Attitudes toward depression among Japanese non-psychiatric medical doctors: A cross-sectional study

Abstract Background: Under-recognition of depression is common in many countries. Education of medical staff, focusing on their attitudes towards depression, may be necessary to change their behavior and enhance recognition of depression. Several studies have previously reported on attitudes toward depression among general physicians. However, little is known about attitudes of non-psychiatric doctors in Japan. In the present study, we surveyed nonpsychiatric doctors’ attitude toward depression. Methods: The inclusion criteria of participants in the present study were as follows: 1) Japanese non-psychiatric doctors and 2) attendees in educational opportunities regarding depression care. We conveniently approached two populations: 1) a workshop to depression care for non-psychiatric doctors and 2) a general physician-psychiatrist (GP)network group. We contacted 367 subjects. Attitudes toward depression were measured using the Depression Attitude Questionnaire (DAQ), a 20-item self-report questionnaire developed for general physicians. We report scores of each DAQ item and factors derived from exploratory factor analysis. Results: We received responses from 230 subjects, and we used DAQ data from 187 non-psychiatric doctors who met the inclusion criteria. All non-psychiatric doctors (n = 187) disagreed with "I feel comfortable in dealing with depressed patients' needs," while 60 % (n = 112) agreed with "Working with depressed patients is heavy going." Factor analysis indicated these items comprised a factor termed "Depression should be treated by psychiatrists" - to which 54 % of doctors (n = 101) agreed. Meanwhile, 67 % of doctors (n = 126) thought that nurses could be useful in depressed patient support. The three factors derived from the Japanese DAQ differed from models previously derived from British GP samples. The attitude of Japanese non-psychiatric doctors concerning whether depression should be treated by psychiatrists was markedly different to that of British GPs. Conclusions: Japanese non-psychiatric doctors believe that depression care is beyond the scope of their duties. It is suggested that educational programs or guidelines for depression care developed in other countries such as the UK are not directly adaptable for Japanese non-psychiatric doctors. Developing a focused educational program that motivates non-psychiatric doctors to play a role in depression care is necessary to enhance recognition and treatment of depression in Japan

Suzaku X-Ray Imaging and Spectroscopy of Cassiopeia A

Suzaku X-ray observations of a young supernova remnant, Cassiopeia A, were carried out. K-shell transition lines from highly ionized ions of various elements were detected, including Chromium (Cr-Kalpha at 5.61 keV). The X-ray continuum spectra were modeled in the 3.4--40 keV band, summed over the entire remnant, and were fitted with a simplest combination of the thermal bremsstrahlung and the non-thermal cut-off power-law models. The spectral fits with this assumption indicate that the continuum emission is likely to be dominated by the non-thermal emission with a cut-off energy at > 1 keV. The thermal-to-nonthermal fraction of the continuum flux in the 4-10 keV band is best estimated as ~0.1. Non-thermal-dominated continuum images in the 4--14 keV band were made. The peak of the non-thermal X-rays appears at the western part. The peak position of the TeV gamma-rays measured with HEGRA and MAGIC is also shifted at the western part with the 1-sigma confidence. Since the location of the X-ray continuum emission was known to be presumably identified with the reverse shock region, the possible keV-TeV correlations give a hint that the accelerated multi-TeV hadrons in Cassiopeia A are dominated by heavy elements in the reverse shock region.Comment: Publ. Astron. Soc. Japan 61, pp.1217-1228 (2009

Observations of the Prompt Gamma-Ray Emission of GRB 070125

The long, bright gamma-ray burst GRB 070125 was localized by the Interplanetary Network. We present light curves of the prompt gamma-ray emission as observed by Konus-WIND, RHESSI, Suzaku-WAM, and \textit{Swift}-BAT. We detail the results of joint spectral fits with Konus and RHESSI data. The burst shows moderate hard-to-soft evolution in its multi-peaked emission over a period of about one minute. The total burst fluence as observed by Konus is $1.79 \times 10^{-4}$ erg/cm$^2$ (20 keV--10 MeV). Using the spectroscopic redshift $z=1.548$, we find that the burst is consistent with the ``Amati'' $E_{peak,i}-E_{iso}$ correlation. Assuming a jet opening angle derived from broadband modeling of the burst afterglow, GRB 070125 is a significant outlier to the ``Ghirlanda'' $E_{peak,i}-E_\gamma$ correlation. Its collimation-corrected energy release $E_\gamma = 2.5 \times 10^{52}$ ergs is the largest yet observed.Comment: 25 pages, 6 figures; accepted for publication in ApJ. Improved spectral fits and energetics estimate

Honesty mediates the relationship between serotonin and reaction to unfairness

How does one deal with unfair behaviors? This subject has long been investigated by various disciplines including philosophy, psychology, economics, and biology. However, our reactions to unfairness differ from one individual to another. Experimental economics studies using the ultimatum game (UG), in which players must decide whether to accept or reject fair or unfair offers, have also shown that there are substantial individual differences in reaction to unfairness. However, little is known about psychological as well as neurobiological mechanisms of this observation. We combined a molecular imaging technique, an economics game, and a personality inventory to elucidate the neurobiological mechanism of heterogeneous reactions to unfairness. Contrary to the common belief that aggressive personalities (impulsivity or hostility) are related to the high rejection rate of unfair offers in UG, we found that individuals with apparently peaceful personalities (straightforwardness and trust) rejected more often and were engaged in personally costly forms of retaliation. Furthermore, individuals with a low level of serotonin transporters in the dorsal raphe nucleus (DRN) are honest and trustful, and thus cannot tolerate unfairness, being candid in expressing their frustrations. In other words, higher central serotonin transmission might allow us to behave adroitly and opportunistically, being good at playing games while pursuing self-interest. We provide unique neurobiological evidence to account for individual differences of reaction to unfairness

Assessing discards in an illegal small-scale fishery using fisher-led reporting

Funding: Newton Fund (IL 2018-Grant Agreement 414695818 James PER), Fondo Nacional de Desarrollo Científico, Tecnológico y de Innovación Tecnológica (PE) (FONDECYT 2018-222).About a third of all marine fish in the world are caught in Small-Scale Fisheries (SSF). SSF are increasingly recognised as essential for food security and livelihoods for vulnerable and economically fragile communities globally. Although individual SSF vessels are usually perceived as having little impact on the ecosystem, the cumulative impact of gear type and number of vessels may be substantial. Bottom trawling is a common fishing method that can greatly influence the marine ecosystem by damaging the seafloor and generating high levels of discards. However, appropriate sampling coverage using on-board observer programmes to collect these data from SSF are rare, as they are expensive and pose logistical constraints. A mobile App was used to assess whether self-reporting by fishers could provide reliable fine-scale information on fishing effort and discards over time in an illegal shrimp trawling fishery in northern Peru. Maps depicting the spatial distribution of trawling effort and the proportion of discards from observers and fishers were compared using the Similarity in Means (SIM) Index, which ranges from 0 when spatial patterns differ completely to 1 when spatial patterns are very similar. High levels of agreement between spatio-temporal patterns of effort (SIM Index = 0.81) and discards (0.96) were found between fisher and observer maps. Moreover, far greater spatial coverage was accomplished by fishers, suggesting that self-reporting via an App represents a useful approach to collect reliable fisheries data as an initial step for effective monitoring and management of these fisheries.Publisher PDFPeer reviewe

Status of GRB Observations with the Suzaku Wideband All-sky Monitor

The Wide-band All-sky Monitor (WAM) is a function of the large lateral BGO shield of the Hard X-ray Detector (HXD) onboard Suzaku. Its large geometrical area of 800 cm^2 per side, the large stopping power for the hard X-rays and the wide-field of view make the WAM an ideal detector for gamma-ray bursts (GRBs) observations in the energy range of 50-5000 keV. In fact, the WAM has observed 288 GRBs confirmed by other satellites, till the end of May 2007.Comment: 4 pages, 4 figures, to be published in the proceedings of ''Gamma Ray Bursts 2007'', Santa Fe, New Mexico, November 5-

Swift captures the spectrally evolving prompt emission of GRB 070616

The origins of Gamma-ray Burst prompt emission are currently not well understood and in this context long, well-observed events are particularly important to study. We present the case of GRB 070616, analysing the exceptionally long-duration multipeaked prompt emission, and later afterglow, captured by all the instruments on-board Swift and by Suzaku WAM. The high energy light curve remained generally flat for several hundred seconds before going into a steep decline. Spectral evolution from hard to soft is clearly taking place throughout the prompt emission, beginning at 285 s after the trigger and extending to 1200 s. We track the movement of the spectral peak energy, whilst observing a softening of the low energy spectral slope. The steep decline in flux may be caused by a combination of this strong spectral evolution and the curvature effect. We investigate origins for the spectral evolution, ruling out a superposition of two power laws and considering instead an additional component dominant during the late prompt emission. We also discuss origins for the early optical emission and the physics of the afterglow. The case of GRB 070616 clearly demonstrates that both broadband coverage and good time resolution are crucial to pin down the origins of the complex prompt emission in GRBs.Comment: 13 pages, 11 figures (2 in colour), MNRAS accepte

Lyman Alpha Emitters at z=7 in the Subaru/XMM-Newton Deep Survey Field: Photometric Candidates and Luminosity Function

We conducted a deep narrowband NB973 (FWHM = 200 A centered at 9755 A) survey of z=7 Lyman alpha emitters (LAEs) in the Subaru/XMM-Newton Deep Survey Field, using the fully depleted CCDs newly installed on the Subaru Telescope Suprime-Cam, which is twice more sensitive to z=7 Lyman alpha at ~ 1 micron than the previous CCDs. Reaching the depth 0.5 magnitude deeper than our previous survey in the Subaru Deep Field that led to the discovery of a z=6.96 LAE, we detected three probable z=7 LAE candidates. Even if all the candidates are real, the Lyman alpha luminosity function (LF) at z=7 shows a significant deficit from the LF at z=5.7 determined by previous surveys. The LAE number and Lyman alpha luminosity densities at z=7 is ~ 7.7-54% and ~5.5-39% of those at z=5.7 to the Lyman alpha line luminosity limit of L(Ly-alpha) >~ 9.2 x 10^{42} erg s^{-1}. This could be due to evolution of the LAE population at these epochs as a recent galaxy evolution model predicts that the LAE modestly evolves from z=5.7 to 7. However, even after correcting for this effect of galaxy evolution on the decrease in LAE number density, the z=7 Lyman alpha LF still shows a deficit from z=5.7 LF. This might reflect the attenuation of Lyman alpha emission by neutral hydrogen remaining at the epoch of reionization and suggests that reionization of the universe might not be complete yet at z=7. If we attribute the density deficit to reionization, the intergalactic medium (IGM) transmission for Lyman alpha photons at z=7 would be 0.4 <= T_{Ly-alpha}^{IGM} <= 1, supporting the possible higher neutral fraction at the earlier epochs at z > 6 suggested by the previous surveys of z=5.7-7 LAEs, z ~ 6 quasars and z > 6 gamma-ray bursts.Comment: Accepted to ApJ for publicatio

Rapid Discrimination of Salmonella enterica Serovar Typhi from Other Serovars by MALDI-TOF Mass Spectrometry

Systemic infections caused by Salmonella enterica are an ongoing public health problem especially in Sub-Saharan Africa. Essentially typhoid fever is associated with high mortality particularly because of the increasing prevalence of multidrug-resistant strains. Thus, a rapid blood-culture based bacterial species diagnosis including an immediate sub-differentiation of the various serovars is mandatory. At present, MALDI-TOF based intact cell mass spectrometry (ICMS) advances to a widely used routine identification tool for bacteria and fungi. In this study, we investigated the appropriateness of ICMS to identify pathogenic bacteria derived from Sub-Saharan Africa and tested the potential of this technology to discriminate S. enterica subsp. enterica serovar Typhi (S. Typhi) from other serovars. Among blood culture isolates obtained from a study population suffering from febrile illness in Ghana, no major misidentifications were observed for the species identification process, but serovars of Salmonella enterica could not be distinguished using the commercially available Biotyper database. However, a detailed analysis of the mass spectra revealed several serovar-specific biomarker ions, allowing the discrimination of S. Typhi from others. In conclusion, ICMS is able to identify isolates from a sub-Saharan context and may facilitate the rapid discrimination of the clinically and epidemiologically important serovar S. Typhi and other non-S. Typhi serovars in future implementations