Real-world evidence on the efficacy and safety of vonoprazanamoxicillin dual therapy for Helicobacter pylori treatment in elderly patients

BACKGROUND A dual therapy regimen containing amoxicillin is a common treatment option for the eradication of Helicobacter pylori(H.pylori).While substantial research supports the efficacy and safety of vonoprazan and amoxicillin(VA)dual therapy in the general population,there is still a lack of studies specifically focusing on its safety in elderly patients.AIM To evaluate efficacy and safety of VA dual therapy as first-line or rescue treatment for H.pylori in elderly patients.METHODS As a real-world retrospective study,data were collected from elderly patients aged 60 years and above who accepted VA dual therapy(vonoprazan 20 mg twice daily+amoxicillin 1000 mg thrice daily for 14 days)for H.pylori eradication in the Department of Gastroenterology at Peking University First Hospital between June 2020 and January 2024.H.pylori status was evaluated by^(13)C-urease breath test 6 weeks after treatment.All adverse events(AEs)during treatment were recorded.RESULTS In total,401 cases were screened.Twenty-one cases were excluded due to loss to follow-up,lack of re-examination,or unwillingness to take medication.The total of 380 included cases comprised 250 who received VA dual therapy as first-line treatment and 130 who received VA dual therapy as rescue treatment.H.pylori was successfully eradicated in 239 cases(95.6%)in the first-line treatment group and 116 cases(89.2%)in the rescue treatment group.The overall incidence of AEs was 9.5%for both groups.Specifically,9.2%of patients experienced an AE in the first-line treatment group and 10.0%in the rescue treatment group.Five patients discontinued treatment due to AE,with a discontinuation rate of 1.3%.No serious AE occurred.CONCLUSION The VA dual therapy regimen as a first-line treatment and a rescue therapy was effective and safe for elderly patients aged 60 and older.

Global Piecewise Analysis of HIV Model with Bi-Infectious Categories under Ordinary Derivative and Non-Singular Operator with Neural Network Approach

This study directs the discussion of HIV disease with a novel kind of complex dynamical generalized and piecewise operator in the sense of classical and Atangana Baleanu(AB)derivatives having arbitrary order.The HIV infection model has a susceptible class,a recovered class,along with a case of infection divided into three sub-different levels or categories and the recovered class.The total time interval is converted into two,which are further investigated for ordinary and fractional order operators of the AB derivative,respectively.The proposed model is tested separately for unique solutions and existence on bi intervals.The numerical solution of the proposed model is treated by the piece-wise numerical iterative scheme of Newtons Polynomial.The proposed method is established for piece-wise derivatives under natural order and non-singular Mittag-Leffler Law.The cross-over or bending characteristics in the dynamical system of HIV are easily examined by the aspect of this research having a memory effect for controlling the said disease.This study uses the neural network(NN)technique to obtain a better set of weights with low residual errors,and the epochs number is considered 1000.The obtained figures represent the approximate solution and absolute error which are tested with NN to train the data accurately.

Medical Diagnosis Based on Multi-Attribute Group Decision-Making Using Extension Fuzzy Sets,Aggregation Operators and Basic Uncertainty Information Granule

Accurate medical diagnosis,which involves identifying diseases based on patient symptoms,is often hindered by uncertainties in data interpretation and retrieval.Advanced fuzzy set theories have emerged as effective tools to address these challenges.In this paper,new mathematical approaches for handling uncertainty in medical diagnosis are introduced using q-rung orthopair fuzzy sets(q-ROFS)and interval-valued q-rung orthopair fuzzy sets(IVq-ROFS).Three aggregation operators are proposed in our methodologies:the q-ROF weighted averaging(q-ROFWA),the q-ROF weighted geometric(q-ROFWG),and the q-ROF weighted neutrality averaging(qROFWNA),which enhance decision-making under uncertainty.These operators are paired with ranking methods such as the similarity measure,score function,and inverse score function to improve the accuracy of disease identification.Additionally,the impact of varying q-rung values is explored through a sensitivity analysis,extending the analysis beyond the typical maximum value of 3.The Basic Uncertain Information(BUI)method is employed to simulate expert opinions,and aggregation operators are used to combine these opinions in a group decisionmaking context.Our results provide a comprehensive comparison of methodologies,highlighting their strengths and limitations in diagnosing diseases based on uncertain patient data.

MULTIPLIER OPERATORS AND EXTREMAL FUNCTIONS RELATED TO THE DUAL DUNKL-SONINE OPERATOR

We study the dual Dunkl-Sonine operator tSk,e on Rd and give expression of tSk,t, using Dunkl multiplier operators on Rd, Next, we study the extremal functions fλ, λ〉 0 related to the Dunkl multiplier operators, and more precisely show that {fλ}λ〉0 converges uniformly to tSk,e（f） as λ→0 Certain examples based on Dunkl-heat and Dunkt-Poisson kernels are provided to illustrate the results.

Commuting Dual Toeplitz Operators on the Polydisk

We completely characterize commutativity of S and Sψ on La2(Dn)⊥ for bounded pluriharmonic symbols and ψ on Dn, and prove that SSψ = Sψ if and only if is analytic or ψˉ is analytic.

Dual-Path Vision Transformer用于急性缺血性脑卒中辅助诊断

急性缺血性脑卒中是由于脑组织血液供应障碍导致的脑功能障碍,数字减影脑血管造影(DSA)是诊断脑血管疾病的金标准。基于患者的正面和侧面DSA图像,对急性缺血性脑卒中的治疗效果进行分级评估,构建基于Vision Transformer的双路径图像分类智能模型DPVF。为了提高辅助诊断速度,基于EdgeViT的轻量化设计思想进行了模型的构建;为了使模型保持轻量化的同时具有较高的精度,提出空间-通道自注意力模块,促进Transformer模型捕获更全面的特征信息,提高模型的表达能力;此外,对于DPVF的两分支的特征融合,构建交叉注意力模块对两分支输出进行交叉融合,促使模型提取更丰富的特征,从而提高模型表现。实验结果显示DPVF在测试集上的准确率达98.5%,满足实际需求。

A dual population multi-operator genetic algorithm for flight deck operations scheduling problem

It is of great significance to carry out effective scheduling for the carrier-based aircraft flight deck operations.In this paper,the precedence constraints and resource constraints in flight deck operations are analyzed,then the model of the multi-aircraft integrated scheduling problem with transfer times(MAISPTT)is established.A dual population multi-operator genetic algorithm(DPMOGA)is proposed for solving the problem.In the algorithm,the dual population structure and random-key encoding modified by starting/ending time of operations are adopted,and multiple genetic operators are self-adaptively used to obtain better encodings.In order to conduct the mapping from encodings to feasible schedules,serial and parallel scheduling generation scheme-based decoding operators,each of which adopts different justified mechanisms in two separated populations,are introduced.The superiority of the DPMOGA is verified by simulation experiments.

An Efficient Combinatorial-Probabilistic Dual-Fusion Modification of Bernstein’s Polynomial Approximation Operator

The celebrated Weierstrass Approximation Theorem (1885) heralded intermittent interest in polynomial approximation, which continues unabated even as of today. The great Russian mathematician Bernstein, in 1912, not only provided an interesting proof of the Weierstrass’ theorem, but also displayed a sequence of the polynomials which approximate the given function . An efficient ‘Combinatorial-Probabilistic Dual-Fusion’ version of the modification of Bernstein’s Polynomial Operator is proposed. The potential of the aforesaid improvement is tried to be brought forth and illustrated through an empirical study, for which the function is assumed to be known in the sense of simulation.

Electron-distribution control via Pt/NC and MoC/NC dual junction:Boosted hydrogen electro-oxidation and theoretical study

The scarcity,high cost and susceptibility to CO of Platinum severely restrict its application in alkaline hydrogen oxidation reaction(HOR).Hybridizing Pt with other transition metals provides an effective strategy to modulate its catalytic HOR performance,but at the cost of mass activity due to the coverage of modifiers on Pt surface.Herein,we constructed dual junctions'Pt/nitrogen-doped carbon(Pt/NC)andδ-MoC/NC to modify electronic structure of Pt via interfacial electron transfer to acquire Pt-MoC@NC catalyst with electron-deficient Pt nanoparticles,simultaneously endowing it with high mass activity and durability of alkaline HOR.Moreover,the unique structure of Pt-MoC@NC endows Pt with a high COtolerance at 1,000 ppm CO/H_(2),a quality that commercial Pt-C catalyst lacks.The theoretical calculations not only confirm the diffusion of electrons from Pt/NC to Mo C/NC could occur,but also demonstrate the negative shift of Pt d-band center for the optimized binding energies of*H,*OH and CO.

SUMS OF DUAL TOEPLITZ PRODUCTS ON THE ORTHOGONAL COMPLEMENTS OF FOCK-SOBOLEV SPACES

We consider dual Toeplitz operators on the orthogonal complements of the FockSobolev spaces of all nonnegative real orders.First,for symbols in a certain class containing all bounded functions,we study the problem of when an operator which is finite sums of the dual Toeplitz products is compact or zero.Next,for bounded symbols,we construct a symbol map and exhibit a short exact sequence associated with the C^(*)-algebra generated by all dual Toeplitz operators with bounded symbols.

Properties of the Measurement Phase Operator in Dual-Mode Entangle Coherent States

A class of measurement phase operators of dual-mode is defined and their properties in a class of entangle coherent states are investigated.Numerical results indicate that the entangle coherent states display some non-classical squeezed effects.

A strategy for strengthening chaotic mixing of dual shaft eccentric mixers by changing non-Newtonian fluids kinetic energy distribution

Efficiently modulating the velocity distribution and flow pattern of non-Newtonian fluids is a critical challenge in the context of dual shaft eccentric mixers for process intensification,posing a significant barrier for the existing technologies.Accordingly,this work reports a convenient strategy that changes the kinetic energy to controllably regulate the flow patterns from radial flow to axial flow.Results showed that the desired velocity distribution and flow patterns could be effectively obtained by varying the number and structure of baffles to change kinetic energy,and a more uniform velocity distribution,which could not be reached normally in standard baffle dual shaft mixers,was easily obtained.Furthermore,a comparative analysis of velocity and shear rate distributions is employed to elucidate the mechanism behind the generation of flow patterns in various dual-shaft eccentric mixers.Importantly,there is little difference in the power number of the laminar flow at the same Reynolds number,meaning that the baffle type has no effect on the power consumption,while the power number of both unbaffle and U-shaped baffle mixing systems decreases compared with the standard baffle mixing system in the transition flow.Finally,at the same rotational condition,the dimensionless mixing time of the U-shaped baffle mixing system is 15.3%and 7.9%shorter than that of the standard baffle and the unbaffle mixing system,respectively,which shows the advantage of the U-shaped baffle in stirring rate.

Dual Additives for Stabilizing Li Deposition and SEI Formation in Anode-Free Li-Metal Batteries

Anode-free Li-metal batteries are of significant interest to energy storage industries due to their intrinsically high energy.However,the accumulative Li dendrites and dead Li continuously consume active Li during cycling.That results in a short lifetime and low Coulombic efficiency of anode-free Li-metal batteries.Introducing effective electrolyte additives can improve the Li deposition homogeneity and solid electrolyte interphase(SEI)stability for anode-free Li-metal batteries.Herein,we reveal that introducing dual additives,composed of LiAsF6 and fluoroethylene carbonate,into a low-cost commercial carbonate electrolyte will boost the cycle life and average Coulombic efficiency of NMC‖Cu anode-free Li-metal batteries.The NMC‖Cu anode-free Li-metal batteries with the dual additives exhibit a capacity retention of about 75%after 50 cycles,much higher than those with bare electrolytes(35%).The average Coulombic efficiency of the NMC‖Cu anode-free Li-metal batteries with additives can maintain 98.3%over 100 cycles.In contrast,the average Coulombic efficiency without additives rapidly decline to 97%after only 50 cycles.In situ Raman measurements reveal that the prepared dual additives facilitate denser and smoother Li morphology during Li deposition.The dual additives significantly suppress the Li dendrite growth,enabling stable SEI formation on anode and cathode surfaces.Our results provide a broad view of developing low-cost and high-effective functional electrolytes for high-energy and long-life anode-free Li-metal batteries.

On Dual Cosine Operator Function

Some basic properties of daul cosine operator function are given. The concept and characterization of θ-reflexivity with respect to cosine operator function are first studied.

A dual-RPA based lateral flow strip for sensitive,on-site detection of CP4-EPSPS and Cry1Ab/Ac genes in genetically modified crops

Traditional transgenic detection methods require high test conditions and struggle to be both sensitive and efficient.In this study,a one-tube dual recombinase polymerase amplification(RPA)reaction system for CP4-EPSPS and Cry1Ab/Ac was proposed and combined with a lateral flow immunochromatographic assay,named“Dual-RPA-LFD”,to visualize the dual detection of genetically modified(GM)crops.In which,the herbicide tolerance gene CP4-EPSPS and the insect resistance gene Cry1Ab/Ac were selected as targets taking into account the current status of the most widespread application of insect resistance and herbicide tolerance traits and their stacked traits.Gradient diluted plasmids,transgenic standards,and actual samples were used as templates to conduct sensitivity,specificity,and practicality assays,respectively.The constructed method achieved the visual detection of plasmid at levels as low as 100 copies,demonstrating its high sensitivity.In addition,good applicability to transgenic samples was observed,with no cross-interference between two test lines and no influence from other genes.In conclusion,this strategy achieved the expected purpose of simultaneous detection of the two popular targets in GM crops within 20 min at 37°C in a rapid,equipmentfree field manner,providing a new alternative for rapid screening for transgenic assays in the field.

Fractal Fractional Order Operators in Computational Techniques for Mathematical Models in Epidemiology

New fractional operators, the COVID-19 model has been studied in this paper. By using different numericaltechniques and the time fractional parameters, the mechanical characteristics of the fractional order model areidentified. The uniqueness and existence have been established. Themodel’sUlam-Hyers stability analysis has beenfound. In order to justify the theoretical results, numerical simulations are carried out for the presented methodin the range of fractional order to show the implications of fractional and fractal orders.We applied very effectivenumerical techniques to obtain the solutions of themodel and simulations. Also, we present conditions of existencefor a solution to the proposed epidemicmodel and to calculate the reproduction number in certain state conditionsof the analyzed dynamic system. COVID-19 fractional order model for the case of Wuhan, China, is offered foranalysis with simulations in order to determine the possible efficacy of Coronavirus disease transmission in theCommunity. For this reason, we employed the COVID-19 fractal fractional derivative model in the example ofWuhan, China, with the given beginning conditions. In conclusion, again the mathematical models with fractionaloperators can facilitate the improvement of decision-making for measures to be taken in the management of anepidemic situation.

Novel Complex T-Spherical Dual Hesitant Uncertain Linguistic Muirhead Mean Operators and Their Application in Decision-Making

In this manuscript,the theory of complex T-spherical dual hesitant uncertain linguistic set is discovered,which is the mixture of three different ideas like the complex T-spherical fuzzy set,dual hesitant fuzzy set,and uncertain linguistic set.The complex T-spherical dual hesitant uncertain linguistic set composes the uncertain linguistic set,truth grade,abstinence grade,and falsity grade.Whose real and imaginary parts are the subset of a unit interval,and some of their operational laws are also presented.The theory of complex T-spherical dual hesitant uncertain linguistic Muirhead mean operator,complex T-spherical dual hesitant uncertain linguistic weighted Muirhead mean operator,complex T-spherical dual hesitant uncertain linguistic dual Muirhead mean operator and complex T-spherical dual hesitant uncertain linguistic weighted dual Muirhead mean operator are discovered.Some exceptional cases of the proposed operators are also examined.A multi-attribute decision making technique is further utilized based on explored operators.Moreover,an enterprise informatization level evaluation issue is resolved by using the presented operators to verify the proficiency and capability of the discovered approaches.Finally,some comparative analysis and advantages of the explored works are further developed to express that it is more flexible and effective than the existing methods.

Novel Investigation of Stochastic Fractional Differential Equations Measles Model via the White Noise and Global Derivative Operator Depending on Mittag-Leffler Kernel

Because of the features involved with their varied kernels,differential operators relying on convolution formulations have been acknowledged as effective mathematical resources for modeling real-world issues.In this paper,we constructed a stochastic fractional framework of measles spreading mechanisms with dual medication immunization considering the exponential decay and Mittag-Leffler kernels.In this approach,the overall population was separated into five cohorts.Furthermore,the descriptive behavior of the system was investigated,including prerequisites for the positivity of solutions,invariant domain of the solution,presence and stability of equilibrium points,and sensitivity analysis.We included a stochastic element in every cohort and employed linear growth and Lipschitz criteria to show the existence and uniqueness of solutions.Several numerical simulations for various fractional orders and randomization intensities are illustrated.

AN EXPLANATION ON FOUR NEW DEFINITIONS OF FRACTIONAL OPERATORS

Fractional calculus has drawn more attentions of mathematicians and engineers in recent years.A lot of new fractional operators were used to handle various practical problems.In this article,we mainly study four new fractional operators,namely the CaputoFabrizio operator,the Atangana-Baleanu operator,the Sun-Hao-Zhang-Baleanu operator and the generalized Caputo type operator under the frame of the k-Prabhakar fractional integral operator.Usually,the theory of the k-Prabhakar fractional integral is regarded as a much broader than classical fractional operator.Here,we firstly give a series expansion of the k-Prabhakar fractional integral by means of the k-Riemann-Liouville integral.Then,a connection between the k-Prabhakar fractional integral and the four new fractional operators of the above mentioned was shown,respectively.In terms of the above analysis,we can obtain this a basic fact that it only needs to consider the k-Prabhakar fractional integral to cover these results from the four new fractional operators.

GENERALIZED FORELLI-RUDIN TYPE OPERATORS BETWEEN SEVERAL FUNCTION SPACES ON THE UNIT BALL OF C^(N)

In this paper,we investigate sufficient and necessary conditions such that generalized Forelli-Rudin type operators T_(λ,τ,k),S_(λ,τ,k),Q_(λ,τ,k)and R_(λ,τ,k)are bounded between Lebesgue type spaces.In order to prove the main results,we first give some bidirectional estimates for several typical integrals.