Development of the Mental Illness and Disorder Understanding Scale

Abstract: Although administrative bodies such as community health centers have implemented various awareness campaigns to promote community understanding of mental health and to reduce the stigma associated with mental illness and disorder, there have been few reports that have quantitatively analyzed the effects of these campaigns in Japan. Therefore, this study was conducted for the purpose of developing the evaluative “Mental Illness and Disorder Understanding Scale (MIDUS)” for awareness campaigns and assessing its reliability and validity. A survey was conducted on 1 004 community residents using a self‐administered questionnaire. An assessment of the reliability and validity of the scale was then conducted. The Cronbach a coefficient of the MIDUS was 0.78, thus indicating adequate reliability. Factor analysis of the MIDUS revealed three factors: “Treatability of illness”, “Efficacy of medication” and “Social recognition of illness”. In addition, a significant correlation was observed between the MIDUS and existing scales, and fixed criterion‐based validity was demonstrated. The MIDUS utilizes items worded in the form of affirmative expressions so as to avoid promoting new bias. It was confirmed to be both reliable and valid, thereby suggesting its usefulness as an evaluative scale of awareness campaigns.     

Influence of a home-based exercise program on the urine pH in elderly female subjects: a secondary analysis of a randomized controlled trial

Background

A low urine pH is a characteristic metabolic feature of metabolic syndrome and type 2 diabetes. The purpose of the current study was to investigate the effects of a 12-week home-based bench step exercise on the urine pH status of elderly female subjects.

Methods

The current study is a secondary analysis of a randomized controlled trial (RCT) in which 59 postmenopausal female subjects were randomized to either the exercise group (n?=?29) or the control group (n?=?30). The subjects in the exercise group were instructed to perform home-based exercises using a bench step at the anaerobic threshold (AT), with a goal of performing ≥140 min/week at home for 12 weeks. The subjects in the control group were instructed to not change their normal lifestyle. Urine was collected after overnight fasting, and the urine pH was measured using a urinary test strip. The inter-group-differences at baseline and the pre-post changes within groups were assessed using the Mann-Whitney U test and Wilcoxon’s signed-rank test, respectively. Additionally, the difference in the post-intervention urine pH levels of the two groups, adjusted for the pre-intervention values (the estimated effect size) and the precision (95% confidence intervals) were investigated using an analysis of covariance.

Results

The pre-post comparison of the urine pH data using Wilcoxon’s signed-rank test showed a significant increase in the urine pH levels of the exercise group (p?<?0.05); there was no significant change in the urine pH levels of the control group. However, the estimated effect size (0.15) was small and the confidence interval straddled 0 (?0.25–0.55).

Conclusions

Based on the results of the current secondary analysis of an RCT, we could not clearly conclude that exercise has a beneficial effect on the urine pH. Further well-designed RCTs should be conducted to determine whether aerobic exercise is truly able to ameliorate urine acidification.

Trial registration

The study was retrospectively registered in the University Hospital Medical Information Network (UMIN) as “Effect of step exercise on aerobic fitness and progression of atherosclerosis in the elderly” under the registration number UMIN 000026743 (the date of registration: March 28, 2017).

     

Daily Inhalation Rate and Time‐Activity/Location Pattern in Japanese Preschool Children

Lack of data on daily inhalation rate and activity of children has been an issue in health risk assessment of air pollutants. This study aimed to obtain the daily inhalation rate and intensity and frequency of physical activity in relation to the environment in Japanese preschool children. Children aged four–six years (n= 138) in the suburbs of Tokyo participated in this study, which involved three days' continuous monitoring of physical activity using a tri‐axial accelerometer and parent's completion of a time/location diary during daily life. The estimated three‐day mean daily inhalation rate (body temperature, pressure, saturated with water vapor) was 9.9 ± 1.6 m³/day (0.52 ± 0.09 m³/kg/day). The current daily inhalation rate value of 0.580 m³/kg/day proposed for use in health risk assessment in Japan is confirmed to be valid to calculate central value of inhaled dose of air pollutants in five‐ to six‐year‐old children. However, the 95th percentile daily inhalation rate of 0.83 m³/kg/day based on measurement for five‐year‐old children is recommended to be used to provide an upper bound estimate of exposure that ensure the protection of all five‐ to six‐year‐old children from the health risk of air pollutants. Children spent the majority of their time in sedentary and light level of physical activity (LPA) when indoors, while 85% of their time when outdoors was spent in LPA and moderate‐to‐vigorous physical activity. The results suggest the need to consider variability of minute respiratory ventilation rate according to the environment for more refined short‐term health risk assessment.     

On second-order improved estimation of a gamma scale parameter

This paper concludes our comprehensive study on point estimation of model parameters of a gamma distribution from a second-order decision theoretic point of view. It should be noted that efficient estimation of gamma model parameters for samples ‘not large’ is a challenging task since the exact sampling distributions of the maximum likelihood estimators and its variants are not known. Estimation of a gamma scale parameter has received less attention from the earlier researchers compared to shape parameter estimation. What we have observed here is that improved estimation of the shape parameter does not necessarily lead to improved scale estimation if a natural moment condition (which is also the maximum likelihood restriction) is satisfied. Therefore, this work deals with the gamma scale parameter estimation as a separate new problem, not as a by-product of the shape parameter estimation, and studies several estimators in terms of second-order risk.     

Infants' Processing of Featural and Configural Information in the Upper and Lower Halves of the Face

Three‐ to 4‐month‐old and 6‐ to 7‐month‐old infants were administered an infant version of the Face Dimensions Test that has been used with adults (e.g., Bukach, Le Grand, Kaiser, Bub, & Tanaka, 2008). Infants were familiarized with a photograph of a woman's face and then tested with the familiar face paired with a face differing in the (a) distance separating the eyes (a configural/eyes change), (b) distance between the nose and mouth (configural/mouth change), (c) size of the eyes (featural/eyes change), and (d) size of the mouth (featural/mouth change). Infants were shown to be more sensitive to (a) configural than featural change, and (b) change around the eyes versus the mouth. Implications for the development of face processing are discussed.     

Influence in covariance structure analysis: with an application to confirmatory factor analysis

Influence functions are derived for the parameters in covariance structure analysis, where the parameters are estimated by minimizing a discrepancy function between the assumed covariance matrix and the sample covariance matrix. The case of confirmatory factor analysis is studied precisely with a numerical example. Comparing with a general procedure called one-step estimation, the proposed procedure has two advantages:1) computing cost is cheaper, 2) the property that arbitrary influence can be decomposed into a fi-nite number of components discussed by Tanaka and Castano-Tostado(1990) can be used for efficient computing and the characterization of a covariance structure model from the sensitivity perspective. A numerical comparison is made among the confirmatory factor analysis and some procedures of ex-ploratory factor analysis by using the decomposition mentioned above.     

Using GIS in community design charrettes: Lessons from a Japan–U.S. collaboration in earthquake recovery and mitigation planning for Kobe

Charrettes have become popular in the urban design field, especially for use among multidisciplinary teams of professionals and non-professional community stakeholders seeking to incorporate a rich array of expertise in short visioning activities. Geographic Information Systems are among the technologies with potential to provide sophisticated spatial information to charrette participants efficiently. This article reports on a charrette carried out jointly by teams from Kobe University and the University of Washington, Seattle, USA, using GIS to inform urban design in three neighborhoods affected by the Great Hanshin–Awaji Earthquake of 1995 in Kobe, Japan. The article describes the charrette itself, and discusses the utility of GIS, given the challenges of disaster recovery in a context of undeveloped institutions for public participation, and with participants of different linguistic and educational backgrounds. In combination with electronically storable drawing technology, GIS proved useful in enlarging the multidisciplinary and cross-cultural reach of urban design; in incorporating new layers of pre-prepared expert data, and in combining such data with dynamically-generated “advice maps” and design ideas. For GIS-based charrettes to become more widely useful in community-scale design in Japan, however, additional property-scale data need to be available.     

On the distribution of quadratic functionals of the ordinary and fractional Brownian motions

In this paper we discuss some distributional properties of quadratic functionals of the ordinary and fractional Brownian motions (fBms). As far as the ordinary Brownian motion (Bm) is concerned, those properties have been established extensively. A transition from the Bm to the fBm is not straightforward. Some difficulties associated with dealing with the fBm are explained, and a way to solving the problem is indicated, and some conjectures are given.     

Who Gets an Early Education? Family Income and the Enrollment of Three‐ to Five‐Year‐Olds from 1968 to 2000*

Objectives. Has inequality in access to early education been growing or lessening over time? Methods. Using the October Current Population Survey education supplement from 1968 to 2000, we look at three‐, four‐, and five‐year‐olds' enrollment in early education—including center‐based care, Head Start, nursery school, prekindergarten, and kindergarten. Results. Our analysis shows a strong link between family income and early education enrollment for three‐ and four‐year‐olds, especially when we compare the bottom two and the top two income groups. These differences remain even after controlling for a large variety of factors, including race/ethnicity, maternal employment, family structure, and parental education. Conclusions. Inequality in early education by income group varies by age of child: it is most pronounced for three‐year‐olds, who have been the least likely to benefit from public early childhood education programs; it has diminished in the past decade for four‐year‐olds, who have been increasingly likely to have access to public prekindergarten programs; and it has all but disappeared for the five‐year‐olds, who now largely attend public kindergarten. This pattern suggests a potentially important role for public policy in closing the gap in early education between children of different income groups.     

Time-based goal chasing method for mixed-model assembly line problem with multiple work stations

In sequencing problems for mixed-model assembly line in JIT production system, the Goal Chasing method (GC) is widely used for parts used leveling goal. The difference in assembly time of each product is not taken into consideration in the Goal Chasing method. Assembly time usually varies with product types. In recent years, the Time-Based Goal Chasing method (TBGC) has been proposed. The advantage of TBGC is to consider the influence of different assembly time of each product and idle time in production period. TBGC, however, has been only applied to single work station problems. In this paper, TBGC is applied to an assembly line problem with multiple work stations. Furthermore, the sequencing method and use of Simulated Annealing (SA) or Local Search (LS) for this problem are proposed.