Successful Surgical Treatment of a Patient with a Solitary Asymptomatic Cardiac Metastasis from Breast Cancer, Identified by Elevated Tumor Markers and Circulating Tumor Cells

Indroduction: Cardiac metastases are a not infrequent autopsy finding in patients dying of metastatic cancer, but are less commonly diagnosed during life (1). Although the autopsy incidence of cardiac metastases ranges may be as high as 25%, solitary cardiac metastases in the absence of metastatic involvement of other organs are rare (2).Case Presentation: We report here the case of a 66-year old woman with a history of bilateral breast cancer, where a solitary metastasis in the right atrium was successfully resected.Conclusion: In the absence of any symptoms or clinical findings on physical examination, the presence of metastatic disease was first suggested by the detection of elevated tumor markers and circulating tumor cells during routine follow up after treatment for early stage breast cancer.

Full-disk magnetograms obtained with a Na magneto-optical filter at the Mount Wilson Observatory

The first full-disk magnetograms to be obtained with the Na magneto-optical filter (MOF) which is located at the 60 foot solar tower of the Mount Wilson Observatory are presented. This MOF was employed as a longitudinal magnetograph on June 18, 19, and July 1, 1987. On those three days the MOF was combined with a large format (1024 x 1024 pixel) virtual phase change coupled device camera and a high-speed data acquisition system. The combined system was used to record both line-of-sight magnetograms and Dopplergrams which covered the entire visible solar hemisphere. The pixel size of these magnetograms and Dopplergrams was 2.3 arcseconds. On each of the three days a time series of nine pairs of magnetograms and Dopplergrams was obtained at the rate of one pair every two minutes. On the same three day longitudinal magnetograms have one arcsecond pixels were obtained with the vacuum telescope at Kitt Peak. The MOF and vacuum tower magnetograms were compared at both the JPL Multi-Mission Image Processing Laboratory and at USC and have found the two sets of images to be well correlated both in spatial distribution and strength of the measured magnetic field. The simultaneously-obtained MOF Dopplergrams to remove the crosstalk which was present between the Doppler and Zeeman shifts of the NaD lines from the magnetograms from all three days and will also describe recent improvements to the system which allowed the obtaining of full-disk magnetograms as rapidly as one every 25 seconds

Identification and support of autistic individuals within the UK Criminal Justice System: a practical approach based upon professional consensus with input from lived experience.

Background: Autism Spectrum Disorder (hereafter referred to as autism) is characterised by difficulties with (i) social communication, social interaction, and (ii) restricted and repetitive interests and behaviours. Estimates of autism prevalence within the criminal justice system (CJS) vary considerably, but there is evidence to suggest that the condition can be missed or misidentified within this population. Autism has implications for an individual’s journey through the CJS, from police questioning and engagement in court proceedings through to risk assessment, formulation, therapeutic approaches, engagement with support services, and long-term social and legal outcomes. Methods: This consensus based on professional opinion with input from lived experience aims to provide general principles for consideration by United Kingdom (UK) CJS personnel when working with autistic individuals, focusing on autistic offenders and those suspected of offences. Principles may be transferable to countries beyond the UK. Multidisciplinary professionals and two service users were approached for their input to address the effective identification and support strategies for autistic individuals within the CJS. Results: The authors provide a consensus statement including recommendations on the general principles of effective identification, and support strategies for autistic individuals across different levels of the CJS. Conclusion: Greater attention needs to be given to this population as they navigate the CJS

Executive Summary of the Topical Program: Nuclear Isomers in the Era of FRIB

We report on the Facility for Rare Isotope Beams (FRIB) Theory Alliance topical program "Nuclear Isomers in the Era of FRIB". We outline the many ways isomers influence and contribute to nuclear science and technology, especially in the four FRIB pillars: properties of rare isotopes, nuclear astrophysics, fundamental symmetries, and applications for the nation and society. We conclude with a resolution stating our recommendation that the nuclear physics community actively pursue isomer research. A white paper is forthcoming.Comment: 4 pages including reference

Multiple and changing cycles of active stars II. Results

We study the time variations of the cycles of 20 active stars based on decades-long photometric or spectroscopic observations. A method of time-frequency analysis, as discussed in a companion paper, is applied to the data. Fifteen stars definitely show multiple cycles; the records of the rest are too short to verify a timescale for a second cycle. The cycles typically show systematic changes. For three stars, we found two cycles in each of them that are not harmonics, and which vary in parallel, indicating that a common physical mechanism arising from a dynamo construct. The positive relation between the rotational and cycle periods is confirmed for the inhomogeneous set of active stars. Stellar activity cycles are generally multiple and variable.Comment: Accepted to Astronomy and Astrophysic

Exploring medical student learning in the large group teaching environment: examining current practice to inform curricular development

Background Lectures continue to be an efficient and standardised way to deliver information to large groups of students. It has been well documented that students prefer interactive lectures, based on active learning principles, to didactic teaching in the large group setting. Despite this, it is often the case than many students do not engage with active learning tasks and attempts at interaction. By exploring student experiences, expectations and how they use lectures in their learning we will provide recommendations for faculty to support student learning both in the lecture theatre and during personal study time. Methods This research employed a hermeneutic phenomenological approach. Three focus groups, consisting of 19 students in total, were used to explore the experiences of second year medical students in large group teaching sessions. Using generic thematic data analysis, these accounts have been developed into a meaningful account of experience. Results This study found there to be a well-established learning culture amongst students and with it, expectations as to the format of teaching sessions. Furthermore, there were set perceptions about the student role within the learning environment which had many implications, including the way that innovative teaching methods were received. Student learning was perceived to take place outside the lecture theatre, with a large emphasis placed on creating resources that can be taken away to use in personal study time. Conclusions Presented here is a constructive review of reasons for student participation, interaction and engagement in large group teaching sessions. Based on this are recommendations constructed with the view to aid educators in engaging students within this setting. Short term, educators can implement strategies that monopolise on the established learning culture of students to encourage engagement with active learning strategies. Long term, it would be beneficial for educators to consider ways to shift the current student learning culture to one that embraces an active learning curriculum