Role of SPECT and SPECT/CT in the Surgical Treatment of Primary Hyperparathyroidism

Primary hyperparathyroidism is the most common cause of hypercalcemia in the outpatient population. This condition is usually the result of a single hyperfunctioning parathyroid gland. Targeted parathyroidectomy guided by intraoperative parathyroid hormone monitoring (IPM) through a small cervical incision has replaced traditional bilateral neck exploration (BNE) as the initial approach in the surgical treatment of primary hyperparathyroidism at many medical centers worldwide. Preoperative sestamibi-technetium 99m scintigraphy serves as an important prerequisite for successful targeted parathyroidectomy. Single-photon emission computed tomography (SPECT) and CT fusion, however, is a recent imaging technique that provides a three-dimensional functional image with advanced contrast resolution to greatly improve preoperative localization of parathyroid tumors

A logical layer to interpret user interactions

Some computing user interfaces include a large number of user-selectable options which can make it difficult for a user to locate the right option. Another frequent user interface problem is inadvertent or unintended invocation of actions, e.g., by selection of an incorrect icon from two icons placed close to each other. In some user interfaces, simple actions sometimes require a disproportionately tedious sequence of interactions. This disclosure introduces a layer between the user and the application such that user commands or interactions are interpreted in light of past interactions, and corrected, filtered or automated as appropriate. Past interactions are utilized, and interpretation or corrective action is performed only upon permission from the user. For ease of interaction, such permission is obtained, e.g., at initial setup, and is modifiable

Employment Testing and Incentives to Learn

Employment tests predict job performance because they measure or are correlated with a large set of malleable developed abilities which are causally related to productivity. Our economy currently under-rewards the achievements that are measured by these tests. Consequently, economic incentives to study hard in high school are minimal and this absence of incentives has contributed to the low levels of achievement in math and science. The paper concludes with a discussion of ways in which employment tests can strengthen incentives to learn

Ultra-Trace Chemical Sensing with Long-Wave Infrared Cavity-Enhanced Spectroscopic Sensors

The infrared sensors task of Pacific Northwest National Laboratory's (PNNL's) Remote Spectroscopy Project (Task B of Project PL211) is focused on the science and technology of remote and in-situ spectroscopic chemical sensors for detecting proliferation and coun-tering terrorism. Missions to be addressed by remote chemical sensor development in-clude detecting proliferation of nuclear or chemical weapons, and providing warning of terrorist use of chemical weapons. Missions to be addressed by in-situ chemical sensor development include countering terrorism by screening luggage, personnel, and shipping containers for explosives, firearms, narcotics, chemical weapons, or chemical weapons residues, and mapping contaminated areas. The science and technology is also relevant to chemical weapons defense, air operations support, monitoring emissions from chemi-cal weapons destruction or industrial activities, law enforcement, medical diagnostics, and other applications. Sensors for most of these missions will require extreme chemical sensitivity and selectiv-ity because the signature chemicals of importance are expected to be present in low con-centrations or have low vapor pressures, and the ambient air is likely to contain pollutants or other chemicals with interfering spectra. Cavity-enhanced chemical sensors (CES) that draw air samples into optical cavities for laser-based interrogation of their chemical content promise real-time, in-situ chemical detection with extreme sensitivity to specified target molecules and superb immunity to spectral interference and other sources of noise. PNNL is developing CES based on quantum cascade (QC) lasers that operate in the mid-wave infrared (MWIR - 3 to 5 microns) and long-wave infrared (LWIR - 8 to 14 mi-crons), and CES based on telecommunications lasers operating in the short-wave infrared (SWIR - 1 to 2 microns). All three spectral regions are promising because smaller mo-lecular absorption cross sections in the SWIR are offset by the superior performance, ma-turity, and robustness of SWIR lasers, detectors, and other components, while the reverse is true for the MWIR and LWIR bands. PNNL's research activities include identification of signature chemicals and quantification of their spectroscopy, exploration of novel sensing techniques, and experimental sensor system construction and testing. In FY02, experimental QC laser systems developed with DARPA funding were used to explore continuous-wave (cw) CES in various forms culminating in the NICE-OHMS technique [1-3] discussed below. In FY02 PNNL also built an SWIR sensor to validate utility of the SWIR spectral region for chemical sensing, and explore the science and engineering of CES in field environments. The remainder of this report is devoted to PNNL's LWIR CES research. During FY02 PNNL explored the performance and limitations of several detection tech-niques in the LWIR including direct cavity-enhanced absorption, cavity-dithered phase-sensitive detection and resonant sideband cavity-enhanced detection. This latter tech-nique is also known as NICE-OHMS, which stands for Noise-Immune Cavity-Enhanced Optical Heterodyne Molecular Spectroscopy. This technique, pioneered in the near infra-red (NIR) by Dr J. Hall and coworkers at the University of Colorado, is one of the most sensitive spectroscopic techniques currently known. In this report, the first demonstra-tion of this technique in the LWIR is presented

Progress Report on Frequency - Modulated Differential Absorption Lidar

Modeling done at Pacific Northwest National Laboratory (PNNL) in FY2000 predicted improved sensitivity for remote chemical detection by differential absorption lidar (DIAL) if frequency-modulated (FM) lasers were used. This improved sensitivity results from faster averaging away of speckle noise and the recently developed quantum cascade (QC) lasers offer the first practical method for implementing this approach in the molecular fingerprint region of the infrared. To validate this model prediction, a simple laboratory bench FM-DIAL system was designed, assembled, tested, and laboratory-scale experiments were carried out during FY2001. Preliminary results of the FM DIAL experiments confirm the speckle averaging advantages predicted by the models. In addition, experiments were performed to explore the use of hybrid QC - CO2 lasers for achieving sufficient frequency-modulated laser power to enable field experiments at longer ranges (up to one kilometer or so). This approach will allow model validation at realistic ranges much sooner than would be possible if one had to first develop master oscillator - power amplifier systems utilizing only QC devices. Amplification of a QC laser with a CO2 laser was observed in the first hybrid laser experiments, but the low gain and narrow linewidth of the CO2 laser available for these experiments prevented production of a high-power FM laser beam

Long Wave Infrared Detection of Chemical Weapons Simulants

The purpose of Task 3.b under PL02-OP211I-PD07 (CBW simulant detection) was to demonstrate the applicability of the sensor work developed under this project for chemical and biological weapons detection. To this end, the specific goal was to demonstrate the feasibility of detection of chemical agents via that of simulants (Freons) with similar spectroscopic features. This has been achieved using Freon-125 as a simulant, a tunable external cavity quantum cascade laser (ECQCL), and a Herriott cell-based sensor developed at Pacific Northwest National Laboratory (PNNL) specifically for this task. The experimentally obtained spectrum of this simulant matches that found in the Northwest Infrared (NWIR) spectral library extremely well, demonstrating the ability of this technique to detect the exact shape of this feature, which in turn indicates the ability to recognize the simulant even in the presence of significant interference. It has also been demonstrated that the detected features of a typical interferent, namely water, are so different in shape and width to the simulant, that they are easily recognized and separated from such a measurement. Judging from the signal-to-noise ratio (SNR) of the experimental data obtained, the noise equivalent absorption sensitivity is estimated to be 0.5 x 10-7 to 1 x 10-6 cm-1. For the particular feature of the simulant examined in this work, this corresponds to a relative concentration of 50 to 25 parts-per-billion by volume (ppbv). The corresponding relative concentrations of other chemical targets would differ depending on the particular transition strengths, and would thus have to be scaled accordingly

Pathways to fatherhood: psychological well-being among Israeli gay fathers through surrogacy, gay fathers through previous heterosexual relationships, and heterosexual fathers

This study explored differences in psychological well-being as assessed by life satisfaction, parenthood satisfaction, depressive symptoms and the Big Five personality dimensions among 219 Israeli fathers; 76 gay men who had become fathers through a heterosexual relationship, 63 gay men who had become fathers through surrogacy, and 78 heterosexual men. After controlling for sociodemographic characteristics, gay fathers through surrogacy reported greater satisfaction with parenthood, greater satisfaction with their lives, and reported higher levels of extraversion when compared to heterosexual fathers. No significant differences emerged between the three groups on depressive symptoms, neuroticism, conscientiousness, agreeableness, and openness to experience. These findings emphasize the predominant similarities and some possible differences on psychological well-being between the different paths to fatherhood. This study is one of the first to compare several paths to fatherhood on psychological well-being, thus illuminating the contribution of fatherhood route to psychological well-being in an era where gay men are increasingly becoming fathers in diverse ways