Recently the telemetering seismic network of Shiraki Micro-Earthquake Observatory, Earthquake Research Institute, University of Tokyo, has been constructed in Chugoku District and its vicinity, Western Japan by the fourth stage of National Earthquake Prediction Project. There are seven seismic observation sites in the network, three of which are linked by the telephone lines and four of which, newly installed, are linked by radio to Shiraki Micro-Earthquake Observatory. The latter four are located in the southern part of the network. Thus, the accuracy of hypocenter determination has been improved, especially in the southern part. According to hypocenter determination based on the revised Ichikawa-Mochizuki travel-time table, the following features of the seismic activity in the period from July, 1983 to October, 1984 were obtained:
1. In the land area of Chugoku District, earthquakes occurred in the upper part of the crust.
2. In the southern region of 34°N latitude line, most of earthquakes took place in the upper mantle. An east-west cross section of hypocenters clearly shows a simple Wadati-Benioff seismic zone with a thickness of about 20km, but a north-south cross section of hypocenters shows complicated seismic zones, possibly more than two. The dip of the seismic zone west of 132°E is a little larger than that east of 132°E in the east-west cross section.
Furthermore, detailed description is given to main events during the period from July, 1983 to October, 1984, such as earthquakes M6.8 and M5.2 on August 26, 1983 and June 25, 1984, respectively.

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【はじめに，目的】糖尿病療養指導において，評価・治療は専門性を増してきており，各職種が専門性を生かしつつ密接な連携を保つチームアプローチが必要となっている。A病院では平成24年度より多職種による糖尿病サポートチーム活動を開始，平成27年度にはチーム内に日本糖尿病療養指導士6名，糖尿病認定看護師1名となったが，常勤の糖尿病専門医は不在である。その中で今回，2型糖尿病（ペットボトル症候群）・緩徐進行型1型糖尿病疑いにより16日間の教育入院となったA氏にチームアプローチを行い，その有効性と今後の課題について検討したので報告する。【方法】30代男性，身長172.4cm，体重119.3kg，BMI 40.1，仕事は軽作業。口渇・多飲を認め近医受診，A病院紹介入院。入院時，随時血糖値350mg/dl，HbA1c15.2％。主治医より病状と治療方針の説明後，糖尿病認定看護師より全般的な療養指導と心理的ケアを中心とした面談を実施。管理栄養士より，A氏・家族に栄養指導を実施。薬剤師より，インスリン・内服薬について説明。病棟看護師より，インスリン自己注射・自己血糖測定（以下SMBG，mg/dl）技術を指導。理学療法士より，運動療法とともに，入院前生活を考慮した自主練習指導を実施。運動療法実施に際して，実施内容を他職種に伝達，運動後にSMBGを行い低血糖の予防と運動効果の自己認識を促した。情報共有方法は，カルテ・口頭での伝達とともに，必要時チームカンファレンスを実施。【結果】入院15日目，SMBGは100～152。入院期間中，食事・運動・薬物各療法について一定の理解がなされ，自主的に食事を撮影する，散歩をする等，療養意欲の向上が認められた。退院97日後，SMBGは90～120，随時血糖値125mg/dl・HbA1c6.0％，体重123kg。食事・運動・薬物各療法のコンプライアンスは低下したが自己認識しており，飲料は無糖の物を選択，仕事は立ち仕事を率先して行っている等，ある程度の療養意欲は認められた。【結論】チーム活動前に比べ，各職種が担当する療養指導内容の相互理解が深まり，療養指導項目が細分化されるとともに補完が図られた。また，カルテ・口頭での伝達，チームカンファレンスによる情報共有により，治療・療養指導方針の統一が図られ，的確な療養指導が可能となった。入院時は経過に伴い血糖値は低下，運動療法効果も認識し，また退院後の各値も良好であり，一定の治療・療養指導は図られたと考えられる。しかし，入院時に比しコンプライアンスは低下，体重も増加しており，自己認識・療養意欲は確認されたが，退院後の実情に合わせた療養指導が必要と考えられた。A病院は常勤の糖尿病専門医が不在であり，退院後の療養指導体制も確立されておらず，環境変化に合わせた十分な療養指導は行えていない。今回のチームアプローチの効果を基に，今後は各職種の役割と連携を確立するとともに，外来受診等に合わせた継続的な療養指導体制の構築が必要と考える。

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The results obtained from a survey of balneal treatment and medical researches made mainly by means of the CMI card method at Tamagawa Spa in Akita Prefecture are summarized as follows;
1) The spa visitors were about 540 in number, women being twice as many as men. Classified into age group, the number of visitors was almost equal in each group, and classified into occupations, farmers were the largest in number.
2) The visitors came from nearly all parts of Japan, but the majority of them were from Akita Prefecture: 61.7%. Of all the visitors, 52.1% came either for treatment or for recuperation and 31.9% for recreation.
3) This survey revealed that visitors without diseases were 47.9%. Of those who visited the consulting room, the patients with the circulatory diseases were the largest in number.
4) The occurrence of bathing reaction was observed in 37.9%, and those with dermatitis were 21.2%.
5) Those who drank hot-spring waters were 28.4%.
6) The majority of visitors stayed for one or two weeks, bathing three to four times a day.
7) Only 5.5% of visitors came there under doctor's directions, and 6.8%, of them came having information from newspaper or magazine articles. Most of the visitors came there based on their own experience or on others' recommendation.
8) In the CMI, of 236 visitors, 67 were classified into the 1st group (28.4%), 88 into the 2nd group (37.3%), 56 into the 3rd group (23.7%), and 25 into the 4th group (10.6%). Of 108 controls, 45 were classified into 1st group (41.7%), 43 into the 2nd group (39.8%), 17 into the 3rd group (15.7%) and 3 into the 4th group (2.8%). Thus the 3rd and 4th group were quite large in number among the spa visitors. Very few of the visitors over 60 years of age belonged to the 3rd and 4th group. The number of men and women was almost equal in each group.
9) Those who belonged to the 3rd and 4th group were found in the patients with circulatory diseases more than in those with other diseases.
10) No relation seemed to exsist between the ratio of the body length to weight and CMI classification.
11) Of the visitors, 62.4% had the systolic hypertension and 48.9% diastolic hypertension. No definite relation was observable between blood pressure and CMI classification.
12) Of the visitors, studied by means of the CMI card method, 112 visitors were chosen at random for electrocardiograms, of whom 10 were classified into the abnormal group (8.9%), 38 into the semi-abnormal group (33.9%), and 64 into the normal group (57.2%). Incidence of the 3rd and 4th group was high in the abnormal electrocardiogram group.
The incidence of the 3rd and 4th group is higher in the cases with sinus tachycardia, arrhythmia, abnormal p wave, bundle branch block and severe ST-T change than in the subjects with sinus bradycardia, prolonged P-Q interval, premature beat, left ventricular hypertrophy and slight ST-T change.
13) CMI card method was useful for screening neurosis out of the mass.

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 The first attempt to make a crustal-scale cross-section of a trench-arc-backarc sea system has been successfully accomplished from the Nankai trough to the northern margin of the Yamato basin across Southwest Japan, using three seismic profiles: Nankai trough to Japan Sea coast (Ito et al., 2009), Oki trough (Tanaka and Ogusa, 1981), and Yamato basin (Sato et al., 2006). The section contains much new information that will be useful for research on the structural development of the Japanese island arc. The highlight of the information is the substantial difference in the structure between the Outer and the Inner zones. The Outer zone is constructed mainly by N-dipping accretionary complexes in its upper crust with a poorly developed lower crust. On the contrary, the Inner zone exhibits predominantly horizontal structures in its upper crust, beneath which thick horizontal lower crustal laminations occur as in the continental lower crust. Furthermore a 10-km-thick lens-shaped olivine-pyroxene cumulate body underlies the lower crust. The N-dipping Median Tectonic Line juxtaposes two substantially different zones from the upper to lower crusts
 The section, however, has the following serious defects caused by the poor specifications of the seismic profilings used here: (1) Shallow structures (<about several km) are poorly imaged, which makes it difficult to interpret geological structures. (2) Seismic images beneath the on-and-offshore zones of the Japan Sea coast are missing, which also makes it difficult to understand the rifting process associated with the opening of the Japan Sea. Thus, a new crustal-scale cross-section that is free from these defects is necessary. Fortunately, both the theory and the techniques of seismic profiling have advanced tremendously recently. This situation enables us to conduct seismic profiling along a long seismic line simultaneously on both land and sea (so-called “integrated land-and-sea seismic profiling”), and to provide a new section. The new section is expected to replace the former one soon.

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