PHNs’ difficulties in prevention of child abuse

Aims：Child abuse is an important global issue. Public Health Nurses（PHNs）play a vital role in supporting children and their families to prevent child abuse. Considering the complex nature of child abuse, PHNs are likely to encounter various difficulties and supporting them is necessary. This study aimed to identify factors influencing the difficulties faced by PHNs in prevention of child abuse, and to understand the relationship between the PHN’s personal attributes and the difficulties faced. Method：A cross-sectional survey design was used in which ２５０ PHNs involved in prevention of child abuse participated. They were from public health centers and municipalities all over Japan. Data collected were analyzed using exploratory factor analysis. Results：Six factors on the difficulties that PHNs faced were extracted and identified as：“support of parents and their families facing problems,” “process of assessing the problem and linking to support,” “cooperation with relevant organizations,” “ability as a PHN to provide support,” “collaboration within the workplace,” and “support for abused children.” These difficulties were related to the PHNs’ number of years of experience, their current work position, training on abuse, and the number of child abuse cases they encountered. Conclusion：PHNs encounter various difficulties in the process of handling child abuse cases, but not all of them experience these difficulties in the same way. The results suggest that it is essential to focus on the nature of these difficulties depending on the personal characteristics of PHNs in order to provide effective support

思春期における心理的衝動性と唾液中セロトニンとの関連

Adolescent impulsivity is a risk factor of attack behaviors and antisocial behaviors. Previous studies showed negative correlation between impulsivity and central serotonin. The purpose of this study was to examine the relations between the impulsivity of questionnaires and the salivary serotonin concentration. Subjects were 175 undergraduate students who were measured SSS (Zuckerman et al., 1978) and TCI (Cloninger et al., 1993). Furthermore 53 students of them were measured NEO-PI-R (Costa & MaCrae, 1992) and the salivary serotonin concentration. The correlational analysis showed that salivary serotonin was significantly associated with SSS and NEO-PI-R, salivary serotonin concentration was not significantly associated with TCI. Those results showed the discrepancy of TCI and SSS concerning the impulsivity and the serotonin concentration. This is the first report using the salivary serotonin concentration as a psychophysiological assessment tool for the adolescent impulsivity

自閉症スペクトラム障害における近赤外線スペクトロスコピーを用いた表情認知機能の評価

One of the characteristics of Autism Spectrum Disorder (ASD) is social disorder. The specificity of facial and expression recognition for people with ASD is gathering attention as a factor of this social disorder. The study examined the hemodynamic activities in the prefrontal cortex using near-infrared spectroscopy (NIRS) when a person with ASD performed an expression recognition task. The subjects were twenty males (18 - 22 years old) with ASD and without intellectual disabilities. Forty-five healthy males matched for age and sex were included as a control group. In both groups, the degree of autistic tendencies was evaluated using the Autism-Spectrum Quotient (AQ). Using eight standard emotional expressions of Japanese people, two expression recognition tasks were set. An NIRS was used to measure the prefrontal cortex blood mobilization during the expression-processing process. The AQ was significantly higher in the ASD group, while the rate of overall correct expression response was significantly lower (p < 0.001). A negative correlation was found when the relationship between the AQ and the rate of overall correct expression response was evaluated by combining the results of the control group with those of the ASD group (ρ = −0.40 p < 0.001). In the automatic expression-processing task, no activation in the prefrontal cortex was found in either the ASD or the control group. In the conscious expression-processing task, the activation of the left and right lateral prefrontal cortex was weaker in the ASD group compared to the control group. Unlike in the control group, a mild activation of posterior prefrontal cortex was found in the ASD group. The expression-processing process of the ASD group was found to be different from that of the control group. NIRS was effective in detecting a brain function disorder in people with ASD during an expression-processing process

GDNF-inducible zinc finger protein 1 is a sequence-specific transcriptional repressor that binds to the HOXA10 gene regulatory region

The RET tyrosine kinase receptor and its ligand, glial cell line-derived neurotrophic factor (GDNF) are critical regulators of renal and neural development. It has been demonstrated that RET activates a variety of downstream signaling cascades, including the RAS/mitogen-activated protein kinase and phosphatidylinositol-3-kinase(PI3-K)/AKT pathways. However, nuclear targets specific to RET-triggered signaling still remain elusive. We have previously identified a novel zinc finger protein, GZF1, whose expression is induced during GDNF/RET signaling and may play a role in renal branching morphogenesis. Here, we report the DNA binding property of GZF1 and its potential target gene. Using the cyclic amplification and selection of targets technique, the consensus DNA sequence to which GZF1 binds was determined. This sequence was found in the 5′ regulatory region of the HOXA10 gene. Electrophoretic mobility shift assay revealed that GZF1 specifically binds to the determined consensus sequence and suppresses transcription of the luciferase gene from the HOXA10 gene regulatory element. These findings thus suggest that GZF1 may regulate the spatial and temporal expression of the HOXA10 gene which plays a role in morphogenesis

Attitude of young psychiatrists toward coercive measures in psychiatry: a case vignette study in Japan

<p>Abstract</p> <p>Background</p> <p>Every psychiatrist must pay careful attention to avoid violating human rights when initiating coercive treatments such as seclusion and restraint. However, these interventions are indispensable in clinical psychiatry, and they are often used as strategies to treat agitated patients. In this study, we investigated young psychiatrists' attitudes toward psychiatric coercive measures.</p> <p>Methods</p> <p>A total of 183 young psychiatrists participated as subjects in our study. A questionnaire with a case vignette describing a patient with acute psychosis was sent to the study subjects via the Internet or by mail. This questionnaire included scoring the necessity for hospitalization, and the likelihood of prescribing seclusion and/or restraint, on a 9-point Likert scale (with 9 indicating strong agreement).</p> <p>Results</p> <p>There was general agreement among the study subjects that the case should be admitted to a hospital (8.91 ± 0.3) and secluded (8.43 ± 1.0). The estimated length of hospitalization was 13.53 ± 6.4 weeks. Regarding the likelihood of prescribing restraint, results showed great diversity (5.14 ± 2.5 on 9-point scale); psychiatrists working at general hospitals scored significantly higher (6.25 ± 2.5) than those working at university hospitals (5.02 ± 2.3) or psychiatric hospitals (4.15 ± 2.6). A two-group comparison of the length of inpatient care revealed a significant difference between those psychiatrists who scored 1-3 (n = 55, 14.22 ± 7.4 wks) and those who scored 7-9 (n = 62, 12.22 ± 4.0) regarding the need to use restraint.</p> <p>Conclusion</p> <p>Our results may reflect the current dilemma in Japanese psychiatry wherein psychiatrists must initiate coercive measures to shorten hospitalization stays. This study prompted its subject psychiatrists to consider coercive psychiatric treatments.</p

Brain response during silent and oral reading

This study aimed to investigate blood flow dynamics in the bilateral prefrontal cortex during silent and oral reading using near-infrared spectroscopy (NIRS). The subjects were 40 right-handed university students (20.5 ± 1.8 years old, 20 men and 20 women). After completing the NIRS measurements, the subjects were asked to rate their level of proficiency in silent and oral reading, using a 5-point Likert scale. During oral reading, the left lateral prefrontal cortex (Broca’s area) was significantly more active than the right side. During silent reading, prefrontal cortex activity was lower than that during oral reading, and there was no significant difference between both sides of the brain. A significant negative correlation was found between the change in oxy-hemoglobin (oxy-Hb) concentration in the left and right lateral prefrontal cortex during silent reading and silent reading speed. In addition, students with lower self-reported reading proficiency had significantly greater changes in oxy-Hb concentrations in the left and right lateral prefrontal cortex during silent/oral reading than did students with higher self-reported reading proficiency. Reading task assessment using NIRS may be useful for identifying language lateralization and Broca’s area. The results demonstrate that NIRS is useful for assessing effortful reading and may be used to diagnose developmental dyslexia in children

Survey for teachers about picture book that convey the significance of class activities (1)

This study examined the usefulness of picture book that convey the significance of class activities for teachers. From the results, the developed picture book is (1) the teacher feels that the child may lead to the understanding of the consensus building process and the meaning of cooperation, and (2) teachers feel that it is particularly useful for third and fourth graders, but also for other grades., and (3)it was shown that many teachers considered using it for future practice and found it useful as a tool for learning teachers' guidance and advice.These results suggested a certain usefulness of it.この研究は，日本学術振興会科学研究費助成事業 基盤研究（C）課題番号18K02758：多様性に富む共生社会構築に向けた小学校用「多様性把握シート」の作成と活用（代表若松昭彦）によって行われた

Suicidal ideation and burnout among psychiatric trainees in Japan

AIM: Burnout is a psychological condition that may occur in all workers after being exposed to excessive work-related stresses. We investigated suicidal ideation and burnout among Japanese psychiatric trainees as a part of the Burnout Syndrome Study (BoSS) International.  METHODS: In the Japanese branch, 91 trainees fully completed suicide ideation and behaviour questionnaire (SIBQ) and Maslach Burnout Inventory-General Survey (MBI-GS).  RESULTS: Passive suicidal ideation was reported by 38.5% of Japanese trainees and 22.0% of them had experienced active suicidal ideation. The burnout rate among Japanese subjects was 40.0%. These results were worse compared to the all 1980 trainees who fully completed the main outcome measure in BoSS International, 25.9%, 20.4% and 36.7%, respectively.  CONCLUSIONS: Our results suggest a higher risk of suicide among Japanese residents. Japan has a higher suicide rate than other countries. Early detection of, and appropriate intervention for, suicidal ideation is important in preventing suicide in psychiatry residents

Associations between the orexin (hypocretin) receptor 2 gene polymorphism Val308Ile and nicotine dependence in genome-wide and subsequent association studies

Impact of the HCRTR2 gene risk variant on schizotypal personality traits (mean ± SD). (DOC 54 kb