$B:P;~5-(B(diary)$B!'==7n$N9`(B

$B0lF|(B

$BF)@OEvHV!#7l05Dc$$?M$H$+!"$J$+$J$+BP1~$K:$$C$?$j$7$F!#(B
$B:G6aCk4V$C$+$iL25$$,:9$9!#$A$g$C$HCk?2!"$N$D$b$j$,$7$C$+$j?2$F$7$^$C$?$j$7$F!#7Z$$$&$?$??2$O;E;v$N8zN($r>e$2$k$=$&$@$,!E!E!#(B

$B!V(Bperiod$B!W!J5HLn:se$K:nIJ@$3&$,$J$+$J$+%O!<%I$J$N$G$1$C$3$&DK$$$N$@$1$l$I!"0z$-9~$^$l$k!#8D?ME*$K$3$N7OE}$K$O $B:G6a(B$B=54)0e3X3&?7J9(B$B$N0e3X@8!&8&=$0eHG$KO":\$5$l$F$$$k5-;v$G5HLn$5$s$,A^3($rIA$$$F$$$k$N$r8+$D$1$?$s$@$h$M!E!E$=$&$$$($P!#(B(Web$B>e$+$i$b;2>H$G$-$^$9(B)

$BFsF|(B

$B??2FF|$@$C$?$H$+!#3N$+$K=k$+$C$?!#(B
$B$=$N=k$$Cf$r(B$B?9$N%.%c%i%j!<(B$B$^$G!#A@$$$O0lKgHD$N%F!<%V%k!#!E!E7k9=9b$$$N$M!#(B
$B2H$K5"$C$F%M%C%H8!:w$7$F$_$k$H(B$B0lKgHD%I%C%H%3%`(B$B$H$+(B$BLZ:L(B$B$H$+!#(B$BLZ:`?^4U(B$B$r8+$k$HLZL\$NJ70O5$$H$+$$$m$$$m>pJs$,$"$k$7!#(B

$B;0F|(B

$BGq$^$jL@$1!#(!(!$b$&$=$m$=$m=*$o$m$&$+$H$$$&%?%$%_%s%0$G?4GYDd;_45

$B;MF|(B

$BLk4V30Mh$K$$$i$7$?8fBg$K3X2qH/I=FbMF$N%A%'%C%/$r $B$&$,!<$H$+$$$$$J$,$i?^=q<<$NJ88%$rC5$7;O$a$k!#(BPubmed$B$H$+(Buptodate$B$H$+!">pJs8!:w$dB>?M$,=q$$$F$/$l$?MWD|$,B7$C$F$-$F$$$k$N$O$h$$;~Be$@$J$H;W$&$N$O$3$s$J$H$-!#(B

$B8^F|(B

$B7{K!O@5D$r!"$^$?0l$D!#(B
$BF|K\9q7{K!$K7G$2$i$l$?!VHsIpAu!&@oAhJ|4~!W$N86B'$C$F!"K\5$$G $BC1$K$?$H$($P<+1RBb$r2r;6$9$l$P6e>r$r=e.$7$+308r$N:]$K9MN8$KF~$l$J$$$h$&$J9q$,$"$C$?$H$7$F$b<+9q$NMx1W$H9qL1$rr$r;}$C$F$d$C$F$$$1$F$k!"$H8@$($k$N$@$H;W$&!#(B
$B@o8e$NF|K\$G!"6e>r$O$^$@

$B$"$H0l$D!"Fs==8^>r$,$J$+$J$+$?$$$X$s$JCf?H$r4^$s$G$$$k!#!V7r9/$GJ82=E*$J:GDc8BEY$N@83h$rAw$k8"Mx$rM-$9$k!W$=$7$F!"$=$l$rJ]>c$9$k$N$O9q$N@UG$$H=q$+$l$F$$$k!#(B
$B!V7r9/$GJ82=E*$J:GDc8BEY$N@83h!W$C$F$J$s$@!"$H$$$C$F!"$"$l$3$l$N:[H=$,5/$3$5$l$?$jJ6Ah$,5/$-$?$j!#0eNEJ]81$J$I$r9q$N@/:v$H$7$F$d$C$F$$$kM}M3$O$3$N>rJ8$K$"$k$H$$$C$F$$$$!#$3$N>rJ8$,$"$k$?$a$K!V0eNEJ]81$KF~$l$J$$IOK3?M$O$[$&$C$F$*$1!W$J$s$F$3$H$O8@$($J$$$3$H$K$J$C$F$$$k!#(B
$B$8$c$":#!"$3$NFbMF$, $B$h$/FI$s$G$_$k$H$H$F$b6=L#?<$$>rJ8$,$$$/$D$b$"$k!#7{K!$rJQ$($k$J$i!"$^$:$I$3$rJQ$($?J}$,$$$$$+!"$8$C$/$j9M$($J$$$H$$$1$J$$$H;W$&!#(B

$BO;F|(B

$BL@F|$+$i=PD%!"$H$$$&$3$H$G$P$?$P$?$P$?!#B`1!M=Dj$N45 $B7k6I?2$?$N$O(B12$B;~2a$.$@$C$?!E!E!#(B

$B<7F|(B

$B5/$-$?$N$O8^;~2a$.!#L2!E!E!#(B
$BD+Aa$$?744@~$K>h$C$F!"?73c$X!#3X2q;22C$N$?$a!#E~Ce$7$F$^$:%]%9%?! $BM

$B=*$o$C$F$+$iBG$A>e$2$G0{$_$K9T$C$?$N$@$1$l$I!"F~$C$?E9$GMj$s$@%3!<%9$,!VF|K\$J46A[$@$C$?$j!#(B

$BH,F|(B

$B3X2qFsF|L\!#$$$m$$$mJ9$$$F!"$U$?$?$S0{$s$G5"$C$F$/$k!#(B
$B5"$j$N?744@~$NCf$G!V54=w$NET!W!J?{9@9>!KFIN;!#%*%+%k%H$N$h$&$K;W$o$;$F$*$$$F%*%+%k%H$,$+$i$^$J$$7kKv!#$G$b!"ET$GOG$o$5$l$kCOJ}?M$N463P$O$o$,;v$N$h$&$K$o$+$k!#$&$s!"$d$C$Q$j!"5~ET$OI]$$!#(B($B>P(B)
$B5~ET=P?H$NCN$j9g$$$KFI$^$;$?$i$J$s$F46A[$r$h$3$9$+$7$i!"$H$+9M$($F$_$?!#(B

$B6eF|(B

$B8lWC?t?dDj%F%9%H(B$B!#$@$$$?$$O;K|8lDxEY$N8lWC$,$"$k$H?dDj$5$l$k$i$7$$!#!E!E$C$F!"J?6QE*$JF|K\?M$O$=$b$=$b!V8lWC!W$C$FC18l$rCN$C$F$$$k$N$+$7$i!#(B($B>P(B)
$BAjJ}$b$@$$$?$$F1MM$N7k2L$G$"$C$?LOMM!#(B

$B!XK($(!Y>I8u72!A$=$NH/IB$*$h$S798~$HBP:v$K4X$9$k0l9M;!(B$B!#%&$1$^$7$?!#(B

$B==F|(B

$BFsF|(B$B$K0z$-B3$$$F!"HDC5$7!#K\F|$OCaIc$^$G=PD%$k!#(B

$B5"$j$,$1!"(BBOOKOFF$B$K4s$C$?$i!"!V(BEternal$B!W$H(B1997$BG/H/Gd$N8BDj(BBOX$B$H!"DaED8,Fs$N:nIJ=8$rFs$D8+$D$1$k!#$&!A$s!V(BSpirit of Wonder$B!W!V#S#FL>J*!W$O;}$C$F$k$s$@$1$I$J$!$H$+G:$_$J$,$i7k6IN>J}Gc$C$F$7$^$&!#(B($BLG(B)$B!!L!2h$N!V(BForget-me-not(1)$B!W$b;}$C$F$$$k$N$G!"$"$H$O%"%Y%N66KbK!>&E939$+!#(B

$B==0lF|(B

$B%/%l%h%s$B$rD0$-$J$,$iZL@EPO?$7$F6d9T2s$C$F!#(B

$BLr=j$G!#4m$J$$$N$GCm0U$7$h$&$+$H;W$C$?$i(!(!C}$C$F$k8@MU$,F|K\8l$8$c$J$$!E!E!#(B
$B0l1~F|K\8l$GCm0U$7$F$_$?$N$@$,!"$I$3$^$GDL$8$?$N$d$i!#(B

$B==FsF|(B

$B=`LkF)@OEvHV!#BT5!$N4V$K(BTeX$B$$$8$j$H$+!#(B
$B=q$$$F$$$k$H>/$7$:$D%3%^%s%I$H$+3P$($F$/$k$+$i!"$b$A$g$C$H;H$$9~$s$G$_$h$&$+$J!#(B
$B$H$O$$$(!"%9%?%$%k%U%!%$%k$^$@=q$1$J$$$s$@$1$I!E!E!#(B

$B==;0F|(B

$BLk$OGq$^$j!#(B
$B$=$s$JLk$K!V0e$B$3$3(B$B$N(B#159$B!K$H$+FI$s$G$k$o$?$7!#3N$+$K%d%P%$$M$'!#(B
$BB>$K$b>P$C$F$$$$$N$+$o$+$i$J$$(B$B$3$s$J(B$B%8%g!<%/$b8+$D$1$?$j!#(B

$B==;MF|(B

$B30Mh$7$F%+%s%U%!$7$F(!(!Lk$O=`LkF)@OC4Ev!#O+4p=p$KCN$l$?$i%d%P%$$C$F!#(B
$B$b$C$H$b!"H4K\E*$K$3$&$$$&O+F/4D6-$r@'@5$7$h$&$H;W$&$H0e.(!(!$D$^$jIB1!$rDY$7$?$j5_5^30Mh$rJD$a$?$j$7$J$$$H$$$1$J$/$J$k$N$G!"Ly$r$D$D$3$&$H$$$&?M$,>/$J$$$N$@$1$l$I!#(B

$B==8^F|(B

$BAa5/$-$7$FHt9T5!$K>h$k!#5!Cf$G!VH>J,$N7n$,$N$\$k#4!W!J66K\KB!?EE7bJ88K!KFIN;!#(B$B3HD%7??46Z>I!'(Bdilated cardiomyopathy$B$G$9$+!"$=$l$O$^$?Lq2p$JIB5$$r$H$j$"$2$k$b$N$G!#(B
$BAa@$$H$+Tp@^$H$+8@$o$l$k7A$G@$$r5n$k?M$O>/$J$$$J$,$i$$$k!#;v8N$G$"$C$?$j<+;&$G$"$C$?$j$9$k$,!"IB;`$b>/$J$/$O$J$$!#Nx0&%I%i%^$J$I$G$O%R%m%$%s$,IT<#$NIB$K?/$5$l$k$N$O$^$!0l$D$N%Q%?!<%s$H$9$i!"8@$($k$+$b$7$l$J$$!#(B
$BNW>20e$N;E;v$OBh0l$KIBBV$r@5$7$/2rL@$7$F%j%9%/J,@O$r$7$C$+$j$9$k$3$H!"BhFs$K3Ne$KN)$C$FBP1~J}?K$r7h$a$F$$$/$3$H!"$G$O$J$$$+$J$H;W$&!#Bh;0$N;E;v$NCf$K$O$b$A$m$sM=A[$5$l$k0-$$7k2L$KBP$7$F$9$3$7$G$b$^$7$J7kKv$rMQ0U$9$k$3$H$,!"$"$k$N$G$O$J$$$+$J$H;W$&!#(B
$B6lDK$r4KOB$7!";`$N

$B==O;F|(B

$B:G6a$NBS=K$NBS$O%$%*%s2C9)$GH~H)8z2L$^$G$"$k$i$7$$!JGzLG!K!#(B

$B!V6d2O1QM:EA@b!WGc$$=8$a$F$$$?$N$,$=$m$C$F$-$?$N$GFI$_;O$a!#@o5-J*$@$1$K?M$,;`$L;`$L!#?M$N6r$+$7$5$^$G4^$a$F%j%"%k$C$]$$$N$,2?$H$b8@$($:!#$G$b3N:n!#(B

$B==<7F|(B

$BAjJ}$N.@n0l?e!?%=%N%i%^J88K!K!#(B
$B!V@i%^%$%k5^9T!W=E8|$J5!4Xl?MJ*C#$,Bg9%$-!#(B

$B9qN)E7J8Bf;M$B$G$9$+!#$0$j$0$jOG@150F;$d$i2?$d$iF0$+$7$J$,$iE7BN$r9M$($k$N$OIT;W5D$J5$J,!#(B

$B==H,F|(B

$B5Y2KCf$O$3$H$b$J$7!#A1$-$+$J!#(B
$B0lHV?4G[$@$C$?7l>.HD8:>/>I$N$+$?$bJQ$o$j$J$/!#1!30$N@h@8$K%3%s%5%k%H$7$J$,$i?G$F$$$k!#EE;R%a!<%k;H$C$F%3%s%5%k%H$C$F$N$b%M%C%H;~Be$N?GNE$N$"$jJ}!"$+$b$7$l$J$$!#$=$3$G0lHVLdBj$K$J$k$N$O8D?M>pJsJ]8n$H$N$+$M$"$$$J$N$@$1$l$I!#(B

$B==6eF|(B

$BE|G"IB(Bsick day$B$C$F$U$l$3$_$N45o$,$J$$!E!E!#(B
$B$I$&$bE@E)$N1U$,:.$6$C$?7l1U$r:N7l$7$F$7$^$C$?$i$7$/!#$=$j$c$"$0$A$c$0$A$c$N%G!<%?$K$J$k$o!#$H$-$H$7$F%G!<%?$,13$r$D$/$H$-$,$"$k$1$l$I!"$=$l$O$3$s$J$H$-$@$m$&!#(B

$BFs==F|(B

$BL50eCO6hLdBj$H0eNEHq$K$D$$$F$NNr;K(B $B$rFI$`!#$^$!!"0e $BF|K\$G$O0lI$r5qH]$7$?$j$9$k!#$=$l$K$1$7$FM}M3$,$J$$$o$1$G$O$J$$$N$@$1$l$I!"!V8+$?L\7Z>I!W!V8+$?L\=E>I!W$C$F$N$O3NI(B($B$?$@$7<+3P>I>u$O7ZEY(B)$B$,!" $B0eNEHq$,9b$/$J$C$F$$$k$H8@$&!#e$,$j$K?-$S$F$$$k$N$@$1$l$I!"$=$l$G$b(BGDP$BHf$KD>$9$H%5%_%C%H;22C9qCf$G$N=g0L$O9b$/$J$$!#(B
$B$A$J$_$K:#$I$s$I$s?J$a$i$l$F$$$k!"8x1D0eNEJ]81$N=L>.$HL14V0eNEJ]81$N3HBg$,6K8B$^$G?J$s$@7A$,!"@$3&:GBg$N0eNEHq$r;H$$$J$,$i0eNEFqL1$,BgNL$K$$$k%"%a%j%+$N0eNE@)EY$G$"$k$o$1$G!#0eNEHqA}2C$r62$l$F$P$+$j$$$l$PI,MW$J0eNE$bM^@)$5$l$k>e$K!"7k2LE*$K$O0eNEHqA}2C$rM^$($-$l$J$$2DG=@-$,==J,$K$"$k$H;W$($k!#(B

$BFs==0lF|(B

$B=`LkF)@OEvHV$7$J$,$iJ8>O=q$/!#0';"J8$H$+!"0U30$KFq$7$$!E!E!#=q$-47$l$J$$7A<0$G$"$k$3$H$b$"$k$N$@$m$&$1$l$I!#$"$H!"8@$$2s$7$K5$$r;H$o$J$1$l$P$J$i$J$$$3$H$b!#(B

$BFs==FsF|(B

$BF|Cf$N6PL3$N$"$H!"M $B2!$9$H5Q$C$FF($2$F$$$/%?%$%W$N8\5R$C$F7k9=$$$k$H;W$&$s$G$9$h!#$=$l$H$b$=$&$$$&?M$O>/?tGI$J$N$+$J$!!#$^!"%;!<%k%9%^%s$N$h$$%+%b$K$O$J$j$($J$$5R$J$s$G$9$,!#(B

$BLk$OKeIWIX$HFi$r$D$D$/!#C-J"?)$Y$?$"$H$N$o$?$7$NJ"$r8+$F!V$*J"=P$F$-$?$M!W$HNd87$J;XE&$r2<$7$?E[0lL>!E!E!#BN=E7W$O?M@8:G9b$NCM$r<($7$F$$$^$7$?$H$5!#(B

$BFs==;0F|(B

$BKe$HLE$,Gq$C$F$$$C$F!"Ke$OLH5v;n83>l$XLH5v$N99?7$X!#$=$N4VLE$rMB$+$C$F$$$?!#(B
$B$^$@JR8@$b=P$J$$%l%Y%k$NMD;y$rMB$+$C$FBg>fIW$+$H$b4m$V$s$@$N$@$,!"0F$KAj0c$7$F$o$j$HMn$ACe$$$F$*$j!#:rF|0l=o$KFi$r$D$D$$$?8zMQ$+!"?M8+CN$j$b=P$:!#(B
$B$=$l$G$bCkA0$K$O$0$:$j$@$7$?$N$G%Y%S!<%+!<$K>h$;$F6a=j$N8x1`$KO"$l$@$7$?$i!"8x1`$K$D$/A0$K8+;v$K=O?g!#54$N$$$L4V$N$J$s$H$d$i$G!"%Y%S!<%+!<$NK5$K?X

$BLk$OAjJ}$NM'?M$N0e3XIt9g3J=K$$!#FsF|B3$1$FFi$rC-J"!E!E!#(B

$BFs==;MF|(B

$B $B30MhF)@O$b

$BFs==8^F|(B

$BF~1!!#6e==2a$.$NF)@O4IM}Cf$NJ}!#9bNp

$BLk$O$*Gq$^$j!#F)@O4IM}Cf$NSREG45

$BFs==O;F|(B

$B$3$NF|$ND+$OIi2Y;n83$+$i;O$^$C$?!#D+?2@E$^$C$F$$$k:"$+$i:N7l!_8^2s!#$*$^$1$K4G8nIX$5$s$+$i!V$3$N?M$b$*4j$$$7$^$9!A!W$C$FDI2C$^$G $BD+Ni$,=*$o$C$?$"$H$K302JIBEo$+$iEEOC$,$+$+$C$F$-$F!"?UITA4$N45 $B!E!E$H$j$"$($::#F|$O5kNAJ,0J>e$K;E;v$7$^$7$?!"$^$k!#(B

$BFs==<7F|(B

$B:rF|$H$OBG$C$FJQ$o$C$FMn$ACe$$$?0lF|!#J?OB$,2?$h$j$@$M!#(B

$BFs==H,F|(B

$B8aA0Cf30Mh!#(B
$BL>A0$K21$($N$J$$M=Ls45 $B:G=i$NBP1~$,;~4V$+$+$k$s$@$>!A$H6+$s$G$_$F$b!";S=&$&$b$N$J$7$C$F46$8$G!#$O$!!#(B

$BFs==6eF|(B

$BNW;~$G30Mh!#$a$^$$$H$+%$%s%U%k%(%s%6$NM=KI@\

$B6HL3=*$o$C$F$+$i?7=I$X!#(B$B%m%U%H%W%i%9%o%s(B$B$K$F!V(B$B1'Ch:n2H%/%i%V(BPresents$B!!%m%1%C%H:W$j#8!W(B
$B=i;22C$J$N$@$1$I!"%M%?$,G;$f$$G;$f$$!#(B$B#1#9;~2a$.$KE9$KF~$C$?$i$9$G$KOC$O=xHW@o!"@J$b$[$H$s$IKd$^$C$F$$$k>uBV!#@5LL$K:B$j$?$+$C$?$1$I$9$G$KKd$^$C$F$$$F!"$J$s$H$+>e $B3XLdE*$K$O$H$b$+$/!"F|K\$N%m%1%C%H3+H/$K$D$$$F$N9uNr;K$N0lC<$r8+J9$-$G$-$?$+$i$h$7$H$7$h$&!J$)$#!K!#>.L<%*!<%P!<%I%i%$%V$J8= $B9T$-5"$j$NNs.@n0l?e!?%O%d%+%oJ88K!K$H!V$^$m$&$I%(%^%N%s!W!J3aHx??<#!?%G%e%"%kJ88K!KFIN;!#$"$H!V%b%N%/%m!<%`!&%,!<%G%s(B4$B!W!JL4O)9T!K$H!V%O%k!W!J@%L>=(L@!K9XF~!#(B

$B;0==F|(B

$BLk$+$iGq$^$j!#Hf3SE*2:$d$+$K!#(B

$B;0==0lF|(B

$B$=$m$=$m5"$m$&$+$J!A$H$$$&:"$K$J$C$F6[5^t2=$N;E;v$b$"$k$+$J!A$HBT$A$+$^$($F$$$k$H$=$NDL$j$K!#(B
$B!E!E$G!"5$$E$/$H8a8e6e;~2a$.$K?UB!Fb2J%0%k!<%WA40w=89g$HAj@.$k$o$1$G!#!V?U%0%k!<%W$OCg$,$$$$$M$'!W$H$+


Written by Genesis
$B46A[Ey$O!"(B$B7G<(HD(B$B$+([email protected]$B$^$G!#(B$B%j%s%/$O$4<+M3$K!#(B

$BF|5-$N%H%C%W$X(B
$B%[!<%`%Z!<%8$X(B