In the present study, a coordinator at a school for children with special needs intervened in the local community by providing consultation about producing a support system for children who were in transition to the school. This practice created necessary conditions for the children's successful transfer, taking optimization of existing resources into consideration by arranging tools, holding meetings for supporting the transition, facilitating shared understanding of plans for educational support, and providing training to develop the skills of relevant people. People in contact with the children shared the view that the children's behavior changed over time. The coordinator at the special school had discussions with key persons about setting specifıc goals, and bonded with local organizations and relevant people. This practice influenced the local arrangement of support systems for the children's transition to the school. Future studies should specify knowledge and skills that coordinators need in order to be involved locally.

The present article describes support for a boy who had been diagnosed as having Asperger syndrome and was in transition from a day care center to a regular elementary classroom. The following were considered to be important: (a) organizing a team, (b) arranging tools for sharing information, and (c) appointing a manager responsible for integrating the support. A meeting for the transition team that was held before the boy entered the regular school brought a sense of coordination and cooperation to related parties both in the day care center and in the elementary school, which, in turn, resulted in the implementation of support in the elementary school, based on an individualized education plan. Further, successive meetings after the boy had entered school provided transition support within the school system. The boy adapted to the school better in the second semester than in the fırst, which reduced the parents' concerns. Based on these results, the discussion recommends the method of sharing information during the transition, holding meetings for transition support continuously both before and after a child's entrance to regular school, and management of integrated transition support by an itinerant consultation team.

Today, well over 160,000 patients undergo dialysis throughout Japan. The number of patients who are newly required to receive it is increasing year by year. Given that situation, our hospital has annually held a seminar since October 1994 for patients with renal diseases. The purpose is to slow the deterioration of renal function and to delay the introduction of dialysis by encouraging the patients to acquire a habit of taking high calory, low protein food.This seminar must have help the patients get more knowledgeable about morbidity and learn the benefit of low protein rice-based diet. Now that three years have passed since the opening of the course, we reviewed the outcome, comparing the effects of old and new restrict diets.A difference began to appear 9-2 months after the lst seminar between the seminar participants and the non-participants (control group) who received guidance only at the outpatient ward. The average rate of decrease in the serum creatine level of those participants who eated lowprotein rice was 0.029 and that of those participants who did not eat the restricted food was 0.166 (p <0.05), compared with 0.262 in the control group. We concluded that the difference is ascribable to the effect of the seminar. We would like to contribute to the well-being of the patients by enriching the content of the seminar and continuing to hold it.