Kagoshima City Research Articles

Effects on local atmospheric environment of volcanic ash from Sakurajima volcano, inferred from atmospheric deposition of Potassium-40 at Kagoshima City, Japan

In this study, we statistically demonstrated that an anomalous high of 40K fallout in the atmospheric fallout in Kagoshima City is caused by heavy ashfall associated with eruptions of Sakurajima volcano. Sakurajima is one of the most active volcanoes in Japan, and its repeated explosive eruptions cause large amounts of ash to fall on Kagoshima City. The fallout of crust-derived natural radionuclides, 40K, 212Pb, and 214Bi, from the atmosphere in Kagoshima City showed a significant correlation with the number of eruptions of Sakurajima volcano and the amount of ashfall in Kagoshima City. In contrast, no significant correlation was found between 40K and 7Be fallout. The 40K fallout indicates that almost all of the atmospheric fallout in Kagoshima City is composed of volcanic ash particles. The contribution from mineral and sea salt particles other than volcanic ash is minimal. The mass balance of the observed 40K fallout, ashfall, and atmospheric fallout yield indicates that there is a significant amount of volcanic ash deposition that is not accounted for as ashfall. In most cases, the ash deposition observed as ashfall is only 30–70 wt% of the total deposition collected as atmospheric fallout samples, and the remaining portion is fine-grained and behaves as suspended volcanic ash particles, which significantly impact the atmospheric environment.

Dysphoric milk ejection reflex among Japanese mothers: a self-administered survey

BackgroundThe dysphoric milk ejection reflex (D-MER) is a reflex that causes temporary discomfort during milk ejection. D-MER develops due to the effects of hormones involved in lactation, and it has been reported that it is a physiological symptom different from postpartum depression, but the actual situation is unknown in Japan.MethodsThis study was conducted using a self-administered, anonymous survey of mothers of children who had undergone health checkups at three years of age at five health centers in Kagoshima city and aimed to clarify the reality and perceptions of mothers regarding D-MER. The survey period was from May to September, 2022. The questionnaires were distributed to 389 mothers, and 216 (55.5% recovery rate) responses were received, of which 202 (valid response rate 93.5%) were included in the analysis.ResultsRegarding the experience of D-MER, 202 mothers in the study population had given birth to a total of 403 children and experienced D-MER when breastfeeding 62 children (15.4%). Of the 202 mothers included in the analysis, 47 (23.3%) answered that they had experienced D-MER with at least one child while breastfeeding. Sixty-six mothers (32.7%) knew about D-MER. Compared to those who had not experienced D-MER, those who had experienced D-MER had significantly higher scores on the items related to having had trouble breastfeeding (odds ratio (OR]: 3.78; 95% confidence interval (CI]: 1.57, 9.09) and knowing about D-MER (OR 2.41; 95% CI 1.20, 4.84). Regarding symptoms, irritability (n = 24, 51.1%), anxiety (n = 22, 46.8%), and sadness (n = 18, 38.3%) ranked high. Coping strategies included distraction, focusing on the child, and, in some cases, cessation of breastfeeding. Thirty mothers (63.8%) answered that they did not consult anyone, citing reasons such as a belief that no one would be likely to understand their symptoms, and that they could not sufficiently explain their symptoms.ConclusionThe low level of awareness of D-MER suggests that it is necessary to inform and educate mothers and the public about the physiological symptoms of D-MER. Moreover, it is necessary to listen to the feelings of mothers with D-MER and support them in coping with their symptoms.

Uncertainty Analysis of the Prediction of Massive Ash Fallout From a Large Explosive Eruption at Sakurajima Volcano

AbstractVolcanic ash hazards present life‐threatening dangers to populations near volcanoes during large explosive eruptions. Vulnerable infrastructures demand a comprehensive disaster risk reduction strategy to protect residents from enormous ashfall accumulations. To prepare for the next large eruption of Sakurajima volcano, authorities in Kagoshima City are developing a countermeasure plan utilizing ash dispersal prediction 24 hr before an eruption. However, the absence of large eruptions in the last century makes it challenging to confirm the accuracy of predictions for hazard area designation. To ensure established protocols are effective, uncertainties in ashfall predictions must be addressed, enabling authorities to make appropriate responses. We simulated the previous large eruption of Sakurajima volcano using multiple wind forecast lead times as historical predictions from July 2018 to December 2022. The uncertainty in prediction results was evaluated by comparing simulation outputs with validation data from the ash dispersal data set. We examined uncertainty in hazard area assignment and its variation depending on risk items, wind field states, and the influences of seasonal patterns and events. Updating ashfall predictions with improved wind forecasts reduces uncertainty for all risk items and increases the precision of identified hazard zones. Furthermore, uncertainty levels are influenced by seasonality and can shift significantly with varying wind strengths controlling ash dispersal process. Providing uncertainty information is vital for decision‐making during ash fallout events, and it is recommended to update response decisions 12 hr after the initial prediction. This study's outcomes will aid in developing better disaster risk management strategies, focusing on volcanic ash hazards.

Effect of Oral Care on Endothelial Dysfunction in Patients with Acute Coronary Syndrome.

Periodontitis is a common chronic infection and is associated with cardiovascular disease. This study evaluated whether basic oral care for periodontal disease could improve endothelial function in patients with acute coronary syndrome (ACS).This study enrolled 54 patients with acute coronary syndrome admitted to Kagoshima City Hospital and who had undergone percutaneous coronary intervention. Flow-mediated endothelium-dependent dilatation (FMD) was measured before discharge (initial FMD) and at 8 months after percutaneous coronary intervention (follow-up FMD). The following periodontal characteristics were measured: periodontal pocket depth (PPD, mm), plaque control record (%), and bleeding on probing (%). All patients received basic oral care instructions from dentists. The oral health condition was generally poor in the participants and there were 24 patients (44.4%) who had severe PPD. Despite the intervention of basic oral care, the periodontal characteristics did not improve during the study period; initial FMD and follow-up FMD did not significantly differ (4.38 ± 2.74% versus 4.56 ± 2.51%, P = 0.562). However, the follow-up FMD was significantly lower in patients with severe PPD (≥ 6.0 mm, n = 24) than in patients without severe PPD (≤ 5.0 mm, n = 30) (FMD: 3.58 ± 1.91% versus 5.37 ± 2.67%, P = 0.007). FMD tended to be worse in patients with severe PPD than in patients without severe PPD (ΔFMD: -0.55 ± 2.12 versus 0.81 ± 2.77 %, P = 0.055). In conclusion, during the use of basic oral care, endothelial function improved in patients without severe PPD, while it worsened in patients with severe PPD.

Damage-associated molecular patterns and fibrinolysis perturbation are associated with lethal outcomes in traumatic injury

BackgroundUpon cellular injury, damage-associated molecular patterns (DAMPs) are released into the extracellular space and evoke proinflammatory and prothrombotic responses in animal models of sterile inflammation. However, in clinical settings, the dynamics of DAMP levels after trauma and links between DAMPs and trauma-associated coagulopathy remain largely undetermined.MethodsThirty-one patients with severe trauma, who were transferred to Kagoshima City Hospital between June 2018 and December 2019, were consecutively enrolled in this study. Blood samples were taken at the time of delivery, and 6 and 12 h after the injury, and once daily thereafter. The time-dependent changes of coagulation/fibrinolysis markers, including thrombin-antithrombin complex, α2-plasmin inhibitor (α2-PI), plasmin-α2-PI complex, and plasminogen activator inhibitor-1 (PAI-1), and DAMPs, including high mobility group box 1 and histone H3, were analyzed. The relationship between coagulation/fibrinolysis markers, DAMPs, Injury Severity Score, in-hospital death, and amount of blood transfusion were analyzed.ResultsThe activation of coagulation/fibrinolysis pathways was evident at the time of delivery. In contrast, PAI-1 levels remained low at the time of delivery, and then were elevated at 6–12 h after traumatic injury. Histone H3 and high mobility group box 1 levels were elevated at admission, and gradually subsided over time. PAI-1 levels at 6 h were associated with serum histone H3 levels at admission. Increased histone H3 levels and plasmin-α2-PI complex levels were associated with in-hospital mortality. α2-PI levels at admission showed the strongest negative correlation with the amount of blood transfusion.ConclusionThe elevation of histone H3 levels and fibrinolysis perturbation are associated with fatal outcomes in patients with traumatic injury. Patients with low α2-PI levels at admission tend to require blood transfusion.

Association of preoperative clinical frailty and clinical outcomes in elderly patients with stable coronary artery disease after percutaneous coronary intervention.

There are few reports on the long-term clinical outcome after percutaneous coronary intervention (PCI) in patients with stable coronary artery disease (CAD) complicated with frailty. This novel study investigated the association between pre-PCI frailty and long-term clinical outcomes in elderly patients aged 65years or older with stable CAD who underwent elective PCI. We assessed 239 consecutive patients aged 65years or older with stable CAD who underwent successful elective PCI at Kagoshima City Hospital between January 1st, 2017 and December 31st, 2020. Frailty was retrospectively assessed using the Canadian Study and Aging Clinical Frailty Scale (CFS). Based on the pre-PCI CFS, patients were divided into two groups: the non-frail (CFS < 5) and the frail (CFS ≥ 5) group. We investigated the association between pre-PCI CFS and major adverse cardiovascular events (MACEs) defined as the composite of all-cause death, non-fatal myocardial infarction, non-fatal stroke, and heart failure requiring hospitalization. Additionally, we assessed the association between pre-PCI CFS and major bleeding events defined as Bleeding Academic Research Consortium (BARC) type 3 or 5 bleeding. The mean age was 74.8 ± 7.0years, and 73.6% were men. According to the pre-PCI frailty assessment, 38 (15.9%) and 201 (84.1%) were classified as frail and non-frail groups, respectively. During a median follow-up of 962 (607-1284) days, 46 patients developed MACEs and 10 patients developed major bleeding events. Kaplan-Meier curves showed a significantly higher incidence of MACE in the frail group compared to those in the non-frail group (Log-rank p < 0.001). Even in multivariate analysis, pre-PCI frailty (CFS ≥ 5) was independently associated with MACE (HR 4.27, 95% CI 1.86-9.80, p-value: < 0.001). Additionally, the cumulative incidence of major bleeding events was significantly higher in the frail group than in the non-frail group (Log-rank p = 0.001). Pre-PCI frailty was an independent risk factor for MACE and bleeding events in elderly patients with stable CAD who underwent elective PCI.

肥後石工，岩永三五郎の眼鏡橋に関する架橋技術の研究（その１）： 肥後石工，岩永三五郎の肥後における眼鏡橋の架橋技術の発展について

Five bridges were built over the Kotsuki River in Kagoshima City. The bridges were constructed by Sangoro Iwanaga, a Higo mason, between Koka2(1845) and Kaei2(1849). This paper describes the construction method developed by Sangoro Iwanaga in Higo before he left for Satsuma. Sangoro Iwanaga constructed Mitsuyose Bridge with a segmental arch, and as a result, he established the techniques of fan masonry, double wheel stone, and multiple masonry. Sangoro Iwanaga learned from Bizen stonemasons the Bizen style of packing cobblestones inside the stone walls and the Makidomo stone wall technique.

Closing Remarks of the International Astronomical Union Symposium 380

AbstractWe are pleased to summarise the IAU Symposium 380, Cosmic Masers: Proper Motion toward the Next-Generation Large Projects held on March 2023 March 20-24 in Kagoshima City, Japan. It is the sixth symposium focusing on astrophysical masers broadly used in research of star formation and evolved stars, astrometric measurements of the Milky Way galaxy, as well as studies of extragalactic environments.

Intermittent abdominal pain in cardiac tamponade due to pericardial cysts.

Pediatrics InternationalVolume 64, Issue 1 e15056 Clinical Notes Intermittent abdominal pain in cardiac tamponade due to pericardial cysts Tatushi Horiguchi, Tatushi Horiguchi Department of Pediatrics, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, JapanSearch for more papers by this authorTakuro Nishikawa, Corresponding Author Takuro Nishikawa adu44150@ams.odn.ne.jp orcid.org/0000-0001-5012-0906 Department of Pediatrics, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan Correspondence: Takuro Nishikawa, MD, Department of Pediatrics, Graduate School of Medical and Dental Sciences, Kagoshima University, 8-35-1 Sakuragaoka, Kagoshima City, 890-8520, Japan. Email: adu44150@ams.odn.ne.jpSearch for more papers by this authorNaohiro Shiokawa, Naohiro Shiokawa Department of Pediatrics, Kagoshima City Hospital, Kagoshima, JapanSearch for more papers by this authorRyo Imakiire, Ryo Imakiire Department of Pediatrics, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, JapanSearch for more papers by this authorYasuhiro Okamoto, Yasuhiro Okamoto orcid.org/0000-0003-4412-6441 Department of Pediatrics, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, JapanSearch for more papers by this author Tatushi Horiguchi, Tatushi Horiguchi Department of Pediatrics, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, JapanSearch for more papers by this authorTakuro Nishikawa, Corresponding Author Takuro Nishikawa adu44150@ams.odn.ne.jp orcid.org/0000-0001-5012-0906 Department of Pediatrics, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan Correspondence: Takuro Nishikawa, MD, Department of Pediatrics, Graduate School of Medical and Dental Sciences, Kagoshima University, 8-35-1 Sakuragaoka, Kagoshima City, 890-8520, Japan. Email: adu44150@ams.odn.ne.jpSearch for more papers by this authorNaohiro Shiokawa, Naohiro Shiokawa Department of Pediatrics, Kagoshima City Hospital, Kagoshima, JapanSearch for more papers by this authorRyo Imakiire, Ryo Imakiire Department of Pediatrics, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, JapanSearch for more papers by this authorYasuhiro Okamoto, Yasuhiro Okamoto orcid.org/0000-0003-4412-6441 Department of Pediatrics, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, JapanSearch for more papers by this author First published: 28 April 2022 https://doi.org/10.1111/ped.15056Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat No abstract is available for this article. Volume64, Issue1January/December 2022e15056 RelatedInformation

High Accuracy of School-Based Cardiovascular Screening System in Kagoshima City

High Accuracy of School-Based Cardiovascular Screening System in Kagoshima City

Safety, speed, and effectiveness of air transportation for neonates.

In Japan, 44.3% of neonates are delivered in private clinics without an attending pediatrician. Obstetricians in the clinics must resuscitate asphyxiated neonates in unstable condition, such as respiratory failure, and they are frequently transferred to tertiary perinatal medical centers. There has been no study comparing the physiological status and prognosis of neonates transported by ambulance with those transported by helicopter. Medical and transport records were used to compare the physiological status of neonates transported to Kagoshima City Hospital by land and those transported by air between January 1, 2013, and December 31, 2017. Data from 425 neonates transferred by land and 143 by air were analyzed. There were no significant differences between the two groups in mean gestational age, mean birthweight, fetal blood pH, Apgar score, or the Score for Neonatal Acute Physiology with Perinatal Extension-II (SNAPPE-II) on arrival to the tertiary center (16.3±15.4 [95% confidence interval (CI): 13.2-17.7] vs 16.4±15.4 [95% CI: 13.9-19.0], respectively; P=0.999); both groups had SNAPPE-II score 10-19, indicating no difference in mortality risk. The times to starting first aid and to admission to the intensive care unit were significantly reduced in neonates transported by air than by land. In subgroup analysis of patients of a gestational age ≤28weeks, all cases of severe intraventricular hemorrhage (IVH) were observed in the land transportation group. Neonatal transportation by air is as safe as land transportation, and time to first aid and intensive care are significantly reduced by transportation by air than by land. Air transport could also contribute to the prevention of IVH in neonatal transportation.

Risk Factors for Mortality and Neurodevelopmental Impairment among Neonates Born at 22–23 Weeks’ Gestation

Introduction: We aimed to evaluate the risk factors for mortality and neurodevelopmental impairment (NDI) among infants of 22–23 weeks’ gestational age, which currently remain unclear. Methods: This retrospective case-control study included 104 infants delivered at 22–23 weeks’ gestation at Kagoshima City Hospital from 2006 to 2015. We compared 65 and 34 cases of survival to discharge and postnatal in-hospital death (5 excluded), respectively, and 26 and 35 cases with and without NDI, respectively, using maternal, prenatal, and postnatal records. A high rate of survivors’ follow-up (61/65) was achieved in this study. Results: The survival rate was 75.0% (21/28) and 62.0% (44/71) among infants born at 22 and 23 weeks’ gestation, respectively. Infants who died weighed less (525.5 vs. 578 g, p = 0.04) and their intrauterine growth retardation (IUGR) rate (<5th percentile) was higher (14.7 vs. 1.5%, p = 0.02). Mortality was associated with an increased incidence of bradycardia on fetal heart rate monitoring (11.8 vs. 1.5%, p = 0.046), periventricular hemorrhagic infarction (PVHI; 32.4 vs. 6.2%, p = 0.001), necrotizing enterocolitis (NEC, surgery or drain tube; 14.7 vs. 0.0%, p = 0.004), and tension pneumothorax (29.4 vs. 6.2%, p = 0.004). There were significant differences in the proportion of PVHI (15.4 vs. 0%, p = 0.03) between infants with and without NDI. Conclusions: IUGR, bradycardia, PVHI, NEC, and tension pneumothorax were associated with neonatal mortality among infants born at 22–23 weeks’ gestation. NDI at 36–42 months’ chronological age was associated with PVHI.

Validation of the loop-mediated isothermal amplification method for rapid and sensitive detection of Ureaplasma species in respiratory tracts of preterm infants.

IntroductionA simple and rapid diagnosis of Ureaplasma spp. is required for the choice of the appropriate antibiotic. However, an ideal detection method has not been available. This study examines the efficacy of the loop-mediated isothermal amplification (LAMP) assay, which provides rapid and sensitive results, to detect Ureaplasma spp. in respiratory tract samples of preterm infants.MethodsThe study included preterm infants born before 32 weeks of gestation admitted Kagoshima City Hospital from June 2018 to March 2020. Nasopharyngeal swabs and/or tracheal aspirates were obtained in the first seven postnatal days. One hundred sixty-seven nasopharyngeal swabs and 101 tracheal aspirates were analyzed by LAMP, culture, and quantitative real-time polymerase chain reaction.ResultsAll 167 infants had a median (range) gestational age of 28.7 weeks (22.3–30.9) and birthweight 1030g (322–1828). One hundred sixty-seven nasopharyngeal swabs and 101 tracheal aspirates were obtained. In the results of nasopharyngeal swabs, the sensitivity and specificity of LAMP were 73.9% (17/23) and 97.2% (140/144), whereas those of quantitative real-time polymerase chain reaction were 73.9% (17/23) and 95.8% (138/144), compared to culture. In the results of tracheal aspirates, the sensitivity and specificity of LAMP were 89.5% (17/19) and 92.7% (76/82), whereas those of quantitative real-time polymerase chain reaction were 89.5% (17/19) and 93.9% (77/82), compared to culture.ConclusionsThe LAMP assay showed similar sensitivity and specificity with quantitative real-time polymerase chain reaction in the respiratory tracts of preterm infants including extremely preterm infants during the immediate postnatal period. Therefore, the LAMP is a practical alternative for the early detection so that appropriate antibiotics can be administered for preventing BPD.

Seismic Intensity Distribution of the 1914 Sakurajima Earthquake in Kagoshima City, Japan

Seismic Intensity Distribution of the 1914 Sakurajima Earthquake in Kagoshima City, Japan

Evacuation behavior of residents inside and outside of the sediment disaster warning area in Kagoshima City during heavy rain from the end of June 2019

Evacuation behavior of residents inside and outside of the sediment disaster warning area in Kagoshima City during heavy rain from the end of June 2019

Assessment of risk factors for cystic periventricular leukomalacia.

Periventricular leukomalacia (PVL) is an important cause of cerebral palsy in premature infants, and cystic PVL is the most serious form of the disease. The risk factors for cystic PVL in singleton fetuses at a gestational age of <35 weeks are unclear. This study included 2013 singleton birth infants delivered at a gestational age of <35 weeks in Kagoshima City Hospital between 2006 and 2017. The findings for 30 infants with cystic PVL were compared with those for 63 matched control infants by gestational age and birth weight. The cystic PVL was associated with increased incidence of recurrent late deceleration (L/D) (43.4% vs. 15.9%, P = 0.004) and loss of variability (LOV) (10.0% vs. 0.0%, P = 0.03) in fetal heart rate monitoring and late-onset circulatory dysfunction (LCD) (33.3% vs. 11.1%, P = 0.02). Logistic regression analysis revealed that recurrent L/D (odds ratio [OR] = 3.57, 95% confidence interval [CI]: 1.29-10.15, P = 0.01) and LCD (OR = 3.41, 95% CI: 1.09-11.04, P = 0.03) were risk factors associated with cystic PVL. LOV was not included in the multivariate analysis as there were too few cases in both the cystic PVL and control groups. Recurrent L/D, LOV and LCD are strongly associated with cystic PVL. In cases of fetal acidosis related to recurrent L/D or loss of variability, cystic PVL may occur.

Risk factors for development of ventricular tachycardia in patients with ventricular premature contraction with a structurally normal heart.

BackgroundWe examined risk factors for development of ventricular tachycardia (VT) in pediatric patients with ventricular premature contractions (VPCs) and a structurally normal heart.MethodsThe subjects were 81 844 first graders and 88 244 seventh graders of Kagoshima City School‐based cardiovascular screening (SCV‐screening) between 2001 and 2015. We retrospectively reviewed the clinical data of students who were diagnosed as having VPC.ResultsVentricular premature contractions were observed in 134 first graders (0.16%) and 270 seventh graders (0.31%). On the screening electrocardiograms (ECGs), 43 patients (11%) showed bi‐/trigemini, three patients (0.7%) showed a couplet, and one patient showed VT. We obtained 166 patients' follow‐up information and evaluated 59 patients (36%) as improved, 97 patients (58%) as no change, and 10 patients (6%) as worsened (couplets, five; triplets, two; VT, three). We assumed that these worsened patients have risk factors for development of VT. Comparing the findings of SCV‐screening ECGs of risk patients with the others, a significant difference was observed only in the number of VPCs (per 10 seconds) (mean ± SD; 4.3 ± 2.6 vs 1.8 ± 1.4, P < .0001). A logistic regression analysis revealed that the number of VPCs was significant (P < .001, odds ratio; 2.01, 95% confidence intervals; 1.46‐2.93). Receiver operating characteristics analysis showed an adequate cut‐off number of three VPCs for the risk, the sensitivity was 89% and the specificity was 77%.ConclusionsOf the patients with VPC and a structurally normal heart, a few patients developed VT. Careful observation is important in patients who had three or more VPCs on SCV‐screening ECG.

β2 microglobulin and lactate dehydrogenase are indices of different features of Mycoplasma pneumoniae-associated community-acquired lower respiratory tract infection for severity evaluation in children

Using the hospital records, we retrospectively assessed whether urinary β2 microglobulin/creatinine ratio (UBCR) and lactate dehydrogenase (LD) values could be used to estimate the severity of Mycoplasma pneumoniae-associated lower respiratory tract infection (MP-LRTI). We studied 48 patients with MP-LRTI (median age, 7.5 years; range, 3–14 years) admitted to Kagoshima City Hospital and examined the relationships of the UBCR or LD values with fever and pulmonary tissue damage (hypoxemia and severity assessments on chest radiographs). Patients were assigned to four groups based on whether they had fever and/or hypoxemia. Patients with high fever showed significantly higher UBCR values than those without (P < 0.05), whereas those with hypoxemia showed higher LD values than those without (P = 0.001). The maximum body temperature on admission was closely associated with the UBCR but not with LD levels. In chest radiography assessments, LD levels were significantly higher in patients with severe than mild or moderate MP-LRTI. A cut-off LD level of 530 IU/L showed a very high sensitivity (100%) and specificity (93%). Although UBCR values were higher in patients with severe MP-LRTI, the differences were not statistically significant. Our study shows that the UBCR is associated with body temperature, whereas LD levels may serve as an index of pulmonary tissue damage in children with MP-LRTI.

Salt intake questionnaire and salt taste sensitivity test for the volunteers participating in a CKD enlightenment event in Kagoshima city

Salt intake questionnaire and salt taste sensitivity test for the volunteers participating in a CKD enlightenment event in Kagoshima city

Distribution and Change of CBD Functions in the Central Area of Kagoshima City

Distribution and Change of CBD Functions in the Central Area of Kagoshima City