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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]

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]

This paper examines Japanese female Christians' writings published during the 1970s in a Japanese ecumenical periodical, Gospel and World , to explore their relationship to second wave feminism in Japan, ūman ribu , as a religious minority's complex way to engage politics and other Asian women. These feminist Christians are an example of women located in-between colonizers and the colonized as well as among the racial and religious majorities and minorities of the time; illuminating their activism allows us to consider effective and discursive forms of engaging women, politics, and religion. On the one hand, Japanese Christian feminists expanded their sense of agency both by relocating the oppression of women in the church within the larger issues of Japanese colonial legacy and by reimagining social justice within sacred space. On the other hand, their lack of reflection on race and their reliance on the majoritarian identity of onna (middle-class Japanese women) blurred their vision and invitation to activism around "pan-Asian solidarity." [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]

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]