ᩥ㒊⛉Ꮫ┬ ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂࣉࣟࢢ࣒ࣛ㑅ᐃ஦ᴗ೺ᗣ㛗ᑑ♫఍ࢆᢸ࠺ṑ⛉་Ꮫᩍ⫱ᨵ㠉̿Ṛ⏕Ꮫࡸᆅᇦໟᣓࢣ࢔ࣔࢹࣝࢆᑟධࡋࡓ་⛉ṑ⛉㐃ᦠᩍ⫱యไࡢᵓ⠏̿⮬ᕫホ౯ጤဨ఍ ᖹᡂ㸰㸷ᖺᗘሗ࿌᭩
ጤဨྡ⡙
஦ᴗᐇ᪋㈐௵⪅㸸❑ᮌᣅ⏨㸦ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ ࢖ࣥࣉࣛࣥࢺ෌⏕⿵⥛Ꮫศ㔝 ᩍᤵ㸧ෆ㒊ホ౯ጤဨ㸸ὸᾏ῟୍㸦ṑᏛ㒊㛗㸧ஂಖ⏣⪽㸦๪Ꮫ㒊㛗 ᩍົጤဨ㛗㸧㫽஭ᗣᘯ㸦๪Ꮫ㒊㛗 ༞ᚋ◊ಟࢭࣥࢱ࣮࣭ṑ⛉㒊㛛㛗㸧ᐑ⬥༟ஓ㸦ᒸᒣ኱Ꮫ⑓㝔࣭ṑ⛉⣔௦⾲๪⑓㝔㛗㸧㣤⏣ᚁ஧㸦ᒸᒣ኱Ꮫ⑓㝔࣭ṑ⛉◊✲ᩍ⫱ᢸᙜ๪⑓㝔㛗⮫ᗋᐇ⩦ᐇ᪋㒊఍㛗㸧Ụⲡṇᙪ㸦ࢫ࣌ࢩࣕࣝࢽ࣮ࢬṑ⛉ࢭࣥࢱ࣮㛗㸧
᭮ᡃ㈼ᙪ㸦་⒪ᨭ᥼ṑ⛉἞⒪㒊㒊㛗㸧Ϩ㸬஦ᴗࡢᴫせ࣭┠ⓗᐇ⦼ࡢ࠶ࡿᅜ❧኱ᏛṑᏛ㒊࡜་Ꮫ㒊ࢆ᧦ࡍࡿ⚾❧኱ᏛṑᏛ㒊㸪≉Ⰽ࠶ࡿ་Ꮫ
㒊ṑ⛉ཱྀ⭍እ⛉ࡀ༠ຊࡋ࡚㸪ྛ኱Ꮫࡢ་⒪⣔Ꮫ㒊ࡢ༠ຊࡢࡶ࡜㸪⦪๭ࡾࢆ᤼ࡋࡓ
᪂ࡋ࠸ḟඖࡢ་⛉ṑ⛉㐃ᦠᩍ⫱ࡸᅾᏯṑ⛉་⒪Ꮫࢆᵓ⠏㸪ࡑࢀࢆ඲ᅜ࡛ࣞ࣋ࣝ
ᆒ࡚ࢇ໬ࡍࡿ㸬ຍ࠼࡚㸪ᮾி኱ᏛṚ⏕Ꮫ࣭ᛂ⏝೔⌮ࢭࣥࢱ࣮㸪㧗㱋♫఍⥲ྜ◊✲ᶵᵓࡢ༠ຊࡢࡶ࡜Ṛ⏕Ꮫࡸᆅᇦໟᣓࢣ࢔࡟㛵ࡍࡿᩍ⫱ࢆᑟධࡍࡿ㸬ࡲࡓ㸪ᮾி㒔೺ᗣ㛗ᑑ་⒪ࢭࣥࢱ࣮㸪ᅜ❧㛗ᑑ་⒪◊✲ࢭࣥࢱ࣮ࡢ༠ຊࢆᚓ࡚㸪ㄆ▱⑕➼࡟ᑐࡍࡿ᭱᪂ࡢ▱㆑࡜ṑ⛉ⓗᑐᛂࢆ⣔⤫❧࡚࡚Ꮫ࡭ࡿᵝ࡟ࡍࡿ㸬ࡑࡢ⤖ᯝ㸪㐺ษ࡞Ṛ⏕ほ࡟ᇶ࡙ࡁ㸪ᝈ⪅ࡢ⑓ᗋ㸪௓ㆤ⌧ሙࡸ⤊ᮎᮇ࡟ᐤࡾῧ࠼ࡿࣉࣛ࢖࣐ࣜࢣ࢔ṑ⛉་ࢆ㣴ᡂࡍࡿ㸬ࡲࡓ㸪ཱྀ⭍࠿ࡽ඲㌟೺ᗣ࡟ᐤ୚࡛ࡁ㸪ᛴᛶᮇ㸪ᅇ᚟ᮇ㸪⥔ᣢᮇ㸪ᅾᏯ௓ㆤ⌧ሙ࡟ᑐᛂ࡛ࡁࡿṑ⛉་ࢆ⫱࡚ࡿ㸬ࡉࡽ࡟ࡣ㸪㧗㱋⪅ࡢࠕ㣗㸪ࢆᇶ┙࡜ࡋࡓ೺ᗣቑ㐍㸪௓ㆤண㜵㸪⹫ᙅண㜵ࢆ┠ᣦࡋࡓ᪂ࡋ࠸ṑᏛᩍ⫱࣭◊✲ࢆ᥎㐍ࡍࡿ㸬
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ϩ㸬ᮏ஦ᴗ⤊஢ᚋࡢ㐩ᡂ┠ᶆ㸦⏦ㄳ᫬㸧ཱྀ⭍࠿ࡽ඲㌟೺ᗣ࡟ᐤ୚࡛ࡁࡿṑ⛉་ᖌ㸪ཬࡧ㸪ᛴᛶᮇ㸪ᅇ᚟ᮇ㸪⥔ᣢᮇ㸪ᰤ㣴ࢧ࣏࣮ࢺࢳ࣮࣒ 167 㸪ᅾᏯ௓ㆤ⌧ሙ࡟ᑐᛂ࡛ࡁࡿṑ⛉་ᖌࢆ⫱࡚ࡿ㸬ࡲࡓ㸪㐺ษ࡞Ṛ⏕ほ࡟ᇶ࡙ࡁ㸪ᝈ⪅ࡢ⑓ᗋ㸪௓ㆤ⌧ሙࡸ⤊ᮎᮇ࡟ᐤࡾῧ࠼ࡿࣉࣛ࢖࣐ࣜ
ࢣ࢔ṑ⛉་ࢆ㣴ᡂࡍࡿ㸬ࡉࡽ࡟ࡣ㸪㧗㱋⪅ࡢࠕ㣗ࠖࢆᇶ┙࡜ࡋࡓ೺ᗣቑ㐍㸪௓ㆤண㜵㸪⹫ᙅண㜵ࢆ┠ᣦࡋࡓ᪂ࡋ࠸ṑᏛᩍ⫱࣭◊✲ࢆ᥎㐍ࡍࡿ㸬 ࡑࡢࡓࡵ࡟௨ୗࡢලయⓗ᪉⟇ࢆᥖࡆࡓ㸬㸯㸬⏦ㄳ኱Ꮫ࡜㐃ᦠ኱Ꮫࡸ༠ຊ⤌⧊ࢆࡲ࡜ࡵࡓṑᏛᩍ⫱ᨵ㠉ࢥࣥࢯ࣮ࢩ࢔࣒ࢆタ❧ࡋ㸪ᩍဨ㹄㹂㸪Ꮫ⏕஺ὶ㸪┦஫ࢳ࢙ࢵࢡయไࢆᩚ࠼㸪ṑᏛᩍ⫱ᨵ㠉ࡢ㧗ᗘ໬࡜ᆒ࡚ࢇ໬ࢆᅗࡿ㸬㸰㸬ᒸᒣ኱Ꮫ㸪㐃ᦠ኱Ꮫ㸪༠ຊ⤌⧊ࡀ༠ຊࡋ࡚㸪௨ୗࡢ་⒪ᨭ᥼ṑᏛᩍ⫱ࢥ࣮ࢫ࣮࣡ࢡࢆ㡰ḟ㛤ጞ㸪㐃ᦠ኱Ꮫࡢᩍဨ )' ࡸᏛ⏕஺ὶ࡟ゎᨺ㸪ᥦ౪ࡍࡿ㸬ձ⏕ά⩦័⑓ண㜵࡜ṑ⛉㸪ᛴᛶᮇṑ⛉་⒪㸪ᅾᏯ௓ㆤṑ⛉་⒪࡟㛵ࡍࡿㅮ⩏ࢩ࣮ࣜࢬղせ௓ㆤ㧗㱋⪅ࢆᶍࡋࡓࢩ࣑࣮ࣗࣞࢱ࣮₇⩦ࡸ⪁ே௓ㆤ࣭ᅾᏯ௓ㆤ᪋タࢆ⏝࠸ࡓ 3%/ ₇⩦ճ኱Ꮫ⑓㝔࿘⾡ᮇ⟶⌮ࢭࣥࢱ࣮ࢆ฼⏝ࡋࡓ㧗ᗘ་⒪ᨭ᥼࣭࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ᐇ⩦
մ⮫ᗋㅮᖌ➼ࢆ฼⏝ࡋࡓᅾᏯ௓ㆤ࣭ゼၥṑ⛉デ⒪ཧຍᆺᏛእ⮫ᗋᐇ⩦㸱㸬ྛ㐃ᦠ኱Ꮫ࡟㸪≉ᚩ࠶ࡿ᭷⑓⪅࣭㧗㱋⪅࣭ᅾᏯ௓ㆤ࣭⅏ᐖᑐᛂ࡟㛵ࡍࡿ་⒪ᨭ᥼ṑᏛᩍ⫱ࣉࣟࢢ࣒ࣛࢆタ⨨㸪┦஫฼⏝ࢆ⾜࠺㸬㸲㸬ྛ㐃ᦠ኱ᏛࡢᏛ㒊ᩍ⫱࡟㸪ྠᵝ࡞་⒪ᨭ᥼ṑᏛᩍ⫱ࢥ࣮ࢫ࣮࣡ࢡࢆ⤌ࡳධࢀࡿດຊࢆࡍࡿ㸬㸳㸬ྛ㐃ᦠ኱Ꮫࡢ༞ᚋ⮫ᗋ◊ಟไᗘ࡟㸪ᛴᛶᮇ㸪ᅇ᚟ᮇ㸪⥔ᣢᮇ㸪ᅾᏯ௓ㆤ⌧ሙࢆࢧ࣏࣮ࢺࡍࡿከ⫋✀㐃ᦠ་⒪࡟ᑐᛂࡋࡓࢥ࣮ࢫ࣮࣡ࢡࢆタ⨨ࡍࡿ㸬㸴㸬୍㒊ࡢ㐃ᦠ኱Ꮫࡢ኱Ꮫ㝔࡟㸪㧗㱋⪅ࡢࠕ㣗㸪ࢆᇶ┙࡜ࡋࡓ೺ᗣቑ㐍㸪௓ㆤண㜵㸪⹫ᙅண㜵ࢆ┠ᣦࡋࡓ␿Ꮫ◊✲ࡢ᥎㐍ࢆྍ⬟࡜ࡍࡿ኱Ꮫ㝔⤌⧊ࢆసࡿ㸬Ϫ㸬ᖹᡂ㸰㸷ᖺᗘࡢ㐩ᡂ┠ᶆ࡜ࡑࢀ࡟ᑐࡍࡿᐇ⦼࣭ලయⓗ࡞ᡂᯝ஦ᴗ⤒㈝஺௜⏦ㄳ᫬࡟ᩥ㒊⛉Ꮫ┬࡟ᕤ⛬⾲࡜ࡋ࡚ᥦฟࡋࡓᖹᡂ㸰㸷ᖺᗘࡢ㐩ᡂ┠ᶆ࡜ࡑࢀ࡟ᑐࡍࡿᐇ⦼࣭ලయⓗ࡞ᡂᯝࢆ௨ୗ࡟♧ࡍ㸬㸯㸬࢖ࣥࣉࢵࢺ࣭ࣉࣟࢭࢫ
㸯㸧ᐃ㔞ⓗ࡞ࡶࡢ
ձ་⒪ᨭ᥼ṑᏛᩍ⫱ࢥ࣮ࢫ࣮࣡ࢡࡢᤵᴗࢩ࣮ࣜࢬࡢ㜀ぴヨ⾜⥆⾜㸦㸴㸮ศ㸲㸳㸻㸱༢఩㸧་⒪ᨭ᥼ṑᏛᩍ⫱ࢥ࣮ࢫ࣮࣡ࢡࡢᤵᴗࢩ࣮ࣜࢬࡣ㸪ᒸᒣ኱ᏛṑᏛ㒊㸲ᖺḟ࠾ࡼࡧ㸳ᖺḟᏛ⏕ࢆᑐ㇟࡟᫖ᖺᗘࡼࡾ࣒࢝ࣜ࢟ࣗࣛ࡟ᑟධࡋ࡚࠾ࡾ㸪௒ᖺᗘࡶྠ
ᵝ࡟ᐇ᪋ࡋࡓ㸬ࡲࡓ㸪ᖹᡂ㸰㸷ᖺ㸯㸯᭶㸯㸯᪥࡟㛤ദࡉࢀࡓ➨㸳ᅇ஦ᴗ᥎㐍ጤဨ఍࡛ࡣ㸪ྛ㐃ᦠ኱Ꮫࡢ་⒪ᨭ᥼ṑᏛᩍ⫱ࢥ࣮ࢫ࣮࣡ࢡࡢᆒ࡚ࢇ໬ࡢ≧ἣࡀሗ࿌ࡉࢀ㸪ྛ኱Ꮫࡢ஦᝟࡟ྜࢃࡏ࡚㸲ࡘࡢ࣐ࢺࣜࢵࢡࢫࢥ࣮ࢫ࣮࣡ࢡࡑࢀࡒࢀ࡟࠾
࠸࡚㸪ᑟධࢆ୍ᒙ㐍ࡵ࡚࠸ࡃࡇ࡜ࡀヰࡋྜࢃࢀࡓ㸦㈨ᩱ㸯㸧㸬ࡍ࡛࡟୍㒊ࡢ㐃ᦠ኱Ꮫ࡛ᮏࢥ࣮ࢫ࣮࣡ࢡ࡜ྠ➼ࡢ⛉┠ࡀᑟධࡉࢀ࡚࠾ࡾ㸪ᤵᴗࢩ࣮ࣜࢬࡢ㜀ぴࡶ㛤ጞࡉࢀ࡚࠸ࡿ㸬ղྛ኱Ꮫࡢ་⒪ᨭ᥼ṑᏛᩍ⫱ࢥ࣮ࢫ࣮࣡ࢡࡢᐇ᪋≧ἣࡢ┦஫どᐹᖹᡂ㸱㸮ᖺ㸯᭶㸯㸳᪥㸪㸯㸴᪥࡟㸪❑ᮌ஦ᴗ㈐௵⪅ࡀ㛗ᓮ኱Ꮫ㸪஑ᕞ኱Ꮫࢆゼၥࡋ㸪ᆒ࡚ࢇ໬ࢳ࢙ࢵࢡࣜࢫࢺ࡟ᇶ࡙࠸࡚ྛ኱Ꮫࡢ་⒪ᨭ᥼ṑᏛᩍ⫱ࢥ࣮ࢫ࣮࣡ࢡࡢᐇ᪋≧ἣ☜ㄆࡋ㸪ᖹᡂ㸱㸮ᖺᗘᮎ࡟ྥࡅ࡚㸲ࡘࡢ࣐ࢺࣜࢵࢡࢫࡑࢀࡒࢀ
ࡢ࣒࢝ࣜ࢟ࣗࣛࡢ᏶඲ᑟධࢆ㐍ࡵࡿࡇ࡜࡛ྜពࡋࡓ㸦㈨ᩱ㸰㸧㸬ࡲࡓᖹᡂ㸱㸮ᖺ㸰᭶࡟ᮏ஦ᴗࡢ≉௵ຓᩍ㸰ྡࡀ㮵ඣᓥ኱Ꮫࢆゼၥࡋ㸪་⒪ᨭ᥼ṑᏛᩍ⫱ࢥ࣮ࢫ࣮࣡ࢡࡢᐇ᪋≧ἣࡢ☜ㄆࢆ⾜࠸㸪ᆒ࡚ࢇ໬࡟ྥࡅࡓヰࡋྜ࠸ࢆ⾜ࡗࡓ㸬ճึᮇ◊ಟ་ࡸ་Ꮫ㒊ṑ⛉ཱྀ⭍እ⛉ࡢ◊ಟ་ࡢࢥ࣮ࢫ࣮࣡ࢡ࡟ࡘ࠸࡚ヨ⾜㸦㸴㸮ศ㸯㸳㸻㸯༢఩㸧ᒸᒣ኱Ꮫ࡛ࡣ㸪ึᮇ◊ಟ་࡟ᑐࡋ࡚㸪ㅮ⩏ࢩ࣮ࣜࢬ㸰㸦ᛴᛶᮇ་⒪㸧࠾ࡼࡧㅮ⩏ࢩ࣮ࣜࢬ㸱㸦ᅾᏯ௓ㆤ་⒪㸧ࡢィ  ࢥࣥࢸࣥࢶࡢど⫈࡜㸪ࢩ࣑࣮ࣗࣞࢱ࣮ࢆ
⏝࠸ࡓᅾᏯṑ⛉་⒪ࢩ࣑࣮ࣗࣞࢩࣙࣥᐇ⩦ࢆヨ⾜ࡋࡓ㸦㈨ᩱ㸱㸧㸬ͤ༢఩ࡣ࡞࠸ࡀ㸪౽ᐅⓗ࡟◊ಟ᫬㛫ࢆ⾲⌧ࡍࡿࡓࡵ࡟༢఩࡜࠸࠺ゝⴥࢆ⏝࠸ࡓ㸬 ࡲࡓ㸪໭ᾏ㐨኱Ꮫ࡛ࡣ㸪ࠕࡀࢇ἞⒪ࡢ࿘⾡ᮇ࡟࠾ࡅࡿཱྀ⭍⟶⌮◊ಟࢥ࣮ࢫࠖࢆ
ึᮇ◊ಟ་㸶ྡࡀಟ஢ࡋࡓ㸬㔠ἑ኱Ꮫཱྀ⭍እ⛉࡛ࡣࠕࡀࢇ἞⒪ᨭ᥼ཱྀ⭍ᶵ⬟⟶⌮༞ᚋ⮫ᗋ◊ಟࢥ࣮ࢫࠖࢆึᮇ◊ಟ་㸱ྡࡀಟ஢ࡋࡓ㸬රᗜ་⛉኱Ꮫṑ⛉ཱྀ⭍እ⛉࡛ࡣ㸪ࠕᖹ᫬ࠖ࠿ࡽࠕ᭷஦ࠖࡲ࡛࣮࣐࢜ࣛࣝࢿࢪ࣓ࣥࢺ͆&5($7(͇ࢆᐇ㊶࡛ࡁ
ࡿ་⒪ே㣴ᡂࢥ࣮ࢫࢆ◊ಟ་㸷ྡࡀಟ஢ࡋࡓ㸬㸰㸧ᐃᛶⓗ࡞ࡶࡢ
ձ㐃ᦠ኱Ꮫ඲య࡛࢙࢘ࣈᤵᴗࢩ࣮ࣜࢬࡢࢥࣥࢸࣥࢶసᡂ⥅⥆㐃ᦠ኱Ꮫ඲య࡛࢙࢘ࣈᤵᴗࢩ࣮ࣜࢬࡢࢥࣥࢸࣥࢶసᡂ࡜ࣈࣛࢵࢩࣗ࢔ࢵࣉࡀ
⥅⥆ࡉࢀࡓ㸬ᒸᒣ኱Ꮫ࡛ࡣ㸪ᦤ㣗ᄟୗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࡢᐇ㝿࡟ࡘ࠸࡚㸪デ⒪ᐊࡸ⑓Ჷ࡛ࡢᐇົࢆᏛ⩦࡛ࡁࡿࢥࣥࢸࣥࢶ㸯ᮏ㸪ࠕṚ⏕Ꮫ࣭ㄆ▱⑕ࠖࡢㅮ⩏㸲ᮏ㸪ࠕᅾᏯ࡟࠾ࡅࡿ㣗ᨭ᥼ࠖ㸱ᮏࢆ཰㘓ࡋ㸪᮶ᖺᗘࡢど⫈࡟ഛ࠼ࡓ㸬ࡲࡓ㸪஑ᕞ኱Ꮫࡢࠕཱྀ⭍೺ᗣ⛉Ꮫ≉ㄽࠖ㸶ᮏࡣෆᐜࡢࣈࣛࢵࢩࣗ࢔ࢵࣉࡀ࡞ࡉࢀ㸪ࡲࡓ㸪໭ᾏ㐨኱Ꮫ࡛㛤ദࡉࢀࡓࠕᖹᡂ  ᖺᗘ㐃ᦠࢩ࣏ࣥࢪ࣒࡛࢘ࠖࡢㅮ₇㸴ᮏ㸪᫛࿴኱Ꮫࡢ
ࠕཱྀ⭍ࢣ࢔ࢭࣥࢱ࣮ᡭ⾡ᮇㅮ⩦఍ࠖ㸯ᮏࡀࢩࢫࢸ࣒࡟㏣ຍࡉࢀ㸪ࢥࣥࢸࣥࢶᩘࡣ
㸯㸴㸰ᮏ࡜࡞ࡗࡓ㸬ᤵᴗࢩ࣮ࣜࢬࡢᡂ⦼⟶⌮ࡢ฼౽ᛶࢆྥୖࡍࡿࡓࡵ࡟㸪㟁Ꮚᤵᴗࢩࢫࢸ࣒ࡢᶵ
⬟ᣑᙇࢆ⾜ࡗࡓ㸬᮶ᖺᗘࡶ᭦࡞ࡿࣈࣛࢵࢩࣗ࢔ࢵࣉࢆ⾜࠸㸪ෆᐜࢆࡼࡾ඘ᐇࡋ࡚
࠸ࡃணᐃ࡛࠶ࡿ㸬ղࡀࢇ໬Ꮫ⒪ἲ࣭࿘⾡ᮇ➼ࡢ་⒪ࢆᨭ࠼ࡿཱྀ⭍⟶⌮ࢩ࣏ࣥࢪ࣒࢘ࢆ㛤ദ㸪஦ᴗ᥎㐍ጤဨ఍㸦࢙࢘ࣈࢥࣥࢸࣥࢶࡢసᡂ࡜ࣈࣛࢵࢩࣗ࢔ࢵࣉ㸧ᖹᡂ  ᖺ  ᭶  ᪥㸪 ᪥࡟໭ᾏ㐨኱Ꮫ࡟࡚㐃ᦠࢩ࣏ࣥࢪ࣒࢘ࢆ㛤ദࡋࡓ㸬ྛ኱Ꮫ࡛ࡢྲྀ⤌࡟ࡘ࠸࡚ࡢ࣏ࢫࢱ࣮Ⓨ⾲࡛ࡣ㸪་⒪ᨭ᥼㛵㐃࡛ࡣ㸪ᒸᒣ኱Ꮫ࡟࡚
ᮏ஦ᴗࡢ୍⎔࡜ࡋ࡚ᐇ᪋ࡋ࡚࠸ࡿࠕ㧗ᗘ་⒪ᨭ᥼࣭࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ᐇ⩦ࠖ࡟
ࡘ࠸࡚Ⓨ⾲ࢆ⾜ࡗࡓ㸬ᮏࢩ࣏ࣥࢪ࣒࢘࡜ేࡏ࡚➨㸳ᅇ஦ᴗ᥎㐍ጤဨ఍ࢆ㛤ദࡋ㸪ᖹᡂ㸰㸶ᖺᗘࡢ⮬ᕫホ౯࠾ࡼࡧእ㒊ホ౯ࡢ⤖ᯝࡸྛ㐃ᦠ኱Ꮫ࡛ࡢ஦ᴗ㐍ᤖ≧ἣ➼ࡢሗ࿌ࡀ࡞ࡉࢀࡓ㸬ࡲࡓ㸪ᮏጤဨ఍࡟࡚་⒪ᨭ᥼ṑᏛᩍ⫱ࢥ࣮ࢫ࣮࣡ࢡࡢᆒ࡚
ࢇ໬࡟ࡘ࠸࡚ࡢ㐍ᤖ≧ἣࡢሗ࿌࡜௒ᚋࡢᒎ㛤࡟ࡘ࠸࡚㆟ㄽࢆ⾜ࡗࡓ㸬᭱⤊ᖺᗘ࡛࠶ࡿ᮶ᖺᗘࡣᆒ࡚ࢇ໬࡟ྥࡅ㸪ྛ኱Ꮫ࡟୍࡚ᒙࡢ஦ᴗ᥎㐍ࡀᚲせ࡛࠶ࡿࡇ࡜
ࢆ♧ࡋྜࡏࡓ㸦㈨ᩱ㸯㸧㸬ࡲࡓ㸪࢙࢘ࣈࢥࣥࢸࣥࢶ࡟ࡘ࠸࡚ࡣ㸪ࡑࢀࡒࢀࡢ኱Ꮫ
࡟࡚సᡂࡀ⥅⥆ࡉࢀ࡚࠾ࡾ㸪㐺ᐅࣈࣛࢵࢩࣗ࢔ࢵࣉࢆ⾜࠸㸪࣮࢜ࣉࣥࢥ࣮ࢫ࢙࢘
࢔࡟࡚㐃ᦠ኱Ꮫ㛫࡛ඹ᭷࡛ࡁࡿయไࡀᩚࡗ࡚࠸ࡿ㸬➨㸯㸳ᅇ᪥ᮏ⮫ᗋ⭘⒆Ꮫ఍Ꮫ⾡㞟఍ࡢࢩ࣏ࣥࢪ࣒࡛࢘ࡣᮏ஦ᴗࡢ୍⎔࡜ࡋ࡚ᒸᒣ኱Ꮫ࡟࡚ᐇ᪋ࡋ࡚࠸ࡿ㸪ࡀࢇཱྀ⭍ᨭᣢ⒪ἲ࡟ᦠࢃࡿேᮦ㣴ᡂ࡟㛵ࡍࡿᩍ⫱࣭◊ಟ࣒࢝ࣜ࢟ࣗࣛ࡟ࡘ࠸࡚Ⓨ⾲ࢆ⾜ࡗࡓ㸦㈨ᩱ㸲㸧㸬
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ճ㐃ᦠᰯ㛫ࡸ༠ຊ᪋タ࡬ࡢᩍဨ㹄㹂⥅⥆㸪Ꮫ⏕஺ὶ⥅⥆ ᒸᒣ኱Ꮫ࡛⾜ࢃࢀࡓᒸᒣ኱Ꮫ⑓㝔࿘⾡ᮇ⟶⌮ࢭࣥࢱ࣮ࢆ฼⏝ࡋࡓ㧗ᗘ་⒪ᨭ
᥼࣭࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ᐇ⩦࡟࡚㸪᪥ᮏ኱Ꮫ࠾ࡼࡧ㛗ᓮ኱Ꮫ࠿ࡽࡑࢀࡒࢀṑᏛ㒊⏕ࢆ㸰ྡཷࡅධࢀࡓ㸦㈨ᩱ㸳㸧㸬㛗ᓮ኱Ꮫ࡛⾜ࢃࢀࡓ㞳ᓥṑ⛉ཱྀ⭍་⒪࣭ಖ೺࣭⚟♴Ꮫᐇ⩦࡟࡚㸪᫛࿴኱ᏛṑᏛ⏕  ྡ㸪ᒸᒣ኱ᏛṑᏛ㒊⏕㸰ྡࢆཷࡅධࢀࡓ㸦㈨ᩱ㸴㸧㸬ࡲࡓ㸪ᒸᒣ኱Ꮫ࠿ࡽᩍ
ဨ㸰ྡࡀཧຍࡋࡓ㸦㈨ᩱ㸵㸧㸬㮵ඣᓥ኱Ꮫ࡛⾜ࢃࢀࡓኟᏘ඲ᅜṑᏛ⏕㞳ᓥᐇ⩦ࣉࣟࢢ࣒ࣛ࡟࡚㸪᫛࿴኱ᏛṑᏛ㒊⏕㸯ྡ㸪኱㜰኱ᏛṑᏛ㒊⏕㸯ྡ㸪ᒸᒣ኱ᏛṑᏛ㒊⏕㸰ྡࢆཷࡅධࢀࡓ㸦㈨ᩱ
㸶㸧㸬ᑦ㸪ᮏࣉࣟࢢ࣒ࣛࡢᐇ⩦ᆅࡢࡦ࡜ࡘ࡛࠶ࡿ୚ㄽᓥࢆᒸᒣ኱Ꮫࡢᩍဨ㸰ྡࡀゼၥࡋ㸪᮶ᖺᗘ௨㝆ࡢᐇ⩦ཷࡅධࢀ࡟౫㢗ࢆ⾜ࡗࡓ㸬ࡲࡓ㸪ࡑࡢ㝿࡟㮵ඣᓥ኱Ꮫࡶゼၥࡋ㸪㮵ඣᓥ኱Ꮫ࡛ࡢᮏ஦ᴗࡢࡉࡽ࡞ࡿ᥎㐍࡟ࡘ࠸࡚ࡢヰࡋྜ࠸㸪ࢩ࣑࣮ࣗࣞࢩࣙࣥᐇ⩦ࡢᐇ᪋≧ἣࢆ☜ㄆࡋࡓ㸦㈨ᩱ㸷㸧㸬մᩍဨ࣭Ꮫ⏕ᩍ⫱ࡸ␿Ꮫ◊✲࡬⏝࠸ࡿࡓࡵࡢࣇ࢕࣮ࣝࢻㄪᰝ㸪ᇶ┙◊✲ᐇ᪋኱㜰኱Ꮫ࡛ࡣ㸪㒔ᕷ㒊࡜㎰ᮧ㒊࡟࠾࠸࡚೺ᗣ㛗ᑑ࡟ࡘ࠸࡚ࡢࢥ࣮࣍ࢺ◊✲ࡀ⥅⥆ࡉࢀ࡚࠾ࡾ㸪␗ศ㔝㐃ᦠ࡟㈨ࡍࡿṑ⛉་Ꮫ◊✲⪅㣴ᡂᐇ⩦ࢆ኱Ꮫ㝔⏕㸱ྡࡀᒚಟࡋ㸪ᣦᑟⓗṑ⛉་⒪ே㣴ᡂࢥ࣮ࢫࢆ⮫ᗋ◊ಟ་㸯㸱ྡࡀᒚಟࡋࡓ㸦㈨ᩱ㸯㸮㸧㸬ࡲࡓ㸪஑ᕞ኱Ꮫ࡛ࡣ㸪ஂᒣ⏫࡟࡚ᮏ஦ᴗ࡟㛵㐃ࡍࡿࢥ࣮࣍ࢺ◊✲ࡀ⥅⥆ࡉࢀ࡚࠸ࡿ㸬
յྛ㐃ᦠ኱Ꮫࡢ≉ᚩ࠶ࡿࢥ࣮ࢫ࣮࣡ࢡࢩࣛࣂࢫࡢಟṇ㸪ᐇ᪋໭ᾏ㐨኱Ꮫ࡛ࡣࠕࡀࢇ἞⒪ࡢ࿘⾡ᮇ࡟࠾ࡅࡿཱྀ⭍⟶⌮◊ಟࢥ࣮ࢫࠖࢆᐇ᪋ࡋ㸪◊ಟ་㸶ྡ㸦ᐃဨ㸶ྡ㸧ࡀಟ஢ࡋࡓ㸬㔠ἑ኱Ꮫ࡛ࡣࠕࡀࢇࣉࣟࣇ࢙ࢵࢩࣙࢼࣝ་
㣴ᡂࣉࣛࣥ㸦ࡀࢇࣉࣟ㸧ࠖ㸪஑ᕞ኱Ꮫ࡛ࡣࠕཱྀ⭍೺ᗣ⛉Ꮫ≉ㄽࠖࡢࣈࣛࢵࢩࣗ࢔ࢵ
ࣉࢆ⾜࠸㸪ࡑࢀࡒࢀ᮶ᖺᗘ௨㝆ᮏ஦ᴗࡢ࣮࢜ࣉࣥࢥ࣮ࢫ࢙࢘࢔
㸦https://mdp.dent.okayama-u.ac.jp/ocw/index.php㸧ࢆ⏝࠸࡚㸪㐃ᦠ኱Ꮫ㛫࡛ඹ᭷㸪ど⫈࡛ࡁࡿࡼ࠺‽ഛࢆ᏶஢ࡋࡓ㸬኱㜰኱Ꮫ࡛ࡣ㸪ࠕ␗ศ㔝㐃ᦠ࡟㈨ࡍࡿṑ⛉་Ꮫ◊✲⪅㣴ᡂᐇ⩦ࠖ㸪ࠕᣦᑟⓗṑ⛉་⒪ே㣴ᡂࢥ࣮ࢫࠖࡢᐇ⩦ࢆ⾜ࡗࡓ㸬ᒸᒣ኱Ꮫ࡛ࡣ㸪ࠕㅮ⩏ࢩ࣮ࣜࢬ㸯㸦⏕ά⩦័⑓࡜ཱྀ⭍㸧ࠖ㸪ࠕㅮ⩏ࢩ࣮ࣜࢬ㸰㸦ᛴᛶᮇ་⒪㸧ࠖ㸪ࠕㅮ⩏ࢩ࣮ࣜࢬ㸱㸦ᅾᏯ௓ㆤ་⒪㸧ࠖ㸪ࠕせ௓ㆤ㧗㱋⪅ࢆᶍࡋࡓࢩ࣑࣮ࣗࣞࢱ࣮ࡸ⪁ே௓ㆤ࣭ᅾᏯ௓ㆤ᪋タࢆ⏝࠸ࡓPBL₇⩦ࠖ㸪ࠕᒸᒣ኱Ꮫ⑓㝔࿘⾡ᮇ⟶⌮ࢭࣥࢱ࣮ࢆ฼⏝ࡋࡓ㧗ᗘ་⒪ᨭ᥼࣭࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ᐇ⩦ࠖ㸪ࠕ⮫ᗋㅮᖌ➼ࢆ฼⏝ࡋࡓᅾᏯ௓ㆤ࣭ゼၥṑ⛉デ⒪ཧຍᆺᏛእ⮫ᗋᐇ⩦ࠖࡀ㛤ㅮࡉࢀ㸪ࡇࢀࡽࡍ࡭࡚ࡢ⛉┠ࡀ༢఩໬ࡉࢀࡓ㸬ࡲࡓ㸪㛗ᓮ኱Ꮫ࡛ࡣࠕ㞳ᓥṑ⛉ಖ೺་⒪ࢧ࣐࣮ࢫࢡ࣮ࣝໟᣓⓗཱྀ⭍ࢣ࢔࣭࣮ࣛࢽࣥࢢࢥ࣮ࢫࠖ㸦㈨ᩱ㸯㸯㸧ࡀ㸪㮵ඣᓥ኱Ꮫ࡛ࡣࠕᖹᡂ㸰㸷ᖺᗘ ኟᏘ඲ᅜṑᏛ⏕㞳ᓥᐇ⩦ࣉࣟࢢ࣒ࣛࠖࡀ㐃ᦠ኱ᏛࡢᏛ⏕ࢆᑐ㇟࡟බ㛤ࡉࢀ㸪㐃ᦠ኱Ꮫ࠿ࡽࡢ
ཧຍࡀ࠶ࡗࡓ㸦㈨ᩱ㸯㸰㸧㸬ն㐃ᦠ኱Ꮫ࡛ᐃ౛ṑᏛᩍ⫱◊✲ࢩ࣏ࣥࢪ࣒࢘㸤࣮࣡ࢡࢩࣙࢵࣉ㛤ദ㸪኱Ꮫ㝔⏕ࡢᇶ┙◊✲ࡸ␿Ꮫ◊✲ࡢⓎ⾲ࡢᶵ఍ࢆタࡅࡿᖹᡂ㸰㸷ᖺ㸯㸯᭶㸯㸮㸪㸯㸯᪥࡟໭ᾏ㐨኱ᏛṑᏛ㒊ㅮᇽ࡟࡚㐃ᦠࢩ࣏ࣥࢪ࢘
࣒ࢆ㛤ദࡋࡓ㸦㈨ᩱ㸯㸱㸧㸬ᩥ㒊⛉Ꮫ┬㧗➼ᩍ⫱ᒁ㸪༠ຊ᪋タ࠾ࡼࡧ㐃ᦠ኱Ꮫ࠿ࡽㅮᖌࢆᣍ⪸ࡋ㸪୧᪥࡜ࡶάⓎ࡞ពぢ஺᥮ࡀ⾜ࢃࢀ㸪┒఍⿬࡟⤊஢ࡋࡓ㸬ྛ኱Ꮫ࡟࠾ࡅࡿ஦ᴗࡢྲྀࡾ⤌ࡳ≧ἣ࡟ࡘ࠸࡚࣏ࢫࢱ࣮ウㄽࢆ⾜࠸㸪Ⓨ⾲ࡢᶵ఍ࡀタࡅࡽࢀࡓ㸬ᮏࢩ࣏ࣥࢪ࣒࢘ࡢཧຍ⪅ࡣ⣙㸵㸮ྡ࡛࠶ࡗࡓ㸬㸰㸬࢔࢘ࢺࣉࢵࢺ
㸯㸧ᐃ㔞ⓗ࡞ࡶࡢձᅾᏯ࣭ゼၥṑ⛉デ⒪ཧຍᆺ⮫ᗋᐇ⩦ಟ஢㸦ᒸᒣ኱Ꮫ㸸 ྡ㸧㸦㐃ᦠᰯ㸸 ྡ㸧ᒸᒣ኱ᏛṑᏛ㒊࡟࠾࠸࡚㸪㸰㸳ྡࡢᏛእ⮫ᗋㅮᖌࡢ༠ຊࡢࡶ࡜㸪㸴ᖺḟᏛ⏕㸦㸲㸵ྡ㸪඲⮫ᗋᐇ⩦⏕㸧ࢆᑐ㇟࡜ࡋ࡚㸪ᅾᏯ௓ㆤ࣭ゼၥデ⒪ཧຍᆺᏛእᐇ⩦ࢆᐇ᪋ࡋࡓ㸬ᖹᡂ㸰㸷ᖺ㸷᭶㸰㸯᪥࡟㸪Ꮫእㅮᖌࡢࡓࡵࡢ )' ࢆ┠ⓗ࡟㸪ᖹᡂ㸰㸷ᖺᗘ➨㸯ᅇᅾᏯ࣭ṑ⛉ゼၥデ⒪ᩍ⫱ࢩ࣏ࣥࢪ࣒࢘ࢆ㛤ദࡋ㸦ཧຍேᩘ㸸㸯㸴㸵ྡ㸧㸪᣺ࡾ㏉ࡾᏛ⩦ࢆ⾜ࡗࡓ㸦㈨ᩱ㸯㸲㸧㸬ࡲࡓ㸪ྠᵝࡢ┠ⓗ࡛㸪ᖹᡂ㸱㸮ᖺ㸱᭶㸯㸲᪥࡟ᖹᡂ㸰㸷ᖺᗘ➨㸰ᅇᅾᏯ࣭ṑ⛉ゼၥデ⒪ᩍ⫱ࢩ࣏ࣥࢪ࣒࢘ࢆ㛤ദࡋࡓ㸦ཧຍேᩘ㸸㸷㸮ྡ㸧
㸦㈨ᩱ㸯㸳㸧㸬㐃ᦠᰯ࡟࠾࠸࡚ࡶ㸪ྠᵝࡢᐇ⩦ࡀ㛤ㅮࡉࢀ࡚࠸ࡿ㸬ղ⪁ே௓ㆤ᪋タࢆ⏝࠸ࡓ 3%/ ₇⩦ࡢಟ஢㸦ᒸᒣ኱Ꮫ㸸 ྡ㸧㸦㐃ᦠᰯ  ྡ㸧ᒸᒣ኱ᏛṑᏛ㒊㸱ᖺḟ⏕ࡢ➨㸰ࢡ࣮࢜ࢱ࣮ࢆ฼⏝ࡋ࡚㸪㸱ᖺḟᏛ⏕㸦㸳㸯ྡ㸧࡜ᣦᑟᩍဨࡀ⪁ே௓ㆤ᪋タ࡟ゼၥࡋ㸪Ꮫ⏕࡟௓ㆤ⌧ሙࡢㄢ㢟ࢆᢳฟࡉࡏ㸪㹎㹀㹊
₇⩦ࢆ⾜ࡗࡓ㸦㈨ᩱ㸯㸴㸧㸬㐃ᦠᰯ࡟࠾࠸࡚ࡶ㸪௓ㆤ᪋タ➼ࢆゼၥࡍࡿᐇ⩦ࡀ㛤ጞࡉࢀ࡚࠸ࡿ㸬ճ㧗ᗘ་⒪ᨭ᥼࣭࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮⮫ᗋᐇ⩦ಟ஢㸦ᒸᒣ኱Ꮫ㸸 ྡ㸧㸦㐃ᦠᰯ㸸 ྡ㸧ᒸᒣ኱Ꮫ⑓㝔࿘⾡ᮇ⟶⌮ࢭࣥࢱ࣮ࢆ฼⏝ࡋࡓ㧗ᗘ་⒪ᨭ᥼࣭࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ᐇ⩦ࢆᐇ᪋ࡋࡓ㸬ᖹᡂ㸰㸷ᖺᗘࡣ㸪ᒸᒣ኱Ꮫ࡛ࡣ⮫ᗋᐇ⩦⏕㸦㸳ᖺḟᚋᮇ㹼㸴ᖺḟ๓ᮇ㸧㸳㸮ྡ඲ဨࡀᐇ⩦ࢆಟ஢ࡋࡓ㸬ࡲࡓᮏᐇ⩦࡛ࡣ㸪᪥ᮏ኱Ꮫ࠿ࡽ㸰ྡ㸪㛗ᓮ኱Ꮫ࠿ࡽ㸰ྡࢆཷࡅධࢀࡓ㸦㈨ᩱ㸳㸧㸬㐃ᦠᰯ࡟࠾࠸࡚ࡶ㸪ྠᵝࡢᐇ⩦ࡀ㛤ጞࡉࢀ࡚࠸ࡿ㸬մࢩ࣑࣮ࣗࣞࢱ࣮₇⩦ヨ⾜㸦ᒸᒣ኱Ꮫ㸸 ྡ㸧㸦㐃ᦠᰯ㸸 ྡ㸧  せ௓ㆤ㧗㱋⪅ࢆᶍࡋࡓࢩ࣑࣮ࣗࣞࢱ࣮ࢆ⏝࠸࡚ᐇ⩦ࢆ⾜ࡗࡓ㸬ᒸᒣ኱Ꮫ࡛ࡣ
⮫ᗋᐇ⩦⏕㸦㸳ᖺḟᏛ⏕㸧ࢆᑐ㇟࡜ࡋ࡚⾜࠸㸪㸲㸲ྡ඲ဨࡀᐇ⩦ࢆಟ஢ࡋࡓ㸬ᝈ⪅ࡉࢇࡢయ఩ࡸ⾡⪅ࡢ఩⨨Ỵࡵ㸪㌴᳔Ꮚࡸ࣋ࢵࢻࢧ࢖ࢻ࡛ࡢデ⒪㸪ᐙ᪘࡬ࡢᑐᛂ
➼࡟ࡘ࠸࡚㸪≧ἣ࡟ᛂࡌࡓ἞⒪ࡀ࡛ࡁࡿࡼ࠺ࢩ࣑࣮ࣗࣞࢩࣙࣥࢆ⾜ࡗࡓ㸦㈨ᩱ㸯㸵㸧㸬ࢩ࣑࣮ࣗࣞࢱ࣮ࡣ㸪௒ᖺᗘ࡛඲㐃ᦠᰯ࡟㓄ഛࡀ᏶஢ࡋ࡚࠾ࡾ㸪ࡑࢀࡒࢀࡢ
኱Ꮫ࡟࠾࠸࡚ࢩࢼࣜ࢜ࢆసᡂࡋ㸪ᐇ⩦ࡀ⾜ࢃࢀࡓ㸬յᤵᴗࢩ࣮ࣜࢬಟ஢㸦ᒸᒣ኱Ꮫ㸸 ྡ㸧㸦㐃ᦠᰯ㸸 ྡ㸧  ᒸᒣ኱Ꮫ࡛ࡣ㸪ㅮ⩏ࢩ࣮ࣜࢬࢆᚲಟ໬ࡋ㸪ㅮ⩏ࢩ࣮ࣜࢬ㸯㸦⏕ά⩦័⑓࡜ཱྀ⭍㸧ࡣ㸲ᖺḟ⏕㸲㸵ྡ㸪ㅮ⩏ࢩ࣮ࣜࢬ㸰㸦ᛴᛶᮇ་⒪㸧࡜ㅮ⩏ࢩ࣮ࣜࢬ㸱㸦ᅾᏯ
௓ㆤ་⒪㸧ࡣ㸳ᖺḟ⏕㸲㸴ྡࡀಟ஢ࡋࡓ㸬㐃ᦠᰯ࡟࠾࠸࡚ࡣྠᵝࡢㅮ⩏ࡀᐇ᪋ࡉࢀࡘࡘ࠶ࡾ㸪୙㊊ࡍࡿෆᐜ࡟ࡘ࠸࡚ࡣ࢙࢘ࣈࢥࣥࢸࣥࢶࡀ฼⏝ࡉࢀ࡚࠸ࡿ㸬ᑦ㸪ᒸᒣ኱Ꮫ࡛ࡣ㸪ᖹᡂ㸱㸯ᖺᗘᮎ࡟ࡣ㸪ᮏ஦ᴗ࡛㛤ㅮࡋࡓࡍ࡭࡚ࡢ⛉┠ࢆᒚಟࡋࡓ
Ꮫ⏕ࡀ༞ᴗணᐃ࡛࠶ࡾ㸪ᮏ஦ᴗᮇ㛫୰ࡢྛ⛉┠ࡢಟ஢ேᩘࡣ㈨ᩱ㸯㸶ࡢ㏻ࡾ࡛࠶ࡿ㸬㸰㸧ᐃᛶⓗ࡞ࡶࡢ
ձ㜀ぴྍ⬟࡞ᤵᴗࢩ࣮ࣜࢬࡢ⵳✚  ᒸᒣ኱Ꮫ࡛ࡣ㸪ᦤ㣗ᄟୗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࡢᐇ㝿࡟ࡘ࠸࡚㸪デ⒪ᐊࡸ⑓Ჷ࡛ࡢᐇົࢆᏛ⩦࡛ࡁࡿࢥࣥࢸࣥࢶ㸯ᮏ㸪ࠕṚ⏕Ꮫ࣭ㄆ▱⑕ࠖࡢㅮ⩏㸲ᮏ㸪ࠕᅾᏯ࡟࠾ࡅࡿ㣗ᨭ᥼ࠖ㸱ᮏࢆ཰㘓ࡋ㸪᮶ᖺᗘࡢど⫈࡟ഛ࠼ࡓ㸬ࡲࡓ㸪஑ᕞ኱Ꮫࡢࠕཱྀ⭍೺ᗣ⛉Ꮫ≉ㄽࠖ㸶ᮏࡣෆᐜࡢࣈࣛࢵࢩࣗ࢔ࢵࣉࡀ࡞ࡉࢀ㸪ࡲࡓ㸪໭ᾏ㐨኱Ꮫ࡛㛤ദࡉࢀࡓࠕᖹᡂ  ᖺᗘ㐃ᦠࢩ࣏ࣥࢪ࣒࡛࢘ࠖࡢㅮ₇㸴ᮏ㸪᫛࿴኱Ꮫࡢࠕཱྀ⭍ࢣ࢔ࢭࣥࢱ࣮࿘⾡ᮇㅮ⩦఍ࠖ㸯ᮏࡀࢩࢫࢸ࣒࡟㏣ຍࡉࢀ㸪ࢥࣥࢸࣥࢶᩘࡣ㸯㸴㸰ᮏ࡜࡞ࡗࡓ㸦㈨ᩱ㸯㸷㸧㸬ᤵᴗࢩ࣮ࣜࢬࡢᡂ⦼⟶⌮ࡢ฼౽ᛶࢆྥୖࡍࡿࡓࡵ࡟㸪ࢩࢫࢸ࣒ࡢᶵ⬟ᣑᙇࢆ⾜ࡗࡓ㸬᮶ᖺᗘࡶ᭦࡞ࡿࣈࣛࢵࢩࣗ࢔ࢵࣉࢆ⾜࠸㸪ෆᐜࢆࡼࡾ඘ᐇࡋ࡚࠸ࡃணᐃ
࡛࠶ࡿ㸦㈨ᩱ㸰㸮㸧㸬ղ㐃ᦠᰯ㛫ࡸ༠ຊ᪋タ࡬ࡢ㹄㹂ᩍဨὴ㐵㸪Ꮫ⏕஺ὶ  ᒸᒣ኱Ꮫ࡛⾜ࢃࢀࡓᒸᒣ኱Ꮫ⑓㝔࿘⾡ᮇ⟶⌮ࢭࣥࢱ࣮ࢆ฼⏝ࡋࡓ㧗ᗘ་⒪ᨭ
᥼࣭࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ᐇ⩦࡟࡚㸪᪥ᮏ኱Ꮫ࠾ࡼࡧ㛗ᓮ኱Ꮫ࠿ࡽࡑࢀࡒࢀṑᏛ㒊⏕ࢆ㸰ྡཷࡅධࢀࡓ㸦㈨ᩱ㸳㸧㸬㛗ᓮ኱Ꮫ࡛⾜ࢃࢀࡓ㞳ᓥṑ⛉ཱྀ⭍་⒪࣭ಖ೺࣭⚟♴Ꮫᐇ⩦࡟࡚㸪᫛࿴኱ᏛṑᏛ⏕  ྡ㸪ᒸᒣ኱ᏛṑᏛ㒊⏕㸰ྡࢆཷࡅධࢀࡓ㸬ࡲࡓ㸪ᒸᒣ኱Ꮫ࠿ࡽᩍဨ㸰ྡࡀཧຍࡋࡓ㸦㈨ᩱ㸰㸯㸧㸬㮵ඣᓥ኱Ꮫ࡛⾜ࢃࢀࡓኟᏘ඲ᅜṑᏛ⏕㞳ᓥᐇ⩦ࣉࣟࢢ࣒ࣛ࡟࡚㸪᫛࿴኱ᏛṑᏛ㒊⏕㸯ྡ㸪኱㜰኱ᏛṑᏛ㒊⏕㸯ྡ㸪ᒸᒣ኱ᏛṑᏛ㒊⏕㸰ྡࢆཷࡅධࢀࡓ㸦㈨ᩱ
㸰㸰㸧㸬ᑦ㸪ᮏࣉࣟࢢ࣒ࣛࡢᐇ⩦ᆅࡢࡦ࡜ࡘ࡛࠶ࡿ୚ㄽᓥࢆᒸᒣ኱Ꮫࡢᩍဨ㸰ྡࡀゼၥࡋ㸪᮶ᖺᗘ௨㝆ࡢᐇ⩦ཷࡅධࢀ࡟౫㢗ࢆ⾜ࡗࡓ㸬ࡲࡓ㸪ࡑࡢ㝿࡟㮵ඣᓥ኱Ꮫࡶゼၥࡋ㸪㮵ඣᓥ኱Ꮫ࡛ࡢᮏ஦ᴗࡢࡉࡽ࡞ࡿ᥎㐍࡟ࡘ࠸࡚ࡢヰࡋྜ࠸㸪ࢩ࣑࣮ࣗࣞࢩࣙࣥᐇ⩦ࡢᐇ᪋≧ἣࢆ☜ㄆࡋࡓ㸦㈨ᩱ㸷㸧㸬ճ␿Ꮫ◊✲ᴗ⦼㸪ᇶ┙◊✲ᴗ⦼኱㜰኱Ꮫ࡛ࡣ㸪㒔ᕷ㒊࡜㎰ᮧ㒊࡟࠾࠸࡚೺ᗣ㛗ᑑ࡟ࡘ࠸࡚ࡢࢥ࣮࣍ࢺ◊✲ࢆ⥅⥆ࡋ࡚࠾ࡾ㸪኱Ꮫ㝔⏕࠾ࡼࡧ⮫ᗋ◊ಟ་ࡀཧຍࡋ㸪ᴗ⦼ࡢ⵳✚ࢆ⾜ࡗ࡚࠸ࡿ㸬஑ᕞ኱Ꮫ࡛ࡣ㸪ஂᒣ⏫࡟࡚ᮏ஦ᴗ࡟㛵㐃ࡍࡿࢥ࣮࣍ࢺ◊✲ࡀ⥅⥆ࡉࢀ࡚࠸ࡿ㸬մ௚኱Ꮫࡢ࣒࢝ࣜ࢟ࣗࣛ࡬ゐࢀࡿᶵ఍ࡢቑຍ
ᒸᒣ኱Ꮫ⑓㝔࿘⾡ᮇ⟶⌮ࢭࣥࢱ࣮ࢆ฼⏝ࡋࡓ㧗ᗘ་⒪ᨭ᥼࣭࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ᐇ⩦ࡸ㸪㛗ᓮ኱Ꮫ࠾ࡼࡧ㮵ඣᓥ኱Ꮫ࡟࡚㛤ദࡉࢀࡓ㞳ᓥᐇ⩦࡟ࡣ㸪㐃ᦠ኱Ꮫ࠿ࡽᏛ⏕ࡀཧຍࡋࡓ㸦㈨ᩱ㸳㸪㸴㸪㸶㸪㸯㸯㸪㸯㸰㸪㸰㸯㸪㸰㸰㸧㸬㸱㸬ྛ኱Ꮫ࡟࠾ࡅࡿᩍ⫱ࣉࣟࢢ࣒ࣛࡢ㐍ᤖ≧ἣ࠙໭ᾏ㐨኱Ꮫࠚࡀࢇ἞⒪ࡢ࿘⾡ᮇ࡟࠾ࡅࡿཱྀ⭍⟶⌮◊ಟࢥ࣮ࢫ
ࡀࢇ἞⒪ࡢ࿘⾡ᮇ⟶⌮࡟㛵ࡍࡿࢭ࣑ࢼ࣮㸦 ศ㸵ᅇ㸧㸪ࡀࢇ໬Ꮫ⒪ἲ๓ࡢ
ཱྀ⭍⟶⌮₇⩦㸦 ศ㸧㸪ࡀࢇ἞⒪࿘⾡ᮇࡢཱྀ⭍⟶⌮◊ಟࡢ㸱ࡘࡢ◊ಟ࡟ࡘ࠸࡚㸪ṑ⛉◊ಟ་ࢆᑐ㇟࡟⾜࠸㸶ྡࡀཷㅮࡋࡓ㸬࠙㔠ἑ኱Ꮫࠚࡀࢇ἞⒪ᨭ᥼ཱྀ⭍ᶵ⬟⟶⌮♫఍ே◊ಟࢥ࣮ࢫ㸪ࡀࢇ἞⒪ᨭ᥼ཱྀ⭍ᶵ⬟⟶⌮༞ᚋ⮫ᗋ◊ಟࢥ࣮ࢫ㸪ࡀࢇ἞⒪ᨭ᥼ཱྀ⭍ᶵ⬟⟶⌮ࢥ࣮ࢫ   㔠ἑ኱Ꮫࡀࢇࣉࣟࣇ࢙ࢵࢩࣙࢼࣝ་㣴ᡂࣉࣛࣥ㸦ࡀࢇࣉࣟ㸧ࡢࢥࣥࢸࣥࢶ
ࢆᮏ஦ᴗ࡬࡜⛣⾜ࡍࡿࡓࡵࡢసᴗࢆ⥅⥆ࡋ࡚࠸ࡿ㸬ᮏᖺᗘࡣ᪂つ࡟ࡀࢇࣉࣟ
࡟㏣ຍࡲࡓࡣ᭦᪂ࡉࢀࡓࢥࣥࢸࣥࢶࡢ⛣⾜సᴗࢆ㛤ጞࡋࡓ㸬᮶ᖺᗘసᴗࡢ⤊஢ࡋࡓࢥࣥࢸࣥࢶࢆᥦฟࡍࡿணᐃ࡛࠶ࡿ㸬ࡲࡓ㸪ᅾᏯゼၥཱྀ⭍ࢣ࢔◊ಟࢆ㸱᪥㛫㸪ྛ᪥㸯ྡࡎࡘ㸱ேࡢ◊ಟ་࡟ᑐࡋ࡚
ᐇᆅ◊ಟࢆ⾜ࡗࡓ㸬  ࠙኱㜰኱Ꮫࠚ␗ศ㔝㐃ᦠ࡟㈨ࡍࡿṑ⛉་Ꮫ◊✲⪅㣴ᡂᐇ⩦㸪ከ⫋✀㐃ᦠ࡟㈨ࡍࡿ
ࣜࢧ࣮ࢳ࣐࢖ࣥࢻࢆᣢࡗࡓᣦᑟⓗṑ⛉་⒪ே㣴ᡂࢥ࣮ࢫ㸪㧗㱋⪅ࡢ⥲ྜデ⒪࡟㈨ࡍࡿṑ⛉་⒪ேࡢ⫱ᡂᐇ⩦ ␗ศ㔝㐃ᦠ࡟㈨ࡍࡿṑ⛉་Ꮫ◊✲⪅㣴ᡂᐇ⩦࡛ࡣ㸪㸱ྡࡢ኱Ꮫ㝔⏕ࡀ㸯ᅇ㸴᫬㛫ࡢᐇ⩦ࢆᘏ࡭㸰㸱ᅇᒚಟࡋࡓ㸬ࡲࡓ㸪ᣦᑟⓗṑ⛉་⒪ே㣴ᡂࢥ࣮ࢫ࡛ࡣ㸪㸯㸱ྡࡢ⮫ᗋ◊ಟ་ࡀ㸯ᅇ㸴᫬㛫ࡢᐇ⩦ࢆᘏ࡭㸯㸲ᅇᒚಟࡋࡓ㸬኱Ꮫ㝔⏕㸪◊ಟ་࡜ࡶ㸪㧗㱋⪅ࡢ೺ᗣ࡟㔜せ࡞㸪ᰤ㣴ᦤྲྀ㸪ෆ⛉ⓗ⑌ᝈ㸪ㄆ▱ᶵ⬟㸪㐠ືᶵ⬟ࡢホ౯᪉ἲࢆ⌮ゎࡋ㸪ಟᚓࡍࡿ࡜࡜ࡶ࡟㸪཰㞟ࡋࡓࢹ࣮ࢱࡢධ
ຊ㸪ᩚ⌮ࢆ⾜ࡗࡓ㸬኱Ꮫ㝔⏕ࡣ㸪ࡑࢀ࡟ຍ࠼࡚⤫ィゎᯒࡶ⾜ࡗࡓ㸬㸯㸮ྡࡢ⮫ᗋ◊ಟ་ࡣ㸪㛗㔝┴ࡢ㎰ᮧ㒊࡟࠾࠸࡚㸪ྛ  ᪥㛫㸪ゼၥṑ⛉デ⒪࡟ྠ⾜ࡋ㸪デ⒪ࢆぢᏛࡍࡿ࡜࡜ࡶ࡟㸪ୖグࡢ࠺ࡕྍ⬟࡞ࡶࡢ࡟ࡘ࠸࡚ࢹ࣮
ࢱࡢ཰㞟ࢆ⾜ࡗࡓ㸬せ௓ㆤ㧗㱋⪅ṑ⛉἞⒪ᶍᨃయ㦂ᐇ⩦ࡣ  ྡࡢ⮫ᗋᐇ⩦⏕ࡀᕼᮃཷㅮࡋ㸪せ௓ㆤ⪅㧗㱋⪅࣐ࢿ࢟ࣥࢆ⏝࠸࡚ṑ⛉἞⒪㸦ཱྀ⭍ෆ᳨ᰝ㸪༳㇟᥇ᚓ㸧ࢆᶍᨃⓗ࡟ᐇ㊶ࡋ㸪デ⒪᫬ࡢせⅬ࡞࡝ࡢゎㄝ࠾ࡼࡧࣇ࢕࣮ࢻࣂࢵࢡࢆ⾜ࡗࡓ㸬࠙ᒸᒣ኱Ꮫࠚ
ࠕཱྀ⭍࣭඲㌟೺ᗣᐇ㊶ࢥ࣮ࢫ̿࿘⾡ᮇཱྀ⭍⟶⌮࣭ᦤ㣗ᄟୗᶵ⬟ᅇ᚟࣭ᅾᏯṑ⛉་⒪̿㸪་⒪ᨭ᥼ṑᏛᩍ⫱ࢥ࣮ࢫ࣮࣡ࢡ㸯㸬せ௓ㆤ㧗㱋⪅ࢆᶍࡋࡓࢩ
࣑࣮ࣗࣞࢱ࣮ࡸ⪁ே௓ㆤ࣭ᅾᏯ௓ㆤ᪋タࢆ⏝࠸ࡓ 3%/ ₇⩦㸪་⒪ᨭ᥼ṑᏛᩍ⫱ࢥ࣮ࢫ࣮࣡ࢡ㸰㸬ᒸᒣ኱Ꮫ⑓㝔࿘⾡ᮇ⟶⌮ࢭࣥࢱ࣮ࢆ฼⏝ࡋࡓ㧗ᗘ་⒪ᨭ
᥼࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ᐇ⩦㸪་⒪ᨭ᥼ṑᏛᩍ⫱ࢥ࣮ࢫ࣮࣡ࢡ㸱㸬⮫ᗋㅮᖌ➼ࢆ฼⏝ࡋࡓᅾᏯ௓ㆤ࣭ゼၥṑ⛉デ⒪ཧຍᆺᏛእ⮫ᗋᐇ⩦  ◊ಟṑ⛉་ࢆᑐ㇟࡜ࡋ࡚㸪ࠕཱྀ⭍࣭඲㌟೺ᗣᐇ㊶ࢥ࣮ࢫࠖࢆᐇ᪋ࡋࡓ㸬඲◊ಟṑ⛉་ࡢィ㸳㸮ྡࡀ㸯㐌㛫ࡢ᪥⛬࡛኱Ꮫ⑓㝔ෆ࡟࡚㸪࿘⾡ᮇ་⒪㸪࿘⾡ᮇṑ⛉⟶⌮࡟ࡘ࠸࡚㸪◊ಟࢆ⾜ࡗࡓ㸬ࠕࢩ࣑࣮ࣗࣞࢱ࣮ࡸ⪁ே௓ㆤ࣭ᅾᏯ௓ㆤ᪋タࢆ⏝࠸ࡓ 3%/ ₇⩦ࠖࡣ㸪ᖹᡂ㸰㸶ᖺᗘࡣࢩ࣑࣮ࣗࣞࢩࣙࣥᐇ⩦࡜⪁ே௓ㆤ࣭ᅾᏯ௓ㆤ᪋タࢆ⏝࠸ࡓ 3%/ ₇⩦࡜࡟ศࡅ࡚⾜࠸㸪ࢩ࣑࣮ࣗࣞࢩࣙࣥᐇ⩦࡟ࡘ࠸࡚ࡣ㸪⮫ᗋᐇ⩦⏕ࢆᑐ㇟࡜ࡋ࡚
ᐇ᪋ࡋ㸪἞⒪⎔ቃࢆࡉࡲࡊࡲ࡟タᐃࡋ㸪≧ἣ࡟ᛂࡌࡓṑ⛉἞⒪ࡢࢩ࣑࣮ࣗࣞࢩ
ࣙࣥࢆ⾜ࡗࡓ㸬ࡲࡓ㸪⪁ே௓ㆤ࣭ᅾᏯ௓ㆤ᪋タࢆ⏝࠸ࡓ 3%/ ₇⩦ࡣ㸪㸱ᖺḟᏛ⏕ࢆᑐ㇟࡜ࡋ࡚ᐇ᪋ࡋ㸪௓ㆤ᪋タࢆゼၥࡋ㸪Ꮫ⏕⮬㌟࡟௓ㆤ⌧ሙ࡟࠾ࡅࡿㄢ㢟ࢆᢳฟࡉࡏࡓ㸬ࠕᒸᒣ኱Ꮫ⑓㝔࿘⾡ᮇ⟶⌮ࢭࣥࢱ࣮ࢆ฼⏝ࡋࡓ㧗ᗘ་⒪ᨭ᥼࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ᐇ⩦࡛ࡣ㸪ᖹᡂ㸰㸷ᖺᗘࡣ㸪⮫ᗋᐇ⩦⏕㸦㸳ᖺḟᚋᮇ㹼㸴ᖺḟ๓ᮇ㸧ࢆᑐ㇟࡜ࡋ࡚㸪㸳㸮ྡࡀᐇ⩦ࢆ⾜ࡗࡓ㸬ࠕ⮫ᗋㅮᖌ➼ࢆ฼⏝ࡋࡓᅾᏯ௓ㆤ࣭ゼၥṑ⛉デ⒪ཧຍᆺᏛእ⮫ᗋᐇ⩦࡛ࠖࡣ㸪⮫ᗋᐇ⩦⏕඲ဨ㸦㸲㸵ྡ㸧ࡀ㸯ே࠶ࡓࡾ㸰௳ࡢṑ⛉་㝔࡟࡚ィ㸰᪥㛫ࡢᐇ⩦ࢆ⾜࠸㸪⮫ᗋㅮᖌ㸦ᩍᤵ㸧ࡢゼၥṑ⛉デ⒪࡟ྠ⾜ࡋࡓ㸬࠙஑ᕞ኱Ꮫࠚཱྀ⭍೺ᗣ⛉Ꮫ≉ㄽ㸳ᖺḟᏛ⏕ࢆᑐ㇟࡜ࡋ㸪⮫ᗋᐇ⩦㛤ጞ┤๓࡟඲㸶ᅇࡢࠕཱྀ⭍೺ᗣ⛉Ꮫ≉ㄽࠖࡢ㞟୰ㅮ⩏ࢆ⾜ࡗࡓ㸬ᤵᴗෆᐜࡣࣅࢹ࢜཰㘓ࡋ㸪ࢥࣥࢸࢶ㐃ᦠ኱Ꮫ࡟㓄ಙࡋࡓ㸬ᅾᏯデ⒪ᩍ⫱⏝㧗㱋⪅ࢩ࣑࣮ࣗࣞࢱ࣮ࢆ౑⏝ࡋࡓㅮ⩏ࢆ㸳ᖺ⏕඲ဨࢆᑐ㇟࡟
ᐇ᪋ࡋࡓ㸬
࠙㛗ᓮ኱Ꮫࠚ㞳ᓥṑ⛉ཱྀ⭍་⒪࣭ಖ೺࣭⚟♴Ꮫᐇ⩦ୗグ᪥⛬࡟࡚㸪㞳ᓥṑ⛉ཱྀ⭍་⒪࣭ಖ೺࣭⚟♴Ꮫᐇ⩦ࢆᐇ᪋ࡋࡓ㸬ձ㸵᭶㸱㸯᪥ࠥ㸶᭶㸲᪥㞳ᓥ་⒪ࢧ࣐࣮ࢫࢡ࣮ࣝ➨㸯ࢡ࣮ࣝᐇ᪋㸦᫛࿴኱㸯ྡ㸪㛗ᓮ኱㸰ྡ㸧ղ㸷᭶㸲᪥ࠥ㸶᪥㞳ᓥ་⒪ࢧ࣐࣮ࢫࢡ࣮ࣝ➨㸰ࢡ࣮ࣝᐇ᪋㸦ᒸᒣ኱㸰ྡ㸪㛗ᓮ኱㸯ྡ㸧
ճᖹᡂ㸱㸮ᖺ㸰᭶㸰㸮᪥㸪ᖹᡂ㸰㸷ᖺᗘୗ஬ᓥᆅ༊㞳ᓥ་⒪ᩍ⫱◊✲఍㸦஬ᓥᕷ㸧࡟࡚ᐇ⩦ᣦᑟሗ࿌ࢆ⾜ࡗࡓ㸬࠙㮵ඣᓥ኱Ꮫࠚ዆⨾኱ᓥ࣭୚ㄽᓥ࡟࠾ࡅࡿཱྀ⭍࡜඲㌟ࡢ೺ᗣᏛࢥ࣮ࢫ
㸯㸧≉Ⰽ࠶ࡿ་⒪ᨭ᥼ṑᏛᩍ⫱ࣉࣟࢢ࣒ࣛࠕ዆⨾኱ᓥ࣭୚ㄽᓥ࡟࠾ࡅࡿཱྀ⭍࡜඲㌟ࡢ೺ᗣᏛࢥ࣮ࢫࠖࡢᐇ᪋
ձㅮ⩏㸸ㅮ⩏ࠕᆅᇦ࣭㞳ᓥṑ⛉་⒪Ꮫࠖ࡟࠾࠸࡚㸪ከ⫋✀㐃ᦠࡸ⑓デ㐃ᦠ㸪㞳ᓥࡸ་⒪㐣␯ᆅᇦࢆྵࡴᆅᇦ࡛ࡢཱྀ⭍ಖ೺άື࡞࡝㸪ᆅᇦ࡟࠾ࡅࡿṑ⛉་⒪άື࡟㛵ࡍࡿㅮ⩏ࢆ⾜࡞ࡗࡓ㸬ィ㸵ᅇࡢㅮ⩏ࡢෆᐜࢆ㸪ᮏࣉࣟࢢ࣒ࣛ࡟ࡼࡗ࡚ᩚഛࡉࢀࡓࢥࣥࢸࣥࢶసᡂࢩࢫࢸ࣒㸦㸱H5HFϪ㸧ࢆ⏝࠸࡚཰㘓ࡋ㸪ࣅࢹ࢜ࢥࣥࢸࣥࢶࡢసᡂ࡟ഛ࠼࡚࠸ࡿ㸬ղయ㦂ᆺᐇ⩦㸸ᮏᏛࡢᏛ⏕࡟ࡘ࠸࡚ࡣ㸪ᖹᡂ㸰㸷ᖺ㸲㹼㸵᭶࡟✀Ꮚᓥ㸪዆⨾኱ᓥ㸪ᚨஅᓥ࠾ࡼࡧ୚ㄽᓥ࡟࠾࠸࡚ྜィ㸲㸱ྡࡢ㸴ᖺ⏕ࡀ㸲Ἡ㸳᪥ࡢᐇ⩦࡟ཧຍࡋࡓ㸬ᖹᡂ㸰㸷ᖺ㸶᭶࡟ࡣ㸪✀Ꮚᓥ࠾ࡼࡧ୚ㄽᓥ࡛㸱Ἡ㸲᪥㛫ࡢᐇ⩦ࢆ௻⏬ࡋ㸪㐃ᦠ኱Ꮫࡢᒸᒣ኱Ꮫ࠿ࡽ㸰ྡ㸪᫛࿴኱Ꮫ࠿ࡽ㸯ྡ࠾ࡼࡧ኱㜰኱Ꮫ࠿ࡽ㸯ྡࡢṑᏛ㒊⏕ࡢཧຍࡀ࠶ࡾ㸪ᐇ⩦ᚋࡢ࢔ࣥࢣ࣮ࢺ࡛
ࡶཷㅮ⪅࠿ࡽ㧗࠸ホ౯ࢆᚓࡓ㸬㸰㸧ࢫ࢟ࣝࢫࣛ࣎ࡢ඘ᐇ
ᖹᡂ㸰㸵ᖺᗘ࡟ᮏࣉࣟࢢ࣒ࣛࡼࡾ㓄ศࡉࢀࡓ㧗㱋⪅ṑ⛉་⒪࡟ᑐࡍࡿ௓ㆤ
ṑ⛉་⒪ࢩ࣑࣮ࣗࣞࢱ㸪࠾ࡼࡧᖹᡂ  ᖺᗘ࡟㓄ศࡉࢀࡓ࣏࣮ࢱࣈࣝࣘࢽࢵࢺ
ࢆ⏝࠸࡚㸪ᮏᏛ࡛ࡣࢫ࢟ࣝࢫࣛ࣎࡟࠾࠸࡚⮫ᗋᩍ⫱ࢆ⾜ࡗ࡚࠸ࡿ㸬ᖹᡂ  ᖺᗘࡼࡾ඲⮫ᗋᐇ⩦⏕࡟ᑐࡋ࡚ᐇ⩦ࢆ⾜ࡗ࡚࠾ࡾ㸪௒ᖺᗘࡶ⥅⥆ࡋ࡚ᐇ᪋ࡋ࡚
࠸ࡿ㸬㸱㸧㮵ඣᓥᅜ㝿ṑᏛࢩ࣏ࣥࢪ࣒࢘ࡢ㛤ദᖹᡂ㸰㸷ᖺ㸯㸯᭶㸰㸳᪥࡟㮵ඣᓥ኱Ꮫ࡟࡚➨㸱ᅇ㮵ඣᓥᅜ㝿ṑᏛࢩ࣏ࣥࢪ
࣒࢘ࢆ㛤ദࡋ㸪㸰㸯㸰ྡࡢཧຍ⪅ࡀ࠶ࡗࡓ㸦㈨ᩱ㸰㸱㸧㸬࠙ᒾᡭ་⛉኱Ꮫࠚධ㝔᫬࣭⅏ᐖ᫬ࡢ࣋ࢵࢻࢧ࢖ࢻ࡟࠾ࡅࡿ㣗ᨭ᥼࡜ཱྀ⭍ࢣ࢔࡟㛵ࡍࡿᩍ⫱ࡢ㧗ᗘ໬ࣉࣟࢢ࣒ࣛ㸯ࠕ⿕⅏ᆅཱྀ⭍ࢣ࢔࣭㣗ᨭ᥼ᐇ⩦ࠖᖹᡂ㸰㸵ᖺ࡟኱Ꮫ㝔ࡢ㑅ᢥࢥ࣮ࢫ࡜ࡋ࡚ṇつࡢㄢ⛬࡟⤌ࡳධࢀࡓᮏᐇ⩦ࡣ㸪௒ᖺᗘ࡟㸱ᖺ┠ࢆ㏄࠼ࡓ㸬㸯㸯᭶ᮇ㸦ᖹᡂ㸰㸷ᖺ㸯㸯᭶㸯㸰᪥ࠥ㸯㸱᪥㸧࡟኱Ꮫ㝔⏕㸱ྡィ㸰᪥ࡢᐇ⩦ࢆᐇ᪋ࡋࡓ㸬ᐇ⩦ࡢෆᐜࡣᖹᡂ㸰㸶ᖺᗘ࡜ྠᵝ࡟㸪ձ⿕⅏ᆅ࡟࠾ࡅࡿ೺ᗣㄪᰝ࡬ࡢཧຍ
ղ⿕⅏ᆅࡢ᚟⯆≧ἣࡢどᐹճ⿕⅏ᆅ࡟࠾ࡅࡿ࣑ࢽࢩ࣏ࣥࢪ࣒࢘࡬ࡢཧຍ㸦ᆅඖṑ⛉་ᖌ㸪ಖ೺ᖌࡢཧຍ㸧մ ⿕⅏ᆅ◊ಟᚋ࡟ᣦᑟ⪅ࡀ◊ಟ࡟ࡼࡾᚓࡽࢀࡓࢹ࣮ࢱࢆ⤫ィゎᯒࢯࣇࢺ
6366 ࡟ࡼࡾゎᯒᚋ㸪ศᯒ⤖ᯝࡢ┦஫ࣉࣞࢮࣥࢸ࣮ࢩࣙࣥ
࡜ࡋࡓ㸬㸰ࠕᦤ㣗ᄟୗࣜࣁࣅࣜࢸ࣮ࢩཱྀ࣭ࣙࣥ⭍ࢣ࢔ᐇ⩦ࠖࡢᐇ⩦ࢆୗグࡢ㏻ࡾᐇ᪋ࡋࡓ㸬➨㸯ᅇ㸸㸱᭶㸯㸱᪥ ⅆ  ᫬㹼 ᫬ᦤ㣗ᄟୗࡢ࣓࢝ࢽࢬ࣒࡜㞀ᐖ㸪デᐹἲ㸪ࢫࢡ࣮ࣜࢽࣥࢢࢸࢫࢺ㸪⢭ᐦ᳨ᰝ➨㸰ᅇ㸸㸱᭶㸰㸮᪥ ⅆ  ᫬㹼 ᫬ᦤ㣗ᄟୗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ࡜ᰤ㣴  㸱ࠕᅾᏯ௓ㆤ࣭ゼၥṑ⛉デ⒪ᐇ⩦ࠖࢆᖹᡂ㸰㸷ᖺᗘࡼࡾ㑅ᢥᐇ⩦࡜ࡋ࡚ᑟධ
ࡋࡓ㸬
ᮏᐇ⩦ࡣ㸪
ࠕᦤ㣗ᄟୗࣜࣁࣅࣜࢸ࣮ࢩཱྀ࣭ࣙࣥ⭍ࢣ࢔ᐇ⩦ࠖ࡜㐃ᦠࡋ㸪⑓㝔࠶ࡿ࠸ࡣ᪋タ࠿ࡽࡢᦤ㣗ᄟୗࡢホ౯㸪カ⦎ᣦᑟࡢ౫㢗࡟ᛂࡌ࡚ゼၥࡍࡿ㝿࡟኱Ꮫ㝔⏕ࢆᖏྠࡋ㸪ᐇ⩦ࢆ⾜࠺ࡶࡢ࡛࠶ࡿ㸬ᖏྠ࡟࠶ࡓࡾ㛵㐃ㄢ㢟ࡢ஦๓Ꮫ⩦࡜ࡋ࡚㸪H ࣮ࣛࢽࣥࢢࢥࣥࢸࣥࢶ㸦ㅮ⩏ࢩ࣮ࣜࢬ㸱㸧ࡼࡾ㑅ᢥࡋ㸪㜀ぴࡉࡏࡿ࡜ඹ࡟ᣢཧࡍࡿᶵჾࡢ࿘▱ࢆᅗࡿࡓࡵᶵჾࡢྲྀࡾᢅ
࠸࡟ࡘ࠸࡚஦๓カ⦎ࢆ⾜࠺ࡇ࡜࡜ࡋࡓ㸬㸲㸬ࢥࣥࢸࣥࢶど⫈ࢩࢫࢸ࣒ࡢ฼⏝ᖹᡂ  ᖺᗘ࡟ᘬࡁ⥆ࡁ㸪ࢥࣥࢸࣥࢶど⫈ࢩࢫࢸ࣒ࡢ฼⏝ࢆᐇ᪋ࡋࡓ㸬➨㸳Ꮫᖺࠕ⥲ྜㅮ⩏Ϩࠖ࡟࠾࠸࡚㸪ㅮ⩏ࢩ࣮ࣜࢬ㸱㸦ᅾᏯ௓ㆤ་⒪㸧ࡢ H
OHDUQLQJ ࢥࣥࢸࣥࢶࢆど⫈ࡉࡏ㸪⤊஢ᚋ࡟ᑠࢸࢫࢺࢆᐇ᪋ࡋࡓ㸬  ࠙᪥ᮏ኱Ꮫࠚ࢔ࢻࣂࣥࢫࢺṑ⛉Ꮫㅮ⩏࣭ᐇ⩦̿ᦤ㣗ᶵ⬟⒪ἲᏛ ᖹᡂ  ᖺᗘ࡟࠾ࡅࡿ➨  Ꮫᖺ⮫ᗋᐇ⩦࣒࢝ࣜ࢟ࣗࣛࡢ෌᳨ウ࡟ࡘ࠸࡚ࡣ㸪ࡇࢀࡲ࡛ࡢᏛ⏕࡬ࡢ࢔ࣥࢣ࣮ࢺෆᐜ࡜㸪ᩍဨ࠿ࡽࡢᣦ᦬஦㡯ࢆ཯ᫎࡋࡓᐇ⩦ෆᐜ࡟ᨵኚࡍࡿࡇ࡜ࡀ࡛ࡁࡓ㸬ࡲࡓ㸪㢡ṑᶍᆺ࡟ࡘ࠸࡚ࡶタィ࡟ࡘ࠸࡚᭱⤊ⓗ࡞ࣔࢹࣝࡀ᏶ᡂࡋ㸪᫖ᖺᗘࡼࡾᶍᆺࡢྎᩘࢆቑࡸࡍࡇ࡜ࡀ࡛ࡁࡓ㸬ࡇࡢࡇ࡜࡛ᶍ
ᆺ୍ྎ࠶ࡓࡾ࡟ᑐࡍࡿᏛ⏕ࡢேᩘࡀᑡ࡞ࡃ࡞ࡾ㸪ࡼࡾ᫬㛫ࢆ࠿ࡅ࡚ᶍᆺࡢほᐹࢆ⾜࠸㸪἞⒪ィ⏬ࢆ❧᱌ࡍࡿࡇ࡜ࡀ࡛ࡁࡓ㸬ࡇࢀ࡟ࡼࡾᏛ⏕ࡢ᭷⑓㧗㱋⪅ࡢཱྀ⭍ෆࡢ≧ἣ࡜ồࡵࡽࢀࡿᑐᛂ᪉ἲ࡟ࡘ࠸࡚ࡼࡾ⌧ᐇⓗ࡟᳨ウ࡛ࡁࡓ࡜⪃࠼ࡽࢀࡿ㸬ࡉࡽ࡟㸪26&( ࡢゎㄝࢆ᭱⤊ㅮ⩏࡛⾜࠸㸪Ꮫ⏕࡬ࡢࣇ࢕࣮ࢻࣂࢵࢡࢆ⾜࠺ࡇ࡜࡛Ꮫ⏕ࡢ⌮ゎࡀ῝ࡲࡗࡓ࡜⪃࠼ࡽࢀࡿ㸬୍᪉㸪⮫ᗋᐇ⩦ࡣ౛ᖺ㏻ࡾࡢᏛ⏕ࡢ㓄ᙜ࡛⁫ࡾ࡞ࡃᐇ᪋ࡍࡿࡇ࡜ࡀ࡛ࡁࡓ㸬ࡋ࠿ࡋ⑓ᲷࡸᅾᏯ࣭᪋タ࡬ࡢゼၥṑ
⛉デ⒪ࡢ௳ᩘ࡜ྠ⾜࡛ࡁࡿ⠊ᅖ㸦ᚐṌᅪෆ㸧ࡀ㝈ࡽࢀ࡚࠸ࡿࡇ࡜࠿ࡽ㸪ࡍ࡭࡚ࡢᏛ⏕࡟ᑐࡋ࡚ゼၥṑ⛉デ⒪ࡸከ⫋✀㐃ᦠࡢ⌧ሙࡢぢᏛࢆᥦ౪ࡍࡿࡇ࡜ࡀ㞴ࡋࡃ㸪ࡑࡢⅬࡀ௒ᚋࡢㄢ㢟࡛࠶ࡿ࡜⪃࠼ࡽࢀࡓ㸬࠙᫛࿴኱Ꮫࠚࢳ࣮࣒་⒪ࢆ┠ᣦࡋࡓṑ⛉་⒪ே㣴ᡂࢥ࣮ࢫ㸪೺ᗣ㛗ᑑ♫఍ࢆᐇ⌧ࡍࡿ⑓㝔࠿ࡽᅾᏯ࡬ษࢀ┠ࡢ࡞࠸་⒪ࢆᐇ㊶࡛ࡁࡿṑ⛉་⒪ே㣴ᡂࢥ࣮ࢫ ࣭ࢳ࣮࣒་⒪ࢆ┠ᣦࡋࡓṑ⛉་⒪ே㣴ᡂࢥ࣮ࢫ
ᮏᏛ➨㸱ᏛᖺࡢᏛ⏕࡟ᑐࡋ࡚㸪ಖ೺་⒪Ꮫ㒊┳ㆤᏛ⛉ࡢᏛ⏕࡜ྜྠ࡟࡚㸪ᅾᏯࢆᨭ࠼ࡿᇶᮏᢏ⬟㸷㸮ศ㸴ࢥ࣐ࢆᐇ᪋ࡋ㸪㸯㸮㸶ྡࡢṑᏛ㒊Ꮫ⏕ࡀཷㅮࡋࡓ㸬⤊஢᫬☜ㄆヨ㦂࡟࠾࠸࡚ࡶ㸪㧗࠸ṇ⟅⋡ࢆ♧ࡋ࡚࠾ࡾ㸪௚⫋✀ࡀᅾᏯ་⒪࡟࡚ᐇ᪋ࡍࡿෆᐜ࡟ࡘ࠸࡚⌮ゎࡍࡿ࡜࡜ࡶ࡟㸪ᅾᏯ་⒪࡛ࡢ
7UDQVGLVFLSOLQDU\ 7HDP ࡟࠾ࡅࡿṑ⛉་ᖌࡢᙺ๭ࢆ⌮ゎ࡛ࡁࡓࡶࡢ࡜ᛮࢃࢀ
ࡓ㸬ࡲࡓ㸪ᅾᏯ⒪㣴୰ࡢ㧗㱋ᝈ⪅ࢆᶍࡋࡓ 63 ࡜ࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ₇⩦࠿ࡽ㸪㧗㱋⪅ࡸᐙ᪘࡟ᐤࡾῧ࠺ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ⬟ຊࢆᇵ࠺ࡇ࡜ࡀ࡛ࡁࡓ࡜
⪃࠼ࡽࢀࡓ㸬ᮏᏛ➨㸲ᏛᖺࡢᏛ⏕࡟ᑐࡋ࡚㸪㸲Ꮫ㒊㐃ᦠࢳ࣮࣒་⒪ϩ㸦Ꮫ㒊㐃ᦠࢳ࣮࣒㸧Ꮫ㒊㐃ᦠ 3%/ ศ  ࢥ࣐ࢆᐇ᪋ࡋ㸪 ྡࡢᏛ⏕ࡀཷㅮࡋࡓ㸬ከࡃࡢᏛ⏕ࡀ⤊஢᫬ࡢ࢔ࣥࢣ࣮ࢺ࡛ࢳ࣮࣒་⒪ࡢ㔜せᛶࢆㄆ㆑ࡋ࡚࠸ࡓ㸬ࡲࡓ㸪㸲Ꮫ㒊㐃ᦠࢳ࣮࣒་⒪ϩ㸦Ꮫ㒊㐃ᦠࢳ࣮࣒㸧࡛ࡣ㸪ᶍᨃᝈ⪅ࡢࢩࢼࣜ࢜ࢆ㏻ࡋ࡚ࢳ࣮࣒་⒪ࡢ୰࡛ࡢṑ⛉་ᖌࡢᙺ๭ࡀㄆ㆑ࡉࢀ࡚㸪௚Ꮫ㒊ࡢ⏕ᚐ࡜ࡢಙ㢗㛵ಀࡢᵓ⠏࡟㔜せ࡞ᐇ⩦࡛࠶ࡗࡓ㸬ḟᖺᗘ࡟ࡣ㸪ᐇ㝿࡟⑓Ჷᐇ⩦ࢆ⾜࠺ࡓࡵ㸪ṑ⛉་ᖌ࡟ᚲせ࡞་⛉ࡢ▱㆑ࡢ㔜せᛶࡀ෌ㄆ㆑ࡉࢀࡿ࡜ᛮࢃࢀࡓ㸬࣭೺ᗣ㛗ᑑ♫఍ࢆᐇ⌧ࡍࡿ⑓Ჷ࠿ࡽᅾᏯ࡬ษࢀ┠ࡢ࡞࠸་⒪ࢆᐇ㊶࡛ࡁࡿṑ⛉་⒪ே㣴ᡂࢥ࣮ࢫ
ᮏᏛࡢ⮫ᗋ◊ಟṑ⛉་඲య㸶㸱ྡࡢ୰࠿ࡽ᫛࿴኱Ꮫཱྀ⭍ࢣ࢔ࢭࣥࢱ࣮ࢆࣛ
࢘ࣥࢻࡋࡓ⪅ࡣ㸶㸶ࡢ㸵㸱ྡ࡛࠶ࡿ㸦㸱᭶㸱᪥᭱⤊㸪㸯᭶㸱㸯᪥⌧ᅾ㸪㸴㸱ྡࡀಟ஢㸧㸬◊ಟ⤊஢ᚋ࡟ᐇ᪋ࡋࡓ࢔ࣥࢣ࣮ࢺㄪᰝ࠿ࡽ㸪ࠕධ㝔ᝈ⪅ࡢཱྀ⭍ࡢࢣ࢔ࡢ㔜せᛶࢆㄝ࡛᫂ࡁࡿࠖ࡜࠸࠺タၥ࡟ᑐࡋ㸪ࢥ࣮ࢫࢆཷㅮࡋࡓ◊ಟ་඲ဨࡀ
ࠕᑡࡋ࡛ࡁࡿࠖࡲࡓࡣࠕ༑ศ࡟࡛ࡁࡿࠖ࡜ᅇ⟅ࡋࡓ㸬ࡲࡓ㸪ࠕ࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ࡢᑐ㇟࡜࡞ࡿᝈ⪅࡟ࡘ࠸࡚ᴫㄝ࡛ࡁࡿࠖ㸪ࠕ࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ࡢὶࢀࢆㄝ࡛᫂ࡁࡿࠖ࡜࠸࠺タၥ࡟ᑐࡋ࡚ࡶ㸪㸣௨ୖࡀࠕᑡࡋ࡛ࡁࡿࠖࡲࡓࡣࠕ༑ศ
࡟࡛ࡁࡿࠖ࡜ᅇ⟅ࡋࡓ㸬௨ୖࡼࡾ㸪⑓Ჷ࡟࠾ࡅࡿཱྀ⭍ࢣ࢔ࢭࣥࢱ࣮◊ಟࡣ⮫ᗋ◊ಟṑ⛉་ᖌ࡟࡜ࡗ࡚㸪ཱྀ⭍ࢣ࢔ࡢ▱㆑࡜ᢏ⾡ྥୖ࡟᭷ຠ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡓ㸬࠙රᗜ་⛉኱Ꮫࠚ
ࠕᖹ᫬ࠖ࠿ࡽࠕ᭷஦ࠖࡲ࡛㸪࣮࣐࢜ࣛࣝࢿࢪ࣓ࣥࢺ͆&5($7(͇ࢆᐇ㊶࡛ࡁࡿṑ⛉་⒪ே㣴ᡂࢥ࣮ࢫ
ᖹᡂ㸰㸷ᖺ㸯㸮᭶㸰㸪㸱᪥㛤ദරᗜ་⛉኱Ꮫࠕᖹ᫬ࠖ࠿ࡽࠕ᭷஦ࠖࡲ࡛࢜
࣮࣐ࣛࣝࢿࢪ࣓ࣥࢺ͆&5($7(͇ࢆᐇ㊶࡛ࡁࡿ་⒪ே㣴ᡂࢥ࣮ࢫࡢ୍⎔࡜ࡋ࡚㸪௚⛉࡜㐃ᦠࡋ࡚௨ୗࡢㅮ⩏ࢆᐇ᪋㸬
20 ࡢᴫᛕ ᓊᮏ⿱඘୺௵ᩍᤵ 㸪⅏ᐖ࡞࡝ࡢ⥭ᛴ᫬࡟ᙺ❧ࡘᛂᛴฎ⨨ 㔝୍ཱྀ㤿෸ᩍᤵ 㸪⬚㒊༢⣧ϱ⥺෗┿ ᨺᑕ⥺⛉▼⸝♩୍෸ᩍᤵ 㸪&7 ࡢㄞᙳ 㔝୍ཱྀ㤿෸ᩍᤵ 㸪05, ࡢㄞᙳ ᨺᑕ⥺⛉▼⸝♩୍෸ᩍᤵ 㸪ᢠ⳦⸆ࡢ౑࠸᪉࣭⪃࠼᪉ ᕝ㑔╬グຓᩍ 㸪$521- ࡟㛵ࡍࡿ᭱᪂ࡢ▱ぢ ᓊᮏ⿱඘୺௵ᩍᤵ 㸪⦭ྜࡢㅮ⩏࣭ᐇ⩦ ᙧᡂእ⛉ ᭮᮰ὒᖹㅮᖌ 㸪Ẽ⟶ษ㛤࡟ࡘ࠸࡚ ⪥㰯ဗႃ⛉࣭㢌㢕㒊እ⛉ᑎ⏣཭⣖ㅮᖌ 㸪ṑ⛉࠿ࡽࡳࡓᄟୗ㞀ᐖ ୰ᮧ♸ᕫຓᩍ 㸪ᄟୗࡢᇶᮏ࡜ホ౯ἲ⪥㰯ဗႃ⛉࣭㢌㢕㒊እ⛉Ᏹ࿴ఙᾈㅮᖌ ཧຍ⪅㸷ྡ රᗜ་⛉኱Ꮫ   ᖹᡂ㸱㸮ᖺ㸰᭶㸰㸳᪥ࢩ࣏ࣥࢪ࣒࢘㣗࡭ࡽࢀࡿཱྀࢆ &5($7(&5($7( ࡜ࡣ ᓊᮏ⿱඘୺௵ᩍᤵ 㸪እほࡢᚰ⌮Ꮫ㹼ࣜࣁࣅ࣓ࣜ࢖ࢡ࡟ࡼࡿ㢌㢕㒊⾡ᚋ࡬ࡢ࢔ࣉ࣮ࣟࢳ㹼 5(,.2.$=., ୺௵ㅮᖌすዉࡲࡿ࠿ඛ⏕ 㸪㣗ࡢࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ࡟ࡘ࠸࡚ ኱㜰ṑ⛉኱Ꮫ⣒⏣ᫀ㝯ᩍᤵ 㸪ᕼᮃࡢࡈࡣࢇ㹼ࠕ࠾࠸ࡋ࠸ࠖࡀ㸪ࡎࡗ࡜⥆ࡃᮍ᮶࡬㹼 ᩱ⌮◊✲ᐙಖ᳃༓ᯞඛ⏕ 
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㸲㸬ᮏ஦ᴗ࡟㛵㐃ࡍࡿㄽᩥ࣭ㅮ₇➼ᐇ⦼ㄽᩥ࠙໭ᾏ㐨኱Ꮫࠚ
(1) Asaka T, Ohga N, Yamazaki Y, Sato J, Satoh C, Kitagawa Y: Platelet-rich fibrin
may reduce the risk of delayed recovery in tooth-extracted patients undergoing oral
bisphosphonate therapy: a trial study. Clin Oral Investig 21: 2165-2172, 2017.
(2) Obinata K, Shirai S, Ito H, Nakamura M, Carrozzo M, Macleod I, Carr A,
Yamazaki Y, Tei K: Image findings of bisphosphonate related osteonecrosis of jaws
comparing with osteoradionecrosis. 2017: Dentomaxillofac Radiol. 2017 Jul
16:20160281. doi: 10.1259/dmfr.20160281.
(3) Ḉ஭ ⸅, ᖹ㔝ᾈᙪ, ⳥㇂ Ṋ, ∦಴ ᮁ, ᒣᓮ ⿱, 㣤ᓥ຾▮, ྜྷ⏣ග⏤, ᡞཎ⋞, Ώ㑔 ⿱㸸ᚋᮇ㧗㱋⪅ࡢཱྀ⭍ᶵ⬟ࢆᨵၿࡍࡿデ⒪࢞࢖ࢻࣛ࢖ࣥ࡟㛵ࡍࡿ◊✲―࣮࢜ࣛࣝࣇࣞ࢖ࣝᴫᛕࢆᇶ㍈࡟ࡋࡓ᳨ウ―. ᪥ṑ་Ꮫ఍ㄅ 36:38-42,
2017ᖺ.
࠙㔠ἑ኱Ꮫࠚ
(1)  Hira-Miyazawa M, Nakamura H., Hirai M., Kobayashi Y., Kitahara H., BouGharios G. and Kawashiri S.: Regulation of programmed-death ligand in the humanhead and neck squamous cell carcinoma microenvironment is mediated throughmatrix metalloproteinase-mediated proteolytic cleavage. Int J Oncol, 52: 379-388,
2018.
(2) Hirai M., Kitahara H., Kobayashi Y., Kato K., Bou-Gharios G., Nakamura H and
Kawashiri S. : Regulation of PD-L1 expression in a high-grade invasive human oral
squamous cell carcinoma microenvironment. Int J Oncol, 50: 41-48, 2017.
(3) Murasawa Y., Nakamura H., Watanabe K., Kanoh H., Koyama E., Fujii S., Kimata
K., Zako M., Yoneda M. and Isogai Z. : The Versican G1 Fragment and SerumDerived Hyaluronan-Associated Proteins Interact and Form a Complex in
Granulation Tissue of Pressure Ulcers. The American Journal of Pathology, 188:
432–449, 2018.
(4) Hirai M., Kitahara H., Kobayashi Y., Kawashiri S and Nakamura H.: The role of
PD-L1 in a high-grade invasive human oral squamous cell carcinoma
microenvironment. Annals of Oncology, 28:1721P, 2017.
(5) Kitahara H., Hirai M., Kawashiri S and Nakamura H.: Oral squamous cell
carcinoma cells were sensitized to cetuximab by Eribulin via induction of the
mesenchymal-to-epithelial transition. Annuals of Oncology, 28:56P, 2017.
(6) Kobayashi K, Jokaji R, Miyazawa-Hira M, Takatsuka S, Tanaka A, Ooi K,
Nakamura H and Kawashiri S.: Elastin-derived peptides are involved in theprocesses of human temporomandibular disorder by inducing inflammatory
responses in synovial cells. Molecular Medicine Reports 16:3147-3154, 2017.
(7) Ooi K., Inoue N, Matsushita K, Yamaguchi H, Mikoya T, Minowa K, Kawashiri K,
Nishikata S, Tei K.: Incidence of anterior disc displacement without reduction of
the temporomandibular joint in patients with dentofacial deformity. Int J Oral
Maxillofac surg, in press 2017.
(8) Ooi K, Jokaji R, Matsushita K, Yamaguchi H, Mikoya T, Nishikata S, Kawashiri S,
Tei K.: Early changes in body weight after orthognathic surgery: comparisons
between three different osteosynthesis methods and factors related to body weightloss. Dent. Hosp. in press 2017.
(9) Watanabe S, Nakajima K, Mizokami A, Yaegashi H, Noguchi N, Kawashiri S,
Inokuchi M, Kinuya S.: The role of 18F-FDG PET/CT in early detection and risk
assessment of medication-related osteonecrosis of the jaw. J Nucl Med, 58: 305,2017.
࠙኱㜰኱Ꮫࠚ
(1) Ogawa T, Uota M, Ikebe K, Arai Y, Kamide K, Gondo Y, Masui Y, Ishizaki T,
Inomata C, Takeshita H, Mihara Y, Hatta K, Maeda Y (2017)㸸 Longitudinal studyof factors affecting taste sense decline in old-old individuals. J Oral Rehabil 44: 2229.
(2) Ogawa T, Annear MJ, Ikebe K, Maeda Y (2017) 㸸Taste-related sensations in oldage. J Oral Rehabil 44: 626-635.
(3) ᑠᕝὈ἞㸪ᗈ℩㞝஧㑻㸪ᮏከ┿⌮Ꮚ (2017)㸸 ཱྀ⭍⣽⳦ྀ࠿ࡽ೺ᗣࢆ⪃࠼ࡿѸཱྀ⭍ࡣ⭠⟶࡟ḟࡄ⣽⳦ྀࡢᐆᗜѸ㸬Medical Science Digest. ࢽ࣮ࣗࢧ࢖࢚ࣥࢫ
♫㸬43: 5-7.
(4) Okubo H, Inagaki H, Gondo Y, Kamide K, Ikebe K, Masui Y, Arai Y, Ishizaki T,
Sasaki S, Nakagawa T, Kabayama M, Sugimoto K, Rakugi H, Maeda Y; SONIC
Study Group (2017): Association between dietary patterns and cognitive function
among 70-year-old Japanese elderly: a cross-sectional analysis of the SONIC study.
Nutr J 16: 56.
(5) Tada S, Ikebe K, Kamide K, Gondo Y, Inomata C, Takeshita H, Matsuda KI,
Kitamura M, Murakami S, Kabayama M, Oguro R, Nakama C, Kawai T, Yamamoto
K, Sugimoto K, Shintani A, Ishihara T, Arai Y, Masui Y, Takahashi R, Rakugi H,
Maeda Y (2017) : Relationship between atherosclerosis and occlusal support ofnatural teeth with mediating effect of atheroprotective nutrients: From the SONIC
study. PLoS One 12: e0182563.
(6) Ryuno H, Kamide K, Gondo Y, Kabayama M, Oguro R, Nakama C, Yokoyama S,
Nagasawa M, Maeda-Hirao S, Imaizumi Y, Takeya M, Yamamoto H, Takeda M,
Takami Y, Itoh N, Takeya Y, Yamamoto K, Sugimoto K, Nakagawa T, Yasumoto S,
Ikebe K, Inagaki H, Masui Y, Takayama M, Arai Y, Ishizaki T, Takahashi R, Rakugi
H (2017) : Longitudinal association of hypertension and diabetes mellitus withcognitive functioning in a general 70-year-old population: the SONIC study.
Hypertens Res 40: 665-670.
(7) Ogawa T, Hirose Y, Ogawa HM, Sugimoto M, Sasaki S, Kawabata S, Ikebe K,
Maeda Y (2018): Composition of salivary microbiota in elderly subjects. Sci Rep 8:414.
(8) Ikebe K, Gondo Y, Kamide K, Masui Y, Ishizaki T, Arai Y, Inagaki H, Nakagawa T,
Kabayama M, Ryuno H, Okubo H, Takeshita H, Inomata C, Kurushima Y, Mihara Y,
Hatta K, Fukutake M, Enoki K, Ogawa T, Matsuda KI, Sugimoto K, Oguro R,
Takami Y, Itoh N, Takeya Y, Yamamoto K, Rakugi H, Murakami S, Kitamura M,
Maeda Y (2018) : Occlusal force is correlated with cognitive function directly aswell as indirectly via food intake in community-dwelling older Japanese: From the
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࠙ᒸᒣ኱Ꮫࠚ
(1) ᕝ℩᫂Ꮚ㸪ᐑ⬥༟ஓ㸪ᑠἙ㐩அ㸪❑ᮌᣅ⏨㸪ஂಖ⏣⪽㸪ὸᾏ῟୍㸸ṑᏛᩍ⫱࡟࠾ࡅࡿデ⒪ཧຍᆺ⮫ᗋᐇ⩦ࡢࡓࡵࡢ㟁Ꮚ∧㐃ᦠࣟࢢࣈࢵࢡ㸦㟁Ꮚࣟࢢࣈࢵࢡ㸧ࡢ㛤Ⓨ࡜௒ᚋࡢㄢ㢟࡟ࡘ࠸࡚㸬ᒸᒣṑᏛ఍㞧ㄅ㸪36(2):53-59,2017.
(2) Matsuka Y, Hagiwara Y, Tamaki K, Takeuchi H, Fujisawa M, Ono T, Tsukiyama Y,
Nagao K, Tsuga K, Aita H, Kondo H, Fueki K, Tsukasaki H, Nishigawa K, Ozawa
S, Kuwatsuru R, Minakuchi H, Iinuma T, Matsuura T, Ishibashi K, Fujii S, Hirai T,
Sasaki K, Yatani H, Igarashi Y, Sato Y, Ichikawa T, Yamamori T, Kuboki T, Baba K,
Koyano K, Sato H, Matsumura H.㸸Reliability and validity of the patient disabilityoriented diagnostic nomenclature system for prosthetic dentistry. Journal of
Prosthodontic Research;61(1):20-33,2017.

(3) Tohara T, Kikutani T, Tamura F, Yoshida M, Kuboki T.㸸Multicenteredepidemiological study of factors associated with total bacterial count in the saliva ofolder people requiring nursing care.Geriatrics & Gerontology
International;17(2):219-225,2017.
(4) Kuboki T, Ichikawa T, Baba K, Fujisawa M, Sato H, Aita H, Koyama S, Hideshima
M, Sato Y, Wake H, Kimura-Ono A, Nagao K, Kodaira-Ueda Y, Tamaki K,
Sadamori S, Tsuga K, Nishi Y, Sawase T, Koshino H, Masumi SI, Sakurai K,
Ishibashi K, Ohyama T, Akagawa Y, Hirai T, Sasaki K, Koyano K, Yatani H,
Matsumura H.㸸A multi-centered epidemiological study evaluating the validity ofthe treatment difficulty indices developed by the Japan Prosthodontic
Society.Journal of Prosthodontic Research, 2017 Sep 12. pii: S18831958(17)30080-4.
࠙஑ᕞ኱Ꮫࠚ
࠙㧗㱋⪅ṑ⛉Ꮫ࣭඲㌟⟶⌮ṑ⛉Ꮫ㛵㐃ࠚ(1) Hassan NMM, Akhter R, Staudinger L, Tarpey N, Basha S, Cox S and Kashiwazaki
H.: Oral disease and malnutrition in the elderly - impact of oral cancer. Curr Oral
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(2) ᯽ᓮᬕᙪ㸸ཱྀ⭍ࢣ࢔ࡀࡶࡓࡽࡍᐇົ฼┈ձᝈ⪅࡟࠾ࡅࡿ฼┈̾඲㌟⟶⌮㸦ឤᰁ⑕ண㜵㸧ࡢഃ㠃࠿ࡽ㸬ឤᰁᑐ⟇ICTࢪ࣮ࣕࢼࣝvol.12 no.2,113-118, 2017.
(3) ᯽ᓮᬕᙪ௚㸸ࠕᨵゞ∧ ཱྀ⭍ࢣ࢔ᇶ♏▱㆑ࠖ㸬୍⯡♫ᅋἲே᪥ᮏཱྀ⭍ࢣ࢔Ꮫ఍⦅㸪Ọᯇฟ∧㸪 p.183,217, 2017.
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Y, Ninomiya T. : Tooth Loss and Risk of Dementia in the Community: the HisayamaStudy. J Am Geriatr Soc. 2017 65(5):e95-e100. doi: 10.1111/jgs.14791.
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Metabolic Endotoxemia-Activated Macrophages Promote Pancreatic β Cell Death
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࠙㮵ඣᓥ኱Ꮫࠚ
(1) ⏣ཱྀ๎ᏹ㸪ྂᕝ࿘ᖹ㸪ྜྷ⏣♩Ꮚ㸪ᯇᮏ♸Ꮚ㸪ᒾୗὒ୍㑻㸪୰ᒣ Ṍ㸪኱ᡞᩗஅ㸪స⏣ဴஓ㸸ᆅᇦṑ⛉་⒪ᩍ⫱࡟ồࡵࡽࢀࡿࡶࡢ̿ࣉࣟࣇ࢙ࢵࢩࣙࢼ

ࣜࢬ࣒࡜ࡢ㛵㐃ࢆぢᤣ࠼࡚̿㸪᪥ᮏ⥲ྜṑ⛉Ꮫ఍㞧ㄅ㸬࠙ᒾᡭ་⛉኱Ꮫࠚ
(1) ୕ᾆᘅ⾜㸪ᮡᒣⰾᶞ㸪኱㯮ⱥ㈗㸪ከ⏣ᗣᏊ㸪ᬕᒣ፬⨾Ꮚ㸪኱཭ࡉࡘࡁ㸪ᑠ⏣㑳Ꮚ㸪᳃㇂ಇᶞ㸪ᓊග⏨㸪బࠎᮌ᠇୍㑻㸪୰㔛㏔ᙪ㸸ᒾᡭ་⛉኱ᏛṑᏛ఍࣭ᒾᡭ┴ṑ⛉་ᖌ఍ඹദࢩ࣏ࣥࢪ࣒࢘ࠕᮾ᪥ᮏ኱㟈⅏࠿ࡽ㸳ᖺࢆ᣺ࡾ㏉ࡗ࡚ࠥᡃࠎࡀࡋ࡚ࡁࡓࡇ࡜㸪ࡋ࡚ࡇ࡞࠿ࡗࡓࡇ࡜㸪ࡇࢀ࠿ࡽࡍ࡭ࡁࡇ࡜ࠥ
ࠖ஦ᚋሗ࿌᭩㸬ᒾᡭ་⛉኱ᏛṑᏛ㞧ㄅ㸪➨ᕳ㸦6XSSO㸧㸸㡫㸪ᖺ
࠙᫛࿴኱Ꮫࠚ
(1) ▼ᕝ೺ኴ㑻௚㸸◊ಟṑ⛉་࡟ᑐࡍࡿཱྀ⭍ࢣ࢔ࢭࣥࢱ࣮◊ಟࡢ⮬㦂๭ྜ࡜◊ಟ฿㐩ᗘ࡟㛵ࡍࡿㄪᰝ㸬᪥ᮏṑ⛉་Ꮫᩍ⫱Ꮫ఍㞧ㄅ㸪㸦㸧㸪㸪࠙රᗜ་⛉኱Ꮫࠚ
(1) ᓊᮏ⿱඘㸸་⛉࡜ṑ⛉ࡢ㐃ᦠ 0521-ᑐᛂࡢ᭱㏆ࡢືྥ ⸆๣㛵㐃㢡㦵ቯṚ࡬ࡢᑐᛂࡢ᭱㏆ࡢືྥ㸬᪥ᮏ㦵⢒㧼⑕Ꮫ఍㞧ㄅ ᕳྕ㸸㸸
(2) ୰ᮧ♸ᕫ㸸ᓊᮏ⿱඘㸬࠙㧗㱋⪅ࡢཱྀ⭍ࢣ࢔ࠚཱྀ⭍ࢣ࢔ࢆ࡝ࡢࡼ࠺࡟⾜࠺࠿ ࢳ࣮࣒་⒪࡟ࡼࡿ࿘⾡ᮇࡢཱྀ⭍ᶵ⬟⟶⌮ࡢᐇ㝿㸬0RGHUQ3K\VLFLDQ㸸ᕳྕ㸸㸸
(3) ྜྷᕝᜤᖹ㸪ᓊᮏ⿱඘㸸ཱྀ࠙⭍㢡㢦㠃࡟㛵㐃ࡍࡿ⑌ᝈ࡜ࡑࡢ἞⒪ࡢ⌧≧ࠚ࿘⾡ᮇᝈ⪅ࡢ࣮࣐࢜ࣛࣝࢿࢪ࣓ࣥࢺ㸬&OLQLFDO&DOFLXP㸸ᕳྕ㸸
㸸
(4) ᓊᮏ⿱඘㸪㧗ᒸ୍ᶞ㸸㦵྾཰ᢚไ⸆㛵㐃㢡㦵ቯṚࡢ᭱᪂᝟ሗ㸬᪥ᮏཱྀ⭍࢖ࣥࣉࣛࣥࢺᏛ఍ㄅ㸸ᕳྕ㸸㸸
(5) ᓊᮏ⿱඘㸪㧗ᒸ୍ᶞ㸸㦵྾཰ᢚไ⸆㛵㐃㢡㦵ቯṚࡢ࣏ࢪࢩ࣮ࣙࣥ࣌ࣃ࣮
ࡢゎㄝ㸬᪥ᮏṑ⛉ඛ➃ᢏ⾡◊✲ᡤᏛ⾡఍ㄅ㸸ᕳྕ㸸
(6) ᓊᮏ⿱඘㸸ࣅࢫ࣍ࢫ࣍ࢿ࣮ࢺ〇๣࡜ṑ⛉἞⒪࡟ࡘ࠸࡚㦵྾཰ᢚไ⸆㛵㐃㢡㦵ቯṚࡢண㜵ࢆ┠ᣦࡋ࡚㸬኱㜰ᗓṑ⛉་ᖌ఍㞧ㄅ㸸ྕ㸸⥲ㄝㄽᩥ࠙ᒸᒣ኱Ꮫࠚ
(1) ᒣ୰⋹Ꮚ㸪᭮ᡃ㈼ᙪ㣗㐨ࡀࢇ἞⒪࠾ࡼࡧⓎ⑕ண㜵࡟࠾ࡅࡿṑ⛉ⓗᨭ᥼ࡢព⩏ู෉ %LR&OLQLFD  
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Ꮫ఍Ⓨ⾲࠙኱㜰኱Ꮫࠚ
(1) ᑠᕝὈ἞㸪ྜྷഛᨻோ㸪ụ㑓୍඾㸪๓⏣ⰾಙ㸬⮬❧㧗㱋⪅࡜せ௓ㆤ㧗㱋⪅࡟࠾ࡅࡿཱྀ⭍⣽⳦ྀࡢẚ㍑㸬➨28ᅇ᪥ᮏ⪁ᖺṑ⛉་Ꮫ఍Ꮫ⾡኱఍ 2017ᖺ6᭶14᪥㸪ྡྂᒇ㸬
(2) ୕ཎభ௓㸪ඵ⏣᪸኱㸪⚟ṊඖⰋ㸪ụ㑓୍඾㸪๓⏣ⰾಙ㸬㧗㱋⪅࡟࠾ࡅࡿ᭱኱
ညྜຊ࡜㐠ື⩦័࡟ࡘ࠸࡚㸬➨28ᅇ᪥ᮏࢫ࣏࣮ࢶṑ⛉་Ꮫ఍㸬2017ᖺ6᭶18᪥㸪ᮐᖠ㸬(3) ⚟ṊඖⰋ㸪ụ㑓୍඾㸪ᯇ⏣ㅬ୍㸪ᑠᕝὈ἞㸪ᴮᮌ㤶⧊㸪⊦ಛ༓㔛㸪Ṋୗ⫕㸪୕ཎభ௓㸪ඵ⏣᪸኱㸪๓⏣ⰾಙ㸬㧗㱋⪅ࡢ᭱኱ညྜຊ࡜᪥ᖖࡢ㣗⏕ά࡟࠾ࡅࡿ࿪ᄮ➽άື᥎ᐃ㔞࡜ࡢ㛵㐃㸬➨127ᅇ᪥ᮏ⿵⥛ṑ⛉Ꮫ఍㸬2017ᖺ7᭶1᪥㸪ᶓ὾㸬(4) ⚟ṊඖⰋ㸪ụ㑓୍඾㸬ᆅᇦ㧗㱋⪅࡟࠾ࡅࡿཱྀ⭍ᶵ⬟࡜ᰤ㣴ᦤྲྀ࡜ࡢ㛵㐃㸬῝஭ಖ೺⛉Ꮫ◊✲ᡤ ➨16ᅇࢥ࣒ࣟ࢟࢘㸬2017ᖺ9᭶10᪥㸪ᮾி㸬(5) ඵ⏣᪸኱㸪⚟ṊඖⰋ㸪୕ཎభ௓㸪⊦ಛ༓㔛㸪ᴮᮌ㤶⧊㸪๓⏣ⰾಙ㸪ụ㑓୍඾㸬⮻ṑ㒊ညྜᨭᣢࡀṌ⾜㏿ᗘపୗ࡟ཬࡰࡍᙳ㡪࡟ࡘ࠸࡚ࡢ᳨ウ㸫SONIC Study3ᖺ㛫ࡢ⦪᩿◊✲ࡼࡾ㸫㸬➨4ᅇ᪥ᮏࢧࣝࢥ࣌ࢽ࢔࣭ࣇࣞ࢖ࣝᏛ఍㸬2017ᖺ10
᭶15᪥㸪ி㒔㸬(6) బ⸨ோ⨾㸪ᯇ⏣ㅬ୍㸪ᑠᕝὈ἞㸪ᴮᮌ㤶⧊㸪⊦ಛ༓㔛㸪Ṋୗ⫕㸪୕ཎభ௓㸪ඵ⏣᪸኱㸪⚟ṊඖⰋ㸪๓⏣ⰾಙ㸪ụ㑓୍඾㸬↓ṑ㢡⪅⩌ࡣࡍࢀ㐪࠸ညྜ⪅⩌ࡼࡾࡶཱྀ⭍㛵㐃QOLࡣప࠸ࡢ࠿㸽ᖹᡂ29ᖺᗘ᪥ᮏ⿵⥛Ꮫ఍㛵すᨭ㒊Ꮫ⾡኱఍㸬2018ᖺ1᭶21᪥㸪ி㒔㸬࠙ᒸᒣ኱Ꮫࠚ
(1) ⦖⛶ஂ⨾Ꮚ㸪Ỉཱྀ┿ᐇ㸪๓⏣࠶ࡎࡉ㸪୕㔝༟ဢ㸪୕ᮌ᫓ዉ㸪㯮ᓮ㝧Ꮚ㸪ᑠᒣ⤮⌮㸪୰ᕝ᫴㍜㸪἟ᮏ ㈼㸪ᅧ཭⏤⌮㸪㔝ᮧ ඃ㸪๓ᕝ㈼἞㸪❑ᮌᣅ⏨㸸ᒸᒣ┴࡟࠾ࡅࡿᰤ㣴⟶⌮ከ⫋✀㐃ᦠࢆ᥎㐍ࡍࡿேᮦ㣴ᡂࢭ࣑ࢼ࣮ࡢྲྀࡾ⤌ࡳ㸬୍⯡♫ᅋἲே᪥ᮏ⪁ᖺṑ⛉་Ꮫ఍➨28ᅇᏛ⾡኱఍㸬ྡྂᒇ㸬2017.6. 14-16.
(2) ἟ᮏ ㈼㸪኱㔝 ᙬ㸪㐂ᆏ ༟㸪୕㔝༟ဢ㸪ᚨᮏెዉ㸪ᑠᒣ⤮⌮㸪ኳ㔝཭㈗㸪㯮㷂㝧Ꮚ㸪୰ᕝ᫴㍜㸪ᑠᯘⰾ཭㸪ᒣᮏ㐨௦㸪๓ᕝ㈼἞㸪❑ᮌᣅ⏨㸸せᨭ᥼
࣭せ௓ㆤ⪅ࡢཱྀ⭍ෆ⎔ቃࡸ඲㌟≧ែ࡜㸪᰿㠃࠺⼃ࡢ㛵ಀ࡟㛵ࡍࡿከ᪋タᶓ᩿␿Ꮫㄪᰝ㸬୍⯡♫ᅋἲே᪥ᮏ⪁ᖺṑ⛉་Ꮫ఍➨28ᅇᏛ⾡኱఍. ྡྂᒇ㸬2017.6.14-16.
(3) 㐂ᆏ ༟㸪኱㔝 ᙬ㸪୰ᕝ᫴㍜㸪୕㔝༟ဢ㸪㯮㷂㝧Ꮚ㸪ᑠᒣ⤮⌮㸪἟ᮏ ㈼㸪ኳ㔝཭㈗㸪ᚨᮏెዉ㸪๓ᕝ㈼἞㸪❑ᮌᣅ⏨㸸Ḟᦆ⿵⥛἞⒪࡟࠾ࡅࡿ἞⒪1ᖺᚋࡢཱྀ⭍㛵㐃QOL࡜ࣞࢫ࣏ࣥࢫࢩࣇࢺ㸫ணഛⓗ᳨ウ㸫㸬බ┈♫ᅋἲே᪥ᮏ⿵
⥛ṑ⛉Ꮫ఍➨126ᅇᏛ⾡኱఍.ᶓ὾㸬2017.6.30-7.2.
(4) ᅬ஭ᩍ⿱㸪᭮ᡃ㈼ᙪ㸪ᒣ୰⋹Ꮚ 㸪ᐊ ⨾㔛 㸪๓⏣࠶ࡎࡉ 㸪ᕝ℩᫂Ꮚ㸪ᮡᮏᜤᏊ㸪❑ᮌᣅ⏨㸪ὸᾏ῟୍㸸ᛴᛶᮇ་⒪ࡢ⌧ሙ࡛ࢳ࣮࣒་⒪ࢆయ㦂ࡉࡏࡿከ⫋✀㐃ᦠᩍ⫱ࡢᩍ⫱ຠᯝ㸬➨36ᅇ᪥ᮏṑ⛉་Ꮫᩍ⫱Ꮫ఍⥲఍ཬࡧᏛ⾡኱఍㸬ᯇᮏᕷ㸬2017.7.28-29㸬
(5) Ṋ⏣ᏹ᫂㸪ᮡᮏᜤᏊ㸪Ώ㑓 ⩧㸪ሷὠ⠊Ꮚ㸪㕥ᮌᗣྖ㸪Ἑ㔝㝯ᖾ㸪ྜྷ⏣ⓏᚿᏊ㸪ⓑ஭ ⫕㸪ὸᾏ῟୍㸪❑ᮌᣅ⏨㸪㫽஭ᗣᘯ㸸ᒸᒣ኱Ꮫ⑓㝔ṑ⛉་ᖌ⮫ᗋ◊ಟ࡟࠾ࡅࡿᅾᏯṑ⛉་⒪◊ಟࡢᑟධ࡟ࡘ࠸࡚㸬➨36ᅇ᪥ᮏṑ⛉་Ꮫᩍ⫱Ꮫ఍⥲఍ཬࡧᏛ⾡኱఍㸬ᯇᮏᕷ㸬2017.7.28-29.
(6) ๓⏣࠶ࡎࡉ㸪᭮ᡃ㈼ᙪ㸪ᒣ୰⋹Ꮚ㸪❑ᮌᣅ⏨㸪ὸᾏ῟୍㸸ᒸᒣ኱Ꮫ⑓㝔ࡢࢳ࣮࣒་⒪⌧ሙࢆ฼⏝ࡋࡓ⦆࿴ࢣ࢔ᩍ⫱ࡢྲྀࡾ⤌ࡳ㸬➨36ᅇ᪥ᮏṑ⛉་Ꮫᩍ⫱Ꮫ఍⥲఍࠾ࡼࡧᏛ⾡኱఍㸬ᯇᮏᕷ㸬2017.7.28-29.
(7) ⦖⛶ஂ⨾Ꮚ㸪Ỉཱྀ┿ᐇ㸪๓⏣࠶ࡎࡉ㸪୕㔝༟ဢ㸪୕ᮌ᫓ዉ㸪㯮ᓮ㝧Ꮚ㸪ᑠᒣ⤮⌮㸪୰ᕝ᫴㍜㸪἟ᮏ ㈼㸪ᅧ཭⏤⌮㸪㔝ᮧ ඃ㸪๓ᕝ㈼἞㸪❑ᮌᣅ⏨㸸ᒸᒣ┴ࡢཱྀ⭍ᰤ㣴㛵㐃ࢧ࣮ࣅࢫࢆ᥎㐍ࡍࡿேᮦࢆ㣴ᡂࡍࡿ⏕ᾭᩍ⫱࣮࣡ࢡࢩࣙࢵࣉࡢྲྀࡾ⤌ࡳ㸬➨36ᅇ᪥ᮏṑ⛉་Ꮫᩍ⫱Ꮫ఍⥲఍࠾ࡼࡧᏛ⾡኱఍㸬ᯇᮏᕷ㸬2017.7.28-29.
(8) Sonoi N, Soga Y, Iida S, Kuboki T, Asaumi J㸸The necessity of a systematic
curriculum on end-of-life care. ➨36ᅇ᪥ᮏṑ⛉་Ꮫᩍ⫱Ꮫ఍⥲఍ཬࡧᏛ⾡኱఍㸦ᅜ㝿Ꮫ఍◊✲Ⓨ⾲ዡບ㈹ཷ㈹⪅࣏ࢫࢱ࣮Ⓨ⾲㸧㸬ᯇᮏᕷ㸬2017.7.28-29㸬
(9) ᕝ℩᫂Ꮚ㸪ᐑ⬥༟ஓ㸪ஂಖ⏣⪽㸪ᯇᑿ㱟஧㸪኱ཎ┤ஓ㸪ᯇᮏ༟ஓ㸪㫽஭ᗣᘯ㸪㣤⏣ᚁ஧㸪❑ᮌᣅ⏨㸪ὸᾏ῟୍㸸ṑᏛᩍ⫱ㄆドホ౯᳨ウWG࡟ࡼࡿṑᏛᩍ⫱ㄆドホ౯ࢺࣛ࢖࢔ࣝࢆ୺ᑂࡋ࡚㸬➨36ᅇ᪥ᮏṑ⛉་Ꮫᩍ⫱Ꮫ఍⥲఍࠾ࡼࡧᏛ⾡㞟఍㸬ᯇᮏᕷ㸬2017.7.28-29㸬
(10) ᮡᮏᜤᏊ㸪ᐑ⬥༟ஓ㸪Ṋ⏣ᏹ᫂㸪㣤⏣ᚁ஧㸪❑ᮌᣅ⏨㸪ὸᾏ῟୍㸸ᅾᏯ࣭ゼၥṑ⛉デ⒪ᐇ⩦࡛ࡢฎ⨨ෆᐜ࡜࢔ࣥࢣ࣮ࢺ⤖ᯝࢆ཯ᫎࡋࡓࢩ࣑࣮ࣗࣞࢩࣙ
ࣥᩍ⫱ࡢྲྀ⤌࡟ࡘ࠸࡚㸬➨36ᅇ᪥ᮏṑ⛉་Ꮫᩍ⫱Ꮫ఍⥲఍࠾ࡼࡧᏛ⾡㞟఍㸬ᯇᮏᕷ㸬2017.7.28-29㸬
(11) ⦖⛶ஂ⨾Ꮚ㸪Ỉཱྀ┿ᐇ㸪㧗ᶫ㈼᫭㸪๓⏣࠶ࡎࡉ㸪୕㔝༟ဢ㸪୕ᮌ᫓ዉ㸪㯮ᓮ㝧Ꮚ㸪ᑠᒣ⤮⌮㸪୰ᕝ᫴㍜㸪἟ᮏ ㈼㸪ᅧ཭⏤⌮㸪㔝ᮧ ඃ㸪๓ᕝ㈼἞㸪⳥㇂ Ṋ㸪❑ᮌᣅ⏨㸸せ௓ㆤ㧗㱋⪅ࡢࡓࡵࡢ࣑࣮ࣝࣛ࢘ࣥࢻࢆᶍࡋࡓከ⫋✀㐃ᦠ࣮࣡ࢡࢩࣙࢵࣉࡢヨࡳ㸬ᖹᡂ29ᖺᗘබ┈♫ᅋἲே᪥ᮏ⿵⥛ṑ⛉Ꮫ఍୰ᅜ࣭
ᅄᅜᨭ㒊Ꮫ⾡኱఍㸬ᒣཱྀ㸬2017.8.26-27.
(12) 㯮㷂㝧Ꮚ㸪୕㔝༟ဢ㸪࿴Ἠᖾ἞㸪኱㔝 ᙬ㸪๓ᕝ㈼἞㸪❑ᮌᣅ⏨㸸ཱྀ⭍࢖ࣥࣉࣛࣥࢺᨭᣢᬻ㛫ୖ㒊ᵓ㐀ࡢᙧែࢆ᭱⤊ୖ㒊ᵓ㐀࡬཯ᫎࡉࡏࡿ᪂つࢹࢪࢱࣝᢏἲ㸬ᖹᡂ29ᖺᗘබ┈♫ᅋἲே᪥ᮏ⿵⥛ṑ⛉Ꮫ఍୰ᅜ࣭ᅄᅜᨭ㒊Ꮫ⾡኱఍㸬ᒣཱྀᕷ㸬2017.8.26-27.
(13) ୰ᕝ᫴㍜㸪኱㔝 ᙬ㸪๓ᕝ㈼἞㸪Ỉཱྀ ୍㸪἟ᮏ ㈼㸪㐂ᆏ ༟㸪୕㔝༟ဢ㸪㯮㷂㝧Ꮚ㸪ᑠᒣ⤮⌮㸪୰㔝⏣⤀୍㸪❑ᮌᣅ⏨㸸᪥ᮏே↓ṑ㢡ᝈ⪅࡟࠾ࡅࡿ
CAD/CAMᢏ⾡ࢆ⏝࠸࡚సᡂࡋࡓ⥲⩏ṑࡢ᭷ຠᛶࡢ᳨ウ㸬➨38ᅇᒸᒣṑᏛ఍⥲఍࣭Ꮫ⾡㞟఍㸬ᒸᒣᕷ㸬2017.10.1.
(14) ᮧ⏣ᑦ㐨, ⏣ᑼ⤢Ꮚ, ᒣᮏᫀ┤, ๓ᕝாᏊ, ⥤㔝⌮ຍ, ᮾ ೔Ꮚ, ᑠᯘ ᖾ⏕, ᘅ⏣ၨ, 㧗▼ⱆồ, ⣽ᆤ඘⿱, 㛵 ឡᏊ, ୕㇂⿱Ꮚ, 㔝ᓥ㟹Ꮚ, ᳃ ㈗ᖾ, Ụⲡṇᙪ:ஙඣ࡟ ࠾ ࡅ ࡿ ᦤ 㣗 ᶵ ⬟ ⒪ ἲ ࡢ ᚲ せ ᛶ.➨34ᅇ ᪥ ᮏ 㞀 ᐖ ⪅ ṑ ⛉ Ꮫ ఍.༤ ከ ᕷ.2017.10.27-29(15) Ṋ⏣ᏹ᫂㸪Ώ㑓⩧㸪㔝ᓮ㧗൤㸪ᑠᒣ᲍⳯㸪ሷὠ⠊Ꮚ㸪Ἑ㔝㝯ᖾ㸪ྜྷ⏣ⓏᚿᏊ㸪ⓑ஭⫕㸪㫽஭ᗣᘯ㸸ᅾᏯṑ⛉་⒪ࢩ࣑࣮ࣗࣞࢩࣙࣥᐇ⩦ࡢᩍ⫱ຠᯝ㸬➨10ᅇ᪥ᮏ⥲ྜṑ⛉Ꮫ఍⥲఍࣭Ꮫ⾡኱఍㸬᪂₲ᕷ㸬2017.11.3-5(16) ᅬ஭ᩍ⿱㸪᭮ᡃ㈼ᙪ 㸪ᒣ୰⋹Ꮚ㸪ᐊ⨾㔛㸪๓⏣࠶ࡎࡉ㸪ᮡᮏᜤᏊ㸪❑ᮌᣅ⏨㸪ὸᾏ῟୍㸸኱Ꮫ⑓㝔ࡢ་⒪⌧ሙࢆ฼⏝ࡋࡓࠕ㧗ᗘ་⒪ᨭ᥼࣭࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ᐇ⩦ࠖሗ࿌㸬ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂࣉࣟࢢ࣒ࣛᖹᡂ29ᖺᗘ 㐃ᦠࢩ࣏ࣥࢪ࣒࢘ in ᮐᖠ㸬ᮐᖠᕷ㸬2017.11.10-11.
(17) Ṋ⏣ᏹ᫂㸪ᮡᮏᜤᏊ㸪ᕝ℩᫂Ꮚ㸪๓⏣࠶ࡎࡉ㸪ᅬ஭ᩍ⿱㸪ᮧ⏣ᑦ㐨㸪᭮ᡃ㈼ᙪ㸪㫽஭ᗣᘯ㸪❑ᮌᣅ⏨㸪ὸᾏ῟୍㸸e-learningࢩࢫࢸ࣒ࡢ௒ᚋࡢ᭷ຠά⏝࡟ྥࡅ࡚㸬ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂࣉࣟࢢ࣒ࣛ ᖹᡂ29ᖺᗘ㐃ᦠࢩ࣏ࣥࢪ
࣒࢘inᮐᖠ㸬ᮐᖠᕷ㸬2017㸬11.10-11.
(18) ๓⏣࠶ࡎࡉ㸪Ṋ⏣ᏹ᫂㸪ᮡᮏᜤᏊ㸪ᕝ℩᫂Ꮚ㸪ᅬ஭ᩍ⿱㸪๓⏣┤ே㸪᳃ ㈗ᖾ㸪㔝ᓥ㟹Ꮚ㸪❑ᮌᣅ⏨㸪ὸᾏ῟୍㸸ᖹᡂ29ᖺᗘࠕ௓ㆤ᪋タࢆ⏝࠸ࡓPBL₇⩦ࠖࡢᐇ᪋ሗ࿌㸬ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂࣉࣟࢢ࣒ࣛ ᖹᡂ29ᖺᗘ㐃ᦠࢩ࣏ࣥࢪ࣒࢘ in ᮐᖠ㸬ᮐᖠ㸬2017.11.10-11.
(19) ᅬ஭ᩍ⿱㸪᭮ᡃ㈼ᙪ 㸪ὸᾏ῟୍㸸ṑᏛ㒊1ᖺḟ⏕ཬࡧᏛኈධᏛ⏕ࢆᑐ㇟࡜ࡋࡓ⑓㝔ぢᏛᐇ⩦ࡀᏛ⏕ࡢ⤊ᮎᮇ་⒪࡬ࡢែᗘព㆑࡟୚࠼ࡓᙳ㡪. ᪥ᮏࡀࢇཱྀ
⭍ᨭᣢ⒪ἲᏛ఍➨㸱ᅇᏛ⾡኱఍㸬ᒸᒣᕷ㸬2017.11.25-26.
(20) ⦖⛶ஂ⨾Ꮚ㸪Ỉཱྀ┿ᐇ㸪㧗ᶫ㈼᫭㸪ᡞཎ 㞝㸪๓⏣࠶ࡎࡉ㸪㯮஭㝯ኴ㸪⳥㇂Ṋ㸪❑ᮌᣅ⏨㸸࣑࣮ࣝࣛ࢘ࣥࢻࢆᶍࡋࡓせ௓ㆤ㧗㱋⪅ᰤ㣴⟶⌮࡟㛵ࢃࡿከ⫋✀㐃ᦠ࣮࣡ࢡࢩࣙࢵࣉࡢヨࡳ㸬➨33ᅇ᪥ᮏ㟼⬦⤒⭠ᰤ㣴Ꮫ఍Ꮫ⾡㞟఍㸬ᶓ὾㸬2018.2.22-23.
࠙㛗ᓮ኱Ꮫࠚ
(1) ᑠᒣ ၿဢ㸪ከ⏣ ᾈ᫭㸪ᒾ㷂 ⌮ᾈ㸪㰻⸨ ಇ⾜㸪ゅ ᛅ㍤㸪⃝℩ 㝯㸸㛗ᓮ኱ᏛṑᏛ㒊㞳ᓥṑ⛉ಖ೺་⒪ࢧ࣐࣮ࢫࢡ࣮ࣝሗ࿌ ᩥ㒊⛉Ꮫ┬ ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂࣉࣟࢢ࣒ࣛ㸦೺ᗣ㛗ᑑ♫఍ࡢᐇ⌧࡟㈉⊩ࡍࡿṑ⛉་⒪ே㣴ᡂ㸧㑅ᐃ஦ᴗ ೺ᗣ㛗ᑑ♫఍ࢆᢸ࠺ṑ⛉་Ꮫᩍ⫱ᨵ㠉̿Ṛ⏕Ꮫࡸᆅᇦໟ
ᣓࢣ࢔ࣔࢹࣝࢆᑟධࡋࡓ་⛉ṑ⛉㐃ᦠᩍ⫱యไࡢᵓ⠏̿ᖹᡂᖺᗘ㐃ᦠࢩ࣏ࣥࢪ࣒࢘㸪ᮐᖠ㸪᭶㹹ࣉࣟࢢ࣒࣭ࣛᢒ㘓㞟㸪S㹻࠙㮵ඣᓥ኱Ꮫࠚ
(1) ୰ᒣ Ṍ㸪⏣ཱྀ๎ᏹ㸪༡ ᘯஅ㸬ᆅᇦṑ⛉་⒪ࣉࣟࢢ࣒ࣛࡢᐇ㊶̿ᆅᇦ࡛ά
㌍ࡍࡿ་⒪ேࡢ⫱ᡂ̿㸪➨ᅇ᪥ᮏṑ⛉་Ꮫᩍ⫱Ꮫ఍⥲఍࠾ࡼࡧᏛ⾡኱఍㸪ᖺ᭶㸪ᯇᮏᕷ㸬(2) ኱ᡞᩗஅ㸪ᯇᮏ♸Ꮚ㸪୰ᒣṌ㸪స⏣ဴஓ㸪ྂᕝ࿘ᖹ㸪ᒾୗὒ୍ᮁ㸪ྜྷ⏣♩Ꮚ㸪⏣ཱྀ๎ᏹ㸬㞳ᓥṑ⛉་⒪࡟ồࡵࡽࢀࡿࢥࣥࣆࢸࣥࢩ࣮࡟ࡘ࠸࡚ࡢ୍⪃ᐹ㸫ᓥࡢṑ་⪅ࡢㄒࡾࢆ㏻ࡌ࡚㸫㸪➨ᅇ᪥ᮏṑ⛉་Ꮫᩍ⫱Ꮫ఍⥲఍࠾ࡼࡧᏛ⾡኱఍㸪ᖺ᭶㸪ᯇᮏᕷ㸬(3) ⏣ཱྀ๎ᏹ㸪ᑠᯇ⃝ᆒ㸪ྜྷ⏣♩Ꮚ㸪す ᜤᏹ㸪ᐑ⬥ṇ୍㸬ᆅᇦᇶ┙ᆺṑᏛᩍ⫱࡟࠾ࡅࡿ᪂ࡓ࡞ྲྀࡾ⤌ࡳ㸪➨ᅇ᪥ᮏṑ⛉་Ꮫᩍ⫱Ꮫ఍⥲఍࠾ࡼࡧᏛ⾡኱఍㸪ᖺ᭶㸪ᯇᮏᕷ㸬(4) ኱ᡞᩗஅ㸪ྂᕝ࿘ᖹ㸪ᒾୗὒ୍ᮁ㸪୰ᒣṌ㸪స⏣ဴஓ㸪ᯇᮏ♸Ꮚ㸪ྜྷ⏣♩Ꮚ㸪⏣ཱྀ๎ᏹ㸬㮵ඣᓥ኱ᏛṑᏛ㒊ࡢࣉࣟࣇ࢙ࢵࢩࣙࢼࣜࢬ࣒ᩍ⫱࡜ṑᏛ⏕ࡢ⌮᝿ࡢ་⒪⪅ീ㸪➨ᅇ᪥ᮏ་Ꮫᩍ⫱Ꮫ఍㸪ᖺ᭶㸪ᮐᖠᕷ㸬(5) ᮧỌᩥᏛ㸪⏣ᕝࡲࡉࡳ㸪⏣ཱྀ๎ᏹ㸬ᒾୗὒ୍ᮁ㸪㔠Ꮚ⨾༓௦㸬་Ꮫ࣭ṑᏛ࣭┳ㆤᏛᩍ⫱ࡢࢥࣥࣆࢸࣥࢩ࣮࡜࣐࢖ࣝࢫࢺ࣮ࣥホ౯ᶵ⬟ࢆ᭷ࡋࡓ㹣㸫࣏࣮ࢺࣇ࢛ࣜ࢜ࡢ㛤Ⓨ㸪➨ᅇ᪥ᮏ་Ꮫᩍ⫱Ꮫ఍኱఍㸪ᖺ᭶㸪ᮐᖠᕷ㸬(6) ኱ᡞᩗஅ㸪ᯇᮏ♸Ꮚ㸪୰ᒣ Ṍ㸪స⏣ဴஓ㸪ྂᕝ࿘ᖹ㸪ᒾୗὒ୍㑻㸪ྜྷ⏣♩Ꮚ㸪⏣ཱྀ๎ᏹ㸬⥲ྜṑ⛉་ࡢᡂ㛗㐣⛬࡟ࡘ࠸࡚ࡢ୍⪃ᐹ̿ᓥࡢṑ⛉་ࡢㄒࡾ࠿ࡽ̿㸪➨ᅇ᪥ᮏ⥲ྜṑ⛉Ꮫ఍⥲఍࣭Ꮫ⾡኱఍㸪ᖺ᭶㸪᪂₲ᕷ㸬(7) ⏣ཱྀ๎ᏹ㸪ྜྷ⏣♩Ꮚ㸪ᯇᮏ♸Ꮚ㸪ᒾୗὒ୍ᮁ㸪୰ᒣ Ṍ㸪኱ᡞᩗஅ㸪స⏣ဴஓ㸪ྂᕝ࿘ᖹ㸬⥲ྜṑ⛉ࡢ⌮ゎࢆ┠ᣦࡋࡓ༞๓Ꮫእᐇ⩦ࣉࣟࢢ࣒ࣛ㸪➨ᅇ᪥ᮏ⥲ྜṑ⛉Ꮫ఍⥲఍࣭Ꮫ⾡኱఍㸪ᖺ᭶㸪᪂₲ᕷ㸬(8) ᐑ⬥ṇ୍㸪༡ ᘯஅ㸪⏣ཱྀ๎ᏹ㸪すᮧṇᏹ㸪ᮡᾆ ๛㸪ᑠᯇ⃝ ᆒ㸬㮵ඣᓥ኱ᏛṑᏛ㒊ࡢྲྀࡾ⤌ࡳ࡟ࡘ࠸࡚㸪ᖹᡂᖺᗘ 㐃ᦠࢩ࣏ࣥࢪ࣒࢘㸪ᖺ
᭶㸪ᮐᖠᕷ㸬࠙᪥ᮏ኱Ꮫࠚ
(1) 㜿㒊ோᏊ㸸᪥ᮏ኱ᏛṑᏛ㒊ࡢ༞๓ᩍ⫱࡟ᑐࡍࡿྲྀࡾ⤌ࡳ࡟ࡘ࠸࡚㸦➨ሗ㸧㸪ᩥ㒊⛉Ꮫ┬ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂࣉࣟࢢ࣒ࣛ㸦೺ᗣ㛗ᑑ♫఍ࡢᐇ⌧࡟㈉⊩ࡍࡿṑ⛉་⒪ே㣴ᡂ㸧㑅ᐃ஦ᴗ㸪೺ᗣ㛗ᑑ♫఍ࢆᢸ࠺ṑ⛉་Ꮫᩍ⫱ᨵ㠉ѸṚ⏕Ꮫࡸᆅᇦໟᣓࢣ࢔ࣔࢹࣝࢆᑟධࡋࡓ་⛉ṑ⛉㐃ᦠᩍ⫱యไࡢᵓ⠏Ѹᖹᡂᖺᗘ㐃ᦠࢩ࣏ࣥࢪ࣒࢘㸪໭ᾏ㐨㸪㸬࠙᫛࿴኱Ꮫࠚ
(1)▼ᕝ೺ኴ㑻௚㸸⮫ᗋ◊ಟṑ⛉་ᖌ࡟ᑐࡍࡿ኱Ꮫ㝃ᒓ⑓㝔⑓Ჷ࡛ࡢཱྀ⭍ࢣ࢔࡟㛵ࡍࡿ⮬㦂ෆᐜࡢ᳨ウࠊ➨ᅇ᪥ᮏཱྀ⭍⾨⏕Ꮫ఍ࠊᖹᡂᖺ᭶᪥㹼᭶᪥ࠊᒣᙧ࠙රᗜ་⛉኱Ꮫࠚ
(1) 㛗㇂ᕝ㤶ዉ㸪㛗㇂ᕝ㝧Ꮚ㸪ᇼ஭ᐉ⚽㸪Ḉᮏளᘪ㸪᪂ᮧ೺㸪℈⏣㝯㸪ᓊᮏ⿱඘㸸රᗜ┴୹Ἴᅪᇦᅾఫ㧗㱋⪅࡟࠾ࡅࡿࣇࣞ࢖ࣝ࡜ཱྀ⭍⾨⏕⎔ቃ㸬➨  ᅇ⪁ᖺṑ⛉་Ꮫ఍Ꮫ⾡኱఍㸬ᖹᡂ  ᖺ  ᭶  ᪥㸬ឡ▱(2) ᇼ஭ᐉ⚽ࠊ㛗㇂ᕝ㝧Ꮚࠊ㛗㇂ᕝ㤶⳯ࠊḈᮏளᘪࠊ᪂ᮧ೺ࠊ⃝⏣㝯ࠊᓊᮏ⿱඘㸸රᗜ┴୹Ἴᅪᇦᅾఫ㧗㱋⪅࡟࠾ࡅࡿࢧࣝࢥ࣌ࢽ࢔࡜ཱྀ⭍ᶵ⬟ࡢ㛵㐃ᛶ㸬➨ ᅇ⪁ᖺṑ⛉་Ꮫ఍Ꮫ⾡኱఍㸬ᖹᡂ  ᖺ  ᭶  ᪥㸬ឡ▱(3) ᭹㒊ὒ୍㸪ᇼ஭ᐉ⚽㸪ᮡ⏣ⱥஅ㸪୰ᮧ♸ᕫ㸪㔝୍ཱྀ㤿㸪ᓊᮏ⿱඘㸸රᗜ་⛉኱Ꮫṑ⛉ཱྀ⭍እ⛉Ꮫㅮᗙ࡛ࡢ᪂ࡓ࡞༞ᚋᩍ⫱㹼་⛉࣭ṑ⛉ྜྠࣇࣞ࢖ࣝㄪᰝ
ࢆ㏻ࡌ࡚͆㣗࡭ࡽࢀࡿཱྀࢆ &5($7(͇ࢆᐇ㊶ࡍࡿຊࢆ㣴࠺㹼㸬೺ᗣ㛗ᑑ♫఍ࢆᢸ࠺ṑ⛉་Ꮫᩍ⫱ᨵ㠉Ṛ⏕Ꮫࡸᆅᇦໟᣓࢣ࢔ࣔࢹࣝࢆᑟධࡋࡓ་⛉ṑ⛉㐃ᦠᩍ⫱యไࡢᵓ⠏ 㐃ᦠࢩ࣏ࣥࢪ࣒࢘LQ໭ᾏ㐨㸬ᖹᡂ  ᖺ  ᭶  ᪥㸬 



໭ᾏ㐨

ㅮ₇
࠙໭ᾏ㐨኱Ꮫࠚ
(1) ᒣᓮ ⿱㸸ࢩ࣏ࣥࢪ࣒࢘㸸࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮࡟࠾ࡅࡿಖᏑデ⒪㹼⮫ᗋⓗ࣭ᇶ♏ⓗほⅬ࠿ࡽ㹼ࠕ㉸㧗㱋♫఍࡟ᑐᛂ࡛ࡁࡿṑᏛ⏕ᩍ⫱ࠖ➨  ᅇ᪥ᮏṑ⛉ಖᏑᏛ఍⛅ᏘᏛ⾡኱఍ ᖺ  ᭶  ᪥┒ᒸᕷ࣭࣐ࣜ࢜ࢫ
(2) ᒣᓮ ⿱㸸ᩥ㒊⛉Ꮫ┬ ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂࣉࣟࢢ࣒ࣛᖹᡂ  ᖺᗘ㐃ᦠࢩ࣏ࣥࢪ࣒࢘ LQ ᮐᖠࠕ໭኱◊ಟࣉࣟࢢ࣒ࣛ⤂௓ࡀࣥ἞⒪ࡢ࿘⾡ᮇ࡟࠾ࡅࡿཱྀ⭍⟶⌮◊ಟࠖ ᖺ  ᭶  ᪥໭኱
࠙㛗ᓮ኱Ꮫࠚ
(1) ゅ ᛅ㍤ࠊᑠᒣၿဢࠊ㰻⸨ಇ⾜ࠊ⃝℩ 㝯㸸ṑᏛ㒊⮫ᗋᐇ⩦⏕࡟ࡼࡿᖹᡂ ᖺᗘ㞳ᓥ་⒪ಖ೺ᐇ⩦ሗ࿌㸦᪊ ᖹᡂ  ᖺᗘୗ஬ᓥᆅ༊㞳ᓥ་⒪ᩍ⫱◊✲఍ ஬ᓥᕷ㸧࠙ᒸᒣ኱Ꮫࠚ
(1) ❑ᮌᣅ⏨㸸ṑ⛉ᢏᕤࡢࣃࣛࢲ࢖࣒ࡢ㌿᥮㸫ཱྀ⭍࢖ࣥࣉࣛࣥࢺࡢ⌧≧࡜ᮍ᮶㸫㸬ᒸᒣᕷṑ⛉་ᖌ఍❧ᒸᒣᢏᕤᑓ㛛Ꮫᰯ ≉ูㅮ⩏㸬ᒸᒣᕷ㸬 ᖺ㸯᭶(2) ❑ᮌᣅ⏨㸸⿵⥛἞⒪ࡢ᭷ຠᛶホ౯࡜࢞࢖ࢻࣛ࢖ࣥసᡂ࡟࠾ࡅࡿၥ㢟㸬஑ᕞ኱Ꮫ኱Ꮫ㝔 ≉ูㅮ⩏㸬⚟ᒸᕷ㸬 ᖺ  ᭶(3) ❑ᮌᣅ⏨㸸ṑࢆኻࡗࡓ㝿࡟⌧≧࡛࡛ࡁࡿࡇ࡜࡜ᑗ᮶ᒎᮃ 㸫ཱྀ⭍࢖ࣥࣉࣛࣥ
ࢺ࡜෌⏕་⒪㸫㸬➨  ᅇᒸ኱ࢧ࢖࢚ࣥࢫ࢝ࣇ࢙㸬ᒸᒣᕷ㸬 ᖺ  ᭶(4) ᭮ᡃ㈼ᙪ㸸ࡀࢇ࡜ཱྀ⭍⟶⌮㸬⑓㝔ṑ⛉௓ㆤ◊✲఍  ᅇᐃ౛఍㸬ᒸᒣᕷ㸬ᖺ  ᭶㸬(5) ❑ᮌᣅ⏨㸸%LRORJLFDOUHJHQHUDWLYHPHGLFLQHLQSURVWKRGRQWLFSUDFWLFH
WRDWWDLQUHOLDEOHDQGVRSKLVWLFDWHGGHQWDOLPSODQWWKHUDS\ᒸᒣ኱Ꮫ་ṑ⸆Ꮫ⥲ྜ◊✲⛉㑅ᢥࣉࣟࢢ࣒ࣛㅮ⩏ࣛ࢖ࣇࢧ࢖࢚ࣥࢫධ㛛㸬ᒸᒣᕷ

(6) .XERNL7㸸6FLHQWLILFFRPPLWWHHPHPEHURIWKHFRQVHQVXVFRQIHUHQFH
7KHVWDQGDUGRIWUHDWPHQWIRUHGHQWXORXVPDQGLEOHWK36,DQG
VW,&2,(XURSH.UDNRZ
(7) ᭮ᡃ㈼ᙪ㸸࿘⾡ᮇ➼࡟࠾ࡅࡿཱྀ⭍ෆ⟶⌮ࡢព⩏࡜ᐇ㝿㸬኱㜰ᗓṑ⛉་ᖌ఍ᖹᡂ  ᖺᗘᏛ⾡ㅮ₇఍㸬኱㜰ᕷ㸬 ᖺ  ᭶㸬(8) ᭮ᡃ㈼ᙪ㸸ཱྀ⭍⾨⏕⟶⌮ࡣ࡞ࡐᚲせ࠿㸽ཱྀ̿⭍ෆ⣽⳦ྀ࠾ࡼࡧᢠ⳦⸆⪏ᛶࡢぢᆅ࠿ࡽ㸬➨  ᅇ᪥ᮏ⮫ᗋ⭘⒆Ꮫ఍Ꮫ⾡㞟఍㸬⚄ᡞᕷ㸬 ᖺ  ᭶㸬(9) ᭮ᡃ㈼ᙪ㸸ࡀࢇཱྀ⭍ᨭᣢ⒪ἲࡢᢸ࠸ᡭࡢ㣴ᡂ̿ṑᏛ⏕࠾ࡼࡧ◊ಟṑ⛉་ࢆᑐ㇟࡜ࡋࡓ࣒࢝ࣜ࢟ࣗࣛᵓ⠏ࡢヨࡳ̿㸬➨  ᅇ᪥ᮏ⮫ᗋ⭘⒆Ꮫ఍Ꮫ⾡㞟఍㸬⚄ᡞᕷ㸬 ᖺ  ᭶㸬㸦㈨ᩱ㸲㸧(10) ᮧ⏣ᑦ㐨㸸ᦤ㣗࣭ᄟୗ࡟ࡘ࠸࡚ᖹᡂ  ᖺᗘᒸᒣ┴⪁ேಖ೺᪋タ༠఍ᰤ㣴ኈ㒊఍ ➨  ᅇ◊ಟ఍㸬ᒸᒣᕷ㸬 ᖺ  ᭶㸬(11) ᮧ⏣ᑦ㐨㸸ࠕᦤ㣗ᄟୗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⥲ㄽࠖ㸪ࠕᦤ㣗ᄟୗᶵ⬟ࡢホ౯ࠖᖹᡂ  ᖺᗘ㫽ྲྀ㣗ᨭ᥼◊ಟ఍㸬㫽ྲྀᕷ㸬 ᖺ  ᭶㸬(12) ᭮ᡃ㈼ᙪ㸸ࡀࢇ໬Ꮫ⒪ἲ᫬ࡢཱྀ⭍⟶⌮ࡢព⩏࡜ᐇ㝿㸬୕㔜┴་⛉ṑ⛉㐃ᦠ᥎㐍ேᮦ㣴ᡂ஦ᴗࠕ་⛉ṑ⛉㐃ᦠ᥎㐍ேᮦ㣴ᡂ◊ಟ఍ࠖ㸬ὠᕷ㸬 ᖺ  ᭶(13) ❑ᮌᣅ⏨㸬೺ᗣ㛗ᑑ♫఍ࡢṑ⛉་Ꮫᩍ⫱㸬ᖹᡂ  ᖺᗘᒸᒣ኱ᏛṑᏛ㒊ྠ❆఍㐃⤡༠㆟఍㸬ᒸᒣᕷ ᖺ ᭶(14) ᭮ᡃ㈼ᙪ㸸ṑ⛉་⒪⫋࡜ࡋ࡚ࡢ㄂ࡾࢆࡶࡗ࡚ᝈ⪅ࡢᑛཝࢆᏲࡿ̿㐀⾑⣽⬊⛣᳜ࢆཷࡅࡓࡀࢇࢧࣂ࢖ࣂ࣮࠿ࡽᏛࡪࡇ࡜̿㸬᪥ᮏࡀࢇཱྀ⭍ᨭᣢ⒪ἲᏛ఍➨ ᅇᏛ⾡኱఍㸬ᒸᒣᕷ㸬 ᖺ  ᭶㸬(15) ❑ᮌᣅ⏨㸸ṑࢆኻࡗࡓ㝿࡟⌧≧࡛࡛ࡁࡿࡇ࡜࡜ᑗ᮶ᒎᮃ 㹼ཱྀ⭍࢖ࣥࣉࣛࣥ
ࢺ࡜෌⏕་⒪㹼㸬୰ኸ༊Ẹ࢝ࣞࢵࢪ࣭ࡲ࡞ࡧࡢࢥ࣮ࢫ㸦㐃ᦠㅮᗙ㸧㸬ᮾிᖺ  ᭶
(16) ᮧ⏣ᑦ㐨㸪⥤㔝⌮ຍ㸪๓ᕝாᏊ㸪ᮧ⏣㯞⨾㸪ᒣᮏᫀ┤㸪⏣ᑼ⥤Ꮚ㸸㞀☀ඣࡢᦤ㣗ᄟୗ㞀ᐖ࡬ࡢᑐᛂࠕ㞀☀ඣࡢᦤ㣗ᄟୗ㞀ᐖ࡬ࡢᑐᛂࠖ◊ಟ఍㸬ᒸᒣᕷ㸬 ᖺ  ᭶(17) ᮡᮏᜤᏊ㸸㧗㱋⪅ࡢ೺ᗣ㛗ᑑᘏఙࢆࡵࡊࡍ࿪ᄮ⬟ຊホ౯⿦⨨㸬ᒸᒣ኱Ꮫ▱ᜨࡢぢᮏᕷ㸰㸮㸯㸵 ᖺ  ᭶㸬(18) ❑ᮌᣅ⏨㸸㧗㱋⪅࡬ࡢ࢖ࣥࣉࣛࣥࢺࢆ⪃࠼ࡿ㸬ᒸᒣ኱Ꮫྠ❆఍ᒸᒣ┴ᨭ㒊ㅮ₇఍㸬ᒸᒣᕷ㸬 ᖺ  ᭶(19) ᭮ᡃ㈼ᙪ㸸࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮㸦ࡀࢇᨭᣢ⒪ἲ㸧ࡢࡇࢀ࠿ࡽ 㒔㐨ᗓ┴ࡀࢇデ⒪㐃ᦠᣐⅬ⑓㝔 ኱Ꮫ⑓㝔㸦ᩍ⫱ᶵ㛵㸧ṑ⛉ࡢ❧ሙ࠿ࡽ㸬➨  ᅇ᪥ᮏཱྀ⭍⭘⒆Ꮫ఍⥲఍࣭Ꮫ⾡኱఍㸬᪂₲ᕷ㸬 ᖺ  ᭶㸬㸦㈨ᩱ㸰㸲㸧(20) ❑ᮌᣅ⏨㸸࡞ࡐ㸪⿵⥛ṑ⛉ᑓ㛛་ไᗘࡀᚲせ࠿㸽̿඲ேⓗ⿵⥛ṑ⛉἞⒪࡜⑕
ᆺศ㢮̿᪥ᮏ⿵⥛ṑ⛉Ꮫ఍ᮾ㛵ᮾᨭ㒊⥲఍ ᑓ㛛་◊ಟ఍㸬ᾆ࿴ᕷ  ᖺ
 ᭶



࠙㮵ඣᓥ኱Ꮫࠚ
(1) ⏣ཱྀ๎ᏹ㸸࢔࢘ࢺ࣒࢝ᇶ┙ᆺᩍ⫱ ௒ᚋࡢ࣒࢝ࣜ࢟ࣗࣛᨵ㠉ࡢ᪉ྥᛶ㸪໭ᾏ㐨኱ᏛṑᏛ㒊 )' ㅮ₇㸪 ᖺ㸴᭶㸪ᮐᖠᕷ㸬(2) ⏣ཱྀ๎ᏹ㸸࢔࢘ࢺ࣒࢝ᇶ┙ᆺᩍ⫱ṑᏛᩍ⫱࡬ࡢᑟධ㸪᪥ᮏ኱ᏛᯇᡞṑᏛ㒊 )'ᩍ⫱ㅮ₇఍㸪 ᖺ㸯᭶㸪ᯇᡞᕷ㸬(3) ⏣ཱྀ๎ᏹ㸸࢔࢘ࢺ࣒࢝ᇶ┙ᆺᩍ⫱ࡢ⌮ㄽ࡜ᐇ㊶㸪㛗ᓮ኱ᏛṑᏛ㒊 )' ㅮ₇఍㸪 ᖺ  ᭶㸪㛗ᓮᕷ㸬㞧ㄅ(1) ᓊᮏ⿱඘㸸་⛉࡜ṑ⛉ࡢ㐃ᦠ 0521- ᑐᛂࡢ᭱㏆ࡢືྥ ⸆๣㛵㐃㢡㦵ቯṚ࡬ࡢᑐᛂࡢ᭱㏆ࡢືྥ㸬᪥ᮏ㦵⢒㧼⑕Ꮫ఍㞧ㄅ  ᕳ  ྕ㸸㸸
(2) ୰ᮧ♸ᕫ㸪ᓊᮏ⿱඘㸸࠙㧗㱋⪅ࡢཱྀ⭍ࢣ࢔ࠚཱྀ⭍ࢣ࢔ࢆ࡝ࡢࡼ࠺࡟⾜࠺࠿ࢳ࣮࣒་⒪࡟ࡼࡿ࿘⾡ᮇࡢཱྀ⭍ᶵ⬟⟶⌮ࡢᐇ㝿㸬0RGHUQ 3K\VLFLDQ㸸 ᕳ ྕ㸸㸸
(3) ྜྷᕝᜤᖹ㸪ᓊᮏ⿱඘㸸ཱྀ࠙⭍㢡㢦㠃࡟㛵㐃ࡍࡿ⑌ᝈ࡜ࡑࡢ἞⒪ࡢ⌧≧ࠚ࿘⾡ᮇᝈ⪅ࡢ࣮࣐࢜ࣛࣝࢿࢪ࣓ࣥࢺ㸬&OLQLFDO&DOFLXP㸸 ᕳ  ྕ㸸㸸(4) ᓊᮏ⿱඘㸪㧗ᒸ୍ᶞ㸸㦵྾཰ᢚไ⸆㛵㐃㢡㦵ቯṚࡢ᭱᪂᝟ሗ㸬᪥ᮏཱྀ⭍࢖ࣥࣉࣛࣥࢺᏛ఍ㄅ㸸 ᕳ  ྕ㸸㸸
(5) ᓊᮏ⿱඘㸪㧗ᒸ୍ᶞ㸸㦵྾཰ᢚไ⸆㛵㐃㢡㦵ቯṚࡢ࣏ࢪࢩ࣮ࣙࣥ࣌ࣃ࣮
ࡢゎㄝ㸬᪥ᮏṑ⛉ඛ➃ᢏ⾡◊✲ᡤᏛ⾡఍ㄅ㸸 ᕳ  ྕ㸸
(6) ᓊᮏ⿱඘㸸ࣅࢫ࣍ࢫ࣍ࢿ࣮ࢺ〇๣࡜ṑ⛉἞⒪࡟ࡘ࠸࡚ 㦵྾཰ᢚไ⸆㛵㐃㢡㦵ቯṚࡢண㜵ࢆ┠ᣦࡋ࡚㸬኱㜰ᗓṑ⛉་ᖌ఍㞧ㄅ㸸 ྕ㸸᭩⡠࠙ᒸᒣ኱Ꮫࠚ
(1) $QGUHZ1'DYLHV-RHO%(SVWHLQ ⦅㸪᭮ᡃ㈼ᙪ┘ヂ㸪ࡀࢇཱྀ⭍ᨭᣢ⒪ἲከ⫋✀㐃ᦠ࡟ࡼࡿࡀࢇᝈ⪅ࡢཱྀ⭍ෆ⟶⌮㸬Ọᮎ᭩ᗑ㸪
࠙රᗜ་⛉኱Ꮫࠚ
(1) ᕝ㑔╬グ㸪ᓊᮏ⿱඘㸸ᝏᛶ⭘⒆㸸࿘⾡ᮇࡢ࣮࣐࢜ࣛࣝࢿࢪ࣓ࣥࢺ㸬 ศ࡛ㄞࡵࡿ㸟▱ࡾࡓ࠸඲㌟⑌ᝈ 㸦୰ᕝὒ୍⦅㸧㸬ࢹࣥࢱࣝࢲ࢖ࣖࣔࣥࢻ♫㸬㸬ᮾி㸬(2) 㧗ᒸ୍ᶞ㸪ᓊᮏ⿱඘㸬
㸸0521- ࡬ࡢ࣐ࢿࢪ࣓ࣥࢺᡓ␎㸬ཱྀ⭍እ⛉ࣁࣥࢻ࣐ࢽࣗ࢔ࣝ 㸸ࢡ࢖ࣥࢸࢵࢭࣥࢫฟ∧㸬㸬ᮾி㸬
(3) 㧗ᒸ୍ᶞ㸪ᓊᮏ⿱඘㸸➨  ❶ ࣅࢫ࣍ࢫ࣍ࢿ࣮ࢺ㛵㐃㢡㦵ቯṚ㸬ࡀࢇཱྀ⭍ᨭᣢ⒪ἲ ከ⫋✀㐃ᦠ࡟ࡼࡿࡀࢇᝈ⪅ࡢཱྀ⭍ෆ⟶⌮ $QGUHZ1'DYLHV ࡯࠿⦅ⴭ ᭮ᡃ㈼ᙪ┘ヂ 㸬Ọᮎ᭩ᗑ㸸㸬ி㒔㸬
(4) ᓊᮏ⿱඘㸸᭱᪂㸟㦵྾཰ᢚไ⸆㛵㐃㢡㦵ቯṚࡢண㜵࡜἞⒪㸬ṑ⏺ᒎᮃ≉ูྕṑ⛉་⒪ ᮍ᮶࡜ክ㸸
(5) ᓊᮏ⿱඘㸸ཱྀ⭍࢝ࣥࢪࢲ⑕㸬἞⒪ࢆᨭ࠼ࡿ ࡀࢇᝈ⪅ࡢཱྀ⭍ࢣ࢔㸬୍⯡♫ᅋἲே ᪥ᮏཱྀ⭍ࢣ࢔Ꮫ఍Ꮫ⾡ጤဨ఍⦅㞟㸸་Ꮫ᭩㝔㸸㸬ᮾி㸬
(6) ᓊᮏ⿱඘㸸ᾆฟ㞞⿱㸬᭷⇕ᝈ⪅ࡢཱྀ⭍ࢣ࢔㸬ᨵゞ∧ ཱྀ⭍ࢣ࢔ᇶ♏▱㆑㸬୍⯡♫ᅋἲே ᪥ᮏཱྀ⭍ࢣ࢔Ꮫ఍⦅㞟㸸Ọᮎ᭩ᗑ㸸㸬ி㒔㸬
(7) ᓊᮏ⿱඘㸸ㄗᄟᛶ⫵⅖㸬Ẽ⟶ᨭႍᜥ㸬௦ㅰᛶ⑌ᝈ⸆๣㛵㐃㢡㦵ቯṚ 0521- 㸬᪂ゞ∧ ▱ࡾࡓ࠸ࡇ࡜ࡀࡍࡄࢃ࠿ࡿ 㧗㱋⪅ṑ⛉་⒪ ṑ⛉་⒪࡟ࡘ࡞ࡀࡿ་Ꮫ▱㆑㸸Ọᮎ᭩ᗑ㸸㸪㸪㸬ி㒔㸬
ࢩ࣏ࣥࢪ࣒࢘
(1) ᖹᡂ㸰㸷ᖺᗘ➨㸯ᅇᅾᏯ࣭ṑ⛉ゼၥデ⒪ᩍ⫱ࢩ࣏ࣥࢪ࣒࢘̾ᒸᒣ኱ᏛṑᏛ㒊࡟࠾ࡅࡿᅾᏯ࣭ṑ⛉ゼၥデ⒪ᩍ⫱̾㸬ᒸᒣ኱ᏛṑᏛ㒊➨୍ㅮ⩏ᐊ㸬(2) ᖹᡂ㸰㸷ᖺᗘ➨㸰ᅇᅾᏯ࣭ṑ⛉ゼၥデ⒪ᩍ⫱ࢩ࣏ࣥࢪ࣒࢘̾ᒸᒣ኱ᏛṑᏛ㒊࡟࠾ࡅࡿᅾᏯ࣭ṑ⛉ゼၥデ⒪ᩍ⫱̾㸬ᒸᒣ኱ᏛṑᏛ㒊➨୍ㅮ⩏ᐊ㸬ㅮ₇఍(1) ᒸᒣ኱ᏛṑᏛ㒊බ㛤ㅮᗙࠕ⤊ᮎᮇࡢពᛮỴᐃᨭ᥼࡜ṑ⛉ⓗ࢔ࣉ࣮ࣟࢳࠖ㸬ᒸᒣ኱ᏛṑᏛ㒊➨୍ㅮ⩏ᐊ㸬㸦㈨ᩱ㸰㸳㸧ᐃ౛ࢩ࣏ࣥࢪ࣒࢘
㸦1㸧ᩥ㒊⛉Ꮫ┬ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂࣉࣟࢢ࣒ࣛ㸦೺ᗣ㛗ᑑ♫఍ࡢᐇ⌧࡟㈉⊩ࡍࡿṑ⛉་⒪ே㣴ᡂ㸧㑅ᐃ஦ᴗ ೺ᗣ㛗ᑑ♫఍ࢆᢸ࠺ṑ⛉་Ꮫᩍ⫱ᨵ㠉̿Ṛ⏕Ꮫࡸᆅᇦໟᣓࢣ࢔ࣔࢹࣝࢆᑟධࡋࡓ་⛉ṑ⛉㐃ᦠᩍ⫱యไࡢᵓ⠏̿ᖹᡂ  ᖺᗘ 㐃ᦠࢩ࣏ࣥࢪ࣒࢘ LQ ᮐ ᖠ㸬໭ᾏ㐨኱ᏛṑᏛ㒊ㅮᇽ㸬㸬㸦㈨ᩱ㸯㸱㸧




ᗈሗ
(1) ṑᏛᩍ⫱ᨵ㠉ࢥࣥࢯ࣮ࢩ࢔࣒ 1HZV/HWWHU YRO㹼㸦㈨ᩱ㸰㸴㸧ཷ㈹
࠙ᒸᒣ኱Ꮫࠚ
(1)ᅬ஭ᩍ⿱㸸➨  ᅇ᪥ᮏṑ⛉་Ꮫᩍ⫱Ꮫ఍ᅜ㝿Ꮫ఍◊✲Ⓨ⾲ዡບ㈹
(2) ❑ᮌᣅ⏨㸪ᮡᮏᜤᏊ㸪Ṋ⏣ᏹ᫂㸪ᮧ⏣ᑦ㐨㸪ᅬ஭ᩍ⿱㸪๓⏣࠶ࡎࡉ㸪ᕝ℩  ᫂Ꮚ㸪᭮ᡃ㈼ᙪ㸪ᒸ⏣⣧ᖾ㸸ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ᩍ⫱ຌປ ㈹㸬 ᖺ  ᭶㸦㈨ᩱ㸰㸵㸧࠙㮵ඣᓥ኱Ꮫࠚ
(1) ⏣ཱྀ๎ᏹ㸸᪥ᮏ⥲ྜṑ⛉Ꮫ఍ Ꮫ఍ㄽᩥ㈹㸬 ᖺ  ᭶(2) ኱ᡞᩗஅ㸸➨  ᅇ᪥ᮏ⥲ྜṑ⛉Ꮫ఍Ꮫ⾡኱఍ ୍⯡࣏ࢫࢱ࣮Ⓨ⾲ධ㈹㸬
 ᖺ  ᭶௻⏬(1) ∦ᒸ❳ኴ㸪಴⏣▱ග㸪ᑠཎ┾▱Ꮚ㸪㭯ᒸᾈᶞ㸪ᯇ஭⏤⨾Ꮚ㸪㉺㔝 ᑑ㸪❑ᮌᣅ⏨㸬➨  ᅇ 0('& ࣮࣡ࢡࢩࣙࢵࣉ :6⮫ᗋᐇ⩦๓ ,3/㸦ከ⫋✀஺ὶᤵᴗ㸧ࢆ௻⏬ࡍࡿ㸬➨  ᅇ་⒪ᩍ⫱ࢭ࣑ࢼ࣮࡜࣮࣡ࢡࢩࣙࢵࣉLQ᫛࿴኱Ꮫ㸬ᮾி㸬㸦㈨ᩱ㸰㸶㸧(2) ❑ᮌᣅ⏨ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ⫱ᡂࣉࣟࢢ࣒ࣛ㑅ᐃ஦ᴗ೺ᗣ㛗ᑑࢆᢸ࠺ṑ⛉་Ꮫᩍ⫱ᨵ㠉㸫Ṛ⏕Ꮫࡸᆅᇦໟᣓࢣ࢔ࣔࢹࣝࢆᑟධࡋࡓ་⛉ṑ⛉㐃ᦠᩍ⫱యไࡢᵓ⠏㸫ᡂᯝⓎ⾲㸬ᒸᒣᕷ㸬㸦㈨ᩱ㸰㸷㸪㸱㸮㸧㛵㐃஦ᴗᒸᒣ┴་⒪௓ㆤ⥲ྜ☜ಖᇶ㔠஦ᴗࠕせ௓ㆤ㧗㱋⪅ࡢపᰤ㣴ࢆ㜵ࡄࡓࡵࡢ་ᖌ࣭ṑ⛉་ᖌ࡜⟶⌮ᰤ㣴ኈ࡟ࡼࡿཱྀ⭍ᰤ㣴㛵㐃ࢧ࣮ࣅࢫ᥎㐍஦ᴗࠖ㸦㈨ᩱ㸱㸯㸧 ᮏ஦ᴗࡢࣀ࢘ࣁ࢘ࢆ⏕ᾭ◊ಟ࡟ᒎ㛤ࡍࡿ࡜࡜ࡶ࡟㸪㛵㐃஦ᴗࡢෆᐜࢆᏛ㒊ᩍ⫱࡬࡜ⴠ࡜ࡋ㎸ࡳ㸪┦஫࡛஦ᴗ᥎㐍ࢆᅗࡿࡇ࡜ࡀ࡛ࡁࡿࡼ࠺༠ຊࡋ࡚࠸ࡿ㸬
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ϫ㸬ᖹᡂ㸰㸷ᖺᗘࡢ⮬ᕫホ౯Ϫࡢᖹᡂ㸰㸷ᖺᗘࡢ㐩ᡂ┠ᶆ࡜ࡑࢀ࡟ᑐࡍࡿᐇ⦼࣭ලయⓗ࡞ᡂᯝ࠿ࡽ㸪௨ୗࡢ⮬ᕫホ౯࡟⮳ࡗࡓ㸬⮬ᕫホ౯ጤဨ఍࡟࠾ࡅࡿᮏ஦ᴗホ౯ホ౯㡯┠஦ᴗィ⏬ࡢጇᙜᛶ
ィ⏬࡟ἢࡗࡓᡂᯝࢆᚓࡽࢀ࡚࠸ࡿ࠿
ᮏࣉࣟࢪ࢙ࢡࢺ࡟㛵㐃ࡋࡓᴗ⦼ࡣ༑ศ࠿
஦ᴗ㈝ࡢ౑㏵࡟ၥ㢟ࡣ࡞࠸࠿          5 ẁ㝵ホ౯ᝏ࠸                 Ⰻ࠸ᝏ࠸ 㸯 ࣭ 㸰 ࣭ 㸱 ࣭ 㸲 ࣭ յ Ⰻ࠸ᝏ࠸ 㸯 ࣭ 㸰 ࣭ 㸱 ࣭ մ ࣭ 㸳 Ⰻ࠸ᝏ࠸ 㸯 ࣭ 㸰 ࣭ 㸱 ࣭ մ ࣭ 㸳 Ⰻ࠸ᝏ࠸ 㸯 ࣭ 㸰 ࣭ 㸱 ࣭ մ ࣭ 㸳 Ⰻ࠸⥲ホᮏ஦ᴗࡣ㸲ᖺ┠࡜࡞ࡾ㸪௒ᖺᗘࡣ㸪᫖ᖺᗘࡼࡾᒸᒣ኱Ꮫ࡟࡚ᚲಟ໬ࡉࢀࡓ㟁Ꮚᤵᴗࢆࣈࣛࢵࢩࣗ࢔ࢵࣉࡍࡿ࡜࡜ࡶ࡟㸪⪁ே௓ㆤ᪋タࢆ฼⏝ࡋࡓ 3%/ ₇⩦㸪⪁ேࢆᶍࡋࡓࢩ࣑࣮ࣗࣞࢱ࣮ࢆ⏝࠸ࡓࣉࣞࢡࣜࢽ࢝ࣝ₇⩦㸪㧗ᗘ་⒪ᨭ᥼࣭࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ᐇ⩦㸪ᅾᏯ௓ㆤ࣭ゼၥデ⒪ཧຍᆺᏛእᐇ⩦ࡢࢥ࣮ࢫ࣮࣡ࢡࡢᑟධ
ࢆྛ㐃ᦠ኱Ꮫ࡛᥎㐍ࡋࡓ㸬୙㊊ࡍࡿෆᐜ࡟ࡘ࠸࡚ࡣ㸪e-learning ㅮ⩏ࢩࢫࢸ࣒ࢆ
ά⏝ࡋ࡚⿵᏶ࡋࡓ㸬ࡲࡓ㸪ᦤ㣗࣭ᄟୗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࡢࢽ࣮ࢬࡀ┈ࠎቑຍࡋ࡚࠸ࡿࡇ࡜࠿ࡽ㸪ᦤ㣗࣭ᄟୗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࡢホ౯࠿ࡽカ⦎ࡲ࡛ࢆどぬⓗ࡟Ꮫ⩦ࡍࡿࡇ࡜ࡀ࡛ࡁࡿࣅࢹ࢜ࢥࣥࢸࣥࢶࢆసᡂࡋࡓ㸬ࡲࡓ㸪Ṛ⏕Ꮫ㸪ㄆ▱⑕ᝈ⪅࡟ᑐࡍࡿṑ⛉ⓗ࢔ࣉ࣮ࣟࢳ࡟㛵ࡍࡿࢥࣥࢸࣥࢶࡢ㏣ຍ཰㘓ࢆ⾜ࡗࡓ㸬ࡇࢀࡽࡣᅾᏯ་⒪ࢆᐇ᪋ࡍࡿ࡟࠶ࡓࡗ࡚኱ኚ㔜せ࡞ෆᐜ࡛࠶ࡾ㸪e-learning ㅮ⩏ࢩࢫࢸ࣒ࢆ฼⏝ࡋ࡚඲㐃ᦠ኱ᏛࡢᏛ⏕ࡀど⫈࡛ࡁࡿࡇ࡜ࡣ኱ኚ᭷ព⩏࡛࠶ࡿ࡜ᛮࢃࢀࡿ㸬ࡲࡓ㸪᫖ᖺᗘࡼࡾ㓄ಙࢆ㛤ጞࡋࡓ News Letter ࡣ㸪ṑᏛ㒊ࡢࡳ࡞ࡽࡎ඲ᅜࡢ་
Ꮫ㒊㸪་⒪⣔኱Ꮫ㸪ṑ⛉་ᖌ఍㸪ṑ⛉ᢏᕤኈ఍㸪ṑ⛉⾨⏕ኈ఍㸪ᰤ㣴ኈ఍࡬ࡶ㓄ಙࡋ࡚࠾ࡾ㸪ᮏ஦ᴗࡢྲྀࡾ⤌ࡳࢆ඲ᅜࡢ㛵㐃⫋✀࡬ྥࡅ࡚ᗈሗࡍࡿࡇ࡜ࡀ࡛ࡁࡓ㸬་⒪ᨭ᥼ṑᏛᩍ⫱ࢥ࣮ࢫ࣮࣡ࢡࡢᆒ࡚ࢇ໬࡟㛵ࡋ࡚ࡶ㸪㸲ᖺ┠࡜࡞ࡾ㐃ᦠ኱Ꮫ㛫࡛ࡔࢇࡔࢇ࡜㊊୪ࡳࡀࡑࢁࡗ࡚ࡁࡓ㸬᭦࡞ࡿᆒ࡚ࢇ໬࡟ྥࡅ࡚㸪஦ᴗᐇ᪋㈐௵⪅ࡸ≉௵ຓᩍࡀᡭศࡅࡋ࡚㸪㐃ᦠ኱Ꮫࢆゼၥࡋ㸲ࡘࡢ࣐ࢺࣜࢵࢡࢫᤵᴗẖ࡟≧ἣㄪᰝ࡜㛤ㅮࢆಁࡋ࡚࠸ࡿ࡜ࡇࢁ࡛࠶ࡿ㸬ࡓࡔ㸪ᆒ࡚ࢇ໬ࡀྛ኱Ꮫࡢ≉Ⰽ࠶ࡿᩍ⫱ࢆࢫ࣏࢖ࣝࡍࡿࡇ࡜ࡀ࡞࠸ᵝ࡟㸪ྛ኱Ꮫࡢ≉Ⰽࢆά࠿ࡋࡓᆒ࡚ࢇ໬ࢆ᮶ᖺ
ᗘࡶ⥅⥆ࡍࡿணᐃ࡛࠶ࡿ㸬ᮏ஦ᴗࡢຌ⦼ࡀㄆࡵࡽࢀ㸪ᢸᙜࢢ࣮ࣝࣉࡀᖹᡂ  ᖺᗘᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ᩍ⫱ຌປ㈹ࢆཷ㈹ࡍࡿࡇ࡜ࡀ࡛ࡁࡓࡇ࡜ࡣ႐ࡤࡋ࠿ࡗࡓ㸬᮶ᖺᗘࡣᮏ஦ᴗࡀ᭱⤊ᖺᗘࢆ㏄࠼ࡿࡀ㸪ᮏ㈹࡟᜝ࡌࡠࡼ࠺㸪ࡼࡾ୍ᒙࡢດຊࢆᅗࡿᡤᏑ
࡛࠶ࡿ㸬௨ୖࢆ⥲ᣓࡍࡿ࡜㸪ᮏ஦ᴗࡢ㐍ᤖ≧ἣࡣ஦ᴗィ⏬࡟ἢࡗ࡚Ⰻዲ࡟㐍ᤖࡋ࡚࠸ࡿ࡜⪃࠼࡚࠸ࡿ㸬

㈨ᩱ䠍➨㸳ᅇ ṑᏛᩍ⫱ᨵ㠉ࢥࣥࢯ࣮ࢩ࢔࣒஦ᴗ᥎㐍ጤဨ఍㆟஦せ᪨᪥ ᫬㸸ᖹᡂ㸰㸷ᖺ㸯㸯᭶㸯㸯᪥㸦ᅵ㸧㸯㸰㸸㸮㸮㹼㸯㸱㸸㸮㸮ሙ ᡤ㸸໭ᾏ㐨኱ᏛṑᏛ㒊㹁Ჷ㸰㝵࢝ࣥࣇ࢓ࣞࣥࢫ࣮࣒ࣝ
ฟᖍ⪅㸸໭ᾏ㐨኱Ꮫ㸦஭ୖ ဴ㸪ᒣᓮ ⿱㸧㸪㔠ἑ኱Ꮫ㸦ᕝᑼ⚽୍㸪୰ᮧ༤ᖾ㸪኱஭୍ᾈ㸧㸪኱㜰኱Ꮫ㸦ụ㑓୍඾㸧㸪஑ᕞ኱Ꮫ㸦すᮧⱥ⣖㸪㧘ᶫ୍㑻㸪᯽㷂ᬕᙪ㸧㸪㛗ᓮ኱Ꮫ㸦⃝℩ 㝯㸪㰻⸨ಇ⾜㸧㸪㮵ඣᓥ኱Ꮫ㸦༡ ᘯஅ㸧㸪ᒾᡭ་⛉኱Ꮫ㸦ᇛ ⱱ἞㸪▼ᓮ ᫂㸧㸪᪥ᮏ኱Ꮫ㸦㜿㒊ோᏊ㸪⇃಴ᙬ஀㸧㸪᫛࿴኱Ꮫ㸦∦ᒸ❳ኴ㸪▼ᕝ೺ኴ㑻㸧㸪රᗜ་⛉኱Ꮫ㸦୰ᮧ♸ᕫ㸧㸪ᮾி㒔೺ᗣ㛗ᑑ་⒪ࢭࣥࢱ࣮㸦ᖹ㔝ᾈᙪ㸧㸪ᒸᒣ኱Ꮫ㸦❑ᮌᣅ⏨㸪᭮ᡃ㈼ᙪ㸪ᮡᮏᜤᏊ㸧㆟ 㢟㸯 ➨㸲ᅇṑᏛᩍ⫱ᨵ㠉ࢥࣥࢯ࣮ࢩ࢔࣒஦ᴗ᥎㐍ጤဨ఍㆟஦せ᪨ࡢᢎㄆ࡟ࡘ࠸࡚
❑ᮌ஦ᴗ㈐௵⪅㸦ᒸᒣ኱Ꮫ㸧ࡼࡾ㸪㈨ᩱ㸯࡟ᇶ࡙ࡁ㸪ᖹᡂ㸰㸶ᖺ㸯㸮᭶㸰㸲᪥㸦᭶㸧㛤ദࡢ➨㸲ᅇṑᏛᩍ⫱ᨵ㠉ࢥࣥࢯ࣮ࢩ࢔࣒஦ᴗ᥎㐍ጤဨ఍㆟஦せ᪨ࡢ☜ㄆࡀ࠶ࡾ㸪ཎ᱌ࡢ࡜࠾ࡾᢎㄆࡉࢀࡓࠋ㸰 ᖹᡂ㸰㸶ᖺᗘ⮬ᕫホ౯࡞ࡽࡧ࡟እ㒊ホ౯⤖ᯝ࡟ࡘ࠸࡚
❑ᮌ஦ᴗ㈐௵⪅ࡼࡾ㸪㈨ᩱ㸰࡟ᇶ࡙ࡁ㸪ᖹᡂ㸰㸶ᖺᗘ⮬ᕫホ౯࡟ࡘ࠸࡚㸪ᮏ஦ᴗࡣ࠾࠾ࡴࡡணᐃ㏻ࡾ㐍ᤖࡋ࡚࠸ࡿ࡜ࡢㄝ᫂ࡀ࠶ࡗࡓࠋࡲࡓ㸪㈨ᩱ㸱࡟ᇶ࡙ࡁ㸪እ㒊ホ౯⪅ࡢ⤂௓࡜ホ౯ෆᐜ࠾ࡼࡧࡑࡢᑐᛂ࡟ࡘ࠸࡚ㄝ᫂ࡀ࠶ࡗࡓࠋ㸱 ୰㛫ホ౯⤖ᯝ࡟ࡘ࠸࡚ ❑ᮌ஦ᴗ㈐௵⪅ࡼࡾ㸪㈨ᩱ㸲࡟ᇶ࡙ࡁ㸪඲࡚ࡢࠕㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂࣉࣟࢢ࣒ࣛࠖࡢ࠺ࡕ㸪ᡃࠎࡢࢥࣥࢯ࣮ࢩ࢔࣒ࡣ⥲ྜホ౯㸿࡜࡞ࡾ㸪ࢺࢵࣉ㸲࡟ධࡗࡓ࡜ࡢㄝ᫂ࡀ࠶ࡗࡓࠋࡲࡓ㸪᮶ᖺᗘࡶᘬࡁ⥆ࡁ஦ᴗ᥎㐍ࢆࡋ࡚࠸ࡓࡔࡃࡼ࠺㸪❑
ᮌ஦ᴗ㈐௵⪅ࡼࡾ౫㢗ࡉࢀࡓࠋ㸲 ᖹᡂ㸰㸶ᖺᗘ཰ᨭሗ࿌࡟ࡘ࠸࡚
❑ᮌ஦ᴗ㈐௵⪅ࡼࡾ㸪㈨ᩱ㸳࡟ᇶ࡙ࡁㄝ᫂ࡀ࠶ࡾ㸪ᩥ㒊⛉Ꮫ┬࠿ࡽࡢ⿵ຓ㔠ࡢ㐺ṇ౑⏝࡟㛵ࡍࡿ␲⩏↷఍࡬ࡢᑐᛂࡣ⤊ࢃࡗ࡚࠸ࡿࡀ㸪௒ᚋࡶ㸪ྛ㐃ᦠ኱Ꮫ࡟࠾
࠸࡚ࡶ㐺ṇ౑⏝࡟ࡘ࠸࡚ࡶࡈ༠ຊࢆ㡬ࡁࡓ࠸᪨㸪ㄝ᫂ࡀ࠶ࡗࡓࠋ㸳 ᖹᡂ㸰㸷ᖺᗘ஦ᴗィ⏬࠾ࡼࡧ⿵ຓ㔠㓄ศ㢠࡟ࡘ࠸࡚
❑ᮌ஦ᴗ㈐௵⪅ࡼࡾ㸪㈨ᩱ㸴࡟ᇶ࡙ࡁ㸪ᖹᡂ㸰㸷ᖺᗘࡢ஦ᴗィ⏬࡟ࡘ࠸࡚ㄝ᫂
ࡀ࠶ࡗࡓࠋ㈨ᩱ㸵࡟ᇶ࡙ࡁ㸪ᖹᡂ㸰㸷ᖺᗘࡢ஺௜ෆᐃ㢠ࡣ  ୓෇࡛࠶ࡾ㸪᮶ᖺᗘࡢ㐃ᦠ኱Ꮫ࡬ࡢ㓄ศ㢠ࡣ௒ᖺᗘ࡜ྠ㢠ࢆணᐃࡋ࡚࠸ࡿ࡜㈨ᩱ㸶࡟ᇶ࡙ࡁㄝ
᫂ࡀ࠶ࡗࡓࠋ㸴 ་⒪ᨭ᥼ṑᏛᩍ⫱ࢥ࣮ࢫ࣮࣡ࢡࡢᆒ࡚ࢇ໬࡟ࡘ࠸࡚
❑ᮌ஦ᴗ㈐௵⪅ࡼࡾ㸪㈨ᩱ㸷㸪㸯㸮࡟ᇶ࡙ࡁ㸪་⒪ᨭ᥼ṑᏛᩍ⫱ࢥ࣮ࢫ࣮࣡ࢡ
1ࡢྛࢥ࣮ࢫ࣮࣡ࢡ㸦ᤵᴗ㸪₇⩦㸪ᐇ⩦㸧ࡢ࠺ࡕ㸪ᐇ⩦࡟㛵ࡋ࡚㸪㉸ᛴᛶᮇ⑓㝔ࡢ⑓Ჷࣛ࢘ࣥࢻࢆྵࡵࡓ་⒪ᨭ᥼ṑᏛᩍ⫱࡟㛵ࡍࡿᐇ⩦㸪ᅾᏯṑ⛉デ⒪࡟㛵ࡍࡿᐇ⩦࡟ࡘ࠸࡚㸪ྛ኱Ꮫ࡟࡚✚ᴟⓗ࡟㐍ࡵ࡚࠸ࡓࡔࡁ㸪ᚲ㡲໬ࡋ࡚࠸ࡓࡔࡃࡼ
࠺౫㢗ࡀ࠶ࡗࡓࠋࡲࡓ㸪༞ᚋ⮫ᗋ◊ಟ࡟㛵ࡍࡿ࣒࢝ࣜ࢟ࣗࣛ࡟㧗㱋⪅་⒪ࡢෆ
ᐜࢆྵࡵ࡚࠸ࡓࡔࡃࡼ࠺㸪㔠ἑ኱Ꮫ࠾ࡼࡧරᗜ་⛉኱Ꮫ࡬౫㢗ࡀ࠶ࡗࡓࠋ᮶ᖺ
ࡢཱྀ⭍⛉Ꮫ఍࡟࡚රᗜ་⛉኱Ꮫࡢᓊᮏᩍᤵࡀࢩ࣏ࣥࢪ࣒࢘ࢆ㛤ദணᐃ࡛࠶ࡾ㸪ࡑࡢ᫬ᮇࢆ┠㏵࡟㐍ࡵ࡚࠸ࡓࡔࡁࡓ࠸࡜౫㢗ࡀ࠶ࡗࡓࠋ㸵 㟁Ꮚᤵᴗࢩ࣮ࣜࢬࡢ㐠⏝࠾ࡼࡧྛ኱Ꮫࡢ≉ᚩ࠶ࡿᤵᴗࡢᥦ౪ࡢ࠾㢪࠸࡟ࡘ࠸࡚
❑ᮌ஦ᴗ㈐௵⪅ࡼࡾ㸪㈨ᩱ㸯㸯࡟ᇶ࡙ࡁ㸪㟁Ꮚᤵᴗࢩ࣮ࣜࢬࡢ㐠⏝࡟ࡘ࠸࡚ㄝ᫂
ࡀ࠶ࡾ㸪ྛ኱Ꮫ࡟࡚≉ᚩ࠶ࡿᤵᴗࢆ཰㘓ࡋ㸪ᥦ౪ࡋ࡚࠸ࡓࡔࡃࡼ࠺౫㢗ࡀ࠶ࡗࡓࠋ㸶 ᖹᡂ㸰㸷ᖺᗘࡢ஦ᴗᡂᯝሗ࿌᭩ࡢసᡂ౫㢗࡟ࡘ࠸࡚ ❑ᮌ஦ᴗ㈐௵⪅ࡼࡾ㸪㈨ᩱ㸯㸰࡟ᇶ࡙ࡁ㸪ᖹᡂ㸰㸷ᖺᗘࡢ஦ᴗᡂᯝሗ࿌᭩ࡢసᡂ
౫㢗ࡀ࠶ࡗࡓࠋࡲࡓ㸪ྛ኱Ꮫ࡟࠾ࡅࡿ㐍ᤖ≧ἣ࡟ࡘ࠸࡚㸪௨ୗࡢሗ࿌ࡀ࠶ࡗࡓࠋ
໭ᾏ㐨኱Ꮫ㸦ᒣᓮ ⿱ඛ⏕㸧㸸⮫ᗋᐇ⩦࡟㛵ࡋ࡚㸪᪂ᝈᝈ⪅ࡢ㓄ᙜࢆቑࡸࡍࡇ࡜
ࡀฟ᮶࡚࠾ࡾ㸪◊ಟ་ࡢࣉࣟࢢ࣒ࣛࡢ࿘⾡ᮇࡢぢᏛᐇ⩦ࢆᏛ⏕࡟ࡶ⾜ࡗ࡚࠸ࡿࠋ
㔠ἑ኱Ꮫ㸦୰ᮧ༤ᖾඛ⏕㸧㸸ࡀࢇࣉࣟࡢࢥࣥࢸࣥࢶࢆ࢔ࢵࣉࢹ࣮ࢺணᐃ࡛࠶ࡿࠋ
ᅾᏯṑ⛉࣭ᅾᏯᄟୗ᳨ᰝ࡟㛵ࡋ࡚㸪ࡇࢀࡲ࡛ᐇ᪋ࡋ࡚࠸ࡓࡀ㸪࣒࢝ࣜ࢟ࣗࣛ໬࡛
ࡁ࡚࠸࡞࠿ࡗࡓࡓࡵ㸪᳨ウ୰࡛࠶ࡿࠋ 㔠ἑ኱Ꮫ㸦ᕝᑼ⚽୍ඛ⏕㸧㸸㐃ᦠࢩ࣏ࣥࢪ࣒࢘ࡢᢒ㘓㞟ࡢ㸳㸱࣮࣌ࢪࡢ࣏ࣥࢳ⤮࡟ᇶ࡙ࡁㄝ᫂ࡀ࠶ࡾ㸪ඛ㐍ண㜵་Ꮫ◊✲⛉࡜࠸࠺ྡ⛠࡛ᖹᡂ㸰㸶ᖺᗘࡼࡾⓎ㊊ࡋࡓ㐃ᦠ኱Ꮫ㝔㸦㔠ἑ኱Ꮫ㸪㛗ᓮ኱Ꮫ㸪༓ⴥ኱Ꮫ㸧࡜ࡇࡢ࣏ࣥࢳ⤮ࡀⰋࡃఝ࡚࠸ࡿ
ࡓࡵ㸪ඹྠ኱Ꮫ㝔࡟ᛂເࡢ㝿ࡣ㸪㔠ἑ኱Ꮫࡢ +3 ࢆཧ↷ࡋ࡚࠸ࡓࡔࡃࡼ࠺᝟ሗᥦ
౪ࡀ࠶ࡗࡓࠋࡑࢀ࡟㛵ࡋ㸪❑ᮌ஦ᴗ㈐௵⪅ࡼࡾ㸪㈨ᩱ㏦௜ࡢ౫㢗ࡀ࠶ࡗࡓࠋ
኱㜰኱Ꮫ㸦ụ㑓୍඾ඛ⏕㸧㸸་Ꮫ◊✲⛉ࡢ⪁ᖺෆ⛉࡜ᚰ⌮Ꮫࡢே㛫⛉Ꮫ◊✲⛉࡜ࡢඹྠ◊✲࡟◊ಟ་࡜኱Ꮫ㝔⏕ࢆཧຍࡉࡏ࡚࠸ࡿࠋࡲࡓ㸪㛗㔝┴㣤⏣ᕷ࡟࡚㸪◊ಟ་㸯㸮ྡࢆᑐ㇟࡟㎰ᮧᆅࡢᅾᏯṑ⛉デ⒪࡟ྠ⾜ࡉࡏ࡚࠸ࡿࠋ
ᒸᒣ኱Ꮫ㸦᭮ᡃ㈼ᙪඛ⏕㸧㸸ᐇ᪋≧ἣࡣሗ࿌᭩࡟グ㍕ࡉࢀࡓ㏻ࡾ࡛࠶ࡾ㸪୺ᖿᰯ࡜ࡋ࡚㐃ᦠ኱Ꮫࡢࡲ࡜ࡵᙺ࡟ົࡵ࡚࠸ࡿࠋᮏ஦ᴗࡢ୰㛫ホ౯࡛ࡢᣦ᦬࡟ᛂ࠼ࡿࡓ
ࡵ㸪௒ᅇࡢ㐃ᦠࢩ࣏ࣥࢪ࣒࡛࢘ࡢ࣏ࢫࢱ࣮ࢆ㡬ᡝࡋ㸪ࡀࢇཱྀ⭍ᨭᣢ⒪ἲᏛ఍࡟࡚
ᡂᯝⓎ⾲࡜࠸࠺ᙧ୍࡛⯡ྥࡅ࡟Ⓨಙࢆ⾜࠺ணᐃ࡛࠶ࡿࠋ
஑ᕞ኱Ꮫ㸦すᮧⱥ⣖ඛ⏕㸧㸸ࠕཱྀ⭍೺ᗣ⛉Ꮫ≉ㄽࠖࡢ཰㘓ࡣ⤊஢ࡋ࡚࠸ࡿࠋ᮶ᖺ
ᗘ࠿ࡽ㸪㸳㸪㸴ᖺ⏕ࡢゼၥṑ⛉ᐇ⩦ࢆ㛤ጞணᐃ࡛࠶ࡿࠋ࿘⾡ᮇࡢᐇ⩦ࡣ⮫ᗋᐇ⩦ࡢ୍⎔࡛ᐇ᪋ࡋ࡚࠸ࡿࠋ
㛗ᓮ኱Ꮫ㸦⃝℩ 㝯ඛ⏕㸧㸸ᐇ⩦࡟㛵ࡋ࡚ࡣ㸪㞳ᓥᐇ⩦ࡢྜ㛫࡟ᐇ᪋ࡋ࡚࠸ࡿࠋ
ḟࠎᖺᗘ࡟࣒࢝ࣜ࢟ࣗࣛࡢᨵゞࡀ࠶ࡿࡓࡵ㸪ࠕぢ࠼ࡿ໬ࠖࢆ᳨ウࡋࡓ࠸ࠋࡲࡓ㸪௒ᖺᗘࡢࢧ࣐࣮ࢫࢡ࣮ࣝ࡟ࡣ㸶ྡࡢཧຍࡀ࠶ࡾ㸪ḟᖺᗘࡶᐇ᪋ணᐃࡢࡓࡵཧຍࢆ
࠾㢪࠸ࡋࡓ࠸ࠋ
ᒾᡭ་⛉኱Ꮫ㸦▼ᓮ ᫂ඛ⏕㸧㸸ࠕ⿕⅏ᆅཱྀ⭍ࢣ࢔࣭㣗ᨭ᥼ᐇ⩦ࠖ㸪ࠕᦤ㣗ᄟୗࣜࣁࣅࣜࢸ࣮ࢩཱྀ࣭ࣙࣥ⭍ࢣ࢔ᐇ⩦ࠖ࡟ࡘ࠸࡚㸪ィ⏬㏻ࡾࡢᡂᯝࡀᚓࡽࢀ࡚࠸
ࡿࠋࠕ⿕⅏ᆅཱྀ⭍ࢣ࢔࣭㣗ᨭ᥼ᐇ⩦ࠖࡣ㸪⌧≧࡛ࡣᏛෆ㝈ᐃ࡛࠶ࡿࡀ㸪௒ᚋࡍ࡭
2࡚ࡢ኱ᏛࡢᏛ⏕࡟ᥦ౪࡛ࡁࡿࡼ࠺㐍ࡵ࡚࠸ࡃணᐃ࡛࠶ࡿࠋࡲࡓ㸪᫖ᖺᗘࡢࠕ⅏ᐖ᫬ཱྀ⭍ࢣ࢔࡟㛵ࢃࡿࢩ࣏ࣥࢪ࣒࢘ࠖ࡟ࡘ࠸࡚㸪Ꮫෆㄅ࡟ࣉࣟࢩ࣮ࢹ࢕ࣥࢢࢆసᡂ
ࡋ࡚࠾ࡾ㸪௒ᖺᗘࡢᴗ⦼࡟ຍ࠼ࡿணᐃ࡛࠶ࡿࠋࡲࡓ㸪ㅮ⩏ࢩ࣮ࣜࢬ࡟ࡘ࠸࡚ࡣ㸪௒ᖺࡣ㸪㸳ᖺ⏕ࡢ⮫ᗋᐇ⩦࡜୪⾜ࡋ㸪ࠕ་⛉Ꮫࠖ࡜ࠕ⥲ྜㅮ⩏ࠖࢆᐇ᪋ࡋ࡚࠾
ࡾ㸪ㅮ⩏ࢩ࣮ࣜࢬ㸱ࡣᒸᒣ኱Ꮫࡢࢥࣥࢸࣥࢶࢆ฼⏝ࡋ࡚࠸ࡿࠋㅮ⩏ࢩ࣮ࣜࢬ㸯㸪㸰࡟ࡘ࠸࡚ࡶ௒ᚋ฼⏝ணᐃ࡛࠶ࡿࠋᅾᏯࡢᐇ⩦ࡣ㸳ᖺ⏕࡛ᐇ᪋ࡋ࡚࠾ࡾ㸪ᅾᏯ࡟⤠ࡗࡓࡶࡢ࡛ࡣ࡞࠸ࡀ㸪ᆅᇦ་⒪࡟㛵ࡍࡿᐇ⩦ࢆ⾜ࡗ࡚࠸ࡿࠋ
᪥ᮏ኱Ꮫ㸦㜿㒊ோᏊඛ⏕㸧㸸せ௓ㆤ㧗㱋⪅ࡢཱྀ⭍ᶍᆺࢆ㸱ࣂ࣮ࢪࣙࣥసᡂࡋ࡚࠾
ࡾ㸪ከ⫋✀࡬ࡶ㑏ඖࡍࡿࡓࡵ㸪་⒪ἲேࡢ⑓㝔࡟࡚సᡂࡋࡓ '9' ࢆ㸪<RX7XEH ࡬࢔ࢵࣉࡍࡿணᐃ࡛࠶ࡿࠋࡲࡓ㸪࣒࢝ࣜ࢟ࣗࣛࡢ෌⦅࡟ࡘ࠸࡚ࡣ㸪ࣔࢹ࣭ࣝࢥ࢔࣭
࣒࢝ࣜ࢟ࣗࣛࡢኚ᭦࡟క࠸㸪Ꮫෆࡢᩍဨ࡛◊ಟ఍ࢆ㐍ࡵ࡚࠾ࡾ㸪ゼၥデ⒪ࡢᐇ⩦ࢆ᮶ᖺᗘᐇ᪋࡛ࡁࡿࡼ࠺㐍ࡵࡿணᐃ࡛࠶ࡿࠋࡲࡓ㸪ࢥࣥࢸࣥࢶసᡂ࡟ࡘ࠸࡚ࡣ㸪᮶ᖺᗘࡣゼၥඛࡢ☜ಖࡀᅔ㞴࡛࠶ࡿࡓࡵ㸪஢ᢎࢆᚓࡽࢀࡓ᪋タ࡟࡚ື⏬཰㘓ࢆ㐍ࡵ㸪どぬᩍᮦࢆసᡂࡍࡿணᐃ࡛࠶ࡿࠋ
㮵ඣᓥ኱Ꮫ㸦༡ ᘯஅඛ⏕㸧㸸ゼၥデ⒪ࡢᐇ⩦࡟ࡘ࠸࡚ࡣ㸪ᖹᡂ㸰㸶ᖺᗘ᫬Ⅼ࡛Ꮫእᐇ⩦࡟࡚࡯ࡰ඲ဨࡀཧຍࡋ࡚࠾ࡾ㸪௒ᖺᗘࡶ᮶᭶࠿ࡽ㛤ጞணᐃ࡛࠶ࡿࠋ࿘⾡ᮇࡢᐇ⩦࡟ࡘ࠸࡚ࡣ㸪᮶ᖺࡢ㸲᭶࠿ࡽࡢ⑓㝔ࡢయไኚ᭦࡟క࠸㸪඲࡚ࡢᏛ⏕ࡀయ㦂ࡍࡿணᐃ࡛࠶ࡿࠋ࡝ࡕࡽࡢᐇ⩦ࡶ⮫ᗋᐇ⩦ࡢ୰࡛ᐇ᪋ࡋ࡚࠸ࡿࠋ
᫛࿴኱Ꮫ㸦▼ᕝ೺ኴ㑻ඛ⏕㸧㸸Ꮫ㒊⏕࡟ᑐࡍࡿࢳ࣮࣒་⒪ᩍ⫱ࡣ㸪㸱ᖺࡢ 3%/ ࠿ࡽ✚ࡳୖࡆ࡚࠸ࡁ㸪㸳ᖺ⏕ࡢ⮫ᗋᐇ⩦࡟࡚་࣭ṑ࣭⸆࣭ಖ೺་⒪Ꮫ㒊࣭⌮Ꮫ⒪ἲ࣭సᴗ⒪ἲ࣭┳ㆤࡢΰᡂࢳ࣮࣒࡟࡚㸪ධ㝔୰ࡢᝈ⪅ࡢ἞⒪ィ⏬ࡢ❧᱌ࡸ㏥㝔᫬ࡢ⏕άᣦᑟ➼ࢆ⾜ࡗ࡚࠸ࡿࠋᮏࢥ࣮ࢫࡣᖹᡂ㸰㸶ᖺᗘࡲ࡛ࡣᐇ᪋ࡋ࡚࠸ࡓࡀ㸪௒ᖺᗘࡣ㸪་Ꮫ㒊ࡢ⮫ᗋᐇ⩦ࡢᮇ㛫ࡀࡎࢀ㸪ᮏࢥ࣮ࢫࡢᐇ᪋ࡀ࠿࡞ࢃ࡞࠿ࡗࡓࠋḟᖺᗘ࠿ࡽ᪂ࡋ࠸࣒࢝ࣜ࢟ࣗࣛ࡟࡚ᐇ᪋ணᐃ࡛࠶ࡿࠋࡲࡓ㸪⮫ᗋ◊ಟ་࡟ᑐࡍࡿࢥ
࣮ࢫࡣ㸪㸵㸮ྡࡀཱྀ⭍ࢣ࢔ࢭࣥࢱ࣮࡟࡚◊ಟࢆ⾜ࡗ࡚࠸ࡿࠋࡲࡓ㸪ᅾᏯࡢᐇ⩦࡟ࡘ࠸࡚ࡣ㸪㸯㸪㸱㸪㸳ᖺ⏕ࡀᆅᇦࡢ㛤ᴗ་࡟࡚ぢᏛࢆ⾜ࡗ࡚࠾ࡾ㸪㸱㸪㸳ᖺ⏕ࡣ
ゼၥデ⒪ࢆᐇ᪋ࡋ࡚࠸ࡿᆅᇦࡢṑ⛉་㝔ࢆ㑅ฟࡋ࡚ᐇ⩦ࢆ⾜ࡗ࡚࠸ࡿࠋ
᫛࿴኱Ꮫ㸦∦ᒸ❳ኴඛ⏕㸧㸸㸳ᖺ⏕ࡢᅾᏯࡢᐇ⩦࡟㛵ࡋ࡚ࡣ㸪⣙㸯㸳᪋タ࠿ࡽ༠ຊࡀᚓࡽࢀ࡚࠾ࡾ㸪⣙㸵๭ࡢᏛ⏕ࡀཧຍࡋ࡚࠾ࡾ㸪㸯㸮㸮㸣ࢆ┠ᣦࡋ࡚࠸ࡿࠋ㸳ᖺ⏕ࡢᏛ㒊㐃ᦠ⑓Ჷᐇ⩦ࡣ㸪㸴ᖺ⏕࡛ᐇ᪋ணᐃ࡛࠶ࡾ㸪་࣭ṑ࣭⸆࣭┳ㆤ࣭ಖ೺་⒪Ꮫ㒊ࡢᏛ⏕ࡀ⮫ᗋᐇ⩦ࡢ᭱ᚋ࡟⾜࠺ணᐃ࡛࠶ࡿࠋ
රᗜ་⛉኱Ꮫ㸦୰ᮧ♸ᕫඛ⏕㸧㸸㸯㸮᭶㸰㸪㸱᪥࡟ࠕṑ⛉་⒪ே㣴ᡂࢥ࣮ࢫࠖࢆ
㛤ㅮࡋࡓࠋࡑࡢ୰࡛㸪་ᖌ࠿ࡽぢࡓṑ⛉་ᖌ࡟▱ࡗ࡚࠾࠸࡚࡯ࡋ࠸▱㆑➼࡟ࡘ࠸࡚㸪ࢥࣥࢸࣥࢶసᡂ࣐ࢩ࡛ࣥ཰㘓ࢆ⾜ࡗࡓࡓࡵ㸪㐃ᦠ኱Ꮫ㛫࡛ඹ᭷࡛ࡁࡿࡼ࠺‽ഛࢆ㐍ࡵ࡚࠸ࡿࠋࡲࡓ㸪㸰᭶㸰㸳᪥࡟ࡣࢩ࣏ࣥࢪ࣒࢘ࢆ㛤ദணᐃ࡛࠶ࡿࠋ᮶ᖺᗘ
௨㝆ࡣ㸪⠛ᒣࡢศ㝔࡟࡚་⛉ṑ⛉㐃ᦠࡢࣉࣟࢢ࣒ࣛࢆ㐍ࡵࡿணᐃ࡛࠶ࡿࠋ
ᮾி㒔೺ᗣ㛗ᑑ་⒪ࢭࣥࢱ࣮㸦ᖹ㔝ᾈᙪඛ⏕㸧㸸௚኱ᏛࡼࡾᏛ⏕ぢᏛࡢཷࡅධࢀ
ࢆ⾜ࡗ࡚࠾ࡾ㸪ṑ⛉⾨⏕ኈࡢࢩࣕࢻ࣮࢖ࣥࢢࢆᐇ᪋ࡋ࡚࠸ࡿࠋ❑ᮌ஦ᴗ㈐௵⪅ࡼࡾ㸪㐃ᦠ኱Ꮫ࠿ࡽࡢᏛ⏕ࡢཷࡅධࢀ࡟ࡘ࠸࡚౫㢗ࡀ࠶ࡾ㸪ᖹ㔝ඛ⏕ࡼࡾ஢ᢎࢆ࠸
ࡓࡔ࠸ࡓࠋ3㸷 㐃ᦠ኱Ꮫ㛫┦஫஺ὶࡢᐇ᪋≧ἣ࡟ࡘ࠸࡚
❑ᮌ஦ᴗ㈐௵⪅ࡼࡾ㸪㈨ᩱ㸯㸱࡟ᇶ࡙ࡁ㸪㐃ᦠ኱Ꮫ㛫┦஫஺ὶࡢᐇ᪋≧ἣ࡟ࡘ࠸࡚ㄝ᫂ࡀ࠶ࡗࡓࠋ㸯㸮 ஦ᴗ⤊஢ᚋࡢࢥࣥࢸࣥࢶࡢど⫈⥅⥆࠾ࡼࡧࢥࣥࢸࣥࢶసᡂィ⏬࡟ࡘ࠸࡚
❑ᮌ஦ᴗ㈐௵⪅ࡼࡾ㸪ᮏ஦ᴗ⤊஢ᚋࡢࢯࣇࢺࣛࣥࢹ࢕ࣥࢢ࡟ࡘ࠸࡚⪃᱌ணᐃ࡛࠶ࡿ࡜ࡢሗ࿌ࡀ࠶ࡗࡓࠋࡲࡓ㸪㈨ᩱ㸯㸲㸪㸯㸳࡟ᇶ࡙ࡁ㸪ྛ኱Ꮫ࠿ࡽࡢࢥࣥࢸࣥ
ࢶࡢᥦ౪࡟ࡘ࠸࡚౫㢗ࡀ࠶ࡗࡓࠋ㸯㸯 ࢽ࣮ࣗࢫࣞࢱ࣮࡟ࡘ࠸࡚
❑ᮌ஦ᴗ㈐௵⪅ࡼࡾ㸪㈨ᩱ㸯㸴࡟ᇶ࡙ࡁ㸪௒ᖺᗘࢽ࣮ࣗࢫࣞࢱ࣮ࢆ㸱ᅇⓎ⾜ࡋࡓࡇ࡜࡟ࡘ࠸࡚ㄝ᫂ࡀ࠶ࡗࡓࠋ㸯㸰 ᮾி་⛉ṑ⛉኱Ꮫ࠿ࡽࡢ࢔ࣥࢣ࣮ࢺ౫㢗࡟ࡘ࠸࡚
❑ᮌ஦ᴗ㈐௵⪅ࡼࡾ㸪㈨ᩱ㸯㸵࡟ᇶ࡙ࡁ㸪ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂࣉࣟࢢ࣒ࣛࡢࡶ࠺ࡦ࡜ࡘࡢࢢ࣮ࣝࣉ࡛࠶ࡿᮾி་⛉ṑ⛉኱Ꮫ࠿ࡽࡢ࢔ࣥࢣ࣮ࢺ࡟ࡘ࠸
࡚㸪༠ຊ౫㢗ࡀ࠶ࡗࡓࠋ㸯㸱 ࡑࡢ௚
㸯㸧ḟᅇ㐃ᦠࢩ࣏ࣥࢪ࣒࢘㛤ദ࡟ࡘ࠸࡚
❑ᮌ஦ᴗ㈐௵⪅ࡼࡾ㸪㈨ᩱ㸯㸶࡟ᇶ࡙ࡁ㸪ᖹᡂ㸱㸯ᖺ㸯᭶㸰㸴᪥ཬࡧ㸰㸵᪥࡟ᒸᒣ኱Ꮫ࡟࡚㛤ദணᐃ࡛࠶ࡿࡀ㸪୍㒊ࡢ኱Ꮫ࠿ࡽཧຍࡀ࡛ࡁ࡞࠸࡜ࡢᣦ
᦬ࢆ㡬࠸࡚࠸ࡿࡇ࡜࠿ࡽ㸪௒୍ᗘ᪥⛬ㄪᩚࢆ⪃࠼࡚࠸ࡿ᪨ㄝ᫂ࡀ࠶ࡗࡓࠋ 㸰㸧㠉᪂ⓗ་⒪ᢏ⾡๰ฟᣐⅬࣉࣟࢪ࢙ࢡࢺ◊✲ࢩ࣮ࢬເ㞟࡟ࡘ࠸࡚
❑ᮌ஦ᴗ㈐௵⪅ࡼࡾ㸪㈨ᩱ㸯㸷࡟ᇶ࡙ࡁ㸪ከ᪋タ࠿ࡽ◊✲ࢩ࣮ࢬࡢᛂເࢆ
ࡋ࡚࠸ࡓࡔࡃࡇ࡜ࡀ㸪ṑ⛉㛵㐃ࡢホ౯ጤဨࡢ௵⏝࡟ࡘ࡞ࡀࡾ㸪௒ᚋࡢṑ⛉ࡢࢩ࣮ࢬࢆ⫱࡚࡚࠸ࡿࡇ࡜࡟⧅ࡀࡿ࡜ࡢㄝ᫂ࡀ࠶ࡗࡓࠋ
㸱㸧㐃ᦠ኱Ꮫࡢ≧ἣㄪᰝ࡟ࡘ࠸࡚
❑ᮌ஦ᴗ㈐௵⪅ࡼࡾ㸪㐃ᦠ኱Ꮫࡢ≧ἣㄪᰝ࡟ࡘ࠸࡚ࡣ㸪஦๓㐃⤡ࡢୖ㸪❑
ᮌ஦ᴗ㈐௵⪅ࡲࡓࡣᮡᮏ≉௵ຓᩍࡀゼၥࡉࡏ࡚㡬ࡃ᪨ࡢㄝ᫂ࡀ࠶ࡗࡓࠋ

4ᩥ㒊⛉Ꮫ┬䚷ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂ䝥䝻䜾䝷䝮䚷ᆒ䛶䜣໬䝏䜵䝑䜽䝸䝇䝖㈨ᩱ䠎ㅮ⩏䝅䝸䞊䝈䠍䠄⏕ά⩦័⑓䛸ཱྀ⭍䠅䕕 ㅮ⩏䝅䝸䞊䝈䠍䠄⏕ά⩦័⑓䛸ཱྀ⭍䠅䛻┦ᙜ䛩䜛⛉┠䛾タᐃ䛜䛒䜚䚸ᚲಟ໬䞉༢఩໬䛥䜜䛶䛔䜛䚹䕕 ⏕ά⩦័⑓䛭䜜䛮䜜䛾⑓ែ䛻㛵䛩䜛ㅮ⩏䜢ᐇ᪋䛧䛶䛔䜛䚹䕕 ⏕ά⩦័⑓䛾἞⒪ἲ䛻㛵䛩䜛ㅮ⩏䜢ᐇ᪋䛧䛶䛔䜛䚹䕕 ⏕ά⩦័⑓ᝈ⪅䛻ᑐ䛩䜛ṑ⛉ⓗ䜰䝥䝻䞊䝏ἲ䛻䛴䛔䛶ㄝ᫂䚸ᐇ㊶䛷䛝䜛ෆᐜ䛾ㅮ⩏䜢ᐇ᪋䛧䛶䛔䜛䚹䕕 ᆅᇦ♫఍䛻䛚䛡䜛⏕ά⩦័⑓ᑐ⟇䛾ྲྀ䜚⤌䜏䛻䛴䛔䛶䛾ㅮ⩏䜢ᐇ᪋䛧䛶䛔䜛䚹䕕 ᆅᇦ♫఍䛻䛚䛔䛶⏕ά⩦័⑓ண㜵䛻ྲྀ䜚⤌䜐䛯䜑䛾ṑ⛉་ᖌ䛸䛧䛶䛾ᙺ๭䛻㛵䛩䜛ㅮ⩏䜢ᐇ᪋䛧䛶䛔䜛䚹ㅮ⩏䝅䝸䞊䝈䠎䠄ᛴᛶᮇ་⒪䠅䕕 ㅮ⩏䝅䝸䞊䝈䠎䠄ᛴᛶᮇ་⒪䠅䛻┦ᙜ䛩䜛⛉┠䛾タᐃ䛜䛒䜚䚸ᚲಟ໬䞉༢఩໬䛥䜜䛶䛔䜛䚹䕕 ᛴᛶᮇ་⒪䛻䛚䛡䜛䝏䞊䝮་⒪䛾㔜せᛶ䛻㛵䛩䜛ㅮ⩏䜢ᐇ᪋䛧䛶䛔䜛䚹䕕 ᛴᛶᮇ䛾䝏䞊䝮་⒪䛻䛚䛡䜛ྛ⫋✀䛾ᙺ๭䛚䜘䜃ከ⫋✀㐃ᦠ䛻㛵䛩䜛ㅮ⩏䜢ᐇ᪋䛧䛶䛔䜛䚹䕕 ࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮䛾㔜せᛶ䜢⌮ゎ䛧䚸ṑ⛉་ᖌ䛾ᙺ๭䜢ㄝ᫂䚸ᐇ㊶䛷䛝䜛ෆᐜ䛾ㅮ⩏䜢ᐇ᪋䛧䛶䛔䜛䚹䕕 䛜䜣ཱྀ⭍ᨭᣢ⒪ἲ䛻䛴䛔䛶䚸ṑ⛉་ᖌ䛾ᙺ๭䛻㛵䛩䜛ㅮ⩏䜢ᐇ᪋䛧䛶䛔䜛䚹䕕 ⅏ᐖᩆᛴ⌧ሙ䛻䛚䛔䛶ṑ⛉་ᖌ䛻ồ䜑䜙䜜䜛▱㆑䜢㌟䛻௜䛡䚸⾜ື䛷䛝䜛ෆᐜ䛾ㅮ⩏䜢ᐇ᪋䛧䛶䛔䜛䚹䕕 ᅜ㝿་⒪㈉⊩䛸䛧䛶䛾⅏ᐖ᫬་⒪䛚䜘䜃ṑ⛉་ᖌ䛾ᙺ๭䛻㛵䛩䜛ㅮ⩏䜢ᐇ᪋䛧䛶䛔䜛䚹ㅮ⩏䝅䝸䞊䝈䠏䠄ᅾᏯ௓ㆤ་⒪䠅䕕 ㅮ⩏䝅䝸䞊䝈䠏䠄ᅾᏯ௓ㆤ་⒪䠅䛻┦ᙜ䛩䜛⛉┠䛾タᐃ䛜䛒䜚䚸ᚲಟ໬䞉༢఩໬䛥䜜䛶䛔䜛䚹䕕 ᅾᏯ་⒪䛻ᦠ䜟䜛㝿䛻ᚲせ䛺་⒪ಖ㝤ไᗘ䛚䜘䜃௓ㆤಖ㝤ไᗘ䛻㛵䛩䜛ㅮ⩏䜢ᐇ᪋䛧䛶䛔䜛䚹䕕 ᅾᏯ་⒪䛻㛵䜟䜛⫋✀䛸䛭䜜䛮䜜䛾ᙺ๭䛻䛴䛔䛶䛾ㅮ⩏䜢ᐇ᪋䛧䛶䛔䜛䚹䕕 せ௓ㆤ㧗㱋⪅䛾㌟యⓗ≉ᚩ䛚䜘䜃඲㌟ホ౯ἲ䛻㛵䛩䜛ㅮ⩏䜢ᐇ᪋䛧䛶䛔䜛䚹䕕 せ௓ㆤ㧗㱋⪅䛻䛚䛡䜛ཱྀ⭍⟶⌮䛾㔜せᛶ䛻㛵䛩䜛ㅮ⩏䜢ᐇ᪋䛧䛶䛔䜛䚹䕕 せ௓ㆤ㧗㱋⪅䛾ᦤ㣗ᄟୗᶵ⬟ホ౯䚸ᰤ㣴ホ౯䚸ᰤ㣴ᣦᑟ䛻㛵䛩䜛ㅮ⩏䜢ᐇ᪋䛧䛶䛔䜛䚹㻌䕕 ᅾᏯ䛻䛚䛡䜛ṑ⛉἞⒪᫬䛾䝸䝇䜽⟶⌮䛻㛵䛩䜛ㅮ⩏䜢ᐇ᪋䛧䛶䛔䜛䚹䕕 ᅾᏯ䛻䛚䛡䜛ཱྀ⭍⾨⏕ᣦᑟ䛻䛴䛔䛶䚸ලయⓗ䛺ෆᐜ䛾ㅮ⩏䜢ᐇ᪋䛧䛶䛔䜛䚹䕕 ᅾᏯ䛻䛚䛡䜛᭷ᗋ⩏ṑ⿵⥛἞⒪䛻㛵䛩䜛ㅮ⩏䜢ᐇ᪋䛧䛶䛔䜛䚹Ṛ⏕Ꮫ䞉ㄆ▱⑕䕕 Ṛ⏕Ꮫ䞉ㄆ▱⑕䛻┦ᙜ䛩䜛⛉┠䛾タᐃ䛜䛒䜚䚸ᚲಟ໬䞉༢఩໬䛥䜜䛶䛔䜛䚹䕕 ་⒪ே䛸䛧䛶ᚲせ䛺ဴᏛほ䚸೔⌮ほ䛻ᇶ䛵䛝䚸ᝈ⪅䛾⑓ᗋ䚸⤊ᮎᮇ䛻ᐤ䜚ῧ䛖䛯䜑䛾▱㆑䜢㣴䛖ㅮ⩏䜢ᐇ᪋䛧䛶䛔䜛䚹䕕 Ṛ⏕Ꮫ䛾ᴫせ䚸䜶䞁䝗䜸䝤䝷䜲䝣䞉䜿䜰䛻㛵䛩䜛ㅮ⩏䜢ᐇ᪋䛧䛶䛔䜛䚹䕕 㧗㱋⪅䜿䜰䛾ពᛮỴᐃ䝥䝻䝉䝇䛻㛵䛩䜛ㅮ⩏䜢ᐇ᪋䛧䛶䛔䜛䚹䕕 ᏳᴦṚ䚸ᑛཝṚ䛻㛵䛩䜛ㅮ⩏䜢ᐇ᪋䛧䛶䛔䜛䚹䕕 䝣䝺䜲䝹䛾䝇䜽䝸䞊䝙䞁䜾ἲ䚸⮫ᗋ䝣䝺䜲䝹䝇䜿䞊䝹䚸⦆࿴䜿䜰䛾ṑ⛉ⓗ䜰䝥䝻䞊䝏ἲ䛻㛵䛩䜛ㅮ⩏䜢ᐇ᪋䛧䛶䛔䜛䚹㻌䕕 ㄆ▱⑕⑌ᝈ䛾ศ㢮䚸䝸䝇䜽䝣䜯䜽䝍䞊䚸἞⒪ἲ䚸ண㜵ἲ䛻㛵䛩䜛ㅮ⩏䜢ᐇ᪋䛧䛶䛔䜛䚹䕕 ᅜ䛾ㄆ▱⑕᪋⟇䛻ᑐ䛩䜛ṑ⛉་ᖌ䛾ᙺ๭䛻㛵䛩䜛ㅮ⩏䜢ᐇ᪋䛧䛶䛔䜛䚹௓ㆤ᪋タ䜢⏝䛔䛯㻼㻮㻸₇⩦䕕 ௓ㆤ᪋タ䜢⏝䛔䛯㻼㻮㻸₇⩦䛻┦ᙜ䛩䜛⛉┠䛾タᐃ䛜䛒䜚䚸ᚲಟ໬䞉༢఩໬䛥䜜䛶䛔䜛䚹䕕 ᝈ⪅୰ᚰ་⒪䠄㼜㼍㼠㼕㼑㼚㼠㻌㼛㼜㼑㼞㼍㼠㼑㼐㻌㼟㼥㼟㼠㼑㼙䠖㻼㻻㻿䠅䚸᰿ᣐ䛻ᇶ䛵䛔䛯་⒪䠄㻱㼢㼕㼐㼑㼚㼏㼑㻙㼎㼍㼟㼑㼐㻌㼙㼑㼐㼕㼏㼕㼚㼑䠖㻱㻮㻹䠅䛾ᴫᛕ䛻㛵䛩䜛ㅮ⩏䜢ᐇ᪋䛧䛶䛔䜛䚹䕕 せ௓ㆤ㧗㱋⪅䛾௓ㆤ⌧ሙ䜢ぢᏛ䛧䚸་⒪㠃᥋䜢⤒㦂䛩䜛ᐇ⩦䜢ᐇ᪋䛧䛶䛔䜛䚹㻌䕕 せ௓ㆤ㧗㱋⪅䛾ッ䛘䜢཰㞟䛧䛶䚸ၥ㢟Ⅼ䜢ᢳฟ䛧䚸ゎỴἲ䜢ぢฟ䛩䝥䝻䝉䝇䛜⤒㦂䛷䛝䜛㻼㻮㻸₇⩦䜢ᐇ᪋䛧䛶䛔䜛䚹䕕 ᢳฟ䛧䛯ၥ㢟Ⅼ䛻㛵㐃䛩䜛⛉Ꮫⓗ᰿ᣐ䜢᳨⣴䛧䚸ᑡேᩘ䜾䝹䞊䝥䛻䛶ᢈุⓗྫྷ࿡䜢⾜䛖⤒㦂䜢䛥䛫䛶䛔䜛䚹䕕 ⮫ᗋ䜶䝡䝕䞁䝇䛻ᇶ䛵䛔䛯ၥ㢟Ⅼ䛾ゎỴἲ䜢ิᣲ䛧䚸ẚ㍑䛩䜛䝥䝻䝉䝇䜢⤒㦂䛥䛫䛶䛔䜛䚹䕕 䜾䝹䞊䝥ウㄽ䛻༶䛧䛯䝔䞊䝬䛻䛴䛔䛶䚸䜾䝹䞊䝥䛤䛸䛻Ⓨ⾲䛥䛫䛶䛔䜛䚹㧗ᗘ་⒪ᨭ᥼䞉࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ᐇ⩦䕕 㧗ᗘ་⒪ᨭ᥼䞉࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ᐇ⩦䛻┦ᙜ䛩䜛⛉┠䛾タᐃ䛜䛒䜚䚸ᚲಟ໬䞉༢఩໬䛥䜜䛶䛔䜛䚹䕕 䝏䞊䝮་⒪䛾୍ဨ䛸䛧䛶䛾ṑ⛉་ᖌ䛾ᙺ๭䜢⌮ゎ䛧䚸ṑ⛉ⓗᑓ㛛ᛶ䜢Ⓨ᥹䛩䜛䛯䜑䛾▱㆑䞉ᡭᢏ䜢㌟䛻௜䛡䜛䛯䜑䛾ᐇ⩦䜢ᐇ᪋䛧䛶䛔䜛䚹㻌䕕 䝏䞊䝮་⒪䜢ᙧᡂ䛩䜛⫋✀䛻䛴䛔䛶䚸䛭䜜䛮䜜䛾ᙺ๭䜢▱䜛䛣䛸䛜䛷䛝䜛ᐇ⩦䜢ᐇ᪋䛧䛶䛔䜛䚹䕕 ࿘⾡ᮇ⟶⌮䝉䞁䝍䞊䚸⭘⒆䝉䞁䝍䞊䚸㢌㢕㒊⒴䝉䞁䝍䞊䛺䛹䜈䛾ྠ⾜䜢㏻䛨䛶䚸ᐇ㝿䛾་⒪⌧ሙ䜢⤒㦂䛷䛝䜛ᐇ⩦䜢ᐇ᪋䛧䛶䛔䜛䚹㻌䕕 デ⒪ᐊ䛷䛾デ⒪௓ຓ䜢㏻䛧䛶䚸᭷⑓⪅ṑ⛉἞⒪䛾ᐇ㝿䜢Ꮫ䜆䛣䛸䛜䛷䛝䜛ᐇ⩦䜢ᐇ᪋䛧䛶䛔䜛䚹ᅾᏯ௓ㆤṑ⛉་⒪ᐇ⩦㻌䕕 ᅾᏯ௓ㆤṑ⛉་⒪ᐇ⩦䛻┦ᙜ䛩䜛⛉┠䛾タᐃ䛜䛒䜚䚸ᚲಟ໬䞉༢఩໬䛥䜜䛶䛔䜛䚹䕕 ᅾᏯ་⒪䜢ᨭ䛘䜛ྛ⫋✀䛾ᑓ㛛ᛶ䛚䜘䜃ᙺ๭䜢⌮ゎ䛩䜛䛸䛸䜒䛻䚸ṑ⛉་ᖌ䛻ồ䜑䜙䜜䜛▱㆑䜢㣴䛖䛣䛸䛜䛷䛝䜛ᐇ⩦䜢ᐇ᪋䛧䛶䛔䜛䚹䕕 せ௓ㆤ㧗㱋⪅㻔ᅾᏯせ௓ㆤ⪅䜒ྵ䜐㻕䛾ゼၥṑ⛉デ⒪䜢⤒㦂䛥䛫䜛ᐇ⩦䜢ᐇ᪋䛧䛶䛔䜛䚹䕕 せ௓ㆤ㧗㱋⪅䛾ṑ⛉デ⒪᫬䛾ὀពⅬ䜢⌮ゎ䛧䚸㐺ษ䛺ᑐᛂ䜢䛩䜛䛯䜑䛾▱㆑䜢㣴䛖䛣䛸䛜䛷䛝䜛ᐇ⩦䜢ᐇ᪋䛧䛶䛔䜛䚹䕕 ᆅᇦ་⒪䚸⑓デ㐃ᦠ䛻䛴䛔䛶䛾▱㆑䜢⩦ᚓ䛧䚸ṑ⛉἞⒪᫬䛻ᚲせ䛺᝟ሗ䜢཰㞟䛩䜛䛣䛸䛾㔜せᛶ䜢⌮ゎ䛷䛝䜛ᐇ⩦䜢ᐇ᪋䛧䛶䛔䜛䚹䝅䝭䝳䝺䞊䝅䝵䞁ᐇ⩦䕕 䝅䝭䝳䝺䞊䝅䝵䞁ᐇ⩦䛻┦ᙜ䛩䜛⛉┠䛾タᐃ䛜䛒䜚䚸ᚲಟ໬䞉༢఩໬䛥䜜䛶䛔䜛䚹䕕 せ௓ㆤ㧗㱋⪅䜢ᶍ䛧䛯䝅䝭䝳䝺䞊䝍䜢⏝䛔䛶䚸ᅾᏯ䛾⎔ቃ䜢᝿ᐃ䛧䛯ᐇ⩦䜢ᐇ᪋䛧䛶䛔䜛䚹ᝈ⪅᝟ሗ䛛䜙せ௓ㆤ㧗㱋⪅䛻ᑐ䛩䜛ṑ⛉἞⒪᫬䛾␃ពⅬ䜢⪃䛘䚸௓ㆤ䛾≧ἣ䚸⎔ቃ䛻㓄៖䛧䛯ṑ⛉἞⒪䜢䝅䝭䝳䝺䞊䝅䝵䞁䛩䜛ᐇ⩦䜢ᐇ᪋䛧䛶䕕䛔䜛䚹䕕 ᅾᏯ䛷䛾ṑ⛉἞⒪䛾㝿䛻ᚲせ䛺ᐙ᪘䛸䛾䝁䝭䝳䝙䜿䞊䝅䝵䞁䛾䝇䜻䝹䜢㌟䛻௜䛡䜛䛣䛸䛜䛷䛝䜛ᐇ⩦䜢ᐇ᪋䛧䛶䛔䜛䚹

㈨ᩱ䠏ᖹᡂ 29 ᖺᗘ ᅾᏯṑ⛉་⒪ࢩ࣑࣮ࣗࣞࢩࣙࣥᐇ⩦ሗ࿌᭩ᐇ⩦ᮇ㛫㻌ᖹᡂ  ᖺ  ᭶㹼 ᭶ᑐ㇟⪅䠈ேᩘ

ᒸᒣ኱Ꮫึᮇ◊ಟ་  ྡሙᡤ㻌ᆅᇦ་⒪ே⫱ᡂࢭࣥࢱ࣮࠾࠿ࡸࡲ ࢩ࣑࣮ࣗࣞࢩࣙࣥᐇ⩦ᐊᣦᑟ⪅㻌ᒸᒣ኱Ꮫ⑓㝔 ⥲ྜṑ⛉ Ṋ⏣ᏹ᫂㸺┠ⓗ㸼㉸㧗㱋♫఍ࢆ㏄࠼ࡓ⌧ᅾ㸪೺ᖖ⪅ࢆᑐ㇟࡜ࡋࡓṑ⛉἞⒪ࡔࡅ࡛࡞ࡃ㸪せ௓ㆤ㧗㱋⪅࡟ᑐࡍࡿṑ⛉἞⒪ᢏ⬟ࡢ⩦ᚓࡀ┈ࠎ㔜せ࡜࡞ࡗ࡚࠸ࡿ㸬ᮏ㝔࡛ࡢṑ⛉་ᖌ⮫ᗋ◊ಟ࡟࠾࠸࡚ࡣ㸪እ㒊ṑ⛉་⒪ᶵ㛵࡜㐃ᦠࡋ㸪ᐇ㝿ࡢᅾᏯ⌧ሙ࡬࡜ゼၥࡍࡿ◊ಟࢆᑟධࡍࡿணᐃ࡛
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඲◊ಟṑ⛉་ 50 ྡࢆᑐ㇟࡟㸪࢚࢜ࣜࣥࢸ࣮ࢩࣙࣥࢆ⾜ࡗࡓᚋ㸪せ௓ㆤ㧗㱋⪅ࢆᶍࡋࡓࢩ࣑࣮ࣗࣞࢱ࣮ࢆ⏝࠸ࡓࢩ࣑࣮ࣗࣞࢩࣙࣥᐇ⩦࡜య఩ኚ᥮࣭⛣஌ᐇ⩦㸪ཱྀ⭍ࢣ࢔ࡢ┦஫ᐇ⩦ࢆ⾜ࡗࡓ㸬ᅾᏯṑ⛉་⒪ࢩ࣑࣮ࣗࣞࢩࣙࣥᐇ⩦๓ᚋ࡟ᅾᏯṑ⛉་⒪࡟㛵ࡍࡿ࢔ࣥࢣ࣮ࢺㄪᰝࢆ⾜࠸㸪ࡑࡢᩍ⫱ຠᯝࢆ᳨ウࡋࡓ㸬㸺⤖ᯝ㸼デ⒪ᐊ࡜ࡣ␗࡞ࡿ⎔ቃ࡛ࡢṑ⛉἞⒪࡟ࡘ࠸࡚య
఩ࡸ࣏ࢪࢩࣙࢽࣥࢢ࡟ᡞᝨ࠺ᵝᏊࡀぢཷࡅࡽࢀࡓ㸬ᣦᑟᚋࡣ㸪ࢫ࣒࣮ࢬ࡟ᑐᛂࡍࡿࡇ࡜ࡀྍ⬟࡜࡞ࡗࡓ㸬࢔ࣥࢣ࣮ࢺ⤖ᯝ࠿ࡽ㸪ᐇ⩦๓࡜ẚ㍑ࡋ࡚㸪࣏࣮ࢱࣈࣝࣘࢽࢵࢺࡢ౑⏝᪉ἲ㸪య఩ኚ᥮࣭⛣஌᪉ἲ㸪ཱྀ⭍ࢣ࢔ࡢ᪉ἲ࡟ࡘ࠸࡚ࡢ⌮ゎᗘࡣᐇ⩦ᚋ࡟᭷ព࡟ୖ᪼ࡋࡓ㸬ᅾᏯṑ⛉་⒪ࢆᐇ㊶ࡍࡿୖ࡛㓄៖ࡍ࡭ࡁࡇ࡜㸪㌴᳔Ꮚࡸ࣋ࢵࢻ࡛ᐷࡓࡁࡾࡢ᪉
࡬ࡢ἞⒪࡛㓄៖ࡍ࡭ࡁࡇ࡜ࢆ⮬⏤グ㍕ࡉࡏࡓ࡜ࡇ
ࢁ㸪ᐇ⩦ᚋࡣグ㍕㡯┠ᩘࡀ᭷ព࡟ቑຍࡋࡓ㸬ࡲࡓ㸪◊ಟṑ⛉་ࡣᐇ⩦ࢆ⾜࠺ࡇ࡜࡛㸪ᐇ⩦๓ࡼࡾࡶ᭷
ព࡟ᅾᏯṑ⛉་⒪࡟ᦠࢃࡾࡓ࠸࡜⪃࠼ࡿࡼ࠺࡟࡞
ࡗࡓ㸬

㸺⪃ᐹ㸼

ᅾᏯṑ⛉་⒪ࢩ࣑࣮ࣗࣞࢩࣙࣥᐇ⩦࡟ࡼࡗ࡚㸪ᅾᏯṑ⛉་⒪࡟㛵ࡍࡿ⌮ゎᗘࡀྥୖࡋ㸪⯆࿡ࢆᣢࡘࡼ࠺࡟࡞ࡗࡓࡇ࡜࠿ࡽ㸪୍ᐃࡢᩍ⫱ຠᯝࡣ࠶ࡗࡓ࡜⪃࠼ࡽࢀࡿ㸬ᐇ㝿ࡢ⌧ሙ࡬ゼၥࡍࡿࡇ࡜ࡀ࡛ࡁࡿࡼ࠺࡟㸪௒ᚋࡶࡼࡾᐇ㊶ⓗ࡞ෆᐜ࡬࡜ᨵၿࢆᅗࡾ㸪೺ᗣ㛗ᑑ࡟㈉⊩࡛ࡁࡿṑ⛉་ᖌࡢ⫱ᡂ࡬࡜⧅ࡆ࡚࠸ࡃᚲせࡀ࠶ࡿ㸬㈨ᩱ䠐ᩥ㒊⛉Ꮫ┬ ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂࣉࣟࢢ࣒ࣛ㑅ᐃ஦ᴗࠕ೺ᗣ㛗ᑑ♫఍ࢆᢸ࠺ṑ⛉་Ꮫᩍ⫱ᨵ㠉̿Ṛ⏕Ꮫࡸᆅᇦໟᣓࢣ࢔ࣔࢹࣝࢆᑟධࡋࡓ་⛉ṑ⛉㐃ᦠᩍ⫱యไࡢᵓ⠏̿ࠖ➨  ᅇ ᪥ᮏ⮫ᗋ⭘⒆Ꮫ఍Ꮫ⾡㞟఍࡟࠾ࡅࡿ
஦ᴗ㛵㐃ࢩ࣏ࣥࢪ࣒࢘௻⏬࠾ࡼࡧᐇ᪋ሗ࿌᭩

ᐇ᪋᪥㸸2017 ᖺ 7 ᭶ 28 ᪥㸦㔠㸧஦ᴗ᥎㐍ጤဨ ᒸᒣ኱Ꮫ⑓㝔་⒪ᨭ᥼ṑ⛉἞⒪㒊 ᭮ᡃ ㈼ᙪ

㸯㸬 ⫼ᬒ ೺ᗣ㛗ᑑ♫఍ࡢᐇ⌧ࡸࠊᅜẸ࠿ࡽࡢከᵝ࡞་⒪ࢽ࣮ࢬ࡟ᑐᛂࡋ࡚࠸ࡃࡓࡵ࡟
ࡣࠊᅜẸࡀᏳᚰࡋ࡚㉁ࡢ㧗࠸་⒪ࢆཷࡅࡽࢀࡿ་⒪ᥦ౪ࢆᵓ⠏ࡍࡿ࡜࡜ࡶ࡟ࠊ་
⒪⌧ሙࡢᵝࠎ࡞ㅖㄢ㢟࡟ᑐᛂࡋ࡚࠸ࡃࡇ࡜ࡀᚲせ࡛࠶ࡿࠋࡇࡢࡓࡵࠊ⌧ᅾㄢ㢟࡜ࡉࢀ࡚࠸ࡿศ㔝࡟࠾ࡅࡿேᮦ㣴ᡂࡢ᭦࡞ࡿᙉ໬ࢆᅗࡿࡇ࡜ࡣᴟࡵ࡚㔜せ࡛࠶ࡾࠊ≉࡟㞴἞ᛶ⑌ᝈࡸ㧗㞴ᗘᡭ⾡➼ࠊ㧗ᗘ࡞▱㆑࣭ᢏ⬟ࡀᚲせ࡜ࡉࢀࡿศ㔝ࡢᑓ㛛ேᮦ㣴ᡂ➼ࡀᛴົ࡜ࡉࢀ࡚࠸ࡿࠋ
ࡲࡓࠊ┳ㆤᖌ࣭⸆๣ᖌࢆࡣࡌࡵ࡜ࡍࡿ࣓ࢹ࢕࢝ࣝࢫࢱࢵࣇ࡟࠾࠸࡚ࡣࠊከ⫋✀㐃ᦠ࡟ࡼࡿࢳ࣮࣒་⒪ࡀ᥎㐍ࡉࢀࡿ୰࡛ࠊ┳ㆤᏛ㒊࣭⸆Ꮫ㒊Ꮫ⏕➼࡟ᑐࡍࡿ㉁ࡢ
㧗࠸⮫ᗋᐇ⩦ࡢ඘ᐇࡸ㧗࠸ᣦᑟ⬟ຊࢆᣢࡗࡓᐇ⩦ᣦᑟ⪅ࡢ㣴ᡂ➼ࡀႚ⥭ࡢㄢ㢟࡜࡞ࡗ࡚࠸ࡿ࡜࡜ࡶ࡟ࠊࢳ࣮࣒་⒪࡟࠾ࡅࡿά㌍ࡀᮇᚅࡉࢀ࡚࠾ࡾࠊᏛ⏕࣭་⒪ேࡢᐇ㊶ຊࡢಟᚓ࣭ᙉ໬ࡀồࡵࡽࢀ࡚࠸ࡿࠋ
ࡇࢀࡽࢆ㋃ࡲ࠼ᮏ஦ᴗ࡛ࡣࠊᡃࡀᅜࡀᢪ࠼ࡿ་⒪⌧ሙࡢㅖㄢ㢟➼࡟ᑐࡋ࡚ࠊ⛉Ꮫⓗ᰿ᣐ࡟ᇶ࡙࠸ࡓ་⒪ࡀᥦ౪࡛ࡁࠊ೺ᗣ㛗ᑑ♫఍ࡢᐇ⌧࡟ᐤ୚࡛ࡁࡿඃࢀࡓ
་⒪ேᮦࢆ㣴ᡂࡍࡿࡓࡵࠊ኱Ꮫ⮬ࡽࡀయ⣔❧࡚ࡽࢀࡓ≉Ⰽ࠶ࡿᩍ⫱ࣉࣟࢢ࣒࣭ࣛ
ࢥ࣮ࢫࢆᵓ⠏ࡋࠊ඲ᅜ࡟ᬑཬࡉࡏࡿྲྀ⤌ࢆᨭ᥼ࡍࡿࡇ࡜࡟ࡼࡾࠊࡇࢀ࠿ࡽࡢ᫬௦
࡟ᛂࡌࡓ་⒪ேᮦࡢ㣴ᡂࢆ᥎㐍ࡋ࡚࠸ࡿࠋ
⚾ࡓࡕࡀ᥎ࡋ㐍ࡵࡿᩥ㒊⛉Ꮫ┬ ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂࣉࣟࢢ࣒ࣛ㑅ᐃ஦ᴗࠕ೺ᗣ㛗ᑑ♫఍ࢆᢸ࠺ṑ⛉་Ꮫᩍ⫱ᨵ㠉 ̿Ṛ⏕Ꮫࡸᆅᇦໟᣓࢣ࢔ࣔࢹ
ࣝࢆᑟධࡋࡓ་⛉ṑ⛉㐃ᦠᩍ⫱యไࡢᵓ⠏̿ࠖࡢ୰㛫ホ౯ࡣࠊ⥲ྜホ౯㸿ࠕ㡰ㄪ࡟㐍ᤖࡋ࡚࠾ࡾࠊ⌧⾜ࡢດຊࢆ⥅⥆ࡍࡿࡇ࡜࡟ࡼࡗ࡚ᙜึ┠ⓗࢆ㐩ᡂࡍࡿࡇ࡜
ࡀྍ⬟࡜ุ᩿ࡉࢀࡿࠋ
࡛ࠖ࠶ࡾࠊࠕ་⛉࡜ࡢࢩ࣮࣒ࣞࢫ࡞㐃ᦠࢆᅗࡿࡓࡵࠊᵝࠎ࡞௻⏬ࡸᩍ⫱ࡢ‽ഛࢆ㐍ࡵ࡚࠸ࡿࠋ
ࠖࡇ࡜ࡀඃࢀࡓⅬࡢ୍ࡘ࡜ࡋ࡚ᣲࡆࡽࢀࡓࠋ୍
᪉࡛ࠊࠕᡂᯝ≀ࢆ✚ᴟⓗ࡟ᆅᇦࡸ♫఍࡟ᑐࡋ᝟ሗⓎಙࢆ⾜ࡗ࡚࠸ࡿࡀࠊ඲ᅜࣞ࣋
ࣝࡢᏛ఍࡟࠾ࡅࡿࢩ࣏ࣥࢪ࣒࢘➼ࢆ㏻ࡌ࡚ࠊᮏྲྀ⤌ࢆ་ᖌࢆྵࡵࡓ་⒪㛵ಀ⪅࡟ᗈࡃㄆ㆑ࡋ࡚ࡶࡽ࠺ࡓࡵࡢྲྀ⤌ࡀᮇᚅࡉࢀࡿࠋࠖࡇ࡜ࡀㄢ㢟࡜ࡶࡉࢀ࡚࠸ࡿࠋ

ࡀࢇ἞⒪࡛ࡣᵝࠎ࡞ཱྀ⭍᭷ᐖ஦㇟ࡀⓎ⏕ࡍࡿࠋࡑࡢ᭷ᐖ஦㇟࡬ࡢ㐺ษ࡞ᑐᛂࡣࡀࢇ἞⒪ࢆཷࡅࡿᝈ⪅ࡢ QOL ࢆ᱁ẁ࡟ྥୖࡉࡏࠊࡀࢇ་⒪ࡢ㉁ࡢྥୖ࡟ࡘ
࡞ࡀࡿࠋ࠸ࢃࡺࡿཱྀ⭍ࡢࢣ࢔࡜ࡋ࡚㔜せどࡉࢀ࡚ࡁࡓࡀࢇཱྀ⭍ᨭᣢ⒪ἲ࡟ࡣከ⫋✀㐃ᦠࡀᚲせ࡛࠶ࡿࠋࡑࡋ࡚ᒎ㛤࡟࠶ࡓࡗ࡚ࡣேᮦࡀᚲ㡲࡛࠶ࡿࠋ་Ꮫ㡿ᇦࠊࡀࢇ┳ㆤ㡿ᇦ࡛ࡣᚑ᮶ࡼࡾཱྀ⭍ࡢࢣ࢔ࡢ㔜せᛶࡀὀ┠ࡽࢀࠊ᥎㐍ཬࡧᒎ㛤࡛ࡁࡿேᮦࡀồࡵࡽࢀ࡚ࡁࡓࠋ⸆Ꮫ㡿ᇦ࡟࠾࠸࡚ࡣᪧ᮶࠿ࡽࡢẅ⣽⬊ᛶᢠࡀࢇ๣ࡢ
ࡳ࡞ࡽࡎࠊ㏆ᖺࡢ᪂つศᏊᶆⓗ⸆ࡢ㛤Ⓨ➼࡛ࡑࡢ᭷ᐖ஦㇟࡟ᑐᛂࡀ࡛ࡁࡿ⸆๣
ᖌࡀồࡵࡽࢀ࡚࠸ࡿࠋࡑࡋ࡚ࠊṑ⛉་⒪࡟ࡣࡇࢀࡽࢆໟᣓⓗ࡟⌮ゎࡋᐇ㊶࡛ࡁࡿேᮦࡀồࡵࡽࢀ࡚࠸ࡿࠋ
ᡂᯝࢆ✚ᴟⓗ࡟ᆅᇦࡸ♫఍࡟ᑐࡋ᝟ሗⓎಙࢆ⾜࠸ࠊ඲ᅜࣞ࣋ࣝࡢᏛ఍࡟࠾ࡅ
ࡿࢩ࣏ࣥࢪ࣒࢘➼ࢆ㏻ࡌ࡚ࠊᮏྲྀ⤌ࢆ་ᖌࢆྵࡵࡓ་⒪㛵ಀ⪅࡟ᗈࡃㄆ㆑ࡋ࡚
ࡶࡽ࠺࡟࠶ࡓࡾࠊ᪥ᮏ⮫ᗋ⭘⒆Ꮫ఍ࡢᏛ⾡㞟఍࡛ࠊᮏ஦ᴗࡢ஦ᴗ᥎㐍ጤဨ ᭮ᡃ㈼ᙪ㸦ᒸᒣ኱Ꮫ⑓㝔 ་⒪ᨭ᥼ṑ⛉἞⒪㒊㸧ࡀᏛ⾡㞟఍ࡢ௻⏬ጤဨ࡜࡞ࡾࠊࢩࣥ
࣏ࢪ࣒࢘ࢆ௻⏬ࡋࡓࠋ᪥ᮏ⮫ᗋ⭘⒆Ꮫ఍ࡣࠊࡀࢇࡢᝈ⪅ࡸࡑࡢᐙ᪘ཬࡧࡑࡢࡀࢇ
ࡢ◊✲⪅➼ࢆᑐ㇟࡜ࡋ࡚ࠊࡀࢇࡢ་⒪࡟㛵ࡍࡿᅜෆእࡢ᝟ሗࡢㄪᰝ◊✲ࠊᬑཬၨⓎࢆ⾜࠸ࠊࡀࢇ࡟ᑐࡍࡿデ⒪ᢏ⾡ࡢྥୖࢆಁ㐍࣭᣺⯆ࡍࡿ࡜࡜ࡶ࡟ࠊ㛵㐃ᅋయ࡜ࡢ㐃⤡ࠊ㐃ᦠࢆᅗࡿ஦ᴗࢆ⾜࠸ࠊࡶࡗ࡚ࡀࢇ࡟ᑐࡍࡿ἞⒪ᡂ⦼ࡢྥୖࢆ㏻ࡋ࡚ࠊ
බඹࡢ⚟♴࡟㈉⊩ࡍࡿࡇ࡜ࢆ┠ⓗ࡜ࡍࡿࠊ᪥ᮏ࡛᭱኱つᶍࡢᏛ఍࡛࠶ࡾࠊ఍ဨᩘ
ࡣ 9000 ྡࢆ㉸࠼ࡿࠋ㸰㸬 ௻⏬ᴫせ㸯㸧➨ 15 ᅇ᪥ᮏ⮫ᗋ⭘⒆Ꮫ఍ࡢ㛤ദᴫせ఍ᮇ 2017 ᖺ 7 ᭶ 27 ᪥㸦ᮌ㸧ࠥ29 ᪥㸦ᅵ㸧఍ሙ ⚄ᡞ఍ሙ㸸⚄ᡞࢥࣥ࣋ࣥࢩࣙࣥࢭࣥࢱ࣮
ᒸᒣ఍ሙ㸸Junko Fukutake Hall㸦ᒸᒣ኱Ꮫ㮵⏣࢟ࣕࣥࣃࢫ㸧఍㛗 ㇂ᮏ ග㡢㸦ᒸᒣ኱Ꮫ኱Ꮫ㝔 ⾑ᾮ࣭⭘⒆࣭࿧྾ჾෆ⛉Ꮫㅮᗙ㸧ࢸ࣮࣐ ᭱㐺ࡢࡀࢇ་⒪ ̾ ࠸ࡘ࡛ࡶࠊఱฎ࡛ࡶࠊㄡ࡟࡛ࡶ ̾
ぢ㎸ࡳཧຍ⪅ᩘ 6,000 ே㸦་ᖌࠊṑ⛉་ᖌࠊ┳ㆤᖌࠊ⸆๣ᖌࠊࡑࡢ௚ࡀࢇ
་⒪࡟࠿࠿ࢃࡿ་⒪㛵ಀ⪅඲⯡㸧㸰㸧௻⏬ࢩ࣏ࣥࢪ࣒࢘㸦㈨ᩱ㸰㸧ࢩ࣏ࣥࢪ࣒࢘ࢸ࣮࣐㸸ཱྀ⭍ࡢࢣ࢔࣭ࡀࢇཱྀ⭍ᨭᣢ⒪ἲࢆ᥎ࡋ㐍ࡵࡿࡓࡵ࡟̿ேᮦࢆ㣴ᡂࡍࡿయไ
࠿ࡽᅾࡾ᪉ࢆၥ࠺
᪥᫬㸸2017 ᖺ 7 ᭶ 28 ᪥㸦㔠㸧 10:20-12:20 ሙᡤ㸸⚄ᡞᅜ㝿ᒎ♧ሙ 1 ྕ㤋 2F Hall Bྖ఍㸸బࠎᮌᗣ⥘㸦᫛࿴኱Ꮫ་Ꮫ㒊ෆ⛉Ꮫㅮᗙ⭘⒆ෆ⛉㒊㛛㸧❑ᮌᣅ⏨㸦ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉࢖ࣥࣉࣛࣥࢺ෌⏕⿵
⥛Ꮫศ㔝㸧
௻⏬ᴫせ㸸
ࡀࢇ἞⒪࡛ࡣᵝࠎ࡞ཱྀ⭍᭷ᐖ஦㇟ࡀⓎ⏕ࡍࡿࠋࡑࡢ᭷ᐖ஦㇟࡬ࡢ㐺ษ࡞ᑐᛂࡣࡀࢇ἞⒪ࢆཷࡅࡿᝈ⪅ࡢ QOL ࢆ᱁ẁ࡟ྥୖࡉࡏࠊࡀࢇ་⒪ࡢ㉁ࡢ
ྥୖ࡟ࡘ࡞ࡀࡿࠋ࠸ࢃࡺࡿཱྀ⭍ࡢࢣ࢔࡜ࡋ࡚㔜せどࡉࢀ࡚ࡁࡓࡀࢇཱྀ⭍ᨭ
ᣢ⒪ἲ࡟ࡣከ⫋✀㐃ᦠࡀᚲせ࡛࠶ࡿࠋࡑࡋ࡚ᒎ㛤࡟࠶ࡓࡗ࡚ࡣேᮦࡀᚲ㡲࡛࠶ࡿࠋ་Ꮫ㡿ᇦࠊࡀࢇ┳ㆤ㡿ᇦ࡛ࡣᚑ᮶ࡼࡾཱྀ⭍ࡢࢣ࢔ࡢ㔜せᛶࡀὀ┠ࡉࢀࠊ᥎㐍ཬࡧᒎ㛤࡛ࡁࡿேᮦࡀồࡵࡽࢀ࡚ࡁࡓࠋ⸆Ꮫ㡿ᇦ࡟࠾࠸࡚ࡣᪧ
᮶࠿ࡽࡢẅ⣽⬊ᛶᢠࡀࢇ๣ࡢࡳ࡞ࡽࡎࠊ㏆ᖺࡢ᪂つศᏊᶆⓗ⸆ࡢ㛤Ⓨ➼࡛ࡑࡢ᭷ᐖ஦㇟࡟ᑐᛂࡀ࡛ࡁࡿ⸆๣ᖌࡀồࡵࡽࢀ࡚࠸ࡿࠋࡑࡋ࡚ࠊṑ⛉་⒪࡟ࡣࡇࢀࡽࢆໟᣓⓗ࡟⌮ゎࡋᐇ㊶࡛ࡁࡿேᮦࡀồࡵࡽࢀ࡚࠸ࡿࠋᮏࢩ࣏ࣥ
ࢪ࣒࡛࢘ࡣࠊ་ᏛࠊṑᏛࠊ⸆Ꮫ࡞ࡽࡧ࡟┳ㆤᏛࡢศ㔝࠿ࡽཱྀ⭍ࡢࢣ࢔㹼ࡀࢇཱྀ⭍ᨭᣢ⒪ἲ࡟ᦠࢃࡿேᮦ⫱ᡂ࡟ࡘ࠸࡚ࡢᅾࡾ᪉࡟ࡘ࠸࡚⪃࠼ࡿᶵ఍࡜ࡋࡓ࠸ࠋࡉࡽ࡟ࡣࠊ་⒪඲యࢆಠ▔ࡋࡓ㝿࡟ᨭᣢ⒪ἲࢆ᥎ࡋ㐍ࡵࡿㄽᣐࢆ⮫ᗋ೔⌮࡟ồࡵࠊ㆟ㄽࢆ῝ࡵࡓ࠸ࠋ₇㢟㸯㸬ࡀࢇཱྀ⭍ࢣ࢔ࢆᬑཬࡉࡏࡿࡓࡵࡢࢩࢫࢸ࣒ࡢᵓ⠏బࠎᮌᗣ⥘㸦᫛࿴኱Ꮫ་Ꮫ㒊⭘⒆ෆ⛉Ꮫ㸧

₇㢟㸰㸬ࡀࢇཱྀ⭍ᨭᣢ⒪ἲࡢᆅᇦ࡬ࡢၨⵚ࠾ࡼࡧ⏕ᾭ◊ಟ
ⓒྜⲡ೺ᆂᚿ㸦㟼ᒸ┴❧㟼ᒸࡀࢇࢭࣥࢱ࣮ṑ⛉ཱྀ⭍እ⛉㸧
₇㢟㸱㸬ࡀࢇཱྀ⭍ᨭᣢ⒪ἲࡢᢸ࠸ᡭࡢ㣴ᡂ̿ṑᏛ⏕࠾ࡼࡧ◊ಟṑ⛉་ࢆᑐ㇟࡜ࡋࡓ࣒࢝ࣜ࢟ࣗࣛᵓ⠏᭮ᡃ㈼ᙪ㸦ᒸᒣ኱Ꮫ⑓㝔་⒪ᨭ᥼ṑ⛉἞⒪㒊㸧
₇㢟㸲㸬ࡀࢇᝈ⪅ཧຍᆺཱྀ⭍࢔ࢭࢫ࣓ࣥࢺ࡜ཱྀ⭍ࡢࢭࣝࣇࢣ࢔ࢆᨭ࠼ࡿ
┳ㆤᖌࡢ෌ᩍ⫱     ᮧᯇ┿⃈㸦ᮐᖠᕷ❧኱┳ㆤᏛ㒊㸧
₇㢟㸳㸬ࡀࢇཱྀ⭍ᨭᣢ⒪ἲࡢᢸ࠸ᡭࡢ⫱ᡂ-⸆Ꮫᩍ⫱ࡢ୍⎔࡟࡝࠺ྲྀࡾ⤌ࡴ࠿    బ⸨῟ஓ㸦ᒾᡭ་⛉኱Ꮫ⸆Ꮫ㒊㸦⌧ࠊ㟼ᒸ┴❧㟼ᒸࡀࢇࢭࣥࢱ࣮㸧㸧₇㢟㸴㸬ࡀࢇᝈ⪅ࡢே⏕ࡢᑛཝࢆᏲࡿ࡜࠸࠺ࡇ࡜ ̿ ࡀࢇཱྀ⭍ᨭᣢ⒪ἲࢆษࡾཱྀ࡜ࡋ࡚
఍⏣⸅Ꮚ㸦ᮾி኱Ꮫ኱Ꮫ㝔ேᩥ♫఍⣔◊✲⛉Ṛ⏕Ꮫ࣭ᛂ⏝೔⌮ࢭࣥࢱ࣮ୖᘅㅮᗙ㸧㸱㸬ᐇ᪋ෆᐜ
㸯㸧➨ 15 ᅇ᪥ᮏ⮫ᗋ⭘⒆Ꮫ఍ཧຍ⪅ᩘ ⣙ 6,700 ே㸰㸧௻⏬ࢩ࣏ࣥࢪ࣒࢘ࠕཱྀ⭍ࡢࢣ࢔࣭ࡀࢇཱྀ⭍ᨭᣢ⒪ἲࢆ᥎ࡋ㐍ࡵࡿࡓࡵ࡟̿ே
ᮦࢆ㣴ᡂࡍࡿయไ࠿ࡽᅾࡾ᪉ࢆၥ࠺ࠖཧຍ⪅ᩘ ⣙ 600 ே   ୪⾜ࡋ࡚ᐇ᪋ࡉࢀࡓࢩ࣏ࣥࢪ࣒࢘ࡀከࡃ࠶ࡿ୰ࠊ‽ഛࡋࡓ఍ሙࡣ‶ᖍ࡛࠶ࡾࠊከ⫋✀࡟ࡼࡿ⇕ᚰ࡞㆟ㄽࡀ஺ࢃࡉࢀࡓࠋ

第 15 回日本臨床腫瘍学会学術集会

1

シンポジウムシンポジウム 14
口腔のケア・がん口腔支持療法を推し進めるために―人材を養成する体制から在り方を問う
2017 年 7 月 28 日（金） 10:20-12:20

Room 5 ⏐ 神戸国際展示場 1 号館 2F Hall B

司会：佐々木 康綱（昭和大学 医学部内科学講座腫瘍内科部門）
司会：窪木 拓男（岡山大学大学院 医歯薬学総合研究科 インプラント再生補綴学分野）＜企画概要＞
がん治療では様々な口腔有害事象が発生する。その有害事象への適切な対応はがん治療を受ける患者の QOL を格段に向上させ、がん医療の質の向上につながる。いわゆる口腔のケアとして重要視されてきたがん口腔支持療法には多職種連携が必要である。そして展開にあたっては人材が必須である。医学領域、がん看護領域では従来より口腔のケアの重要性が注目られ、推進及び展開できる人材が求められてきた。薬学領域においては旧来からの殺細胞性抗がん剤のみならず、近年の新規分子標的薬の開発等でその有害事象に対応ができる薬剤師が求められている。そして、歯科医療にはこれらを包括的に理解し実践できる人材が求められている。本シンポジウムでは、医学、歯学、薬学ならびに看護学の分野から口腔のケア〜がん口腔支持療法に携わる人材育成についての在り方について考える機会としたい。さらには、医療全体を俯瞰した際に支持療法を推し進める論拠を臨床倫理に求め、議論を深めたい。

SY14-1
がん口腔ケアを普及させるためのシステムの構築
佐々木 康綱（昭和大学医学部腫瘍内科学）

SY14-2
がん口腔支持療法の地域への啓蒙および生涯研修
百合草 健圭志（静岡県立静岡がんセンター）

SY14-3
がん口腔支持療法の担い手の養成―歯学生および研修歯科医を対象としたカリキュラム構築
曽我 賢彦（岡山大学病院 医療支援歯科治療部）

SY14-4
がん患者参加型口腔アセスメントと口腔のセルフケアを支える看護師の再教育
村松 真澄（札幌市立大学看護学部）

SY14-5
がん口腔支持療法の担い手の育成-薬学教育の一環にどう取り組むか佐藤 淳也（岩手医科大学薬学部（現、静岡県立静岡がんセンター））

SY14-6
がん患者の人生の尊厳を守るということ ― がん口腔支持療法を切り口として
会田 薫子（東京大学大学院人文社会系研究科死生学・応用倫理センター上廣講座）▲ TOP

第○回△△学会総会・学会総会
会期：20○○年○月○日（○）〜○日（○）

会場：○□△○○○○○○○○○○○○○

第 15 回日本臨床腫瘍学会学術集会

2

シンポジウムSY14-1
がん口腔ケアを普及させるためのシステムの構築
佐々木 康綱 1
1:昭和大学医学部腫瘍内科学

がん治療における口腔ケアの重要性がますます高まっている。とりわけがん薬物療法に際しては、(1) 薬物療法前後の口腔ケアの充実
による合併症の軽減、(2) 口内炎などの薬剤性口腔合併症の管理と治療、(3) 骨吸収阻害薬の併用による薬剤性顎骨壊死に対する対策が重要である。がん対策推進基本計画でも、医科歯科連携による口腔ケアの推進を定めている。そのための方策として、平成 25 年度より厚生労働省による日本歯科医師会への委託事業として、「医科歯科連携事業」が開始され、これまで全国 16000 名以上の歯科医師が、「全国共通がん医科歯科連携講習会テキスト」を用いたがん医療についての講習を受講している。昭和大学病院では、がん診療に関与す
る各診療科の医師、歯科医師、看護師、薬剤師、がん総合相談室・連携室および歯学部スペシャルニーズ口腔医学講座に在籍する歯科医師からなる多職種の「医科歯科連携ワーキンググループ」を立ち上げ、当院にて治療を予定しているがん患者を近隣の講習会を受講した歯科医師に紹介システムを構築した。このシステムでは、必要最小限の紹介情報をもれなく紹介するためのフォーマットを作成するとともに、がん総合相談室・連携室の協力を得て、患者の近隣の歯科医師を検索して紹介状を発行している。これまでのところ、患者が口腔内の以上を自覚していない場合でも相当数の治療が必要であることが判明している。

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第○回△△学会総会・学会総会
会期：20○○年○月○日（○）〜○日（○）

会場：○□△○○○○○○○○○○○○○

第 15 回日本臨床腫瘍学会学術集会

3

シンポジウムSY14-2
がん口腔支持療法の地域への啓蒙および生涯研修
百合草 健圭志 1
1:静岡県立静岡がんセンター

がん医科歯科連携は、がん治療を円滑にすすめることおよび治療中のがん患者の療養生活の質を維持・向上することを目的とした連携であり、がん口腔支持療法と一体のものである。がん医科歯科連携体制を作り上げるために、平成 18 年から静岡県立静岡がんセンターと静岡県歯科医師会の間でがん医科歯科連携体制を構築した。それを足がかりに、平成 23 年からは日本歯科医師会と国立がん研究セン
ターの間で、全国でがん医科歯科連携体制を確立するための準備が始まった。平成 25 年からは厚生労働省の委託を受けた日本歯科医師会が「がん診療医科歯科連携事業」として全国に展開し、全国に約 68,000 件ある歯科診療所で診療を行っている歯科医師を中心に約16,000 人が「全国共通がん医科歯科連携講習会」受講し、その多くが連携登録歯科医として登録名簿に公開されている。実際のがん診
療医科歯科連携体制としては、各都道府県歯科医師会が中心となり、各地域のがん診療連携拠点病院等との提携が結ばれて、がん医科歯科連携が行われている。この連携をより普及させるため、がん治療を担当する医師や看護師、地域連携室の担当者にこの制度が周知され、歯科診療所との病診連携を有効活用したがん医科歯科連携の拡がりが望まれる。

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第○回△△学会総会・学会総会
会期：20○○年○月○日（○）〜○日（○）

会場：○□△○○○○○○○○○○○○○

第 15 回日本臨床腫瘍学会学術集会

4

シンポジウムSY14-3
がん口腔支持療法の担い手の養成―歯学生および研修歯科医を対象としたカリキュラム構築
曽我 賢彦 1
1:岡山大学病院 医療支援歯科治療部

岡山大学病院は 2011 年に病院医療支援を目的とした口腔の専門診療部（医療支援歯科治療部）を開設した。この治療部を拠点として，多くの歯科医師・歯科衛生士ががん手術・放射線・化学療法治療などにおける口腔内の管理を積極的に行っている。
この治療部は，歯科医師臨床研修においてがん口腔支持療法の担い手を養成する絶好の場となり得る。そこで，2012 年度から，研修歯科医が多職種連携医療における歯科医師の役割について学び，実践するための研修プログラムを開始した。本院で展開される様々な多職種連携医療に研修歯科医師をその一員として可能な範囲で参画させている。さらに，歯学部 6 年次生の診療参加型臨床実習でも 1 週間の実習期間を必修とした。エビデンスを伴った歯科医学知識はもちろんのこと，全身的な医学的知識，チーム医療を問題なく行なうための他職種との人間関係の構築能力，そして心理面でのサポート能力や，場合によっては死に直面している患者に向き合うにあたり，患者の死生観に至る哲学的な理解までもが要求されることを体験させる機会になればと考えている。
岡山大学歯学部は課題解決型高度医療人材養成プログラム選定事業「健康長寿社会を担う歯科医学教育改革」を主管し，本事業の一環として教育カリキュラム改革を全国１１大学ととともに推進中である。
本講演ではがん口腔支持療法の担い手の養成につながる教育・研修カリキュラムの実際についてご紹介する。

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第○回△△学会総会・学会総会
会期：20○○年○月○日（○）〜○日（○）

会場：○□△○○○○○○○○○○○○○

第 15 回日本臨床腫瘍学会学術集会

5

シンポジウムSY14-4
がん患者参加型口腔アセスメントと口腔のセルフケアを支える看護師の再教育
村松 真澄 1
1:札幌市立大学看護学部

口腔の看護は，北海道大学病院での看護実践と海外での視察の機会を得たことに始まる．看護の口腔ケアを変えた出来事は，2007 年

2 月 Norris Cancer Hospital ，University of southern California のがん専門看護師から，がん看護の口腔ケアについて伝授されたことである．その後，2010 年 5 月ネブラスカ大学看護学部及びメディカルセンターを訪問し，がん専門看護師 Eilres 教授から Oral

Assessment Guide（以下 OAG）を伝授され，日本版 OAG の使用許諾を得た．この経験をもって北海道大学病院での実践や「口腔アセスメント＆口腔ケア」の普及活動に取り組んだ．
現在，看護基礎教育における口腔ケアは，重要な技術として教授されている．教科書では「口腔アセスメント＆口腔ケア」についてそれぞれの立場で記載され，学生の技術については演習や実習で評価されている．
病院においては，新人看護師の基礎教育機関によって教育が様々であるため，病院の新人研修で教育され，看護師のみならず，医師や他職種・事務職員等も対象にしている病院もある．
口腔看護の基本については，患者が主体的に口腔アセスメントをすること，患者が口腔のセルフケア技術を学び，セルフケアを支援することである．セルフケアができない場合には，できない部分を看護師等が支援することである．看護師の再教育に患者参加型口腔アセスメントと口腔のセルフケアの教育を組み込むことであると考えている．

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第○回△△学会総会・学会総会
会期：20○○年○月○日（○）〜○日（○）

会場：○□△○○○○○○○○○○○○○

第 15 回日本臨床腫瘍学会学術集会

6

シンポジウムSY14-5

がん口腔支持療法の担い手の育成-薬学教育の一環にどう取り組むか佐藤 淳也 1
1:岩手医科大学薬学部（現、静岡県立静岡がんセンター）

現在、がん化学療法を含むがん治療においては、支持療法の提案など薬剤師が積極的にかかわる必要性がある。特に、近年口内炎を生じる抗がん剤も多く、またデノスマブ、ゾレドロン酸といった骨修飾薬の副作用予防などに口腔ケアは重要な領域である。しかしながら、薬学教育において、口腔ケアの教育は進んでいないように思われる。これには、口腔ケアの必要性や薬物療法を教えるカリキュラ
ムおよびそれを教える教員の不足があるように思われる。さらには、薬剤師国家試験問題に、口腔ケア関連の出題が極めて少ないという実情もあろう。演者が所属していた岩手医科大学では、医学部・歯学部・薬学部の 3 学部の学生と教員および看護師が集まり、症例を通じて口腔ケアを含む多職種連携教育（IPE：Interprofessional education）を実践している。シンポジウムでは、薬学部の学生への口腔ケアに対する教育内容と多職種連携教育の内容について紹介する。

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第○回△△学会総会・学会総会
会期：20○○年○月○日（○）〜○日（○）

会場：○□△○○○○○○○○○○○○○

第 15 回日本臨床腫瘍学会学術集会

7

がん患者の人生の尊厳を守るということ―

シンポジウムSY14-6
がん口腔支持療法を切り口として

会田 薫子 1
1:東京大学大学院人文社会系研究科死生学・応用倫理センター上廣講座

患者の人生の最期まで「尊厳を守る」、「尊厳を損なわない」とは具体的にどうすることなのか。「尊厳ある最期」とは何か。
尊厳が指す内容は多義的であり文脈によって意味が異なるが、医療とケアの現場で患者の尊厳を守るということは、「患者本人が自尊感情を維持できるようにケアすること」に換言可能だろう。
それはすなわち、本人が自分のあり方や人生を肯定できること、本人が本人らしく生きることができるように支援することといえるだろう。意思疎通可能か否かに拘わらず、「これが私らしい。私はこれでよい」と本人が言える、あるいは本人の視点で判断した場合にそう言える状態を維持しようと努力するかどうか。医療とケアの専門職にはその姿勢が問われている。
人は皆、自分の価値や好みや思想信条や人生観や大事な人の想いなどを反映させながら、日々の経験を意味づけ、また経験同士を意
味づけながら、人生の物語りを創りつつ生きてきる。エンドオブライフ・ケアを受ける段階では、患者は人生の集大成の時期を生きている。
生物学的な生命である身体の状態を医療によって整えることは重要であるが、それは身体そのもののためというよりも、身体を土台として本人が展開している人生の物語りを充実させるためである。歯科の専門職は医療ケアチームの一員として、患者の人生の物語りを充実させるケアに努めることが求められている。それが人生の尊厳を守ることにつながる。

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第○回△△学会総会・学会総会
会期：20○○年○月○日（○）〜○日（○）

会場：○□△○○○○○○○○○○○○○

㸦ࢩ࣏ࣥࢪ࣒࢘ࡢ㢼ᬒ㸧㸲㸬⥲ᣓ་⛉࡜ࡢࢩ࣮࣒ࣞࢫ࡞㐃ᦠࢆᅗࡿࡓࡵࡢ௻⏬࡜࡞ࡾࠊ୰㛫ホ౯࡟࡚せᮃࡉࢀࡓࠊ඲ᅜࣞ࣋ࣝࡢᏛ఍࡟࠾ࡅࡿࢩ࣏ࣥࢪ࣒࢘➼ࢆ㏻ࡌ࡚ࠊᮏྲྀ⤌ࢆ་ᖌࢆྵࡵ
ࡓ་⒪㛵ಀ⪅࡟ᗈࡃㄆ㆑ࡋ࡚ࡶࡽ࠺ᶵ఍࡜࡞ࡗࡓࠋࡀࢇ་⒪࡟࠿࠿ࢃࡿከ⫋✀඲⯡ࡢከࡃࡢཧຍ⪅ࢆᑐ㇟࡜ࡋࠊ་ᏛࠊṑᏛࠊ┳ㆤᏛࠊ⸆Ꮫࡉࡽ࡟ࡣṚ⏕Ꮫ࣭ᛂ⏝೔⌮Ꮫ࡟ࡶ㋃ࡳ㎸ࡴ㆟ㄽࢆ⾜࠺ᶵ఍࡜࡞ࡗࡓࠋ
ᘬࡁ⥆ࡁᮏྲྀࡾ⤌ࡳࢆ་⒪㛵ಀ⪅࡟ᗈࡃㄆ㆑ࡋ࡚ࡶࡽ࠺ᶵ఍ࡢ௻⏬ࠊᐇ᪋ࢆ᥎ࡋ㐍ࡵࡿࠋ  

㈨ᩱ䠑ᒸᒣ኱Ꮫ ≉Ⰽ࠶ࡿ་⒪ᨭ᥼ṑᏛᩍ⫱ࣉࣟࢢ࣒ࣛ
㧗ᗘ་⒪ᨭ᥼࣭࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ᐇ⩦ ኱Ꮫ㛫஺ὶሗ࿌᭩㻌ᐇ⩦ᮇ㛫㻌ᖹᡂ  ᖺ  ᭶  ᪥㹼 ᪥ࠊ ᭶  ᪥㹼 ᪥ᑐ㇟⪅䞉ேᩘ㻌᪥ᮏ኱Ꮫཬࡧ㛗ᓮ኱Ꮫ  ᖺḟᏛ⏕ྛ  ྡᢸᙜᩍဨ᭮ᡃ㈼ᙪ㸪ᒣ୰⋹Ꮚ㸪ᅬ஭ᩍ⿱㸪๓⏣࠶ࡎࡉ㸪ᮡᮏᜤᏊ㸯㸬ᴫせ ࢳ࣮࣒་⒪ࡢព⩏㸪ከ⫋✀ࡢᵓᡂဨ࡟ࡘ࠸࡚⌮ゎࡋ㸪ṑ⛉་ᖌࡢᙺ๭࡟ࡘ࠸࡚Ꮫࡪࡇ࡜ࢆ
┠ⓗ࡜ࡋࡓᐇ⩦࡛࠶ࡿࠋᐇ㝿ࡢデ⒪࡟❧ࡕ఍࠸㸪⏕Ṛࡢ⊃㛫࡟⨨࠿ࢀࡓᝈ⪅ࡸࡑࡢᝈ⪅ࢆᨭ࠼ࡿேࠎ࡜᥋ࡍࡿࡇ࡜࡛㸪་⒪ே࡜ࡋ࡚ࡢࣉࣟࣇ࢙ࢵࢩࣙࢼࣜࢬ࣒ࢆ⫱ࡴయ㦂ࢆࡍࡿࠋࡲࡓ㸪ከ⫋✀࡜㐃ᦠࡋ㸪ᡭ⾡㸪໬Ꮫ⒪ἲ㸪ᨺᑕ⥺἞⒪㸪ච␿ᢚไ⒪ἲ࡞࡝ࡢ་⛉἞⒪ࢆཷ
ࡅࡿᝈ⪅ࡢ⑌ᝈཬࡧ඲㌟≧ែ㸪ಶேⓗ࣭♫఍ⓗ⫼ᬒ㸪་⛉἞⒪ࡢ᪉㔪➼࡟ࡘ࠸࡚ᢕᥱࡋࡓୖ
࡛㸪ṑ⛉⑌ᝈ࡟ࡘ࠸࡚ࡢデ᩿ࢆ⾜࠸㸪Ỵᐃࡋࡓṑ⛉἞⒪᪉㔪࡟ᇶ࡙ࡁ㸪ṑ⛉἞⒪ィ⏬ࢆ❧᱌ࡋ㸪ᚲせ࡞ṑ⛉἞⒪ࢆ⾜࠺࡜࠸࠺㸪୍㐃ࡢὶࢀ࡟ࡘ࠸࡚Ꮫࡪෆᐜ࡛࠶ࡿࠋ ᐇ⩦㡯┠࡜ࡋ࡚ࡣ㸪ձึ᪥࢞࢖ࢲࣥࢫ㸪ղࢳ࣮࣒་⒪ྠ⾜ᐇ⩦㸪ճ་⛉࠿ࡽࡢ⤂௓ᝈ⪅ࡢデ⒪ぢᏛ㸪մPost clinical clerkship OSCE㸪յᐇ⩦ᚋ࣏࣮ࣞࢺ࠿ࡽᡂࡾ❧ࡗ࡚࠸ࡿࠋ ࢳ࣮࣒་⒪ྠ⾜ᐇ⩦ࡣ㸪࿘⾡ᮇ⟶⌮ࢭࣥࢱ࣮⾡๓እ᮶ࡢཷデᝈ⪅ࢆᑐ㇟࡜ࡋࡓ࢚ࢫࢥ࣮ࢺ
ᐇ⩦㸪እ᮶໬Ꮫ⒪ἲᐊぢᏛ㸪%LR&OHDQ5RRP㸦㐀⾑⣽⬊⛣᳜ࢆ୺┠ⓗ࡜ࡍࡿ⑓ᐊ㸧ぢᏛ㸪,&8ཱྀ⭍ࢣ࢔ࣛ࢘ࣥࢻぢᏛཬࡧ⦆࿴ࢣ࢔ࢳ࣮࣒࢝ࣥࣇ࢓ࣞࣥࢫ㸤ࣛ࢘ࣥࢻぢᏛࢆᐇ᪋ࡋ࡚࠸ࡿࠋ ᮏᐇ⩦ᒚಟࢆ㏻ࡌ㸪་⒪ே࡜ࡋ࡚࠶ࡿ࡭ࡁጼࢆᏛ⏕࡜⪃࠼ࡿ࡜࡜ࡶ࡟㸪ṑ⛉་ᖌ࡟࡞ࡗࡓ
ᚋ㸬✚ᴟⓗ࡟ࢳ࣮࣒་⒪࡬ཧ⏬࡛ࡁࡿேᮦ⫱ᡂࢆ┠ᣦࡋ࡚࠸ࡿࠋ
㸰㸬ཷධ≧ἣ ᮏᏛ࡛ࡣ㸪㧗ᗘ་⒪ᨭ᥼࣭࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ᐇ⩦㸦ᚲಟ㸸 ༢఩㸧ࡣ㸪᭱⤊Ꮫᖺࡀᒚಟ
ࡍࡿデ⒪ཧຍᆺ⮫ᗋᐇ⩦ࡢᐇ᪋ᮇ㛫㸦ᖹᡂ  ᖺ  ᭶ࠥᖹᡂ  ᖺ  ᭶㸧࡟୪⾜ࡋ࡚ᐇ᪋ࡋ࡚࠾ࡾ㸪ᖹᡂ  ᖺᗘ࠿ࡽጞࡲࡗࡓᮏ஦ᴗ࡟࠾ࡅࡿ㐃ᦠ኱ᏛṑᏛ㒊⏕ࡢᮏᐇ⩦ཷࡅධࢀ࡟ࡘ࠸࡚㸪௒ᖺᗘࡣ ࠥ ᭶࡟᪥ᮏ኱Ꮫ࠿ࡽ  ྡ㸪㛗ᓮ኱Ꮫ࠿ࡽ  ྡཷࡅධࢀࡓࠋ

㈨ᩱ䠒ᖹᡂ 29 ᖺᗘ 㛗ᓮ኱Ꮫ 㞳ᓥṑ⛉ಖ೺་⒪ࢧ࣐࣮ࢫࢡ࣮ࣝ
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≉ู㣴ㆤ⪁ே࣮࣒࣍ࠕྈ⊁Ⲯࠖ♫఍⚟♴༠㆟఍ᐩỤᨭᡤᒱᐟṑ⛉デ⒪ᡤ࣭ᒣෆฟᙇᡤ
ஂ㈡ṑ⛉デ⒪ᡤᣦᑟᩍဨ㸸㛗ᓮ኱Ꮫ ᑠᒣ⩏ဢࠊከ⏣ᾈ᫭ࠊᒸᒣ኱Ꮫ ᮡᮏᜤᏊ㸯㸬 ᐇ⩦ࡢ┠ⓗ  㛗ᓮ኱Ꮫ୺ദࡢᮏࢧ࣐࣮ࢫࢡ࣮ࣝࡣࠊᩥ㒊⛉Ꮫ┬ ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂࣉࣟࢢ࣒ࣛࡢ୍⎔࡜ࡋ࡚ᐇ᪋ࡉࢀ࡚࠾ࡾࠊ㠀ᖖ࡟㔜せ࡞ᩍ⫱ࣉࣟࢢ࣒ࣛࡢ㸯ࡘ࡛࠶ࡿࠋ㛗ᓮ┴஬ᓥᕷ࡛ࡣࠊᆅᇦ࡟ᐦ╔ࡋࡓᗈᇦ་⒪ࢿࢵࢺ࣮࣡ࢡࡀᵓ⠏ࡉࢀ࡚࠾ࡾࠊᆅ
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ʼᜱȷӝᏸǱǢȷִᲢ ‫ ޛ ܿ ޟ‬ϋ  ഫȠ ʼᜱȷӝᏸǱȳᲢ݈൶ ഫ‫ܖ‬ᢿ



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ྛᐇ⩦᪋タ࡬ࡣࠊබ⏝㌴ࠕṑᏛ㒊ྕ࡛ࠖ⛣ື

2㸱㸬 ྛᩍ⫱᪋タ࡛ࡢᐇ⩦ෆᐜ㸯㸧㞳ᓥṑ⛉ಖ೺་⒪◊✲ᡤ㛗ᓮ኱Ꮫ 㞳ᓥṑ⛉ಖ೺་⒪ ࢧ࣐࣮ࢫࢡ࣮ࣝࡢᣐⅬ࡜ࡋ࡚⚾ࡓࡕࡀ฼⏝ࡋࡓ᪋タ࡛࠶ࡾࠊᙜ◊✲ᡤ࡟ࡣࠊデ⒪⏝ࢳ࢙࢔ࠊᏛ⏕ᐟἩ᪋タࠊྎᡤࠊᾎሙࠊὙ℆ሙࠊࢭ࣑ࢼ࣮
ᐊࡀᩚഛࡉࢀ࡚࠸ࡿࠋ᫖ᖺᗘ
ࡲ࡛ࡣࠊᐇ⩦୰ࡣ⮬⅕ࢆࡋ࡞
ࡀࡽ᪋タෆ࡟ᐟἩࡋ࡚࠸ࡓࡀࠊ᪋タࡢ⪁ᮙ໬࡟ࡼࡾ⪏㟈ᙉᗘ࡟ၥ㢟ࡀ࠶ࡿ࡜ࡢࡇ࡜࡛ࠊ௒ᖺᗘ࠿ࡽࡣ࢚࢜ࣜࣥ
ࢸ࣮ࢩࣙࣥࡸࠊᄟୗෆど㙾᳨ᰝࡢ᣺ࡾ㏉ࡾᏛ⩦⏝ࡢ᪋タ࡜ࡋ࡚฼⏝ࡉࢀ࡚࠸ࡿࠋ࢜
࢚ࣜࣥࢸ࣮ࢩ࡛ࣙࣥࡣࠊ௒ᚋࡢணᐃࡢㄝ᫂ࠊ஬ᓥᕷࡢᴫせࠊᄟୗ࡜ཱྀ⭍ࢣ࢔࡟ࡘ࠸࡚ࡢᴫせࢆᩍ࠼࡚㡬࠸ࡓࠋࡑࡢࡓࡵࠊࡇࢀ࠿ࡽඛ⮬ศࡓࡕࡀᏛࢇ࡛࠸ࡃࡇ࡜ࡢ๓▱㆑ࡀධࡾࠊぢᏛ୰࡟ᚓࡽ
ࢀࡿ⪃ᐹࡀ㇏࠿࡟࡞ࡗࡓࠋࡉࡽ࡟ࠊಖ⫱ᅬゼၥ᫬ࡢࡓࡵ࡟ࠊேᙧ๻⦎⩦ࢆ࠾ࡇ࡞ࡗ
ࡓࡀࠊࡇࡢ⦎⩦ࢆ㏻ࡋ࡚Ꮚ࡝ࡶࡓࡕ࡟႐ࢇ࡛ࡶࡽࡗ࡚ṑ☻ࡁࡀ኱஦ࡔ࡜࠸࠺ࡇ࡜ࢆ
࡝࠺₇ࡌࢀࡤᴦࡋࡃࡳࡘࡘᏛࢇ࡛ࡶࡽ࠼ࡿࡔࢁ࠺࡜ᕤኵࢆจࡽࡍࡇ࡜ࡀ࠶ࡗࡓࠋᐇ
⩦ཧຍ⪅ⓙ࡛๻ࢆᴦࡋࡃࡍࡿᕤኵࢆ୍⥴࡟⪃࠼ࠊࢳ࣮࣒࣮࣡ࢡࢆ῝ࡵࡿࡇ࡜ࡀ࡛ࡁ
ࡓࠋ㸰㸧஬ᓥ୰ኸ⑓㝔㸦ᦤ㣗ᄟୗᅇデ㸧 ஬ᓥ୰ኸ⑓㝔ࡣࠊᩆᛴእ᮶ࡸ࣏࣮࣊ࣜࢺࡶഛ࠼ࡓୗ஬ᓥᆅ
༊ࡢᇶᖿ⑓㝔࡛࠶ࡾࠊᄟୗࢳ࣮࣒ࡢ⑓Ჷᅇデྠ⾜ᐇ⩦ࢆ⾜ࡗࡓࠋᦤ㣗࣭ᄟୗ㞀ᐖ┳ㆤㄆᐃ┳ㆤᖌࢆ୰ᚰ࡟⪥㰯⛉་ᖌࠊ⟶⌮ᰤ㣴ኈࠊゝㄒ⫈ぬኈࠊṑ⛉་ᖌ࠿ࡽ࡞ࡿᄟୗࢳ࣮࣒࡟࡚ࠊᄟୗホ౯ࡸ㣗ᙧែࡢ᳨ウࠊཱྀ⭍ࢣ࢔➼ࠊ⫋✀㛫࡛஫࠸࡟㐃ᦠࢆྲྀࡾ࡞ࡀࡽࠊᝈ⪅ࡢᦤ㣗ᶵ⬟ࡢᨵၿࢆᅗࡗ࡚࠸ࡿࡇ࡜ࡀ㛫㏆࡛ぢ࡚ྲྀࢀࡿࡼ࠺࡞ᐇ⩦ෆᐜ࡟࡞ࡗ࡚࠸ࡿࠋᄟୗࡢ⡆౽࡞᳨ᰝࡣ࣋ࢵࢻࡢୖ࡛ࠊ⯉ࡢືࡁࢆぢࠊ㡢ࢆ⪺ࡁࠊᣲືࢆほᐹࡋ࡚࠸ࡓࠋࡋ࠿ࡋࠊࡑࢀࡒࢀࣞ࣋ࣝࡀ⣽࠿ࡃ㐪ࡗ࡚࠾ࡾࠊࡲ
ࡓㄆ▱ᶵ⬟➼ࡶྵࡵ࡚⥲ྜุ᩿ࡉࢀ࡞ࡅࢀࡤ࡞ࡽࡎࠊ῝࠸▱㆑࡜⤒㦂ࡀᚲせ࡛࠶ࡿ࡜▱ࡗࡓࠋࡉࡽ࡟ࠊVF ࡜ VE ࢆྜࢃࡏ࡚ぢᏛࡋࡓࠋᝈ⪅ᵝࡢᄟୗ㣗࡟ࡘ࠸࡚ࡢࢣ࢔ࣉࣛࣥࢆᵓ⠏ࡋ࡚࠸ࡃࡇ࡜ࡣࠊ୍ே࡛ࡣุ᩿ࡢ࡛ࡁ࡞࠸ࠊࢳ࣮࣒࡛ぢࡘࡅ࡚3࠸ࡃࡇ࡜ࢆ▱ࡗࡓࠋ㸱㸧஬ᓥᕷ೺ᗣᨻ⟇ㄢ㸦ಖ⫱ᅬ࡛ࡢᆅᇦṑ⛉ಖ೺άື㸧 ೺ᗣᨻ⟇ㄢࡢṑ⛉⾨⏕ኈࡀ୰ᚰ࡜࡞ࡗ࡚⾜ࡗ࡚࠸ࡿ஬
ᓥᕷෆࡢಖ⫱ᅬ࡛ࡢࡴࡋṑண㜵ᩍᐊࠕࣆ࢝ࣆ࢝ṑࡗࡨ࣮ᩍᐊࠖ࡟࡚㸲ࠊ㸳ṓඣ࡜ࡑࡢಖㆤ⪅ࢆᑐ㇟࡟ṑᏛ㒊Ꮫ⏕࡟ࡼࡿேᙧ๻ࠊṑ⛉⾨⏕ኈ࡟ࡼࡿࡴࡋṑண㜵࡟ࡘ࠸࡚ࡢㅮヰࠊࣈࣛࢵࢩࣥࢢᣦᑟࢆ⾜ࡗࡓࠋᏊ౪ࡓࡕ࡟ࡶศ࠿ࡾࡸࡍ࠸ゝⴥ࡜࢚ࣆࢯ࣮ࢻࡀᏊ࡝ࡶࡓࡕ࡟ᴦࡋࡃᏛࢇ࡛ࡶࡽ࠺ࡇ࡜࡟㔜せ࡛࠶ࡿࡇ࡜ࢆᐇឤࡋࡓࠋ᭤࡟ྜࢃࡏࡓඛ⏕ࡢࣔࢹࣜࣥࢢ࡟ࡼࡿṑ☻ࡁᣦᑟࡀ⾜ࢃࢀࡓࡀࠊ⥡㯇࡟☻ࡇ࠺࡜㞟୰ࡋ࡚࠸ࡿࡇ࡜ࡀ༳㇟ⓗ࡛࠶ࡗࡓࠋ୍᪉࡛ࠊṑ୪ࡧࡢᝏ࠸Ꮚ౪
ࡶ࠾ࡾࠊṑ୪ࡧࡸ▹ṇࡢ㔜せᛶࡀ࠶ࡲࡾ▱ࡽࢀ࡚࠸࡞࠸ࡢ࠿ࠊ⤒῭ⓗ࡞⌮⏤࡞ࡢ࠿ࡣศ࠿ࡽ࡞࠿ࡗࡓࡀࠊ㞳ᓥࡽࡋ࠸Ꮚ࡝ࡶࡓࡕࡢṑࡢ஦᝟ࡢࡼ࠺࡟ឤࡌࡓࠋ

㸲㸧஬ᓥᕷ೺ᗣ㛗ᑑㄢ㸦ᆅᇦໟᣓᨭ᥼ࢭࣥࢱ࣮㸧⚟Ụᓥ࡛ࡣࠊ௓ㆤண㜵࣭᪥ᖖ⏕άᨭ᥼⥲ྜ஦ᴗࡣࠊᆅᇦࡢ஫ຓࠊẸ㛫ࢧ࣮ࣅࢫ࡞
࡝ᵝࠎ࡞ேⓗ㈨※࡟ࡼࡗ࡚ᨭ࠼ࡽࢀ࡚࠾ࡾࠊ௒ᅇࡢᐇ⩦࡛ࡣࠊ࣎ࣛࣥࢸ࢕࢔ࡀᨭ࠼ࡿ
࣑ࢽ࣭ࢹ࢖ࢧ࣮ࣅࢫ࡬ཧຍࡋࡓࠋ࣑ࢽ࣭ࢹ࢖ࢧ࣮ࣅࢫࡢ฼⏝⪅ࡣࠊ70㹼80 ṓ௦ࡢせᨭ᥼ㄆᐃࢆཷࡅ࡚࠸ࡿ᪉ࠎ࡛࠶ࡾࠊᆅᇦࡢබẸ㤋➼࡟ 20 ྡ๓ᚋࡀ㞟ࡲࡿࠋ฼⏝⪅ࡀ
ࠕ1 㐌㛫࡛ࡇࡢ᫬㛫ࢆ୍␒ᴦࡋࡳ࡟ࡋ࡚࠸ࡿࠖ࡜ヰࡋ࡚࠾ࡾࠊࢤ࣮࣒ࢆ㏻ࡋࡓ඲㌟㐠
ື࡞࡝ࢆ஺࠼࡚ࠊ㏆ᡤࡢ᪉ࠎ࡜ᴦࡋࡳ࡞ࡽ஺ὶࢆ῝ࡵࡓࠋࡉࡽ࡟ࠊၚᾮ⭢ࡢ࣐ࢵࢧ࣮
ࢪࡸࣃࢱ࢝ࣛయ᧯࡞࡝ࡶ⾜ࢃࢀ࡚࠾ࡾࠊཱྀ⭍ࡢ೺ᗣࡀព㆑ࡉࢀ࡚࠸ࡿࡇ࡜ࢆ▱ࡗࡓࠋṑᏛ⛉ࡢᏛ⏕࡜ࡋ࡚ᐇ⩦ཧຍ⪅ࡢⓙ࡜ヰࡋྜ࠸࡞ࡀࡽࠊṑࡸཱྀ⭍ෆࡢ␲ၥ࡟࠾⟅࠼ࡍࡿ᫬㛫ࢆ㡬࠸ࡓࠋࡇࡢᖺ௦ࡢ᪉ࠎࡀṑࢆ೺ᗣ࡟ಖࡘࡓࡵ࡟ఱࢆࡋࡓࡽࡼ࠸ࡢ࠿ࠊ࠾
Ꮮࡉࢇ࡟ᩍ࠼ࡽࢀࡿࡇ࡜ࡣ࡞࠸ࡢ࠿࡜ࠊᵝࠎ࡞␲ၥࢆᣢࡗ࡚࠸ࡿࡇ࡜ࢆᏛࢇࡔࠋ

4㸳㸧஬ᓥᕷ♫఍⚟♴༠㆟఍ ࢹ࢖ࢧ࣮ࣅࢫࢭࣥࢱ࣮ࡣࡲࡺ࠺  㞳ᓥṑ⛉ಖ೺་⒪◊✲ᡤ࡟㞄᥋ࡋ࡚࠸ࡿ᪋タ࡛࠶ࡾࠊせ௓ㆤ㸯ࠊ㸰ࡢ᪉ࡀࢹ࢖ࢧ࣮ࣅࢫࢆ
฼⏝ࡋ࡚࠸ࡿࠋ฼⏝⪅࡜ࡢ఍ヰࡸࣞࢡ࢚࣮ࣜࢩ
ࣙࣥࠊධᾎ௓ຓ➼ࠊゐࢀྜ࠸ࢆ኱ษ࡟ࡋ࡞ࡀࡽ
⫋ဨ࡜୍⥴࡟ᐇ⩦ࢆ⾜ࡗ࡚࠾ࡾࠊᮅࡢࢫࢱࢵࣇ
࣑࣮ࢸ࢕ࣥࢢ࠿ࡽኤ᪉ࡢ㏦㏄ࡲ࡛ࡢ㸯᪥ࡢࢫࢣࢪ࣮ࣗࣝࡢ୰࡛ࠊᙜ᪋タ࡛ࡢ௓ㆤࢧ࣮ࣅࢫ࡟
ࡘ࠸࡚Ꮫࡪࡇ࡜ࡀ࡛ࡁࡿࡼ࠺࡟࡞ࡗ࡚࠸ࡿࠋ⮬ຊ࡛㣗࡭ࡿࡇ࡜ࡣฟ᮶ࡿࡀࠊ้ࡳ㣗ࠊ࡜ࢁࡳ㣗࡞࡝ࠊ୍ே୍ே㣗஦ࡢᙧែࡀ㐪ࡗ࡚࠸ࡓࠋࡲࡓ
ࣞ࣋ࣝ࡟ྜࢃࡏ࡚❑ࡳࢆࡘࡅࡓ㣗ჾ࡞࡝ᕤኵ
ࡀ࠶ࡾࠊṑࡢ≧ែࡔࡅࢆデࡿࡢ࡛ࡣ࡞ࡃࠊㄆ▱࣭㐠ືࡢࣞ࣋ࣝ࠿ࡽࡶཱྀࢆ౑ࡗࡓ͆㣗࡭ࡿ͇ᶵ⬟ࢆ᝿ീࡋࠊᨭ࠼ࡿṑ⛉་ᖌ࡟࡞ࡾࡓ࠸࡜ᛮࡗࡓࠋ

㸴㸧≉ู㣴ㆤ⪁ே࣮࣒࣍ྈ⊁Ⲯ ᮏ᪋タ࡛ࡣ㓄⮃ࠊཱྀ⭍ࢣ࢔࡞࡝᪋タ࡛ࡢయ㦂ᐇ⩦ࢆ⾜࠺ࠋࡲࡓࠊ௓ㆤ⌧ሙ࡛≉ᾎ௓ຓࡢᐇ⩦ࡸ㧗㱋⪅ࡢ᪉ࠎ࡜ゐࢀྜ࠸ࠊᑡࡋ࡛ࡶඹឤࡍࡿࡇ࡜ࢆ┠ᣦࡋ࡚࠸ࡿࠋ60ྡࡢධᒃ⪅ࡣ 6 ࡘࡢ⏕ά༢఩࡛ᵓᡂࡉࢀࡓࣘࢽࢵࢺ㸦1㹼6 ୎┠㸧࡛㐣ࡈࡋ࡚࠾ࡾࠊ
1㹼5 ୎┠ࡣ㛗ᮇࠊ6 ୎┠ࡣ▷ᮇ฼⏝⪅࡜࡞ࡗ࡚࠸ࡿࠋࢹ࢖ࢧ࣮ࣅࢫࡶేタࡉࢀ࡚࠸ࡿࠋ1 ࡘࡢ⏕ά༢఩ࡣࠊಶᐊ࡜ࣜࣅࣥࢢࠊ࢟ࢵࢳࣥࠊᾎᐊ࡞࡝࠿ࡽ࡞ࡿ 10 ேࡢఫࡲ࠸࡛࠶ࡿࠋ≉ᾎࡣ㞀ᐖᗘ࡟ᛂࡌࡓ฼⏝ࡀ࡞ࡉࢀ࡚࠸ࡿࠋࡉࡽ࡟ࠊᬕࢀࡓ᪥ࡣእ࡛ࠊ
㞵ࡢ᪥ࡣᗯୗࢆ౑⏝ࡋ࡚Ṍ⾜カ⦎ࢆ⾜ࡗ࡚࠸ࡿࠋᐇ⩦ཧຍ⪅ࡢⓙ࡛ࠊᮅࡢ᳨
ᅽࡸ⾑ᐃ࡞࡝ࢆ࠾ࡇ࡞ࡗࡓࠋᮅࡢ೺ᗣࢳ࢙ࢵࢡࡀ୍᪥ࡢࡑࡢ᪉ࡢࢫࢣࢪ࣮ࣗࣝࢆỴࡵࡿ㔜せ࡞ព࿡ࢆᣢࡘࡇ࡜ࢆᏛࢇࡔࠋࢫࢱࢵࣇࡢ᪉ࠎࡀ͆ᶵ⬟ࢆᅇ᚟ࡉࡏࡿ͇࡜࠸࠺
Ⓨ᝿࡛ࠊධᡤ⪅ࡢ᪉ࡢ࢔ࢭࢫ࣓ࣥࢺ࡜ࣜࣁࣅࣜࢆ⾜ࡗ࡚࠸ࡿࡇ࡜ࡀ᪂ࡋ࠸Ⓨ᝿ࡔ࡜ឤࡌࡓࠋᐇ㝿ࠊ᪋タධᡤᚋ࡟⫶ࢁ࠺ࢆṆࡵཱྀ࡚࠿ࡽᦤྲྀ࡛ࡁࡓ᪉ࡶ࠸ࡓࠋ5㸵㸧་⒪ἲேࡇࡲࡁṑ⛉་㝔⚟Ụᓥ࡛ᆅᇦṑ⛉་⒪ࢆ⾜ࡗ࡚࠸ࡿṑ⛉་㝔࡛ࠊ㛗ᓮ኱Ꮫ㞳ᓥᐇ⩦ࡢ༠ຊ᪋タ࡜࡞ࡗ࡚࠸ࡿࠋ೺ᗣ࡛㔠㖹ⓗ࡟ࡶవ⿱ࡀ࠶ࡿ
ேࡀࠊṑ⛉἞⒪ࢆཷࡅࡿࡓࡵ࡟᫬㛫ࢆ࠿ࡅ࡚ᮏᅵ࡟Ώࡿࡇ࡜ࡣ࡛ࡁࡿ࡛࠶ࢁ࠺ࡀࠊ඲
࡚ࡢᓥẸࡀᮏᅵ࡛἞⒪ࢆ⾜࠺ࡇ࡜ࡀ࡛ࡁࡿ࡜ࡣ㝈ࡽ࡞࠸ࠋᮏᅵ࡜㐯Ⰽ࡞࠸ṑ⛉་⒪ࢆᥦ౪࡛ࡁࡿࡇ࡜ࠊᆅᇦࡢே࡟ᙺ❧ࡘṑ⛉་㝔࡟࡞ࡿࡇ࡜ࢆ⌮ᛕ࡟ṑ⛉་⒪ࢆ⾜ࡗ࡚࠸ࡿࡼ࠺࡛࠶ࡿࠋ஬ᓥ୰ኸ⑓㝔࡟ᦙ㏦ࡉࢀࡓᛴᝈ࡟ṑ⛉ⓗ࡞࢔ࣉ࣮ࣟࢳࡀᚲせ࡜࡞ࡗࡓ㝿࡟ࡣࠊ᫬㛫࡟㛵ಀ࡞ࡃ㐃⤡ࡀ᮶࡚ࠊᑐᛂ࡟ᙜࡓࡗ࡚࠸ࡿ࡜ࡢࡇ࡜࡛࠶ࡗࡓࠋ
▹ṇࡸᢤṑࡢ἞⒪࡞࡝⮬⏤࡟ぢᏛࡋࡓࠋඛ⏕᪉ࡀᝈ⪅ᵝࡀ࡝࠺࠸࠺≧ែࠊ࡝࠺ࡋ࡚
ࡇࡢ἞⒪ἲࢆ㑅ࢇࡔࡢ࠿࡞࡝ヲࡋࡃᩍ࠼࡚ୗࡉࡗࡓࠋᢤṑᚋࡢᢠ⏕๣ࡶᙉࡵࡢࡶࡢ
ࢆฟࡋ࡚࠸ࡓࡾࠊ▹ṇࡢჾලࡶቯࢀ࡟ࡃ࠸ࡼ࠺୎ᑀ࡞ࡶࡢࢆసࡽࢀ࡚࠸ࡓࡾࠊ㒔఍ࡢࡼ࠺࡟ఱᗘࡶ἞⒪࡟㊊ࢆ㐠ࡪࡇ࡜ࡣᑡ࡞࠸ᓥẸࡢ᪉ࠎ࡟୓୍ࡢࡇ࡜ࡀ㉳ࡁ࡞࠸ࡼ࠺࡟㓄៖ࡉࢀ࡚࠸ࡓࠋࡉࡽ࡟ࠊ஫࠸࡟㢦ࢆ▱ࡗ࡚࠸ࡿᝈ⪅ᵝ࡜ࡣᩗㄒ࡛ࡣ࡞ࡃ○ࡅࡓゝⴥ࡛ヰࡋࠊ┦ᡭࡢ୙Ᏻࢆᐹ▱ࡋ࡚ࡑࡇࢆゎᾘࡍࡿ୎ᑀ࡞ㄝ᫂ࡀࠊ㞳ᓥࡢ≉Ⰽࡢฟࡿ࢖ࣥࣇ࢛࣮࣒ࢻࢥࣥࢭࣥࢺ࡛࠶ࡿ࡜ឤࡌࡓࠋ
㸶㸧ᅜẸ೺ᗣಖ㝤 ᒱᐟṑ⛉デ⒪ᡤ࣭ᒣෆฟᙇᡤ  ⚟Ụᓥ୰໭㒊ࡢデ⒪ᡤ࡜୰ኸࡢ┅ᆅ࡟࠶ࡿᒣෆฟᙇᡤࢆ⾜ࡁ᮶ࡋࠊᆅᇦ་⒪࡟ᦠࢃࡿṑ⛉デ⒪ᡤࠋእ᮶デ⒪ࡢ࡯࠿ࠊ஬ᓥᕷෆࡢᒃᏯࠊ᪋タࠊ⑓㝔ࢆᗈᇦ࡟ デࡉࢀ࡚࠸ࡿࠋデ⒪ᡤ࡛ࡢデ⒪ࡢぢᏛ࣭⿵ຓ࡟ຍ࠼ࠊ デ࡟ࡶྠ⾜ࡋࡓࠋᝈ⪅ᵝ࠿ࡽࡢ
せᮃ࡟ࡣࠊデ⒪ᡤࡲ࡛ࡣ㐲࠸ࡓࡵ㸯ᅇࡢ἞⒪࡛⤊࠼࡚ḧࡋ࠸᪉ࡶ࠸ࢀࡤࠊఱᅇ࠿࡟
ศࡅ࡚ࡶᵓࢃ࡞࠸ࡢ࡛デ⒪ࡢ᫬㛫ࢆ▷ࡃࡋ࡚࡯ࡋ࠸᪉ࠊ㈝⏝ࡢ㈇ᢸࡀᑡ࡞࠸ࡶࡢࢆ
ồࡵࡽࢀࡿ᪉࡞࡝ᵝࠎ࡛࠶ࡗࡓࠋ୍ே୍ேࡢᕼᮃࢆ⪺ࡁฟࡋࠊᛂ࠼࡚ࡺࡃࡇ࡜ࡀࠊ
ᆅᇦ་⒪࡛㔜せ࡞ಙ㢗㛵ಀࡢᵓ⠏࡟⧅ࡀࡿࡢࡔࢁ࠺࡜ឤࡌࡓࠋ୍᪉ࠊ௜㏆࡟ṑ⛉་㝔ࡢ࡞࠸ᒣෆฟᙇᡤ࡛ࡣࠊཱྀ⭍ࢣ࢔࡞࡝ࡼࡾࡶ㔜࠸ほ⾑἞⒪࡞࡝ࡀከࡃࠊࡑࡢሙ࡛
᏶἞ࡉࡏࡿ἞⒪ࡀ㔜どࡉࢀ࡚࠸ࡲࡋࡓࠋᆅᇦ࡟ࡼࡗ࡚἞⒪ᙧែࢆ⪃࠼࡚࠸࠿࡞ࡅࢀ
ࡤ࡞ࡽ࡞࠸ࡇ࡜ࢆ▱ࡗࡓࠋ

6㸲㸬 ࡲ࡜ࡵ
ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂࣉࣟࢢ࣒ࣛ㑅ᐃ஦ᴗࠕ೺ᗣ㛗ᑑ♫఍ࢆᢸ࠺ṑ⛉་Ꮫᩍ⫱ᨵ㠉̿Ṛ⏕Ꮫࡸᆅᇦໟᣓࢣ࢔ࣔࢹࣝࢆᑟධࡋࡓ་⛉ṑ⛉㐃ᦠᩍ⫱యไࡢᵓ⠏̿ࠖࡢάືࡢ୍⎔࡜ࡋ࡚ࠊ㛗ᓮ኱Ꮫࡢ㞳ᓥ་⒪࣭ಖ೺ᐇ⩦࠾ࡼࡧṑᏛᩍ⫱ࡢᐇ᝟ࢆ▱ࡾࠊ஺ὶࢆ῝ࡵࡿࡇ࡜ࢆ┠ⓗ࡟ࠊ㞳ᓥ་⒪࣭ಖ೺ᐇ⩦ࡀᐇ᪋ࡉࢀ࡚࠸ࡿ⚟Ụᓥ࡛ࡢᐇ⩦࡟ཧຍࡋࡓࠋࡑࢀࡒࢀࡢ᪋タ࡟࠾࠸࡚ࠊࢫࢱࢵࣇࡀᏛ⏕ࢆᣦᑟࡍࡿయไࡀᵓ⠏ࡉࢀ࡚࠾ࡾࠊ་⒪࣭௓ㆤ࣭ᆅᇦಖ೺άືࡢ⌧ሙࡢᐇ᝟ࢆ⫙࡛ឤࡌࡿࡇ࡜ࡀฟ᮶ࡿᩍ⫱ࣉࣟࢢ࣒࡛ࣛ࠶ࡿࡇ࡜ࢆᐇឤࡍࡿࡇ࡜ࡀ࡛ࡁࡓࠋࡲࡎࠊᐇ⩦ཧຍ⪅ࡓࡕࡣࢳ࣮࣒࣮࣡ࢡࢆ῝ࡵࡿࡇ࡜ࡀฟ᮶ࡓࡓࡵࠊྛ᪋タ࡛⾜ࢃࢀࡓ೺ᗣࢳ࢙ࢵࢡࡸࣞࢡ࢚࣮ࣜࢩࣙࣥ࡬
ࡢཧຍࠊෆど㙾カ⦎࡜࠸ࡗࡓሙ㠃࡛༠ຊࡋྜ࠺ࡇ࡜ࡀ࡛ࡁࡓࠋࡉࡽ࡟ࠊྛ᪋タ࡛࠾఍࠸ࡋࡓඛ⏕᪉ࠊᘬ⋡ࡋ࡚ୗࡉࡗࡓඛ⏕᪉ࡶྵࡵ࡚஺ὶࢆ῝ࡵࡿࡇ࡜ࡀฟ᮶ࠊ࣑࣮ࢸ
࢕ࣥࢢࡢ㉁ࡀୖࡀࡾࠊ▱㆑ࢆ῝ࡵࡿᶵ఍ࡀቑ࠼ࡓࠋከ⫋✀㐃ᦠࡀ㔜せ࡛࠶ࡿࡇ࡜ࢆ
ᐇឤࡋࡓࠋࡇࡢࡼ࠺࡞ඃࢀࡓࣉࣟࢢ࣒ࣛࢆ᭷ࡍࡿ㐃ᦠ኱Ꮫ࡜ࡢ᝟ሗඹ᭷ࠊ༠ຊࡣ᭷
⏝࡛࠶ࡾࠊ௒ᅇࡢゼၥ࡟ࡼࡾ௒ᚋࡢᩍဨࠊᏛ⏕ࡢ┦஫஺ὶࢆࡼࡾ୍ᒙ㐍ࡵ࡚࠸ࡃࡓ
ࡵࡢព㆑ࢆ㧗ࡵࡿࡇ࡜ࡀ࡛ࡁࡓࠋྛ᪋タࢆぢᏛࡉࡏ࡚㡬࠸࡚ࠊࢫࢱࢵࣇࡢ᪉ࠎࡀ㝈
ࡽࢀࡓ㈨※ࡢ୰࡛ࠊ୍㐍୍㏥ࡍࡿ⑓≧ࡢ୰ࠊ᰿Ẽᙉ࠸ࣜࣁࣅࣜࠊ┦ᡭࡢ⏕άࡢ⫼ᬒࡲ࡛⪃៖ࡋࡓ἞⒪᪉㔪ࡢ⤌ࡳ❧࡚ࠊࢳ࣮࣒࡛ಙ㢗㛵ಀࢆࡶࡗ࡚ືࡃࡇ࡜ࢆࡉࢀ࡚࠾ࡾࠊ
య㦂ᆺᐇ⩦࡛࡞ࡅࢀࡤᚓࡽࢀ࡞࠸⤒㦂ࢆࡋࡓࠋ⚾ࡓࡕࡀṑ⛉་ᖌ࡟࡞ࡗࡓ᫬ࠊ௒ᅇ
ࡢᐇ⩦࡛ᚓࡽࢀࡓ⤒㦂ࢆࢫࢱࢵࣇࠊᝈ⪅ᵝࠊᆅᇦࡢ᪉ࠎ࡟㑏ඖࡋࡓ࠸࡜ᛮࡗࡓࠋ
ᮎグ࡟࡞ࡾࡲࡋࡓࡀࠊᘬ⋡ࡋ࡚ୗࡉࡗࡓ㛗ᓮ኱Ꮫࡢᑠᒣඛ⏕ࠊከ⏣ඛ⏕ࠊᩍ࠼࡚㡬࠸ࡓ⚟Ụᓥࡢඛ⏕᪉ࠊᒸᒣ኱Ꮫࡢᮡᮏඛ⏕ࠊⓙᵝ࡟ᮍ⇍࡞⚾ࡓࡕࡢࡓࡵ࡟㎞ᢪࡋ࡚Ꮫࡤ
ࡏ࡚㡬࠸ࡓࡇ࡜࡟῝ࡃឤㅰ⮴ࡋࡲࡍࠋ

7

㈨ᩱ䠓

㛗ᓮ኱Ꮫ 㞳ᓥṑ⛉ಖ೺་⒪ ࢧ࣐࣮ࢫࢡ࣮ࣝ
どᐹ࣭஺ὶሗ࿌᭩ ➨㸯ࢡ࣮ࣝ㸸2017 ᖺ 7 ᭶ 31 ᪥(᭶)㹼4 ᪥(㔠)➨ 2 ࢡ࣮ࣝ㸸2017 ᖺ 9 ᭶ 4 ᪥(᭶)㹼8 ᪥(㔠)ᒸᒣ኱Ꮫ⑓㝔 ㅮᖌ ኱ཎ┤Ꮚᒸᒣ኱Ꮫ་⒪ᩍ⫱ࢭࣥࢱ࣮ ≉௵ຓᩍ ᮡᮏᜤᏊ1㸯㸬 ┠ⓗ 㛗ᓮ኱Ꮫ୺ദࡢᮏࢧ࣐࣮ࢫࢡ࣮ࣝࡣࠊᩥ㒊⛉Ꮫ┬ ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ே
ᮦ㣴ᡂࣉࣟࢢ࣒ࣛࡢ୍⎔࡜ࡋ࡚ᐇ᪋ࡉࢀ࡚࠾ࡾࠊ㧗㱋໬⋡ࡀ 37%ࢆ㉸࠼ࡿ஬ᓥᕷ⚟Ụᓥ࡛ࡢ㞳ᓥ་⒪࣭ಖ೺ᐇ⩦ࡣࠊ೺ᗣ㛗ᑑ♫఍ࢆᢸ࠺ṑ⛉་Ꮫᩍ⫱ᨵ㠉ࢆ┠ᣦࡍᮏ஦ᴗ࡟࠾࠸࡚ࠊ㠀ᖖ࡟㔜せ࡞ᩍ⫱ࣉࣟࢢ࣒ࣛࡢ㸯ࡘ࡛࠶ࡿࠋ
ᖹᡂ 27 ᖺᗘ࠿ࡽ㐃ᦠ኱ᏛࡢᏛ⏕ཷࡅධࢀࡀ㛤ጞࡉࢀ࡚࠾ࡾࠊ௒ᚋࡢ㐃ᦠ኱Ꮫ㛫ࡢ᭦࡞ࡿ┦஫஺ὶࡢ᥎㐍ࠊᐇ⩦⌧ሙࡢどᐹࡢࡓࡵ࡟ࠊࡑࢀࡒࢀࡢࢡ࣮ࣝ
࡟ᒸᒣ኱Ꮫࡢᩍဨࡀཧຍࡋࠊ㛗ᓮ኱Ꮫࡢᩍဨ࡜௒ᚋࡢ㐃ᦠᙉ໬࡟ࡘ࠸࡚ពぢ஺᥮ࢆ⾜ࡗࡓࠋ㸰㸬 ᐇ⩦᪥⛬➨ 1 ࢡ࣮ࣝ㸸2017 ᖺ 7 ᭶ 31 ᪥(᭶)㹼4 ᪥(㔠)➨ 2 ࢡ࣮ࣝ㸸2017 ᖺ 9 ᭶ 4 ᪥(᭶)㹼8 ᪥(㔠)ྛᐇ⩦᪋タ࡬ࡣࠊබ⏝㌴ࠕṑᏛ㒊ྕ࡛ࠖ⛣ື㸱㸬 ᒸᒣ࠿ࡽ⚟Ụᓥ࡬ࡢ஺㏻
࣭ᒸᒣⓎЍJR ༤ከ㥐࠿ࡽ≉ᛴ࡟࡚㛗ᓮ࡬Ѝࣇ࢙࣮࡛ࣜ⚟Ụᓥ╔
࣭ᒸᒣⓎЍJR ༤ከ㥐Ѝ⚟ᒸ✵Ѝ஬ᓥ⚟Ụ✵
2╔㸲㸬 ஬ᓥᕷࡢᴫせ࡟ࡘ࠸࡚⚟Ụᓥࡣࠊ஑ᕞࡢ᭱す➃࡟఩⨨ࡋࠊ㛗ᓮ࠿ࡽ⣙ 100km ࡟࠶ࡿ஬ᓥ

ิᓥ᭱኱ࡢᓥ࡛࠶ࡿࠋ༡す㒊ࡢ⋢அᾆࡸᮾ㒊ࡢᒱᐟ࣭⚟Ụࡣࣜ࢔ࢫᘧᾏ
ᓊ࡛ࠊ」㞧࡞ᾏᓊ⥺ࢆࡶࡘࠋすഃࡢእὒ㸦ᮾࢩࢼᾏ㸧࡟㠃ࡋࡓᆅᇦ࡛ࡣᾏ㣗
ᓴࡀࡼࡃⓎ㐩ࡋ࡚࠸ࡿࠋࡲࡓࠊᓥࡢྛ
ᡤ࡟◁὾ࡀ࠶ࡾࠊᾏỈᾎሙ࡜ࡋ࡚฼
⏝ࡉࢀ࡚࠸ࡿࠋ࠿ࡘ࡚ࡣ୰ᅜ࡜ࡢ⯟ᾏࡢ㝿ࡢᐤᆅ࡛࠶ࡾࠊ≉࡟஬ᓥิᓥ࠿ࡽᮾࢩࢼᾏࢆᶓ᩿ࡋ࡚୰ᅜ኱㝣࡬Ώ⯟ࡍࡿ㐵၈౑⯪ࡀ᭱ᚋ࡟◽Ἡࡍࡿᓥ࡛࠶ࡗࡓࠋࡲࡓ஬ᓥ⸬ࡢ࠾⭸ඖ࡜ࡋ࡚ᰤ࠼ࡓᓥ࡛࠶ࡾࠊ⌧ᅾࡶ஬ᓥࡢᨻ἞࣭⤒῭࣭ᩥ໬࣭ほගࡢ୰ᚰᆅ࡛࠶
ࡿࠋࡲࡓࠊ࢝ࢺࣜࢵࢡᩍᚐࡀከࡃࠊᩍ఍ࡀⅬᅾࡋ࡚࠸ࡿࠋ

஬ᓥᕷࡢ⥲ேཱྀࡣࠊ37,775 ே࡛࠶ࡾ㸦ᖹᡂ 29 ᖺ 4 ᭶ 1 ᪥⌧ᅾ㸧ࠊ75 ṓ௨ୖࡢேཱྀࡣ 21.3㸣ࠊ㧗㱋໬⋡ࡣ 37.56㸣࡛࠶ࡿࠋᖹᡂ 25 ᖺ᫬Ⅼ࡛ࡣࠊ௓ㆤ

3ㄆᐃ⋡ࡣ㛗ᓮ┴ෆ࡛ 1 ఩࡛࠶ࡗࡓࡀࠊ௓ㆤண㜵࣭⏕άᨭ᥼ࢧ࣮ࣅࢫ஦ᴗࡢ඘
ᐇࠊఫẸ୺య࡟ࡼࡿ㏻ᡤᆺࢧ࣮ࣅࢫ㸦ᆅᇦ࣑ࢽ࣭ࢹ࢖ࢧ࣮ࣅࢫ㸧➼᪂ࡋ࠸ᆅᇦᨭ᥼஦ᴗ࡬ࡢ᪩ᮇ⛣⾜࡟ࡼࡾࠊᖹᡂ 29 ᖺ 1 ᭶᫬Ⅼ࡛ࡣࠊ௓ㆤㄆᐃ⋡ࡣ
20.5%࡛ࠊ㛗ᓮ┴ෆ 9 ఩࡜࡞ࡗࡓࠋ㸳㸬 ᐇ⩦࡛ࡢᩍ⫱᪋タ≧ἣ㸯㸧㞳ᓥṑ⛉ಖ೺་⒪◊✲ᡤ㛗ᓮ኱Ꮫ 㞳ᓥṑ⛉ಖ೺་⒪ ࢧ࣐࣮ࢫࢡ࣮ࣝࡢᣐⅬ࡜ࡋ࡚฼⏝ࡋ࡚࠸ࡿ᪋タ࡛࠶ࡾࠊᙜ◊✲ᡤ࡟ࡣࠊデ⒪⏝ࢳ࢙࢔ࠊᏛ⏕ᐟἩ᪋タࠊྎᡤࠊᾎሙࠊὙ
℆ሙࠊࢭ࣑ࢼ࣮ᐊࡀᩚഛࡉࢀ࡚࠸ࡿࠋ᫖ᖺᗘࡲ࡛ࡣࠊᐇ⩦୰ࡣ⮬⅕ࢆࡋ࡞ࡀࡽ᪋タෆ࡟ᐟἩࡋ࡚࠸ࡓࡀࠊ᪋タࡢ⪁ᮙ໬࡟ࡼࡾ⪏㟈ᙉᗘ࡟ၥ㢟ࡀ࠶ࡿ࡜ࡢ
ࡇ࡜࡛ࠊ௒ᖺᗘ࠿ࡽࡣ࢚࢜ࣜࣥࢸ࣮ࢩࣙࣥࠊᄟୗෆど㙾᳨ᰝࡢ᣺ࡾ㏉ࡾᏛ⩦⏝ࡢ᪋タ࡜ࡋ࡚฼⏝ࡉࢀ࡚࠸ࡿࠋ

4㸰㸧஬ᓥ୰ኸ⑓㝔㸦ᦤ㣗ᄟୗᅇデ㸧 ஬ᓥ୰ኸ⑓㝔ࡣࠊᩆᛴእ᮶ࡸ࣏࣮࣊ࣜࢺࡶഛ࠼ࡓୗ஬ᓥᆅ༊ࡢᇶᖿ⑓㝔࡛࠶ࡾࠊᄟୗࢳ࣮࣒ࡢ⑓Ჷᅇデྠ⾜ᐇ⩦ࢆ⾜ࡗࡓࠋᦤ㣗࣭ᄟୗ㞀ᐖ┳ㆤㄆᐃ┳ㆤᖌࢆ୰ᚰ࡟⪥㰯⛉་ᖌࠊ⟶⌮ᰤ㣴ኈࠊゝㄒ⫈ぬኈࠊṑ⛉་ᖌ࠿ࡽ࡞ࡿᄟୗ
ࢳ࣮࣒࡟࡚ࠊᄟୗホ౯ࡸ㣗ᙧែࡢ᳨ウࠊཱྀ⭍ࢣ࢔➼ࠊ⫋✀㛫࡛஫࠸࡟㐃ᦠࢆྲྀࡾ࡞ࡀࡽࠊᝈ⪅ࡢᦤ㣗ᶵ⬟ࡢᨵၿࢆᅗࡗ࡚࠸ࡿࡇ࡜ࡀ㛫㏆࡛ぢ࡚ྲྀࢀࡿࡼ
࠺࡞ᐇ⩦ෆᐜ࡟࡞ࡗ
࡚࠸ࡿࠋᑦࠊᙜ⑓㝔࡟ࡣࠊ㛗ᓮ኱Ꮫ኱Ꮫ
㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉㞳ᓥ࡬ࡁᆅ་⒪Ꮫㅮᗙࡢ㞳ᓥ་⒪◊✲ᡤࡀタ⨨ࡉࢀ࡚࠾
ࡾࠊᩍ⫱࡜◊✲ࡢほⅬ࠿ࡽ㞳ᓥ࣭࡬ࡁᆅ་⒪ࡢ඘ᐇ࡟㈉⊩ࡋࠊࡉࡽ࡟ࡣᆅᇦάᛶ໬࡟㈨ࡍࡿࡼ࠺࡞Ꮫ㝿ⓗ◊✲࡜ᆅᇦ་⒪ே⫱ᡂࢆ⾜࠺ࡇ࡜ࢆ┠ⓗ࡟άືࡀ⾜ࢃࢀ࡚࠸ࡿࠋ㸱㸧஬ᓥᕷ೺ᗣᨻ⟇ㄢ㸦ಖ⫱ᅬ࡛ࡢᆅᇦṑ⛉ಖ೺άື㸧 ೺ᗣᨻ⟇ㄢࡢṑ⛉⾨⏕ኈࡀ୰ᚰ࡜࡞ࡗ࡚⾜ ࡗ࡚࠸ࡿ஬ᓥᕷෆࡢಖ⫱ᅬ࡛ࡢࡴࡋṑண㜵ᩍᐊࠕࣆ࢝ࣆ࢝ṑࡗࡨ࣮ᩍᐊࠖ࡟࡚㸲ࠊ㸳ṓඣ࡜ࡑࡢಖㆤ⪅ࢆᑐ㇟࡟ṑᏛ㒊Ꮫ⏕࡟ࡼࡿேᙧ
5๻ࠊṑ⛉⾨⏕ኈ࡟ࡼࡿࡴࡋṑண㜵࡟ࡘ࠸࡚ࡢㅮヰࠊࣈࣛࢵࢩࣥࢢᣦᑟࢆ⾜ࡗࡓࠋᅬඣࡓࡕࡣ᪥㡭࠿ࡽࠕ㣗࡭ࡓࡽṑࢆ☻ࡃࠋ࠾ࡸࡘࡣ୍ᅇࠋ㣧ࡳ≀ࡣ࠾Ⲕࠋࠖ࡜ᩍ࠼ࡽࢀ࡚࠾ࡾࠊேᙧ๻ࡸࣈࣛࢵࢩࣥࢢᣦᑟ࡟ᑐࡍࡿ཯ᛂࡣ኱ኚⰋ
ࡃࠊ✚ᴟⓗ࡟ྲྀࡾ
⤌ࢇ࡛࠸ࡿጼࡀ༳
㇟ⓗ࡛࠶ࡗࡓࠋ
㸲㸧஬ᓥᕷ೺ᗣ㛗ᑑㄢ㸦ᆅᇦໟᣓᨭ᥼ࢭࣥࢱ࣮㸧⚟Ụᓥ࡛ࡣࠊ௓ㆤண㜵࣭᪥ᖖ⏕άᨭ᥼⥲ྜ஦ᴗࡣࠊᆅᇦࡢ஫ຓࠊẸ㛫ࢧ࣮ࣅࢫ࡞࡝ᵝࠎ࡞ேⓗ㈨※࡟ࡼࡗ࡚ᨭ࠼ࡽࢀ࡚࠾ࡾࠊ௒ᅇࡢᐇ⩦࡛ࡣࠊ࣎ࣛࣥ
ࢸ࢕࢔ࡀᨭ࠼ࡿ࣑ࢽ࣭ࢹ࢖ࢧ࣮ࣅࢫ࡬ཧຍࡋࡓࠋ࣑ࢽ࣭ࢹ࢖ࢧ࣮ࣅࢫࡢ฼⏝⪅ࡣࠊ70㹼80 ṓ௦ࡢせᨭ᥼ㄆᐃࢆཷࡅ࡚࠸ࡿ᪉ࠎ࡛࠶ࡾࠊᆅᇦࡢබẸ㤋➼࡟
20 ྡ๓ᚋࡀ㞟ࡲࡾࠊᆅᇦࡢ࣎ࣛࣥࢸ࢕࢔ࡢ᪉ࡢࢧ࣏࣮ࢺ࡟ࡼࡾࠊ㐌㸯ᅇࠊయ᧯ࡸࣞࢡ࢚࣮ࣜࢩࣙࣥ➼ࡢάືࡀ⾜ࢃࢀ࡚࠸ࡿࠋ࡝ࡢࣞࢡ࢚࣮ࣜࢩࣙࣥ࡟࠾
࠸࡚ࡶࠊ➗࠸ࡀ࠶ࡩࢀࠊ㐌࡟୍ᗘࡢࡇࡢᶵ఍ࢆⓙࡉࢇࡀ࡜࡚ࡶᴦࡋࡳ࡟ࡉࢀ
࡚࠸ࡿᵝᏊࡀ࠺࠿ࡀ࠼
ࡓࠋ

6㸳㸧஬ᓥᕷ♫఍⚟♴༠㆟఍ ࢹ࢖ࢧ࣮ࣅࢫࢭࣥࢱ࣮ࡣࡲࡺ࠺  㞳ᓥṑ⛉ಖ೺་⒪◊✲ᡤ࡟㞄᥋ࡋ࡚࠸ࡿ᪋タ࡛࠶ࡾࠊせ௓ㆤ㸯㸪㸰ࡢ᪉ࡀࢹ࢖ࢧ
࣮ࣅࢫࢆ฼⏝ࡋ࡚࠸ࡿࠋ฼⏝⪅࡜ࡢ఍ヰࡸࣞࢡ࢚࣮ࣜࢩࣙࣥࠊධᾎ௓ຓ➼ࠊゐࢀྜ࠸ࢆ኱ษ࡟ࡋ࡞ࡀࡽ⫋ဨ࡜୍⥴࡟ᐇ⩦ࢆ⾜ࡗ࡚࠾ࡾࠊᮅࡢࢫࢱࢵࣇ࣑࣮ࢸ࢕ࣥࢢ࠿ࡽ
ኤ᪉ࡢ㏦㏄ࡲ࡛ࡢ㸯᪥ࡢࢫࢣࢪ࣮ࣗࣝࡢ
୰࡛ࠊᙜ᪋タ࡛ࡢ௓ㆤࢧ࣮ࣅࢫ࡟ࡘ࠸࡚Ꮫ
ࡪࡇ࡜ࡀ࡛ࡁࡿࡼ࠺࡟࡞ࡗ࡚࠸ࡿࠋ

㸴㸧≉ู㣴ㆤ⪁ே࣮࣒࣍ྈ⊁Ⲯ  ᮏ᪋タࡣ 60 ྡࡢධᒃ⪅ࡀ࠾ࡽࢀࠊ10 ேࢆ 1 ࣘࢽࢵࢺ࡜ࡋࡓࣘࢽࢵࢺᆺ
≉㣴࡛࠶ࡾࠊධᒃ⪅ࡢᒃᐊࡣ඲ᐊಶᐊ࡛ࠊࣘࢽࢵࢺࡈ࡜࡟タ⨨ࡉࢀ࡚࠸ࡿࣜ
ࣅࣥࢢ࡟ࡣࠊ㣗ჾᲴࠊᑐ㠃࢟ࢵࢳࣥࠊ෭ⶶᗜࠊ⅕㣤ჾࠊ㟁Ꮚࣞࣥࢪ࡞࡝ࠊᬽ
ࡽࡋࡢᚲ㟂ရࡀྲྀࡾᥞ࠼ࡽࢀ࡚࠸ࡿࠋᩘከࡃࡢධᾎሙࡀ࠶ࡾࠊ≉ᾎࡣ㞀ᐖᗘ࡟ᛂࡌࡓ฼⏝ࡀ࡞ࡉࢀ࡚࠸ࡿࠋ⮬❧ᨭ᥼௓ㆤࡢᐇ㊶࡜ࡋ࡚ࠊ1 ᪥ 1500ml ࡢỈศᦤྲྀࠊṌ⾜カ⦎ࠊ᪥୰࠾ࡴࡘࢮࣟ㐠ື࡞࡝࡟⇕ᚰ࡟ྲྀࡾ⤌ࢇ࡛࠾ࡽࢀࡓࠋ  ᮏ᪋タ࡛ࡣࠊࣂ࢖ࢱࣝ

ᐃࠊཱྀ⭍ࢣ࢔ࠊ㣗஦௓ຓ➼ࡢᐇ⩦ࠊ⫶⒦ὀධぢᏛࢆ⾜ࡗࡓࠋࡲࡓࠊࢣ࢔࣐ࢿ࣮ࢪ࣮ࣕࠊṑ⛉⾨⏕ኈࠊ⸆๣ᖌࠊ┳ㆤᖌࡢ᪉ࠎࡢ
7⌧ሙࡢヰࢆ⪺࠸ࡓࡾࠊධᒃ⪅ࡢ᪉ࠎ࡜ゐࢀྜࡗࡓࡾࡍࡿࡇ࡜࡟ࡼࡾࠊ㧗㱋⪅ࡢ❧ሙࡸᚰ⌮ࢆ⪃࠼ࠊ♫఍⚟♴࡟ࡘ࠸࡚Ꮫࡪࡇ࡜ࡀ࡛ࡁࡿࡼ࠺࡟ィ⏬ࡉࢀ࡚࠸ࡓࠋ㸵㸧་⒪ἲேࡇࡲࡁṑ⛉་㝔⚟Ụᓥ࡛ᆅᇦṑ⛉་⒪ࢆ⾜ࡗ࡚࠸ࡿṑ⛉་㝔࡛ࠊ㛗ᓮ኱Ꮫ㞳ᓥᐇ⩦ࡢ༠ຊ᪋タ࡜࡞ࡗ࡚࠸ࡿࠋ೺ᗣ࡛㔠㖹ⓗ࡟ࡶవ⿱ࡀ࠶ࡿேࡀࠊṑ⛉἞⒪ࢆཷࡅࡿࡓ
ࡵ࡟᫬㛫ࢆ࠿ࡅ࡚ᮏᅵ࡟Ώࡿࡇ࡜ࡣ࡛ࡁࡿ࡛࠶ࢁ࠺ࡀࠊ඲࡚ࡢᓥẸࡀᮏᅵ࡛἞⒪ࢆ⾜࠺ࡇ࡜ࡀ࡛ࡁࡿ࡜ࡣ㝈ࡽ࡞࠸ࠋᮏᅵ࡜㐯Ⰽ࡞࠸ṑ⛉་⒪ࢆᥦ౪࡛ࡁ
ࡿࡇ࡜ࠊᆅᇦࡢே࡟ᙺ❧ࡘṑ⛉་㝔࡟࡞ࡿࡇ࡜ࢆ⌮ᛕ࡟ṑ⛉་⒪ࢆ⾜ࡗ࡚࠸ࡿࡼ࠺࡛࠶ࡿࠋ஬ᓥ୰ኸ⑓㝔࡟ᦙ㏦ࡉࢀࡓᛴᝈ࡟
ṑ⛉ⓗ࡞࢔ࣉ࣮ࣟࢳࡀᚲせ࡜࡞ࡗࡓ㝿࡟ࡣࠊ᫬㛫࡟㛵ಀ࡞ࡃ㐃⤡ࡀ᮶࡚ࠊᑐᛂ࡟ᙜࡓࡗ࡚࠸ࡿ࡜ࡢ
ࡇ࡜࡛࠶ࡗࡓࠋ

㸶㸧ᅜẸ೺ᗣಖ㝤 ᒱᐟṑ⛉デ⒪ᡤ࣭ᒣෆデ⒪ᡤᒱᐟṑ⛉デ⒪ᡤࡣ⚟Ụᓥ୰໭㒊࡟࠶ࡾࠊᒣෆデ⒪ᡤࡣ⚟Ụᓥࡢ୰ኸࡢ┅ᆅ

8࡟࠶ࡿࠋ୍ேࡢṑ⛉་ᖌࡀ୧デ⒪ᡤࢆ⾜ࡁ᮶ࡋ࡞ࡀࡽࠊእ᮶デ⒪࠾ࡼࡧ஬ᓥ
ᕷෆࡢᒃᏯࠊ᪋タࠊ⑓㝔ࢆᗈᇦ࡟ デࡋࠊᆅᇦṑ⛉་⒪࡟㈉⊩ࡉࢀ࡚࠸ࡿࠋ
ཧຍ⪅Ꮫ⏕ࡢ༙ศࡀᮏデ⒪ᡤ࡛ࡢእ᮶ぢᏛࠊ⿵ຓ࡜ デ࡟ྠ⾜ࡋࡓࠋ  

9㸧ஂ㈡ṑ⛉デ⒪ᡤ  ஂ㈡ᓥࡣேཱྀ⣙ 350 ேࡢ஧ḟ㞳ᓥ࡛ࠊ⚟Ụᓥ࠿ࡽࡢ஺㏻ᡭẁࡣᾏୖࢱࢡࢩ
࣮ࡢࡳ࡛࠶ࡿࠋ㛗ࡃ↓ṑ⛉་ᓥ࡛࠶ࡗࡓࡀࠊ2015 ᖺ 3 ᭶࡟ 35 ᖺࡪࡾ࡟஬ᓥᕷ
ࡀ㛤ᡤࡋࡓデ⒪ᡤ࡛࠶ࡾࠊ஬ᓥᕷ㛤ᴗࡢṑ⛉་ᖌࡀࠊ㐌 1 ᪥ฟᙇࡋࠊデ⒪࡟࠶ࡓࡗ࡚࠸ࡿࠋ ཧຍᏛ⏕ࡢ༙ศࡀᾏୖࢱࢡࢩ࣮࡟஌ࡗ࡚ᓥ࡟Ώࡾࠊᮏデ⒪ᡤࡢእ᮶ぢᏛ࣭⿵ຓࢆ⾜࠺ࠋ㸴㸬 ࡲ࡜ࡵ
ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂࣉࣟࢢ࣒ࣛ㑅ᐃ஦ᴗࠕ೺ᗣ㛗ᑑ♫఍ࢆᢸ࠺ṑ⛉་Ꮫᩍ⫱ᨵ㠉̿Ṛ⏕Ꮫࡸᆅᇦໟᣓࢣ࢔ࣔࢹࣝࢆᑟධࡋࡓ་⛉ṑ⛉㐃ᦠᩍ⫱యไࡢᵓ⠏̿ࠖࡢάືࡢ୍⎔࡜ࡋ࡚ࠊ㛗ᓮ኱Ꮫࡢ㞳ᓥ་⒪࣭ಖ೺ᐇ⩦࠾ࡼࡧṑᏛᩍ⫱ࡢᐇ᝟ࢆ▱ࡾࠊᩍဨ㛫஺ὶࢆ῝ࡵࡿࡇ࡜ࢆ┠ⓗ࡟ࠊ㞳ᓥ་⒪࣭ಖ೺ᐇ⩦ࡀᐇ᪋ࡉࢀ࡚࠸ࡿ⚟Ụᓥ࡛ࡢᐇ⩦࡟ཧຍࡋࡓࠋࡑࢀࡒࢀࡢ᪋タ࡟࠾࠸
9࡚ࠊࢫࢱࢵࣇࡀᏛ⏕ࢆᣦᑟࡍࡿయไࡀᵓ⠏ࡉࢀ࡚࠾ࡾࠊ་⒪࣭௓ㆤ࣭ᆅᇦಖ
೺άືࡢ⌧ሙࡢᐇ᝟ࢆ⫙࡛ឤࡌࡿࡇ࡜ࡀฟ᮶ࡿᩍ⫱ࣉࣟࢢ࣒࡛ࣛ࠶ࡿࡇ࡜
ࢆᐇឤࡍࡿࡇ࡜ࡀ࡛ࡁࡓࠋ㉸㧗㱋♫఍ࢆ㏄࠼ࡓᡃࡀᅜ࡛ࡣࠊᮏᐇ⩦࡟ཧຍࡋࡓᏛ⏕ࡽࡀᆅᇦ་⒪࡟ᦠࢃࡿࡼ࠺࡟࡞ࡗࡓ㝿࡟ࡣࠊᆅᇦࡢ஦᝟ࢆ⪃៖ࡋࠊṑ⛉་ᖌࡢ❧ሙ࡛࠸࠿࡟㈉⊩࡛ࡁࡿ࠿ࢆ⮬ࡽ⪃࠼ࠊ⌧ሙ࡛㐺ษ࡞ᑐᛂࡀ࡛ࡁࡿ
ࢫ࢟ࣝࡀ㌟࡟ࡘ࠸࡚࠸ࡿᚲせ࡛࠶ࡿࠋᗙᏛ࡛ࡣᏛ࡭࡞࠸ࠊᆅᇦ࡛㧗㱋⪅ࢆᨭ࠼ࡿࡇ࡜ࡢ㞴ࡋࡉࡸᦠࢃࡗ࡚࠸ࡿࢫࢱࢵࣇ㛫ࡢ㐃ᦠࡸᆅᇦ࡛ࡢྲྀ⤌࡟ࡘ࠸࡚ࠊᏛ⏕⮬ࡽ⤒㦂࡛ࡁࡿᮏࣉࣟࢢ࣒ࣛࡣ኱ኚ㈗㔜࡛࠶ࡿࠋࡇࡢࡼ࠺࡞ඃࢀࡓ
ࣉࣟࢢ࣒ࣛࢆ᭷ࡍࡿ㐃ᦠ኱Ꮫ࡜ࡢ᝟ሗඹ᭷ࠊ༠ຊࡣ᭷⏝࡛࠶ࡾࠊ௒ᅇࡢᐇ⩦ཧຍ࡟ࡼࡾ௒ᚋࡢᩍဨࠊᏛ⏕ࡢ┦஫஺ὶࢆࡼࡾ୍ᒙ㐍ࡵ࡚࠸ࡃࡓࡵࡢព㆑ࢆ
㧗ࡵࡿࡇ࡜ࡀ࡛ࡁࡓࠋᑦࠊᮏࣉࣟࢢ࣒ࣛࡣ௒ᖺᗘࡼࡾᮏ஦ᴗࡢ㐃ᦠ኱Ꮫ௨እ
ࡢṑᏛ㒊࡬ཧຍເ㞟࡞ࡉࢀ࡚࠾ࡾࠊᆒ࡚ࢇ໬࡟ࡴࡅࡓືࡁࡀ㐍ࢇ࡛࠸ࡿࠋ

10

㈨ᩱ䠔

ᖹᡂ 29 ᖺᗘ㮵ඣᓥ኱Ꮫ ኟᏘ඲ᅜṑᏛ⏕㞳ᓥᐇ⩦ࣉࣟࢢ࣒ࣛཧຍሗ࿌᭩

ᣦᑟᩍဨ㸸㮵ඣᓥ኱Ꮫ బྂ Ἃ⧊ᒸᒣ኱ᏛṑᏛ㒊ṑᏛ⛉ 3 ᖺ
07427049 ✄⏣ Ṍ1㸯㸬 ᐇ⩦ෆᐜ 㞳ᓥ࡟࠾ࡅࡿᆅᇦ་⒪ࢆ⌮ゎࡍࡿࡓࡵ࡟ࠊ⌧ᆅࡢṑ⛉デ⒪ᡤࡢṑ⛉་ᖌ࡜⾜ືࢆඹ࡟ࡋࠊ㞳ᓥṑ⛉་⒪ᐇ㊶ࡢ⌧ሙぢᏛࢆ⾜࠺࡜࡜ࡶ࡟ࠊᆅᇦໟᣓ་⒪ࡢ㔜せᛶ࡟ࡘ࠸࡚Ꮫ⩦ࡍࡿࠋࡲࡓࠊ㞳ᓥࢆ୰ᚰ࡜ࡋࡓᆅᇦ࡟࠾ࡅࡿ་⒪⪅ࡢᙺ๭࡟ࡘ࠸࡚ࡶ⌮ゎࡍࡿࠋ㸰㸬 ᐇ⩦᪉ἲ߇ᐇ⩦ඛ  ඣ⋢ṑ⛉་㝔㸦㮵ඣᓥ┴኱ᓥ㒆୚ㄽ⏫㸧ղᇶᮏᐇ⩦ᙧែ  ⅆ᭙᪥࠿ࡽ㔠᭙᪥ࡲ࡛ࡢ  ᪥㛫࡛ࠊⅆ᭙᪥ࡣ⛣ື࠾ࡼࡧᣵᣜࠊỈ࣭ᮌ᭙᪥ࡣᐇ⩦ࠊ㔠᭙᪥ࡣ⛣ື࡜ࡍࡿࠋ㸱㸬 ᐇ⩦᪥⛬8 ᭶ 22 ᪥㸦ⅆ㸧~25 ᪥㸦㔠㸧ⅆ᭙᪥
9㸸40 டᚨ Ѝ 13㸸40 ୚ㄽ฿╔࣭Ẹᐟ࡬࡜⛣ື࣭ᐟἩࡢ‽ഛЍ 18㸸00 ඣ⋢ṑ⛉་㝔࡟ᣵᣜ Ѝ 19㸸30 ඣ⋢ඛ⏕࡜஺ὶ఍Ỉ᭙᪥
8㸸50 ඣ⋢ṑ⛉་㝔࡟⛣ື࣭デ⒪‽ഛ Ѝ 12㸸00 ༗๓ࡢデ⒪⤊஢Ѝ 14㸸00 ༗ᚋࡢデ⒪㛤ጞ Ѝ 19㸸00 ༗ᚋࡢデ⒪⤊஢2ᮌ᭙᪥8㸸50 ඣ⋢ṑ⛉་㝔࡟⛣ື࣭デ⒪‽ഛ → 11㸸00 ≉ู㣴ㆤ⪁ே࣮࣒࣍ ࣚࣟࣥᅬ࡬ デ Ѝ 12㸸00 ༗๓ࡢデ⒪⤊஢ → 14㸸00 ༗ᚋࡢデ⒪㛤ጞ → 17㸸00 ༗ᚋࡢデ⒪⤊஢㔠᭙᪥12㸸10 ୚ㄽ฿╔㸤ゎᩓ㸲㸬 ୚ㄽᓥ࡟ࡘ࠸࡚
୚ㄽᓥࡣࠊ዆⨾⩌ᓥࡢෆ࡛᭱ࡶἈ⦖
┴࡟㏆࠸఩⨨࡟࠶ࡾࠊேཱྀࡣᖹᡂ
29 ᖺ 9 ᭶ᮎ⌧ᅾ࡛ 5,296 ேࠊୡᖏᩘࡣ 2588 ࡛ࠊ㠃✚ࡣ 20.8k ੍ࡢᓥ࡛࠶ࡿࠋ୍ᓥ୍⏫
࡛࠶ࡾࠊఫᡤࡣ㮵ඣᓥ┴኱ᓥ㒆୚ㄽ⏫ࠋ㮵ඣᓥ✵ࡽ㣕⾜ᶵ࡛⣙ 75 ศࠊ㮵ඣᓥ᪂࠿࠿ࡽࣇ࢙࣮࡛ࣜ⣙ 20᫬㛫࡛࠶ࡿࠋ50~59 ௦ࡀ඲ேཱྀࡢ࡞࠿࡛᭱ࡶከ࠸ࠋࡲࡓࠊᓥࡢ㧗㱋໬ࡶ㐍ࢇ࡛࠾ࡾࠊ70 ௦௨ୖࡀ⣙ 4 ศࡢ 1 ࢆ༨ࡵࡿࠋ
୚ㄽᓥࡣள⇕ᖏᛶẼೃ࡛࠶ࡾࠊ୍ᖺࢆ㏻ࡋ࡚ᐇ⩦ཧຍ୰ࡢ 8 ᭶ࡢᖹᆒẼᬮ࡛ࠊ㝆Ỉ㔞ࡶᑡ࡞࠸ࠋ

ࡣ 28.8Υ࡛࠶ࡿࠋࡲࡓࠊ୚ㄽᓥࡣ዆⨾⩌ᓥᅜᐃබᅬ࡟ᣦᐃࡉࢀ࡚࠾ࡾࠊᓥࡢ࿘ᅖࡣ⎔♋࡛ᅖࡲࢀ࡚࠸ࡿࠋ⎔♋ࡢෆഃࡣỈ῝ 2~3㹫ࡢὸ࠸ᾏࡀᗈࡀࡿࠋ㝯㉳స⏝࡜㐀♋స⏝࡟ࡼࡾ▼⅊ᒾ࡛࡛ࡁࡓᓥ࡛࠶ࡾࠊ୰࡛ࡶⓒྜࣨ὾ࡣ዆⨾༑ᬒࡢ୍ࡘ࡛᭷ྡ࡛࠶ࡿࠋ୺࡞⏘ᴗࡣ㎰ᴗ࡜ほගᴗ࡛࠶ࡿࠋ1984 ᖺ 7 ᭶ 15 ᪥ࡣ࣑ࢽ⊂❧ᅜࠊࠕࣃࢼ࢘ࣝ⋤ᅜࠖࢆタ❧ࡋࡓࠋ
ࠕࣃࢼࠖࡣⰼࠊ
ࠕ࢘ࣝࠖࡣࢧࣥࢦ♋ࢆព࿡ࡍࡿࠋᓥ࡛၏୍〇㐀ࡉࢀ࡚࠸ࡿ㓇ࡣ㯮⢾↝㓅࡛ࠊ௦⾲㖭᯶ࡢࠕ᭷Ἠࠖ㸦ᓥ᭷Ἠ㸧ࡣࠊ࡯࡜ࢇ࡝ࡀᓥ࡛ᾘ㈝ࡉࢀ࡚࠸ࡿࠋᐈேࢆࡶ࡚࡞ࡍ᫬࡞
3࡝࡟ࡣࠕ୚ㄽ⊩ዊࠖ࡜࿧ࡤࢀࡿ⊂⮬ࡢ㣧ࡳ᪉࡛㣧ࡲࢀ࡚࠸ࡿࠋ㸳㸬 㞳ᓥᐇ⩦ࣉࣟࢢ࣒ࣛࡢᐇ⩦ෆᐜඣ⋢ṑ⛉་㝔 ⌧ᅾࠊ୚ㄽᓥෆ࡟ 2 ࡘ࠶ࡿṑ⛉་㝔ࡢෆࡢ㸯ࡘࠋࡶ࠺ 1 ࡘࡢṑ⛉་㝔
ࡣᖹᡂ 29 ᖺ 7 ᭶࡟㛤㝔ࡋࡓࡤ࠿ࡾ࡛ࠊࡑࢀࡲ࡛ඣ⋢ṑ⛉་㝔ࡣᓥෆ࡛၏
୍ࡢṑ⛉་㝔࡛࠶ࡗࡓࠋデ⒪ྎ 4 ྎ࡜ࠊᡭὙ࠸ሙࡀ 2 ࡘ࠶ࡾࠊඣ⋢ඛ⏕ࡸࢫࢱࢵࣇࡢື⥺ࡀ▷ࡃ῭ࢇ࡛࠸ࡓࠋṑ⛉་ᖌ 1 ேࠊṑ⛉⾨⏕ኈ 4 ே࡛
30 ศ࡟ 2 ேࢆ┠Ᏻ࡟ண⣙ไ࡛἞⒪࡟ᙜࡓࡗ࡚࠸ࡓࠋᓥෆ࡟ṑ⛉ᢏᕤኈࡀ୍ேࡋ࠿࠸࡞ࡃࠊᚲせࡀ࠶ࢀࡤᮏᅵࡢṑ⛉ᢏᕤᡤ࡬ὀᩥࡍࡿࡇ࡜ࡀ࠶ࡾࠊ
㞳ᓥ࡞ࡽ࡛ࡣࡢࢥࢫࢺ㠃࡟኱ࡁ࡞㈇ᢸࡀ࠶ࡗࡓࠋࡉࡽ࡟ࠊᓥෆ࡟ṑ⛉ࡢᶵჾࢆಟ⌮࡛ࡁࡿ࣓࣮࣮࢝ࡣ↓࠸ࡓࡵࠊ㛤㝔ࡍࡿ㝿࡟ࡣ㞳ᓥ࡟࣓ࣥࢸࢼࣥ
ࢫ࡛ఱᗘࡶ᮶࡚ࡃࢀࡿ࣓࣮࣮࢝ࡢࡶࡢࢆ⏝࠸࡚࠸ࡓࠋ἞⒪ࡣᑠᏛᰯࡢ೺
デࡸ▹ṇࠊ㧗㱋⪅ࡢ⩏ṑࡢసᡂࡸ࣓ࣥࢸࢼࣥࢫࠊᢤṑࡸ࢚࢝ࣜࢫ἞⒪࡞࡝ࠊ
ᖜᗈࡃࡉࢀ࡚࠸ࡓࠋ㧗㱋ࡢᝈ⪅ᵝ࡜ᓥཱྀ࡛ヰࡍࡇ࡜ࡀ࠶ࡗࡓࡀࠊ᪥ᮏㄒ࡜
ࡣ㐪࠸ព࿡ࢆ⌮ゎࡍࡿࡇ࡜ࡀ㞴ࡋ࠿ࡗࡓࠋ㞳ᓥ࡛ࡣᓥཱྀࡢ᪉ࡀ஫࠸࡟ศ
࠿ࡾࡸࡍ࠸ࢽࣗ࢔ࣥࢫࡀ࠶ࡗࡓࡾಙ㢗ឤࢆᣢ࡚ࡿࡇ࡜ࡀ࠶ࡿ࡜▱ࡗࡓࠋ ࡲࡓࠊᓥෆࡢṑ⛉་㝔ࡀᑡ࡞ࡃࠊᮦᩱࡶᮏᅵ࠿ࡽྲྀࡾᐤࡏ࡚࠸ࡿࡓࡵࠊ
ᝈ⪅ᵝࡀᅔࡗࡓ࡜ࡁ࡟࠸ࡘ࡛ࡶồࡵࡽࢀ࡚࠸ࡿ἞⒪ࡀ༶᫬࡟࡛ࡁࡿ࡜ࡣ
㝈ࡽ࡞࠸ࡇ࡜ࡀ࠶ࡿࠋࡑࡢࡓࡵࠊṑ⛉ᮦᩱࡀ㧗౯࡛ࡶࠊࡼࡾቯࢀ࡟ࡃ࠸ࡶ
ࡢ࡬ࡢࢽ࣮ࢬࡀ㧗࠿ࡗࡓࠋ4 ≉ู㣴ㆤ⪁ே࣮࣒࣍ࣚࣟࣥᅬ࡬ࡢ デ࡟ࡣࠊඣ⋢ඛ⏕࡜ṑ⛉⾨⏕ኈ 3 ே
ࡀྠ⾜ࡋ࡚࠸ࡓࠋ⩏ṑࡢ㔠ලࡀ㢋⢓⭷࡟ᙜࡓࡾࠊ㍍ᗘࡢⓑᯈࡀ࡛ࡁ࡚࠸ࡓ
ࡓࡵࠊ࣓ࣥࢸࢼࣥࢫࡀᚲせ࡛࠶ࡗࡓࠋᝈ⪅ᵝࡣ㌴࠸ࡍ࡟஌ࡗࡓࡲࡲࠊேࡢ
ᡭ࡛㢌ࢆᅛᐃࡋࠊ デ⏝ࡢ㐨ලࢆ౑ࡗ࡚἞⒪ࡀ⾜ࢃࢀࡓࠋṑ⛉་㝔ࡢࡼ࠺࡞ࢳ࢙࢔ࡀ࡞ࡃ࡜ࡶࠊ㐨ලࡀ࠶ࡾṑ⛉⾨⏕ኈࡸ᪋タࡢࢫࢱࢵࣇ࡜༠ຊࡋ
ྜ࠺ࡇ࡜࡛ࠊ἞⒪ࡀၥ㢟࡞ࡃ⾜ࢃࢀࡿࡇ࡜ࢆ▱ࡗࡓࠋ㸴㸬 ࡲ࡜ࡵ ึࡵࡣࠊᓥෆ࡛ 2 ࡘࡋ࠿࡞࠸ṑ⛉་㝔࡛ࠊண⣙ࡀከ࠸࡜ண

ࡉࢀࡿࡀࠊ࡝ࡢࡼ࠺࡟἞⒪ࢆࡉࢀ࡚࠸ࡿࡢ࡛࠶ࢁ࠺࡜ᛮ࠸࡞ࡀࡽཧຍࡉࡏ࡚࠸ࡓࡔ࠸
ࡓࠋࡲࡓ࡝࠺࠸ࡗࡓᝈ⪅ᵝࡀከ࠸ࡢ࠿ࡶ␲ၥ࡟ᛮࡗ࡚࠸ࡓࠋࡑࡢࡓࡵ㞳ᓥ࡛࡝࠺࠸ࡗࡓ἞⒪ᢏ⾡ࡀᚲせ࡛ࠊ࡝ࡢࡼ࠺࡟ࢫࢱࢵࣇࡸ࿘ᅖࡢ᪉ࠎ࡜ಙ㢗㛵ಀࢆ⠏࠸࡚࠸ࡿࡢ࠿ࢆᏛࡧࡓ࠸࡜ᛮࡗࡓࠋึ᪥࡟ඣ⋢ṑ⛉་㝔࡬ࡈᣵᣜ࡬ఛ࠸ࠊ
ඣ⋢ඛ⏕ࠊࢫࢱࢵࣇࡢ᪉ࠎࠊᘬ⋡ࡢబྂඛ⏕ࡀᛌࡃḼ㏄ࡋ࡚ୗࡉࡾࠊࡲࡓᐇ
⩦࡛Ꮫࡧࡓ࠸ࡇ࡜ࢆ࠾ఏ࠼ࡍࡿ᫬㛫ࡶ㡬࠸ࡓࠋᐇ⩦ཧຍ⪅ࡢࡶ࠺୍ேࡢ௰㛫࡛࠶ࡿⱝ᳃ࡉࢇࡣࠊྎ㢼ࡢᙳ㡪࡛฿╔ࡀ 1 ᪥㐜ࢀࡓࡀࠊ▷࠸ᮇ㛫࡟ࡶ㛵ࡽࡎࡼࡃヰࡋ࠿ࡅ࡚ࡃࢀ࡚ࠊ஫࠸࡟௰ࡀ῝ࡲࡾࠊぢᏛ୰ࡸぢᏛᚋ࡟␲ၥ࡟ᛮࡗ࡚
࠸ࡿࡇ࡜ࢆヰࡋྜ࠸ඛ⏕᪉࡟ࡈᩍᤵ㢪࠺ࡇ࡜ࡀ࡛ࡁࡓࠋ
ඣ⋢ṑ⛉་㝔࡟ࡣ⪁ⱝ⏨ዪ㏻ࡗ࡚࠾ࡾࠊ㧗㱋⪅ࡢ᪉ࡣ⩏ṑࡢ࣓ࣥࢸࢼࣥࢫ
ࡀከ࠿ࡗࡓࠋᏊ౪ࡓࡕࡣኟఇࡳ࡛ࠊඃⰋ᳨デࡢཷデࡀከ࠿ࡗࡓࠋ࠺⼃἞⒪ࡶ
ከࡃࠊ㇟∳㉁ࡲ࡛ࡢ㐍⾜࡛⿕ࡏࢆࡍࡿࡶࡢ࠿ࡽࠊṑ㧊ࠊ᰿ᑤࡲ࡛⑓ᕢࡀᗈࡀ
ࡾ᰿ᑤ἞⒪ࢆࡍࡿࡶࡢࡲ࡛࠶ࡗࡓࠋ୍᪉࡛▹ṇࡶ⾜ࢃࢀ࡚࠸ࡓࠋ࢚࢝ࣜࢫࡀ
5ṑ㧊ࡢ࡜ࡇࢁࡲ࡛ࡢ㐍⾜࡞ࡢ࠿ࠊṑ㧊ࢆᑡࡋ࡛ࡶṧࡋ࡚ṑࡀ෌⏕ࡋ࡚ࡃࡿࡢ
ࢆᚅ࡚ࡿࣞ࣋ࣝ࡞ࡢ࠿ࠊ࡞࡝࡛἞⒪᪉㔪ࡶኚࢃࡾࠊ௒ࡲ࡛ᗙᏛ࡛Ꮫࢇ࡛࠸ࡿ
ࡇ࡜ࡀ⮫ᗋࡢሙ㠃࡛㔜せ࡛࠶ࡿࡇ࡜ࢆᐇឤࡋࡓࠋ㔜⑕ࡢࡶࡢ࠿ࡽ㍍⑕ࡢࡶࡢࡲ࡛ᵝࠎ࡞⑕≧ࡢ἞⒪ࡀᡭ᪩ࡃ⾜ࢃࢀ࡚࠸ࡓࠋࡲࡓṑ⛉⾨⏕ኈࡢ᪉ࠎࡀඛ⏕ࡢືࡁࡢඛࢆ⪃࠼࡚ࢧ࣏࣮ࢺࢆࡋ࡚࠸ࡓࠋࡲࡓඣ⋢ඛ⏕ࡀࠊ᰿ᑤ἞⒪ࢆึࡵ࡚ゐࡿṑ⛉་ᖌ࡟ࡣ࡜࡚ࡶ୎ᑀ࡟ࡁࡕࢇ࡜ࡋ࡚࠸࡞ࡅࢀࡤࠊࡑࡢᚋ࡟デࡿ࡜ࡁ࡟኱ኚᅔࡿ࡜ゝࡗ࡚࠸ࡓࡇ࡜ࡀ༳㇟ⓗ࡛࠶ࡗࡓࠋ
୍᪉࡛ࠊࢫࢱࢵࣇࡢ᪉ࠎࢆ⫱࡚ࡿ࡜ࡁ࡟ࡣࠊᛣࡿࡢ࡛ࡣ࡞ࡃࠊఱᗘࡶ୍⥴࡟ࡸࡗ࡚ࡳࡓࡾゝⴥ࡛ࡸࡗ࡚ḧࡋ࠸ࡇ࡜ࢆఏ࠼ࡓࡾࡍࡿ࡞࡝ࠊ᰿Ẽᙉࡃࡉࢀ࡚࠸ࡿࡇ࡜ࢆ▱ࡗࡓࠋࡇࢀࡽࡢ⤒㦂ࢆࠊ௒⮬㌟ࡀ኱Ꮫ࡛Ꮫࢇ࡛࠸ࡿࡇ࡜ࠊ⮬㌟ࡀṑ⛉་ᖌ࡟࡞ࡗ
ࡓᚋࡢࢳ࣮࣒་⒪ࡸ㞳ᓥ་⒪࡟ά࠿ࡋ࡚࠸ࡁࡓ࠸ࠋࡇࡢࣉࣟࢢ࣒ࣛࢆ㏻ࡋ࡚㞳ᓥ་⒪⌧ሙࡢᵝᏊࡸ⌧≧ᢕᥱࡀ࡛ࡁࠊ௚኱ᏛࡢᏛ⏕ࡸᩍဨ࡜஺ὶཬࡧ᝟ሗ
ඹ᭷ࡍࡿࡇ࡜࡛ࠊ┦஫࡟ど㔝ࢆᗈࡵࡿࡇ࡜ࡀ࡛ࡁࡓ࡜ឤࡌ࡚࠸ࡿࠋ
ᮎグ࡟࡞ࡾࡲࡋࡓࡀࠊࡇࡢࡼ࠺࡞ᶵ఍ࢆ୚࠼࡚ࡃࡔࡉࡗࡓᮏ㞳ᓥᐇ⩦ࣉࣟࢢ࣒ࣛ࡟ᦠࢃࡿඛ⏕᪉ࠊ୚ㄽᓥࡢⓙᵝ࡟ཌࡃឤㅰࡢពࢆ⾲ࡋࡲࡍࠋ

6

㈨ᩱ䠕

୚ㄽᓥࠊ㮵ඣᓥ኱Ꮫ どᐹ࣭஺ὶሗ࿌᭩

ゼၥ᪥㸸2018 ᖺ 2 ᭶ 6㸦ⅆ㸧㹼9 ᪥㸦㔠㸧ᒸᒣ኱Ꮫ་⒪ᩍ⫱ࢭࣥࢱ࣮ ≉௵ຓᩍ ᮡᮏᜤᏊ                  ▮ᑿ┿ᘪ㸯㸬┠ⓗ  ᩥ㒊⛉Ꮫ┬ ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂࣉࣟࢢ࣒ࣛ㑅ᐃ஦ᴗ ࠕ೺ᗣ㛗ᑑ♫఍ࢆᢸ࠺ṑ⛉་Ꮫᩍ⫱ᨵ㠉 ̿Ṛ⏕Ꮫࡸᆅᇦໟᣓࢣ࢔ࣔࢹࣝࢆᑟධࡋࡓ་⛉ṑ⛉㐃ᦠᩍ⫱యไࡢᵓ⠏̿ࠖࡢ୍⎔࡜ࡋ࡚㮵ඣᓥ኱Ꮫࡀ⾜ࡗ࡚࠸ࡿᩍ⫱ࣉࣟࢢ࣒࡛ࣛ࠶ࡿࠕኟ
Ꮨ඲ᅜṑᏛ⏕㞳ᓥᐇ⩦ࣉࣟࢢ࣒ࣛࠖࡢᐇ⩦ᆅࡢࡦ࡜ࡘ࡛࠶ࡿ㮵ඣᓥ┴ࡢ୚ㄽᓥࢆどᐹࡋࠊᓥ⊂⮬ࡢᆅᇦ஦᝟ࡸࡑࢀ࡟ᛂࡌࡓṑ⛉஦᝟ࢆ▱ࡿ࡜࡜ࡶ࡟ࠊ᮶ᖺᗘ௨㝆ࡢ㐃ᦠ኱ᏛᏛ⏕ࡢᐇ⩦ཷࡅධࢀࡢ౫㢗ࢆ⾜ࡗࡓࠋࡲࡓࠊ㮵ඣᓥ኱Ꮫࢆゼၥࡋࠊ᮶ᖺᗘ௨
㝆ࡢᮏᩍ⫱ࣉࣟࢢ࣒ࣛࡢࡉࡽ࡞ࡿ᥎㐍࠾ࡼࡧᮏ஦ᴗࡢᆒ࡚ࢇ໬࡟ࡘ࠸࡚ᡴࡕྜࢃࡏࢆ⾜ࡗࡓࠋ㸰㸬୚ㄽᓥࡢᴫせ࡟ࡘ࠸࡚  ୚ㄽᓥࡣࠊ㮵ඣᓥ┴዆⨾ㅖᓥࡢ᭱༡➃ࠊἈ⦖ᮏᓥࡢ໭㞄࡟఩⨨ࡍࡿ୚ㄽᓥࡣࠊᮾす㸳kmࠊ༡໭㸲km ࡯࡝ࡢᑠࡉ࡞ᓥ࡛࠶ࡿࠋ
ேཱྀࡣࠊ2018 ᖺ 1 ᭶ᮎ⌧ᅾ࡛ 5,275 ேࠊୡᖏᩘࡣ
2558 ୡᖏ࡛࠶ࡾࠊᑠᏛᰯࡀ㸱ᰯ㸦ࡑࢀࡒࢀ 150
ྡ๓ᚋࡢඣ❺ࡀᅾ⡠㸧ࠊ୰Ꮫᰯࡀ㸯ᰯࠊ㧗ᰯࡀ㸯ᰯ࠶ࡿࠋᓥࡢ㧗㱋໬⋡ࡣ 2015 ᖺ᫬Ⅼ࡛ 33%ࠊ2025
ᖺ࡟ࡣ 43㸣࡟㐩ࡍࡿ࡜ண᝿ࡉࢀ࡚࠾ࡾࠊᛴ㏿࡟㧗㱋໬ࡀ㐍ࢇ࡛࠸ࡿࠋ
୺࡞⏘ᴗࡣ㎰ᴗ࡜ほගᴗ࡛࠶ࡾࠊࢧࢺ࢘࢟ࣅࢆᑓᴗࠊවᴗ࡛᱂ᇵࡋ࡚࠸ࡿ㎰ᐙࡀከ࠸ࠋᓥ࡬ࡢ஺㏻ࡣࠊ㑣ぞࠊ㮵ඣᓥࠊ዆⨾ࠊἈỌⰋ㒊࠿ࡽࡢ✵㊰ࡢ௚ࠊ㮵ඣᓥࠊ㛵す᪉㠃࠿ࡽࡢ⯟㊰࡛࠶ࡿࠋᓥࡢᩥ໬࡜ࡋ࡚ࠊ୚ㄽ⊩ዊ࡜࠸࠺୚ㄽᓥ࡬ࡢᐈேࢆࡶ࡚
࡞ࡍࡓࡵࡢ൤ᘧⓗ࡞㣧㓇ἲࡀ▱ࡽࢀ࡚࠾ࡾࠊᓥ࡛၏୍〇㐀ࡉࢀ࡚࠸ࡿ㓇ࡢ㯮⢾↝㓅ࡣࠊ࡯࡜ࢇ࡝ࡀᓥ࡛ᾘ㈝ࡉࢀ࡚࠸ࡿࠋ  ゼၥࡋࡓ㸰᭶ࡣࠊᐮἼࡢᙳ㡪࡛Ẽ ࡣ 13 ᗘ๓ᚋ࡛ࠊ
ᬑẁࡼࡾ 5 ᗘ⛬ᗘపࡃࠊᓥࡢே㐩ࡣཱྀࠎ࡟ࠕᐮ࠸ࠖ
࡜ヰࡉࢀ࡚࠸ࡓࡀࠊᒸᒣ࡜ẚ࡭ࡿ࡜ᬮ࠿ࡃឤࡌࠊᓥࡢ⮳ࡿ࡜ࡇࢁ࡛ࣁ࢖ࣅࢫ࢝ࢫࡀဏ࠸࡚࠾ࡾࠊᓥ࡛ࡣ㸯᭶ᮎ࠿ࡽᱜࡀ㛤ⰼࡍࡿ࡜ࡢࡇ࡜࡛ࠊ
ࡀฟ᮶ࡓࠋᬮ࡞Ẽೃࢆぢ࡚ྲྀࡿࡇ࡜

㸱㸬ඣ⋢ṑ⛉་㝔  ࠕኟᏘ඲ᅜṑᏛ⏕㞳ᓥᐇ⩦ࣉࣟࢢ࣒ࣛࠖࡢᐇ⩦ཷࡅධࢀඛࡢࡦ࡜ࡘ࡛࠶ࡾࠊ2017ᖺ 7 ᭶࡟᪂ࡓ࡟ᓥෆ࡟ṑ⛉་㝔ࡀ㛤㝔ࡍࡿࡲ࡛ࡣࠊᮏṑ⛉་㝔ࡣ၏୍ࡢṑ⛉་㝔࡛࠶ࡗࡓࠋࡇࢀࡲ࡛ࠊᏛᰯ೺デࡸஙᗂඣ೺デࡣඣ⋢ඛ⏕ࡀ୍ᡭ࡟ᢸࡗ࡚࠸ࡓ࡜ࡢࡇ࡜
࡛࠶ࡗࡓࡀࠊ௒ᚋࡣ᪂ࡓ࡟㛤ᴗࡋࡓṑ⛉་㝔࡜ศᢸ࡛ࡁࠊ㈇ᢸࡀῶࡿ࡜ヰࡉࢀ࡚࠸ࡓࠋṑ⛉་㝔ࡣᘓ≀ࡢ㸰㝵࡛࠶ࡾࠊ㸯㝵ࡢධཱྀ࠿ࡽデᐹᐊࡲ࡛ࡣ㝵ẁ࡜࡞ࡗ࡚࠸ࡿ
ࡀࠊ㟁ື᳔Ꮚࡀタ⨨ࡉࢀ࡚࠾ࡾࠊᝈ⪅ࡉࢇ⮬㌟ࡀ᧯సࡋ࡚デᐹᐊࡲ࡛᮶ࡽࢀࡿࡇ࡜
ࡶከ࠸࡜ࡢࡇ࡜࡛࠶ࡗࡓࠋデᐹᐊෆ࡟ࡣࠊデ⒪ྎࡀ㸲ྎ࠶ࡾࠊṑ⛉་ᖌ㸯ேࠊṑ⛉⾨⏕ኈࠊṑ⛉ຓᡭࢆྵࡵࡓࢫࢱࢵࣇࡀ㸲ྡ໅ົࡋ࡚࠸ࡿࠋᢏᕤ≀ࡣᓥෆࡢṑ⛉ᢏᕤᡤ࡟እὀࡋ࡚࠸ࡿࡀࠊࡑࡢᢏᕤᡤ࡛ࡣ࢔ࣝࢦࣥ࢟ࣕࢫࢺࡢタഛࡀ࡞࠸ࡓࡵࠊ⩏ṑࡢࢡࣛࢫࣉࡣࡍ࡭࡚㔠㖟ࣃࣛࢪ࣒࢘ྜ㔠࡛࠶ࡾࠊࢡࣛ࢘ࣥࡣ㮵ඣᓥᕷෆࡢᢏᕤᡤ࡟స
〇ࢆ౫㢗ࡋ࡚࠸ࡿ࡜ࡢࡇ࡜࡛࠶ࡿࠋ㮵ඣᓥᕷෆ࡬ࡢᢏᕤ౫㢗ࡣ✵㍺㈝⏝ࡀ࠿࠿ࡾࠊ
ࢥࢫࢺ㠃࡛ࡢ㈇ᢸࡀ኱ࡁ࠸࡜ࡢࡇ࡜࡛࠶ࡗࡓࠋ  㛤ᴗ᫬ࡢデ⒪ྎࡢ㑅ᐃࡢ㝿ࡣࠊಟ⌮ࡀᚲせ࡞ሙྜ࡟ࡍࡄ࡟࠿ࡅࡘࡅ࡚ࡃࢀࡿ࣓࣮
࣮࢝ࢆ㑅ᐃࡋࡓ࡜ࡢࡇ࡜࡛࠶ࡗࡓࡀࠊᓥෆ࡛ࡢίỈࡀ࠸ࡲࡦ࡜ࡘ࡛▼⅊▼ࡀΰධࡍࡿࡓࡵࢱ࣮ࣅࣥࡀ㢖⦾࡟ࡘࡲࡾࠊඣ⋢ඛ⏕⮬ࡽሷࢆΰࡐ࡚ℐ㐣ࡍࡿ➼ࠊヨ⾜㘒ㄗࢆ㔜ࡡࡓࡑ࠺࡛࠶ࡿࠋ  ᙜṑ⛉་㝔࡛ࡢデ⒪ෆᐜࡣࠊ࠺⼃἞⒪ࡸ⩏ṑస〇ࠊᢤṑ➼ከᒱ࡟ࢃࡓࡗ࡚࠸ࡓ
ࡀࠊ୰࡛ࡶ࠺⼃἞⒪ࡢࢣ࣮ࢫࡀከ࠸ࡢࡀ┠࡟ࡘ࠸ࡓࠋ㐍⾜ࡋࡓ≧ែ࡛᮶㝔ࡍࡿᝈ⪅ࡉࢇࡶከ࠸ࡓࡵࠊᢤ㧊࡜࡞ࡿࢣ࣮ࢫࡶከ࠿ࡗࡓࠋ࠺⼃ண㜵ࡸṑ࿘࣓ࣥࢸࢼࣥࢫ࡟ᑐ
ࡍࡿఫẸࡢព㆑ࡀపࡃࠊ᪩ᮇࡢཷデࡸᐃᮇཷデ࡟ࡘ࡞ࡀࡽ࡞࠸࡜ࡢࡇ࡜࡛࠶ࡗࡓࠋ୰࡟ࡣ㑣ぞᕷෆ࡛໬Ꮫ⒪ἲ἞⒪ࢆࡉࢀ࡚࠸ࡿᝈ⪅ࡉࢇࡶ࠾ࡾࠊᐃᮇⓗ࡞ཱྀ⭍⾨⏕⟶⌮ࡣྠ㝔࡛⾜ࢃࢀ࡚࠸ࡓࠋ   デࡣ㐌࡟㸯ᅇ⾜ࢃࢀ࡚࠾ࡾࠊ࣏࣮ࢱࣈࣝࡢࢱ࣮ࣅࣥࡸࣞࣥࢺࢤࣥࡣ࡞࠸ࡓࡵࠊ
ᢏᕤ⏝࢚ࣥࢪ࡛ࣥࡢ⩏ṑㄪᩚ➼࡛ࡁࡿ⠊ᅖࡢ἞⒪ࢆ⾜ࡗ࡚࠸ࡿࠋ  ඣ⋢ඛ⏕ࡣᝈ⪅ࡉࢇ࡜ࡣᓥཱྀ࡛఍ヰࡉࢀ࡚࠾ࡾࠊෆᐜࢆ࡛ࡁ࡞࠸ࡇ࡜ࡀከ࠿ࡗࡓ
ࡀࠊᝈ⪅ࡉࢇ࡜ࡢಙ㢗㛵ಀࢆ⠏ࡃୖ࡛ᓥཱྀࡣ㔜せ࡞ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ᪉ἲࡢࡦ࡜
ࡘ࡛࠶ࡾࡇ࡜ࡀぢ࡚ྲྀࢀࡓࠋඛ⏕࡟ᑐࡍࡿᝈ⪅ࡉࢇࡢಙ㢗ࡣཌࡃࠊ἞⒪ᚋ࡟ⓙ➗㢦࡛ᣵᣜࢆࡋ࡚ᖐࡗ࡚⾜ࡃጼࡀ༳㇟ⓗ࡛࠶ࡗࡓࠋ

㸲㸬㮵ඣᓥ኱Ꮫ  㮵ඣᓥ኱Ꮫゼၥ㸯᪥┠ࡣࠊṑ⛉⥲ྜデ⒪㒊ࡢ⏣ཱྀ๎ᏹᩍᤵ࡟࠾఍࠸ࡋࠊᮏ஦ᴗࡢ
୍⎔࡜ࡋ࡚㐃ᦠ኱Ꮫ࡬㛤ᨺࡉࢀ࡚࠸ࡿࠕኟᏘ඲ᅜṑᏛ⏕㞳ᓥᐇ⩦ࣉࣟࢢ࣒ࣛࠖࡢᐇ⩦ෆᐜࡢヲ⣽࠾ࡼࡧ᮶ᖺᗘ௨㝆ࡢᐇ᪋⥅⥆࡟ࡘ࠸࡚ヰࡋྜ࠸ࠊ㮵ඣᓥ኱ᏛṑᏛ㒊ࡀ⾜ࡗ࡚࠸ࡿ㞳ᓥᕠᅇデ⒪࡟ࡘ࠸࡚ࡶ࠾ఛ࠸ࡍࡿ࡜࡜ࡶ࡟ࠊᮏ஦ᴗࡢᆒ࡚ࢇ໬࡟ྥ
ࡅࠊ㮵ඣᓥ኱Ꮫ࡟࡚ྲྀࡾ⤌ࢇ࡛࠸ࡓࡔࡁࡓ࠸ㅮ⩏ࠊᐇ⩦࡟ࡘ࠸࡚ᡴࡕྜࢃࡏࢆ⾜ࡗࡓࠋゼၥ᫬ࡣࡕࡻ࠺࡝᮶ᖺᗘࡢࢩࣛࣂࢫసᡂ᫬ᮇ࡟࠶ࡓࡾࠊᮏ஦ᴗ࡛ࡢྲྀ⤌ࢆࠕぢ࠼ࡿ໬ࠖࡋࠊࢩࣛࣂࢫ࡟཯ᫎࡍࡿࡇ࡜ࢆ᳨ウ࠸ࡓࡔࡃࡇ࡜࡜࡞ࡗࡓࠋࡲࡓࠊ◊ಟ་ࡀデ⒪ࢆ⾜ࡗ࡚࠸ࡿṑ⛉⥲ྜデ⒪㒊ࡢデ⒪ᐊࡢぢᏛࡶ⾜ࡗࡓࠋᒸᒣ኱Ꮫ࡜ẚ㍑ࡍࡿ
࡜ࠊデ⒪ᐊෆࡢデ⒪ྎࡢᩘࡣ 8 ྎ⛬ᗘ࡜ᑡ࡞࠿ࡗࡓࡀࠊྛ⛉࡛ࡢ◊ಟ➼࡟ࡼࡾᖖ࡟
デ⒪ᐊ࡟࠸ࡿ◊ಟ་ࡢேᩘࡣ 8 ྡ⛬ᗘ࡛࠶ࡿࡓࡵࠊデ⒪ྎࡢᩘࡣ㊊ࡾ࡚࠸ࡿ࡜ࡢࡇ
࡜࡛࠶ࡗࡓࠋ  ゼၥ㸰᪥┠ࡣࠊすᮧṇᏹᩍᤵࠊす ᜤᏹ෸ᩍᤵ࡟せ௓ㆤ㧗㱋⪅ࡢࢩ࣑࣮ࣗࣞࢱ࣮
ࢆ⏝࠸ࡓࢩ࣑࣮ࣗࣞࢩࣙࣥᐇ⩦ࡢᐇ᪋≧ἣ࡟ࡘ࠸࡚ᩍ࠼࡚࠸ࡓࡔ࠸ࡓࠋ⮫ᗋᐇ⩦ࡢྛ⛉ᅇࡾࡢ୰࡟ࢩ࣑࣮ࣗࣞࢩࣙࣥᐇ⩦ࡣ⤌ࡳ㎸ࡲࢀ࡚࠾ࡾࠊ࣋ࢵࢻ࠿ࡽ㌴࠸ࡍ࡬ࡢ⛣஌ࡸṑ∳㗦⦕ࡢ◊☻➼ࡢᐇ⩦ࢆ⾜ࡗ࡚࠸ࡿ࡜ࡢࡇ࡜࡛࠶ࡗࡓࠋᮏᏛ࡛ࡢᐇ⩦ෆᐜ࡟ࡘ࠸࡚ࡶࡈㄝ᫂ࡋࠊ┦஫࡟ཧ⪃࡟ࡋ࡞ࡀࡽ௒ᚋࡶᐇ⩦ࢆ㐍ࡵ࡚࠸ࡃࡇ࡜ࢆ♧ࡋྜࢃࡏࡓࠋࡑࡢᚋࠊ㮵ඣᓥ኱Ꮫ⑓㝔ṑ⛉デ⒪Ჷෆࡢྛデ⒪⛉ࢆぢᏛࡉࡏ࡚࠸ࡓࡔ࠸ࡓ
ࡀࠊ⿵⥛⛉ࡣ≉࡟ᝈ⪅ࡉࢇࡀከࡃࠊデ⒪ᐊෆࡶᚅྜ࠸ࡶ኱ኚΰ㞧ࡋ࡚࠸ࡓࠋ኱Ꮫ⑓
㝔ṑ⛉ࡢཷデ≧ἣ࡟ࡘ࠸࡚࠾ఛ࠸ࡋࡓ࡜ࡇࢁࠊ⤂௓≧ࡢ⤂௓ඛデ⒪⛉ࡀ࡞ࡃึデ᮶㝔ࡉࢀࡿᝈ⪅ࡉࢇࡣ㸯᪥࡟㸯ྡ⛬ᗘ࡛࠶ࡾࠊ࡯࡜ࢇ࡝ࡣ⤂௓ඛデ⒪⛉࡟࡚┤᥋ཷ௜ࡋࠊணデᐊ࡛ࡢၥデࡢࢣ࣮ࢫࡣ࠶ࡲࡾ࡞࠸࡜ࡢࡇ࡜࡛࠶ࡗࡓࠋ኱Ꮫ⑓㝔ࡢ❧ᆅࡣᕷ⾤ᆅ࠿ࡽᑡࡋ㞳ࢀ࡚࠾ࡾࠊබඹ஺㏻ᶵ㛵࡛᮶㝔ࡍࡿሙྜࡣࠊ㊰㠃㟁㌴࠿ࡽࣂࢫࢆ஌
ࡾ⥅ࡄ࠿ࠊ᭱ᐤࡾ㥐࠿ࡽࢱࢡࢩ࣮࡜ࡢࡇ࡜࡛࠶ࡾࠊ࡯࡜ࢇ࡝ࡢᝈ⪅ࡉࢇࡣ⮬ᐙ⏝㌴࡛᮶㝔ࡉࢀ࡚࠸ࡿࡑ࠺࡛࠶ࡿࠋ஺㏻ࡢ౽ࡀⰋࡃ࡞࠸
ࡇ࡜࠿ࡽࠊࢃࡊࢃࡊ኱Ꮫ⑓㝔ࢆཷデࡍࡿ࡜࠸࠺ࡼࡾ
ࡣࠊ⮬Ꮿ㏆ࡃࡢ㛤ᴗ་ࢆཷデࡉࢀࡿ᪉ࡀከ࠸࡜ࡢࡇ
࡜࡛࠶ࡗࡓࠋ

㸳㸬ࡲ࡜ࡵ  ௒ᅇࡢゼၥ࡛ࡣࠊ㮵ඣᓥ኱Ꮫ୺ദࡢࠕኟᏘ඲ᅜṑᏛ⏕㞳ᓥᐇ⩦ࣉࣟࢢ࣒ࣛࠖࡢᐇ  ⩦ཷࡅධࢀඛࡢࡦ࡜ࡘ࡛࠶ࡿ୚ㄽᓥࡢඣ⋢ṑ⛉་㝔ࢆゼၥࡋࡓࠋࡇࢀࡲ࡛ᮏᏛ࠿ࡽ
ẖᖺᩘேࡢᏛ⏕ࢆཷࡅධࢀ࡚࠸ࡓࡔ࠸࡚࠾ࡾࠊᏛ⏕࠿ࡽᓥࡢᵝᏊࡸデ⒪ࡢ≧ἣ࡟ࡘ࠸࡚⪺࠸࡚ࡣ࠸ࡓࡀࠊᐇ㝿࡟ඣ⋢ඛ⏕࡟࠾ヰࢆఛ࠸ࠊᓥࡢఫẸ࡜஺ὶࡋࡓࡾࠊᓥࡢ
⎔ቃࢆ┠࡟ࡋࡓࡾࡍࡿࡇ࡜ࡀ࡛ࡁࠊ㞳ᓥ࡞ࡽ࡛ࡣࡢ஦᝟࡟ࡘ࠸࡚ࡢ⌮ゎࡀ῝ࡲࡗࡓࠋඣ⋢ඛ⏕ࡣࡇࢀࡲ࡛ᓥࡢఫẸࡢཱྀ⭍ࡢ೺ᗣ⥔ᣢࢆ୍ே࡛ᢸ࠸ࠊᑾຊࡉࢀ࡚ࡁ࡚
࠸ࡿࠋཱྀ⭍ෆ⾨⏕⟶⌮ࡸᐃᮇⓗ࣓ࣥࢸࢼࣥࢫ࡟ࡘ࠸࡚ࡢ⌮ゎࡀ࠸ࡲࡦ࡜ࡘ࡛࠶ࡿఫ
Ẹࡀከ࠸୰ࠊṑ⛉ཷデࡋࡸࡍ࠸㞺ᅖẼసࡾࡸᝈ⪅ࡉࢇࡢ㈝⏝㈇ᢸࢆ᭱ᑠ㝈࡟࡜࡝ࡵࡿ➼ࡉࡲࡊࡲ࡞ᕤኵࢆࡉࢀ࡚࠸ࡓࠋ᮶ᖺᗘ௨㝆ࡶᮏᏛᏛ⏕࡟ࡣ✚ᴟⓗ࡟ཧຍࡋ࡚ࡶ
ࡽ࠸ࠊᆅᇦ་⒪ࡢᐇ᝟ࢆᏛࢇ࡛࡯ࡋ࠸࡜ᛮ࠺ࠋ  㮵ඣᓥ኱Ꮫ࡛ࡣࠊᮏ஦ᴗ࡟ᦠࢃࡽࢀ࡚࠸ࡿඛ⏕᪉࡜ᡴࡕྜࢃࡏࢆ⾜ࡗࡓࡀࠊ኱Ꮫ
ෆࡢ஦᝟ࡀࡉࡲࡊࡲ࡟࠶ࡿ୰࡛ࠊᆒ࡚ࢇ໬᥎㐍࡟ࡘ࠸࡚๓ྥࡁ࡞ヰࢆࡍࡿࡇ࡜ࡀ࡛
ࡁࡓࠋ᮶ᖺᗘࡣᮏ஦ᴗࡢ᭱⤊ᖺᗘ࡟࠶ࡓࡾࠊ஦ᴗ᥎㐍ࢆࡇࢀࡲ࡛௨ୖ࡟ຍ㏿ࡍࡿᚲ
せࡀ࠶ࡿࠋ௒ᚋࡶ㐃ᦠ኱Ꮫ࡜ࡢ㐃ᦠࢆ⥭ᐦ࡟࡜ࡾ࡞ࡀࡽࠊᮏ஦ᴗࡢᡂᯝࢆṧࡏࡿࡼ࠺ດࡵ࡚࠸ࡁࡓ࠸࡜⪃࠼࡚࠸ࡿࠋ

Journal of

Oral Rehabilitation

Journal of Oral Rehabilitation 2017 44; 22–29㈨ᩱ䠍 䠌Longitudinal study of factors affecting taste sense decline in
old-old individuals
T . O G A W A * , M . U O T A * , ̲̲̲̲̲̲̲̲̲̲̲̲
K. IKEBE*, Y. ARAI†, K. KAMIDE‡, Y. GONDO§,̲̲̲̲̲̲̲̲̲̲̲̲
Y. MASUI¶, T. ISHIZAKI¶, C. INOMATA*, H. TAKESHITA*, Y. MIHARA*, K. HATTA*& Y . M A E D A * *Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of
Dentistry, Suita, Osaka, †Division of Geriatric Medicine, Department of Internal Medicine, Keio University School of Medicine, Shinjuku,
Tokyo, ‡Department of Geriatric Medicine and Nephrology, Osaka University Graduate School of Medicine, Suita, Osaka, §Department ofClinical Thanatology and Geriatric Behavioral Science, Osaka University Graduate School of Human Sciences, Suita, Osaka, and ¶Tokyo
Metropolitan Geriatric Hospital and Institute of Gerontology, Itabashi, Tokyo, JapanThe sense of taste plays a pivotal role for
personal assessment of the nutritional value, safety
and quality of foods. Although it is commonly
recognised that taste sensitivity decreases withage, alterations in that sensitivity over time in an
old-old population have not been previously
reported. Furthermore, no known studies utilised
comprehensive variables regarding taste changes
and related factors for assessments. Here, we reportnovel ﬁndings from a 3-year longitudinal study
model aimed to elucidate taste sensitivity decline
and its related factors in old-old individuals. We
utilised 621 subjects aged 79–81 years who
participated in the Septuagenarians, Octogenarians,
Nonagenarians Investigation with Centenarians
Study for baseline assessments performed in 2011
and 2012, and then conducted follow-up
assessments 3 years later in 328 of those.
Assessment of general health, an oral examinationand determination of taste sensitivity were
performed for each. We also evaluated cognitive

SUMMARY

Introduction
Humans are able to detect various tastes by stimulation of receptors in taste buds in oral mucosa, which
is important for personal assessment of the safety,
quality and nutritional value of foods. Several factors
have been suggested to be associated with taste loss or
dysfunction, including ageing, medication, malnutrition, smoking, hospitalisation and institutionalisation© 2016 John Wiley & Sons Ltd

function using Montreal Cognitive Assessment
ﬁndings, then excluded from analysis those with ascore lower than 20 in order to secure the validity
andreliabilityofthesubjects’answers.
Contributing variables were selected using
univariate analysis, then analysed with multivariate
logistic regression analysis. We found that males
showed signiﬁcantly greater declines in taste
sensitivity for sweet and sour tastes than females.
Additionally, subjects with lower cognitive scoresshowed a signiﬁcantly greater taste decrease forsalty in multivariate analysis. In conclusion, ourlongitudinal study revealed that gender andcognitive status are major factors affecting taste
sensitivity in geriatric individuals.
KEYWORDS: taste
decline, old-old, longitudinal
study,
taste
threshold,cognitivefunction,
multivariate analysis
Accepted for publication 12 October 2016(1–3). To detect a compound dissolved in water, Mojetet al. reported that older subjects required a higher
concentration than younger subjects (4). As for theinﬂuence of removable dentures on taste, a negative
impact has been reported (5), though another study
found no such effect (6). Additionally, patients withdementia were found to have a lower level of taste
sensitivity than healthy controls (7), which wasshown to exist even in patients with mild cognitive
doi: 10.1111/joor.12454

FACTORS AFFECTING TASTE SENSE IN OLD-OLD
impairment (8). Nevertheless, taste alterations overtime had not been investigated in an old-old population to date, and no known studies have utilised comprehensive variables or a longitudinal study design toinvestigate changes in taste sensitivity and related
factors.
In the present study, we conducted longitudinal
analysis as part of a multidisciplinary research projectfocused on the health and longevity of elderly individuals from medical, dental, nutritional, psychological and sociological aspects. Our aim was to elucidate
factors related to changes in taste sensitivity in old-old
individuals.

Materials and methods
Study population and proceduresThis research was based on a cohort study of healthand longevity termed the SONIC (Septuagenarians,
Octogenarians, Nonagenarians Investigation withCentenarians) Study, a multidisciplinary research project focused on the health and longevity of Japaneseelderly individuals conducted by dentists, nutritionists, psychologists, sociologists and geriatrics physicians. Data were collected from subjects residing in
two main regions of eastern (Tokyo Prefecture) andwestern (Hyogo Prefecture) Japan, with two additional areas (urban and rural) included in each of theregions; Itami City (western, urban), Asago City
(western, rural), Itabashi Ward (eastern, urban) andNishitama District (eastern, rural).
Baseline assessments of subjects aged 79–81 years(mean age = 798  09) were performed from July
2011 to March 2012, then follow-up assessment
examinations were held 3 years later (July 2014 toMarch 2015). Potential study participants were randomly chosen from a complete enumeration of theresidential district and invitation letters were sent to5378 eligible individuals. Ultimately, 973 volunteers
were selected as the study cohort, of whom 845 participated in the examinations. We excluded fromanalysis those with a Montreal Cognitive Assessment(MoCA) score lower than 20 (n = 224 at baseline,n = 38 at follow-up assessment) in order to secure thevalidity and reliability of the subjects’ answers. Therefore, 621 subjects (317 females, 304 males) participated in the baseline assessment and 328 (167females, 161 males) in the follow-up examinations.
© 2016 John Wiley & Sons Ltd

The study protocol was approved by the Institutional Review Board of Osaka University Graduate
School of Dentistry (approval number H22-E9). All
subjects gave written informed consent to participate.
This study was based on international reporting
guidelines (strengthening the reporting of observational studies in epidemiology; STROBE).
Assessment of general health status
Information regarding comorbidity was obtained frompersonal interviews and medical examinations conducted by physicians. We deﬁned type 2 diabetes mellitus (ICD-10, code E11) using the following criteria:(i) self-reported diagnosis, (ii) administration of insulin
or other oral hypoglycaemic medications, (iii) random
plasma glucose ≥200 mg dL 1, and (iv) haemoglobin
A1c (HbA1c, NGSP) ≥65%. Hypertension was determined when the mean diastolic/systolic blood pressure
was ≥140/90 mmHg in two separate measurements
and diagnostic criteria (ICD-10, code I11) were met. In
addition, those with a self-statement of hypertension
and receiving a related prescribed medication werealso included. Moreover, participants with a history ofsmoking (once or more each day) and/or drinking
alcohol (three times or more a week) were noted.
Assessment of cognitive status
The MoCA is a brief cognitive screening tool for older
adults with mild cognitive impairment (9), and thereliability and validity of the Japanese version(MoCA-J) have been established (10). We performed
the present analysis for subjects with an MoCA scoreof 20 or higher, in order to exclude participants withcognitive impairment, as previously described (11).
Oral examinations
Oral examinations were performed by trained andregistered dentists. Usage of removable dentures (upper and/or lower) was also noted. The stimulated salivary ﬂow rate of whole saliva was determined aspreviously described (12).
Dietary assessment
Diet during the preceding month was assessed using abrief self-administered diet history questionnaire (13),

23

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T . O G A W A et al.
which was completed by each subject at home andchecked by a trained research staff member during
the medical examination. Brieﬂy, this was a structured questionnaire about the frequency of consumption of selected foods commonly used in Japanesecuisine, general dietary behaviour, and usual cooking
methods.
Determination of taste sensitivity
Taste sensitivity was determined using whole mouth
method according to a procedure previously described(4, 14), with minor modiﬁcations. Brieﬂy, four different tastants, prototypical elicitors of sweet, bitter, salty
and sour, were administered to the subjects at fourconcentrations (taste score 1–4, in ascending order) in
addition to one without taste (out of scale). Sucrose(sweet) was presented at 5, 10, 20 and 40 mg mL 1;
quinine sulphate (bitter) at 0625, 125, 25 and50 lg mL 1; sodium chloride (salty) at 0625, 125,
25 and 50 mg mL 1; and citric acid (sour) at 3125,
625, 125 and 250 lg mL 1. The subjects were asked
to refrain from all food, drink, smoking and use of
toothpaste for 2 h prior to testing. Each 1 mL of solution was offered at room temperature in a polypropylene syringe and presented in ascending order ofconcentration. Participants were asked to hold thesolution for 3 s in their whole mouth and judge thetaste. The answer was regarded as correct only when
the subject replied the same taste with ascending concentration of the solution, except for the highest concentration. Based on their taste score in the baseline
assessment, the subjects were categorised into the ﬁneor poor taste sensitivity group. The cut-off points
between ﬁne and poor sensitivity for each taste were
established so that approximately 70% of the subjects
were included in the ﬁne taste group (good-poor
analysis). Those same cut-off points for each taste
were also utilised for the follow-up assessment, andfrom those ﬁndings the subjects were then categorised
into the stable or decreased taste sensitivity group.
Statistical analysis
Data analysis was conducted using SPSS version 20.0
for Windows software*. Mann–Whitney’s U test was*SPSS Inc., Chicago, IL, USA.

used to evaluate differences in continuous variables,
including age, body mass index (BMI), MoCA-J score,number of medications, remaining teeth, maximal
occlusal force, stimulated salivary ﬂow rate, and dietary nutritional intake, according to the change intaste sensitivity. A chi-squared test was used to evaluate the associations of categorical variables, such as
gender, smoking and drinking habits, type 2 diabetes,
hypertension and use of removable dentures (upper/
lower), according to the change in taste sensitivity.
Furthermore, explanatory variables with a P value lessthan 010 in univariate analysis were examined using
multivariate analysis with a stepwise logistic regression model. The contribution of each variable to themodel was evaluated to assess their inﬂuence. Odds
ratios were calculated with a 95% conﬁdence interval.
Statistical signiﬁcance was considered for P values lessthan 005.

Results
Of the 328 subjects involved in both the baseline andfollow-up assessments, 534% and 530% used an
upper and lower denture, respectively, while 24%
and 332% had a smoking habit and alcohol drinking
habit, respectively. The basic proﬁles of the subjects
are shown in Table 1.

Table 1. Basic proﬁle of subjects at baseline assessment
Gender (female/male)
167/161
Denture usage (%)
Upper
534
Lower
530
Smoking rate (%)
24Drinking rate (%)
332Hypertension (%)
820Type 2 diabetes (%)
134
Number of teeth; median (IQR)
20 (8–25)
Stimulated salivary ﬂow (mL min 1);
14 (09–21)
median (IQR)
Number of medications; median (IQR)
3 (1–6)
MoCA-J score; median (IQR)
24 (22–26)
BMI; mean  s.d. (female/male)231  26/226  32
Sugar intake (g/1000 kcal); median75 (47–114)(IQR)
Salt intake (g/1000 kcal); median (IQR)
62 (54–71)
Zinc intake (mg/1000 kcal); median46 (42–50)(IQR)
Years of education; median (IQR)
11 (10–14)
IQR, interquartile range (25–75th percentile).
© 2016 John Wiley & Sons Ltd

FACTORS AFFECTING TASTE SENSE IN OLD-OLD
First, we classiﬁed the subjects into the ﬁne andpoor taste sensitivity groups according to their scorefor each of the four taste examinations performed at
the baseline assessment. The same cut-off points foreach taste were also utilised for the follow-up assessment analysis, from which the subjects were categorised into the stable or decreased taste sensitivity
group, as shown in Fig. 1. Univariate analysis
revealed that a greater number of males as comparedto females were categorised into the decreased taste
sensitivity groups for sweet, bitter and sour taste(P < 001, P = 005, P = 002, respectively). In thedecreased taste group for salty, the number of teeth
was fewer (P = 006) and stimulated salivary ﬂow rate
was lower (P = 009), while MoCA-J scores were also
lower (P < 001). Interestingly, only a few of the subjects with a smoking habit were included in the
reduced taste group for salty (P = 004). A greaternumber of subjects receiving only a few medications
were in the decreased taste group for sweet as compared to those receiving several drugs (P = 007). The
number of education years was higher in thedecreased taste group for sour (P = 002). Usage ofupper and/or lower dentures, drinking habit, hypertension, type 2 diabetes, diabetes, BMI, sugar, and salt
and zinc intake had no relationship to alteration of
taste sense (Table 2).
We then performed multivariate logistic regression
analysis, which revealed that males had a signiﬁcantly

greater decrease in taste sensitivity for sweet [oddsratio (OR) = 227, P = 001] and sour (OR = 198,
P = 002). In addition, subjects with lower cognitivescores showed a signiﬁcantly greater taste decrease forsalty (OR = 084, P < 001). On the other hand,smoking habit, number of teeth, stimulated salivaryﬂow, number of medications and years of education
did not have a signiﬁcant effect on taste sensitivity
decrease (Table 3).

Discussion
Previous studies have reported that ageing, wearing aremovable maxillary denture, medication use, zincdeﬁciency and systemic diseases are major factors that
can affect taste disorder (15). However, those studies
were limited by sample size, sample collection method
and study design. To the best of our knowledge, thisis the ﬁrst study to investigate taste alterations overtime in an old-old population, though we previously
performed a cross-sectional study and then a longitudinal study as a series of cohort studies that used alarge population randomly chosen from a complete
enumeration of the same residential districts as in ourpresent study, and performed comprehensive analyses(16).
The present study revealed that males had signiﬁcantly greater taste decreases for sweet and sour tastes
over time as compared to females. Several reports

Fig. 1. Classiﬁcation of taste sensitivity according to score (detection threshold) for each of four tastants in baseline and follow-up
assessments. The cut-off points between the ﬁne/poor and stable/reduced taste sensitivity groups (white arrowheads) were determined
as described in Materials and methods, then statistical analyses were applied after grouping. Taste scores are represented by a score of
1 (highest sensitivity; dark grey bars), 2 (white bars), 3 (black bars) and 4 (lowest sensitivity; light grey bars) for each baseline and follow-up assessment. Out of scale indicates no taste detected (grey bars).
© 2016 John Wiley & Sons Ltd

25

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T . O G A W A et al.
Table 2. Univariate analysis of changes in taste sensitivity in stable and decreased sensitivity groups with related variables
Sweet

Number of subjects
Gender (male, %)Denture usage (%)
Upper
Partial denture
Complete denture
Lower
Partial denture
Complete denture
Smoking rate (%)
Drinking rate (%)
Hypertension (%)
Type 2 diabetes (%)

BitterSour

StableDecreasedP*

StableDecreasedP*

StableDecreasedP*

StableDecreased

P*

130
415

66
606

<001

124
379

64
516

005

70
447

140
487

034

103
254

63
485

002

524
292
232
497
369
128
26
294
863
137

557
348
209
534
404
130
45
375
841
136

532
298
234
523
395
128
13
295
808
167

544
341
203
519
397
112
38
367
823
114

525
295
230
556
417
139
44
287
800
131

600
333
267
537
333
204
00
305
833
147

575
305
270
562
349
213
25
338
875
162

541
287
254
534
439
195
30
346
820
165

060
051
019
056

Sweet
Stable

Salty

035
067
034
060
033
013
039
057
BitterDecreasedP†

Number of teeth
Median 20
20
096
IQR
9–25
7–26
Stimulated salivary ﬂow (mL min 1)
Median
14
14
091
IQR
10–21
08–22
Number of medications
Median
4
3
007
IQR
2–6
1–6
MoCA-J score
Median 23
24
019
IQR
22–26
22–26
BMI
Median 226
229
087
IQR
206–249 206–242
Sugar intake (g/1000 kcal)
Median
77
77
029
IQR
55–114
46–118
Salt intake (g/1000 kcal)
Median
62
61
089
IQR
54–72
54–72
Zinc intake (mg/1000 kcal)
Median
46
46
083
IQR
53–72
55–70Years of education
Median 11
12
039
IQR
10–13
10–14

049
097
055
090
021
017
046
019

015
057
043
031
004
044
019
043

Salty

037
085
040
045

Sour

StableDecreasedP†

StableDecreasedP†

StableDecreased

P†

21
8–26

20
10–26

071

20
9–26

18
7–24

006

17
6–24

19
8–25

050

14
10–2015
08–22047

15
10–22

13
08–20

009

12
09–1715
09–22

011

3
2–6

3
1–5

039

4
2–6

4
1–7

081

4
1–7

3
1–6

030

24
22–26

23
22–25

049

24
22–26

23
21–25

<001

24
22–26

24
22–26

035

224
206–243

227
206–243

092

225
206–2442

225
201–243

086

219
196–243

226
208–249

025

75
47–110

77
43–108

057

71
46–102

75
40–114

083

78
43–117

75
54–115

093

62
54–72

63
55–71

097

62
54–71

64
55–73

052

62
54–71

64
55–73

057

63
55–72

62
55–77

073

62
53–71

62
54–71

063

62
54–72

62
54–71

059

12
10–13

12
9–14

099

12
10–14

12
10–14

059

11
10–12

12
10–15

002

IQR, interquartile range (25–75th percentile).
P values written in bold denote signiﬁcant difference (P < 005) and statistical tendency (005 ≤ P < 01).
*Chi-squared test.
†
Mann–Whitney’s U test.

© 2016 John Wiley & Sons Ltd

FACTORS AFFECTING TASTE SENSE IN OLD-OLD
Table 3. Multivariate analysis of changes in taste sensitivity in stable and decreased sensitivity groups with related variables
Sweet

Gender
(95% conﬁdence interval)
MoCA-J score(95% conﬁdence interval)

Bitter

OR

P*

227

001
(122–421)

OR

Salty
P*

OR

084

Sour
P*

OR

P*

198

002
(110–356)<001(076–094)

OR, odds ratio.
Explanatory variables: gender (female = 0, male = 1), smoking (no = 0, yes = 1), number of teeth present (continuous variable), stimulated salivary ﬂow (continuous variable), number of medications (continuous variable), MoCA-J score (continuous variable), yearsof education (continuous variable).
P values written in bold denote a signiﬁcant difference.
*Stepwise logistic regression analysis.

have suggested differences between genders withregard to taste sensitivity (4) and Prutkin et al. suggested that the superiority of female taste sense comesfrom the cycle of sex hormones (17). Differences intaste sensitivities have been observed in young subjects in their 20s as well, thus biological factors are
considered to be present.
In the present study, 293 of 621 subjects dropped
out from the longitudinal analysis. The 38 (130%)
subjects were excluded because of the methodologicalreason regarding to MoCA score (lower than 20 in
the follow-up assessment). The other reasons fordropout are as follows; withdrew consent (n = 67,263%), death (n = 21, 82%), lost of follow-up(n = 16, 63%), hospitalisation (n = 12, 47%), relocation (n = 6, 24%), institutionalisation (n = 2, 08%)
or unknown (130, n = 510%). The reasons for withdraw consent included health problems, fatigue andunwillingness, that inevitable for longitudinal study
especially at this aged cohort.
Higher cognitive scores in the present stable taste
group for salty were commonly seen in both our crosssectional and longitudinal study models, as previously
shown. However, the present ﬁndings are more robust,
because we eliminated doubtful participants with cognitive disability from the analyses. Previous studies
have shown that ageing in subjects with lower cognitive function was associated with a reduced sodium
chloride detection threshold (18, 19). Thus, taste sensitivity decrease, especially for salty, is considered to becommon in patients with cognitive impairment andalso noted in our clinical experiences. The reason why
taste decrease was found only with regard to salty in
our study is unclear, though it may be related to the© 2016 John Wiley & Sons Ltd

fact that our subjects had no or only mild cognitive
impairment, while none had a severe cognitive disorder such as dementia. According to a recent report,mean salt intake by Japanese individuals is remarkably
high (19). Thus, our ﬁnding indicates that individuals
with impaired cognitive function may be at risk fordamage to their health by inadvertent over-intake of asalty diet (20), and highlight the importance of carefulmonitoring of patients with slight or hidden cognitive
dysfunction, especially those who are living alone.
Zinc deﬁciency is known to be a major cause of
taste disorders (1). The essentiality of zinc is widely
recognised and its deﬁciency causes a broad spectrumof symptoms. However, in the present study, differences with regard to zinc intake had no relationshipwith taste reduction. We considered that our subjects
had sufﬁcient dietary nutrition overall, thus making
the differences too small to be distinguished.
Our study has several limitations. All subjects wereconsidered to be cognitively eligible in spite of theirelderly status, because they voluntarily came to theresearch venue by referring to a map, a process thatwas considered to exclude individuals with dementia.
In addition, the period between the baseline and follow-up assessments was not adequate to provide comprehensive understanding of the various factors thathave effects on alteration of taste sensitivity. Furthermore, it is possible that bias existed for the selectionof subjects for the follow-up assessment, because 293(47%) of those who participated in the baseline
assessment did not return a response letter regarding
the follow-up examination, probably due to health orother problems. Thus, a greater percentage of subjects
in the follow-up assessment were more likely to be

27

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T . O G A W A et al.
healthy as compared to those who participated in thebaseline assessment.
Nevertheless, this is the ﬁrst study that utilised alongitudinal model to elucidate factors affecting taste
in old-old individuals and we consider that our novel
ﬁndings will provide useful information for future
research. In conclusion, we found that gender andcognitive status are major factors affecting taste sensitivity in geriatric individuals.

Author contributions
T. Ogawa, M. Uota, K. Ikebe and T. Ishizaki contributed to study conception, design, and data acquisition and interpretation, and drafted and criticallyrevised the manuscript. Y. Maeda contributed to study
conception, design and data interpretation. Y. Arai, K.
Kamide, Y. Gondo, Y. Masui, C. Inomata, H. Takeshita, Y. Mihara and K. Hatta contributed to dataacquisition. All authors gave approval to the ﬁnal version of the manuscript and agreed to be accountable
for all aspects of this work.

Acknowledgments
The authors thank all the participants who wereinvolved in this study. We also express our appreciation
to Prof. S. Kawabata (Department of Oral and Molecular Microbiology, Osaka University Graduate School of
Dentistry) and colleagues for allowing us to use theexperimental facilities. We thank Drs K. Matsuda,
S. Tada and T. Okada for their helpful assistance during
the data acquisition. This study was supported by
Grants-in-Aid for Scientiﬁc Research (JP23390440 andJP23249086) from the Japan Society for the Promotionof Science. The authors have stated explicitly that there
are no conﬂicts of interest in connection with this article.

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© 2016 John Wiley & Sons Ltd

Correspondence: Taiji Ogawa, Department of Prosthodontics,
Gerodontology and Oral Rehabilitation, Osaka University Graduate
School of Dentistry, 1-8, Yamadaoka, Suita, Osaka 565-0871, Japan.
E-mail: t-ogawa@dent.osaka-u.ac.jp29

Okubo et al. Nutrition Journal (2017) 16:56
DOI 10.1186/s12937-017-0273-2

RESEARCH

Open Access

Association between dietary patterns andcognitive function among 70-year-old
Japanese elderly: a cross-sectional analysisof the SONIC study
Hitomi Okubo1*, Hiroki Inagaki2, Yasuyuki Gondo3, Kei Kamide4,̲̲̲̲̲̲̲̲̲̲̲
Kazunori Ikebe5, Yukie Masui2, Yasumichi Arai6,
Tatsuro Ishizaki2, Satoshi Sasaki7, Takeshi Nakagawa8, Mai Kabayama4, Ken Sugimoto9, Hiromi Rakugi9,
Yoshinobu Maeda5 and SONIC Study Group

Abstract
Background: An increasing number of studies in Western countries have shown that healthy dietary patterns may
have a protective effect against cognitive decline and dementia. However, information on this relationship among
non-Western populations with different cultural settings is extremely limited. We aim to examine the relationshipbetween dietary patterns and cognitive function among older Japanese people.
Methods: This cross-sectional study included 635 community-dwelling people aged 69–71 years who participatedin the prospective cohort study titled Septuagenarians, Octogenarians, Nonagenarians Investigation with Centenarians(SONIC). Diet was assessed over a one-month period with a validated, brief-type, self-administered diet history
questionnaire. Dietary patterns from thirty-three predefined food groups [energy-adjusted food (g/d)] wereextracted by factor analysis. Cognitive function was assessed using the Japanese version of the Montreal
Cognitive Assessment (MoCA-J). Multivariate regression analysis was performed to examine the relationshipbetween dietary patterns and cognitive function.
Results: Three dietary patterns were identified: the ‘Plant foods and fish’, ‘Rice and miso soup’, and ‘Animal
food’ patterns. The ‘Plant foods and fish’ pattern, characterized by high intakes of green and other vegetables,
soy products, seaweeds, mushrooms, potatoes, fruit, fish, and green tea, was significantly associated with ahigher MoCA-J score [MoCA-J score per one-quartile increase in dietary pattern: β = 0.56 (95% CI: 0.33, 0.79),
P for trend <0.001]. This association was still evident after adjustment for potential confounding factors [β = 0.41
(95% CI: 0.17, 0.65), P for trend <0.001]. In contrast, neither the ‘Rice and miso soup’ nor the ‘Animal food’ pattern was
related to cognitive function. To confirm the possibility of reverse causation we also conducted a sensitivity analysis
excluding 186 subjects who reported substantial changes in their diet for any reason, but the results did not changematerially.
Conclusion: This preliminary cross-sectional study suggests that a diet with high intakes of vegetables, soy products,
fruit, and fish may have a beneficial effect on cognitive function in older Japanese people. Further prospective studies
are needed to confirm this finding.
Keywords: Cognitive function, Dietary pattern, Factor analysis, Japanese, Elderly* Correspondence: okubo.h.aa@niph.go.jp
1
Department of Health Promotion, National Institute of Public Health, 2-3-6
Minami, Wako-shi, Saitama 351-0197, Japan
Full list of author information is available at the end of the article© The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0
International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, andreproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to
the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver(http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

Okubo et al. Nutrition Journal (2017) 16:56

Background
With a global aging population, the prevalence of
age-related cognitive decline leading to dementia isrising dramatically, and is now one of the most serious public health challenges worldwide [1]. As there
is still no effective cure or treatment to modify thecourse of dementia, successful preventive strategies
will rely on accurate understanding of the role ofmodifiable factors and their influence on cognitive
function and the risk of dementia.
There is considerable interest in the role of diet as
an important modifiable risk factor for early prevention and delayed onset of age-related cognitive decline
and dementia [2–6]. Much of the attention regarding
the relation of diet to cognition or dementia among
the elderly has shifted from the roles of single nutrients or foods to the roles of dietary patterns, reflecting the complexity of diet and our daily eating
behavior. Recent systematic reviews and meta-analyses
have summarized the available studies on the roles of
dietary patterns in cognitive function and the risk ofdementia [2–7]. Although several approaches to theidentification of dietary patterns have been explored,
the results in general suggest that dietary patterns
with a higher intake of fruits, vegetables, fish, nuts,
and legumes and a lower intake of meat and high-fat
dairy products seem to be associated with better
cognitive function or reduced risk of dementia [2–7]. In
particular, the Mediterranean dietary pattern has shown,with considerable consistency, that it may protect against
or slow the rate of cognitive decline with aging [3–5, 7].
Almost all of these studies, however, have been conductedin Western populations, while research in non-Western
populations, including the Japanese population, is extremely limited [8–12]. The Japanese diet has characteristics seldom observed in those of Western populations,
including high intakes of rice, soybean products, fish,
seaweeds, and green tea, in addition to low total and saturated fat intakes [13]. Given the differences in dietary
habits and social characteristics between the Japanese andWestern cultures, further studies are warranted to
examine the relationships between dietary patterns
and cognitive function in the Japanese population.
The objective of the present cross-sectional study was
to examine the association between dietary patterns andcognitive function among 635 older Japanese people
who participated in a prospective cohort study called
Septuagenarians, Octogenarians, Nonagenarians Investigation with Centenarians (SONIC) [14]. We considered the effects of a wide range of potential confounding
factors, including sociodemographic characteristics,
lifestyle, medical conditions, and genetic polymorphisms that have been suggested to influence cognitive function.

Page 2 of 12

Methods
Study population and procedure

The present cross-sectional analysis was based on thebaseline survey of the SONIC Study, an ongoing prospective cohort study of older people as part of the Centenarian
Study that was initiated in June 2010 [14]. The principal
objectives of the SONIC Study are to assess the characteristics of a general population sample of older people consisting of three control groups of different ages (70s, 80s,
and 90s) for a centenarian cohort, and to clarify thefactors for health, longevity, and psychological well-being.
We used a narrow age-range cohort design [14], and eachcohort includes individuals whose ages fall within a 3-year
range (i.e., 69–71, 79–81, and 89–91 years old for the 70s,
80s, and 90s cohorts, respectively). The data collection foreach age cohort was conducted in different years. The
first-wave survey began in 2010 for the 70s cohort, 2011
for the 80s cohort, and 2012 for the 90s cohort. We havealso conducted a follow-up assessment on each cohort
every 3 years after the baseline survey. Each cohort consisted of a total of 1000 participants living independently
who had been randomly selected through the local resident registry from four areas in Japan: Itami City, Hyogo(Western-urban); Asago City, Hyogo (Western-rural);Itabashi Ward, Tokyo (Eastern-urban); and Nishitama
County, Tokyo (Eastern-rural). A detailed description of
the rationale, study design, and protocol has been published elsewhere [14–16].
The present analysis includes only participants in thebaseline survey of the 70s cohort. The baseline assessment of the SONIC Study was primarily conducted bymeans of a questionnaire booklet containing questions
on socioeconomic status, psychosocial variables, medical
conditions of self and family, dental conditions, diet, andlifestyle; medical and physical examinations were also
performed. Research technicians confirmed missing or
illogical data through interview at the survey venue. All
measurements at each survey venue were conductedaccording to the survey protocol. A total of 1000 subjects (479 men and 521 women) aged 69–71 years completed the baseline survey for the 70s cohort between
June and November 2010. After we excluded subjects
who were currently receiving dietary counselling from a
doctor or dietician (n = 123) or were missing information on the variables used (n = 242), data on 635 subjects (292 men and 343 women) were used for thepresent analysis.
Dietary assessment

Dietary habits during the previous month were assessedusing a brief-type self-administered diet history questionnaire (BDHQ) [17, 18]. The BDHQ for older people
is a 10-page structured questionnaire inquiring about
the consumption frequency of selected foods commonlyOkubo et al. Nutrition Journal (2017) 16:56

consumed in Japan, general dietary behavior and usual
cooking methods. Daily intake of foods (58 food items in
total), energy, and selected nutrients was calculatedusing an ad hoc computer algorithm for the BDHQ,
which was based on the Standard Tables of Food Composition in Japan [19]. Information on portion size was
not collected in the BDHQ; rather, a sex-specific fixed
portion size was used in calculations for all subjects. The
relative validity of the estimates of intake from the BDHQ
was established in comparison with intakes assessed using
16-day semi-weighed dietary records (DR) in a validation
study of 92 Japanese men aged 32–76 years and 92
Japanese women aged 31–69 years. Median Spearman
correlation coefficients with the DR for the 58 foods
were 0.48 (range: 0.22–0.83) in men and 0.44 (range:
0.14–0.82) in women [17]. Median Pearson correlation
coefficients with the DR for energy-adjusted intakes of the
42 nutrients were 0.56 (range: 0.41–0.63) in men and 0.54
(range: 0.45–061) in women [18]. A more detailed description of the methods used to calculate dietary intakes
and the validity of the BDHQ has been published previously [15, 16].
Identification of dietary pattern

Dietary patterns can be assessed with different techniques:
1) hypothesis-driven (a priori) techniques using scorebased approaches such as the Mediterranean diet score or
healthy eating index, 2) data-driven (a posteriori) techniques using statistical methods such as factor analysis/
principal component analysis (PCA) and cluster analysis,
and more recently 3) reduced rank regression (RRR),
which combines characteristics of the former two approaches [20]. In contrast to a priori approaches and RRR,
a posteriori approaches are data-driven, and thus, do not
require a prior knowledge or theory of the diet-disease relationship and biological pathways [2]. Factor analysis isespecially useful for exploring underlying patterns that explain variation in how subjects eat, and generates ranked
scores, which have excellent characteristics for use inlinear regression analysis, with good power for detecting
associations with outcome variables [20]. We therefore
chose factor analysis to identify dietary patterns in the
SONIC Study. Before the analysis, individual food items
calculated from the BDHQ (58 foods) were classified into
one of the 33 predefined food groups (see Additional file 1:
Table S1). The food-grouping scheme was generally basedon the principles of similarity of nutrient profiles or culinary usage of the foods, mainly according to the food composition tables of Japanese foods [19], the classification offood groups used by the National Nutrition Survey [13],and that used in previous studies [21, 22]. Intakes of thesefood groups (g food/d) were adjusted for total energy intake by the density methods (g/1000 kcal). Factor analysis
was conducted using the FACTOR procedure in SAS

Page 3 of 12

statistical software package version 9.4 (SAS Institute, Inc.,
Cary, NC, USA). The factors were rotated by orthogonaltransformation (Varimax rotation function in SAS) toachieve a simpler structure with greater interpretability.
The number of factors that best represent the data ischosen on the basis of eigenvalues, scree plots, and theinterpretability of food combinations on each factor. We
repeated the same analysis with a varied numbers of factors
and randomly divided the subjects into two groups to
examine whether these choices affected the reliability of
our findings. The results showed closely similar dietary patterns (data not shown). The proportion of variance explained by each factor was calculated by dividing the sumof the squares of the respective factor loadings by the
number of variables. The factor scores for each pattern and for each individual were determined by summing the intake of each food group weighted by thefactor loading [23]. We used these scores to rank thesubjects according to the degree to which they conformed to the dietary pattern.
Assessment of cognitive function

Cognitive and functional status was assessed using theJapanese version of the Montreal Cognitive Assessment(MoCA-J) by trained geriatricians and psychologists [24].
The MoCA is a brief cognitive screening tool for detecting
mild cognitive impairment in older people, and assessesnine domains of cognition: 1) attention, 2) concentration,3) executive functions, 4) memory, 5) language, 6) visuoconstructional skills, 7) conceptual thinking, 8) calculations, and 9) orientation [24, 25]. The total MoCA score
ranges from 0 to 30, with higher scores reflecting higher
cognitive function. The test has been broadly used inother large-scale studies on cognitive function, and the reliability and validity of the MoCA for predicting early cognitive decline in comparison with a conventional cognitive
test has been well established in the Japanese population[24]. We therefore used the MoCA-J total score as anindicator of cognitive function.
Assessment of confounding factors

We collected information on sex, date of birth, residential area (Itami, Asago, Itabashi, or Nishitama), education[<10 (junior high school or less), 10–12 (high school), or≥13 years (college or higher)], frequency of going outdoors (<1, 1–4, or ≥5 times per week), current smoking
status (yes or no), alcohol consumption (yes or no), andmedical history of chronic diseases (e.g., hypertension,
diabetes, cancer, coronary heart disease, or cerebrovascular disease) through self-administered questionnaires
at baseline. At the medical and physical examinations
which were also conducted as part of the baseline survey, height and weight were measured to the nearest
0.1 cm and 0.1 kg, respectively, in light clothing without

Okubo et al. Nutrition Journal (2017) 16:56

shoes. BMI (kg/m2) was calculated as weight (kg) divided
by height squared (m2). Blood pressure in the left and rightarm was measured twice by a physician or trained nurse
using a standard mercury sphygmomanometer or electronic monitor, and the mean value of the two measurements in each of the two arms was used. Hypertension was
defined as systolic blood pressure ≥ 140 mmHg or diastolicblood pressure ≥ 90 mmHg, or as having received antihypertensive treatment [26]. Venous blood samples for measurement of plasma glucose, plasma lipids, and otherbiochemistry indicators were collected in the fasting status.
Diabetes was defined as a fasting plasma glucose concentration ≥ 7.0 mmol/L (126 mg/dL), a casual plasma glucose
concentration ≥ 11.1 mmol/L (200 mg/dL), HbA1c ≥6.5%,
or current use of medication for diabetes [27]. ApoE gene
polymorphic alleles are the main genetic determinants of
Alzheimer’s disease (AD) risk: the ε4 allele is most highly
associated with AD at a large range of ages and in all ethnic groups [28]. We therefore analyzed the ApoE gene
polymorphisms, and individual carriers of at least one ε4allele (sum of ε4/ε4, ε4/ε3 and ε4/ε2) were considered tohave a positive genotype. Genomic DNA was extracted
from white blood cells and polymerase chain reaction
methods were performed for genotyping of ApoE-ε4 allele.
Depressive symptoms were assessed according to the fiveitem short form of the Geriatric Depression Scale (GDS-5:
score range from 0 to 5) [29].

Statistical analysis

Descriptive data are presented as means (standard deviation or 95% confidence interval) for continuous variables
and percentages of subjects for categorical variables. To
avoid biased grouping due to variation in body size andenergy requirement, values of nutrient and food intake
were energy-adjusted using the density method (i.e., percentage of energy for energy-providing nutrients andamount per 1000 kcal of energy for other nutrients andfoods). The factor scores for each dietary pattern were categorized into quartiles which were used for the comparison of nutrient intakes and other lifestyle factors. Pearson
correlation coefficients were used to describe the relationsof nutrient intakes with each dietary pattern.
Univariate and multiple linear regression analyses were
performed to explore associations of each dietary patternwith MoCA-J score. We calculated mean (95% CI) valuesof the MoCA-J score according to the quartile of eachdietary pattern with or without adjustment for the following potential confounders: sex (men or women), area ofresidence (Western-urban, Western-rural, Eastern-urban,
or Eastern-rural), education (<10, 10–12, or ≥13 years),frequency of going outdoors (<1, 1–4, or ≥5 times perweek), current smoking status (yes or no), alcohol consumption (yes or no), BMI (kg/m2, continuous), GDS-5

Page 4 of 12

depression score (continuous), hypertension (yes or no),diabetes (yes or no), medical history of cerebrovasculardisease (yes or no), and ApoE-ε4 allele carrier status (yesor no). We also calculated unstandardized partial regression coefficient (95% CI) that reflects the change in
MoCA-J score per one-quartile increase in conformity toa particular dietary pattern. Tests for trend associations
were based on assigning ordinal numbers 0–3 to the four
categories of each dietary pattern. All statistical analyses
were performed using the SAS statistical software package
version 9.4 (SAS Institute, Inc., Cary, NC, USA). All
reported P values are two-tailed and P < 0.05 was considered to be statistically significant.

Results
Dietary patterns

Three dietary patterns were identified (Table 1) and each
was labelled according to the food groups with highloadings. Factor 1, which loaded heavily on green anddark yellow vegetables, other vegetables, soy products,
seaweeds, mushrooms, potatoes, fruit, salad vegetables,
fish, green tea, and pickled vegetables, was labelled the‘Plant foods and fish’ pattern. Factor 2, with high positive
loadings for rice and miso soup, and high negative loadings for bread, fats and oils, and ice cream, was labelled
the “Rice and miso soup” pattern. Factor 3, with highloadings for seasonings, shellfish, chicken, red meats,
fish, seafood, and processed meats, was labelled the ‘Animal food’ pattern. Overall, the three dietary patterns
accounted for 24.9% of the variance in food intake.
Associations of dietary patterns with subject
characteristics

Characteristics of the 635 analytical subjects are shownin Table 2. Compared with other participants in thebaseline survey of the 70s SONIC cohort (n = 365),
those included in the analysis were more likely to live ina rural area (P < 0.01) but less likely to have diabetes(P < 0.001). There was no difference in sex, education,
frequency of going outdoors, smoking, alcohol consumption, energy intake, BMI, GDS-5 score, hypertension, diabetes, cerebrovascular disease, or ApoE-ε4 allele
carrier status between the subjects analyzed and theremaining participants.
When the subjects were classified into four groups
according to the factor score of each dietary pattern, thesubjects in the highest quartile of the ‘Plant foods andfish’ pattern were more likely to be women, to live in theWestern-rural area, to have higher educational attainment, and to go outdoors frequently, but they were lesslikely to be current smokers, to drink alcohol, or to havehypertension or cerebrovascular disease (all P < 0.05).
The subjects with higher scores for the ‘Rice and misoOkubo et al. Nutrition Journal (2017) 16:56

Page 5 of 12

Table 1 Factor-loading matrix for the major three dietary patterns identified among 635 Japanese men and women aged 69–71 years
who participated in the SONIC Study, Japana
Factor 1

Factor 2

Plant foods and fish

Rice and miso soup

Factor 3
Animal foods

Other vegetables

0.71

−0.03

0.11

Green and dark yellow vegetables

0.68

−0.26

0.13

Soy products

0.55

0.22

0.06

Seaweeds

0.54

0.11

0.12

Mushrooms

0.53

−0.07

0.22

Potatoes

0.51

0.20

−0.10

Fruit

0.48

−0.22

−0.16

Salad vegetables

0.41

−0.26

0.18

Green tea

0.33

0.18

−0.04

Pickled vegetables

0.33

0.07

−0.04

Low-fat milk

0.04

−0.01

0.02

Soft drinks

−0.31

−0.21

−0.04

Alcoholic beverages

−0.32

0.04

0.07

Cooked rice

−0.33

0.74

−0.21

Miso soup

0.00

0.53

0.03

Fruit and vegetable juice

0.05

−0.20

0.12

Coffee

−0.09

−0.23

0.00

High-fat milk

0.24

−0.27

−0.08

Noodles

−0.24

−0.29

0.01

Black and Oolong tea

0.13

−0.30

−0.05

Processed meats

−0.10

−0.34

0.30

Ice cream

−0.17

−0.40

−0.11

Fats and oils

−0.05

−0.48

0.33

Breads

−0.16

−0.53

−0.14

Seasonings

0.18

0.12

0.73

Shellfish

−0.02

−0.02

0.44

Chicken

0.06

−0.15

0.43

Red meats

0.02

−0.07

0.42

Fish

0.38

0.14

0.41

Seafood

0.11

0.13

0.40

Sugar

−0.04

−0.02

0.22

Eggs

0.15

−0.12

0.19

Confectioneries

0.16

−0.22

−0.52

Percentage of variance

10.6%

7.5%

6.8%

a

Absolute values <−0.25 or >0.25 are underlined

soup’ pattern were more likely to be men, to be current
smokers, to drink alcohol, to live in the Western-ruralarea, to have lower educational attainment, to go outdoors less frequently, and to have diabetes (all P < 0.05).
The subjects with higher scores for the ‘Animal food’pattern were more likely to drink alcohol and to havehigher BMI and hypertension (all P < 0.05).

Associations of dietary patterns with nutrient intakes

Mean energy-adjusted nutrient intakes for the lowest(Q1) and highest (Q4) quartiles of each dietary pattern
and Pearson correlation coefficients are shown in Table
3. Across the distribution of each dietary pattern, there
were differences in patterns of nutrient intake. The Pearson correlation coefficients between each dietary patternOkubo et al. Nutrition Journal (2017) 16:56

Page 6 of 12

Table 2 Characteristics of 635 subjects aged 69–71 years who participated in the SONIC Study, Japana
Total(n = 635)

Factor 1: Plant foods and fish
Q1(n = 158)

Q4(n = 159)

P valueb Q1(n = 158)

Factor 2: Rice and miso soupQ4(n = 159)

P valueb Q1(n = 158)

Factor 3: Animal foods
Q4(n = 159)

P valueb

Men

46.0

72.8

23.9

<0.001

38.6

56.6

0.002

41.1

43.4

0.34

Women

54.0

27.2

76.1

61.4

43.4

58.9

56.6

Western-urban (Itami)

20.0

32.3

11.3

21.5

21.4

Western-rural (Asago)

26.0

23.4

32.1

36.1

22.6

Sex (%)

Area of residence (%)
0.004

38.0

10.1

17.1

40.3

<0.001

Eastern-urban (Itabashi)

25.4

20.9

28.9

27.2

16.4

15.8

29.6

Eastern-rural (Nishitama)

28.7

23.4

27.7

17.7

33.3

26.6

26.4

< 10

25.5

34.2

18.2

17.1

38.4

22.8

23.9

10–12

47.1

44.3

47.2

50.6

36.5

46.8

53.5

≥ 13

27.4

21.5

34.6

32.3

25.2

30.4

22.6

2.5

7.6

5.7

5.0

0.22

Education (years)<0.001<0.001

0.26

Frequency of going outdoors (times per week, %)
<1

5.2

8.9

2.5

<0.001

0.004

0.88

1–4

29.0

34.8

25.2

24.1

31.5

31.0

32.1

≥5

65.8

56.3

72.3

73.4

61.0

63.3

62.9

Current smoker (%)

9.1

17.7

2.5

<0.001

8.2

14.5

0.03

7.6

11.3

0.22

Alcohol drinker (%)

37.0

60.1

15.1

<0.001

32.9

45.3

0.05

27.2

39.0

0.01

Energy intake (kcal/d)1938 ± 569 1934 ± 636 1839 ± 492 0.05

1941 ± 614 1839 ± 530 0.06

2018 ± 565 1869 ± 606 0.14

BMI (kg/m2)

22.9 ± 3.0

22.9 ± 3.1

22.6 ± 3.0

23.1 ± 3.0

22.8 ± 3.1

0.58

23.3 ± 3.5

0.08

23.5 ± 3.7

0.02

GDS-5 score0.88 ± 1.07 0.97 ± 1.05 0.73 ± 1.00 0.22

0.76 ± 1.01 1.02 ± 1.15 0.15

0.85 ± 1.01 1.01 ± 1.11 0.35

Hypertension (%)

65.4

63.3

59.5

Diabetes (%)

70.9

62.3

0.05

66.0

0.43

71.7

0.03

13.7

15.2

10.1

0.16

9.5

18.2

0.03

11.4

13.8

0.24

Cerebrovascular disease (%) 2.8

7.0

1.3

0.003

3.2

3.1

0.82

2.5

3.1

0.84

ApoE-ε4 allele carrier (%)

16.5

12.6

0.38

15.8

13.8

0.38

13.9

18.2

0.46

14.7

BMI body mass index, GDS Geriatric Depression Scalea
Values are means ± SD for continuous variables and percentages of subjects for categorical variablesb
A linear trend test and a Mantel-Haenszel chi-square test were used for continuous and categorical variables, respectively

and intake of nutrients that may be protective against
cognitive impairment, namely, fatty acids, antioxidants(vitamins A, E, and C), and B-vitamins (vitamins B6, B12,and folate), were examined. The ‘Plant foods and fish’
pattern was positively correlated with intake of protein,fat, polyunsaturated fatty acids (PUFA), eicosapentaenoic
acid (20:5 n-3) (EPA) + docosahexaenoic acid (22:6 n-3)
(DHA), dietary fiber, and all vitamins and minerals examined. The ‘Rice and miso soup’ pattern was positively
correlated with intake of carbohydrate, but negatively
correlated with intake of fat, saturated fatty acids (SFA),
monounsaturated fatty acids (MUFA), PUFA, and vitamins A, E, and C. In contrast, the ‘Animal food’ pattern
was positively correlated with intake of protein, fat,
MUFA, PUFA, EPA + DHA, vitamins A, E, B6, and B12,
and all minerals examined, but negatively correlatedwith intake of carbohydrate.

Associations of dietary patterns with cognitive function

The associations of each dietary pattern with MoCA-J
score as an indicator of cognitive function are shown in
Table 4. There was a strong positive association between
the ‘Plant foods and fish’ pattern and MoCA-J score(P < 0.001). This association remained after adjustment
for potential confounding effects of sex, area of residence, education, frequency of going outdoors, current
smoking status, alcohol consumption, BMI, ApoE-ε4 allele carrier status, and medical history of diabetes,
hypertension, cerebrovascular disease, and depression(P < 0.001). The ‘Rice and miso soup’ pattern was significantly associated with a lower MoCA-J score(P < 0.001), but this negative association disappeared
after adjustment for confounders (P = 0.33). In contrast, no associations were observed between the‘Animal food’ pattern and MoCA-J score.

10.3 ± 2.0

599 ± 184

6.6 ± 2.0

9.0 ± 2.4

6.2 ± 1.6

0.47 ± 0.29

54.5 ± 9

5.5 ± 1.2

348 ± 175

3.4 ± 0.9

0.6 ± 0.1

5.2 ± 2.7

159 ± 38

52 ± 172324 ± 495

1159 ± 231

257 ± 79123 ± 20

3.7 ± 0.7

SFA (g/1000 kcal)

MUFA (g/1000 kcal)

PUFA (g/1000 kcal)

EPA + DHA (g/1000 kcal)

Carbohydrate (% of energy)

Dietary fibre (g/1000 kcal)

Vitamin A (μg/1000 kcal)

Vitamin E (mg/1000 kcal)

Vitamin B6 (mg/1000 kcal)

Vitamin B12 (mg/1000 kcal)

Folate (μg/1000 kcal)

Vitamin C (mg/1000 kcal)

Sodium (mg/1000 kcal)

Potassium (mg/1000 kcal)

Calcium (mg/1000 kcal)

Magnesium (mg/1000 kcal)

Iron (mg/1000 kcal)

18.5 ± 3.0<0.001<0.001<0.001<0.001<0.001<0.001<0.001<0.001<0.001<0.001<0.001<0.0010.53<0.001<0.001<0.001<0.001<0.001<0.001

Ptrendb
16.2 ± 2.9

0.81

0.83

0.67

0.88

0.27

0.81

0.85

0.24

0.77

0.67

0.48

4.9 ± 1.1

157 ± 31374 ± 109

1692 ± 417

2541 ± 450

90 ± 33240 ± 73

6.0 ± 2.5

0.8 ± 0.2

4.9 ± 1.0

520 ± 2208.1 ± 2.3

51.5 ± 7.1

−0.06
0.89

0.56 ± 0.27

7.4 ± 1.4

11.4 ± 2.1

8.8 ± 2.0

28.8 ± 4.7

5.0 ± 1.0

157 ± 29346 ± 101

1576 ± 372

2615 ± 408

81 ± 31228 ± 627.1 ± 2.3

0.8 ± 0.2

4.4 ± 0.9479 ± 217

7.6 ± 2.0

52.2 ± 5.9

0.68 ± 0.40

7.1 ± 1.2

9.8 ± 2.0

7.1 ± 1.9

25.2 ± 4.8

16.7 ± 2.5Q4(n = 159)

Factor 2: Rice and miso soup
Q1(n = 158)

0.32

0.29

0.15

0.19

0.26

0.55

Pearson rc

0.59

0.36

<0.001<0.0010.94<0.001

0.001

0.003

0.42

<0.001<0.001<0.001<0.001<0.001<0.001<0.001<0.001<0.001

0.92

P trendb

8.5 ± 1.8
5.9 ± 1.2

−0.59
−0.35

5.4 ± 1.2

145 ± 33
4.6 ± 1.2

−0.05
−0.05

171 ± 36335 ± 103−0.16

394 ± 131

1742 ± 436

1516 ± 430

2914 ± 452

2178 ± 412

86 ± 33247 ± 75

9.3 ± 3.5

0.9 ± 0.2

4.9 ± 1.0558 ± 258

7.7 ± 2.1

47.0 ± 5.9

0.88 ± 0.38

7.9 ± 1.5

11.3 ± 2.3

7.9 ± 1.9

−0.20

83 ± 33

19.1 ± 3.3
28.5 ± 5.2

0.02

221 ± 75−0.22

0.7 ± 0.2

−0.06
−0.16

3.9 ± 1.0

−0.48

4.5 ± 1.8444 ± 198

−0.20

0.13

60.0 ± 5.2
7.8 ± 2.5

0.24
−0.19

0.44 ± 0.23

7.1 ± 2.0

−0.63

0.15

14.3 ± 2.4
22.6 ± 4.5

0.01

Q4
(n = 159)

Factor 3: Animal foods
Q1(n = 158)−0.58

Pearson rc

SFA saturated fatty acids, MUFA monounsaturated fatty acids, PUFA polyunsaturated fatty acids, EPA eicosapentaenoic acid, DHA docosahexaenoic acida
All nutrients were energy-adjusted using the density method. Means ± SD (all such values)b
A linear trend test was usedc
Pearson correlation coefficient of >0.2 or <−0.2 was considered significant

6.2 ± 1.0

192 ± 294

448.8 ± 104

2082 ± 364

2671 ± 542

118 ± 31311 ± 67

7.3 ± 3.2

1.0 ± 0.2

5.2 ± 1.0

53.5 ± 7.1

0.76 ± 0.37

7.4 ± 1.4

10 ± 2.2

7.6 ± 1.6

26.6 ± 4.8

13.7 ± 2.6

22.6 ± 5.6Q4(n = 159)

Fat (% of energy)

Q1(n = 158)

Factor 1: Plant foods and fish

Protein (% of energy)

Nutrienta<0.001<0.001<0.001<0.001<0.001

0.31

0.002

<0.001<0.001<0.001<0.0010.60<0.001<0.001<0.001<0.001<0.001<0.001<0.001

P trendb

0.31

0.30

0.20

0.22

0.58

0.06

0.16

0.62

0.46

0.40

0.22

−0.01

−0.66

0.52

0.51

0.45

0.16

0.42

0.60

Pearson rc

Table 3 Nutrient intakes for the lowest (Q1) and highest (Q4) quartiles of three dietary patterns identified for 635 subjects aged 69–71 years who participated in the SONIC
Study, Japan

Okubo et al. Nutrition Journal (2017) 16:56
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Okubo et al. Nutrition Journal (2017) 16:56

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Table 4 Association between dietary pattern and MoCA-J score among 635 Japanese men and women aged 69–71 years who participated in SONIC Study, Japan
MoCA-J scorea
Adjustedb

Crude
n

Mean

95% CI

Mean

95% CI

Q1

158

22.0

(21.5, 22.5)

22.2(21.7, 22.7)

Q2

159

22.6

(22.1, 23.2)

22.7(22.2, 23.2)

Q3

159

22.6

(22.1, 23.1)

22.5(22.0, 23.0)

Q4

159

Factor 1: Plant foods and fish

23.9

(23.4, 24.4)

23.7(23.2, 24.2)

Effects per one-quartile increasec

0.56(0.33, 0.79)

0.41(0.17, 0.65)

P for trend<0.001<0.001

Factor 2: Rice and miso soup
Q1

158

23.4

(22.9, 24.0)

23.0(22.5, 23.5)

Q2

159

23.0

(22.5, 23.5)

22.9(22.4, 23.4)

Q3

159

22.5

(21.9, 23.0)

22.5(22.0, 23.0)

Q4

159

22.2

(21.7, 22.7)

22.7(22.2, 23.2)

Effects per one-quartile increase−0.42(−0.65, −0.19)−0.16(−0.38, 0.07)

P for trend<0.001c

0.33

Factor 3: Animal foods
Q1

158

22.8

(22.3, 23.3)

22.6(22.1, 23.1)

Q2

159

22.5

(22.0, 23.0)

22.5(22.0, 23.0)

Q3

159

23.0

(22.5, 23.6)

23.1(22.7, 23.6)

Q4

159

22.7

(22.2, 23.2)

22.8(22.4, 23.3)

Effects per one-quartile increasec

0.01(−0.22, 0.25)

0.13(−0.09, 0.35)

P for trend

0.95

0.44

MoCA-J: Japanese version of the Montreal Cognitive Assessmenta
All values are mean and 95% CIs in parenthesesbAdjusted for sex (men or women), residential area (Western-urban, Western-rural, Eastern-urban, or Eastern-rural), education (<10, 10–12, or ≥13 years), frequencyof going outdoors (<1, 1–4, or ≥5 times per week), current smoking status (yes or no), alcohol consumption (yes or no), BMI (kg/m2, continuous), GDS-5 score as
depression (continuous), hypertension (yes or no), diabetes (yes or no), cerebrovascular disease (yes or no) and ApoE-ε4 allele carrier (yes or no)cValues are unstandardized partial regression coefficients and 95% CIs in parentheses indicating the change per one-quartile increase in conformity todietary pattern

In further analyses, we conducted same analyses by
examining dietary patterns for men and women separately
because eating behavior may differ according to sex. The
three similar dietary patterns were observed in both sexes,
and the results indicating a positive association between
the ‘Plant foods and fish’ pattern and MoCA-J score did
not change materially (data not shown). Because our findings came from a cross-sectional study, we could not exclude the possibility of reverse causation such that the
subjects changed their dietary behavior or food choices
because of the worsening of their cognitive function. We
therefore checked the robustness of our findings throughadditional analysis. We ran the models while excluding
186 subjects who reported substantial changes in diet for
any reason, but the results (Model 2) did not changematerially [MoCA-J score per one-quartile increase inconformity to dietary pattern: β = 0.37 (95% CI: 0.08,0.65), P for trend = 0.01 for the ‘Plant foods and fish’

pattern, β = −0.07 (−0.34, 0.20), P for trend = 0.99 for the‘Rice and miso soup’ pattern, and β = 0.15 (−0.12, 0.41), P
for trend = 0.33 for the ‘Animal food’ pattern].

Discussion
The principal finding of this cross-sectional study wasthat the ‘Plant foods and fish’ dietary pattern was associated with better cognitive function in older Japanese
men and women, as indicated by a higher MoCA-J
score. These associations persisted after adjustment forpotential confounding factors including sociodemographic and lifestyle characteristics, medical conditions,and ApoE-ε4 allele. In contrast, neither the ‘Rice andmiso soup’ nor ‘Animal food’ patterns was associatedwith cognitive function. Although our results require
replication, these findings provide further evidence tosuggest that a healthy diet with a variety of food groups

Okubo et al. Nutrition Journal (2017) 16:56

could play a protective role in slowing age-related cognitive decline in older non-Western populations.
There is now a growing body of evidence from Western
populations, mostly from the United States and the Mediterranean countries of Europe, showing that healthy dietary patterns could have a protective role against cognitive
impairment and the risk of dementia [2–7]. Much attention has been paid to the effect of the Mediterranean dietary pattern, characterized by high consumption of fruits,
vegetables, legumes, cereals, fish, and olive oil and low
consumption of meat and dairy products with moderate
consumption of wine, and most studies have found an inverse association between adherence to the Mediterranean
diet and cognitive impairment and dementia [3–5, 7]. In
the present study, we identified the ‘Plant foods and fish’dietary pattern as a healthy diet, which has some similar
characteristics with the Mediterranean diet observed in
the Western populations. In addition, our finding of better
cognitive function among older people who have a higherscore in the ‘Plant foods and fish’ dietary pattern is generally in agreement with those of the previous Westernstudies [2–7], notwithstanding the differences in study
population, history or cultural influence on eating habits,
dietary assessment methods used, and approaches to dietary pattern identification. The protective effect of healthy
dietary patterns on cognitive function was also supported
by limited studies of Asian countries [8, 9, 12], but not ofothers [10, 11]. In a cross-sectional study of Chinese men
and women aged >65 years in Hong Kong [8], a ‘vegetables-and-fruits’ pattern (rich in vegetables, fruits, soy andsoy products, and legumes) identified by factor analysis
was associated with a reduced risk of cognitive impairment in women, but not in men. In a prospective study ofolder Japanese people aged 60–79 years in the Hisayama
Study [9], a dietary pattern with high intakes of soybean
and soy products, green vegetables, other vegetables,
algae, and milk and other dairy products and lower intake
of rice, which the authors of that study identified bymeans of RRR, is associated with reduced risks of allcause dementia, AD, and vascular dementia after 15 years
of follow-up. The analysis from a recent study of the
Ohsaki Cohort Study has also provided further evidence
that a Japanese dietary pattern derived by PCA was associated with a decreased risk of incident dementia after
5.7 years [12]. Our results, together with growing evidence
from previous studies, suggest that a dietary pattern witha greater intake of vegetables, soy products, seaweed,
fruits, and fish and a low intake of rice, soft drinks, andalcoholic beverages has the significant potential to promote better preservation of cognitive function in older
Japanese people.
The mechanisms that underlie the associations between
dietary patterns and cognitive function are not fully
known, but antioxidants, which are key components of aPage 9 of 12

healthy dietary pattern, may be involved [30]. Oxidative
stress increases with aging; this process, together with thediminishment of the antioxidant defence system, has been
indicated in the pathophysiological process of cognitive
impairment and dementia [30–32]. Antioxidants such asvitamins A, E, and C in the diet may protect against neurodegeneration by scavenging free radicals [33, 34]. The
beneficial effect of antioxidants from the diet might therefore be more important for older people whose antioxidant demands are high. Concerning other potential
dietary factors, the favorable effects of marine-origin n-3
PUFA including EPA and DHA on cognitive decline and/or dementia have been well established in several epidemiologic studies [35–37]. This effect could be related to therole of fatty acids in maintaining the structural integrity ofneuronal membranes and determining the fluidity of synaptosomal membranes and thereby regulating neuronaltransmission [38, 39]. In addition, the protective effect of
PUFA could be related to the anti-inflammatory effects
and vascular protection exercised by these fatty acids[38, 39]. There is also growing evidence for the roleof several B vitamins, especially folate, vitamins B6
and B12, which are required for proper DNA methylationand to prevent the accumulation of homocysteine, which
potentially induce neurotoxic effects [40–42]. The association of other potential nutrients and dietary components,
including fatty acids [43], vitamin D [44], and minerals(potassium, calcium, and magnesium) [45] have also examined, but results have been inconsistent. The ‘Plant
foods and fish’ pattern in the present study was significantly and strongly correlated with intake of antioxidant
vitamins (vitamins A, E, and C), EPA + DHA, B-vitamins(vitamins B6, B12, and folate), and minerals (potassium,
calcium, iron, and magnesium). The positive association
detected between the ‘Plant foods and fish’ pattern andMoCA-J score could be explained by the cumulative effects of individual nutrients which appear to correlate withthe risk of dementia.
Very recent studies from Western countries have shownthat dietary patterns high in red meat and processed meat
were associated with poor cognitive function [46] and faster cognitive decline [47]. These findings were inconsistent
with the results of the present study showing that the ‘Animal food’ pattern, characterized by high intake of meat,
fish, and seasonings, was not related to cognitive function.
At the nutrient level, we found that the ‘Animal food’ pattern was significantly correlated with MUFA, PUFA,EPA + DHA, B-vitamins (B6 and B12), and antioxidant vitamins, although epidemiological evidence regarding theassociation of these nutrients with cognitive function iscontroversial. The reason for the lack of association
between the ‘Animal food’ pattern and cognitive function is unknown, but the effects of each individual
nutrient derived from the primary food components

Okubo et al. Nutrition Journal (2017) 16:56

of the ‘Animal food’ pattern (i.e., meat and fish) on
cognitive function might have been offset. Further
studies are needed to clarify this association.
Several limitations of the present study warrant mention. First, the study subjects were not a representative
sample of older Japanese men and women in the general
population, and the present findings should not necessarily be generalized. Second, the study is cross-sectional,
which limits our ability to infer a causal relationship between diet and cognitive function. We cannot exclude thepossibility of reverse causation (i.e., dietary change because of preceding cognitive decline or other disease).
Third, we used a validated dietary questionnaire forJapanese adults [17, 18], but the validity of thismethod has not been examined among older people.
The accuracy of this method in terms of estimating
total food and nutrient intake remains a serious concern,and the results should accordingly be interpreted withcaution. Furthermore, misreporting of self-reported foodintake is a potential source of measurement error. However, such an error would be expected to attenuate any associations, and we do not think that misreporting on the
BDHQ could explain the associations we describe. Fourth,
the three major dietary patterns identified in the present
study explained only 24.9% of the total variance, suggesting the existence of other dietary patterns, although theremaining patterns were less interpretable in our analysis.
However, the amount of variance explained is highly
comparable with other studies of older people in
Asian countries that obtained dietary patterns using
dietary questionnaires [8–12]. Finally, subjects withhealthier food and nutrient intake profiles may be
more health conscious in general and may engage inother healthy behaviours which could potentially confound associations with cognitive function. While we controlled for a large number of potential confounders,
including sociodemographic and lifestyle characteristics,
medical conditions, and ApoE-ε4 allele status, we cannot
rule out unmeasured or residual confounding in an observational study of this kind.
In conclusion, the present cross-sectional study of asample of older Japanese people showed that the‘Plant foods and fish’ pattern was positively associatedwith cognitive function. A diet with high intake ofgreen and other vegetables, soy products, seaweeds,
mushrooms, potatoes, fruit, fish, and green tea andlow intake of rice, soft drinks, and alcoholic beverages
may contribute to the prevention of age-related cognitive decline. Further cross-sectional and longitudinalstudies in various populations following different dietary patterns are needed to confirm these findings andto determine the importance of diet composition inslowing cognitive decline and preventing dementia inolder age.

Page 10 of 12

Additional file
Additional file 1: The 33 food groupings used in dietary patternanalysis in SONIC Study, Japan. (DOC 113 kb)
Abbreviations
AD: Alzheimer’s disease; BDHQ: Brief-type dietary history questionnaire;
BMI: Body mass index; DHA: Dcosahexaenoic acid; EPA: Eicosapentaenoic
acid; GDS: Geriatric Depression Scale; MoCA-J: Japanese version of theMontreal Cognitive Assessment; MUFA: Monounsaturated fatty acids;
PCA: Principal component analysis; PUFA: Polyunsaturated fatty acids;
RRR: Reduced rank regression; SFA: Saturated fatty acids; SONIC: Septuagenarians,
Octogenarians, Nonagenarians Investigation with Centenarians
Acknowledgments
The members of the SONIC Study Group (in addition to the authors) are as
follows: Madoka Ogawa2, Yoshiko Lily Ishioka10, Chisato Inomata5, Hirochika
Ryuno4, Ryosuke Oguro9, Koichi Yamamoto9, Yasushi Takeya9, Yoichi Takami9,
Norihisa Ito9.
Madoka Ogawa (Tokyo Metropolitan Geriatric Hospital and Institute ofGerontology); Yoshiko Lily Ishioka (School of Science and Technology, Keio
University); Chisato Inomata (Department of Prosthodontics, Gerontology
and Oral Rehabilitation, Osaka University Graduate School of Dentistry);
Hirochika Ryuno (Department of Health Science, Osaka University Graduate
School of Medicine); Ryosuke Oguro, Koichi Yamamoto, Yasushi Takeya,
Yoichi Takami, and Norihisa Ito (Department of Geriatric and General
Medicine, Osaka University Graduate School of Medicine).
We are grateful to all of the SONIC participants who volunteered their time
to take part in these studies. We sincerely appreciate all staff involved in the
SONIC Study, especially Michiyo Takayama, Yusuke Mihara, Kohdai Hatta,
Motoyoshi Fukutake, Hajime Takeshita, Kaori Enoki, Taiji Ogawa, Ken-ichi
Matsuda.
Funding
This work was supported by MEXT KAKENHI Grant Numbers 16H05523 and15H05025, JSPS KAKENHI Grant Number 21330152, 24,653,194, Health Labour
Sciences Research Grant for Research on Cardiovascular and Life-Style
Related Diseases, and Human science project of the Osaka University Graduate
School of Human Sciences.
Availability of data and materials
The datasets used and/or analyzed during the current study available fromthe corresponding author on reasonable request.
Authors’ contributions
HO was responsible for the collection of dietary data, and conducted thestatistical analysis, interpreted the data, and wrote the manuscript; HI, YG,
and YM were responsible for the collection of cognitive function data; YG,
KK, KI, YM, YA, TI, HR, and YM were responsible for designing the SONIC
Study and for data collection; KK, YA, MK, KS, and HR were responsible forcollecting medical and biological data; SS was responsible for the analysis of
dietary data and assisted in data interpretation and manuscript preparation;
TN was responsible for field management, data collection, and data
management. All authors provided suggestions during preparation of themanuscript and approved the final version submitted for publication.
Ethics approval and consent to participate
This study was conducted according to the guidelines laid down in the
Declaration of Helsinki and approved by the Institutional Review Board of
Osaka University Graduate School of Medicine, Dentistry and Human
Sciences and the Tokyo Metropolitan Institute of Gerontology (approval
numbers 266, H22-E9, 22,018, and 38, respectively). Written informed consent
was obtained from all participants.
Consent for publication
Not applicable.
Competing interests
YA received research grant funding from Daiichi Sankyo Company. The otherauthors declare that they have no competing interests.

Okubo et al. Nutrition Journal (2017) 16:56

Publisher’s NoteSpringer Nature remains neutral with regard to jurisdictional claims inpublished maps and institutional affiliations.
Author details
1
Department of Health Promotion, National Institute of Public Health, 2-3-6
Minami, Wako-shi, Saitama 351-0197, Japan. 2Tokyo Metropolitan Geriatric
Hospital and Institute of Gerontology, Tokyo, Japan. 3Department of ClinicalThanatology and Geriatric Behavioral Science, Osaka University Graduate
School of Human Sciences, Osaka, Japan. 4Department of Health Science,
Osaka University Graduate School of Medicine, Osaka, Japan. 5Department of
Prosthodontics, Gerontology and Oral Rehabilitation, Osaka University
Graduate School of Dentistry, Osaka, Japan. 6Center for Supercentenarian
Medical Research, Keio University, School of Medicine, Tokyo, Japan.
7
Department of Social and Preventive Epidemiology, School of Public Health,
The University of Tokyo, Tokyo, Japan. 8University Research Priority Program“Dynamics in Healthy Aging”, The University of Zurich, Zurich, Switzerland
and Japan Society for the Promotion of Science, Tokyo, Japan. 9Departmentof Geriatric and General Medicine, Osaka University Graduate School of
Medicine, Osaka, Japan.
Received: 10 May 2017 Accepted: 16 August 2017

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RESEARCH ARTICLE

Relationship between atherosclerosis andocclusal support of natural teeth withmediating effect of atheroprotective
nutrients: From the SONIC study

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23(1 $&&(66Citation: Tada S, Ikebe K, Kamide K, Gondo Y,
Inomata C, Takeshita H, et al. (2017) Relationshipbetween atherosclerosis and occlusal support ofnatural teeth with mediating effect ofatheroprotective nutrients: From the SONIC study.
PLoS ONE 12(8): e0182563. https://doi.org/
10.1371/journal.pone.0182563
Editor: Gotthard Kunze, Leibniz-Institut fur
Pflanzengenetik und KulturpflanzenforschungGatersleben, GERMANY
Received: January 7, 2017
Accepted: July 20, 2017
Published: August 17, 2017
Copyright:  2017 Tada et al. This is an open
access article distributed under the terms of theCreative Commons Attribution License, which
permits unrestricted use, distribution, andreproduction in any medium, provided the original
author and source are credited.
Data Availability Statement: According to theapproval by the Institutional Review Board of
Osaka University Graduate Schools of Dentistry(approval number H22-E9) and Medicine (approval
number 266) our data set is nor allowed to provide
to others. Data can be made available upon request
by contacting the data access committee at:sonic@hus.osaka-u.ac.jp.

Sayaka Tada1, ̲̲̲̲̲̲̲̲̲̲̲
Kazunori Ikebe2 , Kei Kamide3,4, Yasuyuki Gondo5, Chisato Inomata2,
Hajime Takeshita2, Ken-ich Matsuda2, Masahiro Kitamura6, Shinya Murakami6,
Mai Kabayama3, Ryousuke Oguro4, Chikako Nakama4, Tatsuo Kawai4, Koichi Yamamoto4,
Ken Sugimoto4, Ayumi Shintani7, Takuma Ishihara7, Yasumichi Arai8, Yukie Masui9,
Ryutaro Takahashi9, Hiromi Rakugi4, Yoshinobu Maeda2
1 Department of Oral Health Science, Division of Preventive Dentistry, Niigata University Graduate School of
Medical and Dental Science, Niigata, Niigata, Japan, 2 Department of Prosthodontics, Gerodontology andOral Rehabilitation, Osaka University Graduate School of Dentistry, Suita, Osaka, Japan, 3 Division of Health
Science, Osaka University Graduate School of Medicine, Suita, Osaka, Japan, 4 Department of Geriatric andGeneral Medicine, Osaka University Graduate School of Medicine, Suita, Osaka, Japan, 5 Department ofClinical Thanatology and Geriatric Behavioral Science, Osaka University Graduate School of Human
Sciences, Suita, Osaka, Japan, 6 Department of Periodontology, Division of Oral Biology and Disease
Control, Osaka University Graduate School of Dentistry, Suita, Osaka, Japan, 7 Department of Medical
Statistics, Osaka City University Graduate School of Medicine, Osaka, Osaka, Japan, 8 School of Medicine,
Keio University, Shinjuku-ku, Tokyo, Japan, 9 Tokyo Metropolitan Geriatric Hospital and Institute ofGerontology, Itabashi-ku, Tokyo, Japan* ikebe@dent.osaka-u.ac.jp

Abstract
Whereas most of studies investigating relationship between oral health and atherosclerosis
have focused on periodontitis, very few of them were examined about occlusal status of natural teeth which possibly influence dietary habit. The primary aim of this cross-sectional
study was to investigate the association between the occlusal support of posterior teeth andthe prevalence of atherosclerosis in community-dwelling septuagenarians. Also, the second
aim was to test the hypothesis that the intake of key nutrients for atherosclerosis prevention
would have a mediating effect on the relationship between the occlusal status and atherosclerosis. The study population included 468 community-dwelling dentate persons aged
69–71 years recruited from the local residential registration in Japan. Participants weredivided into three groups, according to the number of occlusal support zones (OSZ) in theposterior area: Complete (four OSZ), Moderate (three or two OSZ), and Collapsed (one or
no OSZ). Dietary intakes were assessed using a brief-type self-administered diet history
questionnaire. Atherosclerosis was defined as carotid intima-media thickness ‫ؤ‬1.10 mm byusing carotid ultrasonography test. The logistic or linear regression model was used in multivariate analysis to assess relationship between occlusal status and atherosclerosis, and the
mediating effect of key nutrients within the relationship. Multivariable analysis showed a significant association between occlusal status and atherosclerosis (odds ratio for Collapsed
group to Complete group: 1.87; 95% CI: 1.45–2.41), independent of periodontal status(odds ratio: 2.01, 95%CI: 1.46–2.78). Fish and shellfish, vitamin B6 and n-3PUFAs were

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Relationship between atherosclerosis and occlusal support mediated with atheroprotective nutrients

Funding: This research was supported by a Grantin-Aid for Scientific Research (Nos. 23390440 and
25293394) from the Japan Society for the
Promotion of Science (http://www.jsps.go.jp/
english/index.html) and Health Labour Sciences
and Research Grant (H26AK002) (http://www.
mhlw.go.jp/stf/seisakunitsuite/bunya/hokabunya/kenkyujigyou/index.html).
Competing interests: The authors have declaredthat no competing interests exist.

significantly related to both of occlusal status and atherosclerosis, and also was indicated a
mediating effect on the association between occlusal status and atherosclerosis. This study
implied that, within the limitation of the cross-sectional study design, the reduced posterior
occlusion was related to the increased prevalence of atherosclerosis via the decline of key
dietary intakes among Japanese community-dwelling dentate individuals.

Introduction
In older adults, oral health has a high impact on diet and nutrition, which can affect systemic
health. In particular, a decline in masticatory function resulting from loss of natural occlusionin the posterior region is reported to make chewing difficult for older adults and to lead to
avoidance of hard-to-chew foods such as vegetables, fruits, fish and shellfish [1–5]. On theother hand, there is increasing evidence that a higher intake of vegetables, fruits, fish and shellfish can reduce the risk of cardiovascular or cerebrovascular disease via favorable effects on
disease contributors [6–12]. Thus, maintaining good occlusal support of natural teeth could
possibly help prevent cardiovascular and cerebrovascular accidents, which are the most common causes of sudden death and disability in older adults worldwide.
Since the beginning of the 21st century, the relationship between atherosclerosis, which
contributes to cardiovascular and cerebrovascular accidents, and periodontal disease has been
the subject of growing research [13]. Recent literature reviews report a potential link between
atherosclerosis and oral health through the inflammatory effects of periodontal disease [14,15].
Therefore, two pathways connecting oral health with atherosclerosis can be hypothesized:(a) the effect of bad dietary habits resulting from poor occlusal condition [1–12] and (b) the
effect of inflammation associated with chronic periodontal infection on the circulatory system[13–15]. However, no previous studies have investigated the association between occlusal condition and atherosclerosis adjusting periodontal disease in same population.
The aim of this cross-sectional study was to investigate the relationship between the prevalence of atherosclerosis and both of occlusal and periodontal status in a community-dwelling
septuagenarian. And secondly, it was also aimed to test a mediating effect of the intake ofatheroprotective nutrients within the relation between the occlusal status and atherosclerosis.
The null hypothesis of this study was that poor occlusal condition was not significantly associated with neither atherosclerosis nor atheroprotective nutrient intakes.

Materials and methods
Study population
This cross-sectional study was conducted as a baseline assessment for the prospective study ofhealth and longevity called the SONIC (Septuagenarians, Octogenarians, Nonagenarians
Investigation with Centenarians) Study. Participants were 495 community-dwelling septuagenarians aged 69–71 years who were recruited from the Basic Resident Registration of Itami(urban area) and Asago (rural area) in Hyogo Prefecture, Japan. Data collection was conducted
in 2010 and 2011 at each local community hall.
For this study, 23 edentulous participants were excluded. In addition, four participants who
did not attend the medical examination were excluded. Thus, 468 participants (Group A) were
included in the multivariable assessment between occlusal status and atherosclerosis. Additionally, in analyzing of nutrient intakes, we excluded participants who reported either an
extremely high energy intake ( 4000 kcal/d) or an extremely low energy intake (<600 kcal/

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Relationship between atherosclerosis and occlusal support mediated with atheroprotective nutrientsd), who were receiving dietary counseling from a doctor or dietician at enrollment, or thosewith intentional dietary change during the preceding year. The final pool of participants forthe analysis of nutrients numbered 371 (Group B).
The study protocol was approved by the Institutional Review Board of Osaka University
Graduate Schools of Dentistry (approval number H22-E9) and Medicine (approval number
266). All participants gave written informed consent to participate.

Dental examination
Oral examinations, including periodontal and dental examinations, were performed by registered dental clinicians. Occlusal support condition was categorized into one of three groups,
based on the number of occlusal support zones (OSZ) which consist of occlusal contacts ofnatural teeth or fixed prosthesis on both side of the premolar and molar regions, which is basically from the concept of Eichner’s Index [16]: Complete (four OSZ: Eichner A1, A2 and A3),
Moderate (three or two OSZ: Eichner B1 and B2), and Collapsed (one or no OSZ: Eichner B3,
B4, C1 and C2). Periodontal condition was assessed by measuring periodontal pocket depth(PPD). All remaining teeth of participants were measured. If the probing depths varied withina site, the deepest reading obtained at that site was recorded; only one reading was recorded
per site measurement. Periodontal condition was categorized into one of three groups, according to the participant’s deepest PPD: Healthy (PPD 3 mm or less), Moderate (PPD 4 or 5 mm),and Severe (PPD 6 mm or more).

Evaluation of carotid atherosclerosis
Atherosclerosis was diagnosed with carotid ultrasonography. The left and right common
carotid arteries were examined with a high-resolution duplex scanner (GE LOGIQ book XP;
GE Healthcare, Tokyo, Japan), using a probe at a frequency of 7.5 MHz for the B-scan. Participants were examined in the supine position, with the head slightly turned away from the side
being scanned. Following the same methodology as a previous study [17], the thickness of the
carotid intima-media (IMT) and plaque were measured; the maximum was defined as the
maximum IMT (max-IMT). In this study, atherosclerosis was defined as max-IMT  1.10,
which is the value generally used for individuals in their seventies.

Other medical examinations and diagnostic criteria
Blood samples were collected after overnight fasting. Levels of total cholesterol, high-density
lipoprotein cholesterol (HDL-C), triglycerides (TG), and fasting plasma glucose were determined with biochemical testing. Low-density lipoprotein cholesterol (LDL-C) was calculatedwith the Friedwald formula. Dyslipidemia was defined as LDL-C  140 mg/dL, TG  150 mg/
dL, HDL-C < 40 mg/dL, and/or medications for dyslipidemia [18]. Diabetes mellitus was
defined as fasting plasma glucose  126 mg/dL and/or hemoglobin A1c  6.5% and/or current
medications for diabetes mellitus [19]. Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured twice in a sitting position at the venue, using a calibrated standard
mercury sphygmomanometer. Two measured BP levels were averaged. Hypertension was
defined as SBP  140 mm Hg and/or DBP  90 mm Hg and/or current medications for
hypertension [18,20].

Questionnaire assessment
Socioeconomic and other factors were assessed based on answers to a questionnaire. Residential region was categorized as urban (Itami, population 7875/km2) or rural (Asago, population

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Relationship between atherosclerosis and occlusal support mediated with atheroprotective nutrients

81/km2). Education level was categorized into one of three groups, according to the number ofyears of education: <10 years, 10 to 12 years, and >12 years. Financial status was scaled with
self-reported subjective assessment as follows: dissatisfied, moderately satisfied, and satisfied.
Research staff questioned participants on their history of smoking and alcohol intake;responses were classified as never, past, or current.

Nutrient intakes
Nutrient intakes during the preceding month were assessed using a brief-type self-administered diet history questionnaire (BDHQ) that measures consumption frequencies of selectedfood commonly consumed and calculates energy-adjusted dietary intakes. The methods used
to calculate dietary intake and the validity of the BDHQ have been detailed in previous reports[21–23]. Values were indicated as a mean amount per 1000 kcal of energy to minimize theinfluence of dietary misreporting. Key nutrients for preventing atherosclerotic disease such as
green and yellow vegetables, other vegetables, fruits, and fish and shellfish, and specifically dietary fiber, vitamin A, C, E, B6, B12, folic acid, n-3 polyunsaturated fatty acid (n-3PUFAs) were
determined in this present study [24–29].

Statistical methods
In assessing the association between the prevalence of atherosclerosis and each variable in thegroup A (n = 468), the outcome assessed in this study was set as the prevalence of atherosclerosis, and two predictors were defined as occlusal status and periodontal status. The other potential confounders were region of residence, education level, financial status, and risk factors foratherosclerosis, including gender, smoking habits, drinking habits, obesity (body mass index[BMI]  25), hypertension, diabetes mellitus, dyslipidemia, and hyperuricemia. The chisquare test was used in bivariate analysis to assess the association between the prevalence ofatherosclerosis and each variable. Multiple logistic regression analysis was performed to examine the association between the prevalence of atherosclerosis and occlusal support and periodontal condition, adjusted for gender, region of residence, smoking habits, drinking habits,
education level, diabetes mellitus, hypertension, dyslipidemia, and hyperuricemia. P-values
less than 0.05 were considered to be statistically significant.
Secondly, among group B (n = 371), to determine between the occlusal status and the difference of means of each key dietary intake, the one-way ANOVA test was used. For the post hoc
test, Tukey’s HSD test was used. To examine the relationship between each key dietary intake
and both of atherosclerosis and occlusal status, multivariable linear regression model wasused, adjusted for periodontal condition, gender, region of residence, smoking habits, drinking habits, education level, diabetes mellitus, hypertension, dyslipidemia, and hyperuricemia.
P-values less than 0.10 were considered to be statistically significant.
And finally, to test the mediating effect of dietary intakes within the relation between occlusal status and atherosclerosis, multivariable logistic regression analysis was also performed.
Multiple imputations were conducted for missing data in multivariate analysis. Data wereanalyzed with PASW Statistics 18 software (formerly SPSS; IBM Company, Tokyo, Japan) andR software, Version 3.1.1 (10 July 2014, R Core Team, http://www.r-project.org/).

Results
Overall of group A (n = 468), 217 participants (46%) were diagnosed as having carotid atherosclerosis. In terms of posterior occlusal support, 57% (n = 265) of participants had complete
occlusion (four OSZ), 17% (n = 79) had moderate occlusion (three or two OSZ), and 26%(n = 117) had collapsed occlusion (one or no OSZ). Sixteen percent (n = 73) of all participants

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Relationship between atherosclerosis and occlusal support mediated with atheroprotective nutrients

had healthy periodontal status, 40% (n = 185) had moderate periodontal disease, and 44%(n = 206) had severe periodontal disease. The statistical correlation between occlusal support
and periodontal condition was very weak (Cramer’s V = .114, p = .017).
Bivariate analysis showed that occlusal support as well as periodontal condition was significantly associated with the prevalence of atherosclerosis. The associations between atherosclerosis and other potential confounders are shown in Table 1.
Table 2 shows the results of multivariable logistic regression analysis to examine the association between the prevalence of atherosclerosis and both occlusal status and periodontal condition, after adjustment for potential confounders, including gender, region of residence,smoking habits, drinking habits, education level, diabetes mellitus, hypertension, dyslipidemia,
and hyperuricemia. Global testing indicated that this model predicts the prevalence of carotid
atherosclerosis based on a group of independent variables (p < .001). The Collapsed group
had significantly a higher risk of atherosclerosis (odds ratio (OR): 1.87, p = .013), comparedwith the Complete group; a reduction in the number of OSZ was significantly associated withthe prevalence of atherosclerosis (p = .035). Individuals with severe periodontal disease werealso at significantly higher risk of atherosclerosis than those with healthy periodontal tissues(OR: 2.01, p = .032).
As characteristics of the group B was indicated almost the same as the group A (Table 3),
the group B was treated as a representative cohort of the group A in this study.
The association between the occlusal status and the key dietary intakes was shown in Tables
4 and 5. From bivariate analysis (Table 4), all of key dietary intakes declined in Collapsed
group. Although no significant differences of any key dietary intakes between Complete andModerate groups were found, of Collapsed group, intakes of green and yellow vegetables, fishand shellfish, vitamin E, B6 and n-3PUFAs were significantly lower than those of Completegroup.
After adjusting confounders, green and yellow vegetables (p = .096), fish and shellfish(p = .010), vitamin B6 (p = .074), vitamin B12 (p = .037) and n-3PUFAs (p = .012) were significantly related to occlusal status (Complete & Moderate groups vs. Severe group) (Table 5). In
terms of atherosclerosis, fish and shellfish (p = .085), vitamin E (p = .028), vitamin B6 (p =.033) and n-3PUFAs (p = .014) were significantly related (Table 5). Therefore, fish and shellfish, vitamin B6 and n-3PUFAs were the commonly related factors between occlusal status andatherosclerosis.
To assess whether these common related dietary factors have a mediating effect on the relationship between occlusal status and atherosclerosis, changes of odds ratio of occlusal status(Complete & Moderate groups vs. Severe group) on the prevalence of Atherosclerosis when
adding the commonly related dietary factors were shown in Fig 1.
Odd ratio of occlusal status from the multiple logistic regression model with no adjustment
for any dietary factor was 1.70 (95%CI: 0.99–2.92). However, odd ratio with adjustment for
intake of fish and shellfish was reduced into 1.64 (95%CI: 0.95–2.84). Similarly, odds ratio withadjustment for vitamin B6 and n-3PUFAs were declined into 1.64 (95%CI: 0.94–2.84) and 1.58
(95%CI: 0.91–2.71), respectively. This means a statistical mediating effect of Fish and shellfish,vitamin B6 and n-3PUFAs within the relation between occlusal status and atherosclerosis.

Discussion
This cross-sectional study showed an association between occlusal status and atherosclerosis,
independent of periodontal condition. Collapsed occlusion in the posterior region was significantly related to the prevalence of atherosclerosis, as was severe periodontal disease. Besides,
collapsed occlusion group tended to consume less of all key nutrients, and multivariable

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Relationship between atherosclerosis and occlusal support mediated with atheroprotective nutrients

Table 1. Demographic and clinical characteristics of the group A by prevalence of atherosclerosis.
Variable aN

Atherosclerosis
Absence(n = 251)

Prevalence(n = 217)265

155 (58%)

110 (42%)

Moderate79

46 (58%)33 (42%)

Collapsed121

48 (40%)73 (60%)

Healthy73

50 (68%)23 (32%)Moderate

185

102 (55%)

83 (45%)

Severe206

97 (47%)109 (53%)

Female251

169 (67%)

82 (33%)

Male

217

82 (38%)135 (62%)

Urban

237

118 (50%)119 (50%)

Country231

133 (58%)

98 (42%)Dissatisfied

130

67 (52%)63 (48%)Moderate233

128 (55%)

108 (45%)

Satisfied102

54 (53%)48 (47%)

9 years

110

51 (46%)59 (54%)

10–12 years

235

141 (60%)

94 (40%)13 years

121

58 (48%)63 (52%)

Never

274

176 (64%)

98 (36%)

Past

131

49 (37%)

82 (63%)Current

39

8 (21%)

31 (79%)No

244

151 (62%)

93 (38%)Yes

203

86 (45%)117 (55%)No

144

81 (56%)63 (44%)Yes

323

169 (52%)154 (48%)No

313

185 (59%)

128 (41%)Yes

71

24 (34%)47 (66%)No

168

85 (51%)83 (49%)Yes

263

146 (56%)

117 (44%)No

375

209 (56%)

166 (44%)Yes

37

13 (35%)24 (65%)

BMI25349

191 (55%)

158 (45%)

BMI25119

60 (50%)59 (50%)Occlusal support
Completep-value(ġ2 test)
0.002

Periodontal condition

0.006

0.001

GenderLiving region

0.091

Self-rated financial status

0.816

Education level0.021

0.001

Smoking0.001

Alcohol exposure

Hypertension

0.483

0.001Diabetes mellitus

Dyslipidemia

0.315

Hyperuricemia

0.016

Obesity

0.417

a: Data are shown with counts and column percentages, i.e., N (%).
BMI: Body mass index
https://doi.org/10.1371/journal.pone.0182563.t001

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Relationship between atherosclerosis and occlusal support mediated with atheroprotective nutrients

Table 2. Odds ratios of main variables with adjustment for periodontal disease.
Variable

Odds ratio

95% CI

p-valueOcclusal support
Complete

1.00

Moderate

0.99

0.56, 1.75

0.958

Collapsed

1.87

1.14, 3.07

0.013

Periodontal condition
Healthy

1.00

Moderate

1.83

0.98, 3.44

0.059

Severe2.01

1.06, 3.79

0.032

0.24, 0.83

0.011

0.45, 1.07

0.100

GenderMale

1.00

Female0.45

Living region
Urban

1.00

Country

0.69

Smoking
Never

1.00

Past

1.80

0.97, 3.36

0.063

Current

3.22

1.28, 8.11

0.013

0.49, 1.44

0.520

Alcohol exposure
No

1.00

Yes

0.84

Education level9 years

1.00

10–12 years

0.57

0.34, 0.98

0.041

13 years

0.83

0.45, 1.51

0.533

1.42, 4.21

0.001

0.59, 1.43

0.703

0.64, 3.20

0.385

0.61, 1.48

0.817

Diabetes mellitus
No

1.00

Yes

2.45

Hypertension
No

1.00

Yes

0.92

Hyperuricemia
No

1.00

Yes

1.43

Dyslipidemia
No

1.00

Yes

0.95

https://doi.org/10.1371/journal.pone.0182563.t002

assessment showed intakes of green and yellow vegetables, fish and shellfish, vitamin B6, vitamin B12 and n-3 PUFAs were significantly declined in collapsed occlusion group, comparting
to complete and moderate groups. Furthermore, fish and shellfish, vitamin B6 and n-3 PUFAs
had the mediating effect within the relationship between occlusal status and atherosclerosis.
Therefore, the null hypothesis was rejected. Within the limitation of a cross-sectional design,
our findings may help to support the hypothesis of one pathway that poor intakes of specificnutrients resulting from decline in the occlusal support of posterior teeth could cause atherosclerosis, apart from periodontitis. This is the first report assessing the two pathways in thesame population.

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Relationship between atherosclerosis and occlusal support mediated with atheroprotective nutrients

Table 3. Demographic and clinical characteristics of the group B by prevalence of atherosclerosis.
Variable aN

Atherosclerosis
Absence(n = 202)

Prevalence(n = 169)

Occlusal support

p-value(ġ2 test)
0.051

Complete

223

129 (58%)

94 (42%)Moderate56

33 (59%)23 (41%)

Collapsed92

40 (43%)52 (57%)

Healthy61

41 (67%)20 (33%)Moderate151

83 (55%)68 (45%)

Severe15978 (49%)81 (51%)

Female201

138 (69%)

63 (31%)

Male

170

64 (38%)106 (62%)

Urban

189

97 (51%)

92 (49%)Country

182

105 (58%)

77 (42%)Dissatisfied

108

56 (52%)52 (48%)Moderate176

99 (56%)77 (44%)

Satisfied86

46 (53%)40 (47%)

9 years86

43 (50%)43 (50%)

10–12 years

193

113 (59%)

80 (41%)

13 years91

45 (49%)46 (51%)

Never

227

146 (64%)

81 (36%)

Past

96

37 (39%)59 (61%)

Current

33

6 (18%)

27 (82%)

No

198

124 (63%)

74 (37%)Yes

162

69 (43%)93 (57%)No

115

62 (54%)53 (46%)Yes

255

139 (55%)

116 (45%)No

253

150 (59%)

103 (41%)Yes

46

15 (33%)31 (67%)

No

139

71 (51%)68 (49%)Yes

201

112 (56%)

89 (44%)No

298

168 (56%)130 (44%)Yes29

10 (34%)19 (66%)

BMI25284

160 (56%)

124 (44%)

BMI2587

42 (48%)45 (52%)

Periodontal condition

0.053

0.001

GenderLiving region

0.218

Self-rated financial status

0.758

Education level0.234

0.001

Smoking0.001

Alcohol exposure

Hypertension

0.915

Diabetes mellitus

0.001

Dyslipidemia

0.399

Hyperuricemia

0.024

Obesity

0.186

a: Data are shown with counts and column percentages, i.e., N (%)
https://doi.org/10.1371/journal.pone.0182563.t003

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Relationship between atherosclerosis and occlusal support mediated with atheroprotective nutrients

The relationship between periodontal disease and atherosclerosis has been the subject ofgrowing research in recent decades [13], and a literature review reported a potential link
between periodontal disease and atherosclerosis through the inflammatory effect of oral bacteria [15]. Another review concluded that there was consistent and strong epidemiologic evidence that periodontitis increases the risk of future cardiovascular disease [14]. We also foundthat severe periodontal disease was related to the prevalence of atherosclerosis. Therefore, thelink between periodontitis and atherosclerosis very possibly exists.
Table 4. Unadjusted association between key food or nutrient intakes and occlusal support.
Food Intakes

Occlusal Support

Mean

95% CI

p-value

Green and Yellow Vegetables (g/1000kcal)

Complete

71.5

66.6, 76.4

(Ref.)

Moderate

68.5

57.7, 79.3

0.849

Collapsed

59.4

64.2, 71.8

0.023

Complete

106.8

100.0, 113.5(Ref.)

Moderate

101.4

89.1, 113.6

0.746

Collapsed

97.6

87.7, 107.5

0.294

Complete

81.5

73.4, 89.5

(Ref.)

Moderate

90.9

72.8, 108.9

0.575

Collapsed

78.7

65.3, 92.1

0.933

Other Vegetables (g/1000kcal)

Fruits (g/1000kcal)

Fish and Shellfish (g/1000kcal)

Complete

57.7

53.4, 62.0

(Ref.)

Moderate

56.2

46.9, 65.6

0.945

Collapsed

46.5

42.0, 51.0

0.009

Nutrient Intakes
Vitamin A (ȝg retinol equivalent/ 1000kcal)

Vitamin C (mg/1000kcal)

Vitamin E (mg/1000kcal)

Vitamin B6 (mg/1000kcal)

Vitamin B12 (mg/1000kcal)

Dietary Fibre (g/1000kcal)

Follic Acid (ȝg/1000kcal)

n-3PUFAs (g/1000kcal)

Complete

2.62

2.45, 2.79

(Ref.)

Moderate

2.44

2.07, 2.81

0.621

Collapsed

2.30

2.03, 2.55

0.095

Complete

76.8

72.6, 81.1

(Ref.)

Moderate

76.7

67.3, 86.0

1.000

Collapsed

71.9

65.5, 78.3

0.438

Complete

4.32

4.18, 4.47

(Ref.)

Moderate

4.21

3.91, 4.50

0.743

Collapsed

3.97

3.75, 4.20

0.025

Complete

0.76

0.73, 0.78

(Ref.)

Moderate

0.75

0.70, 0.80

0.970

Collapsed

0.70

0.67, 0.74

0.048

Complete

6.47

6.03, 6.92

(Ref.)

Moderate

6.56

5.59, 7.54

0.983

Collapsed

5.62

5.12, 6.12

0.078

Complete

7.24

6.98, 7.50

(Ref.)

Moderate

7.27

6.65, 7.88

0.996
0.478

Collapsed

6.94

6.49, 7.39

Complete

221.9

209.6, 228.5(Ref.)

Moderate

208.4

188.4, 228.5

0.574

Collapsed

203.1

189.6, 216.5

0.160

Complete

1.60

1.53, 1.67

(Ref.)

Moderate

1.57

1.42, 1.72

0.919

Collapsed

1.42

1.33, 1.51

0.013

CI: confidence interval, n-3PUFAs: n-3 polyunsaturated fatty acidhttps://doi.org/10.1371/journal.pone.0182563.t004

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Relationship between atherosclerosis and occlusal support mediated with atheroprotective nutrients

Table 5. Relationship of each key food or nutrient to atherosclerosis and to occlusal support,
adjusted for covariates.
 Atherosclerosis!

 Occlusal Support !

ȕ1 (95% CI)

P-valueȕ2 (95% CI)

P-value

Green and Yellow Vegetables (g/1000kcal)-5.02 (-13.1, -3.06)

0.223-7.36 (-16.0, 1.30)

0.096

Other Vegetables (g/1000kcal)-2.10 (-12.4, 8.22)

0.690-5.54 (-16.65, 5.57)

0.328

Fruits (g/1000kcal)-1.88 (-15.1, 11.3)

0.779

2.67 (-11.75, 17.10)

0.716

Fish and Shellfish (g/1000kcal)-5.93 (-12.7, 0.83)

0.085-9.57 (-16.86, -2.27)

0.010

Dietary Fiber (g/1000kcal)-0.29 (-0.78, 0.19)

0.322-0.09 (-0.53, 0.36)

0.706

Vitamin A (ȝg retinol equivalent/
1000kcal)-285.8 (-590.2,
18.6)

0.442

-191.7 (-487.7,
104.3)

0.204

Vitamin C (mg/1000kcal)-4.77 (-12.3, 2.80)

0.770-1.69 (-8.79, 5.42)

0.640

Vitamin E (mg/1000kcal)-0.33 (-0.58, -0.07)

0.028-0.20 (-0.45, 0.04)

0.107

Vitamin B6 (mg/1000kcal)-0.05 (-0.09, -0.01)

0.033-0.04 (-0.08, 0.004)

0.074

Vitamin B12 (mg/1000kcal)-0.90 (-1.65, -0.15)

0.119-0.82(-1.59, -0.05)

0.037

Folic Acid (ȝg/1000kcal)-13.5 (-30.0, 3.02)

0.330-7.37 (-23.0, 8.26)

0.355

N-3PUFAs (g/1000kcal)-0.18 (-0.30, -0.06)

0.014-0.16 (-0.28, -0.04)

0.012

Food or Nutrients

ȕ1 and ȕ2: regression coefficient, CI: confidence interval, n-3PUFAs: n-3 polyunsaturated fatty acid. All
models were adjusted for periodontal disease, gender, region of residence, smoking habits, drinking habits,
education level, diabetes mellitus, hypertension, dyslipidemia, and hyperuricemia.
https://doi.org/10.1371/journal.pone.0182563.t005

A national diet and nutrition survey in the UK towards 955 older adults reported that the
number of posterior tooth occlusion affected perceived chewing ability and food selection [1].
Japanese research groups also reported that loss of occlusion in the posterior region was related
to lower consumption of vegetables or fish and shellfish [2,5], and our cohort had also a similar
outcomes. The intakes of vegetables, fruits, fish and shellfish are regarded as the key for theprevention of cardiovascular disease, as is mentioned in the Japan Atherosclerosis Society(JAS) guidelines [25]. Vegetables and fruits are a primary dietary source of antioxidant vitamins such as vitamin A, E and C, dietary fiber and folic acid which reported on associations
with reduced mortality from cardiovascular disease [6,7,27,30–32]. And fish and shellfish arerich in B-complex vitamins such as vitamin B6 and vitamin B12, and n-3PUFAs which werealso reported to have a preventive efficacy of cardiovascular disease in several cohort studies[33–36]. In our cohort study, intake of fish and shellfish, and specifically consumption of vitamin B6 and n-3PUNFAs were significantly related to both of atherosclerosis and occlusal condition. Moreover, these indicated a mediating effect on the relationship between occlusal
status and atherosclerosis (Fig 1). So that implies decreasing occlusal support of natural teeth
might avoid eating fish and shellfish, and this lower intake of fish and shellfish containing ofvitamin B6 and n-3PUNFAs would contribute to atherosclerotic plaque formation. As forvegetables and fruits, no significant relationship with the prevalence of atherosclerosis wasobserved in our study. And, although collapsed occlusal support group showed lower intake ofgreen and yellow vegetable, intakes of other vegetable and fruit seemed to complement intakesof dietary fiber, vitamin A, vitamin C and folic acid.
As for other conventional risk factors in our study, the multivariable analysis showed that
hypertension, dyslipidemia, and hyperuricemia were not significantly related to the prevalenceof carotid atherosclerosis, whereas gender, smoking, educational level, and diabetes mellitus
were related. The detailed mechanisms underlying the prevalence or absence of a significant
relationship with these conventional risk factors cannot be explained based on this study.

PLOS ONE | https://doi.org/10.1371/journal.pone.0182563 August 17, 201710 / 14

Relationship between atherosclerosis and occlusal support mediated with atheroprotective nutrients

Fig 1. Odds ratio of occlusal status towards atherosclerosis assessing the effect of fish and shellfish,vitamin B6 and n-3PUFAs. CI: Confidence Interval, OR: Odds Ratio, n-3PUFAs: n-3 polyunsaturated fatty
acid, Model*: adjusting for periodontal disease, gender, region of residence, smoking habits, drinking habits,
education level, diabetes mellitus, hypertension, dyslipidemia, and hyperuricemia., Model**: Model* + (Fish& Shellfish), Model***: Model* + (Vitamin B6), Model****: Model* + (n-3PUFAs).
https://doi.org/10.1371/journal.pone.0182563.g001

However, medications for hypertension, dyslipidemia, and hyperuricemia, which would indicate early detection and treatment at a routine medical check-up, could have influenced
results. Furthermore, although the prevalence of hypertension and dyslipidemia was high inthis study cohort compared with the general population, which would be expected to influence
our results, the treatment status was not considered in the present study. In contrast, unmodifiable factors such as gender and smoking habits were shown to have a strong impact. Diabetes
mellitus is generally hard to control, which explains why it is one of the main risk factors foratherosclerosis [37].
Because of this observational community-based study design, it cannot be denied that there
might still be other hidden confounders’ effect or some sampling bias. However, our study was
conducted by a complete enumeration survey method and participants were all of the septuagenarians (69–71 years old) recruited from both urban and rural regions and their dental andmedical status was similar to the national data of Japan, indicating that our samples could be a
representative of older adults in Japan. Since the general common risk factors of atherosclerosis were comprehensively covered to adjust those influence in this model and also the model
was proved well fitted by global testing (p<0.001), it could be optimally designed. Nevertheless, to prove the causal association of our hypothetic pathways, the longitudinal data from ourfollowing survey are definitely required.

Conclusions
In conclusion, within the limitations of the cross-sectional study design, which cannot provecausality, this study implied that poorer occlusal support of natural teeth was associated withthe prevalence of carotid atherosclerosis. Keeping a good posterior occlusion of natural teeth
would possibly be a supportive driving force to prevent cardiovascular or cerebrovascular accidents which are the most common causes of sudden death or disability of older adults worldwide. To establish affirmative evidence of the complex pathway between occlusal status andatherosclerosis via dietary intake, a prospective study is required.

Supporting information
S1 File. Minimal dataset.
(XLSX)PLOS ONE | https://doi.org/10.1371/journal.pone.0182563 August 17, 201711 / 14

Relationship between atherosclerosis and occlusal support mediated with atheroprotective nutrients

Acknowledgments
We greatly appreciate our colleagues at Osaka University Graduate School of Dentistry, in particular, Dr. Kaori Enoki, Dr. Yusuke Mihara, Dr. Kodai Hatta who greatly support the SONIC
study. We also appreciate the great support of the Japan Cardiovascular Research Foundation.

Author Contributions
Conceptualization: KI KK YG YA RT SM HR Y. Maeda.
Data curation: YG Y. Masui.
Formal analysis: ST KI AS TI.
Funding acquisition: KI Y. Maeda.
Investigation: ST KI KK YG CI HT KM M. Kitamura M. Kabayama RO CN TK KY KS YA Y.
Masui.
Methodology: ST KI AS TI.
Project administration: YG Y. Masui.
Supervision: Y. Maeda HR.
Validation: KK AS.
Writing – original draft: ST KI.
Writing – review & editing: KI AS.

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PLOS ONE | https://doi.org/10.1371/journal.pone.0182563 August 17, 201714 / 14

RESEARCH ARTICLE

Occlusal force is correlated with cognitive
function directly as well as indirectly via foodintake in community-dwelling older Japanese:
From the SONIC study
Kazunori Ikebe1 , Yasuyuki Gondo2, Kei Kamide3, Yukie Masui4, Taturo Ishizaki4,̲̲̲̲̲̲̲̲̲̲̲
5
4
6
3

a1111111111
a1111111111
a1111111111
a1111111111
a1111111111

23(1 $&&(66Citation: Ikebe K, Gondo Y, Kamide K, Masui Y,
Ishizaki T, Arai Y, et al. (2018) Occlusal force iscorrelated with cognitive function directly as well as
indirectly via food intake in community-dwellingolder Japanese: From the SONIC study. PLoS ONE
13(1): e0190741. https://doi.org/10.1371/journal.
pone.0190741

Yasumichi Arai , Hiroki Inagaki , Takeshi Nakagawa , Mai Kabayama , Hirochika Ryuno3,
Hitomi Okubo7, Hajime Takeshita1, Chisato Inomata1, Yuko Kurushima1, Yusuke Mihara1,
Kohdai Hatta1, Motoyoshi Fukutake1, Kaori Enoki1, Taiji Ogawa1, Ken-ichi Matsuda1,
Ken Sugimoto8, Ryosuke Oguro8, Yoichi Takami8, Norihisa Itoh8, Yasushi Takeya8,
Koichi Yamamoto8, Hiromi Rakugi8, Shinya Murakami9, Masahiro Kitamura9,
Yoshinobu Maeda1
1 Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate Schoolof Dentistry, Osaka, Japan, 2 Department of Clinical Thanatology and Geriatric Behavioral Science, Osaka
University Graduate School of Human Sciences, Osaka, Japan, 3 School of Allied Health Sciences, Osaka
University Graduate School of Medicine, Osaka, Japan, 4 Tokyo Metropolitan Institute of Gerontology,
Research Team for Human Care, Tokyo, Japan, 5 Keio University, School of Medicine, Tokyo, Japan,
6 University of Zurich, University Research Priority Program "Dynamics of Healthy Aging", Zurich,
Switzerland, 7 Department of Health Promotion, National Institute of Public Health, Saitama, Japan,
8 Department of Geriatric and General Medicine, Osaka University Graduate School of Medicine, Osaka,
Japan, 9 Department of Periodontics, Osaka University Graduate School of Dentistry, Osaka, Japan* ikebe@dent.osaka-u.ac.jp

Abstract

Editor: José Antonio Gil-Montoya, UNIVERSITY OF
GRANADA, SPAIN
Received: February 4, 2017

BackgroundAccepted: December 12, 2017

Growing evidence suggests that oral health may be an important factor associated with cognitive function in aged populations. However, many previous studies on this topic used
insensitive oral indicators or did not include certain essential covariates. Thus, we examined
the association between occlusal force and cognitive function in a large sample of older
adults, controlling for dietary intake, vascular risk factors, inflammatory biomarkers, depression, and genetic factors.

Published: January 5, 2018
Copyright:  2018 Ikebe et al. This is an open
access article distributed under the terms of theCreative Commons Attribution License, which
permits unrestricted use, distribution, andreproduction in any medium, provided the original
author and source are credited.
Data Availability Statement: According to theapproval by the Institutional Review Board of
Osaka University Graduate School of Dentistry(approval number H22-E9) our data set is notallowed to provide to others. If the other researcher
requests to use our dataset, he/she should beapproved as a co-researcher by our IRB. If
someone requires to use the data set, pleasecontact the data access committee at first:
sonic@hus.osaka-u.ac.jp.

Methods
In this cross-sectional study of older community-dwelling Japanese adults, we examineddata collected from 994 persons aged 70 years and 968 persons aged 80 years. Cognitive
function was measured using the Japanese version of the Montreal Cognitive Assessment(MoCA-J). Oral status and function were evaluated according to the number of remaining
teeth, periodontal pocket depth, and maximal occlusal force. Associations between MoCA-J
scores and occlusal force were investigated via bivariate and multivariate analyses.

PLOS ONE | https://doi.org/10.1371/journal.pone.0190741 January 5, 20181 / 15

Occlusal force and cognitive function

Funding: This research was supported by Grantsin-Aid for Scientific Research (no. 23390440 (KI),no. 23249086 (SM), 25293394 (YM), no.
15H05025 (KI), 16H05523 (YM)) from the Japan
Society for the Promotion of Science (http://www.
jsps.go.jp/english/index.html), Grant-in-Aid for
Scientific Research from the Japan Society for the
Promotion of Science (23249086) - Dr. Shinya
Murakami; Grant-in-Aid for Scientific Researchfrom the Japan Society for the Promotion of
Science (25293394) - Dr. Yoshinobu Maeda;
Grant-in-Aid for Scientific Research from the Japan
Society for the Promotion of Science (16H05523) Dr. Yoshinobu Maeda. The funders had no role instudy design, data collection and analysis, decision
to publish, or preparation of the manuscript.

Results
Education level, financial status, depression score, and intake of green and yellow vegetables, as well as number of teeth and occlusal force, were significantly correlated with MoCAJ scores in both age groups. Among individuals aged 80 years, CRP and periodontal status
were weakly but significantly associated with MoCA-J score. After controlling for all significant variables via bivariate analyses, the correlation between maximal occlusal force andcognitive function persisted. A path analysis confirmed the hypothesis that cognitive function
is associated with occlusal force directly as well as indirectly via food intake.

Conclusions
After controlling for possible factors, maximal occlusal force was positively associated withcognitive function directly as well as indirectly through dietary intake.

Competing interests: The authors have declaredthat no competing interests exist.

Introduction
Cognitive impairment is a substantial health concern for rapidly aging societies, where it is amajor cause of severe disability. In the last year of life, 68% of patients with advanced dementia
were labeled as having a persistently severe disability, a value that far exceeds the percentage of
those with frailty (25%) or organ failure (18%) [1].
The number of people with dementia is expected to nearly double in the next 20 years over
the world [2]. A Japanese survey conducted in 2012 indicated that 15% of the older population(65 year and older) had been diagnosed with dementia, while 13% had mild cognitive
impairment (MCI). Approximately half of individuals with MCI progress to dementia within
5 years of the initial diagnosis. Therefore, strategies for preventing or delaying the onset ofdementia, even marginally, are extremely important.
In an evaluation of relative risks from existing meta-analyses, Norton et al. reported the following potentially modifiable risk factors: 1) fewer years of education, which carried the greatest risk, 2) vascular risk factors (for example, smoking, physical inactivity, hypertension,
diabetes, and obesity), and 3) depression [3]. These risk factors were mutually related, resulting
in a complex etiological model. Growing evidence suggests that dental health may be an
important factor associated with cognitive function in older populations. In a co-twin control
analysis, researchers found that, after excluding genetic and common environmental risk factors, tooth loss before age 35 was the only significant risk factor for Alzheimer’s disease [4].
This suggests that tooth loss from early adulthood and midlife onwards contributes to the riskof dementia.
Several models have been proposed to describe the mechanisms underlying the relationshipbetween cognitive decline and oral health [5, 6]. The association between oral health and cognitive function can be confounded by several common risk factors, such as age, lifestyle, andsystemic diseases. Optimally, all possible factors should be included in a comprehensivemodel; however, no studies have evaluated such a wide range of variables in one group of individuals via concurrent examination by experts in each field. Cerutti-Kopplin et al. [7] published a review article in which the authors summarized three plausible mechanisms that may
explain the association between oral health and cognitive impairment: 1) periodontal disease
as systemic inflammation 2), reduced mastication-induced sensory stimulation to the brain,

PLOS ONE | https://doi.org/10.1371/journal.pone.0190741 January 5, 20182 / 15

Occlusal force and cognitive function

and 3) poor nutritional intake. However, they pointed out that previous studies did not contain comprehensive nutritional evaluations or data on inflammatory biomarkers.
Previously, studies investigating the relationship between cognitive function and oral healthhave mainly focused on periodontal disease [8], and not impaired mastication. However, inthe last decade, researchers have increasingly focused on mastication in the context of cognitive impairment [5, 6]. Unfortunately, few of these studies have objectively measured masticatory function. As deteriorated masticatory function can affect nutritional intake, therelationship among mastication, nutrition, and cognitive impairment should be clarified.
However, no studies on mastication and cognitive function have included all of the relevant
variables with respect to inflammatory, dietary, and masticatory conditions.
Therefore, we sought to examine the association between occlusal force in full dental
arches, including artificial teeth, and cognitive function in a large sample of functionally independent older Japanese adults. We also examined periodontal condition and dietary intake,adjusted for vascular risk factors, inflammatory biomarkers, depression, and a genetic factor.
We hypothesized that, after adjusting for possible risk factors, occlusal force would be significantly associated with cognitive function, mediated by dietary intake, among functionallyindependent older Japanese adults.

Methods
The study protocol and informed consent documents were approved by the Institutional
Review Board (IRB) at the Osaka University Graduate School of Dentistry (approval number
H22-E9). Written informed consent was obtained from all the participants.

Study population and procedure
This study encompassed a cross-sectional examination of data collected during the baseline
assessment component of a prospective study of health and longevity called ‘Septuagenarians,
Octogenarians, and Nonagenarians Investigation with Centenarians’ (SONIC) study [9, 10].
The participants were older adults living in private residences. Their ages ranged from 69–71
years (classified into a ‘70 years group’, n = 994) or 79–81 years (‘80 years group’, n = 968). The
initial purpose of the narrow-age cohort design was to investigate individual differences ineach age group. The recruiting procedure is detailed elsewhere [10].
The participants were invited to come to the examination venue in groups of 30 to 50 participants per day. All examinations for each participant were completed in 1 day. Dentists(periodontists and prosthodontists) examined dental status and oral function. A registered dietitian assessed dietary intake. A psychologist examined socioeconomic status, psychologicalstatus, cognitive function, and depression status. Physicians and nurses obtained a history ofchronic conditions, measured blood pressure, and collected blood samples.
Participants with no occlusal contact between their own teeth or prostheses were excluded
from the study due to the impossibility of measuring their occlusal force. Additionally, participants with dementia who could not complete the MoCA-J test were excluded.

Number of remaining teeth, periodontal pocket depth
Registered dentists performed all dental examinations with a dental mirror and a dental
explorer. The periodontal pocket depth (PPD) of each tooth was measured using a dental
CP-12 (color-coded probe, Hu-Friedy Mfg. Co LLC, Chicago). PPD was assessed at six sites(mesio-buccal, mid-buccal, disto-buccal, mesio-lingual, mid-lingual, and disto-lingual) for
all teeth present. We evaluated the severity and spread of the periodontal disease based on
the maximal PPD (mm), mean PPD (mm), and percentage of teeth with PPD  4 mm.

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Occlusal force and cognitive function

Unfortunately, we were unable to conduct X-ray analyses during this field examination, andinformation regarding alveolar bone resorption was not obtained. Thus, it was difficult tostrictly diagnose gingivitis or periodontitis. Taking this into consideration, we avoided using
the term “periodontitis” and “periodontal status” in this manuscript. PPD was assessed at six
sites for all teeth present. Mean PPD and maximum PPD were used as indicators of periodontal status [11].

Maximal occlusal force
Masticatory function can be assessed via chewing tests and questionnaires. Whereas chewing
tests enable the assessment of masticatory efficiency and performance with some degree ofobjectivity, questionnaires help with the evaluation of individual subjective responses regarding chewing ability [12]. Masticatory efficiency pertains to the number of masticatory cycles
required to reduce foods to a certain size. Masticatory performance, which is the most common and powerful measure used, pertains to the particle size distribution of food chewed in astandard number of cycles [13].
We used maximal occlusal force as a proxy measurement because it is strongly correlatedwith objectively measured masticatory performance [14–16] and can be tested in a number of
seconds. The bilateral maximal occlusal force between full dental arches was measured using
97-μm-thick pressure-sensitive sheets (Dental Prescale 50H R type; Fuji Film Co., Tokyo,
Japan). The participants performed maximal clenching in the intercuspal position for 3 seconds with the pressure-sensitive film placed between the maxillary and mandibular dental
arches. Participants with removable partial dentures kept their dentures in place during themeasurement. The inter-examiner and intra-examiner reliability of this type of measurement
has been previously described [10].

Cognitive function
We used the Japanese version of the Montreal Cognitive Assessment (MoCA-J) [17] as a general index of cognitive status [18]. The MoCA is a brief cognitive screening tool developed
originally for detecting mild cognitive impairment (MCI) in older people [19]. The MoCA-J
has demonstrated good reliability and validity for predicting early cognitive decline comparedwith conventional cognitive tests [17]. Thus, we used the MoCA-J total score (0 to 30 points)
as a measure of cognitive function. A higher MoCA-J score reflects higher cognitive function.

Dietary assessment
Dietary habits during the preceding month were assessed using a validated, brief-type selfadministered diet history questionnaire (the BDHQ) [20, 21]. The BDHQ is a structured,
fixed-portion questionnaire that collects information about the consumption frequency of
selected foods commonly consumed in Japan, general dietary behavior, and usual cooking
methods. Because most of the participants were physically and cognitively healthy, theyreported preparing meals in their homes. The majority of participants were able to physicallyfill out the questionnaire without assistance.
Daily food (58 food and beverage items in total), energy, and selected nutrient intake were
calculated using an ad hoc computer algorithm for BDHQ, which was based on the Standard
Tables of Food Composition in Japan [22]. Detailed descriptions of the methods used to calculate dietary intake and the validity of the BDHQ have been published previously [20, 21]. The
value of food intake was energy-adjusted using the density method (that is, amount per 1000kcal of energy) to minimize the influence of dietary misreporting. In this study, we used foodintake (g/1000 kcal) of the following different foods as dietary variables: grains, potatoes,

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Occlusal force and cognitive function

pulses, green and yellow vegetables, other vegetables, fruits, fish and shellfish, meats, eggs, anddairy products.

Chronic conditions
Hypertension diagnoses were based on blood pressure values greater than 140/90 mmHg and/or whether the individual was receiving antihypertensive treatment [23]. Diabetes was definedby fasting plasma glucose concentrations  7.0 mmol/L (126 mg/dL), casual plasma glucose
concentrations  11.1 mmol/L (200 mg/dL), HbA1c  6.5%, or current pharmaceutical treatment for diabetes, according to the World Health Organization criteria for epidemiologic
studies of diabetes. CRP > 0.3 mg/dL is a stratification factor related to systemic
inflammation.

ApoE genotype assessment
ApoE-ď4 carriers have a higher risk of developing the disease, and tend to be afflicted withearly onset Alzheimer’s [24]. Therefore, we analyzed data regarding Apolipoprotein E (ApoE)
genotyping using a blood sample from a vein. Individuals with at least one ď4 allele werelabeled ApoE-ď4 positive.

Other recorded variables
Participants were interviewed to collect information about education level (junior high school;
high school; college or higher), self-rated financial status (good; fair; poor), current drinking
habits (yes; no), smoking history (yes; no), and body mass index (BMI). Participants with a
BMI of 25 or over were classified as overweight. Depression was evaluated using the 5-item
short form of the Geriatric Depression Scale (GDS-5: score range 0–5) [25].

Statistical analysis
Due to the numerous measurements in various scientific fields, and statistical methods used, alarge sample size was necessary to produce adequate statistical power. In order to detect a minimally meaningful effect size, i.e., f2 = 0.02 for coefficient of determination in a multiple linear
regression model, the sample size was required to be about 878 by G power [26] when ċ error
was 0.05, Power = 1-Č error was 0.80, and the number of predictors including covariates was
12. Therefore, the number of study participants in both the 70 and 80years groups was sufficient for our study.
First, we conducted univariate analyses with t-tests, ANOVAs, and bivariate analyses with
Spearman’s rank-order correlation coefficient to evaluate the association between cognitive
function and other potentially-related variables in the 70 and 80 years groups.
For our analysis of dietary intake, we excluded participants with extremely low or highreported energy intake (< 600 or  4000 kcal/d), those currently receiving dietary counselingfrom a doctor or dietician, and those who had undergone an intentional dietary change during
the preceding year. As some participants were in more than one exclusion category, the final
analysis sample comprised 805 participants in the 70 years group and 793 participants in the
80 years group.
Second, we performed multiple linear regression analyses of the total sample. The outcome
variable was MoCA-J score, the explanatory variable was maximal occlusal force, and the controlled variables were number of teeth, periodontal status, socioeconomic status, lifestyle,chronic conditions, depression, inflammatory condition (CRP), and dietary intake. P < 0.05
was considered to denote a statistically significant difference. The models including the

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5 / 15

Occlusal force and cognitive function

number of teeth and periodontal status were initially adjusted for age and gender (Model 1).
In Model 1, the number of teeth and periodontal status were not significantly associated with
MoCA-J score. Thus, only the occlusal force was included in the next model, which was also
adjusted for socioeconomic status (Model 2). Edentulous participants (70 years group, n = 51;
80 years group, n = 143) were excluded in Model 1 but included from Model 2 to 4. We thenadded adjustments for confounding variables found to be significant in the bivariate analyses(Model 3), and finally adjusted for dietary intake (Model 4).
All analyses were performed using SPSS statistical software version 21 (SPSS Inc., Chicago,
IL, USA), with a significance level of 5%.
Finally, to examine the indirect effect of dietary intake on the relationship between occlusal
force and cognitive function, and to examine the hypothesized model fit, we conducted pathanalysis. Path analysis can be used instead of several separate regressions to examine mediating
effects within a single model [27]. Additionally, path analysis allows the testing of causal relationships among a set of observed variables. The analysis was undertaken using AMOS 21 software (IBM). Chi-square statistics, root mean square error of approximation (RMSEA), and the
goodness of fit index (GFI) were used as fit indices.

Results
The MoCA-J scores for participants in the 70 years group was significantly higher than thosein the 80 years group. Table 1 shows a comparison of MoCA-J scores according to socioeconomic status, lifestyle, medical history, obesity, CRP, and presence/absence of the ApoE-ď4allele. Among the 70 years group, male participants with a lower education level, lower financial status, a smoking history, hypertension, diabetes, and overweight status had significantly
lower MoCA-J scores. Among the 80 years group, only the participants with a lower educationlevel, lower financial status, and higher CRP had significantly lower MoCA-J scores. However,
we found no significant differences in MoCA-J scores related to the other variables, including
ApoE genotype.
The correlations between MoCA-J scores and dental status, depression score, and foodintake are shown in Table 2. Number of teeth, maximal occlusal force, and depression score
were significantly correlated with MoCA-J scores for both the 70 and 80 years groups. Of all
the variables associated with periodontal status, the percentage of PPD  4 mm teeth was the
only trait that was significantly correlated with MoCA-J score (weak negative correlation) in
the 80 years group. Additionally, none of the three periodontal variables were significantly correlated with CRP in either age group. With respect to food intake, green and yellow vegetables,
fruits, and meats were positively correlated with MoCA-J scores while grains were negatively
correlated with MoCA-J scores in both age groups.
Table 3 shows the results of multiple linear regression analyses for associations with
MoCA-J score (the dependent variable) for both age groups combined. Model 1 indicated that
occlusal force was significantly associated with MoCA-J score (Beta: standardized partial
regression coefficient = 0.174, p < 0.001); however, the number of teeth and periodontal status
were not significantly associated with MoCA-J score. Model 2 showed that after controllingfor age group, gender, education level, and self-rated financial status, the occlusal force wasstill significantly correlated with MoCA-J score (Beta = 0.137, p < 0.001). Model 3 showed thatafter controlling for Model 2 plus lifestyle and medical variables, the occlusal force was still significantly correlated with MoCA-J score (Beta = 0.139, p < 0.001). Model 4, which included
food intake, revealed that ingestion of green and yellow vegetables was significantly and positively related to MoCA-J score. After controlling for all of these variables, the significant association between the occlusal force and MoCA-J score remained (Beta = 0.125, p < 0.001).

PLOS ONE | https://doi.org/10.1371/journal.pone.0190741 January 5, 20186 / 15

Occlusal force and cognitive function

Table 1. Comparison of MoCA-J score by demographic/health variables.
70 years group (n = 994)
% of study population

mean
Variables

80 years group (n = 968)

MoCA-J score

p- value% of study population

95% CI

100.0

22.7

22.5

-

22.9

Male

47.9

22.4

22.1

-

22.7

Female

52.1

23.0

22.7

-

23.3

MoCA-J scoremean

p- value

95% CI

100.0

21.1

20.8

-

21.3

47.0

21.3

20.9

-

21.6

53.0

20.9

20.6

-

21.2

Gender #
0.006

0.164

Education level##0.001

Junior high school

29.2

20.9

20.5

-

21.3

32.0

19.4

18.9

-

19.8

High school

43.1

23.2

22.9

-

23.5

39.9

21.5

21.1

-

21.9

College or more

27.8

23.9

23.6

-

24.3

28.1

22.4

22.0

-

22.8

Poor

22.8

21.9

21.5

-

22.4

19.3

20.2

19.6

-

20.7

Fairly good

53.5

22.7

22.4

-

23.0

57.1

21.0

20.7

-

21.3

Good

23.7

23.4

23.0

-

23.8

23.7

22.0

21.5

-

22.5

Yes

39.7

22.3

22.0

-

22.7

39.2

21.1

20.7

-

21.5

No

60.3

23.0

22.7

-

23.3

60.8

21.1

20.7

-

21.4

Yes

32.2

22.8

22.4

-

23.2

29.4

21.2

20.7

-

21.6

No

67.8

22.8

22.5

-

23.0

70.6

21.0

20.7

-

21.3

Yes

66.4

22.5

22.3

-

22.8

81.9

21.1

20.8

-

21.4

No

33.6

23.2

22.9

-

23.6

18.1

21.0

20.4

-

21.6

Yes

18.5

22.1

21.6

-

22.7

16.5

20.9

20.3

-

21.5

No

81.5

22.8

22.5

-

23.0

83.5

21.1

20.8

-

21.4

0.001

Self-rated financial status##
0.001

0.001

Smoking history#
0.003

0.994

Drinking habit#
0.912

0.583

Hypertension#
0.003

0.734

Diabetes#
0.023

0.627

Overweight#
Yes

21.1

22.0

21.4

-

22.5

No

78.9

22.9

22.7

-

23.1

‫أ‬0.3 mg/dL

91.8

22.7

22.5

-

23.0

0.3 mg/dL

8.2

22.0

21.3

-

22.8

absence

85.4

22.6

22.3

-

22.8

presence

14.6

22.7

22.2

-

23.2

0.001

19.5

21.3

20.8

-

21.9

80.5

21.0

20.7

-

21.3

89.6

21.2

20.1

-

21.5

10.4

19.9

19.1

-

20.7

87.8

21.2

21.0

-

21.5

12.2

20.6

19.8

-

21.4

0.256

CRP#
0.070

0.001

ApoE-İ4 allele #
0.767

0.096

#

t-test##ANOVA

CI: confidence interval. Participants with missing data were excluded from analysis.
https://doi.org/10.1371/journal.pone.0190741.t001

The path analysis, shown in Fig 1, confirmed the hypothesis that cognitive function is associated with occlusal force. The arrows show significant paths and the numbers are standardized coefficients. The path model confirmed that cognitive function is directly associated witheducational level, age, depression, micro-inflammation, food intake, and occlusal force. Occlusal force was associated with cognitive function directly as well as indirectly via dietary intake.
The path from occlusal force to food intake was weak but statistically significant. The hypothesized model showed an acceptable good fit (GFI = 0.976, RMSEA = 0.057, CFI = 0.879).

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Occlusal force and cognitive function

Table 2. Correlations between MoCA-J score and dental status/food intake.
70 years group (n = 994)
Variables

mean

rs

80 years group (n = 968)
p-valuemean

rs

p-value

Number of teeth

20.4

0.164

0.001

15.4

0.080

0.014

Occlusal force (N)

529

0.198

0.001326

0.157

0.001

Maximal PPD§ (mm)5.05

-0.020

0.549

5.15

-0.0070.841

Mean PPD (mm)3.20

-0.022

0.492

3.45

-0.0350.329

Percentage of PPD 4mm teeth§ (%)

24.2-0.044

0.190

36.4

-0.0750.036

Depression

0.98-0.096

0.003

1.40

-0.168

0.001§

Food intake (g/1000 kcal)

70 years group§§ (n = 805)

80 years group§§ (n = 793)

Grains

211.6-0.161

0.001210.7-0.082

0.021

Potatoes

31.0

0.097

0.006

34.6

0.034

0.342

Pulses

39.6

0.140

0.001

38.1

0.047

0.187

Green and yellow vegetables

67.9

0.249

0.001

69.6

0.101

0.005

Other vegetables

106.6

0.153

0.001

101.6

0.022

0.546

Fruits

86.1

0.084

0.017

89.6

0.108

0.002

Fish and shellfish

56.8-0.005

0.887

56.2

0.037

0.297

Meats

31.6

0.108

0.002

30.5

0.090

0.011

Eggs

19.7

0.092

0.009

20.0

0.056

0.118

Dairy products

76.3

0.066

0.062

82.0

0.056

0.118

rs: Spearman rank-order correlation coefficient for MoCA-J score; PPD: periodontal pocket depth. Depression: GDS-5 score (continuous variable)§: Edentulous participants (70 years group, n = 51; 80 years group, n = 143) were excluded from these correlations.
§§: Participants currently receiving dietary counseling from a doctor or dietician, and those with intentional dietary changes during the preceding year were
excluded from analysis.
https://doi.org/10.1371/journal.pone.0190741.t002

Discussion
To the best of our knowledge, this study is the first investigation of the association between
masticatory function and cognitive function among a large sample of older adults. We examined socioeconomic status, lifestyle, vascular risk factors, inflammatory biomarkers, mental
status, dietary intakes, and a genetic factor. Although several studies have reported an association between oral health and cognitive function [6, 7, 25], this relationship can be confounded
and mediated by several factors that are mutually related, resulting in a complex etiologicalmodel. We sought to move towards a comprehensive model of the possible mechanisms
underlying this association by including all of the above-mentioned risk factors. Our pathanalysis estimated that oral function is associated with cognitive function directly as well as
indirectly through dietary intake.
In a recent systematic review regarding the association between oral health and cognitive
status, Wu et al. concluded that the variable linking oral health with cognitive status is unclear.
They stated that methodological limitations play a major role in explaining inconsistent findings, thus, additional research is needed with better investigative strategies [28]. In the present
study, we intended to investigate the effect of oral health on cognitive function among functionally independent elderly people. Elderly people are more likely to lose teeth, and subsequently, to receive prosthodontic treatment (e.g. removable dentures, bridges, and dental
implants). Thus, it is not possible to evaluate masticatory function solely using information
regarding the number of remaining teeth. Thus, we conducted an objective measurement oforal function. It is difficult to measure masticatory performance among a large number of people because of the large time requirement. Therefore, we used the maximal occlusal force

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Occlusal force and cognitive function

Table 3. Linear regression models for occlusal force and MoCA-J score, adjusted for significant independent variables.
Occlusal force

Model 1§n = 1681

Model 2n = 1899

Model 3n = 1626

Model 4§§n = 1326

Beta

p-valueBeta

p-valueBeta

p-valueBeta

p-valueAge-0.163

0.001-0.176

0.001-0.149

0.001-0.163

0.001

Gender

0.041

0.090

0.051

0.016

0.054

0.092

0.035

0.324

Number of teeth-0.0070.814

Percentage of PPD 4mm teeth (%)§

-0.036

0.167

Occlusal force

0.174

0.0010.137

0.0010.139

0.0010.125

0.001

Education level
High school

0.256

0.0010.245

0.0010.242

0.001

College or more

0.332

0.0010.316

0.0010.304

0.001

Financial status
Fairly good

0.070

0.009

0.076

0.009

0.105

0.001

Good

0.113

0.0010.106

0.001

0. 129

0.001

Smoking history

0.015

0.608

0.024

0.459

Drinking habit

0.012

0.645

0.021

0.455

Overweight-0.0340.135-0.032

0.198

Hypertension-0.0370.110-0.0290.244

Diabetes-0.0330.148-0.030

0.226

CRP!0.3 mg/dL-0.0630.006-0.089

0.001

Depression-0.0790.001-0.082

0.002

Green and yellow vegetables

0.086

0.002

Fruits-0.011

0.699

Meat

0.037

0.160

-0.016

0.538

Grainsadjusted R2

0.078

0.175

0.185

0.212

Beta: standardized partial regression coefficient. Model 1: Occlusal force, number of remaining teeth, and percentage of teeth with a periodontal pocket
depth of 4 mm or more. Model 2: Occlusal force adjusted for gender (male*, female), education level (junior high school*, high school, college or more),self-rated financial status (poor*, fairly good, good). Model 3: Model 2 plus adjustments for smoking history and drinking habits (yes, no*), hypertension(yes, no*), diabetes mellitus (yes, no*), overweight status (BMI: equal to or greater than, less* than 25 kg/m2), CRP (equal to or greater than, less* than 0.3
mg/dl) and Depression (GDS-5 score, continuous variable). Model 4: Model 3 plus adjustments for food intake (continuous variable).
*: Reference category§: Edentulous participants were excluded in Model 1 but included from Model 2 to 4.
§§: Participants currently receiving dietary counseling from a doctor or dietician and those with intentional dietary change during the preceding year were
excluded from analysis.
https://doi.org/10.1371/journal.pone.0190741.t003

between the upper and lower dental arches, including artificial teeth, as a surrogate measure of
masticatory function. We believe this measurement is appropriate because maximal occlusal
force is highly correlated with objectively measured masticatory performance and takes only a
number of seconds to measure [14, 16]. To assess cognitive function in functionally independent older people, we used the Japanese version of the Montreal Cognitive Assessment(MoCA-J). This test has been used to measure global cognitive status in a number of population-based studies [17, 29]. The MoCA may be sensitive to early cognitive changes in multiple
domains, as is used to screen mild cognitive impairment in persons performing in the normal
range on the MMSE.
Because cognitive function is multi-factorial, data from various fields are useful when investigating the contributing factors. Although many earlier studies on cognitive decline adjusted
for socioeconomic status and chronic diseases, they often failed to control for other possible

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9 / 15

Occlusal force and cognitive function

Fig 1. Path analysis from occlusal force to cognitive function. Arrows show significant paths and numbers are significant standardized coefficients(p0.05). The hypothesized model showed an acceptable good fit (GFI = 0.976, RMSEA = 0.057, CFI = 0.879, ġ2 = 252.3).
https://doi.org/10.1371/journal.pone.0190741.g001

risk factors such as a systemic inflammatory condition, mental health, dietary intake, andgenetic factors. As anticipated, our bivariate analyses showed that cognitive function was significantly associated with gender, financial status, education level, lifestyle, depressed state,inflammatory condition, and food intake. Therefore, these variables should be included asconfounding factors in models of cognitive function. It is likely that the ApoE genotype was
not significantly associated with cognitive function because all of the participants were functionally independent older people, and thus had mild as opposed to more severe cognitive
decline.
In our bivariate analyses, number of teeth, periodontal status, and occlusal force were significantly associated with cognitive function. Nevertheless, the number of teeth and periodontal pocket depths became statistically insignificant after adjusting for occlusal force. Thisimplies that the associations between these variables and cognitive function may be confounded by oral function. One previous study showed that, in a regression analysis, multiple
tooth loss became insignificant with respect to cognitive impairment while chewing difficulty
remained significant. However, tooth loss and chewing ability data in the above study wereself-reported and dichotomized [30]. Our methods were taking advantage of using sophisticated examinations for both oral function and cognitive ability.
Several previous articles have reported that periodontal disease or tooth loss (as a possible
end point of periodontal disease) is associated with cognitive decline [6, 31]. It has been
hypothesized that periodontal disease-derived inflammatory molecules, bacteria, and bacterial

PLOS ONE | https://doi.org/10.1371/journal.pone.0190741 January 5, 201810 / 15

Occlusal force and cognitive function

products can enhance brain inflammation [32]. Our results showed that, while CRP was
weakly but significantly associated with cognitive function, periodontal status was not significantly associated with CRP. Thus, oral function may have a more significant impact on cognitive impairment rather than periodontal inflammation in our participant group. However,
simple measurement and classification of periodontal status did not reveal a clear association
between periodontal disease and cognitive function or CRP.
We have summarized our findings in the following points. First, our results from the multiple linear regression analyses indicate that occlusal force and intake of green and yellow vegetables were independently related to cognitive function. Second, the model from our pathanalysis clarified that cognitive function among our participants was mainly associated withage, education level, food intake, and oral function, although increased CRP and depression
levels were also significant. Finally, the association between cognitive function and occlusal
force decreased when nutritional intake was controlled for among the 70 years group. Thesefindings implied that lower occlusal force (regardless of whether the individual had natural or
artificial teeth) might be directly linked to cognitive function, while also affecting dietaryintake, and thus be indirectly related to cognitive function.
Risk factors during early adulthood and midlife, such as masticatory deterioration, may
contribute to cognitive decline with a cumulative detrimental effect on the brain and nutrient
intake. For example, human studies have shown that natural teeth and artificial teeth, as well
as jaw movement, give sensory input and motor feedback to the central nervous system [33,34]. Similarly, the increase in cerebral blood flow, activation of cortical areas, and blood oxygen levels resulting from masticatory stimulation are thought to activate brain function [35,36]. Several pieces of evidence demonstrate that lack of antioxidant nutrients (vitamins E andC, carotenoids, flavonoids, enzymatic cofactors), homocysteine-related vitamins (B-vitamins),
and n-3 polyunsaturated fatty acids (EPA and DHA) can be risk factors for decreased cognitive
function [37]. Correspondingly, we found that occlusal force was positively associated withintake of all the antioxidant nutrients, B vitamins, and n-3 polyunsaturated fatty acids in ourstudy participants. Additionally, MoCA-J scores were also significantly correlated with intakeof the above-listed nutrients, except for Vitamin A, B12, and n-3 polyunsaturated fatty acids.
Thus, although the associations in our study are weak, they are detectable and have biologicalplausibility.
Although older people tend to have fewer teeth and lower occlusal force, we expect that thedual strategy of 1) preventing ongoing tooth loss and 2) providing adequate prosthodontic
treatment will help to maintain occlusal force, supplemented by ongoing mental stimulationand optimal dietary intake.

Limitations
Several aspects of our study design limit our conclusions. The first point of concern is the narrow range of our study population, which included only nonclinical, non-institutionalized,
community-dwelling Japanese people aged 70 and 80 years. Although the sample was drawn
from a complete enumeration of the resident record, most of the participants were physicallyand cognitively healthy. Indeed, it is possible that persons with dementia or those uninterested
in health and/or its examination were spontaneously excluded from this study. Consequently,
our results cannot be generalized to younger, older, or less healthy people. Caution is warranted in generalizing our findings to the rest of the Japanese population.
Our study is not a case-control study with patients, but a community based epidemiologicalstudy. Our study population included only non-institutionalized, community-dwelling, functionally independent people who were recruited from a complete enumeration of residents.

PLOS ONE | https://doi.org/10.1371/journal.pone.0190741 January 5, 201811 / 15

Occlusal force and cognitive function

Because retrospective examinations require good memory function, we excluded participants
who were not cognitively able to complete memory tasks.
In our study, 3.0% of participants in the 70 years group and 3.9% in the 80 years groupobtained scores that were lower than the mean scores minus 2 SDs in an age- and educationmatched control group in another Japanese community-based study [38]. However, these percentages did not correspond with deterioration in cognitive function.
There are some newer masticatory performance assessment techniques that can be executed
considerably fast, but may be highly resource-intensive for large populations. Nevertheless, it
is important to consider that occlusal force is just another proxy indicator of the masticatory
function, just like the masticatory performance, the masticatory efficiency, the perceived masticatory ability, among others; thus, a lot of information regarding the quality of the masticatory process was not being taken into account.
The MoCA-J measures comparative cognitive functional decline, including that associatedwith physiological aging. However, the conventional cut-off score for normal vs. abnormal(for example, dementia or MCI) has not yet been determined in the Japanese population [38].
However, the purpose of our study was to examine whether occlusal force was associated with
global cognitive function, not with dementia or MCI, after adjusting for possible risk factors.
Another limitation is that our study was cross-sectional rather than longitudinal in nature.
Thus, it is difficult to identify any causal relationships. It is impossible to capture individualfunctional decline using a cross-sectional method. In cross-sectional studies of dependent
older people, it can be difficult to determine whether cognitive decline has led to the deterioration of oral health or if the opposite is true. Generally, persons with cognitive impairment may
have a reduced ability to maintain oral hygiene, which could increase the risk of dental caries
and periodontal disease, and consequently lead to tooth loss and limit the ability to chew hard
food. Therefore, we attempted to limit the possible effect of day-to-day function on oral healthby selecting only functionally independent old persons. The lack of significance in the relationship between cognitive function and the number of remaining teeth, after adjustment for confounding variables, does not support the direction of causality from reduced cognitive
function to tooth loss. In addition, the participants reported their dietary habits for only thepreceding month. Therefore, the history and changes in dietary habits over time, which canhave powerful effects on the central nervous system, were unknown. Simple measurement did
not reveal a clear association between periodontal status and CRP. Nevertheless, using pathanalysis, we attained a good fitting model with causal inferences about the relationships
among various factors related to cognitive function. However, it is not possible to rule ourreverse causation with a cross-sectional design. Further longitudinal study is needed to examine possible temporal relationships. Indeed, we are following up with the participants every 3
years to investigate the causal relationship between oral function and cognitive decline.

Conclusion
After controlling for systemic inflammatory condition, depression status, dietary intake, and ApoE
genotype in functionally independent elderly people, maximal occlusal force was positively associated with cognitive function directly as well as indirectly through dietary intake. These results suggest that decreased oral function might coincide with the early stages of cognitive decline.

Supporting information
S1 Table. Multivariable logistic regression models for occlusal force and MoCA-J scoreadjusted for significant independent variables. S1 Table.docx.
(DOCX)PLOS ONE | https://doi.org/10.1371/journal.pone.0190741 January 5, 201812 / 15

Occlusal force and cognitive function

S1 File. Measurement of bilateral maximal occlusal force. S1 documents.docx.
(DOCX)
S2 File. Minimal dataset. Minimal dataset.xslx.
(XLSX)

Acknowledgments
We greatly appreciate the contributions of our colleagues at Osaka University Graduate Schoolof Dentistry, Human Sciences, and Medicine.

Author Contributions
Conceptualization: Kazunori Ikebe, Yasuyuki Gondo, Kei Kamide, Taturo Ishizaki, Yoshinobu Maeda.
Data curation: Kazunori Ikebe, Yasuyuki Gondo, Kei Kamide, Yukie Masui, Taturo Ishizaki,
Yasumichi Arai, Hiroki Inagaki, Takeshi Nakagawa, Mai Kabayama, Hirochika Ryuno,
Hitomi Okubo, Hajime Takeshita, Chisato Inomata, Yuko Kurushima, Yusuke Mihara,
Kohdai Hatta, Motoyoshi Fukutake, Kaori Enoki, Taiji Ogawa, Ken-ichi Matsuda, Ken
Sugimoto, Ryosuke Oguro, Yoichi Takami, Norihisa Itoh, Yasushi Takeya, Koichi Yamamoto, Masahiro Kitamura.
Formal analysis: Kazunori Ikebe, Yuko Kurushima.
Funding acquisition: Kazunori Ikebe.
Investigation: Kazunori Ikebe, Yasuyuki Gondo, Kei Kamide, Yukie Masui, Taturo Ishizaki,
Yasumichi Arai, Hiroki Inagaki, Takeshi Nakagawa, Mai Kabayama, Hirochika Ryuno,
Hitomi Okubo, Hajime Takeshita, Chisato Inomata, Yusuke Mihara, Kohdai Hatta,
Motoyoshi Fukutake, Kaori Enoki, Taiji Ogawa, Ken-ichi Matsuda, Ken Sugimoto, Ryosuke
Oguro, Yoichi Takami, Norihisa Itoh, Yasushi Takeya, Koichi Yamamoto, Masahiro
Kitamura.
Methodology: Kazunori Ikebe, Yasuyuki Gondo, Kei Kamide, Yukie Masui, Taturo Ishizaki,
Yasumichi Arai, Hiroki Inagaki, Hitomi Okubo, Yuko Kurushima, Ken-ichi Matsuda, Ken
Sugimoto, Masahiro Kitamura.
Project administration: Kazunori Ikebe, Yasuyuki Gondo, Kei Kamide, Yukie Masui, Taturo
Ishizaki, Yasumichi Arai.
Supervision: Kazunori Ikebe, Hiromi Rakugi, Shinya Murakami, Yoshinobu Maeda.
Writing – original draft: Kazunori Ikebe.
Writing – review & editing: Kazunori Ikebe, Yasuyuki Gondo, Kei Kamide, Yukie Masui,
Taturo Ishizaki, Yasumichi Arai, Hiromi Rakugi, Shinya Murakami, Yoshinobu Maeda.

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࣭ܱ፼ǹǱǸȥȸȫᡛᡇᘙ࣭ᇿᚡဇφ࣭ϙჇλǓӸ஝Ტ৑‫ܖܖٻޓ‬ᢿӸŴ‫࠰ܖ‬ŴӸЭᲣ࣭  ஌ ᘺ Ƹ Ŵܿ ජ ৑ ϋ ư Ƹ Ȫ ȩ ȃ ǯ ǹ ư Ɩ ǔ ஌ ᘺ ư ƍ ƍ ư Ƣ ƕ Ŵ၏ ᨈ ȷ ഫ ᅹ ᚮ ၲ ৑ ܱ ፼ ư Ƹႉ ᘘ Ტ Ǳ ȸ Ƿ ȸ Ƌ ǔ ƍ Ƹ ᧈ ႉ ᘘ ᲣŴ ཎ К ᫱ ᜱ ᎊ ʴ ț ȸ Ƞ Ǎ ᡫ ৑ ʼ ᜱ ଀ ᚨ ư Ƹ ѣ Ɩ Ǎ Ƣ ƍᘘ஌ᲢǸȣȸǸሁᲣƱƳǓǇƢŵᓙ፦ȷ෉৖Ƴܾ‫ۋ‬Ƹ੘ƑǇƠǐƏŵ࣭ܿජƴ࣏ᙲƳཋԼǿǪȫŴඹ᩿ဇφŴȉȩǤȤȸƳƲ࣭ɥ‫ޗ‬ƖᲢഫᅹҔᨈᙸ‫ܖ‬ư࣏ᙲᲣ࣭  ٰ Ʒ ᑋ ែ Ƹ ᒰ Ǖ ǔ Ɯ Ʊ Ƹ ‫ ݲ‬Ƴ ƍ ư Ƣ ƕ Ŵ ᑔ ᣓ ƍ ƕ ࣎ ᣐ Ƴ ʴ Ƹ Ŵ ᣓ ƍ ഥ Ǌ ᕤ ᳽Ꮞ ᕤ ǋ แ ͳƠƯƘƩƞƍŵ
Ƃμᑍႎදॖʙ᪮ƃ࣭  ܱ ፼ ଀ ᚨ ư Ƹ Ʀ Ǖ Ƨ Ǖ Ʒ ଀ ᚨ Ʒ ‫ ܖ‬ဃ ܱ ፼ ਃ ࢘ ᎍ ƕ ‫ އ‬Ǉ Ƣ ŵƦ Ʒ ૾ Ʒ ਦ ᅆ ƴ Ơ ƨ ƕ Ƭ Ư ܱ፼ǛᡶǊǇƢŵ࣭  ܱ ፼ έ ư Ƹ ᑣ ‫ ڤ‬Ƴ ǳ ȟ ȥ ȋ Ǳ ȸ Ƿ ȧ ȳ Ʒ ನ ሰ ƴ ѐ Ǌ Ǉ Ơ ǐ Ə ŵ᭗ ᱫ ᎍ Ʒ ૾ ŷ ƴ Ǎ ƞ Ơ Ƙ੗ƠǇƠǐƏŵ࣭എࠗǍଔᡚŴƦƷ˂ܱ፼μᑍƴƭƍƯƷႻᛩƸŴࡽྙƷ‫ޛݱ‬я૙ƴᡲዂƘƩƞƍŵ࣭ ଐ᧓Ŵ൑ଐŴૼƠƍ଀ᚨǛᚧբƠŴૼƠƍЈ˟ƍƕƋǓǇƢŵ፻ଐƴͳƑƯŴ‫ٸ‬ƸǏƬƘǓ˞ǜưŴ˳ᛦૢƑƳƕǒᢅƝƠǇƠǐƏŵ2Ƃܱ፼଀ᚨȷܱ፼ϋܾƃŪʞ޽ɶ‫ځ‬၏ᨈ၏౐ અ᫢ִɦ‫ׅ‬ᚮʞ޽ɶ‫ځ‬၏ᨈƸŴ૔࣯‫ٳ‬ஹǍȘȪȝȸȈǋͳƑƨɦʞ޽‫ע‬ғƷؕ࠴၏ᨈưƢŵʻ‫ׅ‬Ʒܱ፼ưƸŴӷ၏ᨈƷִɦȁȸȠƷ၏౐‫ׅ‬ᚮƴӷᘍƠǇƢŵִ ɦ Ǳ Ǣ ƴ ᧙ ǘ ǔ ȁ ȸ Ƞ ನ ঺ ƴ ƭ ƍ Ư ß 6TCPUFKUEKRNKPCT[6GCO à Ʊ ƍ Ə ᎋ Ƒ ૾ ƕ ƋǓǇƢŵҔၲᎍƕཞඞƴࣖơƯࢫлǛ‫҄٭‬ƞƤǔƱƍƏᎋƑ૾ưƢŵʞ޽ɶ‫ځ‬၏ᨈƷִɦȁ ȸ Ƞ Ƹ Ŵ અ ᫢ ᳽ִ ɦ ᨦ ܹ Ⴣ ᜱ ᛐ ‫ ܭ‬Ⴣ ᜱ ࠖ Ǜ ɶ ࣎ ƴ Ŵ ᎚ ᱠ ᅹ Ҕ ࠖ Ŵ ሥ ྸ ௿ ᫱ ٟ Ŵ ˂ ଀ ᚨ ƔǒࣖੲƷᚕᛖᎮᙾٟŴഫᅹҔࠖƕӋьƠƨǳȳȑǯȈƳȁȸȠưƢŵʻ‫ׅ‬Ʒܱ፼ưƸŴִɦǹǯȪȸȋȳǰŴϋᙻᦟ౨௹ŴӝᏸǱǢǛᙸ‫ܖ‬ƠƳƕǒŴᨂǒǕƨʴႎ᝻เǛ෇ƔƠƨ‫؏ע‬ҔၲƷ߻‫پ‬Ǜ‫ܖ‬ǜưƍƨƩƚƨǒƱ࣬ƍǇƢŵ













ŪཎК᫱ᜱᎊʴțȸȠ Ӣ཮ᒱ ß Ȧ ȋ ȃ Ȉ à Ʊ Ԡ ƹ Ǖ ǔ ʴ Ǆ Ʋ Ʒ ဃ ෇ ҥ ˮ Ʒ Ȧ ȋ ȃ Ȉ Ჰ Ც Ӹ Ʒ λ ‫ އ‬ᎍ Ტ М ဇ ᎍ Უ ƕ ᢅƝƞǕƯƍǇƢŵཎК᫱ᜱᎊʴțȸȠƷǄƔŴȇǤǵȸȓǹǍտᒧܴǋ́ᚨƠƯƍǇƢŵȐǤǿȫย‫ܭ‬ŴᣐᐗŴӝᏸǱǢŴ᫢ʙʼяŴཎෘʼяƳƲʼᜱ˳᬴ƠǇƢŵƦƷ˂ŴᏎၱ௿᫱ŴȪȏȓȪƷᙸ‫ܖ‬ŴᡈᨩഫᅹҔᨈƷࢮᚮƳƲʖ‫ܭ‬ƠƯƍǇƢŵ᭗ᱫᎍƷ૾ŷƱƾǕƋƬƯ᪬ƖŴ‫ݲ‬Ơưǋσज़ƠƯ᪬ƚƨǒƱ࣬ƍǇƢŵᲢ ଐƷʖ‫ܭ‬ᲣᲴ  Ȑ Ǥ ǿ ȫ ȁ ǧ ȃ ǯ Ŵ ӝ ᏸ Ǳ Ǣ ᙀ я Ჴ  ᐯ ᇌ ૅ ੲ ᚘ ဒ ୿ Ŵ ӝ ᏸ Ǳ Ǣ ᚘ ဒ ୿ Ʒ ᛟ ଢ Ჴ  Ꮞ ၱ ද λ ᙸ ‫   ܖ‬Ჴ  ᫢ ʙ ʼ я Ŵ ᙸ ‫    ܖ‬Ჴ  ഫ ᅹ ᚮ ၲ ᙀ Ტ ࢮ ᚮ ഫ ᅹ Უ Ჴ  ȇ Ǥ ǵ ȸ ȓ ǹ Ŵ Ȫ ȏ ȓ Ȫ Ʒ ᙸ ‫ ܖ‬ሁ    Ჴ  ʼ ᜱ ଀ ᚨ Ŵ ʼ ᜱ ̬ ᨖ Ʒ ǻ ȟ Ȋ ȸ Ტ ଀ ᚨ ᧈ Უ 3Ტ‫ޛ‬ဋ޻ᨺ଀ᚨᧈǑǓᲣӢ཮ᒱưƷܱ፼ƸᨂǒǕƨ଺᧓ưƸƋǓǇƢƕŴМဇᎍƴ‫ݣ‬ƠƯΟƠƘ੗ƠƯ᪬ƖŴҔȷഫ‫ܖ‬ႎ‫ܖ‬፼ƱƍƏᙻໜƔǒưƸƳƘŴМဇᎍƷᙻໜƔǒ᭗ᱫᎍŴᨦܹᎍƷᇌ‫ئ‬Ʊ࣎ྸǛྸᚐƢǔǑƏƴ࣎ƕƚƯƘƩƞƍŵƦƠƯŴʞ޽ưƷɟᡲƷ˳᬴ܱ፼ǛᡫƠƯ‫؏ע‬Ʒ̬ͤȷҔၲȷᅦᅍǛྸᚐƠƯ᪬ƖŴʻࢸƷҔၲ෇ѣƴ෇ƔƠƯǋǒƍǇƢǑƏ஖ࢳᐲƠǇƢŵǇƨஇᡈưƸλ‫އ‬ᎍƷᨦܹȬșȫƕ᭗ࡇ҄ƠƯƓǓŴƦǕƴˤƏᛚִࣱᏍ໒Ʒ᫁ࡇƕ‫ف‬ьƠƯƍǇƢŵ࢘଀ᚨưƸˌЭǑǓ‫˓ݦ‬ƷഫᅹᘓဃٟƕᆢಊႎƳӝᏸǱǢǛܱោƠŴƜǕǒƷʖ᧸ƴǋࢫᇌƬƯƍǔƱᐯ᝟ƠƯƍǇƢŵ











Ūʞ޽ࠊᅈ˟ᅦᅍңᜭ˟ ݈൶ૅ৑ ᡫ৑ʼᜱʙಅ৑
žȇǤǵȸȓǹǻȳǿȸſƸŴ‫؏ע‬ƷʼᜱǛᙲƢǔ᭗ᱫᎍƷ૾ŷᲢМဇᎍᲣƴŴλෘŴዅ᫢ŴೞᏡ᚞ጀŴǹȝȸȄŴȬǯȬȸǷȧȳŴᡛᡇሁǛᘍƍŴଐࠝဃ෇ƷੲяŴᅈ˟ႎ‫཯ܔ‬ज़ƷᚐෞŴ࣎៲ೞᏡƷዜਤӼɥǛ‫׋‬ƬƯƍǇƢŵᲢ ଐ Ʒ ʖ ‫ ܭ‬Უ Ჴ  ᨼ ӳ Ŵ ȟ ȸ Ȇ ǣ ȳ ǰ Ჴ  М ဇ ᎍ ‫ ܡ‬ǁ Ʒ Ɠ ᡇ Ƒ ᧏ ‫ ڼ‬Ჴ  Ȑ Ǥ ǿ ȫ ȁ ǧ ȃ ǯ Ჴ  ˳ દ ȷ Ȭ ǯ Ȭ ȸ Ƿ ȧ ȳ ᧏ ‫ ڼ‬Ჴ   Ə ƕ ƍ ȷ ৖ ඹ ƍ Ჴ   ଷ ᫢ แ ͳ Ჴ   ᣐ ᐗ Ŵ ᫢ ʙ Ʒ ʼ я Ჴ   λ ෘ Ʒ แ ͳ Ჴ   Ə ƕ ƍ ȷ ৖ ඹ ƍ Ჴ   Ɠ Ǎ ƭ แ ͳ Ჴ   ᡛ ᡇ ᧏ ‫ ڼ‬Ჴ   ੈ ᨊ Ŵ ȟ ȸ Ȇ ǣ ȳ ǰ 4Ტᅦ‫ޛ‬ଯ࠯ᡫ৑ʼᜱɼ˓ǑǓᲣ᭗ᱫᎍƷ૾Ƹ‫ٳ‬ЈƢǔೞ˟ǋ‫ݲ‬ƳƍƷưŴȇǤǵȸȓǹǛМဇƠМဇᎍ᧓ǍᎰՃƱƷʩ්ư᧍ơƜǋǓǛƳƘƠŴ៲˳ೞᏡƷዜਤǍӼɥŴܼଈƷʼᜱƷ᠉ถǛႸႎƴМဇƞǕƯƍǇƢŵʼᜱƷྵཞǛܱᨥƴ˳᬴ƠƯŴҔၲƷྵ‫ئ‬ư෇ဇưƖǔ‫ئ‬᩿ǋ˳᬴ưƖǔƔǋƠǕǇƤ
ǜŵᆢಊႎƴǳȟȥȋǱȸǷȧȳǛƱǓŴᚐǒƳƍƜƱƸឋբƠƯƘƩƞƍŵМဇᎍƷɶƴƸܱ፼ဃƕஹǒǕǔƷǛಏƠǈƴƞǕƯƍǔ૾ǋƍǒƬƠǌƍǇƢŵ







Ū‫׎‬ൟͤࡍ̬ᨖ ‫ܿޟ‬ഫᅹᚮၲ৑ȷ‫ޛ‬ϋЈࢌ৑‫ܿޟ‬ഫᅹᚮၲ৑ƷไӝѨˋέဃƸŴᅦ൶޽ɶ҅ᢿƷᚮၲ৑ƱŴɶ‫ځ‬ƷႧ‫ע‬ƴƋǔ‫ޛ‬ϋЈࢌ৑ǛᘍƖஹƠŴ‫؏ע‬ഫᅹҔၲƴઃǘƬƯƍǇƢŵ‫ٳ‬ஹᚮၲƷǄƔŴʞ ޽ ࠊ ϋ Ʒ ‫ ܡ އ‬᳼଀ ᚨ ᳼၏ ᨈ Ǜ ࠼ ؏ ƴ ࢮ ᚮ ƞ Ǖ Ư ƍ Ǉ Ƣ ŵ ‫ܿޟ‬ഫᅹᚮၲ৑ᚮ ၲ ৑ ư Ʒ ᚮ ၲ Ʒ ᙸ ‫ ܖ‬᳽ᙀ я ƴ ь Ƒ Ŵ ࢮ ᚮ ƴ ǋ ӷ ᘍ Ơ Ǉ Ƣ ŵ 







Ūʁ᝶ഫᅹᚮၲ৑ʁ ᝶ ޽ Ƹ ʴ ӝ ኖ  ʴ Ʒ ʚ ഏ ᩉ ޽ Ტ è ஜ ‫ ם‬Ʊ Ⴚ ੗ Ʒ ʩ ᡫ ৖ െ ƕ Ƴ ƍ Უ ư Ƣ ŵ ᧈƘ໯ഫᅹҔ޽ưƋƬƨƨǊŴഫᅹ඙ၲƕ࣏ᙲƳ଺Ŵ޽ൟƸʞ޽ࠊᅦ൶޽ƴᡫƬƯƍǇƠƨƕŴᑔƱ៻ǛʈǓዒƍưƷᡫ ᨈ Ƹ ᭗ ᱫ ᎍ ƴ ‫ ٻ‬Ɩ Ƴ ᝟ ਃ ư Ơ ƨ ŵ  ࠰  உ ƴ  ࠰ ƿǓƴʞ޽ࠊƕഫᅹᚮၲ৑Ǜ᧏৑ƠǇƠƨŵʞ޽ࠊɤʟಏƷ቟‫ޛ‬᪰ࢄʍέဃƕᡵᲫଐᚮၲƞǕƯƍǇƢŵʻ‫ׅ‬ƸέဃƱӷᘍƠŴᅦ൶޽ƔǒෙɥǿǯǷȸưʁ᝶޽ƴบ Ǔ Ŵ ᚮ ၲ ৑ Ʒ ‫ ٳ‬ஹ ᚮ ၲ Ǜ ᙸ ‫ ܖ‬᳽ᙀ я Ơ Ǉ Ƣ ŵ 5‫ޛ‬ϋЈࢌ৑

ŪƜǇƖഫᅹҔᨈʞ޽ࠊᅦ൶Ʒɶ࣎ᘑƴƋǔഫᅹҔᨈưƢŵᨈᧈƷ‫ݱ‬ཊঙଢέဃƸᧈ߃‫ܖܖٻ‬ˮӕࢽࢸŴჼദഫ ᅹ ‫ ࡈ ᜒ ܖ‬ƴ  ࠰ ‫ נ‬ቔ ƞ Ǖ ƨ ჼ ദ ഫ ᅹ ‫ ᧉ ݦ‬Ҕ ư Ƣ ŵ ɟᙸŴஜ‫ם‬Ʒᚮၲ৑Ʊ‫٭‬ǘǒƳƍǑƏƳ‫ݱ‬ཊঙଢέဃ‫ٳ‬ஹधᎍ‫ࣖݣ‬ƷɟഏҔၲɶ࣎ƷҔᨈưƢƕŴᩉ޽ưƋǔƨǊŴʚഏŴɤഏҔၲೞ᧙Ტ‫ܖٻ‬၏ᨈሁᲣƴൢ᠉ƴኰʼưƖƳƍ‫ئ‬ӳǋ‫ٶ‬ƘŴᧈ߃‫ܖٻ‬ӝᏸ‫ٳ‬ᅹǍҔ‫ܖ‬ᢿ࢟঺‫ٳ‬ᅹŴʞ޽ɶ‫ځ‬၏ᨈ᎚ᱠԹձᅹሁƱᡲઃƠƯŴʩᡫʙ૏ሁƷ᫈ᭌᭌ৵ƳƲᩊၐ̊඙ၲƴǋӕǓኵǜưƓǒǕǇƢŵŪʞ޽ࠊᧈ‫ݤ‬ʼᜱᛢᲢ‫؏ע‬ѼਙૅੲǻȳǿȸᲣ᭗ ᱫ ᎍ Ʒ ૅ ੲ ư Ƹ Ŵ ီ Ƴ ǔ С ࡇ ᳽ඥ ࢷ Ʒ ǋ Ʊ ಮ ŷ Ƴ ૅ ੲ ǵ ȸ ȓ ǹ ƕ ᘍ ǘ Ǖ Ư ƍ Ǉ Ƣ ƕ Ŵ‫؏ע‬ѼਙૅੲǻȳǿȸƸዮӳᆸӝƱƠƯŴ᭗ᱫᎍɟʴɟʴǛ࣏ᙲƳǵȸȓǹƴƭƳƙಅѦǛᘍƬƯƍǇƢŵǻȳǿȸƷಅѦƸ‫ٶ‬ಮưƋǓŴᛐჷၐሁưᐯࠁൿ‫ܭ‬Йૺƕ˯ɦƠƨ૾ǛૅੲƢǔ঺࠰ࢸᙸСࡇǍଐࠝဃ෇ᐯᇌૅੲʙಅƷ෇ဇ̟ᡶŴ᭗ᱫᎍᖋࢳƳƲೌМઢᜱƷᆸӝಅѦǋԃǇǕǇƢŵ ʼ ᜱ ʖ ᧸ ᳽ଐ ࠝ ဃ ෇ ૅ ੲ ዮ ӳ ʙ ಅ Ƹ Ŵ ‫ ؏ ע‬Ʒ ʝ я Ŵ ൟ᧓ǵȸȓǹƳƲಮŷƳʴႎ᝻เƕૅƑƯƍǇƢŵʻ‫ׅ‬Ʒ‫؏ע‬ѼਙૅੲǻȳǿȸƷܱ፼ưƸŴȜȩȳȆǣǢƕૅƑǔȟȋȇǤǵȸȓǹƷӋьǍ᭗ᱫᎍ‫ܡ‬ᚧբǛʖ‫ܭ‬ƠƯƍǇƢŵƜǕƔǒഫᅹƷૅੲƕ஖ࢳƞǕƯƍǔȕǣȸȫȉưƢŵ



















6

Ūʞ޽ࠊͤࡍ૎ሊᛢ ࠷ᆐ‫˂ט‬ǉƠഫʖ᧸૙ܴ
ͤࡍ૎ሊᛢƷഫᅹᘓဃٟƕɶ࣎ƱƳƬƯŴʞ޽ࠊϋƷ࠷ᆐ‫ט‬ȷ̬Ꮛ‫ט‬ưžȔǫȔǫഫƬƽȸ૙ܴſǛܱ଀ƠƯƍǇƢŵ࠷δƞǜƴಏƠƘǘƔǓǍƢƘഫᄶƖƷˁ૾Ǎ᧓᫢ƷӕǓ૾ǛᛅƠŴȗȩȸǯǛ௨ǊЈƠƠƯ̾КƴᄶƖ૾Ǜਦ‫ݰ‬ƠǇƢŵഫ‫ܖ‬ᢿဃƷǈƳƞǜ
Ƹᖓഫʖ᧸Ʒʴ࢟тǛǍƬƯǋǒƍǇƢŵңщƠƯƏǇƘ๫ơƯႮǓɥƛƯƘƩƞƍŵ

































7

㈨ᩱ䠍 䠎࠯঺঺ᾁᾈ࠰ࡇᾁࡇ ٰ‫ܓ‬
ٰ‫ܓ‬μ‫׎‬ഫ‫ܖ‬ဃٰ‫ܓ‬μ‫׎‬ഫ‫ܖ‬ဃᩉ޽ܱ፼ἩἿἂἻἲܱ ፼ ୿᳸ž޽ſư‫ܖ‬ƿŴž޽ſƴ‫ܖ‬ƿ᳸ᐇ⩦ᆅ䠖᪥⛬䠖䠔䠋䠎䠎䡚䠔䠋䠎䠑

኱Ꮫྡ䠖

Ꮫᖺ䠖

Ặ ྡ䠖

ܱ፼ƴ‫ݣ‬Ƣǔ࣎ࢽ㸨኱ཎ๎㸸ᐇ⩦ᮇ㛫୰ࡣ࠶ࡽࡺࡿሙ㠃࡟࠾࠸࡚ࠊ་⒪⪅࡜ࡋ࡚ࡩࡉ
ࢃࡋ࠸㌟࡞ࡾࠊែᗘࠊ⾜ືࢆ࡜ࡿࡼ࠺ᚰ᥃ࡅ࡚ࡃࡔࡉ࠸ࠋ
1. ㄡ࡜࡛ࡶࠕ࠶࠸ࡉࡘࠖࢆࡋࡲࡋࡻ࠺ࠋ
2. Ꮫ⩦⪅࡛࠶ࡿࡇ࡜ࢆᛀࢀࡎ࡟ࠊᖖ࡟ㅬ⹫࡞ጼໃ࡛ᐇ⩦࡟⮫ࡳࡲࡋࡻ࠺ࠋ
3. ⮬ศࡢ㌟ศࡣṇࡋࡃࠕ۵۵኱ᏛࡢᏛ⏕ࡢ‫ࡻࡋࡲ࠼⟅࡜ࠖࡍ࡛ۑۑ‬࠺ࠋ
4. ఫẸࡸᝈ⪅ࡉࢇ࠿ࡽࡢࠕ་⒪࡟㛵ࡍࡿ㉁ၥࠖ࡟ࡣ୙⏝ព࡟⟅࠼ࡎࠊ㈐௵ࡢ࠶ࡿே࡟ᑐᛂࢆ౫㢗ࡋࡲࡋࡻ࠺ࠋ
5. ࢜ࣥ࡜࢜ࣇࢆၥࢃࡎࠊᖖ࡟ఫẸ࠿ࡽぢࡽࢀ࡚࠸ࡿࡇ࡜ࢆព㆑ࡋࠊ
᪥ᖖ⏕ά඲⯡࡟࠾࠸࡚⮬ᚊⓗ࡞⾜ືࢆ࡜ࡿࡼ࠺࡟ࡋࡲࡋࡻ࠺ࠋ
6. ⮬ศࡢయㄪ⟶⌮࡟Ẽࢆ㓄ࡿࡼ࠺࡟ࡋࡲࡋࡻ࠺ࠋ≉࡟⇕୰⑕ᑐ⟇ࡣ
ᚲ㡲࡛ࡍࠋ

1

࠯঺ᲬᲳ࠰ࡇ ٰ‫ܓ‬μ‫׎‬ഫ‫ܖ‬ဃ ᩉ޽ܱ፼ȗȭǰȩȠ㸦ᖹᡂ 29 ᖺᗘཧຍເ㞟ேᩘ㸸6 ྡ㸧
㸯㸧

ᐇ⩦ෆᐜ
㞳ᓥ࡟࠾ࡅࡿᆅᇦṑ⛉་⒪ࢆ⌮ゎࡍࡿࡓࡵ࡟ࠊ⌧ᆅࡢṑ⛉デ⒪ᡤࡢṑ⛉་ᖌ࡜⾜ືࢆඹ࡟ࡋࠊ㞳ᓥṑ⛉་⒪ᐇ㊶ࡢ⌧ሙぢᏛࢆ⾜࠺࡜࡜ࡶ࡟ࠊᆅᇦໟᣓ་⒪ࡢ㔜せᛶ࡟ࡘ࠸࡚Ꮫ⩦ࡋࡲࡍࠋࡲࡓࠊ㞳ᓥࢆ୰ᚰ࡜ࡋࡓᆅᇦ࡟࠾ࡅࡿ་⒪⪅ࡢᙺ๭࡟ࡘ࠸࡚
ࡶ⌮ゎࡋ࡚࠸ࡓࡔࡁࡲࡍࠋ㸰㸧 ᐇ⩦᪉ἲձ ᐇ⩦ඛ࠼ࡢࡶ࡜ṑ⛉་㝔㸦㮵ඣᓥ┴すஅ⾲ᕷ㸦✀Ꮚᓥ㸧㸧ඣ⋢ṑ⛉་㝔㸦㮵ඣᓥ┴኱ᓥ㒆୚ㄽ⏫㸧ղ ᇶᮏᐇ⩦ᙧែⅆ᭙᪥࠿ࡽ㔠᭙᪥ࡲ࡛ࡢ 4 ᪥㛫࡛ࠊⅆ᭙᪥ࡣ⛣ື࠾ࡼࡧᣵᣜࠊỈ࣭ᮌ᭙᪥ࡣᐇ⩦ࠊ㔠᭙᪥ࡣ⛣ື࡜࡞ࡾࡲࡍࠋ
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ᐇ⩦᪥⛬
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࡛࠾㏦ࡾࡃࡔࡉ࠸ࠋ㒑㏦ࡢ㝿ࠊ᥍࠼ࡀᚲせ࡞᪉ࡣ㏦௜๓࡟ࢥࣆ࣮ࢆ࠾ྲྀࡾࡃࡔࡉ࠸ࠋ
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2㮵ඣᓥ┴ࡢ㞳ᓥᆔ‫޽܇‬‫ދ‬ʁ޽

‫ڇ‬፦‫޽ٻ‬ࣈʂ޽ඌ൨ᑣᢿ޽
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ඌጃ

3

✀Ꮚᓥࢥ࣮ࢫ
ᐇ⩦ඛ㸸࠼ࡢࡶ࡜ṑ⛉་㝔ᐇ⩦ᢸᙜ⪅㸸ᴮᮏ Ꮥṑ⛉་ᖌ㸦㮵ඣᓥ኱ᏛṑᏛ㒊⮫ᗋㅮᖌ㸧ເ㞟ேဨᩘ㸸Ꮫ⏕ 3 ྡᐇ⩦᪥㸸 8 ᭶ 22 ᪥(ⅆ)㹼8 ᭶ 25 ᪥(㔠)ᐇ⩦᪥⛬㸸 ⅆ᭙᪥㸸༗๓୰⛣ືࠊ༗ᚋᣵᣜ࠾ࡼࡧᐇ⩦ᴫせㄝ᫂ Ỉ᭙᪥ࠊᮌ᭙᪥㸸⤊᪥ᐇ⩦㸦እ᮶ぢᏛ㸧 㔠᭙᪥㸸༗๓ࡣ⮬⏤⾜ືࠊ༗ᚋ⛣ືᐟ Ἡ㸸Ẹᐟ ⨾᫓Ⲯ㸦http://miharusou.jp/㸧ᐇ⩦ྠ⾜ᩍဨ㸸㮵ඣᓥ኱Ꮫᩍဨ㸯ྡ㸦㕥ᮌ ⏠ ඛ⏕㸸   㸫    㸫    㸧ƑƷǋƱഫᅹҔᨈ4ᐇ⩦᪋タ⤂௓ྡ⛠࠼ࡢࡶ࡜ṑ⛉་㝔㸦࠼ࡢࡶ࡜ࡋ࠿࠸࠸ࢇ㸧㝔㛗

ᴮᮏ Ꮥ㸦࠼ࡢࡶ࡜ ࡓ࠿ࡋ㸧ṑ⛉་ᖌ㸦㮵ඣᓥ኱ᏛṑᏛ㒊⮫ᗋㅮᖌ㸧ఫᡤ㮵ඣᓥ┴すஅ⾲ᕷす⏫ 7066㐃⤡ඛ㟁ヰ㸸0997-22-0960
enomoto@po2.synapse.ne.jp5ᆔ‫޽܇‬Ʒಒᙲேཱྀࡣ⣙ 33,000 ேࠊ㠃✚ࡣ⣙ 445km²ࠋ኱㝮ㅖᓥࢆᵓᡂࡍࡿᓥࡢ 1 ࡘࠋ 㮵ඣᓥ┴ෆ᭷ே㞳ᓥࡢ୰࡛᭱ࡶᮾ࡟఩⨨ࡋࠊேཱྀࡣ዆⨾኱ᓥ࡟ḟ࠸࡛ 2 ␒┠࡟ከࡃࠊ㠃✚ࡣ዆⨾኱ᓥࠊᒇஂᓥ
࡟ḟ࠸࡛ 3 ␒┠࡟኱ࡁ࠸ࠋ᪥ᮏ࡛ࡣࠊ10 ␒┠ࡢ㠃✚ࢆᣢࡘࠋ㕲◙ఏ᮶ࡢᆅ࡛ࠊⅆ⦖㖠ࡢ〇సࡀጞࡵࡽࢀࡓሙᡤ࡛ࡶ࠶ࡗࡓࡓࡵࠊᅜ⏘ࡢⅆ⦖㖠ࡣ✀Ꮚᓥ࡜࿧ࡤࢀ࡚࠸ࡓࠋ⌧ᅾࡣ✀ᏊᓥᏱᐂࢭࣥࢱ࣮࡞࡝Ᏹᐂ㛵㐃᪋タࡀከࡃᘓ࡚ࡽࢀࠊ᪥ᮏ࡟᪊ࡅࡿᏱᐂ㛤Ⓨࡢ୍⩼ࢆᢸࡗ࡚࠸ࡿࠋ
ᖹᆒẼ
4᭶

5᭶

6᭶

20.8Υ

23.7Υ

27.2Υ

ᓥ࡬ࡢ࢔ࢡࢭࢫ㸸ձ㣕⾜ᶵࠊղࣇ࢙࣮ࣜࠊճ㧗㏿⯪ձ 㣕⾜ᶵࡢሙྜ
㸺 ㊰㸼
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JAC3761

8/22

8㸸45

9㸸25

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᪥

ฟⓎ

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JAC3774

8/25

17㸸05

17㸸40

᭱Ᏻ್

ᙜ᪥

7200

14200

᭱Ᏻ್

ᙜ᪥

9800

14200

㸺᚟㊰㸼

ղࣇ࢙࣮ࣜࡢሙྜ㸸ࡣ࠸ࡧࡍ࠿ࡍ
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∦㐨㐠㈤

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18㸸00

21㸸40

3,200

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11㸸00

14㸸40

ղ 㧗㏿⯪ࡢሙྜ㸸ࢺࢵࣆ࣮࣭ࣟࢣࢵࢺ
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∦㐨

 ᚟๭ᘬ

7㸸30

9㸸05

7,200

12,800

ฟⓎ

฿╔

∦㐨

 ᚟๭ᘬ

17㸸05

18㸸40

7,200

12,800

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6

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୚ㄽᓥࢥ࣮ࢫ

ᐇ⩦ඛ㸸ඣ⋢ṑ⛉་㝔ᐇ⩦ᢸᙜ⪅㸸ඣ⋢ఀబ㞝ṑ⛉་ᖌ㸦㮵ඣᓥ኱ᏛṑᏛ㒊⮫ᗋㅮᖌ㸧ເ㞟ேဨᩘ㸸Ꮫ⏕ 3 ྡᐇ⩦᪥㸸 8 ᭶ 22 ᪥(ⅆ)㹼8 ᭶ 25 ᪥(㔠)ᐇ⩦᪥⛬㸸 ⅆ᭙᪥㸸༗๓୰⛣ືࠊ༗ᚋᣵᣜ࠾ࡼࡧᐇ⩦ᴫせㄝ᫂ Ỉ᭙᪥ࠊᮌ᭙᪥㸸⤊᪥ᐇ⩦㸦እ᮶ぢᏛ㸧 㔠᭙᪥㸸༗๓ࡣ⮬⏤⾜ືࠊ༗ᚋ⛣ືᐟ Ἡ㸸Ẹᐟ 㟷ᾏⲮ㸦http://primenet2010.biz/seikaisou/㸧ᐇ⩦ྠ⾜ᩍဨ㸸㮵ඣᓥ኱Ꮫᩍဨ㸯ྡ㸦బྂ Ἃ⧊ ඛ⏕㸸   㸫    㸫    㸧7ᐇ⩦᪋タ⤂௓ྡ⛠ඣ⋢ṑ⛉་㝔㸦ࡇࡔࡲࡋ࠿࠸࠸ࢇ㸧㝔㛗ඣ⋢ ఀబ㞝㸦ࡇࡔࡲ ࠸ࡉ࠾㸧ṑ⛉་ᖌ㸦㮵ඣᓥ኱ᏛṑᏛ㒊⮫ᗋㅮᖌ㸧ఫᡤ㮵ඣᓥ┴኱ᓥ㒆୚ㄽ⏫Ⲕⰼ 16-9㐃⤡ඛ㟁ヰ㸸0997-97-4359
isao.kodama@gmail.com㸦㝔㛗࠶࡚㸧デ⒪㢼ᬒඃࡋ࠸ṑ⛉⾨⏕ኈࡉࢇࡓࡕ

 デ㌴࡛ᓥࢆᕠࡿ
8ᐇ⩦᪥⛬㸦ணᐃ㸧ⅆ᭙᪥ྛ⮬ࠊᓥ࡬฿╔㸦㞟ྜ᫬㛫ࡲ࡛ᓥෆほගࢆ࠾ᴦࡋࡳࡃࡔࡉ࠸㸧
18㸸00㸫Ẹᐟࣟࣅ࣮㞟ྜࠊデ⒪ᡤ࡟ᣵᣜࠋ

Ỉ᭙᪥ͤ
08㸸50㸫デ⒪ᡤ࡟㞟ྜ
12㸸00㸫༗๓ࡢぢᏛ⤊஢ࠋ
14㸸00㸫༗ᚋࡢぢᏛ㛤ጞࠋ
19㸸00㸫༗ᚋࡢぢᏛ⤊஢ࠋᮌ᭙᪥ͤ08㸸50㸫デ⒪ᡤ࡟㞟ྜ
12㸸00㸫༗๓ࡢぢᏛ⤊஢ࠋ
14㸸00㸫༗ᚋࡢぢᏛ㛤ጞࠋ
19㸸00㸫༗ᚋࡢぢᏛ⤊஢ࠋ㔠᭙᪥ࣇ࣮ࣜ㸦⛣ື᫬㛫ࡲ࡛ᓥෆほගࢆ࠾ᴦࡋࡳࡃࡔࡉ࠸㸧ྛ⮬ࠊᖐ㊰࡬

ͤỈࠊᮌ᭙᪥࡟ࡘ࠸࡚ࡣࠊデ⒪ᡤẖ࡛ⱝᖸ␗࡞ࡾࡲࡍࠋලయⓗ࡟ࡣ⌧ᆅ࡟࡚ᢸᙜ་ࡢㄝ᫂࡟ᚑࡗ࡚ୗࡉ࠸ࠋ

9ɨᛯ޽Ʒಒᙲ
ேཱྀࡣ⣙ 6,000 ேࠊ㠃✚ࡣ 20.8 km²ࠋ୍ᓥ୍⏫࡛ࠊ㮵ඣᓥ┴኱ᓥ㒆୚ㄽ⏫ࠋ୺࡞⏘ᴗࡣ㎰ᴗ࡜ほගᴗ࡛࠶ࡿࠋ1984 ᖺ 7 ᭶ 15 ᪥࡟ࡣ࣑ࢽ⊂❧ᅜࠊࠕࣃࢼ࢘ࣝ⋤ᅜࠖࢆタ❧ࡋࡓࠋࠕࣃࢼࠖࡣⰼࠊ
ࠕ࢘ࣝࠖࡣࢧࣥࢦ♋ࢆព࿡ࡍࡿࠋᓥ࡛၏୍〇㐀ࡉࢀ࡚࠸ࡿ㓇ࡣ㯮⢾↝㓅࡛ࠊ௦⾲㖭᯶ࡢࠕ᭷Ἠࠖ
㸦ᓥ᭷Ἠ㸧ࡣࠊ࡯࡜ࢇ࡝ࡀᓥ࡛ᾘ㈝ࡉࢀ࡚࠸ࡿࠋᐈேࢆࡶ࡚࡞ࡍ
᫬࡞࡝࡟ࡣ ࠕ୚ㄽ⊩ዊࠖ࡜࿧ࡤࢀࡿ⊂⮬ࡢ㣧ࡳ᪉࡛㣧ࡲࢀ࡚࠸ࡿࠋ
ᖹᆒẼ
8᭶

9᭶

28.8Υ

27.7Υ

ᓥ࡬ࡢ࢔ࢡࢭࢫ
࣭㣕⾜ᶵ㸦⣙ 1 ᫬㛫 10 ศ㸧㮵ඣᓥ✵ →୚ㄽ✵᪥ᮏ࢚࢔ࢥ࣑࣮ࣗࢱ࣮(JAC)

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࣭ࣇ࢙࣮ࣜ㸦⣙ 20 ᫬㛫㸧࣐ࣜࢵࢡࢫࣛ࢖ࣥ 099-225-1551㸦㮵ඣᓥ㸧
13,370 ෇㸦∦㐨 2 ➼㸧
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2017 ᖺ 08 ᭶ 21 ᪥ 18:00

2017 ᖺ 08 ᭶ 22 ᪥ 13:40

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2017 ᖺ 08 ᭶ 25 ᪥ 12:10

2017 ᖺ 08 ᭶ 26 ᪥ 08:30
10ᩉ޽ܱ፼ȗȭǰȩȠ ܱ፼ᚡ᥵
኱Ꮫ㸸                Ꮫᖺ㸸      Ặ ྡ㸸           ᐇ⩦ࢥ࣮ࢫྡ㸸        ࢥ࣮ࢫ   ᐇ⩦ᮇ㛫㸸ᖹᡂ㸰㸷ᖺ 㸶᭶㸰㸰᪥  㹼 㸶᭶㸰㸳᪥ྠ⾜Ꮫ⏕࠾ࡼࡧᩍဨྡ㸸                                   ࠙ᐇ⩦ 1 ᪥┠㸦ⅆ᭙᪥㸧
ࠚ
ᐇ⩦ᴫせ
᫬㛫

ෆᐜ

᣺ࡾ㏉ࡾグ㘓㸦ᐇ⩦ࢆ㏻ࡌ࡚Ꮫࢇࡔࡇ࡜ࠊẼ௜࠸ࡓࡇ࡜ࠊ␲ၥ࡟ᛮࡗࡓࡇ࡜ࠊ࡞࡝ࠋ
㸧11࠙ᐇ⩦㸰᪥┠㸦Ỉ᭙᪥㸧
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ᐇ⩦ᴫせ
᫬㛫

ෆᐜ

᣺ࡾ㏉ࡾグ㘓㸦ᐇ⩦ࢆ㏻ࡌ࡚Ꮫࢇࡔࡇ࡜ࠊẼ௜࠸ࡓࡇ࡜ࠊ␲ၥ࡟ᛮࡗࡓࡇ࡜ࠊ࡞࡝ࠋ㸧12࠙ᐇ⩦㸱᪥┠㸦ᮌ᭙᪥㸧
ࠚ
ᐇ⩦ᴫせ
᫬㛫

ෆᐜ

᣺ࡾ㏉ࡾグ㘓㸦ᐇ⩦ࢆ㏻ࡌ࡚Ꮫࢇࡔࡇ࡜ࠊẼ௜࠸ࡓࡇ࡜ࠊ␲ၥ࡟ᛮࡗࡓࡇ࡜ࠊ࡞࡝ࠋ㸧13࠙ᐇ⩦㸲᪥┠㸦㔠᭙᪥㸧
ࠚ
ᐇ⩦ᴫせ
᫬㛫

ෆᐜ

᣺ࡾ㏉ࡾグ㘓㸦ᐇ⩦ࢆ㏻ࡌ࡚Ꮫࢇࡔࡇ࡜ࠊẼ௜࠸ࡓࡇ࡜ࠊ␲ၥ࡟ᛮࡗࡓࡇ࡜ࠊ࡞࡝ࠋ
㸧ᐇ⩦⤊஢ᚋࠊ㸯㐌㛫ࢆࡵ࡝࡟㒑㏦࠿࣓࣮ࣝ 3') ࡛࠾㏦ࡾࡃࡔࡉ࠸ࠋ
㸦㏦௜ඛࡣ㸰࣮࣌ࢪཧ↷㸧
14

㈨ᩱ䠍 䠏-0-ᩥ㒊⛉Ꮫ┬ ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂࣉࣟࢢ࣒ࣛ
㸦೺ᗣ㛗ᑑ♫఍ࡢᐇ⌧࡟㈉⊩ࡍࡿṑ⛉་⒪ே㣴ᡂ㸧㑅ᐃ஦ᴗࠕ೺ᗣ㛗ᑑ♫఍ࢆᢸ࠺ṑ⛉་Ꮫᩍ⫱ᨵ㠉ࠖ̿Ṛ⏕Ꮫࡸᆅᇦໟᣓࢣ࢔ࣔࢹࣝࢆᑟධࡋࡓ་⛉ṑ⛉㐃ᦠᩍ⫱యไࡢᵓ⠏̿ᖹᡂ㸰㸷ᖺᗘ 㐃ᦠࢩ࣏ࣥࢪ࣒࢘ ࣉࣟࢢ࣒ࣛ
ሙᡤ໭ᾏ㐨኱ᏛṑᏛ㒊ㅮᇽ                    ᖹᡂ  ᖺ  ᭶  ᪥ 㔠    ཷ௜㛤ጞ   ࡈᣵᣜ ᮏ஦ᴗ㈐௵⪅ ᒸᒣ኱Ꮫ ❑ᮌᣅ⏨ ᩍᤵ          ໭ᾏ㐨኱ᏛṑᏛ㒊㛗  ᶓᒣᩔ㑻 ᩍᤵ ࢩ࣏ࣥࢪ࣒࢘㸯 ̾ࢩࡇࢀ࠿ࡽࡢ་⛉ṑ⛉㐃ᦠᩍ⫱   ᗙ㛗 ᶓᒣᩔ㑻 ᩍᤵ㸦໭ᾏ㐨኱ᏛṑᏛ㒊㛗㸧
ㅮ₇ 㸦 ศ㸧㯮㯮⃝ ಟ㌟ ㄢ㛗⿵బ 㸦ᩥ㒊⛉Ꮫ┬㧗➼ᩍ⫱ᒁ་Ꮫᩍ⫱ㄢ㸧ࠕṑᏛᩍ⫱ࡢ௒ᚋࡢ᪉ྥ࡟ࡘ࠸࡚ࠖ
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ㅮ₇   ศ㸧➟➟ཎ ṇ඾ᩍᤵ㸦໭ᾏ㐨኱Ꮫ๪Ꮫ㛗ࠊ๓໭ᾏ㐨኱Ꮫ་Ꮫ㒊㛗໭ᾏ㐨኱Ꮫ኱Ꮫ㝔་Ꮫ◊✲㝔⑓⌮Ꮫㅮᗙ㸧ࠕ་Ꮫᩍ⫱ࡢ᭱㏆ࡢືྥ࡜་Ꮫᩍ⫱ࡢ❧ሙ࠿ࡽṑ⛉་Ꮫᩍ⫱࡟ᮃࡴࡇ࡜ࠖ

 ࣏ࢫࢱ࣮ウㄽ㸦㉁␲ᛂ⟅㸧̾᠓ぶ఍࢚ࣥࣞ࢖ࢯ࢘
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-1-

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ᖹᡂ  ᖺ  ᭶  ᪥ ᅵ ̾ ࢩ࣏ࣥࢪ࣒࢘㸰 ᆅᇦໟᣓࢣ࢔࡜࿘⾡ᮇཱྀ⭍⟶⌮   ᗙ㛗 ஭ୖ ဴ ᩍᤵ㸦໭ᾏ㐨኱Ꮫ⮫ᗋᩍ⫱㒊㸧
ㅮ₇ 㸦 ศ㸧 ᒣᓮ ⿱ ᩍᤵ 㸦໭ᾏ㐨኱Ꮫ⑓㝔㧗㱋⪅ṑ⛉㸧ࠕ໭኱◊ಟࣉࣟࢢ࣒ࣛ⤂௓㸫ࡀࢇ἞⒪ࡢ࿘⾡ᮇ࡟࠾ࡅࡿཱྀ⭍⟶⌮◊ಟࠖ
ㅮ₇ 㸦 ศ㸧 ⛙ ᾈಙ ඛ⏕ 㸦໭ᾏ㐨ࡀࢇࢭࣥࢱ࣮㸧   ࠕࡀࢇ἞⒪ࡢ࿘⾡ᮇཱྀ⭍⟶⌮ࡢᐇ㝿ࠖ ㅮ₇ 㸦 ศ㸧 ᑠ㇂ ຾ ඛ⏕ 㸦໭ᾏ㐨ṑ⛉་ᖌ఍ᖖົ⌮஦ࠊᮐᖠᕷ㛤ᴗ㸧    ࠕ໭ᾏ㐨ṑ⛉་ᖌ఍ࡀᐇ᪋ࡋ࡚࠸ࡿ඲ᅜࡀࢇデ⒪་⛉ṑ⛉㐃ᦠ᥎㐍஦ᴗࡢ⌧ἣ࡜ㄢ㢟࡟ࡘ࠸࡚ࠖ
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ㅮ₇ 㸦 ศ㸧 ᐑ⏣ 㟹ᚿ ᩍᤵ 㸦ឡ▱་⛉኱Ꮫᆅᇦ་⒪ᩍ⫱Ꮫ㸧    ࠕᆅᇦ་⒪࡜ከ⫋✀㐃ᦠᩍ⫱ 㹼ṑ⛉་⛉㐃ᦠࢆ⪃࠼ࡿ㹼ࠖ̾
ࢥࣥࢯ࣮ࢩ࢔࣒ጤဨ఍㸦᪊ ṑᏛ㒊㹁Ჷ㸰㝵࢝ࣥࣇ࢓ࣞࣥࢫ࣮࣒ࣝ㸧̾ ≉ูㅮ₇            ᗙ㛗 ❑ᮌᣅ⏨ ᩍᤵ㸦ᒸᒣ኱Ꮫ㸧    ᖹ㔝 ᾈᙪ ඛ⏕㸦ᮾி㒔೺ᗣ㛗ᑑ་⒪ࢭࣥࢱ࣮㸧         ࠕ࣮࢜ࣛࣝࣇࣞ࢖ࣝ࡜ࡣ㸸⪁ᖺᏛࡢどⅬ࠿ࡽࠖ ḟᅇࢩ࣏ࣥࢪ࣒࢘㛤ദᢸᙜ⪅࠿ࡽࡢ㐃⤡஦㡯  㛢఍ࡢᣵᣜ     ஭ୖ ဴ㸦໭ᾏ㐨኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲㝔⮫ᗋᩍ⫱㒊㸧    

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-2-

࠙ࡈᣵᣜࠚ

ࠕ೺ᗣ㛗ᑑ♫఍ࢆᢸ࠺ṑ⛉་Ꮫᩍ⫱ᨵ㠉̿Ṛ⏕Ꮫࡸᆅᇦ
ໟᣓࢣ࢔ࣔࢹࣝࢆᑟධࡋࡓ་⛉ṑ⛉㐃ᦠᩍ⫱యไࡢᵓ⠏ࠖ஦ᴗ᥎㐍㈐௵⪅ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉࢖ࣥࣉࣛࣥࢺ෌⏕⿵⥛Ꮫศ㔝❑ᮌ ᣅ⏨ ᩍᤵ ᩥ㒊⛉Ꮫ┬ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂࣉࣟࢢ࣒ࣛࠕ೺ᗣ㛗ᑑ♫఍ࢆᢸ࠺ṑ⛉་Ꮫᩍ⫱ᨵ㠉୍Ṛ⏕Ꮫࡸᆅᇦໟᣓࢣ࢔ࣔࢹࣝࢆᑟධࡋࡓ་⛉ṑ⛉㐃ᦠᩍ⫱యไࡢᵓ⠏࡛ࠖࡣ㸪኱ኚ࠾ୡヰ࡟࡞ࡗ࡚࠾ࡾࡲࡍ㸬 ᮏᖺᗘࡣ໭ᾏ㐨኱ᏛࡢᶓᒣṑᏛ㒊㛗㸪஭ୖ஦ᴗ᥎㐍ጤဨࡢ⤯኱࡞ࡿࡈᑾຊ࡟ࡼࡾ㸪ᩥ㒊⛉Ꮫ┬㧗➼ᩍ⫱ᒁ࠿ࡽ㯮⃝ಟ㌟་Ꮫᩍ⫱ㄢ㛗⿵బࢆ࠾㏄࠼ࡋ࡚㸪ᖹᡂ 29 ᖺᗘṑᏛᩍ⫱ᨵ㠉ࢥࣥࢯ࣮ࢩ࢔࣒
㐃ᦠࢩ࣏ࣥࢪ࣒࢘ࢆ㛤ദ࡛ࡁࡲࡍࡇ࡜ࢆ኱ኚ᭷ࡾ㞴ࡃᏑࡌࡲࡍ㸬ᮏ஦ᴗࡣ㸪⌧ᅾࡢ㉸㧗㱋♫఍࡟ྥࡅ࡚㧗ᗘ་⒪ேᮦ㣴ᡂᏛᗓ࡛࠶ࡿṑᏛ㒊ࡀྲྀࡾ⤌ࡴ࡭ࡁᩍ⫱◊✲ᨵ㠉ࡢᮏ୸࡜ࡶゝ࠼ࡿ㔜せ࡞ㄢ㢟ࢆᢅࡗ࡚࠾ࡾ㸪ࡑࡢᡂᯝࡣᅜẸ࠿ࡽὀどࡉࢀ࡚࠸ࡿ࡜ࡇࢁ࡛ࡍ㸬ᖾ࠸㸪ᮏ஦ᴗࡣ㸪㐃ᦠ኱Ꮫࡸ㛵㐃⤌⧊ࡢࡈ༠ຊࢆ㈷ࡾ㸪୰㛫ホ౯࡛኱ኚ㧗࠸ホ౯ࢆ㡬ࡃࡇ࡜ࡀ࡛ࡁࡲࡋࡓ㸦௨ୗࡢཧ⪃ࢆࡈཧ↷ୗࡉ࠸㸧㸬ࡇࡢໃ࠸ࢆᚓ࡚㸪௒ᖺᗘࡶᩍ⫱ᨵ㠉࡟᭱኱㝈ࡢດຊࢆ✚ࡳ㔜ࡡࡓ࠸࡜⪃࠼࡚࠾ࡾࡲࡍ㸬㐃ᦠ኱Ꮫࡢඛ⏕ࡀࡓ࡟࠾࠿ࢀࡲࡋ࡚ࡣ㸪ᩍ⫱࣒࢝ࣜ࢟ࣗࣛࡢᆒ࡚ࢇ໬ࡸ᪂ࡋ࠸࣒࢝ࣜ࢟ࣗࣛ㛤Ⓨ࡟ྥࡅ࡚࡛ࡁ࠺ࡿ㝈ࡾࡢࡈᑾຊࢆ࠾㢪࠸࠸ࡓࡋࡲࡍ㸬ࡲࡓ㸪௒ᅇ࠿ࡽࡣ㸪඲ᅜࡢṑᏛ㒊࡟ྥࡅ࡚ᮏ࢖࣋ࣥ
ࢺࡢཧຍࢆ࿧ࡧ࠿ࡅࡉࡏ࡚㡬࠸࡚࠾ࡾࡲࡍ㸬᫝㠀࡜ࡶ㸪඲ᅜࡢṑᏛ㒊ࡢ᪉ࠎ࡟ࡈཧ㞟㡬ࡁ㸪㉸㧗㱋♫఍࡟ᑐᛂࡋࡓᩍ⫱ᨵ㠉ࡢᶵ㐠ࢆඹ᭷ࡋ࡚㡬ࡅࡲࡋࡓࡽᖾ࠸࡛ࡍ㸬 ໭ᾏ㐨࡛ࡣ㸪㖟ᮥ୪ᮌࡢ⤯ᬒࡀཧຍ⪅ࢆໟࡳ㎸ࡴࡇ࡜࡜ᛮ࠸ࡲࡍ㸬ᮏࢩ࣏ࣥࢪ࣒࢘ࡢ㆟ㄽࡀ㸪ᮏᙜࡢព࿡࡛་⒪࡟㈉⊩࡛ࡁࡿṑ⛉་Ꮫᩍ⫱ᨵ㠉࡟ྥࡅࡓලయⓗ࡞๓㐍࡟⧅ࡀࡿࡼ࠺ᮇᚅࡋ㸪໭ᾏ㐨ࡢࡁࡾࡾ࡜ࡋࡓ✵Ẽࢆᴦࡋࡳ࡟ࡋ࡚࠾ࡾࡲࡍ㸬ཧ⪃㸧ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂࣉࣟࢢ࣒ࣛࡢ୰㛫ホ౯⤖ᯝhttps://mdp.dent.okayama-u.ac.jp/ocw/images/pdfs/20170411.pdf-3-࠙ࡈᣵᣜࠚ

㐃ᦠࢩ࣏ࣥࢪ࣒࢘ LQ ᮐᖠ 㛤ദ࡟ࡉ࠸ࡋ࡚
໭ᾏ㐨኱Ꮫ ṑᏛ㒊㛗ᶓᒣ ᩔ㑻 ᩍᤵࡼ࠺ࡇࡑᮐᖠ࡬㸟 −Ṛ⏕Ꮫࡸᆅᇦ㐃ᦠໟᣓࢣ࢔ࣔࢹࣝࢆᑟධࡋࡓ་⛉ṑ⛉㐃ᦠᩍ⫱యไࡢᵓ⠏−ᖹᡂ 29 ᖺᗘ㐃ᦠࢩ࣏ࣥࢪ࣒࢘ࡢ໭ᾏ㐨኱Ꮫ࡛ࡢ㛤ദ࡟㝿ࡋࠊᩥ㒊⛉Ꮫ┬ࢆࡣࡌࡵࠊ஦ᴗ㈐௵⪅ࡢᒸᒣ኱Ꮫ❑ᮌᣅ⏨ඛ⏕ࠊ㐃ᦠ 11 ኱Ꮫࡢከࡃࡢඛ⏕᪉࠿ࡽከ኱࡞ࡿࡈᨭ᥼࡞ࡽࡧ࡟ࡈ༠ຊࢆᡝࡁࡲࡋࡓࡇ࡜࡟ᑐࡋཌࡃ
ᚚ♩⏦ࡋୖࡆࡲࡍࠋ ᮏ஦ᴗࡣᖹᡂ 26 ᖺࡢ㛤ጞ௨᮶ࠊ4 ᖺ┠࡜࡞ࡾᚋ༙ࢆ㏄࠼ࡲࡋࡓࠋ᫖ᖺᗘᮎ࡟⾜ࢃࢀࡓᩥ㒊⛉Ꮫ┬ࡢࠕㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂࣉࣟࢢ࣒ࣛࠖࡢ୰㛫ホ౯࡟࠾࠸࡚ࠊᮏࣉࣟࢢ࣒ࣛࡀ A ホ౯㸦᥇ᢥ26 ௳୰ S ホ౯ 1 ௳ࠊA ホ౯ 3 ௳㸧࡜㠀ᖖ࡟㧗࠸ホ౯ࢆᡝ࠸ࡓᚋ࡟ࠊ㐃ᦠࢩ࣏ࣥࢪ࣒࢘ࢆᮏᏛ࡛㛤ദ࡛ࡁࡲࡍࡇ࡜ࢆ኱ኚගᰤ࡟Ꮡࡌࡲࡍࠋ ᮶ᖺᗘࡼࡾ᪋⾜ࡉࢀࡿṑᏛᩍ⫱ࣔࢹ࣭ࣝࢥ࢔࣭࣒࢝ࣜ࢟ࣗࣛ࡟࠾࠸࡚ࡣࠊ་Ꮫ࣭ṑᏛ࡟࠾ࡅࡿ
ࠕᇶᮏⓗ࡞㈨㉁࣭⬟ຊࡢඹ᭷ࠖࡀᅗࡽࢀࠊ࢟ࣕࢵࢳࣇ࣮ࣞࢬࡣࠊࠕከᵝ࡞ࢽ࣮ࢬ࡟ᑐᛂ࡛ࡁࡿṑ⛉་ᖌ㸦་Ꮫ࡟࠾࠸࡚ࡣ་ᖌ㸧ࡢ㣴ᡂ࡛ࠖ࠶ࡾࠊ⪃࠼᪉ࡢከࡃࡣ་⛉࡜ṑ⛉࡛㔜」ࡋ࡚࠸ࡲࡍࠋࡲ
ࡓࠊ᪂ࡓ࡞࣒࢝ࣜ࢟ࣗࣛࡢ୰࡛ࡣࠊࠕᆅᇦ᏶⤖࣭ᚠ⎔ᆺࡢ་⒪ᥦ౪యไ࡜ᆅᇦໟᣓࢣ࢔ࢩࢫࢸ࣒࡟
࠾ࡅࡿࢳ࣮࣒་⒪࣭ከ⫋✀㐃ᦠࠖࡢ㔜せᛶࡀᥦၐࡉࢀ࡚࠾ࡾࠊ29 ṑ⛉኱Ꮫ࣭ṑᏛ㒊ࡣࠊࡇࡢࣔࢹ
࣭ࣝࢥ࢔࣭࣒࢝ࣜ࢟ࣗࣛࡢᐇ᪋࡟ྥࡅ࡚᪂ࡋ࠸࣒࢝ࣜ࢟ࣗࣛࡢసᡂ࡟ྲྀࡾ⤌ࢇ࡛࠸ࡿ࡜ࡇࢁ࡛ࡍࠋ
ᮏ஦ᴗࡣࠊ᪂ࡋ࠸ࣔࢹ࣭ࣝࢥ࢔࣭࣒࢝ࣜ࢟ࣗࣛࡢ⪃࠼ࢆࡲࡉ࡟ඛྲྀࡾࡋ࡚࠸ࡿࡶࡢ࡜ᛮ࠸ࡲࡍࠋࡇ
ࡢࡼ࠺࡞≧ἣࡢ୰࡛㛤ദࡉࢀࡿ௒ᅇࡢ➨ 4 ᅇ㐃ᦠࢩ࣏ࣥࢪ࣒࢘࡟࠾࠸࡚ࡣࠊࠕࡇࢀ࠿ࡽࡢ་⛉ṑ⛉㐃ᦠᩍ⫱ࠖࠊࠕᆅᇦໟᣓࢣ࢔࡜࿘⾡ᮇཱྀ⭍⟶⌮ࠖ࡜࠸࠺ࢸ࣮࣐࡛஧ࡘࡢࢩ࣏ࣥࢪ࣒࢘ࢆ⾜࠺࡜࡜ࡶ࡟ࠊᮾி㒔೺ᗣ㛗ᑑ་⒪ࢭࣥࢱ࣮ࡢᖹ㔝ᾈᙪඛ⏕࡟≉ูㅮ₇ࢆ࠾㢪࠸ࡋࠊࠕ࣮࢜ࣛࣝࣇࣞ࢖ࣝ࡜
ࡣ㸸⪁ᖺᏛࡢどⅬ࠿ࡽࠖ࡜࠸࠺ࢱ࢖ࢺ࡛ࣝࡈㅮ₇ࢆᡝࡁࡲࡍࠋ ᮏ஦ᴗ㛤ጞ࠿ࡽ 3 ᖺ௨ୖࡀ⤒㐣ࡋࠊ೺ᗣ㛗ᑑ♫఍ࢆᢸ࠺ṑ⛉་Ꮫᩍ⫱ࡢᨵ㠉࡟ྥࡅ࡚ࠊ㐃ᦠ 11኱Ꮫ࡛ࡣ⣲ᬕࡽࡋ࠸஦ᴗࢆ⾜࠺࡜࡜ࡶ࡟ㅮ₇఍ࡸࢩ࣏ࣥࢪ࣒࢘ࢆ㛤ദࡋ࡚ࡑࡢᡂᯝࢆ඲ᅜ࡟Ⓨಙࡋ࡚࠾ࡽࢀࡲࡍࠋ ᮏᏛࡀᢸᙜ⮴ࡋࡲࡍᮏࢩ࣏ࣥࢪ࣒࢘࠿ࡽࡶࠊከࡃࡢᡂᯝࡀⓎಙࡉࢀࠊ೺ᗣ㛗ᑑ♫఍ࢆᢸ࠺ṑ⛉་ᖌࡢ㣴ᡂ࡟ᐤ୚ࡍࡿࡇ࡜ࡀ࡛ࡁࢀࡤᖾ࠸࡛ࡍࠋ

-4-࠙ㅮ₇㸯ࠚ

ṑᏛᩍ⫱ࡢ௒ᚋࡢ᪉ྥ࡟ࡘ࠸࡚
ᩥ㒊⛉Ꮫ┬ 㧗➼ᩍ⫱ᒁ་Ꮫᩍ⫱ㄢ

㯮⃝ ಟ㌟ ㄢ㛗⿵బ
࠙ㅮ₇ᢒ㘓ࠚ
⌧ᅾࠊᡃࡀᅜ࡛ࡣࠊ㧗㱋໬♫఍ࡢ㐍ᒎࡸᅜẸࡢ೺ᗣព㆑ࡢ㧗ࡲࡾ࡟ࡼࡾࠊṑ⛉་⒪࡟ᑐࡍࡿ♫఍ⓗࢽ࣮ࢬࡀ኱ࡁࡃኚ໬ࡋ࡚࠾ࡾࠊⰋ㉁࡞ಖ೺ࠊ་⒪ࢧ࣮ࣅࢫࢆᥦ౪࡛ࡁࡿேᮦࡸࠊඛ➃ⓗ࡞◊✲࡟ᐤ୚ࡍࡿேᮦࡢ㣴ᡂ࡞࡝ࠊࡑࡢゎỴ࡟ྥࡅ࡚኱Ꮫ࡟ᑐࡍࡿᅜẸ࠿ࡽࡢᮇᚅࡣ㠀ᖖ࡟኱ࡁࡃ࡞ࡗ࡚࠾
ࡾࡲࡍࠋࡇࡢࡼ࠺࡞୰ࠊᩥ㒊⛉Ꮫ┬࡛ࡣࠊᡃࡀᅜࡀᢪ࠼ࡿ་⒪⌧ሙࡢㅖㄢ㢟࡟ᑐࡋ࡚ࠊ⛉Ꮫⓗ᰿ᣐ࡟ᇶ࡙
࠸ࡓ་⒪ࡀᥦ౪࡛ࡁࠊ೺ᗣ㛗ᑑ♫఍ࡢᐇ⌧࡟ᐤ୚࡛ࡁࡿඃࢀࡓ་⒪ேᮦࢆ㣴ᡂࡍࡿࡓࡵࠊࠕㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂࣉࣟࢢ࣒ࣛࠖ஦ᴗࢆᖹᡂ 26 ᖺᗘ࠿ࡽᐇ᪋ࡋ࡚࠾ࡾࠊᮏ஦ᴗ࡟࠾࠸࡚ࡣࠊࠕ೺ᗣ
㛗ᑑ♫఍ࡢᐇ⌧࡟㈉⊩ࡍࡿṑ⛉་⒪ே㣴ᡂࠖࢆ┠ⓗ࡟ࠊ࠶ࡽࡺࡿࣛ࢖ࣇࢫࢸ࣮ࢪ࡟ᑐᛂࡋࡓ඲ேⓗṑ⛉་⒪ࢆᢸ࠺ேᮦࡸࠊཱྀ⭍࠿ࡽ඲㌟೺ᗣ࡟ᐤ୚࡛ࡁࠊᛴᛶᮇࠊᅇ᚟ᮇࠊ⥔ᣢᮇࠊᅾᏯ௓ㆤ⌧ሙ࡟ᑐᛂ࡛ࡁࡿṑ⛉་ᖌࡢ㣴ᡂ࡟ྥࡅࡓྲྀ⤌ࡀ᥎㐍ࡉࢀ࡚࠸ࡲࡍࠋ
ࡲࡓࠊṑᏛᩍ⫱࡟࠾࠸࡚ࡣࠊ
ࠕከᵝ࡞ࢽ࣮ࢬ࡟ᑐᛂ࡛ࡁࡿṑ⛉་ᖌࡢ㣴ᡂࠖࢆ┠ᣦࡋࠊᏛ⏕ࡀ༞ᴗ
᫬ࡲ࡛࡟㌟࡟ࡘࡅ࡚࠾ࡃ࡭ࡁᚲ㡲ࡢᐇ㊶ⓗデ⒪⬟ຊࢆ᫂♧ࡋࡓࠕṑᏛᩍ⫱ࣔࢹ࣭ࣝࢥ࢔࣭࢝ࣜ࢟ࣗ
࣒ࣛࠖࢆࠊ༞๓࣭༞ᚋࡢ୍㈏ࡋࡓᩍ⫱ࡸ་⒪ᥦ౪యไࡢᆅᇦໟᣓࢣ࢔ࢩࢫࢸ࣒࡟࠾ࡅࡿࢳ࣮࣒་⒪࣭ከ⫋✀ඹྠࠊ㉸㧗㱋♫఍࡬ࡢᑐᛂ➼ࡢほⅬ࠿ࡽࠊᖹᡂ 28 ᖺᗘᮎ࡟ᨵゞࡋ࡚࠸ࡿ࡯࠿ࠊṑ⛉་ᖌࡢ♫఍ⓗ㟂せࢆぢᤣ࠼ࡓඃࢀࡓධᏛ⪅ࡢ☜ಖࡸࠊඃࢀࡓṑ⛉་ᖌࢆ㣴ᡂࡍࡿయ⣔ⓗ࡞ṑᏛᩍ⫱ࡢᐇ᪋➼ࢆಁࡍࡓࡵࠊྛ኱Ꮫࡢྲྀ⤌≧ἣࡢࣇ࢛࣮ࣟ࢔ࢵࣉࢆ⾜࠸ࠊࡉࡽ࡞ࡿṑᏛᩍ⫱ࡢᨵၿ࣭඘ᐇࢆ࠾㢪࠸ࡋ࡚࠸ࡿ࡜ࡇࢁ࡛ࡍࠋ
ᩥ㒊⛉Ꮫ┬࡛ࡣࠊᘬࡁ⥆ࡁࠊṑᏛᩍ⫱ࡢⓎᒎࡢࡓࡵࠊṑᏛᩍ⫱ࢆྲྀࡾᕳࡃㅖㄢ㢟࡟ᑐࡋ࡚ࠊྛ㛵ಀᶵ㛵࡜㐃ᦠࡋ࡞ࡀࡽṑᏛᩍ⫱ࡢ඘ᐇ࡟ດࡵ࡚ࡲ࠸ࡾࡓ࠸࡜⪃࠼࡚࠾ࡾࡲࡍࠋ

-5-࠙ࡈ␎Ṕࠚ
2009 ᖺ 4 ᭶ 㔠ἑ኱Ꮫ㈈ົ௻⏬ㄢ㛗
2011 ᖺ 4 ᭶ 㸦⊂㸧᪥ᮏᏛ⾡᣺⯆఍◊✲஦ᴗ㒊ᑓ㛛ㄪᰝᙺ
2013 ᖺ 4 ᭶ 㧗➼ᩍ⫱ᒁᑓ㛛ᩍ⫱ㄢㄢ㛗⿵బ
2015 ᖺ 4 ᭶ ྠ ᅜ❧኱Ꮫἲேᨭ᥼ㄢㄢ㛗⿵బ
2017 ᖺ 4 ᭶ ྠ ་Ꮫᩍ⫱ㄢㄢ㛗⿵బ

-6-࠙ㅮ₇㸰ࠚ

་Ꮫᩍ⫱ࡢ᭱㏆ࡢືྥ࡜
་Ꮫᩍ⫱ࡢ❧ሙ࠿ࡽṑ⛉་Ꮫᩍ⫱࡟ᮃࡴࡇ࡜
໭ᾏ㐨኱Ꮫ⌮஦࣭๪Ꮫ㛗໭ᾏ㐨኱Ꮫ኱Ꮫ㝔་Ꮫ◊✲㝔➟ཎ ṇ඾ ᩍᤵ࠙ㅮ₇ᢒ㘓ࠚ
ᡃࡀᅜࡢ་Ꮫᩍ⫱࡟ࡘ࠸࡚ࡣࠊ㸯㸧▱㆑⩦ᚓࡀ㔜どࡉࢀࠊᢏ⬟ࡸ་⒪ே࡜ࡋ࡚ࡢែᗘ⩦ᚓࡀ㍍どࡉࢀ࡚࠸ࡿࠊ㸰㸧ᶆ‽໬࣭ᅜ㝿໬ࡀ㐜ࢀ࡚࠸ࡿࠊ࡞࡝ࡢၥ㢟ࡀᣦ᦬ࡉࢀ࡚ࡁࡲࡋࡓࠋࡇࢀࡽࡢၥ㢟ࡣࠊࡇࡇᩘᖺ࡟ࢃࡓࡗ࡚᥎㐍ࡉࢀ࡚ࡁࡓ་Ꮫᩍ⫱ᨵ㠉࡟ࡼࡾࠊ࠿࡞ࡾᨵၿࡉࢀ࡚ࡁ࡚࠸ࡿࡼ࠺࡟ᛮ
ࢃࢀࡲࡍࠋࡲࡎࠊ㸯㸧࡟ࡘ࠸࡚ࡣከࡃࡢ኱Ꮫ་Ꮫ㒊࣭་⛉኱Ꮫ࡟࠾࠸࡚ࠊデ⒪ཧຍᆺᐇ⩦ࡀᙉ໬ࡉࢀ
ࡓ࣒࢝ࣜ࢟ࣗࣛࡀᑟධࡉࢀࡲࡋࡓࠋ໭ᾏ㐨኱Ꮫ་Ꮫ㒊࡟࠾࠸࡚ࡶ་Ꮫᩍ⫱᥎㐍ࢭࣥࢱ࣮ࡀ୰ᚰ࡜࡞
ࡗ࡚࣒࢝ࣜ࢟ࣗࣛࡢ᳨ウࢆ⾜࠸ࠊ ᖺᗘධᏛ⪅࠿ࡽデ⒪ཧຍᆺᐇ⩦ࢆ኱ᖜ࡟ᙉ໬ࡋࡓᩍ⫱ࢆ⾜ࡗ࡚࠾ࡾࡲࡍࠋࡲࡓࠊ᫖ᖺ࡟ࡣ་⣔ከ⫋✀㐃ᦠᩍ⫱◊✲Ჷ࡟ࢡࣜࢽ࢝ࣝࢩ࣑࣮ࣗࣞࢩࣙࣥࢭࣥࢱ࣮ࡀ㛤タࡉࢀࠊデ᩿Ꮫᐇ⩦ࠊඹ⏝ヨ㦂 26&( ࡞࡝࡟౑⏝࡛ࡁࡿデ⒪◊ಟᐊࡢ࡯࠿ࠊ㧗ᗘࢩ࣑࣮ࣗࣞࢩࣙࣥ
ᐊ࡞࡝ࡀタ⨨ࡉࢀࠊᏛ⏕࣭◊ಟ་➼ࡢᢏ⬟⩦ᚓࢆᨭ᥼ࡍࡿయไࡶ඘ᐇࡋࡘࡘ࠶ࡾࡲࡍࠋ㸰㸧ࡢᶆ‽໬࣭ᅜ㝿໬࡟ࡘ࠸࡚ࡣࠊ་Ꮫᩍ⫱ࣔࢹ࣭ࣝࢥ࢔࣭࣒࢝ࣜ࢟ࣗࣛࡢไᐃࡸඹ⏝ヨ㦂 &%7ࠊ26&( ࡢᑟධ࡟ࡼࡾࠊ་Ꮫᩍ⫱ࡢᶆ‽໬ࡀ㐍ࡵࡽࢀ࡚ࡁࡲࡋࡓࠋ ᖺ࡟ࡣ⡿ᅜࡢ (&)0*㸦(GXFDWLRQDO&RPPLVVLRQIRU)RUHLJQ0HGLFDO*UDGXDWHV㸧ࡀࠕᅜ㝿ᇶ‽࡛ㄆドホ౯ࢆཷࡅ࡚࠸࡞࠸་Ꮫ㒊ࡢ༞ᴗ⏕࡟ᑐࡋ࡚ࡣࠊ ᖺ௨㝆 (&)0* ࡢ⏦ㄳ㈨᱁ࢆ୚࠼࡞࠸ࠖ࡜࠸࠺㏻࿌ࢆฟࡋࡓࡇ࡜ࢆࡁࡗ࠿ࡅ࡜ࡋ࡚ࠊᡃࡀᅜ
࡛ࡶᅜ㝿ᇶ‽࡛་Ꮫ㒊ࢆㄆドホ౯ࡍࡿࡇ࡜ࡢ㔜せᛶࡀᨵࡵ࡚ㄆ㆑ࡉࢀࠊ ᖺ࡟᪥ᮏ་Ꮫᩍ⫱ホ౯ᶵᵓ㸦-DSDQ$FFUHGLWDWLRQ&RXQFLOIRU0HGLFDO(GXFDWLRQ-$&0(㸧ࡀⓎ㊊ࡋࡲࡋࡓࠋ௒ᚋࠊᡃ
ࡀᅜࡢ་Ꮫ㒊࣭་⛉኱Ꮫࡣ㡰ḟࠊୡ⏺་Ꮫᩍ⫱㐃┕࠿ࡽホ౯࣭ㄆドᶵ㛵࡜ࡋ࡚ㄆᐃࡉࢀࡓ -$&0( ࠿ࡽㄆドホ౯ࢆཷࡅ࡚࠸ࡃࡇ࡜࡟࡞ࡾࡲࡍࠋ
 ᮏㅮ₇࡛ࡣୖ࡟㏙࡭ࡓࡼ࠺࡞஦᯶ࢆ୰ᚰ࡟ࠊ་Ꮫᩍ⫱ࡢ᭱㏆ࡢືྥࢆࡈ⤂௓ࡋࡲࡍࠋࡲࡓࠊ་Ꮫ
ᩍ⫱ࡢ❧ሙ࠿ࡽṑ⛉་Ꮫᩍ⫱࡟ᮃࡴࡇ࡜࡟ࡘ࠸࡚ࡶゐࢀࡲࡍࠋṑ⛉་Ꮫᩍ⫱࡟ᦠࢃࡗ࡚࠾ࡽࢀࡿⓙᵝ᪉ࡢࡈཧ⪃࡟࡞ࢀࡤᖾ࠸࡛ࡍࠋ

-7-࠙ࡈ␎Ṕࠚ
᫛࿴㸳㸳ᖺ  ᭶  ໭ᾏ㐨኱Ꮫ་Ꮫ㒊་Ꮫ⛉༞ᴗ᫛࿴㸳㸷ᖺ  ᭶  ໭ᾏ㐨኱Ꮫ኱Ꮫ㝔་Ꮫ◊✲⛉⑓⌮⣔ಟ஢ᖹᡂ 㸲ᖺ 㸴᭶ ໭ᾏ㐨኱Ꮫ་Ꮫ㒊ຓᩍᤵ ᖹᡂ㸯㸮ᖺ 㸲᭶ ⥲ྜ◊✲኱Ꮫ㝔኱Ꮫඛᑟ⛉Ꮫ◊✲⛉ᩍᤵᖹᡂ㸯㸴ᖺ㸯㸮᭶ ໭ᾏ㐨኱Ꮫ኱Ꮫ㝔་Ꮫ◊✲⛉ᩍᤵᖹᡂ㸰㸱ᖺ 㸲᭶ ໭ᾏ㐨኱Ꮫᩍ⫱◊✲ホ㆟఍ホ㆟ဨ኱Ꮫ㝔་Ꮫ◊✲⛉๪◊✲⛉㛗ᖹᡂ㸰㸳ᖺ 㸲᭶ ໭ᾏ㐨኱Ꮫ኱Ꮫ㝔་Ꮫ◊✲⛉㛗࣭་Ꮫ㒊㛗ᖹᡂ㸰㸷ᖺ 㸲᭶ ໭ᾏ㐨኱Ꮫ⌮஦࣭๪Ꮫ㛗ᑓ㛛㡿ᇦ㸸⑓⌮Ꮫ

-8-࠙ㅮ₇㸱ࠚ

໭኱◊ಟࣉࣟࢢ࣒ࣛ⤂௓㸫ࡀࢇ἞⒪ࡢ࿘⾡ᮇ࡟࠾ࡅࡿཱྀ⭍⟶⌮◊ಟ໭ᾏ㐨኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲㝔 ཱྀ⭍೺ᗣ⛉Ꮫศ㔝㧗㱋⪅ṑ⛉Ꮫᩍᐊᒣᓮ ⿱ ᩍᤵ࠙ㅮ₇ᢒ㘓ࠚ ᫛࿴ 56 ᖺ࠿ࡽ᪥ᮏேࡢṚஸཎᅉࡢ➨ 1 ఩ࡣࡀࢇ࡛ࠊ௒ࡸ᪥ᮏேࡢ㸰ே࡟ 1 ேࡣࡀࢇࢆᝈ࠸ࠊ3 ே
࡟ 1 ேࡣࡀࢇ࡛ஸࡃ࡞ࡗ࡚࠸ࡿࠋࡀࢇࡢ⨯ᝈ⋡ࡣ㧗㱋࡟࡞ࡿ࡯࡝㧗ࡃ࡞ࡿࡓࡵࠊ㉸㧗㱋♫఍ࡢ㐍ᒎ࡟ࡼࡾࠊ௒ᚋࡶቑຍࡀぢ㎸ࡲࢀ࡚࠸ࡿࠋࡲࡉ࡟ࡀࢇࡣ common disease ࡜࡞ࡗ࡚࠸ࡿࠋ
ࡀࢇ἞⒪࡟ࡼࡾཱྀ⭍ෆ࡟᭷ᐖ஦㇟ࡀⓎ⏕ࡍࡿࡇ࡜ࡀᗈࡃ▱ࡽࢀࠊ≉࡟໬Ꮫ⒪ἲࡸ㢌㢕㒊ࡢᨺᑕ⥺⒪ἲࡢሙྜࡣཱྀ⭍⢓⭷⅖ࡢⓎ⏕ࡀၥ㢟࡟࡞ࡿࠋࡇࡢࡼ࠺࡞᭷ᐖ஦㇟ࡣࠊᝈ⪅ࡢ QOL ࡢపୗࡢࡳ࡞ࡽ
ࡎࠊࡀࢇ἞⒪ࡢィ⏬ࢆ㜼ࡴࡇ࡜࡛⏕Ꮡ⋡ࢆపୗࡉࡏࡿࠋḢ⡿࡛ࡣࠊ௨๓࠿ࡽࡇࢀࡽࡢண㜵ࡢࡓࡵ࡟ࠊ
ࡀࢇ἞⒪ࡢ๓࠿ࡽཱྀ⭍ෆࡢ⾨⏕⟶⌮ࢆ⾜࠺ࡇ࡜ࡀ᥎ዡࡉࢀ࡚ࡁࡓࠋ᪥ᮏ࡛ࡶ࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ᩱ
ࡀᖹᡂ 24 ᖺᗘ࠿ࡽṑ⛉デ⒪ሗ㓘࡟ᑟධࡉࢀࠊࡀࢇ࿘⾡ᮇ࡟࠾ࡅࡿཱྀ⭍ᶵ⬟⟶⌮ࡢ㔜せᛶࡀㄆ㆑ࡉࢀ
࡚ࡁࡓࠋࡀࢇ἞⒪ࡣࠊᇶᖿ⑓㝔࡛᪋⾜ࡋ࡚ࡶࠊධ㝔๓ࡸ㏥㝔ᚋ࡟ࡣࠊᆅඖࡢ࠿࠿ࡾࡘࡅṑ⛉ཱྀ࡛⭍⾨⏕⟶⌮ࢆ⾜࠺ࡢࡀ⌮᝿࡛࠶ࡿࠋࡋ࠿ࡋࠊ◊ಟ఍➼࡛ࡀࢇ἞⒪ࡢཱྀ⭍⟶⌮ࢆ࠸ࡃࡽㅮ⩏࡛Ꮫࢇ࡛ࡶࠊ
ᐇ㝿࡟ࡀࢇᝈ⪅ࡢデ⒪࡟ᦠࢃࡗࡓ⤒㦂ࡀ࡞࠸࡜ࡇࢀࡽࢆᐇ㊶࡛ࡁࡎࠊᚑ᮶࠿ࡽࡇࡢࡼ࠺࡞ேᮦࡣ⫱ᡂࡉࢀ࡚ࡇ࡞࠿ࡗࡓࡢࡀ⌧≧࡛࠶ࡿࠋࡑࡇ࡛௒ᅇࠊ◊ಟṑ⛉་࡟ᑐࡋࠊࡉࡲࡊࡲ࡞ࡀࢇᝈ⪅࡟࠾ࡅࡿ࿘⾡ᮇࡢṑ⛉ⓗ⟶⌮࡟⩦⇍ࡋࠊṑ⛉デ⒪ᡤ࡟࠾࠸࡚ᆅᇦ⑓㝔࡜ࡢ෇⁥࡞㐃ᦠࢆࠊ◊ಟ་ಟ஢┤ᚋ࠿ࡽᐇ㊶࡛ࡁࡿ◊ಟṑ⛉་ᖌࡢ㣴ᡂࢆ┠ⓗ࡜ࡋ࡚ࠊࡀࢇ἞⒪ࡢ࿘⾡ᮇ࡟࠾ࡅࡿཱྀ⭍⟶⌮◊ಟࢥ࣮ࢫࢆタᐃࡋࡓࠋᒚಟ⛉┠ࡣࠊㅮ⩏࡜ᐇ⩦ࡢ 2 ࡘ࠿ࡽ࡞ࡾࠊㅮ⩏ࡣࡀࢇ἞⒪ࡢ࿘⾡ᮇ⟶⌮ࢭ࣑ࢼ࣮ࢆ 7 ᅇ᪋⾜ࡋᐇ⩦ࡣࠊձࡀࢇ໬Ꮫ⒪ἲ๓ࡢཱྀ⭍⟶⌮ࢆ┠ⓗ࡟ࡋࡓ᪂ᝈᝈ⪅ࡢデᐹࠊ᳨ᰝࠊデ᩿࡜἞⒪ࠊղ⾑ᾮෆ⛉ࠊ⪥㰯ဗႃ⛉ࠊᑠඣ⛉⑓Ჷ࡬ࡢ࿘⾡ᮇཱྀ⭍⟶⌮ࡢ デ࠿ࡽ࡞ࡗ࡚࠸ࡿࠋձ࡛య㦂ࡋࡓ᪂ᝈ⑕౛ࢆ⑕౛
ሗ࿌఍࡛ࣉࣞࢮࣥࢸ࣮ࢩࣙࣥࡋࠊࡍ࡭࡚ࡢ◊ಟࡢ⤊஢ᚋࠊᐇ⩦ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮ࡀཱྀ㢌ヨၥࢆ⾜ࡗ࡚࠸ࡿࠋ୍᪉ࠊ໭ᾏ㐨኱Ꮫ⑓㝔࡛ࡣ᪤࡟ 10 ᖺ๓࠿ࡽཱྀ⭍ࢣ࢔ࢳ࣮࣒ࢆⓎ㊊ࡉࡏࠊࡀࢇࡸ⮚ჾ⛣᳜ᝈ⪅ࡢ࿘⾡ᮇࡢཱྀ⭍ᶵ⬟⟶⌮ࢆ✚ᴟⓗ࡟⾜ࡗ࡚ࡁࡓࠋᖹᡂ 26 ᖺᗘ࠿ࡽࡣࠊṑ⛉デ⒪ࢭࣥࢱ࣮࡜⭘⒆ࢭࣥࢱ࣮
࡜ࡢ་⒪㐃ᦠࡀᙉ໬ࡉࢀࠊࣅࢫ࣍ࢫ࣍ࢿ࣮ࢺ〇๣ࡸᢠ RANKL ᢠయ〇๣౑⏝࡟㝿ࡋ࡚ࡣࠊ౑⏝๓ࡢṑ⛉ཷデ࡟ࡼࡿཱྀ⭍ෆࡢ⢭ᰝ࡞ࡽࡧ࡟἞⒪ࡀᚲ㡲໬ࡉࢀࡓࠋᖹᡂ 28 ᖺᗘ࡟ࡣཱྀ⭍ࢣ࢔ࢳ࣮࣒ࡀཱྀ⭍-9-ࢣ࢔㐃ᦠࢭࣥࢱ࣮࡟᪼᱁ࡋࠊࡀࢇᝈ⪅ࡢཷࡅධࢀࡢᣑ኱ࡀ⾜ࢃࢀ࡚ࡁࡓࠋ
ᮏㅮ₇࡛ࡣࠊࡀࢇ἞⒪࿘⾡ᮇࡢཱྀ⭍⟶⌮◊ಟࣉࣟࢢ࣒ࣛࡢᴫせ࡜ࠊ໭኱⑓㝔ṑ⛉デ⒪ࢭࣥࢱ࣮ࡢ
ࡀࢇ἞⒪࿘⾡ᮇ࡟㛵ࡍࡿ་⛉ṑ⛉㐃ᦠ࡟㛵ࡋ࡚⤂௓ࡍࡿணᐃ࡛࠶ࡿࠋ

࠙ࡈ␎Ṕࠚ
1985 ᖺ 3 ᭶ ໭ᾏ㐨኱ᏛṑᏛ㒊༞ᴗ
1985 ᖺ 4 ᭶ ໭ᾏ㐨኱ᏛṑᏛ㒊➨୍ཱྀ⭍እ⛉ධᒁ㸦⌧㸸ཱྀ⭍デ᩿ෆ⛉㸧
1993 ᖺ 8 ᭶ ໭ᾏ㐨኱ᏛṑᏛ㒊ຓᡭ
2006 ᖺ 6 ᭶ ໭ᾏ㐨኱Ꮫ⑓㝔ㅮᖌ
2013 ᖺ 8 ᭶ ໭ᾏ㐨኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉ཱྀ⭍೺ᗣ⛉Ꮫㅮᗙ㧗㱋⪅ṑ⛉Ꮫᩍᐊᩍᤵ

- 10 -

࠙ㅮ₇㸲ࠚ

ࡀࢇ἞⒪ࡢ࿘⾡ᮇཱྀ⭍⟶⌮ࡢᐇ㝿⊂❧⾜ᨻἲேᅜ❧⑓㝔ᶵᵓ໭ᾏ㐨ࡀࢇࢭࣥࢱ࣮
ṑ⛉ཱྀ⭍እ⛉་㛗⛙ ᾈಙ ඛ⏕࠙ㅮ₇ᢒ㘓ࠚ ࡀࢇ࿘⾡ᮇࡢཱྀ⭍⟶⌮࡜࠸࠼ࡤཱྀ⭍Ύᤲ⟶⌮ࡢࡳࢆ࢖࣓࣮ࢪࡋࡀࡕࡔࡀࠊᐇ㝿ࡢෆᐜࡣከᒱ࡟ࢃ
ࡓࡾࠊࡀࢇ἞⒪࡟ᑐࡍࡿᖜᗈ࠸▱㆑࡜௚⫋✀࡜༠ാࡋ࡞ࡀࡽṑ⛉ࡢᑓ㛛ᛶࢆⓎ᥹࡛ࡁࡿ⬟ຊࡀồࡵࡽࢀࠊ኱ኚࡸࡾࡀ࠸ࡢ࠶ࡿ௙஦࡛࠶ࡿࠋ ཱྀ⭍ࢣ࢔࡜୍ゝ࡛࠸ࡗ࡚ࡶᡭ⾡๓ᚋࡢࢣ࢔ࢆࡣࡌࡵ࡜ࡋࠊ໬Ꮫ⒪ἲࡸ㢌㢕㒊ࡢᨺᑕ⥺἞⒪ࠊ
BMA ᢞ୚ᝈ⪅ࡢ⟶⌮ࠊ⦆࿴ࢣ࢔࡟࠾ࡅࡿࢣ࢔࡞࡝ồࡵࡽࢀෆᐜࡣ␗࡞ࡗ࡚ࡃࡿࠋࡉࡽ࡟⾡ᚋࡢཱྀ⭍⟶⌮ࡶ㢌㢕㒊㡿ᇦࡢࡀࢇ࡜ࡑࡢ௚ࡢ㡿ᇦࡢࡀࢇ࡛ࡣ␗࡞ࡿࠋ㢌㢕㒊㡿ᇦࡀࢇ࡛ࡣ⾡ᚋࡢ㛤ཱྀカ⦎ࡸࠊ⯉ᅽカ⦎࡜࠸ࡗࡓ➽ᶵ⬟ࣜࣁࣅࣜࡶ㔜せ࡛࠶ࡿࡋࠊ㢡⩏ṑࡸ࢖ࣥࣉࣛࣥࢺ⩏ṑ࡜࠸ࡗࡓ㧗ᗘ࡞⿵⥛ࠊཱྀ⭍እ⛉ᢏ⾡ࡶᚲせ࡜࡞ࡿࠋᄟୗ㐀ᙳ᳨ᰝ࡞࡝࡟ࡼࡿ⾡ᚋࡢᄟୗᶵ⬟ホ౯࡞࡝ࡶཱྀ⭍⟶⌮ࡢ
୍㈏࡛࠶ࡿࠋᑓ㛛ᛶࡢ஦࡞ࡿṑ⛉་ᖌ㛫࡜ࡢ༠ຊࡣᙜ↛ࡔࡀࠊ་ᖌࠊ┳ㆤᖌࠊ⸆๣ᖌࠊゝㄒ⫈ぬኈࠊᰤ㣴ኈ࡞࡝௚⫋✀࡜ࡢ㐃ᦠࡶᖖ࡟ồࡵࡽࢀ࡚࠸ࡿࠋࡼࡾࡼ࠸ཱྀ⭍⟶⌮᪉ἲࢆ⊂ࡾࡼࡀࡾ࡟࡞ࡿ
ࡇ࡜࡞ࡃ௚⫋✀࡜㐃ᦠࡋ࡞ࡀࡽ᥈ࡗ࡚࠸ࡃጼໃࡀồࡵࡽࢀࡿࠋ ࡀࢇ࿘⾡ᮇཱྀ⭍⟶⌮࡟࠾࠸࡚ࡣࡇࡢࡼ࠺࡞⑓㝔ෆࡢ㐃ᦠ࡟␃ࡲࡽࡎࠊ㝔እࡢᆅᇦṑ⛉་㝔࡜ࡢ⑓デ㐃ᦠࡶ㔜せ࡟࡞ࡗ࡚ࡃࡿࠋᙜ㝔ࡣ㒔㐨ᗓ┴ࡀࢇᣐⅬ⑓㝔࡟ᣦᐃࡉࢀ࡚࠾ࡾ඲㐨ྛᆅࡼࡾࡀࢇᝈ⪅ࡀ἞⒪࡟ゼࢀࡿࠋධ㝔୰࡟ᙜ⛉ࢆཷデࡋ࿘⾡ᮇཱྀ⭍⟶⌮ࢆ⾜ࡗࡓᝈ⪅ࡢ࠺ࡕࠊ㏥㝔ᚋࡶཱྀ⭍⟶⌮ࡸṑ⛉἞⒪ࢆ⥅⥆ࡍ࡭ࡁᝈ⪅ࢆᆅඖࡢṑ⛉་㝔࡟ᘬࡁ⥅ࡄᚋ᪉㐃ᦠࡣ㛤タᙜึࡼࡾ⾜ࡗ࡚ࡁࡓࠋࡲ
ࡓࠊ࿘⾡ᮇࡢཱྀ⭍⟶⌮ࡢ┠ⓗࡢ୍ࡘࡣࡣࡀࢇ἞⒪୰ࡢཱྀ⭍ࡢࢺࣛࣈࣝࢆῶࡽࡍ஦ࡀ┠ⓗࡔࡀࠊᐇ㝿ࡣࡀࢇ἞⒪୰࡟ṑᛶឤᰁ⑕ࡢᝏ໬ࡸ࠺ṑࡢᛴᛶ⑊③࡞࡝࡛ᙜ⛉ࢆཷデࡉࢀࡿᝈ⪅ࡣᑡ࡞ࡃࡣ࡞࠿ࡗ
ࡓࠋࡋ࠿ࡋᙜ⛉࡛ࡀࢇ἞⒪๓ࡢࡍ࡭࡚ࡢᝈ⪅ࡢཱྀ⭍ࢫࢡ࣮ࣜࢽࣥࢢࢆ⾜࠺ࡇ࡜ࡣ࣐ࣥࣃ࣮࣡ⓗ࡟୙ྍ⬟࡛࠶ࡿࠋࡑࡇ࡛ࠊࡀࢇ἞⒪་㸦୺἞་㸧ࡢ౫㢗ࡢඖࠊࡀࢇ἞⒪㛤ጞ๓࡟ᆅඖṑ⛉ཱྀ࡛⭍ෆࢫࢡ࣮ࣜࢽࣥࢢࢆ⾜࠺ࠊࡀࢇ἞⒪๓ࡢṑ⛉㐃ᦠࠊ௨ୗࠕ๓㐃ᦠࠖࡢࢩࢫࢸ࣒ᵓ⠏ࡀᚲせ࡜࠸࠺⪃࠼࡟⮳ࡗࡓࠋᙜ㝔࡛ࡣ 2013 ᖺ 10 ᭶࠿ࡽ 2016 ᖺ 10 ᭶ࡲ࡛࡟஧ᮇ࡟ࢃࡓࡿࢩࢫࢸ࣒ࡢヨ㦂㐠⏝ࢆᐇ᪋ᚋࠊᝈ
⪅ࠊཷࡅᐜࢀඛṑ⛉་㝔ࠊ་ᖌ࡟࢔ࣥࢣ࣮ࢺㄪᰝࢆᐇ᪋ࡋࢩࢫࢸ࣒ᵓ⠏ࢆ⾜ࡗࡓࠋᮏᖺࡢ 4 ᭶࠿ࡽࢩࢫࢸ࣒࡜ࡋ࡚ᮏ㐠⏝ࢆ㛤ጞࡋࠊ㡰ㄪ࡟๓㐃ᦠࡀࢫࢱ࣮ࢺࡋࡓࠋ

- 11 -

ᮏࢭ࣑ࢼ࣮࡛ࡣᙜ㝔࡛ྲྀࡾ⤌ࢇ࡛࠸ࡿ㝔ෆࡢཱྀ⭍ᶵ⬟⟶⌮ࡢᐇ㝿࡜࡜ࡶ࡟ࠕ๓㐃ᦠࠖࢩࢫࢸ࣒ࡢ
ᴫ␎࡟ࡘ࠸࡚ࡈ⤂௓ࡍࡿࠋ࠙ࡈ␎Ṕࠚ
1999 ᖺ ໭ᾏ㐨኱ᏛṑᏛ◊✲⛉༞ᴗ
1999 ᖺ ໭ᾏ㐨኱Ꮫཱྀ⭍እ⛉➨୍ㅮᗙ㸦⌧ཱྀ⭍デ᩿ෆ⛉㸧 ධᒁ
2003 ᖺ ໭ᾏ㐨኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉ ༤ኈㄢ⛬ ಟ஢
2003 ᖺ 㟼ᒸ┴❧㟼ᒸࡀࢇࢭࣥࢱ࣮  ࢪࣗࢽ࢔ࣞࢪࢹࣥࢺ
2007 ᖺ ໭ᾏ㐨኱኱Ꮫ㝔ṑᏛ◊✲⛉ཱྀ⭍デ᩿ෆ⛉ ຓᩍ
2016 ᖺ ᅜ❧⑓㝔ᶵᵓ ໭ᾏ㐨ࡀࢇࢭࣥࢱ࣮ ṑ⛉ཱྀ⭍እ⛉  ໅ົ2017 ᖺ ໭ᾏ㐨኱Ꮫ⮫ᗋㅮᖌ

࠙㈨ ᱁ࠚ
༤ኈ㸦ṑᏛ㸧
᪥ᮏཱྀ⭍እ⛉Ꮫ఍ᑓ㛛་/ᣦᑟ་᪥ᮏࡀࢇ἞⒪ㄆᐃ་ᶵᵓࡀࢇ἞⒪ㄆᐃ་

- 12 -

࠙ㅮ₇㸳ࠚ

໭ᾏ㐨ṑ⛉་ᖌ఍ࡀᐇ᪋ࡋ࡚࠸ࡿ
඲ᅜࡀࢇデ⒪་⛉ṑ⛉㐃ᦠ᥎㐍஦ᴗࡢ⌧ἣ࡜ㄢ㢟࡟ࡘ࠸࡚໭ᾏ㐨ṑ⛉་ᖌ఍ᖖົ⌮஦ᮐᖠᕷ㛤ᴗᑠ㇂ ຾ ඛ⏕࠙ㅮ₇ᢒ㘓ࠚ ໭ᾏ㐨࡛ࡣࠊᖹᡂ 24 ᖺ 4 ᭶ࡼࡾ㒔㐨ᗓ┴ࡀࢇデ⒪㐃ᦠᣐⅬ⑓㝔࡛࠶ࡾࠊ໭ᾏ㐨ࡀࢇデ⒪㐃ᦠ༠㆟఍஦ົᒁタ⨨⑓㝔࡛࠶ࡿ⊂❧⾜ᨻἲேᅜ❧⑓㝔ᶵᵓ໭ᾏ㐨ࡀࢇࢭࣥࢱ࣮࡟ṑ⛉ཱྀ⭍እ⛉ࡀ㛤タࡉࢀࠊࡀࢇᝈ⪅ࡢཱྀ⭍⟶⌮ࡀ㛤ጞࡉࢀࡓࡀࠊࡍ࡭࡚ࡢᝈ⪅࡟༑ศ࡞ཱྀ⭍⟶⌮ࢆ⾜࠺ࡇ࡜ࡣࠊேⓗ㈨※ಖ➼ࡢ⌮⏤࡟ࡼࡾᅔ㞴࡞≧ἣ࡟࠶ࡗࡓࠋ໭ᾏ㐨ࡀࢇࢭࣥࢱ࣮࡛ࡣࠊࡀࢇ἞⒪࡟࠾ࡅࡿཱྀ⭍⟶⌮ࡀࠊࡼࡾ㉁ࡢ㧗࠸ࡀࢇ἞⒪ࢆᥦ౪ࡍࡿࡓࡵ࡟㔜せ࡞ᨭᣢ⒪ἲ࡛࠶ࡿ࡜⪃࠼ࡢᇶ࡟ࠕཱྀ⭍ࢣ࢔ࡸṑ⛉἞⒪ࢆࡀ
ࢇ἞⒪ࡢ୍⎔࡜ࡋ࡚ྲྀࡾධࢀࡿࠖ᪉㔪࡟㐩ࡋࠊ໭ᾏ㐨ṑ⛉་ᖌ఍࡜༠ാࡋ࡚ࠊ඲㐨㸰㸯᪋タ࠶ࡿࠕࡀࢇデ⒪㐃ᦠᣐⅬ⑓㝔ࠖ࡜ᆅᇦࡢṑ⛉་⒪ᶵ㛵࡜ࡢ་⛉ṑ⛉㐃ᦠࡢ᥎㐍ࢆ┠ⓗ࡟㐃ᦠࢿࢵࢺ࣮࣡ࢡᵓ
⠏ࢆ஦ᴗ໬ࡍࡿ࡟⮳ࡗࡓࠋᮏ஦ᴗࡣᖹᡂ 24 ᖺ 9 ᭶ 24 ᪥ࠊ໭ᾏ㐨ࡀࢇデ⒪㐃ᦠ༠㆟఍࠾ࡼࡧ໭ᾏ㐨ṑ⛉་ᖌ఍࡟ࡼࡾࠕࡀࢇᝈ⪅ࡢཱྀ⭍⟶⌮࡟㛵ࡍࡿ་⛉ṑ⛉་⒪㐃ᦠ஦ᴗࠖࡀㄪ༳ࡉࢀᐇ㉁ⓗ࡟ࢫࢱ࣮ࢺࡋࡓࠋࡇࡢ஦ᴗࡢ㛤ጞ࡟ࡼࡾ໭ᾏ㐨࡟࠾࠸࡚ࡶࠊ
ࡀࢇᝈ⪅ࡢཱྀ⭍⾨⏕≧ែࡢྥୖࢆ㏻ࡌ࡚ࠊ࿘⾡ᮇࡢ⫵⅖ண㜵ࡸࡀࢇ἞⒪ཱྀ⭍ྜే⑕ࡢண㜵࣭㍍ῶࡀ
ᅗࡽࢀࠊࡀࢇᝈ⪅ࡀᏳᚰࡋ࡚ṑ⛉་⒪ࢆཷࡅࡿࡇ࡜ࡀ࡛ࡁࡿ♫఍ᇶ┙㸦ᆅᇦ་⒪ࢿࢵࢺ࣮࣡ࢡ㸧ࡀᵓ⠏ࡉࢀࡿࡇ࡜ࡀᮇᚅࡉࢀ࡚࠸ࡿࠋ
⌧ᅾࠊཌ⏕ປാ┬࡜᪥ᮏṑ⛉་ᖌ఍࡛㐍ࡵࡽࢀࡓࠕ඲ᅜࡀࢇデ⒪་⛉ṑ⛉㐃ᦠ᥎㐍஦ᴗࠖ࡟๎ࡾࠊ
ࠕ඲ᅜඹ㏻ࡀࢇ་⛉ṑ⛉㐃ᦠㅮ⩦఍ࢸ࢟ࢫࢺࠖࢆ౑⏝ࡋࡓ◊ಟ఍ࢆ㐨ෆྛ་⒪ᅪ࡛ᐇ᪋ࡋࠊ㐃ᦠⓏ
㘓ṑ⛉་ᖌࡢቑຍ࠾ࡼࡧ㐃ᦠయไࡢ඘ᐇࢆᅗࡗ࡚ࡁࡓࠋ᪤࡟ࡇࡢ஦ᴗࡣᖹᡂ 29 ᖺ 3 ᭶ᮎ࡛୸ 4 ᖺࢆ⤒࡚ࠊ㐃ᦠⓏ㘓་ࡶ 550 ྡ⛬࡜࡞ࡗࡓࡀࠊᗈ኱࡞໭ᾏ㐨࡟࠾ࡅࡿⓏ㘓ṑ⛉་ᖌࡢᆅᇦ೫ᅾࡸࠕ࿘⾡ᮇ་⛉ṑ⛉㐃ᦠࠖࡢ㐃ᦠ≧ἣ➼ࡀࢫ࣒࣮ࢬ࡟⾜ࢃࢀ࡚࠸ࡿ࡜ࡣゝ࠸㞴࠸ࡓࡵࠊ௒ᚋࡢㄢ㢟ࢆྵࡵࡓࡇࡢ஦ᴗࡢ⌧ἣ࡟ࡘ࠸࡚㏙࡭࡚ࡳࡓ࠸ࠋ

- 13 -

࠙ࡈ␎Ṕࠚ
1981 ᖺ 3 ᭶ ᪥ᮏṑ⛉኱Ꮫ᪂₲ṑᏛ㒊㸦⌧᪂₲⏕࿨ṑᏛ㒊㸧༞ᴗ
1981 ᖺ 4 ᭶ ᮐᖠ་⛉኱Ꮫཱྀ⭍እ⛉Ꮫㅮᗙ◊✲⏕1985 ᖺ 4 ᭶ ὠู⑓㝔ṑ⛉་㛗
1986 ᖺ 4 ᭶ ᮐᖠ་⛉኱Ꮫཱྀ⭍እ⛉Ꮫㅮᗙຓᡭ
1990 ᖺ 1 ᭶ ᮐᖠᕷⓑ▼༊࡟࡚㛤ᴗ
2013 ᖺ 7 ᭶ ໭ᾏ㐨ṑ⛉་ᖌ఍⌮஦㸦ṑ⛉་⒪⥲ྜᑐ⟇ᢸᙜ㸧
2015 ᖺ 7 ᭶ ໭ᾏ㐨ṑ⛉་ᖌ఍ᖖົ⌮஦㸦ᆅᇦ་⒪࣭ᩆᛴ་⒪ᢸᙜ㸧- 14 -

࠙ㅮ₇㸴ࠚ

ᆅᇦ་⒪࡜ከ⫋✀㐃ᦠᩍ⫱㹼ṑ⛉་⛉㐃ᦠࢆ⪃࠼ࡿ㹼ឡ▱་⛉኱Ꮫᆅᇦ་⒪ᩍ⫱Ꮫᐤ㝃ㅮᗙ་Ꮫᩍ⫱ࢭࣥࢱ࣮

ᐑ⏣㟹ᚿ ᩍᤵ࠙ㅮ₇ᢒ㘓ࠚ
➨୍ḟ࣋ࣅ࣮ࣈ࣮࣒ࡀ㉳ࡁࡓ᫬ᮇ࡟⏕ࡲࢀࡓᅋሢࡢୡ௦ࡣࠊ2025 ᖺ㡭ࡲ࡛࡟ 75 ṓ௨ୖࡢᚋᮇ㧗㱋⪅࡟㐩ࡍࡿࠋ௒ᚋࡉࡽ࡟㐍ࢇ࡛࠸ࡃ㉸㉸㧗㱋♫఍࡟࠾ࡅࡿ་⒪࣭௓ㆤ࡟࡝࠺ᑐฎࡋ࡚࠸ࡃࡢ࠿ࡣႚ
⥭ࡢㄢ㢟࡛࠶ࡿࠋ࠸ࢃࡺࡿ 2025 ᖺၥ㢟ࡀࡑࢀ࡛࠶ࡾࠊࡑࡢᑐᛂࡣࠊ་⒪⌧ሙࡣࡶࡕࢁࢇࡢࡇ࡜ࠊ་
Ꮫᩍ⫱࡟࠾࠸࡚ࡶồࡵࡽࢀ࡚࠸ࡿࠋ
H29 ᖺ 3 ᭶࡟ฟࡉࢀࡓ“་Ꮫᩍ⫱ࣔࢹ࣭ࣝࢥ࢔࣭࣒࢝ࣜ࢟ࣗࣛ H28 ᖺᗘᨵゞ∧”࡟࠾࠸࡚ࡣࠊᇶᮏ
ⓗ⌮ᛕ࡜⫼ᬒࡢ୰࡟“♫఍ࡢኚ໬࡬ࡢᑐᛂ”࡜ࡋ࡚“♫఍ࡢ୰࡛ࡢ་⒪ࡢ఩⨨௜ࡅࡸᝈ⪅ࡢືࡁ࡟క
࠺་⒪㈝࡜㈈※࡜ࡢ㛵ಀࠊ㝈ࡽࢀࡓ་⒪㈨※ࡢ᭷ຠά⏝࡟ࡘ࠸࡚⌮ゎࡍࡿᚲせࡀ࠶ࡿ”ࠊ“་Ꮫᩍ⫱࡟㛵ࢃࡿྛ㛵ಀ⪅࡟࠾㢪࠸ࡋࡓ࠸ࡇ࡜”࡜ࡋ࡚“⮫ᗋᐇ⩦ࡣ௒ᚋࠊ௒ࡲ࡛௨ୖ࡟ᆅᇦ་⒪㸦ᆅᇦ᏶⤖࣭ᚠ⎔ᆺ་⒪㸧ࡸᆅᇦໟᣓࢣ࢔ࢩࢫࢸ࣒ࢆព㆑ࡋࡓෆᐜ࡟࡞ࡿࡓࡵࠊᆅᇦࡢ་⒪ᶵ㛵ᙜ࡟ࡣᅾᏯ་⒪ࡸྛ✀ಖ೺ࡶྵࡵྛ኱Ꮫࡢᐇ⩦࡟༠ຊ”ࡋ࡚ࡶࡽ࠺ࡇ࡜ࠊ“ࢳ࣮࣒་⒪ࡸከ⫋✀㐃ᦠࡢほⅬ࠿ࡽࠊ་⒪⣔࡟㝈ࡽࡎࠊࡲࡓ㈨᱁⣔⫋✀࡟㝈ࡽࡎࠊከࡃࡢ⫋✀࡜ࡢ༠ാࡀồࡵࡽࢀࡿ”ࡇ࡜ࡀグ㍕ࡉࢀ࡚࠸ࡿࠋ
“ṑᏛᩍ⫱ࣔࢹ࣭ࣝࢥ࢔࣭࣒࢝ࣜ࢟ࣗࣛ H28 ᖺᗘᨵゞ∧”࡟࠾࠸࡚ࡶྠᵝࡢグ㍕ࡀ࠶ࡾࠊࡇࡢࡇ࡜
ࡣ௒ᅇࡢࣔࢹ࣭ࣝࢥ࢔࣭࣒࢝ࣜ࢟ࣗࣛᨵゞࡀ“ᶓࡢࡘ࡞ࡀࡾ㸸་Ꮫ࡜ṑᏛࡢࣔࢹ࣭ࣝࢥ࢔࣭࢝ࣜ࢟ࣗ
࣒ࣛࡢᩚྜᛶ”࡜࠸࠺ᴫᛕ࡟ᇶ࡙ࡃ࡜࠸࠺⪃࠼ࡀ᫂☜࡟ࡉࢀ࡚࠸ࡿࡇ࡜ࡢドࡋ࡛ࡶ࠶ࡿࠋ
ࡉ࡚ࠊࡇࡢࡼ࠺࡟ṑᏛ࣭་Ꮫᩍ⫱ࡣ♫఍ࡢ“ከᵝ࡞ࢽ࣮ࢬ࡟ᑐᛂࡍࡿࡇ࡜ࡢ࡛ࡁࡿṑ⛉་ᖌࠊ་ᖌࡢ
㣴ᡂ”ࢆ࢟ࣕࢵࢳࣇ࣮ࣞࢬ࡟ࡋ࡚ࠊ㔜せ࡞⬟ຊࡢ୍㒊࡟ࡘ࠸࡚ࡣඹ㏻ࡢ┠ᶆタᐃࡀࡉࢀ࡚࠾ࡾࠊࡇࡢ
ࡇ࡜ࡣ୧⪅ࡢ㐃ᦠࡢྍ⬟ᛶࠊ㔜せᛶࢆ♧၀ࡍࡿࠋࡋ࠿ࡋࠊᐇ㝿ࡢᩍ⫱⌧ሙ࡛ࡣࠊṑ⛉་⛉㐃ᦠᩍ⫱ࡣ࡯࡜ࢇ࡝⾜ࢃࢀ࡚࠸࡞࠸ࡢࡀ⌧≧࡛࠶ࡿࠋከ⫋✀㐃ᦠᩍ⫱ࡀᑡࡋࡎࡘ㐍ࢇ࡛ࡁ࡚࠸ࡿࡀࠊࡇࢀࡣṑ⛉་ᖌࡲࡓࡣ་ᖌ࡜┳ㆤᖌ࣭ࡑࡢ௚ࡢ་⒪㛵ಀ⪅࡜ࡢ㐃ᦠᩍ⫱࡟࡜࡝ࡲࡗ࡚࠸ࡿࡇ࡜ࡀከ࠸ࠋࡲࡓࠊ
ᐇ㝿ࡢ་⒪⌧ሙ࡛ࡶṑ⛉་⛉㐃ᦠࡣࡲࡔጞࡲࡗࡓࡤ࠿ࡾ࡛࠶ࡾࠊ୍㒊࡛ඛ㐍ⓗ࡞ྲྀࡾ⤌ࡳࡀ⾜ࢃࢀ- 15 -

࡚࠸ࡿࡔࡅ࡟࡜࡝ࡲࡗ࡚࠸ࡿࡼ࠺࡟ᛮࢃࢀࡿࠋ
ࡇࡢࡼ࠺࡞⌧≧ࢆ㋃ࡲ࠼ࠊ௒ᚋࠊ࡝ࡢࡼ࠺࡟་⛉ṑ⛉㐃ᦠᩍ⫱ࢆ㐍ࡵ࡚࠸ࡃࡇ࡜ࡀ࡛ࡁࡿ࡟ࡘ࠸࡚
⚾ぢࢆ㏙࡭ࡓ࠸ࠋ

࠙ࡈ␎Ṕࠚ
1988 ᖺ 3 ᭶ ⮬἞་⛉኱Ꮫ་Ꮫ㒊༞ᴗ
1988 ᖺ 4 ᭶ ឡ፾┴❧୰ኸ⑓㝔࡟࡚ึᮇ◊ಟ
1990 ᖺ 7 ᭶㹼2000 ᖺ 5 ᭶ ឡ፾┴࡟࡚ᆅᇦ་⒪࡟ᚑ஦㸦ᅜಖデ⒪ᡤࠊ⏫❧⑓㝔㸧 
㸦1995 ᖺ 6 ᭶㹼1996 ᖺ 5 ᭶ ⮬἞་⛉኱Ꮫ㝃ᒓ኱ᐑ་⒪ࢭࣥࢱ࣮࡟࡚ᚋᮇ◊ಟ㸧
2000 ᖺ 6 ᭶ ᮐᖠ་⛉኱Ꮫ་Ꮫ㒊ᆅᇦ་⒪⥲ྜ་Ꮫㅮᗙ ຓᡭ
2002 ᖺ 9 ᭶ ྠ ㅮᖌ
2004 ᖺ 7 ᭶㹼2006 ᖺ 2 ᭶ እᅜ␃Ꮫ ᐈဨ◊✲ဨ
㸦Harvard Medical School / Beth Israel Deaconess Medical Center, Department of Primary Care and General
Medicine. 㸧
2006 ᖺ 4 ᭶ ᮐᖠ་⛉኱Ꮫ་Ꮫ㒊ᆅᇦ་⒪⥲ྜ་Ꮫㅮᗙ ㅮᖌ
2007 ᖺ 4 ᭶ ྠ ෸ᩍᤵ
2010 ᖺ 4 ᭶ ໭ᾏ㐨኱Ꮫ⑓㝔
ᆅᇦ་⒪ᣦᑟ་ᨭ᥼ࢭࣥࢱ࣮/༞ᚋ⮫ᗋ◊ಟࢭࣥࢱ࣮ ≉௵෸ᩍᤵ2014 ᖺ 7 ᭶ ␃ⴌᕷ❧⑓㝔デ⒪㒊㛗
2014 ᖺ 9 ᭶ ⊂❧⾜ᨻἲேᅜ❧⑓㝔ᶵᵓྡྂᒇ་⒪ࢭࣥࢱ࣮༞ᚋᩍ⫱◊ಟࢭࣥࢱ࣮㛗࣭⥲ྜෆ⛉་㛗
2015 ᖺ 4 ᭶ ᮾᾏ໭㝣ཌ⏕ᒁ೺ᗣ⚟♴㒊་஦ㄢ⮫ᗋ◊ಟᑂᰝᑓ㛛ဨ㸦වົ㸧
2016 ᖺ 4 ᭶ ឡ▱་⛉኱Ꮫ་Ꮫ㒊㝃ᒓ་Ꮫᩍ⫱ࢭࣥࢱ࣮ ᩍᤵ
2016 ᖺ 11 ᭶ ឡ▱་⛉኱Ꮫ་Ꮫ㒊ᆅᇦ་⒪ᩍ⫱Ꮫᐤ㝃ㅮᗙ ᩍᤵឡ▱་⛉኱Ꮫ་Ꮫ㒊㝃ᒓ་Ꮫᩍ⫱ࢭࣥࢱ࣮ ๪ࢭࣥࢱ࣮㛗- 16 -

࠙≉ูㅮ₇ࠚ

࣮࢜ࣛࣝࣇࣞ࢖ࣝ࡜ࡣ㸸⪁ᖺᏛࡢどⅬ࠿ࡽᮾி㒔೺ᗣ㛗ᑑ་⒪ࢭࣥࢱ࣮
ṑ⛉ཱྀ⭍እ⛉㒊㛗ᖹ㔝 ᾈᙪ ඛ⏕࠙ㅮ₇ᢒ㘓ࠚ
ⓙಖ㝤࡞࡝ࡢබⓗ་⒪ࢧ࣮ࣅࢫࡢ඘ᐇࠊ୰ᖺᮇࢆ୰ᚰ࡜ࡋ࡚ᒎ㛤ࡉࢀ࡚࠸ࡿᡂே⑓ண㜵㸦㸲኱⑌ᝈண㜵㸧ࡢຠᯝ࡞࡝࡟ࡼࡾࠊ᪥ᮏࡣୡ⏺࡟ෙࡓࡿᖹᆒᑑ࿨ࡢ㛗࠸ᅜ࡜࡞ࡗࡓࠋࡉࡽ࡟㏆ᖺࠊࡑࡢ㛗ࡉࡔࡅ࡛࡞ࡃ㉁ࡢどⅬ࠿ࡽ೺ᗣᑑ࿨࡟ὀ┠ࡀ㞟ࡲࡗ࡚࠸ࡿࠋ೺ᗣᑑ࿨ࢆᘏࡤࡍࡓࡵ࡟ࡣせ௓ㆤࡢཎᅉ
ண㜵㸦௓ㆤண㜵㸧ࡀὀ┠ࡉࢀࠊ㧗㱋ᮇ࡛ࡣࠊ⑌ᝈண㜵࡜ేࡏࠕ༴㝤࡞⪁໬ࡢ᪩ᮇⓎぢ࣭᪩ᮇᑐฎࠖࡀ㔜せどࡉࢀ௓ㆤண㜵ࡢᴫᛕࡀᗈࡲࡗࡓࠋࡲࡓ㏆ᖺࡑࡢ࣊ࣝࢫࣉ࣮ࣟࣔࢩࣙࣥ᥎㐍ࡢᇶ┙ᴫᛕ࡜ࡋ࡚
ࣇࣞ࢖ࣝ㸦Frailty㸧ࡀὀ┠ࡉࢀ࡚࠸ࡿࠋࣇࣞ࢖ࣝࡣࠊ
ࠕຍ㱋࡟క࠺ᵝࠎ࡞ᶵ⬟ኚ໬ࡸணഛ⬟ຊపୗ࡟ࡼࡗ࡚೺ᗣ㞀ᐖ࡟ᑐࡍࡿ⬤ᙅᛶࡀቑຍࡋࡓ≧ែࠖ࡜ᐃ⩏ࡉࢀࠊࡉࡉ࠸࡞ᚰ㌟࠾ࡼࡧ♫఍ⓗ࡜࠸ࡗࡓከ㠃ⓗ࡞ࢺࣛࣈࣝࡀ㐃㙐ࡋ࡚ᶵ⬟㞀ᐖ࡟⮳ࡿࠊFried ࡽࡢ Frailty ࣔࢹࣝࡀࡑࡢ୺ὶ࡜࡞ࡗ࡚࠸ࡿࠋ
㧗㱋⪅ࡢཱྀ⭍࡟┠ࢆ㌿ࡌࡿ࡜ࠊ8020 㐠ື㐩ᡂ⪅ࡀ 5 ๭ࢆ㉸࠼ࡓࠋࡇ࠺࠸ࡗࡓ࡞࠿㧗㱋⪅ࡢ࿪ᄮ㸦ཱྀ⭍㸧ᶵ⬟ࢆࡼࡾྥୖࡉࡏࡿࡓࡵ࡟ࡣࠊṑᩘ⥔ᣢࢆ୰ᚰ࡜ࡋࡓཱྀ⭍⑌ᝈணࡔࡅ࡛࡞ࡃࠊ
ࠕᑑ࿨ࠖ࡜ྠᵝ࡞ࠕ㔞㸦ᖺ㱋㸧ࠖࡔࡅ࡛࡞ࡃࠊ
ࠕ㉁㸦೺ᗣ㸧ࠖ࡬ࡢ㌿᥮ࡀồࡵࡽࢀ࡚࠸ࡿࠋ⌧ᅾࡢ㧗㱋ᮇࡢཱྀ⭍ࢆྲྀࡾᕳࡃ⎔ቃࡣࠊ㣗࡭ࡿᶵ⬟ࢆᨭ࠼ࡿ࢖ࣥࣇࣛ࡜ࡋ࡚ࠊ࠺⼃࠾ࡼࡧṑ࿘⑌ᝈ࡞࡝࡬ࡢṑ⛉་⒪ࠊࡉ
ࡽ࡟⬻༞୰࡞࡝࡟ࡼࡿ㣗࡭ࡿᶵ⬟㞀ᐖ࡬ࡢᑐᛂࡀࠊ་⒪࣭௓ㆤಖ㝤࡞࡝࡛ᩚഛࡉࢀ࡚࠸ࡿࠋࡋ࠿ࡋࠊ
ཱྀ⭍⑌ᝈண㜵࠿ࡽཱྀ⭍ᶵ⬟పୗண㜵࡬ࡢࣃࣛࢲ࢖࣒ࢩࣇࢺࡀ೺ᗣᑑ࿨ᘏఙ࡟኱ࡁࡃᐤ୚ࡍࡿ࡟ࡶ࠿
࠿ࢃࡽࡎࠊࡑࡢ㌿᥮ࡀ༑ศ࡟㐍ࡵࡽࢀ࡚࠸࡞࠸⌧≧ࡀ࠶ࡿࠋ㧗㱋ᮇ࣮࢜ࣛࣝ࣊ࣝࢫࣉ࣮ࣟࣔࢩࣙࣥ
ࡢࣃࣛࢲ࢖࣒ࢩࣇࢺࢆ㐍ࡵࡿୖ࡛ࠊㄡ࡛ࡶ࡞ࡌࡵࡿྍど໬ࡋࡓࣔࢹࣝࡀᚲせ࡛࠶ࡾࠊࡑࡢࣔࢹࣝೃ
⿵࡜ࡋ࡚࣮࢜ࣛࣝࣇࣞ࢖ࣝࡢᴫᛕࡀᗈࡀࡾࡘࡘ࠶ࡿࠋ
ᙜ᪥ࡣࠊࡉࡉ࠸࡞ཱྀࡢࢺࣛࣈࣝ࠿ࡽጞࡲࡿཱྀ⭍ᶵ⬟ࡢ㈇ࡢ㐃㙐ࡢࣔࢹ࡛ࣝ࠶ࡿ࣮࢜ࣛࣝࣇࣞ࢖ࣝ
࡟ࡘ࠸࡚ᴫㄝࡉࡏ࡚࠸ࡓࡔࡁࠊ఍ሙࡢⓙᵝ࡜ࢹ࢕ࢫ࢝ࢵࢩࣙࣥฟ᮶ࢀࡤ࡜Ꮡࡌࡲࡍࠋ

- 17 -

࠙ࡈ␎Ṕࠚ
᪥ᮏ኱ᏛᯇᡞṑᏛ㒊༞ᴗ ་Ꮫ༤ኈ1990 ᖺ ᮾி㒔⪁ே་⒪ࢭࣥࢱ࣮ ṑ⛉ཱྀ⭍እ⛉ ◊ಟ་
1991 ᖺ ᅜ❧ᮾி➨஧⑓㝔 ཱྀ⭍እ⛉ ◊ಟ་
1992 ᖺ ᮾி㒔⪁ே་⒪ࢭࣥࢱ࣮ ṑ⛉ཱྀ⭍እ⛉୺஦ࠊ
2002 ᖺ ྠࢭࣥࢱ࣮་㛗㸦ᮾி㒔⪁ே་⒪ࢭࣥࢱ࣮࣭ᮾி㒔⪁ே⥲ྜ◊✲ᡤࡢ⤌⧊⦅ᡂ࡟ࡼࡾ
ᮾி㒔೺ᗣ㛗ᑑ་⒪ࢭࣥࢱ࣮࡬ྡ⛠ኚ᭦㸧
2009 ᖺ ᮾி㒔೺ᗣ㛗ᑑ་⒪ࢭࣥࢱ࣮◊✲ᡤ ᑓ㛛๪㒊㛗
2016 ᖺ ᮾி㒔೺ᗣ㛗ᑑ་⒪ࢭࣥࢱ࣮ṑ⛉ཱྀ⭍እ⛉ 㒊㛗᪥ᮏ⪁ᖺᏛ఍ ⌮஦᪥ᮏࢧࣝࢥ࡮ࢽ࢔࣭ࣇࣞ࢖ࣝᏛ఍ ⌮஦᪥ᮏᛂ⏝⪁ᖺᏛ఍ ⌮஦᪥ᮏ⪁ᖺṑ⛉་Ꮫ఍ ⌮஦࣭ᑓ㛛་࣭ᣦᑟ་࣭ᦤ㣗ᶵ⬟⒪ἲᑓ㛛ṑ⛉་ᖌ᪥ᮏ኱Ꮫ ᐈဨᩍᤵᮾிṑ⛉኱Ꮫ 㠀ᖖ໅ㅮᖌ᫛࿴኱ᏛṑᏛ㒊 㠀ᖖ໅ㅮᖌᮾி་⛉ṑ⛉኱ᏛṑᏛ㒊 㠀ᖖ໅ㅮᖌ஑ᕞṑ⛉኱ᏛṑᏛ㒊 㠀ᖖ໅ㅮᖌ○⯆࿡ࡢ࠶ࡿࢸ࣮࣐
㌟యຍ㱋ኚ໬࡜ཱྀ⭍ᶵ⬟ࡢ㛵㐃ࠊㄆ▱⑕ࡢேࡢᦤ㣗࣭ᄟୗ㞀ᐖ࡬ࡢᨭ᥼ἲࡢ☜❧ࠊᆅᇦ࡟࠾ࡅࡿຠ
⋡ⓗ࡞ṑ⛉་⒪ᥦ౪యไࡢ☜❧ࠊ་⒪࡜௓ㆤࡢ࿘㎶ࢧ࣮ࣅࢫࣅࢪࢿࢫࣔࢹࣝᵓ⠏࠙୺࡞ⴭ᭩ࠚ
࣭ᐇ㊶㸟ㄆ▱⑕ࢆᨭ࠼ࡿཱྀ⭍ࡢࢣ࢔㸦┘ಟ࣭ඹⴭ ᮾி㒔㧗㱋⪅◊✲࣭⚟♴᣺⯆㈈ᅋ㸧࣭ㄆ▱⑕ࣛ࢖ࣇࣃ࣮ࢺࢼ᳨࣮ᐃヨ㦂ᛂ⏝ࢸ࢟ࢫࢺ㸦ඹⴭ ᪥ᮏㄆ▱⑕ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ༠㆟఍㸧ཱྀ࣭⭍ࡢ⦆࿴་⒪࣭⦆࿴ࢣ࢔㸦⦅㞟࣭ඹⴭ Ọᮎ᭩ᗑ㸧࣭ㄆ▱⑕ࡢேࡢᦤ㣗㞀ᐖ ᭱▷ࢺࣛࣈࣝࢩ࣮ࣗࢸ࢕ࣥࢢ㸦ඹⴭ ་ṑ⸆ฟ∧㸧࣭ㄆ▱⑕㧗㱋⪅࡬ࡢ㣗ᨭ᥼࡜ཱྀ⭍ࢣ࢔ 㸦⦅ⴭ ࣮࣡ࣝࢻࣉࣛࢽࣥࢢ♫㸧࣭᏶඲∧ ௓ㆤண㜵࣐ࢽࣗ࢔ࣝ 㸦ඹⴭ ἲ◊㸧࣭ᐇ㊶㸟࣮࢜ࣛࣝࣇࣞ࢖ࣝᑐᛂ࣐ࢽࣗ࢔ࣝ㸦⦅⪅ ᮾி㒔⚟♴ಖ೺㈈ᅋ㸧- 18 -

࣏࠙ࢫࢱ࣮ウㄽࠚ㸺໭ᾏ㐨኱Ꮫ㸼໭ᾏ㐨኱Ꮫ⑓㝔ࡢṑ⛉◊ಟ་࣭ṑᏛ㒊⏕ᑐ㇟ࣉࣟࢢ࣒ࣛ
ࠕࡀࢇ἞⒪ࡢ࿘⾡ᮇ࡟࠾ࡅࡿཱྀ⭍⟶⌮◊ಟࠖ࡟ࡘ࠸࡚
௦⾲⪅ ஭ୖ ဴ໭ᾏ㐨኱Ꮫ ኱Ꮫ㝔ṑᏛ◊✲㝔 ⮫ᗋᩍ⫱㒊㛛 ᩍᤵ࠙⫼ᬒࠚࡀࢇ἞⒪ࢆ෇⁥࡟㐍ࡵࡿࡓࡵ࡟ཱྀ⭍ྜే⑕ண㜵࡞࡝ࢆ┠ⓗ࡜ࡋࡓཱྀ⭍ᶵ⬟⟶⌮ࡢ㔜せᛶࡀㄆ㆑ࡉࢀ࡚ࡁࡓࠋࡋ࠿ࡋࠊᆅᇦࡢṑ⛉་ᖌ఍➼࡛㛤ᴗ་ࡸ໅ົ་࡟ᑐࡋ࿘⾡ᮇࡢཱྀ⭍ᶵ⬟⟶⌮ࡢㅮ⩦఍ࡀ㛤ദࡉࢀ࡚ࡁ࡚ࡣ࠸ࡿࡀࠊࡑࢀࢆᐇ㊶࡛ࡁࡿேᮦࡀᑡ࡞࠸ࡢࡀ⌧≧࡛࠶ࡿࠋ୍᪉ࠊ໭ᾏ㐨኱Ꮫ⑓㝔࡛ࡣ  ᖺ๓࠿ࡽཱྀ⭍ࢣ࢔ࢳ࣮࣒ࢆⓎ㊊ࡉࡏࠊ་⛉⑓Ჷධ㝔ᝈ⪅ࡢṑ⛉ デࢆ⾜࠸ࠊࡀࢇࡸ⮚ჾ⛣᳜ᝈ⪅ࡢ࿘⾡ᮇࡢཱྀ⭍ᶵ⬟⟶⌮ࢆ✚ᴟⓗ࡟⾜ࡗ࡚ࡁࡓࠋࡲࡓࠊᖹᡂ  ᖺᗘ࠿ࡽࡣࠊࣅࢫ࣍ࢫ࣍ࢿ࣮ࢺ〇๣ࡸᢠ 5$1./ ᢠయ〇๣౑⏝࡟㝿ࡋ࡚ࡣṑ⛉ཷデ࡟ࡼࡿཱྀ⭍ෆ⢭ᰝ࣭἞⒪ࡀᚲ㡲໬ࡉࢀࡓࠋᖹᡂ  ᖺ  ᭶࡟ࡣཱྀ⭍ࢣ࢔ࢳ࣮࣒ࡀཱྀ⭍ࢣ࢔㐃ᦠࢭࣥࢱ࣮࡟᪼᱁ࡋࠊࡀࢇᝈ⪅ཷࡅධࢀࡢᣑ኱ࡀ⾜ࢃࢀ࡚ࡁࡓࠋ
࠙ᩍ⫱ࢥ࣮ࢫྡࠚࡀࢇ἞⒪ࡢ࿘⾡ᮇ࡟࠾ࡅࡿཱྀ⭍⟶⌮◊ಟࢥ࣮ࢫ
࠙ᑐ㇟⪅࡜ᮇ㛫ࠚ㸺◊ಟṑ⛉་  ேࠊ ᖺ㸼       㸺ṑᏛ㒊  ᖺḟ  ே㸦ᖹᡂ  ᖺᗘ㸧ࠊ⮫ᗋᐇ⩦ ࠥ ᭶ࡢᮇ㛫㸼࠙㣴ᡂࡍ࡭ࡁேᮦീࠚࡉࡲࡊࡲ࡞ࡀࢇᝈ⪅࡟࠾ࡅࡿ࿘⾡ᮇࡢṑ⛉ⓗ⟶⌮࡟⩦⇍ࡋࠊṑ⛉デ⒪ᡤ࡟࠾࠸࡚ᆅᇦ⑓㝔࡜ࡢ෇⁥࡞㐃ᦠࢆᐇ㊶࡛ࡁࡿṑ⛉་࠙ᒚಟ⛉┠ࠚ◊ಟ་࡟ᑐࡍࡿ◊ಟࡣㅮ⩏࣭ᐇ⩦࣭ヨ㦂ࡢ  ࡘ࠿ࡽ࡞ࡿࠋㅮ⩏ࡣࡀࢇ἞⒪ࡢ࿘⾡ᮇ࡟㛵ࡍࡿෆᐜ࡛඲  ᅇ㸦ձࡀࢇ἞⒪࡜ཱྀ⭍ෆྜే⑕ࠊղࡀࢇᝈ⪅ࡢṑ⛉἞⒪࡜་⒪㐃ᦠࠊճࡀࢇ໬Ꮫ⒪ἲ඲⯡ࠊմࡀࢇᨺᑕ⥺⒪ἲ඲⯡ࠊյ⪥㰯ဗႃ⛉㡿ᇦࡢࡀࢇ἞⒪ࠊն⾑ᾮෆ⛉㡿ᇦࡢࡀࢇ἞⒪ࠊշᑠඣ⛉㡿ᇦࡢࡀࢇ἞⒪㸧⾜࠸ࠊࡍ࡭࡚ࡢㅮ⩏⤊஢᫬࡟࣏࣮ࣞࢺࢆᥦฟࡍࡿࠋᐇ⩦ࡣࠊձࡀࢇ἞⒪๓ࡢཱྀ⭍⟶⌮ࢆ┠ⓗ࡟ࡋࡓ᪂ᝈᝈ⪅ࡢデᐹࠊ᳨ᰝࠊデ᩿࡜἞⒪ࠊղ⾑ᾮෆ⛉ࠊ⪥㰯ဗႃ⛉ࠊᑠඣ⛉⑓Ჷ࡬ࡢ࿘⾡ᮇཱྀ⭍⟶⌮ࡢ デ㸦ྛ  ᅇ㸧ࡢ  ࡘ࠿ࡽ࡞ࡾࠊձ࡛య㦂ࡋࡓ᪂ᝈ  ⑕౛ࢆ⑕౛ሗ࿌఍࡛ࣉࣞࢮ
ࣥࢸ࣮ࢩࣙࣥࡍࡿࠋࡲࡓࠊࡍ࡭࡚ࡢ◊ಟ⤊஢ᚋࠊᐇ⩦ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮ࡀཱྀ㢌ヨၥࢆ⾜࠺ࠋࡑࡢ࡯
࠿ࠊᏛෆእ࡛㛤ദࡉࢀࡿࡀࢇ࿘⾡ᮇ㛵㐃ࡢㅮ₇఍࡟✚ᴟⓗ࡟ཧຍࡉࡏࡿࠋヨ㦂ࡣࠊ◊ಟ㛤ጞ๓࡜⤊஢ᚋ࡟ᐇ᪋ࡍࡿࠋṑᏛ㒊⏕ࡢ⮫ᗋᐇ⩦࡛ࡣࠊࡀࢇᝈ⪅ࡢึデ᫬ࡢᑐᛂࡸṑ⛉἞⒪࡟ࡘ࠸࡚ぢᏛࡍࡿࠋ
࠙㐍ᤖ≧ἣࠚ+ ᖺᗘࡣࠊ㡰ㄪ࡟඲㒊ࡢ◊ಟෆᐜࢆ⤊஢ࡋࡓࠋ ᭶ࡢ◊ಟಟ஢᫬࡟◊ಟಟ஢ドࢆᤵ୚ࡋࠊ᭱ඃ⚽⪅㸦ࣉࣞࢮࣥࢸ࣮ࢩࣙࣥ࡜ཱྀ㢌ヨၥࡢᡂ⦼㸧࡟ࡣグᛕရࢆᤵ୚ࡋࡓࠋ཯┬Ⅼ࡜ࡋ࡚ࠊ◊ಟ་ࡢ⩦⇍ᗘࢆ☜ㄆࡍࡿࡓࡵ࡟◊ಟ๓ᚋ࡛ヨ㦂ࡀᚲせ࡛࠶ࡿࡇ࡜ࡀᣲࡆࡽࢀࠊᮏᖺ  ᭶ࡢ࢚࢜ࣜࣥࢸ
࣮ࢩࣙࣥ⤊஢᫬࡟ヨ㦂ࢆᐇ᪋ࡋࡓࠋࡲࡓᮏᖺᗘ࠿ࡽṑᏛ㒊  ᖺ⏕ᑐ㇟ࡢࡀࢇ࿘⾡ᮇ⮫ᗋᐇ⩦ࢆ᪂タࡋࠊ ᭶࠿ࡽᐇ᪋ணᐃ࡛࠶ࡿࠋ


- 19 -

࣏࠙ࢫࢱ࣮ウㄽࠚ㸺ᒾᡭ་⛉኱Ꮫ㸼ᒾᡭ་⛉኱ᏛṑᏛ㒊ࡢྲྀ⤌࡟ࡘ࠸࡚
ࠥ㉸㧗㱋♫఍ࡢࡓࡵࡢḟୡ௦ṑ⛉་⒪ே㣴ᡂࣉࣟࢢ࣒ࣛࡢᵓ⠏ࠥ௦⾲⪅ ⋢⏣ὈႹ ࠊ▼ᓮ ᫂㸰ࠊబ⸨࿴ᮁ ࠊᇛ ⱱ἞ ࠊ୕ᾆᘅ⾜ ᒾᡭ་⛉኱Ꮫ ⿵⥛࣭࢖ࣥࣉࣛࣥࢺᏛㅮᗙ ⿵⥛࣭࢖ࣥࣉࣛࣥࢺᏛศ㔝 ຓᩍ{ࠊ⏕໬Ꮫㅮᗙ ⣽⬊᝟ሗ⛉Ꮫศ㔝 ᩍᤵ㸰ࠊཱྀ⭍ಖ೺⫱ᡂᏛㅮᗙṑ⛉▹ṇᏛศ㔝 ᩍᤵ ࠊ⿵⥛࣭࢖ࣥࣉࣛࣥࢺᏛㅮᗙ ᦤ㣗ᄟୗཱྀ࣭⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥᏛศ㔝 ᩍᤵ ࠊᒾᡭ་⛉኱Ꮫ ๪Ꮫ㛗 ṑᏛ㒊㛗 ཱྀ⭍་Ꮫㅮᗙ ṑ⛉་Ꮫᩍ⫱Ꮫศ㔝 ᩍᤵ 㸧 ᒾᡭ་⛉኱Ꮫ࡛ࡣࠊᖹᡂ㸰㸴ᖺᗘᩥ㒊⛉Ꮫ┬බເ஦ᴗ㸸ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ே㣴ᡂࣉࣟࢢ࣒ࣛࠕ೺
ᗣ㛗ᑑ♫఍ࡢᐇ⌧࡟㈉⊩ࡍࡿṑ⛉་⒪ே㣴ᡂࠖ᥇ᢥㄢ㢟ࠕ೺ᗣ㛗ᑑ♫఍ࢆᢸ࠺ṑ⛉་Ꮫᩍ⫱ᨵ㠉̾Ṛ⏕Ꮫࡸᆅᇦໟᣓࢣ࢔ࣔࢹࣝࢆᑟධࡋࡓ་⛉ṑ⛉㐃ᦠᩍ⫱యไࡢᵓ⠏̾ࠖࡢ࡞࠿࡛ࠊ
ࠕධ㝔᫬࣭⅏ᐖ᫬ࡢ࣋ࢵࢻࢧ࢖ࢻ࡟࠾ࡅࡿ㣗ᨭ᥼࡜ཱྀ⭍ࢣ࢔ᐇ⩦ࠖࢆᐇ᪋ࡋ࡚࠸ࡿࠋᮏᐇ⩦࡛ࡣ㸲ࡘࡢ㑅ᢥไࢥ࣮ࢫ㸦ྛࢥ࣮ࢫࢆ㸯༢఩࡜ࡍࡿ㸧ࢆᒾᡭ་⛉኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉ࡢ㸰ࠥ㸱ᖺḟ࡛ᒚಟࡉࡏ࡚࠸ࡿࠋ
ࡇࢀࡽࡢ㸲ࡘࡢࢥ࣮ࢫࡣ   ᰤ㣴ࢧ࣏࣮ࢺࢳ࣮࣒㸦167㸧࣭⦆࿴ࢣ࢔ᐇ⩦   ᦤ㣗ᄟୗࣜࣁࣅࣜࢸ࣮
ࢩཱྀ࣭ࣙࣥ⭍ࢣ࢔ᐇ⩦ ᅾᏯ௓ㆤ࣭ゼၥṑ⛉デ⒪ᐇ⩦ ⿕⅏ᆅཱྀ⭍ࢣ࢔࣭㣗ᨭ᥼ᐇ⩦࡟ศ࠿ࢀ
࡚࠸ࡿࠋ ௒ᅇࡢ㐃ᦠࢩ࣏ࣥࢪ࣒࡛࢘ࡣࠊ ᦤ㣗ᄟୗࣜࣁࣅࣜࢸ࣮ࢩཱྀ࣭ࣙࣥ⭍ࢣ࢔ᐇ⩦࡟ࡘ࠸࡚ࠊᡃࠎࡀ
ࡇࢀࡲ࡛࡟ᐇ᪋ࡋࡓྠᐇ⩦ࡢෆᐜ࡜ࡇࢀࡲ࡛ࡢᡂᯝ࡟ࡘ࠸࡚ሗ࿌ࡋࡓ࠸ࠋ ᮏᐇ⩦ࡢ୍⯡┠ᶆ࡜ࡋ࡚ࠕࠗ㣧ࡳ㎸ࡳ࠘ࡲ࡛ࡢデᐹ࣭἞⒪ࢆ⾜࠺ࡇ࡜ࡀ࡛ࡁࡿṑ⛉་ᖌࡢ⫱ᡂࠖࢆᥖࡆ࡚࠾ࡾࠊࡑࡢ฿㐩┠ᶆ࡜ࡋ࡚ḟࡢ㸳㡯┠ࢆタᐃࡋࡓࠋ㉸㧗㱋♫఍ࡢ⌧≧㸦㧗㱋⪅ࡢṑ⛉ཷデ⋡ࠊᛴᛶᮇ⑓㝔࡟࠾ࡅࡿᦤ㣗ᄟୗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࡢ⌧≧ࠊせ௓ㆤ࡜࡞ࡿཎᅉ➼㸧ࢆ▱ࡿࠋ⡆᫆ᄟୗᶵ⬟᳨ᰝࡀ࡛ࡁࡿࠋ ෆど㙾ࢆ⏝࠸࡚ᄟୗᶵ⬟ࢆ⢭ᰝ࡛ࡁࡿࠋ ᦤ㣗ᄟୗࣜࣁࣅࣜࢸ࣮ࢩ
ࣙࣥࡢィ⏬❧᱌࠾ࡼࡧྛ✀カ⦎ࡀ࡛ࡁࡿࠋせ௓ㆤ⪅࡟ᑐࡍࡿཱྀ⭍ࢣ࢔ࢆᣦᑟ࡛ࡁࡿࠋ ࡇࢀࡲ࡛࡟ࠊᖹᡂ㸰㸴ᖺᗘ࡛ࢺࣛ࢖࢔ࣝᐇ⩦ࢆᐇ᪋ࡋࠊᮏᐇ⩦࡬ࡢ‽ഛࢆ㔜ࡡ࡚ࡁࡓ࡜ࡇࢁ࡛࠶
ࡿࡀࠊࡑࡢ◊ಟෆᐜࡣࠊձࣉࣞ࢔ࣥࢣ࣮ࢺ࣭ࢸࢫࢺղ஦๓ㅮ⩏㸦ᐇ⩦࡟ඛࡔࡗ࡚ᮏࢥ࣮ࢫࡢᴫせ࡜┠ⓗ࡟ࡘ࠸࡚ゎㄝࡍࡿ㸧࠾ࡼࡧㅮ⩏ࠊճ⡆᫆ᄟୗᶵ⬟᳨ᰝࡢ┦஫ᐇ⩦ࠊմື⏬ࢆ⏝࠸࡚ࡢᄟୗ㐀ᙳ᳨ᰝㄞᙳᐇ⩦ࠊյࣟ࣎ࢵࢺ࡟ᑐࡍࡿᄟୗෆど㙾᳨ᰝᐇ⩦࠾ࡼࡧ┦஫ᐇ⩦ࠊնㄢ㢟⑕౛ࢆ⏝࠸ࡓᦤ㣗ᄟୗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࡢィ⏬❧᱌࠾ࡼࡧᐇ⩦ࠊշࣟ࣎ࢵࢺ࡟ᑐࡍࡿᄟୗカ⦎ࠊཱྀ⭍ࢣ࢔ࠊ㌴᳔
Ꮚ࡜ࣘࢽࢵࢺࡢ⛣஌௓ຓ࠾ࡼࡧ┦஫ᐇ⩦ࠊո࣏ࢫࢺ࢔ࣥࢣ࣮ࢺ࣭ࢸࢫࢺ࡜ࡋࡓࠋ࢔ࣥࢣ࣮ࢺ࣭ࢸࢫ
ࢺࡢ⤖ᯝ࡛ࡣࠊᦤ㣗ᄟୗ㞀ᐖ࡟ᑐࡋ࡚ࠊṑ⛉ࡀከ⫋✀࡜㐃ᦠࡋ࡞ࡀࡽ㛵ࢃࡿᚲせᛶࢆឤࡌ࡚࠾ࡾࠊ
ᦤ㣗ᄟୗ㞀ᐖᝈ⪅࡟ᑐࡍࡿ඲㌟≧ែࡢデᐹἲࠊࢫࢡ࣮ࣜࢽࣥࢢࢸࢫࢺࡸᄟୗෆど㙾᳨ᰝ࡟ᑐࡍࡿ⌮ゎࡣప࠸࡜ㄆ㆑ࡋ࡚࠸ࡿࡶࡢࡀከ࠿ࡗࡓࠋࡲࡓࠊㅮ⩏࣭ᐇ⩦ᚋ࡛ࡣࠊ࢔ࣥࢣ࣮ࢺ࣭ࢸࢫࢺ࡜ࡶ࡟⌮ゎᗘࡀୖࡀࡿഴྥࡀࡳࡽࢀࡓࡀࠊデ᩿ࢆୗࡍ㒊ศ࡟㛵ࡋ࡚ࡣࠊ୙Ᏻࢆᢪ࠸࡚࠾ࡾࠊ⌮ゎᗘࡶ༑ศ࡜
ࡣゝ࠼࡞࠸⤖ᯝ࡛࠶ࡗࡓࠋ௒ᚋࡢᮏᐇ⩦ࡢ᪉ྥᛶࢆ⪃࠼ࡿ࡟࠶ࡓࡾࠊᐇ⩦࡟ࡼࡿࡇࢀࡽࡢㄪᰝ⤖ᯝࢆά࠿ࡋ࡞ࡀࡽࠊᮏᐇ⩦ࣉࣟࢢ࣒ࣛࢆேᮦ⫱ᡂ࡟⧅ࡆ࡚࠸ࡁࡓ࠸ࠋ

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࣏࠙ࢫࢱ࣮ウㄽࠚ㸺᫛࿴኱Ꮫ㸼་Ꮫ࣭ṑᏛ࣭⸆Ꮫ࣭┳ㆤ࣭⌮Ꮫ࣭సᴗᏛ⛉㐃ᦠ⑓Ჷᐇ⩦ࢆ㏻ࡋ࡚
᫛࿴኱ᏛࡢṑᏛ㒊Ꮫ⏕ࡀ㌟࡟ࡘࡅࡓࡇ࡜
௦⾲⪅ ∦ᒸ ❳ኴ᫛࿴኱Ꮫ ṑᏛ㒊 ࢫ࣌ࢩࣕࣝࢽ࣮ࢬཱྀ⭍་Ꮫㅮᗙ ṑᏛᩍ⫱㒊㛛 ᩍᤵ㸧࠙⫼ᬒࠚᮏᏛ࡛ࡣ㉸㧗㱋♫఍ࡢ฿᮶࡟ഛ࠼࡚඲㌟࡜㛵㐃࡙ࡅཱྀ࡚⭍ࢆデࡿࡇ࡜ࡀ࡛ࡁࠊᇶ♏⑌ᝈࢆ᭷ࡍࡿ
ᝈ⪅ࡢṑ⛉἞⒪ࢆᏳ඲࡟⾜࠼ࡿṑ⛉་ᖌࢆ㣴ᡂࡍࡿࡇ࡜ࢆ┠ⓗ࡜ࡋ࡚ࠕ㉸㧗㱋♫఍࡟ᑐᛂ࡛ࡁࡿṑ⛉་ᖌࡢ㣴ᡂࠖ࡟ྲྀࡾ⤌ࢇ࡛࠸ࡿࠋᒾᡭ་⛉኱Ꮫࠊ໭ᾏ㐨་⒪኱Ꮫ࡜㐃ᦠࡋ࡚㛤Ⓨࡋࡓ ,7 ᩍᮦࢆࠊᮏᏛࡢ  ᖺ⏕࠿ࡽ  ᖺ㛫ᚲಟᤵᴗࡢ୰࡛ά⏝ࡋ࡚࠸ࡿࠋ,7 ᩍᮦ࡛Ꮫࢇࡔᇶ♏▱㆑ࡸ⮫ᗋ᥎ㄽ⬟ຊ࡞࡝ࢆᇶ┙࡜ࡋ࡚ࠊᆅᇦ་⒪ࡸከ⫋✀㐃ᦠࢆྵࡴ⮫ᗋᐇ⩦ࡢ୰࡛ࡑࡢ▱㆑ࡸ⬟ຊࡢά⏝ࢆ⾜ࡗ࡚࠸ࡿࠋ࠙┠ⓗࠚ ṑᏛ㒊࡜་Ꮫ㒊࣭⸆Ꮫ㒊ࡢ  ᖺ⏕࠾ࡼࡧಖ೺་⒪Ꮫ㒊  ᖺ⏕࠿ࡽ࡞ࡿ  ྡࡢᏛ㒊ΰᡂࡢᏛ⏕ࢳ࣮࣒ࡀࠊ་⛉ࡢྛ⑓Ჷ࡛  ྡࡢᝈ⪅ࢆ  ᪥㛫ᢸᙜࡍࡿᏛ㒊㐃ᦠ⑓Ჷᐇ⩦࡟࠾࠸࡚ṑᏛ㒊ࡢᏛ⏕ࡀఱࢆ
㌟࡟ࡘࡅࡓ࠿᳨ウࢆ⾜ࡗࡓࠋ࠙᪉ἲࠚ ᖹᡂ  ᖺᗘṑᏛ㒊  ᖺ⏕ࡀཧຍࡋࡓ  ᪥㛫ࡢᏛ㒊㐃ᦠ⑓Ჷᐇ⩦࡟࠾࠸࡚ࠊ㸯㸧ᝈ⪅᝟ሗࢆᏛ⏕ࢢ࣮ࣝࣉࡀ཰㞟ࠊ㸰㸬ࣉࣟࣈ࣒࣐ࣞࢵࣉ࡜࠸࠺ᙧ࡛ඹ᭷ࡋࠊၥ㢟Ⅼࢆ᫂ࡽ࠿࡟ࡋࡓୖ࡛ඃඛ㡰఩ࢆỴᐃࠊ㸱㸬἞⒪ࢣ࢔ࣉࣛࣥࢆ❧᱌ࠊ㸲㸬་⒪ࢫࢱࢵࣇ࡟἞⒪ࢣ࢔ࣉࣛࣥࢆሗ࿌ࠊࡢࣉࣟࢭࢫ࡛㌟࡟ࡘࡅ
ࡓ஦ࢆゎᯒࡍࡿࡓࡵ࡟ࠊᏛ⏕ࡀᥦฟࡋࡓࠕཱྀ⭍࢔ࢭࢫ࣓ࣥࢺࢩ࣮ࢺࠖ
ࠕཱྀ⭍ࢣ࢔ィ⏬᭩ࠖࠕ⑓㝔ᐇ⩦ࣞ
࣏࣮ࢺࠖࠕࡩࡾ࠿࠼ࡾࢩ࣮ࢺࠖ
ࠕᡂ㛗ሗ࿌᭩ࠖ࠾ࡼࡧ་⒪ࢫࢱࢵࣇ࡟ᑐࡍࡿࠕⓎ⾲⏝ࢫࣛ࢖ࢻࠖࢆ㉁ⓗ࡟ゎᯒࡋࡓࠋ
࠙⤖ᯝࠚᏛ㒊㐃ᦠ⑓Ჷᐇ⩦ࢆ㏻ࡋ࡚㌟࡟ࡘࡅࡓࡇ࡜࡜ࡋ࡚ࠊࠕ඲㌟≧ែࠊ⑕≧ࡢཎᅉࢆ⪃࠼ࠊཎᅉ⑌ᝈࢆᨵ
ၿࡍࡿࡓࡵࡢ἞⒪࣭ࢣ࢔ࣉࣛࣥࢆࢳ࣮࣒࡛⪃࠼ࡿ஦ࡀ࡛ࡁࡓࠖ
ࠕᐇ㝿ࡢ㣗஦ࢆぢᏛࡍࡿࡇ࡜࡛㣗஦ᙧែࠊࣜࣁࣅࣜ᪉ἲࢆ❧᱌ࡍࡿࡇ࡜ࡀ࡛ࡁࡓࠖ
ࠕ⢾ᒀ⑓ࡢ⑕≧ࠊ㝆ᅽ⸆࡜╧╀⸆ࡢ๪స⏝࡜ࡋ࡚ࠊཱྀῬ
ࡀ࠶ࡿ஦ࢆㄝ᫂ࡋࡓࠖ
ࠕཱྀ⭍஝⇱ࡣ஧ḟឤᰁࣜࢫࢡ࡛࠶ࡿࡇ࡜ࢆㄝ᫂ࡋࠊ㣧Ỉ࡜ཱྀ⭍⢓⭷ࡢಖ‵ࢣ࢔
ࡀ἞⒪࣭ࢣ࢔ࣉࣛࣥ࡜ࡋ࡚᥇⏝ࡉࢀࡓࠖ࡞࡝ࠕᑓ㛛ࢆά࠿ࡋࡓ἞⒪࣭ࢣ࢔ࣉࣛࣥࢆ㏥㝔ᚋࡶ᝿ᐃࡋ࡚
సᡂ࡛ࡁࡓࠖࠕࢳ࣮࣒་⒪ࡢ᭷⏝ᛶ࡜ࢳ࣮࣒་⒪࡟࠾ࡅࡿṑ⛉་ᖌࡢᙺ๭ࢆ⌮ゎ࡛ࡁࡓࠖࠕ඲ମ≧ែ࡜ઠ⭍ෆࡢ≧ែࢆ⪃៖ࡋ࡞ࡀࡽ἞⒪ィ⏬ࢆ❧᱌ࡍࡿࡇ࡜ࡢ㔜せᛶࢆᏛࢇࡔࠖ࡜࠸࠺ෆᐜࡀ㧗㢖ᗘ࡛ㄆࡵࡽࢀࡓࠋ࠙⪃ᐹࠚᮏ  ᖺ⏕ࡣ⑓Ჷᐇ⩦࡟ࡼࡾࠊ㸪 ᖺ⏕࡛ H࣮ࣛࢽࣥࢢ࡞࡝ࡢ ,7 ᩍᮦࢆ㏻ࡌ࡚Ꮫࢇࡔཱྀ⭍஝⇱ࠊࢳ࣮࣒་⒪ࠊ඲㌟⑌ᝈ࡜ཱྀ⭍ࡢ㛵㐃࡟ࡘ࠸࡚ࡢ▱㆑ࢆᛂ⏝ࡋࠊ௚Ꮫ㒊Ꮫ⏕࡜༠ാࡋ࡚ࠕ඲㌟࡜㛵㐃࡙ࡅཱྀ࡚⭍ࢆデࡿࡇ࡜ࡀ࡛ࡁࡿࠖࠕᇶ♏⑌ᝈࢆ᭷ࡍࡿᝈ⪅ࡢṑ⛉デ⒪ࢆከ⫋✀࡜㐃ᦠࡋ࡚Ᏻ඲࡟⾜࠼ࡿࠖ࡜࠸࠺  ࡘࡢ┠ᶆࢆᏛ⏕ࡀ㌟࡟ࡘࡅࡓࡇ࡜ࢆ☜ㄆ࡛ࡁࡓࠋ

- 21 -

࣏࠙ࢫࢱ࣮ウㄽࠚ㸺᪥ᮏ኱Ꮫ㸼ೖຌ୉ָ୉ָࣅָ෨͹ଖ઴‫گ‬үͶଲͤΖखΕૌΊͶͯ͏ͱʤ୊̐ๅʥ
େනं Ѫ෨ ਖࢢ᪥ᮏ኱Ꮫ ṑᏛ㒊 ᦤ㣗ᶵ⬟⒪ἲᏛㅮᗙ ཱྀ⭍೺ᗣ⛉Ꮫศ㔝 ෸ᩍᤵ ᪥ᮏ኱ᏛṑᏛ㒊ᦤ㣗ᶵ⬟⒪ἲᏛㅮᗙ࡛ࡣ㸪ᖹᡂ㸰㸲ᖺᗘࡼࡾ➨㸴Ꮫᖺࢆᑐ㇟࡜ࡋ࡚┦஫ᐇ⩦࡞࡝ࡢᇶ♏ᐇ⩦࡜⑓ᲷぢᏛ➼ࡢ⮫ᗋᐇ⩦ࢆᑟධࡋ࡚࠸ࡿࠋᖹᡂ㸰㸴ᖺᗘ࡟ࡣ㸪ᦤ㣗ᶵ⬟⒪ἲᏛ࡟ຍ࠼࡚㧗㱋⪅ṑ⛉Ꮫࡢᐇ⩦ෆᐜࢆ᪂ࡓ࡟⤌ࡳ㎸ࡳ㸪ᅾᏯデ⒪ࢆྵࡴᐇ㝿ࡢ⮫ᗋ࡟༶ࡋࡓෆᐜࢆྲྀࡾධࢀࡓᐇ
⩦ࢆᑟධࡋࡓࠋᐇ⩦ෆᐜࡣ㸪➨㸴Ꮫᖺ๓ᮇࡢ㸲᭶࠿ࡽ㸵᭶࡟࠿ࡅ࡚㐌  ᅇࡢᇶ♏ᐇ⩦࡜㐌㸰ᅇࡢ⮫ᗋᐇ⩦࡛࠶ࡿࠋᇶ♏ᐇ⩦ࡢෆᐜࡣ㸪ᦤ㣗ᶵ⬟㞀ᐖᝈ⪅ࢆ᝿ᐃࡋࡓձཱྀ⭍ࢣ࢔ղᄟୗ㛫᥋カ⦎࡜ᦤ㣗ᄟୗࢫࢡ࣮ࣜࢽࣥࢢ᳨ᰝճᄟୗ㐀ᙳ᳨ᰝ࡜ᄟୗෆど㙾᳨ᰝ࡟ࡼࡿᦤ㣗ᄟୗᶵ⬟ࡢ⏬ീデ᩿ࡢ┦஫ᐇ⩦࡜㸪մከ⫋✀㐃ᦠࡸ⫶⒦࡟㛵ࢃࡿㄢ㢟࡟ࡼࡿ .- ἲյᅾᏯ⒪㣴୰᭷⑓㧗㱋⪅ࡢ㢡ṑᶍᆺ࡜⑕౛ࡢ
ᥦ♧࡟ࡼࡿ἞⒪ィ⏬ࡢ❧᱌࡟ࡼࡿᏛ⏕ྠኈࡢࢢ࣮ࣝࣉࢹ࢕ࢫ࢝ࢵࢩࣙࣥն26&( ᙧᘧ࡟ࡼࡿᐇ⩦ヨ㦂࡛࠶ࡿࠋࡉࡽ࡟ᖹᡂ㸰㸵ᖺᗘ࡟ࡣ㸪ᅾᏯ⒪㣴୰ࡢ᭷⑓㧗㱋⪅ࡢཱྀ⭍ෆࢆ෌⌧ࡋࡓ㢡ṑᶍᆺࢆ㛤Ⓨࡋ㸪ᇶ♏ᐇ⩦࡟࠾࠸࡚ࡇࡢ㢡ṑᶍᆺࢆࡶ࡜࡟ࡋࡓ⑕౛ࡢᥦ♧࣭἞⒪ィ⏬ࡢ❧᱌࡜ࣉࣞࢮࣥࢸ࣮ࢩࣙࣥࢆ㸪ࡲࡓ㸪ᐇ⩦ෆᐜࡢࣇ࢕࣮ࢻࣂࢵࢡ࡜ࡋ࡚ 26&( ᙧᘧࡢᐇ⩦ヨ㦂ࢆᐇ᪋ࡋࡓࠋࡲࡓ㸪ᖹᡂ㸰㸷ᖺᗘࡣ㸪ᮏᏛ࡟ᅾᏯデ⒪ᩍ⫱⏝㧗㱋⪅ࢩ࣑࣮ࣗࣞࢱ㸦'50202㸧ࡀᑟධࡉࢀ㸪26&( ᙧᘧࡢᐇ⩦ヨ㦂࡬ࡢά⏝ࡸ㸪₇⩦ၥ㢟ࡢసᡂ➼࡟ά⏝ࡋࡓࠋ୍᪉㸪㐌㸰ᅇࡢ⮫ᗋᐇ⩦ࡣ౛ᖺ㏻ࡾࡢయไ࡛ᐇ᪋ࡋ㸪እ᮶デ⒪
࡟ຍ࠼࡚㐃ᦠࡍࡿ᪥ᮏ኱Ꮫ⑓㝔࡬ࡢ⑓Ჷデ⒪㸪ᒃᏯࡸ᪋タ࡬ࡢゼၥデ⒪࡟ྠ⾜ࡋ࡚ࡶࡽ࠸㸪ᐇ㝿ࡢデ⒪ࢆぢᏛࡋࡓ࠶࡜ࢢ࣮ࣝࣉ࡛ࡢཱྀ㢌ヨၥ࡜ࣇ࢕࣮ࢻࣂࢵࢡࢆ⾜ࡗࡓࠋࡉࡽ࡟௒ᖺᗘࡣ㸪௒ᚋࡢㄢ
㢟࡛࠶ࡿࠕࢳ࣮࣒་⒪࣭ᆅᇦ་⒪ࠖࡢᮏᏛ࡛ࡢ⮫ᗋᐇ⩦࡬ࡢᑟධ࣭ᩚഛ࡟ྥࡅ࡚㸪デ⒪ᣦᑟ་ࢆᑐ
㇟࡜ࡋࡓ㸪࣒࢝ࣜ࢟ࣗࣛࡢኚ᭦ࢆྵࡵࡓලయⓗ࡞ㄢ㢟ࢆ᳨ウࡍࡿ◊ಟ఍ࢆᐇ᪋ࡋࡓࠋ◊ಟ఍࡛ࡣᇶ
ㄪㅮ₇ࡢ⫈ㅮࡸࢢ࣮ࣝࣉ࣑࢕࣮ࢸ࢕ࣥࢢࢆ⾜࠸㸪⮫ᗋᐇ⩦ෆᐜࡢᑟධ࣭ᩚഛ࡟ࡘ࠸᳨࡚ウࡋࡓࠋ⌧ᅾ㸪ゼၥṑ⛉デ⒪ࢆྵࡴᆅᇦ་⒪࣭ಖ೺ࡸᆅᇦໟᣓࢣ࢔ࢩࢫࢸ࣒ࡸ㸪⑓デ㐃ᦠ࣭⑓⑓㐃ᦠ࠾ࡼࡧከ
⫋✀㐃ᦠ࡟ࡼࡿࢳ࣮࣒་⒪ࢆ⮫ᗋᐇ⩦࡛⤒㦂ࡍࡿᶵ఍ࡣ㸪ᙜ⛉ࡢ㐌㸰ᅇࡢ⮫ᗋᐇ⩦࡟࠾࠸࡚ࡢࡳ࡛
࠶ࡾ㸪デ⒪ࡢ᫬㛫ᩘࡸᝈ⪅ᩘ࡟㝈ࡾࡀ࠶ࡿࡓࡵ඲࡚ࡢᏛ⏕ࡀ⤒㦂ࡍࡿࡇ࡜ࡀ࡛ࡁ࡞࠸≧ែ࡛࠶ࡿࠋ
◊ಟ఍ࢆ㏻ࡌ࡚⮫ᗋᐇ⩦࡜ࡋ࡚ࡢ࣒࢝ࣜ࢟ࣗࣛࢆᩚഛࡍࡿ࡟ࡣ㸪ྛデ⒪⛉ᣦᑟ་ࡢ⌮ゎ࡜タഛࡸᩍဨࡢ㓄⨨➼ࡢㄢ㢟ࡀᒣ✚ࡋ࡚࠸ࡿࡇ࡜ࡀ᫂ࡽ࠿࡟࡞ࡗࡓࡀ㸪ᙜ⛉ࡔࡅ࡛࡞ࡃࡑࡢ௚ࡢデ⒪⛉ࡶྵࡵ࡚ࡇࡢㄢ㢟࡟ࡘ࠸᳨࡚ウࡍࡿࡇ࡜ࡣ௒ᚋࡢṑ⛉ᩍ⫱ࡢ඘ᐇ࡟ᚲ㡲࡛࠶ࡿࠋࡇࢀࡽࡢྲྀࡾ⤌ࡳࡣ㸪♫఍࡟ᚲせ࡜ࡉࢀࡿᆅᇦ་⒪࡟㈉⊩࡛ࡁࡿṑ⛉་ᖌࡢ⫱ᡂࢆ┠ⓗ࡜ࡋࡓ♫఍ࡢࢽ࣮ࢬ࡟ྜࢃࡏࡓ༞๓
ᩍ⫱ࡢᨵ㠉࡟኱ࡁࡃᐤ୚ࡍࡿࡶࡢ࡜⪃࠼ࡽࢀࡿࠋ

- 22 -

࣏࠙ࢫࢱ࣮ウㄽࠚ㸺㔠ἑ኱Ꮫ㸼㔠ἑ኱Ꮫඛᑟⓗࠕཱྀ⭍࠿ࡽ඲㌟࡬ࡢ೺ᗣᏛࠖᩍ⫱ࡢ㧗ᗘ໬ࣉࣟࢢ࣒ࣛࡀࢇ἞⒪ᨭ᥼ཱྀ⭍ᶵ⬟⟶⌮௦⾲⪅ ୰ᮧ༤ᖾ

㔠ἑ኱Ꮫ་⸆ಖ೺◊✲ᇦ་Ꮫ⣔እ⛉⣔་Ꮫ㡿ᇦ㢡㢦㠃ཱྀ⭍እ⛉Ꮫศ㔝 ෸ᩍᤵ㸧㣴ᡂࡍࡿேᮦീ㸹඲㡿ᇦࡢࡀࢇᝈ⪅ಶࠎࡢ≧ែࡸࢫࢸ࣮ࢪ࡟ᛂࡌࡓཱྀ⭍ᶵ⬟⟶⌮ࢆ௚⫋✀ࢳ࣮࣒㐃ᦠࡢ࡞࠿࡛ᒎ㛤ࡍࡿࡇ࡜࡟ࡼࡾ㞟Ꮫⓗ἞⒪ࢆᨭᣢࡋࠊᝈ⪅ࡢ 42/ ྥୖ࡟ᐤ୚࡛ࡁࡿ࣮ࣜࢲ࣮ⓗṑ⛉་ᖌࠋᑐ㇟⪅࣭ಟ஢せ௳࣭ᒚಟ᪉ἲ
ึᮇ⮫ᗋ◊ಟ་㸦㸯ᖺ㸧㸸H/HDUQLQJ ࢡࣛ࢘ࢻ࠾ࡼࡧྛ≉ㄽࠊデ⒪ぢᏛࢆ㑅ᢥࡋ࡚ཷㅮࡍࡿࠋ
HOHDUQLQJ ࠾ࡼࡧྛ≉ㄽࡢཷㅮࡣ☜ㄆࢸࢫࢺࠊデ⒪ぢᏛࡣ㐠Ⴀጤဨ఍ࡢཱྀ㢌ヨၥ࡟ྜ᱁ࡍࡿࠋ
༤ኈㄢ⛬኱Ꮫ㝔⏕㸦㸲ᖺ㸧㸸H/HDUQLQJ ࢡࣛ࢘ࢻ࠾ࡼࡧྛ≉ㄽࠊデ⒪ぢᏛࢆ㑅ᢥࡋ࡚ཷㅮࡍࡿࠋ
HOHDUQLQJ ࠾ࡼࡧྛ≉ㄽࡢཷㅮࡣ☜ㄆࢸࢫࢺࠊデ⒪ぢᏛࡣཱྀ㢌ヨၥ࡟ྜ᱁ࡍࡿࠋࡉࡽ࡟ࠊཱྀ⭍ᶵ⬟⟶⌮࡟㛵㐃ࡍࡿ◊✲ࢆᐇ᪋ࡋᏛ఍࣭ㄽᩥⓎ⾲ࢆ⾜࠺࡜࡜ࡶ࡟Ꮫ఩ྲྀᚓࢆ┠ᣦࡍࠋ♫఍ேṑ⛉་ᖌ㸦㸯ᖺ㸧㸸Ꮫእࡢ♫఍ேṑ⛉་ᖌ࡟ᑐࡋ࡚ࠊ኱Ꮫ㝔ධᏛ➼ࢆకࢃࡎ࡟ࣉࣟࢢ࣒ࣛࢆᥦ
౪ࡍࡿࠋㅮ⩏ㄢ┠ࡣ HOHDUQLQJ ᩍᮦࡢ⮬୺Ꮫ⩦࡟ࡼࡾࠊࡲࡓᐇ⩦࣭₇⩦⛉┠ࡣኟᮇ࡟㞟୰ࡋ࡚⾜࠺ࠋ᭱ప  ᖺ௨ୖࡢಟ஢ᮇ㛫ࡢᚋ࡟㐠Ⴀጤဨ఍ࡀಟ஢ㄆᐃࢆ⾜࠺ࠋᒚಟ⛉┠➼㸸ᚲಟ⛉┠㸸࠙ࠚ⭘⒆⸆≀Ꮫ≉ㄽࠊ࠙ࠚ⭘⒆ᨺᑕ⥺་Ꮫ≉ㄽࠊ࠙ࠚࡀࢇ⦆࿴་⒪Ꮫ≉ㄽࠊ࠙ࠚࡀࢇእ⛉Ꮫ≉ㄽࠊ࠙ࠚ⮫ᗋ⭘⒆Ꮫ≉ㄽࠊ࠙ࠚ⮫ᗋᰤ㣴Ꮫ≉ㄽࠊ࠙ࠚࡀࢇᝈ⪅ཱྀ⭍ᶵ⬟⟶⌮≉ㄽ࠙ࠚ⮫ᗋ⤫ィᏛ≉ㄽࠊ࠙ࠚ⮫ᗋ⤫ィᏛ₇⩦ࠊ࠙ࠚศᏊ⭘㑅ᢥ⛉┠㸸࠙ࠚࢥࣥࢧࣝࢸ࣮ࢩࣙࣥ≉ㄽࠊ⒆Ꮫ≉ㄽᩍ⫱ෆᐜࡢ≉Ⰽ➼㸸඲㡿ᇦࡢࡀࢇᝈ⪅࡟ᑐࡋ୍࡚㈏ࡋࡓཱྀ⭍ᶵ⬟⟶⌮ࢆ㐙⾜ࡋࠊ㞟Ꮫⓗ࡞἞⒪ࢆᨭ᥼ࡍࡿࡓࡵ࡟ࡣࠊṑ⛉་ᖌࡀཱྀ⭍ࡢࡳ࡞ࡽࡎᵝࠎ࡞⮚ჾ࣭㡿ᇦูࡢᝏᛶ⭘⒆࡟ᑐࡍࡿ἞⒪ࡸࠊࡑࡢ᭷ᐖ
஦㇟࡟㛵ࡍࡿᇶ♏▱㆑ࢆ⩦ᚓࡋࠊࡀࢇ࿘⾡ᮇࡢཱྀ⭍ᶵ⬟⟶⌮࡟࠾࠸࡚௚⛉୺἞་࡜᭷ᶵⓗ࡞་⛉ṑ⛉㐃ᦠࢆᵓ⠏ࡍࡿࡇ࡜ࡀ㔜せ࡛࠶ࡿࠋࡉࡽ࡟ࠊ඲㡿ᇦࡢࡀࢇᝈ⪅࡟ᑐࡍࡿཱྀ⭍≧ែ࡜ᦤ㣗࣭ᄟୗᶵ⬟ࢆ⛉Ꮫⓗ࡟ホ౯ࡋ࡚ࠊཱྀ⭍ࢣ࢔ࡢィ⏬࣭ᣦᑟ࣭ᐇ㊶࡞ࡽࡧ࡟⤒ཱྀᦤྲྀࣞ࣋ࣝࡢⓗ☜࡞ホ౯࣭㣗஦ᣦᑟࢆ
⾜࠸ࠊࠕཱྀ࠿ࡽ㣗࡭ࡿࠖࡇ࡜࡟㛵ࡍࡿჾ㉁ⓗ࠾ࡼࡧᶵ⬟ⓗᅇ᚟࡟ࡼࡾ㞟Ꮫⓗ἞⒪ࢆᨭᣢࡍࡿࡇ࡜ࡀᚲせ࡛࠶ࡿࠋ௨ୖࢆ㋃ࡲ࠼࡚ᮏ஦ᴗ࡛ࡣࠊࡀࢇ໬Ꮫ⒪ἲࠊᨺᑕ⥺⒪ἲࡑࡋ࡚ᡭ⾡⒪ἲ࡞࡝࡟㛵ࡍࡿᇶ♏ⓗ▱㆑ࢆㅮ⩏ࡍࡿ࡜࡜ࡶ࡟ࠊ඲㡿ᇦࡢࡀࢇᝈ⪅ࡢཱྀ⭍ࢣ࢔࠾ࡼࡧᄟୗデ⒪ࢆྵࡴཱྀ⭍ᶵ⬟⟶⌮࡟㛵ࡍࡿ⌮ㄽ࡜ᐇ㊶ࢆᩍ⫱ࡍࡿⅬ࡛᪂つᛶࡀ࠶ࡿࠋ
ࡲࡓࠊᏛእ࡛ാࡃ♫఍ேṑ⛉་ᖌ࡟ᑐࡋ࡚ࡶࠊ኱Ꮫ㝔ධᏛࢆᚲせ࡜ࡋ࡞࠸♫఍ேṑ⛉་ᖌ࢖ࣥࢸࣥࢩ
ࣈࢥ࣮ࢫ࡜ࡋ࡚ᮏ஦ᴗࡢࣉࣟࢢ࣒ࣛࢆᥦ౪ࡋࠊ኱ᏛṑᏛ㒊ཱྀ࡛⭍ᶵ⬟⟶⌮ࢆᩍ⫱ࡉࢀ࡚࠸࡞࠸ṑ⛉་ᖌ࡟ᑐࡋ࡚Ꮫ⩦࡛ࡁࡿᶵ఍ࢆᥦ౪ࡍࡿⅬ࡛≉Ⰽࡀ࠶ࡿࠋ


- 23 -

࣏࠙ࢫࢱ࣮ウㄽࠚ㸺኱㜰኱Ꮫ̺㸼኱㜰኱Ꮫࡢྲྀ⤌࡟ࡘ࠸࡚ ࠥ኱つᶍ␿Ꮫㄪᰝࠊ621,& ◊✲࡬ࡢཧຍࠥ
ᑠᕝὈ἞ ࠊụ㑓୍඾ ࠊᯇ⏣ㅬ୍ ࠊ໭ᮧṇ༤ ࠊᮧୖఙஓ ࠊ๓⏣ⰾಙ ࠊኳ㔝ᩔ㞝 ኱㜰኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉ 㢡ཱྀ⭍ᶵ⬟෌ᘓᏛㅮᗙ᭷ᗋ⩏ṑ⿵⥛Ꮫ࣭㧗㱋⪅ṑ⛉Ꮫศ㔝ຓᩍࠊ㢡ཱྀ⭍ᶵ⬟෌ᘓᏛㅮᗙ᭷ᗋ⩏ṑ⿵⥛Ꮫ࣭㧗㱋⪅ṑ⛉Ꮫศ㔝෸ᩍᤵࠊ 㢡ཱྀ⭍ᶵ⬟෌ᘓᏛㅮᗙ᭷ᗋ⩏ṑ⿵⥛Ꮫ࣭㧗㱋⪅ṑ⛉Ꮫศ㔝ຓᩍࠊ ཱྀ⭍ศᏊච␿ไᚚᏛㅮᗙ
ṑ࿘⑓ศᏊ⑓ែᏛศ㔝෸ᩍᤵࠊཱྀ⭍ศᏊච␿ไᚚᏛㅮᗙṑ࿘⑓ศᏊ⑓ែᏛศ㔝ᩍᤵࠊ㢡ཱྀ⭍ᶵ⬟෌ᘓᏛㅮᗙ᭷ᗋ⩏ṑ⿵⥛Ꮫ࣭㧗㱋⪅ṑ⛉Ꮫศ㔝≉௵ᩍᤵࠊཱྀ⭍ศᏊච␿ไᚚᏛㅮᗙண㜵ṑ⛉Ꮫศ㔝ᩍᤵ 
SONIC ‫ڂݜ‬Ͷͯ͏ͱ୉ࡗ୉ָͳ౨‫߃݊౐ښ‬ௗथҫྏιϱνʖΝ஦ৼͳͪ͢ըʓ͹‫ڂݜ‬ήϩʖϕͺɼࣅָ͹Ί͵Δͥɼҫָɼӭ཈ָɼৼཀྵָɼऀճָɼྡজ౹‫ָܯ‬͹֦෾໼͹઒໵Պ͗ࢂՅͪ݊͢߃ௗथͶ‫ͤؖ‬Ζָࡏద͵Ӻָ௒ࠬͳ͢ͱ SONIC ‫ڂݜ‬㸦Septuagenarians, Octogenarians, and Nonagenarians Investigation
with CentenariansʥΝ਒Όͱ͏Ζɽຌ‫ڂݜ‬ͺɼଲেஏҮΝ‫ؖ‬੤ͳ‫ؖ‬౨͹ͨΗͩΗ౐ࢤ෨ͳ೸ଞ෨ͳ
͢ɼஏҮ͹஦͹ಝఈ͹ஏۢ͹સे຿Νଲেͳͪ࣫͢և௒ࠬͲ͍Ζɽ70 ࡂɼ80 ࡂ͹߶ྺंαϙʖφ֦
1,000 ໌Ν஦ৼͳ͢ɼ90 ࡂΏඨथंαϙʖφ΍‫؜‬΋ଲেंͶৼཀྵָɼҫָɼࣅָ྘Ү͹݊߃ௗथͶ‫ؖ‬ΚΖߴ໪Ͷ‫ͱؖ͢‬௒ࠬΝߨͮͱ͏ΖɽࣅՌ͹क͵௒ࠬߴ໪ͺɼࣅࣞΏࣅबૌ৭‫ࠬݗ‬ͶՅ͓ɼ伷߻ྙɼ서೵ིɼଥӹ෾ൽଐౕΏઋѻ͵ʹ͹޳ߤ‫ؽ‬೵ͶՅ͓ͱ޳ߤ‫ؖ‬࿊ QOLɼӭ཈ઃख͵ʹ෱߁͏ߴ໪Ͷ‫΁ٶ‬ɽ͵͕ɼࣅՌҐ֐͹௒ࠬߴ໪ͳ͢ͱͺɼ೟எ‫ؽ‬೵Ώ੓ܑ֪޴ɼADLɼQOL ͵ʹ͹ৼཀྵָద͵ߴ໪ɼѴྙɼิߨଐౕ͵ʹ͹ӣಊ‫ؽ‬೵͹‫ࠬݗ‬ɼΉ݄ͪӹ‫ࠬݗ‬Ώ݄ѻɼᰏಊຼΦαʖ͵ʹ͍͗Εɼଡ‫ز‬ͶΚͪͮͱ͏Ζɽ͠ΔͶɼ֦೧ྺαϙʖφͶଲ͢ 3 ೧͟ͳ͹௧੽௒ࠬΝߨͮͱ͕Εɼ͞ΗΉͲԈ
΄ 5,000 ໌͚ۛ͹߶ྺं͹௒ࠬΝࣰࢬ͢ͱͪ͘ɽ

‫گ‬үదқٝͶͯ͏ͱ݊߃ௗथऀճ΃޴͜ͱ͹Ӻָ‫ڂݜ‬ͶͺɼࣅՌ͹Ί͵ΔͥҫՌΏৼཀྵָ͵ʹใ‫ׇ‬ద͵Πϕϫʖο༙͗ްͲ͍ΕɼࣅՌ͗͏͖Ͷ݊߃ௗथͶ‫ر‬༫͢ͱ͏Ζ͖Ͷͯ͏ͱ༹ʓ͵௒ࠬߴ໪͖ΔߡࡱͤΖ͞ͳ͗Ͳ
͘ΖɽগཔΝࢦͤऑघ‫͗ंڂݜ‬ຌ‫ڂݜ‬௒ࠬͶࢂՅͤΖ͞ͳͶΓΕɼҡ͵Ζ෾໼͹઒໵ՊΔ͹қ‫ݡ‬Νซ͚͞ͳ͗Ͳ͘ɼࣅՌ྘Ү͖Δ͹ࢻ఼͹Ί͵ΔͥҫָΏৼཀྵָͳ͹࿊‫ܠ‬͹஦Ͳ͹ࣅՌ͹ༀׄͶͯ͏ͱָ΁͞ͳͲɼࠕ‫ࣙޛ‬Δ‫ڂݜ‬Ν਒ఴͦ͠ͱ͏͚ϠοϗʖεϥϱͶͯ͵͗Ζͳ༩૟͠ΗΖɽΉͪɼճ৖௒ࠬͶࢂՅ͢ɼ‫Ͳं׳‬ͺ͵͏ଡ͚͹߶ྺंͳંͤΖ͞ͳͺɼαϝϣωίʖεϥϱ೵ྙ͹޴৏͵Δ
;Ͷ߶ྺंͶͳͮͱࣅΏ޳ߤ‫ؽ‬೵͗͏͖Ͷ୉઀͖ΝஎΖ‫ؽ͵॑ي‬ճͲ͍Ζɽ͠ΔͶɼຌ‫ڂݜ‬Ͷ‫ܠ‬Κͮͪ‫ंڂݜ‬ͺɼ޳ߤΏӭ཈Ͷ‫ؖ‬ΚΖҾࢢͳસਐద͵གྷҾ͍Ζ͏ͺৼཀྵָద͵གྷҾͳ͹‫ؖ‬࿊Ͷͯ͏ͱ୵ࡩదͶ‫ݗ‬౾ͤΖ͞ͳͶΓΕɼ޳ߤ͗સਐ͹݊߃΃‫ͤ·ٶ‬Ӫ‫ڻ‬Νմ໎ͤΖͳͳ΍Ͷɼ޳ߤฯ݊͹॑གྷ੓Ν਄͚ཀྵմͲ͘ΖΓ͑Ͷ͵Ζͳߡ͓ΔΗΖɽ- 24 -

࣏࠙ࢫࢱ࣮ウㄽࠚ㸺኱㜰኱Ꮫ̺㸼኱㜰኱Ꮫࡢྲྀ⤌࡟ࡘ࠸࡚ ࠥ◊ಟ་ࡢᒣ㛫ᆅᇦ࡟࠾ࡅࡿᆅᇦṑ⛉⮫ᗋ◊ಟࠥ
୕㍯ಇኴ ࠊụ㑓୍඾ ࠊ▼⏣೺ ࠊᑠᕝὈ἞ ࠊᯇ⏣ㅬ୍ ࠊᮧୖఙஓ ࠊኳ㔝ᩔ㞝㸴(኱㜰኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉ 1. 㢡ཱྀ⭍ᶵ⬟෌ᘓᏛㅮᗙ ᭷ᗋ⩏ṑ⿵⥛Ꮫ࣭㧗㱋⪅ṑ⛉Ꮫศ㔝 ◊ಟⓏ㘓་ࠊJA ࡳ࡞ࡳಙᕞṑ⛉デ⒪ᡤࠊ2.
㢡ཱྀ⭍ᶵ⬟෌ᘓᏛㅮᗙ ᭷ᗋ⩏ṑ⿵⥛Ꮫ࣭㧗㱋⪅ṑ⛉Ꮫศ㔝 ෸ᩍᤵࠊ3. 㢡ཱྀ⭍ᶵ⬟෌ᘓᏛㅮᗙ ᭷ᗋ⩏ṑ⿵⥛Ꮫ࣭㧗㱋⪅ṑ⛉Ꮫศ㔝 ᣍ⪸ᩍဨࠊJA ࡳ࡞ࡳಙᕞṑ⛉デ⒪ᡤࠊ4. 㢡ཱྀ⭍ᶵ⬟෌ᘓᏛㅮᗙ ᭷ᗋ⩏ṑ⿵⥛Ꮫ࣭㧗㱋⪅ṑ⛉Ꮫศ㔝 ຓᩍࠊ5. ཱྀ⭍ศᏊච␿ไᚚᏛㅮᗙ ṑ࿘⑓ศᏊ⑓ែᏛศ㔝 ᩍᤵ,ࠊṑᏛ㒊㝃ᒓ⑓㝔㛗ࠊ6. ཱྀ⭍ศᏊච␿ไᚚᏛㅮᗙ ண㜵ṑ⛉Ꮫศ㔝 ᩍᤵࠊ◊✲⛉㛗)ᆅᇦṑ⛉⮫ᗋ◊ಟ࡟ࡘ࠸࡚
኱㜰኱ᏛṑᏛ㒊㝃ᒓ⑓㝔࡛ࡣࠊᖹᡂ  ᖺᗘࡼࡾ⮫ᗋ◊ಟࣉࣟࢢ࣒ࣛࡢ୍⎔࡜ࡋ࡚୰ᒣ㛫ᆅ࡛ࡢᆅᇦṑ⛉⮫ᗋ◊ಟࢆᐇ᪋ࡋ࡚࠸ࡿࠋ◊ಟඛࡢ -$ ࡳ࡞ࡳಙᕞṑ⛉デ⒪ᡤ࡜ -$ ࡳ࡞ࡳಙᕞ㜿༡ṑ⛉デ⒪ᡤࡣࠊ㛗㔝┴ࡢ༡㒊࡟఩⨨ࡍࡿ㣤⏣ୗఀ㑣ᆅᇦ࡟࠶ࡿࠋ㣤⏣ୗఀ㑣ᆅᇦࡣࠊ㣤⏣ᕷࢆ୰ᚰ࡜ࡋࡓேཱྀ  ୓ேࡢᆅᇦࡔࡀࠊࡑࡢ㠃✚ࡢ ௨ୖࡀᒣ㛫ᆅ࡛࠶ࡾࠊ㣤⏣ᕷࡢ࿘㎶⏫ᮧ࡛ࡣ㧗㱋໬⋡ࡀ ࢆ㉸࠼ࡿᆅᇦࡶከࡃࠊ࠸ࢃࡺࡿ㧗㱋໬୰ᒣ㛫ᆅ࡛࠶ࡿࠋ
ᆅᇦṑ⛉་⒪ࡣࠊᆅᇦໟᣓࢣ࢔ࢩࢫࢸ࣒ࡢ୰࡟࠾࠸࡚ࡣࠊせ௓ㆤ㧗㱋⪅ࡢཱྀ⭍ᶵ⬟⟶⌮࡜࠸࠺㔜せ࡞ᙺ๭ࢆᢸࡗ࡚࠸ࡿࠋࡲࡓᆅᇦṑ⛉་⒪ࡣࠊࡑࡢᆅᇦࡢ≉ᚩࡸồࡵࡽࢀࡿࡶࡢ࡟ࡼࡗ࡚ࠊࡑࡢᆅ
ᇦࡈ࡜࡟ᙧసࡽࢀࡿࡶࡢ࡛࠶ࡾࠊ㧗㱋໬୰ᒣ㛫ᆅ࡛ࡣࠊゼၥṑ⛉デ⒪ࢆ୰ᚰ࡜ࡋࡓᆅᇦṑ⛉་⒪ࡀ
ồࡵࡽࢀ࡚࠸ࡿࠋࡑࡇ࡛ᮏᏛ࡛ࡣࠊᆅᇦໟᣓࢣ࢔ࢩࢫࢸ࣒ࡢ୰࡛ከ⫋✀࡜ࡢ㐃ᦠࢆᅗࡾࠊせ௓ㆤ㧗㱋⪅࡟ᑐࡍࡿᇶᮏⓗ࡞デᐹ⬟ຊ㸦▱㆑࣭ែᗘ࣭ᢏ⬟㸧ࢆಟᚓࡋࠊせ௓ㆤ㧗㱋⪅࡟ᑐࡍࡿཱྀ⭍ᶵ⬟⟶⌮ࢆᐇ᪋ࡍࡿࡇ࡜ࢆ┠ⓗ࡟ࠊᆅᇦṑ⛉⮫ᗋ◊ಟࢆྲྀࡾ⤌ࢇ࡛࠸ࡿࠋᩍ⫱ⓗព⩏࡟ࡘ࠸࡚
せ௓ㆤ㧗㱋⪅࡟ᑐࡍࡿᆅᇦṑ⛉⮫ᗋ࡛ࡣࠊṑ⛉་ᖌ࡜ᝈ⪅ಶே࡜ࡢ㛵ಀᛶࡢࡳ࡞ࡽࡎࠊᐙ᪘ࡸ᪋タࢫࢱࢵࣇ࡜ࡢ㛵ಀᛶࡀ㔜せ࡜࡞ࡿࠋࡑࡢ୰࡛ࠊ἞⒪ࡢࢦ࣮ࣝࢆࡓࡔ༢࡟࠺⼃ࡸṑ࿘⑓ࡢ἞⒪ࠊḞᦆ⿵⥛࡜ࡍࡿࡢ࡛ࡣ࡞ࡃࠊᝈ⪅ࡢ㣗஦ࡸ௓ㆤࡢᵝᏊ࡞࡝ぢࡓୖ࡛ᝈ⪅࡜ࡑࡢ࿘ᅖࡢே㐩ࡢ⏕άࡢࣞ࣋ࣝࡲ࡛ⴠ࡜ࡋ㎸ࢇ࡛⪃࠼ࡿᚲせࡀ࠶ࡾࠊṑ⛉἞⒪ࢆ῝ࡃぢࡘࡵ┤ࡍᶵ఍࡜࡞ࡿ࡜⪃࠼ࡽࢀࡿࠋ ࡲࡓࠊᆅᇦ་⒪࡛ࡣ་ᖌࡸ┳ㆤᖌࠊ௓ㆤኈࠊゝㄒ⫈ぬኈࠊ⟶⌮ᰤ㣴ኈ࡞࡝ࡢ௚⫋✀࡜ࡢ㐃ᦠࡀ㔜せ࡜࡞ࡿࠋ௚⫋✀࡜ᝈ⪅࡟㛵ࡍࡿウㄽࢆ஺ࢃࡍࡓࡵ࡟ࡣࠊᝈ⪅ࡢཱྀ⭍ࡢࡇ࡜ࡔࡅ࡛࡞ࡃࠊ඲㌟≧ែࡸ᭹⏝⸆๣ࠊᰤ㣴࡟㛵ࡋ࡚ࡶ▱㆑ࢆᣢࡘࡇ࡜ࡀᚲせ࡛࠶ࡾࠊࡑࡢࡇ࡜ࢆ▱ࡿ࡜࡜ࡶ࡟ࠊᆅᇦໟᣓࢣ࢔
ࢩࢫࢸ࣒ࡢ୰࡛ṑࡸཱྀ⭍ᶵ⬟ࡀ௚⫋✀࠿ࡽ࡝ࢀࡔࡅ㔜せ࡟ᛮࢃࢀ࡚࠸ࡿ࠿ࢆ▱ࡿ㈗㔜࡞ᶵ఍࡜࡞ࡿࠋ
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- 25 -

࣏࠙ࢫࢱ࣮ウㄽࠚ㸺රᗜ་⛉኱Ꮫ㸼රᗜ་⛉኱Ꮫṑ⛉ཱྀ⭍እ⛉Ꮫㅮᗙ࡛ࡢ᪂ࡓ࡞༞ᚋᩍ⫱㹼་⛉࣭ṑ⛉ྜྠࣇࣞ࢖ࣝㄪᰝࢆ㏻ࡌ࡚͆㣗࡭ࡽࢀࡿཱྀࢆCREATE͇ࢆᐇ㊶ࡍࡿຊࢆ㣴࠺㹼௦⾲⪅ ᭹㒊ὒ୍ 1 ᇼ஭ᐉ⚽ 1 ᮡ⏣ⱥஅ 2 ୰ᮧ♸ᕫ 3 㔝୍ཱྀ㤿 4 ᓊᮏ⿱඘ 5㸦රᗜ་⛉኱Ꮫ 1 ṑ⛉ཱྀ⭍እ⛉Ꮫㅮᗙ 2 ṑ⛉ཱྀ⭍እ⛉⑓㝔ຓᡭ 3 ṑ⛉ཱྀ⭍እ⛉ຓᩍ 4 ṑ⛉ཱྀ⭍እ⛉Ꮫㅮᗙ෸ᩍᤵ 5 ṑ⛉ཱྀ⭍እ⛉Ꮫㅮᗙ୺௵ᩍᤵ㸧࠙ᴫせࠚ
 රᗜ་⛉኱Ꮫṑ⛉ཱྀ⭍እ⛉Ꮫㅮᗙ࡛ࡣ㸪ᮏᏛෆ⛉Ꮫ⥲ྜデ⒪⛉ࢆ୰ᚰ࡜ࡋ㸪රᗜ་⒪኱Ꮫࡶྵࡵ
ࡓከ㒊⨫࡜㐃ᦠࡋ㸪රᗜ┴୹Ἴᅪᇦᅾఫ㧗㱋⪅࡟࠾ࡅࡿࣇࣞ࢖ࣝ࡟㛵ࡍࡿ་⛉࣭ṑ⛉ྜྠㄪᰝࢆᐇ
᪋ࡋ࡚࠸ࡿ㸬኱Ꮫ࡛ࡣ⑌ᝈࢆᢪ࠼ࡓ͆ᝈ⪅͇ࢆ͆デᐹ͇ࡍࡿࡇ࡜ࡀከ࠸ࡢ࡟ᑐࡋ࡚㸪ᙜㄪᰝࡣᑐ㇟⪅ࡀ͆ᆅᇦࡢ㧗㱋⪅͇࡛࠶ࡾ㸪ࡇ࠺ࡋࡓ᪉ࠎ࡟㛵ࡍࡿ඲㌟ࡸཱྀ⭍ࡢ≧ែࢆ▱ࡿᶵ఍ࡣ㸪ᙜㄪᰝ࡟ཧຍࡋ
࡚࠸ࡿ◊ಟ་ࡸࣞࢪࢹࣥࢺ ᚋᮇ◊ಟ་ ࡟࡜ࡗ࡚㸪኱ኚ㈗㔜࡛࠶ࡿ㸬࡞࠾㸪ᙜㄪᰝࡢᴫせࡣ௨ୗࡢ㏻ࡾ࡛࠶ࡿ㸬රᗜ┴୹Ἴᅪᇦ࡟ᅾఫࡢ⮬❧ࡋࡓ㧗㱋⪅  ṓ௨ୖ ࢆᑐ㇟࡟㸪ෆ⛉Ꮫ⥲ྜデ⒪⛉ࡣ㌟యィ⤌ᡂศᯒ࡟ࡼࡿ㦵᱁➽㔞ࡸయ⬡⫫㔞࡞࡝ࡢᐃ ࡞ࡽࡧ࡟㌟యᶵ⬟ホ౯ ᥱຊ㸪Ṍ⾜㏿ᗘࡢయᐃ㸪ࢱࣥࢹ࣒ࢸࢫࢺ࡞࡝ ࢆ㸪ṑ⛉ཱྀ⭍እ⛉ࡣṑ⛉᳨デ࡞ࡽࡧ࡟ཱྀ⭍⾨⏕⎔ቃ㸪ཱྀ⭍ᶵ⬟ࡢホ౯ࢆᐇ᪋ࡋ࡚
࠸ࡿ㸬ࡲࡓ㸪ࣇࣞ࢖ࣝ࡟ࡘ࠸࡚ྛཧຍ⪅࡟ཌ⏕ປാ┬ࡢᇶᮏࢳ࢙ࢵࢡࣜࢫࢺ ඲  㡯┠ ࡟ᅇ⟅ࡉࡏ࡚࠸ࡿ㸬ホ౯㡯┠ࡣ㸪ṧᏑṑᩘ࡜⩏ṑࡢ౑⏝≧ἣ㸪ཱྀ⭍⾨⏕≧ែ㸪ཱྀ⭍஝⇱≧ែ ཱྀ⭍Ỉศィ࣒࣮࢝ࢫ㸧㸪⯉⫼ࡢ⣽⳦㔞 ⣽⳦࢝࢘ࣥࢱ 㸪⯉ᅽ -06 ⯉ᅽᐃჾ 㸪ညྜຊ ࢜ࢡ࣮ࣝࢨࣝࣇ࢛࣮ࢫ࣓࣮ࢱ࣮

*0 㸪࿪ᄮ⬟ຊ ࢢ࣑ࢮ࣮ࣜ 㸪཯᚟ၚᾮᄟୗࢸࢫࢺࡢ  㡯┠࡜ࡋ࡚࠸ࡿ㸬ᙜㄪᰝ࡬ࡢཧຍࡣ㸪་ᖌ㸪ṑ⛉་ᖌ㸪┳ㆤᖌ㸪ゝㄒ⫈ぬኈ㸪⌮Ꮫ⒪ἲኈ࡞࡝௚⫋✀࡜ࡢ㛵ࢃࡾࡀ࡛ࡁࡿࡇ࡜࡛㸪⑓㝔࡛ࡢࢳ࣮࣒་⒪࡜ࡣ㐪࠺ᙧࡢከ⫋✀㐃ᦠ࡜࠸࠺ࡶࡢࡀ࡝ࡢࡼ࠺࡞ࡶࡢ࡞ࡢ࠿ࢆ▱ࡾ㸪ࡑࡢ୰࡛ṑ⛉་ᖌࡀᯝࡓࡏࡿᙺ๭࡜ࡣఱ࠿ࢆ⪃࠼ࡿࡁࡗ࠿ࡅ࡜࡞ࡿ࡜࠸࠺ᩍ⫱ⓗព⩏ࢆ⏕ࡴ㸬ࡑࢀࡣ⮫ᗋࡢࡳ࡞ࡽࡎ㸪◊✲࡟࠾࠸࡚ࡶྠᵝ࡛࠶ࡾ㸪ṑ⛉㡿ᇦ࡟␃ࡲࡽ࡞࠸Ꮫ㝿ⓗ࡞ᗈ࠸ど㔝ࢆᣢࡗࡓṑ⛉་ᖌࡢ⫱ᡂ࡟ࡘ࡞ࡀࡿ࡜࠸࠺Ⅼ࡟࠾࠸࡚ࡶ᭷┈࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿ㸬ᮏᏛ࡛ࡣ㸪ࡇࡢࡼ࠺࡟ࡋ࡚㸪⮫ᗋࡢࡳ࡞ࡽࡎ◊✲࡟࠾࠸࡚ࡶ་⒪ே࡜ࡋ࡚ᚲせ࡞⪃࠼᪉ࢆ㌟࡟ࡘ
ࡅࡿᶵ఍ࢆタࡅ࡚࠸ࡿ㸬௒ᚋࡶᐃᮇⓗ࡟ࡇࡢヨࡳࢆ⥅⥆ࡋ࡚࠸ࡃணᐃ࡛࠶ࡿ㸬- 26 -

࣏࠙ࢫࢱ࣮ウㄽࠚ㸺ᒸᒣ኱Ꮫ̺㸼
HOHDUQLQJ ࢩࢫࢸ࣒ࡢ௒ᚋࡢ᭷ຠά⏝࡟ྥࡅ࡚
ࠐṊ⏣ᏹ᫂ 㸪ᮡᮏᜤᏊ 㸪ᕝ℩᫂Ꮚ 㸪๓⏣࠶ࡎࡉ 㸪ᅬ஭ᩍ⿱ 㸪ᮧ⏣ᑦ㐨 ࠊ᭮ᡃ㈼ᙪ ࠊ㫽஭ᗣᘯ ࠊ❑ᮌᣅ⏨㸴ࠊὸᾏ῟୍ ࠊࠊ㸦 ᒸᒣ኱Ꮫ⑓㝔 ⥲ྜṑ⛉ࠊ ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ ་⒪ᩍ⫱⤫ྜ㛤Ⓨࢭࣥࢱ࣮ ṑ⛉་Ꮫᩍ⫱ᨵ㠉㒊㛛ࠊ ᒸᒣ኱ᏛṑᏛ㒊 ṑᏛᩍ⫱࣭ᅜ㝿஺ὶ᥎㐍ࢭࣥࢱ࣮ࠊ ᒸᒣ኱Ꮫ⑓㝔 ࢫ࣌ࢩࣕࣝࢽ࣮ࢬṑ⛉ࢭࣥࢱ࣮ࠊ ᒸᒣ኱Ꮫ⑓㝔 ་⒪ᨭ᥼ṑ⛉἞⒪㒊ࠊ㸴ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ ࢖ࣥࣉࣛࣥࢺ෌⏕⿵⥛Ꮫศ㔝ࠊ㸵ᒸᒣ኱Ꮫ ṑᏛ㒊㛗㸧࠙┠ⓗࠚ ᖺ┠ࢆ㏄࠼ࡓᮏ஦ᴗ࡛ࡣ㸪ࡇࢀࡲ࡛࡟㐃ᦠ኱Ꮫࡸ༠ຊ᪋タࡀ୍୸࡜࡞ࡗ࡚㸪ᵝࠎ࡞ṑ⛉་Ꮫᩍ⫱ᨵ㠉ࢆ⾜ࡗ࡚ࡁࡓ㸬ᮏ஦ᴗࡢᰕࡢ୍ࡘ࡜ࡋ࡚㸪ྛ኱Ꮫࡀಖ᭷ࡍࡿඃࢀࡓࢥࣥࢸࣥࢶࢆ┦஫฼⏝ࡍࡿࡇ࡜ࡀ࡛ࡁࡿ HOHDUQLQJ ࢩࢫࢸ࣒ࡀᵓ⠏ࡉࢀ࡚࠸ࡿ㸬ᮏᏛ࡛ࡣᖹᡂ  ᖺᗘࡼࡾᮏࢩࢫࢸ࣒
ࢆ฼⏝ࡋࡓㅮ⩏ど⫈ࢆ༢఩໬ࡋ㸪࣒࢝ࣜ࢟ࣗࣛ࡟⤌ࡳ㎸ࢇ࡛࠸ࡿ㸬ࡇࡢࢩࢫࢸ࣒࡟ࡣࡍ࡛࡟  ࢆ㉸࠼ࡿࢥࣥࢸࣥࢶࡀ཰㍕ࡉࢀ࡚࠾ࡾ㸪ᮏࢩࢫࢸ࣒ࢆ㐃ᦠ኱Ꮫ࡛ࡶ᭷ຠ࡟ά⏝ࡋ࡚࠸ࡃࡇ࡜ࡀ㔜せࡔ࡜⪃࠼ࡽࢀࡿ㸬ࡑࡇ࡛㸪ྛ኱Ꮫ࡛ࡢ᭦࡞ࡿ฼⏝ಁ㐍ࢆᅗࡿࡇ࡜ࢆ┠ⓗ࡜ࡋ㸪௒୍ᗘᮏࢩࢫࢸ࣒ࡢ฼
⏝᪉ἲࢆ⤂௓ࡍࡿ࡜࡜ࡶ࡟㸪ᮏᏛ࡛ࡢ㐠⏝౛࡟ࡘ࠸࡚ሗ࿌ࡍࡿ㸬࠙ ฼ ⏝ ᪉ ἲ ࠚ ࣟ ࢢ ࢖ ࣥ ᪉ ἲ 㸸 ᮏ ஦ ᴗ ࣍ ࣮ ࣒ ࣌ ࣮ ࢪ 㸦 KWWSVPGSGHQWRND\DPDXDFMSRFZLQGH[SKS㸧࠿ࡽ㸪,' ࡜ࣃࢫ࣮࣡ࢻࢆධຊࡋ㸪ࢩࢫࢸ࣒࡟ࣟࢢ࢖ࣥࡍࡿ㸬,' ࡜ࣃࢫ࣮࣡ࢻࡣ஦๓Ⓩ㘓࡛ࡁ㸪฼⏝⪅᝟ሗ㸦Ặྡ࣭࣓࣮ࣝ࢔ࢻࣞࢫ㸧ࢆᥦ౪ࡍࢀࡤ୍ᣓ⟶⌮ࡀྍ⬟࡛࠶ࡿ㸬᝟ሗᥦ౪ࡀ㞴ࡋ࠸ሙྜࡣ㸪ྛ⮬࡛タᐃࡍࡿࡇ࡜ࡶྍ⬟࡛࠶ࡿ㸬ど⫈᪉ἲ㸸ࢥ࣮ࢫ࣮࣡ࢡྡࢆ㑅ᢥ㸪ࡶࡋࡃࡣ㸪᳨⣴࢜ࣉࢩࣙࣥ࠿ࡽ᳨⣴࣮࣡ࢻࢆධຊࡋ㸪ど⫈ࡋࡓ࠸ࢥࣥࢸࣥࢶࢆ㑅ᢥᚋ㸪ࠕど⫈ࡍࡿࠖࡢࢱࣈࢆࢡࣜࢵࢡࡍࡿ࡜ື⏬ࡀ෌⏕ࡉࢀࡿ㸬ᑠࢸࢫࢺཷ㦂㸸ᑠࢸࢫࢺࡀタᐃࡉࢀ࡚࠸ࡿࢥࣥࢸࣥࢶࡢྛື⏬᫬㛫ࢆ㉸࠼࡚ど⫈ࡍࡿ࡜㸪 ᢥၥ㢟ࡢᑠࢸࢫࢺࢆཷ㦂࡛ࡁࡿ㸬 ၥ୰  ၥ௨ୖࡢṇゎ࡛ྜ᱁࡜࡞ࡿ㸬⮬⏤グ㍕࣭ホ౯㸸ㅮ⩏ࡢឤ᝿➼ࢆ⮬⏤グ㍕ࡍࡿࡇ࡜ࡀྍ⬟࡛࠶ࡿ㸬ࡲࡓ㸪ㅮ⩏࡟ࡘ࠸࡚ࡢホ౯ࢆࡍࡿࡇ࡜ࡶྍ⬟࡛࠶ࡿ㸬ᡂ⦼⟶⌮㸸ྛಶேࡢཷㅮᒚṔࢆ 3') ࡸ &69 ᙧᘧ࡛ฟຊྍ⬟࡛࠶ࡿ㸬ࡲࡓ㸪ᶒ㝈ࢆ௜୚ࡍࡿࡇ࡜࡛㸪ྛ኱Ꮫࡸ㐃ᦠ኱Ꮫ඲యࡢ฼⏝⪅ࡢᡂ⦼ࡸ࢔ࢡࢭࢫࣟࢢࢆฟຊࡍࡿࡇ࡜ࡀྍ⬟࡛࠶ࡿ㸬࠙ᐇ᪋౛ࠚᮏᏛ࡛ࡣ㸪 ᖺ⏕࡟ᑐࡋ࡚ㅮ⩏ࢩ࣮ࣜࢬ㸯㸦⏕ά⩦័⑓࡜ཱྀ⭍㸧㸪 ᖺ⏕࡟ᑐࡋ࡚ㅮ⩏ࢩ࣮ࣜࢬ㸰㸦ᛴᛶᮇ་⒪㸧࣭㸱㸦ᅾᏯ௓ㆤ་⒪㸧ࢆㅮ⩏ᐊ࡟㞟ࡵ࡚ྛ  ㅮ⩏ど⫈ࡉࡏ㸪ᑠࢸࢫࢺ࡜⮬⏤グ㍕࡟ࡼࡾᡂ⦼ุᐃࢆ⾜ࡗ࡚࠸ࡿ㸬ࡲࡓ㸪◊ಟṑ⛉་࡟ᑐࡋ࡚ㅮ⩏ࢩ࣮ࣜࢬ㸰࣭㸱ࡢᑠࢸࢫࢺ࡜
⮬⏤グ㍕ࢆ◊ಟಟ஢せ௳࡟⤌ࡳ㎸ࢇ࡛࠸ࡿ㸬࠙ࡲ࡜ࡵࠚඃࢀࡓࢥࣥࢸࣥࢶࡀྛ኱Ꮫ࡛᭷ຠ࡟฼⏝ࡉࢀࡿࡓࡵ࡟ࡣ᭦࡞ࡿᗈሗࡀᚲせ࡛࠶ࡿ㸬௒ᚋࡶ㐃ᦠ኱Ꮫ࡜༠ຊࡋ࡚᭦࡞ࡿࢥࣥࢸࣥࢶࡢᣑ඘ࢆᅗࡿ࡜࡜ࡶ࡟㸪ࢩࢫࢸ࣒ࡢ࢔ࢵࣉࢢ࣮ࣞࢻࢆ⾜࠸㸪೺ᗣ㛗ᑑ♫఍ࢆᢸ࠺ṑ⛉་ᖌ⫱ᡂࡢ୍ຓ࡜ࡋࡓ࠸㸬- 27 -

࣏࠙ࢫࢱ࣮ウㄽࠚ㸺ᒸᒣ኱Ꮫ̺㸼኱Ꮫ⑓㝔ࡢ་⒪⌧ሙࢆ฼⏝ࡋࡓࠕ㧗ᗘ་⒪ᨭ᥼࣭࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ᐇ⩦ࠖሗ࿌      ௦⾲⪅ ‫ۑ‬ᅬ஭ᩍ⿱ 㸪᭮ᡃ㈼ᙪ 㸪ᒣ୰⋹Ꮚ 㸪ᐊ ⨾㔛 㸪๓⏣࠶ࡎࡉ 㸪ᮡᮏᜤᏊ 㸪❑ᮌᣅ⏨ 㸪ὸᾏ῟୍ 㸦 ᒸᒣ኱ᏛṑᏛ㒊 ṑᏛᩍ⫱࣭ᅜ㝿஺ὶ᥎㐍ࢭࣥࢱ࣮㸪 ᒸᒣ኱Ꮫ⑓㝔 ་⒪ᨭ᥼ṑ⛉἞⒪㒊㸪 ᒸᒣ኱Ꮫ኱Ꮫ㝔 ་ṑ⸆Ꮫ⥲ྜ◊✲⛉
་⒪ᩍ⫱⤫ྜ㛤Ⓨࢭࣥࢱ࣮ ṑ⛉་Ꮫᩍ⫱ᨵ㠉㒊㛛㸪 ᒸᒣ኱Ꮫ኱Ꮫ㝔 ་ṑ⸆Ꮫ⥲ྜ◊✲⛉࢖ࣥࣉࣛࣥࢺ෌⏕⿵⥛Ꮫศ㔝㸪 ᒸᒣ኱Ꮫ
ṑᏛ㒊㛗㸧

ᒸᒣ኱ᏛṑᏛ㒊ࡣ㸪᥇ᢥࡉࢀࡓᩥ㒊⛉Ꮫ┬ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂࣉࣟࢢ࣒ࣛ஦ᴗ࡛㸪኱Ꮫ⑓㝔ࡀᒎ㛤ࡍࡿࢳ࣮࣒་⒪ࡢ⌧ሙࢆᩍ⫱ࡢሙ࡜ࡋࡓࠕ㧗ᗘ་⒪ᨭ᥼࣭࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ᐇ⩦ࠖࢆ㛤ㅮࡋࡓ㸬ᮏᐇ⩦ࡣ㸪࿘⾡ᮇ⟶⌮ࢭࣥࢱ࣮⾡๓እ᮶ࡢཷデᝈ⪅ࢆᑐ㇟࡜ࡋ㸪┳ㆤ㠃ㄯ࣭㯞㓉⛉ཷデ࣭እ⛉ཷデ࣭ṑ⛉ཷデ➼ࡢ୍㐃ࡢὶࢀࢆ࢚ࢫࢥ࣮ࢺࡍࡿᐇ⩦㸪⭘⒆ࢭࣥࢱ࣮㸦እ᮶໬Ꮫ⒪ἲᐊ㸧ぢᏛ㸪%LR&OHDQ5RRP㸦㐀⾑⣽⬊⛣᳜ࢆ୺┠ⓗ࡜ࡍࡿ⑓ᐊ㸧ぢᏛ㸪,&8 ཱྀ⭍ࢣ࢔ࣛ࢘ࣥࢻぢᏛ࠾ࡼࡧ⦆࿴ࢣ࢔ࢳ࣮࣒ࣛ࢘ࣥࢻࡢྠ⾜ᐇ⩦࡞࡝࡛ᵓᡂࡋ㸪ከ⫋✀㐃ᦠཬࡧྛ་⒪ᑓ㛛⫋ࡢᙺ๭ࢆ⌧ሙ࡛┠ࡢᙜࡓࡾ࡟ࡉࡏࡿ࡜࡜ࡶ࡟ྍ⬟࡞⠊ᅖࡢ⤒㦂ࢆࡉࡏ㸪ࢳ࣮࣒་⒪ࡢ୍ဨ࡜ࡋ࡚ᑗ᮶ά㌍ࡍࡿᇶᮏⓗ࡞⬟ຊ࠾ࡼࡧጼໃࢆ⫱ࡴࡇ࡜ࢆ┠ⓗ࡜ࡋ࡚࠸ࡿ㸬ᐇ⩦᭱⤊᪥࡟ࡣ㸪Ꮫ⏕࡟࿘⾡ᮇࡢཱྀ⭍⟶⌮ࢆせࡍࡿᝈ⪅ࡢㄢ㢟⑕౛ࢆ୚࠼㸪ᣦᑟᩍဨ࡜ࡢࢹ࢕ࢫ࢝ࢵࢩࣙࣥࢆ㏻ࡋ࡚デ᩿ཬࡧ἞⒪ィ⏬ࡢ❧᱌ࢆ⤒㦂ࡉࡏ࡚࠸ࡿ㸬ᮏᐇ⩦ࡣ㸪᭱⤊Ꮫᖺࡀᒚಟࡍࡿデ⒪ཧຍᆺ⮫ᗋᐇ⩦ࡢᐇ᪋ᮇ㛫㸦 ᖺḟ  ᭶ࠥ ᖺḟ  ᭶㸧࡟୪⾜ࡋ࡚⾜࠸㸪ẖ㐌  ྡࡢᏛ⏕࡟  㐌㛫ᐇ᪋ࡋࡓ㸬ᖹᡂ  ᖺᗘ  ᖺḟ࠿ࡽ  ᖺᗘ  ᖺḟ࡟࠿ࡅ࡚ཷ
ㅮࡋࡓᮏᏛṑᏛ㒊⏕  ྡࢆᑐ㇟࡜ࡋ࡚㸪ᐇ⩦ᚋ࡟୍␒༳㇟࡟ṧࡗࡓෆᐜ࡟ࡘ࠸࡚ᑜࡡࡓ࡜ࡇࢁ㸪࿘⾡ᮇ⟶⌮ࢭࣥࢱ࣮⾡๓እ᮶࡛ࡢ࢚ࢫࢥ࣮ࢺᐇ⩦ࢆᣲࡆࡓᏛ⏕ࡢ๭ྜࡀ 㸣୍࡛␒ከࡃ㸪ᣲࡆࡓ⌮⏤࡜ࡋ࡚ࡣ㸪ከ⫋✀ࡢ㛵ࢃࡾࢆ▱ࡿࡇ࡜ࡀ࡛ࡁࡓࡇ࡜ࡸᐇ㝿࡟ࡀࢇᡭ⾡ࢆཷࡅࡿᝈ⪅ࡢᚰ᝟࡟ゐࢀࡓࡇ࡜࡜࠸ࡗࡓෆᐜ࡛࠶ࡗࡓ㸬ᮏᐇ⩦ࡀ୺࡟་⒪⪅ࢧ࢖ࢻࢆᑐ㇟࡜ࡋࡓぢᏛᐇ⩦࡛ᵓᡂࡉࢀࡿ୰㸪࢚ࢫࢥ࣮ࢺᐇ⩦࡛ࡣᏛ⏕ࡀᝈ⪅࡟┤᥋᥋ࡋ㸪⑓㝔ෆࡢ」ᩘእ᮶࡬ࡢ᱌ෆ࡜࠸࠺ᙺ๭ࢆᢸ࠺㸬Ꮫ⏕࡟ᙺ๭ࢆ୚࠼ࡿࡇ࡜ࡣ㸪ࢳ࣮࣒་⒪ࡢព⩏ࢆ⌮ゎࡍࡿࡇ࡜࡟࡜࡝ࡲࡽࡎ㸪་⒪ே࡜ࡋ࡚ᚲせ࡞ࣉࣟࣇ࢙ࢵࢩࣙࢼࣜࢬ࣒ࢆ⫱ࡴ࡜ᛮࢃࢀࡓ㸬ࡇࡢᐇ⩦ࡣ㸪ᮏᏛᏛ⏕ࡢࡳ࡟ᑐࡋ࡚ࡢࡳ࡞ࡽࡎ㸪ᖹᡂ  ᖺᗘ࡟᪥ᮏ኱Ꮫ࠿ࡽ  ྡ㸪ᖹᡂ  ᖺᗘ࡟᪥ᮏ኱Ꮫ࠿ࡽ  ྡ㸪㛗ᓮ኱Ꮫ࠿ࡽ  ྡࡢᏛ⏕ࢆཷࡅධࢀ㸪ࡇࢀࡲ࡛㐃ᦠ኱Ꮫ࠿ࡽ  ྡࡢᏛ⏕ࢆཷࡅධࢀ࡚࠸ࡿ㸬
ࢳ࣮࣒་⒪ࡢሙ࡛ά㌍࡛ࡁࡿṑ⛉་ᖌࢆ⫱࡚ࡿ࡟ࡣ㸪ᗙᏛࡔࡅ࡛ࡣ㝈⏺ࡀ࠶ࡾ㸪ከ⫋✀㐃ᦠࡢሙࢆᐇ㝿࡟⤒㦂ࡉࡏࡿᩍ⫱ࡀ୙ྍḞ࡛࠶ࡿ࡜⪃࠼ࡿ㸬ࡉࡽ࡟ࡣ㸪Ꮫ⏕࡟࡜ࡗ࡚ఱ࠿ᙺ๭ࢆ୚࠼ࡓ࠺࠼
࡛ᐇ⩦࡟⮫ࡲࡏࡿ࡜ᐇ⩦ᚋࡢ༳㇟ࡀᙉࡃṧࡿࡼ࠺࡛࠶ࡿ㸬ࡇࡢࡇ࡜ࢆ㋃ࡲ࠼㸪௒ᚋࡉࡽ࡟ᮏᐇ⩦ࢆࡼࡾⰋ࠸ࡶࡢ࡜ࡋࡓ࠸㸬㐃ᦠ኱Ꮫ࠿ࡽࡢᩍဨ㸪Ꮫ⏕ࡢཷࡅධࢀࢆቑࡸࡋ㸪᭦࡞ࡿᆒ࡚ࢇ໬࡟ࡶ㈉⊩ࡋࡓ࠸࡜⪃࠼࡚࠸ࡿ㸬- 28 -

࣏࠙ࢫࢱ࣮ウㄽࠚ㸺ᒸᒣ኱Ꮫ̺㸼ᖹᡂ  ᖺᗘࠕ௓ㆤ᪋タࢆ⏝࠸ࡓ 3%/ ₇⩦ࠖࡢᐇ᪋ሗ࿌
௦⾲⪅ ‫ۑ‬๓⏣࠶ࡎࡉ 㸪Ṋ⏣ᏹ᫂ 㸪ᮡᮏᜤᏊ 㸪ᕝ℩᫂Ꮚ 㸪ᅬ஭ᩍ⿱ 㸪๓⏣┤ே 㸪᳃㈗ᖾ 㸪㔝ᓥ㟹Ꮚ 㸪❑ᮌᣅ⏨ 㸪ὸᾏ῟୍ 
㸦ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ṑᏛᩍ⫱࣭ᅜ㝿஺ὶ᥎㐍ࢭࣥࢱ࣮ᒸᒣ኱Ꮫ⑓㝔⥲ྜṑ⛉ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉་⒪ᩍ⫱⤫ྜ㛤Ⓨࢭࣥࢱ࣮ṑ⛉་Ꮫᩍ⫱ᨵ㠉㒊㛛ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ညྜ࣭᭷ᗋ⩏ṑ⿵⥛Ꮫศ㔝ᒸᒣ኱Ꮫ
⑓㝔ࢫ࣌ࢩࣕࣝࢽ࣮ࢬṑ⛉ࢭࣥࢱ࣮ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉࢖ࣥࣉࣛࣥࢺ෌⏕⿵⥛Ꮫศ㔝ᒸᒣ኱ᏛṑᏛ㒊㛗㸧㉸㧗㱋♫఍ࢆ㏄࠼ࡓᡃࡀᅜ࡛ࡣ㸪ṑ⛉་⒪࡟ồࡵࡽࢀࡿࢽ࣮ࢬࡀᚑ᮶ࡢࠕ೺ᖖ⪅ᆺࠖ࠿ࡽࠕ㧗㱋⪅ᆺࠖ࡟ࢩࣇࢺࡋࡘࡘ࠶ࡿ㸬ྠ᫬࡟㸪㧗㱋⪅㸪≉࡟せᨭ᥼࣭せ௓ㆤ㧗㱋⪅ࡣ」ᩘࡢ඲㌟⑌ᝈࡸᶵ⬟㞀ᐖࢆᢪ࠼࡚࠸ࡿሙྜࡀከࡃ㸪ṑ⛉་ᖌ࡟ࡣཱྀ⭍ෆࡢ୺ッࡢࡳ࡞ࡽࡎ㸪඲㌟≧ែࡸᝈ⪅ࢆྲྀࡾᕳࡃಶࠎ
ࡢ⎔ቃ࡟ࡶ┠ࢆྥࡅ࡚㸪ࡑࡢᝈ⪅ࡀᢪ࠼ࡿၥ㢟Ⅼࢆ⥲ྜⓗ࡟ᢕᥱࡋゎỴࡍࡿ⬟ຊࡀᚲせ࡛࠶ࡿ㸬ࡑࡇ࡛㸪ࡇࢀࡲ࡛ࡢṑ⛉་⒪ᩍ⫱࡛ࡣ༑ศ࡟⿵᏶࡛ࡁ࡚࠸࡞࠿ࡗࡓ㧗㱋⪅ᆺࡢṑ⛉἞⒪࡟ᑐᛂ࡛ࡁࡿ
ṑ⛉་ᖌࢆ⫱ᡂࡍࡿࡇ࡜ࢆ┠ⓗ࡟㸪ᒸᒣ኱ᏛṑᏛ㒊࡛ࡣᖹᡂ  ᖺᗘ࠿ࡽ  ᖺḟ⏕ࢆᑐ㇟࡟ࢸ࣮ࣗࢺ
ࣜ࢔ࣝᙧᘧ࡛⾜࠺ࠕ௓ㆤ᪋タࢆ⏝࠸ࡓ 3%/ ₇⩦ࠖࢆ㛤ጞࡋࡓ㸬ᮏᐇ⩦ࡣ᫖ᖺ࡟ᘬࡁ⥆ࡁ㸪➨ϩࢡ࢛࣮ࢱ࣮࡟࠶ࡓࡿ a ᭶࡟ᐇ᪋ࡋࡓ㸬 ᖺḟ⏕  ྡࢆ a ேࡎࡘࡢᑡேᩘࢢ࣮ࣝࣉ ඲  ࢢ࣮ࣝࣉ ࡟⌜ศࡅࡋ㸪ྛࢢ࣮ࣝࣉ࡟ࡣᩍဨࢆ  ྡࡎࡘࢸ࣮ࣗࢱ࣮࡜ࡋ
࡚㓄⨨ࡋࡓ㸬ẖ㐌  ᫬㛫㸪඲  ᅇ࡜࡞ࡿᐇ⩦ᮇ㛫ࡢ๓༙࡟  ᅇ㸪㏆㞄ࡢ⪁ே௓ㆤ᪋タࢆゼၥࡋ㸪ྛࢢ࣮ࣝࣉ࡟  ேࡎࡘ๭ࡾᙜ࡚ࡽࢀࡓ᪋タ࡟ධᡤࡋ࡚࠸ࡿせ௓ㆤ㧗㱋⪅࡟࢖ࣥࢱࣅ࣮ࣗࢆ⾜ࡗࡓ㸬ཱྀ⭍ෆࡔࡅ࡛ࡣ࡞ࡃ㸪ධᡤ⪅ࢆྲྀࡾᕳࡃ⎔ቃࡶྵࡵ࡚ほᐹࢆ⾜࠸ᑐ㇟ධᡤ⪅≉᭷ࡢၥ㢟Ⅼࢆᢳฟࡋ㸪ࡑࡢᚋࡢࢢ࣮ࣝࣉ࣮࣡ࢡ࡟ࡼࡾࡑࡢゎỴ⟇ࢆ᳨ウࡉࡏࡓ ࢫ࣮ࣔࣝࢢ࣮ࣝࣉウ㆟ 㸬⮫ᗋ⛉┠ࢆ࡯࡜ࢇ࡝ᒚಟࡋ࡚࠸࡞࠸Ꮫᖺ࡛࠶ࡿࡓࡵ㸪ᐇ⩦ᮇ㛫୰࡟ࡣ㧗㱋⪅ࡢᦤ㣗ᄟୗ㞀ᐖ࡜㣗ᨭ᥼࡟㛵ࡍࡿ≉ูㅮ⩏ࢆ  ᫬㛫⾜࠸㸪᪋タゼၥࡸࢢ࣮ࣝࣉ࣮࣡ࢡ࡟᭱ᑠ㝈ᚲせ࡞▱㆑ࢆ⿵ࡗࡓ㸬ᐇ⩦᭱⤊᪥࡟ࡣⓎ⾲఍ࢆ㛤ദࡋ㸪ྛࢢ࣮ࣝࣉࡢᏛ⩦ᡂᯝࢆඹ᭷ࡋࡓ㸬ᡂ⦼ホ౯ࡣᩍဨ࡜Ꮫ⏕ྠኈ࡟ࡼࡿᐇ⩦඲⯡࡛ࡢಶேホ౯㸪Ⓨ⾲఍࡛ࡢࢢ࣮ࣝࣉホ౯࡞ࡽࡧ࡟ᐇ⩦ᚋ࡟ᥦฟࡉࡏࡓ࣏࣮ࣞࢺ࡟ࡼࡾ⾜ࡗࡓ㸬ᮏᐇ⩦ࡣ⮫ᗋᩍ⫱ࢆ࡯࡜ࢇ࡝ཷࡅ࡚࠸࡞࠸  ᖺḟ⏕ࢆᑐ㇟࡜ࡋ࡚⾜ࡗ࡚࠸ࡿࡓࡵ㸪᫖ᖺᗘ࡜ྠᵝ࡟ࣞࢡ࢚࣮ࣜࢩࣙࣥࡸせ௓ㆤㄆᐃไᗘ࡞࡝ࢆࢸ࣮࣐࡜ࡋࡓ㸪ཱྀ⭍࡟┤᥋㛵㐃ࡋ࡞࠸ၥ㢟Ⅼ࡟╔║ࡍࡿࢢ࣮ࣝࣉࡀከ࠿ࡗࡓ㸬ᑓ㛛ㄢ⛬࡟ࡲࡔ࠶ࡲࡾゐࢀ࡚࠸࡞࠸᫬ᮇ࡟ᮏ⮬⩦ࢆ⾜࠺ࡇ࡜ࡣ㸪༢࡟ࢢ࣮ࣝࣉෆ࡛ࡢ༠ാసᴗࢆ㏻ࡌ࡚ၥ㢟ⅬࢆゎỴࡍࡿ⬟ຊࢆ㣴࠺ࡔࡅ࡛ࡣ࡞ࡃ㸪ཱྀ⭍㛵㐃ࡢၥ㢟࡟ᅃࢃࢀ࡞࠸ᖜᗈ࠸どⅬ࡛㧗㱋⪅࡟ᐤࡾῧ࠸㸪⏕άࡑࡢࡶࡢࢆࡼࡾⰋ࠸ࡶࡢ࡟ࡋࡓ࠸࡜࠸࠺Ẽᣢࡕࢆ⫱ࡴࡓࡵ࡟ຠᯝⓗ࡛࠶ࡿ࡜⪃࠼ࡿ㸬- 29 -

࣏࠙ࢫࢱ࣮ウㄽࠚ㸺ᒸᒣ኱Ꮫ̺㸼ᅾᏯ࣭ゼၥṑ⛉デ⒪ᐇ⩦࡛ࡢᐇ⩦ෆᐜࢆ཯ᫎࡋࡓࢩ࣑࣮ࣗࣞࢩࣙࣥᩍ⫱ࡢྲྀ⤌࡟ࡘ࠸࡚
ʕੁຌ‫ ࢢڭ‬ɾ‫ٸ‬࿮୐໷ ɾ෤ీ޼໎ ɾ൩ీ੒್ ɾ‫۾‬໨୕஋ ɾછք५Ҳ ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ ་⒪ᩍ⫱⤫ྜ㛤Ⓨࢭࣥࢱ࣮ ṑ⛉་Ꮫᩍ⫱ᨵ㠉㒊㛛㸪 ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ ṑ㸪 ᒸ⛉㯞㓉࣭≉ูᨭ᥼ṑᏛศ㔝㸪 ᒸᒣ኱Ꮫ⑓㝔 ⥲ྜṑ⛉㸪 ᒸᒣ኱ᏛṑᏛ㒊ᩍົጤဨ఍ ⮫ᗋᐇ⩦ᐇ᪋㒊఍㸦㢡ཱྀ⭍෌ᘓእ⛉Ꮫศ㔝㸧ᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ ࢖ࣥࣉࣛࣥࢺ෌⏕⿵⥛Ꮫศ㔝㸪 ᒸᒣ኱ᏛṑᏛ㒊㛗㸧ᒸᒣ኱ᏛṑᏛ㒊࡛ࡣᖹᡂ  ᖺᗘࡼࡾ㸪ࠕᩥ㒊⛉Ꮫ┬ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂࣉࣟࢢ࣒ࣛࠖࡢ
ୗ㸪ᅾᏯ࣭ゼၥṑ⛉デ⒪ᐇ⩦ࢆ⾜ࡗ࡚࠾ࡾ㸪ࡑࡢ஦๓ᩍ⫱࡜ࡋ࡚せ௓ㆤ㧗㱋⪅ࢆᶍࡋࡓࢩ࣑࣮ࣗࣞ
ࢱ࣮ࢆ฼⏝ࡋࡓࢩ࣑࣮ࣗࣞࢩࣙࣥᐇ⩦ࢆ⾜ࡗ࡚࠸ࡿ㸬ࢩ࣑࣮ࣗࣞࢩࣙࣥᐇ⩦࡛ࡣᅾᏯ⎔ቃୗࢆ᝿ᐃ
ࡋ㸪እ᮶デ⒪ࡢࡼ࠺࡞ᩚࡗࡓタഛࡢ࡞࠸୰࡛㸪ṑ⛉་ᖌ࡜ࡋ࡚࠸࠿࡟ᑐᛂ࡛ࡁࡿ࠿ࢆ⪃࠼ࡉࡏ㸪㧗㱋⪅㸪せ௓ㆤ⪅ࢆᑐ㇟࡜ࡋࡓṑ⛉་⒪ࡢ▱㆑࣭ᢏ⬟࣭ែᗘࢆ⩦ᚓࡍࡿࡇ࡜ࢆ┠ⓗ࡜ࡋ࡚࠸ࡿ㸬 ᅾᏯ࣭ゼၥṑ⛉デ⒪ᐇ⩦࡛ࡣ㸪ᣦᑟ་࡜࡞ࡿᆅᇦࡢ⑓㝔࠾ࡼࡧ㛤ᴗṑ⛉་㝔ࡢṑ⛉་ᖌࢆ⮫ᗋㅮᖌ࡜ࡋ࡚௵࿨ࡋ㸪 ᖺḟࡢ⮫ᗋᐇ⩦⏕ࢆゼၥṑ⛉デ⒪࡟ྠ⾜ࡉࡏ㸪ᅾᏯ࣭ゼၥṑ⛉デ⒪ࡢ௓ຓࡲࡓࡣ
ᇶᮏⓗ࡞ṑ⛉ฎ⨨ࢆ⤒㦂ࡉࡏ࡚࠸ࡿ㸬ゼၥඛ࡛ࡢฎ⨨ෆᐜࡣ㸪ཱྀ⭍ࢣ࢔㸪⩏ṑࡢㄪᩚࡀ኱༙ࢆ༨ࡵ
࡚࠾ࡾ㸪ࡇࢀࢆཷࡅ࡚ࢩ࣑࣮ࣗࣞࢩࣙࣥᐇ⩦࡛ࡣ㸪ゼၥඛ࡛ᐇ㊶࡛ࡁࡿࡼ࠺࡞ෆᐜ࡟ࢩࢼࣜ࢜ࢆタᐃࡋ㸪ᅾᏯṑ⛉デ⒪ࡢ⌧ሙࢆ࢖࣓࣮ࢪࡉࡏࡿࡇ࡜࡛⮫ᗋᐇ⩦ࡀࡼࡾຠᯝⓗ࡟࡞ࡿࡼ࠺ᨵኚࢆ⾜ࡗࡓ㸬ゼၥඛ࡛ࡣ㸪ゼၥṑ⛉デ⒪࡟࠾ࡅࡿၥ㢟ⅬࢆᏛ⏕⮬㌟࡟ᢳฟࡉࡏ㸪ᐇ⩦ᚋࡢᣦᑟ་࡜ࡢࢹ࢕ࢫ࢝ࢵ
ࢩ࡛ࣙࣥࡣ㸪ゎỴ᪉ἲ࡟ࡘ࠸࡚῝ࡃ᥀ࡾୗࡆࡿࡇ࡜࡟㔜Ⅼࢆ⨨࠸ࡓ㸬ᐇ⩦ᚋࡣᅾᏯ࣭ゼၥṑ⛉デ⒪ᩍ⫱ࢩ࣏ࣥࢪ࣒࢘ࢆ㛤ദࡋ㸪᣺ࡾ㏉ࡾᏛ⩦ࢆ⾜ࡗࡓ㸬ᖹᡂ  ᖺᗘࡢᅾᏯ࣭ゼၥṑ⛉デ⒪ᐇ⩦ࡢᐇ⦼ࡣ㸪ཧຍᏛ⏕ேᩘࡣ  ྡ㸦⮫ᗋᐇ⩦⏕඲ဨ㸧㸪Ꮫ⏕ ே࠶ࡓࡾࡢゼၥᩘ᪥ᩘࡣ  ᪥㸪Ꮫ⏕  ே࠶ࡓࡾࡢᖹᆒゼၥ᪋タ࣭ᐙᗞᩘࡣ  ᪋タ㸪Ꮫ⏕  ே࠶ࡓࡾࡢᖹᆒ⑕౛ᩘࡣ  ⑕౛࡛࠶ࡾ㸪⮬㦂 㸣㸪௓ຓ 㸣㸪ぢᏛ 㸣࡛࠶ࡗࡓ㸬࡯࡜ࢇ࡝ࡢᏛ
⏕ࡀ✚ᴟⓗ࡟ᐇ⩦࡟ྲྀࡾ⤌ࡳ㸪ᣦᑟ་࡜⇕ᚰ࡟ࢹ࢕ࢫ࢝ࢵࢩࣙࣥࢆ⾜ࡗ࡚࠾ࡾ㸪ࢩ࣑࣮ࣗࣞࢩࣙࣥ
ᐇ⩦࡟ࡘ࠸࡚ࡣ㸪ࠕ↓⌮࡞ጼໃ࡛ࡢ἞⒪ࡀ࠸࠿࡟ᅔ㞴࠿ࢃ࠿ࡗࡓࠖ➼㸪ᐇ㝿࡟⤒㦂ࡍࡿࡇ࡜ࡢ㔜せᛶࢆ♧၀ࡍࡿពぢࡀከࡃぢཷࡅࡽࢀࡓ㸬 ᅾᏯ࣭ゼၥṑ⛉デ⒪ᐇ⩦ࡣ㸪኱Ꮫ⑓㝔ෆࡢ⮫ᗋᐇ⩦ࡢࡳ࡛ࡣᑐᛂ࡛ࡁ࡞࠸ᅾᏯṑ⛉་⒪࡟㛵ࡍࡿᩍ⫱࡛࠶ࡾ㸪ᆅᇦࡢ་⒪ᶵ㛵࡜㐃ᦠࡋ࡚⾜࠺ࡇ࡜࡛㸪ຠᯝⓗ࡞ᩍ⫱ࢆᥦ౪࡛ࡁ࡚࠸ࡿ࡜⪃࠼ࡽࢀࡿ㸬௒ᚋࡣ㸪ゼၥデ⒪ࡢ⌧ሙ࡟ࡼࡾ㏆࠸⎔ቃタᐃࢆࡋࡓ࠺࠼࡛ࢩ࣑࣮ࣗࣞࢩࣙࣥᐇ⩦ࢆ⾜࠸㸪⌧ሙ࡟࡚㐺ษ࡞ᑐᛂࡀ࡛ࡁࡿࡼ࠺࡟ࡋ࡚࠸ࡃ࡜࡜ࡶ࡟㸪Ꮫ⏕ࡽࡢ༞ᚋࡢ㧗㱋⪅ṑ⛉་⒪࡬ࡢྲྀࡾ⤌ࡳ࡟࡝ࡢࡼ࠺࡟ᙳ㡪ࡋࡓ࠿࡟ࡘ࠸࡚ࡶ᳨ドࡋࡓ࠸㸬- 30 -

࣏࠙ࢫࢱ࣮ウㄽࠚ㸺஑ᕞ኱Ꮫ㸼஑ᕞ኱ᏛṑᏛ㒊ࡢྲྀ⤌࡟ࡘ࠸࡚  ࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ࡢデ⒪࣭ᩍ⫱యไࡢ඘ᐇ໬࡟ྥࡅ࡚         ௦⾲⪅ ᒣῧ ῟୍  ࠊ᯽ᓮ ᬕᙪ  ࠊ࿴⏣ ᑦஂ   ஑ᕞ኱Ꮫ⑓㝔 ཱྀ⭍⥲ྜデ⒪⛉ ຓᩍࠊ 㧗㱋⪅ṑ⛉࣭඲㌟⟶⌮ṑ⛉Ꮫㅮᗙ ᩍᤵࠊ ஑ᕞ኱Ꮫ⑓㝔 ཱྀ⭍⥲ྜデ⒪⛉ ᩍᤵ᫖௒ࠊᮏ㑥ࡢᛴ㏿࡞㉸㧗㱋♫఍࡬ࡢ㐍ᒎ࡟కࡗ࡚ࠊከ⑌ᝈࠊከ㞀ᐖࢆᢪ࠼ࡓᝈ⪅ࡀᛴቑࡋࠊṑ⛉་⒪ࡀࣃࣛࢲ࢖࣒ࢩࣇࢺࡋ࡚࠸ࡿࠋཱྀ⭍ࢣ࢔ࢆ୰ᚰ࡜ࡋࡓࠕ㧗㱋⪅ᆺࠖ࡜࿧ࡤࢀࡿṑ⛉἞⒪ࡢ㔜せᛶࡀቑࡋࠊ㧗ᗘᛴᛶᮇ⑓㝔࡛࠶ࡿ஑ᕞ኱Ꮫ⑓㝔࡛ࡶ࿘⾡ᮇᝈ⪅ࡢ 42/ ࡢ⥔ᣢࡀྲྀࡾ⤌ࡴ࡭ࡁ኱ࡁ࡞ㄢ
㢟ࡢ୍ࡘ࡛࠶ࡿࠋ㏆ᖺࠊࡀࢇ➼ࡢᝈ⪅ࡢᡭ⾡๓ᚋ࡟ཱྀ⭍ࢣ࢔ࢆ⾜࠺ࡇ࡜࡛ࠊㄗᄟᛶ⫵⅖ࢆࡣࡌࡵ࡜
ࡍࡿ⾡ᚋྜ⑕ࡢⓎ⏕ࢆண㜵ࡍࡿຠᯝࡀ࠶ࡿࡇ࡜ࡀ᫂ࡽ࠿࡟࡞ࡗ࡚ࡁ࡚࠾ࡾࠊᙜ㝔࡛ࡶ࿘⾡ᮇᝈ⪅ࡢṑ⛉デ⒪యไࡢᩚഛࢆ㐍ࡵ࡚ࡁ࡚࠸ࡿࠋᮏⓎ⾲࡛ࡣࠊ⌧ᅾࠊᙜ㝔ṑ⛉㒊㛛ࡀྲྀࡾ⤌ࢇ࡛࠸ࡿ࿘⾡ᮇᝈ⪅ࡢཱྀ⭍ᶵ⬟⟶⌮ࡢデ⒪యไ࠾ࡼࡧᩍ⫱࣭◊ಟయไసࡾࡢᴫせ࡟ࡘ࠸࡚⤂௓ࡋࡓ࠸ࠋ ṑ⛉㒊㛛࡛ࡣࠊṑᏛ◊✲㝔ࡢ⌮ᛕ͆2YHUDOO:HOOEHLQJWKURXJK2UDO+HDOWK͇ ࡢ⮫ᗋ࡟࠾ࡅࡿ
ྲྀ⤌ࡳ࡜ࡋ࡚㸪་Ꮫ㒊࣭ṑᏛ㒊௜ᒓ⑓㝔ࡀ⤫ྜࡋࡓ  ᖺ௨᮶ࠊࠕཱྀ⭍ࢣ࢔ᨭ᥼ࢳ࣮࣒ࠖࢆ⤖ᡂࡋධ㝔ᝈ⪅ࢆᑐ㇟࡟ཱྀ⭍ࢣ࢔ᨭ᥼ࢆ⾜ࡗ࡚ࡁࡓࠋࡉࡽ࡟  ᖺ  ᭶࡟࿘⾡ᮇ⟶⌮ࡢ་⛉ṑ⛉ࡢ㐃ᦠࡀᙉ໬ࡉࢀࠊ࿘⾡ᮇᝈ⪅⟶⌮ࡢຠ⋡໬࣭᭱㐺໬ࢆ┠ⓗ࡟ࠕ࿘⾡ᮇᨭ᥼ࢭࣥࢱ࣮ࠖ࡜ཱྀ⭍ࢣ࢔࡟≉໬ࡋࡓࠕ࿘⾡ᮇཱྀ⭍ࢣ࢔ࢭࣥࢱ࣮ࠖࡀ᪂タࡉࢀࡓࠋ
㸯㸬デ⒪యไ ࿘⾡ᮇཱྀ⭍ࢣ࢔ࢭࣥࢱ࣮ࡣṑ⛉㒊㛛඲デ⒪⛉ࡢ㞟Ꮫⓗデ⒪༢఩࡜ࡋ࡚デ⒪άືࡋ࡚࠸ࡿࡀࠊ୺࡟
ཱྀ⭍⥲ྜデ⒪⛉࡜඲㌟⟶⌮ṑ⛉ࡢṑ⛉་ᖌ㸦ᐇാ㸸ᑓ௵  ྡࠊව௵  ྡ㸧࡜ṑ⛉⾨⏕ኈ㸦 ྡ㸧ࡀᢸᙜࡋ࡚࠸ࡿࠋᡭ⾡ணᐃᝈ⪅ࡢཱྀ⭍⟶⌮࡟ࡘ࠸࡚ࡣࠊ㯞㓉⾡๓デᐹ࡟࡚ཷデࡍࡿ࿘⾡ᮇᨭ᥼ࢭࣥࢱ࣮
ࡼࡾཱྀ⭍ࢣ࢔ࢭࣥࢱ࣮࡬౫㢗ࡀධࡿࠋ ᖺᗘࡢ࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮౫㢗௳ᩘࡣィ  ௳వࡾ࡛࠶ࡾࠊࡑࡢ௚࡟࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ᑐ㇟እᝈ⪅ࡢཱྀ⭍⟶⌮౫㢗ࡶ඲࡚ᢸᙜࡋ࡚࠸ࡿࠋ⌧ᅾࡣ໬Ꮫ⒪ἲᝈ⪅ࡢཱྀ⭍ᶵ⬟⟶⌮యไࡢᙉ໬ࢆᅗࡗ࡚࠸ࡿࠋ
㸰㸬ᩍ⫱యไ  ᖺᗘࡼࡾṑ⛉་ᖌ⮫ᗋ◊ಟࣉࣟࢢ࣒ࣛ࡟࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮◊ಟࣘࢽࢵࢺࢆ⤌ࡳ㎸ࡳࠊཱྀ⭍ࢣ࢔ࢭࣥࢱ࣮እ᮶࠾ࡼࡧ་⛉⑓Ჷ࡛ࡢ⮫ᗋ◊ಟࢆᐇ᪋ࡋ࡚࠸ࡿࠋཱྀ⭍⥲ྜデ⒪⛉ࢫࢱࢵࣇࡀᣦᑟࢆ
ᢸᙜࡋ࡚ࡁࡓࡀࠊ ᖺᗘࡣ㧗㱋⪅ṑ⛉࣭඲㌟⟶⌮ṑ⛉Ꮫㅮᗙ࡜㐃ᦠࢆྲྀࡾ࡞ࡀࡽᣦᑟయไࢆࡉࡽ
࡟඘ᐇࡉࡏࡓࠋ࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ࡣࠊ
ࠕ඲㌟⟶⌮ࠖࡸࠕ་⛉ṑ⛉㐃ᦠࠖࠊࠕ㧗㱋⪅ṑ⛉་⒪ࠖ࡞࡝ࡢ௒ᚋࡢṑ⛉་⒪ࡢ⮫ᗋࡸேᮦ⫱ᡂ࡟࠾࠸࡚ᚲせ୙ྍḞ࡞࢚ࢵࢭࣥࢫࡀከࡃྵࡲࢀ࡚࠾ࡾࠊ㔜Ⅼⓗ࡟ྲྀࡾ⤌ࢇ࡛࠸ࡃ࡭ࡁ㡯┠ࡢ୍ࡘ࡛࠶ࡿ࡜⪃࠼ࠊࡼࡾຠᯝⓗ࡞デ⒪࡞ࡽࡧ࡟ᩍ⫱ࢆᥦ౪࡛ࡁࡿయไస
ࡾ࡟㑌㐍ࡋ࡚࠸ࡿ࡜ࡇࢁ࡛࠶ࡿࠋ


- 31 -

࣏࠙ࢫࢱ࣮ウㄽࠚ㸺㛗ᓮ኱Ꮫ㸼㛗ᓮ኱ᏛṑᏛ㒊㞳ᓥṑ⛉ಖ೺་⒪ࢧ࣐࣮ࢫࢡ࣮ࣝሗ࿌
௦⾲⪅ ᑠᒣ ၿဢ㸯㸪ከ⏣ ᾈ᫭㸰㸪ᒾ㷂 ⌮ᾈ㸱㸪㰻⸨ ಇ⾜㸲㸪ゅ ᛅ㍤㸳㸪⃝℩ 㝯㸴㸯㛗ᓮ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ཱྀ⭍ಖ೺Ꮫศ㔝ຓᩍ㸪㸰ṑᏛ㒊⥲ྜṑ⛉⮫ᗋᩍ⫱Ꮫຓᩍ㸪㸱኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ཱྀ⭍ಖ೺Ꮫศ㔝኱Ꮫ㝔⏕㸪㸲኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ཱྀ⭍ಖ೺Ꮫศ㔝ᩍᤵ㸪㸳ṑᏛ㒊⥲ྜṑ⛉⮫ᗋᩍ⫱Ꮫᩍᤵ㸪㸴ṑᏛ㒊㛗࣭኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ཱྀ⭍࢖ࣥࣉࣛࣥࢺᏛศ㔝ᩍᤵ㸧࠙⤒⦋ࠚ஬ᓥᕷࡣ㛗ᓮᕷࡢす  ੊Ἀࠊ኱ᑠ  ࡢᓥࠎ࠿ࡽ࡞ࡿ㞳ᓥᆅᇦ࡛࠶ࡿࠋ㐣␯໬ࡀ㐍ࡳࠊ㧗㱋⪅ேཱྀࡣ 㸣ࢆ㉺࠼ࠊ᪥ᮏࡢ㧗㱋໬ࡢᮍ᮶ീࡀ࠶ࡿࠋࡋ࡞ࡋ࡞ࡀࡽࠊ་⒪௓ㆤ㈨※ࡣ㇏࠿࡛࠶ࡾࠊデ⒪⛉┠ࡸ௓ㆤ᪋タ✀㢮ูࡢᩘࡣ඲ᅜᖹᆒࢆୖᅇࡗ࡚࠾ࡾࠊ་⒪௓ㆤ⚟♴ࡢ㐃ᦠࡶᐦ࡟ᩚࡗ࡚࠸ࡿࠋ
㛗ᓮ኱ᏛṑᏛ㒊ࡣࠊᖹᡂ  ᖺࡼࡾ⮫ᗋᐇ⩦ࡢᚲಟ࣒࢝ࣜ࢟ࣗࣛ࡜ࡋ࡚஬ᓥᕷෆࡢ་⒪௓ㆤ⚟♴᪋タࢆゼၥࡋࠊ௓ㆤࡢయ㦂ࡸṑ⛉デ⒪⿵ຓࠊಖ೺⚟♴஦ᴗ࡬ࡢཧຍ࡞࡝ࠊయ㦂ᆺࡢ་⒪ಖ೺⚟♴ᐇ⩦ࢆᐇ᪋ࡋ࡚ࡁࡓࠋ
ᒸᒣ኱Ꮫ୺ᖿࡢṑ⛉་Ꮫᩍ⫱ᨵ㠉஦ᴗࡢඹ᭷ࣉࣟࢢ࣒ࣛ࡜ࡋ࡚ࠊᡃࠎࡢ㞳ᓥᐇ⩦ࡢෆᐜࢆᩚ⌮඘ᐇࡉࡏࡓࠕ㛗ᓮ኱Ꮫ㞳ᓥṑ⛉ಖ೺་⒪ࢧ࣐࣮ࢫࢡ࣮ࣝࠖࢆᖹᡂ  ᖺ ᖺ ᖺ࡜㛤ദࡋࡓࡢ࡛ሗ
࿌ࡍࡿࠋ࠙┠ⓗ࡜ᐇ⩦ࣉࣟࢢ࣒ࣛࠚ
͆ண㜵͇ࢆ୰ᚰ࡜ࡋࡓཱྀ⭍ᶵ⬟⟶⌮ࡢデ⒪య⣔ࡢࣃࣛࢲ࢖࣒ࢩࣇࢺࡀṑ⛉࡟ồࡵࡽࢀࠊࡇࢀ࠿ࡽࡢṑ⛉་ᖌࡣࠊデ⒪ᐊࢆ㞳ࢀࠊ デデ⒪ࡸᆅᇦໟᣓᨭ᥼࡟࠾ࡅࡿཱྀ⭍㺃ᦤ㣗ᄟୗࢣ࢔࡛ࡢከ⫋✀ࡸ୍⯡ࡢ᪉ࠎ࡜༠ຊࡋ࡞ࡀࡽࡢᆅᇦ㈉⊩ࡀᗈࡃ♫఍࠿ࡽồࡵࡽࢀ࡚࠸ࡿࠋ
ṑ⛉ᩍ⫱࡟࠾࠸࡚ࡣࠊ㧗㱋⪅ࡢㄆ▱⑕ࢣ࢔࡟㛵ࢃࡿከᵝ࡞ᨭ᥼⪅࡜ᨭ᥼ࡢ௙⤌ࡳࢆ⌮ゎࡋࠊཱྀ⭍ࢣ࢔࣭ᦤ㣗ᄟୗࢣ࢔ࡢ▱㆑ࡸᢏ⾡ࢆࠊ㧗㱋⪅୍ே୍ே࡟ᐤࡾῧ࠺་⒪࣭ࢣ࢔࡟᪼⳹࡛ࡁࡿṑ⛉་ࢆ⫱࡚ࡿࠊ͆ᚰ͇ࡢᩍ⫱ࡀ୙ྍḞ࡛࠶ࡿࠋ
㛗ᓮ኱Ꮫ㞳ᓥṑ⛉ಖ೺་⒪ࢧ࣐࣮ࢫࢡ࣮࡛ࣝࡣࠊ 㐌㛫ࠊ஬ᓥᕷෆ࡟ྜᐟࡋ࡞ࡀࡽࠊ௓ㆤࡢ⌧ሙ࣭⾜ᨻࡢ⚟♴ಖ೺஦ᴗ࣭ᆅᇦṑ⛉άືࡢ  ࡘࡢࣇ࢕࣮ࣝࢻࡢయ㦂ᆺᐇ⩦ࢆ⏝ពࡋࡓࠋᛴᛶᮇ⑓Ჷ࡟ጞ
ࡲࡾࠊ௓ㆤಖ㝤⚟♴᪋タࠊ㏻ᡤ௓ㆤ᪋タࠊᆅᇦṑ⛉ࡢ デࡸ  ḟ㞳ᓥデ⒪ぢᏛࢆᣳࡳࠊᆅᇦໟᣓᨭ
᥼ࢭࣥࢱ࣮ࡢ௓ㆤண㜵஦ᴗࡸ㧗㱋⪅Ꮿゼၥ࡜ࠊ᪥ࢆ㏣࠺࡟ࡘࢀせ௓ㆤᗘࡢ㔜࠸ே࠿ࡽ㍍࠸ே࡜᫬㛫ࢆ㐳ࡿࡼ࠺࡟ࢫࢸ࣮ࢪࡢ␗࡞ࡿ㧗㱋⪅࡜ࡩࢀ࠶࠺᪥⛬࡜ࡋࡓࠋᵝࠎ࡞ᨭ᥼⪅࡜ࡢ஺ὶࡢ᫬㛫ࡶࡺࡗࡃࡾタࡅࠊ 㐌㛫ࡢᐇ⩦ࢆ⤊࠼ࡿ㡭࡟ࡣࠊṑ⛉ࡢどᗙࢆ㞳ࢀࠊ᩿∦࡛ࡣ࡞ࡃࠊ୍ே୍ேࡢ㧗㱋⪅ࡢ୍➽ࡢே⏕ࡢ㊰࡟᝿࠸ࡀྥ࠿࠸ࠊ㧗㱋⪅ࡢ⏕ά࡟ᐤࡾῧ࠼ࡿ་⒪⪅࡜ࡋ࡚ࡢ͆ᚰ͆ࢆᏛࡪࡁࡗ࠿ࡅ࡜
࡞ࡿࡼ࠺࡟㓄៖ࡋࡓࠋ
࠙⤖ᯝࠚᖹᡂ  ᖺ㹼 ᖺࡢ  ᖺ㛫࡟ࠊ᫛࿴኱Ꮫࠊᒸᒣ኱Ꮫࠊ஑ᕞ኱Ꮫࠊ㛗ᓮ኱Ꮫࡢ 㹼 ᖺḟࡢṑᏛ⏕ᘏ࡭  ྡࡀཧຍࡋࡓࠋ኱ᏛࡶᏛᖺࡶ␗࡞ࡿᏛ⏕ࡓࡕࡀ  㐌㛫ࠊ᫬㛫ࢆඹ᭷ࡋࠊࢧ࣐࣮ࢫࢡ࣮
ࣝࢆ㏻ࡌ࡚ṑ⛉་࡜ࡋ࡚ࡢᆅᇦ་⒪࡬ࡢ㛵ࢃࡾࢆᏛಟࡋࡓࠋ


- 32 -

࣏࠙ࢫࢱ࣮ウㄽࠚ㸺㮵ඣᓥ኱Ꮫ㸼㮵ඣᓥ኱ᏛṑᏛ㒊ࡢྲྀ⤌࡟ࡘ࠸࡚
ᐑ⬥ṇ୍㸪༡ ᘯஅ㸪⏣ཱྀ๎ᏹ㸪すᮧṇᏹ㸪ᮡᾆ ๛㸪ᑠᯇ⃝ ᆒ 㮵ඣᓥ኱Ꮫ ኱Ꮫ㝔་ṑᏛ⥲ྜ◊✲⛉ ᩍᤵ㸧ࡇࢀࡲ࡛㮵ඣᓥ኱ᏛṑᏛ㒊ࡣ㸪ᮏࣉࣟࢢ࣒ࣛ࡟㛵㐃ࡋ࡚㸪ձㅮ⩏㸪ղࢩ࣑࣮ࣗࣞࢩ࣭ࣙࣥ3%/ ₇⩦㸪ճ㧗ᗘ་⒪ᨭ᥼࣭࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ᐇ⩦㸪մᅾᏯ௓ㆤ࣭ゼၥṑ⛉デ⒪ཧຍᆺᏛእ⮫ᗋᐇ⩦㸪ࡢྛ㡿ᇦ࡛㸪ᩍ⫱ᐇ᪋యไࡢᵓ⠏࡞ࡽࡧ࡟ᨵၿ࡟ྲྀ⤌ࢇ࡛ࡁࡓࠋձ ㅮ⩏㸸
ᮏࣉࣟࢢ࣒ࣛ࡜᫬ᮇࢆྠࡌࡃࡋ࡚ᮏᏛ࡛⾜ࡗࡓ࣒࢝ࣜ࢟ࣗࣛᨵ㠉࡟ྜࢃࡏ࡚ࠊࡇࢀࡲ࡛ࠕᝈ⪅࡜་⒪ࠖࡢ୍㒊ᨵ⦅㸦ᖹᡂ  ᖺᗘ㸧㸪ࠕࣉࣟࣇ࢙ࢵࢩࣙࢼࣜࢬ࣒Ϩࠖࡢ᪂つ㛤ㅮ㸦ᖹᡂ  ᖺᗘ㸧ࠊࠕࢥ࣑ࣗࢽࢣ࣮
ࢩࣙࣥᏛࠖࡢ᪂つ㛤ㅮ࡜ࠕᆅᇦ࣭㞳ᓥṑ⛉་⒪Ꮫࠖࡢ඘ᐇ㸦ᖹᡂ  ᖺᗘ㸧ࢆ⾜ࡗ࡚ࡁࡓࠋ௒ᚋࡶᩘ⛉┠ࡢ᪂つ㛤ㅮࢆணᐃࡋ࡚࠸ࡿࠋ
ղࢩ࣑࣮ࣗࣞࢩ࣭ࣙࣥ3%/ ₇⩦㸸ᮏࣉࣟࢢ࣒ࣛ࡟ࡼࡾ㓄ศࡉࢀࡓ㧗㱋⪅ࢩ࣑࣮ࣗࣞࢱ࣮࡟ຍ࠼࡚㸪ゼၥデ⒪⏝࣏࣮ࢱࣈࣝࣘࢽࢵࢺࢆ㮵ඣᓥ኱Ꮫ⑓㝔ṑ⛉デ⒪Ჷෆࡢ₇⩦ᐊ࡟ᩚഛࡋ㸪せ௓ㆤ㧗㱋⪅࡟ᑐࡍࡿ௓ຓ࠾ࡼࡧཱྀ⭍ࢣ࢔࡟㛵ࡍࡿ
3%/ ᙧᘧࡢᐇ⩦ࢆ㸪ᖹᡂ  ᖺᗘ⮫ᗋᐇ⩦࡛ヨ㦂ⓗ࡟ᑟධࡋࡓࠋᖹᡂ  ᖺᗘ⮫ᗋᐇ⩦࠿ࡽࡣ㸳ࡘࡢデ⒪⛉࡛ᢸᙜࡍࡿᐇ⩦ࢳ࣮࣒ࢆ❧ࡕୖࡆ࡚㸪඲⮫ᗋᐇ⩦Ꮫ⏕ࢆᑐ㇟࡟ᐇ᪋ࡍࡿయไࢆᵓ⠏ࡋࡓࠋղ 㧗ᗘ་⒪ᨭ᥼࣭࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ᐇ⩦㸸་⛉⑓Ჷ࡬ࡢ デࢆཱྀ⭍ಖ೺⛉ࡀᢸᙜࡍࡿሙྜ࡟㸪⮫ᗋᐇ⩦ࡢᏛ⏕ࢆྠ⾜ࡉࡏࡿࡇ࡜࡟ࡼࡾᮏᐇ⩦ࢆ㛤ጞࡋࡓࠋᖹᡂ  ᖺᗘ⮫ᗋᐇ⩦࠿ࡽࡣ㸪ཱྀ⭍ಖ೺⛉ࢆእ᮶ཷデࡍࡿධ㝔ᝈ⪅ࢆᑐ㇟࡟㸪⮫ᗋᐇ⩦ࡢ඲࡚ࡢᏛ⏕ࢆᑐ㇟࡟ᐇ᪋ࡋࡓࠋྠ᫬࡟㸪඲࡚ࡢᏛ⏕ࡀ་⛉࡬ࡢ デ࡟ྠ⾜ࡋ࡚ᐇ⩦ࢆ⾜࠺యไࡢᵓ
⠏ࢆ┠ᣦࡋ࡚࠸ࡿࠋճ ᅾᏯ௓ㆤ࣭ゼၥṑ⛉デ⒪ཧຍᆺᏛእ⮫ᗋᐇ⩦㸸ᖹᡂ  ᖺᗘ⮫ᗋᐇ⩦ࡼࡾࠕ㞳ᓥ་⒪ᐇ⩦ࠖࢆ㛤ㅮࡋ࡚㸪་Ꮫ㒊ࡢᏛ⏕࡜࡜ࡶ࡟㞳ᓥ࡟ὴ㐵ࡋ㸪㞳ᓥ࡟࠾ࡅࡿ་⒪⎔ቃࡸከ⫋✀㐃ᦠࢆయ㦂ࡉࡏ࡚࠸ࡿࠋᚑ᮶ཧຍேᩘ࡟ไ㝈ࡀ࠶ࡗࡓࡀࠊᖹᡂ  ᖺᗘ⮫ᗋᐇ⩦࠿ࡽࡣᕼᮃ⪅඲ဨࡀᐇ⩦࡟ཧຍ࡛ࡁࡿయไ࡜ࡋࡓࠋᖹᡂ  ᖺᗘ⮫ᗋᐇ⩦ࡼࡾ㛤ㅮࡋࡓࠕᆅᇦṑ⛉་⒪ᐇ⩦࡛ࠖࡣ㸪⮫ᗋᐇ⩦ࡢᏛ⏕ࢆᏛእࡢᐇ⩦༠ຊ᪋タ࡟ὴ㐵ࡋ࡚㸪ᆅᇦ࡛ࡢ୍⯡ṑ⛉デ⒪࡟ຍ࠼࡚㸪ᅾᏯデ⒪ࡸ᪋タゼၥデ⒪࡟ྠ⾜ࡉࡏࡿᐇ⩦ࢆ⾜ࡗ࡚࠸ࡿࠋᖹᡂ  ᖺᗘ⮫ᗋᐇ⩦࠿ࡽࡣ㸪ᅾᏯデ⒪ࡸ᪋タゼၥデ⒪ࡢඃඛⓗ࡟ᐇ᪋ࡋࡓࠋᖹᡂ  ᖺᗘ࡟㛤ㅮࡋࡓࠕᆅᇦయ㦂ᐇ⩦ࠖ࡟࠾࠸
࡚ࡣ㸪 ᖺ⏕ࢆᑐ㇟࡟ᑗ᮶ࡢ་⒪⪅࡜ࡋ࡚ࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ⬟ຊࡢᾰ㣴࡜௚⪅⌮ゎࡢ㔜せᛶࢆಟᚓࡉࡏࡿ┠ⓗ࡛ᗂ⛶ᅬ࠾ࡼࡧ㧗㱋⪅᪋タ࡛ࡢᐇ⩦ࢆ⾜ࡗ࡚࠸ࡿࠋ

- 33 -

[MEMO]            

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㸦ෆᮧ㚷୕⮬➹ࡢ᭩ࡢࢥࣆ࣮㸧ࡇࡢᩥᏐࡣࠊෆᮧ㚷୕㸦ᮐᖠ㎰Ꮫᰯ㸰ᮇ⏕㸧ࡀ኱ṇ  ᖺ࡟㛗㔝┴ᑠㅖᕷࢆ᪑⾜୰࡟⪏࠼ࡽࢀ࡞࠸
࡯࡝࡟ṑࡀ③ࡃ࡞ࡾࠊᆅඖࡢṑ⛉་ᖌࡢ἞⒪ࢆཷࡅࡲࡋࡓࠋ͆'HQWLVWU\LVD:RUNRI/RYH͇
ࡣࠊⱞ③࠿ࡽゎᨺࡉࢀࡓ႐ࡧ࠿ࡽࠊࡑࡢṑ⛉་࡬㉗ࡗࡓゝⴥ࡛ࡍࠋ
໭ᾏ㐨኱ᏛṑᏛ㒊ࡣࡇࡢ౑⏝チྍࢆᚓ࡚ࠊᏛ㒊⤂௓࡞࡝ࡢᗈሗㄅ࡟౑⏝ࡉࡏ࡚㡬࠸࡚࠸ࡲࡍࠋ

- 34 -

- 35 -

㈨ᩱ䠍 䠐ᖹᡂ  ᖺᗘ ➨㸯ᅇᅾᏯ࣭ṑ⛉ゼၥデ⒪ᩍ⫱ࢩ࣏ࣥࢪ࣒࢘
̾ᒸᒣ኱ᏛṑᏛ㒊࡟࠾ࡅࡿᅾᏯ࣭ṑ⛉ゼၥデ⒪ᩍ⫱̾㻌᪥㻌 ᫬䠖ᖹᡂ 29 ᖺ 9 ᭶ 21 ᪥㸦ᮌ㸧16:20㹼17:40㻌
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ᒸᒣ኱Ꮫ㻌 ṑᏛ㒊㛗㻌ὸᾏ㻌 ῟୍㻌 ᩍᤵ㻌
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ࠕ㞳ᓥṑ⛉ಖ೺་⒪ᐇ⩦ࠖᒸᒣ኱Ꮫ⑓㝔 ࡴࡋṑ⛉ ኱ཎ ┤Ꮚ ㅮᖌ㻌㻌㻌Ꮫ⏕Ⓨ⾲䠍㻌㻌㻌㻌㻌ࠕᅾᏯ࣭ṑ⛉ゼၥデ⒪⮫ᗋᐇ⩦ࢆ⤒㦂ࡋ࡚ࠖᒸᒣ኱Ꮫ㻌 ṑᏛ㒊㻌 䠒ᖺ㻌㇂ᕝ㻌 ⏤⨾㻌㻌㻌㻌㻌㻌Ꮫ⏕Ⓨ⾲䠎㻌
㻌㻌㻌㻌䛂ᅾᏯ䞉ṑ⛉ゼၥデ⒪⮫ᗋᐇ⩦䜢㻌⤒㦂䛧䛶䛃㻌
㻌ᒸᒣ኱Ꮫ㻌 ṑᏛ㒊㻌 䠒ᖺ㻌Ᏹ἞⏣㻌 ோ⨾㻌㻌㻌ᅾᏯ䞉ṑ⛉ゼၥデ⒪ᩍ⫱䛾㉁䛾ྥୖ䛾䛯䜑䛾ᆅᇦ㐃ᦠ఍㆟㻌ሙ㻌 ᡤ䠖ᒸᒣ኱ᏛṑᏛ㒊Ჷ䠎㝵㻌 ᮶㈱ᐊ㻌㻌㻌㻌 㻌 ௒ᅇ䛾ᅾᏯ࣭ṑ⛉ゼၥデ⒪ᩍ⫱ࢩ࣏ࣥࢪ࣒࢘䛿䚸⮫ᗋㅮᖌ䛻䜘䜛ゼၥṑ⛉デ⒪䛻䛚䛡䜛䝏䞊䝮䝽䞊䜽䛾㔜せᛶ䛻㛵䛧䛶䛾ㅮ₇䚸㛗ᓮ኱Ꮫ䛷⾜䜟䜜䛶䛔䜛㞳ᓥṑ⛉
ಖ೺་⒪䛾ᐇ⩦䜈䛾ཧຍሗ࿌䛚䜘䜃ᅾᏯ䞉ゼၥṑ⛉デ⒪ᐇ⩦䜢⤒㦂䛧䛯Ꮫ⏕䛛䜙䛾ሗ࿌䛸䛔䛳䛯ෆᐜ䛻䛶㛤ദ䛧䛯䚹ᑦ䚸ᐇ⩦䛻ཧຍ䛧䛯Ꮫ⏕䛻䛸䛳䛶䛿᣺䜚㏉䜚Ꮫ⩦䛸䛧䛶䚸᮶ᖺᗘ䚸ᐇ⩦䛻⾜䛟 㻡 ᖺ⏕䛻䛸䛳䛶䛿䜸䝸䜶䞁䝔䞊䝅䝵䞁䛸䛧䛶䛾㛤ദ䛷䛒䛳䛯䚹㻌⮫ᗋㅮᖌ䛾⢑ᒣගᜨඛ⏕䛛䜙䛿䚸ゼၥṑ⛉デ⒪䜢⾜䛖ୖ䛷䝟䝷䝕䞁䝍䝹䝇䝍䝑䝣䛸䛾㐃ᦠ䛜䛔䛛䛻኱ษ䛷䛒䜛䛛䚸ᝈ⪅䜢ྲྀ䜚ᕳ䛟ᐙ᪘䚸௓ㆤ⪅䚸⏕ά⎔ቃ➼䜢⪃䛘䛯἞⒪ィ⏬❧᱌䛾㔜せᛶ䚸ᝈ⪅᝟ሗ䛾⋓ᚓ䚸ඹ᭷䛾㔜せᛶ䛻䛴䛔䛶䛾䛚ヰ䛧䛔䛯䛰䛔䛯䚹䜎䛯䚸኱ཎ┤Ꮚඛ⏕䛛䜙䛿䚸㧗㱋໬⋡䛜 㻟㻣䠂䜢㉸䛘䜛஬ᓥᕷ⚟Ụᓥ䛷䛾་⒪䞉
⚟♴యไ䛾⌧≧䚸䛭䜜䜢Ꮫ⩦䛩䜛䛯䜑䛻ᵓ⠏䛥䜜䛶䛔䜛㛗ᓮ኱ᏛṑᏛ㒊䛾㞳ᓥṑ⛉
ಖ೺་⒪ᐇ⩦䛾ෆᐜ䛻䛴䛔䛶䛚ヰ䛧䛔䛯䛰䛔䛯䚹⚟Ụᓥ䛷䛿䚸ఫẸ୺య䛾௓ㆤண㜵஦ᴗ䛜ྛᆅ䛷✚ᴟⓗ䛻⾜䜟䜜䛶䛚䜚䚸⾜ᨻ䛾䜏䛺䜙䛪ᓥ䛾ఫẸ䜢䛒䛢䛶௓ㆤண㜵䛻ྲྀ䜚⤌䜣䛷䛔䜛䛸䛾䛣䛸䛷䛒䛳䛯䚹Ꮫ⏕Ⓨ⾲䛷䛿䚸ᅾᏯ䞉ゼၥṑ⛉デ⒪ᐇ⩦䜢⤒㦂䛧䛶ឤ䛨䛯䛣䛸䛻䛴䛔䛶Ⓨ⾲䛜䛒䜚䚸Ꮫෆ䛾እ᮶デ⒪䛸䛾㐪䛔䜔ከ⫋✀㐃ᦠ䛾ᐇ㝿䜢ぢ䜛䛣䛸䛜䛷䛝䛶኱ኚຮᙉ䛻䛺䛳䛯䛸䛔䛖ឤ᝿䛜⪺䛛䜜䛯䚹㻌ᅾᏯ䞉ṑ⛉ゼၥデ⒪ᩍ⫱䛾㉁䛾ྥୖ䛾䛯䜑䛾ᆅᇦ㐃ᦠ఍㆟䛷䛿䚸⮫ᗋᐇ⩦ᐇ᪋㒊఍㛗䛛䜙⮫ᗋㅮᖌ䚸Ꮫ⏕཮᪉䛛䜙䛾ᐇ⩦䛻䛴䛔䛶䛾ホ౯䛻䛴䛔䛶䛾ሗ࿌䛜䛒䛳䛯䚹┦஫ウㄽ䛷䛿䚸Ꮫ⏕ᣦᑟ䛾㝿䛻䛹䛾䜘䛖䛺ฎ⨨䛷䛒䜜䜀⮬㦂䜢䛥䛫䛶䜒Ⰻ䛔䛾
䛛䚸㈗Ꮫ᫬㛫䛜 㻝㻢 ᫬ 㻟㻜 ศ䛸ᐇ⩦᫬㛫䛜▷䛔䛯䜑༑ศ䛻ゼၥデ⒪䜢ぢ䛶䜒䜙䛘䛺䛔䚸ᐇ⩦䜰䝫䜲䞁䝖ྲྀᚓ䛾㝿䛾Ꮫ⏕䛾୙ᡭ㝿➼䛻䛴䛔䛶䚸⋡┤䛺ពぢ䛜䛒䜚䚸Ꮫෆ䛷䛾Ꮫ⏕ᣦᑟ䛾ෆᐜ䚸ᣦᑟ⪅䛾䜒䛸ᐇ㊶䛩䜛䠄⮬㦂䠅⮫ᗋᐇ⩦䛾ෆᐜ䛻䛴䛔䛶ㄝ᫂䛜䛒䜚䚸⮫ᗋᐇ⩦ᚋᐇᢏヨ㦂䛾ᑟධ䛻ྥ䛡䛶䚸ゼၥඛ䛷䜒⮬㦂䜢✚ᴟⓗ䛻䛥䛫䛶䜋䛧䛔䛸䛾せᮃ䛜ఏ䛘䜙䜜䛯䚹⮫ᗋㅮᖌ䛛䜙䛾ពぢ䛻䛴䛔䛶䛿䚸ᨵၿ⟇䛾᳨ウ䛧䚸᮶ᖺᗘ௨㝆ᑐᛂ䛩䜛䛣䛸䛸䛺䛳䛯䚹㻌ᅾᏯ䞉ゼၥṑ⛉デ⒪ᐇ⩦䛿䚸⮫ᗋㅮᖌ䠄ᒸᒣ኱ᏛṑᏛ㒊䛛䜙⛠ྕ䜢ཷ䛡䛯ᆅᇦ䛾㛤ᴗ་䛾ṑ⛉་ᖌ䠅䛾༠ຊ䛾䜒䛸ᡂ䜚❧䛳䛶䛔䜛䚹኱ኚ⇕ᚰ䛻ᣦᑟ䛧䛶䛟䛰䛥䜛ඛ⏕᪉䜀䛛䜚䛷䛒䜚䚸ゼၥඛ䛻䛶ᐇ㝿䛾⌧ሙ䜢┠䛻䛩䜛䛣䛸䛷Ꮫ⏕㐩䛿ከ䛟䛾䛣䛸䛻Ẽ䛵䛝䚸Ꮫෆ䛷䛿Ꮫ䜉䛺䛔ゼၥ䛷䛾デ⒪䛾≉Ṧᛶ䜔ᆅᇦ㐃ᦠ䛾ᐇ㝿䛻䛴䛔䛶ከ䛟䛾Ꮫ䜃䛜ฟ᮶䛶䛔䜛䚹௒ᚋ䛿䚸ᮏᐇ⩦䜢䜘䜚Ⰻ䛔䜒䛾䛸䛧䚸ᑗ᮶ⓗ䛻ᆅᇦṑ⛉་⒪䛻✚ᴟⓗ䛻ᦠ䜟䜚䛯䛔䛸୍ே䛷䜒ከ䛟䛾Ꮫ⏕䛜⪃䛘䛶䛟䜜䜛䜘䛖ᨵၿ䜢ᅗ䛳䛶䛔䛝䛯䛔䛸⪃䛘䛶䛔䜛䚹㻌㻌㻌 㻌 㻌 㻌 㻌 㻌 㻌 㻌 䠄ᒸᒣ኱Ꮫ་⒪ᩍ⫱䝉䞁䝍䞊㻌 ᮡᮏᜤᏊ䠅㻌

㈨ᩱ䠍 䠑ᖹᡂ  ᖺᗘ ➨㸰ᅇᅾᏯ࣭ṑ⛉ゼၥデ⒪ᩍ⫱ࢩ࣏ࣥࢪ࣒࢘
̾ᒸᒣ኱ᏛṑᏛ㒊࡟࠾ࡅࡿᅾᏯ࣭ṑ⛉ゼၥデ⒪ᩍ⫱̾㻌᪥㻌 ᫬䠖ᖹᡂ 30 ᖺ 3 ᭶ 14 ᪥㸦ᮌ㸧16:20㹼17:50㻌
ሙ㻌 ᡤ䠖ᒸᒣ኱ᏛṑᏛ㒊Ჷ䠐㝵➨୍ㅮ⩏ᐊ㻌ཧຍேᩘ䠖㻥㻜 ྡ䠄⮫ᗋㅮᖌ 㻝㻤 ྡ䠈㻌 ᩍဨ 㻞㻝 ྡ䠈㻌 Ꮫ⏕ 㻠㻠 ྡ䠈䛭䛾௚ 㻣 ྡ䠅㻌㻌㛤఍䛾ᣵᣜ㻌 㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌
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㻌 㻌 㻌 ⮫ᗋᐇ⩦ᐇ᪋㒊఍㛗㻌㣤⏣㻌 ᚁ஧㻌 ᩍᤵ㻌
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ㅮ₇䠍㻌
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䛂ᅾᏯ་⒪䛻 㻿㼡㼜㼑㼞㻌㻰㼛㼏㼠㼛㼞 䛿䛔䜙䛺䛔䟿䛃㻌㻌 㻌 㻌 㻌 㻌 㻌 䜎䜣䛾䛖⏫ᅜẸ೺ᗣಖ㝤㐀⏣䞉ぢྜṑ⛉デ⒪ᡤ㻌ᮌᮧ㻌 ᖺ⚽㻌 ඛ⏕㻌
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ㅮ₇䠎㻌

ࠕࡲࡕࡄࡿࡳࡢ㣗ᨭ᥼ࢆ┠ⓗ࡜ࡋࡓゼ  ၥデ⒪ࠖ㙾㔝⏫ᅜẸ೺ᗣಖ㝤ୖ㰻ཎデ⒪ᡤ  ⃝⏣㻌 ᘯ୍ඛ⏕㻌㻌㻌㻌ᅾᏯ䞉ṑ⛉ゼၥデ⒪ᩍ⫱䛾㉁䛾ྥୖ䛾䛯䜑䛾ᆅᇦ㐃ᦠ఍㆟㻌᪥㻌 ᫬䠖ᖹᡂ 㻟㻜 ᖺ 㻟 ᭶ 㻝㻠 ᪥䠄ᮌ䠅㻝㻤㻦㻜㻜䡚㻝㻤㻦㻟㻜㻌ሙ㻌 ᡤ䠖ᒸᒣ኱ᏛṑᏛ㒊Ჷ䠎㝵㻌 ➨䠍఍㆟ᐊ㻌㻌㻌㻌 㻌 ௒ᅇ䛾ᅾᏯ࣭ṑ⛉ゼၥデ⒪ᩍ⫱ࢩ࣏ࣥࢪ࣒࡛࢘䛿䚸⮫ᗋㅮᖌ䛻䜘䜛ᅾᏯ་⒪䛻䛚䛡䜛ṑ⛉ᑓ㛛⫋䛸䛧䛶䛾ᙺ๭䛸ゼၥṑ⛉デ⒪䛾ᐇ㝿䛻㛵䛩䜛ㅮ₇䚸ᒸᒣ┴໭䛻䛶ᆅᇦ་⒪䛻ᦠ䜟䛳䛶䛔䜛ᒸᒣ኱ᏛṑᏛ㒊 㻻㻮 䛾ඛ⏕䛻䜘䜛䜎䛱䛠䜛䜏䛾ྲྀ⤌䛻㛵䛩䜛ㅮ₇䜢䛧䛶䛔䛯䛰䛔䛯䚹᮶ᖺᗘ䛾䠐᭶௨㝆䛛䜙䚸⮫ᗋㅮᖌ䛾ṑ⛉་㝔䛻䛶ᅾᏯ䞉ゼၥṑ⛉ᐇ⩦䜢⾜䛖 㻡 ᖺ⏕䛻䛸䛳䛶䛿䜸䝸䜶䞁䝔䞊䝅䝵䞁䛸䛧䛶䛾㛤ദ䛷䛒䜚䚸ゼၥデ⒪䛾ᐇ㝿䛻䛴䛔䛶Ꮫ䜆ᶵ఍䛸䛺䛳䛯䚹㻌⮫ᗋㅮᖌ䛾ᮌᮧᖺ⚽ඛ⏕䛛䜙䛿䚸ఫẸ䛻䜘䜛⮬἞䛜㞴䛧䛔㝈⏺㞟ⴠ䛾ᆅᇦ䛻䛚䛔䛶䚸඲㌟⟶⌮䞉௓ㆤ䛜ᚲせ䛺ᝈ⪅䛜ᅾᏯ䛻䛶⏕ά䛩䜛ሙྜ䛾䝃䝫䞊䝖యไ䛾ᵓ⠏䛾㞴䛧䛥䛻䛴䛔䛶ᐇ౛䜢ᣲ䛢䛶䛚ヰ䛔䛯䛰䛔䛯䚹ᅾᏯ་⒪䞉௓ㆤ䛻ᦠ䜟䜛⫋✀䛾㐃ᦠ䛾䛯䜑䛻ᆅᇦ䛾㐃⤡఍䜢❧䛱ୖ䛢䚸ṑ⛉་ᖌ䚸ෆ⛉䛾་ᖌ䚸⸆๣ᖌ䚸ゼၥ┳ㆤᖌ䚸Ẹ⏕ጤဨ䚸䜿䜰䝬䝛䞊䝆䝱䞊䚸⏫㆟఍㆟ဨ➼䛾䛥䜎䛦䜎䛺⫋✀䛜ᆅᇦ་⒪䜢䝃䝫䞊䝖䛩䜛䛯䜑䛻ྲྀ䜚⤌䜣䛷䛔䜛䛸䛾䛣䛸䛷䛒䛳䛯䚹ఫẸ䛾ᮃ䜐ᬽ䜙䛧䜢ᨭ䛘䜛䛯䜑䛻䛿䚸ᐙ䛻ゼၥ䛧䛶ṑ⛉἞⒪䚸ཱྀ⭍⟶⌮䜢⾜䛖䛸䛔䛖ᙺ๭௨እ䛻ᆅᇦ䛾㐃⤡఍䛷䛾ṑ⛉ⓗ䛺
ほⅬ䛛䜙䛾Ⓨಙ䜔ຓゝ䜔ከ⫋✀䛸䛾㐃ᦠ䛜㔜せ䛷䛒䜛䛣䛸䜢ᨵ䜑䛶⪃䛘䛥䛫䜙䜜䛯䚹㻌⃝⏣ᘯ୍ඛ⏕䛛䜙䛿䚸ᖹᡂ䛾኱ྜే䛻䜘䜚㐨㊰➼䛾䜲䞁䝣䝷䛜ᩚഛ䛥䜜䚸䛔䜟䜖䜛䝇䝖䝻䞊ຠᯝ䛜⏕䛨䛶䛔䜛ᆅᇦ䛷䛾ᆅᇦಖ೺άື䛾䛚ヰ䛜䛒䛳䛯䚹ṑ⛉デ⒪ᡤ䜢ཷデ䛩䜛ᝈ⪅䜢デ䜛䛰䛡䛻䛸䛹䜎䜙䛪䚸Ꮫᰯ⤥㣗䛾⊩❧స䜚䠄䛛䜏䛛䜏㐌㛫䠅䜢㏻䛨䛶䛣
䛹䜒䜢ᑐ㇟䛸䛧䛯㣗ᨭ᥼䜢⾜䛳䛯䜚䚸㓄Ⰽ䝃䞊䝡䝇஦ᴗ䛾䝃䝫䞊䝖➼䜢⾜䛳䛯䜚䛧䛶䛔䜛䛸䛾䛣䛸䛷䛒䛳䛯䚹䜎䛯䚸௓ㆤ⫋✀ྥ䛡䛻◊ಟ఍䜢⾜䛔䚸ከ⫋✀䛸㢦䛾ぢ䛘䜛㛵ಀ䜢ᵓ⠏䛧䚸ᆅᇦఫẸ䛾೺ᗣ䜢䝃䝫䞊䝖䛥䜜䛶䛔䜛䚹ṑ⛉἞⒪䛰䛡䛷䛺䛟䚸ᆅᇦಖ೺άື
䛜ᚲせ䛷䛒䜛䛸䛾⪃䛘䛛䜙䚸䛂ኚ䜟䜛䛣䛸䛃䜢ᛕ㢌䛻⨨䛝䚸䛣䜜䜎䛷䛥䜎䛦䜎䛺ྲྀ⤌䜢䛥䜜䛶䛚䜚䚸ᆅᇦ஦᝟䜢㔜ど䛧䛺䛜䜙ಖ೺άື䜢ᐇ㊶䛥䜜䛶䛔䜛ᵝᏊ䛜༳㇟ⓗ䛷䛒䛳䛯䚹㻌ᅾᏯ䞉ṑ⛉ゼၥデ⒪ᩍ⫱䛾㉁䛾ྥୖ䛾䛯䜑䛾ᆅᇦ㐃ᦠ఍㆟䛷䛿䚸⮫ᗋᐇ⩦ᐇ᪋㒊఍㛗䛛䜙⮫ᗋㅮᖌ䛻ᑐ䛧䚸䠐᭶௨㝆䛾ᐇ⩦⏕䛾ཷ䛡ධ䜜䛾䛚㢪䛔䛸ᐇ⩦᪥⛬䛻䛴䛔䛶䛾☜ㄆ䛜䛒䛳䛯䚹䜎䛯䚸ᐇ⩦ඛ䛿䚸䝬䝑䝏䞁䜾᪉ᘧ䛻䛶⾜䛖䛣䛸䚸Ꮫ⏕䛾ホ౯䛿䚸䜘䜚ᐈほᛶ䛜㧗䛟䚸⮫ᗋㅮᖌ䛾㈇ᢸ䜢㍍ῶ䛷䛝䜛䜘䛖䛻ෆᐜ䜢ኚ᭦䛧䛯䛣䛸䚸᫖ᖺᗘ䛾ពぢ䜢ཷ䛡䛶䚸ᖐᏛ᫬㛫䜢ᘏ㛗䛧䚸ᐇ⩦䛾඘ᐇ䛜ᅗ䜜䜛䜘䛖䛻䛧䛯䛸䛾㐃⤡䛜䛒䛳䛯䚹Ꮫ⏕䛾ホ౯䛻㛵䛧䛶䛿䚸䛂ᐇ⩦䜰䝫䜲䞁䝖䛾ྲྀ䜚᪉䛃䛸䛂デ⒪䝇䝍䝑䝣䜈䛾㓄៖䛃䛜䛷䛝䛶䛔䜜䜀༑ศ䛷䛒䜛䛸䛾ពぢ䛜⮫ᗋㅮᖌ䛛䜙⪺䛛䜜䛯䛜䚸䛂ᝈ⪅䜔ᐙ᪘䜈䛾ᑐᛂ䛃䜔䛂Ύ₩୙₩ព㆑䛃➼Ꮫෆ䛷䛾⮫ᗋᐇ⩦䛻䜒䝣䜱䞊䝗䝞䝑䜽䛷䛝䜛䜘䛖䛺ホ౯ෆᐜ䛸䛧䛶䛔䜛᪨䛾ㄝ᫂䛜⮫ᗋᐇ⩦ᐇ᪋㒊఍㛗䜘䜚䛒䛳䛯䚹㻌㻠 ᭶䜘䜚Ꮫ⏕㐩䛿ᅾᏯ䞉ゼၥṑ⛉デ⒪ᐇ⩦䛻⾜䛟䛣䛸䛻䛺䜛䛜䚸኱ኚ⇕ᚰ䛺⮫ᗋㅮᖌ䛾ᣦᑟ䛾䜒䛸䛷ከ䛟䛾Ẽ௜䛝䛜䛒䜛䛸ᛮ䜟䜜䜛䚹ᅾᏯ䛷䛾἞⒪䛻㛵䛩䜛䛣䛸䛰䛡䛷䛺䛟䚸ᝈ⪅䜔ᐙ᪘䛸䛾㛵䜟䜚ྜ䛔䜔䝁䝭䝳䝙䜿䇷䝅䝵䞁䛸䛔䛳䛯㒊ศ䛻䛴䛔䛶䜒䛧䛳䛛䜚䛸Ꮫ䜣䛷䛝䛶䛟䜜䜛䛣䛸䜢ᮇᚅ䛧䛶䛔䜛䚹㻌㻌㻌 㻌 㻌 㻌 㻌 㻌 㻌 㻌 䠄ᒸᒣ኱Ꮫ་⒪ᩍ⫱䝉䞁䝍䞊㻌 ᮡᮏᜤᏊ䠅㻌

㈨ᩱ䠍 䠒ᖹᡂ 29 ᖺᗘ ⪁ே௓ㆤ࣭ᅾᏯ௓ㆤ᪋タࢆ⏝࠸ࡓ 3%/ ₇⩦㻌 ሗ࿌᭩⛉┠ྡ㻌௓ㆤ᪋タࢆ⏝࠸ࡓ 3%/ ₇⩦ᐇ⩦ᮇ㛫㻌ᖹᡂ  ᖺ  ᭶  ᪥㹼ᖹᡂ  ᖺ  ᭶  ᪥㸦➨㸰Ꮫᮇ㸧ᑐ㇟ேᩘ ᖺḟᏛ⏕  ྡᐇ⩦᪋タ㻌≉ู㣴ㆤ⪁ே࣮࣒࣍ࣁࣔࢽ࢝ࢻ࣮࢚ࢗ
ࢢ࣮ࣝࣉ࣮࣒࣍ ࣁࣔࢽ࢝ࢻ࣮࢚ࢗ
᭷ᩱ⪁ே࣮࣒࣍ ࣁࣔࢽ࢝ࢻ࣮࢚ࢗ
≉ู㣴ㆤ⪁ே࣮࣒࣍ࣁࣔࢽ࢝
ࢢ࣮ࣝࣉ࣮࣒࣍ ࣮࢝ࢧࣁࣔࢽ࢝
᭷ᩱ⪁ே࣮࣒࣍ ࢩ࢙ࢫࢱࣁࣔࢽ࢝

ࢸ࣮ࣗࢱ࣮

Ṋ⏣ᏹ᫂㸪᳃㈗ᖾ㸪㔝ᓥ㟹Ꮚ㸪๓⏣┤ே㸪ᅬ஭ᩍ⿱㸪๓⏣࠶ࡎࡉ㸪ᕝ℩᫂Ꮚ㸪ᮡᮏᜤᏊ

㸯㸬ᐇ⩦ࡢ┠ⓗ ⌧ᅾᡃࡀᅜࡣ㉸㧗㱋♫఍ࢆ㏄࠼㸪㧗㱋⪅ࡢ㌟యⓗ࣭⢭⚄ⓗ≧ἣ࡟ᛂࡌࡓཱྀ⭍ࡢ೺ᗣ⥔ᣢ࣭ቑ㐍ࡀㄢ㢟࡜࡞ࡗ࡚࠸ࡿࠋࡑࡢࡓࡵ㸪┠ࡢ๓࡟࠸ࡿ㧗㱋ᝈ⪅ࡢၥ㢟Ⅼࢆᢳฟࡋ㸪ゎỴ᪉ἲࢆ᳨ウࡍࡿࡇ࡜ࡣṑ⛉἞⒪࡟୙ྍḞ࡛࠶ࡿࠋ≉࡟ᚋᮇ㧗㱋⪅ࡸせ௓ㆤ㧗㱋⪅ࡣከࡃࡢ
඲㌟⑌ᝈࡸᶵ⬟㞀ᐖࢆᢪ࠼࡚࠸ࡿࡓࡵ㸪ࡼࡾヲ⣽࡞᳨ウࡀᚲせ࡛࠶ࡿࠋ
ࡑࡇ࡛㸪ᮏ 3%/ ₇⩦࡛ࡣᚋᮇ㧗㱋⪅㸪せ௓ㆤ㧗㱋⪅ࡢ௓ㆤ⌧ሙࢆぢᏛࡋ㸪ᝈ⪅ࡢၥ㢟Ⅼࢆᢳฟࡍࡿࠋࡑࡋ࡚㸪ࡑࡢၥ㢟ࢆゎỴࡍࡿࡓࡵ࡟ᑡேᩘࢢ࣮ࣝࣉ࡛ࢹ࢕ࢫ࢝ࢵࢩࣙࣥࡋ㸦ᑡ
㸪Ⓨ⾲఍࡟࡚ྜྠウㄽࢆ⾜࠸ࠊ࣏࣮ࣞࢺࢆసᡂࡍࡿࡇேᩘウㄽ㸸6PDOOJURXSOHDUQLQJ㸧࡜ࢆ┠ⓗ࡜ࡍࡿࠋ
୍⯡┠ᶆ㸸*,2ᝈ⪅୰ᚰ་⒪㸦SDWLHQWRSHUDWHGV\VWHP326㸧
㸪᰿ᣐ࡟ᇶ࡙࠸ࡓ་⒪㸦(YLGHQFHEDVHGPHGLFLQH (%0㸧ࡢᴫᛕࢆ⌮ゎࡋ㸪ᚋᮇ㧗㱋⪅㸪せ௓ㆤ㧗㱋⪅ࡢၥ㢟Ⅼࡢᢳฟ㸪ゎỴࡍࡿࡓࡵࡢ᪉ἲࢆ᳨ウ࡛ࡁࡿࡼ࠺࡟࡞ࡿࠋ⾜ື┠ᶆ㸸6%2V ᝈ⪅୰ᚰ㸦326㸧ࡢ་⒪ᴫᛕࢆㄝ࡛᫂ࡁࡿࠋ ᐇ㝿ࡢせ௓ㆤ㧗㱋⪅࡟ᑐࡍࡿ་⒪㠃᥋ࢆ⤒㦂ࡍࡿࠋ せ௓ㆤ㧗㱋⪅ࡢッ࠼ࢆ཰㞟ࡋ࡚㸪ၥ㢟Ⅼࢆᢳฟࡍࡿࠋ ௚ࡢᏛ⩦⪅ࡸᩍဨ࡜༠ຊࡋ࡚㸪᭱㐺࡞ゎỴ᪉ἲࢆぢฟࡍࣉࣟࢭࢫࢆ⤒㦂ࡍࡿࠋ ࢚ࣅࢹࣥࢫࢆ౑࠺ࡓࡵࡢᴫᛕࣔࢹࣝࡢᙧᡂࢆヨࡳࡿࠋ ၥ㢟ⅬࡢゎỴἲࢆิᣲࡋ㸪ẚ㍑ࡍࡿࣉࣟࢭࢫࢆ⤒㦂ࡍࡿࠋ                    ⮫ᗋ࢚ࣅࢹࣥࢫࢆ๰ࡿᚲせᛶࢆ⌮ゎࡍࡿࠋ ウㄽࡢෆᐜ࡟༶ࡋࡓࢸ࣮࣐ࢆỴࡵ㸪Ⓨ⾲ࢆ⾜࠺ࠋ Ⓨ⾲఍࡛⾜ࢃࢀࡓྜྠウㄽࢆຍ࿡ࡋ࡚࣏࣮ࣞࢺࢆసᡂࡍࡿࠋ

㸰㸬ࢫࢣࢪ࣮ࣗࣝ    㸦㸯㸧ᐇ⩦ࢫࢣࢪ࣮ࣗࣝ 
᪥᫬

᫬㝈

ᤵᴗ㢟┠

ᤵᴗෆᐜ

ᢸᙜᩍဨ

ሙᡤ

 ᭶  ᪥㸦᭶㸧࢚࢜ࣜࣥࢸ࣮ࢩ

3%/ ₇⩦ࡢὶࢀࡢㄝ᫂

Ṋ⏣ ᏹ᫂

➨୕ㅮ⩏ᐊ

⑕౛᳨ウྛࢸ࣮ࣗࢱ࣮

➨୕ㅮ⩏ᐊ

ࣙࣥ⑕౛᳨ウࣟࣅ࣮ ᭶  ᪥㸦᭶㸧᪋タぢᏛ㧗㱋⪅᪋タࡢぢᏛྛࢸ࣮ࣗࢱ࣮

ࣁࣔࢽ࢝ࢻ࣮࢚ࢗ
ᒸᒣࣁࣔࢽ࢝

⑕౛᳨ウ㸪ၥ㢟ᝈ⪅ࡢၥ㢟Ⅼ㸪␲ၥⅬࡢᢳฟྛࢸ࣮ࣗࢱ࣮

ࣟࣅ࣮ ௚ᥦ㉳ ᭶  ᪥㸦᭶㸧

ࢸ࣮ࣗࢺࣜ࢔ࣝ

326 ࡜ (%0 ࡟ᇶ࡙ࡃࢢ࣮ࣝࣉ

ྛࢸ࣮ࣗࢱ࣮

ࢹ࢕ࢫ࢝ࢵࢩࣙࣥ ᭶  ᪥㸦᭶㸧᪋タぢᏛ㧗㱋⪅᪋タࡢぢᏛ㸦␲ၥⅬࡢࢸ࣮ࣗࢺࣜ࢔ࣝ

326 ࡜ (%0 ࡟ᇶ࡙ࡃࢢ࣮ࣝࣉ

ྛࢸ࣮ࣗࢱ࣮

ࣁࣔࢽ࢝ࢻ࣮࢚ࢗ
ᒸᒣࣁࣔࢽ࢝

ྛࢸ࣮ࣗࢱ࣮

ࢹ࢕ࢫ࢝ࢵࢩࣙࣥ ᭶  ᪥㸦᭶㸧➨୕ㅮ⩏ᐊ
ࣟࣅ࣮ ௚ゎỴ㸧➨୕ㅮ⩏ᐊ

➨୕ㅮ⩏ᐊ
ࣟࣅ࣮ ௚



≉ูㅮ₇ᅾᏯデ⒪࡟࠾ࡅࡿ㣗ᨭ᥼⳥㇂Ṋᩍᤵ

➨୍ㅮ⩏ᐊ

ࢸ࣮ࣗࢺࣜ࢔ࣝ

326 ࡜ (%0 ࡟ᇶ࡙ࡃࢢ࣮ࣝࣉ

ྛࢸ࣮ࣗࢱ࣮

➨୕ㅮ⩏ᐊ

ࢹ࢕ࢫ࢝ࢵࢩࣙࣥ

ࣟࣅ࣮ ௚ ᭶  ᪥㸦᭶㸧

ࠌ

ࠌ

ࠌ

ࠌ

 ᭶  ᪥㸦᭶㸧

Ⓨ⾲‽ഛ

ࠌ

ࠌ

ࠌ

 ᭶  ᪥㸦᭶㸧ࢢ࣮ࣝࣉⓎ⾲఍ྛ⌜࡟ࡼࡿᡂᯝⓎ⾲఍ྛࢸ࣮ࣗࢱ࣮

➨୕ㅮ⩏ᐊ 㸰 ᪋タぢᏛࢫࢣࢪ࣮ࣗࣝ 㸦ゼၥඛ㸧
≉ู㣴ㆤ⪁ே࣮࣒࣍ࣁࣔࢽ࢝ࢻ࣮࢚ࢗ
ࠛ706-0151 ⋢㔝ᕷ㛗ᑿ 2116
≉ู㣴ㆤ⪁ே࣮࣒࣍ ࣁࣔࢽ࢝
ࠛ709-0605 ᒸᒣᕷᮾ༊ὸᕝ 520㸫9                   
6 ᭶ 12 ᪥㸦᭶㸧

6 ᭶ 26 ᪥㸦᭶㸧

12㸸50ࠥ13㸸00 ➨ 3 ㅮ⩏ᐊ࡟࡚‽ഛ

12㸸50ࠥ13㸸00 ➨ 3 ㅮ⩏ᐊ࡟࡚‽ഛ

13㸸10ࠥ14㸸00 ⛣ື㸦ࣂࢫ㸸ᪧᮾ㛛ฟⓎ㸧

13㸸10ࠥ14㸸00 ⛣ື㸦ࣂࢫ㸸ᪧᮾ㛛ฟⓎ㸧

14㸸10ࠥ15㸸00 ᝈ⪅࡬ࡢ࢖ࣥࢱࣅ࣮ࣗ㸦30 ศ

14㸸10ࠥ15㸸00 ᝈ⪅࡬ࡢ࢖ࣥࢱࣅ࣮ࣗ㸦30 ศ⛬ᗘ㸧㸪᪋タぢᏛ㸦20 ศ⛬ᗘ㸧⛬ᗘ㸧㸪᪋タぢᏛ㸦20 ศ⛬ᗘ㸧

15㸸10ࠥ16㸸00 ⛣ື㸦ࣂࢫ㸧

15㸸10ࠥ16㸸00 ⛣ື㸦ࣂࢫ㸧

16㸸00     ኱Ꮫ฿╔16㸸00     ኱Ꮫ฿╔16㸸20㹼17㸸20 ⑕౛᳨ウ㸪ၥ㢟ᥦ㉳

16㸸20㹼17㸸20 ࢢ࣮ࣝࣉࢹ࢕ࢫ࢝ࢵࢩࣙࣥ㸱㸬ᐇ⩦ෆᐜࡢせ⣙ ᐇ⩦ึᅇ࡟ࡣ㸪ᐇ⩦ࡢᴫせㄝ᫂ࢆ⾜࠸㸪ࠥ ேࡢᑡேᩘࢢ࣮ࣝࣉ࡟ศ࠿ࢀ᪋タぢᏛ࡛
ᢸᙜࡍࡿせ௓ㆤ㧗㱋⪅࡟ࡘ࠸࡚㸪᪋タ࠿ࡽᥦ౪࠸ࡓࡔ࠸ࡓᝈ⪅᝟ሗࢩ࣮ࢺࢆࡶ࡜࡟ᇶ♏
᝟ሗ㸦ᖺ㱋㸪⑓Ṕ㸪⫋Ṕ㸪௓ㆤᗘ㸪㣗ᙧែ࡞࡝㸧ࢆྲྀᚓࡋࡓࠋࡇࢀࡽࡢ᝟ሗ࠿ࡽ㸪Ꮫ⏕ࡣ᪋タぢᏛࡢ㝿ࡢ࢖ࣥࢱࣅ࣮ࣗෆᐜࡢ᳨ウ࡞ࡽࡧ࡟ၥ㢟Ⅼࡢ᫂☜໬ࢆ⾜ࡗࡓࠋ  ᅇ┠ࡢᐇ⩦࡛ࡣ㸪Ꮫ⏕඲ဨ࡜ࢸ࣮ࣗࢱ࣮ࡀࣂࢫ࡟࡚せ௓ㆤ㧗㱋⪅᪋タࢆゼၥࡋࡓࠋࢢ࣮ࣝࣉ༢఩࡛㸪≉ู㣴ㆤ⪁ே࣮࣒࣍㸪ࢢ࣮ࣝࣉ࣮࣒࣍㸪᭷ᩱ⪁ே࣮࣒࣍ࠊࢣ࢔ࣁ࢘ࢫ
࡟ධᒃࡉࢀ࡚࠸ࡿ୍ྡࡢせ௓ㆤ㧗㱋⪅࡞ࡽࡧ࡟ࡑࡢ௓ㆤ⫋ဨ࡜᥋ࡋ㸪࢖ࣥࢱࣅ࣮ࣗࡸཱྀ
⭍ෆデᰝࢆ⾜࠸㸪ᢸᙜ㧗㱋⪅ࡢ♫఍ⓗ⫼ᬒࡢᢕᥱ࡞ࡽࡧ࡟ၥ㢟Ⅼࢆᢳฟࡋࡓࠋせ௓ㆤ㧗㱋⪅࡜┤᥋ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡀ㞴ࡋ࠸ሙྜࡣ㸪௓ㆤ⫋ဨ࡜ࡢ࢖ࣥࢱࣅ࣮ࣗ࡟ࡼࡾ᝟ሗ
཰㞟ࢆ⾜ࢃࡏࡓࠋྠ᫬࡟᪋タෆࡢぢᏛࡶ⾜࠸㸪᪋タ࡟ᬽࡽࡍ㧗㱋⪅ࡢ⏕άࡢሙࢆయ㦂ࡋࡓࠋ  ᅇ┠ࡢᐇ⩦࡛ࡣ㸪 ᅇ┠ࡢᐇ⩦࡛┠࡟ࡋࡓせ௓ㆤ㧗㱋⪅࡞ࡽࡧ࡟ࡑࡢ௓ㆤ⎔ቃ࡟࠾࠸࡚㸪ᐙ᪘ࡸ௓ㆤ⪅ࡢᢪ࠼ࡿၥ㢟Ⅼࡸ␲ၥⅬࢆࢢ࣮ࣝࣉࢹ࢕ࢫ࢝ࢵࢩࣙࣥ࡟࡚ᢳฟࡋ㸪ࡑࡢゎỴ⟇ࢆ᳨ウࡍࡿ࡜࡜ࡶ࡟ࠊ෌ᗘࡢゼၥࡢ㝿࡟ࡑࢀࢆ῝ࡃ᥀ࡾୗࡆࡿࡓࡵࡢ㈨ᩱ཰㞟➼ࡢ‽ഛࢆ⾜ࡗࡓࠋ  ᅇ┠ࡢᐇ⩦࡛ࡣ㸪 ᅇ┠࡟ゼၥࡋࡓせ௓ㆤ㧗㱋⪅ࢆ෌ᗘゼၥࡋ㸪ၥ㢟Ⅼࡸ␲ၥⅬࢆゎỴࡍࡿࡓࡵࡢ⣒ཱྀࢆ᥈ࡽࡏࡓࠋලయⓗ࡟ࡣ㸪せ௓ㆤ㧗㱋⪅ࡢညྜຊᐃࡸせ௓ㆤᗘࡢㄪ

ᰝ㸪ࣞࢡ࢚࣮ࣜࢩࣙࣥࡢᐇ᪋㸪᪋タࢫࢱࢵࣇ࡬ࡢ⪺ࡁྲྀࡾ➼ࢆ⾜ࢃࡏ㸪࢖ࣥࢱࣅ࣮ࣗ࡟                   ࡜࡝ࡲࡽࡎ㸪⌧≧࡟ࡘ࠸࡚ࡢ᝟ሗྲྀᚓ࡟ດࡵࡉࡏࡓࠋ  ᅇ┠ࡢᐇ⩦࡛ࡣ㸪᪥ᮏṑ⛉኱Ꮫ㝃ᒓ⑓㝔ከᦶࢡࣜࢽࢵࢡࡢ⳥㇂ Ṋᩍᤵ࡟ࡼࡿ≉ูㅮ⩏㸦ࠕᅾᏯ་⒪࡟࠾ࡅࡿ㣗ᨭ᥼ࠖ㸧ࡀ࡞ࡉࢀ㸪ᡃࡀᅜࡀ┤㠃ࡋ࡚࠸ࡿ㉸㧗㱋♫఍ࡢ⌧≧㸪௓ㆤ་⒪⌧ሙ࡛ࡢṑ⛉་⒪ࡀᯝࡓࡍᙺ๭࡟ࡘ࠸࡚ᴫせࢆゎㄝࡋ㸪⌮ゎࢆಁࡋࡓࠋ≉࡟ㄆ▱⑕࡟㛵ࡋ࡚ࡣ㸪ᴫㄽ࡟࡜࡝ࡲࡽࡎ㸪ㄆ▱ᶵ⬟࡜ཱྀ⭍ᶵ⬟࡜ࡢ㛵㐃࡟ࡘ࠸࡚ࡶᖜᗈࡃゐࢀࡉࡏࡓࠋࡑࡢᚋ㸪㹼 ᅇ┠ࡢᐇ⩦࡟ࡘ࠸࡚ࡣ㸪 ᅇ┠ࡲ࡛ࡢᐇ⩦࡛ᢳฟࡋࡓၥ㢟Ⅼࢆ෌☜ㄆࡍࡿ࡜࡜ࡶ࡟㸪ࡑࡢゎỴࡢࡓࡵࡢ⮫ᗋ࢚ࣅࢹࣥࢫࢆྵ
ࡴㄽᩥࡢ᳨⣴ࢆ⾜ࢃࡏࡓࠋࡉࡽ࡟㸪ࡑࢀࡽࢆ㏻ࡌ࡚┠ࡢ๓ࡢ㧗㱋⪅ࡢၥ㢟ゎỴ᪉ἲ࡟ࡘ࠸࡚ࢢ࣮ࣝࣉࢹ࢕ࢫ࢝ࢵࢩࣙࣥࢆ⾜࠸㸪ၥ㢟Ⅼࢆᨵၿࡍࡿࡓࡵࡢ᪉⟇ࢆ᳨ウࡉࡏࡓࠋ ᐇ⩦᭱⤊᪥࡟ࡣ㸪⥲ࡲ࡜ࡵ࡜ࡋ࡚ࢥࣥ࣌ࢸ࢕ࢩࣙࣥᙧᘧ࡛Ⓨ⾲఍ࢆ⾜ࡗࡓࠋⓎ⾲఍࡟࠾ࡅࡿྛࢢ࣮ࣝࣉࡢࢸ࣮࣐ࢆ௨ୗ࡟♧ࡍࠋ$⌜㸸࿪ᄮᶵ⬟ࡀపୗࡋࡓ㧗㱋⪅࡟ᑐࡋ࡚
ṑ⛉་ᖌࡀ࡛ࡁࡿࡇ࡜
%⌜㸸⎔ቃせᅉ࡟ᇶ࡙࠸ࡓ௓ㆤㄆᐃไᗘᨵ㠉᱌&⌜㸸ㄆ▱⑕ࡢṇࡋ࠸⌮ゎ࡜ྥࡁྜ࠸᪉
'⌜㸸≉ู㣴ㆤ⪁ே࣮࣒࣍ぢᏛࢆ⤊࠼࡚(⌜㸸᪥ࠎᴦࡋࡉࢆồࡵ࡚࣭࣭࣭࣭
㹼࢔ࢡࢸ࢕ࣅࢸ࢕࣮ࡢᥦ᱌㹼)⌜㸸௓ㆤ⌧ሙ࡟࠾ࡅࡿࣞࢡ࢚࣮ࣜࢩࣙࣥࡢព⩏*⌜㸸ㄆ▱⑕㧗㱋⪅࡬ࡢᦤ㣗ᄟୗᶵ⬟ホ౯ࡢᚲせᛶ せ௓ㆤ㧗㱋⪅࡟㛵ࡍࡿṑ⛉ⓗၥ㢟Ⅼ࡟ࡘ࠸࡚⪃ᐹࡍࡿࢢ࣮ࣝࣉࡸ㸪ṑ⛉ⓗ࡞ほⅬ௨እ࡟ࡶ௓ㆤไᗘ࡟ࡘ࠸࡚⪃ᐹࡍࡿࢢ࣮ࣝࣉ㸪㧗㱋⪅ࡢ⏕ࡁࡀ࠸࡟ᐤࡾῧ࠺ࡓࡵࡢ᪉ἲࢆ⪃࠼ࡓࢢ࣮ࣝࣉࡶ࠶ࡾ㸪㠀ᖖ࡟⯆࿡῝࠸ෆᐜ࡜࡞ࡗࡓࠋ                   㸲㸬ᐇ⩦ࢆ⤊࠼࡚ ṑᏛ㒊㸱ᖺḟ⏕ࢆ኱Ꮫ࠿ࡽᆅᇦࡢせ௓ㆤ㧗㱋⪅ࡢ⏕άࡢ⌧ሙ࡟㐃ࢀฟࡋ㸪せ௓ㆤ㧗㱋⪅࠾ࡼࡧ࿘ᅖ⎔ቃࡢᢪ࠼ࡿၥ㢟Ⅼࢆᨵၿࡍࡿࡓࡵࡢ᪉⟇࡟ࡘ࠸࡚⪃࠼ࡉࡏࡿ 3%/ ₇⩦ࢆ⾜ࡗࡓࠋᑓ㛛ᩍ⫱ࢆ࠶ࡲࡾᏛࢇ࡛࠸࡞࠸㸱ᖺḟึࡵࡢ₇⩦࡛࠶ࡾ㸪ṑ⛉ⓗၥ㢟࡟㔜Ⅼࢆ࠾࠸࡚ㄢ㢟ࢆぢࡘࡅࡓࢢ࣮ࣝࣉࡶ࠶ࡗࡓࡀ㸪௓ㆤไᗘ࡟ࡘ࠸࡚ࡸ㸪௓ㆤ᪋タ࡛ࡢ㧗㱋⪅ࡢ⏕ά≧ἣ඲యࢆぢࡘࡵ㸪௒ᚋࡢ⏕άࢆࡼࡾⰋ࠸ࡶࡢ࡟ࡋ࡚࠸ࡃࡓࡵࡢゎỴἲࢆ⪃࠼ࡿࢢ࣮ࣝࣉࡀከ࠿ࡗࡓࡼ࠺࡛࠶ࡿࠋྛࢢ࣮ࣝࣉ࡛⪃ᐹࡋࡓෆᐜࢆⓎ⾲఍࡛ᢨ㟢ࡍࡿࡇ࡜࡛㸪௓ㆤ་⒪⌧ሙࡢᐇ᝟ࡸၥ㢟Ⅼࢆ▱ࡿ࡜࡜ࡶ࡟㸪௒ᚋ㉸㧗㱋♫఍࡟࠾ࡅࡿṑ⛉་⒪࡟ồࡵࡽࢀࡿࡇ࡜࡟ࡘ࠸࡚⌮ゎ㸪ᛮ⪃ࡍࡿⰋ࠸ᶵ఍࡜࡞ࡗࡓ࡜⪃࠼ࡽࢀࡿࠋ㉱࠸ࡓせ௓ㆤ㧗㱋⪅᪋タࡣ㸪≉ู㣴ㆤ⪁ே࣮࣒࣍㸪ࢢ࣮ࣝࣉ࣮࣒࣍㸪᭷ᩱ⪁ே࣮࣒࣍㸪ࢣ࢔ࣁ࢘ࢫࢆᣢࡘ
」ྜ⪁ே᪋タ࡛࠶ࡾ㸪ᵝࠎ࡞௓ㆤᗘࢆࡶࡗࡓ㧗㱋⪅ࡀ⏕άࡋ࡚࠾ࡾ㸪ᆅᇦ࡛ᬽࡽࡍ㧗㱋⪅ࡢᐇ㝿ࡢ⏕ά࡟ゐࢀࡿࡇ࡜ࡀ࡛ࡁࡓࠋྠ᫬࡟㸪᪋タ⫋ဨ࡬ࡢ࢖ࣥࢱࣅ࣮ࣗ࡟ࡼࡗ࡚㸪⏕ά⪅࡛࠶ࡿせ௓ㆤ㧗㱋⪅ࡀᢪ࠼ࡿၥ㢟Ⅼࡔࡅ࡛࡞ࡃ㸪᪋タഃࡀᢪ࠼ࡿၥ㢟Ⅼ࡟ࡶゐࢀࡿࡇ࡜ࡀ࡛ࡁࡓࠋࡲࡓ㸪ከ⫋✀㐃ᦠ࡟ࡘ࠸࡚ࡶᏛࡧ㸪ᅇ᚟ᮇ㸪៏ᛶᮇ་⒪࡛ᚲせ࡜ࡉࢀࡿ⌧ሙ࡟ࠕᐤࡾῧ࠼ࡿṑ⛉་ᖌࠖࡢ㣴ᡂ࡟ࡘ࡞ࡀࡿࡇ࡜ࡀᮇᚅࡉࢀࡿࠋ ᐇ㝿ࡢ௓ㆤ་⒪⌧ሙࢆ┠࡟ࡋࡓᏛ⏕ࡀ⮬ࡽၥ㢟Ⅼࢆᢳฟࡋ㸪ࡑࡢゎỴ᪉ἲࢆ⪃࠼ࡿ࡜࠸࠺୍㐃ࡢὶࢀࢆ⤒㦂ࡍࡿࡇ࡜࡛㸪㉸㧗㱋♫఍࡟࠾࠸࡚ᑗ᮶㐼㐝ࡍࡿ࡛࠶ࢁ࠺✀ࠎࡢၥ㢟ࢆゎỴࡍࡿࡓࡵࡢⰋ࠸⤒㦂࡜࡞ࡗࡓ࡜⪃࠼ࡽࢀࡿࠋࢢ࣮ࣝࣉ࡛༠ຊࡍࡿࡇ࡜࡛㸪୍ே࡛ࡣฟ࡚ࡇ࡞࠸ࡼ࠺࡞ᵝࠎ࡞⪃࠼ࢆ㸪୍⥴࡟᳨ウࡋ㸪ࡲ࡜ࡵ࡚࠸ࡃࡇ࡜ࡢ㔜せᛶ࡟Ẽ࡙ࡁ㸪㐩ᡂឤࢆᚓࡿࡇ࡜ࡀ࡛ࡁࡓ࡜⪃࠼ࡽࢀࡿࠋ ᮏᐇ⩦࡟ࡼࡗ࡚㸪௒ᚋ་⒪ே࡜ࡋ࡚᥋ࡍࡿ࡛࠶ࢁ࠺ᆅᇦࡢ㧗㱋⪅ࡢ⏕άࡢᐇែ࡟ゐࢀ㸪ࡑࡇ࠿ࡽឤࡌྲྀࡗࡓᵝࠎ࡞ᛮ࠸ࢆ㸪ࢳ࣮࣒࡛㆟ㄽࡋ㸪ࡲ࡜ࡵୖࡆ㸪Ⓨ⾲఍࡛඲ဨ࡜ඹ᭷ࡋ㸪ウㄽࢆ⾜ࡗࡓࡇ࡜ࡣ㸪ṑ⛉་ᖌ࡜ࡋ࡚೺ᗣ㛗ᑑ♫఍࡟㈉⊩ࡍࡿࡓࡵࡢ㊊᥃࠿ࡾ࡜࡞
ࡿ኱ኚ᭷ព⩏࡞᫬㛫࡛࠶ࡗࡓࠋ

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㈨ᩱ䠍 䠓ᖹᡂ  ᖺᗘ せ௓ㆤ㧗㱋⪅ࢆᶍࡋࡓࢩ࣑࣮ࣗࣞࢱ࣮₇⩦ ሗ࿌᭩⛉┠ྡ㻌 

ࢩ࣑࣮ࣗࣞࢩࣙࣥᐇ⩦ᑐ㇟ேᩘ ᖺḟᏛ⏕඲ဨ  ྡᣦᑟᩍဨ๓⏣ ⱱ㸪ᮡᮏᜤᏊ㸪Ṋ⏣ᏹ᫂㸪ᕝ℩᫂Ꮚ㸪ᅬ஭ᩍ⿱㸪๓⏣࠶ࡎࡉ

㸯㸬ᐇ⩦ࡢ┠ⓗ ㉸㧗㱋♫఍ࢆ㏄࠼ࡓ᫖௒㸪ᅾᏯṑ⛉デ⒪ࡢࢽ࣮ࢬࡣࡲࡍࡲࡍ㧗ࡲࡗ࡚ࡁ࡚࠾ࡾ㸪ᮏᏛṑᏛ㒊࡟࠾࠸࡚ࡶࡑࡢࢽ࣮ࢬ࡟ᑐᛂ࡛ࡁࡿேᮦ㣴ᡂࢆ⾜࠺࡭ࡃ㸪ᅾᏯ௓ㆤ⌧ሙ࡟ฟྥ࠸࡚Ꮫ
እ⮫ᗋᐇ⩦ࢆ⾜ࡗ࡚࠸ࡿࠋᮏᐇ⩦ࡣ㸪せ௓ㆤ㧗㱋⪅ࢆᶍࡋࡓࢩ࣑࣮ࣗࣞࢱ࣮ࢆ⏝࠸࡚㸪ᅾᏯࡢ⎔ቃ㸦㒊ᒇࡢ㓄⨨࣭ᝈ⪅ࡉࢇࡢ఩⨨࣭デ⒪ჾᲔ➼㸧࠾ࡼࡧᝈ⪅ࡢ㌟యࡢ≧ែ࣭୺ッ࣭⑕≧࣭ᡤぢ࡟ࡘ࠸࡚ࢩࢼࣜ࢜ࢆタᐃࡋࡓୖ࡛ᐇ᪋ࡋ㸪⎔ቃ࣭ᐙ᪘࣭௓ㆤࡢ≧ἣࢆぢ࡚㸪⏕άࢆྵࡵࡓ᭱㐺ࡢṑ⛉἞⒪࡟ࡘ࠸࡚⪃࠼㸪ᅾᏯゼၥṑ⛉ᐇ⩦࡟ഛ࠼ࡿࡇ࡜ࢆ┠ⓗ࡜ࡋ࡚࠸ࡿࠋ⑕౛࡟ᛂࡌࡓᑐᛂຊࢆ㌟࡟௜ࡅࡿ࡜࡜ࡶ࡟㸪せ௓ㆤ㧗㱋⪅ࢆ࣋ࢵࢻ࠿ࡽ㌴࠸ࡍ࡬⛣஌ࡉࡏࡿ᪉ἲࡸࣂ࢖ࢱࣝࢧ࢖ࣥࡢࢳ࢙ࢵࢡࡶేࡏ࡚⾜࠸㸪ࡼࡾᐇ㝿ⓗ࡞ᢏ⾡ࡢ⩦ᚓࢆᅗࡗࡓࠋ୍⯡┠ᶆ㸸*,2㧗㱋⪅ࡢ㌟యⓗ㸪⢭⚄ⓗ࠾ࡼࡧᚰ⌮ⓗ≉ᚩ࡜ṑ⛉἞⒪ୖࡢ␃ពⅬࢆ⌮ゎࡍࡿࠋ⾜ື┠ᶆ㸸6%2V㧗㱋⪅࡟࠾ࡅࡿཱྀ⭍ࢣ࢔ฎ⨨࡟ࡘ࠸࡚ㄝ࡛᫂ࡁࡿࠋ

せ௓ㆤ㧗㱋⪅ ᅾᏯせ௓ㆤ⪅ࡶྵࡴ ࡢṑ⛉἞⒪᫬ࡢὀពⅬࢆㄝ࡛᫂ࡁࡿ㸬ṑ⛉ゼၥデ⒪࡟ࡘ࠸࡚ㄝ࡛᫂ࡁࡿࠋ



᣺ࡾ㏉ࡾᏛ⩦ࢆ㏻ࡋ࡚㸪⮬ࡽࡢ⾜ືࢆᐈほⓗ࡟ホ౯ࡋ㸪ㄢ㢟ࡢᢳฟ࠾ࡼࡧゎỴ⟇ࡢ᳨ウࢆ⾜࠺ࠋ

㸰㸬ᐇ⩦ෆᐜࡢせ⣙ ᐇ⩦㛤ጞ᫬࡟㊃᪨ㄝ᫂࠾ࡼࡧ⑕౛ࡢᥦ♧ࢆ⾜ࡗࡓᚋ㸪⛣஌ࡢ᪉ἲ࡟ࡘ࠸࡚ࡢࣅࢹ࢜ど⫈ࢆ⾜࠸㸪⛣஌ࡢὶࢀࢆᢕᥱࡉࡏࡓࠋࡲࡓ㸪ゼၥṑ⛉デ⒪᫬࡟౑⏝ࡍࡿ࣏࣮ࢱࣈࣝჾල
ࡢ౑⏝ἲ࡟ࡘ࠸࡚ࡢㄝ᫂ࡶేࡏ࡚⾜࠸㸪ჾලࡢ⤌ࡳ❧࡚࠾ࡼࡧ∦௜ࡅࢆ஦๓࡟⾜ࢃࡏࡓࠋ ࢩࢼࣜ࢜࡟ᇶ࡙࠸ࡓṑ⛉἞⒪࡛ࡣ㸪ṑ⛉་ᖌ㸪௓ຓ⪅㸦࢔ࢩࢫࢺ㸧࠾ࡼࡧ⿵ຓ⪅㸦ჾලࡢ‽ഛࡸ㢌఩ࡢᅛᐃ➼㸧ࡢᙺ๭ࢆỴࡵ㸪ᝈ⪅ࡢ≧ែࡸ୺ッ➼ࡢ᝟ሗࢆ඲ဨ࡛ඹ᭷ࡋ㸪                 ἞⒪ࢆ㛤ጞࡋࡓࠋࡲࡓ㸪ᙼࡽࡢ⾜ືࢆほᐹࡋ㸪ࣇ࢕࣮ࢻࣂࢵࢡࢆ⾜࠺ᙺ๭࡜ࡋ࡚ほᐹ⪅ࢆタᐃࡋࡓࠋ ᣦᑟᩍဨࡀᝈ⪅ࡢᐙ᪘ࡲࡓࡣ᪋タࢫࢱࢵࣇᙺ࡜
࡞ࡾᐇ⩦ࢆ㐍ࡵ࡚࠸ࡗࡓࡀ㸪ᅾᏯゼၥṑ⛉デ⒪ࡢ
⌧ሙ࡟ࡘ࠸࡚ࡢ࢖࣓࣮ࢪࡀ඲ࡃ࡞࠸≧ἣࡢ୰࡛㸪ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࢆ࠺ࡲࡃྲྀࡿࡇ࡜ࡀฟ᮶ࡎ㸪ᝈ⪅᝟ሗࡢ⫈ྲྀࡸㄝ᫂ࡀ୙㊊࡛࠶ࡗࡓࡾ㸪ࢫࢱࢵࣇ㛫ࡢ㐃ᦠࡀ୙༑ศ࡛࠶ࡗࡓࡾࡍࡿᵝᏊࡀぢ࡚ྲྀࢀࡓࠋࡑࡢࡓࡵ࡟ᝈ⪅࡟㈇ᢸࢆ࠿ࡅ࠿ࡡ࡞࠸≧ἣ㸺ࢩ࣑࣮ࣗࣞࢱ࣮ࢆ⏝࠸ࡓഃ⮩఩࡛ࡢṑ⛉἞⒪㸼

ࡀከࡃ┠࡟ࡘ࠸ࡓࡀ㸪୍᪉࡛㸪ᝈ⪅࡟Ẽࢆࡘ࠿࠺࠶ࡲࡾṑ⛉་ᖌࡀ↓⌮࡞ጼໃ࡛἞⒪ࢆ㐍ࡵࡿࡇ࡜࡟࡞ࡾ㸪ࡑࢀ࡟ࡼࡾ἞⒪᫬㛫ࡀ㛗ࡃ࠿࠿ࡿሙ㠃ࡶぢཷࡅࡽࢀࡓࠋ ࡋ࠿ࡋ㸪ほᐹ⪅࠿ࡽࡢᐈほⓗホ౯ࡸ௚ࡢࢢ࣮ࣝࣉࡢ἞⒪㢼ᬒࡢほᐹࢆ㏻ࡋ࡚ḟ➨࡟ࢫࢱࢵࣇ㛫ࡢ㐃ᦠࡸᝈ⪅ࡢ㈇ᢸࢆᑡ࡞ࡃࡍࡿࡓࡵࡢຠ⋡ࡢࡼ࠸἞⒪᪉ἲࡢᕤኵࡀ࡛
ࡁࡿࡼ࠺࡟࡞ࡾ㸪Ꮫ⏕⮬ࡽࡀၥ㢟ⅬࢆⓎぢࡋ㸪ゎỴ᪉ἲࢆ⪃࠼࡞ࡀࡽ἞⒪ࢆ㐍ࡵࡿࡇ࡜ࡀ࡛ࡁ࡚࠸ࡓࠋ ࡲࡓ㸪⛣஌࡟ࡘ࠸࡚ࡣ㸪࣋ࢵࢻ࠿ࡽ㌴࠸ࡍ࡬ࡢ⛣஌࠾ࡼࡧ㌴࠸ࡍ࠿ࡽデ⒪⏝ࢳ࢙࢔࣮࡬ࡢ⛣஌ࡢᐇ㊶ࢆᏛ⏕ྠኈࡢ┦஫ᐇ⩦ࡢᙧᘧ࡛⾜ࡗࡓࠋ⛣஌࡟㝿ࡋ㸪せ௓ㆤ⪅࡜௓ຓ⪅ࡢ㊥㞳ࡸ௓ㆤ⪅ࡢᡭ㊊ࡢ఩⨨㸪㌴࠸ࡍࡢタ⨨ሙᡤ➼⣽࠿࠸㒊ศࡢẼ㐵࠸ࡀᚲせ࡛࠶ࡾ㸪ࡉࡽ࡟ヨ⾜㘒ㄗࡋ࡞ࡀࡽ㐍ࡵ࡚࠸ࡗࡓࡀ㸪ᅇᩘࢆ㔜ࡡࡿࡈ࡜࡟య㔜⛣ືࡸ
㊥㞳ឤࡢࢥࢶࢆࡘ࠿ࡳ㸪ᐇ⩦ࢆ⤊࠼ࡿࡇࢁ࡟ࡣࢫ࣒࣮ࢬ

㸺࣋ࢵࢻ࠿ࡽ㌴࠸ࡍ࡬ࡢ⛣஌㸼࡟⛣஌ࡀ᏶஢࡛ࡁࡿࡼ࠺࡟࡞ࡗ࡚࠸ࡓࠋ ࡲࡓ㸪ࣂ࢖ࢱࣝࢧ࢖ࣥࡢࢳ࢙ࢵࢡ࡛ࡣ㸪⾑ᅽᐃࡢ᪉ἲ࠾ࡼࡧࣃࣝࢫ࢜࢟ࢩ࣓࣮ࢱ࣮ࡢ౑⏝ἲࢆᏛ⩦ࡋ㸪Ꮫ⏕ྠኈ࡛┦஫ᐇ⩦ࢆ⾜ࡗࡓࠋ⾑ᅽ ᐃ࡟ࡘ࠸࡚ࡣ㸪⏕⌮Ꮫ࡛ࡢᐇ⩦௨᮶ࡢᐇ⩦࡛࠶ࡾ㸪ჾලࡢ౑࠸᪉ࢆ෌ᗘ☜ㄆࡋ㸪ࢫ࣒࣮ࢬ࡞ ᐃࢆᚰࡀࡅࡿᵝᏊࡀぢ࡚࡜ࢀࡓࠋࣃࣝࢫ࢜࢟ࢩ࣓࣮ࢱ࣮
౑⏝࡟㝿ࡋ࡚ࡣ㸪ᐃࡢ┠ⓗ࡟ࡘ࠸࡚Ꮫࡪ࡜࡜ࡶ

࡟⑓㝔ෆࡸゼၥṑ⛉デ⒪ࡢ⌧ሙ࡟࠾࠸࡚࡝ࡢࡼ࠺

㸺ࣂ࢖ࢱࣝࢧ࢖ࣥࡢࢳ࢙ࢵࢡ࡟ࡘ࠸࡚ࡢ
ᣦᑟ㢼ᬒ㸼



                 ࡟⏝࠸ࡽࢀ࡚࠸ࡿ࠿࡟ࡘ࠸࡚ࡶᏛ⩦ࡋࡓࠋࡲࡓ㸪ᚰ㟁ᅗࡢㄞࡳྲྀࡾ᪉࡟ࡘ࠸࡚ࡶేࡏ࡚
Ꮫ⩦ࡋࡓࠋ

㸱㸬ᐇ⩦ࢆ⤊࠼࡚ᮏᐇ⩦ࡣ⮫ᗋᐇ⩦㛤ጞ๓ࡢ᫬ᮇࡢ㸪እ᮶࡛ࡢデ⒪࡛ࡉ࠼࢖࣓࣮ࢪࡀ‪࠸࡚࠸࡞࠸᫬ᮇ
࡟ゼၥデ⒪ࡢ≧ἣࢆタᐃࡋ⾜ࡗࡓࡓࡀ㸪ᝈ⪅ࡉࢇ㸪ᝈ⪅ᐙ᪘࡜ࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࢆ
࠸࠿࡟ୖᡭࡃ࡜ࡾ㸪デ⒪࡟ᚲせ࡞᝟ሗࢆᚓࡿ࠿࡟ⱞປࡋ࡚࠸ࡿᏛ⏕ࡀከࡃぢཷࡅࡽࢀࡓࠋ
ࡲࡓ㸪ࢫࢱࢵࣇ㛫࡛ࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࢆࢫ࣒࣮ࢬ࡟ྲྀࡿࡇ࡜ࡀฟ᮶ࡎ㸪ฎ⨨࡟ከࡃࡢ᫬㛫ࢆせࡋࡓࡾ㸪↓㥏࡞ືࡁࢆࡋࡓࡾࡋ࡚࠸ࡓࠋ஫࠸ࡢ⾜ືࢆほᐹࡋ㸪ࣇ࢕࣮ࢻࣂࢵࢡ
ࡍࡿࡇ࡜࡛㸪ᝈ⪅ࡢ⏕άࡢ୰࡟ධࡗ࡚⾜ࡗ࡚἞⒪ࢆ⾜࠺㝿࡟ࡣᝈ⪅⫼ᬒࡢᢕᥱࡸࡑࡢ᝟
ሗࡢࢫࢱࢵࣇ㛫࡛ࡢඹ᭷㸪἞⒪᫬ࡢࢫࢱࢵࣇࡢ㐃ᦠࡀࡼࡾ㔜せ࡛࠶ࡿࡇ࡜ࢆᏛ⏕ࡽࡣㄆ㆑࡛ࡁ࡚࠸ࡓࡼ࠺࡛࠶ࡿࠋ
௒ᚋ㸪ᅾᏯゼၥṑ⛉ᐇ⩦࡟࡚௓ㆤ⌧ሙ࡟㉱࠸ࡓ㝿࡟ࡣ㸪ᢸᙜṑ⛉་ᖌࡸࢫࢱࢵࣇࡢ⾜ື࡟ࡘ࠸࡚ὀどࡋ࡞ࡀࡽ㸪ලయⓗ࡞ᡭἲ㸪▱㆑࠾ࡼࡧᢏ⾡ࢆᏛࡪᚲせࡀ࠶ࡿࠋࡑࡢ஦๓Ꮫ
⩦࡜ࡋ࡚㸪ゼၥデ⒪ࡢ⌧ሙࢆᶍࡋࡓ≧ἣࢆᏛ⏕⮬ࡽࡀ⤒㦂ࡋ㸪ㄢ㢟ࢆぢฟࡍࡇ࡜ࡀ࡛ࡁ
ࡓࡇ࡜ࡣ኱ኚព⩏῝ࡃ㸪௒ᚋ⮫ᗋᐇ⩦࡟⮫ࡴୖ࡛ࡶຠᯝⓗ࡛࠶ࡗࡓ࡜⪃࠼ࡽࢀࡿࠋࡲࡓ㸪ᐇ⩦ᚋࡢ᣺ࡾ㏉ࡾᏛ⩦࡛ࡣ἞⒪᫬ࡢ⮬㌟ࡢ⾜ືࢆᐈほⓗ࡟ほᐹࡋ࡞ࡀࡽ㸪௚ࡢᏛ⏕࠿ࡽࡢࣇ࢕࣮ࢻࣂࢵࢡ࡟ຍ࠼࡚⮬ศ⮬㌟࡛ᨵၿⅬࢆぢฟࡍࡇ࡜ࡀ࡛ࡁ࡚࠸ࡓࠋ⮫ᗋᐇ⩦࡟࠾࠸࡚ᐇ㝿࡟ᝈ⪅࡟᥋ࡍࡿ㝿࡟ࡣ㸪▱㆑ࡸᢏ⾡ࡔࡅ࡛࡞ࡃ㸪ಙ㢗㛵ಀࡢᵓ⠏࡟ࡘ࠸࡚ࡶᛕ
㢌࡟⨨ࡃᚲせࡀ࠶ࡿࡀ㸪ᮏᐇ⩦ࡣ㸪⮬㌟ࡢ⾜ືࡀᝈ⪅ࡢ┠࡟ࡣ࡝࠺ᫎࡿࡢ࠿ࢆᐈほどࡍࡿⰋ࠸ᶵ఍࡜࡞ࡗࡓ࡜⪃࠼ࡽࢀࡿࠋ௒ᚋࡢእ᮶࡛ࡢ⮫ᗋᐇ⩦㸪ᅾᏯゼၥṑ⛉ᐇ⩦࡟࠾࠸࡚㸪ᮏᐇ⩦ࡀά࠿ࡉࢀࡿࡇ࡜ࢆᮇᚅࡋ࡚࠸ࡿࠋ                 㧗ᗘ་⒪ᨭ᥼䞉࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ᐇ⩦ᅾᏯ௓ㆤ䞉ゼၥṑ⛉デ⒪ཧຍᆺᏛእ⮫ᗋᐇ⩦䝅䝭䝳䝺䞊䝅䝵䞁䞉㻼㻮㻸₇⩦䠄㻴㻞㻣ᖺᗘ䜎䛷䛿㻠ᖺ䚸㻴㻞㻤ᖺᗘ௨㝆䛿㻟ᖺ䛷ᐇ᪋䠅་⒪ᨭ᥼ṑᏛᩍ⫱䝁䞊䝇䝽䞊䜽䐟⏕ά⩦័⑓䛸ཱྀ⭍ㅮ⩏䝅䝸䞊䝈
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㻠㻣㻠㻣㻡㻝䠄ணᐃ䠅䕿䕿䕿㻠㻢㻠㻣䠄ணᐃ䠅 㻡㻝䠄ணᐃ䠅䕿䕿䕿㻠㻢㻠㻣䠄ணᐃ䠅 㻡㻝䠄ணᐃ䠅䕿䕿䕿㻠㻣䠄ணᐃ䠅 㻡㻝䠄ணᐃ䠅
䕿
䕿
䕿
㻠㻢
㻟ᖺ⏕㻜
㻠㻞
㻡㻝
䕿
䕿
䕿
㻠ᖺ⏕㻠㻣
㻠㻠
㻠㻣䠄ணᐃ䠅 㻡㻝䠄ணᐃ䠅䕿䕿䕿㻠㻠㻠㻣䠄ணᐃ䠅 㻡㻝䠄ணᐃ䠅䕿䕿䕿䈜ᖹᡂ㻞㻤ᖺᗘ䜘䜚㻼㻮㻸₇⩦䛿㻟ᖺ⏕䜈ኚ᭦䛸䛺䛳䛯䛯䜑䚸ᖹᡂ㻞㻡ᖺᗘධᏛ⪅䛿ᮍᒚಟ
䈜ᖹᡂ㻟㻝ᖺᗘᮎ䛻ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂ䝥䝻䜾䝷䝮䛾⛉┠䜢䛩䜉䛶ᒚಟ䛧䛯Ꮫ⏕䛜༞ᴗ䛩䜛䚹ᖹᡂ㻞㻝ᖺᗘ ᖹᡂ㻞㻞ᖺᗘ ᖹᡂ㻞㻟ᖺᗘ ᖹᡂ㻞㻠ᖺᗘ
ධᏛ
ධᏛ
ධᏛ
ධᏛ
䠄㻢ᖺ㻕
䠄㻡ᖺ㻕
䠄㻠ᖺ䠅
䠄㻟ᖺ䠅
ᖹᡂ㻞㻞ᖺᗘ ᖹᡂ㻞㻟ᖺᗘ ᖹᡂ㻞㻠ᖺᗘ ᖹᡂ㻞㻡ᖺᗘ
ධᏛ
ධᏛ
ධᏛ
ධᏛ
䠄㻢ᖺ㻕
䠄㻡ᖺ䠅
䠄㻠ᖺ䠅
䠄㻟ᖺ䠅
ᖹᡂ㻞㻟ᖺᗘ ᖹᡂ㻞㻠ᖺᗘ ᖹᡂ㻞㻡ᖺᗘ ᖹᡂ㻞㻢ᖺᗘ
ᮦ
ධᏛ
ධᏛ
ධᏛ
ධᏛ
㣴
䠄㻢ᖺ䠅
䠄㻡ᖺ䠅
䠄㻠ᖺ䠅
䠄㻟ᖺ䠅
ᡂ 咁
ᖹᡂ㻞㻠ᖺᗘ ᖹᡂ㻞㻡ᖺᗘ ᖹᡂ㻞㻢ᖺᗘ ᖹᡂ㻞㻣ᖺᗘ
䝥 ㄢ
ධᏛ
ධᏛ
ධᏛ
ධᏛ
㢟
䝻
䠄㻢ᖺ䠅
䠄㻡ᖺ䠅
䠄㻠ᖺ䠅
䠄㻟ᖺ䠅
⩦
䜾 ゎ
ᖹᡂ㻞㻡ᖺᗘ ᖹᡂ㻞㻢ᖺᗘ ᖹᡂ㻞㻣ᖺᗘ ᖹᡂ㻞㻤ᖺᗘ
㛤
䝷 Ỵ
ධᏛ
ධᏛ
ධᏛ
ධᏛ
ጞ
䠄㻢ᖺ䠅
䠄㻡ᖺ䠅
䠄㻠ᖺ䠅
䠄㻟ᖺ䠅
䝮 ᆺ
ᖹᡂ㻞㻢ᖺᗘ ᖹᡂ㻞㻣ᖺᗘ ᖹᡂ㻞㻤ᖺᗘ ᖹᡂ㻞㻥ᖺᗘ
咂䛾 㧗
ධᏛ
ධᏛ
ධᏛ
ධᏛ
ㅮ ᗘ
䠄㻢ᖺ䠅
䠄㻡ᖺ䠅
䠄㻠ᖺ䠅
䠄㻟ᖺ䠅
་
⩏
ᖹᡂ㻞㻣ᖺᗘ ᖹᡂ㻞㻤ᖺᗘ ᖹᡂ㻞㻥ᖺᗘ ᖹᡂ㻟㻜ᖺᗘ
䞉 ⒪
ධᏛ
ධᏛ
ධᏛ
ධᏛ
ᐇ ே
䠄㻢ᖺ䠅
䠄㻡ᖺ䠅
䠄㻠ᖺ䠅
䠄㻟ᖺ䠅

ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂ䝥䝻䜾䝷䝮䚷་⒪ᨭ᥼ṑᏛᩍ⫱䝁䞊䝇䝽䞊䜽䚷ᒚಟ≧ἣ䠄ᒸᒣ኱Ꮫ䠅㈨ᩱ䠍 䠔

㈨ᩱ䠍 䠕䝁䞁䝔䞁䝒୍ぴㅮ⩏䝅䝸䞊䝈䠍䠄⏕ά⩦័⑓䛸ཱྀ⭍䠅⏕ά⩦័⑓䜈䛾ᑐ⟇䞉䝦䝹䝇䝥䝻䝰䞊䝅䝵䞁䛻䛚䛡䜛䛂ཱྀ⭍䞉඲㌟೺ᗣᏛ䛃䛾Ṕྐ䛸₻ὶ䝯䝍䝪䝸䝑䜽䝅䞁䝗䝻䞊䝮䛾⑓ែ䛸ண㜵ṑ࿘⑓䛸⢾ᒀ⑓䛸䛾㛵ಀື⬦◳໬ᴫㄽ㻌࿧྾ჾ⑌ᝈᴫㄝ
ཱྀ⭍䛾೺ᗣ䛸⫵⑌ᝈ䌦⫵⅖䠈㻯㻻㻼㻰ཱྀ⭍䛾೺ᗣ䛜ฟ⏘䜈ཬ䜌䛩ᙳ㡪䠉ṑ࿘⑓䛸᪩⏘䞉పయ㔜ඣฟ⏘䛾㛵㐃䠉╧╀᫬࿧྾㞀ᐖᴫㄝㄆ▱⑕䛸⏕ά⩦័⑓╧╀᫬↓࿧྾⑕ೃ⩌䛾ᴫせ䛸ṑ⛉ⓗ䜰䝥䝻䞊䝏⢭⚄⑌ᝈᴫㄝ㻌㐠ືჾ䝸䝝䝡䝸䝔䞊䝅䝵䞁ᴫㄝ⏕ά⩦័⑓䛻ᑐ䛩䜛ᰤ㣴Ꮫⓗ䜰䝥䝻䞊䝏೺ᗣデ᩿䛾ᐇ᝟䛸ᅾ䜚᪉䚷㻙ಖ೺ᖌ䛾❧ሙ䛛䜙㻙ᆅᇦ䛻䛚䛡䜛ṑ⛉ಖ೺䞉䝦䝹䝇䝥䝻䝰䞊䝅䝵䞁Ἀ㔝㻌㞝୍㑻

⮫ᗋ᳨ᰝㅮ⩏䠄⾑ᾮ᳨ᰝ➨㻝㒊䠅⮫ᗋ᳨ᰝㅮ⩏䠄⾑ᾮ᳨ᰝ➨㻞㒊㻕㻔ᚰ㟁ᅗ㻕㻔▱䛳䛶䛚䛝䛯䛔࿧྾ჾᶵ⬟᳨ᰝ䠅

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ᮌᾆ㻌຾⾜
ᅬ஭㻌ᩍ⿱

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㇂ᒣ㻌┿つᏊ
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ᒣ⏣㻌஢ኈ
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㯮ᮌ㻌⨾ὠỤ

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ㅮ⩏䝅䝸䞊䝈䠎䠄ᛴᛶᮇ་⒪䠅࿘⾡ᮇ䛾ᰤ㣴⟶⌮䛻䛴䛔䛶㻌ṑᏛ⏕䞉ṑ⛉་⒪⪅䛜▱䛳䛶䛚䛟䜉䛝࿘⾡ᮇཱྀ⭍⟶⌮䞉䛜䜣ཱྀ⭍ᨭᣢ⒪ἲ䛾ᐇ㝿䠉⥲ㄽ䠉ṑᏛ⏕䞉ṑ⛉་⒪⪅䛜▱䛳䛶䛚䛟䜉䛝⮫ᗋ⭘⒆Ꮫ⥲ㄽ㻌ṑᏛ⏕䞉ṑ⛉་ᖌ䛜▱䛳䛶䛚䛟䜉䛝䛜䜣┳ㆤ㻌䡚䛜䜣໬Ꮫ⒪ἲ┳ㆤ䜢୰ᚰ䛻䡚
㢌㢕㒊⒴䛻ᑐ䛩䜛ᨺᑕ⥺἞⒪䛾ᐇ㝿䛸㢡ཱྀ⭍㡿ᇦ䛾ྜే⑕䛻䛴䛔䛶㛗㇂ᕝ㻌♸Ꮚ

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すᮏ㻌ோ⨾

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䛜䜣໬Ꮫ⒪ἲ䛾ᐇ㝿䛸ཱྀ⭍ෆྜే⑕䜈䛾ᑐ⟇㻌ⓒྜⲡ㻌೺ᆂᚿ

㟼ᒸ┴❧㟼ᒸ䛜䜣䝉䞁䝍䞊

᳃ᯇ㻌༤ྐ

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᐀㻌῟୍
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ᑠᯘ㻌ồ

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ᕝᓮ་⛉኱Ꮫ
ᒾᡭ┴ṑ⛉་ᖌ఍
ᒾᡭ་⛉኱Ꮫ
ᮾ໭኱ᏛṑᏛ⏕䞉ṑ⛉་ᖌ䛜▱䛳䛶䛚䛟䜉䛝࿘⾡ᮇ⟶⌮Ꮫ䛾Ṕྐ䛸₻ὶ⫵䛜䜣䛻ᑐ䛩䜛ᡭ⾡⒪ἲ䛸࿘⾡ᮇ⟶⌮䛾≉ᚩṑᏛ⏕䞉ṑ⛉་䛜▱䛳䛶䛚䛟䜉䛝ᚰ⮚⾑⟶እ⛉ᡭ⾡ṑᏛ⏕䛜▱䛳䛶䛚䛟䜉䛝㞟୰἞⒪䛾▱㆑㣗㐨䛜䜣デ⒪䛾ᐇ㝿䠉ṑ⛉་䠈ṑᏛ㒊⏕䠈ཱྀ⭍䜿䜰䛻㛵䜟䜛ⓙ䛥䜣䛻▱䛳䛶䜋䛧䛔䛣䛸䠉ṑᏛ⏕䞉ṑ⛉་⒪⪅䛜▱䛳䛶䛚䛟䜉䛝࿘⾡ᮇ┳ㆤṑᏛ⏕䞉ṑ⛉་⒪⪅䛜▱䛳䛶䛚䛟䜉䛝⅏ᐖᩆᛴ⌧ሙ䛾ᐇ㝿䠉⥲ㄽ䠉⅏ᐖ᫬䛻䛚䛡䜛ṑ⛉䝁䞊䝕䜱䝛䞊䝖䛾ᐇ㝿䡚ᮾ᪥ᮏ኱㟈⅏䜢⤒㦂䛧䛶䡚ṑᏛ⏕䞉ṑ⛉་⒪⪅䛜▱䛳䛶䛚䛟䜉䛝ᅜ㝿㈉⊩

Ặᐙ㻌Ⰻே
኱㯮㻌ⱥ㈗
⣽ᕝ㻌ு୍

ㅮ⩏䝅䝸䞊䝈䠏䠄ᅾᏯ௓ㆤ་⒪䠅ᆅᇦ䛻䛚䛡䜛ᅾᏯ㧗㱋⪅䛾ᰤ㣴㣗஦ᣦᑟ䛾⌧≧䛸䝫䜲䞁䝖ᆅᇦ䛻䛚䛡䜛ከ⫋✀㐃ᦠ䡚⤒ཱྀ⥔ᣢຍ⟬䛷䛿ఱ䜢䛩䜛䛾䛛䠛䡚ᄟୗᅔ㞴⪅䛻ᑐ䛩䜛᭹⸆ᨭ᥼䚷㻙⡆᫆ᠱ⃮ἲ䛺䛹㻙㻌࿧྾⌮Ꮫ⒪ἲ䠉ᇶ♏⦅䠉㻌㛗ᑑ᫬௦䛾䜶䞁䝗䜸䝤䝷䜲䝣䞉䜿䜰㉸㧗㱋⪅♫఍䜢ぢᤣ䛘䛯ᮍ᮶་⒪ண᝿ᅗ䡚௒䚸ᨵ䜑䛶་⛉ṑ⛉㐃ᦠ䛷ఱ䜢ᡂ䛧㐙䛢䜛䛾䛛䡚䠄๓䠅㉸㧗㱋⪅♫఍䜢ぢᤣ䛘䛯ᮍ᮶་⒪ண᝿ᅗ䡚௒䚸ᨵ䜑䛶་⛉ṑ⛉㐃ᦠ䛷ఱ䜢ᡂ䛧㐙䛢䜛䛾䛛䡚䠄ᚋ䠅௒䚸ồ䜑䜙䜜䛶䛔䜛་⒪䚸௓ㆤ䛸䛿䠛ᆅᇦໟᣓ䜿䜰䝅䝇䝔䝮䛻䛚䛡䜛ゼၥ┳ㆤ䛾㈐ົ

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὾⏣㻌῟
㇂ᇉ㻌㟿Ꮚ

せ௓ㆤ㧗㱋⪅䛻䛚䛡䜛ཱྀ⭍⟶⌮䛾㔜せᛶ

ゅ㻌ಖᚨ

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ᅜ❧㛗ᑑ་⒪◊✲䝉䞁䝍䞊

ᅾᏯ⩏ṑ䛾䛯䜑䛾⥲⩏ṑ἞⒪䝬䝙䝳䜰䝹䠉㧗㱋⪅䛾ညྜ☜ಖ䛾䛯䜑䛻䠉ㄆ▱⑕㧗㱋⪅䛾᪉䜈䛾㣗஦䛾ᨭ᥼䡚ཱྀ⭍ᶵ⬟䛸ㄆ▱ᶵ⬟䛾どⅬ䛛䜙䡚ᅾᏯ䛷䛾ᦤ㣗ᄟୗᶵ⬟ホ౯ᅾᏯ䛷䛾䝸䝇䜽⟶⌮䚷ᦤ㣗ᄟୗ㞀ᐖᝈ⪅ᅾᏯᝈ⪅䛾ᰤ㣴ホ౯䛸ᰤ㣴⟶⌮

ᮧ⏣㻌ᑦ㐨
㇂ཱྀ㻌ᜨᏊ
ᆏᮏ㻌ඵ༓௦

ᅾᏯ䛷ᚲせ䛺ṑ⛉⾨⏕ᣦᑟᑎᑿ㻌ᚸ⸆๣ᖌ䛜㛵䜟䜛ᅾᏯ⒪㣴ᨭ᥼௓ㆤಖ㝤᪋タ䛻䛚䛡䜛ከ⫋✀䛻䛚䛡䜛⤒ཱྀᦤྲྀᨭ᥼
ᅾᏯ௓ㆤ⌧ሙ䛻䛚䛡䜛㣗ᨭ᥼䛻䛴䛔䛶ゼၥ┳ㆤᖌ䛜ྲྀ䜚⤌䜐䛂ື䛝䛃䛾ᨭ᥼ゼၥṑ⛉デ⒪䛾ᐇ㝿䡚඲㌟䛾᝟ሗ䜢䛹䛖ྲྀᚓ䛧䚸䛹䛖⏕䛛䛩䛛䡚ᦤ㣗ᄟୗᶵ⬟䛾カ⦎ఫẸ䛾ᮃ䜐ᬽ䜙䛧䜢ᨭ䛘䜛ཱྀ⭍䜿䜰䠉䜴䝹䝖䝷䝬䞁䛛䜙䜰䞁䝟䞁䝬䞁䜈䟿䠉

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ᮾி㒔೺ᗣ㛗ᑑ་⒪䝉䞁䝍䞊
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ᒸᒣ┴
ṑ⛉⾨⏕ኈ఍
ᒸᒣ኱Ꮫ䛒䛔䛾㔛䜽䝸䝙䝑䜽᪥ᮏṑ⛉኱Ꮫᒸᒣ኱Ꮫᒣᮏ㻌㐨௦䛒䛔䛾㔛䜽䝸䝙䝑䜽

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୸ᒸ㻌୕⣪

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Ṛ⏕Ꮫ䞉ㄆ▱⑕Ṛ⏕Ꮫ䛸䛿䠄๓䠅Ṛ⏕Ꮫ䛸䛿䠄ᚋ䠅䜶䞁䝗㻌䜸䝤㻌䝷䜲䝣䞉䜿䜰䛣䜜䛛䜙䛾㧗㱋⪅་⒪䛸䜿䜰䝣䝺䜲䝹䛾▱ぢ䜢⮫ᗋ䛻ά䛛䛩㧗㱋⪅䜿䜰䛸ேᕤⓗỈศ䞉ᰤ㣴⿵⤥ἲㄆ▱⑕䛸⏕ά⩦័⑓

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ᮾி኱Ꮫ
ᒸᒣ኱Ꮫ

䛜䜣἞⒪䛾࿘⾡ᮇ⟶⌮䝉䝭䝘䞊䠄໭ᾏ㐨኱Ꮫ䠅䛜䜣໬Ꮫ䠄⸆≀䠅⒪ἲ㻌䛜䜣ᨺᑕ⥺⒪ἲ඲⯡⪥㰯ဗႃ⛉㡿ᇦ䛾䛜䜣἞⒪⾑ᾮෆ⛉㡿ᇦ䛾䛜䜣἞⒪ᑠඣ䛜䜣἞⒪㻌἞⒵䜢䜑䛦䛧䛶㜚䛖Ꮚ䛹䜒䛯䛱䛜䜣἞⒪䛸ཱྀ⭍ෆྜే⑕䛜䜣ᝈ⪅䛾ṑ⛉἞⒪䛸་⒪㐃ᦠ㻌ᑠᯇ㻌჆ே㻌
኱᳃㻌᱇୍㻌
ᮏ㛫㻌᫂ᏹ㻌
㇏ᔱ㻌ᓫᚨ㻌
㛗㻌♸Ꮚ㻌ᒣᓮ㻌⿱㻌໭ᕝ㻌ၿᨻ㻌

໭ᾏ㐨኱Ꮫ䚷
໭ᾏ㐨኱Ꮫ䚷
໭ᾏ㐨኱Ꮫ䚷
໭ᾏ㐨኱Ꮫ䚷
໭ᾏ㐨኱Ꮫ䚷
໭ᾏ㐨኱Ꮫ䚷
໭ᾏ㐨኱Ꮫ䚷

❑ᮌ㻌ᣅ⏨

ᒸᒣ኱Ꮫ

㣤ᓥ㻌຾▮

ᮾி኱Ꮫ

タ❧グᛕ䝅䞁䝫䝆䜴䝮ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂ䝥䝻䜾䝷䝮䛂೺ᗣ㛗ᑑ♫఍䜢ᢸ䛖ṑ⛉་Ꮫᩍ⫱ᨵ㠉䛃䛻䛴䛔䛶㉸㧗㱋⪅♫఍䜢ぢᤣ䛘䛯ᮍ᮶་⒪ண᝿ᅗ䡚௒䚸ᨵ䜑䛶་⛉ṑ⛉㐃ᦠ䛷ఱ䜢ᡂ䛧㐙䛢䜛䛾䛛䡚᫛࿴኱Ꮫ䛾་ṑ⸆ಖ೺་⒪Ꮫ㒊㐃ᦠᩍ⫱᫛࿴኱Ꮫ䛾ᅾᏯ་⒪ᨭ᥼ṑᏛᅾᏯṑ⛉་⒪Ꮫ䜢ᨭ䛘䜛䝅䝭䝳䝺䞊䝅䝵䞁ᩍ⫱䛸⮫ᗋㅮᖌไᗘ䜢฼⏝䛧䛯ᅾᏯ௓ㆤṑ⛉་⒪ᩍ⫱ᆅᇦ་⒪䛻䛚䛡䜛䛂䝠䝖䛃䛾⫱ᡂ䚷ᆅᇦ඲య䛷⫱䛶ᆅᇦ་⒪䝬䜲䞁䝗䜢ᇵ䛖䠉ᆅᇦ་⒪ேᮦ⫱ᡂ䛾ᩍဨ䛾❧ሙ䛛䜙䠉㧗㱋⪅䛾ṑ䛸ཱྀ⭍ᶵ⬟䛜೺ᗣ㛗ᑑ䛻ཬ䜌䛩ᙳ㡪䠖ᩥ⌮⼥ྜᆺ๓ྥ䛝䝁䝩䞊䝖◊✲䜘䜚

∦ᒸ㻌❳ኴ
ᘯ୰㻌⚈ྖ

᫛࿴኱Ꮫ
᫛࿴኱Ꮫ

ᐑ⬥㻌༟ஓ

ᒸᒣ኱Ꮫ

బ⸨㻌຾

ᒸᒣ኱Ꮫ

ụ㑓㻌୍඾

኱㜰኱Ꮫ

ᓊᮏ㻌⿱඘

රᗜ་⛉኱Ꮫ

᳜⏣㻌⪔୍㑻

᪥ᮏ኱Ꮫ

㔝ཱྀ㻌ㄔ

ᐩᒣ኱Ꮫ

ᓊᮏ㻌⿱඘

රᗜ་⛉኱Ꮫ

㊊❧㻌஢ᖹ⚄ᡞᖖ┙኱Ꮫ

ᕝᑼ㻌⚽୍

㔠ἑ኱Ꮫ

୹ἑ㻌⚽ᶞ

༓ⴥ኱Ꮫ

୰ᮧ㻌༤ᖾ

㔠ἑ኱Ꮫ

䜻䝑䜽䜸䝣䝅䞁䝫䝆䜴䝮䛂ᖹ᫬䛃䛛䜙䛂᭷஦䛃䜎䛷䠈䜸䞊䝷䝹䝬䝛䝆䝯䞁䝖䇾㻯㻾㻱㻭㼀㻱䇿㻌䜢ᐇ㊶䛷䛝䜛ṑ⛉་⒪ே䜢㣴ᡂ䛩䜛ṑ⛉䛻䛚䛡䜛ᦤ㣗ᄟୗ䝸䝝䝡䝸䝔䞊䝅䝵䞁䛾ጞ䜎䜚䛸ᦤ㣗ᶵ⬟⒪ἲᏛ₇⩦౛䛾⤂௓་Ꮫ㒊௜ᒓ⑓㝔ཱྀ⭍እ⛉䛷䛾ṑ⛉⮫ᗋ◊ಟ䛾⌧≧රᗜ་⛉኱Ꮫ⑓㝔ṑ⛉ཱྀ⭍እ⛉䛻䛚䛡䜛ṑ⛉་ᖌ⮫ᗋ◊ಟ䝥䝻䜾䝷䝮䡚රᗜ┴⑓㝔ṑ⛉་఍䛷䛾άື䜒ྵ䜑䛶䡚රᗜ┴⑓㝔ṑ⛉་఍䛜䜑䛦䛩ṑ⛉་ᖌ⮫ᗋ◊ಟ㔠ἑ኱Ꮫ㝃ᒓ⑓㝔䛻䛚䛡䜛ṑ⛉⮫ᗋ◊ಟ་ᩍ⫱䛾⌧≧䛻䛴䛔䛶ṑᏛ㒊Ꮫ⏕ᩍ⫱䛺䜙䜃䛻ṑ⛉་ᖌ༞ᚋ◊ಟ䛻㛵䛩䜛୍⪃ᐹ㔠ἑ኱་Ꮫ㒊䛻䛚䛡䜛ṑ⛉ᩍ⫱䝥䝻䜾䝷䝮䠉≉Ⰽ䛚䜘䜃ලయⓗ䛺ྲྀ䜚⤌䜏䠉䛂ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂ䝥䝻䜾䝷䝮䛃䛾㑅ᐃ኱Ꮫ䛻ᮇᚅ䛩䜛䛣䛸㛗ᑑ᫬௦䛾䜶䞁䝗䜸䝤䝷䜲䝣䞉䜿䜰໭ᾏ㐨኱Ꮫ䛻䛚䛡䜛ṑ⛉་Ꮫᩍ⫱㛗ᓮ኱Ꮫ䛻䛚䛡䜛㞳ᓥ་⒪ಖ೺ᐇ⩦䛛䜙ఱ䜢Ꮫ䜆䛛䠛㞳ᓥᆅᇦ䜢ᇶ┙䛸䛧䛯ᆅᇦṑ⛉་⒪ᩍ⫱䛾㛤Ⓨ

ᓥᒃ㻌๛ᚿ
఍⏣㻌⸅Ꮚ
஭ୖ㻌㻌ဴ
ゅ㻌㻌ᛅ㍤
⏣ཱྀ㻌๎ᏹ

ᩥ㒊⛉Ꮫ┬㧗➼ᩍ⫱ᒁ་Ꮫᩍ⫱ㄢ
ᮾி኱Ꮫ
໭ᾏ㐨኱Ꮫ
㛗ᓮ኱Ꮫ
㮵ඣᓥ኱Ꮫ

ᖹᡂ㻞㻣ᖺᗘ㐃ᦠ䝅䞁䝫䝆䜴䝮䠄᫛࿴኱Ꮫ䠅㉸㧗㱋♫఍䛻ᑐᛂ䛩䜛ṑᏛᩍ⫱䜢ዴఱ䛻ᵓ⠏䛩䜛䛛ᖹᡂ㻞㻣ᖺᗘ㛗ᓮ኱Ꮫ㞳ᓥṑ⛉ಖ೺་⒪䝃䝬䞊䝇䜽䞊䝹䜢⤊䛘䛶ᐩኈ໭㯄ᆅᇦ䛻䛚䛡䜛ከ⫋✀ᅾᏯ䝏䞊䝮་⒪䛾ヨ䜏᫛࿴኱Ꮫ䛾య⣔ⓗ䚸ẁ㝵ⓗ䛺Ꮫ㒊㐃ᦠᩍ⫱䛜䜣ᨭᣢ⒪ἲ䛸䛧䛶䛾ṑ⛉䛾ᙺ๭ཱྀ⭍೺ᗣ⛉Ꮫ≉ㄽ䛾㛤ㅮ䛻ྥ䛡䛶⿕⅏ᆅ⥅⥆ᨭ᥼䛾䛯䜑䛾ḟୡ௦䛾་⒪ே㣴ᡂ䝥䝻䜾䝷䝮ᵓ⠏䛾ヨ䜏䛂㣗䜉䛯䛔䛃䛻ᛂ䛘䜛䛯䜑䛻

❑ᮌ㻌ᣅ⏨

ᒸᒣ኱Ꮫ

ゅ㻌ᛅ㍤

㛗ᓮ኱Ꮫ

✑ᆏ㻌㊰⏨
ᮌෆ㻌♸஧
ୖ㔝㻌ᑦ㞝
すᮧ㻌ⱥ⣖

຾ᒣデ⒪ᡤ
᫛࿴኱Ꮫ
ᅜ❧䛜䜣䝉䞁䝍䞊
஑ᕞ኱Ꮫ

ᓊ㻌ග⏨

ᒾᡭ་⛉኱Ꮫ

⋢⏣㻌ὈႹᒾᡭ་⛉኱Ꮫ

㧗㱋⪅་⒪䛻㛵䛩䜛≉ูㅮ₇఍䛂㉸㧗㱋♫఍䛻䛚䛡䜛ṑ⛉་⒪䞉ཱྀ⭍ಖ೺䛻䛴䛔䛶䛃䡚䝕䞊䝍䜢䜒䛸䛻䡚㧗㱋⪅䜢ᑐ㇟䛸䛧䛯ཱྀ⭍ᶵ⬟䛸೺ᗣ㛗ᑑ䛻㛵䛩䜛䝁䝩䞊䝖◊✲Ⓨヰ䞉ᦤ㣗ᄟୗᶵ⬟ホ౯䛸䝸䝝䝡䝸䝔䞊䝅䝵䞁䠘㢌㢕㒊䛜䜣⾡ᚋ䚸㧗㱋⪅་⒪䜢ど㔝䛻䠚ᅾᏯ௓ㆤ⌧ሙ䛻䛚䛡䜛㣗ᨭ᥼䛻䛴䛔䛶ᜏ▼㻌⨾Ⓩ㔛

᪥ᮏṑ⛉་ᖌ఍

ụ㑓㻌୍඾

኱㜰኱Ꮫ
༓㔛䝸䝝䝡䝸
䝔䞊䝅䝵䞁⑓㝔᪥ᮏṑ⛉኱Ꮫ⇃಴㻌ຬ⨾⳥㇂㻌Ṋ䛜䜣἞⒪ᨭ᥼ཱྀ⭍ᶵ⬟⟶⌮䝁䞊䝇䠄㔠ἑ኱Ꮫ䠅䛜䜣⦆࿴་⒪⭘⒆እ⛉἞⒪䛾᭱๓⥺䚷኱⭠⒴࿧྾ჾᝏᛶ⭘⒆
䛜䜣䛾໬Ꮫ⒪ἲ᫬䛾ᰤ㣴⟶⌮
⦆࿴་⒪䛸ᰤ㣴⟶⌮㻌䠉ᅾᏯ䛷䜒኱ษ䛺ᰤ㣴䛸⦆࿴䠉

ᒣ⏣㻌ᆂ㍜
ᒣཱྀ㻌᫂ኵ
➟ཎ㻌ᑑ㑻
኱ᮧ㻌೺஧
∦ᒣ㻌ᐶḟ

㔠ἑ኱Ꮫ
⚟஭኱Ꮫ
㔠ἑ኱Ꮫ
ཌ⏕㐃㧗ᒸ⑓㝔⚟஭኱Ꮫ໬Ꮫ⒪ἲ⥲ㄽ䠎䝁䞁䝃䝹䝔䞊䝅䝵䞁䛾ᶵ⬟䛸䝥䝻䝉䝇⤫ィᏛⓗ⪃䛘᪉䛾ᇶᮏ䛜䜣ᢚไ㑇ఏᏊ䛜䜣䛾㌿⛣䞉ᾐ₶䛻㛵䜟䜛㑇ఏᏊ䜔ศᏊ䛂䛜䜣ᝈ⪅䛃䛸ཱྀ⭍ᶵ⬟పୗ䛂ཱྀ⭍ᶵ⬟పୗ䛃䛸ᆅᇦ㐃ᦠ㧗㱋⪅䛻≉ᚩⓗ䛺㌟యᶵ⬟䛸⑓ែ䐟㧗㱋⪅䛻≉ᚩⓗ䛺㌟యᶵ⬟䛸⑓ែ䐠ཱྀ⭍䜿䜰ᦤ㣗ᄟୗ㞀ᐖ䐟ᦤ㣗ᄟୗ㞀ᐖ䐠ᦤ㣗ᄟୗ㞀ᐖ䐡

▮㔝㻌⪷஧
Ṋᒣ㻌㞞ᚿ
ᢡ➟㻌⚽ᶞ
኱ᓥ㻌ṇఙ
బ⸨㻌༤
㛗㇂㻌๛ᚿ
㛗㇂㻌๛ᚿ
㛗㇂㻌๛ᚿ
㛗㇂㻌๛ᚿ
㛗㇂㻌๛ᚿ
㛗㇂㻌๛ᚿ
㛗㇂㻌๛ᚿ
㛗㇂㻌๛ᚿ

㔠ἑ኱Ꮫ
▼ᕝ┴❧┳ㆤ኱Ꮫ
ᐩᒣ኱Ꮫ
㔠ἑ኱Ꮫ
㔠ἑ኱Ꮫ
⬟Ⓩ⥲ྜ⑓㝔
⬟Ⓩ⥲ྜ⑓㝔
⬟Ⓩ⥲ྜ⑓㝔
⬟Ⓩ⥲ྜ⑓㝔
⬟Ⓩ⥲ྜ⑓㝔
⬟Ⓩ⥲ྜ⑓㝔
⬟Ⓩ⥲ྜ⑓㝔
⬟Ⓩ⥲ྜ⑓㝔

ᖹᡂ㻞㻤ᖺᗘ㐃ᦠ䝅䞁䝫䝆䜴䝮䠄஑ᕞ኱Ꮫ䠅ṑ⛉ᩍ⫱䛻䛚䛡䜛Ṛ⏕Ꮫ䛾ᙺ๭ΎỈ㻌ဴ㑻ṑᏛᩍ⫱䛾௒ᚋ䛾᪉ྥ䛻䛴䛔䛶ᓥᒃ㻌๛ᚿཱྀ⭍೺ᗣ⛉Ꮫ≉ㄽ䛾ᑟධ䛛䜙㧗㱋⪅ṑ⛉䜈஑ᕞ኱Ꮫ⑓㝔䛻䛚䛡䜛་⛉ṑ⛉㐃ᦠ䛸㧗㱋⪅ṑ⛉䛾඘ᐇ䛻ྥ䛡䛯ྲྀ䜚⤌䜏࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮䛾デ⒪䞉ᩍ⫱యไ䛾඘ᐇ໬䛻ྥ䛡䛶᪂䛯䛺᪉ྥᛶ䛻䛴䛔䛶䡚㧗㱋⪅ṑ⛉Ꮫ䞉඲㌟⟶⌮ṑ⛉Ꮫ䛾ᒎᮃ䛸య⣔໬䡚೺ᗣ㛗ᑑ♫఍䛾ᐇ⌧䛾䛯䜑䛻ṑᏛ䛜䛷䛝䜛䛣䛸䠉೺ᗣ㛗ᑑ䜢⫱䜐ṑᏛᩍ⫱䝁䞁䝋䞊䝅䜰䝮䠉

すᮧ㻌ⱥ⣖

ᮾி኱Ꮫ
ᩥ㒊⛉Ꮫ┬㧗➼ᩍ⫱ᒁ་Ꮫᩍ⫱ㄢ
஑ᕞ኱Ꮫ

୰ᮧ㻌ㄔྖ

஑ᕞ኱Ꮫ

࿴⏣㻌ᑦஂ

஑ᕞ኱Ꮫ

᯽ᓮ㻌ᬕᙪ

໭ᾏ㐨኱Ꮫ

Ỉཱྀ㻌ಇ௓

ᮾி་⛉ṑ⛉኱ᏛṚ⏕Ꮫ䛻㛵䛩䜛≉ูㅮ₇఍Ṛ⏕Ꮫ䛸䛿䠄๓䠅Ṛ⏕Ꮫ䛸䛿䠄ᚋ䠅䜶䞁䝗㻌䜸䝤㻌䝷䜲䝣䞉䜿䜰䛣䜜䛛䜙䛾㧗㱋⪅་⒪䛸䜿䜰䝣䝺䜲䝹䛾▱ぢ䜢⮫ᗋ䛻ά䛛䛩㧗㱋⪅䜿䜰䛸ேᕤⓗỈศ䞉ᰤ㣴⿵⤥ἲ

ΎỈ㻌ဴ㑻
ΎỈ㻌ဴ㑻
ΎỈ㻌ဴ㑻

ᮾி኱Ꮫ
ᮾி኱Ꮫ
ᮾி኱Ꮫ

఍⏣㻌⸅Ꮚ

ᮾி኱Ꮫ

఍⏣㻌⸅Ꮚ

ᮾி኱Ꮫ

ᆅᇦ䞉㞳ᓥṑ⛉་⒪Ꮫ䠄㮵ඣᓥ኱Ꮫ䠅ᮏᏛ㞳ᓥᕠᅇṑ⛉デ⒪䛾⌧≧䛸ㄢ㢟䠄ᑠඣ䠅ᮏᏛ㞳ᓥᕠᅇṑ⛉デ⒪䛾⌧≧䛸ㄢ㢟䠄ᡂே䠅ಖ೺ᡤ䞉Ꮫᰯ䞉⫋ሙ䛻䛚䛡䜛ṑ⛉ಖ೺άື㮵ඣᓥ┴䛾ᆅᇦ་⒪

బ⸨㻌⚽ኵ
༡㻌ᘯஅ
すᒣ㻌Ẏ
኱⬥㻌ဴὒ

㮵ඣᓥ኱Ꮫ
㮵ඣᓥ኱Ꮫ
㮵ඣᓥ኱Ꮫ
㮵ඣᓥ኱Ꮫ

ᆏᮏ䚷᫓⏕

ᮾᾏ኱Ꮫ

රᗜ་⛉኱Ꮫㅮ₇఍ṑᛶឤᰁ⑕䛻⏤᮶䛩䜛῝㢕㒊⮋⒆䞉㢕㒊ቯṚᛶ➽⅖䛾ᇶ♏䛸⮫ᗋᖹᡂ㻞㻥ᖺᗘ㏣ຍ䝁䞁䝔䞁䝒⤊ᮎᮇ䛾ពᛮỴᐃᨭ᥼䛸ṑ⛉ⓗ䜰䝥䝻䞊䝏䠄ᒸᒣ኱Ꮫ䠅䛣䜜䛛䜙䛾㧗㱋⪅་⒪䠉䝣䝺䜲䝹䛾▱ぢ䜢⮫ᗋ䛻ά䛛䛩㧗㱋⪅་⒪䛸ேᕤⓗỈศ䞉ᰤ㣴⿵⤥ἲ䠉㣗䜉䜙䜜䛺䛟䛺䛳䛯䜙䛹䛖䛧䜎䛩䛛

఍⏣㻌⸅Ꮚ

ᮾி኱Ꮫ

఍⏣㻌⸅Ꮚ

ᮾி኱Ꮫ

⤊ᮎᮇ䛾ṑ⛉་⒪䠉䛜䜣⦆࿴䜿䜰኱㔝㻌཭ஂ⤊ᮎᮇ䛾ṑ⛉་⒪䠉ㄆ▱⑕኱㔝㻌཭ஂᅜ❧㛗ᑑ་⒪◊✲䝉䞁䝍䞊
ᅜ❧㛗ᑑ་⒪◊✲䝉䞁䝍䞊

ᖹᡂ㻞㻥ᖺᗘ䚷ᒸᒣ኱Ꮫᦤ㣗ᄟୗ㞀ᐖ◊✲఍䚷㣗ᨭ᥼䝛䝑䝖䝽䞊䜽ᆅᇦໟᣓ䜿䜰䝅䝇䝔䝮䛻䛚䛡䜛㣗ᨭ᥼⃝⏣䚷ᘯ୍㙾㔝⏫ᅜಖୖ㰻ཎṑ⛉デ⒪ᡤ

௓ㆤ᪋タ䜢⏝䛔䛯㻼㻮㻸₇⩦䠄ᒸᒣ኱Ꮫ䠅ᅾᏯ䛻䛚䛡䜛㣗ᨭ᥼䐟ᅾᏯ䛻䛚䛡䜛㣗ᨭ᥼䐠ᅾᏯ䛻䛚䛡䜛㣗ᨭ᥼䐡

⳥㇂䚷Ṋ
⳥㇂䚷Ṋ
⳥㇂䚷Ṋ

᪥ᮏṑ⛉኱Ꮫ
᪥ᮏṑ⛉኱Ꮫ
᪥ᮏṑ⛉኱Ꮫ

ᦤ㣗䞉ᄟୗ䝸䝝䝡䝸䝔䞊䝅䝵䞁䛾ᐇ㝿䠄ᒸᒣ኱Ꮫ䠅ᄟୗホ౯䛸䝸䝝䝡䝸䝔䞊䝅䝵䞁

ᮧ⏣㻌ᑦ㐨

ᒸᒣ኱Ꮫ

ཱྀ⭍೺ᗣ⛉Ꮫ≉ㄽ䠄஑ᕞ኱Ꮫ䠅䠄ᖹᡂ㻞㻥ᖺᗘ䠅
࿡ぬ䛸⫧‶
࿪ᄮ䛸⫧‶
␿Ꮫ◊✲䜢▱䜝䛖ஂᒣ⏫◊✲䛛䜙ぢ䜛⫧‶䞉⢾ᒀ⑓䛸ṑ࿘⑓䛾㛵㐃ᛶ⫧‶䛸╧╀᫬↓࿧྾⑕ೃ⩌䡚╧╀᫬↓࿧྾䛸ṑ⛉㡿ᇦ䛸䛾㛵䜟䜚䡚⫧‶䛾䝞䜲䜸䝻䝆䞊ཱྀ⭍⑌ᝈ䛸⫧‶䞉⢾ᒀ⑓䛾㛵㐃ᛶ䛻㛵䛩䜛ከᵝᛶ䛾⌮ゎ䛸ゎỴཱྀ⭍⑌ᝈ䛸ㄆ▱⑕㔜ᮧ㻌᠇ᚨ⸨℩㻌ከెᏊ
ྂ⏣㻌⨾ᬛᏊ
ᒣୗ㻌႐ஂ

஑ᕞ኱Ꮫ
஑ᕞ኱Ꮫ
஑ᕞ኱Ꮫ
஑ᕞ኱Ꮫ

ὠ⏣㻌⦆Ꮚ

஑ᕞ኱Ꮫ

すᮧ㻌ⱥ⣖

஑ᕞ኱Ꮫ

すᮧ㻌ⱥ⣖

஑ᕞ኱Ꮫ

୰す㻌༤

஑ᕞ኱Ꮫ

ᖹᡂ㻞㻥ᖺᗘ㐃ᦠ䝅䞁䝫䝆䜴䝮䠄໭ᾏ㐨኱Ꮫ䠅ṑᏛᩍ⫱䛾௒ᚋ䛾᪉ྥ䛻䛴䛔䛶㯮⃝㻌ಟ㌟ᩥ㒊⛉Ꮫ┬㧗➼ᩍ⫱ᒁ་Ꮫᩍ⫱ㄢ

ᒣᓮ㻌⿱

໭ᾏ㐨኱Ꮫ

⛙㻌ᾈಙ

໭ᾏ㐨኱Ꮫ

໭኱◊ಟ䝥䝻䜾䝷䝮⤂௓䠉䛜䜣἞⒪䛾࿘⾡ᮇ䛻䛚䛡䜛ཱྀ⭍⟶⌮◊ಟ䠉䛜䜣἞⒪䛾࿘⾡ᮇཱྀ⭍⟶⌮䛾ᐇ㝿໭ᾏ㐨ṑ⛉་ᖌ఍䛜ᐇ᪋䛧䛶䛔䜛඲ᅜ䛜䜣デ⒪་⛉ṑ⛉㐃ᦠ᥎㐍஦ᴗ䛾≧ἣ䛸ㄢ㢟䛻䛴䛔䛶ᆅᇦ་⒪䛸ከ⫋✀㐃ᦠᩍ⫱䚷䡚ṑ⛉་⛉㐃ᦠ䜢⪃䛘䜛䡚ᑠ㇂㻌຾໭ᾏ㐨ṑ⛉་ᖌ఍

ᐑ⏣㻌㟹ᚿ䜸䞊䝷䝹䝣䝺䜲䝹䛸䛿䠖⪁ᖺᏛ䛾どⅬ䛛䜙ᖹ㔝㻌ᾈᙪឡ▱་⛉኱Ꮫ
ᮾி㒔೺ᗣ㛗ᑑ་⒪䝉䞁䝍䞊᫛࿴኱Ꮫཱྀ⭍䜿䜰䝉䞁䝍䞊࿘⾡ᮇㅮ⩦఍䛂䝬䜲䜽䝻䝞䜲䜸䞊䝮䛸䝕䜱䝇䝞䜲䜸䞊䝅䝇䛃䛾どⅬ䛛䜙ཱྀ⭍⎔ቃ䛸඲㌟⑌ᝈ䛾㛵䜟䜚䜢⌮ゎ䛩䜛

᱓⏣㻌ၨ㈗

᫛࿴኱Ꮫ

ᒸᒣ┴ጤク஦ᴗ䚷せ௓ㆤ㧗㱋⪅䛾పᰤ㣴䜢㜵䛠䛯䜑䛾་ᖌ䞉ṑ⛉་ᖌ䛸ᰤ㣴ኈ䛻䜘䜛ཱྀ⭍ᰤ㣴㛵㐃䝃䞊䝡䝇䛾᥎㐍බ㛤䝉䝭䝘䞊㣗䜉䜛ᴦ䛧䜏䜢ᨭ䛘䜛ᅾᏯ་⒪ᆅᇦ䛷䇾㣗䜉䜛䇿䜢ᨭ䛘䜛䛸䛔䛖䛣䛸䡚ᅾᏯ㣗ᨭ᥼䛛䜙䜏䛘䛶䛝
䛯䛣䛸

୰ᮧ㻌ᖾఙ

䛴䜀䛥䜽䝸䝙䝑䜽⳥㇂㻌Ṋ᪥ᮏṑ⛉኱Ꮫ

ᆅᇦ䞉ᅾᏯ㧗㱋⪅䛾䛄㣗䛅䛻ᐤ䜚䛭䛖᫬ᒸ㻌ዉ✑Ꮚ

≉ᐃ㠀Ⴀ฼άືἲே
䛿䜏䜣䛠༡Ἑෆ

㈨ᩱ䠎 䠌ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂࣉࣟࢢ࣒ࣛ
೺ᗣ㛗ᑑ♫఍ࡢᐇ⌧࡟㈉⊩ࡍࡿṑ⛉་⒪ே㣴ᡂ೺ᗣ㛗ᑑ♫఍ࢆᢸ࠺ṑ⛉་Ꮫᩍ⫱ᨵ㠉㸫Ṛ⏕Ꮫࡸᆅᇦໟᣓࢣ࢔ࣔࢹࣝࢆᑟධࡋࡓ་⛉ṑ⛉㐃ᦠᩍ⫱యไࡢᵓ⠏㸫࣮࢜ࣉࣥࢥ࣮ࢫ࢙࢘࢔ e-learning ࢥࣥࢸࣥࢶど⫈ࢩࢫࢸ࣒࠾ࡼࡧᡂ⦼⟶⌮ࢩࢫࢸ࣒ᶵ⬟ᣑᙇ࡟㛵ࡍࡿሗ࿌᭩

ᒸᒣ኱Ꮫ་⒪ᩍ⫱ࢭࣥࢱ࣮ ṑ⛉ᩍ⫱◊✲㒊㛛≉௵ຓᩍ ▮ᑿ ┿ᘪ

A.ື⏬ど⫈ࡢ฼⏝ᡭ㡰࡟ࡘ࠸࡚࡚࠙ᒸᒣ኱ᏛࡢᏛෆ⪅ࡀࣟࢢ࢖ࣥࡍࡿ㝿ࡢᡭ㡰࡟ࡘ࠸࡚ࠚ
1.

ᮏ஦ᴗ࣮࣒࣮࣍࣌ࢪ㸦https://mdp.dent.okayama-u.ac.jp/ocw/index.php㸧࡬࢔ࢡࢭࢫ  ࡲࡓࡣࠊࠕᒸᒣ኱Ꮫ ㄢ㢟ゎỴ᳨࡛ࠖ⣴ࡋࠊ࢔ࢡࢭࢫࡍࡿࠋ
2.

࣮࣒࣮࣍࣌ࢪ⾲⣬࡟グ㍕ࡋ࡚࠸ࡿࣂࢼ࣮ࡢࣟࢢ࢖ࣥࢆࢡࣜࢵࢡ㸦㉥ᯟࡢ㒊ศ㸧ࡍࡿࠋ                                         3.

࣮࣒࣮࣍࣌ࢪྑୗࡢࠕᒸᒣ኱Ꮫ⤫ྜㄆドࣟࢢ࢖ࣥࠖ࡟⮬ືⓗ࡟⛣ືࡍࡿࡢ࡛ࠊ
ࢡࣜࢵࢡࡍࡿ㸦㉥ᯟ㸧ࠋ

 

1

4.

࣮࢜ࣉࣥࢥ࣮ࢫ࢙࢘࢔ࣟࢢ࢖ࣥ⏬㠃ࡀ⾲♧ࡉࢀࡓࡽࠊ
ࠕLOGINࠖࢆࢡࣜࢵࢡࡋࠊ
ᒸ኱ ID ࡜ࣃࢫ࣮࣡ࢻࢆධຊࡍࡿ࡜ື⏬ど⫈⏬㠃࡟⛣ືࡍࡿࠋ

5.

ど⫈ࢥࣥࢸࣥࢶ㑅ᢥ⏬㠃ࡼࡾࠊ㜀ぴࡋࡓ࠸ື⏬ࡢࢥࣥࢸࣥࢶࢆ㑅ᢥࡍࡿࠋ㸺ど⫈ᡭ㡰㸼
1) ࢥ࣮ࢫ࣮࣡ࢡࡢ㑅ᢥ㸦㉥ᯟ㸧ࠋ2) ㅮ⩏ࢱ࢖ࢺࣝࡢ㑅ᢥ㸦㟷ᯟ㸧ࠋ3)ࠕど⫈ࡍࡿࠖࢆࢡࣜࢵࢡ㸦⥳ᯟ㸧ࡋࠊど⫈㛤ጞࠋ24) ㅮ⩏᫬㛫⤒㐣࠶ࡿ࠸ࡣᩍဨ࡟ࡼࡾᥦ♧ࡉࢀࡿ PASS ࢆධຊࡍࡿ࡜ࠊ᚟⩦ࢸࢫࢺࡢཷ
ㅮࡀྍ⬟࡜࡞ࡿࠋ

6.

ࢥࣥࢸࣥࢶど⫈ᚋࡣࠊྑୖࡢࠕࣟࢢ࢔࢘ࢺࠖࡼࡾࣟࢢ࢔࢘ࢺࢆ⾜࠺ࠋ㸨ࢸࢫࢺࡣㅮ⩏࡟ࡼࡗ࡚ࡣタᐃࡢ࡞࠸ࡶࡢࡶ࠶ࡾࡲࡍࠋ

3࠙ᒸᒣ኱ᏛࡢᏛእ⪅ࡀࣟࢢ࢖ࣥࡍࡿ㝿ࡢᡭ㡰࡟ࡘ࠸࡚ࠚ
1. ᮏ஦ᴗ࣮࣒࣮࣍࣌ࢪ㸦https://mdp.dent.okayama-u.ac.jp/ocw/index.php㸧࡬࢔ࢡࢭࢫ  ࡲࡓࡣࠊࠕᒸᒣ኱Ꮫ ㄢ㢟ゎỴ᳨࡛ࠖ⣴ࡋࠊ࢔ࢡࢭࢫࡍࡿࠋ
2. ࣟࢢ࢖ࣥ㸦ᒸᒣ኱Ꮫ௨እࡢ᪉㸧ࡢ ID ࡜ࣃࢫ࣮࣡ࢻ㸦࢖ࣥࢧ࢖ࢻࣇ࢕࣮ࣝࢻ࡟⏦ㄳᚋ࡟㓄ᕸࡉࢀࡿ㸧ࢆධຊᚋࠊࣟࢢ࢖ࣥࢆࢡࣜࢵࢡࠋ

3. ࣟࢢ࢖ࣥᚋࣃࢫ࣮࣡ࢻኚ᭦⏬㠃ࡀฟࡿࡢ࡛ࠊྛ㡯┠ࢆධຊࡍࡿࠋ
㸦᪂ࡋ࠸ PASS ࡣᛀࢀ࡞࠸ࡼ࠺࡟ὀពࡋಖᏑࡋ࡚ࠊⓏ㘓ࢆ⾜࠺ࠋ㸧

4

4. ධຊᚋ⮬ືⓗ࡟ࣟࢢ࢔࢘ࢺࡍࡿࡓࡵࠊ෌ᗘࠊID ࡜᪂ࡋ࠸ࣃࢫ࣮࣡ࢻࢆධຊࡋࠊど⫈⏬㠃࡬⛣ືࡍࡿࠋ

5㸬௨㝆ࡢど⫈ᡭ㡰ࡣࠊ๓㏙࠙ᒸᒣ኱ᏛࡢᏛෆ⪅ࡀࣟࢢ࢖ࣥࡍࡿ㝿ࡢᡭ㡰࡟ࡘ࠸࡚ࠚࡢ 5㸬
௨㝆ࢆཧ↷

5

B.ᡂ⦼ホ౯࡟ࡘ࠸࡚࡚1) ࣮࣒࣮࣍࣌ࢪࡢୖࡢࢩࢫࢸ࣒⟶⌮࣓ࢽ࣮ࣗࡢ⾲♧ࢆࢡࣜࢵࢡ㸦㉥ᯟ㸧 2) ୗグࡢࡼ࠺࡞᳨⣴⏬㠃ࡀ⾲♧ࡉࢀࡿࡢ࡛ࠊᚲせ஦㡯ࢆධຊࡋࠊ඲ㅮ⩏࠿ᚲ㡲ㅮ⩏࠿ࢆࢡࣜࢵࢡࡍࡿࠋ

63) ࢡࣜࢵࢡࡋࡓࡢࡕࠊࣇ࢓࢖ࣝ㸦windows ࡞ࡽ Excel ࣇ࢓࢖ࣝ࡟⮬ື࡟ኚ᥮ࠊMac ࡢሙྜࡣࢸ࢟ࢫࢺࣇ࢓࢖࡛ࣝ㛤ࡁࠊExcel ࡟ኚ᥮ࡀᚲせ㸧ࢆ㛤ࡁࠊᚲせ㡯┠ࢆ㑅ᐃࡢୖࠊᡂ⦼ホ౯ࢆ⾜࠺ࠋ㸨ヲࡋࡃࡣࠕ౑࠸᪉ࢆㄪ࡭ࡓ࠸ࠖ㸦㉥ᯟ㸧ࢆࢡࣜࢵࢡࡋࠊ࣐ࢽࣗ࢔ࣝࢆཧ↷ࠋ

7

C.ᖹᡂ 29 ᖺᗘ News & Topics ࠾ࡼࡧື⏬ࢥࣥࢸࣥࢶ᭦᪂୍ぴࢥࣥࢸࣥࢶ୍ぴ URL: https://mdp.dent.okayama-u.ac.jp/ocw/learning.html#e15

8㸺ᖹᡂ 29 ᖺᗘࡢື⏬࢔ࢵࣉ࣮ࣟࢻ୍ぴ㸼¾⤊ᮎᮇࡢពᛮỴᐃᨭ᥼࡜ṑ⛉ⓗ࢔ࣉ࣮ࣟࢳ㸦ᒸᒣ኱Ꮫ㸧

1. ࡇࢀ࠿ࡽࡢ㧗㱋⪅་⒪ - ࣇࣞ࢖ࣝࡢ▱ぢࢆ⮫ᗋ࡟ά࠿ࡍ
2. 㧗㱋⪅་⒪࡜ேᕤⓗỈศ࣭ᰤ㣴⿵⤥ἲ - 㣗࡭ࡽࢀ࡞ࡃ࡞ࡗࡓࡽ࡝࠺ࡋࡲࡍ࠿
3. ⤊ᮎᮇࡢṑ⛉་⒪ - ࡀࢇ⦆࿴ࢣ࢔
4. ⤊ᮎᮇࡢṑ⛉་⒪ - ㄆ▱⑕¾ᒸᒣ኱Ꮫᦤ㣗ᄟୗ㞀ᐖ◊✲఍ 㣗ᨭ᥼ࢿࢵࢺ࣮࣡ࢡ㸦ᒸᒣ኱Ꮫ㸧ᆅᇦໟᣓࢣ࢔ࢩࢫࢸ࣒࡟࠾ࡅࡿ㣗ᨭ᥼¾

ᒸᒣ┴ጤク஦ᴗ せ௓ㆤ㧗㱋⪅ࡢపᰤ㣴ࢆ㜵ࡄࡓࡵࡢ་ᖌ࣭ṑ⛉་ᖌ࡜ᰤ㣴ኈ࡟ࡼࡿཱྀ⭍ᰤ㣴㛵㐃ࢧ࣮ࣅࢫࡢ᥎㐍බ㛤ࢭ࣑ࢼ࣮㸦ᒸᒣ኱Ꮫ㸧

1. 㣗࡭ࡿᴦࡋࡳࢆᨭ࠼ࡿᅾᏯ་⒪2. ᆅᇦ࡛͆㣗࡭ࡿ͇ࢆᨭ࠼ࡿ࡜࠸࠺ࡇ࡜㹼ᅾᏯ㣗ᨭ᥼࠿ࡽࡳ࠼࡚ࡁࡓࡇ࡜
3. ᆅᇦ࣭ᅾᏯ㧗㱋⪅ࡢࠗ㣗࠘࡟ᐤࡾࡑ࠺
¾

௓ㆤ᪋タࢆ⏝࠸ࡓ PBL ₇⩦≉ูㅮ⩏㸦ᒸᒣ኱Ꮫ㸧1.

ᅾᏯ࡟࠾ࡅࡿ㣗ᨭ᥼ձ

2.

ᅾᏯ࡟࠾ࡅࡿ㣗ᨭ᥼ղ

3.

ᅾᏯ࡟࠾ࡅࡿ㣗ᨭ᥼ճ¾

ཱྀ⭍೺ᗣ⛉Ꮫ≉ㄽ㸦ᖹᡂ 29 ᖺᗘ㸧㸦஑ᕞ኱Ꮫ㸧

1.

࿡ぬ࡜⫧‶

2.

࿪ᄮ࡜⫧‶

3.

␿Ꮫ◊✲ࢆ▱ࢁ࠺

4.

ஂᒣ⏫◊✲࠿ࡽぢࡿ⫧‶࣭⢾ᒀ⑓࡜ṑ࿘⑓ࡢ㛵㐃ᛶ

5.

⫧‶࡜╧╀᫬↓࿧྾⑕ೃ⩌ 㹼╧╀᫬↓࿧྾࡜ṑ⛉㡿ᇦ࡜ࡢ㛵ࢃࡾ㹼

6.

⫧‶ࡢࣂ࢖࢜ࣟࢪ࣮

7.

ཱྀ⭍⑌ᝈ࡜⫧‶࣭⢾ᒀ⑓ࡢ㛵㐃ᛶ࡟㛵ࡍࡿ ከᵝᛶࡢ⌮ゎ࡜ゎỴ8.

ཱྀ⭍⑌ᝈ࡜ㄆ▱⑕¾

ᖹᡂ 29 ᖺᗘ㐃ᦠࢩ࣏ࣥࢪ࣒࢘㸦໭ᾏ㐨኱Ꮫ㸧

1.

ṑᏛᩍ⫱ࡢ௒ᚋࡢ᪉ྥ࡟ࡘ࠸࡚

2.

໭኱◊ಟࣉࣟࢢ࣒ࣛ⤂௓㸫ࡀࢇ἞⒪ࡢ࿘⾡ᮇཱྀ⭍⟶⌮ࡢᐇ㝿㸫

3.

ࡀࢇ἞⒪ࡢ࿘⾡ᮇཱྀ⭍⟶⌮ࡢᐇ㝿94.

໭ᾏ㐨ṑ⛉་ᖌ఍ࡀᐇ᪋ࡋ࡚࠸ࡿ඲ᅜࡀࢇデ⒪་⛉ṑ⛉㐃ᦠ᥎㐍஦ᴗࡢ≧ἣ࡜ㄢ㢟࡟ࡘ࠸࡚5.

ᆅᇦ་⒪࡜ከ⫋✀㐃ᦠᩍ⫱ 㹼ṑ⛉་⛉㐃ᦠࢆ⪃࠼ࡿ㹼

6.

࣮࢜ࣛࣝࣇࣞ࢖ࣝ࡜ࡣ㸸⪁ᖺᏛࡢどⅬ࠿ࡽ

7.

ࠕ࣐࢖ࢡࣟࣂ࢖࣮࣒࢜࡜ࢹ࢕ࢫࣂ࢖࣮࢜ࢩࢫࠖࡢどⅬ࠿ࡽཱྀ⭍⎔ቃ࡜඲㌟⑌ᝈࡢ㛵ࢃࡾࢆ⌮ゎࡍࡿ

¾

ṑᏛ⏕࣭ṑ⛉་⒪ᚑ஦⪅ࡢࡓࡵࡢᦤ㣗ᄟୗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ㸦᪥ᮏ኱Ꮫ㸧

1.

⥲ㄽ

2.

ᦤ㣗ᄟୗࡢ⏕⌮Ꮫ3.

ᦤ㣗ᄟୗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ࡟࠾ࡅࡿཱྀ⭍ࢣ࢔

4.

ᦤ㣗ᄟୗᶵ⬟ホ౯࣭⏬ീデ᩿

5.

ᦤ㣗ᄟୗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ㸦㛫᥋カ⦎㸧6.

㣗ᨭ᥼࣭ᰤ㣴ࢧ࣏࣮ࢺ10

D.㐃ᦠ኱Ꮫࡢ⏦ㄳ᭩࠾ࡼࡧ HP ࡟ࡘ࠸࡚1. ࣮࣒࣮࣍࣌ࢪ୰ẁࡢྑഃࡢሗ࿌᭩ࡢḍࡼࡾ⏦ㄳ᭩ࢆࢡࣜࢵࢡࡍࡿ࡜ PDF ࡢࣇ࢓࢖࡛ࣝ⏦ㄳ᭩ࡀࢲ࣮࢘ࣥࣟࢻࡉࢀࡿࡼ࠺࡟࡞ࡗ࡚࠸ࡿ.
⏦ㄳ᭩㸸https://mdp.dent.okayama-u.ac.jp/ocw/files/repo_01.pdf
2. 㐃ᦠ኱Ꮫ HP ࡟ࡘ࠸࡚ࡶᕥഃࡢࣜࣥࢡࡢྛ᪋タࡢḍࢆࢡࣜࢵࢡࡍࡿ࡜ྛ᪋タࡢ HP࡟⛣ືࡍࡿࡼ࠺࡟࡞ࡗ࡚࠸ࡿࠋྛ᪋タࡢ URL ࡣ௨ୗࡢ㏻ࡾ࡛࠶ࡿࠋ
ᩥ㒊⛉Ꮫ┬㸸http://www.mext.go.jp/a_menu/koutou/iryou/1346835.htm
໭ᾏ㐨኱Ꮫ㸸https://www.den.hokudai.ac.jp/㔠ἑ኱Ꮫ㸸www.med.kanazawa-u.ac.jp/lab/cat2-03.html
኱㜰኱Ꮫ㸸https://www.dent.osaka-u.ac.jp/ᒸᒣ኱Ꮫ㸸http://www.okayama-u.ac.jp/user/dent/஑ᕞ኱Ꮫ㸸http://www.dent.kyushu-u.ac.jp/㛗ᓮ኱Ꮫ㸸http://nagasaki-kenshin.wixsite.com/kadaigata2㮵ඣᓥ኱Ꮫ㸸http://w3.hal.kagoshima-u.ac.jp/program/1.html
ᒾᡭ་⛉኱Ꮫ㸸https://www.iwate-med.ac.jp/education/gakubu_in/dent᪥ᮏ኱Ꮫ㸸www.dent.nihon-u.ac.jp/᫛࿴኱Ꮫ㸸www.showa-u.ac.jp/sch/dent/රᗜ་⛉኱Ꮫ㸸http://www.hyo-med.ac.jp/department/osrg/ᮾிṚ⏕Ꮫ࣭ᛂ⏝೔⌮ࢭࣥࢱ࣮㸸www.l.u-tokyo.ac.jp/dls/index.html
ᮾி኱Ꮫ㧗㱋♫఍⥲ྜ◊✲ᶵᵓ㸸www.iog.u-tokyo.ac.jp/ᮾி㒔೺ᗣ㛗ᑑ་⒪ࢭࣥࢱ࣮㸸http://www.tmghig.jp/J_TMIG/J_index.html
ᅜ❧㛗ᑑ་⒪◊✲ࢭࣥࢱ࣮㸸http://www.ncgg.go.jp/dental/index.html
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11

E.ᖹᡂ 29 ᖺᗘࢩ࣏ࣥࢪ࣒࢘ࠊ㐃ᦠ኱Ꮫ㛫ᐇ⩦┦஫ཷࡅධࢀ➼ࡢ㈨ᩱ
1. ࣮࣒࣮࣍࣌ࢪ୰ẁࡢᕥഃࡢ㈨ᩱࡢ୍ḍࡼࡾࢆࢡࣜࢵࢡࡍࡿ࡜ୗグࡢ㈨ᩱࡀ⾲♧ࡉࢀࡿ
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12


㸺ᖹᡂ 29 ᖺᗘࢩ࣏ࣥࢪ࣒࢘㸪බ㛤ㅮᗙ㸪ࢭ࣑ࢼ୍࣮ぴ㸼
¾

2017/2/3㸸⏕࡜Ṛ࡟㛵ࢃࡿṑ⛉་⒪―࠸ࡢࡕ࡜ྥࡁྜࡗ࡚ ―¾

2017/2/18㸸㮵ඣᓥᅜ㝿ṑᏛࢩ࣏ࣥࢪ࣒࢘

¾

2017/7/26㸸⤊ᮎᮇࡢពᛮỴᐃᨭ᥼࡜ṑ⛉ⓗ࢔ࣉ࣮ࣟࢳ

¾

2017/9/3,12/3,18㸸ཱྀ⭍ᰤ㣴㛵㐃ࢧ࣮ࣅࢫබ㛤ࢭ࣑ࢼ࣮¾

2017/11/10,11㸸ᐃ౛ࢩ࣏ࣥࢪ࣒࢘ in ໭ᾏ㐨኱Ꮫ

¾

2017/11/25,26㸸 ᩥ 㒊 ⛉ Ꮫ ┬ ㄢ 㢟 ゎ Ỵ ᆺ 㧗 ᗘ ་ ⒪ ே ᮦ 㣴 ᡂ ࣉ ࣟ ࢢ ࣛ ࣒ 㑅ᐃ஦ᴗ ࠕ೺ᗣ㛗ᑑࢆᢸ࠺ṑ⛉་Ꮫᩍ⫱ᨵ㠉 㸫Ṛ⏕Ꮫࡸᆅᇦໟᣓࢣ࢔ࣔ
ࢹࣝࢆᑟධࡋࡓ་⛉ṑ⛉ 㐃ᦠᩍ⫱యไࡢᵓ⠏㸫ࠖᡂᯝⓎ⾲

¾

2017/11/25㸸➨ 3 ᅇ㮵ඣᓥᅜ㝿ṑᏛࢩ࣏ࣥࢪ࣒࢘

¾

2018/2/25㸸 ර ᗜ ་ ⛉ ኱ Ꮫ ࢩ ࣥ ࣏ ࢪ ࢘ ࣒ ࠕ 㣗 ࡭ ࡽ ࢀ ࡿ ཱྀ ࢆ CREATEࠖ㸺㐃ᦠ኱Ꮫ㛫┦஫ཷࡅධࢀᐇ⩦㸼
¾

2017/7/31-8/4ࠊ9/4-9/8㸸㛗ᓮ኱Ꮫ㞳ᓥṑ⛉ಖ೺་⒪ࢧ࣐࣮ࢫࢡ࣮ࣝ

¾

2017/8/22-25㸸㮵ඣᓥ኱ᏛኟᏘ඲ᅜṑᏛ⏕㞳ᓥᐇ⩦ࣉࣟࢢ࣒ࣛ

¾

2017/10/2,3㸸
ࠕᖹ᫬ࠖ࠿ࡽࠕ᭷஦ࠖࡲ࡛࣮࣐࢜ࣛࣝࢿ࣮ࢪ࣓ࣥࢺ͆&5($7(͇ࢆᐇ㊶࡛ࡁࡿṑ⛉་⒪ே㣴ᡂࢥ࣮ࢫ

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13



F. News Letter ࡢⓎหᖹᡂ 29 ᖺᗘ࡟ࡣ News Letter ࡢⓎหࢆ⾜࠸ࠊ⌧ᅾࡲ࡛࡟ Vol.4 ࡲ࡛ࢆⓎหࡋ࡚࠸ࡿ

News Letter ୍ぴ㸦Vol.1-4.㸧

14ᖹᡂ 29 ᖺᗘࡣࠊᤵᴗࢩ࣮ࣜࢬࡢᡂ⦼⟶⌮ࡢ฼౽ᛶࡢྥୖࢆᅗࡿࡓࡵ࡟ࠊཷㅮ᪥᫬㸦ᖺ᭶᪥࠾ࡼࡧࣟࢢ࢖ࣥ᫬้㸧࠾ࡼࡧᚲ㡲ㅮ⩏ࡢࡳࡢᡂ⦼୍ぴࡢ⾲♧➼ࠊࢩࢫࢸ࣒ࡢᶵ⬟ᣑᙇࢆ⾜࠸ࠊᡂ⦼ホ౯ࢆ⾜ࡗࡓࠋࡉࡽ࡟ࠊᮏࣉࣟࢪ࢙ࢡࢺ࡟㛵㐃ࡍࡿࢩ࣏ࣥࢪ࣒࢘➼ࡢ᱌ෆࢆᥖ㍕ࡋࠊࡑࢀ࡟㛵㐃ࡋࡓ 7 ࢥࣥࢸࣥࢶ 12 ᮏࡢື⏬ࡢ࢔ࢵࣉ࣮ࣟࢻࢆ⾜ࡗࡓࠋࡉࡽ࡟ࠊㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂࣉࣟࢢ࣒ࣛ࡟࠾ࡅࡿᏛ⏕ᐇ⩦┦஫ཷࡅධࢀࡢ୍⎔࡜ࡋ࡚㛤ദࡉࢀࡓ㮵ඣᓥ኱ᏛኟᏘ඲ᅜṑᏛ⏕㞳ᓥᐇ⩦ࣉࣟࢢ࣒ࣛࠊ㛗ᓮ኱Ꮫ㞳ᓥṑ⛉ಖ೺་⒪ࢧ࣐࣮ࢫࢡ࣮ࣝࡢເ㞟᱌ෆࢆ඲ᅜࡢ኱Ꮫ࡟⾜ࡗࡓࠋࡲࡓࠊ௒ᖺᗘ࡟  ᅇⓎ⾜ࡋࡓ News
Letter ࡢᥖ♧ࡶ⾜ࡗࡓࠋ᭱⤊ᖺᗘ࡛࠶ࡿ᮶ᖺᗘࡶ᭦࡟ࢥࣥࢸࣥࢶࢆ㏣ຍ᭦᪂ࡋࠊ࣮࣒࣮࣍࣌ࢪࡢෆᐜࢆ᳨ウࡢୖࠊࣈࣛࢵࢩࣗ࢔ࢵࣉࢆ⾜࠸ࠊෆᐜࢆ඘ᐇࡋ࡚࠸ࡃணᐃ࡛࠶ࡿࠋ
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15

㈨ᩱ䠎 䠍
㛗ᓮ኱Ꮫ ≉Ⰽ࠶ࡿ་⒪ᨭ᥼ṑᏛᩍ⫱ࣉࣟࢢ࣒ࣛ 㞳ᓥṑ⛉ಖ೺་⒪ ࢧ࣐࣮ࢫࢡ࣮ࣝࢥ࣮ࢫ 㐃ᦠ኱Ꮫ㛫஺ὶሗ࿌᭩ᐇ⩦ᮇ㛫ᖹᡂ㸰㸵ᖺ㸶᭶ࠥᖹᡂ㸰㸷ᖺ㸷᭶ཧຍ⪅࣭ேᩘ

ᖹᡂ㸰㸵ᖺᗘ㸸᫛࿴኱Ꮫ㸰ྡ㸦㸳
㸳ᖺḟ㸯
㸯ྡࠊ㸰
㸰ᖺḟ㸯
㸯ྡ㸧ࠊᒸᒣ኱Ꮫ㸳ྡ㸦㸱ᖺḟ㸳ྡ㸧ࠊ㛗ᓮ኱Ꮫ㸰ྡ㸦㸴ᖺḟ㸯ྡࠊ኱Ꮫ㝔㸯ྡ㸧ᖹᡂ㸰㸶ᖺᗘ㸸᫛࿴኱Ꮫ㸰ྡ㸦㸦㸳ᖺḟ㸰ྡ㸧ࠊ஑ᕞ኱Ꮫ㸱ྡ㸦㸴ᖺḟ㸰ྡࠊ㸱ᖺḟ  ྡ㸧ࠊ㛗ᓮ኱Ꮫ㸰ྡ㸦㸲ᖺḟ㸯ྡࠊ኱Ꮫ㝔㸯ྡ㸧ᖹᡂ㸰㸷ᖺᗘ㸸᫛࿴኱Ꮫ㸯ྡ㸦㸦㸳ᖺḟ㸯ྡ㸧ࠊᒸᒣ኱Ꮫ㸰ྡ㸦㸦㸱ᖺḟ㸰ྡ㸧ࠊ㛗ᓮ኱Ꮫ㸱ྡ㸦㸳ᖺḟ㸰ྡࠊ㸲ᖺḟ㸯ྡ㸧ᢸᙜᩍဨᑠᒣၿဢࠊከ⏣ᾈ᫭ࠊ㰻⸨ಇ⾜ࠊゅ ᛅ㍤ࠊ⃝℩ 㝯㸯㸬ᴫせ ඲ᅜ࡛᭱ࡶከࡃࡢ㞳ᓥࢆ᭷ࡍࡿ㛗ᓮ┴࡟࠶ࡿ஬ᓥᕷࡣ㛗ᓮᕷࡢす  ੊Ἀࠊ኱ᑠ ࡢᓥࠎ࠿ࡽ࡞ࡿ㞳ᓥᆅᇦ࡛࠶ࡿࠋ㐣␯໬ࡀ㐍ࡳࠊ㧗㱋⪅ேཱྀࡣ 㸣࡟㐩ࡋࠊࢃࡀᅜࡢ
㉸㧗㱋♫఍ࡀࡍ࡛࡟ල⌧໬ࡉࢀ࡚࠸ࡿࠋࡋ࠿ࡋ࡞ࡀࡽࠊ་⒪௓ㆤ㈨※ࡣ㇏࠿࡛ࠊデ⒪⛉┠ࡸ௓ㆤ᪋タ✀㢮ูࡢᩘࡣ඲ᅜᖹᆒࢆୖᅇࡗ࡚࠾ࡾࠊ་⒪௓ㆤ⚟♴ࡢ㐃ᦠࡶᐦ࡟ᩚ
ࡗ࡚࠸ࡿࠋ೺ᗣ㛗ᑑ♫఍ࡢ㈉⊩࣐࢖ࣥࢻࢆᾰ㣴ࡍࡿ࡟࠶ࡓࡾࠊࡇࡢᆅࡣ⤯ዲࡢᩍ⫱⌧ሙ࡛࠶ࡿ࡜ゝ࠼ࡿࠋ㛗ᓮ኱ᏛṑᏛ㒊࡛ࡣ㞳ᓥ➼ࡢᆅᇦṑ⛉་⒪ࢆᢸ࠺ṑ⛉་ᖌ㣴ᡂࢆ┠ⓗ࡜ࡋ࡚ࠊᐟἩ᪋タࢆ᭷ࡍࡿࠕ㛗ᓮ኱ᏛṑᏛ㒊㞳ᓥṑ⛉ಖ೺་⒪◊✲ᡤ㸦஬ᓥิᓥ஬ᓥᕷ㸧ࠖࢆᣐⅬ࡟ࡋࠊᖹᡂ  ᖺࡼࡾ⮫ᗋᐇ⩦ࡢᚲಟ࣒࢝ࣜ࢟ࣗࣛ࡜ࡋ࡚ࠊ་ṑ⸆ࡢ་⒪⣔㸱Ꮫ㒊ࡢඹಟ࡛஬ᓥᕷෆࡢ་⒪௓ㆤ⚟♴᪋タࢆゼၥࡋࠊ௓ㆤࡢయ㦂ࡸṑ⛉デ⒪⿵ຓࠊಖ೺⚟♴஦ᴗ࡬ࡢཧຍ࡞࡝ࠊᅾᏯ௓ㆤᐇ⩦࡜་⛉ṑ⛉㐃ᦠࢆᐇ㊶ࡍࡿయ㦂ᆺࡢ
་⒪ಖ೺⚟♴ᐇ⩦ࢆᐇ᪋ࡋ࡚ࡁࡓࠋ ṓඣ '0)7 ࡣ  ࢆษࡾࠊ㱘⼃࡟ጞࡲࡾ⿵⥛࡟㐃࡞ࡿ୍㐃ࡢ͆἞⒪͇࠿ࡽ͆ண㜵͇ࢆ୰ᚰ࡜ࡋࡓཱྀ⭍ᶵ⬟⟶⌮࡬デ⒪య⣔ࡢࣃࣛࢲ࢖࣒ࢩࣇࢺࡀṑ⛉࡟ồࡵࡽࢀࡿ௒ࠊ㧗㱋⪅ࡢཱྀ⭍ᶵ⬟⟶⌮ࡣṑ⛉࡟クࡉࢀࡓㄢ㢟࡛࠶ࡿࠋ㧗㱋⪅➼ࡢཱྀ͆⭍ࢣ࢔͇ࡸ͆ᦤ㣗ᄟୗࢣ࢔͇ࡣ᪂ࡋࡃ㔜せ࡞ṑ⛉ࡢ୍ᑓ㛛ศ㔝࡜ࡋ࡚☜❧ࡉࢀࠊᐇ㝿࡟኱Ꮫ⑓㝔ࡢᦤ㣗ᄟୗࢣ࢔ࢭࣥࢱ࣮ࡢከࡃࡣṑ⛉ࡀᢸࡗ࡚࠸ࡿࠋᡃࠎࡶࡇࢀࡽ࡟㛵ࢃࡿᩍ⫱࣒࢝ࣜ࢟ࣗࣛ
ࡢᨵⰋࢆ㔜ࡡࠊ㛵㐃⑓㝔ࡸᅾᏯ࡛ࡢ་⛉ṑ⛉ࠊከ⫋✀㐃ᦠࢆᐇ㊶࡛ࡁࡿࡼ࠺⮫ᗋᐇ⩦ࡢ඘ᐇࢆᅗࡗ࡚ࡁࡓࠋḟࡢᩍ⫱ࢫࢸࢵࣉࡢヨࡳ࡜ࡋ࡚ࠊ㧗㱋⪅ࡢㄆ▱⑕ࢣ࢔࡟㛵ࢃࡿ
ከᵝ࡞ᨭ᥼⪅࡜ᨭ᥼ࡢ௙⤌ࡳࢆ⌮ゎࡋࠊཱྀ⭍ࢣ࢔࣭ᦤ㣗ᄟୗࢣ࢔ࡢ▱㆑ࡸᢏ⾡ࢆࠊ㧗㱋⪅୍ே୍ே࡟ᐤࡾῧ࠺་⒪࣭ࢣ࢔࡟᪼⳹࡛ࡁࡿṑ⛉་ࢆ⫱࡚ࡿࠊ͆ᚰ͇ࡢᩍ⫱࡜⪃࠼ࡿࠋ ࡑࡇ࡛௒ᅇࠊᒸᒣ኱Ꮫ୺ᖿࡢṑ⛉་Ꮫᩍ⫱ᨵ㠉஦ᴗࡢඹ㏻ࣉࣟࢢ࣒ࣛ࡜ࡋ࡚ࠊᡃࠎ
ࡢ㞳ᓥᐇ⩦ࡢෆᐜࢆᩚ⌮඘ᐇࡉࡏࡓࠕ㛗ᓮ኱Ꮫ㞳ᓥṑ⛉ಖ೺་⒪ࢧ࣐࣮ࢫࢡ࣮ࣝࠖࢆ

㛤ദࡍࡿ࡟࠶ࡓࡗ࡚ࡣࠊᛴᛶᮇ⑓Ჷධ㝔ᝈ⪅࠿ࡽ≉ู㣴ㆤ⪁ே࣮࣒࣍ධᡤ⪅ࠊࢹ࢖ࢧ࣮ࣅࢫ฼⏝⪅ࠊᆅᇦṑ⛉ࡢ デࡸ  ḟ㞳ᓥデ⒪ぢᏛࢆᣳࡳࠊ᭱⤊᪥ࡣᆅᇦໟᣓᨭ᥼ࢭ
ࣥࢱ࣮ࡢ௓ㆤண㜵஦ᴗࡸ㧗㱋⪅Ꮿゼၥ࡜ࠊ᪥ࢆ㏣࠺࡟ࡘࢀせ௓ㆤᗘࡢ㔜࠸ே࠿ࡽ㍍࠸
ே࡟᫬㛫ࢆ㐳ࡿࡼ࠺࡟ࢫࢸ࣮ࢪࡢ␗࡞ࡿ㧗㱋⪅ࡸᵝࠎ࡞ᨭ᥼⪅࡜᥋ࡋゐࢀྜ࠺ᐇ⩦ෆᐜ࡜ࡋࡓࠋṑ⛉ࡢどᗙࢆ㞳ࢀࠊ㧗㱋⪅ࡢ⏕ά࡟ᐤࡾῧ࠼ࡿࡼ࠺࡞་⒪⪅࡜ࡋ࡚ࡢᚰࢆ
Ꮫࡪࡁࡗ࠿ࡅ࡜࡞ࡿࡼ࠺࡟㓄៖ࡋࡓࠋ௨ୗ࡟ᮏࢧ࣐࣮ࢫࢡ࣮ࣝࡢࢫࢣࢪ࣮ࣗࣝࢆ♧ࡍࠋ
᭶ $0 㞳ᓥᐇ⩦඲⯡ཱྀ⭍ᄟୗࢣ࢔ㅮ⩏㸦㛗ᓮ኱ᏛṑᏛ㒊㞳ᓥṑ⛉ಖ೺་⒪◊✲ᡤ㸧᭶ 30 ⑓Ჷᄟୗᅇデ㸦஬ᓥ୰ኸ⑓㝔⑓Ჷ㸧ⅆ  ≉ู㣴ㆤ⪁ே࣮࣒࣍ ௓ㆤ࡜ཱྀ⭍ᄟୗࢣ࢔㸦ྈ⊁Ⲯ㸧Ỉ  ㏻ᡤ௓ㆤ ௓ㆤ࡜ཱྀ⭍ᄟୗࢣ࢔㸦♫఍⚟♴༠㆟఍ᐩỤᨭᡤࢹ࢖ࢧ࣮ࣅࢫ㸧ᮌ  ṑ⛉་㝔 㸰ḟ㞳ᓥ࣭ デ➼㸦ᒱᐟṑ⛉デ⒪ᡤࠊஂ㈡ṑ⛉デ⒪ᡤ㸧㔠 $0 ௓ㆤண㜵஦ᴗ㸦ᆅᇦໟᣓᨭ᥼ࢭࣥࢱ࣮㸧࠾ࡼࡧࢢ࣮ࣝࣉࢹ࢕ࢫ࢝ࢵࢩࣙࣥ㸦㛗ᓮ኱ᏛṑᏛ㒊㞳ᓥṑ⛉ಖ೺་⒪◊✲ᡤ㸧 ྛᖺᗘࠊ㸯ࢡ࣮ࣝ㸲ྡ⛬ᗘࡢ௚኱Ꮫ㑅ᢥᒚಟ⪅࡟ᑐࡋࠊ஬ᓥᕷ࡟࡚㐃⥆㸳᪥㛫ࡢ⁫ᅾᆺᐇ⩦ࢆ㸰ࢡ࣮ࣝເ㞟ࡋࡓ࡜ࡇࢁࠊᖹᡂ㸰㸵ᖺ࡟ࡣ᫛࿴኱Ꮫ㸰ྡࠊᒸᒣ኱Ꮫ㸳ྡࠊ㛗ᓮ኱Ꮫ㸰ྡࠊᖹᡂ㸰㸶ᖺ࡟ࡣ᫛࿴኱Ꮫ㸰ྡࠊ஑ᕞ኱Ꮫ㸱ྡࠊ㛗ᓮ኱Ꮫ㸱ྡࠊᖹᡂ㸰㸷ᖺ࡟ࡣ᫛࿴኱Ꮫ㸯ྡࠊᒸᒣ኱Ꮫ㸰ྡࠊ㛗ᓮ኱Ꮫ㸱ྡࡢ㸰ᖺ⏕㹼 ᖺ⏕ࡢṑᏛ⏕࡜኱Ꮫ㝔⏕ࡀཧຍࡍࡿ㞳ᓥṑ⛉ಖ೺་⒪ࢧ࣐࣮ࢫࢡ࣮ࣝࢆᐇ᪋ࡍࡿࡇ࡜ࡀ࡛ࡁࠊṑ⛉་࡜ࡋ࡚ࡢᆅᇦ་⒪࡬ࡢ㛵ࢃࡾࡢᏛಟ࡟ᐤ୚ࡋ࡚࠸ࡿࠋ ࡲࡓࠊᖹᡂ㸰㸷ᖺᗘ࡟࠾࠸࡚ࡣࠊ㸰ྡࡢᩍဨࡢཧຍࡶ࠶ࡾࠊ⌧ሙࢆᐇ㝿࡟ぢ࡚࠸ࡓࡔࡁࠊ཮᪉ࡢᩍ⫱ࠊᣦᑟ࡟㛵ࢃࡿ᝟ሗ஺᥮ࢆ⾜ࡗࡓࡇ࡜ࡣ≉➹ࡍ࡭ࡁࡇ࡜ࡔ࡜⪃࠼ࡿࠋ㸰㸬ཷධ≧ἣ࣭௒ᚋࡢཷධணᐃ࡟ࡘ࠸࡚
࠙ᖹᡂ㸰㸵ᖺᗘࠚ
ձ㸶᭶㸱᪥ࠥ㸵᪥ ➨㸯ࢡ࣮ࣝᐇ᪋
㸦ᒸᒣ኱㸰ྡ㸦㸱ᖺḟ㸰ྡ㸧ࠊ᫛࿴኱㸰ྡ㸦㸳ᖺḟ㸯ྡࠊ㸰ᖺḟ㸯ྡ㸧ࠊ㛗ᓮ኱Ꮫ㸯ྡ㸦㸴ᖺḟ㸯ྡ㸧㸧ղ㸷᭶㸵᪥ࠥ㸯㸯᪥ ➨㸰ࢡ࣮ࣝᐇ᪋
㸦ᒸᒣ኱㸱ྡ㸦㸱ᖺḟ㸱ྡ㸧ࠊ㛗ᓮ኱Ꮫ㸯ྡ㸦኱Ꮫ㝔㸯ྡ㸧㸧࠙ᖹᡂ㸰㸶ᖺᗘࠚ
ձ㸶᭶㸯᪥ࠥ㸳᪥ ➨㸯ࢡ࣮ࣝᐇ᪋
㸦஑ᕞ኱㸯ྡ㸦㸱ᖺḟ㸯ྡ㸧ࠊ᫛࿴኱㸰ྡ㸦㸳ᖺḟ㸰ྡ㸧ࠊ㛗ᓮ኱Ꮫ㸯ྡ㸦኱Ꮫ㝔㸯ྡ㸧㸧ղ㸷᭶㸵᪥ࠥ㸯㸯᪥ ➨㸰ࢡ࣮ࣝᐇ᪋
㸦஑ᕞ኱㸰ྡ㸦㸴ᖺḟ㸰ྡ㸧ࠊ㛗ᓮ኱㸰ྡ㸦㸲ᖺḟ㸯ྡࠊ኱Ꮫ㝔㸯ྡ㸧㸧࠙ᖹᡂ㸰㸷ᖺᗘࠚ
ձ㸵᭶㸱㸯᪥ࠥ㸶᭶㸲᪥ ➨㸯ࢡ࣮ࣝᐇ᪋

㸦᫛࿴኱㸯ྡ㸦㸳ᖺḟ㸯ྡ㸧ࠊ㛗ᓮ኱Ꮫ㸰ྡ㸦㸳ᖺḟ㸰ྡ㸧㸧ղ㸷᭶㸲᪥ࠥ㸶᪥ ➨㸰ࢡ࣮ࣝᐇ᪋
㸦ᒸᒣ኱㸰ྡ㸦㸱ᖺḟ㸰ྡ㸧ࠊ㛗ᓮ኱㸯ྡ㸦㸲ᖺḟ㸯ྡ㸧㸧 ᖹᡂ㸱㸮ᖺᗘ࡟᪊࠸࡚ࡶྠᵝ࡟㸰ࢡ࣮ࣝィ㸶ྡࢆເ㞟ࡿணᐃ࡛࠶ࡿࡀࠊ㐃ᦠᰯࡔࡅ࡛↓ࡃࠊᗈࡃ㐃ᦠᰯ௨እ࡟ࡶᗈሗࢆ⾜࠸ࠊྍ⬟࡞⠊ᅖ࡛ᮏᏛᏛ⏕ࡶཧຍࡉࡏࡿࡇ࡜࡟
ࡼࡾࠊࡉࡽ࡞ࡿᏛ⏕㛫஺ὶࢆάⓎ໬ࡉࡏࡓ࠸࡜⪃࠼࡚࠸ࡿࠋ㐃ᦠᰯࡢ஦ᴗ᥎㐍ဨࡢⓙࡉࡲ࡟ࡣࠊ✚ᴟⓗ࡟Ꮫ⏕ࡢཧຍࡀᅗࡽࢀࡿࡼ࠺ࡈᣦᑟ࠸ࡓࡔࡅࢀࡤᖾ࠸࡛࠶ࡿࠋ

㈨ᩱ䠎 䠎㮵ඣᓥ኱Ꮫ ≉Ⰽ࠶ࡿ་⒪ᨭ᥼ṑᏛᩍ⫱ࣉࣟࢢ࣒ࣛ
዆⨾኱ᓥ࣭୚ㄽᓥ࡟࠾ࡅࡿཱྀ⭍࡜඲㌟ࡢ೺ᗣᏛࢥ࣮ࢫ
㐃ᦠ኱Ꮫ㛫஺ὶሗ࿌᭩㸯㸬ᴫせ㮵ඣᓥ኱ᏛṑᏛ㒊࡛ࡣࠊᮏࣉࣟࢢ࣒ࣛࡢ୍⎔࡛ࠕ዆⨾኱ᓥ࣭୚ㄽᓥ࡟࠾ࡅࡿཱྀ⭍࡜඲㌟ࡢ೺
ᗣᏛࢥ࣮ࢫࠖ࡟㛵ࡍࡿᤵᴗ⛉┠ࢆ㛤ㅮࡍࡿ࡜࡜ࡶ࡟ࠊᕼᮃ⪅ᑐ㇟࡟ࠕኟᏘ඲ᅜṑᏛ⏕㞳ᓥᐇ⩦ࣉࣟࢢ࣒ࣛࠖࢆᐇ᪋ࡋ࡚࠸ࡿࠋ㞳ᓥᐇ⩦ࣉࣟࢢ࣒ࣛ࡟ࡘ࠸࡚ࡣᖹᡂ  ᖺᗘ࠿ࡽ㐠⏝ࢆ㛤ጞࡋ࡚࠸ࡿࠋࠕኟᏘ඲ᅜṑᏛ⏕㞳ᓥᐇ⩦ࣉࣟࢢ࣒࡛ࣛࠖࡣࠊ㞳ᓥ࡟࠾ࡅࡿᆅᇦṑ⛉་⒪ࢆ⌮ゎࡍࡿࡓࡵ࡟ࠊ
⌧ᆅࡢṑ⛉デ⒪ᡤࡢṑ⛉་ᖌ࡜⾜ືࢆඹ࡟ࡋࠊ㞳ᓥṑ⛉་⒪ᐇ㊶ࡢ⌧ሙぢᏛࢆ⾜࠺࡜࡜ࡶ࡟ࠊᆅᇦ
ໟᣓ་⒪ࡢ㔜せᛶࡸࠊ㞳ᓥࢆ୰ᚰ࡜ࡋࡓᆅᇦ࡟࠾ࡅࡿ་⒪⪅ࡢᙺ๭࡟ࡘ࠸࡚Ꮫ⩦ࡍࡿࡇ࡜ࢆ┠ⓗ࡟ᐇ᪋ࡍࡿࡶࡢ࡛࠶ࡿࠋᐇ⩦ᴫせࡣୗグࡢ㏻ࡾ࡛࠶ࡿࠋ
࣭ᐇ⩦ᮇ㛫  ᖹᡂ  ᖺ  ᭶  ᪥㸦ⅆ㸧ࠥᖹᡂ  ᖺ  ᭶  ᪥㸦㔠㸧㸺୚ㄽᓥࢥ࣮ࢫ㸼ᐇ⩦ሙᡤ   ඣ⋢ṑ⛉་㝔㸦㮵ඣᓥ┴኱ᓥ㒆୚ㄽ⏫㸧ᐇ⩦ᣦᑟ⪅  ඣ⋢ఀబ㞝ṑ⛉་ᖌ㸦㮵ඣᓥ኱ᏛṑᏛ㒊⮫ᗋㅮᖌ㸧ᐇ⩦ྠ⾜ᩍဨ బྂ Ἃ⧊㸦㮵ඣᓥ኱Ꮫ⑓㝔 ຓᩍ㸧㸺✀Ꮚᓥࢥ࣮ࢫ㸼ᐇ⩦ሙᡤ   ࠼ࡢࡶ࡜ṑ⛉་㝔㸦㮵ඣᓥ┴すஅ⾲ᕷ㸧ᐇ⩦ᣦᑟ⪅  ᴮᮏ Ꮥṑ⛉་ᖌ㸦㮵ඣᓥ኱ᏛṑᏛ㒊⮫ᗋㅮᖌ㸧ᐇ⩦ྠ⾜ᩍဨ 㕥ᮌ ⏠㸦㮵ඣᓥ኱Ꮫ኱Ꮫ㝔་ṑᏛ⥲ྜ◊✲⛉ ຓᩍ㸧࣭ᐇ⩦ෆᐜ
࠸ࡎࢀࡢᐇ⩦ሙᡤ࡟࠾࠸࡚ࡶࠊྛデ⒪ᡤ࡟࠾ࡅࡿእ᮶デ⒪ࡢぢᏛࢆ୰ᚰ࡜ࡋࡓᐇ⩦ࢆィ⏬ࡋࡓࠋ௒ᅇࡢᐇ⩦ඛࡣ࠸ࡎࢀࡶṑ⛉་ᖌ㸯ྡ࡜ᩘྡࡢṑ⛉⾨⏕ኈ࠿ࡽᵓᡂࡉࢀࡿ୍⯡ⓗ࡞ᑠつᶍṑ⛉デ⒪ᡤ࡛࠶ࡗࡓࠋእ᮶デ⒪ࡣ㒔ᕷ㒊࡜ࡣ኱ࡁࡃ␗࡞ࡗࡓ㞳ᓥ≉᭷ࡢฎ⨨ෆᐜ㸦⮬㝔᏶⤖ᆺࠊᆅඖᐦ
╔ᆺࠊ㧗㱋⪅⋡ࡀ㧗࠸ࠊ㞴ᗘࡢ㧗࠸ฎ⨨ࡣᓥእࡢ኱㒔ᕷ࡬⤂௓ࠊ៏ᛶ⑌ᝈࡼࡾࡣᛴᛶ⑕≧ᑐᛂࡀ୰ᚰࠊ࡞࡝㸧ࢆయ㦂ࡋ࡚ࡶࡽ࠺ࡇ࡜࡛ࠊ㞳ᓥ་⒪ࡢ㞴ࡋࡉ࡜࡜ࡶ࡟་⒪⪅࡜ࡋ࡚ࡢࣉࣟࣇ࢙ࢵࢩ
ࣙࢼࣜࢬ࣒ࢆ῝ࡃㄆ㆑ࡍࡿᶵ఍ࡀᥦ౪࡛ࡁࡓࠋࡲࡓࠊ✀Ꮚᓥࢥ࣮ࢫ࡛ࡣࡇ࡝ࡶ㣗ᇽ㸦ኟఇࡳᮇ㛫୰ࡢᏙ㣗ࢆࢧ࣏࣮ࢺࡍࡿᏊ౪ࡓࡕ࡜ࡢ஺ὶࡢሙ㸧࡬ࡢཧຍࡸࠊᆅඖ⸆๣ᖌ࡜ࡢ஺ὶࡢሙ࡞࡝ࡶタࡅࠊᗈ࠸どⅬ࠿ࡽ་⒪ࢆ⪃࠼ࡿሙࢆᥦ౪ࡍࡿࡇ࡜ࡀ࡛ࡁࡓࠋ

㸰㸬ཷධ≧ἣ࣭௒ᚋࡢཷධணᐃ࡟ࡘ࠸࡚
࣭ᐇ⩦ཷࡅධࢀᐇ⦼
㸦㸯㸧୚ㄽᓥ ኱㜰኱Ꮫ㸲ᖺḟᏛ⏕ 㸯ྡ࣭ᒸᒣ኱Ꮫ㸱ᖺḟᏛ⏕ 㸯ྡ㸦㸰㸧✀Ꮚᓥ ᫛࿴኱Ꮫ㸱ᖺḟᏛ⏕ 㸯ྡ࣭ᒸᒣ኱Ꮫ㸲ᖺḟᏛ⏕ 㸯ྡᮏᐇ⩦ࡣࠊᖹᡂ  ᖺᗘࡣ୚ㄽᓥᐇ⩦㸦ᒸᒣ኱Ꮫ㸱ྡࠊ஑ᕞ኱Ꮫ㸰ྡཧຍ㸧࡛㛤ጞࡋࠊᖹᡂ  ᖺᗘࡣ୚ㄽᓥࠊ✀Ꮚᓥ࡛ྜィ㸳ྡࢆᑐ㇟࡟ᐇ᪋ࡋࡓࠋ௒ᚋࠊᐇ⩦ඛࡣࡉࡽ࡟ᣑ኱ࡋ࡚࠸ࡃணᐃ࡟ࡋ࡚
࠾ࡾࠊ⌧ᅾࡢ࡜ࡇࢁ዆⨾኱ᓥࠊᚨஅᓥࢆ᪂つೃ⿵ᆅ࡜ࡋ᳨࡚ウࢆ㐍ࡵ࡚࠸ࡿࠋࡑࢀ࡟క࠸ᐇ⩦ᯟࡶቑຍࡍࡿணᐃ࡛࠶ࡿࡢ࡛ࠊ᫝㠀඲ᅜ㐃ᦠ኱ᏛࡢከࡃࡢᏛ⏕࡟ཧຍࡋ࡚ࡶࡽ࠼ࢀࡤ࡜⪃࠼࡚࠸ࡿࠋ

㈨ᩱ䠎 䠏

第3回

鹿児島国際歯学シンポジウム- グローカルな健康長寿を実現する歯学教育と臨床研究 -KAGOSHIMA INTERNATIONAL DENTAL SYMPOSIUM-Dental Education and Clinical Research to Achieve Glocal Healthy Longevity-

講演抄録集
文部科学省

課題解決型プログラム「健康長寿社会を担う歯科医学教育改革」−死生学や地域包括ケアモデルを導入した医科歯科連携教育体制の構築−
開催日：2017 年 11 月 25 日 ( 土 ) 13:00 〜 15:00
会場：鹿児島大学桜ヶ丘キャンパス 鶴陵会館大ホール
形式：オープンシンポジウム（入場無料、事前登録不要）

主催

鹿児島大学歯学部

URL: http://w3.hal.kagoshima-u.ac.jp/index.html

グローカルな健康長寿に向けた歯学教育と防災対策について考える
グローカルな健康長寿を実現する歯学教育と臨床研究

第 3 回 鹿児島国際歯学シンポジウム
PROGRAM
13:00~13:05

開会の挨拶
宮脇

鹿児島大学歯学部長

シンポジウムⅠ

13:05 〜 14:05

正一

Symposium I

超高齢社会における地域歯科医療と研究のあり方
Regional Dental Practice and Research in a Super-Aged Society

座長：小松澤均 （鹿児島大学歯学部教育委員会委員長）（鹿児島大学大学院医歯学総合研究科

口腔微生物学分野・教授）

I-1（13:05~13:25*）「健康長寿社会を担う歯科医学教育・研究改革」
課題解決型高度医療人材養成プログラム

事業実施責任者

窪木

岡山大学大学院医歯薬学総合研究科・教授

拓男

I-2（13:25~13:45）「新たな時代を見据えた歯学教育のデザイン−鹿児島大学の取り組み−」
鹿児島大学大学院医歯学総合研究科歯科医学教育実践学分野・教授

田口則宏

I-3（13:45~14:05）「歯学教育の展望と研究〜超高齢社会の予防・医療を見据えて」
厚生労働省

健康局

がん・疾病対策課長（前文部科学省

医学教育課）

佐々木

14:05~14:10

休憩昌弘

14:10 〜 14:40

Symposium II

東南アジアにおける歯科医療と臨床研究の現状と展望
Present and Future of Dental Medicine and ClinicalResearch in South East Asia

座長：中村典史 （鹿児島大学大学院医歯学総合研究科口腔顎顔面外科学分野・教授）

Prof. Norifumi Nakamura (Kagoshima University)
II-1 (14:10~14:25)
Hybrid Problem Based Learning and Comprehensive Learning inIndonesian Dental Education
Dean of Faculty of Dentistry Airlangga University

Dr. Darmawan SetijantoII-2 (14:25~14:40)
Age Assessment of Chinese Population Children in Surabaya using
Demirjian's Method
Head of Department of Forensic Odontology Airlangga University

Prof. Mieke Sylvia Margaretha

14:40~

閉会の挨拶
鹿児島大学副歯学部長

西村正宏* 各シンポジウムの時間には 5 分間の質疑応答の時間が含まれます。

KAGOSHIMA INTERNATIONAL DENTAL SYMPOSIUM

Dental Education and Clinicalto toAchieve
GlocalHealthyLongevity
DisasterResearch
Prevention
Achieve
GlocalHealthyLongevity

シンポジウム II➨ 3 ᅇ㮵ඣᓥᅜ㝿ṑᏛࢩ࣏ࣥࢪ࣒࢘ࡢ㛤ദ࡟࠶ࡓࡗ࡚
Introducing 3rd Kagoshima International Dental Symposium㮵ඣᓥ኱ᏛṑᏛ㒊㛗 ᐑ⬥ ṇ୍
Prof. Shouichi Miyawaki, Dean, Faculty of Dentistry, Kagoshima University㮵ඣᓥᅜ㝿ṑᏛࢩ࣏ࣥࢪ࣒࢘ࡣࠊࡇࢀࡲ࡛ 2 ᅇ㛤ദࡉࢀࠊ➨ 1 ᅇ┠ࡢࢸ࣮࣐ࡣࠕࢢ
࣮ࣟ࢝ࣝ࡞೺ᗣ㛗ᑑ࡟ྥࡅࡓṑᏛᩍ⫱࡜⮫ᗋ࡟ࡘ࠸࡚⪃࠼ࡿࠖࠊ➨ 2 ᅇ┠ࡢࢸ࣮࣐ࡣࠕࢢ
࣮ࣟ࢝ࣝ࡞೺ᗣ㛗ᑑ࡟ྥࡅࡓṑᏛᩍ⫱࡜⅏ᐖᑐ⟇࡟ࡘ࠸࡚⪃࠼ࡿ࡛ࠖ࠶ࡾࠊ೺ᗣ㛗ᑑ♫఍ࢆᢸ࠺ṑ⛉་Ꮫᩍ⫱ᨵ㠉࡟ࡘ࠸࡚ࠊάⓎ࡞㆟ㄽࡀ࡞ࡉࢀࡲࡋࡓࠋ
ࡉ࡚ࠊ㧗㱋⪅ࡢ๭ྜࡀୡ⏺୍࡜࡞ࡗࡓᮏ㑥࡟࠾࠸࡚ࠊຍ㱋࡜࡜ࡶ࡟ᚰ㌟ࡢάຊࡀపୗ
ࡋࡓࠕࣇࣞ࢖ࣝࠖ࡜࿧ࡤࢀࡿ≧ែࡢ᪉ࡀࠊᑡ࡞ࡃ࡜ࡶ 250 ୓ே࠸ࡿ࡜ゝࢃࢀ࡚࠾ࡾࠊࡑ
ࡢண㜵ࡸࠊ㐍⾜㜵Ṇ⟇࡜ࡋ࡚ࠊ᭷㓟⣲㐠ື࡟ຍ࠼ࠊ⫗ࡸ㔝⳯࡞࡝ࢆࠊࡋࡗ࠿ࡾჶࡴࡇ࡜
ࡢ࡛ࡁࡿࠊⰋዲ࡞ညྜ≧ែࡢ⥔ᣢࡀ᥎ዡࡉࢀ࡚࠸ࡲࡍࠋ⌧ᅾࠊୡ⏺᭱㧗㱋ࡢዪᛶࡀ㮵ඣᓥ┴࡟ᅾఫࡋ࡚࠸ࡽࡗࡋࡷ࠸ࡲࡍࡀࠊ೺ᗣ㛗ᑑࡢ⛎ジࡢ୍ࡘࡣࠊ㸯᪥㸱ᅇࡢ㣗஦ࢆ༑ศ࿪ᄮࡋ࡚ᦤࡿࡇ࡜ࡔࡑ࠺
࡛ࡍࠋࡇࡢࡼ࠺࡟ࠊ೺ᗣ㛗ᑑᐇ⌧ࡢࡓࡵ࡟ࡣࠊṑ⛉ࡢᯝࡓࡍ࡭ࡁᙺ๭ࡣ࡜࡚ࡶ኱ࡁࡃࠊṑᏛᩍ⫱࡜⮫ᗋ◊✲ࡢ㔜せᛶࡣ┈ࠎ㧗ࡲࡗ࡚࠾ࡾࡲࡍࠋ
ᮏᏛṑᏛ㒊ࡣࠊ
ࠕཱྀ⭍࡜඲㌟࡜ࡢ㛵㐃ᛶࡢゎ᫂ࠖࢆ࣑ࢵࢩࣙࣥࡢ୍ࡘ࡜ࡋ࡚ᥖࡆ࡚࠾ࡾࡲࡍࡀࠊࡲࡉ࡟ࠊ᫬௦ࡢ
ࢽ࣮ࢬ࡟ྜࡗࡓ◊✲ࢸ࣮࣐࡛࠶ࡾࠊࡑࡢᡂᯝࡣࠊᅜෆ࡟Ṇࡲࡽࡎࠊୡ⏺ࡢேࠎࡢ೺ᗣ㛗ᑑࡢᐇ⌧࡟㈉⊩ࡍࡿࡶࡢ࡜ᮇᚅࡉࢀ࡚࠸ࡲࡍࠋࡲࡓࠊ௒ᖺࡣᮏᏛṑᏛ㒊ࡀ 40 ࿘ᖺࢆ㏄࠼ࡿ⠇┠ࡢᖺ࡛ࡶ࠶ࡿࡇ࡜࠿ࡽࠊ௒ᅇࡢ➨ 3 ᅇࢩ࣏ࣥࢪ࣒࡛࢘ࡣࠊᩍ⫱࡜ᐦ᥋࡟㛵ࢃࡿ⮫ᗋ◊✲࡟ࡶ↔Ⅼࢆᙜ࡚ࠊࠕࢢ࣮ࣟ࢝ࣝ࡞೺ᗣ㛗ᑑࢆᐇ⌧ࡍࡿṑᏛᩍ⫱࡜⮫ᗋ◊✲ࠖ࡜࠸࠺ࢸ࣮࣐࡛ࠊᒸᒣ኱Ꮫࠊཌ⏕ປാ┬࡞ࡽࡧ࡟ᮏᏛṑᏛ㒊ࡢᏛ⾡஺ὶ༠ᐃᰯ࡛࠶ࡿ Airlangga ኱Ꮫ࠿ࡽⴭྡ࡞ඛ⏕᪉ࢆ࠾ᣍࡁࡋ࡚ࠊṑᏛᩍ⫱࡜⮫ᗋ◊✲࡟ࡘ࠸࡚ࠊᵝࠎ࡞どⅬ࠿ࡽ࠾ヰ㡬ࡁࡲࡍࠋᮏࢩ࣏ࣥࢪ࣒࢘
࡟ࡼࡾࠊⓙࡉࢇࡢ೺ᗣ㛗ᑑࢆᐇ⌧ࡍࡿṑᏛᩍ⫱࡜⮫ᗋ◊✲࡬ࡢ⌮ゎࡀ῝ࡲࡾࠊࡑࢀࡀ௒ᚋࡢ೺ᗣ㛗ᑑ࡟ྥࡅࡓṑᏛᩍ⫱ࡢᨵ㠉࡟⧅ࡀࡿࡇ࡜ࢆᮇᚅࡋ࡚࠾ࡾࡲࡍࠋ
Kagoshima International Dental Symposium has been held twice so far. The theme of the 1st symposium was “Dental
Education and Practice to achieve Glocal Healthy Longevity”, and the 2nd theme was “Dental Education and Disaster
Planning to achieve Glocal Healthy Longevity”, and both symposiums had lively discussions concerning the reform of dental
medicine education and its role for health and longevity in society.
In Japan, where the percentage of elderly people is the highest in the world, at least 2.5 million people are suffering fromfrailty. These people’s mental and physical vitality is decreasing with age. To prevent or slow the progress of the frailty, in
addition to aerobic physical activity, maintaining stable or good occlusion that enables masticating food like meat andvegetables is recommended. The oldest woman in the world, who lives in Kagoshima, told us that the secret of her health andlongevity is to eat three meals a day by chewing thoroughly. Thus, dentistry has a very important role for people’s health andlongevity, and the importance of dental education and clinical research is increasing more and more.
One of our faculty's missions is to clarify the relationship between oral cavities and the whole body, and ensure the research
theme meets the needs of the modern age and contributes to Glocal Healthy Longevity. Moreover, as this year marks the 40th
anniversary of our faculty, at the 3rd symposium, we will also focus on the clinical research which is closely related to dental
education. We have guest speakers from Okayama University, The Ministry of Health, Labour and Welfare, and Airlangga
University, which is our affiliated university in Indonesia, to discuss about dental education and clinical research from various
points of view. The theme will be “Dental Education and Clinical Research to achieve Glocal Healthy Longevity.” We expectthat the participants will deepen their understanding about dental education and clinical research, which will hopefully achieve
healthy longevity through educational reform.

ࢩ࣏ࣥࢪ࣒࢘Ϩ㉸㧗㱋♫఍࡟࠾ࡅࡿᆅᇦṑ⛉་⒪࡜◊✲ࡢ࠶ࡾ᪉ᗙ㛗㸸 ᑠᯇ⃝ ᆒ 㮵ඣᓥ኱ᏛṑᏛ㒊ᩍ⫱ጤဨ఍ጤဨ㛗㮵ඣᓥ኱Ꮫ኱Ꮫ㝔་ṑᏛ⥲ྜ◊✲⛉ ཱྀ⭍ᚤ⏕≀Ꮫศ㔝 ᩍᤵ

ㅮ₇ᢒ㘓㸭L
Lecture Abstracts

Regional Dental Practice and Research in a Super-Aged Society

Chairperson: Hitoshi Komatsuzawa (Kagoshima University)

Symposium Iࢩ࣏ࣥࢪ࣒࢘Ϩ㸸㉸㧗㱋♫఍࡟࠾ࡅࡿᆅᇦṑ⛉་⒪࡜◊✲ࡢ࠶ࡾ᪉,ࠕ೺ᗣ㛗ᑑ♫఍ࢆᢸ࠺ṑ⛉་Ꮫᩍ⫱ᨵ㠉ࠖㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂࣉࣟࢢ࣒ࣛ ஦ᴗᐇ᪋㈐௵⪅ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ ࢖ࣥࣉࣛࣥࢺ෌⏕⿵⥛Ꮫศ㔝 ᩍᤵ❑ᮌ ᣅ⏨་⒪ࡣࡲࡍࡲࡍ௓ㆤࠊ ⚟♴ࠊ⏕άᨭ᥼࡜ࡢቃ⏺ࢆ᭕᫕࡟ࡋ࡚࠸ࡿࠋ㧗㱋⪅ࡢࠕ㣗ࠖࢆᇶ┙࡜ࡋࡓ೺ᗣቑ㐍ࠊ௓ㆤண㜵ࠊ⹫ᙅண㜵ࡢྍ⬟ᛶࡣ་⒪㈝ᢚไࡢษࡾᮐ࡜ㄆ㆑
ࡉࢀࠊ㉸㧗㱋♫఍࡟࠾࠸࡚ṑ⛉࡬ࡢᮇᚅࡣ㧗ࡲࡿࡤ࠿ࡾ࡛࠶ࡿࠋࡋ࠿ࡋࠊ኱Ꮫ⑓㝔ࡢṑ⛉እ᮶࡛⫱࡚ࡽࢀࡓ⌧ᅾࡢṑ⛉་ᖌࡣࠊ⑓Ჷࡢࣛ࢘ࣥࢻࡸゼၥṑ⛉デ⒪࡟እ᮶
デ⒪ࡢせ⣲ࢆᣢࡕ㎸ࡶ࠺࡜ࡍࡿࡤ࠿ࡾ࡛ࠊ་ᖌࡸ┳ㆤᖌࠊ⟶⌮ᰤ㣴ኈ࡞࡝ࡀពᅗࡍ
ࡿࠕ་⒪ࠖࡢ୍⩼ࢆᢸ࠺ࡲ࡛࡟ࡣᡂ⇍ࡋ࡚࠸࡞࠸ࠋࡲࡋ࡚ࡸࠊ௓ㆤࠊ⚟♴ࠊ⏕άࢆᨭ࠼ࡿ⬟ຊࡣ୙༑ศ࡛࠶ࡿ࡜ゝࢃࡊࡿࢆᚓ࡞࠸ࠋ
ṑ⛉⏺ࡀࠊࡇࡢࡼ࠺࡞ࢱ࢖࣑ࣥࢢ࡛ࠊᩥ㒊⛉Ꮫ┬ ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂࣉࣟࢢ࣒ࣛ㸦஦ᴗྡ㸸೺ᗣ㛗ᑑ♫఍ࢆᢸ࠺ṑ⛉་Ꮫᩍ⫱ᨵ㠉㸧ࢆ㡬ᡝࡋࠊ㣕㌍ࡍࡿᶵ఍ࢆ㡬࠸ࡓࡇ࡜ࡣ኱ኚගᰤ
࡞ࡇ࡜࡛࠶ࡿࠋᮏࣉࣟࢢ࣒ࣛ࡟ࡣࠊṑ⛉࡛㸰௳ࡀ᥇ᢥࡉࢀࠊᡃࠎࡢ஦ᴗࡣࠊᒸᒣ኱Ꮫࢆ⏦ㄳᢸᙜ኱Ꮫ࡜ࡋࡓィ㸯㸯኱Ꮫ㸦໭ᾏ㐨኱Ꮫࠊ㔠ἑ኱Ꮫࠊᒾᡭ་⛉኱Ꮫࠊ᪥ᮏ኱Ꮫࠊ᫛࿴኱Ꮫࠊ኱㜰኱Ꮫࠊරᗜ་⛉኱Ꮫࠊᒸᒣ኱Ꮫࠊ஑
ᕞ኱Ꮫࠊ㛗ᓮ኱Ꮫࠊ㮵ඣᓥ኱Ꮫ㸧࡟ࠊᮾி኱Ꮫ Ṛ⏕Ꮫ࣭೔⌮ᛂ⏝ࢭࣥࢱ࣮ࠊᮾி኱Ꮫ 㧗㱋♫఍⥲ྜ◊✲ᶵᵓࠊᅜ❧㛗ᑑ་⒪◊✲ࢭࣥࢱ࣮ࠊᮾி㒔೺ᗣ㛗ᑑ་⒪ࢭࣥࢱ࣮ࢆ࠶ࢃࡏࡓṑᏛᩍ⫱ᨵ㠉ࢥࣥࢯ࣮ࢩ࢔࣒ࡀࠊ೺ᗣ㛗ᑑ♫఍ࢆᢸ࠺ṑ⛉་ᖌࢆ⫱࡚ࡿࡓࡵࡢᩥ⌮⼥ྜࠊ་⛉࣭ṑ⛉㐃ᦠࠊከ⫋✀㐃ᦠᩍ⫱ᨵ㠉ࢆᐇ⌧ࡋࡼ࠺࡜ࡍࡿࡶࡢ࡛
࠶ࡿࠋ
ᮏㅮ₇࡛ࡣࠊࡇࡢ㉸㧗㱋♫఍࡟࠾࠸࡚ࠊ ṑ⛉་Ꮫࡀᮏᙜࡢព࿡࡛་⒪ேࡢ௰㛫ධࡾࢆࡍࡿࡓࡵ࡟ᚲせ࡞ࠊ ලయⓗດຊࡢ᪉ྥᛶࢆࠊᩍ⫱࡜◊✲࡜࠸࠺ษࡾཱྀ࠿ࡽ⪃࠼ࡓ࠸ࠋࡶࡕࢁࢇࠊᴫᛕㄽࢆヰࡍ᫬ᮇࡣ㐣ࡂ࡚࠾ࡾࠊලయ
ⓗ࡞ᩍ⫱◊✲࣒࢝ࣜ࢟ࣗࣛࢆ⟇ᐃࡋࠊ඲ᅜⓗ࡟ࡑࢀࢆඹ᭷ࡍࡿ᫬ᮇ࡟᮶࡚࠸ࡿࡇ࡜ࡣ㛫㐪࠸࡞࠸ࠋ࡞ࡐ࡞ࡽࠊ௒
࣒࢝ࣜ࢟ࣗࣛࡀ☜❧ࡉࢀࡓ࡜ࡋ࡚ࡶࠊࡑࡢᩍ⫱ࢆཷࡅࡓṑ⛉་ᖌࡀṑ⛉኱Ꮫ࠿ࡽ㍮ฟࡉࢀࡿࡢࡣᩘᖺᚋ࡟࡞ࡾࠊ
ከᩘࡢࢣ࢔ࡍ࡭ࡁ㧗㱋ᝈ⪅ࡀ┠ࡢ๓࡛ᡃࠎࡢຓࡅࢆᚅࡗ࡚࠸ࡿࡢࡔ࠿ࡽࠋ

ཧ⪃㸧ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂࣉࣟࢢ࣒ࣛࡢ୰㛫ホ౯⤖ᯝhttps://mdp.dent.okayama-u.ac.jp/ocw/images/pdfs/20170411.pdf

ࢩ࣏ࣥࢪ࣒࢘Ϩ㸸㉸㧗㱋♫఍࡟࠾ࡅࡿᆅᇦṑ⛉་⒪࡜◊✲ࡢ࠶ࡾ᪉,ࠕ᪂ࡓ࡞᫬௦ࢆぢᤣ࠼ࡓṑᏛᩍ⫱ࡢࢹࢨ࢖ࣥ 㹼㮵ඣᓥ኱Ꮫࡢྲྀࡾ⤌ࡳ㹼 ࠖ㮵ඣᓥ኱Ꮫ኱Ꮫ㝔་ṑᏛ⥲ྜ◊✲⛉ ṑ⛉་Ꮫᩍ⫱ᐇ㊶Ꮫศ㔝 ᩍᤵ⏣ཱྀ ๎ᏹ

㮵ඣᓥ኱ᏛṑᏛ㒊ࡣࠊ᫂἞ึᮇ࡟ⱥᅜே་ᖌ࢘࢕ࣜ࢔࣒࣭࢘࢕ࣜࢫඛ⏕ࡀᡃࡀᅜ࡛ษࡾ㛤࠿ࢀࡓすὒ་Ꮫࡢ※ὶ࡟➃ࢆⓎࡋࠊ㮵ඣᓥ኱Ꮫ་Ꮫ㒊࠿ࡽศ㞳⊂❧ࡋ࡚
1977 ᖺ࡟タ⨨ࡉࢀࡲࡋࡓࠋᮏᏛ㒊࡛ࡣ୍㈏ࡋ࡚ࠕṑ⛉་⒪ே࡛࠶ࡿ๓࡟ࠊⰋ㆑㇏࠿
࡞ே㛫࡛࠶ࢀࠖ࡜࠸࠺⌮ᛕࡢࡶ࡜་⒪⪅ᩍ⫱ࢆ⾜࠸ࠊࡇࢀࡲ࡛ 2,000 ேࢆ㉸࠼ࡿṑ⛉་⒪ேࢆ㍮ฟࡋ࡚ࡁࡲࡋࡓࠋ་⒪⪅⫱ᡂᶵ㛵ࡣࠕᩍ⫱ࡢ㉁ಖドࠖ࡜ࡋ࡚ࠊᏛ⏕࡟ᑐࡋ࡚༞ᴗ᫬࡟ఱࡀ࡛ࡁࡿࡼ
࠺࡟࡞ࡿ࠿ࢆ࠶ࡽ࠿ࡌࡵ᫂♧ࡋࠊᩍ⫱ㄢ⛬ࢆ㏻ࡌ࡚ಟᚓࡉࡏࡿ㈐ົࡀ࠶ࡿ࡜࡜ࡶ࡟ࠊ
♫఍࡟ᑐࡋ࡚ࡶᡂᯝࢆබ⾲ࡋㄝ᫂ࡍࡿᚲせࡀ࠶ࡾࡲࡍࠋ་⒪⪅ᩍ⫱ࡢୡ⏺࡛ࡣ୍⯡࡟ࠊᏛ㒊ᩍ⫱࡟࠾࠸࡚ࡇࢀࡽࢆ᭱ࡶຠᯝⓗ࡟ᐇ⌧࡛ࡁࡿࡢࡀ࢔࢘ࢺ࣒࢝ᇶ┙ᆺᩍ⫱㸦Outcome-based Educationࠊ
௨ୗ OBE㸧࡟ᇶ࡙ࡃ࣒࡛࢝ࣜ࢟ࣗࣛ࠶ࡿ࡜࠸ࢃࢀ࡚࠸ࡲࡍࠋࡑࡢ≉ᚩ࡜ࡋ࡚ࠊ㸯㸬⬟ຊࡢᡂ㛗ࢆᨭ࠼ࡿ⛉┠㛫ࡢ⦪ࡢࡘ࡞ࡀࡾࠊ㸰㸬」ྜⓗ࡞⬟ຊࢆ⫱ࡴ⛉┠㛫ࡢᶓࡢࡘ࡞ࡀࡾࠊ㸱㸬ከ㠃ⓗ࡞⬟ຊࡢ⫱ᡂࠊ㸲㸬⧞ࡾ㏉ࡋࡢᩍ⫱࡟ࡼࡿ⬟ຊࡢᐃ╔໬࡞࡝ࢆ┒ࡾ㎸ࡴࡇ࡜ࡀ࡛ࡁࡿ࣒࢝ࣜ࢟ࣗࣛࢹࢨ࢖ࣥ࡜࡞ࡗ࡚࠸ࡲࡍࠋᖹᡂ 29 ᖺ 3 ᭶࡟බ⾲ࡉࢀࡓࠕᖹᡂ 28 ᖺᗘᨵᐃ∧ṑᏛᩍ⫱ࣔࢹ࣭ࣝࢥ࢔࣭࣒࢝ࣜ࢟ࣗࣛࠖࡢ๓ᩥ࡟࠾࠸࡚ࡶ OBE ࡢྡ⛠ࡀ᫂グࡉࢀ࡚࠾ࡾࠊ᫖௒࡛ࡣᡃࡀᅜ࡛ࡶከࡃࡢ་Ꮫ㒊࡛ᑟධࡀ㐍ࢇ࡛࠸ࡲࡍࡀࠊṑᏛ㒊࡛ࡢᑟධ஦౛ࡣࡲࡔᑡ࡞࠸ࡢࡀ⌧≧࡛ࡍࠋࡑࡢࡼ࠺࡞୰ࠊ㮵ඣᓥ኱ᏛṑᏛ㒊࡛ࡣᏛ㒊ᩍ⫱࣒࢝ࣜ࢟ࣗࣛࢆᖹᡂ 27 ᖺᗘ࡟඲㠃ᨵゞࡋࠊOBE ᆺ࡟⛣⾜ࡋࡲࡋࡓࠋᮏᏛ㒊༞ᴗ᫬࡟ࡣࠊ඲࡚ࡢᏛ⏕ࡀ㸯㸬ṑ⛉་ᖌࡢ⫋㈐࡜ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࠊ㸰㸬ṑ⛉་Ꮫ࠾ࡼࡧ㛵㐃㡿ᇦࡢ▱㆑ࠊ㸱㸬་⒪ࡢᐇ㊶ࠊ㸲㸬ᆅᇦ་⒪࡜࣊ࣝࢫࣉ࣮ࣟࣔࢩࣙࣥࠊ㸳㸬⏕ᾭᏛ⩦࡜⛉Ꮫⓗ᥈✲ᚰࡢ 5 ࡘࡢ㡯┠࡟ࡘ࠸࡚ࠊᏛ⩦ᡂᯝ࡜ࡋ࡚㌟࡟ࡘࡅࡿࡇ࡜ࢆ┠ᣦࡋᩍ⫱ࡍࡿࡇ࡜࡜ࡋࡲࡋࡓࠋ࡜ࡾࢃࡅࠊ㮵ඣᓥ኱Ꮫࡀ඲య࡜ࡋ
࡚┠ᣦࡋ࡚࠸ࡿࠕᆅᇦ࡟㈉⊩ࡋ࠺ࡿேᮦ⫱ᡂࠖ࡜࠸࠺Ⅼ࠿ࡽࠊࠕ㸲㸬ᆅᇦ་⒪࡜࣊ࣝࢫࣉ࣮ࣟࣔࢩࣙࣥࠖ࡟㛵ࢃࡿᩍ⫱࡛ࡣࠊ6 ᖺ㛫ࢆ㏻ࡌ࡚ከࡃࡢᏛእᐇ⩦ࢆ⤌ࡳ㎸ࡳࡲࡋࡓࠋ≉ᚩⓗ࡞ࡢࡣ 2 ᖺ⏕࡟ᐇ᪋ࡍࡿࠕᆅᇦయ㦂ᐇ⩦ࠖ㸦ᗂ⛶ᅬࡸ㧗㱋⪅᪋タ࡟ฟྥࡁࠊከᵝ࡞ୡ௦࡜ࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࢆᅗࡾࠊ౯್ほࡢ⌮ゎࢆಁࡍᐇ⩦㸧ࠊ6 ᖺ⏕࡟ᐇ᪋ࡍࡿࠕ㞳ᓥṑ⛉་⒪ᐇ⩦ࠖ㸦✀Ꮚᓥࠊ዆⨾኱ᓥࠊᚨஅᓥࠊ୚ㄽᓥ࡞࡝ࡢṑ⛉་㝔࡟ 5 ᪥㛫⁫ᅾࡋࠊ⌧ᆅ࡛ࡢṑ⛉་⒪ࢆぢᏛࡍࡿᐇ⩦㸧࡞࡝ࡀ࠶ࡆࡽࢀࡲࡍࠋࡇࡢࡼ࠺࡞⤒㦂ࢆ✚ࡳ㔜ࡡࠊᆅᇦ་⒪࡟㈉⊩ࡋ࠺ࡿࠕⰋ㆑㇏࠿
࡞ࠖṑ⛉་⒪ேࡢ⫱ᡂࢆ┠ᣦࡋࠊᩍ⫱ࢆᵓ⠏ࡋ࡚࠸ࡿ࡜ࡇࢁ࡛ࡍࠋ
࣒࢝ࣜ࢟ࣗࣛᨵ㠉ࡣᏛᖺ㐍⾜࡛᭦᪂ࡉࢀࡿࡓࡵࠊ⌧᫬Ⅼ࡛ࡣ OBE ࣒࢝ࣜ࢟ࣗࣛࡣ 3 ᖺ⏕ࡲ࡛ࡋ࠿㐍ࢇ࡛࠾ࡽࡎࠊࡲࡔ᭱⤊ⓗ࡞ᡂᯝࠊຠᯝࡀ᫂ࡽ࠿࡟࡞ࡗ࡚࠸࡞࠸ࡢࡀ⌧≧࡛ࡍࠋ௒ᚋࡉࡽ࡟᳨ウࢆ㔜ࡡࡿ࡜࡜ࡶ࡟ࠊⓙᵝ࠿ࡽࡢࡈពぢࡶ㡬ࡁ࡞ࡀࡽࠊࡼࡾࡼ࠸་⒪ே⫱ᡂࢆᒎ㛤ࡋ࡚࠸ࡃணᐃ࡛ࡍࠋ

ࢩ࣏ࣥࢪ࣒࢘Ϩ㸸㉸㧗㱋♫఍࡟࠾ࡅࡿᆅᇦṑ⛉་⒪࡜◊✲ࡢ࠶ࡾ᪉,ࠕṑᏛᩍ⫱ࡢᒎᮃ࡜◊✲㹼㉸㧗㱋♫఍ࡢண㜵࣭་⒪ࢆぢᤣ࠼࡚㹼ࠖཌ⏕ປാ┬೺ᗣᒁࡀࢇ࣭⑌⑓ᑐ⟇ㄢ㛗㸦๓ ᩥ㒊⛉Ꮫ┬ ་Ꮫᩍ⫱ㄢ㸧బࠎᮌ ᫀᘯ 㸯 ㉸㧗㱋♫఍ࡢᒎᮃ ᡃࡀᅜࡣ 1947-1949 ᖺ⏕ࡲࢀࡢ࠸ࢃࡺࡿᅋሢࡢୡ௦ࡀࡍ࡭࡚ 75 ṓ௨ୖ࡜࡞ࡿ 2025ᖺ࡟ྥࡅ࡚ࠊ2014 ᖺࡢ་⒪࣭௓ㆤ୍ᣓἲ࡟௦⾲ࡉࢀࡿ♫఍ಖ㞀࡜⛯ࡢ୍యᨵ㠉ࢆ㐍ࡵ࡚ࡁࡓࠋ ࡇࡇ࡛㔜せ࡞ࡢࡣࠊ࣭㧗㱋໬ࡢࣆ࣮ࢡࡣ඲ᅜ୍ᚊ࡛ࡣ࡞ࡃࠊᆅᇦᕪ࣭㒔㐨ᗓ┴ᕪࡀ࠶ࡿࡇ࡜
࣭ከ⫋✀㐃ᦠ࡞࡝ࢳ࣮࣒་⒪࡬ࡢྲྀ⤌ࡀ୙ྍḞ࡛࠶ࡿࡇ࡜
࣭⑓㝔᏶⤖ᆺ་⒪࠿ࡽᆅᇦ᏶⤖࣭ᚠ⎔ᆺ་⒪࡬ࡢ㌿᥮࡜ࠊᆅᇦໟᣓࢣ࢔ࢩࢫࢸ࣒ࡢᵓ⠏࡜ྠ᫬࡟⾜࠺ࡇ࡜ࡀồࡵࡽࢀ࡚࠸ࡿࡇ࡜ ࡛࠶ࡿࡀࠊࡇࢀࡣไᗘㄽ࠿ࡽࡢ࢔ࣉ࣮ࣟࢳ࡛ࡣ⌮ゎࡀᅔ㞴࡛࠶ࡿ࠿ࡶ▱ࢀ࡞࠸ࡀࠊᝈ⪅࣭ᕷẸࡢどⅬ࠿ࡽ⪃࠼ࡿ࡜ࠊᚲ↛ⓗ࡟ᑐᛂࡋ࡞ࡅࢀࡤ࡞ࡽ࡞࠸ࢸ࣮࣐࡛࠶ࡿࠋ㸰 ࡇࢀ࠿ࡽࡢṑᏛᩍ⫱࡜◊✲ ᮏᖺ㸱᭶࡟ࠊṑᏛᩍ⫱ࣔࢹ࣭ࣝࢥ࢔࣭࣒࢝ࣜ࢟ࣗࣛ㸦ࢥ࢔࢝ࣜ㸧ࡣ་Ꮫᩍ⫱ࢥ࢔࢝ࣜ࡜ྠ᫬࡟㸴ᖺ᣺ࡾ࡟ᨵゞࡉࢀࡓࡀࠊ୰ᚰⓗ࡞ࢥࣥࢭࣉࢺࡣࠕከᵝ࡞ࢽ࣮ࢬ࡟ᑐᛂ࡛ࡁࡿṑ⛉་ᖌ࣭་ᖌࡢ㣴ᡂ࡛ࠖ࠶ࡾࠊㄝ᫂ᩥ࡜ࡋ࡚ࠕᅜ
㝿ⓗ࡞බ⾗⾨⏕ࡸ་⒪ไᗘࡢኚ㑄࡟㚷ࡳࠊᅜẸ࠿ࡽồࡵࡽࢀࡿ೔⌮ほࠊ་⒪Ᏻ඲ࠊࢳ࣮࣒་⒪ࠊᆅᇦໟᣓࢣ࢔ࠊ
೺ᗣ㛗ᑑ♫఍࡞࡝ࡢࢽ࣮ࢬ࡟ᑐᛂ࡛ࡁࡿᐇ㊶ⓗ⮫ᗋ⬟ຊࢆ᭷ࡍࡿṑ⛉་ᖌ࣭་ᖌࢆ㣴ᡂࡍࡿࠖࡀῧ࠼ࡽࢀ࡚࠸ࡿࠋ ࡇࡇ࡛☜ㄆࡋࡓ࠸ࡢࡣࠊࢥ࢔࢝ࣜࡣ 29 ࡢṑᏛ㒊࡟ࡍ࡭࡚ྠࡌᩍ⫱ࢆồࡵࡿࡶࡢ࡛ࡣ࡞ࡃࠊྛ኱Ꮫࡢ≉ᚩࢆࡼࡾ᫂☜࡟ᡴࡕฟࡋ࡚࠸ࡓࡔࡃࡓࡵ࡟ࠊ⣙㸵๭ࡢඹ㏻ⓗ࡞㒊ศࢆ᫂♧ࡍࡿࡶࡢ࡛࠶ࡾࠊ౛࠼ࡤඹ㏻㒊ศࡣ኱Ꮫࢆ㉺࠼ࡓ㐃ᦠ࡟ࡼࡾඹ㏻ᩍᮦࡢ㛤Ⓨ➼࡟ࡼࡾࠊࡼࡾྛ኱Ꮫ⊂⮬ࡢᩍ⫱࡟๭ࡃ᫬㛫ࢆ☜ಖࡍࡿࡇ࡜ࢆྍ⬟࡜ࡍࡿࡶࡢ࡛
࠶ࡿࠋࡇࡢࡇ࡜ࡣࠊ◊✲࡟ࡘ࠸࡚ࡶྠᵝ࡛࠶ࡾࠊ⌧⾜ࡢᩍ⫱࣭◊✲ࢆぢ┤ࡍࡇࡢᶵ఍ࢆά⏝ࡋࠊࡼࡾ㨩ຊⓗ࡞◊✲࡬ࡢྲྀ⤌ࢆྛ኱Ꮫ࡟ࡣồࡵࡓ࠸ࠋ㸱 㮵ඣᓥ኱ᏛṑᏛ㒊ࡢᅜ㝿♫఍࡬ࡢⓎಙ࡟ᐤࡏࡿᮇᚅ 㮵ඣᓥ኱ᏛṑᏛ㒊ࡣࠊࡇࢀࡲ࡛࡟ࡶᅜ㝿♫఍࡜ࡾࢃࡅ࢖ࣥࢻࢿࢩ࢔➼ࡢᮾ༡࢔ࢪ࢔࡜ࡢ஺ὶ࡟ྲྀࡾ⤌ࢇ࡛᮶ࡽࢀࡓࠋୡ⏺ࡢேཱྀࡢ࣮࣒࣎ࣜࣗᒙ࡛࠶ࡿྠᆅᇦ࡟ᑐࡋ࡚ࡣࠊᆅ⌮ⓗ࡞≉ᛶ࠿ࡽྠᏛࡀᅜෆ࡟࠾࠸࡚ᅽಽⓗ࡞࢔ࢻࣂࣥࢸ࣮ࢪࢆ᭷ࡋ࡚࠸ࡿ࡜⪃࠼ࡽࢀࡿࡇ࡜࠿ࡽࠊ௒ᚋࡢ஺ὶࡑࡋ࡚ᅜ㝿♫఍࡬ࡢⓎಙ࡟኱࠸࡟ᮇᚅࡋࡓ࠸࡜⪃࠼࡚࠸ࡿࠋࢩ࣏ࣥࢪ࣒࢘ϩᮾ༡࢔ࢪ࢔࡟࠾ࡅࡿṑ⛉་⒪࡜⮫ᗋ◊✲ࡢ⌧≧࡜ᒎᮃᗙ㛗㸸 ୰ᮧ ඾ྐ 㮵ඣᓥ኱Ꮫ኱Ꮫ㝔་ṑᏛ⥲ྜ◊✲⛉ ཱྀ⭍㢡㢦㠃እ⛉Ꮫศ㔝 ᩍᤵ

ㅮ₇ᢒ㘓㸭L
Lecture Abstracts

Present and Future of Dental Medicine and Clinical Researchin South East Asia

Chairperson: Norifumi Nakamura (Kagoshima University)

Symposium IISymposium II㸸Present and Future of Dental Medicine and Clinical Research in South East Asia

II-1. HYBRID PROBLEM-BASED LEARNING AND COMPREHENSIVELEARNING IN INDONESIAN DENTAL EDUCATION
Darmawan Setijanto
Dean Faculty of Dental Medicine
Airlangga University

World’s demographic shift in the age population is leading to an action on improving
the oral health of older people. More than 25% of the population in developed countries will
be over the age of 65 years by 2020. Increasing retention of teeth, often with complex
restorations, is expected to increase the demand for dental care in older people. Less
attendance and barriers accessing dental care, with access often more difficult in residential
aged care facilities. In the other hand, current world dental education are focusing on
prevention of oral diseases, oral infection’s impact for human health, bone and tissue
engineering and developing dental materials bio-compatibility. Dental institutions arrange
their geriatric curriculum as a complementary subject at the end of the program. Educational
institutions have an obligation to lead change and develop quality education and research in geriatric dentistry. This article
aimed to elucidate the existing of geriatric dentistry in Faculty of Dental Medicine Universitas Airlangga.
Frequently, serious problem arise as deliver geriatric dentistry to first dental degree, who have limited experience indealing with and caring for older people. Research has found that older individuals perceive that some clinicians and services
lack an understanding of the context in which their older patients live. It can be assumed that learning Geriatric Dentistry needinnovative and comprehensive learning, i.e.: Problem-based Learning (PBL) or Hybrid Problem-based Learning (H-PBL).
Recent research showed that H-PBL curriculum can improve the student’s learning outcomes such as long-term knowledge
acquisition, problem solving skills and generic competence. Implementation of H-PBL on BLS/ACLS teaching indicated thatmost students preferred H-PBL format over traditional Lecture-based Learning (L-BL) in the following aspects learning,understanding, interest and motivation, training of personal abilities and being confident and satisfied with the teaching
method provided high satisfaction among undergraduate medical student.
We found that there was limited topic regarding geriatric dentistry in the curricula for Bachelor and Professional Dental
programs Faculty of Dental Medicine Universitas Airlangga (FDMUA). Only Conservative Dentistry (H-PBL format) in
Bachelor Dental program and 2 courses: Periodontology and Oral and Maxillofacial Surgery in Professional program. Anothercollage indicate that elements of geriatric dentistry are also covered within ‘comprehensive’ subjects or in specialist disciplines
such as oral medicine, periodontology, oral and maxillofacial surgery and special needs. But we don’t have substantive
integrated programs focusing solely on the oral health needs of older people.
Inconclusion, Geriatric Dentistry is a must, although FDMUA have not had an evidence that H-PBL and Comprehensive
learning, we still confidence and open mind to keep on struggling on innovate the appropriate methods.

Symposium II㸸Present and Future of Dental Medicine and Clinical Research in South East Asia

II-2. AGE ASSESSMENT OF CHINESE POPULATION CHILDREN
IN SURABAYA USING DEMIRJIAN’S METHOD
Mieke Sylvia Margaretha
Head of Department of Forensic Odontology
Faculty of Dental Medicine
Airlangga University
Odontology forensic is a branch of forensic medicine in dentistry and has several
identification methods to identify an individual. This dental identifying method has several
advantages because teeth are the most durable organs in the bodies of vertebrates, resistant toenvironment changes, and protected. Therefore, this method has high accuracy almost likefingerprint’s accuracy. Chronological age is very important in population study, race and sex
difference in development and tooth eruption pattern. In forensic, dental age determination isimportant in evaluating human’s teeth, whether they are alive or not. Sorting victims in many
incidents based on age will simplify identification because the searching scope is narrowed.
The age of the individual can be assessed from dental age which is one of the important factor taken into account when
formulating treatment plans and having particular relevance to the timing of treatment. A method for assessing dental maturity
in different populations was first developed in 1973 by Demirjian et al., which is based upon an assessment of crown and root
formation stages from dental radiographs. This method has never been applied to Surabaya Chinese population children. The
aim of this study is to evaluate the applicability of Demirjian’s method for age estimation in Chinese population children in
Surabaya, 9-15 of age. Panoramic radiographs of 30 (15 males and 15 females) Chinese population children in Surabaya, 915 years of age were examined using Demirjian’s method. Panoramic radiographs were scored by one examiner.
Chronological age was obtained from the date of birth of children. Correlation between the dental age and chronological age
was analysed using the paired t-test.
Demirjian’s method can be applied on Chinese children population in Surabaya, whether on boys and girls with 0.34
years as the difference between dental age and chronological age in boys (dental age is 0.34 years greater than chronologicalage) and -0.51 years in girls (chronological age is 0.51 years greater than dental age). Further research on Demirjian’s method
appliance on greater range of age is needed to improve its validity. Also, further research on Demirjian’s method applianceon other population is needed.

鹿児島国際歯学シンポジウム◆主催

鹿児島大学歯学部◆問い合わせ先

URL: http://w3.hal.kagoshima-u.ac.jp/index.html

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本シンポジウムは、文部科学省大学改革推進等補助金「課題解決型プログラム 健康長寿社会を担う
歯科医学教育改革ー死生学や地域包括ケアモデルを導入した医科歯科連携教育体制の構築ー」により実施されました。

㈨ᩱ䠎 䠐

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఍⏣⸅Ꮚ≉௵ᩍᤵ
㸱㸬ࠕ⤊ᮎᮇࡢṑ⛉་⒪㸫ࡀࢇ⦆࿴ࢣ࢔ࠖ
㸲㸬ࠕ⤊ᮎᮇࡢṑ⛉་⒪㸫ㄆ▱⑕ࠖ     ᅜ❧㛗ᑑ་⒪◊✲ࢭࣥࢱ࣮

ṑ⛉ཱྀ⭍ඛ㐍་⒪㛤Ⓨࢭࣥࢱ࣮     ṑ⛉ཱྀ⭍ඛ➃デ⒪㛤Ⓨ㒊ᅾᏯཱྀ࣭⭍ࢣ࢔㛤Ⓨᐊᐊ㛗     ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉       ኱㔝 ཭ஂ ᐈဨ෸ᩍᤵ
༠ຊ᪋タ࡛࠶ࡿᮾி኱Ꮫ኱Ꮫ㝔ேᩥ♫఍⣔◊✲⛉Ṛ⏕Ꮫ࣭ᛂ⏝೔⌮ࢭࣥࢱ࣮ࡼࡾࠊ఍⏣⸅Ꮚ≉௵ᩍᤵࠊᅜ❧㛗ᑑ་⒪◊✲ࢭࣥࢱ࣮ṑ⛉ཱྀ⭍ඛ㐍་⒪㛤Ⓨࢭࣥࢱ࣮ࡼࡾ኱㔝཭ஂඛ⏕ࢆᣍ⪸ࡋࠊࠕ⤊ᮎᮇࡢពᛮỴᐃᨭ᥼࡜ṑ⛉ⓗ࢔ࣉ࣮ࣟࢳࠖ࡜㢟ࡋ࡚ࠊṚ⏕Ꮫࠊㄆ▱⑕࡟㛵ࡍࡿㅮ₇఍ࢆ㛤ദࡋࡓࠋᮏㅮ₇఍┤๓࡟Ꮫ⏕ྥࡅ࡟ᑟධ࡜ࡋ࡚ࠊᘏ࿨἞⒪ࡸ⦆࿴ࢣ࢔࡟ࡘ࠸࡚ࡢᴫせࢆㄝ᫂ࡋࠊ⤊ᮎᮇ࡟࠾ࡅࡿ⮬ศࡽࡋ࠸᭱ᮇ࡟ࡘ࠸࡚⪃࠼ࡉࡏࡿ࡜࡜ࡶ࡟ࠊ⤊ᮎᮇ࡟࠾ࡅࡿ⮬ศࡢᐙ᪘࡬
ࡢ἞⒪࡟ࡘ࠸࡚⪃࠼ࡉࡏࠊṑ⛉་ᖌ࡜ࡋ࡚ࡑࡢࡼ࠺࡞⑕౛࡟ྥࡁྜ࠺㝿࡟࡝ࡢࡼ࠺࡟ᑐᛂࡍࡿ࠿

࡟ࡘ࠸࡚⪃࠼ࡉࡏࡿ᫬㛫ࢆタࡅࡓࠋࡇࢀࡲ࡛ࡢㅮ⩏࡛ࡣࠊṚ⏕Ꮫࡸ⦆࿴ࢣ࢔࡟ࡘ࠸࡚ࡌࡗࡃࡾ࡜
⪃࠼ࡿᶵ఍ࡣ࡯࡜ࢇ࡝࡞࠿ࡗࡓࡀࠊ௒ᅇࡢㅮ₇఍࡟࡚ࠊ㸰ேࡢᑓ㛛ᐙ࠿ࡽ┤᥋ㅮ⩏ࢆཷࡅࠊ⤊ᮎᮇࡢពᛮỴᐃࡸㄆ▱⑕ᝈ⪅࡬ࡢᑐᛂ࡟ࡘ࠸࡚⪃࠼ࡿᶵ఍ࢆᚓࡿࡇ࡜ࡀ࡛ࡁࡓࠋࡲࡓࠊᮏㅮ₇఍ࡣࠊ)'ㅮ₇఍࡜ࡋ࡚ᩍဨࡶཧຍࡋ࡚࠾ࡾࠊࡇࢀࡲ࡛ࡢṑ⛉ᑓ㛛ᩍ⫱࡟ࡣ࡞࠿ࡗࡓ᪂ࡓ࡞ศ㔝࡟ゐࢀࡿⰋ࠸ᶵ఍࡜࡞ࡗࡓࠋᮏㅮ₇఍ࡣࠊ㐃ᦠ኱Ꮫ࡛ࡶ⮬⏤࡟ど⫈࡛ࡁࡿࡼ࠺࡟཰㘓ࢆ⾜ࡗ࡚࠾ࡾࠊ௒ᚋࡲࡍࡲࡍ㔜せ࡜࡞ࡿṚ⏕Ꮫࠊㄆ▱⑕࡟ࡘ࠸࡚ࡢ▱㆑ࢆ኱Ꮫ㛫࡛ඹ᭷࡛ࡁࡿࡼ࠺‽ഛࢆᩚ࠼ࡿࡇ࡜ࡀ࡛ࡁࡓࠋ
㸦ᩥ㈐㸸ᒸᒣ኱Ꮫ་⒪ᩍ⫱⤫ྜ㛤Ⓨࢭࣥࢱ࣮ṑ⛉་Ꮫᩍ⫱ᨵ㠉㒊㛛 ᮡᮏᜤᏊ㸧

㈨ᩱ䠎 䠒

News Lettervol. 12017.6

健康長寿社会を担う歯科医学教育改革❖【連携大学の皆様へ】医療支援歯学教育コースワーク
均てん化のお願い
本事業の中間評価も終わり、下記のとおり、無事良い評価（Ａ評価）をいただきました。今後の事業終了までの目標は、これまで確立して来た医療支援歯学教育コースワークを各連携大学の実情に合わせて均てん化していくことです。
医療支援歯学教育コースワークとは、①生活習慣病予防と歯科、急性期歯科医療、在宅介護歯科医療に関する講義シリーズ、②要介護高齢者を模したシミュレーター演習や老人介護・在宅介護施設を用いた PBL 演習、③高度医療支援・周術期口腔機能管理実習、④臨床講師等を利用した在宅介護・訪問歯科診療参加型学外臨床実習の４要素です。
各連携大学におかれましては、今後の２年間でこの４要素に匹敵する教育方略を「目に見える形で」単位化していただき、受講生の数を実績値として報告していただく必要があります。つきま
しては、各大学の内情調査のため、申請校から調査員を派遣させていただく予定にしております。どうぞご理解、ご協力の程、お願いいたします。
特に、高度医療支援・周術期口腔機能管理実習と在宅介護・訪問歯科診療参加型学外臨床実習に関しては、すでに開講された大学もありますが、実施されていない大学もあります。岡山大学の経験をまとめて開示する予定ですので、ぜひ、それに類する実習の開講を早急にお願いいたします。

❖ 中間評価結果
本事業の中間評価の結果が平成 29 年 3 月 17 日に文部科学省から通知されました。
本事業に関わる皆様のご尽力の結果、総合評価 A「順調に進捗しており、現行の努力を継続することによって当初目的を達成することが可能と判断される。
」というすばらしい評価をいただくことができました。
本 結 果 の 詳 細 は「 課 題 解 決 型 高 度 医 療 人 材 養 成 プ ロ グ ラ ム 」 の 中 間 評 価 結 果 に つ い て（http://www.mext.go.jp/a̲menu/koutou/iryou/1383392.htm：文部科学省ホームペー
ジ）にてご覧いただけます。
今後ともより一層の事業推進にご協力賜りますよう、何卒よろしくお願いいたします。

❖ 平成 28 年度外部評価結果
本事業の外部評価は日程の都合上、5 名の外部評価委員の先生方に、報告書を送付して評価いただきました。評価結果につきましては、本事業ホームページ（https://mdp.dent.okayama-u.ac.jp/ocw/index.php）よりご確認
ください。

事業責任者

窪木 拓男

News Lettervol.1 2017.6

平成 29 年度

連携シンポジウム開催のお知らせ

平成 29 年 11 月 10 日（金）・11 日（土）に北海道大学歯学部講堂において連携シンポジウム in 札幌を開催いたします。まだアイデアの段階ではありますが、「これからの医科歯科連携教育」及び「地域包括ケアと周術期口腔管理」をテーマとした 2 つのシンポジウムを立案し演者依頼中です。目下の所、10 日（金）は 15 時に受付を開始し、初日のシンポジウム終了後、北大工学部横の
ファカルティハウス「エンレイソウ」にて懇親会を行い、11 日（土）はお昼のコンソーシアム委員会を含め 15 時
頃には散会予定です。晩秋から初冬へかけての黄色い絨毯を敷いたような銀杏並木をご覧になり目の保養を、シンポジウムでの議論に積極的に参加していただき脳の活性化を、その後は北海道の食材を満喫していただき舌の保養と活性化をし、更なる交流を深めていただければ幸いです。今回からは、連携校以外の歯学部や歯科大学にも、参加頂ける様に広報差し上げる予定ですので、皆様の多数のご参集を心よりお待ちしております。
（北海道大学歯学部

連携シンポジウム担当

コンソーシアム委員井上 哲）

臨床倫理シンポジウム・清水哲郎特任教授最終講義「臨床倫理の明日を拓く−本人・家族とともに考える意思決定」
東京大学にて 3 月 4 日（土）に開催されました臨床倫理シンポジウム・清水哲郎特任教授最終講義を拝聴して参りました。シンポジウムでは、医師、看護師、ソーシャルワーカー、ケアマネジャーの立場から事例に基づいた報告があり、目指すべき意思決定支援についてのディスカッションも行われました。清水教授の最終講義では、「臨床倫理の明日」について、人間関係のあり方から臨床場面における意思決定プロセスまで、わかりやすくお話しくださいました。今後は、他大学にて教鞭を執られるとのことです。今後の益々の御活躍をお祈り申し上げます。
（岡山大学医療教育統合開発センター

文部科学省

課題解決型高度医療人材養成プログラム

健康長寿社会を担う歯科医学教育改革−死生学や地域包括ケアモデルを導入した医科歯科連携教育体制の構築−

事業責任者／岡山大学 窪木拓男
お問い合わせ／岡山大学 武田宏明

杉本 恭子）

taketa-h@okayama-u.ac.jp

URL ／ https://mdp.dent.okayama-u.ac.jp/ocw/index.php
本ニュースレターは文部科学省 課題解決型高度医療人材養成プログラムの支援を得て発行しています。
発行：2017.6▲ HP へアクセス

News Letter
平成 29 年度

vol. 22017.6

実習受け入れ❖ 平成 29 年度 実習受け入れについて
本事業では、各連携大学が開講する特色ある医療支援歯学教育プログラ
ムを、相互で利用することができるよう取り組んで参りました。今後もこの取り組みを継続し、素晴らしいプログラムに多くの人が触れることができるよう、平成 29 年度の実習受け入れについて広報させていただきます。
連携大学だけでなく、全国の歯学部から参加が可能なプログラムがほとんどですので、是非とも学内へ広くご周知いただき、皆様の積極的なご応募をお待ちしております。なお、正式な募集要項に関しては、ホームペー
ジで随時ご案内さしあげるとともに、後日連絡させていただきます。何卒よろしくお願いいたします。

❖ 長崎大学 離島歯科保健医療サマースクール
長崎大学歯学部は、平成 21 年より臨床実習の必修カリ
キュラムとして、過疎化の進行に伴い高齢者人口が 35%に達している、いわば日本社会の高齢化の未来像でもある五島市内において、介護の体験や歯科診療補助、保健福祉事業への参加など、医科歯科、多職種連携を体験す
る歯科口腔医療・保健・福祉学実習を行っています。
今回、本事業の共有プログラムとして、我々の離島実習の内容を整理充実させた「長崎大学離島歯科保健医療
サマースクール」を開講し、
平成 27 年には昭和大学 2 名、岡山大学 5 名、長崎大学 1 名、また平成 28 年には昭和
大学 2 名、九州大学 3 名、長崎大学 1 名の 2 年生〜 6 年生の歯学生が参加しました。

実習場所

長崎県五島市

実施期間（いずれか一方を選択）
第１クール： 7 月 31 日（月）〜 8 月 4 日（金）第２クール：9 月 4 日（月）〜 9 月 8 日（金）

対象学生と
募集人数

歯学生、1 クールにつき４名まで。

経

現地での実習費、宿泊費は長崎大学が負担。
期間中の食費、現地までの交通費、旅行保険代等は自己負担。

本スクールでは、施設ごとで要介護度の異なる高齢者に接し、そこにいる様々な多職種支援者と触れ合う実習内容とすることで、口腔ケア・摂食嚥下ケアの知識や技費

術を高齢者一人ひとりに寄り添う医療に応用できる歯科医を育てることを目標としています。

募集開始

2017 年 5 月 29 日（月）〜 7 月 7 日（金）News Lettervol.2 2017.6

平成 29 年度

実習受け入れ❖ 鹿児島大学 夏季全国歯学生離島実習プログラム
実習場所

鹿児島県
種子島：えのもと歯科医院
与論島：児玉歯科医院

実施期間

いずれの実習場所についても（いずれか一方を選択）
第１クール：８月 22 日（火）〜 8 月 25 日（金）第２クール：８月 29 日（火）〜９月１日（金）

対象学生と
募集人数

本プログラム連携大学の歯学生、
1 クールにつき３名まで。

経

現地での実習費、宿泊費は鹿児島大学が負担。
期間中の食費、現地までの交通費、旅行保険代等は自己負担。

鹿児島大学歯学部では本事業の一環として、連携大学歯学部の学生が参加可能な「平成 29 年度夏季全国歯学生離島実習プログラム」を企画しました。本実習では、実際の離島に４日間滞在して、現地の歯科診療所の歯科医師と行動を共にすることにより、離島歯科医療の現場を体験し、離島を中心とした地域における医療者の役割について理解していただき
ます。

費

応募期間

❖ 岡山大学〜 7 月 28 日（金）高度医療支援・周術期口腔機能管理実習
実習場所

実施期間

岡山大学病院
第 1 クール
8 月 7 日（月）〜 8 月 10 日（木）第 2 クール
8 月 21 日（月）〜 8 月 25 日（金）第 3 クール
9 月 4 日（月）〜 9 月 8 日（金）第 4 クール
9 月 11 日（月）〜 9月 15 日（金）

対象学生と
募集人数

歯学生（6 年次、CBT 及び OSCE 合
格の 5 年次）、各クール最大 2 名

経

期間中の食費、現地までの交通費、旅行保険代等は自己負担。

費

所属大学学部長の推薦書（様式 1）
履修願（様式 2）
提出書類

小児ウイルス疾患、結核、B 型
肝炎等に係る感染対策証明書（様式 3）

岡山大学歯学部では、高度医療支援・周術期口腔機能管理実習のご参加を昨年度に引き続き募集いたします。第３、４クールに関しては、
６月 23 日（金）
まで追加募集いたします。

お申込先

岡山大学病院で実際に行われているチーム医療の現場を体験していただ

学生教育研究災害障害保険加入済証明書（様式任意）〒 700-8525
岡山県岡山市北区鹿田町 2-5-1
岡山大学歯学部棟 6 階
医療支援歯科治療部医局内 岡田き、多職種連携医療について学んでいただきます。

文部科学省

課題解決型高度医療人材養成プログラム

健康長寿社会を担う歯科医学教育改革−死生学や地域包括ケアモデルを導入した医科歯科連携教育体制の構築−

事業責任者／岡山大学 窪木拓男
お問い合わせ／岡山大学 武田宏明

taketa-h@okayama-u.ac.jp

URL ／ https://mdp.dent.okayama-u.ac.jp/ocw/index.php
本ニュースレターは文部科学省 課題解決型高度医療人材養成プログラムの支援を得て発行しています。
発行：2017.6▲ HP へアクセス

News Lettervol. 32017.10

事業責任者からのご挨拶
文部科学省

課題解決型高度医療人材養成プログラム 「健康長寿社会を担う歯科医学教育改革―死生学や地域包括ケ

アモデルを導入した医科歯科連携教育体制の構築―」では、大変お世話になっております。以下にご紹介差し上げます
様に、本年度は北海道大学の横山歯学部長、井上事業推進委員の多大なるご尽力により、黒澤修身 文部科学省高等教育局医学教育課課長補佐をお迎えして、平成 29 年度歯学教育改革コンソーシアム 連携シンポジウムを開催できますことを大変有り難く存じます。銀杏並木の絶景が参加者を包み込み、有意義な議論が盛り上がりますことを祈念しております。
さて、平成 30 年度は本事業の最終年度となります。岡山大学で総括連携シンポジウムを開催するべく準備を開始しました。今のところ、平成 31 年 1 月 26、27 日に岡山大学鹿田キャンパスの J ホールで開催予定としております。今回の北海道大学での連携シンポジウム同様、連携大学のみならず、全国の歯学部にご案内を差し上げる予定ですので、多くの先生方にご参集頂きますようお願い致します。
（岡山大学大学院医歯薬学総合研究科

平成 29 年度

インプラント再生補綴学分野

窪木拓男）

連携シンポジウム開催のお知らせ

平成 29 年 11 月 10 日（金）・11 日（土）に北海道大学歯学部講堂において連携シンポジウム in 札幌を開催致します。
プログラムにありますように今回は「これからの医科歯科連携教育」及び「地域包括ケアと周術期口腔管理」をテーマとした二つのシンポジウムと、東京都健康長寿医療センターの平野浩彦先生の特別講演を予定しております。10 日（金）は 15:30 に受付開始し、11 日（土）14:00 過ぎに散会予定です。なお、本連携シンポジウムにおきましても、昨年の九州大学と同様に、これまでの各連携校の取組につきまして「ポスター討論」としてご発表頂くこととしておりますので、ご準備をどうぞよろしくお願い致します。
晩秋から初冬へかけての北海道へ是非おいで頂き、大いに議論し、また懇親会では北海道料理を堪能しながら、更なる交流を深めて頂ければ幸いです。全国の歯学部から多数のご参集を心よりお待ちしております。
（北海道大学歯学部❖ 平成 29 年度

連携シンポジウム

プログラム

連携シンポジウム担当

コンソーシアム委員井上哲）

場所 : 北海道大学歯学部 講堂

平成 29 年 11 月 10 日（金）平成 29 年 11 月 11 日（土）

15:30
15:50

9:30 11:30 シンポジウム２
地域包括ケアと周術期口腔管理座長 井上 哲 教授（北海道大学大学院歯学研究院臨
床教育部）

受付開始
挨拶 本事業責任者 岡山大学 窪木拓男 教授
北海道大学歯学部長
横山敦郎 教授

16:00 17:30 シンポジウム１
これからの医科歯科連携教育
座長 横山敦郎 教授（北海道大学歯学部長）
講演 1（30 分）黒澤修身様（文部科学省高等教育局医学教育課課長補佐）「歯学教育の今後の方向性について」
講演 2（40 分）笠原正典 教授（現北海道大学副学長、
前北海道大学医学部長）「医学教育の最近の動向と医学教育の立場から歯科医学教育に望
むこと」
17:45 18:15

ポスター討論（質疑応答）

講演 3（15 分）山崎 裕 教授（北海道大学高齢者歯科）「北大研修プログラム紹介−がん治療の周術期における口腔管理研修」
講演 4（30 分）秦 浩信 先生（北海道がんセンター歯科口腔外科）「がん治療の周術期口腔管理の実際」
講演 5（30 分）小谷 勝 先生（北海道歯科医師会 常務理事）「北海道歯科医師会が実施している全国がん診療医科歯科連携推進事業の現況と課題について」
講演 6（30 分）宮田靖志 教授（愛知医科大学地域医療教育学）「地域医療と多職種連携教育 〜歯科医科連携を考える〜」
12:00 12:45
13:00 14:00

コンソーシアム委員会
特別講演
座長 窪木拓男 教授（岡山大学）
平野浩彦 先生（東京都健康長寿医療センター）「オーラルフレイルとは：老年学の立場から」

18:20 19:40 懇親会 エンレイソウ

14:00

次回シンポジウム開催担当者からの連絡事項

14:05

閉会の挨拶

井上

哲

教授（北海道大学大学院歯学研究院臨床教育部）

News Lettervol.3 2017.10

第 5 回歯学教育改革コンソーシアム事業推進委員会開催のお知らせ
北海道大学にて開催されます連携シンポジウムの際に、「第 5 回歯学教育改革コンソーシアム事業推進委員会」を開催致します。各連携大学校の事業推進委員会委員及び、実習コーディネーター、教育カリキュラム開発・編成担当の役職にご就任頂いている先生方、協力施設の先生方のご出席をお願い致します。

平成 29 年度

日時

平成 29 年 11 月 11 日（土）12：00 〜 12：45

会場

北海道大学歯学部 C 棟 2 階カンファレンスルーム（〒 060‑8586 札幌市北区北１３条西７丁目）

実習受け入れ、相互交流状況

ニュースレター前号にてご案内差し上げました、各連携大学が開講する特色ある医療支援歯学教育プログラムへの連携大学からの実習受け入れ、相互交流状況についてお知らせ致します。
「長崎大学

離島歯科保健医療サマースクール 」へは、第 1 クールに昭和大学 5 年女子学生 1 名、長崎大学 5 年女

子学生 2 名、第 2 クールに岡山大学 3 年女子学生 2 名、長崎大学 4 年女子学生 1 名、「鹿児島歯学

夏季全国歯学生

離島実習プログラム」へは、与論島コースに大阪大学 4 年男子学生 1 名、岡山大学 3 年女子学生 1 名、種子島コー
スに岡山大学 4 年女子学生 1 名、昭和大学 3 年女子学生 1 名、「岡山大学

高度医療支援・周術期口腔機能管理実習」

へは、8 月 21 日からの実習に日本大学 5 年男子学生、女子学生を 1 名ずつ、9 月 4 日からの実習に長崎大学 5 年女
子学生 2 名の受け入れを行いました。
実習報告は、次号のニュースレターにてさせて頂く予定です。来年度以降も連携大学間の相互交流の推進をお願い致します。

第 36 回日本歯科医学教育学会学術大会発表報告
7 月 28、29 日に松本市で開催されました日本歯科医学教育学会にて、「課題解決型高度医療人材養成プログラム」
での取組等について、岡山大学教員が発表を行いました。園井教裕助教は「急性期医療の現場でチーム医療を体験させる多職種連携教育の教育効果」、前田あずさ助教は「岡山大学病院のチーム医療現場を利用した緩和ケア教育の取り組み」、武田宏明助教は「岡山大学病院歯科医師臨床研修における在宅歯科医療研修の導入について」、川瀬明子助
教は「歯学教育認証評価検討 WG による歯学教育認証評価トライアルを受審して」、杉本恭子助教は「在宅・訪問歯科診療実習での処置内容とアンケート結果を反映したシミュレーション教育の取組について」、縄稚久美子助教は「要介護高齢者の栄養管理を支えるミールラウンドを模した多職種連携ワークショップの試み」といった内容についてそ
れぞれ発表を行いました。どの発表でも活発な質疑応答があり、本事業での取組をアピールし、今後の課題を検討する大変良い機会となりました。また、窪木事業責任者は、シンポジウム「地域包括ケアの多職種協働の中で、今まさに『歯科医師』が果たすべき役割は？」にて、「ミールラウンドを模した多職種連携ワークショップを経験して」と題して講演され、講演後のディスカッションでは、地域包括ケアに関わる職種それぞれの立場から活発なディスカッ
ションが行われました。

文部科学省（岡山大学医療教育統合開発センター

課題解決型高度医療人材養成プログラム

健康長寿社会を担う歯科医学教育改革−死生学や地域包括ケアモデルを導入した医科歯科連携教育体制の構築−

事業責任者／岡山大学

歯科医学教育改革部門

杉本恭子）

窪木拓男

お問い合わせ／岡山大学 杉本恭子 k-sugi@md.okayama-u.ac.jp
URL ／ https://mdp.dent.okayama-u.ac.jp/ocw/index.php
本ニュースレターは文部科学省支援を得て発行しています。
発行：2017.10

課題解決型高度医療人材養成プログラムの▲ HP へアクセス

News Letter
平成 30 年度
文部科学省

vol. 42018.2

連携総括シンポジウム日程変更のお知らせ

課題解決型高度医療人材養成プログラム 「健康長寿社会を担う歯科医学教育改革̶死生学や地域包括ケアモデルを導入した医科歯科連携教育体制の構築̶」では、大変お世話になっております。本ニュースレターの前号にて平成 30 年度の連携総括シンポジウムの日程を平成 31 年 1 月 26（土）、27 日（日）とお知らせ致しましたが、より多く関係者の皆様にご参加頂けるよう、再度日程調整を行い、平成 31 年 2 月 16（土）、17 日（日）に変更させていただくことになりました。連携大学のみならず、全国の医学部、歯学部にご案内を差し上げる予定ですので、多くの先生方にご参集頂きますようお願い致します。

平成 29 年度

連携シンポジウム in 札幌

日時

平成 31 年 2 月 16 日（土）、17 日（日）会場

岡山大学 鹿田キャンパス J Hall
（岡山市北区鹿田町 2‑5‑1）

開催報告

平成 29 年 11 月 10 日（金）、11 日（土）の２日間にわたり、「健康長寿社会を担う歯科医学教育改革」平成 29 年度
連携シンポジウム in 札幌を北海道大学歯学部講堂にて開催致しました。連携大学以外からの参加者も含め、約 70 名の参加者のもと盛会裡に終了致しました。
１日目のシンポジウムでは、「これからの医科歯科連携教育」をテーマとし、黒澤修身文部科学省高等教育局医学教育課課長補佐及び笠原正典北海道大学理事・副学長（前北大医学部長）から講演が行われた後活発な質疑応答がなされました。また、同日夜には参加者懇親会が開催され、連携校の歯学部及び歯科大学との相互交流が夜遅くまであったようです。
翌日午前中のシンポジウムでは、「地域包括ケアと周術期口腔管理」をテーマとして、山崎研究院教授、秦浩信北海道がんセンター歯科口腔外科医長、小谷裕北海道大学大学院歯学

勝北海道歯科医師会常務理事、宮田靖志愛知医科大学教授から講演が行われ、熱い討論がなされました。午後は、「オーラルフレイルとは：老年学の視点から」と題した平野浩彦東京都健康長寿医療センター歯科口腔外科部長の特別講演が行われ、2 日間のシンポジウムはあっという間に閉会となりました。この場を借りまして、参加していただいた皆様に厚く御礼申し上げます。
（北海道大学歯学部

連携シンポジウム担当

平成 29 年度
❖ 岡山大学

コンソーシアム委員井上哲）

実習受け入れ、相互交流状況

報告

高度医療支援・周術期口腔機能管理実習

岡山大学歯学部が開講している「高度医療支援・周術期口腔機能管理実習」は、大学病院で展開されているチーム医療の現場をそのまま体験できる内容です。ガイダンスに引き続き実施するチーム医療同行実習は、周術期管理センター、
腫瘍センター（外来化学療法室）、Bio-Clean Room（造血細胞移植を主目的とする病室）、ICU、緩和ケアチームラウン
ドの計 5 箇所で行っています。最後には振り返りも含めた修了試験を行っています。
本年度は日本大学から 2 名（8 月 21 〜 25 日）、長崎大学から 2 名（9 月 4 〜 8 日）の学生を受け入れました。チーム
医療の中で活躍できる歯科医療人養成は社会から強く求められている一方で、それに必要な技能や態度は座学だけで身につけることが困難です。やはり、実際の医療現場で多職種が役割を分担する中で、密に連携を図る様子を目の当たりにすることやがん闘病中の患者及び患者家族と接する経験をす
ることで身につけることが可能になると考えます。
（岡山大学歯学部

歯学教育・国際交流推進センター園井教裕）

News Lettervol.4 2018.2❖ 長崎大学離島歯科保健医療サマースクール「長崎大学離島歯科保健医療サマースクール」は、長崎市より海上 100㎞離れた五島市での体験型の歯科医療・保健・福祉実習プログラムです。1 週間の実習では、急性期病棟嚥下回診、特別養護老人ホーム、デイサービス、日常生活支援総合事業、地域包括支援センター高齢者居宅訪問と、多職種による高齢者支援の現場を体験します。要介護度の異なるさまざまな高齢者の方々と触れ合い、支援者のお話をうかがいます。歯科診療所見学では、本土から直接の船便がな
い二次離島診療所や訪問歯科診療に同行します。平成 29 年度は、昭和大学 1 名、岡山大学 2 名、長崎大学 3 名の 3 〜
6 年生、岡山大学教員 2 名が参加しました。五島市の小児口腔保健事業も新たにプログラムに加え、人形劇やブラッシ
ング指導で協力しました。
本スクールでは、口腔ケア・摂食嚥下ケアの知識や技術を、高齢者一人一人に寄り添う医療として活かせる歯科医療者の育成を目指しています。2018 年度長崎大学離島歯科保健医療サマースクールも 8 〜 9 月頃に開催を予定しています。
募集時期、日程等が確定次第 HP 等でご案内します。
（長崎大学大学院医歯薬学総合研究科

医療科学専攻社会医療科学講座

口腔保健学分野

小山善哉）❖ 鹿児島大学夏季全国歯学生離島実習プログラム
鹿児島大学が企画、実施を担当している「夏季全国歯学生離島実習プログラム」は、昨年度に引き続き平成 29 年 8月 22 〜 25 日の期間、鹿児島県の種子島（えのもと歯科医院、榎本孝先生）および与論島（児玉歯科医院、児玉伊佐雄先生）で実施し、複数の連携大学から各島 2 名ずつ、計 4 名の参加がありました。例年この時期は台風シーズンと重なりますが、今年度も一部の参加者が天候の影響を受け、実習期間の調整が必要となりました。ただ、それを含めて離島の生活環境を体験して頂けたものと思います。実習はいずれも 3 泊 4 日で構成され、外来見学を中心に介護施設や居宅への往診などを体験する機会がありました。参加者達からは、離島特有の医療事情をはじめ、離島で医療を行うための医療者としての心構えの大切さや、地域に根付くことの意味、人と人とのつながりなどの大切さを実感した、といった意見が聞かれ、大変多くのことを学んで頂けたようです。また現地の指導歯科医に依頼し、実習の合間には各島の独特の自然や食をはじめとする様々な文化に触れる機会も、たくさん設けて頂きました。このような貴重な体験や、現地の方々との触れ合いを通じて生涯忘れられない経験をしてくれたものと思います。今回の体験を、今後の歯科医師としての成長の糧にしてもらえることを願っています。
（鹿児島大学大学院医歯学総合研究科

健康科学専攻社会・行動医学講座
鹿児島大学病院

文部科学省

課題解決型高度医療人材養成プログラム

健康長寿社会を担う歯科医学教育改革−死生学や地域包括ケアモデルを導入した医科歯科連携教育体制の構築−

事業責任者／岡山大学

歯科医学教育実践学分野

歯科総合診療部

田口則宏）

窪木拓男

お問い合わせ／岡山大学 杉本恭子 k-sugi@md.okayama-u.ac.jp
URL ／ https://mdp.dent.okayama-u.ac.jp/ocw/index.php
本ニュースレターは文部科学省支援を得て発行しています。
発行：2018.2

課題解決型高度医療人材養成プログラムの▲ HP へアクセス

㈨ᩱ䠎 䠓

㈨ᩱ䠎 䠔ਸ਼৚ୢ৾ઇ୘७঑ॼ‫ش‬धড‫ش‬ॡ३ঙॵউ LQೣਮপ৾
৫ಈਏඨ‫؞‬૞ਸ঻൳ૐ

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:6 崩嵤嵈ୢ௜ಏ෫ৰಆ‫ق‬୰੹嵣৉ୠ‫ك‬峼崯崞崌嵛峁峐峩峲岰&'੫઺‫ ؟‬਽৔མ੸嵣ಠি峔岴峩嵣িরଯੴ৕嵣ଯઠ௏঳嵣৵௔ ધ嵣൞র໋ఘ嵣൝਽୲ଝ‫ق‬ೣਮপ৾‫ك‬঩ৎ‫ ؟‬া঩‫ق‬ଅ‫عك‬岝঩‫ق‬঩‫عك‬໪ਏ‫ ؟‬੗૙ர৴௚ৰಆ峔峓峕峲峴崩嵤嵈ୢ௜峘ৰᄷચৡ峼୘峐峵岽峒岶ୢ௜௺峘প৾ઇ୘峕஦峨島峐岮峵岞峁岵峁岝્峕ളਯ峘ୢ௜௺৾৖峼੅峉峔岮প৾峑峙岝୰੹峮৉ୠ峑峘੗૙ர৴௚ಏ෫ৰಆ峘崓嵒崕嵍嵑嵈峼੿ਛ峁岝৞ෟ峕ৰᄷ峃峵岽峒峕൑୔峼૎峂峐岮峵峒ઓ峹島峵岞峇岽峑岝ম嵗嵤崗崟嵏崫崿峑峙岝ളਯপ৾‫ق‬ളਯ৾৖‫ك‬岶৴௚峁峐岝୰੹峮৉ୠ峑੗૙ர৴௚ಏ෫ৰಆ峼ৰᄷ峃峵峉峫峘੍ର峒峁峐岝ৈ৾ফ峑峘ৰಆ峘崓嵒崕嵍嵑嵈峼ଡണ峁岝৞ෟ峕ৰᄷ峃峵峉峫峘崟嵇嵍嵔嵤崟嵏嵛峼ষ岰岞঩৯峙岝੗૙ர৴௚ಏ෫ৰಆ峘崓嵒崕嵍嵑嵈峼ਫ਼ୈ峁岝峇峘崊崎崰崓嵈岝৾ಆ৯ఏ嵣্റ峘఻৬୻峼੿ਛ峃峵岞୰੹ৰಆ峒৉ୠୢ௜ৰಆ‫ق‬૔୧ୢ௜峔峓‫ك‬峘崘嵓嵤崿峕ী岵島峐ୈ৮峃峵岞঩৯峙岝঩৯峕ਫ਼ୈ峁峉୰੹峮৉ୠ峑峘੗૙ர৴௚ୢ௜ৰಆ峼ളਯপ৾‫ق‬ളਯ৾৖‫ك‬岶ੈৡ峁峐ৰ઱峃峵ৃ়岝崓嵒崕嵍嵑嵈੿ਛ峮ৰ઱峨峑峘崿嵕崣崡峼峓峘峲岰峕ਤ峫峉峳峲岮岵峼఻৬৓峕ਫ਼ୈ峃峵岞ৌ଴‫ ؟‬ളਯপ৾‫ق‬ളਯ৾৖‫ك‬峕峲峵੗૙ர৴௚ୢ௜ৰಆ峘ଡണ峕௪௡岶岬峵্ୢప岝ຓఐୢప岝ఇදప岝่૧ప岝੿঵௜১૒岝৶৾௜১૒峔峓岝૚૙ர峘ઇ୘峕ঢ়峹峵ঢ়બ঻峼ຈಶ峁峨峃岞

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昭和大学
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昭和大学病院

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㸦㔠ἑ኱Ꮫ་⸆ಖ೺◊✲ᇦ་Ꮫ⣔እ⛉⣔་Ꮫ㡿ᇦ㢡㢦㠃ཱྀ⭍እ⛉Ꮫศ㔝㸧㸺኱㜰኱Ꮫ㸼኱㜰኱Ꮫࡢྲྀ⤌࡟ࡘ࠸࡚ ࠥ኱つᶍ␿Ꮫㄪᰝࠊ621,& ◊✲࡬ࡢཧຍࠥ
ᑠᕝὈ἞ ࠊụ㑓୍඾ ࠊᯇ⏣ㅬ୍ ࠊ໭ᮧṇ༤ ࠊᮧୖఙஓ ࠊ๓⏣ⰾಙ ࠊኳ㔝ᩔ㞝 㸦኱㜰኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉  㢡ཱྀ⭍ᶵ⬟෌ᘓᏛㅮᗙ᭷ᗋ⩏ṑ⿵⥛Ꮫ࣭㧗㱋⪅ṑ⛉Ꮫศ㔝ࠊ ཱྀ⭍ศᏊච␿ไᚚᏛㅮᗙṑ࿘⑓ศᏊ⑓ែᏛศ㔝ࠊཱྀ⭍ศᏊච␿ไᚚᏛㅮᗙṑ࿘⑓ศᏊ⑓ែᏛศ㔝ࠊ ཱྀ⭍ศᏊච␿ไᚚᏛㅮᗙண㜵ṑ⛉Ꮫศ㔝㸧኱㜰኱Ꮫࡢྲྀ⤌࡟ࡘ࠸࡚ ࠥ◊ಟ་ࡢᒣ㛫ᆅᇦ࡟࠾ࡅࡿᆅᇦṑ⛉⮫ᗋ◊ಟࠥ
୕㍯ಇኴ ࠊụ㑓୍඾ ࠊ▼⏣೺ ࠊᑠᕝὈ἞ ࠊᯇ⏣ㅬ୍ ࠊᮧୖఙஓ ࠊኳ㔝ᩔ㞝 㸦኱㜰኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉  㢡ཱྀ⭍ᶵ⬟෌ᘓᏛㅮᗙ᭷ᗋ⩏ṑ⿵⥛Ꮫ࣭㧗㱋⪅ṑ⛉Ꮫศ㔝ࠊ-$ ࡳ࡞ࡳಙᕞṑ⛉デ⒪ᡤࠊ 㢡ཱྀ⭍ᶵ⬟෌ᘓᏛㅮᗙ᭷ᗋ⩏ṑ⿵⥛Ꮫ࣭㧗㱋⪅ṑ⛉Ꮫศ㔝ࠊཱྀ⭍ศᏊච␿ไᚚᏛㅮᗙṑ࿘⑓ศᏊ⑓ែᏛศ㔝ࠊ ཱྀ⭍ศᏊච␿ไᚚᏛㅮᗙண㜵ṑ⛉Ꮫศ㔝 
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HOHDUQLQJ ࢩࢫࢸ࣒ࡢ௒ᚋࡢ᭷ຠά⏝࡟ྥࡅ࡚
Ṋ⏣ᏹ᫂ ࠊᮡᮏᜤᏊ ࠊᕝ℩᫂Ꮚ ࠊ๓⏣࠶ࡎࡉ ࠊᅬ஭ᩍ⿱ ࠊᮧ⏣ᑦ㐨 ࠊ᭮ᡃ㈼ᙪ ࠊ㫽஭ᗣᘯ ࠊ❑ᮌᣅ⏨㸴ࠊὸᾏ῟୍ ࠊࠊ㸦 ᒸᒣ኱Ꮫ⑓㝔 ⥲ྜṑ⛉ࠊ ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ ་⒪ᩍ⫱⤫ྜ㛤Ⓨࢭࣥࢱ࣮ ṑ⛉་Ꮫᩍ⫱ᨵ㠉㒊㛛ࠊ ᒸᒣ኱ᏛṑᏛ㒊 ṑᏛᩍ⫱࣭ᅜ㝿஺ὶ᥎㐍ࢭࣥࢱ࣮ࠊ ᒸᒣ኱Ꮫ⑓㝔 ࢫ࣌ࢩࣕࣝࢽ࣮ࢬṑ⛉ࢭࣥࢱ࣮ࠊ ᒸᒣ኱Ꮫ⑓㝔 ་⒪ᨭ᥼ṑ⛉἞⒪㒊ࠊ ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ ࢖ࣥࣉࣛࣥࢺ෌⏕⿵⥛Ꮫศ㔝ࠊ ᒸᒣ኱Ꮫ ṑᏛ㒊㛗㸧኱Ꮫ⑓㝔ࡢ་⒪⌧ሙࢆ฼⏝ࡋࡓࠕ㧗ᗘ་⒪ᨭ᥼࣭࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ᐇ⩦ࠖሗ࿌ᅬ஭ᩍ⿱ ࠊ᭮ᡃ㈼ᙪ  ࠊᒣ୰⋹Ꮚ ࠊᐊ ⨾㔛 ࠊ๓⏣࠶ࡎࡉ ࠊᮡᮏᜤᏊ ࠊ❑ᮌᣅ⏨ ࠊὸᾏ῟୍ ࠊࠊ㸦 ᒸᒣ኱ᏛṑᏛ㒊 ṑᏛᩍ⫱࣭ᅜ㝿஺ὶ᥎㐍ࢭࣥࢱ࣮ࠊ ᒸᒣ኱Ꮫ⑓㝔 ་⒪ᨭ᥼ṑ⛉἞⒪㒊ࠊ ᒸᒣ኱Ꮫ኱Ꮫ㝔 ་ṑ⸆Ꮫ⥲ྜ◊✲⛉ ་⒪ᩍ⫱⤫ྜ㛤Ⓨࢭࣥࢱ࣮ ṑ⛉་Ꮫᩍ⫱ᨵ㠉㒊㛛ࠊ ᒸᒣ኱Ꮫ኱Ꮫ㝔 ་ṑ⸆Ꮫ⥲ྜ◊✲⛉࢖ࣥࣉࣛࣥࢺ෌⏕⿵⥛Ꮫศ㔝ࠊ ᒸᒣ኱ᏛṑᏛ㒊㛗㸧ᖹᡂ  ᖺᗘࠕ௓ㆤ᪋タࢆ⏝࠸ࡓ 3%/ ₇⩦ࠖࡢᐇ᪋ሗ࿌
๓⏣࠶ࡎࡉ ࠊṊ⏣ᏹ᫂ ࠊᮡᮏᜤᏊ ࠊᕝ℩᫂Ꮚ ࠊᅬ஭ᩍ⿱ ࠊ๓⏣┤ே ࠊ᳃㈗ᖾ ࠊ㔝ᓥ㟹Ꮚ ࠊ❑ᮌᣅ⏨ ࠊὸᾏ῟୍ ࠊࠊ㸦 ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ṑᏛᩍ⫱࣭ᅜ㝿஺ὶ᥎㐍ࢭࣥࢱ࣮ࠊ ᒸᒣ኱Ꮫ⑓㝔⥲ྜṑ⛉ࠊ  ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉་⒪ᩍ⫱⤫ྜ㛤Ⓨࢭࣥࢱ࣮ṑ⛉་Ꮫᩍ⫱ᨵ㠉㒊㛛ࠊ ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ညྜ࣭᭷ᗋ⩏ṑ⿵⥛Ꮫศ㔝ࠊ  ᒸᒣ኱Ꮫ⑓㝔ࢫ࣌ࢩࣕࣝࢽ࣮ࢬṑ⛉ࢭࣥࢱ࣮ࠊ ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉࢖ࣥࣉࣛࣥ
ࢺ෌⏕⿵⥛Ꮫศ㔝ࠊᒸᒣ኱ᏛṑᏛ㒊㛗㸧ᅾᏯ࣭ゼၥṑ⛉デ⒪ᐇ⩦࡛ࡢᐇ⩦ෆᐜࢆ཯ᫎࡋࡓࢩ࣑࣮ࣗࣞࢩࣙࣥᩍ⫱ࡢྲྀ⤌࡟ࡘ࠸࡚
ᮡᮏᜤᏊ ࠊᐑ⬥༟ஓ ࠊṊ⏣ᏹ᫂ ࠊ㣤⏣ᚁ஧ ࠊ❑ᮌᣅ⏨ ࠊὸᾏ῟୍ ࠊᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ ་⒪ᩍ⫱⤫ྜ㛤Ⓨࢭࣥࢱ࣮ ṑ⛉་Ꮫᩍ⫱ᨵ㠉㒊㛛ࠊ ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ ṑ⛉㯞㓉࣭≉ูᨭ᥼ṑᏛศ㔝ࠊ ᒸᒣ኱Ꮫ⑓㝔⥲ྜṑ⛉ࠊ ᒸᒣ኱ᏛṑᏛ㒊ᩍົጤဨ఍ ⮫ᗋᐇ⩦ᐇ᪋㒊఍㸦㢡ཱྀ⭍෌ᘓእ⛉Ꮫศ㔝㸧ࠊ ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ ࢖ࣥࣉࣛࣥࢺ෌⏕⿵⥛Ꮫศ㔝ࠊ ᒸᒣ኱ᏛṑᏛ㒊㛗㸧
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㸺஑ᕞ኱Ꮫ㸼஑ᕞ኱ᏛṑᏛ㒊ࡢྲྀ⤌࡟ࡘ࠸࡚ ࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ࡢデ⒪࣭ᩍ⫱యไࡢ඘ᐇ໬࡟ྥࡅ࡚ᒣῧ῟୍ ࠊ᯽ᓮᬕᙪ ࠊ࿴⏣ᑦஂ 㸦 ஑ᕞ኱Ꮫ⑓㝔 ཱྀ⭍⥲ྜデ⒪⛉ࠊ 㧗㱋⪅ṑ⛉࣭඲㌟⟶⌮ṑ⛉Ꮫㅮᗙ㸧㸺㛗ᓮ኱Ꮫ㸼㛗ᓮ኱ᏛṑᏛ㒊㞳ᓥṑ⛉ಖ೺་⒪ࢧ࣐࣮ࢫࢡ࣮ࣝሗ࿌
ᑠᒣၿဢ ࠊከ⏣ᾈ᫭ ࠊᒾ㷂⌮ᾈ ࠊ㰻⸨ಇ⾜ ࠊゅ ᛅ㍤ ࠊ⃝℩ 㝯 㛗ᓮ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ཱྀ⭍ಖ೺Ꮫศ㔝ࠊ ṑᏛ㒊⥲ྜṑ⛉⮫ᗋᩍ⫱Ꮫࠊ ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ཱྀ⭍࢖ࣥࣉࣛࣥࢺᏛศ㔝࣭ṑᏛ㒊㛗㸧㸺㮵ඣᓥ኱Ꮫ㸼㮵ඣᓥ኱ᏛṑᏛ㒊ࡢྲྀ⤌࡟ࡘ࠸࡚
ᐑ⬥ṇ୍ ࠊ༡ ᘯஅ ࠊ⏣ཱྀ๎ᏹ ࠊすᮧṇᏹ ࠊᮡᾆ ๛ ࠊᑠᯇ⃝ ᆒ 㸦㮵ඣᓥ኱Ꮫ኱Ꮫ㝔་ṑᏛ⥲ྜ◊✲⛉  ṑ⛉▹ṇᏛศ㔝ࠊ ညྜᶵ⬟⿵⥛Ꮫศ㔝ࠊ ṑ⛉་Ꮫᩍ⫱ᐇ㊶Ꮫศ㔝ࠊ ཱྀ⭍㢡㢦㠃⿵⥛Ꮫศ㔝ࠊ 㢡㢦㠃⑌ᝈไᚚᏛࠊ ཱྀ⭍ᚤ⏕≀Ꮫ㸧㸺ᒾᡭ་⛉኱Ꮫ㸼ᒾᡭ་⛉኱ᏛṑᏛ㒊ࡢྲྀ⤌࡟ࡘ࠸࡚ࠥ㉸㧗㱋♫఍ࡢࡓࡵࡢḟୡ௦ṑ⛉་⒪ே㣴ᡂࣉࣟࢢࣛ
࣒ࡢᵓ⠏ࠥ
⋢⏣ὈႹ ࠊ▼ᓮ ᫂ ࠊబ⸨࿴ᮁ ࠊᇛ ⱱ἞ ࠊ୕ᾆᘅ⾜ ᒾᡭ་⛉኱Ꮫ  ⿵⥛࣭࢖ࣥࣉࣛࣥࢺᏛㅮᗙ ⿵⥛࣭࢖ࣥࣉࣛࣥࢺᏛศ㔝ࠊ ⏕໬Ꮫㅮᗙ ⣽⬊᝟ሗ⛉Ꮫศ㔝ࠊ ཱྀ⭍ಖ೺⫱ᡂᏛㅮᗙṑ⛉▹ṇᏛศ㔝ࠊ ⿵⥛࣭࢖ࣥࣉࣛࣥࢺᏛㅮᗙ ᦤ㣗ᄟୗཱྀ࣭⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥᏛศ㔝ࠊ ᒾᡭ་⛉኱Ꮫ ཱྀ⭍་Ꮫㅮᗙ ṑ⛉་Ꮫᩍ⫱Ꮫศ㔝࣭๪Ꮫ㛗࣭ṑᏛ㒊㛗㸧㸺᪥ᮏ኱Ꮫ㸼᪥ᮏ኱Ꮫ኱ᏛṑᏛ㒊ࡢ༞๓ᩍ⫱࡟ᑐࡍࡿྲྀࡾ⤌ࡳ࡟ࡘ࠸࡚㸦➨㸰ሗ㸧㜿㒊ோᏊ᪥ᮏ኱Ꮫ ṑᏛ㒊 ᦤ㣗ᶵ⬟⒪ἲᏛㅮᗙ ཱྀ⭍೺ᗣ⛉Ꮫศ㔝 㸺᫛࿴኱Ꮫ㸼་Ꮫ࣭ṑᏛ࣭⸆Ꮫ࣭┳ㆤ࣭⌮Ꮫ࣭సᴗᏛ⛉㐃ᦠ⑓Ჷᐇ⩦ࢆ㏻ࡋ࡚᫛࿴኱ᏛࡢṑᏛ㒊Ꮫ⏕ࡀ㌟࡟ࡘࡅࡓࡇ࡜
∦ᒸ❳ኴ᫛࿴኱Ꮫ ṑᏛ㒊 ࢫ࣌ࢩࣕࣝࢽ࣮ࢬཱྀ⭍་Ꮫㅮᗙ ṑᏛᩍ⫱㒊㛛㸧㸺රᗜ་⛉኱Ꮫ㸼රᗜ་⛉኱Ꮫṑ⛉ཱྀ⭍እ⛉Ꮫㅮᗙ࡛ࡢ᪂ࡓ࡞༞ᚋᩍ⫱㹼་⛉࣭ṑ⛉ྜྠࣇࣞ࢖ࣝㄪᰝࢆ㏻
ࡌ࡚͆㣗࡭ࡽࢀࡿཱྀࢆ &5($7(͇ࢆᐇ㊶ࡍࡿຊࢆ㣴࠺㹼᭹㒊ὒ୍ ࠊᇼ஭ᐉ⚽ ࠊᮡ⏣ⱥஅ ࠊ୰ᮧ♸ᕫ ࠊ㔝୍ཱྀ㤿 ࠊᓊᮏ⿱඘ 㸦රᗜ་⛉኱Ꮫ  ṑ⛉ཱྀ⭍እ⛉Ꮫㅮᗙࠊ ṑ⛉ཱྀ⭍እ⛉㸧
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㸺໭ᾏ㐨኱Ꮫ㸼๼քಕ୉ָබӅ͹ࣅՌ‫ݜ‬रҫʀࣅָ෨ਫ਼ଲেϕϫήϧϞʰ͗Ξ࣑ྏ͹बढ़‫غ‬Ͷ͕͜Ζ޳ߤ؇ཀྵ‫ݜ‬रʱͶͯ͏ͱҬ৏ ఫ ๼քಕ୉ָ ୉ָӅࣅָ‫ڂݜ‬Ӆ ྡজ‫گ‬ү෨໵ʥʴഐ‫ܢ‬ʵ͗Ξ࣑ྏΝԃ‫׊‬Ͷ਒ΌΖͪΌͶ޳ߤ߻ญ঳༩๹͵ʹΝ໪దͳͪ͢޳ߤ‫ؽ‬೵؇ཀྵ͹॑གྷ੓͗೟ࣟ͠Ηͱͪ͘ɽ͖͢͢ɼஏҮ͹ࣅՌҫࢥճ౵Ͳ֋‫ۂ‬ҫΏ‫ۊ‬ແҫͶଲ͢बढ़‫غ‬͹޳ߤ‫ؽ‬೵؇ཀྵ͹ߪसճ͗֋࠷͠Ηͱ͘ͱͺ͏Ζ͗ɼͨΗΝࣰભͲ͘Ζਕࡒ͗ঙ͵͏͹͗‫ݳ‬য়Ͳ͍ΖɽҲ๏ɼ๼քಕ୉ָබӅͲͺ  ೧઴͖Δ޳ߤίΠοʖϞΝ൅ଏͦ͠ɼҫՌබ౫೘Ӆ‫ं׳‬͹ࣅՌԡਏΝߨ͏ɼ͗ΞΏଃ‫ح‬Ң৪‫ं׳‬͹बढ़‫غ‬͹޳ߤ‫ؽ‬೵؇ཀྵΝ੷‫ۅ‬దͶߨͮͱͪ͘ɽΉͪɼฑ੔ ೧ౕ͖Δͺɼϑηϙηϙϋʖφ੣ࡐΏ߇ 5$1./ ߇ର੣ࡐ࢘༽Ͷࡏ͢ͱͺࣅՌणਏͶΓΖ޳ߤ಼੠ࠬʀ࣑ྏ͗චਤԿ͠Ηͪɽฑ੔  ೧  ݆Ͷͺ޳ߤίΠοʖϞ͗޳ߤίΠ࿊‫ܠ‬ιϱνʖͶত֪͢ɼ͗Ξ‫ं׳‬ण͜೘Η͹֨୉͗ߨΚΗͱͪ͘ɽ
ʴ‫گ‬үαʖη໌ʵ͗Ξ࣑ྏ͹बढ़‫غ‬Ͷ͕͜Ζ޳ߤ؇ཀྵ‫ݜ‬रαʖηʴଲেंͳ‫ؔغ‬ʵʽ‫ݜ‬रࣅՌҫ  ਕɼ̏೧ʾ        ʽࣅָ෨  ೧࣏  ਕʤฑ੔  ೧ౕʥɼྡজࣰस ʛ ݆͹‫ؔغ‬ʾʴགྷ੧ͤ΄͘ਕࡒ଀ʵ͠Ή͡Ή͵͗Ξ‫ं׳‬Ͷ͕͜Ζघढ़‫غ‬͹ࣅՌద؇ཀྵͶसज़͢ɼࣅՌਏྏॶ
Ͷ͕͏ͱஏҮබӅͳ͹ԃ‫͵׊‬࿊‫ܠ‬ΝࣰભͲ͘ΖࣅՌҫʴསरՌ໪ʵ‫ݜ‬रҫͶଲͤΖ‫ݜ‬रͺߪٝʀࣰसʀࢾ‫ݩ‬͹͖̑ͯΔ͵Ζɽߪٝͺ͗Ξ࣑ྏ͹बढ़‫غ‬Ͷ‫ͤؖ‬Ζ಼༲Ͳસ̕յʤᶅ͗Ξ࣑ྏͳ޳ߤ಼߻ญ঳ɼᶆ͗Ξ‫ं׳‬͹ࣅՌ࣑ྏͳҫྏ࿊‫ܠ‬ɼᶇ͗ΞԿָྏ๑સൢɼᶈ͗Ξ๎ࣻતྏ๑સൢɼᶉࣘඕҼ޶Ռ྘Ү͹͗Ξ࣑ྏɼᶊ݄ӹ಼Ռ྘Ү͹͗Ξ࣑ྏɼᶋঘࣉՌ྘Ү͹͗Ξ࣑ྏʥߨ͏ɼͤ΄ͱ͹ߪٝश྅࣎ͶϪϛʖφΝ఑ड़ͤΖɽࣰसͺɼᶅ͗Ξ࣑ྏ઴͹޳ߤ؇ཀྵΝ໪దͶ৿‫ं׳׳‬͹ਏࡱɼ‫ࠬݗ‬ɼਏஇͳ࣑ྏɼᶆ݄ӹ಼Ռɼࣘඕ
Ҽ޶ՌɼঘࣉՌබ౫΃͹बढ़‫ߤ޳غ‬؇ཀྵ͹ԡਏʤ֦̐յʥ͹͖̐ͯΔ͵ΕɼᶅͲର‫ؙ৿ͪ͢ݩ‬̏঳ྭΝ঳ྭๅࠄճͲϕϪκϱτʖεϥϱͤΖɽΉͪɼͤ΄ͱ͹‫ݜ‬रश྅‫ޛ‬ɼࣰसαʖυΡϋʖνʖ͗޳ಆࢾ໲Νߨ͑ɽͨ͹Ά͖ɼ಼ָ֐Ͳ֋࠷͠ΗΖ͗Ξबढ़‫ؖغ‬࿊͹ߪԍճͶ੷‫ۅ‬దͶࢂՅͦ͠Ζɽࢾ‫ݩ‬ͺɼ‫ݜ‬र֋࢟઴ͳश྅‫ޛ‬ͶࣰࢬͤΖɽࣅָ෨ਫ਼͹ྡজࣰसͲͺɼ͗Ξ‫ं׳‬͹ॵਏ࣎͹ଲԢΏࣅՌ࣑ྏͶͯ͏ͱ‫ָͤݡ‬Ζɽʴ਒ṁয়‫ڱ‬ʵ+̖̐೧ౕͺɼॳ௒Ͷસ෨͹‫ݜ‬र಼༲Νश྅ͪ͢ɽ ݆͹‫ݐ‬गर྅࣎Ͷ‫ݜ‬रर྅ৄΝद༫͢ɼ࠹༑ऴंʤϕϪκϱτʖεϥϱͳ޳ಆࢾ໲͹੔੹ʥͶͺ‫ى‬೨඾Νद༫ͪ͢ɽൕ঴
఼ͳ͢ͱɼ‫ݜ‬रҫ͹सज़ౕΝ֮೟ͤΖͪΌͶ‫ݜ‬र઴‫͗ݩࢾͲޛ‬චགྷͲ͍Ζ͞ͳ͗‫͝ڏ‬ΔΗɼຌ೧݆̓͹ΨϨΦϱτʖεϥϱश྅࣎Ͷࢾ‫ݩ‬Νࣰࢬͪ͢ɽΉͪຌ೧ౕ͖Δͺࣅָ෨̓೧ਫ਼ଲে͹͗Ξबढ़‫ྡغ‬জࣰसΝ৿અ͢ɼ ݆͖Δࣰࢬ༩ఈͲ͍Ζɽ㸺㔠ἑ኱Ꮫ㸼ۜୖ୉ָ઎಍దʰ޳ߤ͖Δસਐ΃͹݊߃ָʱ‫گ‬ү͹߶ౕԿϕϫήϧϞ͗Ξ࣑ྏࢩԋ޳ߤ‫ؽ‬೵؇ཀྵ  ஦ଞദ߀ ۜୖ୉ָҫ༂ฯ݊‫ڂݜ‬Үҫָ‫֐ܧ‬Ռ‫ܧ‬ҫָ྘Үּ‫ا‬໚޳ߤ֐Ռָ෾໼ʥ ཈੔ͤΖਕࡒ଀ʂસ྘Ү͹͗Ξ‫ݺं׳‬ʓ͹য়ସΏητʖζͶԢͣͪ޳ߤ‫ؽ‬೵؇ཀྵΝଠ৮झοʖϞ࿊‫ܠ‬͹͵͖Ͳఴ֋ͤΖ͞ͳͶΓΕॄָద࣑ྏΝࢩ࣍͢ɼ‫ं׳‬͹ 42/ ޴৏Ͷ‫ر‬༫Ͳ͘ΖϨʖξʖదࣅՌҫࢥɽଲেंʀर྅གྷ݇ʀསर๏๑
ॵ‫ྡغ‬জ‫ݜ‬रҫʤ̏೧ʥ
ʁH/HDUQLQJ έϧΤχ͕Γ;֦ಝ࿨ɼਏྏ‫ָݡ‬Νમ୔͢ͱणߪͤΖɽH
OHDUQLQJ ͕Γ;֦ಝ࿨͹णߪͺ֮೟τηφɼਏྏ‫ָݡ‬ͺӣӨҗҽճ͹޳ಆࢾ໲Ͷ߻֪ͤΖɽദ࢞՟ఖ୉ָӅਫ਼ʤ̒೧ʥ
ʁH/HDUQLQJ έϧΤχ͕Γ;֦ಝ࿨ɼਏྏ‫ָݡ‬Νમ୔͢ͱणߪͤΖɽ
HOHDUQLQJ ͕Γ;֦ಝ࿨͹णߪͺ֮೟τηφɼਏྏ‫ָݡ‬ͺ޳ಆࢾ໲Ͷ߻֪ͤΖɽ͠ΔͶɼ޳ߤ‫ؽ‬೵؇ཀྵͶ‫ؖ‬࿊ͤΖ‫ڂݜ‬Νࣰࢬָ͢ճʀ࿨ช൅නΝߨ͑ͳͳ΍ͶָҒखಚΝ໪ࢨͤɽ
ऀճਕࣅՌҫࢥʤ̏೧ʥ
ʁָ֐͹ऀճਕࣅՌҫࢥͶଲ͢ͱɼ୉ָӅ೘ָ౵Ν൒ΚͥͶϕϫήϧϞ
Ν఑‫ͤڛ‬Ζɽߪٝ՟໪ͺ HOHDUQLQJ ‫ࡒگ‬͹ࣙकָसͶΓΕɼΉࣰͪसʀԍसՌ໪ͺՈ‫غ‬Ͷॄ஦͢ͱߨ͑ɽ࠹ఁ  ೧Ґ৏͹र྅‫ؔغ‬͹‫ޛ‬ͶӣӨҗҽճ͗र྅೟ఈΝߨ͑ɽསरՌ໪౵ʁචरՌ໪ʁ
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ʴʵञ ๎ࣻતҫָಝ࿨ɼʴʵ͗Ξ؉࿪ҫྏָಝ࿨ɼʴʵ͗Ξ֐Ռָಝ࿨ɼ
ʴʵྡজञ ָಝ࿨ɼʴʵྡজӭ཈ָಝ࿨ɼ
ʴʵ͗Ξ‫ؽߤ޳ं׳‬೵؇ཀྵಝ࿨
મ୔Ռ໪ʁʴʵαϱγϩτʖεϥϱಝ࿨ɼʴʵྡজ౹‫ָܯ‬ಝ࿨ɼʴʵྡজ౹‫ָܯ‬ԍसɼʴʵ
෾ࢢञ ָಝ࿨
‫گ‬ү಼༲͹ಝ৯౵ʁસ྘Ү͹͗Ξ‫ं׳‬Ͷଲ͢ͱҲؑͪ͢޳ߤ‫ؽ‬೵؇ཀྵΝਲ਼ߨ͢ɼॄָద͵࣑ྏΝࢩԋͤΖͪΌͶͺɼࣅՌҫࢥ͗޳ߤ͹Ί͵Δ༹ͥʓ͵ଃ‫ح‬ʀ྘Үพ͹ѳ੓ञ ͶଲͤΖ࣑ྏΏɼͨ͹༙֒ࣆেͶ‫ͤؖ‬Ζ‫ેخ‬எࣟΝसಚ͢ɼ͗Ξबढ़‫غ‬͹޳ߤ‫ؽ‬೵؇ཀྵͶ͕͏ͱଠՌक࣑ҫͳ༙‫ؽ‬ద͵ҫՌࣅՌ࿊‫ܠ‬Νߑ஛ͤΖ͞ͳ͗॑གྷͲ͍Ζɽ͠ΔͶɼસ྘Ү͹͗Ξ‫ं׳‬ͶଲͤΖ޳
ߤয়ସͳઃৱʀᅠԾ‫ؽ‬೵ΝՌָదͶ඲Ճ͢ͱɼ޳ߤίΠ͹‫ܯ‬ժʀࢨ಍ʀࣰભ͵Δ;Ͷ‫޳ܨ‬ઃखϪϗϩ͹ద֮͵඲Ճʀৱࣆࢨ಍Νߨ͏ɼʰ޳͖Δৱ΄Ζʱ͞ͳͶ‫ͤؖ‬Ζ‫࣯ح‬ద͕Γ;‫ؽ‬೵దյ෰ͶΓΕॄָద࣑ྏΝࢩ࣍ͤΖ͞ͳ͗චགྷͲ͍ΖɽҐ৏ΝಁΉ͓ͱຌࣆ‫Ͳۂ‬ͺɼ͗ΞԿָྏ๑ɼ
๎ࣻતྏ๑ͨ͢ͱघढ़ྏ๑͵ʹͶ‫ͤؖ‬Ζ‫ેخ‬దஎࣟΝߪٝͤΖͳͳ΍Ͷɼસ྘Ү͹͗Ξ‫ं׳‬͹޳ߤίΠ͕Γ;ᅠԾਏྏΝ‫؜‬΋޳ߤ‫ؽ‬೵؇ཀྵͶ‫ͤؖ‬Ζཀྵ࿨ͳࣰભΝ‫گ‬үͤΖ఼Ͳ৿‫و‬੓͍͗
ΖɽΉͪɼָ֐Ͳಉ͚ऀճਕࣅՌҫࢥͶଲ͢ͱ΍ɼ୉ָӅ೘ָΝචགྷͳ͢͵͏ऀճਕࣅՌҫࢥ΢ϱτϱεϔαʖηͳ͢ͱຌࣆ‫ۂ‬͹ϕϫήϧϞΝ఑‫͢ڛ‬ɼ୉ָࣅָ෨Ͳ޳ߤ‫ؽ‬೵؇ཀྵΝ‫گ‬ү͠Ηͱ͏͵͏ࣅՌҫࢥͶଲ͢ͱָसͲ͘Ζ‫ؽ‬ճΝ఑‫ͤڛ‬Ζ఼Ͳಝ৯͍͗Ζɽ㸺኱㜰኱Ꮫ㸫㸯㸼୉ࡗ୉ָ͹खૌͶͯ͏ͱ ʛ୉‫و‬ໝӺָ௒ࠬɼSONIC ‫΃ڂݜ‬͹ࢂՅʛঘઔ଻࣑ 1ɼஓᬔҲఱ 2ɼনీ‫ݢ‬Ҳ 3ɼ๼ଞਜ਼ദ 4ɼଞ৏৵໷ 5ɼ઴ీ๗৶ 6ɼళ໼ಲ༦ 7୉ࡗ୉ָ୉ָӅࣅָ‫ڂݜ‬Ռּ޳ߤ‫ؽ‬೵࠸‫༙ ࠴ߪָݒ‬জٝࣅึ௴ָʀ߶ྺंࣅՌָ෾໼ɼ ޳ߤ෾ࢢ໖

Ӻ੏‫ࣅ ࠴ߪָޜ‬बබ෾ࢢබସָ෾໼ɼ޳ߤ෾ࢢ໖Ӻ੏‫ࣅ ࠴ߪָޜ‬बබ෾ࢢබସָ෾໼ɼ ޳ߤ෾ࢢ໖Ӻ੏
‫ ࠴ߪָޜ‬༩๹ࣅՌָ෾໼ 

SONIC ‫ڂݜ‬Ͷͯ͏ͱ୉ࡗ୉ָͳ౨‫߃݊౐ښ‬ௗथҫྏιϱνʖΝ஦ৼͳͪ͢ըʓ͹‫ڂݜ‬ήϩʖϕͺɼࣅָ͹Ί͵Δͥɼҫָɼӭ཈ָɼৼཀྵָɼऀճָɼྡজ౹‫ָܯ‬͹֦෾໼͹઒໵Պ͗ࢂՅͪ݊͢߃ௗथͶ‫ͤؖ‬Ζָࡏ ద ͵ Ӻ ָ ௒ ࠬ ͳ ͢ ͱ SONIC ‫ ڂ ݜ‬㸦 Septuagenarians, Octogenarians, and Nonagenarians
Investigation with CentenariansʥΝ਒Όͱ͏Ζɽຌ‫ڂݜ‬ͺɼଲেஏҮΝ‫ؖ‬੤ͳ‫ؖ‬౨͹ͨΗͩΗ౐ࢤ෨ͳ೸ଞ෨ͳ͢ɼஏҮ͹஦͹ಝఈ͹ஏۢ͹સे຿Νଲেͳͪ࣫͢և௒ࠬͲ͍Ζɽ70 ࡂɼ80 ࡂ͹߶ྺंαϙʖφ֦ 1,000 ໌Ν஦ৼͳ͢ɼ90 ࡂΏඨथंαϙʖφ΍‫؜‬΋ଲেंͶৼཀྵָɼҫָɼࣅָ྘Ү͹݊߃ௗथͶ‫ؖ‬ΚΖߴ໪Ͷ‫ͱؖ͢‬௒ࠬΝߨͮͱ͏ΖɽࣅՌ͹क͵௒ࠬߴ໪ͺɼࣅࣞΏࣅबૌ৭‫ࠬݗ‬ͶՅ͓ɼ伷߻ྙɼ서೵ིɼଥӹ෾ൽଐౕΏઋѻ͵ʹ͹޳ߤ‫ؽ‬೵ͶՅ͓ͱ޳ߤ‫ؖ‬
࿊ QOLɼӭ཈ઃख͵ʹ෱߁͏ߴ໪Ͷ‫΁ٶ‬ɽ͵͕ɼࣅՌҐ֐͹௒ࠬߴ໪ͳ͢ͱͺɼ೟எ‫ؽ‬೵Ώ੓ܑ֪޴ɼADLɼQOL ͵ʹ͹ৼཀྵָద͵ߴ໪ɼѴྙɼิߨଐౕ͵ʹ͹ӣಊ‫ؽ‬೵͹‫ࠬݗ‬ɼΉ݄ͪӹ‫ࠬݗ‬Ώ݄ѻɼᰏಊຼΦαʖ͵ʹ͍͗Εɼଡ‫ز‬ͶΚͪͮͱ͏Ζɽ͠ΔͶɼ֦೧ྺαϙʖφͶଲ͢
3 ೧͟ͳ͹௧੽௒ࠬΝߨͮͱ͕Εɼ͞ΗΉͲԈ΄ 5,000 ໌͚ۛ͹߶ྺं͹௒ࠬΝࣰࢬ͢ͱͪ͘ɽ
‫گ‬үదқٝͶͯ͏ͱ݊߃ௗथऀճ΃޴͜ͱ͹Ӻָ‫ڂݜ‬ͶͺɼࣅՌ͹Ί͵ΔͥҫՌΏৼཀྵָ͵ʹใ‫ׇ‬ద͵Πϕϫʖο༙͗ްͲ͍ΕɼࣅՌ͗͏͖Ͷ݊߃ௗथͶ‫ر‬༫͢ͱ͏Ζ͖Ͷͯ͏ͱ༹ʓ͵௒ࠬߴ໪͖ΔߡࡱͤΖ͞ͳ͗Ͳ͘ΖɽগཔΝࢦͤऑघ‫͗ंڂݜ‬ຌ‫ڂݜ‬௒ࠬͶࢂՅͤΖ͞ͳͶΓΕɼҡ͵Ζ෾໼͹઒໵ՊΔ͹қ‫ݡ‬Νซ͚͞ͳ͗Ͳ͘ɼࣅՌ྘Ү͖Δ͹ࢻ఼͹Ί͵ΔͥҫָΏৼཀྵָͳ͹࿊‫ܠ‬͹஦Ͳ͹ࣅՌ͹ༀׄͶͯ͏ͱָ΁͞ͳͲɼࠕ‫ࣙޛ‬Δ‫ڂݜ‬Ν਒ఴͦ͠ͱ͏͚ϠοϗʖεϥϱͶͯ͵͗Ζͳ
༩૟͠ΗΖɽΉͪɼճ৖௒ࠬͶࢂՅ͢ɼ‫Ͳं׳‬ͺ͵͏ଡ͚͹߶ྺंͳંͤΖ͞ͳͺɼαϝϣωίʖεϥϱ೵ྙ͹޴৏͵Δ;Ͷ߶ྺंͶͳͮͱࣅΏ޳ߤ‫ؽ‬೵͗͏͖Ͷ୉઀͖ΝஎΖ‫ؽ͵॑ي‬
ճͲ͍Ζɽ͠ΔͶɼຌ‫ڂݜ‬Ͷ‫ܠ‬Κͮͪ‫ंڂݜ‬ͺɼ޳ߤΏӭ཈Ͷ‫ؖ‬ΚΖҾࢢͳસਐద͵གྷҾ͍Ζ͏ͺৼཀྵָద͵གྷҾͳ͹‫ؖ‬࿊Ͷͯ͏ͱ୵ࡩదͶ‫ݗ‬౾ͤΖ͞ͳͶΓΕɼ޳ߤ͗સਐ͹݊߃΃‫·ٶ‬ͤӪ‫ڻ‬Νմ໎ͤΖͳͳ΍Ͷɼ޳ߤฯ݊͹॑གྷ੓Ν਄͚ཀྵմͲ͘ΖΓ͑Ͷ͵Ζͳߡ͓ΔΗΖɽ㸺኱㜰኱Ꮫ㸫㸰㸼୉ࡗ୉ָ͹खૌͶͯ͏ͱ ʛ‫ݜ‬रҫ͹ࢃؔஏҮͶ͕͜ΖஏҮࣅՌྡজ‫ݜ‬रʛࢀྡྷय़ଢ 1ɼஓᬔҲఱ 2ɼ੶ీ݊ 3ɼঘઔ଻࣑ 4ɼনీ‫ݢ‬Ҳ 4ɼଞ৏৵໷ 5ɼళ໼ಲ༦̔
ʤ୉ࡗ୉ָ୉ָӅࣅָ‫ڂݜ‬Ռּ޳ߤ‫ؽ‬೵࠸‫༙ ࠴ߪָݒ‬জٝࣅึ௴ָʀ߶ྺंࣅՌָ෾໼ʀ-$ Ί͵Ί৶यࣅՌਏྏॶɼ ּ޳ߤ‫ؽ‬೵࠸‫༙ ࠴ߪָݒ‬জٝࣅึ௴ָʀ߶ྺंࣅՌָ෾໼ɼ ޳ߤ෾ࢢ໖Ӻ੏‫ࣅ ࠴ߪָޜ‬बබ෾ࢢබସָ෾໼ɼ ޳ߤ෾ࢢ໖Ӻ੏‫ ࠴ߪָޜ‬༩๹ࣅՌָ෾໼ ஏҮࣅՌྡজ‫ݜ‬रͶͯ͏ͱ୉ࡗ୉ָࣅָ෨෡଒බӅͲͺɼฑ੔ 28 ೧ౕΓΕྡজ‫ݜ‬रϕϫήϧϞ͹Ҳ‫ͱ͢ͳ؂‬஦ࢃؔஏͲ
͹ஏҮࣅՌྡজ‫ݜ‬रΝࣰࢬ͢ͱ͏Ζɽ‫ݜ‬र઎͹ JA Ί͵Ί৶यࣅՌਏྏॶͳ JA Ί͵Ί৶यѪೈࣅՌਏྏॶͺɼௗ໼‫ݟ‬͹ೈ෨ͶҒ஖ͤΖ൩ీԾґ಻ஏҮͶ͍Ζɽ൩ీԾґ಻ஏҮͺɼ൩ీࢤΝ஦ৼͳͪ͢ਕ޳ 17 ຬਕ͹ஏҮͫ͗ɼͨ͹໚੷͹ 95%Ґ৏͗ࢃؔஏͲ͍Εɼ൩ీࢤ͹बวௌଞͲͺ߶ྺԿི͗ 40%Ν௔͓ΖஏҮ΍ଡ͚ɼ͏ΚΑΖ߶ྺԿ஦ࢃؔஏͲ͍ΖɽஏҮࣅՌҫྏͺɼஏҮใ‫ׇ‬ίΠεητϞ͹஦Ͷ͕͏ͱͺɼགྷղ‫ंྺ߶ޤ‬͹޳ߤ‫ؽ‬೵؇ཀྵͳ͏͑
॑གྷ͵ༀׄΝ୴ͮͱ͏ΖɽΉͪஏҮࣅՌҫྏͺɼͨ͹ஏҮ͹ಝ௅Ώ‫ٽ‬ΌΔΗΖ΍͹ͶΓͮͱɼͨ͹ஏҮ͟ͳͶ‫ࡠܙ‬ΔΗΖ΍͹Ͳ͍Εɼ߶ྺԿ஦ࢃؔஏͲͺɼ๜໲ࣅՌਏྏΝ஦ৼͳͪ͢ஏҮࣅՌҫྏ͗‫ٽ‬ΌΔΗͱ͏Ζɽͨ͞ͲຌָͲͺɼஏҮใ‫ׇ‬ίΠεητϞ͹஦Ͳଡ৮झͳ͹࿊‫ܠ‬ΝਦΕɼགྷղ‫ंྺ߶ޤ‬ͶଲͤΖ‫خ‬ຌద͵ਏࡱ೵ྙʤஎࣟʀସౕʀٗ೵ʥΝरಚ͢ɼགྷղ‫ंྺ߶ޤ‬ͶଲͤΖ޳ߤ‫ؽ‬೵؇ཀྵΝࣰࢬͤΖ͞ͳΝ໪దͶɼஏҮࣅՌྡজ‫ݜ‬रΝखΕૌΞͲ͏Ζɽ‫گ‬үదқٝͶͯ͏ͱགྷղ‫ंྺ߶ޤ‬ͶଲͤΖஏҮࣅՌྡজͲͺɼࣅՌҫࢥͳ‫ݺं׳‬ਕͳ͹‫ܐؖ‬੓͹Ί͵ΔͥɼՊଔΏࢬઅηνρϓͳ͹‫ܐؖ‬੓͗॑གྷͳ͵Ζɽͨ͹஦Ͳɼ࣑ྏ͹βʖϩΝͪͫୱͶ͑ḟΏࣅबබ͹࣑ྏɼܿଝึ௴ͳͤΖ͹Ͳͺ͵͚ɼ‫ं׳‬͹ৱࣆΏղ‫ޤ‬͹༹ࢢ͵ʹ‫ͪݡ‬৏Ͳ‫ͨͳं׳‬͹बҕ͹ਕୣ͹ਫ਼‫׈‬͹ϪϗϩΉͲཚͳ͢ࠒΞͲߡ͓Ζචགྷ͍͗ΕɼࣅՌ࣑ྏΝ਄͚‫ͯݡ‬Ό௜ͤ‫ؽ‬ճͳ͵Ζͳ
ߡ͓ΔΗΖɽ ΉͪɼஏҮҫྏͲͺҫࢥΏ؅‫ࢥޤ‬ɼղ‫࢞ޤ‬ɼ‫ޢݶ‬௎ְ࢞ɼ؇ཀྵӭ཈࢞͵ʹ͹ଠ৮झͳ͹࿊‫ܠ‬͗॑གྷͳ͵Ζɽଠ৮झͳ‫ं׳‬Ͷ‫ͤؖ‬Ζ౾࿨ΝިΚͤͪΌͶͺɼ‫ं׳‬͹޳ߤ͹͞ͳͫ͜Ͳ͵͚ɼસਐয়ସΏෲ༽༂ࡐɼӭ཈Ͷ‫ͱؖ͢‬΍எࣟΝ࣍ͯ͞ͳ͗චགྷͲ͍Εɼͨ͹͞ͳΝஎΖͳͳ΍ͶɼஏҮใ‫ׇ‬ίΠεητϞ͹஦ͲࣅΏ޳ߤ‫ؽ‬೵͗ଠ৮झ͖ΔʹΗͫ॑͜གྷͶࢧΚΗͱ͏Ζ͖Νஎ
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HOHDUQLQJ εητϞ͹ࠕ‫ޛ‬͹༙ް‫༽׈‬Ͷ޴͜ͱ෤ీ޼໎ ɼੁຌ‫ ࢢڭ‬ɼઔੋ໎ࢢ ɼ઴ీ͍ͥ͠ ɼԄҬ‫گ‬༡ ɼଞీচಕ ɼૂը‫ݣ‬ඛ ɼ௙Ҭ߃߄ ɼ‫۾‬໨୕஋̔ɼછք५Ҳ ɼɼʤ Ԯࢃ୉ָබӅ ૱߻ࣅՌɼ Ԯࢃ୉ָ୉ָӅҫࣅ༂ָ૱߻‫ڂݜ‬Ռ ҫྏ‫گ‬ү౹߻֋൅ιϱνʖ ࣅՌҫָ‫گ‬үրַ෨໵ɼ Ԯࢃ୉ָࣅָ෨ ࣅָ‫گ‬үʀࠅࡏިླྀਬ਒ιϱνʖɼ Ԯࢃ୉ָබӅ ηϘεϡϩωʖθࣅՌιϱνʖɼ Ԯࢃ୉ָබӅ ҫྏࢩԋࣅՌ࣑ྏ෨ɼ Ԯࢃ୉ָ୉ָӅҫࣅ༂ָ૱߻‫ڂݜ‬Ռ ΢ϱϕϧϱφ࠸ਫ਼ึ௴ָ෾໼ɼ Ԯࢃ୉ָ ࣅָ෨ௗʥ

ʴ໪దʵ ೧໪Ν͓ܶͪຌࣆ‫Ͳۂ‬ͺɼ͞ΗΉͲͶ࿊‫ܠ‬୉ָΏ‫ࢬྙڢ‬અ͗Ҳ‫ͱͮ͵ͳ؛‬ɼ༹ʓ͵ࣅՌҫָ‫گ‬үրַΝߨͮͱͪ͘ɽຌࣆ‫ۂ‬͹஬͹Ҳͯͳ͢ͱɼ֦୉ָ͗ฯ༙ͤΖ༑ΗͪαϱτϱςΝ૮‫ޕ‬ཤ༽ͤΖ͞ͳ͗Ͳ͘Ζ HOHDUQLQJ εητϞ͗ߑ஛͠Ηͱ͏ΖɽຌָͲͺฑ੔  ೧ౕΓΕຌεητϞΝཤ༽ͪ͢ߪٝࢻ௎ΝୱҒԿ͢ɼΩϨΫϣϧϞͶૌΊࠒΞͲ͏Ζɽ͞͹εητϞͶͺͤͲͶ  Ν௔͓Ζαϱτϱς͗फࡎ͠Ηͱ͕ΕɼຌεητϞΝ࿊‫ܠ‬୉ָͲ΍༙ްͶ‫׈‬༽͢ͱ͏͚͞ͳ͗॑གྷͫͳߡ͓ΔΗΖɽͨ͞Ͳɼ֦୉ָͲ͹ߍ͵Ζཤ༽ଇ਒ΝਦΖ͞ͳΝ໪దͳ͢ɼࠕҲౕຌεητϞ͹ཤ༽๏๑Ν়ղͤΖͳͳ΍ͶɼຌָͲ͹ӣ༽ྭͶͯ͏ͱๅࠄͤΖɽʴ ཤ ༽ ๏ ๑ ʵ ϫ ή ΢ ϱ ๏ ๑ ʁ ຌ ࣆ ‫ ۂ‬ϙ ʖ Ϟ Ϙ ʖ ζ ʤ KWWSVPGSGHQWRND\DPDXDFMSRFZLQGH[SKSʥ͖Δɼ,' ͳϏηϭʖχΝ೘ྙ͢ɼεητϞͶϫή΢ϱͤΖɽ,' ͳϏηϭʖχͺࣆ઴ౌ࿧Ͳ͘ɼཤ༽ं৚ๅʤࢱ໌ʀϟʖϩΠχϪηʥΝ఑‫ͤڛ‬ΗͻҲ‫ׇ‬؇ཀྵ͗Ն೵
Ͳ͍Ζɽ৚ๅ఑‫͗ڛ‬ೋ͢͏৖߻ͺɼ֦ࣙͲઅఈͤΖ͞ͳ΍Ն೵Ͳ͍Ζɽࢻ௎๏๑ʁαʖηϭʖέ໌Νમ୔ɼ΍͚͢ͺɼ‫ࡩݗ‬Ψϕεϥϱ͖Δ‫ࡩݗ‬ϭʖχΝ೘ྙ͢ɼࢻ௎
ͪ͢͏αϱτϱςΝમ୔‫ޛ‬ɼʰࢻ௎ͤΖʱ͹νϔΝέϨρέͤΖͳಊժ͗࠸ਫ਼͠ΗΖɽঘτηφण‫ݩ‬ʁঘτηφ͗અఈ͠Ηͱ͏Ζαϱτϱς͹֦ಊժ࣎ؔΝ௔͓ͱࢻ௎ͤΖͳɼ ୔໲ୌ͹ঘτηφΝण‫͘Ͳݩ‬Ζɽ ໲஦  ໲Ґ৏͹ਜ਼մͲ߻֪ͳ͵Ζɽࣙ༟‫ࡎى‬ʀ඲Ճʁߪٝ͹‫״‬૟౵Νࣙ༟‫ͤࡎى‬Ζ͞ͳ͗Ն೵Ͳ͍ΖɽΉͪɼߪٝͶͯ͏ͱ͹඲Ճ
ΝͤΖ͞ͳ΍Ն೵Ͳ͍Ζɽ੔੹؇ཀྵʁ֦‫ݺ‬ਕ͹णߪསྼΝ 3') Ώ &69 ‫Ͳࣞܙ‬ड़ྙՆ೵Ͳ͍ΖɽΉͪɼ‫ݸݘ‬Ν෉༫ͤΖ͞ͳͲɼ֦୉ָΏ࿊‫ܠ‬୉ָસର͹ཤ༽ं͹੔੹ΏΠέιηϫήΝड़ྙͤΖ͞ͳ͗Ն೵Ͳ͍ΖɽʴࣰࢬྭʵຌָͲͺɼ ೧ਫ਼Ͷଲ͢ͱߪٝεϨʖθ̏ʤਫ਼‫׈‬स‫׵‬බͳ޳ߤʥɼ ೧ਫ਼Ͷଲ͢ͱߪٝεϨʖθ̐ʤ‫ٺ‬੓‫غ‬ҫྏʥʀ̑ʤࡑ୒ղ‫ޤ‬ҫྏʥΝߪٝ࣪ͶॄΌͱ֦  ߪٝࢻ௎ͦ͠ɼঘτηφͳࣙ༟‫ࡎى‬ͶΓΕ੔੹൓ఈΝߨͮͱ͏ΖɽΉͪɼ‫ݜ‬रࣅՌҫͶଲ͢ͱߪٝεϨʖθ̐ʀ̑͹ঘτηφͳࣙ༟‫ࡎى‬Ν‫ݜ‬रर྅གྷ݇ͶૌΊࠒΞͲ͏ΖɽʴΉͳΌʵ༑Ηͪαϱτϱς֦͗୉ָͲ༙ްͶཤ༽͠ΗΖͪΌͶͺߍ͵Ζ߁ๅ͗චགྷͲ͍Ζɽࠕ‫ޛ‬΍࿊‫ܠ‬୉ָͳ‫͵ߍͱ͢ྙڢ‬Ζαϱτϱς͹֨ैΝਦΖͳͳ΍ͶɼεητϞ͹ΠρϕήϪʖχΝߨ͏ɼ݊߃ௗथऀճΝ୴͑ࣅՌҫࢥү੔͹Ҳঁͳͪ͢͏ɽ
㸺ᒸᒣ኱Ꮫ㸫㸰㸼୉ָබӅ͹ҫྏ‫ݳ‬৖Νཤ༽ͪ͢ʰ߶ౕҫྏࢩԋʀबढ़‫ؽߤ޳غ‬೵؇ཀྵࣰसʱๅࠄ
ԄҬ‫گ‬༡ ɼૂը‫ݣ‬ඛ  ɼࢃ஦ྲࢢ ɼ࣪ ඔ཮ ɼ઴ీ͍ͥ͠ ɼੁຌ‫ ࢢڭ‬ɼ‫۾‬໨୕஋ ɼછք५Ҳ ɼ ɼ ʤ Ԯࢃ୉ָࣅָ෨ ࣅָ‫گ‬үʀࠅࡏިླྀਬ਒ιϱνʖɼ Ԯࢃ୉ָබӅ ҫྏࢩԋࣅՌ࣑ྏ෨ɼ Ԯࢃ୉ָ୉ָӅ ҫࣅ༂ָ૱߻‫ڂݜ‬Ռ ҫྏ‫گ‬ү౹߻֋൅ιϱνʖ ࣅՌҫָ‫گ‬үրַ෨໵ɼ Ԯࢃ୉ָ୉ָӅ ҫࣅ༂ָ૱߻‫ڂݜ‬Ռ ΢ϱϕϧϱφ࠸ਫ਼ึ௴ָ෾໼ɼ Ԯࢃ୉ָ ࣅָ෨ௗʥ Ԯࢃ୉ָࣅָ෨ͺɼࡀ୔͠Ηͪช෨Ռָ঴՟ୌմ݀‫ౕ߶ܗ‬ҫྏਕࡒ཈੔ϕϫήϧϞࣆ‫Ͳۂ‬ɼ୉ָබӅ͗ఴ֋ͤΖοʖϞҫྏ͹‫ݳ‬৖Ν‫گ‬ү͹৖ͳͪ͢ʰ߶ౕҫྏࢩԋʀबढ़‫ؽߤ޳غ‬೵؇ཀྵࣰसʱΝ֋ߪͪ͢ɽຌࣰसͺɼबढ़‫غ‬؇ཀྵιϱνʖढ़઴֐པ͹णਏ‫ं׳‬Νଲেͳ͢ɼ؅‫ޤ‬໚஌ʀຓ਴Ռणਏʀ֐ՌणਏʀࣅՌणਏ౵͹Ҳ࿊͹ླྀΗΝΦηαʖφͤΖࣰसɼञ ιϱνʖʤ֐པԿָྏ๑࣪ʥ‫ָݡ‬ɼ%LR&OHDQ5RRPʤଆ݄ࡋ๖Ң৪Νक໪దͳͤΖබ࣪ʥ‫ָݡ‬ɼ,&8 ޳ߤίΠϧΤϱχ‫ָ͕ݡ‬Γ;؉࿪ίΠοʖϞϧΤϱχ͹ಋߨࣰस͵ʹͲߑ੔͢ɼଡ৮झ࿊‫֦;ٶܠ‬ҫྏ઒໵৮͹ༀׄΝ‫ݳ‬৖Ͳ໪͹౲ͪΕͶͦ͠Ζͳͳ΍ͶՆ೵͵൥ҕ͹‫ݩܨ‬Νͦ͠ɼοʖϞҫྏ͹Ҳҽͳ͢ͱগཔ‫׈‬༄ͤΖ‫خ‬ຌద͵೵ྙ͕Γ;ࢡ੐Νү΋͞ͳΝ໪దͳ͢ͱ͏Ζɽࣰस࠹शೖͶͺɼָਫ਼Ͷबढ़‫غ‬͹޳ߤ؇ཀྵΝགྷͤΖ‫ं׳‬͹՟ୌ঳ྭΝ༫͓ɼࢨ಍‫گ‬ҽͳ͹υΡηΩρεϥϱΝ௪͢ͱਏஇ‫ܯྏ࣑;ٶ‬ժ͹ཱིҌΝ‫͏ͱͦ͠ݩܨ‬Ζɽ ຌࣰसͺɼ࠹शָ೧͗སरͤΖਏྏࢂՅ‫ྡܗ‬জࣰस͹ࣰࢬ‫ؔغ‬ʤ ೧࣏  ݆ʛ ೧࣏  ݆ʥͶดߨ͢ͱߨ͏ɼຘु  ໌͹ָਫ਼Ͷ  ुࣰؔࢬͪ͢ɽฑ੔  ೧ౕ  ೧࣏͖Δ  ೧ౕ  ೧࣏Ͷ͖͜ͱणߪͪ͢ຌָࣅָ෨ਫ਼  ໌Νଲেͳ͢ͱɼࣰस‫ޛ‬ͶҲ൬һেͶ࢔಼ͮͪ༲Ͷͯ͏ͱਚ͸ͪͳ͞Θɼबढ़‫غ‬؇ཀྵιϱνʖढ़઴֐པͲ͹ΦηαʖφࣰसΝ‫ָͪ͝ڏ‬ਫ਼͹ׄ߻͗ ɽˍͲҲ൬ଡ͚ɼ‫ͪ͝ڏ‬ཀྵ༟ͳ͢ͱͺɼଡ৮झ͹‫ؖ‬ΚΕΝஎΖ͞ͳ͗Ͳͪ͘͞ͳΏࣰࡏͶ͗Ξघढ़Νण͜Ζ‫ं׳‬͹ৼ৚ͶৰΗͪ͞ͳͳ͏಼ͮͪ༲Ͳ͍ͮͪɽຌࣰस͗कͶҫྏंγ΢χΝଲেͳͪ͢‫ָࣰݡ‬सͲߑ੔͠ΗΖ஦ɼΦηαʖφࣰसͲͺָਫ਼͗‫ं׳‬Ͷ௜ંં͢ɼබӅ಼͹෵਼֐པ΃͹Ҍ಼ͳ͏͑ༀׄΝ୴͑ɽָਫ਼ͶༀׄΝ༫͓Ζ͞ͳͺɼοʖϞҫྏ͹қٝΝཀྵմͤΖ͞ͳͶͳʹΉΔͥɼҫྏਕͳ͢ͱචགྷ͵ϕϫϓΥρεϥψϨθϞΝү΋ͳࢧΚΗͪɽ͞͹ࣰसͺɼຌָָਫ਼͹ΊͶଲ͢ͱ͹Ί͵Δͥɼฑ੔  ೧ౕͶೖຌ୉ָ͖Δ  ໌ɼฑ੔ ೧ౕͶೖຌ୉ָ͖Δ  ໌ɼௗ࡜୉ָ͖Δ  ໌͹ָਫ਼Νण͜೘Ηɼ͞ΗΉͲ࿊‫ܠ‬୉ָ͖Δ  ໌͹ָਫ਼Νण͜೘Ηͱ͏ΖɽοʖϞҫྏ͹৖Ͳ‫׈‬༄Ͳ͘ΖࣅՌҫࢥΝүͱΖͶͺɼ࠴ָͫ͜Ͳͺ‫ݸ‬ֆ͍͗Εɼଡ৮झ࿊‫ܠ‬͹৖ΝࣰࡏͶ‫ͦ͠ݩܨ‬Ζ‫گ‬ү͗෈ՆܿͲ͍Ζͳߡ͓Ζɽ͠ΔͶͺɼָਫ਼ͶͳͮͱՁ͖ༀׄΝ༫͓͓ͪ͑ͲࣰसͶྡΉͦΖͳࣰस‫ޛ‬͹һে͗‫࢔͚ک‬ΖΓ͑Ͳ͍Ζɽ͞͹͞ͳΝಁΉ͓ɼࠕ‫͠ޛ‬ΔͶຌࣰसΝΓΕྒྷ͏΍͹ͳͪ͢͏ɽ࿊‫ܠ‬୉ָ͖Δ͹‫گ‬ҽɼָਫ਼͹ण͜೘ΗΝଁΏ͢ɼߍ͵Ζ‫ͱۋ‬ΞԿͶ΍߫‫͏ͱ͓ߡͳ͏ͪ͢ݛ‬Ζɽ㸺ᒸᒣ኱Ꮫ㸫㸱㸼ฑ੔  ೧ౕʰղ‫ࢬޤ‬અΝ༽͏ͪ 3%/ ԍसʱ͹ࣰࢬๅࠄ
઴ీ͍ͥ͠ ɼ෤ీ޼໎ ɼੁຌ‫ ࢢڭ‬ɼઔੋ໎ࢢ ɼԄҬ‫گ‬༡ ɼ઴ీ௜ਕ ɼਁ ‫ ߀ي‬ɼ໼ౣ༅ࢢ ɼ‫۾‬໨୕஋ ɼછք५Ҳ ɼɼʤ Ԯࢃ୉ָ୉ָӅҫࣅ༂ָ૱߻‫ڂݜ‬Ռ ࣅָ‫گ‬үʀࠅࡏިླྀਬ਒ιϱνʖɼ  Ԯࢃ୉ָබӅ ૱߻ࣅՌɼ Ԯࢃ୉ָ୉ָӅҫࣅ༂ָ૱߻‫ڂݜ‬Ռ ҫྏ‫گ‬ү౹߻֋൅ιϱνʖ ࣅՌҫָ‫گ‬үրַ෨໵ɼ  Ԯࢃ୉ָ୉ָ

Ӆҫࣅ༂ָ૱߻‫ڂݜ‬Ռ 伷߻ʀ༙জٝࣅึ௴ָ෾໼ɼ  Ԯࢃ୉ָබӅηϘεϡϩωʖθࣅՌιϱνʖɼ Ԯࢃ୉ָ୉ָӅҫࣅ༂ָ૱߻‫ڂݜ‬Ռ ΢ϱϕϧϱφ࠸ਫ਼ึ௴ָ෾໼ɼ  Ԯࢃ୉ָ ࣅָ෨ௗʥ

௔߶ྺऀճΝ͓ܶͪը͗ࠅͲͺɼࣅՌҫྏͶ‫ٽ‬ΌΔΗΖωʖθ͗ॊཔ͹ʰ݊৙ं‫ܗ‬ʱ͖Δʰ߶ྺं‫ܗ‬ʱͶεϓφ͍ͯͯ͢Ζɽಋ࣎Ͷɼ߶ྺंɼಝͶགྷࢩԋʀགྷղ‫ंྺ߶ޤ‬ͺ෵਼͹સਐ࣮‫׳‬Ώ‫ؽ‬೵্֒Ν์͓ͱ͏Ζ৖߻͗ଡ͚ɼࣅՌҫࢥͶͺ޳ߤ಼͹क૎͹Ί͵Δͥɼસਐয়ସΏ‫ं׳‬ΝखΕ‫ݺ͚ת‬ʓ͹‫ڧ؂‬Ͷ΍໪Ν޴͜ͱɼͨ͹‫͓์͗ं׳‬Ζ໲ୌ఼Ν૱߻దͶ೼Ѵ͢մ݀ͤΖ೵ྙ͗චགྷͲ͍Ζɽͨ͞Ͳɼ͞ΗΉͲ͹ࣅՌҫྏ‫گ‬үͲͺॉ෾Ͷึ‫ܗंྺ߶͖ͪͮ͵͏ͱ͘Ͳ׮‬͹ࣅՌ࣑ྏͶଲԢͲ͘ΖࣅՌҫࢥΝү੔ͤΖ͞ͳΝ໪దͶɼԮࢃ୉ָࣅָ෨Ͳͺฑ੔  ೧ౕ͖Δ  ೧࣏ਫ਼ΝଲেͶτϣʖφϨΠϩ‫͑ߨͲࣞܙ‬ʰղ‫ࢬޤ‬અΝ༽͏ͪ 3%/ ԍसʱΝ֋࢟ͪ͢ɽຌࣰसͺࡤ೧ͶӀ͘କ͘ɼ୊ᶚέΧʖνʖͶ͍ͪΖ f ݆Ͷࣰࢬͪ͢ɽ ೧࣏ਫ਼  ໌Ν fਕͥͯ͹ঙਕ਼ήϩʖϕ સ  ήϩʖϕ  Ͷൟ෾͜͢ɼ֦ήϩʖϕͶͺ ‫گ‬ҽΝ  ໌ͥͯτϣʖνʖͳ͢ͱഓ஖ͪ͢ɽຘु  ࣎ؔɼસ  յͳ͵Ζࣰस‫ؔغ‬͹઴ൔͶ  յɼۛྣ͹࿟ਕղ‫ࢬޤ‬અΝ๜໲͢ɼ֦ήϩʖϕͶ  ਕͥͯׄΕ౲ͱΔΗͪࢬઅͶ೘ॶ͢ͱ͏Ζགྷղ‫ंྺ߶ޤ‬Ͷ΢ϱνϑϣʖΝߨͮͪɽ޳ߤ಼ͫ͜Ͳͺ͵͚ɼ೘ॶंΝखΕ‫ڧ؂͚ת‬΍‫؜‬Όͱ؏ࡱΝߨ͏ଲে೘ॶं
ಝ༙͹໲ୌ఼Νபड़͢ɼͨ͹‫ޛ‬͹ήϩʖϕϭʖέͶΓΕͨ͹մ݀ࡨΝ‫ݗ‬౾ͦͪ͠ ηϠʖϩήϩʖϕ౾٠ ɽྡজՌ໪ΝΆͳΞʹསर͢ͱ͏͵͏ָ೧Ͳ͍ΖͪΌɼࣰस‫ؔغ‬஦Ͷͺ߶ྺं͹ઃৱᅠԾ্֒ͳৱࢩԋͶ‫ͤؖ‬ΖಝพߪٝΝ  ࣎ؔߨ͏ɼࢬઅ๜໲ΏήϩʖϕϭʖέͶ࠹ঘ‫ݸ‬චགྷ͵எࣟΝึͮͪɽࣰस࠹शೖͶͺ൅නճΝ֋࠷͢ɼ֦ήϩʖϕ͹ָस੔ՎΝ‫༙ͪ͢ڠ‬ɽ੔੹඲Ճͺ‫گ‬ҽͳָਫ਼ಋ࢞ͶΓΖࣰसસൢͲ͹‫ݺ‬ਕ඲Ճɼ൅නճͲ͹ήϩʖϕ඲Ճ͵Δ;Ͷࣰस‫ޛ‬Ͷ఑ड़ͦͪ͠ϪϛʖφͶΓΕߨͮͪɽຌࣰसͺྡজ‫گ‬үΝΆͳΞʹण͜ͱ͏͵͏  ೧࣏ਫ਼Νଲেͳ͢ͱߨͮͱ͏ΖͪΌɼࡤ೧ౕͳಋ
༹ͶϪέϨΦʖεϥϱΏགྷղ‫ޤ‬೟ఈ੏ౕ͵ʹΝτʖϜͳͪ͢ɼ޳ߤͶ௜ં‫ؖ‬࿊͢͵͏໲ୌ఼Ͷ஥‫ͤء‬Ζήϩʖϕ͗ଡ͖ͮͪɽ઒໵՟ఖͶΉ͍ͫΉΕৰΗͱ͏͵͏࣎‫غ‬ͶຌࣙसΝߨ͑͞ͳͺɼୱͶήϩʖϕ಼Ͳ͹‫ڢ‬ಉࡠ‫ۂ‬Ν௪ͣͱ໲ୌ఼Νմ݀ͤΖ೵ྙΝ཈͑ͫ͜Ͳͺ͵͚ɼ޳ߤ‫ؖ‬࿊͹໲ୌͶपΚΗ͵͏෱߁͏ࢻ఼Ͳ߶ྺंͶ‫ر‬Εశ͏ɼਫ਼‫ͨ׈‬͹΍͹ΝΓΕྒྷ͏΍͹Ͷͪ͢͏ͳ͏
͑‫ͬ࣍ـ‬Νү΋ͪΌͶްՎదͲ͍Ζͳߡ͓Ζɽ㸺ᒸᒣ኱Ꮫ㸫㸲㸼ࡑ୒ʀ๜໲ࣅՌਏྏࣰसͲ͹ࣰस಼༲Νൕӫͪ͢εϝϣϪʖεϥϱ‫گ‬ү͹खૌͶͯ͏ͱ ੁຌ‫ ࢢڭ‬ɼ‫ٸ‬࿮୐໷ ɼ෤ీ޼໎ ɼ൩ీ੒್ ɼ‫۾‬໨୕஋ ɼછք५Ҳ ɼԮࢃ୉ָ୉ָӅҫࣅ༂ָ૱߻‫ڂݜ‬Ռ ҫྏ‫گ‬ү౹߻֋൅ιϱνʖ ࣅՌҫָ‫گ‬үրַ෨໵ɼ Ԯࢃ୉ָ୉

ָӅҫࣅ༂ָ૱߻‫ڂݜ‬Ռ ࣅՌຓ਴ʀಝพࢩԋࣅָ෾໼ɼ Ԯࢃ୉ָබӅ ૱߻ࣅՌɼ Ԯࢃ୉ָࣅָ෨‫گ‬ແҗҽճ ྡজࣰसࣰࢬ෨ճʤּ޳ߤ࠸‫֐ݒ‬Ռָ෾໼ʥɼ Ԯࢃ୉ָ୉ָӅҫࣅ༂ָ૱߻‫ڂݜ‬Ռ ΢ϱϕϧϱφ࠸ਫ਼ึ௴ָ෾໼ɼ Ԯࢃ୉ָࣅָ෨ௗʥ Ԯࢃ୉ָࣅָ෨Ͳͺฑ੔  ೧ౕΓΕɼʰช෨Ռָ঴ ՟ୌմ݀‫ౕ߶ܗ‬ҫྏਕࡒ཈੔ϕϫήϧϞʱ͹Ծɼࡑ୒ʀ๜໲ࣅՌਏྏࣰसΝߨͮͱ͕Εɼͨ͹ࣆ઴‫گ‬үͳ͢ͱགྷղ‫ंྺ߶ޤ‬Νໝͪ͢εϝϣϪʖνʖΝཤ༽ͪ͢εϝϣϪʖεϥϱࣰसΝߨͮͱ͏ΖɽεϝϣϪʖεϥϱࣰसͲͺࡑ୒‫ڧ؂‬ԾΝ૟ఈ͢ɼ֐པਏྏ͹Γ͑͵੖ͮͪઅඍ͹͵͏஦ͲɼࣅՌҫࢥͳ͢ͱ͏͖ͶଲԢͲ͘Ζ͖Νߡ͓ͦ͠ɼ߶ྺंɼགྷղ‫ंޤ‬Νଲেͳͪ͢ࣅՌҫྏ͹எࣟʀٗ೵ʀସౕΝसಚͤΖ͞ͳΝ໪దͳ͢ͱ͏Ζɽ ࡑ୒ʀ๜໲ࣅՌਏྏࣰसͲͺɼࢨ಍ҫͳ͵ΖஏҮ͹බӅ͕Γ;֋‫ࣅۂ‬ՌҫӅ͹ࣅՌҫࢥΝྡজߪࢥͳ͢ͱ೜ໍ͢ɼ ೧࣏͹ྡজࣰसਫ਼Ν๜໲ࣅՌਏྏͶಋߨͦ͠ɼࡑ୒ʀ๜໲ࣅՌਏ
ྏ͹ղঁΉͪͺ‫خ‬ຌద͵ࣅՌॴ஖Ν‫͏ͱͦ͠ݩܨ‬Ζɽ๜໲઎Ͳ͹ॴ஖಼༲ͺɼ޳ߤίΠɼٝࣅ͹௒੖͗୉ൔΝઐΌͱ͕Εɼ͞ΗΝण͜ͱεϝϣϪʖεϥϱࣰसͲͺɼ๜໲઎ͲࣰભͲ͘ΖΓ͑͵಼༲ͶεψϨΨΝઅఈ͢ɼࡑ୒ࣅՌਏྏ͹‫ݳ‬৖Ν΢ϟʖζͦ͠Ζ͞ͳͲྡজࣰस͗ΓΕްՎదͶ͵ΖΓ͑րรΝߨͮͪɽ๜໲઎Ͳͺɼ๜໲ࣅՌਏྏͶ͕͜Ζ໲ୌ఼Νָਫ਼ࣙਐͶபड़ͦ͠ɼࣰस‫ޛ‬͹ࢨ಍ҫͳ͹υΡηΩρεϥϱͲͺɼմ݀๏๑Ͷͯ͏ͱ਄͚۹ΕԾ͝Ζ͞ͳͶ఼॑Ν஖͏ͪɽࣰस‫ޛ‬ͺࡑ୒ʀ๜໲ࣅՌਏྏ‫گ‬үεϱϛζΤϞΝ֋࠷͢ɼ৾ΕศΕָसΝߨͮͪɽฑ੔  ೧ౕ͹ࡑ୒ʀ๜໲ࣅՌਏྏࣰस͹ࣰ੹ͺɼࢂՅָਫ਼ਕ਼ͺ  ໌ʤྡজࣰसਫ਼સҽʥɼָਫ਼  ਕ͍ͪΕ͹๜໲਼ೖ਼ͺ  ೖɼָਫ਼  ਕ͍ͪΕ͹ฑ‫ۋ‬๜໲ࢬઅʀՊఋ਼ͺ  ࢬઅɼָਫ਼  ਕ͍ͪΕ͹ฑ‫ۋ‬঳ྭ਼ͺ  ঳ྭͲ͍Εɼࣙ‫ˍ ݩ‬ɼղঁ ˍɼ‫͍ͮͲˍ ָݡ‬ͪɽΆͳΞʹ͹ָਫ਼͗੷‫ۅ‬దͶࣰसͶखΕૌΊɼࢨ಍ҫͳ೦ৼͶυΡηΩρεϥϱΝߨͮͱ͕ΕɼεϝϣϪʖεϥϱࣰसͶͯ͏ͱͺɼʰໃཀྵ͵ࢡ੐Ͳ͹࣑ྏ͗͏͖Ͷࠖೋ͖Κ͖ͮͪʱ౵ɼ
ࣰࡏͶ‫ͤݩܨ‬Ζ͞ͳ͹॑གྷ੓ΝࣖࠨͤΖқ‫͗ݡ‬ଡ͚‫ݡ‬ण͜ΔΗͪɽ ࡑ୒ʀ๜໲ࣅՌਏྏࣰसͺɼ୉ָබӅ಼͹ྡজࣰस͹ΊͲͺଲԢͲ͘͵͏ࡑ୒ࣅՌҫྏͶ‫ͤؖ‬Ζ‫گ‬үͲ͍ΕɼஏҮ͹ҫྏ‫ͳؖؽ‬࿊‫Ͳͳ͑͞ߨͱ͢ܠ‬ɼްՎద͵‫گ‬үΝ఑‫͏ͱ͘Ͳڛ‬Ζ
ͳߡ͓ΔΗΖɽࠕ‫ޛ‬ͺɼ๜໲ਏྏ͹‫ݳ‬৖ͶΓΕۛ͏‫ڧ؂‬અఈΝ͓ͪ͑͢ͲεϝϣϪʖεϥϱࣰसΝߨ͏ɼ‫ݳ‬৖Ͷͱన઀͵ଲԢ͗Ͳ͘ΖΓ͑Ͷ͢ͱ͏͚ͳͳ΍Ͷɼָਫ਼Δ͹ଖ‫ޛ‬͹߶ྺंࣅՌ
ҫྏ΃͹खΕૌΊͶʹ͹Γ͑ͶӪ‫͖ͪ͢ڻ‬Ͷͯ͏ͱ΍‫͏ͪ͢ৄݗ‬ɽ㸺஑ᕞ኱Ꮫ㸼۟य୉ָࣅָ෨͹खૌͶͯ͏ͱ बढ़‫ؽߤ޳غ‬೵؇ཀྵ͹ਏྏʀ‫گ‬үର੏͹ैࣰԿͶ޴͜ͱࢃశ५Ҳ ɼന࡜੘ඛ ɼ࿪ీচ‫ ٳ‬ʤ ۟य୉ָබӅ ޳ߤ૱߻ਏྏՌɼ ߶ྺंࣅՌʀસਐ؇ཀྵࣅՌָߪ࠴ʥ

 ࡤࠕɼຌ๞͹‫ٺ‬ଐ͵௔߶ྺऀճ΃͹਒ఴͶ൒ͮͱɼଡ࣮‫׳‬ɼଡ্֒Ν์͓ͪ‫͢ଁٺ͗ं׳‬ɼࣅՌҫྏ͗Ϗϧξ΢Ϟεϓφ͢ͱ͏Ζɽ޳ߤίΠΝ஦ৼͳͪ͢ʰ߶ྺं‫ܗ‬ʱͳ‫ͻݼ‬ΗΖࣅՌ࣑ྏ͹॑གྷ੓͗ଁ͢ɼ߶ౕ‫ٺ‬੓‫غ‬බӅͲ͍Ζ۟य୉ָබӅͲ΍बढ़‫ं׳غ‬͹ 42/ ͹ң࣍͗खΕૌ΋΄͘୉͘͵՟ୌ͹ҲͯͲ͍Ζɽۛ೧ɼ͗Ξ౵͹‫ं׳‬͹घढ़઴‫ޛ‬Ͷ޳ߤίΠΝߨ͑͞ͳͲɼ
‫ޣ‬ᅠ੓഑ԎΝͺͣΌͳͤΖढ़‫߻ޛ‬঳͹൅ਫ਼Ν༩๹ͤΖްՎ͍͗Ζ͞ͳ͗໎Δ͖Ͷ͵ͮͱ͘ͱ͕Εɼ౲ӅͲ΍बढ़‫ं׳غ‬͹ࣅՌਏྏର੏͹੖ඍΝ਒Όͱ͘ͱ͏Ζɽຌ൅නͲͺɼ‫ࡑݳ‬ɼ౲ӅࣅՌ෨໵͗खΕૌΞͲ͏Ζबढ़‫ं׳غ‬͹޳ߤ‫ؽ‬೵؇ཀྵ͹ਏྏର੏͕Γ;‫گ‬үʀ‫ݜ‬रର੏ࡠΕ͹֕གྷͶͯ͏ͱ়ղͪ͢͏ɽ ࣅՌ෨໵Ͳͺɼࣅָ‫ڂݜ‬Ӆ͹ཀྵ೨n2YHUDOO:HOOEHLQJWKURXJK2UDO+HDOWK|͹ྡজͶ͕͜ΖखૌΊͳ͢ͱɼҫָ෨ʀࣅָ෨෉଒බӅ͗౹߻ͪ͢  ೧Ґཔɼʰ޳ߤίΠࢩԋοʖϞʱΝ݃੔͢೘Ӆ‫ं׳‬ΝଲেͶ޳ߤίΠࢩԋΝߨͮͱͪ͘ɽ͠ΔͶ  ೧  ݆Ͷबढ़‫غ‬؇ཀྵ͹ҫՌࣅՌ͹࿊‫ک͗ܠ‬Կ͠Ηɼबढ़‫ं׳غ‬؇ཀྵ͹ްིԿʀ࠹నԿΝ໪దͶʰबढ़‫ࢩغ‬ԋιϱνʖʱͳ޳ߤ
ίΠͶಝԿͪ͢ʰबढ़‫ߤ޳غ‬ίΠιϱνʖʱ͗৿અ͠Ηͪɽ̏ɿਏྏର੏ बढ़‫ߤ޳غ‬ίΠιϱνʖͺࣅՌ෨໵સਏྏՌ͹ॄָదਏྏୱҒͳ͢ͱਏྏ‫׈‬ಊ͢ͱ͏Ζ͗ɼकͶ޳ߤ૱߻ਏྏՌͳસਐ؇ཀྵࣅՌ͹ࣅՌҫࢥʤࣰಉʁ઒೜  ໌ɼ‫݋‬೜  ໌ʥͳࣅՌӶਫ਼࢞ʤ໌ʥ͗୴౲͢ͱ͏Ζɽघढ़༩ఈ‫ं׳‬͹޳ߤ؇ཀྵͶͯ͏ͱͺɼຓ਴ढ़઴ਏࡱͶͱणਏͤΖबढ़‫غ‬ࢩԋιϱνʖΓΕ޳ߤίΠιϱνʖ΃ғབ͗೘Ζɽ ೧ౕ͹बढ़‫ؽߤ޳غ‬೵؇ཀྵғབ਼݇ͺ‫݇  ܯ‬༪ΕͲ͍Εɼͨ͹ଠͶबढ़‫ؽߤ޳غ‬೵؇ཀྵଲে֐‫ं׳‬͹޳ߤ؇ཀྵғབ΍સͱ୴౲
͢ͱ͏Ζɽ‫ࡑݳ‬ͺԿָྏ๑‫ं׳‬͹޳ߤ‫ؽ‬೵؇ཀྵର੏͹‫ک‬ԿΝਦͮͱ͏Ζɽ̐ɿ‫گ‬үର੏  ೧ౕΓΕࣅՌҫࢥྡজ‫ݜ‬रϕϫήϧϞͶबढ़‫ؽߤ޳غ‬೵؇ཀྵ‫ݜ‬रϤωρφΝૌΊࠒΊɼ޳ߤίΠιϱνʖ֐པ͕Γ;ҫՌබ౫Ͳ͹ྡজ‫ݜ‬रΝࣰࢬ͢ͱ͏Ζɽ޳ߤ૱߻ਏྏՌηνρϓ͗ࢨ಍Ν୴౲͢ͱͪ͗͘ɼ ೧ౕͺ߶ྺंࣅՌʀસਐ؇ཀྵࣅՌָߪ࠴ͳ࿊‫ܠ‬ΝखΕ͵͗Δࢨ
಍ର੏Ν͠ΔͶैࣰͦͪ͠ɽबढ़‫ؽߤ޳غ‬೵؇ཀྵͺɼʰસਐ؇ཀྵʱΏʰҫՌࣅՌ࿊‫ܠ‬ʱɼʰ߶ྺंࣅՌҫྏʱ͵ʹ͹ࠕ‫ޛ‬͹ࣅՌҫྏ͹ྡজΏਕࡒү੔Ͷ͕͏ͱචགྷ෈Նܿ͵Φριϱη͗ଡ͚‫؜‬ΉΗͱ͕Εɼ఼॑దͶखΕૌΞͲ͏͚΄͘ߴ໪͹ҲͯͲ͍Ζͳߡ͓ɼΓΕްՎద͵ਏྏ͵Δ;Ͷ‫گ‬үΝ఑‫͘Ͳڛ‬Ζର੏ࡠΕͶᬑ਒͢ͱ͏Ζͳ͞ΘͲ͍Ζɽ㸺㛗ᓮ኱Ꮫ㸼ௗ࡜୉ָࣅָ෨཯ౣࣅՌฯ݊ҫྏγϜʖηέʖϩๅࠄঘࢃવ࠺ ɼଡీߔߌ ɼ‫آ‬㟔ཀྵߔ ɼ㝜౽य़ߨ ɼֱ னٍ ɼᖔੋ ཾ ௗ࡜୉ָ ୉ָӅҫࣅ༂ָ૱߻‫ڂݜ‬Ռ޳ߤฯָ݊෾໼ɼ ࣅָ෨૱߻ࣅՌྡজ‫گ‬үָɼ ୉ָӅҫࣅ༂ָ૱߻‫ڂݜ‬Ռ޳ߤ΢ϱϕϧϱφָ෾໼ʀࣅָ෨ௗʥ

ʴ‫ܨ‬Ҥʵ‫ޔ‬ౣࢤͺௗ࡜ࢤ͹੤  ᶵԯɼ୉ঘ  ͹ౣʓ͖Δ͵Ζ཯ౣஏҮͲ͍Ζɽգ૆Կ͗਒
Ίɼ߶ྺंਕ޳ͺ ˍΝӿ͓ɼೖຌ͹߶ྺԿ͹າཔ଀͍͗Ζɽ͢͵͢͵͗Δɼҫྏղ‫ݱࣁޤ‬ͺ๝͖Ͳ͍ΕɼਏྏՌ໪Ώղ‫ࢬޤ‬અझྪพ͹਼ͺસࠅฑ‫ۋ‬Ν৏յͮͱ͕Εɼҫྏղ‫ޤ‬ෳࢳ͹࿊‫ܠ‬΍ືͶ੖ͮͱ͏Ζɽௗ࡜୉ָࣅָ෨ͺɼฑ੔  ೧ΓΕྡজࣰस͹චरΩϨΫϣϧϞͳ͢ͱ‫ޔ‬ౣࢤ಼͹ҫྏղ‫ޤ‬ෳࢳࢬઅΝ๜໲͢ɼղ‫ޤ‬͹ର‫ݩ‬ΏࣅՌਏྏึঁɼฯ݊ෳࢳࣆ‫΃ۂ‬͹ࢂՅ͵ʹɼର‫ܗݩ‬͹ҫྏฯ݊ෳࢳࣰसΝࣰࢬ͢ͱͪ͘ɽ
Ԯࢃ୉ָक‫ײ‬͹ࣅՌҫָ‫گ‬үրַࣆ‫ۂ‬͹‫༙ڠ‬ϕϫήϧϞͳ͢ͱɼըʓ͹཯ౣࣰस͹಼༲Ν੖ཀྵैࣰͦͪ͠ʰௗ࡜୉ָ཯ౣࣅՌฯ݊ҫྏγϜʖηέʖϩʱΝฑ੔  ೧ ೧ ೧ͳ֋࠷ͪ͢
͹ͲๅࠄͤΖɽʴ໪దͳࣰसϕϫήϧϞʵn༩๹|Ν஦ৼͳͪ͢޳ߤ‫ؽ‬೵؇ཀྵ͹ਏྏର‫ܧ‬͹Ϗϧξ΢Ϟεϓφ͗ࣅՌͶ‫ٽ‬ΌΔΗɼ͞Η͖Δ͹ࣅՌҫࢥͺɼਏྏ࣪Ν཯ΗɼԡਏਏྏΏஏҮใ‫ࢩׇ‬ԋͶ͕͜Ζ޳ߤōઃৱᅠԾίΠͲ͹ଡ৮झΏҲൢ͹๏ʓͳ‫͗͵͢ྙڢ‬Δ͹ஏҮ߫‫ऀ͚߁͗ݛ‬ճ͖Δ‫ٽ‬ΌΔΗ
ͱ͏ΖɽࣅՌ‫گ‬үͶ͕͏ͱͺɼ߶ྺं͹೟எ঳ίΠͶ‫ؖ‬ΚΖଡ༹͵ࢩԋंͳࢩԋ͹࢕ૌΊΝཀྵմ͢ɼ޳
ߤίΠʀઃৱᅠԾίΠ͹எࣟΏٗढ़Νɼ߶ྺंҲਕҲਕͶ‫ر‬Εశ͑ҫྏʀίΠͶত՜Ͳ͘ΖࣅՌҫΝүͱΖɼnৼ|͹‫گ‬ү͗෈ՆܿͲ͍Ζɽௗ࡜୉ָ཯ౣࣅՌฯ݊ҫྏγϜʖηέʖϩͲͺɼ ुؔɼ‫ޔ‬ౣࢤ಼Ͷ߻ॕ͢͵͗Δɼղ‫ޤ‬͹‫ݳ‬৖ʀߨ੕͹ෳࢳฯ݊ࣆ‫ۂ‬ʀஏҮࣅՌ‫׈‬ಊ͹  ͯ͹ϓΡʖϩχ͹ର‫ࣰܗݩ‬सΝ༽қͪ͢ɽ‫ٺ‬੓‫غ‬බ౫Ͷ࢟ΉΕɼղ‫ޤ‬ฯ‫ݧ‬ෳࢳࢬઅɼ௪ॶղ‫ࢬޤ‬અɼஏҮࣅՌ͹ԡਏΏ  ࣏཯ౣਏྏ‫ָݡ‬Ν‫ڮ‬ΊɼஏҮใ‫ࢩׇ‬ԋιϱνʖ͹ղ‫ޤ‬༩๹ࣆ‫ۂ‬Ώ߶ྺं୒๜໲ͳɼೖΝ௧͑ͶͯΗགྷղ‫ౕޤ‬͹॑͏ਕ͖Δܲ͏ਕͳ࣎ؔΝḬΖΓ͑Ͷητʖζ͹ҡ͵Ζ߶ྺंͳ΀Η͍͑ೖఖͳͪ͢ɽ༹ʓ͵ࢩԋंͳ͹ިླྀ͹࣎ؔ΍Α͚ͮΕઅ͜ɼ ुؔ͹ࣰसΝश͓ΖࠔͶͺɼࣅՌ͹ࢻ࠴Ν཯ΗɼஇฤͲͺ͵͚ɼҲਕҲਕ͹߶ྺं͹Ҳ‫۔‬͹ਕਫ਼͹࿑Ͷ૟͏͗޴͖͏ɼ߶ྺं͹ਫ਼‫׈‬Ͷ‫ر‬Εశ͓Ζҫྏंͳ͢ͱ͹nৼnΝָ΁͖ͮ͘͜ͳ͵ΖΓ͑Ͷഓྂͪ͢ɽ
ʴ݃Վʵฑ੔  ೧ʛ ೧͹  ೧ؔͶɼদ࿪୉ָɼԮࢃ୉ָɼ۟य୉ָɼௗ࡜୉ָ͹ ʛ ೧࣏͹ࣅָਫ਼Ԉ΄  ໌͗ࢂՅͪ͢ɽ୉ָ΍ָ೧΍ҡ͵Ζָਫ਼ͪͬ͗  ुؔɼ࣎ؔΝ‫༙͢ڠ‬ɼγϜʖηέʖϩΝ௪ͣͱࣅՌҫͳ͢ͱ͹ஏҮҫྏ΃͹‫ؖ‬ΚΕΝָरͪ͢ɽ
㸺㮵ඣᓥ኱Ꮫ㸼ࣝࣉౣ୉ָࣅָ෨͹खૌͶͯ͏ͱ‫ٸ‬࿮ਜ਼Ҳ ɼೈ ߄೯ ɼీ޳ଉ޼ ɼ੤ଞਜ਼޼ ɼੁӞ ߸ ɼঘনᖔ ‫ ۋ‬ʤࣝࣉౣ୉ָ୉ָӅҫࣅָ૱߻‫ڂݜ‬ՌࣅՌ‫ڴ‬ਜ਼ָ෾໼ɼ 伷߻‫ؽ‬೵ึ௴ָ෾໼ɼ ࣅՌҫָ‫گ‬үࣰભָ෾໼ɼ޳ߤּ‫ا‬໚ึ௴ָ෾໼ɼ ּ‫ا‬໚࣮‫׳‬੏‫ָޜ‬ɼ ޳ߤඏਫ਼෼ָʥ

͞ΗΉͲࣝࣉౣ୉ָࣅָ෨ͺɾຌϕϫήϧϞͶ‫ؖ‬࿊͢ͱɾᶅߪٝɾᶆεϝϣϪʖεϥϱʀ3%/ԍसɾᶇ߶ౕҫྏࢩԋʀबढ़‫ؽߤ޳غ‬೵؇ཀྵࣰसɾᶈࡑ୒ղ‫ޤ‬ʀ๜໲ࣅՌਏྏࢂՅ‫ྡ֐ָܗ‬জࣰसɾ͹֦྘ҮͲɾ‫گ‬үࣰࢬର੏͹ߑ஛͵Δ;ͶրવͶखૌΞͲͪ͘ɽᶅ ߪٝʁ
ຌϕϫήϧϞͳ࣎‫غ‬Νಋ͚ͣ͢ͱຌָͲߨͮͪΩϨΫϣϧϞրַͶ߻Κͦͱɼ͞ΗΉͲʰ‫ं׳‬ͳҫྏʱ͹Ҳ෨րฦʤฑ੔  ೧ౕʥɾʰϕϫϓΥρεϥψϨθϞᶙʱ͹৿‫ߪ֋و‬ʤฑ੔  ೧ౕʥɼʰαϝϣωίʖεϥϱָʱ͹৿‫ͳߪ֋و‬ʰஏҮʀ཯ౣࣅՌҫྏָʱ͹ैࣰʤฑ੔  ೧ౕʥΝߨͮͱͪ͘ɽࠕ‫ޛ‬΍਼Ռ໪͹৿‫ߪ֋و‬Ν༩ఈ͢ͱ͏ΖɽᶆεϝϣϪʖεϥϱʀ3%/ ԍसʁຌϕϫήϧϞͶΓΕഓ෾͠Ηͪ߶ྺंεϝϣϪʖνʖͶՅ͓ͱɾ๜໲ਏྏ༽ϛʖνϔϩϤωρ
φΝࣝࣉౣ୉ָබӅࣅՌਏྏ౫಼͹ԍस࣪Ͷ੖ඍ͢ɾགྷղ‫ंྺ߶ޤ‬ͶଲͤΖղঁ͕Γ;޳ߤίΠͶ‫ͤؖ‬Ζ 3%/ ‫ࣞܙ‬͹ࣰसΝɾฑ੔  ೧ౕྡজࣰसͲࢾ‫ݩ‬దͶ಍೘ͪ͢ɽฑ੔  ೧ౕྡজࣰस͖Δͺ̓ͯ͹ਏྏՌͲ୴౲ͤΖࣰसοʖϞΝཱིͬ৏͝ͱɾસྡজࣰसָਫ਼ΝଲেͶ
ࣰࢬͤΖର੏Νߑ஛ͪ͢ɽ
ᶇ߶ౕҫྏࢩԋʀबढ़‫ؽߤ޳غ‬೵؇ཀྵࣰसʁ
ҫՌබ౫΃͹ԡਏΝ޳ߤฯ݊Ռ͗୴౲ͤΖ৖߻Ͷɾྡজࣰस͹ָਫ਼Νಋߨͦ͠Ζ͞ͳͶΓΕຌࣰसΝ֋࢟ͪ͢ɽฑ੔  ೧ౕྡজࣰस͖Δͺɾ޳ߤฯ݊ՌΝ֐པणਏͤΖ೘Ӆ‫ं׳‬ΝଲেͶɾྡজࣰस͹સͱ͹ָਫ਼ΝଲেͶࣰࢬͪ͢ɽಋ࣎Ͷɾસͱ͹ָਫ਼͗ҫՌ΃͹ԡਏͶಋߨ͢ͱࣰसΝߨ͑ର੏͹ߑ஛Ν໪ࢨ͢ͱ͏Ζɽᶈࡑ୒ղ‫ޤ‬ʀ๜໲ࣅՌਏྏࢂՅ‫ྡ֐ָܗ‬জࣰसʁฑ੔  ೧ౕྡজࣰसΓΕʰ཯ౣҫྏࣰसʱΝ֋ߪ͢ͱɾҫָ෨͹ָਫ਼ͳͳ΍Ͷ཯ౣͶഁ‫ݥ‬͢ɾ཯ౣͶ͕͜Ζҫྏ‫ڧ؂‬Ώଡ৮झ࿊‫ܠ‬Νର‫͏ͱͦ͠ݩ‬ΖɽॊཔࢂՅਕ਼Ͷ੏‫͍͗ͪͮ͗ݸ‬ɼฑ੔  ೧ౕྡজࣰस͖Δͺ‫س‬๮ंસҽࣰ͗सͶࢂՅͲ͘Ζର੏ͳͪ͢ɽฑ੔  ೧ౕྡজࣰसΓΕ֋ߪͪ͢ʰஏҮࣅՌҫྏࣰसʱͲͺɾྡজࣰस͹ָਫ਼Νָ֐͹ࣰस‫ࢬྙڢ‬અͶഁ‫ݥ‬͢ͱɾஏҮͲ͹ҲൢࣅՌਏྏͶՅ͓ͱɾࡑ୒ਏྏΏࢬઅ๜໲ਏྏͶಋߨͦ͠ΖࣰसΝߨͮͱ͏
Ζɽฑ੔  ೧ౕྡজࣰस͖Δͺɾࡑ୒ਏྏΏࢬઅ๜໲ਏྏ͹༑઎దͶࣰࢬͪ͢ɽฑ੔ ೧ౕͶ֋ߪͪ͢ʰஏҮର‫ࣰݩ‬सʱͶ͕͏ͱͺɾ  ೧ਫ਼ΝଲেͶগཔ͹ҫྏंͳ͢ͱ͹αϝϣω
ίʖεϥϱ೵ྙ͹ᔽ཈ͳଠंཀྵմ͹॑གྷ੓Νरಚͦ͠Ζ໪దͲ༰கԄ͕Γ;߶ྺंࢬઅͲ͹ࣰसΝߨͮͱ͏Ζɽ㸺ᒾᡭ་⛉኱Ꮫ㸼‫آ‬घҫՌ୉ָࣅָ෨͹खૌͶͯ͏ͱʛ௔߶ྺऀճ͹ͪΌ͹࣏੊େࣅՌҫྏਕ཈੔ϕϫήϧϞ͹ߑ஛ʛ‫ ࢜଻ీۆ‬ɼ੶࡜ ໎ ɼࠦ౽࿪࿗ ɼ৕ ໞ࣑ ɼࢀӞ኏ߨ ‫آ‬घҫՌ୉ָ
ึ௴ʀ΢ϱϕϧϱφָߪ࠴ ึ௴ʀ΢ϱϕϧϱφָ෾໼ɼ ਫ਼Կָߪ࠴ ࡋ๖৚ๅՌָ෾໼ɼ

޳ߤฯ݊ү੔ָߪ࠴ ࣅՌ‫ڴ‬ਜ਼ָ෾໼ɼ ึ௴ʀ΢ϱϕϧϱφָߪ࠴ ઃৱᅠԾʀ޳ߤϨύϑϨτʖεϥϱָ෾໼ɼ ‫آ‬घҫՌ୉ָ ޳ߤҫָߪ࠴ ࣅՌҫָ‫گ‬үָ෾໼ʀ෯ָௗʀࣅָ෨ௗʥ ‫آ‬घҫՌ୉ָͲͺɼฑ੔̐̔೧ౕช෨Ռָ঴ޮูࣆ‫ۂ‬ʁ՟ୌմ݀‫ౕ߶ܗ‬ҫྏਕ཈੔ϕϫήϧϞʰ݊߃ௗथऀճ͹ࣰ‫ݳ‬Ͷ߫‫ͤݛ‬ΖࣅՌҫྏਕ཈੔ʱࡀ୔՟ୌʰ݊߃ௗथऀճΝ୴͑ࣅՌҫָ‫گ‬үրַ ࢰਫ਼ָΏஏҮใ‫ׇ‬ίΠϠυϩΝ಍೘ͪ͢ҫՌࣅՌ࿊‫گܠ‬үର੏͹ߑ஛ ʱ͹͵͖Ͳɼʰ೘Ӆ࣎ʀࡄ
֒࣎͹ϗρχγ΢χͶ͕͜Ζৱࢩԋͳ޳ߤίΠࣰसʱΝࣰࢬ͢ͱ͏ΖɽຌࣰसͲͺ̒ͯ͹મ୔੏αʖηʤ֦αʖηΝ̏ୱҒͳͤΖʥΝ‫آ‬घҫՌ୉ָ୉ָӅࣅָ‫ڂݜ‬Ռ͹̐ʛ̑೧࣏Ͳསरͦ͠ͱ͏Ζɽ͞ΗΔ͹̒ͯ͹αʖηͺ   ӭ཈γϛʖφοʖϞʤ167ʥ
ʀ؉࿪ίΠࣰस   ઃৱᅠԾϨύϑϨτʖεϥϱʀ޳ߤίΠࣰस   ࡑ୒ղ‫ޤ‬ʀ๜໲ࣅՌਏྏࣰस   අࡄஏ޳ߤίΠʀৱࢩԋࣰस Ͷ෾͖Ηͱ͏Ζɽ ࠕյ͹࿊‫ܠ‬εϱϛζΤϞͲͺɼ  ઃৱᅠԾϨύϑϨτʖεϥϱʀ޳ߤίΠࣰसͶͯ͏ͱɼըʓ͗
͞ΗΉͲͶࣰࢬͪ͢ಋࣰस͹಼༲ͳ͞ΗΉͲ͹੔ՎͶͯ͏ͱๅࠄͪ͢͏ɽ ຌࣰस͹Ҳൢ໪ඬͳ͢ͱʰʲӁΊࠒΊʳΉͲ͹ਏࡱʀ࣑ྏΝߨ͑͞ͳ͗Ͳ͘ΖࣅՌҫࢥ͹ү੔ʱΝ‫͕ͱ͝ܟ‬Εɼͨ͹౺ୣ໪ඬͳ͢ͱ࣏͹̓ߴ໪Νઅఈͪ͢ɽ ௔߶ྺऀճ͹‫ݳ‬য়ʤ߶ྺं͹ࣅՌणਏིɼ‫ٺ‬੓‫غ‬බӅͶ͕͜ΖઃৱᅠԾϨύϑϨτʖεϥϱ͹‫ݳ‬য়ɼགྷղ‫͵ͳޤ‬Ζ‫ݬ‬Ҿ౵ʥΝஎΖɽ ؈ҝᅠԾ‫ؽ‬೵‫͘Ͳ͗ࠬݗ‬Ζɽ ಼ࢻ‫ں‬Ν༽͏ͱᅠԾ‫ؽ‬೵Ν੠ࠬͲ͘Ζɽ ઃৱᅠԾϨύϑϨτʖεϥϱ͹‫ܯ‬ժཱིҌ͕Γ;֦झ‫܉‬࿇͗Ͳ͘Ζɽ གྷղ‫ंޤ‬ͶଲͤΖ޳ߤίΠΝࢨ಍Ͳ͘Ζɽ ͞ΗΉͲͶɼฑ੔̐̔೧ౕͲφϧ΢ΠϩࣰसΝࣰࢬ͢ɼຌࣰस΃͹६ඍΝ॑͸ͱͪ͘ͳ͞ΘͲ͍
Ζ͗ɼͨ͹‫ݜ‬र಼༲ͺɼᶅϕϪΠϱίʖφʀτηφᶆ ࣆ઴ߪٝʤࣰसͶ઎ͫͮͱຌαʖη͹֕གྷͳ໪దͶͯ͏ͱմઈͤΖʥ͕Γ;ߪٝɼᶇ؈ҝᅠԾ‫ؽ‬೵‫ࠬݗ‬͹૮‫ࣰޕ‬सɼᶈಊժΝ༽͏ͱ͹ᅠԾଆӪ‫ࠬݗ‬ಣӪࣰसɼᶉϫϚρφͶଲͤΖᅠԾ಼ࢻ‫ࣰࠬݗں‬स͕Γ;૮‫ࣰޕ‬सɼᶊ՟ୌ঳ྭΝ༽͏ͪઃৱ
ᅠԾϨύϑϨτʖεϥϱ͹‫ܯ‬ժཱིҌ͕Γ;ࣰसɼᶋϫϚρφͶଲͤΖᅠԾ‫܉‬࿇ɼ޳ߤίΠɼऄҞࢢͳϤωρφ͹Ң৒ղঁ͕Γ;૮‫ࣰޕ‬सɼᶌϛηφΠϱίʖφʀτηφͳͪ͢ɽΠϱίʖφʀτηφ͹݃ՎͲͺɼઃৱᅠԾ্֒Ͷଲ͢ͱɼࣅՌ͗ଡ৮झͳ࿊‫͗͵͢ܠ‬Δ‫ؖ‬ΚΖචགྷ੓Ν‫͕ͱͣ״‬ΕɼઃৱᅠԾ্֒‫ं׳‬ͶଲͤΖસਐয়ସ͹ਏࡱ๑ɼηέϨʖωϱήτηφΏᅠԾ಼ࢻ‫ࠬݗں‬ͶଲͤΖཀྵմͺఁ͏ͳ೟ࣟ͢ͱ͏Ζ΍͹͗ଡ͖ͮͪɽΉͪɼߪٝʀࣰस‫Ͳޛ‬ͺɼΠϱίʖφʀτηφͳ΍Ͷཀྵմ
ౕ͗৏͗Ζܑ޴͗ΊΔΗͪ͗ɼਏஇΝԾͤ෨෾Ͷ‫ͱؖ͢‬ͺɼ෈҈Ν์͏ͱ͕Εɼཀྵմౕ΍ॉ෾ͳͺ‫݃͏͵͓ݶ‬ՎͲ͍ͮͪɽࠕ‫ޛ‬͹ຌࣰस͹๏޴੓Νߡ͓ΖͶ͍ͪΕɼࣰसͶΓΖ͞ΗΔ͹௒ࠬ݃ՎΝ‫͗͵͖͢׈‬ΔɼຌࣰसϕϫήϧϞΝਕࡒү੔Ͷ‫͏ͪ͘͏ͱ͝ܪ‬ɽ㸺᪥ᮏ኱Ꮫ㸼ೖຌ୉ָ୉ָࣅָ෨͹ଖ઴‫گ‬үͶଲͤΖखΕૌΊͶͯ͏ͱʤ୊̐ๅʥ
Ѫ෨ਖࢢೖຌ୉ָ ࣅָ෨ ઃৱ‫ؽ‬೵ྏ๑ָߪ࠴ ޳ߤ݊߃Ռָ෾໼ ೖຌ୉ָࣅָ෨ઃৱ‫ؽ‬೵ྏ๑ָߪ࠴Ͳͺɾฑ੔̐̒೧ౕΓΕ୊ָ̔೧Νଲেͳ͢ͱ૮‫ࣰޕ‬स͵ʹ͹‫ࣰેخ‬सͳබ౫‫ָݡ‬౵͹ྡজࣰसΝ಍೘͢ͱ͏Ζɽฑ੔̐̔೧ౕͶͺɾઃৱ‫ؽ‬೵ྏ๑ָͶՅ͓ͱ߶ྺंࣅՌָ͹ࣰस಼༲Ν৿ͪͶૌΊࠒΊɾࡑ୒ਏྏΝ‫؜‬΋ࣰࡏ͹ྡজͶଊ಼ͪ͢༲ΝखΕ೘ΗࣰͪसΝ಍೘ͪ͢ɽࣰस಼༲ͺɾ୊ָ̔೧઴‫غ‬͹݆͖̒Δ݆̕Ͷ͖͜ͱु յ͹‫ࣰેخ‬सͳु̐յ͹ྡজࣰसͲ͍Ζɽ‫ࣰેخ‬स͹಼༲ͺɾઃৱ‫ؽ‬೵্֒‫ं׳‬Ν૟ఈͪ͢ᶅ޳ߤίΠᶆᅠԾؔં‫܉‬࿇ͳઃৱᅠԾηέϨʖωϱή‫ࠬݗ‬ᶇᅠԾଆӪ‫ͳࠬݗ‬ᅠԾ಼ࢻ‫ࠬݗں‬ͶΓΖઃৱᅠԾ‫ؽ‬೵͹ժ଀ਏஇ͹૮‫ࣰޕ‬सͳɾᶈଡ৮झ࿊‫ܠ‬ΏҥᚊͶ‫ؖ‬ΚΖ՟ୌͶΓΖ .- ๑ᶉࡑ୒ྏ཈஦༙බ߶ྺं͹ּࣅໝ‫ͳܗ‬঳ྭ͹఑ࣖͶΓΖ࣑ྏ‫ܯ‬ժ͹ཱིҌͶΓΖָਫ਼ಋ࢞͹ήϩʖϕυΡηΩρεϥϱᶊ26&( ‫ࣞܙ‬ͶΓΖࣰसࢾ‫͍Ͳݩ‬Ζɽ͠ΔͶฑ੔̐̕೧ౕͶͺɾࡑ୒ྏ཈஦͹༙බ߶ྺं͹޳ߤ಼Ν࠸‫ࣅּͪ͢ݳ‬ໝ‫ܗ‬Ν֋൅͢ɾ‫ࣰેخ‬सͶ͕͏ͱ͞͹ּࣅໝ‫ܗ‬Ν΍ͳͶͪ͢঳ྭ͹఑ࣖʀ࣑ྏ‫ܯ‬ժ͹ཱིҌͳϕϪκϱτʖεϥϱΝɾΉͪɾࣰस಼༲͹ϓΡʖχώρέͳ͢ͱ 26&( ‫ࣞܙ‬͹ࣰसࢾ‫ݩ‬Νࣰࢬͪ͢ɽΉͪɾฑ੔̗̐೧ౕͺɾຌָͶࡑ୒ਏྏ‫گ‬ү༽߶ྺंεϣϝϪʖνʤ'50202ʥ͗಍೘͠Ηɾ26&( ‫ࣞܙ‬͹ࣰसࢾ‫΃ݩ‬͹‫༽׈‬Ώɾԍस໲ୌ͹ࡠ੔౵Ͷ‫ͪ͢༽׈‬ɽҲ๏ɾु̐յ͹ྡজࣰसͺྭ೧௪Ε͹ର੏Ͳࣰࢬ͢ɾ֐
པਏྏͶՅ͓ͱ࿊‫ͤܠ‬Ζೖຌ୉ָබӅ΃͹බ౫ਏྏɾ‫୒ڋ‬Ώࢬઅ΃͹๜໲ਏྏͶಋߨ͢ͱ΍Δ͏ɾࣰࡏ͹ਏྏΝ‫ͳָ͍ͪ͢ݡ‬ήϩʖϕͲ͹޳ಆࢾ໲ͳϓΡʖχώρέΝߨͮͪɽ͠ΔͶࠕ೧ౕͺɾࠕ‫ޛ‬͹՟ୌͲ͍ΖʰοʖϞҫྏʀஏҮҫྏʱ͹ຌָͲ͹ྡজࣰस΃͹಍೘ʀ੖ඍ
Ͷ޴͜ͱɾਏྏࢨ಍ҫΝଲেͳͪ͢ɾΩϨΫϣϧϞ͹รߍΝ‫؜‬Όͪ۫ରద͵՟ୌΝ‫ݗ‬౾ͤΖ‫ݜ‬रճΝࣰࢬͪ͢ɽ‫ݜ‬रճͲͺ‫خ‬௒ߪԍ͹௎ߪΏήϩʖϕϝΡʖτΡϱήΝߨ͏ɾྡজࣰस
಼༲͹಍೘ʀ੖ඍͶͯ͏ͱ‫ݗ‬౾ͪ͢ɽ‫ࡑݳ‬ɾ๜໲ࣅՌਏྏΝ‫؜‬΋ஏҮҫྏʀฯ݊ΏஏҮใ‫ׇ‬ίΠεητϞΏɾබਏ࿊‫ܠ‬ʀබබ࿊‫͕ܠ‬Γ;ଡ৮झ࿊‫ܠ‬ͶΓΖοʖϞҫྏΝྡজࣰसͲ‫ݩܨ‬
ͤΖ‫ؽ‬ճͺɾ౲Ռ͹ु̐յ͹ྡজࣰसͶ͕͏ͱ͹ΊͲ͍Εɾਏྏ͹਼࣎ؔΏ‫਼ं׳‬Ͷ‫ݸ‬Ε͍͗ΖͪΌસͱ͹ָਫ਼͗‫ͤݩܨ‬Ζ͞ͳ͗Ͳ͘͵͏য়ସͲ͍Ζɽ‫ݜ‬रճΝ௪ͣͱྡজࣰसͳ͢ͱ
͹ΩϨΫϣϧϞΝ੖ඍͤΖͶͺɾ֦ਏྏՌࢨ಍ҫ͹ཀྵմͳઅඍΏ‫گ‬ҽ͹ഓ஖౵͹՟ୌ͗ࢃ੷
͢ͱ͏Ζ͞ͳ͗໎Δ͖Ͷ͵ͮͪ͗ɾ౲Ռͫ͜Ͳ͵͚ͨ͹ଠ͹ਏྏՌ΍‫؜‬Όͱ͞͹՟ୌͶͯ͏ͱ‫ݗ‬౾ͤΖ͞ͳͺࠕ‫ޛ‬͹ࣅՌ‫گ‬ү͹ैࣰͶචਤͲ͍Ζɽ͞ΗΔ͹खΕૌΊͺɾऀճͶචགྷͳ͠ΗΖஏҮҫྏͶ߫‫͘Ͳݛ‬ΖࣅՌҫࢥ͹ү੔Ν໪దͳͪ͢ऀճ͹ωʖθͶ߻Κͦͪଖ઴‫گ‬ү͹րַͶ୉͚͘‫ر‬༫ͤΖ΍͹ͳߡ͓ΔΗΖɽ㸺᫛࿴኱Ꮫ㸼ҫָʀࣅָʀ༂ָʀ؅‫ޤ‬ʀཀྵָʀࡠ‫ָۂ‬Ռ࿊‫ܠ‬බ౫ࣰसΝ௪͢ͱদ࿪୉ָ͹ࣅָ෨ָਫ਼͗ਐͶͯͪ͜͞ͳ
ฤԮཿଢদ࿪୉ָ ࣅָ෨ ηϘεϡϩωʖθ޳ߤҫָߪ࠴ ࣅָ‫گ‬ү෨໵ʥʴഐ‫ܢ‬ʵຌָͲͺ௔߶ྺऀճ͹౺པͶඍ͓ͱસਐͳ‫ؖ‬࿊Ͱ͜ͱ޳ߤΝਏΖ͞ͳ͗Ͳ͘ɼ‫׳࣮ેخ‬Ν༙ͤΖ‫ं׳‬͹ࣅՌ࣑ྏΝ҈સͶߨ͓ΖࣅՌҫࢥΝ཈੔ͤΖ͞ͳΝ໪దͳ͢ͱʰ௔߶ྺऀճͶଲԢͲ͘ΖࣅՌҫࢥ͹཈੔ʱͶखΕૌΞͲ͏Ζɽ‫آ‬घҫՌ୉ָɼ๼քಕҫྏ୉ָͳ࿊‫֋ͱ͢ܠ‬൅ͪ͢ ,7 ‫ࡒگ‬Νɼຌָ͹  ೧ਫ਼͖Δ  ೧ؔචरद‫ۂ‬͹஦Ͳ‫͏ͱ͢༽׈‬Ζɽ,7 ‫ָͲࡒگ‬Ξͫ‫ેخ‬எࣟΏྡজਬ࿨೵ྙ͵ʹΝ‫خ‬൭ͳ͢ͱɼஏҮҫྏΏଡ৮झ࿊‫ܠ‬Ν‫؜‬΋ྡজࣰस͹஦Ͳͨ͹எࣟΏ೵ྙ͹‫༽׈‬Νߨͮͱ͏Ζɽʴ໪దʵ ࣅָ෨ͳҫָ෨ʀ༂ָ෨͹  ೧ਫ਼͕Γ;ฯ݊ҫྏָ෨  ೧ਫ਼͖Δ͵Ζ  ໌͹ָ෨ࠠ੔͹ָਫ਼οʖϞ͗ɼҫՌ͹֦බ౫Ͳ  ໌͹‫ं׳‬Ν  ೖؔ୴౲ͤΖָ෨࿊‫ܠ‬බ౫ࣰसͶ͕͏ͱࣅָ෨͹ָਫ਼͗ՁΝਐͶ͖ͯͪ͜‫ݗ‬౾Νߨͮͪɽ
ʴ๏๑ʵ ฑ੔  ೧ౕࣅָ෨  ೧ਫ਼͗ࢂՅͪ͢  ೖؔ͹ָ෨࿊‫ܠ‬බ౫ࣰसͶ͕͏ͱɼ̏ʥ‫ं׳‬৚ๅΝָਫ਼ήϩ
ʖϕ͗फॄɼ̐ɿϕϫϔϪϞϜρϕͳ͏͑‫༙͢ڠͲܙ‬ɼ໲ୌ఼Ν໎Δ͖Ͷͪ͢৏Ͳ༑઎ॳҒΝ݀ఈɼ̑ɿ࣑ྏίΠϕϧϱΝཱིҌɼ̒ɿҫྏηνρϓͶ࣑ྏίΠϕϧϱΝๅࠄɼ͹ϕϫιηͲਐͶͯͪ͜ࣆΝ
մੵͤΖͪΌͶɼָਫ਼͗఑ड़ͪ͢ʰ޳ߤΠιηϟϱφεʖφʱʰ޳ߤίΠ‫ܯ‬ժॽʱʰබӅࣰसϪϛʖφʱʰ΀Ε͖͓Εεʖφʱʰ੔ௗๅࠄॽʱ͕Γ;ҫྏηνρϓͶଲͤΖʰ൅න༽ηϧ΢χʱΝ࣯దͶմੵ͢
ͪɽ
ʴ݃Վʵ
ָ෨࿊‫ܠ‬බ౫ࣰसΝ௪͢ͱਐͶͯͪ͜͞ͳͳ͢ͱɼ
ʰસਐয়ସɼ঳য়͹‫ݬ‬ҾΝߡ͓ɼ‫ݬ‬Ҿ࣮‫׳‬Νրવͤ
ΖͪΌ͹࣑ྏʀίΠϕϧϱΝοʖϞͲߡ͓Ζࣆ͗Ͳͪ͘ʱ
ʰࣰࡏ͹ৱࣆΝ‫ָͤݡ‬Ζ͞ͳͲৱࣆ‫ܙ‬ସɼϨύϑϨ๏๑ΝཱིҌͤΖ͞ͳ͗Ͳͪ͘ʱ
ʰ౸೚බ͹঳য়ɼ߳ѻ༂ͳਯເ༂͹෯ࡠ༽ͳ͢ͱɼ޳‫͍͗׉‬Ζࣆ
Νઈ໎ͪ͢ʱʰ޳ߤ‫ף‬૫ͺ್࣏‫״‬ઝϨηέͲ͍Ζ͞ͳΝઈ໎͢ɼӁਭͳ޳ߤ೬ຜ͹ฯ࣬ίΠ࣑͗ྏʀίΠϕϧϱͳ͢ͱࡀ༽͠Ηͪʱ͵ʹʰ઒໵Ν‫ྏ࣑͖ͪ͢׈‬ʀίΠϕϧϱΝୂӅ‫ޛ‬΍૟ఈ͢ͱࡠ੔Ͳͪ͘ʱ
ʰοʖϞҫྏ͹༙༽੓ͳοʖϞҫྏͶ͕͜ΖࣅՌҫࢥ͹ༀׄΝཀྵմͲͪ͘ʱ
ʰસਐয়ସͳ޳ߤ಼͹য়ସΝߡྂ͢͵͗Δ࣑ྏ‫ܯ‬ժΝཱིҌͤΖ͞ͳ͹॑གྷ੓ΝָΞͫʱͳ͏಼͑༲͗߶ළౕͲ೟ΌΔΗͪɽʴߡࡱʵຌ  ೧ਫ਼ͺබ౫ࣰसͶΓΕɼɾ ೧ਫ਼Ͳ Hϧʖωϱή͵ʹ͹ ,7 ‫ࡒگ‬Ν௪ͣͱָΞͫ޳ߤ‫ף‬૫ɼοʖϞҫྏɼસਐ࣮‫ߤ޳ͳ׳‬͹‫ؖ‬࿊Ͷͯ͏ͱ͹எࣟΝԢ༽͢ɼଠָ෨ָਫ਼ͳ‫ڢ‬ಉ͢ͱʰસਐͳ‫ؖ‬࿊Ͱ͜ͱ޳ߤ
ΝਏΖ͞ͳ͗Ͳ͘Ζʱʰ‫׳࣮ેخ‬Ν༙ͤΖ‫ं׳‬͹ࣅՌਏྏΝଡ৮झͳ࿊‫҈ͱ͢ܠ‬સͶߨ͓Ζʱͳ͏͑ ͯ͹໪ඬΝָਫ਼͗ਐͶͯͪ͜͞ͳΝ֮೟Ͳͪ͘ɽ

㸺රᗜ་⛉኱Ꮫ㸼ฎ‫ށ‬ҫՌ୉ָࣅՌ޳ߤ֐Ռָߪ࠴Ͳ͹৿ͪ͵ଖ‫گޛ‬үʛҫՌʀࣅՌ߻ಋϓϪ΢ϩ௒ࠬΝ௪ͣͱnৱ΄ΔΗΖ޳Ν &5($7(|ΝࣰભͤΖྙΝ཈͑ʛෲ෨༺Ҳ ɼຉҬઑऴ ɼੁీӵ೯ ɼ஦ଞ༠‫ ހ‬ɼ໼޳Ҳഇ ɼ‫؝‬ຌ༡ै ʤฎ‫ށ‬ҫՌ୉ָࣅՌ޳ߤ֐Ռָߪ࠴ɼ ࣅՌ޳ߤ֐Ռʥ ฎ‫ށ‬ҫՌ୉ָࣅՌ޳ߤ֐Ռָߪ࠴Ͳͺɾຌ಼ָՌָ૱߻ਏྏՌΝ஦ৼͳ͢ɾฎ‫ށ‬ҫྏ୉ָ΍‫؜‬Όͪଡ෨ॼͳ࿊‫͢ܠ‬ɾฎ‫ݟށ‬୰ഀ‫ݏ‬Үࡑे߶ྺंͶ͕͜ΖϓϪ΢ϩͶ‫ͤؖ‬ΖҫՌʀࣅՌ߻ಋ௒ࠬΝࣰࢬ͢ͱ͏
Ζɿ୉ָͲͺ࣮‫׳‬Ν์͓ͪn‫|ं׳‬Νnਏࡱ|ͤΖ͞ͳ͗ଡ͏͹Ͷଲ͢ͱɾ౲௒ࠬͺଲেं͗nஏҮ͹߶ྺ
ं|Ͳ͍Εɾ͑ͪ͢͞๏ʓͶ‫ͤؖ‬ΖસਐΏ޳ߤ͹য়ସΝஎΖ‫ؽ‬ճͺɾ౲௒ࠬͶࢂՅ͢ͱ͏Ζ‫ݜ‬रҫΏϪζυϱφ ‫ݜغޛ‬रҫ Ͷͳͮͱɾ୉ร‫͍Ͳ॑ي‬Ζɿ͵͕ɾ౲௒ࠬ͹֕གྷͺҐԾ͹௪ΕͲ͍Ζɿฎ‫ݟށ‬୰ഀ‫ݏ‬ҮͶࡑे͹ཱིࣙͪ͢߶ྺं  ࡂҐ৏ ΝଲেͶɾ಼Ռָ૱߻ਏྏՌͺਐର‫ܯ‬଎ ରૌ੔෾ੵͶΓΖࠐ֪‫ྖ۔‬Ώରࢹ๳ྖ͵ʹ͹଎ఈ ͵Δ;Ͷਐର‫ؽ‬೵඲Ճ Ѵྙɾิߨଐౕ͹଎ఈɾνϱυϞτηφ͵ʹ ΝɾࣅՌ޳ߤ֐ՌͺࣅՌ‫ݗ‬ਏ͵Δ;Ͷ޳ߤӶਫ਼‫ڧ؂‬ɾ޳ߤ‫ؽ‬೵͹඲ՃΝࣰࢬ͢ͱ͏ΖɿΉͪɾϓϪ΢ϩͶͯ͏ͱ֦ࢂՅंͶ޲ਫ਼࿓ಉ঴͹‫خ‬ຌοΥρέϨηφ સ  ߴ໪ Ͷյ౶ͦ͠ͱ͏Ζɿ඲Ճߴ໪ͺɾ࢔ଚࣅ਼ͳٝࣅ͹࢘༽য়‫ڱ‬ɾ޳ߤӶਫ਼য়ସɾ޳ߤ‫ף‬૫য়ସ ޳ߤਭ෾‫ܯ‬ϞʖΩηʥɾઋഐ͹ࡋۗྖ
ࡋۗΩΤϱν ɾઋѻ -06 ઋѻ଎ఈ‫ ح‬ɾ伷߻ྙ ΨέϩʖδϩϓΧʖηϟʖνʖ*0 ɾ서೵ྙ ήϝκϨʖ ɾൕ෰ଥӹᅠԾτηφ͹  ߴ໪ͳ͢ͱ͏Ζɿ౲௒ࠬ΃͹ࢂՅͺɾҫࢥɾࣅՌҫࢥɾ؅‫ࢥޤ‬ɾ‫ޢݶ‬௎ְ࢞ɾཀྵָྏ๑࢞͵ʹଠ৮झͳ͹‫ؖ‬ΚΕ͗Ͳ͘Ζ͞ͳͲɾබӅͲ͹οʖϞҫྏͳͺҩ͑‫ܙ‬͹ଡ৮झ࿊‫͑͏ͳܠ‬΍͹͗ʹ͹Γ͑͵΍͹͵͹͖ΝஎΕɾͨ͹஦ͲࣅՌҫࢥ͗ՎͪͦΖༀׄͳͺՁ͖Νߡ͓Ζ͖ͮ͘͜ͳ͵Ζͳ͏͑‫گ‬үదқٝΝਫ਼΋ɿͨΗͺྡজ͹Ί͵Δͥɾ‫ڂݜ‬Ͷ͕͏ͱ΍ಋ༹Ͳ͍ΕɾࣅՌ྘ҮͶཻΉΔ͵͏ָࡏద͵߁͏ࢻ໼Ν࣍ͮͪࣅՌҫࢥ͹ү੔Ͷͯ͵͗Ζͳ͏఼͑Ͷ͕͏ͱ΍༙ӻͲ͍Ζͳߡ͓ΔΗΖɿຌָͲͺɾ͞͹Γ͑Ͷ͢ͱɾྡজ͹Ί͵Δͥ‫ڂݜ‬Ͷ͕͏ͱ΍ҫྏਕͳ͢ͱචགྷ͵ߡ͓๏ΝਐͶͯ͜Ζ‫ؽ‬ճΝઅ͜ͱ͏Ζɿࠕ‫ޛ‬΍ఈ‫غ‬దͶ͞͹ࢾΊΝ‫ܩ‬କ͢ͱ͏͚༩ఈͲ͍Ζɿ㈨ᩱ䠏 䠌ช෨Ռָ঴
՟ୌմ݀‫ౕ߶ܗ‬ҫྏਕࡒ཈੔ϕϫήϧϞʰ݊߃ௗथΝ୴͑ࣅՌҫָ‫گ‬үրַʷࢰਫ਼ָΏஏҮใ‫ׇ‬ίΠϠυϩΝ಍೘ͪ͢ҫՌࣅՌ࿊‫گܠ‬үର੏͹ߑ஛ʷʱ੔Վ൅න

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Ԯࢃ୉ָҫྏ‫گ‬үιϱνʖ ੁຌ‫ࢢڭ‬̏ɿ ໪ద ฑ੔  ೧ౕͶࡀ୔͠Ηͪʰช෨Ռָ঴ ՟ୌմ݀‫ౕ߶ܗ‬ҫྏਕࡒ཈੔ϕϫήϧϞʱͲͺɼ֦୉ָͶ͕͜Ζಝ৯͍Ζ‫گ‬үϕϫήϧϞ͹ࣰࢬΏ࿊‫ܠ‬୉ָؔ͹ָਫ਼ɼ‫گ‬ҽ͹૮‫ླྀިޕ‬Ν੷‫ۅ‬దͶਬ਒͢͵͗Δɼ౲ॵ͹ࣆ‫ܯۂ‬ժΝࣰ‫͚΄ͤݳ‬ᬑ਒͢ͱͪ͘ɽࡤ೧ౕ͹஦ؔ඲ՃͲͺɼ̓ஊ֌͹඲Ճ͹͑ͬ̐൬໪Ͷ߶͏඲ՃͲ͍Ζ $ ඲ՃΝ͏ͪͫ͏ͪ͗ɼրવ
ΝགྷͤΖ఼ͳ͢ͱɼ
ʰસࠅϪϗϩ͹ָճͶ͕͜ΖεϱϛζΤϞ౵Ν௪ͣͱɼຌखૌΝҫࢥΝ‫؜‬Όͪҫྏ‫ंܐؖ‬Ͷ߁͚೟ࣟ͢ͱ΍Δ͑ͪΌ͹खૌ͗‫غ‬ଶ͠ΗΖʱͳ͹қ‫͍ͪͮ͗ݡ‬ɽͨ͞Ͳɼຌࣆ‫Ͳۂ‬͹֦୉ָ͹खૌΝϛηνʖͶΉͳΌɼ੔Վ൅නͳ͏͑‫͚߁Ͳܙ‬൅৶ͤΖ͞ͳͳͪ͢ɽ̐ɿ ૱඲ ϛηνʖΝ͟ལ͏ͪͫ͏ͪ๏ʓͺɼࣅՌҫࢥɼ؇ཀྵӭ཈࢞ɼࣅՌٗ޽
࢞ɼࣅՌӶਫ਼࢞౵Ͳ͍Εɼ֦୉ָͲ͹ಝ৯͍Ζ‫گ‬үϕϫήϧϞͶͯ͏ͱ͹࣯໲͗૮࣏͙ɼ୉ָ‫͖ंܐؖ‬Δͺࠕ‫ޛ‬͹खૌͶͯ͏ͱ͹‫غ‬ଶͶͯ͏ͱ͹қ‫ݡ‬΍ซ͖Ηͪɽຌࣆ‫Ͳۂ‬͹खૌͺɼ͞ΗΉͲͺकͶࣅՌҫࢥ͹ॄΉ
ΖָճͲ͹൅න͗ଡ͖ͮͪ͗ɼࠕյ͹Γ͑Ͷଠ৮झ͹๏Ͷ޴͜ͱ൅৶Ͳ

ͪ͘͞ͳͺ୉ร༙қٝͲ͍ͮͪɽࠕ‫ޛ‬΍͞͹Γ͑͵‫ؽ‬ճΝઅ͜ɼຌࣆ‫ۂ‬Ͳ͹खૌΝસࠅͶ޴͜ͱ൅৶͢ɼ‫ͱۋ‬ΞԿͶ޴͜౔ྙ͢ͱ͏͚ॶଚͲ͍
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㈝  3,799,280 ෇ϩ ஦ ᴗ ෆ ᐜ࠙ᴫせࠚ ㉸㧗㱋♫఍ࡢ฿᮶࡟క࠺⑌⑓ᵓ㐀ࡢኚ໬ࡸ㸪ᅾᏯ་⒪ࡢ㔜ど㸪௓ㆤࢽ࣮ࢬࡢቑຍ࡞࡝ࡢ
♫఍ࢽ࣮ࢬࡢከᵝ໬࡟ࡼࡾ㸪་ᖌ㸪ṑ⛉་ᖌࢆࡣࡌࡵᰤ㣴㛵㐃⫋✀࡟ồࡵࡽࢀࡿ㈨㉁㸪ᢏ⬟ࡶከᵝ໬ࡋ࡚࠸ࡿ㸬せ௓ㆤ㧗㱋⪅ࡀఫࡳ័ࢀࡓᆅᇦ࡛᭱ᚋࡲ࡛⏕ࡁ⏕ࡁ࡜ᬽࡽࡋ⥆ࡅࡿࡓࡵ࡟ࡣ㸪⤒ཱྀᦤྲྀࡀ㔜せ࡞せ௳࡜࡞ࡿࡀࡑࡢ⥅⥆࡟ࡣ㸪ᦤ㣗ᄟୗᶵ⬟࡟ᑐࡍࡿṇࡋ࠸ホ౯࡟ᇶ࡙ࡁཱྀ⭍ᶵ⬟ࡢࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢆ⾜࠺ࡇ࡜࡟ࡼࡗ࡚ᶵ⬟ࡢ⥔ᣢྥୖࢆ┠ᣦࡍࡤ࠿ࡾ࡛࡞ࡃ㸪ᮏேࡢᶵ⬟࡟ྜࡗࡓ㣗ᙧែࡢᥦ౪ࡸ㣗஦ෆᐜࡢኚ᭦ࢆ⾜࠺ᚲせࡀ࠶ࡿ㸬ࡍ࡞ࢃࡕ㸪࿪ᄮᶵ⬟ࢆࡣࡌࡵ࡜ࡍࡿᦤ㣗ᄟୗᶵ⬟ࡢホ౯ࡸ㣗஦ᣦᑟ࡟࠾࠸࡚㸪ṑ⛉་ᖌ࡜ᰤ㣴㛵㐃⫋✀࡜ࡢ㐃ᦠࡣḞ࠿ࡏ࡞࠸㸬ࡋ࠿ࡋ㸪௓ㆤሗ㓘㸪デ⒪ሗ㓘࡞࡝࡟ࡼࡾṑ⛉་⒪ᚑ஦⪅ࡢᰤ㣴⟶⌮࡬ࡢཧຍࡀᙉࡃ᥎ዡࡉࢀ࡚ࡁࡓࡀ㸪ேⓗ㈨※ࡀᑡ࡞࠸ᅾᏯࡶྵࡵ㸪ṑ⛉་ᖌ࡜ᰤ㣴㛵㐃⫋✀ࡢ㐃ᦠࡣ༑ศ࡞ࡉࢀ࡚࠸࡞࠸㸬ࡲࡓ㸪⌧ሙ࡛ᰤ㣴⟶⌮ࢳ࣮࣒ࢆᢸ࠺ᐇົ⪅ࡢᩍ⫱ࢩࢫࢸ࣒ࡀᏑᅾࡋ࡞࠸ࡇ࡜ࡀ኱ኚ኱ࡁ࡞ၥ㢟࡜࡞ࡗ࡚࠸ࡿ㸬 ᮏ஦ᴗ࡛ࡣ㸪௓ㆤಖ㝤᪋タ㸪ᅾᏯ࡟࠾ࡅࡿ་⛉㸪ṑ⛉࡜ᰤ㣴㛵㐃⫋✀ࡢ㐃ᦠࢆ⾜࠺ୖ࡛ᚲせ࡞▱㆑ࡸᢏ⾡㸪ែᗘࢆᩍ⫱ࡍࡿேᮦ㣴ᡂࢭ࣑ࢼ࣮ࢆ㸪ᒸᒣ኱Ꮫ⑓㝔࡜ᆅᇦ་⒪ᅪࡢṑ⛉་ᖌ఍㸪ᰤ㣴ኈ఍➼ࡀ୰ᚰ࡟࡞ࡗ࡚ྛ་⒪ᅪ࡟࠾࠸࡚ᐇ᪋ࡍࡿ㸬ලయⓗ࡟ࡣ㸪ᖹᡂ 27 ᖺᗘࡼࡾᨵᐃࡉࢀࡓ௓ㆤሗ㓘࡟࠾࠸࡚ᑟධࡉࢀࡓཱྀ⭍࣭ᰤ㣴㛵㐃ࢧ࣮ࣅࢫࡢᐇ᪋㸦࣑࣮ࣝࣛ࢘ࣥࢻ㸧ࡢᐇാ⫋✀㸦་ᖌ㸪ṑ⛉་ᖌ㸪⟶⌮ᰤ㣴ኈ㸪┳ㆤᖌ㸪ṑ⛉⾨⏕ኈ㸪⸆๣ᖌ㸪సᴗ⒪ἲኈ㸪ゝㄒ⫈ぬኈ㸪ࢣ࢔࣐ࢿ࣮ࢪ࣮ࣕ㸪௓ㆤ⚟♴ኈ➼㸧࡟ྥࡅࡓㅮ₇఍࡜ከ⫋✀㐃ᦠࢆᶍࡋࡓ࣮࣡ࢡࢩࣙࢵࣉࢆ㸪ᒸᒣ┴ෆྛᆅ࡛㛤ദࡋ㸪“ཱྀ࠿ࡽ㣗࡭ࡿᴦࡋࡳࡢᨭ᥼”ࡀ☜ᐇ࡟་⒪ࡸ⚟♴⌧ሙ࡟ᾐ㏱ࡍࡿయไసࡾࢆ⾜࠺㸬࠙┠ᶆࠚ ᮏ஦ᴗ࡛ࡣ㸪௓ㆤಖ㝤᪋タ㸪ᅾᏯ࡟࠾ࡅࡿ་⛉㸪ṑ⛉࡜ᰤ㣴㛵㐃⫋✀ࡢ㐃ᦠࢆ⾜࠺ୖ࡛ᚲせ࡞▱㆑ࡸᢏ⾡㸪ែᗘࢆᩍ⫱ࡍࡿேᮦ㣴ᡂࢭ࣑ࢼ࣮ࢆ㸪ᒸᒣ኱Ꮫ⑓㝔࡜ᆅᇦ་⒪ᅪࡢṑ⛉་ᖌ఍㸪ᰤ㣴ኈ఍➼ࡀ୰ᚰ࡟࡞ࡗ࡚ྛ་⒪ᅪ࡟࠾࠸࡚ᐇ᪋ࡍࡿ㸬ࡇࢀ࡟ࡼࡾ㸪ᖹᡂ 27 ᖺ

−1−ᗘࡼࡾᨵᐃࡉࢀࡓ௓ㆤሗ㓘࡟࠾ࡅࡿཱྀ⭍࣭ᰤ㣴㛵㐃ࢧ࣮ࣅࢫ㸦࣑࣮ࣝࣛ࢘ࣥࢻ㸧ࡀᒸᒣ┴࡛☜ᐇ࡟ᐇ᪋ࡉࢀࡿࡼ࠺࡞యไࢆᮏ஦ᴗ࡟ࡼࡾ☜❧ࡍࡿ㸬࠙஦ᴗෆᐜࠚ ྛ་⒪ᅪ࡟࠾࠸࡚㸪་ᖌ㸪ṑ⛉་ᖌ㸪⟶⌮ᰤ㣴ኈ㸪┳ㆤᖌ㸪ṑ⛉⾨⏕ኈ㸪⸆๣ᖌ㸪సᴗ⒪ἲኈ㸪ゝㄒ⫈ぬኈ㸪ࢣ࢔࣐ࢿ࣮ࢪ࣮ࣕ㸪௓ㆤ⚟♴ኈ㸪♫఍⚟♴ኈ➼㸪ᆅᇦ㸪ᅾᏯ㧗㱋⪅ࡢ㣗ࢆᨭ࠼ࡿ඲࡚ࡢ་⒪㸪௓ㆤࢫࢱࢵࣇ࠾ࡼࡧᏛ⏕ࢆᑐ㇟࡜ࡋࡓㅮ₇఍ࢆ㛤ദࡍࡿ㸬ࡲࡓ㸪ࡑࡢ▱㆑ࡸ⤒㦂ࢆࡼࡾලయⓗ࡞ࡶࡢ࡟ࡍࡿⅭ࡟ேᩘ㝈ᐃࡢ࣮࣡ࢡࢩࣙࢵࣉࢆ㛤ദࡍࡿ㸬࠙⤖ᯝࠚ ᮏ஦ᴗ࡛ࡣ㸪┿ᗞᆅᇦ㸦‫‮‬ཎ఍ሙ㸧㸪┴༡す㒊 ஭ཎᆅᇦ㸦஭ཎ఍ሙ㸧㸪┴༡ᮾ㒊㸦ᒸᒣ఍ሙ㸧࡟࠾࠸࡚ィ 3 ᅇࡢᏛ⾡ㅮ₇఍ཬࡧ࣮࣡ࢡࢩࣙࢵࣉࢆ㛤ദࡋ㸪ࡢ࡭ 229 ྡ㸦ෆ࣮࣡ࢡࢩࣙࢵࣉཧຍ⪅ࡣ 94 ྡ㸧ࡢᐇົ⪅ࡀཧຍࡋࡓ㸬࠙஦ᴗᢸᙜ⪅ྡ⡙ࠚ஦ᴗ㈐௵⪅
❑ᮌᣅ⏨ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉࢖ࣥࣉࣛࣥࢺ෌⏕⿵⥛Ꮫศ㔝 ᩍᤵ ஦ᴗᢸᙜ⪅ ⦖⛶ஂ⨾Ꮚᒸᒣ኱Ꮫ⑓㝔ࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛⛉ ຓᩍỈཱྀ┿ᐇᒸᒣ኱Ꮫ⑓㝔ࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛⛉ ຓᩍ

ࢫࢱࢵࣇ
๓ᕝ㈼἞

ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉࢖ࣥࣉࣛࣥࢺ෌⏕⿵⥛Ꮫศ㔝 ෸ᩍᤵ๓⏣࠶ࡎࡉᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ṑᏛᩍ⫱࣭ᅜ㝿஺ὶ᥎㐍ࢭࣥࢱ࣮ ຓᩍ୕㔝༟ဢᒸᒣ኱Ꮫ⑓㝔ࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛⛉ ຓᩍ୕ᮌ᫓ዉᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉࢖ࣥࣉࣛࣥࢺ෌⏕⿵⥛Ꮫศ㔝 ຓᩍ㯮㷂㝧Ꮚᒸᒣ኱Ꮫ⑓㝔ࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛⛉ ་ဨᑠᒣ⤮⌮ᒸᒣ኱Ꮫ⑓㝔ࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛⛉ ་ဨ

୰ᕝ᫴㍜ᒸᒣ኱Ꮫ⑓㝔ࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛⛉ ་ဨ

἟ᮏ ㈼ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉࢖ࣥࣉࣛࣥࢺ෌⏕⿵⥛Ꮫศ㔝 ኱Ꮫ㝔⏕Ḁཎ⏤⌮ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉࢖ࣥࣉࣛࣥࢺ෌⏕⿵⥛Ꮫศ㔝 ኱Ꮫ㝔⏕㔝ᮧ ඃᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉࢖ࣥࣉࣛࣥࢺ෌⏕⿵⥛Ꮫศ㔝 ኱Ꮫ㝔⏕

஦ᴗ༠ຊ⪅
⳥㇂ Ṋ

᪥ᮏṑ⛉኱Ꮫཱྀ⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥከᦶࢡࣜࢽࢵࢡ 㝔㛗

−2−

㧗ᶫ㈼᫭

᪥ᮏṑ⛉኱Ꮫ㝃ᒓ⑓㝔ཱྀ⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⛉ ㅮᖌᡞཎ 㞝᪥ᮏṑ⛉኱Ꮫ᪂₲⑓㝔ゼၥṑ⛉ཱྀ⭍ࢣ࢔⛉ ㅮᖌ‫‮‬ཎ఍ሙ㸸ụඖ⏤㏻┿ᗞṑ⛉་ᖌ఍ ఍㛗ᮡᒣ⌔⨾ᒸᒣ┴ṑ⛉⾨⏕ኈ఍ ఍㛗ᆏᮏඵ༓௦ࡃࡽࡋࡁస㝧኱Ꮫ ᑓ௵ᩍᤵ⃝⏣ᘯ୍㙾㔝⏫ᅜẸ೺ᗣಖ㝤ୖ㰻ཎṑ⛉デ⒪ᡤ ṑ⛉་㛗㔠┒ஂᒎ᪂ᗉᮧᅜẸ೺ᗣಖ㝤ṑ⛉デ⒪ᡤ ṑ⛉་㛗

஭ཎ఍ሙ㸸
ྜᆅ ᫂

஭ཎᕷ❧஭ཎᕷẸ⑓㝔 㝔㛗す஭ ᮁ஭ཎṑ⛉་ᖌ఍ ఍㛗

ᒸᒣ఍ሙ㸸
ᮧ⏣ᑦ㐨

ᒸᒣ኱Ꮫ⑓㝔ࢫ࣌ࢩࣕࣝࢽ࣮ࢬṑ⛉ࢭࣥࢱ࣮ ຓᩍ๓ᕝாᏊࣉࣛ࢖࣒࣍ࢫࣆࢱࣝ⋢ᓥ ṑ⛉་ᖌ୺ദᒸᒣ┴㸪ᒸᒣ኱Ꮫ⑓㝔㸪ᒸᒣ኱ᏛṑᏛ㒊ᚋ᥼ᒸᒣ┴་ᖌ఍㸪ᒸᒣ┴ṑ⛉་ᖌ఍㸪ᒸᒣ┴┳ㆤ༠఍㸪ᒸᒣ┴ᰤ㣴ኈ఍㸪ᒸᒣ┴ṑ⛉⾨⏕ኈ఍㸪ᒸᒣ┴ゝㄒ⫈ぬኈ఍㸪ᒸᒣ┴௓ㆤᨭ᥼ᑓ㛛ဨ༠఍㸪ᒸᒣᕷṑ⛉་ᖌ఍㸪┿ᗞṑ⛉་ᖌ఍㸪஭ཎṑ⛉་ᖌ఍㸪᪥ᮏᅾᏯᰤ㣴⟶⌮Ꮫ఍㛵㐃஦ᴗᩥ㒊⛉Ꮫ┬ ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂࣉࣟࢢ࣒ࣛ㸦஦ᴗྡ㸸೺ᗣ㛗ᑑ♫఍ࢆᢸ࠺ṑ⛉་Ꮫᩍ⫱ᨵ㠉㸪஦ᴗᐇ᪋㈐௵⪅㸸❑ᮌᣅ⏨㸧ࢭ࣑ࢼ࣮஦ົᒁ
ᒸᒣ኱Ꮫ⑓㝔 ࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛⛉ ⦖⛶ஂ⨾Ꮚ㸪Ỉཱྀ┿ᐇࠛ700-8525 ᒸᒣᕷ໭༊㮵⏣⏫ 2-5-1

−3−ᐇ᪋ෆᐜ Ꮫ⾡ㅮ₇఍
࠙➨ 6 ᅇ ┿ᗞᆅᇦ ‫‮‬ཎ఍ሙࠚሙ ᡤ㸸‫‮‬ཎࡩࢀ࠶࠸ࢭࣥࢱ࣮
ཧຍ⪅㸸28 ྡෆ ヂ㸸ṑ⛉་ᖌ 6 ྡ㸪⟶⌮ᰤ㣴ኈ/ᰤ㣴ኈ 8 ྡ㸪ṑ⛉⾨⏕ኈ 6 ྡ㸪┳ㆤᖌ 1 ྡ㸪⸆๣ᖌ 1 ྡ㸪௓ㆤ⣔⫋✀ 6 ྡ

0% 0% 0% 0%

་ᖌ
ṑ⛉་ᖌ

21%

21%

⟶⌮ᰤ㣴ኈ/ᰤ㣴ኈ
ṑ⛉⾨⏕ኈ
┳ㆤᖌ

4%
4%

⸆๣ᖌ
௓ㆤ⣔⫋✀

21%

29%

ࣜࣁࣅࣜ࡟㛵ࢃࡿ⫋✀
୍⯡ᕷẸ
ࡑࡢ௚

 ௒ᅇ㛤ദࡋࡓ┿ᗞᕷࡣᒸᒣ┴໭㒊࡛୰ᅜᒣᆅࡢ࡯ࡰ୰ኸ࡟఩⨨ࡋ㸪໭ࡣ㫽ྲྀ┴࡟᥋ࡍࡿ㓗㎰ࡸ㎰ᯘᴗ࡞࡝ࡀ┒ࢇ࡞┴ୗ᭱኱ࡢ⮬἞య࡛࠶ࡿ㸬㧗㱋໬ࡀ㐍ࢇࡔ㸦㧗㱋໬⋡ 38.4㸣㸪
┴ෆ 9 ఩㸧ࡇࡢ┿ᗞᕷ࡛ࡢ㛤ദ࡟࠶ࡓࡾ㸪‫‮‬ཎࡩࢀ࠶࠸ࢭࣥࢱ࣮࡜࠸࠺⮬἞యࡢ᪋タࢆ఍ሙ࡜ࡉࡏ࡚࠸ࡓࡔ࠸ࡓ㸬≉ูㅮ₇  ୰ᮧᖾఙඛ⏕ 㸦ᗙ㛗 ❑ᮌᣅ⏨ඛ⏕㸧 ẖᅇࡈ༠ຊࢆ࠸ࡓࡔ࠸࡚࠸ࡿᅾᏯ⒪㣴ᨭ᥼デ⒪ᡤ
ࡘࡤࡉࢡࣜࢽࢵࢡࡢ୰ᮧᖾఙඛ⏕࡟ࡣ㸪ᅾᏯ࡛㧗㱋⪅ࡀ⒪㣴ࡋ࡚࠸ࡃୖ࡛ᚲせ࡞ከ⫋✀㐃ᦠࡢ▱㆑ࡸ⒪㣴
⏕άࢆᨭ࠼ࡿゼၥデ⒪ࡢ⪃࠼᪉࡞࡝ࢆ࠾ヰࡋ࠸ࡓࡔ࠸ࡓ㸬ᮏ஦ᴗ࡟㛵ࢃࡗ࡚࠸ࡓࡔ࠸ࡓ 3 ᖺ㛫࡛㣗ࡢၥ㢟࡬ࡢྲྀࡾ⤌ࡳࡢ㟂せࡣᅾᏯ࡟࠾࠸࡚ࡶ㧗ࡲࡗ࡚ࡁࡓ
࡜ᐇឤࡉࢀ࡚࠾ࡾ㸪⌧ᅾࡣ⟶⌮ᰤ㣴ኈࡶ㞠⏝ࡉࢀ⢭ຊⓗ࡟ࡇࡢၥ㢟࡟ྲྀࡾ⤌ࡲࢀ࡚࠸ࡿ࡜࠸࠺ࡇ࡜࡛࠶ࡗ
ࡓ㸬




−4−


≉ูㅮ₇  㧗ᶫ㈼᫭ඛ⏕ 㸦ᗙ㛗 ᆏᮏඵ༓௦ඛ⏕㸧 ᭱ᮇࡲ࡛ᴦࡋࡃ㣗࡭ࡿࡇ࡜ࢆᨭ࠼ࡿࡓ
ࡵ࡟ࡣᦤ㣗ᄟୗ㞀ᐖࡀ㢧ᅾ໬ࡍࡿ๓ࡢ᪩
ᮇ࡟㐺ษ࡞ཱྀ⭍ᶵ⬟ࡢホ౯ࡀࡉࢀ㸪Ᏻ඲࡞㣗஦ࡢᥦ౪ࡀ⾜ࢃࢀࡿࡇ࡜ࡀᚲせ࡛࠶ࡿ㸬ࡉࡶ࡞࠸࡜㐺ษ࡞ᰤ㣴ᦤྲྀࡀ࡛ࡁ࡞
࠸ᮇ㛫ࡀ࡛ࡁ࡚ࡋࡲ࠺ࡓࡵ඲㌟≧ែࡲ࡛ࡀపୗࡋカ⦎ࡸࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ࡝ࡇ
ࢁ࡛ࡣ࡞ࡃ࡞ࡗ࡚ࡋࡲ࠺㸬㧗ᶫඛ⏕࡟ࡣᝈ⪅ࡉࢇ࡟㛵ࢃࡿᵝࠎ࡞⫋✀࠿ࡽ᪩ᮇࡢ
Ẽ࡙ࡁࡀᚓࡽࢀࡿࡼ࠺㸪ᐇ㝿ࡢ㣗஦ሙ㠃ࡢほᐹ࠿ࡽ㣗࡭᪉㸪㣗࡭ࡿ⎔ቃ࡟ࡘ࠸࡚ࡢホ౯ࡢ࣏࢖ࣥࢺ࡜ᑐ
ᛂ᪉ἲࢆ࠾ヰ࠸ࡓࡔ࠸ࡓ㸬௒ᅇࡣ㛗ᖺᒸᒣ኱Ꮫ⑓㝔
NST ࡛㸪㣗࡭࡚἞ࡍࡇ࡜࡟ࡇࡔࢃࡗ࡚ࡈά㌍ࡉࢀ
࡚࠸ࡓࡃࡽࡋࡁస㝧኱Ꮫᆏᮏඵ༓௦ඛ⏕࡟ࡶᗙ㛗
࡜ࡋ࡚ᚚⓏቭ࠸ࡓࡔࡁ㸪᪩ᮇࡢᰤ㣴௓ධࡀ㇏࠿࡞㣗⏕άࢆᨭ࠼ࡿࡇ࡜ࢆ☜ㄆࡋ࠶ࡗࡓ㸬−5−

≉ูㅮ₇  Ỉᓥ⨾ಖඛ⏕ 㸦ᗙ㛗 ᮧ⏣ᑦ㐨ඛ⏕㸧 㧗㱋⪅ࡢపᰤ㣴ࡣᮏேࡀ⮬ぬࡋ࡞࠸࠺ࡕ࡟㣗஦㔞ࡀపୗࡸ㣗ᛮ୙᣺࡟࡞ࡗ࡚࠸
ࡿ࡞࡝㸪↓⮬ぬ࡟㐍⾜ࡋ࡚࠸ࡿሙྜࡀከࡃぢࡽࢀࡿ㸬㧗㱋⪅ࡀ័ࢀぶࡋࢇࡔᆅᇦ
࡛Ᏻᚰࡋ࡚ᬽࡽࡋ࡚࠸ࡃࡓࡵ࡟ࡣᐃᮇⓗ࡟ᰤ㣴ࡸཱྀ⭍ᶵ⬟ࡢ࢔ࢭࢫ࣓ࣥࢺࢆ㛵㐃⫋✀ࡀ⾜࠸㸪㧗㱋⪅⮬㌟࡜࡜ࡶ࡟࡝ࡢẁ㝵࡟࠸ࡿࡢ࠿ࢆ⮬ぬࡍࡿࡇ࡜ࡀ㔜せ࡛࠶ࡿ㸬ᅾᏯゼၥ⟶⌮ᰤ㣴ኈࡣᐇ㝿ࡢ⏕άࡢሙ࡟㉱ࡁホ౯ࢆ⾜࠺ࡔࡅ࡛࡞ࡃ㸪ᝈ⪅㸪ᐙ᪘཮᪉࡟㈇ᢸࡀᑡ࡞ࡃ㸪⡆༢࡟࡛ࡁࡿ⒪㣴㣗࠾ࡼࡧᄟୗ㣗ࡢᣦᑟ࡞࡝ࢆ⾜࠺㔜せ࡞ᙺ๭ࢆᢸ
ࡗ࡚࠸ࡿ㸬Ỉᓥ⨾ಖඛ⏕࡟ࡣᅾᏯࡸ㧗㱋⪅ࡢ㣗஦ᣦᑟ࡟㛵ࡋ࡚㸪ά㌍౛࡞࡝ࢆ࠾♧ࡋ࠸ࡓࡔࡁ
࡞ࡀࡽ㸪㣗஦సࡾࡢ࣏࢖ࣥࢺ࡞࡝ࢆᚚㅮ₇࠸ࡓ
ࡔ࠸ࡓ㸬

−6−

࠙➨ 7 ᅇ ┴༡す㒊 ஭ཎᆅᇦ ஭ཎ఍ሙࠚሙ ᡤ㸸஭ཎᕷᆅሙ⏘ᴗ᣺⯆ࢭࣥࢱ࣮ཧຍ⪅㸸81 ྡෆ ヂ㸸ṑ⛉་ᖌ 10 ྡ㸪⟶⌮ᰤ㣴ኈ/ᰤ㣴ኈ 11 ྡ㸪ṑ⛉⾨⏕ኈ 19 ྡ㸪┳ㆤᖌ 3 ྡ㸪௓ㆤ⣔⫋✀ 11 ྡ㸪ࣜࣁࣅࣜ࡟㛵ࢃࡿ⫋✀ 3 ྡ㸪୍⯡ᕷẸ 20 ྡ㸪ࡑࡢ௚ 4 ྡ(⮫ᗋᕤᏛᢏᖌ 1 ྡ㸪ᨺᑕ⥺ᢏᖌ 1 ྡ㸪⑓㝔஦ົဨ㸪ṑᏛ㒊⏕ 1 ྡ)

0%
5%

་ᖌ
ṑ⛉་ᖌ

12%

⟶⌮ᰤ㣴ኈ/ᰤ㣴ኈ
ṑ⛉⾨⏕ኈ

25%

13%

┳ㆤᖌ
⸆๣ᖌ
௓ㆤ⣔⫋✀

4%
14%
0% 4%

23%

ࣜࣁࣅࣜ࡟㛵ࢃࡿ⫋✀
୍⯡ᕷẸ
ࡑࡢ௚

 ௒ᅇ㛤ദࡋࡓ஭ཎᕷࡣᒸᒣ┴す༡㒊࡟఩⨨ࡋ㸪すࡣᗈᓥ┴࡟᥋ࡍࡿ㸪࡯࡜ࢇ࡝ࡀᒣࠎ࡟ᅖࡲࢀࡓ
㎰ᒣᮧ࡛࠶ࡿ㸬௒ᅇᗈሗ࡟㛵ࡋ࡚ࡣ஭ཎᕷẸ⑓㝔
NST ࡞࡝࡟ຍ࠼㸪᪂⪺㸪ࢣ࣮ࣈࣝࢸࣞࣅࢆ㏻ࡋࡓ
ᗈሗ࡟ࡼࡾ㸪ᕷẸ࡟஦ᴗෆᐜࢆᗈࡃᗈሗࡋࡓ㸬ࡇࡢᆅࡶ㧗㱋໬ࡀ㸦㧗㱋໬⋡ 35.6㸣㸪┴ෆ 16 ఩㸧㐍ࢇ࡛࠸ࡿ≧ἣࡢ୰㸪20 ྡࡢᕷẸࡢཧຍࢆᚓࡓ㸬ᙜ᪥ᒸᒣ┴ࡼࡾࡈᣵᣜ
࠸ࡓࡔ࠸ࡓἈ㔝㞝୍㑻Ặ㸦ᒸᒣ┴ಖ೺⚟♴㒊೺ᗣ᥎㐍ㄢ ẕᏊ࣭ṑ⛉ಖ೺⌜ ୺௵㸧






−7−

≉ูㅮ₇  ୸ᒣ῟ஓඛ⏕ 㸦ᗙ㛗 ❑ᮌᣅ⏨ඛ⏕㸧 ᝈ⪅ࡢ᪥ᖖ࡟㋃ࡳ㎸ࢇࡔデᐹࡢሙ࡜࡞ࡿᅾᏯデ⒪ࡢ⌧ሙ࡟࠾࠸࡚ࠕ㣗ࠖ࡟㛵ࡍࡿ┦ㄯࡣᑡ࡞ࡃ࡞࠸㸬་⒪⪅ഃࡢ㒔ྜࡣ㏻⏝ࡏࡎ㸪ᮏேࡔࡅ࡛࡞ࡃ௓ㆤ⪅ࢆྵࡴᵝࠎ࡞せᅉ࡟ᙳ㡪ࢆཷࡅࡿ㸬௒ᅇࡑࡢᅾᏯࡢ⌧ሙ࡛ࡢᐇ㝿ࡢデᐹࢆື⏬ࡶ஺࠼࡚ࡈ⤂௓࠸ࡓࡔࡁ㸪ᡃࠎከ⫋✀ࡀᅾᏯ࡛ࠕ㣗ࠖࢆᨭ࠼ࡿ࡜࠸࠺࢖࣓࣮ࢪࢆᥗࡳࡸࡍ࠸ࡈㅮ₇࡛࠶ࡗࡓ㸬≉ูㅮ₇  ⳥㇂ Ṋඛ⏕ 㸦ᗙ㛗 ྜᆅ ᫂ඛ⏕㸧 ᝈ⪅ࡣᆅᇦ࡟ᬽࡽࡋ࡚࠸ࡿ㸬ఫࡳ័ࢀࡓᆅᇦ
࡛⏕ࡁࡁࡿࡓࡵ࡟ࡣ㸪ᆅᇦ࡛㣗࡭⥆ࡅࡿࡇ࡜ࡀᚲせ࡛࠶ࡿ㸬ᅾᏯ⒪㣴ࢆ⥅⥆ࡍࡿࡓࡵ࡟ࡣᦤ㣗ᶵ⬟ࢆᨵၿࡍ࡭ࡃࣜࣂࣅࣜࢸ࣮ࢩࣙࣥࢆ⾜࠺ࡇ࡜ࡶ୍ࡘࡢ᪉ἲ࡛ࡣ࠶ࡿࡀ㸪ᶵ⬟ᨵၿࡀぢ㎸ࡵ࡞࠸ᝈ⪅ࡀከ࠸せ௓ㆤ㧗㱋⪅࡛ࡣᦤ㣗ᶵ⬟ࡀపୗࡋ࡚ࡶ㣗࡭⥆ࡅࡿࡇ࡜ࡀ࡛ࡁࡿᆅᇦ࡙ࡃࡾ࡟
ྲྀࡾ⤌ࡲ࡞ࡅࢀࡤ࡞ࡽ࡞࠸㸬₇⪅ࡢ⳥㇂ඛ⏕࡟ࡣ㸪ࡇࡢᵝ࡞ᨭ᥼ࡀᚲせ࡞ᝈ⪅ࢆᆅᇦ࡛᭱ᮇࡲ
࡛ᨭ࠼⥆ࡅࡿࡓࡵ࡟ࠕఱࢆ㸪࡝࠺㣗࡭ࡿ࠿ࠖ࡜
࠸࠺᝟ሗࢆ㸪⑓㝔㸪᪋タ㸪ᅾᏯ࡞࡝୍࡛㈏ࡋ࡚
ඹ᭷ࡉࢀ㸪ᆅᇦࡀ୍୸࡜࡞ࡗࡓࠕ㣗ࠖ⎔ቃᨵၿ࢔ࣉ࣮ࣟࢳࡀ㔜せ࡜࡞ࡗ࡚ࡃࡿࡇ࡜ࢆᙉㄪࡉ
ࢀࡓ㸬ࡑࡢୖ࡛㸪ඛ⏕ࡀᆅᇦ࡛ᐇ㊶ࡉࢀ࡚࠸ࡿ
㣗ᨭ᥼ࢆࡈ⤂௓࠸ࡓࡔ࠸ࡓ㸬−8−

≉ูㅮ₇  ⰼᮏ⨾ዉᏊඛ⏕ 㸦ᗙ㛗 す஭ ᮁඛ⏕㸧 ⟶⌮ᰤ㣴ኈࡢᒃᏯ⒪㣴⟶⌮ᣦᑟࢆ⢭ຊⓗ࡟ᐇ᪋ࡉࢀ࡚࠸ࡿⰼᮏඛ⏕ࡣ㸪㣗ࡢၥ㢟ࢆᢪ࠼
ࡿᅾᏯ⒪㣴⪅ࡀቑຍࡋ࡚࠸ࡿ࡜࠸࠺ᐇឤࢆ࠾ᣢࡕ࡛࠶ࡿ㸬ࡲࡓ㸪ࡇࡢၥ㢟ࡣ༢⊂ࡢ⫋✀࡛ゎỴ࡛ࡁࡿࡶࡢ࡛ࡣ࡞ࡃ㸪ከ⫋✀㐃ᦠࡢࡶ࡜࡟ゎỴࡉࢀࡿࡶࡢࡀ࡯࡜ࢇ࡝࡛࠶ࡿ࡜ᣦ᦬ࡉ
ࢀࡓ㸬ඛ⏕ࡀᅾᏯ⒪㣴ᨭ᥼ṑ⛉デ⒪ᡤ࡟࠾࠸࡚
ᐇ᪋ࡉࢀ࡚࠸ࡿ⟶⌮ᰤ㣴ኈࡢᒃᏯ⒪㣴⟶⌮ᣦᑟࡢ㐠⏝ࡸᕤኵࢆලయⓗ࡞஦౛ࢆ஺࠼࡞ࡀࡽ
ࡈᥦ♧࠸ࡓࡔ࠸ࡓ㸬−9−

࠙➨ 8 ᅇ ┴༡ᮾ㒊 ᒸᒣ఍ሙࠚሙ ᡤ㸸ᒸᒣ኱ᏛṑᏛ㒊Ჷཧຍ⪅㸸120 ྡෆ ヂ㸸་ᖌ 1 ྡ㸪ṑ⛉་ᖌ 30 ྡ㸪⟶⌮ᰤ㣴ኈ/ᰤ㣴ኈ 22 ྡ㸪ṑ⛉⾨⏕ኈ 32 ྡ㸪┳ㆤᖌ 9 ྡ㸪௓ㆤ⣔⫋✀ 13 ྡ㸪ࣜࣁࣅࣜ࡟㛵ࢃࡿ⫋✀ 9 ྡ㸪୍⯡ᕷẸ 1 ྡ㸪ࡑࡢ௚ 4 ྡ (ㄪ⌮ᖌ 1 ྡ㸪་⒪㛵ಀ఍♫໅ົ 1 ྡ㸪〇㐀࣓࣮࣮࢝໅ົ 1 ྡ㸪ᕷᙺᡤ஦ົဨ 1 ྡ) ͤ࠺ࡕ 1 ྡࡣ」ᩘࡢ⫋✀࡛ཧຍⓏ㘓

1%3% 1%

་ᖌ
ṑ⛉་ᖌ

7%
25%
11%
0%

⟶⌮ᰤ㣴ኈ/ᰤ㣴ኈ
ṑ⛉⾨⏕ኈ
┳ㆤᖌ

7%

⸆๣ᖌ

18%
27%

௓ㆤ⣔⫋✀
ࣜࣁࣅࣜ࡟㛵ࢃࡿ⫋✀
୍⯡ᕷẸ
ࡑࡢ௚

 ᭱⤊ᖺᗘ᭱ᚋࡢᏛ⾡ㅮ₇఍ࢆ୺ദ࡛࠶ࡿᒸᒣ኱Ꮫ⑓㝔࡟࡚㛤ദࡋࡓ㸬ᮏ஦ᴗࢆ௦⾲ࡍࡿ 3ྡࡢඛ⏕ࡢㅮ₇ࡣ࡝ࢀࡶ⣲ᬕࡽࡋࡃ㸪᪥ࠎ㣗ࡢၥ㢟࡟ලయⓗ࡟ྲྀࡾ⤌ࡲࢀ࡚࠸ࡿෆᐜࢆࡈ
ᥦ♧࠸ࡓࡔ࠸ࡓ㸬࡝ࡢㅮ₇࡟ࡶඹ㏻ࡋ࡚ゝ࠼ࡿࡇ࡜ࡣ㸪ᅾᏯ࡟࠾࠸࡚ࡣࡑࡢ࿘ᅖࡢ⎔ቃ࡟ྜࢃࡏ࡚㣗࡭ࡓ࠸ࡶࡢࢆ㣗࡭ࡓ࠸᫬࡟㣗࡭ࡽࢀࡿ㔞ࡔࡅᴦࡋࡴࡇ࡜ࢆᵝࠎ࡞ᙧ࡛ࢧ࣏࣮ࢺ
ࡍࡿ࡜࠸࠺ጼໃ࡛࠶ࡗࡓ㸬㧗㱋໬ࡢၥ㢟ࡣᒸᒣ┴࡛ࡶ㔜኱࡞ၥ㢟࡜࡞ࡿ࡞࠿࡛㸪せ௓ㆤ㧗㱋⪅ࡢᅾᏯ⒪㣴࡟࠾ࡅࡿ㣗ᨭ᥼ࡢ㔜せᛶ࡟ࡘ࠸࡚ヰࡋྜࡗࡓ㸬− 10 −

− 11 −

ᐇ᪋ෆᐜ ࣮࣡ࢡࢩࣙࢵࣉ
࠙➨ 6 ᅇ ┿ᗞᆅᇦ ‫‮‬ཎ఍ሙࠚሙ ᡤ㸸‫‮‬ཎࡩࢀ࠶࠸ࢭࣥࢱ࣮
ཧຍ⪅㸸17 ྡෆ ヂ㸸ṑ⛉་ᖌ 4 ྡ㸪⟶⌮ᰤ㣴ኈ/ᰤ㣴ኈ 6 ྡ㸪ṑ⛉⾨⏕ኈ 4 ྡ㸪⸆๣ᖌ 1 ྡ㸪௓ㆤ⣔⫋✀ 2 ྡ0%0% 0% 0%

་ᖌ
ṑ⛉་ᖌ

12%
0% 6%

⟶⌮ᰤ㣴ኈ/ᰤ㣴ኈ

23%

ṑ⛉⾨⏕ኈ
┳ㆤᖌ
⸆๣ᖌ

24%

௓ㆤ⣔⫋✀
ࣜࣁࣅࣜ࡟㛵ࢃࡿ⫋✀

35%

୍⯡ᕷẸ
ࡑࡢ௚

 ㏆㞄ࡔࡅ࡛࡞ࡃᒸᒣᕷෆ࡞࡝࠿ࡽࡢཧຍ⪅ࡶ࠶ࡾ㸪┿ࡢ㣗ᨭ᥼ᐇົ⪅ࡸࡑࡢೃ⿵⪅ࡀ㞟ྜࡋࡓ㸬┿ᗞᆅ༊ࡢṑ⛉ࡢඛ⏕᪉ࡣ㸪“୍᪦࠿࠿ࡾࡘࡅ࡟࡞ࡗࡓࡽ᭱ᮇࡲ࡛”ᢸᙜࡍࡿጼໃ࡛
἞⒪ࡉࢀ࡚࠾ࡾ㸪㣗௓ㆤ࡟㛵ࡍࡿ᝟ሗࡢࢽ࣮ࢬࡣ㧗ࡃ㸪௒ᅇከ⫋✀ࡀ୍ྠ࡟㞟ࡲࡾ⤎ࢆ῝ࡵࡿᶵ఍࡟࡞ࡗࡓࡇ࡜ࡣ኱ኚ᭷ព⩏࡛࠶ࡗࡓ㸬 ࣮࣡ࢡࢩࣙࢵࣉࡢ㐍⾜ࡣ๓ᅇྠᵝ㧗ᶫ㈼᫭ඛ⏕㸦᪥ᮏṑ⛉኱Ꮫ㝃ᒓ⑓㝔ㅮᖌ㸧࡟࠾㢪࠸ࡋࡓ㸬ࣇ࢓ࢩࣜࢸ࣮ࢱ࣮ࡣ㸪ᆏᮏඵ༓௦ඛ⏕㸦ࡃࡽࡋࡁస㝧኱Ꮫᑓ௵ᩍᤵ㸧㸪୰ᮧᖾఙඛ⏕㸦ࡘࡤࡉࢡࣜࢽࢵࢡ⌮஦㛗㸧㸪Ỉᓥ⨾ಖඛ⏕㸦ᅾᏯᰤ㣴⟶⌮ࢫࢸ࣮ࢩࣙࣥࡶࡄࡶࡄ኱㜰㸧㸪ᮧ⏣ᑦ㐨ඛ⏕㸦ᒸᒣ኱Ꮫ⑓㝔ຓᩍ㸧࡜࠸ࡗࡓࡇࡢศ㔝ࡢᑓ㛛ᐙ࡟࠾㢪࠸ࡋࡓ㸬ࡲࡓ㸪␗࡞ࡿ⫋✀ࡀྠ୍ࡢၥ㢟ࢆゎỴࡍࡿ⣲ᬕࡽࡋ࠸࣮࣡ࢡࢩࣙࢵࣉ࡜࡞ࡗࡓ㸬 1 ⑕౛┠ࡣ᪋タධᡤࡢ㣗஦࡟㛗᫬㛫ࢆせࡍࡿ࢔ࣝࢶࣁ࢖࣐࣮ᆺㄆ▱⑕ࡢ⏨ᛶࡢእ㒊ホ౯➼ࡢၥ㢟Ⅼࢆ㣗⾜ື㸪⎔ቃ㸪ཱྀ⭍㸪ဗ㢌ࡢ 4 ࡘࡢ࢝ࢸࢦ࣮ࣜ࡟ࢃࡅ㸪ၥ㢟ゎỴ᪉ἲ࡟ࡘ࠸᳨࡚ウࡋࡓ㸬2 ⑕౛┠ࡣࡴࡏࡇࡳࡀከ࠸ࡀ㸪࣮࣌ࢫࢺ㣗ࢆ⮬㣗ࡉࢀ࡚࠸ࡿ๓㢌ഃ㢌ᆺㄆ▱⑕ࡢ≉㣴ධᡤ୰ࡢ⏨ᛶࡢእ㒊ホ౯ࢆぢ࡚㸪ྠᵝ࡟Ᏻ඲࡞㣗஦᪉ἲࡸ㐺ษ࡞ࢣ࢔ࣉࣛࣥࢆ᳨ウࡋࡓ㸬3 ⑕౛┠ࡣ୍ᗘ❅ᜥ࡛ᩆᛴᦙ㏦ࡉࢀࡓ᪤ ࡀ࠶ࡿ࡟ࡶ㛵ࢃࡽࡎࠕṚࢇ࡛ࡶ࠸࠸࠿ࡽᖖ
㣗ࢆ㣗࡭ࡓ࠸ࠖ࡜࠾ࡗࡋࡷࡗ࡚࠸ࡿࢢ࣮ࣝࣉ࣮࣒࣍ධᡤࡢ⏨ᛶࡢ౛ࢆ᳨ウࡋ㸪ᑐᛂ࡟ࡘ࠸
࡚ࢹ࢕ࢫ࢝ࢵࢩࣙࣥࡋࡓ㸬 ࡝ࢀࡶ᪥ᖖࡼࡃぢཷࡅࡽࢀࡿᅔ㞴⑕౛࡛࠶ࡗࡓࡀ㸪ၥ㢟Ⅼࢆ 4 ࡘ࡟ศࡅࡿࡇ࡜࡟ࡼࡗ࡚
≧ἣࢆᩚ⌮࡛ࡁ㸪ከ⫋✀࡛᭷ព⩏࡞ࢹ࢕ࢫ࢝ࢵࢩࣙࣥࡀ࡛ࡁࡓ㸬− 12 −

− 13 −

㞟ྜ෗┿

࠙➨ 7 ᅇ ┴༡す㒊 ஭ཎᆅᇦ ஭ཎ఍ሙࠚሙ ᡤ㸸஭ཎᕷᆅሙ⏘ᴗ᣺⯆ࢭࣥࢱ࣮ཧຍ⪅㸸30 ྡෆ ヂ㸸ṑ⛉་ᖌ 8 ྡ㸪⟶⌮ᰤ㣴ኈ/ᰤ㣴ኈ 6 ྡ㸪ṑ⛉⾨⏕ኈ 11 ྡ㸪┳ㆤᖌ 1 ྡ㸪௓ㆤ⣔⫋✀ 2 ྡ㸪ࣜࣁࣅࣜ࡟㛵ࢃࡿ⫋✀ 1 ྡ㸪୍⯡ᕷẸ 1 ྡ

3% 3% 0%

0%

་ᖌ

0%
3%

ṑ⛉་ᖌ

7%
27%

⟶⌮ᰤ㣴ኈ/ᰤ㣴ኈ
ṑ⛉⾨⏕ኈ
┳ㆤᖌ
⸆๣ᖌ
௓ㆤ⣔⫋✀

37%

20%

ࣜࣁࣅࣜ࡟㛵ࢃࡿ⫋✀
୍⯡ᕷẸ
ࡑࡢ௚

 ஭ཎᕷ࡛ࡣ㸪஭ཎᕷẸ⑓㝔ࢆ୰ᚰ࡟ࡉࡲࡊࡲ࡞་⒪㐃ᦠࡸ௓ㆤ㐃ᦠࡀᒎ㛤ࡉࢀ࡚࠸ࡿ㸬௒ᅇࡣ㸪ᗈሗࡶ஭ཎᕷẸ⑓㝔࡟ࡈ༠ຊ࠸ࡓࡔࡁ㸪㣗ᨭ᥼ࡢ୰ᚰࢆᢸ࠺᪉ࠎ࡟㞟ࡲࡗ࡚࠸ࡓ
ࡔࡃࡇ࡜ࡀ࡛ࡁࡓ㸬௒ᅇࡢ࣮࣡ࢡࢩࣙࢵࣉ࡟ࡣ㸪་⒪ᑓ㛛⫋✀ࡔࡅ࡛࡞ࡃ㸪୍⯡ᕷẸࡢཧຍࢆᚓࡓࡇ࡜ࡀ኱ࡁ࡞๓㐍࡜࡞ࡗࡓ㸬− 14 − ࣮࣡ࢡࢩࣙࢵࣉࡢࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮ࢆ௒ᅇึࡵ࡚⳥㇂Ṋඛ⏕㸦᪥ᮏṑ⛉኱Ꮫཱྀ⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥከᦶࢡࣜࢽࢵࢡ㝔㛗㸧࡟࠾㢪࠸ࡋࡓ㸬㐍⾜ࡣ㧗ᶫ㈼᫭ඛ⏕㸦᪥ᮏṑ⛉኱Ꮫ㝃ᒓ⑓㝔ㅮᖌ㸧࡟࠾㢪࠸ࡋࡓ㸬ࣇ࢓ࢩࣜࢸ࣮ࢱ࣮ࡣ㸪ᡞཎ 㞝ඛ⏕㸦᪥ᮏṑ⛉኱Ꮫ㝃ᒓ⑓㝔ㅮᖌ㸧㸪෠ᒸຍ௦Ꮚඛ⏕㸦ᒸᒣ┴ᰤ㣴ኈ఍㸧㸪ⰼᮏ⨾ዉᏊඛ⏕㸦ᰤ㣴ࢣ࢔ࢧ࣏࣮ࢺ LINK ࡢࡰࡾ࡜㸧㸪୸ᒣ῟ஓඛ⏕㸦ᒸᒣᐙᗞ་⒪ࢭࣥࢱ࣮ὠᒣࣇ࢓࣑࣮ࣜࢡࣜࢽࢵࢡ㸧࡜࠸ࡗࡓࡇࡢศ
㔝ࡢከᵝ࡞ᑓ㛛ᐙ࡟࠾㢪࠸ࡋࡓ㸬 ࡲࡎ㸪⳥㇂ඛ⏕࡟ࡣ⑕౛ࢆࢫࣛ࢖ࢻ࡛♧ࡋ࡞ࡀࡽ࣑࣮ࣝࣛ࢘ࣥࢻࡢ㝿࡟࡝ࡇࢆぢࡿࡢ࠿㸪࡝࠺⪃࠼ࡿࡢ࠿㸽࡞࡟ࢆࡍࡿࡢ࠿㸽࡜࠸ࡗࡓලయⓗ࡞ࢳ࢙ࢵࢡ࣏࢖ࣥࢺ࡟ࡘ࠸࡚⡆༢࡞ㅮ⩏ࢆࡋ࡚࠸ࡓࡔ࠸ࡓ㸬 ࡑࡢᚋ 5 ࡘࡢࢢ࣮ࣝࣉ࡟ศ࠿ࢀ㸪⑕౛ࡢࢫࣛ࢖ࢻ࡛ᝈ⪅ࡢ≧ែࡸホ౯ࢆ☜ㄆࡋ࡞ࡀࡽ㸪ࢢ࣮ࣝࣉ࣮࣡ࢡࢆ㐍ࡵࡓ㸬⑕౛ࡣ๓㢌ഃ㢌ᆺㄆ▱⑕ࡢᇶ♏⑌ᝈࡀ࠶ࡾ㸪≉㣴ධᡤ୰ࡢ⏨ᛶ࡛࠶ࡿ㸬㣗ᚋࡢࡴࡏࡇࡳࡀከ࠸ࡀ࣮࣌ࢫࢺ㣗ࢆ⮬㣗࡟࡚ᦤྲྀࡋ࡚࠾ࡾ㸪ぬ㓰୙Ⰻ࡛㣗஦ࢆ୰᩿ࡍࡿࡇ࡜ࡶ࠶ࡿ࡜ࡢࡇ࡜࡛࠶ࡗࡓ㸬ࢢ࣮ࣝࣉ࣮࣡ࢡ࡛ࡣ㸪ࡇࡢᝈ⪅ࡢእ㒊ホ౯ࡸᄟୗෆど㙾᳨ᰝᡤぢ࡞࡝ࢆཧ⪃࡟ࡋ࡞ࡀࡽ㸪ၥ㢟Ⅼࢆ 4 ࡘࡢ࢝ࢸࢦ࣮ࣜ࡟ศࡅ࡚㸪㐺ษ࡞ࢣ࢔ࣉࣛࣥࢆ᳨ウࡋࡓ㸬ྠࡌ⑕౛࡛ࡶ⫋✀࡟ࡼࡗ࡚࢔ࣉ࣮ࣟࢳࡢ⪃࠼᪉ࡀ㐪ࡗࡓࡾ㸪ࢢ࣮ࣝࣉࡈ࡜࡟┠ᣦࡍࢦ࣮ࣝࡀ␗࡞ࡿࡇ࡜࡞࡝ࢆཧຍ⪅ࡀ␲ఝయ㦂࡛ࡁࡿࡢࡀࡇࡢᏛ⩦ἲࡢ฼Ⅼ࡛࠶ࡗࡓ㸬− 15 −

− 16 −

࠙➨ 8 ᅇ ┴༡ᮾ㒊 ᒸᒣ఍ሙࠚሙ ᡤ㸸ᒸᒣ኱ᏛṑᏛ㒊Ჷཧຍ⪅㸸47 ྡෆ ヂ㸸་ᖌ 1 ྡ㸪ṑ⛉་ᖌ 12 ྡ㸪⟶⌮ᰤ㣴ኈ/ᰤ㣴ኈ 10 ྡ㸪ṑ⛉⾨⏕ኈ 9 ྡ㸪┳ㆤᖌ 2 ྡ㸪௓ㆤ⣔⫋✀㸵ྡ㸪ࣜࣁࣅࣜ࡟㛵ࢃࡿ⫋✀ 4 ྡ㸪ࡑࡢ௚ 2 ྡ(ㄪ⌮ᖌ 1 ྡ㸪〇㐀࣓࣮࣮࢝໅ົ 1 ྡ)

0% 2%

་ᖌ
ṑ⛉་ᖌ

4%
9%

⟶⌮ᰤ㣴ኈ/ᰤ㣴ኈ

26%
15%

ṑ⛉⾨⏕ኈ
┳ㆤᖌ
⸆๣ᖌ

0% 4%

௓ㆤ⣔⫋✀

19%

21%

ࣜࣁࣅࣜ࡟㛵ࢃࡿ⫋✀
୍⯡ᕷẸ
ࡑࡢ௚

 ࣮࣡ࢡࢩࣙࢵࣉࡢࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮ࢆ๓ᅇ࡟⥆ࡁ⳥㇂ Ṋඛ⏕㸦᪥ᮏṑ⛉኱Ꮫཱྀ⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥከᦶࢡࣜࢽࢵࢡ㝔㛗㸧࡟㸪㐍⾜ࢆᡞཎ 㞝ඛ⏕㸦᪥ᮏṑ⛉኱Ꮫ㝃ᒓ⑓㝔ㅮᖌ㸧࡟࠾㢪࠸ࡋࡓ㸬ࣇ࢓ࢩࣜࢸ࣮ࢱ࣮ࡣ㸪᫬ᒸዉ✑Ꮚඛ⏕㸦≉ᐃ㠀Ⴀ฼άືἲேࡣࡳࢇࡄ
༡Ἑෆ๪⌮஦㛗㸧㸪୰ᮧᖾఙඛ⏕㸦ࡘࡤࡉࢡࣜࢽࢵࢡ⌮஦㛗㸪ᒸᒣ኱Ꮫ་Ꮫ㒊⮫ᗋ෸ᩍᤵ㸧㸪෠ᒸຍ௦Ꮚඛ⏕㸦ᒸᒣ┴ᰤ㣴ኈ఍㸧㸪๓ᕝாᏊඛ⏕㸦ࣉࣛ࢖࣒࣍ࢫࣆࢱࣝ⋢ᓥṑ⛉㸧㸪ᮧ⏣ᑦ㐨ඛ⏕㸦ᒸᒣ኱Ꮫ⑓㝔ຓᩍ㸧㸪Ώ㑓࿴Ꮚඛ⏕㸦ࡃࡽࡋࡁస㝧኱Ꮫ⌧௦㣗ᩥ໬Ꮫ㒊෸ᩍᤵ㸧࡜࠸ࡗࡓࡇࡢศ㔝ࡢከᵝ࡞ᑓ㛛ᐙ࡟࠾㢪࠸ࡋࡓ㸬 ᝈ⪅ࡢ⨨࠿ࢀࡓ⎔ቃࡀ࡝ࡢ⛬ᗘ㣗ᨭ᥼࡟࠾࠸࡚ᙳ㡪ࡀ࠶ࡾ㸪ࡑࢀࢆᨵၿࡋ࡚ලయⓗ࡟㣗࡭ࡿࡓࡵࡢᨭ᥼⟇ࢆ㆟ㄽࡋࡓ㸬ࡲࡎ㸪⡆༢࡞⑕౛ࡢ⤂௓ࢆ⾜࠸㸪ࡇࡢᝈ⪅ࡢ㣗ᨭ᥼ࢆ⾜࠺ࡢ࡟ᚲせ࡞᝟ሗࢆࢢ࣮ࣝࣉ࡛ᣲࡆ࡚࠸ࡁ㸪㞟ࡲࡗࡓࡽࡑࢀࢆศ㢮ࡋ࡚Ⓨ⾲ࡋ࡚ࡶࡽࡗࡓ㸬ࡑࡢᚋ㸪ࢢ࣮ࣝࣉ⊂⮬ࡢศ㢮࡛ࡣ࡞ࡃ㸪ᝈ⪅ࡢ⎔ቃ࡟╔┠ࡋࡓศ㢮“་Ꮫⓗ㐺ᛂ”㸪“ᮏேࡢ
ពྥ”㸪“㣗⎔ቃ”㸪“࿘ᅖࡢ≧ἣ”࡛෌ศ㢮ࡋ࡚ࡶࡽࡗࡓ㸬ᅾᏯ࡛ࡣᚲࡎࡋࡶ“་Ꮫⓗデ᩿”ࡤ࠿ࡾࡀඃඛࡉࢀ࡞࠸ࡢࡣ㣗௓ㆤࡶྠᵝ࡛࠶ࡿࡇ࡜ࢆ⌮ゎࡋ࡚㡬ࡁ㸪ࡑࢀ࡟ྜࢃࡏ࡚ゎỴἲࢆ᳨ウࡋ࡚ࡶࡽࡗࡓ㸬෌ศ㢮ࢆ⾜࠺㒔ྜୖ㸪࣮࣡ࢡࢩࣙࢵࣉࡣ࣏ࢫࢺ࢖ࢵࢺ࡛ពぢࢆ᭩ࡁฟࡋ㸪࣍࣡࢖ࢺ࣮࣎ࢻ࡛ศ㢮ࡍࡿᙧᘧ࡜ࡋࡓ㸬୍ᗘ⮬ศࡓࡕ࡛ศ㢮ࡋࡓࡶࡢࢆࡑࡢࡲࡲ෌
ศ㢮ࡋࡓࡾ㸪ᑐᛂ᱌ࡢ୍ࡘ࡜ࡋ࡚ᐇ㝿ࡢ㌿ᶵࢆ⤂௓ࡋࡓࡾ࡜࠸ࡗࡓ஦ࡀ኱ኚཧ⪃࡟࡞ࡿ࡜ዲホ࡛࠶ࡗࡓ㸬− 17 −

− 18 −

− 19 −⥲ᣓ ᛴᛶᮇ⑓㝔ࡢ NST άື࡜ࡣࡦ࡜࿡㐪࠺㸪⏕άࡸ㧗㱋⪅ࡢ QOL ࡟ᐤࡾῧࡗࡓᰤ㣴ᦤྲྀࡢ⪃࠼᪉ࡸၥ㢟ゎỴἲ࡟ࡘ࠸࡚㸪ᒸᒣ┴ 5 ་⒪ᅪ࡟ᾐ㏱ࡉࡏࡿ┠ⓗ࡛᥇ᢥࡉࢀࡓᮏ஦ᴗࡶ 3 ᖺ┠ࡢ᭱⤊ᖺᗘ࡜࡞ࡗࡓ㸬“ᆅᇦ࣭ᅾᏯ㧗㱋⪅ࡢࠕ㣗ࠖ࡟ᐤࡾࡑ࠺”ࢆࢸ࣮࣐࡟௨ୗ 3 ᅇࡢᏛ⾡
ㅮ₇఍ࡀᐇ᪋ࡉࢀࡓ㸬ᮏ஦ᴗࡣᒸᒣ኱Ꮫ⑓㝔ࡀᒸᒣ┴࠿ࡽጤクࡉࢀ 3 ᖺ┠࡜࡞ࡿ㸬ࡇࡢ 3ᖺ㛫࡟┴ୗ 6 ࢝ᡤ㸦ᒸᒣᕷ㸪ὠᒣᕷ㸪಴ᩜᕷ㸪℩ᡞෆᕷ㸪┿ᗞᕷ㸪஭ཎᕷ㸧࡛ྜィ 8 ᅇࡢබ㛤ࢭ࣑ࢼ࣮ࢆ㛤ദࡋࡓ㸬᭱⤊ᖺᗘ᭱ᚋࡢᏛ⾡ㅮ₇఍ࢆ㸪ᒸᒣ኱Ꮫ⑓㝔࡟࡚㛤ദ࡛ࡁࡓࡇ
࡜ࡣ኱ኚගᰤ࡛࠶ࡗࡓ㸬≉࡟㸪ᖹᡂ 27 ᖺᗘ௓ㆤಖ㝤ሗ㓘ࡢᨵᐃ࡛⤒ཱྀ⥔ᣢຍ⟬ࡀぢ┤ࡉࢀ㸪௓ㆤಖ㝤᪋タ࡛༠ຊṑ⛉་⒪ᶵ㛵ࢆᐃࡵ㸪㣗஦ࡢほᐹ㸦࣑࣮ࣝࣛ࢘ࣥࢻ㸧࡟ṑ⛉་ᖌ㸪ṑ
⛉⾨⏕ኈ➼㸪ᦤ㣗࣭ᄟୗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࡸ㣗௓ㆤࡢᑓ㛛⫋ࡀཧ⏬ࡋ࡚⤒ཱྀ⥔ᣢィ⏬ࢆ⟇ᐃࡋࡓሙྜ࡟⟬ᐃྍ⬟࡜࡞ࡗࡓࡇ࡜ࡸ㸪⑓㝔࡟࠾࠸࡚ࡶ௒ᖺᗘ NST ṑ⛉་ᖌ㐃ᦠຍ⟬ࡀタᐃࡉࢀ㸪㣗ᨭ᥼ࡢከ⫋✀㐃ᦠ࡟ṑ⛉་⒪⫋ࡢཧຍࡀᙉㄪࡉࢀࡿ࡞࠿㸪ᅾᏯ࡛ࡢᰤ㣴ᨭ᥼࡛ࡢከ⫋✀㐃ᦠࡣࡲࡔ࡞࠾ᅔ㞴࡞≧ἣࡀከ࠸㸬ࡋࡓࡀࡗ࡚㸪ࡇࡢከ⫋✀㐃ᦠࢆ࠸࠿࡟⬟⋡ࡼࡃ㸪⒪㣴⪅ࡸ௓ㆤ⪅ࡢࢽ࣮ࢬ࡟࠶ࡗࡓࡶࡢ࡜ࡋ࡚ᐇാࡉࡏࡿ࠿ࡢࣀ࢘ࣁ࢘ࢆᏛࡪㅮ₇఍ࡸ࣮࣡ࢡࢩࣙࢵࣉࡢᚲせᛶࡀ࠶ࡗࡓ㸬 ᮏ஦ᴗ࡛ࡣ㸪ᒸᒣ኱Ꮫ⑓㝔࡜࠸࠺ᩍ⫱◊✲ᇶ┙ࢆ฼⏝ࡋ࡚㸪᪥ᮏᒅᣦࡢཱྀ⭍ᰤ㣴㛵㐃ࢧ࣮ࣅࢫᩍ⫱ࢆᒸᒣ┴ࡢ་⒪ᅪ࡟ᒎ㛤ࡍࡿ┠ⓗ࡛⾜ࡗࡓࡀ㸪᫖ᖺࡼࡾ౑⏝ࡋ࡚࠸ࡿ஦ᴗᗈሗ
࢙࢘ࣈࢧ࢖ࢺ࡛஦๓Ⓩ㘓ࢆ⥅⥆ࡋ㸪஦ᴗሗ࿌ࢆᥖ㍕ࡍࡿ࡞࡝㸪ࡇࡢ஦ᴗࡀ┴ෆࡢ㛵㐃⫋✀࡟ᖜᗈࡃᗈሗࡉࢀࡿࡼ࠺ᕤኵࡋࡓ㸬ཧຍேᩘࡢෆヂ࡜ࡋ࡚ࡣṑ⛉་ᖌ㸪⟶⌮ᰤ㣴ኈ㸪ṑ⛉⾨⏕ኈࡢཧຍࡀᅽಽⓗ࡟ከࡃ㸪㣗ᨭ᥼ࡢᣦ♧ࢆฟࡍ་ᖌࡢཧຍࡀᑡ࡞࠸஦㸪㣗௓ຓࡢᐇື
㒊㝲࡛࠶ࡿ┳ㆤᖌ㸪ࣜࣁࣅࣜ㛵㐃⫋㸪௓ㆤ⫋࡞࡝ࡢཧຍࡀᑡ࡞࠸஦ࡀㄢ㢟࡜ࡋ࡚࠶ࡆࡽࢀ
ࡓ㸬ࡇࡢၥ㢟࡟ᑐᛂࡍࡿࡓࡵ࡟㸪௒ᖺᗘࡣ᪂⪺ᥖ㍕㸪ᕷẸྥࡅࡢ࣮ࣜࣇࣞࢵࢺసᡂ➼㸪ᗈ

− 20 −

ሗᡭẁࢆ᳨ウࡋࡓ㸬ࡋ࠿ࡋ㸪㣗௓ㆤࡢᑓ㛛⫋✀࡛࠶ࡿ⟶⌮ᰤ㣴ኈࡢཧຍࡀ⥅⥆ࡋ࡚㧗ࡃᚓࡽࢀࡓࡇ࡜ࡣ㸪ᮏ஦ᴗ࡟࠾ࡅࡿఱ࡟ࡶ᥮࠼㞴࠸ᡂᯝ࡜ゝ࠼ࡿ㸬୍᪉㸪ᗈሗࡋࡓ┴ෆ་⒪ᅪ࠿ࡽᖜᗈࡃཧຍࡀ࠶ࡗࡓࡔࡅ࡛࡞ࡃ㸪㏆㞄┴㸦኱㜰ᗓ㸪ዉⰋ┴㸪රᗜ┴㸪㫽ྲྀ┴㸪㤶ᕝ┴➼㸧࠿ࡽࡶཱྀࢥ࣑࡛ཧຍ⪅ࡀ㞟ࡲࡗࡓ㸬ࡇࢀࡣ㸪NST㸪࣑࣮ࣝࣛ࢘ࣥࢻࢆྵࡴከ⫋✀㐃ᦠ㸪ཱྀ⭍ᰤ㣴㛵㐃ࢧ࣮ࣅࢫ࡟㛵ࡍࡿ᝟ሗࢆᥦ౪ࡍࡿㅮ₇఍ࡀ඲ᅜⓗ࡟ࡶ୙㊊ࡋ࡚࠸ࡿࡇ࡜ࢆ♧ࡋ࡚࠸ࡿࡶࡢ࡜⪃࠼ࡽࢀࡓ㸬ࡍ࡞ࢃࡕ㸪ᒸᒣ┴࡟࠾ࡅࡿᮏά
ືࡣ㸪඲ᅜ࡟ྥࡅࡓࣔࢹࣝࢣ࣮ࢫ࡜ࡋ࡚ࡢ㔜せ࡞౯್ࡀ࠶ࡿࡶࡢ࡜⪃࠼ࡽࢀࡓ㸬 ཧຍ⪅ࡢឤ᝿࡟ࡶከᩘ࠶ࡗࡓࡼ࠺࡟㸪⌧ᅾࡢ་⒪௓ㆤ⌧ሙ㸪≉࡟ᅾᏯ࡟࠾࠸࡚ࡣ㸪⒪㣴
⪅୍ே୍ே࡟ᛂࡌࡓ་⒪࣭⚟♴࣭௓ㆤ࣭⏕άࡢᅔࡾࡈ࡜ࡀ࠶ࡾ㸪ࡑࡢᨭ᥼ࡀồࡵࡽࢀ࡚࠸
ࡿ㸬ከࡃࡢ⫋✀ࡀ㞟࠸ࡑࢀࡽࡢၥ㢟࡟ࡘ࠸࡚ከ㠃ⓗ࡟ࢹ࢕ࢫ࢝ࢵࢩࣙࣥࡋࡓ࣮࣡ࢡࢩࣙࢵ
ࣉࡣ㸪ཧຍ⪅࡟࠾࠸࡚኱ኚ᭷ព⩏࡞⤒㦂࡟࡞ࡾ㸪ᐇົ⪅࡜ࡋ࡚ᆅඖࡢᨭ᥼άື࡟㈉⊩࡛ࡁࡿࡶࡢ࡜ᛮࢃࢀࡓ㸬ཧຍ⪅ࡢ୰࡟ࡶ㸪෌ᗘࡢཧຍࢆᕼᮃࡍࡿࡶࡢࡸྠ൉ࢆཧຍࡉࡏࡓ࠸➼ࡢពぢࡀከᩘ⪺࠿ࢀࡓࡓࡵ㸪┴ෆࡢ་⒪ᅪ࡛⥅⥆ࡋࡓ㛤ദࡀᙉࡃᮃࡲࢀࡿ㸬 ௒ᅇ㸪ከࡃࡢཧຍ⪅࠿ࡽᮏ࣮࣡ࢡࢩࣙࢵࣉࢆ㧗ࡃホ౯㡬ࡁ㸪࡛ࡁࢀࡤ௒ᚋࡢ᭦࡞ࡿ㛤ദࢆᮇᚅࡍࡿኌࢆ㡬࠸࡚࠸ࡿ㸬ࡲࡓ㸪࣮࣡ࢡࢩࣙࢵࣉᙧᘧ࡛࠶ࡗࡓࡓࡵ㸪ཧຍ⪅ࡀ㝈ᐃࡉࢀࡓࡇ࡜ࡶ࠶ࡾ㸪ḟᅇ㛤ദ࡟ྥࡅ࡚✚ࡳṧࡋࡓཧຍᕼᮃ⪅ࡀከᩘ࠶ࡿ㸬ࡲࡓ㸪ཧຍ⪅ࡀṑ⛉་ᖌ㸪⟶⌮ᰤ㣴ኈ㸪ṑ⛉⾨⏕ኈ࡟೫ࡗ࡚࠸ࡿ⌧≧ࡀ࠶ࡿࡢ࡛㸪௓ㆤࡢ⌧ሙ࡛㣗஦௓ຓࢆࡋ
࡚࠸ࡿ௓ㆤࢫࢱࢵࣇ➼࡟ࡶከࡃᗈሗࡋ࡚ཧຍࡋ࡚࠸ࡓࡔࡁ඘ᐇࡋࡓ࣮࣡ࢡࢩࣙࢵࣉࢆ㛤ദࡋࡓ࠸࡜⪃࠼࡚࠸ࡿ㸬
0

5

10

15

(ྡ)

20

25

་ᖌ
ṑ⛉་ᖌ
⟶⌮ᰤ㣴ኈ/ᰤ㣴ኈ
ṑ⛉⾨⏕ኈ
┳ㆤᖌ
⸆๣ᖌ
௓ㆤ⣔⫋✀
ࣜࣁࣅࣜ࡟㛵ࢃࡿ⫋✀
୍⯡ᕷẸ
ࡑࡢ௚

➨6ᅇ (‫‮‬ཎ)➨7ᅇ (஭ཎ)➨8ᅇ (ᒸᒣ)ㅮ₇఍ ཧຍ⪅ࡲ࡜ࡵ− 21 −

30

35

(ྡ)
0

2

4

6

8

10

་ᖌ
ṑ⛉་ᖌ
⟶⌮ᰤ㣴ኈ/ᰤ㣴ኈ
ṑ⛉⾨⏕ኈ
┳ㆤᖌ
⸆๣ᖌ
௓ㆤ⣔⫋✀
ࣜࣁࣅࣜ࡟㛵ࢃࡿ⫋✀
୍⯡ᕷẸ
ࡑࡢ௚

➨6ᅇ (‫‮‬ཎ)➨7ᅇ (஭ཎ)➨8ᅇ (ᒸᒣ)࣮࣡ࢡࢩࣙࢵࣉ ཧຍ⪅ࡲ࡜ࡵ− 22 −

12

14

市民向け広報リーフレット− 23 −

− 24 −

− 25 −

− 26 −

− 27 −

− 28 −

㈨ᩱ1

− 29 −

− 30 −

㈨ᩱ2

− 31 −

㈨ᩱ3− 32 −

㈨ᩱ4− 33 −

ᒸᒣ┴ጤク஦ᴗࠕせ௓ㆤ㧗㱋⪅ࡢపᰤ㣴ࢆ㜵ࡄࡓࡵࡢ་ᖌ࣭ṑ⛉་ᖌ࡜⟶⌮ᰤ㣴ኈ࡟ࡼࡿཱྀ⭍ᰤ㣴㛵㐃ࢧ࣮ࣅࢫ᥎㐍஦ᴗࠖ➨㸴ᅇබ㛤ࢭ࣑ࢼ࣮㸦┿ᗞᆅᇦ㸧ᆅᇦ࣭ᅾᏯ㧗㱋⪅ࡢࠕ㣗ࠖ࡟ᐤࡾࡑ࠺
᪥᫬㸸ᖹᡂ  ᖺ  ᭶  ᪥㸦᪥㸧Ѹ
఍ሙ㸸‫‮‬ཎࡩࢀ࠶࠸ࢭࣥࢱ࣮㸦┿ᗞᕷ㇏ᰤ 㸧ࣉࣟࢢ࣒ࣛ
Ꮫ⾡ㅮ₇఍
Ѹ ࠶㛤఍ᣵᣜ      ❑ᮌᣅ⏨      ᒸᒣ኱Ꮫ⑓㝔ࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛⛉ᩍᤵ ࠶≉ูㅮ₇㸯    ᗙ㛗㸸❑ᮌᣅ⏨ඛ⏕㸦ᒸᒣ኱Ꮫ㸧ࠕ㣗࡭ࡿᴦࡋࡳࢆᨭ࠼ࡿᅾᏯ་⒪ࠖ      ୰ᮧᖾఙඛ⏕      ࡘࡤࡉࢡࣜࢽࢵࢡ⌮஦㛗㸪ᒸᒣ኱Ꮫ་Ꮫ㒊⮫ᗋ෸ᩍᤵ
 ࠶≉ูㅮ₇㸰ᗙ㛗㸸ᆏᮏඵ༓௦ඛ⏕㸦ࡃࡽࡋࡁస㝧኱Ꮫ㣗ᩥ໬Ꮫ㒊ᰤ㣴Ꮫ⛉ᑓ௵ᩍᤵ㸧    ࠕ᭱ᮇࡲ࡛ᆅᇦ࡛㣗࡭ࡿࡓࡵࡢ㣗ᨭ᥼ࠖ㧗ᶫ㈼᫭ඛ⏕           ᪥ᮏṑ⛉኱Ꮫ㝃ᒓ⑓㝔ཱྀ⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⛉ㅮᖌ ࠶≉ูㅮ₇㸱ᗙ㛗㸸ᮧ⏣ᑦ㐨ඛ⏕㸦ᒸᒣ኱Ꮫ⑓㝔ࢫ࣌ࢩࣕࣝࢽ࣮ࢬṑ⛉ࢭࣥࢱ࣮ຓᩍ㸧    ࠕඖẼ࡛ᬽࡽࡍࡓࡵ࡟㣗஦ࢆぢ┤ࡋ࡚ࡳࡲࡋࡻ࠺㸟ࠖ      Ỉᓥ⨾ಖඛ⏕      ᅾᏯᰤ㣴⟶⌮ࢫࢸ࣮ࢩࣙࣥࡶࡄࡶࡄ኱㜰㸪᪥ᮏᰤ㣴ኈ఍ㄆᐃᅾᏯゼၥ⟶⌮ᰤ㣴ኈ  ᫨㣗఍㆟ ࣮࣡ࢡࢩࣙࢵࣉཧຍ⪅  ࣮࣡ࢡࢩࣙࢵࣉ㸦஦๓Ⓩ㘓ไ㸧 ࠶>࣑࣮ࣝࣛ࢘ࣥࢻ       ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮      㧗ᶫ㈼᫭ඛ⏕㸦᪥ᮏṑ⛉኱Ꮫ㝃ᒓ⑓㝔ཱྀ⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⛉ㅮᖌ㸧      ࣇ࢓ࢩࣜࢸ࣮ࢱ࣮      ᆏᮏ ඵ༓௦ ඛ⏕㸦ࡃࡽࡋࡁస㝧኱Ꮫ㣗ᩥ໬Ꮫ㒊ᰤ㣴Ꮫ⛉ᑓ௵ᩍᤵ㸧      ୰ᮧᖾఙඛ⏕㸦ࡘࡤࡉࢡࣜࢽࢵࢡ⌮஦㛗㸪ᒸᒣ኱Ꮫ་Ꮫ㒊⮫ᗋ෸ᩍᤵ㸧      Ỉᓥ⨾ಖඛ⏕㸦ᅾᏯᰤ㣴⟶⌮ࢫࢸ࣮ࢩࣙࣥࡶࡄࡶࡄ኱㜰㸪᪥ᮏᰤ㣴ኈ఍ㄆᐃᅾᏯゼၥ⟶⌮ᰤ㣴ኈ㸧      ᮧ⏣ᑦ㐨ඛ⏕㸦ᒸᒣ኱Ꮫ⑓㝔ࢫ࣌ࢩࣕࣝࢽ࣮ࢬṑ⛉ࢭࣥࢱ࣮ຓᩍ㸧࠶㛢఍ᣵᣜ      ụඖ⏤㏻      ┿ᗞṑ⛉་ᖌ఍఍㛗ͤᖹᡂ  ᖺᗘ᪥ṑ⏕ᾭ◊ಟ࡟ㄆᐃࡉࢀ࡚࠸ࡲࡍࠋ
⏕ᾭ◊ಟ▷⦰ࢥ࣮ࢻ

㣗࡭ࡿᴦࡋࡳࢆᨭ࠼ࡿᅾᏯ་⒪᭱ᮇࡲ࡛ᆅᇦ࡛㣗࡭ࡿࡓࡵࡢ㣗ᨭ᥼    ඖẼ࡛ᬽࡽࡍࡓࡵ࡟㣗஦ࢆぢ┤ࡋ࡚ࡳࡲࡋࡻ࠺㸟࣮࣡ࢡࢩࣙࢵࣉࠕ࣑࣮ࣝࣛ࢘ࣥࢻࠖ

− 34 −













㸯㸳㸮㸵㸰㸱㸯㸳㸮㸵㸰㸲㸯㸳㸮㸵㸰㸳
㸯㸳㸮㸵㸰㸴 ≉ูㅮ₇㸯୰ᮧᖾఙඛ⏕ࡘࡤࡉࢡࣜࢽࢵࢡ ⌮஦㛗ᒸᒣ኱Ꮫ་Ꮫ㒊 ⮫ᗋ෸ᩍᤵ
㣗࡭ࡿᴦࡋࡳࢆᨭ࠼ࡿᅾᏯ་⒪ ㅮ₇ᴫせ ᙜ㝔ࡣ  ᖺ๓࡟಴ᩜ࡛ᅾᏯ་⒪࡟≉໬ࡋࡓࢡࣜࢽࢵࢡ࡜ࡋ࡚㛤㝔ࡋࡲࡋࡓࠋ⌧ᅾࡣᒸᒣᕷ࣭಴ᩜᕷࡢ  デ⒪ᡤࠊ་ᖌ  ྡయไ࡛⣙  ྡࡢᝈ⪅࡟ᑐࡋ࡚  ᫬㛫  ᪥ࡢデ⒪ᑐᛂࢆ⾜ࡗ࡚࠸ࡲࡍࠋ ᫖௒ࠊᅾᏯ་⒪ࡢ㔜せᛶࡀᙉㄪࡉࢀゼၥデ⒪ࢆ✚ᴟⓗ࡟⾜࠺デ⒪ᡤࡀቑ࠼࡚ࡁࡓࡇ࡜ࡶ࠶ࡾࠊ⮬Ꮿ࡛㐣ࡈࡋࡓ࠸᪉ࡀᅾᏯ་⒪ࢆཷࡅࡸࡍ࠸≧ἣ࡟࡞ࡾࡘࡘ࠶ࡾࡲࡍࠋᵝࠎ࡞་⒪ฎ⨨ࢆせࡍࡿ㔜⑕⪅ࡸ⮬Ꮿ࡛ࢱ࣮࣑ࢼࣝࢣ࢔
ࢆ⾜࠺ᝈ⪅ࠊ⪁⪁௓ㆤࠊㄆㄆ௓ㆤࡢ᪉࡞࡝ࡀቑ࠼࡚ࡃࡿ୰࡛ࠊࠕ⑓Ẽࡸ㞀ࡀ࠸ࡀ࠶ࡗ࡚ࡶ㡹ᙇࡗ࡚ᅾᏯ࡛㐣ࡈࡍࠖẁ㝵࠿ࡽࠊࠕࡏࡗ࠿ࡃᅾᏯ࡟࠸ࡿࡢࡔ࠿ࡽࡼࡾࡼ࠸⏕άࢆ┠ᣦࡍࠖẁ㝵࡟⛣ࡗ࡚ࡁ࡚࠸ࡿ࡜ᛮ࠸ࡲࡍࠋࡑࢀ࡟క࠸ࠊ
ᚎࠎ࡟㣗࡟ᑐࡍࡿ┦ㄯࡶቑ࠼࡚ࡁࡲࡋࡓࠋ ⚾ࡶࡇࡢࢭ࣑ࢼ࣮࡟ཧຍࡉࡏ࡚࠸ࡓࡔࡃࡼ࠺࡟࡞ࡗ࡚  ᖺ┠࡜࡞ࡾࡲࡍࠋᦤ㣗࣭ᄟୗࠊᰤ㣴ࠊ㣗ᨭ᥼࡜࠸࠺ゝⴥࡶᅾᏯ་⒪ࡢ⌧ሙ࡛ࡼࡃ⪥࡟ࡍࡿࡼ࠺࡟࡞ࡗ࡚ࡁ࡚ࠊ⚾⮬㌟ࡀᄟୗෆど㙾ࡢࢭ࣑ࢼ࣮ࢆཷㅮࡋ࡚ࠊᣋ࠸࡞ࡀࡽࡶᄟୗࡢホ౯࡟ᑡࡋࡎࡘ㛵ࢃࢀࡿࡼ࠺࡟ຮᙉࢆጞࡵ࡚࠸ࡲࡍࠋࡲࡓᮏᖺ  ᭶࡟ࡣ⟶⌮ᰤ㣴ኈࡀධ⫋ࡋࠊᅾᏯ࡛ࡢ
ゼၥᰤ㣴ᣦᑟࡶጞࡵࡲࡋࡓࠋ ௒ᅇࡣᅾᏯ་⒪ ゼၥデ⒪ ࡢᇶᮏⓗ࡞ㄝ᫂࡜ࠊ⚾ࡀ⤒㦂ࡋࡓ⑕౛ࢆࡶ࡜࡟ࠊᅾᏯࡢ⌧ሙ࡛࡝ࡢࡼ࠺࡟㣗ࢆ⪃࠼ࠊᨭ᥼ࡋ࡚࠸ࡃࡢࡀࡼ࠸ࡢ࠿୍⥴࡟⪃࠼࡚࠸ࡃᶵ఍࡟࡞ࢀࡤ࡜ᛮ࠸ࡲࡍࠋ␎Ṕᖹᡂ  ᖺ 㫽ྲྀ኱Ꮫ་Ꮫ㒊་Ꮫ⛉ ༞ᴗᖹᡂ  ᖺ ㈈ᅋἲே಴ᩜ୰ኸ⑓㝔㸦ᩍ⫱◊ಟ㒊㸪ᚠ⎔ჾෆ⛉㸧ᖹᡂ  ᖺ ୕⫱఍᪂ᐟࣄࣟࢡࣜࢽࢵࢡᖹᡂ  ᖺ ࡘࡤࡉࢡࣜࢽࢵࢡ 㛤タᖹᡂ  ᖺ ་⒪ἲேࡘࡤࡉ ⌮஦㛗ᖹᡂ  ᖺ ࡘࡤࡉࢡࣜࢽࢵࢡᒸᒣ 㛤タ⌧ᅾ࡟⮳ࡿ㈨᱁➼㸸ෆ⛉Ꮫ఍ㄆᐃ་㸪ᚠ⎔ჾෆ⛉ᑓ㛛་㸪ᅾᏯ་Ꮫ఍ᑓ㛛་ᒸᒣ኱Ꮫ་Ꮫ㒊⮫ᗋ෸ᩍᤵ
⦆࿴ࢣ࢔ࣇ࢛࣮࣒ࣛ LQ ᒸᒣ ୡヰே
಴ᩜ 167 ◊✲఍ ୡヰே ௚− 35 − ≉ูㅮ₇㸰㧗ᶫ㈼᫭ඛ⏕᪥ᮏṑ⛉኱Ꮫ㝃ᒓ⑓㝔 ཱྀ⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⛉ ㅮᖌ᭱ᮇࡲ࡛ᆅᇦ࡛㣗࡭ࡿࡓࡵࡢ㣗ᨭ᥼ ㅮ₇ᴫせ ཱྀ࠿ࡽ㣗࡭ࡿࡇ࡜ࡣࠊ⏕ࡁࡿᴦࡋࡳࡸ႐ࡧ࡟ࡘ࡞ࡀࡾࠊ⫶࡟ᰤ㣴ࢆ┤᥋ὀධࡍࡿ㸦⫶⒦㸧ࡼࡾ⏕⌮ⓗ࡛࠶ࡾࠊே㛫ࡽࡋࡃ࠶ࡿ࡜⪃࠼ࡿேࡣከ࠸࡜ᛮ࠺ࠋ᫖௒࡛ࡣ⫶⒦࡬ࡢࣂࢵࢩࣥࢢࡀᙉࡃࠊ᪂⪺ࡸࢸࣞࣅࡢ≉㞟࡛ࡣ⫶⒦ࡣ
ᝏ⪅࡜ࡋ࡚ྲྀࡾୖࡆࡽࢀࡿࡇ࡜ࡶᑡ࡞ࡃ࡞࠸ࠋࡋ࠿ࡋࠊᦤ㣗ᄟୗホ౯ࡢ౫㢗ࢆཷࡅ࡚ᅾᏯࡸ᪋タ࡟ゼၥࡍࡿ࡜ࠊ
ཱྀ࠿ࡽ㣗࡭ࡿࡇ࡜࡟ࡇࡔࢃࡿ࠶ࡲࡾᶵ⬟࡟㐺ࡉ࡞࠸㣗஦ࢆᦤྲྀࡋࠊㄗᄟࠊ࣒ࢭ㎸ࡳࢆ⧞ࡾ㏉ࡋ࡞ࡀࡽఱ᫬㛫ࡶ࠿࠿ࡗ࡚㣗஦ࢆࡋ࡚࠸ࡿ⌧ሙࢆ┠࡟ࡍࡿࡇ࡜ࡀ࠶ࡿࠋࡇࡢࡼ࠺࡞⌧ሙ࡟㐼㐝ࡍࡿ࡜ࠊ⫶⒦࡛࠶ࡗ࡚ࡶ⤒ཱྀᦤྲྀ࡛࠶ࡗ
࡚ࡶࡑࡢே⮬㌟ࡢ42/ࡀୖࡀࡽ࡞ࡃ࡚ࡣព࿡ࡀ࡞࠸࡜⪃࠼ࡿࡇ࡜ࡀ࠶ࡿࠋ ᭱ᮇࡲ࡛ᴦࡋࡃ㣗࡭ࡿࡇ࡜ࢆᨭ࠼ࡿࡓࡵ࡟ࡣࠊ㐺ษ࡞ホ౯ࡀ㔜せ࡛࠶ࡿࠋᅾᏯ⒪㣴㧗㱋⪅ࡣཱྀ⭍ဗ㢌ᶵ⬟ࡢపୗࡢࡓࡵ࡟ᦤ㣗ᄟୗ㞀ᐖ࡟㝗ࡿࣜࢫࢡࡀ㧗ࡃࠊ㔜⠜໬ࡋࡓሙྜࡣࠊపᰤ㣴࡟క࠺ච␿ᶵ⬟ࡢపୗࠊ❅ᜥ࠾ࡼࡧㄗ
ᄟᛶ⫵⅖ࢆᘬࡁ㉳ࡇࡋࠊணᚋ୙Ⰻ࡜࡞ࡿࠋ ࡼࡗ࡚ࠊᦤ㣗ᄟୗ㞀ᐖࡀ㢧ᅾ໬ࡍࡿ๓ࡢ᪩ᮇ࡟࠾ࡅࡿ㐺ษ࡞ᶵ⬟ホ౯ࠊᏳ඲࡞㣗஦ࡢᥦ౪ࡀᚲせ࡛࠶ࡿࠋࡋ࠿
ࡋࠊᐇ㝿ࠊᦤ㣗ᄟୗホ౯ࡢ౫㢗ࢆཷࡅ࡚ࠊゼၥデ⒪ࢆ⾜࠺࡜ࠊᦤ㣗ᄟୗ㞀ᐖࡀ㢧ᅾ໬ࡋࠊ඲㌟≧ែࡶ࠿࡞ࡾపୗ
ࡋ࡚࠸ࡿ᪉࡟㐼㐝ࡍࡿᶵ఍ࡀከ࠸ࠋࡇࡢࡼ࠺࡞ࢣ࣮ࢫ࡛ࡣࠊ✚ᴟⓗ࡞カ⦎ࡸࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢆ⾜࠺ࡇ࡜ࡀ㞴ࡋ࠸ࡇ࡜ࡀከ࠸ࠋࡘࡲࡾࠊ᭱ᮇࡲ࡛ᴦࡋࡃ㣗࡭ࡿࡇ࡜ࢆᨭ࠼ࡿࡓࡵ࡟ࡣࠊᝈ⪅ࡉࢇ࡟㛵ࢃࡿᵝࠎ࡞⫋✀࠿ࡽࡢ᪩ᮇࡢẼ࡙ࡁࡀ㔜せ࡜࡞ࡿࠋ ᖹᡂᖺᗘࡢ௓ㆤሗ㓘ᨵᐃ࡟క࠸⤒ཱྀ⥔ᣢຍ⟬ࡢぢ┤ࡋࡀ⾜ࢃࢀࠊከ⫋✀࡟ࡼࡿ࣑࣮ࣝࣛ࢘ࣥࢻࡸ࢝ࣥࣇ࢓ࣞ
ࢫ➼ࡢྲྀ⤌ࡳࡢࣉࣟࢭࢫ࠾ࡼࡧᦤ㣗ᄟୗᶵ⬟ࢆ㋃ࡲ࠼ࡓ⤒ཱྀ⥔ᣢࡢࡓࡵࡢᨭ᥼ࢆホ౯ࡍࡿࡶࡢ࡟ᨵᐃࡉࢀࡓࠋࡇ
ࡢᨵᐃ࡟ࡼࡗ࡚ࠊ᪋タධᒃࡋ࡚࠸ࡿᦤ㣗ᄟୗ㞀ᐖ⪅࡟ᑐࡋ࡚ࡢྲྀ⤌ࡳࡣࠊ࠸࠿࡟ከ⫋✀࡜༠ാࡋཱྀ࡚࠿ࡽ㣗࡭ࡿࡇ࡜ࢆᨭ᥼ࡋ࡚࠸ࡃ࠿ࡀồࡵࡽࢀࡿࡇ࡜࡟࡞ࡗࡓ࡜ゝ࠼ࡿࠋᨵᐃࡉࢀࡓ⤒ཱྀ⥔ᣢຍ⟬ࡢ⟬ᐃせ௳࡟࠶ࡿ࣑࣮ࣝࣛ࢘ࣥࢻࡣࠊᐇ㝿ࡢ㣗஦ሙ㠃ࡢほᐹ࠿ࡽ㣗࡭᪉ࠊ㣗࡭ࡿ⎔ቃ࡟ࡘ࠸࡚ࡢホ౯ࢆ⾜࠺ࡇ࡜࡛࠶ࡿࠋᮏㅮ₇࡛ࡣࠊ࣑࣮ࣝࣛ࢘ࣥࢻ࡟࠾ࡅࡿほᐹ࣏࢖ࣥࢺ࡟ࡘ࠸࡚ࡢㄝ᫂࡜㐺ษ࡞ᑐᛂἲ࡟ࡘ࠸࡚ࡶ⤂௓ࡍࡿࠋࡑࡋ࡚ࠊከ⫋✀ࡀ༠ാࡋ࡚࣑࣮ࣝࣛ࢘ࣥࢻࠊ࢝ࣥࣇ࢓ࣞࣥࢫࢆ⾜࠸ࠊ᝟ሗඹ᭷ࡋ࡞
ࡀࡽᦤ㣗ᨭ᥼࡟㛵ࢃࡗ࡚࠸ࡃࡇ࡜ࡢ㔜せᛶ࡟ࡘ࠸࡚⪃࠼࡚࠸ࡁࡓ࠸࡜ᛮ࠺ࠋ
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ᖹᡂ  ᖺᖹᡂ  ᖺᖹᡂ  ᖺ   ᖹᡂ  ᖺᖹᡂ  ᖺ   ᖹᡂ  ᖺᖹᡂ  ᖺ᫂ᾏ኱ᏛṑᏛ㒊ṑᏛ⛉ ༞ᴗ᪥ᮏṑ⛉኱Ꮫ㝃ᒓ⑓㝔 ⮫ᗋ◊ಟ་ ಟ஢᪥ᮏṑ⛉኱Ꮫ㝃ᒓ⑓㝔 ⥲ྜデ⒪⛉ ⮫ᗋຓᡭཱྀ⭍௓ㆤ࣭ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢭࣥࢱ࣮ే௵
ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ ༤ኈㄢ⛬ ಟ஢᪥ᮏṑ⛉኱Ꮫ㝃ᒓ⑓㝔 ཱྀ⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⛉ ຓᩍ ᭶ ᪥ᮏṑ⛉኱Ꮫ ཱྀ⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥከᦶࢡࣜࢽࢵࢡᡤᒓ
᪥ᮏṑ⛉኱Ꮫ㝃ᒓ⑓㝔 ཱྀ⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⛉ ㅮᖌ᪥ᮏṑ⛉኱Ꮫ㝃ᒓ⑓㝔 ཱྀ⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⛉ ་㛗− 36 − ≉ูㅮ₇㸱Ỉᓥ⨾ಖඛ⏕ᅾᏯᰤ㣴⟶⌮ࢫࢸ࣮ࢩࣙࣥࡶࡄࡶࡄ኱㜰 ⟶⌮ᰤ㣴ኈ᪥ᮏᰤ㣴ኈ఍ㄆᐃᅾᏯゼၥ⟶⌮ᰤ㣴ኈඖẼ࡛ᬽࡽࡍࡓࡵ࡟㣗஦ࢆぢ┤ࡋ࡚ࡳࡲࡋࡻ࠺㸟 ㅮ₇ᴫせ ࡇࡢᩘᖺࠊ㧗㱋⪅ࡢᰤ㣴ࡀ㔜せどࡉࢀࠊ௒ࡲ࡛ࡢࠕ㧗㱋⪅ࡣ࡜ࡾ࠶࠼ࡎఱ࠿㣗࡭࡚࠸ࢀࡤ࠸࠸࠿ࠋࠖ࠿ࡽࠊࠕ㧗㱋⪅ࡣ࢚ࢿࣝࢠ࣮࡜ࡓࢇࡥࡃ㉁ࢆ✚ᴟⓗ࡟ᦤࡾࠊపᰤ㣴ࡢᨵၿࡀ㔜せࠖ࡜ኚࢃࡗ࡚ࡁ࡚࠸ࡿࠋࡑࡢኚ໬ࡢ⫼ᬒ࡟ࡣ௒ᚋ㧗㱋⪅ࡀቑ࠼ࠊ㧗㱋⪅ࡢపᰤ㣴≧ែࢆᨵၿࡍࡿࡇ࡜࡛ࠊ೺ᗣᑑ࿨ࡀఙࡧࠊ⑌ᝈࡢ㔜⑕໬ண㜵ࡀᮇᚅࡉࢀ࡚
࠸ࡿࠋ㧗㱋⪅ࡀ័ࢀぶࡋࢇࡔᆅᇦ࡛Ᏻᚰࡋ࡚ᬽࡽࡋ࡚࠸ࡃࡓࡵ࡟ࡣࠊ㣗஦ࡢෆᐜࡢபࠎࡢ๓࡟ࠊᐃᮇⓗ࡞㌟యィ 㺃ཱྀ⭍ෆࡢ≧ែ࣭ᰤ㣴ホ౯࢔ࢭࢫ࣓ࣥࢺࢆ㧗㱋⪅࡟㛵ࢃࡿ⫋✀ࡀ⾜࠸ࠊ࡝࠺࠸࠺≧ែ࡟࠸ࡿ࠿ࢆ㧗㱋⪅⮬㌟ࡀ▱ࡿᚲせࡀ࠶ࡿ࡜ᛮࢃࢀࡿࠋ
㧗㱋⪅ࡢపᰤ㣴ࡢせᅉࡢከࡃࡣࠊ㧗㱋⪅⮬㌟ࡀ⮬ぬࡋ࡞࠸࠺ࡕ࡟㣗஦㔞పୗࡸ㣗ᛮ୙᣺࡟࡞ࡗ࡚࠸ࡿሙྜࡀከ

࠸ࠋᐃᮇⓗ࡞㌟యィ 㺃ཱྀ⭍ෆࡢ≧ែ࣭ᰤ㣴ホ౯࢔ࢭࢫ࣓ࣥࢺࢆ⾜࠺ࡇ࡜࡛ࠊ೺ᗣᮇ࣭ࣇࣞ࢖ࣝᮇ࣭ࢧࣝࢥ࣌ࢽ࢔
ᮇࡢ࡝ࡢᮇ࡟࠸ࡿࡢ࠿ࡀศ࠿ࡿࠋ࡝ࡢᮇ࡟࠸ࡿࡢ࠿ࢆ▱ࡿࡇ࡜ࡣ㧗㱋⪅⮬㌟ࡢẼ࡙ࡁ࡟࡞ࡾࠊ᪥ᖖⓗ࡞㣗஦ࢆᨵࡵ࡚ぢ┤ࡋࠊ㛵ࢃࡿ⫋✀࠿ࡽ㐺ษ࡞ᥦ᱌ࡀฟ᮶ࡿࡢ࡛ࡣ࡞࠸ࡔࢁ࠺࠿ࠋࡲࡓせ௓ㆤ㧗㱋⪅ࡢሙྜࡣᰤ㣴ⓗ࡟ၥ㢟ࡢ࡞࠸ࠊᦤ㣗ᄟୗᶵ⬟࡟ᑐᛂࡋࠊ❅ᜥ࣭ㄗᄟ࡟ᑐࡋࣜࢫࢡࡢప࠸ᄟୗ
㣗ࢆ㣗࡭ࡿ⥆ࡅࡿࡇ࡜ࡣࠊணഛ⬟ࡀపୗࡋపᰤ㣴ࡢᝏ໬࡟㝗ࡾࡸࡍࡃ㔜せ࡛࠶ࡿࠋࡑࡋ࡚௓ㆤ⪅࡛࠶ࡿᐙ᪘ࡸ௓
ㆤ⫋࡟ᑐࡋࠊ㈇ᢸឤࡀ࡞ࡃࠊ⡆༢࡟࡛ࡁࡿᄟୗ㣗ࡢᣦᑟ࡞࡝ࡣᅾᏯゼၥ⟶⌮ᰤ㣴ኈࡀ㔜せ࡞ᙺ๭ࢆᢸࡗ࡚࠸ࡿ࡜
⪃࠼࡚࠸ࡿࠋ
ே㛫࡟࡜ࡗ࡚᰿※ⓗ࡞⾜Ⅽ࡛࠶ࡿࠕ㣗ࠖ࡟࠾࠸࡚ࠊ㣗࡭ࡓ࠸ࡶࡢࢆ᭱ᚋࡲཱྀ࡛࠿ࡽ㣗࡭ࠊே࡜ࡢ஺ὶࢆᣢࡕࠊ
ࠕ㣗࡭ࡿᴦࡋࡳࡸ႐ࡧࠖࢆ࿡ࢃ࠸⥆ࡅࡽࢀࡼ࠺࡟ࠊᐤࡾῧࡗ࡚࠸ࡃࡇ࡜ࡣᅾᏯ࡟㛵ࢃࡿ⫋✀࡜ࡋ࡚㈐ົ࡛ࡣ࡞࠸
ࡔࢁ࠺࠿ࠋ
␎Ṕ

᫛࿴  ᖺ ኱㜰ᕷ❧⎔ቃ⛉Ꮫ◊✲ᡤ㝃タᰤ㣴Ꮫ㝔 ༞ᴗ      ༞ᴗᚋ㸪኱㜰ᕷෆࡢ᭷ᗋデ⒪ᡤ໅ົᖹᡂ  ᖺ ኵࡢ㌿໅࡟క࠸ᮾிࡼࡾ⚟ᒸ࡟㌿ᒃᖹᡂ  ᖺ ♫఍⚟♴ἲேⓠ᭶఍  ➨஧㧗ྲྀಖ⫱ᅬ㸦⚟ᒸᕷ㸧໅ົᖹᡂ  ᖺ ᒣཱྀෆ⛉ᰤ㣴ᐊ ໅ົᖹᡂ  ᖺ ᒣཱྀෆ⛉ᰤ㣴ᐊ ㏥⫋ᖹᡂ  ᖺ ་⒪ἲே࢔ࣥࣈࣝṑ⛉ ໅ົᖹᡂ  ᖺ ᅾᏯᰤ㣴⟶⌮ࢫࢸ࣮ࢩࣙࣥࡶࡄࡶࡄ኱㜰 ໅ົᡤᒓᏛ఍࣭◊✲఍㸸୍⯡♫ᅋἲே᪥ᮏᅾᏯᰤ㣴⟶⌮Ꮫ఍ ஑ᕞἈ⦖ࣈࣟࢵࢡ㛗࣭⌮஦බ┈ἲே᪥ᮏᰤ㣴ኈ఍࣭኱㜰ᗓᰤ㣴ኈ఍᪥ᮏࣜࣁࣅࣜࢸ࣮ࢩࣙࣥᰤ㣴Ꮫ఍㈨᱁㸸⟶⌮ᰤ㣴ኈ
᪥ᮏᰤ㣴ኈ఍≉ูศ㔝ㄆᐃไᗘ㸸ㄆᐃᅾᏯゼၥ⟶⌮ᰤ㣴ኈ

− 37 −  ࣮࣡ࢡࢩࣙࢵࣉ                                    ࠕ࣑࣮ࣝࣛ࢘ࣥࢻࠖ
ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮ 㧗ᶫ㈼᫭ 1RULDNL7DNDKDVKL ᪥ᮏṑ⛉኱Ꮫ㝃ᒓ⑓㝔 ཱྀ⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⛉ ㅮᖌᦤ㣗ᄟୗ㞀ᐖࡢホ౯࡟࠾࠸࡚ࠊᄟୗ㐀ᙳ᳨ᰝ㸦9)㸧
ࠊᄟୗෆど㙾᳨ᰝ㸦9(㸧ࢆ⏝࠸ࡓ⢭ᐦ᳨ᰝࡣᄟୗືែࢆṇ☜࡟ホ౯ࡍࡿ࠺࠼࡛㠀ᖖ࡟᭷⏝࡛࠶ࡿࡀࠊᡃࠎࡣࠊᅾᏯ⒪㣴㧗㱋⪅࡟࠾ࡅࡿᦤ㣗ᄟୗホ౯ࡍࡿሙྜࠊࡇࢀࡽࡢᶵჾ
ࢆ⏝࠸ࡓཱྀ⭍ࠊဗ㢌ᶵ⬟ࡢホ౯࡟ຍ࠼࡚ࠊ㣗࡭᪉ࠊ㣗⎔ቃࡢホ౯ࢆ≉࡟㔜せどࡋ࡚࠸ࡿࠋ
౛࠼ࡤࠊᦤ㣗ᄟୗᶵ⬟ࡢపୗ࡟ࡼࡾ㣗஦୰࡟ࡴࡏࡿ࡜࠸࠺㧗㱋⪅࡟ᑐࡋ࡚ࠊᦤ㣗ᄟୗᶵ⬟ࡢ᳨ᰝࢆ⾜࠸ࠊᶵ⬟࡟㐺ࡋࡓ㣗ᙧែࢆᣦ♧ࡋࡓ࡜ࡋ࡚ࡶࠊࡑࡢ㣗࡭᪉ࡸ௓ຓ᪉ἲ࡟ၥ㢟ࡀ࠶ࡗࡓሙྜࡣࠊㄗᄟᛶ⫵⅖ࡸ❅ᜥࢆᘬࡁ㉳ࡇࡋ࡚ࡋࡲ࠺ࡇ࡜ࡶ⪃࠼ࡽࢀࡿࠋࡘࡲࡾࠊデ⒪ᐊࡸ᳨ᰝᐊ࡟࠾ࡅࡿཱྀ⭍ࡸဗ㢌ᶵ⬟ࡢ᳨ᰝࡔࡅ࡛ࡣ࡞ࡃࠊᐇ㝿ࡢ㣗࡭᪉ࡸ㣗஦ሙ㠃ࡢホ౯ࢆࡍࡿࡇ࡜㸦࣑࣮ࣝࣛ࢘ࣥࢻ㸧ࡀ࡜࡚ࡶ㔜せ࡛࠶ࡿࠋࡲࡓࠊ㐍⾜ࡋࡓㄆ▱⑕ࢆక࠺ᦤ㣗ᄟୗ㞀ᐖࡢሙྜࡣࠊᣦ♧⌮ゎࡢపୗ࡟ࡼࡾࠊྛ✀ࡢᦤ㣗ᄟୗ᳨ᰝࡸᐇ᪋ྍ⬟࡞ᶵ⬟カ⦎ࡣ㝈ᐃࡉࢀࡿࠋࡼࡗ࡚ࠊㄆ▱⑕ࢆక࠺ᦤ㣗ᄟୗ㞀ᐖ࡬ࡢᑐᛂࡣࠊᐇ㝿ࡢ㣗஦ሙ㠃ࡢほᐹホ౯ࡀ୰ᚰ࡜
࡞ࡾࠊ㣗ᙧែࡢ㐺ṇ໬ࠊ㣗ලࡢᕤኵࠊ㐺ษ࡞௓ຓࠊጼໃㄪᩚ࡜࠸ࡗࡓ㣗⎔ቃࡢᩚഛ࡟ࡼࡿ㣗ᨭ᥼ࡀ᭷ຠ࡛࠶ࡿࠋࡑࡋ࡚ࠊホ౯࡟ᇶ࡙࠸ࡓ㣗ᨭ᥼㸦ࢣ࢔ࣉࣛࣥ㸧ࢆ࠸࠿࡟⥅⥆ࡋ࡚࠸ࡃ࠿ࡀ㔜せ࡜࡞ࡿࠋࡘࡲࡾࠊ㛵ಀ⫋✀࡟ാࡁ࠿ࡅࠊከ⫋✀࡟ࡼࡿ࢝ࣥࣇ࢓ࣞࣥࢫࢆ⾜࠺ࡇ࡜࡛࠶ࡿࠋ ௒ᅇࡢ࣮࣡ࢡࢩࣙࢵࣉ࡛ࡣࠊᦤ㣗ᄟୗ㞀ᐖᝈ⪅ࡢ⑕౛ࢆᥦ♧ࡋࠊྛࢢ࣮ࣝࣉ࡛ホ౯࡜ࡑࡢᑐᛂἲ࡟ࡘ࠸᳨࡚ウࡋࠊཱྀ࠿ࡽ㣗࡭ࡿࡓࡵࡢᨭ᥼࡟ࡘ࠸࡚ࡢⓎ⾲ࢆ⾜࠺ணᐃ࡛࠶ࡿࠋᦤ㣗ᄟୗ࡟㛵ࢃࡿᵝࠎ࡞⫋✀ࡢ᪉ࠎࡢཧຍࢆண
ᐃࡋ࡚࠸ࡿࡓࡵࠊពぢ஺᥮ࡢ࡛ࡁࡿ㈗㔜࡞ᶵ఍࡜࡞ࡿ࡜⪃࠼ࡿࠋᦤ㣗ᄟୗ㞀ᐖࢆᆅᇦ࡛ᨭ࠼ࡿࡓࡵ࡟ࡣࠊከ⫋✀㐃ᦠࡀᚲ㡲࡛࠶ࡾࠊᆅᇦໟᣓࢣ࢔ࡢྲྀ⤌ࡳ࡟ྥࡅ࡚ࠊᮏ࣮࣡ࢡ
ࢩࣙࢵࣉࡀ୍ࡘࡢࡁࡗ࠿ࡅ࡟࡞ࢀࡤᖾ࠸࡛࠶ࡿࠋ

− 38 −

ࣇ࢓ࢩࣜࢸ࣮ࢱ࣮

ᆏᮏඵ༓௦<DFKL\R6DNDPRWR୰ᮧᖾఙ<XNLQREX1DNDPXUDࡃࡽࡋࡁస㝧኱Ꮫ㣗ᩥ໬Ꮫ㒊ᰤ㣴Ꮫ⛉ᑓ௵ᩍᤵ
⟶⌮ᰤ㣴ኈ␎ṔʦĜʠ˃ʘʸ஼ଡ଼ૣਂ಩‫ڪ !ܘ‬வ‫ܘ‬཈୑༞ٍႨ‫ڬܘ‬౶ࠢ‫ৣڎ‬ആ‫ٿ‬༖‫୑ߧإ‬཈Ă‫ৣڎ‬௄಩ਫ༖‫ٍإ‬Ⴈ‫ڬ‬ɬ࢈ɀ‫ڎ‬ᒣ኱Ꮫ⑓㝔 ⮫ᗋᰤ㣴㒊⟶⌮ᰤ㣴ኈᖹᡂ  ᖺ  ᭶ᐃᖺᚋ෌㞠⏝ᖹᡂ  ᖺ  ᭶බ┈♫ᅋἲே ᒸᒣ┴ᰤ㣴ኈ఍๪఍㛗ᖹᡂ  ᖺ  ᭶ࡲ࡛ ࣀ࣮ࢺࣝࢲ࣒ΎᚰዪᏊ኱Ꮫ ே㛫⏕άᏛ㒊㣗ရᰤ㣴Ꮫ⛉ 㠀ᖖ໅ㅮᖌවົᖹᡂ  ᖺ  ࢦɢɤ࣓୎

ࡘࡤࡉࢡࣜࢽࢵࢡ ⌮஦㛗ᒸᒣ኱Ꮫ་Ꮫ㒊 ⮫ᗋ෸ᩍᤵ

␎Ṕ
 㡫

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࣓ࢵࢭ࣮ࢪ
ࠕ࠸ࡘࡲ࡛ࡶ㣗࡭ࡓ࠸ࠖ㸫ఫࡳ័ࢀࡓ⎔ቃ࡛㐣ࡈࡍᝈ⪅࣭ᐙ᪘ࢆᨭ࠼ࡿ⌧ሙ࡛࡝ࡢࡼ࠺࡟
⑓デ㐃ᦠ࣭ከ⫋✀㐃ᦠࢆ⾜࠸ࠊᝈ⪅ࡢᕼᮃ࡟ἢࡗ࡚࠸ࡃ࠿⪃࠼࡚ࡳࡲࡋࡻ࠺ࠋ
૖౲‫ۓܘ‬ćึ࿬༖ಘٍႨ‫ۓܘ‬ć੠‫؝‬Ć‫ܘ‬ઽ༒߀‫؝‬ึ࿬ோလ࢈രٍႨ‫ۓܘ‬ćಧ߀‫؝‬Ă‫ܘ‬ઽ༒߀‫؝‬঱ಲٍႨ +(4 ࢼߢ‫ ۓ‬ಀ༑૾ćᖹᡂ  ᖺ  ᭶ ᰤႨਈ෭ɅȤȞɀऒாᄳ෩಩୫༑૾ઃନਡ‫܊‬ć‫ݧ‬჉ٍႨ৾Ăෘฺ༖ჯႨਈ෭৾Ă฿൨༖ಘٍႨ௲ၕਅࠊ167 ᑓ㛛ჯྱ৾
167 ࢥ࣮ʟɻʥĜʗĜ࣓ࢵࢭ࣮ࢪ
ఱ࡛ࡶ࠾࠸ࡋࡃ㣗࡭ࡽࢀࡿࡇ࡜ࡣᮏᙜ࡟ᖾࡏ࡛ࡍࠋ
ࡋ࠿ࡶ೺ᗣࢆᨭ࠼࡚ࡃࢀࡿࠊ࠶ࡾࡀࡓ࠸࡛ࡍࡡࠋ
ṑࢆ኱ษ࡟ࠊࡼࡃჶࢇ࡛㣗࡭ࡲࡋࡻ࠺㸟Ỉᓥ⨾ಖ0LKR0L]XVKLPDᮧ⏣ᑦ㐨1DRPLFKL0XUDWDᅾᏯᰤ㣴⟶⌮ࢫࢸ࣮ࢩࣙࣥࡶࡄࡶࡄ኱㜰 ⟶⌮ᰤ㣴ኈ᪥ᮏᰤ㣴ኈ఍ㄆᐃᅾᏯゼၥ⟶⌮ᰤ㣴ኈ

␎Ṕ
 㡫



࣓ࢵࢭ࣮ࢪ
㣗࡭࡚ࡶࡽࡗ࡚ࡇࡑࡢᰤ㣴࡛ࡍࠋࡲࡎࡣ  ᪥  ᅇࡋࡗ࠿ࡾ㣗஦ࢆ㣗࡭ࡲࡋࡻ࠺㸟ࡑࡋ࡚ࠊ㣗஦ࢆ㣗࡭ࡿ࡞ࡽࠊࡈ⮬ศࡢ㌟య࡟ᑡࡋ࡛ࡶྜࡗࡓࡶࡢ㣗࡭ࡲࡏࢇ࠿ࠋ

ᒸᒣ኱Ꮫ⑓㝔 ࢫ࣌ࢩࣕࣝࢽ࣮ࢬṑ⛉ࢭࣥࢱ࣮ ຓᩍ␎Ṕᖹᡂ  ᖺ ᒸᒣ኱Ꮫ ṑᏛ㒊 ༞ᴗᖹᡂ  ᖺ ᫛࿴኱Ꮫ ኱Ꮫ㝔 ಟ஢ᖹᡂ  ᖺ ᫛࿴኱Ꮫ ṑᏛ㒊㛗┤ᒓຓᡭ㸦ཱྀ⭍⾨⏕Ꮫᩍᐊ໅ົ㸧ᖹᡂ  ᖺ ᫛࿴኱Ꮫ ṑᏛ㒊 ཱྀ⭍⾨⏕Ꮫᩍᐊ ᑓ௵ㅮᖌᖹᡂ  ᖺ ᒸᒣ኱Ꮫ⑓㝔 ≉Ṧṑ⛉⥲ྜ἞⒪㒊 ຓᩍᖹᡂ  ᖺ ྠ⑓㝔 ࢫ࣌ࢩࣕࣝࢽ࣮ࢬṑ⛉ࢭࣥࢱ࣮ ຓᩍ⌧ᅾ࡟⮳ࡿ
ᑓ㛛㸸ᦤ㣗ᄟୗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࠊ㞀ᐖ⪅ṑ⛉㈨᱁㸸᪥ᮏ㞀ᐖ⪅ṑ⛉Ꮫ఍ ㄆᐃ་᪥ᮏ⪁ᖺṑ⛉་Ꮫ఍ ㄆᐃ་࣭ᣦᑟ་ࠊᦤ㣗ᶵ⬟⒪ἲᑓ㛛ṑ⛉་ᖌ᪥ᮏᦤ㣗࣭ᄟୗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥᏛ఍ ㄆᐃኈ࣓ࢵࢭ࣮ࢪ
ࠕ㣗ࠖ࡜࠸࠺ࢸ࣮࣐ࡣࠊ⚾ࡓࡕࡢ᪥ᖖ⏕ά࡟ࡶ῝ࡃ㛵ࢃࡿࡇ࡜࡛ࡶ࠶ࡾࠊከࡃࡢேࡀ㛵୚࡛ࡁࡿ㒊ศࡔ࡜ᛮ࠸ࡲࡍࠋᵝࠎ࡞ษࡾཱྀ࠿ࡽࠊࠕせ௓ㆤ㧗㱋⪅ࡢ㣗ࢆᨭ࠼ࡿࠖࡓࡵࡢពぢࡀฟࡉࢀࡿࡇ࡜ࢆᴦࡋࡳ࡟ࡋ࡚࠸ࡲࡍࠋࡼࢁࡋࡃ࠾㢪࠸⮴ࡋࡲࡍࠋ

− 39 −

㈨ᩱ5− 40 −

ᒸᒣ┴ጤク஦ᴗࠕせ௓ㆤ㧗㱋⪅ࡢపᰤ㣴ࢆ㜵ࡄࡓࡵࡢ་ᖌ࣭ṑ⛉་ᖌ࡜⟶⌮ᰤ㣴ኈ࡟ࡼࡿཱྀ⭍ᰤ㣴㛵㐃ࢧ࣮ࣅࢫ᥎㐍஦ᴗࠖ➨  ᅇබ㛤ࢭ࣑ࢼ࣮㸦┴༡す㒊 ஭ཎᆅᇦ㸧ᆅᇦ࣭ᅾᏯ㧗㱋⪅ࡢࠕ㣗ࠖ࡟ᐤࡾࡑ࠺
᪥᫬㸸ᖹᡂ  ᖺ  ᭶  ᪥㸦᪥㸧Ѹ
఍ሙ㸸஭ཎᕷᆅሙ⏘ᴗ᣺⯆ࢭࣥࢱ࣮㸦஭ཎᕷ୐᪥ᕷ⏫ 㸧ࣉࣟࢢ࣒ࣛ
Ꮫ⾡ㅮ₇఍
Ѹ ࠶㛤఍ᣵᣜ❑ᮌᣅ⏨      ᒸᒣ኱Ꮫ⑓㝔ࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛⛉ ᩍᤵ      ࠶≉ูㅮ₇㸯    ᗙ㛗㸸❑ᮌᣅ⏨ඛ⏕㸦ᒸᒣ኱Ꮫ㸧ࠕᐙᗞ་ࡀ⾜࠺ゼၥデ⒪ࡢ⌧ሙ࠿ࡽぢࡓࠗ㣗࠘࡜ࡣ㸽ࠖ      ୸ᒣ῟ஓඛ⏕      ᒸᒣᐙᗞ་⒪ࢭࣥࢱ࣮㸭ὠᒣࣇ࢓࣑࣮ࣜࢡࣜࢽࢵࢡ ་ᖌ ࠶≉ูㅮ₇㸰ᗙ㛗㸸ྜᆅ ᫂ඛ⏕㸦஭ཎᕷ❧஭ཎᕷẸ⑓㝔 㝔㛗㸧    ࠕᆅᇦ࡛”㣗࡭ࡿ”ࢆᨭ࠼ࡿ࡜࠸࠺ࡇ࡜ ࠥᅾᏯ㣗ᨭ᥼࠿ࡽࡳ࠼࡚ࡁࡓࡇ࡜ࠥࠖ     ⳥㇂Ṋඛ⏕      ᪥ᮏṑ⛉኱Ꮫཱྀ⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥከᦶࢡࣜࢽࢵࢡ 㝔㛗 ࠶≉ูㅮ₇㸱ᗙ㛗㸸す஭ ᮁඛ⏕㸦஭ཎṑ⛉་ᖌ఍ ఍㛗㸧    

ࠕᅾᏯ⒪㣴ᨭ᥼ṑ⛉デ⒪ᡤ࡛ྲྀࡾ⤌ࡴ⟶⌮ᰤ㣴ኈࡢᒃᏯ⒪㣴⟶⌮ᣦᑟࡢᐇ㝿ࠖ      ⰼᮏ⨾ዉᏊඛ⏕      ᰤ㣴ࢣ࢔ࢧ࣏࣮ࢺ /,1. ࡢࡰࡾ࡜ ௦⾲ ⟶⌮ᰤ㣴ኈ  ᫨㣗఍㆟ ࣮࣡ࢡࢩࣙࢵࣉཧຍ⪅  ࣮࣡ࢡࢩࣙࢵࣉ㸦஦๓Ⓩ㘓ไ㸧 ࠶>࣑࣮ࣝࣛ࢘ࣥࢻ       ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮      ⳥㇂Ṋඛ⏕㸦᪥ᮏṑ⛉኱Ꮫཱྀ⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥከᦶࢡࣜࢽࢵࢡ 㝔㛗㸧      ࣇ࢓ࢩࣜࢸ࣮ࢱ࣮      㧗ᶫ ㈼᫭ ඛ⏕㸦᪥ᮏṑ⛉኱Ꮫ㝃ᒓ⑓㝔ཱྀ⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⛉ ㅮᖌ㸧      ᡞཎ㞝ඛ⏕㸦᪥ᮏṑ⛉኱Ꮫ᪂₲⑓㝔 ゼၥṑ⛉ཱྀ⭍ࢣ࢔⛉ ㅮᖌ㸧      ෠ᒸຍ௦Ꮚඛ⏕㸦ᒸᒣ┴ᰤ㣴ኈ఍㸧      ⰼᮏ⨾ዉᏊඛ⏕㸦ᰤ㣴ࢣ࢔ࢧ࣏࣮ࢺ /,1. ࡢࡰࡾ࡜ ௦⾲ ⟶⌮ᰤ㣴ኈ㸧      ୸ᒣ῟ஓඛ⏕㸦ᒸᒣᐙᗞ་⒪ࢭࣥࢱ࣮ ὠᒣࣇ࢓࣑࣮ࣜࢡࣜࢽࢵࢡ ་ᖌ㸧

࠶㛢఍ᣵᣜ      す஭ᮁ      ஭ཎṑ⛉་ᖌ఍ ఍㛗ͤᖹᡂ  ᖺᗘ᪥ṑ⏕ᾭ◊ಟ࡟ㄆᐃࡉࢀ࡚࠸ࡲࡍࠋ
⏕ᾭ◊ಟ▷⦰ࢥ࣮ࢻ

ᐙᗞ་ࡀ⾜࠺ゼၥデ⒪ࡢ⌧ሙ࠿ࡽぢࡓࠗ㣗࠘࡜ࡣ㸽ᆅᇦ࡛͇㣗࡭ࡿ͇ࢆᨭ࠼ࡿ࡜࠸࠺ࡇ࡜㹼ᅾᏯ㣗ᨭ᥼࠿ࡽࡳ࠼࡚ࡁࡓࡇ࡜㹼
ᅾᏯ⒪㣴ᨭ᥼ṑ⛉デ⒪ᡤ࡛ྲྀࡾ⤌ࡴ⟶⌮ᰤ㣴ኈࡢᒃᏯ⒪㣴⟶⌮ᣦᑟࡢᐇ㝿࣮࣡ࢡࢩࣙࢵࣉࠕ࣑࣮ࣝࣛ࢘ࣥࢻࠖ

− 41 −㸯㸳㸱㸲㸶㸶㸯㸳㸱㸲㸶㸷㸯㸳㸱㸲㸷㸯
㸯㸳㸱㸲㸷㸰ࡈᣵᣜ㻌㻌 㻌 㻌 㻌 㻌 㻌 ᒸᒣ኱Ꮫ⑓㝔 ࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛⛉      ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ ࢖ࣥࣉࣛࣥࢺ෌⏕⿵⥛Ꮫศ㔝                        ❑ᮌᣅ⏨㻌 ࠕせ௓ㆤ㧗㱋⪅ࡢపᰤ㣴ࢆ㜵ࡄࡓࡵࡢ་ᖌ࣭ṑ⛉་ᖌ࡜⟶⌮ᰤ㣴ኈ࡟ࡼࡿཱྀ⭍ᰤ㣴㛵㐃ࢧ࣮ࣅࢫ᥎㐍஦ᴗࠖ➨ ᅇࢭ࣑ࢼ࣮㸦஭ཎᕷᆅሙ⏘ᴗ᣺⯆ࢭࣥࢱ࣮㸧ࡢ㛤ദ࡟࠶ࡓࡾࠊ஦ᴗ㈐௵⪅࡜ࡋ୍࡚ゝࡈᣵᣜࢆᕪࡋୖࡆࡲࡍࠋ せ௓ㆤ㧗㱋⪅ࡀఫࡳ័ࢀࡓᆅᇦ࡛᭱ᚋࡲ࡛⏕ࡁ⏕ࡁ࡜ᬽࡽࡋ⥆ࡅࡿࡓࡵ࡟ࡣࠊ⮬ศࡢཱྀ࠿ࡽ㣗࡭⥆ࡅࡿࡇ࡜ࡀ
㔜せ࡞せ௳࡜࡞ࡾࡲࡍࠋ࠸ࡘࡲ࡛ࡶཱྀ࠿ࡽ㣗࡭ࡿࡓࡵ࡟ࡣࠊᦤ㣗ᄟୗᶵ⬟࡟ᑐࡍࡿṇࡋ࠸ホ౯࡟ᇶ࡙ࡃᦤ㣗ᄟୗᶵ⬟ࡢ⥔ᣢྥୖࢆ┠ᣦࡍࡤ࠿ࡾ࡛࡞ࡃࠊᮏேࡢᶵ⬟࡟ྜࡗࡓᙧែࢆࡶࡘ㣗஦ࡢᥦ౪ࡸ㣗ෆᐜࡢኚ᭦࡟ࡼࡗ࡚ࠊᏳ
඲࠿ࡘపᰤ㣴ࡢண㜵ࢆ┠ⓗ࡜ࡋࡓ࢔ࣉ࣮ࣟࢳࡀᚲ㡲࡜࡞ࡾࡲࡍࠋࡍ࡞ࢃࡕࠊ࿪ᄮᶵ⬟ࢆࡣࡌࡵ࡜ࡍࡿᦤ㣗ᄟୗᶵ⬟ࡢホ౯ࡸ㣗஦ᣦᑟ࡟࠾࠸࡚ࠊ་ᖌ࣭ṑ⛉་ᖌ࡜ᰤ㣴㛵㐃⫋✀࡜ࡢ㐃ᦠࡣḞ࠿ࡏࡲࡏࢇࠋ ࡑࡇ࡛ࠊ⑓㝔ࠊ௓ㆤಖ㝤᪋タࠊᅾᏯ࡟࠾ࡅࡿ་⛉ࠊṑ⛉࡜ᰤ㣴㛵㐃⫋✀ࠊཱྀ⭍ࣜࣁࣅࣜ㛵㐃⫋✀ࡢ㐃ᦠࢆ⾜࠺ୖ࡛ᚲせ࡞▱㆑ࡸᢏ⾡ࠊែᗘࢆᩍ⫱ࡍࡿᐇົ⪅㣴ᡂࢭ࣑ࢼ࣮ࢆࠊᒸᒣ኱Ꮫ⑓㝔࡜ᆅᇦ་⒪ᅪࡢ་ᖌ఍ࠊṑ⛉་ᖌ఍ࠊᰤ㣴ኈ఍➼ࡀ୰ᚰ࡟࡞ࡗ࡚ᒸᒣ┴ࡢ་⒪ᅪẖ࡟ᐇ᪋ࡍࡿࡇ࡜࡟࡞ࡾࡲࡋࡓࠋᖾ࠸ࠊᮏྲྀࡾ⤌ࡳࡣࠊᒸᒣ┴ࡢᙉ࠸ࢧ࣏࣮ࢺࢆ㡬ࡃࡇ࡜ࡀ࡛ࡁࠊ➨  ᅇࡢࢭ࣑ࢼ࣮ࢆࡇࡇ஭ཎࡢᆅ࡛㛤ദࡍࡿࡇ࡜ࡀ࡛ࡁࡿࡇ࡜࡟࡞ࡾࡲࡋࡓࠋ
ࡲࡓࠊᮏ஦ᴗ࡛ⓙࡉࢇ࡟࠾ఏ࠼ࡋࡼ࠺࡜ࡋ࡚࠸ࡿෆᐜࡀࠊ་⒪ࡸ⚟♴ࠊ௓ㆤ࡟ᚑ஦ࡍࡿ᪉ࡔࡅ࡛࡞ࡃࠊせᨭ᥼࣭
せ௓ㆤ⪅ࡢ᪥ࠎࡢ⏕άࢆᨭ࠼࡚࠾ࡽࢀࡿᐙ᪘ࡢ᪉࡟࠾࠿ࢀࡲࡋ࡚ࡶ㔜せ࡞᝟ሗ࡛࠶ࡿࡇ࡜࠿ࡽࠊ௒ᅇ࠿ࡽ༗๓୰
ࡢㅮ₇఍ࢆ୍⯡ᕷẸࡢ᪉࡟ゎᨺࡍࡿࡇ࡜࡜⮴ࡋࡲࡋࡓࠋ ᮏࢭ࣑ࢼ࣮ࡢ㛤ദ࡟࠶ࡓࡾࠊ஭ཎᕷẸ⑓㝔 ྜᆅ ᫂㝔㛗ࠊ஭ཎṑ⛉་ᖌ఍ す஭ ᮁ఍㛗ࠊ఍ဨྛ఩ࢆࡣࡌ
ࡵ࡜ࡋࡓከࡃࡢ᪉ࠎࡢࡈᑾຊࢆ㡬ࡃࡇ࡜ࡀ࡛ࡁࡲࡋࡓࡇ࡜ࠊᚰ࠿ࡽᚚ♩⏦ࡋୖࡆࡲࡍࠋᮏࢭ࣑ࢼ࣮ࡀࠊᆅᇦࡢ㧗㱋⪅་⒪ࡸ௓ㆤࠊ⚟♴࡟ከ኱࡞ࡿ㈉⊩ࢆ࡛ࡁࡲࡍࡇ࡜ࢆ♳ᛕࡋ࡚ࠊࡈᣵᣜ࡟௦࠼ࡉࡏ࡚㡬ࡁࡲࡍࠋ
− 42 − ≉ูㅮ₇㸯୸ᒣ῟ஓඛ⏕ᒸᒣᐙᗞ་⒪ࢭࣥࢱ࣮ ὠᒣࣇ࢓࣑࣮ࣜࢡࣜࢽࢵࢡ ་ᖌᐙᗞ་ࡀ⾜࠺ゼၥデ⒪ࡢ⌧ሙ࠿ࡽぢࡓࠗ㣗࠘࡜ࡣ㸽 ㅮ₇ᴫせ ᆅᇦ࣭ᅾᏯ㧗㱋⪅ࡢࠕ㣗ࠖ࡟ᐤࡾࡑ࠺࡜ࡣ࡝࠺࠸࠺ࡇ࡜ࡔࢁ࠺࠿㸽 ཧຍ⪅ࡢⓙࡉࢇࡣ࡝࠺࠾⪃࠼ࡔࢁ࠺࠿㸽 ⌧ᅾࠊᅾᏯ་⒪ࡢᬑཬࡀྉࡤࢀ࡚࠸ࡿࡀࠊ་⒪ᶵ㛵࡟࠾࠸࡚ࡶᅾᏯ་⒪࡟ᚑ஦ࡋ࡚࠸࡞࠸᪋タࡶከࡃࠊ་⒪௓ㆤࡢ⫋✀ࡢே࡛ࡉ࠼ᐇ㝿ࡢᵝᏊࢆ▱ࡿᶵ఍ࡣᑡ࡞࠸ࡢ࡛ࡣ࡞࠸ࡔࢁ࠺࠿ࠋ ⌧ᅾࠊὠᒣᕷ࡛ᅾᏯデ⒪ࢆከࡃ⾜࠺デ⒪ᡤ࡟໅ົࡋ࡚࠾ࡾࠊᅾᏯࡸ᪋タ࡟࠾࠸࡚ࠕ㣗ࠖ࡟㛵ࢃࡿ┦ㄯࢆཷࡅࡿ
ᶵ఍ࡣࡼࡃ࠶ࡿࠋ⮬ࡽࡢデ⒪ࢆᨵࡵ࡚⪃࠼ࡿ࡜ࠕ㣗ࠖࡣ᪥ᖖⓗ࡞ࡶࡢ࡛࠶ࡿࡀࠊࡑࢀࢆ࡝࠺఩⨨࡙ࡅࡿ࠿ࡣࡑࡢ
ேࡑࢀࡒࢀ࡛␗࡞ࡗ࡚࠸ࡿࠋࡲࡓࠊ་⒪⪅ഃࡢ㒔ྜࡀ㏻ࡌࡿ⑓㝔࡜ࡣ㐪࠸ࠊᆅᇦ࡟ఫࡴᅾᏯᝈ⪅ࡢࠕ㣗ࠖࡣᵝࠎ
࡞せᅉ࡟ᙳ㡪ࢆཷࡅࡿࠋࡇࡢࡇ࡜ࢆ⌮ゎࡋ࡞ࡀࡽࡶᝈ⪅ࡑࢀࡒࢀ࡟ከ⫋✀ࡀ㛵ࢃࡗ࡚࠸࠿࡞࠸࡜ᆅᇦ࣭ᅾᏯ࡛ࡢ
ࠕ㣗ࠖࢆᨭ࠼ࡿࡇ࡜ࡀ࡛ࡁ࡞࠸ࠋ ௒ᅇࡣᅾᏯデ⒪ࡢᐇ㝿ࡢᵝᏊࢆ▱ࡗ࡚ࡶࡽ࠸ࠊࡑࡢ୰࡛ࠕ㣗ࠖࢆ࡝࠺఩⨨࡙ࡅࠊཧຍ⪅⮬㌟ࡀࡑࢀࡒࢀࡢᆅᇦ
࡛௒ᚋᅾᏯデ⒪ࡢᝈ⪅࡟㛵ࢃࡿ᫬࡟࡝ࡢࡼ࠺࡟࢔ࣉ࣮ࣟࢳࡍࡿ࠿࢖࣓࣮ࢪ࡛ࡁࡿᶵ఍࡜࡞ࢀࡤᖾ࠸࡛࠶ࡿࠋ



␎Ṕ

 ᖺ  ᭶ 㛗ᓮ኱Ꮫ་Ꮫ㒊་Ꮫ⛉ ༞ᴗ ᖺ  ᭶ 㛗ᓮ┴ୖ஬ᓥ⑓㝔 ึᮇ◊ಟ㸦ᇶᖿᆺ㸧 ᖺ  ᭶ ᅜ❧⑓㝔ᶵᵓ㛗ᓮ་⒪ࢭࣥࢱ࣮ ึᮇ◊ಟ㸦༠ຊᆺ㸧 ᖺ  ᭶ ᒸᒣᐙᗞ་⒪ࢭࣥࢱ࣮ ὠᒣ୰ኸ⑓㝔 ᐙᗞ་⒪ᚋᮇ◊ಟࣉࣟࢢ࣒ࣛ
 ᖺ  ᭶ ᒸᒣᐙᗞ་⒪ࢭࣥࢱ࣮ ὠᒣࣇ࢓࣑࣮ࣜࢡࣜࢽࢵࢡ
⌧ᅾ࡟⮳ࡿ㈨᱁➼㸸ᐙᗞ་⒪ᑓ㛛་ᡤᒓᏛ఍㸸᪥ᮏࣉࣛ࢖࣐ࣜࢣ࢔㐃ྜᏛ఍ ᪥ᮏᅾᏯ་Ꮫ఍

− 43 − ≉ูㅮ₇㸰⳥㇂Ṋඛ⏕᪥ᮏṑ⛉኱Ꮫ ᩍᤵ ཱྀ⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥከᦶࢡࣜࢽࢵࢡ 㝔㛗 ኱Ꮫ㝔⏕࿨ṑᏛ◊✲⛉ ⮫ᗋཱྀ⭍ᶵ⬟Ꮫᆅᇦ࡛㣗࡭ࡿ” ࢆᨭ࠼ࡿ࡜࠸࠺ࡇ࡜       ࠥᅾᏯ㣗ᨭ᥼࠿ࡽࡳ࠼࡚ࡁࡓࡇ࡜ࠥ ㅮ₇ᴫせ ᝈ⪅ࡣᆅᇦ࡟ᬽࡽࡋ࡚࠸ࡿࠋఫࡳ័ࢀࡓᆅᇦ࡛⏕ࡁࡁࡿࡓࡵ࡟ࡣࠊᆅᇦ࡛㣗࡭⥆ࡅࡿࡇ࡜࡛࠶ࡿࠋཌ⏕ປാ┬࡜⪁೺᪋タ༠఍ࡢㄪᰝ࡛ࡣࠊ⪁೺᪋タࢆ㏥ᡤࡋᅾᏯ᚟ᖐࡋࡓ㧗㱋⪅ࡀᅾᏯ⒪㣴ࢆ⥅⥆ࡍࡿࡓࡵࡢ᮲௳ࡣࠊᦤ㣗ᶵ⬟ࡀᣲࡆࡽࢀ࡚࠸ࡿࠋලయⓗ࡟ࡣࠊ࣮࣌ࢫࢺ㣗ࢆᦤྲྀࡏࡊࡿࢆᚓ࡞࠸≧ែ࡛ᅾᏯ᚟ᖐࢆࡋࡓሙྜ࡟ࡣࠊᅾᏯ⒪㣴ࡢ⥅⥆ࡀᅔ㞴࡛࠶ࡿሙྜࡀከ࠸࡜࠸࠺ࠋᅾᏯ⒪㣴ࢆ⥅⥆ࡍࡿࡓࡵ࡟ࡣࠊ ࡘࡢࢫࢺࣛࢸࢪ࣮ࡀ⪃࠼ࡽࢀࡿࠋ ࡘ࡟ࡣࠊᦤ㣗ᶵ⬟ࢆྥୖࡋᦤྲྀྍ⬟࡞㣗ᙧែࢆᨵၿࡍࡿࡇ࡜࡛࠶ࡿࠋ୍᪉࡛ࠊᶵ⬟ࡢᨵၿࡀぢ㎸ࡵ࡞࠸ᝈ⪅ࡀከ࠸ࡢࡶ஦ᐇ࡛ࠊࡇࡢሙྜ࡟ࡣࠊࡓ࡜࠼ᦤ㣗ᶵ⬟ࡀపୗࡋ࡚ࡶ㣗࡭⥆ࡅࡿࡇ࡜ࡀ࡛ࡁࡿᆅᇦࢆసࡿࡇ࡜࡛࠶ࡿࠋᐇ㝿࡟ࠊ㣗ᙧែࡢほⅬ࠿ࡽゝࡗ࡚ࡶࠊ⑓㝔ࡸ᪋タ࡟࠾࠸࡚ࡣᙜࡓࡾ๓ࡢࡼ࠺࡟࠶ࡿ࣮࣌ࢫࢺ㣗ࠊ࣑࢟ࢧ࣮㣗࡜࠸ࡗࡓ㣗஦ࢆ⮬Ꮿ࡛ᥦ౪ࡍࡿࡇ࡜ࡣᅔ㞴࡛࠶ࡿሙྜࡀከࡃࠊ㏻ᖖ㣗ࢆ⣽࠿ࡃ้ࡴ⛬ᗘࡢᑐᛂࡋ࠿࡛ࡁ࡞࠸ሙྜࡶ࠶ࡿࠋ୍᪉
࡛ࠊ㣗஦ࢆ⮬Ꮿ࡛‽ഛࡍࡿࡔࡅ࡛࡞ࡃࠊ㏻ᡤ᪋タࡸ㓄㣗ࢧ࣮ࣅࢫࠊ௓ㆤ㣗࡞࡝ࡢ฼⏝࡞࡝࠶ࡽࡺࡿ᪉ἲࡀ⪃࠼ࡽࢀࡿࡀࠊࡑࢀࡽࢆ฼⏝ࡍࡿྲྀࡾ⤌ࡳࡀᗈࡀࡗ࡚࠸ࡿ࡜ࡣゝ࠸㞴࠸ࠋࡑࡢ⌮⏤࡜ࡋ࡚ࠊಶࠎࡢᝈ⪅ࡢᶵ⬟ࡸ⎔ቃ࡟⪃៖ࡋࡓࠕఱࢆࠊ࡝࠺㣗࡭ࡿ࠿ࠖ࡜࠸ࡗࡓ᝟ሗࡀ㔜せ࡛࠶ࡿࡇ࡜ࡢㄆ㆑ࡀప࠸ࡇ࡜ࡸࠊᆅᇦ࡛ඹ᭷ࡉࢀࡿࡇ࡜ࡀ
ᑡ࡞࠸࡜࠸ࡗࡓㄢ㢟ࡀᣲࡆࡽࢀࡿࠋࡇࢀࡽࡢᨭ᥼ࡀᚲせ࡞ᝈ⪅ࡣࠊ⑓㝔ࠊ᪋タࠊᅾᏯ࡞࡝ᆅᇦ࡟ᗈࡃ⏕άࡢሙࢆᣢࡘࠋࡍ࡞ࢃࡕࠊࡇࢀࡽࡢᝈ⪅࡟ࡣᆅᇦ࡟࠾ࡅࡿ୍㈏ࡋࡓᨭ᥼ࡀᚲせ࡜࡞ࡿ࡜࠸࠼ࡿࠋࡇࢀࡣࠊᦤ㣗ᄟୗ㞀ᐖᝈ⪅࡟ᑐࡍࡿ⎔ቃᨵၿⓗ࢔ࣉ࣮ࣟࢳ࡜ࡶゝ࠼ࠊ௒ᚋࠊᆅᇦࢆᣲࡆ࡚ࡢྲྀࡾ⤌ࡳࡶᚲせ࡜⪃࠼ࡿࠋᆅᇦ࡟࠾ࡅࡿᦤ㣗ᄟୗᨭ᥼ࡣࠊࡇࢀࢆᨭ࠼ࡿ㔜せ࡞ᨭ᥼࡜࠸࠼ࡿࠋࡇࡢᨭ᥼࡟࠶ࡓࡗ࡚ࡣࠊᆅᇦࢆᣲࡆ࡚ࡢከ⫋✀࡟ࡼࡿ㐃ᦠࡋࡓᨭ᥼ࡀᚲ㡲࡜࡞ࡿࠋࡑࡇ࡛ࠊ㣗ࡢᆅᇦ㐃ᦠࢆ┠ⓗ࡜ࡋࡓ :(% ࢧ࢖ࢺࢆసᡂࡋ KWWSZZZVKRNXVKLHQQHW ࠊᬑཬ࡟ྲྀࡾ⤌ࢇ࡛࠸ࡿࠋᮏࢧ࢖ࢺ࠿ࡽࡣࠊ㣗ᨭ᥼࡟ಀࢃࡿᆅᇦ᝟ሗࡸࠊᄟୗㄪᩚ㣗ࡢࣞࢩࣆࢆᥖ㍕ࡋࠊᅾᏯ⒪㣴ࢆᨭ࠼ࡿ୍ຓ࡜ࡋ࡚࠸ࡿࠋᮏㅮ₇࡛ࡣ⚾ࡓࡕࡀᆅᇦ࡛ᐇ㊶ࡍࡿ㣗ࡢᨭ᥼ࢆ⤂௓ࡍࡿࠋ

− 44 −

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 ᖺ   ᪥ᮏṑ⛉኱ᏛṑᏛ㒊༞ᴗ ᖺ  ᭶ ᪥ᮏṑ⛉኱Ꮫ㝃ᒓ⑓㝔 ཱྀ⭍௓ㆤ࣭ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢭࣥࢱ࣮ ࢭࣥࢱ࣮㛗 ᖺ  ᭶  ᪥ᮏṑ⛉኱Ꮫ ຓᩍᤵ ᖺ  ᭶  ᪥ᮏṑ⛉኱Ꮫ ᩍᤵ ᖺ  ᭶  ᪥ᮏṑ⛉኱Ꮫ኱Ꮫ㝔⏕࿨ṑᏛ◊✲⛉⮫ᗋཱྀ⭍ᶵ⬟Ꮫ ᩍᤵ ᖺ  ᭶  ᮾி་⛉኱Ꮫ ව௵ᩍᤵ
 ᖺ  ᭶ ᪥ᮏṑ⛉኱Ꮫ ཱྀ⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥከᦶࢡࣜࢽࢵࢡ 㝔㛗ᖹᡂ 㹼 ᖺᗘཌ⏕ປാ⛉Ꮫ◊✲㈝⿵ຓ㔠㸦㛗ᑑ⛉Ꮫ⥲ྜ◊✲஦ᴗ㸧ࠕᆅᇦໟᣓࢣ࢔࡟࠾ࡅࡿᦤ㣗ᄟୗ࠾ࡼࡧᰤ㣴ᨭ᥼ࡢࡓࡵࡢホ౯ࢶ࣮ࣝࡢ㛤Ⓨ࡜ࡑࡢ᭷⏝ᛶ࡟㛵ࡍࡿ᳨ウࠖ୺௵◊✲⪅ⴭ᭩㸸ࠗࢳ࢙ࢧ࢖ࢻ࣮࢜ࣛࣝࣇࣞ࢖ࣝࡢデ࠿ࡓ࠘་ṑ⸆ฟ∧ࠗ⤮࡛ぢ࡚ࢃ࠿ࡿ࣮ㄆ▱⑕ࠕ㣗஦ࡢᅔࡗࡓ㸟ࠖ࡟⟅࠼ࡲࡍ࠘ዪᏊᰤ㣴኱Ꮫฟ∧ࠗ⤮࡛ぢ࡚ࢃ࠿ࡿ࣮ධࢀṑࡢ࠾ᝎࡳゎỴ࠘ዪᏊᰤ㣴኱Ꮫฟ∧ࠗ㣗࡭ࡿ௓ㆤࡀࡲࡿࡈ࡜ࢃ࠿ࡿᮏ࣓࠘ࢹ࢕࢝ฟ∧ࠗ㧗㱋⪅ࡢཱྀ⭍ᶵ⬟ホ౯ 1$9,࠘་ṑ⸆ฟ∧ࠗᇶ♏࠿ࡽᏛࡪཱྀ⭍ࢣ࢔࠘Ꮫ◊ࠗᅗゎ ௓ㆤࡢࡓࡵࡢཱྀ⭍ࢣ࢔࠘ㅮㄯ♫

− 45 − ≉ูㅮ₇㸱ⰼᮏ⨾ዉᏊඛ⏕ᰤ㣴ࢣ࢔ࢧ࣏࣮ࢺ /,1. ࡢࡰࡾ࡜ ௦⾲ ⟶⌮ᰤ㣴ኈᅾᏯ⒪㣴ᨭ᥼ṑ⛉デ⒪ᡤ࡛ྲྀࡾ⤌ࡴ⟶⌮ᰤ㣴ኈࡢᒃᏯ⒪㣴
⟶⌮ᣦᑟࡢᐇ㝿 ㅮ₇ᴫせ ᰤ㣴ࢣ࢔ࢧ࣏࣮ࢺ /,1. ࡢࡰࡾ࡜ࡣࠕᰤ㣴ࢣ࢔ࡢ୍ຓ࡟࡞ࡿࠖࢆ⌮ᛕ࡟  ᖺ࠿ࡽᆅᇦࡢゼၥ┳ㆤࢫࢸ࣮ࢩࣙ
ࣥࠊࢹ࢖ࢧ࣮ࣅࢫ࡞࡝ࡢ஦ᴗᡤᰤ㣴ࢧ࣏࣮ࢺࢆ୺࡜ࡋ࡚ᕝᓮᕷ໭㒊࡛άືࡋ࡚࠸ࡲࡍࠋࡲࡓࠊṑ⛉ࠊෆ⛉࡞࡝」
ᩘ་⒪ᶵ㛵࡜ዎ⣙ࡋࠊ⟶⌮ᰤ㣴ኈࡢᒃᏯ⒪㣴⟶⌮ᣦᑟࢆᐇ᪋ࡋ࡚࠸ࡲࡍࠋ ᫖௒ࡢᅾᏯ⒪㣴⪅ࡢቑຍ࡟క࠸ࠊ㣗ࡢၥ㢟ࢆᢪ࠼ࡿ᪉ࡣቑ࠼࡚࠸ࡿࡼ࠺࡟ᛮ࠸ࡲࡍࡀࠊ༢⊂ࡢ⫋✀࡛ゎỴ࡛ࡁࡿࡶࡢࡣ࡞ࡃࠊከࡃࡢ㐃ᦠࡢࡶ࡜࡟ᡂࡾ❧ࡗ࡚࠸ࡿ࡜ឤࡌ࡚࠸ࡲࡍࠋᮏ᪥ࡣⓙᵝ࡟ࡇࢀࡲ࡛ࡢྲྀࡾ⤌ࡳࡢ୰࠿ࡽࠊ
ᅾᏯ⒪㣴ᨭ᥼ṑ⛉デ⒪ᡤ࡛ᐇ᪋ࡋ࡚࠸ࡿ⟶⌮ᰤ㣴ኈࡢᒃᏯ⒪㣴⟶⌮ᣦᑟࡢ㐠⏝ࡸᕤኵཬࡧ஦౛ࢆࡈ⤂௓ࡋࡲࡍࠋ␎Ṕ ᖺ ᚨᓥ኱Ꮫ་Ꮫ㒊ᰤ㣴Ꮫ⛉༞ ᖺ 㛗ᓮ኱Ꮫ་Ꮫ㒊㝃ᒓ⑓㝔ධ⫋ ᖺ ᮾᾏ኱Ꮫ་Ꮫ㒊௜ᒓ⑓㝔ධ⫋ ᖺ /,1. ࡢࡰࡾ࡜ ௦⾲ ⌧ᅾ࡟⮳ࡿ㈨᱁㸸⟶⌮ᰤ㣴ኈ ⢾ᒀ⑓⒪㣴ᣦᑟኈ ᅾᏯゼၥ⟶⌮ᰤ㣴ኈ

− 46 −  ࣮࣡ࢡࢩࣙࢵࣉ   ࠕ࣑࣮ࣝࣛ࢘ࣥࢻࠖ
ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮ ⳥㇂Ṋ 7DNHVKL.LNXWDQL ᪥ᮏṑ⛉኱Ꮫ ᩍᤵཱྀ⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥከᦶࢡࣜࢽࢵࢡ 㝔㛗኱Ꮫ㝔⏕࿨ṑᏛ◊✲⛉ ⮫ᗋཱྀ⭍ᶵ⬟Ꮫ ࣑࣮ࣝࣛ࢘ࣥࢻࢆᴟࡵࡿᖹᡂ  ᖺᗘࡢ௓ㆤሗ㓘ᨵᐃ࡟క࠸⤒ཱྀ⥔ᣢຍ⟬ࡢぢ┤ࡋࡀ⾜ࢃࢀࡲࡋࡓࠋࡑࡢ⟬ᐃせ௳ࡢ୰࡟ࡣࠊከ⫋✀ࡀ༠ാࡋ࡚࣑࣮ࣝࣛ࢘ࣥࢻࢆ⾜࠸ࠊ࢝ࣥࣇ࢓ࣞࣥࢫ➼ࢆ㏻ࡌ࡚⤒ཱྀ⥔ᣢࡢࡓࡵࡢィ⏬ࢆ❧࡚ࡿࡇ࡜ࡀせ௳࡜࡞ࡗ࡚࠸
ࡲࡍࠋࡇࡇ࡛♧ࡉࢀࡓ࣑࣮ࣝࣛ࢘ࣥࢻ࡟࠾ࡅࡿ㣗஦ሙ㠃࡟࠾ࡅࡿほᐹホ౯ࡣ኱ኚ㔜せ࡛ࠊࡉࡲࡊࡲ࡞ၥ㢟Ⅼࢆᢳฟࡋࠊၥ㢟Ⅼࡢᢳฟ࡟ࡼࡗ࡚ࢣ࢔ࣉࣛࣥࢆ❧࡚ࡿࡇ࡜ࡶྍ⬟࡛ࡍࠋࡲࡓࠊ࣑࣮ࣝࣛ࢘ࣥࢻࢆከ⫋✀༠ാ࡛⾜࠺ࡇ࡜ࡣ㔜せ࡛ࡍࠋࡑࡢព⩏ࡣࠊධᒃ⪅ࡢᰤ㣴≧ែࠊᦤ㣗ᄟୗᶵ⬟࠾ࡼࡧࡑࡢ௓ຓ᪉ἲࠊࢣ࢔ࣉࣛࣥ➼ࢆ⫋✀㛫࡛ඹ᭷࡛ࡁࡿࡇ࡜࡜࠶ࡾࡲࡍࠋ༠ാ࡛⾜ࡗࡓ࣑࣮ࣝࣛ࢘ࣥࢻ࡟ࡼࡗ࡚ᢳฟࡉࢀࡓၥ㢟Ⅼࡣࠊࡑࡢᚋ࡟㛤ദࡍࡿ࢝ࣥࣇ࢓
ࣞࣥࢫ࡟࠾࠸࡚㔜せ࡞᝟ሗ࡜࡞ࡾࠊࢣ࢔ࣉࣛࣥࡢ⟇ᐃ࡟኱࠸࡟ᙺ❧ࡕࡲࡍࠋ
ᮏㅮ₇࡛ࡣ࣑࣮ࣝࣛ࢘ࣥࢻ࡟࠾ࡅࡿ㣗஦ࡢほᐹ࣏࢖ࣥࢺ࡜ᑐᛂ࡟ࡘ࠸࡚࠾ఏ࠼ࡋࡲࡍࠋ
࣮࣡ࢡࢩࣙࢵࣉ࡟ῧ࠼࡚
ᦤ㣗ᄟୗᶵ⬟ホ౯࡜࠸࠺࡜ࠊᄟୗෆど㙾᳨ᰝࡸᄟୗ㐀ᙳ᳨ᰝࠊ5667ࠊỈ㣧ࡳࢸࢫࢺ࡞࡝ࡢࢫࢡ࣮ࣜࢽࣥࢢࢸࢫ
ࢺࡀⰋࡃ▱ࡽࢀ࡚࠸ࡲࡍࠋࡇࢀࡽࡢ᳨ᰝࡣࠊ࠸ࡎࢀࡶ኱ኚ᭷⏝࡛㢖⦾࡟฼⏝ࡉࢀࡲࡍࠋ୍᪉࡛ࠊ㣗࡭ࡿᶵ⬟ࡢホ౯ࢆࠕ㣗࡭࡚࠸ࡿ࡜ࡇࢁࢆほᐹࡍࡿࡇ࡜࡟ࡼࡾ⾜࠺ࠖ࡜࠸࠺ࡈࡃᙜࡓࡾ๓ࡢࡇ࡜ࡀ㍍ࢇࡌࡽࢀ࡚࠸ࡿᜍࢀࡶ࠶ࡾ
ࡲࡍࠋࡋࡓࡀࡗ࡚ࠊᐇ㝿ࡢ㣗஦ሙ㠃ࡢእ㒊ほᐹホ౯ࡣ࡜࡚ࡶ㔜せ࡛࠶ࡿ࡜⪃࠼ࡲࡍࠋ౛࠼ࡤࠊ㣗஦୰࡟㢖⦾࡟ࡴࡏࡿ฼⏝⪅࡟ᑐࡋ࡚ࠊୖグࡢ᳨ᰝࢆࡋ࡚ࡶㄗᄟࡢ⌮⏤ࡀࢃ࠿ࡽ࡞࠸ࡇ࡜ࡀ࠶ࡾࡲࡍࠋࡑࡇ࡛ࠊ㣗஦ほᐹࢆៅ㔜࡟⾜࠺࡜ࠊ୍ཱྀ㔞ࡀከࡍࡂࡓࡾࠊᥙࡁ㎸ࡴࡼ࠺࡟㣗࡭࡚ࡋࡲࡗࡓࡾࠊ㏵୰࡛࠺࡜࠺࡜ࡋ࡚ࡋࡲࡗࡓࡾ࡜࠸࠺ཎᅉࡀ
ࢃ࠿ࡿࡇ࡜ࡀ࠶ࡾࡲࡍࠋ࠸ࢃࡤࠊ㣗஦ሙ㠃ࡢほᐹ࡞ࡋ࡟ᦤ㣗ᄟୗᶵ⬟ࡢホ౯ࡣᡂࡾ❧ࡓ࡞࠸࡜⪃࠼࡚࠸ࡲࡍࠋ

− 47 −

ࣇ࢓ࢩࣜࢸ࣮ࢱ࣮

㧗ᶫ㈼᫭1RULDNL7DNDKDVKLᡞཎ 㞝7DNDVKL7RKDUD᪥ᮏṑ⛉኱Ꮫ㝃ᒓ⑓㝔 ཱྀ⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⛉ ㅮᖌ␎Ṕ ᖺ  ᭶ ᫂ᾏ኱ᏛṑᏛ㒊ṑᏛ⛉ ༞ᴗ ᖺ  ᭶ ᪥ᮏṑ⛉኱Ꮫ㝃ᒓ⑓㝔 ⮫ᗋ◊ಟ་ ಟ஢ ᖺ  ᭶ ᪥ᮏṑ⛉኱Ꮫ㝃ᒓ⑓㝔 ⥲ྜデ⒪⛉    ⮫ᗋຓᡭ   ཱྀ⭍௓ㆤ࣭ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢭࣥࢱ࣮ే௵
 ᖺ  ᭶ ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ ༤ኈㄢ   ⛬ ಟ஢ ᖺ  ᭶ ᪥ᮏṑ⛉኱Ꮫ㝃ᒓ⑓㝔 ཱྀ⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⛉ ຓᩍ  ᭶ ᪥ᮏṑ⛉኱Ꮫ ཱྀ⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥከᦶࢡࣜࢽࢵࢡᡤᒓ
 ᖺ  ᭶ ᪥ᮏṑ⛉኱Ꮫ㝃ᒓ⑓㝔 ཱྀ⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⛉ ㅮᖌ ᖺ  ᭶ ᪥ᮏṑ⛉኱Ꮫ㝃ᒓ⑓㝔 ཱྀ⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⛉ ་㛗࣓ࢵࢭ࣮ࢪ
ᆅᇦ࡟࠾ࡅࡿ㣗ᨭ᥼࡟ࡣࠊከ⫋✀࡟ࡼࡿ㐃ᦠࡀḞ࠿ࡏࡲࡏࢇࠋ࣮࣡ࢡࢩࣙࢵࣉ࡛ࡣࠊྛ⫋✀࠿ࡽࡢᵝࠎ࡞ពぢࢆᮇᚅࡋࡲࡍࠋ࠾࠸ࡋࡃᴦࡋࡃ㣗࡭ࡿࡓࡵ࡟ࡣ࡝࠺ࡋࡓࡽ࠸࠸࠿࡟ࡘ
࠸୍࡚⥴࡟⪃࠼࡚࠸ࡁࡲࡋࡻ࠺ࠋ᪥ᮏṑ⛉኱Ꮫ㝃ᒓ⑓㝔 ཱྀ⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⛉ ㅮᖌ᪥ᮏṑ⛉኱Ꮫ᪂₲⑓㝔 ゼၥṑ⛉ཱྀ⭍ࢣ࢔⛉␎Ṕ ᖺ ᪥ᮏṑ⛉኱ᏛṑᏛ㒊 ༞ᴗ ᖺ ᪥ᮏṑ⛉኱Ꮫ㝃ᒓ⑓㝔 ⥲ྜデ⒪⛉ ධᒁ ᖺ ᪥ᮏṑ⛉኱Ꮫ㝃ᒓ⑓㝔 ཱྀ⭍௓ㆤࣜࣁࣅࣜࢸ࣮
ࢩࣙࣥࢭࣥࢱ࣮ే௵
 ᖺ ᮾி་⛉኱Ꮫ ⪥㰯ဗႃ⛉㢌㢕㒊እ⛉㠀ᖖ໅ຓᩍ
 ᖺ ᪥ᮏṑ⛉኱Ꮫཱྀ⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥከᦶࢡࣜࢽࢵࢡ 㠀ᖖ໅ṑ⛉་ᖌ ᖺ ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ ༤ኈㄢ⛬ ಟ஢ ᖺ ᪥ᮏṑ⛉኱Ꮫ㝃ᒓ⑓㝔 ཱྀ⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⛉ ຓᩍ ᖺ ᪥ᮏṑ⛉኱Ꮫ㝃ᒓ⑓㝔 ཱྀ⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⛉ ㅮᖌ ᖺ ᪥ᮏṑ⛉኱Ꮫ᪂₲⑓㝔 ゼၥṑ⛉ཱྀ⭍ࢣ࢔⛉㸦ே஦஺ὶ㸧 ᖺ 717 ྲྀᚓ ᖺ ᪥ᮏ⪁ᖺṑ⛉Ꮫ఍ㄆᐃ་ ྠᖺྠᏛ఍ᑓ㛛་ྲྀᚓ ᖺ ᪥ᮏ⪁ᖺṑ⛉Ꮫ఍ ᦤ㣗ᶵ⬟⒪ἲᑓ㛛ṑ⛉་ᖌྲྀᚓ
࣓ࢵࢭ࣮ࢪ
ࡇࢇ࡟ࡕࡣࠋ᪥ᮏṑ⛉኱Ꮫࡢᡞཎ࡜⏦ࡋࡲࡍࠋ௒ᅇࡢ࣮࣡ࢡࢩࣙࢵࣉࢆ㏻ࡌࠊᄟୗ㞀ᐖࢆᣢࡘ᪉࡬࡝࠺࠿࠿ࢃࡗ࡚࠸ࡃ࠿ࢆⓙࡉࡲ࡜Ꮫࢇ࡛࠸ࡅࡓࡽ࡜ᛮࡗ࡚࠾ࡾࡲࡍࠋᐅࡋࡃ࠾㢪࠸࠸ࡓࡋࡲࡍࠋ
෠ᒸຍ௦Ꮚ.D\RNR7RPLRNDⰼᮏ⨾ዉᏊ0LQDNR+DQDPRWRᒸᒣ┴ᰤ㣴ኈ఍ඖ ኱Ꮫ⑓㝔⟶⌮ᰤ㣴ኈ  ⟶⌮ᰤ㣴ኈ㣴ᡂ኱Ꮫᩍဨ
⌧ᅾ ㏱ᯒࢡࣜࢽࢵࢡࠊ⢾ᒀ⑓ࢡࣜࢽࢵࢡᰤ㣴┦ㄯࠊ   ᅾᏯᰤ㣴ゼၥᣦᑟ➼   ⟶⌮ᰤ㣴ኈ㣴ᡂ኱Ꮫᐈဨᩍᤵ   ┳ㆤᖌ㣴ᡂᑓ㛛Ꮫᰯ㠀ᖖ໅ㅮᖌ
࣓ࢵࢭ࣮ࢪ
⑓㝔࡜ࡣࡲࡓ㐪࠺どⅬࡢ͆ᰤ㣴⟶⌮ࡢ┠͇ࡶᚲせ࡜③ឤࡋ࡚࠸ࡲࡍࠋ
ᑐ㇟⪅࠾୍ே࠾ࡦ࡜ࡾ⤒㦂ࡉࡏ࡚࠸ࡓࡔࡃẖ࡟ຮᙉ࡟࡞ࡾࡲࡍࠋ
᭱ᚋࡢ୍ཱྀࡲ࡛͆㣗࡭ࡿ͇ࢆᨭ࠼ࡿࡇ࡜ࡣᑐ㇟⪅ࢆ⏕㸦ά㸧࠿ࡋࠊ⚾ࡓࡕࡀάࡁࡿ
࡛ࡍࡡࠋᰤ㣴ࢣ࢔ࢧ࣏࣮ࢺ /,1. ࡢࡰࡾ࡜ ௦⾲ ⟶⌮ᰤ㣴ኈ

␎Ṕ
 㡫





࣓ࢵࢭ࣮ࢪ
௚⫋✀࡛ࡢ࣑࣮ࣝࣛ࢘ࣥࢻ஦౛ࢆ㏻ࡋ࡚ከ⫋✀ࡢどⅬ࠿ࡽࡢࠕẼ࡙ࡁࠖࢆᏛࡧࠊ
ࠕᰤ㣴ࢣ࢔ࢆࡘ࡞ࡆࡿ୍ຓࠖ࡟ࡘ࠸࡚⪃࠼ࡓ࠸࡜ᛮ࠸ࡲࡍࠋ
୸ᒣ῟ஓ-XQ\D0DUX\DPDᒸᒣᐙᗞ་⒪ࢭࣥࢱ࣮ ὠᒣࣇ࢓࣑࣮ࣜࢡࣜࢽࢵࢡ ་ᖌ

␎Ṕ
 㡫





࣓ࢵࢭ࣮ࢪ
㣗࡭ࡿࡇ࡜ࡣ᪥ࠎࡢ⏕ά࡟ᐦ᥋࡟㛵ࢃࡗ࡚࠸ࡲࡍࠋ⚾ࡓࡕࡶᨵࡵ࡚㣗࡭ࡿᴦࡋࡳࡸ႐ࡧࢆ
ឤࡌ࡞ࡀࡽࠊᨭ᥼ࡀᚲせ࡞ே࡬ࡢከ⫋✀ࡢ㐃ᦠ࡟ྲྀࡾ⤌ࢇ࡛࠸ࡅࢀࡤ࡜ᛮ࠸ࡲࡍࠋ

− 48 −

㈨ᩱ6− 49 −

ᒸᒣ┴ጤク஦ᴗࠕせ௓ㆤ㧗㱋⪅ࡢపᰤ㣴ࢆ㜵ࡄࡓࡵࡢ་ᖌ࣭ṑ⛉་ᖌ࡜⟶⌮ᰤ㣴ኈ࡟ࡼࡿཱྀ⭍ᰤ㣴㛵㐃ࢧ࣮ࣅࢫ᥎㐍஦ᴗࠖ➨㸶ᅇබ㛤ࢭ࣑ࢼ࣮㸦┴༡ᮾ㒊㸧ᆅᇦ࣭ᅾᏯ㧗㱋⪅ࡢࠕ㣗ࠖ࡟ᐤࡾࡑ࠺
᪥᫬㸸ᖹᡂ  ᖺ  ᭶  ᪥㸦᪥㸧Ѹ
఍ሙ㸸ᒸᒣ኱ᏛṑᏛ㒊Ჷ㸦ᒸᒣᕷ໭༊㮵⏣⏫㸰Ѹ㸳Ѹ㸯㸧ࣉࣟࢢ࣒ࣛ
Ꮫ⾡ㅮ₇఍
Ѹ ࠶㛤఍ᣵᣜ❑ᮌᣅ⏨      ᒸᒣ኱Ꮫ⑓㝔ࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛⛉ ᩍᤵ      ࠶≉ูㅮ₇㸯    ᗙ㛗㸸ᮧ⏣ᑦ㐨ඛ⏕㸦ᒸᒣ኱Ꮫ⑓㝔ࢫ࣌ࢩࣕࣝࢽ࣮ࢬṑ⛉ࢭࣥࢱ࣮ ຓᩍ㸧ࠕ㣗࡭ࡿᴦࡋࡳࢆᨭ࠼ࡿᅾᏯ་⒪ࠖ      ୰ᮧᖾఙඛ⏕      ࡘࡤࡉࢡࣜࢽࢵࢡ ⌮஦㛗㸪ᒸᒣ኱Ꮫ་Ꮫ㒊 ⮫ᗋ෸ᩍᤵ ་ᖌ ࠶≉ูㅮ₇㸰ᗙ㛗㸸Ώ㑓࿴Ꮚඛ⏕㸦ࡃࡽࡋࡁస㝧኱Ꮫ⌧௦㣗ᩥ໬Ꮫ㒊 ෸ᩍᤵ㸧    ࠕᆅᇦ࡛”㣗࡭ࡿ”ࢆᨭ࠼ࡿ࡜࠸࠺ࡇ࡜ ࠥᅾᏯ㣗ᨭ᥼࠿ࡽࡳ࠼࡚ࡁࡓࡇ࡜ࠥࠖ     ⳥㇂Ṋඛ⏕      ᪥ᮏṑ⛉኱Ꮫཱྀ⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥከᦶࢡࣜࢽࢵࢡ 㝔㛗 ࠶≉ูㅮ₇㸱ᗙ㛗㸸❑ᮌᣅ⏨ඛ⏕㸦ᒸᒣ኱Ꮫ⑓㝔ࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛⛉ ᩍᤵ㸧    ࠕᆅᇦ࣭ᅾᏯ㧗㱋⪅ࡢࠗ㣗࠘࡟ᐤࡾࡑ࠺ࠖ      ᫬ᒸዉ✑Ꮚඛ⏕      ≉ᐃ㠀Ⴀ฼άືἲேࡣࡳࢇࡄ༡Ἑෆ ๪⌮஦㛗 ⟶⌮ᰤ㣴ኈ  ᫨㣗఍㆟ ࣮࣡ࢡࢩࣙࢵࣉཧຍ⪅  ࣮࣡ࢡࢩࣙࢵࣉ㸦஦๓Ⓩ㘓ไ㸧 ࠶>࣑࣮ࣝࣛ࢘ࣥࢻ       ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮      ⳥㇂Ṋඛ⏕㸦᪥ᮏṑ⛉኱Ꮫཱྀ⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥከᦶࢡࣜࢽࢵࢡ 㝔㛗㸧      ࣇ࢓ࢩࣜࢸ࣮ࢱ࣮      ᫬ᒸ ዉ✑Ꮚ ඛ⏕㸦≉ᐃ㠀Ⴀ฼άືἲேࡣࡳࢇࡄ༡Ἑෆ ๪⌮஦㛗 ⟶⌮ᰤ㣴ኈ㸧      ᡞཎ㞝ඛ⏕㸦᪥ᮏṑ⛉኱Ꮫ᪂₲⑓㝔 ゼၥṑ⛉ཱྀ⭍ࢣ࢔⛉ ㅮᖌ㸧      ෠ᒸຍ௦Ꮚඛ⏕㸦ᒸᒣ┴ᰤ㣴ኈ఍㸧      ୰ᮧᖾఙඛ⏕㸦ࡘࡤࡉࢡࣜࢽࢵࢡ⌮஦㛗 ᒸᒣ኱Ꮫ་Ꮫ㒊⮫ᗋ෸ᩍᤵ㸧      ๓ᕝாᏊඛ⏕㸦ࣉࣛ࢖࣒࣍ࢫࣆࢱࣝ⋢ᓥ ṑ⛉ ṑ⛉་ᖌ㸧      ᮧ⏣ᑦ㐨ඛ⏕㸦ᒸᒣ኱Ꮫ⑓㝔ࢫ࣌ࢩࣕࣝࢽ࣮ࢬṑ⛉ࢭࣥࢱ࣮ ຓᩍ㸧      Ώ㑓࿴Ꮚඛ⏕㸦ࡃࡽࡋࡁస㝧኱Ꮫ⌧௦㣗ᩥ໬Ꮫ㒊 ෸ᩍᤵ㸧

࠶㛢఍ᣵᣜ      ❑ᮌᣅ⏨      ᒸᒣ኱Ꮫ⑓㝔ࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛⛉ ᩍᤵͤᖹᡂ  ᖺᗘ᪥ṑ⏕ᾭ◊ಟ࡟ㄆᐃࡉࢀ࡚࠸ࡲࡍࠋ
⏕ᾭ◊ಟ▷⦰ࢥ࣮ࢻ

㣗࡭ࡿᴦࡋࡳࢆᨭ࠼ࡿᅾᏯ་⒪ᆅᇦ࡛͇㣗࡭ࡿ͇ࢆᨭ࠼ࡿ࡜࠸࠺ࡇ࡜㹼ᅾᏯ㣗ᨭ᥼࠿ࡽࡳ࠼࡚ࡁࡓࡇ࡜㹼ᆅᇦ࣭ᅾᏯ㧗㱋⪅ࡢࠕ㣗ࠖ࡟ᐤࡾࡑ࠺           ࣮࣡ࢡࢩࣙࢵࣉࠕ࣑࣮ࣝࣛ࢘ࣥࢻࠖ

− 50 −㸯㸳㸲㸰㸷㸵㸯㸳㸲㸰㸷㸶㸯㸳㸲㸰㸷㸷
㸯㸳㸲㸱㸮㸯ࡈᣵᣜ㻌㻌 㻌 㻌 㻌 㻌 㻌 ᒸᒣ኱Ꮫ⑓㝔 ࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛⛉      ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ ࢖ࣥࣉࣛࣥࢺ෌⏕⿵⥛Ꮫศ㔝                        ❑ᮌᣅ⏨㻌  ࠕせ௓ㆤ㧗㱋⪅ࡢపᰤ㣴ࢆ㜵ࡄࡓࡵࡢ་ᖌ࣭ṑ⛉་ᖌ࡜⟶⌮ᰤ㣴ኈ࡟ࡼࡿཱྀ⭍ᰤ㣴㛵㐃ࢧ࣮ࣅࢫ᥎㐍஦ᴗࠖ➨㸶ᅇࢭ࣑ࢼ࣮㸦ᒸᒣᆅ༊㸧ࡢ㛤ദ࡟࠶ࡓࡾࠊ஦ᴗ㈐௵⪅࡜ࡋ୍࡚ゝࡈᣵᣜࢆᕪࡋୖࡆࡲࡍࠋ せ௓ㆤ㧗㱋⪅ࡀఫࡳ័ࢀࡓᆅᇦ࡛᭱ᚋࡲ࡛⏕ࡁ⏕ࡁ࡜ᬽࡽࡋ⥆ࡅࡿࡓࡵ࡟ࡣࠊ⮬ศࡢཱྀ࠿ࡽ㣗࡭⥆ࡅࡿࡇ࡜ࡀ
㔜せ࡞せ௳࡜࡞ࡾࡲࡍࠋ࠸ࡘࡲ࡛ࡶཱྀ࠿ࡽ㣗࡭ࡿࡓࡵ࡟ࡣࠊᦤ㣗ᄟୗᶵ⬟࡟ᑐࡍࡿṇࡋ࠸ホ౯࡟ᇶ࡙ࡃᦤ㣗ᄟୗᶵ⬟ࡢ⥔ᣢྥୖࢆ┠ᣦࡍࡤ࠿ࡾ࡛࡞ࡃࠊᮏேࡢᶵ⬟࡟ྜࡗࡓᙧែࢆࡶࡘ㣗஦ࡢᥦ౪ࡸ㣗ෆᐜࡢኚ᭦࡟ࡼࡗ࡚ࠊᏳ
඲࠿ࡘపᰤ㣴ࡢண㜵ࢆ┠ⓗ࡜ࡋࡓ࢔ࣉ࣮ࣟࢳࡀᚲ㡲࡜࡞ࡾࡲࡍࠋࡍ࡞ࢃࡕࠊ࿪ᄮᶵ⬟ࢆࡣࡌࡵ࡜ࡍࡿᦤ㣗ᄟୗᶵ⬟ࡢホ౯ࡸ㣗஦ᣦᑟ࡟࠾࠸࡚ࠊ་ᖌ࣭ṑ⛉་ᖌ࡜ᰤ㣴㛵㐃⫋✀࡜ࡢ㐃ᦠࡣḞ࠿ࡏࡲࡏࢇࠋ ࡑࡇ࡛ࠊ⑓㝔ࠊ௓ㆤಖ㝤᪋タࠊᅾᏯ࡟࠾ࡅࡿ་⛉ࠊṑ⛉࡜ᰤ㣴㛵㐃⫋✀ࠊཱྀ⭍ࣜࣁࣅࣜ㛵㐃⫋✀ࡢ㐃ᦠࢆ⾜࠺ୖ࡛ᚲせ࡞▱㆑ࡸᢏ⾡ࠊែᗘࢆᩍ⫱ࡍࡿᐇົ⪅㣴ᡂࢭ࣑ࢼ࣮ࢆࠊᒸᒣ኱Ꮫ⑓㝔࡜ᆅᇦ་⒪ᅪࡢ་ᖌ఍ࠊṑ⛉་ᖌ఍ࠊᰤ㣴ኈ఍➼ࡀ୰ᚰ࡟࡞ࡗ࡚ᒸᒣ┴ࡢ་⒪ᅪẖ࡟ᐇ᪋ࡍࡿࡇ࡜࡟࡞ࡾࡲࡋࡓࠋᖾ࠸ࠊᮏྲྀࡾ⤌ࡳࡣࠊᒸᒣ┴ࡢᙉ࠸ࢧ࣏࣮ࢺࢆ㡬ࡁ࡞ࡀࡽࠊྛ་⒪ᅪ࡛ࡢ㛤ദࢆ⤒࡚➨㸶ᅇࡢᮏࢭ࣑ࢼ࣮ࡣࡇࡇᒸᒣᕷ࡛᏶⤖ࡍࡿࡇ࡜࡟࡞ࡾࡲ
ࡋࡓࠋࢭ࣑ࢼ࣮ࡢෆᐜࡶ఍ࢆ㔜ࡡࡿẖ࡟඘ᐇࡋࠊ㠀ᖖ࡟ඃࢀࡓ㢦ࡢぢ࠼ࡿከ⫋✀㐃ᦠ⏕ᾭᩍ⫱ࡢሙࢆᥦ౪ࡋ࡚࠸
ࡲࡍࠋ୰࡛ࡶࠊ࣮࣡ࢡࢩࣙࢵࣉࡢேẼࡣ㧗ࡃࠊ」ᩘᅇཧຍࡋࡓ࠸࡜࠸࠺᪉ࡶ࡝ࢇ࡝ࢇቑຍࡋ࡚࠸ࡿࡇ࡜ࡣ႐ࡤࡋ
࠸࡜ឤࡌ࡚࠸ࡲࡍࠋ௒ᅇࡣࠊ㸱ᖺ㛫ࡢᮏ஦ᴗࡢ⥲ᣓ࡜ࡋ࡚ࠊᒸᒣࡢ་⛉ゼၥデ⒪ࢆ⋡࠸࡚࠾ࡽࢀࡿ୰ᮧᖾఙ་ᖌࠊ
ࠕཱྀ⭍ᰤ㣴㛵㐃ࢧ࣮ࣅࢫࠖࡢ௓ㆤデ⒪ሗ㓘ᑟධࢆ୺ᑟࡉࢀࡓ᪥ᮏṑ⛉኱Ꮫࡢ⳥㇂ Ṋᩍᤵࠊ⟶⌮ᰤ㣴ኈ࡜ࡋ࡚኱
ኚከࡃࡢ⤒㦂ࢆᣢࡓࢀࡓ᫬ᒸዉ✑Ꮚඛ⏕࡟࠸ࡽࡋ࡚㡬ࡁࠊ඘ᐇࡋࡓㅮ₇఍ࢆ௻⏬ࡍࡿࡇ࡜ࡀ࡛ࡁࡲࡋࡓࠋ ᮏࢭ࣑ࢼ࣮ࡢ㛤ദ࡟࠶ࡓࡾࠊᒸᒣ┴ṑ⛉་ᖌ఍ࢆࡣࡌࡵከࡃࡢ᪉ࠎࡢࡈᑾຊࢆ㡬ࡃࡇ࡜ࡀ࡛ࡁࡲࡋࡓࡇ࡜ࠊᚰ
࠿ࡽᚚ♩⏦ࡋୖࡆࡲࡍࠋࡲࡓࠊᮏྲྀࡾ⤌ࡳࡣࠊᒸᒣ኱ᏛṑᏛ㒊ࡀ᥇ᢥࢆ㡬࠸࡚࠸ࡿᩥ㒊⛉Ꮫ┬ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂࣉࣟࢢ࣒ࣛ㹙೺ᗣ㛗ᑑ♫఍ࢆᢸ࠺ṑ⛉་Ꮫᩍ⫱ᨵ㠉㸫Ṛ⏕Ꮫࡸᆅᇦໟᣓࢣ࢔ࣔࢹࣝࢆᑟධࡋࡓ་⛉ṑ⛉㐃ᦠయไࡢᵓ⠏㸫ࠖࡢᩍ⫱㈨※ࢆά࠿ࡍࡇ࡜࡟ࡼࡾᐇ⌧ࡋࡓࡇ࡜ࡶ௜ࡅຍ࠼࡚࠾ࡁࡓ࠸࡜ᛮ࠸ࡲࡍࠋᮏࢭ࣑ࢼ࣮
ࡀࠊᆅᇦࡢ㧗㱋⪅་⒪ࡸ௓ㆤࠊ⚟♴࡟ከ኱࡞ࡿ㈉⊩ࢆ࡛ࡁࡲࡍࡇ࡜ࢆ♳ᛕࡋ࡚ࠊࡈᣵᣜ࡟௦࠼ࡉࡏ࡚㡬ࡁࡲࡍࠋ
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− 51 − ≉ูㅮ₇㸯୰ᮧᖾఙඛ⏕ࡘࡤࡉࢡࣜࢽࢵࢡ ⌮஦㛗ᒸᒣ኱Ꮫ་Ꮫ㒊 ⮫ᗋ෸ᩍᤵ
㣗࡭ࡿᴦࡋࡳࢆᨭ࠼ࡿᅾᏯ་⒪ ㅮ₇ᴫせᙜ㝔ࡣ  ᖺ  ᭶࡟ᅾᏯ་⒪࡟≉໬ࡋࡓࢡࣜࢽࢵࢡ࡜ࡋ࡚㛤㝔ࡋࠊ⌧ᅾࡣᒸᒣᕷ࣭಴ᩜᕷ࡟᪊࠸࡚ᖖ໅་  ྡయไ࡛⣙  ྡࡢᝈ⪅࡟ᑐࡋ࡚  ᫬㛫  ᪥ࡢデ⒪ᑐᛂࢆ⾜ࡗ࡚࠸ࡲࡍࠋ᫖௒ࠊᅾᏯ་⒪ࡢ㔜せᛶࡀᙉㄪࡉࢀゼၥデ⒪ࢆ✚ᴟⓗ࡟⾜࠺デ⒪ᡤࡀቑ࠼࡚ࡁࡓࡇ࡜ࡶ࠶ࡾࠊ⮬Ꮿ࡛㐣ࡈࡋࡓ࠸᪉ࡀ
ᅾᏯ་⒪ࢆཷࡅࡸࡍ࠸≧ἣ࡟࡞ࡾࡘࡘ࠶ࡾࡲࡍࠋᵝࠎ࡞་⒪ฎ⨨ࢆせࡍࡿ㔜⑕⪅ࡸ⮬Ꮿ࡛ࢱ࣮࣑ࢼࣝ
ࢣ࢔ࢆ⾜࠺ᝈ⪅ࠊ⪁⪁௓ㆤࠊㄆㄆ௓ㆤࡢ᪉࡞࡝ࡀቑ࠼࡚ࡃࡿ୰࡛ࠊ
ࠕ⑓Ẽࡸ㞀ࡀ࠸ࡀ࠶ࡗ࡚ࡶ㡹ᙇࡗ࡚ᅾᏯ࡛㐣ࡈࡍࠖẁ㝵࠿ࡽࠊࠕࡏࡗ࠿ࡃᅾᏯ࡟࠸ࡿࡢࡔ࠿ࡽࡼࡾࡼ࠸⏕άࢆ┠ᣦࡍࠖẁ㝵࡟⛣ࡗ࡚ࡁ࡚࠸
ࡿ࡜ᛮ࠸ࡲࡍࠋࡑࢀ࡟క࠸ࠊᚎࠎ࡟㣗࡟ᑐࡍࡿ┦ㄯࡶቑ࠼࡚ࡁࡲࡋࡓࠋ
௒ᅇࡣᅾᏯ་⒪ࡢ⌧≧ࢆ࠾ヰࡋࡍࡿࡢ࡟ຍ࠼࡚ࠊ⚾ࡀ⤒㦂ࡋࡓ⑕౛ࢆࡶ࡜࡟ࠊᅾᏯࡢ⌧ሙ࡛࡝ࡢࡼ
࠺࡟㣗ࢆ⪃࠼ࠊᨭ᥼ࡋ࡚࠸ࡃࡢࡀࡼ࠸ࡢ࠿୍⥴࡟⪃࠼࡚࠸ࡃᶵ఍࡟࡞ࢀࡤ࡜ᛮ࠸ࡲࡍࠋ
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 ᖺ 㫽ྲྀ኱Ꮫ་Ꮫ㒊་Ꮫ⛉ ༞ᴗ ᖺ ㈈ᅋἲே಴ᩜ୰ኸ⑓㝔㸦ᩍ⫱◊ಟ㒊㸪ᚠ⎔ჾෆ⛉㸧 ᖺ ୕⫱఍᪂ᐟࣄࣟࢡࣜࢽࢵࢡ
 ᖺ ࡘࡤࡉࢡࣜࢽࢵࢡ 㛤タ ᖺ ་⒪ἲேࡘࡤࡉ ⌮஦㛗 ᖺ ࡘࡤࡉࢡࣜࢽࢵࢡᒸᒣ 㛤タ⌧ᅾ࡟⮳ࡿ㈨᱁➼㸸ෆ⛉Ꮫ఍ㄆᐃ་㸪ᚠ⎔ჾෆ⛉ᑓ㛛་㸪ᅾᏯ་Ꮫ఍ᑓ㛛་ᒸᒣ኱Ꮫ་Ꮫ㒊⮫ᗋ෸ᩍᤵ
⦆࿴ࢣ࢔ࣇ࢛࣮࣒ࣛ LQ ᒸᒣ ୡヰே
಴ᩜ 167 ◊✲఍ ୡヰே ௚− 52 − ≉ูㅮ₇㸰⳥㇂Ṋඛ⏕᪥ᮏṑ⛉኱Ꮫ ᩍᤵ ཱྀ⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥከᦶࢡࣜࢽࢵࢡ 㝔㛗 ኱Ꮫ㝔⏕࿨ṑᏛ◊✲⛉ ⮫ᗋཱྀ⭍ᶵ⬟Ꮫᆅᇦ࡛㣗࡭ࡿ” ࢆᨭ࠼ࡿ࡜࠸࠺ࡇ࡜       ࠥᅾᏯ㣗ᨭ᥼࠿ࡽࡳ࠼࡚ࡁࡓࡇ࡜ࠥ ㅮ₇ᴫせ ᝈ⪅ࡣᆅᇦ࡟ᬽࡽࡋ࡚࠸ࡿࠋఫࡳ័ࢀࡓᆅᇦ࡛⏕ࡁࡁࡿࡓࡵ࡟ࡣࠊᆅᇦ࡛㣗࡭⥆ࡅࡿࡇ࡜࡛࠶ࡿࠋ
ཌ⏕ປാ┬࡜⪁೺᪋タ༠఍ࡢㄪᰝ࡛ࡣࠊ⪁೺᪋タࢆ㏥ᡤࡋᅾᏯ᚟ᖐࡋࡓ㧗㱋⪅ࡀᅾᏯ⒪㣴ࢆ⥅⥆ࡍࡿࡓࡵࡢ᮲௳ࡣࠊᦤ㣗ᶵ⬟ࡀᣲࡆࡽࢀ࡚࠸ࡿࠋලయⓗ࡟ࡣࠊ࣮࣌ࢫࢺ㣗ࢆᦤྲྀࡏࡊࡿࢆᚓ࡞࠸≧ែ࡛ᅾᏯ᚟ᖐࢆࡋࡓሙྜ࡟ࡣࠊᅾᏯ⒪㣴ࡢ⥅⥆ࡀᅔ㞴࡛࠶ࡿሙྜࡀከ࠸࡜࠸࠺ࠋᅾᏯ⒪㣴ࢆ⥅⥆ࡍࡿࡓࡵ࡟ࡣࠊ ࡘࡢࢫࢺࣛࢸࢪ࣮ࡀ⪃࠼ࡽࢀࡿࠋ ࡘ࡟ࡣࠊᦤ㣗ᶵ⬟ࢆྥୖࡋᦤྲྀྍ⬟࡞㣗ᙧែࢆᨵၿࡍࡿࡇ࡜
࡛࠶ࡿࠋ୍᪉࡛ࠊᶵ⬟ࡢᨵၿࡀぢ㎸ࡵ࡞࠸ᝈ⪅ࡀከ࠸ࡢࡶ஦ᐇ࡛ࠊࡇࡢሙྜ࡟ࡣࠊࡓ࡜࠼ᦤ㣗ᶵ⬟ࡀపୗࡋ࡚ࡶ㣗࡭⥆ࡅࡿࡇ࡜ࡀ࡛ࡁࡿᆅᇦࢆసࡿࡇ࡜࡛࠶ࡿࠋᐇ㝿࡟ࠊ㣗ᙧែࡢほⅬ࠿ࡽゝࡗ࡚ࡶࠊ⑓㝔ࡸ᪋タ࡟࠾࠸࡚ࡣᙜࡓࡾ๓ࡢࡼ࠺࡟࠶ࡿ࣮࣌ࢫࢺ㣗ࠊ࣑࢟ࢧ࣮㣗࡜࠸ࡗࡓ㣗஦ࢆ⮬Ꮿ࡛ᥦ౪ࡍࡿࡇ
࡜ࡣᅔ㞴࡛࠶ࡿሙྜࡀከࡃࠊ㏻ᖖ㣗ࢆ⣽࠿ࡃ้ࡴ⛬ᗘࡢᑐᛂࡋ࠿࡛ࡁ࡞࠸ሙྜࡶ࠶ࡿࠋ୍᪉࡛ࠊ㣗஦ࢆ⮬Ꮿ࡛‽ഛࡍࡿࡔࡅ࡛࡞ࡃࠊ㏻ᡤ᪋タࡸ㓄㣗ࢧ࣮ࣅࢫࠊ௓ㆤ㣗࡞࡝ࡢ฼⏝࡞࡝࠶ࡽࡺࡿ᪉ἲࡀ⪃࠼ࡽࢀࡿࡀࠊࡑࢀࡽࢆ฼⏝ࡍࡿྲྀࡾ⤌ࡳࡀᗈࡀࡗ࡚࠸ࡿ࡜ࡣゝ࠸㞴࠸ࠋࡑࡢ⌮⏤࡜ࡋ࡚ࠊಶࠎࡢᝈ⪅ࡢᶵ⬟ࡸ⎔ቃ࡟⪃៖ࡋࡓࠕఱࢆࠊ࡝࠺㣗࡭ࡿ࠿ࠖ࡜࠸ࡗࡓ᝟ሗࡀ㔜せ࡛࠶ࡿࡇ࡜ࡢㄆ㆑ࡀప࠸ࡇ࡜ࡸࠊ
ᆅᇦ࡛ඹ᭷ࡉࢀࡿࡇ࡜ࡀᑡ࡞࠸࡜࠸ࡗࡓㄢ㢟ࡀᣲࡆࡽࢀࡿࠋࡇࢀࡽࡢᨭ᥼ࡀᚲせ࡞ᝈ⪅ࡣࠊ⑓㝔ࠊ᪋タࠊᅾᏯ࡞࡝ᆅᇦ࡟ᗈࡃ⏕άࡢሙࢆᣢࡘࠋࡍ࡞ࢃࡕࠊࡇࢀࡽࡢᝈ⪅࡟ࡣᆅᇦ࡟࠾ࡅࡿ୍㈏ࡋࡓᨭ᥼ࡀᚲせ࡜࡞ࡿ࡜࠸࠼ࡿࠋࡇࢀࡣࠊᦤ㣗ᄟୗ㞀ᐖᝈ⪅࡟ᑐࡍࡿ⎔ቃᨵၿⓗ࢔ࣉ࣮ࣟࢳ࡜ࡶゝ࠼ࠊ௒ᚋࠊᆅ
ᇦࢆᣲࡆ࡚ࡢྲྀࡾ⤌ࡳࡶᚲせ࡜⪃࠼ࡿࠋᆅᇦ࡟࠾ࡅࡿᦤ㣗ᄟୗᨭ᥼ࡣࠊࡇࢀࢆᨭ࠼ࡿ㔜せ࡞ᨭ᥼࡜࠸
࠼ࡿࠋࡇࡢᨭ᥼࡟࠶ࡓࡗ࡚ࡣࠊᆅᇦࢆᣲࡆ࡚ࡢከ⫋✀࡟ࡼࡿ㐃ᦠࡋࡓᨭ᥼ࡀᚲ㡲࡜࡞ࡿࠋࡑࡇ࡛ࠊ㣗ࡢᆅᇦ㐃ᦠࢆ┠ⓗ࡜ࡋࡓ :(% ࢧ࢖ࢺࢆసᡂࡋ KWWSZZZVKRNXVKLHQQHW ࠊᬑཬ࡟ྲྀࡾ⤌ࢇ࡛࠸ࡿࠋ
ᮏࢧ࢖ࢺ࠿ࡽࡣࠊ㣗ᨭ᥼࡟ಀࢃࡿᆅᇦ᝟ሗࡸࠊᄟୗㄪᩚ㣗ࡢࣞࢩࣆࢆᥖ㍕ࡋࠊᅾᏯ⒪㣴ࢆᨭ࠼ࡿ୍ຓ
࡜ࡋ࡚࠸ࡿࠋᮏㅮ₇࡛ࡣ⚾ࡓࡕࡀᆅᇦ࡛ᐇ㊶ࡍࡿ㣗ࡢᨭ᥼ࢆ⤂௓ࡍࡿࠋ

− 53 −

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␎Ṕ

 ᖺ  ᪥ᮏṑ⛉኱ᏛṑᏛ㒊༞ᴗ ᖺ ᭶᪥ᮏṑ⛉኱Ꮫ㝃ᒓ⑓㝔 ཱྀ⭍௓ㆤ࣭ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢭࣥࢱ࣮ ࢭࣥࢱ࣮㛗 ᖺ  ᭶᪥ᮏṑ⛉኱Ꮫ ຓᩍᤵ ᖺ  ᭶᪥ᮏṑ⛉኱Ꮫ ᩍᤵ ᖺ  ᭶᪥ᮏṑ⛉኱Ꮫ኱Ꮫ㝔⏕࿨ṑᏛ◊✲⛉⮫ᗋཱྀ⭍ᶵ⬟Ꮫ ᩍᤵ ᖺ  ᭶ᮾி་⛉኱Ꮫ ව௵ᩍᤵ
 ᖺ ᭶᪥ᮏṑ⛉኱Ꮫ ཱྀ⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥከᦶࢡࣜࢽࢵࢡ 㝔㛗ᖹᡂ 㹼 ᖺᗘཌ⏕ປാ⛉Ꮫ◊✲㈝⿵ຓ㔠㸦㛗ᑑ⛉Ꮫ⥲ྜ◊✲஦ᴗ㸧ࠕᆅᇦໟᣓࢣ࢔࡟࠾ࡅࡿᦤ㣗ᄟୗ࠾ࡼࡧᰤ㣴ᨭ᥼ࡢࡓࡵࡢホ౯ࢶ࣮ࣝࡢ㛤Ⓨ࡜ࡑࡢ᭷⏝ᛶ࡟㛵ࡍࡿ᳨ウࠖ୺௵◊✲⪅ⴭ᭩㸸ࠗࢳ࢙ࢧ࢖ࢻ࣮࢜ࣛࣝࣇࣞ࢖ࣝࡢデ࠿ࡓ࠘་ṑ⸆ฟ∧ࠗ⤮࡛ぢ࡚ࢃ࠿ࡿ࣮ㄆ▱⑕ࠕ㣗஦ࡢᅔࡗࡓ㸟ࠖ࡟⟅࠼ࡲࡍ࠘ዪᏊᰤ㣴኱Ꮫฟ∧ࠗ⤮࡛ぢ࡚ࢃ࠿ࡿ࣮ධࢀṑࡢ࠾ᝎࡳゎỴ࠘ዪᏊᰤ㣴኱Ꮫฟ∧ࠗ㣗࡭ࡿ௓ㆤࡀࡲࡿࡈ࡜ࢃ࠿ࡿᮏ࣓࠘ࢹ࢕࢝ฟ∧ࠗ㧗㱋⪅ࡢཱྀ⭍ᶵ⬟ホ౯ 1$9,࠘་ṑ⸆ฟ∧ࠗᇶ♏࠿ࡽᏛࡪཱྀ⭍ࢣ࢔࠘Ꮫ◊ࠗᅗゎ ௓ㆤࡢࡓࡵࡢཱྀ⭍ࢣ࢔࠘ㅮㄯ♫

− 54 − ≉ูㅮ₇㸱᫬ᒸዉ✑Ꮚඛ⏕≉ᐃ㠀Ⴀ฼άືἲேࡣࡳࢇࡄ༡Ἑෆ ๪⌮஦㛗 ⟶⌮ᰤ㣴ኈᆅᇦ࣭ᅾᏯ㧗㱋⪅ࡢࠗ㣗࠘࡟ᐤࡾࡑ࠺ ㅮ₇ᴫせ ேࡀ 42/ ࢆ᭱ࡶ㧗ࡃಖࡘࠊ㔜せ࡞᮲௳ࡢ୍ࡘࡣࠕᰤ㣴≧ែࡀⰋ࠸ࠖ࡜࠸࠺ࡇ࡜࡛ࡍࠋேࡣ㣗࡭ࡿࡇ࡜࡟ࡼࡗ࡚ࠊ㣗≀ࡢᣢࡘᰤ㣴⣲ࢆᾘ໬࣭྾཰ࡋࠊయෆ࡛௦ㅰࡋࡓ࠶࡜ᚲせ࡟ᛂࡌ࡚άື࣭ᡂ㛗࡞࡝࡟฼⏝ࡋࡲࡍࠋ
ࠕᰤ㣴≧ែࡀⰋ࠸ࠖ࡜ࡣࠊࡑࡢேࡢయࡢಶᛶ࡟ྜࢃࡏ࡚ᚲせ࡞ᰤ㣴⣲ࡀ㐣୙㊊࡞ࡃ᭷ຠ࡟
౑࠼࡚࠸ࡿ࡜࠸࠺≧ែ࡛ࡍࠋࡘࡲࡾࠊ㐣ᰤ㣴࡛ࡶࠊపᰤ㣴࡛ࡶࠕᰤ㣴୙Ⰻࠖ࡞ࡢ࡛ࡍࠋࡋ࠿ࡋ࡞ࡀࡽࠊ
ேࡢᰤ㣴ࡣಶᛶⓗ࡛ࡍࠋࣛ࢖ࣇࢫࢸ࣮ࢪ࡟ࡼࡗ࡚ࠊࡲࡓ⏕ά⩦័࡟ࡼࡗ࡚ࡑࡢேࡢᰤ㣴ࡣኚ໬ࡋࡲࡍࠋ ᰤ㣴ࢆᨭ࠼ࡿࡢࡣࠕ㣗࡛ࠖࡍࠋேࡢ㣗ࡣ⎔ቃ࡟ࡼࡗ࡚኱ࡁࡃ␗࡞ࡾࡲࡍࠋ♫఍⫼ᬒࠊᆅᇦ≉ᛶࠊ⏕࠸❧ࡕࠊ⤒῭≧ែࠊᐙ᪘࣭࣭࣭
ࠕ㣗ࠖࢆᨭ࠼ࡿ࡟ࡣࡑࡢேࡢ⏕ࡁ࡚ࡁࡓ㐨ࢆ▱ࡾࠊᛮ࠸ࢆ⪺ࡁࠊ࡜ࡶ࡟
⪃࠼ࡿࡇ࡜ࡀḞ࠿ࡏࡲࡏࢇࠋ 㧗㱋⪅ࡢሙྜࠊ㣗⾜ືࡀᅛᐃࡉࢀ࡚࠸ࡓࡾࠊṇ☜࡟᝟ሗࡢᢕᥱࡸ⌮ゎࡀ࡛ࡁ࡚࠸࡞࠸ሙྜࡶከࡃࠊ
⮬ศ࡟࡝ࡢࡼ࠺࡞ᰤ㣴ࡀᮃࡲࡋ࠸ࡢ࠿ࢆⓗ☜࡟ᢕᥱࡋ࡚࠸ࡿேࡣከࡃ࠶ࡾࡲࡏࢇࠋࡲࡓࠊయㄪ࡬ࡢ୙
Ᏻࡸࠊ೺ᗣᚿྥ࠿ࡽ࣐ࢫࢥ࣑ࡸ཭ே㛫ࡢཱྀࢥ࣑࡟ࡼࡿ࣊ࣝࢫࣜࢸࣛࢩ࣮࡟ࡼࡾࠊ
ࠕࡼ࠿ࢀ࡜ᛮࡗ࡚㣗࡭ࡓࡶࡢࡀᐇࡣ೺ᗣࢆ⬣࠿ࡋ࡚࠸ࡓࠖ࡜࠸࠺ᝒ๻ⓗ࡞≧ែࡢ᪉ࢆぢཷࡅࡿࡇ࡜ࡶṧᛕ࡞ࡀࡽ࠶ࡾࡲࡍࠋ
ᆅᇦ࣭ᅾᏯࡢ㧗㱋⪅ࡢ㣗ᨭ᥼ࡣࠊᮏேࡸᨭ᥼⪅ࡢࠕᰤ㣴ࠖ࡜ࠕ㣗ࠖࡢ୧᪉ࢆ⌮ゎࡋࠕᐤࡾῧ࠸ᨭ࠺ࠖ
ࡇ࡜ࡀᮃࡲࢀࡲࡍࠋ
  ᖺၥ㢟ࢆぢᤣ࠼ᵓ⠏ࡀᛴࡀࢀ࡚࠸ࡿᆅᇦໟᣓࢣ࢔ࢩࢫࢸ࣒ࠋ┠ᣦࡍ࡜ࡇࢁࡣࠕఫࡳ័ࢀࡓᆅᇦ
࡛ࡑࡢேࡽࡋࡃ⏕ࡁࡿࡇ࡜ࠖ࡟࠶ࡾࡲࡍࠋ
ࠕࡑࡢேࡽࡋࡃ⏕ࡁࡿࠖ ⚾ࡓࡕ㣗࡟㛵ࢃࡿᨭ᥼⪅ࡣࠊࡇࡢゝⴥࢆ┿࡟⌮ゎࡏࡡࡤ࡞ࡾࡲࡏࢇࠋேࡣࠊࣛ࢖ࣇࢫࢸ࣮ࢪ࡟ࡼࡾࠊ
ࡲࡓࠊࣛ࢖ࣇ࢖࣋ࣥࢺ࡟ࡼࡾࠊ㣗⾜ື࡟኱ࡁ࡞ᙳ㡪ࢆཷࡅࡿ᫬ᮇࢆ㐣ࡈࡉࡊࡿࢆᚓࡲࡏࢇࠋࡑࡢ᫬ᮇ
ࢆ෇⁥࡟஌ࡾ㉺࠼ࡿయࠊࡍ࡞ࢃࡕࠕࡑࡢேࡽࡋࡃ⏕ࡁࡿࠖࡓࡵࡢయ࡙ࡃࡾࡣ࠸ࡘ࠿ࡽጞࡵࡿ࡭ࡁ࡛࠶
ࡿ࠿࣭࣭࣭ࠋ ண㜵ⓗ࡟ࠕయ࡙ࡃࡾࠖ࡟㛵ࢃࡿࡇ࡜ࡀ࡛ࡁࡿ⫋✀ࡣከࡃ࠶ࡾࡲࡏࢇࠋ≉࡟ࠕ㣗ࠖࡢᶵ⬟ⓗ࡞㠃࠿ࡽࠕయ࡙ࡃࡾࠖࢆᢸ࠺⫋✀ࡣࠊṑ⛉་ᖌ࣭ṑ⛉⾨⏕ኈ࣭ᰤ㣴ኈ࣭⟶⌮ᰤ㣴ኈ➼࡟㝈ࡽࢀ࡚࠸ࡿ࡜࠸ࡗ࡚
ࡶ㐣ゝ࡛ࡣ࡞࠸࡛ࡋࡻ࠺ࠋ
 ᙜἲேࡢᆅᇦࡢᰤ㣴ᨭ᥼ࡣࠕ⏕ࡲࢀࡿ๓࠿ࡽ᪑❧ࡕࡢ࡜ࡁࡲ࡛ࠊ ᖺ  ᪥  ᫬㛫⏕άࢆᨭ࠼ࡿࠊ
ḟࡢࣛ࢖ࣇࢫࢸ࣮ࢪ࡬ࡢయ࡙ࡃࡾࠖࢆ⾜࠺ࡇ࡜ࢆ┠ᶆ࡟ࡋ࡚࠾ࡾࠊάືෆᐜࡣձᅾᏯ⒪㣴⪅ࡸ௓ㆤண㜵࡟࠾ࡅࡿᰤ㣴ᨭ᥼ࠊղ࣊ࣝࢫࣉ࣮ࣟࣔࢩࣙࣥ࡜ࡋ࡚ࡢ㣗⫱ㅮᗙ࡟኱ࡁࡃ㸰ศࡉࢀࡲࡍࠋ

− 55 − ≉࡟ձࡢ୰ᚰⓗ࡞άື࡛࠶ࡿᅾᏯゼၥᰤ㣴ᣦᑟࡣࠊ་⒪ⓗᰤ㣴ᨭ᥼ࢆᅾᏯࡢ㣗⏕ά࡟⤖ࡧ௜ࡅࡿࡇ
࡜ࠊࡍ࡞ࢃࡕࠊ
ࠕ་⒪ࠖ࡜ࠕ௓ㆤࠖ
ࠊ
ࠕ἞⒪ࠖ࡜ࠕ⏕άࠖࢆࡘ࡞ࡂྜࢃࡏࡿసᴗ࡛ࡍࠋ㔜せ࡞ࡇ࡜ࡣࠊᮏ
ேࢆ୺య࡜ࡋࡓ⏕άࢹࢨ࢖ࣥࠊࡑࡋ࡚ࠊḟࡢࣛ࢖ࣇࢫࢸ࣮ࢪ࡟࠾ࡅࡿணᚋண ࡜ࡑࢀ࡟ᑐࡍࡿண㜵ⓗ࡞㛵ࢃࡾ࡛ࡍࠋ,&) ࡸ⾜ື⛉Ꮫ⌮ㄽࢆ⏝࠸ࠊᮏேࡀ୺యᛶࢆᣢࡗ࡚⾜ືኚᐜ࡛ࡁࡿࡼ࠺࡟ᨭ᥼ࢆࡍࡿ
ࡇ࡜࡛ࠊᮏேࡢ⏕ά࡟ⴠ࡜ࡋ㎸ࢇ࡛࠸ࡁࡲࡍࠋࡲࡓࠊ⏕ά࡜ࡋ࡚ࠕ᪥ࠎᙜ↛ࡢ㣗⎔ቃࠖࢆᩚ࠼ࡿ࡟ࡣࠊ
ᨭ᥼⪅ࡢ▱㆑ࡸࢫ࢟ࣝࡶ኱ࡁ࡞ࣇ࢓ࢡࢱ࣮࡜࡞ࡾࡲࡍࠋே⏕ࡢ᭱⤊ᆅⅬ࡟㏆࠸ᅾᏯ⒪㣴ࡢࢫࢸ࣮ࢪࢆ
෇⁥࡟㐍ࡵࡿࡓࡵ࡟ࡣࠊղࡢ࣊ࣝࢫࣉ࣮ࣟࣔࢩࣙࣥάື࡜ᆅᇦ඲య࡬ࡢ࣏ࣆ࣮ࣗࣞࢩࣙࣥࢫࢺࣛࢸ
ࢪ࣮ࡀḞ࠿ࡏࡲࡏࢇࠋ 㣗ࢆ㏻ࡋ࡚ࡢయసࡾࠊ೺ᗣࡣே⏕ࢆᴦࡋࡴࡓࡵࡢ኱ษ࡞せ⣲࡛ࡍࠋࡲࡓࠊ㣗ࡣࡑࡢࡶࡢࡀᖾ⚟ឤࢆࡶࡓࡽࡋࡲࡍࠋேࡀ⏕ࡁࡿຊ࡜ࡋ࡚ࡑࡢே࡟ᮃࡲࡋ࠸ࠕᰤ㣴ࠖ࡜ࠕ㣗ࠖࢆ▱ࡾࠊᚲせ࡟ᛂࡌ࡚ᨭ᥼⪅ࡀᬽࡽࡋ࡟ᐤࡾῧ࠸ᨭ࠼ࡿࡇ࡜࡛ࠊᆅᇦࡢᮍ᮶ࡀ᫂ࡿ࠸ࡶࡢ࡜࡞ࡿ࡛ࡋࡻ࠺ࠋ
  ᖺၥ㢟ࡣࢦ࣮࡛ࣝࡣ࡞ࡃጞࡲࡾ࡛ࡍࠋࡇࢀ࠿ࡽࡢ᫬௦ࢆᨭ࠼ࡿ࡟࠶ࡓࡾࠊᆅᇦ㧗㱋⪅࣭ᅾᏯ⒪㣴⪅ᆅᇦࡢ㣗ࢆᨭ࠼ࡿṑ⛉࡜ᰤ㣴ࡢ༠ാࡣ㔜せ࡞ព࿡ࢆᣢࡕࡲࡍࠋ ࡜ࡶ࡟ேࠎࡢ 42/ ࡢ኱ࡁ࡞せ⣲࡛࠶ࡿࠕ㣗ࠖࢆᨭ࠼ࠕࡑࡢேࡽࡋࡃ⏕ࡁࡿࠖࡓࡵࡢయ࡙ࡃࡾ࡟ྲྀࡾ
⤌ࡳࠊࠕ࠸ࡓࡔࡁࡲࡍࡢ࠾ᡭఏ࠸ࠖࢆᐇ㊶ࡋ࡚࠸ࡇ࠺࡛ࡣ࠶ࡾࡲࡏࢇ࠿ࠋ␎Ṕ ᖺ  ᭶ ኱ᡭ๓ᰤ㣴ᩥ໬Ꮫ㝔 ༞ᴗ ᖺ  ᭶ ♫఍⚟♴ἲேࡩࢀ࠶࠸ඹ⏕఍ 㣗஦ࢧ࣮ࣅࢫ⛉ ᖺ  ᭶ ᪥ᮏ⚟♴኱Ꮫ ⚟♴⤒ႠᏛ㒊 ་⒪࣭⚟♴࣐ࢿࢪ࣓ࣥࢺᏛ⛉ ༞ᴗ ᖺ  ᭶ ≉ᐃ㠀Ⴀ฼άືἲேࡣࡳࢇࡄ༡Ἑෆ ๪⌮஦㛗㸦㹼⌧ᅾ㸧 ᖺ  ᭶ ኱㜰ᕷ❧኱Ꮫ኱Ꮫ㝔 ⏕ά⛉Ꮫ◊✲⛉ ๓ᮇ༤ኈㄢ⛬ ಟ஢ጤဨ㸸ᐩ⏣ᯘᕷࢣ࢔᪉㔪᳨ウ఍ጤဨ ᪥ᮏᰤ㣴ኈ఍⟶⌮ᰤ㣴ኈᑓ㛛ศ㔝ู⫱ᡂ஦ᴗ㐠Ⴀጤဨ㠀ᖖ໅ㅮᖌ㸸኱㜰኱㇂኱Ꮫே㛫♫఍Ꮫ㒊ࢫ࣏࣮ࢶ೺ᗣᏛ⛉኱㜰ኤ㝧ୣ▷ᮇ኱Ꮫ 㣗≀ᰤ㣴Ꮫ⛉   ➼ᡤᒓᏛ఍㸸
᪥ᮏᅾᏯᰤ㣴⟶⌮Ꮫ఍㸦ホ㆟ဨ㸧᪥ᮏᰤ㣴ᨵၿᏛ఍
᪥ᮏࣉࣛ࢖࣐࣭ࣜࢣ࢔㐃ྜᏛ఍ ᪥ᮏ㟼⬦⤒⭠ᰤ㣴Ꮫ఍ᇳ➹㸸᪂∧ࢺ࣮ࢱࣝࢡࢵ࢟ࣥࢢ ೺ᗣࡢࡓࡵࡢㄪ⌮ᐇ⩦㸦ඹⴭ㸧

− 56 −  ࣮࣡ࢡࢩࣙࢵࣉ   ࠕ࣑࣮ࣝࣛ࢘ࣥࢻࠖ
ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮ ⳥㇂Ṋ 7DNHVKL.LNXWDQL ᪥ᮏṑ⛉኱Ꮫ ᩍᤵཱྀ⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥከᦶࢡࣜࢽࢵࢡ 㝔㛗኱Ꮫ㝔⏕࿨ṑᏛ◊✲⛉ ⮫ᗋཱྀ⭍ᶵ⬟Ꮫ ࣑࣮ࣝࣛ࢘ࣥࢻࢆᴟࡵࡿᖹᡂ  ᖺᗘࡢ௓ㆤሗ㓘ᨵᐃ࡟క࠸⤒ཱྀ⥔ᣢຍ⟬ࡢぢ┤ࡋࡀ⾜ࢃࢀࡲࡋࡓࠋࡑࡢ⟬ᐃせ௳ࡢ୰࡟ࡣࠊ
ከ⫋✀ࡀ༠ാࡋ࡚࣑࣮ࣝࣛ࢘ࣥࢻࢆ⾜࠸ࠊ࢝ࣥࣇ࢓ࣞࣥࢫ➼ࢆ㏻ࡌ࡚⤒ཱྀ⥔ᣢࡢࡓࡵࡢィ⏬ࢆ❧࡚ࡿࡇ࡜ࡀせ௳࡜࡞ࡗ࡚࠸ࡲࡍࠋࡇࡇ࡛♧ࡉࢀࡓ࣑࣮ࣝࣛ࢘ࣥࢻ࡟࠾ࡅࡿ㣗஦ሙ㠃࡟࠾ࡅࡿほᐹホ౯ࡣ኱ኚ㔜せ࡛ࠊࡉࡲࡊࡲ࡞ၥ㢟Ⅼࢆᢳฟࡋࠊၥ㢟Ⅼࡢᢳฟ࡟ࡼࡗ࡚ࢣ࢔ࣉࣛࣥࢆ❧࡚ࡿࡇ࡜ࡶྍ⬟࡛ࡍࠋࡲࡓࠊ࣑࣮ࣝࣛ࢘ࣥࢻࢆከ⫋✀༠ാ࡛⾜࠺ࡇ࡜ࡣ㔜せ࡛ࡍࠋࡑࡢព⩏ࡣࠊධᒃ⪅ࡢᰤ㣴≧ែࠊᦤ㣗ᄟୗᶵ⬟࠾ࡼࡧࡑࡢ௓ຓ᪉ἲࠊࢣ࢔ࣉࣛࣥ➼ࢆ⫋✀㛫࡛ඹ᭷࡛ࡁࡿࡇ࡜࡜࠶ࡾࡲࡍࠋ༠ാ࡛⾜ࡗࡓ࣑࣮ࣝࣛ࢘ࣥࢻ࡟ࡼࡗ࡚ᢳฟࡉࢀࡓၥ㢟Ⅼࡣࠊࡑࡢᚋ࡟㛤ദࡍࡿ࢝ࣥࣇ࢓ࣞࣥࢫ࡟࠾࠸࡚㔜せ࡞᝟ሗ࡜࡞
ࡾࠊࢣ࢔ࣉࣛࣥࡢ⟇ᐃ࡟኱࠸࡟ᙺ❧ࡕࡲࡍࠋ
ᮏㅮ₇࡛ࡣ࣑࣮ࣝࣛ࢘ࣥࢻ࡟࠾ࡅࡿ㣗஦ࡢほᐹ࣏࢖ࣥࢺ࡜ᑐᛂ࡟ࡘ࠸࡚࠾ఏ࠼ࡋࡲࡍࠋ
࣮࣡ࢡࢩࣙࢵࣉ࡟ῧ࠼࡚
ᦤ㣗ᄟୗᶵ⬟ホ౯࡜࠸࠺࡜ࠊᄟୗෆど㙾᳨ᰝࡸᄟୗ㐀ᙳ᳨ᰝࠊ5667ࠊỈ㣧ࡳࢸࢫࢺ࡞࡝ࡢࢫࢡ࣮ࣜ
ࢽࣥࢢࢸࢫࢺࡀⰋࡃ▱ࡽࢀ࡚࠸ࡲࡍࠋࡇࢀࡽࡢ᳨ᰝࡣࠊ࠸ࡎࢀࡶ኱ኚ᭷⏝࡛㢖⦾࡟฼⏝ࡉࢀࡲࡍࠋ୍
᪉࡛ࠊ㣗࡭ࡿᶵ⬟ࡢホ౯ࢆࠕ㣗࡭࡚࠸ࡿ࡜ࡇࢁࢆほᐹࡍࡿࡇ࡜࡟ࡼࡾ⾜࠺ࠖ࡜࠸࠺ࡈࡃᙜࡓࡾ๓ࡢࡇ
࡜ࡀ㍍ࢇࡌࡽࢀ࡚࠸ࡿᜍࢀࡶ࠶ࡾࡲࡍࠋࡋࡓࡀࡗ࡚ࠊᐇ㝿ࡢ㣗஦ሙ㠃ࡢእ㒊ほᐹホ౯ࡣ࡜࡚ࡶ㔜せ࡛࠶ࡿ࡜⪃࠼ࡲࡍࠋ౛࠼ࡤࠊ㣗஦୰࡟㢖⦾࡟ࡴࡏࡿ฼⏝⪅࡟ᑐࡋ࡚ࠊୖグࡢ᳨ᰝࢆࡋ࡚ࡶㄗᄟࡢ⌮⏤ࡀࢃ࠿ࡽ࡞࠸ࡇ࡜ࡀ࠶ࡾࡲࡍࠋࡑࡇ࡛ࠊ㣗஦ほᐹࢆៅ㔜࡟⾜࠺࡜ࠊ୍ཱྀ㔞ࡀከࡍࡂࡓࡾࠊᥙࡁ㎸ࡴࡼ࠺࡟㣗࡭࡚ࡋࡲࡗࡓࡾࠊ㏵୰࡛࠺࡜࠺࡜ࡋ࡚ࡋࡲࡗࡓࡾ࡜࠸࠺ཎᅉࡀࢃ࠿ࡿࡇ࡜ࡀ࠶ࡾࡲࡍࠋ࠸ࢃࡤࠊ
㣗஦ሙ㠃ࡢほᐹ࡞ࡋ࡟ᦤ㣗ᄟୗᶵ⬟ࡢホ౯ࡣᡂࡾ❧ࡓ࡞࠸࡜⪃࠼࡚࠸ࡲࡍࠋ

− 57 −

ࣇ࢓ࢩࣜࢸ࣮ࢱ࣮

᫬ᒸዉ✑Ꮚ1DKRNR7RNLRND

୰ᮧᖾఙ<XNLQREX1DNDPXUD≉ᐃ㠀Ⴀ฼άືἲேࡣࡳࢇࡄ༡Ἑෆ ๪⌮஦㛗

␎Ṕ
 㡫



࣓ࢵࢭ࣮ࢪ
ᅾᏯゼၥᰤ㣴ᣦᑟ䜢㏻䛧䚸⚾䛯䛱䛿ᅾᏯ⒪㣴⪅䛾㣗䜉䜛ᶒ฼䛻㛵䜟䛳䛶䛔䜛䛣䛸䜢③ឤ䛩䜛᪥䚻䛷䛩䚹䛂ᐤ䜚ῧ䛖䛃䛣䛸䛻䛴䛔䛶䛸䜒䛻⪃䛘䜎䛧䜗䛖䚹ࡘࡤࡉࢡࣜࢽࢵࢡ ⌮஦㛗ᒸᒣ኱Ꮫ་Ꮫ㒊 ⮫ᗋ෸ᩍᤵ

␎Ṕ
 㡫



࣓ࢵࢭ࣮ࢪ
ࠕ࠸ࡘࡲ࡛ࡶ㣗࡭ࡓ࠸ࠖ㸫ఫࡳ័ࢀࡓ⎔ቃ࡛㐣ࡈࡍᝈ⪅࣭ᐙ᪘ࢆᨭ࠼ࡿ⌧ሙ࡛࡝ࡢࡼ࠺࡟
⑓デ㐃ᦠ࣭ከ⫋✀㐃ᦠࢆ⾜࠸ࠊᝈ⪅ࡢᕼᮃ࡟ἢࡗ࡚࠸ࡃ࠿⪃࠼࡚ࡳࡲࡋࡻ࠺ࠋᡞཎ 㞝7DNDVKL7RKDUD

෠ᒸຍ௦Ꮚ.D\RNR7RPLRND᪥ᮏṑ⛉኱Ꮫ㝃ᒓ⑓㝔 ཱྀ⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⛉ ㅮᖌ᪥ᮏṑ⛉኱Ꮫ᪂₲⑓㝔 ゼၥṑ⛉ཱྀ⭍ࢣ࢔⛉␎Ṕ ᖺ ᪥ᮏṑ⛉኱ᏛṑᏛ㒊 ༞ᴗ ᖺ ᪥ᮏṑ⛉኱Ꮫ㝃ᒓ⑓㝔 ⥲ྜデ⒪⛉ ධᒁ ᖺ ᪥ᮏṑ⛉኱Ꮫ㝃ᒓ⑓㝔 ཱྀ⭍௓ㆤࣜࣁࣅࣜࢸ࣮
ࢩࣙࣥࢭࣥࢱ࣮ే௵
 ᖺ ᮾி་⛉኱Ꮫ ⪥㰯ဗႃ⛉㢌㢕㒊እ⛉  㠀ᖖ໅ຓᩍ
 ᖺ ᪥ᮏṑ⛉኱Ꮫཱྀ⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥከᦶࢡࣜࢽࢵࢡ 㠀ᖖ໅ṑ⛉་ᖌ ᖺ ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ ༤ኈㄢ⛬ ಟ஢ ᖺ ᪥ᮏṑ⛉኱Ꮫ㝃ᒓ⑓㝔 ཱྀ⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⛉ ຓᩍ ᖺ ᪥ᮏṑ⛉኱Ꮫ㝃ᒓ⑓㝔 ཱྀ⭍ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⛉ ㅮᖌ ᖺ ᪥ᮏṑ⛉኱Ꮫ᪂₲⑓㝔 ゼၥṑ⛉ཱྀ⭍ࢣ࢔⛉㸦ே஦஺ὶ㸧 ᖺ 717 ྲྀᚓ ᖺ ᪥ᮏ⪁ᖺṑ⛉Ꮫ఍ㄆᐃ་ ྠᖺྠᏛ఍ᑓ㛛་ྲྀᚓ ᖺ ᪥ᮏ⪁ᖺṑ⛉Ꮫ఍ ᦤ㣗ᶵ⬟⒪ἲᑓ㛛ṑ⛉་ᖌྲྀᚓ
࣓ࢵࢭ࣮ࢪ
ࡇࢇ࡟ࡕࡣࠋ᪥ᮏṑ⛉኱Ꮫࡢᡞཎ࡜⏦ࡋࡲࡍࠋ௒ᅇࡢ࣮࣡ࢡࢩࣙࢵࣉࢆ㏻ࡌࠊᄟୗ㞀ᐖࢆᣢࡘ᪉࡬࡝࠺࠿࠿ࢃࡗ࡚࠸ࡃ࠿ࢆⓙࡉࡲ࡜Ꮫࢇ࡛࠸ࡅࡓࡽ࡜ᛮࡗ࡚࠾ࡾࡲࡍࠋᐅࡋࡃ࠾㢪࠸࠸ࡓࡋࡲࡍࠋ
ᒸᒣ┴ᰤ㣴ኈ఍ඖ ኱Ꮫ⑓㝔⟶⌮ᰤ㣴ኈ  ⟶⌮ᰤ㣴ኈ㣴ᡂ኱Ꮫᩍဨ
⌧ᅾ ㏱ᯒࢡࣜࢽࢵࢡࠊ⢾ᒀ⑓ࢡࣜࢽࢵࢡᰤ㣴┦ㄯࠊ   ᅾᏯᰤ㣴ゼၥᣦᑟ➼   ⟶⌮ᰤ㣴ኈ㣴ᡂ኱Ꮫᐈဨᩍᤵ   ┳ㆤᖌ㣴ᡂᑓ㛛Ꮫᰯ㠀ᖖ໅ㅮᖌ
࣓ࢵࢭ࣮ࢪ
⑓㝔࡜ࡣࡲࡓ㐪࠺どⅬࡢ͆ᰤ㣴⟶⌮ࡢ┠͇ࡶᚲせ࡜③ឤࡋ࡚࠸ࡲࡍࠋ
ᑐ㇟⪅࠾୍ே࠾ࡦ࡜ࡾ⤒㦂ࡉࡏ࡚࠸ࡓࡔࡃẖ࡟ຮᙉ࡟࡞ࡾࡲࡍࠋ
᭱ᚋࡢ୍ཱྀࡲ࡛͆㣗࡭ࡿ͇ࢆᨭ࠼ࡿࡇ࡜ࡣᑐ㇟⪅ࢆ⏕㸦ά㸧࠿ࡋࠊ⚾ࡓࡕࡀάࡁࡿ
࡛ࡍࡡࠋ๓ᕝாᏊ.\RNR0DHNDZDᮧ⏣ᑦ㐨1DRPLFKL0XUDWD

ࣉࣛ࢖࣒࣍ࢫࣆࢱࣝ⋢ᓥ ṑ⛉ᒸᒣ኱Ꮫ⑓㝔 ࢫ࣌ࢩࣕࣝࢽ࣮ࢬṑ⛉ࢭࣥࢱ࣮ ⮫ᗋㅮᖌ␎Ṕ ᖺ  ᭶ ᒸᒣ኱ᏛṑᏛ㒊༞ᴗ ᖺ  ᭶ ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑᏛ⥲ྜ◊✲⛉ ධᏛ ᖺ  ᭶ ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑᏛ⥲ྜ◊✲⛉ ༞ᴗ ᖺ  ᭶ ᒸᒣ኱Ꮫ་Ꮫ㒊࣭ṑᏛ㒊㝃ᒓ⑓㝔◊ಟ་ ᖺ  ᭶ ᒸᒣ኱Ꮫ⑓㝔 ≉Ṧṑ⛉⥲ྜ἞⒪㒊    ➨  ⥲ྜデ⒪ᐊ㸦⌧ࢫ࣌ࢩࣕࣝࢽ࣮ࢬṑ⛉ࢭࣥࢱ࣮㸧 ་ဨ ᖺ  ᭶ ྠຓᩍ ᖺ  ᭶ ࣉࣛ࢖࣒࣍ࢫࣆࢱࣝ⋢ᓥṑ⛉ ᖖ໅⌧ᅾ࡟⮳ࡿ㈨᱁➼㸸ᦤ㣗࣭ᄟୗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥᏛ఍ㄆᐃኈ
㞀ᐖ⪅ṑ⛉Ꮫ఍ㄆᐃ་
ࢲ࢘ࣥ⑕ࡢ㉥ࡕࡷࢇయ᧯ᣦᑟဨ
࣓ࢵࢭ࣮ࢪ
㣗࡭ࡿ࡜࠸࠺ࡇ࡜ࢆ⪃࠼࡚࠸ࡃ࡜ࡁࠊᝈ⪅ࡉࢇࡢᄟୗᶵ⬟ࡔࡅ࡛࡞ࡃࠊ⏕ά⫼ᬒࡶྵࡵ࡚
⪃࠼ࡿᚲせࡀ࠶ࡾࠊ୍ே࡛ࡣ࡞࠿࡞࠿㞴ࡋ࠸ࡇ࡜࡛ࡍࠋࢢ࣮ࣝࣉ࡛ࡼࡾⰋ࠸᪉㔪ࢆ❧࡚ࡽࢀࡿࡼ࠺࠾ᡭఏ࠸ࡉࡏ࡚࠸ࡓࡔࡁࡓ࠸࡜ᛮ࠸ࡲࡍࡢ࡛ࡼࢁࡋࡃ࠾㢪࠸ࡋࡲࡍࠋ
ᒸᒣ኱Ꮫ⑓㝔 ࢫ࣌ࢩࣕࣝࢽ࣮ࢬṑ⛉ࢭࣥࢱ࣮ ຓᩍ␎Ṕ ᖺ ᒸᒣ኱Ꮫ ṑᏛ㒊 ༞ᴗ ᖺ ᫛࿴኱Ꮫ ኱Ꮫ㝔 ಟ஢ ᖺ ᫛࿴኱Ꮫ ṑᏛ㒊㛗┤ᒓຓᡭ㸦ཱྀ⭍⾨⏕Ꮫᩍᐊ໅ົ㸧 ᖺ ᫛࿴኱Ꮫ ṑᏛ㒊 ཱྀ⭍⾨⏕Ꮫᩍᐊ ᑓ௵ㅮᖌ
 ᖺ ᒸᒣ኱Ꮫ⑓㝔 ≉Ṧṑ⛉⥲ྜ἞⒪㒊 ຓᩍ ᖺ ྠ⑓㝔 ࢫ࣌ࢩࣕࣝࢽ࣮ࢬṑ⛉ࢭࣥࢱ࣮ ຓᩍ⌧ᅾ࡟⮳ࡿ
ᑓ㛛㸸ᦤ㣗ᄟୗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࠊ㞀ᐖ⪅ṑ⛉㈨᱁㸸᪥ᮏ㞀ᐖ⪅ṑ⛉Ꮫ఍ ㄆᐃ་᪥ᮏ⪁ᖺṑ⛉་Ꮫ఍ ㄆᐃ་࣭ᣦᑟ་ࠊᦤ㣗ᶵ⬟⒪ἲᑓ㛛ṑ⛉་ᖌ᪥ᮏᦤ㣗࣭ᄟୗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥᏛ఍ ㄆᐃኈ࣓ࢵࢭ࣮ࢪ
ࠕ㣗ࠖ࡜࠸࠺ࢸ࣮࣐ࡣࠊ⚾ࡓࡕࡢ᪥ᖖ⏕ά࡟ࡶ῝ࡃ㛵ࢃࡿࡇ࡜࡛ࡶ࠶ࡾࠊከࡃࡢேࡀ㛵୚࡛ࡁࡿ㒊ศࡔ࡜ᛮ࠸ࡲࡍࠋᵝࠎ࡞ษࡾཱྀ࠿ࡽࠊࠕせ௓ㆤ㧗㱋⪅ࡢ㣗ࢆᨭ࠼ࡿࠖࡓࡵࡢពぢࡀฟࡉࢀࡿࡇ࡜ࢆᴦࡋࡳ࡟ࡋ࡚࠸ࡲࡍࠋࡼࢁࡋࡃ࠾㢪࠸⮴ࡋࡲࡍࠋ

Ώ㑓࿴Ꮚ.D]XNR:DWDQDEH
ࡃࡽࡋࡁస㝧኱Ꮫ⌧௦㣗ᩥ໬Ꮫ⛉෸ᩍᤵ
᪥ᮏᅾᏯᰤ㣴⟶⌮Ꮫ఍⌮஦␎Ṕ་⒪ἲே ⋢ᓥ୰ኸ⑓㝔໅ົ⌧ᅾ ࡃࡽࡋࡁస㝧኱኱Ꮫ㣗ᩥ໬Ꮫ㒊໅ົ㈨᱁㸸⟶⌮ᰤ㣴ኈ
᪥ᮏ⢾ᒀ⑓⒪㣴ᣦᑟኈᅾᏯゼၥ⟶⌮ᰤ㣴ኈ᪥ᮏ⑓ែᰤ㣴Ꮫ఍ホ㆟ဨ࣭᪥ᮏᅾᏯᰤ㣴⟶⌮Ꮫ఍㛵す୰ᅜᅄᅜࣈࣟࢵࢡ㛗࣓ࢵࢭ࣮ࢪ
せ௓ㆤࡢ㧗㱋⪅ࡀ⏕ᾭᅾᏯ࡛ࡢ⏕άࡀ࡛ࡁࡿࡼ࠺࡟ࠊࡑࢀࢆྍ⬟࡟ࡍࡿࡓࡵ࡟ࠊࡑࢀࡒࢀ
ࡢᑓ㛛⫋࠿ࡽࡢぢ᪉ࠊ⪃࠼᪉ࠊពぢࢆ஺࠼ࡿࡇ࡜࡛⥲ྜⓗ࡞ุ᩿ࡀฟ᮶ࡿࡼ࠺࡟࡞ࡿ࡜ᛮ
࠸ࡲࡍࠋࡋࡗ࠿ࡾࢹ࢕ࢫ࢝ࢵࢩࣙࣥࢆࡋ࡚ຊࢆࡘࡅ࡚࠸ࡁࡲࡋࡻ࠺ࠋ



− 58 −

㈨ᩱ 7➨ 6 ᅇ࢔ࣥࢣ࣮ࢺ㞟ィ⤖ᯝ㸦┿ᗞᆅᇦ ‫‮‬ཎ఍ሙ㸧4࢔ࣥࢣ࣮ࢺᅇ⟅⪅
࠙ㅮ₇ࠚᅇ⟅⪅㸸26 ྡ ᅇ⟅⋡㸸92.9%






་ᖌ
ṑ⛉་ᖌ

 

 

⟶⌮ᰤ㣴ኈ ᰤ㣴ኈ
⸆๣ᖌ
┳ㆤᖌ
ṑ⛉⾨⏕ኈ



௓ㆤ⣔⫋✀



ࣜࣁࣅࣜ࡟㛵ࢃࡿ⫋✀


ࡑࡢ௚



࣮࠙࣡ࢡࢩࣙࢵࣉࠚᅇ⟅⪅㸸17 ྡ ᅇ⟅⋡㸸100%






་ᖌ
ṑ⛉་ᖌ



⟶⌮ᰤ㣴ኈ ᰤ㣴ኈ



⸆๣ᖌ



┳ㆤᖌ



ṑ⛉⾨⏕ኈ



௓ㆤ⣔⫋✀
ࣜࣁࣅࣜ࡟㛵ࢃࡿ⫋✀



ࡑࡢ௚


4ཧຍࡢࡁࡗ࠿ࡅ㸦」ᩘᅇ⟅㸧





㸦ྡ㸧



௨๓ཧຍࡋࡓࡇ࡜࠶ࡾ







⯆࿡ࡀ࠶ࡿ
▱ேࡢࡍࡍࡵ
⫋ሙࡢࡍࡍࡵ




ࢳࣛࢩ



᪂⪺
ࡑࡢ௚



− 59 −

4‶㊊ᗘ
࠙ㅮ₇ࠚ







 ࣮࠙࣡ࢡࢩࣙࢵࣉࠚ
኱ኚ‶㊊

኱ኚ‶㊊



‶㊊
࡝ࡕࡽ࡜ࡶゝ
࠼࡞࠸࡝ࡕࡽ࡜ࡶゝ࠼
࡞࠸

 

୙‶

୙‶



‶㊊



 
኱ኚ୙‶

኱ኚ୙‶

ᮍグධ

ᮍグධ


4⌮ゎᗘ
࠙ㅮ₇ࠚ







 ࣮࠙࣡ࢡࢩࣙࢵࣉࠚ

⌮ゎ࡛ࡁࡓ




኱ኚ⌮ゎ࡛ࡁࡓ

኱ኚ⌮ゎ࡛ࡁࡓ

࡝ࡕࡽ࡜ࡶゝ࠼࡞࠸࠶ࡲࡾ⌮ゎ࡛ࡁ࡞
࠿ࡗࡓ

⌮ゎ࡛ࡁࡓ






඲ࡃ⌮ゎ࡛ࡁ࡞࠿ࡗࡓᮍグධ࡝ࡕࡽ࡜ࡶゝ࠼࡞࠸࠶ࡲࡾ⌮ゎ࡛ࡁ࡞
࠿ࡗࡓ඲ࡃ⌮ゎ࡛ࡁ࡞
࠿ࡗࡓ
ᮍグධ



4௒ᚋ⪺ࡁࡓ࠸ㅮ₇ෆᐜ㸦⮬⏤グ㏙㸧x ṓ௨ୖࡢ೺ᗣ࡞᪉࠿ࡽせᨭ᥼ࣞ࣋ࣝࡢ᪉࡟ྥࡅࡓ࣏ࣆ࣮ࣗࣞࢩࣙࣥ࢔ࣉ࣮ࣟࢳࠋ㐣ᰤ㣴࡞᪉࡜పᰤ㣴࡞᪉ࡀ࡝ࡕࡽࡶ࠸ࡿ୰࡛ఱ࡟㔜ࡁࢆ⨨࠸࡚ᆅᇦࢧ࡛ࣟࣥ࠾ヰࡋ࡚࠸ࡃ࠿x࣑࣮ࣝࣛ࢘ࣥࢻ࡛ぢࡿ࡭ࡁ࣏࢖ࣥࢺ࡜ࡑࢀ࡟ᑐࡍࡿᑐᛂ㸪㐃ᦠࡢ௙᪉

xᅾᏯ࡛ࡢ⑓ែู㣗஦ࡢᥦ౪࡟ࡘ࠸࡚ࡢከ⫋✀ࡢ࢔ࣉ࣮ࣟࢳ

x⫧‶Ẽ࿡ࡢே࡬ࡢ㣗஦࢔ࢻࣂ࢖ࢫ


4せ௓ㆤ⪅ࡢ㣗ᨭ᥼࡛ᅔࡗ࡚࠸ࡿࡇ࡜㸦⮬⏤グ㏙㸧xᆅᇦᛶ࡛㣗ᮦࡢㄪ㐩ࡀᅔ㞴࡛࠶ࡗࡓࡾ㸪ዲࡁ᎘࠸ࡀ࠶ࡿ᪉➼࡝ࡢࡼ࠺࡟ᨭ᥼ࢆ㐍ࡵ࡚− 60 −

࠸ࡗࡓࡽࡼ࠸࠿ࢃ࠿ࡽ࡞࠸
xཱྀ⭍ࢣ࢔㸪ṑ⛉ཷデ࡬ࡘ࡞ࡀࡗ࡚࠸࡞࠸᪉࡟࡝࠺࢔ࣉ࣮ࣟࢳࡋ࡚࠸ࡃ࠿

xධ㝔୰ࡢ㣗஦᝟ሗࡢ㐃ᦠ୙㊊㸦ᅾᏯ࡟ࡣ᝟ሗࡀࡁ࡟ࡃ࠸㸽㸧㸪⤊ᮎᮇࡢ㣗஦ไ㝈㸦ඖẼ࡞᫬ࡢ DM,HT,⭈୙඲ K P ࡀ㣗஦ࡀ㣗࡭ࢀ࡞ࡃ࡞ࡗ࡚ࡶࡋ࡞࠸࡜࠸ࡅ࡞࠸࡜ᛮࡗ࡚࠸
ࡿேࡀ࠸ࡿ㸧࡞࡝ࡈᐙ᪘࡟ᰤ㣴࡟ࡘ࠸࡚ࡢ⌮ゎࢆࡋ࡚࠸ࡓࡔࡃࡇ࡜ࡀ㞴ࡋ࠸ࠋࠕ㱋࡞ࢇࡔ࠿ࡽࡑࢇ࡞࡟㣗࡭࡞ࡃ࡚ࡶࠖ࡜ᛮࢃࢀࡓࡾ㸪ⳫᏊࣃࣥ㸪ࢪ࣮ࣗࢫ࡞࡝ࢆ⨨࠸࡚࠾ࡽࢀࡿ᪉ࡀከ࠸ࠋᑓ㛛⫋࡟᝟ሗࢆࡘ࡞ࡆࡓ࠸ࡀ㸪࡞࠿࡞࠿ࡘ࡞ࡀࡽ࡞࠸ࠋx㈋ࡋ࠸㣗⏕άࢆ᫇࠿ࡽࡋ࡚ࡁࡓ㧗㱋⪅ࡢ᪉࡛⫗ࡶ㨶ࡶ㣗࡭ࡿ⩦័ࡀ࡞ࡃᅔࡿࡇ࡜ࡀ࠶
ࡿ

㸺ࡑࡢ௚㸼
x

༗๓୰ࡢඛ⏕᪉ࡢ࠾ヰࡶ኱ኚ඘ᐇࡋࡓࡶࡢࡔࡗࡓࡀ㸪༗ᚋ࠿ࡽࡢ࣮࣡ࢡࢩࣙࢵࣉࡣ㐪࠺⫋✀㸪㐪࠺ᆅᇦࡢே࡜ྠࡌࢢ࣮ࣝࣉ࡟࡞ࡾ㸪࠸ࢁ࠸ࢁ࡞どⅬ࠿ࡽࡢ࠾ヰࡀ⪺ࡅ࡚ࡼ࠿ࡗࡓ࡜ᛮ࠸ࡲࡍࠋ

x

௚ࡢㅮ₇఍࡜ྠࡌෆᐜࡢࡶࡢࡶ࠶ࡾ☜ㄆ࡟࡞ࡾⰋ࠿ࡗࡓ࡛ࡍࠋ

x኱ኚ᪂ࡋ࠸᝟ሗࡸࢃ࠿ࡾࡸࡍ࠸ㅮ₇࠶ࡾࡀ࡜࠺ࡈࡊ࠸ࡲࡋࡓ

x࡜࡚ࡶཧ⪃࡟࡞ࡾࡲࡋࡓࠋࡇ࠺࠸ࡗࡓ఍࡟ࡶࡗ࡜ཧຍࡋࡓ࠸࡜ᛮ࠸ࡲࡋࡓࠋ

x࠸ࡘࡶࡈ᱌ෆࢆ࠶ࡾࡀ࡜࠺ࡈࡊ࠸ࡲࡍࠋ

xከ⫋✀ࡢ㐃ᦠࡀ኱ษ࡜ᨵࡵ࡚ឤࡌࡲࡋࡓ

x㣗஦ࡢ኱ษࡉࢆ෌ᗘㄆ㆑ࡋࡲࡋࡓࠋ

xᨵࡵ࡚࠾ヰࢆ⪺ࡃ୰࡛Ⓨぢࡀከࡃ࠶ࡾࡲࡋࡓࠋ

x⟶⌮ᰤ㣴ኈࡀゼၥデ⒪ࡢࢫࢱࢵࣇ࡜ࡋ࡚ཧຍࡉࢀࡿࡇ࡜ࡣ኱Ḽ㏄࡛ࡍࠋᅾᏯ࡛ࡢ᪥ᖖ
⏕άࡢ㉁ࢆ኱ࡁࡃᕥྑࡍࡿ㣗࡟ࡘ࠸࡚ࡢᑓ㛛⫋ࡀ⌧ሙࢆ▱ࡗ࡚ࡃࡔࡉࡿࡇ࡜࡟ᮇᚅࡋ
ࡲࡍࠋ− 61 −

㈨ᩱ 8➨ 7 ᅇ࢔ࣥࢣ࣮ࢺ㞟ィ⤖ᯝ㸦┴༡す㒊 ஭ཎᆅᇦ ஭ཎ఍ሙ㸧4࢔ࣥࢣ࣮ࢺᅇ⟅⪅
࠙ㅮ₇ࠚᅇ⟅⪅㸸66 ྡ ᅇ⟅⋡㸸81.5%
་ᖌ
ṑ⛉་ᖌ





⟶⌮ᰤ㣴ኈ ᰤ㣴ኈ



⸆๣ᖌ



┳ㆤᖌ



ṑ⛉⾨⏕ኈ



௓ㆤ⣔⫋✀



ࣜࣁࣅࣜ࡟㛵ࢃࡿ⫋✀ࡑࡢ௚࣮࠙࣡ࢡࢩࣙࢵࣉࠚᅇ⟅⪅㸸26 ྡ ᅇ⟅⋡㸸86.7%




་ᖌ
ṑ⛉་ᖌ





⟶⌮ᰤ㣴ኈ ᰤ㣴ኈ
⸆๣ᖌ
┳ㆤᖌ
ṑ⛉⾨⏕ኈ

 


௓ㆤ⣔⫋✀
ࣜࣁࣅࣜ࡟㛵ࢃࡿ⫋✀
ࡑࡢ௚




4ཧຍࡢࡁࡗ࠿ࡅ㸦」ᩘᅇ⟅㸧
㸦ྡ㸧








௨๓ཧຍࡋࡓࡇ࡜࠶ࡾ
⯆࿡ࡀ࠶ࡿ▱ேࡢࡍࡍࡵ
⫋ሙࡢࡍࡍࡵ

ࢳࣛࢩ
᪂⪺
ࡑࡢ௚



− 62 −

4‶㊊ᗘ
࠙ㅮ₇ࠚ







 ࣮࠙࣡ࢡࢩࣙࢵࣉࠚ

኱ኚ‶㊊

 


኱ኚ‶㊊



‶㊊

‶㊊

࡝ࡕࡽ࡜ࡶゝ
࠼࡞࠸





୙‶





࡝ࡕࡽ࡜ࡶゝ
࠼࡞࠸
୙‶

኱ኚ୙‶

኱ኚ୙‶

ᮍグධ

ᮍグධ


4⌮ゎᗘ
࠙ㅮ₇ࠚ ࣮࠙࣡ࢡࢩࣙࢵࣉࠚ

኱ኚ⌮ゎ࡛ࡁ
ࡓ






⌮ゎ࡛ࡁࡓ






⌮ゎ࡛ࡁࡓ



࡝ࡕࡽ࡜ࡶゝ
࠼࡞࠸࠶ࡲࡾ⌮ゎ࡛
ࡁ࡞࠿ࡗࡓ኱ኚ⌮ゎ࡛ࡁࡓ࡝ࡕࡽ࡜ࡶゝ
࠼࡞࠸࠶ࡲࡾ⌮ゎ࡛
ࡁ࡞࠿ࡗࡓ඲ࡃ⌮ゎ࡛ࡁ
࡞࠿ࡗࡓ඲ࡃ⌮ゎ࡛ࡁ
࡞࠿ࡗࡓ

ᮍグධ

ᮍグධ



4௒ᚋ⪺ࡁࡓ࠸ㅮ₇ෆᐜ㸦⮬⏤グ㏙㸧xゼၥᰤ㣴ኈࡉࢇࡢάື

xᄟୗࣜࣁࣅࣜࡢࡸࡾ᪉㸪㣗஦ࡢ࣏ࢪࢩࣙࢽࣥࢢ

x

ST, OT, PT ࡜ṑ⛉࡜ࡢࢥ࣮ࣛ࣎ࣞࢩࣙࣥ

x⸆๣࡜ᄟୗ㞀ᐖ࡜ㄆ▱⑕࡟ࡘ࠸࡚

xཱྀ⭍ࢣ࢔ࡢ᪉ἲ

xཱྀࢆ࠶ࡅ࡚ࡃࢀ࡞࠸᪉࡬ࡢཱྀ⭍ࢣ࢔ࡢ᪉ἲ㸪ཱྀ⭍ࢣ࢔ࡢᐇ㊶᪉ἲxᑠᒣ⌔⨾ඛ⏕ࡢヰࡀ⪺ࡁࡓ࠸x௓ㆤಖ㝤᪋タ࡟࠾ࡅࡿཱྀ⭍ࢣ࢔ࡢ࣏࢖ࣥࢺ㸪ᣦᑟxゼၥ௓ㆤ࡟࠾࠸࡚͇㣗͇ࢧ࣏࣮ࢺࡸㄪᩚࡢ࣏࢖ࣥࢺ

x

ᅾᏯゼၥࡢデ⒪ᮍ⤒㦂⪅࡛㸪ࡇࢀ࠿ࡽࡸࡗ࡚ࡳࡓ࠸࡜ᛮࡗ࡚࠸ࡿ᪉࡬㸪ලయⓗ࡟࡝ࡢ− 63 −

ࡼ࠺࡟࢔ࢡࢩࣙࣥࢆ࠾ࡇࡏࡤࡼ࠸ࡢ࠿㸪ᆅᇦ࡜ࡢ㛵ࢃࡾ᪉㸪ᡭ⥆ࡁࡢ௙᪉࡞࡝ࠋ
x⢭⚄ⓗ࡟㣗஦ࡀᦤࢀ࡞࠸᪉࡟ࡘ࠸࡚ࡢヲ⣽࡞࢔ࣉ࣮ࣟࢳࡢ௙᪉࡟ࡘ࠸࡚▱ࡾࡓ࠸
4せ௓ㆤ⪅ࡢ㣗ᨭ᥼࡛ᅔࡗ࡚࠸ࡿࡇ࡜㸦⮬⏤グ㏙㸧x≉㣴࡛ࡣᄟୗᶵ⬟㸪ᾘ໬྾཰ᶵ⬟ࡀാ࠸࡚࠸ࡿࡢ࠿ࢃ࠿ࡽ࡞࠸ࠋపࢱࣥࣃࢡ㸪࢔ࣝࣈ࣑ࣥ࡜ゝࢃࢀࡿࡀ㸪კク་ࡣ㐌࡟㸯ᅇ࡛ᐇ㝿ࡢ㣗஦ࢆࡳ࡚࠾ࡽࡎ㸪⤒ཱྀᦤྲྀࡀ㞴ࡋ࠸ࡇ࡜࡬ࡢ⌮ゎࡀᚓࡽࢀ࡞࠸ࠋࡲࡓṇࡋ࠸ᚲせ࣮࢝ࣟࣜ㸪ࢱࣥࣃࢡ㔞ࡀࢃ࠿ࡽ࡞࠸ࠋ

xᰤ㣴ࡢࡇ࡜ࢆ⪺ࡃேࡀ࠸࡞࠸ࠋᅾᏯࡢሙྜ㸪పᰤ㣴ࡢࡇ࡜ࡀẼ࡟࡞ࡗ࡚ࡶཱྀฟࡋ࡛ࡁ
࡞࠸ࠋxᙧែࡀ࣑࢟ࢧ࣮࡛ࡶ㸪⩏ṑࢆ࡞ࡿ࡭ࡃࡣࡵ࡚㣗஦ࢆࡍࡿࡇ࡜ࢆ᥎ዡࡋ࡚࠸ࡿࡢ࡛ࡍࡀ㸪ࡓࡵ㎸ࢇࡔࡾ㸪㛤ཱྀࡀᝏࡃ࡞ࡗࡓሙྜࡢࡣࡎࡋ࠿ࡓࡀࢃ࠿ࡽ࡞࠸ࠋ

x㣗஦ࢆࡴࡾࡸࡾ㣗࡭ࡉࡏ࡚࠸ࡿࡢ࡛ᅔࡗ࡚࠸ࡿࠋ

xዲࡁ᎘࠸ࡀ࠶ࡾ㸪๪㣗ࡀṧࡿࠋxᐙ᪘ࡢ༠ຊࡀᚓࡽࢀ࡞࠸

㸺ࡑࡢ௚㸼
x㣗஦ᙧែ㸪࿪ᄮຊࡀ㣗࡭ࡽࢀ࡞࠸ࡇ࡜࡟ࡘ࡞ࡀࡗ࡚࠸ࡿ࡜ឤࡌࡲࡋࡓࠋ฼⏝⪅ࡢほᐹ࡟㔜Ⅼࢆ࠾࠸࡚࠸ࡁࡲࡍࠋ

x඲యⓗ࡟ศ࠿ࡾࡸࡍࡃ࡜࡚ࡶⰋ࠿ࡗࡓ࡛ࡍࠋ࠶ࡾࡀ࡜࠺ࡈࡊ࠸ࡲࡋࡓࠋ

x୍ேࡢᝈ⪅ᵝ࡟௚⫋✀㐃ᦠࡀ኱ษࡔ࡜࠶ࡽࡓࡵ࡚ᛮ࠸ࡲࡋࡓ

x࡜࡚ࡶࢃ࠿ࡾࡸࡍࡃ㸪௙஦࡟࠸࠿ࡏࡑ࠺࡞⑕౛ࢆࡓࡃࡉࢇᩍ࠼࡚ࡶࡽ࠼࡚ࡼ࠿ࡗࡓ࡛
ࡍࠋxᅾᏯᨭ᥼࡟ࡘ࠸࡚▱ࡽ࡞࠸ࡇ࡜ࡀከ࠿ࡗࡓࡢ࡛㸦ไᗘ࡞࡝㸧㸪ࢃ࠿ࡾࡸࡍࡃㄝ᫂ࡋ࡚࠸
ࡓࡔࡁ⌮ゎ࡛ࡁࡲࡋࡓࠋ

x࠶ࡽࡓࡵ࡚㸪ᝈ⪅ࡉࢇࢆࡳࡿ㸪⏕άࢆࡳࡿࡇ࡜ࡢ኱ษࡉ㸪௚⫋✀ࡢ᪉࡜ࡢ㐃ᦠࡢᚲせᛶࢆឤࡌࡲࡋࡓࠋᛮ࠸ࡀᙉࡃ࡚ࡶ㸪ලయⓗ࡟࡝ࡢࡼ࠺࡟ࡑࡢ⫋ሙ࡛ఱࡀ࡛ࡁࡿࡢ࠿ື
ࡅࡎ㸪ࢃ࠿ࡽࡎ㸪ᐇឤ࡛ࡁ࡚࠸ࡲࡏࢇࡀ㸪௒ᚋ㛵ࢃࡾࢆ࡝ࡢࡼ࠺࡟ᣢࡗ࡚࠸ࡅࡿࡢ࠿
⪃࠼࡚ࡳࡼ࠺࡜ᙉࡃឤࡌࡲࡋࡓࠋ

x⳥㇂ඛ⏕ࡢ࠾ヰࡣ࡜࡚ࡶຮᙉ࡟࡞ࡾࡲࡋࡓࠋ⚾ࡓࡕࡢࡇࢀ࠿ࡽࡢ௙஦࡟ᙺ❧ࡘ▱㆑ࡀ
㌟࡟ࡘࡁࡲࡋࡓࠋෆ⛉࡜ṑ⛉࡜ࡢ㛵ಀࡣ⯆࿡῝࠸ࡇ࡜࡛ࡋࡓࠋ

x⳥㇂ඛ⏕ࡢㅮ₇ࡣ࡜࡚ࡶࢃ࠿ࡾࡸࡍࡃ࠶ࡗ࡜࠸࠺㛫ࡢ᫬㛫࡛ࡋࡓࠋ⚾ࡣṑ⛉⾨⏕ኈ࡛ࡍࡀ㸪࣑࣮ࣝࣛ࢘ࣥࢻ࡟ᦠࢃࡗࡓࡢࡣ࡯ࢇࡢ᭱㏆ࡢࡇ࡜࡞ࡢ࡛㸪࡜࡚ࡶࢃ࠿ࡾࡸࡃ㸪⮬ศࡢᙺ๭ࡸᝈ⪅ࡉࢇࡢཱྀ⭍ࡢࡇ࡜㸪ᄟୗࡸ࿪ᄮ㞀ᐖ࡟ࡘ࠸࡚ࡶ▱ࡿࡇ࡜ࡀ࡛ࡁཧຍ
ࡋ࡚ࡼ࠿ࡗࡓ࡜ᛮ࠸ࡲࡋࡓࠋ

xᅾᏯᰤ㣴ᣦᑟ࡜࠸࠺ࡶࡢࡢᐇ㝿ࡸ㸪ṑ⛉་ᖌࡢ⪃࠼᪉ࡀࢃ࠿ࡾ࡜࡚ࡶຮᙉ࡟࡞ࡾࡲࡋ
ࡓࠋ− 64 −

x⳥㇂ඛ⏕ࡢヰࡣ࡜࡚ࡶཧ⪃࡟࡞ࡾࡲࡋࡓࠋ࠸ࢁ࠸ࢁཧ⪃࡟࡞ࡿヰࡀ⪺ࡅࡲࡋࡓࠋ௒ᚋ
ࡶࡇࡢࡼ࠺࡞ㅮ₇ࢆࡼࢁࡋࡃ࠾ࡡࡀ࠸ࡋࡲࡍࠋᏛࢇࡔࡇ࡜࡛ᑡࡋ࡛ࡶ㧗㱋⪅ࡢࢣ࢔࡟⏕࠿ࡋ࡚࠸ࡁࡓ࠸࡜ᛮࡗ࡚࠸ࡲࡍࠋ

xࡇࢀ࠿ࡽࡢ͇⏕ࡁ࡚࠸ࡃ͇ࡓࡵࡢṑ࡜ࡢ௜ࡁྜ࠸᪉㸪ṑ࠿ࡽࡢࢫࢺࣞࢫࢆᑡࡋ࡛ࡶᑡ
࡞ࡃࡍࡿࡓࡵࡢ᪩ࡵࡢ἞⒪ࡀ࡯ࡋ࠸ࠋ

x࡜࡚ࡶⰋ࠸௻⏬ࡔ࡜ᛮ࠸ࡲࡋࡓࠋ࠶ࡾࡀ࡜࠺ࡈࡊ࠸ࡲࡋࡓࠋ

x୍ேᬽࡽࡋࡢዪᛶ࡛ࡍࡀ㸪⤊↉ࡲ࡛࡟⮬ᕫࡢព▱࡛඲࠺࡟࠸ࡁࡓ࠸࡜࠸࠺Ẽᣢࡕࢆᛀࢀࡎ࡟㸪௒᪥ࡢ࠾ヰࢆ཯ࡍ࠺ࡋ࡞ࡀࡽ᭷ព⩏࡟⏕ࢆ඲࠺ࡋࡓ࠸࡜ࡘࡃ࡙ࡃ᝿࠸ࢆ῝ࡃࡋࡓࠋཱྀ⭍ࡢண㜵ࡸࡽ⩏ṑࡢඹᏑࢆ኱ษ࡟ࡋࡓ࠸࡜ᛮ࠺ࠋ⪁㱋໬㸪ே⏕ࢆ๓ྥࡁ࡟୍
᪥୍᪥ࢆᬽࡽࡉ࡞ࡅࢀࡤ࡜࠶ࡽࡓࡵ࡚ᛮࡗࡓࠋ࠶ࡾࡀࡓ࠸ㅮ₇ෆᐜ࡛ࡋࡓࠋ
㸦୍⯡ᕷẸ㸧− 65 −

㈨ᩱ 9➨ 8 ᅇ࢔ࣥࢣ࣮ࢺ㞟ィ⤖ᯝ㸦┴༡ᮾ㒊 ᒸᒣ఍ሙ㸧4࢔ࣥࢣ࣮ࢺᅇ⟅⪅
࠙ㅮ₇ࠚᅇ⟅⪅㸸91 ྡ ᅇ⟅⋡㸸75.8%
་ᖌ




ṑ⛉་ᖌ



⟶⌮ᰤ㣴ኈ ᰤ㣴ኈ
⸆๣ᖌ



┳ㆤᖌ



ṑ⛉⾨⏕ኈ
௓ㆤ⣔⫋✀

 


ࣜࣁࣅࣜ࡟㛵ࢃࡿ⫋✀ࡑࡢ௚࣮࠙࣡ࢡࢩࣙࢵࣉࠚᅇ⟅⪅㸸41 ྡ ᅇ⟅⋡㸸87.2%
་ᖌ




ṑ⛉་ᖌ



⟶⌮ᰤ㣴ኈ ᰤ㣴ኈ
⸆๣ᖌ



┳ㆤᖌ



ṑ⛉⾨⏕ኈ
௓ㆤ⣔⫋✀

 


ࣜࣁࣅࣜ࡟㛵ࢃࡿ⫋✀ࡑࡢ௚4ཧຍࡢࡁࡗ࠿ࡅ㸦」ᩘᅇ⟅㸧
㸦ྡ㸧












௨๓ཧຍࡋࡓࡇ࡜࠶ࡾ
⯆࿡ࡀ࠶ࡿ▱ேࡢࡍࡍࡵ
⫋ሙࡢࡍࡍࡵ

ࢳࣛࢩ
᪂⪺
ࡑࡢ௚



− 66 −

4‶㊊ᗘ
࠙ㅮ₇ࠚ












 ࣮࠙࣡ࢡࢩࣙࢵࣉࠚ
኱ኚ‶㊊

኱ኚ‶㊊


‶㊊

‶㊊
࡝ࡕࡽ࡜ࡶゝ
࠼࡞࠸࡝ࡕࡽ࡜ࡶゝ
࠼࡞࠸




୙‶

୙‶

኱ኚ୙‶

኱ኚ୙‶

ᮍグධ

ᮍグධ


4⌮ゎᗘ
࠙ㅮ₇ࠚ











 ࣮࠙࣡ࢡࢩࣙࢵࣉࠚ

኱ኚ⌮ゎ࡛ࡁࡓ኱ኚ⌮ゎ࡛ࡁ
ࡓ



⌮ゎ࡛ࡁࡓ




࡝ࡕࡽ࡜ࡶゝ
࠼࡞࠸⌮ゎ࡛ࡁࡓ࡝ࡕࡽ࡜ࡶゝ
࠼࡞࠸࠶ࡲࡾ⌮ゎ࡛
ࡁ࡞࠿ࡗࡓ࠶ࡲࡾ⌮ゎ࡛
ࡁ࡞࠿ࡗࡓ඲ࡃ⌮ゎ࡛ࡁ
࡞࠿ࡗࡓ඲ࡃ⌮ゎ࡛ࡁ
࡞࠿ࡗࡓ

ᮍグධ

ᮍグධ



4௒ᚋ⪺ࡁࡓ࠸ㅮ₇ෆᐜ㸦⮬⏤グ㏙㸧x௒ᚋࡶከ⫋✀࡛㐃ᦠࡀྲྀࢀࡿࢭ࣑ࢼ࣮ࢆ㛤ദࡋ࡚࡯ࡋ࠸

x⳥㇂ඛ⏕ࡢㅮ⩏xㄆ▱⑕ࡢࡇ࡜ࡶᏛࡧࡓ࠸࡛ࡍ

xಶேಶே࡟࠶ࡗࡓ㐺ษ࡞ཱྀ⭍ࢣ࢔ࡢᡭᢏ

xཱྀ⭍ᶵ⬟ࠊᄟୗᶵ⬟ࡢほᐹ㸪ホ౯ࠋxከ⫋✀࡟ࡼࡿྲྀࡾ⤌ࡳࡢ౛ࠋ௓ㆤ㣗㸦ᄟୗ㣗㸧ࣞࢫࢺࣛࣥ࡞࡝ࡢヰࢆ஦ᴗ୺㸪ᰤ㣴ኈ࡞࡝࠿ࡽ㸧ࠋ௓ㆤ㣗ࡢࣞࢫࢺࣛࣥࢹ࢖㸪Ẹ㛫࡛௓ㆤ㣗ࢆฟࡍࣞࢫࢺࣛࣥࠋ

x

᪋タ࡛ࡢᰤ㣴ኈࡢ❧ሙ࡟ࡘ࠸࡚

x⢭⚄⑌ᝈࢆ᭷ࡍࡿ᪉ࡢཱྀ⭍ࢣ࢔㸪ᄟୗ㞀ᐖࡢᨭ᥼

x⤒ཱྀ⥔ᣢ㸪࣑࣮ࣝࣛ࢘ࣥࢻࡢࢭ࣑ࢼ࣮ࢆ⥅⥆ࡋ࡚࡯ࡋ࠸

− 67 −

xㄆ▱⑕㸪ࡀࢇx㣗஦ࡢほᐹ࣏࢖ࣥࢺ㸪ၥ㢟Ⅼ࡟ᑐࡋ࡚ࡢゎỴ⟇x௒ᅇࡢ௻⏬ࢆ⥅⥆ࡋ࡚࡯ࡋ࠸x᪋タ㸪ࡲࡓࡣᅾᏯ࡛௓ㆤ⫋ࡸ┳ㆤᖌࡀ࡛ࡁࡿ࿪ᄮ㸪ᄟୗࡢホ౯࡟ࡘ࠸࡚ࠋ᪉ἲ࡜ὀព
Ⅼx⫶⒦࠿ࡽ⤒ཱྀᦤྲྀ࡬ࡢࣜࣁࣅࣜ

xࢫࣛ࢖ࢻࡢ⑕౛ࢆከࡃࡳࡓ࠸

xᦤ㣗ᄟୗ࡛ࡢ┳ㆤᖌࡢᙺ๭࡟ࡘ࠸࡚㸦⑓㝔ࡢ୰࡛㸪ᆅᇦࡢ୰࡛㸧xྛࣞ࣋ࣝࡢࢧ࣮ࣅࢫࡢෆᐜࡀࡃࢃࡋࡃࡋࡾࡓ࠸


4せ௓ㆤ⪅ࡢ㣗ᨭ᥼࡛ᅔࡗ࡚࠸ࡿࡇ࡜㸦⮬⏤グ㏙㸧xᐙ᪘ᩍ⫱㸪ࢫࢱࢵࣇ㛫ࡢ⤫୍xཱྀ࡟ࡶࡢࢆධࢀ࡚㸪ࡎࡗ࡜࠿ࡳ⥆ࡅ㣧ࡳ㎸ࡲ࡞࠸ࠋཱྀ࡟㣗࡭≀ࢆධࢀ࡚ࡶࢲࣛࢲࣛὶ
ࡋཱྀ࡚࠿ࡽฟࡋ࡚ࡋࡲࡗ࡚㣗࡭ࡿࡇ࡜ࡀ࡛ࡁ࡞࠸⑕౛x㢕㒊⫈デ࡟ࡘ࠸࡚ࡢࢫ࢟ࣝࡀ㊊ࡾ࡞࠸ࠋ㣗ᨭ᥼ࡣぢࡿ┠ࡀᚲせࡔࡀ㸪ࡲࡔ⮬ศ࡟ࡣ㊊ࡾ࡞࠸࡜ᛮ࠺ࠋ

x

ᑠつᶍከᶵ⬟ᒃᏯ௓ㆤ஦ᴗᡤ࡛┳ㆤᖌ࡜ࡋ࡚௓ㆤࢆ⾜ࡗ࡚࠸ࡿࠋ┳ྲྀࡾࡲ࡛⾜ࡗ࡚࠸ࡿࠋ୍ே୍ே࡟ྜࢃࡏࡓ㣗஦ࢆᥦ౪ࡋ㸪᭱ᮇࡲ࡛㣗࡭ࡿ㸪㣗࡭ࢀࡿࢆᨭ᥼ࡋ࡚࠸ࡿࠋ
ᴗົከᛁࡢ୰㸪ࡑࢀࡒࢀࡢ㣗஦ࢆసࡿࡇ࡜ࡶ኱ኚ࡛ࡍࡀ㸪ࣞࢺࣝࢺ㣗ရࢆ౑࠺ࡢࡣ࡝
࠺࡞ࡢ࠿࡞࡜ᛮ࠺ࡋ㸪ࢥࢫࢺⓗ࡟ࡶ⤒῭ⓗ࡛ࡣ࡞࠸ࠋ᪥ࠎ᱁㜚ࡋ࡚࠸ࡲࡍࠋ

xᐙ᪘㸪㛵ࢃࡾࡢ࠶ࡿࢧ࣮ࣅࢫ஦ᴗ⪅࡞࡝඲ဨ࡟㣗ࡢ᝟ሗࢆඹ᭷ࡍࡿࡇ࡜ࡢ㞴ࡋࡉࢆឤࡌ࡚࠸ࡲࡍࠋ㏻ᡤ㸪ࢩ࣮ࣙࢺࢫࢸ࢖࡞࡝␗࡞ࡿ஦ᴗᡤࡀ㛵ࢃࡿሙྜ㸪࡝࠺ࡋ࡚ࡶࣂࣛ
ࢶ࢟ࡀฟ࡚ࡋࡲ࠸㸪⤫୍ࡋࡓ㣗ᨭ᥼ࡀ࡛ࡁ࡞࠸ࡇ࡜ࡀከ࠸࡛ࡍࠋ⑓㝔࠿ࡽࡢ⏦㏦ࡾࡶ
୙༑ศࡔࡗࡓࡾ㸪ᐙࡢ஦᝟࡟࠶ࡗ࡚࠸࡞࠿ࡗࡓࡾࡍࡿࡇ࡜ࡶ࠶ࡾࡲࡍࠋ

x㐍⾜ᛶࡢ⚄⤒㞴⑓࡛㸪⑓ែㄆ㆑ࡀ࡛ࡁ࡚࠸࡞࠸ᝈ⪅ࡸᐙ᪘࡬ࡢᨭ᥼࡛௚ࡢ⫋✀࡜ᐦ࡞㐃ᦠࡀྲྀࢀ࡞࠸ࡲࡲ⤒㐣ࡋ࡚ࡋࡲ࠺ࢣ࣮ࢫ࡞࡝㸪ᑐᛂ࡟ⱞ៖ࡍࡿࠋ

x೫㣗⪅࡬ࡢᑐᛂ

x࣮࣌ࢫࢺ㣗ࡸ࢟ࢨ࣑㣗ࡣぢࡓ┠ࡶᝏࡃ㸪᎘ࡀࡗ࡚㣗࡭࡞࠸ࡀ㸪ᙧែࢆ࠶ࡆࡿ࡜ㄗᄟࣜ
ࢫࢡࡀ࠶ࡾ㸪௓ㆤ⪅࡜ᝈ⪅࡜ࡢ㛫ࡢⴠ࡜ࡋᡤࡀࢃ࠿ࡽ࡞࠸ࠋᴟ➃࡞೫㣗࡟࡝ࡢࡼ࠺࡟
ྥࡁྜࡗ࡚࠸ࡃࡢ࠿ࠋ

xᐇ㝿࡟ᰤ㣴ኈ࡜ヰࢆࡍࡿᶵ఍ࡀ࠶ࡲࡾ࡞࠸ࡇ࡜ࡀ࠶ࡾࡲࡍࠋ

xṑ⛉㐃ᦠ㸪ㄆ▱⑕ࡢ⑕౛

xㄆ▱⑕ࡢ᪉࡟ᑐࡋ࡚ࡢᑐᛂࠋ㣗஦ᣄྰ㸪࡝ࡢࡼ࠺࡞㣗஦ᙧែࡢᥦ౪ࡀࡼ࠸ࡢ࠿

xᆅᇦ࡛ከ⫋✀ࡀ㐃ᦠ࡛ࡁࡿሙࡀ࡞࠸ࡢ࡛㸪ࡑࢀࢆᶍ⣴ࡋ࡚࠸ࡿ࡜ࡇࢁ࡛ࡍࠋ

xㄆ▱⑕ࡸ࠺ࡘ➼㸪࣒ࣛࡢ࠶ࡿ฼⏝⪅࡟ᑐࡋ࡚Ᏻ඲࡛㸪ᮏேࡢ⬟ຊ࡟࠶ࡗࡓ㣗ࡢᥦ౪ࡀ㞴ࡋ࠸ࠋ୍ཱྀࡀ㐺㔞࡛࡞࠸࡜ࢃ࠿ࡗ࡚࠸࡚ࡶ㸪୰࡟㣗஦௓ຓࡢ᫬㛫ࡀ࡞ࡃ㸪ࡘ࠸ࡘ࠸− 68 −

ከࡵ࡟ཱྀ⭍ෆ࡟㐠ࢇ࡛ࡋࡲࡗ࡚࠸ࡲࡍࠋx⤒ཱྀ㸪⫶⒦㸪࡝ࡕࡽࡀ㐺ࡋ࡚࠸ࡿࡢ࠿ุ᩿࡛ࡁ࡞࠸ࠋ᪋タ㸦≉㣴㸧࡛ࡣᖖ໅་ᖌࡀ࠸
࡞࠸ࠋᐇ≧࡛ᦤ㣗᫬࡟ࡳ࡚ࡶࡽ࠺ࡇ࡜ࡣ㞴ࡋ࠸ࠋゝㄒ⫈ぬኈࡶ࠸࡞࠸㸪ṇ┳ࡶ࠸࡞࠸ࠋ
௓ㆤ⫋ࡣ୙Ᏻᐃ࡛࠶ࡾ㸪㣗஦௓ຓࡢᏳᐃᛶࡣ㞴ࡋ࠸ࠋᮏேࡢពᛮ㸪ᐙ᪘࡜ࡢពᛮ☜ㄆࡀ㸪㧗㱋໬ࡸ▱㆑࣭ពḧࡢపࡉ࡞࡝࠿ࡽ㞴ࡋ࠸ࠋxᅾᏯ࡛࣑࣮ࣝࣛ࢘ࣥࢻࢆ⾜࠺ࡇ࡜ࡀ㞴ࡋࡃ㸪ࢣ࢔࣐ࢿࡉࢇࡢ 67 ࡟ᦤ㣗ᄟୗࡢࡇ࡜ࡣ୸
ᢞࡆࡋ࡚࠸ࡿࡇ࡜ࡀከ࠸ࡓࡵ㸪ࢫ࣒࣮ࢬ࡟㐃ᦠࡋ࡚࠸ࡃࡇ࡜ࡀ㞴ࡋ࠸࡛ࡍࠋ

xཱྀ⭍ෆ⎔ቃ࠾ࡼࡧ㣗஦ࡢ௙᪉࡜඲㌟⟶⌮࡟ࡘ࠸࡚㸪ࡲࡓ㣗஦ࡸ⏕ά⩦័ࡀṚ࡜┤⤖ࡋࡓࢣ࣮ࢫ࡛ࡢᮏேࡸᐙ᪘࡬ࡢㄝ᫂ࠋ

xᢸᙜࡢ᪉ࡀ⫶⒦ࢆ㐀タࡋࡲࡋࡓࠋ⑓㝔ཱྀ࡛ࡶື࠿࡞࠸㸪ㄆ▱⑕ࡔ࠿ࡽ࡜⫶⒦ࢆࡋࡓ࡜
ゝࢃࢀࡓࡢ࡛ࡍࡀ㸪ᚲせࡔࡗࡓࡢ࠿ᅔᝨࡋ࡚࠸ࡿࠋxゼၥṑ⛉࡛ᅾᏯ㸪᪋タ࡟ఛ࠺ࡢ࡛ࡍࡀ㸪⫢ᚰ࡞㣗஦ࢆࡋ࡚࠸ࡿ᫬㛫ࢆ㑊ࡅ࡚ࡢゼၥࡀᖖ᫬࡛ࡍࠋࡇࡕࡽࡢఇࡳ᫬㛫ࡔࡗࡓࡾ࡞࠿࡞࠿㞴ࡋ࠸⌧≧࡛ࡍࠋ୍ே࡟࠿࠿ࢀࡿ᫬㛫ࡶ㝈ࡽࢀ࡚࠸ཱྀ࡚⭍ࢣ࢔࡟ຊࢆධࢀࢀࡤ㸪ࣜࣁࡀࡏ࠸࠸ࡗࡥ࠸࡟࡞ࡾࡲࡍࠋ

x࣑࣮ࣝࣛ࢘ࣥࢻࡀ࡛ࡁࢀࡤ࠸࠸ࡀ㸪⌧ሙ࡛ࡣ࡞࠿࡞࠿࡛ࡁ࡞࠸ࠋ

x⿵ຓ㣗ရࢆ㉎ධࡍࡿᗑࡀᑡ࡞࠸

x

ᄟୗホ౯ࡀ࡛ࡁ࡚࠸࡞࠸

xᐙ᪘ࡢ⌮ゎ࡜ࢽ࣮ࢬ㸪᪋タᑐᛂࡢฟ᮶ࡿᇶ‽ࢆ㋃ࡲ࠼ࡓ㏥㝔ᨭ᥼ࠋ㣗࡭ࡽࢀ࡞࠸㸦㣗ᛮపୗ㸪⬺Ỉ㸪ㄗᄟᛶ⫵⅖㸧࡛ධ㝔ࡉࢀࡿ᪉ࡀከࡃ㸪࠿ࡘࣜࢱ࣮ࣥ⪅ࡶከ࠸ࠋ᝟ሗࢆ
୚࠼ࡿດຊࢆࡋ࡚࠸࡚ࡶ㞴῰ࡍࡿ᪉ࡶᗘࠎ࠾ࡽࢀࡿࠋ┳ྲྀࡾ 2. ࡞᪋タ࡛ࡶ㸪ࡍࡄ⑓㝔࡬ᡠࡿ᪉ࡶ࠸ࡓࡾ㸪ࡲࡔࡲࡔ඲య࡛᪉㔪ࡀ⌮ゎࡋࡁࢀ࡚࠸࡞࠸༳㇟ࡢ࠶ࡿ᪉ࡶ࠸ࡿࠋ
་ᖌ࡜ᐙ᪘௨እ㸪ᐇ㝿࡟ಀࡿ᪋タࡢ᪉࡜ࡶ㸪ࡶࡗ࡜᝟ሗඹ᭷ࡸ᪉㔪ࢆ⤫୍ࡋ࡚࠸ࡁࡓ
࠸ࡀ㸪㏥㝔๓࢝ࣥࣇ࢓ࣞࣥࢫࡀ୙༑ศࡔࡗࡓࡾ㸪᪋タ࡟ཷࡅධࢀࡀᝏ࠸ࡇ࡜ࡀࡶ࡝࠿
ࡋ࠸࡛ࡍࠋ㝔ෆ࡛ࡶඹ᭷ࡸ⌮ゎࡀ୙༑ศ࡞ࡇ࡜ࡶ࠶ࡿࠋ

x㣗஦ࢆసࡿேࡸ௦᭰᪉ἲ࡟ไ㝈ࡀ࠶ࡿࠋᅾᏯ࡬ࡢᰤ㣴ኈゼၥࡀ㞴ࡋ࠸ࠋ࡞࠿࡞࠿௚⫋✀࡜ࡢ㐃ᦠࡀ࡜ࢀ࡞࠿ࡗࡓࡾ㸪㣗࡟ࡘ࠸࡚๓ྥࡁ࡛࡞࠸௓ㆤ⫋ࡶከ࠸Ẽࡀࡋࡲࡍ

㸺ࡑࡢ௚㸼
x⩏ṑࡀ౑࠼࡞ࡃ࡞ࡿࣞ࣋ࣝ࡟ࡘ࠸࡚ཧ⪃࡟࡞ࡾࡲࡋࡓࠋ᭷ṑ㢡ࡢ᪉ࡢࢣ࢔ࡀ௒ᚋቑ࠼
ࡿၥ㢟࡟ࡘ࠸࡚ඹឤ࡛ࡁࡲࡋࡓࠋṑ⛉་ᖌ࡜ࡋ࡚ࡸࡾࡀ࠸ࡶ࠶ࡿ㠃ࠊᅔ㞴࡞Ⅼࢆ㐃ᦠࡍࡿࡇ࡜࡛ඞ᭹࡛ࡁࢀࡤ࡜ᛮ࠸ࡲࡋࡓࠋ

x

᪋タ࡟࡚࣑࣮ࣝࣛ࢘ࣥࢻ࡟ᑡࡋࡔࡅ㛵ࢃࡗ࡚࠸ࡲࡍࠋ㧗㱋⪅ࡢ᪉ࡢཱྀࡢືࡁ㸦㣗஦᫬㸧ࡀࡑࡢ᪉࡟ࡼࡾ㐪࠸ࡲࡍࠋ㣗࡭ࡽࢀ࡚࠸ࡿཱྀࢆほࡿࡢ࡟ⱞປࡋ࡚࠸ࡲࡍࠋ
ࠕ㣗࡭࡚࠸ࡿ
ཱྀࠖ࡟ࡘ࠸࡚▱㆑ࢆᚓࡓ࠸࡜ᛮࡗ࡚࠸ࡲࡍࠋ

x᪥㡭࠿ࡽఏ࠼ࡓ࠸ࡇ࡜ࢆࢃ࠿ࡾࡸࡍࡃఏ࠼࡚ࡃࡔࡉࡾᮏᙜ࡟࠶ࡾࡀ࡜࠺ࡈࡊ࠸ࡲࡍࠋ
ࡲࡓ࡜࡚ࡶຮᙉ࡟࡞ࡾࡲࡋࡓࠋ

− 69 −

x㛤ጞ᫬㛫ࡀ᪩ࡃ࡞ࡗ࡚ࡶࡼ࠸ࡢ࡛㸪ྛඛ⏕᪉ࡢ࠾ヰࡀࡺࡗࡃࡾ㸪ࡋࡗ࠿ࡾࡁࡅࡿ࡜Ⰻ
࠸࡞࡜ᛮ࠸ࡲࡍ

x࡜࡚ࡶຮᙉ࡟࡞ࡾࡲࡋࡓࠋ㣗ᨭ᥼ࡢ㔜せᛶࡶ⌮ゎ࡛ࡁࡲࡋࡓࠋࣉࣛࢫཱྀ⭍ࢣ࢔ࡢ㔜せᛶࡶ෌ㄆ㆑࡛ࡁࡲࡋࡓࠋᬑẁ⾜ࡗ࡚࠸ࡿゼၥཱྀ⭍ࢣ࢔ࡀᚤຊ࡞ࡀࡽ㸪ᝈ⪅ࡉࢇࡢ೺ᗣ
࡟ࡘ࡞ࡀࡗ࡚࠸ࡿ࡜ឤࡌࡽࢀ㸪ᑡࡋᏳᚰࡋࡲࡋࡓࠋບࡳ࡟࡞ࡿ㈗㔜࡞᫬㛫࡛ࡋࡓࠋ

x

ゼၥデ⒪࡟㛵ࢃࡿࡇ࡜ࡣከ࠸ࡢ࡛ࡍࡀ㸪㣗࡟㛵ࡋ࡚῝ࡃࡣ⪃࠼࡚࠸࡞࠿ࡗࡓࡢ࡛㸪ࡍࡈࡃ࠸࠸่⃭ࢆཷࡅࡲࡋࡓࠋ㈗㔜࡞ᶵ఍ࢆ࠸ࡓࡔࡁ࠶ࡾࡀ࡜࠺ࡈࡊ࠸ࡲࡋࡓࠋ

x࡝ࡢඛ⏕᪉ࡢㅮ₇ࡶ኱ኚࡍࡤࡽࡋࡃ࡜࡚ࡶຮᙉ࡟࡞ࡿࡶࡢ࡛ࡋࡓࠋ≉࡟⳥㇂ඛ⏕ࡢㅮ₇ࡣࠕ┠࠿ࡽ࢘ࣟࢥࠖࡶࡢ࡛ࡋࡓࠋ㐀ᙳ᳨ᰝࢆᶓ࠿ࡽぢ࡚ၥ㢟࡞ࡃ࡚ࡶ㸪ṇ㠃࠿ࡽぢࡿ࡜࿪ᄮࡋ࡚࠸࡞࠸࡜࠿㸪࠶ࡲࡾぢࡓࡇ࡜࡞࠸ࡢ࡞࠸ࡶࡢࡔࡗࡓࡢ࡛ࠋ᫬ᒸඛ⏕ࡢㅮ
₇ࡶᅾᏯ࡛࠸࠿࡟ᮏேࡢ⬟ຊ࡟࠶ࡗࡓࡶࡢࢆ㣗࡭࡚࠸ࡓࡔࡃ࠿࡜࡚ࡶຮᙉ࡟࡞ࡾࡲࡋ
ࡓࠋxṑ⛉⾨⏕ኈ࡜ࡋ࡚ᝈ⪅ࠊᐙ᪘ࡢಙ㢗㛵ಀࢆ⠏ࡃࡇ࡜ࡀ኱ษ࡛࠶ࡿࡇ࡜ࠊ௚⫋✀㐃ᦠࡢ㔜せᛶࢆឤࡌ࡞ࡀࡽࠊ⫈ㅮ࡛ࡁࡲࡋࡓࠋ᫂᪥࠿ࡽࡢ⑓㝔ṑ⛉ࡢᴗົ࡟ᙺ❧ࡘෆᐜ࡛ࡋ
ࡓࠋࡲࡍࡲࡍࡸࡿẼࡀฟࡲࡍࠊ࠶ࡾࡀ࡜࠺ࡈࡊ࠸ࡲࡋࡓࠋ

x㓄ᕸ㈨ᩱࡢ༳ๅࡀⷧࡃࡳ࠼࡙ࡽ࠸ࡢࡀṧᛕ࡛ࡋࡓࠋ

x஦౛ࡀࡓࡃࡉࢇ࠶ࡿ࡜ཧ⪃࡟ࡋࡸࡍ࠸

x࡜࡚ࡶࢃ࠿ࡾࡸࡍ࠸ࢭ࣑ࢼ࣮࡛ࡋࡓࠊ࠶ࡾࡀ࡜࠺ࡈࡊ࠸ࡲࡋࡓ

x

ᬑ㏻ࡢ㣗஦ࢆ࣑࢟ࢧ࣮࡟࠿ࡅࡿࡇ࡜ࡤ࠿ࡾᛮࡗ࡚࠸ࡲࡋࡓࡀ㸪ࡑࡢᙧែ࡛࠾࠸ࡋ࠸ࡶࡢ࡜࠸࠺Ⓨ᝿ࡀࡍࡤࡽࡋ࠸࡛ࡍࡡࠋཧ⪃࡟ࡋࡲࡍࠋ

x୙㢧ᛶㄗᄟ࡛⤯㣗ࡢ᪉ࡀࠕࡈ㣤ࡀ㣗࡭ࡓ࠸ࠊỈࡀ㣧ࡳࡓ࠸ࠖ࡜ゝࢃࢀࡓ᫬㸪67 ࡜ࡋ࡚୺἞་ࡸࢣ࢔࣐ࢿࢆ࡝ࡢࡼ࠺࡟୍⥴࡟ᕳࡁ㎸ࢇ࡛࠸ࡅࡤⰋ࠸ࡢ࠿ᝎࡳࡲࡋࡓࠋᦤ㣗ᄟୗ࡟ࡘ࠸࡚ᅾᏯ࡛ 67 ୍ே࡛࠿࠿࠼ࡇࡴࡢ࡛ࡣ࡞ࡃࠊ௚⫋✀࡛⪃࠼ࡿయไࢆᩚ࠼࡚࠸ࡃ
ࡇ࡜ࡀ኱ษࡔ࡜ᨵࡵ࡚Ẽ࡙࠿ࡉࢀࡲࡋࡓࠋ

x་⛉ṑ⛉ᰤ㣴ኈ࡜ࡢ㐃ᦠ࡟ࡘ࠸࡚࢖࣓࣮ࢪ࡛ࡁࡲࡋࡓࠋᶵ఍ࡀ࠶ࢀࡤ࣑࣮ࣝࣛ࢘ࣥࢻ
࡟ࡶཧຍࡋࡓ࠸࡜ᛮ࠸ࡲࡋࡓࠋ

x⳥㇂ඛ⏕ࡢࡈㅮ₇ࡀࡁࡅ࡚ࡼ࠿ࡗࡓ࡛ࡍࠋ

x⳥㇂ඛ⏕ࡢࡈㅮ₇᫬㛫ࡢタᐃࡀ  ศࡣᑡࡋࡶࡗࡓ࠸࡞࠸࡞࡜ᛮ࠸ࡲࡋࡓࠋ

x⳥㇂ඛ⏕ࡢㅮ₇࡛㸪ᄟୗ㞀ᐖࡢᫎീࡀ኱ኚ⌮ゎࡋࡸࡍࡃ࿪ᄮ㞀ᐖࡶࢃ࠿ࡾࡸࡍ࠿ࡗࡓ
࡛ࡍࠋ௓ㆤ⌧ሙ࡛ࡣ㸪ཱྀࡀື࠸࡚࠸ࢀࡤ࿪ᄮ࡛ࡁ࡚࠸ࡿ࡜ᛮࡗ࡚㸪㣗஦௓ຓࢆ⾜ࡗ࡚࠸ࡓࡢ࡛㸪ࡋࡗ࠿ࡾ≧ែ☜ㄆࢆ⾜࠸࡞ࡀࡽ㸪ㄗᄟᛶ⫵⅖࡟࡞ࡽ࡞࠸ࡼ࠺࡟௓ຓࡋ࡚࠸
ࡁࡓ࠸࡜ᛮ࠸ࡲࡍ

x㸰ᖺ㛫せ௓ㆤ㸳ࡢᐙෆࢆ⮬Ꮿ࡛ 㸣┳࡚࠾ࡾ㸪᭶㸯ᅇ௓ㆤࢱࢡࢩ࣮ࢆ౑ࡗ࡚་㝔࡟
㏻㝔ࡋ࡚⸆ࢆࡶࡽࡗ࡚࠾ࡾ㸪ᮏ᪥ࡢヰࡣ኱࠸࡟ཧ⪃࡟ࡉࡏ࡚࠸ࡓࡔࡁࡲࡍࠋ㣗஦ࡣ⑓㝔࠿ࡽ⤂௓ࡋ࡚ࡶࡽࡗࡓၟရ࡟㸪ẖ㣗ࣜࣥࢦࢆ༙ಶࡍࡾࡘࡪࡋ࡚ࣉࣛࢫࡋ࡚࠸ࡲࡍࠋ
㸦୍⯡ᕷẸ㸧− 70 −

㈨ᩱ10䛴䜀䛥䜽䝸䝙䝑䜽

㣗䜉䜛ᴦ䛧䜏䜢
ᨭ䛘䜛ᅾᏯ་⒪• ᖹᡂ㻞㻝ᖺ㻠᭶㻞㻞᪥䛻಴ᩜᕷ୰ᚰ㒊䛷㛤㝔• 䛂ゼၥデ⒪䛃䛻≉໬䛧䛯䜽䝸䝙䝑䜽• デ⒪⠊ᅖ䠖಴ᩜᕷ䞉⥲♫ᕷ䞉ᒸᒣᕷ䞉᪩ᓥ⏫
• ⌧ᅾ㻔ἲே඲య䛷㻕་ᖌ䠖ᖖ໅㻤ྡ㠀ᖖ໅㻢ྡ┳ㆤᖌ㻝㻣ྡ䚸㻹㻿㼃㻞ྡ஦ົ㻝㻞ྡ䚸䝗䝷䜲䝞䞊㻝㻜ྡᖹᡂ㻞㻥ᖺ㻝㻞᭶㻝㻣᪥ᒸᒣ┴ጤク஦ᴗ せ௓ㆤ㧗㱋⪅䛾పᰤ㣴䜢㜵䛠䛯䜑䛾་ᖌ䞉ṑ⛉་ᖌ䛸⟶⌮ᰤ㣴ᖌ䛻䜘䜛ཱྀ⭍ᰤ㣴㛵㐃䝃䞊䝡䝇䛾᥎㐍බ㛤䝉䝭䝘䞊ᆅᇦ䞉ᅾᏯ㧗㱋⪅䛾䛂㣗䛃䛻ᐤ䜚䛭䛖䛴䜀䛥䜽䝸䝙䝑䜽 ୰ᮧᖾఙ௒᪥䛾䛚䛿䛺䛧

• ᅾᏯ་⒪䚸ゼၥデ⒪䛳䛶䛹䜣䛺䜒䛾䠛• 㧗㱋⪅䛾㌟యⓗ≉ᚩ䛸ᰤ㣴䛻㛵䛩䜛ᐇ㝿䛾ᑐᛂ䛣䛾ᆅᇦ䛷䜔䛳䛶䜛䛾䠛䛹䛣䛻㢗䜐䛾䠛⑓㝔䛛䜙ぢᤞ䛶䜙䜜䛯䈈

ゼၥデ⒪䛸䛿䠛

ᅔ䛳䛯䛸䛝䛻
䛹䛖䛺䜛䛾䠛

ᐷ䛯䛝䜚
≧ែ

ゼၥデ⒪
䠙⏕ά䛸⑓Ẽ䞉㞀䛜䛔䛾ᯫ䛡ᶫᅾᏯ་⒪䛾䜲䝯䞊䝆
ᐙ䛷ఱ䛜
䛷䛝䜛䛾䠛

䛚㔠ᣢ䛱䛜
ཷ䛡䜛䠛

୙Ᏻ

᪋タ䛷ཷ䛡䜛
䜒䛾⑓Ẽ䜔㞀䛜䛔䛜䛒䛳䛶䜒ఫ䜏័䜜䛯ᐙ䛷㐣䛤䛧䛯䛔䛸䛔䛖᪉䛜䚸⮬Ꮿ䜔᪋タ䛻䛔䛺䛜䜙་⒪䜢ཷ䛡䜛䛣䛸䛜ฟ᮶䜛௙⤌䜏䛷䛩䚹እ᮶䛜䛚䛖䛱䛻䜔䛳䛶䛟䜛䜲䝯䞊䝆䚹ᐙ䛷ே䛜ஸ䛟䛺䛳䛶኱୔ኵ䠛䛜䜣

− 71 −



䛂ゼၥデ⒪䛃䛸䛂 デ䛃䛾㐪䛔ᅾᏯ་⒪䛷
ゼၥデ⒪䛜኱ษ䛺䜟䛡• ゼၥデ⒪䛸䛿⬻༞୰䚸ᝏᛶ⭘⒆䚸⚄⤒㞴⑓䚸ຍ㱋䛺䛹䛻క
䛖ᵝ䚻䛺㞀ᐖ䛻䜘䜚㏻㝔䛜ᅔ㞴䛺᪉䛻ᑐ䛧䛶䚸ィ⏬ⓗ䛻ᐃᮇⓗ䛻ゼၥ䛧デ⒪䛩䜛䛣䛸䚹ᐃᮇⓗ䛻ゼၥデ⒪䜢ཷ䛡䜛䛣䛸䛷Ᏻᐃ䛧䛯≧ែ䜢ಖ䛴䛣䛸䛜䛷䛝䜛䚹ゼၥデ⒪䜢ཷ䛡䜛䛣䛸䛷 デ㻔⥭ᛴ஦ែ㻕䛾ᅇᩘ䜢ῶ䜙䛩䛣䛸䛜䛷䛝䜜䜀䚸⮬Ꮿ䛷䛾⏕ά䜢䜘䜚Ⰻ䛔ᙧ䛷㐣䛤䛩䛣䛸䛜䛷䛝䜛䚹•  デ䛸䛿
✺Ⓨⓗ䛺⑓≧䛾ኚ໬䛻ᑐ䛧䛶ᝈᐙ䛾ồ䜑䛻ᛂ䛨䛶⥭ᛴⓗ䛻ᐙ䛻ఛ䛳䛶デ⒪䜢⾜䛖䛣䛸䚹

ゼၥデ⒪

ゼၥデ⒪
• ᑓ㛛እ᮶㏻㝔䜢⾜䛳䛶䜒ᵓ䛔䜎䛫䜣䚹ᅾᏯ་⒪䠙⑓㝔䛸⦕䛜ษ䜜䜛䜟䛡䛷䛿䛺䛟䚸⑓デ㐃ᦠ䜢䛸䜚䛺䛜䜙ゼၥデ⒪䜢⾜䛖౛䜒䛒䜚䜎䛩䚹• ᕼᮃ䛥䜜䜜䜀ᅾᏯ䛷䛾⦆࿴䜿䜰䚸䛚┳ྲྀ䜚䜒ྍ⬟䛷䛩• ㈝⏝䛿㧗㱋⪅㻝๭㈇ᢸ䛾᪉䛷䚸ᚲせ䛺་⒪ฎ⨨䜔ఫ䜎䛔䛾≧ἣ䚸デ⒪㢖ᗘ䛻䜒䜘䜚䜎䛩䛜䚸᭶㻞㻜㻜㻜䡚㻣㻜㻜㻜෇⛬ᗘ䛻䛺䜛䛣䛸䛜ከ䛔䛷䛩䚹యㄪ䛜୙Ᏻᐃ䛷㢖ᅇ䛾デ⒪䛜ᚲせ䛺ሙྜ䛷䜒㻝㻠㻜㻜㻜෇⛬ᗘ䛜ୖ㝈䛻䛺䜚䜎䛩䚹• ᑐ㇟䛸䛺䜛䛾䛿䛂༢⊂䛷እ᮶㏻㝔䛜ᅔ㞴䛺᪉䛃౛䠍䠖⬻᱾ሰᚋ㑇⑕䜔⚄⤒㞴⑓䛷ᐷ䛯䛝䜚≧ែ䛾᪉౛䠎䠖యຊపୗ䛺䛹䜢⌮⏤䛻ᐙ᪘ཷデ䛷⸆䛰䛡䜒䜙䛖᪉౛䠏䠖ㄆ▱⑕䛾䛯䜑䚸ᮏே䛜㏻㝔䜢ᣄྰ䛧䛶䛔䜛᪉౛䠐䠖䛜䜣➼䛷⛣ື䛜䛴䜙䛟䛺䛳䛶䛝䛯᪉䛺䛹⮬Ꮿ᪋タ䛷ྍ⬟䛺἞⒪㻞㻠᫬㛫䛾デ⒪యไ• ᛴᛶ⑌ᝈ䛾ึᮇᑐᛂ䠄Ⅼ⁲䜔ὀᑕ䠅• ៏ᛶ⑌ᝈ䠄ㄆ▱⑕䚸⬻᱾ሰᚋ㑇⑕䚸⚄⤒㞴⑓䚸⢾ᒀ⑓䛺䛹䠅䛾⟶⌮• ⤊ᮎᮇ䛾⦆࿴἞⒪• ᅾᏯ㓟⣲⒪ἲ䜔ேᕤ࿧྾ჾ⟶⌮• ᅾᏯ㧗䜹䝻䝸䞊㍺ᾮ• 㯞⸆䜢౑⏝䛧䛯⑊③䝁䞁䝖䝻䞊䝹• ⫶⒦䚸⤒㰯⫶⟶䚸䝞䝹䞁䛾⟶⌮䚸஺᥮䈜ᚲせ䛻ᛂ䛨䛶⮬Ꮿᚅᶵ䛾ᙜ␒་ᖌ䛜 デ䐟⥭ᛴ㐃⤡⮬Ꮿᚅᶵ䛾ᙜ␒䝘䞊䝇

䐠
ᝈ⪅䛥䜣

䐢ฟື

䛔䛴䛷䜒Ᏻᚰ
୺἞་− 72 −



㣗䛻㛵䛧䛶ᅾᏯ་⒪䛷⪃䛘䜛䛣䛸ᰤ㣴䞉㣗஦䛻䛴䛔䛶⪃䛘䜛ሙ㠃䊼㣗䜉䜙䜜䛺䛔䞉㣗䜉䛯䛟䛺䛔䊼୍᫬ⓗ䛺యㄪኚ໬䠛ᄟୗ䛷䛝䛺䛟䛺䜛⑓≧䠛⤊ᮎᮇ䠛• 㣗䛻ᑐ䛩䜛ḧồ䛿䠛• ⩏ṑ䛜ྜ䜟䛺䛔䛾䛷䛿䠛• ཱྀ⭍ෆ䛜୙₩䊻ㄗᄟ䛾䝸䝇䜽• ᄟୗ䛿䠛䝸䝝䛿ྍ⬟䠛• 㣗஦ᙧែ䛿䠛• ᰤ㣴≧ែ䛿䠛• ⤒⟶ᰤ㣴䜔㟼⬦ᰤ㣴䛾㐺ᛂ䜔ᕼᮃ䛿䠛• ⸆䛾๪స⏝䛺䛹䛿䠛㻨㐃ᦠ䛜ᚲせ䛺᪉䚻㻪• 䜿䜰䝬䝛䞊䝆䝱䞊• 䝦䝹䝟䞊• ௓ㆤ⚟♴ኈ• ゼၥ┳ㆤᖌ
• ᰤ㣴ᖌ
• ⸆๣ᖌ
• ⒪ἲኈ
• ṑ⛉⾨⏕ኈ• ṑ⛉་• ་ᖌ• ᐙ᪘ 䛺䛹䛺䛹㧗㱋⪅䛾㌟యⓗ≉ᚩㄆ▱ᶵ⬟䛾పୗ

௦ㅰෆศἪ䛾పୗどຊ䚸⫈ຊ䛾పୗ䛹䛾䜘䛖䛻⪃䛘䚸䜏䜣䛺䛷ᨭ䛘䛶䛔䛟䛛ච␿ຊ䛾పୗ
࿧྾ᶵ⬟䛾పୗ
ᚰᶵ⬟䛾పୗ➽ຊ䛾పୗෆ⮚ᶵ⬟䛾పୗ
ᖹ⾮ឤぬ䛾పୗ

Ṛ䛻⮳䜛䜎䛷䛾⤒㐣㦵ᐦᗘ䛾పୗ

䜻䝳䜰䊻䜿䜰䜈䛾⛣⾜• 䜻䝳䜰䛆㼏㼡㼞㼑䛇䠖἞⒪䚹἞⒵䚹
• 䜿䜰䛆㼏㼍㼞㼑䛇䠖ୡヰ䞉௓ㆤ䞉┳ㆤ䛺䛹䠈་⒪ⓗ䞉ᚰ⌮ⓗ᥼ຓ䜢ྵ䜐䝃䞊䝡䝇䚹− 73 −



䜻䝳䜰䊻䜿䜰䜈䛾⛣⾜䜻䝳䜰䜿䜰䜈䛾⛣⾜䐟 䛂⑓㝔䛸ྠ䛨䜘䛖䛺἞⒪䛜䛷䛝䜛䜘䛖㡹ᙇ䜚䜎䛧䜗䛖䛃䐠 䛂ᮏே䛥䜣䜙䛧䛟⏕ά䛧䛶䜒䜙䛖䛯䜑䛻䚸⑓㝔䛸䛿㉁䛾㐪䛖䜿䜰䜢⾜䛔䜎䛧䜗䛖䛃ྠ䛨ᅵಥ䛷຾㈇䛧䜘䛖䛸䛩䜜䜀䚸⮬Ꮿ䜔᪋タ䛿⑓㝔䛻䛿຾䛶䜎䛫䜣⑓㝔䛸ྠ䛨䛣䛸䜢䛩䜛䛾䛷䛿䛺䛟䚸⮬Ꮿ䜔᪋タ䛷⏕ά䛩䜛Ⰻ䛔Ⅼ䜢ఙ䜀䛧䛶䛔䛟䛾䛜䚸䛂⑓㝔䛻䛔䜛䜘䜚Ⰻ䛛䛳䛯䛃䛻䛴䛺䛜䜚䜎䛩䚹䐟䛸䐠䛹䛳䛱䛜Ⰻ䛔䛷䛩䛛䠛

㣗஦䛾䜿䜰

㣗஦䛾䜿䜰

• ⑓Ẽ䛾㐍⾜䚸యຊ䛾పୗ䚸἞⒪䛾๪స⏝䜔③䜏䚸࿡ぬ䛾ኚ໬䛾䛯䜑䛻㣗஦㔞䛜ῶ䛳䛶䛟䜛䛣䛸䛜䛒䜛䚹⤒⟶ᰤ㣴䜢ᕼᮃ䛧䛺䛔䠙⮬↛䛻䈈䜢ᕼᮃ䛩䜛ሙྜ• 㣗䜉䛯䛔䜒䛾䜢• 㣗䜉䛯䛔᫬䛻• 㣗䜉䜙䜜䜛㔞䛰䛡㣗䜉䜛䛾䛜Ⰻ䛔• 㣗䜉䛺䛡䜜䜀䛔䛡䛺䛔䚸䝞䝷䞁䝇䜘䛟㣗䜉䛺䛔䛸䚸䛯䜣䜁䛟㉁䜢䛸䜙䛺䛔䛸䈈䛸⪃䛘䜛䛒䜎䜚㣗஦䛜ⱞ③䛻䛺䛳䛶䛔䜛ሙྜ䛜䛒䜛䚹• 㣗ḧ䛜ᡠ䛳䛶䛝䛯䜙 ೫㣗䞉㐣㣗䞉ሷศ䛾ྲྀ䜚䛩䛞䛻ὀព• ⤒⟶ᰤ㣴䛾㑅ᢥ䛿䠛䠛㣗஦䛾䜿䜰• ⤊ᮎᮇ䛻䛿ᰤ㣴䜢ྲྀ䜛䛣䛸䜘䜚䜒䛂㣗䜉䛯䛔䛃䛸䛔䛖Ẽᣢ䛱䜢ඃඛ䛧䚸䛤ᮏே䛾Ⴔዲ䛻ྜ䜟䛫䜛䜘䛖䛻䛩䜛䚹䜟䛪䛛䛺㔞䛷䜒䛂䛚䛔䛧䛔䛃䛸ឤ䛨䜛䛣䛸䛜኱ษ䚹㣗䜉䜙䜜䛺䛟䛺䛳䛶䛝䛯䛸䛝ᕼᮃ䛻ྜ䜟䛫䛶
䜸䞊䝎䞊䝯䜲䝗䛾㣗ᨭ᥼䛾ᥦ౪• 㣗䜉䜔䛩䛔䜒䛾䛭䛖䜑䜣䚸䝷䞊䝯䞁䛺䛹䛾䛹㉺䛧䛾Ⰻ䛔䜒䛾䜰䜲䝇䜔䝊䝸䞊䚸䝣䝹䞊䝒䛺䛹ཱྀᙜ䛯䜚䛜Ⰻ䛔䜒䛾䜹䝺䞊䜔䛚ዲ䜏↝䛝䛺䛹࿡䛾䛿䛳䛝䜚䛧䛯䜒䛾䝏䝵䝁䚸䝃䜲䝎䞊䛺䛹ⱝ䛔䛣䜝ዲ䛝䛰䛳䛯䜒䛾䛺䛹− 74 −



⮬Ꮿ䛷⑓Ẽ䛸ඹ䛻ᬽ䜙䛩ゼၥᰤ㣴ᣦᑟጞ䜑䜎䛧䛯• 䛣䛾䝉䝭䝘䞊䛻ཧຍ䛥䛫䛶䛔䛯䛰䛟䜘䛖䛻䛺䛳䛶㻟ᖺ䚸་⛉ṑ⛉㐃ᦠ䚸ᰤ㣴䛾㔜せᛶ䜢䜂䛧䜂䛧䛸ឤ䛨䜛䜘䛖䛻䛺䜚• 㻞㻜㻝㻣ᖺ㻣᭶䛻⟶⌮ᰤ㣴ኈ䛜ධ⫋䚹ゼၥᰤ㣴ᣦᑟ䜢ጞ䜑䜎䛧䛯䚹• 䜎䛰ጞ䜑䛯䜀䛛䜚䛷䛩䛜䚸௒䜎䛷ぢ䛘䛺䛛䛳䛯䜒䛾䛜ぢ䛘䜛䜘䛖䛻䈈䜒䛳䛸䛂㣗䛃䛻ᐤ䜚䛭䛖䛯䜑䛻ᅾᏯ䛾⌧ሙ䛷䛿䚸䛥䜎䛦䜎䛺㑅ᢥ䛜⪃䛘䜙䜜䜛

ᰤ㣴䝏䞊䝮䛾ᚲせᛶ䟿• ⟶⌮ᰤ㣴ኈ• ゝㄒ⫈ぬኈ• ṑ⛉⾨⏕ኈ 䈈㼑㼠㼏• ᅾᏯ་䜒ṑ⛉䛾ඛ⏕䜒ᕳ䛝㎸䜣䛷䟿䛂ᐙ䛷㐣䛤䛧䛯䛔䟿䛃䜢ᨭ䛘䛯䛔䊼䛹䜜䜒ṇゎ䟿

ᆅᇦ䛷ᨭ䛘䜛䡚་⒪䞉௓ㆤ㐃ᦠ䡚デ⒪ᡤ

⸆๣ᖌ䞉ᰤ㣴ኈ

ṑ⛉་
ṑ⛉⾨⏕ኈ

⑓㝔

− 75 −



㈨ᩱ11

2017/8/31

৉ୠ‫؞‬૔୧ৈೡ঻भَ୫ُपఞॉजअ
ਸ਼৚ਁ৫७঑ॼ‫ش‬௰ਖ9(௬੼पउऐॊୖ਻ ऒभী৙भ૶ਛশपয౫୘ਛऋ୯ःणऊऩऎऩढथःॊ‫؛‬ ၭ୫ᚢৣ௬੼भൂ౅॑ਭऐथु‫ؚ‬ၭ୫ᚢৣ௽૩ऋႀ૔৲खञ
૾ଙदम‫ؚ‬৸ମ૾ଙु଩ৣखथःॊऒधऋ੗ऎ‫ؚ‬दऌॊऒध
ऋ଒ैोथखऽअ‫؛‬ਈ਋ऽद৉ୠद୫सॊञीभ୫੍ର

 



 ੥ટ৓प‫ؚ‬୫୭୆੐଑ ௅િ৻೥‫ిؚ‬જऩஂஃ১‫ॺؚ‬ট঑भ৹ତऩन ऋরੱधऩॊभऋਠ૾‫؛‬঩মຓఐপ৾ဟര୰੹
ઠᒷজঁঅজॸ‫ش‬३ঙথఐৈଶཛྷྊ੎২ऩၭ୫ᚢৣ௽૩पऩॊ৐भ
ଫ਋भਞतऌऋ੎ਏ


ᴾᴾ᫢࢟७ửൿỜỦểẨᴾਈ਋ऽद௫खऎ୫सॊ॑
੍इॊञीप૑ਏऩऒध
ిજऩ௬੼
‫؞‬୫सैोॊઠऩभऊ‫ء‬ਰ৐भ઱ਝभ
஄ଙ॑૞અप
खॆअऊऩ‫؛؛‬‫؞‬न॒ऩुभऋ୫सैोॊभऊ‫ء‬ຓऋऩःऊै
ଞ୫म૮৶ऊऩ‫؛؛‬ిજऩৌૢ১
‫؞‬୭୆॑ഭा਄ॊৡ
੗૙ரधभ৴௚
‫؞‬ঢ়બ૙ரप௮ऌऊऐॊચৡ

৉ୠ૔કৈೡ঻भ㻌ၭ୫ᚢৣ௽૩पঢ়घॊৰଙ৹ਪ㻌৐୍୴ඉ౜‫ع‬ઠᒷपाैोॊਉ઩ખೝ‫ع‬ਃચध୫஄ଙभᕇ௞पणःथ㻌
୍⮴䛧䛶
䛔䜛㻌
㻢㻡㻑㻌

୍⮴䛧䛶
䛔䛺䛔㻌
㻟㻡㻑㻌

ᶵ⬟䜘䜚㻌
ᶵ⬟䜘䜚㻌 ప䛔ᙧែ
㻝㻣㻑㻌
㧗䛔ᙧែ㻌
㻝㻤㻑㻌

૔୧௜ുၭ୫ᚢৣ௽૩೩঻
1 
઱ਝো೜ၭ୫ᚢৣ௽૩೩঻
1 
୍⮴䛧
䛶䛔䜛㻌
㻟㻞㻑㻌

୍⮴䛧䛶
䛔䛺䛔㻌
㻢㻤㻑㻌

ᶵ⬟䜘䜚㻌
㧗䛔ᙧែ㻌
㻟㻤㻑㻌

ઠ቉ैखખೝ

ᙔખೝ ྖਔઈ৿दमऩऎ‫ؚ‬ඵౕपৌघॊખೝ
ऋরੱदँॊ‫؛‬ ಕ஄੟॑ᙋᚧघॊऒधम൑୔दँॊ‫؛‬ ෙढञ୫஄ଙ॑઀୹औोृघः‫ ؛‬

ᶵ⬟䜘䜚㻌
ప䛔ᙧែ㻌
㻟㻜㻑㻌

ลᙬખೝ

঩মୢ௜ଢ଼஢৫৅ਃଡ শํఐ৾ଢ଼஢৫৅হ঵ ঩মຓఐপ৾

1− 76 −

2017/8/31

౼भ௽૩पधुऩढथ
ਉ઩ખೝऋੰଣऔोॊ
ਸ਼੸ઃরᆏ

ਸ਼঳ઃরᆏ

ਉ઩ખೝभગলਠऋੳीैोञै‫؛؛؛‬৐୍୴प௽૩ऋँॊ

প౼ຜସ
௽૩

౼ୌ৖
ଶ
భᇈ

ྖਔઈ৿ऋदऌऩऎऩढथःॊ‫ق‬ঽীभਔઓदઠ॑৿
ऊघभदमऩऎ‫ؚ‬ඵౕपৌघॊખೝपऩढथःॊ‫ك‬ੰଣঌ‫ش‬५ॺ୫ृั৬॑ลअ‫ق‬ลᙬ‫ك‬ऒधृධा੢िऒध
‫ق‬ᚢৣ‫ك‬मदऌॊऋ‫ؚ‬૑ङखु਍৸द஍૨ଐऎ‫ؚ‬୫হ॑௡ॎढथःॊधमःइऩः

ਉ઩ખೝभ৅ਠ
ᙋᚧ௽૩ಕ஄୫॑ᙋᚧघॊऒधमदऌऩः‫ق‬፸॒दःॊेअप
ৄइञै‫ؚ‬जोमᙔખೝऊु‫كآ‬୦॑ৄथ௬੼घॊऊ
ၭ୫ᚢৣਃચ௬੼भॖও‫ش‬४୦॑नभेअप୫सथःॊऊ ਃચ॑௬੼घॊ ઠᒷ;ᙋᚧͿभ௬੼

୫ষ৿

ઠᒷ
‫ق‬ᙋᚧ‫ك‬ድ୍‫ق‬ᚢৣ‫ك‬୭୆ ድ୍;ᚢৣͿभ௬੼ ୫स্‫؞‬୭୆॑௬੼घॊ ୫स্;୫ষ৿Ϳभ௬੼ ௅િ‫ஂ؞‬ஃ্১;୫୭୆Ϳभ௬੼ ళลधᚢৣम৊ৎपदऌऩः

᫢ᢊểൢሥỉˮፗ᧙̞ᴾళล॑ःढञ॒ૃीथᚢৣ
࿀ᒷ
ઠᒷ
ድ୍
୫੊
ਞଵ

።୍
ཡष ၌ष

2
− 77 −

2017/8/31

ᚢৣ৔ଳྰਫ਼ਪदभድ୍઺൸

ၭ୫ᚢৣ௽૩भৌૢ১๤૾ีᐄෙᚢ ཡ༇दमऩःෙᚢ ర୫दमऩः
ःऊप਍৸प৽ઠၭ਄॑ಲਢघॊऊऋ੎ਏ
दँॊ‫؛‬୫஄ଙ‫ؚ‬धौा‫ؚ‬௅િ‫ஂؚ‬ஃ্১‫ؚ‬୫হ୭୆भ੝ఒ॑ষः‫ؚ‬ෙᚢखथःञधखथु‫ؚ‬जभᄄ২॑૘ऩऎघॊेअप౑ीॊ‫؛‬



ਞଵ৔

ଢఝ

።୍ሼ

ᚢৣभ৻೥১
৻೥১ᚢৣभਔ௙৲

⅑৖৚ᄑ
ઐ൩ᚢৣ

୫ષ৹ତ

৯৓
૮ਔ௙पষॎोॊᚢৣَ॑ਔ௙৲ُघॊऒध
दᚢৣઈ৿॑નৰपख‫ؚ‬ෙᚢृድ୍ଋ೏॑੖
ैघ୫჋॑ድ୍भశ৚ᄑડषා଑ख‫ؚ‬ෙᚢभଆૃ
ृድ୍ଋ೏भೄ੖॑௕ॊ
౮ऩॊਙ૾भ୫჋‫ق‬८জ‫ش‬ऩन‫॑ك‬ઐ൩पᚢৣघॊऒधदଋ೏੟॑௾ுघॊ

৯৓୫ષभ੟ਙ‫؞‬஄ଙ॑৹ତघॊऒधपेॉ‫ؚ‬୫჋஄ਛभ௽૩॑৻೥खञॉ‫ؚ‬ઠᒷउेलድ୍षभଋ೏ृᄚඅ‫؞‬ෙᚢ॑ଆःटॉ
घॊᚢৣखृघः୫੟भ્ඉ‫؟‬ ໞैऊऎਙ૾ऋ಑঳ ઠᒷृድ୍॑ৢૌघॊৎ૗஄खृघः ᅼૐਙऋଐः‫ق‬ઠᒷ৔दऽधऽॉृघः‫ك‬ હାਙऋ૘ऩः‫ق‬सञणऊऩः‫ك‬঑‫ش‬ঝছक़থॻभ੎ਏਙ
୻इय‫ؚ‬୫হরपिचॊधःअ਌୪पेॉ‫ؚ‬ਗਟਭ൧खञ

୫হৎभ঒७ऋ௴௄औोञ

೩঻पৌखथ‫ؚ‬ၭ୫ᚢৣਃચभਫ਼ਪ॑ষः‫ిؚ‬જऩ୫஄ଙ
॑઀୹घोयिचॊऒधमऩः‫ء‬ෙᚢਙཡ༇पऩैऩः‫ء‬ઠᒷ‫؞‬ድ୍भ௬੼

ٔ୫स্‫؞‬୫सॊ୭୆
भ௬੼ ୦दिचञभऊभનੳ
਷ীऊಕ஄੟‫ؚ‬ওॽগ‫ ش‬ ःणिचञभऊभનੳ
୫হ৐‫؞‬র‫؞‬৏‫ؚ‬खयैऎ  Ꭼभ௴௄‫ق‬ঃড‫كش‬ ୫হ௅િभનੳ ঽ୫ऊஂஃऊभનੳ
঳ઠ୤‫؞‬ঌ‫ش‬३থॢ ঑‫ش‬ঝছक़থॻभএॖথॺ‫؟‬¾ ୫হ୭୆ ௅િृஂஃ্১ भ௴௄
¾ नभेअप୫सथःॊऊ‫ق‬୫स্ भ௴௄ ‫ܒ‬୫஄ଙधਃચभᕇ௞॑௬੼


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2017/8/31

୫सऒऻखऋ௴௄औोञ

ଢभ૗৲ऋ௴௄औोञ

౼ഷଵႈ೩भ৏఩ඪ
఑୫ৎभ୫सऒऻख‫ܒ‬ঽ୫ৎभুधઠभੈ৹ઈ৿भ଩ৣ      ୻ َ୫੟॑঱ুपघऎअऒधऋदऌऩःُ        َ୫఻॑ઠსऽदुढथःऐङप఑୫दऌऩःُ
ᙋᚧৎभ୫सऒऻख‫ܒ‬ઠს൷ำਃચभ଩ৣ              ઠსఢ೧भ૎ಁਃચभ଩ৣ฻ࣱք٣ᴾ              ঽ୫ৎभ঳ઠ୤ ઠსఠभ৅ఠ‫ܒ‬SD‫ؚ‬PD ঈট‫ش‬ॖথॢপऌऩᚢৣఠऋ௴௄औोञ

૴᩸ऋ௴௄औोञ
ઠᒷ৔मဒဋखथःॊऋ‫ؚ‬ჱፌऋௐऎહାखथःॊ

ᚢৣधళลभॱॖ঑থॢभङो
ઠს൷ำਂ৸
૬ਞᚢৣ‫ؚ‬ᇶਞඪ‫ܒ‬ድ୍ଋ೏‫ؚ‬ᚢৣ৏भෙᚢজ५ॡ
ँॊञी‫ؚ‬঳ઠ୤धঌ‫ش‬५पିਔ

ᏹัऋੜइॊ୰ਞमऩः
‫ܒ‬ ઠᒷ৔૎ಁभ଩ৣ ᚢৣ৚ਯभ੖૘
ঽ৅৓ऩᏹัᚢৣऋ൑୔
ऩ૾ଙಕ஄੟भᙋᚧ

ಕ஄੟॑୫सॊञीप૑ਏऩ
ᙋᚧभ௴௄এॖথॺ

୫੟भ఑୫
 ৣ዁भ঱ৣઈ৿ ৫൷ઠઈ৿  ఑୫खञ୫੟॑Ⴛຓ
৖पઈव ᙋᚧડपൺఞॊৣ዁भ৚ૡઈ৿

;५ॸ‫ش‬४Ϩ୎ଛͿ ৣ዁भઈ৿पੈ৹खञჱभડ্ઈ৿
ઈ৿ ૚ᙋᚧஓ઻भੈ৹ध
জ६঑ढ़ঝऩ৿ऌ ᙋᚧડभᆐभ৔ડषभઈ৿   ୫჋஄ਛ

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અ᫢ִɦỉᵓ஖ἴἙἽ‫>؟‬ĞŽƉŽůĚᴾ
ᴾੳੴਃચ଩ৣपेॊၭ୫ᚢৣ௽૩

୫੟ੳੴଳಁ‫؞‬ᚃಁ
୫स্भ௬੼

ᵝᴾ
੔ষ਋

ઠᒷ਋

૆૟਋

ድ୍਋

୫੊਋

ੳੴඪपउऐॊ
রறඪ૾ध%36'ઈ৿௽૩धੳੴਃચ


च॒ፒ

ച੉

রறඪ૾
ചৡ

੶༨௽૩
ੳੴ௽૩

㡢៺

ᄁଢ
ፒ୳

టଯ৉ ඤ‫؟‬DDĞĚZĞŚĂϮϬϬϱ‫؝‬㡢៺রறඪ૾पेॊ௽૩

୫ཬपౠढथःैोऩः
୫হपૐরदऌऩः
ग़ॿঝॠ‫ش‬ਏ੷୤भੜপ
౎যभুஃऐ॑ਭऐোोऩः
୫ཬपౠॊऒधृஂஃभ෻౯
ஂஃ঻प୫੟॑਺ऑणऐञॉ‫ؚ‬ဎॉऊऊॊ

अण୰୫ઓਂஷ‫ؚ‬෻୫‫ؚ‬जोपൣअ৬੎੖૘
୫सॊ৿੿ऋ೚ऎ‫ؚ‬শৎ৑॑ਏघॊ

ፒ୳୻इयn୫੟प෼ऋোढथःॊ|धઓः‫ؚ‬୫হ॑
෻౯घॊ

ႂಁ

রறඪ૾पेॊၭ୫ষ৿षभ୶஭

୫ষ৿भਖ਻ਡ

ചৡ‫؞‬ച੉‫؞‬ಔ໯ႂಁ%36' ੳੴඪदाैोॊষ৿‫ੱ؞‬৶ඪ૾ %36'पेॊၭ୫ষ৿षभ୶஭
%36'पेॊ௽૩

ಔ໯ႂಁभञीप୫হपૐরदऌऩः‫؛‬୻इयn୫ཬपঁग़ऋञऎऔ॒ఄ॒दःॊ|୫ষ৿भਖ਻ਡ

੶༨௽૩୫হ॑खञऒध॑ພोॊ

ৄਊ௙௽૩
नऒपःॊभऊীऊैङ‫ؚ‬୫হऋदऌऩः
य़ঙটय़ঙটऽॎॉ॑ৄநघ
౮୫

ଷষ

୫఻ऋअऽऎઞइऩः‫ؚ‬ಗऔपઞअ
୫হभুದऋॎऊैऩः

ଷੳ୫स੟॑ੳ௙दऌऩः

ৰষਃચ௽૩

ದ๰য়थथ୫सॊऒधऋदऌऩः
ଫ୫ः‫ؚ‬൵ी੢ा

೼ઢ౶৕͕೭ಭଢ଼੸‫؟‬૚୰ଙશ౭ുଵ৶‫॔ॣ؞‬भਠ૾ϯͿੳੴඪ͘'ĞƌŝĂƚDĞĚ‫ي‬ഠফୢً͕৾ϰϱ;ϯͿ‫؟‬ϮϱϭͲϮϱϴ͕ϮϬϬϳेॉ঳৖੝૗

೼ઢ౶৕͕೭ಭଢ଼੸‫؟‬૚୰ଙશ౭ുଵ৶‫॔ॣ؞‬भਠ૾ϯͿੳੴඪ͘'ĞƌŝĂƚDĞĚ‫ي‬ഠফୢً͕৾ϰϱ;ϯͿ‫؟‬ϮϱϭͲϮϱϴ͕ϮϬϬϳेॉ঳৖੝૗

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ᚃಁभலੌा

୫ඟभ଩ৣऋ௴௄औोञ

पउः੟ସ

 ୫হऋ৫઩दऌऩः
‫ܒ‬୫হ॑घॊৃਚदँॊऒधऋॎऊ
ैऩः‫ؚ‬୫੟भோ૔ऋੳ௙दऌऩः
ৄਊ௙௽૩ ‫؛‬‫ܒ‬୫হभুದऋॎऊैऩः ଷষ ‫؛‬ ਈ৏ऽद୫হऋदऌऩः
‫ܒ‬ᆳऌथखऽअ‫؛‬‫ܒ‬௡ಁ௽૩‫ؚ‬ᚃಁ௽૩ ॔ঝॶঁॖ
ঐ‫ش‬୰भଫ਋पाैोॊ 


‫ڃ‬

࿀ሠ
‫ڃ‬

ᚃ಍ཝ

ᚃૉ

‫ڃ‬

ᚃૉ
‫ڃ‬

ৈઃরᆏष
⑻࿝৬‫ؚ‬ਲ஝‫ؚ‬ཽᱴ৐୍ຜସ ৐୍୴ ୫হৎ৑भభশऋ௴௄औोञ

ੳੴඪभၭ୫ᚢৣ௽૩भ્ඉधৌૢ ၭ୫ষನभ౮ଞऋ੗ः

‫ٮ‬ઠभরपःणऽदुᆙीथःॊ
ऩऊऩऊධा੢ऽऩः
吭Ⴛຓ৖ᙔ়ऋऩः‫়ిਂؚ‬ଝຓभઞ৷
⋈ੳੴਃચभ଩ৣ ୫੟ੳੴभ଩ৣ ⋉ਃચ଩ৣपൣअ୫஄ଙधभᕇ௞
‫ٮ‬ਞऋങॊ‫ؚ‬୫হपૐরदऌऩः
‫ٮ‬୫হরभ໸ௌ
ᚢৣधళลभॱॖ঑থॢਂଐपेॊ଩෷
ಞഷඪ‫ܒ‬ෙᚢ‫ؚ‬ᄚඅभজ५ॡऋৈऽॊ
ৌૢ‫؟‬঳৖ஂஃ‫ؚ‬୫৔ઍभ૗ಌ ෙᚢ‫؜‬ᄚඅभ஠૫ਙऋপऌः ঽ৅৓ऩธಫम୔खः ୭୆੝ఒ৓‫ق‬ఢॉभ୭୆॑૗इॊ‫ك‬॔উট‫ॳش‬ऋ਌৬धऩॊ ୻ ஂஃ্১‫ؚ‬୫஄ଙ‫ؚ‬࿇೧ਞऩन

ੳੴඪपउऐॊ୫୭୆॔উট‫ॳش‬भ঄থॺ
(Alzheimer’s Association, 2007‫؝‬঳৖੝૗)ੳੴඪपउऐॊ୫୭୆॔উট‫ॳش‬भ঄থॺ
(Alzheimer’s Association, 2007‫؝‬঳৖੝૗) ॸঞঅ‫ਂؚ‬ਏऩଢऊऐऩनିਔ॑जैघुभ॑ೂऐॊ ॸ‫ش‬ঈঝ७ॵॺम३থউঝख‫ؚ‬෧भোढञ໢‫شॸؚ‬ঈঝॡট५‫ؚ‬ग़উটথಉमೂऐॊ ୫হৎ৑॑ञढशॉध৷ਔखऽखॆअ ুद୫सॊમ৶॑লखऽखॆअ‫؛‬ ୻  उपऍॉ‫ؚ‬१থॻक़ॕॵॳ ୫হभல্॑ৄचऽखॆअ‫؛‬ ୫হप૑ਏऩஓ఻टऐ઼ऌऽखॆअ ୫఻॑੅ञच‫ஂؚ‬ஃुু॑जइथઠषधઈलऽखॆअ‫؛‬ ঳২प੗ऎभ୫ષ॑লघऒधमೂऐऽखॆअ ३থউঝदॎऊॉृघः੐ં॑লखऽखॆअ ୫ඟऋ଩ৣखथःॊৃ়‫گؚ‬୫ेॉुਯ৚पীऐञೄ୫
॑৷ਔखऽखॆअ‫؛‬ ਞ॑ဆैघऒधुਹ৷खऽखॆअ‫؛‬୫सञऋैऩःৃ
়‫ؚ‬૮৶ਘःचङ‫ؚ‬೬ህखथऊै୫হपರॉऽखॆअ ᄚඅपିਔखऽखॆअ‫؛‬
 



6
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2017/8/31

ਊఐदষढथःॊ઱ਝपउऐॊ
ၭ୫੍ର३५ॸ঒

અ᫢∈⇱⇥∐∙⇖ᘙ‒ᖹᡂ䠎䠏ᖺ䠑᭶㻝‫؝‬ढ़থই॓ঞথ५भৰ઱㻔া঳৚㻕㻌㻌ၭ਄૾ய‫ؚ‬౭ു૾ଙभનੳ㻌㻌ၭ୫ᚢৣਃચभ૗৲पणःथभਫ਼ୈ㻌㻌୫হभਖ਻ਡपणःथभਾઔ㻌㻞‫؝‬঑‫ش‬ঝছक़থॻ㻌㻌੗૙ரपेॊ୫হৃએभ௴௄㻌㻌
⅑৖ല൧ಉभ५ॡজ‫ॽش‬থॢਫ਼ਪ㻌㻟‫؝‬௬੼৏भढ़থই॓ঞথ५㻌㻌௬੼उेल੐଑भનੳ㻌㻌ॣ॔উছথभਫ਼ୈ㻌

Ჯ㻲
Ặྡ

䞉䞉䞉䞉䞉

䞉䞉䞉䞉䞉
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અӕᴌᴠᴱ

  
̓ዅ  અӕᴌᴠᴱᴏ

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ホ
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Ặྡ䚷䕿䕿䕿䕿ึᅇホ౯᪥௜䚷㻞㻟ᖺ㻌㻥᭶㻌㻞㻜᪥ၥ㢟Ⅼཱྀ⭍ෆ⁀䜑㎸䜏䛜䛒䜚䚸
ᕥཱྀゅ䛛䜙䛾㣗䜉䛣䜌䛧䛜䛒䜛䚹㣗஦ᦤྲྀ㔞䛸య㔜ῶᑡ䛜䛒䜛䚹ホ౯እ㒊ほᐹホ౯䠖⑂ປ䛻䜘䜚㣗஦ᚋ༙䛻䛺䜛䛸⯉䛾㏦
䜚㎸䜏పୗ䛧䚸ཱྀ⭍ෆ䛾⁀䜑㎸䜏䛜ㄆ䜑䜙䜜䛯䚹

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෌ホ౯䐠

䚷㻞㻟ᖺ㻌㻡᭶㻥᪥䚷㻞㻟ᖺ㻌㻣᭶㻡᪥෌ホ౯䐡䚷㻞㻠ᖺ㻌㻞᭶㻞㻟᪥య㔜ῶᑡ䛒䜚䚹୍䞄᭶๓䜘䜚㻙㻝㻚㻤䟙䚹༙ᖺ䛷㻙㻟䟙䚹㌴䜲䝇୙౑⏝䛾䛯䜑䚸ィ 䝭䝇䛿⪃䛘䜙䜜䛺䛔䚹ㄗᄟ䜔㣗≀䛜ႃ䛻 㻢㻛㻣䠖ᯝ≀䛻䝮䝉ワ䜎䜛䚹䜛䚹⢛䜒ᑡ䛧䝮䝉
㣗ᚋ䜔㣗஦୰䛾䜛䚹တ䛜Ẽ䛻䛺䜛䚹

䐟㻡᭶㻥᪥䛻㼂㻱᳨ 㼂㻱᳨ᰝ䚹࿪ᄮᶵ⬟䛿Ⰻ ᯝ≀䛿࿪ᄮ䛩䜛䛣䛸䛷኱ 㻟㻛㻝㻠䚷䜹䞁䝣䜯䝺䞁䝇㔞䛾Ỉศ䛜ฟ䜛Ⅽ䚸ㄗ ᐇ᪋䚹⿵㣗䛛䚸⢛䛾ᰝ䛾ணᐃ䚹䐠ᢸᙜ ዲ䚹ෆど㙾ୗ䛷䛿⡿㣤䛾ႃ㢌౵ධㄗᄟ䛜ㄆ䜑 ᄟ䛾䝸䝇䜽䛿㧗䛔䚹௒ᚋ་➼䛻┦ㄯ䛩䜛䚹 䜙䜜䛯䚹䛣䜜䛻ᑐ䛩䜛䝮 䛿ᯝ≀䛻䛴䛔䛶䛿䝭䜻 ኱┒䜚䛻䛩䜛䛛䚸䝉䛿䛺䛔䚹䠄୙㢧ᛶㄗᄟ䠅䝃䞊䜒䛧䛟䛿䝊䝸䞊䛷䛾 ㏆䚻䛻᳨ウ䛩䜛䚹ᥦ౪䜢᳨ウ䛩䜛䚹

ᮏ᪥䜘䜚䚸䐟Ỉศ䛻䛿䝖 㻣㻛㻢䜘䜚䚸ᯝ≀䝭䜻䝻䝭䜢䛴䛡䜛䠄䝫䝍䞊䝆䝳 䝃䞊䠄䛸䜝䜏௜䛝䠅䛷≧䠅䚹䐠䢆䡬䢈䠃䢆䡬䢈䛛䜙ᥦ౪䚹㻢㻛㻣䠖䡹䢉䢚䢓䡲䡬⢛䛻ኚ᭦䚹ፉ䛥䜣䛻䛿ோᮌ┳ㆤᖌ䛜ሗ࿌䚹஢ᢎ 䡺䢚䜒ど㔝䛻ධ䜜䚸⤒
㐣ほᐹ䚹
䜢ᚓ䜛䚹

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ࣉ
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Ặྡ䚷䕿䕿䕿䕿ึᅇホ౯Ỉศ䛾䝮䝉䛜ῶ䛳ᯝ≀䝮䝉䛺䛧
䛯㻟㻛㻝㻣䡚ᮅ㣗䛾୺㣗䠄⢛䠅䜢኱┒䜚䛻䛩䜛䚹䜘䛳䛶ᮅ䚸ኤ䛾୺㣗䛜኱┒䜚䛸䛺䜛䚹ᦤྲྀ㔞Ᏻᐃ৹ਪ਋৑রभ୫হ஄ଙभ௓୎

෌ホ౯䐟

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䚷㻞㻟ᖺ㻌㻝㻜᭶㻥᪥䚷㻞㻟ᖺ㻌㻝㻝᭶㻡᪥䝩䞊䝮㣗䜢༙ศ䠄䝝䞊䝣㣗䠅䛸䛧䚸㧗䜹䝻䝸䞊⿵ຓ㣗ရ䜢ຍ䛘䛶㣗஦䛾䝪䝸䝳䞊䝮䜢ୗ䛢䜛䚹㣗ෆᐜᣦᑟ䜢ᥦ♧䛧䛯䚹䝸䜽䝷䜲䝙䞁䜾㌴᳔Ꮚ䛻ኚ᭦䛩䜛䚹㣗஦ᦤྲྀ㔞䛿ᏳᦤྲྀⰋዲ䚸య㔜ᐃ䛧䚸㣗䜉䛣䜌䛧
ቑຍഴྥ䚹䛜㍍ῶ䛧䛯䚹

਴ਛ19ফ5া
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16.1٫

਴ਛ21ফ5া
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25

28.3

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21.1

37.9

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7
− 82 −

2017/8/31

૑ਏग़ॿঝॠ‫ش‬୤पৌघॊၭ਄ग़ॿঝॠ‫ش‬୤ᖹᡂ㻝㻥ᖺᗘ㻌‫ۃ‬ٙ‫ڲڰ‬ᖹᡂ㻞㻜ᖺᗘ㻌‫ۃ‬ٙ‫ڳڰ‬ᖹᡂ㻞㻝ᖺᗘ㻌‫ۃ‬ٙ‫ڲگ‬㻠㻢㻚㻢䠂㻌㻌

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ᖹᡂ㻞㻟ᖺᗘ㻌‫ۃ‬ٙ‫ڲگ‬૑ਏ౭ു୤प੦तःञ
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୭୆੝ఒ৓॔উট‫ॳش‬َ୫஄ଙ৹ତ‫ؚ‬௅િ৹ତऩनُ

৻೥৓॔উট‫ॳش‬َঞ४५ॱথ५ธಫ‫ؚ‬ᚢৣખೝയৢธಫऩनُ

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10%
0%

㏦ࡾ㎸ࡴຊ

㣧ࡴຊ

ྚਅ⺞ᢛ㘩ቇળಽ㘃ߣ
᳞߼ࠄࠇࠆ๰ྨᯏ⢻ߣ᳞ࠄࠇࠆ๰ྨᯏ
⹏ଔᴺ⹏䠍䠊ᆒ㉁䠖኱㒊ศ䛜⢊○䛥䜜䛶䜘䛟ΰ䛦䜚䛒䛳䛶䛔䜛ဗ㢌ὶධ᫬䛾᳨ᰝ㣗䛾ᛶ≧እ㒊ほᐹ䛻䜘䜛࿪ᄮ㐠ືホ౯䛸ဗ㢌ὶධ䛧䛯᳨ᰝ㣗䛾ᛶ≧ホ౯䛾㛵ಀ− 99 −

䜻䝴䞊䝢䞊

䝣䞊䝗䜿䜰

䜽䝸䝙䝁

᫂἞

䝙䝳䞊䝖䝸䞊

୕࿴໬Ꮫ䜻䝑䝉䜲⸆ရᕤᴗ

᪥Ύ䜸䜲䝸䜸䜾䝹䞊䝥䝦䝹䝅䞊䝣䞊䝗

䝯䞊䜹䞊
ᶆ‽
ᑡ㔞㧗⢓ᗘ
ᶆ‽
ᶆ‽
ᑡ㔞㧗⢓ᗘ
ᶆ‽
ᶆ‽
ᶆ‽
ᑡ㔞㧗⢓ᗘ
ᑡ㔞㧗⢓ᗘ
ᶆ‽
ᶆ‽
ᑡ㔞㧗⢓ᗘ
ᶆ‽
ᑡ㔞㧗⢓ᗘ
ᶆ‽
ᶆ‽
ᶆ‽
ᑡ㔞㧗⢓ᗘ
ᑡ㔞㧗⢓ᗘ
ᶆ‽
ᶆ‽
ᶆ‽
ᶆ‽

䛸䜝䜏䛾ᙉ䛥

᪥ᖖⓗ⤒ཱྀᦤྲྀ┤᥋カ⦎㛤ጞᖺ㱋ᛶู⤒⟶ᰤ㣴ᮇ㛫
ཎ⑌ᝈ
⫵⅖䛾᪤ 

ព㆑䝺䝧䝹
ᗙ఩ಖᣢ
ᣦ♧⌮ゎ
఍ヰྍ

ព㆑䝺䝧䝹

ព㆑䝺䝧䝹
ᗙ఩ಖᣢ
⛣ືྍྰ
ᣦ♧⌮ゎ
఍ヰྍྰ

ᄟୗᶵ⬟

ᄟୗᶵ⬟

ර㢌䝇䝁䜰

ᄟୗᶵ⬟

૔୧೩঻पउऐॊ৽ઠၭ਄ગ৫भ૖੯

Ỉ100ml䠄20Υ㼼2.0䠅䛻2%䛸䜝䜏๣䜢ῧຍ䛧䚸3ᅇ/⛊䛾㏿䛥䛷30⛊㛫᧠ᢾ䛧䛯䚹䛭䛾ᚋ䚸30ศ㛫タᐃ ᗘ20Υ䛷䜲䞁䜻䝳䝧䞊䝖䚹30ศᚋ䛻䝁䞊䞁䝥䝺䞊䝖ᆺᅇ㌿⢓ᗘィ䠄タᐃ ᗘ20Υ䚸䛪䜚㏿ᗘ50s^-1䛻䛚䛡䜛1ศᚋ䛾⢓ᗘ䠖Ꮫ఍ศ㢮䚸䝁䞊䞁䜰䞁䜾䝹1㼻䚸┤ᚄ35mm䠅䛷⢓ᗘ䜢 ᐃͤ ᐃ⤖ᯝ䛜350mPa䞉s䜢ᇶ‽Ⅼ䛸䛧䛶䛂ᶆ‽䛃䛂ᑡ㔞㧗⢓ᗘ䛃䛻ศ㢮䚹䚹䝖䝻䝭䝇䝬䜲䝹
䝖䝻䝭䝟䝽䞊䝇䝬䜲䝹䝖䝻䝭䜽䝸䜰
䝖䝻䝭䜰䝑䝥䜶䞊䝇䝖䝻䝭䜰䝑䝥䝟䞊䝣䜵䜽䝖᪂䝇䝹䞊䜻䞁䜾ŝ䝇䝹䞊䝋䝣䝖Y䝇䝹䞊䝬䜲䝹䝗
䝖䝻䝯䝸䞁s䝖䝻䝯䝸䞁y䝋䝣䝔䜱䜰䠍
䝋䝣䝔䜱䜰^
䝋䝣䝔䜱䜰^hWZ^䝖䝻䝯䜲䜽^W
䝖䝻䝯䜲䜽䝁䞁䝟䜽䝖䝖䝻䝯䜲䜽䜽䝸䜰
䛚䛖䛱䛷⡆༢䝖䝻䝯䜲䜽䛴䜛䜚䜣䛣YƵŝĐŬůǇ
䛴䜛䜚䜣䛣ƉŽǁĞƌĨƵůů
䝛䜸䝝䜲䝖䝻䝭䞊䝹Ϫ䝛䜸䝝䜲䝖䝻䝭䞊䝹Z䠃䝛䜸䝝䜲䝖䝻䝭䞊䝹䝇䝸䝮䝛䜸䝝䜲䝖䝻䝭䞊䝹䠪䠡䠴䠰䝖䝻䝭䝣䜯䜲䞁

䛸䜝䜏ㄪᩚ㣗ရߣࠈߺߩ̌ߟࠃߐ̍ߦวࠊߖߡಽ㘃୍㒊䜎䛯䛿඲㒊⤒ཱྀᦤྲྀᝈ⪅6䛛᭶㏣㊧୙ྍ⬟⚄⤒➽⑌ᝈ

14ྡ(31.8䠂)┤᥋カ⦎䛾䜏

17ྡ(38.6䠂)᪥ᖖⓗ䛺⤒ཱྀᦤྲྀ䜢෌㛤

31ྡ(70.5䠂)┤᥋カ⦎䜢㛤ጞ㻝㻠㻤ྡ⏨ᛶ㻠㻟ྡ䠈ዪᛶ㻝㻜㻡ྡᖹᆒᖺ㱋㻤㻡㻚㻝㼼㻤㻚㻜ṓ

⫵⅖Ⓨ⑕䚸య㔜ῶᑡ䛻㛵㐃䛩䜛ᅉᏊ䛾᳨ウ䚸ゼၥᦤ㣗ᨭ᥼
䛾ຠᯝ䛾᳨ウ7DNDKDVKL 1 .LNXWDQL 7 HW DO - 2UDO 5HKDELO䞉⫵⅖Ⓨ⑕䠄㻝㻞ྡ䠅䞉య㔜ῶᑡ䠄㻠㻢ྡ䠅

㏣㊧ᮇ㛫 㻟䞄᭶䛾㌿ᖐᦤ㣗䞉ᄟୗ㞀ᐖ䛾␲䛔䛜䛒䜛⪅ 㻝㻣㻝ྡእ㒊ほᐹホ౯㼂㻱᳨ᰝ㻗ᦤ㣗ᶵ⬟⒪ἲ

యㄪ୙Ⰻ䚸ㄆ▱⑕䛻䜘䜛ᣄྰ䛾䛯䜑㼂㻱᳨ᰝ䜢᪋⾜䛷䛝䛺䛛䛳䛯⪅㻞㻟ྡ䜢㝖እ㉁ၥ⾲๓ྥ䛝䝁䝩䞊䝖◊✲⤒⟶ᰤ㣴䜢⾜䛺䛳䛶䛔䛯㻞㻤ྡ䜢㝖እᦤ㣗䞉ᄟୗ㞀ᐖ䛾⑕≧䛜ㄆ䜑䜙䜜䛺䛛䛳䛯㻠㻠㻤ྡ䜢㝖እ௓ㆤ⪁ே⚟♴᪋タ㻢᪋タ ⥲ィ㻢㻠㻣ྡゼၥ㣗ᨭ᥼䛛䜙ぢ䛘䛶䛝䛯䜒䛾

13ྡ(29.5䠂)㛫᥋カ⦎䛾䜏

ᅾᏯᝈ⪅ 䠐䠐ྡ(⏨ᛶ25ྡ,ዪᛶ19ྡ,ᖹᆒᖺ㱋76.0㼼10.1ṓ)⬻⾑⟶⑌ᝈ37ྡ䚸ᗫ⏝䞉㧗㱋3ྡ䚸ㄗᄟᛶ⫵⅖3ྡ䚸㢌㒊እയ1ྡᅾᏯᝈ⪅ 264ྡ䠄ᖹᡂ25ᖺ4᭶䜘䜚ᖹᡂ28ᖺ4᭶䠅૔୧೩঻पउऐॊ৽ઠၭ਄ગ৫भ૖੯

− 100 −





&,

  

  

 

 

 

ໜᶧ⺋ྚߦኻߔࠆኻ╷ㄗᄟ䛺䛧䚸ㄗᄟ䛒䜚䚸ㄗᄟ䛒䜚䠇୙㢧ᛶㄗᄟ䛒䜚䛾㔜⑕ᗘ䛻ศ䛡䛯
+5KD]DUGUDWLR&,FRQILGHQFHLQWHUYDO







ၚᾮㄗᄟ







ဗ㢌ṧ␃

㣗≀ㄗᄟ









ႃ㢌౵ධ

%DUWKHO,QGH[



+5

%0,䠘



ᖺ㱋

3್

ၚᾮㄗᄟ䛜၏୍䛾⫵⅖Ⓨ⑕ண



ᅉᏊ䛷䛒䛳䛯䚹௓ධᙜึ䛻ほᐹ䛥䜜䛯ဗ㢌ṧ␃䜔ႃ㢌౵ධ䚸㣗≀ㄗᄟ䛿䝸䝇䜽ᅉᏊ䛻䛺䜙䛺䛛䛳䛯䚹

%3UHGLFWRUV⫵⅖Ⓨ⑕䛻䛚䛡䜛ண ᅉᏊ䛻䛴䛔䛶䛾㻯㼛㼤ẚ౛䝝䝄䞊䝗䝰䝕䝹䛾⤖ᯝ ੺⼔଻㒾ᣉ⸳ᣉ⸳ߦ౉ዬਛߩⷐ੺⼔㜞㦂⠪ ⚻ญ៨ขࠍⴕߞߡ޿ࠆฬ㧒ᐔဋᐕ㦂rᱦ㧒↵ᕈฬrᱦ‫ޕ‬ᅚᕈฬrᱦ㧓

6QJCTC 6-KMWVCPK 6GVCN)GTKCVT )GTQPVQN +PV

ໜᶧਛߩ⚦⩶ᢙߦᓇ㗀ࠍਈ߃ߡ޿
ࠆߩߪ㧩

81

Kikuchi R, Watabe N, Konno T, Mishina N, Sekizawa K, Sasaki H: High incidence of silent
aspiration in elderly patients with community-acquired pneumonia. Am J Respir Crit Care Med
150:251–253, 1994⢖Ἳᖚ⠪ߩ㧏ߦ⌧⌁ਛߩ⺋ྚ߇⹺߼ࠄࠇߚ

− 101 −শํఐ৾ଢ଼஢৫৅হ঵

঩মၭ୫ᚢৣজঁঅজॸ‫ش‬३ঙথ৾ভ
ᚢৣ৹ତ୫৾ভীథ
஗਷੄n५ঐॖঝॣ॔୫|ীథᚢৣ৹ତ୫৾ভীథध
஗௔਷ਓ੄ૠત ‫ۈڶڿ‬ૠત n५ঐॖঝॣ॔୫|঩মୢ௜ଢ଼஢৫৅ਃଡ

जभ౎
૮৚௦

੦૆ऩख

जभ౎
૮৚௦

ঽ઱ਝஆঽभళู
ੲਾ઀୹ऩख

ᚢৣআছ঑ॵॻ
8')યী





ᚢৣ৹ତ୫




٫

㐃ᦠ䝒䞊䝹

ᚢৣআছ঑ॵॻ







8')યী



 

೩঻‫؞‬ਹ৷঻ऋ౎઱ਝष୎৿घॊ੠भ
ੲਾ઀୹प৷ःॊᚢৣ৹ତ୫भ੦૆

ᚢৣ৹ତ୫

ᚢৣ৹ତ୫भ੦૆
धखथःॊ੐ఏ

ূ਎੃ਨ੗༂વ৖ୢ௜෠‫ؚ‬୰੹‫ؚ‬઱ਝऊਚ

৉ୠपउऐॊ୫भ৴௚ৰଙ

− 102 −઱ਝ‫૲ؚ‬๘ਫ਼ด

34┴427ᕷ༊䛷Ⓩ㘓

Ꮿ㓄㣗ᴗ⪅䠖14௳௓ㆤ㣗ྲྀ䜚ᢅ䛔ᗑ䠖1740௳

௓ㆤ䞉་⒪᪋タ䠖730௳

䝩䞊䝮䝨䞊䝆㛤タ᪥䠖2016ᖺ9᭶20᪥䝩䞊䝮䝨䞊䝆Ⓩ㘓௳ᩘ䠖
2484௳䠄2017.9.14⌧ᅾ䠅१ॖॺ85/‫؟‬ZZZVKRNXVKLHQQHWஂ૧୫ঞ३আ

䝁䞊䝗䛻ྜ䜟䛫䛯䛚䛖䛱䛷䛴䛟䜛௓ㆤ㣗䝺䝅䝢බ㛤୰䠍䠊ᇶᮏ䝺䝅䝢
䠎䠊䜰䝺䞁䝆䝺䝅䝢䠏䠊ᅾᏯゼၥ⟶⌮ᰤ㣴ኈ䛾䝥䝻䛜
ᩍ䛘䜛䜰䝺䞁䝆䝺
䝅䝢䛚䛖䛱䛷స䜛
௓ㆤ㣗䝺䝅䝢㞟ᥖ㍕ओम॒भथलऌ㣗ศ㢮䚸䛸䜝䜏䛾⛬ᗘ䛻ྜ䜟䛫䛶ᝈ⪅䛥䜣ಶ䚻䛾䛶䜃䛝䛜సᡂ䛷䛝䜎䛩䚹َओम॒भथलऌُ

ල౐पਫखः୫হ॑ၭॊञीभ
ੲਾ॑उ஫इघॊऒधऋदऌऽघ

ଵ৶౭ു૒

१ॖॺ85/‫؟‬ZZZVKRNXVKLHQQHW

− 103 −䛧䛶䛔䜛ADL• Level 10 ṇᖖ䛾ᦤ㣗䞉ᄟୗ⬟ຊṇᖖ• Level 7 䠏㣗䛾ᄟୗ㣗䜢⤒ཱྀᦤྲྀ䛧䛶䛔䜛䚸௦᭰ᰤ㣴䛿⾜䛳䛶䛔䛺䛔• Level 8 ≉ู㣗䜉䛻䛟䛔䜒䛾䜢㝖䛔䛶䠏㣗⤒ཱྀᦤྲྀ䛧䛶䛔䜛• Level 9 㣗≀䛾ไ㝈䛿䛺䛟䚸䠏㣗䜢⤒ཱྀᦤྲྀ䛧䛶䛔⤒ཱྀᦤྲྀ䛾䜏

• Level 4 䠍㣗ศᮍ‶䛾ᄟୗ㣗䜢⤒ཱྀᦤྲྀ䛧䛶䛔䜛䛜௦᭰ᰤ㣴䛜୺య• Level 5 䠍-䠎㣗䛾ᄟୗ㣗䜢⤒ཱྀᦤྲྀ䛧䛶䛔䜛䛜௦᭰ᰤ㣴䛜୺య• Level 6 䠏㣗䛾ᄟୗ㣗⤒ཱྀᦤྲྀ䛜୺య䛷୙㊊ศ䛾௦᭰ᰤ㣴䜢⾜䛳䛶䛔䜛⤒ཱྀᦤྲྀ䛸௦᭰ᰤ㣴• Level 1 ᄟୗカ⦎䜢⾜䛳䛶䛔䛺䛔• Level 2 㣗≀䜢⏝䛔䛺䛔ᄟୗカ⦎䜢⾜䛳䛶䛔䜛• Level 3 䛤䛟ᑡ㔞䛾㣗≀䜢⏝䛔䛯ᄟୗカ⦎䜢⾜䛳䛶䛔䜛⤒ཱྀᦤྲྀ䛺䛧

ᦤ㣗≧ἣ䛾䝺䝧䝹 Food Intake Level Scale : FILS

঩মຓఐপ৾ઠᒷজঁঅজॸ‫ش‬३ঙথ੗༂ॡজॽॵॡَ୫सॊ੍॑इॊُษઠ
WDPDFOLQLFUHQNHL#WN\QGXDFMSੲਾൕൗपঢ়घॊउਖः়ॎच੔

१ॖॺ85/‫؟‬ZZZVKRNXVKLHQQHWᾗᾟϋỂૼᙹႇ᥵Ӗ˄ɶẝễẺỉ‫؏ע‬ỉẐ᫢ỔỦửૅảỦẑ‫؏ע‬᝻เऴ‫إ‬ửắႇ᥵ẪẻẰẟᐇ⏕ά䛷ᐇ⾜䛧䛶䛔䜛≧ἣ

䛧䛶䛔䜛
䛣䛸

䛷䛝䜛
ADL

1) ᐇ㝿䛾⏕ά䛾ሙ䛷䛒䜛⮬Ꮿ䛷䛿≀ⓗ䞉ேⓗ䛺ᵝ䚻䛺㞀ᐖ䛜ከ䛔2) ᝈ⪅䛾ᚰ⌮ⓗせ⣲䛩䛺䜟䛱ᝈ⪅⮬㌟䛾౯್ほ䛻ᕥྑ䛥䜜䜛
3) ᣦᑟ䛩䜛ഃ䛾⬟ຊ䛻䜘䜛ᕪ␗ホ౯䞉カ⦎᫬䛾⬟ຊ䛷䛝䜛䛣䛸• Gr.10 ṇᖖ䛾ᦤ㣗䞉ᄟୗ⬟ຊϫṇᖖ• Gr.7 ᄟୗ㣗䛷䠏㣗䛸䜒⤒ཱྀᦤྲྀྍ⬟• Gr.8 ≉ูᄟୗ䛧䛻䛟䛔㣗ရ䜢㝖䛝䠏㣗⤒ཱྀᦤྲྀྍ⬟• Gr.9 ᖖ㣗䛾⤒ཱྀᦤྲྀྍ⬟䚸⮫ᗋⓗほᐹ䛸ᣦᑟ䜢せ䛩䜛

Ϫ㍍ᗘ ㍍ᗘ ⤒ཱྀ䛾䜏

• Gr.4 ᴦ䛧䜏䛸䛧䛶䛾ᦤ㣗䛿ྍ⬟• Gr.5 ୍㒊䠄䠍-䠎㣗䠅⤒ཱྀᦤྲྀ䛜ྍ⬟• Gr.6 䠏㣗⤒ཱྀᦤྲྀ䛜ྍ⬟䛰䛜௦᭰ᰤ㣴䛜ᚲせϩ୰⛬ᗘ ⤒ཱྀ䛸௦᭰ᰤ㣴• Gr.1 ᄟୗᅔ㞴䜎䛯䛿୙⬟ᄟୗカ⦎㐺ᛂ䛺䛧
• Gr.2 ᇶ♏ⓗᄟୗカ⦎䛾䜏䛾㐺ᛂ䛒䜚• Gr.3 ᮲௳䛜ᩚ䛘䜀ㄗᄟ䛿ῶ䜚䚸ᦤ㣗カ⦎䛜ྍ⬟Ϩ㔜ᗘ ⤒ཱྀ୙ྍ

ᦤ㣗ᄟୗ⬟ຊ䜾䝺䞊䝗䠄⸨ᓥ䠅

− 104 −඲య⤒ཱྀᦤྲྀ䛺䛧 ୍㒊⤒ཱྀᦤྲྀ

⤒ཱྀᦤྲྀ

0%

10%

20%

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0ƫÎ_wyayroÞ,Ƭſ|śŀƫÎ|łƠÃÎpc+x,Ř|È|ſƋśŀ_Űȅ30ƫţñȘ|łƠzȽĂǯȋƦ,ƫƵƋ}ųru`j-+ƬƋzǾċh,ȽƫɊëÿƋzƏȑhuƸǌhaƫjaj+oz}xyƫţŖroZ^,ƓņzZƖ÷ǯȋ+űřøh[0İa|ŵǁ_çewzƫĩƔ|­À¦}ĳÃjo+mnzřÿj|v}ya,wzċÖÊhÐru+Ǥðâvâśyǯȋƽïjewċǉh[− 110 −

㈨ᩱ16䡚䛔䛯䛰䛝䜎䛩䛾䛚ᡭఏ䛔䡚䛿䜏䜣䛠༡Ἑෆ
ਏஂ૧ৈೡ঻भ଩౭ു॑ଆएञीभୢప‫؞‬ຓఐୢపधଵ৶౭ു૒पेॊઠᒷ౭ുঢ়৴१‫ش‬অ५௓ਤহ঵
ਸ਼৚ਁ৫७঑ॼ‫ش‬ম঩भ৔ઍ৉ୠ‫؞‬૔୧ৈೡ঻भ୫पఞॉ๣अ

• ౭ുधम

• ْঁॖজ५ॡ॔উট‫ٓॳش‬૔୧पउऐॊଵ৶౭ു૒भ૽સ

ःञटऌऽघभउু஫ः
‫ع‬ময਌৬भ୫੍ରभৰᄷ‫ع‬• ْএআগঞ‫ش‬३ঙথ॔উট‫ٓॳش‬৉ୠீओधभ౭ു੍ରણ৿
• ఞॉ๣ःऊैभ൉ୗ

᳸ƍƨƩƖǇƢƷƓ৖ˡƍ᳸ཎ‫ܭ‬᩼փМ෇ѣඥʴƸǈǜƙҤඕϋሥྸ௿᫱ٟᛐ‫ܡנܭ‬ᚧբሥྸ௿᫱ٟᲣ ଺‫ډޢ‬ᆞ‫܇‬䡚䛔䛯䛰䛝䜎䛩䛾䛚ᡭఏ䛔䡚䛿䜏䜣䛠༡Ἑෆ䡚䛔䛯䛰䛝䜎䛩䛾䛚ᡭఏ䛔䡚䛿䜏䜣䛠༡Ἑෆ‫ع‬ःञटऌऽघभउু஫ः‫ع‬౭ുधम‫ء‬્৒శ੾ਹણ৿১য मा॒एવఖ৔
ْણ৿৯৓ٓ
‫؞‬৉ୠपકिँैॅॊছॖই५ॸ‫ش‬४भয‫ر‬ऋَ୫ُ॑ৢखथে୵॑୘ा‫ؚ‬ஹॉ‫ؚ‬ಜल॑ુથदऌॊऒध
‫؞‬ଵ৶౭ു૒ऋ௧୅૙धखथऽञકড়धखथ৉ୠपঢ়ॎॉ‫ؚ‬કড়ऋไেऊैਈ਋॑
ಶइॊऽदَजभযैखऎেऌॊऒधُऋदऌॊेअप୫੍ର॑ষअ
ْป୓ٓ ফা ফ া
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ఱ䜢㣗䜉䜛䛛䠙ᰤ㣴⣲䛾ᦤྲྀણ৿॑घॊ੾ा॑੐घ

৅ଌੳ৒౭ുॣ॔५ॸ‫ش‬३ঙথ ੳ৒્৒శ੾ਹણ৿১য ః੶䠄ᾘ໬䛸྾཰䠅䛹䛖౑䛖䛛䠙௦ㅰศゎ䛸ྜᡂْ঺৩ଡਛٓਠ૔ ੡ ଵ৶౭ു૒‫ڴ‬੡঺ভૣක૒ ੡প৾ઇ৩ ৉ୠકড়‫؞؞؞‬౭ുٙ੾ു౭ുभୁ౺मরবभ੉୴َ੾୫ുেُ
َ୫॑੾ीयে୵ऋുॎोॊُ

ْકਚٓপଚਿಭኬ৙৘৙‫ر‬঱   ৙‫ر‬঱ঐথ३ঙথ

ْउਖः়ॎचٓ
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䡚䛔䛯䛰䛝䜎䛩䛾䛚ᡭఏ䛔䡚䛿䜏䜣䛠༡Ἑෆ䡚䛔䛯䛰䛝䜎䛩䛾䛚ᡭఏ䛔䡚䛿䜏䜣䛠༡Ἑෆ‫ك঺ਁق‬঩ম౭ു૒ভ ੳ৒౭ുॣ॔‫؞‬५ॸ‫ش‬३ঙথ‫ع‬ःञटऌऽघभउু஫ः‫ ع‬১যमा॒एવఖ৔

ዷፎ䞉ฟ⏘

ᡂ㛗

⏕ά⩦័⑓ண㜵௓ㆤண㜵䜏䜣䛺䛾㣗⫱ㅮᗙ(䝷䜲䝣䝇䝔䞊䝆ẖ䛾㣗⫱䞉㜵⅏䞉㣗ᩥ໬)

ᅖ◻ᩍᐊ

⫱ඣ

Ꮚ䛹䜒䝇䝔䞊䝅䝵䞁ᅖ◻ᩍᐊ䜰䝺䝹䜼䞊ᑐ⟇ᗂ⛶ᅬㅮᗙ౭ു૾ଙधभॖও‫ش‬४



⤊䛔ᨭᗘ

䝇䜽䜶䜰䝇䝔䝑䝥

SFT䝦䝹䝅䞊࿴ⳫᏊ䝥䝻䝆䜵䜽䝖

PTA䞉⫱ᡂ఍◊ಟእ᮶ᰤ㣴ᣦᑟḞஈ₯ᅾᛶḞஈ⮬἞఍䞉䝃䝻䞁䛷䛾άືゼၥᰤ㣴ᣦᑟ

་⒪ㄢ㢟

ṇᖖ

₯ᅾᛶ
㐣๫

㐣๫

೺ᗣ
୙ᐃឋッ

୙ᐃឋッ

་⒪ㄢ㢟

ᐩ⏣ᯘ䞉⩚᭥㔝䞉Ἑෆ㛗㔝䞉ኴᏊ⏫ ᆅᇦ䜿䜰఍㆟䞉ゼၥC஦ᴗ䞉◊ಟᦤྲྀ䞉྾཰䞉㈓ⶶ୙㊊䛭䛾௚䠖኱Ꮫ◊✲⿵ຓ䞉ㅮ₇఍䞉䝅䞁䝫䝆䜴䝮䛺䛹༡Ἑෆ㣗䛾䝛䝑䝖䝽䞊䜽 ᆅᇦᰤ㣴䜿䜰㐃ᦠ఍㆟ Ꮫ఍Ⓨ⾲

− 111 −

ᦤྲྀ䞉྾཰䞉㈓ⶶ㐣๫䡚䛔䛯䛰䛝䜎䛩䛾䛚ᡭఏ䛔䡚䛿䜏䜣䛠༡Ἑෆ䡚䛔䛯䛰䛝䜎䛩䛾䛚ᡭఏ䛔䡚䛿䜏䜣䛠༡Ἑෆਸೡपൣः଩ৣघॊ
୫पঢ়બघॊਃચ
௡ ಁ

ଳ

ᚃ ಁ

଎৲ัभ
ীᆌ
଎৲ଵभ
ઈ৿ਃચ

ৡ

ᙋखूऎਃચ

൙ৡ‫؟‬েણણ৿

Breen L, Phillips SM.
Skeletal muscle protein metabolism in the elderly: Interventions to counteract the 'anabolic resistance' of ageing.
Nutr Metab (Lond). 2011 Oct 5;8:68. doi: 10.1186/1743-7075-8-68.

䡚䛔䛯䛰䛝䜎䛩䛾䛚ᡭఏ䛔䡚䛿䜏䜣䛠༡Ἑෆ䡚䛔䛯䛰䛝䜎䛩䛾䛚ᡭఏ䛔䡚䛿䜏䜣䛠༡ἙෆᅾᏯᝈ⪅ゼၥデ⒪䛾⟬ᐃ௳ᩘ䠄᭶㛫䠅ͤ2䚸75ṓ௨ୖேཱྀẚ⋡䛾᥎⛣

Breen L, Phillips SM.
Skeletal muscle protein metabolism in the elderly: Interventions to counteract the 'anabolic resistance' of ageing.
Nutr Metab (Lond). 2011 Oct 5;8:68. doi: 10.1186/1743-7075-8-68.

‫ع‬ःञटऌऽघभउু஫ः‫ع‬मा॒एવఖ৔

䡚䛔䛯䛰䛝䜎䛩䛾䛚ᡭఏ䛔䡚䛿䜏䜣䛠༡Ἑෆ৉ୠෆฐॣ॔पउऐॊ૔୧ୢ௜धम
‫؞‬ୢ௜ঔॹঝ‫ڀ‬েણঔॹঝ

㏣ຍ㈨ᩱ1শદਆส಻‫؟‬਴ਛফ২ୢ௜઀୹৬਑पঢ়घॊଢ଼
஢੘घୢ௜ঔॹঝ

੍इॊেણঔॹঝ

৯৓

੘Ⴉध೰୵

भ਱঱৯ఏ௏೨ঽয়ॱ‫ش‬।ॵॺ

ႈ୰‫؞‬ে৶৓ਫଞभ೐੅

௽૩‫؞‬भ೐੅ৃਚ୰੹ঽ୧‫؞‬৉ୠ

ॳ‫ش‬঒ୢ௜௧୅૙ர੐ં

੗૙ர৴௚‫ੈ؞‬௮਴ਛ  ফ২൧௜ਾີ੝৒भ੦ম্ଉ
ௐেௌ௮੄‫؟‬਴ਛ‫ ڳ ڮ‬ফ‫ ڮ ڭ‬া‫ ڳ‬঩঺ভ৳௽ଟ৮ভୢ௜৳૫৖ভ

঺ভ৳௽ଟ৮ভୢ௜৖ভ

‫َ؞‬੘घୢ௜ُऊैَ੘ख‫੍ؚ‬इॊୢ௜ُषभૡఌ
‫؞‬௏೨ํ୵भభಇभ௴ਡऊै੒ଆ‫؞‬௏೨तऎॉभ਄ੌऋ੎ਏ

০৏भ൧௜ਾີभ௬੼َঔঀऊैૼ୒ष‫ؚ‬ఇऊै୫হषُল๕ ‫ⳝⷄ ؟‬䔘嵞⬷䛊῕َढ़ছ‫ش‬௕ੰ౭ു৾भ੦মऋॎऊॊহ๕ُ

ল๕‫؟‬ౝ໷ୢহৗਾ ਸ਼ ಀ‫ ق‬ফ া ঩‫ُ  َ ك‬ْऒोऊैभ൧௜ਾີٓ َঔঀऊैૼ୒ष‫ؚ‬ఇऊै୫হषُभૡఌ॑ௐௌ੄‫؞‬૱ি෥಻প෦઻ඬଟ৮઻‫ق‬ୢ௜৳૫૿ਊ‫ك‬पୂऎਧূ঺

− 112 −

‫ع‬ःञटऌऽघभउু஫ः‫ع‬मा॒एવఖ৔

䡚䛔䛯䛰䛝䜎䛩䛾䛚ᡭఏ䛔䡚䛿䜏䜣䛠༡Ἑෆ௰ਖ౭ു੐଑भரథध෇೧

౭ുଵ৶ঔॹঝऊै౭ു੍ରঔॹঝष
ঔॹঝ౭ുଵ৶ঔॹঝ

౭ു੍ରঔॹঝ

৯৓ႈ୰भ੒ଆधଵ৶

েણभସ‫؞‬যেभସभ਱঱

౭ു૒भ૽સ

ਫखः౭ുଵ৶

মযऋउःखऎ୫सॊञीभ
੗ഓ৓੍ର

৿ਃહऐ

ਗ৅৓৿ਃહऐ
୰ਞ॑੒ଆ‫؞‬੘௜घॊञीभ
ਫखः୫হ৔৅৓৿ਃહऐ
௏೨पেऌॊञीभ
उःखः୫হ

੍ରभ্১નয়औोञ্১

মযधુ৊੿঵दੵ୏खथःऎ

ఢ೧ऊैभ੍ର

ੲਾ৓੍ରੲ৿৓੍ର‫ুؚ‬஺৓੍ର௏೨ষ৿৶૛

౞ણ৷

ણ৷

⏕ά⩦័⑓

䝃䝹䝁䝨䝙䜰

䛺䜛䜉䛟᪩ᮇ䛛䜙་⒪௓ධ

َఞॉ๣ः੍इॊُ౭ ു‫؟‬যपेॉୀअ୫ ‫؟‬୭୆पेॉୀअ་⒪ಖ㝤௓ㆤಖ㝤䠖ᒃᏯ⒪㣴⟶⌮ᣦᑟ௓ㆤಖ㝤䠖⥲ྜ஦ᴗゼၥ䠟➽ຊపୗ䛾๓䛻‫ع‬ःञटऌऽघभउু஫ः‫ع‬मा॒एવఖ৔

‫ع‬ःञटऌऽघभउু஫ः‫ع‬मा॒एવఖ৔

௰ਖ౭ു੐଑भਠ૾

⾜ືኚᐜ䝇䝔䞊䝆䝰䝕䝹ਔ௙षभ௮ऌऊऐभৎ਋

५ঔ‫ش‬ঝ५ॸॵউ
ঽഞ஍ৡ૎

⏕ά⩦័⑓

䝃䝹䝁䝨䝙䜰

নাਰ৔पষ৿॑૗इ
ेअधઓढथःॊ

নাਰ৔पষ৿॑૗इ
ेअधઓढथःऩः

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ষ৿॑૗इथ
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নাਰ৔౞௥दँॊ

་⒪௓ධ

఻৬৓ऩॸॡॽॵॡभ੐଑

ᒃᏯᣦᑟ䝉䝹䝣䜿䜰䛜ᅔ㞴䛺䝍䜲䝭䞁䜾䛷䛾ᰤ㣴ᣦᑟ་⒪ⓗᨭ᥼䛜ᮃ䜎䜜䜛௓ㆤண㜵௓ㆤண㜵䠖⥲ྜ஦ᴗゼၥ䠟୍㒊ຍ➹ NPOἲே䛿䜏䜣䛠༡Ἑෆ‫ع‬ःञटऌऽघभउু஫ः‫ع‬मा॒एવఖ৔

௰ਖ౭ു੐଑धम‫ء‬‫ݣ‬ᝋᲴ‫ܡנ‬ၲ᫱ɶƷ૾

᫢ǂǔ
ಏƠǈ

ᲤƜǜƳ଺ƸƓ٣ƔƚǛᲤȷ᫢ഒƕƳƍŴၜƤƯƖƨȷᡚᨈࢸȷဃ෇፼ॹ၏ƕƋǔȷ֣ǈƴƘƍ
ȷ૰ྸǛቇҥƴƠƨƍȷᏍ໒ǛƓƜƠƨ
ȷ௿᫱ᙀя᫢ԼƸƋǇǓ̅ƍƨƘƳƍ ƳƲ൑ଐƷྂᇌ౭ുभ੍ରऋ૑ਏऩ‫ڱ‬णभॱॖ঑থॢ

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௜ു୫੍ର‫ق‬েણಆຯ୰‫؞‬ऋ॒ऩन‫ك‬

˳˺Ǔ

୐੹୐ਚ৏

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Ԣָȷִɦ

᫢ᝲ᝟ਃƷ
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ɼ඙Ҕ

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ਦᅆŦஉ‫ׅ‬ǇưŦ‫ׅ‬ኖЎ᳸଺᧓Ŧɼ඙ҔƷਦᅆƴؕƮƖŴႻᛩȷਦ‫ݰ‬ȷૅੲ䡚䛔䛯䛰䛝䜎䛩䛾䛚ᡭఏ䛔䡚䛿䜏䜣䛠༡Ἑෆইঞॖঝ‫ء‬
ǱǢ
ȞȍǸȣȸ

ሥྸ௿᫱ٟ
ᡲઃ

ഫᅹŴᕤ‫ޅ‬ŴᚧբჃᜱᚧբȪȏȓȪŴțȸȠȘȫȑȸᡫ৑ǵȸȓǹŴǷȧȸȈǹȆǤƳƲ

ǱǢȗȩȳ঳৖ਸൿ ১যमा॒एવఖ৔

− 113 −

‫ع‬ःञटऌऽघभउু஫ः‫ع‬मा॒एવఖ৔

૔୧भ౭ുୖ਻⋇‫ع‬ःञटऌऽघभउু஫ः‫ع‬मा॒एવఖ৔

ইঞॖঝ଩౭ുमଈಝभ஠૫২ऋৈः

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㧗
䠄௨ୖ䠅

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ཧ⪃ᩥ⊩

১যमा॒एવఖ৔

1䠅᪥ᮏே䛾㣗஦ᦤྲྀᇶ‽䠄2015ᖺ∧)䠖ཌ ⏕ ປ ാ ┬,ᖹᡂ 26 ᖺ䠏᭶2䠅೺ᗣ㛗ᑑデ⒪䝝䞁䝗䝤䝑䜽ᐇᆅ་ᐙ䛾䛯䜑䛾⪁ᖺ་Ꮫ䛾䜶䝑䝉䞁䝇➨2ๅ䠖♫ᅋἲே᪥ᮏ⪁ᖺ་Ꮫ఍ᖺ
3䠅㕲๣䛾㐺ṇ౑⏝䛻䜘䜛㈋⾑἞⒪ᣦ㔪䠖᪥ᮏ㕲䝞䜲䜸䝃䜲䜶䞁䝇Ꮫ఍ ⦅䠈2009ᖺ‫ع‬ःञटऌऽघभउু஫ः‫ع‬मा॒एવఖ৔

‫ع‬ःञटऌऽघभउু஫ः‫ع‬मा॒एવఖ৔

⮬❧ᗘ䛾ኚ໬䛾䝟䝍䞊䞁‫ۅ‬ٛ

౭ു૾ଙऋபऎऩॊऺन‫ؚ‬௽૩ৈೡ঻भ঩ଞেણঽয়২‫ؚ‬ੳੴඪৈೡ঻भ঩ଞেણঽয়২‫ؚ‬ਏ੍ର‫؞‬ਏஂ૧২मથਔपப৲
↢℠⸛ㆸ⸜⹎侩Ṣᾅ‍‍⹟⠿忚䫱ḳ㤕૔୧௜ു೩঻भၭ୫૾ய‫؞‬౭ു૾ଙभཔ඼पঢ়घॊ৹ਪଢ଼஢

‫ع‬ःञटऌऽघभउু஫ः‫ع‬मा॒एવఖ৔

䡚䛔䛯䛰䛝䜎䛩䛾䛚ᡭఏ䛔䡚䛿䜏䜣䛠༡Ἑෆ૔୧भ౭ുୖ਻⋉ েણಆຯ୰

૔୧भ౭ുୖ਻⋈ ଩౭ു଩౭ു‫؞؞؞‬঩‫ر‬भ୫হऋํ୵पঢ়ॎॊ

েણಆຯ୰भঞঋঝ ۸ஂ૧২૔୧पमघसथभঞঋঝभ্ऋோ૔घॊ

୍㒊ຍ➹ NPOἲே䛿䜏䜣䛠༡Ἑෆ− 114 −

‫ع‬ःञटऌऽघभउু஫ः‫ع‬मा॒एવఖ৔

ஂ૧ऋ૑ਏधऩढञ਌ऩਉ౤

䡚䛔䛯䛰䛝䜎䛩䛾䛚ᡭఏ䛔䡚䛿䜏䜣䛠༡Ἑෆㄆ▱⑕

18.0 ⬻⾑⟶⑌ᝈ

16.6 㧗㱋䛻䜘䜛⾶ᙅ

13.3

せᨭ᥼⪅

㛵⠇⑌ᝈ

17.2 㧗㱋䛻䜘䜛⾶ᙅ

16.2 㦵ᢡ䞉㌿ಽ

15.2

せ௓ㆤ⪅

ㄆ▱⑕

24.8 ⬻⾑⟶⑌ᝈ

18.4 㧗㱋䛻䜘䜛⾶ᙅ

12.1

⥲

ᩘ

૔୧௜ുৈೡ঻भၭ୫ᚢৣ૾யध
୫হၭ਄‫؞‬౭ു૾ଙ‫ق‬঱ਜ਼‫گ‬ਜ਼‫౐قك‬ਜ਼٫‫ك‬

せᨭ᥼䠍

㛵⠇⑌ᝈ

20.0

㧗㱋䛻䜘䜛⾶ᙅ

18.4

⬻⾑⟶⑌ᝈ

11.5

せᨭ᥼䠎

㦵ᢡ䞉㌿ಽ

18.4

㛵⠇⑌ᝈ

14.7

⬻⾑⟶⑌ᝈ

14.6

せ௓ㆤ䠍

ㄆ▱⑕

24.8

㧗㱋䛻䜘䜛⾶ᙅ

13.6

⬻⾑⟶⑌ᝈ

11.9

ᖹᆒᖺ㱋81.8ṓ

• 532ྡ

௓ㆤᗘ䛾ෆヂ

3

1
152

153

93

86

44

㛗ᖺ䛾⏕ά⩦័⑓䝁䞁䝖䝻䞊䝹୙Ⰻ  ື⬦◳໬䛾ᝏ໬
22.8 ⬻⾑⟶⑌ᝈ
17.9ㄆ▱⑕㧗㱋䛻䜘䜛⾶ᙅ 13.3
 ⬻⾑⟶⑌ᝈ  ධ㝔  ༊ศኚ᭦

せ௓ㆤ䠎
せ௓ㆤ䠏

ㄆ▱⑕

30.3

⬻⾑⟶⑌ᝈ

19.8

㧗㱋䛻䜘䜛⾶ᙅ

12.8

せ௓ㆤ䠐

ㄆ▱⑕

25.4

⬻⾑⟶⑌ᝈ

23.1

㦵ᢡ䞉㌿ಽ

12.0

せ௓ㆤ䠑

⬻⾑⟶⑌ᝈ

30.8

ㄆ▱⑕

20.4

㦵ᢡ䞉㌿ಽ

10.2

૞અৱમ

਴ਛ ফ

বড়েણ੦ຊ৹ਪभ໪ய

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20%
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40%
ᨭ᥼2

60%

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80%

௓ㆤ3

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100%

௓ㆤ5

ᅾᏯ⒪㣴㧗㱋⪅䛻䛚䛡䜛ᦤ㣗ᄟୗ䞉ᰤ㣴㞀ᐖ䛸೺ᗣ㞀ᐖ䛺䜙䜃䛻ᅾᏯ㈝⥅⥆ᛶ䛾㛵㐃ᮡᒣ䜏䛱Ꮚ ᖹᡂ24ᖺᗘཌ⏕ປാ┬⛉Ꮫ◊✲㈝⿵ຓ㔠㛗ᑑ⛉Ꮫ⥲ྜ◊✲஦ᴗௐেௌ௮੄‫ع‬ःञटऌऽघभउু஫ः‫ع‬मा॒एવఖ৔

䡚䛔䛯䛰䛝䜎䛩䛾䛚ᡭఏ䛔䡚䛿䜏䜣䛠༡Ἑෆ૔୧भ౭ുୖ਻⋊ᦤ㣗ᄟୗ䛾㔜⑕ᗘศ㢮୐੹‫୐؞‬ਚ৏भ୫েણইज़ট‫ش‬ৈೡ঻भ଩౭ുभસ়

4

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105

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336

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100%
ṇᖖ⠊ᅖ

400

500

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ᶵ఍ㄗᄟ

䛸䜝䜏๣
ᰤ㣴๣
⤒⟶ᰤ㣴
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⢛㣗
ᬑ㏻㣗

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40%
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䡚䛔䛯䛰䛝䜎䛩䛾䛚ᡭఏ䛔䡚䛿䜏䜣䛠༡Ἑෆၭ୫ᚢৣ௽૩

㣗஦ᦤྲྀ≧ἣ
2ઠᒷਃચध଩౭ുभঢ়બ

426

0%

20%
䜋䜌඲㔞ᦤྲྀ(8๭௨ୖ)䛛䛺䜚ᝏ䛔(3䡚6๭)

72

40%

24

60%
80%
100%
ከᑡṧ䛩(6䡚8๭)䜋䛸䜣䛹ᦤྲྀ䛷䛝䛺䛔(0䡚3๭ᮍ‶)ᰤ㣴≧ែ䠄MNA-SF䠅

117

0%

291

20%
濙瀧濠 Ḍ㛂柈

40%
60%
8䡚11 పᰤ㣴䛾ᜍ䜜䛒䜚

124

80%
12䡚14 Ⰻዲ100%

ᅾᏯ⒪㣴㧗㱋⪅䛻䛚䛡䜛ᦤ㣗ᄟୗ䞉ᰤ㣴㞀ᐖ䛸೺ᗣ㞀ᐖ䛺䜙䜃䛻ᅾᏯ㈝⥅⥆ᛶ䛾㛵㐃ᮡᒣ䜏䛱Ꮚ ᖹᡂ24ᖺᗘཌ⏕ປാ┬⛉Ꮫ◊✲㈝⿵ຓ㔠㛗ᑑ⛉Ꮫ⥲ྜ◊✲஦ᴗཧ⪃㈨ᩱ䠖ᖹᡂ25 ᖺ ᅜẸ೺ᗣ䞉ᰤ㣴ㄪᰝ⤖ᯝ䛾ᴫせ− 115 −

䡚䛔䛯䛰䛝䜎䛩䛾䛚ᡭఏ䛔䡚䛿䜏䜣䛠༡Ἑෆ䡚䛔䛯䛰䛝䜎䛩䛾䛚ᡭఏ䛔䡚䛿䜏䜣䛠༡Ἑෆ౭ുभ੍ରऋ૑ਏऩ‫ڱ‬णभॱॖ঑থॢ

पेॊ૔୧௜ു঻षभ౭ുॣ॔

௜ു୫੍ର‫ق‬েણಆຯ୰‫؞‬ऋ॒ऩन‫ك‬
୐੹୐ਚ৏
଩

౭

ു
⏕࿨䝺䝧䝹

ၭ୫ᚢৣ௽૩

ಶே䝺䝧䝹

♫఍䝺䝧䝹

ইঞॖঝ‫ء‬঳৖ਸൿ১যमा॒एવఖ৔

‫ع‬ःञटऌऽघभउু஫ः‫ع‬मा॒एવఖ৔

䡚䛔䛯䛰䛝䜎䛩䛾䛚ᡭఏ䛔䡚䛿䜏䜣䛠༡Ἑෆ৉ୠෆฐॣ॔पउऐॊয৓৴௚

ᅾᏯ⒪㣴⪅䛾
୺䛺ྠᒃ௓ㆤ⪅䛿㓄അ⪅䜔Ꮚ౪
60ṓ௨ୖ䛜7๭䜢㉸䛘䜛ਹ৷঻‫ੇ؞‬ఔभථैख

ᖹᡂ28ᖺᅜẸ⏕άᇶ♏ㄪᰝ䛾ᴫἣ ཌ⏕ປാ┬㈨ᩱ䠖ཌປ┬HP䜢୍㒊ᨵኚ䡚䛔䛯䛰䛝䜎䛩䛾䛚ᡭఏ䛔䡚䛿䜏䜣䛠༡Ἑෆ䡚䛔䛯䛰䛝䜎䛩䛾䛚ᡭఏ䛔䡚䛿䜏䜣䛠༡Ἑෆ৉ୠෆฐॣ॔३५ॸ঒ ৈೡ঻भযਯ৔๨

౭ുॣ॔धम‫ء‬౐ਜ਼‫૸؟‬য୫হ਑଒‫ء‬‫ ڀ‬৬भ଻ਙप়ॎचञ౭ുभ઀੧

⥲ᩘ䠖33,920

୫सॊ௫खा॑਄ॉ঱ऑैोजअ‫ءء‬‫ڀ‬ධ㝔䠖1,318ᰤಲਢदऌॊ৯ఏਝ৒ध୸ਛ૎

እ᮶䠖7,238

ᰤᒃᏯ䠖3,330ᰤ᪋タ䠖䠔䠕䠒

ᰤधॉँइङ୫सथॊऊैःः॒गूऩः
‫ڀ‬ऩप॑‫ ء‬नभऎैः‫ ء‬ःण‫ء‬नअृढथ‫ء‬ध৬भ଻ਙ॑णऩऍ਱঱ष଑ऎ

ᰤ− 116 −

ฟ඾䠖ᖹᡂ26ᖺ௓ㆤ䝃䞊䝡䝇᪋タ䞉஦ᴗᡤㄪᰝ
ᖹᡂ26ᖺ ᖺᝈ⪅ㄪᰝ
ᖹᡂ28ᖺ∧㧗㱋♫఍ⓑ᭩‫ع‬ःञटऌऽघभउু஫ः‫ع‬मा॒एવఖ৔

‫ع‬ःञटऌऽघभउু஫ः‫ع‬मा॒एવఖ৔

ਸ਼ਉಋ ਄ॉੌाभৌ଴मَेॉਂਹऩয‫ُر‬धَघसथभযُ
ୃਰ঱যઠ
৺যੜਸ

ஂ૧೽ਏ೅
ট८ॵॺ஍ટ
९‫ش‬३কঝय़কআॱঝभଡണ

েਓফೡযઠ৺ য੖૘
ਊ৉ୠभ્ඉ‫ق‬ফ াਠ૔‫ك‬৽ੋ৓௹ऊऔ
ઇ୘षभ੍ର

୰੹୰෫ਯ‫ق‬যઠਐযँञॉ‫ك‬;
‫ٮ‬৸ব਴಑ਰ঱

ল๕‫؟‬঩মୢపভ

!0 ‫ق‬৉ୠୢ௜ੲਾ३५ॸ঒‫ك‬઱ਝোਚ৒৩ਯ‫ୃ ق‬ਰ঱૸যँञॉ‫ك‬‫ٮ‬৸ব਴಑ਰৣ

௏೨ત୷ৌੁभਉಋ
ফা;঩ 9#$ਁஇଃ੮১যୢ௜ఐ৾ଢ଼஢ਚ َ௏೨भ঺ভ৓ৠ৒ਏ౤‫ق‬H?‫ُك‬উট४ख़ॡॺ

‫ع‬ःञटऌऽघभउু஫ः‫ع‬मा॒एવఖ৔

䡚䛔䛯䛰䛝䜎䛩䛾䛚ᡭఏ䛔䡚䛿䜏䜣䛠༡Ἑෆᡤᚓ䛸⏕ά⩦័䛾㛵ಀ䠄ᖹᡂ22ᖺᅜẸ೺ᗣ䞉ᰤ㣴ㄪᰝ䠅েણಆຯमঽীदৠीथःऩः

20

ṓ௨ୖ

䝝䜲䝸䝇䜽䞉
䝇䝖䝷䝔䝆䞊

䝫䝢䝳䝺䞊䝅䝵䞁䞉䝇䝖䝷䝔䝆䞊

‫ع‬ःञटऌऽघभउু஫ः‫ع‬मा॒एવఖ৔

䡚䛔䛯䛰䛝䜎䛩䛾䛚ᡭఏ䛔䡚䛿䜏䜣䛠༡Ἑෆ౟୥दघऋ Ҵ୫වभၭ਄धഷಓपणःथҴ཰⦰ᮇ⾑ᅽmmHg

Ꮚ౪ᮇ䛚䜘䜃㧗㱋ᮇ䛾⤒῭≧ἣ䛾㐪䛔䛸㧗㱋ᮇ䛖䛴䛸䛾㛵㐃૞અધ൴ <% ')=>$ % ",/, % ,5 ?%  @ <% ",/, " ./,,/ ,*,#*,,5* )  / , # ,- /#1$# , 5,4 !
1# # ,./#$ /). & # !08  1$, 1#*2# *,,$ )/+ 05 ! 8#$$+*$+ 2016;; &G ਖः়ॎच੔‫؟‬ᶡӜ५、↟、བྷᆖབྷᆖ䲒५↟ᆖ㏿ਸ⹄ウ、 䉧 ৻俉ᆀഷಓम&঩भවীၭ਄द
ফ৑प ++&঱ಊ‫ ڀ‬ফ৑
 &঩ၭॉਢऐॊध
‫ڀ‬৺ ++&঱ಊฟ඾䠖e䝦䝹䝅䞊䝺䝅䝢HP బ䚻ᮌᩄ ᰤ㣴䝕䞊䝍䛿䛣䛖ㄞ䜐䟿− 117 −

ᖺ㱋䡚䛔䛯䛰䛝䜎䛩䛾䛚ᡭఏ䛔䡚䛿䜏䜣䛠༡Ἑෆ䡚䛔䛯䛰䛝䜎䛩䛾䛚ᡭఏ䛔䡚䛿䜏䜣䛠༡ἙෆẔᏑ୎ẕ Ṟ፶୻᣼ࠊỉဃ෇፼ॹ၏ỉྵཞ୫୘धमὉဏࣱḗ᭗ᘉ‫ן‬ὉᾛᾓᾛἅἾἋἘἿὊἽ᭗͌
ỉờỉầ‫ٶ‬ẟὉ‫ࣱڡ‬ḗᾛᾓᾛἅἾἋἘἿὊἽ᭗͌ầ‫ٶ‬ẟ䞉䝯䝍䝪䝸䝑䜽䝅䞁䝗䝻䞊䝮䠉ヱᙜ⪅䛜⦆䜔䛛䛻ୖ᪼䠉ணഛ㌷䞉ヱᙜ⪅䛾๭ྜ䛿䛸䜒䛻኱㜰ᗓ䜔ᅜ䜢ୖᅇ䛳䛶᥎⛣ཧ⪃㈨ᩱ䠖㣗⫱䜺䜲䝗 ෆ㛶ᗓ ᨻ⟇⤫ᣓᐁ㸦ඹ⏕♫఍ᨻ⟇ᢸᙜ㸧௜ 㣗⫱᥎㐍ᐊཧ⪃䠖೺ᗣ䛿䜃䛝䛾21ィ⏬ཬ䜃㣗⫱᥎㐍ィ⏬

䡚䛔䛯䛰䛝䜎䛩䛾䛚ᡭఏ䛔䡚䛿䜏䜣䛠༡Ἑෆ䡚䛔䛯䛰䛝䜎䛩䛾䛚ᡭఏ䛔䡚䛿䜏䜣䛠༡Ἑෆ৯৓॑୸ਛघॊৡছॖই५य़ঝ
যẔᏑ୎ẕ ṟᛢ᫆ửৼảỦ‫܇‬Ễờỉᝢ‫׉‬ỉྵཞষ৿ᖹᡂ28ᖺᗘᅜẸ⏕άᇶ♏ㄪᰝ䞉┦ᑐⓗ㈋ᅔ⋡15.6䠂 䞉Ꮚ䛹䜒䛾㈋ᅔ⋡䞉䜂䛸䜚ぶ䛾㈋ᅔ⋡ 50.8䠂

੥ટ
⤖ᯝᮇᚅ

13.9䠂

ᚃỉἒἨἽὁὊἁẆἚἼἩἽὁὊἁễỄỆợụẆ‫܇‬ỄờẻẬỂᢅắẴܼࡊờ‫ٶ‬ẪẝỦẇ‫ܔ‬᫢ễỄỉ᫢࿢‫ؾ‬ờԃỜ‫܇‬ỄờẺẼồỉૅੲầ࣏ᙲỂẝỦẇ

ঽഞৰਠ

ঽ
ഞ
஍
ৡ
૎

৯ఏਝ৒

Habikino Children’s support network‫܇‬Ễờầ‫࣎ܤ‬ẲềᢅắẶỦ‫ئއ‬৑ểசஹồỉ೛บẲ

ਔઓৠ৒

ぶ䜈䛾
ᨭ᥼

Ᏻᚰ

५ॺঞ५ঐॿ४ওথॺ

Ꮫ⩦
ᨭ᥼

ྍ⬟ᛶ

॥঑গॽॣ‫ش‬३ঙথ
ঽഞᆾ৒૎

௰㛫

䛴䛺䛜䜚

‫ق‬७ঝইग़५ॸॕ‫ش‬঒‫ك‬䡚䛔䛯䛰䛝䜎䛩䛾䛚ᡭఏ䛔䡚䛿䜏䜣䛠༡Ἑෆ䡚䛔䛯䛰䛝䜎䛩䛾䛚ᡭఏ䛔䡚䛿䜏䜣䛠༡Ἑෆউট४ख़ॡॺभ৯ఏ

!+(*%
+(*% -/
-/ ""1-এআগঞ‫ش‬३ঙথ॔উট‫ॳش‬पेॊ൚౿ँऴोॊ৉ୠ੿ॉ

௜ുরभ
৉ୠभ௏೨
৉

ऱधधऌभ






൚౿

൚౿भ౞ਟ
௏೨ੜਤ ௏೨ત୷ੰ଎
ஂ૧੒ଆ!"ૹષभ ୫୘
ன৫

౞ਟभ൚౿
౞

‫ڻۈ‬
‫ۈ‬
‫ۉڻ‬
‫ۉڻۈ‬
౭ു
ു

ঊঝ३‫ش‬ਮწ৕ঊमा॒एવఖ৔
एવ
વఖ
ఖ
ఖ৔
৔

ँ॒ᅤ

৕୹ञठभ੍ର
৕୹ञठ
৕୹
৕
৕୹ञ
୹ञ
୹
୹ञठ
ञठ
ञ
ठभ
भ੍ର
भ੍
੍ର
੍ର

৕୹ञठभ
৕୹ञ
৕୹
৕
୹
୹ञ
ञठ

ठॊऔ़
ठॊऔ
ठ
ॊऔ
ॊ
औ़

൚౿
൚
౿

௜ു঻
৕୹ञठषभ੍ର
௏೨षभ௪௡
ঊঝ३‫ش‬ਮწ৕− 118 −

‫ع‬ःञटऌऽघभउু஫ः‫ع‬मा॒एવఖ৔

䡚䛔䛯䛰䛝䜎䛩䛾䛚ᡭఏ䛔䡚䛿䜏䜣䛠༡Ἑෆ૔୧भ୫੍ରभইট‫ش‬ਹ৷঻‫ੇ؞‬ఔَॣُ঩ଞभႶोऩः୫হ॑ତइॊ
َঁঞ્ُશ
ऩ୫হ

੘ ௜

ে ણ



୫੍ର
ॳ‫ش‬঒

૔୧

୭୆৹ତ

୫হ৔ઍभৠ৒

ହ৥ध৊ਔ‫كق‬‫ق‬৹৶‫؞‬௅િ‫؞‬୫఻ऩन‫ك‬੍ର৔ઍभਫ਼ୈ

َॣُ঩ଞ
भ୫হ୼ઌॢছইॕॵॡ঺
ଅ੩ఒอ঳ᅑ঳ཅदेःधःअ઀੧

%'#$(*(0#0(-,௬੼‫ق‬ਃચ‫؞‬౭ു‫ك‬

ཹ୫

୫౫भ૆૟

৹৶

㈨ᩱ䠖ཌປ┬HP䜢୍㒊ᨵኚ‫ع‬ःञटऌऽघभउু஫ः‫ع‬मा॒एવఖ৔

䡚䛔䛯䛰䛝䜎䛩䛾䛚ᡭఏ䛔䡚䛿䜏䜣䛠༡Ἑෆ౭ു૾ଙधၭ୫ਃચ

਍৒खञ౭ുभၭ਄पेॉ৬॑ତइॊ

َॣُभ୫হ
⒏उःखऎ਍৸द਍৒खञ୫হ

䡚䛔䛯䛰䛝䜎䛩䛾䛚ᡭఏ䛔䡚䛿䜏䜣䛠༡Ἑෆ䡚䛔䛯䛰䛝䜎䛩䛾䛚ᡭఏ䛔䡚䛿䜏䜣䛠༡Ἑෆঐ६ট‫ش‬भ ஺మभඟ੷
௥ञऔोॊ୫হ

୫सञःुभ॑
୫सॊ຦ध৊गुभ॑
୫सॊ䛚䛔䛧䛥䛸䛿
௡‫؞‬ಘॉ
૔୧௜ുपउऐॊ୫धम‫؞؞؞‬ആ২ ໂऔആ২‫؞‬ໂऔ
¾ ཪॉधऩॊुभ
୫स੟भ૾ଙ
ৄञ৯
¾ ময਌৬ऋਉಋउःखऔੱ৶૾ଙ
¾ ୫੍ରम୫ધ৲भ஄ਛ

ঽഞৰਠभඟ੷
ঽ๑भඟ੷
ਚരभඟ੷

୫सॊযभ૾ଙ
਍৸प୫सॊ

਍৸भඟ੷

୫सॊ

ে৶৓ඟ੷

௏೨૾ଙ

পજऩऒधम‫؞؞؞‬उःखऎ୫सथ‫ؚ‬ਞ౜‫؞‬૬৑௫ख॒दुैःञःਞ੅ठ
୫ಆຯ− 119 −

䡚䛔䛯䛰䛝䜎䛩䛾䛚ᡭఏ䛔䡚䛿䜏䜣䛠༡Ἑෆःञटऌऽघभउু஫ः
• n୫सॊ|धम‫؞؞؞‬ে୵॑୘ा‫ؚ‬ஹॉ‫ؚ‬ಜल॑ુથदऌॊn୫|मऽऔखऎয‫ر‬भ भপऌऩਏಞधऩॊ
ஐ਽สౣَ౭ുઇ୘૛ُਸ਼ ග৽ੋ৓‫؞‬૙঵৓૾ଙ

ੱ৶৓૾ଙَఞॉ๣ः੍इॊُ౭ ു‫؟‬যपेॉୀअ୫ ‫؟‬୭୆पेॉୀअ
ମ৬৓૾ଙ

঺ভ৓ઐ૴

෕ઇ৓‫؞‬࿱৓૾ଙ䡚䛔䛯䛰䛝䜎䛩䛾䛚ᡭఏ䛔䡚䛿䜏䜣䛠༡Ἑෆ୫सॊহ‫؞‬౭ു‫؞‬৉ୠেऽोॊ৐ऊै൒য়णৎऽद঩ ৎ৑ েણ੍॑इॊ
ઃभছॖই५ॸ‫ش‬४षभ৬तऎॉ

ዷፎ䞉ฟ⏘

⫱ඣ

ᡂ㛗

⏕ά⩦័⑓ண㜵

௓ㆤண㜵

⤊䛔ᨭᗘ

଻যभ‫ہۄۆ‬਱঱౭ുभణ఺஍ટ

౭ുभణ఺஍ટ

৉ୠभ‫ہۄۆ‬਱঱䡚䛔䛯䛰䛝䜎䛩䛾䛚ᡭఏ䛔䡚䛿䜏䜣䛠༡Ἑෆउणऊोऔऽदखञ‫؛‬ओ஬ലँॉऋधअओकःऽखञ‫؛‬− 120 −

㈨ᩱ17

FGHIJKJHŃ৉ୠ‫؞‬૔୧ৈೡ঻भَ୫ُपఞॉजअ
୦॑ৄथ௬੼घॊऊ
ၭ୫ᚢৣਃચ௬੼भॖও‫ش‬४ড‫ش‬ॡ३ঙॵউ
َ঑‫ش‬ঝছक़থॻُ ঩মຓఐপ৾ဟര୰੹

୫ষ৿ઠᒷ‫ق‬ᙋᚧ‫ك‬ድ୍‫ق‬ᚢৣ‫ك‬୭୆ઠᒷজঁঅজॸ‫ش‬३ঙথఐৈଶཛྷྊୃ ੬ਙ ॔ঝॶঁॖঐ‫ش‬஑ੳੴඪ

௬੼ઠᒷ৔ਚৄ‫؟‬঱ৣ੕ଝຓ
ၭ୫૾ய‫؟‬৪න‫ؚ‬ଞ୫॑ঽ୫पथၭ਄खथःॊ‫؛‬ၭ୫௅િम੤ᇼ৕‫؛‬୫হৎभ঒७ऋँॊञी਷ীपॺট঑
॑णऐथःॊ‫؛‬ൂ౅৔ઍ‫؟‬ਠ૔भድ୍ਃચध઀୹औोथःॊ୫஄ଙध
भಖਪൌ஦
ਗ৖௬੼ਚৄ‫؟‬‫؞‬ଞ୫॑ঽ୫पथၭ਄खथःॊ૾ଙ‫؛‬ᙋᚧभ৿ऌ
मૻຎ৓ଐ஀द঒७ऩख‫؛‬ᚢৣ৔ଳྰਫ਼ਪਚৄ‫؟‬‫؞‬ድ୍৔भᏹัभฅ೏ँॉ
‫؞‬ঃথपउःथ‫ؚ‬রಉ২भଋ೏‫ؚ‬።୍෶োँॉ
‫؞‬୯ਸᚢৣ৏भድ୍ॡজ॔ছথ५பः૾ଙदखञ



੐଑৔ઍ

ਖ਻ਡम‫؛؛‬ ঳ઠ୤भ৹ତ‫ؚ‬୫হभঌ‫ش‬३থॢ੐଑‫؛‬

୭୆

୫ষ৿

ଫ୫ः

୫஄ଙ

൵ी੢ा

ঽ୫


ઠᒷ
‫ق‬ᙋᚧ‫ك‬ ਠ૔भ୫஄ଙपउःथᙋᚧਃચमଐ஀दँॊ
ऋ‫ؚ‬ድ୍ਃચम଩ৣखथःॊ‫؛‬৪න॑ዩ‫ؚ‬ঃথ॑ঃথዩ‫ؚ‬ౢཅ॑ृॎैऊ୫प஄ଙ૗ಌघ
ॊेअ੐଑खञ‫؛‬ ୯ਸᚢৣ‫ؚ‬ઐ൩ᚢৣभਹ৷‫؟‬ድ୍‫ق‬ᚢৣ‫ك‬ድ୍ॡজ॔ছথ५॑ଐ஀पघॊञी୫হরप
उภ॑घघीॊऩनभଢऊऐ॑ষऩअेअप
ੇఔ‫ؚ‬઱ਝ૙৩प੐଑खञ‫؛‬ድ୍።୍भ૎ಁ௽૩
ድ୍ઽೠभ଩ৣ
ਸೡपൣअ૗৲

− 121 −

FGHIJKJHድ୍‫؞‬።୍भਸೡपൣअ஄ଙ૗৲

ਸೡ૗৲ऋᚢৣਃચ ድ୍ଋ೏ प୶஭खथःॊ ።୍भৣႄ‫ؚ‬ჱ෗ऋৣ্पਜ਼઼घॊ

ඪ୻ ൙ৡभ଩ৣ ঳৚भᚢৣઈ৿पਏघॊৎ৑ऋభশघॊ
ୃ‫ؚ‬੬ਙઠᒷ৔૾ய

਌୪‫؟‬ःणऽदु፸॒दःॊ‫؛‬୫হৎ৑ऋশः‫؛‬ႈ೩‫॔؟‬ঝॶঁॖঐ‫ش‬஑ੳੴඪ
ਠ୰ഄ‫؟‬োਚৎमଞ୫॑ঽ୫खथःञऋ‫ؚ‬ဉ‫ر‬पੳੴਃચऋ଩ৣख‫ؚ‬୫হभ৫઩ऋ൑୔धऩॉ‫ؚ‬୫᪗ऋ੗ऎੳीैोॊञी‫ؚ‬ਠ૔मዩ‫ؚ‬९ইॺ୫॑৸ஂஃ
दၭ਄खथःॊ‫؛‬‫ڳعڳ‬‫ڳعڰ‬
కৣ৐ຓ‫؟‬ଋஉใ༼ഄ‫؟‬ৈഷಓମশ‫؟‬FP‫ؚ‬৬੎‫ؚ⋹؟‬%0,
$'/‫؟‬%DUWKHOLQGH[
ੳੴਃચ‫'&؟‬5ᚢৣਃચ‫⅑؟‬৖ല൧मଐ஀

ਗ৖௬੼ ੂ৚௬੼ ਉ઩ખೝ‫ق‬ᙔખೝ‫ك‬ ৣ዁भ౐ෞऩ঱ৣઈ৿ ୫஄ଙपँॎचञ৿ऌऋ൑୔दँॊ

ਗ৖௴௄௬੼ਚৄ
 ઠभ৿ऌम৐৏ઈ৿दँॊ ୫੟ध਷ীभᆙी੢ा ୫হ॑৫઩दऌऩः
− 122 −

FGHIJKJHਗ৖௬੼‫ੂق‬৚௬੼ेॉऊা৏‫ك‬ऊা৏ऽदभ৽ૌ
100

ၭ
਄
୤
‫ط‬
৬
੎

ਗ৖௴௄௬੼ਚৄ

80

ၭ਄୤[٫]

70

৬੎[kg]60 ୫হपૐরदऌङप‫ؚ‬ఢॉ॑ऌॆौऌॆौৄ৚घ ઠᒷ਋भੈ৹ઈ৿௽૩ ᆙी੢ा‫ؚ‬ᚢৣખೝभᎷ
କ೚భ

90

50
40
30

ዩ ९ইॺ

20
10

1

2

3

4

ॢঝ‫ش‬উড‫ش‬ॡ‫؟ق‬ऽद‫ك‬
9 ਠ૔भ૾ய॑౷ऽइञअइद‫ؚ‬ਖ਻ਡधৌૢ১पणःथॹॕ५
ढ़ॵ३ঙথ॑ষढथऎटऔः‫؛‬
9 ਖ਻ਡ॑঱ऑथ‫ؚ‬ढ़ॸ०জ‫ش‬पীऐथऎटऔः‫؛‬
9 जोझोभৌૢ১पणःथਫ਼ୈ
खथऎटऔः‫؛‬


ඪ୻ 2

੦ຊੲਾ

ਗ৖௴௄௬੼ ফೡ‫؞‬ਙશ‫ؚୃ؟‬੬ਙ ੦ຊႈ೩‫؟‬৐୍ડ୍஑ੳੴඪ

ᚢৣ৔ଳྰਫ਼ਪ ใ༼ഄ‫؟‬౼ዄኋ‫ؚ‬ෙᚢਙཡ༇‫ؚ‬൓਷ ્ുपো೜র ၭ୫૾ய‫؟‬ঌ‫ش‬५ॺ୫॑ঽ୫पथၭ਄खथःॊ ൂ౅৔ઍ‫؟‬ධा੢ाऋபऎ‫ؚ‬ᮽऋैाँॊ‫؛‬୫৏भ঒७੢ाऋ੗ऎੳीैोॊ‫؛‬ಁጅਂଐपेॉ୫
হ॑র૵घॊऒधुँॊ‫؛‬਍৸ऩ୫হ্১पणः
थੴॉञः‫؛‬− 123 −

5

FGHIJKJH௬੼ॢঝ‫ش‬উড‫ش‬ॡऽद‫ك‬ਗ৖௬੼ਚৄ‫؟‬ ୫হরभဒਙᚅଢ
 ⅑৖ല൧पेॉድ୍ଋ೏ఠऋੳीैोञ‫؛‬ᚢৣ৔ଳྰਫ਼ਪਚৄ‫؟‬ ድ୍‫ؚ‬።୍৔भᏹัฅ೏‫ؚ‬ᏹัෙᚢऋੳीैोञ‫؛‬ ᚢৣખೝभᎷକ೚భ‫ؚ‬୫੟भድ୍ଋ೏‫ؚ‬።୍෶োउ
ेलෙᚢऋੳीैोञ‫؛‬ ਂႀਙෙᚢऋ௴௄औोञ‫؛‬ ਷ীपणःथमॺট঑॑હଖघॊऒधद‫ؚ‬ෙᚢमೄ੖खञऋ‫ؚ‬୫੟पणःथम‫ؚ‬८জ‫૾ش‬भ୫ષ॑৷ः
थु੅ਢ৓ऩਂႀਙෙᚢऋੳीैो‫৽ؚ‬ઠၭ਄॑ষ
अऒधऋశଞपজ५ॡदँढञ‫؛‬

9 ਖ਻ਡ॑঱ऑथ‫ؚ‬ढ़ॸ०জ‫ش‬पীऐथऎटऔः‫؛‬
9 ిજऩॣ॔উছথ॑ਫ਼ୈखथऎ
टऔः‫؛‬੦ຊੲਾ ফೡ‫ؚ‬ਙશ‫ؚୃ؟‬੬ਙ ႈ೩‫؟‬ੳੴඪ ઠᒷ৔ਚৄ‫؟‬঱ৣଝຓ

ඪ୻ 3

 ॢঝ‫ش‬উ঍‫ش‬঒पো೜র ၭ୫૾ய‫؟‬ଞ୫॑ঽ୫पथၭ਄ ൂ౅৔ઍ‫؟‬঳২‫ؚ‬ᄚඅपेॉ೰૶ဦଛऔोञใ༼ऋ

ँॉ‫ؚ‬ਠ૔भድ୍ਃચध઀୹औोथःॊ୫஄ଙಖਪ মযम‫ؚ‬ଞ୫॑ൌ஦खथःॊ‫؛‬ঌ‫ش‬५ॺ૾भ୫হम

෻౯॑खथउॉ‫َؚ‬ଞ୫॑୫सैोऩःऩैଈ॒ट
্ऋःःُध୪इॊ‫؛‬ओනঃথਖ਻ਡम‫؛؛‬
୫ষ৿

୭୆

୫஄ଙ

ઠᒷ
‫ق‬ᙋᚧ‫ك‬ድ୍ ‫ق‬ᚢৣ‫ك‬෗ᦠ‫⅑ؚ‬Ⴧඪድ୍።୍भ૎ಁ௽૩
− 124 −

FGHIJKJHॢঝ‫ش‬উড‫ش‬ॡ௬੼उेल੐଑৔ઍ
ਗ৖௬੼ਚৄ ᙋᚧभ৿ऌम໪बଐ஀‫؛‬ᚢৣ৔ଳྰਫ਼ਪਚৄ ෗ᦠपेॊድ୍ଋ೏
੐଑৔ઍ ஄भँॊ஄ଙम።୍ሼદपଋ೏घॊञी‫ؚ‬ᄚඅभজ५
ॡऋৈः‫े؛‬ढथ‫ؚ‬ଞ୫ऊै৹ତ୫प஄ଙ૗ಌ‫؛‬ ୫হमજॉীऐथऊै઀୹ख‫ؚ‬ঃথ୫मరૃधखञ‫؛‬

9 َଈ॒दुःःऊैଞ୫॑୫स
ञःध୪इॊ্ُषभৌૢपण
ःथॹॕ५ढ़ॵ३ঙথ॑खथऎ
टऔः‫؛‬− 125 −

㈨ᩱ18ϮϬϭϳͬϭϭͬϮϵْড‫ش‬ॡ३ঙॵউٓඪ୻ϭ঑‫ش‬ঝছक़থॻ ϴϬ৻੬ਙ ਤষਙત঱ਙ๊ᮾ Ϯऊা৐पཡ༇৅ඪ

঩মຓఐপ৾

‫ق‬ෙᚢਙཡ༇धःॎोथःॊ‫؟‬ϯ৚৯‫ك‬ઠᒷজঁঅজॸ‫ش‬३ঙথ੗༂ॡজॽॵॡ
ໜદ ൲ध੸যථैख

૱୦॑ৄॊभऊ‫ء‬ୂऌ਄ॉ ୫ඟम‫ء‬ ౭ു૾ଙम‫ء‬ ಁጅঞঋঝम‫ء‬ नऒद୫सथःॊ‫ء‬ ୦॑୫सथःॊ‫ء‬ नभऎैःऊऊढथःॊ‫ء‬୦॑ৄॊभऊ‫ء‬୫হ௴௄ ௅િम‫ء‬ ୫হपৌघॊੳੴम‫ء‬ ஂஃभঌ‫ش‬५‫ؚ‬঳ઠ୤ ఑୫ऊैᚢৣऽदभৎ৑ ᙋᚧभ৿ऌ िचॊऒधमँॊ‫ء‬ ઠᒷ৔ଋ೏ ৹৕भेःৎ৑ఝमँॊ‫ء‬ िचभથ૮

୫হ௴௄ िैऋँॊ ੤ःघౠਜ਼‫ؚ‬కपုॊ %0,  ઃ‫ر‬धઠभরपোोॊ ৬੎੖૘૨ ⋦੖઄ফ ऩऊऩऊධऽऩः ෌മेॉபः‫ஂق‬ஃ૑ਏ‫ك‬ ൠःᙋᚧઈ৿ മ॒द ઠᒷ৔ଋ೏প୤ ৎ৑઄ পऌऎिच‫شॸؚ‬ঈঝपఄलങॊ उภदिचॊ ફ୫मेऎ୫सॊ ลਬ॑঩पਯ৚ ళล૾ଙ‫ؚ‬ళลఠ ஄ँॊुभ॑୫सऔचञः ੇఔभ୳ःम‫ء‬नअઅइॊभऊ‫ء‬ୂऌ਄ॉ िैऋँॊ

ୂऌ਄ॉनअઅइॊभऊ‫ء‬ੰ๸ ੳੴਃચ଩ৣऋঢ়બखथः
ॊ

୫হ௴௄

ੰ๸

 ੤ःघౠਜ਼‫ؚ‬కपုॊ ਖ਻ँॉजअ ઃ‫ر‬धઠभরपোोॊ ঌ‫ش‬५ଫः‫ء‬ ୫஄ଙभਂి ऩऊऩऊධऽऩः ઠᒷድ୍୎ଛऋபः ୫হৎ৑ऋশघऍॊ ൠःᙋᚧઈ৿ ᚢৣ৐ෙᚢ‫ء‬ ઠᒷ৔ଋ೏প୤ ફ୫मेऎ୫सॊ ಁጅঞঋঝभेःৎँॉज
अ পऌऎिच‫شॸؚ‬ঈঝपఄलങॊ ᙋᚧৡ଩ৣ‫ق‬ઈ৿ਃચ଩
ৣ‫ء‬ੳੴਃચ଩ৣ‫ؚكء‬୫჋஄ਛચ଩ৣ ลਬ॑঩पਯ৚ ෙᚢभজ५ॡৈः ஄ँॊुभ॑୫सऔचञः नअघोयৰਠदऌॊऊ

 D/ ϭϴ͘Ϭ ৬੎੖૘૨ ϲ⋦੖ͬ઄ফ ෌മेॉபः‫ஂق‬ஃ૑ਏ‫ك‬ മ॒द ϭৎ৑઄ उภमिचॊ ଩౭ു૾ଙ‫ؚ‬खऊुப৲ख
थःॊ− 126 −

 ᙴলमजऒजऒदऌथः
ॊ‫ءء‬ϮϬϭϳͬϭϭͬϮϵ୦॑घॊभऊ‫ء‬

ඪ୻‫ڮ‬

଩౭ുଆૃ

ઠᒷድ୍୎ଛभ੝ఒ ϴϬ৻੓ਙ ఑୫भ଑ো ૴৿ਙभৈऎ‫ؚ‬હାਙभ଩ः୫ષष‫ق‬ञटख‫ؚ‬उภदिचॊ‫ك‬ ੳੴඪ ৬੎‫ؚ‬ၭ୫୤भঔॽॱজথ
ॢ‫ق‬नऒदघॊभऊ‫كء‬ ફभ୫হपેীऩ౭ുऋၭ
ोॊेअपੵ୏घॊ ಁጅঞঋঝभଐःৎप஄ँ
ॊ୫হ॑ၭॊ‫ء‬ ಁጅபःৎम௅િ॑ृृ౵घ ਘःिचऋলॊ‫ؚؚؚ‬‫ڀ‬জ५ॡ଩ः‫ځ‬Ꭼᚍയचॊऊ‫ء‬ ਈ੺‫ऺؚ‬ध॒न୫सऩऎऩढञ ཀ୏എधϯযदථैखथःॊ ಁጅঞঋঝभபःৎप਍৸
ऩ୫হ॑ၭॊ‫ء‬୦॑ৄॊभऊ‫ء‬୦॑ৄॊभऊ‫ء‬

ୂऌ਄ॉ

୫হ௴௄

ୂऌ਄ॉ

୫হ௴௄

 ୫ඟम‫ء‬ ௅િम‫ء‬ ँऽॉञसञऋैऩः ᇼ৕ऊैෟॉ૳ठजअ ౭ു૾ଙम‫ء‬ ୫হपৌघॊੳੴम‫ء‬

 %0,  ಁጅঞঋঝम‫ء‬ ஂஃभঌ‫ش‬५‫ؚ‬঳ઠ୤ ৬੎੖૘૨ ⋦੖ऊা ॸঞঅभఠृ௴௄঻भ্
॑ਞपघॊ नऒद୫सथःॊ‫ء‬ ఑୫ऊैᚢৣऽदभৎ৑ ऩऊऩऊ୫स઩ीऩः ୦॑୫सथःॊ‫ء‬ ᙋᚧभ৿ऌ ᆙी੢॒टऽऽઠ॑৿ऊऔ
ऩःऒधुँॊ नभऎैःऊऊढथःॊ‫ء‬ ઠᒷ৔ଋ೏ മ॒द ൠःᙋᚧઈ৿ िचॊऒधमँॊ‫ء‬ िचभથ૮ ৎ৑ फ़ছफ़ছधᮽऋैा॑ख
थःॊ ৹৕भेःৎ৑ఝमँॊ‫ء‬ ્प৹৕भेःৎमऩः ళล૾ଙ‫ؚ‬ళลఠ ୫सटघध‫ؚ‬૘खౙखजअ ੇఔभ୳ःम‫ء‬ ૮৶प୫सऔचॊऒधपઑ
ਖनअઅइॊभऊ‫ء‬ ઠ॑৫ऐऩः

नअઅइॊभऊ‫ء‬

ୂऌ਄ॉ

ੰ๸

 ँऽॉञसञऋैऩः ୫ඟ଩ৣ

୫হ௴௄ੰ๸

 %0,  ଩౭ു૾ଙ‫ؚ‬खऊुப৲
खथःॊ ᇼ৕ऊैෟॉ૳ठजअ ౠਜ਼৳੅൑୔‫ق‬໸ௌ‫ك‬ ିਔभ੅ਢऋ൑୔ ୫੟ੳੴभ଩ৣ ॸঞঅभఠृ௴௄঻भ্
॑ਞपघॊ ୫হৎ৑ऋশघऍॊ ऩऊऩऊ୫स઩ीऩः ੳੴਃચभ଩ৣ ୫হၭ਄୤भનੳऋ૑ਏ ઠ॑৫ऐऩः ୫ඟधभঢ়৴म‫ء‬ ൠःᙋᚧઈ৿ ୫஄ଙऋँढथःॊभऊ‫ء‬ যেभਈી஺మपৌघॊ
અൟ फ़ছफ़ছधᮽऋैा॑ख
थःॊ ৬੎੖૘૨ ⋦੖ऊা ᆙी੢॒टऽऽઠ॑৿ऊऔ
ऩःऒधुँॊ മ॒द ৎ৑ ્प৹৕भेःৎमऩः ୫सटघध‫ؚ‬૘खౙखजअ ૮৶प୫सऔचॊऒधपઑ
ਖ− 127 −

 ෙᚢभজ५ॡৈः

ϮϬϭϳͬϭϭͬϮϵ୦॑घॊभऊ‫ء‬଩౭ുଆૃ୫ඟਂஷपৌखथ ၭ୫୤भঔॽॱজথॢ‫ق‬नऒदघॊभऊ‫كء‬ उःखजअप୫सञऒध॑৯
ఏपघॊ ৬੎೾৒‫ق‬नऒदघॊभऊ‫كء‬ ୫सञःुभ॑୫सथुैअ ୫सैोॊटऐ୫सॊ ౥୫॑৯੐घभऊ‫قء‬଩౭ുभ੒ଆ॑৯৓धघॊभ
ऊ‫كء‬ߏᷡ⡬޽ࠅ߇ߣ߁ߏߑ޿߹ߒߚ

− 128 −Ń৉ୠ‫؞‬૔୧ৈೡ঻भَ୫ُपఞॉजअ
୦॑ৄथ௬੼घॊऊ
ၭ୫ᚢৣਃચ௬੼भॖও‫ش‬४ড‫ش‬ॡ३ঙॵউ
َ঑‫ش‬ঝছक़থॻُ ঩মຓఐপ৾ဟര୰੹

୫ষ৿ઠᒷ‫ق‬ᙋᚧ‫ك‬ድ୍‫ق‬ᚢৣ‫ك‬୭୆ઠᒷজঁঅজॸ‫ش‬३ঙথఐৈଶཛྷྊୃ ੬ਙ ॔ঝॶঁॖঐ‫ش‬஑ੳੴඪ

௬੼ઠᒷ৔ਚৄ‫؟‬঱ৣ੕ଝຓ
ၭ୫૾ய‫؟‬৪න‫ؚ‬ଞ୫॑ঽ୫पथၭ਄खथःॊ‫؛‬ၭ୫௅િम੤ᇼ৕‫؛‬୫হৎभ঒७ऋँॊञी਷ীपॺট঑
॑णऐथःॊ‫؛‬ൂ౅৔ઍ‫؟‬ਠ૔भድ୍ਃચध઀୹औोथःॊ୫஄ଙध
भಖਪൌ஦
ਗ৖௬੼ਚৄ‫؟‬‫؞‬ଞ୫॑ঽ୫पथၭ਄खथःॊ૾ଙ‫؛‬ᙋᚧभ৿ऌ
मૻຎ৓ଐ஀द঒७ऩख‫؛‬ᚢৣ৔ଳྰਫ਼ਪਚৄ‫؟‬‫؞‬ድ୍৔भᏹัभฅ೏ँॉ
‫؞‬ঃথपउःथ‫ؚ‬রಉ২भଋ೏‫ؚ‬።୍෶োँॉ
‫؞‬୯ਸᚢৣ৏भድ୍ॡজ॔ছথ५பः૾ଙदखञ



੐଑৔ઍ

ਖ਻ਡम‫؛؛‬ ঳ઠ୤भ৹ତ‫ؚ‬୫হभঌ‫ش‬३থॢ੐଑‫؛‬

୭୆

୫ষ৿

ଫ୫ः

୫஄ଙ

൵ी੢ा

ঽ୫


ઠᒷ
‫ق‬ᙋᚧ‫ك‬ ਠ૔भ୫஄ଙपउःथᙋᚧਃચमଐ஀दँॊ
ऋ‫ؚ‬ድ୍ਃચम଩ৣखथःॊ‫؛‬৪න॑ዩ‫ؚ‬ঃথ॑ঃথዩ‫ؚ‬ౢཅ॑ृॎैऊ୫प஄ଙ૗ಌघ
ॊेअ੐଑खञ‫؛‬ ୯ਸᚢৣ‫ؚ‬ઐ൩ᚢৣभਹ৷‫؟‬ድ୍‫ق‬ᚢৣ‫ك‬ድ୍ॡজ॔ছথ५॑ଐ஀पघॊञी୫হরप
उภ॑घघीॊऩनभଢऊऐ॑ষऩअेअप
ੇఔ‫ؚ‬઱ਝ૙৩प੐଑खञ‫؛‬ድ୍።୍भ૎ಁ௽૩
ድ୍ઽೠभ଩ৣ
ਸೡपൣअ૗৲

H
− 129 −

ॢঝ‫ش‬উॹॕ५ढ़ॵ३ঙথ
॑઩ीॊ৐पৠीॊऒध

 ఘভਤষ

ඪ୻

 ੶ஈબ
 ৅਀બ

੦ຊੲਾ

ਗ৖௴௄௬੼ ফೡ‫؞‬ਙશ‫ؚୃ؟‬੬ਙ ੦ຊႈ೩‫؟‬৐୍ડ୍஑ੳੴඪ

ᚢৣ৔ଳྰਫ਼ਪ ใ༼ഄ‫؟‬౼ዄኋ‫ؚ‬ෙᚢਙཡ༇‫ؚ‬൓਷ ્ുपো೜র ၭ୫૾ய‫؟‬ঌ‫ش‬५ॺ୫॑ঽ୫पथၭ਄खथःॊ ൂ౅৔ઍ‫؟‬ධा੢ाऋபऎ‫ؚ‬ᮽऋैाँॊ‫؛‬୫৏भ঒७੢ाऋ੗ऎੳीैोॊ‫؛‬ಁጅਂଐपेॉ୫
হ॑র૵घॊऒधुँॊ‫؛‬਍৸ऩ୫হ্১पणः
थੴॉञः‫؛‬௬੼ॢঝ‫ش‬উড‫ش‬ॡਗ৖௬੼ਚৄ‫؟‬ ୫হরभဒਙᚅଢ
 ⅑৖ല൧पेॉድ୍ଋ೏ఠऋੳीैोञ‫؛‬ᚢৣ৔ଳྰਫ਼ਪਚৄ‫؟‬ ድ୍‫ؚ‬።୍৔भᏹัฅ೏‫ؚ‬ᏹัෙᚢऋੳीैोञ‫؛‬ ᚢৣખೝभᎷକ೚భ‫ؚ‬୫੟भድ୍ଋ೏‫ؚ‬።୍෶োउ
ेलෙᚢऋੳीैोञ‫؛‬ ਂႀਙෙᚢऋ௴௄औोञ‫؛‬ ਷ীपणःथमॺট঑॑હଖघॊऒधद‫ؚ‬ෙᚢमೄ੖खञऋ‫ؚ‬୫੟पणःथम‫ؚ‬८জ‫૾ش‬भ୫ષ॑৷ः
थु੅ਢ৓ऩਂႀਙෙᚢऋੳीैो‫৽ؚ‬ઠၭ਄॑ষ
अऒधऋశଞपজ५ॡदँढञ‫؛‬

9 ਖ਻ਡ॑঱ऑथ‫ؚ‬ढ़ॸ०জ‫ش‬पীऐथऎटऔः‫؛‬
9 ిજऩॣ॔উছথ॑ਫ਼ୈखथऎ
टऔः‫؛‬

F
− 130 −

㈨ᩱ19ƄƢƧƘƏżƊƀƍƈƟƥŹZŰŶ(ť©ŰŶŕŢLMƦKaĭĮÞŦŇĪňťfŵśōƤƧƃƈƟƍƘŇƜƧƢƠžƥƑňŃ£ËV`Ĝj¼ĝ•8čë•õĖ
•ÀìÞ

6åơƔƗơƎƧƈƟƥËéĀŃ¡Ʀ3ŃğŉĪū²őŦţťûŭŶųōŝŊťÄŵŜŌ}OŧšřŐƵ

ƧýF{á±Ŧª¿ťŌæawmŗŜX{Ƨ• ÄŵŜŌ}OŹņť$ŗŠŮŠœŝŖŌ• ¤ŃX{• NÇ»|ƲäPuđ½
• s¥ƲýF{á±Ő(ť ĝƪ• Ī´«ƲnĪŹůŚŤőŴÕĚŐŔŠ!Ĕ5• ÄŵŜŌ}OŹƄƢƧƘť%ŔŠŮŠœŝŖŌŅ%)¬šÝŎŶ0`Áďy
ƩĪF âƪƩĬ´ƪƩ=;´ƪĪ·QƩĪrƪ
Ʃ[/ƪ
Ī"ƪ



%)¬šÝŎŶ

Ŧ~90`Áďy<IŦ´«

Ī·QƩ~z©câ*ƪƩª¾gyâ*ƪƩdŦ~9ƪƩÿ*ƪ
Ʃ÷Ŧ´«ƪ
Ʃ0`Á Ŧ7:ƪƩLMŦƇƧƗƊƪ− 131 −Ŧ~9<IŦ´«
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trial study. Clin Oral Investig 21: 2165-2172, 2017. 
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2. Obinata K, Shirai S, Ito H, Nakamura M, Carrozzo M, Macleod I, Carr A, Yamazaki Y, Tei K:
Image findings of bisphosphonate related osteonecrosis of jaws comparing with osteoradionecrosis.
2017: Dentomaxillofac Radiol. 2017 Jul 16:20160281. doi: 10.1259/dmfr.20160281.
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໭ᾏ㐨኱ᏛṑᏛ㒊࡛ࡢṑᏛᩍ⫱◊✲㐃ᦠࢩ࣏ࣥࢪ࣒࢘㻌 ཧຍ䠄ᕝᑼ䚸୰ᮧ䚸኱஭ཧຍ䠅㻌ࡑࡢ௚ᩍᮦ⛣⾜సᴗࠊ௻⏬タィ㸦ᐃᮇⓗ࡞ᡴྜࡏྵࡴ㸧ࠊᑐ㇟⛉┠ࡢⴭసᶒ☜ㄆ࣭ⴭసᶒฎ⌮࣭ྛㅮᖌ࡬ࡢᢎㅙᏛ఍ཧຍ㈝
࣮ࣚࣟࢵࣃ⒴἞⒪Ꮫ఍  ཧຍ㸦୰ᮧ㸧ͤ ᡂᯝ࡟ࡘ࠸࡚ࡣ㸪ᑐ㇟⪅ࡢேᩘࡶグධࡋ࡚ୗࡉ࠸ࠋͤ ◊✲ᴗ⦼࡟ࡘ࠸࡚ࡣ㸪ㄽᩥྡ࣭ⴭ᭩ྡ࣭ⴭ⪅ྡ࣭Ꮫ఍ㄅྡ࣭ᕳ㸦ྕ㸧࣭᭱ึ࡜᭱ᚋࡢ㡫࣭Ⓨ⾲ᖺ㸦すᬺ㸧ࡢྛ㡯┠ࢆグධࡋ࡚ࡃࡔࡉ࠸ࠋඹྠࠊඹ
ⴭࡢሙྜࡣ඲ဨࢆᥖ㍕㡰࡟グධࡋࠊ◊✲⤌⧊࣓ࣥࣂ࣮࡟ୗ⥺ࢆ௜ࡋ࡚ࡃࡔࡉ࠸ࠋ,QSUHVV ࡜࡞ࡗࡓࡶࡢ௨ୖࢆグධࡋ࡚ࡃࡔࡉ࠸ࠋͤ ◊✲㈝ࡢ౑㏵࡟ࡘ࠸࡚ࡣෆᐜࢆ⡆₩࡟グධࡋ࡚ࡃࡔࡉ࠸ࠋ
㸦ᵝᘧ㸯㸧

ᖹᡂ䠎䠕ᖺᗘ㻌 ᩥ㒊⛉Ꮫ┬㻌 ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂ䝥䝻䜾䝷䝮㻌 㐃ᦠ኱Ꮫሗ࿌᭩
䛂೺ᗣ㛗ᑑ♫఍䜢ᢸ䛖ṑ⛉་Ꮫᩍ⫱ᨵ㠉—Ṛ⏕Ꮫ䜔ᆅᇦໟᣓ䜿䜰䝰䝕䝹䜢ᑟධ䛧䛯་⛉ṑ⛉㐃ᦠᩍ⫱యไ䛾ᵓ⠏—䛃஦ᴗ

㐃ᦠ኱Ꮫྡ

኱㜰኱Ꮫ

㈐௵⪅ྡ⡙

㐃ᦠ኱Ꮫ஦
ᴗ᥎㐍ጤဨ

ᙺ⫋

ኳ㔝 ᩔ㞝஦ົᢸᙜ⪅ᙺ๭ᯇཎ ᘯᩥ

ᮏሗ࿌᭩ࡢ࣮࣒࣮࣍࣌ࢪ࡛ࡢ㛤♧ࡢྍྰኳ㔝 ᩔ㞝
ṑᏛ㒊㛗
஦ᴗ㈐௵⪅
㛗ᓥ ṇ
ᩍᤵ
ᩍ⫱࣒࢝ࣜ࢟ࣗࣛ㛤Ⓨ࣭⦅ᡂᢸᙜ
ᐇ⩦ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮
ụ㑓 ୍඾
෸ᩍᤵᶒ⸨ ᜤஅ
෸ᩍᤵᐇ⩦ᢸᙜ㸦⪁ᖺᚰ⌮Ꮫ㸧
ྍ࣭ྰ
஦ᴗ⤌⧊
⚄ฟ ィ
ᩍᤵ
ᐇ⩦ᢸᙜ㸦⪁ᖺෆ⛉Ꮫ㸧໭ᮧ ṇ༤
෸ᩍᤵᐇ⩦ᢸᙜ㸦ṑ࿘⑓Ꮫ㸧ᯇ⏣ ㅬ୍
ຓᩍᐇ⩦ᢸᙜ㸦ṑ⛉⿵⥛Ꮫ㸧ᑠᕝ Ὀ἞
ຓᩍᐇ⩦ᢸᙜ㸦㧗㱋⪅ṑ⛉Ꮫ㸧኱㜰኱Ꮫඛᑟⓗࠕཱྀ⭍࠿ࡽ඲㌟࡬ࡢ೺ᗣᏛࠖᩍ⫱ࡢ㧗ᗘ໬ࣉࣟࢢ࣒ࣛ
ᩍ⫱ࣉࣟࢢࣛ ␗ศ㔝㐃ᦠ࡟㈨ࡍࡿṑ⛉་Ꮫ◊✲⪅㣴ᡂᐇ⩦࣒࣭ࢥ࣮ࢫྡ ከ⫋✀㐃ᦠ࡟㈨ࡍࡿࣜࢧ࣮ࢳ࣐࢖ࣥࢻࢆᣢࡗࡓᣦᑟⓗṑ⛉་⒪ே㣴ᡂࢥ࣮ࢫ㧗㱋⪅ࡢ⥲ྜデ⒪࡟㈨ࡍࡿṑ⛉་⒪ேࡢ⫱ᡂᐇ⩦஦ᴗィ⏬
 ኱㜰኱Ꮫ࡛ࡣࠊ⪁ᖺᏛ◊✲఍ࡀ୰ᚰ࡜࡞ࡾࠊ㒔ᕷ㒊࡜㎰ᮧ㒊࡟࠾࠸࡚ࠊ70 ṓࠊ80 ṓࠊ90 ṓࡢᑐ㇟⪅ࢆィ 1200 ྡⓏ㘓ࡋࠊ೺ᗣ㛗ᑑ࡟ࡘ࠸࡚ࡢࢥ࣮࣍ࢺ◊✲ࢆ⾜ࡗ࡚࠸ࡿࠋṑᏛࡢࡳ࡞ࡽࡎࠊ
་Ꮫ⣔㸦⪁ᖺෆ⛉Ꮫࠊ┳ㆤᏛ㸧ࠊே㛫⛉Ꮫ㸦♫఍Ꮫࠊᚰ⌮Ꮫࠊ㐠ືᏛ㸧ࡢྛ◊✲⛉ࠊᆅᇦࡢ⾜ᨻ㸦ಖ೺ᖌ࡞࡝㸧ࡀཧຍࡋ࡚࠸ࡿࠋ
኱Ꮫ㝔⏕ࡸ⮫ᗋ◊ಟ་ࡣࠊࡇࡢඹྠ◊✲࡟ཧຍࡋࠊࡑࢀࡒࢀࡢศ㔝ࡢほⅬࢆᏛࡧࠊཱྀ⭍ᶵ⬟ࡢࡳ࡞ࡽࡎࠊᰤ㣴ᦤྲྀࠊෆ⛉ⓗ⑌ᝈࠊㄆ▱ᶵ⬟ࠊ㐠ືᶵ⬟ࡢホ౯᪉ἲࢆᐇ⩦ࡍࡿࠋࡲࡓࠊᏛ㒊⏕ᩍ⫱࡜ࡋ࡚ࠊ⮫ᗋᐇ⩦⏕ࢆᑐ㇟࡟㧗㱋⪅࣐ࢿ࢟ࣥࢆ⏝࠸ࡓせ௓ㆤ㧗㱋⪅ṑ⛉἞⒪ᶍ
ᨃయ㦂ᐇ⩦ࢆᐇ᪋ࡍࡿࠋ
㧗㱋⪅ࢆᑐ㇟࡜ࡋࡓ⥲ྜデ⒪࡜◊✲࡟ᚲせ࡞་⒪ேࡸ◊✲⪅࡜ࡢ஺ὶࢆᅗࡾࠊ␗ศ㔝㐃ᦠ࡟㈉⊩ࡍࡿ㈨㉁ࢆᾰ㣴ࡍࡿࡇ࡜ࢆᮇᚅ࡛ࡁࡿ᪂つᛶཬࡧ⊂๰ᛶࡢ㧗࠸ࣉࣟࢢ࣒࡛ࣛ࠶ࡿࠋᡂᯝ ␗ศ㔝㐃ᦠ࡟㈨ࡍࡿṑ⛉་Ꮫ◊✲⪅㣴ᡂᐇ⩦࡛ࡣࠊ3 ྡࡢ኱Ꮫ㝔⏕ࡀࠊ1 ᅇ 6 ᫬㛫ࡢᐇ⩦ࢆࠊ
ᘏ࡭ 23 ᅇᒚಟࡋࡓࠋ ࡲࡓࠊᣦᑟⓗṑ⛉་⒪ே㣴ᡂࢥ࣮ࢫ࡛ࡣࠊ13 ྡࡢ⮫ᗋ◊ಟ་ࡀࠊ1 ᅇ 6 ᫬㛫ࡢᐇ⩦ࢆࠊᘏ࡭
14 ᅇᒚಟࡋࡓࠋ
኱Ꮫ㝔⏕ࠊ◊ಟ་࡜ࡶࠊ㧗㱋⪅ࡢ೺ᗣ࡟㔜せ࡞ࠊᰤ㣴ᦤྲྀࠊෆ⛉ⓗ⑌ᝈࠊㄆ▱ᶵ⬟ࠊ㐠ືᶵ⬟ࡢホ౯᪉ἲࢆ⌮ゎࡋࠊಟᚓࡍࡿ࡜࡜ࡶ࡟ࠊ཰㞟ࡋࡓࢹ࣮ࢱࡢධຊࠊᩚ⌮ࢆ⾜ࡗࡓࠋ኱Ꮫ㝔⏕ࡣࠊࡑࢀ࡟ຍ࠼࡚⤫ィゎᯒࡶ⾜ࡗࡓࠋ 10 ྡࡢ⮫ᗋ◊ಟ་ࡣࠊ㛗㔝┴ࡢ㎰ᮧ㒊࡟࠾࠸࡚ࠊྛ 5 ᪥㛫ࠊゼၥṑ⛉デ⒪࡟ྠ⾜ࡋࠊデ⒪ࢆ
ぢᏛࡍࡿ࡜࡜ࡶ࡟ࠊୖグࡢ࠺ࡕྍ⬟࡞ࡶࡢ࡟ࡘ࠸࡚ࢹ࣮ࢱࡢ཰㞟ࢆ⾜ࡗࡓࠋ せ௓ㆤ㧗㱋⪅ṑ⛉἞⒪ᶍᨃయ㦂ᐇ⩦ࡣ 10 ྡࡢ⮫ᗋᐇ⩦⏕ࡀᕼᮃཷㅮࡋࠊせ௓ㆤ⪅㧗㱋⪅࣐ࢿ࢟ࣥࢆ⏝࠸࡚ṑ⛉἞⒪㸦ཱྀ⭍ෆ᳨ᰝࠊ༳㇟᥇ᚓ㸧ࢆᶍᨃⓗ࡟ᐇ㊶ࡋࠊデ⒪᫬ࡢせⅬ࡞࡝ࡢゎㄝ࠾ࡼࡧࣇ࢕࣮ࢻࣂࢵࢡࢆ⾜ࡗࡓࠋ௒ᚋࡣࡉࡽ࡟ᐇ⩦ෆᐜࡢ඘ᐇࢆᅗࡿ࡜ྠ᫬࡟ࠊཷㅮᑐ㇟⪅ࡢᣑ኱࡟ດࡵࡓ࠸࡜⪃࠼࡚࠸ࡿࠋ

ᮏࣉࣟࢪ࢙ࢡ ㄽᩥࢺ࡟㛵㐃ࡋࡓ 1. Ogawa T, Uota M, Ikebe K, Arai Y, Kamide K, Gondo Y, Masui Y, Ishizaki T, Inomata C, Takeshitaᴗ⦼㸪▱㈈㸪ཷH, Mihara Y, Hatta K, Maeda Y (2017) Longitudinal study of factors affecting taste sense decline in㈹➼
old-old individuals. J Oral Rehabil 44: 22-29.
2. Ogawa T, Annear MJ, Ikebe K, Maeda Y (2017) Taste-related sensations in old age. J Oral Rehabil 44:626-635.
3. ᑠᕝὈ἞㸪ᗈ℩㞝஧㑻㸪ᮏከ┿⌮Ꮚ (2017) ཱྀ⭍⣽⳦ྀ࠿ࡽ೺ᗣࢆ⪃࠼ࡿѸཱྀ⭍ࡣ⭠⟶࡟ḟࡄ⣽⳦ྀࡢᐆᗜѸ㸬Medical Science Digest. ࢽ࣮ࣗࢧ࢖࢚ࣥࢫ♫㸬43: 5-7.
4. Okubo H, Inagaki H, Gondo Y, Kamide K, Ikebe K, Masui Y, Arai Y, Ishizaki T, Sasaki S, Nakagawa
T, Kabayama M, Sugimoto K, Rakugi H, Maeda Y; SONIC Study Group (2017) Association between
dietary patterns and cognitive function among 70-year-old Japanese elderly: a cross-sectional analysisof the SONIC study. Nutr J 16: 56.
5. Tada S, Ikebe K, Kamide K, Gondo Y, Inomata C, Takeshita H, Matsuda KI, Kitamura M, Murakami
S, Kabayama M, Oguro R, Nakama C, Kawai T, Yamamoto K, Sugimoto K, Shintani A, Ishihara T,
Arai Y, Masui Y, Takahashi R, Rakugi H, Maeda Y (2017) Relationship between atherosclerosis andocclusal support of natural teeth with mediating effect of atheroprotective nutrients: From the SONIC
study. PLoS One 12: e0182563.
6. Ryuno H, Kamide K, Gondo Y, Kabayama M, Oguro R, Nakama C, Yokoyama S, Nagasawa M,
Maeda-Hirao S, Imaizumi Y, Takeya M, Yamamoto H, Takeda M, Takami Y, Itoh N, Takeya Y,
Yamamoto K, Sugimoto K, Nakagawa T, Yasumoto S, Ikebe K, Inagaki H, Masui Y, Takayama M,
Arai Y, Ishizaki T, Takahashi R, Rakugi H (2017) Longitudinal association of hypertension anddiabetes mellitus with cognitive functioning in a general 70-year-old population: the SONIC study.
Hypertens Res 40: 665-670.
7. Ogawa T, Hirose Y, Ogawa HM, Sugimoto M, Sasaki S, Kawabata S, Ikebe K, Maeda Y (2018)
Composition of salivary microbiota in elderly subjects. Sci Rep 8: 414.
8. Ikebe K, Gondo Y, Kamide K, Masui Y, Ishizaki T, Arai Y, Inagaki H, Nakagawa T, Kabayama M,
Ryuno H, Okubo H, Takeshita H, Inomata C, Kurushima Y, Mihara Y, Hatta K, Fukutake M, Enoki K,
Ogawa T, Matsuda KI, Sugimoto K, Oguro R, Takami Y, Itoh N, Takeya Y, Yamamoto K, Rakugi H,
Murakami S, Kitamura M, Maeda Y (2018) Occlusal force is correlated with cognitive function
directly as well as indirectly via food intake in community-dwelling older Japanese: From the SONIC
study. PLoS One 13: e0190741.
◊✲Ⓨ⾲
1. ᑠᕝὈ἞㸪ྜྷഛᨻோ㸪ụ㑓୍඾㸪๓⏣ⰾಙ㸬⮬❧㧗㱋⪅࡜せ௓ㆤ㧗㱋⪅࡟࠾ࡅࡿཱྀ⭍⣽⳦ྀ
ࡢẚ㍑㸬➨ 28 ᅇ᪥ᮏ⪁ᖺṑ⛉་Ꮫ఍Ꮫ⾡኱఍ 2017 ᖺ 6 ᭶ 14 ᪥㸪ྡྂᒇ㸬
2. ୕ཎభ௓㸪ඵ⏣᪸኱㸪⚟ṊඖⰋ㸪ụ㑓୍඾㸪๓⏣ⰾಙ㸬㧗㱋⪅࡟࠾ࡅࡿ᭱኱ညྜຊ࡜㐠ື⩦័࡟ࡘ࠸࡚㸬➨ 28 ᅇ᪥ᮏࢫ࣏࣮ࢶṑ⛉་Ꮫ఍㸬2017 ᖺ 6 ᭶ 18 ᪥㸪ᮐᖠ㸬
3. ⚟ṊඖⰋ㸪ụ㑓୍඾㸪ᯇ⏣ㅬ୍㸪ᑠᕝὈ἞㸪ᴮᮌ㤶⧊㸪⊦ಛ༓㔛㸪Ṋୗ⫕㸪୕ཎభ௓㸪ඵ⏣᪸኱㸪๓⏣ⰾಙ㸬㧗㱋⪅ࡢ᭱኱ညྜຊ࡜᪥ᖖࡢ㣗⏕ά࡟࠾ࡅࡿ࿪ᄮ➽άື᥎ᐃ㔞࡜ࡢ㛵㐃㸬➨ 127 ᅇ᪥ᮏ⿵⥛ṑ⛉Ꮫ఍㸬2017 ᖺ 7 ᭶ 1 ᪥㸪ᶓ὾㸬
4. ⚟ṊඖⰋ㸪ụ㑓୍඾㸬ᆅᇦ㧗㱋⪅࡟࠾ࡅࡿཱྀ⭍ᶵ⬟࡜ᰤ㣴ᦤྲྀ࡜ࡢ㛵㐃㸬῝஭ಖ೺⛉Ꮫ◊✲ᡤ ➨ 16 ᅇࢥ࣒ࣟ࢟࢘㸬2017 ᖺ 9 ᭶ 10 ᪥㸪ᮾி㸬
5. ඵ⏣᪸኱㸪⚟ṊඖⰋ㸪୕ཎభ௓㸪⊦ಛ༓㔛㸪ᴮᮌ㤶⧊㸪๓⏣ⰾಙ㸪ụ㑓୍඾㸬⮻ṑ㒊ညྜᨭᣢࡀṌ⾜㏿ᗘపୗ࡟ཬࡰࡍᙳ㡪࡟ࡘ࠸࡚ࡢ᳨ウ㸫SONIC Study 3 ᖺ㛫ࡢ⦪᩿◊✲ࡼࡾ㸫㸬➨ 4ᅇ᪥ᮏࢧࣝࢥ࣌ࢽ࢔࣭ࣇࣞ࢖ࣝᏛ఍㸬2017 ᖺ 10 ᭶ 15 ᪥㸪ி㒔㸬
6. బ⸨ோ⨾㸪ᯇ⏣ㅬ୍㸪ᑠᕝὈ἞㸪ᴮᮌ㤶⧊㸪⊦ಛ༓㔛㸪Ṋୗ⫕㸪୕ཎభ௓㸪ඵ⏣᪸኱㸪⚟ṊඖⰋ㸪๓⏣ⰾಙ㸪ụ㑓୍඾㸬↓ṑ㢡⪅⩌ࡣࡍࢀ㐪࠸ညྜ⪅⩌ࡼࡾࡶཱྀ⭍㛵㐃 QOL ࡣప࠸ࡢ࠿㸽ᖹᡂ 29 ᖺᗘ᪥ᮏ⿵⥛Ꮫ఍㛵すᨭ㒊Ꮫ⾡኱఍㸬2018 ᖺ 1 ᭶ 21 ᪥㸪ி㒔㸬▱㈈ ヱᙜ஦㡯࡞ࡋཷ㈹➼ ᑠᕝὈ἞㸬➨ 30 ᅇ᪥ᮏ⪁ᖺᏛ఍⥲఍㸬ྜྠ࣏ࢫࢱ࣮㈹㸬2017 ᖺ 6 ᭶ 14 ᪥㸬஦ᴗ㈝ࡢ౑㏵ ᾘ⪖ရ ᭩⡠࡞࡝           㻃166,436
᪑㈝ ᅜෆ᪑㈝           㻃833,564ࡑࡢ௚ ࡞ࡋ    㻃0ͤ ᡂᯝ࡟ࡘ࠸࡚ࡣ㸪ᑐ㇟⪅ࡢேᩘࡶグධࡋ࡚ୗࡉ࠸ࠋͤ ◊✲ᴗ⦼࡟ࡘ࠸࡚ࡣ㸪ㄽᩥྡ࣭ⴭ᭩ྡ࣭ⴭ⪅ྡ࣭Ꮫ఍ㄅྡ࣭ᕳ㸦ྕ㸧࣭᭱ึ࡜᭱ᚋࡢ㡫࣭Ⓨ⾲ᖺ㸦すᬺ㸧ࡢྛ㡯┠ࢆグධࡋ࡚ࡃࡔࡉ࠸ࠋඹྠࠊඹ
ⴭࡢሙྜࡣ඲ဨࢆᥖ㍕㡰࡟グධࡋࠊ◊✲⤌⧊࣓ࣥࣂ࣮࡟ୗ⥺ࢆ௜ࡋ࡚ࡃࡔࡉ࠸ࠋIn press ࡜࡞ࡗࡓࡶࡢ௨ୖࢆグධࡋ࡚ࡃࡔࡉ࠸ࠋͤ ◊✲㈝ࡢ౑㏵࡟ࡘ࠸࡚ࡣෆᐜࢆ⡆₩࡟グධࡋ࡚ࡃࡔࡉ࠸ࠋ

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࣭་⒪ᨭ᥼ṑᏛᩍ⫱ࢥ࣮ࢫ࣮࣡ࢡ㸯㸬せ௓ㆤ㧗㱋⪅ࢆᶍࡋࡓࢩ࣑࣮ࣗࣞࢱ࣮ࡸ⪁ே௓ㆤ࣭ᅾᏯ௓
ᩍ⫱ࣉࣟࢢࣛ ㆤ᪋タࢆ⏝࠸ࡓ3%/₇⩦࣒࣭ࢥ࣮ࢫྡ ࣭་⒪ᨭ᥼ṑᏛᩍ⫱ࢥ࣮ࢫ࣮࣡ࢡ㸰㸬ᒸᒣ኱Ꮫ⑓㝔࿘⾡ᮇ⟶⌮ࢭࣥࢱ࣮ࢆ฼⏝ࡋࡓ㧗ᗘ་⒪ᨭ᥼࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ᐇ⩦ ࣭་⒪ᨭ᥼ṑᏛᩍ⫱ࢥ࣮ࢫ࣮࣡ࢡ 㸱㸬⮫ᗋㅮᖌ➼ࢆ฼⏝ࡋࡓᅾᏯ௓ㆤ࣭ゼၥṑ⛉デ⒪ཧຍᆺᏛእ⮫ᗋᐇ⩦஦ᴗィ⏬ձ ࢙࢘ࣈᤵᴗࢩ࣮ࣜࢬࡢࢥࣥࢸࣥࢶࡢసᡂࢆ⥅⥆ࡋ㸪⵳✚ࡍࡿ㸬ղ 㐃ᦠᰯ㛫ࡸ༠ຊ᪋タ࡬ࡢᩍဨ㹄㹂㸪Ꮫ⏕஺ὶࢆᐇ᪋ࡍࡿ㸬ճ ࡀࢇ໬Ꮫ⒪ἲ࣭࿘⾡ᮇ➼ࡢ་⒪ࢆᨭ࠼ࡿཱྀ⭍⟶⌮ࢩ࣏ࣥࢪ࣒࢘ࢆ㛤ദࡍࡿ㸬մ ≉ᚩ࠶ࡿ㹁㹕ࢩࣛࣂࢫࡢಟṇ㸪ᐇ᪋ࢆ⾜࠺㸬յ ึᮇ◊ಟ་ࡢ&:ࢆヨ⾜ࡍࡿࠋն ஦ᴗ᥎㐍ጤဨ఍ࢆ㛤ദࡋ㸪ྛ㐃ᦠ኱Ꮫ࡛ࡢ஦ᴗ㐍ᤖ≧ἣࢆ☜ㄆࡍࡿ㸬շ ⮬ᕫホ౯ሗ࿌᭩ࡢసᡂ࠾ࡼࡧእ㒊ホ౯ጤဨ఍ࢆ㛤ദࡍࡿ㸬ᡂᯝձ ࢙࢘ࣈᤵᴗࢩ࣮ࣜࢬࡢࢥࣥࢸࣥࢶࢆࡼࡾᐇ㊶ⓗ࡞ෆᐜࡢࡶࡢ࡟ࣈࣛࢵࢩࣗ࢔ࢵࣉࡋ㸪᮶ᖺᗘ࠿ࡽࡢど⫈ࡢ‽ഛࡀᩚࡗࡓ㸬ࡲࡓ㸪༢఩໬ࡋ࡚࠸ࡿ࢙࢘ࣈᤵᴗࡢᡂ⦼⟶⌮ࢆ෇⁥࡟ࡍࡿࡓࡵࡢࢩ
ࢫࢸ࣒ࡢᶵ⬟ᣑᙇࢆ⾜ࡗࡓ㸬㐃ᦠ኱Ꮫ࡛ࡢ཰㘓ࢥࣥࢸࣥࢶࡢ཰㞟࠾ࡼࡧࢧ࣮ࣂ࣮࡬ࡢ᱁⣡ࡀ᏶஢ࡋ࡚࠾ࡾ㸪ࢥࣥࢸࣥࢶࡢࡼࡾ࠸ࡗࡑ࠺ࡢ඘ᐇࢆᅗࡿࡇ࡜ࡀ࡛ࡁࡓ㸬ղ ༠ຊ᪋タࡢᮾி኱Ꮫ኱Ꮫ㝔ேᩥ♫఍⣔◊✲⛉Ṛ⏕Ꮫ࣭ᛂ⏝೔⌮ࢭࣥࢱ࣮ࡼࡾ఍⏣⸅Ꮚ≉௵ᩍᤵࢆ㸪ᅜ❧㛗ᑑ་⒪◊✲ࢭࣥࢱ࣮ࡼࡾ኱㔝཭ஂඛ⏕ࢆᣍ⪸ࡋ㸪ࠕ⤊ᮎᮇࡢពᛮỴᐃᨭ᥼࡜ṑ⛉ⓗ࢔ࣉ࣮ࣟࢳࠖ࡜㢟ࡋࡓ≉ูㅮ₇఍ࢆ㛤ദࡋࡓ㸬ᮏㅮ₇఍ࡣᮏᏛ㒊ᩍဨࡢࡓࡵࡢ㹄㹂ㅮ₇఍࡜ࡋ࡚㛤ദࡋ㸪ᩍ⫱㈨㉁ྥୖࡢࡓࡵࡢⰋ࠸ᶵ఍ࡢࡦ࡜ࡘ࡜ࡍࡿࡇ࡜ࡀ࡛ࡁࡓ㸬ࡲࡓ㸪ᒸᒣ኱ᏛࡢᏛ
⏕ࡀࠕ㛗ᓮ኱Ꮫ୺ദ㞳ᓥṑ⛉ಖ೺་⒪ࢧ࣐࣮ࢫࢡ࣮ࣝࠖ࠾ࡼࡧࠕ㮵ඣᓥ኱Ꮫ୺ദኟᏘ඲ᅜ
ṑᏛ⏕㞳ᓥᐇ⩦ࣉࣟࢢ࣒ࣛࠖ࡟ཧຍࡋ㸪ᆅᇦ་⒪ࢆᏛࡪᩍ⫱ࣉࣟࢢ࣒ࣛࢆ⤒㦂ࡋࡓࠋࡲࡓ㸪ᒸᒣ኱ᏛࡢᩍဨࡀࠕኟᏘ඲ᅜṑᏛ⏕㞳ᓥᐇ⩦ࣉࣟࢢ࣒ࣛࠖࡢ㛤ദᆅ࡛࠶ࡿ୚ㄽᓥࢆどᐹࡋ㸪⌧ᆅࡢṑ⛉་ᖌ࠾ࡼࡧ㮵ඣᓥ኱ᏛࡢṑᏛ㒊ᩍဨ࡜஺ὶࡋ㸪㞳ᓥṑ⛉་⒪ࡢᐇ᝟ࢆᏛ⩦ࡍࡿᩍ⫱ࣉࣟࢢ࣒ࣛࡢᵓ⠏࡟ࡘ࠸࡚ࡢពぢ஺᥮ࢆ⾜ࡗࡓࠋճ රᗜ་⛉኱Ꮫ࡛ࡢࢩ࣏ࣥࢪ࣒࢘ࠕ㣗࡭ࡽࢀࡿཱྀࢆ &5($7(ࠖ࡟ཧຍࡋ㸪࿘⾡ᮇ་⒪ࢆᨭ࠼ࡿከ
ࡃࡢ⫋✀࠿ࡽࡢㅮ₇ࢆᣏ⫈ࡋࡓࡇ࡜࡛㸪᮶ᖺᗘ௨㝆࡟ྠᵝࡢཱྀ⭍⟶⌮ࢩ࣏ࣥࢪ࣒࢘㛤ദࢆࡍࡿࡓࡵࡢከࡃࡢ▱㆑ࢆᚓࡿࡇ࡜ࡀ࡛ࡁࡓ㸬մ ᒸᒣ኱Ꮫ⑓㝔ึᮇṑ⛉⮫ᗋ◊ಟࣉࣟࢢ࣒ࣛࡢ୍⎔࡜ࡋ࡚㸪ᮏ஦ᴗࡢࠕཱྀ⭍࣭඲㌟೺ᗣᐇ㊶ࠖࢥ
࣮ࢫࢆᐇ᪋ࡋࡓ㸬ࡲࡓ㸪Ꮫ㒊Ꮫ⏕ᑐ㇟ࡢᩍ⫱ࣉࣟࢢ࣒ࣛ࡜ࡋ࡚㸪ࠕࢩ࣑࣮ࣗࣞࢩࣙࣥᐇ⩦ࠖࠕ௓ㆤ᪋タࢆ⏝࠸ࡓ 3%/ ₇⩦ࠖ㸪ࠕ㧗ᗘ་⒪ᨭ᥼࣭࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ᐇ⩦ࠖ࠾ࡼࡧࠕᅾᏯ௓ㆤṑ⛉་⒪ᐇ⩦ࠖࢆᐇ᪋ࡋ㸪༢఩ㄆᐃࢆ⾜ࡗࡓ㸬յ ึᮇ◊ಟ་඲ဨ࡟ᑐࡋ࡚㸪ㅮ⩏ࢩ࣮ࣜࢬ㸰㸦ᛴᛶᮇ་⒪㸧࠾ࡼࡧㅮ⩏ࢩ࣮ࣜࢬ㸱㸦ᅾᏯ௓ㆤ་⒪㸧ࡢィ㸱㸮ࢥࣥࢸࣥࢶࢆど⫈ࡉࡏ㸪ࢩ࣑࣮ࣗࣞࢱ࣮ࢆ⏝࠸ࡓᅾᏯṑ⛉་⒪ࢩ࣑࣮ࣗࣞࢩࣙࣥ
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㸰㸧ᮧ⏣ᑦ㐨࠙෗┿࡛ぢࡿデࡿࣇ࢕ࢪ࢝ࣝ࢔ࢭࢫ࣓ࣥࢺຊ83Ќ ㌟య⑕≧࠿ࡽࢃ࠿ࡿᰤ㣴≧ែࡢᢲࡉ࠼࡝ࡇࢁࠚཱྀ⭍1XWULWLRQ&DUH㸪  Ꮫ఍Ⓨ⾲㸯㸧 ⦖⛶ஂ⨾Ꮚ㸪Ỉཱྀ┿ᐇ㸪๓⏣࠶ࡎࡉ㸪୕㔝༟ဢ㸪୕ᮌ᫓ዉ㸪㯮ᓮ㝧Ꮚ㸪ᑠᒣ⤮⌮㸪୰ᕝ᫴㍜㸪἟ᮏ ㈼㸪ᅧ཭⏤⌮㸪㔝ᮧ ඃ㸪๓ᕝ㈼἞㸪❑ᮌᣅ⏨㸸ᒸᒣ┴࡟࠾ࡅࡿᰤ㣴⟶⌮ከ⫋✀㐃ᦠࢆ᥎㐍ࡍࡿேᮦ㣴ᡂࢭ࣑ࢼ࣮ࡢྲྀࡾ⤌ࡳ㸬୍⯡♫ᅋἲே᪥ᮏ⪁ᖺṑ⛉་Ꮫ఍➨  ᅇᏛ⾡኱఍㸬ྡྂᒇ㸬 㸰㸧 ἟ᮏ ㈼㸪኱㔝 ᙬ㸪㐂ᆏ ༟㸪୕㔝༟ဢ㸪ᚨᮏెዉ㸪ᑠᒣ⤮⌮㸪ኳ㔝཭㈗㸪㯮㷂㝧Ꮚ㸪୰
ᕝ᫴㍜㸪ᑠᯘⰾ཭㸪ᒣᮏ㐨௦㸪๓ᕝ㈼἞㸪❑ᮌᣅ⏨㸸せᨭ᥼࣭せ௓ㆤ⪅ࡢཱྀ⭍ෆ⎔ቃࡸ඲㌟≧ែ࡜㸪᰿㠃࠺⼃ࡢ㛵ಀ࡟㛵ࡍࡿከ᪋タᶓ᩿␿Ꮫㄪᰝ㸬୍⯡♫ᅋἲே᪥ᮏ⪁ᖺṑ⛉་Ꮫ఍➨ ᅇᏛ⾡኱఍ྡྂᒇ㸬㸱㸧 㐂ᆏ ༟㸪኱㔝 ᙬ㸪୰ᕝ᫴㍜㸪୕㔝༟ဢ㸪㯮㷂㝧Ꮚ㸪ᑠᒣ⤮⌮㸪἟ᮏ ㈼㸪ኳ㔝཭㈗㸪ᚨᮏెዉ㸪๓ᕝ㈼἞㸪❑ᮌᣅ⏨㸸Ḟᦆ⿵⥛἞⒪࡟࠾ࡅࡿ἞⒪  ᖺᚋࡢཱྀ⭍㛵㐃 42/ ࡜ࣞࢫ࣏ࣥ
ࢫࢩࣇࢺ㸫ணഛⓗ᳨ウ㸫㸬බ┈♫ᅋἲே᪥ᮏ⿵⥛ṑ⛉Ꮫ఍➨  ᅇᏛ⾡኱఍ᶓ὾㸬㸲㸧 ᅬ஭ᩍ⿱㸪᭮ᡃ㈼ᙪ㸪ᒣ୰⋹Ꮚ㸪ᐊ ⨾㔛㸪๓⏣࠶ࡎࡉ㸪ᕝ℩᫂Ꮚ㸪ᮡᮏᜤᏊ㸪❑ᮌᣅ⏨㸪ὸᾏ῟୍㸸ᛴᛶᮇ་⒪ࡢ⌧ሙ࡛ࢳ࣮࣒་⒪ࢆయ㦂ࡉࡏࡿከ⫋✀㐃ᦠᩍ⫱ࡢᩍ⫱ຠᯝ㸬➨ ᅇ᪥ᮏṑ⛉་Ꮫᩍ⫱Ꮫ఍⥲఍ཬࡧᏛ⾡኱఍㸬ᯇᮏᕷ㸬㸬㸳㸧 Ṋ⏣ᏹ᫂㸪ᮡᮏᜤᏊ㸪Ώ㑓 ⩧㸪ሷὠ⠊Ꮚ㸪㕥ᮌᗣྖ㸪Ἑ㔝㝯ᖾ㸪ྜྷ⏣ⓏᚿᏊ㸪ⓑ஭ ⫕㸪ὸᾏ῟୍㸪❑ᮌᣅ⏨㸪㫽஭ᗣᘯ㸸ᒸᒣ኱Ꮫ⑓㝔ṑ⛉་ᖌ⮫ᗋ◊ಟ࡟࠾ࡅࡿᅾᏯṑ⛉་⒪◊ಟࡢᑟධ࡟ࡘ࠸࡚㸬➨  ᅇ᪥ᮏṑ⛉་Ꮫᩍ⫱Ꮫ఍⥲఍ཬࡧᏛ⾡኱఍㸬ᯇᮏᕷ㸬
㸴㸧 ๓⏣࠶ࡎࡉ㸪᭮ᡃ㈼ᙪ㸪ᒣ୰⋹Ꮚ㸪❑ᮌᣅ⏨㸪ὸᾏ῟୍㸸ᒸᒣ኱Ꮫ⑓㝔ࡢࢳ࣮࣒་⒪⌧ሙࢆ฼⏝ࡋࡓ⦆࿴ࢣ࢔ᩍ⫱ࡢྲྀࡾ⤌ࡳ㸬➨  ᅇ᪥ᮏṑ⛉་Ꮫᩍ⫱Ꮫ఍⥲఍࠾ࡼࡧᏛ⾡኱఍㸬ᯇᮏᕷ㸬
㸵㸧 ⦖⛶ஂ⨾Ꮚ㸪Ỉཱྀ┿ᐇ㸪๓⏣࠶ࡎࡉ㸪୕㔝༟ဢ㸪୕ᮌ᫓ዉ㸪㯮ᓮ㝧Ꮚ㸪ᑠᒣ⤮⌮㸪୰ᕝ᫴㍜㸪἟ᮏ ㈼㸪ᅧ཭⏤⌮㸪㔝ᮧ ඃ㸪๓ᕝ㈼἞㸪❑ᮌᣅ⏨㸸ᒸᒣ┴ࡢཱྀ⭍ᰤ㣴㛵㐃ࢧ࣮ࣅࢫࢆ᥎
㐍ࡍࡿேᮦࢆ㣴ᡂࡍࡿ⏕ᾭᩍ⫱࣮࣡ࢡࢩࣙࢵࣉࡢྲྀࡾ⤌ࡳ㸬➨  ᅇ᪥ᮏṑ⛉་Ꮫᩍ⫱Ꮫ఍⥲఍࠾ࡼࡧᏛ⾡኱఍㸬ᯇᮏᕷ㸬
㸶㸧 6RQRL16RJD<,LGD6.XERNL7$VDXPL-㸸7KHQHFHVVLW\RIDV\VWHPDWLFFXUULFXOXPRQHQGRIOLIHFDUH➨  ᅇ᪥ᮏṑ⛉་Ꮫᩍ⫱Ꮫ఍⥲఍ཬࡧᏛ⾡኱఍㸦ᅜ㝿Ꮫ఍◊✲Ⓨ⾲ዡບ㈹ཷ㈹⪅࣏ࢫࢱ࣮Ⓨ⾲㸧㸬ᯇᮏᕷ㸬㸬㸷㸧 ᕝ℩᫂Ꮚ㸪ᐑ⬥༟ஓ㸪ஂಖ⏣⪽㸪ᯇᑿ㱟஧㸪኱ཎ┤ஓ㸪ᯇᮏ༟ஓ㸪㫽஭ᗣᘯ㸪㣤⏣ᚁ஧㸪❑ᮌᣅ⏨㸪ὸᾏ῟୍㸸ṑᏛᩍ⫱ㄆドホ౯᳨ウ :* ࡟ࡼࡿṑᏛᩍ⫱ㄆドホ౯ࢺࣛ࢖࢔ࣝࢆ୺ᑂࡋ
࡚㸬➨  ᅇ᪥ᮏṑ⛉་Ꮫᩍ⫱Ꮫ఍⥲఍࠾ࡼࡧᏛ⾡㞟఍㸬ᯇᮏᕷ㸬㸬㸯㸮㸧 ᮡᮏᜤᏊ㸪ᐑ⬥༟ஓ㸪Ṋ⏣ᏹ᫂㸪㣤⏣ᚁ஧㸪❑ᮌᣅ⏨㸪ὸᾏ῟୍㸸ᅾᏯ࣭ゼၥṑ⛉デ⒪ᐇ⩦࡛ࡢฎ⨨ෆᐜ࡜࢔ࣥࢣ࣮ࢺ⤖ᯝࢆ཯ᫎࡋࡓࢩ࣑࣮ࣗࣞࢩࣙࣥᩍ⫱ࡢྲྀ⤌࡟ࡘ࠸࡚㸬➨ ᅇ᪥ᮏṑ⛉་Ꮫᩍ⫱Ꮫ఍⥲఍࠾ࡼࡧᏛ⾡㞟఍㸬ᯇᮏᕷ㸬㸬㸯㸯㸧 ⦖⛶ஂ⨾Ꮚ㸪Ỉཱྀ┿ᐇ㸪㧗ᶫ㈼᫭㸪๓⏣࠶ࡎࡉ㸪୕㔝༟ဢ㸪୕ᮌ᫓ዉ㸪㯮ᓮ㝧Ꮚ㸪ᑠᒣ⤮⌮㸪୰ᕝ᫴㍜㸪἟ᮏ ㈼㸪ᅧ཭⏤⌮㸪㔝ᮧ ඃ㸪๓ᕝ㈼἞㸪⳥㇂ Ṋ㸪❑ᮌᣅ⏨㸸せ௓ㆤ㧗㱋⪅ࡢࡓࡵࡢ࣑࣮ࣝࣛ࢘ࣥࢻࢆᶍࡋࡓከ⫋✀㐃ᦠ࣮࣡ࢡࢩࣙࢵࣉࡢヨࡳ㸬ᖹᡂ  ᖺᗘබ┈♫ᅋἲே᪥ᮏ⿵⥛ṑ⛉Ꮫ఍୰ᅜ࣭ᅄᅜᨭ㒊Ꮫ⾡኱఍㸬ᒣཱྀ㸬
㸯㸰㸧 㯮㷂㝧Ꮚ㸪୕㔝༟ဢ㸪࿴Ἠᖾ἞㸪኱㔝ᙬ㸪๓ᕝ㈼἞㸪❑ᮌᣅ⏨㸸ཱྀ⭍࢖ࣥࣉࣛࣥࢺᨭ
ᣢᬻ㛫ୖ㒊ᵓ㐀ࡢᙧែࢆ᭱⤊ୖ㒊ᵓ㐀࡬཯ᫎࡉࡏࡿ᪂つࢹࢪࢱࣝᢏἲ㸬ᖹᡂ  ᖺᗘබ┈♫ᅋἲே᪥ᮏ⿵⥛ṑ⛉Ꮫ఍୰ᅜ࣭ᅄᅜᨭ㒊Ꮫ⾡኱఍㸬ᒣཱྀᕷ㸬
㸯㸱㸧 ୰ᕝ᫴㍜㸪኱㔝 ᙬ㸪๓ᕝ㈼἞㸪Ỉཱྀ ୍㸪἟ᮏ ㈼㸪㐂ᆏ ༟㸪୕㔝༟ဢ㸪㯮㷂㝧Ꮚ㸪ᑠᒣ⤮⌮㸪୰㔝⏣⤀୍㸪❑ᮌᣅ⏨㸸᪥ᮏே↓ṑ㢡ᝈ⪅࡟࠾ࡅࡿ &$'&$0 ᢏ⾡ࢆ⏝࠸࡚సᡂࡋ
ࡓ⥲⩏ṑࡢ᭷ຠᛶࡢ᳨ウ㸬➨  ᅇᒸᒣṑᏛ఍⥲఍࣭Ꮫ⾡㞟఍㸬ᒸᒣᕷ㸬
㸯㸲㸧 ᮧ⏣ᑦ㐨⏣ᑼ⤢Ꮚᒣᮏᫀ┤๓ᕝாᏊ⥤㔝⌮ຍᮾ೔Ꮚᑠᯘᖾ⏕ᘅ⏣ၨ㧗▼ⱆồ⣽ᆤ඘⿱㛵ឡᏊ୕㇂⿱Ꮚ㔝ᓥ㟹Ꮚ᳃㈗ᖾỤⲡṇᙪஙඣ࡟࠾ࡅ
ࡿᦤ㣗ᶵ⬟⒪ἲࡢᚲせᛶ➨  ᅇ᪥ᮏ㞀ᐖ⪅ṑ⛉Ꮫ఍༤ከᕷ
㸯㸳㸧 Ṋ⏣ᏹ᫂㸪Ώ㑓⩧㸪㔝ᓮ㧗൤㸪ᑠᒣ᲍⳯㸪ሷὠ⠊Ꮚ㸪Ἑ㔝㝯ᖾ㸪ྜྷ⏣ⓏᚿᏊ㸪ⓑ஭⫕㸪㫽஭ᗣᘯ㸸ᅾᏯṑ⛉་⒪ࢩ࣑࣮ࣗࣞࢩࣙࣥᐇ⩦ࡢᩍ⫱ຠᯝ㸬➨  ᅇ᪥ᮏ⥲ྜṑ⛉Ꮫ఍⥲఍࣭Ꮫ⾡኱఍㸬᪂₲ᕷ㸬
㸯㸴㸧 ᅬ஭ᩍ⿱㸪᭮ᡃ㈼ᙪ㸪ᒣ୰⋹Ꮚ㸪ᐊ⨾㔛㸪๓⏣࠶ࡎࡉ㸪ᮡᮏᜤᏊ㸪❑ᮌᣅ⏨㸪ὸᾏ῟୍㸸኱Ꮫ⑓㝔ࡢ་⒪⌧ሙࢆ฼⏝ࡋࡓࠕ㧗ᗘ་⒪ᨭ᥼࣭࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ᐇ⩦ࠖሗ࿌㸬ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂࣉࣟࢢ࣒ࣛ ᖹᡂ  ᖺᗘ㐃ᦠࢩ࣏ࣥࢪ࣒࢘LQᮐᖠ㸬ᮐᖠᕷ㸬
㸯㸵㸧 Ṋ⏣ᏹ᫂㸪ᮡᮏᜤᏊ㸪ᕝ℩᫂Ꮚ㸪๓⏣࠶ࡎࡉ㸪ᅬ஭ᩍ⿱㸪ᮧ⏣ᑦ㐨㸪᭮ᡃ㈼ᙪ㸪㫽஭ᗣᘯ㸪❑ᮌᣅ⏨㸪ὸᾏ῟୍㸸HOHDUQLQJ ࢩࢫࢸ࣒ࡢ௒ᚋࡢ᭷ຠά⏝࡟ྥࡅ࡚㸬ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂࣉࣟࢢ࣒ࣛᖹᡂ  ᖺᗘ㐃ᦠࢩ࣏ࣥࢪ࣒࢘ LQ ᮐᖠ㸬ᮐᖠᕷ㸬㸬
㸯㸶㸧 ๓⏣࠶ࡎࡉ㸪Ṋ⏣ᏹ᫂㸪ᮡᮏᜤᏊ㸪ᕝ℩᫂Ꮚ㸪ᅬ஭ᩍ⿱㸪๓⏣┤ே㸪᳃ ㈗ᖾ㸪㔝ᓥ㟹Ꮚ㸪❑ᮌᣅ⏨㸪ὸᾏ῟୍㸸ᖹᡂ  ᖺᗘࠕ௓ㆤ᪋タࢆ⏝࠸ࡓ 3%/ ₇⩦ࠖࡢᐇ᪋ሗ࿌㸬ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂࣉࣟࢢ࣒ࣛ ᖹᡂ  ᖺᗘ㐃ᦠࢩ࣏ࣥࢪ࣒࢘LQᮐᖠ㸬ᮐᖠ㸬
㸯㸷㸧 ᅬ஭ᩍ⿱㸪᭮ᡃ㈼ᙪ㸪ὸᾏ῟୍㸸ṑᏛ㒊  ᖺḟ⏕ཬࡧᏛኈධᏛ⏕ࢆᑐ㇟࡜ࡋࡓ⑓㝔ぢᏛᐇ⩦ࡀᏛ⏕ࡢ⤊ᮎᮇ་⒪࡬ࡢែᗘព㆑࡟୚࠼ࡓᙳ㡪᪥ᮏࡀࢇཱྀ⭍ᨭᣢ⒪ἲᏛ఍➨㸱ᅇᏛ⾡኱఍㸬ᒸᒣᕷ㸬
㸰㸮㸧 ⦖⛶ஂ⨾Ꮚ㸪Ỉཱྀ┿ᐇ㸪㧗ᶫ㈼᫭㸪ᡞཎ 㞝㸪๓⏣࠶ࡎࡉ㸪㯮஭㝯ኴ㸪⳥㇂ Ṋ㸪❑ᮌᣅ⏨㸸࣑࣮ࣝࣛ࢘ࣥࢻࢆᶍࡋࡓせ௓ㆤ㧗㱋⪅ᰤ㣴⟶⌮࡟㛵ࢃࡿከ⫋✀㐃ᦠ࣮࣡ࢡࢩࣙࢵࣉࡢ
ヨࡳ㸬➨  ᅇ᪥ᮏ㟼⬦⤒⭠ᰤ㣴Ꮫ఍Ꮫ⾡㞟఍㸬ᶓ὾㸬ㅮ₇㸯㸧 ❑ᮌᣅ⏨㸸ṑ⛉ᢏᕤࡢࣃࣛࢲ࢖࣒ࡢ㌿᥮㸫ཱྀ⭍࢖ࣥࣉࣛࣥࢺࡢ⌧≧࡜ᮍ᮶㸫㸬ᒸᒣᕷṑ⛉་ᖌ఍❧ᒸᒣᢏᕤᑓ㛛Ꮫᰯ ≉ูㅮ⩏㸬ᒸᒣᕷ㸬 ᖺ㸯᭶㸰㸧 ❑ᮌᣅ⏨㸸⿵⥛἞⒪ࡢ᭷ຠᛶホ౯࡜࢞࢖ࢻࣛ࢖ࣥసᡂ࡟࠾ࡅࡿၥ㢟㸬஑ᕞ኱Ꮫ኱Ꮫ㝔 ≉ูㅮ⩏㸬⚟ᒸᕷ㸬 ᖺ  ᭶㸱㸧 ❑ᮌᣅ⏨㸸ṑࢆኻࡗࡓ㝿࡟⌧≧࡛࡛ࡁࡿࡇ࡜࡜ᑗ᮶ᒎᮃ㸫ཱྀ⭍࢖ࣥࣉࣛࣥࢺ࡜෌⏕་⒪㸫㸬

➨  ᅇᒸ኱ࢧ࢖࢚ࣥࢫ࢝ࣇ࢙㸬ᒸᒣᕷ㸬 ᖺ  ᭶㸲㸧 ᭮ᡃ㈼ᙪ㸸ࡀࢇ࡜ཱྀ⭍⟶⌮㸬⑓㝔ṑ⛉௓ㆤ◊✲఍  ᅇᐃ౛఍㸬ᒸᒣᕷ㸬 ᖺ  ᭶㸬㸳㸧 ❑ᮌᣅ⏨㸸%LRORJLFDOUHJHQHUDWLYHPHGLFLQHLQSURVWKRGRQWLFSUDFWLFHWRDWWDLQUHOLDEOHDQGVRSKLVWLFDWHGGHQWDOLPSODQWWKHUDS\ᒸᒣ኱Ꮫ་ṑ⸆Ꮫ⥲ྜ◊✲⛉㑅ᢥࣉࣟࢢ࣒ࣛㅮ⩏ ࣛ࢖ࣇࢧ࢖࢚ࣥࢫධ㛛㸬ᒸᒣᕷ
㸴㸧 .XERNL7㸸6FLHQWLILFFRPPLWWHHPHPEHURIWKHFRQVHQVXVFRQIHUHQFH7KHVWDQGDUGRIWUHDWPHQWIRUHGHQWXORXVPDQGLEOHWK36,DQGVW,&2,(XURSH.UDNRZ㸵㸧 ᭮ᡃ㈼ᙪ㸸࿘⾡ᮇ➼࡟࠾ࡅࡿཱྀ⭍ෆ⟶⌮ࡢព⩏࡜ᐇ㝿㸬኱㜰ᗓṑ⛉་ᖌ఍ ᖹᡂ  ᖺᗘᏛ
⾡ㅮ₇఍㸬኱㜰ᕷ㸬 ᖺ  ᭶㸬㸶㸧 ᭮ᡃ㈼ᙪ㸸ཱྀ⭍⾨⏕⟶⌮ࡣ࡞ࡐᚲせ࠿㸽ཱྀ̿⭍ෆ⣽⳦ྀ࠾ࡼࡧᢠ⳦⸆⪏ᛶࡢぢᆅ࠿ࡽ㸬➨ ᅇ᪥ᮏ⮫ᗋ⭘⒆Ꮫ఍Ꮫ⾡㞟఍㸬⚄ᡞᕷ㸬 ᖺ  ᭶㸬㸷㸧 ᭮ᡃ㈼ᙪ㸸ࡀࢇཱྀ⭍ᨭᣢ⒪ἲࡢᢸ࠸ᡭࡢ㣴ᡂ̿ṑᏛ⏕࠾ࡼࡧ◊ಟṑ⛉་ࢆᑐ㇟࡜ࡋࡓ࢝ࣜ࢟
࣒ࣗࣛᵓ⠏ࡢヨࡳ̿㸬➨  ᅇ᪥ᮏ⮫ᗋ⭘⒆Ꮫ఍Ꮫ⾡㞟఍㸬⚄ᡞᕷ㸬 ᖺ  ᭶㸬
㸦㈨ᩱ 㸧㸯㸮㸧 ᮧ⏣ᑦ㐨㸸ᦤ㣗࣭ᄟୗ࡟ࡘ࠸࡚ᖹᡂ  ᖺᗘᒸᒣ┴⪁ேಖ೺᪋タ༠఍ᰤ㣴ኈ㒊఍ ➨ ᅇ◊ಟ఍㸬ᒸᒣᕷ㸬 ᖺ  ᭶㸬㸯㸯㸧 ᮧ⏣ᑦ㐨㸸ࠕᦤ㣗ᄟୗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⥲ㄽࠖ㸪ࠕᦤ㣗ᄟୗᶵ⬟ࡢホ౯ࠖᖹᡂ  ᖺᗘ㫽ྲྀ㣗ᨭ᥼◊ಟ఍㸬㫽ྲྀᕷ㸬 ᖺ  ᭶㸬㸯㸰㸧 ᭮ᡃ㈼ᙪ㸸ࡀࢇ໬Ꮫ⒪ἲ᫬ࡢཱྀ⭍⟶⌮ࡢព⩏࡜ᐇ㝿㸬୕㔜┴་⛉ṑ⛉㐃ᦠ᥎㐍ேᮦ㣴ᡂ஦ᴗࠕ་⛉ṑ⛉㐃ᦠ᥎㐍ேᮦ㣴ᡂ◊ಟ఍ࠖ㸬ὠᕷ㸬 ᖺ  ᭶㸯㸱㸧 ❑ᮌᣅ⏨㸬೺ᗣ㛗ᑑ♫఍ࡢṑ⛉་Ꮫᩍ⫱㸬ᖹᡂ  ᖺᗘᒸᒣ኱ᏛṑᏛ㒊ྠ❆఍㐃⤡༠㆟఍㸬ᒸᒣᕷ ᖺ ᭶㸯㸲㸧 ᭮ᡃ㈼ᙪ㸸ṑ⛉་⒪⫋࡜ࡋ࡚ࡢ㄂ࡾࢆࡶࡗ࡚ᝈ⪅ࡢᑛཝࢆᏲࡿ̿㐀⾑⣽⬊⛣᳜ࢆཷࡅࡓ
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ࡑࡢ௚ (ሗ࿌᭩)㸯㸧❑ᮌᣅ⏨㸪๓ᕝ㈼἞㸪⦖⛶ஂ⨾Ꮚ㸪Ỉཱྀ┿ᐇ㸪୕㔝༟ဢ㸪๓⏣࠶ࡎࡉ㸪୕ᮌ᫓ዉ㸪㯮㷂㝧Ꮚᑠᒣ⤮⌮㸪୰ᕝ᫴㍜㸪἟ᮏ ㈼㸪Ḁཎ⏤⌮㸪㔝ᮧ ඃ㸸ᖹᡂᖺᗘᒸᒣ┴་⒪௓ㆤ⥲ྜ☜ಖᇶ㔠஦ᴗࠕせ௓ㆤ㧗㱋⪅ࡢపᰤ㣴ࢆ㜵ࡄࡓࡵࡢ་ᖌ࣭ṑ⛉་ᖌ࡜⟶⌮ᰤ㣴ኈ࡟ࡼࡿཱྀ⭍ᰤ㣴㛵㐃ࢧ࣮ࣅࢫ᥎㐍஦ᴗࠖᐇ⦼ሗ࿌᭩ᒸᒣ㸬㸪㸬
஦ᴗ㈝ࡢ౑㏵ タഛഛရ㈝
࣭ሗ࿌᭩సᡂ㸪ㅮ⩏⏝ࣀ࣮ࢺ3&ᾘ⪖ရ࣭ᐇ⩦⏝ჾල㸪බ㛤ㅮᗙ㛤ദ⏝ᩥᡣල㸪ㅮ₇'9'㏦௜⏝ᑒ⟄㸪㈨ᩱ༳ๅ⏝࢖ࣥࢡ࣮࢝ࢺࣜࢵࢪ
᪑㈝
࣭ᮏ஦ᴗ࡟㛵㐃ࡋࡓᏛ఍࡬ࡢཧຍ᪑㈝㸪ᅾᏯ࣭ṑ⛉ゼၥデ⒪ᩍ⫱ࢩ࣏ࣥࢪ࣒࢘ᣍ⪸ㅮᖌ᪑㈝

ࡑࡢ௚࣭ᮏ஦ᴗ᥎㐍ࡢࡓࡵࡢ≉௵ຓᩍ࠾ࡼࡧ㸪஦ົဨ࡬ࡢே௳㈝
࣭ᮏ஦ᴗᡂᯝබ㛤ࡢࡓࡵࡢ࣮࣒࣮࣍࣌ࢪಖᏲ㸪㏣ຍ㛤Ⓨ㈝
࣭ᮏ஦ᴗ࡟㛵㐃ࡋࡓᏛ఍࡬ࡢཧຍ㈝
ͤ ᡂᯝ࡟ࡘ࠸࡚ࡣ㸪ᑐ㇟⪅ࡢேᩘࡶグධࡋ࡚ୗࡉ࠸ࠋͤ ◊✲ᴗ⦼࡟ࡘ࠸࡚ࡣࠊㄽᩥྡ࣭ⴭ᭩ྡ࣭ⴭ⪅ྡ࣭Ꮫ఍ㄅྡ࣭ᕳ㸦ྕ㸧࣭᭱ึ࡜᭱ᚋࡢ㡫࣭Ⓨ⾲ᖺ㸦すᬺ㸧ࡢྛ㡯┠ࢆグධࡋ࡚ࡃࡔࡉ࠸ࠋඹྠࠊඹ
ⴭࡢሙྜࡣ඲ဨࢆᥖ㍕㡰࡟グධࡋࠊ◊✲⤌⧊࣓ࣥࣂ࣮࡟ୗ⥺ࢆ௜ࡋ࡚ࡃࡔࡉ࠸ࠋ,QSUHVV ࡜࡞ࡗࡓࡶࡢ௨ୖࢆグධࡋ࡚ࡃࡔࡉ࠸ࠋͤ ◊✲㈝ࡢ౑㏵࡟ࡘ࠸࡚ࡣෆᐜࢆ⡆₩࡟グධࡋ࡚ࡃࡔࡉ࠸ࠋ

㸦 ᵝ ᘧ

ᖹᡂ䠎䠕ᖺᗘ㻌 ᩥ㒊⛉Ꮫ┬㻌 ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂ䝥䝻䜾䝷䝮㻌 㐃ᦠ኱Ꮫሗ࿌᭩㻌䛂೺ᗣ㛗ᑑ♫఍䜢ᢸ䛖ṑ⛉་Ꮫᩍ⫱ᨵ㠉䇶Ṛ⏕Ꮫ䜔ᆅᇦໟᣓ䜿䜰䝰䝕䝹䜢ᑟධ䛧䛯་⛉ṑ⛉㐃ᦠᩍ⫱యไ䛾ᵓ⠏䇶䛃஦ᴗ㻌㐃ᦠ኱Ꮫྡ

஑ᕞ኱Ꮫ㈐௵⪅ྡ⡙

㐃ᦠ኱Ꮫ
஦ᴗ᥎㐍
ጤဨ

ᙺ⫋

すᮧ ⱥ⣖஦ົᢸᙜ⪅

ᙺ๭⚟ᓥ ⏤⣖ᮏሗ࿌᭩ࡢ࣮࣒࣮࣍࣌ࢪ࡛ࡢ㛤♧
ࡢྍྰ

஦ᴗ⤌⧊

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ྂ㇂㔝 ₩㧘ᶫ ୍㑻୰す ༤ すᮧ ⱥ⣖୰ᮧ ㄔྖ ᯽㷂 ᬕᙪ ࿴⏣ ᑦஂᒣୗ ႐ஂ 㔜ᮧ ᠇ᚨ ᮏࣉࣟࢢ࣒ࣛࡢᮏᏛ㒊⥲㈐௵
⪅ࠋ௚኱Ꮫࣉࣟࢢ࣒ࣛࡢ㐃ᦠ࡟ࡘ࠸࡚⥲ᣦ᥹ࢆ⾜࠺ࠋᮏᏛ㒊࣒࢝ࣜ࢟ࣗࣛࡢ⥲㈐௵
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⪅ࠋᮏࣉࣟࢢ࣒ࣛࡢ㐠⏝࡟ຓゝ
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ᮏᏛ㒊㛤タ⛉┠ㅮ⩏ᢸᙜ⪅ࠋ๪◊✲㝔㛗
ᮏࣉࣟࢢ࣒ࣛᮏᏛ㒊ࡢ㛤タ⛉┠ୡヰேཬࡧ௚኱Ꮫࣉࣟࢢ࣒ࣛ
㐃ᦠ㈐௵⪅ࠋ
ᮏᏛ㒊⮫ᗋᐇ⩦㈐௵⪅ࠋ
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ᮏᏛ㒊㛤タ⛉┠ㅮ⩏ᢸᙜ⪅ࠋ ᩍ ᤵ ᮏᏛ㒊㛤タ⛉┠ㅮ⩏ᢸᙜ⪅ࠋ

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Ꮫ㒊㛗

ྍ࣭ྰ

ᩍ⫱ࣉࣟࢢࣛ ஑ᕞ኱Ꮫඛᑟⓗࠕཱྀ⭍࠿ࡽ඲㌟࡬ࡢ೺ᗣᏛࠖᩍ⫱ࡢ㧗ᗘ໬ࣉࣟࢢཱྀ࣒ࣛ⭍೺ᗣ⛉Ꮫ࣒࣭ࢥ࣮ࢫྡ ≉ㄽ

஦ᴗィ⏬


஑ᕞ኱ᏛṑᏛ◊✲㝔ࡀ㔜Ⅼ㡿ᇦ࡜఩⨨௜ࡅࡿࠊࠕཱྀ⭍೺ᗣ⛉Ꮫࠖࠕ⤌⧊ࡢ෌⏕࣭෌ᘓ◊✲ࠖࡢ࠺ࡕࠊᮏࣉࣟࢢ࣒ࣛ࡜ᐦ᥋࡟㛵㐃ࡋࡓࠊࠕཱྀ⭍೺ᗣ⛉Ꮫࠖศ㔝ࡢࢺࣆࢵࢡ
ࢫࢆㄢ㢟ゎỴᆺࡢᤵᴗ࡜ࡋ࡚᫖ᖺ࡟ᘬࡁ⥆ࡁᐇ᪋ࡋࡓࠋ
ࠕཱྀ⭍೺ᗣ⛉Ꮫ≉ㄽࠖᖺḟ㞟୰ㅮ⩏ࠊ᫬ᮇ㸸⮫ᗋᐇ⩦㛤ጞ┤๓㸷᭶㸯㸷᪥ 㸦ⅆ㸧㸯᫬㝈㸦㹼㸧࿪ᄮ࡜⫧‶㸦⸨℩ከెᏊ㠀ᖖ໅ㅮᖌ㸧㸰᫬㝈㸦㹼㸧⫧‶ࡢࣂ࢖࢜ࣟࢪ࣮㸦ṑ࿘⑓Ꮫ㸸すᮧᩍᤵ㸧㸱᫬㝈㸦㹼㸧⫧‶࣭⢾ᒀ⑓ࡢ㛵㐃ᛶࡢከᵝᛶࡢ⌮ゎ࡜ゎỴ㸦ṑ࿘⑓Ꮫ㸸すᮧᩍᤵ㸧㸲᫬㝈㸦㹼㸧⫧‶࡜╧╀᫬↓࿧྾⑕ೃ⩌㸦஑ᕞ኱Ꮫ⑓㝔 ╧╀᫬↓࿧྾ࢭࣥࢱ࣮㸸ὠ⏣≉௵ຓᩍ㸧㸷᭶㸰㸮᪥㸦Ỉ㸧㸯᫬㝈㸦㹼㸧࿡ぬ࡜⫧‶㸦ཱྀ⭍⏕⌮Ꮫ㸸㔜ᮧᩍᤵ㸧㸰᫬㝈㸦㹼㸧ཱྀ⭍⑌ᝈ࡜ㄆ▱⑕㸦ṑ⛉⸆⌮Ꮫ㸸୰すᩍᤵ㸧㸱᫬㝈㸦㹼㸧⮫ᗋ་Ꮫ⤫ィࢹ࣮ࢱࡢゎᯒ᪉ἲ࡜ࡑࡢゎ㔘㸦ཱྀ⭍ண㜵་Ꮫ㸸ྜྷ⏣ຓᩍ㸧㸲᫬㝈㸦㹼㸧ஂᒣ⏫◊✲࠿ࡽぢࡿ⫧‶࣭⢾ᒀ⑓࡜ṑ࿘⑓ࡢ㛵㐃ᛶ㸦ཱྀ⭍ண㜵་Ꮫ㸸ᒣୗᩍᤵ㸧ᤵᴗෆᐜࡣࣅࢹ࢜཰㘓ࡋࠊࢥࣥࢸࣥࢶࡣ㐃ᦠ኱Ꮫ࡟㓄ಙࡋࡓࠋ
ࠊ໭ᾏ㐨኱Ꮫ࡛㛤ദࡉࢀࡓࠕ೺ᗣ㛗ᑑ♫ᖹᡂ  ᖺ  ᭶  ᪥㸦㔠㸧ཬࡧ  ᪥㸦ᅵ㸧఍ࢆᢸ࠺ṑ⛉་Ꮫᩍ⫱ᨵ㠉Ṛ⏕Ꮫࡸᆅᇦໟᣓࢣ࢔ࣔࢹࣝࢆᑟධࡋࡓ་⛉ṑ⛉㐃ᦠᩍ⫱యไࡢᵓ⠏ ᖹᡂ㸰㸷ᖺᗘ 㐃ᦠࢩ࣏ࣥࢪ࣒࢘ࠖ࡟࠾࠸࡚ࠊ஑ᕞ኱Ꮫ࡟࠾ࡅࡿ
࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ࡢデ⒪࣭ᩍ⫱యไ࡟ࡘ࠸࡚࣏ࢫࢱ࣮Ⓨ⾲ࢆ⾜ࡗࡓࠋ⮫ᗋᐇ⩦ࡢ୍⎔࡜ࡋ࡚ᅾᏯデ⒪ᩍ⫱⏝㧗㱋⪅㺚㺮㺋㺸㺎㺞ࢆ౑ࡗࡓㅮ⩏ࢆ㸳ᖺ⏕඲ဨᑐ㇟࡟ᐇ᪋ࡋࡓࠋ
ࡑࡢ௚ࠊ㧗㱋⪅་⒪ࡸᄟୗホ౯࡞࡝࡟㛵㐃ࡍࡿᏛ఍ࡸ◊ಟ఍࡟ཧຍࡋࡓࠋ
ᡂᯝࡍ࡭࡚ࡢᤵᴗᚋ࡟Ꮫ⏕࢔ࣥࢣ࣮ࢺࢆᐇ᪋ࡋࠊḟᖺᗘ௨㝆ࡢᤵᴗ࡟ഛ࠼⤖ᯝࢆㅮᖌ࡟ࣇ࢕࣮ࢻࣂࢵࢡࡋࡓࠋᅾᏯデ⒪ᩍ⫱⏝㧗㱋⪅㺚㺮㺋㺸㺎㺞ࢆ⏝࠸ࡓ㧗㱋⪅ṑ⛉Ꮫ࣭඲㌟⟶⌮ṑ⛉Ꮫᩍ⫱ࢆ᥎㐍ࡍࡿࡓࡵ࡟㸪᪥ᮏ⪁ᖺṑ⛉་Ꮫ఍ཧຍ࡟ࡼࡾ㸪㧗㱋⪅ṑ⛉Ꮫ࡟㛵ࡋⴭྡ࡞◊✲ᩍ⫱⪅㐩࡜ពぢ஺᥮ࡋ㸪ᮏᏛࡢ⮫ᗋᐇ⩦࣭ㅮ⩏࡜ࡋ࡚㑏ඖࡋࡓࠋ
᪂ࡋ࠸ㄆ▱⑕௓ㆤᢏ⾡࣐ࣘࢽࢳ࣮ࣗࢻ࡟ࡘ࠸࡚ࡢࢭ࣑ࢼ࣮࡟ཧຍࡋࡓࠋ࣐ࣘࢽࢳࣗ
࣮ࢻࡣ㸪㧗㱋⪅࡜ࡾࢃࡅㄆ▱⑕ᝈ⪅ࡢࢣ࢔࡟᭷ຠ࡜ࡉࢀࡿࣇࣛࣥࢫ⏤᮶ࡢࢣ࢔࣓ࢯ
ࢵࢻ࡛㸪ゝㄒ࣭㠀ゝㄒ࡟ࡼࡿࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥᢏἲ࡟ᇶ࡙࠸ࡓࠊ❧఩⿵ຓࠊ㣗஦௓ຓࠊΎᣔࠊධᾎࠊ᭦⾰࡞࡝ࡢᐇ㊶ⓗ࡞ᢏ⾡࡛ᵓᡂࡉࢀ࡚࠸ࡿࠋせ௓ㆤ㧗㱋⪅ࡢࢣ࢔࡟ࡘ࠸࡚ࡢ⣔⤫❧࡚ࡓᣦᑟࣉࣟࢢ࣒ࣛࢆ⟇ᐃࡋ㸪ᮏᏛ㸳ᖺḟࡢ㧗㱋⪅ṑ⛉Ꮫணഛᐇ⩦㸪ᮏᏛ㸴ᖺḟࡢࣜࢧ࣮ࢳ࢚ࢡࢫ࣏࣮ࢪཱྀ࣮࡛ࣕ⭍⥲ྜṑ⛉Ꮫ࡟࠾ࡅࡿࠗ㧗㱋⪅ࡢཱྀ⭍ᶵ⬟࠘ࡢᣦᑟ࡜ࡋ࡚㑏ඖࡋࡓࠋᮏ ࣉ ࣟ ࢪ ࢙ ㄽᩥ࣭◊✲Ⓨ⾲㛵㐃ࠚࢡ ࢺ ࡟ 㛵 㐃 ࠙㧗㱋⪅ṑ⛉Ꮫ࣭඲㌟⟶⌮ṑ⛉Ꮫ㛵ࡋࡓᴗ⦼㸪▱  Hassan NMM, Akhter R, Staudinger L, Tarpey N, Basha S, Cox S and
Kashiwazaki H. Oral disease and malnutrition in the elderly - impact of oral㈈㸪ཷ㈹➼
cancer. Curr Oral Health Rep, 2017, doi: 10.1007/s40496-017-0126-2.
 ᯽ᓮᬕᙪ㸬ཱྀ⭍ࢣ࢔ࡀࡶࡓࡽࡍᐇົ฼┈ձᝈ⪅࡟࠾ࡅࡿ฼┈̾඲㌟⟶⌮㸦ឤᰁ⑕ண㜵㸧ࡢഃ㠃࠿ࡽ㸬ឤᰁᑐ⟇,&7ࢪ࣮ࣕࢼࣝYROQR.
 ᯽ᓮᬕᙪ௚㸪ࠕᨵゞ∧ ཱྀ⭍ࢣ࢔ᇶ♏▱㆑ࠖ㸬୍⯡♫ᅋἲே᪥ᮏཱྀ⭍ࢣ࢔Ꮫ఍⦅
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࠙ᰤ㣴ࡢ⤒ཱྀᦤྲྀ࡜ᦤ㣗⾜ື㛵㐃ࠚ
4. Yoshida R, Shin M, Yasumatsu K, Takai S, Inoue M, Shigemura N, Takiguchi
S, Nakamura S, Ninomiya Y. The Role of Cholecystokinin in Peripheral
Taste Signaling in Mice.
Front Physiol. 2017 Oct 31;8:866. doi:
10.3389/fphys.2017.00866. eCollection 2017.
5. Yoshida R, Takai S, Sanematsu K, Margolskee RF, Shigemura N, Ninomiya
Y. Bitter Taste Responses of Gustducin-positive Taste Cells in Mouse

Fungiform and Circumvallate Papillae. Neuroscience. 2018 369:29-39. doi:
10.1016/j.neuroscience.2017.10.047.
࠙་Ꮫ⤫ィ㛵㐃ࠚ
6. Takeuchi K, Ohara T, Furuta M, Takeshita T, Shibata Y, Hata J, Yoshida D,
Yamashita Y, Ninomiya T. Tooth Loss and Risk of Dementia in theCommunity: the Hisayama Study. J Am Geriatr Soc. 2017 65(5):e95-e100.
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7. Kageyama S, Takeshita T, Furuta M, Tomioka M, Asakawa M, Suma S,
Takeuchi K, Shibata Y, Iwasa Y, Yamashita Y. Relationships of variations in
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J Gerontol A. Biol Sci Med Sci. 2017 doi: 10.1093/gerona/glx205. [Epub aheadof print]࠙⫧‶࣭⢾ᒀ⑓㛵㐃ࠚ
8. Tsuruta M, Iwashita M, Shinjo T, Matsunaga H, Yamashita A, Nishimura F.
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10.1055/s-0043-121467. [Epub ahead of print]
9. Matsunaga H, Iwashita M, Shinjo T, Yamashita A, Tsuruta M, Nagasaka S,
Taniguchi A, Fukushima M, Watanabe N, Nishimura F. Adipose tissuecomplement factor B promotes adipocyte maturation. Biochem Biophys Res
Commun. 2018 495(1):740-748. doi: 10.1016/j.bbrc.2017.11.069.
10. Takano A, Fukuda T, Shinjo T, Iwashita M, Matsuzaki E, Yamamichi K,
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࠙ㄆ▱ᶵ⬟㛵㐃ࠚ
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ྡྂᒇᅜ㝿఍㆟ሙ 㸲ྡ ࠕ᪥ᮏ⪁ᖺṑ⛉་Ꮫ఍ࠖ ໭ᾏ㐨኱ᏛṑᏛ㒊 㸵ྡ ᮏ஦ᴗ࡟ಀࡿࠕ㐃ᦠࢩ࣏ࣥࢪ࣒࢘ࠖ ᅜ❧⑓㝔ᶵᵓᮾி་⒪ࢭࣥࢱ࣮ 㸯ྡ ࠕ࣐ࣘࢽࢳ࣮ࣗࢻධ㛛ࢥ࣮ࢫࠖ
ࡑࡢ௚ࠕ࣐ࣘࢽࢳ࣮ࣗࢻධ㛛ࢥ࣮ࢫࠖ ཧຍ㈝㠀ᖖ໅ㅮᖌㅰ㔠㸰ྡ           
HOHDUQLQJ཰㘓ࡢࡓࡵࡢ7$㞠⏝㸰ྡͤ ᡂᯝ࡟ࡘ࠸࡚ࡣ㸪ᑐ㇟⪅ࡢேᩘࡶグධࡋ࡚ୗࡉ࠸ࠋͤ ◊✲ᴗ⦼࡟ࡘ࠸࡚ࡣ㸪ㄽᩥྡ࣭ⴭ᭩ྡ࣭ⴭ⪅ྡ࣭Ꮫ఍ㄅྡ࣭ᕳ㸦ྕ㸧࣭᭱ึ࡜᭱ᚋࡢ㡫࣭Ⓨ⾲ᖺ㸦すᬺ㸧ࡢྛ㡯┠ࢆグධࡋ࡚ࡃࡔࡉ࠸ࠋඹྠࠊ
ඹⴭࡢሙྜࡣ඲ဨࢆᥖ㍕㡰࡟グධࡋࠊ◊✲⤌⧊࣓ࣥࣂ࣮࡟ୗ⥺ࢆ௜ࡋ࡚ࡃࡔࡉ࠸ࠋ,QSUHVV ࡜࡞ࡗࡓࡶࡢ௨ୖࢆグධࡋ࡚ࡃࡔࡉ࠸ࠋͤ ◊✲㈝ࡢ౑㏵࡟ࡘ࠸࡚ࡣෆᐜࢆ⡆₩࡟グධࡋ࡚ࡃࡔࡉ࠸ࠋ

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ᖹᡂ䠎䠕ᖺᗘ㻌 ᩥ㒊⛉Ꮫ┬㻌 ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂ䝥䝻䜾䝷䝮㻌 㐃ᦠ኱Ꮫሗ࿌᭩㻌䛂೺ᗣ㛗ᑑ♫఍䜢ᢸ䛖ṑ⛉་Ꮫᩍ⫱ᨵ㠉䇶Ṛ⏕Ꮫ䜔ᆅᇦໟᣓ䜿䜰䝰䝕䝹䜢ᑟධ䛧䛯་⛉ṑ⛉㐃ᦠᩍ⫱యไ䛾ᵓ⠏䇶䛃஦ᴗ㻌㐃ᦠ኱Ꮫྡ

㐃ᦠ኱Ꮫ஦ᴗ᥎㐍ጤဨ

㛗ᓮ኱Ꮫ㈐௵⪅ྡ⡙஦ᴗ⤌⧊⃝℩  㝯㰻⸨ ಇ⾜ゅ  ᛅ㍤ᙺ⫋⃝℩  㝯஦ົᢸᙜ⪅ᙺ๭ᩍᤵ ཱྀ⭍࢖ࣥࣉࣛࣥࢺᏛ  ṑᏛᩍ⫱ᨵ㠉ࢥࣥࢯ࣮ࢩ࢔࣒஦ᴗ
᥎㐍ጤဨ఍ጤဨ
ṑᏛᩍ⫱ᨵ㠉ࢥࣥࢯ࣮ࢩ࢔࣒ᐇ⩦ᩍᤵ ཱྀ⭍ಖ೺Ꮫ ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮ᩍᤵ ⥲ྜṑ⛉⮫ᗋᩍ⫱Ꮫ  ṑᏛᩍ⫱ᨵ㠉ࢥࣥࢯ࣮ࢩ࢔࣒ᩍ⫱㤿ሙ ᩗ୕

ᮏሗ࿌᭩ࡢ࣮࣒࣮࣍࣌ࢪ
࡛ࡢ㛤♧ࡢྍྰ

ྍ࣭ྰ࣒࢝ࣜ࢟ࣗࣛ㛤Ⓨ࣭⦅ᡂᢸᙜ

ᩍ⫱ࣉࣟࢢࣛ
㛗ᓮ኱Ꮫ ≉Ⰽ࠶ࡿ་⒪ᨭ᥼ṑᏛᩍ⫱ࣉࣟࢢ࣒࣭ࣛ㞳ᓥṑ⛉ཱྀ⭍་⒪࣭ಖ೺࣭⚟♴Ꮫᐇ⩦࣒࣭ࢥ࣮ࢫྡ஦ᴗィ⏬ 㛗ᓮ┴ࡣ඲ᅜ࡛᭱ࡶከࡃࡢ㞳ᓥࢆ᭷ࡋࠊ㞳ᓥᆅᇦࡢ㧗㱋໬⋡ࡣࢆ㉸࠼ࠊࢃࡀᅜࡢ㉸㧗㱋♫఍ࡀࡍ࡛࡟ල⌧໬ࡉࢀ࡚࠸ࡿࠋ೺ᗣ㛗ᑑ♫఍ࡢ㈉⊩࣐࢖ࣥࢻࢆᾰ㣴ࡍࡿ࡟࠶ࡓࡾࠊࡇࡢᆅࡣ⤯ዲࡢᩍ⫱⌧ሙ࡛࠶ࡿ࡜ゝ࠼ࡿࠋ㛗ᓮ኱ᏛṑᏛ㒊࡛ࡣ㞳ᓥ➼ࡢᆅᇦṑ⛉་⒪ࢆᢸ࠺ṑ⛉་ᖌ㣴ᡂࢆ┠ⓗ࡜ࡋ࡚ࠊ஬ᓥᕷෆྛᡤࡢ᪋タࢆ฼⏝ࡋ࡚ࠊ་Ꮫ㒊ࠊ⸆Ꮫ㒊࡜ඹ࡟ከ⫋✀㐃ᦠ࡟ࡼࡿࠕᆅ
ᇦ་⒪୍㈏ᩍ⫱ࠖࢆ⾜࠺ࠋࡍ࡞ࢃࡕࠊ་ṑ⸆ࡢ་⒪⣔㸱Ꮫ㒊ࡢඹಟ࡛ࠊᐇ㝿࡟Ꮫ⏕ࡀ㞳ᓥ࡟㉱ࡁࠊ⁫ᅾࡋࠊ㞳ᓥ་⒪ࢆᐇయ㦂ࡋ࡞ࡀࡽ་⒪࣭ಖ೺࣭⚟♴ᏛࢆᏛࡪࡇ࡜࡛ࠊᅾᏯ௓ㆤᐇ⩦࡜་⛉ṑ⛉㐃ᦠࢆᐇ㊶ࡍࡿࠋࡉࡽ࡟ࡣ᫖ᖺ࡟ᘬࡁ⥆ࡁࠊ௚኱Ꮫ㑅ᢥᒚಟ⪅ࢆᑐ㇟࡜ࡋࡓྠᐇ⩦ࢆࢧ࣐࣮ࢫࢡ࣮ࣝ࡜ࡋ࡚ᐇ᪋ࡍࡿࠋ ᖹᡂ㸰㸷ᖺᗘࡢ஦ᴗィ⏬ࡣ௨ୗࡢ࡜࠾ࡾ࡛࠶ࡿࠋ
ձ㸶᭶ࠥ㸷᭶ ௚኱Ꮫ㑅ᢥᒚಟ⪅ࢆᑐ㇟࡜ࡋࡓࢧ࣐࣮ࢫࢡ࣮ࣝࢆᐇ᪋ࠋ ࣭ᐇ⩦᪉ἲ㸸ᮏᖺᗘࡣ㸯ࢡ࣮ࣝ㸲ྡ⛬ᗘࡢ௚኱Ꮫ㑅ᢥᒚಟ⪅࡟ᑐࡋࠊ㐃⥆㸳᪥㛫஬ᓥᕷ࡟࡚
⁫ᅾᆺᐇ⩦ࢆᐇ᪋㸦㸰ࢡ࣮ࣝィ㸶ྡ㸧ࠋ⑓Ჷ࡟ጞࡲࡾࠊ୍⯡ṑ⛉ࡲ࡛㔜⑕ᗘ࣭௓ㆤᗘࡀ㍍ࡃ
࡞ࡿࡼ࠺࡟ᐇ⩦᪋タࢆ㓄ࡋࠊࡉࡲࡊࡲ࡞㌟య≧ἣࡢ᪉ࠎࡢ་⒪௓ㆤࡢ⌧ሙ࡛ṑ⛉་࡜ࡋ࡚ồࡵࡽࢀࡿࡶࡢࡣ࡞࡟࠿ࢆᏛ⏕࡟⪃ᐹࡉࡏࡿࠋ
᭶$0 㞳ᓥᐇ⩦඲⯡ཱྀ⭍ᄟୗࢣ࢔ㅮ⩏㸦஬ᓥᕷෆᐟἩ᪋タ㸧᭶30 ⑓Ჷᄟୗᅇデ㸦஬ᓥ୰ኸ⑓㝔⑓Ჷ㸧ⅆ  ≉ู㣴ㆤ⪁ே࣮࣒࣍௓ㆤ࡜ཱྀ⭍ᄟୗࢣ࢔㸦ྈ⊁Ⲯ㸧Ỉ  ㏻ᡤ௓ㆤ௓ㆤ࡜ཱྀ⭍ᄟୗࢣ࢔㸦♫఍⚟♴༠㆟఍ᐩỤᨭᡤࢹ࢖ࢧ࣮ࣅࢫ㸧ᮌ  ṑ⛉་㝔㸰ḟ㞳ᓥ࣭ デ➼㸦ᒱᐟṑ⛉デ⒪ᡤࠊஂ㈡ṑ⛉デ⒪ᡤ㸧㔠$0 ࢢ࣮ࣝࣉࢹ࢕ࢫ࢝ࢵࢩࣙࣥ㸦஬ᓥᕷෆᐟἩ᪋タ㸧ղ㸯㸮᭶ࠥ㸱᭶ ᮏᖺᗘデ⒪ཧຍᆺ⮫ᗋᐇ⩦㛤ጞ࣭ᐇ⩦᪉ἲ㸸㸯⤌㸲ࠥ㸳ྡࡎࡘࠊ㹆㸰㸷ᖺ㸯㸮᭶࠿ࡽ㸯㸯ࢡ࣮ࣝ࡟ศ࠿ࢀ࡚ࠊ㐃⥆㸳᪥㛫஬ᓥᕷ࡟࡚⁫ᅾᆺᐇ⩦ࢆ㛗ᓮ኱Ꮫ⮫ᗋᐇ⩦⏕࡟ᑐࡋ࡚ᐇ᪋㸦ᖺ㛫ィ㸳㸱ྡ㸧࣭ᐇ⩦㡯┠ࠊ฿㐩┠ᶆࡢ࢞࢖ࢲࣥࢫ࡜ࢹ࢕ࢫ࢝ࢵࢩࣙࣥ
࣭㞳ᓥṑ⛉ཱྀ⭍་⒪ᐇ⩦㸸Ẹ㛫ṑ⛉་㝔࡟ࡼࡿ デ࡟ᖏྠࡋࠊぢᏛ࡞ࡽࡧ࡟⿵ຓࢆ⾜࠺ࠋ࣭㞳ᓥ⚟♴᪋タᐇ⩦㸸஬ᓥᕷ♫఍⚟♴༠㆟఍ࢹ࢖ࢧ࣮ࣅࢫࠊࢹ࢖࣭ࡣࡲࡺ࠺࠾ࡼࡧせ௓ㆤ᪋タྈ⊁Ⲯ࡟࡚௓ㆤࢫࢱࢵࣇࡢ⿵ຓࠊཱྀ⭍ࢣ࢔ࡢᐇ㊶ࢆ⾜࠸ࠊ㧗㱋⪅ṑ⛉ಖ೺࡟ᚲせ࡞▱㆑ࠊែᗘࠊᢏ⬟ࢆᏛࡪࠋࡲࡓ⚟♴⌧ሙ࡛ࡢ௓ㆤࢫࢱࢵࣇ࡜ࡢ㐃ᦠࢆయ㦂ࡍࡿࠋ࣭㞳ᓥಖ೺་⒪ᐇ⩦㸸஬ᓥᕷ೺ᗣᨻ⟇ㄢ࣭㛗ᑑ௓ㆤㄢ࡟࠾ࡅࡿࠊ⾜ᨻࡀᐇ᪋ࡋ࡚࠸ࡿಖ೺ண㜵஦ᴗ࡬ࡢཧຍࢆ㏻ࡌ࡚බ⾗⾨⏕ୖࠊᚲせ࡞▱㆑ࠊែᗘࠊᢏ⬟ࢆᏛࡪࠋ
࣭ࢢ࣮ࣝࣉࢹ࢕ࢫ࢝ࢵࢩࣙࣥ㸸ྛᏛ⏕ࡢ࣏࣮ࢺࣇ࢛ࣜ࢜ࢆᇶ࡟ྠࢡ࣮ࣝ࡟ཧຍࡢ་Ꮫ㒊ࠊ⸆Ꮫ㒊Ꮫ⏕࡜࡜ࡶ࡟ࢢ࣮ࣝࣉࢹ࢕ࢫ࢝ࢵࢩࣙࣥࢆ⾜࠸ࠊ஫࠸ࡢᏛࡧࡢඹ᭷ࠊၥ㢟Ⅼࡢᢳฟࢆ⾜࠺ࠋճ㸯㸯᭶ ᖹᡂᖺᗘ㐃ᦠࢩ࣏ࣥࢪ࣒࢘㸦໭ᾏ㐨኱Ꮫ㸧࡞ࡽࡧ࡟ྠ஦ᴗ᥎㐍ጤဨ఍࡟ฟᖍ
մ㸰᭶ 㛗ᓮ኱Ꮫᆅᇦ་⒪༠ാࢭࣥࢱ࣮࡜ࡢඹദ࡛බ㛤ㅮ₇఍ࠕṑ࿘⑓࡜඲㌟ࡢ㛵㐃̿ᆅᇦ㐃ᦠࡢྍ⬟ᛶࠖࢆ㛤ദյ㸰᭶ ᖹᡂᖺᗘୗ஬ᓥᆅ༊㞳ᓥ་⒪ᩍ⫱◊✲఍㸦஬ᓥᕷ㸧࡟࡚ᐇ⩦ᣦᑟሗ࿌ᡂᯝձ㸵᭶㸱㸯᪥ࠥ㸶᭶㸲᪥ 㞳ᓥ་⒪ࢧ࣐࣮ࢫࢡ࣮ࣝ➨㸯ࢡ࣮ࣝᐇ᪋㸦᫛࿴኱㸯ྡࠊ㛗ᓮ኱㸰ྡ㸧ղ㸷᭶㸲᪥ࠥ㸶᪥ 㞳ᓥ་⒪ࢧ࣐࣮ࢫࢡ࣮ࣝ➨㸰ࢡ࣮ࣝᐇ᪋㸦ᒸᒣ኱㸰ྡࠊ㛗ᓮ኱㸯ྡ㸧㸦㈨ᩱ㸧ճ㸯㸮᭶ࠥᖹᡂ㸱㸮ᖺ㸱᭶ ᮏᖺᗘデ⒪ཧຍᆺ⮫ᗋᐇ⩦մ㸯㸯᭶㸯㸮᪥ࠥ㸯㸯᪥ ᖹᡂᖺᗘ㐃ᦠࢩ࣏ࣥࢪ࣒࢘㸦໭ᾏ㐨኱Ꮫ㸧࡞ࡽࡧ࡟ྠ஦ᴗ᥎㐍ጤဨ఍࡟ฟᖍ㸦⃝℩ࠊ㰻⸨ࠊᑠᒣࠊከ⏣㸧յ㸰᭶㸯㸵᪥ 㛗ᓮ኱Ꮫᆅᇦ་⒪༠ാࢭࣥࢱ࣮࡜ࡢඹദ࡛බ㛤ㅮ₇఍ࠕṑ࿘⑓࡜඲㌟ࡢ㛵㐃̿ᆅᇦ㐃ᦠࡢྍ⬟ᛶࠖࢆ㛤ദ㸦஬ᓥᕷ㸧ն㸰᭶㸰㸮᪥ ᖹᡂᖺᗘୗ஬ᓥᆅ༊㞳ᓥ་⒪ᩍ⫱◊✲఍㸦஬ᓥᕷ㸧࡟࡚ᐇ⩦ᣦᑟሗ࿌㸦ゅࠊከ⏣㸧㸦㈨ᩱ㸧ᮏࣉࣟࢪ࢙ࢡ ㄽᩥ࣭◊✲Ⓨ⾲ࢺ࡟㛵㐃ࡋࡓ 㸯㸬ᑠᒣ ၿဢ㸪ከ⏣ ᾈ᫭㸪ᒾ㷂 ⌮ᾈ㸪㰻⸨ ಇ⾜㸪ゅ ᛅ㍤㸪⃝℩ 㝯㸸 㛗ᓮ኱ᏛṑᏛ㒊㞳ᓥṑ⛉ಖ೺་⒪ࢧ࣐࣮ࢫࢡ࣮ࣝሗ࿌ ᩥ㒊⛉Ꮫ┬ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂࣉࣟࢢࣛᴗ⦼㸪▱㈈㸪
ཷ㈹➼࣒㸦೺ᗣ㛗ᑑ♫఍ࡢᐇ⌧࡟㈉⊩ࡍࡿṑ⛉་⒪ே㣴ᡂ㸧㑅ᐃ஦ᴗ ೺ᗣ㛗ᑑ♫఍ࢆᢸ࠺ṑ⛉་Ꮫᩍ⫱ᨵ㠉̿Ṛ⏕Ꮫࡸᆅᇦໟᣓࢣ࢔ࣔࢹࣝࢆᑟධࡋࡓ་⛉ṑ⛉㐃ᦠᩍ⫱యไࡢᵓ⠏̿ᖹᡂ
ᖺᗘ㐃ᦠࢩ࣏ࣥࢪ࣒࢘㸪ᮐᖠ㸪᭶㹹ࣉࣟࢢ࣒࣭ࣛᢒ㘓㞟㸪S㹻
㸰㸬ゅ ᛅ㍤ࠊᑠᒣၿဢࠊ㰻⸨ಇ⾜ࠊ⃝℩ 㝯㸸ṑᏛ㒊⮫ᗋᐇ⩦⏕࡟ࡼࡿᖹᡂᖺᗘ㞳ᓥ་⒪ಖ೺ᐇ⩦ሗ࿌㸦᪊ ᖹᡂᖺᗘୗ஬ᓥᆅ༊㞳ᓥ་⒪ᩍ⫱◊✲఍ ஬ᓥᕷ㸧
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▱㈈
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ཷ㈹➼
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஦ᴗ㈝ࡢ౑㏵ タഛഛရ㈝    ཮║࣮ࣝ࣌㸦ओᯇ㢼 0,&'࣮ࣝ࣌ 77/㺞㺐㺪㺽㸧 ෇
ᖹᡂᖺᗘ㞳ᓥ་⒪ಖ೺ᐇ⩦࡟࠾ࡅࡿ⪁ேಖ೺᪋タゼၥデ⒪㸦ྈ⊁Ⲯ㸧ࡸᅾᏯデ⒪ཱྀ⭍ࢣ࢔࠾ࡼࡧᦤ㣗࣭ᄟୗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥᩍ⫱࡟౑⏝ࡋࡓࠋ
᪑㈝㸸ᅜෆ᪑㈝    ࢧ࣐࣮ࢫࢡ࣮ࣝᐇ᪋࡟ಀࡿ஦๓ᡴྜࡏ 㸯ྡ  ෇    ࢧ࣐࣮ࢫࢡ࣮ࣝᐇ᪋㸦Ꮫ⏕㸴ྡࠊᘬ⋡ࡢ࡭㸲ྡ㸧෇    ࢩ࣏ࣥࢪ࣒࢘㸦໭ᾏ㐨኱Ꮫ㸧ཧຍ   㸲ྡ  ෇    ୗ஬ᓥᆅ༊㞳ᓥ་⒪ᩍ⫱◊✲఍ཧຍ  㸯ྡ  ෇ ㅰ㔠㸸ࢧ࣐࣮ࢫࢡ࣮ࣝ࡟࠾ࡅࡿᐇ⩦᪋タ 㸶௳  ෇   ᾘ⪖ရ㸸㞳ᓥᐇ⩦➼࡟౑⏝ࡍࡿᾘ⪖ရ㢮୍ᘧ   ෇
ͤ ᡂᯝ࡟ࡘ࠸࡚ࡣ㸪ᑐ㇟⪅ࡢேᩘࡶグධࡋ࡚ୗࡉ࠸ࠋͤ ◊✲ᴗ⦼࡟ࡘ࠸࡚ࡣ㸪ㄽᩥྡ࣭ⴭ᭩ྡ࣭ⴭ⪅ྡ࣭Ꮫ఍ㄅྡ࣭ᕳ㸦ྕ㸧࣭᭱ึ࡜᭱ᚋࡢ㡫࣭Ⓨ⾲ᖺ㸦すᬺ㸧ࡢྛ㡯┠ࢆグධࡋ࡚ࡃࡔࡉ࠸ࠋඹྠࠊඹ
ⴭࡢሙྜࡣ඲ဨࢆᥖ㍕㡰࡟グධࡋࠊ◊✲⤌⧊࣓ࣥࣂ࣮࡟ୗ⥺ࢆ௜ࡋ࡚ࡃࡔࡉ࠸ࠋ,QSUHVV ࡜࡞ࡗࡓࡶࡢ௨ୖࢆグධࡋ࡚ࡃࡔࡉ࠸ࠋͤ ◊✲㈝ࡢ౑㏵࡟ࡘ࠸࡚ࡣෆᐜࢆ⡆₩࡟グධࡋ࡚ࡃࡔࡉ࠸ࠋ

㸦ᵝᘧ㸯㸧

ᖹᡂ䠎䠕ᖺᗘ㻌 ᩥ㒊⛉Ꮫ┬㻌 ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂ䝥䝻䜾䝷䝮㻌 㐃ᦠ኱Ꮫሗ࿌᭩㻌䛂೺ᗣ㛗ᑑ♫఍䜢ᢸ䛖ṑ⛉་Ꮫᩍ⫱ᨵ㠉䇶Ṛ⏕Ꮫ䜔ᆅᇦໟᣓ䜿䜰䝰䝕䝹䜢ᑟධ䛧䛯་⛉ṑ⛉㐃ᦠᩍ⫱యไ䛾ᵓ⠏䇶䛃஦ᴗ㻌㐃ᦠ኱Ꮫྡ

㮵ඣᓥ኱Ꮫ㈐௵⪅ྡ⡙஦ᴗ⤌⧊ᐑ⬥ ṇ୍すᮧ ṇᏹ⏣ཱྀ ๎ᏹ
༡ ᘯஅ

㐃ᦠ኱Ꮫ஦ᴗ᥎㐍ጤဨᙺ⫋ᐑ⬥ ṇ୍

஦ົᢸᙜ⪅

ᙺ๭

஦ᴗ㈐௵⪅
ᩍ⫱࣒࢝ࣜ࢟ࣗࣛ㛤Ⓨ࣭⦅ᡂᢸᙜ
๪Ꮫ㒊㛗⮫ᗋᩍ⫱ 㒊఍ጤ ᐇ⩦ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮
ဨ⮫ᗋᩍ⫱㒊఍㛗 ㅮ⩏ࢥࣥࢸࣥࢶసᡂ℈ᖹ ᖾ඾

ᮏሗ࿌᭩ࡢ࣮࣒࣮࣍࣌ࢪ࡛ࡢ㛤♧
ࡢྍྰ

ṑᏛ㒊㛗

ྍ

ᩍ⫱ࣉࣟࢢࣛ 㮵ඣᓥ኱Ꮫ ≉Ⰽ࠶ࡿ་⒪ᨭ᥼ṑᏛᩍ⫱ࣉࣟࢢ࣒ࣛ
࣒࣭ࢥ࣮ࢫྡ ࠕ዆⨾኱ᓥ࣭୚ㄽᓥ࡟࠾ࡅࡿཱྀ⭍࡜඲㌟ࡢ೺ᗣᏛࢥ࣮ࢫࠖ
஦ᴗィ⏬

ᡂᯝ

࠙┠ⓗࠚఫẸࡢ㧗㱋໬࡜་⒪㐣␯ࡢၥ㢟ࢆᢪ࠼ࡿᆅᇦ࣭㞳ᓥ࡟࠾ࡅࡿṑ⛉デ⒪ࡢᐇែࢆ⌮ゎࡉࡏࡿࡇ࡜࡛ࠊᆅᇦࡢࢽ࣮ࢬ࡟ᛂࡌࡓໟᣓⓗṑ⛉་⒪ࢆ᥎㐍࡛ࡁࡿṑᏛ⏕࣭ṑ⛉་⒪ேࢆ㣴ᡂࡍ
ࡿࠋ

࠙ィ⏬ࠚ
㸯㸧᫖ᖺᗘ࠿ࡽ㛤ጞࡋࡓࠊࠕ዆⨾኱ᓥ࣭୚ㄽᓥ࡟࠾ࡅࡿཱྀ⭍࡜඲㌟ࡢ೺ᗣᏛࢥ࣮ࢫࠖࡢࢱ࢖ࢺ
࡛ࣝㅮ⩏࠾ࡼࡧయ㦂ᆺᐇ⩦㸦዆⨾኱ᓥࠊ୚ㄽᓥࠊ✀ᏊᓥࠊᚨஅᓥࠊἈỌⰋ㒊ᓥࠊᒇஂᓥ࡬ࡢὴ
㐵ᆺṑ⛉་⒪ᐇ⩦㸧ᙧᘧࡢᩍ⫱ࢥ࣮ࢫࢆࠊᘬࡁ⥆ࡁᮏᏛṑᏛ㒊⏕ᑐ㇟࡟㛤ㅮࡍࡿࠋࡇࢀ࡟ࡼࡾ
㧗㱋໬࡜་⒪㐣␯ࡢၥ㢟ࢆᢪ࠼ࡓࡇࢀࡽࡢᓥࠎࢆࣔࢹࣝᆅᇦ࡜ࡋ࡚ࠊᆅᇦ་⒪ࢆ኱ษ࡟ࡍࡿ་⒪ே࣐࢖ࣥࢻ࡟ᐩࢇࡔṑᏛ㒊Ꮫ⏕ࡢ⫱ᡂࢆᅗࡿࠋࡇࡢᩍ⫱ࢥ࣮ࢫࡢᑐ㇟Ꮫ⏕ࡣࠊᮏᏛṑᏛ㒊⏕ࡢࡳ࡛࡞ࡃࠊࣅࢹ࢜㘓⏬ࢆ฼⏝ࡋࡓHOHDUQLQJᙧᘧࡢᤵᴗ࡜ࠊὴ㐵ᆺṑ⛉་⒪ᐇ⩦࡬ࡢཧຍເ
㞟࡟ࡼࡗ࡚ࠊᮏ஦ᴗࡢ௚ࡢ㐃ᦠ኱ᏛṑᏛ㒊⏕࡟ࡶཷㅮྍ⬟࡜ࡍࡿࠋ
㸰㸧ᖹᡂᖺᗘ࡟௓ㆤṑ⛉་⒪ࢩ࣑࣮ࣗࣞࢱࢆࠊᖹᡂᖺᗘ࡟࣏࣮ࢱࣈࣝࣘࢽࢵࢺࢆṑᏛ㒊Ꮫ⏕⮫ᗋᐇ⩦⏝ࢫ࢟ࣝࢫࣛ࣎࡟ᑟධࡋࠊゼၥデ⒪࡞ࡽࡧ࡟㧗㱋⪅ṑ⛉་⒪ࡢ⮫ᗋᐇ⩦ࡢሙࢆᐇ⌧ࡋࡓࠋ᫖ᖺᗘ࠿ࡽ⮫ᗋᐇ⩦ࡢ඲Ꮫ⏕ࢆᑐ㇟࡟ᐇ᪋ࡋ࡚࠸ࡿࡀࠊᮏᖺᗘࡢ⮫ᗋᐇ⩦ࡼࡾᮏᐇ⩦ࢆ⮫ᗋᐇ⩦࣒࢝ࣜ࢟ࣗࣛ࡟⤌ࡳ㎸ࢇ࡛ᐇ᪋ࡍࡿࠋ
㸱㸧㮵ඣᓥᅜ㝿ṑᏛࢩ࣏ࣥࢪ࣒࢘ࡢ㛤ദࠕࢢ࣮ࣟ࢝ࣝ࡞೺ᗣ㛗ᑑࢆᐇ⌧ࡍࡿṑᏛᩍ⫱࡜⮫ᗋ◊✲ࠖࢆࢸ࣮࣐࡟ࠊ㉸㧗㱋♫఍࡟ᑐᛂࡍࡿ
ṑᏛᩍ⫱࡜⮫ᗋ◊✲ࡢ࠶ࡾ᪉࡟ࡘ࠸࡚ᅜෆࡢ኱Ꮫ࡜⾜ᨻࡢ᭷㆑⪅࡟ຍ࠼ࠊ࢖ࣥࢻࢿࢩ࢔࡟࠾ࡅ
ࡿ⮫ᗋ◊✲࡟ࡘ࠸࡚ᮏᏛṑᏛ㒊ࡢ༠ᐃᰯ࡛࠶ࡿ࢚࢔ࣛࣥ࢞኱Ꮫ࠿ࡽ࠾஧ேࡢඛ⏕ࢆ࠾ᣍࡁࡋ࡚
ࠊ࠾ヰࡋ࡚㡬ࡃணᐃࠋᮏࢩ࣏ࣥࢪ࣒࢘࡟ࡼࡾࠊཧຍ⪅ࡢ㉸㧗㱋♫఍࡬ᑐᛂࡍࡿࡓࡵࡢṑᏛᩍ⫱࡜⮫ᗋ◊✲࡬ࡢ⌮ゎࡀ῝ࡲࡾࠊࡑࢀࡀ௒ᚋࡢ೺ᗣ㛗ᑑ࡟ྥࡅࡓṑᏛᩍ⫱ࡢᨵ㠉࡟⧅ࡀࡿࡇ࡜ࢆ
ᮇᚅࡍࡿࠋ
࠙ᖹᡂᖺᗘࡢάື≧ἣࠚ㸯㸧≉Ⰽ࠶ࡿ་⒪ᨭ᥼ṑᏛᩍ⫱ࣉࣟࢢ࣒ࣛࠕ዆⨾኱ᓥ࣭୚ㄽᓥ࡟࠾ࡅࡿཱྀ⭍࡜඲㌟ࡢ೺ᗣᏛࢥ
࣮ࢫࠖࡢᐇ᪋ձ ㅮ⩏㸸ㅮ⩏ࠕᆅᇦ࣭㞳ᓥṑ⛉་⒪Ꮫࠖ࡟࠾࠸࡚ࠊከ⫋✀㐃ᦠࡸ⑓デ㐃ᦠ㸪㞳ᓥࡸ་⒪㐣␯ᆅᇦࢆྵࡴᆅᇦ࡛ࡢཱྀ⭍ಖ೺άື࡞࡝㸪ᆅᇦ࡟࠾ࡅࡿṑ⛉་⒪άື࡟㛵ࡍࡿㅮ⩏ࢆ⾜࡞ࡗࡓࠋィ㸵ᅇࡢㅮ⩏ࡢෆᐜࢆࠊᮏࣉࣟࢢ࣒ࣛ࡟ࡼࡗ࡚ᩚഛࡉࢀࡓࢥࣥࢸࣥࢶసᡂࢩࢫࢸ࣒㸦㸱H5HFϪ㸧ࢆ⏝࠸࡚཰㘓ࡋࠊࣅࢹ࢜ࢥࣥࢸࣥࢶࡢసᡂ࡟ഛ࠼࡚࠸ࡿࠋղ య㦂ᆺᐇ⩦㸸ᮏᏛࡢᏛ⏕࡟ࡘ࠸࡚ࡣࠊᖹᡂᖺ㸲㹼㸵᭶࡟✀Ꮚᓥࠊ዆⨾኱ᓥࠊᚨஅᓥ࠾ࡼ

ࡧ୚ㄽᓥ࡟࠾࠸࡚ྜィྡࡢ㸴ᖺ⏕ࡀ㸲Ἡ㸳᪥ࡢᐇ⩦࡟ཧຍࡋࡓࠋᖹᡂᖺ㸶᭶࡟ࡣࠊ✀Ꮚᓥ࠾ࡼࡧ୚ㄽᓥ࡛㸱Ἡ㸲᪥㛫ࡢᐇ⩦ࢆ௻⏬ࡋࠊ㐃ᦠ኱Ꮫࡢᒸᒣ኱Ꮫ࠿ࡽ㸰ྡࠊ᫛࿴኱Ꮫ࠿ࡽ㸯ྡ࠾ࡼࡧ኱㜰኱Ꮫ࠿ࡽ㸯ྡࡢṑᏛ㒊⏕ࡢཧຍࡀ࠶ࡾࠊᐇ⩦ᚋࡢ࢔ࣥࢣ࣮ࢺ࡛ࡶཷㅮ⪅࠿ࡽ㧗࠸ホ౯ࢆᚓࡓࠋ
㸰㸧ࢫ࢟ࣝࢫࣛ࣎ࡢ඘ᐇ
ᖹᡂᖺᗘ࡟ᮏࣉࣟࢢ࣒ࣛࡼࡾ㓄ศࡉࢀࡓ㧗㱋⪅ṑ⛉་⒪࡟ᑐࡍࡿ௓ㆤṑ⛉་⒪ࢩ࣑࣮ࣗࣞࢱ
ࠊ࠾ࡼࡧᖹᡂᖺᗘ࡟㓄ศࡉࢀࡓ࣏࣮ࢱࣈࣝࣘࢽࢵࢺࢆ⏝࠸࡚ࠊᮏᏛ࡛ࡣࢫ࢟ࣝࢫࣛ࣎࡟࠾࠸
࡚⮫ᗋᩍ⫱ࢆ⾜ࡗ࡚࠸ࡿࠋᖹᡂᖺᗘࡼࡾ඲⮫ᗋᐇ⩦⏕࡟ᑐࡋ࡚ᐇ⩦ࢆ⾜ࡗ࡚࠾ࡾࠊ௒ᖺᗘࡶ
⥅⥆ࡋ࡚ᐇ᪋ࡋ࡚࠸ࡿࠋ
㸱㸧㮵ඣᓥᅜ㝿ṑᏛࢩ࣏ࣥࢪ࣒࢘ࡢ㛤ദ㸦㈨ᩱ㸧ᖹᡂᖺ᭶᪥࡟㮵ඣᓥ኱Ꮫ࡟࡚➨㸱ᅇ㮵ඣᓥᅜ㝿ṑᏛࢩ࣏ࣥࢪ࣒࢘ࢆ㛤ദࡋࠊ㸰㸯㸰ྡࡢཧຍ⪅ࡀ࠶ࡗࡓ㸦ู⣬࣏ࢫࢱ࣮࠶ࡿ࠸ࡣKWWSZKDONDJRVKLPDXDFMSSURJUDPV\P
SRVLXPKWPOཧ↷㸧ᮏࣉࣟࢪ࢙ࢡ ㄽᩥ࣭◊✲Ⓨ⾲ࢺ࡟㛵㐃ࡋࡓ 㸯㸬⏣ཱྀ๎ᏹ㸬࢔࢘ࢺ࣒࢝ᇶ┙ᆺᩍ⫱ ௒ᚋࡢ࣒࢝ࣜ࢟ࣗࣛᨵ㠉ࡢ᪉ྥᛶ㸪໭ᾏ㐨኱ᏛṑᏛ㒊)ᴗ⦼㸪▱㈈㸪
'ㅮ₇㸪ᖺ㸴᭶㸪ᮐᖠᕷ㸬㸰㸬୰ᒣ Ṍ㸪⏣ཱྀ๎ᏹ㸪༡ ᘯஅ㸬ᆅᇦṑ⛉་⒪ࣉࣟࢢ࣒ࣛࡢᐇ㊶̿ᆅᇦ࡛ά㌍ࡍࡿ་⒪ே
ཷ㈹➼ࡢ⫱ᡂ̿㸪➨ᅇ᪥ᮏṑ⛉་Ꮫᩍ⫱Ꮫ఍⥲఍࠾ࡼࡧᏛ⾡኱఍㸪ᖺ᭶㸪ᯇᮏᕷ㸬㸱㸬኱ᡞᩗஅ㸪ᯇᮏ♸Ꮚ㸪୰ᒣṌ㸪స⏣ဴஓ㸪ྂᕝ࿘ᖹ㸪ᒾୗὒ୍ᮁ㸪ྜྷ⏣♩Ꮚ㸪⏣ཱྀ๎ᏹ㸬㞳ᓥṑ⛉་⒪࡟ồࡵࡽࢀࡿࢥࣥࣆࢸࣥࢩ࣮࡟ࡘ࠸࡚ࡢ୍⪃ᐹ㸫ᓥࡢṑ་⪅ࡢㄒࡾࢆ㏻ࡌ࡚㸫㸪➨  ᅇ᪥ᮏṑ⛉་Ꮫᩍ⫱Ꮫ఍⥲఍࠾ࡼࡧᏛ⾡኱఍㸪 ᖺ  ᭶㸪ᯇᮏᕷ㸬㸲㸬⏣ཱྀ๎ᏹ㸪ᑠᯇ⃝ᆒ㸪ྜྷ⏣♩Ꮚ㸪す ᜤᏹ㸪ᐑ⬥ṇ୍㸬ᆅᇦᇶ┙ᆺṑᏛᩍ⫱࡟࠾ࡅࡿ᪂ࡓ
࡞ྲྀࡾ⤌ࡳ㸪➨ᅇ᪥ᮏṑ⛉་Ꮫᩍ⫱Ꮫ఍⥲఍࠾ࡼࡧᏛ⾡኱఍㸪ᖺ᭶㸪ᯇᮏᕷ㸬㸳㸬኱ᡞᩗஅ㸪ྂᕝ࿘ᖹ㸪ᒾୗὒ୍ᮁ㸪୰ᒣṌ㸪స⏣ဴஓ㸪ᯇᮏ♸Ꮚ㸪ྜྷ⏣♩Ꮚ㸪⏣ཱྀ๎ᏹ㸬㮵ඣᓥ኱ᏛṑᏛ㒊ࡢࣉࣟࣇ࢙ࢵࢩࣙࢼࣜࢬ࣒ᩍ⫱࡜ṑᏛ⏕ࡢ⌮᝿ࡢ་⒪⪅ീ㸪➨  ᅇ᪥ᮏ་Ꮫᩍ⫱Ꮫ఍㸪 ᖺ  ᭶㸪ᮐᖠᕷ㸬㸴㸬ᮧỌᩥᏛ㸪⏣ᕝࡲࡉࡳ㸪⏣ཱྀ๎ᏹ㸬ᒾୗὒ୍ᮁ㸪㔠Ꮚ⨾༓௦㸬་Ꮫ࣭ṑᏛ࣭┳ㆤᏛᩍ⫱ࡢࢥࣥࣆࢸࣥࢩ࣮࡜࣐࢖ࣝࢫࢺ࣮ࣥホ౯ᶵ⬟ࢆ᭷ࡋࡓ㹣㸫࣏࣮ࢺࣇ࢛ࣜ࢜ࡢ㛤Ⓨ㸪➨  ᅇ᪥ᮏ་Ꮫᩍ⫱Ꮫ఍኱఍㸪 ᖺ  ᭶㸪ᮐᖠᕷ㸬㸵㸬⏣ཱྀ๎ᏹ㸪ྂᕝ࿘ᖹ㸪ྜྷ⏣♩Ꮚ㸪ᯇᮏ♸Ꮚ㸪ᒾୗὒ୍㑻㸪୰ᒣ Ṍ㸪኱ᡞᩗஅ㸪స⏣ဴஓ㸬ᆅᇦṑ⛉་⒪ᩍ⫱࡟ồࡵࡽࢀࡿࡶࡢ̿ࣉࣟࣇ࢙ࢵࢩࣙࢼࣜࢬ࣒࡜ࡢ㛵㐃ࢆぢᤣ࠼࡚̿㸪᪥ᮏ⥲ྜṑ⛉Ꮫ఍㞧ㄅ㸬㸶㸬኱ᡞᩗஅ㸪ᯇᮏ♸Ꮚ㸪୰ᒣ Ṍ㸪స⏣ဴஓ㸪ྂᕝ࿘ᖹ㸪ᒾୗὒ୍㑻㸪ྜྷ⏣♩Ꮚ㸪⏣ཱྀ๎ᏹ㸬⥲ྜṑ⛉་ࡢᡂ㛗㐣⛬࡟ࡘ࠸࡚ࡢ୍⪃ᐹ̿ᓥࡢṑ⛉་ࡢㄒࡾ࠿ࡽ̿㸪➨ᅇ᪥ᮏ⥲ྜṑ⛉Ꮫ఍⥲఍࣭Ꮫ⾡኱఍㸪ᖺ᭶㸪᪂₲ᕷ㸬㸷㸬⏣ཱྀ๎ᏹ㸪ྜྷ⏣♩Ꮚ㸪ᯇᮏ♸Ꮚ㸪ᒾୗὒ୍ᮁ㸪୰ᒣ Ṍ㸪኱ᡞᩗஅ㸪స⏣ဴஓ㸪ྂᕝ࿘ᖹ㸬⥲ྜṑ⛉ࡢ⌮ゎࢆ┠ᣦࡋࡓ༞๓Ꮫእᐇ⩦ࣉࣟࢢ࣒ࣛ㸪➨ᅇ᪥ᮏ⥲ྜṑ⛉Ꮫ఍⥲఍࣭Ꮫ⾡኱఍㸪ᖺ᭶㸪᪂₲ᕷ㸬㸯㸮㸬ᐑ⬥ṇ୍㸪༡ ᘯஅ㸪⏣ཱྀ๎ᏹ㸪すᮧṇᏹ㸪ᮡᾆ ๛㸪ᑠᯇ⃝ ᆒ㸬㮵ඣᓥ኱ᏛṑᏛ㒊ࡢྲྀࡾ⤌ࡳ࡟ࡘ࠸࡚㸪ᖹᡂᖺᗘ 㐃ᦠࢩ࣏ࣥࢪ࣒࢘㸪ᖺ᭶㸪ᮐᖠᕷ㸬㸯㸯㸬⏣ཱྀ๎ᏹ㸬࢔࢘ࢺ࣒࢝ᇶ┙ᆺᩍ⫱ṑᏛᩍ⫱࡬ࡢᑟධ㸪᪥ᮏ኱ᏛᯇᡞṑᏛ㒊)'ᩍ⫱ㅮ₇఍㸪ᖺ㸯᭶㸪ᯇᡞᕷ㸬㸯㸰㸬⏣ཱྀ๎ᏹ㸬࢔࢘ࢺ࣒࢝ᇶ┙ᆺᩍ⫱ࡢ⌮ㄽ࡜ᐇ㊶㸪㛗ᓮ኱ᏛṑᏛ㒊)'ㅮ₇఍㸪ᖺ᭶㸪㛗ᓮᕷ㸬▱㈈㸸࡞ࡋ

ཷ㈹➼㸯㸬⏣ཱྀ๎ᏹ㸪᪥ᮏ⥲ྜṑ⛉Ꮫ఍ Ꮫ఍ㄽᩥ㈹ ᖺ᭶
㸰㸬኱ᡞᩗஅ㸪➨ᅇ᪥ᮏ⥲ྜṑ⛉Ꮫ఍Ꮫ⾡኱఍ ୍⯡࣏ࢫࢱ࣮Ⓨ⾲ධ㈹ ᖺ᭶

஦ᴗ㈝ࡢ౑㏵ ᾘ⪖ရ࣭㮵ඣᓥᅜ㝿ṑᏛࢩ࣏ࣥࢪ࣒࣏࢘ࢫࢱ࣮࣭ࣉࣟࢢ࣒ࣛ
࣭㮵ඣᓥᅜ㝿ṑᏛࢩ࣏ࣥࢪ࣒࢘ᢒ㘓㞟࣭㧗㱋⪅ṑ⛉་⒪ᐇ⩦ჾල࣭ᾘ⪖ရ᪑㈝
࣭㞳ᓥᐇ⩦࡟ಀࡿᘬ⋡㸦✀Ꮚᓥ࣭୚ㄽᓥ㸧࣭㮵ඣᓥᅜ㝿ṑᏛࢩ࣏ࣥࢪ࣒࢘Ꮫእ⪅ᣍ⪸㸦ᾏእ㸰ྡ㸧࣭ᖹᡂ  ᖺᗘ㐃ᦠࢩ࣏ࣥࢪ࣒࢘ฟᖍ㸦໭ᾏ㐨኱Ꮫ㸧ࡑࡢ௚࣭Ꮫ⏕ᐇ⩦ᐟἩᡤᐊᩱ㸦✀Ꮚᓥ࣭୚ㄽᓥ㸧࣭Ꮫ⏕ᐇ⩦ཷධㅰ㔠㸦✀Ꮚᓥ࣭୚ㄽᓥ㸧ͤ ᡂᯝ࡟ࡘ࠸࡚ࡣ㸪ᑐ㇟⪅ࡢேᩘࡶグධࡋ࡚ୗࡉ࠸ࠋͤ ◊✲ᴗ⦼࡟ࡘ࠸࡚ࡣ㸪ㄽᩥྡ࣭ⴭ᭩ྡ࣭ⴭ⪅ྡ࣭Ꮫ఍ㄅྡ࣭ᕳ㸦ྕ㸧࣭᭱ึ࡜᭱ᚋࡢ㡫࣭Ⓨ⾲ᖺ㸦すᬺ㸧ࡢྛ㡯┠ࢆグධࡋ࡚ࡃࡔࡉ࠸ࠋඹྠࠊඹ
ⴭࡢሙྜࡣ඲ဨࢆᥖ㍕㡰࡟グධࡋࠊ◊✲⤌⧊࣓ࣥࣂ࣮࡟ୗ⥺ࢆ௜ࡋ࡚ࡃࡔࡉ࠸ࠋ,QSUHVV ࡜࡞ࡗࡓࡶࡢ௨ୖࢆグධࡋ࡚ࡃࡔࡉ࠸ࠋͤ ◊✲㈝ࡢ౑㏵࡟ࡘ࠸࡚ࡣෆᐜࢆ⡆₩࡟グධࡋ࡚ࡃࡔࡉ࠸ࠋ

㸦ᵝᘧ㸯㸧

ᖹᡂ䠎䠕ᖺᗘ㻌 ᩥ㒊⛉Ꮫ┬㻌 ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂ䝥䝻䜾䝷䝮㻌 㐃ᦠ኱Ꮫሗ࿌᭩㻌䛂೺ᗣ㛗ᑑ♫఍䜢ᢸ䛖ṑ⛉་Ꮫᩍ⫱ᨵ㠉䇶Ṛ⏕Ꮫ䜔ᆅᇦໟᣓ䜿䜰䝰䝕䝹䜢ᑟධ䛧䛯་⛉ṑ⛉㐃ᦠᩍ⫱యไ䛾ᵓ⠏䇶䛃஦ᴗ㻌㐃ᦠ኱Ꮫྡ

ᒾᡭ་⛉኱Ꮫ㈐௵⪅ྡ⡙

㐃ᦠ኱Ꮫ஦ᴗ᥎㐍ጤဨᙺ⫋ᇛ ⱱ἞

஦ົᢸᙜ⪅ᙺ๭㏆⸨ ᩗ

ᮏሗ࿌᭩ࡢ࣮࣒࣮࣍࣌ࢪ࡛ࡢ㛤♧
ࡢྍྰ

୕ᾆᘅ⾜
ṑᏛ㒊㛗
ࣉࣟࢪ࢙ࢡࢺ⤫ᣓᇛ ⱱ἞
ṑᏛ㒊ᩍᤵ ᩍ⫱ࢥࣥࢯ࣮ࢩ࢔࣒஦ᴗ᥎㐍ጤဨబ⸨࿴ᮁṑᏛ㒊ᩍᤵ ᐇ⩦ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮
▼ᓮ᫂ṑᏛ㒊ᩍᤵ ࣒࢝ࣜ࢟ࣗࣛ㛤Ⓨ࣭⦅ᡂᢸᙜ
ྍ࣭ྰ
஦ᴗ⤌⧊
㔝⏣ Ᏺ
ṑᏛ㒊ᩍᤵ ᐇ⩦ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮ᓊ ග⏨
ṑᏛ㒊ᩍᤵ ᐇ⩦ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮
㜿㒊ᬗᏊṑᏛ㒊෸ᩍᤵ ᐇ⩦ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮
ṑᏛ㒊ຓᩍ ᐇ⩦ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮
⋢⏣ὈႹᩍ⫱ࣉࣟࢢࣛ ධ㝔᫬࣭⅏ᐖ᫬ࡢ࣋ࢵࢻࢧ࢖ࢻ࡟࠾ࡅࡿ㣗ᨭ᥼࡜ཱྀ⭍ࢣ࢔࡟㛵ࡍࡿᩍ⫱ࡢ㧗ᗘ໬ࣉࣟࢢ࣒ࣛ

࣒࣭ࢥ࣮ࢫྡ஦ᴗィ⏬ᮏᩍ⫱ࣉࣟࢢ࣒ࣛࡢ┠ⓗࡣ㠀ᖖ᫬㸦ධ㝔᫬࣭⅏ᐖ᫬㸧࡟࠾࠸࡚ࠊ௚⫋✀㐃ᦠࡢୖ࡛ᑓ㛛ⓗ࡞ཱྀ⭍ࡢࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࠊࢣ࢔ࠊ⟶⌮ࢆ⾜࠸ࠊ࣋ࢵࢻࢧ࢖ࢻ࡟࠾ࡅࡿ㣗࡭ࡿᶵ⬟ࡢᨭ᥼࡜ឤᰁ㜵ᚚ
ࢆᐇ㊶࡛ࡁࡿ◊✲⬟ຊࢆᣢࡗࡓᣦᑟⓗ࡞ཱྀ⭍ᶵ⬟ࡢᑓ㛛ᐙࢆ㣴ᡂࡍࡿࡇ࡜࡟࠶ࡿࠋ
ᖹᡂ㸰㸷ᖺᗘࡣࠊ๓ᖺᗘࡢ཯┬Ⅼ࡟␃ពࡋࡘࡘᮏᩍ⫱ࣉࣟࢢ࣒ࣛࢆᐇ᪋ࡍࡿࠋࡲࡓࠊྛᐇ⩦ࢥ࣮ࢫࡢᐇ᪋୰࡞ࡽࡧ࡟⤊஢᫬࡟ᮏᖺᗘࡢᩍ⫱ᡂᯝࢆྛࢥ࣮ࢫ㈐௵⪅࡜࡜ࡶ࡟ศᯒࡋࠊḟᖺᗘ௨㝆ࡢ᭦࡞ࡿᡂᯝࡀᚓࡽࢀࡿࡼ࠺࡞ᨵၿࡢࡓࡵࡢၥ㢟Ⅼࢆᢳฟࡍࡿ࡜࡜ࡶ࡟ࠊࡑࢀ࡟ᛂࡌࡓᑐ⟇ࢆ࡜ࡿࠋຍ࠼࡚ࠊᮏᖺᗘᩍ⫱ෆᐜࡢ཯┬Ⅼࢆࡶ࡜࡟ᖹᡂ㸱㸮ᖺᗘ࡟ྥࡅࡓᐇ㉁ⓗ࡞᪂つ኱Ꮫ㝔ࢩࣛࣂࢫ᱌ࢆసᡂࡋࠊᐇࡾ࠶ࡿᩍ⫱ࣉࣟࢢ࣒ࣛࡢᐇ᪋࡟ྥࡅ࡚‽ഛࢆ㐍ࡵࡿணᐃ࡛࠶ࡿࠋ࡞࠾ࠊ௒ᖺᗘ
ࡣ኱Ꮫ㝔ඹ㏻ᩍ⫱ࢥ࣮ࢫࡢ㑅ᢥᚲಟ⛉┠࡜ࡋ࡚ࡢ఩⨨࡙ࡅ࡜ࡍࡿࠋ

ᡂᯝ㸯ࠕ⿕⅏ᆅཱྀ⭍ࢣ࢔࣭㣗ᨭ᥼ᐇ⩦ࠖᖹᡂ㸰㸵ᖺ࡟ࡣ኱Ꮫ㝔ࡢ㑅ᢥࢥ࣮ࢫ࡜ࡋ࡚ṇつࡢㄢ⛬࡟⤌ࡳධࢀࡓᮏᐇ⩦ࡣࠊ௒ᖺᗘ࡟㸱ᖺ┠
ࢆ㏄࠼ࡓࠋ㸯㸯᭶ᮇ㸦ᖹᡂ㸰㸷ᖺ㸯㸯᭶㸯㸰᪥ࠥ㸯㸱᪥㸧࡟኱Ꮫ㝔⏕㸱ྡィ㸰᪥ࡢᐇ⩦ࢆᐇ᪋ࡋࡓࠋᐇ⩦ࡢෆᐜࡣᖹᡂ㸰㸶ᖺᗘ࡜ྠᵝ࡟ࠊձ ⿕⅏ᆅ࡟࠾ࡅࡿ೺ᗣㄪᰝ࡬ࡢཧຍղ ⿕⅏ᆅࡢ᚟⯆≧ἣࡢどᐹճ ⿕⅏ᆅ࡟࠾ࡅࡿ࣑ࢽࢩ࣏ࣥࢪ࣒࢘࡬ࡢཧຍ㸦ᆅඖṑ⛉་ᖌࠊಖ೺ᖌࡢཧຍ㸧մ ⿕⅏ᆅ◊ಟᚋ࡟ᣦᑟ⪅ࡀ◊ಟ࡟ࡼࡾᚓࡽࢀࡓࢹ࣮ࢱࢆ⤫ィゎᯒࢯࣇࢺ 6366 ࡟ࡼࡾゎᯒᚋࠊศᯒ⤖ᯝࡢ┦஫ࣉࣞࢮࣥࢸ࣮ࢩࣙࣥ࡜ࡋࡓࠋホ౯ࡢࡓࡵ஦ᚋ࡟࢔ࣥࢣ࣮ࢺࢆᐇ᪋ࡋࡓࠋࡑࡢ⤖ᯝࠊཧຍ⪅ࡢ࡯࡜ࢇ࡝ࡀ኱Ꮫ㝔◊ಟࡲࡓࡣⱝ
ᡭṑ⛉་ᖌࡢ◊ಟ࡜ࡋ࡚ᮏ◊ಟࡀࠕ㠀ᖖ࡟ᙺ❧ࡗࡓࠖࡲࡓࠕᙺ❧ࡗࡓࠖ࡜ホ౯ࡋࡓࠋ⮬⏤グ㍕ḍ࡬ࡢᅇ⟅࠿ࡽࡣ⿕⅏ᆅ࡛ࡢᐇయ㦂ࡢ㔜ࡳࢆឤ᝿࡜ࡋ࡚グ㍕ࡍࡿ⪅ࡀከ࠿ࡗࡓࠋ
㸰ࠕᦤ㣗ᄟୗࣜࣁࣅࣜࢸ࣮ࢩཱྀ࣭ࣙࣥ⭍ࢣ࢔ᐇ⩦ࠖࡢᐇ⩦ࢆୗグࡢ㏻ࡾᐇ᪋ࡋࡓࠋ
➨ᅇ㸸᭶᪥ ⅆ  ᫬㹼᫬ᦤ㣗ᄟୗࡢ࣓࢝ࢽࢬ࣒࡜㞀ᐖࠊデᐹἲࠊࢫࢡ࣮ࣜࢽࣥࢢࢸࢫࢺࠊ⢭ᐦ᳨ᰝ᫬㹼᫬ศ 㛤఍ᣵᣜ ᫬ศ㹼᫬ศ ࣉࣞ࢔ࣥࢣ࣮ࢺ

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 ᫬ศ㹼᫬ศ ᦤ㣗ᄟୗᴫㄽࠊ࣓࢝ࢽࢬ࣒ࠊᦤ㣗ᄟୗ㞀ᐖࡢデᐹ᫬ศ㹼᫬ศ ἞⒪ィ⏬❧᱌ࠊᄟୗ㐀ᙳ᳨ᰝࠊᄟୗෆど㙾᳨ᰝ㸦9(㸧 ᫬ศ㹼᫬ศ ᐇ⩦㸸἞⒪ィ⏬ࠊࢫࢡ࣮ࣜࢽࣥࢢࢸࢫࢺࠊ9(ࠊᦤ㣗ሙ㠃ࡢほᐹ ᫬ศ㹼᫬ ࡲ࡜ࡵࠊ㉁␲ᛂ⟅ࠊ࣏ࢫࢺ࢔ࣥࢣ࣮ࢺ
➨ᅇ㸸᭶᪥ ⅆ  ᫬㹼᫬ᦤ㣗ᄟୗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ࡜ᰤ㣴 ᫬㹼᫬ศ 㛤఍ᣵᣜ ᫬ศ㹼᫬ศ ࣉࣞ࢔ࣥࢣ࣮ࢺ ᫬ศ㹼᫬ศ ᰤ㣴ᴫㄽࠊ௓ㆤᴫㄽࠊཱྀ⭍ࢣ࢔ᴫㄽ ᫬ศ㹼᫬ศ ᐇ⩦㸸ཱྀ⭍ࢣ࢔㸦⑓Ჷ㸧ࠊ2+$7࡟ࡼࡿཱྀ⭍ෆホ౯ࠊ௓ㆤ ᫬ศ㹼᫬ศ ᐇ⩦㸸┤᥋カ⦎ࠊ㛫᥋カ⦎ ᫬ศ㹼᫬ ࡲ࡜ࡵࠊ㉁␲ᛂ⟅ࠊ࣏ࢫࢺ࢔ࣥࢣ࣮ࢺ
㸱ࠕᅾᏯ௓ㆤ࣭ゼၥṑ⛉デ⒪ᐇ⩦ࠖࢆᖹᡂᖺᗘࡼࡾ㑅ᢥᐇ⩦࡜ࡋ࡚ᑟධࡋࡓࠋ
ᮏᐇ⩦ࡣࠊࠕᦤ㣗ᄟୗࣜࣁࣅࣜࢸ࣮ࢩཱྀ࣭ࣙࣥ⭍ࢣ࢔ᐇ⩦ࠖ࡜㐃ᦠࡋࠊ⑓㝔࠶ࡿ࠸ࡣ᪋タ࠿ࡽࡢᦤ㣗ᄟୗࡢホ౯ࠊカ⦎ᣦᑟࡢ౫㢗࡟ᛂࡌ࡚ゼၥࡍࡿ㝿࡟኱Ꮫ㝔⏕ࢆᖏྠࡋࠊᐇ⩦ࢆ⾜࠺ࡶࡢ࡛࠶ࡿࠋᖏྠ࡟࠶ࡓࡾ㛵㐃ㄢ㢟ࡢ஦๓Ꮫ⩦࡜ࡋ࡚ࠊH࣮ࣛࢽࣥࢢࢥࣥࢸࣥࢶ㸦ㅮ⩏ࢩ࣮ࣜࢬ㸧ࡼࡾ㑅ᢥࡋࠊ㜀ぴࡉࡏࡿ࡜ඹ࡟ᣢཧࡍࡿᶵჾࡢ࿘▱ࢆᅗࡿࡓࡵᶵჾࡢྲྀࡾᢅ࠸࡟ࡘ࠸࡚஦๓カ⦎ࢆ⾜࠺ࡇ࡜࡜ࡋࡓࠋ
㸲㸬ࢥࣥࢸࣥࢶど⫈ࢩࢫࢸ࣒ࡢ฼⏝ ᖹᡂᖺᗘ࡟ᘬࡁ⥆ࡁࠊࢥࣥࢸࣥࢶど⫈ࢩࢫࢸ࣒ࡢ฼⏝ࢆᐇ᪋ࡋࡓࠋ➨㸳Ꮫᖺࠕ⥲ྜㅮ⩏Ϩࠖ࡟࠾࠸࡚ࠊㅮ⩏ࢩ࣮ࣜࢬ㸱㸦ᅾᏯ௓ㆤ་⒪㸧ࡢHOHDUQLQJࢥࣥࢸࣥࢶࢆど⫈ࡉࡏࠊ⤊஢ᚋ࡟ᑠࢸ
ࢫࢺࢆᐇ᪋ࡋࡓࠋ
ᮏࣉࣟࢪ࢙ࢡ ㄽᩥ࣭◊✲Ⓨ⾲ࢺ࡟㛵㐃ࡋࡓ ᒾᡭ་⛉኱ᏛṑᏛ఍࣭ᒾᡭ┴ṑ⛉་ᖌ఍ඹദࢩ࣏ࣥࢪ࣒࢘ࠕᮾ᪥ᮏ኱㟈⅏࠿ࡽ㸳ᖺࢆ᣺ࡾ㏉ࡗ࡚ᴗ⦼㸪▱㈈㸪ཷ ࠥᡃࠎࡀࡋ࡚ࡁࡓࡇ࡜ࠊࡋ࡚ࡇ࡞࠿ࡗࡓࡇ࡜ࠊࡇࢀ࠿ࡽࡍ࡭ࡁࡇ࡜ࠥࠖ஦ᚋሗ࿌᭩
㈹➼୕ᾆᘅ⾜ࠊᮡᒣⰾᶞࠊ኱㯮ⱥ㈗ࠊከ⏣ᗣᏊࠊᬕᒣ፬⨾Ꮚࠊ኱཭ࡉࡘࡁࠊᑠ⏣㑳Ꮚࠊ᳃㇂ಇᶞࠊᓊ
ග⏨ࠊబࠎᮌ᠇୍㑻ࠊ୰㔛㏔ᙪᒾᡭ་⛉኱ᏛṑᏛ㞧ㄅࠊ➨ᕳ㸦6XSSO㸧㸸㡫ࠊᖺ

஦ᴗ㈝ࡢ౑㏵ ᪑㈝ ෇
࠙ᅜෆ᪑㈝ࠚ෇
ᖹᡂᖺᗘ㐃ᦠࢩ࣏ࣥࢪ࣒࢘ ᭶ ໭ᾏ㐨ᩍဨ   ྡ ෇ྡ㸦Ἡ᪥㸧㸩෇ྡ㸦Ἡ᪥㸧㸩෇ྡ
㸦Ἡ᪥㸧㸻෇
ᩍ⫱ࣉࣟࢢ࣒ࣛ ᭶ 㔩▼࣭኱ᵔ㸦ᒾᡭ㸧Ꮫ⏕    ྡ ෇ྡ㸻෇㸦Ἡ᪥㸧  ஺㏻㐠ᦙ㈝ ෇㸦┒ᒸя㔩▼ᕷ࣭኱ᵔ⏫⛣ືศ㸧        ෇㸦⌧ᆅ⛣ືศ㸧ㅰ㔠 ෇ᩍ⫱ࣉࣟࢢ࣒ࣛ࡟࠿࠿ࡿእ㒊ㅮᖌㅰ㔠 ཬᕝ 㝧ḟ㸦㛤ᴗ་㸧෇タഛഛရ㈝ ෇ゼၥデ⒪⏝ࣘࢽࢵࢺ   ෇ ࢥࣥࢸࣥࢶసᡂ࣐ࢩࣥ ෇ͤ ᡂᯝ࡟ࡘ࠸࡚ࡣ㸪ᑐ㇟⪅ࡢேᩘࡶグධࡋ࡚ୗࡉ࠸ࠋͤ ◊✲ᴗ⦼࡟ࡘ࠸࡚ࡣ㸪ㄽᩥྡ࣭ⴭ᭩ྡ࣭ⴭ⪅ྡ࣭Ꮫ఍ㄅྡ࣭ᕳ㸦ྕ㸧࣭᭱ึ࡜᭱ᚋࡢ㡫࣭Ⓨ⾲ᖺ㸦すᬺ㸧ࡢྛ㡯┠ࢆグධࡋ࡚ࡃࡔࡉ࠸ࠋඹྠࠊඹ
ⴭࡢሙྜࡣ඲ဨࢆᥖ㍕㡰࡟グධࡋࠊ◊✲⤌⧊࣓ࣥࣂ࣮࡟ୗ⥺ࢆ௜ࡋ࡚ࡃࡔࡉ࠸ࠋ,QSUHVV ࡜࡞ࡗࡓࡶࡢ௨ୖࢆグධࡋ࡚ࡃࡔࡉ࠸ࠋͤ ◊✲㈝ࡢ౑㏵࡟ࡘ࠸࡚ࡣෆᐜࢆ⡆₩࡟グධࡋ࡚ࡃࡔࡉ࠸ࠋ

㸦ᵝᘧ㸯㸧

ᖹᡂ䠎䠕ᖺᗘ㻌 ᩥ㒊⛉Ꮫ┬㻌 ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂ䝥䝻䜾䝷䝮㻌 㐃ᦠ኱Ꮫሗ࿌᭩㻌䛂೺ᗣ㛗ᑑ♫఍䜢ᢸ䛖ṑ⛉་Ꮫᩍ⫱ᨵ㠉䇶Ṛ⏕Ꮫ䜔ᆅᇦໟᣓ䜿䜰䝰䝕䝹䜢ᑟධ䛧䛯་⛉ṑ⛉㐃ᦠᩍ⫱యไ䛾ᵓ⠏䇶䛃஦ᴗ㻌㐃ᦠ኱Ꮫྡ

᪥ᮏ኱Ꮫ㈐௵⪅ྡ⡙

㐃ᦠ኱Ꮫ஦ᴗ᥎㐍ጤဨᙺ⫋ᮏ⏣࿴ஓ஦ົᢸᙜ⪅

ᙺ๭

ᮏ⏣࿴ஓ
ṑᏛ㒊㛗
ṑᏛᩍ⫱ᨵ㠉ࢥࣥࢯ࣮ࢩ࢔࣒஦ᴗ᥎
㐍ጤဨ఍ጤဨ


㕥ᮌ┤ே
Ꮫົᢸᙜ
ṑᏛᩍ⫱ᨵ㠉ࢥࣥࢯ࣮ࢩ࢔࣒ᩍ⫱࢝஦ᴗ⤌⧊࣒ࣜ࢟ࣗࣛ㛤Ⓨ࣭⦅ᡂᢸᙜ᳜⏣⪔୍㑻
ᩍᤵṑᏛᩍ⫱ᨵ㠉ࢥࣥࢯ࣮ࢩ࢔࣒ᐇ⩦ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮
ᩍ⫱ࣉࣟࢢࣛ ᪥ᮏ኱Ꮫ ≉Ⰽ࠶ࡿ་⒪ᨭ᥼ṑᏛᩍ⫱ࣉࣟࢢ࣒ࣛ
࣒࣭ࢥ࣮ࢫྡ ࢔ࢻࣂࣥࢫࢺṑ⛉Ꮫㅮ⩏࣭ᐇ⩦̿ᦤ㣗ᶵ⬟⒪ἲᏛ࣭㧗㱋⪅ṑ⛉Ꮫ₇⩦
஦ᴗィ⏬

㕥ᮌ㍤୍

ᮏሗ࿌᭩ࡢ࣮࣒࣮࣍࣌ࢪ࡛ࡢ㛤♧
ࡢྍྰ

ྍ

 ᖹᡂᖺ࣭ᖺᗘ௨㝆ࡢ⮫ᗋᐇ⩦࣒࢝ࣜ࢟ࣗࣛࡢぢ┤ࡋձ ᖹᡂᖺᗘ࡟࠾ࡅࡿ➨Ꮫᖺ⮫ᗋᐇ⩦࣒࢝ࣜ࢟ࣗࣛࡢ෌᳨ウ㸸ᖹᡂᖺᗘ࡟෌⦅ᡂࡋࡓᐇ⩦ෆᐜࢆ཯ᫎࡋ㸪ᖹᡂᖺᗘࡣ᏶ᡂࡉࢀࡓෆᐜࡢᇶ♏ᐇ⩦࣭⮫ᗋᐇ⩦ࢆ⾜࠺ࠋᇶ♏ᐇ⩦ࡣᚑ᮶ࡢᐇ⩦ෆᐜ㸦Ꮫ⏕ྠኈࡢ┦஫ᐇ⩦࣭᭱⤊ᙧ࡟ᨵⰋࡋࡓཱྀ⭍ᶵ⬟⟶⌮ᶍᆺࢆ౑⏝ࡋࡓ἞⒪ィ⏬ࡢ❧᱌࡜ࣉࣞࢮࣥࢸ࣮ࢩ࣭ࣙࣥࢢ࣮ࣝࣉࢹ࢕ࢫ࢝ࢵࢩࣙ
ࣥ㸧ࢆᐇ᪋ࡍࡿࠋࡲࡓ㸪ᇶ♏ᐇ⩦ᚋ࡟26&(ᙧᘧࡢᐇ⩦ヨ㦂ࢆ⾜࠸㸪Ꮫ⏕࡬ࡢࣇ࢕࣮ࢻࣂࢵ
ࢡࡢ୙㊊ࢆ⿵࠺ࡓࡵࡢㅮ⩏ࢆ᭱⤊ᅇࡢㅮ⩏࡛ᐇ᪋ࡍࡿࠋ⮫ᗋᐇ⩦ࡣ㸪እ᮶ࡸ᪥ᮏ኱Ꮫ⑓㝔㸪≉ู㣴ㆤ⪁ே࣮࣒࣍࡬ࡢ⑓Ჷ デࡢぢᏛࢆ⾜࠸㸪ᐇ⩦⤊஢ᚋ࡟ࢢ࣮ࣝࣉࡈ࡜ࡢ⑕౛ሗ࿌
࠾ࡼࡧཱྀ㢌ヨၥࢆᐇ᪋ࡍࡿࠋղ ཱྀ⭍ᶵ⬟⟶⌮ᶍᆺタィࡢ᏶ᡂ㸸  ᖹᡂᖺᗘࡢᐇ⩦ᚋ࡟ฟࡉࢀࡓᨵⰋⅬࢆ཯ᫎࡋࡓ᭱⤊ᆺࡢཱྀ⭍ᶵ⬟⟶⌮ᶍᆺࢆసᡂࡍࡿࠋճ ᖹᡂᖺᗘ࣭ᖺᗘ௨㝆ࡢ➨࣭Ꮫᖺࡢ⮫ᗋᐇ⩦࣒࢝ࣜ࢟ࣗࣛࡢぢ┤ࡋ㸸ṑᏛᩍ⫱ࣔࢹ࣭ࣝࢥ࢔࣭࣒࢝ࣜ࢟ࣗࣛࡢᨵᐃ࡟ᇶ࡙ࡁ㸪ᮏᏛ㒊࡛ࡢ⮫ᗋᐇ⩦ࡢ࢝ࣜ࢟ࣗࣛ
࣒ࢆ᰿ᮏⓗ࡟ぢ┤ࡋ㸪ᖹᡂᖺᗘ௨㝆࡟ᐇ᪋ࡍࡿࡓࡵࡢᨵኚࢆ᳨ウࡍࡿࠋ 㐃ᦠ኱Ꮫ࡬ࡢᏛ⏕ࡢὴ㐵㸦≉Ⰽ࠶ࡿ་⒪ᨭ᥼⚾Ꮫᩍ⫱ࣉࣟࢢ࣒࣭ࣛ㐃ᦠ኱Ꮫ㛫஺ὶ㸧㸸㐃ᦠ኱Ꮫ࡜ࡢ஺ὶ࡜␗࡞ࡿ⎔ቃ࡛ࡢ་⒪ᩍ⫱ࢆ⤒㦂ࡍࡿࡇ࡜࡛㸪Ꮫ⏕࡟ࡼࡾᖜᗈ࠸▱㆑࡜⮫ᗋ⤒㦂ࢆ⩦ᚓࡉࡏࡿࡇ࡜ࢆ┠ⓗ࡜ࡋ࡚㸪ᒸᒣ኱Ꮫ࡛⾜ࢃࢀࡿ࿘⾡ᮇཱྀ⭍⟶⌮₇⩦࡟ᮏᏛ➨ᏛᖺࡢᏛ⏕ࢆὴ㐵ࡍࡿࠋ 㛤Ⓨᶍᆺࢆ⏝࠸ࡓ୍⯡࣭་⒪ᚑ஦⪅࣭௓ㆤ⚟♴㛵ಀ⪅ྥࡅᩍᮦࡢసᡂ㸸  ᖹᡂᖺᗘ࡟௻⏬ࡋࡓ'9'ࡢసᡂ࠾ࡼࡧ㸪<RX7XEH࡛ど⫈ࡍࡿࡓࡵࡢື⏬ࢆసᡂࡋᢞ✏ࡍࡿ  ࡇ࡜࡛㸪୍⯡ᕷẸ࠿ࡽ་⒪࣭௓ㆤ࣭⚟♴⫋✀ࡲ࡛ᗈࡃど⫈࡛ࡁࡿ⎔ቃࢆᩚഛࡍࡿࠋ
 H࣮ࣛࢽࣥࢢࢥࣥࢸࣥࢶ཰㘓㸸  ࠕṑᏛ⏕࣭ṑ⛉་⒪ᚑ஦⪅ࡢࡓࡵࡢᦤ㣗ᄟୗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࠖ࡟㛵ࡍࡿ௨ୗࡢࢥࣥࢸ  ࣥࢶࢆ཰㘓ࡍࡿࠋձ ⥲ㄽղ ᦤ㣗ᄟୗࡢ⏕⌮Ꮫճ せ௓ㆤ࣭᭷⑓㧗㱋⪅࡬ࡢཱྀ⭍ࢣ࢔մ ᦤ㣗ᄟୗᶵ⬟ホ౯࣭⏬ീデ᩿յ ᦤ㣗ᄟୗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ㸦㛫᥋カ⦎࣭ࢫࢡ࣮ࣜࢽࣥࢢ᳨ᰝ㸧ն 㣗ᨭ᥼࣭ᰤ㣴ࢧ࣏࣮ࢺ
ᆅᇦ་⒪࣭ከ⫋✀㐃ᦠ࡟㛵ࢃࡿどぬᩍᮦࡢసᡂ㸸୍ᏛᖺࡢᏛ⏕ᩘࡀከ࠸ࡇ࡜࠿ࡽ㸪ࡍ࡭࡚ࡢᏛ⏕ࡀゼၥṑ⛉デ⒪ࡸᆅᇦ་⒪㸪ከ⫋✀㐃ᦠࡢ⌧ሙࡢᵝᏊࢆぢᏛ࡛ࡁࡿ⎔ቃࡀ࡞࠸ࡓࡵ㸪デ⒪㢼ᬒࡢື⏬᧜ᙳ࡟ᑐࡋ࡚ྠពࡀᚓࡽࢀࡓᝈ
⪅࡟ࡘ࠸࡚ࡣ㸪ື⏬ࢆసᡂࡋ㸪ື⏬ࡢ⦅㞟ࢆ⾜࠸Ꮫ⏕࡟ᑐࡍࡿ⑕౛᳨ウࡢࡓࡵࡢどぬᩍᮦࢆసᡂࡍࡿࠋ

 ᆅᇦ་⒪࣭ከ⫋✀㐃ᦠ࡟㛵ࢃࡿどぬᩍᮦࡢసᡂ㸸  ᝈ⪅࣭ᐙ᪘࣭᪋タ⫋ဨ➼ࡢྠពࢆᚓࡓୖ࡛㸪ᙜデ⒪⛉࡛ࡢデ⒪ࡢᵝᏊࢆ᧜ᙳࡋ㸪Ꮫ⏕࡬ࡢ  どぬᩍᮦࢆసᡂࡍࡿࠋ
ᡂᯝ









ᖹᡂᖺ࣭ᖺᗘ௨㝆ࡢ⮫ᗋᐇ⩦࣒࢝ࣜ࢟ࣗࣛࡢぢ┤ࡋձ ᖹᡂᖺᗘ࡟࠾ࡅࡿ➨Ꮫᖺ⮫ᗋᐇ⩦࣒࢝ࣜ࢟ࣗࣛࡢ෌᳨ウ࡟ࡘ࠸࡚ࡣ㸪ࡇࢀࡲ࡛ࡢ
Ꮫ⏕࡬ࡢ࢔ࣥࢣ࣮ࢺෆᐜ࡜㸪ᩍဨ࠿ࡽࡢᣦ᦬஦㡯ࢆ཯ᫎࡋࡓᐇ⩦ෆᐜ࡟ᨵኚࡍࡿࡇ
࡜ࡀ࡛ࡁࡓࠋࡲࡓ㸪㢡ṑᶍᆺ࡟ࡘ࠸࡚ࡶタィ࡟ࡘ࠸࡚᭱⤊ⓗ࡞ࣔࢹࣝࡀ᏶ᡂࡋ㸪᫖ᖺᗘࡼࡾᶍᆺࡢྎᩘࢆቑࡸࡍࡇ࡜ࡀ࡛ࡁࡓࠋࡇࡢࡇ࡜࡛ᶍᆺ୍ྎ࠶ࡓࡾ࡟ᑐࡍࡿᏛ
⏕ࡢேᩘࡀᑡ࡞ࡃ࡞ࡾ㸪ࡼࡾ᫬㛫ࢆ࠿ࡅ࡚ᶍᆺࡢほᐹࢆ⾜࠸㸪἞⒪ィ⏬ࢆ❧᱌ࡍࡿࡇ࡜ࡀ࡛ࡁࡓࠋࡇࢀ࡟ࡼࡾᏛ⏕ࡢ᭷⑓㧗㱋⪅ࡢཱྀ⭍ෆࡢ≧ἣ࡜ồࡵࡽࢀࡿᑐᛂ᪉ἲ
࡟ࡘ࠸࡚ࡼࡾ⌧ᐇⓗ࡟᳨ウ࡛ࡁࡓ࡜⪃࠼ࡽࢀࡿࠋࡉࡽ࡟㸪26&(ࡢゎㄝࢆ᭱⤊ㅮ⩏࡛⾜࠸㸪Ꮫ⏕࡬ࡢࣇ࢕࣮ࢻࣂࢵࢡࢆ⾜࠺ࡇ࡜࡛Ꮫ⏕ࡢ⌮ゎࡀ῝ࡲࡗࡓ࡜⪃࠼ࡽࢀࡿࠋ
୍᪉㸪⮫ᗋᐇ⩦ࡣ౛ᖺ㏻ࡾࡢᏛ⏕ࡢ㓄ᙜ࡛⁫ࡾ࡞ࡃᐇ᪋ࡍࡿࡇ࡜ࡀ࡛ࡁࡓࠋࡋ࠿ࡋ
⑓ᲷࡸᅾᏯ࣭᪋タ࡬ࡢゼၥṑ⛉デ⒪ࡢ௳ᩘ࡜ྠ⾜࡛ࡁࡿ⠊ᅖ㸦ᚐṌᅪෆ㸧ࡀ㝈ࡽࢀ࡚࠸ࡿࡇ࡜࠿ࡽ㸪ࡍ࡭࡚ࡢᏛ⏕࡟ᑐࡋ࡚ゼၥṑ⛉デ⒪ࡸከ⫋✀㐃ᦠࡢ⌧ሙࡢぢᏛࢆᥦ౪ࡍࡿࡇ࡜ࡀ㞴ࡋࡃ㸪ࡑࡢⅬࡀ௒ᚋࡢㄢ㢟࡛࠶ࡿ࡜⪃࠼ࡽࢀࡓࠋղ ᖹᡂᖺᗘ࣭ᖺᗘ௨㝆ࡢ➨࣭Ꮫᖺࡢ⮫ᗋᐇ⩦࣒࢝ࣜ࢟ࣗࣛࡢぢ┤ࡋ㸸ṑᏛᩍ⫱ࣔࢹ࣭ࣝࢥ࢔࣭࣒࢝ࣜ࢟ࣗࣛࡢᨵᐃ࡟ᇶ࡙ࡃᮏᏛ㒊࣒࢝ࣜ࢟ࣗࣛ⟇ᐃ࡟ࡘ࠸࡚㸪ᖹᡂᖺᗘ᪥ᮏ኱ᏛṑᏛ㒊ᩍᏛㄢ㢟◊ಟ఍࡜㢟ࡋ㸪Ꮫእ࠿ࡽㅮᖌࢆᣍ⪸ࡋ࡚௚኱Ꮫ࡛ࡢᆅᇦໟᣓࢣ࢔࡟ᑐᛂࡋࡓ༞๓ṑ⛉ᩍ⫱ࡢྲྀࡾ⤌ࡳ࡟ࡘ࠸࡚ᇶㄪㅮ₇ࡀ⾜ࢃࢀࡓࠋࡑࡢᚋ㸪ᮏᏛ⮫ᗋᐇ⩦࡟࠾ࡅࡿࠕࢳ࣮࣒་⒪࣭ᆅᇦ་⒪ࠖࡢ⌧≧࡜ၥ㢟Ⅼ࡟ࡘ࠸࡚㸪ࠕᆅᇦໟᣓࢣ࢔࡜ࡣ㸽ࠖࢆྵࡵࡓᏛෆㅮᖌ࡟ࡼࡿᇶㄪㅮ₇ࢆ⫈ㅮࡋࡓࠋࡑࡢᚋ㸪Ꮫ㒊ෆࡢデ⒪⛉ࡼࡾཧຍࡋࡓᩍဨࢆ㸰ࢢ࣮ࣝࣉ࡟ศࡅ㸪ࢢ࣮ࣝࣉ࣑࣮ࢸ࢕
ࣥࢢ࠾ࡼࡧࣉࣞࢮࣥࢸ࣮ࢩࣙࣥࢆ⾜ࡗࡓࠋࡇࡢ◊ಟ఍ุ࡛᫂ࡋࡓ኱ࡁ࡞ၥ㢟Ⅼࡣ㸪ᩍဨࡢከࡃࡀ⮬㌟ࡢṑ⛉ࣘࢽࢵࢺࢆ㞳ࢀ࡚እ࡟ฟ࡚デ⒪ࡍࡿ࡜࠸࠺ゼၥṑ⛉デ⒪࡟
ᑐࡍࡿ࢖࣓࣮ࢪࢆ༑ศ࡟⌮ゎࡋ࡚࠸࡞࠸ࡇ࡜㸪ྡ㏆ࡃࡢᏛ⏕ࢆゼၥṑ⛉デ⒪࡟ྠ
⾜ࡉࡏࡿࡓࡵࡢ◊ಟඛ㸦⑓Ჷ࣭᪋タ࣭ᅾᏯ㸧ࡢ☜ಖࡀ㞴ࡋ࠸ࡇ࡜㸪ࡑࡶࡑࡶᏛ⏕ࡢࣔࢳ࣮࣋ࢩࣙࣥࡢಶேᕪࡀ኱ࡁࡃཷࡅ㌟ࡢᏛ⏕ࡶከࡃ࠸ࡿࡇ࡜㸪ᣦᑟࡍࡿᩍဨᩘࡀ
㊊ࡾ࡞࠸ࡇ࡜࡞࡝ࡀ࠶ࡆࡽࢀࡓࠋࡇࢀࡽࡢၥ㢟ⅬࡢゎỴࢆ኱๓ᥦ࡜ࡋ࡚㸪ᖹᡂᖺ
ᗘࡣ⌧⾜ࡢ㏻ࡾ࡟ᐇ⩦ࢆᐇ᪋ࡍࡿࡀ㸪ᖹᡂᖺᗘ௨㝆ࡣ⌧ᅾ➨Ꮫᖺ࡟⾜ࡗ࡚࠸ࡿᐇ
⩦ࢆ➨Ꮫᖺ࡛ᐇ᪋ࡋ㸪➨Ꮫᖺ࡛⾜࠺㏻ᖖࡢ⮫ᗋᐇ⩦ࡢ୰࡛ゼၥṑ⛉デ⒪ࢆྵࡵࡓ
ᆅᇦ་⒪ࡸከ⫋✀㐃ᦠ࡟㛵ࢃࡿᐇ⩦ࢆᒚಟࡍࡿ᪉ྥ࡛ㄪᩚࡀ㐍ࡵࡿࡇ࡜࡜࡞ࡗࡓࠋ
࣒࢝ࣜ࢟ࣗࣛࡢ෌⦅ᡂ࡟ࡣᏛᖺࢆ㉸࠼ࡓᑐᛂࡀᚲせ࡟࡞ࡿࡓࡵ㸪ྛ⛉ࡢᩍဨࡢ⌮ゎ
࡜ᰂ㌾࡞ᑐᛂࡀồࡵࡽࢀࡿࠋ㠀ᖖ࡟㞴ࡋ࠸Ⅼࡶ࠶ࡿࡀ㸪ලయⓗ࡞ኚ᭦ෆᐜ࡟ࡘ࠸࡚
ࡣḟᖺᗘ௨㝆࡟Ꮫ㒊ෆ᳨࡛ウࢆࡍࡍࡵ㸪ᮏᏛ࡛ࡢ࣒࢝ࣜ࢟ࣗࣛࡢ⦅ᡂࢆ⾜࠺ணᐃ࡛࠶ࡿࠋ㐃ᦠ኱Ꮫ࡬ࡢᏛ⏕ὴ㐵㸦≉Ⰽ࠶ࡿ་⒪ᨭ᥼⚾Ꮫᩍ⫱ࣉࣟࢢ࣒࣭ࣛ㐃ᦠ኱Ꮫ㛫஺ὶ㸧᫖ᖺᗘ࡟ᘬࡁ⥆ࡁ㸪ᒸᒣ኱Ꮫ࡟࠾ࡅࡿ࿘⾡ᮇཱྀ⭍⟶⌮₇⩦࡟ᮏᏛ➨ᏛᖺࡢᏛ⏕ྡࢆὴ㐵ࡋࡓࠋᅜ❧኱Ꮫ࡛ࡢᐇ⩦ࣉࣟࢢ࣒ࣛࢆᒚಟࡋ㸪࿘⾡ᮇ⟶⌮ࢭࣥࢱ࣮⾡๓እ᮶࡛ࡢᐇ⩦ࡸ㸪እ᮶໬Ꮫ⒪ἲᐊぢᏛ㸪%LR&OHDQ5RRPࡢぢᏛ➼ࡢ㈗㔜࡞ᐇ⩦ࢆᒚಟࡍࡿࡇ࡜ࡀ࡛ࡁ㸪Ꮫ⏕࡟࡜ࡗ࡚㠀ᖖ࡟᭷ព⩏࡞₇⩦࡜࡞ࡗࡓࠋ
㛤Ⓨᶍᆺࢆ⏝࠸ࡓ୍⯡࣭་⒪ᚑ஦⪅࣭௓ㆤ⚟♴㛵ಀ⪅ྥࡅᩍᮦࡢసᡂ㸸᫖ᖺࡼࡾ㸪་⒪ἲே♫ᅋග⏕఍ᖹᕝ⑓㝔࡜ඹྠ࡛㸪సᡂࢆ௻⏬᳨࣭ウࡋ࡚࠸ࡓ㛤Ⓨᶍᆺࢆ⏝࠸ࡓ୍⯡ᕷẸ࣭་⒪ᚑ஦⪅࣭௓ㆤ⚟♴㛵ಀ⪅ྥࡅᩍᮦ㸦'9'㸧ࢆసᡂࡋࡓࠋࠕᐷࡓࡁࡾ
࡟࡞ࡗࡓ᫬ࡢཱྀ⭍ࢣ࢔ࠖ࡜㢟ࡋ㸪せ௓ㆤ㧗㱋⪅࠾ࡼࡧ᭷⑓㧗㱋⪅ࡸ㸪ཱྀ⭍ࢣ࢔࡟ᣄྰࢆ♧ࡍᝈ⪅࡟ᑐࡍࡿཱྀ⭍ࢣ࢔ࡢᑟධ࣭ᡭᢏ➼ࢆື⏬࡛ヲ⣽࡟ゎㄝࡋ࡚࠸ࡿࠋࡲࡓ㸪ࡇࡢᩍᮦࡢ
≉ᚩ࡜ࡋ࡚㸪ṑ⛉་⒪ᚑ஦⪅௨እࡢ⫋✀࡛ྲྀࡾᢅ࠸ࡀᅔ㞴࡞⩏ṑࡢ╔⬺ࡸΎᤲ᪉ἲ࡟ࡘ࠸
࡚ࡶື⏬࡜㡢ኌࢆ⏝࠸࡚ゎㄝࡋ࡚࠸ࡿࠋࡇࡢ'9'ࡢෆᐜࢆ<RX7XEH࡟࢔ࢵࣉࡋ㸪་⒪ᚑ஦⪅ࡔࡅ࡛࡞ࡃ㸪୍⯡ᕷẸ࡟ࡶෆᐜࢆᗈࡃබ㛤ࡋ࡚࠸ࡿࠋ
H࣮ࣛࢽࣥࢢࢥࣥࢸࣥࢶ཰㘓㸦ᖹᡂᖺ᭶ୖ᪪ࡈࢁ࡟ࡍ࡭࡚ࡢ཰㘓⤊஢ணᐃ㸧㸸
H࣮ࣛࢽࣥࢢࡢࢥࣥࢸࣥࢶ࡜ࡋ࡚ࠕṑᏛ⏕࣭ṑ⛉་⒪ᚑ஦⪅ࡢࡓࡵࡢᦤ㣗ᄟୗࣜࣁࣅࣜࢸ

࣮ࢩࣙࣥࠖ࡜㢟ࡋ㸪ᅇࢩ࣮ࣜࢬ࡛ㅮ⩏ࢆ཰㘓ࡋࡓࠋᙜㅮᗙ࡛⾜ࡗ࡚࠸ࡿᦤ㣗ᄟୗࣜࣁࣅ
ࣜࢸ࣮ࢩࣙࣥࡢᴫᛕࢆྵࡵࡓ⥲ㄽ㸪⏕⌮Ꮫ㸪せ௓ㆤ㧗㱋⪅࠾ࡼࡧ᭷⑓㧗㱋⪅࡟ᑐࡍࡿཱྀ⭍ࢣ࢔㸪⏬ീデ᩿࡜ᶵ⬟ホ౯㸪ᦤ㣗ᶵ⬟⒪ἲ࡟࠾ࡅࡿカ⦎ෆᐜ㸪ࡉࡽ࡟ᰤ㣴࣭㣗஦ᣦᑟ࡟ࡘ
࠸࡚ゎㄝࡋ࡚࠸ࡿࠋ༞๓ࡢᏛ⏕ࡀᑐ㇟࡜࠸࠺ࡇ࡜࡛㸪ẚ㍑ⓗ▷᫬㛫࡛ど⫈࡛ࡁࡿࡼ࠺ෆᐜ
ࢆㄪᩚࡋࡓࠋ㸴ᅇࡢㅮ⩏ࢆど⫈ࡍࡿࡇ࡜࡛㸪ṑ⛉་⒪ᚑ஦⪅ࡀ⾜࠺ᦤ㣗ᄟୗࣜࣁࣅࣜࢸ࣮
ࢩࣙࣥࡢᴫᛕࢆຠᯝⓗ࡟⌮ゎࡍࡿࡇ࡜ࡀ࡛ࡁࡿ࡜⪃࠼ࡽࢀࡿࠋ ᆅᇦ་⒪࣭ከ⫋✀㐃ᦠ࡟㛵ࢃࡿどぬᩍᮦࡢసᡂ㸸ᙜデ⒪⛉࡛⾜ࡗ࡚࠸ࡿデ⒪㢼ᬒࢆ᧜ᙳࡋ㸪᳨ウ⑕౛࡜ࡋ࡚Ꮫ⏕࡬ᥦ♧ࡍࡿどぬᩍᮦࡢసᡂ
ࢆ㐍ࡵ࡚࠸ࡿࠋಶே᝟ሗࡢⅬ࠿ࡽH࣮ࣛࢽࣥࢢ࡬ࡢ࢔ࢵࣉ࡬ࡢྠពࢆᚓࡿࡇ࡜ࡣ㞴ࡋ࠸ࡀ㸪Ꮫෆ࡛ᩍᮦ࡜ࡋ࡚౑⏝ࡍࡿ࡜࠸࠺Ⅼ࡛ྠពࡀᚓࡽࢀࡓ⑕౛࡟ࡘ࠸࡚ࡣ௒ᚋࡶ⦅㞟ࢆࡍࡍࡵࡿணᐃ࡛࠶ࡿࠋ
ᮏࣉࣟࢪ࢙ࢡ ㄽᩥ࣭◊✲Ⓨ⾲ࢺ࡟㛵㐃ࡋࡓ  㜿㒊ோᏊ㸪᪥ᮏ኱ᏛṑᏛ㒊ࡢ༞๓ᩍ⫱࡟ᑐࡍࡿྲྀࡾ⤌ࡳ࡟ࡘ࠸࡚㸦➨ሗ㸧㸪ᩥ㒊⛉Ꮫ┬ᴗ⦼㸪▱㈈㸪
ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂࣉࣟࢢ࣒ࣛ㸦೺ᗣ㛗ᑑ♫఍ࡢᐇ⌧࡟㈉⊩ࡍࡿṑ⛉་⒪ே㣴ᡂཷ㈹➼㸧㑅ᐃ஦ᴗ㸪೺ᗣ㛗ᑑ♫఍ࢆᢸ࠺ṑ⛉་Ꮫᩍ⫱ᨵ㠉ѸṚ⏕Ꮫࡸᆅᇦໟᣓࢣ࢔ࣔࢹࣝࢆᑟධ
ࡋࡓ་⛉ṑ⛉㐃ᦠᩍ⫱యไࡢᵓ⠏Ѹᖹᡂᖺᗘ㐃ᦠࢩ࣏ࣥࢪ࣒࢘㸪໭ᾏ㐨㸪㸬▱㈈
 ᰴᘧ఍♫ࢽࢵࢩࣥ㸸᭷⑓㧗㱋⪅㢡ṑᶍᆺ ୍⯡ᕷẸ࣭་⒪࣭⚟♴࣭௓ㆤᚑ஦⪅ྥࡅ'9'ࠕᐷࡓࡁࡾ࡟࡞ࡗࡓ᫬ࡢཱྀ⭍ࢣ࢔ࠖ㸦ྠ'9'ࡢෆᐜࢆ<RX7XEH࡟ᢞ✏㸪ື⏬බ㛤୰㸬 KWWSVZZZ\RXWXEHFRPSOD\OLVW"OLVW 3/S3
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ⴭࡢሙྜࡣ඲ဨࢆᥖ㍕㡰࡟グධࡋࠊ◊✲⤌⧊࣓ࣥࣂ࣮࡟ୗ⥺ࢆ௜ࡋ࡚ࡃࡔࡉ࠸ࠋ,QSUHVV ࡜࡞ࡗࡓࡶࡢ௨ୖࢆグධࡋ࡚ࡃࡔࡉ࠸ࠋͤ ◊✲㈝ࡢ౑㏵࡟ࡘ࠸࡚ࡣෆᐜࢆ⡆₩࡟グධࡋ࡚ࡃࡔࡉ࠸ࠋ

㸦ᵝᘧ㸯㸧

ᖹᡂ䠎䠕ᖺᗘ㻌 ᩥ㒊⛉Ꮫ┬㻌 ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂ䝥䝻䜾䝷䝮㻌 㐃ᦠ኱Ꮫሗ࿌᭩㻌䛂೺ᗣ㛗ᑑ♫఍䜢ᢸ䛖ṑ⛉་Ꮫᩍ⫱ᨵ㠉䇶Ṛ⏕Ꮫ䜔ᆅᇦໟᣓ䜿䜰䝰䝕䝹䜢ᑟධ䛧䛯་⛉ṑ⛉㐃ᦠᩍ⫱యไ䛾ᵓ⠏䇶䛃஦ᴗ㻌㐃ᦠ኱Ꮫྡ

᫛࿴኱Ꮫ㈐௵⪅ྡ⡙

㐃ᦠ኱Ꮫ஦ᴗ᥎㐍ጤဨ

ᙺ⫋ᘯ୰⚈ྖ

஦ົᢸᙜ⪅

ᙺ๭ᯇཎ཭࿴

ᮏሗ࿌᭩ࡢ࣮࣒࣮࣍࣌ࢪ࡛ࡢ㛤♧ࡢྍྰṑᏛᩍ⫱ᨵ㠉ࢥࣥࢯ࣮ࢩ࢔࣒஦ᴗ᥎
㐍ጤဨ఍ጤဨ
ṑᏛᩍ⫱ᨵ㠉ࢥࣥࢯ࣮ࢩ࢔࣒ᐇ⩦ࢥ
ྍ࣭ྰ
஦ᴗ⤌⧊
࣮ࢹ࢕ࢿ࣮ࢱ࣮
ṑᏛᩍ⫱ᨵ㠉ࢥࣥࢯ࣮ࢩ࢔࣒㛤Ⓨ࣭⦅ᡂᢸᙜ࣭≉Ⰽ࠶ࡿ་⒪ᨭ᥼ṑᏛᩍ⫱ࣉࣟࢢ࣒ࣛࢳ࣮࣒་⒪ࢆ┠ᣦࡋࡓṑ⛉་⒪ே㣴ᡂࢥ࣮ࢫ
ᩍ⫱ࣉࣟࢢࣛ
࣭≉Ⰽ࠶ࡿ་⒪ᨭ᥼ṑᏛᩍ⫱ࣉࣟࢢ࣒ࣛ೺ᗣ㛗ᑑ♫఍ࢆᐇ⌧ࡍࡿ⑓㝔࠿ࡽᅾᏯ࡬ษࢀ┠ࡢ࡞࠸࣒࣭ࢥ࣮ࢫྡ
་⒪ࢆᐇ㊶࡛ࡁࡿṑ⛉་⒪ே㣴ᡂࢥ࣮ࢫ
஦ᴗィ⏬࣭ࢳ࣮࣒་⒪ࢆ┠ᣦࡋࡓṑ⛉་⒪ே㣴ᡂࢥ࣮ࢫ
᫛࿴኱Ꮫ࡛ࡣ㧗ᗘ㑅ᢥ⛉┠ࠊ௚኱Ꮫ࡛ࡣ⮬⏤㑅ᢥ⛉┠࡜ࡋࠊ➨㸱Ꮫᖺ࡟ᑐࡋ࡚⛉┠ྡ㸸ᅾᏯࢆᨭ࠼ࡿᇶᮏᢏ⬟ศࢥ࣐ࠊ➨㸲Ꮫᖺ࡟ᑐࡋ࡚⛉┠ྡ㸸㸲Ꮫ㒊㐃ᦠࢳ࣮࣒་⒪ϩ㸦Ꮫ㒊㐃ᦠࢳ࣮࣒㸧Ꮫ㒊㐃ᦠ3%/ศࢥ࣐ࢆᐇ᪋ࡍࡿࠋ
ࠐᅾᏯࢆᨭ࠼ࡿᇶᮏᢏ⬟࡛ࡣࠊ௨ୗ࡟♧ࡍ㸳㡯┠࡟ࡘ࠸࡚་Ꮫ㒊ࠊ⸆Ꮫ㒊ࠊಖ೺་⒪Ꮫ㒊ࡢᩍဨࡀᣦᑟࢆ⾜࠺ࠋ㸯㸬ཱྀ⭍ࢣ࢔㛵㐃₇⩦    㸰㸬ࣇ࢕ࢪ࢝ࣝ࢔ࢭࢫ࣓ࣥࢺ㛵㐃₇⩦㸱㸬⛣ື࣭య఩ኚ᥮➼₇⩦  㸲㸬㣗஦࣭᭹⸆ᨭ᥼࡟㛵ࡍࡿ₇⩦㸳㸬ᅾᏯ࡛ࡢ⏕άᨭ᥼₇⩦ࡲࡓࠊᅾᏯ⒪㣴୰ࡢ㧗㱋⪅ࢆ᝿ᐃࡋࡓᶍᨃᝈ⪅࡟ᑐࡋࠊ་⒪㠃᥋₇⩦ࢆᐇ᪋ࡍࡿࠋ
ࠐ㸲Ꮫ㒊㐃ᦠࢳ࣮࣒་⒪ϩ㸦Ꮫ㒊㐃ᦠࢳ࣮࣒㸧Ꮫ㒊㐃ᦠ3%/࡛ࡣࠊṑᏛ㒊࡟ຍ࠼ࠊ་Ꮫ㒊ࠊ⸆Ꮫ㒊ࠊಖ೺་⒪Ꮫ㒊ࡢ㸲Ꮫ㒊ΰᡂᏛ⏕ࢳ࣮࣒࡟ࡼࡾධ㝔ᶍᨃᝈ⪅ࡢࢩࢼࣜ࢜࡟ᑐࡋ࡚ࠊ་⒪㠃᥋ࠊྛ✀᳨ᰝ⤖ᯝࢆᇶ࡟⌧≧ࡢၥ㢟Ⅼࡢᢳฟࠊධ㝔୰ࡢ἞⒪᪉㔪࠿ࡽ㏥㝔ᚋࡢ⏕άᣦᑟࡲ࡛ࡢ୍㈏ࡋࡓ἞⒪࣭ᣦᑟィ⏬ࢆ❧᱌ࡍࡿࠋᮏᏛᐇ⩦つᐃ࡟ᇶ࡙ࡁࠊฟᖍ࡛࠿ࡘࠊಟ஢᫬࡟ㄢ㢟ヨ㦂ࢆ⾜࠸㸣௨ୖࡢṇ⟅ࢆᚓࡓ⪅ࢆಟ஢࡜ࡍࡿࠋ⮫ᗋᐇ⩦ಟ஢ᚋ࡟㧗ᗘ㑅ᢥᐇ⩦࡜ࡋ࡚⑓㝔ṑ⛉እ᮶ࢆ฼⏝ࡋࡓࢡࣜࢽ࢝ࣝࢡ࣮ࣛ
ࢡࢩࢵࣉ᪉ᘧࢆ࡜ࡾᒚಟࢆ⾜࠺ࠋ࣭೺ᗣ㛗ᑑ♫఍ࢆᐇ⌧ࡍࡿ⑓Ჷ࠿ࡽᅾᏯ࡬ษࢀ┠ࡢ࡞࠸་⒪ࢆᐇ㊶࡛ࡁࡿṑ⛉་⒪ே㣴ᡂࢥ࣮ࢫ ⮫ᗋ◊ಟṑ⛉་ᖌࢆᑐ㇟࡜ࡋࠊᗈ⠊࡞୍⯡་Ꮫ▱㆑ࢆࡶࡕࠊ⑓㝔ࡢ୰࡛ከ⫋✀࡜㐃ᦠࡋ࡞ࡀࡽࠊࢳ࣮࣒་⒪ࢆᐇ㊶ࡋࠊධ㝔ᝈ⪅ࡢཱྀ⭍ᶵ⬟⟶⌮ࢆ⾜࠼ࡿࡼ࠺࡟࡞ࡾࠊ࠿ࡘࠊ㏥㝔ᚋࡢᝈ⪅ࡢ⏕άࢆࠊ་⒪ࠊ௓ㆤ࡞࡝ࡢ㠃࠿ࡽࠊໟᣓⓗ࡟⪃࠼ࠊ㏥㝔ᚋࡢṑ⛉デ⒪ࠊ≉࡟ᅾᏯ࣭ゼၥṑ⛉デ⒪ࡢ㔜せᛶࢆ⌮ゎࡋࠊᆅᇦ㐃ᦠࣃࢫ࡟⧅ࡄࡇ࡜࡛ᆅᇦ་⒪࡟㈉⊩࡛ࡁࡿṑ⛉་ᖌࢆ㍮ฟࡍࡿࠋ ⮫ᗋ≉ㄽㅮ⩏ࡣ㸰༢఩࡛㸯༢఩ࡣ඲㌟⟶⌮ࠊᩆᛴ་Ꮫࠊ᭷⑓⪅ṑ⛉་⒪Ꮫࠊ㸯༢఩ࡣᰤ㣴ࠊ⪁ᖺṑᏛࠊᦤ㣗ᄟୗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ࡜ࡍࡿࠋ ⮫ᗋ◊ಟࡣ᫛࿴኱Ꮫཱྀ⭍ࢣ࢔ࢭࣥࢱ࣮◊ಟ㸦㸯㐌㛫㸸㐃ᦠᰯࡣ㸰㐌㛫㸧ࢆ௨ୗࡢ᪋タ࡛⾜࠺ࠋ ᫛࿴኱Ꮫ⑓㝔㸦ᗋ㸧㸸⥲ྜᛴᛶᮇ⑓㝔 ᫛࿴኱Ꮫ⸨ࡀୣ⑓㝔㸦ᗋ㸧㸸⥲ྜᛴᛶᮇ⑓㝔 ᫛࿴኱Ꮫᶓ὾ᕷ໭㒊⑓㝔㸦ᗋ㸧㸸⥲ྜᛴᛶᮇ⑓㝔㸦⦆࿴⑓Ჷྵࡴ㸧 ᫛࿴኱Ꮫⅲᒣ⑓㝔㸦ᗋ㸧㸸⢭⚄⑌ᝈᛴᛶᮇᅇ᚟ᮇ⑓㝔 ᫛࿴኱ᏛỤᮾ㇏Ὢ⑓㝔㸦ᗋ㸧㸸⥲ྜᛴᛶᮇ⑓㝔ᘯ୰ ⚈ྖ
▼ᕝ ೺ኴ㑻∦ᒸ ❳ኴ

ᩍᤵ

ㅮᖌ

ᩍᤵ

ᡂᯝ

࣭ࢳ࣮࣒་⒪ࢆ┠ᣦࡋࡓṑ⛉་⒪ே㣴ᡂࢥ࣮ࢫ ᮏᏛ➨㸱ᏛᖺࡢᏛ⏕࡟ᑐࡋ࡚ࠊಖ೺་⒪Ꮫ㒊┳ㆤᏛ⛉ࡢᏛ⏕࡜ྜྠ࡟࡚㸸ᅾᏯࢆᨭ࠼ࡿᇶᮏ
ᢏ⬟ศࢥ࣐ࢆᐇ᪋ࡋࠊྡࡢṑᏛ㒊Ꮫ⏕ࡀཷㅮࡋࡓࠋ⤊஢᫬☜ㄆヨ㦂࡟࠾࠸࡚ࡶࠊ㧗࠸ṇ⟅⋡ࢆ♧ࡋ࡚࠾ࡾࠊ௚⫋✀ࡀᅾᏯ་⒪࡟࡚ᐇ᪋ࡍࡿෆᐜ࡟ࡘ࠸࡚⌮ゎࡍࡿ࡜࡜ࡶ࡟ࠊᅾᏯ་⒪࡛ࡢ7UDQVGLVFLSOLQDU\7HDP࡟࠾ࡅࡿṑ⛉་ᖌࡢᙺ๭ࢆ⌮ゎ࡛ࡁࡓࡶࡢ࡜ᛮࢃࢀࡓࠋࡲࡓࠊᅾ
Ꮿ⒪㣴୰ࡢ㧗㱋ᝈ⪅ࢆᶍࡋࡓ63࡜ࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ₇⩦࠿ࡽࠊ㧗㱋⪅ࡸᐙ᪘࡟ᐤࡾῧ࠺ࢥ
࣑ࣗࢽࢣ࣮ࢩࣙࣥ⬟ຊࢆᇵ࠺ࡇ࡜ࡀ࡛ࡁࡓ࡜⪃࠼ࡽࢀࡓࠋ ᮏᏛ➨㸲ᏛᖺࡢᏛ⏕࡟ᑐࡋ࡚ࠊ㸲Ꮫ㒊㐃ᦠࢳ࣮࣒་⒪ϩ㸦Ꮫ㒊㐃ᦠࢳ࣮࣒㸧Ꮫ㒊㐃ᦠ3%/ ศࢥ࣐ࢆᐇ᪋ࡋࠊྡࡢᏛ⏕ࡀཷㅮࡋࡓࠋከࡃࡢᏛ⏕ࡀ⤊஢᫬ࡢ࢔ࣥࢣ࣮ࢺ࡛ࢳ࣮࣒་⒪ࡢ
㔜せᛶࢆㄆ㆑ࡋ࡚࠸ࡓࠋࡲࡓࠊ㸲Ꮫ㒊㐃ᦠࢳ࣮࣒་⒪ϩ㸦Ꮫ㒊㐃ᦠࢳ࣮࣒㸧࡛ࡣࠊᶍᨃᝈ⪅ࡢࢩࢼࣜ࢜ࢆ㏻ࡋ࡚ࢳ࣮࣒་⒪ࡢ୰࡛ࡢṑ⛉་ᖌࡢᙺ๭ࡀㄆ㆑ࡉࢀ࡚ࠊ௚Ꮫ㒊ࡢ⏕ᚐ࡜ࡢಙ㢗㛵ಀࡢᵓ⠏࡟㔜せ࡞ᐇ⩦࡛࠶ࡗࡓࠋḟᖺᗘ࡟ࡣࠊᐇ㝿࡟⑓Ჷᐇ⩦ࢆ⾜࠺ࡓࡵࠊṑ⛉་ᖌ࡟ᚲせ࡞་⛉ࡢ▱㆑ࡢ㔜せᛶࡀ෌ㄆ㆑ࡉࢀࡿ࡜ᛮࢃࢀࡓࠋ
࣭೺ᗣ㛗ᑑ♫఍ࢆᐇ⌧ࡍࡿ⑓Ჷ࠿ࡽᅾᏯ࡬ษࢀ┠ࡢ࡞࠸་⒪ࢆᐇ㊶࡛ࡁࡿṑ⛉་⒪ே㣴ᡂࢥ࣮ࢫ ᮏᏛࡢ⮫ᗋ◊ಟṑ⛉་඲యྡࡢ୰࠿ࡽ᫛࿴኱Ꮫཱྀ⭍ࢣ࢔ࢭࣥࢱ࣮ࢆࣛ࢘ࣥࢻࡋࡓ⪅ࡣ㸣ࡢྡ࡛࠶ࡿ㸦᭶᪥᭱⤊ࠊ㸯᭶᪥⌧ᅾࠊྡࡀಟ஢㸧ࠋ◊ಟ⤊஢ᚋ࡟ᐇ᪋ࡋࡓ࢔ࣥࢣ࣮ࢺ
ㄪᰝ࠿ࡽࠊࠕධ㝔ᝈ⪅ࡢཱྀ⭍ࡢࢣ࢔ࡢ㔜せᛶࢆㄝ࡛᫂ࡁࡿࠖ࡜࠸࠺タၥ࡟ᑐࡋࠊࢥ࣮ࢫࢆཷㅮ
ࡋࡓ◊ಟ་඲ဨࡀࠕᑡࡋ࡛ࡁࡿࠖࡲࡓࡣࠕ༑ศ࡟࡛ࡁࡿࠖ࡜ᅇ⟅ࡋࡓࠋࡲࡓࠊࠕ࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ࡢᑐ㇟࡜࡞ࡿᝈ⪅࡟ࡘ࠸࡚ᴫㄝ࡛ࡁࡿࠖࠊࠕ࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ࡢὶࢀࢆㄝ࡛᫂ࡁࡿࠖ࡜࠸࠺タၥ࡟ᑐࡋ࡚ࡶࠊ㸣௨ୖࡀࠕᑡࡋ࡛ࡁࡿࠖࡲࡓࡣࠕ༑ศ࡟࡛ࡁࡿࠖ࡜ᅇ⟅ࡋࡓࠋ௨ୖ
ࡼࡾࠊ⑓Ჷ࡟࠾ࡅࡿཱྀ⭍ࢣ࢔ࢭࣥࢱ࣮◊ಟࡣ⮫ᗋ◊ಟṑ⛉་ᖌ࡟࡜ࡗ࡚ࠊཱྀ⭍ࢣ࢔ࡢ▱㆑࡜ᢏ⾡ྥୖ࡟᭷ຠ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡓࠋ
ᮏࣉࣟࢪ࢙ࢡ ㄽᩥ࣭◊✲Ⓨ⾲ࢺ࡟㛵㐃ࡋࡓ ࣭▼ᕝ೺ኴ㑻࡯࠿㸸⮫ᗋ◊ಟṑ⛉་ᖌ࡟ᑐࡍࡿ኱Ꮫ㝃ᒓ⑓㝔⑓Ჷ࡛ࡢཱྀ⭍ࢣ࢔࡟㛵ࡍࡿ⮬㦂ෆᴗ⦼㸪▱㈈㸪 ᐜࡢ᳨ウࠊ➨66ᅇ᪥ᮏཱྀ⭍⾨⏕Ꮫ఍ࠊᖹᡂ29ᖺ5᭶31᪥㹼6᭶2᪥ࠊᒣᙧ
ཷ㈹➼࣭▼ᕝ೺ኴ㑻࡯࠿㸸◊ಟṑ⛉་࡟ᑐࡍࡿཱྀ⭍ࢣ࢔ࢭࣥࢱ࣮◊ಟࡢ⮬㦂๭ྜ࡜◊ಟ฿㐩ᗘ࡟㛵ࡍࡿㄪᰝࠊ᪥ᮏṑ⛉་Ꮫᩍ⫱Ꮫ఍㞧ㄅࠊ33㸦3㸧ࠊ152-157ࠊ2017
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஦ᴗ㈝ࡢ౑㏵ ᾘ⪖ရ࣭ࢹ࢕ࢫ࣏࣮ࢨࣈ࣐ࣝࢫࢡ
࣭ࢹ࢕ࢫ࣏࣮ࢨࣈࣝࢢ࣮ࣟࣈ ࡯࠿᪑㈝
࣭➨ᅇ᪥ᮏཱྀ⭍⾨⏕Ꮫ఍⥲఍㸦ᒣᙧ㸧ཧຍ㸱ྡ࣭ᖹᡂᖺᗘ㐃ᦠࢩ࣏ࣥࢪ࣒࢘㸦໭ᾏ㐨኱Ꮫ㸧ཧຍ㸰ྡ࣭㛗ᓮ኱Ꮫ㞳ᓥࣉࣟࢢ࣒ࣛཧຍ㸯ྡ࣭㮵ඣᓥ኱Ꮫ㞳ᓥࣉࣟࢢ࣒ࣛཧຍ㸯ྡࡑࡢ௚࣭ṑ⛉་Ꮫᩍ⫱Ꮫ఍ㄽᩥᥖ㍕ᩱ࣭࣏ࢫࢱ࣮༳ๅ㈝ͤ ᡂᯝ࡟ࡘ࠸࡚ࡣ㸪ᑐ㇟⪅ࡢேᩘࡶグධࡋ࡚ୗࡉ࠸ࠋͤ ◊✲ᴗ⦼࡟ࡘ࠸࡚ࡣ㸪ㄽᩥྡ࣭ⴭ᭩ྡ࣭ⴭ⪅ྡ࣭Ꮫ఍ㄅྡ࣭ᕳ㸦ྕ㸧࣭᭱ึ࡜᭱ᚋࡢ㡫࣭Ⓨ⾲ᖺ㸦すᬺ㸧ࡢྛ㡯┠ࢆグධࡋ࡚ࡃࡔࡉ࠸ࠋඹྠࠊඹ
ⴭࡢሙྜࡣ඲ဨࢆᥖ㍕㡰࡟グධࡋࠊ◊✲⤌⧊࣓ࣥࣂ࣮࡟ୗ⥺ࢆ௜ࡋ࡚ࡃࡔࡉ࠸ࠋ,QSUHVV ࡜࡞ࡗࡓࡶࡢ௨ୖࢆグධࡋ࡚ࡃࡔࡉ࠸ࠋͤ ◊✲㈝ࡢ౑㏵࡟ࡘ࠸࡚ࡣෆᐜࢆ⡆₩࡟グධࡋ࡚ࡃࡔࡉ࠸ࠋ

㸦ᵝᘧ㸯㸧

ᖹᡂ䠎䠕ᖺᗘ㻌 ᩥ㒊⛉Ꮫ┬㻌 ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂ䝥䝻䜾䝷䝮㻌 㐃ᦠ኱Ꮫሗ࿌᭩㻌䛂೺ᗣ㛗ᑑ♫఍䜢ᢸ䛖ṑ⛉་Ꮫᩍ⫱ᨵ㠉䇶Ṛ⏕Ꮫ䜔ᆅᇦໟᣓ䜿䜰䝰䝕䝹䜢ᑟධ䛧䛯་⛉ṑ⛉㐃ᦠᩍ⫱యไ䛾ᵓ⠏䇶䛃஦ᴗ㻌㐃ᦠ኱Ꮫྡ

රᗜ་⛉኱Ꮫ

㐃ᦠ኱Ꮫ஦ᴗ᥎㐍ጤဨᓊᮏ ⿱඘

஦ົᢸᙜ⪅஭ୖ ࠶࠿ࡡ

ᮏሗ࿌᭩
ࡢ࣮࣒࣍



㈐௵⪅ྡ⡙

ᙺ⫋

ᙺ๭

࣮࣌ࢪ࡛
ࡢ㛤♧ࡢ
ྍྰ

஦ᴗ⤌⧊

ᓊᮏ ⿱඘㔝ཱྀ ୍㤿୰ᮧ ♸ᕫ

୺௵ᩍᤵ
෸ᩍᤵ

ຓᩍ

ṑᏛᩍ⫱ᨵ㠉ࢥࣥࢯ࣮ࢩ࢔࣒஦ᴗ᥎㐍ጤဨ఍ጤဨ
ṑᏛᩍ⫱ᨵ㠉ࢥࣥࢯ࣮ࢩ࢔࣒ᐇ⩦ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮
ᩍ⫱࣒࢝ࣜ࢟ࣗࣛ㛤Ⓨ࣭⦅㞟ᢸᙜᐇ⩦࣭HOHDUQLQJసᡂᢸᙜ

ྍᩍ⫱ࣉࣟࢢࣛ ࣒࣭ࢥ࣮ࢫྡ ࠕᖹ᫬ࠖ࠿ࡽࠕ᭷஦ࠖࡲ࡛㸪࣮࣐࢜ࣛࣝࢿࢪ࣓ࣥࢺ͆&5($7(͇ࢆᐇ㊶࡛ࡁࡿ་⒪ே㣴ᡂࢥ࣮ࢫ
஦ᴗィ⏬

ᡂᯝ

ᮏࣉࣟࢢ࣒࡛ࣛࡣ㸪රᗜ་⛉኱Ꮫ⑓㝔ṑ⛉ཱྀ⭍እ⛉ࡢ࢜ࣜࢪࢼ࡛ࣝ࠶ࡿ͆&5($7(͇ࢆព㆑ࡋࡓ
ࠕ࣮࣐࢜ࣛࣝࢿࢪ࣓ࣥࢺࠖ㸦௨ୗ20㸧ࢆᩍᤵࡍࡿ㸬ᙜ⛉࡛ࡢ20ࡣ㸪ᗈ⩏ࡢཱྀ⭍ࢣ࢔࡜ࡉࢀࡿΎ
ᤲ㸦&OHDQLQJ㸧࡜ࣜࣁࣅࣜ㸦5HKDELOLWDWLRQ㸧ࡢ㸰ࡘ࡟ຍ࠼㸪ࣈࣛࢵࢩࣥࢢᣦᑟࡢࡼ࠺࡞ᩍ⫱㸦(GXFDWLRQ㸧㸪ࡑࡋ࡚ⓗ☜࡞ཱྀ⭍ࡢホ౯㸦$VVHVVPHQW㸧㸪ࡉࡽ࡟ᢤṑࡸ⩏ṑࡢㄪᩚ࡞࡝ṑ⛉἞⒪㸦7UHDWPHQW㸧ࡢ㸳ࡘࡢせ⣲ࡀᥞ࠺ࡇ࡜ࡀ㔜せ࡛࠶ࡿ࡜࠸࠺ᴫᛕ࡟ᇶ࡙ࡃ㸬௨ୖࡢ㸳せ⣲ࢆ㐺ษ࡟㐩ᡂ࡛ࡁࢀࡤ㸪࠾࠸ࡋࡃ㣗࡭ࡿ㸦(DW㸧㸪ࡶࡋࡃࡣ㸪ᴦࡋࡴ㸦(QMR\㸧ࡇ࡜ࡀྍ⬟࡜࡞ࡾ㸪&OHDQLQJ࠿ࡽ(DW㺃(QMR\ࡲ࡛ࡢ㢌ᩥᏐ㸴ࡘࢆ㡰࡟୪࡭ࡿ࡜͇&5($7(͇࡛㸪ࠕ㣗࡭ࡽࢀࡿཱྀࢆ&5($7(㸦ࡘࡃࡿ㸧ࠖࡀ┠ᶆ࡛࠶ࡿ㸬ࢥ࣮ࢫಟ஢⪅ࡣ㸪ࠕᖹ᫬ࠖ࠿ࡽ͆&5($7(͇㸦ཱྀ⭍Ύᤲ࡜ࣜࣁࣅࣜࡢ㸰ࡘ࡟ຍ࠼㸪ᩍ⫱ࡑࡋ࡚ⓗ☜࡞ཱྀ⭍ࡢホ౯㸪ṑ⛉἞⒪㸧ࡢᴫᛕ࡟ᇶ࡙ࡃ20ࢆᐇ㊶ࡋ㸪ᝈ⪅࡟࡜ࡗ࡚ࠕ᭷஦ࠖ࡜࠸࠼ࡿࡀࢇ
ࡢ἞⒪࡞࡝ࡢ࿘⾡ᮇࡸ㧗㱋⪅ࡀᙅ⪅࡜࡞ࡿ⅏ᐖ᫬࡞࡝࡟࠾࠸࡚ࡶከ⫋✀࡜ࡢ㐃ᦠ࡟ࡼࡿࢳ࣮࣒
་⒪ࢆⓗ☜࠿ࡘ෇⁥࡟ᐇ㊶࡛ࡁࡿࡼ࠺࡟࡞ࡿ㸬ࡲࡓ㸪ṑ⛉་ᖌ఍࡟࠾ࡅࡿಖ೺⾨⏕㒊ࡸ⾜ᨻ࡟࠾࠸࡚㸪⅏ᐖ་⒪Ꮫࢆ࣮࣋ࢫ࡜ࡋࡓᆅᇦ་⒪ࡢⓎᒎࢆ࣮ࣜࢻ࡛ࡁࡿேᮦ࡜࡞ࡾᚓࡿࡇ࡜ࢆᮇᚅ
ࡍࡿ㸬ࡉࡽ࡟ࡣ㸪ከ⫋✀࡜ࡢ㐃ᦠࢆ㏻ࡌ࡚㸪⮫ᗋࡢࡳ࡞ࡽࡎ㸪◊✲࡟࠾࠸࡚ࡶṑ⛉㡿ᇦ࡟␃ࡲࡽ࡞࠸Ꮫ㝿ⓗ࡞ᗈ࠸ど㔝ࢆᣢࡗࡓṑ⛉་ᖌ࡜ࡋ࡚ࡢᇶ♏ࡀ㣴࠺ࡇ࡜ࡀ┠ⓗ࡛࠶ࡿ㸬ձ ࠕᖹ᫬ࠖ࠿ࡽࠕ᭷஦ࠖࡲ࡛㸪࣮࣐࢜ࣛࣝࢿࢪ࣓ࣥࢺ͆&5($7(͇ࢆᐇ㊶࡛ࡁࡿ་⒪ே㣴ᡂࢥ࣮ࢫࡢ㛤ദ ᖹᡂᖺ᭶᪥㸪᪥㛤ദ ղ ೺ᗣ㛗ᑑ♫఍ࢆᢸ࠺ṑ⛉་Ꮫᩍ⫱ᨵ㠉Ṛ⏕Ꮫࡸᆅᇦໟᣓࢣ࢔ࣔࢹࣝࢆᑟධࡋࡓ་⛉ṑ⛉㐃ᦠᩍ⫱యไࡢᵓ⠏㐃ᦠࢩ࣏ࣥࢪ࣒࢘LQ໭ᾏ㐨኱Ꮫ ࡬ࡢཧຍճ ࢩ࣏ࣥࢪ࣒࢘ 㣗࡭ࡽࢀࡿཱྀࢆ&5($7( ࡢ㛤ദ ᖹᡂᖺ᭶᪥㛤ദ 
մ 20ࢆᐇ㊶ࡍࡿࡓࡵ࡟ᚲせ࡞ᢏ⾡ࢆྥୖࡉࡏࡿ┠ⓗ࡛ṑ⛉἞⒪ࡢࢺ࣮ࣞࢽࣥࢢ࡟㛵ࢃࡿᾘ⪖ရࢆ㉎ධணᐃձ ᖹᡂᖺ᭶᪥㸪᪥㛤ദ රᗜ་⛉኱Ꮫ ࠕᖹ᫬ࠖ࠿ࡽࠕ᭷஦ࠖࡲ࡛࣮࣐࢜ࣛࣝࢿࢪ࣓
ࣥࢺ͆&5($7(͇ࢆᐇ㊶࡛ࡁࡿ་⒪ே㣴ᡂࢥ࣮ࢫ ࡢ୍⎔࡜ࡋ࡚㸪௚⛉࡜㐃ᦠࡋ࡚௨ୗࡢㅮ
⩏ࢆᐇ᪋㸬
20ࡢᴫᛕ ᓊᮏ⿱඘୺௵ᩍᤵ 㸪⅏ᐖ࡞࡝ࡢ⥭ᛴ᫬࡟ᙺ❧ࡘᛂᛴฎ⨨ 㔝୍ཱྀ㤿෸ᩍᤵ 㸪⬚㒊༢⣧ϱ⥺෗┿ ᨺᑕ⥺⛉ ▼⸝♩୍෸ᩍᤵ 㸪&7ࡢㄞᙳ 㔝୍ཱྀ㤿෸ᩍᤵ 㸪05,ࡢㄞᙳ ᨺᑕ⥺⛉ ▼⸝♩୍෸ᩍᤵ 㸪ᢠ⳦⸆ࡢ౑࠸᪉࣭⪃࠼᪉ ᕝ㑔╬グຓᩍ 㸪$521-࡟㛵ࡍࡿ᭱᪂ࡢ▱ぢ ᓊᮏ⿱඘୺௵ᩍᤵ 㸪⦭ྜࡢㅮ⩏࣭ᐇ⩦ ᙧᡂእ⛉ ᭮᮰ὒᖹㅮᖌ 㸪Ẽ⟶ษ㛤࡟ࡘ࠸࡚ ⪥㰯ဗႃ⛉࣭㢌㢕㒊እ⛉ ᑎ⏣཭⣖ㅮᖌ 㸪ṑ⛉࠿ࡽࡳࡓᄟୗ㞀ᐖ ୰ᮧ♸ᕫຓᩍ 㸪ᄟୗࡢᇶᮏ࡜ホ౯ἲ ⪥㰯ဗႃ⛉࣭㢌㢕㒊እ⛉ Ᏹ࿴ఙᾈㅮᖌ ཧຍ⪅ ྡ රᗜ་⛉኱Ꮫ ղ ᖹᡂᖺ᭶᪥㸪᪥ ೺ᗣ㛗ᑑ♫఍ࢆᢸ࠺ṑ⛉་Ꮫᩍ⫱ᨵ㠉Ṛ⏕Ꮫࡸᆅᇦໟᣓࢣ࢔ࣔ
ࢹࣝࢆᑟධࡋࡓ་⛉ṑ⛉㐃ᦠᩍ⫱యไࡢᵓ⠏㐃ᦠࢩ࣏ࣥࢪ࣒࢘LQ໭ᾏ㐨ཧຍ⪅ ྡ ᩍဨྡ㸪⑓㝔ຓᡭྡ㸪ࣞࢪࢹࣥࢺྡ  ࣞࢪࢹࣥࢺ࡟ࡼࡿⓎ⾲ࢆᐇ᪋㸬ճ ᖹᡂᖺ᭶᪥ ࢩ࣏ࣥࢪ࣒࢘ 㣗࡭ࡽࢀࡿཱྀࢆ&5($7(&5($7(࡜ࡣ ᓊᮏ⿱඘୺௵ᩍᤵ 㸪እほࡢᚰ⌮Ꮫ㹼ࣜࣁࣅ࣓ࣜ࢖ࢡ࡟ࡼࡿ㢌㢕㒊⾡ᚋ࡬ࡢ࢔ࣉ࣮ࣟࢳ㹼 5(,.2 .$=.,୺௵ㅮᖌ すዉࡲࡿ࠿ඛ⏕ 㸪㣗ࡢࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ࡟ࡘ࠸࡚
኱㜰ṑ⛉኱Ꮫ ⣒⏣ᫀ㝯ᩍᤵ 㸪ᕼᮃࡢࡈࡣࢇ㹼ࠕ࠾࠸ࡋ࠸ࠖࡀࠊࡎࡗ࡜⥆ࡃᮍ᮶࡬㹼 ᩱ⌮◊✲ᐙ ಖ᳃༓ᯞඛ⏕ մ ᙧᡂ⦎⩦࡟౑⏝ࡍࡿேᕤṑ࡞࡝20ࢆᐇ㊶ࡍࡿࡓࡵࡢࢺ࣮ࣞࢽࣥࢢ࡟㛵ࢃࡿᾘ⪖ရࢆ㉎ධࡋ㸪ࢫ࢟ࣝ࢔ࢵࣉࢆᅗࡿࡇ࡜ࡀ࡛ࡁࡿ࡜⪃࠼ࡽࢀࡿ㸬ᮏࣉࣟࢪ࢙ࢡ Ⓨ⾲ࢺ࡟㛵㐃ࡋࡓ ࣭ᖹᡂᖺ᭶᪥ ➨ᅇ⪁ᖺṑ⛉་Ꮫ఍Ꮫ⾡኱఍ ឡ▱ᴗ⦼㸪▱㈈㸪  රᗜ┴୹Ἴᅪᇦᅾఫ㧗㱋⪅࡟࠾ࡅࡿࣇࣞ࢖ࣝ࡜ཱྀ⭍⾨⏕⎔ቃ ཷ㈹➼ 㛗㇂ᕝ㤶ዉ㸪㛗㇂ᕝ㝧Ꮚ㸪ᇼ஭ᐉ⚽㸪Ḉᮏளᘪ㸪᪂ᮧ೺㸪℈⏣㝯㸪ᓊᮏ⿱඘
࣭ᖹᡂᖺ᭶᪥ ➨ᅇ⪁ᖺṑ⛉་Ꮫ఍Ꮫ⾡኱఍ ឡ▱ රᗜ┴୹Ἴᅪᇦᅾఫ㧗㱋⪅࡟࠾ࡅࡿࢧࣝࢥ࣌ࢽ࢔࡜ཱྀ⭍ᶵ⬟ࡢ㛵㐃ᛶ ᇼ஭ᐉ⚽ࠊ㛗㇂ᕝ㝧Ꮚࠊ㛗㇂ᕝ㤶⳯ࠊḈᮏளᘪࠊ᪂ᮧ೺ࠊ⃝⏣㝯ࠊᓊᮏ⿱඘
࣭ᖹᡂᖺ᭶᪥ ೺ᗣ㛗ᑑ♫఍ࢆᢸ࠺ṑ⛉་Ꮫᩍ⫱ᨵ㠉Ṛ⏕Ꮫࡸᆅᇦໟᣓࢣ࢔ࣔࢹࣝࢆᑟ
ධࡋࡓ་⛉ṑ⛉㐃ᦠᩍ⫱యไࡢᵓ⠏ 㐃ᦠࢩ࣏ࣥࢪ࣒࢘LQ໭ᾏ㐨 ໭ᾏ㐨ࠕරᗜ་⛉኱Ꮫṑ⛉ཱྀ⭍እ⛉Ꮫㅮᗙ࡛ࡢ᪂ࡓ࡞༞ᚋᩍ⫱㹼་⛉࣭ṑ⛉ྜྠࣇࣞ࢖ࣝㄪᰝࢆ㏻ࡌ࡚͆㣗࡭ࡽࢀࡿཱྀࢆ&5($7(͇ࢆᐇ㊶ࡍࡿຊࢆ㣴࠺㹼ࠖ ᭹㒊ὒ୍㸪ᇼ஭ઑऴɾੁీӵ೯ɾ஦ଞ༠‫ހ‬ɾ໼޳Ҳഇɾ‫؝‬ຌ༡ै㞧ㄅ࣭ᓊᮏ⿱඘㸬་⛉࡜ṑ⛉ࡢ㐃ᦠ 0521-ᑐᛂࡢ᭱㏆ࡢືྥ ⸆๣㛵㐃㢡㦵ቯṚ࡬ࡢᑐᛂࡢ᭱㏆ࡢືྥ㸬᪥ᮏ㦵⢒㧼⑕Ꮫ఍㞧ㄅ ᕳྕ㸸㸸
࣭୰ᮧ♸ᕫ㸪ᓊᮏ⿱඘㸬࠙㧗㱋⪅ࡢཱྀ⭍ࢣ࢔ࠚཱྀ⭍ࢣ࢔ࢆ࡝ࡢࡼ࠺࡟⾜࠺࠿ ࢳ࣮࣒་⒪࡟ࡼࡿ࿘⾡ᮇࡢཱྀ⭍ᶵ⬟⟶⌮ࡢᐇ㝿㸬0RGHUQ3K\VLFLDQ㸸ᕳྕ㸸㸸
࣭ྜྷᕝᜤᖹ㸪ᓊᮏ⿱඘㸬ཱྀ࠙⭍㢡㢦㠃࡟㛵㐃ࡍࡿ⑌ᝈ࡜ࡑࡢ἞⒪ࡢ⌧≧ࠚ࿘⾡ᮇᝈ⪅ࡢ࣮࣐࢜ࣛࣝࢿࢪ࣓ࣥࢺ㸬&OLQLFDO&DOFLXP㸸ᕳྕ㸸㸸
࣭ᓊᮏ⿱඘㸪㧗ᒸ୍ᶞ㸬㦵྾཰ᢚไ⸆㛵㐃㢡㦵ቯṚࡢ᭱᪂᝟ሗ㸬᪥ᮏཱྀ⭍࢖ࣥࣉࣛࣥࢺᏛ఍ㄅ
㸸ᕳྕ㸸㸸
࣭ᓊᮏ⿱඘㸪㧗ᒸ୍ᶞ㸬㦵྾཰ᢚไ⸆㛵㐃㢡㦵ቯṚࡢ࣏ࢪࢩ࣮ࣙࣥ࣌ࣃ࣮ࡢゎㄝ㸬᪥ᮏṑ⛉ඛ➃ᢏ⾡◊✲ᡤᏛ⾡఍ㄅ㸸ᕳྕ㸸
࣭ᓊᮏ⿱඘㸬ࣅࢫ࣍ࢫ࣍ࢿ࣮ࢺ〇๣࡜ṑ⛉἞⒪࡟ࡘ࠸࡚㦵྾཰ᢚไ⸆㛵㐃㢡㦵ቯṚࡢண㜵ࢆ┠ᣦࡋ࡚㸬኱㜰ᗓṑ⛉་ᖌ఍㞧ㄅ㸸ྕ㸸᭩⡠࣭ᕝ㑔╬グ㸪ᓊᮏ⿱඘㸬ᝏᛶ⭘⒆㸸࿘⾡ᮇࡢ࣮࣐࢜ࣛࣝࢿࢪ࣓ࣥࢺ㸬 ศ࡛ㄞࡵࡿ㸟▱ࡾࡓ࠸
඲㌟⑌ᝈ㸦୰ᕝὒ୍ ⦅㸧㸸ࢹࣥࢱࣝࢲ࢖ࣖࣔࣥࢻ♫㸸 ᮾி 
࣭㧗ᒸ୍ᶞ㸪ᓊᮏ⿱඘㸬 0521-࡬ࡢ࣐ࢿࢪ࣓ࣥࢺᡓ␎㸬ཱྀ⭍እ⛉ࣁࣥࢻ࣐ࢽࣗ࢔ࣝ㸸ࢡ࢖ࣥࢸࢵࢭࣥࢫฟ∧㸸 ᮾி 
࣭㧗ᒸ୍ᶞ㸪ᓊᮏ⿱඘㸬➨❶ ࣅࢫ࣍ࢫ࣍ࢿ࣮ࢺ㛵㐃㢡㦵ቯṚ㸬ࡀࢇཱྀ⭍ᨭᣢ⒪ἲ ከ⫋✀㐃ᦠ࡟ࡼࡿࡀࢇᝈ⪅ࡢཱྀ⭍ෆ⟶⌮ $QGUHZ1'DYLHV࡯࠿⦅ⴭ ᭮ᡃ㈼ᙪ┘ヂ 㸸Ọᮎ᭩ᗑ㸸 ி㒔 
࣭ᓊᮏ⿱඘㸬᭱᪂㸟㦵྾཰ᢚไ⸆㛵㐃㢡㦵ቯṚࡢண㜵࡜἞⒪㸬ṑ⏺ᒎᮃ≉ูྕṑ⛉་⒪ ᮍ᮶࡜ክ㸸
࣭ᓊᮏ⿱඘㸬ཱྀ⭍࢝ࣥࢪࢲ⑕㸬἞⒪ࢆᨭ࠼ࡿ ࡀࢇᝈ⪅ࡢཱྀ⭍ࢣ࢔㸬୍⯡♫ᅋἲே ᪥ᮏཱྀ⭍ࢣ࢔Ꮫ఍Ꮫ⾡ጤဨ఍⦅㞟㸸་Ꮫ᭩㝔㸸 ᮾி 
࣭ᓊᮏ⿱඘㸪ᾆฟ㞞⿱㸬᭷⇕ᝈ⪅ࡢཱྀ⭍ࢣ࢔㸬ᨵゞ∧ ཱྀ⭍ࢣ࢔ᇶ♏▱㆑㸬୍⯡♫ᅋἲே ᪥ᮏཱྀ⭍ࢣ࢔Ꮫ఍⦅㞟㸸Ọᮎ᭩ᗑ㸸 ி㒔 
࣭ᓊᮏ⿱඘㸬ㄗᄟᛶ⫵⅖㸬Ẽ⟶ᨭႍᜥ㸬௦ㅰᛶ⑌ᝈ ⸆๣㛵㐃㢡㦵ቯṚ 0521- 㸬᪂ゞ∧ ▱ࡾࡓ࠸ࡇ࡜ࡀࡍࡄࢃ࠿ࡿ 㧗㱋⪅ṑ⛉་⒪ ṑ⛉་⒪࡟ࡘ࡞ࡀࡿ་Ꮫ▱㆑㸸Ọᮎ᭩ᗑ㸸
㸪㸪 ி㒔 
஦ᴗ㈝ࡢ౑㏵ ᾘ⪖ရ࣭ࢥࣥࢸࣥࢶ࣐ࢩࣥ⏬ീ⦅㞟⏝ࢯࣇࢺ $GREH3UHPLHUH(OHPHQWV
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࣭໭ᾏ㐨኱Ꮫ ೺ᗣ㛗ᑑ♫఍ࢆᢸ࠺ṑ⛉་Ꮫᩍ⫱ᨵ㠉Ṛ⏕Ꮫࡸᆅᇦໟᣓࢣ࢔ࣔࢹࣝࢆᑟධࡋࡓ
་⛉ṑ⛉㐃ᦠᩍ⫱యไࡢᵓ⠏ 㐃ᦠࢩ࣏ࣥࢪ࣒࢘LQ໭ᾏ㐨 Ⓨ⾲࣭ཧຍ ྡࡑࡢ௚࣭ㅰ㔠࣭஺㏻㈝ ᖹᡂᖺ᭶᪥㛤ദࡢࢩ࣏ࣥࢪ࣒࢘ࡢᏛእ࠿ࡽࡢㅮᖌ࡬ࡢㅰ㔠࣭஺㏻㈝࡟౑
⏝ࡍࡿணᐃ࡛࠶ࡿ㸬࣭༳ๅ௦ ࢩ࣏ࣥࢪ࣒࢘㛤ദ࡟࡜ࡶ࡞࠸㸪㛤ദ㏻▱ࡢࢳࣛࢩ㸪࣏ࢫࢱ࣮㸪ᆶࢀᖥࡢసᡂ࡟౑⏝㸬ͤ ᡂᯝ࡟ࡘ࠸࡚ࡣ㸪ᑐ㇟⪅ࡢேᩘࡶグධࡋ࡚ୗࡉ࠸ࠋͤ ◊✲ᴗ⦼࡟ࡘ࠸࡚ࡣ㸪ㄽᩥྡ࣭ⴭ᭩ྡ࣭ⴭ⪅ྡ࣭Ꮫ఍ㄅྡ࣭ᕳ㸦ྕ㸧࣭᭱ึ࡜᭱ᚋࡢ㡫࣭Ⓨ⾲ᖺ㸦すᬺ㸧ࡢྛ㡯┠ࢆグධࡋ࡚ࡃࡔࡉ࠸ࠋඹྠࠊඹ
ⴭࡢሙྜࡣ඲ဨࢆᥖ㍕㡰࡟グධࡋࠊ◊✲⤌⧊࣓ࣥࣂ࣮࡟ୗ⥺ࢆ௜ࡋ࡚ࡃࡔࡉ࠸ࠋ,QSUHVV ࡜࡞ࡗࡓࡶࡢ௨ୖࢆグධࡋ࡚ࡃࡔࡉ࠸ࠋͤ ◊✲㈝ࡢ౑㏵࡟ࡘ࠸࡚ࡣෆᐜࢆ⡆₩࡟グධࡋ࡚ࡃࡔࡉ࠸ࠋ

㈨ᩱ䠏 䠏ㅮ₇఍㸦ṑᏛ◊✲ࢭ࣑ࢼ࣮㸧ࡢ࠾▱ࡽࡏṑᏛ㒊࣭ṑ⛉デ⒪ࢭࣥࢱ࣮
ᩍ⫋ဨࠊ኱Ꮫ㝔⏕ࠊ◊ಟ་ࡢⓙᵝ㻌ୗグࡢࡼ࠺࡟ㅮ₇఍㸦ṑᏛ◊✲ࢭ࣑ࢼ࣮㸧ࢆ㛤ദࡋࡲࡍࡢ࡛ࡈ᱌ෆ࠸ࡓࡋࡲࡍࠋ
໭኱ṑᏛ㒊  ᮇࡢࡈ༞ᴗ࡛ࠊ
⌧ᅾ᫛࿴኱ᏛṑᏛ㒊࡛ࡈά㌍ࡉࢀ࡚࠾ࡾࡲࡍᘯ୰⚈ྖඛ⏕ࡢᚚㅮ₇࡛ࡍࠋ㻌ṑ⛉◊ಟ་ᑐ㇟ࡢㅮ₇఍࡛ࡍࡀࠊ⯆࿡ࢆ࠾ᣢࡕࡢⓙᵝࡢᚚ᮶⫈ࡶ኱Ḽ㏄࠸ࡓࡋࡲࡍࡢ࡛ࠊከᩘࡢࡈཧ
㞟ࢆ࠾㢪࠸࠸ࡓࡋࡲࡍࠋグ᪥᫬㸸ᖹᡂ㸰㸷ᖺ㸯㸮᭶㸯㸴᪥ ᭶㸧 㸯㸵㸸㸱㸮㹼㸯㸶㸸㸱㸮㻌ሙᡤ㸸ṑᏛ㒊ㅮᇽ₇⪅㸸ᘯ୰⚈ྖ ඛ⏕㸦໭኱ṑᏛ㒊  ᮇ༞㸧㻌     ᫛࿴኱ᏛṑᏛ㒊ࢫ࣌ࢩࣕࣝࢽ࣮ࢬཱྀ⭍་Ꮫㅮᗙཱྀ⭍⾨⏕Ꮫ㒊㛛ᩍᤵ     ᫛࿴኱Ꮫཱྀ⭍ࢣ࢔ࢭࣥࢱ࣮㛗
₇㢟㸸ࠕᆅᇦ࡛⫱࡚ࡿᑠඣᄟୗ㞀ᐖᝈ⪅ࡢᨭ᥼ࠖ
ㅮ₇ᢒ㘓㸸
 ㏆ᖺࠊ㉸㧗㱋♫఍ࡢ๪⏘≀࡛㧗㱋⪅ࡢᄟୗ㞀ᐖࡢᑐᛂࡣ┠ࢆぢᙇࡿࡼ࠺࡟ࢃࡀᅜ࡛㐍ᒎࡋ࡚࠸ࡿࠋ
୍᪉࡛ࠊࡇࢀ࠿ࡽࡢࢃࡀᅜࢆసࡗ࡚࠸ࡃᏊ࡝ࡶࡓࡕࡢཱྀ⭍ᶵ⬟ࡢⓎ㐩ࡢ୙඲ࡣᖺࠎᝏ໬ࡋ࡚࠸ࡿࡢࡀ
⌧≧࡛࠶ࡿࠋᑠඣᄟୗ㞀ᐖᝈ⪅ࡢᨭ᥼ࡣࠊデ⒪ᐊࡔࡅ࡛ࡣ࡞ࡃᆅᇦ࡜㐃ᦠࢆࡍࡿࡇ࡜࡛ࡼࡾⰋࡃᨵၿ
ࡉࢀࡿࠋ௒ᅇࠊᮏᏛࡢྲྀ⤌ࡳ࡜᪥ᮏṑ⛉་ᖌ఍㸭᪥ᮏṑ⛉་Ꮫ఍࡛ࡢྲྀ⤌ࡳࢆ⤂௓ࡋࡓ࠸ࠋ
ㅮᖌࡈ␎Ṕ㸸㻌
ᖹᡂ䠒ᖺ໭ᾏ㐨኱ᏛṑᏛ㒊༞䠄㻞㻞 ᮇ䠅㻌ᖹᡂ䠍䠏ᖺ⌧⫋㻌᪥ᮏṑ⛉་Ꮫ఍㸸⌮஦ࠊᅜ㝿㞀ᐖ⪅ṑ⛉Ꮫ఍㸸⌮஦㛗ࠊ᪥ᮏ㞀ᐖ⪅ṑ⛉Ꮫ఍㸸๪⌮஦㛗㸦ḟᮇ⌮஦㛗㸧ࠊ᪥ᮏᑠඣṑ⛉Ꮫ఍㸸⌮஦ࠊ᪥ᮏᦤ㣗ᄟୗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥᏛ఍㸸⌮஦࡯࠿ᢸᙜ໭ᾏ㐨኱Ꮫ⑓㝔ཱྀ⭍⥲ྜ἞⒪㒊   ஭ୖ ဴ

㈨ᩱ䠏 䠐㧗㱋⪅ṑ⛉Ꮫ࣭⮫ᗋᐇ⩦ , ᮇմ ࠗせ௓ㆤ⪅⛣஌ᐇ⩦࠘Ꮫ⡠␒ྕྡ  ๓

ࡣࡌࡵ࡟!! 
ࠕせ௓ㆤ㧗㱋⪅⛣஌ᐇ⩦ࠖ࡜ࡣࠊከᵝ࡞ࢽ࣮ࢬ࡟ᑐᛂ࡛ࡁࡿṑ⛉་ᖌࡢ⫱ᡂࡢ୍⎔࡛ࠊṑ⛉἞⒪ࠊཱྀ⭍ࢣ࢔࡟ᚲせ࡞せ௓ㆤ㧗㱋⪅ࡢ㌟య௓ㆤࢆᏛࡪࡓࡵ࡟௒ᖺᗘ࠿ࡽ᪂タࡋࡓࠋせ௓ㆤ㧗㱋⪅ࢆྲྀࡾᕳࡃ⎔ቃࡸࠊ㌟యⓗ࣭⢭⚄ⓗ≉ᚩࢆ⌮ゎࡋࠊ⎔ቃᩚഛࡸ࣏ࢪࢩࣙࢽ
ࣥࢢ᪉ἲ࡞࡝ࢆ⤒㦂ࡋ࡚ࡶࡽ࠺ࠋ
㌴᳔Ꮚ࡬ࡢ⛣஌㸦ࢺࣛࣥࢫࣇ࢓࣮㸧ࡢ௓ຓ࡛ࡣࠊ฼⏝⪅ࡢ㌿ಽࡸࠊ௓ㆤ⪅ࡢ⭜③࡞࡝
ࡀ㉳ࡇࡿྍ⬟ᛶࡀ㧗࠸ࡢ࡛ࠊᏳ඲࡟⛣஌௓ຓࡍࡿࡓࡵ࡟ࡣࠊṇࡋ࠸▱㆑࡜ᢏ⾡ࢆ⏝࠸ࡿ஦ࡀ኱ษ࡛ࡍࠋຊࡲ࠿ࡏ࡟⾜ࡗ࡚ࡋࡲ࠺࡜ࠊࡉࡽ࡟㌿ಽࡸ⭜③ࡢ༴㝤ࡀቑࡍࠋ࣎ࢹ࢕
࣓࢝ࢽࢡࢫࢆά⏝ࡋࠊᏳ඲࣭Ᏻᴦ࡛࠶ࡿ࡜࡜ࡶ࡟฼⏝⪅ࡢ⮬❧࡟ࡘ࡞ࡀࡿࡼ࠺࡟௓ຓࢆ
య㦂ࡍࡿࠋ
ᮏᐇ⩦ࡢ┠ⓗ!!
 せ௓ㆤ⪅ࡢṑ⛉἞⒪᫬࡟ᚲせ࡞ᇶᮏⓗ࡞▱㆑࠾ࡼࡧᢏ⾡ࢆ⩦ᚓࡍࡿࠋ せ௓ㆤ⪅ࡢ⛣஌ࢆᐇ㝿࡟య㦂ࡍࡿࠋ せ௓ㆤ⪅ࡢᐈほⓗ࡟ホ౯ࡋࠊࢣ࢔ෆᐜࢆᨵၿࡍࡿ᪉ἲࢆ⪃ᐹࡍࡿࠋ
 ㌴᳔Ꮚ࡟ࡘ࠸࡚Ꮫࡧࠊ┦஫ᐇ⩦ࢆ⾜࠺ࠋᮏᐇ⩦ࡢὀព!!
 ⛣஌ࡢ㝿࡟ࠊ↓⌮࡞యໃࢆ࡜ࡿ࡜⭜③࡞࡝ࡢཎᅉ࡟࡞ࡾࡲࡍࡢ࡛ࠊ஦๓࡟ࡋࡗ࠿ࡾ࡜ື
సࡢ☜ㄆࢆࡋࡲࡋࡻ࠺ࠋࡲࡓࠊ⛣஌ືసࡣ฼⏝⪅࡜ࡢඹྠసᴗ࡛ࡍࡢ࡛ࠊ௓ຓ⪅ࡣせ௓ㆤ⪅࡟ࡲࡵ࡟ኌ࠿ࡅࢆࡋࠊ⛣஌ᚋࡣᚲࡎయㄪ☜ㄆࢆࡋࡲࡋࡻ࠺ࠋ
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㌴᳔Ꮚࡢ୍⯡ⓗ࡞▱㆑!!

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ᮏᐇ⩦ࡢὶࢀ!!
ձ ᙺ๭ศᢸࡢỴᐃ㸸ࠕ௓ㆤ⪅ࠖᙺࠊࠕ⿵ຓ⪅ࠖᙺ~ ேࠊࡲࡓࡣ  ேࡢࢢ࣮ࣝࣉࢆసࡿࠋ

~⛣஌ࡣ ㌴᳔ᏊЍ࣋ࢵࢻ      ࣋ࢵࢻЍ㌴᳔Ꮚ ㌴᳔ᏊЍṑ⛉ࣘࢽࢵࢺ ṑ⛉ࣘࢽࢵࢺЍ㌴᳔Ꮚ ㌴᳔ᏊЍ࣋ࢵࢻ㸨 ࣋ࢵࢻЍ㌴᳔Ꮚࡢ㡰࡛⾜࠺ࠋ~㸨࣋ࢵࢻୖཱྀ࡛⭍ࢣ࢔ࡀ᪋⾜࡛ࡁࡿࡼ࠺࡟ࠊせ௓ㆤ⪅ࡢయໃࢆᩚ࠼ࡿࠋղ せ௓ㆤ⪅ࡶࡶࡕࡷࢇࢆ‽ഛࠋ㌴᳔Ꮚࠊ࣋ࢵࢻࠊ࡞࡝ᚲせ࡞ࡶࡢࢆ‽ഛࡍࡿࠋճ ⛣஌ࡢᐇ㝿㸦㈨ᩱࢆཧ⪃࡟ࡍࡿࠋ㸧մ  ㌴᳔ᏊЍ࣋ࢵࢻ ࠕ࣋ࢵࢻ࡛ᗙ఩࡟ࡍࡿࠖ
~௓ㆤ⪅ࡣࠊせ௓ㆤ⪅ࢆ࣋ࢵࢻ࡟ᗙࡽࡏࡿࠋ⿵ຓ⪅ࡣ㌴᳔Ꮚࢆᘬࡃࠋ

) ㌴᳔ᏊЍ࣋ࢵࢻ࡬ࡢ⛣஌ෆᐜࢆホ౯ࡋࠊᮏᐇ⩦᭩ࡢ  ࣮࣌ࢪ┠ࡢྛ㡯┠࡟ࡘ࠸࡚
⟠᮲᭩ࡁ࡛グ㍕ࡍࡿࠋյ ᙺ๭ࢆ஺௦ࡋࠊ ࣋ࢵࢻЍ㌴᳔Ꮚ ࠕ㌴᳔Ꮚ࡟ᗙࡽࡏࡿࠖ
) ࣋ࢵࢻЍ㌴᳔Ꮚ࡬ࡢ⛣஌ෆᐜࢆホ౯ࡋࠊᮏᐇ⩦᭩ࡢ  ࣮࣌ࢪ┠ࡢྛ㡯┠࡟ࡘ࠸࡚
⟠᮲᭩ࡁ࡛グ㍕ࡍࡿࠋն ᙺ๭ࢆ஺௦ࡋࠊ ㌴᳔ᏊЍṑ⛉ࣘࢽࢵࢺࠕṑ⛉⏝ࣘࢽࢵࢺ࡟ᗙࡽࡏࡿࠖ
) ࡑࢀࡒࢀࡢᙺ๭ࡢ❧ሙ࠿ࡽぢ࡚⛣஌ࡢෆᐜࢆホ౯ࡋࠊᮏᐇ⩦᭩  ࣮࣌ࢪ┠ࡢྛ㡯┠࡟ࡘ࠸࡚⟠᮲᭩ࡁ࡛グ㍕ࡍࡿࠋ) Ⰻ࠿ࡗࡓⅬࠊᝏ࠿ࡗࡓⅬࢆࣆࢵࢡ࢔ࢵࣉࡋࠊᏳ඲࡞⛣஌ࢆ⾜࠺ࡓࡵࡢ᪉⟇ࢆࢢ࣮ࣝࣉ࡛⪃࠼ࡿ ⟠᮲᭩ࡁ࡛᪉⟇ࢆグ㍕ࡍࡿ ࠋշ ᙺ๭ࢆ஺௦ࡋࠊ ṑ⛉ࣘࢽࢵࢺЍ㌴᳔Ꮚࡢ⛣஌ࢆ⾜࠺ࠋࠕ㌴᳔Ꮚ࡟ᗙࡽࡏࡿࠖ
) ௒ᅇࡢホ౯࡜ẚ㍑ࡋࠊᨵၿࡋࡓⅬࠊᝏࡃ࡞ࡗࡓⅬࢆࣆࢵࢡ࢔ࢵࣉࡍࡿ ⟠᮲᭩ࡁ࡛グ㍕ ࠋ3) ࡇࡢ⤖ᯝࢆ㋃ࡲ࠼࡚ࠊᏳ඲࣭Ᏻᴦ࡛ࢫ࣒࣮ࢬ࡞⛣஌ࢆ⾜࠺ࡓࡵ࡟ࡣ࡝࠺ࡋࡓࡽ࠸࠸
ࡢ࠿ࢆࢢ࣮ࣝࣉ࡛ヰࡋྜ࠺ࠋո ᙺ๭ࢆ஺௦ࡋࠊ ㌴᳔ᏊЍ࣋ࢵࢻࡢ⛣஌ࢆ⾜࠺ࠋ㸨ࢢ࣮ࣝࣉࢹ࢕ࢫ࢝ࢵࢩࣙࣥ㸸࣋ࢵࢻ࡛ࡣཱྀ⭍ࢣ࢔ࢆ᪋⾜ࡍࡿ㝿ࡢయໃࢆᩚ࠼ࡿࠋ
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) ௒ᅇࡢ⛣஌ࡢホ౯࡜ẚ㍑ࡋࠊᨵၿࡋࡓⅬࠊᝏࡃ࡞ࡗࡓⅬࢆࣆࢵࢡ࢔ࢵࣉࡍࡿ ⟠᮲᭩ࡁ࡛グ㍕ ࠋ) ࣋ࢵࢻ࡛ࡢయໃཱྀ࡛⭍ࢣ࢔ࢆ᪋⾜ࡍࡿࡓࡵ࡟ࡣఱࢆ࡝ࡢࡼ࠺࡟ὀពࡋࡓࡽ࠸࠸࠿ࢆ᳨ウࡍࡿࡇ࡜ࠋպ ᙺ๭ࢆ஺௦ࡋࠊ ࣋ࢵࢻЍ㌴᳔Ꮚࡢ⛣஌ࢆ⾜࠺ࠋ) ௒ᅇࡢ⛣஌ࡢホ౯࡜ẚ㍑ࡋࠊᨵၿࡋࡓⅬࠊᝏࡃ࡞ࡗࡓⅬࢆࣆࢵࢡ࢔ࢵࣉࡍࡿ ⟠᮲᭩ࡁ࡛グ㍕ ࠋ ඲యࢆ㏻ࡋ࡚Ⰻ࠿ࡗࡓⅬࠊᝏ࠿ࡗࡓⅬࠊᨵၿฟ᮶ࡿ࡜ࡇࢁࠊせ௓ㆤ⪅࡟ᑐࡋ࡚ࡢ᥋
ࡋ᪉࡞࡝ࢆⓙ᳨࡛ウࡋࡲࡋࡻ࠺ࠋ ࣋ࢵࢻࡸࡶࡶࡕࡷࢇࢆ∦௜ࡅࡿջ ㌴᳔Ꮚ⛣஌ࡢᐇ㝿~㌴᳔Ꮚࡣ㸰ྎ࠶ࡿࡢ࡛ࠊ ྡ࡟ࡎࡘ࡟㸦せ௓ㆤ⪅࣭௓ຓ⪅࣭ほᐹ⪅㸧ศ࠿ࢀ௨ୗࡢ
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⛣஌࣭ ᅇ┠࣋ࢵࢻЍ㌴᳔Ꮚࠕ௓ຓ⪅ࠖᙺ㸸           䐾刻≗͆⑞⊞ͪʫ̿❃̫̀͘ࠕ⿵ຓ⪅ࠖᙺ㸸           ࠕほᐹ⪅ࠖᙺ㸸           ࠊ        Ᏻ඲ᛶࡸᏳᴦᛶ࡟ࡘ࠸࡚ࡢホ౯౛ ௓ㆤ⪅ࡢయໃࡀࡘࡽࡑ࠺ࡔࡗࡓࠊ௓ຓ⪅ᙺࡢయໃࡀᅔ㞴ࡑ࠺࡛࠶ࡗࡓ

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⛣஌࣭ ᅇ┠㌴᳔ᏊЍṑ⛉ࣘࢽࢵࢺ
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⛣஌࣭ ᅇ┠ṑ⛉ࣘࢽࢵࢺЍ㌴᳔Ꮚࠕ௓ຓ⪅ࠖᙺ㸸           

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㈨ᩱ䠏 䠑᪥ᮏṑ⛉ಖᏑᏛ఍ 2017 ᖺᗘ⛅ᏘᏛ⾡኱఍㸦➨ 147 ᅇ㸧ࢩ࣏ࣥࢪ࣒࢘ࠕ࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮࡟࠾ࡅࡿಖᏑデ⒪̿⮫ᗋⓗほⅬ࣭ᇶ♏ⓗほⅬ࠿ࡽ࣮ࠖㅮ₇ 3: ㉸㧗㱋♫఍࡟ᑐᛂ࡛ࡁࡿṑᏛ⏕ᩍ⫱ᢒ㘓㸧㧗㱋⪅ṑ⛉Ꮫࡢㅮ⩏࡛ࡣᖖࠎᏛ⏕࡟ࠊࡇࢀ࠿ࡽࡣṑ⛉デ⒪ᡤ࡟࡝ࢇ࡜ᵓ࠼࡚ࠊ᮶
㝔ࡍࡿᝈ⪅ࡢࡳࢆデ⒪ࡍࡿ᫬௦ࡣ⤊ࢃࡾࠊᅾᏯ࣭᪋タ࣭⑓㝔࡬ࡢゼၥṑ⛉デ⒪࡜ࠊ
デ⒪ᡤ࡛ࡢ᮶㝔ᝈ⪅ࡢデ⒪ࡢ୧᪉ࢆ⾜ࢃ࡞ࡅࢀࡤ࡞ࡽ࡞࠸᫬௦ࡀ᮶ࡿ࡜ㄝ᫂ࡋ࡚
࠸ࡿࠋᅾᏯ࣭᪋タ࣭⑓㝔ࡣࠊ࢔࢙࣮࢘⎔ቃ࡛࠶ࡾࡑࡇ࡛ࡶࠊᏳᚰ࣭Ᏻ඲࡞ṑ⛉デ⒪ࡀ⾜࠼ࡿࡓࡵ࡟ࡣࠊṑ⛉ᅛ᭷ࡢᢏ⾡࣭▱㆑ࡢ⩦ᚓࡣ໚ㄽ࡛࠶ࡿࡀࠊከ⫋✀ࡢேࡓࡕ࡜ࢥ࣑ࢽࣗࢣ࣮ࢩࣙࣥࢆ࡜ࡿࡓࡵࡢ་Ꮫࡢඹ㏻ゝㄒࢆ⌮ゎࡋࠊᇶᮏⓗ࡞඲㌟⟶⌮ࡸෆ⛉ⓗ⑌ᝈ࡟ࡘ࠸࡚⌮ゎࡍࡿᚲせࡀ࠶ࡿࠋࡇࢀࡽࢆ⪃៖ࡋࠊ໭኱ࡢ㧗㱋⪅ṑ⛉Ꮫࡢ
4 ᖺḟࡢᏛ⏕ㅮ⩏࡜ 5㹼6 ᖺḟࡢᐇ⩦࣒࢝ࣜ࢟ࣗࣛࢆࠊ4 ᖺ๓࠿ࡽ୍᪂ࡋẖᖺࠊぢ┤ࡋࢆᅗࡗ࡚࠸ࡿࠋ
ㅮ⩏࡛ࡣࠊ௒ᚋࡢᡃࡀᅜࡢ㉸㧗㱋♫఍࡛᭱኱ࡢၥ㢟࡜࡞ࡿࠕㄆ▱⑕ࠖࠊ೺ᗣ㛗ᑑࡢࡓࡵࡢ 3 ࡘࡢᰕࡢ 1 ࡘ࡛㣗ཱྀ࣭⭍ᶵ⬟࡜ᐦ᥋࡟㛵ಀࡋ࡚࠸ࡿࠕᰤ㣴ࠖࠊࡑࡋ࡚๓
㏙ࡢࠕᅾᏯゼၥṑ⛉デ⒪ࠖࡢ 3 ࡘࢆ㔜せ࡞ᰕ࡜⪃࠼ࠊᑓ㛛ࡢእ㒊ㅮᖌࢆᣍ⪸ࡋࡓࠋࠕㄆ▱⑕ࠖࡣࠊ⢭⚄⛉་ᖌ࡜ㄆ▱⑕ᝈ⪅࡟᪥㡭࠿ࡽ᥋ࡋ࡚࠸ࡿ┳ㆤᖌࠊࠕᰤ㣴ࠖࡣ໭኱⑓㝔ࡢ NST ጤဨ㛗࡜⟶⌮ᰤ㣴ኈࠊࠕᅾᏯゼၥṑ⛉デ⒪࡛ࠖࡣ㐨ෆ࡛ゼၥデ⒪ࢆ⢭ຊⓗ࡟ᐇ᪋ࡉࢀ࡚࠸ࡿ஧ேࡢ㛤ᴗ་࡜ࠊゼၥṑ⛉デ⒪࡟≉໬ࡋࡓ඲㌟⟶⌮ࢆṑ⛉㯞㓉⛉་࡟ࡑࢀࡒࢀᢸᙜࡋ࡚㡬࠸࡚࠸ࡿࠋ௚࡟ࡣࠊ㧗㱋⪅࡟ከࡃࡳࡽࢀࡿෆ⛉⑌ᝈࠊ㧗㱋⪅ࡢཱྀ⭍⑓ኚ࡜ࡋ࡚㢖ᗘࡢ㧗࠸ཱྀ⭍஝⇱⑕࣭࿡ぬ㞀ᐖࠊཱྀ⭍࢝ࣥࢪࢲ⑕ࢆ
ྵࡵࡓ⢓⭷⑌ᝈࠊpolypharmacy ࡀၥ㢟࡟࡞ࡗ࡚࠸ࡿ⸆≀⒪ἲࠊ₎᪉་Ꮫࢆ⚾ࡀᢸᙜࡋ࡚࠸ࡿࠋࡲࡓࠊᦤ㣗ᄟୗ㞀ᐖ࡟㛵ࡋ࡚ࡣࠊ඲㒊࡛ 9 ࡘࡢࢥ࣐ᩘࢆࠊ㧗㱋⪅ṑ⛉ࠊཱྀ⭍㢡㢦㠃እ⛉ࠊཱྀ⭍ෆ⛉ࠊᑠඣṑ⛉࡛ศᢸࡋ࡚᪋⾜ࡋ࡚࠸ࡿࠋཱྀ⭍ࢣ࢔ࡣࠊᐇ㊶ⓗ࡞ෆᐜࡢ௚࡟ࠊ㛵ಀࡍࡿᇶ♏ⓗ࡞ෆᐜࡸࠊNSTࠊ࿘⾡ᮇཱྀ⭍⟶⌮㸦≉࡟㐀⾑ᖿ⣽⬊⛣᳜㸧ࡢ㛵㐃࡟㛵ࡋ࡚ㅮ⩏ࢆࡋ࡚࠸ࡿࠋ⸆≀⒪ἲ࡛ࡣ⌧ᅾࠊ㧗㱋⪅࡟࠾࠸࡚ṑ⛉࡛᭱ࡶὀពࡀᚲせ࡞⸆≀࡛࠶ࡿࠕᢠจᅛ⸆ࠖ࡜ࠕᢠ⾑ᑠᯈ⸆ࠖࠊ⸆๣㛵㐃㢡㦵ቯṚࡢࠕࣅࢫ࣍ࢫ࣍ࢿ࣮ࢺࠖ࡜ࠕࢹࣀࢫ࣐ࣈࠖ࡟㛵ࡋ࡚ヲࡋࡃㅮ⩏ࢆࡋ࡚࠸ࡿࠋᢠจ
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長崎大学大学院医歯薬学総合研究科 地域医療協働センター（歯学系）
公開講演会・ミニシンポジウム

テーマ：歯周病と全身との関連 −地域連携の可能性−
日 時：平成 30 年２月 17 日（土）15 時〜17 時
場 所：「はたなか観光ビル」五島市中央町 7-20
電話 0959-72-3346（代）プログラム：
1. 開催挨拶長崎大学大学院医歯薬学総合研究科口腔インプラント学分野

教授

澤瀬 隆

2. 講演会
１）長崎大学大学院医歯薬学総合研究科歯周病学分野 准教授 吉村 篤利「メカニズムからみた歯周病と全身の健康（メタボリックシンドローム）との関連」
２）長崎大学大学院医歯薬学総合研究科口腔保健学分野 教授 齋藤 俊行「疫学調査からみた歯周病と全身の健康（メタボリックシンドローム）との関連」
３）長崎県五島中央病院 院長 村瀬 邦彦「メタボリックシンドロームを有する患者に対する歯科への要望」
3. ミニシンポジウム
座長：
長崎大学大学院医歯薬学総合研究科口腔保健学分野 准教授
長崎県福江南松歯科医師会 会長 山田 和道
指定発言者：
長崎県歯科医師会 地域福祉委員会 委員長 江頭 聡

福田 英輝

本講演会・ミニシンポジウムは，文部科学省 課題解決型高度医療人
材養成プログラム選定事業「健康長寿社会を担う歯科医学教育改革−
死生学や地域包括ケアモデルを導入した医科歯科連携教育体制の構築−」の一環として行われます。

1-7-1 Sakamoto Nagasaki-city 852-8588, Japan
TEL:+81-95-819-7705 ; FAX:+81-95-819-7608

KAGOSHIMA INTERNATIONAL DENTAL SYMPOSIUM
㈨ᩱ䠏 䠔

第3回

鹿児島国際歯学シンポジウム- グローカルな健康長寿を実現する歯学教育と臨床研究 -2017 年 11 月 25 日 ( 土 ) 13:00 〜 15:00
会場：鹿児島大学桜ヶ丘キャンパス 鶴陵会館大ホール
形式：オープンシンポジウム（入場無料、事前登録不要） 開場 : 12:30
13:00~13:05

開会の挨拶

宮脇正一（鹿児島大学歯学部長）

シンポジウムⅠ(13:05 〜 14:05)：超高齢社会に対応する歯学教育と研究のあり方
座長：

小松澤

均 （鹿児島大学）

健康長寿社会を担う歯科医学教育・研究改革
課題解決型高度医療人材養成プログラム・事業実施責任者

岡山大学教授窪木拓男

新たな時代を見据えた歯学教育のデザイン −鹿児島大学の取り組み−
鹿児島大学 歯科医学教育実践学分野教授

田口則宏

歯学教育の展望と研究〜超高齢社会の予防・医療を見据えて
厚生労働省がん・疾病対策課長（前
14:05~14:10

文部科学省医学教育課企画官）

佐々木昌弘

休憩

シンポジウム II(14:10 〜 14:40)：東南アジアにおける歯科医療と臨床研究の現状と展望
座長：

中村典史 （鹿児島大学）

Hybrid Problem Based Learning and Comprehensive Learning in Indonesian Dental Education
Dean of Faculty of Dentistry Airlangga University
Dr. Darmawan Setijanto
Age Assessment of Chinese Population Children in Surabaya using Demirjian's Method
Head of Department of Forensic Odontology Airlangga University
Prof. Mieke Sylvia Margaretha
14:40~

閉会の挨拶

西村正宏（鹿児島大学副歯学部長）
本シンポジウ本シン
ポジウムは、
ム
文部科学省大学改革推進等補助金「課題課題解決
解決型高度医療人材養成プログラム 健康長寿社会
寿社会を担うを担う歯科医歯科医学教
学教
育改革 ー死ー死生学や生学や地域包地域包括ケア
括ケアモデルモデルを導入を導入した医
た医科歯科
科歯科連携
連
連携
教育体制の構教育体
制の構築ー」
築ー」によりにより実施さ実施されますれます。
。

◆主催

鹿児島大学歯学部◆問い合わせ先

URL: http://w3.hal.kagoshima-u.ac.jp/index.html

鹿児島大学医歯学総合研究科庶務係☎099-275-6015

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኱㜰኱Ꮫ
஑ᕞ኱Ꮫ
㛗ᓮ኱Ꮫ
஺௜Ỵᐃ䛻 ⿵ຓ஦ᴗ䛻 ஺௜Ỵᐃ䛻 ⿵ຓ஦ᴗ䛻 ஺௜Ỵᐃ䛻 ⿵ຓ஦ᴗ䛻ಀ䜛⿵ຓᑐ せ䛧䛯⿵ຓ ಀ䜛⿵ຓᑐ せ䛧䛯⿵ຓ ಀ䜛⿵ຓᑐ せ䛧䛯⿵ຓ㇟⤒㈝䛾㢠 ᑐ㇟⤒㈝䛾 ㇟⤒㈝䛾㢠 ᑐ㇟⤒㈝䛾 ㇟⤒㈝䛾㢠 ᑐ㇟⤒㈝䛾
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ᨭฟྜィ኱Ꮫᨵ㠉᥎㐍➼⿵ຓ㔠⮬䚷ᕫ䚷཰䚷ධ㡸䚷㔠䚷฼䚷ᜥ཰ධྜィ༊䚷䚷ศ䚷䚷➼㮵ඣᓥ኱Ꮫᒾᡭ་⛉኱Ꮫ
᫛࿴኱Ꮫ஺௜Ỵᐃ䛻 ⿵ຓ஦ᴗ䛻 ஺௜Ỵᐃ䛻 ⿵ຓ஦ᴗ䛻 ஺௜Ỵᐃ䛻 ⿵ຓ஦ᴗ䛻ಀ䜛⿵ຓᑐ せ䛧䛯⿵ຓ ಀ䜛⿵ຓᑐ せ䛧䛯⿵ຓ ಀ䜛⿵ຓᑐ せ䛧䛯⿵ຓ㇟⤒㈝䛾㢠 ᑐ㇟⤒㈝䛾 ㇟⤒㈝䛾㢠 ᑐ㇟⤒㈝䛾 ㇟⤒㈝䛾㢠 ᑐ㇟⤒㈝䛾
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ྜィ஺௜Ỵᐃ䛻 ⿵ຓ஦ᴗ䛻 ஺௜Ỵᐃ䛻 ⿵ຓ஦ᴗ䛻 ஺௜Ỵᐃ䛻 ⿵ຓ஦ᴗ䛻ಀ䜛⿵ຓᑐ せ䛧䛯⿵ຓ ಀ䜛⿵ຓᑐ せ䛧䛯⿵ຓ ಀ䜛⿵ຓᑐ せ䛧䛯⿵ຓ㇟⤒㈝䛾㢠 ᑐ㇟⤒㈝䛾 ㇟⤒㈝䛾㢠 ᑐ㇟⤒㈝䛾 ㇟⤒㈝䛾㢠 ᑐ㇟⤒㈝䛾
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䠄䕿䕿ಶ䚸䕿
䕿ᅇ➼䠅

ഛ⪃

ேᩘ

㻝㻡㻘㻢㻢㻝㻘㻟㻢㻠䛆ᒸᒣ኱Ꮫ䛇

㻡㻥㻡㻘㻜㻡㻜 䝜䞊䝖㻼㻯㻝㻘㻢㻞㻜㻘㻜㻜㻜 ௓ㆤṑ⛉་⒪䝅䝭䝳䝺䞊䝍䞊㻞㻥㻣㻘㻡㻞㻡 ෇㻼㼍㼚㼍㼟㼛㼚㼕㼏㻌㻸㼑㼠㻓㼟㻌㼚㼛㼠㼑㻌㻯㻲㻙㻾㼆㻲㻳㻼㻼䠈䠓᭶㻺㻱㼄㼀㻳㻱㻭㻾㻙㻺㻻㼀㻱㻌㼕㻠㻠㻜㻜㻳㻭㻝䠈䠍᭶㻞 ྎᰴᘧ఍♫䝰䝸䝍♫〇௓ㆤ䝅䝭䝳䝺䞊䝍䞊䠈䠒᭶⏫⏣〇సᡤ〇䠈㻱㻺㼀㻙㻟㻜㻼㻯䠈䠎᭶㻝㻘㻢㻞㻜㻘㻜㻜㻜 ෇㻝 ྎ㻣㻠㻡㻘㻡㻞㻠 ෇㻝 ᘧ㻞㻝㻝㻘㻢㻤㻜 ⣽⳦䜹䜴䞁䝍㻞㻝㻝㻘㻢㻤㻜 ෇㻝 ᘧ㻝㻠㻡㻘㻤㻜㻜 ⯉ᅽ㻝㻠㻡㻘㻤㻜㻜 ෇㻝 ྎ㻝㻞㻟㻘㻜㻜㻜 ෇㻝 ಶᯇ㢼䚷㼀㼀㻸䝍䜲䝥䚷㻹㻱㻙㻾㻙㻾䠈㻞᭶㻝 ྎᮌᮧ᝟ሗᢏ⾡♫〇㻟㼑㻾㼑㼏㻵㻵㻵䠈䠒᭶㻣㻠㻡㻘㻡㻞㻠  デ⏝⪥㰯ဗႃ䢈䡣䡮䢆䢚䡬䡹䡶䡬䢈䢛䛆㔠ἑ኱Ꮫ䛇

ᐃჾ䝟䝘䝋䝙䝑䜽䝕䞁䝍䝹䚷㻰㼁㻙㻭㻭㻜㻝㻺㻼㻙㻴䚸䠒᭶䝆䜵䜲䞉䜶䝮䞉䜶䝇䚷㻻㼞㼍㼞㼕㼟㼑䚷㼀㻼㻹㻙㻜㻝䚷㻶㻲㻙㼀㻼㻹䛆㛗ᓮ኱Ꮫ䛇
㻝㻞㻟㻘㻜㻜㻜 ཮║䝹䞊䝨䚷㻹㻵㻯㻰䝹䞊䝨䛆ᒾᡭ་⛉኱Ꮫ䛇㻞㻘㻢㻥㻤㻘㻥㻜㻟 ᤵᴗ䝁䞁䝔䞁䝒సᡂ䝅䝇䝔䝮㻢㻢㻤㻘㻢㻜㻝 ゼၥṑ⛉デ⒪䝴䝙䝑䝖෇㻞㻘㻢㻥㻤㻘㻥㻜㻟 ෇㻢㻢㻤㻘㻢㻜㻝 ෇䛛䜜䜣㻱㼄䛆᫛࿴኱Ꮫ䛇
㻞㻝㻡㻘㻜㻜㻜 ྾ᘬ䞉⤒⟶ᰤ㣴⥲ྜ䝰䝕䝹䛆᪥ᮏ኱Ꮫ䛇㻝 య㧗◊〇䚸㻸㻹㻙㻜㻥㻣㻮෇㻞㻘㻢㻥㻤㻘㻥㻜㻟 ᤵᴗ䝁䞁䝔䞁䝒సᡂ䝅䝇䝔䝮㻞㻘㻢㻥㻤㻘㻥㻜㻟 ෇㻝 ᘧᮌᮧ᝟ሗᢏ⾡♫〇㻟㼑㻾㼑㼏㻵㻵㻵䠈䠒᭶㻝㻘㻢㻞㻜㻘㻜㻜㻜 ௓ㆤṑ⛉་⒪䝅䝭䝳䝺䞊䝍䞊㻝㻘㻢㻞㻜㻘㻜㻜㻜 ෇㻝 ᘧᰴᘧ఍♫䝰䝸䝍♫〇௓ㆤ䝅䝭䝳䝺䞊䝍䞊䠈䠒᭶䛆රᗜ་⛉኱Ꮫ䛇ᾘ⪖ရ㈝㻞㻝㻡㻘㻜㻜㻜 ෇෇㻞㻘㻢㻥㻤㻘㻥㻜㻟 ᤵᴗ䝁䞁䝔䞁䝒సᡂ䝅䝇䝔䝮㻞㻘㻢㻥㻤㻘㻥㻜㻟 ෇㻝 ᘧᮌᮧ᝟ሗᢏ⾡♫〇㻟㼑㻾㼑㼏㻵㻵㻵䠈䠒᭶㻝㻘㻢㻞㻜㻘㻜㻜㻜 ௓ㆤṑ⛉་⒪䝅䝭䝳䝺䞊䝍䞊㻝㻘㻢㻞㻜㻘㻜㻜㻜 ෇㻝 ᘧᰴᘧ఍♫䝰䝸䝍♫〇௓ㆤ䝅䝭䝳䝺䞊䝍䞊䠈䠒᭶㻝㻝㻢㻘㻜㻡㻞 ⮬ᕫ䞉እ㒊ホ౯ጤဨ఍⏝ᾘ⪖ရ㻝㻝㻢㻘㻜㻡㻞 ෇

㻝 ᘧ

䠎᭶䡚䠏᭶

㻞㻡㻠㻘㻤㻥㻞 ᐇ⩦⏝ᾘ⪖ရ㻞㻡㻠㻘㻤㻥㻞 ෇

㻝 ᘧ

䠐᭶䡚䠏᭶

㻡㻠㻘㻣㻠㻢 㼑㻙㼘㼑㼍㼞㼚㼕㼚㼓䝁䞁䝔䞁䝒సᡂ⏝ᾘ⪖ရ㻡㻠㻘㻣㻠㻢 ෇

㻝 ᘧ

䠐᭶䡚䠏᭶

㻠㻠㻘㻣㻥㻢 ᡂᯝⓎ⾲⏝ᾘ⪖ရ㻠㻠㻘㻣㻥㻢 ෇㻝 ᘧ㻝㻝᭶㻣㻘㻠㻣㻞 ෇

㻝 ᘧ

䠐᭶䡚䠏᭶

㻠㻝㻟㻘㻜㻢㻢 ෇

㻝 ᘧ

䠍䠌᭶

㻟㻘㻝㻠㻤㻘㻥㻜㻥䛆ᒸᒣ኱Ꮫ䛇

䛆໭ᾏ㐨኱Ꮫ䛇㻣㻘㻠㻣㻞 ◊ಟ་䝥䝺䝊䞁ᾘ⪖ရ㻠㻝㻟㻘㻜㻢㻢 䝅䞁䝫䝆䜴䝮ᾘ⪖ရ䛆㔠ἑ኱Ꮫ䛇
㻝㻡㻤㻘㻟㻢㻥 Ꮫእᐇ⩦⏝ᾘ⪖ရ㻝㻡㻤㻘㻟㻢㻥 ෇

㻝 ᘧ

䠐᭶䡚䠏᭶

㻥㻥㻘㻝㻠㻠 Ꮫእᐇ⩦⏝ရ㻥㻥㻘㻝㻠㻠 ෇

㻝 ᘧ

䠐᭶䡚䠏᭶

㻠㻘㻤㻢㻜 ᡂே⫵⅖デ⒪䜺䜲䝗䝷䜲䞁㻞㻜㻝㻣㻠㻘㻤㻢㻜 ෇㻝 ෉䠑᭶㻞㻣㻘㻜㻞㻞 ㅮ⩏⏝ᾘ⪖ရ㻞㻣㻘㻜㻞㻞 ෇㻝 ᘧ㻝㻟㻥㻘㻠㻝㻠 ᭩⡠㻝㻟㻥㻘㻠㻝㻠 ෇㻝 ᘧ䛆኱㜰኱Ꮫ䛇

䛆஑ᕞ኱Ꮫ䛇
༢䠏䡭䢕䡲䢔஝㟁ụ䚷䢆䢛䢁䡻䢂䡫䡴㻸㻾㻢㼄㻶㻺㻛㻠㻜㻿䠮䠫䠨䠝䠪䠠㻙䠟䠩㻙㻟㻜䚷㻝ྎ䛚䜘䜃䜿䞊㻟㻝㻘㻜㻡㻜
䝤䝹䠍ᮏ䛆㛗ᓮ኱Ꮫ䛇

㻟㻘㻝㻣㻡 ෇㻝 ᘧ㻟㻝㻘㻜㻡㻜 ෇㻝 ᘧ㻢㻠㻘㻤㻜㻜 䡻䢕䢈䡤䡬㻲䚷⤌㎸䜏ᘧ㻢㻠㻘㻤㻜㻜 ෇㻝 ಶᰴᘧ఍♫䢏䢔䡼〇సᡤ䚷㻿㻯㻙㼁䠈㻝㻞᭶㻡㻝㻜 ᩍ⫱⏝ᾘ⪖ရ

㻡㻝㻜 ෇

㻝 ᘧ

㻞᭶

㻟㻟㻢㻘㻢㻠㻜 ෇㻝 ᘧ㻞㻡㻡㻘㻝㻟㻞 Ꮫෆ◊ಟᾘ⪖ရ㻞㻡㻡㻘㻝㻟㻞 ෇㻝 ᘧ㻠㻡㻘㻥㻤㻢 䜴䜶䜰䝤䝹䜹䝯䝷㻞㻞㻘㻥㻥㻟 ෇㻞 ಶ㻤㻠㻜㻘㻠㻥㻣 ෇

㻝 ᘧ

㻟㻘㻝㻣㻡

䛆㮵ඣᓥ኱Ꮫ䛇㻟㻟㻢㻘㻢㻠㻜 ᐇ⩦⏝ᾘ⪖ရ䛆᫛࿴኱Ꮫ䛇
㻼㼍㼚㼍㼟㼛㼚㼕㼏〇䚸㻴㼄㻭㻡㻜㻜䛆᪥ᮏ኱Ꮫ䛇
㻤㻠㻜㻘㻠㻥㻣 Ꮫෆᐇ⩦⏝ᾘ⪖ရ䛆රᗜ་⛉኱Ꮫ䛇㻞㻜㻟㻘㻝㻡㻤 ᐇ⩦⏝ᾘ⪖ရ㻞㻜㻟㻘㻝㻡㻤 ෇㻝 ᘧᤵᴗ䝁䞁䝔䞁䝒సᡂ䝅䝇䝔䝮⏝ᾘ⪖ရ㻝㻢㻘㻢㻟㻢 ෇㻝 ᘧ௓ㆤṑ⛉་⒪䝅䝭䝳䝺䞊䝍䞊⏝㻞㻤㻘㻟㻤㻞
ᾘ⪖ရ㻞㻤㻘㻟㻤㻞 ෇㻝 ᘧ㻟㻘㻝㻝㻜 ᅗ᭩㻟㻘㻝㻝㻜 ෇㻝 ᘧ㻥㻘㻠㻢㻢㻘㻠㻣㻡 ≉௵ຓᩍ㻥㻘㻠㻢㻢㻘㻠㻣㻡 ෇㻝 ᘧ㻝㻘㻜㻤㻤㻘㻢㻠㻜 㠀ᖖ໅஦ົ⫋ဨ㻝㻘㻜㻤㻤㻘㻢㻠㻜 ෇㻝 ே㻝㻞㻘㻥㻞㻜 ே௳㈝㻝㻞㻘㻥㻞㻜 ෇㻝 ே㻞㻢㻘㻡㻤㻠 ே௳㈝䠄ᢏ⾡⿵ຓ䠅㻝㻟㻘㻞㻥㻞 ෇㻞 ே㻝㻢㻘㻢㻟㻢ィே䚷௳䚷㈝㻝㻤㻘㻤㻝㻜㻘㻞㻣㻟㻝㻜㻘㻡㻥㻠㻘㻢㻝㻥䛆ᒸᒣ኱Ꮫ䛇
䠐᭶ࠥ䠏᭶䠄䠍䠎䜹᭶䠅䛆஑ᕞ኱Ꮫ䛇

䠐᭶ࠥ䠏᭶䠄䠍䠎䜹᭶䠅༢౯䞉ᩘ㔞➼グ㍕ḍ
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䠄㻬䕿䕿෇䠅

ᩘ㔞䞉ᅇᩘ➼
䠄䕿䕿ಶ䚸䕿
䕿ᅇ➼䠅

ேᩘ

㻝 ᅇ

㻝 ே

⏦ㄳᰯ䛚䜘䜃㐃ᦠᰯ䛻ᡤᒓ䛧䛶䛔䛺䛔ᑓ㛛ᐙ䠄஦ᴗ᥎㐍ጤဨ䠅䠈䠍䠍
᭶

㻟 ே

ᒸᒣ䠈䠏᭶

㻠 ே

䠍䠍᭶

ഛ⪃

㻟㻥㻟㻘㻢㻡㻟
䛆ᒸᒣ኱Ꮫ䛇
㻝㻞㻘㻜㻜㻜 ஦ᴗ᥎㐍ጤဨ఍ฟᖍㅰ㔠㻝㻞㻘㻜㻜㻜 ෇㻞㻜㻘㻣㻢㻜 ᅾᏯ䝅䞁䝫䝆䜴䝮ᣍ⪸ㅮᖌㅰ㔠㻢㻘㻥㻞㻜 ෇䛆໭ᾏ㐨኱Ꮫ䛸ඹ㏻ศ䛇㻤㻜㻘㻜㻜㻜 ➨䠐ᅇṑᏛᩍ⫱◊✲㐃ᦠ䝅䞁䝫䝆䜴䝮ㅮᖌ䠄㐃ᦠ኱Ꮫእ䠅ㅰ㔠㻞㻜㻘㻜㻜㻜 ෇㻝 ᅇ㻠㻢㻘㻣㻡㻜 ෇㻝 ᘧ䛆㛗ᓮ኱Ꮫ䛇
㻠㻢㻘㻣㻡㻜 Ꮫእᐇ⩦ㅰ㔠ᐇ᪋༠ຊ᪋タ䠄䠔᪋タ䠅䠓᭶䡚䠕᭶䠈䠔䠑᫬㛫䛆㮵ඣᓥ኱Ꮫ䛇㻝㻝㻘㻡㻞㻜 㞳ᓥᐇ⩦䛻䛛䛛䜛ᐇ⩦ㅰ㔠㻡㻘㻣㻢㻜 ෇㻞 ே㻠᪥㽢䠍䜽䞊䝹䠄✀Ꮚᓥ䞉୚ㄽ䠅䠈䠔᭶㻟㻤㻘㻥㻣㻥 ෇㻝 ே䠍䠍᭶䛆ᒾᡭ་⛉኱Ꮫ䛇㻟㻤㻘㻥㻣㻥 ᩍ⫱䝥䝻䜾䝷䝮䛻䛚䛡䜛እ㒊ㅮᖌㅰ㔠䛆රᗜ་⛉኱Ꮫ䛇᪑㻌㈝ィ㻝㻜㻘㻥㻤㻤㻘㻞㻣㻞

᪑㈝䠄ᅜෆ᪑㈝䠅

㻣㻘㻠㻠㻟㻘㻡㻡㻥㻡㻜㻘㻜㻜㻜 䝅䞁䝫䝆䜴䝮ᣍ⪸ㅮᖌㅰ㔠㻡㻜㻘㻜㻜㻜 ෇㻝 ᅇ㻝 ே㻞᭶㻞㻡᪥䚸ㅮ₇⪅㻡㻡㻘㻢㻤㻡 䝅䞁䝫䝆䜴䝮ᣍ⪸ㅮᖌㅰ㔠㻡㻡㻘㻢㻤㻡 ෇㻝 ᅇ㻝 ே㻞᭶㻞㻡᪥䚸ㅮ₇⪅㻣㻣㻘㻥㻡㻥 䝅䞁䝫䝆䜴䝮ᣍ⪸ㅮᖌㅰ㔠㻣㻣㻘㻥㻡㻥 ෇㻝 ᅇ㻝 ே㻞᭶㻞㻡᪥䚸ㅮ₇⪅䛆ᒸᒣ኱Ꮫ䛇
་Ꮫᩍ⫱䝉䝭䝘䞊䛸䝽䞊䜽䝅䝵䝑䝥ཧຍ᪑㈝㻝㻝㻠㻘㻢㻢㻜 ᪥ᮏ⪁ᖺṑ⛉་Ꮫ఍ཧຍ᪑㈝㻠㻣㻘㻤㻤㻜 ෇㻞 ேᮾி㒔ရᕝ༊䠈䠐᭶㻡㻣㻘㻟㻟㻜 ෇㻞 ேྡྂᒇ䠈䠒᭶

᪥ᮏṑ⛉ಖᏑᏛ఍㻞㻜㻝㻣ᖺᗘ᫓ᏘᏛ⾡኱఍ཧຍ᪑㈝㻢㻜㻘㻟㻤㻜 ᪥ᮏ⿵⥛ṑ⛉Ꮫ఍ཧຍ᪑㈝㻢㻠㻘㻢㻢㻜 ෇

㻝 ே

㟷᳃䠈䠒᭶

㻢㻜㻘㻟㻤㻜 ෇

㻝 ே

ᶓ὾䠈䠓᭶

㻟㻡㻢㻘㻡㻣㻜 ṑ⛉་Ꮫᩍ⫱Ꮫ఍ཧຍ᪑㈝㻟㻡㻢㻘㻡㻣㻜 ෇ே㻠㻡㻘㻝㻞㻜 ᪥ᮏ⮫ᗋ⭘⒆Ꮫ఍Ꮫ⾡㞟఍ཧຍ᪑㈝㻠㻡㻘㻝㻞㻜 ෇㻝 ேරᗜ┴⚄ᡞᕷ䠈䠓᭶᪥ᮏ⿵⥛ṑ⛉Ꮫ఍䠄୰ᅜ䞉ᅄᅜᨭ㒊Ꮫ⾡኱఍䠅ཧຍ᪑㈝㻟㻟㻘㻡㻠㻜 ෇

㻝 ே

ᒣཱྀ䠈䠕᭶

㻥㻡㻘㻣㻢㻜

㻢㻠㻘㻢㻢㻜

㻟㻟㻘㻡㻠㻜

ᯇᮏ䠈䠓᭶⮫ᗋㅮᖌ໅ົᆅ䊻ᒸᒣ኱Ꮫ䠈䠕᭶䠈䠏᭶䠈䠎䠍ྡ㻤㻜㻘㻜㻠㻜 ᅾᏯ䝅䞁䝫䝆䜴䝮⮫ᗋㅮᖌ᪑㈝㻤㻜㻘㻜㻠㻜 ෇㻢㻜㻘㻥㻤㻜 ᪥ᮏ࿪ᄮᏛ఍ཧຍ᪑㈝㻢㻜㻘㻥㻤㻜 ෇㻝 ேᮾி㒔༓௦⏣༊䠈䠕᭶㻣㻤㻘㻢㻜㻜 ෇㻝 ேᒾᡭ䠈䠍䠌᭶

᪥ᮏṑ⛉ಖᏑᏛ఍㻞㻜㻝㻣ᖺᗘ⛅ᏘᏛ⾡኱఍㻞㻥㻠㻘㻞㻜㻜 㐃ᦠ䝅䞁䝫䝆䜴䝮ཧຍ᪑㈝㻣㻤㻘㻢㻜㻜

㻤㻣㻘㻡㻢㻜

➨䠔ᅇṑ⛉་Ꮫᩍ⫱⪅䛾䛯䜑䛾䝽䞊䜽䝅䝵䝑䝥ཧຍ᪑㈝㻞㻥㻠㻘㻞㻜㻜 ෇

㻝 ᘧ

㻝 ᘧ

໭ᾏ㐨኱Ꮫ䠈䠍䠍᭶㻤㻣㻘㻡㻢㻜 ෇㻝 ே༓ⴥ䠈䠍䠎᭶

㻞㻜㻢㻘㻝㻢㻜 㐃ᦠ኱Ꮫ㛫ᩍ⫱஺ὶ䞉Ꮫ⏕᪑㈝㻡㻝㻘㻡㻠㻜 ෇㻠 ே㮵ඣᓥ኱Ꮫ䛚䜘䜃㛗ᓮ኱Ꮫ䛾㞳ᓥᐇ⩦ᆅ䠈䠔᭶䠈䠕᭶㻢㻟㻟㻘㻥㻜㻜 㐃ᦠ኱Ꮫ㛫ᩍ⫱஺ὶ䞉ᩍဨ᪑㈝㻢㻟㻟㻘㻥㻜㻜 ෇⚟ᒸᕷ䞉㛗ᓮᕷ䞉㮵ඣᓥᕷ䞉㞳ᓥᐇ⩦ᆅ䞉රᗜ┴すᐑᕷ䞉ᮾி㒔ෆ䠈䠓
᭶䡚䠏᭶

㻝 ᘧ

᪥ᮏཱྀ⭍⭘⒆Ꮫ఍⥲఍䞉Ꮫ⾡኱఍ཧຍ᪑㈝㻤㻠㻘㻣㻠㻜 ෇㻝 ே᪂₲┴᪂₲ᕷ䠈䠍᭶㻣㻢㻘㻝㻠㻜 ᪥ᮏ㐀⾑⣽⬊⛣᳜Ꮫ఍⥲఍ཧຍ᪑㈝㻣㻢㻘㻝㻠㻜 ෇㻝 ே໭ᾏ㐨ᮐᖠᕷ䠈䠎᭶㻠㻢㻘㻣㻤㻜 ᩍ⫱◊ಟ఍ཧຍ᪑㈝㻠㻢㻘㻣㻤㻜 ෇㻝 ேᮾி㒔ᩥி༊䠈䠏᭶᪥ᮏ᭷⑓⪅ṑ⛉་⒪Ꮫ఍⥲఍䞉Ꮫ⾡㻝㻜㻤㻘㻡㻢㻜 ኱఍୪䜃䛻➨㻟㻤ᅇ᪥ᮏṑ⛉⸆≀⒪ἲ
Ꮫ఍Ꮫ⾡኱఍ཧຍ᪑㈝㻡㻠㻘㻞㻤㻜 ෇㻞 ேᮾி㒔Ụᡞᕝ༊䠈䠏᭶䛆໭ᾏ㐨኱Ꮫ䛸ඹ㏻ศ䛇➨㻠ᅇṑᏛᩍ⫱◊✲㐃ᦠ䝅䞁䝫䝆䜴䝮ㅮᖌ䠄㐃ᦠ኱Ꮫእ䠅᪑㈝䛆໭ᾏ㐨኱Ꮫ䛇㻡㻣㻘㻞㻟㻜 ෇㻞 ே䠍䠍᭶㻤㻠㻘㻣㻠㻜

㻝㻝㻠㻘㻠㻢㻜

㻤㻠㻠㻘㻝㻤㻜 Ꮫ఍ཧຍ᪑㈝⚟ᒸᕷ䠈ி㒔ᕷ䠈᪂₲ᕷ䠈ᮾி㒔ෆ㻤㻠㻠㻘㻝㻤㻜 ෇䛆㔠ἑ኱Ꮫ䛇
㻝㻞㻢㻘㻥㻞㻣 㐃ᦠ䝅䞁䝫䝆䜴䝮ཧຍ᪑㈝䛆኱㜰኱Ꮫ䛇

㻠㻞㻘㻟㻜㻥 ෇

㻝 ᅇ

෇

㻟 ே

໭ᾏ㐨኱Ꮫ䠈䠍䠍᭶ே㻠㻣㻤㻘㻡㻜㻜 ◊ಟ་䛾㝔እᐇ⩦㻔㛗㔝㻕㻠㻣㻘㻤㻡㻜 ෇

㻝㻜 ே

䠔᭶䡚䠕᭶

㻝㻝㻘㻤㻜㻜 ◊ಟ་䛾㝔እᐇ⩦㻿㻻㻺㻵㻯㻔ఀ୹㻕㻝㻘㻝㻤㻜 ෇㻝㻜 ே䠕᭶㻢㻝㻘㻠㻥㻤

◊ಟ་䛾㝔እᐇ⩦䛻㛵䛩䜛◊✲ᡴྜ䛫㻔㛗㔝㻕㻢㻝㻘㻠㻥㻤 ෇㻝㻞㻞㻥㻘㻠㻞㻢 㐃ᦠ䝅䞁䝫䝆䜴䝮ཧຍᩍဨ᪑㈝㻞㻞㻥㻘㻠㻞㻢 ෇㻝໭ᾏ㐨኱Ꮫ䠈䠍䠍᭶㻡㻞㻘㻟㻠㻜 ◊ಟ་䛾㝔እᐇ⩦㻔ᮾி㻕㻡㻞㻘㻟㻠㻜 ෇㻝䠍䠍᭶㻡㻣㻘㻜㻣㻢 ෇

㻝 ᅇ

㻡㻞㻜 ෇

㻝 ᅇ

㻝 ே

⚟ᒸᕷෆ䠈䠕᭶㻠㻤㻘㻟㻠㻢 ෇㻝 ᅇ㻣 ே໭ᾏ㐨኱Ꮫ䠈䠍䠍᭶
ᮾி䠈䠍᭶

䠍᭶

䛆஑ᕞ኱Ꮫ䛇
㻞㻞㻤㻘㻟㻜㻟

᪥ᮏ⪁ᖺṑ⛉་Ꮫ఍㻔㻢㻛㻝㻠㻙㻢㻛㻝㻢㻘ྡྂᒇ㻕㻡㻞㻜 㠀ᖖ໅ㅮᖌ䛻ಀ䜛஺㏻㈝㻟㻟㻤㻘㻠㻞㻜

ᖹᡂ㻞㻥ᖺᗘ㐃ᦠཧຍ㻔㻝㻝㻛㻝㻜㻙㻝㻝㻛㻝㻝㻘ᮐᖠ䠅㻤㻢㻘㻣㻢㻜

➨㻟㻜ᅇ䢑䢋䢂䡽䡩䡬䢀䢚ධ㛛䡶䡬䡹ཧຍ㻔㻝㻛㻝㻞㻙㻝㻛㻝㻠㻘⚟ᒸ㻙ᮾி㻕㻠 ேྡྂᒇ䠈䠒᭶

㻤㻢㻘㻣㻢㻜 ෇㻝 ᅇ㻝 ே㻡㻥㻘㻣㻝㻠 ෇

㻝 ᅇ

㻞 ே

ᮾி䠈䠏᭶

㻞㻥㻘㻝㻠㻜 ෇

㻝 ᅇ

㻝 ே

රᗜ䠈䠏᭶

㻞㻠㻡㻘㻜㻢㻜 䝃䝬䞊䝇䜽䞊䝹ᩍဨ᪑㈝㻞㻠㻡㻘㻜㻢㻜 ෇㻝 ᘧ㞳ᓥᐇ⩦䝃䝬䞊䝇䜽䞊䝹஦๓ᡴྜ䛫䠈ᘬ⋡㛗ᓮ┴஬ᓥᕷ䠈㻡䡚㻥᭶㻟㻞㻥㻘㻟㻤㻜 㐃ᦠ䝅䞁䝫䝆䜴䝮ཧຍᩍဨ᪑㈝㻟㻞㻥㻘㻟㻤㻜 ෇

㻝 ᘧ

໭ᾏ㐨኱Ꮫ
ᮐᖠᕷ䠈㻝㻝᭶㻝㻝㻥㻘㻠㻞㻤 ➨㻞㻣ᅇ᭷⑓⪅ṑ⛉་⒪Ꮫ఍ཧຍ㻞㻥㻘㻝㻠㻜

➨㻣ᅇ᪥ᮏ䛜䜣䝸䝝䝡䝸䝔䞊䝅䝵䞁◊✲఍ཧຍ䛆㛗ᓮ኱Ꮫ䛇

༢౯䞉ᩘ㔞➼グ㍕ḍ
ෆヂ

㔠㢠䠄෇䠅

✚⟬ෆヂ
㔠㢠
䕿䕿෇

㡯┠

༢౯
䠄㻬䕿䕿෇䠅

ᩘ㔞䞉ᅇᩘ➼
䠄䕿䕿ಶ䚸䕿
䕿ᅇ➼䠅㻝㻢㻟㻘㻤㻜㻜 㞳ᓥᐇ⩦䡷䢋䡬䡹䡴䡬䢕ཧຍᏛ⏕ᐟἩ㈝㻝㻢㻟㻘㻤㻜㻜 ෇㻝 ᘧୗ஬ᓥᆅ༊㞳ᓥ་⒪ᩍ⫱◊✲఍ཧຍ᪑㈝㻞㻢㻘㻣㻜㻜 ෇㻝 ᅇ㻡㻟㻘㻠㻢㻜 ෇㻝 ᘧ㻞㻢㻘㻣㻜㻜ഛ⪃ேᩘ㞳ᓥᐇ⩦䝃䝬䞊䝇䜽䞊䝹㻌㛗ᓮ┴஬ᓥᕷ䠈㻣䡚㻥᭶㻝 ே㛗ᓮ┴஬ᓥᕷ䠈㻞᭶䛆㮵ඣᓥ኱Ꮫ䛇ኟᏘ඲ᅜṑᏛ⏕㞳ᓥᐇ⩦䛻䛚䛡䜛ᐟ㻡㻟㻘㻠㻢㻜
Ἡᡤ೉ᩱ㻝㻟㻞㻘㻣㻜㻜 㞳ᓥᐇ⩦䛻䛚䛡䜛ᘬ⋡㻢㻢㻘㻟㻡㻜 ෇㻞 ே䠔᭶㻢㻠㻘㻤㻠㻜 㐃ᦠ䝅䞁䝫䝆䜴䝮ཧຍᩍဨ᪑㈝㻢㻠㻘㻤㻠㻜 ෇

㻝 ே

໭ᾏ㐨኱Ꮫ
ᮐᖠᕷ䠈㻝㻝᭶㻞㻡㻘㻢㻝㻠 ෇㻡 ே䠍䠍᭶㻡㻥㻘㻢㻥㻜 ෇㻞 ே䠍䠍᭶㻠㻠㻘㻥㻣㻜 ෇㻝 ே䠍䠍᭶䛆ᒾᡭ་⛉኱Ꮫ䛇ᩍ⫱䝥䝻䜾䝷䝮ᐇ᪋䛻ಀ䜛኱Ꮫ㝔⏕᪑㈝㐃ᦠ䝅䞁䝫䝆䜴䝮ཧຍᩍဨ᪑㈝䠄ᩍ㻝㻝㻥㻘㻟㻤㻜
ᤵ䠅㐃ᦠ䝅䞁䝫䝆䜴䝮ཧຍᩍဨ᪑㈝䠄ᩍᤵ㻠㻠㻘㻥㻣㻜
௨እ䠅䛆᫛࿴኱Ꮫ䛇
㻝㻞㻤㻘㻜㻣㻜

㻝㻠㻢㻘㻝㻤㻜 㐃ᦠ኱Ꮫ㛫ᩍ⫱஺ὶ䞉Ꮫ⏕᪑㈝㻝㻠㻢㻘㻝㻤㻜 ෇㻝 ᅇ㻝㻜㻡㻘㻡㻝㻜 㐃ᦠ䝅䞁䝫䝆䜴䝮ཧຍᩍဨ᪑㈝㻝㻜㻡㻘㻡㻝㻜 ෇㻝 ᅇ㛗ᓮ኱Ꮫ䠍ྡ䚸㮵ඣᓥ኱Ꮫ䠍ྡ䠈䠔᭶䡚䠕᭶໭ᾏ㐨኱Ꮫ䠎ྡ䠈䠍䠍᭶㻝㻠㻞㻘㻣㻟㻢 ➨㻢㻢ᅇ᪥ᮏཱྀ⭍⾨⏕Ꮫ఍⥲఍᪑㈝㻝㻠㻞㻘㻣㻟㻢 ෇

㻝 ᅇ

ᒣᙧ㻟ྡ

䛆᪥ᮏ኱Ꮫ䛇
㻞㻠㻜㻘㻢㻜㻜 ᅜෆฟᙇ᪑㈝䛆රᗜ་⛉኱Ꮫ䛇

᪑㈝䠄እᅜ᪑㈝䠅䠔᭶෇㻤㻜㻘㻞㻜㻜 ෇㻟 ே䠔᭶䠈䠍䠍᭶
㻝㻝᭶㻝㻜㻙㻝㻝᪥䚸໭ᾏ㐨኱Ꮫ䚸㻠ྡ෇㻝㻣㻜㻘㻜㻡㻜 䝅䞁䝫䝆䜴䝮ཧຍᩍဨ᪑㈝㻝㻣㻜㻘㻜㻡㻜 ෇

㻝 ᅇ

㻝 ே

㻣㻜㻘㻜㻡㻝 䝅䞁䝫䝆䜴䝮ᣍ⪸ㅮᖌ㻣㻜㻘㻜㻡㻝 ෇㻝 ᅇ㻝 ே䠎᭶䠎䠑᪥䚸ㅮ₇⪅䠄䠏ྡ䠅㻝㻜㻘㻜㻞㻜 䛥䛥䜔䜎䝁䝩䞊䝖◊✲᪑㈝㻟㻘㻟㻠㻜 ෇㻝 ᅇ㻟 ே䠍䠎᭶䠍䠌᪥䚸◊ಟ་䠄䠏ྡ䠅㻟㻝㻟㻘㻣㻢㻜 ෇

㻝 ᅇ

㻝 ே

䜰䝯䝸䜹䠈䠒᭶㻞㻟㻡㻘㻞㻞㻜 ෇㻝㻝 ே䝇䝨䜲䞁䠈䠕᭶㻞 ே䜲䞁䝗䝛䝅䜰䠈䠎᭶㻡㻢㻢㻘㻥㻤㻜
䛆ᒸᒣ኱Ꮫ䛇
㻟㻝㻟㻘㻣㻢㻜

㻞㻜㻝㻣㻌㻹㻭㻿㻯㻯㻛㻵㻿㻻㻻Ꮫ⾡㞟఍ཧຍ᪑㈝䛆㔠ἑ኱Ꮫ䛇

㻞㻡㻟㻘㻞㻞㻜 㻱㻿㻹㻻㻌㼏㼍㼚㼏㼑㼞㻌㼟㼡㼜㼛㼞㼠㼕㼚㼓㻌㼏㼍㼞㼑
᪑㈝䠄䛖䛱እᅜேᣍ⪸᪑㈝䠅

㻟㻣㻢㻘㻜㻜㻜
䛆㮵ඣᓥ኱Ꮫ䛇㻟㻣㻢㻘㻜㻜㻜 ᅜ㝿䝅䞁䝫䝆䜴䝮₇⪅ᣍ⪸᪑㈝

ィ
እ䚷ὀ䚷㈝

㻝㻤㻤㻘㻜㻜㻜 ෇㻤㻘㻟㻤㻢㻘㻡㻟㻥㻠㻘㻞㻜㻜㻘㻣㻝㻣䛆ᒸᒣ኱Ꮫ䛇
ཧຍᰯ㛫ㅮ⩏ඹ᭷䠈༢఩ㄆᐃ䝅䝇䝔䝮ಖᏲ㻞㻜㻜㻘㻜㻜㻜 ෇

㻝㻞 ᘧ

䠐᭶ࠥ䠏᭶

ཧຍᰯ㛫ㅮ⩏ඹ᭷䠈༢఩ㄆᐃ䝅䝇䝔䝮㻝㻘㻞㻜㻜㻘㻜㻜㻜㏣ຍ㛤Ⓨ㻝㻘㻞㻜㻜㻘㻜㻜㻜 ෇

㻝 ᘧ

䠏᭶

㻞㻝㻢㻘㻜㻜㻜 䛂௓ㆤ᪋タ䜢⏝䛔䛯㻼㻮㻸₇⩦䛃䝞䝇௦㻝㻜㻤㻘㻜㻜㻜 ෇㻞 ᅇ䠒᭶㻝㻝㻤㻘㻞㻢㻜 ᡂᯝᒎ♧఍㻝㻝㻤㻘㻞㻢㻜 ෇

㻝 ᘧ

䠍䠍᭶

㻡㻥㻘㻠㻜㻜 ື⏬⦅㞟㻝㻥㻘㻤㻜㻜 ෇㻟 ᮏ䠍᭶㻝㻤㻘㻡㻣㻢 ෇㻡 ᮏ䠍䠍᭶㻝㻝㻠㻘㻝㻣㻣 ෇

㻝 ᅇ

㻞᭶㻞㻡᪥

㻢㻘㻠㻞㻡 ෇㻠 ᯛ➨䠏䠒ᅇ᪥ᮏṑ⛉་Ꮫᩍ⫱Ꮫ఍⥲఍䛚䜘䜃Ꮫ⾡኱఍䠈䠓᭶㐃ᦠ䝅䞁䝫䝆䜴䝮㼕㼚ᮐᖠ䠈䠍䠍᭶㻞㻘㻠㻜㻜㻘㻜㻜㻜䛆໭ᾏ㐨኱Ꮫ䛸ඹ㏻ศ䛇㻥㻞㻘㻤㻤㻜

䝅䞁䝫䝆䜴䝮཰㘓䞉䝁䞁䝔䞁䝒సᡂጤク㈝䛆රᗜ་⛉኱Ꮫ䛇㻝㻝㻠㻘㻝㻣㻣 䝅䞁䝫䝆䜴䝮䚷グ㘓⏝䝡䝕䜸᧜ᙳ༳ๅ〇ᮏ㈝㻠㻡㻜㻘㻥㻤㻠
䛆ᒸᒣ኱Ꮫ䛇
㻞㻡㻘㻣㻜㻜 Ⓨ⾲⏝䝫䝇䝍䞊༳ๅ㈝䛆໭ᾏ㐨኱Ꮫ䛸ඹ㏻ศ䛇ṑᏛᩍ⫱◊✲㐃ᦠ䝅䞁䝫䝆䜴䝮ᢒ㘓༳ๅ㈝㻝㻞㻝㻘㻤㻜㻜 䝫䝇䝍䞊䞉䝏䝷䝅༳ๅ㈝㻝㻟㻡㻘㻜㻜㻜

㻝㻟㻡㻘㻜㻜㻜 ෇䠍䠍᭶㻝㻞㻝㻘㻤㻜㻜 ෇䠍䠍᭶㻞㻢㻘㻤㻤㻜 ྞ䜚ୗ䛢ྡᮐ㻞㻢㻘㻤㻤㻜 ෇䠍䠍᭶㻠㻤㻘㻢㻜㻜 ◊ಟ་ᐇ⩦⏝㈨ᩱ

㻝㻘㻢㻞㻜 ෇㻟㻜 㒊䛆㮵ඣᓥ኱Ꮫ䛇㻤㻘㻢㻠㻜 ᅜ㝿䝅䞁䝫䝆䜴䝮䝫䝇䝍䞊㻤㻘㻢㻠㻜 ෇䠍䠌᭶㻝㻢㻘㻞㻜㻜 ᅜ㝿䝅䞁䝫䝆䜴䝮䝥䝻䜾䝷䝮㻝㻢㻘㻞㻜㻜 ෇䠍䠌᭶䛆᫛࿴኱Ꮫ䛇
㻤㻘㻢㻠㻜 ᪥ᮏṑ⛉་Ꮫᩍ⫱Ꮫ఍㞧ㄅูๅ

㻞㻤㻤 ෇

㻟㻜 ෉

䠎᭶

㻜 䛆රᗜ་⛉኱Ꮫ䛇఍䚷㆟䚷㈝㻡㻠㻘㻟㻞㻠 䝅䞁䝫䝆䜴䝮䚷䝫䝇䝍䞊䞉䝏䝷䝅༳ๅ㻡㻠㻘㻟㻞㻠 ෇

㻝 ᅇ

㻞᭶㻞㻡᪥

㻡㻘㻞㻜㻜 䝅䞁䝫䝆䜴䝮䚷ᆶᖥ༳ๅ㻡㻘㻞㻜㻜 ෇

㻝 ᅇ

㻞᭶㻞㻡᪥

㻝㻞㻣㻘㻟㻟㻢
䛆ᒸᒣ኱Ꮫ䛇

㻢㻘㻢㻠㻜 ఍㆟㣧ᩱỈ㻢㻘㻢㻠㻜 ෇㻝 ᘧṚ⏕Ꮫ䞉ㄆ▱⑕ㅮ₇఍䠈䠒᭶ᅾᏯ䞉ṑ⛉ゼၥデ⒪ᩍ⫱䝅䞁䝫䝆䜴䝮䠈䠕᭶䠈䠏᭶ᅾᏯ䞉ṑ⛉ゼၥデ⒪ᩍ⫱䛾㉁䛾ྥୖ䛾䛯䜑䛾ᆅᇦ㐃ᦠ఍㆟䠈䠕᭶䠈䠏᭶㻟㻠㻘㻡㻜㻜 ఍㆟䛚ᘚᙜ㻝㻘㻡㻜㻜 ෇㻞㻟 ಶ஦ᴗ᥎㐍ጤဨ఍䠈䠍䠍᭶

㻤㻟 ෇

㻝㻞 ᮏ

㐃ᦠ䝅䞁䝫䝆䜴䝮䠈㻝㻝᭶䛆໭ᾏ㐨኱Ꮫ䛇㻥㻥㻢 䝅䞁䝫䝆䜴䝮ㅮ₇⪅⏝㣧ᩱỈ༢౯䞉ᩘ㔞➼グ㍕ḍ
ෆヂ

✚⟬ෆヂ
㔠㢠
䕿䕿෇

㔠㢠䠄෇䠅

㡯┠

༢౯
䠄㻬䕿䕿෇䠅

ᩘ㔞䞉ᅇᩘ➼
䠄䕿䕿ಶ䚸䕿
䕿ᅇ➼䠅

ேᩘ

㻠 ே

ഛ⪃

䛆රᗜ་⛉኱Ꮫ䛇㏻ಙ㐠ᦙ㈝㻡㻘㻞㻜㻜 䝅䞁䝫䝆䜴䝮ㅮ₇⪅䞉୺㈱䛚ᘚᙜ௦㻝㻘㻟㻜㻜 ෇㻝 ᅇ㻤㻜㻘㻜㻜㻜 䝅䞁䝫䝆䜴䝮఍ሙ೉ᩱ㻤㻜㻘㻜㻜㻜 ෇

㻝 ᅇ

㻞᭶㻞㻡᪥
රᗜ䠈㻞᭶

㻟㻜㻤㻘㻟㻟㻞
䛆ᒸᒣ኱Ꮫ䛇
㻝㻝㻘㻥㻤㻢 㼑㻙㼘㼑㼍㼞㼚㼕㼚㼓䝁䞁䝔䞁䝒㻰㼂㻰㒑㏦ᩱ㻝㻝㻘㻥㻤㻢 ෇

㻝 ᘧ

䠐᭶䡚䠏᭶

㻞㻞㻘㻠㻠㻜 ሗ࿌᭩㐠㏦ᩱ

㻞㻞㻘㻠㻠㻜 ෇㻝 ᘧ䠏᭶㻝㻡㻣㻘㻥㻟㻞 ෇㻝 ᘧ䠒᭶㻝㻝㻘㻜㻝㻤 ෇㻝 ᘧ䠍䠍᭶㻞㻘㻥㻢㻠 ෇㻝 ᘧ䠒᭶䠈䠍䠍᭶䠈䠏᭶㻟㻥㻘㻞㻢㻜 ෇

㻝 ᘧ

䠍䠌᭶

㻝㻠㻠 ෇

㻟㻢 ㏻

䠍᭶

㻝㻘㻡㻜㻜 ෇㻝 ᘧ㻡㻢㻘㻜㻠㻤 ෇㻝 ᅇ㐃ᦠᰯ䛚䜘䜃༠ຊ᪋タ䜈䛾᭩㢮㏦௜䛾䛯䜑䛾㒑㏦ᩱ㻝㻝㻘㻜㻝㻤 ஦ᴗ᥎㐍ጤဨ఍㈨ᩱ➼㏦ᩱ㻝㻡㻣㻘㻥㻟㻞

㻞㻘㻥㻢㻠 䝙䝳䞊䝇䝺䝍䞊㏦ᩱ䛆໭ᾏ㐨኱Ꮫ䛸ඹ㏻ศ䛇ṑᏛᩍ⫱◊✲㐃ᦠ䝅䞁䝫䝆䜴䝮᱌ෆ
㒑㏦㈝㻡㻘㻝㻤㻠 㝔እᐇ⩦᭩㢮㏦௜㻟㻥㻘㻞㻢㻜

䛆᫛࿴኱Ꮫ䛇
㻝㻘㻡㻜㻜 ᪥ᮏṑ⛉་Ꮫᩍ⫱Ꮫ఍㞧ㄅูๅ㏦ᩱ䛆රᗜ་⛉኱Ꮫ䛇㻡㻢㻘㻜㻠㻤 䝅䞁䝫䝆䜴䝮㛵ಀ㒊⨫䜈䛾࿘▱
ග⇕Ỉᩱ

㻞᭶㻞㻡᪥

㻜

䛭䛾௚䠄ㅖ⤒㈝䠅䠄䛖䛱ጤク㈝௨እ䠅㻝㻘㻠㻡㻣㻘㻢㻤㻝䛆ᒸᒣ኱Ꮫ䛇
᪥ᮏᅾᏯ་Ꮫ఍ᆅᇦ䝣䜷䞊䝷䝮ཧຍ㈝㻞㻞㻘㻜㻜㻜 ᪥ᮏ⪁ᖺṑ⛉་Ꮫ఍ཧຍ㈝㻝㻟㻘㻜㻜㻜

㻝㻟㻘㻜㻜㻜 ෇

㻝 ே

ᒸᒣ䠈䠐᭶

㻝㻝㻘㻜㻜㻜 ෇㻞 ேྡྂᒇ䠈䠒᭶

᪥ᮏṑ⛉ಖᏑᏛ఍㻞㻜㻝㻣ᖺᗘ᫓ᏘᏛ⾡኱఍ཧຍ㈝㻥㻘㻜㻜㻜 ෇

㻝 ே

㟷᳃䠈䠒᭶

㻡㻥㻘㻞㻣㻝 㻞㻜㻝㻣㻌㻹㻭㻿㻯㻯㻛㻵㻿㻻㻻Ꮫ⾡㞟఍ཧຍ㈝㻡㻥㻘㻞㻣㻝 ෇㻝 ே䜰䝯䝸䜹䠈䠒᭶㻝㻜㻘㻜㻜㻜 ᪥ᮏ⿵⥛ṑ⛉Ꮫ఍ཧຍ㈝㻝㻜㻘㻜㻜㻜 ෇

㻝 ே

ᶓ὾䠈䠓᭶

㻢㻣㻘㻜㻜㻜 ṑ⛉་Ꮫᩍ⫱Ꮫ఍ཧຍ㈝㻢㻣㻘㻜㻜㻜 ෇

㻥㻘㻜㻜㻜

㻝 ᘧ

ᯇᮏ䠈䠓᭶

㻝㻘㻜㻜㻜

᪥ᮏ⿵⥛ṑ⛉Ꮫ఍䠄୰ᅜ䞉ᅄᅜᨭ㒊Ꮫ⾡኱఍䠅ཧຍ㈝㻝㻘㻜㻜㻜 ෇

㻝 ே

ᒣཱྀ䠈䠕᭶

㻥㻘㻜㻜㻜

᪥ᮏṑ⛉ಖᏑᏛ఍㻞㻜㻝㻣ᖺᗘ⛅ᏘᏛ⾡኱఍ཧຍ㈝㻥㻘㻜㻜㻜 ෇㻝 ேᒾᡭ䠈䠍䠌᭶

➨䠔ᅇṑ⛉་Ꮫᩍ⫱⪅䛾䛯䜑䛾䝽䞊䜽㻢㻟㻘㻠㻟㻞
䝅䝵䝑䝥ཧຍ㈝㻢㻟㻘㻠㻟㻞 ෇㻝 ே༓ⴥ䠈䠍䠎᭶

㻠㻘㻜㻜㻜 ་Ꮫᩍ⫱䡺䢌䢁䡬䛸䢘䡬䡴䡸䡪䡫䢈䢛ཧຍ㈝㻞㻘㻜㻜㻜 ෇㻞 ேᮾி㒔ရᕝ༊䠈䠐᭶㻡㻡㻠㻘㻝㻠㻤 䝙䝳䞊䝇䝺䝍䞊༳ๅ㈝㻡㻡㻠㻘㻝㻠㻤 ෇㻝 ᘧ㻝㻢㻘㻜㻜㻜 ᪥ᮏ⮫ᗋ⭘⒆Ꮫ఍ཧຍ㈝㻝㻢㻘㻜㻜㻜 ෇㻝 ே㻣㻘㻜㻜㻜 ᪥ᮏ࿪ᄮᏛ఍ཧຍ㈝㻣㻘㻜㻜㻜 ෇㻝 ேᮾி㒔༓௦⏣༊䠈䠕᭶㻝㻡㻘㻜㻜㻜 ᪥ᮏཱྀ⭍⭘⒆Ꮫ఍ཧຍ㈝㻝㻡㻘㻜㻜㻜 ෇㻝 ே᪂₲ᕷ䠈䠍᭶

䠒᭶䠈䠍䠍᭶䠈䠏᭶⚄ᡞ䠈䠓᭶㻝㻟㻘㻜㻜㻜 ᪥ᮏ㐀⾑⣽⬊⛣᳜Ꮫ఍ཧຍ㈝㻝㻟㻘㻜㻜㻜 ෇㻝 ேᮐᖠᕷ䠈䠎᭶

㻝㻡㻘㻝㻟㻜 ᩍ⫱◊ಟ఍ཷㅮᩱ

㻝㻡㻘㻝㻟㻜 ෇㻝 ேᮾி㒔ᩥி༊䠈䠏᭶㻢㻟㻘㻣㻞㻜 ᒸᒣṑᏛ఍㞧ㄅᥖ㍕ᩱ➼㻢㻟㻘㻣㻞㻜 ෇➨㻞㻣ᅇ᪥ᮏ᭷⑓⪅ṑ⛉་⒪Ꮫ఍⥲㻞㻠㻘㻜㻜㻜 ఍䞉Ꮫ⾡኱఍୪䜃䛻➨㻟㻤ᅇ᪥ᮏṑ⛉⸆≀⒪ἲᏛ఍Ꮫ⾡኱఍ཧຍ㈝㻝㻞㻘㻜㻜㻜 ෇㻝 ᘧᒸᒣṑᏛ఍㞧ㄅ➨䠏䠒ᕳ䠎ྕ㻞 ேᮾி㒔Ụᡞᕝ༊䠈䠏᭶䛆໭ᾏ㐨኱Ꮫ䛸ඹ㏻ศ䛇㻝㻞㻝㻘㻡㻜㻜 ❧䛶┳ᯈ㻢㻘㻣㻡㻜 ෇㻝㻤 ᯛ䠍䠍᭶㻣㻞㻘㻥㻜㻜 ྞ䜚┳ᯈ㻝㻤㻘㻞㻞㻡 ෇㻠 ᯛ䠍䠍᭶㻥㻠㻘㻡㻢㻠 Ꮫ఍ཧຍ㈝㻥㻠㻘㻡㻢㻠 ෇

㻝 ᘧ

䠎᭶䠈䠏᭶

㻝㻝㻘㻡㻜㻜 ෇㻝 ᅇ㻠 ேྡྂᒇ䠈䠒᭶
ᮾி䠈䠍᭶䛆஑ᕞ኱Ꮫ䛇
㻠㻢㻘㻜㻜㻜

᪥ᮏ⪁ᖺṑ⛉་Ꮫ఍➨㻞㻤ᅇᏛ⾡኱఍ཧຍ㈝➨㻟㻜ᅇ䝴䝬䝙䝏䝳䞊䝗ධ㛛䝁䞊䝇ཧຍ㻟㻞㻘㻠㻜㻜
㈝㻟㻜㻘㻟㻜㻜 㻭㻯㻸㻿䝥䝻䝞䜲䝎䞊䝁䞊䝇ཷㅮᩱ➨㻞㻣ᅇ᪥ᮏ᭷⑓⪅ṑ⛉་⒪Ꮫ఍⥲఍ཧຍ㈝➨㻣ᅇ᪥ᮏ䛜䜣䝸䝝䝡䝸䝔䞊䝅䝵䞁◊✲
㻟㻘㻜㻜㻜
఍ཧຍ㈝
䛆᫛࿴኱Ꮫ䛇

㻝㻞㻘㻜㻜㻜ィྜ㻌㻌ィ㻜㻢㻘㻡㻠㻡㻘㻜㻡㻜㻠㻠㻘㻣㻟㻜㻘㻝㻟㻠

㻝 ᅇ

㻝 ே

㻝 ᅇ

㻝 ே

䠍᭶

㻝㻞㻘㻜㻜㻜 ෇

㻝 ᅇ

㻝 ே

ᮾி䠈䠏᭶

㻟㻘㻜㻜㻜 ෇

㻝 ᅇ

㻝 ே

රᗜ䠈䠏᭶

㻞㻤㻘㻜㻜㻜 ➨㻢㻢ᅇ᪥ᮏཱྀ⭍⾨⏕Ꮫ఍⥲఍ཧຍ㈝㻞㻤㻘㻜㻜㻜 ෇㻝 ᘧ䠏ྡ㻝㻘㻠㻢㻠 ⱥᩥᰯṇ௦㻝㻘㻠㻢㻠 ෇㻝 ᘧ䠔᭶㻠㻥㻘㻤㻡㻞 ෇㻝 ᘧ㻠㻥㻘㻤㻡㻞
䛭䛾௚䠄ㅖ⤒㈝䠅䠄䛖䛱ጤク㈝䠅

㻟㻞㻘㻠㻜㻜 ෇㻟㻜㻘㻟㻜㻜 ෇᪥ᮏṑ⛉་Ꮫᩍ⫱Ꮫ఍㞧ㄅㄽᩥᥖ㍕ᩱ㈨ᩱ䠐 䠌
⿵ຓ㔠ㄪ᭩䠄ู⣬䠍䠅䠔䠊⿵ຓ஦ᴗ䛾┠ⓗ䞉ᚲせᛶ⥲ㄽ䠄䠍䠅඲య䚷ཱྀ⭍䛛䜙඲㌟೺ᗣ䛻ᐤ୚䛷䛝䜛ṑ⛉་ᖌ䠈ཬ䜃䠈ᛴᛶᮇ䠈ᅇ᚟ᮇ䠈⥔ᣢᮇ䠈ᰤ㣴䝃䝫䞊䝖䝏䞊䝮㻔㻺㻿㼀㻕䠈ᅾᏯ௓ㆤ⌧ሙ䛻ᑐᛂ䛷䛝䜛ṑ⛉་ᖌ䜢⫱䛶䜛䠊䜎䛯䠈㐺ษ䛺Ṛ⏕ほ䛻ᇶ䛵䛝䠈ᝈ⪅䛾⑓ᗋ䠈௓ㆤ⌧ሙ䜔⤊ᮎᮇ䛻ᐤ䜚ῧ䛘䜛䝥䝷䜲䝬䝸䜿䜰ṑ⛉་䜔ᑓ㛛་䜢㣴ᡂ䛩䜛䠊䛥䜙䛻䛿䠈㧗㱋⪅䛾䛂㣗䛃䜢ᇶ┙䛸䛧䛯೺ᗣቑ㐍䠈௓ㆤண㜵䠈⹫ᙅண㜵䜢┠ᣦ䛧䛯᪂䛧䛔ṑᏛᩍ⫱䞉◊✲䜢᥎㐍䛩䜛䠊䚷䛭䛾䛯䜑䛻௨ୗ䛾ලయⓗ᪉⟇䜢ᥖ䛢䜛䠊䠄䠍䠅⏦ㄳ኱Ꮫ䛸㐃ᦠ኱Ꮫ䜔༠ຊ⤌⧊䜢䜎䛸䜑䛯ṑᏛᩍ⫱ᨵ㠉䝁䞁䝋䞊䝅䜰䝮䜢タ❧䛧䠈ᩍဨ䠢䠠䠈Ꮫ⏕஺ὶ䠈┦஫䝏䜵䝑䜽యไ䜢ᩚ䛘䠈ṑᏛᩍ⫱ᨵ㠉䛾㧗ᗘ໬䛸ᆒ䛶䜣໬䜢ᅗ䜛䠊䠄䠎䠅ᒸᒣ኱Ꮫ䠈㐃ᦠ኱Ꮫ䠈༠ຊ⤌⧊䛜༠ຊ䛧䛶䠈௨ୗ䛾་⒪ᨭ᥼ṑᏛᩍ⫱䝁䞊䝇䝽䞊䜽䠄඲ᅜඹྠ䚷䚷ᩍ⫱䝷䜲䝤䝷䝸䞊䠅䜢㡰ḟ㛤ጞ䠈㐃ᦠ኱Ꮫ䛾ᩍဨ㻲㻰䜔Ꮫ⏕஺ὶ䛻ゎᨺ䠈ᥦ౪䛩䜛䠊䚷䚷䐟⏕ά⩦័⑓ண㜵䛸ṑ⛉䠈ᛴᛶᮇ⑓㝔䛻䛚䛡䜛་⒪ᨭ᥼ṑ⛉་⒪䠈ᅾᏯ௓ㆤṑ⛉་⒪䛻㛵䛩䜛ㅮ⩏䝅䝸䞊䝈䚷䚷䐠せ௓ㆤ㧗㱋⪅䜢ᶍ䛧䛯䝅䝭䝳䝺䞊䝍䞊₇⩦䜔⪁ே௓ㆤ䞉ᅾᏯ௓ㆤ᪋タ䜢⏝䛔䛯㻼㻮㻸₇⩦䚷䚷䐡ᒸᒣ኱Ꮫ⑓㝔࿘⾡ᮇ⟶⌮䝉䞁䝍䞊䜢฼⏝䛧䛯㧗ᗘ་⒪ᨭ᥼䞉࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ᐇ⩦䚷䚷䐢⮫ᗋㅮᖌ➼䜢฼⏝䛧䛯ᅾᏯ௓ㆤ䞉ゼၥṑ⛉デ⒪ཧຍᆺᏛእ⮫ᗋᐇ⩦䠄䠏䠅ྛ㐃ᦠ኱Ꮫ䛻䠈≉ᚩ䛒䜛᭷⑓⪅䞉㧗㱋⪅䞉ᅾᏯ௓ㆤ䞉⅏ᐖᑐᛂ䛻㛵䛩䜛་⒪ᨭ᥼ṑᏛᩍ⫱䝥䝻䚷䚷䜾䝷䝮䜢タ⨨䠈┦஫฼⏝䜢⾜䛖䠊䠄䠐䠅ྛ㐃ᦠ኱Ꮫ䛾Ꮫ㒊ᩍ⫱䛻䠈ྠᵝ䛺་⒪ᨭ᥼ṑᏛᩍ⫱䝁䞊䝇䝽䞊䜽䜢⤌䜏ධ䜜䜛ດຊ䜢䛩䜛䠊䠄䠑䠅ྛ㐃ᦠ኱Ꮫ䛾༞ᚋ⮫ᗋ◊ಟไᗘ䛻䠈ᛴᛶᮇ䠈ᅇ᚟ᮇ䠈⥔ᣢᮇ䠈ᅾᏯ௓ㆤ⌧ሙ䜢䝃䝫䞊䝖䛩䜛ከ䚷䚷⫋✀㐃ᦠ་⒪䛻ᑐᛂ䛧䛯䝁䞊䝇䝽䞊䜽䜢タ⨨䛩䜛䠊䠄䠒䠅୍㒊䛾㐃ᦠ኱Ꮫ䛾኱Ꮫ㝔䛻䠈㧗㱋⪅䛾䛂㣗䛃䜢ᇶ┙䛸䛧䛯೺ᗣቑ㐍䠈௓ㆤண㜵䠈⹫ᙅண㜵䜢┠䚷䚷ᣦ䛧䛯␿Ꮫ◊✲䛾᥎㐍䜢ྍ⬟䛸䛩䜛་⒪ᨭ᥼ṑᏛ◊✲䝁䞊䝇䜢タ⨨䛩䜛䠊䠄䠎䠅ᮏᖺᗘ
䚷䚷᫖ᖺᗘ䜎䛷䛻㓄ഛ䛜᏶஢䛧䛯㟁Ꮚᤵᴗ䝁䞁䝔䞁䝒సᡂ䝅䝇䝔䝮䜢ά⏝䛧䠈ྛ㐃ᦠ኱Ꮫ䛻䛶䝁䞁䝔䞁䝒䛾సᡂ䠈䝤䝷䝑䝅䝳䜰䝑䝥䜢⾜䛖䠊୍᫖ᖺᗘ䛛䜙㐠⏝䜢㛤ጞ䛧䛯䝁䞁䝔䞁䝒ど⫈䝅䝇䝔䝮䜢ྛ㐃ᦠ኱Ꮫ䛻䛶฼⏝䛧䠈䝁䞁䝔䞁䝒䛾┦஫฼⏝䜢୍ᒙ㐍䜑䜛䠊ྛ㐃ᦠ኱Ꮫ䛾≉ᚩ䛒䜛䝥䝻䜾䝷䝮䜢฼⏝䛧䛯Ꮫ⏕䠈ᩍဨ㛫஺ὶ䜢㐍䜑䜛䠊་⒪ᨭ᥼ṑᏛᩍ⫱䝁䞊䝇䝽䞊䜽䛾䠐䛴䛾䝬䝖䝸䝑䜽䝇䛻ᑐ䛧䛶䠈ྛ኱Ꮫ䛾≉ᚩ䛻㓄៖䛧䛺䛜䜙䠈ᆒ䛶䜣໬䜢㐍䜑䜛䠊䠕䠊ලయⓗ䛺஦ᴗෆᐜ䐟 ྛ㐃ᦠ኱Ꮫ䛻䛚䛡䜛䜴䜵䝤ᤵᴗ䝅䝸䞊䝈䛾䝁䞁䝔䞁䝒సᡂ䜢⥅⥆䛚䜘䜃⵳✚䐠 䛜䜣໬Ꮫ⒪ἲ䞉࿘⾡ᮇ➼䛾་⒪䜢ᨭ䛘䜛ཱྀ⭍⟶⌮䝅䞁䝫䝆䜴䝮➼䛾බ㛤ㅮᗙ㛤ദ䐡 㐃ᦠᰯ㛫䜔༠ຊ᪋タ䜈䛾ᩍဨ䠢䠠䠈Ꮫ⏕஺ὶᐇ᪋䐢 ྛ㐃ᦠ኱Ꮫ䛻䛚䛡䜛≉ᚩ䛒䜛䠟䠳䝅䝷䝞䝇䛾ಟṇ䠈ᐇ᪋䐣 ึᮇ◊ಟ་䜔་Ꮫ㒊ṑ⛉ཱྀ⭍እ⛉䛾◊ಟ་䛾㻯㼃ヨ⾜䐤 ṑ⛉་Ꮫᩍ⫱ᨵ㠉㐃ᦠ䝅䞁䝫䝆䜴䝮㛤ദ䐥 ⮬ᕫホ౯ጤဨ఍䛾㛤ദ䠈ሗ࿌᭩䛾సᡂ䠈እ㒊ホ౯ጤဨ఍㛤ദ䠍䠌䠊ᮏᖺᗘ䛾⿵ຓ஦ᴗᐇ᪋ィ⏬
䐟 䠐᭶䡚䠏᭶䚷㐃ᦠ኱Ꮫ඲య䛷䜴䜵䝤ᤵᴗ䝅䝸䞊䝈䛾䝁䞁䝔䞁䝒సᡂ⥅⥆䠄䜴䜵䝤䝁䞁䝔䞁䝒䛾䝤䝷䝑䝅䝳䜰䝑䝥䠅䐠 䠐䡚䠏᭶䚷䛜䜣໬Ꮫ⒪ἲ䞉࿘⾡ᮇ➼䛾་⒪䜢ᨭ䛘䜛ཱྀ⭍⟶⌮䝅䞁䝫䝆䜴䝮➼䛾බ㛤ㅮᗙ㛤ദ䐡 䠐䡚䠏᭶䚷㐃ᦠᰯ㛫䜔༠ຊ᪋タ䜈䛾ᩍဨ䠢䠠⥅⥆䠈Ꮫ⏕஺ὶ⥅⥆䐢 䠐䡚䠏᭶䚷ྛ㐃ᦠ኱Ꮫ䛾≉ᚩ䛒䜛䠟䠳䝅䝷䝞䝇䛾ಟṇ䠈ᐇ᪋䐣 䠐䡚䠏᭶䚷ึᮇ◊ಟ་䜔་Ꮫ㒊ṑ⛉ཱྀ⭍እ⛉䛾◊ಟ་䛾㻯㼃䛻䛴䛔䛶ヨ⾜䐤 䠎᭶䚷ᒸᒣ኱ᏛṑᏛ㒊䛷⥲ᣓ䝅䞁䝫䝆䜴䝮㛤ദ䐥 䠎᭶䚷⮬ᕫホ౯ጤဨ఍㛤ദ䠈ሗ࿌᭩సᡂ䠈እ㒊ホ౯ጤဨ఍㛤ദ䜲䞁䝥䝑䝖
䞉
䝥䝻䝉䝇
䠄ᢞධ䚸
ධຊ䚸
άື䚸
⾜ື䠅

ᐃᛶⓗ
䛺䜒䛾

ᐃ㔞ⓗ
䛺䜒䛾

㻴㻞㻣ᖺᗘ

㻴㻞㻤ᖺᗘ

㻴㻞㻥ᖺᗘ

㻴㻟㻜ᖺᗘ

䐟ᅾᏯ䞉ゼၥṑ⛉デ⒪ཧຍᆺ⮫ᗋᐇ 䐟་⒪ᨭ᥼ṑᏛᩍ⫱䝁䞊䝇䝽䞊䜽䛾 䐟་⒪ᨭ᥼ṑᏛᩍ⫱䝁䞊䝇䝽䞊䜽䛾 䐟་⒪ᨭ᥼ṑᏛᩍ⫱䝁䞊䝇䝽䞊䜽䛾 䐟㐃ᦠ኱ᏛṑᏛ㒊䛻䛚䛔䛶䠈་⒪ᨭ
ᤵᴗ䝅䝸䞊䝈䛾㜀ぴヨ⾜㛤ጞ䠄䠒䠌ศ ᤵᴗ䝅䝸䞊䝈䛾㜀ぴヨ⾜⥆⾜䠄䠒䠌ศ ᤵᴗ䝅䝸䞊䝈䛾㜀ぴヨ⾜䠈୍㒊ᤵᴗ ᥼ṑᏛᩍ⫱䝁䞊䝇䝽䞊䜽䜢⏝䛔䛯ᤵ⩦㛤ጞ䠄ᒸᒣ኱Ꮫ䠅䠖䠑ᖺḟ䠑䠏ྡᴗᐇ᪋䠄䠒䠌ศ㽢䠐䠑䠙䠏༢఩䠅ᐇ᪋䠄䠒䠌ศ㽢䠐䠑䠙䠏༢఩䠅㽢䠏䠌䠙䠎༢఩䠅䐠⪁ே௓ㆤ᪋タ䜢⏝䛔䛯㻼㻮㻸₇⩦䛾 㽢䠍䠑䠙䠍༢఩䠅䐠䝅䝭䝳䝺䞊䝍䞊䜔⪁ே௓ㆤ᪋タ䜢⏝ 䐠䝅䝭䝳䝺䞊䝍䞊䛾‽ഛ⥅⥆䠄䠑ᰯ㽢䠍 䐠ྛ኱Ꮫ䛾་⒪ᨭ᥼ṑᏛᩍ⫱䝁䞊䝇 䐠ྛ኱Ꮫ䛾་⒪ᨭ᥼ṑᏛᩍ⫱䝁䞊䝇ᐇ᪋䠄ᒸᒣ኱Ꮫ䠅䠖䠐ᖺḟ䠑䠏ྡ䝽䞊䜽䛾ᐇ᪋≧ἣ䛾┦஫どᐹ䝽䞊䜽䛾ᐇ᪋≧ἣ䛾┦஫どᐹྎ䠅䐡㧗ᗘ་⒪ᨭ᥼䞉࿘⾡ᮇཱྀ⭍ᶵ⬟⟶ 䛔䛯㻼㻮㻸䜢බ㛤䠄ᒸᒣ኱Ꮫ䠅䠈䝅䝭䝳䐡㐃ᦠ኱Ꮫ䛻ᤵᴗ䝁䞁䝔䞁䝒సᡂ䝅 䐡ึᮇ◊ಟ་䜔་Ꮫ㒊ṑ⛉ཱྀ⭍እ 䐡㐃ᦠ኱ᏛṑᏛ㒊ึᮇ◊ಟ་䜔㐃⌮⮫ᗋᐇ⩦䜢㛤ጞ䠄ᒸᒣ኱Ꮫ䠅䠖䠑ᖺ 䝺䞊䝍䞊䛾‽ഛ㛤ጞ䠄䠒ᰯ㽢䠍ྎ䠅⛉䛾◊ಟ་䛾䝁䞊䝇䝽䞊䜽䛻䛴䛔䛶 ᦠ኱Ꮫ་Ꮫ㒊ṑ⛉ཱྀ⭍እ⛉䛾◊ಟ䐡㐃ᦠ኱Ꮫ䛻ᤵᴗ䝁䞁䝔䞁䝒సᡂ䝅 䝇䝔䝮䜢⥅⥆ᩚഛ䠄䠑ᰯ㽢䠍ྎ䠅ḟ䠑䠏ྡ་䛾䝁䞊䝇䝽䞊䜽䛻䛴䛔䛶ᐇ᪋䠄䠒䠌䐢ึᮇ◊ಟ་䜔་Ꮫ㒊ṑ⛉ཱྀ⭍እ ヨ⾜䠄䠒䠌ศ㽢䠍䠑䠙䠍༢఩䠅䐢ṑᏛᩍ⫱䞉ᅜ㝿஺ὶ᥎㐍䝉䞁䝍䞊 䝇䝔䝮䜢ᩚഛ䠄䠑ᰯ㽢䠍ྎ䠅ศ㽢䠍䠑䠙䠍༢఩䠅⛉䛾◊ಟ་䛾䝁䞊䝇䝽䞊䜽䛻䛴䛔䛶タ⨨䠄ᒸᒣ኱Ꮫ䠅ヨ⾜䠄䠒䠌ศ㽢䠍䠑䠙䠍༢఩䠅䐣ᢸᙜ≉௵ຓᩍ䠎ྡ䛸㠀ᖖ໅⫋ဨ㞠⏝䐟ṑᏛᩍ⫱ᨵ㠉䝁䞁䝋䞊䝅䜰䝮タ❧ 䐟䝃䞊䝞䞊ᩚഛ䛸䝁䞁䝔䞁䝒ど⫈䝅䝇 䐟㐃ᦠ኱Ꮫ඲య䛷䜴䜵䝤ᤵᴗ䝅䝸䞊 䐟㐃ᦠ኱Ꮫ඲య䛷䜴䜵䝤ᤵᴗ䝅䝸䞊 䐟㐃ᦠ኱Ꮫ඲య䛷䜴䜵䝤ᤵᴗ䝅䝸䞊䝈䛾䝁䞁䝔䞁䝒సᡂ⥅⥆䝈䛾䝁䞁䝔䞁䝒సᡂ⥅⥆䝈䛾䝁䞁䝔䞁䝒సᡂ⥅⥆グᛕㅮ₇఍䞉䝅䞁䝫䝆䜴䝮㛤ദ䝔䝮䛾ᶵ⬟ྥୖ
䐠ṑᏛᩍ⫱ᨵ㠉䝁䞁䝋䞊䝅䜰䝮➨䠍ᅇ 䐠䛜䜣໬Ꮫ⒪ἲ䞉࿘⾡ᮇ➼䛾་⒪䜢 䐠䛜䜣໬Ꮫ⒪ἲ䞉࿘⾡ᮇ➼䛾་⒪䜢 䐠䛜䜣໬Ꮫ⒪ἲ䞉࿘⾡ᮇ➼䛾་⒪䜢 䐠䛜䜣໬Ꮫ⒪ἲ䞉࿘⾡ᮇ➼䛾་⒪䜢
஦ᴗ᥎㐍ጤဨ఍䜢㛤ദᨭ䛘䜛ཱྀ⭍⟶⌮䝅䞁䝫䝆䜴䝮䜢㛤ദ䠈 ᨭ䛘䜛ཱྀ⭍⟶⌮䝅䞁䝫䝆䜴䝮䜢㛤ദ䠈 ᨭ䛘䜛ཱྀ⭍⟶⌮䝅䞁䝫䝆䜴䝮䜢㛤ദ䠈 ᨭ䛘䜛ཱྀ⭍⟶⌮䝅䞁䝫䝆䜴䝮䜢㛤ദ䠈䐡䝩䞊䝮䝨䞊䝆䛾㛤タ஦ᴗ᥎㐍ጤဨ఍䠄䜴䜶䝤䝁䞁䝔䞁䝒䛾 ஦ᴗ᥎㐍ጤဨ఍䠄䜴䜶䝤䝁䞁䝔䞁䝒䛾 ஦ᴗ᥎㐍ጤဨ఍䠄䜴䜶䝤䝁䞁䝔䞁䝒䛾 ஦ᴗ᥎㐍ጤဨ఍䠄䜴䜶䝤䝁䞁䝔䞁䝒䛾సᡂ䛸䝤䝷䝑䝅䝳䜰䝑䝥䠅సᡂ䛸䝤䝷䝑䝅䝳䜰䝑䝥䠅సᡂ䛸䝤䝷䝑䝅䝳䜰䝑䝥䠅䐢ྛ㐃ᦠ኱Ꮫ䛾≉ᚩ䛒䜛䝥䝻䜾䝷䝮 సᡂ䛸䝤䝷䝑䝅䝳䜰䝑䝥䠅
䛾Ⓩ㘓䠈ヨ⾜䐡㐃ᦠᰯ㛫䜔༠ຊ᪋タ䜈䛾ᩍဨ䠢䠠 䐡㐃ᦠᰯ㛫䜔༠ຊ᪋タ䜈䛾ᩍဨ䠢䠠 䐡㐃ᦠᰯ㛫䜔༠ຊ᪋タ䜈䛾ᩍဨ䠢䠠 䐡㐃ᦠᰯ㛫䜔༠ຊ᪋タ䜈䛾ᩍဨ䠢䠠⥅⥆䠈Ꮫ⏕஺ὶ⥅⥆⥅⥆䠈Ꮫ⏕஺ὶ⥅⥆⥅⥆䠈Ꮫ⏕஺ὶ⥅⥆䐣㐃ᦠᰯ㛫䜔༠ຊ᪋タ䜈䛾ᩍဨ䠢䠠 ⥅⥆䠈Ꮫ⏕஺ὶ㛤ጞ䛸䛧䛶䛾஺ὶ㛤ጞ䐢ᩍဨ䞉Ꮫ⏕ᩍ⫱䜔␿Ꮫ◊✲䜈⏝䛔 䐢ᩍဨ䞉Ꮫ⏕ᩍ⫱䜔␿Ꮫ◊✲䜈⏝䛔 䐢ᩍဨ䞉Ꮫ⏕ᩍ⫱䜔␿Ꮫ◊✲䜈⏝䛔 䐢ᩍဨ䞉Ꮫ⏕ᩍ⫱䜔␿Ꮫ◊✲䜈⏝䛔䐤ᩍဨ䞉Ꮫ⏕ᩍ⫱䜔␿Ꮫ◊✲䜈⏝䛔 䜛䛯䜑䛾䝣䜱䞊䝹䝗ㄪᰝ䠈ᇶ┙◊✲ᐇ 䜛䛯䜑䛾䝣䜱䞊䝹䝗ㄪᰝ䠈ᇶ┙◊✲ᐇ 䜛䛯䜑䛾䝣䜱䞊䝹䝗ㄪᰝ䠈ᇶ┙◊✲ᐇ 䜛䛯䜑䛾䝣䜱䞊䝹䝗ㄪᰝ䠈ᇶ┙◊✲ᐇ᪋᪋᪋䜛䛯䜑䛾䝣䜱䞊䝹䝗ㄪᰝ䠈ᇶ┙◊✲㛤 ᪋ጞ䐣ྛ㐃ᦠ኱Ꮫ䛾≉ᚩ䛒䜛䝥䝻䜾䝷䝮 䐣ྛ㐃ᦠ኱Ꮫ䛾≉ᚩ䛒䜛䝁䞊䝇䝽䞊 䐣ྛ㐃ᦠ኱Ꮫ䛾≉ᚩ䛒䜛䝁䞊䝇䝽䞊 䐣㐃ᦠ኱Ꮫ䛷⥲ᣓ䝅䞁䝫䝆䜴䝮㛤ദ䠈➨䠏ᅇእ㒊ホ౯ጤဨ఍㛤ദ䠈኱䜽䝅䝷䝞䝇䛾ಟṇ䠈ᐇ᪋䜽䝅䝷䝞䝇䛾ಟṇ䠈ᐇ᪋䐥ᒸᒣ኱Ꮫ䛷䜻䝑䜽䜸䝣䝅䞁䝫䝆䜴䛾ヨ⾜䠈ᐇ᪋䠈බ㛤䝮䠈஦ᴗ᥎㐍ጤဨ఍䠄Ꮫ⏕஺ὶ䛾䛯 䐤᫛࿴኱ᏛṑᏛ㒊䛷ᐃ౛ṑᏛᩍ⫱◊ 䐤㐃ᦠ኱Ꮫ䛷ᐃ౛ṑᏛᩍ⫱◊✲䝅䞁 䐤㐃ᦠ኱Ꮫ䛷ᐃ౛ṑᏛᩍ⫱◊✲䝅䞁 Ꮫ㝔⏕䛾ᇶ┙◊✲䜔␿Ꮫ◊✲䛾Ⓨ䝫䝆䜴䝮䠃䝽䞊䜽䝅䝵䝑䝥㛤ദ䠈➨䠎 䝫䝆䜴䝮䠃䝽䞊䜽䝅䝵䝑䝥㛤ദ䠈኱Ꮫ ⾲䛾ᶵ఍䜢タ䛡䜛䜑䛾༢఩஫᥮ไᗘ䛾䛯䜑䛾‽ഛ䠅䠈 ✲䝅䞁䝫䝆䜴䝮䠃䝽䞊䜽䝅䝵䝑䝥㛤➨䠍ᅇእ㒊ホ౯ጤဨ఍㛤ദദ䠈኱Ꮫ㝔⏕䛾ᇶ┙◊✲䜔␿Ꮫ◊✲ ᅇእ㒊ホ౯ጤဨ఍㛤ദ䠈኱Ꮫ㝔⏕䛾 㝔⏕䛾ᇶ┙◊✲䜔␿Ꮫ◊✲䛾Ⓨ⾲ 䐤⮬ᕫホ౯ጤဨ఍㛤ദ䠈ሗ࿌᭩సᡂ
ᇶ┙◊✲䜔␿Ꮫ◊✲䛾Ⓨ⾲䛾ᶵ఍䜢 䛾ᶵ఍䜢タ䛡䜛䐦ṑᏛᩍ⫱ᨵ㠉䝁䞁䝋䞊䝅䜰䝮䛾㟁 䛾Ⓨ⾲䛾ᶵ఍䜢タ䛡䜛タ䛡䜛Ꮚ䝁䞁䝔䞁䝒సᡂ䝅䝇䝔䝮䠄ᒸᒣ኱Ꮫ䠅䠈䛺䜙䜃䛻ど⫈䝅䝇䝔䝮䠄ᒸᒣ኱
Ꮫ䠅䜢ᩚഛ

㻴㻞㻢ᖺᗘ

䐠䚷ᖺᗘู䛾䜲䞁䝥䝑䝖䞉䝥䝻䝉䝇䚸䜰䜴䝖䝥䝑䝖䚸䜰䜴䝖䜹䝮㐩ᡂ┠ᶆᮏ஦ᴗ⤊஢ᚋ䛾㐩ᡂ┠ᶆ೺ᗣ㛗ᑑ♫఍䜢ᢸ䛖ṑ⛉་Ꮫᩍ⫱ᨵ㠉䇷Ṛ⏕Ꮫ䜔ᆅᇦໟᣓ䜿䜰䝰䝕䝹䜢ᑟධ䛧䛯་⛉ṑ⛉㐃ᦠᩍ⫱యไ䛾ᵓ⠏䇷஦ᴗྡ䚷ཱྀ⭍䛛䜙඲㌟೺ᗣ䛻ᐤ୚䛷䛝䜛ṑ⛉་ᖌ䠈ཬ䜃䠈ᛴᛶᮇ䠈ᅇ᚟ᮇ䠈⥔ᣢᮇ䠈ᰤ㣴䝃䝫䞊䝖䝏䞊䝮㻔㻺㻿㼀㻕䠈ᅾᏯ௓ㆤ⌧ሙ䛻ᑐᛂ䛷䛝䜛ṑ⛉་ᖌ䜢⫱䛶䜛䠊䜎䛯䠈㐺ษ䛺Ṛ⏕ほ䛻ᇶ䛵䛝䠈ᝈ⪅䛾⑓ᗋ䠈௓ㆤ⌧ሙ䜔⤊ᮎᮇ䛻ᐤ䜚ῧ䛘䜛䝥䝷䜲䝬䝸䜿䜰ṑ⛉་䜢㣴ᡂ䛩䜛䠊䛥䜙䛻䛿䠈㧗㱋⪅䛾䛂㣗䛃䜢ᇶ┙䛸䛧䛯೺ᗣቑ㐍䠈௓ㆤண㜵䠈⹫ᙅண㜵䜢┠ᣦ䛧䛯᪂䛧䛔ṑᏛᩍ⫱䞉◊✲䜢᥎㐍䛩䜛䠊䚷䛭䛾䛯䜑䛻௨ୗ䛾ලయⓗ᪉⟇䜢ᥖ䛢䜛䠊䠍䠊⏦ㄳ኱Ꮫ䛸㐃ᦠ኱Ꮫ䜔༠ຊ⤌⧊䜢䜎䛸䜑䛯ṑᏛᩍ⫱ᨵ㠉䝁䞁䝋䞊䝅䜰䝮䜢タ❧䛧䠈ᩍဨ䠢䠠䠈Ꮫ⏕஺ὶ䠈┦஫䝏䜵䝑䜽యไ䜢ᩚ䛘䠈ṑᏛᩍ⫱ᨵ㠉䛾㧗ᗘ໬䛸ᆒ䛶䜣໬䜢ᅗ䜛䠊䠎䠊ᒸᒣ኱Ꮫ䠈㐃ᦠ኱Ꮫ䠈༠ຊ⤌⧊䛜༠ຊ䛧䛶䠈௨ୗ䛾་⒪ᨭ᥼ṑᏛᩍ⫱䝁䞊䝇䝽䞊䜽䜢㡰ḟ㛤ጞ䠈㐃ᦠ኱Ꮫ䛾ᩍဨ㻲㻰䜔Ꮫ⏕஺ὶ䛻ゎᨺ䠈ᥦ౪䛩䜛䠊䚷䚷䐟⏕ά⩦័⑓ண㜵䛸ṑ⛉䠈ᛴᛶᮇṑ⛉་⒪䠈ᅾᏯ௓ㆤṑ⛉་⒪䛻㛵䛩䜛ㅮ⩏䝅䝸䞊䝈䚷䚷䐠せ௓ㆤ㧗㱋⪅䜢ᶍ䛧䛯䝅䝭䝳䝺䞊䝍䞊₇⩦䜔⪁ே௓ㆤ䞉ᅾᏯ௓ㆤ᪋タ䜢⏝䛔䛯㻼㻮㻸₇⩦䚷䚷䐡኱Ꮫ⑓㝔࿘⾡ᮇ⟶⌮䝉䞁䝍䞊䜢฼⏝䛧䛯㧗ᗘ་⒪ᨭ᥼䞉࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ᐇ⩦䚷䚷䐢⮫ᗋㅮᖌ➼䜢฼⏝䛧䛯ᅾᏯ௓ㆤ䞉ゼၥṑ⛉デ⒪ཧຍᆺᏛእ⮫ᗋᐇ⩦䠏䠊ྛ㐃ᦠ኱Ꮫ䛻䠈≉ᚩ䛒䜛᭷⑓⪅䞉㧗㱋⪅䞉ᅾᏯ௓ㆤ䞉⅏ᐖᑐᛂ䛻㛵䛩䜛་⒪ᨭ᥼ṑᏛᩍ⫱䝥䝻䜾䝷䝮䜢タ⨨䠈┦஫฼⏝䜢⾜䛖䠊䠐䠊ྛ㐃ᦠ኱Ꮫ䛾Ꮫ㒊ᩍ⫱䛻䠈ྠᵝ䛺་⒪ᨭ᥼ṑᏛᩍ⫱䝁䞊䝇䝽䞊䜽䜢⤌䜏ධ䜜䜛ດຊ䜢䛩䜛䠊䠑䠊ྛ㐃ᦠ኱Ꮫ䛾༞ᚋ⮫ᗋ◊ಟไᗘ䛻䠈ᛴᛶᮇ䠈ᅇ᚟ᮇ䠈⥔ᣢᮇ䠈ᅾᏯ௓ㆤ⌧ሙ䜢䝃䝫䞊䝖䛩䜛ከ⫋✀㐃ᦠ་⒪䛻ᑐᛂ䛧䛯䝁䞊䝇䝽䞊䜽䜢タ⨨䛩䜛䠊䠒䠊୍㒊䛾㐃ᦠ኱Ꮫ䛾኱Ꮫ㝔䛻䠈㧗㱋⪅䛾䛂㣗䛃䜢ᇶ┙䛸䛧䛯೺ᗣቑ㐍䠈௓ㆤண㜵䠈⹫ᙅண㜵䜢┠ᣦ䛧䛯␿Ꮫ◊✲䛾᥎㐍䜢ྍ⬟䛸䛩䜛኱Ꮫ㝔⤌⧊䜢స䜛䠊䐟䚷ᮏ஦ᴗ⤊஢ᚋ䛾㐩ᡂ┠ᶆ໭ᾏ㐨኱Ꮫ䠈㔠ἑ኱Ꮫ䠈኱㜰኱Ꮫ䠈஑ᕞ኱Ꮫ䠈㛗ᓮ኱Ꮫ䠈㮵ඣᓥ኱Ꮫ䠈ᒾᡭ་⛉኱Ꮫ䠈᫛࿴኱Ꮫ䠈᪥ᮏ኱Ꮫ䠈රᗜ་⛉኱Ꮫ

ᒸᒣ኱Ꮫ

㐃ᦠ኱Ꮫྡ

⏦ㄳᢸᙜ኱Ꮫྡ

䡞ㄢ㢟ゎỴᆺ㧗ᗘ་⒪ேᮦ㣴ᡂ䝥䝻䜾䝷䝮䡟䛻䛚䛡䜛ᕤ⛬⾲䜰䜴䝖䜹䝮䠄ᡂᯝ䚸ຠᯝ䠅䜰䜴䝖䝥䝑䝖䠄⤖ᯝ䚸ฟຊ䠅䐟䠕኱ᏛṑᏛ㒊䛾་⒪ᨭ᥼ṑᏛᩍ⫱ 䐟䠕኱ᏛṑᏛ㒊䛾་⒪ᨭ᥼ṑᏛᩍ⫱ 䐟䠕኱ᏛṑᏛ㒊䛾་⒪ᨭ᥼ṑᏛᩍ⫱ 䐟䠕኱ᏛṑᏛ㒊䛾་⒪ᨭ᥼ṑᏛᩍ⫱䝁䞊䝇䝽䞊䜽䛾ᆒ䛶䜣໬䛜䠍䠌䠂䝁䞊䝇䝽䞊䜽䛾ᆒ䛶䜣໬䛜䠎䠌䠂䝁䞊䝇䝽䞊䜽䛾ᆒ䛶䜣໬䛜䠏䠌䠂䝁䞊䝇䝽䞊䜽䛾ᆒ䛶䜣໬䛜䠑䠌䠂䐟ཱྀ⭍䛛䜙඲㌟೺ᗣ䛻ᐤ୚䛷䛝䜛ṑ 䐟ཱྀ⭍䛛䜙඲㌟೺ᗣ䛻ᐤ୚䛷䛝䜛ṑ 䐟ཱྀ⭍䛛䜙඲㌟೺ᗣ䛻ᐤ୚䛷䛝䜛ṑ 䐟ཱྀ⭍䛛䜙඲㌟೺ᗣ䛻ᐤ୚䛷䛝䜛ṑ 䐟ཱྀ⭍䛛䜙඲㌟೺ᗣ䛻ᐤ୚䛷䛝䜛ṑ⛉་ᖌ䠈ཬ䜃䠈ᛴᛶᮇ䠈ᅇ᚟ᮇ䠈⥔ᣢ ⛉་ᖌ䠈ཬ䜃䠈ᛴᛶᮇ䠈ᅇ᚟ᮇ䠈⥔ᣢ ⛉་ᖌ䠈ཬ䜃䠈ᛴᛶᮇ䠈ᅇ᚟ᮇ䠈⥔ᣢ ⛉་ᖌ䠈ཬ䜃䠈ᛴᛶᮇ䠈ᅇ᚟ᮇ䠈⥔ᣢ ⛉་ᖌ䠈ཬ䜃䠈ᛴᛶᮇ䠈ᅇ᚟ᮇ䠈⥔ᣢᮇ䠈ᰤ㣴䝃䝫䞊䝖䝏䞊䝮㻔㻺㻿㼀㻕䠈ᅾᏯ ᮇ䠈ᰤ㣴䝃䝫䞊䝖䝏䞊䝮㻔㻺㻿㼀㻕䠈ᅾᏯ ᮇ䠈ᰤ㣴䝃䝫䞊䝖䝏䞊䝮㻔㻺㻿㼀㻕䠈ᅾᏯ ᮇ䠈ᰤ㣴䝃䝫䞊䝖䝏䞊䝮㻔㻺㻿㼀㻕䠈ᅾᏯ ᮇ䠈ᰤ㣴䝃䝫䞊䝖䝏䞊䝮㻔㻺㻿㼀㻕䠈ᅾᏯ௓ㆤ⌧ሙ䛻ᑐᛂ䛷䛝䜛ṑ⛉་ᖌ䜢⫱ ௓ㆤ⌧ሙ䛻ᑐᛂ䛷䛝䜛ṑ⛉་ᖌ䜢⫱ ௓ㆤ⌧ሙ䛻ᑐᛂ䛷䛝䜛ṑ⛉་ᖌ䜢⫱ ௓ㆤ⌧ሙ䛻ᑐᛂ䛷䛝䜛ṑ⛉་ᖌ䜢⫱ ௓ㆤ⌧ሙ䛻ᑐᛂ䛷䛝䜛ṑ⛉་ᖌ䜢⫱
䛶䜛䠊
䛶䜛䠊
䛶䜛䠊
䛶䜛䠊
䛶䜛䠊
ᐃᛶⓗ
䐠㐺ษ䛺Ṛ⏕ほ䛻ᇶ䛵䛝䠈ᝈ⪅䛾⑓ 䐠㐺ษ䛺Ṛ⏕ほ䛻ᇶ䛵䛝䠈ᝈ⪅䛾⑓ 䐠㐺ษ䛺Ṛ⏕ほ䛻ᇶ䛵䛝䠈ᝈ⪅䛾⑓ 䐠㐺ษ䛺Ṛ⏕ほ䛻ᇶ䛵䛝䠈ᝈ⪅䛾⑓ 䐠㐺ษ䛺Ṛ⏕ほ䛻ᇶ䛵䛝䠈ᝈ⪅䛾⑓䛺䜒䛾ᗋ䠈௓ㆤ⌧ሙ䜔⤊ᮎᮇ䛻ᐤ䜚ῧ䛘䜛 ᗋ䠈௓ㆤ⌧ሙ䜔⤊ᮎᮇ䛻ᐤ䜚ῧ䛘䜛 ᗋ䠈௓ㆤ⌧ሙ䜔⤊ᮎᮇ䛻ᐤ䜚ῧ䛘䜛 ᗋ䠈௓ㆤ⌧ሙ䜔⤊ᮎᮇ䛻ᐤ䜚ῧ䛘䜛 ᗋ䠈௓ㆤ⌧ሙ䜔⤊ᮎᮇ䛻ᐤ䜚ῧ䛘䜛䝥䝷䜲䝬䝸䜿䜰ṑ⛉་䜢㣴ᡂ䛩䜛䠊䝥䝷䜲䝬䝸䜿䜰ṑ⛉་䜢㣴ᡂ䛩䜛䠊䝥䝷䜲䝬䝸䜿䜰ṑ⛉་䜢㣴ᡂ䛩䜛䠊䝥䝷䜲䝬䝸䜿䜰ṑ⛉་䜢㣴ᡂ䛩䜛䠊䝥䝷䜲䝬䝸䜿䜰ṑ⛉་䜢㣴ᡂ䛩䜛䠊䐡㧗㱋⪅䛾䛂㣗䛃䜢ᇶ┙䛸䛧䛯೺ᗣቑ 䐡㧗㱋⪅䛾䛂㣗䛃䜢ᇶ┙䛸䛧䛯೺ᗣቑ 䐡㧗㱋⪅䛾䛂㣗䛃䜢ᇶ┙䛸䛧䛯೺ᗣቑ 䐡㧗㱋⪅䛾䛂㣗䛃䜢ᇶ┙䛸䛧䛯೺ᗣቑ 䐡㧗㱋⪅䛾䛂㣗䛃䜢ᇶ┙䛸䛧䛯೺ᗣቑ㐍䠈௓ㆤண㜵䠈⹫ᙅண㜵䜢┠ᣦ䛧䛯 㐍䠈௓ㆤண㜵䠈⹫ᙅண㜵䜢┠ᣦ䛧䛯 㐍䠈௓ㆤண㜵䠈⹫ᙅண㜵䜢┠ᣦ䛧䛯 㐍䠈௓ㆤண㜵䠈⹫ᙅண㜵䜢┠ᣦ䛧䛯 㐍䠈௓ㆤண㜵䠈⹫ᙅண㜵䜢┠ᣦ䛧䛯᪂䛧䛔ṑᏛᩍ⫱䞉◊✲䜢᥎㐍䛩䜛䠊᪂䛧䛔ṑᏛᩍ⫱䞉◊✲䜢᥎㐍䛩䜛䠊᪂䛧䛔ṑᏛᩍ⫱䞉◊✲䜢᥎㐍䛩䜛䠊᪂䛧䛔ṑᏛᩍ⫱䞉◊✲䜢᥎㐍䛩䜛䠊᪂䛧䛔ṑᏛᩍ⫱䞉◊✲䜢᥎㐍䛩䜛䠊

ᐃ㔞ⓗ
䛺䜒䛾

ᐃᛶⓗ
䛺䜒䛾

ᐃ㔞ⓗ
䛺䜒䛾

䐟ᅾᏯ䞉ゼၥṑ⛉デ⒪ཧຍᆺ⮫ᗋᐇ 䐟ᅾᏯ䞉ゼၥṑ⛉デ⒪ཧຍᆺ⮫ᗋᐇ 䐟ᅾᏯ䞉ゼၥṑ⛉デ⒪ཧຍᆺ⮫ᗋᐇ 䐟ᅾᏯ䞉ゼၥṑ⛉デ⒪ཧຍᆺ⮫ᗋᐇ 䐟ᅾᏯ䞉ゼၥṑ⛉デ⒪ཧຍᆺ⮫ᗋᐇ⩦ヨ⾜䠄ᒸᒣ኱Ꮫ䠖㻡㻟ྡ䠅⩦ヨ⾜䠄ᒸᒣ኱Ꮫ䠖㻡㻟ྡ䠅䠄㐃ᦠᰯ䠖㻝㻡 ⩦ಟ஢䠄ᒸᒣ኱Ꮫ䠖㻡㻟ྡ䠅䠄㐃ᦠᰯ䠖⩦ಟ஢䠄ᒸᒣ኱Ꮫ䠖㻡㻟ྡ䠅䠄㐃ᦠᰯ䠖⩦ಟ஢䠄ᒸᒣ኱Ꮫ䠖㻡㻟ྡ䠅䠄㐃ᦠᰯ䠖䐠⪁ே௓ㆤ᪋タ䜢⏝䛔䛯㻼㻮㻸₇⩦ヨ ྡ䠅
㻝㻜㻜ྡ䠅
㻞㻜㻜ྡ䠅
㻟㻜㻜ྡ䠅
⾜䠄ᒸᒣ኱Ꮫ䠖㻡㻟ྡ䠅䐠⪁ே௓ㆤ᪋タ䜢⏝䛔䛯㻼㻮㻸₇⩦ヨ 䐠⪁ே௓ㆤ᪋タ䜢⏝䛔䛯㻼㻮㻸₇⩦䛾 䐠⪁ே௓ㆤ᪋タ䜢⏝䛔䛯㻼㻮㻸₇⩦ಟ 䐠⪁ே௓ㆤ᪋タ䜢⏝䛔䛯㻼㻮㻸₇⩦ಟ䐡㧗ᗘ་⒪ᨭ᥼䞉࿘⾡ᮇཱྀ⭍ᶵ⬟⟶ ⾜䠄ᒸᒣ኱Ꮫ䠖㻡㻟ྡ䠅䠄㐃ᦠᰯ䠖㻝㻜ྡ䠅 ಟ஢䠄ᒸᒣ኱Ꮫ䠖㻡㻟ྡ䠅䠄㐃ᦠᰯ䠖㻝㻡 ஢䠄ᒸᒣ኱Ꮫ䠖㻡㻟ྡ䠅䠄㐃ᦠᰯ䠖㻡㻜ྡ䠅 ஢䠄ᒸᒣ኱Ꮫ䠖㻡㻟ྡ䠅䠄㐃ᦠᰯ䠖㻝㻜㻜ྡ䠅⌮⮫ᗋᐇ⩦ヨ⾜䠄ᒸᒣ኱Ꮫ䠖㻡㻟ྡ䠅䐡㧗ᗘ་⒪ᨭ᥼䞉࿘⾡ᮇཱྀ⭍ᶵ⬟⟶ ྡ䠅䐡㧗ᗘ་⒪ᨭ᥼䞉࿘⾡ᮇཱྀ⭍ᶵ⬟⟶ 䐡㧗ᗘ་⒪ᨭ᥼䞉࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮⮫ᗋᐇ⩦ヨ⾜䠄ᒸᒣ኱Ꮫ䠖㻡㻟ྡ䠅䐡㧗ᗘ་⒪ᨭ᥼䞉࿘⾡ᮇཱྀ⭍ᶵ⬟⟶ ⌮⮫ᗋᐇ⩦ಟ஢䠄ᒸᒣ኱Ꮫ䠖㻡㻟ྡ䠅⌮⮫ᗋᐇ⩦ಟ஢䠄ᒸᒣ኱Ꮫ䠖㻡㻟ྡ䠅䠄㐃ᦠᰯ䠖㻝㻡ྡ䠅⌮⮫ᗋᐇ⩦ಟ஢䠄ᒸᒣ኱Ꮫ䠖㻡㻟ྡ䠅䠄㐃ᦠᰯ䠖㻟㻜㻜ྡ䠅䠄㐃ᦠᰯ䠖㻟㻜㻜ྡ䠅䐢䝅䝭䝳䝺䞊䝍䞊₇⩦ヨ⾜䠄ᒸᒣ኱䠄㐃ᦠᰯ䠖㻝㻜㻜ྡ䠅䐢䝅䝭䝳䝺䞊䝍䞊₇⩦ヨ⾜䠄ᒸᒣ኱䐢䝅䝭䝳䝺䞊䝍䞊₇⩦ಟ஢䠄ᒸᒣ኱Ꮫ䠖㻡㻟ྡ䠅䠄㐃ᦠᰯ䠖㻝㻡ྡ䠅䐢䝅䝭䝳䝺䞊䝍䞊₇⩦ヨ⾜䠄ᒸᒣ኱Ꮫ䠖㻡㻟ྡ䠅䠄㐃ᦠᰯ䠖㻞㻜㻜ྡ䠅Ꮫ䠖㻡㻟ྡ䠅䠄㐃ᦠᰯ䠖㻟㻜㻜ྡ䠅Ꮫ䠖㻡㻟ྡ䠅䠄㐃ᦠᰯ䠖㻝㻜㻜ྡ䠅䐣ᤵᴗ䝅䝸䞊䝈ಟ஢䠄ᒸᒣ኱Ꮫ䠖㻡㻟䐣ᤵᴗ䝅䝸䞊䝈ಟ஢䠄ᒸᒣ኱Ꮫ䠖㻡㻟䐣ᤵᴗ䝅䝸䞊䝈ヨ⾜䠄ᒸᒣ኱Ꮫ䠖㻡㻟ྡ䠅䠄㐃ᦠᰯ䠖㻞㻜㻜ྡ䠅ྡ䠅䠄㐃ᦠᰯ䠖㻟㻜㻜ྡ䠅ྡ䠅䠄㐃ᦠᰯ䠖㻝㻜㻜ྡ䠅䐟㜀ぴྍ⬟䛺ᤵᴗ䝅䝸䞊䝈䛾⵳✚䐟㜀ぴྍ⬟䛺ᤵᴗ䝅䝸䞊䝈䛾⵳✚䐟㜀ぴྍ⬟䛺ᤵᴗ䝅䝸䞊䝈䛾⵳✚䐟㜀ぴྍ⬟䛺ᤵᴗ䝅䝸䞊䝈䛾⵳✚䐟㜀ぴྍ⬟䛺ᤵᴗ䝅䝸䞊䝈䛾⵳✚䐠㐃ᦠᰯ㛫䜔༠ຊ᪋タ䜈䛾䠢䠠ᩍဨ 䐠㐃ᦠᰯ㛫䜔༠ຊ᪋タ䜈䛾䠢䠠ᩍဨ 䐠㐃ᦠᰯ㛫䜔༠ຊ᪋タ䜈䛾䠢䠠ᩍဨ 䐠㐃ᦠᰯ㛫䜔༠ຊ᪋タ䜈䛾䠢䠠ᩍဨ 䐠㐃ᦠᰯ㛫䜔༠ຊ᪋タ䜈䛾䠢䠠ᩍဨὴ㐵䠈Ꮫ⏕஺ὶ
ὴ㐵䠈Ꮫ⏕஺ὶ
ὴ㐵䠈Ꮫ⏕஺ὶ
ὴ㐵䠈Ꮫ⏕஺ὶ
ὴ㐵䠈Ꮫ⏕஺ὶ
䐡␿Ꮫ◊✲ᴗ⦼䠈ᇶ┙◊✲ᴗ⦼䐡␿Ꮫ◊✲ᴗ⦼䠈ᇶ┙◊✲ᴗ⦼䐡␿Ꮫ◊✲ᴗ⦼䠈ᇶ┙◊✲ᴗ⦼䐡␿Ꮫ◊✲ᴗ⦼䠈ᇶ┙◊✲ᴗ⦼䐡␿Ꮫ◊✲ᴗ⦼䠈ᇶ┙◊✲ᴗ⦼䐢௚኱Ꮫ䛾䜹䝸䜻䝳䝷䝮䜈ゐ䜜䜛ᶵ 䐢௚኱Ꮫ䛾䜹䝸䜻䝳䝷䝮䜈ゐ䜜䜛ᶵ 䐢௚኱Ꮫ䛾䜹䝸䜻䝳䝷䝮䜈ゐ䜜䜛ᶵ 䐢௚኱Ꮫ䛾䜹䝸䜻䝳䝷䝮䜈ゐ䜜䜛ᶵ 䐢௚኱Ꮫ䛾䜹䝸䜻䝳䝷䝮䜈ゐ䜜䜛ᶵ
఍䛾ቑຍ
఍䛾ቑຍ
఍䛾ቑຍ
఍䛾ቑຍ
఍䛾ቑຍ

ᑐᛂ᪉㔪

䐡

䠑ᖺ㛫䛷ᩚഛ䛩䜛ィ⏬䛷䛒䛳䛯䛜䠈䛤ᣦ᦬䛻䜘䛖䛻㐃ᦠᰯ䛾㐍ᤖ≧ἣ䜢䛭䜝䛘䜛䛯䜑䛻䜒䠈ྍ⬟䛺㝈䜚䠈ᖹᡂ䠎䠓ᖺᗘ䛸ᖹᡂ䠎䠔ᖺᗘ䛻䛚䛔䛶䠈㐃ᦠ኱Ꮫ䛻ᤵᴗ䝁䞁䝔䞁䝒సᡂ䝅䝇䝔䝮䛸䝅䝭䝳䝺䞊䝍䞊䜢ᩚഛ䛩䜛䠊ഛရ䛾ᩚഛ䛻᫬㛫䜢せ䛩䜛ィ⏬䛻䛺䛳䛶䛔䜛䛜䚸㐃ᦠ኱Ꮫ䛻䛚䛡䜛஦ᴗ䛾ᐇຠᛶ䜢☜ಖ䛩䜛䛯䜑䛻䚸ྍ⬟䛺㝈䜚㏿䜔䛛䛺ᩚഛ䛻ດ䜑䜛䛣䛸䛜ồ䜑䜙䜜䜛䚹☜❧䛩䜛䝁䞊䝇䝽䞊䜽䛾ෆᐜ䜒䠑䛴䛾ලయⓗ䛺䜹䝸䜻䝳䝷䝮䛷⾲⌧䛥䜜䛶䛔䜛䠊ྛ䝁䞊䝇䝽䞊䜽䛾༢఩ᩘ䜒ලయⓗ䛻タᐃ䛥䜜䛶䛚䜚䠈ᖺᗘィ⏬䛻ᚑ䛳䛶䠈䛣䜜䜙䛾䝁䞊䝇䝽䞊䜽䛾☜❧䛸ᆒ䛶䜣໬䛻ᑾຊ䛩䜛䠊ᙜヱ஦ᴗ䝩䞊䝮䝨䞊䝆䠱䠮䠨㼔㼠㼠㼜㼟㻦㻛㻛㼜㼛㼟㼓㼞㼍㻚㼐㼑㼚㼠㻚㼛㼗㼍㼥㼍㼙㼍㻙㼡㻚㼍㼏㻚㼖㼜㻛㼛㼏㼣㻛㼕㼚㼐㼑㼤㻚㼜㼔㼜䐣䚷ᮏ஦ᴗ䝩䞊䝮䝨䞊䝆䠱䠮䠨䠄䈜䚷ᥦฟ᫬Ⅼ䛷䝩䞊䝮䝨䞊䝆䛜సᡂ䛷䛝䛶䛔䛺䛔ሙྜ䛿䚸సᡂぢ㎸ᖺ᭶䜢グධ䛩䜛䛸䛸䜒䛻䚸᏶ᡂḟ➨䠱䠮䠨䛾䛤㐃⤡䜢䛚㢪䛔䛧䜎䛩䚹䠅ᡂᯝ䜢☜ᐇ䛻ୖ䛢䜛䛯䜑䛻䚸䜘䜚᫂☜䛺┠ᶆཬ䜃ᣦᶆ䜢タᐃ䛩䜛䛣䛸䛜ᮃ䜎䛧䛔䚹ᗙᏛ䜔䠠䠲䠠䚸㼑㻙㼘㼑㼍㼞㼚㼕㼚㼓㻌䛻䜘䜛Ꮫಟ䛜ከ䛔䛜䚸⤊ᮎᮇ䜔せ௓ㆤ㧗㱋⪅䛸䛾᥋ゐ䜢ྵ䜐⮫ᗋయ㦂䛜㠀ᖖ䛻䛺䜛 ☜❧䛩䜛་⒪ᨭ᥼ṑᏛᩍ⫱䝁䞊䝇䝽䞊䜽䛿䠈௨ୗ䛾䠐㡯┠䛸䛺䛳䛶䛔䜛䠊䐟⏕ά⩦័⑓ண㜵䛸ṑ⛉䠈ᛴᛶᮇṑ⛉་⒪䠈ᅾᏯ௓ㆤ䛣䛸䛛䜙䚸ᐇ⩦䛾඘ᐇ໬䛜ᚲせ䚹ṑ⛉་⒪䛻㛵䛩䜛ㅮ⩏䝅䝸䞊䝈䠈䐠せ௓ㆤ㧗㱋⪅䜢ᶍ䛧䛯䝅䝭䝳䝺䞊䝍䞊₇⩦䜔⪁ே௓ㆤ䞉ᅾᏯ௓ㆤ᪋タ䜢⏝䛔䛯㻼㻮㻸₇⩦䠈䐡኱Ꮫ⑓㝔࿘⾡ᮇ⟶⌮䝉䞁䝍䞊䜢฼⏝䛧䛯㧗ᗘ་⒪ᨭ᥼䞉࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ᐇ⩦䠈䐢⮫ᗋㅮᖌ➼䜢฼⏝䛧䛯ᅾᏯ௓ㆤ䞉ゼၥṑ
⛉デ⒪ཧຍᆺᏛእ⮫ᗋᐇ⩦䠊ᚋ༙䛾䠎㡯┠䛿䠈⮫ᆅᐇ⩦䛷䛒䜚䠈༑ศ䛺⮫ᗋయ㦂䛜ᥦ౪䛷䛝䜛䛸ண 䛧䛶䛔䜛䠊䛣䜜䜙⮫ᆅᐇ⩦䛾ᩍ⫱䛾㉁䠈㔞䛾඘ᐇ䜢㐃ᦠ䛧䛶┠ᣦ䛩䠊䛩䛷䛻䠈䛜䜣໬Ꮫ⒪ἲ䞉࿘⾡ᮇ➼䛾㧗ᗘ་⒪䜢ᨭ䛘䜛ཱྀ⭍ෆ⟶⌮䜢ලయⓗ䛻⪃䛘䜛䝅䞁䝫䝆䜴䝮䠄ᖹᡂ㻞㻢ᖺ㻣᭶㻞㻢᪥䠈㻞㻣᪥䠅䠈ᅾᏯゼၥṑ⛉デ⒪ཧຍᆺ⮫ᗋᐇ⩦ᩍ⫱䝥䝻䝆䜵䜽䝖䜻䝑䜽䜸䝣䝅䞁䝫䝆䜴䝮䠄ᖹᡂ㻞㻢ᖺ㻠᭶㻞㻣᪥䠅䠈ṑᏛᩍ⫱ᨵ㠉䝁䞁䝋䞊䝅䜰䝮タ❧グᛕㅮ₇఍䞉䝅䞁䝫䝆䜴䝮䠄ᖹᡂ㻞㻢ᖺ㻥᭶㻞㻢᪥䠈㻞㻣᪥䠅➼䛷㐃ᦠ䛿⥭ᐦ䛻ྲྀ䜜䛶䛔䜛䛸䛣䜝䛷䛒䜛䠊䛥䜙䛻䠈ṑᏛᩍ⫱ᨵ㠉䝁䞁䝋䞊䝅䜰䝮䜢௓䛧䛶䠈⥭ᐦ䛺㐃ᦠయไ䜢ᵓ⠏䛩䜛䛸䛸䜒䛻䠈ᩍ⫱ෆᐜ䛾ᆒ䛶䜣໬䜢ᅗ䜛䠊䛣䛾䛯䜑䛻䠈ྛ኱Ꮫ䛾Ꮫ⏕䜔ᩍဨ䛜䝻䜾䜲䞁䛷䛝䜛㟁ᏊᏛົ䝅䝇䝔䝮䜢ά⏝䛩䜛䠊㐃ᦠᰯ䛜ከ䛔䛯䜑䚸ᮘୖ䛾✵ㄽ䛻䛺䜙䛺䛔䜘䛖䚸⥭ᐦ䛺㐃ᦠయไ䜢ᵓ⠏䛩䜛ᚲせ䛜䛒䜛䚹᥎㐍ጤဨ఍䛛䜙䛾୺䛺䝁䝯䞁䝖䠄ᨵၿ䜢せ䛩䜛Ⅼ䚸␃ព஦㡯䠅䐢䚷᥎㐍ጤဨ఍䛛䜙䛾୺䛺䝁䝯䞁䝖䛻ᑐ䛩䜛ᑐᛂ᪉㔪ᑐᛂ᪉㔪ྛ኱Ꮫ䛾ᩍ⫱䝺䝧䝹䛜ᆒ䛶䜣໬䛥䜜䜛䜎䛷䛿䛒䜛⛬ᗘ䛾⿵ຓ䛜ᚲせ䛻䛺䜛䛜䠈༑ศ䛺ᆒ䛶䜣໬䛜⏕䛨䜛䛸䠈䠢䠠䛾䛯䜑䛾᪑㈝➼䛾ᨭฟ䛿㍍ῶ䛥䜜䜛䠊䜎䛯䠈⏦ㄳ኱Ꮫ䛷䛒䜛ᒸᒣ኱Ꮫ䛻䛿䠈ᮏ஦ᴗ䛾䜘䛖䛺኱ᆺ䝥䝻䝆䜵䜽䝖⋓ᚓᚋ䛻䠈஦ᴗ䛾⥅⥆ᐇ᪋䛻ᚲせ䛺⤒㈝䜢኱Ꮫᶵ⬟ᙉ໬ᡓ␎⤒㈝䠄Ꮫ㛗⿢㔞⤒㈝䠅➼䛷ᨭ᥼䛩䜛ไᗘ䛜䛒䜛䠊஦ᴗ䛾ෆᐜ䜔㐃ᦠ኱Ꮫ䞉༠ຊ᪋タ䛾ᩍ⫱ᐇ⦼䠈ㅮ₇఍䠈ㄽᩥ➼䛻㛵䛧䛶䛿䠈✚ᴟⓗ䛻䝩䞊䝮䝨䞊䝆➼䛷ᗈሗ䛩䜛䠊஦ᴗᮇ㛫⤊஢ᚋ䜒ྛ኱Ꮫ䛻䛚䛔䛶஦ᴗ䜢⥅⥆䛩䜛䛣䛸䜢ᛕ㢌䛻䚸ලయⓗ䛺஦ᴗ⥅⥆䛾᪉㔪䡡⪃䛘᪉䛻䛴䛔䛶᳨ウ䛩䜛䛣䛸䚹䜎䛯䚸ከ䛟䛾኱Ꮫ䛻⮬䜙䛾ᩍ⫱ᨵ㠉䜢㐍䜑䜛㆟ㄽ䛻ά⏝䛧䛶䜒䜙䛖䛯䜑䚸㑅ᐃ኱Ꮫ䛜㛤Ⓨ䞉ᐇ㊶䛩䜛ᩍ⫱䝥䝻䜾䝷䝮䛛䜙ᚓ䜙䜜䜛ᡂᯝ➼䜢䚸ྍ⬟䛺㝈䜚ྍど໬䛧䛯ୖ䛷䚸ᆅᇦ䜔♫఍䛻ᑐ䛧䛶ศ䛛䜚䜔䛩䛟᝟ሗⓎಙ䛩䜛䛣䛸䚹䐠Ꮫ㛗䛜஦ᴗ㈐௵⪅䛸䛺䜚䠈ṑᏛ㒊㛗䛜⌧ሙ䜢⤫⋡䛩䜛䠊඲ᅜ䛾䠍䠍኱Ꮫ䜢⧅䛔䛰ṑᏛᩍ⫱ᨵ㠉䝁䞁䝋䞊䝅䜰䝮䜢タ❧䛧䠈䛣䛾஦ᴗᖺ㛫䠎ᗘ䠈ྛ኱Ꮫ䛾ṑᏛᩍ⫱ᨵ㠉䛾㐍ᤖ≧ἣ䜢஦ᴗ᥎㐍ጤဨ఍䜢㛤ദ䛧䛶┦஫䝏䜵䝑䜽䛩䜛䛸䛸䜒䛻䠈እ㒊ホ౯ጤဨ఍䜢䠎ᖺ䛻஦ᴗᮇ㛫୰䛿䚸䠬䠠䠟䠝䝃䜲䜽䝹䛻䜘䜛ᕤ⛬⟶⌮䜢⾜䛳䛯ୖ䛷䚸඲ᅜ䛾ᶍ⠊䛸䛺䜛䜘䛖య⣔ⓗ䛺ᩍ⫱ ୍ᗘ㛤ദ䛧䠈እ㒊䛛䜙䛾䛤ពぢ䜢ᩍ⫱ᨵ㠉䛻཯ᫎ䛩䜛䠊䜻䝱䝸䜰䝟䝇䛻㛵䛧䛶䛿䠈Ꮫ㒊ᩍ⫱䛻䛚䛡䜛ᩍ⫱ᨵ㠉䜢ඛ⾜䛥䛫䠈䛣䜜䛻䝥䝻䜾䝷䝮䜢ᒎ㛤䛩䜛䛣䛸䚹䛭䛾㝿䚸ᒚಟ䛩䜛Ꮫ⏕䜔་⒪ᚑ஦⪅➼䛾䜻䝱䝸䜰䝟䝇ᙧᡂ䛻⧅䛜䜛ྲྀ ⥆䛔䛶◊ಟ་ᩍ⫱ᨵ㠉䠈䛥䜙䛻䛿䠈䛣䜜䜙䛾᪂䛧䛔ᩍ⫱䛻䜘䛳䛶⫱䛳䛯䛣䛾ศ㔝䛾䜶䜻䝇䝟䞊䝖ணഛ㌷䜢኱Ꮫ㝔䛻㐍䜑䠈◊✲⬟ຊ䜢㧗䜑䜛䛸䛔䛖యไ䜢ᵓ⠏䛩䜛䠊⤌䜔యไ䜢ᵓ⠏䛩䜛䛣䛸䚹ෆᐜ஦ᴗ䛾ᐇ᪋䛻ᙜ䛯䛳䛶䛿䚸Ꮫ㛗䞉Ꮫ㒊㛗➼䛾䝸䞊䝎䞊䝅䝑䝥䛾䜒䛸䚸㈐௵యไ䜢᫂☜䛻䛧䛯ୖ䛷䚸඲ ᥎㐍ጤဨ఍䜢୰ᚰ䛻඲ᅜつᶍ䛷ṑᏛᩍ⫱ᨵ㠉䛻ྲྀ䜚⤌䜐䠊ᆅᇦ་⒪䛾඘ᐇ䜔䝏䞊䝮་⒪䛾᥎㐍䛾ほⅬ䛛䜙䠈ᒸᒣ኱Ꮫ⑓㝔㛗䠈Ꮫⓗ䛺ᐇ᪋యไ䛷⾜䛖䛣䛸䚹䜎䛯䚸ᆅᇦ་⒪䛾඘ᐇ䜔䝏䞊䝮་⒪䛾᥎㐍䛾ほⅬ䛛䜙䜒䚸Ꮫእ䛾᭷ ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉䛸䛾㐃ᦠ䜢⥭ᐦ䛻䛸䜚ᐇ᪋䛩䜛䠊༠ຊ᪋タ䛸䛧䛶䠈ᮾி㒔೺ᗣ㛗ᑑ་⒪䝉䞁䝍䞊䠈ᮾி኱Ꮫ㧗㱋♫఍⥲ྜ◊✲ᶵᵓ䠈ᮾி኱ᏛṚ⏕Ꮫ䞉ᛂ⏝೔⌮䝉䞁䝍䞊䠈ᅜ❧㛗ᑑ་⒪◊✲䝉䞁䝍䞊䛜䛒䜚䠈㛫㐪䛔䛺䛟ᮏ㑥䛾᭱᪂䞉᭱㧗䝺㆑⪅䛻䜒✚ᴟⓗ䛻ཧ⏬䛔䛯䛰䛝䚸஦ᴗ䛾ᵓ᝿䜢ᐇ⌧䛷䛝䜛యไ䜢ᵓ⠏䛩䜛䛣䛸䚹䝧䝹䛾ᩍ⫱◊✲䛜᥎㐍䛷䛝䜛䠊

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