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Jermann N, Krusche B, Metag V, Afzal F, Badea M, Beck R, Bielefeldt P, Bieling J, Biroth M, Blanke E, Borisov N, Bornstein M, Brinkmann KT, Ciupka S, Crede V, Dolzhikov A, Drexler P, Dutz H, Elsner D, Fedorov A, Frommberger F, Gardner S, Ghosal D, Goertz S, Gorodnov I, Grüner M, Hammann C, Hartmann J, Hillert W, Hoffmeister P, Honisch C, Jude TC, Kalischewski F, Ketzer B, Klassen P, Klein F, Klempt E, Knaust J, Kolanus N, Kreit J, Krönert P, Lang M, Lazarev AB, Livingston K, Lutterer S, Mahlberg P, Meier C, Meyer W, Mitlasoczki B, Müllers J, Nanova M, Neganov A, Nikonov K, Noël JF, Ostrick M, Ottnad J, Otto B, Penman G, Poller T, Proft D, Reicherz G, Reinartz N, Richter L, Runkel S, Salisbury B, Sarantsev AV, Schaab D, Schmidt C, Schmieden H, Schultes J, Seifen T, Spieker K, Stausberg N, Steinacher M, Taubert F, Thiel A, Thoma U, Thomas A, Urban M, Urff G, Usov Y, van Pee H, Wang YC, Wendel C, Wiedner U, Wunderlich Y. Measurement of polarization observables T, P, and H in π0 and η photoproduction off quasi-free nucleons. THE EUROPEAN PHYSICAL JOURNAL. A, HADRONS AND NUCLEI 2023; 59:232. [PMID: 37860634 PMCID: PMC10582157 DOI: 10.1140/epja/s10050-023-01134-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/04/2023] [Accepted: 09/21/2023] [Indexed: 10/21/2023]
Abstract
The target asymmetry T, recoil asymmetry P, and beam-target double polarization observable H were determined in exclusive π 0 and η photoproduction off quasi-free protons and, for the first time, off quasi-free neutrons. The experiment was performed at the electron stretcher accelerator ELSA in Bonn, Germany, with the Crystal Barrel/TAPS detector setup, using a linearly polarized photon beam and a transversely polarized deuterated butanol target. Effects from the Fermi motion of the nucleons within deuterium were removed by a full kinematic reconstruction of the final state invariant mass. A comparison of the data obtained on the proton and on the neutron provides new insight into the isospin structure of the electromagnetic excitation of the nucleon. Earlier measurements of polarization observables in the γ p → π 0 p and γ p → η p reactions are confirmed. The data obtained on the neutron are of particular relevance for clarifying the origin of the narrow structure in the η n system at W = 1.68 GeV . A comparison with recent partial wave analyses favors the interpretation of this structure as arising from interference of the S 11 ( 1535 ) and S 11 ( 1650 ) resonances within the S 11 -partial wave.
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Gottschall M, Afzal F, Anisovich AV, Bayadilov D, Beck R, Bichow M, Brinkmann KT, Crede V, Dieterle M, Dietz F, Dutz H, Eberhardt H, Elsner D, Ewald R, Fornet-Ponse K, Friedrich S, Frommberger F, Gridnev A, Grüner M, Gutz E, Hammann C, Hannappel J, Hartmann J, Hillert W, Hoffmeister P, Honisch C, Jude T, Kammer S, Kalinowsky H, Keshelashvili I, Klassen P, Klein F, Klempt E, Koop K, Krusche B, Kube M, Lang M, Lopatin I, Mahlberg P, Makonyi K, Metag V, Meyer W, Müller J, Müllers J, Nanova M, Nikonov V, Novotny R, Piontek D, Reicherz G, Rostomyan T, Sarantsev A, Schmidt C, Schmieden H, Seifen T, Sokhoyan V, Spieker K, Thiel A, Thoma U, Urban M, Pee HV, Walther D, Wendel C, Werthmüller D, Wiedner U, Wilson A, Winnebeck A, Witthauer L, Wunderlich Y. Measurement of the helicity asymmetry E for the reaction γ p → π 0 p : The CBELSA/TAPS Collaboration. THE EUROPEAN PHYSICAL JOURNAL. A, HADRONS AND NUCLEI 2021; 57:40. [PMID: 33551676 PMCID: PMC7840663 DOI: 10.1140/epja/s10050-020-00334-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 05/20/2019] [Accepted: 11/28/2020] [Indexed: 06/12/2023]
Abstract
A measurement of the double-polarization observable E for the reaction γ p → π 0 p is reported. The data were taken with the CBELSA/TAPS experiment at the ELSA facility in Bonn using the Bonn frozen-spin butanol (C4 H9 OH) target, which provided longitudinally-polarized protons. Circularly-polarized photons were produced via bremsstrahlung of longitudinally-polarized electrons. The data cover the photon energy range fromE γ = 600 to 2310 MeV and nearly the complete angular range. The results are compared to and have been included in recent partial wave analyses.
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Patel SI, Combs D, Provencio-Dean N, Mashaqi S, Bhattacharjee S, Quan SF, Morton CJ, Wendel C, Parthasarathy S. 0717 Peer-intervention Can Reduce Health Disparities In Patients With Obstructive Sleep Apnea. Sleep 2020. [DOI: 10.1093/sleep/zsaa056.713] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Introduction
In patients with obstructive sleep apnea (OSA), adherence to continuous positive airway pressure (CPAP) therapy is a major problem. Moreover, up to 20% of patients with suspected OSA who are referred to sleep study testing do not adhere to such diagnostic work-up. Although, peer-driven intervention with an interactive voice response system (PDI-IVR) can improve CPAP adherence, whether such an intervention can improve adherence to sleep study testing is unknown. Also, there remain health disparities with greater levels of CPAP nonadherence disproportionately affecting individuals of lower socioeconomic status. We aimed to determine whether PDI-IVR can improve adherence to sleep study testing and CPAP adherence in a lower income population.
Methods
We performed a prospective, randomized, parallel group, controlled trial wherein patients with suspected OSA were randomly assigned to receive PDI-IVR or provided with educational information regarding OSA and CPAP therapy (attention-control group) while both groups received usual care. The PDI-IVR interactions aimed at promoting adherence to sleep study testing and in patients diagnosed with OSA the peer-intervention was focused on improving CPAP adherence. In the PDI-IVR group, trained peers (peer-buddies) with OSA were paired with randomized patients over a 6-month period combined with an ability to meet in-person, email, text message, or phone an inter-disciplinary team of providers.
Results
In this pilot study, there were 63 patients (48.4 ± 12.5 years; 30 men) who were randomized to intervention (n=31) and attention-control (n=32) arms. There were 36 peer-buddies who mentored the patients in the intervention group. Intention to treat analysis revealed that failure to undergo sleep study testing was 15.6% of patients in the attention-control arm and 9.7% in the PDI-IVR arm (P=0.7). Per protocol analysis revealed that failure to undergo sleep study testing was 18.4% of patients in the attention-control arm and 4% in the PDI-IVR arm (P=0.13). At 6 months, CPAP adherence was greater in PDI-IVR arm (290 ± 45 min [SE]) than attention-control arm (181 ± 43 min; P=0.01).
Conclusion
In a lower income population, PDI-IVR improved CPAP adherence with a tendency for better adherence to sleep-study testing. Peer-intervention can reduce sleep health disparities.
Support
HL138377
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Peterson R, Stocker H, Toosizadeh N, Wendel C, Fain M, Mohler J. BALANCE CHANGES ASSOCIATED WITH SIX-MONTH FRAILTY STATUS CHANGES. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.4123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Schwenk M, Mohler J, Wendel C, Najafi B. SENSOR-BASED ASSESSMENT OF PHYSICAL ACTIVITY FOR DISCRIMINATION OF FRAILTY STATUS. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.4534] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Stocker H, Peterson R, Toosizadeh N, Wendel C, Fain M, Mohler J. FRAILTY TRANSITIONS AMONG OLDER ADULTS. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.744] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Svensson-Arvelund J, Söderberg D, Wendel C, Freland S, Geffers R, Berg G, Jenmalm M, Ernerudh J. Decidual macrophages contribute to the unique leukocyte composition at the fetal-maternal interface by production of IL-35, induction of Treg cells and production of homeostatic chemokines. J Reprod Immunol 2015. [DOI: 10.1016/j.jri.2015.06.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Schenk Zu Schweinsberg E, Lange J, Schucany M, Wendel C. [Participation Following Stroke - Validation of the German Version of IMPACT-S]. REHABILITATION 2015; 54:160-5. [PMID: 26080059 DOI: 10.1055/s-0035-1545358] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
OBJECTIVE The objective of this study is to provide a reliable, ICF-based instrument for the compilation of all 9 life domains as defined by the ICF. The "ICF Measure of Participation and ACTivities questionnaire - Screener" (IMPACT-S) is a conceptually and psychometrically profound questionnaire. Due to this fact, it was chosen for translation and subsequent validation. METHODS In this multi-centered study, 93 first-time stroke patients were contacted during their inpatient rehabilitation (rehabilitation phases C and D). Postal surveys were then conducted twice 4-6 months after the initial stroke. RESULTS The internal consistency of the individual IMPACT-S domains and the 2 sub-scales can be assessed as satisfactory to very good (0.72-0.94; total score: 0.97). Test-retest reliability was also good to very good. CONCLUSION The present German version and validation of IMPACT-S covers all the 9 participation domains of the ICF in a comprehensive way and meets all the statistical quality criteria.
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Pöppl D, Deck R, Fries W, Stadter V, Wendel C. Ist die Erfassung und Beachtung von Resilienz als personbezogener Kontextfaktor in der ambulanten Neurorehabilitation sinnvoll? AKTUELLE NEUROLOGIE 2014. [DOI: 10.1055/s-0034-1384541] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Franke A, Morfeld M, Wendel C. Versorgungsforschung in der Neurorehabilitation - ein Überblick. PHYSIOSCIENCE 2013. [DOI: 10.1055/s-0032-1330680] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Natarajan LV, Sutherland RL, Tondiglia VP, Siwecki S, Pogue R, Schmitt M, Brandelik D, Epling B, Berman G, Wendel C, Ritter M, Stallings M, Bunning TJ. Electrically switchable reflection gratings in polymer dispersed liquid crystals. ACTA ACUST UNITED AC 2011. [DOI: 10.1557/proc-559-109] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
ABSTRACTElectrically switchable volume reflection holograms were written by inhomogeneous illumination of a prepolymer syrup containing a nematic liquid crystal and a multifunctional acrylate monomer. Switchable holograms are diffractive optics structures and the diffraction efficiency can be controlled by the application of an electric field. Reflection gratings with grating spacing varying between 0.16-0.27 µm were made during the phase separation of liquid crystals from the fast curing prepolymer syrup. The reflection efficiency of the holograms were electrically modulated with the applied field of ∼10-15V/µm. Real time study of the grating formation revealed that the maximum efficiency is reached in ∼15 seconds. The shrinkage of the host polymer during grating formation resulted in the blue shift of the reflection notch. The response time of the grating in an electric field is ∼50 µs. Low voltage scanning electron microscope studies showed the presence of discrete nematic droplet domains of sizes 30-60 nm in liquid crystal rich region.
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Gasiorowska A, Navarro-Rodriguez T, Dickman R, Wendel C, Moty B, Powers J, Willis MR, Koenig K, Ibuki Y, Thai H, Fass R. Clinical trial: the effect of Johrei on symptoms of patients with functional chest pain. Aliment Pharmacol Ther 2009; 29:126-34. [PMID: 18945261 DOI: 10.1111/j.1365-2036.2008.03859.x] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
BACKGROUND Patients with functional chest pain (FCP) represent a therapeutic challenge for practising physicians. AIM To determine the efficacy of Johrei as compared to wait-list in improving symptoms of FCP patients. METHODS Patients with chest pain of noncardiac origin for at least 3 months were enrolled into the study. All patients had to have negative upper endoscopy, pH testing and oesophageal manometry prior to randomization. Subsequently, patients were randomized to either Johrei or wait-list control. Patients received 18 Johrei sessions from a Johrei practitioner for 6 weeks. RESULTS A total of 21 FCP patients enrolled into the Johrei group and 18 into the wait-list group. There was no difference in symptom intensity score between Johrei group and wait-list group at baseline (20.28 vs. 23.06, P = N.S.). However, there was a significant pre- and post-treatment reduction in symptom intensity in the Johrei group (20.28 vs. 7.0, P = 0.0023). There was no significant reduction in symptom intensity score between baseline and at the end of the study in the wait-list group (23.06 vs. 20.69, P = N.S.). CONCLUSION This pilot study shows that Johrei may have a role in improving FCP symptoms; however, future studies are needed to compare Johrei treatment with sham Johrei or supportive care.
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Dekel R, Pearson T, Wendel C, De Garmo P, Fennerty MB, Fass R. Assessment of oesophageal motor function in patients with dysphagia or chest pain - the Clinical Outcomes Research Initiative experience. Aliment Pharmacol Ther 2003; 18:1083-9. [PMID: 14653827 DOI: 10.1046/j.1365-2036.2003.01772.x] [Citation(s) in RCA: 58] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/08/2022]
Abstract
BACKGROUND Available prospectively acquired data on the distribution of oesophageal motor abnormalities in patients being evaluated for non-cardiac chest pain and/or dysphagia are relatively scarce. AIM To evaluate the distribution of oesophageal motor abnormalities in patients with dysphagia, non-cardiac chest pain or both using the national Clinical Outcomes Research Initiative (CORI) database. METHODS The CORI oesophageal motility database originates from 19 community, university and VA medical centres. Data were collected using a computerized motility report-generating program, combined with the CORI module. Data from each site were encrypted and sent to the CORI National Repository for analysis. The database includes the assessment of the lower and upper oesophageal sphincter function and the motor activity of the oesophageal body. RESULTS Five hundred and eighty-seven consecutive patients who underwent motility studies between 1998 and 2001 were included in the CORI database and analysed for this report. Four hundred and three patients (69%) had dysphagia as their primary indicator for the examination, 140 patients (24%) had non-cardiac chest pain and 44 patients (7%) had both dysphagia and non-cardiac chest pain. In all three groups, a normal motility study was the most frequent finding (dysphagia, 53%; chest pain, 70%; both, 55%). The most common motility abnormality in the group with non-cardiac chest pain was a hypotensive lower oesophageal sphincter (61%). Nutcracker oesophagus and non-specific oesophageal motility disorders were each diagnosed in only 10% of patients with non-cardiac chest pain. In patients with dysphagia, ineffective peristalsis was the most common oesophageal dysmotility (27%), followed by achalasia and non-specific oesophageal motility disorders (18% and 14%, respectively). Achalasia and non-specific oesophageal motility disorders were the most common oesophageal motility abnormalities in patients with both chest pain and dysphagia (35% and 25%, respectively). CONCLUSIONS The most common oesophageal motility abnormality in patients with non-cardiac chest pain is a hypotensive lower oesophageal sphincter; nutcracker oesophagus and non-specific oesophageal motility disorders are relatively uncommon; the most common oesophageal motility abnormality in patients with dysphagia is ineffective peristalsis and, for those with both dysphagia and non-cardiac chest pain, it is achalasia.
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Fass R, Hell RW, Garewal HS, Martinez P, Pulliam G, Wendel C, Sampliner RE. Correlation of oesophageal acid exposure with Barrett's oesophagus length. Gut 2001; 48:310-3. [PMID: 11171818 PMCID: PMC1760147 DOI: 10.1136/gut.48.3.310] [Citation(s) in RCA: 98] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
BACKGROUND Gastro-oesophageal reflux disease (GORD) plays a major role in the development of Barrett's oesophagus. However, it has yet to be elucidated what factors determine the length of Barrett's mucosa in each individual patient. AIMS To determine if there is a correlation between oesophageal acid exposure and the length of Barrett's mucosa. We also compared the extent of oesophageal acid exposure between patients with short segment (SSBE) and long segment (LSBE) Barrett's oesophagus. METHODS Twenty seven patients with Barrett's oesophagus were recruited prospectively into the study from the outpatient gastroenterology clinic at the Southern Arizona VA Health Care System. Diagnosis of Barrett's oesophagus and its anatomical characteristics were determined during upper endoscopy. Ambulatory 24 hour oesophageal pH monitoring assessed the extent of oesophageal acid exposure. RESULTS There was a significant correlation between per cent total time pH less than 4 and length of Barrett's mucosa (r=0.6234, p=0.0005). In addition, there was a significant correlation between per cent upright and supine time pH less than 4 and length of Barrett's mucosa (r=0.5847, p=0.0014 and r=0.6265 p=0.0006, respectively). Patients with SSBE had significantly less oesophageal acid exposure than patients with LSBE, in terms of both per cent total time and per cent supine time pH less than 4 (p<0.05). CONCLUSIONS The length of Barrett's mucosa correlated with the duration of oesophageal acid exposure. Patients with LSBE experienced significantly more oesophageal acid exposure than patients with SSBE. Duration of oesophageal acid exposure appears to be an important contributing factor in determining the length of Barrett's mucosa.
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Fass R, Murthy U, Hayden CW, Malagon IB, Pulliam G, Wendel C, Kovacs TO. Omeprazole 40 mg once a day is equally effective as lansoprazole 30 mg twice a day in symptom control of patients with gastro-oesophageal reflux disease (GERD) who are resistant to conventional-dose lansoprazole therapy-a prospective, randomized, multi-centre study. Aliment Pharmacol Ther 2000; 14:1595-603. [PMID: 11121907 DOI: 10.1046/j.1365-2036.2000.00882.x] [Citation(s) in RCA: 69] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
BACKGROUND Comparative studies of omeprazole and lansoprazole are scarce and even scarcer are comparisons of higher doses. Most of the comparative studies have assessed the effect of the two proton pump inhibitors (PPIs) on gastric acid secretion or gastric pH. Few studies have compared clinical end-points such as oesophageal healing and symptom control. AIM To determine the clinical efficacy of omeprazole 40 mg daily as compared to lansoprazole 30 mg twice a day in symptom control of patients with severe symptomatic GERD. METHODS Ninety-six patients who failed a standard dose of lansoprazole (30 mg once daily), were enrolled in a prospective fashion from three VA medical centres and were randomized to receive 6 weeks of either omeprazole 40 mg daily or lansoprazole 30 mg twice daily. Patients reported daily on symptom severity and frequency, antacid consumption and side-effects. RESULTS Forty-six patients received omeprazole and 44 lansoprazole. Although not statistically significant, there was a consistent trend of better symptom control in the omeprazole group for daytime and night-time heartburn and acid regurgitation. There was no statistical difference between the two groups in mean antacid consumption overall and at the end of each of the 6 weeks of the study. In addition, there was no significant difference in the overall frequency of side-effects between the two groups nor for each individual side-effect. CONCLUSION Omeprazole 40 mg once daily is equally effective and tolerated as lansoprazole 30 mg twice daily in symptom control of patients with GERD.
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Fass R, Ofman JJ, Sampliner RE, Camargo L, Wendel C, Fennerty MB. The omeprazole test is as sensitive as 24-h oesophageal pH monitoring in diagnosing gastro-oesophageal reflux disease in symptomatic patients with erosive oesophagitis. Aliment Pharmacol Ther 2000; 14:389-96. [PMID: 10759617 DOI: 10.1046/j.1365-2036.2000.00733.x] [Citation(s) in RCA: 75] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/08/2022]
Abstract
BACKGROUND Ambulatory 24-h oesophageal pH monitoring and a short course of high dose omeprazole can be used as diagnostic modalities for GERD. However, comparative studies of the diagnostic accuracy and reliability of both strategies have not been performed. AIM To compare the omeprazole test to ambulatory 24-h oesophageal pH monitoring in diagnosing GERD in symptomatic patients using endoscopically proven erosive oesophagitis as a gold standard. METHODS Patients with heartburn underwent an upper endoscopy. Only those with erosive oesophagitis were included in the study. Subsequently, patients underwent ambulatory 24-h oesophageal pH monitoring and an 'omeprazole test.' Daily symptoms were recorded during the first week (baseline) and repeated during the second week on therapy (omeprazole 40 mg in the morning and 20 mg in the evening). RESULTS Thirty-five patients were included in the study. The omeprazole test was significantly more sensitive in diagnosing GERD than total acid contact time on 24-h oesophageal pH monitoring (83% vs. 60%; P < 0.03). However, the sensitivity of the pH test increased to 80% after adding patients with a positive symptom index, and patients with abnormal acid exposure in the supine or erect positions despite normal total acid contact time. Patients with a normal pH test were significantly younger (49 +/- 2.6 years) than those with abnormal test (59 +/- 1.8; P=0.002). CONCLUSIONS In this study an omeprazole test was at least as sensitive as ambulatory 24-h oesophageal pH monitoring in diagnosing GERD in patients with erosive oesophagitis.
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Carlin BW, Dianzumba SB, Wendel C, Joyner CR. Right ventricular inflow and outflow obstruction due to adrenal cell carcinoma. CATHETERIZATION AND CARDIOVASCULAR DIAGNOSIS 1986; 12:51-4. [PMID: 3955646 DOI: 10.1002/ccd.1810120113] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
A 48-year-old man with surgically removed adrenal cell carcinoma presented with shortness of breath and fatigue. Physical examination revealed neck vein distention and a new systolic murmur. Echocardiography showed a right ventricular mass causing inflow and outflow tract obstruction. These findings were confirmed at surgery.
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