Efficacy of Two Regimens for Colon Cleansing Using Polyethylene Glycol 4000: A Randomized Open Label Trial.

AIM: To compare effectiveness, safety and tolerance of two colon cleansing regimens using polyethylene glycol 4000 (PEG) in children. METHODS: Prospective, randomized, open clinical trial carried out in 129 children, 3 to 18 years old undergoing colonoscopy. Patients were randomized into two groups, 64 children received PEG with electrolyte (50 mL/kg) and oral bisacodyl (PEG+B group) or 65 other children received PEG with electrolyte (70 mL/kg) and glycerol enema (PEG+G group). RESULTS: Both regimens showed a good colon cleansing effectiveness with the percentage of successful cleansing being 93.8% for PEG+B regimen and 89.1% for PEG+G regimen (P=0.51). There was no statistically significant difference between the pre-regimen and post-regimen laboratory values. The rates of nausea (65.6% vs 31.3%; P<0.001) and bloating (50% vs 17.2%; P<0.001) of PEG+G group were significantly higher than that of PEG+B group. CONCLUSION: Both regimens had good efficacy and safety for colon cleansing in children. The tolerance of PEG+B regimen was better.

Sexual coercion within marriage in Quang Tri, Vietnam.

Sexual coercion in marriage is not widely talked about in Vietnam. Against this background, the present study aimed to describe how and why non-consensual sex in marital settings occurs in a rural community in Vietnam. Data were collected from 81 married men and women through ethnographic fieldwork, in-depth interviews and focus group discussions. Findings revealed that silence and lack of resistance on the part of women in sex are interpreted as consent, and cultural values often encourage women to accept coercion 'voluntarily'. Lack of information on, and public dialogue about, sexuality make it difficult for sexually inexperienced people to gain knowledge before commencing sexual relationships and often lead to traumatic first experiences. These factors combine to make women develop negative attitudes toward sex or to deny sex altogether. To better understand sexual coercion within marriage, we should look not only at physical acts but also at cultural and gendered perceptions and practices in a specific setting. Findings highlight the need for a comprehensive response to tackling sexual coercion within marriage.