{"id":11917,"date":"2018-05-29T17:54:29","date_gmt":"2018-05-29T08:54:29","guid":{"rendered":"http:\/\/itell-tao.com\/gotohiromichi\/?p=11917"},"modified":"2024-08-24T20:06:07","modified_gmt":"2024-08-24T11:06:07","slug":"osce-rural-gp","status":"publish","type":"post","link":"https:\/\/itell-tao.com\/gotohiromichi\/footsteps\/medical_school\/osce-rural-gp\/","title":{"rendered":"\u30aa\u30fc\u30b9\u30c8\u30e9\u30ea\u30a2\u533b\u5b66\u90e8\u3001\u3078\u304d\u5730\u533b\u7642\u7814\u4fee\u306e\u8a3a\u7642\u80fd\u529b\u691c\u67fb"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p>\u307c\u304f\u306f\u3044\u307e\u3001\u30aa\u30fc\u30b9\u30c8\u30e9\u30ea\u30a2\u306e\u533b\u5b66\u90e8\u306b\u901a\u3063\u3066\u3044\u308b\u3002\u65e9\u3044\u3082\u306e\u3067\u3001\u3082\u3046\u3059\u3067\u306b\u533b\u5b66\u90e8\u306e\u6700\u5f8c\u306e\u5b66\u5e74\u3092\u904e\u3054\u3057\u3066\u3044\u308b\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u3053\u308c\u307e\u3067\u3001\u307c\u304f\u304c\u5b9f\u969b\u306b\u53d7\u3051\u3066\u304d\u305f\u3001<a href=\"https:\/\/itell-tao.com\/gotohiromichi\/medical_school\/%EF%BC%94%E5%B9%B4%E7%94%9F\/anaesthesia-pain\/\" target=\"_blank\" rel=\"noopener noreferrer\">\u9ebb\u9154\u79d1<\/a>\u3001<a href=\"https:\/\/itell-tao.com\/gotohiromichi\/medical_school\/%EF%BC%94%E5%B9%B4%E7%94%9F\/palliative-care\/\" target=\"_blank\" rel=\"noopener noreferrer\">\u7de9\u548c\u30b1\u30a2<\/a>\u3001<a href=\"https:\/\/itell-tao.com\/gotohiromichi\/medical_school\/%EF%BC%94%E5%B9%B4%E7%94%9F\/oncology\/\" target=\"_blank\" rel=\"noopener noreferrer\">\u816b\u760d\u79d1<\/a>\u3001<a href=\"https:\/\/itell-tao.com\/gotohiromichi\/medical_school\/%EF%BC%94%E5%B9%B4%E7%94%9F\/selective-neurosurgery\/\" target=\"_blank\" rel=\"noopener noreferrer\">\u8133\u795e\u7d4c\u5916\u79d1<\/a>\u3001<a href=\"https:\/\/itell-tao.com\/gotohiromichi\/medical_school\/%EF%BC%94%E5%B9%B4%E7%94%9F\/rural-gp\/\" target=\"_blank\" rel=\"noopener noreferrer\">\u3078\u304d\u5730\u533b\u7642<\/a>\u306e\u7814\u4fee\u306b\u3064\u3044\u3066\u304a\u8a71\u3057\u3057\u3066\u304d\u305f\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\uff14\u9031\u9593\u534a\u306e\u3078\u304d\u5730\u533b\u7642\u7814\u4fee\u3092 <a href=\"https:\/\/www.collierivervalley.com.au\/collie-visitor-centre\/\" target=\"_blank\" rel=\"noopener noreferrer\">Collie<\/a> \u3067\u884c\u3044\u3001\u30d1\u30fc\u30b9\u306b\u623b\u3063\u3066\u304d\u305f\u6b21\u306e\u65e5\u306b\u3001\u8a3a\u7642\u80fd\u529b\u691c\u67fb\u304c\u3042\u3063\u305f\u306e\u3067\u3001\u305d\u306e\u3053\u3068\u306b\u3064\u3044\u3066\u304a\u8a71\u3057\u3057\u3088\u3046\u3068\u601d\u3046\u3002<\/p>\n<p>&nbsp;<\/p>\n<div class=\"youtube-embed\" data-video_id=\"QPT2CxU0Emc\"><iframe title=\"Collie WA 2011a\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/QPT2CxU0Emc?feature=oembed&#038;enablejsapi=1\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<p>&nbsp;<\/p>\n<p>\u307e\u305a\u3001\u8a3a\u7642\u80fd\u529b\u691c\u67fb\u306e\u3053\u3068\u3092\u77e5\u3089\u306a\u3044\u4eba\u306e\u305f\u3081\u306b\u7c21\u5358\u306b\u8aac\u660e\u3057\u3066\u304a\u304f\u3002\u8a3a\u7642\u80fd\u529b\u691c\u67fb\u3068\u306f\u3001<strong>\u300c\u3042\u306a\u305f\u306e\u533b\u8005\u3068\u3057\u3066\u306e\u81e8\u5e8a\u80fd\u529b\u3092\u691c\u67fb\u3059\u308b\u3082\u306e\u300d<\/strong>\u3067\u3001<strong>\u7d04\uff11\uff10\uff5e\uff12\uff10\u5206\u306e\u9593\u306b\u3001\u60a3\u8005\u3055\u3093\u3092\u76f8\u624b\u306b\u554f\u8a3a\u3001\u8eab\u4f53\u691c\u67fb\u3001\u533b\u7642\u691c\u67fb\u3001\u8a3a\u65ad\u3001\u6cbb\u7642\u3001\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u3092\u884c\u3046\u3002<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>\u8a3a\u7642\u80fd\u529b\u691c\u67fb\u306f\u8a66\u9a13\u306b\u3088\u3063\u3066\u91cd\u8981\u8996\u3055\u308c\u308b\u90e8\u5206\u304c\u5909\u308f\u308b\u3002\u4f8b\u3048\u3070\u3001\u60a3\u8005\u3055\u3093\u304b\u3089\u8a73\u3057\u3044\u8a73\u7d30\u3092\u805e\u304d\u51fa\u3055\u306a\u3051\u308c\u3070\u3044\u3051\u306a\u3044\u554f\u8a3a\u80fd\u529b\u306e\u691c\u67fb\u3082\u3042\u308c\u3070\u3001\u60a3\u8005\u3055\u3093\u306b\u795e\u7d4c\u5b66\u7684\u691c\u67fb\u3092\u884c\u3044\u969c\u5bb3\u3092\u53d7\u3051\u3066\u3044\u308b\u8133\u306e\u90e8\u4f4d\u3092\u63a8\u6e2c\u3057\u305f\u308a\u3001\u6551\u6025\u6cbb\u7642\u5ba4\u3067\u5fc3\u81d3\u767a\u4f5c\u306e\u60a3\u8005\u3055\u3093\u3092\u8607\u751f\u3059\u308b\u30b7\u30ca\u30ea\u30aa\u306a\u3069\u69d8\u3005\u306a\u3082\u306e\u304c\u3042\u308b\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u4eca\u56de\u307c\u304f\u304c\u53d7\u3051\u305f\u8a3a\u7642\u80fd\u529b\u691c\u67fb\u306f\u3001\u304a\u533b\u8005\u3055\u3093\u3067\u3042\u308b\u691c\u67fb\u5b98\u304b\u3089\u30b7\u30ca\u30ea\u30aa\u3092\u6e21\u3055\u308c\u3001\u300c\u3042\u306a\u305f\u306f\u753a\u533b\u8005\u3067\u3059\u3002\u3069\u3046\u3057\u307e\u3059\u304b\uff1f\u300d\u3068\u3044\u3046\u3082\u306e\u3060\u3063\u305f\u3002\u5185\u5bb9\u306f\u9055\u3046\u304c\u3001\u5927\u4f53\u3053\u3093\u306a\u611f\u3058\u3067\u691c\u67fb\u306f\u884c\u308f\u308c\u305f\u3002<\/p>\n<p>&nbsp;<\/p>\n<div class=\"youtube-embed\" data-video_id=\"7lSkNru3gXc\"><iframe title=\"OSCE station demonstration\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/7lSkNru3gXc?feature=oembed&#038;enablejsapi=1\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<p>&nbsp;<\/p>\n<p>\u3078\u304d\u5730\u533b\u7642\u306f\u3001\u533b\u7642\u65bd\u8a2d\u30fb\u533b\u7642\u8cc7\u6750\u4e0d\u8db3\u3001\u75c5\u9662\u3084\u30af\u30ea\u30cb\u30c3\u30af\u307e\u3067\u306e\u30a2\u30af\u30bb\u30b9\u306e\u60aa\u3055\u3001\u4f4f\u6c11\u306e\u533b\u7642\u77e5\u8b58\u306e\u4f4e\u4e0b\u306a\u3069\u3001\u90fd\u5fc3\u90e8\u306e\u533b\u7642\u3068\u306f\u7570\u306a\u308b\u90e8\u5206\u304c\u3042\u308b\u3002\u305d\u308c\u3089\u306e\u3053\u3068\u3092\u982d\u306b\u5165\u308c\u306a\u304c\u3089\u3001\u8a3a\u7642\u80fd\u529b\u691c\u67fb\u3092\u53d7\u3051\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u307c\u304f\u304c\u5b9f\u969b\u306b\u53d7\u3051\u305f\u8a3a\u7642\u80fd\u529b\u691c\u67fb\u306f\u3001\u4ee5\u4e0b\u306e\u3075\u305f\u3064\u3002<\/p>\n<p>\uff08\uff11\uff09\u54b3\u3092\u3057\u3066\u3044\u308b\uff13\u6b73\u306e\u7537\u306e\u5b50<\/p>\n<p>\uff08\uff12\uff09\u624b\u3092\u602a\u6211\u3057\u305f\uff15\uff13\u6b73\u306e\u7537\u6027<\/p>\n<p>\u8a73\u3057\u3044\u30b7\u30ca\u30ea\u30aa\u306f\u3001\u3064\u304e\u306e\u30da\u30fc\u30b8\u306b\u66f8\u3044\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u2193\u2193\u2193\u2193<\/p>\n<p>&nbsp;<\/p>\n<p><!--nextpage--><\/p>\n<p>&nbsp;<\/p>\n<h2>\u30aa\u30fc\u30b9\u30c8\u30e9\u30ea\u30a2\u533b\u5b66\u90e8\u3001\u3078\u304d\u5730\u533b\u7642\u7814\u4fee\u306e\u8a3a\u7642\u80fd\u529b\u691c\u67fb<\/h2>\n<p>&nbsp;<\/p>\n<h3>\uff08\uff11\uff09\u54b3\u3092\u3057\u3066\u3044\u308b\uff13\u6b73\u306e\u7537\u306e\u5b50<\/h3>\n<p><strong>\uff1c\u30b7\u30ca\u30ea\u30aa\uff1e\u3042\u306a\u305f\u306e\u30af\u30ea\u30cb\u30c3\u30af\u306b\u3001\uff13\u6b73\u306e\u7537\u306e\u5b50\u304c\u304a\u6bcd\u3055\u3093\u306b\u9023\u308c\u3089\u308c\u3066\u304d\u307e\u3057\u305f\u3002\u7537\u306e\u5b50\u306f\u6628\u65e5\u304b\u3089\u4f53\u8abf\u304c\u60aa\u304f\u3001\u5fae\u71b1\u3001\u9f3b\u6c34\u3001\u98df\u6b32\u6e1b\u9000\u3001<em>\u72ac\u5420<\/em>\u69d8\u54b3\u3092\u767a\u75c7\u3057\u3066\u3044\u307e\u3059\u3002\u7537\u306e\u5b50\u304c\u4f4f\u3093\u3067\u3044\u308b\u5834\u6240\u306f\u3001\u30af\u30ea\u30cb\u30c3\u30af\u3068\u75c5\u9662\u304b\u3089\uff12\u6642\u9593\u96e2\u308c\u305f\u5834\u6240\u3067\u3059\u3002\u3042\u306a\u305f\u306f\u753a\u533b\u8005\u3067\u3059\u3002\u3069\u3046\u3057\u307e\u3059\u304b\uff1f<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p><em>\u72ac\u5420<\/em>\u69d8\u54b3<\/p>\n<div class=\"youtube-embed\" data-video_id=\"Qbn1Zw5CTbA\"><iframe title=\"baby with Croup Stridor Barking Cough visual &amp; audio sound - When to Hospitalize.\" width=\"696\" height=\"522\" src=\"https:\/\/www.youtube.com\/embed\/Qbn1Zw5CTbA?feature=oembed&#038;enablejsapi=1\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<p>&nbsp;<\/p>\n<h4>\u691c\u67fb\u5b98\u306b\u8cea\u554f\u3059\u308c\u3070\u4e0e\u3048\u3089\u308c\u308b\u60c5\u5831<\/h4>\n<p><strong><span style=\"text-decoration: underline;\">\u554f\u8a3a<\/span><\/strong><\/p>\n<ul>\n<li>\u75c5\u6b74\u7121\u3057<\/li>\n<li>\u51e6\u65b9\u85ac\u7121\u3057<\/li>\n<li>\u30a2\u30ec\u30eb\u30ae\u30fc\u7121\u3057<\/li>\n<li>\u30ef\u30af\u30c1\u30f3\u63a5\u7a2e\u6709\u308a<\/li>\n<li>\u4ed6\u306e\u5bb6\u65cf\u306f\u5143\u6c17<\/li>\n<\/ul>\n<p><span style=\"text-decoration: underline;\"><strong>\u8eab\u4f53\u691c\u67fb<\/strong><\/span><\/p>\n<ul>\n<li>\u304a\u3082\u3061\u3083\u3067\u904a\u3093\u3067\u3044\u308b<\/li>\n<li>\u4f53\u6e29 37.1<\/li>\n<li>\u5fc3\u62cd\u6570 100<\/li>\n<li>\u547c\u5438\u6570 20<\/li>\n<li>SaO2 93%<\/li>\n<li>\u7570\u7269\u6df7\u5165\u7121\u3057<\/li>\n<li>\u5598\u9cf4\u7121\u3057<\/li>\n<li>\u75f0\u7121\u3057<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>\u305d\u308c\u3067\u306f\u3001\u307c\u304f\u304c\u5b9f\u969b\u306b\u72af\u3057\u305f\u9593\u9055\u3044\u3092\u542b\u3081\u3001\u3059\u3079\u3066\u304a\u8a71\u3057\u3057\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<h4>\u307c\u304f\u304c\u5b9f\u969b\u306b\u3084\u3063\u305f\u3053\u3068<\/h4>\n<p>\u8a3a\u65ad\uff1a\u30af\u30eb\u30fc\u30d7\uff08<em>\u72ac\u5420<\/em>\u69d8\u54b3\uff09<\/p>\n<p>\u8aac\u660e\uff1a\u30a6\u30a4\u30eb\u30b9\u306e\u75c5\u6c17\uff08\u6297\u751f\u7269\u8cea\u3044\u3089\u306a\u3044\u3088\uff09<\/p>\n<p>\u6cbb\u7642\uff1a\u9178\u7d20\u30de\u30b9\u30af\uff0893\uff05\u3060\u304b\u3089\uff09\u3001\u5438\u5165\u30b9\u30c6\u30ed\u30a4\u30c9\u3001\u5674\u9727\u30a2\u30c9\u30ec\u30ca\u30ea\u30f3<\/p>\n<p>\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\uff1a\u69d8\u614b\u304c\u60aa\u5316\u3057\u305f\u3089\u75c5\u9662\u306b\u3059\u3050\u306b\u884c\u3063\u3066\u304f\u3060\u3055\u3044<\/p>\n<p>&nbsp;<\/p>\n<h4>\u307c\u304f\u304c\u3084\u3089\u306a\u3051\u308c\u3070\u3044\u3051\u306a\u304b\u3063\u305f\u3053\u3068<\/h4>\n<p>\u8a3a\u65ad\uff1a\u30af\u30eb\u30fc\u30d7\uff08<em>\u72ac\u5420<\/em>\u69d8\u54b3\uff09<\/p>\n<p>\u8aac\u660e\uff1a\u30a6\u30a4\u30eb\u30b9\u306e\u75c5\u6c17\uff08\u6297\u751f\u7269\u8cea\u3044\u3089\u306a\u3044\u3088\uff09<\/p>\n<p>\u6cbb\u7642\uff1a\u60a3\u8005\u306e\u89b3\u5bdf\u306e\u307f\uff08\u60aa\u5316\u3059\u308c\u3070\u3001\u9178\u7d20\u30de\u30b9\u30af\u3001\u7d4c\u53e3\u30b9\u30c6\u30ed\u30a4\u30c9\u3001\u5674\u9727\u30a2\u30c9\u30ec\u30ca\u30ea\u30f3\uff09<\/p>\n<p>\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\uff1a\u304a\u6bcd\u3055\u3093\u3068\u7537\u306e\u5b50\u306b\u753a\u306b\u3044\u3066\u3082\u3089\u3046\u3053\u3068\uff08\u75c7\u72b6\u304c\u60aa\u5316\u3057\u305f\u3068\u304d\u306e\u305f\u3081\u306b\u3001\u753a\u306e\u8fd1\u304f\u306b\uff12\u3001\uff13\u65e5\u6ede\u5728\u3059\u308b\u3053\u3068\u306f\u3067\u304d\u307e\u305b\u3093\u304b\uff1f\uff09<\/p>\n<p>&nbsp;<\/p>\n<h4>\u307c\u304f\u304c\u5b66\u3093\u3060\u3053\u3068<\/h4>\n<p>\u307c\u304f\u306f\u3053\u306e\u691c\u67fb\u3092\u30d1\u30b9\u3067\u304d\u306a\u304b\u3063\u305f\uff08\u3068\u601d\u3046\uff09\u3002\u307c\u304f\u304c\u884c\u3063\u305f\u6cbb\u7642\u304c\u4e00\u822c\u7684\u306a\u6cbb\u7642\u3068\u305d\u3053\u307e\u3067\u9055\u3046\u308f\u3051\u3067\u306f\u306a\u3044\u306b\u3082\u304b\u304b\u308f\u3089\u305a\u3001\u3067\u3042\u308b\u3002\u306a\u305c\u304b\uff1f<\/p>\n<p>&nbsp;<\/p>\n<p>\u5b9f\u306f\u3001\u8a3a\u7642\u80fd\u529b\u691c\u67fb\u306e\u691c\u67fb\u5b98\u304c\u6c42\u3081\u3066\u3044\u308b\u3053\u3068\u306f\u3001\u300c\u60a3\u8005\u3092\u5b8c\u74a7\u306b\u8a3a\u65ad\u30fb\u6cbb\u7642\u30fb\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u3067\u304d\u308b\u80fd\u529b\u300d\u3067\u306f\u306a\u3044\uff08\u3067\u304d\u308c\u3070\u9ad8\u5f97\u70b9\u3092\u7a3c\u3052\u308b\u304c\u30fb\u30fb\u30fb\uff09\u3002<strong>\u691c\u67fb\u5b98\u304c\u91cd\u8981\u8996\u3057\u3066\u3044\u308b\u3053\u3068\u306f\u3001\u300c\u3069\u3046\u3084\u3063\u3066\u8a3a\u65ad\u30fb\u6cbb\u7642\u30fb\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u3059\u308c\u3070\u3044\u3044\u304b\u5206\u304b\u3089\u306a\u3044\u72b6\u6cc1\u3067\u3001\u3084\u307f\u304f\u3082\u306b\u8a3a\u7642\u884c\u70ba\u3092\u884c\u308f\u306a\u3044\u3053\u3068\u300d\u300c\u5206\u304b\u3089\u306a\u3044\u3053\u3068\u3092\u7d20\u76f4\u306b\u8a8d\u3081\u3001\u30b7\u30cb\u30a2\u306e\u533b\u8005\u306b\u9023\u7d61\u3092\u3057\u3066\u3069\u3046\u3059\u308c\u3070\u3044\u3044\u304b\u30a2\u30c9\u30d0\u30a4\u30b9\u3092\u6c42\u3081\u305f\u308a\u3001\u533b\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3092\u78ba\u8a8d\u3059\u308b\u3053\u3068\u300d<\/strong>\u3067\u3042\u308b\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u307c\u304f\u306f\u6b63\u3057\u3044\u8a3a\u65ad\u3092\u4e0b\u3057\u305f\u304c\u3001\u30af\u30eb\u30fc\u30d7\u3092\u3069\u3046\u3084\u3063\u3066\u6cbb\u7642\u3059\u308c\u3070\u3044\u3044\u306e\u304b\u982d\u306b\u5165\u3063\u3066\u3044\u306a\u304b\u3063\u305f\u3002\u305d\u308c\u3067\u3082\u3001\u30ed\u30b8\u30ab\u30eb\u306b\u8003\u3048\u3066\u4e0a\u8a18\u306e\u3088\u3046\u306a\u6cbb\u7642\u3092\u884c\u306a\u304a\u3046\u3068\u3057\u305f\u3002\u81ea\u5206\u306e\u982d\u3067\u8003\u3048\u3088\u3046\u3068\u3057\u305f\u3053\u3068\u81ea\u4f53\u306f\u60aa\u3044\u884c\u70ba\u3067\u306f\u306a\u3044\u3002\u3057\u304b\u3057\u3001\u300c\u5371\u967a\u306a\u884c\u70ba\u300d\u3067\u3082\u3042\u308b\u3002\u3082\u3057\u307c\u304f\u306e\u30ed\u30b8\u30c3\u30af\u304c\u9593\u9055\u3063\u3066\u3044\u305f\u3089\u3001\u533b\u7642\u30df\u30b9\u306b\u3064\u306a\u304c\u308b\u304b\u3089\u3060\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u300c\u77e5\u3089\u306a\u3044\u3053\u3068\u306f\u77e5\u3089\u306a\u3044\u3002\u3060\u304b\u3089\u3001\u30b7\u30cb\u30a2\u306e\u533b\u8005\u306b\u30a2\u30c9\u30d0\u30a4\u30b9\u3092\u6c42\u3081\u305f\u308a\u3001\u533b\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u30af\u30eb\u30fc\u30d7\u306e\u5bfe\u51e6\u6cd5\u3092\u78ba\u8a8d\u3057\u307e\u3059\u3002\u300d\u3068\u8a00\u3046\u3053\u3068\u304c\u3067\u304d\u3066\u3044\u305f\u306a\u3089\u3001\u30d1\u30b9\u3067\u304d\u305f<\/strong>\u3068\u601d\u3046\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u4eca\u56de\u306e\u8a3a\u7642\u80fd\u529b\u691c\u67fb\u306f\u5931\u6557\u3057\u305f\u304c\u3001\u53ce\u7a6b\u306f\u30c7\u30ab\u304b\u3063\u305f\u3002<strong>\u300c\u77e5\u3089\u306a\u304f\u3066\u3082\u3044\u3044\u300d\u300c\u77e5\u3089\u306a\u3044\u306a\u3089\u3001\u30d8\u30eb\u30d7\u3092\u6c42\u3081\u308c\u3070\u8a3a\u7642\u80fd\u529b\u691c\u67fb\u3092\u30d1\u30b9\u3067\u304d\u308b\u300d<\/strong>\u3068\u3044\u3046\u3053\u3068\u304c\u5206\u304b\u3063\u305f\u304b\u3089\u3060\u3002\u3082\u3061\u308d\u3093\u3001\u300c\u5168\u90e8\u308f\u304b\u308a\u307e\u305b\u3093\u300d\u3060\u3068\u843d\u7b2c\u3059\u308b\u3068\u601d\u3046\u3051\u3069\u3001\u533b\u7642\u77e5\u8b58\u306e\u8a18\u61b6\u304c\u3042\u3044\u307e\u3044\u306a\u6642\u306f\u3001\u3053\u306e\u3053\u3068\u3092\u77e5\u3063\u3066\u3044\u308b\u3060\u3051\u3067\u3001\u8a3a\u7642\u80fd\u529b\u691c\u67fb\u3092\u843d\u3068\u3059\u3053\u3068\u306f\u7121\u3044\u3068\u601d\u3046\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u305d\u308c\u3067\u306f\u3001\u6b21\u306e\u30b7\u30ca\u30ea\u30aa\u300c\uff08\uff12\uff09\u624b\u3092\u602a\u6211\u3057\u305f\uff15\uff13\u6b73\u306e\u7537\u6027\u300d\u3092\u898b\u3066\u3044\u3053\u3046\u3002<\/p>\n<p>\u2193\u2193\u2193\u2193<\/p>\n<p>&nbsp;<\/p>\n<p><!--nextpage--><\/p>\n<p>&nbsp;<\/p>\n<h2>\u30aa\u30fc\u30b9\u30c8\u30e9\u30ea\u30a2\u533b\u5b66\u90e8\u3001\u3078\u304d\u5730\u533b\u7642\u7814\u4fee\u306e\u8a3a\u7642\u80fd\u529b\u691c\u67fb<\/h2>\n<p>&nbsp;<\/p>\n<h3>\uff08\uff12\uff09\u624b\u3092\u602a\u6211\u3057\u305f\uff15\uff13\u6b73\u306e\u7537\u6027<\/h3>\n<p><strong>\uff1c\u30b7\u30ca\u30ea\u30aa\uff1e\uff15\uff13\u6b73\u306e\u7537\u6027\u304c\u3001\u30c1\u30a7\u30fc\u30f3\u305d\u3046\u3067\u53f3\u624b\u306e\u7532\u306b\u5207\u308a\u50b7\u3092\u8ca0\u3044\u3001\u30af\u30ea\u30cb\u30c3\u30af\u306b\u8a2a\u308c\u307e\u3057\u305f\u3002\u7537\u6027\u306f\u3001\uff14\u5e74\u524d\u306b\u30d6\u30c9\u30a6\u7cd6\u8ca0\u8377\u8a66\u9a13\uff08\u30d6\u30c9\u30a6\u7cd6\u6295\u4e0e\u524d\uff18\uff0e\uff12\u3001\u6295\u4e0e\uff12\u6642\u9593\u5f8c\uff11\uff13\uff0e\uff15\uff09\u3092\u53d7\u3051\u3066\u3044\u307e\u3057\u305f\u304c\u3001\u305d\u306e\u5f8c\u306e\u518d\u8a3a\u6b74\u304c\u3042\u308a\u307e\u305b\u3093\u3002\u3042\u306a\u305f\u306f\u753a\u533b\u8005\u3067\u3059\u3002\u3069\u3046\u3057\u307e\u3059\u304b\uff1f<\/strong><\/p>\n<p>&nbsp;<\/p>\n<h4>\u691c\u67fb\u5b98\u306b\u8cea\u554f\u3059\u308c\u3070\u4e0e\u3048\u3089\u308c\u308b\u60c5\u5831<\/h4>\n<p><strong><span style=\"text-decoration: underline;\">\u554f\u8a3a<\/span><\/strong><\/p>\n<ul>\n<li>\u4e8b\u6545\u306e\u5185\u5bb9\uff08\u6728\u3092\u5207\u3063\u3066\u3044\u308b\u3068\u304d\u306b\u624b\u3092\u6ed1\u3089\u305b\u3066\u3001\u53f3\u624b\u306e\u7532\u306b\u304b\u3059\u308a\u50b7\u3002\u8efd\u50b7\u3060\u304c\u3001\u5ff5\u306e\u305f\u3081\u306b\u30af\u30ea\u30cb\u30c3\u30af\u306b\uff09<\/li>\n<li>\u7cd6\u5206\u30fb\u8102\u8cea\u9ad8\u3081\u306e\u98df\u4e8b<\/li>\n<li>\u9577\u6642\u9593\u306e\u673a\u4f5c\u696d<\/li>\n<li>\u7cd6\u5c3f\u75c5\u306e\u75c7\u72b6\uff08\u591a\u98f2\u3001\u591a\u98df\u3001\u591a\u5c3f\u3001\u8db3\u306e\u611f\u899a\u7570\u5e38\uff09<\/li>\n<li>\u51e6\u65b9\u85ac\u7121\u3057<\/li>\n<li>\u5bb6\u65cf\u6b74\uff1a\uff12\u578b\u7cd6\u5c3f\u75c5<\/li>\n<li>\u7834\u50b7\u98a8\u30ef\u30af\u30c1\u30f3\uff1a\uff15\u5e74\u524d<\/li>\n<li>\u55ab\u7159\uff1a\u6bce\u65e5\uff11\u7bb1\u3001\uff12\uff10\u5e74\u9593<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"text-decoration: underline;\"><strong>\u8eab\u4f53\u691c\u67fb<\/strong><\/span><\/p>\n<ul>\n<li>BMI 32.0<\/li>\n<li>\u795e\u7d4c\u5b66\u7684\u691c\u67fb\uff1a\u7570\u5e38\u306a\u3057<\/li>\n<li>\u5fc3\u81d3\u7cfb\u30fb\u547c\u5438\u7cfb\u691c\u67fb\uff1a\u8840\u5727\uff11\uff14\uff15\/\uff19\uff10<\/li>\n<li>\u76ee\u306e\u691c\u67fb\uff1a\u7570\u5e38\u306a\u3057<\/li>\n<li>\u30d6\u30c9\u30a6\u7cd6\u8840\u6db2\u691c\u67fb\uff1a\uff11\uff11\uff0e\uff13<\/li>\n<li>\u5c3f\u691c\u67fb\uff08\u30d6\u30c9\u30a6\u7cd6\u6709\uff09<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"text-decoration: underline;\"><strong>\u533b\u7642\u691c\u67fb<\/strong><\/span><\/p>\n<ul>\n<li>\u4e00\u822c\u7684\u8840\u6db2\u691c\u67fb\uff1a\u7570\u5e38\u306a\u3057<\/li>\n<li>\u8840\u7cd6\u5024\uff1a\uff11\uff11\uff0e\uff12<\/li>\n<li>HbA1C 8.2%<\/li>\n<li>\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb(LDL)\uff1a3.0<\/li>\n<li>Albumin\/Creatinine\uff1a\uff12\uff15\uff10<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>\u305d\u308c\u3067\u306f\u3001\u307c\u304f\u304c\u884c\u306a\u3063\u305f\u3053\u3068\u3092\u3059\u3079\u3066\u304a\u8a71\u3057\u3057\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<h4>\u307c\u304f\u304c\u5b9f\u969b\u306b\u3084\u3063\u305f\u3053\u3068<\/h4>\n<p><span style=\"text-decoration: underline;\"><strong>\u53f3\u624b\u306e\u50b7<\/strong><\/span><\/p>\n<p>\u8a3a\u65ad\uff1a\u8efd\u50b7<\/p>\n<p>\u8aac\u660e\uff1a\u611f\u67d3\u75c5\u306e\u53ef\u80fd\u6027<\/p>\n<p>\u6cbb\u7642\uff1a\u50b7\u306e\u30c9\u30ec\u30c3\u30b7\u30f3\u30b0\u3001\u6297\u751f\u7269\u8cea\uff08Oral cephalexin\uff09<\/p>\n<p>\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\uff1a\u7279\u306b\u306a\u3057<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"text-decoration: underline;\"><strong>\u7981\u7159<\/strong><\/span><\/p>\n<p>\u8aac\u660e\uff1a\u4f53\u3078\u306e\u5f71\u97ff\u3002\u7d4c\u6e08\u7684\u8ca0\u62c5\uff08\u30aa\u30fc\u30b9\u30c8\u30e9\u30ea\u30a2\u306e\u305f\u3070\u3053\u306f\uff11\u7bb1\uff14\uff10\u30c9\u30eb\u3050\u3089\u3044\u3059\u308b\uff09\u3002\u6cbb\u7642\u85ac\uff08Bupropion, Varenicline\u306a\u3069\uff09\u304c\u3042\u308b\u3053\u3068\u3082\u4f1d\u3048\u308b\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"text-decoration: underline;\"><strong>\u9ad8\u8840\u5727<\/strong><\/span><\/p>\n<p>\u554f\u8a3a\uff1a\u98df\u751f\u6d3b\uff08\u5869\u5206\u4f4e\u6e1b\uff09\u3001\u4f53\u91cd\u6e1b\u91cf<\/p>\n<p>\u8aac\u660e\uff1a\u4f53\u3078\u306e\u5f71\u97ff\u3002<\/p>\n<p>\u691c\u67fb\uff1a\u306a\u3057<\/p>\n<p>\u6cbb\u7642\uff1aACE Inhibitor<\/p>\n<p>\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\uff1a\u6bce\u65e5\u5bb6\u3067\u8840\u5727\u3092\u30c1\u30a7\u30c3\u30af\u3057\u3066\u3082\u3089\u3046<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"text-decoration: underline;\"><strong>\u7cd6\u5c3f\u75c5<\/strong><\/span><\/p>\n<p>\u8aac\u660e\uff1a\u7cd6\u5c3f\u75c5\u306e\u518d\u691c\u67fb\u304a\u3088\u3073\u6cbb\u7642\u304c\u5fc5\u8981\u306a\u3053\u3068\u3092\u4f1d\u3048\u308b<\/p>\n<p>\u691c\u67fb\uff1aFBC, UEC, Fasting Glucose, HbA1C, Fasting Lipid,\u00a0Iron study<\/p>\n<p>\u6cbb\u7642\uff1a\u98df\u751f\u6d3b\u6539\u5584\u3001\u4f53\u91cd\u6e1b\u91cf\u3001Metformin (500mg od)\u3001\u7d39\u4ecb\u72b6\uff08\u7cd6\u5c3f\u75c5\u6559\u80b2\u8005\u3001\u691c\u773c\u533b\uff09<\/p>\n<p>\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\uff1a\uff13\uff5e\uff14\u304b\u6708\u3054\u3068\u306e\u8840\u6db2\u691c\u67fb\uff08Glucose, Lipid, HbA1C\uff09\u3001\u6297\u7cd6\u5c3f\u75c5\u5264\u306e\u6700\u9069\u5316<\/p>\n<p>&nbsp;<\/p>\n<h4>\u307c\u304f\u304c\u3084\u3089\u306a\u3051\u308c\u3070\u3044\u3051\u306a\u304b\u3063\u305f\u3053\u3068<\/h4>\n<p>\u6cbb\u7642\uff1a\u60a3\u8005\u3055\u3093\u304c\u6c7a\u3081\u3089\u308c\u305f\u3068\u304a\u308a\u306b\u85ac\u3092\u6442\u53d6\u3057\u3066\u3044\u308b\u304b\u306e\u78ba\u8a8d\u3002<\/p>\n<p>&nbsp;<\/p>\n<h4>\u307c\u304f\u304c\u5b66\u3093\u3060\u3053\u3068<\/h4>\n<p>&nbsp;<\/p>\n<p>\uff12\u56de\u76ee\u306e\u691c\u67fb\u306f\u3042\u308b\u7a0b\u5ea6\u4e0a\u624b\u304f\u884c\u3063\u305f\u3068\u601d\u3046\u3002\u5931\u6557\u3057\u305f\uff11\u56de\u76ee\u306e\u80fd\u529b\u691c\u67fb\u304b\u3089\u5b66\u3093\u3060\u6559\u8a13\u300c\u5206\u304b\u3089\u306a\u3044\u6642\u306f\u3001\u30b7\u30cb\u30a2\u306e\u533b\u8005\u306b\u30a2\u30c9\u30d0\u30a4\u30b9\u3092\u6c42\u3081\u305f\u308a\u3001\u533b\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u5f93\u3063\u3066\u533b\u7642\u884c\u70ba\u3092\u3059\u308b\u3053\u3068\u300d\u3092\u3001\uff12\u56de\u76ee\u306e\u80fd\u529b\u691c\u67fb\u3067\u4f7f\u308f\u305b\u3066\u3044\u305f\u3060\u3044\u305f\u3002\u305d\u308c\u306b\u3088\u3063\u3066\u3001\u300c\u3053\u306e\u5b66\u751f\u306f\u5b89\u5168\u3060\u306a\u300d\u3068\u3044\u3046\u5370\u8c61\u3092\u8a66\u9a13\u5b98\u306b\u4e0e\u3048\u308b\u3053\u3068\u304c\u51fa\u6765\u305f\u3002\u305f\u3076\u3093\u3001\u30d1\u30b9\u306f\u3057\u3066\u3044\u308b\u306f\u305a\u3060\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u81ea\u5206\u306e\u982d\u3067\u8003\u3048\u306a\u304c\u3089\u5931\u6557\u3057\u305f\u304b\u3089\u3053\u305d\u5927\u304d\u306a\u53ce\u7a6b\u3092\u5f97\u308b\u3053\u3068\u304c\u3067\u304d\u305f\u300c\u3078\u304d\u5730\u533b\u7642\u7814\u4fee\u306e\u8a3a\u7642\u80fd\u529b\u691c\u67fb\u300d\u306e\u304a\u8a71\u3067\u3057\u305f\u3002\u3054\u7cbe\u8aad\u3042\u308a\u304c\u3068\u3046\u3054\u3056\u3044\u307e\u3057\u305f\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; \u307c\u304f\u306f\u3044\u307e\u3001\u30aa\u30fc\u30b9\u30c8\u30e9\u30ea\u30a2\u306e\u533b\u5b66\u90e8\u306b\u901a\u3063\u3066\u3044\u308b\u3002\u65e9\u3044\u3082\u306e\u3067\u3001\u3082\u3046\u3059\u3067\u306b\u533b\u5b66\u90e8\u306e\u6700\u5f8c\u306e\u5b66\u5e74\u3092\u904e\u3054\u3057\u3066\u3044\u308b\u3002 &nbsp; \u3053\u308c\u307e\u3067\u3001\u307c\u304f\u304c\u5b9f\u969b\u306b\u53d7\u3051\u3066\u304d\u305f\u3001\u9ebb\u9154\u79d1\u3001\u7de9\u548c\u30b1\u30a2\u3001\u816b\u760d\u79d1\u3001\u8133\u795e\u7d4c\u5916\u79d1\u3001\u3078\u304d\u5730\u533b\u7642\u306e\u7814 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":11918,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[106,6],"tags":[120],"class_list":{"0":"post-11917","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-106","8":"category-medical_school","9":"tag-120"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.3 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>\u30aa\u30fc\u30b9\u30c8\u30e9\u30ea\u30a2\u533b\u5b66\u90e8\u3001\u3078\u304d\u5730\u533b\u7642\u7814\u4fee\u306e\u8a3a\u7642\u80fd\u529b\u691c\u67fb | \u9ad8\u6821\u4e2d\u9000\u21d2\u8c6a\u5dde\u3067\u533b\u8005<\/title>\n<meta name=\"description\" content=\"\uff14\u9031\u9593\u534a\u306e\u3078\u304d\u5730\u533b\u7642\u7814\u4fee\u3092 Collie \u3067\u884c\u3044\u3001\u30d1\u30fc\u30b9\u306b\u623b\u3063\u3066\u304d\u305f\u6b21\u306e\u65e5\u306b\u3001\u8a3a\u7642\u80fd\u529b\u691c\u67fb\u304c\u3042\u3063\u305f\u306e\u3067\u3001\u305d\u306e\u3053\u3068\u306b\u3064\u3044\u3066\u304a\u8a71\u3057\u3057\u3088\u3046\u3068\u601d\u3046\u3002\u307e\u305a\u3001\u8a3a\u7642\u80fd\u529b\u691c\u67fb\u306e\u3053\u3068\u3092\u77e5\u3089\u306a\u3044\u4eba\u306e\u305f\u3081\u306b\u7c21\u5358\u306b\u8aac\u660e\u3057\u3066\u304a\u304f\u3002\u8a3a\u7642\u80fd\u529b\u691c\u67fb\u3068\u306f\u3001\u300c\u3042\u306a\u305f\u306e\u533b\u8005\u3068\u3057\u3066\u306e\u81e8\u5e8a\u80fd\u529b\u3092\u691c\u67fb\u3059\u308b\u3082\u306e\u300d\u3067\u3001\u7d04\uff11\uff10\uff5e\uff12\uff10\u5206\u306e\u9593\u306b\u3001\u60a3\u8005\u3055\u3093\u3092\u76f8\u624b\u306b\u554f\u8a3a\u3001\u8eab\u4f53\u691c\u67fb\u3001\u533b\u7642\u691c\u67fb\u3001\u8a3a\u65ad\u3001\u6cbb\u7642\u3001\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u3092\u884c\u3046\u3002\u8a3a\u7642\u80fd\u529b\u691c\u67fb\u306f\u8a66\u9a13\u306b\u3088\u3063\u3066\u91cd\u8981\u8996\u3055\u308c\u308b\u90e8\u5206\u304c\u5909\u308f\u308b\u3002\u4f8b\u3048\u3070\u3001\u60a3\u8005\u3055\u3093\u304b\u3089\u8a73\u3057\u3044\u8a73\u7d30\u3092\u805e\u304d\u51fa\u3055\u306a\u3051\u308c\u3070\u3044\u3051\u306a\u3044\u554f\u8a3a\u80fd\u529b\u306e\u691c\u67fb\u3082\u3042\u308c\u3070\u3001\u60a3\u8005\u3055\u3093\u306b\u795e\u7d4c\u5b66\u7684\u691c\u67fb\u3092\u884c\u3044\u969c\u5bb3\u3092\u53d7\u3051\u3066\u3044\u308b\u8133\u306e\u90e8\u4f4d\u3092\u63a8\u6e2c\u3057\u305f\u308a\u3001\u6551\u6025\u6cbb\u7642\u5ba4\u3067\u5fc3\u81d3\u767a\u4f5c\u306e\u60a3\u8005\u3055\u3093\u3092\u8607\u751f\u3059\u308b\u30b7\u30ca\u30ea\u30aa\u306a\u3069\u69d8\u3005\u306a\u3082\u306e\u304c\u3042\u308b\u3002\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/itell-tao.com\/gotohiromichi\/footsteps\/medical_school\/osce-rural-gp\/\" \/>\n<link rel=\"next\" href=\"https:\/\/itell-tao.com\/gotohiromichi\/footsteps\/medical_school\/osce-rural-gp\/2\/\" \/>\n<meta property=\"og:locale\" content=\"ja_JP\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u30aa\u30fc\u30b9\u30c8\u30e9\u30ea\u30a2\u533b\u5b66\u90e8\u3001\u3078\u304d\u5730\u533b\u7642\u7814\u4fee\u306e\u8a3a\u7642\u80fd\u529b\u691c\u67fb\" \/>\n<meta property=\"og:description\" content=\"\uff14\u9031\u9593\u534a\u306e\u3078\u304d\u5730\u533b\u7642\u7814\u4fee\u3092 Collie \u3067\u884c\u3044\u3001\u30d1\u30fc\u30b9\u306b\u623b\u3063\u3066\u304d\u305f\u6b21\u306e\u65e5\u306b\u3001\u8a3a\u7642\u80fd\u529b\u691c\u67fb\u304c\u3042\u3063\u305f\u306e\u3067\u3001\u305d\u306e\u3053\u3068\u306b\u3064\u3044\u3066\u304a\u8a71\u3057\u3057\u3088\u3046\u3068\u601d\u3046\u3002\u307e\u305a\u3001\u8a3a\u7642\u80fd\u529b\u691c\u67fb\u306e\u3053\u3068\u3092\u77e5\u3089\u306a\u3044\u4eba\u306e\u305f\u3081\u306b\u7c21\u5358\u306b\u8aac\u660e\u3057\u3066\u304a\u304f\u3002\u8a3a\u7642\u80fd\u529b\u691c\u67fb\u3068\u306f\u3001\u300c\u3042\u306a\u305f\u306e\u533b\u8005\u3068\u3057\u3066\u306e\u81e8\u5e8a\u80fd\u529b\u3092\u691c\u67fb\u3059\u308b\u3082\u306e\u300d\u3067\u3001\u7d04\uff11\uff10\uff5e\uff12\uff10\u5206\u306e\u9593\u306b\u3001\u60a3\u8005\u3055\u3093\u3092\u76f8\u624b\u306b\u554f\u8a3a\u3001\u8eab\u4f53\u691c\u67fb\u3001\u533b\u7642\u691c\u67fb\u3001\u8a3a\u65ad\u3001\u6cbb\u7642\u3001\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u3092\u884c\u3046\u3002\u8a3a\u7642\u80fd\u529b\u691c\u67fb\u306f\u8a66\u9a13\u306b\u3088\u3063\u3066\u91cd\u8981\u8996\u3055\u308c\u308b\u90e8\u5206\u304c\u5909\u308f\u308b\u3002\u4f8b\u3048\u3070\u3001\u60a3\u8005\u3055\u3093\u304b\u3089\u8a73\u3057\u3044\u8a73\u7d30\u3092\u805e\u304d\u51fa\u3055\u306a\u3051\u308c\u3070\u3044\u3051\u306a\u3044\u554f\u8a3a\u80fd\u529b\u306e\u691c\u67fb\u3082\u3042\u308c\u3070\u3001\u60a3\u8005\u3055\u3093\u306b\u795e\u7d4c\u5b66\u7684\u691c\u67fb\u3092\u884c\u3044\u969c\u5bb3\u3092\u53d7\u3051\u3066\u3044\u308b\u8133\u306e\u90e8\u4f4d\u3092\u63a8\u6e2c\u3057\u305f\u308a\u3001\u6551\u6025\u6cbb\u7642\u5ba4\u3067\u5fc3\u81d3\u767a\u4f5c\u306e\u60a3\u8005\u3055\u3093\u3092\u8607\u751f\u3059\u308b\u30b7\u30ca\u30ea\u30aa\u306a\u3069\u69d8\u3005\u306a\u3082\u306e\u304c\u3042\u308b\u3002\" 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