1. Center for Research and Development in Higher Education, Hokkaido University, Sapporo 060-0809, Japan
2. Department of Hygiene and Preventive Medicine, Hokkaido University School of Medicine, Sapporo 060-8638, Japan
3. Dalhousie University Faculty of Medicine, Halifax, Nova Scotia B3H 4H7, Canada
4. National Institute for Medical Research, Mill Hill, London NW7 1AA, UK