Association between the transition from unemployment to re-employment after abrupt bankruptcy and the depressive symptoms.

The study aimed to examine the effects of long-term unemployment and the transition from unemployment to re-employment after abrupt bankruptcy on the mental health of unemployed Japanese. The cases of 96 men and 54 women who were laid off by a large shoemaking company because of sudden bankruptcy in 1998, were examined for one year. The mental health of these individuals was evaluated using a 'self-rating questionnaire for depression (SRQ-D)'. The respondents were categorized by employment transition status into four groups: (1) still employed full-time, (2) unemployment to full-time employment, (3) unemployment to part-time employment, and (4) still unemployed. The prevalence rate of depressive symptoms in the 'still unemployed' group was significantly higher (adjusted odds ratio (OR) = 4.33) than in the still employed group. Moreover, high levels of depressive symptoms were observed in the individuals in the 'unemployment to part-time employment' group (adjusted OR = 4.93). There was no significant risk of depressive tendency among individuals in the 'unemployment to full-time employment' group. The results suggest that the negative effect of re-employment to part-time employment on depressive symptoms is similar to that in long-term unemployment.

Effect of short-term exposure to whole body vibration in humans: relationship between wakefulness level and vibration frequencies.

The purpose of this study was to clarify the influence of different vibration frequencies on wakefulness level. Subjects were 7 healthy male university students aged 21.9+/-1.6 years (mean). All students were non-smokers. Three exposure conditions were used (10 Hz vibration, 20 Hz vibration, and no vibration). Whole-body vertical vibration was applied to subjects sitting on a car passenger seat using a whole-body vibration shaker (CV-300, Akashi) at a single frequency (10 or 20 Hz) at an acceleration level of 0.3 ms(-2) r.m.s. for 24 min. The objective wakefulness level based on EEGs was evaluated in terms of the alpha attenuation coefficient (AAC) obtained by the Alpha Attenuation Test (AAT). As parameters of psychological stress, salivary 3-methoxy-4-hydroxyphenylglycol (MHPG) and homovanillic acid (HVA) were used. The subjective wakefulness level was evaluated using a questionnaire based on the Kwansei Gakuin Sleepiness Scale (KSS), which is a scale developed for the Japanese based on the Stanford Sleepiness Scale (SSS). The KSS score, representing the subjective wakefulness level, decreased after the exposure irrespective of the exposure condition, but the decrease was not significant. The AAC, representing the objective wakefulness level, significantly decreased only after vibration exposure (10 Hz/20 Hz) but did not differ between the two vibration frequencies. No significant changes were observed after exposure to whole-body vibration in MHPG or HVA as parameters of vibration-related stress. The AAC decreased after exposure to whole-body vibration (10 Hz/20 Hz), suggesting a decrease in the wakefulness level. However, no differences were observed in the influence of the two different vibration frequencies test.

Effects of short-term exposure to whole-body vibration on wakefulness level.

To investigate the relationships between whole-body vibration and changes in wakefulness, We measured the change of a subjective wakefulness level and electroencephalogram (EEG). Subjects are ten healthy male university students. The subjects were exposed to whole-body vibration with frequency (10 Hz) and acceleration level (0.6 ms(-2) r.m.s.) for 12 min in the seated position. Subjective wakefulness level was evaluated using the questionnaire of VASS (Visual Analog Sleepiness Scale) and KSS (The Kwansei Gakuin Sleepiness Scale). For the electroencephalogram (EEG) measurement, AAT (Alpha Attenuation Test) which repeats three times each opened and closed eye for 1 min was conducted. Wakefulness levels were defined as the ratio of mean alpha-wave power during eyes closed versus eyes opened. VASS and KSS increased and subjective level of wakefulness decreased from pre- to post exposure in all subjects, regardless of vibration exposure. The objective wakefulness levels of AAT were reduced at the post-exposure test in all subjects. In the case with exposure to whole-body vibration was a significant difference from the case without exposure to whole-body vibration. It is suggested that a short-term exposure to whole-body vibration may cause a reduction of wakefulness level.

Effect of a physical activity improvement program using the transtheoretical model at a small-scale company.

The present study aimed to investigate the potential use of the transtheoretical model (TTM) by clarifying the program's effects on workers at a small-scale company. Subjects were 22 male workers at a communication system company. They were divided into two physical activity improvement program groups, the TTM-based assistance group (TTM group, n=12) and the control group (n=10). During the study period each subject was asked to wear a calorie counter and to record daily exercise. Changes in number of steps per day and body weight were measured before, immediately after, and 1 month after the intervention ended. Stage of exercise behavior, health protective behavior, and self-efficacy were also examined by means of self-administered questionnaires. In the control group, the number of steps per day tended to increase immediately after the intervention and then decreased at 1 month after the program ended. In both groups, physical activity peaked during commuting and lunch hours. This peak persisted for 1 month after the intervention in the TTM group, but not in the control group. Moreover, the stage of exercise behavior tended to progress in the TTM group, whereas regression in the stage of exercise behavior was observed in the control group. In the control group, although the exercise self-efficacy score after intervention was higher than that before intervention, the health protective behavior score decreased at 1 month after the program ended. This study suggested that physical activity improvement programs based on TTM may be useful for workers at small-scale companies. However, further study of larger numbers of workers will be needed to confirm the validity and usefulness of these results.

Severe alcoholic hepatitis successfully treated by leukocytapheresis: a case report.

BACKGROUND: The prognosis of severe alcoholic hepatitis is poor, and there is no established method for a cure. METHODS: A 34-year-old man was admitted to Kurume University Hospital because of severe liver dysfunction due to excess alcohol intake. He was treated with prednisolone and two sessions of granulocyte and monocyte adsorption apheresis (GCAP) using an Adacolumn, which removes leukocytes--especially granulocytes and monocytes--from the peripheral blood. We evaluated the changes in the serum levels of interleukin-6, interleukin-8, tumor necrosis factor-alpha, and soluble intercellular adhesion molecule-1, as well as the conventional liver tests and peripheral white blood cell count. RESULTS: Prednisolone was effective in the short term but resulted in an increase in C-reactive protein (CRP), peripheral leukocytes, and serum total bilirubin. GCAP performed on the 34th and 41st hospital days produced decreases in the white blood cell count, total bilirubin, and intercellular adhesion molecule-1. The patient survived, despite the expected poor prognosis on admission. CONCLUSIONS: GCAP is recommended as a potential therapeutic option for severe alcoholic hepatitis.