Search

A 73-year-old man with worsened diabetes underwent abdominal computed tomography and was diagnosed with localized enlargement of the pancreatic tail. Based on the suspicion of autoimmune pancreatitis, endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) was performed. A cytologic examination showed findings suggestive of adenocarcinoma. Due to discrepancies between the imaging and pathological findings, esophagogastroduodenoscopy was performed. An extensive early gastric cancer lesion was detected in the posterior wall of the gastric corpus. It was therefore likely that puncturing through the tumor resulted in the contamination with cancer tissue. The possibility of a concomitant malignancy should be considered in EUS-FNA, and thorough examinations should be conducted. more...

An 83-year-old man with a history of carbon ion radiotherapy for hepatocellular carcinoma nine years ago presented to a primary care hospital with a fever and abdominal pain. He underwent computed tomography, which revealed the rupture of a hepatic pseudoaneurysm close to the fiducial marker for carbon ion radiotherapy and bleeding into the bile duct. He was successfully treated with transcatheter arterial embolization. Thereafter, re-rupture occurred from a site proximal to the first rupture, and this was treated similarly. It is necessary to be alert for not only tumor recurrence but also pseudoaneurysm occurrence after carbon ion radiotherapy. more...

戦後開拓地の辿ってきた道筋は、それが労苦の歴史と共にあるがゆえに、私たちにその過去を振り返らせ、人の暮らしと土地との結びつきについて考えさせる力を持っているように思う。本稿では岡山県旧神郷町(現新見市)に位置する野原開拓地を取り上げ、開拓行政や農政に翻弄されつつも、未墾の地を切り拓き、営農を確立するに至った展開を辿った。営農の確立に至る過程では多大な困難があったが、土地に関する個人責任と、共通のインフラ整備に関する協同性の見事なバランスがとれていたこと、また開拓農政の転換に先立って、酪農、苗木、美濃早生大根という三大基幹作物が確定していたこと、地元の人との協力関係がうまくとれていたこと、等によって、野原地区は農業地域として発展した。戦後開拓の成功事例の1つと言える野原開拓地であるが、近年は人口減少が進み、地域の存続という、他の多くの中山間地域と共通の問題を抱えつつある。, This case study of Nobara area aimed to follow the accomplishment of the cultivation on the governmental initiative in post-war thirty years. It turned out that Nobara had developed as an agricultural area because of the following three factors. First, the settlers worked both individually and collectively to adapt their lands for cultivation. Second, they had succeeded in making their agricultural product characteristic specialty. Third, the neighborhoods had helped the settlers occasionally. Nobara area was the successful case of post-war cultivation, but recently, like other rural agricultural areas, the sustainability of this area is also unrevealing. more...

岡山県旧阿哲郡神郷町を事例に、過疎政策の展開と過疎化の実態について、旧町の市町村計画をもとに検討した。旧神郷町においては、主に産業基盤の弱さから「交通通信体系の整備等」に偏重した過疎政策が行われてきたが、町行政を通じて各集落に配分された社会資源は旧町内に均等に行き渡り、その下で小規模集落を含めて、すべての集落がその生活を維持してきた。町行政が担ってきた社会資源の受け皿としての機能は、今後も地域での生活を継続させていく条件の一つとして再構築が求められる。, The purpose of this paper is to consider the actuality of under-population in a rural area. To begin with, an outline of the policy toward under-population is demonstrated. After that, an areal classification of depopulation in this area is explored. From these arguments, it can be drawn that the focus on the function of providing social resource equally is important to search for a better condition of sustainable life in a rural area. more...