A late presenter and long-term survivor of alveolar capillary dysplasia with misalignment of the pulmonary veins.

UNLABELLED: This report demonstrates a late presenter and long-term survivor (38 months old) of alveolar capillary dysplasia with misalignment of the pulmonary veins (ACD/MPV) and with a heterozygous frameshift mutation in FOXF1. The mild phenotype may be due to his residual normal lung tissue as demonstrated in the chest computed tomography (CT) and histopathological findings. CONCLUSION: We report the longest survivor of ACD/MPV. The mild phenotype is most likely due to the patient's residual normal lung tissue.

[From a view of the wheelchair users--a training report of the students on barrier-free environment in Sapporo].

This short report describes what we learned from our training session on the use of the wheelchair in the various parts of Sapporo City. The session was conducted in July 2000 as one of the public health field training programs for fourth-year medical students of Hokkaido University School of Medicine. We, as a set of 5 people with the wheelchair, actually toured the street, subways, big department stores, banks, and other public facilities and buildings to assess their social and physical environment in a context of barrier-free society, so that some suggestions may be given to the City for the development of an appropriate welfare system. We also evaluated people's attitudes to the wheelchair users. We learned that 1) it is not easy for the wheelchair users to move around; it's much more difficult than we thought; 2) there are a lot of barriers and obstacles in a social environment for the wheelchair users; 3) many people have not noticed these barriers. This training was very instrumental in terms of understanding the barrier-free environment from the view of wheelchair users. Comprehensive city planning is necessary to accommodate the various individuals and senior citizens with different handicaps. Furthermore, our own view of a barrier-free society must be changed.