Perceived risk as a barrier to appropriate diagnosis of irritable bowel syndrome

Effect of notch sensitivity on the mechanical properties of HA/PEEK functional gradient biocomposites

Biomaterials used as loading-bearing orthopedic implants usually require various excellent properties such as mechanical, bioactive and bio-tribological performances. Moreover, all of the orthopedic applications feature stress concentrations (notch sensitivity) in their design. In the present work, hydroxyapatite-reinforced polyetheretherketone functional gradient biocomposites (HA/PEEK FGBm) were successfully prepared by the layer stacking method combined with hot pressing molding technology. The effects of notch geometry on the stress-strain behavior of HA/PEEK FGBm were evaluated. The fracture morphology was investigated by scanning electron microscopy (SEM). The study of the stress-strain behavior indicated that the tensile and flexural stresses of HA/PEEK FGBm linearly increased with increasing strain under all the notch sensitivities. The fracture strain of the biocomposites decreased with increasing stress concentration factor and total HA content in the functional biocomposites. Moreover, the tensile and flexural strengths of HA/PEEK FGBm were lower than those of homogeneous HA/PEEK biocomposites. The SEM observation of the fracture micro-morphology showed that the fracture mechanism of HA/PEEK FGBm was gradually controlled by the brittle fracture process. Furthermore, both the tensile and the flexural strengths of HA/PEEK FGBm decreased with the increase in stress concentration factor and total HA content in the biocomposites.

Clinical study of anesthetization by dezocine combined with propofol for indolent colonoscopy

AIM: To assess the use of dezocine combined with propofol for the anesthetization of patients undergoing indolent colonoscopy.

METHODS: A cross-sectional survey of patients undergoing indolent colonoscopy in the Xinjiang People’s Hospital was conducted from April 1 to April 30, 2015. The survey collected patient general information and anesthesia data, including overall medical experience and pain management. Thirty minutes after colonoscopy surgery, samples of venous blood were collected and the biochemical indicators of gastrointestinal function were analyzed.

RESULTS: There were 98 female and 62 male respondents. Indolent colonoscopy was found to be more suitable for mid to older-aged patients. The necessary conditions for the diagnosis of digestive diseases were required in 65 of the 73 inpatients. Adverse reactions to the intraoperative process included two cases of body movement and two cases of respiratory depression. Gastrin and vasoactive intestinal peptide levels were slightly increased. However, somatostatin and endothelin levels were slightly decreased.

CONCLUSION: This study revealed that dezocine combined with propofol can be successfully used for the anesthetization of indolent colonoscopy patients without pain and should be widely used.

Inflammation in irritable bowel syndrome: Myth or new treatment target?

Low-grade intestinal inflammation plays a key role in the pathophysiology of irritable bowel syndrome (IBS), and this role is likely to be multifactorial. The aim of this review was to summarize the evidence on the spectrum of mucosal inflammation in IBS, highlighting the relationship of this inflammation to the pathophysiology of IBS and its connection to clinical practice. We carried out a bibliographic search in Medline and the Cochrane Library for the period of January 1966 to December 2014, focusing on publications describing an interaction between inflammation and IBS. Several evidences demonstrate microscopic and molecular abnormalities in IBS patients. Understanding the mechanisms underlying low-grade inflammation in IBS may help to design clinical trials to test the efficacy and safety of drugs that target this pathophysiologic mechanism.