Familial hypocalciuric hypercalcaemia as a differential diagnosis of hyperparathyroidism:studies in a large kindred and a review of surgical experience in the condition

We have studied 46 members of a large kindred with familial hypocalciuric hypercalcaemia (FHH) after a neck exploration failed to cure hypercalcaemia in an asymptomatic patient. Serum calcium, serum phosphate, plasma parathormone and vitamin D metabolites do not distinguish affected members from patients with hyperparathyroidism. Because of the continuing debate as to whether or not FHH is a variant of, or distinct from, hyperparathyroidism, we have carried out a review of surgical experience with subtotal parathyroidectomy in hyperparathyroidism secondary to parathyroid hyperplasia and in FHH. Whereas the procedure is successful in 90 per cent of the former cases only one case of FHH has been cured by it. This provides evidence for the two conditions being aetiologically distinct. Before patients with asymptomatic hypercalcaemia are referred for parathyroid surgery the calcium:creatinine clearance ratio should be measured using a 2 h urine sample collected after an overnight fast and a fasting blood sample. If this ratio is less than 0.01 then screening of first degree relations should be undertaken before any parathyroid surgery is performed. Unnecessary surgery can therefore be avoided.

Expedition report of the Anatolian Study Group

Malone, C.A.T. and S.K.F. Stoddart, in 1979. Cambridge University.

Preliminary Report of the 1 field season at Gubbio.:Malone, C.A.T. and S.K.F. Stoddart,

Xerox circulation to sponsors. Cambridge University.

Preliminary report of the 1984 field season at Gubbio.,

Malone, C.A.T., et al., in Xerox circulation to sponsors. 1984. Cambridge University.

Post excavation report of the Gozo project.

Stoddart, S.K.F., C.A.T. Malone, and D. Trump, 1992, Unpublished report, Cambridge University.

Provisional Report of the 1994 season of the Gozo Project.

Stoddart, S. and C. Malone, PPrivate Circulation to sponsors. 1994.

Provisional Report of the 1996 season of the Gozo Project.

Stoddart, S. and C. Malone, Private Circulation to sponsors. 1996.

Data Structure Report of the Lismore Landscape project.: Submitted to Historic Scotland. 2004, Historic Scotland: Edinburgh.

Stoddart, S. and C. Malone,

Data Structure Report of the Lismore Landscape project.:Submitted to Historic Scotland.

Stoddart, S., C. Malone, and D. Redhouse, 2005.

The development of the experience and anticipation of regret

Although recent studies have established that children experience regret from around 6 years, we do not yet know when the ability to anticipate this emotion emerges, despite the importance of the anticipation of regret in decision-making. We examined whether children will anticipate they will feel regret if they were to find out in a box-choosing game that, had they made a different choice, they would have obtained a better prize. Experiment 1 replicated Guttentag and Ferrell’s study in which children were asked what they hoped was in a non-chosen box. Even 8- to 9-year olds find this question difficult. However, when asked what might make them feel sadder, 7- to 8-year olds (but not younger children) predicted that finding the larger prize in the unchosen box would make them feel this way. In Experiments 2 and 3, children predicted how they would feel if the unchosen box contained either a larger or smaller prize, in order to examine anticipation of both regret and of relief. Although 6- to 7-year olds do experience regret when they find out they could have won a better prize, they do not correctly anticipate feeling this way. By around 8 years, the majority of children are able to anticipate both regret and relief.