city of Cairo

Time:    November 7, 1987.
Place:   Cairo, Arab Republic of Egypt
Major language: Arabic
Major religions: Islam, Christianity
Monetary unit: Egyptian Pound

The driving manner was so bad in Cairo. Everyone rushed to interrupt 

the other lane. I saw so many old cars, which never pass the car inspection 
test in Japan.

                                       
The shopping street in old town------ narrow street, but very interesting place.
-------------------------------------------- worth to visit.

from the hotel.  The tower is Cairo Tower.

Circumcision and foreskin balanitis

Foreskin balanitis is a bacterial infection of the tip of Penis, which affect
only boys.  The male who performed circumcision have never been affected.

                                    

Photo was taken November 14, 1987 

at St Joseph's Catholic Hospital. Monrovia, Liberia, 

Above photo show the Circumcision in neonate; the removal of some or all 
of the foreskin from the penis is commonly practised in several ethnic groups 
in sub-equatorial Africa, the Jewish and Islamic faiths.

For more informaton of circumcision 
    →  http://newborns.stanford.edu/Circumcision.html　

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Any questions:  write to Keiji Hagiwara, MD

------------------ Kami-Ube Pediatric Clinic, 

------------------ 1-20-2 Tokiwadai, Ube 755-0097, Japan

------------------ keijihagiwara@gmail.com   or   keiji-hagiwara@umin.ac.jp

Anpan-man and Baikin-man

Anpanman is most popular among children in Japan.
Baikinman( Bacteria-man ) is second -----------

from left: Baikinman(Bacteria-man), myself and Anpanman.

Cairo, Egypt

In November 1987, Dr. Oda and myself went to africa by the request of the 

Ministry of the Foreign Affairs of Japan. The purpuse of the trip was the 

health consultation of the attaches of Japanese Embassy and the Japanese, 

who live in Africa.  The countries included Ghana, Liberia, Guinea, Morocco, 
Tunisia, those all were required VISA.

-------------   Red colour was private passport. green was official passport.

We brought the portable ECG machine and urinalysis kit and some drugs from Japan.

Also, I purchased Chloroquine ( the anti-malaria drug. At present, Mefloquine is the 
standard drug ) from Belgium, since not available in Japan at that time. We stayed 
one night in Cairo.

The panorama view from the Saladin Citadel of Cairo -------- old city.
----------------------------------------misty due to Sand storm.

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Dust mites and Bronchial Asthma in children

1) Dust mite live in every home. Nowadays, Japanese house is highly sealed
and less air-circulation. This environment is ideal for ticks and mite.

Dust mites (Dermatophagoides spp.) itself, the debris of dead mite and feces are
the trigger of allergic reaction in some children. The skin contact of Mite's allergen
induce allergic reaction in skin(=Atopic dernatitis) , and inhalation induce allergic
reaction of bronchi, resulting the narowing of air passage ------ wheezing in
Braonchial Asthma.----------
----------i)  frequently change the room air.
---------ii)  bed sheets, carpets are dried to exposure to sunlight in outdoors.
---------iii) The cheap vacuums cleaner is not good, because cheap filter do not 
-------------trap the debris or feces and go through the room.

Photo 1) Dust mites (Dermatophagoides spp.) :  
                                              

　see→Dennis Kunkel Microscopy, Inc. 

Photo 2) Dust mite (Dermatophagoides pteronyssinus): 

-----------One of the common mites living in house.
----------- size of this mite=0.25~0.4mm, Electron-microscopic image

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

Cherry blossoms are blooming in Ube city

I took photos at lunch time today.
1) near the East entrance of Tokiwa park.

2) near the East entrance

                                      

3) near East Car parking area of Tokiwa Park.

                                        

4) near East car parking area of Tokiwa park.

                                 

5) 片倉，西岐波 Ube city.  back is Katakura Hospital.

                                 

6) 片倉，西岐波, Ube city.

                                 

Cherry blossoms begin to blooming in Ube city

Cherry blossoms begin to blooming in Tokiwa park, Ube city.
Below are photos, taken in lunch time.

1) West parking area;

2)  Today, sunny weather, but cold windy.

3) Swans, ducks and carps are swimming in Tokiwa pond.

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

The vaccine administration techniques in USA

There are 2 route of vaccine injection techniques in USA. One is intramuscular,
other is subcutaneous routes ➞ see Centers for Disease Control and Prevention.
But in Japan, vaccines including Swine Flu are usually administered subcutaneously. 
A little bit different.  Subcutaneous is fewer pain than that of Intramuscular one.

(1) intramuscular administration:

(2) subcutaneous administration :

(3) position:

(4) sites of vaccines:

                            

Any questions:   write to Keiji Hagiwara, MD

----------------------------Kami-Ube Pediatric Clinic,

----------------------------1-20-2 Tokiwadai, Ube 75-0097, Japan

----------------------------keijihagiwara@gmail.com

field horsetail

This year, Spring has come early.
Field horsetail (common horsetail) grow in the field, near my clinic.

In my childhood, we ate the boiled ones with sugar and soy sauce.

Bastogne, Belgium

Hitler had the plan to re-occupy Antwerp through the route of Ardennes.
American forces stopped the Hitler plan -------　The battle of bulge
was occurred from December to January, 1944.  
         see ➞ YouTube video

The Siege of Bastogne ------　A party of American force was besieged
by German and relieved by General Patton's Third Army --------- .
        see ➞ YouTube video

Bastogne is located near the border of Luxembourg.　A Memorial of the
battle between American force and German was built there.

The Bastogne Historical Center

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Carnaval de Binche, Belgium

A small town, Binche, 60km south of Brussels, Belgium.
Carnaval de Binche( Carnival of the Gilles of Binche ) is held in early spring. 

It's a strange festival.  Be careful, Fruit-Orange may attack you.

basket contain oranges. March 3, 1987.

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Drug preparations for children

There are several types of powder drugs such as granules, dry syrup for children
and liquid medicines are also available.

Basically, Drug dosages are calculated by body surface area or body weights of
each children. 　

Roughly, drug dosages of child -----------
----------------12 year old : 2/3 of adult
-----------------7 year old : 1/2 of adult
-----------------3 year old : 1/3 of adult
-----------------1 year old : 1/4 of adult

Mini-Pharmacy in my clinic

This machine can do 21 packages at one time. 

Electronic Toploading Balance( Right, weight range =2g~500g,

readability=0.01g ).  A samples of divided ones(Left)

Liquid medicines for children.

Any questions: write to Keiji Hagiwara, MD   

                                         keijihagiwara@gmail.com

small bumps: Molluscum contagiosum

small bumps at inside of the elbow

Ages: 2 ~ 7 year old.
Etiology:   molluscum contagiosum virus. 

Transmission route:  direct skin contact with patients 
Sites of transmission: at the kindergarden or nursery.

Affected skin sites:  any parts of body

------------------------ first skin itching and grow bumps

-------------------------it diameters are 1~5 mm with skin itching.
Incubation period : may be 2 weeks or more.


Any questions: write to Keiji Hagiwara, MD

------------------------- ------ keijihagiwara@gmail.com
----------------------- -------- Kami-Ube Pediatric Clinic,
----------------------------- --1-20-2 Tokiwadai, Ube 755-0097, Japan.

Diaper dermatitis ?

                                      

                                     

A baby come to my clinic with a complaint with " Diaper dermatitis ".

--------------- This case is not diaper dermatitis.   

--------------- A type of yeast  "Candida" infect the skin and overgrowth.

Candida albicans live in normal human skin, oral, intestinal tract and

usually no harmful effects in man. Sometimes, infants are suffered from 

thrush(oral candidiasis) and skin candidiasis.

Photo:   Phase-contrast microscopy. Candida albicans.

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

Windmills of Kinderdijk, Netherlands

The windmills of Kinderdijk, where is situated near Rotterdam,  were built for 

drainage the polder.

　　　　　　　　　　

The windmills of Kinderdijk, April 1987.

cruise boat

my wife and three sons. April 1987.

                                                　　　　　myself

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