Sociodemographic profiles and determinants of relapse risks among people with substance use disorders in the Philippines: A survey in community and residential care settings.

BACKGROUND: Methamphetamine use is a major social and health issue in the Philippines. Former president Rodrigo Duterte prioritized combating illicit drugs, and the government launched an anti-drug campaign. People with substance use disorders (SUD) receive treatment and care in the community or residential treatment at Treatment and Rehabilitation Centers (TRCs) established by the Department of Health. However, since the content and quality of service are not sufficient, there is an urgent need for improvement. To this end, it is necessary to understand demographic characteristics, the severity of drug use, and treatment needs of this population. METHODS: We conducted a questionnaire survey of people with SUD in the community (n=308) and all TRC patients (n=1770) to obtain their demographic profiles. We also used the Drug Abuse Screening Test-20 (DAST-20) and the Stimulant Relapse Risk Scale (SRRS). RESULTS: Based on DAST-20 scores, the severity of dependence was not well-matched to the care provided; 12.4% of the community sample was in the severe or substantial categories and 14.2% of the TRC sample was in the low category. The TRC sample had a significantly higher relapse risk than the community sample, which was associated with a lower educational attainment level and comorbid alcohol dependence. CONCLUSIONS: It is important to use standardized psychometric tools to match treatment with the severity of drug dependence. In addition, a wide variety of medical and social services need to be provided based on consideration of treatment needs to improve the well-being of this population.

Development of a risk assessment tool for Japanese sex offenders: The Japanese Static-99.

In Japan, sexual offending, especially paraphilic sexual offending, has become a major problem, and approximately 3000 people are arrested for frotteuristic and voyeuristic behavior each year. Considering the repetitive nature of such behaviors, determining the recidivism risk is imperative. Globally, Static-99 is one of the most widely used actuarial risk assessment tools to predict recidivism among sex offenders. However, sexual offending is largely influenced by social and cultural backgrounds, and whether risk factors identified in the West are applicable to other countries is unknown. Therefore, we developed a Japanese version of the Static-99 and examined its reliability and validity with 167 Japanese paraphilic sex offenders. The results showed good internal consistency (Cronbach's alpha coefficient = 0.88) and predictive accuracy (area under the curve = 0.76). The results indicate that the Japanese Static-99 can be used with Japanese sex offenders. Moreover, risk factors identified in the Western context are applicable to Japanese sex offenders despite the different nature and manifestations of their offending.

Development and validation of Tagalog versions of the Drug Abuse Screening Test-20 (DAST-20) and Stimulant Relapse Risk Scale (SRRS) for drug users in the Philippines.

Methamphetamine use is becoming a major social issue in the Philippines, and this has been attracting international interest. Understanding the characteristics of drug users and the severity of their drug use is an urgent requirement for promoting effective treatment and support; however, in the Philippines, a lack of screening and assessment tools with confirmed reliability and validity is a major obstacle in this regard. Therefore, the aim of this study is to develop Tagalog versions of the Drug Abuse Screening Test-20 (DAST-20), a drug-abuse screening tool used worldwide, and the Stimulant Relapse Risk Scale (SRRS), a tool for quantitatively evaluating relapse among stimulant users, and to confirm their validity and reliability. Participants were 305 patients admitted to the Treatment and Rehabilitation Center (TRC) operated by the Philippines Department of Health for treatment for methamphetamine use. Sufficient internal consistency for the DAST-20 was confirmed, with a Cronbach's alpha value of 0.81. Concerning validity, receiver-operating-characteristic analysis, featuring diagnoses from independent doctors, returned an acceptable area-under-curve value of 0.62. Sufficient internal consistency was also confirmed for the SRRS, with a Cronbach's alpha value of 0.89. Correlation analysis of subjective drug craving (measured using a visual analog scale) and the SRRS revealed a significant positive correlation (r = 0.19, p < 0.001), confirming a certain level of validity. The Tagalog versions of the DAST-20 and SRRS developed in this study were confirmed to be reliable and valid. These scales could be effective for use in clinical settings and for research purposes.

Validity and reliability of the Japanese version of the kleptomania symptom assessment scale: A comparison between individuals with kleptomania and prisoners in Japan.

INTRODUCTION: In Japan, the rate of recidivism among thieves is high, some of which may be caused by kleptomania. The purpose of this study was to translate the Kleptomania Symptom Assessment Scale (K-SAS) into Japanese and validate its psychometric properties in a Japanese sample. A second purpose of the study was to evaluate the validity of K-SAS to discriminate between individuals with kleptomania and shoplifters not affected by the disorder. METHODS: The original K-SAS was translated by researchers. The back-translation of the scale into English was conducted by a professional translator who was fluent in both languages. The items on the Japanese version of K-SAS were deemed appropriate for the Japanese context after being reviewed by a forensic psychiatry specialist. The sample included 22 kleptomania patients, 26 shoplifters, and 47 healthy adults. We tested the scale properties and validity to discriminate between the three groups. RESULTS: The Japanese version of the K-SAS showed adequate reliability and validity. Individuals affected by kleptomania had significantly higher scores than shoplifters and healthy adults. Furthermore, the K-SAS score of kleptomania was not correlated with typical antisocial tendencies. Moreover, the K-SAS score for kleptomania was not correlated with psychometric scales related to obsessive-compulsive disorder and borderline personality disorder. CONCLUSIONS: The Japanese version of the K-SAS is a useful assessment tool for distinguishing between individuals with kleptomania and shoplifters not affected by the disorder in Japan.

Influence of the type of furnace on behavior of radioactive cesium in municipal solid waste thermal treatment.

Municipal solid waste (MSW) contaminated by radioactive cesium (r-Cs) has been incinerated since the Fukushima Daiichi Nuclear Power Plant accident. Eight thermal treatment plants with four different types of furnaces were comprehensively investigated to provide fundamental data to improve our understanding of the behavior of r-Cs in various types of MSW thermal treatment facilities. R-Cs tended to distribute to the fly ash (FA) more than to the residue from the bottom of the furnace (bottom ash, incombustibles or slag). The r-Cs concentrations in the FA depended on the type of furnace and followed the order; fluidized-bed incinerator < stoker type incinerator < gasification melting furnaces. Shaft-type gasification melting furnace separated r-Cs selectively into FA and simultaneously discharged decontaminated slag. The leaching rate of r-Cs from FA was high, 30-100%, and independent of the type of furnace, whereas r-Cs in the residue from the bottom of the furnace scarcely dissolved in water. Heat recovery ash e.g. gas cooler ash was characterized by intermediate r-Cs concentrations and leachabilities compared with bottom residue and FA in stoker type and fluidized-bed incinerator. In the case of shaft-type gasification melting furnace, however, heat recovery ash showed similar property to FA due to a cyclone followed by heat recovery process. We evaluated whether baghouses (air- pollution control equipment) successfully removed r-Cs from flue gas. In all cases, r-Cs in flue gas was below the limit of detection after baghouse. We concluded that different types of furnaces affected r-Cs distributions, but flue gases from baghouse systems of all types of furnaces were safe.

Behavior of radioactive cesium during incineration of radioactively contaminated wastes from decontamination activities in Fukushima.

Large volumes of decontamination wastes (DW) generated by off-site decontamination activities in Fukushima Prefecture have been incinerated since 2015. The behavior of radioactive cesium during incineration of DW was investigated at a working incineration plant. The incineration discharged bottom ash (BA) and fly ash (FA) with similar levels of radiocesium, and the leachability of the radiocesium from both types of ash was very low (<1%). These results are significantly different from those obtained for the incineration of contaminated municipal solid waste (CMSW) reported in earlier studies. The source of radiocesium in DW-FA is chiefly small particles derived from DW and DW-BA blown into the flue gas, not the deposition of gaseous synthesized radiocesium compounds on the surfaces of ash particles in the flue gas as observed in CMSW incineration. This source difference causes the behavior of radiocesium during waste incineration to differ between DW and CMSW.

Detection of chrysotile asbestos by using a chrysotile-binding protein.

In the current studies, we found that the DksA protein from Escherichia coli binds strongly to chrysotile, which is the most commonly used form of asbestos. We developed a convenient colorimetric assay for chrysotile using a fusion of DksA and alkaline phosphatase along with 5-bromo-4-chloro-3-indolyl-phosphate and nitro blue tetrazolium as substrates. Also, using a fusion of DksA and green-fluorescent protein, we were able to detect chrysotile by fluorescence microscopy.

Evaluation of cell wall binding domain of Staphylococcus aureus autolysin as affinity reagent for bacteria and its application to bacterial detection.

We evaluated the cell wall binding (CWB) domain of Staphylococcus aureus autolysin as an affinity reagent for bacteria. A fusion of CWB domain and green fluorescent protein (CWB-GFP) bound to S. aureus with a dissociation constant of 15 nM. CWB-GFP bound to a wide range of gram-positive bacteria, but not to most gram-negative bacteria. We suspected that the outer membrane of gram-negative bacteria inhibits the access of CWB-GFP to peptidoglycan layer. Indeed, CWB-GFP bound to gram-negative bacteria when they were treated with benzalkonium chloride. Because CWB-GFP bound to the bacterial peptidoglycan layer, it appeared to be an effective affinity reagent for bacteria and CWB fusion with reporter proteins could be applied to detect bacteria. We also constructed a fusion of CWB and luciferase, which can be used for the rapid detection of bacteria.

The Si-tag for immobilizing proteins on a silica surface.

Targeting functional proteins to specific sites on a silicon device is essential for the development of new biosensors and supramolecular assemblies. Using intracellular lysates of several bacterial strains, we found that ribosomal protein L2 binds tightly to silicon particles, which have surfaces that are oxidized to silica. A fusion of E. coli L2 and green fluorescence protein adsorbed to the silica particles with a K(d) of 0.7 nM at pH 7.5 and also adsorbed to glass slides. This fusion protein was retained on the glass slide even after washing for 24 h with a buffer containing 1 M NaCl. We mapped the silica-binding domains of E. coli L2 to amino acids 1-60 and 203-273. These two regions seemed to cooperatively mediate the strong silica-binding characteristics of L2. A fusion of L2 and firefly luciferase also adsorbed on the glass slide. This L2 silica-binding tag, which we call the "Si-tag," can be used for one-step targeting of functional proteins on silica surfaces.

Effects of inorganic polyphosphate on the proteolytic and DNA-binding activities of Lon in Escherichia coli.

Lon belongs to a unique group of proteases that bind to DNA and is involved in the regulation of several important cellular functions, including adaptation to nutritional downshift. Previously, we revealed that inorganic polyphosphate (polyP) increases in Escherichia coli in response to amino acid starvation and that it stimulates the degradation of free ribosomal proteins by Lon. In this work, we examined the effects of polyP on the proteolytic and DNA-binding activities of Lon. An order-of-addition experiment suggested that polyP first binds to Lon, which stimulates Lon-mediated degradation of ribosomal proteins. A polyP-binding assay using Lon deletion mutants showed that the polyP-binding site of Lon is localized in the ATPase domain. Because the same ATPase domain also contains the DNA-binding site, polyP can compete with DNA for binding to Lon. In fact, an equimolar amount of polyP almost completely inhibited DNA-Lon complex formation, suggesting that Lon binds to polyP with a higher affinity than it binds to DNA. Collectively, our results showed that polyP may control the cellular activity of Lon not only as a protease but also as a DNA-binding protein.

A simple method to release polyphosphate from activated sludge for phosphorus reuse and recycling.

In enhanced biological phosphorus removal processes, activated sludge microorganisms accumulate large quantities of polyphosphate (polyP). It was discovered that nearly all of the polyP could be released from activated sludge simply by heating it at 70 degrees C for about 1 h. The chain length of released polyP ranged from 100 to 200 phosphate (P(i)) residues. The addition of CaCl(2) precipitated approximately 75% of the total phosphorus without pH adjustment. The formed precipitate contained more P and less Ca than typical natural phosphorite deposits. Hence, in combination with enhanced biological phosphorus removal, the present method has potential for the development of a simple process for recovering phosphorus in a reusable form from wastewater.