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The first part of this series reporting Japan's restrictive immigration policy, revealed the cruel treatment Kurdish and Afghani asylum seekers received at the hands of the Ministry of Justice as they applied for refugee status. The second and final part of this series provides an in-depth analysis of the attitudes creating these structural barriers.
Despite having ratified the 1951 Convention on Refugees in 1981, Japan accepts relatively few refugees compared with other countries. The Ministry of Justice (MOJ) reports Japan received 3,544 applications for refugee status between 1982 and 2004 but granted only 330 requests. In 2004 Japan accepted 15 persons as refugees, while the UK accepted 12,925 and the US 21,148. Low numbers aside, there are also a number of problems in Japan's refugee recognition procedures that pose threats to asylum seekers’ personal well being. For example, during the application process asylum seekers are often held in detention centres where many suffer mentally and physically from both fear of deportation and poor conditions. Between 2001 and 2002, several ethnic Hazara Afghani asylum seekers detained in these centres attempted suicide. Responding to criticism of its harsh refugee recognition procedure, the Japanese government amended its Immigration Control and Refugee Recognition Act (ICRRA) in 2004 for the first time in 23 years and the amended measures have been in force since May 2005. There have been improvements, but a number of important issues were not addressed.
This article examines the idea of introducing a comprehensive reward program for whistleblowing on violations of environmental laws. The common criticism that rewards for external reporting considerably discourage employees from internal reporting is unjustified. This argument overlooks both legal practices of whistleblowing and prior research on social preferences. We argue that prosocial motivations are a crucial determinant of both internal and external reporting. Prosocial individuals are predominant in society. They respond to monetary incentives for external reporting while maintaining their commitment to internal reporting driven by prosocial motives. By combining a vignette-based survey and a measurement of social value orientation, we find that the effect size of prosociality on the likelihood of whistleblowing is comparable to, or greater than, the effect sizes of established predictors like demographic and contextual variables. We also find that the discouragement effect is less pronounced for prosocial individuals than for proself individuals. Based on these findings, we discuss how to design legal frameworks that balance the discouragement effect and the incentive effect of whistleblower rewards.
The structures of 11 smectites and 2 interstratified mica/smectites containing mainly Ca2+ and Na+ as exchangeable cations in variable ratio were studied under a relative humidity of about 40%. Observed X-ray powder diffraction patterns were compared with diagrams calculated from interstratification models containing 15.2-Å Ca-smectite layers (C), 12.4-Å Na-smectite layers (N), and 10.0-Å mica layers (M) in various combinations. The smectites appear to be a random interstratification of component layers C and N, and display a tendency towards segregation. One of the interstratified minerals studied is a regular interstratification of C and M layers; the other is a regular interstratification of C, N, and M layers, in which N and C layers are randomly distributed in equal proportion and show a tendency towards segregation.
To determine the dependency of rheological properties on mineralogical characteristics, eleven organophilic hectorite and nine organophilic saponite samples were prepared from hydrothermally synthesized smectites and a quaternary ammonium salt containing mainly octadecyl groups as alkyl chains and were examined by X-ray powder diffraction (XRD), particle size, chemical, and rheological procedures. The rheological properties of the organophilic products dispersed in toluene were found to depend chiefly on (1) particle size, (2) the expansion behavior of the stacked clay platelets, in which the amount and location of negative charge of the silicate layer affected the expandability, and (3) the amount of methanol added as a polar activator. By the addition of 2–4% methanol, apparent viscosities of the hectorite clays were drastically increased at low shear rate, although even a 10% addition did not significantly affect the saponite clays. Under the most suitable gellation conditions, the saponite clays showed lower apparent viscosity than the hectorite clays. Inasmuch as the former had its negative charge near the surface of the silicate layer and formed strong bonds to the organic ion, the expansion of the platelets was apparently difficult. An optimum layer charge for increasing the viscosity was found; specifically 0.45–0.50 and 0.50–0.55 equivalents per half unit cell for saponite and hectorite clays, respectively. Because the saponite clays contained a denser population of organic ions than the hectorite clays, the ion density in the interlayer of both clays was considered to be the same, i.e., about 0.4 organic ions per unit ab area.
The basal spacings of complexes of saponite with five cationic dyes, 1,1′-diethyl-2,2′-cyanine, crystal violet, methylene blue, 1,1′-diethyl-2,2′-carbocyanine, and 1,1′-diethyl-2,2′-dicarbocyanine, varied with degree of saturation of each dye. At low loading of dye to saponite, each cationic dye showed nearly the same absorption spectrum in the UV-visible region as that of its dilute aqueous solution, whereas the spectrum changed distinctly at high loading. With increasing degree of dye loading, the absorption band shifted to longer wavelength for 1,1′-diethyl-2,2′-cyanine (J band) and to shorter wavelength for the others (D, H bands). On the basis of the basal spacing of each respective dye-clay complex, the orientation of the intercalated dye molecules is proposed as follows: the major plane of the cationic dye lies horizontal to the 2:1 layer surface at low loading. With increasing loading, the dye molecules interact with adjacent dye molecules and orient vertically to the 2:1 layer at high loading near the cation-exchange capacity.
There is a clear gap in the understanding of the desorption patterns of metals sorbed on soils and clays, despite their importance in the mobility, transport and fate of metals in natural environments. In this study, we investigated the desorption behavior of Cd, Zn and Pb sorbed on montmorillonite (Mt) and on hydroxyaluminum (HyA)- and hydroxyaluminosilicate (HAS)-Mt complexes. At pH 6.5, 2.5 g L–1 of HyA-Mt and HAS-Mt sorbed almost all of the 10–6 M Cd, Zn or Pb, while Mt under the same condition sorbed ~48, 49 and 55% of the added Cd, Zn and Pb, respectively. Based on pH50 values, the selectivity of metal sorption on Mt was Pb > Zn > Cd, and on the complexes, it was Pb ≫ Zn = Cd. In general, larger fractions of sorbed metals were remobilized from Mt than from the complexes. Again, in comparison with Pb, larger fractions of sorbed Cd and Zn were remobilized from different clays. Reducing the pHs of the equilibrium sorption systems from a fixed point (6.5) to different points (6.0, 5.5, 5.0, 4.5, and 4.0) and from different points (6.5, 6.0, 5.5, 5.0, and 4.5) to a fixed point (4.0) both yielded hysteretic metal desorption patterns. The fractions of Cd and Zn desorbed through Na and Cu exchange from the clays, especially from the complexes, were very different, indicating the existence of cation exchangeable metal sorption sites of weak and strong affinities on the complexes. Based on the EDTA-extractable fractions of Cd and Zn from HAS–Mt and HyA-Mt, it appeared that HyA–metal bonds are stronger than the HAS–metal bonds. Compared with other agents, acetic acid remobilized the highest fractions of all metals irrespective of the type of clays, with a concomitant release of Al or Al + Si. The Pb-HyA/HAS-Mt bonds were, however, still much too strong to be broken substantially by this mechanism. The results accomplished in this study suggest further attention to the fundamental understanding of the mobility, fate, bioavailability and toxicity of the concerned metals in soils and related environments.
The detection rate of multidrug-resistant Pseudomonas aeruginosa in patients admitted to 2 wards and the intensive care unit decreased from 20.3% (129 of 636 isolates) to 4.2% (37 of 889 isolates) after the start of disinfection of hand washing sinks using alkyl diaminoethylglycine hydrochloride.
The Tokyo 2020 Games were held without spectators in the fifth wave of the COVID-19 pandemic after one-year postponement. From all over the world, approximately 11,000 Olympians and 4,400 Paralympians participated in the games. As one of the designated medical institutions, Tokyo Medical and Dental University Hospital provided emergency medical care for the personnel referred by medical staff at the venues or the Olympic Village clinics. On the other hand, it played a central role in treatment and care for COVID-19 patients in the Tokyo metropolitan area. The aim of this study was to review the emergency medical care system of the hospital as a designated hospital for the Tokyo 2020 Games and discuss the measures for future large-scale international events.
Method:
A retrospective analysis of persons involved in the Games who visited our emergency department by request was conducted. COVID-19 patients who were admitted were also analyzed. The study period was from July 13 to August 11 for the Olympics and from August 17 to September 11 for the Paralympics, respectively in 2021. The data was derived from electronic health records from the hospital.
Results:
The total number of ED visits was 38 during the period. One patient was hospitalized, and another patient was transferred. Twenty-one (55%) were athletes, seven (18%) were staff members, and ten (26%) were others. The reason for the visit was medical disease in 23 (61%) and surgical disease in 15 (39%). There was one COVID-19 positive patient. The number of COVID-19 inpatients was 124.
Conclusion:
Emergency medical care was provided for the persons involved in the Tokyo 2020 Games in cooperation with all the staff at the hospital. The COVID-19 pandemic ‘disaster’ may have had some impact on our hospital’s role as the designated medical institution.
Information sharing during disasters tends to be confusing. We started the trial operation of a digital whiteboard (DWB) as a communication tool during disasters in 2019 and fully introduced it in 2022. The DWB is a large tablet that allows interactive communication in close to real-time in remote locations through Wi-Fi.
Method:
To verify the usefulness of the system, DWBs were placed at triage posts in severely, moderately, and mildly damaged areas during a 2022 disaster drill responding to mass casualties to facilitate the sharing of patient information between Disaster Response Headquarters and each treatment area. In each treatment area, doctors, nurses and paramedics completed a standard form to share information about each patient. Information collected included the triage tag number, patient name, age, gender, type of injury or disease, and description of the treatment.
Results:
Six DWBs were remotely shared, with the triage post noting the number of patients passing through each severity level, and each treatment area noting the treatment status of each patient. The Disaster Response Headquarters replied with the results of adjustments such as hospitalization ward and time to start surgery. The descriptions were reflected in the remotely shared DWBs in about one second. Text conversations through the DWBs were also seen. In the post-event survey, some said that the smooth sharing of information led to quick decisions. Compared to conventional radios, DWBs have the advantage of allowing communication through text, which allows more detailed and accurate patient information to be communicated quickly. The results suggest the survival rate can be improved by assisting early medical intervention or rapid entry of patients into operating rooms. The next goal is to use DWBs for medical coordination among disaster base hospitals.
Conclusion:
DWBs are effective for the rapid and accurate sharing of patient information during disasters.
To assess dietary behaviours and related lifestyles according to the presence or absence of skipping breakfast.
Design:
We analysed the cross-sectional data from a baseline survey of a large-scale population-based cohort study in Japan conducted in 2011–2016. Participants provided information on dietary behaviours and lifestyles through a self-administered questionnaire. Skipping breakfast was defined as not eating breakfast at least once a week and was classified according to the frequency of skipping breakfast as 1–2, 3–4 or ≥5 times/week.
Setting:
Sixteen municipalities in seven prefectural areas across Japan under the Japan Public Health Centre-based prospective study for the Next Generation.
Participants:
112 785 residents (51 952 males and 60 833 females) aged 40–74 years.
Results:
After adjustment for age, socio-demographic status, drinking status and smoking status, individuals who skipped breakfast at least once a week, compared with those who ate breakfast every day, were more likely to have adverse dietary behaviours such as frequent eating out (multivariable OR = 2·08, 95 % CI (1·96, 2·21) in males and 2·15, 95 % CI (1·99, 2·33) in females), frequent eating instant foods (1·89, 95 % CI (1·77, 2·01) in males and 1·72, 95 % CI (1·56, 1·89) in females). They had late bedtime (1·85, 95 % CI (1·75, 1·95) in males and 1·98, 95 % CI (1·86, 2·11) in females) and living alone (2·37, 95 % CI (2·17, 2·58) in males and 2·02, 95 % CI (1·83, 2·21) in females), using the logistic regression model.
Conclusions:
Both adult males and females who skipped breakfast were likely to eat out, to have a dietary habit of eating instant foods and have lifestyles such as late bedtime and living alone than those who ate breakfast.
In October 2020, the Government of Japan formulated a National Action Plan (NAP) on Business and Human Rights in response to the United Nations Guiding Principles on Business and Human Rights (UNGPs) and ensuing greater international awareness of violations of human rights by corporations.1 In the NAP, the government of Japan stated that on the basis of the UNGPs, it expects companies to (i) formulate human rights policies, (ii) conduct due diligence with respect to human rights, and (iii) establish grievance mechanisms.2 In order to achieve these goals, businesses need to understand whether and how they are violating human rights and prepare appropriate solutions. Whistleblowers play a crucial role in this process.
Reducing Na intake is an urgent global challenge, especially in East Asia and high-income Asia-Pacific regions. However, the sources of Na and their effects on urinary Na excretion have not been fully studied. We sought to clarify these sources and their association with urinary Na excretion. We examined four 3-d weighed food records and five 24-h urinary collections from each of 253 participants in Japan, aged 35–80 years, between 2012 and 2013. We compared the levels of Na according to four categories: foods contributing to discretionary or non-discretionary Na intake, the situation in which dishes were cooked and consumed, food groups and types of cuisine. We also conducted regression analysis in which 24-h urinary Na excretion was a dependent variable and the amounts of food intake in the four categories were independent variables. Levels of Na were the highest in discretionary intake (60·6 %) and in home-prepared dishes (84·0 %). Of the food groups, miso soup showed the highest percentage contribution to Na intake (13·3 %) after seasonings such as soya sauce. In the regression analysis, the standardised coefficient for foods of non-discretionary Na sources was larger than that for discretionary sources, whereas that for home-prepared dishes was consistent with the levels of Na in those foods. Pickled products, followed by fresh fish and shellfish, miso soup and rice, were associated with high urinary Na excretion. Thus, discretionary foods (such as miso soup) contribute the most to Na consumption, although non-discretionary intake (such as pickled vegetables) may influence urinary Na excretion.
The importance of the insula in focal epilepsy is increasingly being recognized. As such, surgical procedures involving the insula and their associated risks, especially vascular complications, are under investigation. Understanding of vascularization of the insula is essential for performing safe and accurate surgical treatment. This chapter summarizes the vascularization of the insula and related structures, including the M1, M2, and M3 segments of the middle cerebral artery, lenticulostriate artery, and long insular artery (LIA). The LIA is especially important to identify to avoid a white matter motor tract infarction during insular surgery. In addition, the venous system of the insula is described.
The vertex-centric programming model is now widely used for processing large graphs. User-defined vertex programs are executed in parallel over every vertex of a graph, but the imperative and explicit message-passing style of existing systems makes defining a vertex program unintuitive and difficult. This article presents Fregel, a purely functional domain-specific language for processing large graphs and describes its model, design, and implementation. Fregel is a subset of Haskell, so Haskell tools can be used to test and debug Fregel programs. The vertex-centric computation is abstracted using compositional programming that uses second-order functions on graphs provided by Fregel. A Fregel program can be compiled into imperative programs for use in the Giraph and Pregel+ vertex-centric frameworks. Fregel’s functional nature without side effects enables various transformations and optimizations during the compilation process. Thus, the programmer is freed from the burden of program optimization, which is manually done for existing imperative systems. Experimental results for typical examples demonstrated that the compiled code can be executed with reasonable and promising performance.
Language change across the lifespan is relatively underexplored in sociolinguistics. While studies of individuals’ language across life stages are often considered to complement large scale studies of community-level language change, this study aims to explore how changes to family environment and social mobility interact with individual speakers’ stylistic practice across life stages. It examines ethnographic interviews of five women, originally from the same area in western Japan, the same high school, and similar socio-economic background, conducted by a single researcher eleven years apart. The chronological and inter-participant comparisons reveal a complex pattern of stylistic practice and stance taking as the women share stories about career, family and relationships with the researcher. The study also discusses audience design in language variation and explores how the participants utilise their discursive repertoires in their interaction with the researcher, whose background is significantly divergent from theirs. (Language across the lifespan, stylistic practice, Japanese)*
8K video parameters were designed to provide an immersive experience; meanwhile, special considerations are necessary to assess the entire screen subjectively. This paper studies the video bit-rate required for 8K 119.88-Hz (120-Hz) and 59.94-Hz (60-Hz) the high efficiency video coding (HEVC)/H.265 temporal scalable coding based on subjective evaluation experiments. To investigate the appropriate bit-rate for both 8K 120- and 60-Hz videos for broadcasting purposes, we compress 8K 120-Hz test sequences using software that emulates our real-time HEVC encoder and conduct two types of experiments. The experimental results demonstrate that the required video bit-rate for 8K 120-Hz temporal scalable coding is estimated to be 85–110 Mbps, which is equivalent to the practical bit-rate for 8K 60-Hz videos, and the appropriate bit-rate for 8K 60-Hz video in 8K 120-Hz video at 85 Mbps is assumed to be ~80 Mbps. From the analyses of the encoded videos, it is confirmed that the experimental results are primarily influenced by the image quality on the slice boundary positioned at the middle of the screen height. When conducting the experiments, we determined settings referring to an initial 8K subjective assessment; we further mention requirements for future 8K subjective evaluations from the experimental results.
We conducted a preintervention–postintervention study to assess the effectiveness of a multimodal approach to reduce unnecessary urethral catheters in 5 Japanese intensive care units. After the intervention urethral catheter point prevalence decreased by 18%, from 79% preintervention to 61% postintervention, and catheter appropriateness increased by 28%, from 57% preintervention to 85% postintervention.
Pulmonary vein stenosis (PVS) is a condition with challenging treatment and leads to severe cardiac failure and pulmonary hypertension. Despite aggressive surgical or catheter-based intervention, the prognosis of PVS is unsatisfactory. This study aimed to assess the prognosis and to establish appropriate treatment strategies.
Methods:
We retrospectively reviewed endovascular treatments for PVS (2001–2017) from the clinical database at the Okayama University Hospital.
Results:
A total of 24 patients underwent PVS associated with total anomalous pulmonary venous connection and 7 patients underwent isolated congenital PVS. In total, 53 stenotic pulmonary veins were subjected to endovascular treatments; 40 of them were stented by hybrid (29) and percutaneous procedures (11) (bare-metal stent, n = 34; drug-eluting stent, n = 9). Stent size of hybrid stenting was larger than percutaneous stenting. Median follow-up duration from the onset of PVS was 24 months (4–134 months). Survival rate was 71 and 49% at 1 and 5 years, respectively. There was no statistically significant difference between stent placement and survival; however, patients who underwent bare-metal stent implantation had statistically better survival than those who underwent drug-eluting stent implantation or balloon angioplasty. Early onset of stenosis, timing of stenting, and small vessel diameter of pulmonary vein before stenting were considered as risk factors for in-stent restenosis. Freedom from re-intervention was 50 and 26% at 1 and 2 years.
Conclusions:
To improve survival and stent patency, implantation of large stent is important. However, re-intervention after stenting is also significant to obtain good outcome.
Recently, the risk of flood disasters due to concentrated heavy rains has been increasing in Japan. While some cases of hospital evacuation have been reported, standards for hospital evacuation have not been established and regional administrative evacuation plans do not include medical facilities.
Aim:
To clarify the timeline for in-hospital vertical evacuation during a flood disaster.
Methods:
A timeline was set for vertical evacuation as criteria of the hospital’s emergency response based on the Arakawa River Downstream Timeline, which is an estimate of the time until river flooding based on the water level of the Arakawa River located near the facility. The timeline was calculated backward from 0 hours to when the river floods. A drill was held for verification.
Results:
The timeline was based on the water level of the Arakawa River and objective evidence of risky transfer of critical patients; therefore, the decision to evacuate was made when the water level reached a dangerous level (-3 hours). However, this did not provide enough time to evacuate patients in all hospital departments simultaneously, resulting in a shortage of human resources. There was a planned shutdown of the electronic clinical record system at 0 hours to avoid water damage and evacuation of its server, but three hours were not enough to prepare patient clinical summaries.
Discussion:
There is a need for greater and earlier preparation for evacuation to reduce or discharge patients who can leave the hospital when a flood disaster is predicted. Only in-hospital vertical evacuation was considered because it is very risky to transfer critical patients without an evacuation order from government or municipal officials. In fact, over 10,000 patients would need to be evacuated in the region if the Arakawa River floods. Therefore, a regional plan is indispensable for such large scale and simultaneous hospital evacuations.