Explosion resistance performance of reinforced concrete box girder coated with polyurea:Model test and numerical simulation

To study the anti-explosion protection effect of polyurea coating on reinforced concrete box girder,two segmental girder specimens were made at a scale of 1:3,numbered as G(without polyurea coating)and PCG(with polyurea coating).The failure characteristics and dynamic responses of the specimens were compared through conducting explosion tests.The reliability of the numerical simulation using LS-DYNA software was verified by the test results.The effects of different scaled distances,reinforcement ratios,concrete strengths,coating thicknesses and ranges of polyurea were studied.The results show that the polyurea coating can effectively enhance the anti-explosion performance of the girder.The top plate of middle chamber in specimen G forms an elliptical penetrating hole,while that in specimen PCG only shows a very slight local dent.The peak vertical displacement and residual displacement of PCG decrease by 74.8% and 73.7%,respectively,compared with those of specimen G.For the TNT explosion with small equivalent,the polyurea coating has a more significant protective effect on reducing the size of fracture.With the increase of TNT equivalent,the protective effect of polyurea on reducing girder displacement becomes more significant.The optimal reinforcement ratio,concrete strength,thickness and range of polyurea coating were also drawn.

Ghrelin regulates insulin resistance by targeting insulin-like growth factor-1 receptor via miR-455-5p in hepatic cells

Objective: To explore the mechanism by which ghrelin regulates insulin sensitivity through modulation of miR-455-5p in hepatic cells. Methods: HepG2 cells were treated with or without DAG (1 μM). Glucose consumption, intracellular glycogen content, phosphorylation of PI3K and Akt stimulated by insulin, expression of miR-455-5p, as well as IGF-1R protein level were analyzed. In addition, bioinformatic analysis, dual luciferase reporter assay, miR- 455-5p mimic or inhibitor treatment was conducted to investigate the molecular mechanisms. Results: High glucose treatment upregulated miR-455-5p expression but reduced glucose consumption and glycogen content. DAG reversed the effect of high glucose on glucose metabolism, increased protein level of IGF-1R and phosphorylation of PI3K/Akt stimulated by insulin, as well as downregulated miR-455-5p expression. Bioinformatic analysis indicated IGF-1R was the target of miR-455-5p. Dual luciferase reporter assay, as well as transfection with miR-455-5p mimic/inhibitor confirmed that DAG activated IGF-1R/PI3K/Akt signaling via inhibiting miR-455-5p. Conclusion: DAG improves insulin resistance via miR-455-5p- mediated activation of IGF-1R/PI3K/Akt system, suggesting that suppression of miR-455-5p or activation of DAG may be potential targets for T2DM therapy.

A review on evaluation of crack resistance of asphalt mixture by semi-circular bending test

Although there are many kinds of fracture tests to choose from in evaluating the crack resistance of asphalt mixture,the semi-circular bending(SCB)test has attracted a lot of attention in the academic road engineering community because of its simplicity,stability,and flexibility in testing and evaluation.The SCB test has become a common method to study the cracking resistance of asphalt mixture in recent years.This paper mainly summarizes the overview of the SCB test,summarizes some research results and common characterization parameters of the SCB test method in monotone test and fatigue test in recent years,and predicts and suggests the research direction of the SCB test in the future.It is found that the research on the monotonic SCB test is more comprehensive,and the research on the SCB fatigue test needs to be further improved in the aspects of loading mode,characterization parameter selection,and so on.Researchers can flexibly adjust the geometric dimensions and the test parameters of semi-cylindrical specimens,and conduct comprehensive analysis combined with the results of numerical simulation.The crack resistance of asphalt mixture can be comprehensively evaluated by fracture energy,fracture toughness,stiffness,flexibility index and other fracture indicators,combined with the crack propagation of the specimen.The analysis of numerical simulation can confirm the test results.In order to standardize the setting of fatigue parameters for future application,it is necessary to standardize the setting of bending performance.

Frost Resistance of Pervious Concrete Mixed with Waste Glass Powder

The contents of waste glass powder(WGP)(0%,10%,15%,20%,25%)and water-binder ratio(W/C)(0.24,0.26,0.28)were used as influencing factors,and the quality loss rate(Δm)and compressive strength loss rate(Δfc)were used as characterization parameters.The Ca/Si ratio and main element contents of C-S-H gels with different WGP content were investigated by energy dispersive spectrometry(EDS).The pore structure evolution characteristics of WGP composite cementing materials were investigated by low field nuclear magnetic resonance(NMR).UsingΔfc as the index of frost resistance degradation and Weibull function,the frost resistance degradation of glass doped pervious concrete(WGP-PC)was modeled.The results show that,with WGP,for the same number of cycles,Δm andΔfc decrease and increase with the increase of WGP.Under the same WGP content,Δm andΔfc decrease first and then increase with the increase of W/C.After 100 freeze-thaw cycles,the samples with WGP content of 20%and W/C of 0.26 have the best freeze-resistance.Microscopic tests show that with the increase of WGP content,the Ca/Si ratio of C-S-H gel decreases at first and then increases with the increase of WGP content.The extreme value of Ca/Si is 2.36 when WGP is added by 20%.The pore volume of hardened paste with 20%WGP content decreased by 18.6%compared with that of cement system without WGP.The overall compactness of the specimen was improved.On the basis of the test data,a life prediction model was established according to Weibull function.The experiment showed thatΔfc could be used as a durability degradation index,and the slope of the reliability curve became gentle after WGP was added,which reduced the damage degradation rate of PC.W/C was 0.26.It's about 5000 hours.

Identification and Evaluation of Insect and Disease Resistance in Transgenic Cry1Ab13-1 and NPR1 Maize

PCR detection,quantitative real-time PCR(q-RTPCR),outdoor insect resistance,and disease resistance identification were carried out for the detection of genetic stability and disease resistance through generations(T2,T3,and T4)in transgenic maize germplasms(S3002 and 349)containing the bivalent genes(insect resistance gene Cry1Ab13-1 and disease resistance gene NPR1)and their corresponding wild type.Results indicated that the target genes Cry1Ab13-1 and NPR1 were successfully transferred into both germplasms through tested generations;q-PCR confirmed the expression of Cry1Ab13-1 and NPR1 genes in roots,stems,and leaves of tested maize plants.In addition,S3002 and 349 bivalent gene-transformed lines exhibited resistance to large leaf spots and corn borer in the field evaluation compared to the wild type.Our study confirmed that Cry1Ab13-1 and NPR1 bivalent genes enhanced the resistance against maize borer and large leaf spot disease and can stably inherit.These findings could be exploited for improving other cultivated maize varieties.

Addressing the Fuel Resistance of Hot Mix Asphalt by an Enhanced Test Method

In areas where hot mix asphalt(HMA)is likely to be exposed by any form of mineral oil the layer has to withstand the attack of these substances in order not to damage the construction.The European Standard EN 12697-43 provides a test procedure to determine the resistance of HMA to fuel.The paper reviews this method thoroughly.A completely revised and simplified test device for the brush test was developed meeting the requirements of the standard and creating results with a high repeatability at the same time.The test conditions given by the standard such as the exposure to fuel,cleaning of the specimen after exposure or the contact pressure of the brush were varied to isolate those test conditions with a substantial influence on the result.The research revealed that in the standard some conditions with a rather small influence are set quite strictly while other conditions with a distinct influence on the result are not defined with the required accuracy to obtain comparable and repeatable results.The paper presents suggestions for the improvement of the test method and the standard itself in respect to the layout of the test device and the definition of important test conditions to enhance the outcome of the EN 12697-43.

Obtaining 2D Soil Resistance Profiles from the Integration of Electrical Resistivity Data and Standard Penetration Test (SPT) and Light Dynamic Penetrometer (DPL) Resistance Tests—Applications in Mass Movements Studies

In Brazil and various regions globally, the initiation of landslides is frequently associated with rainfall;yet the spatial arrangement of geological structures and stratification considerably influences landslide occurrences. The multifaceted nature of these influences makes the surveillance of mass movements a highly intricate task, requiring an understanding of numerous interdependent variables. Recent years have seen an emergence in scholarly research aimed at integrating geophysical and geotechnical methodologies. The conjoint examination of geophysical and geotechnical data offers an enhanced perspective into subsurface structures. Within this work, a methodology is proposed for the synchronous analysis of electrical resistivity geophysical data and geotechnical data, specifically those extracted from the Light Dynamic Penetrometer (DPL) and Standard Penetration Test (SPT). This study involved a linear fitting process to correlate resistivity with N10/SPT N-values from DPL/SPT soundings, culminating in a 2D profile of N10/SPT N-values predicated on electrical profiles. The findings of this research furnish invaluable insights into slope stability by allowing for a two-dimensional representation of penetration resistance properties. Through the synthesis of geophysical and geotechnical data, this project aims to augment the comprehension of subsurface conditions, with potential implications for refining landslide risk evaluations. This endeavor offers insight into the formulation of more effective and precise slope management protocols and disaster prevention strategies.

Study of the Effect of Bacterial Resistance Monitoring in Clinical Microbiology Testing

Objective:To observe and analyze the effect of bacterial resistance monitoring in clinical microbiology testing.Methods:600 microbial specimens collected in our hospital in the past year(April 2021 to April 2022)were used as the test subjects of this study.The specimens were divided into Group A(control group)and Group B(research group),with 300 cases in each group.Group A consisted of blood culture specimens,while Group B consisted of sputum specimens.After the tests were completed,the rates of unfavorable and favorable results,bacterial species distribution,and bacterial drug resistance of the specimens in both groups were compared.Results:Among group A specimens,29 cases were positive(9.67%)and 271 cases were negative(90.33%);among group B specimens,99 cases were positive(33.00%)and 201 cases were negative(66.00%);the difference between the two groups of data was statistically significant(P<0.05).As for the distribution of the types of bacteria,there were 472 cases of Gram-negative bacteria and 128 cases of Gram-positive bacteria.Conclusion:Bacterial resistance monitoring is helpful in clinical microbiology testing.Through proper monitoring,bacterial resistance can be well understood.In this way,patients get to receive appropriate treatment measures and suitable antibacterial prescriptions,thereby improving the patient outcome.

Destructive field tests on mobilization of end resistance of cast-in-situ bored piles

A series of well-designed full-scale destructive load tests were conducted on six bored piles to investigate the influence of loose debris at the pile tip on end resistance. The results show that soft debris below the pile tip will weaken the mobilization of end resistance. The ultimate tip resistance of post-grouted pile is 2.05 times that of the pile without post-grouting and the ultimate tip resistance in the second load cycle is 2.31 times that of pile in the first load cycle. The relationship between unit end resistance and displacement follows a linear model and a bilinear mode in the first load cycle and the second load cycle, respectively, whereas the unit end resistance-displacement response of post-grouted bored pile can be simulated using a bilinear mode. The critical end resistance ranges between 2 000 kN and 3 000 kN and the critical displacement ranges between 2.5 mm and 4.5 mm in the bilinear mode. As for piles rested on moderately-weathered peliticsiltstone, the socketed length has no effect on the end resistance because of the existence of loose debris.

Relationship Between Serum microRNA-372-3p and Glucose Transporter 4 Levels and Insulin Resistance in Gestational Diabetes Mellitus

Objective:To observe the changes in insulin resistance in patients with gestational diabetes mellitus(GDM)based on the detection of serum microRNA-372-3p and glucose transporter protein 4(GLUT4)levels.Methods:We conducted a retrospective cohort study of 42 patients who were diagnosed with GDM and hospitalized in our hospital during the period from January 2017 to December 2021 and another 42 patients who had normal pregnancy during the same period by collecting their clinical data.We analyzed their serum microRNA expression profiles and miR-372-3p levels to study the relationship between GDM and insulin resistance.Results:The relative expression of miR-372-3p in the serum of patients in the GDM group was significantly higher than that of patients in the control group,but the GLUT 4 level of the GDM group was significantly lower than that of the control group(P<0.05).Compared with the control group,the GDM group had significantly higher levels of fasting blood glucose(FBG),fasting insulin(FINS),2-hour postprandial blood glucose(2h-BG),total cholesterol(TC),triglyceride(TG),and homeostatic model assessment for insulin resistance(HOMA-IR)index but significantly lower homeostasis model assessment ofβ-cell function(HOMA-β)index(P<0.05).The relative expression of miR-372-3p in serum was independently and positively correlated with HOMA-IR,while the level of GLUT4 was independently and negatively correlated with HOMA-IR(P<0.05).Conclusion:Glycosylated hemoglobin test in the early stages of pregnancy(12–13 weeks of gestation)is important to ensure the health of pregnant women and fetuses.The screening and intervention for elevated glucose in pregnant women act as a guideline for the treatment of GDM.Patients with insulin resistance and related complications such as hyperinsulinemia and hypoglycemia should be given priority.

Resistance and Reactance of Monopole Fields Induced by a Test Charge Drifting Off-Axis in a Cold and Collisional Cylindrical Plasma

We study the interaction of a uniform, cold and collisional plasma with a test charged particle moving off-axis at a constant speed down a cylindrical tube with a resistive thick metallic wall. Upon matching the electromagnetic field components at all interfaces, the induced monopole electromagnetic fields in the plasma are obtained in the frequency domain. An expression for the plasma electric resistance and reactance is derived and analyzed numerically for some representative parameters. Near the plasma resonant frequency, the plasma resistance evolves with frequency like a parallel RLC resonator with peak resistance at the plasma frequency pe, while the plasma reactance can be capacitive or inductive in nature depending on the frequency under consideration.

Genetic Study on JS399-19 Resistance in Hyphal Fusion of Fusarium graminearum by Using Nitrate Nonutilizing Mutants as Genetic Markers

Twenty-two nitrate nonutilizing （nit） mutants were recovered from five wild-type isolates of Fusarium graminearum and fifty nit mutants were recovered from three JS399-19-resistant mutants of F. graminearum cultured on MMC medium. Some biological properties were compared between nit mutants and their parental isolates. The results showed that there were no significant differences in growth rate, cultural characters or pathogenicity between JS399-19-resistant nit mutants and their parental isolates. But the conidial production and the sexual reproduction ability changed to some extent. There was no cross resistance toward chlorate and JS399-19 in F. graminearum and the resistance could be stable through 20-time subcultures. Therefore, the nit could be used as a genetic marker for studying the genetics of JS399-19 resistance in E graminearum, which was used to study JS399-19 resistance transferability in hyphal fusion. Resistance in JS399-19 could not be transferred by hyphal fusion or could be transferred with low chance between two compatible isolates, which would delay the development of JS399-19 resistance in the field.

Influence of superplasticizers on the early-age crack resistance of concrete

In order to improve the early-age cracking resistance of concrete, different types of superplasticizers are used. Two types of polycarboxlic salt/acid superplasticizers and one retarding naphthalene superplasticizer are selected to investigate the influence of superplasticizers on the early-age cracking resistance of the concrete by using the slab test and the temperature-stress test. The results show that the polycarboxlic salt/acid superplasticizer cannot always improve the cracking resistance capacity of the concrete compared with the naphthalene superplasticizer, which is related to the chemical structure of the polycarboxlic salt/acid superplasticizer. High plastic tensile strength and dynamic elastic modulus at the early stage are beneficial to avoid cracking, and low hydration heat is also helpful. The evolutions of the drying shrilakage stress and the hydration heat temperature stress varying with time can be comprehensively evaluated by means of the slab test and the temperature stress test.

2015-2021年CHINET尿液分离菌分布和耐药性变迁

目的了解2015-2021年CHINET细菌耐药监测网中尿液分离菌的分布和耐药性。方法收集CHINET细菌耐药监测网51家医疗机构2015-2021年所有尿液标本临床分离菌的耐药监测数据资料,采用WHONET 5.6软件进行统计分析。结果2012-2021年尿液标本共分离细菌261893株,其中革兰阳性菌62219株,占23.8%,革兰阴性菌199674株占76.2%。常见的分离菌依次为大肠埃希菌(46.7%)、屎肠球菌(10.4%)、肺炎克雷伯菌(9.8%)、粪肠球菌(8.7%)、奇异变形杆菌(3.5%)、铜绿假单胞菌(3.4%)、无乳链球菌(2.6%)和阴沟肠杆菌(2.1%)。上述细菌主要分离自住院患者,女性多见于男性,成人多见于儿童。大肠埃希菌、肺炎克雷伯菌和奇异变形杆菌中产超广谱β内酰胺酶(ESBL)菌株分别占53.2%、52.8%和37.0%。耐碳青霉烯类的大肠埃希菌、肺炎克雷伯菌、铜绿假单胞菌和鲍曼不动杆菌中检出率分别为1.7%、18.5%、16.4%和40.3%。粪肠球菌对氨苄西林、呋喃妥因、利奈唑胺、万古霉素、替考拉宁和磷霉素的耐药率<10%,屎肠球菌对氨苄西林、左氧氟沙星、红霉素的耐药率>90%,对万古霉素、利奈唑胺和替考拉宁的耐药率<2%。ICU住院患者分离的大肠埃希菌、肺炎克雷伯菌、铜绿假单胞菌和鲍曼不动杆菌对大部分抗菌药物的耐药率明显高于门诊患者和非ICU住院患者。结论尿液标本临床分离菌主要以大肠埃希菌、肠球菌和肺炎克雷伯菌为主,不同人群尿液标本中分离的细菌种类和耐药性不尽相同,应重视细菌耐药监测,减少抗菌药物的不合理使用。

扣件系统横向刚度及抗倾翻试验研究:以WJ-8型扣件为例

为了对扣件系统横向刚度及抗倾翻性能进行研究,首先借鉴等间隔弹性点支承梁模型分析钢轨横向力学行为;然后,考虑钢轨自身截面特性,推导扣件系统横向刚度及抗倾翻系数计算公式;最后,设计并进行1组及3组WJ-8型扣件横向加载试验,验证分析及推导的合理性。试验结果表明:当钢轨整体扭转中心为轨底中心点时,钢轨自身扭转不可忽略,钢轨横向力及扭矩的传递过程都是非线性过程;1组及3组扣件试验得到的位移相对误差不超过6.8%,转角相对误差不超过9.5%;3组扣件试验允许加载范围更大,且更适用于非对称式扣件;WJ-8型扣件钢轨横移过程可按扣件横向反力的组成划分为钢轨滑移、线性变形和非线性变形3个阶段,钢轨倾翻过程可按钢轨轨底与轨下垫板接触形式划分为钢轨脱离和整体倾翻2个阶段。扣件横向刚度及抗倾翻系数可通过横向力-位移曲线、扭矩-转角曲线确定。

简支变结构连续小箱梁桥负弯矩区UHPC-NC组合桥面板抗裂性研究

针对当前简支变结构连续小箱梁桥负弯矩区钢束易堵孔、运营中桥面开裂病害等问题,提出一种无负弯矩钢束的UHPC-NC组合桥面板结构。以一座3×30 m简支变结构连续小箱梁桥为研究对象,以正常使用极限状态梁体不开裂为控制准则确定UHPC合理构造尺寸,对所提出的负弯矩组合桥面板结构进行1∶2的缩尺模型试验。试验显示:裂缝首先出现于UHPC-NC交界面处的普通混凝土部分,随后逐渐向UHPC层沿伸,且C50混凝土开裂、梁体破坏对应的截面弯矩分别为3 520,9 152 kN·m(考虑1∶8弯矩缩尺比),大于正常使用极限状态、承载能力极限状态梁体截面弯矩3 300,5 838 kN·m,即该组合桥面板结构满足小箱梁的抗裂与承载能力要求。基于试验结果建立精细化有限元模型,采用参数分析法研究UHPC厚度对梁体开裂荷载、极限承载力等方面的影响。结果表明:梁体开裂弯矩主要由UHPC上覆层厚度决定,相较于普通钢筋混凝土梁,5 cm厚的UHPC上覆层可将梁体开裂弯矩提高28.9%,7.5 cm厚的UHPC上覆层可将梁体开裂弯矩提高41.6%;在配筋率不变的情况下,增大UHPC层厚度对梁体承载力无显著提升。综合考虑梁体受力性能以及施工便利性,建议背景工程UHPC厚度取10 cm。

新型桥梁“耗能-限位”一体化弧形板装置力学性能试验及参数敏感性分析

为解决强震作用下中小跨径简支梁桥的落梁问题,研发了一种经济高效、安装便捷的新型“耗能限位”梁一体化弧形板装置.首先采用拟静力试验研究了不同截面的弧形板装置滞回耗能行为和疲劳破坏机理,接着采用数值分析的手段探讨了参数对装置力位移骨架曲线及等效阻尼比的影响规律,并补充了弧形板装置的防落梁行为模式与极限承载能力.结果表明:提出的新型弧形板装置具有优异的耗能能力,T形截面的弧形板结构更加合理,等效阻尼比最大能达到近40%;弧形板装置可通过分离几何参数对耗能能力、滞回强度、刚度及位移能力进行设计,增大中间截面的腹板高度h2是提高弧形板耗能能力的最有效手段,增加50%的h2能提高50.1%的最大强度与约4.7%的等效阻尼比.所提出的新型防落梁装置为桥梁中小震消能和强震柔性防落梁提供一体化装置解决方案.

稳定车-轨道耦合作用下轨排响应特性试验研究

稳定车作为一种大型轨道交通运维装备,对保障铁路线路运行安全至关重要,但是其不具备道床横向阻力的在线感知能力,难以实时智能控制作业参数。为探究稳定车作业时在线感知道床横向阻力的方法,在试验线路上开展轨排动力学试验,测量稳定车-轨道耦合作用下的轨排横向载荷和轨排横向位移,并依据现有标准及现场原位试验法,测量标记轨枕处的道床横向阻力。根据实测的试验数据,采用函数模型拟合道床横向阻力与轨排横向载荷以及轨排横向位移的关系式。并进一步构建径向基函数(Radial Basis Function, RBF)神经网络,采用正交最小二乘学习算法训练网络参数,建立三者之间的非线性模型,对比函数拟合与RBF神经网络模型的准确性。结果表明:道床横向阻力测试中,随着测试轨枕承受横向载荷的增加,轨枕横向位移非线性增大。轨排动力学试验中,轨排横向载荷、轨排横向位移与道床横向阻力之间存在非线性关系。采用函数拟合得到的关系式一定程度上反映了道床横向阻力的非线性变化趋势,但拟合误差较大。采用RBF神经网络建立的模型,在测试集验证中精度更高。道床横向阻力的离线检测方法效率低下,基于RBF神经网络模型的车载感知方法可以提高检测效率。研究成果可为稳定车作业中实时在线感知道床横向阻力及智能控制作业参数提供理论支撑。

MALDI-TOF-MS在耐碳青霉烯肠杆菌多黏菌素B快速药敏试验中的应用

目的构建一种耐碳青霉烯类肠杆菌科细菌(CRE)多黏菌素B的快速药敏试验方法,为临床抗生素的选择和精准调整提供依据。方法采用WHONET 5.6软件对分离自西安市第一医院2023年3月至2024年3月的108株CRE菌株信息进行筛选,以肉汤稀释法为参比方法,采用基质辅助激光解吸/电离飞行时间质谱仪(MALDI-TOF-MS)进行多黏菌素B快速药敏测定。结果108株CRE分离株以肺炎克雷伯菌为主(48.14%),其次是产气肠杆菌和奇异变形杆菌(各占13.89%)。标本来源以痰液为主(65.74%),其次尿液(18.52%)和血液(8.33%)。临床科室分布以神经外科为主(48.15%),其次为重症医学科(18.52%)和呼吸内科(14.81%)。CRE分离株对大部分药物呈现高度耐药,对常见β内酰胺类、喹诺酮类、氨基糖苷类、β内酰胺复合药物耐药率分别超过70%,80%,50%和75%。与肉汤稀释法相比,MALDI-TOF-MS法测定CRE对多黏菌素B药敏结果的分类一致率(CA)为98.1%,重大误差(ME)为1.85%,未出现非常重大误差(VME),均在可允许范围之内。结论本院分离的CRE对多种抗菌药物广泛耐药,基于MALDI-TOF-MS的快速药敏试验方法准确可靠,可用来评价CRE对多黏菌素B的敏感性,便于临床及时调整泛耐药细菌治疗方案。

Antimicrobial susceptibility testing for Helicobacter pylori in times of increasing antibiotic resistance

The gram-negative bacterium Helicobacter pylori(H.pylori)causes chronic gastritis,gastric and duodenal ulcers,gastric cancer and mucosa-associated lymphoid tissue lymphoma.Treatment is recommended in all symptomatic patients.The current treatment options for H.pylori infection are outlined in this review in light of the recent challenges in eradication success,largely due to the rapid emergence of antibiotic resistant strains of H.pylori.Antibiotic resistance is a constantly evolving process and numerous studies have shown that the prevalence of H.pylori antibiotic resistance varies significantly from country to country,and even between regions within the same country.In addition,recent data has shown that previous antibiotic use is associated with harbouring antibiotic resistant H.pylori.Local surveillance of antibiotic resistance is warranted to guide clinicians in their choice of therapy.Antimicrobial resistance is assessed by H.pylori culture and antimicrobial susceptibility testing.Recently developed molecular tests offer an attractive alternative to culture and allow for the rapid molecular genetic identification of H.pylori and resistance-associated mutations directly from biopsy samples or bacterial culture material.Accumulating evidence indicates that surveillance of antimicrobial resistance by susceptibility testing is feasible and necessary to inform clinicians in their choice of therapy for management of H.pylori infection.