Postnatal expansion of the intramembranous bones of the craniofacial skeleton occurs as bone growth at sutures. Loss of the bone growth site occurs when the suture fails to form, or when the newly formed sutures become ossified, resulting in premature obliteration. Previous experiments demonstrated that removal of dura mater from fetal rat coronal sutures, or neutralizing transforming growth factor-beta 2 (Tgf-2) activity using antibodies resulted in premature obliteration of the suture in vitro. Conversely, addition of Tgf-3 to coronal sutures in vitro rescued them from osseous obliteration. To examine whether Tgf-3 rescues sutures from obliteration in vivo, a collagen gel was used as a vehicle to deliver Tgf-3 to the normally fusing rat posterior interfrontal (IF) suture. Surgery was done on postnatal day 9 (P9) rats, in which collagen gels containing 0, 3, or 30 ng Tgf-3 were placed above the IF suture, underneath the periosteum for 2 weeks. By P24, 75-100% of animals in control unoperated, sham-operated, and collagen gel-only groups had fused IF sutures. In contrast, 40% of sutures exposed to 3 ng Tgf-3 remained open, while sutures exposed to 30 ng Tgf- were similar to controls. By immunohistochemistry, sutures rescued from obliteration by Tgf-3 had the same Tgf- receptor type II (Tr-II) distribution as controls. However, Tgf-3-treated sutures had altered Tgf-2 and Tr-I distribution compared to controls. Anat Rec 267: 120 -130, 2002.
To develop and assess the Spanish Oral Health Literacy Scale (SOHLS) in a Mexican adult population, a repeated survey was undertaken in 227 adults. Participants were interviewed and asked to complete the SOHLS on the basis of the Health Literacy Test developed by the Educational Testing Service. The SOHLS covered literacy skills: location, integration, generation, calculation and return. Cronbach's α was obtained for internal consistency and intraclass correlation coefficient for test-retest reliability. Construct validity was obtained comparing the test score with self perceived oral health and the Oral Health Impact Profile-14 (OHIP-14). Mean age was 47.2 years (SD = 14.3 years). Average time for test completion was 24.6 ± 11 minutes; mean score was 24.2 ± 3.8 and Cronbach's α was .748; the intraclass correlation coefficient was 0.766. Spearman's correlation was 0.426 between the test and self perceived oral health. Pearson's correlation was -0.336 between the total test score and the OHIP-14. The instrument has good values of reliability; construct validity is significant but could be improved.
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