Supernova Neutrinos, Neutrino Oscillations, and the Mass of the Progenitor Star

We investigate the initial progenitor mass dependence of the early-phase neutrino signal from supernovae taking neutrino oscillations into account. The early-phase analysis has advantages in that it is not affected by the time evolution of the density structure of the star due to shock propagation or whether the remnant is a neutron star or a black hole. The initial mass affects the evolution of the massive star and its presupernova structure, which is important for two reasons when considering the neutrino signal. First, the density profile of the mantle affects the dynamics of neutrino oscillation in supernova. Second, the final iron core structure determines the features of the neutrino burst, i.e., the luminosity and the average energy. We find that both effects are rather small. This is desirable when we try to extract information on neutrino parameters from future supernova-neutrino observations. Although the uncertainty due to the progenitor mass is not small for intermediate $\theta_{13}$ ($10^{-5} \lesssim \sin^{2}{2 \theta_{13}} \lesssim 10^{-3}$), we can, nevertheless, determine the character of the mass hierarchy and whether $\theta_{13}$ is very large or very small.Comment: 8 pages, 15 figure

Living donor liver transplantation with extensive caval thrombectomy for acute-on-chronic Budd-Chiari syndrome.

The key consideration when performing living donor liver transplantation (LDLT) in patients with Budd-Chiari syndrome (BCS) is careful management of a stenotic or occluded inferior vena cava (IVC), because it is not possible to replace the recipient stenotic or occluded IVC with donor IVC as in cadaver donor transplantation. We describe how we performed LDLT with extensive thrombectomy in a patient with acute-on-chronic BCS with a totally thrombosed retrohepatic IVC. The operation was successful and the patient remains well, with follow-up images showing a patent IVC and hepatic veins. To our knowledge, LDLT for a BCS patient with severe extensive caval thrombus has never been reported before. We consider that the successful outcome of this patient clearly demonstrates the feasibility of our technique of extensive thrombectomy, without a vessel graft, to manage a stenotic or occluded IVC in LDLT in patients with BCS

Vascular RAGE transports oxytocin into the brain to elicit its maternal bonding behaviour in mice

金沢大学医薬保健研究域医学系Oxytocin sets the stage for childbirth by initiating uterine contractions, lactation and maternal bonding behaviours. Mice lacking secreted oxcytocin (Oxt -/-, Cd38 -/-) or its receptor (Oxtr -/-) fail to nurture. Normal maternal behaviour is restored by peripheral oxcytocin replacement in Oxt -/- and Cd38 -/-, but not Oxtr -/- mice, implying that circulating oxcytocin crosses the blood-brain barrier. Exogenous oxcytocin also has behavioural effects in humans. However, circulating polypeptides are typically excluded from the brain. We show that oxcytocin is transported into the brain by receptor for advanced glycation end-products (RAGE) on brain capillary endothelial cells. The increases in oxcytocin in the brain which follow exogenous administration are lost in Ager -/- male mice lacking RAGE, and behaviours characteristic to abnormalities in oxcytocin signalling are recapitulated in Ager -/- mice, including deficits in maternal bonding and hyperactivity. Our findings show that RAGE-mediated transport is critical to the behavioural actions of oxcytocin associated with parenting and social bonding.3082047

Two-staged living donor liver transplantation for fulminant hepatic failure

We reported a first successful and life-saving two-staged living-related liver transplantation for a patient with imminent brain death due to fulminant hepatic failure that otherwise had to be performed after a pre-treated and scheduled blood-type incompatible liver transplantation. The patient was anhepatic for 6 hr 34 min, and continuous hemodiafiltration was given throughout the operation. The patient recovered quickly and was extubated within 24 hr after transplant. This two-staged procedure is useful for emergency living-related liver transplantation that needs to be performed when the operating room is busy with other emergency or scheduled surgical procedures, and may allow clearance of toxic metabolites during the anhepatic period