NO TO HATTATSU
Online ISSN : 1884-7668
Print ISSN : 0029-0831
ISSN-L : 0029-0831
Volume 36, Issue 3
Displaying 1-19 of 19 articles from this issue
  • [in Japanese]
    2004 Volume 36 Issue 3 Pages 186
    Published: May 01, 2004
    Released on J-STAGE: December 15, 2011
    JOURNAL FREE ACCESS
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  • Toyojiro Matsuishi, Yukuo Konishi
    2004 Volume 36 Issue 3 Pages 187-188
    Published: May 01, 2004
    Released on J-STAGE: December 15, 2011
    JOURNAL FREE ACCESS
    The Japanese Society of Child Neurology newly established Social Activity and Public Relations Committee for the purpose of flexible response to the social event publicity. The committee consists of more than 36 members and is divided into the following sub-committees: Sub-committee 1 is intended to support the management and care of patients with developmental disabilities from infancy to adolescence, Sub-committee 2 devoted to the acquisition of research grants and the communication of basic scientific research, and Sub-committee 3 to coordinate and support medical-educational relationship. These three sub-committees achieved many of their goals during their stated first year of existence.
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  • Tateo Sugimoto
    2004 Volume 36 Issue 3 Pages 189-193
    Published: May 01, 2004
    Released on J-STAGE: December 12, 2011
    JOURNAL FREE ACCESS
    This report is made for the Japanese Society of Child Neurology to determine the social problems regarding handicapped children and youngsters. In 2002, Social Activity and Public RelationsCommittee was organized in the Society, and immediately pointed out some social problems, such as medical care for severely handicapped children in special schools.
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  • Masatoshi Ito, Shouta Miyake
    2004 Volume 36 Issue 3 Pages 194-199
    Published: May 01, 2004
    Released on J-STAGE: December 12, 2011
    JOURNAL FREE ACCESS
    In June 2002, the following new driving regulations were enforced in Japan:
    1. A person with epilepsy may be granted a driving license after a seizure-free period of two years.
    2. A person with simple partial seizures that would not impair driving safety may be granted a driving license if noother seizures that may impair driving safety have occurred over a period of at least one year.
    3. A person with seizures occurring only in sleep may be granted a driving license if no seizures have occurred in waking over a period of at least two years.
    4. In case that the above requirements are going to be met within 6 months, driving should be prohibited for 6 months.
    5. A person with epilepsy is recommended to apply for a license to drive heavy and/or public vehicles only after a seizure-free period of 5 years without medication
    The committee for legal problems of the Japan Epilepsy Society proposed a guideline for non-medical teaching or caring professionals to give children with epilepsy antiepileptic medication or to insert suppositories, if needed, at schools or care institutions. The guideline indicated the following preconditions as important
    1. There must be a wish and consent of the patient or his/her family.
    2. Drugs or suppositories are usually taken or used at home and regarded as a safe procedure.
    3. Attending doctor should provide clear information about the use and risk of the medication or suppository.
    4. Privacy of the patient should be protected.
    Pediatric neurologists are expected to play an important role on these issues.
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  • Eiji Kitazumi
    2004 Volume 36 Issue 3 Pages 200-205
    Published: May 01, 2004
    Released on J-STAGE: December 12, 2011
    JOURNAL FREE ACCESS
    With an increasing number of children with severe neurological impairment living in their houses, there is growing demand for daily medical care such as tube feeding and sputum suctioning in schools and community life. On the basis of activities of many neuro-pediatricians in many districts. Social Activity and Public Relations Committee made a detailed statement about this problem, and appealed to the government and other related institutions, which promoted governmental activity on this problem. The system of neuro-pediatricians' participation to schools should be improved. Medical support in community life requires further discussion and proposal.
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  • Shouta Miyake
    2004 Volume 36 Issue 3 Pages 207-210
    Published: May 01, 2004
    Released on J-STAGE: December 12, 2011
    JOURNAL FREE ACCESS
    There is no doubt that the purpose of pediatric neurologic medicine is to improve the quality of life of children with neurologic diseases and disabilities by medical care based on scientific evidence. It is also necessary to help these children to live in their families and society from a professional viewpoint. The course of social activity of the Japanese Society of Child Neurology will be decided by Social Activity and Public Relations Committee, to which appropriate information should be provided by accumulation of social activities of individual members. This paper illustrates the individual activity through my own experience.
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  • Yukuo Konishi
    2004 Volume 36 Issue 3 Pages 211-212
    Published: May 01, 2004
    Released on J-STAGE: December 12, 2011
    JOURNAL FREE ACCESS
    The state of research funds and research facilities was analyzed by a questionnaire sent to members of the Council of the Japanese Society of Child Neurology. Research funds were most frequently about 5 million yen, and only 10% of the responder received 10 million yen or more. Still, many of them replied that they were satisfied with their research funds. Research funds of the Japanese Society of Child Neurology are considered to be in a critical condition.
    Most of the responders wanted information about research funds and a campaign to raise them organized by the Society.
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  • Toshiaki Hashimoto, Tatsuya Koeda
    2004 Volume 36 Issue 3 Pages 214-219
    Published: May 01, 2004
    Released on J-STAGE: December 12, 2011
    JOURNAL FREE ACCESS
    In cooperation between medicine and education, a reciprocal understanding is important. For this reason, we researched the needs of medical and educational professionals by questionnaires. Many child neurology specialists agreed that their medical profiled are unveiled in public about attending developmental disabilities. Some educational professionals felt it necessary to be given to offer medical informations of students such as treatments and/or diagnosis of their disease, to attend to seminars and lectures on developmental disabilities, and to obtain consultations of doctor more easily.
    From the above results, we propose an ideal cooperation between medicine and education
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  • [in Japanese]
    2004 Volume 36 Issue 3 Pages 220-223
    Published: May 01, 2004
    Released on J-STAGE: December 15, 2011
    JOURNAL FREE ACCESS
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  • Recommendation Based on the Current Selection and Usefulness of Diagnostic Examinations for Children with Mental Retardation and/or Pervasive Developmental Disorder
    Kyoko Tanaka, Toshihiro Horiguchi, Masumi Inagaki, Makiko Kaga
    2004 Volume 36 Issue 3 Pages 224-229
    Published: May 01, 2004
    Released on J-STAGE: December 15, 2011
    JOURNAL FREE ACCESS
    We assessed the present status of choice and usefulness of medical examinations of children with mental retardation (MR) and/or pervasive developmental disorder (PDD). Children with severe MR received more examinations than those with mild MR. Many abnormal findings were demonstrated by MRI in cases of severe MR. Cases of PDDwithout MR rarely showed abnormal results. Cases of PDD with MR underwent fewer examinations, but showed more abnormal results. We presented guidelines regarding medical examinations for children with MR in pediatric clinics which are specialized for developmental disorders, including psychological tests, hearing tests, EEG, genetic tests and neuroimaging. Physicians should select appropriate medical examinations based on evidence. The goal of testing is to provide useful information concerning medical treatment, therapeutic rearing, and education, and to support patients and their families in cooperation with relevant facilities.
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  • [in Japanese]
    2004 Volume 36 Issue 3 Pages 230
    Published: May 01, 2004
    Released on J-STAGE: December 12, 2011
    JOURNAL FREE ACCESS
    Download PDF (184K)
  • [in Japanese]
    2004 Volume 36 Issue 3 Pages 230a
    Published: May 01, 2004
    Released on J-STAGE: December 12, 2011
    JOURNAL FREE ACCESS
    Download PDF (184K)
  • [in Japanese]
    2004 Volume 36 Issue 3 Pages 231
    Published: May 01, 2004
    Released on J-STAGE: December 12, 2011
    JOURNAL FREE ACCESS
    Download PDF (171K)
  • [in Japanese]
    2004 Volume 36 Issue 3 Pages 231a
    Published: May 01, 2004
    Released on J-STAGE: December 12, 2011
    JOURNAL FREE ACCESS
    Download PDF (171K)
  • Normal Development of P300 Event-Related Potential to Different Sound Stimuli
    Takayuki Hatori, Masumi Inagaki, Seiko Shirane, Makiko Kaga
    2004 Volume 36 Issue 3 Pages 232-239
    Published: May 01, 2004
    Released on J-STAGE: December 12, 2011
    JOURNAL FREE ACCESS
    Developmental changes of P300 event related potential were evaluated in healthy children and adults aged from 7 to 29 years old, adopting 2 pairs of oddball stimuli: a non-verbal sound (tone burst: TB) pair and a verbal sound (VS) pair. P300 was evident for the target stimuli. In adult subjects, P300 was dominant at Pz for both stimuli. Peak latency of P300 was significantly longer for VS than for TB in both groups. P300 amplitude of the child group was higher than that of the adult group, however, there was no difference in P300 amplitude between stimuli conditions. Developmental changes of P300 from each stimuli condition were simulated by a quadratic equation. The age showing the shortest P300 peak latency was younger for TB (20.3 years) than for VS (23.6 years). The P300 peak latency reduced around 10 years old more rapidly for VS than for TB. In conclusion, there was no difference of the dominancy of P300 between the stimuli. The developmental changes of P300 were regulated by several components of the sound stimuli, such as their frequency.
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  • Masumi Inagaki, Toshihiro Horiguchi, Makiko Kaga
    2004 Volume 36 Issue 3 Pages 241-247
    Published: May 01, 2004
    Released on J-STAGE: December 12, 2011
    JOURNAL FREE ACCESS
    The social networks between Japanese child neurologists and welfare facilities/specialists for children with mental retardation (MR) were assessed. A total of 113 physicians answered our mail-in questionnaire. Most of the doctors had various connections with nursery homes for children with MR or severe motor and intellectual disabilities (SMID) and with public health centers, and often collaborated with teachers of schools and kindergartens. On the other hand, most physicians had little relation with residential and vocational facilities for adults with MR, and with specialists in residential or community care. There was a statistical correlation between the number of facilities or collaborated specialists and the number of persons seen by each physician ; however, the physicians' experience and affiliations had no relation. In view of ‘social participation’, physicians who usually see children with developmental disorders can play an important role in decision making of their life-style with their families.
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  • Kiyotaka Murakami
    2004 Volume 36 Issue 3 Pages 248-252
    Published: May 01, 2004
    Released on J-STAGE: December 12, 2011
    JOURNAL FREE ACCESS
    The DNA detection of human herpes virus (HHV) 6, 7 was performed in the patients who visited to the Nakano children's hospital because of their initial febrile seizures (FS). Those patients included 35 boys and 21 girls under 3 years of age (mean: 1 year 4 months).
    DNAs of HHV 6, 7 in the mononuclear cells extracted from peripheral blood were detected in 84% of the patients. This study proved that at least 34% of initial FS are caused by HHV 6 or 7 infections. Forty-seven percents of the patients who were clinically diagnosed as exanthema subitum showed complex type FS.
    In conclusion, HHV 6 and 7 infections are often related to the occurrence of initial FS, which may be in part caused by their direct invasion to the central nervous system.
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  • the Difference from Ohdo Blepharophimosis Syndrome
    Tsunenori Hirayama, Tomoko Kobayashi, Takehisa Fujita, Osamu Fujino
    2004 Volume 36 Issue 3 Pages 253-257
    Published: May 01, 2004
    Released on J-STAGE: December 12, 2011
    JOURNAL FREE ACCESS
    We report a case of 13-year-old girl with short stature, microcephalus, blepharophimosis, ptosis, bilateral microphthalmia (more prominent in the right), hypogonadism, other minor anomalies, and severe mental retardation. Her mother had two spontaneous abortions. She was born as the second baby of dizygotic twins. The first baby died of diaphragm hernia and heart failure. Her body height, body weight and head circumference were below-3 SD. She did not have epicanthus inversus, hypoplastic teeth, heart anomalies, seizures, muscle weakness, and hearing loss. She was able to handle her wheelchair, but could neither understand nor speak meaningful words. When she looked at something in front of herself, she turned her face up and lifted the left eyelid with her own fingers. She had no somatic change of puberty. Laboratory and radiological examinations demonstrated a normal karyotype, normal bone age, findings of Chilaiditi syndrome, and absence of brain malformation on cranial CT. The serum levels of LH and FSH were high for age and those of estradiol and progesterone were low, suggesting immaturity of ovarian function. These findings suggested the ovarian functions might not get maturations. Hypogonadism has previously been reported in female cases of the blepharophimosis, ptosis and epicanthus inversus syndrome (BPES) type I, but not in those with the Ohdo blepharophimosis syndrome (OBS). Our case's condition differs from BPES because of the presence of mental retardation and the absence of epicanthus inversus. We also discuss the distinction from OBS, a disease entity of unknown etiology presenting with a variety of complications.
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    2004 Volume 36 Issue 3 Pages 258-260
    Published: May 01, 2004
    Released on J-STAGE: December 12, 2011
    JOURNAL FREE ACCESS
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