Factors affecting the quality of bowel preparation for colonoscopy in hard-to-prepare patients:Evidence from the literature

Adequate bowel cleansing is critical for a high-quality colonoscopy because it affects diagnostic accuracy and adenoma detection.Nevertheless,almost a quarter of procedures are still carried out with suboptimal preparation,resulting in longer procedure times,higher risk of complications,and higher likelihood of missing lesions.Current guidelines recommend high-volume or low-volume polyethylene glycol(PEG)/non-PEG-based split-dose regimens.In patients who have had insufficient bowel cleansing,the colonoscopy should be repeated the same day or the next day with additional bowel cleansing as a salvage option.A strategy that includes a prolonged low-fiber diet,a split preparation regimen,and a colonoscopy within 5 h of the end of preparation may increase cleansing success rates in the elderly.Furthermore,even though no specific product is specifically recommended in the other cases for difficult-to-prepare patients,clinical evidence suggests that 1-L PEG plus ascorbic acid preparation are associated with higher cleansing success in hospitalized and inflammatory bowel disease patients.Patients with severe renal insufficiency(creatinine clearance<30 mL/min)should be prepared with isotonic high volume PEG solutions.Few data on cirrhotic patients are currently available,and no trials have been conducted in this population.An accurate characterization of procedural and patient variables may lead to a more personalized approach to bowel preparation,especially in patients undergoing resection of left colon lesions,where intestinal preparation has a poor outcome.The purpose of this review was to summarize the evidence on the risk factors influencing the quality of bowel cleansing in difficult-to-prepare patients,as well as strategies to improve colonoscopy preparation in these patients.

Influence of nanosized magnesia on the hydration of borehole-sealing cements prepared using different methods

Gas drainage is an efective technology for gas control in coal mines.A high borehole-sealing quality is the fundamental precondition for efcient gas drainage.The expansibilities of cement pastes used in borehole-sealing processes are critical for the borehole-sealing efect.Nanosized magnesia expansive agents are used to improve the expansibilities of cement pastes and improve the borehole-sealing efect.Nuclear magnetic resonance spectrometry and scanning electron microscopy were adopted to study the efects of nanosized magnesia on the hydration of borehole-sealing cements used with diferent preparation methods.The results showed that an increase in the mass fraction of the nanosized magnesia promoted cement hydration,and the mass fraction was positively correlated with the promotion efect.The use of diferent preparation methods did not change the water-phase distribution in the cement.When using the wet-mixing preparation method,nanosized magnesia promoted the induction,acceleration,and deceleration periods of hydration;when using the dry-mixing preparation method,the nanosized magnesia promoted the induction period of cement hydration,and the promotion efect was less obvious than that seen when using the wet-mixing method.When using the wet-mixing preparation method,the nanosized magnesia was uniformly dispersed,thus enlarging the surface area of the reaction,which provided more nucleation sites for the hydration products of the cement and therefore accelerated the hydration reaction.When using the dry-mixing preparation method,the nanosized magnesia powders were dispersed nonuniformly and aggregated.Under these conditions,only a few nanosized magnesia particles on the surfaces of the aggregated clusters took part in hydration,so only a small number of nucleation sites were provided for the hydration products of cement.This led to inconsistent hydration of cement pastes prepared using the dry-mixing method.The surface porosity of the cement prepared with the wet-mixing preparation method frst decreased and then increased with increases in the mass fraction of the nanosized magnesia.The cement surface exhibited compact hydration products and few pores,and the surface was relatively smooth.In comparison,the surface porosity of the cement prepared using the dry-mixing method fuctuated with increasing mass fraction of the nanosized magnesia,resulting in a rough cement surface and microfractures on some surfaces.The two preparation methods both reduced the surface porosity of the cement.The wet-mixing preparation was more efective and consistent in improving the compactness of the cement than the dry-mixing preparation.These results provide important guidance on the addition of nanosized magnesia in borehole-sealing engineering and the selection of cement preparation methods,and they also lay a solid foundation for realizing safe and efcient gas drainage.

A Graphene-Based Aerogel Was Prepared as Solid Adsorbent for the Enrichment of Platinum (IV) at Trace Concentration

A three-dimensional graphene-based composite was prepared by a simple one-step in-site reduced-oxide method under atmospheric pressure. The obtained hydrogel was modified with 4-amino-benzenesulfonic acid and connected with ethylenediamine, and freeze-dried into an aerogel, which was characterized. Then the surface interaction with platinum (Pt, IV) was explored. The obtained aerogel showed good adsorption for Pt (IV) at acid conditions, giving a rising to the adsorption rate > 98% while pH ≥ 6. Using hexadecyl trimethyl ammonium bromide of 2% (m/V) as an eluent to desorb the Pt (IV) from the surface of the aerogel, a desorption rate of 81.1% was obtained in this process. Urea, buffer aquation and other surfactants were used in the desorption experiment to understand the adsorption mechanism between the aerogel and Pt (IV). In this work, hydrogen bond, van der Waals force and electronic interaction force mainly drove the adsorption process. For obtaining more purified Pt (IV), we used 0.5% CTAB to desorb Pd (II). A new three-dimensional graphene-based composite was prepared and the surface interaction between Pt (IV) and composite was experimented for understanding the adsorption mechanism and exploring its potential application in sample preparation in low concentration.

A fibrous hypercrosslinked sorbent prepared on PP-ST-DVB matrix via post-crosslinking reaction

A fibrous sorbent possessing abundant micropore structure was firstly prepared via post-crosslinking reaction on the PP-ST-DVB original fiber. Its micromorphology and sorptive properties were investigated, and the results demonstrated that the novel fibrous hypererosslinked sorbent has narrow pore-size distribution, small average porous radius （1.90 nm）, high specific surface area （362.31 m^2/g）, and fine sorptive properties for small organic molecules.

Microstructure and Mechanical Property of 2024 Aluminium Alloy Prepared by Rapid Solidification and Mechanical Milling

Rapidly solidified 2024 aluminium alloy powders were mechanically milled, then consolidated to bulk form. The microstructural changes of the powders in mechanical milling (MM) and consolidation process were characterized by X-ray diffraction analyses and transmission electron microscopy observations. The results showed that mechanical milling reduced the grain size to nanometer, dissolved the Al2Cu intermetallic compound into the aluminium matrix and produced an aluminium supersaturated solid solution. During consolidation process. the grain size increased to submicrometer, and the Al2Cu and Al2(Cu, Mg, Si, Fe, Mn) compounds precipitated owing to heating. Increasing consolidation temperature and time results in obvious grain growth and coarsening of second phase particles. The tensile yield strength of the consolidated alloy with submicrometer size grains increases with decreasing grain size, and it follows the famous HallPetch relation

Ti/Al_2O_3 Functionally Gradient Material Prepared by the Explosive Compaction/SHS Process

Ti1Al2O3 Functionally Gradient Material (FGM) was prepared by an explosive compaction/SHS process. Ten sheets of the compounding powder were laminated and pressed to get a green body of FGM. It was then compacted explosively By burying the explosive compaction body into a stoichiometric Al/TiO2 mixture and igniting the combustion of the stoichiometric Al/TiO2 mixture, the SHS reaction of the explosive compaction body was initiated by the heat released from the combustion of the stoichiometric Al/TiO2 mixture. In this way, Ti/Al2O3 FGM was synthesized. The adiabatic temperatures of each gradient layer were calculated when the preheating temperatures were 298 K and 1173 K, respectively The microstructure, composition and properties of Ti/Al2O3 FGM and the reaction mechanism of each gradient layer were studied. It was found that Ti/Al2O3 FGM prepared by the explosive compaction/SHS process had a high density and a high microhardness. Its structure, composition and properties showed apparent gradient distribution. The structure of the standard stoichiometric ratio gradient layer of FGM was a network structure. Its reaction mode could be described as follows: Al powder melted first, then the molten Al penetrated into the TiO2 zone and reacted with TiO2, and big pores were left in the original positions of Al powder. The reaction of gradient layers with the addition of Al3O3 as diluents was similar to that of the standard stoichiometric ratio gradient layer, so were their structure and composition. However, the reaction of gradient layers with the addition of Ti as diluents was more complex and the composition deviated slightly from the designed one

Effect of Prepared Rhubarb on Insulin Resistance in Patients With Pregnancy Induced Hypertension

Objective: To investigate the effect of prepared rhubarb on insulin resistance in patients with pregnancy induced hypertension (PIH) and its mechanism. Methods: All the 92 patients accepted 75 g oral glucose tolerance test (OGTT) and insulin release test before and after treatment. These patients were divided into two groups (treated group and control group). Prepared rhubarb and nifedipine were given to the treated group, while nifedipine was given to the control group alone. Circulating endothelial cell (CEC), tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6) were measured and glucose area under curve (GAUC), insulin area under curve (IAUC), insulin sensitivity index (ISI) were calculated. And 30 normal pregnant women were selected as the healthy group. Results: CEC, TNF-a, IL-6, GAUC and IAUC of PIH patients were significantly higher than those of the normal healthy group; while ISI of PIH patients was significantly lower than that of the healthy group. ISI was significantly negatively correlated to CEC, TNF-a and IL-6. After treatment, CEC, TNF-α, IL-6, GAUC decreased and ISI increased significantly in the treated group; while in the control group, all above-mentioned parameters showed no change. Conclusion: Prepared rhubarb can improve insulin resistance of PIH by reducing vascular endothelial cell's damage.

Sintering of Doped, Nanocrystalline CeO_2 Powders Prepared under Hydrothermal Conditions

Nanocrystalline CeO2 powders (particle size ≈10-15 nm), doped with up to 20 at.-% of Mg,Ca or Y were prepared by chemical precipitation under hydrothermal conditions. The particle size and shape of the powders change slightly with the dopant concentrations. The the of the dopants on the sintering of the compacted powders was investigated during heating at a constant rate of 10℃/min. The elemental composition and the concentration of the dopant has significant efFect on the densification and grain growth. Compared to undoped CeO2, the dopants produce a shift in the densification curve to higher temperatures. For the same dopant concentration and under identical sintering conditions, the Ca doped samples reach nearly full density with the smallest grain size (≈50 nm), however, the Mg doped sample has the lowest density (≈95% of the theoretical) with the largest grain size (≈1 μm)

Magnetostriction Increase of Tb0.3Dy0.7Fe1.95 Alloy Prepared by Solidification in High Magnetic Fields

Tb0.3Dy0.TFe1.95 alloys are solidified under various high magnetic field conditions. The influence of a high magnetic field on the crystal orientation, morphology and magnetostriction of the alloys are studied. The results show that with the increase of magnetic flux density, the crystal orientation of the （Tb,Dy）Fe2 phase changed from （113） to （111） direction; the grains in the alloys tended to align along the magnetic field direction; and the magnetostriction of Tb0.3Dy0.7Fe1.95 alloys is remarkably improved. The change in magnetostriction of Tb0.3Dy0.TFe1.95 alloys is linked to the amount and the crystal orientation behavior of the （Tb,Dy）Fe2 phase.

Characterization and catalytic behavior of Na-W-Mn-Zr-S-P/SiO_2 prepared by different methods in oxidative coupling of methane

Na-W-Mn-Zr-S-P/SiO2 catalysts for oxidative coupling of methane （OCM） were prepared by incipient wetness impregnation, sol-gel and mixture slurry methods. The catalyst prepared by mixture slurry method showed the best catalytic performance among all samples. In addition, the effects of different addition sequences of Na, W, Mn, Zr, S and P on the catalytic performance were studied. The absence of Na before the addition of Mn and Zr in the catalysts preparation depressed the formation of the active phases of Mn2O3 and ZrO2 and decreased the activities of the catalysts significantly.

Plastic Deformation of Nano-TiO_2 Ceramics Prepared by Different Methods

The comparative study of the tensile plastic deformation of nano(n)-TiO2 ceramic prepared byphysical gas condensation (P) and chemical hydrolysis precipitation (C) methods was conductedby a gas pressure forming technique at 750~800℃. The results show that n-TiO2 (P) possessesexcellent property of tensile pIastic deformation comparing with n-TiO2(C). The reason for thisis attributed to the surface cleanness and soft agglomeration of n-TiO2 (P) particfe prepared inreIatively cIean vacuum condition.

Preliminary Investigation of NiAl-TiB_2 Composite Prepared by Reaction Milling

Reaction-milled NiAl-TiB2 composite was fabricated by mechanical alloying elemental powders and hot pressing. TiB2 particles are distributed mostly in grain boundaries of the matrix. The compressive strain to failure of the composite at RT is about twice that of cast NiAl. The compressive yield stress at high temperatures is about 4.5 times higher than that of extruded NiAl, and is also much stronger than XD NiAl-TiB2 composites. Deformation behavior between 1000~1100℃ with different strain rates has been investigated

Hard Magnetic Properties of Sm-Fe-C Based Alloys Prepared by Mechanical Alloying

The structure and magnetic properties of SmyFe100-1.5yC0.5y(y=8～20) alloys prepared by mechanical alloying (MA) from Sm, Fe and graphite have been investigated systematically. In order to improve hard magnetic properties of the alloys prepared by mechanical alloying, a new method consisting of re-milling and re-annealing was developed. After being re-milled and re-annealed, the Curie temperature TC of the Sm-Fe-C alloys changes. The TC of 2:17 phase increases, whereas the TC of 2:14:1 phase decreases. After being re-annealed at low temperatures, the grain sizes of hard phases are smaller than those in the alloys annealed at high temperatures. The effects of Co or Ti substitution for Fe are studied.

Fe^(3+)-Doped Anatase TiO_2 Study Prepared by New Sol-Gel Precursors

FeTi_1-O_2（= 0.00,0.05,0.10） nanocomposites are synthesized using a sol-gel method involving an ethanol solvent in the presence of ethylene glycol as the stabilizer,and acetic acid as the chemical reagent.Their structural and optical analyses are studied to reveal their physicochemical properties.Using the x-ray diffractometer（XRD）analysis,the size of the nanoparticles（NPs） is found to be 18-32 nm,where the size of the NPs decreases down to 18 nm when Fe impurity of up to 10% is added,whereas their structure remains unchanged.The results also indicate that the structure of the NPs is tetragonal in the anatase phase.The Fourier transform infrared spectroscopy analysis suggests the presence of a vibration bond（Ti-O） in the sample.The photoluminescence analysis indicates that the diffusion of Fe^（3＋） ions into the TiO_2 matrix results in a decreasing electron-hole recombination,and increases the photocatalytic properties,where the best efficiency appears at an impurity of10%.The UV-diffuse reflection spectroscopy analysis indicates that with the elevation of iron impurity,the band gap value decreases from 3.47 eV for the pure sample to 2.95 eV for the 10 mol% Fe-doped TiO_2 NPs.

A Comparative Study of Boron and Phosphorus Doping Effects in SiC: H Films Prepared by ECR-CVD

Hydrogenated silicon carbide films (SiC:H) were deposited using the electron cyclotron resonance chemical vapour deposition (ECR-CVD) technique from a mixture of methane, silane and hydrogen, and using diborane and phosphine as doping gases. The effects of changes in the microwave power on the deposition rate and optical bandgap were investigated, and variations in the photoand dark-conductivities and activation energy were studied in conjunction with film analysis using the Raman scattering technique. In the case of boron-doped samples, the conductivity increased rapidly to a maximum, followed by rapid reduction at high microwave power. The ratio of the photo- to dark-conductivity (σph/σd) peaked at microwave power of ~600 W. Under conditions of high microwave power, Raman scattering analysis showed evidence of the formation and increase in the silicon microcrystalline and diamond-like phases in the films, the former of which could account for the rapid increase and the latter the subsequent decrease in the conductivity.In the case of phosphorusdoped SiC:H samples, it was found that increase in the microwave power has the effect of enhancing the formation of the silicon microcrystalline phase in the films which occurred in correspondence to a rapid increase in the conductivity and reduction in the activation energy The conductivity increase stabilised in samples deposited at microwave power exceeding 500 W probably as a result of dopant saturation. Results from Raman scattering measurements also showed that phosphorus doping had the effect of enhancing the formation of the silicon microcrystals in the film whereas the presence of boron had the effect of preserving the amorphous structure.

Electrocatalytic Activity of Ni/C Electrodes Prepared by Metal Vapor Synthesis For Hydrogen Evolution in Alkaline Solution

The metal vapor synthesis (MVS) methed was used to prepare activatedcarbon supported nickel electrode. The electrocatalytic activity of the electrode forhydrogen evolution reaction(HGR) in alkaline solution was studied. Cathodicpolarization curves showed the electrocatalytic activity of Ni/C electrode prepared byMVS method was higher than that of the one prepared by conventional method.

Structural, Optical and Luminescence Properties of ZnO Thin Films Prepared by Sol-Gel Spin-Coating Method： Effect of Precursor Concentration

Transparent zinc oxide（ZnO） thin films are fabricated by a simple sol-gel spin-coating technique on glass substrates with different solution concentrations（0.3-1.2 M） using zinc acetate dehydrate [Zn（CH_3COO）_2·2H_2O] as precursor and isopropanol and monoethanolamine（MEA） as solvent and stabilizer, respectively. The molar ratio of zinc acetate dehydrate to MEA is 1.0. X-ray diffraction, ultraviolet-visible spectroscopy and photoluminescence spectroscopy are employed to investigate the effect of solution concentration on the structural and optical properties of the ZnO thin films. The obtained results of all thin films are discussed in detail and are compared with other experimental data.

An Attempt to Prepare Metallic Glasses from Quasicrystals

Icosahedrons in supercooled liquids and glasses are considered to be of significance for the glass formation in alloy systems. Starting from the similarity of the local structure of quasicrystals to the icosahedrons in metallic glasses, a scheme is put forward to prepare metallic glasses based on a well-known quasicrystal Zr40Ti40Ni20. A series of （Zr4o Ti40Ni20 ）lOO-x Cos metallic glasses are fabricated, and the optimized glass forming composition is determined at （Zr40 Ti40Ni20 ）92 Cos. The results show that the glass-forming ability of the alloys is c10sely related to the quasicrystalline phases. The mechanism of the enhanced glass-forming ability is discussed.

THE SOL-GEL APPROACH TO PREPARE NANOSIZED SnO_2 PARTICLES

Nanosized SnO2 particles which are uniformly distributed are prepared through sol-gel process using anhydrous SnCl4 and iso-PrOH. By comgaring the results of XRD patterns with the JCPDS standard card of SnO2 and ahalysing the TEM images of the product, we can prove that we got the narrow distributed SnO2 particles. The mean diameter of the particles is about 20 nm even sintered at 700℃ for 2 hours.

P-Type Nitrogen-Doped ZnO Films Prepared by In-Situ Thermal Oxidation of Zn_3N_2 Films

P-type nitrogen-doped ZnO films are prepared successfully by in-situ thermal oxidation of Zn3N2 films. The prepared films are characterized by x-ray diffraction, non-Rutherford back.scattering （non-RBS） spectroscopy, x- ray photoelectron spectroscopy, and photoluminescence spectrum. The results show that the Zn3N1 films start to transform to ZnO at 400℃ and the total nitrogen content decreases with the increasing annealing temperature. The p-type fihns are achieved at 500℃ with a low resistivity of 6.33Ω.cm and a high hole concentration of ＋8.82 × 10^17 cm-3, as well as a low level of carbon contamination, indicating that the substitutional nitrogen （No） is an effective acceptor in the ZnO：N film. The photoluminescence spectra show clear UV emissions and also indicate the presence of oxygen vacancy （Vo） defects in the ZnO：N films. The p-type doping mechanism is briefly discussed.