Association between Factor XIII Activity and Clinical Course in Pediatric Patients with Immunoglobulin A Vasculitis.

Background: Immunoglobulin A vasculitis is a systemic form of vasculitis that predominantly affects children. Factor XIII activity is decreased in some cases, and several reports have shown an association between abdominal pain and decreased factor XIII activity. However, the clinical significance of decreased factor XIII activity in pediatric immunoglobulin A vasculitis has not been fully elucidated.

[Investigation of Relationships among Health Literacy, Social Determinants of Health, Menopausal Symptoms, Lifestyle-related Diseases, and Depression in Menopausal Women].

Objectives: The aim of this study was to clearly identify the relationships among health literacy, social determinants of health, health behaviors, menopausal symptoms, lifestyle-related diseases, and depression in healthy menopausal women.

Method: A cross-sectional study was conducted using a questionnaire among menopausal women (45 to 60 years of age) who visited a facility offering various medical checkups to receive a specific medical checkup.Logistic regression was used to analyze the association of health literacy and social determinants of health with health behaviors for 162 subjects adjusted for age.

Kawasaki Disease with an Initial Manifestation Mimicking Bacterial Inguinal Cellulitis.

Background: Kawasaki disease (KD) is typically characterized by fever, oral cavity erythematous changes, bilateral bulbar conjunctival injection, skin rash, erythema and edema of the hands and feet, and cervical lymphadenopathy. Some atypical patients with KD initially develop cervical and pharyngeal cellulitis; however, an initial presentation with inguinal cellulitis is extremely rare. In addition, to our knowledge, no report has documented the cytokine profile in a KD patient with cellulitis.

Clinical prediction rule for neurological sequelae due to acute encephalopathy: a medical community-based validation study in Harima, Japan.

Objectives: This study aimed to verify the screening performance of our clinical prediction rule for neurological sequelae due to acute encephalopathy (NSAE-CPR), which previously identified the following three variables as predictive of poor outcomes: (1) refractory status epilepticus; (2) consciousness disturbance and/or hemiplegia at 6 hours from onset and (3) aspartate aminotransferase >90 IU/L within 6 hours of onset.

Design: Medical community-based multicentre retrospective cohort study.

Setting: Six regional hospitals in Harima and one tertiary centre in Kobe, Japan, from 2008 to 2012.