Exercise intervention in people with cancer undergoing adjuvant cancer treatment following surgery: a systematic review

BackgroundRemaining physically active during and after cancer treatment is known to improve associated adverse effects, improve overall survival and reduce the probability of relapse. This systematic review addresses the question: is an exercise training programme beneficial in people with cancer undergoing adjuvant cancer treatment following surgery.MethodsA systematic database search of Embase, Ovid, Medline without Revisions, SPORTDiscus, Web of Science, Cochrane Library and ClinicalTrials.gov for any randomised controlled trials (RCT) or non-RCT addressing the effect of an exercise training programme in those having adjuvant cancer treatment following surgery was conducted.ResultsThe database search yielded 6489 candidate abstracts of which 94 references included the required terms. A total of 17 articles were included in this review. Exercise training is safe and feasible in the adjuvant setting and furthermore may improve measures of physical fitness and health related quality of life (HRQoL).ConclusionThis is the first systematic review on exercise training interventions in people with cancer undergoing adjuvant cancer treatment following surgery. Due to the lack of adequately powered RCTs in this area, it remains unclear whether exercise training in this context improves clinical outcomes other physical fitness and HRQoL. It remains unclear what is the optimal timing of initiation of an exercise programme and what are the best combinations of elements within an exercise training programme to optimise training efficacy. Furthermore, it is unclear if initiating such exercise programmes at cancer diagnosis may have a long-lasting effect on physically activity throughout the subsequent life course

Performance of the smallest-variance-first rule in appointment sequencing

A classical problem in appointment scheduling, with applications in health care, concerns the determination of the patients' arrival times that minimize a cost function that is a weighted sum of mean waiting times and mean idle times. Part of this problem is the sequencing problem, which focuses on ordering the patients. We assess the performance of the smallest-variance-first (SVF) rule, which sequences patients in order of increasing variance of their service durations. While it was known that SVF is not always optimal, many papers have found that it performs well in practice and simulation. We give theoretical justification for these observations by proving quantitative worst-case bounds on the ratio between the cost incurred by the SVF rule and the minimum attainable cost, in a number of settings. We also show that under quite general conditions, this ratio approaches 1 as the number of patients grows large, showing that the SVF rule is asymptotically optimal. While this viewpoint in terms of approximation ratio is a standard approach in many algorithmic settings, our results appear to be the first of this type in the appointment scheduling literature

Unusual morphologies and the occurrence of pseudomorphs after ikaite (CaCO3•6H2O) in fast growing, hyperalkaline speleothem

Unusual speleothem, associated with hyperalkaline (pH>12) groundwaters have formed within a shallow, abandoned railway tunnel at Peak Dale, Derbyshire, UK. The hyperalkaline groundwaters are produced by the leaching of a thin layer (<2 m) of old lime kiln waste above the soil-bedrock surface above the tunnel by rainwater. This results in a different reaction and chemical process to that more commonly associated with the formation of calcium carbonate speleothems from Ca-HCO3-type groundwaters and degassing of CO2. Stalagmites within the Peak Dale tunnel have grown rapidly (averaging 33 mm y-1), following the closure of the tunnel 70 years ago. They have an unusual morphology comprising a central sub-horizontally-laminated column of micro- to nano-crystalline calcium carbonate encompassed by an outer sub-vertical assymetric ripple laminated layer. The stalagmites are largely composed of secondary calcite forming pseudomorphs (<1 mm) which we believe to be predominantly after the ‘cold climate’ calcium carbonate polymorph, ikaite (calcium carbonate hexahydrate: CaCO3•6H2O), with minor volumes of small (<5 μm) pseudomorphs after vaterite. The tunnel has a near constant temperature of 8-9°C which is slightly above the previously published crystallisation temperatures for ikaite (<6°C). Analysis of a stalagmite actively growing at the time of sampling, and preserved immediately within a dry nitrogen cryogenic vessel, indicates that following crystallisation of ikaite, decomposition to calcite occurs rapidly, if not instantaneously. We believe this is the first occurrence of this calcium carbonate polymorph observed within speleothem

Key Success Factors of Innovation Projects of Vegetable Breeding Companies in China

The vegetable breeding industry is generally recognized as an innovation-driven industry. However, innovation is costly, time-consuming and uncertain. This study aims to identify the key success factors of innovation project performance of vegetable breeding companies (VBCs) in China. Based on empirical data that was collected from 53 innovation projects in 38 VBCs, it was found that integrative capabilities play an important role in the novelty and newness of the innovation to enhance product potential (superiority) and also in improving functional capabilities and in gaining market potential. Furthermore, market competition is a positive factor for inspiring innovation in the breeding industry

Final design of the SLAC P2 Marx klystron modulator

The SLAC P2 Marx has been under development for two years, and follows on the P1 Marx as an alternative to the baseline klystron modulator for the International Linear Collider. The P2 Marx utilizes a redundant architecture, air-insulation, a control system with abundant diagnostic access, and a novel nested droop correction scheme. This paper is an overview of the design of this modulator. There are several points of emphasis for the P2 Marx design. First, the modulator must be compatible with the ILC two-tunnel design. In this scheme, the modulator and klystron are located within a service tunnel with limited access and available footprint for a modulator. Access to the modulator is only practical from one side. Second, the modulator must have high availability. Robust components are not sufficient alone to achieve availability much higher than 99%. Therefore, redundant architectures are necessary. Third, the modulator must be relatively low cost. Because of the large number of stations in the ILC, the investment needed for the modulator components is significant. High-volume construction techniques which take advantage of an economy of scale must be utilized. Fourth, the modulator must be simple and efficient to maintain. If a modulator does become inoperable, the MTTR must be small. Fifth, even though the present application for the modulator is for the ILC, future accelerators can also take advantage of this development effort. The hardware, software, and concepts developed in this project should be designed such that further development time necessary for other applications is minimal

We need to talk about manels: the problem of implicit gender bias in sport and exercise medicine.

In 2015, a website (www.allmalepanels.tumblr. com/) began documenting instances of all-male panels (colloquially known as a ‘manel’). This, along with the Twitter hashtag #manel, has helped drive recognition of the persistent and pervasive gender bias in the composition of experts assembled to present at conferences and other events. Recent social media discussions have similarly highlighted the prevalence of all-male panels in Sport and Exercise Medicine (SEM). While, to our knowledge, all-male panel trends in SEM have not yet formally been documented or published, one need look no further than SEM conference committees, keynote speaker lists, panels and other events to see that it exists in practice. Why, in 2018, is SEM and its related disciplines still failing to identify and acknowledge the role that implicit bias plays in the very structure of our own research, practice and education? SEM is, after all, a profession that contains experts, and serves populations, of all genders. This editorial will introduce the definition, implications and manifestations of implicit gender bias and then explore how the SEM community can begin to address this issue, advance the discussion and develop a more equitable global community