BACKGROUND Amino-acid based medical foods have shown promise in alleviating symptoms of drug induced gastrointestinal side effects;particularly,diarrhea-predominant symptoms.Irritable bowel syndrome(IBS)is a gastroint...BACKGROUND Amino-acid based medical foods have shown promise in alleviating symptoms of drug induced gastrointestinal side effects;particularly,diarrhea-predominant symptoms.Irritable bowel syndrome(IBS)is a gastrointestinal disorder that affects up to 9% of people globally,with diarrhea predominant IBS(IBS-D)being the most prevalent subtype.Further trials are needed to explore potential added benefits when integrated into standard care for IBS-D.AIM To assess the effectiveness of an amino acid-based medical food as an adjunct to standard of care for adults with IBS-D.METHODS This is a pragmatic,real world,open label,single arm study comparing a 2-week baseline assessment to a 2-week intervention period.One hundred adults,aged 18 to 65 years,with IBS-D,according to Rome IV criteria,were enrolled after completing a 2-week baseline assessment period and received a 2-week supply of an amino acid based medical food which was consumed at home twice daily on top of their standard of care.The primary outcome was an assessment of tolerability after 2-weeks of consumption,while secondary outcomes included changes in stool consistency(Bristol Stool Form Scale),severity of abdominal pain&discomfort,symptoms of urgency,Global Improvement Survey(GIS),and the IBS severity scoring system(IBS-SSS).RESULTS The test product was well-tolerated as each participant successfully completed the full 14-day trial,and there were no instances of dropouts or discontinuation of the study product reported.Forty percent of participants achieved a 50% or more reduction in the number of days with type 6-7 bowel movements(IBS-D stool consistency responders).Fifty-three percent of participants achieved a clinically meaningful reduction of 30% in mean weekly pain scores,and 55%experienced the same for mean weekly discomfort scores(IBS-D pain and discomfort responders).Participants experienced a mean-109.4(95% confidence interval:-130.1,-88.8)point reduction on the IBS-SSS and 52% experienced a minimally clinically important difference of>95 points.展开更多
A closed,trans-scale formulation of damage evolution based on the statistical mi- crodamage mechanics is summarized in this paper.The dynamic function of damage bridges the mesoscopic and macroscopic evolution of dama...A closed,trans-scale formulation of damage evolution based on the statistical mi- crodamage mechanics is summarized in this paper.The dynamic function of damage bridges the mesoscopic and macroscopic evolution of damage.The spallation in an aluminium plate is studied with this formulation.It is found that the damage evolution is governed by several dimensionless parameters, i.e.,imposed Deborah numbers De~* and De,Mach number M and damage number S.In particular, the most critical mode of the macroscopic damage evolution,i.e.,the damage localization,is deter- mined by Deborah number De~*.Deborah number De~* reflects the coupling and competition between the macroscopic loading and the microdamage growth.Therefore,our results reveal the multi-scale nature of spallation.In fact,the damage localization results from the nonlinearity of the microdamage growth.In addition,the dependence of the damage rate on imposed Deborah numbers De~* and De, Mach number M and damage number S is discussed.展开更多
The practical significance of the established generalized differential formula-tion of the first law of thermodynamics (formulated for the rotational coor-dinate system) is evaluated (for the first time and for the me...The practical significance of the established generalized differential formula-tion of the first law of thermodynamics (formulated for the rotational coor-dinate system) is evaluated (for the first time and for the mesoscale oceanic eddies) by deriving the general (viscous-compressible-thermal) and partial (incompressible, viscous-thermal) local conditions of the tidal maintenance of the quasi-stationary energy and dissipative turbulent structure of the mesoscale eddy located inside of the individual fluid region of the ther-mally heterogeneous viscous (compressible and incompressible, respective-ly) heat-conducting stratified fluid over the two-dimensional bottom topog-raphy characterized by the horizontal coordinate x along a horizon-tal axis X. Based on the derived partial (incompressible) local condition (of the tidal maintenance of the quasi-stationary energy and viscous-thermal dis-sipative turbulent structure of the mesoscale eddy) and using the calculated vertical distributions of the mean viscous dissipation rate per unit mass and the mean thermal dissipation rate per unit mass in four regions near the observed mesoscale (periodically topographically trapped by nearly two-dimensional bottom topography h(x) eddy located near the northern region of the Yamato Rise in the Japan Sea, the combined analysis of the energy structure of the eddy and the viscous-thermal dissipative structure of turbulence is presented. The convincing evidence is presented of the tidal mechanism of maintenance of the eddy energy and viscous-thermal dissipa-tive structure of turbulence (produced by the breaking internal gravity waves generated by the eddy) in three regions near the Yamato Rise subjected to the observed mesoscale eddy near the northern region of the Yamato Rise of the Japan Sea.展开更多
文摘BACKGROUND Amino-acid based medical foods have shown promise in alleviating symptoms of drug induced gastrointestinal side effects;particularly,diarrhea-predominant symptoms.Irritable bowel syndrome(IBS)is a gastrointestinal disorder that affects up to 9% of people globally,with diarrhea predominant IBS(IBS-D)being the most prevalent subtype.Further trials are needed to explore potential added benefits when integrated into standard care for IBS-D.AIM To assess the effectiveness of an amino acid-based medical food as an adjunct to standard of care for adults with IBS-D.METHODS This is a pragmatic,real world,open label,single arm study comparing a 2-week baseline assessment to a 2-week intervention period.One hundred adults,aged 18 to 65 years,with IBS-D,according to Rome IV criteria,were enrolled after completing a 2-week baseline assessment period and received a 2-week supply of an amino acid based medical food which was consumed at home twice daily on top of their standard of care.The primary outcome was an assessment of tolerability after 2-weeks of consumption,while secondary outcomes included changes in stool consistency(Bristol Stool Form Scale),severity of abdominal pain&discomfort,symptoms of urgency,Global Improvement Survey(GIS),and the IBS severity scoring system(IBS-SSS).RESULTS The test product was well-tolerated as each participant successfully completed the full 14-day trial,and there were no instances of dropouts or discontinuation of the study product reported.Forty percent of participants achieved a 50% or more reduction in the number of days with type 6-7 bowel movements(IBS-D stool consistency responders).Fifty-three percent of participants achieved a clinically meaningful reduction of 30% in mean weekly pain scores,and 55%experienced the same for mean weekly discomfort scores(IBS-D pain and discomfort responders).Participants experienced a mean-109.4(95% confidence interval:-130.1,-88.8)point reduction on the IBS-SSS and 52% experienced a minimally clinically important difference of>95 points.
基金The project supported by the National Natural Science Foundation of China (10172084,10232040,10232050,10372012,10302029) and the Special Funds for Major State Research Project (G200077305)
文摘A closed,trans-scale formulation of damage evolution based on the statistical mi- crodamage mechanics is summarized in this paper.The dynamic function of damage bridges the mesoscopic and macroscopic evolution of damage.The spallation in an aluminium plate is studied with this formulation.It is found that the damage evolution is governed by several dimensionless parameters, i.e.,imposed Deborah numbers De~* and De,Mach number M and damage number S.In particular, the most critical mode of the macroscopic damage evolution,i.e.,the damage localization,is deter- mined by Deborah number De~*.Deborah number De~* reflects the coupling and competition between the macroscopic loading and the microdamage growth.Therefore,our results reveal the multi-scale nature of spallation.In fact,the damage localization results from the nonlinearity of the microdamage growth.In addition,the dependence of the damage rate on imposed Deborah numbers De~* and De, Mach number M and damage number S is discussed.
文摘The practical significance of the established generalized differential formula-tion of the first law of thermodynamics (formulated for the rotational coor-dinate system) is evaluated (for the first time and for the mesoscale oceanic eddies) by deriving the general (viscous-compressible-thermal) and partial (incompressible, viscous-thermal) local conditions of the tidal maintenance of the quasi-stationary energy and dissipative turbulent structure of the mesoscale eddy located inside of the individual fluid region of the ther-mally heterogeneous viscous (compressible and incompressible, respective-ly) heat-conducting stratified fluid over the two-dimensional bottom topog-raphy characterized by the horizontal coordinate x along a horizon-tal axis X. Based on the derived partial (incompressible) local condition (of the tidal maintenance of the quasi-stationary energy and viscous-thermal dis-sipative turbulent structure of the mesoscale eddy) and using the calculated vertical distributions of the mean viscous dissipation rate per unit mass and the mean thermal dissipation rate per unit mass in four regions near the observed mesoscale (periodically topographically trapped by nearly two-dimensional bottom topography h(x) eddy located near the northern region of the Yamato Rise in the Japan Sea, the combined analysis of the energy structure of the eddy and the viscous-thermal dissipative structure of turbulence is presented. The convincing evidence is presented of the tidal mechanism of maintenance of the eddy energy and viscous-thermal dissipa-tive structure of turbulence (produced by the breaking internal gravity waves generated by the eddy) in three regions near the Yamato Rise subjected to the observed mesoscale eddy near the northern region of the Yamato Rise of the Japan Sea.
