AVisittotheFacultyofMedicine，

KhonKarenUniversitylnThailand
December16th・19th，2015
FromDecember16thtothe19th，2015，Weparticipatedinaseminarinthefacultyofmedicine
inKhonKarenUniversitythankstopro飴SsorSuzumiyaofShimaneUniversity・Threepeople冊Omourdepartmentparticipatedintheseminar；prO缶ssorHashimotoandtwo
residents，Dr．MurakamiandDr．Kanai．Itwasthe丘rsttimeweparticipated．

TheKhonKarenprefbctureislocatedinthenortheastofThailand・
TheKhonKarenUniversityisanationaluniversityThereare17departmentsand34，000
studentsenrolled．Theuniversityisabout9km2，andstudentsmovearoundthecampusbybus・

Inspiteofslightlyoldinfbrmation，thenumberofdoctorsisapporoximately20，000

and ofthese

only500arepathologistinThailand，2009．
AresidentwhomaJOredinpathologysaid，Only20residentswilltakethepathologylicenceexaminationnextyear．，

WeleftJapaninthemomingonDecember
16thandarrivedatKhonKaenthatnight．

AseminarstartedonDec．17th．

ProfHashimotointroducedFukushima
pre危ctureandpresentedthecasereportabout

lymphoma．DrMurakamlPreSentedthecase
reporttoo．

．竃豊里塑孝土盛一業享￣ ▲重 心
8−−−−モー一二−・・−細■一一・′・

Theupperright：Murakami
Thelowerright：ProfHashimoto

甲1

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爾R凵￨唯鳴ﾂ＿i●I 」言 剩l三重速星豊●l・耳

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置く葵に二案器TTt 剪

Thepathologyresidentshowedusan（ｨ ｧ"Attheclinicinthecountry

interestingcasewithamicroscope．

Weexchangedopinionsactively．

Left：thepathologyresidentinThailand■−￣一一°。￣￣ ◆● 偬I￨ｨ耳

Center：ProISuzumiya

Right：Dr．Murakami

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飲'EHｦﾈ R 王

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豐 ヨ」

OnDec．18th，Weinspectedcommunityclinics

inKhonKarenpre危cture．

Oneproblemisunevendistributionofdoctors
l緬;binbiggercitieshasleadtoashortageoflocal」

doctors．Thereisonedoctorinthisclinic，and

otherdoctorssuchaspediatriciansordentists

ThepnmaryCaredoctor

aredispatchedbytheuniversityona鯖xedday∴
Tbresolvetheseproblems，thehealthvolunteers

playanimportantroleinsuchcountries・
Theyvisithomes，Wherepatients，theelderlyandchildrenlive，Checkingfbrillnessusing

詩諺「∴豊∴一 ●ヽ

ﾘ X爾 霊 言うし ／ノ／二earlydetectionandteachhealtheducation・．二＿〃」＿ヽS．一一°℡一一ぎ一m∴」し￣￣￣」し▲豊山

1−●−一一一

Inaddition，anOtherproblemisthenumberof−＿〃￣−￣￣▼ ri 鞘

peoplewhohavehighbloodpressureandf idiabetesisincreasing．AIso，duetoair′ ヽ′．

1 紅舶 刪ｬ〟主査′町IH●， 11葛，1面1賀POllution，aSthmapatientsareincreaslng・

幽i＿X耳vｨ b：青1、．

Thefacilitieswhichprovideaholistic
remedieswereaddedtoamiddlescale
hospital

Notonlyfbrstudingbutalsofbrsightseeing・

OnDec．19th，Pro危SsorBanchobSripa

lecturedtousaboutthelivernukewhichcauses
thecholanglOCarCinomaoutbreak・4、TherewasaproblemintheKhonKaen−−二二〇〃〝。−〃○輸■一一二〇∴二二二一二二二i

pre俺cturebecauseofahighrateof

・・裏●t′：rl†二三二￣一CholanglOCarCinoma．

一「一十｝〔●・′●○○r∴∴：∴：ごま：二二二二二二：二二二一二二：二二二二二…、10−
roL0．▼J r▼‥‥′●・l．・11・●・・1′▼ヽ・・ll r・′−▼ヽ1ヽ1Ltlヽl∴11

三三三三三三三三三輔繭Thatwasbecausetherearecustomsofeating●＿＿J＿．．＿＿＿＿＿●一…日

石I

・一

一・ふ、−

直▲串．与宰f葦」主筆▲耳鼻鰻重｝uふ・，華尊主よ由＋ゝジ・∴せ雪空

rawriver鯖shinthenortheastempartof￣「￣9g 「T．上．

Thailand．

Byeatingsuch範shwhichwerein健ctedbytheThe9−StOreyptupa

livernuke，peOplecangetinfbctedandcould
developcholang10Carcinoma・lCholangiocarcinomaoccurswhenthereis

要事11−、ｨ上 Il

damageandcirrhosiscausedbychronic
innammation請omaninfbctionoflivernuke．

● ●． i迄･x耳ﾆﾈｶbi
Therewaslivernukein70％ofrivernshasof
定、÷

剪

一

●、．

、ll

2008whenProfBanchobSripastartedthe
11

study，butnow，itdecreasedtounderl％asab

Il II∴iふ．

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