Publications by authors named "John Macdonald"

Article Synopsis
  • There is inconsistency in how to measure disease severity in familial adenomatous polyposis (FAP), prompting a systematic review of existing endoscopic severity indices.
  • A total of 134 studies were analyzed, revealing partial validation for certain aspects like polyp count and size, with the Spigelman classification system being the most widely used and exhibiting strong reliability in some observations.
  • No endoscopic severity index for FAP has been fully validated, indicating a need for the development of reliable tools to enhance clinical care and research on FAP treatments.
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Iron and steel slags have a long history of both disposal and beneficial use in the coastal zone. Despite the large volumes of slag deposited, comprehensive assessments of potential risks associated with metal(loid) leaching from iron and steel by-products are rare for coastal systems. This study provides a national-scale overview of the 14 known slag deposits in the coastal environment of Great Britain (those within 100 m of the mean high-water mark), comprising geochemical characterisation and leaching test data (using both low and high ionic strength waters) to assess potential leaching risks.

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O-GlcNAcase (OGA) is the only human enzyme that catalyzes the hydrolysis (deglycosylation) of O-linked beta--acetylglucosaminylation (O-GlcNAcylation) from numerous protein substrates. OGA has broad implications in many challenging diseases including cancer. However, its role in cell malignancy remains mostly unclear.

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Background: Accurate, reliable, and responsive disease activity indices are important to streamline drug approval and treatment modalities for pediatric inflammatory bowel disease (pIBD). We aimed to identify all scoring indices used in pIBD randomized controlled trials (RCTs) and to evaluate their operating properties.

Methods: MEDLINE, EMBASE, and CENTRAL were searched on December 6, 2022, to identify studies evaluating clinical, endoscopic, imaging, or patient-reported outcome measures (PROMs) in pIBD including Crohn's disease (CD) and ulcerative colitis (UC).

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Problem Research Strategy And Findings: The negative impact of vacant and abandoned housing in city neighborhoods is extreme, affecting health and quality of life, promoting violence, and leading to further abandonment. One approach to addressing abandoned housing is to intervene with low-cost interventions that provide a visual sense of ownership. We tested whether a low-cost remediation of abandoned and vacant houses or a trash cleanup intervention would make a noticeable difference in the levels of nearby disrepair, disorder, and public safety.

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Background And Aims: In this systematic review we summarise existing scoring indices for assessing disease activity and quality of life in perianal fistulising Crohn's disease [PFCD], and highlight gaps in the literature.

Methods: MEDLINE, EMBASE, and CENTRAL were searched from August 24, 2022, to identify studies evaluating clinical, radiological, or patient-reported outcome measures [PROMS] in PFCD. The primary objective was to identify all available scoring indices and describe the operating properties of these indices.

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Objectives: External control arms (ECAs) provide useful comparisons in clinical trials when randomised control arms are limited or not feasible. We conducted a systematic review to summarise applications of ECAs in trials of immune-mediated inflammatory diseases (IMIDs).

Design: Systematic review with an appraisal of ECA source quality rated across five domains (data collection, study populations, outcome definitions, reliability and comprehensiveness of the dataset, and other potential limitations) as high, low or unclear quality.

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Background: Fistulas are a debilitating complication of Crohn's disease [CD]. We conducted a systematic review to assess the efficacy of medical therapies for fistulizing CD.

Methods: MEDLINE, Embase, and CENTRAL were searched on May 26, 2022, for randomized controlled trials [RCTs] of pharmacological therapy in adults with fistulizing CD.

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Water pollution arising from abandoned coal mines, is second only to sewage as a source of freshwater pollution and in coalfield catchments mine water can be the dominant pollutant, with oxidised iron smothering the bed of receiving rivers. This study measured greenhouse gases in mine water outflows from sixteen sites across the Midland Valley in Scotland. Radiogenic and stable carbon isotopes measurements (ΔC and δC) were used to determine the sources of both methane (CH) and carbon dioxide (CO) produced within the flooded mine environment.

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CO mineralization in slag has gained significant attention since it occurs with minimal human intervention and energy input. While the amount of theoretical CO that can be captured within slag has been quantified based on slag composition in several studies, the microstructural and mineralogical effects of slag on its ability to capture CO have not been fully addressed. In this work, the CO uptake within legacy slag samples is analyzed through microstructural characterization.

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Article Synopsis
  • Ulcerative proctitis (UP) is a challenging form of ulcerative colitis with significant symptoms, and the aim of this study was to evaluate the effectiveness of various medical treatments for it.
  • The research analyzed 53 randomized controlled trials, focusing mainly on induction and maintenance of clinical remission, with findings indicating that topical 5-aminosalicylic acid (5-ASA) and corticosteroids significantly outperform placebo in treating UP.
  • The study concludes that treatments like topical 5-ASA and corticosteroids are effective for active UP, while therapies like tacrolimus and Etrasimod show promise for both induction and maintenance of remission, highlighting the need for more trials specifically targeting UP.
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Recent events have made it apparent that the creatinine based estimating equations for glomerular filtration have their flaws. Some flaws have been known for some time; others have prompted radical modification of the equations themselves. These issues persist in part owing to the behaviour of the creatinine molecule itself, particularly in acute and critical illness.

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Background: Targeting interleukin-23 (IL-23) is an important therapeutic strategy for Crohn's disease (CD).

Aims: This systematic review and meta-analysis assessed the efficacy and safety of selective IL-23p19 and IL-12/23p40 inhibitors in patients with moderate-to-severe CD.

Methods: MEDLINE, Embase, and the Cochrane library (CENTRAL) were searched from inception to May 24, 2023, for randomized, placebo- or active comparator-controlled induction and/or maintenance trials of selective IL-23p19 and IL-12/23p40 inhibitors in pediatric and adult patients with CD.

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Article Synopsis
  • Oral small-molecule drugs, specifically JAK inhibitors and S1P receptor modulators, show promise in treating inflammatory bowel disease (IBD), particularly ulcerative colitis (UC) and Crohn's disease (CD).
  • A systematic review of 35 randomized controlled trials found that JAKi therapies significantly improved clinical and endoscopic remission rates for both UC and CD compared to placebo, while S1P modulators were also effective in UC.
  • The study concluded that these therapies are generally effective for inducing remission in IBD, with a comparable risk of serious infections to placebo treatments.
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Article Synopsis
  • A systematic review assessed the effectiveness of various medical therapies for treating and preventing pouchitis based on randomized controlled trials (RCTs) published up to March 2022.
  • The review included 20 RCTs with a total of 830 participants, examining the outcomes of different treatments like ciprofloxacin, metronidazole, budesonide enemas, and De Simone Formulation in both acute and chronic pouchitis cases.
  • Key findings showed that De Simone Formulation and vedolizumab had moderate evidence of effectiveness, while the benefits of other therapies were less certain, indicating a need for more research on pouchitis treatments.
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There is growing global concern that greenhouse gas (GHG) emissions from water bodies are increasing because of interactions between nutrient levels and climate warming. This paper investigates key land-cover, seasonal and hydrological controls of GHGs by comparison of the semi-natural, agricultural and urban environments in a detailed source-to-sea study of the River Clyde, Scotland. Riverine GHG concentrations were consistently oversaturated with respect to the atmosphere.

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Article Synopsis
  • O-GlcNAcase (OGA) is a crucial enzyme that removes O-GlcNAc modifications from proteins, and its dysfunction is linked to diseases like cancer.
  • A study identified a cancer-related mutation in OGA that alters its interactions and hydrolysis of O-GlcNAc, specifically affecting a protein called PDLIM7 and promoting cancer cell growth.
  • This research highlights a new mechanism of cancer progression involving OGA's role in regulating the p53-MDM2 pathway, providing insights for future biomedical applications while maintaining O-GlcNAc balance in cells.
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Wildlife trafficking, whether local or transnational in scope, undermines sustainable development efforts, degrades cultural resources, endangers species, erodes the local and global economy, and facilitates the spread of zoonotic diseases. Wildlife trafficking networks (WTNs) occupy a unique gray space in supply chains-straddling licit and illicit networks, supporting legitimate and criminal workforces, and often demonstrating high resilience in their sourcing flexibility and adaptability. Authorities in different sectors desire, but frequently lack knowledge about how to allocate resources to disrupt illicit wildlife supply networks and prevent negative collateral impacts.

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Background: Effective medical therapies for patients with microscopic colitis (MC) who fail budesonide are lacking. However, conducting randomised controlled trials (RCTs) in MC has been challenging due to small sample sizes. Understanding placebo responses can help inform more efficient future trials.

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The murder of George Floyd triggered a broad social response and noticeable shift in public opinion of policing. Since policing is dependent upon public cooperation, a question is whether the shift in opinion had an effect on police calls-for-service. Data from Los Angeles and New York City are evaluated using a regression discontinuity design.

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Importance: Structural racism has resulted in long-standing disinvestment and dilapidated environmental conditions in Black neighborhoods. Abandoned houses signal neglect and foster stress and fear for residents, weakening social ties and potentially contributing to poor health and safety.

Objective: To determine whether abandoned house remediation reduces gun violence and substance-related outcomes and increases perceptions of safety and use of outdoor space.

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Background And Aims: Perianal fistulizing disease is a common complication of Crohn's disease [CD], for which new therapies are urgently needed. To assist the design of clinical trials for novel therapeutics, we conducted a systematic review and meta-analysis of randomised controlled trials [RCTs] to quantify placebo rates and identify factors influencing them in perianal CD [pCD].

Methods: We searched MEDLINE, Embase and CENTRAL from inception to June 2021.

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Objective: Place-based blight remediation programs have gained popularity in recent years as a crime reduction approach. This study estimated the impact of a citywide vacant lot greening program in Philadelphia on changes in crime over multiple years, and whether the effects were moderated by nearby land uses.

Methods: The vacant lot greening program was assessed using quasi-experimental and experimental designs.

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Background And Aims: Treatment options for proctitis are limited. To assist trial design for novel therapeutics, we conducted a systematic review and meta-analysis of proctitis randomized controlled trials [RCTs] to quantify placebo rates and identify factors influencing them.

Methods: We searched MEDLINE, EMBASE and CENTRAL from inception to June 2021.

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