40 2 Vol. 22 No. 82000
10 10 12 21 Vol. 22 No. 82000 3
1858 13 1842 1862 1868 1871 1872 1836 4 Vol. 22 No. 82000
5 Vol. 22 No. 82000 1871 1869 10 12 187514 ü
6 Vol. 22 No. 82000 600 1,200 1020 100 18431883 186926 1873 1873 1874 1875
7 Vol. 22 No. 82000 0.5 2.0 1875 1851 604 17 101877 19188625 101877 1012
8 Vol. 22 No. 82000 16 188340 15 1868 1872 1848 17 121879 2010
9 Vol. 22 No. 82000 13192477 221889 10 21 431968 102410 1251875
10 Vol. 22 No. 82000 31 18511881 186414 1870 1431 1874 15 50 34 10 1877 17 4 /
65 3,600 HMOPPO HMOPPOIPAUROPHOPBM No.198620241998 Vol. 22 No. 82000 13
14 Vol. 22 No. 82000 The National Pharmaceutical Council servey http://www.drugtopics.com/
1977Gagnon 19591977 1990Smith 1959 1980 1994Meade 19791988 199328 1980 1997The Retail Drug Institute at the Arnold & Marie Schwartz College of Pharmacy and Health Sciences Pharmacist accessibility Location The presence of a trusted Pharmacist Reasonable prices The professionalism of personnel other than the pharmacist Pharmacist accessibility 1980 ;;; ; Vol. 22 No. 82000 15
10 ; ;; ;; ; 1112 1998 11 NCPANational Community Pharmacists Association 13 16 Vol. 22 No. 82000
30 OTC 46 301800 OTC 301730 OTC 35 OTC 301730 31 OTC 001830 OTC 10001600 47 OTC 001800 001600 1 82 OTC OTC OTC OTC 001800 001400 301830 63 001300 1913 45 1,000 5,000 1,5002,000 1500 1,000 2,000 1,300 1,200 10,000SKU 8,0009,000 / 75 / 70/ 400/ 200/ 150/ 100/ OTC 15035 40 35 1,000/ 200/ 20 10 3.5 10 HMO10 HMO 3.5 UPS 3.75 Vol. 22 No. 82000 17
1997 1996 1,307,204 79.3 1,143,322 79.3 341,848 20.7 299,261 20.7 1,649,052 100.0 1,442,583 100.0 1,226,808 74.4 1,062,626 73.7 422,244 25.6 379,957 26.3 78,782 4.8 69,184 4.8 137,446 8.3 126,991 8.8 27,498 1.7 25,192 1.7 12,160 0.7 11,286 0.8 6,639 0.4 5,769 0.4 2,576 0.2 3,250 0.2 4,085 0.2 4,906 0.3 11,884 0.7 12,381 0.9 1,560 0.1 90,199 5.5 75,894 5.3 371,269 22.5 336,413 23.3 50,975 3.1 43,544 3.0 78,782 4.8 69,184 4.8 129,757 7.9 112,728 7.8 1998 NPCA-SEARLE DIGEST 1998 NPCA-SEARLE DIGEST 1997 1996 109,320 6.6 108,839 7.5 70,544 4.3 52,061 3.6 179,864 10.9 16,900 11.1 6.8 6.6 sq. ft. 694sq. ft. 1884 664sq. ft. 1722 2,422sq. ft. 141 2,434sq. ft. 123 3,116sq. ft. 529 3,098sq. ft. 465 22,031 51.5 20,547 51.1 20,780 48.5 19,641 48.9 42,811 100.0 40,188 100.0 30.53 28.45 58 59 6 6 1 433.42 372.66 113.34 97.54 14.1 13.1 20.0 22.0 47.0 42.0 18 Vol. 22 No. 82000
10 1998 14 13 16 10 17 1217 13 2000.3 20002000 No.202815191999, 19701990Vol.50(9) 165716711998, Vol.50(10)1859 18631998 Gagnon, JP., Factors Affecting Pharmacy Patronage Motives-A literature Review, J Amer Pharm Associ, Vol.NS17(9), 556559, 566, 1977 Smith, HA., Coons SJ., Relationship Among Patronage Faxtors, Satisfaction, and Type of Pharmacy, J Pharm Market Manag, Vol.4(3), 6181, 1990 Meade, V., Patients Satisfied with Pharmacy Services, Survey Shows, Amer Pharm, Vol.NS34(7), 1994 Chain Drug Review, Dec.15, 1997 10Drug Store News, 1995 11 1999.3 12Mullen, W. Vol.49(1)57651997 131998 NCPA-SEARLE DIGESTNCPA1998 14, 1997.3 15Wendy Leebov, Gail Scott, Service Quality Improvement 1997 16Larson, LN., MacKeigan LD., Further Validation of an Instrument to Measure Patient Satisfaction with Pharmacy Services, J Pharm Market Manag, Vol.8(1), 125139, 1994 17 Vol.49(1)50561998 Vol. 22 No. 82000 19
1876 1875 1876 26 301897 321899 20 Vol. 22 No. 82000
21 Vol. 22 No. 82000 2629 3031 431910 32271952 26 421967 26189342 1909 26 123426 26 431910261951 16
05 651,577 3,308 648,279 27 456,027 08 326,215 65,067 32,609 09 98 2,239 453,787 2,081 324,134 240 64,827 195 32,413 05 16,204 6,482 64,827 0775 32,414 05 16,204 6,482 22 Vol. 22 No. 82000
10mm Vol. 22 No. 82000 25
26 Vol. 22 No. 82000 1012 Koplik 1421 B19 25 37.5 aplastic crisis HHV-6 HHV-7 A 10
Koplik B19 aplastic crisls - EB B A A Stevens-Johnson R. orientalls A ASO SLE LE Gottron Candids alblcans Vol. 22 No. 82000 27
A Candida albicans Stevens-Johnson A16 71 TEN 28 Vol. 22 No. 82000
29 Vol. 22 No. 82000 mm 32 3473512000 25 suppl3263291993 Henoch-Schönlein C Osler Ehlers-Danlos ITPimmune Kasabach-Merrit SLE DIC HUS von Willebrand AB K DIC DIC Antithrombin
10ml 30 Vol. 22 No. 82000
g AMPC 1.02.0 CVA/ 1.01.3 AMPC SBTPC 0.751.5 CXD 1.5 CCL 1.02.0 CFIX 0.451.8 CFTM-PI 0.450.9 CPDX-PR 0.91.35 CFDN 0.450.9 CDTR-PI 0.45 CFPN-PI 0.45 30 EM 0.61.25 MDM 0.51.0 RKM 0.50.75 CAM 0.75 MINO 1.5 EMMDMRKM200mg/g 15kg Vol.13No.21997 Vol. 22 No. 82000 31
Vol. 22 No. 82000 33
1997 15 72 24.7ha74,717 4,000 3,000m JR20 15I.C 35I.C30 3583 65,000 199614 3000 100m 2 34 Vol. 22 No. 82000
932 1712 1928 cm 1803 1596 vitex vieo rotundifolia rotundifolius Simpeeaf shrub-caste tree L. fil. 3060cm cm1.5cm 1011 mm var. heterophylla Makino Vol. 22 No. 82000 35
Sieb. et Zucc. 17161736 m cm 20cm 10g L. m 0.5cm 10cm 1011 800kg 200300kg 0.16 0.280.11 camphene 55ditrpenalcohol20terpineolacetate10-pinene vitexicarpincasticin 1.5 1.5 10g 540600cc 300500g r 1987 36 Vol. 22 No. 82000
30 Vol. 22 No. 82000 37
21 OTC OTC OTCOTC OTC OTC OTC OTC OTC OTC OTCOTC OTC OTC OTC OTC14 i OTC ii iii OTC 55/72 H2 OTC 165/260 OTC 70 59 OTC 38 Vol. 22 No. 82000
39 Vol. 22 No. 82000 OTC 10 59 31 27 OTC 581/2 321/210OTC OTC OTC OTC 54 55 56 58 59 60 61 63 L- 10
OTC 1530mg 15mg 3060mg 60mg 3060mg 30mg 1500mg 1500mg 30100mg 30mg 12mg 12mg 600800mg 600mg 100300mg 150mg mg mg 30mg 30mg 1500g 1500g L- 1200mg 8001200mg 1540mg 15mg 300mg 300mg 300mg 300mg 600mg 450mg mg mg 75100mg 45mg mg mg 40mg 20mg mg 1.34mg 1200mg 600mg 90mg 45mg 27003240mg 1500mg 1500mg 750mg 300600mg 100mg 800mg 300mg 300mg 126mg OTC 14 OTC 40 Vol. 22 No. 82000
OTC OTC OTC OTC 11 OTC OTC 54 31 23 22 15 13 11 Vol. 22 No. 82000 41
42 Vol. 22 No. 82000 OTC H2 H2OTC OTC OTC H2 H2 OTC H2 OTC
50 34 37 10 21 15 OTC i ii H2 H2 H2 OTC OTC 12 OTC OTC OTC OTC 23 10 10 Vol. 22 No. 82000 43
44 Vol. 22 No. 82000 204050 OTC OTC OTC OTC
45 Vol. 22 No. 82000 OTC OTC OTC OTC OTC 21 12172000 http://www.mhw.go.jp/index.html 221999 OTC 1999 1999 H2 1998. 1. 6 1610211118 10001230 13301600 9/16 Common Disease 10/21 11/18 13,00010,0005,000 10 10426-76-6706 FAX 0426-75-8964 http://www.d1.dion.ne.jp/ ~touya 111113501700 FAXE T/F 043-290-3003 E-mailkueno@p.chiba-u.ac.jp vu 155,000
47 Vol. 22 No. 82000 1999 6,000 1.3850km 2 23 km 2,000mm 2132 LLLLLLLLLLLLLLLLLLLL
2327 11 17.721 1137 28 700mm 2,500km 30 600mm 50ha 5,000 203.49 240701999 500m2,700km km Instituto Regional da Pequena Agropecuaria Apropriada IRPAA 1990 1411 48 Vol. 22 No. 82000
49 Vol. 22 No. 82000 600mm 12 5,000 1,8001,90015 98200 5,0002030 km 1,500 500 1520
60m 2 50m 2 12.9m 20 10cm 30 360 20m 50ha ha 60ha 57 67 50 Vol. 22 No. 82000
51 Vol. 22 No. 82000 100 600mm 60m 2 36 NGO 1,000 20
52 Vol. 22 No. 82000 1994 199812 1998 1996
53 Vol. 22 No. 82000 IT CD bbb
54 Vol. 22 No. 82000 http://toyaku.or.jp DEL Back Space h
55 Vol. 22 No. 82000 toyaku tpa http://www.yahoo. co.jphttp://www.goo.ne.jp
e-mail (*.*) 56 Vol. 22 No. 82000
58 Vol. 22 No. 82000 10 1810 77 80 39 14 16 12 183020 1836
59 Vol. 22 No. 82000 1838 1847 12 2565 30 10 1847 18491017
DDDDDD DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD 1,200760 530 8 0 1 3 8 0 1 3 60 Vol. 22 No. 82000
1 3 7 0 0 8 1 3 3 0 0 7 1021 93 1930 (1)1030 12 (2)1130 14 (3)1230 16 Vol. 22 No. 82000 61
62 Vol. 22 No. 82000 121227 11 12 10 11 OA 23 12 29 12 70 11 30 10 20 12 15 16 2012 21 29
63 Vol. 22 No. 82000 81 1119 4-39-13 FAX 10 12 135 15 16 17 19 22 248157 27 28 29
64 Vol. 22 No. 82000 31140254 07-49-13 mg 12 1112 110 10 1112 12 13 1412 15 16TVchCS-TV 176.26 18 19 207,934 15 6/22 12 12 10 11 12 13 14
65 Vol. 22 No. 82000 15 1612 29 26 7/14 7/19 5/12 5/31 12!! 10 11 11DI PI 1212 13 14 15 8/8 1612 17 9/1 18 9/8 1912 vu 1,800 3,308 4,536
22 NKS 121416 /1018 /1116 103-3294-8840 A 21 100 OTC 22395 300 101-0054 1 21 132940271 http//www.toyaku.or.jp 66 Vol. 22 No. 82000