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Dysphagia assessment and management in patints with degenerative dementia

Research Project

Project/Area Number 25463281
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Social dentistry
Research InstitutionTokyo Metropolitan Geriatric Hospital and Institute of Gerontology

Principal Investigator

HIRANO HIROHIKO  地方独立行政法人東京都健康長寿医療センター(東京都健康長寿医療センター研究所), 東京都健康長寿医療センター研究所, 研究員 (10271561)

Project Period (FY) 2013-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Fiscal Year 2015: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Fiscal Year 2014: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2013: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Keywords老年歯科 / 認知症 / 摂食嚥下障害 / 栄養 / アルツハイマー病 / 変性性認知症 / 骨格筋量 / 嚥下機能 / アルツハイマー型認知症 / 変性疾患 / FAST / 口腔機能
Outline of Final Research Achievements

The purpose of this study was to investigate swallowing function in elderly people with Alzheimer’s Disease(AD) in order to determine malnutrition risk factors. Subject: Subjects included elderly AD patients requiring care in Japan. The multiple logistic regression models showed that Dementia Severity and occlusal contacts were significant with the well-nourished and risk of malnutrition groups as the objective variables. However, when the well-nourished and malnourished groups were the objective variable, Barthel Index, occlusal contacts, and swallowing ability were significant. The results revealed that effective nutritional management for elderly patients with AD requires not only the evaluation of nutritional status, but also understanding the differences in risk factors based on nutritional status. The results of this study showed that ADL disability, greater dementia severity, occlusal contact dysfunction, and swallowing function were significant risk factors for malnutrition.

Report

(4 results)
  • 2015 Annual Research Report   Final Research Report ( PDF )
  • 2014 Research-status Report
  • 2013 Research-status Report
  • Research Products

    (57 results)

All 2016 2015 2014 2013 Other

All Journal Article (31 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 8 results,  Open Access: 5 results) Presentation (23 results) (of which Int'l Joint Research: 7 results,  Invited: 6 results) Book (3 results)

  • [Journal Article] ワンポイント講座 認知症高齢者への口腔ケアと食支援 Vol.17 認知症高齢者の安全な食への配慮2016

    • Author(s)
      枝広あや子、平野浩彦
    • Journal Title

      コミュニティケア

      Volume: 18(1) Pages: 34-35

    • Related Report
      2015 Annual Research Report
  • [Journal Article] 不安を受け入れてうまくいく トラブルをよばない認知症患者さんへの対応2016

    • Author(s)
      平野浩彦
    • Journal Title

      歯科衛生士

      Volume: 469 Pages: 54-65

    • Related Report
      2015 Annual Research Report
  • [Journal Article] 認知症の食を支える視点―アルツハイマー病とレビー小体型認知症を中心に―2016

    • Author(s)
      平野浩彦
    • Journal Title

      日本静脈経腸栄養学会雑誌

      Volume: 31(1) Pages: 235-235

    • Related Report
      2015 Annual Research Report
  • [Journal Article] ワンポイント講座 認知症高齢者への口腔ケアと食支援 Vol.18 認知症高齢者が食べやすい食への配慮2016

    • Author(s)
      枝広あや子、平野浩彦
    • Journal Title

      コミュニティケア

      Volume: 18(2) Pages: 36-37

    • Related Report
      2015 Annual Research Report
  • [Journal Article] 認知症と歯科―いま地域歯科医院に求められることとは何か?―2016

    • Author(s)
      平野浩彦、深井穫博、枝広あや子、木之下徹、帆苅 薫、細野 純
    • Journal Title

      歯界展望

      Volume: 127(2) Pages: 241-262

    • Related Report
      2015 Annual Research Report
  • [Journal Article] Factors associated with older adults' need for oral hygiene management by dental professionals2015

    • Author(s)
      Morishita S, Watanabe Y, Ohara Y, Edahiro A, Sato E, Suga T, Hirano H.
    • Journal Title

      Geriatrics & Gerontology International

      Volume: - Issue: 8 Pages: 1-7

    • DOI

      10.1111/ggi.12585

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] An examination of factors related to aspiration and silent aspiration in older adults requiring long-term care in rural Japan2015

    • Author(s)
      Sakai K, Hirano H, Watanabe Y, Tohara H, Sato E, Sato K, Katakura A
    • Journal Title

      Journal of Oral Rehabilitation

      Volume: 43 Issue: 2 Pages: 103-110

    • DOI

      10.1111/joor.12349

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Relationship between swallowing function and the skeletal muscle mass of older adults requiring long-term care2015

    • Author(s)
      Murakami K, Hirano H, Watanabe Y, Edahiro A, Ohara Y, YOSHIDA H, Kim H, Takagi D, Hironaka S.
    • Journal Title

      Geriatrics & Gerontology International

      Volume: 15 Issue: 10 Pages: 1185-1192

    • DOI

      10.1111/ggi.12572

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] ワンポイント講座 認知症高齢者への口腔ケアと食支援(Vol.10) レビー小体型認知症の特徴(前編)2015

    • Author(s)
      枝広あや子、平野浩彦
    • Journal Title

      コミュニティケア

      Volume: 17 Pages: 42-43

    • Related Report
      2015 Annual Research Report
  • [Journal Article] 後期高齢者医療の被保険者に係る歯科健診の取り組み状況2015

    • Author(s)
      恒石美登里、石井拓男、平野浩彦、佐藤 保
    • Journal Title

      口腔衛生学会雑誌

      Volume: 65(2) Pages: 185-185

    • Related Report
      2015 Annual Research Report
  • [Journal Article] 認知症の口を支える基礎知識2015

    • Author(s)
      平野浩彦
    • Journal Title

      口腔衛生学会雑誌

      Volume: 65(2) Pages: 122-123

    • NAID

      130006351567

    • Related Report
      2015 Annual Research Report
  • [Journal Article] 認知症の口を支える視点2015

    • Author(s)
      平野浩彦
    • Journal Title

      日本補綴歯科学会誌

      Volume: 7 Pages: 500-500

    • Related Report
      2015 Annual Research Report
  • [Journal Article] ワンポイント講座 認知症高齢者への口腔ケアと食支援(Vol.10) レビー小体型認知症の特徴(後編)2015

    • Author(s)
      枝広あや子、平野浩彦
    • Journal Title

      コミュニティケア

      Volume: 17(5) Pages: 42-43

    • Related Report
      2015 Annual Research Report
  • [Journal Article] ワンポイント講座 認知症高齢者への口腔ケアと食支援 Vol.11 レビー小体型認知症の方への支援 12015

    • Author(s)
      枝広あや子、平野浩彦
    • Journal Title

      コミュニティケア

      Volume: 17(6) Pages: 44-45

    • Related Report
      2015 Annual Research Report
  • [Journal Article] ワンポイント講座 認知症高齢者への口腔ケアと食支援 Vol.12 レビー小体型認知症の方への支援 22015

    • Author(s)
      枝広あや子、平野浩彦
    • Journal Title

      コミュニティケア

      Volume: 17(8) Pages: 44-45

    • Related Report
      2015 Annual Research Report
  • [Journal Article] ワンポイント講座 認知症高齢者への口腔ケアと食支援 Vol.13 前頭側頭型認知症の方の特徴(前編)2015

    • Author(s)
      枝広あや子、平野浩彦
    • Journal Title

      コミュニティケア

      Volume: 17(9) Pages: 34-35

    • Related Report
      2015 Annual Research Report
  • [Journal Article] ワンポイント講座 認知症高齢者への口腔ケアと食支援 Vol.14 前頭側頭型認知症の方の特徴(後編)2015

    • Author(s)
      枝広あや子、平野浩彦
    • Journal Title

      コミュニティケア

      Volume: 17(10) Pages: 32-33

    • Related Report
      2015 Annual Research Report
  • [Journal Article] ワンポイント講座 認知症高齢者への口腔ケアと食支援 Vol.15 前頭側頭型認知症の方の食の特徴とケア2015

    • Author(s)
      枝広あや子、平野浩彦
    • Journal Title

      コミュニティケア

      Volume: 17(12) Pages: 40-41

    • Related Report
      2015 Annual Research Report
  • [Journal Article] 認知症患者の口腔を守る歯科医療2015

    • Author(s)
      平野浩彦、枝広あや子
    • Journal Title

      Dent Diam

      Volume: 40(16) Pages: 29-50

    • Related Report
      2015 Annual Research Report
  • [Journal Article] 高齢者の摂食嚥下サポート《老嚥と摂食嚥下障害の原因》5)認知症の摂食嚥下障害2015

    • Author(s)
      平野浩彦
    • Journal Title

      モダンフィジシャン

      Volume: 35(12) Pages: 1412-1416

    • Related Report
      2015 Annual Research Report
  • [Journal Article] ワンポイント講座 認知症高齢者への口腔ケアと食支援 Vol.16 前頭側頭型認知症の方の食の特徴とケア(後編)2015

    • Author(s)
      枝広あや子、平野浩彦
    • Journal Title

      コミュニティケア

      Volume: 17(14) Pages: 40-41

    • Related Report
      2015 Annual Research Report
  • [Journal Article] How masticatory function and periodontal disease relate to senile dementia.2015

    • Author(s)
      Watanabe Y, Hirano H, Matsushita K.
    • Journal Title

      Japanese Dental Science Review

      Volume: 51 Issue: 1 Pages: 34-40

    • DOI

      10.1016/j.jdsr.2014.09.002

    • NAID

      50009645832

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 超高齢社会において理解すべき医科疾患とは ―円滑な歯科治療を行うために―2015

    • Author(s)
      平野浩彦
    • Journal Title

      The Nippon Dental Review

      Volume: 75(1) Pages: 50-56

    • Related Report
      2014 Research-status Report
  • [Journal Article] A perspective on the oral health and dental management planning process for older people with dementia2014

    • Author(s)
      平野浩彦
    • Journal Title

      Annals of Japan Prosthodontic Society

      Volume: 6 Issue: 3 Pages: 249-254

    • DOI

      10.2186/ajps.6.249

    • NAID

      130004679471

    • ISSN
      1883-4426, 1883-6860
    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 65歳以上の患者へのインプラント治療・管理ガイド 要介護になっても対応できるために. (第2章)高齢者のインプラント治療前に知っておきたい、咀嚼障害につながる疾患 認知症.2014

    • Author(s)
      平野浩彦
    • Journal Title

      The Nippon Dental Review

      Volume: 別冊 Pages: 42-50

    • Related Report
      2014 Research-status Report
  • [Journal Article] 認知症高齢者への口腔ケアと食支援2014

    • Author(s)
      平野浩彦, 枝広あや子.
    • Journal Title

      コミュニティケア

      Volume: 16(8) Pages: 34-36

    • Related Report
      2014 Research-status Report
  • [Journal Article] アルツハイマー病と血管性認知症高齢者の食行動の比較に関する調査報告 第一報 ‐食行動変化について‐2013

    • Author(s)
      枝広あや子、平野浩彦、山田律子、千葉由美、渡邊 裕
    • Journal Title

      日本老年医学会雑誌

      Volume: 50 Pages: 651-660

    • NAID

      130004917116

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Detecting signs of dysphagia in patients with Alzheimer's disease with oral feeding in daily life.2013

    • Author(s)
      Sato E, Hirano H, Watanabe Y, Edahiro A, Sato K, Yamane G, Katakura A.
    • Journal Title

      Geriatr Gerontol Int

      Volume: - Issue: 3 Pages: 549-55

    • DOI

      10.1111/ggi.12131

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Prevalence and factors associated with xerostomia and hyposalivation among community-dwelling older people in Japan.2013

    • Author(s)
      Ohara Y, Hirano H, Yoshida H, Shuichi O, Ihara K, Fujiwara Y, Mataki S.
    • Journal Title

      Gerodontology

      Volume: - Issue: 1 Pages: 20-27

    • DOI

      10.1111/ger.12101

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] 拒食・異食・嚥下障害をどうする?認知症に伴う“食べる障害”を支えるケア2013

    • Author(s)
      平野浩彦、枝広あや子
    • Journal Title

      エキスパートナース

      Volume: 29 Pages: 22-27

    • Related Report
      2013 Research-status Report
  • [Journal Article] 世界的な超高齢社会へ向けての歯科医療のあり方 認知症の歯科医療2013

    • Author(s)
      平野浩彦
    • Journal Title

      日本歯科医師会雑誌

      Volume: 66 Pages: 686-687

    • Related Report
      2013 Research-status Report
  • [Presentation] Relationship between Nutritional Status and Severity of Dementia in Group Homes for Dementia2015

    • Author(s)
      Motokawa K., Edahiro A., Hirano H., Watanabe Y., Hironaka S., Takagi D.
    • Organizer
      International Association of Gerontology and Geriatrics 2015
    • Place of Presentation
      The International Convention and Exhibition Centre (Thai・Chiang Mai)
    • Year and Date
      2015-10-19
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Meal care for eating dysfunction in Alzheimer’s disease, relationship with declines of attention and consciousness2015

    • Author(s)
      Edahiro A., Hirano H., Watanabe Y., Hironaka S., Takagi D., Awata S.
    • Organizer
      International Association of Gerontology and Geriatrics 2015
    • Place of Presentation
      The International Convention and Exhibition Centre (Thai・Chiang Mai)
    • Year and Date
      2015-10-19
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] アルツハイマー病高齢者の摂食嚥下機能と栄養状態の変遷―FASTステージ別の検討―2015

    • Author(s)
      枝広あや子、平野浩彦、渡邊 裕、小原由紀、白部麻樹、本川佳子、粟田主一
    • Organizer
      第34回認知症学会学術大会
    • Place of Presentation
      リンクステーションホール青森(青森県・青森市)
    • Year and Date
      2015-10-02
    • Related Report
      2015 Annual Research Report
  • [Presentation] 認知症高齢者の摂食嚥下機能と栄養状態の変化-FASTステージ別の検討-2015

    • Author(s)
      枝広あや子,平野浩彦,渡邊 裕,小原由紀,白部麻樹,本川佳子,高城大輔,弘中祥司,粟田主一
    • Organizer
      第21回日本摂食嚥下リハビリテーション学会学術大会
    • Place of Presentation
      国立京都国際会館(京都府・京都市)
    • Year and Date
      2015-09-11
    • Related Report
      2015 Annual Research Report
  • [Presentation] Nutrition of elderly person with Alzheimer’s disease, related with eating dysfunction; examination on the basis of functional assessment staging (FAST)2015

    • Author(s)
      Edahiro A., Hirano H., Motokawa K., Watanabe Y.
    • Organizer
      The 16th Parenteral and Enteral Nutrition Society of Asia 2015
    • Place of Presentation
      名古屋国際会議場(愛知県・名古屋市)
    • Year and Date
      2015-07-24
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Relationship between severity of dementia and nutritional status among older people with dementia in group homes2015

    • Author(s)
      Motokawa K., Hirano H., Edahiro A., Watanabe Y.
    • Organizer
      The 16th Parenteral and Enteral Nutrition Society of Asia 2015
    • Place of Presentation
      名古屋国際会議場(愛知県・名古屋市)
    • Year and Date
      2015-07-24
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 認知症高齢者の口腔機能の経時変化―FAST を基準にした縦断調査からの検討―2015

    • Author(s)
      枝広あや子,平野浩彦,渡邊 裕,弘中祥司,小原由紀,森下志穂,高城大輔,白部 麻樹
    • Organizer
      日本老年歯科医学会第26回学術大会
    • Place of Presentation
      パシフィコ横浜(神奈川県・横浜市)
    • Year and Date
      2015-06-12
    • Related Report
      2015 Annual Research Report
  • [Presentation] アルツハイマー病高齢者における認知症重症度を基準とした栄養状態横断調査-Clinical Dementia Rating(CDR)を用いた検討-2015

    • Author(s)
      本川佳子、平野浩彦、枝広あや子、渡邊 裕、小原由紀、駒井さつき
    • Organizer
      第57回日本老年医学会学術集会
    • Place of Presentation
      パシフィコ横浜(神奈川県・横浜市)
    • Year and Date
      2015-06-12
    • Related Report
      2015 Annual Research Report
  • [Presentation] 認知症と歯科医療─認知症とはどんな病気か,歯科治療はどのように,また,いつ行うべきか,認知症に罹患したら歯科にかかるよう勧めるために-2015

    • Author(s)
      平野浩彦
    • Organizer
      日本補綴歯科学会第124回学術大会
    • Place of Presentation
      大宮ソニックシティ(埼玉県・さいたま市)
    • Year and Date
      2015-05-30
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] 認知症の口を支える基礎知識2015

    • Author(s)
      平野浩彦
    • Organizer
      第64回日本口腔衛生学会・総会
    • Place of Presentation
      つくば国際会議場(茨城県・つくば市)
    • Year and Date
      2015-05-27
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] Swallowing Function and Nutritional Status in Elderly with Alzheimer's Disease - A Study of Malnutritional Risk Factor -2015

    • Author(s)
      Hirano H., Watanabe Y., Edahiro A., Ohara Y. Takagi D., Murakami Kohji, Hironaka Shouji.
    • Organizer
      The 30th International Conference of Alzheimer’s Disease International
    • Place of Presentation
      Perth Convention and Exhibition Centre (Australia・Perth)
    • Year and Date
      2015-04-16
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Transitions of Eating and Swallowing Function Accompanying Dementia Progression - Examination on The Basis Of Functional Assessment Staging (FAST) -2015

    • Author(s)
      Edahiro A., Hirao H., Watanabe Y., Ohara. Y.
    • Organizer
      The 30th International Conference of Alzheimer’s Disease International
    • Place of Presentation
      Perth Convention and Exhibition Centre (Australia・Perth)
    • Year and Date
      2015-04-16
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Relationship between nutritional status and severity of Alzheimer's disease2015

    • Author(s)
      Motohashi Y., Hirano H., Watanabe Y., Edahiro A., Ohara Y., Takagi Daisuke, Hironaka Shouji.
    • Organizer
      The 30th International Conference of Alzheimer’s Disease International
    • Place of Presentation
      Perth Convention and Exhibition Centre (Australia・Perth)
    • Year and Date
      2015-04-16
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 食行動から認知症を考える(歯科領域の立場から)2014

    • Author(s)
      平野浩彦
    • Organizer
      第9回 食介護研究会総会学術大会
    • Place of Presentation
      東京
    • Year and Date
      2014-12-06
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] 認知症重度化にともなう摂食嚥下機能の変化-Functional Assessment Staging(FAST)を基準にした検討-2014

    • Author(s)
      31.枝広あや子, 平野浩彦, 小原由紀, 渡邊 裕, 森下志穂, 村上正治, 高城大輔
    • Organizer
      第33回日本認知症学会学術大会
    • Place of Presentation
      横浜
    • Year and Date
      2014-11-29 – 2014-11-30
    • Related Report
      2014 Research-status Report
  • [Presentation] 「今日からできる認知症の予防」、口から見える認知症2014

    • Author(s)
      平野浩彦
    • Organizer
      第19回板橋区医師会医学会
    • Place of Presentation
      東京
    • Year and Date
      2014-09-13
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] 認知症重度化にともなう摂食嚥下機能の変化-Functional Assessment Staging(FAST)を基準に-.2014

    • Author(s)
      16.枝広あや子, 平野浩彦, 小原由紀, 渡邊 裕, 森下志穂, 高城大輔
    • Organizer
      第20回日本摂食嚥下リハビリテーション学会学術大会
    • Place of Presentation
      東京
    • Year and Date
      2014-09-06 – 2014-09-07
    • Related Report
      2014 Research-status Report
  • [Presentation] 認知症重度化にともなう口腔関連機能の変遷-Functional Assessment Staging(FAST)を基準にした検討-2014

    • Author(s)
      15.枝広あや子, 平野浩彦, 小原由紀, 渡邊 裕, 森下志穂, 村上正治, 高城大輔
    • Organizer
      第25回日本老年歯科医学会学術大会
    • Place of Presentation
      福岡
    • Year and Date
      2014-06-13 – 2014-06-14
    • Related Report
      2014 Research-status Report
  • [Presentation] Changes of the eating independency in elderly patients with dementia in long-term progress – Comparison of AD and VaD by the follow-up survey during six year.2013

    • Author(s)
      Edahiro, A., Hirnao, H. and Abe, Y.
    • Organizer
      The 20th IAGG World Congress if Gerontology and Geriatrics
    • Place of Presentation
      Seoul, Korea
    • Related Report
      2013 Research-status Report
  • [Presentation] A survey of oral and swallowing functions focusing on silent aspiration among dementia elderly clinets.2013

    • Author(s)
      Hirano, H., Sato, E., Watanabe, Y., Edahiro, A., Ohara, Y., Morishita, S., Tohara, H. and Chiba, Y.
    • Organizer
      The 20th IAGG World Congress if Gerontology and Geriatrics
    • Place of Presentation
      Seoul, Korea
    • Related Report
      2013 Research-status Report
  • [Presentation] Relationship between functional deficit of olfactory and feeding of elderly people with dementia Especially with concerns to Alzheimer’s disease?2013

    • Author(s)
      Watanabe, Y., Morishita, S., Sato, E., Hirano, H., Edahiro A., Haruka Tohara, Ohara Y., Takao Suzuki.
    • Organizer
      The 20th IAGG World Congress if Gerontology and Geriatrics
    • Place of Presentation
      Seoul, Korea
    • Related Report
      2013 Research-status Report
  • [Presentation] 高齢者の口を考える―超高齢社会の視点から―

    • Author(s)
      平野浩彦
    • Organizer
      日本口腔衛生学会北海道口腔保健学会
    • Place of Presentation
      札幌
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] 保健・医療・介護の根底をつなぐ口腔ケア

    • Author(s)
      平野浩彦
    • Organizer
      日本口腔衛生学会 口腔衛生関東地方研究会
    • Place of Presentation
      東京
    • Related Report
      2013 Research-status Report
    • Invited
  • [Book] 認知症の原因・疫学. 認知症の人の摂食障害(分担執筆) 最短トラブルシューティング 食べられる環境,食べられる食事がわかる2014

    • Author(s)
      平野浩彦(共著)
    • Total Pages
      174
    • Publisher
      医歯薬出版
    • Related Report
      2014 Research-status Report
  • [Book] 認知症高齢者への食支援と口腔ケア2014

    • Author(s)
      平野浩彦
    • Total Pages
      90
    • Publisher
      ワールドプランニング
    • Related Report
      2014 Research-status Report
  • [Book] 口腔の緩和医療・緩和ケア ―がん患者・非がん疾患患者と向き合う 診断・治療・ケアの実際―2013

    • Author(s)
      平野浩彦
    • Total Pages
      134
    • Publisher
      永末書店
    • Related Report
      2013 Research-status Report

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Published: 2014-07-25   Modified: 2019-07-29  

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