45 research outputs found

    Validation of the Japanese version of the revised version of the compound psychological capital scale (CPC-12R)

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    This study developed a Japanese version of the Revised Version of the Compound Psychological Capital Scale (CPC-12R) and tested its reliability and construct validity. The participants were 1,000 young adults (500 university students and 500 employees) recruited through an internet survey. Confirmatory factor analysis showed that the four first-order factors (hope, optimism, resilience, and self-efficacy) and one second-order factor (PsyCap) model of the previous study is appropriate for the Japanese context. In addition, Cronbach’s α and omega-higher-order of CPC-12R were sufficient. The measurement invariance analysis suggested sufficient scalar invariances for the employees and university students and across genders. The Japanese version of the CPC-12R had moderate positive correlations with job satisfaction, work engagement, conscientiousness, and extraversion, as well as a moderate negative correlation with negative emotionality. These findings provide evidence for sufficient reliability and construct validity of the Japanese version of the CPC-12R

    Inflammatory breast cancer appearance at presentation is associated with overall survival

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    Background: Inflammatory breast cancer (IBC) is a clinical diagnosis. Here, we examined the association of a "classic" triad of clinical signs, swollen involved breast, nipple change, and diffuse skin change, with overall survival (OS). Method: Breast medical photographs from patients enrolled on a prospective IBC registry were scored by two independent reviewers as classic (triad above), not classic, and difficult to assign. Chi-squared test, Fisher's exact test, and Wilcoxon rank-sum test were used to assess differences between patient groups. Kaplan-Meier estimates and the log-rank test and Cox proportional hazard regression were used to assess the OS. Results: We analyzed 245 IBC patients with median age 54 (range 26-81), M0 versus M1 status (157 and 88 patients, respectively). The classic triad was significantly associated with smoking, post-menopausal status, and metastatic disease at presentation (p = 0.002, 0.013, and 0.035, respectively). Ten-year actuarial OS for not classic and difficult to assign were not significantly different and were grouped for further analyses. Ten-year OS was 29.7% among patients with the classic sign triad versus 57.2% for non-classic (p < 0.0001). The multivariate Cox regression model adjusting for clinical staging (p < 0.0001) and TNBC status (<0.0001) demonstrated classic presentation score significantly associated with poorer OS time (HR 2.6, 95% CI 1.7-3.9, p < 0.0001). Conclusions: A triad of classic IBC signs independently predicted OS in patients diagnosed with IBC. Further work is warranted to understand the biology related to clinical signs and further extend the understanding of physical examination findings in IBC

    小児看護における小児と家族のQOL に関する文献検討

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    資料Miscellaneous 目的:小児看護におけるQOL に着目して文献検討を行い、小児と家族へのQOL の支援に対する示唆および今後の研究課題を見出すことを目的とした。 方法:小児看護のQOL に関する文献を、「医学中央雑誌Web(ver. 5)」、「最新看護索引Web」、「CiNii」から検索した。検索式:(小児看護and 生活の質/QOL and 小児and 家族)により、原著論文・研究報告から文献を選んだ。 結果・考察:論文38 編を対象とした。研究方法は、文献38 編中で、「質的研究」19 編(50.0%)、「量的研究」13 編(34.2% )、「質的・量的研究」4編(10.5%)であった。文献検討は2編(5.3%)であった。研究対象の小児の疾患はさまざまで、幅広い疾患が対象とされていた。QOL 評価の文献は少なく、各疾患の小児と家族のQOL について評価の研究がまたれる。小児看護におけるQOL については、複雑な問題をもつ患児・重症心身障害児とその家族へのQOL の向上にむけて、看護の質の向上やニーズに合わせた取り組みの必要性が示唆された

    Complement-Mediated Neutralization of Canine Distemper Virus In Vitro: Cross-Reaction between Vaccine Onderstepoort and Field KDK-1 Strains with Different Hemagglutinin Gene Characteristics

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    The properties of neutralization of antigens of canine distemper virus Onderstepoort and a recent field isolate, KDK-1, were investigated with strain-specific dog sera. A conventional neutralization assay indicated antigenic dissimilarity between the strains; however, when guinea pig complement was included in the reaction mixture, the strains were neutralized with not only the homologous but also the heterologous antibodies

    Table_1_Validation of the revised version of the compound psychological capital scale (CPC-12R).docx

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    This study developed a Japanese version of the Revised Version of the Compound Psychological Capital Scale (CPC-12R) and tested its reliability and construct validity. The participants were 1,000 young adults (500 university students and 500 employees) recruited through an internet survey. Confirmatory factor analysis showed that the four first-order factors (hope, optimism, resilience, and self-efficacy) and one second-order factor (PsyCap) model of the previous study is appropriate for the Japanese context. In addition, Cronbach’s α and omega-higher-order of CPC-12R were sufficient. The measurement invariance analysis suggested sufficient scalar invariances for the employees and university students and across genders. The Japanese version of the CPC-12R had moderate positive correlations with job satisfaction, work engagement, conscientiousness, and extraversion, as well as a moderate negative correlation with negative emotionality. These findings provide evidence for sufficient reliability and construct validity of the Japanese version of the CPC-12R.</p

    Rikkunshito prevents paclitaxel-induced peripheral neuropathy through the suppression of the nuclear factor kappa B (NFκB) phosphorylation in spinal cord of mice.

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    Peripheral neuropathy is the major side effect caused by paclitaxel, a microtubule-binding antineoplastic drug. Paclitaxel-induced peripheral neuropathy causes a long-term negative impact on the patient's quality of life. However, the mechanism underlying paclitaxel-induced peripheral neuropathy is still unknown, and there is no established treatment. Ghrelin is known to attenuate thermal hyperalgesia and mechanical allodynia in chronic constriction injury of the sciatic nerve, and inhibit the activation of nuclear factor kappa B (NFκB) in the spinal dorsal horn. Rikkunshito (RKT), a kampo medicine, increases the secretion of ghrelin in rodents and humans. Thus, RKT may attenuate paclitaxel-induced peripheral neuropathy by inhibiting phosphorylated NFκB (pNFκB) in the spinal cord. We found that paclitaxel dose-dependently induced mechanical hyperalgesia in mice. Paclitaxel increased the protein levels of spinal pNFκB, but not those of spinal NFκB. NFκB inhibitor attenuated paclitaxel-induced mechanical hyperalgesia suggesting that the activation of NFκB mediates paclitaxel-induced hyperalgesia. RKT dose-dependently attenuated paclitaxel-induced mechanical hyperalgesia. Ghrelin receptor antagonist reversed the RKT-induced attenuation of paclitaxel-induced mechanical hyperalgesia. RKT inhibited the paclitaxel-induced increase in the protein levels of spinal pNFκB. Taken together, the present study indicates that RKT exerts an antihyperalgesic effect in paclitaxel-induced neuropathic pain by suppressing the activation of spinal NFκB

    Estimation of dose-rate effectiveness factor for malignant tumor mortality: Joint analysis of mouse data exposed to chronic and acute radiation

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    Uncertainties due to confounding factors in epidemiological studies have limited our knowledge of the effects of low dose-rate chronic exposure on human health. Animal experiments, wherein each subject is considered to be nearly identical, can complement the limitations of epidemiological studies. Therefore, we conducted a joint analysis of previously published cancer mortality data in B6C3F1 female mice chronically and acutely irradiated with 137Cs gamma rays to estimate the dose-rate effectiveness factor. In the chronically irradiated animal experiment conducted by the Institute for Environmental Sciences, mice received irradiation at dose rates of 0.05, 1.1 or 21 mGy per day for 400 days from 8 weeks of age. For the acutely irradiated animal experiment conducted by the National Institute of Radiological Sciences, mice received irradiation at 35, 105, 240 or 365 days of age with 1.9, 3.8 or 5.9 Gy at a dose rate of 0.98 Gy per min. Because the preliminary analyses suggested that the risk was dependent on the age at exposure, a model was applied that considered risk differences depending on this factor. The model analysis revealed a three-fold, significantly decreasedrisk per Gy in mice exposed to 21 mGy per day compared to that in acutely irradiated mice. This resulted in a dose-rate effectiveness factor larger than that reported previously
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