[Relation between psychological development and respiratory management in patients with congenital central hypoventilation syndrome in Japan].

Objective: To evaluate the psychological development of patients with congenital central hypoventilation syndrome (CCHS).

Methods: We performed a questionnaire-based survey of 17 patients with CCHS aged over 7 years and assessed their clinical course, respiratory management, and psychological development.

Results: CCHS was present at birth in 15 patients, of which eight presented with respiratory failure with a low Apgar score.

[Evaluation of serum total carnitine values in persons with severe motor and intellectual disabilities with enteral (tube) feeding].

Objective: The nutritive evaluation and the serum carnitine values were measured for persons with severe motor and intellectual disabilities with enteral (tube) feeding.

Methods: In Shimada Rehabilitation Center, twenty one people who had serum albumin levels of 3.4 g/dl or less, and were taking nutrition with enteral (tube) feeding, were tested.

Reduced prefrontal hemodynamic response in children with ADHD during the Go/NoGo task: a NIRS study.

The current study examined the hemodynamic response during the Go/NoGo task in children with/without attention deficit/hyperactivity disorder (ADHD). Using near-infrared spectroscopy, oxy-Hb and deoxy-Hb concentration changes in the frontal areas were compared during the conditions with/without inhibitory demand. Compared with typically developing children, children with ADHD showed significantly reduced activation during the conditions with inhibitory demand (NoGo-condition) in the frontal areas.

[H reflex in patients with spastic quadriplegia].

Hoffmann reflex (H reflex) is an electrically elicited spinal monosynaptic reflex. H reflex was examined in 18 patients with spastic quadriplegia who had perinatal or postnatal problems. H reflex was elicitable in 11 patients for the abductor pollicis brevis (61.

[The present situation of children with psycho-motor disabilities and their parents].

We examined the present situation of children and adolescents with psycho-motor disabilities, and their parents by means of a questionnaire survey. The survey was conducted on the family members of outpatients, 116 males and 86 females. About half the patients were older than 15 years of age.

[Setting up of a day group service system for severely disabled children, the "Koala Club"].

This is a report of the setting up of a day group service system for severely disabled children, the "Koala Club". The "Koala Club" was started in 1993, and has been running outside of the hospital since 1997. A support group for the "Koala Club" was established in 1999.

Selective mutism and obsessive compulsive disorders associated with zonisamide.

We treated 27 children with idiopathic epilepsy with zonisamide monotherapy over a period of 2 years and observed behaviour disturbances in a prospective study. In all cases, seizure control was excellent; however, two cases (7.4%) had behaviour disturbances.