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	Welcome Message from IARM20 Congress President Shuzo Shintani Journal of Rural Medicine 13(suppl): 1-1, 2018.

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	Greetings from the President of IARM Hans-Joachim Hannich Journal of Rural Medicine 13(suppl): 2-3, 2018.

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	Current State and Future Prospects of Clinical Application of Genome Medical Research Akira Hata Journal of Rural Medicine 13(suppl): 30-31, 2018.

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	Social Determinants of Health and Rural Medicine - Suggestions from Japan Gerontological Evaluation Study Katsunori Kondo Journal of Rural Medicine 13(suppl): 32-33, 2018.

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	Utilization of healthcare big data to respond to a super aging society Kiyohide Fushimi Journal of Rural Medicine 13(suppl): 34-35, 2018.

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	Home health care in patients with neurologic impairments in rural areas in Japan : (1) what is the long-term survival-determining factor? (2) Efficacy and ethics of artificial nutrition in the home health care Shuzo Shintani1,2, Zen Kobayashi1, Shouichirou Ishihara1, Hisayuki Tomimitsu1 Journal of Rural Medicine 13(suppl): 36-46, 2018.

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	Healthy and sustainable workplaces for older workers in agriculture - A Swedish perspective Peter Lundqvist2, Kerstin Nilsson1,2 Journal of Rural Medicine 13(suppl): 48-51, 2018.

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	World aging population, chronic diseases and impact of modifiable-metabolic risk factors Dimitris Tsoukalas Journal of Rural Medicine 13(suppl): 52-55, 2018.

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	Providing Dementia Care in a rural region in Germany - consequences of demographic change and concepts to encounter these Rene Thyrian Journal of Rural Medicine 13(suppl): 56-57, 2018.

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	Aging and sustainable employment Clas-Hakan Nygard Journal of Rural Medicine 13(suppl): 58-61, 2018.

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	Workforce ageing an emerging challenge for Occupational Health and Safety and the Diagnosis and Prevention of Occupational Diseases. Claudio Colosio1, Michele Carugno2, Federica Masci1, Shengli Niu3 Journal of Rural Medicine 13(suppl): 62-73, 2018.

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	Aging Serbian rural population : defining the health care needs and searching for solutions Petar Bulat Journal of Rural Medicine 13(suppl): 74-83, 2018.

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	Prevention of occupational risks and diseases in agriculture Shengli Niu Journal of Rural Medicine 13(suppl): 84-85, 2018.

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	Answers of the ISSA to challenges for social security in rural areas Joachim Breuer Journal of Rural Medicine 13(suppl): 86-87, 2018.

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	The ageing population in Hungary - facts, challenges and endowers in the health and social policy Istvan Szilard Journal of Rural Medicine 13(suppl): 88-93, 2018.

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	Ageing Roma ethnic minority population in Hungary - Challenges, realities, perspectives for the health and social care system Zoltan KATZ Journal of Rural Medicine 13(suppl): 94-97, 2018.

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	Current situation and future prospects of South Korea health insurance systems including the long-term care health insurance for aging people Kyeong Soo Lee Journal of Rural Medicine 13(suppl): 98-100, 2018.

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	Preparation and Measures for Elderly with Dementia in Korea ; Focus on National Strategies and Action Plan against Dementia Moo-Sik Lee Journal of Rural Medicine 13(suppl): 102-105, 2018.

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	Current State of Home Visit Nursing Care in South Korea Eunok Park Journal of Rural Medicine 13(suppl): 106-107, 2018.

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	Overview of the post-war Japanese medical care system and prospects of medical and long-term care policies in the advent of an ultra-aging society Nanako Tamiya Journal of Rural Medicine 13(suppl): 108-111, 2018.

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	Global Challenges to Rural Health & Medicine with special reference to the Elderly in Rural Areas Ashok Vikhe Patil Journal of Rural Medicine 13(suppl): 112-113, 2018.

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	O-1. Cost of inpatients with foot problems covered by health insurance in Japan and measures against long hospital stay Jumpei Wato, Shinya Kashiwagi Journal of Rural Medicine 13(suppl): 116-116, 2018.

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	O-2. Confronting the Crisis in Medical Education 〜 ICARE : Five measures to support young physicians 〜 SungHo(Narihiro) Chang(Chou), Aritaka Matsuyama, Chieko Benitani, Yuko Nakajima, Youichi Koizumi, Atsuhiro Matsuno, Jun Tsuyuzaki, Hideaki Sato, Kentaro Shimada, Takayuki Eizawa, Ryuichi Kai, Kenichi Ito, Kazuki Yochioka, Gotaro Kurasawa Journal of Rural Medicine 13(suppl): 117-117, 2018.

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	O-3. A novel strategy for gastric cancer screening using a mobile van service equipped with trans-nasal endoscopy Seiji Adachi, Eri Takada, Koki Obara, Yohei Horibe, Tomohiko Ohno, Midori Iwama, Osamu Yamauchi, Koshiro Saito, Shiki Yasue, Yuhei Kojima, Daisaku Hata, Satomi Nagaya, Yumiko Hara, Chizuru Hori, Nao Tsuji, Mayuko Kohno Journal of Rural Medicine 13(suppl): 118-118, 2018.

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	O-4. Emergency medical service in Komono, Japan Makoto Miki1, Masuo Oohashi1, Takafumi Kanazu2 Journal of Rural Medicine 13(suppl): 119-119, 2018.

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	O-5. Elderly patients with proximal femoral fracture who return to living at home : comparison of acute care and rehabilitation (kaifukuki) hospitals Koji Suzuki Journal of Rural Medicine 13(suppl): 120-120, 2018.

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	O-6. A new scoring model including bladder neck involvement for recurrence in patients with non-muscle-invasive bladder cancer Naoko Kawamura, Motohiro Fujiwara, Testuo Okuno Journal of Rural Medicine 13(suppl): 121-121, 2018.

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	O-7. AYURVED FOR CANCER IN RURAL AREAS : A HOLISTIC APPROACH SUKUMAR SARDESHMUKH Journal of Rural Medicine 13(suppl): 122-122, 2018.

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	O-8. Empirical Study of homelessness and rapes in destitute mentally ill women found on Indian roads and in rural area. Rajendra Dhamane, Sucheta Dhamane, Vasant Desale Journal of Rural Medicine 13(suppl): 123-123, 2018.

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	O-9. Difference of health status and individual level social capital between participants and non-participants to agricultural development project among rural older adults in Japan Yugo Shobugawa1, Hiroshi Murayama2, Takeo Fujiwara3, Shigeru Inoue4 Journal of Rural Medicine 13(suppl): 124-124, 2018.

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	O-10. Impact of public expense for the vaccine covered by rural governments on an epidemic of rotavirus enteritis Yuko Sato1, Yoshiaki Sasaki2, Hiroki Kajino2 Journal of Rural Medicine 13(suppl): 125-125, 2018.

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	O-11. Our challenge to nurture community-oriented young doctors through overseas primary health care training in collaboration with a medical school in Leyte Island, the Philippines Jumpei Hasumi, Masahiro Zakoji, Masahiko Sakamoto, Tetsuro Irohira, Akihiro Kitazawa, Kazuya Yui Journal of Rural Medicine 13(suppl): 126-126, 2018.

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	O-12. HIGH RESOLUTION COMPUTERIZED TOMOGRAPHY (H.R.C.T.) FOR PULMONARY CHANGES IN SMOKE INHALATION IN A RURAL POPULATION DAYANAND SHETTY1, SUNDEEP SALVI2, BILL BRASHIER2, SATISH PANDE1, TEJASWI THAMATAM1, SMITA KORI1, SAJID TAMBE1 Journal of Rural Medicine 13(suppl): 127-127, 2018.

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	O-13. Type of Rehabilitation Gardens in Sweden with Development of Nature Based Rehabilitation in Japan Mayuko Ishii1, Chikako Haruki, Patrik Grahn2, Shin-ichiro Sasahara3, Yasuhito Hirai Journal of Rural Medicine 13(suppl): 128-128, 2018.

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	P-1. Attitudes toward death and preparations for death among the community dwelling elderly in Japan Michiko Sato-Komata1, Akiko Hoshino2, Mai Ogura1, Nobuhito Ishikawa1, Toshiki Katsura1 Journal of Rural Medicine 13(suppl): 130-130, 2018.

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	P-2. Risk Factors related to Low Physical and Mental QOL of Elderly Japanese resided in a Rural Town, Ehime, Japan Mai Ogura1, Michiko Komata-Sato1, Nobuhito Ishikawa1, Akiko Hoshino2, Toshiki Katsura1 Journal of Rural Medicine 13(suppl): 131-131, 2018.

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	P-3. Risk Factors related to Social Isolation of Elderly Japanese resided in a Rural Town, Ehime, Japan Toshiki Katsura1, Mai Ogura1, Michiko Momata-Satoh1, Nobuhito Ishikawa1, Akiko Hoshino2 Journal of Rural Medicine 13(suppl): 132-132, 2018.

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	P-4. Nursing Practices for Fall Prevention in Hospitalized Elderly Patients with Dementia Miki Fukuma Journal of Rural Medicine 13(suppl): 133-133, 2018.

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	P-5. Serial changes in Trail Making Test score in patients with mild ischemic stroke Zen Kobayashi, Miho Yoshioka, Keisuke Inoue, Mayumi Watanabe, Kaori Kato, Kazunori Toyoda, Yoshiyuki Numasawa, Shoichiro Ishihara, Hiroyuki Tomimitsu, Shuzo Shintani Journal of Rural Medicine 13(suppl): 134-134, 2018.

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	P-6. A Study on Oral Health of Korean National Basic Livelihood Recipients Chang-Suk Kim Journal of Rural Medicine 13(suppl): 135-135, 2018.

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	P-7. Relationship between the patient's level of income and centralization of medical service utilization in cardio-cerebrovascular disease Min-Ah Nah1, Kyeong-Soo Lee1, Chang Suk Kim2, Sang Won Kim1, Tae-Yoon Hwang1, Chang-Yoon Kim1 Journal of Rural Medicine 13(suppl): 136-136, 2018.

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	P-8. Feasibility of endoscopic screening for upper gastrointestinal malignancies in a complete medical checkup Sayaka Sato, Yohei Horikawa, Hiroya Mizutamari, Nobuya Mimori, Yuhei Kato, Masayuki Sawaguchi, Saki Fushimi, Syunji Okubo Journal of Rural Medicine 13(suppl): 137-137, 2018.

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	P-9. Significance of airborne pollen measurements as a tool to prevent Japanese pollinosis at the community level in Japan Hidetoyo Teranishi Journal of Rural Medicine 13(suppl): 138-138, 2018.

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	P-10. Creation of Arena for Elderly Welfare in Japanese Agricultural Cooperative Yuko Kawakami Journal of Rural Medicine 13(suppl): 139-139, 2018.

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	P-11. A Study on the Expectation of Imlant in Koreans Mi-Sook Cho Journal of Rural Medicine 13(suppl): 140-140, 2018.

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	P-12. Health Awareness in Elderly Men Living alone : Aimed at four areas of depopulated and aged villages Kimie Fujikawa Journal of Rural Medicine 13(suppl): 141-141, 2018.

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	P-13. Prevalence of diseases among agricultural workers in rural areas of Japan : Shimane CoHRE study. Masayuki Yamasaki1,2,3, Shozo Yano3,4, Miwako Takeda3, Tsuyoshi Hamano5, Kunie Kohno3,6, Shimane CoHRE study members*3, Kuninori Shiwaku2,3 Journal of Rural Medicine 13(suppl): 142-142, 2018.

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	P-14. Barriers to health education service for the elderly patients with hypertension or diabetes Yoon Kyung Kim1, Tae-Yoon Hwang2, Min-Ah Nah2, Kyeong-Soo Lee2, Chang-Yoon Kim2 Journal of Rural Medicine 13(suppl): 143-143, 2018.

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	P-15. Common Upper Extremity Disorder, Function, and Upper Extremity-related Quality of Life : A Community-based Sample Residing in Rural Areas Mi-Ji Kim1, Dong Kyu Moon2, Ki Soo Park1 Journal of Rural Medicine 13(suppl): 144-144, 2018.

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	P-16. WHO Disability Assessment Schedule 2.0 is related to Upper and Lower Extremity disease Specific Quality of Life : A Community-based Sample Residing in Rural Areas Jun-Il Yoo1, Ae-Rim Seo2,3, Mi-Ji Kim4, Bokyoung Kim4, Ki Soo Park4 Journal of Rural Medicine 13(suppl): 145-145, 2018.

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	P-17. Head, upper trunk, and lower trunk axial rotation angles in young baseball players with a history of throwing-related pain Masashi Kawabata1, Toru Miyata1, Hiroaki Tatsuki1, Yohei Kusaba2, Yuichi Kashiwazaki2, Shigeru Ishii3, Seigo Takano3 Journal of Rural Medicine 13(suppl): 146-146, 2018.

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	P-18. Relationships between limbs reach tests and range of motion in young baseball players with a history of throwing-related pain Toru Miyata1, Masashi Kawabata1, Hiroaki Tatsuki1, Yohei Kusaba2, Yuichi Kashiwazaki2, Shigeru Ishii3, Seigo Takano3 Journal of Rural Medicine 13(suppl): 147-147, 2018.

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	P-19. A single rural community hospital experience of simultaneous laparoscopic cystectomy and laparoscopic nephroureterectomy with umbilical reduced port surgery outcome Takehiko Okamura, Ryosuke Chaya, Takashi Nagai, Yoshinobu Moritoki, Daichi Kobayashi, Hidetoshi Akita Journal of Rural Medicine 13(suppl): 148-148, 2018.

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	P-20. Statistical analysis of Ki-67 labeling index in breast cancer as prediction of prognosis Maiko Kawai1, Akio Kazama2, Ichiro Maeda2, Tomohiro Kimura3, Daisuke Fujihira3, Hisataka Onda1, Shigeru Ishii4, Seigo Takano5 Journal of Rural Medicine 13(suppl): 149-149, 2018.

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	P-21. The present conditions and the future prospects of the palliative radiotherapy in our hospital Shunji Okae Journal of Rural Medicine 13(suppl): 150-150, 2018.

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	P-22. Spatial distribution and clusters of small area cancer incidence in Chungnam province, South Korea Jee-Hyeon Choi and Hae-Sung Nam Journal of Rural Medicine 13(suppl): 151-151, 2018.

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	P-23. Active lifestyle related to well-being of elderly residents in a healthy city aiming at successful aging Nobuhito Ishikawa1, Akiko Hoshino2, Miho Shizawa2, Kanae Usui2, Mai Ogura1, Michiko Komata1, Toshiki Katsura1 Journal of Rural Medicine 13(suppl): 152-152, 2018.

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	P-24. Social appearance (sekentei) and cognitive decline among community-dwelling older adults in rural Japan Hiroshi Murayama1, Yugo Shobugawa2, Takeo Fujiwara3, Shigeru Inoue4 Journal of Rural Medicine 13(suppl): 153-153, 2018.

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	P-25. Relationship between Frailty and applied activities of daily in elderly people living in low-rural rural areas. 〜 Focusing on social behavior in indoor and outdoor 〜 Saki Ikedo1, Yuka Matsumoto2, Ryosuke Takagi3, Wakaya Fujii4 Journal of Rural Medicine 13(suppl): 154-154, 2018.

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	P-26. Relationship between Frailty and physical and psychosocial factors in elderly people living in lowlands rural areas. - Examination of factors by discriminant analysis - Wakaya Fujii1, Saki Ikedo2, Yuka Matsumoto3, Ryosuke Takagi4, Hirofumi Hirowatari5 Journal of Rural Medicine 13(suppl): 155-155, 2018.

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	P-27. Association between mobile technology use and emotional / behavioral adjustment in elementary school Rikuya Hosokawa1, Toshiki Katsura2 Journal of Rural Medicine 13(suppl): 156-156, 2018.

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	P-28. A case report of very late recurrence of epithelial ovarian cancer at an extremely rare region : the Canal of Nuck after 26 years of disease free interval Ikuno Yamauchi Journal of Rural Medicine 13(suppl): 157-157, 2018.

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	P-29. Difficulty of Responce to Mental Patients Receiving Hemodialysis Therapy in Dialysis - Health Care - Workers Ayako Fujita Journal of Rural Medicine 13(suppl): 158-158, 2018.

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	P-30. The combination of Berg Balance Scale and Moss Attention Rating Scale for assessment of walking independence in acute ischemic stroke Keisuke Inoue1, Yoshiyuki Numasawa2, Satoshi Sutou1, Masaki Hakomori1, Kazunori Toyoda1, Hiroyuki Tomimitsu1 Journal of Rural Medicine 13(suppl): 159-159, 2018.

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	P-31. Examination of the effect of intervention of image training on patients with chronic stroke Takahiro Takenaka1, Yoshinori Kimigaki2 Journal of Rural Medicine 13(suppl): 160-160, 2018.

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