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Volume 39, Issue 3
Displaying 1-18 of 18 articles from this issue
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[in Japanese]2007 Volume 39 Issue 3 Pages 166
Published: May 01, 2007
Released on J-STAGE: December 15, 2011
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[in Japanese]2007 Volume 39 Issue 3 Pages 167-168
Published: May 01, 2007
Released on J-STAGE: December 12, 2011
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[in Japanese], Solomon L Moshé2007 Volume 39 Issue 3 Pages 169-170
Published: May 01, 2007
Released on J-STAGE: December 12, 2011
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[in Japanese]2007 Volume 39 Issue 3 Pages 171-173
Published: May 01, 2007
Released on J-STAGE: December 12, 2011
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[in Japanese], [in Japanese], [in Japanese]2007 Volume 39 Issue 3 Pages 174-179
Published: May 01, 2007
Released on J-STAGE: December 12, 2011
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[in Japanese]2007 Volume 39 Issue 3 Pages 181-184
Published: May 01, 2007
Released on J-STAGE: December 12, 2011
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[in Japanese]2007 Volume 39 Issue 3 Pages 185-192
Published: May 01, 2007
Released on J-STAGE: December 12, 2011
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Toshihiro Horiguchi2007 Volume 39 Issue 3 Pages 193-197
Published: May 01, 2007
Released on J-STAGE: December 12, 2011
JOURNAL FREE ACCESSTo improve the support provided at facilities for persons with intellectual disabilities and children with motional disabilities, the author designed a questionnaire to be used for self-appraisal by the personnel of the relevant facilities. Twenty-one facilities participated; these facilities indicated that they needed to improve grievance procedures, the protection of privacy, staff training and collaborations with physicians, though they judged themselves to be able to respond appropriately to requests from individual users. Facilities for children answered that they supplied satisfactory supports, though other facilities such as workshops and community homes did not put regulations on staffs' abuse in statutory form. Grievance procedures and discussion with users are necessary to supply support based on needs of individual users.View full abstractDownload PDF (1518K) -
Kazuhiro Kameda, Rie Izumi, Toru Konishi, Miwa Yamatani, Kenichi Yamad ...2007 Volume 39 Issue 3 Pages 198-201
Published: May 01, 2007
Released on J-STAGE: December 12, 2011
JOURNAL FREE ACCESSTwenty-four handicapped victims of the Niigata-Chuetsu earthquake have used our “short-stay-service”. We have summarized the characteristics of this utilization.
Two prominent patterns were noted: 1) The mean duration of the stays was clearly longer when compared to ordinary service, and correlated with the proximity of the victims to the focus of the earthquake, and 2) victims living near the epicenter took longer to start utilizing the short-stay service. The Niigata-Chuetsu earthquake has destroyed roads and highways at over 200 locations, preventing transportation, isolating the seismic center, and resulting in delayed rescue of the handicapped victims and their admittance to the institution. More of the 24 victims were from the severest region (on 7 of the Japanese seismic intensity scale) than from the violent region (scale 6).
Unfortunately, the social and administrative network for supporting and protecting severely motor and intellectually disabled persons is still at an embryonic stages. Based of this experience, we propose the building and organization of a functional network for the disabled.View full abstractDownload PDF (752K) -
Nobuaki Iwasaki, Hideyo Kinugasa, Akimitsu Watanabe, Tomoko Katagiri, ...2007 Volume 39 Issue 3 Pages 202-205
Published: May 01, 2007
Released on J-STAGE: December 12, 2011
JOURNAL FREE ACCESSA three-year old girl, who had severe cerebral palsy, severe mental retardation, and symptomatic epilepsy, was suffering from intractable hiccup that lasted for more than an hour since she was 2 years and 10 months old when she undertook tracheotomy and laryngotracheal separation. Sometimes this intractable hiccup was followed by respiratory arrest. Although the hiccup was resistant to conventional medications, the nose drops of small amount of vinegar showed a favorable effect on the hiccup. Intranasal vinegar might stimulate dorsal wall of nasopharynx where the pharyngeal branch of the glossopharyngeal nerve, which is thought as an afferent of the reflex arch of hiccup, is distributed. The administration of intranasal vinegar is a safe and handy method to stimulate dorsal wall of nasopharynx. We believe that intranasal vinegar administration could be a useful nonpharmacologic therapy to cease intractable hiccup.View full abstractDownload PDF (1361K) -
Yukiko Nanba, Akira Oka, Kousaku Ohno2007 Volume 39 Issue 3 Pages 206-209
Published: May 01, 2007
Released on J-STAGE: December 12, 2011
JOURNAL FREE ACCESSX-linked lissencephaly with absent corpus callosum and abnormal genitalia (XLAG) is caused by a mutation in the ARX gene. We herein report the clinical course of siblings with XLAG with a splicing mutation in ARX. Seizures were observed in utero. Cerebral atrophy was progressive postnatally, and fetal echoencephalography indicated that the atrophy might have started in the prenatal period. They had a typical phenotype, except that the genital abnormality of the younger brother was not remarkable. A portal-systemic shunt that has not been reported in cases with XLAG was seen in the older brother. The siblings had the different complications and severity of disease in spite of possessing the same mutation.View full abstractDownload PDF (1711K) -
Correlation between Diffusion MR and Pathological FindingsYukiyo Ueda, Hidetsuna Utsunomiya, Akira Fujii, Takeshi Kanaumi, Sawa ...2007 Volume 39 Issue 3 Pages 210-213
Published: May 01, 2007
Released on J-STAGE: December 12, 2011
JOURNAL FREE ACCESSWernicke encephalopathy (WE) is a neurologic disorder caused by a nutritional deficiency of thiamine. Since the lesion in WE consists of brain edema, diffusion weighted imaging (DWI) is quite useful for detecting the pathologic changes in WE, and can differentiate between reversible extracellular (vasogenic) and irreversible cellular (cytotoxic) edema.
We report here a 16-year-old man with WE who had been treated with continuous ambulatory peritoneal dialysis for chronic renal failure. He underwent repeated DWI and postmortem examination. DWI, which was performed 8 days after the onset of neurological symptoms, showed high intensity areas in the bilateral thalami, mammillary bodies, tegmentum mesencephali and pons. Apparent diffusion coefficient (ADC) map also showed slightly high intensity in the periaqueductal gray matter and pons, which indicated extracellular edema. On the other hand, ADC map showed low intensity areas in the most medial part of the thalami and marginal area of the tegmentum mesencephali, which indicated cellular edema. In the postmortem examination, the areas that showed low intensity on ADC map exhibited mild neuronal loss. Based on the correlation between the DWI and pathologic findings, the cytotoxic edema of the bilateral medial thalami and marginal tegmentum mesencephali in this patient was considered to be glial cell edema which may protect against neuronal cell damage.View full abstractDownload PDF (2562K) -
Kimiko Hamano, So Atsumi, Masaharu Hayashi, Naoyuki Tanuma, Akira Uchi ...2007 Volume 39 Issue 3 Pages 214-218
Published: May 01, 2007
Released on J-STAGE: December 12, 2011
JOURNAL FREE ACCESSWe retrospectively reviewed four patients with severe motor and intellectual disabilities (SMID), aged 8-56 years, who presented with ulcerative colitis (UC), and discussed causal interrelationships between UC and SMID. UC started at 3-50 years of age with early childhoodonset in two patients. Two patients had an intractable clinical course in which leukocytapheresis and surgery were ineffective, and resulted in steroid-dependency.W e failed to find any causal relationships between infectious events, nutrition and anticonvulsantsw ith the development of UC. However, when occult blood in feces is frequently positive in SMID patients, it is important to consider the possibility of UC and to perform an intestinal endoscopic examinationView full abstractDownload PDF (1323K) -
Comparison with Acute Encephalitis with Refractory Repetitive Partial Seizures (AERRPS)Masashiro Kikuchi, Shuei Watanabe, Yukitoshi Takahashi2007 Volume 39 Issue 3 Pages 221-225
Published: May 01, 2007
Released on J-STAGE: December 12, 2011
JOURNAL FREE ACCESSA 9-year-old boy was diagnosed as non-herpetic acute limbic encephalitis (NHALE). Four days after the gastrointestinal infection, he developed a generalized seizure accompanied with delirium and psychiatric change, which evolved into intractable seizures. These seizures were complex partial seizures or generalized tonic clonic seizures, and were highly resistant to many anticonvulsants. Magnetic resonance imaging of the brain demonstrated reversible symmetrical high-intensity lesions in the claustra on the diffusion-weighted image. Laboratory findings did not suggest herpes simplex virus infection. Further, the clinical findings were consistent with those in acute encephalitis with refractory repetitive partial seizures (AERRPS). We assume that a part of AERRPS belongs to the category of parainfectious limbic encephalitis with repetitive seizuresView full abstractDownload PDF (1938K) -
[in Japanese]2007 Volume 39 Issue 3 Pages 226-227
Published: May 01, 2007
Released on J-STAGE: December 12, 2011
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]2007 Volume 39 Issue 3 Pages 227-228
Published: May 01, 2007
Released on J-STAGE: December 12, 2011
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[in Japanese], [in Japanese], [in Japanese]2007 Volume 39 Issue 3 Pages 229-235
Published: May 01, 2007
Released on J-STAGE: December 12, 2011
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[in Japanese]2007 Volume 39 Issue 3 Pages 236-237
Published: May 01, 2007
Released on J-STAGE: December 12, 2011
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