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			<div class="headers"><h3 class="current indexes">主要目次</h3></div><section class="current indexes">【特 集】<br>■扉……柴田陽光<br>■座談会　COPD患者の健康寿命延長はどうすれば達成されるのか？―一般内科医の役割も含めて―<br>　出席者：山内敏正・柴田陽光・室　繁郎・川山智隆<br>■総説　疾患概念と診断<br>　COPDの疾患概念と病態（自然歴など）……小荒井 晃ほか<br>　COPDの診断……小賀　徹<br>■セミナー　一般内科医のCOPD診療の役割<br>　COPD：一般内科外来における潜在……井上純人<br>　COPDの作業診断の可能性……室　繁郎<br>　COPDの健康寿命延長を達成するためにはどうするか……川山智隆ほか<br>　かかりつけ医の役割：併存症管理（骨格筋機能障害，フレイル，骨粗鬆症）……佐藤　晋<br>　かかりつけ医の役割：併存症管理（心血管疾患，心不全，不整脈）……大西勝也<br>　かかりつけ医の役割：併存症管理（糖尿病，高血圧）……飯塚秀人ほか<br>　かかりつけ医の役割：併存症管理（GERD，SAS，貧血）……寺本信嗣<br>　かかりつけ医の役割：肺合併症管理（喘息，肺癌）……鈴木　雅<br>　COPD：病診連携─どのような症例を病院に紹介するか─……青木康弘<br>　COPD：吸入指導医療連携……大林浩幸<br>■トピックス<br>　マイクロバイオーム……小林　哲<br>　肺発達障害とCOPD……松元幸一郎<br>■治療　COPD診療のコツ<br>　禁煙：かかりつけ医の取り組み……浅井一久ほか<br>　ワクチン：かかりつけ医の取り組み……中山勝敏<br>　呼吸リハビリテーション：非専門医でも可能な取り組み……高橋仁美<br>　気管支拡張療法：どんな症例がDual治療の対象か……髙橋浩一郎<br>　ICSをどのような患者に使用するか……小荒井 晃<br>■この症例から何を学ぶか<br>　禁煙を達成できず重症化が進んだCOPD症例……柴田陽光ほか<br>■Self–assessment test<br><br>【連 載】<br>◉One Point Advice<br>　その腹痛，ほんとうに過敏性腸症候群か？……清原裕貴<br>　透析室においでませ……古瀬　智<br>　血小板関連パラメータ……宮﨑浩二<br>　犬レンサ球菌におけるバイオフィルム産生能とその関連因子……高橋　孝ほか<br>　血糖値とHbA1c……今川彰久<br>　検査結果を言い当てる医師……櫻井俊之<br>　抗凝固療法が悩ましい症例に対する経皮的左心耳閉鎖術……近藤祐介<br>　アルツハイマー病の疾患修飾薬レカネマブについての質問に答える……井原涼子<br>◉今月の話題<br>　医療デジタルツイン……田村雄一<br>◉知っておきたいこと　ア・ラ・カルト<br>　寒冷凝集素症……山口正木</section></article>
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