Depressive symptoms among male professional soccer players in Japan

Objectives: The objectives of this study were to (Kuettel & Larsen, 2020) examine depressive symptoms among male professional soccer players in Japan, and (Buck et al., 2018) explore the association of these symptoms with current injuries, history of severe injuries, general anxiety, and adverse life events. / Design: Cross-sectional online survey. / Setting: The survey was conducted during the Japanese Professional Football preseason between February and April 2020 in Japan. / Participants: Sixty-four professional athletes from four teams participated in the survey. The mean age was 26 years (SD 4.5). / Main outcome measures: The outcome measures included the Patient Health Questionnaire, Generalized Anxiety Disorder-7, and select items from the Social Athletic Readjustment Rating Scale. / Results: Depressive symptoms were reported among 9.4% of participants. Two players (3.1%) were found to have generalized anxiety as well as depressive symptoms. Other risk factors were unrelated to depressive symptoms. / Conclusion: The occurrence of depressive symptoms among participating professional soccer players from four teams in Japan was lower than the previously reported prevalence estimates among Western players but higher than the general population in Japan of the same age group. The findings suggest clinicians should assess the mental health of elite athletes, and work to mitigate stigma around mental health

Introducing Misoprostol for the Treatment of Incomplete Abortion in Nigeria

Despite legal restriction, induced abortions and resulting complications are common in Nigeria. Misoprostol administration for incomplete abortion was introduced in 3 Nigerian hospitals. The feasibility of the hospitals, patient and provider acceptability were assessed using questionnaire and interview guides administered to 205 women and 17 providers respectively. Amongst the women, 194 (95%) were satisfied and very satisfied with misoprostol, 176 (86%) would choose misoprostol again if another incomplete abortion occurred and 191 (93%) would recommend it to another woman in a similar situation. Providers were highly satisfied with misoprostol. The ease of use and ability to redirect surgical resources to more complicated issues were positive features cited by them. The providers agreed that integration of misoprostol was straightforward and required few resources. Therefore, misoprostol for incomplete abortion is safe, efficacious and acceptable to providers and patients. In remote areas of Nigeria with limited post-abortion care (PAC), misoprostol administration is an important potential PAC treatment modality. Features of misoprostol-low cost, room temperature stability, and ease of introduction-render it an important treatment option, particularly in low resource and rural settings

Factors considered by medical students when formulating their specialty preferences in Japan: findings from a qualitative study

<p>Abstract</p> <p>Background</p> <p>Little research addresses how medical students develop their choice of specialty training in Japan. The purpose of this research was to elucidate factors considered by Japanese medical students when formulating their specialty choice.</p> <p>Methods</p> <p>We conducted qualitative interviews with 25 Japanese medical students regarding factors influencing specialty preference and their views on roles of primary versus specialty care. We qualitatively analyzed the data to identify factors students consider when developing specialty preferences, to understand their views about primary and subspecialty care, and to construct models depicting the pathways to specialization.</p> <p>Results</p> <p>Students mention factors such as illness in self or close others, respect for family member in the profession, preclinical experiences in the curriculum such as labs and dissection, and aspects of patient care such as the clinical atmosphere, charismatic role models, and doctor-patient communication as influential on their specialty preferences. Participating students could generally distinguish between subspecialty care and primary care, but not primary care and family medicine. Our analysis yields a "Two Career" model depicting how medical graduates can first train for hospital-based specialty practice, and then switch to mixed primary/specialty care outpatient practice years later without any requirement for systematic training in principles of primary care practice.</p> <p>Conclusion</p> <p>Preclinical and clinical experiences as well as role models are reported by Japanese students as influential factors when formulating their specialty preferences. Student understanding of family medicine as a discipline is low in Japan. Students with ultimate aspirations to practice outpatient primary care medicine do not need to commit to systematic primary care training after graduation. The Two Career model of specialization leaves the door open for medical graduates to enter primary care practice at anytime regardless of post-graduate residency training choice.</p

Borehole Summary Report for Waste Treatment Plant Seismic Borehole C4996

This report presents the field-generated borehole log, lithologic summary, and the record of samples collected during the recent drilling and sampling of the basalt interval of borehole C4996 at the Waste Treatment Plant (WTP) on the Hanford Site. Borehole C4996 was one of four exploratory borings, one core hole and three boreholes, drilled to investigate and acquire detailed stratigraphic and down-hole seismic data. This data will be used to define potential seismic impacts and refine design specifications for the Hanford Site WTP

Perspectives on disclosure of the dementia diagnosis among primary care physicians in Japan: a qualitatively driven mixed methods study

Abstract Background The number of dementia patients in Japan is projected to reach seven million by 2025. While modern ethicists have largely reached the conclusion that full disclosure of dementia serves the best interest of patient, the implications of disclosure of a dementia diagnosis remains an underexplored area of research in Japan. The purpose of this study was to explore primary care physicians’ perspectives relative to the practice of disclosure of the dementia diagnosis. Methods In this qualitatively driven mixed methods project, we conducted semi-structured interviews with 24 primary care physicians using purposeful sampling to identify rural and urban representation. All interview recordings were transcribed verbatim and analyzed thematically. The research team iteratively conducted discussions of the concepts as they emerged until reaching thematic saturation. The summary was distributed to the participants for member checking and we incorporated their feedback into the final analysis. Results Of 24 participants, 12 practice in rural areas and 12 practice in urban/suburban areas. Participants’ attitudes varied in whether or not to disclose dementia diagnosis to the patients, and in the level of clarity of the name and the prognosis of the disease. Participants who were more comfortable in practicing disclosure were communicating collectively to the patients and their family members and those who were less comfortable practicing disclosure were concerned about patients’ feelings and had negative perceptions given the insidious progression of the disease. Conclusion We found substantive individual differences in the approach to disclosure of the diagnosis of dementia and the level of comfort among primary care physicians. More dialogue about this issue and training to equip primary care physicians lacking confidence in their approach may be required.https://deepblue.lib.umich.edu/bitstream/2027.42/149180/1/12875_2019_Article_964.pd

Strong-Segregation Theory of Bicontinuous Phases in Block Copolymers

We compute phase diagrams for $A_nB_m$ starblock copolymers in the strong-segregation regime as a function of volume fraction $\phi$, including bicontinuous phases related to minimal surfaces (G, D, and P surfaces) as candidate structures. We present the details of a general method to compute free energies in the strong segregation limit, and demonstrate that the gyroid G phase is the most nearly stable among the bicontinuous phases considered. We explore some effects of conformational asymmetry on the topology of the phase diagram.Comment: 14 pages, latex, 21 figures, to appear in Macromolecule

Micromechanical characterization of the interphase layer in semi-crystalline polyethylene

The interphase layer in semi-crystalline polyethylene is the least known constituent, compared to the amorphous and crystalline phases, in terms of mechanical properties. In this study, the Monte Carlo molecular simulation results for the interlamellar domain (i.e. amorphous+ interphases), reported in (Macromolecules 2006, 39, 439–447) are employed. The amorphous elastic properties are adopted from the literature and then two distinct micromechanical homogenization approaches are utilized to dissociate the interphase stiffness from that of the interlamellar region. The results of the two micromechanical approaches match perfectly. Interestingly, the dissociated interphase stiffness lacks the common feature of positive definiteness, which is attributed to its nature as a transitional domain between two coexisting phases. The sensitivity analyses reveal that this property is insensitive to the non-orthotropic components of the interlamellar stiffness and the uncertainties existing in the interlamellar and amorphous stiffnesses. Finally, using the dissociated interphase stiffness, its effective Young's modulus is calculated, which compares well with the effective interlamellar Young's modulus for highly crystalline polyethylene, reported in an experimental study. This satisfactory agreement along with the identical results produced by the two micromechanical approaches confirms the validity of the new information about the interphase elastic properties in addition to making the proposed dissociation methodology quite reliable when applied to similar problems