The Internalized Stigma of Mental Illness (ISMI) scale: validation of the Japanese version.

BACKGROUND: The present study investigated the reliability and validity of a Japanese version of the Internalized Stigma of Mental Illness (ISMI) scale, designed to assess internalized stigma experienced by people with mental illness. METHODS: A survey was conducted with 173 outpatients with mental illness who attended psychiatric clinics on a regular basis. A retest was conducted with 51 participants to evaluate the scale's psychometric properties. RESULTS: The alpha coefficient for the overall internal consistency was 0.91, and the coefficients of the individual ISMI subscales ranged from 0.57 to 0.81. The test-retest reliability was r = 0.85 (n = 51, P < 0.01). In terms of criterion-related validity, the Japanese version of the ISMI scale was significantly correlated with the Beck Depression Inventory (r = 0.61, P < 0.01), the Rosenberg Self-Esteem Scale (r = -0.53, P < 0.01), and the Empowerment Scale (r = -0.52, P < 0.01). In addition, factor analyses of the ISMI items demonstrated a four-factor solution for the alienation, stereotype endorsement, discrimination experience, and social withdrawal subscales, with the stigma resistance items excluded. CONCLUSIONS: The Japanese version of the ISMI scale demonstrated similar reliability and validity to the original English version. Therefore, the Japanese version of the ISMI scale may be an effective and valid tool to measure internalized stigma among Japanese people who have a mental illness.

Formulation of total complex power and energy flows into a discrete system.

By considering total inputs into a discrete system, this letter analytically formulates and summarizes the relationships in the complex-form power and energy flows and the dissipated power and Lagrangian energy of the system. The matrix inverse method to obtain the force/moment necessary for the power/energy flow is shown as an indirect yet analytically exact method. A 2 degree-of-freedom system is employed to analytically validate the derived formulas, followed by a computational confirmation. A finite element plate-beam model is further utilized to computationally confirm the relationships in the complex power and energy flows.

Objective assessment of nasal obstruction.

There are many methods and types of equipment for measuring the nasal airway, but there is no consensus regarding the results of various clinical studies on nasal obstruction. In this review, we discuss the two major methods of objectively assessing the nasal airway: rhinomanometry and acoustic rhinometry. The Japanese standard of rhinomanometry in Japanese adults and children was established by the Japanese Standardization Committee on Rhinomanometry in 2001 and 2018, respectively. However, the International Standardization Committee has proposed different standards because of differences in race, equipment, and social health insurance systems. The standardization of acoustic rhinometry in Japanese adults is making progress in several Japanese institutes, but the international standardization of acoustic rhinometry has not yet begun. Rhinomanometry is the physiological expression of nasal airway breathing, whereas acoustic rhinometry is the anatomic expression. In this review, we introduce the history and methods of the objective assessment of nasal patency and the physiological and pathological issues regarding nasal obstruction.

Low-dimensional models of the glottal flow incorporating viscous-inviscid interaction.

The behavior of glottal flow can, to a large extent, be characterized by development and separation of the boundary layer. The point of flow separation is known to vary during the phonatory cycle due to change in channel configuration. To take the movable nature of the separation point into account, the boundary-layer equation is solved numerically, and the values of the characteristic quantities are determined as well as the point of separation. Development of the boundary layer in general reduces the effective size of the channel, and, therefore, increases the core flow velocity, which, in turn provides the boundary condition of the boundary-layer equation. The interaction between the viscous (boundary layer) and inviscid (core flow) parts of the glottal flow is, therefore, strongly indicated. To apply this viscous-inviscid interaction, the expression of the core flow is derived for a two-dimensional flow field, and is solved jointly with the boundary-layer equation. Numerical results are shown to examine the effect of the Reynolds number and glottal configuration, with special emphasis on the comparison of flow models developed for one- and two-dimensional flow fields. Numerical results are also quantitatively compared with data obtained from flow measurement experiments.