RESUMEN
Background: Gestational psittacosis is one of the causes of unanticipated maternal death but has been difficult to diagnose early in clinical practice. Case Presentation: A 28-year-old woman who was 7 months pregnant experienced flu-like symptoms, which deteriorated. She was brought to our hospital in shock, and the fetus was nonviable. The patient was diagnosed with pneumonia and septic shock and administered meropenem. Despite aggressive resuscitation, she died 7 h after symptom onset. After obtaining consent from the patient's family, the autopsy was done to identify the cause of death. Microscopically, there was intervillous neutrophil accumulation in the placenta. Genetic analysis detected the Chlamydia psittaci gene in several organs, including placenta. Conclusion: Gestational psittacosis should be considered for a pregnant woman with flu-like symptoms. Moreover, unanticipated death of a pregnant woman might warrant a detailed autopsy to reveal the cause of death.
RESUMEN
Awareness and support for developmental disorders are increasing in Japan. In the education field, support from school counselors for students with developmental disorders and their roles and responsibilities in elementary schools are on the rise. However, identifying and addressing specific conditions and developmental disorders that require school counselors' attention are not clearly planned. Therefore, this study explored the characteristics of students who require elementary school counselors' support owing to developmental disorders. The participants included 17 school counselors who were experienced in working at elementary schools. Through semi-structured interviews, 30 cases were discussed, examined, and categorized based on "case characteristics," "classification of the main complaint," "basic information on the diagnosis," and "type of support." The analysis included detailed viewpoints of 13 school counselors, a code frequency table, and contrast tables, focusing on the main complaint and diagnosis. Regarding the children whose main complaint was "school refusal," eight out of nine cases were in the fourth grade or above, with several cases of suspected developmental disorders or autism spectrum disorder. The number of children with comorbid attention-deficit hyperactivity disorder, including suspected cases, seemed to be higher, especially in Grades 3-5. The study highlighted the importance of assessing students' developmental characteristics related to the main complaint in the background of a secondary problem. Furthermore, early detection and interventions should be conducted in the first and second grades.
RESUMEN
Youths in Japanese residential care institutions often face challenges with social adaptation and career trajectories. This study aimed to examine the risk factors that lead residential care youths in Japan to drop out of high school. Eighty-nine residential care facilities completed a questionnaire that focused on the characteristics of residing high school students, their educational status, experiences of maltreatment before residence, diagnosed disabilities, and the timing of admission. A sample composed of 773 youths was analyzed. Among the facilities, the high school dropout rate among youths in residential care was 19.3% (n = 149). Data revealed that the time of admission had the utmost significant effect. The risk of dropping out for youths admitted at junior high school age was significantly higher than for youths admitted before that age. Overall, residential care youths had a higher risk of not adapting to high school, and youths receiving short-term care demonstrated difficulty continuing high school. These results illustrate the importance of psychological treatment and educational support for youth who enter residential care during adolescence. Hence, attention should be focused on improving youth engagement in school to improve their social and career outcomes.