^○Ryo Yoneima, Shiro Ono, Nobushiro Nishimura, Hiromasa Kawashima, Kiyomi Yoshimoto, Kenji Nishio (Nara Medical University)

^○Nuanchan Wansuphadilok (Hat yai hospital in southern of thailand)

^○Yuko Ota^1,2, Yoshinao Satoi^2,3,5, Takamasa Watanabe^2,4, Yusuke Shigeshima¹ (1.Tokyo Hokuto Health Co-operative, Seikyo Ukima Clinic, 2.Japan Health and Welfare Co-operative Federation, Centre for Family Medicine Development, 3.Kawasaki Medical Co-operative Association, Kuji Clinic, 4.Tokyo Hokuto Health Co-operative, Kita-adachi Clinic, 5.The Jikei University School of Medicine Graduate School, Community Health and Primary Care Medicine)