ショウガイガク ノ ドウコウ Disability Society ヲ テガカリニ

研究ノー

QUANTITATIVE ASSESSMENT OF LIVELIHOODS AROUND GREAT APE RESERVES: CASES IN LUO SCIENTIFIC RESERVE, DR CONGO, AND KALINZU FOREST RESERVE, UGANDA

This study analyzed the livelihoods of people living around two great ape reserves in Africa, the Luo Scientific Reserve, Democratic Republic of the Congo, and the Kalinzu Forest Reserve, Uganda, based on quantitative assessments carried out for several years. The results show clear differences in food sources between the two sites. The forest is an important food source in Luo, whereas the market is central in Kalinzu. This difference should be acknowledged when adjusting management plans for the great ape reserves to fit the actualities of local livelihoods. For example, in Kalinzu, restricted forest use can be compensated by an increase in cash income, which is more acceptable than in Luo, where the market economy is less developed and the forest provides most of the protein consumed by local people. This difference in degree of integration into the market economy presents different challenges for the long-term management of the reserves

Surgical Repair of Subacute Right Ventricular Perforation after Pacemaker Implantation

We report an 84-year-old woman who presented with right ventricular perforation 4 days after pacemaker implantation for syncope due to sick sinus syndrome. Median sternotomy revealed no pericardial effusion, but the pacing lead had penetrated the right ventricle and pericardium. When the pleura was opened, the tip of the lead was seen in the visceral pleura. The lead was cut in the pericardial cavity and extracted from the left subclavian wound together with the generator. The right ventricular perforation was sutured and a temporary pacing lead was placed on the right ventricular wall intraoperatively. Ten days after the surgery, a new pacemaker lead was placed in the ventricular septum via the right axillary vein. Right ventricular perforation is a rare complication after pacemaker implantation. Typically, it occurs at the time of implantation or within 24 hours after implantation. In the present case, the perforation of the right ventricle which needed urgent surgery occurred 4 days after implanting the pacing lead at the right ventricular apex. Great care should have been taken not to overlook this life-threatening complication even more than 24 hours after pacemaker implantation