate not only binds free cations but can also strip them from enzymes (e.g. Ca 2+ , Zn 2+ ) which reduces their structural resistance to autolysis and ability as co-factors (e.g. Zn 2+ ) to increase enzyme activity. Goblet cells initially employ Ca 2+ as an electronic shield between mucin layers enabling granule formation and cell storage. After mucin granule release, Ca 2+ is progressively displaced by Na + to free the viscous mucins enabling its translocation. mucin entangles with the glycocalyx of adjacent enterocytes thereby constructing the unstirred water layer (USWL). Excessive removal of Ca 2+ from mucin by phytic acid increases its fluidity facilit

关键词： Digestive enzyme Calcium Endogenous protein mucin Phytin

modelling and Characterization of Basalt/Vinyl Ester/SiC micro-and Nano-hybrid Biocomposites Properties Using Novel ANN–GA Approach

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Journal of Bionic Engineering 2024年第2期21卷 938-952页

作者： Yesudhasan Thooyavan Lakshmi Annamali Kumaraswamidhas Robinson Dhas edwin Raj Joseph Selvi Binoj Bright Brailson mansingh Antony Sagai Francis Britto Alamry Ali Department of mechanical Engineering Indian Institute of Technology Dhanbad(ISM)DhanbadJharkhand826004India Gati Shakti Vishwavidyalaya(GSV-A Central University Funded By GoI in the ministry of Railways) LalbaugVadodaraGujarat390004India Institute of mechanical Engineering Saveetha School of EngineeringSaveetha Institute of Medical and Technical Sciences(SIMATS)Saveetha UniversityChennaiTamilnadu602105India metal Joining Research Centre Department of Mechanical EngineeringSri Ramakrishna Engineering CollegeCoimbatoreTamilnadu641022India Department of mechanical Engineering Rohini College of Engineering and TechnologyPalkulamTamil Nadu629401India Department of mechanical Engineering College of Engineering in Al-KharjPrince Sattam Bin Abdulaziz University11942Al-KharjSaudi Arabia

Basalt fiber reinforcement in polymer matrix composites is becoming more and more popular because of its environmental friendliness and mechanical qualities that are comparable to those of synthetic *** fiber strengthened vinyl ester matrix polymeric composite with filler addition of nano-and micro-sized silicon carbide(SiC)element spanning from 2 weight percent to 10 weight percent was studied for its mechanical and wear *** application of Artificial Neural Network(ANN)to correlate the filler addition composition for optimum mechanical properties is required due to the non-linear mechanical and tribological features of *** stuffing blend and composition of the composite are optimized using the hybrid model and Genetic Algorithm(GA)to maximize the mechanical and wear-resistant *** predicted and tested ANN–GA optimal values obtained for the composite combination had a tensile,flexural,impact resilience,hardness and wear properties of 202.93 mPa,501.67 mPa,3.460 J/s,43 HV and 0.196 g,respectively,for its optimum combination of filler and *** can be noted that the nano-sized SiC filler particle enhances most of the properties of the composite which diversifies its *** predicted mechanical and wear values of the developed ANN–GA model were in closer agreement with the experimental values which validate the model.

关键词： Hybrid polymer composite Prediction Process modelling Artificial neural networks Genetic algorithm

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Going Beyond Healing

ChinAfrica 2024年第10期16卷 44-45页

作者： edwin NYIRONGO malawi

medical equipment donated by Chinese medical team proves valuable in providing quality health care in *** has been sending medical doctors to provide health services in malawi’s clinics since *** is in line with the ... 详细信息

关键词： doctor medical law

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Tracking Development

ChinAfrica 2024年第5期16卷 42-43页

作者： edwin NYIRONGO 不详

malawi is expected to generate hundreds of jobs,thanks to the railway project China Railway Signal and Communication *** will undertake in the ***’s minister of Transport and Public Works Jacob Hara made the comment after returning from the third Road and Belt Forum for International Cooperation that took place in Beijing in October 2023.

关键词： hundreds law railway

The Origin of Electric Charge in Quantum Gravity

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Journal of modern Physics 2024年第4期15卷 511-535页

作者： edwin Eugene Klingman Cybernetic micro Systems Inc. San Gregorio CA USA

A model fermion has been produced in a theory of quantum gravity that establishes the existence of a mass gap and half-integral spin. The third requirement for the fermion is electric charge. We herein develop a dualism-based analysis that explains the origin of charge at the fermion scale in a primordial field theory of quantum gravity.

关键词： Duality Topology Parallel Transport Particle Genesis Primordial Field Self-Interaction Equations Yang-mills Gravity

Going Digital Clarion Call

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ChinAfrica 2024年第2期16卷 40-41页

作者： edwin NYIRONGO 不详

Rejoice Banda,a student from the University of malawi,sees herself as a digitally transformed person.A student of computer network equipment,she has recently acquired cutting-edge skills related to information and com... 详细信息

关键词： law has she

The Origin of Quarks in Quantum Gravity

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Journal of modern Physics 2024年第8期15卷 1229-1245页

作者： edwin Eugene Klingman Cybernetic micro Systems Inc. San Gregorio USA

A theory of quantum gravity has recently been developed by the author based on the concept that all forces converge to one at the moment of Creation. This primordial field can only interact with itself, as no other field exists, contrasting with the Standard model of Particle Physics in which each elementary particle is an excitation in its own quantum field. The primordial field theory of quantum gravity has produced a model of a fermion with a mass gap, ½-integral spin, discrete charge, and magnetic moment. The mass gap is based on an existence theorem that is anchored in Yang-mills, while Calabi-Yau anchors ½-integral spin, with charge and magnetic moment based on duality. Based on N-windings, this work is here extended to encompass fractional charge, with the result applied to quarks, yielding fermion mass and charge in agreement with experiment and novel size correlations and a unique quantum gravity-based ontological understanding of quarks.

关键词： Duality Calabi-Yau Topology Fermion Charge Primordial Field Self-Interaction Equations Yang-mills Gravity Quantum Gravity Ontology of Quarks

Calabi-Yau Topology of Primordial Fermions

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Journal of modern Physics 2024年第1期15卷 132-158页

作者： edwin Eugene Klingman Cybernetic micro Systems Inc. San Gregorio CA USA

Quantum field theory creates fermions via abstract operators exciting abstract fields, with a specific field for each type of specific particle. This operator algebra lends itself well to quantum statistics, nevertheless, our physical understanding of this process is nonintuitive at best. In this paper we analyze the creation of fermions from primordial gauge field quantum gravity loops in the context of Calabi-Yau manifold theory. I extend a prior mass-gap treatment based on Yang-mills gauge theory of higher order self-interaction to include the half-integral spin of fermions.

关键词： Calabi-Yau Topology Fermion Spin Particle Genesis Primordial Field Self-Interaction Equations Yang-mills Gravity