osamu yamakawa
@osamukuma
2K
friends
ðâïžæåŸãŸã§ãå£ããé£ã¹ãŠé ãæé£å¥äžãšãå£ã®ã±ã¢ãå°éãšããðäŒéæ¯ç§å»åž«ðŠ·ðª¥ âïžClub houseâïžå»çéšå±ã®ã¢ãã¬ãŒã¿ãŒð¯ðµðð£ð𥢠山梚çç²åºåžåºèº«ã§åæåžã«é åãæããŠããŸããæ¡ðãè¡èðã®ç£å°ã®å沌ãäžå®®ã¯åŠçæä»£éãããã®ã§ç¥äººãå€ãã§ãã âïžð±âïžé床å¿èº«é害è ãçºéé害å ïŒè ïŒã®æœèšã«ãã®äººã«åã£ãé£ã¹ããæ¹ã®æå°ãæ é€ç®¡çãšå£è ã±ã¢ãè奿œèšãªã©ã«ãå£è ã±ã¢ãå«ããŠæé£æå°ãšæ é€ç®¡çã«æã è¡ã£ãŠããŸããèšèªèŽèŠå£«ãçåŠçæ³å£«ãæ é€å£«ãçè·åž«ããšã®æ å ±å ±æããšãŠãå匷ã«ãªããèªåèªèº«ãæé·ãããŠããã æè¿ã¯ç¹å¥æ¯æŽåŠæ ¡ã®çåŸããã®å®å šãªé£ã¹ããæ¹ã®æå°ã«ãé¢ãã£ãŠããŸããå»åž«ãæ¯ç§å»åž«ãé¿ããå°å åšå® 蚺çãªã©ã«ã蚪åããŠããŸããåºäŒã«æè¬ãšæ©è¿ãã§ãå¥åº·ãå»çãé£ã¹ã楜ãããåèæŽ»å ïŒå¹Žåããã¿ã€ð¹ðã®å»å°ã®å°åŠæ ¡ã幌çšåã«å£è ã±ã¢ã®å¿ èŠæ§ãšãå£ã®å¥åº·ã®åèæŽ»åããŠããŸãã ðŠ·äŒéæ¯ç§å»åž«ðŠ·ðª¥ð©º æ¯ç§éº»é ãšå£è å€ç§ãã€ã³ãã©ã³ããæé£å¥äžã®å°éå»ãæ¯åŠå士ðšâð æ¯ç§éº»é åŠã®ç¿åŸãçžã«æã«1ã2åºŠå°æ¹ã®ç é¢ð¥ã§ç æ£ã®å£è ããã³è€¥ç¡å蚺åã³NSTãªã©ã®å€è·çš®é£æºãšããŠåå ãå£è ã±ã¢ãå«ããæé£å¥äžé害ãšãªãããªãšæ é€ã®éèŠæ§ã«ã€ããŠæŽ»åäžð£ ð¯ðµðºðžçµæžãðµæè³ã«ãèå³ããããå€è²šðµæ¥æ¬æ ªð¯ðµã¢ã¡ãªã«æ ªðºðžä»®æ³é貚ð°ãªã©æ·±å€å匷äžâïž ðŽé£ã¹ãããšã倧奜ãð¥¢ã¯ã€ã³ð·ãæ¥æ¬é ð¶ã«ãèå³ããããçŸå³ããã¯ã€ã³ð·ãæ¥æ¬é ð¶ã«åºäŒããšç¬é¡ã«ãªããŸãð æ è¡âïžå€§å¥œãððºðžðšðŠðŠð·ð§ð·ðšð³ð¹ðŒð»ð³ð°ðð¹ððŠðªð®ð¹ð«ð·ð¬ð§ðªðžðšðð§ðªð©ðªð³ð±ðšð¿ð©ð°ð·ðºðµððžð¬ð© ð°Disneylandðžðââïžå€§å¥œã人éðð¹â€ïž ç²â¯æ¯â¯å»é¢ãå»é¢é· NPO ASEAN HEALTH PROJECTçäºé· ðºðžPittsburghå€§åŠæ¯ç§éº»é ç§çåŠ å æŠâ¯âç 颿¯ç§å£è å€ç§ å åâ¯èµ€â¯âç 颿é£å¥äžèç»å€æ¥ å å©â¯äžâç 颿é£å¥äžå€æ¥ å è€â¯ç·âç é¢å€æ¥éåžžå€ åœç«â¯â¯ç é¢éåžžå€å€å åœç«çŸ€â¯å€§â倧åŠé¢éåžžå€è¬åž« ã山梚çç²åºåžåºèº«ã æè¿ã¯åæåžã®é åã«èªãããŠããŸã âªïžãªãããªããŒã·ã§ã³æ é€åŠäŒèšºçã¬ã€ãã©ã€ã³2018 https://minds.jcqhc.or.jp/n/med/4/med0369/G0001083 âæ¯åšç ãšãªã¥ãŠããã®é¢ä¿ https://www.jstage.jst.go.jp/article/perio/61/3/61_142/_html/-char/ja ãã³ãããŠã£ã«ã¹ã®çºçåŸã®åŸéºçã https://jamanetwork.com/journals/jamaotolaryngology/article-abstract/ http://apjai-journal.org/wp-content/uploads/2020/06/1-AP-030520-0826-Review-Article.pdf ãæ å ±ã ããæ å ±ãµãŒãã¹ãããå»ç§æ¯ç§é£æºã«é¢ããæ å ±ãæäŸ https://ganjoho.jp ãã¹ãã©ããŒãé¢é£é¡éªšå£æ»ã«å¯Ÿããããžã·ã§ã³ããŒã㌠http://www.perio.jp/publication/upload_file/position_paper_bisphos.pdf æ¯ããã©ã·ã¯çްèã®å·£ïŒ https://sakatashika.net/column/%E3%83%8F%E3%83%96%E3%83%A9%E3%82%B7%E3%81%AB%E3%81%AF%E7%B4%B0%E8%8F%8C%E3%81%8C%E3%81%84%E3%81%A3%E3%81%B1%E3%81%84%EF%BC%81%EF%BC%81/ ãšããããã³ã¹ã¯ãããŸãããããæ¯ç£šãåŸããæŽãã也ç¥ãããŠããã¯ãè¯ããšã®ããšã