Long-term benefit of transoral incisionless fundoplication using the esophyx device for the management of gastroesophageal reflux disease responsive to medical therapy.

Incisionless transoral fundoplication (TIF) using EsophyX device has been proven effective and safe in patients with Gastroesophageal reflux disease (GERD); However, a subset of patients who will mostly benefit from this technique is still unknown. The purpose of this study was to evaluate the long-term efficacy and safety of TIF procedure in patients with a history of chronic esophagitis or proven GERD symptoms who have achieved control with the administration of proton pump inhibitors (PPI) but do not want to continue receiving medication for life.

Forty-five patients with typical GERD symptoms (heartburn, regurgitation, chest pain) and a history of esophagitis grade A and B or proven GERD with esophageal pH monitoring underwent TIF using Esophyx. Patients with eosphagitis C and D or those with large hiatal hernia (> 2 cm) were excluded. Clinical primary efficacy measure was the elimination of GERD symptoms at follow-up based on the normalization of GERD health-related quality of life (GERD-HRQL) questionnaire.

After a median follow-up period of 59 months (36-75) GERD-HRQL score improved significantly from a median of 27 (2-45) at baseline to 4 (0-26) (P <0.001) in the 44 patients completed the study. Heartburn eliminated in 12 of 21 patients included (57.1%), regurgitation were eliminated in 15 of the 17 patients included (88.2%) and chest pain eventually eliminated in five of six patients including patients (83.3%). Overall, 32 patients out of 44 patients (72.7%) who completed the follow-up study reported elimination of their main symptoms, without the need for administration of PPI (no use of PPIs).

Furthermore, six patients (13.6%), five with heartburn, regurgitation and one with a reported half-dose PPI is taken to <50% from the previous follow-up period (PPI use occasionally), while six patients (four with heartburn, one with regurgitation, and one with chest pain) reported full or half-dose PPI is taken for more than 50% from the previous follow-up period (PPI use every day). The creation of an esophagogastric fundoplication using EsophyX device abolished reflux symptoms in 72.7% of patients with GERD is PPI-responsive at a median of 59 months follow-up.

Long-term benefit of transoral incisionless fundoplication using the esophyx device for the management of gastroesophageal reflux disease responsive to medical therapy.
Long-term benefit of transoral incisionless fundoplication using the esophyx device for the management of gastroesophageal reflux disease responsive to medical therapy.

Responsive to the diversity of medical education: taking intersectionality based approach to curriculum evaluation.

Recent years have seen an increase in efforts to implement a variety of topics to medical education, using either the ‘narrowing down’ or the definition of ‘widespread’ culture. This development is encouraging that the results of such efforts are systematically evaluated by mapping the curriculum for diversity-responsive content.

This study aims to use intersectionality based approach to determine the learning objectives related to diversity-and to evaluate how the biomedical and social aspects of cultural diversity are integrated into the medical curriculum in the Netherlands. We took a three-phase mixed methods approach.

In phase one and two, we define essential learning objectives based on qualitative interviews with school stakeholders and literary diversity. In phase three, we screened for content written curriculum diversity (culture, sex / gender and class) and associated outcomes with the objectives set in the two-phase study. We identified three learning objectives in the field of education (medical knowledge and skills, patient-physician communication, and reflexivity).

p38
MBS8533658-01mL 0.1mL
EUR 345

p38
MBS8533658-01mLAF405L 0.1mL(AF405L)
EUR 565

p38
MBS8533658-01mLAF405S 0.1mL(AF405S)
EUR 565

p38
MBS8533658-01mLAF610 0.1mL(AF610)
EUR 565

p38
MBS8533658-01mLAF635 0.1mL(AF635)
EUR 565

P38 mAb
MBS435304-005mL 0.05mL
EUR 415

P38 mAb
MBS435304-01mL 0.1mL
EUR 660

P38 mAb
MBS435304-5x01mL 5x0.1mL
EUR 2655

p38 MAPK
E8ET1702-65 100ul
EUR 275
Description: Available in various conjugation types.

Mxi2, p38
MBS603655-01mg 0.1mg
EUR 820

Mxi2, p38
MBS603655-5x01mg 5x0.1mg
EUR 3530

p38 MAPK
MBS8534372-01mL 0.1mL
EUR 345

p38 MAPK
MBS8534372-01mLAF405L 0.1mL(AF405L)
EUR 565

p38 MAPK
MBS8534372-01mLAF405S 0.1mL(AF405S)
EUR 565

p38 MAPK
MBS8534372-01mLAF610 0.1mL(AF610)
EUR 565

p38 MAPK
MBS8534372-01mLAF635 0.1mL(AF635)
EUR 565

p38 protein
E20-80078 20ug
EUR 275
Description: N/A

p38 protein
E20-80079 20ug
EUR 275
Description: N/A

p38 protein
MBS8526800-002mg 0.02mg
EUR 345

p38 protein
MBS8526800-5x002mg 5x0.02mg
EUR 1410

p38 protein
MBS8526801-002mg 0.02mg
EUR 345

p38 protein
MBS8526801-5x002mg 5x0.02mg
EUR 1410

p38 Antibody
20-abx141038
  • Ask for price
  • Ask for price
  • Ask for price
  • 30 ul
  • 100 ul
  • 200 ul

p38 Antibody
20-abx133223
  • Ask for price
  • Ask for price
  • Ask for price
  • 30 ul
  • 100 ul
  • 200 ul

p38 Antibody
abx236076-100g 100 µg
EUR 350

p38 Antibody
abx236076-100ug 100 ug
EUR 577.2

p38 Antibody
48644 100ul
EUR 499

p38 Antibody
48644-100ul 100ul
EUR 399.6

p38 Antibody
48644-50ul 50ul
EUR 286.8

p38 antibody
70R-51505 100 ul
EUR 242
Description: Purified Polyclonal p38 antibody

p38 antibody
70R-51506 100 ul
EUR 286
Description: Purified Polyclonal p38 antibody

p38 Antibody
35478 100ul
EUR 479

p38 Antibody
35478-100ul 100ul
EUR 468

p38 Antibody
B7178-100ul 100μl
EUR 217
Description: p38 Rabbit Polyclonal Antibody

p38 Antibody
B7178-50ul 50μl
EUR 143.5
Description: p38 Rabbit Polyclonal Antibody

p38 Antibody
20-abx007541
  • Ask for price
  • Ask for price
  • Ask for price
  • 30 ul
  • 100 ul
  • 200 ul

p38 Antibody
B0798-100ul 100μl
EUR 217
Description: p38 Rabbit Polyclonal Antibody

p38 Antibody
B0798-50ul 50μl
EUR 143.5
Description: p38 Rabbit Polyclonal Antibody

p38 Antibody
B0799-100ul 100μl
EUR 217
Description: p38 Rabbit Polyclonal Antibody

p38 Antibody
B0799-50ul 50μl
EUR 143.5
Description: p38 Rabbit Polyclonal Antibody

p38 Antibody
E38PA3186 100ul
EUR 225
Description: Available in various conjugation types.

p38 Antibody
E38PA4721 100ul
EUR 225
Description: Available in various conjugation types.

p38 Antibody
E38PA5060 100ul
EUR 225
Description: Available in various conjugation types.

p38 Antibody
E38PA5094 100ul
EUR 225
Description: Available in various conjugation types.

p38 Antibody
E38PA7126 100ul
EUR 225
Description: Available in various conjugation types.

p38 Antibody
MBS5316121-01mL 0.1mL
EUR 460

p38 Antibody
MBS5316121-5x01mL 5x0.1mL
EUR 1920

p38 Antibody
MBS5316122-01mL 0.1mL
EUR 535

p38 Antibody
MBS5316122-5x01mL 5x0.1mL
EUR 2270

p38 Antibody
MBS8002013-0025mL 0.025mL
EUR 315

p38 Antibody
MBS8002013-5x0025mL 5x0.025mL
EUR 890

p38 Antibody
MBS805089-01mL 0.1mL
EUR 425

p38 Antibody
MBS805089-5x01mL 5x0.1mL
EUR 1350

p38 Antibody
MBS806203-0025mL 0.025mL
EUR 320

p38 Antibody
MBS8584173-01mL 0.1mL
EUR 305

p38 Antibody
MBS8584173-01mLAF405L 0.1mL(AF405L)
EUR 465

p38 Antibody
MBS8584173-01mLAF405S 0.1mL(AF405S)
EUR 465

p38 Antibody
MBS8584173-01mLAF610 0.1mL(AF610)
EUR 465

p38 Antibody
MBS8584173-01mLAF635 0.1mL(AF635)
EUR 465

p38 Antibody
MBS8582905-01mL 0.1mL
EUR 305

p38 Antibody
MBS8582905-01mLAF405L 0.1mL(AF405L)
EUR 465

p38 Antibody
MBS8582905-01mLAF405S 0.1mL(AF405S)
EUR 465

p38 Antibody
MBS8582905-01mLAF610 0.1mL(AF610)
EUR 465

p38 Antibody
MBS8582905-01mLAF635 0.1mL(AF635)
EUR 465

p38 Antibody
MBS8582923-01mL 0.1mL
EUR 305

p38 Antibody
MBS8582923-01mLAF405L 0.1mL(AF405L)
EUR 465

p38 Antibody
MBS8582923-01mLAF405S 0.1mL(AF405S)
EUR 465

p38 Antibody
MBS8582923-01mLAF610 0.1mL(AF610)
EUR 465

p38 Antibody
MBS8582923-01mLAF635 0.1mL(AF635)
EUR 465

p38 Antibody
MBS8582665-01mL 0.1mL
EUR 305

p38 Antibody
MBS8582665-01mLAF405L 0.1mL(AF405L)
EUR 465

p38 Antibody
MBS8582665-01mLAF405S 0.1mL(AF405S)
EUR 465

p38 Antibody
MBS8582665-01mLAF610 0.1mL(AF610)
EUR 465

p38 Antibody
MBS8582665-01mLAF635 0.1mL(AF635)
EUR 465

p38 Antibody
MBS8581787-01mL 0.1mL
EUR 305

p38 Antibody
MBS8581787-01mLAF405L 0.1mL(AF405L)
EUR 465

p38 Antibody
MBS8581787-01mLAF405S 0.1mL(AF405S)
EUR 465

p38 Antibody
MBS8581787-01mLAF610 0.1mL(AF610)
EUR 465

p38 Antibody
MBS8581787-01mLAF635 0.1mL(AF635)
EUR 465

p38 Antibody
MBS9508977-005mL 0.05mL
EUR 285

p38 Antibody
MBS9508977-01mL 0.1mL
EUR 385

p38 Antibody
MBS9508977-5x01mL 5x0.1mL
EUR 1590

p38 Antibody
MBS9435492-005mL 0.05mL
EUR 325

p38 Antibody
MBS9435492-01mL 0.1mL
EUR 435

p38 Antibody
MBS9435492-5x01mL 5x0.1mL
EUR 1810

p38 Antibody
MBS9409774-01mL 0.1mL
EUR 420

p38 Antibody
MBS9409774-5x01mL 5x0.1mL
EUR 1740

p38 Antibody
SPC-172D 0.1ml
EUR 161
Description: Rabbit Anti-Human p38 Polyclonal

p38 Antibody
SPC-172S 0.012ml Ask for price
Description: Rabbit Anti-Human p38 Polyclonal

p38 Substrate
MBS517838-1mg 1mg
EUR 205

p38 Substrate
MBS517838-5x1mg 5x1mg
EUR 675

MAP Kinase p38, Control Cell Extracts (Mitogen Activated Protein Kinase p38, MAPK p38)
MBS657552-10Blots 10Blots
EUR 430

MAP Kinase p38, Control Cell Extracts (Mitogen Activated Protein Kinase p38, MAPK p38)
MBS657552-5x10Blots 5x10Blots
EUR 1785

MAP Kinase p38, phosphorylated (Thr180, Ty182) (Mitogen Activated Protein Kinase p38, MAPK p38)
MBS632290-02mL 0.2mL
EUR 660

MAP Kinase p38, phosphorylated (Thr180, Ty182) (Mitogen Activated Protein Kinase p38, MAPK p38)
MBS632290-5x02mL 5x0.2mL
EUR 2810

MAP Kinase p38, phosphorylated (Thr180, Tyr182) (Mitogen Activated Protein Kinase p38, MAPK p38)
MBS627818-10Blots 10Blots
EUR 875

MAP Kinase p38, phosphorylated (Thr180, Tyr182) (Mitogen Activated Protein Kinase p38, MAPK p38)
MBS627818-5x10Blots 5x10Blots
EUR 3785

MAP Kinase p38, phosphorylated (Thr180, Ty182) (Mitogen Activated Protein Kinase p38, MAPK p38)
MBS633592-01mL 0.1mL
EUR 695

MAP Kinase p38, phosphorylated (Thr180, Ty182) (Mitogen Activated Protein Kinase p38, MAPK p38)
MBS633592-5x01mL 5x0.1mL
EUR 2985

MAP Kinase p38, phosphorylated (Thr180, Tyr182) (Mitogen Activated Protein Kinase p38, MAPK p38)
MBS630803-02mL 0.2mL
EUR 650

MAP Kinase p38, phosphorylated (Thr180, Tyr182) (Mitogen Activated Protein Kinase p38, MAPK p38)
MBS630803-06mL 0.6mL
EUR 1175

MAP Kinase p38, phosphorylated (Thr180, Tyr182) (Mitogen Activated Protein Kinase p38, MAPK p38)
MBS630803-5x06mL 5x0.6mL
EUR 5140

SB-203580 p38 MAPK(p38 MAP kinase) Inhibitor
E1B1863 1mg
EUR 85

SB-203580 p38 MAPK (p38 MAP kinase) Inhibitor
MBS8579825-1mg 1mg
EUR 180

SB-203580 p38 MAPK (p38 MAP kinase) Inhibitor
MBS8579825-5x1mg 5x1mg
EUR 660

p38 (411-425) M.leprae
MBS8246858-10mg 10mg
EUR 675

p38 (411-425) M.leprae
MBS8246858-1mg 1mg
EUR 255

p38 (411-425) M.leprae
MBS8246858-5mg 5mg
EUR 480

p38 (411-425) M.leprae
MBS8246858-5x10mg 5x10mg
EUR 2955

MAP Kinase p38, phosphorylated (Thr180, Ty182) (Mitogen Activated Protein Kinase p38, MAPK p38) (Agarose)
MBS631660-04mL 0.4mL
EUR 670

MAP Kinase p38, phosphorylated (Thr180, Ty182) (Mitogen Activated Protein Kinase p38, MAPK p38) (Agarose)
MBS631660-5x04mL 5x0.4mL
EUR 2870

Anti - p38-a
MBS684252-002mL 0.02mL
EUR 270

Anti - p38-a
MBS684252-005mL 0.05mL
EUR 485

Anti - p38-a
MBS684252-01mL 0.1mL
EUR 720

Anti - p38-a
MBS684252-5x01mL 5x0.1mL
EUR 2925

Anti - p38-b
MBS684253-002mL 0.02mL
EUR 270

Anti - p38-b
MBS684253-005mL 0.05mL
EUR 485

Anti - p38-b
MBS684253-01mL 0.1mL
EUR 720

Anti - p38-b
MBS684253-5x01mL 5x0.1mL
EUR 2925

Anti - p38-g
MBS684254-002mL 0.02mL
EUR 270

Anti - p38-g
MBS684254-005mL 0.05mL
EUR 485

Anti - p38-g
MBS684254-01mL 0.1mL
EUR 720

Anti - p38-g
MBS684254-5x01mL 5x0.1mL
EUR 2925

Anti - p38-d
MBS684255-002mL 0.02mL
EUR 270

Anti - p38-d
MBS684255-005mL 0.05mL
EUR 485

Anti - p38-d
MBS684255-01mL 0.1mL
EUR 720

Anti - p38-d
MBS684255-5x01mL 5x0.1mL
EUR 2925

p38 Mouse mAb
E2222580 100ul
EUR 255
Description: Biotin-Conjugated, FITC-Conjugated , AF350 Conjugated , AF405M-Conjugated ,AF488-Conjugated, AF514-Conjugated ,AF532-Conjugated, AF555-Conjugated ,AF568-Conjugated , HRP-Conjugated, AF405S-Conjugated, AF405L-Conjugated , AF546-Conjugated, AF594-Conjugated , AF610-Conjugated, AF635-Conjugated , AF647-Conjugated , AF680-Conjugated , AF700-Conjugated , AF750-Conjugated , AF790-Conjugated , APC-Conjugated , PE-Conjugated , Cy3-Conjugated , Cy5-Conjugated , Cy5.5-Conjugated , Cy7-Conjugated Antibody

p38 Mouse mAb
E2220879 100ul
EUR 225
Description: Available in various conjugation types.

p38 Mouse mAb
MBS8539086-01mL 0.1mL
EUR 305

p38 Mouse mAb
MBS8539086-01mLAF405L 0.1mL(AF405L)
EUR 565

p38 Mouse mAb
MBS8539086-01mLAF405S 0.1mL(AF405S)
EUR 565

p38 Mouse mAb
MBS8539086-01mLAF610 0.1mL(AF610)
EUR 565

p38 Mouse mAb
MBS8539086-01mLAF635 0.1mL(AF635)
EUR 565

p38 Rabbit mAb
E2R25239 100μl
EUR 225
Description: Available in various conjugation types.

p38 Rabbit mAb
E2R27123 100μl
EUR 225
Description: Available in various conjugation types.

p38 Rabbit pAb
E2251338 100ul
EUR 225
Description: Available in various conjugation types.

p38 Rabbit pAb
E2251719 100ul
EUR 225
Description: Available in various conjugation types.

p38 Rabbit mAb
E38A4061 100ug/100ul
EUR 255

p38 Rabbit pAb
E2340697 100ul
EUR 225
Description: Available in various conjugation types.

p38 Rabbit pAb
E2380881 100ul
EUR 225
Description: Available in various conjugation types.

p38 Rabbit pAb
E2381051 100ul
EUR 225
Description: Available in various conjugation types.

p38 Rabbit mAb
MBS4752931-01mL 0.1mL
EUR 450

p38 Rabbit mAb
MBS4752931-5x01mL 5x0.1mL
EUR 1540

p38 Rabbit mAb
MBS4754198-01mL 0.1mL
EUR 450

p38 Rabbit mAb
MBS4754198-5x01mL 5x0.1mL
EUR 1540

p38 HOG Kinase
MBS395428-025mg 0.25mg
EUR 425

p38 HOG Kinase
MBS395428-5x025mg 5x0.25mg
EUR 1760

p38 Rabbit pAb
MBS8539985-01mL 0.1mL
EUR 305

p38 Rabbit pAb
MBS8539985-01mLAF405L 0.1mL(AF405L)
EUR 565

p38 Rabbit pAb
MBS8539985-01mLAF405S 0.1mL(AF405S)
EUR 565

p38 Rabbit pAb
MBS8539985-01mLAF610 0.1mL(AF610)
EUR 565

p38 Rabbit pAb
MBS8539985-01mLAF635 0.1mL(AF635)
EUR 565

p38 Rabbit pAb
MBS8540327-01mL 0.1mL
EUR 305

p38 Rabbit pAb
MBS8540327-01mLAF405L 0.1mL(AF405L)
EUR 565

p38 Rabbit pAb
MBS8540327-01mLAF405S 0.1mL(AF405S)
EUR 565

p38 Rabbit pAb
MBS8540327-01mLAF610 0.1mL(AF610)
EUR 565

p38 Rabbit pAb
MBS8540327-01mLAF635 0.1mL(AF635)
EUR 565

p38 Rabbit pAb
MBS8542346-01mL 0.1mL
EUR 305

p38 Rabbit pAb
MBS8542346-01mLAF405L 0.1mL(AF405L)
EUR 565

p38 Rabbit pAb
MBS8542346-01mLAF405S 0.1mL(AF405S)
EUR 565

p38 Rabbit pAb
MBS8542346-01mLAF610 0.1mL(AF610)
EUR 565

p38 Rabbit pAb
MBS8542346-01mLAF635 0.1mL(AF635)
EUR 565

p38 Rabbit pAb
MBS8542516-01mL 0.1mL
EUR 305

p38 Rabbit pAb
MBS8542516-01mLAF405L 0.1mL(AF405L)
EUR 565

p38 Rabbit pAb
MBS8542516-01mLAF405S 0.1mL(AF405S)
EUR 565

p38 Rabbit pAb
MBS8542516-01mLAF610 0.1mL(AF610)
EUR 565

p38 Rabbit pAb
MBS8542516-01mLAF635 0.1mL(AF635)
EUR 565

p38 Rabbit pAb
MBS8541727-01mL 0.1mL
EUR 305

p38 Rabbit pAb
MBS8541727-01mLAF405L 0.1mL(AF405L)
EUR 565

p38 Rabbit pAb
MBS8541727-01mLAF405S 0.1mL(AF405S)
EUR 565

p38 Rabbit pAb
MBS8541727-01mLAF610 0.1mL(AF610)
EUR 565

p38 Rabbit pAb
MBS8541727-01mLAF635 0.1mL(AF635)
EUR 565

anti-Crk p38
YF-PA11088 50 ul
EUR 435.6
Description: Mouse polyclonal to Crk p38

anti-Crk p38
YF-PA11089 50 ug
EUR 435.6
Description: Mouse polyclonal to Crk p38

anti-Crk p38
YF-PA11090 100 ug
EUR 483.6
Description: Rabbit polyclonal to Crk p38

anti-Crk p38
YF-PA23509 50 ul
EUR 400.8
Description: Mouse polyclonal to Crk p38

p38 beta, Active
7763-100 each
EUR 5214

p38 beta, Active
7763-5 each
EUR 444

p38 beta protein
30R-2875 5 ug
EUR 425
Description: Purified recombinant Human p38 beta protein

Crk p38 Antibody
AF6323 200ul
EUR 420

Crk p38 Antibody
AF6323-100ul 100ul
EUR 168
Description: WB,IHC,IF/ICC,ELISA(peptide)

Crk p38 Antibody
AF6323-200ul 200ul
EUR 210
Description: WB,IHC,IF/ICC,ELISA(peptide)

p38 (C20) Antibody
MBS440021-02mg 0.2mg
EUR 285

p38 (C20) Antibody
MBS440021-5x02mg 5x0.2mg
EUR 1185

p38 Antibody: HRP
MBS805179-01mL 0.1mL
EUR 455

p38 Antibody: HRP
MBS805179-5x01mL 5x0.1mL
EUR 1505

p38 Antibody: RPE
MBS805299-01mL 0.1mL
EUR 465

p38 Antibody: RPE
MBS805299-5x01mL 5x0.1mL
EUR 1535

p38 Hog Antibody
P9809 100ug
EUR 259

Most content classified diversity of biomedical knowledge and skills. the limited attention given to social and cultural issues as determinants of health and health care use.