Swine N1H1 influenza Vaccine

---------------- Vaccine for Swine H1N1 influenza virus

October 20th, Swine flu vaccine for health professionals (doctor & nurses)

delivered to my clinic. One vial's cost is 2,937 yen(29.37 $, 1$=100yen).

Of course pay myself.

You can see the influenza trend in Japan

→ http://www.google.org/flutrends/intl/en_us/jp/

Any questions: write to keijihagiwara@gmail.com

RS virus infection(1 year & 6 month old; pneumonia)

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Case presentation: 1 year and 6-month-old boy.

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He had been taken thyroid hormone for congenital hypothyroidism.

Dec.6th. start fever and cough.

|||||||||||| 8th. came to my Clinic. prescribed Erythromicin and cough-syrup.

||||||||||||10th. high fever and developed severe coughing with stridor.

|||||||||||| ------- Moist & dry rales audible in both lower lungs.

|||||||||||| ------- WBC 5,700/micro-L, CRP(++)

------- Rapid test for RS-virus(+).

Chest X-ray showed bilateral infiltrations(+).

||||||||||| ------------- referred to University Hospital.

RS(Respiratory syncytial) virus is one of the major agents, which cause

, common cold, bronchiolitis or pneumonia from late autumn~ winter~spring in infant.

        ➔ http://keiji-hagiwara.blogspot.com/2009/03/rs-virus-infection-in-infant-1.html

        ➔ Lean about RS virus infection : http://www.cdc.gov/rsv/

For preventing the disease, monoclonal antibody to RS virus(Synagis)

should be given every months during autumn to spring, to high-risk babies

such as the low-birth-weight infants or with congenital heart disease or

respiratory problems.

The costs of Synagis is high. At present, public Health insurance cover the

cost in infants at risk, but not "normal infants" in Japan.

Any questions: write to keijihagiwara@gmail.com

Mycoplasam infection (Walking pneumonia)

　　　　Pneumonia due to Mycoplasma pneumoniae.11-year-old female, days 5.

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Case presentation: 11-year-old female

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Feb. 15th.2008. came to my clinic. She started fever in 11th and went to

a clinic. but fever continued & worsen coughing.

|||||||| Dry rales were audible in left lung.

|||||||| Rapid test for influenza A&B:(-), Rapid test for adenovirues:(-)

|||||||| WBC 5,300. (0.9% Baso, 77.7 % Neut, 19.5% Lym, 1.9% mon. )

|||||||| CRP 1.43mg/dl. ESR 36mm/hr. GOT 43iu/L, GPT 16iu/L. LDH 533iu/L,

|||||||| gamma-GT 10iu/L.

|||||||| Mycoplasma antibody(particle agglutination) : x 1,280.

|||||||| Chest X-ray: homogeneous shadow in left middle area.

-------- refereed to University Hospital. She was treated by minocycline.

-------- Hospitalized from Feb.15th to 22th.

※ As it is called as " walking pneumonia", the severity of this disease is not so serious.

Don't think seriously. The majority of patients are treated in Outpatient clinic, not

regularly refer to Hospital.

i) Causative microbe: Mycoplasma pneumoniae.

ii) Transmission: person to person. close contact with infected person.

---- no animal reservers.

ii) Frequently: autumn~ winter~ spring.

----- circular pattern(epidemic occured in Olympic year) was disappeared in Japan.

iii) most affected ages: 5~7~10-year-old.

Any questions: write to keijihagiwara@gmail.com

Child Heath Check at City Health Center

Well child care have been doing in Ube City Health Center at 3-year-old.

Pediatrician, nutritionist, speech counselor and nurses are joined for this.

Health checks at other ages(1-month, 4-month, 7-month, 1-year, 1 & half
-year-old) are done at individual pediatric clinic. Of course, fees are 
covered by city.

Questions: write to keijihagiwara@gmail.com

Shaghai-Ube Flight

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The flight time, from Shanghai to Ube, is 90 minutes.

The time lag between Ube and Shanghai is 1 hour.

A airplane of China Eastern airlines （中国東方航空）in Yamaguchi-Ube airport.
The Ube bridge(center left of photo), Ube industries,Ltd constructed for the transporting

of cement raw materials.

Sanyou-Onoda city

Entrance of Shanghai Pudong International airport（浦東国際空港）

Duty free shops

Shanghai-Ube chartered flight, not regular one.

Shanghai Pudong International airport(浦東国際空港)

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喜喜 (Double happiness)

A cigarette package, made in China.

Chinese character 喜喜 -------   mean happiness/happiness
I wishes , Happy future in the people of mainland china.


Any questions: write to Keiji Hagiwara,   keijihagiwara@gmail.com

Silk clothes, Suzhou

The China dress and Silk clothes

虎丘塔，蘇州（Leaning Tower of Pisa in china）

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Leaning Tower of Pisa in china.

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The Huqiu Tower, or Yunyan Pagoda and Tiger Hill Pagoda,

(Chinese: 云岩寺塔;pinyin: Yún yán sì tǎ or Chinese: 虎丘塔;

pinyin: Hŭ qiū tǎ) is a Chinese pagoda situated at Changmen in

Suzhou City, Jiangsu Province.

The tower was built in the later period of the Five Dynasties

(907-960 AD). The tower rises to a height of 47 m (154 ft).

It is a seven-story octagonal building built with blue bricks.

In more than a thousand years the tower has gradually slanted.

The tower leans because the foundation is originally half rock

and the other half is on soil. In 1957, efforts were made to stabilize

the tower and prevent further leaning. Concrete was also pumped

into the soil forming a stronger foundation.

→ http://en.wikipedia.org/wiki/Huqiu_Tower

Any questions: write to keijihagiwara@gmail.com

Silk embroidery, Suzhou(刺繍，蘇州）

Suzhou has also been an important centre for China's silk industry and
continues to hold that prominent position today.

Below the works of Silk embroidery

really embroidery?     its photo.

photographic embroidery !

Famous poem in Hanshan Temple, Suzhou

Hanshan Temple is famed in East Asia because of the poem "A Night Mooring

by Maple Bridge" (楓橋夜泊), by Tang Dynasty poet, Zhang Ji.

The poem describes the melancholy scene of a dejected traveller, moored at night

at Fengqiao, hearing the bells of Hanshan Temple:

月落烏啼霜滿天，(Yuè luò wū tí shuāng mǎn tiān),

in English (While I watch the moon go down, a crow caws through the frost);

in Japanese; 月落ち烏（からす）啼きて霜天に満つ

江楓漁火對愁眠。(Jiāng fēng yú huǒ duì chóu mián).　

in English (Under the shadows of maple-trees a fisherman moves with his torch)　

in Japanese ; 江楓（こうふう）漁火愁眠に対す。

姑蘇城外寒山寺，(Gūsū chéngwài Hánshán Sì), 　

in English (And I hear, from beyond Suzhou, from the temple on Cold Mountain)

in Japanese; 姑蘇（こそ）城外の寒山寺

夜半鐘聲到客船。(Yèbàn zhōngshēng dào kèchuán).e

in English (Ringing for me, here in my boat, the midnight bell)

in Japanese; 夜半の鐘声客船に到る。

The poem is still popularly read in China, Japan and Korea. It is part of the

senior high school curriculum in both China and Japan. The ringing of the

bell at Hanshan Temple on Chinese New Year Eve is a major pilgrimage

and tourism event for visitors from these countries.

Any questions; write to keijihagiwara@gmail.com

Hanshan Temple, Suzhou (寒山寺,蘇州）

View Larger Map

Hanshan Temple (Chinese: 寒山寺; pinyin: Hánshān Sì); literally "Cold

Mountain Temple", is a Buddhist temple and monastery in Suzhou, China.

It is located at the town of Fengqiao(lit. Maple Bridge), about 5 kilometers

west of the old city of Suzhou.

Two bells are currently used at Hanshan Temple, both dating from the late Qing

Dynasty when the temple was last rebuilt. One was forged in China in 1906, and

the other was forged in Japan at around the same time. The dedication on the bell

was written by Japanese Prime Minister Itō Hirobumi（伊藤博文）.

→ http://en.wikipedia.org/wiki/Hanshan_Temple

Any questions: write to keijihagiwara@gmail.com

Pipa (Chinese: 琵琶)

The pipa (Chinese: 琵琶; pinyin: pípá) is a four-stringed Chinese instrument,

belonging to the plucked category of instruments (弹拨乐器/彈撥樂器).

→ http://en.wikipedia.org/wiki/Pipa

Guqin(古琴)

The guqin (simplified/traditional: 古琴; pinyin: gǔqín; Wades-Giles ku-ch'in;

pronounced [kùtɕʰǐn]; literally "ancient stringed instrument") is the modern

name for a plucked seven-string Chinese musical instrument of the zither family.

It has been played since ancient times.

→ http://en.wikipedia.org/wiki/Guqin

Lingering Garden, Suhzou (留园, 蘇州)

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Lingering Garden (simplified Chinese: 留园; traditional Chinese: 留園; pinyin:

Liú Yuán) is a renowned Chinese classical garden. It is located at 338 Liuyuan

Rd. Suzhou, China (留园 338号).

In 1997, the garden, along with other classical gardens in Suzhou, was recorded

by UNESCO as a World Heritage Site. The garden also stores two UNESCO

intangible world heritage arts; Pingtan (评弹) and Guqin music.

　→　http://en.wikipedia.org/wiki/Lingering_Garden

Suzhou (simplified Chinese: 苏州)

View Larger Map

Suzhou (simplified Chinese: 苏州; traditional Chinese: 蘇州; pinyin: Sūzhōu;

ancient name: 吳; Suzhou dialect: [səu][tsøʏ]) is a city on the lower reaches of

the Yangtze River（長江） and on the shores of Lake Taihu(太湖） in the

province of Jiangsu（江蘇）, China.

Suzhou has also been an important centre for China's silk industry and

continues to hold that prominent position today.

→ http://en.wikipedia.org/wiki/Suzhou

The Japanese School in Shanghai

日本人長期滞在者総数（３か月以上，上海領事館所轄管）

The Japanese( stay in 3 months more, jurisdiction of the Japanese Consulate in Shanghai)

Total: 61,196名（男Male：41,241名，女female：19,955名）

　　 民間企業関係者本人(business workers)：36,810名。

　　　　　　 同居家族(its family members)：13,196名。

　　自由業関係者本人(liberal professions)：969名。

　　　　　 同居家族(its family members)：349名。　

　　　日本人永住者(permanent residents)：96名。　　　　　　　　　　　　　

　　　　　 　　             　 ------------ 海外在留邦人数調査統計　H２０年度速報。

１） Shanghai Japanese School in Hongqiao(上海日本人学校　虹橋校)

　　→　http://www.srx.net.cn/hp_hongqiao/hongqiao_top/hongqiaotop2009.htm

　 　　〒201103 上海市閔行区虹梅路 3185号
　　　Tel：021-6406-8027，Fax : 021-6401-2747　　

　　　Elementary school; (age 6~12 years ) 小学生数：1,336名（June 11, 2009)　　　

２）Shanghai Jananese School in Pudong(上海日本人学校，浦東校)

　　 →　http://srx2.net.cn/sjs-pudong/index.html

　　小学生 elementary school：563名

　　中学生 junior high school：524名（April 15, 2009)

　　〒200127　上海市浦東新区錦康路277号Tel：021-5059-5333，Fax：021-6845-3807

Any questions : write to keijihagiwara@gmail.com

Japanese doctors in Shanghai

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日本人医師のいる上海の診療所

The Clinics, where full-time Japanese doctors working, in Shanghai

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1) Shanhai Senmao Clinic(上海森茂診療所)

　　　→ http://www.senmaoclinic.com.cn/index.php

　〒200120　

　上海市 浦東新区 陸家嘴環路1000号 匯豊大厦3楼 (HSBC Tower 3F) 　　　　　　

　TEL:(021)6841-0513(021)6841-0385，FAX:(021)5066-3200

　 E-mail:info@senmaoclinic.jp
2) SHANGHAI GREEN CLINIC CO.,LTD(上海瑞林診所有限公司)

（上海 グリーン クリニック）

　　　　→ http://www.greenclinic.com.cn/clinic/general_info.htm

　　上海市仙霞路88号太陽広場東塔1階(E1F)
Tel: 021-6208-2255，Fax:021-6219-9528，E-mail: info@greenclinic.com.cn

３）上海国际旅行医疗保健问诊部

　　（上海国際クリニック）　→ http://www.shkokusaiclinic.com/

　　住所：〒200335 上海市长宁区金浜路15号4号楼

　　 Building4,15 Jinbang Road(*Hami Road) Changning District, Shanghai

　　TEL: 021-6268-6651( 日本語 中文)，021-6269-7101 (English)

　　FAX: 021-6268-3084， E-mail: infor@shkokusaiclinic.com

Any questions: write to 　keijihagiwara@gmail.com