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    ダマガタケン ニオケル シュリョりシャ ノ ゞッタむ ト シュリョり カツドり ノ カダむ

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    This study was conducted in Yamagata Prefecture, where agricultural damage by wild animals is common, with the aim to understand the actual situation of hunters and to discuss issues related to future hunting activities. The survey was conducted in October 2021 by distributing questionnaires to hunters who were registering in the hunter registration agency, and collecting them on the spot after being filled out by the hunters themselves. A total of 540 copies of the questionnaire were distributed and 447 were collected. The results of the survey revealed the following. First, 70.8 of all hunters were in their 60s or older, and only 8.9 were in their 30s or younger. Since many hunters will retire from hunting in the near future, securing and training new hunters is considered an urgent task. Second, the overwhelming majority of hunters are licensed for first category gun hunting, and trap hunting. Farmers capture wild boars and bears as a pest control measure either because of actual damage to agricultural products or at their request, both within and beyond the hunting season. Non-farmers hunt pheasants, copper pheasants, and ducks for leisure and private consumption during the hunting season. Third, 90.4 of hunters are interested in the training of young hunters. More than half of the hunters discuss with their family, friends, and other close relations about hunting and allow them to observe hunting in order to encourage the participation of new hunters. However, 37.7 of hunters do not carry out any promoting activity. In the future, the use of SNS is considered as an effective tool for the dissemination of information about hunting and gibier


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    MRI ASL(arterial spin labeling)でCrossed cerebellar hypoperfusion(CC hypo)/hyperperfusion(CC hyperオ ヒョりカ ã‚·ã‚šã‚¿ ゞュツゎ カカンリュり ショりコりグン ト ヒケむレンセむ テンカン ゞュりセキ ゞョりタむ ノ レむ

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    【背景】 MRI ASLarterial spin labelingは造圱剀を甚いるこず無く脳血流を評䟡できる画像怜査で、䜎䟵襲か぀簡䟿であり近幎普及しおきおいる。䞀方、Crossed cerebellar diaschisisCCDは、䞀偎倧脳皮質の代謝倉化が倧脳橋小脳路を介した遠隔機胜障害により、察偎小脳の代謝倉化を来たし、それに応じお脳血流が倉化する珟象である。Crossed cerebellar hypoperfusionCC hypo/hyperperfusionCC hyperを評䟡するこずによる倧脳の代謝評䟡から病態を掚察出来る可胜性がある。MRI ASLによるCC hypo/hyper所芋が蚺断に有甚であった術埌過灌流症候矀ず非痙攣性おんかん重積状態non-convulsive status epilepticus: NCSEの䟋を報告する。【臚床経過】 症䟋は22歳男性、もやもや病にお巊偎血行再建術を斜行埌脳血流は増加したが術埌感芚性倱語を呈し、CC hypoを認めた。症䟋は78歳男性、髄膜腫にお腫瘍摘出術を斜行埌、意識障害が遷延し、摘出呚囲の脳血流増加所芋ずCC hyperを認めた。これらの所芋をもずに症䟋は血行再建埌過灌流症候矀、症䟋はNCSEず蚺断し治療を行い、䞡者ずも治療経過は良奜であった。【結論】 MRI ASLによるCC hypo/hyper所芋は蚺断に有甚であった。䜆し、NCSEは発症からのASL撮像時期により、CC hyper/CC hypo所芋が異なる可胜性があるため、結果の解釈には発症時期を考慮する必芁がある


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    胞郚化孊攟射線治療埌、免疫チェックポむント阻害薬䜵甚化孊療法䞭に巊房内血栓を 合䜵した肺腺癌の䞀䟋

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    We report the case of a 72-year-old man diagnosed with left lower lobe lung adenocarcinomacT2aN3M0 stage IIIB exacerbated by multiple liver metastases and meningeal dissemination after completing 10 courses of durvalumab followed by chemoradiation therapy. The patient was treated with nivolumab, ipilimumab, carboplatin, and pemetrexed combination therapy for stage 4 non-small cell lung cancer. After completion of the two courses, efficacy evaluation CT findings revealed the therapeutic effects of treatment on meningeal dissemination and liver metastasis; however, a thrombus was observed in the left atrium. The patient was treated with heparin and warfarin. CT scan images on day 14 of treatment showed shrinkage of the thrombus. Thrombosis after immunotherapy is a rare adverse event. So far, intracardiac thrombosis with this regimen has not been reported, and there is no established treatment. Since thoracic radiation therapy and treatment with immune checkpoint inhibitors for lung cancer patients improve their prognosis, it is expected that their frequency of use will increase in the future. We report this investigation to accumulate more cases of this condition

    ゟりキ コテむ ペり シリコン デバむス ト ブンベン ペり デンドり キュりむン ゜りチ ヲ ヘむペり シタ ラン゜り シュペり ガッペむ ニンシン ノ アむゎテキ ナ シュゞュツ ホりホり

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    【背景】 劊嚠䞭に発芋される卵巣腫瘍は卵巣腫瘍茎捻転や卵巣腫瘍砎裂などのリスクがあり手術適応であるが、劊嚠子宮が芖野の劚げになり手術に難枋するこずが倚い。そこで我々は臓噚固定甚シリコンデバむスず分嚩甚電動吞匕装眮を利甚した腹腔鏡䞋の手術方法を考案した。この方法により安党に手術を行えた症䟋を経隓したので報告する。【症䟋】 症䟋は33歳女性、卵巣腫瘍の手術蚈画䞭に自然劊嚠した。劊嚠12週日、ダグラス窩に䜍眮する右卵巣皮様嚢腫合䜵劊嚠に察しお腹腔鏡䞋に卵巣腫瘍摘出術を行った。症䟋は31歳女性、劊嚠䞭偶発的にダグラス窩に䜍眮する右卵巣腫瘍を指摘された。劊嚠13週の右卵巣皮様嚢腫合䜵劊嚠に察しお腹腔鏡補助䞋に卵巣腫瘍摘出術を行った。いずれの症䟋でも臓噚固定甚シリコンデバむスを甚いたずころ、劊嚠子宮には愛護的に、卵巣腫瘍を砎裂させるこずなく摘出するこずができた。たた分嚩甚電動吞匕装眮の䜵甚により術者の操䜜性が向䞊した。いずれの症䟋も術埌の劊嚠経過、分嚩経過に異垞はなかった。【結論】 卵巣腫瘍合䜵劊嚠の症䟋に察しお臓噚固定甚シリコンデバむスを甚いた手術法により劊嚠子宮に愛護的に操䜜するこずができた。我々の考案した方法は、特にダグラス窩に䜍眮する皮様嚢腫合䜵劊嚠の手術時の遞択肢になりうるず考えられた


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