AIM：Gastro-esophageal reflux disease (GERD) is becoming increasingly common in Asia. Data on the efficacy of proton pump inhibitors in patients with non-erosive GERD (NERD)in Asia is lacking. This double-blind study ...AIM：Gastro-esophageal reflux disease (GERD) is becoming increasingly common in Asia. Data on the efficacy of proton pump inhibitors in patients with non-erosive GERD (NERD)in Asia is lacking. This double-blind study compared the efficacy and safety of rabeprazole with esomeprazole in relief of symptoms in patients with NERD.METHODS: One hundred and thirty-four patients with reflux symptoms of NERD and normal endoscopy were randomized to receive rabeprazole 10 mg or esomeprazole 20 mg once daily for 4 wk. Symptoms were recorded in a diary and changes in severity of symptoms noted.RESULTS: At 4 wk of treatment, rabeprazole 10 mg and esomeprazole 20 mg were comparable with regards to the primary endpoint of time to achieve 24-h symptomfree interval for heartburn 8.5 d vs9 d and regurgitation 6 d vs 7.5 d. Rabeprazole and esomeprazole were also similarly efficacious in term of patient's global evaluation with 96% of patients on rabeprazole and 87.9% of patients on esomeprazole, reporting that symptoms improved(P=NS). Satisfactory relief of day- and night-time symptoms was achieved in 98% of patients receiving rabeprazole and 81.4% of patients receiving esomeprazole. Adverse events were comparable in both groups (P = NS).CONCLUSION: Rabeprazole 10 mg has a similar efficacy and safety profile in Asians with NERD as esomeprazole 20 mg. Further study is necessary to investigate whether the small differences between the two drugs seen in this study are related to the improved pharmacodynamicpro perties of rabeprazole. Both drugs were well tolerated.展开更多
By recording nocturnally migrating passerines with tracking radar we have investigated how coastlines affect the migrants＇ flight paths. Birds could use coastlines as an orientation aid or as a reference cue to compe...By recording nocturnally migrating passerines with tracking radar we have investigated how coastlines affect the migrants＇ flight paths. Birds could use coastlines as an orientation aid or as a reference cue to compensate for wind drift while mi- grating. However, on the small scale of Falsterbo Peninsula in southern Sweden, we found very little effect of coastlines on migrants flight paths, irrespective of altitude. We tracked 2 930 migrants in three autumn and two spring seasons, at altitudes from 60 up to 3 000 meters. We compared tracks of migrants flying in three different areas, which correspond to the three main coastlines, and can demonstrate that the orientation of the tracks did not differ in a way consistent with the coastlines between the areas in autumn, and showed only a slight effect in spring. This is in accordance with earlier infrared device monitoring in Falsterbo, but contrary to earlier visual observations. It supports the view of nocturnally migrating passerines as mainly broad-front migrants. Even though the coastlines on the scale of the peninsula affected the flight paths very little, it is possible that the coastline has an effect on a larger regional scale, by migrants avoiding long sea crossings and thereby being funneled towards the peninsula, but this remains to be investigated [Current Zoology 60 （5）： 660-669, 2014].展开更多
文摘AIM：Gastro-esophageal reflux disease (GERD) is becoming increasingly common in Asia. Data on the efficacy of proton pump inhibitors in patients with non-erosive GERD (NERD)in Asia is lacking. This double-blind study compared the efficacy and safety of rabeprazole with esomeprazole in relief of symptoms in patients with NERD.METHODS: One hundred and thirty-four patients with reflux symptoms of NERD and normal endoscopy were randomized to receive rabeprazole 10 mg or esomeprazole 20 mg once daily for 4 wk. Symptoms were recorded in a diary and changes in severity of symptoms noted.RESULTS: At 4 wk of treatment, rabeprazole 10 mg and esomeprazole 20 mg were comparable with regards to the primary endpoint of time to achieve 24-h symptomfree interval for heartburn 8.5 d vs9 d and regurgitation 6 d vs 7.5 d. Rabeprazole and esomeprazole were also similarly efficacious in term of patient's global evaluation with 96% of patients on rabeprazole and 87.9% of patients on esomeprazole, reporting that symptoms improved(P=NS). Satisfactory relief of day- and night-time symptoms was achieved in 98% of patients receiving rabeprazole and 81.4% of patients receiving esomeprazole. Adverse events were comparable in both groups (P = NS).CONCLUSION: Rabeprazole 10 mg has a similar efficacy and safety profile in Asians with NERD as esomeprazole 20 mg. Further study is necessary to investigate whether the small differences between the two drugs seen in this study are related to the improved pharmacodynamicpro perties of rabeprazole. Both drugs were well tolerated.
文摘By recording nocturnally migrating passerines with tracking radar we have investigated how coastlines affect the migrants＇ flight paths. Birds could use coastlines as an orientation aid or as a reference cue to compensate for wind drift while mi- grating. However, on the small scale of Falsterbo Peninsula in southern Sweden, we found very little effect of coastlines on migrants flight paths, irrespective of altitude. We tracked 2 930 migrants in three autumn and two spring seasons, at altitudes from 60 up to 3 000 meters. We compared tracks of migrants flying in three different areas, which correspond to the three main coastlines, and can demonstrate that the orientation of the tracks did not differ in a way consistent with the coastlines between the areas in autumn, and showed only a slight effect in spring. This is in accordance with earlier infrared device monitoring in Falsterbo, but contrary to earlier visual observations. It supports the view of nocturnally migrating passerines as mainly broad-front migrants. Even though the coastlines on the scale of the peninsula affected the flight paths very little, it is possible that the coastline has an effect on a larger regional scale, by migrants avoiding long sea crossings and thereby being funneled towards the peninsula, but this remains to be investigated [Current Zoology 60 （5）： 660-669, 2014].
