1.Appearance of Skin Moisturization in the Final Stage of life - A Prospective Observational Study with Clinical Pathway for End-of-Life Care (Liverpool Care Pathway Japanese Version) in Palliative Care Unit
Hiroaki SHIBAHARA ; Masahito MURAMATSU ; Takahisa NIWA ; Daisaku NISHIMURA
Journal of the Japanese Association of Rural Medicine 2015;64(2):131-139
Objective: To elucidate the appearance of skin moisturization (cold and clammy skin) indying period and related factors. Methods: Patients were observed prospectively with skin moisturization using the clinical pathway for end-of-life care (Liverpool Care Pathway Japanese version [LCP]) by nurses in the palliative care unit. Results: Of 213 patients placed on LCP, 48 (22.5%) indicated skin moisturization, which was observed mostly in summer and in the morning. It appeared 45.8 hours before death on the average. By multivariate analysis, the administration of non-steroidal anti-inflammatory drugs (NSAIDs) was an independent related factor. Conclusions: Compared to our previous retrospective study, the appearance of skin moisturization was higher in frequency and earlier in the dying period, and the administration of NSAIDs was an independent related factor.
2.Intracellular lipid accumulation and insulin resistance in skeletal muscle and liver
Yoshifumi Tamura ; Yasushi Tanaka ; Fumihiko Sato ; Jong Bock Choi ; Hirotaka Watada ; Masataka Niwa ; Junichiro Kinoshita ; Aiko Ooka ; Naoki Kumashiro ; Yasuhiro Igarashi ; Shinsuke Kyogoku ; Tadayuki Maehara ; Masahiko Kawasumi ; Takahisa Hirose ; Kouhei Takahashi ; Susumu Doi ; Shizuo Katamoto ; Ryuzo Kawamori
Japanese Journal of Physical Fitness and Sports Medicine 2007;56(1):34-34
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