A systematic review of the impact of postoperative aerobic exercise training in patients undergoing surgery for intra-abdominal cancers.

INTRODUCTION: Enhanced recovery after surgery (ERAS) programmes which advocate early mobility after surgery have improved immediate clinical outcomes for patients undergoing abdominal cancer resections with curative intent. However, the impact of continued physical activity on patient-related outcomes and functional recovery is not well defined. The aim of this review was to assess the impact of postoperative aerobic exercise training, either alone or in conjunction with another exercise modality, on patients who have had surgery for intra-abdominal cancer. METHODS: A literature search was performed of electronic journal databases. Eligible papers needed to report an outcome of aerobic capacity in patients older than 18 years of age, who underwent cancer surgery with curative intent and participated in an exercise programme (not solely ERAS) that included an aerobic exercise component starting at any point in the postoperative pathway up to 12 weeks. RESULTS: Eleven studies were deemed eligible for inclusion consisting of two inpatient, one mixed inpatient/outpatient and eight outpatient studies. Meta-analysis of four outpatient studies, each reporting change in 6-min walk test (6MWT), showed a significant improvement in 6MWT with exercise (MD 74.92 m, 95% CI 48.52-101.31 m). The impact on health-related quality of life was variable across studies. CONCLUSION: Postoperative exercise confers benefits in improving aerobic function post surgery and can be safely delivered in various formats (home-based or group/supervised).

A dusty compact object bridging galaxies and quasars at cosmic dawn.

Understanding how super-massive black holes form and grow in the early Universe has become a major challenge1,2 since it was discovered that luminous quasars existed only 700 million years after the Big Bang3,4. Simulations indicate an evolutionary sequence of dust-reddened quasars emerging from heavily dust-obscured starbursts that then transition to unobscured luminous quasars by expelling gas and dust5. Although the last phase has been identified out to a redshift of 7.6 (ref. 6), a transitioning quasar has not been found at similar redshifts owing to their faintness at optical and near-infrared wavelengths. Here we report observations of an ultraviolet compact object, GNz7q, associated with a dust-enshrouded starburst at a redshift of 7.1899 ± 0.0005. The host galaxy is more luminous in dust emission than any other known object at this epoch, forming 1,600 solar masses of stars per year within a central radius of 480 parsec. A red point source in the far-ultraviolet is identified in deep, high-resolution imaging and slitless spectroscopy. GNz7q is extremely faint in X-rays, which indicates the emergence of a uniquely ultraviolet compact star-forming region or a Compton-thick super-Eddington black-hole accretion disk at the dusty starburst core. In the latter case, the observed properties are consistent with predictions from cosmological simulations7 and suggest that GNz7q is an antecedent to unobscured luminous quasars at later epochs.

The Five Nations model for prison health surveillance: lessons from practice across the UK and Republic of Ireland.

BACKGROUND: Prison populations experience an increased burden of physical, mental and social health needs compared to the community, further impacted by the prison environment. Surveillance systems to monitor health and well-being trends in prisons are lacking, presenting a challenge to services planners, and policy makers who often lack evidence to inform decisions. METHOD: The Five Nations Health and Justice Collaboration, a body of experts on prison health across the UK and Republic of Ireland (ROI), met to share and discuss challenges and opportunities to developing robust prison health surveillance systems that could inform local provision, guide national policy and enable cross-border comparisons. RESULTS: Challenges to robust prison health surveillance systems were shared across the UK and ROI. Methods of surveillance differed across nations and included performance indicators and outcome measures as part of local or national programs. All nations had strong public health infectious disease notification systems. CONCLUSIONS: The Five Nations Health and Justice Collaboration is proposing a new model for prison health surveillance, based on established guidelines for public health surveillance but with additional features that recognize the uniqueness of the prison environment and need for a whole prison approach, built on collaboration and sharing of data between health and justice sectors.

Looking behind the bars: emerging health issues for people in prison.

Introduction: There are more than 10 million people imprisoned worldwide. These individuals experience a higher burden of communicable and non-communicable disease, mental health and substance misuse problems than the general population and often come from marginalized and underserved groups in the community. Prisons offer an important opportunity for tackling health problems in a way that can deliver benefits to the individual and to the community. This paper focuses specifically on emerging health issues for prisons across the world. Sources of data: This paper uses sources of international data from published systematic reviews and research studies, the Ministry of Justice for England and Wales, the Prisons and Probations Ombudsmen Review and other United Kingdom government briefing papers. Areas of agreement: Deaths in custody are a key concern for the justice system as well as the health system. Areas of controversy: Suicide is the leading cause of mortality in prisons worldwide but non-communicable diseases, such as cardiovascular disease, are increasing in importance in high-income countries and are now the leading cause of mortality in prisons in England and Wales. Growing points: The prison population is ageing in most high-income countries. Older people in prison typically have multiple and complex medical and social care needs including reduced mobility and personal care needs as well as poor health. Areas timely for developing research: Further research is needed to understand the complex relationship between sentencing patterns, the ageing prison population and deaths in custody; to model its impact on prisons and healthcare provision in the future and to determine effective and cost-effective models of care. Research into the health of prisoners is important in improving the health of prisoners but there is considerable variation in quantity and quality between countries. Recent innovations seek to address this disparity and facilitate the sharing of good practice.

Optimal numbers of matings: the conditional balance between benefits and costs of mating for females of a nuptial gift-giving spider.

In species where females gain a nutritious nuptial gift during mating, the balance between benefits and costs of mating may depend on access to food. This means that there is not one optimal number of matings for the female but a range of optimal mating numbers. With increasing food availability, the optimal number of matings for a female should vary from the number necessary only for fertilization of her eggs to the number needed also for producing these eggs. In three experimental series, the average number of matings for females of the nuptial gift-giving spider Pisaura mirabilis before egg sac construction varied from 2 to 16 with food-limited females generally accepting more matings than well-fed females. Minimal level of optimal mating number for females at satiation feeding conditions was predicted to be 2-3; in an experimental test, the median number was 2 (range 0-4). Multiple mating gave benefits in terms of increased fecundity and increased egg hatching success up to the third mating, and it had costs in terms of reduced fecundity, reduced egg hatching success after the third mating, and lower offspring size. The level of polyandry seems to vary with the female optimum, regulated by a satiation-dependent resistance to mating, potentially leaving satiated females in lifelong virginity.

Dietary and prey-capture adaptations by which Zodarion germanicum, an ant-eating spider (Araneae: Zodariidae), specialises on the Formicinae.

There has been considerable recent interest in the biology of spiders that specialise on ants as prey, but previous studies have tended to envisage the level of adaptation as being to ants as a group. In this paper, we provide evidence that Zodarion germanicum is a spider that has dietary and venom adaptations by which it targets a particular subset of ants, the subfamily Formicinae. We reared spiders from first instar in the laboratory on three different diets: formicine ants only, myrmicine ants only and mixed (both formicine and myrmicine ants). Fitness-related life-history parameters were determined, and we found that the spiders on the formicine-only diet lived longer and grew at a faster rate. Lipid, carbon and nitrogen compositions of ants were analysed, but we found no evidence of formicines differing from myrmicines in macro-nutrient content. This suggests that effects on longevity and growth depended on more specific nutrients or on compounds the prey uses for defence. We investigated how efficient Z. germanicum was at paralysing different ants and our findings suggest that the spider's venom is especially effective against formicines. Taken together, our findings suggest that Z. germanicum has evolved specialisation at the level of targeting a particular ant subfamily, the Formicinae.

Activities of Glutathione S-Transferase and Glutathione Peroxidases Related to Diet Quality in an Aphid Predator, the Seven-spot Ladybird, Coccinella septempunctata L. (Coleoptera: Coccinellidae(.

Larvae of Coccinella septempunctata were reared on three aphid diets, consisting of pure Rhopalosiphum padi, pure Metopolophium dirhodum, and an equal mix of these aphid species. In the pupal stage, the activities of three detoxifying enzyme systems - glutathione S-transferase (GST) with 1-chloro-2,4-dinitrobenzene as substrate, glutathione peroxidase with hydrogen peroxide as substrate (GSH-Px[H2O2]), and glutathione peroxidase with tert-butyl hydroperoxide as substrate (GSH-Px[TBH]) - were assayed. Growth rate, measured as the total protein content of the pupae, was significantly higher in the mixed-diet group than in the R. padi group, whereas that of the M. dirhodum group was intermediate. GST showed lower activity in larvae on a pure R. padi diet and a mixed aphid diet than on a pure M. dirhodum diet, whereas the variation in GSH-Px[TBH] was independent of diet. GSH-Px(H2O2) showed a significantly higher activity in the R. padi group than in the M. dirhodum group, whereas that of the mixed-diet group was intermediate. Thus, feeding on the low-quality aphid, R. padi, inhibited GST and activated GSH-Px(H2O2). The induction of GSH-Px[H2O2] indicated elevated oxidative stress. This may have been caused by toxic compounds in the R. padi.

Self-injection of a dipteran parasitoid into a spider

A host invasion strategy hitherto unknown from other insect parasitoids was observed in the dipteran Acrocera orbicula (Fabricius) (Diptera: Acroceridae) parasitizing the wolf spider, Pardosa prativaga (L. Koch) (Araneida: Lycosidae). In laboratory experiments the free-living first instar acrocerid larvae attached themselves firmly to the spiders' integument by the mouthparts, cutting a tiny hole through the integument. No first instar larvae invaded the host. A week later the parasitoids molted, and a small, flexible, and glabrous second instar larva left each of the attached first instar exuviae and invaded the host through the attachment hole of the first instar larva. The novel host invasion pattern observed may reduce physical damage to the host in the initial phase of endoparasitism, enhancing parasitoid survival.

Identification of a sex pheromone from a spider.

The compounds (R)-3-hydroxybutyric acid and its dimer, (R)-3-[(R)-3-hydroxybutyryloxy]-butyric acid, have been identified as sex pheromones of a spider. These compounds elicit web reduction behavior by males of Linyphia triangularis (Clerck) on the webs of unmated adult females.

Microhabitat identity of two species of sheet-web spiders: field experimental demonstration.

Descriptive studies reveal that web-site characteristics of two sympatric species of sheet-web spiders, Linyphia triangularis and L. tenuipalpis are similar, even though their body sizes and web sizes are significantly different. The hypothesis of identical web-sites were tested by a species exchange experiment in the field. Here the residence times of adult females of each species released in webs of the other species were compared to the residence times of other females released in own species' webs. As there was no differences between the species-exchange series and the control series, the experimental results supported the conclusions of the descriptive studies. The utility of testing habitat parameter differences experimentally, and the significance of the results to the ecology of the species, in particular to their interspecific interactions, are discussed.