Objectives To evaluate the safety and efficacy of high-dose amoxicillin-proton pump inhibitor dual therapy, and to provide a new eradication regimen as a first-line option for patients with H. pylori infection. Methods A total of 971 H. pylori positive patients who received initial treatment were recruited from March to August 2020, and randomly divided into treatment group and control group. The treatment group received of 20 mg esomeprazole four times daily and 750 mg amoxicillin four times daily for 14 days. Control group received of 220 mg bismuth potassium citrate twice daily, 20 mg esomeprazole twice daily, 1000 mg amoxicillin twice daily and 250 mg clarithromycin capsule twice daily for 14 days. Four weeks after the end of treatment, the urea breath test was reviewed to detect whether H. pylori was eradicated. Results There were no statistical differences in age, gender, the total clinical symptom scores before and after initial treatment, the compliance, and the degree of remission of symptoms before and after initial treatment between the two groups. The eradication rates of H. pylori between dual therapy and quadruple therapy were 88.31% and 85.26% ( p =.158) by intention-to-treat (ITT) analysis, 88.66% and 85.44% ( p =.186) by modified intention-to-treat (mITT) analysis, and 91.63% and 90.60% ( p =.116) by PP analysis, respectively. Adverse events in dual therapy group were significantly lower than quadruple therapy group (13.3% vs. 28.2% ( p <.01)). Conclusions For the initial treatment of H. pylori infection, the high-dose dual therapy regimen has the same efficacy as the bismuth-containing quadruple therapy regimen, good compliance, less adverse reactions and high safety, so it can be recommended as the empirical first-line treatment regimen for the eradication of H. pylori (KY2019173).

The maximum entropy (MaxEnt) model for predicting the potential suitable habitat of species has been commonly employed in many ecological and biological applications by using presence-only occurrence records along with associated environmental factors. Parnassia wightiana, a perennial herb, is a cold-adapted plant distributed across three diversity hotspots in China, including the Hengduan Range, Central China and the Lingnan region. The MaxEnt model was used to simulate the historic, current and future distribution trends of P. wightiana, as well as to analyse its distribution pattern in each historical period and explore the causes of species distribution changes. The results of our analysis indicated that annual precipitation, annual temperature range and mean temperature of the warmest quarter were the key bioclimatic variables affecting the distribution of P. wightiana. Most temperate species retracted into smaller refugial areas during glacial periods and experienced range expansion during interglacial periods. Possible refugia of the species were inferred to be located in the Hengduan Range and Qinling Regions.

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Based on investigation of populations of Parnassia guilinensis and P. xinganensis, examination of herbarium specimens (including types), as well as consultation of protologues and distributions, P. guilinensis is hereby reduced to a synonym of P. xinganensis. P. xinganensis is endemic to northeastern Guangxi Province of China and characterized by having elliptic to ovate leaves and staminodes 3–5-branched with globose glands. Field photographs and an updated morphological description of P. xinganensis are provided.