epigastric

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  • 文章类型: Journal Article
    这项研究讨论了食管蠕动流动中遇到的非稳定影响。这种交流的目的是发展一种以数学方式诊断食管肿瘤的机制。肿瘤通过具有一定高度和宽度的通用凹凸函数来建模。求解方法遵循长波长和低雷诺数近似的非定常流动,虽然为了绘制图形而进行了数值积分,揭示了流动的各种特征。目的是评估压力在肿瘤宽度上的变化。空间,以及时间,已经在实验室参考框架中研究了压力的依赖性。将肿瘤感染的食管的压力分布与正常食管的压力分布进行比较。在存在肿瘤的情况下获得增强的压力。吞咽通过良性食管肿瘤时的中断通过肿瘤宽度上的突然压力上升得到证实。肿瘤位置也起着重要的作用,无论是在壁的收缩还是松弛。此外,壁剪应力,还描述了体积流速和流线,并将其与没有肿瘤生长的情况进行了比较。对应于所有物理量的表达式进行数值计算。Further,该模型也可以实现为二维通道流的工业应用。
    This study discusses non-steady effects encountered in peristaltic flows in oesophagus. The purpose of this communication is to evolve a mechanism to diagnose tumor in an oesophagus mathematically. The tumor is modelled by generic bump function of certain height and width. The method of solution follows long wavelength and low-Reynolds number approximations for unsteady flow, while integrations have been performed numerically in order to plot graphs, which reveal various characteristics of the flow. The goal is to assess how pressure varies across the tumor\'s width. The spatial, as well as temporal, dependence of pressure has been studied in the laboratory frame of reference. The pressure distribution for tumor-infected oesophagus is compared with that of normal oesophagus. An intensified pressure is obtained in the presence of tumor. The interruption while swallowing through benign oesophageal tumor is confirmed by an abrupt pressure rise across the tumor\'s width. Tumor position also plays a significant role whether it is at contraction or relaxation of walls. Additionally, wall-shear-stress, volumetric flow rate and streamlines have also been described and compared with that without tumor growth. The expressions corresponding to all the physical quantities are computed numerically. Further, this model may also be implemented to the two-dimensional channel flow for an industrial application.
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  • 文章类型: Journal Article
    目的:益生菌似乎通过抑制幽门螺杆菌的作用改善幽门螺杆菌相关性消化不良;然而,关于它们对幽门螺杆菌未感染个体的影响存在不确定性。我们评估了加氏乳杆菌OLL2716(L.gasseriOLL2716)对未感染幽门螺杆菌的功能性消化不良(FD)个体。
    方法:双盲,平行组,安慰剂对照,随机化,进行了对照试验。参与者被随机分配摄入含有L.gasseriOLL2716的酸奶(L.gasseriOLL2716组)或不含L.gasseriOLL2716的酸奶(安慰剂组),为期12周。参与者完成了涉及全球评估以及症状严重程度的问卷。根据事先准备的计划评估符合方案(PP)群体的功效。
    结果:对116名个体进行了随机化;PP人群由106名个体组成(平均年龄42.8±9.0)。与安慰剂组相比,L.gasseriOLL2716组中对胃症状的总体影响的印象更为积极(统计趋势;p=0.073)。安慰剂组和L.gasseriOLL2716组主要FD症状的消除率分别为17.3%和35.3%(p=0.048)。
    结论:L.gasseriOLL2716对没有幽门螺杆菌参与的FD具有有益作用。
    OBJECTIVE: Probiotics appear to improve Helicobacter pylori-associated dyspepsia via an inhibitory effect on H. pylori; however, uncertainty exists regarding their effects in H. pylori-uninfected individuals. We evaluated the efficacy of Lactobacillus gasseri OLL2716 (L. gasseri OLL2716) on H. pylori-uninfected individuals with functional dyspepsia (FD).
    METHODS: A double-blind, parallel-group, placebo-controlled, randomized, controlled trial was performed. Participants were randomly assigned to ingest L. gasseri OLL2716-containing yogurt (L. gasseri OLL2716 group) or L. gasseri OLL2716-free yogurt (placebo group) for 12 weeks. Participants completed questionnaires that dealt with a global assessment as well as symptom severity. The per-protocol (PP) population was evaluated for efficacy in accordance with a plan prepared beforehand.
    RESULTS: Randomization was performed on 116 individuals; the PP population consisted of 106 individuals (mean age 42.8 ± 9.0). The impressions regarding the overall effect on gastric symptoms were more positive in the L. gasseri OLL2716 group compared to that in the placebo group (statistical trend; p = 0.073). The elimination rate for major FD symptoms was 17.3 and 35.3% in the placebo and L. gasseri OLL2716 groups respectively (p = 0.048).
    CONCLUSIONS: L. gasseri OLL2716 has beneficial effects on FD without H. pylori involvement.
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