Enhanced recovery after surgery programs are safe and effective, and increased implementation is justified for perioperative care in colorectal surgery. Future studies may examine the benefits of enhanced recovery after surgery programs in elderly patients and in other GI surgery.

The identification and characterization of long non-coding RNAs (lncRNAs) in diverse biological process has currently developed rapidly. LncRNA-PVT1, located adjacent to the MYC locus on chromosomal region 8q24, has been reported to be associated with many biological processes. However, the function and mechanism of PVT1 in pancreatic carcinoma (PC) is poorly understood. In this present study, we first measured the level of PVT1 in the PC cell lines and tissues by quantitative real-time PCR (qRT-PCR), and then employed loss-of-function and gain-of-function approaches to explore the association between PVT1 expression levels and PC cell proliferation/migration ability. Furthermore, bioinformatics analysis was utilized to show that PVT1 contains binding site for miR-448 and an inverse correlation between PVT1 and miR-448 was obtained in PC specimens. Additionally, dual luciferase reporter assay, RNA-binding protein immunoprecipitation (RIP) and applied biotin-avidin pulldown system were applied to further confirm that PVT1 directly bind with microRNA binding site harboring in the PVT1 sequence. Then, SERBP1 was identified as a target of miR-448 according to the gene expression array analysis of PC clinical samples. Together, we revealed that PVT1 functions as an endogenous "sponge" by competing for miR-448 binding to regulate the miRNA target SERBP1 and, therefore, promotes the proliferation and migration of PC cells.

Characteristics of laboratory-scale bubble-driven buoyant plumes in a stably stratified quiescent fluid are studied using large-eddy simulation (LES). As a bubble plume entrains stratified ambient water, its net buoyancy decreases due to the increasing density difference between the entrained and ambient fluids. A large fraction of the entrained fluid eventually detrains and falls along an annular outer plume from a height of maximum rise (peel height) to a neutral buoyancy level (trap height), during which less buoyant scalars (e.g. small droplets) are trapped and dispersed horizontally, forming quasi-horizontal intrusion layers. The inner/outer double-plume structure and the peel/intrusion process are found to be more distinct for cases with small bubble rise velocity, while weak and unstable when the slip velocity is large. LES results are averaged to generate distributions of mean velocity and turbulent fluxes. These distributions provide data for assessing the performance of previously developed closures used in one-dimensional integral plume models. In particular, the various LES cases considered in this study yield consistent behaviour for the entrainment coefficients for various plume cases. Furthermore, a new continuous peeling model is derived based on the insights obtained from LES results. Comparing to previous peeling models, the new model behaves in a more self-consistent manner, and it is expected to provide more reliable performance when applied in integral plume models.

Background: The safety and effectiveness of early oral feeding after colorectal surgery has not been determined. We performed a meta-analysis to evaluate surgical outcomes following early oral feeding compared with traditional oral feeding in patients undergoing elective colorectal surgery. Methods: MEDLINE, EMBASE, and the Cochrane Central Register of Controlled Trials were searched to identify randomized clinical trials comparing the outcomes following early oral feeding versus traditional oral feeding in patients undergoing elective colorectal surgery. The trials must have reported at least one of the following end points: anastomotic dehiscence, pneumonia, wound infection, nasogastric tube reinsertion, vomiting, mortality, length of hospital stay, hospital costs, and quality of life. Results: Seven trials, which included a total of 587 patients, met our inclusion criteria. Compared with traditional oral feeding, early oral feeding reduced the length of hospital stay (weighted mean difference -1.58 days; 95% CI -2.77 to -0.39; p = 0.009) and the total postoperative complications (relative risk 0.70; 95% CI 0.50-0.98; p = 0.04). There were no significant differences in the risk of anastomotic dehiscence, pneumonia, wound infection, rate of nasogastric tube reinsertion, vomiting, or mortality. Conclusions: Early oral feeding is safe and effective in patients undergoing elective colorectal surgery.

Background/Aims: Pancreatic carcinoma (PC) is the one of the most common and malignant cancers worldwide. LncRNA taurine upregulated gene 1 (TUG1) was initially identified as a transcript upregulated by taurine, and the abnormal expression of TUG1 has been reported in many cancers. However, the biological role and molecular mechanism of TUG1 in PC still needs further investigation. Methods: Quantitative real-time PCR (qRT-PCR) was performed to measure the expression of TUG1 in PC cell lines and tissues. MTT and colony formation assays were used to measure the effect of TUG1 on cell proliferation. A wound healing assay, transwell assay and western blot assay were employed to determine the effect of TUG1 on cell migration and the epithelial mesenchymal transition (EMT) phenotype. RNA-binding protein immunoprecipitation (RIP) and a biotin-avidin pulldown system were performed to confirm the interaction between miR-328 and TUG1. A gene expression array analysis using clinical samples and RT-qPCR suggested that enhancer of zeste homolog 2 (EZH2) was a target of miR-382 in PC. Results: In this study, we reported that TUG1 was overexpressed in PC tissues and cell lines, and high expression of TUG1 predicted poor prognosis. Further experiments revealed that overexpressed TUG1 promoted cell proliferation, migration and contributed to EMT formation, whereas silenced TUG1 led to opposing results. Additionally, luciferase reporter assays, an RIP assay and an RNA-pulldown assay demonstrated that TUG1 could competitively sponge miR-382 and thereby regulate EZH2. Conclusion: Collectively, these findings revealed that TUG1 functions as an oncogenic lncRNA that promotes tumor progression, at least partially, by functioning as an endogenous ‘sponge’ and competing for miR-382 binding to the miRNA target EZH2.

Once oil plumes such as those originating from underwater blowouts reach the ocean mixed layer (OML), their near-surface dispersion is influenced heavily by wind and wave-generated Langmuir turbulence. In this study, the complex oil spill dispersion process is modeled using large-eddy simulation (LES). The mean plume dispersion is characterized by performing statistical analysis of the resulting fields from the LES data. Although the instantaneous oil concentration exhibits high intermittency with complex spatial patterns such as Langmuir-induced striations, it is found that the time-averaged oil distribution can still be described quite well by smooth Gaussian-type plumes. LES results show that the competition between droplet rise velocity and vertical turbulent diffusion due to Langmuir turbulence is crucial in determining both the dilution rate and overall direction of transport of oil plumes in the OML. The smoothness of the mean plume makes it feasible to aim at modeling the oil dispersion using Reynolds-averaged type formulations, such as the K-profile parameterization (KPP) with sufficient vertical resolution to capture vertical profiles in the OML. Using LES data, we evaluate the eddy viscosity and eddy diffusivity following the KPP framework. We assess the performance of previous KPP models for pure shear turbulence and Langmuir turbulence by comparing them with the LES data. Based on the assessment a modified KPP model is proposed, which shows improved overall agreement with the LES results for both the eddy viscosity and the eddy diffusivity of the oil dispersion under a variety of flow conditions and droplet sizes.

A meta-analysis of 23 published studies identified the BsmI polymorphism of the VDR gene to be associated with an increased risk of colon cancer.

Phosphatase and tensin homologue deleted on chromosome 10 (PTEN) has been reported to play a role in the suppression of activated hepatic stellate cells (HSCs). Moreover, it has been demonstrated that hypermethylation of the PTEN promoter is responsible for the loss of PTEN expression during HSC activation. Methylation is now established as a fundamental regulator of gene transcription. MicroRNAs (miRNAs), which can control gene expression by binding to their target genes for degradation and/or translational repression, were found to be involved in liver fibrosis. However, the mechanism responsible for miRNA‐mediated epigenetic regulation in liver fibrosis still remained unclear. In the present study, curcumin treatment significantly resulted in the inhibition of cell proliferation and an increase in the apoptosis rate through the up‐regulation of PTEN associated with a decreased DNA methylation level. Only DNA methyltransferase 3b (DNMT3b) was reduced in vivo and in vitro after curcumin treatment. Further studies were performed aiming to confirm that the knockdown of DNMT3b enhanced the loss of PTEN methylation by curcumin. In addition, miR‐29b was involved in the hypomethylation of PTEN by curcumin. MiR‐29b not only was increased by curcumin in activated HSCs, but also was confirmed to target DNMT3b by luciferase activity assays. Curcumin‐mediated PTEN up‐regulation, DNMT3b down‐regulation and PTEN hypomethylation were all attenuated by miR‐29b inhibitor. Collectively, it is demonstrated that curcumin can up‐regulate miR‐29b expression, resulting in DNMT3b down‐regulation in HSCs and epigenetically‐regulated PTEN involved in the suppression of activated HSCs. These results indicate that miRNA‐mediated epigenetic regulation may be a novel mechanism suppressing liver fibrosis.