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Food, Acid Supplementation and Drug Absorption - a Complicated Gastric Mix: a Randomized Control Trial.
PURPOSE:The purpose of this study was to determine the impact of food on gastric pH and the ability of over the counter betaine hydrochloride (BHCl) acid to reacidify gastric pH after food-induced elevations in gastric pH. METHODS:This open-label cross over clinical study (NCT02758015) included 9 subjects who were randomly assigned to one of 16 possible, 4-period cross-over sequences to determine the impact and relationship of food and gastric pH with acid supplementation. Subjects were administered various doses (1500 mg, 3000 mg and 4500 mg) of betaine hydrochloride (BHCl) to determine the ability of acid supplementation to reacidify gastric pH after the elevation of gastric pH caused by the ingestion of food. RESULTS:Following the administration of food and the resulting elevation in gastric pH, time to return to baseline gastric pH levels without acid supplementation was 49.7 ± 14.0 min. Administering 4500 mg of BHCl acid in capsules was able to reacidify gastric pH levels back to baseline following the administration of food in approximately 17.3 ± 5.9 min. AUCpH of each treatment were similar and not statistically different. Mean max pH following the administration of food was 3.20 ± 0.55. CONCLUSION:The ability of food to elevate and maintain gastric pH levels in the presence of acid supplementation was made evident throughout the study. A 4500 mg dose of BHCl was required to reacidify gastric pH after the administration of food. This study details the difficulty faced by clinicians in dosing a poorly soluble, weakly basic drug to patients receiving acid reducing agents where administration with food is recommended to avoid gastric side effects. TRIAL REGISTRATION:https://clinicaltrials.gov/ct2/show/NCT02758015
Evidence for the role of potassium in bone health: results of a systematic review and meta-analysis
Possible observation of parametrically amplified coherent phasons in K0.3MoO3 using time-resolved extreme-ultraviolet ARPES
We use time- and angle-resolved photoemission spectroscopy (tr-ARPES) in the
Extreme Ultraviolet (EUV) to measure the time- and momentum-dependent
electronic structure of photo-excited K0.3MoO3. Prompt depletion of the Charge
Density Wave (CDW) condensate launches coherent oscillations of the amplitude
mode, observed as a 1.7-THz-frequency modulation of the bonding band position.
In contrast, the anti-bonding band oscillates at about half this frequency. We
attribute these oscillations to coherent excitation of phasons via parametric
amplification of phase fluctuations.Comment: 4 figure
Comparing extrapolations of the coronal magnetic field structure at 2.5 solar radii with multi-viewpoint coronagraphic observations
The magnetic field shapes the structure of the solar corona but we still know
little about the interrelationships between the coronal magnetic field
configurations and the resulting quasi-stationary structures observed in
coronagraphic images (as streamers, plumes, coronal holes). One way to obtain
information on the large-scale structure of the coronal magnetic field is to
extrapolate it from photospheric data and compare the results with
coronagraphic images. Our aim is to verify if this comparison can be a fast
method to check systematically the reliability of the many methods available to
reconstruct the coronal magnetic field. Coronal fields are usually extrapolated
from photospheric measurements typically in a region close to the central
meridian on the solar disk and then compared with coronagraphic images at the
limbs, acquired at least 7 days before or after to account for solar rotation,
implicitly assuming that no significant changes occurred in the corona during
that period. In this work, we combine images from three coronagraphs
(SOHO/LASCO-C2 and the two STEREO/SECCHI-COR1) observing the Sun from different
viewing angles to build Carrington maps covering the entire corona to reduce
the effect of temporal evolution to ~ 5 days. We then compare the position of
the observed streamers in these Carrington maps with that of the neutral lines
obtained from four different magnetic field extrapolations, to evaluate the
performances of the latter in the solar corona. Our results show that the
location of coronal streamers can provide important indications to discriminate
between different magnetic field extrapolations.Comment: Accepted by A&A the 20th of May, 201
Evidence for topological defects in a photoinduced phase transition
Upon excitation with an intense ultrafast laser pulse, a symmetry-broken
ground state can undergo a non-equilibrium phase transition through pathways
dissimilar from those in thermal equilibrium. Determining the mechanism
underlying these photo-induced phase transitions (PIPTs) has been a
long-standing issue in the study of condensed matter systems. To this end, we
investigate the light-induced melting of a unidirectional charge density wave
(CDW) material, LaTe. Using a suite of time-resolved probes, we
independently track the amplitude and phase dynamics of the CDW. We find that a
quick (1ps) recovery of the CDW amplitude is followed by a slower
reestablishment of phase coherence. This longer timescale is dictated by the
presence of topological defects: long-range order (LRO) is inhibited and is
only restored when the defects annihilate. Our results provide a framework for
understanding other PIPTs by identifying the generation of defects as a
governing mechanism
Effect of a supplement rich in alkaline minerals on acid-base balance in humans
This is an Open Access article distributed under the terms of the Creative Commons Attribution Licens
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