Establishing a large prospective clinical cohort in people with head and neck cancer as a biomedical resource:head and neck 5000

BACKGROUND: Head and neck cancer is an important cause of ill health. Survival appears to be improving but the reasons for this are unclear. They could include evolving aetiology, modifications in care, improvements in treatment or changes in lifestyle behaviour. Observational studies are required to explore survival trends and identify outcome predictors.METHODS: We are identifying people with a new diagnosis of head and neck cancer. We obtain consent that includes agreement to collect longitudinal data, store samples and record linkage. Prior to treatment we give participants three questionnaires on health and lifestyle, quality of life and sexual history. We collect blood and saliva samples, complete a clinical data capture form and request a formalin fixed tissue sample. At four and twelve months we complete further data capture forms and send participants further quality of life questionnaires.DISCUSSION: This large clinical cohort of people with head and neck cancer brings together clinical data, patient-reported outcomes and biological samples in a single co-ordinated resource for translational and prognostic research.</p

Investigating Protostellar Accretion-Driven Outflows Across the Mass Spectrum: JWST NIRSpec IFU 3-5~μ\mum Spectral Mapping of Five Young Protostars

Investigating Protostellar Accretion (IPA) is a Cycle 1 JWST program using the NIRSpec+MIRI IFUs to obtain 2.9--28 $\mu$m spectral cubes of five young protostars with luminosities of 0.2 to 10,000 L$_{\odot}$ in their primary accretion phase. This paper introduces the NIRSpec 2.9--5.3 $\mu$m data of the inner 840-9000 au with spatial resolutions from 28-300 au. The spectra show rising continuum emission, deep ice absorption, emission from H$_{2}$, H~I, and [Fe~II], and the CO fundamental series in emission and absorption. Maps of the continuum emission show scattered light cavities for all five protostars. In the cavities, collimated jets are detected in [Fe~II] for the four $< 320$~L$_{\odot}$ protostars, two of which are additionally traced in Br-$\alpha$. Knots of [Fe~II] emission are detected toward the most luminous protostar, and knots of [FeII] emission with dynamical times of $< 30$~yrs are found in the jets of the others. While only one jet is traced in H$_2$, knots of H$_2$ and CO are detected in the jets of four protostars. H$_2$ is seen extending through the cavities showing they are filled by warm molecular gas. Bright H$_2$ emission is seen along the walls of a single cavity, while in three cavities, narrow shells of H$_2$ emission are found, one of which has an [Fe~II] knot at its apex. These data show cavities containing collimated jets traced in atomic/ionic gas surrounded by warm molecular gas in a wide-angle wind and/or gas accelerated by bow shocks in the jets.Comment: 30 pages, 11 figure

Discovery of a collimated jet from the low luminosity protostar IRAS 16253−-2429 in a quiescent accretion phase with the JWST

Investigating Protostellar Accretion (IPA) is a JWST Cycle~1 GO program that uses NIRSpec IFU and MIRI MRS to obtain 2.9--28~$\mu$m spectral cubes of young, deeply embedded protostars with luminosities of 0.2 to 10,000~L$_{\odot}$ and central masses of 0.15 to 12~M$_{\odot}$. In this Letter, we report the discovery of a highly collimated atomic jet from the Class~0 protostar IRAS~16253$-$2429, the lowest luminosity source ($L_\mathrm{bol}$ = 0.2 $L_\odot$) in the IPA program. The collimated jet is detected in multiple [Fe~II] lines, [Ne~II], [Ni~II], and H~I lines, but not in molecular emission. The atomic jet has a velocity of about 169~$\pm$~15~km\,s$^{-1}$, after correcting for inclination. The width of the jet increases with distance from the central protostar from 23 to~60 au, corresponding to an opening angle of 2.6~$\pm$~0.5\arcdeg. By comparing the measured flux ratios of various fine structure lines to those predicted by simple shock models, we derive a shock {speed} of 54~km\,s$^{-1}$ and a preshock density of 2.0$\times10^{3}$~cm$^{-3}$ at the base of the jet. {From these quantities and using a suite of jet models and extinction laws we compute a mass loss rate between $0.4 -1.1\times10^{-10}~M_{\odot}$~yr~$^{-1}$.} The low mass loss rate is consistent with simultaneous measurements of low mass accretion rate ($2.4~\pm~0.8~\times~10^{-9}~M_{\odot}$~yr$^{-1}$) for IRAS~16253$-$2429 from JWST observations (Watson et al. in prep), indicating that the protostar is in a quiescent accretion phase. Our results demonstrate that very low-mass protostars can drive highly collimated, atomic jets, even during the quiescent phase.Comment: Accepted to ApJL. Comments and feedback welcom

JWST observations of 13^{13}CO2_{2} ice: Tracing the chemical environment and thermal history of ices in protostellar envelopes

The structure and composition of simple ices can be modified during stellar evolution by protostellar heating. Key to understanding the involved processes are thermal and chemical tracers that can diagnose the history and environment of the ice. The 15.2 $\mu$m bending mode of $^{12}$CO$_2$ has proven to be a valuable tracer of ice heating events but suffers from grain shape and size effects. A viable alternative tracer is the weaker $^{13}$CO$_2$ isotopologue band at 4.39 $\mu$m which has now become accessible at high S/N with the $\textit{James Webb}$ Space Telescope (JWST). We present JWST NIRSpec observations of $^{13}$CO$_2$ ice in five deeply embedded Class 0 sources spanning a wide range in luminosities (0.2 - 10$^4$ L$_{\odot}$ ) taken as part of the Investigating Protostellar Accretion Across the Mass Spectrum (IPA) program. The band profiles vary significantly, with the most luminous sources showing a distinct narrow peak at 4.38 $\mu$m. We first apply a phenomenological approach and show that a minimum of 3-4 Gaussian profiles are needed to fit the $^{13}$CO$_2$ absorption feature. We then combine these findings with laboratory data and show that a 15.2 $\mu$m $^{12}$CO$_2$ band inspired five-component decomposition can be applied for the isotopologue band where each component is representative of CO$_2$ ice in a specific molecular environment. The final solution consists of cold mixtures of CO$_2$ with CH$_3$OH, H$_2$O and CO as well as segregated heated pure CO$_2$ ice. Our results are in agreement with previous studies of the $^{12}$CO$_2$ ice band, further confirming that $^{13}$CO$_{2}$ is a useful alternative tracer of protostellar heating events. We also propose an alternative solution consisting only of heated CO$_2$:CH$_3$OH and CO$_2$:H$_2$O ices and warm pure CO$_2$ ice for decomposing the ice profiles of the two most luminous sources in our sample

Barbarians at the British Museum: Anglo-Saxon Art, Race and Religion

A critical historiographical overview of art historical approaches to early medieval material culture, with a focus on the British Museum collections and their connections to religion