Besides antibiotics, additionally effective acid inhibition is necessary for the eradication of Helicobacter pylori.
To assess the significance of acid suppression and, in particular, treatment with ...proton pump inhibitors (PPIs) compared with H2 receptor antagonists (H2 RAs). The primary target parameter for the study was H. pylori eradication. In addition, the ulcer healing rate, speed of pain reduction, score for gastritis in the antrum and gastric body, and rate of side effects were recorded.
Randomized, double-blinded, multicentre study.
A total of 456 patients between the ages of 18 and 80 years with H. pylori-positive duodenal ulcers were included in the study.
Using a randomization list, patients were assigned either to a treatment group receiving omeprazole 40 mg once daily, amoxycillin 750 mg three times a day, and metronidazole 500 mg three times a day (OAM), or to a group receiving ranitidine 300 mg once daily, amoxycillin 750 mg three times a day, and metronidazole 500 mg three times a day (RAM). The treatment period was 7 days in both groups. Long-term acid-suppressant treatment was not given.
The eradication rate was 87.1% (169/194, intention to treat ITT) in the OAM group and 77% (137/ 178, ITT) in the RAM group. The difference of 10.1% (95% CI 2.5-18%) is statistically significant (P= 0.0104). The ulcer healing rate was 93.3% in the OAM group (181/194, ITT) and 92.1% in the RAM group (164/178, ITT, NS). With regard to the speed and intensity of pain reduction, the OAM group was superior to the RAM group. In patients in whom H. pylori eradication was successful, the reduction in the antral and gastric body gastritis score was significantly greater than in patients without eradication. In the OAM group, 39.1% of the patients (n = 90) reported one or more side effects, compared with 44.7% (n = 101) in the RAM group (P= 1.5449, NS).
Omeprazole (40 mg once daily in the morning) is significantly more effective than ranitidine (300 mg once daily in the morning) with respect to H. pylori eradication when used together with amoxycillin (750 mg three times a day) and metronidazole (500 mg three times a day) for a 7-day treatment period.
We present two novel micro scanning mirrors with large aperture and HR dielectric coatings suitable for high power laser applications in a miniaturized laser instrument. An electrostatic driven ...2D-raster scanning mirror with 5×7.1mm aperture is used for dynamic steering of the ps-laser beam of the laser cutting process. A second magnetic 2D-beam steering mirror enables a static beam correction of a hand guided laser instrument. Optimizations of a magnetic gimbal micromirror with 6 mm × 8 mm mirror plate are presented; here static deflections of 3° were reached. Both MEMS devices were successfully tested with a high power ps-laser at 532nm up to 20W CW.
The New Horizons encounter with the cold classical Kuiper Belt object (KBO) 2014 MU69 (informally named 'Ultima Thule,' hereafter Ultima) on 1 January 2019 will be the first time a spacecraft has ...ever closely observed one of the free-orbiting small denizens of the Kuiper Belt. Related to but not thought to have formed in the same region of the Solar System as the comets that been explored so far, it will also be the largest, most distant, and most primitive body yet visited by spacecraft. In this letter we begin with a brief overview of cold classical KBOs, of which Ultima is a prime example. We give a short preview of our encounter plans. We note what is currently known about Ultima from earth-based observations. We then review our expectations and capabilities to evaluate Ultima's composition, surface geology, structure, near space environment, small moons, rings, and the search for activity.
