BACKGROUND Treatment for offenders with mental disorders is a key concern in public mental health.Provision of adequate psychiatric treatment is important for the offender and their community.An approach used in Japan...BACKGROUND Treatment for offenders with mental disorders is a key concern in public mental health.Provision of adequate psychiatric treatment is important for the offender and their community.An approach used in Japan to address this issue is administrative involuntary hospitalization.Under this scheme,a person at risk for harming themselves or others because of a mental disorder can be involuntarily hospitalized in a designated psychiatric hospital.However,this scheme does not include tracking of these patients after discharge.Although some data for administrative involuntary hospitalizations are available,it remains unclear what happens to these patients after discharge.AIM To evaluate follow-up of patients under administrative involuntary hospitalization after discharge and obtain data for later comparisons with outcomes.METHODS We used a retrospective design and conducted a national survey of administrative involuntary hospitalizations.Questionnaires were distributed to 939 facilities across Japan.The questionnaire collected data for selected involuntary hospitalization cases in the hospital on June 30,2010(census date),and the prognoses of each patient on a specified date in 2011 and 2012.We also asked about the treatment provided to each patient.We stratified patients by prognosis(good or poor),and used logistic regression analysis to examine the relationship between treatment and prognosis.RESULTS We received completed questionnaires from 292 facilities(response rate 31.1%);105 facilities had no relevant patients.Our analysis included data for 394 patients with valid data.Official statistics indicated 1503 patients were under administrative involuntary hospitalization as at June 30,2012,meaning the capture rate was 27.2%.Approximately a fourth(104/394)at 1 year,and a third(137/294)at 2 years after the census had unknown prognosis.Treatment content included multi-disciplinary team meetings(78.2%of patients),counseling by public workers(59.9%),and discussion with external specialists(32.5%).Overall,116 patients were categorized as having a good prognosis at 1 year,and 168 had a poor prognosis.At the 2-year point,102 patients had a good prognosis and 150 had a poor prognosis.“Discussion with external specialists”was positively associated with a good prognosis at both 1 year(P=0.016)and 2 years(P=0.036).CONCLUSION We found that facilities in Japan currently have limited ability to track the prognoses of patients who were hospitalized involuntarily.Discussion with external specialists is associated with a good prognosis.展开更多
Despite the efforts of the World Health Organization to internationally standardize strategies for mental-health care delivery,the rules and regulations for involuntary admission and treatment of patients with mental ...Despite the efforts of the World Health Organization to internationally standardize strategies for mental-health care delivery,the rules and regulations for involuntary admission and treatment of patients with mental disorder still differ markedly across countries. This review was undertaken to describe the regulations and mental-health laws from diverse countries and districts of Europe（UK,Austria,Denmark,France,Germany,Italy,Ireland,and Norway）,the Americas（Canada,USA,and Brazil）,Australasia（Australia and New Zealand）,and Asia（Japan and China）. We outline the criteria and procedures for involuntary admission to psychiatric hospitals and to community services,illustrate the key features oflaws related to these issues,and discuss their implications for contemporary psychiatric practice. This review may help to standardize the introduction oflegislation that allows involuntary admission and treatment of patients with mental disorders in the mainland of China,and contribute to improved mental-health care. In this review,involuntary admission or treatment does not include the placement of mentally-ill offenders,or any other aspect of forensic psychiatry.展开更多
Cell phone and personal computer use has increased considerably in recent years, particularly in developed countries. These devices have facilitated communication on a global scale. However, there have been a number o...Cell phone and personal computer use has increased considerably in recent years, particularly in developed countries. These devices have facilitated communication on a global scale. However, there have been a number of reports of health problems related to the electromagnetic waves emitted by such electronic devices. A long list of both general and severe symptoms, including headaches, fatigue, tinnitus, dizziness, memory loss, irregular heartbeat and whole-body skin le-sions, have been reported. These are reportedly associated with the condition known as electro-magnetic hypersensitivity (EHS). This report shows how a subject’s abnormal involuntary body movements, caused by electromagnetic waves emitted by a cell phone, are prevented by placing a gold alloy inlay in the subject’s mouth. It appears that the subject’s involuntary movements are the result of balance dysregulation resulting from EHS. The subject’s various symptoms improve after the specific dental treatment. However, the underlying mechanism of the symptoms and the rea-sons why this treatment is so successful remain unknown. Further research is required to clarify these issues.展开更多
AIM To construct and assess the psychometric properties of an instrument to measure patients' attitudes towards involuntary hospitalization. METHODS This is a two phase study. In the first phase, based on comprehe...AIM To construct and assess the psychometric properties of an instrument to measure patients' attitudes towards involuntary hospitalization. METHODS This is a two phase study. In the first phase, based on comprehensive literature review, a twenty one item scale to measure patients' attitudes to involuntary admission was constructed. Forensic and inpatient Psychiatrists, patients' advocates and legal experts(n = 15) were invited to participate in the validation process of the written instrument, by formally rating each item of the instrument for its relevancy in measuring patients' attitudes to involuntary admission. In the second phase of the project, the instrument was administered to a sample of eighty consecutive patients, who were admitted involuntarily to an acute psychiatric unit of a teaching hospital. All patients completed the constructed attitudes towards involuntary admission scale, and the client satisfaction questionnaire. RESULTS Responses from psychiatry and advocacy experts provided evidence for face and content validity for the constructed instrument. The internal consistency reliability of the instrument is 0.84(Chronbach' alpha), factor analysis resulted in three correlated, and theoretically meaningful factors. There was evidence for content, convergent, and concurrent validity.CONCLUSION A reliable twenty one item instrument scale to measure patients' attitudes to involuntary admission was developed. The developed instrument has high reliability, there is strong evidence for validity, and it takes ten minutes to complete.展开更多
Purpose: Involuntary mental health admissions remain a highly contested area in law, policy and practice. There are growing concerns about the effectiveness and potential harms of using coercion to enable treatment. T...Purpose: Involuntary mental health admissions remain a highly contested area in law, policy and practice. There are growing concerns about the effectiveness and potential harms of using coercion to enable treatment. These concerns are heightened by the worldwide shift to recovery oriented care, which emphasizes the importance for mental health consumers experiencing self- sufficiency, control and having input into their own treatment. Involuntary treatment challenges these very principles. Methods: For this study we adapted Noblit and Hare Meta Ethnography methods and synthesized the themes of seven qualitative studies which focused on the experiences of involuntary mental health admission. Results: Seven overarching dimensions were identified as either hindering or facilitating recovery, namely: 1) having input into own treatment;2) shared humanity;3) power imbalance/ balance;4) freedom and control;5) ability/inability to incorporate the episode/experience;6) treatment factors;and 7) importance of relationships. Conclusions: The findings of this study indicate that the recovery framework, in particular the concepts of hope, relationships and control are very relevant in the context of involuntary settings.展开更多
Involuntary movement is an uncommon manifestation of moyamoya disease. We describe a 12-year-old boy who suffered from involuntary movement after the first surgery but it improved dramatically after the second surgery...Involuntary movement is an uncommon manifestation of moyamoya disease. We describe a 12-year-old boy who suffered from involuntary movement after the first surgery but it improved dramatically after the second surgery. Initially, the patient underwent an encephalo-duro-arterio-myosynangiosis on the right side and encephalo-duro-periostealsynangiosis on the bifrontal side, which ameliorated his motor weakness in his left upper extremity. However, involuntary movement appeared in his right upper extremity. Secondly, the patient underwent encephalo-duro-arterio-myo-periostealsynangiosis on the left side. Thereafter, the patient’s involuntary movement completely resolved. The involuntary movement might occur due to the unequal distribution of the blood flow in the basal ganglia.展开更多
This note is an effort to view the research program of Brecher and his co-workers to deploy tax incentives against involuntary unemployment in the broader context; on both the equity-efficiency trade-off in political ...This note is an effort to view the research program of Brecher and his co-workers to deploy tax incentives against involuntary unemployment in the broader context; on both the equity-efficiency trade-off in political economy, and the dual economic structure in the theoretic foundations of market equilibrium.展开更多
This study uses,primarily,the 2020 National Population Census data to comprehensively examine the phenomenon of the“male marriage squeeze”and provide a socio-demographic portrait of involuntary bachelors in rural Ch...This study uses,primarily,the 2020 National Population Census data to comprehensively examine the phenomenon of the“male marriage squeeze”and provide a socio-demographic portrait of involuntary bachelors in rural China.The descriptive findings make clear the pronounced male marriage squeeze in rural China.In 2020,China recorded its highest historical sex ratio of marriageable population,reaching 110.The age-specific proportions of never-married men surpass those of women,particularly in rural areas where a significant proportion of men remain unmarried throughout their lives.Between 2010 and 2020,men in rural areas exhibited a notable trend of delayed marriage.The likelihood of rural men getting married steadily declined during this decade,with rural men significantly less likely to get married than urban men.In China,the concentration of involuntary bachelors is mainly in rural areas,characterized by lower socioeconomic status,and inferior living conditions.While educational qualification among involuntary bachelors in rural areas has improved,it still lags behind that of currently or previously married men.Another problem is that the elderly population in rural areas faces resource scarcity,increasing the reliance on the minimum subsistence allowance.Elderly involuntary bachelors are generally in poorer health than their married peers,and the health disparity is widening.To make matters worse,a high percentage of these men live alone.展开更多
A reduction in adult neurogenesis is associated with behavioral abnormalities in patients with Alzheimer's disease.Consequently,enhancing adult neurogenesis represents a promising therapeutic approach for mitigati...A reduction in adult neurogenesis is associated with behavioral abnormalities in patients with Alzheimer's disease.Consequently,enhancing adult neurogenesis represents a promising therapeutic approach for mitigating disease symptoms and progression.Nonetheless,nonpharmacological interventions aimed at inducing adult neurogenesis are currently limited.Although individual non-pharmacological interventions,such as aerobic exercise,acousto-optic stimulation,and olfactory stimulation,have shown limited capacity to improve neurogenesis and cognitive function in patients with Alzheimer's disease,the therapeutic effect of a strategy that combines these interventions has not been fully explored.In this study,we observed an age-dependent decrease in adult neurogenesis and a concurrent increase in amyloid-beta accumulation in the hippocampus of amyloid precursor protein/presenilin 1 mice aged 2-8 months.Amyloid deposition became evident at 4 months,while neurogenesis declined by 6 months,further deteriorating as the disease progressed.However,following a 4-week multifactor stimulation protocol,which encompassed treadmill running(46 min/d,10 m/min,6 days per week),40 Hz acousto-optic stimulation(1 hour/day,6 days/week),and olfactory stimulation(1 hour/day,6 days/week),we found a significant increase in the number of newborn cells(5'-bromo-2'-deoxyuridine-positive cells),immature neurons(doublecortin-positive cells),newborn immature neurons(5'-bromo-2'-deoxyuridine-positive/doublecortin-positive cells),and newborn astrocytes(5'-bromo-2'-deoxyuridine-positive/glial fibrillary acidic protein-positive cells).Additionally,the amyloid-beta load in the hippocampus decreased.These findings suggest that multifactor stimulation can enhance adult hippocampal neurogenesis and mitigate amyloid-beta neuropathology in amyloid precursor protein/presenilin 1 mice.Furthermore,cognitive abilities were improved,and depressive symptoms were alleviated in amyloid precursor protein/presenilin 1 mice following multifactor stimulation,as evidenced by Morris water maze,novel object recognition,forced swimming test,and tail suspension test results.Notably,the efficacy of multifactor stimulation in consolidating immature neurons persisted for at least 2weeks after treatment cessation.At the molecular level,multifactor stimulation upregulated the expression of neuron-related proteins(NeuN,doublecortin,postsynaptic density protein-95,and synaptophysin),anti-apoptosis-related proteins(Bcl-2 and PARP),and an autophagyassociated protein(LC3B),while decreasing the expression of apoptosis-related proteins(BAX and caspase-9),in the hippocampus of amyloid precursor protein/presenilin 1 mice.These observations might be attributable to both the brain-derived neurotrophic factor-mediated signaling pathway and antioxidant pathways.Furthermore,serum metabolomics analysis indicated that multifactor stimulation regulated differentially expressed metabolites associated with cell apoptosis,oxidative damage,and cognition.Collectively,these findings suggest that multifactor stimulation is a novel non-invasive approach for the prevention and treatment of Alzheimer's disease.展开更多
Human life span has dramatically increased over several decades,and the quality of life has been considered to be equally important.However,diabetes mellitus(DM) characterized by problems related to insulin secretion ...Human life span has dramatically increased over several decades,and the quality of life has been considered to be equally important.However,diabetes mellitus(DM) characterized by problems related to insulin secretion and recognition has become a serious health problem in recent years that threatens human health by causing decline in brain functions and finally leading to neurodegenerative diseases.Exercise is recognized as an effective therapy for DM without medication administration.Exercise studiesusing experimental animals are a suitable option to overcome this drawback,and animal studies have improved continuously according to the needs of the experimenters.Since brain health is the most significant factor in human life,it is very important to assess brain functions according to the different exercise conditions using experimental animal models.Generally,there are two types of DM; insulin-dependent type 1 DM and an insulin-independent type 2 DM(T2DM); however,the author will mostly discuss brain functions in T2 DM animal models in this review.Additionally,many physiopathologic alterations are caused in the brain by DM such as increased adiposity,inflammation,hormonal dysregulation,uncontrolled hyperphagia,insulin and leptin resistance,and dysregulation of neurotransmitters and declined neurogenesis in the hippocampus and we describe how exercise corrects these alterations in animal models.The results of changes in the brain environment differ according to voluntary,involuntary running exercises and resistance exercise,and gender in the animal studies.These factors have been mentioned in this review,and this review will be a good reference for studying how exercise can be used with therapy for treating DM.展开更多
The expectation of getting married and having children is for many individuals a natural part of adult life. Many young people anticipate the prospect of becoming biological mothers and fathers. This expectation of pa...The expectation of getting married and having children is for many individuals a natural part of adult life. Many young people anticipate the prospect of becoming biological mothers and fathers. This expectation of parenthood emanates as individuals and couples are socially groomed to aspire to this social norm. Therefore, infertility can be a very traumatic and tormenting time for many men and women who aspire to conform to these socio-cultural conventions of normative parenthood and who believe that childbearing is central to their lives. Infertility is medically defined as the inability to achieve a pregnancy after a period of at least twelve months of regular sexual intercourse without contraception. For both men and women infertility may present pervasive feelings of incompleteness, a sense of failure and inadequacy. However, infertile women tend to endure a myriad of feeling losses and high levels of suffering and sorrow as a result of their inability to have children. This study explored a sample of South Africa women’s experiences of coping with infertility. Utilising a qualitative methodology, a diverse group of 21 married women who were diagnosed with primary infertility were recruited. Semi-structured, in-depth individual interviews were conducted and the data were analysed using thematic analysis. The results of the study indicated that the women reported emotional turmoil characterised by emotions such as disappointment and shock, anger and frustration, a deep sense of sadness and then progressed to experience a sense of acknowledgement that a problem existed. The findings of this study suggest that severe psychological and emotional strain accompany infertility. The coping strategies employed by these women in the study included social withdrawal and women isolating themselves from social events and social gatherings, avoiding pregnant women and women with children, engaging in escapism strategies on both a psychological level and a physical level. Employing an escapism strategy on a psychological level would involve deliberately thinking about strategies to avoid thinking about infertility, pregnancy or babies. Escapism on the physical level would include engaging in activities like shopping, working longer hours, sleeping more than usual, engaging in activities that would occupy an individual to the extent that they cannot think about anything else except the activities they are currently engaged in.展开更多
Understanding college students’ perception of sustainability is paramount as today’s students will soon be driving our economy and taking on the responsibility of maintaining a sustainable society. This study conduc...Understanding college students’ perception of sustainability is paramount as today’s students will soon be driving our economy and taking on the responsibility of maintaining a sustainable society. This study conducted a survey of college students attending two regional universities in the United States to capture their current experience levels, expectations, and perceptions with regard to various aspects of sustainability utilizing a questionnaire consisting of structured questions about sustainability knowledge/familiarity levels, green product purchase behavior, attitude-behavior relationship, and sustainability education. The results reveal useful insights into the students’ views on these topics and the demographic data collected were further analyzed to identify any differences due to educational background, academic standing, and gender. The study’s findings support the growing importance of encouraging sustainable behavior among college students and provide a benchmark against which to measure the effectiveness of future efforts to improve sustainability education and foster sustainable behaviors.展开更多
Despite the high prevalence of infertility in Africa, the study of reproductive health in Africa, has for the most part, not addressed the impact of involuntary childlessness on women. In contrast, the health priority...Despite the high prevalence of infertility in Africa, the study of reproductive health in Africa, has for the most part, not addressed the impact of involuntary childlessness on women. In contrast, the health priority has been on fertility regulation rather than on infertility. In Sub-Saharan Africa, at least 20% - 50% of couples of reproductive age experience a fertility problem and 30% are diagnosed with infertility. This study explored a sample of South Africa women’s psychological and emotional experiences of infertility or involuntary childlessness. Utilising a qualitative methodology, 21 married women who were diagnosed with infertility were recruited. Semi-structured, indepth individual interviews were conducted and the data were analysed using thematic analysis. The results of the study indicated that the women reported emotional turmoil characterised by emotions such as disappointment and shock, anger and frustration, a deep sense of sadness and then progressed to experience a sense of acknowledgement that a problem existed. Within each of these emotional phases the emotions of hope and optimism were present. The findings of this study suggest that severe psychological and emotional tug-of-war effects accompany infertility. Possible coping strategies for women struggling with infertility are discussed.展开更多
BACKGROUND The management of offenders with mental disorders has been a significant concern in forensic psychiatry.In Japan,the introduction of the Medical Treatment and Supervision Act in 2005 addressed the issue.How...BACKGROUND The management of offenders with mental disorders has been a significant concern in forensic psychiatry.In Japan,the introduction of the Medical Treatment and Supervision Act in 2005 addressed the issue.However,numerous psychiatric patients at risk of violence still find themselves subject to the administrative involuntary hospitalization(AIH)scheme,which lacks clarity and updated standards.AIM To explore current as well as optimized learning strategies for risk assessment in AIH decision making.METHODS We conducted a questionnaire survey among designated psychiatrists to explore their experiences and expectations regarding training methods for psychiatric assessments of offenders with mental disorders.RESULTS The findings of this study’s survey suggest a prevalent reliance on traditional learning approaches such as oral education and on-the-job training.CONCLUSION This underscores the pressing need for structured training protocols in AIH consultations.Moreover,feedback derived from inpatient treatment experiences is identified as a crucial element for enhancing risk assessment skills.展开更多
This experimental study investigated how text difficulty and different working memory capacity(WMC)affected Chinese EFL learners’reading comprehension and their tendency to engage in task-unrelated thoughts,that is,m...This experimental study investigated how text difficulty and different working memory capacity(WMC)affected Chinese EFL learners’reading comprehension and their tendency to engage in task-unrelated thoughts,that is,mind wandering(MW),in the course of reading.Sixty first-year university non-English majors participated in the study.A two-factor mixed experimental design of 2(text difficulty:difficult and simple)×2(WMC:high/large and low/small)was employed.Results revealed that 1)the main and interaction effects of WMC and text difficulty on voluntary MW were significant,whereas those on involuntary MW were not;2)while reading the easy texts,the involuntary MW of high-WMC individuals was less frequent than that of low-WMC ones,whereas while reading the difficult ones,the direct relationship between WMC and involuntary MW was not found;and that 3)high-WMC individuals had a lower overall rate of MW and better reading performance than low-WMC individuals did,but with increasing text difficulty,their rates of overall MW and voluntary MW were getting higher and higher,and the reading performance was getting lower and lower.These results lend support to WM theory and have pedagogical implications for the instruction of L2 reading.展开更多
Focal dystonia in young aged patients is considered to be the uncommon clinical presentation, unless a secondary cause is to be considered. Infarcts of the corpus callosum are rare and have not been well documented pr...Focal dystonia in young aged patients is considered to be the uncommon clinical presentation, unless a secondary cause is to be considered. Infarcts of the corpus callosum are rare and have not been well documented previously. As for a variety of signs and symptoms due to corpus callosum lesion, focal dystonia can be easily overlooked. The case is approved by ethical committee and explained to the patient with patient approval.展开更多
Involuntary resettlenment caused by project construction is a difficult problem over world. In the past, therestoration of livelihoods in the event of involuntary resettlementhas been based purely on providing compen...Involuntary resettlenment caused by project construction is a difficult problem over world. In the past, therestoration of livelihoods in the event of involuntary resettlementhas been based purely on providing compensation to those who are displaced. Evidence has shown that compensation-based involuntary resettlement can not realize the objective of restoring and improving resettlers＇ living standard. With a view to improve this outcome, the concept of Resettlement with Development （RwD） was envisaged and is now generally heralded as the means to mitigate catastrophic failures of the past. However, few developing countries have included the concept of RwD into th, ational policies and China is one of them. The Chinese government has taken resettlement as an opportunity to help resettlers restore and improve their living standards and develop economy in reservoir areas by implementing RwD olicy including giving compensation and subsidies at early stage and offering production assistance at late stage, citing up reservoir construction fund, initiating partnership programs and preferential policy as well as enhanc infrastruture construction. The preliminary experience from the TGP resettlement has verified that the transformation from compensation-based resettlement to RwD is a right policy, choice. Meanwhile. because ofthe changing political environment and the complexity of involuntary resettlement there is still room for china to improve its RwD policy.展开更多
This study examined the repeated bout effect(RBE)on muscle damage markers following two bouts of neuromuscular electrical stimulation(NMES)in untrained individuals.Following familiarization,participants received 45 co...This study examined the repeated bout effect(RBE)on muscle damage markers following two bouts of neuromuscular electrical stimulation(NMES)in untrained individuals.Following familiarization,participants received 45 consecutive NMES to the biceps brachii at an intensity that produced low evoked force for the elbow flexors.Muscle damage markers(maximal voluntary isometric contraction[MVIC],elbow range of motion[ROM],muscle soreness via visual analogue scale[VAS]scores,pressure pain threshold[PPT],and muscle thickness)were measured before(PRE),after(POST),1 day after(24 POST),and 2 days after(48 POST)NMES.Following 1 week of rest,procedures were replicated.Separate repeated measures two-way ANOVAs examined each measure.There were no interactions or bout main effects for MVIC or ROM.Time main effects indicated PRE MVIC was greater than POST(p=0.002)and 24-POST(p=0.024),and PRE ROM was greater than POST(p=0.036).There was no interaction for muscle thickness.Respective time and bout main effects indicated muscle thickness at PRE was less than POST(p=0.017),and second-bout muscle thickness(p=0.050)was less compared to the initial-bout.For PPT,there was an interaction(p=0.019).Initial-bout PRE PPT was less than POST(p=0.033).Initial-bout 48-POST PPT was less than second-bout 48-POST(p=0.037).There was a significant interaction for VAS(p=0.009).Initial-bout PRE VAS was less than POST(p=0.033)and 24-POST(p=0.015).Initial-bout POST and 24-POST VAS were greater than second-bout POST(p=0.023)and 24-POST(p=0.006),respectively.The results support RBE on muscle damage markers related to inflammation,but not MVIC and ROM.展开更多
Bonded labor,also known as debt slavery,has emerged as the predominant form of debt bondage in numerous developing economies.In the context of Pakistan,despite its legal prohibition,the practice is supported by an inf...Bonded labor,also known as debt slavery,has emerged as the predominant form of debt bondage in numerous developing economies.In the context of Pakistan,despite its legal prohibition,the practice is supported by an influential segment of society.This phenomenon is deeply rooted in a matrix of governmental failure,autocratic governance structures,pervasive social inequalities,and the systemic marginalization of specific communities.This study uses a distinctive dataset to scrutinize the statistical dynamics of bonded labor in Pakistan.Utilizing the Cox proportional hazards model,we investigate the likelihood of individuals resorting to debt bondage in Pakistan.Our analysis identifies a constellation of critical factors intimately linked with the profiles and household backgrounds of individuals entangled in debt bondage.These determinants encompass inherited familial wealth,acute health crises,unforeseeable catastrophic occurrences,household income levels,educational attainment,the burden of dependents,and the financial implications of dowry obligations.Furthermore,our research elucidates a significant association between the economic marginalization within labor markets and the wage disparities underscored and exacerbated by debt bondage contracts.展开更多
基金Supported by a grant awarded to the corresponding author from the Japanese Ministry of Health,Labour and Welfare as part of a research project entitled “Research of the inclusive care for the psychiatric patients discharged from involuntary admission by the prefectural governor’s order”
文摘BACKGROUND Treatment for offenders with mental disorders is a key concern in public mental health.Provision of adequate psychiatric treatment is important for the offender and their community.An approach used in Japan to address this issue is administrative involuntary hospitalization.Under this scheme,a person at risk for harming themselves or others because of a mental disorder can be involuntarily hospitalized in a designated psychiatric hospital.However,this scheme does not include tracking of these patients after discharge.Although some data for administrative involuntary hospitalizations are available,it remains unclear what happens to these patients after discharge.AIM To evaluate follow-up of patients under administrative involuntary hospitalization after discharge and obtain data for later comparisons with outcomes.METHODS We used a retrospective design and conducted a national survey of administrative involuntary hospitalizations.Questionnaires were distributed to 939 facilities across Japan.The questionnaire collected data for selected involuntary hospitalization cases in the hospital on June 30,2010(census date),and the prognoses of each patient on a specified date in 2011 and 2012.We also asked about the treatment provided to each patient.We stratified patients by prognosis(good or poor),and used logistic regression analysis to examine the relationship between treatment and prognosis.RESULTS We received completed questionnaires from 292 facilities(response rate 31.1%);105 facilities had no relevant patients.Our analysis included data for 394 patients with valid data.Official statistics indicated 1503 patients were under administrative involuntary hospitalization as at June 30,2012,meaning the capture rate was 27.2%.Approximately a fourth(104/394)at 1 year,and a third(137/294)at 2 years after the census had unknown prognosis.Treatment content included multi-disciplinary team meetings(78.2%of patients),counseling by public workers(59.9%),and discussion with external specialists(32.5%).Overall,116 patients were categorized as having a good prognosis at 1 year,and 168 had a poor prognosis.At the 2-year point,102 patients had a good prognosis and 150 had a poor prognosis.“Discussion with external specialists”was positively associated with a good prognosis at both 1 year(P=0.016)and 2 years(P=0.036).CONCLUSION We found that facilities in Japan currently have limited ability to track the prognoses of patients who were hospitalized involuntarily.Discussion with external specialists is associated with a good prognosis.
基金supported by Key Projects in the National Science & Technology Pillar Program during the Twelfth Five-Year Plan Period (2012BAK16B00)the National Natural Science Foundation of China (81371500,81071107,and 30800368)
文摘Despite the efforts of the World Health Organization to internationally standardize strategies for mental-health care delivery,the rules and regulations for involuntary admission and treatment of patients with mental disorder still differ markedly across countries. This review was undertaken to describe the regulations and mental-health laws from diverse countries and districts of Europe（UK,Austria,Denmark,France,Germany,Italy,Ireland,and Norway）,the Americas（Canada,USA,and Brazil）,Australasia（Australia and New Zealand）,and Asia（Japan and China）. We outline the criteria and procedures for involuntary admission to psychiatric hospitals and to community services,illustrate the key features oflaws related to these issues,and discuss their implications for contemporary psychiatric practice. This review may help to standardize the introduction oflegislation that allows involuntary admission and treatment of patients with mental disorders in the mainland of China,and contribute to improved mental-health care. In this review,involuntary admission or treatment does not include the placement of mentally-ill offenders,or any other aspect of forensic psychiatry.
文摘Cell phone and personal computer use has increased considerably in recent years, particularly in developed countries. These devices have facilitated communication on a global scale. However, there have been a number of reports of health problems related to the electromagnetic waves emitted by such electronic devices. A long list of both general and severe symptoms, including headaches, fatigue, tinnitus, dizziness, memory loss, irregular heartbeat and whole-body skin le-sions, have been reported. These are reportedly associated with the condition known as electro-magnetic hypersensitivity (EHS). This report shows how a subject’s abnormal involuntary body movements, caused by electromagnetic waves emitted by a cell phone, are prevented by placing a gold alloy inlay in the subject’s mouth. It appears that the subject’s involuntary movements are the result of balance dysregulation resulting from EHS. The subject’s various symptoms improve after the specific dental treatment. However, the underlying mechanism of the symptoms and the rea-sons why this treatment is so successful remain unknown. Further research is required to clarify these issues.
文摘AIM To construct and assess the psychometric properties of an instrument to measure patients' attitudes towards involuntary hospitalization. METHODS This is a two phase study. In the first phase, based on comprehensive literature review, a twenty one item scale to measure patients' attitudes to involuntary admission was constructed. Forensic and inpatient Psychiatrists, patients' advocates and legal experts(n = 15) were invited to participate in the validation process of the written instrument, by formally rating each item of the instrument for its relevancy in measuring patients' attitudes to involuntary admission. In the second phase of the project, the instrument was administered to a sample of eighty consecutive patients, who were admitted involuntarily to an acute psychiatric unit of a teaching hospital. All patients completed the constructed attitudes towards involuntary admission scale, and the client satisfaction questionnaire. RESULTS Responses from psychiatry and advocacy experts provided evidence for face and content validity for the constructed instrument. The internal consistency reliability of the instrument is 0.84(Chronbach' alpha), factor analysis resulted in three correlated, and theoretically meaningful factors. There was evidence for content, convergent, and concurrent validity.CONCLUSION A reliable twenty one item instrument scale to measure patients' attitudes to involuntary admission was developed. The developed instrument has high reliability, there is strong evidence for validity, and it takes ten minutes to complete.
文摘Purpose: Involuntary mental health admissions remain a highly contested area in law, policy and practice. There are growing concerns about the effectiveness and potential harms of using coercion to enable treatment. These concerns are heightened by the worldwide shift to recovery oriented care, which emphasizes the importance for mental health consumers experiencing self- sufficiency, control and having input into their own treatment. Involuntary treatment challenges these very principles. Methods: For this study we adapted Noblit and Hare Meta Ethnography methods and synthesized the themes of seven qualitative studies which focused on the experiences of involuntary mental health admission. Results: Seven overarching dimensions were identified as either hindering or facilitating recovery, namely: 1) having input into own treatment;2) shared humanity;3) power imbalance/ balance;4) freedom and control;5) ability/inability to incorporate the episode/experience;6) treatment factors;and 7) importance of relationships. Conclusions: The findings of this study indicate that the recovery framework, in particular the concepts of hope, relationships and control are very relevant in the context of involuntary settings.
文摘Involuntary movement is an uncommon manifestation of moyamoya disease. We describe a 12-year-old boy who suffered from involuntary movement after the first surgery but it improved dramatically after the second surgery. Initially, the patient underwent an encephalo-duro-arterio-myosynangiosis on the right side and encephalo-duro-periostealsynangiosis on the bifrontal side, which ameliorated his motor weakness in his left upper extremity. However, involuntary movement appeared in his right upper extremity. Secondly, the patient underwent encephalo-duro-arterio-myo-periostealsynangiosis on the left side. Thereafter, the patient’s involuntary movement completely resolved. The involuntary movement might occur due to the unequal distribution of the blood flow in the basal ganglia.
文摘This note is an effort to view the research program of Brecher and his co-workers to deploy tax incentives against involuntary unemployment in the broader context; on both the equity-efficiency trade-off in political economy, and the dual economic structure in the theoretic foundations of market equilibrium.
文摘This study uses,primarily,the 2020 National Population Census data to comprehensively examine the phenomenon of the“male marriage squeeze”and provide a socio-demographic portrait of involuntary bachelors in rural China.The descriptive findings make clear the pronounced male marriage squeeze in rural China.In 2020,China recorded its highest historical sex ratio of marriageable population,reaching 110.The age-specific proportions of never-married men surpass those of women,particularly in rural areas where a significant proportion of men remain unmarried throughout their lives.Between 2010 and 2020,men in rural areas exhibited a notable trend of delayed marriage.The likelihood of rural men getting married steadily declined during this decade,with rural men significantly less likely to get married than urban men.In China,the concentration of involuntary bachelors is mainly in rural areas,characterized by lower socioeconomic status,and inferior living conditions.While educational qualification among involuntary bachelors in rural areas has improved,it still lags behind that of currently or previously married men.Another problem is that the elderly population in rural areas faces resource scarcity,increasing the reliance on the minimum subsistence allowance.Elderly involuntary bachelors are generally in poorer health than their married peers,and the health disparity is widening.To make matters worse,a high percentage of these men live alone.
基金supported by the National Natural Science Foundation of China,No.82001155(to LL)the Natural Science Foundation of Zhejiang Province,No.LY23H090004(to LL)+5 种基金the Natural Science Foundation of Ningbo,No.2023J068(to LL)the Fundamental Research Funds for the Provincial Universities of Zhejiang Province,No.SJLY2023008(to LL)the College Students'Scientific and Technological Innovation Project(Xin Miao Talent Plan)of Zhejiang Province,No.2022R405A045(to CC)the Student ResearchInnovation Program(SRIP)of Ningbo University,Nos.20235RIP1919(to CZ),2023SRIP1938(to YZ)the K.C.Wong Magna Fund in Ningbo University。
文摘A reduction in adult neurogenesis is associated with behavioral abnormalities in patients with Alzheimer's disease.Consequently,enhancing adult neurogenesis represents a promising therapeutic approach for mitigating disease symptoms and progression.Nonetheless,nonpharmacological interventions aimed at inducing adult neurogenesis are currently limited.Although individual non-pharmacological interventions,such as aerobic exercise,acousto-optic stimulation,and olfactory stimulation,have shown limited capacity to improve neurogenesis and cognitive function in patients with Alzheimer's disease,the therapeutic effect of a strategy that combines these interventions has not been fully explored.In this study,we observed an age-dependent decrease in adult neurogenesis and a concurrent increase in amyloid-beta accumulation in the hippocampus of amyloid precursor protein/presenilin 1 mice aged 2-8 months.Amyloid deposition became evident at 4 months,while neurogenesis declined by 6 months,further deteriorating as the disease progressed.However,following a 4-week multifactor stimulation protocol,which encompassed treadmill running(46 min/d,10 m/min,6 days per week),40 Hz acousto-optic stimulation(1 hour/day,6 days/week),and olfactory stimulation(1 hour/day,6 days/week),we found a significant increase in the number of newborn cells(5'-bromo-2'-deoxyuridine-positive cells),immature neurons(doublecortin-positive cells),newborn immature neurons(5'-bromo-2'-deoxyuridine-positive/doublecortin-positive cells),and newborn astrocytes(5'-bromo-2'-deoxyuridine-positive/glial fibrillary acidic protein-positive cells).Additionally,the amyloid-beta load in the hippocampus decreased.These findings suggest that multifactor stimulation can enhance adult hippocampal neurogenesis and mitigate amyloid-beta neuropathology in amyloid precursor protein/presenilin 1 mice.Furthermore,cognitive abilities were improved,and depressive symptoms were alleviated in amyloid precursor protein/presenilin 1 mice following multifactor stimulation,as evidenced by Morris water maze,novel object recognition,forced swimming test,and tail suspension test results.Notably,the efficacy of multifactor stimulation in consolidating immature neurons persisted for at least 2weeks after treatment cessation.At the molecular level,multifactor stimulation upregulated the expression of neuron-related proteins(NeuN,doublecortin,postsynaptic density protein-95,and synaptophysin),anti-apoptosis-related proteins(Bcl-2 and PARP),and an autophagyassociated protein(LC3B),while decreasing the expression of apoptosis-related proteins(BAX and caspase-9),in the hippocampus of amyloid precursor protein/presenilin 1 mice.These observations might be attributable to both the brain-derived neurotrophic factor-mediated signaling pathway and antioxidant pathways.Furthermore,serum metabolomics analysis indicated that multifactor stimulation regulated differentially expressed metabolites associated with cell apoptosis,oxidative damage,and cognition.Collectively,these findings suggest that multifactor stimulation is a novel non-invasive approach for the prevention and treatment of Alzheimer's disease.
基金Supported by Fund of Soonchunhyang University,South Korea
文摘Human life span has dramatically increased over several decades,and the quality of life has been considered to be equally important.However,diabetes mellitus(DM) characterized by problems related to insulin secretion and recognition has become a serious health problem in recent years that threatens human health by causing decline in brain functions and finally leading to neurodegenerative diseases.Exercise is recognized as an effective therapy for DM without medication administration.Exercise studiesusing experimental animals are a suitable option to overcome this drawback,and animal studies have improved continuously according to the needs of the experimenters.Since brain health is the most significant factor in human life,it is very important to assess brain functions according to the different exercise conditions using experimental animal models.Generally,there are two types of DM; insulin-dependent type 1 DM and an insulin-independent type 2 DM(T2DM); however,the author will mostly discuss brain functions in T2 DM animal models in this review.Additionally,many physiopathologic alterations are caused in the brain by DM such as increased adiposity,inflammation,hormonal dysregulation,uncontrolled hyperphagia,insulin and leptin resistance,and dysregulation of neurotransmitters and declined neurogenesis in the hippocampus and we describe how exercise corrects these alterations in animal models.The results of changes in the brain environment differ according to voluntary,involuntary running exercises and resistance exercise,and gender in the animal studies.These factors have been mentioned in this review,and this review will be a good reference for studying how exercise can be used with therapy for treating DM.
文摘The expectation of getting married and having children is for many individuals a natural part of adult life. Many young people anticipate the prospect of becoming biological mothers and fathers. This expectation of parenthood emanates as individuals and couples are socially groomed to aspire to this social norm. Therefore, infertility can be a very traumatic and tormenting time for many men and women who aspire to conform to these socio-cultural conventions of normative parenthood and who believe that childbearing is central to their lives. Infertility is medically defined as the inability to achieve a pregnancy after a period of at least twelve months of regular sexual intercourse without contraception. For both men and women infertility may present pervasive feelings of incompleteness, a sense of failure and inadequacy. However, infertile women tend to endure a myriad of feeling losses and high levels of suffering and sorrow as a result of their inability to have children. This study explored a sample of South Africa women’s experiences of coping with infertility. Utilising a qualitative methodology, a diverse group of 21 married women who were diagnosed with primary infertility were recruited. Semi-structured, in-depth individual interviews were conducted and the data were analysed using thematic analysis. The results of the study indicated that the women reported emotional turmoil characterised by emotions such as disappointment and shock, anger and frustration, a deep sense of sadness and then progressed to experience a sense of acknowledgement that a problem existed. The findings of this study suggest that severe psychological and emotional strain accompany infertility. The coping strategies employed by these women in the study included social withdrawal and women isolating themselves from social events and social gatherings, avoiding pregnant women and women with children, engaging in escapism strategies on both a psychological level and a physical level. Employing an escapism strategy on a psychological level would involve deliberately thinking about strategies to avoid thinking about infertility, pregnancy or babies. Escapism on the physical level would include engaging in activities like shopping, working longer hours, sleeping more than usual, engaging in activities that would occupy an individual to the extent that they cannot think about anything else except the activities they are currently engaged in.
文摘Understanding college students’ perception of sustainability is paramount as today’s students will soon be driving our economy and taking on the responsibility of maintaining a sustainable society. This study conducted a survey of college students attending two regional universities in the United States to capture their current experience levels, expectations, and perceptions with regard to various aspects of sustainability utilizing a questionnaire consisting of structured questions about sustainability knowledge/familiarity levels, green product purchase behavior, attitude-behavior relationship, and sustainability education. The results reveal useful insights into the students’ views on these topics and the demographic data collected were further analyzed to identify any differences due to educational background, academic standing, and gender. The study’s findings support the growing importance of encouraging sustainable behavior among college students and provide a benchmark against which to measure the effectiveness of future efforts to improve sustainability education and foster sustainable behaviors.
文摘Despite the high prevalence of infertility in Africa, the study of reproductive health in Africa, has for the most part, not addressed the impact of involuntary childlessness on women. In contrast, the health priority has been on fertility regulation rather than on infertility. In Sub-Saharan Africa, at least 20% - 50% of couples of reproductive age experience a fertility problem and 30% are diagnosed with infertility. This study explored a sample of South Africa women’s psychological and emotional experiences of infertility or involuntary childlessness. Utilising a qualitative methodology, 21 married women who were diagnosed with infertility were recruited. Semi-structured, indepth individual interviews were conducted and the data were analysed using thematic analysis. The results of the study indicated that the women reported emotional turmoil characterised by emotions such as disappointment and shock, anger and frustration, a deep sense of sadness and then progressed to experience a sense of acknowledgement that a problem existed. Within each of these emotional phases the emotions of hope and optimism were present. The findings of this study suggest that severe psychological and emotional tug-of-war effects accompany infertility. Possible coping strategies for women struggling with infertility are discussed.
基金Supported by Research Project of the Ministry of Health,Labour and Welfare of Japan.
文摘BACKGROUND The management of offenders with mental disorders has been a significant concern in forensic psychiatry.In Japan,the introduction of the Medical Treatment and Supervision Act in 2005 addressed the issue.However,numerous psychiatric patients at risk of violence still find themselves subject to the administrative involuntary hospitalization(AIH)scheme,which lacks clarity and updated standards.AIM To explore current as well as optimized learning strategies for risk assessment in AIH decision making.METHODS We conducted a questionnaire survey among designated psychiatrists to explore their experiences and expectations regarding training methods for psychiatric assessments of offenders with mental disorders.RESULTS The findings of this study’s survey suggest a prevalent reliance on traditional learning approaches such as oral education and on-the-job training.CONCLUSION This underscores the pressing need for structured training protocols in AIH consultations.Moreover,feedback derived from inpatient treatment experiences is identified as a crucial element for enhancing risk assessment skills.
文摘This experimental study investigated how text difficulty and different working memory capacity(WMC)affected Chinese EFL learners’reading comprehension and their tendency to engage in task-unrelated thoughts,that is,mind wandering(MW),in the course of reading.Sixty first-year university non-English majors participated in the study.A two-factor mixed experimental design of 2(text difficulty:difficult and simple)×2(WMC:high/large and low/small)was employed.Results revealed that 1)the main and interaction effects of WMC and text difficulty on voluntary MW were significant,whereas those on involuntary MW were not;2)while reading the easy texts,the involuntary MW of high-WMC individuals was less frequent than that of low-WMC ones,whereas while reading the difficult ones,the direct relationship between WMC and involuntary MW was not found;and that 3)high-WMC individuals had a lower overall rate of MW and better reading performance than low-WMC individuals did,but with increasing text difficulty,their rates of overall MW and voluntary MW were getting higher and higher,and the reading performance was getting lower and lower.These results lend support to WM theory and have pedagogical implications for the instruction of L2 reading.
文摘Focal dystonia in young aged patients is considered to be the uncommon clinical presentation, unless a secondary cause is to be considered. Infarcts of the corpus callosum are rare and have not been well documented previously. As for a variety of signs and symptoms due to corpus callosum lesion, focal dystonia can be easily overlooked. The case is approved by ethical committee and explained to the patient with patient approval.
文摘Involuntary resettlenment caused by project construction is a difficult problem over world. In the past, therestoration of livelihoods in the event of involuntary resettlementhas been based purely on providing compensation to those who are displaced. Evidence has shown that compensation-based involuntary resettlement can not realize the objective of restoring and improving resettlers＇ living standard. With a view to improve this outcome, the concept of Resettlement with Development （RwD） was envisaged and is now generally heralded as the means to mitigate catastrophic failures of the past. However, few developing countries have included the concept of RwD into th, ational policies and China is one of them. The Chinese government has taken resettlement as an opportunity to help resettlers restore and improve their living standards and develop economy in reservoir areas by implementing RwD olicy including giving compensation and subsidies at early stage and offering production assistance at late stage, citing up reservoir construction fund, initiating partnership programs and preferential policy as well as enhanc infrastruture construction. The preliminary experience from the TGP resettlement has verified that the transformation from compensation-based resettlement to RwD is a right policy, choice. Meanwhile. because ofthe changing political environment and the complexity of involuntary resettlement there is still room for china to improve its RwD policy.
文摘This study examined the repeated bout effect(RBE)on muscle damage markers following two bouts of neuromuscular electrical stimulation(NMES)in untrained individuals.Following familiarization,participants received 45 consecutive NMES to the biceps brachii at an intensity that produced low evoked force for the elbow flexors.Muscle damage markers(maximal voluntary isometric contraction[MVIC],elbow range of motion[ROM],muscle soreness via visual analogue scale[VAS]scores,pressure pain threshold[PPT],and muscle thickness)were measured before(PRE),after(POST),1 day after(24 POST),and 2 days after(48 POST)NMES.Following 1 week of rest,procedures were replicated.Separate repeated measures two-way ANOVAs examined each measure.There were no interactions or bout main effects for MVIC or ROM.Time main effects indicated PRE MVIC was greater than POST(p=0.002)and 24-POST(p=0.024),and PRE ROM was greater than POST(p=0.036).There was no interaction for muscle thickness.Respective time and bout main effects indicated muscle thickness at PRE was less than POST(p=0.017),and second-bout muscle thickness(p=0.050)was less compared to the initial-bout.For PPT,there was an interaction(p=0.019).Initial-bout PRE PPT was less than POST(p=0.033).Initial-bout 48-POST PPT was less than second-bout 48-POST(p=0.037).There was a significant interaction for VAS(p=0.009).Initial-bout PRE VAS was less than POST(p=0.033)and 24-POST(p=0.015).Initial-bout POST and 24-POST VAS were greater than second-bout POST(p=0.023)and 24-POST(p=0.006),respectively.The results support RBE on muscle damage markers related to inflammation,but not MVIC and ROM.
文摘Bonded labor,also known as debt slavery,has emerged as the predominant form of debt bondage in numerous developing economies.In the context of Pakistan,despite its legal prohibition,the practice is supported by an influential segment of society.This phenomenon is deeply rooted in a matrix of governmental failure,autocratic governance structures,pervasive social inequalities,and the systemic marginalization of specific communities.This study uses a distinctive dataset to scrutinize the statistical dynamics of bonded labor in Pakistan.Utilizing the Cox proportional hazards model,we investigate the likelihood of individuals resorting to debt bondage in Pakistan.Our analysis identifies a constellation of critical factors intimately linked with the profiles and household backgrounds of individuals entangled in debt bondage.These determinants encompass inherited familial wealth,acute health crises,unforeseeable catastrophic occurrences,household income levels,educational attainment,the burden of dependents,and the financial implications of dowry obligations.Furthermore,our research elucidates a significant association between the economic marginalization within labor markets and the wage disparities underscored and exacerbated by debt bondage contracts.
