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Impact of Treating Oral Disease on Preventing Vascular Diseases: A Model-Based Cost-effectiveness Analysis of Periodontal Treatment Among Patients With Type 2 Diabetes

OBJECTIVE

Previous randomized trials found that treating periodontitis improved glycemic control in patients with type 2 diabetes (T2D), thus lowering the risks of developing T2D-related microvascular diseases and cardiovascular disease (CVD). Some payers in the U.S. have started covering nonsurgical periodontal treatment for those with chronic conditions, such as diabetes. We sought to identify the cost-effectiveness of expanding periodontal treatment coverage among patients with T2D.

RESEARCH DESIGN AND METHODS

A cost-effectiveness analysis was conducted to estimate lifetime costs and health gains using a stochastic microsimulation model of oral health conditions, T2D, T2D-related microvascular diseases, and CVD of the U.S. population. Model parameters were obtained from the nationally representative National Health and Nutrition Examination Survey (NHANES) (2009–2014) and randomized trials of periodontal treatment among patients with T2D.

RESULTS

Expanding periodontal treatment coverage among patients with T2D and periodontitis would be expected to avert tooth loss by 34.1% (95% CI –39.9, –26.5) and microvascular diseases by 20.5% (95% CI –31.2, –9.1), 17.7% (95% CI –32.7, –4.7), and 18.4% (95% CI –34.5, –3.5) for nephropathy, neuropathy, and retinopathy, respectively. Providing periodontal treatment to the target population would be cost saving from a health care perspective at a total net savings of $5,904 (95% CI –6,039, –5,769) with an estimated gain of 0.6 quality-adjusted life years per capita (95% CI 0.5, 0.6).

CONCLUSIONS

Providing nonsurgical periodontal treatment to patients with T2D and periodontitis would be expected to significantly reduce tooth loss and T2D-related microvascular diseases via improved glycemic control. Encouraging patients with T2D and poor oral health conditions to receive periodontal treatment would improve health outcomes and still be cost saving or cost-effective.




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ADA standard on treating biofilm in waterlines available for comment

The American Dental Association Standards Committee on Dental Products has approved the document for circulation and comment.




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February JADA examines connection between healthy eating habits, untreated caries

Greater compliance with dietary guidelines may reduce the chance of untreated caries in adults, according to a study published in the February issue of The Journal of the American Dental Association.




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ADA releases interim guidance on minimizing COVID-19 transmission risk when treating dental emergencies

The American Dental Association has released interim guidance for dentists on how to minimize the risk of COVID-19 transmission before, during and after treating dental emergencies.




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Tests show heating is the best way to disinfect N95 masks for reuse

Test results suggest N95 masks can be safely disinfected through heating 50 times before their filtration efficiency begins to decline.




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A Strategic Framework for Creating Legality and Order in Immigration

This report analyzes how governments ought to best allocate their resources to address the risks associated with migration—the "immigration harms" that undermine the positive economic and social benefits of immigration—including choosing which threats to tackle and where to prioritize enforcement efforts. Immigration policymakers can learn from other public policy regulation efforts to ensure that regulatory actions advance the public interest.




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Cheating Is an Awful Thing for Other People to Do

Both athletes were stars. Both faltered, then staged dramatic comebacks -- displaying the tenacity that separates heroes from also-rans. Both now face drug charges that could end their careers.




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Among Taxpayers, Inequality May Equal Cheating

Economists have long known there are two reasons that people cheat on their taxes. One is that they are poor and need the extra cash so badly they are willing to risk getting caught. The other is that they are rich and have lots of "non-matchable" income -- mostly investment income not directly...




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Social Innovation for Refugee Inclusion Conference Report: Maintaining Momentum and Creating Lasting Change

Fostering the social and economic inclusion of refugees has long been the domain of governments and NGOs. In the wake of the 2015–16 European migration and refugee crisis, however, new actors have emerged and taken on important roles in integrating newcomers. This report describes key discussions and takeaways from an MPI Europe conference on these developments.




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Creating a Home in Canada: Refugee Housing Challenges and Potential Policy Solutions

One of the major challenges Canada faced during its extraordinary push to resettle 25,000 Syrian refugees during a four-month period was to find housing for these newcomers. This report explores how the government, resettlement case workers, and private citizens tackled this challenge—balancing cost and location, access to services, and more—and how lessons learned can improve refugee housing practices for other countries going forward.




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Teachers union: Stagger school start times, change seating




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In Texas, Administrators Arrested for Cheating

Five El Paso educators have been charged with scheming to defraud the federal accountability system and, in some cases, retaliating against co-workers who cooperated with the FBI's 5½-year investigation of the Texas school district.




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Teachers union: Stagger school start times, change seating




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Teachers union: Stagger school start times, change seating




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In Delaware, Creating Career Pathways for Youths

A statewide initiative aims to enroll half the state's high school students into career pathways to close a "skills gap."




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Shared footprints / Michael and Colleen Keating.




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Mood indigo / Pip Griffin and Colleen Keating.




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Science and religion : an impossible dialogue / Yves Gingras ; translated by Peter Keating.

Religion and science -- History.




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The DASH diet Mediterranean solution : the best eating plan to control your weight and improve your health for life / Marla Heller, MS, RD.

Hypertension -- Diet therapy -- Recipes.




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The way we eat now : strategies for eating in a world of change / Bee Wilson ; illustrations by Annabel Lee.

Food.




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Defeating the ministers of death : the compelling history of vaccination / David Isaacs.

Vaccination -- History.




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Fentanyl, Inc. : how rogue chemists are creating the deadliest wave of the opioid epidemic / Ben Westhoff.

Designer drugs -- Fentanyl.




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A dissertation on the best mode of treating spasmodic cholera ; with a view of its history and progress, from its origin in India, in 1817 down to the present time ; together with an appendix, containing a review of Dr McCormac's pamphlet, &c / by

London : Longman, Rees, Orme, Brown, and Green, 1834.




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Integrated treatment of eating disorders : beyond the body betrayed / Kathryn J. Zerbe.

New York ; London : W.W. Norton, 2008.




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Evaluating and treating depressive disorders in opiate addicts / Bruce J. Rounsaville, Thomas R. Kosten, Myrna M. Wiessman, Herbert D. Kleber, for the National Institute on Drug Abuse.

Rockville, Maryland : National Institute on Drug Abuse, 1985.




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Food & me : a zine about disordered eating.

[London] : [publisher not identified], [2019]




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Dr. Michelle Tom shares journey from ASU women's hoops to treating COVID-19 patients

Pac-12 Networks' Ashley Adamson speaks with former Arizona State women's basketball player Michelle Tom, who is now a doctor treating COVID-19 patients Winslow Indian Health Care Center and Little Colorado Medical Center in Eastern Arizona.




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How much do you know about healthy eating?

Diets vary greatly from place to place based on food availability, eating habits and culture. Yet, when it comes to food, there is a lot that we know about what is and what is not good for us and this is true no matter where we live. Societal changes, however, are making these choices more complicated. While many countries are [...]




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SOLIDWORKS Electrical Formula SAE Tutorial: Creating a Project

The SOLIDWORKS Electrical Formula SAE Tutorial Series will show how to use SOLIDWORKS Electrical and use its different functions. In this first video, we will learn how to create a new project or make our own custom template.

Author information

Ajay Vaidya

I am the SOLIDWORKS Education Brand Advocacy Digital Marketing Intern in Waltham, MA. I go to Marywood University, Scranton, PA. Currently, I am studying Management Information Systems. During my free time, I love to play the keyboard, guitar, and ukulele. I can speak 8 languages!

The post SOLIDWORKS Electrical Formula SAE Tutorial: Creating a Project appeared first on SOLIDWORKS Education Blog.




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Creating the Shapetober Skull

In this blog by Justin Burton, he shows us how to create a Skull in Shape It app in Apps For Kids.

Author information

Justin Burton

SOLIDWORKS Senior Product Portfolio Manager

The post Creating the Shapetober Skull appeared first on SOLIDWORKS Education Blog.




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SOLIDWORKS Electrical Formula SAE Tutorial: Inserting and Creating a Line Diagram Symbol

The SOLIDWORKS Electrical Formula SAE Tutorial Series will show how to use SOLIDWORKS Electrical and use its different functions. In the second video, we will learn how to insert and create a line diagram symbol.

Author information

Ajay Vaidya

I am the SOLIDWORKS Education Brand Advocacy Digital Marketing Intern in Waltham, MA. I go to Marywood University, Scranton, PA. Currently, I am studying Management Information Systems. During my free time, I love to play the keyboard, guitar, and ukulele. I can speak 8 languages!

The post SOLIDWORKS Electrical Formula SAE Tutorial: Inserting and Creating a Line Diagram Symbol appeared first on SOLIDWORKS Education Blog.




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SOLIDWORKS Electrical Formula SAE Tutorial: Assigning, Creating and Modifying Manufacturer Part

In the prior video, we learned how to insert and create a line diagram symbol. In this video we will learn how to assign a manufacturer part to a line diagram symbol, create our own manufacturer parts and edit an

Author information

Ajay Vaidya

I am the SOLIDWORKS Education Brand Advocacy Digital Marketing Intern in Waltham, MA. I go to Marywood University, Scranton, PA. Currently, I am studying Management Information Systems. During my free time, I love to play the keyboard, guitar, and ukulele. I can speak 8 languages!

The post SOLIDWORKS Electrical Formula SAE Tutorial: Assigning, Creating and Modifying Manufacturer Part appeared first on SOLIDWORKS Education Blog.




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Mastering SOLIDWORKS Visualize and Creating the FIRST Global Challenge Field

In this blog by intern Ben, he explains how to learn and master SOLIDWORKS Visualize

Author information

Ben Horton

I am an intern and a mentor in the 3DEXPERIENCE Lab here at the DASSAULT SYSTEMS Waltham campus. Currently I am studying Mechanical Engineering at the University of Massachusetts, Lowell. I am also the Vice-President of the Society of Automotive Engineers at UMass Lowell. My interests include building racecars, petting dogs, being a maker, and going on adventures in my Outback!

The post Mastering SOLIDWORKS Visualize and Creating the FIRST Global Challenge Field appeared first on SOLIDWORKS Education Blog.




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SOLIDWORKS Electrical Formula SAE Tutorial: Creating Electrical Connection Points inside a SOLIDWORKS part

In the previous video, we learned how to do create detailed cabling and connect cable cores to components. In this video, we will learn how to create electrical connection points inside a SOLIDWORKS part in SOLIDWORKS Electrical

Author information

Ajay Vaidya

I am the SOLIDWORKS Education Brand Advocacy Digital Marketing Intern in Waltham, MA. I go to Marywood University, Scranton, PA. Currently, I am studying Management Information Systems. During my free time, I love to play the keyboard, guitar, and ukulele. I can speak 8 languages!

The post SOLIDWORKS Electrical Formula SAE Tutorial: Creating Electrical Connection Points inside a SOLIDWORKS part appeared first on SOLIDWORKS Education Blog.




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SOLIDWORKS Electrical Formula SAE Tutorial: Creating a routing path and route cables along the path

In today's tutorial, we'll learn how to create routing paths and route cables along the path.

Author information

Ajay Vaidya

I am the SOLIDWORKS Education Brand Advocacy Digital Marketing Intern in Waltham, MA. I go to Marywood University, Scranton, PA. Currently, I am studying Management Information Systems. During my free time, I love to play the keyboard, guitar, and ukulele. I can speak 8 languages!

The post SOLIDWORKS Electrical Formula SAE Tutorial: Creating a routing path and route cables along the path appeared first on SOLIDWORKS Education Blog.




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SOLIDWORKS Electrical Formula SAE Tutorial: How to flatten the route and creating reports

In our last video, we learned about how to create a routing path and route cables along the path in the SOLIDWORKS Electrical. In our last and final tutorial, we will learn how to flatten the route, create reports and draw from the flattened route.

Author information

Ajay Vaidya

I am the SOLIDWORKS Education Brand Advocacy Digital Marketing Intern in Waltham, MA. I go to Marywood University, Scranton, PA. Currently, I am studying Management Information Systems. During my free time, I love to play the keyboard, guitar, and ukulele. I can speak 8 languages!

The post SOLIDWORKS Electrical Formula SAE Tutorial: How to flatten the route and creating reports appeared first on SOLIDWORKS Education Blog.




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Creating a Guitar Stand from Scratch Using SOLIDWORKS, Part 1

Fab Lab intern Matthew Desrochers created a guitar stand for the Lava Drop X xDesign Edition electric guitar. In Part 1 of "Creating a Guitar stand from scratch using SOLIDWORKS" blog learn about how he planned and created a guitar stand using SOLIDWORKS.

Author information

Matthew Desrochers

Matthew DesRochers is a SOLIDWORKS Education Engineering Intern working in the Dassault Sytèmes 3DExperience Lab in Waltham. He is a Mechanical Engineering student at Wentworth Institute of Technology in Boston. In his free time Matt enjoys working on his Volkswagen and screen printing.

The post Creating a Guitar Stand from Scratch Using SOLIDWORKS, Part 1 appeared first on SOLIDWORKS Education Blog.




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Creating a Guitar Stand from Scratch Using SOLIDWORKS, Part 2

#3DEXPERIENCE Lab intern Matt Desrochers created a guitar stand for the Lava Drop X xDesign Edition electric guitar using SOLIDWORKS. In Part 2 of this series, learn how he planned and created a guitar stand from scratch.

Author information

Matthew Desrochers

Matthew DesRochers is a SOLIDWORKS Education Engineering Intern working in the Dassault Sytèmes 3DExperience Lab in Waltham. He is a Mechanical Engineering student at Wentworth Institute of Technology in Boston. In his free time Matt enjoys working on his Volkswagen and screen printing.

The post Creating a Guitar Stand from Scratch Using SOLIDWORKS, Part 2 appeared first on SOLIDWORKS Education Blog.




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Creating Your Own Sky for VR Mode in eDrawings Professional 2020 using SOLIDWORKS Visualize

eDrawings Pro 2020 now supports choosing your own 360˚ images as your custom environment in VR! This blog post will help walk you through the process of creating a 360˚ equirectangular image in SOLIDWORKS Visualize and adding it to your Virtual Reality scene in eDrawings Pro 2020.

Author information

Yun Li

Yun Li is a User Experience Design Engineer at SOLIDWORKS. She is always excited to hear from users and learn more about them. She specializes in designing and prototyping for interesting emerging technologies such as Virtual Reality and Augmented Reality.

The post Creating Your Own Sky for VR Mode in eDrawings Professional 2020 using SOLIDWORKS Visualize appeared first on SOLIDWORKS Tech Blog.




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Creating an opportunity to talk

Hungarian students learn about dating, sex and marriage during a Bus4Life visit.




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Madagascar: Crisis Heating Up?

While the reality and extent of the coup announced yesterday by military officers is still uncertain, the latest events demonstrate the fragility of the situation in Madagascar and the urgent need for a new international strategy to end the long crisis. Negotiations should now focus on international support to the electoral process based on strict conditions.




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Creating comics to bring “Light in the Darkness”

Why and how OM EAST produces Christian comics to reach minority peoples




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'Fresh street food. In the house. Hard to beat' – Ron Mackenna's home delivery eating in review: Lebanese Street Sajeria

Thyme: Lebanese Street Sajeria




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Joanna Blythman: Want to start eating Scottish fish? Here are the best places to start

If Scotland really does have such fabulous seafood, why do ordinary citizens find it so hard to tap into this much eulogised catch? The problem has been that subsequent governments have fixated on international exports, not food for citizens.




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I Tried a Flexible-Seating Classroom. Here's What I Learned

Experimenting with new types and arrangements of furniture can radically change your students' classroom experience, writes Julia Cin.




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Flexible Seating: Collaboration Catalyst or Classroom Disaster?

Popularized by social media, new classroom arrangements are all the rage in K-12. But experts and educators caution there is more to it than just moving desks around.




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Zagreb in pole position after beating Istanbul

Croatia's Zagreb head into the final group game knowing that victory will secure a place in the UEFA Regions' Cup final after they replaced Istanbul at the top of Group A.




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Calculation of Expected Body Weight in Adolescents With Eating Disorders

Eating disorders are characterized by preoccupation with weight and shape, which is manifested by a refusal to maintain a normal weight. An exact determination of expected body weight (EBW) is critical for diagnosis and clinical management of these disorders.

The McLaren and Moore methods present with several limitations when calculating EBW for adolescents with eating disorders. A commonly agreed upon method for EBW calculation such as the BMI percentile method is recommended for clinical and research purposes. (Read the full article)




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Prospective Association of Common Eating Disorders and Adverse Outcomes

Eating disorder not otherwise specified (EDNOS) is the most common eating disorder diagnosis. Binge eating disorder, 1 type of EDNOS, is associated with obesity among adults. Little is known about the health outcomes associated with other types of EDNOS.

This is the first study to evaluate the prospective association of full and subthreshold bulimia nervosa, binge eating disorder, purging disorder, and other EDNOSs with specific mental and physical health outcomes. (Read the full article)




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Identifying and Treating a Substandard Housing Cluster Using a Medical-Legal Partnership

Social and environmental risks related to substandard housing contribute to adverse health outcomes. Partnerships between the health care and legal systems can help families address such risks and help clinicians understand the legal context of health.

A medical-legal partnership colocated in a pediatric primary care setting identified and treated a large cluster of poor quality, substandard housing. Housing improvements were possible because of strong collaboration between clinicians, attorneys, community partners, and families. (Read the full article)