24 October, 2009

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

Any questions: write to keijihagiwara@gmail.com

23 October, 2009

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

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

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.

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

18 October, 2009

Mycoplasam infection (Walking pneumonia)

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

Case presentation: 11-year-old female

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

13 October, 2009

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

02 October, 2009

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)

Leaning Tower of Pisa in china.

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.

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)

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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).

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).


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.

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.

Suzhou (simplified Chinese: 苏州)

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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.

The Japanese School in Shanghai

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)
    〒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)
  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

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

1) Shanhai Senmao Clinic(上海森茂診療所)
 上海市 浦東新区 陸家嘴環路1000号 匯豊大厦3楼 (HSBC Tower 3F)       
(上海 グリーン クリニック)
Tel: 021-6208-2255,Fax:021-6219-9528,E-mail: info@greenclinic.com.cn
  (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

01 October, 2009


This type of raincoat, I often saw in Shanghai or Suzhou, for motor-bike or
bicycle is good one.