Autofluorescence in parathyroidectomy: signal intensity correlates with serum calcium and parathyroid hormone but routine clinical use is not justified

BACKGROUND: The inability to identify the pathological gland at surgery results in failure to cure hyperparathyroidism in 2-5%. The poorly understood characteristic of parathyroid tissue to manifest autofluorescence (AF) under near-infrared (NIR) light has been promoted as an intraoperative adjunct in parathyroid surgery. This study sought to explore potential clinical correlates for AF and assess the clinical utility of AF in parathyroid surgery. METHODS: Consecutive patients undergoing parathyroid surgery for primary and renal disease were included. NIR imaging was used intraoperatively and the degree of AF of parathyroid glands graded by the operating surgeon. Variables assessed for correlation with AF were: pre-operative serum calcium and PTH, SestaMIBI positivity, gland weight and histological composition. RESULTS: Ninety-six patients underwent parathyroidectomy over an 8-month period: 49 bilateral explorations, 41 unilateral and 6 focussed lateral approaches: 284 potentially 'visualisable' glands in total. Two hundred and fifty-seven glands (90.5%) were visualised with NIR. Correlation was found between the degree of fluorescence and pre-operative serum calcium and PTH, but not between gland weight and SestaMIBI positivity. In those with renal hyperparathyroidism, a predominance of oxyphil cells correlated with increased AF. CONCLUSION: Autofluorescence intensity correlates with serum calcium, PTH and gland composition. Further refinements would be required for this information to be of value in a clinical setting. Improvements allowing NIR to visualise the additional 9.5% of parathyroids and overcome the variation in signal intensity due to depth of access are required for the routine adoption of this technology. At present, its routine use in a clinical setting cannot be justified

Struggling and juggling: a comparison of assessment loads in research and teaching-intensive universities

In spite of the rising tide of metrics in UK higher education, there has been scant attention paid to assessment loads, when evidence demonstrates that heavy demands lead to surface learning. Our study seeks to redress the situation by defining assessment loads and comparing them across research-and teaching intensive universities. We clarify the concept of ‘assessment load’ in response to findings about high volumes of summative assessment on modular degrees. We define assessment load across whole undergraduate degrees, according to four measures: the volume of summative assessment; volume of formative assessment; proportion of examinations to coursework; number of different varieties of assessment. All four factors contribute to the weight of an assessment load, and influence students’ approaches to learning. Our research compares programme assessment data from 73 programmes in 14 UK universities, across two institutional categories. Research-intensives have higher summative assessment loads and a greater proportion of examinations; teaching-intensives have higher varieties of assessment. Formative assessment does not differ significantly across both university groups. These findings pose particular challenges for students in different parts of the sector. Our study questions the wisdom that ‘more’ is always better, proposing that lighter assessment loads may make room for ‘slow’ and deep learning

The Planetary Nebulae Spectrograph: the green light for Galaxy Kinematics

Planetary nebulae are now well established as probes of galaxy dynamics and as standard candles in distance determinations. Motivated by the need to improve the efficiency of planetary nebulae searches and the speed with which their radial velocities are determined, a dedicated instrument - the Planetary Nebulae Spectrograph or PN.S - has been designed and commissioned at the 4.2m William Herschel Telescope. The high optical efficiency of the spectrograph results in the detection of typically ~ 150 PN in galaxies at the distance of the Virgo cluster in one night of observations. In the same observation the radial velocities are obtained with an accuracy of ~ 20 km/sComment: Accepted by PASP, to appear November 2002; the figures have been degraded for archival purpose

SkyMapper Filter Set: Design and Fabrication of Large Scale Optical Filters

The SkyMapper Southern Sky Survey will be conducted from Siding Spring Observatory with u, v, g, r, i and z filters that comprise glued glass combination filters of dimension 309x309x15 mm. In this paper we discuss the rationale for our bandpasses and physical characteristics of the filter set. The u, v, g and z filters are entirely glass filters which provide highly uniform band passes across the complete filter aperture. The i filter uses glass with a short-wave pass coating, and the r filter is a complete dielectric filter. We describe the process by which the filters were constructed, including the processes used to obtain uniform dielectric coatings and optimized narrow band anti-reflection coatings, as well as the technique of gluing the large glass pieces together after coating using UV transparent epoxy cement. The measured passbands including extinction and CCD QE are presented.Comment: 9 pages, 2 tables, 7 figure

Structure of 13^{13}Be probed via secondary beam reactions

The low-lying level structure of the unbound neutron-rich nucleus $^{13}$Be has been investigated via breakup on a carbon target of secondary beams of $^{14,15}$B at 35 MeV/nucleon. The coincident detection of the beam velocity $^{12}$Be fragments and neutrons permitted the invariant mass of the $^{12}$Be+$n$ and $^{12}$Be+$n$+$n$ systems to be reconstructed. In the case of the breakup of $^{15}$B, a very narrow structure at threshold was observed in the $^{12}$Be+$n$ channel. Contrary to earlier stable beam fragmentation studies which identified this as a strongly interacting $s$-wave virtual state in $^{13}$Be, analysis here of the $^{12}$Be+$n$+$n$ events demonstrated that this was an artifact resulting from the sequential-decay of the $^{14}$Be(2$^+$) state. Single-proton removal from $^{14}$B was found to populate a broad low-lying structure some 0.70 MeV above the neutron-decay threshold in addition to a less prominent feature at around 2.4 MeV. Based on the selectivity of the reaction and a comparison with (0-3)$\hbar\omega$ shell-model calculations, the low-lying structure is concluded to most probably arise from closely spaced J$^\pi$=1/2$^+$ and 5/2$^+$ resonances (E$_r$=0.40$\pm$0.03 and 0.85$^{+0.15}_{-0.11}$ MeV), whilst the broad higher-lying feature is a second 5/2$^+$ level (E$_r$=2.35$\pm$0.14 MeV). Taken in conjunction with earlier studies, it would appear that the lowest 1/2$^+$ and 1/2$^-$ levels lie relatively close together below 1 MeV.Comment: 14 pages, 13 figures, 2 tables. Accepted for publication in Physical Review

Trace Metal and Chlorinated Hydrocarbon Concentrations in Shellfish from Irish Waters, 1997-1999

In accordance with the monitoring requirements of Council Directive 79/923/EEC, on the quality required of shellfish waters, and Council Directive 91/492/EEC, laying down the health conditions for the production and placing on the market of live bivalve molluscs, the Marine Institute collected water and shellfish samples from major shellfish growing areas and analysed for physicochemical parameters, trace metal levels and chlorinated hydrocarbon concentrations. Since, with the exception of mercury, there are no currently applicable European standards for the concentration of these contaminants in shellfish, the levels were compared with the available standards and guidance values for human consumption, as compiled by the Oslo and Paris Commission (OSPAR) countries. As in previous years, the water quality from shellfish growing areas was good and conformed to the guidelines and requirements of the Directive. Petroleum hydrocarbons were not observed in any of the shellfish waters or as deposits on the shellfish. Chlorinated hydrocarbon levels were very low, evidence of the clean, unpolluted nature of Irish shellfish and shellfish producing waters. Trace metal levels were consistently low with the exception of cadmium in oyster tissue, which was slightly elevated in the 1999 samples from Clew Bay, Inner Tralee Bay, Aughinish Limerick and Kilkieran. However these levels did not exceed the Dutch human consumption standard value or the EU maximum limit of 1.0 mg/kg wet weight due to apply from 2002. This survey confirms previous studies which show Irish shellfish products are effectively free from trace metal and chlorinated hydrocarbon contamination.Funder: Marine Institut

Neutron-hole strength in the N = 81 isotones

The distribution of neutron-hole strength has been studied in the N 81 isotones 137Ba, 139Ce, 141Nd and 143Sm through the single-neutron removing reactions (p,d) and ( 3He,α), at energies of 23 and 34 MeV, respectively. Systematic cross section measurements were made at angles sensitive to the transferred angular momentum, and spectroscopic factors extracted through a distorted-wave Born approximation analysis. Application of the MacFarlane-French sum rules indicate an anomalously low summed g7/2 spectroscopic factor, most likely due to extensive fragmentation of the single-particle strength. Single-particle energies, based upon the centroids of observed strength, are presented. © Published under licence by IOP Publishing Ltd