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The Breakthrough in Breast Cancer TreatmentA landmark international study has revealed that millions of women with breast cancer could safely skip chemotherapy thanks to a genomic test that determines who needs the treatment and who doesn't. The randomised trial specifically examined whether the test could identify patients who would not benefit from chemotherapy, allowing them to avoid the potentially debilitating treatment without compromising their outcomes.The Scientific Evidence Behind the TestThe results of the Optima trial, which will be presented at the American Society of Clinical Oncology's annual meeting, are being hailed by experts as gamechanging. The five-year cancer-free survival rate was 93.7% in the group that skipped chemotherapy, which was statistically non-inferior to the 94.9% rate in patients randomly assigned to receive chemotherapy.The Prosigna genomic test analyzes the activity of 50 specific genes in tumor tissue to determine the molecular subtype and develops a risk of recurrence score to help doctors decide if chemotherapy is necessary. This precision medicine approach allows for personalized treatment decisions based on the unique characteristics of each patient's cancer.A Patient's Journey to Avoiding ChemotherapyKaren Bonham, a speech and language therapist from Swansea in Wales, was one of 4,429 patients with breast cancer recruited to the trial from countries including the UK, Norway, Sweden, Australia, New Zealand and Thailand. Diagnosed with cancer in 2017 at the age of 55 after routine breast screening, Bonham described the news as shocking."It certainly propels you into a world of uncertainty. Life priorities realign – you simply want to survive," she said. Dreading chemotherapy, she agreed to join the Optima trial after undergoing surgery. She was only days away from starting treatment and had already cut her hair short when the results came back in September 2017.While taking a walk on a Welsh beach, Bonham received a phone call from her hospital informing her she had been allocated to the group of patients that would not be having chemotherapy. "How to describe the initial feeling? Immense relief? Like Christmas? Certainly a mixture of the two," she said.The Future of Personalized Cancer CareToday, Bonham, now 64, retired and living in Cardiff, is free of cancer, healthy and shows no signs of the disease coming back. "It is coming up to nine years since my diagnosis," she said. "I am mindful of my diagnosis, alert to potential changes in my body but do not feel defined by [it]. I walk, enjoy yoga and live well."While not every woman with breast cancer will be able to skip chemotherapy—the treatment remains necessary and important for many—the trial results suggest that genomic testing can safely identify those who can avoid it. This approach represents a significant shift toward personalized medicine in oncology, reducing unnecessary treatment and its associated side effects while maintaining excellent outcomes."I hope that the trial will bring positive patient outcomes to many," Bonham said, reflecting on the potential impact of this research on future breast cancer patients.

Scientists from University College London and partners have proved that a 50‑gene genomic test can reliably pinpoint hormone‑positive breast‑cancer patients who do not need chemotherapy, potentially sparing millions from toxic side‑effects.Optima Trial Demonstrates Genomic Test Can Identify Low‑Risk PatientsThe Optima trial enrolled 4,429 women aged 40+ across the UK, Norway, Sweden, Australia, New Zealand and Thailand. Participants were split into a standard‑care arm (chemotherapy + hormone therapy) and a test‑guided arm where treatment was decided by the genomic score.Trial Numbers Reveal Near‑Identical Survival RatesFive‑year outcomes were strikingly similar:95% of patients receiving chemotherapy remained alive and recurrence‑free.94% of patients who skipped chemotherapy (low‑score group) were also alive and recurrence‑free.The test classified patients using a score derived from the activity of 50 tumour genes, produced by Veracyte's Prosigna assay.These figures indicate that for low‑score patients, chemotherapy adds little or no survival benefit.Potential Shift in Breast Cancer Treatment GuidelinesProf Rob Stein, chief investigator, says the results “address a longstanding challenge” by moving decision‑making from clinical features to tumour biology. Health systems could see reduced drug costs, fewer hospital visits, and a dramatic drop in chemotherapy‑related toxicity.Future Adoption and Healthcare SavingsWith funding from the NIHR, Veracyte and cancer charities, the study paves the way for rapid guideline updates at bodies like ASCO and NICE. Wider implementation could translate into billions of dollars saved globally and improve quality of life for countless patients. Ongoing monitoring will confirm long‑term outcomes, but the early data suggest a new era of personalised, cost‑effective breast‑cancer care.

The Growing Need for Worker Representation in AI ImplementationWorkers urgently need more bargaining power over the way AI is adopted in the workplace to ensure the benefits are fairly shared, according to a TUC-backed report from a leading thinktank. The Institute for Public Policy Research (IPPR) is calling for a package of measures to boost employees' influence at what it calls a "pivotal moment in the history of work".Survey Reveals Mixed Impacts of AI on WorkersThe IPPR report cites survey data showing that while 20% of workers say AI is making their working life better, 21% say it has made it worse – and 4% believe they have already lost a job because of the technology. The thinktank distinguishes between three potential impacts of the technology: augmentation, where it complements human labour; degradation, where it undermines the experience of work; and displacement, where it replaces workers altogether.Call for Statutory Consultation and Worker SupportThe report's recommendations include a statutory duty on employers to consult their workers over the adoption of AI and a "worker support levy," which could be funded by companies or workers themselves. The idea of this levy would be to create a portable "wallet" of benefits that workers could take with them from one job to another – such as union membership, insurance or training – with the broad aim of increasing their bargaining power.Historical Context for Technological TransitionsPaul Nowak, the general secretary of the TUC who has written a foreword to the report, emphasized that "great technological transitions only result in meaningful social progress when they are shaped actively and decisively." He drew parallels to the Industrial Revolution, which saw 50 years of wage stagnation while profits soared, suggesting that "it took the difficult birth of the labour movement to tip technological gains towards workers' interests and broader social wellbeing."Government Stance on AI AdoptionThe government has made clear it is enthusiastic about the adoption of AI in the UK, with Rachel Reeves highlighting it as one of three drivers of stronger economic growth. In her Mais lecture, the chancellor called AI "the defining technology of our era", saying she was determined to "maximise the value added … to the wider economy and the public sector through accelerated adoption."Future Outlook for Worker-AI RelationsAs Labour has already introduced a historic upgrade to workers' rights since coming to power in July 2024, the debate around AI's role in the workplace is likely to intensify. The IPPR's recommendations suggest a growing recognition that technological advancement must be balanced with worker protections and representation to ensure equitable outcomes in the rapidly evolving landscape of work.

New York’s affluent residents are voicing strong opposition to a wave of London‑origin private members’ clubs opening on the Upper East Side, citing concerns over noise, privacy and the character of their neighbourhood.London Clubs Multiply on Manhattan’s Upper East SideIn the past year, several iconic London venues have launched New York outposts. Robin Birley opened Maxime’s on the Upper East Side, while The Twenty Two set up in Grosvenor Square. Annabel’s plans a downtown meat‑packing district location, and the British brand Maison Estelle has applied for a five‑storey venue with a roof terrace between Madison and Fifth avenues.Maxime’s – Upper East Side flagshipThe Twenty Two – Grosvenor Square newcomerAnnabel’s – pending meat‑packing district siteMaison Estelle – licence request for luxury clubLicensing Vote Highlights Community OppositionThe local community board voted 29 to 13 against granting Maison Estelle a liquor licence, with one abstention. Residents argue that a rooftop venue would place 20‑30 patrons just 15 feet from bedroom windows, disrupting the privacy of apartments that sell for a median of $1.7 million (£1.3 million).Vote result: 29 against, 13 for, 1 abstentionMedian apartment price: $1.7 millionProposed rooftop proximity: ~15 ft from windowsImplications for NYC’s Luxury Hospitality LandscapeThe backlash underscores a clash between New York’s traditional residential character and the growing allure of British‑style exclusivity. While British culture—from Arsenal fandom to brands like Barbour—is gaining traction, the influx of clubs raises questions about zoning, noise ordinances, and the capacity of affluent neighbourhoods to absorb high‑volume nightlife.Future Trajectory of British Brands in New YorkIndustry insiders predict that British operators will continue to seek U.S. footholds as London faces rising costs and regulatory pressures. However, success may hinge on navigating community‑board approvals and tailoring concepts to local expectations. Robin Birley remains cautiously optimistic, noting that a club typically needs three years to prove its viability, while others argue that the Upper East Side’s “quiet” atmosphere could be a competitive advantage if managed responsibly.

The Billionaire's Challenge to Women's FootballIt has been a bad week for Michele Kang, the billionaire women's football investor. On Wednesday the Uefa director of women's football, Nadine Kessler, was firm on the enforcement of rules prohibiting clubs with the same owner from playing each other in European competitions, dealing a blow to Kang, who has ambitions of taking London City Lionesses into Europe's premier competition, but also owns the tournament's most decorated side, OL Lyonnes.Then, across the weekend, Kang teams suffered two continental final defeats, with Lyonnes losing 4-0 to Barcelona in the Champions League final before her US outfit, Washington Spirit, fell short in the Concacaf W Champions Cup with a 5-3 reverse to the Mexican side Club América.Barcelona's Talent Pipeline vs. Financial MuscleSpeaking to the Catalan TV channel Esport3 in Oslo on Saturday evening, the Barcelona goalkeeper Cata Coll made some pointed remarks about money in football after their emphatic victory, and her words went viral. "There has been criticism but we have shown the team we are," she said. "Money isn't everything. We are privileged to have La Masia and all the girls that have come up to the first team: Aïcha Cámara, Carla [Julià Martínez], [Martine] Fenger, [Clara] Serrajordi, all of them. They are incredible. It says everything and that's why I say it."Many have assumed it was a jab at Kang and the use of her wealth to pursue glory in women's football, with Barcelona's talent pipeline apparently delivering an antidote to such an approach. There have been frustrations that Kang's teams have been sniffing at Barcelona's door in recent years, poaching the head coach Jonatan Giráldez, who led Barça to their second and third European titles, first planting him in post at Washington Spirit before switching him this season to Lyonnes, another of her Kynisca Sports International multi-club ownership group.The Financial Distortion in Women's FootballGiráldez isn't the only Barcelona employee to have been recruited by the big-spending Kang. The midfielder Ingrid Engen joined Lyonnes last summer and the defender Jana Fernández was acquired by London City from the Catalan club. Meanwhile, talk of potential rogue bids for Aitana Bonmatí have circulated in past seasons, while London City are believed to have made Alexia Putellas, soon to be out-of-contract, a large offer to play in the WSL.Clubs are seemingly irritated with Kang's spending because to entice superstars to fledgling projects she is offering fees and wages that are distorting the market, driving it beyond what many view as sustainable growth. Except, given the opportunity, every club would probably do it. Yes, huge men's clubs could do the same, given the large sums at their disposal, but often choose not to in the name of sustainability and gradual growth.Barcelona's Own Financial ChallengesHowever, while the constantly emerging talent from La Masia is both laudable and enviable, Barcelona are not a model women's football club, or a salve to the model being championed by Kang.Kang is one of many to have exploited the strict financial rules of La Liga, with the money trouble experienced by the men's side recently affecting every section of the club, from the women's team to the youth academy and basketball, handball and futsal teams. To lower the wage bill, players have been allowed to leave that may have been kept under different circumstances.The team that have powered Barça to four European titles contains several key players at the end of their contracts. Alongside Putellas, the quartet of Mapi León, Marta Torrejón, Salma Paralluelo and Caroline Graham Hansen are nearing the end of their deals. At some stage Barça will need to undergo their next evolution, but to what extent that is done on their terms, or forced by financial pressure, remains to be seen.The Future of Investment Models in Women's FootballSaturday's Champions League final was my eighth in nine years – the Covid-19 pandemic prevented me from attending the 2020 final between Lyon (now Lyonnes) and Wolfsburg in San Sebastián. The game has come a long way since my first, in Kyiv in 2018, when the host city was the same as the one for the men's Champions League final and the women's final cowered in its shadow.In Oslo the huge numbers pouring into Uefa's fan park, that featured a line of mini-pitches where girls' teams played all day, reflected the impact the final can now have on a city. Women's football has also changed a lot, but in some ways it is very similar. In 2018 Lyon lifted their fifth of what has become eight European titles, the efforts of the former club owner, men's and women's, Jean-Michel Aulas, repeatedly delivering for the French team. Aulas committed more resources to the women's team than most other European clubs and Kang is now doing the same sort of thing, but more aggressively, in a world where many of the top women's clubs are increasing investment.The problem is, there is no alternative model put forward by any of the biggest clubs. Each one walks the same path, in slightly different ways, perhaps getting annoyed at how others have gone the same route. Most men's Premier League clubs do not want an alternative funding model – because it might show fans there is another way of doing things. As it stands, those owners can take money out of clubs to boost their personal wealth.So, yes, Coll is right, but behaving like Barcelona are the morally superior club is misleading.

The Lead007 First Light successfully revitalizes the James Bond video game franchise after years of absence, offering fans an immersive experience that captures both the action and sophistication of the iconic spy. Developer IO Interactive demonstrates their passion for the Bond universe through meticulous attention to detail and creative gameplay mechanics that honor the franchise's legacy.Gameplay Mechanics and DesignGiven how open-ended Hitman is, it's surprising how well IO has taken to linear storytelling. There are still moments of the "social stealth" that defines the studio's other games, but it's been repurposed for cinematic forward thrust, and blended together with plenty of action. It seems lazy to pigeonhole First Light as Hitman meets Uncharted, but when you see Bond leap on to a cliff edge and scurry along rocky handholds, your mind can't help but go there.You are often playing through moments that would be cutscenes in another game. Sometimes that's as simple as a dramatic approach to a level; driving round a bend to reveal a sprawling Slovakian castle, say. More ambitiously, one whole chapter is given over to a glorified training montage that whips you back and forth between getaway driving, stealth and gunplay, all while charting thawing relations between our fledgling 00 candidates. This is on-rails storytelling done right.Character Development and StorytellingWe join young Bond in his pre-00 days, as a petulant, belligerent rule-breaking trainee. Actor Patrick Gibson begins as a cookie-cutter insubordinate, but warms to the role once he's bouncing off M (herself a green leader looking to make her mark), and an enjoyably urbane Q who drops the frustrated quartermaster routine and introduces Bond to the wonders of vinyl. A scene where he teaches our agent to tie a bow tie is a perfect bit of prequelcraft: arriving at an iconic look through a lovely character touch.In contrast to previous Bond games, First Light understands that action is only a part of the Bond fantasy. He's as much schmoozer as bruiser, and there's plenty of the former here, with socialising setpieces at a chess tournament or swanky product launch. The staging and atmosphere of these rooms is exemplary, but the work mostly boils down to eavesdropping on guests to discover a keycard's location, before shooting its keeper with a toxic dart.Technical Execution and VisualsAs Bond himself is learning the ropes, it sometimes feels as if the developers are feeling their way towards something. Guns are enjoyably punchy, but scripted fights always emphasise explosive theatrics over strategy. Gas tanks erupt, walkways tumble, cranes collapse: you enter fights looking for the red barrel that will trigger a chain of collateral damage. Fail to quell numbers this way and you're quickly overwhelmed.Fist fights are more enjoyable – not because they are any more sophisticated, but because of the commitment of their virtual stuntmen. Bond is a barroom brawler, barging bodies into clattering bookshelves and battering enemies with mugs and keyboards lying around. In the same way that waist-high cover always alerts you to an incoming fight in Gears of War, you learn to eye crockery or wine bottles with suspicion here. If it's not stuck down, you'll be smashing it into a mercenary's face within the next two minutes.Fists and guns are what happen when sneaking goes wrong. On this front, IO finds a punchy take on its classic lurking. A hacking watch introduces some Home Alone hijinks as you lure guards towards misbehaving photocopiers, before electrocuting the device with a laser beam. Gadgets let you run circles around enemies – though you have to accept some silliness as you refuel those toys with batteries stolen from TV remotes, or globs of hand sanitiser. It's hard to picture Daniel Craig scavenging for Carex.Legacy and Future of Bond GamesOn a visit to a Mauritanian market and a luxury hotel getaway, however, there is space to roam, and you're reminded how few developers can tap into that aspirational tourist fantasy. Plenty of games have let us be a gun-toting version of Bond, but this is the first opportunity we've had to be a Bond relaxing beside a glittering infinity pool in Vietnam, or a Bond trying to get one over on a shell game hustler. Games are now much more capable of taking us to specific places than they were in the time of GoldenEye on the N64.It's that full Bond immersion that 007 First Light will ultimately be remembered for, more so than the odd wonky setpiece scene. I have no doubt that this was made by excitable Bond geeks throwing "what if" moments at a whiteboard. What if you got to explore Q Lab watching underlings test malfunctioning prototypes? What if you were tied to a torturer's table and had to talk your way out? What if you found yourself at 15,000ft with no parachute? And what if you had access to John Barry's classic scores and could deploy a staggering needle drop out of nowhere?Very few fans get to play in the sandbox of their obsession like IO has here. As far as Bond video games go, nobody has done it better.

The Maestro's Farewell Performance Lahav Shani's eight-year tenure at the helm of the Rotterdam Philharmonic is coming to a close – he becomes chief conductor at the Munich Philharmonic in September – and he is leaving this fine orchestra in good shape. Their recording of Dvořák’s Symphony No 9 brings a natural freshness to this familiar work, offering no big surprises or grand gestures but holding the attention fast with an elegant restlessness. The Symphony's Unfolding The unfolding of the first movement is unhurried but unstoppable: Shani doesn’t overshape the phrases, but gives them the space and momentum to flow organically from one to the next. The big woodwind solos – the velvety flute in the first movement, the cor anglais in the second – make their mark without signposting. Balance and Nuance Nothing is overly heavy, and there’s a skip to the middle section of the third movement that makes it sound almost humorous. But the finale still has all the weight it needs, its fluster and seriousness dissolving into a sweet clarinet solo and then blooming into something joyous and grand. A Rare Overture As an overture, there’s a Dutch rarity: Johan Wagenaar’s 1905 tone poem Cyrano de Bergerac. It couldn’t be more transparently inspired by Strauss’s Don Juan, but is easy to enjoy, and finds the Rotterdam players on swashbuckling form.

Translated Fiction Review Roundup A collection of recent translated fiction has been reviewed, showcasing the diversity and complexity of global literature. The reviews include: 'Sisters in Yellow' by Mieko Kawakami Sisters in Yellow by Mieko Kawakami, translated by Laurel Taylor and Hitomi Yoshio (Picador, £16.99) Kawakami’s latest opens with a bang, as narrator Hana learns that her old friend Kimiko has been charged with abduction. This MacGuffin takes us to their friendship in late-1990s Tokyo, when teen Hana and the older woman open a bar called Lemon: “Yellow attracts money.” But it’s a turbulent ride and soon Hana is in a world of organised crime. “The world is crazy. I feel like I’m living in a manga.” She’s not the only one, and you need an appetite for Kawakami’s style, which prefers to explore rather than explain – people come and go, buildings burn down, cancer is diagnosed, almost at random – but the relentless rush means there’s no time to get bored. At its best – as in a scene where Hana’s unreliable mother wants to borrow 2m yen for investment in lingerie that helps “your spine and organs move back to where they’re supposed to be” – this is a story both absurd and horrifying. 'All Flesh' by Ananda Devi All Flesh by Ananda Devi, translated by Jeffrey Zuckerman (Pushkin, £12.99) “Forgive me for starting this story with bodily, unpalatable origins.” You may as well – it’s all like that. In an unnamed European country, a schoolgirl “born with no urge but to consume” is getting bigger and bigger. “My gut, my ass, my thighs – they were all set on reaching the farthest corners of the world.” She blames her gluttony on the need to silence the voice of her dead twin sister, who was “absorbed into my tissues” in the womb. She hates school, where other kids mock her, as though her own self-disgust weren’t enough. After a blackly comic scene where she gets stuck in her bedroom doorframe like “an uncooperative cork”, she falls in love with the lonely carpenter who arrives to widen the door – but there are more twists to come. This powerful story is deeply physical, but driven by a compelling voice describing the torment of a girl who is “the psychical mirror of our time … immoderation made manifest”. 'The White Desert' by Luis López Carrasco The White Desert by Luis López Carrasco, translated by Rosalind Harvey (Granta, £14.99) This unpredictable book, comprising five linked stories about a Spanish couple, opens with the end of the world and gets weirder from there. A balloon debate about a post-apocalyptic scenario turns nasty when one participant pulls a knife, or thinks he does. A plane crash-lands on an island. “Can [we] go and get our luggage … Lots of people have, you know, soiled themselves.” What links the scenes is a sense of disconnection in our connected world, but the book subverts expectations: when a group of people celebrating New Year’s Eve go missing, it turns out to be a game of hide and seek. Footnotes peppered throughout suggest we’re viewing all this from the future (“Emirates was a well-known passenger airline …”), and discovering what the white desert is turns everything on its head. For readers who like to do their own joining up, and who want a playful, original take on our precarious lives, this is a thought-provoking treat. 'The Home of the Drowned' by Elin Anna Labba The Home of the Drowned by Elin Anna Labba, translated by Elizabeth Clark Wessel (Harvill, £16.99) “You could have waited, you bastards.” In 1942 Lapland, a village occupied by the semi-nomadic Sámi people is flooded by a new hydroelectric plant’s dam. One family watch as their goahti (peat-covered hut) disappears under the water. “It wasn’t the nicest goahti,” says Ánne. “No, but it was mine,” says her sister Rávdná. When Rávdná wants to build a house to replace it, the authorities refuse permission: the Sámi way of life has been rejected but alternatives are not permitted. A local newspaper half-heartedly offers to publicise their case, but “we receive a lot of angry letters if we use any foreign words”. When the government tells local people the new dam “will lift us out of poverty and injustice”, the words reek with irony. This intimate story of infuriating discrimination is, Labba says, based on real events in Sweden.

At Amazon’s AI on the Lot conference in Culver City, Gareth Edwards declared generative AI a revolutionary creative partner, likening it to a "second‑unit director who is a billionaire on acid" and suggesting it could outdo traditional CGI.Edwards Positions AI as the Next‑Gen Camera at AI on the LotSpeaking to an audience of filmmakers, Edwards said the technology is "so clearly a tool that might be up there with the camera" and is most valuable during the "preparatory stages" for iterating story ideas. He emphasized that AI helps discover a film’s direction before production begins, then hands the reins back to human creators.Cost‑Cutting Potential Highlighted by Paul SchraderPaul Schrader reinforced the economic upside, questioning why studios pay extras $180 a day when AI can generate realistic background performers. He argued the real commercial breakthrough will come when AI can portray a protagonist without needing a human analogue, potentially reshaping revenue models.AI’s Disruptive Ripple Through Film ProductionAI is framed as a creative "second‑unit director" capable of rapid iteration.Critics note early AI‑generated images, such as in Steven Soderbergh’s John Lennon: The Last Interview, have been received as "blandly generic and very mediocre".Industry voices see AI as a tool that could replace traditional extras and visual effects pipelines.Uncertain Trajectory: What’s Next for AI‑Driven CinemaEdwards cautioned that predicting AI’s evolution over the next five years is impossible, warning that anyone claiming certainty is "just a liar". The consensus suggests a near‑term surge in experimentation, followed by broader adoption as the technology matures.