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6 mEq/L, and QTc of 0.45 seconds. The patient underwent gastrectomy and adenocarcinoma was observed. Conclusion We described a resolved case of severe metabolic alkalosis and acute kidney injury in a rural medical setting following conservative management.Objective The present study aims to investigate the factors related to self-rated ikigai (purpose in life) among older residents participating in hillside residential community-based activities in Nagasaki City. Methods A self-administered anonymous questionnaire survey was carried ou