Intergenerational Child Care Support and the Fluctuating Fertility: A Note

This paper describes the relation between fertility and intergenerational child-care support provided by grandparents in a model based on the overlapping generations model with endogenous fertility. Results show that intergenerational child-care support causes fertility to fluctuate. This paper presents an alternative model of fluctuating fertility shown by the `Easterlin Hypothesis' described by Benhabib and Nishimura (1989), and others. Moreover, this paper shows that an increase in rewards for child care supplied by older people does not always increase child care. Consequently, younger people can not depend on sufficient intergenerational child-care support.Fluctuational fertility, Intergenerational child-care support

Differential diagnosis of nonepileptic twilight state with convulsive manifestations after febrile seizures

Background Nonepileptic twilight state with convulsive manifestations (NETC) is a nonepileptic state following a febrile seizure (FS), which may be misdiagnosed as a prolonged seizure and result in overtreatment. We aimed to describe clinical manifestations of NETC and to determine characteristics that are helpful to distinguish NETC from other pathological conditions. Methods We conducted a retrospective chart review from January 2010 to December 2016 and selected the patients who presented with symptoms resembling status epilepticus with fever and a confirmed diagnosis using an electroencephalogram (EEG). We compared the NETC clinical features and venous blood gas analysis results with those of other conditions that mimic NETC. We also compared the characteristics of NETC with past reports. Results Our NETC patients presented with short durations of the preceding generalized convulsions followed by tonic posturing, closed eyes, no cyanosis, responsiveness to painful stimulation, and no accumulation of CO2 in the venous blood gas. Most of these characteristics were consistent with past reports. Prolonged FS or acute encephalopathy with biphasic seizures and late reduced diffusion (AESD) showed several of these features, but all the characteristics were not consistent with our study. Conclusions Prolonged FS and AESD need to be differentiated from NETC, and close clinical observation makes it possible to partially distinguish NETC from the other conditions. EEG is recommended for patients with symptoms that are inconsistent with these features

石原伸志・魚住和宏・大泉啓一郎 編著 『ASEAN の流通と貿易 －AEC 発足後のGMS 産業地図と企業戦略－』

書