1,356 research outputs found
Unsupervised Bilingual POS Tagging with Markov Random Fields
In this paper, we give a treatment to the problem of bilingual part-of-speech induction with parallel data. We demonstrate that naĂŻve optimization of log-likelihood with joint MRFs suffers from a severe problem of local maxima, and suggest an alternative â using contrastive estimation for estimation of the parameters. Our experiments show that estimating the parameters this way, using overlapping features with joint MRFs performs better than previous work on the 1984 dataset.
What predicts oral health stability in a long-term care population?
The purpose of this study was to determine whether oral health stability was achievable over time for institutionalized elderly who routinely received comprehensive care and to examine the factors associated with stability. Records of 868 dentate nursing home residents, each with a minimum of 24 months continuous care, were analyzed to determine the number of services by type for each time period between periodic examinations. Presenting dental condition, age, gender, functional status, payer source and facility characteristics were tested as explanatory variables. Oral health status was considered stable when a resident had aâgood checkupâ (needing no further treatment), otherwise it was coded as unstable. Generalized estimating equations (GEE) were used to analyze predictors of stability over time. Stability over time was achieved in 44% of the study group and negatively associated with male gender, advanced age, and more initial treatment needs. The data show that high levels of initial unmet needs were associated with difficulty achieving oral health stability for institutionalized elderly who routinely received comprehensive care.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/75086/1/j.1754-4505.2005.tb01426.x.pd
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Is Sacral Extension a Risk Factor for Early Proximal Junctional Kyphosis in Adult Spinal Deformity Surgery?
Study designRetrospective cohort study.PurposeTo investigate the role of sacral extension (SE) for the development of proximal junctional kyphosis (PJK) in adult spinal deformity (ASD) surgery.Overview of literatureThe development of PJK is multifactorial and different risk factors have been identified. Of these, there is some evidence that SE also affects the development of PJK, but data are insufficient.MethodsUsing a combined database comprising two propensity-matched groups of fusions following ASD surgery, one with fixation to S1 or S1 and the ilium (SE) and one without SE but with a lower instrumented vertebra of L5 or higher (lumbar fixation, LF), PJK and the role of further parameters were analyzed. The propensity-matched variables included age, the upper-most instrumented vertebra (UIV), preoperative sagittal alignment, and the baseline to one year change of the sagittal alignment.ResultsPropensity matching led to two groups of 89 patients each. The UIV, pelvic incidence minus lumbar lordosis, sagittal vertical axis, pelvic tilt, age, and body mass index were similar in both groups (p >0.05). The incidence of PJK at postoperative one year was similar for SE (30.3%) and LF (22.5%) groups (p =0.207). The PJK angle was comparable (p =0.963) with a change of -8.2° (SE) and -8.3° (LF) from the preoperative measures (p =0.954). A higher rate of PJK after SE (p =0.026) was found only in the subgroup of patients with UIV levels between T9 and T12.ConclusionsInstrumentation to the sacrum with or without iliac extension did not increase the overall risk of PJK. However, an increased risk for PJK was found after SE with UIV levels between T9 and T12
Nosocomial Pneumonia and Oral Health
This article will critically review the evidence linking pneumonia to the aspiration of microbe-laden oropharyngeal secretions and tie that to the predisposition for these processes to affect dependent, medically compromised individuals. The goal of this review is to alert the reader to the role that oral disease and oral health play in fostering and preventing, respectively, widespread and potentially fatal pulmonary disease among high-risk individuals.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/73840/1/j.1754-4505.2005.tb01647.x.pd
Psychological growth in aging Vietnam veterans: redefining shame and betrayal
This study offers alternative interpretations of war-related distress embedded within the social and political context of the Vietnam War. Subjective interpretations from aging Vietnam veterans were analyzed using interpretative phenomenological analysis. A central themeâMoral authenticity: Overcoming the betrayal and shame of warâoverarched five subordinate themes. Four subordinate themes encapsulated layers of war-related betrayal associated with shame. Shame was likely to be described as either (a) internal/sense of personal failure, with no acts of rage; or (b) external/reckless or threatening acts of others, engendering rage. A fifth theme, reparation with self, reflected humility, gratitude, and empathy, currently undefined domains of the growth construct
Unsupervised Structure Prediction with Non-Parallel Multilingual Guidance
We describe a method for prediction of linguistic structure in a language for which only unlabeled data is available, using annotated data from a set of one or more helper languages. Our approach is based on a model that locally mixes between supervised models from the helper languages. Parallel data is not used, allowing the technique to be applied even in domains where human-translated texts are unavailable. We obtain state-of-theart performance for two tasks of structure prediction: unsupervised part-of-speech tagging and unsupervised dependency parsing.
Whooping crane use of riverine stopover sites
Migratory birds like endangered whooping cranes (Grus americana) require suitable nocturnal roost sites during twice annual migrations. Whooping cranes primarily roost in shallow surface water wetlands, ponds, and rivers. All these features have been greatly impacted by human activities, which present threats to the continued recovery of the species. A portion of one such river, the central Platte River, has been identified as critical habitat for the survival of the endangered whooping crane. Management intervention is now underway to rehabilitate habitat form and function on the central Platte River to increase use and thereby contribute to the survival of whooping cranes. The goal of our analyses was to develop habitat selection models that could be used to direct riverine habitat management activities (i.e., channel widening, tree removal, flow augmentation, etc.) along the central Platte River and throughout the speciesâ range. As such, we focused our analyses on two robust sets of whooping crane observations and habitat metrics the Platte River Recovery Implementation Program (Program or PRRIP) and other such organizations could influence. This included channel characteristics such as total channel width, the width of channel unobstructed by dense vegetation, and distance of forest from the edge of the channel and flow-related metrics like wetted width and unit discharge (flow volume per linear meter of wetted channel width) that could be influenced by flow augmentation or reductions during migration. We used 17 years of systematic monitoring data in a discrete-choice framework to evaluate the influence these various metrics have on the relative probability of whooping crane use and found the width of channel unobstructed by dense vegetation and distance to the nearest forest were the best predictors of whooping crane use. Secondly, we used telemetry data obtained from a sample of 38 birds of all ages over the course of seven years, 2010â2016, to evaluate whooping crane use of riverine habitat within the North-central Great Plains, USA. For this second analysis, we focused on the two metrics found to be important predictors of whooping crane use along the central Platte River, unobstructed channel width and distance to nearest forest or wooded area. Our findings indicate resource managers, such as the Program, have the potential to influence whooping crane use of the central Platte River through removal of in-channel vegetation to increase the unobstructed width of narrow channels and through removal of trees along the bank line to increase unforested corridor widths. Results of both analyses also indicated that increases in relative probability of use by whooping cranes did not appreciably increase with unobstructed views 200 m wide and unforested corridor widths that were 330 m. Therefore, managing riverine sites for channels widths \u3e200 m and removing trees beyond 165 m from the channelâs edge would increase costs associated with implementing management actions such as channel and bank-line disking, removing trees, augmenting flow, etc. without necessarily realizing an additional appreciable increase in use by migrating whooping cranes
Perceptions of Skill Development Among Occupational Therapy Students Who Participated in Virtual Fieldwork: A Qualitative Descriptive Study
Occupational therapy fieldwork helps students refine their professional and technical skills to achieve competency required of entry-level occupational therapists. While fieldwork is traditionally completed in an in-person setting, the COVID-19 pandemic resulted in some students completing fieldwork in a virtual format. Yet, minimal research has explored perceptions of skill development among students who complete virtual fieldwork placements. This qualitative descriptive study examined the perceptions of skill development among graduate-level occupational therapy students and graduates who participated in a virtual fieldwork placement during the COVID-19 pandemic. Eight participants from 3 different states completed semi-structured interviews of no longer than 60 minutes duration via Microsoft Teams. Verbatim interview transcriptions were analyzed by the researchers using a constant-comparative data analysis approach. Four key themes emerged: participants initially experienced uncertainty and had concerns regarding the development of their professional and technical skills; professional and technical skills improved during virtual fieldwork but skill development was perceived to be more difficult to accomplish; communication, peer support, online resources, and utilization of their fieldwork educator were primary strategies for facilitating skills development during virtual fieldwork; and virtual fieldwork provides valuable lessons that are applicable to future practice, but students did not recommend it for other occupational therapy students. The results of this study suggest that while virtual fieldwork placements may be valuable in some situations, educators must carefully consider the benefits and drawbacks before placing students in virtual fieldwork placements in the future and ensure that proper support is provided before and during the placement
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Cervical, Thoracic, and Spinopelvic Compensation After Proximal Junctional Kyphosis (PJK): Does Location of PJK Matter?
Study Design:Retrospective case series. Objective:Compensatory changes above a proximal junctional kyphosis (PJK) have not been defined. Understanding these mechanisms may help determine optimal level selection when performing revision for PJK. This study investigates how varying PJK location changes proximal spinal alignment. Methods:Patients were grouped by upper instrumented vertebrae (UIV): lower thoracic (LT; T8-L1) or upper thoracic (UT; T1-7). Alignment parameters were compared. Correlation analysis was performed between PJK magnitude and global/cervical alignment. Results:A total of 369 patients were included; mean age of 63 years, body mass index 28, and 81% female, LT (n = 193) versus UT (n = 176). The rate of radiographic PJK was 49%, higher in the LT group (55% vs 42%, P = .01). The UT group displayed significant differences in all cervical radiographic parameters (P < .05) between PJK versus non-PJK patients, while the LT group displayed significant differences in T1S and C2-T3 sagittal vertical axis (SVA) (CTS). In comparing UT versus LT patients, UT had more posterior global alignment (smaller TPA [T1 pelvic angle], SVA, and larger PT [pelvic tilt]) and larger anterior cervical alignment (greater cSVA [cervical SVA], T1S-CL [T1 slope-cervical lordosis] mismatch, CTS) compared to LT. Correlation analysis of PJK magnitude and location demonstrated a correlation with increases in CL, T1S, and CTS in the UT group. In the LT group, PT increased with PJK angle (r = 0.17) and no significant correlations were noted to SVA, cSVA, or T1S-CL. Conclusions:PJK location influences compensation mechanisms of the cervical and thoracic spine. LT PJK results in increased PT and CL with decreased CTS. UT PJK increases CL to counter increases in T1S with continued T1S-CL mismatch and elevated cSVA
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