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terima kasih cukup sekian dari saya

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印尼语

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印尼语

cukup sekian penjelasan dari saya

英语

enough of my explanation

最后更新: 2020-08-27
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参考: 匿名

印尼语

cukup sekian dari saya dan terima kasih

英语

that's all and thank you

最后更新: 2020-11-01
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参考: 匿名

印尼语

terima kasih pak

英语

hello everyone, welcome to blockchain island

最后更新: 2021-12-20
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参考: 匿名

印尼语

terima kasih banyak

英语

i'm so sorry.

最后更新: 2022-08-30
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参考: 匿名

印尼语

terima kasih banyak.

英语

thanks a lot.

最后更新: 2016-03-25
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参考: 匿名

印尼语

terima kasih atas doa nya

英语

thank you for your prayers and support

最后更新: 2022-03-06
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参考: 匿名

印尼语

terima kasih suami terbaikku

英语

thank kashi my best husband

最后更新: 2023-01-19
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参考: 匿名

印尼语

terima kasih atas kepercayaan anda.

英语

thank you for your trust and cooperation.

最后更新: 2023-01-01
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印尼语

terima kasih atas jasa-jasanya

英语

keep inspiring

最后更新: 2020-06-21
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参考: 匿名

印尼语

sekian dari saya,saya akhiri wassalam

英语

from the psp b class, here

最后更新: 2020-12-10
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参考: 匿名

印尼语

terima kasih tuhan 11 years old

英语

terima kasih tuhan 11 years old

最后更新: 2024-03-04
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参考: 匿名

印尼语

terima kasih untuk sahabat ku anandamp

英语

thank you for my friend anandamp

最后更新: 2020-10-16
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印尼语

peluk jauh dari saya

英语

hug away from me

最后更新: 2024-04-14
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参考: 匿名

印尼语

kamu lebih muda dari saya

英语

google transleter

最后更新: 2014-12-29
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参考: 匿名

印尼语

masih ada yang ditutupi dari saya

英语

the most potent suppressors of gastric acid secretion are inhibitors of the gastric h+,k+-atpase (proton pump) (figure 36–2a). in typical doses, these drugs diminish the daily production of acid (basal and stimulated) by 80% to 95%. five proton pump inhibitors are available for clinical use: omeprazole (prilosec, rapinex, zegerid) and its s-isomer, esomeprazole (nexium), lansoprazole (prevacid), rabeprazole (aciphex), and pantoprazole (protonix). these drugs have different substitutions on their pyridine and/or benzimidazole groups but are remarkably similar in their pharmacological properties (see appendix ii). omeprazole is a racemic mixture of r- and s-isomers; the s-isomer, esomeprazole (s-omeprazole), is eliminated less rapidly than r-omeprazole, which theoretically provides a therapeutic advantage because of the increased half-life. despite claims to the contrary, all proton pump inhibitors have equivalent efficacy at comparable doses. proton pump inhibitors are prodrugs that require activation in an acid environment. after absorption into the systemic circulation, the prodrug diffuses into the parietal cells of the stomach and accumulates in the acidic secretory canaliculi. here, it is activated by proton-catalyzed formation of a tetracyclic sulfenamide (figure 36–2), trapping the drug so that it cannot diffuse back across the canalicular membrane. the activated form then binds covalently with sulfhydryl groups of cysteines in the h+,k+-atpase, irreversibly inactivating the pump molecule. acid secretion resumes only after new pump molecules are synthesized and inserted into the luminal membrane, providing a prolonged (up to 24- to 48-hour) suppression of acid secretion, despite the much shorter plasma half-lives (0.5 to 2 hours) of the parent compounds. because they block the final step in acid production, the proton pump inhibitors are effective in acid suppression regardless of other stimulating factors. the most potent suppressors of gastric acid secretion are inhibitors of the gastric h+,k+-atpase (proton pump) (figure 36–2a). in typical doses, these drugs diminish the daily production of acid (basal and stimulated) by 80% to 95%. five proton pump inhibitors are available for clinical use: omeprazole (prilosec, rapinex, zegerid) and its s-isomer, esomeprazole (nexium), lansoprazole (prevacid), rabeprazole (aciphex), and pantoprazole (protonix). these drugs have different substitutions on their pyridine and/or benzimidazole groups but are remarkably similar in their pharmacological properties (see appendix ii). omeprazole is a racemic mixture of r- and s-isomers; the s-isomer, esomeprazole (s-omeprazole), is eliminated less rapidly than r-omeprazole, which theoretically provides a therapeutic advantage because of the increased half-life. despite claims to the contrary, all proton pump inhibitors have equivalent efficacy at comparable doses. proton pump inhibitors are prodrugs that require activation in an acid environment. after absorption into the systemic circulation, the prodrug diffuses into the parietal cells of the stomach and accumulates in the acidic secretory canaliculi. here, it is activated by proton-catalyzed formation of a tetracyclic sulfenamide (figure 36–2), trapping the drug so that it cannot diffuse back across the canalicular membrane. the activated form then binds covalently with sulfhydryl groups of cysteines in the h+,k+-atpase, irreversibly inactivating the pump molecule. acid secretion resumes only after new pump molecules are synthesized and inserted into the luminal membrane, providing a prolonged (up to 24- to 48-hour) suppression of acid secretion, despite the much shorter plasma half-lives (0.5 to 2 hours) of the parent compounds. because they block the final step in acid production, the proton pump inhibitors are effective in acid suppression regardless of other stimulating factors.

最后更新: 2014-04-24
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参考: 匿名

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