General Consumer Awareness of Warnings Regarding the Consumption of Alcoholic Beverages

Over the past two decades, the liquor industry in Japan has strived to address alcohol-related problems through initiatives such as warnings in the various media. In this study, we conducted an Internet-based questionnaire survey to examine general consumer awareness of such warnings, and the media by which they are conveyed, on the consumption of alcoholic beverages. A total of 985 subjects (males:487, females:498) in age groups ranging from 20s to 70s responded (response rate:22.4%). The awareness rates for warnings regarding underage drinking, drunk driving, and drinking during pregnancy, and those for messages encouraging moderation in drinking, were 96.4%, 83.7%, 59.6%, and 45.5%, respectively. Logistic regression analysis adjusted for habitual alcohol consumption demonstrated significant gender- and/or age-based differences in the rates of awareness of warnings and the media publicizing them. For example, the odds ratio of awareness among women of warnings against underage drinking was significantly higher than that of awareness among men. Issues that must be addressed in the future include:(1) increasing public awareness about messages regarding drinking during pregnancy and drinking in moderation;(2) reviewing the wording of warnings to make them more effective;and (3) devising and employing, on a regular basis, more effective means of transmitting messages in consideration of gender and age

Usage of the .9 Codes of the ICD-10 for Japanese Mortality Statistics

The structural deficits and problems associated with application of the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10) were investigated. For this purpose, mortality statistics in Japan were examined for bias in the proportions of death causes classified using the ICD-10 four-character subcategory system, particularly the large distribution of cases classified under the .9 (unspecified) codes. The results showed that most deaths due to the 3 major causes were coded into the .9 subcategories. For example, 97.6% of the 607,065 deaths between 1995 and 2007 classified as I21 (acute myocardial infarction) were coded as I21.9 (acute myocardial infarction, unspecified). This suggests that the quality of the data recorded on many death certificates is poor. Thus, to ensure that the fourth-digit-level subcategories of the ICD-10 code system are effectively used to represent mortality data and actual causes of death in Japan, future studies should address the following objectives:(1) to minimize the discrepancy between the ICD classification terms and the names of diseases actually used in clinical practice, and (2) to actively raise awareness among physicians about the need to accurately record death causes on death certificates, since these records form the basis for determining mortality statistics in Japan.</p

Mental Health Status among Japanese Medical Students: A Cross-Sectional Survey of 20 Universities

The purposes of this study were to evaluate the mental health status of Japanese medical students and to examine differences based on gender, as well as on university type and location, using the results of a nationwide survey. Between December 2006 and March 2007, we conducted a questionnaire survey among fourth-year medical students at 20 randomly selected medical schools in Japan. The data from 1,619 students (response rate:90.6%;male:1,074;female:545) were analyzed. We used the Japanese version of the 12-item General Health Questionnaire (GHQ-12) to measure mental health status. Poor mental health status (GHQ-12 score of 4 points or higher) was observed in 36.6% and 48.8% of the male and female medical students, respectively. The ratio of the age-adjusted prevalence of poor mental health status in female versus male medical students was 1.33 (95% confidence interval:1.10-1.62). The universities were categorized into two groups based on the university type (national/public:15 vs. private:5) or location (in a large city:7 vs. in a local city:13 cities). The prevalence of poor mental health status in both men and women differed between these groups, although not significantly. The GHQ-12 scores in men significantly differed between the categorized groups of universities. These results suggest that adequate attention must be paid to the mental health of medical students, especially females, and that a system for providing mental health care for medical students must be established in the context of actual conditions at each university

Geothermal Linkage between a Hydrothermal Pond and a Deep Lake: Kuttara Volcano, Japan

Kuttara Volcano, Hokkaido, Japan, consists of temperate Lake Kuttara and the western Noboribetsu geothermal area. In order to explore geothermal relations between Lake Kuttara and the geothermal area, the heat budget of a hydrothermal pond, Okunoyu, was evaluated, and the heat storage change in the lower layer of Lake Kuttara was calculated by monitoring the water temperature at the deepest point. The lake water temperature consistently increased during the thermal stratification in June-November of 2013-2016. The heat flux Q(B) at lake bottom was then calculated at a range of 4.1-10.9 W/m(2), which is probably due to the leakage from a hydrothermal reservoir below the lake bottom. Meanwhile, the heat flux H-G(in) by geothermal groundwater input in Okunoyu was evaluated at 3.5-8.5 kW/m(2), which is rapidly supplied through faults from underlying hydrothermal reservoirs. With a time lag of 5 months to monthly mean Q(B) values in Lake Kuttara, the correlation with monthly mean H-G(in) in Okunoyu was significant (R-2 = 0.586; p < 0.01). Applying Darcy's law to the leakage from the hydrothermal reservoir at 260-310 m below the lake bottom, the time needed for groundwater's passage through the media 260-310 m thick was evaluated at 148-149 days (ca. 5 months). These findings suggest that the hydrothermal reservoir below lake bottom and the underlying hydrothermal reservoirs in the western geothermal area are both connected to a unique geothermal source in the deeper zone as a geothermal flow system of Kuttara Volcano