Japanese Journal of Hygiene最新文献

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[Association between Job Stress and Number of Physical Symptoms among Female Nurses of Medical-university-affiliated Hospitals]. [医科大学附属医院女护士工作压力与躯体症状数量的关系]。
Japanese Journal of Hygiene Pub Date : 2018-01-01 DOI: 10.1265/jjh.73.388
Nozomi Yoshioka, Kyoko Nomura, Kei Asayama, Shinichi Takenoshita, Toru Nagasawa, Yoshinori Nakata, Haruko Hiraike, Yukifumi Sasamori, Akiko Tsuchiya, Takayoshi Ohkubo, Hiroko Okinaga
{"title":"[Association between Job Stress and Number of Physical Symptoms among Female Nurses of Medical-university-affiliated Hospitals].","authors":"Nozomi Yoshioka,&nbsp;Kyoko Nomura,&nbsp;Kei Asayama,&nbsp;Shinichi Takenoshita,&nbsp;Toru Nagasawa,&nbsp;Yoshinori Nakata,&nbsp;Haruko Hiraike,&nbsp;Yukifumi Sasamori,&nbsp;Akiko Tsuchiya,&nbsp;Takayoshi Ohkubo,&nbsp;Hiroko Okinaga","doi":"10.1265/jjh.73.388","DOIUrl":"https://doi.org/10.1265/jjh.73.388","url":null,"abstract":"<p><strong>Objectives: </strong>To clarify the association between job stress and the number of physical symptoms among newly certified female nurses.</p><p><strong>Methods: </strong>In this cross-sectional self-administered survey, we investigated 313 female nurses working at three medical-university-affiliated hospitals in February 2016. We investigated working conditions including numbers of working and on-call hours, work-life balance, Job Content Questionnaire (JCQ) scores, and 16 physical symptoms perceived more often than once a week.</p><p><strong>Results: </strong>Among the 313 participants (mean age, 31.9), 57% were aged 21-29 years and 70% were single. Of the 16 physical symptoms investigated, fatigability was the most frequent complaint (66.1%), followed by lower back pain (44.7%). Univariate analysis showed that significant factors related to physical symptoms are job demands (p<0.001) and social support (p<0.001) in JCQ, binary index of supports (p<0.001), and total working hours per day (p =0.025). Multivariable-adjusted logistic regression analyses demonstrated that the likelihood of reporting a greater number (n≥3) of physical symptoms increased by 7% [95% confidence interval (CI), 2-13%] with a one-unit increase in job demand degree, and decreased by 16% (95% CI, 10-22%) in social support degree. When binary JCQ indexes were assessed, the high-support group [odds ratio (OR) 0.36; 95% CI, 0.23-0.59] was protectively associated with a greater number of physical symptoms while long working hours was significantly associated with a higher risk (OR 18%, 95% CI, 1-38%).</p><p><strong>Conclusions: </strong>Reporting a greater number of physical symptoms may be a good indicator of job stress perceived by a nurse in a university hospital setting.</p>","PeriodicalId":35643,"journal":{"name":"Japanese Journal of Hygiene","volume":"73 3","pages":"388-394"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1265/jjh.73.388","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36538396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
[Multiple Chemical Sensitivity (MCS): History, Epidemiology and Mechanism]. 多重化学敏感性(MCS):历史、流行病学和机制。
Japanese Journal of Hygiene Pub Date : 2018-01-01 DOI: 10.1265/jjh.73.1
Takahiko Katoh
{"title":"[Multiple Chemical Sensitivity (MCS): History, Epidemiology and Mechanism].","authors":"Takahiko Katoh","doi":"10.1265/jjh.73.1","DOIUrl":"https://doi.org/10.1265/jjh.73.1","url":null,"abstract":"<p><p>Multiple chemical sensitivity (MCS), also known as idiopathic environmental intolerance, has been described as a chronic acquired disorder characterized by nonspecific symptoms in multiple organ systems and is associated with exposure to low-level chemicals. The name was established by Cullen, in 1987, although the name and diagnostic criteria are still under debate even now. A number of hypotheses concering the etiology and pathogenesis of MCS have been proposed, including impairmens of neurological, immunological and psychological systems. However, research on the possible mechanisms underlying MCS is far from complete. The name and diagnostic criteria of its history as well as theoretical and experimental mechanisms underlying MCS are reviewed here.</p>","PeriodicalId":35643,"journal":{"name":"Japanese Journal of Hygiene","volume":"73 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1265/jjh.73.1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35781468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
[Electromyography Analysis of Rapid Eye Movement Sleep Behavior Disorder]. 快速眼动睡眠行为障碍的肌电分析
Japanese Journal of Hygiene Pub Date : 2018-01-01 DOI: 10.1265/jjh.73.27
Natsuko Nakano, Fumiya Kinoshita, Hiroki Takada, Meiho Nakayama
{"title":"[Electromyography Analysis of Rapid Eye Movement Sleep Behavior Disorder].","authors":"Natsuko Nakano,&nbsp;Fumiya Kinoshita,&nbsp;Hiroki Takada,&nbsp;Meiho Nakayama","doi":"10.1265/jjh.73.27","DOIUrl":"https://doi.org/10.1265/jjh.73.27","url":null,"abstract":"<p><p>Polysomnography (PSG), which records physiological phenomena including brain waves, breathing status, and muscle tonus, is useful for the diagnosis of sleep disorders as a gold standard. However, measurement and analysis are complex for several specific sleep disorders, such as rapid eye movement (REM) sleep behavior disorder (RBD). Usually, brain waves during REM sleep indicate an awakening pattern under relaxed conditions of skeletal and antigravity muscles. However, these muscles are activated during REM sleep when patients suffer from RBD. These activated muscle movements during REM, so-called REM without atonia (RWA) recorded by PSG, may be related to a neurodegenerative disease such as Parkinson's disease. Thus, careful analysis of RWA is significant not only physically, but also clinically. Commonly, manual viewing measurement analysis of RWA is time-consuming. Therefore, quantitative studies on RWA are rarely reported. A software program, developed from Microsoft Office Excel<sup>®</sup>, was used to semiautomatically analyze the RWA ratio extracted from PSG to compare with manual viewing measurement analysis. In addition, a quantitative muscle tonus study was carried out to evaluate the effect of medication on RBD patients. Using this new software program, we were able to analyze RWA on the same cases in approximately 15 min as compared with 60 min in the manual viewing measurement analysis. This software program can not only quantify RWA easily but also identify RWA waves for either phasic or tonic bursts. We consider that this software program will support physicians and scientists in their future research on RBD. We are planning to offer this software program for free to physicians and scientists.</p>","PeriodicalId":35643,"journal":{"name":"Japanese Journal of Hygiene","volume":"73 1","pages":"27-33"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1265/jjh.73.27","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35781470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
[House Dust and Its Adverse Health Effects]. [室内灰尘及其对健康的不利影响]。
Japanese Journal of Hygiene Pub Date : 2018-01-01 DOI: 10.1265/jjh.73.130
Atsuko Araki, Yu Ait Bamai, Rahel Mesfin Ketema, Reiko Kishi
{"title":"[House Dust and Its Adverse Health Effects].","authors":"Atsuko Araki,&nbsp;Yu Ait Bamai,&nbsp;Rahel Mesfin Ketema,&nbsp;Reiko Kishi","doi":"10.1265/jjh.73.130","DOIUrl":"https://doi.org/10.1265/jjh.73.130","url":null,"abstract":"<p><p>In this review, we examine house dust and its effect on inhabitants' health. Residential house dust includes components from plants, pollens, microorganisms, insects, skin flakes, hairs and fibers. It also includes materials contaminated with chemicals from combustion, furniture, interior materials, electronics, cleaning agents, personal care products. Nowadays, most people spend their time indoors. Thus, dust is an important medium of exposure to pollutions. According to United States Environmental Protection Agency Exposure Factors Handbook, the estimated amount of dust ingestion is 30 mg/day for adults, and 60 mg/day for children over 1 year of age. Since 2003, we have been conducting epidemiological studies to find the association between the indoor environment and the inhabitants' health. The levels of mite allergens, endotoxins, and β-1,3-d-glucan in house dust were measured as biological factors. Semi volatile organic compounds (SVOC) such as phthalates and phosphate flame retardants (PFRs) in dust were also analyzed. As a result, we found that the ORs (95%CI) of nasal and optical symptoms of sick building syndrome (SBS) were 1.45 (1.01-2.10) and 1.47 (1.14-1.88), respectively, when there was a 10-fold increase in the levels of mite allergens. There was no association of mite allergens with allergies. Endotoxins and β-1,3-d-glucan did not show any association with SBS. Regarding SVOC, increased levels of phthalates and PFR increased the risk of allergies. The association between phthalates and increased risk of allergies was clearer among children than adults. There were no gold standards of dust sampling and pretreatment methods. Thus, caution is needed when comparing findings of various studies. Methods should accurately reflect exposure levels.</p>","PeriodicalId":35643,"journal":{"name":"Japanese Journal of Hygiene","volume":"73 2","pages":"130-137"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1265/jjh.73.130","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36176822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
[Importance of Two Birth Cohorts (n=20,926 and n=514): 15 Years' Experience of the Hokkaido Study on Environment and Children's Health: Malformation, Development and Allergy]. [两个出生队列(n=20,926和n=514)的重要性:北海道环境与儿童健康研究的15年经验:畸形,发育和过敏]。
Japanese Journal of Hygiene Pub Date : 2018-01-01 DOI: 10.1265/jjh.73.164
Reiko Kishi, Atsuko Araki, Chihiro Miyashita, Sachiko Itoh, Machiko Minatoya, Sumitaka Kobayashi, Keiko Yamazaki, Yu Ait Bamai, Ryu Miura, Naomi Tamura
{"title":"[Importance of Two Birth Cohorts (n=20,926 and n=514): 15 Years' Experience of the Hokkaido Study on Environment and Children's Health: Malformation, Development and Allergy].","authors":"Reiko Kishi,&nbsp;Atsuko Araki,&nbsp;Chihiro Miyashita,&nbsp;Sachiko Itoh,&nbsp;Machiko Minatoya,&nbsp;Sumitaka Kobayashi,&nbsp;Keiko Yamazaki,&nbsp;Yu Ait Bamai,&nbsp;Ryu Miura,&nbsp;Naomi Tamura","doi":"10.1265/jjh.73.164","DOIUrl":"https://doi.org/10.1265/jjh.73.164","url":null,"abstract":"<p><p>Since \"Our Stolen Future\" by Theo Colborn was published in 1996, global interest on the impact of chemical substances, such as the endocrine-disrupting action of chemicals, has increased. In Japan, \"The Hokkaido Study on Environment and Children's Health: Malformation, Development and Allergy\" was launched in 2001. It was a model of Japan Environment and Children's Study of the Ministry of the Environment. In a large-scale, Hokkaido cohort, we obtained the consent of 20,926 mothers at the organogenesis stage with the cooperation of 37 obstetrics clinics in Hokkaido. We tracked the effects of endocrine disruptors on developmental disorders. In a small-scale Sapporo cohort, we observed in detail the neuropsychiatric development of children with the consent of 514 mothers in their late pregnancy. We examined how prenatal exposure to low concentrations of environmental chemicals affect the development of organs and the postnatal development of children. Maternal exposure to POPs, such as PCB/dioxins and perfluorinated alkyl substances, has affected not only children's birth size, thyroid functions, and sex hormone levels, but also postnatal neurodevelopment, infection, and allergy among others. The associations of short-half-life substances, such as DEHP and BPA, with obesity, ASD, and ADHD have been investigated. Gene-environment interactions have been found for smoking, caffeine, folic acid, and PCB/dioxin. In 2015, our center was officially designated as the WHO Collaborating Centre for Environmental Health and Prevention of Chemical Hazards, and we continue to the contribute to the global perspectives of child health.</p>","PeriodicalId":35643,"journal":{"name":"Japanese Journal of Hygiene","volume":"73 2","pages":"164-177"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1265/jjh.73.164","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36176828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
[Prolusion: Past, Present and Future of Adverse Metals Studies]. [前言:有害金属研究的过去、现在和未来]。
Japanese Journal of Hygiene Pub Date : 2018-01-01 DOI: 10.1265/jjh.73.257
Takehiro Suzuki, Kouji Harada
{"title":"[Prolusion: Past, Present and Future of Adverse Metals Studies].","authors":"Takehiro Suzuki,&nbsp;Kouji Harada","doi":"10.1265/jjh.73.257","DOIUrl":"https://doi.org/10.1265/jjh.73.257","url":null,"abstract":"","PeriodicalId":35643,"journal":{"name":"Japanese Journal of Hygiene","volume":"73 3","pages":"257"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1265/jjh.73.257","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36537085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Editor's Note]. [编者按]。
Japanese Journal of Hygiene Pub Date : 2018-01-01 DOI: 10.1265/jjh.73.421
Hidekuni Inadera
{"title":"[Editor's Note].","authors":"Hidekuni Inadera","doi":"10.1265/jjh.73.421","DOIUrl":"https://doi.org/10.1265/jjh.73.421","url":null,"abstract":"[ ]Cristian Băhnăreanu, PhD Senior Researcher, highlights the economic impact of the pandemics;next, Alexandra Sarcinschi, PhD Senior Researcher, analyses the distinction between the terms \"social distance\" and \"physical distance\", identifying their impact on the societal security sector, in the article Measures and Consequences of Managing COVID-19 Pandemic: from Physical Distance to Social Distance For those who read for the first time Strategic Impact, it is an open-access peer reviewed journal, edited by the Centre for Defence and Security Strategic Studies and published with the support of the \"Carol I\" National Defence University Publishing House, and, according to the National Council for Titles, Diplomas and Certificates (CNATDCU), the publication is a prestigious scientific journal in the field of military sciences, information and public order [ ]we would like to encourage those interested to publish in our journal to prospect and evaluate thoroughly the dynamics of the security environment and, also, we invite the interested students, Master Students and Doctoral Candidates to submit articles for publication in the monthly supplement of the journal, Strategic Colloquium, available on the Internet at http://cssas unap ro/ro/cs htm, indexed in the international database CEEOL, Google scholar and ROAD ISSN","PeriodicalId":35643,"journal":{"name":"Japanese Journal of Hygiene","volume":"73 3","pages":"421"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36538399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Nutritional Status of Japanese Women of Childbearing Age and the Ideal Weight Range for Pregnancy]. [日本育龄妇女营养状况及怀孕理想体重范围]。
Japanese Journal of Hygiene Pub Date : 2018-01-01 DOI: 10.1265/jjh.73.85
Kyoko Nomura, Hiroko Kodama, Michiko Kido
{"title":"[Nutritional Status of Japanese Women of Childbearing Age and the Ideal Weight Range for Pregnancy].","authors":"Kyoko Nomura,&nbsp;Hiroko Kodama,&nbsp;Michiko Kido","doi":"10.1265/jjh.73.85","DOIUrl":"https://doi.org/10.1265/jjh.73.85","url":null,"abstract":"<p><p>According to the recent 2015 Nutrition Survey, the prevalence of being underweight (Body Mass Index, BMI <18.5 kg/m<sup>2</sup>) among women in their 20s is 22.3%. Women of childbearing age tend to have a lower intake of protein and their total energy intake is lower than the requirements established by the 2015 Dietary Reference Intakes for Japanese. There is a growing body of evidence showing that underweight women tend to bear small babies and that these babies have an increased risk of diabetes or cancer in their adulthood. In order to prevent Japanese women from bearing small babies, the literature has suggested that women of childbearing age should be encouraged to remain at a normal weight before pregnancy. For optimal weight gain during pregnancy, existing guidelines recommend different ranges of weight gain based on prepregnancy BMI. Owing to the absence of official GWG recommendations in Asian countries, including China and Taiwan, the US Institute of Medicine (IOM) guidelines are generally followed. However, Asian women are smaller and experience lower weight gains; therefore, excessive weight gain may lead to harmful events including macrosomia, preterm birth, preeclampsia, gestational diabetes, pregnancy-induced hypertension, and short- and long-term postpartum weight retention. Thus, an accurate GWG range should be determined for Asian women. We introduce one epidemiological study in which the optimal weight gain range was investigated by analyzing receiver-operating characteristic curves together with potential research ideas in this field with the aim of encouraging young researchers to solve this public health problem affecting mothers and children.</p>","PeriodicalId":35643,"journal":{"name":"Japanese Journal of Hygiene","volume":"73 1","pages":"85-89"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1265/jjh.73.85","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35782390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
[Effect of Reading a Book on a Tablet Computer on Cerebral Blood Flow in the Prefrontal Cortex]. [在平板电脑上读书对前额皮质脑血流量的影响]。
Japanese Journal of Hygiene Pub Date : 2018-01-01 DOI: 10.1265/jjh.73.39
Akihiro Sugiura, Takuya Eto, Fumiya Kinoshita, Hiroki Takada
{"title":"[Effect of Reading a Book on a Tablet Computer on Cerebral Blood Flow in the Prefrontal Cortex].","authors":"Akihiro Sugiura,&nbsp;Takuya Eto,&nbsp;Fumiya Kinoshita,&nbsp;Hiroki Takada","doi":"10.1265/jjh.73.39","DOIUrl":"https://doi.org/10.1265/jjh.73.39","url":null,"abstract":"<p><strong>Objectives: </strong>By measuring cerebral blood flow in the prefrontal cortex, we aimed to determine how reading a book on a tablet computer affects sleep.</p><p><strong>Methods: </strong>Seven students (7 men age range, 21-32 years) participated in this study. In a controlled illuminance environment, the subjects read a novel in printed form or on a tablet computer from any distance. As the subjects were reading, the cerebral blood flow in their prefrontal cortex was measured by near-infrared spectroscopy. The study protocol was as follows. 1) Subjects mentally counted a sequence of numbers for 30 s as a pretest to standardized thinking and then 2) read the novel for 10 min, using the printed book or tablet computer. In step 2), the use of the book or tablet computer was in a random sequence. Subjects rested between the two tasks.</p><p><strong>Results: </strong>Significantly increased brain activity (increase in regional cerebral blood flow) was observed following reading a novel on a tablet computer compared with that after reading a printed book. Furthermore, the region around Broca's area was more active when reading on a tablet computer than when reading a printed book.</p><p><strong>Conclusions: </strong>Considering the results of this study and previous studies on physiological characteristics during nonrapid eye movement sleep, we concluded that reading a book on a tablet computer before the onset of sleep leads to the potential inhibition of sound sleep through mechanisms other than the suppression of melatonin secretion.</p>","PeriodicalId":35643,"journal":{"name":"Japanese Journal of Hygiene","volume":"73 1","pages":"39-45"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1265/jjh.73.39","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35782475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
[Approach to the Development of Mind and Persona]. [心灵和人格发展的方法]。
Japanese Journal of Hygiene Pub Date : 2018-01-01 DOI: 10.1265/jjh.73.67
Toshiko Sawaguchi
{"title":"[Approach to the Development of Mind and Persona].","authors":"Toshiko Sawaguchi","doi":"10.1265/jjh.73.67","DOIUrl":"https://doi.org/10.1265/jjh.73.67","url":null,"abstract":"<p><strong>Objectives: </strong>To access medical specialists by health specialists working in the regional health field, the possibility of utilizing the voice approach for dissociative identity disorder (DID) patients as a health assessment for medical access (HAMA) was investigated. The first step is to investigate whether the plural personae in a single DID patient can be discriminated by voice analysis.</p><p><strong>Methods: </strong>Voices of DID patients including these with different personae were extracted from YouTube and were analysed using the software PRAAT with basic frequency, oral factors, chin factors and tongue factors. In addition, RAKUGO story teller voices made artificially and dramatically were analysed in the same manner. Quantitive and qualitative analysis method were carried out and nested logistic regression and a nested generalized linear model was developed.</p><p><strong>Results: </strong>The voice from different personae in one DID patient could be visually and easily distinquished using basic frequency curve, cluster analysis and factor analysis. In the canonical analysis, only Roy's maximum root was <0.01. In the nested generalized linear model, the model using a standard deviation (SD) indicator fit best and some other possibilities are shown here.</p><p><strong>Conclusions: </strong>In DID patients, the short transition time among plural personae could guide to the risky situation such as suicide. So if the voice approach can show the time threshold of changes between the different personae, it would be useful as an Access Assessment in the form of a simple HAMA.</p>","PeriodicalId":35643,"journal":{"name":"Japanese Journal of Hygiene","volume":"73 1","pages":"67-74"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1265/jjh.73.67","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35782479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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