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- Sperber, A. D., et al.
(författare)
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Face-to-face interviews versus Internet surveys: Comparison of two data collection methods in the Rome foundation global epidemiology study: Implications for population-based research
- 2023
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Ingår i: Neurogastroenterology and Motility. - 1350-1925. ; 35:6
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Tidskriftsartikel (refereegranskat)abstract
- Background and AimsThe Rome Foundation Global Epidemiology Study (RFGES) assessed the prevalence, burden, and associated factors of Disorders of Gut-Brain Interaction (DGBI) in 33 countries around the world. Achieving worldwide sampling necessitated use of two different surveying methods: In-person household interviews (9 countries) and Internet surveys (26 countries). Two countries, China and Turkey, were surveyed with both methods. This paper examines the differences in the survey results with the two methods, as well as likely reasons for those differences. MethodsThe two RFGES survey methods are described in detail, and differences in DGBI findings summarized for household versus Internet surveys globally, and in more detail for China and Turkey. Logistic regression analysis was used to elucidate factors contributing to these differences. ResultsOverall, DGBI were only half as prevalent when assessed with household vs Internet surveys. Similar patterns of methodology-related DGBI differences were seen within both China and Turkey, but prevalence differences between the survey methods were dramatically larger in Turkey. No clear reasons for outcome differences by survey method were identified, although greater relative reduction in bowel and anorectal versus upper gastrointestinal disorders when household versus Internet surveying was used suggests an inhibiting influence of social sensitivity. ConclusionsThe findings strongly indicate that besides affecting data quality, manpower needs and data collection time and costs, the choice of survey method is a substantial determinant of symptom reporting and DGBI prevalence outcomes. This has important implications for future DGBI research and epidemiological research more broadly.
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- Sperber, A. D., et al.
(författare)
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Worldwide Prevalence and Burden of Functional Gastrointestinal Disorders, Results of Rome Foundation Global Study
- 2021
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Ingår i: Gastroenterology. - : Elsevier BV. - 0016-5085. ; 160:1
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND & AIMS: Although functional gastrointestinal disorders (FGIDs), now called disorders of gut-brain interaction, have major economic effects on health care systems and adversely affect quality of life, little is known about their global prevalence and distribution. We investigated the prevalence of and factors associated with 22 FGIDs, in 33 countries on 6 continents. METHODS: Data were collected via the Internet in 24 countries, personal interviews in 7 countries, and both in 2 countries, using the Rome IV diagnostic questionnaire, Rome III irritable bowel syndrome questions, and 80 items to identify variables associated with FGIDs. Data collection methods differed for Internet and household groups, so data analyses were conducted and reported separately. RESULTS: Among the 73,076 adult respondents (49.5% women), diagnostic criteria were met for at least 1 FGID by 40.3% persons who completed the Internet surveys (95% confidence interval [CI], 39.9-40.7) and 20.7% of persons who completed the household surveys (95% CI, 20.2-21.3). FGIDs were more prevalent among women than men, based on responses to the Internet survey (odds ratio, 1.7; 95% CI, 1.6-1.7) and household survey (odds ratio, 1.3; 95% CI, 1.3-1.4). FGIDs were associated with lower quality of life and more frequent doctor visits. Proportions of subjects with irritable bowel syndrome were lower when the Rome IV criteria were used, compared with the Rome III criteria, in the Internet survey (4.1% vs 10.1%) and household survey (1.5% vs 3.5%). CONCLUSIONS: In a large-scale multinational study, we found that more than 40% of persons worldwide have FGIDs, which affect quality of life and health care use. Although the absolute prevalence was higher among Internet respondents, similar trends and relative distributions were found in people who completed Internet vs personal interviews.
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3. |
- Clarke, J., et al.
(författare)
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Generating mechanical and optomechanical entanglement via pulsed interaction and measurement
- 2020
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Ingår i: New Journal of Physics. - : IOP Publishing. - 1367-2630. ; 22:6
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Tidskriftsartikel (refereegranskat)abstract
- Entanglement generation at a macroscopic scale offers an exciting avenue to develop new quantum technologies and study fundamental physics on a tabletop. Cavity quantum optomechanics provides an ideal platform to generate and exploit such phenomena owing to the precision of quantum optics combined with recent experimental advances in optomechanical devices. In this work, we propose schemes operating outside the resolved-sideband regime, to prepare and verify both optical-mechanical and mechanical-mechanical entanglement. Our schemes employ pulsed interactions with a duration much less than the mechanical period and, together with homodyne measurements, can both generate and characterize these types of entanglement. To improve the performance of our schemes, a precooling stage comprising prior pulses can be utilized to increase the amount of entanglement prepared, and local optical squeezers may be used to provide resilience against open-system dynamics. The entanglement generated by our schemes is quantified using the logarithmic negativity and is analysed with respect to the strength of the pulsed optomechanical interactions for realistic experimental scenarios including mechanical decoherence and optical loss. Two separate schemes for mechanical entanglement generation are introduced and compared: one scheme based on an optical interferometric design, and the other comprising sequential optomechanical interactions. The pulsed nature of our protocols provides more direct access to these quantum correlations in the time domain, with applications including quantum metrology and tests of quantum decoherence. By considering a parameter set based on recent experiments, the feasibility to generate significant entanglement with our schemes, even with large optical losses, is demonstrated.
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4. |
- Van den Houte, K., et al.
(författare)
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Mechanisms Underlying Food-Triggered Symptoms in Disorders of Gut-Brain Interactions
- 2022
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Ingår i: American Journal of Gastroenterology. - : Ovid Technologies (Wolters Kluwer Health). - 0002-9270 .- 1572-0241. ; 117:6, s. 937-946
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Tidskriftsartikel (refereegranskat)abstract
- There has been a dramatic increase in clinical studies examining the relationship between disorders of gut-brain interactions and symptoms evoked by food ingestion in the upper and lower gastrointestinal tract, but study design is challenging to verify valid endpoints. Consequently, mechanistic studies demonstrating biological relevance, biomarkers and novel therapeutic targets are greatly needed. This review highlights emerging mechanisms related to nutrient sensing and tasting, maldigestion, physical effects with underlying visceral hypersensitivity, allergy and immune mechanisms, food-microbiota interactions and gut-brain signaling, with a focus on patients with functional dyspepsia and irritable bowel syndrome. Many patients suffering from disorders of gut-brain interactions exhibit these mechanism(s) but which ones and which specific properties may vary widely from patient to patient. Thus, in addition to identifying these mechanisms and the need for further studies, biomarkers and novel therapeutic targets are identified that could enable enriched patient groups to be studied in future clinical trials examining the role of food in the generation of gut and non-gut symptoms.
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