Spiritual Well-Being and Correlated Factors in Subjects With Advanced COPD or Lung Cancer.

Background: Spiritual care for patients with COPD has rarely been discussed, and thus much remains unknown about their needs. The aims of this study were to identify the factors associated with spiritual well-being and to compare the levels of spiritual well-being between subjects with advanced COPD and those with inoperable lung cancer.

Methods: A total of 96 subjects with COPD or lung cancer participated in this study, which was conducted between December 2014 and April 2016.

Prevalence of unmet needs and correlated factors in advanced-stage cancer patients receiving rehabilitation.

Purpose: Although rehabilitation for patients with cancer is currently being provided throughout all phases of the disease, including the advanced stage, much remains unknown about the needs of such patients. The aims of this study were to identify the supportive care and unmet needs of cancer patients receiving rehabilitation interventions and to investigate the factors associated with those unmet needs.

Methods: A total of 45 patients with cancer receiving rehabilitation interventions participated in this study between June 2013 and December 2015.

Fasting tests of insulin secretion and sensitivity predict future prediabetes in Japanese with normal glucose tolerance.

Unlabelled: Aims/Introduction:  Reduced insulin sensitivity and secretion are important in the pathogenesis of type 2 diabetes. Their relationships to prediabetes, impaired glucose tolerance (IGT) and impaired fasting glucose (IFG) have been previously studied with the oral glucose tolerance test (OGTT). We investigated whether or not baseline measures of insulin secretion and sensitivity obtained from fasting blood specimens were related to the development of prediabetes and how these measures compared with those based on the OGTT.

[Support for a cancer-suffering mother's desire to live].

We consider the case of a woman in her 50s with thyroid cancer, lung metastasis and dyspnea; living with her high-school student son, she had a strong wish to live to see him graduate and was deeply troubled by her inability to fulfill her role as a mother in practice. The palliative care team provided support during her time in the hospital with the aim of allowing her to still feel like a mother. As her condition worsened and the prospect of death became clear, the patient expressed to staff her feelings as a mother of not wishing her son to see her suffering and dying as she approached the end.

Prevalence of GORD (gastro-oesophageal reflux disease) in Type 2 diabetes and a comparison of clinical profiles between diabetic patients with and without GORD.

Aims: To examine the incidence of gastro-oesophageal reflux disease (GORD) and its associated factors in patients with Type 2 diabetes mellitus (Type 2 DM).

Methods: In 859 Type 2 DM outpatients, we conducted a QUEST inquiry and considered those showing a QUEST score of 4 or higher as having GORD. We surveyed clinical variables (physical findings, gender, age, duration of disease, glycated haemoglobin (HbA(1c)), type of oral glucose-lowering agent, presence or absence of insulin therapy, complications, and presence or absence of agents that may be associated with GORD [Ca channel blocker (CCB) anti-platelet agents]) to investigate their association with the onset of GORD.