医療の高度化により小児在宅医療へのニーズが増加している．しかし，小児在宅医療の保険薬局（以下，薬局）での受け入れ状況には地域偏在性があり，三重県では成人に比べて普及していない．本研究では，三重県下の薬局における小児在宅医療の受け入れの現状を把握するために，薬局を対象にアンケート調査を実施した．その結果，薬局全体の91.9％で小児在宅医療の受け入れが困難と感じていた．小児在宅医療の経験のある薬局では，経験のない薬局と比較して退院時カンファレンスへ積極的に参加する施設が有意に多く，カンファレンスで提供される患児の疾患の情報が有益であるとの回答であった．小児在宅医療の経験がある薬局の95％において，成人と小児の在宅医療に相違点があると感じており，患児の疾患が特殊であるとの回答が52.3％を占めた．今後の小児在宅医療の推進には，学習機会の提供や，病院薬剤師との薬薬連携の充実を図ることが重要であると考えられた．

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The massive deployment of solar and wind power (VRE: variable renewable energy), which will enable decarbonized energy supply, will bring with it a variety of new challenges. Among them is the reduction in the operating capacity of synchronous generators in the power system, which causes a reduction in the inertia of the power system. With reduced system inertia, grid frequency deviations become faster and larger, and these deviations sometimes make power system operation unstable. In this paper, we analyze the situation of system inertia degradation by conducting an hourly-granularity annual power supply-demand analysis based on the power supply-demand scenario of conventional power sources, VRE, batteries in 2030-2040 under the mass introduction of renewable energy with the parameter of the required quantity setting for supply and demand of the flexibilities from primary to tertiary in the demand-supply adjustment market.

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The massive deployment of PV and wind, which provides decarbonized energy supply, bring about various additional challenges, among those, the reduction of operational capacity of synchronous machines in a power system have been affecting stable operation of a power system. With the reduced system inertia, the system frequency deviates faster and more largely and the deviation sometimes results in instability of a power system operation. In this paper, we present the trend of system inertial reduction from 2030 to 2040 in Japan and quantify the cost increase when criteria of system inertia are applied. We further present the benefit of a PV PCS which can supply system inertia in terms of an improved system inertia profile and a reduction of annual operational cost in order to evaluate a strategy to maintain a system inertia.

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Profound decarbonization requires restructuring a total energy system, while energy efficiency and fuel change for decarbonization are realized by electrification and CO₂-free or negative-CO₂ emission technologies. In order to evaluate and plan appropriate decarbonization pathways, it is necessary that we analyze the total energy system and the power system under appropriate demand prospect. Direct integration of an energy system model and a power system model is difficult because the required temporal and geological granularity of the analysis makes the calculation time too long. This paper presents results of a power demand and supply analysis under a soft link with an energy system model which uses a demand build-up model. The energy system model optimizes the long-term investment of a total energy system under different scenarios of decarbonisation. The power system model analyses a production simulation using a power demand and generation capacities from the energy system model, and evaluates storage operation, required capacities of generations, possible utilization of curtailed generation for synthetic energy production.

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