Perimenstrual symptoms and it's management - Assessment with Menstrual Distress Questionnaire -

月経周期の変化に伴う多様で複雑な月経周辺期の症状を,出来るだけ単純で基本的に共通した変化として捉え,症状に適した対応を検討することを目的として本研究を行った｡月経を有する22～45歳の女性34名に対し,Menstrual Distress Questionnaireの即時的回答法を用いて月経周辺期を[痛み],[集中力],[行動変化],[自律神経反応],[水分貯留],[負の感情]から構成された35症状6領域で縦断的に追究し,以下の結果を得た｡ 1.月経周辺期の症状を縦断的に比較検討した結果,Moosのデータと近似した日本人のデータを示した｡ 2.月経周辺期における領域の推移では,身体的症状で構成される[痛み領域],[水分貯留領域]の2領域が精神的症状で構成される他の領域に比べ,常に上位を占めていた｡以上の事より,月経周辺期の生理的変化に伴う精神的愁訴は,身体的変化によって誘発されている可能性が示唆された｡Each of 34 women rated their experience of 46 symptoms on a six-point scale separately for the premenstrual, menstrual, and intermenstrual phases of her most recent menstrual cycle. The 46 symptoms were intercorrelated and factor analyzed separately for each phase. These symptoms were divided into six clusters of symptoms, such as pain, concentration, behavioral change, autonomic reaction, water retention, and negative affect. Pain and water retention were composed of physical symptoms, were always at higher position than three clusters of menstrual symptoms in perimenstrual change. Thus, mental symptoms in perimenstrual physiological changes were might be induced by physical changes

Knowledge Management and Police Peacekeepers: Experiences and Recommendations.

While over 90 countries contribute police personnel to international peace operations, only a handful systematically interview returned police and attempt to gather insights and information on their mission experiences. This report explores a selection of police-contributing countries (PCCs), examining their mechanisms for deploying police officers to international missions, and then, on return from international missions, for collecting information on their experiences. From this overview, we identify good practices as well as gaps in knowledge generation, and offer some recommendations for improving the collection, management and application of mission-relevant police knowledge. Establishing coherent systems for gathering insights from on-the-ground experiences of police officers deployed to peace operations is valuable for building and sharing awareness of what works and what does not work in international police deployments. Such feedback should be used by PCCs to inform and tailor police pre-deployment training programmes, support mechanisms for deployed officers, and post-deployment reintegration practices. The insights of police officers who have served in peace operations can also be applied to enrich what is known about the complex tasks international police are commonly asked to perform, such as supporting the reform and restructuring of host-state police and law-enforcement institutions, and the challenges of undertaking such tasks in specific mission and country contexts