JPS013-01304192100@
0130419 Fri
原発性免疫不全症-矢田純一 昔から今まで
⭐うさぎではじまるー白血病細胞
->胸腺由来リンパ球 めんえき 2原説
顆粒球の OPSONI RECEPTOR FCレセプターのちがい？
-> ひつじ赤血球骨髄性かリンパ性かの説明
補体RECEPTORをもつリンパ球の存在の確認 ー＞たしかに
細胞性か、リンパ性しかない病気でたしかめることに
膠原病もまきこんで T細胞、B細胞の 違いがだんだんはっきり
⭐ class switch
Ku分子の関係 遺伝子;Tyk2, Stat3の異常も CD40の働きがだんだんはっきりしてくる。 cytocaiine がはっきりしてくる。 CD40 リガンドがあるかないか Miφでカリニがふえることの説明
左から 可変領域のつぎは、IgM - IgG - IgA - IgE とくるから、可変領域+IgGをつくるためには、IgMの部分が切断される必要があるなどが、switchの基本だとわかった。 そうすると、切断のための*-aze がだんだんはっきりしてきた。 つぎは、結合 Ku分子の働きと、パーツの働きがだんだん理解されるようになる kinase ligaze という名のもの
細胞内では、Jak tic2 ->STat3という流れで、IL-6,12,10 -> IgE抑制、炎症抑制、int- γなどのはたらきがわかってきた。
⭐ AAP from 1930 in Carfronia
progressive in these 2years in AAP
poverty and child health
chidroen,adolescens and media
early development of brain
low loevel stress develops child against toxic stress
epigenetics: newer field Yamanaka's work is a one of epigenetic approach
why media influences sexual develop?
poverty 22 % of children poveerty levels in America needs help
global child health
neonatal resuscitation program helping babies
disaster,global immunization projects tobacco control etc
earlt life saving increasing 47%
why you belive in the immunizations?
have any evidences?
AAP e-books increasing
adolescent mediation war and young mama
chinese pediatric sosiety CPS
adolescent medicine is new because grouth adult in in 14 years
levels improving in china
mortality rate inchina whole 12 % 4% in Pekin
west rural is very high ab 20% why?
economy health care education how to them
education : breast feeding planned immunity pneumonia diarrhea take part indifferent international healthy day esp west china.
cooperation with AAP
HonKong Macal and Taiwan english congress meeting begann
Korea KPS
future : improbing %tage of child health
nagative factors reduce the pediatric population
economic , no enough social health birth rate 1.2 per each 1000?
less than japan
health insurance system in Korea
financial shortage for residents of pediatric fields because of financial roblems almostly similar in other countries
rapid growing of geriatric polulation similarly in Japan
what is medical charge in medical examination?
reinforcement system is not exist for pediatric field in Korea,so?
JPS psprtd in Jspsn id trfuinh vs 17%
3.11 problems esp irradiation's problem and disasterous living
estimate child death review
mental care ,abuses increasing because of prematured lifesaving.
child chronic diases care system :must improve in the future
make money child better?
to learn language this is special in multi-folk country
different from america and jpn,korea,china
developmental pediatrics :
many mental problem children in many countries
sppecialists in school in hospital by psychologist and so on.
the mental care 's fee in each hospital is in differeciation
the social level and commit level of registries are variable.
⭐child abuse
所見と病歴の整合性がない場合の問題は大きい
介入の動機ーチームの方針は大切
⭐Pediatric emergency care in Korea
20 centers in whole country
NEDIS
modified Delphi system regional center
now in Korea dedicated ED for children in evolving
admission fee i s high is prohibition just problem as japan
60-70% fee is payed from government luck young doctor in pediatric ED
double works in pediatrics and ER : very problematics
Japan: not expensive patient-self payment because of financial system
co-payment by patients proportion depending upon age
mixed payment not allowed
total security costs is bigger from 1973 backgrnd:
but esp high rate of medical one among OECD countries.
mr chair man, you hilighted special problem of low rate pediatricians in hospitals.
Too many hostpitals in japan
1) how about do you think about this professor in korea
20 how about the mixed payment private and government
i think it is necessary to development of medicine.
primary telephoe system local rural called #8000
secondary reguial pediatric centre
fascilitated networking and natonal registries of specific paediatric disease in order to improve quality of care
thise three expected outcome mentioned chairman