1. A bird's-eye view of this matter was obtained from classified frequency of injurycausing accidents during a whole year of 1962. The information was collected from three representative newspapers of Tokyo, thus our collection might be limited to major afflictions worth reporting to the public. 2. Some cases were closely examined by visiting the injured child's home. As the result, the cause was analysed into etiological factors of each different sense : (1) Direct cause - the physical agent directly applied to the victim's anatomy. (2) Direct motive - the victim's motive which directly led to the behavior or act of mishap. (3) Uncontrolable condition(s) - Relevant environmental or victim's condition(s), not controlable by relevant members. (4) Controlable condition(s) - Relevant environmental or victim's condition(s) controlable by relevant members. 3. "Etiogram" i. e. graphical representation of etiological factors as a structural complex was proposed. 4. The behavior or act of the victim which led to the mishap was designated as the faulty behavior or act, without referring to the legal or moral responsibility. It is regarded as a failure of adaptation, from the author's point of view. (From Health Department, Yamanashi University, and School of Health Care, Tokyo University)
1. Two cases - 17 year-old high-school girls - were found suffering from repeated syncopie seizure. Both of these cases were medically diagnosed as free from detectable medical findings. 2. Author's study of their personality profile and social environment, such as domestic and class-mate relationship revealed some clues of interpretation. Case 1 is an adopted daughter. She temporality felt rather alienated in the family. Case 2 was over-protected. 3. The author counseled the first case, presented advice to the teacher and supervised the development. For the second case, the author counseled, by personal interview, the patient and mather as well as groups of her class-mates. The result was gratifying for both cases. The seizure ceased occurring and they could resume their school life, in a perfecthy normal way. 4. The success obviously owes to the cooperation odtained from the teachers, parents, and physicians. In order to cope with mental troubles of teen-age pupils with complex social backgrounds and mental enviroment, the organization of supportive efforts with full understanding and good-will from various sides is most important.
The author have constructed a nomogram which makes the calculation of normal deviate t=(B-Ba)/Sa, while a is the age of the test subject, B is the systolic blood pressure (mg/Hg), Ba is the average blood pressure of subjects in the same age group, and Sa is the standard deviation. The values of Ba and Sa were taken from the results of National Nutritional Survey conducted by Welfare Ministry in May 1963 . The equation may be rewritten as B+(-Sa)t=Ba . From this equation, the value of t was marked on the vertical line, using x=20, and y= +40t (in mm), while B was marked on the vertical line using x= -20, y=B. Age a was further marked on the curves (flexed line) in males and females separately, using x cosA= -20(40+Sa)/40-Sa while =A is the angle between X-axis and horizontal line, and y= 40Ba/40-Sa. A nomogram consisting of three scales, the scale of age showing a curve (flexed line) and the scales of B and t being two parallel straight lines is thus obtained. A nomogram which makes a rapid calculation of t logB-logBa/S'a possible after transforming systolic pressure into logarithm was also conducted, S'a represents the average of log(Ba+Sa) - logBa and logBa-log(Ba-Sa).