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Background: Limited data exists demonstrating the efficacy of minimally invasive surgery (MIS) compared to transcatheter (TC) closure of atrial septal defects (ASD). This systematic review and meta-analysis aims to compare post-operative outcomes of MIS versus TC repair in ASD closure. Methods: PubMed, Medline and EMBASE were searched from inception until June 2018 for randomised and observational studies comparing post-operative outcomes for MIS and TC repair. The studies were reviewed for bias using the ROBINS-I Score and pooled in a meta-analysis using STATA (version 15). Results: Six observational studies, involving 1524 patients assessing three primary and five secondary outcomes were included. Evidence suggests TC repair yielded shorter hospital stay (MD = 3.32, 95% CI 1.04–5.60) and lower rates of transient atrial fibrillation (AF) (RR = 0.48, 95% CI 0.20–1.15). TC repair patients also had fewer pericardial effusions (RR = 0.27, 95% CI 0.05–1.54, I2 = 0.0%) and pneumothoraxes (RR = 0.18, 95% CI 0.04–0.80, I2 = 0.0%). However, TC repair results in more minor residual shunts (RR = 6.04, 95% CI 1.69–21.63 in favour of MIS, I2 = 39.0%). No differences were found for incidences of strokes (RR = 1.58, 95% CI 0.23–10.91, I2 = 19.3%), unexpected bleeding (RR = 0.44, 95% CI 0.19–1.04, I2 = 0.0%) and blood transfusion (RR = 0.39, 95% CI 0.09–1.59, I2 = 0.0%). Conclusions: MIS closure for ASD has similar outcomes compared to TC repair. However, the lack of randomised literature related to MIS versus TC repair for ASD closure warrants further evidence in the form of RCTs to further support these findings. [ABSTRACT FROM AUTHOR]

Background: Cathelicidin (LL-37) is an antimicrobial peptide known to be associated with various autoimmune diseases. We attempt to determine if cathelicidin can accurately reflect IBD disease activity. We hypothesize that serum cathelicidin correlates with mucosal disease activity, stricture, and clinical prognosis of IBD patients.Methods: Serum samples were collected from two separate cohorts of patients at the University of California, Los Angeles. Cohort 1 consisted of 50 control, 23 UC, and 28 CD patients. Cohort 2 consisted of 20 control, 57 UC, and 67 CD patients. LL-37 levels were determined by ELISA. Data from both cohorts were combined for calculation of accuracies in indicating mucosal disease activity, relative risks of stricture, and odds ratios of predicting disease development.Results: Serum cathelicidin levels were inversely correlated with Partial Mayo Scores of UC patients and Harvey-Bradshaw Indices of CD patients. Among IBD patients with moderate or severe initial disease activity, the patients with high initial LL-37 levels had significantly better recovery than the patients with low initial LL-37 levels after 6-18 months, suggesting that high LL-37 levels correlate with good prognosis. Co-evaluation of LL-37 and CRP levels was more accurate than CRP alone or LL-37 alone in the correlation with Mayo Endoscopic Score of UC patients. Low LL-37 levels indicated a significantly elevated risk of intestinal stricture in CD patients.Conclusion: Co-evaluation of LL-37 and CRP can indicate mucosal disease activity in UC patients. LL-37 can predict future clinical activity in IBD patients and indicate risk of intestinal stricture in CD patients. [ABSTRACT FROM AUTHOR]

Since the late 1990s, the Korean pop-culture wave has had a huge impact, achieving immense popularity and sustaining a global community of consumers and fans. In Singapore, a significant K-pop fan culture has emerged among youths. In this article, we study the emergence of thesasaengfan—a stigmatized fan identity that refers to individuals who are unhealthily interested in the personal lives of K-pop idols. Drawing on data from mass and social media, participant-observation, and interviews, we map the significance of thesasaengfan identity for Singapore K-pop music fans and focus specific attention on how fans negotiate an understanding of their own “authentic” identities vis-à-vis the mediated identity of thesasaengfan. [ABSTRACT FROM AUTHOR]

Background: Cathelicidin (LL-37 in humans and mCRAMP in mice) represents a family of endogenous antimicrobial and anti-inflammatory peptides. Cancer-associated fibroblasts can promote the proliferation of colon cancer cells and growth of colon cancer tumors. Methods: We examined the role of cathelicidin in the development of colon cancer, using subcutaneous human HT-29 colon-cancer-cell-derived tumor model in nude mice and azoxymethane- and dextran sulfate-mediated colon cancer model in C57BL/6 mice. We also determined the indirect antitumoral mechanism of cathelicidin via the inhibition of epithelialmesenchymal transition (EMT) of colon cancer cells and fibroblast-supported colon cancer cell proliferation. Results: Intravenous administration of cathelicidin expressing adeno-associated virus significantly reduced the size of tumors, tumor-derived collagen expression, and tumor-derived fibroblast expression in HT-29-derived subcutaneous tumors in nude mice. Enema administration of the mouse cathelicidin peptide significantly reduced the size and number of colonic tumors in azoxymethane- and dextran sulfate-treated mice without inducing apoptosis in tumors and the adjacent normal colonic tissues. Cathelicidin inhibited the collagen expression and vimentinpositive fibroblast expression in colonic tumors. Cathelicidin did not directly affect HT-29 cell viability, but did significantly reduce tumor growth factor-ß1-induced EMT of colon cancer cells. Media conditioned by the human colonic CCD-18Co fibroblasts promoted human colon cancer HT-29 cell proliferation. Cathelicidin pretreatment inhibited colon cancer cell proliferation mediated by media conditioned by human colonic CCD-18Co fibroblasts. Cathelicidin disrupted tubulin distribution in colonic fibroblasts. Disruption of tubulin in fibroblasts reduced fibroblast-supported colon cancer cell proliferation. Conclusion: Cathelicidin effectively inhibits colon cancer development by interfering with EMT and fibroblast-supported colon cancer cell proliferation. [ABSTRACT FROM AUTHOR]

Great Britain has been subject to an increasing rate of invasion from freshwater species of Ponto-Caspian origin. A recent horizon-scan of potential invaders into Great Britain named the Ponto Caspian quagga mussel, Dreissena rostriformis bugensis (Andrusov, 1897), as the non-native species least wanted. On 29th September 2014 quagga mussels were discovered in the Wraysbury River, Surrey, during a routine kick sample collected by the Environment Agency. Identity was confirmed using genetic markers (Cytochrome Oxidase I - COI) on five individuals encompassing a broad morphological variation. The absence of very large individuals (max. length 16 mm), absence of shells and absence of quagga mussels in samples collected during March 2014 point toward a recent invasion. The quagga mussels were found attached to submerged rocks, vegetation, bridge walls and shells of zebra mussels, Dreissena polymorpha (Pallas, 1771). The collection site is a small (<5m wide), shallow (<50cm deep) stream that is not navigable or regularly fished. This suggests that the species is more widely distributed than the current location, because such a system is unlikely to be the point of introduction. The shallow depth (30cm) in open water at which quagga mussels were abundant is surprising given that zebra mussels have failed to establish in such habitats, despite being present in the catchment for over 100 years. Previously published models predict quagga mussels will establish widely across England, western and southern Wales and central Scotland. The high abundance and inter-connectivity of waterways adjacent to the Wraysbury River suggest further spread is likely. Containment through national biosecurity measures (e.g. 'Check, Clean, Dry' of boats and equipment, as promoted by the UK Environment Agency) is recommended, although ultimately it can be assumed that quagga mussels will cause similar widespread ecological and economic harm in Britain as has been experienced in invaded regions of Western Europe and North America. [ABSTRACT FROM AUTHOR]