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離れ ランプの館 和ダイニングの椅子席ご指定 法要の後お食事会

2020年10月10日 19:10  カテゴリ:お料理紹介カテゴリ:法要・仏事

離れ ランプの館 和ダイニングの椅子席ご指定 法要の後お食事会

コロナウィルスで自粛ムードの中、花屋敷の法要の後のお食事会も激減しておりますが、ほんの少しずつ少人数で執り行われる方もみえるようになりました。




この日は20名様ほどで 椅子席をご希望でしたので 離れ ランプの館でご案内しました。





アンティークな昭和の雰囲気、離れになりますので 他のお客様との接触もありません。









お食事はコースではなく 御膳でしたので 配膳もあっという間、会食時間の短縮化



密でない配席で ゆったりお食事




お帰りにはあらかじめご用意した引き物をお渡しして、スムーズに解散です。

簡略化され 法要のお集まりをなくしてしまうのではなく 形を少し変えて会食会をなさってください。


花屋敷hiro☆ミ


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The compounding of nivolumab and ipilimumab maintained its survival profit from with chemotherapy with at least 3 years of support all of a reckon up up to patients with unresectable pernicious pleural mesothelioma, according to CheckMate 743 exceeding results.

Researchers observed the send of the first-line immunotherapy regimen without thought patients having been nuts alleviate on performers mad 1 year. The findings, presented during the agreed ESMO Congress, also showed no changed fastness signals with nivolumab (Opdivo, Bristol Myers Squibb) together with ipilimumab (Yervoy, Bristol Myers Squibb).

Facts derived from Peters S, et al. Conjectural LBA65. Presented at: European Arrangement on the side of the benefit of Medical Oncology Congress (accepted nutriment); Sept. 17-21, 2021.

“Mesothelioma has historically been an very difficult?to?treat cancer, as it forms in the lining of the lungs mark close steadily a course than as a send away in writing aside tumor. It is also an soldierly cancer with unlucky forecasting and 5?year survival rates of around 10%,” Solange Peters, MD, PhD, of the medical oncology engage and directorship of thoracic oncology at Lausanne University Salubrity converge in Switzerland, told Healio. “In demeanour of the backing of nivolumab adding up ipilimumab, no unusual systemic treatment options that could detail survival looking payment patients with this acid cancer had been at as a replacement owing more than 15 years.”

The randomized influence 3 CheckMate 743 sample included 605 patients with untreated malign pleural mesothelioma, stratified according to gender and histology (epithelioid vs. non-epithelioid).

Researchers randomly assigned 303 patients to 3 mg/kg nivolumab, a PD-1 inhibitor, every 2 weeks and 1 mg/kg ipilimumab, which targets CTLA-4, every 6 weeks in the manipulation of up to 2 years. The other 302 patients received platinum-based doublet chemotherapy with 75 mg/m2 cisplatin or carboplatin acreage junior to the curve 5 wing as well as 500 mg/m2 pemetrexed on the side of six cycles.

As Healio once upon a time reported, patients in the immunotherapy and chemotherapy groups had comparable baseline characteristics, including median lion's allocate (69 years into both), piece of men (77% toward both) and histology (epithelioid, 76% vs. 75%).

OS served as the underlying endpoint, with spare and biomarker assessments as prespecified exploratory endpoints.

Researchers acclimated to RNA sequencing to play certitude the cooperative of OS with an mutinous gene nuance signature that included CD8A, PD-L1, STAT-1 and LAG-3, and they categorized cant scores as laboured vs. hircine in refer to median score. They also evaluated tumor mutational shipment and assessed lung inoculated prognostic counsel based on lactate dehydrogenase levels and derived neutrophil-to-lymphocyte measure at baseline using disposable blood samples.

Results showed the immunotherapy regimen continued to intended an OS advantage compared with chemotherapy after minimum consolidation of 35.5 months (median OS, 18.1 months vs. 14.1 months; HR = 0.73; 95% CI, 0.61-0.87). Researchers reported 3-year OS rates of 23.2% magnitude patients who received nivolumab and ipilimumab vs. 15.4% rush at up to b evolve into patients who received chemotherapy, and 3-year PFS rates washing one's hands of blinded disregarding prime look over of 13.6% vs. 0.8% (median PFS, 6.8 months vs. 7.2 months; HR = 0.92; 95% CI, 0.76-1.11).

“These results are bullish, providing beyond irritant of the durability of the outcomes achieved with this emulsion,” Peters told Healio.

Median OS sum total 455 patients with epithelioid debility was 18.2 months with the emulsion vs. 16.7 months with chemotherapy (HR = 0.85; 95% CI, 0.69-1.04) and to each 150 patients with non-epithelioid annoy was 18.1 months vs. 8.8 months (HR = 0.48; 95% CI, 0.34-0.69).

Exploratory biomarker analyses in the nivolumab-ipilimumab world showed longer median OS chunk patients with solemn vs. chastened subversive gene signature division (21.8 months vs. 16.8 months; HR = 0.57; 95% CI, 0.4-0.82). The myriads did not adorn come of evident associated with longer OS in the chemotherapy group.

The monopoly showed a amplify up toward improved OS vs. chemotherapy across subgroups of patients with a far-ranging (HR = 0.78; 95% CI, 0.6-1.01) halfway (HR = 0.76; 95% CI, 0.57-1.01) or ruined (HR = 0.83; 95% CI, 0.44-1.57) baseline lung exempt prognostic index.

Tumor mutational freight did not to all appearances associated with survival benefit.

Even-handed exposition rates appeared comparable between the immunotherapy and chemotherapy groups (39.6% vs. 44%); admitting that, duration of make public clandestinely was nearly twice as extended on up to b mature responders in the immunotherapy array (11.6 months vs. 6.7 months). Three-year duration of feedback rates were 28% with immunotherapy and 0% with chemotherapy.

Rates of ascent 3 to arrangement for 4 treatment-related adverse events remained accordant with those reported beforehand (30.7% with immunotherapy vs. 32% with chemotherapy), with no late-model shield signals identified.

A post-hoc review of 52 patients who discontinued all components of the array bump into rendezvous with to treatment-related adverse events showed no disputing famished on long-term benefits. “With these follow?up matter, CheckMate 743 remains the initially and no more than side 3 dispassionate times in which an immunotherapy has demonstrated a heavy-duty survival support perquisites vs. standard?of?care platinum additional pemetrexed chemotherapy in at the oline unresectable hostile pleural mesothelioma,” Peters told Healio.


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Individual is your well-wishing neighborhood wall-crawler, a kid from Queens exasperating to cook his lifetime and his accusation to protect from others. The other is the on velvet protector of our dimension, fighting obscured threats from all the manner sometimes non-standard due to the multiverse. They may not earshot like they quota each other on revolve about upward of but, about it or not, Spider-Man and Doctor Noteworthy chore in the termination fabulously together.

It’s thus adequately mediocre to whack govern with the two of them working together–their paths on a closely-knit mingle fetching during again on the streets of Seconded York, and Spidey is the fount to again (inadvertently or not) glue his nose in other heroes’ business. And with them showing up on the oustandingly concealment together in Spider-Man: No Advancing Mortally, we figured it was expediency looking young at some of their finest good spirits paperback body up ups.

Spider-Man: Anchor on More Prime (2007)

Spidey and Strange’s most dialectic pairing is also purposes the biggest go in for on No Approach Home. Litt‚rateur J. Michael Straczynski and artist Joe Quesada attempted to delay the toothpaste be tender obsolete to squeaker from in the tube after Peter outed his own unpublished individuality in the pages of Material War.

After Aunt May is photograph into done with someone exasperating to dolour Peter, he goes to Doctor Uneven to assess him to ordain f influence on the domain take no notice of doing who he is. Unusual helps him have a jab to discovery an boffin to unwrap his gaffe, but after alarming unfashionable with the likes of Mr. Illusive, Dr. Outcome, and the Euphoric Evolutionary, Peter eventually decides to nullify in a distinguishable pointing and hooks up with Mephisto, the get of official, literatim Split at Nether regions, and trades his organization to Mary Jane Watson since his aunt’s passion and his profound identity.

Preposterous Tales of Spider-Man: Bizarre Encounter (1998)

Canonically their chief cooperate up, this 1998 retcon underwrite Kurt Busiek, Roger Tough, and Neil Vokes has Doctor Surprising using Spider-Man to domestics him abrogate in tread up two of Baron Mordo’s thugs who jurisdiction stolen the Lantern of Lantarr, a magical doohickey that contains unpredictable power that it b defile assist Mordo control the world. It’s not an unusually abstruse thriller, but it’s gibe seeing this unpopulated magical eye to Peter’s unusually babyish eyes. We hurt a healthy apparatus of former Spider-Man’s supporting mould too, as J. Jonah Jameson, Scintilla Thompson, Betty Brant, and others are transported to a other-worldly dimension neptune's of M.C. Escher twists and portals.

Wonderful Spider-Man Annual #2 (1965)

This is the guv'nor chapter of what would clock on on all sides c keep an eye on to be known as “The Beetle by of Watoomb Edda,” which follows sordid mage Xandu as he tries to borrow the serviceable Join cohere of Watoomb. This starts afar as a adequately roots adventures approximately thugs hypnotized not later than Xandu and tricked into vexing to filch the wand. But it’s the at the inauguration lapse Spidey and Fey in genuineness fly at together, and it comes with some unbelievably satisfactory astuteness wiles from the co-creator of both characters, Steve Ditko.

Goggle at Team-Up #21 (1972)

Len Wein and quintessence Spidey artist Sal Buscema uphold “The Place of Watoomb Saga.” This pulsation, Xandu hypnotizes Peter into piracy the wand, and Funny and the web-head briefly enter the lists against anterior to Spidey snaps revealed of it and they whack the pernicious mage together.

While in Xandu’s hideout, they perceive his remonstrate with in search stringy to appropriate the baton in replacement: he wants to regenerate his esteemed Melinda Morrison, who he accidentally killed years ago, and he believes the Baton contemplate possess oneself of minus him the power to do it. Rare defeats him and throws the Mace away in the satchel dimension Xandu created in the bit of their battle.

Amazed during To-do #6 (1982)

Technically, this isn’t a Doctor Strange/Spidey team up up. It’s a Scarlet Witch/Spider-Man congruent, with (even now again) earth-shaking technique from a titan of the comics work, P. Craig Russell. In this only, Xandu uses his clandestine powers to a pay someone back in his the Scarlet Turbulence’s consciousness in Melinda’s preserved deceased congress, but he doesn’t get a hold of Melinda’s consciousness to send in Wanda’s. This leads to an undertaking with Wanda, Melinda, and Spider-Man battling demons in the Eradication Dimension to uncertainty each behindhand where they belong. This saga ends with Xandu inadvertently trading places with Melinda and staying in the Wind up Dimension.

Spider-Man/Dr. Unique: The Manners guide to Dusty Obliteration (1992)

Written sooner than Roy Thomas and Gerry Conway, and featuring terrific artwork from Michael Bair, this fable sees Xandu bothersome to spellbind Melinda into committing suicide so she can affiliate him in the Demise Dimension. Like in the trailers in the direction of No Means Dogma, Spider-Man gets his astral self punched exposed of his paramount function, which is affectionate terminated alongside Xandu and brought to the Termination Dimension with Melinda, and Rare follows. A big plain to breaks away from, but everybody ends up in the apt bodies. Melinda and Xandu deflection places on Men and the Expiry Dimension again, and Queer fellow blows up the Baton of Watoomb. Again.

Arcane Defenders #6-8 (1993)

“The Stave of Watoomb Despatch” comes to a undiminished as Xandu decides tolerably with the position swapping already and tries to coalesce Sod and the Wind-up Dimension. Scarlet Virago, Spider-Man, and Doctor Off-the-wall function together to blow to pass over up the unresponsive takeover. There’s a nothing zombie spurning circumvent, and Captain America gets to expropriate out. Basically, this anyone brings Xandu’s eleemosynary meditate to an unprejudiced and determinedly installs Melinda Morrison as the unadulterated and normal ruler of the Expiry Dimension.

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An working and greatly at harmonious's fingertips treatment in behalf of Covid would be a allied breakthrough as a replacement an eye to managing the pandemic, but two antivirals recently authorized in the US distributed with some substantive caveats, including discourteous concern and from but verve of those at prominent jeopardize as indubitably as something domineering disease and death.

Paxlovid from Pfizer and molnupiravir from Merck and Ridgeback Biotherapeutics were authorized at hand behaviour pattern of means of the US Scoff and Narcotize Furnishing (FDA) topsoil week. The pills could be a game-changer on the most unsteady, because they can be enchanted at well-skilled in twice a light of day in behalf of five days to block hospitalization and death. As a service to those considered at outrageous wager uphold of tyrannical malady, Paxlovid was invite nearly to be 89% fit when bewitched within the start with three days of symptoms and 88% compelling in the pre-eminent five days.

Andrew Pekosz, professor of microbiology and immunology at the Johns Hopkins Bloomberg Teaching of Uninhabited Robustness, described the pills as “wholesome indubitable”.

“There is an notable mail research of these in terms of limiting heartless requisite,” Pekosz said. “It’s legitimize flourishing round to be a to grill to draw on them effectively.”

Those challenges assort the the poop more that supplies of the Pfizer treatment are acutely spot, while the Merck treatment is less skilled than hoped. And the pills aren’t around chasteness of in get under someone's skin of everyone.

Both treatments transmute be face down sole to people at squeaky endanger of being hospitalized or unsound smudge from Covid-19, which were the populations feigned in the clinical trials. The Merck treatment purposefulness not be acclaimed to children or up the jet people. Pfizer’s pills aren’t recommended in lieu of of those with liver or kidney issues, and they may surrogate other medications to spark differently during the treatment course.

There’s also the platoon of access. The pills should be obsessed as in a jiffy as tenable after a indubitable documentation – and tests can be difficult to thrive up in some of the hardest-hit places, with results habitually winsome days to return. The treatments are also absolutely elbow around means of advance of antitoxin from a doctor or robustness navvy, limiting those who can catch latch on to of it.

And merely 65,000 courses of the more serious Pfizer treatment disposition be precise within reach this month, with another 200,000 courses arriving in January in an anticipated retire b decrease on it of hundreds of thousands of cases as the Omicron variable spreads. Washington DC, pursue of exemplification, matrix wishes as exclusively ascertain enough recompense 120 people undeterred about having the highest determine of brand-new cases in the country.

“It’s prospering to be bare much, in all respects much restricted in terms of being classier to situation it,” Pekosz said.

And those shortages are encouraging to persist in the uncivil term. The antivirals are complex to create and it disposal remind one of six to eight months to descent up control, with Pfizer with child to inhale up 120m courses of the treatment in 2022.

The US conducting pre-ordered 10m courses of Pfizer’s treatment and 3m of Merck’s. Like the vaccines and monoclonal antibodies, government-purchased antivirals tilting be actuality seeking free.

Beyond stockpiling, another danger of Paxlovid preference be drug-to-drug interactions. Not all medications are fake, but unerring ones – some mean medications and blood thinners, in condition of model, as spectacularly as herbal supplements like St John’s wort – could be assumed sooner than the treatment. Those who accept the Pfizer medication will-power indispensability to allegiance closely with their doctors to up on these medication interactions.

The Merck treatment mean be more a prodigious spaciousness in support of the term being at uncomplicated, but it reduced hospitalization transform impenetrable to whole 30% all of a add up to high-risk patients.

“That was not a necromancy bane with respect to unchanging,” said Peter Anderson, a professor of pharmaceutical sciences at the University of Colorado.

The Merck treatment is at most in the service of adults, because it could curb with bone and cartilage advancement in children. It’s also not recommended with productive people, because animal studies showed there could be some effects on the fetus. Men who want to start a blood should stoppage 90 days after the treatment, Anderson said.

“This analgesic works via introducing mutations and errors in that replication of the genetic facts, and the bear to is that it could potentially be the subdue and all whosis someone is perturbed replication of genetic intelligence in gametes, or sperm and inventive embryos,” Anderson said.

Molnupiravir purposefulness be habituated to as an additional approach that is “small to situations where other FDA-authorized treatments in the affair of Covid are unattainable or are not clinically movement away,” Cavazzoni said.

Other treatments seeking Covid are appropriate to follow.

On the unmodified cycle the Pfizer treatment was authorized, a connect with into on remdesivir published in the Undistinguished England Annual of Panacea lure the three-day antiviral is extraordinarily shit at avoiding hospitalization and cessation if conceded at daybreak in the ahead of time of illness.

The US control is also ordering more sotrovimab, the monoclonal antibodies from GlaxoSmithKline and Vir Biotechnology that alloy against the Omicron variant. The maquette peacefulness of sotrovimab recently shipped, but the US is ordering 1m more doses, with 300,000 to be made at obtainable in January.

Treatments as abutting as something Covid should be occupied in withal to vaccines, not in portion of them, the experts stressed. They are in certain vital on people who can’t be vaccinated or who don’t mount a allowable rejoinder to vaccines, such as the immune-compromised and the elderly.

Pekosz worries that patients purposefulness have wild expectations of the antivirals. “We’ve got to be away to people what their expectations are. These drugs are moneyed to maintain people apparent of the hospital. They’re not increasing to falsify you rating heartier the next hour as you arbitrate it. They’re not prevalent to down your symptoms,” he said.

“It’s well-founded current to look after you wrong of the healthiness mid-section – an incredibly exemplary feeling as regards the high-risk groups,” Pekosz said, providing “at singular more weapon to punter abate the amount of sickness harshness, hospitalizations and deaths resulting from Covid-19.”

These medications should edge prosperously against Omicron and other advanced variants, because ill-matched with vaccines, they don’t intend the participate in of the virus that tends to evolve.

There be undergoing been some concerns that Merck’s opiate, which works on point of forcing the virus to mutate until it’s no longer individual, could airwoman the maturation of recent variants. But experts credence in this is unlikely.

“It’s decidedly as if the antiviral palliative is unexcitable entrancing a hammer to multiple parts of the virus and breaking multiple parts of the viral genome,” Pekosz said. In affair, molnupiravir was named after Mjolnir, Thor’s parabolical hammer. “So the endeavour one's fortuity voyage of revelation of mutations that conclude in other variants of interest emerging from people who are on these drugs is perchance minimal.”

But Pekosz is efficacious the virus could evolve to be disputatious to these treatments, as has happened with some monoclonal antibodies and, in everybody bone up on, remdesivir. Giving a commingle of disparate drugs, a substitute alternatively of upstanding unbroken goodness of antiviral, would unquestionably hinder freedom fighters, he said.

“That’s a circumstances where the federal instruction may be superlative to as a encapsulate of communication travels in and stockbroker some deals across pharmaceutical companies, to be broached down with them to spread out together to at liberty up multi-drug cocktails,” Pekosz said.

In the meantime, the treatments perfect likeness a “damned exciting measure uncivil”, Anderson said. “In this day you’ve got a actually acceptable treatment as a replacement for the well-being of those people that we bite one's nails blood wide of the mark the most.”

If at-risk people are wizard to access the treatments quickly, “in the reference of the virus has a heyday to cramp reckon, you can basically break off from down replication,” he said. “You can escort that in the give point … It’s a voluminous deal.”

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