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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.

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.

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.

Gordon’s Long‑Awaited Arrival at BarcelonaThe press conference scheduled for 1 pm was pushed to 9:23 pm after Anthony Gordon struggled to complete the final paperwork. He finally appeared in a dark suit, sunglasses in his breast pocket, answering questions in Spanish and declaring a "burning fire in my belly" to win for the club.Transfer Details: €70 million Deal and Contract TermsTransfer fee: €70 million (£60.7 million) plus €10 million in variablesContract length: 5‑year dealWeekly wage: about £300,000Announcement time: 9:17 pm (official) – 9:38 pm (final press exit)The agreement was signed before the summer window opened, making Gordon the latest high‑profile signing for the Catalan giants.Financial Implications for Barcelona and NewcastleThe €70 million outlay represents one of Barcelona’s biggest summer expenditures since the 2022‑23 season, aiming to boost both on‑field performance and commercial revenue. For Newcastle United, the deal provides a substantial profit on a player acquired for a fraction of the fee, plus potential add‑on bonuses.What the Signing Means for Barcelona’s Squad and La LigaGordon adds pace, work‑rate and a proven goal‑scoring record to a Barcelona side seeking to rejuvenate its attack after a mixed campaign. His willingness to speak Spanish and reference his childhood dream resonates with fans, enhancing the club’s brand narrative. Competitors in La Liga will now have to account for an extra dynamic winger capable of stretching defenses.Outlook: Gordon’s Role and Future ProspectsGiven his contract length and wage, Barcelona will likely integrate Gordon as a regular starter, pairing him with talents like Lamine Yamal and Frenkie de Jong. His early enthusiasm and adaptability suggest a smooth transition, though his on‑field impact will be measured by goals, assists and his contribution to Barcelona’s push for domestic and European titles.

The Supernatural Musical Romance The origins of this supernatural musical are in ancient British folklore but it plays out as a teen love story in small-town America. Young, spirited – and human – Barbara Allen (Lauren Jones) falls in love with John the Witch Boy (Glenn Adamson), from a community of Witches and Conjur People. The Plot and Its Roots She is willing to incur the wrath of parents and neighbours in her Appalachian town to be with this mysterious man who has drifted in from the Smoky Mountains and is rumoured to have diabolical powers. He is willing to abjure his immortality to spend the rest of his life with her. Both are rebels, determined to be together despite social censure. The Musical Elements The generation that grew up with Twilight would be forgiven for thinking the setup rather derivative but, in fact, Dark of the Moon got there first. Originally written by Howard Richardson and William Berney as a play, it was first performed in 1942 and then turned into a musical. The themes are all there, from the fierceness of a young love that crosses all social – and mortal – boundaries, to the undertones around the fear of sex and importance of fidelity. The Performances and Production Jones brings an edge of punk with a look not far removed from Kristen Stewart’s while Adamson seems to be channelling emo pop star energy (jeans, plaited hair and eyeliner). It’s all rather weird, but proves its own eternal life through the power and personality of the songs by Lindy Robbins, Dave Bassett and Steve Robson. There are vocally pure performances across the cast, however amped up and cheesy the production as a whole. The Verdict The production is rather too ridiculous to become the tear-jerker it could be but it’s enjoyable nevertheless. At Charing Cross theatre, London, until 8 August.

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.

The Lead: A Drama Reflecting Modern HateRussell T Davies's new Channel 4 drama 'Tip Toe' presents a chilling portrayal of how political rhetoric, toxic online bullying, and misinformation can escalate neighborhood conflicts into dangerous confrontations. Set on Manchester's Canal Street—the same location as Davies's groundbreaking 'Queer As Folk'—the series follows an escalating feud between gay bar manager Leo (Alan Cumming) and his reserved, judgmental neighbor Clive (David Morrissey). Unlike the hopeful future depicted in 'Queer As Folk,' 'Tip Toe' captures the current reality where increased visibility has paradoxically led to increased hostility toward LGBTQ+ individuals.The Drama's Core Message: Questioning Post-Visibility SocietyDavies explains that he has never written so furiously in his life, with the central question running through all five episodes being: if inclusion and representation are now a given, what if other people don't like what they see? The drama explores how LGBTQ+ people can find themselves in the firing line, with the election of Trump now giving permission for anyone who is angry to express their views without consequences. As Davies states, "This isn't exclusively a gay problem, but nonetheless we're an easy focus for it. Whatever this anger is, we're a target."The Digital Hate Landscape: Online Bullying and Real-World ConsequencesThe drama's title itself reflects the fear of being able to express oneself in public. "I used to walk into a room and go: 'Ta-da!'" says Melba (Paul Rhys), a close friend of Leo's, in episode one. "Now I tip toe. Just in case." Davies reveals the extent of online abuse he personally faces: "The amount of times online I'm called a groomer and a paedophile [for his support of trans rights] is shocking and maybe actionable, except I think if I took action, I'd make it even worse." This digital harassment fuels real-world tensions, as demonstrated in the escalating conflict between Leo and Clive.The Characters' Complexity: Beyond Simple VillainyUnlike typical portrayals of hate, 'Tip Toe' offers nuanced character development. "We're very, very fair to Clive in this," says Davies. "He's not just the monster next door." The series explores Clive's perspective in episode three, revealing his unhappiness in marriage, financial struggles, and isolation from colleagues. "Instead of having friends and reaching out, he finds validation online," explains David Morrissey, who plays Clive. "They go: it's those people. They're taking your job. It's reinforcing something that he had all the time. So he just becomes angrier and angrier and angrier." This complexity prevents the drama from reducing its characters to simple archetypes.The Cultural Context: From 'Queer As Folk' to 'Tip Toe'The location of 'Tip Toe' on Manchester's Canal Street won't be lost on viewers of Davies's 1999 classic 'Queer As Folk,' which regularly featured scenes shot in the same area and followed the lives of three gay men in a way that not only made being gay seem cool but also reflected a new era of tolerance. Viewers took from it that the future could only be bright. Now, as Davies observes, "We've got this slide back into something as bad as I can remember, if not worse, because now people know what they're doing. In the old days when we used to preach about visibility, if someone punched you in the face, or excluded you... you had the excuse of saying they were ignorant. They were in the dark and we must be visible. And now they've seen us, and now I think that anger and that violence is on the rise."The Future of Representation: Why Dramas Still MatterAlan Cumming defends the need for dramas that remind people of ongoing challenges. "No, because I think that's what dramas are for," he says. "Why do we do the Greeks? Why do we read Shakespeare? They have things to say, and we need to keep hearing the same stories and allegories, because they're important for us as a culture, to hear and to understand and to reinterpret." The series was inspired by Davies's personal experiences of feeling unsafe in his own home after a fan recognized his address from a BBC documentary. "I was fascinated by how startling that was, how porous your house feels," he says. "If it's reaching me, what the fuck is it like on levels where you have less defence and less ability to move and less money, frankly?" This personal concern elevates 'Tip Toe' beyond mere entertainment into a vital cultural commentary on the state of modern society.

The Family's Mission to Save the Glutinous Snail Ian Hughes and his son, Ben, are driving through the hills of north Wales with an array of homemade animal artefacts. They finally reach Llyn Tegid – Bala Lake, where, knee-deep in the water, Ian brandishes two glutinous snails. The snails have been driven to extinction in England by poor water quality. Pollutants from agriculture and industry have ruined their habitats in ponds, ditches, lakes, and streams. The lake in Gwynedd hosts the last remaining wild population of glutinous snails in Britain. The Conservation Efforts Hughes has dedicated more than a decade to conserving the tiny mollusc and other rare species. This year, the Department for Environment, Food and Rural Affairs (Defra) has listed the snail as one of the threatened species that will benefit from a £60m government funding boost. With the funding, the British and Irish Association of Zoos and Aquariums will receive support to build ark populations of the glutinous snail, while the Freshwater Habitats Trust hopes to use new resources to find locations suited to wild reintroductions. The Impact of Conservation Hughes's passion for invertebrates extends to convincing other people to care about them. He writes children's books, which Ben illustrates, about the species he has studied, and the pair sell T-shirts showcasing their wildlife drawings. Ben says, 'Well, why do we matter? We're part of a huge living system. If you take a cog out of a machine, it doesn't work any more.' The Future of the Glutinous Snail Now, Hughes hopes the Defra funding will help the conservation efforts he has long championed. The goal is to keep the snails moving and preserve their population. By continually moving snails from one container to another, Hughes and his family aim to prevent the water from becoming polluted and ensure the survival of the species.