Effects of an endurance and resistance exercise program on persistent cancer-related fatigue after treatment

BACKGROUND

Fatigue is a relevant problem of cancer patients during and after treatment. Several studies have shown that exercise can improve quality of life and functional status of cancer patients undergoing chemo- or radiotherapy. However, there is a lack of information about the effects of this intervention on persistent cancer-related fatigue. Therefore, we assessed the effects of an exercise program on cancer-related fatigue after treatment.

PATIENTS AND METHODS

A consecutive series of 32 cancer patients with mild to severe persistent fatigue [scores on the Brief Fatigue Inventory (BFI) > 25] participated in a 3-week exercise program consisting of endurance (30 min walking on a treadmill) and resistance/coordination exercises for the major muscle groups. Fatigue, mood, and anxiety were assessed with questionnaires and physical performance with a stress test before and after the program.

RESULTS

At the end of the program, we observed a significant increase of physical performance (workload at the anaerobic threshold pre 61 +/- 26 W, post 78 +/- 31 W, P < 0.0001) and reduction of global fatigue (Functional Assessment of Cancer Therapy: pre 45.7 +/- 13.4, post 52.6 +/- 12.4, P < 0.0001; BFI: pre 37.9 +/- 18.3, post 31.2 +/-17.1, P < 0.001). However, no significant improvement of cognitive fatigue or reduction of anxiety was observed.

CONCLUSIONS

A 3-week exercise program leads to a substantial improvement of physical performance and reduction of mental and physical fatigue in cancer patients after treatment. However, this intervention does not affect depression, anxiety, or cognitive fatigue.

[Association between histopathologic type II synovitis and increased amounts of pyridinoline in synovial tissue samples in rheumatoid arthritis]

OBJECTIVE

To investigate the association between immunohistopathological and morphological features of synovitis in rheumatoid arthritis and the amounts of collagen degradation products pyridinoline and deoxypyridinoline in the synovial tissue and in body fluids in order to discover potential markers of erosive disease.

METHODS

Histopathological analysis of synovial tissue samples from 22 patients with RA was performed according to the histopathologic scoring system of RA synovitis by P. Stiehl. Accordingly, the samples were (a) classified into type I synovitis, type II synovitis, or undifferentiated synovitis and were (b) characterized for local features of disease activity, including basic activity and actual activity. The contents of pyridinoline and deoxypyridinoline were measured in the synovial tissue, the synovial fluid, serum and urine by HPLC analysis.

RESULTS

The amounts of pyridinoline in synovial tissue samples characterized by type II synovitis were 1.7-fold and 2.7-fold higher compared with those with type I synovitis and undifferentiated synovitis, respectively. In contrast, the content of deoxypyridinoline was not different between the histopathologic types of synovitis. At the same time, increased amounts of pyridinoline, but not deoxypyridinoline, were detected in synovial tissue samples with basic activity or actual activity grade II compared with synovial tissue samples with basic activity or actual activity grade I. The concentrations of both collagen degradation products in the synovial fluid, serum and urine did not differ between patients when they were analyzed either for histopathologic types of synovitis or local disease activity.

CONCLUSION

The amount of cartilage collagen degradation product pyridinoline in synovial tissue is positively correlated with the histopathological grading of local disease activity. Furthermore, the increased amounts of pyridinoline in synovial tissue samples with type II synovitis suggest a more erosive course of RA in patients with this type of synovitis.

Magnetite-loaded carrier erythrocytes as contrast agents for magnetic resonance imaging

Superparamagnetic iron oxide nanoparticles (SPIONs) are commonly used in magnetic resonance imaging (MRI), but their fast phagocytosis makes them less than ideal for this application. To circumvent the lymphocyte-macrophage system, we encapsulated SPIONs into red blood cells (RBCs). For loading, the RBC's membrane was opened by swelling under hypoosmotic conditions and subsequently resealed. In this work, we demonstrate that SPIONs can be loaded into RBCs in a concentration sufficient to obtain strong contrast enhancement in MRI.

Coarsening of axial segregation patterns of slurries in a horizontally rotating drum

Segregation structures of granular mixtures in rotating drums represent classical examples of pattern formation in granular material. We investigate the coarsening of axial segregation patterns of slurries in a long horizontally rotating cylinder. The dynamics and the three-dimensional geometry of the segregation structures are analyzed with optical methods and nuclear magnetic resonance imaging. Previous studies have mainly considered global statistical features of the pattern dynamics. In order to get insight into driving mechanisms for the coarsening process, we focus on the details of the dissolution of individual bands. We treat the coarsening as a consequence of interactions of adjacent bands in the pattern, which are determined by their geometrical relations. In addition to initially homogeneous mixtures, which evolve to spontaneously formed patterns, we study the evolution of specially prepared simple initial states. The role of the three-dimensional geometry of the axial core in the dissolution process of segregation bands is demonstrated. Relations between geometry and dynamic processes are established, which may help to find the correct microscopic models for the coarsening mechanism.

Recent advances in electron tomography: TEM and HAADF-STEM tomography for materials science and semiconductor applications

Electron tomography is a well-established technique for three-dimensional structure determination of (almost) amorphous specimens in life sciences applications. With the recent advances in nanotechnology and the semiconductor industry, there is also an increasing need for high-resolution three-dimensional (3D) structural information in physical sciences. In this article, we evaluate the capabilities and limitations of transmission electron microscopy (TEM) and high-angle-annular-dark-field scanning transmission electron microscopy (HAADF-STEM) tomography for the 3D structural characterization of partially crystalline to highly crystalline materials. Our analysis of catalysts, a hydrogen storage material, and different semiconductor devices shows that features with a diameter as small as 1-2 nm can be resolved in three dimensions by electron tomography. For partially crystalline materials with small single crystalline domains, bright-field TEM tomography provides reliable 3D structural information. HAADF-STEM tomography is more versatile and can also be used for high-resolution 3D imaging of highly crystalline materials such as semiconductor devices.

Size and distribution prediction for nanoparticles produced by microemulsion precipitation: A Monte Carlo simulation study

A Monte Carlo simulation approach for BaSO(4) nanoparticle precipitation in microemulsions has been applied to a semi-batch reactor experiment. The simulation includes two technical process parameters, the feed rate and the initial volume ratio of the two reactants. A set of experiments with different initial reactant concentrations of BaCl(2) and K(2)SO(4) showed a significant change in the particle size. It was compared to the simulated final particle size and with an adaptation of one internal parameter of the Monte Carlo simulation a good agreement between simulated and experimental data was achieved. Using this set of parameters the feed rate and the initial volume ratio is varied. It is shown how these process parameters influence the particle size and the size distribution. The simulation results may help in finding appropriate control parameters in a scale-up approach of the microemulsion technology for nanoparticle production.