Keukenhof, Netherlands

Keukenhof is world's largest tulip garden, where is located southwest of
Amsterdam. → http://www.keukenhof.com/

Below, photos taken April 25, 1987.
1)Dutch woman is taller than any other Europeans.

2)Various types of Tulips and so many types of flowers

3) inside of garden

4) Near Keukenhof. myself and 3rd son.
    Blooming so many tulips !

4) Amaryllis in the front of my clinic;
Two bulbs of Amaryllis were purchased in Keukenhof garden of Holland

in 1987, when I studied at Universite Catholique de Louvain in Brussels.

Its bulbs produce child, grandchilds and so on ------

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

An epidemic of Swine Flu in children at Ube-Onoda area

In Ube city, an epidemic of swine flu was started among elementary school pupils

(aged 10~12 year old), and then spread to older or younger ages. The peak was 48 week((November.23~29,2009).

1) Influenza case is defined as positive in Flu symptoms & rapid influenza antigen test.  

----all reported cases, except for very few cases of B(+),  is A(+)positive and were not 

---- confirmed by PCR.

2) Cases are reported from pediatricians of Clinics and Hospitals in Ube-Onoda area,

----(Total pop.= 210,000. less than15 year old=29,000) Yamaguchi, Japan.

3) week 40 (Sep.28~Oct.4, 2009)
               week 41 (Oct.5 ~ Oct.11)
               week 42 (0ct.12~Oct. 18)
               week 43 (Oct.19~Oct.25)
               week 44(Oct.26~Nov.1 )
               week 45(Nov.2~Nov.8)
               week 46(Nov.9~Nov.15)
               week 47(Nov.16~Nov.22)
               week 48(Nov.23~Nov.29)
               week 49(Nov.30~Dec.6)
               week 50(Dec.7~ Dec.13)
               week 51(Dec.14~Dec.20)
               week 52(Dec.21~Dec.27, 2009)
               week 53(Dec.28~Jan.3, 2010)


Any questions:   write to 
---------------------Keiji Hagiwara, MD
---------------------Kami-Ube Pediatric Clinic
---------------------Ube 755-0097, Japan
---------------------keijihagiwara@gmail.com

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Snow in Ube city

Today, light snow(3~5cm) in Ube city. The snow at road is melting.
Below photo is my clinic at am 9:00. 

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Any questions: write to       keijihagiwara@gmail.com
                                            Keiji Hagiwara, MD
                                            Kami-Ube Pediatric Clinic,
                                            Ube 755-0097, Japan.

The injection technique of Swine influenza vaccine

In Japan, Swine flu vaccine is made by

1)The Kitasato Institute Reseach Center for Biologicals  
    → http://www.kitasato.ac.jp/rcb/eng/index.html

2)The chemo-Sero-Therapeutic Research Institute 

        → http://www.biken.or.jp/english/index.html

and other companies.

For more infomation, Please ask the companies.

The injection technique of vaccine;
1) Inject into subcutaneously, not intra-muscularly in Japan.
     Other vaccines(DaPT, Measles & Rubella, Varicella, Mumps,
      Japanese encephalitis ) are also administered via the same route .
2) The site of vaccine injection is upper arm(skin just above 
    Triceps brachii muscle, avoid the radial nerve), not thigh or 
     buttock.

------------------------   from Wikipedia(http://en.wikipedia.org/wiki/Triceps_brachii_muscle)

3) Use the 27 gauge needle(for the tubelculin test) .
4) Before injection, vaccine liquid( 4 ℃) is warmed up to room temperature.
     Cold liquid will triger the pain reaction.
5) Inject slowly. Rapid injection also induces pain.

subcutaneous injection of Swine Flu vaccine(1)

subcutaneous injection of Swine Flu vaccine(2)

subcutaneous injection of Swine Flu vaccine(3)

In USA, swine(2009 N1H1) influenza vaccine is administered via intra-
muscular route, or by intra-nasal spray(may be the same in Europe).

　intramuscular Flu vaccination in the left shoulder muscle

    (from the website of Centers for Disease Control and Prevention

      ➞ http://www.cdc.gov/  )

Any questions: write to keijihagiwara@gmail.com
                                            Keiji Hagiwara, MD.
                                            Kami-Ube Pediatric Clinic,
                                             1-20-2 Tokiwadai,
                                             Ube 755-0097, Japan.

Mongolian spot

Mongolian spots are most common among newborn or infant of Mongolian,
Japanese, Korean, Chinese, Polynesian, Micronesian, native American,
and east African.

A Mongolian spot (Dermal melanocytosis) is a birthmark and usually
disappears 6 year old ~ puberty.

The most common color is light dark blue, light blue-gray, or deep brown.
it appear usually in the lumbosacral area and/or other any parts of body.

☆ Mongolian spot is diffent from "blue spots " such as
            → Nevus Ota (http://www.cosmetic-medicine.jp/english/zukan/nevus-ota/index.htm)

       or → Nevus Ito(http://emedicine.medscape.com/article/1058580-overview)


1)  4 month old boy:

2) 7-month-old boy:

Any questions: write to keijihagiwara@gmail.com
                                           Keiji Hagiwara, MD.
                                           Kami-Ube Pediatric Clinic,
                                           Tokiwadai 1-20-1, Ube 755-0097, Japan.

First shrine visit of the New Year 2010

|||||||||||||||||||||A happy New Year 2010 !

大きな地図で見る

Today, I went to the first shrine visit by car. But, Traffic congestion due to
many people visit the shrine " Kotozaki Hachimanguo(琴崎八幡宮)" in
Ube city. I gave up, return to my home and then by walking.

During the first~third January, we Japanese visit to Shrine for worship.
People pray to God for their wishes and good future. I am not so religious,
but, ------ I went to ------ . " God helps those who help themselves ".

P.S; The shrine said that from January 1 to 3, 186,000 people(Pop. of
        Ube city: 178,000) visited the shrine.

Any questions: write to ------------  keijihagiwara@gmail.com