342 research outputs found
O ral H ealth L iteracy A ssessment: development of an oral health literacy instrument for S panish speakers
Objective To develop an oral health literacy instrument for S panishâspeaking adults, evaluate its psychometric properties, and determine its comparability to an E nglish version. Methods The O ral H ealth L iteracy A ssessment in S panish ( OHLA â S ) and E nglish ( OHLA â E ) are designed with a word recognition section and a comprehension section using the multipleâchoice format developed by an expert panel. Validation of OHLA â S and OHLA â E involved comparing the instrument with other health literacy instruments in a sample of 201 S panishâspeaking and 204 E nglishâspeaking subjects. Comparability between S panish and E nglish versions was assessed by testing for differential item functioning ( DIF ) using item response theory. Results We considered three OHLA â S scoring systems. Based on validity and reliability comparisons, 24 items were retained in the OHLA â S instrument. OHLA â S was correlated with another health literacy instrument, S panish T est of F unctional H ealth L iteracy in A dults ( P â<â0.05). Significant correlations were also found between OHLA â S and years of schooling, oral health knowledge, overall health, and an understanding of written healthâcare materials ( P â<â0.05). OHLA â S displayed satisfactory reliability with a Cronbach Alpha of 0.70â0.80. DIF results suggested that OHLA â S and OHLA â E scores were not comparable at a given level of oral health literacy. Conclusions OHLA â S has acceptable reliability and validity. OHLA â S and OHLA â E are two different measurement tools and should not be used to compare oral health literacy between E nglishâ and S panishâspeaking populations.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/96765/1/jphd12000.pd
Diagnose différentielle de l'espÚce sur les carcasses et les abats des moutons et des chÚvres de l'Afrique tropicale de l'Ouest
Les auteurs Ă©tudient rĂ©gion par rĂ©gion, les caractĂšres immĂ©diats et mĂ©diats de la diagnose d'espĂšce des carcasses et des abats des petits ruminants de l'Afrique de l'Ouest. Ils montrent que la diagnose est facile lorsque la tĂȘte et la queue restent sur la carcasse ou la demi-carcasse et qu'elle est difficile lorsqu'elles en sont sĂ©parĂ©es. Ils distinguent trois types de caractĂšres diffĂ©rentiels: ceux qui sont communs aux deux groupes rĂ©gionaux, ceux qui sont particuliers aux espĂšces des rĂ©gions tempĂ©rĂ©es et ceux qui sont propres aux ovins et aux caprins de l'Afrique de l'Oues
Stalnaker's Epistemic Logic in Isabelle/HOL
The foundations of formal models for epistemic and doxastic logics often rely on certain logical aspects of modal logics such as S4 and S4.2 and their semantics; however, the corresponding mathematical results are often stated in papers or books without including a detailed proof, or a reference to it, that allows the reader to convince themselves about them. We reinforce the foundations of the epistemic logic S4.2 for countably many agents by formalizing its soundness and completeness results for the class of all weakly-directed pre-orders in the proof assistant Isabelle/HOL. This logic corresponds to the knowledge fragment, i.e., the logic for formulas that may only include knowledge modalities in Stalnaker's system for knowledge and belief. Additionally, we formalize the equivalence between two axiomatizations for S4, which are used depending on the type of semantics given to the modal operators, as one is commonly used for the relational semantics, and the other one arises naturally from the topological semantics.This is a preprint from Guzman, Laura P. Gamboa, and Kristin Y. Rozier. "Stalnaker's Epistemic Logic in Isabelle/HOL." arXiv preprint arXiv:2404.14919 (2024).
doi: https://doi.org/10.48550/arXiv.2404.14919. Copyright 2024, The Auhtors. CC-BY
Parkin-independent mitophagy controls chemotherapeutic response in cancer cells
Mitophagy is an evolutionarily conserved process that selectively targets impaired mitochondria for degradation. Defects in mitophagy are often associated with diverse pathologies, including cancer. Because the main known regulators of mitophagy are frequently inactivated in cancer cells, the mechanisms that regulate mitophagy in cancer cells are not fully understood. Here, we identified an E3 ubiquitin ligase (ARIH1/HHARI) that triggers mitophagy in cancer cells in a PINK1-dependent manner. We found that ARIH1/HHARI polyubiquitinates damaged mitochondria, leading to their removal via autophagy. Importantly, ARIH1 is widely expressed in cancer cells, notably in breast and lung adenocarcinomas; ARIH1 expression protects against chemotherapy-induced death. These data challenge the view that the main regulators of mitophagy are tumor suppressors, arguing instead that ARIH1-mediated mitophagy promotes therapeutic resistance
On Teaching Applied Formal Methods in Aerospace Engineering
As formal methods come into broad industrial use for verification of safety-critical hardware, software, and cyber-physical systems, there is an increasing need to teach practical skills in applying formal methods at both the undergraduate and graduate levels. In the aerospace industry, flight certification requirements like the FAAâs DO-178B, DO-178C, DO-333, and DO-254, along with a series of high-profile accidents, have helped turn knowledge of formal methods into a desirable job skill for a wide range of engineering positions. We approach the question of verification from a safety-case perspective: the primary teaching goal is to impart students with the ability to look at a verification question and identify what formal methods are applicable, which tools are available, what the outputs from those tools will say about the system, and what they will not, e.g., what parts of the safety case need to be provided by other means. We overview the lectures, exercises, exams, and student projects in a mixed-level (undergraduate/graduate) Applied Formal Methods course (Additional materials are available on the course website: http://temporallogic.org/courses/AppliedFormalMethods/) taught in an Aerospace Engineering department. We highlight the approach, tools, and techniques aimed at imparting a good sense of both the state of the art and the state of the practice of formal methods in an effort to effectively prepare students headed for jobs in an increasingly formal world
Capacitance of two-dimensional titanium carbide (MXene) and MXene/carbon nanotube composites in organic electrolytes
Pseudocapacitive materials that store charges by fast redox reactions are promising candidates for designing high energy density electrochemical capacitors. MXenes - recently discovered two-dimensional carbides, have shown excellent capacitance in aqueous electrolytes, but in a narrow potential window, which limits both the energy and power density. Here, we investigated the electrochemical behavior of Ti3C2 MXene in 1M solution of 1-ethly-3-methylimidazolium bis- (trifluoromethylsulfonyl)-imide (EMITFSI) in acetonitrile and two other common organic electrolytes. This paper describes the use of clay, delaminated and composite Ti3C2 electrodes with carbon nanotubes in order to understand the effect of the electrode architecture and composition on the electrochemical performance. Capacitance values of 85 F g-1 and 245 F cm-3 were obtained at 2 mV s-1, with a high rate capability and good cyclability. In situ X-ray diffraction study reveals the intercalation of large EMI+ cations into MXene, which leads to increased capacitance, but may also be the rate limiting factor that determines the device performance
Mightyl: A compositional translation from mitl to timed automata
Metric Interval Temporal Logic (MITL) was first proposed in the early 1990s as a specification formalism for real-time systems. Apart from its appealing intuitive syntax, there are also theoretical evidences that make MITL a prime real-time counterpart of Linear Temporal Logic (LTL). Unfortunately, the tool support for MITL verification is still lacking to this day. In this paper, we propose a new construction from MITL to timed automata via very-weak one-clock alternating timed automata. Our construction subsumes the well-known construction from LTL to BĂŒchi automata by Gastin and Oddoux and yet has the additional benefits of being compositional and integrating easily with existing tools. We implement the construction in our new tool MightyL and report on experiments using Uppaal and LTSmin as back-ends
Oral Health Activities of Early Head Start Teachers Directed toward Children and Parents
ObjectivesâThis cross-sectional study examined Early Head Start (EHS) teachersâ oral health
program activities and their association with teacher and program characteristics.
MethodsâSelf-complete questionnaires were distributed to staff in all EHS programs in North
Carolina. Variables for dental health activities for parents (4 items) and children (4 items) were
constructed as the sum of responses to a 0-4 Likert-type scale (never to very frequently). Ordinary
least squares regression models examined the association between teachersâ oral health program
activities and modifiable teacher (oral health knowledge, values, self-efficacy, dental health
training, perceived barriers to dental activities) and program (director and health coordinator
knowledge and perceived barriers to dental activities) characteristics.
ResultsâTeachers in the parent (n=260) and child (n=231) analyses were a subset of the 485
staff respondents (98% response rate). Teachers engaged in child oral health activities
(range=0-16; mean=9.0) more frequently than parent activities (range=0-16; mean=6.9). Teachersâ
oral health values, perceived oral health self-efficacy, dental training, and director and health
coordinator knowledge were positively associated with oral health activities (P<0.05). Perceived
barriers were negatively associated with child activities (P<0.05).
ConclusionâThe level of oral health activity in EHS programs is less than optimal. Several
characteristics of EHS staff were identified that can be targeted with education interventions.
Evidence for effectiveness of EHS interventions needs to be strengthened, but results of this
survey provide encouraging findings about the potential effects of teacher training on their oral
health practices
Oral Health Activities of Early Head Start and Migrant and Seasonal Head Start Programs
Guidelines recommend that Migrant and Seasonal Head Start programs (MSHS) address the dental needs of children of migrant and seasonal farmworkers. This study describes parent- and child-oriented oral health activities of North Carolinaâs MSHS programs and compares them with non-migrant Early Head Start (EHS) programs using data collected from a questionnaire completed by teachers and family services staff. MSHS staff reported engaging in more oral health activities than EHS staff, which was confirmed by results of logit and ordered logit regression models. Despite promising findings about the engagement of MSHS staff, participation in oral health activities is lower than recommended. Differences between EHS and MSHS programs might be due to differing needs of enrolled children and families or to different approaches to meeting the needs of families
Osteoporosis drug treatment: duration and management after discontinuation. A position statement from the SVGO/ASCO.
Antiosteoporotic drugs are recommended in patients with fragility fractures and in patients considered to be at high fracture risk on the basis of clinical risk factors and/or low bone mineral density. As first-line treatment most patients are started with an antiresorptive treatment, i.e. drugs that inhibit osteoclast development and/or function (bisphosphonates, denosumab, oestrogens or selective oestrogen receptor modulators). In the balance between benefits and risks of antiresorptive treatment, uncertainties remain regarding the optimal treatment duration and the management of patients after drug discontinuation. Based on the available evidence, this position statement will focus on the long-term management of osteoporosis therapy, formulating decision criteria for clinical practice
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