To date a uniform set of standards for the kinesiology and measurement of the degree of flexibility of the human body are not available in Japan. In the methods of measurement of the suppleness of the human body, various distances and angles have been used separately as frames of reference. In the selection of angles for lateral observation on the human body, some investigators have set the standard point of reference at the major trochanter, while others have taken the anterior superior iliac spine as their standard point of reference.
In the present study, the lateral angle of the human body was measured using the anterior superior iliac spine and the major trochanter as the standard points. The values from the measurement of these two points were comparatively studied around the rotation of the pelvis. In 4 male and 4 female university students without joint abnormalities, measurement was carried out in 5 postures (1) normal (2) lordosis (3) flat back (4) flexion of the trunk (5) hyperextension of the trunk.
As the standard points for angle analysis, 4 points, the acromion, anterior superior iliac spine, the major trochanter, and the lateral malleolus were selected. As the angle to express each posture, the anterior angle of the acromion-anterior superior iliac spine-lateral malleolus and anterior angle of the acromion-major trochanter-lateral malleolus were measured.
For the observation of pelvic inclination, the internal angle of the anterior superior iliac spine-major trochanter and the lateral malleolus was measured. In order to analyze this, the range of fluctuation of the postural angle against pelvic inclination around the major trochanter and anterior superior iliac spine was calculated.
As a results, a small variance in the fluctuation of the values of measurement in each test subject would express a change of posture due to pelvic rotation. In each case, the use of the major trochanter gave a small unbiased variance.
In our experience, palpation of the major trochanter or anterior superior iliac spine especially in females revealed less resistance by the former. Consequently, based on these results, the use of the tip of the major trochanter appears to be more reasonable than the anterior superior iliac spine as a reference point for the observation of the human body from the lateral aspect.
It is proposed that the standard point should be placed on the center of the major movable joint to express the posture and other movement, in addition to the anterior superior iliac spine.

High-quality terminal care cannot be given without good communication and understanding among patients, their family members and health as well as medical professionals.Recently, we have taken a questionnaire survey on new inpatients in our hospital to sound them out on their thinkings about hospital care, and examined the findings along with the validity of survey.Many respondents including those contracting either benign or malignant diseases wished to be keptposted on what they are really up against and to partake in the decision-making process before treatment plans are put into practice. The recent questionnaire survey has proved to be worthwhile as a tool to know the wishes of hospitalized patients and suggested an effective way to promote the practice of obtaining informed consent before specific test and therapautic procedure.

Introduction: We perform our trials in Tsurumi ward, Yokohama city aiming at reducing the number of “cancer refugees” to zero. State: There are many patients who receive cancer therapy outside their hometown. Once their treatment is finished due to progressive disease or deteriorating condition, they are told to leave the hospital and to get palliative care in their district. And they become so-called “cancer refugees”. The beds of palliative care units are limited so the ability to accept patients in case of emergencies is poor. In Tsurumi ward, here are a lot of home care clinics providing palliative care but the place patients want to be or receive palliative care when their condition deteriorates isn't fixed. We organized the “Tsurumi Homecare Network” as the core of medical cooperation, and have worked on improving palliative care and increasing patients who die at home. Specifically, our hospital has played a central role as a special place for palliative care, we send out our original questionnaire to home care clinics to find out how they perform palliative care and introduce patients to the appropriate clinic. Patients who are in need of hospitalization are assured acceptance. On the other hand, we propose the cancer treatment hospitals to follow their patients together with us from their early stage of cancer treatment. Problem: To maintain a good relationship for regional palliative care, improving the management for outpatients, strict and timely backup system, advanced quality of homecare-supporting staff for palliative care and cooperation between home care clinic doctors are necessary.