In this paper, we report on the process by which Saitama Medical School, the medical department of Saitama Prefectural University, which also has departments of nursing, physiotherapy, occupational therapy, child and social welfare, and health science, realized interprofessional （IP） practice by interuniversity cooperation and report on the results of that process. For the realization of IP education （IPE） through interuniversity cooperation, university presidents’ must share their recognition of the mutual benefits and importance of IPE, and the teaching staff must work together towards a common goal. The benefits of locally based IPE （IP practice） of Saitama Prefectural University were that medical students became more aware of their role as caregivers for the entirety of their patients’ lives and that students of other departments were able to participate in IP work with medical students as part of their undergraduate education, to form partnerships with physicians, and to clarify the special nature of their occupations.

Life ; Cessation of life

Experiments to determine the relationship between the exposure time following death from cold and the amount of residual NPN in blood and organs.
Sixty rabbits weighing about 2500 grams were used in these experiments. Their whole bodies except the head and face were immersed in water at a temperature of 2 to 10°C and fastened by tight binding. Their rectal temperatures were measured five minutes apart using a thermocouple thermometer. The measured amount of residual NPN in tissues and blood with each experiment group by the Kjeldahl method after the death are as follows:
1) The amount of residual NPN in organs and blood differed depnding on aggressiveness and the length of time until death.
2) When the length of time until death was relatively short, the amount of NPN in organs decreased and that in blood increased.
3) When the length of time until death was relatively long, the amount of NPN inorgans increased extremely and that in blood also increased.
4) The amount of residual NPN in organs and blood starts to change at the initial stage of aggression.

[Objective]This report is a case where Chinetsu moxibustion treatment (feeling heat but non-scarring moxibustion) improved atopic dermatitis symptoms;despite the internal application of antihistamines and external application of topical steroids. Prolonged damp erythema and scars were caused by scratching during sleep.
[Method]The patient received Chinetsu moxibustion to the affected area (left popliteal fossa and both hands) once every 2 weeks over an 11 month period, totaling 25 treatment sessions.
[Results]The scars by scratching during sleep were reduced from the day after the first moxibustion. After one month of treatment, the symptom level of the patient's left popliteal fossa changed from "moderate"to "slight". For her hands, the symptom level improved from "moderate"to "slight"after 9 months. As a result, her doctor halved the amount of internal medicine and switched topical steroids to moisturizer only for external treatment. The patient's skin condition continued to be good after 11 months, so treatments by moxibustion and internal medication were terminated.
[Conclusion]It is suggested that Chinetsu moxibustion treatment may be effective for preventing scratching behavior during sleep, and therefore may complement dermatologic treatment for atopic dermatitis.

Following the amendment of the Exclusionary Clause, there has been an increase in the number of healthcare professionals with hearing impairments actively contributing in various fields, although the total count remains unclear. Drawing from experiences and inquiries received by the Japan Network of Deaf and Hard of Hearing Medical Professionals, this paper examines the current status and challenges faced by these individuals. The work environment for healthcare professionals with hearing impairments is not adequately established, largely relying on individual efforts and trial and error within workplaces. The enrollment of individuals with hearing impairments in higher education institutions aiming for healthcare qualifications remains limited, with educators and mentors often having limited experience in collaborating with individuals with hearing impairments, indicating a lack of understanding. Barriers to training and career advancement persist even after graduation from higher education institutions.　The presence of hearing-impaired healthcare workers is significant to provide medical services to a diverse population. There is a need for the use of text and sign language interpreters, as well as the development of information sharing and support systems, to create a better working environment that accounts for communication needs.

Recently, many deaths while bathing in the home bath have been reported. During the winter season, hot water at a high temperature is commonly used for bathing. The circulatory system may thus be seriously affected by the hyperthermia load produced by undressing in a cold environment and subsequent bathing in a bathtub at a high temperature followed by a rapid temperature change due to exposure to cold air after bathing. However, death while bathing also occurs in the summer season.
From the cases of death while bathing in the summer season, we found commonality in terms of sex, age, water temperature, bathtub size, and causes of death.
The average age in all cases was 69.7. There were 47 male and 46 female deaths indicating an almost equal ratio. The average water temperature at the time of deaths while bathing was 40.7°C. The typical bathtub size was small, 750 to 900mm. In a small Japanese style bathtub, one must compress the body and therefore become more vulnerable to water pressure.
From these results, warming, drawing in of limbs, and effects of water pressure on the body may contribute to deaths while bathing in the summer season and also are factors produced by bathing throughout the year.

In recent years, high doses of morphine have come to be used to relieve pain in terminal cancer patients, but not all the patients are treated by this pain intervention method because of a poor understanding of terminal care. The authors have organized a terminal care confernce in order to solve this problem in our hospital.
The conference has been held 8 times over the past 18 months.
Cases of good pain control by high doses of morphine were demonstrated, and cancer pain control manuals were prepared for distribution to the medical staff.
After such activity, the total dosage of morphine in the hospital a year showed a sixfold increas.