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After Deportation, Some Congolese Returnees Face Detention and Extortion

This article explores post-deportation dynamics and challenges returnees face in the Democratic Republic of the Congo (DRC). Even as European countries focus on increasing returns of migrants deemed not to have a right to stay, little attention has been given to conditions at return—even to a country such as the DRC where allegations of serious human-rights violations against returned migrants have been reported for years.




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In-Hospital Prognosis of Ppatients With Fasting Hyperglycemia After First Myocardial Infarction

John J O'Sullivan
Aug 1, 1991; 14:758-760
Short Report




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More than 70 dead in Rwanda after floods, landslides

Heavy rains, flash flooding and landslides have led to the deaths of more than 70 people in Rwanda, officials said Friday.




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Time Course of Normalization of Functional {beta}-Cell Capacity in the Diabetes Remission Clinical Trial After Weight Loss in Type 2 Diabetes

OBJECTIVE

To assess functional β-cell capacity in type 2 diabetes during 2 years of remission induced by dietary weight loss.

RESEARCH DESIGN AND METHODS

A Stepped Insulin Secretion Test with Arginine was used to quantify functional β-cell capacity by hyperglycemia and arginine stimulation. Thirty-nine of 57 participants initially achieved remission (HbA1c <6.5% [<48 mmol/mol] and fasting plasma glucose <7 mmol/L on no antidiabetic drug therapy) with a 16.4 ± 7.7 kg weight loss and were followed up with supportive advice on avoidance of weight regain. At 2 years, 20 participants remained in remission in the study. A nondiabetic control (NDC) group, matched for age, sex, and weight after weight loss with the intervention group, was studied once.

RESULTS

During remission, median (interquartile range) maximal rate of insulin secretion increased from 581 (480–811) pmol/min/m2 at baseline to 736 (542–998) pmol/min/m2 at 5 months, 942 (565–1,240) pmol/min/m2 at 12 months (P = 0.028 from baseline), and 936 (635–1,435) pmol/min/m2 at 24 months (P = 0.023 from baseline; n = 20 of 39 of those initially in remission). This was comparable to the NDC group (1,016 [857–1,507] pmol/min/m2) by 12 (P = 0.064) and 24 (P = 0.244) months. Median first-phase insulin response increased from baseline to 5 months (42 [4–67] to 107 [59–163] pmol/min/m2; P < 0.0001) and then remained stable at 12 and 24 months (110 [59–201] and 125 [65–166] pmol/min/m2, respectively; P < 0.0001 vs. baseline) but lower than that of the NDC group (250 [226–429] pmol/min/m2; P < 0.0001).

CONCLUSIONS

A gradual increase in assessed functional β-cell capacity occurred after weight loss, becoming similar to that of NDC group participants by 12 months. This result was unchanged at 2 years with continuing remission of type 2 diabetes.




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After 3 years, Find-a-Dentist initiative a ‘success’

Of the more than 3 million profile views, the program found that 17% resulted in action, which include potential patients visiting a dentist’s website, calling or emailing the practice and sharing their profile. Industry average for similar sites is only 1-4%, so patients are nearly six times more likely to contact an ADA dentist through Find-a-Dentist.




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Free ADA webinar aims to help dentists plan recovery during, after pandemic

The ADA is streaming a free webinar April 14 intended to help dentists jump-start their recovery process during and after the COVID-19 pandemic.




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ADA president appoints task force for dental practice recovery after COVID-19 pandemic

American Dental Association President Chad P. Gehani has assembled an advisory task force to oversee the ADA’s development of tools for dentists as they bounce back from the effects of practice restrictions and closures caused by the COVID-19 pandemic.




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Crude prices rise after positive news from China

Oil prices rose early Tuesday, after Monday declines, possibly helped by some positive news from China -- but doubts remain as to whether that direction will hold.




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Crude oil prices drop after API reported lower-than-expected draw

Oil prices fell early Wednesday, likely a result of lower-than-expected draws in an API with traders awaiting official EIA inventory data later in the day.




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Oil rises after report on possible China talks concessions

Oil prices rose early Friday trailing equity gains late Thursday that followed a report about possible concessions ahead in U.S. trade talks with China.




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Oil nearly flat in pause after previous session's gains

Oil prices were near flat early Thursday in what was seen as a pause after gains in the two previous sessions, as traders considered geopolitical developments.




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Suicide risk high in first year after brain cancer diagnosis

People with brain cancer are at increased risk for suicide compared to the general population, particularly within the first year following diagnosis, a new analysis has found.




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Diabetes Is Associated With Worse Long-term Outcomes in Young Adults After Myocardial Infarction: The Partners YOUNG-MI Registry

OBJECTIVE

We sought to determine the prevalence of diabetes and associated cardiovascular outcomes in a contemporary cohort of young individuals presenting with their first myocardial infarction (MI) at age ≤50 years.

RESEARCH DESIGN AND METHODS

We retrospectively analyzed records of patients presenting with a first type 1 MI at age ≤50 years from 2000 to 2016. Diabetes was defined as a hemoglobin A1c ≥6.5% (48 mmol/mol) or a documented diagnosis of or treatment for diabetes. Vital status was ascertained for all patients, and cause of death was adjudicated.

RESULTS

Among 2,097 young patients who had a type 1 MI (mean age 44.0 ± 5.1 years, 19.3% female, 73% white), diabetes was present in 416 (20%), of whom 172 (41%) were receiving insulin. Over a median follow-up of 11.2 years (interquartile range 7.3–14.2 years), diabetes was associated with a higher all-cause mortality (hazard ratio 2.30; P < 0.001) and cardiovascular mortality (2.68; P < 0.001). These associations persisted after adjusting for baseline covariates (all-cause mortality: 1.65; P = 0.008; cardiovascular mortality: 2.10; P = 0.004).

CONCLUSIONS

Diabetes was present in 20% of patients who presented with their first MI at age ≤50 years and was associated with worse long-term all-cause and cardiovascular mortality. These findings highlight the need for implementing more-aggressive therapies aimed at preventing future adverse cardiovascular events in this population.




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Trends in Uninsured Rates Before and After Medicaid Expansion in Counties Within and Outside of the Diabetes Belt

OBJECTIVE

To examine trends in uninsured rates between 2012 and 2016 among low-income adults aged <65 years and to determine whether the Patient Protection and Affordable Care Act (ACA), which expanded Medicaid, impacted insurance coverage in the Diabetes Belt, a region across 15 southern and eastern states in which residents have high rates of diabetes.

RESEARCH DESIGN AND METHODS

Data for 3,129 U.S. counties, obtained from the Small Area Health Insurance Estimates and Area Health Resources Files, were used to analyze trends in uninsured rates among populations with a household income ≤138% of the federal poverty level. Multivariable analysis adjusted for the percentage of county populations aged 50–64 years, the percentage of women, Distressed Communities Index value, and rurality.

RESULTS

In 2012, 39% of the population in the Diabetes Belt and 34% in non-Belt counties were uninsured (P < 0.001). In 2016 in states where Medicaid was expanded, uninsured rates declined rapidly to 13% in Diabetes Belt counties and to 15% in non-Belt counties. Adjusting for county demographic and economic factors, Medicaid expansion helped reduce uninsured rates by 12.3% in Diabetes Belt counties and by 4.9% in non-Belt counties. In 2016, uninsured rates were 15% higher for both Diabetes Belt and non-Belt counties in the nonexpansion states than in the expansion states.

CONCLUSIONS

ACA-driven Medicaid expansion was more significantly associated with reduced uninsured rates in Diabetes Belt than in non-Belt counties. Initial disparities in uninsured rates between Diabetes Belt and non-Belt counties have not existed since 2014 among expansion states. Future studies should examine whether and how Medicaid expansion may have contributed to an increase in the use of health services in order to prevent and treat diabetes in the Diabetes Belt.




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Renal and Cardiovascular Outcomes After Weight Loss From Gastric Bypass Surgery in Type 2 Diabetes: Cardiorenal Risk Reductions Exceed Atherosclerotic Benefits

OBJECTIVE

We examined detailed renal and cardiovascular (CV) outcomes after gastric bypass (GBP) surgery in people with obesity and type 2 diabetes mellitus (T2DM), across several renal function categories, in a nationwide cohort study.

RESEARCH DESIGN AND METHODS

We linked data from the National Diabetes Register and the Scandinavian Obesity Surgery Register with four national databases holding information on socioeconomic variables, medications, hospitalizations, and causes of death and matched 5,321 individuals with T2DM who had undergone GBP with 5,321 who had not (age 18–65 years, mean BMI >40 kg/m2, mean follow-up >4.5 years). The risks of postoperative outcomes were assessed with Cox regression models.

RESULTS

During the first years postsurgery, there were small reductions in creatinine and albuminuria and stable estimated glomerular filtration rate (eGFR) in the GBP group. The incidence rates of most outcomes relating to renal function, CV disease, and mortality were lower after GBP, being particularly marked for heart failure (hazard ratio [HR] 0.33 [95% CI 0.24, 0.46]) and CV mortality (HR 0.36 [(95% CI 0.22, 0.58]). The risk of a composite of severe renal disease or halved eGFR was 0.56 (95% CI 0.44, 0.71), whereas nonfatal CV risk was lowered less (HR 0.82 [95% CI 0.70, 0.97]) after GBP. Risks for key outcomes were generally lower after GBP in all eGFR strata, including in individuals with eGFR <30 mL/min/1.73 m2.

CONCLUSIONS

Our data suggest robust benefits for renal outcomes, heart failure, and CV mortality after GBP in individuals with obesity and T2DM. These results suggest that marked weight loss yields important benefits, particularly on the cardiorenal axis (including slowing progression to end-stage renal disease), whatever the baseline renal function status.




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Hundreds honor Ahmaud Arbery after two murder suspects are arrested

Hundreds attended a rally Friday in support of Ahmaud Arbery, and officials said they will investigate the man who recorded a video of his shooting.




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Look: Brian May visits hospital after injuring buttocks while gardening

Queen guitarist Brian May is recovering after tearing his gluteus maximus during a moment of "over-enthusiastic" gardening.




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When the Dust Settles: Migration Policy after Brexit

While the political and economic ramifications of the UK vote to quit the European Union hit with full force within hours, it will take far more time to sort out what Brexit means for migration policy. In the short term, the rights of EU nationals living in Britain are the most pressing, with border-control negotiations and future immigration levels also high on the agenda. Against a backdrop of deep public skepticism, this commentary suggests the next government should underpromise and overdeliver.




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Spain’s Labor Migration Policies in the Aftermath of Economic Crisis

A relatively new destination for immigrants, Spain has developed a labor migration system that builds on longstanding relationships with countries outside the European Union and that actively involves employers, trade unions, and regional governments. This report examines how this legal framework has evolved in recent decades, and how it could serve as a model for EU policymakers in admitting non-EU workers.




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After the Storm: Learning from the EU Response to the Migration Crisis

As maritime arrivals climbed in 2015, EU policymakers struggled to mount a coordinated response. A range of ad hoc crisis-response tools emerged, but many officials worry that if another migration emergency were to hit Europe, the European Union may still be unprepared. This report traces the evolution of the EU response to the 2015–16 crisis and lays out recommendations to lock in progress and shore up weaknesses.




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The COVID-19 Pandemic Suggests the Lessons Learned by European Asylum Policymakers After the 2015 Migration Crisis Are Fading

As European asylum systems are tested again by the COVID-19 pandemic, which has injected the need for social distancing during processing and in reception centers, it appears lessons learned during the 2015-16 migration and refugee crisis may be fading. Chief among them: A number of Member States have phased out their buffer capacity. This MPI Europe commentary explores the diametrically different approaches taken to asylum during the pandemic.




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On the Brink: Prospects for UK Nationals in the EU-27 after a No-Deal Brexit

Six months on from the original March 2019 Brexit date and staring a new deadline in the face, many EU countries still had only skeletal plans for how to adjust the status of their resident UK nationals should a no-deal Brexit come to pass. This policy brief highlights critical gaps in these plans, the groups most likely to be affected by them, and strategies Member States and the United Kingdom could adopt to soften the impact.




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Is a U.S. Immigration System Rebuilt after 9/11 Prepared to Tackle Ever-Evolving Security Threats, Including Pandemics? Report Assesses Successes, Gaps

WASHINGTON — The U.S. immigration system was dramatically reshaped by the terrorist attacks of September 11, 2001, which shone a harsh spotlight on weaknesses in visa and immigration screening processes. From the creation of the Department of Homeland Security (DHS) to expanded national security protections in immigration and tourism policies, countless changes in the immigration arena have unfolded over the past 19 years.




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Rebuilding Community after Crisis: Striking a New Social Contract for Diverse Societies (Transatlantic Council Statement)

Addressing the deep-rooted integration challenges unearthed by large-scale migration and rapid social change will require a combination of strategies. Governments in Europe and North America must create a new social contract for increasingly diverse societies that are confronting cycles of disruption. This report sketches a blueprint for an adaptive process oriented by skill needs rather than national origins.




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Naughty Day After "Faux Paella"

Nicky Riemer from Union Dining is one of 20 of Victoria's top chefs who will unite to raise funds for vulnerable children at Gastronomique on November 25. The gala food and wine charity evening will support Anglicare Victoria. Now in its 12th year, Gastronomique includes signature dishes, fine wine and entertainment. www.gastronomique.org.au




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Persistence of Continuous Glucose Monitoring Use in a Community Setting 1 Year After Purchase

James Chamberlain
Jul 1, 2013; 31:106-109
Feature Articles




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Coronavirus Upends After-School World

With schools shut down, social distancing in place, and parents at home, after-school programs are laying off staff and switching gears to meet families' needs.




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After Okla. Historic Pay Raise, Morale Is Up—But Teacher Shortage Persists

Despite a $6,100 teacher pay raise this spring, school districts report that they're starting the new academic year with nearly 500 teaching vacancies.




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Oklahoma Lawmakers Ramp Up Security at Capitol After Teacher Protests

The increase in security was imposed by majority Republicans as a new session of the legislature opened last week.




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Gay teacher ousted from Catholic school after 23 years




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Coronavirus Upends After-School World

With schools shut down, social distancing in place, and parents at home, after-school programs are laying off staff and switching gears to meet families' needs.




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Assistant Principal Removed After Writing Book With White Nationalist Symbol

The assistant principal wrote a children's book featuring Pepe the Frog, a cartoon character that has been adopted by the alt-right.




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Montana Lets Schools Cancel Smarter Balanced Testing After Technical Woes

Montana Superintendent Denise Juneau said it would be "in the best interest of our students" to let districts cancel Smarter Balanced testing if necessary.




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Feds: No Penalties for Nevada After Smarter Balanced Testing Woes Last Year

The state requested a waiver from the federal requirement in January. Failure to meet the 95-percent requirement can lead to funding penalties for states.




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After Nearly Three Decades in Office, N.D. Schools Chief to Step Down

Wayne Sanstead, who has been North Dakota's state schools superintendent for nearly three decades, has decided not to run for an eighth term this fall.




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Gay teacher ousted from Catholic school after 23 years




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Coronavirus Upends After-School World

With schools shut down, social distancing in place, and parents at home, after-school programs are laying off staff and switching gears to meet families' needs.




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Who's Doing the Teaching After School Lets Out?

Faced with a push for academic programming, after-school providers are deploying new strategies to train and recruit effective educators.




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One State Is Overhauling Its Finance Technology After Long-Standing Fights, Glitches

State education departments' finance technology can cost millions to replace, but those systems are crucial for fiscal transparency and efficiency. Hawaii's is replacing its long-troubled system with a new one to go online this summer.




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New Jersey Postpones PARCC Exam After Technical Problems

New Jersey is one of many states that have experienced problems with the online administering of standardized testing this year.




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Who's Doing the Teaching After School Lets Out?

Faced with a push for academic programming, after-school providers are deploying new strategies to train and recruit effective educators.




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Coronavirus Upends After-School World

With schools shut down, social distancing in place, and parents at home, after-school programs are laying off staff and switching gears to meet families' needs.




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2 Georgia high schoolers expelled after posting racist video




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Former Maryland coach Roy Lester dies after contracting coronavirus

Lester coached at Maryland from 1969-71. He was 96.




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Philip Rivers lines up a high school coaching job for after he retires

Colts quarterback Philip Rivers is signed for the 2020 season and he hasn't made any decisions about whether he'll keep playing in 2021, but it looks like he knows what he'll be doing when he does hang up his helmet. Rivers said when he signed with the Colts that he looked forward to coaching his [more]




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Special Education in Flint, Years After the Water Crisis

By Kaitlyn Dolan Images by Brittany Greeson In the wake of the Flint, Mich., water crisis, the city has new concerns — how do they serve the influx of students in the special education system that may have been caused by elevated lead levels in the city’s water supply. Two mothers, Maxine Onstott and Ebony Dixon, […]




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Diphtheria : its nature and treatment : with special reference to the operation, after-treatment, and complications of tracheotomy / by Robert William Parker.

London : H.K. Lewis, 1891.




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After Four Years, Progress Reported by 'Reconnecting McDowell'

Academic and health offerings have increased in McDowell County, W.Va., due to a private-public partnership.




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West Virginia Teacher Strike Ends After Four Days, Governor Announces Pay Raise

Teachers will receive a 5 percent raise, pending a vote by the state legislature. School will resume Thursday.




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West Virginia Teachers Continue to Strike After State Senate Trims Pay Raise

The West Virginia Senate trimmed the proposed pay raise for teachers from 5 percent to 4 percent, prompting union officials to declare that the strike will continue indefinitely.