Study protocol for "Moving bright, eating smart"- a phase 2 clinical trial on the acceptability and feasibility of a diet and physical activity intervention to prevent recurrence in colorectal cancer survivors

Background: Colorectal cancer is the second most common cancer and cancer-killer in Hong Kong with an alarming increasing incidence in recent years. The latest World Cancer Research Fund report concluded that foods low in fibre, and high in red and processed meat cause colorectal cancer whereas physical activity protects against
colon cancer. Yet, the influence of these lifestyle factors on cancer outcome is largely unknown even though cancer survivors are eager for lifestyle modifications. Observational studies suggested that low intake of a Western-pattern diet and high physical activity level reduced colorectal cancer mortality. The Theory of Planned
Behaviour and the Health Action Process Approach have guided the design of intervention models targeting a wide range of health-related behaviours.
Methods/design: We aim to demonstrate the feasibility of two behavioural interventions intended to improve colorectal cancer outcome and which are designed to increase physical activity level and reduce consumption of a Western-pattern diet. This three year study will be a multicentre, randomised controlled trial in a 2x2 factorial
design comparing the “Moving Bright, Eating Smart” (physical activity and diet) programme against usual care. Subjects will be recruited over a 12-month period, undertake intervention for 12 months and followed up for a further 12 months. Baseline, interim and three post-intervention assessments will be conducted. Two hundred and twenty-two colorectal cancer patients who completed curative treatment without evidence of recurrence will be recruited into the study. Primary outcome measure will be whether physical activity and dietary targets are met at the end of the 12-month intervention. Secondary outcome measures include the magnitude and
mechanism of behavioural change, the degree and determinants of compliance, and the additional health benefits and side effects of the intervention.
Discussion: The results of this study will establish the feasibility of targeting the two behaviours (diet and physical activity) and demonstrate the magnitude of behaviour change. The information will facilitate the design of a further larger phase III randomised controlled trial with colorectal cancer outcome as the study endpoint to determine whether this intervention model would reduce colorectal cancer recurrence and mortality.

Embedding systemic science with FFSR and DPI, phase 2 : final project report

Systemic Science (systems thinking) provides a structured approach to better conceptualise and operationalise problems and to deal with complexity, uncertainty and risk. Systemic Science is different from traditional forms of scientific investigation because it focuses on 'the whole' rather than the component parts.

Systemic science is a skill that DPI generally lacks, although certain sections of the organisation do employ its principles with success. The objective of this project was to enhance DPI's existing systems thinking capability, with particular emphasis on FFSR, to develop the skills in more staff across the organisation, and to showcase the merits of the approach by applying the concepts on existing/planned projects. This report details ‘Phase 2’ (year 2) of the project and as such, outputs from the separate ‘Phase 1’ are not reported here.

Reactions with oleum under harsh conditions : characterization of the unique [M(S2O7)3]2- ions (M=Si, Ge, Sn) in A2[M(S2O7)3] (A=NH4, Ag)

The reactions of group 14 tetrachlorides MCl4 (M=Si, Ge, Sn) with oleum (65 % SO3) at elevated temperatures lead to the unique complex ions [M(S2O7)3]2−, which show the central M atoms in coordination with three chelating S2O72− groups. The mean distances M[BOND]O within the anions increase from 175.6(2)–177.5(2) pm (M=Si) to 186.4(4)–187.7(4) pm (M=Ge) to 201.9(2)–203.5(2) pm (M=Sn). These distances are reproduced well by DFT calculations. The same calculations show an increasing positive charge for the central M atom in the row Si, Ge, Sn, which can be interpreted as the decreasing covalency of the M[BOND]O bonds. For the silicon compound (NH4)2[Si(S2O7)3], 29Si solid-state NMR measurements have been performed, with the results showing a signal at −215.5 ppm for (NH4)2[Si(S2O7)3], which is in very good agreement with theoretical estimations. In addition, the vibrational modes within the [MO6] skeleton have been monitored by Raman spectroscopy for selected examples, and are well reproduced by theory. The charge balance for the [M(S2O7)3]2− ions is achieved by monovalent A+ counter ions (A=NH4, Ag), which are implemented in the syntheses in the form of their sulfates. The sizes of the A+ ions, that is, their coordination requirements, cause the crystallographic differences in the crystal structures, although the complex [M(S2O7)3]2− ions remain essentially unaffected with the different A+ ions. Furthermore, the nature of the A+ ions influences the thermal behavior of the compounds, which has been monitored for selected examples by thermogravimetric differential thermal analysis (DTA/TG) and XRD measurements.

The competition between metastable and equilibrium S (Al2CuMg) phase during the decomposition of AlCuMg alloys

Abstract The decomposition sequence of the supersaturated solid solution leading to the formation of the equilibrium S (Al2CuMg) phase in AlCuMg alloys has long been the subject of ambiguity and debate. Recent high-resolution synchrotron powder diffraction experiments have shown that the decomposition sequence does involve a metastable variant of the S phase (denoted S1), which has lattice parameters that are distinctly different to those of the equilibrium S phase (denoted S2). In this paper, the difference between these two phases is resolved using high-resolution synchrotron and neutron powder diffraction and atom probe tomography, and the transformation from S1 to S2 is characterised in detail by in situ synchrotron powder diffraction. The results of these experiments confirm that there are no significant differences between the crystal structures of S1 and S2, however, the powder diffraction and atom probe measurements both indicate that the S1 phase forms with a slight deficiency in Cu. The in situ isothermal aging experiments show that S1 forms rapidly, reaching its maximum concentration in only a few minutes at high temperatures, while complete conversion to the S2 phase can take thousands of hours at low temperature. The kinetics of S phase precipitation have been quantitatively analysed for the first time and it is shown that S1 phase forms with an average activation energy of 75 kJ/mol, which is much lower than the activation energy for Cu and Mg diffusion in an Al matrix (136 kJ/mol and 131 kJ/mol, respectively). The mechanism of the replacement of S1 with the equilibrium S2 phase is discussed.

Synthetic hydrogels 2. Polymerization induced phase separation in acrylamide systems

Acrylamide hydrogels were synthesized in the presence of various non-solvents for linear polyacrylamide to examine phase separation during polymerization. The process was found to be dependent upon the segmental volume, the chemical structure, and the concentration of the non-solvent. The concept of conversion-phase diagram for linear polymer is introduced and used qualitatively to understand polymerization induced phase separation (PIPS), and to predict the onset of PIPS during hydrogel synthesis.

Isorefractive high internal phase emulsion organogels for light induced reactions

Isorefractive high internal phase emulsion (HIPE) organogels have been fabricated and investigated for light induced reactions. High transparency facilitates both the UV and visible light induced reactions within HIPE organogels. Transparent HIPE organogels are advantageous for light induced polymerizations, accelerating such polymerizations and enabling the preparation of large polyHIPE monoliths.

Slope stability analysis using Phase 2

Analysing the rock slope stability is a classical problem for geotechnicalengineers. Recently, Hoek-Brown failure criterion has drawn more and more attentionfor rock slope stability assessments. It would be due to the fact that the nonlinearity ismore pronounced at the low confining stresses that are operational in slope stabilityproblems. However, it is still not popular yet. Therefore, in this study, slope stabilityanalyses will be performed based on the generalised Hoek-Brown failure criterionusing a commercial software, Phase 2. The Hoek-Brown strength parameters will beused as direct inputs in numerical simulations. In addition, two rock slope cases willbe investigated. It is expected that better understandings of rock slope mechanisms canbe obtained.