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Childhood gastroesophageal reflux disease:A comprehensive review of disease,diagnosis,and therapeutic management 被引量:1
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作者 Daniyal Raza Farhan Mohiuddin +2 位作者 Muhammad Haris Khan Maheen Fawad Syed Musa Raza 《World Journal of Clinical Pediatrics》 2025年第2期38-46,共9页
Gastroesophageal reflux disease(GERD)affects both adults and children,although the symptoms differ significantly between these groups.While adults typically experience heartburn and regurgitation,children may present ... Gastroesophageal reflux disease(GERD)affects both adults and children,although the symptoms differ significantly between these groups.While adults typically experience heartburn and regurgitation,children may present with more subtle signs,such as failure to thrive,chronic cough,wheezing,and Sandifer syn-drome.Diagnosing GERD in children necessitates a multifaceted approach due to the diverse symptomatology and challenges in communication.Clinical assess-ment serves as the cornerstone of diagnosis,supported by tools like pH moni-toring,esophageal impedance testing,and upper gastrointestinal endoscopy.Imaging studies,such as barium swallow,can also provide valuable insights into anatomical abnormalities and the extent of reflux.Treatment strategies for pe-diatric GERD include lifestyle adjustments,pharmacotherapy,and,in severe cases,surgical interventions.Lifestyle adjustments may involve changes in fee-ding patterns,positional therapy,and weight management.Pharmacological options range from acid suppression with proton pump inhibitors or histamine-2 receptor antagonists to surgical procedures like fundoplication for refractory cases.Personalized management is essential,considering the child’s age,sym-ptom severity,and the presence of complications.This article aims to offer a comprehensive understanding of pediatric GERD by utilizing current research to enhance clinical approaches and improve patient outcomes. 展开更多
关键词 Pediatric gastroesophageal reflux disease Gastroesophageal reflux disease Childhood reflux Gastroesophageal reflux disease diagnosis Gastroesophageal reflux disease management Pediatric gastrointestinal disorders©The Author(s)2025.Published
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Construction of a Maritime Knowledge Graph Using GraphRAG for Entity and Relationship Extraction from Maritime Documents 被引量:1
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作者 Yi Han Tao Yang +2 位作者 Meng Yuan Pinghua Hu Chen Li 《Journal of Computer and Communications》 2025年第2期68-93,共26页
In the international shipping industry, digital intelligence transformation has become essential, with both governments and enterprises actively working to integrate diverse datasets. The domain of maritime and shippi... In the international shipping industry, digital intelligence transformation has become essential, with both governments and enterprises actively working to integrate diverse datasets. The domain of maritime and shipping is characterized by a vast array of document types, filled with complex, large-scale, and often chaotic knowledge and relationships. Effectively managing these documents is crucial for developing a Large Language Model (LLM) in the maritime domain, enabling practitioners to access and leverage valuable information. A Knowledge Graph (KG) offers a state-of-the-art solution for enhancing knowledge retrieval, providing more accurate responses and enabling context-aware reasoning. This paper presents a framework for utilizing maritime and shipping documents to construct a knowledge graph using GraphRAG, a hybrid tool combining graph-based retrieval and generation capabilities. The extraction of entities and relationships from these documents and the KG construction process are detailed. Furthermore, the KG is integrated with an LLM to develop a Q&A system, demonstrating that the system significantly improves answer accuracy compared to traditional LLMs. Additionally, the KG construction process is up to 50% faster than conventional LLM-based approaches, underscoring the efficiency of our method. This study provides a promising approach to digital intelligence in shipping, advancing knowledge accessibility and decision-making. 展开更多
关键词 Maritime Knowledge Graph GraphRAG Entity and Relationship extraction Document Management
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Review on micro-mechanism of forming emulsification during rare earth extraction by acidic extractants 被引量:2
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作者 Jie Liu Yuxiu Zhao +6 位作者 Zhirong Wang Minghui Jia Wenxiang Xia Guizhi Wu Wenda Guo Ru'an Chi Kun Huang 《Journal of Rare Earths》 2025年第1期9-20,I0001,共13页
Solvent extraction is the main method used to separate and purify rare earth elements.In the process of rare earths extraction,emulsification often generated due to the instability of the aqueous and organic phases or... Solvent extraction is the main method used to separate and purify rare earth elements.In the process of rare earths extraction,emulsification often generated due to the instability of the aqueous and organic phases or improper operating conditions.Once emulsification occurs,it would not only lead to low rare earths recovery efficiency,small product quantities,high production costs and the losing of extractant and rare earth resources,but also result in serious environmental pollution.Therefore,it is very important to study the micro-mechanisms of emulsification and establish new methods to prevent emulsification at the source.In this paper,possible factors resulting in emulsification,such as the compositions and properties of the organic and aqueous phases,the operating conditions of the rare earths extraction are reviewed.The micro-mechanisms of emulsification are summarized basing on the microscopic structures in the bulk phase,aggregations of the extractants at the organic-aqueous interface,spectral characterizations and computational simulations.On this basis,new formation mechanisms are proposed for emulsification.Preliminary explorations are employed to verify the correctness of these new viewpoints.Finally,future directions for studies of the emulsification micro-mechanism are proposed.This study provides a theoretical basis for further understanding the micro-mechanisms of interfacial instability resulting in emulsification in the process of rare earths extraction. 展开更多
关键词 extraction Rare earths EMULSIFICATION Mechanism Interface
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Unveiling the intricacies:Insight into gastroesophageal reflux disease
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作者 Nilanka Wickramasinghe Niranga Manjuri Devanarayana 《World Journal of Gastroenterology》 SCIE CAS 2025年第1期24-41,共18页
Gastroesophageal reflux disease(GERD)poses a substantial global health challenge,with prevalence rates exhibiting geographical variation.Despite its widespread recognition,the exact prevalence and associated risk fact... Gastroesophageal reflux disease(GERD)poses a substantial global health challenge,with prevalence rates exhibiting geographical variation.Despite its widespread recognition,the exact prevalence and associated risk factors remain elusive.This article comprehensively analyzed the global burden of GERD,shedding light on its risk factors,underlying pathophysiological mechanisms,current diagnostic modalities,evolving management strategies tailored to diverse patient profiles,and complex determinants contributing to treatment failures.A deeper comprehension of GERD is achieved by dissecting these intricate facets,paving the way for enhanced clinical management and improved patient outcomes. 展开更多
关键词 Gastroesophageal reflux disease Risk factors Pathophysiological mechanisms DIAGNOSIS MANAGEMENT
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Hewei Jiangni recipe(和胃降逆方)improved the quality of life in patients with cold-heat mixed nonerosive reflux disease:a randomized,double-blinded study 被引量:1
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作者 ZHANG Xiaosi ZHANG Shuangyuan +4 位作者 CHEN Hanqing LIN Zhengdao XIE Chune LI Junxiang LI Xiaohong 《Journal of Traditional Chinese Medicine》 2025年第5期1106-1118,共13页
OBJECTIVE:To evaluate the safety and efficacy of Hewei Jiangni recipe(和胃降逆方,HWJNR)for treating nonerosive gastroesophageal reflux(NERD)with cold-heat complex syndrome and to clarify its mechanism based on correla... OBJECTIVE:To evaluate the safety and efficacy of Hewei Jiangni recipe(和胃降逆方,HWJNR)for treating nonerosive gastroesophageal reflux(NERD)with cold-heat complex syndrome and to clarify its mechanism based on correlation analyses of intestinal flora and metabolites.METHODS:Seventy-two patients with NERD and the Traditional Chinese Medicine(TCM)syndrome of intermingled heat and cold were randomly assigned to either the TCM group or the Western Medicine group,each receiving 8 weeks of treatment.The primary outcome was the score of the gastroesophageal reflux disease questionnaire(GERD-Q).Additionally,10 healthy individuals were recruited.Mechanistic outcomes included correlation analyses of intestinal flora and metabolites in healthy individuals and NERD participants before and after treatment.RESULTS:After 8 weeks,the effectiveness rate was 90%in the TCM group and 86.67%in the Western Medicine group(P>0.05).Compared with omeprazole,the TCM group significantly improved quality of life and alleviated symptoms such as loss of appetite,fatigue,bowel sounds,and coldness in the hands and feet(P<0.05).Dysregulation of intestinal flora and metabolic pathways in NERD patients was restored to balance after TCM treatment,which appeared related to the TCM regulation of"cold and heat disorders."CONCLUSION:HWJNR was clinically as effective as omeprazole and demonstrated advantages in improving quality of life. 展开更多
关键词 non-erosive gastroesophageal reflux disease randomized controlled trial Hewei Jiangni recipe Chinese herbal medicine gut microbiota
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Hewei Jiangni granule(和胃降逆颗粒)alleviates visceral hypersensitivity of non-erosive reflux disease via stromal interaction molecule 1/transient receptor potential vanilloid subfamily member 1 pathway 被引量:1
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作者 CHENG Yuan ZHANG Xiaosi +6 位作者 LI Junxiang ZHANG Liming DAI Yi XIE Chune SHI Lei LI Xiaohong KOU Fushun 《Journal of Traditional Chinese Medicine》 2025年第1期1-12,共12页
OBJECTIVE:To explore if Hewei Jiangni granule(和胃降逆颗粒,HWJNG)could regulate esophageal hypersensitivity via stromal interaction molecule 1(STIM1)/transient receptor potential vanilloid subfamily member 1(TRPV1)pat... OBJECTIVE:To explore if Hewei Jiangni granule(和胃降逆颗粒,HWJNG)could regulate esophageal hypersensitivity via stromal interaction molecule 1(STIM1)/transient receptor potential vanilloid subfamily member 1(TRPV1)pathway.METHODS:Qualitative analysis of HWJNG was analysis by high performance of liquid and gas chromatography.In vivo,animal model of non-erosive reflux disease(NERD)was established by fructose intake and restraint stress.HWJNG and Omeprazole were administered by gavage to the drug intervention group.Reflux and visceral hypersensitivity were analyzed by pathological changes,PH value test,mechanical paw withdrawal threshold,thermal withdrawal latency and mast cells(MCs)degranulation.In vitro,substance P(SP)-induced P815 cells and dorsal root ganglion(DRG)cells were cocultured.Expression in both mice and cells of STIM1,TRPV1,and esophageal visceral hypersensitivity-related gastrointestinal neurochemicals were validated by enzyme linked immunosorbent assays,quantitative realtime polymerase chain reaction(qRT-PCR)and Western blot.Moreover,overexpression and small interfering RNA against STIM1 were utilized to verify of the role of HWJNG in DRG cells.RESULTS:HWJNG significantly suppressed intercellular space widening,injury of mitochondrial,MCs degranulation,mechanical allodynia and heat neuropathic sensory and increased pH value of esophageal mucosa in NERD mice.HWJNG inhibited expression of visceral hypersensitivityrelated gastrointestinal neurochemicals in esophageal mucosa and activated P815 cells,and expression of the STIM1,TRPV1 and related neurotransmitters in DRG and DRG cells.STIM1 siRNA and HWJNG both reduced P815 cells adhesion to DRGs cells and Ca2+flow into the cytoplasmic space of DRG cells.Furthermore,HWJNG could reversed STIM1 overexpression induced upregulation of TRPV1.CONCLUSION:HWJNG suppressed intercellular space widening in NERD mice,stabilized MCs and restored neuronal hyperexcitability by regulating visceral hypersensitivity via STIM1/TRPV1 pathway. 展开更多
关键词 non-erosive reflux disease visceral hypersensitivity stromal interaction molecule 1 transient receptor potential channels Hewei Jiangni granule
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Effects of ultrasonic-assisted extraction on bioactive compounds,volatile flavors and antioxidant activities of vine tea water extracts
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作者 Xiao-Long Zhou Wei-Jin Jiang +2 位作者 Ji Yu Mao-Jun Yao Yun-Tong Li 《Traditional Medicine Research》 2025年第1期73-81,共9页
Background:Ampelopsis grossedentata,vine tea,which is the tea alternative beverages in China.In vine tea processing,a large amount of broken tea is produced,which has low commercial value.Methods:This study investigat... Background:Ampelopsis grossedentata,vine tea,which is the tea alternative beverages in China.In vine tea processing,a large amount of broken tea is produced,which has low commercial value.Methods:This study investigates the influence of different extraction methods(room temperature water extraction,boiling water extraction,ultrasonic-assisted room temperature water extraction,and ultrasonic-assisted boiling water extraction,referred to as room temperature water extraction(RE),boiling water extraction(BE),ultrasonic assistance at room temperature water extraction(URE),and ultrasonic assistance in boiling water extraction(UBE))on the yield,dihydromyricetin(DMY)content,free amino acid composition,volatile aroma components,and antioxidant properties of vine tea extracts.Results:A notable influence of extraction temperature on the yield of vine tea extracts(P<0.05),with BE yielding the highest at 43.13±0.26%,higher than that of RE(34.29±0.81%).Ultrasound-assisted extraction significantly increased the DMY content of the extracts(P<0.05),whereas DMY content in the RE extracts was 59.94±1.70%,that of URE reached 66.14±2.78%.Analysis revealed 17 amino acids,with L-serine and aspartic acid being the most abundant in the extracts,nevertheless ultrasound-assisted extraction reduced total free amino acid content.Gas chromatography-mass spectrometry analysis demonstrated an increase in the diversity and quantity of compounds in the vine tea water extracts obtained through ultrasonic-assisted extraction.Specifically,69 and 68 volatile compounds were found in URE and UBE extracts,which were higher than the number found in RE and BE extracts.In vitro,antioxidant activity assessments revealed varying antioxidant capacities among different extraction methods,with RE exhibiting the highest DPPH scavenging rate,URE leading in ABTS•+free radical scavenging,and BE demonstrating superior ferric ion reducing antioxidant activity.Conclusion:The findings suggest that extraction methods significantly influence the chemical composition and antioxidant properties of vine tea extracts.Ultrasonic-assisted extraction proved instrumental in elevating the DMY content in vine tea extracts,thereby enriching its flavor profile while maintaining its antioxidant properties. 展开更多
关键词 vine tea DIHYDROMYRICETIN ultrasonic-assisted extraction volatile aroma components
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Bile Reflux Gastritis: A Comprehensive Review
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作者 Saeed Alzubide Shakir Bakkari 《Open Journal of Gastroenterology》 2025年第2期35-50,共16页
Bile reflux gastritis (BRG) is a gastro-intestinal condition especially characterized by the reflux of bile into the stomach, further leading to mucosal inflammation along with various other clinical manifestations. D... Bile reflux gastritis (BRG) is a gastro-intestinal condition especially characterized by the reflux of bile into the stomach, further leading to mucosal inflammation along with various other clinical manifestations. Despite its increasing recognition, BRG remains understudied, with limited understanding of its epidemiology, pathophysiology, and optimal therapeutic strategies. Present narrative review aimed to comprehensively examine the available literature on BRG, focusing on its prevalence, risk factors, pathophysiology, clinical presentation, diagnostic modalities, and available therapeutic strategies. A comprehensive literature search was conducted using PubMed, Embase, Google Scholar and Cochrane databases. Relevant studies were included based on predefined inclusion and exclusion criteria. A narrative synthesis was conducted to summarize and interpret the findings. The prevalence of BRG remains uncertain due to diagnostic challenges. Risk factors include impaired gastrointestinal motility, sphincteric dysfunction (pyloric sphincter and the lower oesophageal sphincter), biliary tract disease, and certain medications. The pathophysiology involves bile acid-induced mucosal injury, inflammation, and impaired gastric defence mechanisms. Clinical manifestations are often nonspecific. Diagnostic modalities primarily include endoscopy and bile acid reflux testing. Management strategies encompass lifestyle modifications, medical therapy, and in severe cases, surgery. BRG is a complex condition with significant clinical implications. Further research is needed to refine diagnostic criteria, elucidate pathophysiological mechanisms, and develop effective therapeutic interventions. Addressing knowledge gaps in epidemiology, risk factors, and long-term outcomes is crucial for improving patient care. 展开更多
关键词 Bile reflux Gastritis BRG PREVALENCE Risk Factors PATHOPHYSIOLOGY DIAGNOSIS Treatment Management
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Effects of Ultrasound-Assisted Alkaline Extraction on the Structural and Emulsifying Properties of Chickpea Protein Isolate
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作者 ZHANG Yixue YANG Qing +4 位作者 CHENG Teng ZHENG Ruihan MA Wuchao HE Xiangli LI Ke 《食品科学》 北大核心 2025年第19期236-247,共12页
This study aimed to investigate the effect of ultrasound-assisted alkaline extraction(UAE)(at 20 kHz and different powers of 0,200,300,400,500 and 600 W for 10 min)on the yield,structure and emulsifying properties of ... This study aimed to investigate the effect of ultrasound-assisted alkaline extraction(UAE)(at 20 kHz and different powers of 0,200,300,400,500 and 600 W for 10 min)on the yield,structure and emulsifying properties of chickpea protein isolate(CPI).Compared with the non-ultrasound group,ultrasound treatment at 400 W resulted in the largest increase in CPI yield,and both the particle size and turbidity decreased with increasing ultrasound power from 0 to 400 W.The scanning electron microscope results showed a uniform structural distribution of CPI.Moreover,itsα-helix content increased,β-sheet content decreased,and total sulfhydryl group content and endogenous fluorescence intensity rose,illustrating that UAE changed the secondary and tertiary structure of CPI.At 400 W,the solubility of the emulsion increased to 63.18%,and the best emulsifying properties were obtained;the emulsifying activity index(EAI)and emulsifying stability index(ESI)increased by 85.42%and 46.78%,respectively.Furthermore,the emulsion droplets formed were smaller and more uniform.In conclusion,proper UAE power conditions increased the extraction yield and protein content of CPI,and effectively improved its structure and emulsifying characteristics. 展开更多
关键词 CHICKPEA ULTRASOUND extraction yield protein structure functional properties
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Joint Feature Encoding and Task Alignment Mechanism for Emotion-Cause Pair Extraction
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作者 Shi Li Didi Sun 《Computers, Materials & Continua》 SCIE EI 2025年第1期1069-1086,共18页
With the rapid expansion of social media,analyzing emotions and their causes in texts has gained significant importance.Emotion-cause pair extraction enables the identification of causal relationships between emotions... With the rapid expansion of social media,analyzing emotions and their causes in texts has gained significant importance.Emotion-cause pair extraction enables the identification of causal relationships between emotions and their triggers within a text,facilitating a deeper understanding of expressed sentiments and their underlying reasons.This comprehension is crucial for making informed strategic decisions in various business and societal contexts.However,recent research approaches employing multi-task learning frameworks for modeling often face challenges such as the inability to simultaneouslymodel extracted features and their interactions,or inconsistencies in label prediction between emotion-cause pair extraction and independent assistant tasks like emotion and cause extraction.To address these issues,this study proposes an emotion-cause pair extraction methodology that incorporates joint feature encoding and task alignment mechanisms.The model consists of two primary components:First,joint feature encoding simultaneously generates features for emotion-cause pairs and clauses,enhancing feature interactions between emotion clauses,cause clauses,and emotion-cause pairs.Second,the task alignment technique is applied to reduce the labeling distance between emotion-cause pair extraction and the two assistant tasks,capturing deep semantic information interactions among tasks.The proposed method is evaluated on a Chinese benchmark corpus using 10-fold cross-validation,assessing key performance metrics such as precision,recall,and F1 score.Experimental results demonstrate that the model achieves an F1 score of 76.05%,surpassing the state-of-the-art by 1.03%.The proposed model exhibits significant improvements in emotion-cause pair extraction(ECPE)and cause extraction(CE)compared to existing methods,validating its effectiveness.This research introduces a novel approach based on joint feature encoding and task alignment mechanisms,contributing to advancements in emotion-cause pair extraction.However,the study’s limitation lies in the data sources,potentially restricting the generalizability of the findings. 展开更多
关键词 Emotion-cause pair extraction interactive information enhancement joint feature encoding label consistency task alignment mechanisms
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Optimization of lithium extraction solar pond in Zabuye Salt Lake: Theoretical calculation combined with field experiments 被引量:1
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作者 Tao Ding Zhen Nie +6 位作者 Qian Wu Jiang-jiang Yu Ling-zhong Bu Yun-sheng Wang En-yuan Xing Mian-ping Zheng Yu-bin Li 《China Geology》 2025年第1期26-38,共13页
This research optimized the structure of lithium extraction solar ponds to enhance the crystallization rate and yield of Li_(2)CO_(3).Using the response surface methodology in Design-Expert 10.0.3,the authors conducte... This research optimized the structure of lithium extraction solar ponds to enhance the crystallization rate and yield of Li_(2)CO_(3).Using the response surface methodology in Design-Expert 10.0.3,the authors conducted experiments to investigate the influence of four factors related to solar pond structure on the crystallization of Li_(2)CO_(3) and their pairwise interactions.Computational Fluid Dynamics(CFD)simulations of the flow field within the solar pond were performed using COMSOL Multiphysics software to compare temperature distributions before and after optimization.The results indicate that the optimal structure for lithium extraction from the Zabuye Salt Lake solar ponds includes UCZ(Upper Convective Zone)thickness of 53.63 cm,an LCZ(Lower Convective Zone)direct heating temperature of 57.39℃,a CO32−concentration of 32.21 g/L,and an added soda ash concentration of 6.52 g/L.Following this optimized pathway,the Li_(2)CO_(3) precipitation increased by 7.34% compared to the initial solar pond process,with a 33.33% improvement in lithium carbonate crystallization rate.This study demonstrates the feasibility of optimizing lithium extraction solar pond structures,offering a new approach for constructing such ponds in salt lakes.It provides valuable guidance for the efficient extraction of lithium resources from carbonate-type salt lake brines. 展开更多
关键词 Salt lake Solar pond Lithium extraction Crystallization rate Box-Behnken Computational fluid dynamics Response surface Zabuye salt lake Mineral exploration engineering
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Real-world-evidence,prospective-observational study to evaluate safety and effectiveness of rabeprazole dual-delayed-release capsules in patients with gastroesophageal reflux disease
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作者 Parimal Lawate Virender Chauhan +7 位作者 Lingampalli Rajendra Prasad Abhimanrao Pawar Atul G Puranik Alok Bansal Abhiram Koganti Ashok Jaiswal Pranali Puradkar Kunal Jhaveri 《World Journal of Gastrointestinal Pharmacology and Therapeutics》 2025年第1期37-45,共9页
BACKGROUND Abnormal gastric acid reflux into the esophagus causes symptoms of gastroeso-phageal reflux disease(GERD)such as heartburn and regurgitation and also leads to mucosal damage.This damage can further lead to ... BACKGROUND Abnormal gastric acid reflux into the esophagus causes symptoms of gastroeso-phageal reflux disease(GERD)such as heartburn and regurgitation and also leads to mucosal damage.This damage can further lead to complications such as Bar-rett’s esophagus and esophagitis.Conventional proton pump inhibitors(PPIs)often fail to reduce nocturnal acid production,leaving patients with unresolved symptoms that worsen at night and decreased satisfaction.Happi ER,a novel dual delayed-release(DDR)formulation of rabeprazole,aims to address these limitations by providing both immediate and prolonged acid suppression.AIM To evaluate the safety and effectiveness of rabeprazole DDR 20 mg capsule in patients with GERD.METHODS This study involved a multicenter,real-world,prospective,observational design over an eight-week period.A total of 1022 GERD patients were treated with rabeprazole DDR 20 mg capsules(Happi ER),as prescribed by their physicians.We included adult patients with confirmed GERD and persistent heartburn symptoms despite prior PPI use.Outcome measures included heartburn severity,frequency of night-time awakenings,use of rescue medications,and overall patient satisfaction.RESULTS Rabeprazole DDR 20 mg capsules(Happi ER)were shown to be highly effective in treating GERD symptoms.At the end of the study,the mean heartburn score improved significantly from 2.46±0.67 at baseline to 0.16±0.39(P<0.0001).The median number of night-time awakenings decreased to 0(P<0.0001).More than 93%of patients rated the therapy as“excellent”or“very good”,reflecting high satisfaction.No significant adverse effects were reported,and the safety profile was comparable to that of traditional PPIs.CONCLUSION By providing both rapid and sustained acid suppression,Happi ER effectively treats GERD,particularly with respect to night-time symptoms.Its safety and efficacy profile make it a viable option for individuals with mild-to-moderate GERD,significantly improving the quality of life and symptom management. 展开更多
关键词 Gastroesophageal reflux disease HEARTBURN Acid reflux RABEPRAZOLE Dual delayed-release
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Effect of comorbid gastroesophageal reflux disease on laryngopharyngeal reflux disease:Clinical characteristics and risk factors
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作者 Dan-Dan Xu 《World Journal of Gastrointestinal Surgery》 2025年第9期227-233,共7页
BACKGROUND Research thoroughly examining how gastroesophageal reflux disease(GERD)affects clinical presentations in patients with laryngopharyngeal reflux disease(LPRD)and exploring the associated triggers is limited.... BACKGROUND Research thoroughly examining how gastroesophageal reflux disease(GERD)affects clinical presentations in patients with laryngopharyngeal reflux disease(LPRD)and exploring the associated triggers is limited.AIM To investigate the effect of comorbid GERD on the clinical characteristics of patients with LPRD and determine risk contributors.METHODS In total,150 patients with LPRD admitted between October 2022 and October 2024 were divided into the GERD(n=74)or non-GERD(n=76)group based on their comorbid GERD status.The clinical data collected included age,sex,body mass index(BMI),marital status,smoking,alcohol consumption,and eating habits in the 3-hour window before sleep.The following reflux-related symptoms were recorded:(1)Hoarseness/voice disorders;(2)Persistent throat clearing;(3)Excessive phlegm/postnasal drip;(4)Difficulty swallowing food or water;(5)Postprandial or supine coughing;(6)Breathing difficulties;(7)Bothersome cough;(8)Throat foreign body sensation;(9)Heartburn,chest pain;and(10)Stomach pain.The Reflux Symptom Index(RSI)and Reflux Finding Score(RFS)tools were used.Binary logistic regression identified contributors to GERD in LPRD.RESULTS Compared with the non-GERD group,the GERD group,with a notably higher BMI,included greater proportions of older patients,female patients,smokers,and alcohol users and a higher prevalence of bothersome cough,heartburn,chest pain,and stomach pain;however,excessive phlegm or postnasal drip was less common.Additionally,patients with LPRD and comorbid GERD had notably higher RSI and RFS scores.Age(P=0.017),sex(P=0.029),smoking(P=0.012),and alcohol consumption(P=0.036)were significant triggers for GERD comorbidity in LPRD.CONCLUSION Comorbid GERD exacerbates clinical manifestations of patients with LPRD.Advanced age,female sex,smoking,and alcohol consumption predispose patients with LPRD to GERD development. 展开更多
关键词 Gastroesophageal reflux disease Laryngopharyngeal reflux disease Clinical characteristics Risk factors Regression analysis
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Physical Determination and Extraction of Annona muricata Seed Oil
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作者 Chioma Don-Lawson Reminus Okah Adele Ruth Chituru 《American Journal of Analytical Chemistry》 2025年第2期15-22,共8页
The physical examination of the fruit of soursop fruit (Annona muricata) selected from different parent trees was investigated. Three-stage modified Soxhlet method was used which includes a percolator (boiler and refl... The physical examination of the fruit of soursop fruit (Annona muricata) selected from different parent trees was investigated. Three-stage modified Soxhlet method was used which includes a percolator (boiler and reflux) which circulates the solvent, a thimble (usually made of thick filter paper) which retains the seed to be extracted, and a siphon mechanism, which periodically empties the condensed solvent from the thimble back into the percolator. The extraction of oil from the seed and the percentage yield was examined. The oil samples were characterized for physico-chemical properties. The maximum values of physical parameters found were fruit weight 3.7 ± 7.09, fruit length 12.2 ± 28.3 cm, with 15.2 ± 20.81 cm and 0.12 ± 18.91 g for pulp weight. The percentage oil yield of 48.5% was obtained due to the environmental factors such as the soil type, planting season and optimal temperature of the region of seed cultivation. The result of chemical properties showed maximum acid value 0.46 mg KOH, FFA of 0.33 mg, saponification of 189.4 mg KOH mg and peroxide value of 4.33 mg/g. The oil physical properties as discovered have a melting point of 32˚C, smoke point of 198˚C and flash point of 280˚C. The results obtained in this study further reveal the potential of oil from seed of soursop as a substitute for conventional vegetable oil due to its high flash point which is an indication of its low flammability and can be used as a good source of food, industrially can be used as an anti-microbial agent and for pest control. 展开更多
关键词 Soursop extraction Annona muricata Melting Point
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Clinical characteristics and risk factors of esophageal reflux hypersensitivity:A multicenter study
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作者 Yan-Ping Wu Jia-Xuan Zhou +6 位作者 Hong-Bo Wu Di-Ping Wu Ling-Zhi Qin Bin Qin Xiao-Yu Xu Saleh Abdulaziz Abdulgani Yehya Yan Cheng 《World Journal of Gastroenterology》 2025年第17期20-28,共9页
BACKGROUND Reflux hypersensitivity(RH)constitutes roughly 14%of patients with heartburn and 34%of those with refractory heartburn,yet it is inadequately comprehended.AIM To investigate the clinical characteristics and... BACKGROUND Reflux hypersensitivity(RH)constitutes roughly 14%of patients with heartburn and 34%of those with refractory heartburn,yet it is inadequately comprehended.AIM To investigate the clinical characteristics and risk factors associated with RH.METHODS We conducted a retrospective analysis of 109 patients with RH and 384 healthy controls from three medical centers between January 2022 and December 2023.Comprehensive data encompassing symptoms,motility,impedance-pH monitoring,and psychological evaluations were collected.RESULTS RH patients encountered a greater frequency of weakly acidic reflux(WAR)events compared to acidic reflux or nonacidic reflux(NAR)events.Upright reflux time(1.22%)exceeds supine reflux time(0.54%)(P<0.05).Extraesophageal symptoms were more prevalent among younger patients and those with elevated NAR(P<0.05).The acidic reflux,WAR,NAR,and peristaltic contraction break length in male patients exceeded those in female patients(P<0.05).Age[odds ratio(OR)=5.633],hiatal hernia(OR=13.103),and anxiety(OR=17.342)constituted independent risk factors for RH.CONCLUSION WAR and NAR are pivotal in RH.Patients with increased NAR are more likely to experience extraesophageal symptoms.Age,hiatal hernia,and anxiety are significant independent risk factors for RH. 展开更多
关键词 Gastroesophageal reflux disease Functional esophageal disease reflux hypersensitivity Clinical characteristics Risk factors
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Characterization of gallbladder stones associated with occult pancreaticobiliary reflux using computed tomography
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作者 Chen Qiu Yu-Kai Xiang +6 位作者 Hai Hu Xuan-Bo Da Gang Li Yue-Yi Zhang Hong-Lei Zhang Cheng Zhang Yu-Long Yang 《World Journal of Gastroenterology》 2025年第12期49-61,共13页
BACKGROUND Occult pancreaticobiliary reflux(OPBR)is characterized by the absence of congenital anomalies at the pancreaticobiliary junction yet leads to altered bile composition and an increased incidence of gallbladd... BACKGROUND Occult pancreaticobiliary reflux(OPBR)is characterized by the absence of congenital anomalies at the pancreaticobiliary junction yet leads to altered bile composition and an increased incidence of gallbladder stones.AIM To explore the computed tomography(CT)imaging characteristics of gallbladder stones in patients diagnosed with OPBR.METHODS We analyzed 362 patients undergoing cholecystectomy(November 2020 to January 2022).Intraoperative bile samples were assayed for amylase(>110 U/L indicated OPBR).CT features,including stone density and visibility,were compared between 54 OPBR and 308 controls.Stone attenuation(HU)was measured under standardized conditions(uCT-780,120 kVp,160 mAs).Logistic regression and receiver operating characteristic curve analysis identified independent OPBR predictors,forming a validated nomogram.RESULTS OPBR patients exhibited significantly higher rates of CT-invisible stones(35.2%vs 12.3%)and uniform stones(87%vs 73.1%)along with lower overall stone density(P=0.01).Logistic regression identified stone visibility,uniformity,and density as independent predictors.A nomogram integrating these features with patient age achieved high diagnostic accuracy(area under the curve=0.71).CONCLUSION CT imaging distinctly identifies gallbladder stone density,indicating a heightened risk of OPBR in patients with uniform and CT-invisible stones.Such imaging is crucial for preoperative assessments to evaluate potential recurrent biliary pathologies post-cholecystectomy. 展开更多
关键词 Occult pancreaticobiliary reflux Pancreaticobiliary maljunction Pancreaticobiliary reflux Computed tomography Diagnostic model
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Chinese relation extraction for constructing satellite frequency and orbit knowledge graph:A survey
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作者 Yuanzhi He Zhiqiang Li Zheng Dou 《Digital Communications and Networks》 2025年第5期1305-1317,共13页
As Satellite Frequency and Orbit(SFO)constitute scarce natural resources,constructing a Satellite Frequency and Orbit Knowledge Graph(SFO-KG)becomes crucial for optimizing their utilization.In the process of building ... As Satellite Frequency and Orbit(SFO)constitute scarce natural resources,constructing a Satellite Frequency and Orbit Knowledge Graph(SFO-KG)becomes crucial for optimizing their utilization.In the process of building the SFO-KG from Chinese unstructured data,extracting Chinese entity relations is the fundamental step.Although Relation Extraction(RE)methods in the English field have been extensively studied and developed earlier than their Chinese counterparts,their direct application to Chinese texts faces significant challenges due to linguistic distinctions such as unique grammar,pictographic characters,and prevalent polysemy.The absence of comprehensive reviews on Chinese RE research progress necessitates a systematic investigation.A thorough review of Chinese RE has been conducted from four methodological approaches:pipeline RE,joint entityrelation extraction,open domain RE,and multimodal RE techniques.In addition,we further analyze the essential research infrastructure,including specialized datasets,evaluation benchmarks,and competitions within Chinese RE research.Finally,the current research challenges and development trends in the field of Chinese RE were summarized and analyzed from the perspectives of ecological construction methods for datasets,open domain RE,N-ary RE,and RE based on large language models.This comprehensive review aims to facilitate SFO-KG construction and its practical applications in SFO resource management. 展开更多
关键词 Relation extraction Information extraction Distant supervision Parsing tree Joint entity-relation extraction
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A Review of Joint Extraction Techniques for Relational Triples Based on NYT and WebNLG Datasets
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作者 Chenglong Mi Huaibin Qin +1 位作者 Quan Qi Pengxiang Zuo 《Computers, Materials & Continua》 2025年第3期3773-3796,共24页
In recent years,with the rapid development of deep learning technology,relational triplet extraction techniques have also achieved groundbreaking progress.Traditional pipeline models have certain limitations due to er... In recent years,with the rapid development of deep learning technology,relational triplet extraction techniques have also achieved groundbreaking progress.Traditional pipeline models have certain limitations due to error propagation.To overcome the limitations of traditional pipeline models,recent research has focused on jointly modeling the two key subtasks-named entity recognition and relation extraction-within a unified framework.To support future research,this paper provides a comprehensive review of recently published studies in the field of relational triplet extraction.The review examines commonly used public datasets for relational triplet extraction techniques and systematically reviews current mainstream joint extraction methods,including joint decoding methods and parameter sharing methods,with joint decoding methods further divided into table filling,tagging,and sequence-to-sequence approaches.In addition,this paper also conducts small-scale replication experiments on models that have performed well in recent years for each method to verify the reproducibility of the code and to compare the performance of different models under uniform conditions.Each method has its own advantages in terms of model design,task handling,and application scenarios,but also faces challenges such as processing complex sentence structures,cross-sentence relation extraction,and adaptability in low-resource environments.Finally,this paper systematically summarizes each method and discusses the future development prospects of joint extraction of relational triples. 展开更多
关键词 Relation triplet extraction joint extraction methods named entity recognition relation extraction
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Optimization of Ultrasonic-Assisted Extraction Process for Anthocyanins from Lycium ruthenicum Murray
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作者 Yanjuan LUO Xiaojun WANG Guojun LI 《Asian Agricultural Research》 2025年第8期31-37,共7页
[Objectives]To investigate the optimal extraction conditions for anthocyanins from defatted Lycium ruthenicum Murray using ultrasonic-assisted solvent extraction.[Methods]Anthocyanins were extracted from wild L.ruthen... [Objectives]To investigate the optimal extraction conditions for anthocyanins from defatted Lycium ruthenicum Murray using ultrasonic-assisted solvent extraction.[Methods]Anthocyanins were extracted from wild L.ruthenicum in Qinghai Province using ultrasonic-assisted ethanol extraction.Through single-factor and orthogonal experiments,the optimal extraction conditions were determined as follows:temperature 50℃,solid-liquid ratio 1:15(g/mL),ethanol concentration 60%(v/v),and ultrasonic extraction time 25 min.Under these conditions,the anthocyanin content of L.ruthenicum was quantified by UV-Vis spectrophotometry at 280 nm.[Results]The extraction yield of anthocyanins from wild Qinghai L.ruthenicum was 17.0 mg/g,which is superior to the yield of 10.0 mg/g obtained by water solvent extraction,representing a 0.7%increase in extraction rate.The anthocyanin content in L.ruthenicum from different regions was determined,revealing that samples from the Chaidamu area in Qinghai had the highest content(17.3 mg/g),while samples from the Gansu area had the lowest(12.0 mg/g).[Conclusions]Ultrasonic-assisted ethanol extraction technology offers advantages including rapid operation,low energy consumption,high extraction yield,simple detection,and safety. 展开更多
关键词 LYCIUM ruthenicum Murray Anthocyanins ULTRASONIC-ASSISTED SOLVENT extraction extraction YIELD
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High extraction efficiency of N,N,N′,N′-tetracyclohexyldiglycolamide for Sr(Ⅱ):An experimental and crystal structure study
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作者 Xiujing Peng Ling Li +6 位作者 Haiyin Yu Riming Hu Jianhui Su Miaomiao Zhang Yu Cui Xuchuan Jiang Guoxin Sun 《Chinese Journal of Chemical Engineering》 2025年第1期1-9,共9页
To improve the ability of diglycolamide extractants for the extraction of Sr(Ⅱ)from high-level waste liquid,N,N,N′,N′-tetracyclohexyldiglycolamide(TCHDGA)was proposed and studied to extract Sr(Ⅱ)from nitrate media... To improve the ability of diglycolamide extractants for the extraction of Sr(Ⅱ)from high-level waste liquid,N,N,N′,N′-tetracyclohexyldiglycolamide(TCHDGA)was proposed and studied to extract Sr(Ⅱ)from nitrate media.TCHDGA was prepared and characterized by 1H nuclear magnetic resonance spectroscopy(NMR),^(13)C NMR,and fourier transform infrared spectroscopy(FT-IR).Various factors affecting extraction were studied systematically.In just 20 s,the extraction rate can reach approximately 98.2%.The extraction capacity of cyclohexyl-substituted extractant TCHDGA is tens of times higher than that with linear or branched chain alkyl.The chemical structure of the complex has been demonstrated to be[Sr3TCHDGA]·(NO_(3))_(2),based on FT-IR,X-ray photoelectron spectroscopy(XPS),and crystal structure analysis.The crystal belongs to the monoclinic system,space group P21,and a strontium ion coordinates with nine oxygen atoms,all of which contribute from TCHDGA.The stripping rate can reach over 99%when using distilled water or 0.50 mol·L^(-1)oxalic acid as stripping agents. 展开更多
关键词 STRONTIUM TCHDGA extractant extraction Crystal structure
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