Providing Preventive Oral Health Care to Infants and Young Children in Women, Infants, and Children (WIC), Early Head Start, and Primary Care Settings

This report focuses on seven oral health programs that provide preventive oral health care to young children (infants, toddlers, and children up to 5 years old) in Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), Early Head Start (EHS), and primary care settings. All of the programs strive to increase access to preventive oral health care by integrating dental services into primary care settings, WIC clinics, or EHS centers. These programs also rely on primary care providers (physicians, nurses, medical assistants, etc.) or new types of dental hygienists who can practice in community settings to deliver preventive oral health services. Two additional reports in this series describe the remaining programs that provide care in non-dental settings and programs designed to specifically address socioeconomic, cultural, and geographic barriers to preventive oral health care.The findings from the EAs of these programs are synthesized to highlight diverse and innovative strategies that are utilized to provide preventive oral health care in primary care settings, WIC clinics, or EHS centers. These strategies have potential for rigorous evaluation and could emerge as best practices. If proven effective, these innovative program elements could then be disseminated and replicated to increase access for populations in need of preventive oral health care

Epigenetic modification of the oxytocin receptor gene is associated with emotion processing in the infant brain

The neural capacity to discriminate between emotions emerges early in development, though little is known about specific factors that contribute to variability in this vital skill during infancy. In adults, DNA methylation of the oxytocin receptor gene (OXTRm) is an epigenetic modification that is variable, predictive of gene expression, and has been linked to autism spectrum disorder and the neural response to social cues. It is unknown whether OXTRm is variable in infants, and whether it is predictive of early social function. Implementing a developmental neuroimaging epigenetics approach in a large sample of infants (N = 98), we examined whether OXTRm is associated with neural responses to emotional expressions. OXTRm was assessed at 5 months of age. At 7 months of age, infants viewed happy, angry, and fearful faces while functional near-infrared spectroscopy was recorded. We observed that OXTRm shows considerable variability among infants. Critically, infants with higher OXTRm show enhanced responses to anger and fear and attenuated responses to happiness in right inferior frontal cortex, a region implicated in emotion processing through action-perception coupling. Findings support models emphasizing oxytocin's role in modulating neural response to emotion and identify OXTRm as an epigenetic mark contributing to early brain function

Innovations that Address Socioeconomic, Cultural, and Geographic Barriers to Preventive Oral Health Care

This report focuses on nine oral health innovations that integrate service delivery and workforce models in order to reduce or eliminate socioeconomic, geographic, and cultural barriers to care. Two additional reports in this series describe the remaining programs that provide care in non-dental settings and care to young children. Although the programs are diverse in their approaches as well as in the specific characteristics of the communities they serve, a common factor among them is the implementation of multiple strategies to increase the number of children from low-income families who access preventive care, and also to engage families and communities in investing in and prioritizing oral health. For low-income children and their families, the barriers that must be addressed to increase access to preventive oral health care are numerous. For example, even children covered by public insurance programs face a shortage of dentists that accept Medicaid and who specialize in pediatric dentistry.(Guay, 2004).The effects of poverty intersect with other barriers such as living in remote geographic areas and community-wide history of poor access to dental care in populations such as recent immigrants . Overcoming these barriers requires creative strategies that address transportation barriers; establish welcoming environments for oral health care; and are linguistically and culturally relevant. Each of these nine programs is based on such strategies, including:-Expanding the dental workforce through training new types of providers or adding new providers to their workforce to increase reach and community presence;-Implementing new strategies to increase the cost-effectiveness of care so that more oral health care services are available and accessible;-Providing training and technical assistance that increase opportunities for and competence in delivering oral health education and care to children;-Developing creative service delivery models that address transportation and cultural barriers as well as the fear and stigma associated with dental care that may arise in communities with historically poor access.The findings from the EAs of these programs are synthesized to highlight diverse and innovative strategies for overcoming barriers to access that have potential for rigorous evaluation that could emerge as best practices. If proven effective, these innovative program elements could then be disseminated and replicated to increase access for populations in need of preventive oral health care

Dental Professionals in Non-Dental Settings

This report focuses on nine oral health innovations seeking to increase access to preventive oral health care in nondental settings. Two additional reports in this series describe the remaining programs that provide care in dental settings and care to young children. The nine innovations described here integrate service delivery and workforce models in order to reduce or eliminate socioeconomic, geographic, and cultural barriers to care. Although the programs are diverse in their approaches as well as in the specific characteristics of the communities they serve, a common factor among them is the implementation of multiple strategies to increase the number of children from low-income families who access preventive care, and also to engage families and communities in investing in and prioritizing oral health. For low-income children and their families, the barriers that must be addressed to increase access to preventive oral health care are numerous. For example, even children covered by public insurance programs face a shortage of dentists that accept Medicaid and who specialize in pediatric dentistry. The effects of poverty intersect with other barriers such as living in remote geographic areas and having a community-wide history of poor access to dental care in populations such as recent immigrants. Overcoming these barriers requires creative strategies that address transportation barriers, establish welcoming environments for oral health care, and are linguistically and culturally relevant. Each of these nine programs is based on such strategies, including:-Expanding the dental workforce through training new types of providers or adding new providers to the workforce toincrease reach and community presence;-Implementing new strategies to increase the cost-effectiveness of care so that more oral health care services are available and accessible;-Providing training and technical assistance that increase opportunities for and competence in delivering oral health education and care to children;-Offering oral health care services in existing, familiar community venues such as schools, Head Start programs and senior centers;-Developing creative service delivery models that address transportation and cultural barriers as well as the fear and stigma associated with dental care that may arise in communities with historically poor access.The findings from the EAs of these programs are synthesized to highlight diverse and innovative strategies for overcoming barriers to access. These strategies have potential for rigorous evaluation and could emerge as best practices. If proven effective, these innovative program elements could then be disseminated and replicated to increase access for populations in need of preventive oral health care

Advances and visions in large-scale hydrological modelling: findings from the 11th Workshop on Large-Scale Hydrological Modelling

Large-scale hydrological modelling has become increasingly wide-spread during the last decade. An annual workshop series on large-scale hydrological modelling has provided, since 1997, a forum to the German-speaking community for discussing recent developments and achievements in this research area. In this paper we present the findings from the 2007 workshop which focused on advances and visions in large-scale hydrological modelling. We identify the state of the art, difficulties and research perspectives with respect to the themes "sensitivity of model results", "integrated modelling" and "coupling of processes in hydrosphere, atmosphere and biosphere". Some achievements in large-scale hydrological modelling during the last ten years are presented together with a selection of remaining challenges for the future

Better the Devil You Know: A User Study of Two CAPTCHAs and a Possible Replacement

CAPTCHAs are difficult for humans to use, causing frustration. Alternatives have been proposed, but user studies equate usability to solvability. We consider the user perspective to include workload and context of use. We assess traditional text-based CAPTCHAs alongside PlayThru, a 'gamified' verification mechanism, and NoBot, which uses face biometrics. A total of 87 participants were tasked with ticket-buying across three conditions: (1) all three mechanisms in comparison, and NoBot three times (2) on a laptop, and (3) on a tablet. A range of quantitative and qualitative measurements explored the user perspective. Quantitative results showed that participants completed reCAPTCHAs quickest, followed by PlayThru and NoBot. Participants were critical of NoBot in comparison but praised it in isolation. Despite reporting negative experiences with reCAPTCHAs, they were the preferred mechanism, due to familiarity and a sense of security and control. Although slower, participants praised NoBot's completion speeds, but regarded using personal images as invading privacy

"I don’t like putting my face on the Internet!": An acceptance study of face biometrics as a CAPTCHA replacement

Biometric technologies have the potential to reduce the effort involved in securing personal activities online, such as purchasing goods and services. Verifying that a user session on a website is attributable to a real human is one candidate application, especially as the existing CAPTCHA technology is burdensome and can frustrate users. Here we examine the viability of biometrics as part of the consumer experience in this space. We invited 87 participants to take part in a lab study, using a realistic ticket-buying website with a range of human verification mechanisms including a face biometric technology. User perceptions and accep- tance of the various security technologies were explored through interviews and a range of questionnaires within the study. The results show that some users wanted reassurance that their personal image will be protected or discarded af- ter verifying, whereas others felt that if they saw enough people using face biometrics they would feel assured that it was trustworthy. Face biometrics were seen by some par- ticipants to be more suitable for high-security contexts, and by others as providing extra personal data that had unac- ceptable privacy implications

Towards robust experimental design for user studies in security and privacy

Background: Human beings are an integral part of computer security, whether we actively participate or simply build the systems. Despite this importance, understanding users and their interaction with security is a blind spot for most security practitioners and designers. / Aim: Define principles for conducting experiments into usable security and privacy, to improve study robustness and usefulness. / Data: The authors’ experiences conducting several research projects complemented with a literature survey. Method: We extract principles based on relevance to the advancement of the state of the art. We then justify our choices by providing published experiments as cases of where the principles are and are not followed in practice to demonstrate the impact. Each principle is a discipline specific instantiation of desirable experiment-design elements as previously established in the domain of philosophy of science. / Results: Five high-priority principles – (i) give participants a primary task; (ii) incorporate realistic risk; (iii) avoid priming the participants; (iv) perform doubleblind experiments whenever possible and (v) think carefully about how meaning is assigned to the terms threat model, security, privacy, and usability. / Conclusion: The principles do not replace researcher acumen or experience, however they can provide a valuable service for facilitating evaluation, guiding younger researchers and students, and marking a baseline common language for discussing further improvements