O, Ne, Mg, and Fe abundances in hot X-ray emitting halos of galaxy clusters, groups, and giant early-type galaxies with XMM-Newton RGS spectroscopy

Chemical elements in the hot medium permeating early-type galaxies, groups, and clusters make them an excellent laboratory for studying metal enrichment and cycling processes in the largest scales of the Universe. Here, we report the XMM-Newton RGS analysis of 14 early-type galaxies, including the well-known brightest cluster galaxies of Perseus, for instance. The spatial distribution of the O/Fe, Ne/Fe, and Mg/Fe ratios is generally flat at the central 60 arcsecond regions of each object, irrespective of whether or not a central Fe abundance drop has been reported. Common profiles between noble gas and normal metal suggest that the dust depletion process does not work predominantly in these systems. Therefore, observed abundance drops are possibly attributed to other origins, like systematics in the atomic codes. Giant systems of high gas mass-to-luminosity ratio tend to hold a hot gas ($\sim$ 2 keV) yielding the solar N/Fe, O/Fe, Ne/Fe, Mg/Fe, and Ni/Fe ratios. Contrarily, light systems at a subkiloelectronvolt temperature regime, including isolated or group-centered galaxies, generally exhibit super-solar N/Fe, Ni/Fe, Ne/O, and Mg/O ratios. We find that the latest supernova nucleosynthesis models fail to reproduce such a super-solar abundance pattern. Possible systematic uncertainties contributing to these high abundance ratios of cool objects are also discussed in tandem with the crucial role of future X-ray missions.Comment: submitted to Ap

Abnormal fetal movements, micrognathia and pulmonary hypoplasia: a case report. Abnormal fetal movements

<p>Abstract</p> <p>Background</p> <p>Micrognathia is a facial malformation characterized by mandibular hypoplasia and a small, receding chin that fails to maintain the tongue in a forward position. We previously reported a system of prenatal screening that we developed to identify fetuses with compromised central nervous system function by observing fetal behavior. In this paper we report the case of a preterm infant with micrognathia and pulmonary hypoplasia who presented abnormal fetal movements.</p> <p>Case presentation</p> <p>A 27-year-old Japanese primigravida at 33 weeks of gestation was referred to our hospital. Ultrasonographic examination revealed clinical polyhydramnios. Micrognathia was evident on midsagittal and 3 D scan. The lung area was less than the mean -2.0 standard deviations for the gestational age. The infant had mandibular hypoplasia and glossoptosis. After emergency cesarean delivery for non-reasuring fetal status, required immediate tracheostomy and cardiopulmonary resuscitation with mechanical ventilatory support. However, the infant's cardiopulmonary condition did not improve and she died 21 hours after birth.</p> <p>Conclusions</p> <p>The findings of our ultrasound exam are suggestive of brain dysfunction. The observation of fetal behavior appears to be effective for the prediction of prognosis of cases with micrognathia.</p

Element Stratification in the Middle-Aged Type Ia Supernova Remnant G344.7-0.1

Despite their importance, a detailed understanding of Type Ia supernovae (SNe Ia) remains elusive. X-ray measurements of the element distributions in supernova remnants (SNRs) offer important clues for understanding the explosion and nucleosynthesis mechanisms for SNe Ia. However, it is challenging to observe the entire ejecta mass in X-rays for young SNRs, because the central ejecta may not have been heated by the reverse shock yet. Here we present over 200 kilosecond Chandra observations of the Type Ia SNR G344.7-0.1, whose age is old enough for the reverse shock to have reached the SNR center, providing an opportunity to investigate the distribution of the entire ejecta mass. We reveal a clear stratification of heavy elements with a centrally peaked distribution of the Fe ejecta surrounded by intermediate-mass elements (IMEs: Si, S, Ar Ca) with an arc-like structure. The centroid energy of the Fe K emission is marginally lower in the central Fe-rich region than in the outer IME-rich regions, suggesting that the Fe ejecta were shock-heated more recently. These results are consistent with the prediction for standard SN Ia models, where the heavier elements are synthesized in the interior of an exploding white dwarf. We find, however, that the peak location of the Fe K emission is slightly offset to the west with respect to the geometric center of the SNR. This apparent asymmetry is likely due to the inhomogeneous density distribution of the ambient medium, consistent with our radio observations of the ambient molecular and neutral gas.Comment: 16 pages, 10 figures, Accepted for publication in Astrophysical Journa

Successful Management of Pregnancy Complicated by Klippel-Trenaunay Syndrome Using MR Angiography-Based Evaluation

Klippel-Trenaunay syndrome (KTS) is a rare congenital disease, and extensive cutaneous hemangiomas and abnormal venous vessels are characteristic. In our case, to manage her pregnancy with KTS, whole-body MRA was performed before delivery. A 29-year-old woman was referred at 28 weeks because of prominent vulvovaginal varicosities due to KTS. At 35 weeks, hypertrophy and multiple venous varicosities of her leg as well as massive vulvovaginal varicosities became prominent with a normal coagulation profile. Systematic MRAs revealed hemangiomas and varicosities in the right leg, the lower abdomen, and the pubic region, while no obvious AVM was detected around the bronchial tube and spine. We decided to deliver her baby by cesarean section at 37 weeks under general anesthesia, and a healthy baby was delivered. No blood transfusion was required. Prophylaxis against thrombosis was performed after the operation. She was discharged with her baby. Her vulvovaginal varicosities shrunk considerably one month later

Prognosis and long-term neurodevelopmental outcome in conservatively treated twin-to-twin transfusion syndrome

<p>Abstract</p> <p>Background</p> <p>Amnioreduction remains a treatment option for pregnancies with twin-to-twin transfusion syndrome (TTTS) not meeting criteria for laser surgery or those in which it is not feasible. Amnioreduction is a relatively simple treatment which does not require sophisticated technical equipment. Previous reports of conservative management have indicated that major neurodevelopmental impairment occurs in 14.3-26% of survivors. The purpose of this study was to investigate long-term neurodevelopmental outcome in conservatively treated TTTS.</p> <p>Methods</p> <p>During the nine-year study period from January 1996 to December 2004, all pregnancies with TTTS who were admitted to our center were investigated. TTTS was diagnosed by using standard prenatal ultrasound criteria, and staged according to the criteria of Quintero <it>et al</it>. We reviewed gestational age at diagnosis, gestational age at delivery, the stage of TTTS at diagnosis, and diagnosis to delivery interval. Neonatal cranial ultrasound findings were reviewed and the neurodevelopmental outcomes were evaluated.</p> <p>Results</p> <p>Twenty-one pregnancies with TTTS were included. Thirteen pregnancies (62%) were treated with serial amnioreduction. The mean gestational age at delivery was 28 weeks (22 - 34 weeks). The perinatal mortality rate was 42.9%. Twenty survivors were followed up until at least 3 years of age. The mean age at follow-up was 6.3 years (3 - 12 years). Six children (30%) had neurodevelopmental impairment. Four children (20%) had major neurodevelopmental impairment and two children (10%) had minor neurodevelopmental impairment. Children with neurodevelopmental impairment were delivered before 29 weeks of gestation.</p> <p>Conclusions</p> <p>Our study showed a high rate of perinatal mortality and a high rate of major neurodevelopmental impairment in conservatively treated TTTS. The long-term outcomes for the survivors with TTTS were good when survivors were delivered after 29 weeks of gestation.</p

Efficacy of salvage therapies for advanced acral melanoma after anti-PD-1 monotherapy failure: a multicenter retrospective study of 108 Japanese patients

BackgroundAnti-programmed cell death protein 1 (PD-1) monotherapy is one of the standard systemic therapies for advanced melanoma; however, the efficacy of salvage systemic therapies after PD-1 monotherapy failure (PD-1 MF), particularly in acral melanoma (AM), the main clinical melanoma type in Japanese patients, is unclear. This study aimed to investigate the efficacy of salvage systemic therapies in Japanese patients with AM after PD-1 MF.Patients and methodsThe study included 108 patients with advanced AM (palm and sole, 72; nail apparatus, 36) who underwent salvage systemic therapy at 24 Japanese institutions. We mainly assessed the objective response rate (ORR), progression-free survival (PFS), and overall survival (OS).ResultsThirty-six (33%) patients received ipilimumab, 23 (21%) received nivolumab and ipilimumab (nivo/ipi), 10 (9%) received cytotoxic chemotherapy, 4 (4%) received BRAF and MEK inhibitors (BRAFi/MEKi), and the remaining 35 (32%) continued with PD-1 monotherapy after disease progression. The ORRs in the ipilimumab, nivo/ipi, cytotoxic chemotherapy, and BRAFi/MEKi groups were 8, 17, 0, and 100%, respectively. The nivo/ipi group showed the longest OS (median, 18.9 months); however, differences in ORR, PFS, and OS between the groups were insignificant. The OS in the nivo/ipi group was higher in the palm and sole groups than in the nail apparatus group (median: not reached vs. 8.7 months, p &lt; 0.001). Cox multivariate analysis demonstrated that nail apparatus melanoma independently predicted unfavorable PFS and OS (p = 0.006 and 0.001). The total OS (from PD-1 monotherapy initiation to death/last follow-up) was insignificant between the groups.ConclusionNivo/ipi was not more effective than cytotoxic chemotherapy and ipilimumab after PD-1 MF in patients with advanced AM. The prognosis after PD-1 MF would be poorer for nail apparatus melanoma than for palm and sole melanoma

Isolation and Characterization of Human Trophoblast Side-Population (SP) Cells in Primary Villous Cytotrophoblasts and HTR-8/SVneo Cell Line

Recently, numerous studies have identified that immature cell populations including stem cells and progenitor cells can be found among “side-population” (SP) cells. Although SP cells isolated from some adult tissues have been reported elsewhere, isolation and characterization of human trophoblast SP remained to be reported. In this study, HTR-8/SVneo cells and human primary villous cytotrophoblasts (vCTBs) were stained with Hoechst 33342 and SP and non-SP (NSP) fractions were isolated using a cell sorter. A small population of SP cells was identified in HTR-8/SVneo cells and in vCTBs. SP cells expressed several vCTB-specific markers and failed to express syncytiotrophoblast (STB) or extravillous cytotrophopblast (EVT)-specific differentiation markers. SP cells formed colonies and proliferated on mouse embryonic fibroblast (MEF) feeder cells or in MEF conditioned medium supplemented with heparin/FGF2, and they also showed long-term repopulating property. SP cells could differentiate into both STB and EVT cell lineages and expressed several differentiation markers. Microarray analysis revealed that IL7R and IL1R2 were exclusively expressed in SP cells and not in NSP cells. vCTB cells sorted as positive for both IL7R and IL1R2 failed to express trophoblast differentiation markers and spontaneously differentiated into both STB and EVT in basal medium. These features shown by the SP cells suggested that IL7R and IL1R2 are available as markers to detect the SP cells and that vCTB progenitor cells and trophoblast stem cells were involved in the SP cell population

How Will Sense of Values and Preference Change during Art Appreciation?

We have conducted several experiments where various types of information offering strategies were performed. We obtained interesting phenomena from the results. The participants seemed to be able to gradually understand the artwork by offering information of the artwork. Of course, for an abstract art, the information of the artworks functions better understanding of artworks. Even for a representational painting, the quality and quantity of understanding was gradually changing. Thus, the information of art sometimes influences the art appreciation. In this paper, we will discuss how the value and preference of art will change according to offered information? In addition, we will discuss determining which factor (information) will change the viewers’ value and preference of art in the art appreciation. For that, we conducted two experiments, where information of the artwork was offered randomly (each person may obtain different information for the artswork). Additionally, for all the artworks, the information was offered in the same manner (all persons will obtain the same information for the artworks). The information involved title, painting materials, techniques, production year, name of artist, price, background, and theme of the artworks