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Celiac disease is an autoimmune disease primarily affecting the small intestine that is caused by the ingestion of gluten in genetically susceptible individuals. The development of celiac disease is based on a complex immune response to gluten proteins. The global average prevalence in the general population is about 1%. In recent years, it has become clear that celiac disease is not less common in Asian countries than in Western countries but often remains undiagnosed. Although the number of patients with celiac disease in Asia is expected to increase with improving disease recognition and advances in diagnostic techniques, there remain few reports of celiac disease in the Far East region of Asia, especially in Japan. In this paper, we outline the epidemiology, diagnosis, and treatment of celiac disease. In addition, we summarize the reported Japanese cases of celiac disease with an overview in Japan. [ABSTRACT FROM AUTHOR]

The aim of this cross-sectional study was to examine the relative validity of food and nutrient intakes and overall diet quality scores derived using a newly developed dietary assessment questionnaire (food combination questionnaire, FCQ). Dietary data were collected from 222 Japanese adults (111 for each sex) aged 30–76 years using the online FCQ and then the 4-non-consective-day weighed dietary record (DR). The median of Spearman correlation coefficients for sixteen food groups was 0⋅32 among women and 0⋅38 among men. The median of Pearson correlation coefficients for forty-six nutrients was 0⋅34 among women and 0⋅31 among men. The Pearson correlation coefficient between the total scores of Healthy Eating Index-2015 (HEI-2015) derived from the DR and FCQ was 0⋅37 among women and 0⋅39 among men. The corresponding value for the Nutrient-Rich Food Index 9.3 (NRF9.3) total scores was 0⋅39 among women and 0⋅46 among men. Bland–Altman plots for these diet quality scores showed poor agreement at the individual level, although mean difference was small for the HEI-2015 (but not NRF9.3). Similar results were obtained using the paper version of FCQ, which was answered after conducting the DR, except for somewhat high Pearson correlation coefficients for the total scores of HEI-2015 (0⋅50 among both women and men) and NRF9.3 (0⋅37 among women and 0⋅53 among men). In conclusion, this analysis may lend support to the possible use of the FCQ as a rapid dietary assessment tool in large-scale epidemiologic studies in Japan, but further refinement of this tool should be pursued. [ABSTRACT FROM AUTHOR]

Given the field's interdisciplinary nature, regional scientists come with a wide spectrum of backgrounds. In this paper, we study the contributions to regional science made by scholars from Japan. First, we briefly examine how Japanese regional scientists came to develop a keen sense towards urban problems. Second, we identify the most influential authors and papers via a citation analysis. The results indicate that scholarly outputs in regional science are reaching a wider audience beyond scientists, while maintaining the order of impact among them. Lastly, we focus on the new economic geography where Japanese scholars have made a significant contribution. [ABSTRACT FROM AUTHOR]

The beginning of the construction of Japan's first large-scale Buddhist temple, Asukadera 飛鳥寺, in 588, marks an important turning point in the ancient history of Japan. The construction of a Buddhist temple was a major event through which Japanese people, who had believed in traditional indigenous religion, came to embrace Buddhism, one of the major world religions. Inscribed śarīra reliquaries were discovered from the wooden pagoda site at the Wanghŭng-sa 王興寺 in Puyŏ. According to these inscriptions, Wanghŭng-sa was built in 577, 11 years before the establishment of Asukadera in 588. Based on this data, both Korean and Japanese academics have raised the possibility that Wanghŭng-sa might have provided inspiration or even a model for Asukadera in Japan. In this paper, I briefly examine reliquaries and roof tiles that have been excavated from the wooden pagoda site within the Wanghŭng-sa site and the arrangement and characteristics of the temple's building sites, including the sites of the main hall and corridors. Next, I discuss the similarities and differences between ancient Buddhist temples in Korea and Japan by comparing Wanghŭng-sa with ancient Japanese temples such as Asukadera. [ABSTRACT FROM AUTHOR]

This paper investigates how young Japanese women in contemporary Soka Gakkai (SG) navigate Japan's continuous gender stratified society that remains culturally rooted in the 'salaryman-housewife' ideology. How are young SG members reproducing or contesting these hegemonic gender norms that few seek to emulate? While SG has long proclaimed that it stands for gender equality, its employment structure and organization in Japan until recently reflected the typical male breadwinner ideology that came to underpin the post-war Japanese nation-state and systemic gender division of labor. As shown here, this did not mean that SG women were without power; in fact, in many ways they drove organizational developments in the Japanese context. The recent imposition of the global framework for Sustainable Development Goals of 2015 has enabled SG to more substantially challenge its own patriarchal public front. Based on long-term fieldwork, in-depth interviews and multiple group discussions with SG members in their 20s, this article explores how SG-Japan is being challenged to follow its own discourse of 'globalism' and 'Buddhist humanism', promoted by Daisaku Ikeda since the 1990s. Using Bourdieu's analysis of symbolic power, the research shows how Japan's powerful doxa of 'genderism' that held sway over earlier generations is currently being challenged by a glocalized Buddhist discourse that identifies Nichiren Buddhism as 'humanism' rather than Japanese 'genderism'. [ABSTRACT FROM AUTHOR]

In order to overturn the exclusion of Korean schools from the newly implemented free tuition program (2010) as part of sanctions against North Korea, members of Korean schools and Japanese supporters have focused on "students' innocence" and "multicultural coexistence" as viable frameworks to explain why the students are sympathetic and legitimate subjects who deserve equal rights. Examining different political strategies employed by the Korean schools and their supporters through ethnography and media analysis, the article pays close attention to how they claim their eligibility for these rights while they negotiate state surveillance and intervention in the process. I argue that in their efforts to gain recognition as deserving and sympathetic subjects, Korean schools are trapped in what political theorist Patchen Markell calls a "permanent temptation" in pursuing "recognition." Anti-North Korea sentiments in Japan have made the desire for good recognition even more urgent among Korean school community members. The paper will demonstrate that the search for recognition unwittingly reinforces and perpetuates existing relations of subordination and state dominance over their education as it has forced the Korean schools to accept various "conditions" that would radically alter the core principle, mission, and pedagogy of Korean school education that is rooted in decolonizing theory and praxis. This paper will shed lights on dilemma of multicultural coexistence the Korean minority population faces in Japan today. [ABSTRACT FROM AUTHOR]

In Japan, where a prominent gap exists in what is considered a patient's best interest between the medical and patient sides, appropriate decision-making can be difficult to achieve. In Japanese clinical settings, decision-making is considered an act of choice-making from multiple potential options. With many ethical dilemmas still remaining, establishing an appropriate decision-making process is an urgent task in modern Japanese healthcare. This paper examines ethical issues related to shared decision-making (SDM) in clinical settings in modern Japan from the psychocultural-social perspective and discusses the ideal decision-making process in present Japan. Specifically, we discuss how five psychocultural-social tendencies – "surmise (Sontaku)," "self-restraint (Jishuku)," "air (atmosphere or mood, Kuuki)," "peer pressure (or tuning pressure, Docho-Atsuryoku)," and "community (Seken)"—which have often been referred to as characteristics of present-day Japanese people, may affect the ideal practice of SDM in Japanese clinical settings. We conclude that health care professionals must be aware of the possible adverse effects of the above Japanese psychocultural-social tendencies on the implementation of SDM and attempt to promote autonomous decision-making, thereby allowing patients to make treatment choices that sufficiently reflect their individual and personal views of life, experiences, goals, preferences, and values. [ABSTRACT FROM AUTHOR]

Dealing with cultural diversity is one of the key challenges in contemporary societies, with Japan being no exception. However, relatively little is known about how minority group members are viewed by members of the dominant group. The current paper presents a study that evaluated three hypotheses that are related to these issues with a survey of 210 Japanese adult participants. The study also examines moderating roles of national identities in acculturation expectations and psychological functioning in the dominant group. Perceived security about the society in terms of national culture, and personal conditions in a multicultural society predict the most tolerant form of acculturation expectation. This association is mediated by one's multicultural ideology. Although acculturation expectations are not predictive of psychological functioning, particular national identity (i.e., internationalism) alleviates the negative effect of the closest form of expectation (exclusion) on psychological problems. The study implies the need for analysis on culture-specific constructs of multicultural society in perceptions and attitudes in the dominant group in Japanese society. [ABSTRACT FROM AUTHOR]

Background: Since the Integrated Resort Bill was passed in 2017, Japan has been preparing to open casinos in Osaka and Nagasaki. Previous studies have shown that accessibility to casinos is positively correlated with the prevalence of gambling disorders. In response, the Japanese government has enacted the Basic Law against Gambling Addiction, and has started a fact-finding survey on gambling addiction every three years. This study aims to understand the prevalence of pathological gambling (PG) and gambling-related problems (e.g., multiple debt, child-rearing difficulties, suicide, depression and harm from significant others gambling, adverse childhood experiences; ACEs, etc.). Methods: A self-administered (paper and pencil or internet) questionnaire was mailed to 17,955 people from October to December 2020 using a random sampling based on the Basic Resident Register. PG was assessed using the South Oaks Gambling Screen (SOGS). In addition, gambling behavior (gambling experience, frequency, and bet amounts) and original or standardized scales regarding gamblingrelated problems were examined. Results: A total of 8,223 valid responses (3,955 men and 4,268 women) were obtained. The age-adjusted past-year prevalence of PG was 2.2% overall (95% confidence interval = 1.9-2.5); however, the prevalence was higher among those who responded on the Internet. A comparison of respondents with and without PG found that those with PG had higher rates of depression, suicidal ideation, suicide attempts, and ACEs. Conclusions: The prevalence of PG in Japan is relatively higher than in other countries. A survey method is necessary to obtain comparable yearly prevalence rates. [ABSTRACT FROM AUTHOR]

This paper uses an extended case study of Japan to illustrate how surnames, or family names, can be used as a basis for regionalization. We undertake a comparison between inductively surname regions of Japan with areal geographies based upon both contemporary and historical prefecture (administrative) units. The work is seen as using highly disaggregate framework data to evaluate the integrity of the areal units that are used in regional science. It also is relevant to understanding population distributions, past and present, and the consequences of local, regional and national residential mobility and migration. [ABSTRACT FROM AUTHOR]

Purpose: This paper describes the current state of electronic journal usage among Japanese medical researchers, and discusses the subsequent effect on users' decision whether to read articles on paper or on screen; from what types of full text source they obtain the articles. Methods: The names of 2,033 medical researchers affiliated with 80 medical schools in Japan were extracted and the researchers were surveyed. The questionnaire included questions on: 1) demographic features; 2) whether or not the researcher read the paper from print journals or electronic journals, and the search method used to obtain the most recently read articles; 3) the types of methods used to search for articles; 4) awareness and use of "open access" sites. Results: We received 651 responses (32.3%) between February and March 2007 and analyzed them. The major findings were: 1) 70% of the most recently read articles were electronic journal articles; 2) 80% of the electronic journal articles were provided by academic libraries, while 60% of print journal articles were from private subscription journals; 3) search engines were not used, but PubMed was used primarily to search either print or electronic journal articles; 4) in general, open access methods were not recognized by researchers as one possible route for obtaining the articles although PubMed Central constituted about 10% of the most recently read electronic journal articles; 5) no significant differences relating to article usage patterns were observed among age groups, however, large differences were found among fields of research. [ABSTRACT FROM AUTHOR]

The purpose of this paper is to examine the possible causes and social background of the rising suicide rate among middle-age or older Japanese male workers, particularly a certain type of suicide called karo-jisatsu (suicide by overwork). The image of Japan as a culture that considers suicide a method of personal distress resolution is widespread overseas. Although such a cultural explanation holds somewhat true, other social structural factors should be taken into consideration before resorting to the historical and cultural explanations. This paper presents, based on the existing data and facts, a balanced view of both cultural and social structural explanatory models, analyzes the changing situation at Japanese workplaces, and strives to deepen the understanding of the reality of suicide in today's Japan. Pressures resulting from a long economic recession, a new evaluation system in the workplace, and the widening gap between the traditional concept of work and a new reality are some of the reasons behind karo-jisatsu. [ABSTRACT FROM AUTHOR]

Purpose - The purpose of this paper is to examine the role of sheepskin effects in the return to education in Japan. Design/methodology/approach - The paper provides a short description of the Japanese schooling and recruitment system. It then describes the data set and the empirical approach. Estimation results are presented for the various specifications. The baseline specification closely follows existing studies for the USA to facilitate comparability across the two countries. The paper further investigates whether there are significant firm-size differences in the estimated sheepskin effects and whether sheepskin effects disappear with increasing job tenure. Findings - The estimation results indicate that sheepskin effects explain about 50 percent of the total returns to schooling. The paper further finds that education as a signal is only important for workers in small firms with the size of these effects being similar to comparable estimates for the USA. Finally, the estimated degree effects decrease with firm tenure, in particular for small firms. These results could be explained by the particular recruitment system of large firms in Japan, which makes university diploma as a screening device unimportant for large firms and the admission policy of Japanese universities. Originality/value - By investigating the role of sheepskin effects in a labor market that differs substantially from the labor market in the USA, the paper provides additional insights to the human capital theory-screening hypothesis debate. [ABSTRACT FROM AUTHOR]

Catholicism prides itself on being a 'global religion'. However, just how this 'religion' is contextualized into a specific culture has led to intercultural and intergenerational problems. In Japan, the Filipino–Japanese struggle to fit into a society that sees, in their Catholic upbringing, 'religious' activity that it deems un-Japanese. The concept of 'religion' (shūkyō) in Japan has been largely associated with congregational activity, an aspect that neither Shinto nor Buddhism stress. As a result, the Japanese people label acts such as the purchasing of lucky charms, temple and shrine pilgrimages, visits to power spots, and performing birth or death rituals as 'non-religious' (mushūkyō). On the other hand, they label similar Christian acts as 'religious'. Associating Christianity with 'religion' has had consequences for Japan's Filipino residents and their international families. This paper considers the role the concept of 'religion' plays in the acculturation of Filipino–Japanese children into Japanese society. Through qualitative interviews of four Filipino–Japanese young adults, it delineates, in eight sections, how the discourse of 'religion' isolates Filipino mothers from their 'non-religious' children and husbands. This begins at adolescence and culminates with the children's absence from the Roman Catholic Church of Japan. [ABSTRACT FROM AUTHOR]

Background: The Clinical Outcomes Committee of the Japanese Society for Surgery of the Foot conducted a field survey using a novel foot and ankle outcome instrument. We report the development and evaluation of the Outcome Instrument version 1. Materials and methods: A total of 108 potential questions were extracted from literature published in the interval between 1990 and 2006. Tentative subscales proposed were 'Degree of Foot Pain,' 'Foot Pain-related,' 'Physical Functioning and Daily Living,' 'Social Functioning' and 'General Health and Well-being.' After pre-testing in two different groups of patients, the Outcome Instrument version 1, which was composed of 46 items selected from the 108 questions, was administered to 256 patients (111 men and 145 women) with foot-and-ankle-related pathologic conditions and 243 healthy volunteers (125 men and 118 women). Cronbach's alpha coefficients were used for assessment of internal consistency of the instrument. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were utilized for evaluation of construct validity. Results: Neither a ceiling nor floor effect was observed in the responses from the patients. Significant differences were found in the responses to all of the questions between the patients and volunteers ( P < 0.01 each). The Cronbach's alpha coefficients for each of the expected subscales indicated high reliability for most of the items and subscales. However, EFA extracted an additional subscale that should be interpreted as something related to shoe or shoe-fit. Further, both EFA and CFA indicated that 'Degree of Foot Pain' and 'Foot Pain-related' subscales were barely discernable with a factor correlation coefficient of 0.927. Conclusions: The Committee partly revised the instrument, and the new subscales are as follows: 'Foot Pain and Pain-related,' 'Physical Functioning and Daily Living,' 'Social Functioning,' 'General Health and Well-being' and 'Shoe-related.' Evaluation of the Outcome Instrument version 2 will be reported in the following paper. [ABSTRACT FROM AUTHOR]

We developed a 3D archive system for Japanese traditional performing arts. The system generates sequences of 3D actor models of the performances from multi-view video by using a graph-cuts algorithm and stores them with CG background models and related information. The system can show a scene from any viewpoint as follows; the 3D actor model is integrated with the background model and the integrated model is projected to a viewpoint that the user indicates with a viewpoint controller. A challenge of generating the actor models is how to reconstruct thin or slender parts. Japanese traditional costumes for performances include slender parts such as long sleeves, fans and strings that may be manipulated during the performance. The graph-cuts algorithm is a powerful 3D reconstruction tool but it tends to cut off those parts because it uses an energy-minimization process. Hence, the search for a way to reconstruct such parts is important for us to preserve these arts for future generations. We therefore devised an adaptive erosion method that works on the visual hull and applied it to the graph-cuts algorithm to extract interior nodes in the thin parts and to prevent the thin parts from being cut off. Another tendency of the reconstruction method using the graph-cuts algorithm is over-shrinkage of the reconstructed models. This arises because the energy can also be reduced by cutting inside the true surface. To avoid this tendency, we applied a silhouette-rim constraint defined by the number of the silhouette-rims passing through each node. By applying the adaptive erosion process and the silhouette-rim constraint, we succeeded in constructing a virtual performance with costumes including thin parts. This paper presents the results of the 3D reconstruction using the proposed method and some outputs of the 3D archive system. [ABSTRACT FROM AUTHOR]

According to the received view, connective particles are characterised as "bound grammatical markers" that connect two clauses into a 'sentence' (Matsumoto, Yo 1988: 345). As Fukushima (2005) points out though, these conjunctions have other functions that go beyond intra-sentential usage. Utterance-final conjunctive particles have been analysed thus far, for the most part, as a type of (clausal) ellipsis or as particles that give rise to various pragmatic effects. In this paper, it is suggested that an approach to utterance-final conjunctive particles that is grounded in the notion of implicature may offer a complementary perspective on this phenomenon. The notions of "(im)politeness implicature" and "interactional implicature" are utilised in order to discuss how utterance-final conjunctive particles may trigger inferences leading to various interpersonal and interactional effects. By carefully analysing the projection and uptake of these implicatures apparent in the sequential development of interpretings conjointly co-constituted in Japanese conversation, it is argued that the analysts' and participants' perspectives can be better reconciled to avoid the imposition of an analysis by the researcher which is not contingently relevant to those participants. It is argued that through such an analysis the manner in which linguistic and communicative perspectives on implicature can complement one another can be explored more fully. [ABSTRACT FROM AUTHOR]

Purpose: The Japanese public library community is struggling with the issue of protecting the confidentiality of user information, because this is a key point in obtaining users' trust. The purpose of this paper is to analyze whether the community's efforts are consistent with its aims. Results: Japanese libraries are often requested to delete user information as soon as possible in order to protect user privacy. This policy is not only based on strengthening sensitivity to privacy, but also on the fact that police have ordered the disclosure of user information repeatedly in the past, and, by complying with their legal duties, librarians get labeled as disloyal. However, it is difficult to implement customized services like Amazon's recommendations without collecting user information, and the lack of such innovative client-centered services causes public libraries to stagnate. Therefore, it is obvious that the library community itself poses the largest hindrance to progress by refusing to improve its own services. [ABSTRACT FROM AUTHOR]

This paper examines how multiple roles affect the mental health of the elderly in Japan and the United States, two countries with vastly different cultures. Hypotheses were drawn based on the cultural differences in role experiences, and these hypotheses are tested by analyzing nationally representative samples of the elderly in these countries. The results show that Americans are more likely to be involved in roles related to family, work, and community, while the Japanese are more likely to be involved in only those roles related to family and work. Multiple roles are also found to be less beneficialfor the mental health of Japanese elderly compared to American counterparts. National differences in the effects of individual roles and role configurations on mental health are also documented. Overall, the results show the importance of broad cultural contexts for understanding the relationship between roles and mental health. [ABSTRACT FROM AUTHOR]

Reports and commentary by Japanese mass-circulation newspapers on the Siberian Intervention reflect deep ambivalence about the enterprise. Some criticism of government policy reflected traditional concerns; but a new strain of criticism, unique in the prewar period, claimed that Japan was out of step with the spirit of international cooperation among the leading democratic powers that emerged victorious at the end of World War 1. While initially demanding a ‘responsible’ party government to end the intervention, as the unprofitable stalemate continued, the papers came to lambaste both ineffective party cabinets and the military for ignoring public opinion. [ABSTRACT FROM AUTHOR]

Defense styles have a close relationship with ego development and psychopathology. The purpose of the present paper was to examine the reliability and validity of the Japanese edition of the Defense Style Questionnaire (DSQ-40; Andrews et al. 1993). Six hundred and six Japanese university students (348 female) completed the DSQ-40 and Maudsley Personality Inventory (MPI). The neurotic tendency had positive correlations with immature and neurotic defense styles and a negative correlation with the mature defense style. The extroversion tendency had positive correlations with the mature and neurotic defense styles and a negative correlation with the immature defense style. There was a significant test–retest correlation for all items of the DSQ-40 ( n = 284). The results show that the Japanese version of the DSQ-40 had concurrent validity with the MPI and a test–retest reliability of 2 months, although there was some doubt about the validity of the factor structure of the DSQ-40. Therefore, the DSQ-40 is a useful scale in Japan to measure ego development and ego function through defense styles. [ABSTRACT FROM AUTHOR]

In the mid 1930s, as southward advancement thought was on the rise in Japan, there was a rapidly emerging sense shared by the Taiwan Colonial Government, the military authorities, and Japanese residents in Taiwan that colonised Taiwan should play a more positive role in Japan's southward advance. This paper examines the background of the emergence of this advocacy of southward advance in Taiwan during the 1930s and its development during the ten years preceding the Japanese defeat in the Pacific War. In this examination, I draw attention not only to the predilections of the Taiwan Colonial Government, the Taiwan Army, and Japanese residents but also to the mechanism through which the colonised Taiwanese were integrated into the southward advance, and finally I compare the relationships of those three actors and the southern region (nanpo). [ABSTRACT FROM AUTHOR]

This paper focuses on the narratives and embodiment of noisemakers in noise complaints in a small town of rural Japan. By building on the intersection of sound studies, body, and migration, this paper aims to critically address the longstanding concept of 'noise' through the overlooked perspectives of migrants who are perceived as 'noisemakers' in the neighbor relations between Japanese neighbors and migrants. This study was conducted through months of fieldwork in a small town in Japan, wherein an ethnic concentration of Japanese descendants from North Sulawesi, Indonesia has been established for almost two decades. Sensory ethnography was adopted in addition to participant observation and in-depth interviews that presented the narratives of five Japanese descendants working in seafood processing factories. The findings suggest that perception of the 'unwanted' bodily presence becomes a salient metaphorical sense of 'noise' which is embodied in migrants as byproducts of the psychological noise of the hearers. This 'noise' evokes series of complaints which also escalate into space control in the neighborhood. More than just neighbor relations in negotiating private–public spaces, the phenomena of noisemaking and noise complaints in this study are layered with overlapping unequal social and power structures concerning neighbors, workers, and migrants with stigma of gaijin and 'noisemakers'. [ABSTRACT FROM AUTHOR]

Japanese women participate in the labor force at rates similar to women in Western industrial nations, but gender stratification patterns are sharper. Women in Japan are less apt to work as employees, a tendency that increases with age. Likewise, female employees tend to shift from larger to smaller firms across the life Cycle, whereas male employees do not. These aggregate pallets imply that Japanese women are seldom placed in career-track positions in large firms early in their careers. Analyses on labor market entry data from the 1984 "Survey on Work Patterns" substantiate this view. Although Japanese men and women enter large firms at equivalent rates upon leaving school, 22 percent of men and only 7 percent of women enter career ladders. The majority of women enter large firms as clerical workers, three-quarters of whom are in low-level "assistant clerical" positions. Causal processes governing entrance to large firms and career tracks are examined in the paper, with particular attention to the relative returns to different levels and types of education for Japanese men and women. [ABSTRACT FROM AUTHOR]