The weight-inclusive vs. weight-normative approach to health: Evaluating the evidence for prioritizing well-being over weight

Using an ethical lens, this review evaluates two methods of working within patient care and public health: the weight-normative approach (emphasis on weight and weight loss when defining health and well-being) and the weight-inclusive approach (emphasis on viewing health and well-being as multifaceted while directing efforts toward improving health access and reducing weight stigma). Data reveal that the weight-normative approach is not effective for most people because of high rates of weight regain and cycling from weight loss interventions, which are linked to adverse health and well-being. Its predominant focus on weight may also foster stigma in health care and society, and data show that weight stigma is also linked to adverse health and well-being. In contrast, data support a weight-inclusive approach, which is included in models such as Health at Every Size for improving physical (e.g., blood pressure), behavioral (e.g., binge eating), and psychological (e.g., depression) indices, as well as acceptability of public health messages. Therefore, the weight-inclusive approach upholds nonmaleficience and beneficience, whereas the weight-normative approach does not. We offer a theoretical framework that organizes the research included in this review and discuss how it can guide research efforts and help health professionals intervene with their patients and community

Oral Health Literacy Inventories for Caregivers of Preschool-Aged Children: A Systematic Review

Purpose: The purpose of this systematic review was to describe the oral health literacy (OHL) inventories that have been used among caregivers of preschool-aged children. Methods: Four databases were searched (CINAHL, Cochrane Database of Systematic Reviews, Dentistry & Oral Sciences Source, PubMed), to identify peer-reviewed, full-text studies published in English on the oral health literacy among caregivers of preschool-aged children from 2010-2021. All studies were assessed for eligibility using PRISMA guidelines. Inclusion criteria were experimental, non-experimental, or mixed methods peer-reviewed studies, conducted in the United States. Eligible studies were independently evaluated using the Effective Public Health Practice Project\u27s Quality Assessment Tool. Results: The initial search yielded 182 articles; 11 studies met the inclusion criteria after screening: observational (n=8), experimental (n=2), and quasi-experimental (n=1). Main outcome measures included: oral health literacy, oral health knowledge, oral health attitudes and behaviors, child oral health status (COHS), child oral health-related quality of life (C-OHRQoL), and child oral health-related expenditures. However, this review focused only on caregivers\u27 OHL and the associated measurements for this variable. Most studies utilized the Rapid Estimate of Adult Literacy in Dentistry (REALD-30); the remainder used the Basic Research Factors Questionnaire (BRFQ), the Oral Health Literacy Inventory for Parents (OH-LIP), or self-designed survey questions. Conclusions: Few studies met the inclusion criteria. There was an uneven distribution of studies using different inventories for the measurement of oral health literacy limiting the generalizability of the findings to low-income and minority groups. Most caregiver OHL studies focused on dental word recognition, only a few measured knowledge and comprehension. More comprehensive inventories could be designed to evaluate caregivers\u27 knowledge and understanding of dental terms

Laser cooling of a diatomic molecule

It has been roughly three decades since laser cooling techniques produced ultracold atoms, leading to rapid advances in a vast array of fields. Unfortunately laser cooling has not yet been extended to molecules because of their complex internal structure. However, this complexity makes molecules potentially useful for many applications. For example, heteronuclear molecules possess permanent electric dipole moments which lead to long-range, tunable, anisotropic dipole-dipole interactions. The combination of the dipole-dipole interaction and the precise control over molecular degrees of freedom possible at ultracold temperatures make ultracold molecules attractive candidates for use in quantum simulation of condensed matter systems and quantum computation. Also ultracold molecules may provide unique opportunities for studying chemical dynamics and for tests of fundamental symmetries. Here we experimentally demonstrate laser cooling of the molecule strontium monofluoride (SrF). Using an optical cycling scheme requiring only three lasers, we have observed both Sisyphus and Doppler cooling forces which have substantially reduced the transverse temperature of a SrF molecular beam. Currently the only technique for producing ultracold molecules is by binding together ultracold alkali atoms through Feshbach resonance or photoassociation. By contrast, different proposed applications for ultracold molecules require a variety of molecular energy-level structures. Our method provides a new route to ultracold temperatures for molecules. In particular it bridges the gap between ultracold temperatures and the ~1 K temperatures attainable with directly cooled molecules (e.g. cryogenic buffer gas cooling or decelerated supersonic beams). Ultimately our technique should enable the production of large samples of molecules at ultracold temperatures for species that are chemically distinct from bialkalis.Comment: 10 pages, 7 figure

Criteria for the use of omics-based predictors in clinical trials.

The US National Cancer Institute (NCI), in collaboration with scientists representing multiple areas of expertise relevant to 'omics'-based test development, has developed a checklist of criteria that can be used to determine the readiness of omics-based tests for guiding patient care in clinical trials. The checklist criteria cover issues relating to specimens, assays, mathematical modelling, clinical trial design, and ethical, legal and regulatory aspects. Funding bodies and journals are encouraged to consider the checklist, which they may find useful for assessing study quality and evidence strength. The checklist will be used to evaluate proposals for NCI-sponsored clinical trials in which omics tests will be used to guide therapy

Label-free electrochemical monitoring of DNA ligase activity

This study presents a simple, label-free electrochemical technique for the monitoring of DNA ligase activity. DNA ligases are enzymes that catalyze joining of breaks in the backbone of DNA and are of significant scientific interest due to their essential nature in DNA metabolism and their importance to a range of molecular biological methodologies. The electrochemical behavior of DNA at mercury and some amalgam electrodes is strongly influenced by its backbone structure, allowing a perfect discrimination between DNA molecules containing or lacking free ends. This variation in electrochemical behavior has been utilized previously for a sensitive detection of DNA damage involving the sugar-phosphate backbone breakage. Here we show that the same principle can be utilized for monitoring of a reverse process, i.e., the repair of strand breaks by action of the DNA ligases. We demonstrate applications of the electrochemical technique for a distinction between ligatable and unligatable breaks in plasmid DNA using T4 DNA ligase, as well as for studies of the DNA backbone-joining activity in recombinant fragments of E. coli DNA ligase

VUV frequency combs from below-threshold harmonics

Recent demonstrations of high-harmonic generation (HHG) at very high repetition frequencies (~100 MHz) may allow for the revolutionary transfer of frequency combs to the vacuum ultraviolet (VUV). This advance necessitates unifying optical frequency comb technology with strong-field atomic physics. While strong-field studies of HHG have often focused on above-threshold harmonic generation (photon energy above the ionization potential), for VUV frequency combs an understanding of below-threshold harmonic orders and their generation process is crucial. Here we present a new and quantitative study of the harmonics 7-13 generated below and near the ionization threshold in xenon gas. We show multiple generation pathways for these harmonics that are manifested as on-axis interference in the harmonic yield. This discovery provides a new understanding of the strong-field, below-threshold dynamics under the influence of an atomic potential and allows us to quantitatively assess the achievable coherence of a VUV frequency comb generated through below threshold harmonics. We find that under reasonable experimental conditions temporal coherence is maintained. As evidence we present the first explicit VUV frequency comb structure beyond the 3rd harmonic.Comment: 16 pages, 4 figures, 1 tabl

Assessing climate change impacts on live fuel moisture and wildfire risk using a hydrodynamic vegetation model

Live fuel moisture content (LFMC) plays a critical role in wildfire dynamics, but little is known about responses of LFMC to multivariate climate change, e.g., warming temperature, CO2 fertilization, and altered precipitation patterns, leading to a limited prediction ability of future wildfire risks. Here, we use a hydrodynamic demographic vegetation model to estimate LFMC dynamics of chaparral shrubs, a dominant vegetation type in fire-prone southern California. We parameterize the model based on observed shrub allometry and hydraulic traits and evaluate the model\u27s accuracy through comparisons between observed and simulated LFMC of three plant functional types (PFTs) under current climate conditions. Moreover, we estimate the number of days per year of LFMC below 79 % (which is a critical threshold for wildfire danger rating of southern California chaparral shrubs) from 1960 to 2099 for each PFT and compare the number of days below the threshold for medium and high greenhouse gas emission scenarios (RCP4.5 and 8.5). We find that climate change could lead to more days per year (5.2 %–14.8 % increase) with LFMC below 79 % between the historical (1960–1999) and future (2080–2099) periods, implying an increase in wildfire danger for chaparral shrubs in southern California. Under the high greenhouse gas emission scenario during the dry season, we find that the future LFMC reductions mainly result from a warming temperature, which leads to 9.1 %–18.6 % reduction in LFMC. Lower precipitation in the spring leads to a 6.3 %–8.1 % reduction in LFMC. The combined impacts of warming and precipitation change on fire season length are equal to the additive impacts of warming and precipitation change individually. Our results show that the CO2 fertilization will mitigate fire risk by causing a 3.5 %–4.8 % increase in LFMC. Our results suggest that multivariate climate change could cause a significant net reduction in LFMC and thus exacerbate future wildfire danger in chaparral shrub systems

The extreme melt across the Greenland ice sheet in 2012

The discovery of the 2012 extreme melt event across almost the entire surface of the Greenland ice sheet is presented. Data from three different satellite sensors – including the Oceansat-2 scatterometer, the Moderate-resolution Imaging Spectroradiometer, and the Special Sensor Microwave Imager/Sounder – are combined to obtain composite melt maps, representing the most complete melt conditions detectable across the ice sheet. Satellite observations reveal that melt occurred at or near the surface of the Greenland ice sheet across 98.6% of its entire extent on 12 July 2012, including the usually cold polar areas at high altitudes like Summit in the dry snow facies of the ice sheet. This melt event coincided with an anomalous ridge of warm air that became stagnant over Greenland. As seen in melt occurrences from multiple ice core records at Summit reported in the published literature, such a melt event is rare with the last significant one occurring in 1889 and the next previous one around seven centuries earlier in the Medieval Warm Period. Given its rarity, the 2012 extreme melt across Greenland provides an exceptional opportunity for new studies in broad interdisciplinary geophysical research