Community Practitioner最新文献

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<b><i>Helicobacter pylori</i> and Gastroduodenal Diseases: Advances in Diagnostic Strategies and Clinical Implications</b> 幽门螺杆菌与胃十二指肠疾病:诊断策略和临床意义的进展&lt; &lt; &gt;
Community Practitioner Pub Date : 2025-10-23 DOI: 10.61919/s2m13y73
Shahid Aziz, Haris Riaz Khan, Saleha Parveen, Uroosa Zakir, Kamil Akram, Ghulam Mustafa, Faisal Rasheed
{"title":"&lt;b&gt;&lt;i&gt;Helicobacter pylori&lt;/i&gt; and Gastroduodenal Diseases: Advances in Diagnostic Strategies and Clinical Implications&lt;/b&gt;","authors":"Shahid Aziz, Haris Riaz Khan, Saleha Parveen, Uroosa Zakir, Kamil Akram, Ghulam Mustafa, Faisal Rasheed","doi":"10.61919/s2m13y73","DOIUrl":"https://doi.org/10.61919/s2m13y73","url":null,"abstract":"Background: Helicobacter pylori causes a substantial global burden of gastroduodenal disease, including peptic ulcer, gastric MALT lymphoma, and adenocarcinoma. Accurate, context-specific diagnosis is essential to guide eradication therapy, reduce complications, and enable cancer prevention, yet test performance varies with bacterial distribution, medication exposure, bleeding, and prior surgery. Objective: To synthesize contemporary diagnostic strategies for H. pylori, integrate evidence from guidelines and primary studies, and appraise emerging tools—artificial intelligence (AI)–assisted endoscopy and proteomics—for their clinical utility and implementation. Methods: We conducted a narrative review of English-language literature (2000–2025) across PubMed, Scopus, and Web of Science, supplemented by guideline statements (Maastricht, ACG/CAG, Japanese) and reference snowballing. Evidence was organized by invasive versus non-invasive modalities, clinical scenarios (dyspepsia, bleeding, pediatrics, post-gastrectomy, test-of-cure), and translational technologies (AI, proteomics). Results: Urea breath test and monoclonal stool antigen assays consistently demonstrated ≥90% accuracy for initial diagnosis and post-treatment confirmation, contingent on appropriate medication washout. Biopsy-based histology, rapid urease testing, culture, and molecular assays offered complementary information—particularly for histopathology and resistance profiling—but were impacted by sampling and pre-analytical factors. AI systems improved endoscopic recognition and biopsy targeting, while proteomic studies identified candidate biomarkers (e.g., HSPs, annexins, ENO1, GKN1) with diagnostic and prognostic potential; however, external validation and workflow standardization remain limiting. Conclusion: Optimal H. pylori diagnosis requires individualized test selection and, where appropriate, combined strategies. AI and proteomics are poised to augment established pathways, enabling precision, resistance-aware care and earlier cancer prevention once validated and operationalized. Keywords: Helicobacter pylori; urea breath test; stool antigen; endoscopy; histopathology; rapid urease test; culture; PCR; antibiotic resistance; artificial intelligence; proteomics; biomarkers; gastric cancer; dyspepsia; precision medicine","PeriodicalId":53682,"journal":{"name":"Community Practitioner","volume":"1 1","pages":"e761-e761"},"PeriodicalIF":0.0,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://jhwcr.com/index.php/jhwcr/article/download/761/817","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147902085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pay: what's going on? 佩:怎么回事?
Community Practitioner Pub Date : 2017-05-01
Sarah Carpenter
{"title":"Pay: what's going on?","authors":"Sarah Carpenter","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":53682,"journal":{"name":"Community Practitioner","volume":"90 5","pages":"14"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36078739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lobbying against the CUTS. 游说反对削减开支计划。
Community Practitioner Pub Date : 2017-05-01
{"title":"Lobbying against the CUTS.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":53682,"journal":{"name":"Community Practitioner","volume":"90 5","pages":"18-19"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36078741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Solihull approach: pros and cons. 索利哈尔方法:利弊。
Community Practitioner Pub Date : 2017-05-01
Eleni Vasilopoulou, Ayesha Afzal, Kirsty Murphy, Clea Thompson
{"title":"The Solihull approach: pros and cons.","authors":"Eleni Vasilopoulou,&nbsp;Ayesha Afzal,&nbsp;Kirsty Murphy,&nbsp;Clea Thompson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":53682,"journal":{"name":"Community Practitioner","volume":"90 5","pages":"40-42"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36078749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Winning the VACCINE RACE. 赢得疫苗竞赛。
Community Practitioner Pub Date : 2017-05-01
Meredith Wadman
{"title":"Winning the VACCINE RACE.","authors":"Meredith Wadman","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":53682,"journal":{"name":"Community Practitioner","volume":"90 5","pages":"48-49"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36078752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Learning from experience. 从经验中学习。
Community Practitioner Pub Date : 2017-05-01
Anne Chitty
{"title":"Learning from experience.","authors":"Anne Chitty","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":53682,"journal":{"name":"Community Practitioner","volume":"90 5","pages":"21"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36078742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Easing the way. 为道路铺平道路。
Community Practitioner Pub Date : 2017-05-01
{"title":"Easing the way.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":53682,"journal":{"name":"Community Practitioner","volume":"90 5","pages":"25"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36078744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How to Promote SUN Safety. 如何促进太阳安全。
Community Practitioner Pub Date : 2017-05-01
{"title":"How to Promote SUN Safety.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":53682,"journal":{"name":"Community Practitioner","volume":"90 5","pages":"22-24"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36078743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Raising the bar. 提高标准。
Community Practitioner Pub Date : 2017-05-01
Victoria Howard, Lee Beardsmore, Elaine O'Flaherty
{"title":"Raising the bar.","authors":"Victoria Howard,&nbsp;Lee Beardsmore,&nbsp;Elaine O'Flaherty","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":53682,"journal":{"name":"Community Practitioner","volume":"90 5","pages":"38-39"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36078748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
You have to BITE. 你必须咬紧牙关。
Community Practitioner Pub Date : 2017-05-01
Rachael Maskell
{"title":"You have to BITE.","authors":"Rachael Maskell","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":53682,"journal":{"name":"Community Practitioner","volume":"90 5","pages":"16-17"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36078740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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