In this task, you are given a sentence in the English language and your task is to convert it into the Japanese language. In translation, keep numbers as it is and make it sentence case (capitalize only the first word of each sentence and noun).
Q: :it's dubious whether or how people in Japan have been making changes as in (d).
A: 
日本の人々が、本当にまたはどのように（ｄ）に関する変化をもたらしてきたかについては不明である。