Lightning strikes twice: Lessons learned from two food poisoning incidents in Japan

This case study examines the unique occurrence of two food contamination crises at Snow Brand Milk Products Co., Ltd., the top company in the Japanese milk product industry. The separate incidents of food poisoning occurred in 1955 and 2000; the latter incident, involving more than 10,000 victims, was the worst case of food poisoning in Japanese history.     

Marital Harmony and Conflict: Links to Infants' Emotional Regulation and Cardiac Vagal Tone

This study is an investigation of linkages between marital quality (conflict and harmony) and infants' emotional and physiological regulation: It was hypothesized that infants exposed to greater levels of marital conflict would demonstrate lower levels of emotional and physiological regulation. Fifty‐six low‐risk infants and their mothers attended a laboratory session when infants were 6 months of age. A baseline EKG was gathered to assess infants' cardiac vagal tone and the Bayley Scales of Infant Development and Behavior Rating Scales were administered. Mothers also completed Braiker and Kelley's (1979) marital quality questionnaire. Consistent with past research with preschoolers, marital conflict was found to be linked to lower levels of emotion regulation in infants. However, unlike past research (Gottman & Katz, 1989), results indicated that marital conflict was associated with lower levels of cardiac vagal tone in infants as opposed to higher levels of vagal tone among preschoolers. These findings are explained in terms of a possible developmental alteration in the link between marital conflict and vagal tone from early infancy to later childhood. Findings also have important implications for understanding the potential impact of the early marital relational context for infants emerging regulatory abilities.     

Evaluation of an experience-based program to understand the concept of recovery among hospital-based psychiatric nurses

This study aimed to implement an experience-based program to promote the understanding of the concept of recovery, which is defined as a meaningful life and valued sense of integrity based on subjective and individual viewpoints, among psychiatric nurses working in hospitals in Japan and to evaluate this program. Methods: We conducted a preliminary survey of nurses at six facilities with psychiatric wards. The experience-based program was conducted for 12 nurses who expressed a wish to participate. The program spanned three days and consisted of lectures, assertive community treatment (ACT) staff visits for recovery orientation, and group work. Results: The mean Recovery Knowledge Inventory of nine participants ultimately included was 3.41 points (SD, 0.28) before the program and 3.69 points (SD, 0.24) after the program, indicating a significant difference (p = .004). Categories obtained from ACT support experiences included the following: “Continuing to attend to the need to live in one’s community/home regardless of how bad psychiatric symptoms become without the use of medicines,” “Viewing the person living their life in a place where they belong and in their own individual style,” “Valuing the patient’s wishes is the slow but sure way to a fruitful relationship,” and “Become familiar to the patient and their family’s lifestyle by carefully listening to the family’s feelings”. Discussion: We believe that this program can help establish the concept of recovery in hospital, which tend to rely on the medical model, and enable daily nursing practice to be implemented from a strength-based viewpoint.