Living Heritage Village of Kampung Morten Melaka: Local Community Involvement in Tourism

Community-based Tourism (CBT) involves high community participation at the highest level of decision-making processes, to economic involvement and the giving opinion of the lowest level goal. The purpose of this study is to explore the local community participation in the tourism activities in Kampung Morten, Melaka. The questionnaire survey was conducted using a simple random sampling method among 152 respondents and the results were analysed using crosstabulation analysis. The main findings are the majority of respondents participated in tourism activities and deliberation in tourism activities. Less number of respondents were giving opinions on tourism development and plans. This study is benefitable to the tourism stakeholders to ensure the relevancy of communities staying in living heritage villages to contribute to the domestic tourism industry

リュウシケイ オヨビ ソセイ オ セイギョ スル コト ニヨル ユビキタス ブッシツ ノ コウキノウカ : LaTiO2N ケイ サンチッカブツ ノ コウガク トクセイ ノ セイギョ

Some Perovskite-type LaTiO2+xN1-x with anion nonstoichiometry were prepared by heating an oxide precursor under ammonia atmosphere and successively annealed under diluted ammonia. Increasing O/N ratio enhances the optical bandgap of the oxynitrides. A series of perovskite-type LaTiO2N materials with compositions a slightly deviated from the stoichiometric metal composition was also prepared. Increasing Ti/La ratio in La1-xTi1+xTiO2N results in deterioration of reflectivity in the longer wavelength region above the absorption edge. A substitution of La by Sr was effective in the enhancement of reflectivity there. Though the increase of O/N ratio in the LaTiO2+xN1-x series was found to cause oxidation of titanium by means of XPS spectroscopy, the valence state of titanium did not change in either the La1-xTi1+xO2N or the La1-xSrxTiO2N series. The increase in Ti/La ratio in the La1-xTi1+xO2N brought the grain/particle growth, which seemed to result in the deterioration of reflectivity

Japanese guidelines for atopic dermatitis 2020.

Atopic dermatitis (AD) is a disease characterized by relapsing eczema with pruritus as a primary lesion, which is frequently encountered in clinical practice. Skin barrier dysfunction leads to enhanced skin irritability to non-specific stimuli and epicutaneous sensitization. In the lesion site, a further inflammation-related reduction in skin barrier function, enhanced irritability and scratching-related stimuli deteriorate eczema, leading to vicious cycle of inflammation. The current strategies to treat AD in Japan from the perspective of evidence-based medicine consist of three primary measures: (i) the use of topical corticosteroids and tacrolimus ointment as the main treatment for the inflammation; (ii) topical application of emollients to treat the cutaneous barrier dysfunction; and (iii) avoidance of apparent exacerbating factors, psychological counseling and advice about daily life. The guidelines present recommendations to review clinical research articles, evaluate the balance between the advantages and disadvantages of medical activities, and optimize medical activity-related patient outcomes with respect to several important points requiring decision-making in clinical practice

インフォームド コンセント ニ カンスル イシ エノ アンケート チョウサ

患者と医療従事者の間により良い信頼関係を形成するために,インフォームド・コンセントは必要不可欠である。我々は,臨床医が実際にどのようなインフォームド・コンセントを行っているのかを知ることを目的として,アンケート調査を行った。本稿ではその結果をもとに,日本の医療の現状を織り込みつつ,考察を加えた

DOCK2 is involved in the host genetics and biology of severe COVID-19

「コロナ制圧タスクフォース」COVID-19疾患感受性遺伝子DOCK2の重症化機序を解明 --アジア最大のバイオレポジトリーでCOVID-19の治療標的を発見--. 京都大学プレスリリース. 2022-08-10.Identifying the host genetic factors underlying severe COVID-19 is an emerging challenge. Here we conducted a genome-wide association study (GWAS) involving 2, 393 cases of COVID-19 in a cohort of Japanese individuals collected during the initial waves of the pandemic, with 3, 289 unaffected controls. We identified a variant on chromosome 5 at 5q35 (rs60200309-A), close to the dedicator of cytokinesis 2 gene (DOCK2), which was associated with severe COVID-19 in patients less than 65 years of age. This risk allele was prevalent in East Asian individuals but rare in Europeans, highlighting the value of genome-wide association studies in non-European populations. RNA-sequencing analysis of 473 bulk peripheral blood samples identified decreased expression of DOCK2 associated with the risk allele in these younger patients. DOCK2 expression was suppressed in patients with severe cases of COVID-19. Single-cell RNA-sequencing analysis (n = 61 individuals) identified cell-type-specific downregulation of DOCK2 and a COVID-19-specific decreasing effect of the risk allele on DOCK2 expression in non-classical monocytes. Immunohistochemistry of lung specimens from patients with severe COVID-19 pneumonia showed suppressed DOCK2 expression. Moreover, inhibition of DOCK2 function with CPYPP increased the severity of pneumonia in a Syrian hamster model of SARS-CoV-2 infection, characterized by weight loss, lung oedema, enhanced viral loads, impaired macrophage recruitment and dysregulated type I interferon responses. We conclude that DOCK2 has an important role in the host immune response to SARS-CoV-2 infection and the development of severe COVID-19, and could be further explored as a potential biomarker and/or therapeutic target