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BACKGROUND/AIMS: A link between abuse and irritable bowel syndrome (IBS) has been reported in outpatients but remains controversial. No population-based studies have investigated this issue. The aim of this study was to determine the prevalence of abuse and its association with symptoms in a representative community sample. METHODS: An age- and sex-stratified random sample of residents of Olmsted County, Minnesota ranging in age from 30 to 49 years was mailed a valid self-report symptom questionnaire. Abuse was assessed by standard published criteria. RESULTS: Of the 919 responders (74%), the age-adjusted prevalence of any abuse was 41% in women and 11% in men, resulting in an age- and sex-adjusted prevalence of 26%. Symptoms of IBS, dyspepsia, and frequent heartburn were reported by 14%, 23%, and 12%, respectively. There was a significant association between IBS and sexual abuse, emotional or verbal abuse, and abuse in childhood and adulthood. Similarly, dyspepsia and heartburn were both significantly associated with abuse. In the population, 31% had visited a physician for gastrointestinal symptoms; the odds of visiting a physician were highest in those reporting abuse in adulthood and childhood. CONCLUSIONS: Self-reported abuse is common in middle-aged subjects; those who report abuse are more likely to have symptoms consistent with IBS, dyspepsia, or heartburn and to visit a physician for bowel symptoms. 相似文献
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Alain B. Kounga Njiwa Theo Fett Doru C. Lupascu Jürgen Rödel 《Journal of the American Ceramic Society》2003,86(11):1973-1975
Crack–opening displacement (COD) measurements were performed on a commercial lead zirconate titanate (PZT). The intrinsic fracture toughness (or crack–tip toughness) of this material was determined using a new evaluation procedure, which takes into account the near–tip CODs and complete crack profile CODs. The crack–tip toughness K I0 was determined from an extrapolation of COD data obtained at various loading stages, thus avoiding the complications caused by subcritical crack growth in PZT. Results for plane strain and plane stress condition are presented. 相似文献
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T. Fett K. Germerdonk A. Grossmüller K. Keller D. Munz 《Journal of Materials Science》1991,26(1):253-257
The crack-growth behaviour of borosilicate glass was investigated by use of lifetime measurements on Knoop-damaged specimens. The threshold behaviour in particular was observed, and the influence of residual wedging stresses and preloading below the threshold value were studied in detail. A threshold ofK
lth = 0.38 MPam1/2 was found. The residual stress intensity factor caused by the Knoop indentations was found to beK
lres,0 0.1 MPam1/2. In a static test performed below the threshold, the threshold value was increased by K
lth 0.15MPam1/2. 相似文献
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Differential protein abundance in promastigotes of nitric oxide‐sensitive and resistant Leishmania chagasi strains
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