BACKGROUND Efficient bowel cleansing is essential for a successful colonoscopy,but the ideal cleansing agent,volume,and pharmaceutical dosage form have yet to be determined.Small-volume cleansers enhance patient compl...BACKGROUND Efficient bowel cleansing is essential for a successful colonoscopy,but the ideal cleansing agent,volume,and pharmaceutical dosage form have yet to be determined.Small-volume cleansers enhance patient compliance.AIM To compare the bowel cleansing efficacy of 32-tablet sodium phosphate(Quiklean®)with 2-L polyethylene glycol(PEG)/bisacodyl(Klean-Prep/Dulcolax®)under identical dietary recommendations.METHODS This multicenter,randomized,parallel-group,noninferiority clinical trial enrolled 472 outpatients,randomized 456 subjects,and scheduled 442 subjects to undergo colonoscopy(Quiklean®=222 and Klean-Prep/Dulcolax®=220).After bowel preparation,a colonoscopist performed the colonoscopy with video recorded for rating.The primary efficacy endpoint was the bowel cleansing quality using the Aronchick Scale.The secondary endpoints were the bowel cleansing efficacy of three colon segments,tolerability and acceptability,safety using the Ottawa bowel preparation scale,questionnaires by subjects,and monitoring of adverse events.RESULTS Success rates(Excellent+Good)of the bowel cleansing quality by Aronchick Scale were 98.6%(n=205)and 97.6%(n=204)in the Quiklean®and Klean-Prep/Dulcolax®groups,respectively.Quiklean®demonstrated noninferiority over Klean-Prep/Dulcolax®in colon cleansing efficacy.Quicken showed better tolerability and acceptability in the overall experience(was rated as excellent;24.0%vs 17.2%;P=0.0016)and the taste of the study preparation(was rated as excellent,23.1%vs 13.4%;P<0.0001)than Klean-Prep/Dulcolax®.Safety profiles did not differ between the two groups.Our data indicate that Quiklean®is an adequate,well-tolerated bowel cleansing preparation compared with the standard comparator Klean-Prep/Dulcolax®.CONCLUSION Quiklean®is sodium phosphate tablets available on Taiwan’s market for bowel preparation;it potentially offers patients an alternative to standard large-volume bowel preparation regimens and may,therefore,increase positive attitudes toward colonoscopies and participation rates.展开更多
Preparation of Zr2Al3C4-Al2O3 in situ composites was investigated by self-propagating high-temperature synthesis(SHS)involving both aluminothermic reduction of ZrO2 and chemical activation of PTFE(Teflon).The starting...Preparation of Zr2Al3C4-Al2O3 in situ composites was investigated by self-propagating high-temperature synthesis(SHS)involving both aluminothermic reduction of ZrO2 and chemical activation of PTFE(Teflon).The starting materials included ZrO2,Al,carbon black and PTFE.In addition to the conventional SHS method,the experiments were conducted by a chemical-oven SHS(COSHS)route to thermally assist the synthesis reaction.The threshold amount of 2%(mass fraction)PTFE was required to induce self-sustaining combustion.When the conventional SHS scheme was utilized,due to low combustion temperatures between 1152 and 1272°C and insufficient reaction time,the dominant carbide forming in the composite was ZrC instead of Zr2Al3C4.On the other hand,the COSHS technique increased the combustion temperature of the reactant compact to about 1576°C,lengthened the high-temperature duration for the reaction,and prevented Al vapor from escaping away.As a consequence,Zr2Al3C4-Al2O3 composites with a small amount of Zr3Al3C5 were obtained.The microstructure of the COSHS-derived product showed that plate-like Zr2Al3C4 grains were about 2μm in thickness and 10-30μm in length,and most of them were closely stacked into a laminated configuration.展开更多
基金The China Medical University Hospital,No.DMR-108-125.
文摘BACKGROUND Efficient bowel cleansing is essential for a successful colonoscopy,but the ideal cleansing agent,volume,and pharmaceutical dosage form have yet to be determined.Small-volume cleansers enhance patient compliance.AIM To compare the bowel cleansing efficacy of 32-tablet sodium phosphate(Quiklean®)with 2-L polyethylene glycol(PEG)/bisacodyl(Klean-Prep/Dulcolax®)under identical dietary recommendations.METHODS This multicenter,randomized,parallel-group,noninferiority clinical trial enrolled 472 outpatients,randomized 456 subjects,and scheduled 442 subjects to undergo colonoscopy(Quiklean®=222 and Klean-Prep/Dulcolax®=220).After bowel preparation,a colonoscopist performed the colonoscopy with video recorded for rating.The primary efficacy endpoint was the bowel cleansing quality using the Aronchick Scale.The secondary endpoints were the bowel cleansing efficacy of three colon segments,tolerability and acceptability,safety using the Ottawa bowel preparation scale,questionnaires by subjects,and monitoring of adverse events.RESULTS Success rates(Excellent+Good)of the bowel cleansing quality by Aronchick Scale were 98.6%(n=205)and 97.6%(n=204)in the Quiklean®and Klean-Prep/Dulcolax®groups,respectively.Quiklean®demonstrated noninferiority over Klean-Prep/Dulcolax®in colon cleansing efficacy.Quicken showed better tolerability and acceptability in the overall experience(was rated as excellent;24.0%vs 17.2%;P=0.0016)and the taste of the study preparation(was rated as excellent,23.1%vs 13.4%;P<0.0001)than Klean-Prep/Dulcolax®.Safety profiles did not differ between the two groups.Our data indicate that Quiklean®is an adequate,well-tolerated bowel cleansing preparation compared with the standard comparator Klean-Prep/Dulcolax®.CONCLUSION Quiklean®is sodium phosphate tablets available on Taiwan’s market for bowel preparation;it potentially offers patients an alternative to standard large-volume bowel preparation regimens and may,therefore,increase positive attitudes toward colonoscopies and participation rates.
基金sponsored by the Ministry of Science and Technology of Taiwan,China,under the grant of MOST 105-2221-E-035-039-MY2
文摘Preparation of Zr2Al3C4-Al2O3 in situ composites was investigated by self-propagating high-temperature synthesis(SHS)involving both aluminothermic reduction of ZrO2 and chemical activation of PTFE(Teflon).The starting materials included ZrO2,Al,carbon black and PTFE.In addition to the conventional SHS method,the experiments were conducted by a chemical-oven SHS(COSHS)route to thermally assist the synthesis reaction.The threshold amount of 2%(mass fraction)PTFE was required to induce self-sustaining combustion.When the conventional SHS scheme was utilized,due to low combustion temperatures between 1152 and 1272°C and insufficient reaction time,the dominant carbide forming in the composite was ZrC instead of Zr2Al3C4.On the other hand,the COSHS technique increased the combustion temperature of the reactant compact to about 1576°C,lengthened the high-temperature duration for the reaction,and prevented Al vapor from escaping away.As a consequence,Zr2Al3C4-Al2O3 composites with a small amount of Zr3Al3C5 were obtained.The microstructure of the COSHS-derived product showed that plate-like Zr2Al3C4 grains were about 2μm in thickness and 10-30μm in length,and most of them were closely stacked into a laminated configuration.
