Introduction Microscopic colitis is a chronic inflammatory bowel disease characterised by normal or almost normal endoscopic appearance of the colon, chronic watery, non-bloody diarrhoea and distinct histological abnormalities, which identify three histological subtypes, the collagenous colitis, the lymphocytic colitis and the incomplete microscopic colitis. With ongoing uncertainties and new developments in the clinical management of microscopic colitis, there is a need for evidence-based guidelines to improve the medical care of patients suffering from this disorder. Methods Guidelines were developed by members from the European Microscopic Colitis Group and United European Gastroenterology in accordance with the Appraisal of Guidelines for Research and Evaluation II instrument. Following a systematic literature review, the Grading of Recommendations Assessment, Development and Evaluation methodology was used to assess the certainty of the evidence. Statements and recommendations were developed by working groups consisting of gastroenterologists, pathologists and basic scientists, and voted upon using the Delphi method. Results These guidelines provide information on epidemiology and risk factors of microscopic colitis, as well as evidence-based statements and recommendations on diagnostic criteria and treatment options, including oral budesonide, bile acid binders, immunomodulators and biologics. Recommendations on the clinical management of microscopic colitis are provided based on evidence, expert opinion and best clinical practice. Conclusion These guidelines may support clinicians worldwide to improve the clinical management of patients with microscopic colitis.
A set of lubrication models for the thin film flow of incompressible fluids on solid substrates is derived and studied. The models are obtained as asymptotic limits of the Navier-Stokes equations with the Navier-slip boundary condition for different orders of magnitude for the slip-length parameter. Specifically, the influence of slip on the dewetting behavior of fluids on hydrophobic substrates is investigated here. Matched asymptotics are used to describe the dynamic profiles for dewetting films and comparison is given with computational simulations. The motion of the dewetting front shows transitions from being nearly linear in time for no-slip to t 2/3 as the slip is increased. For much larger slip lengths the front motion appears to become linear again. Correspondingly, the dewetting profiles undergo a transition from oscillatory to monotone decay into the uniform film layer for large slip. Increasing the slip further, to very large values, is associated with an increasing degree of asymmetry in the structure of the dewetting ridge profile.
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