Archive for October 23rd, 2011

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These are my links for October 23rd from 22:36 to 22:47:

  • Dentists, patients feel economy’s bite in Sacramento area

    Douglas Lott sees it in the faces of many young people sitting in his Sacramento dentist's chair.

    "I have more people unable to pay for treatment," Lott said. "The hardest hit are the younger kids, who … don't have a steady job, or insurance, or are in college. When you tell them they need a root canal or crown for $2,500, they have a look on their face like it's not real."

    But Sacramento's double-digit jobless rate and bleak economic conditions are all too real, and they're affecting dentists along with their patients. Like many small businesses, Sacramento area dental practices are getting drilled by the economy, state budget cuts and insurance plan changes.

    Dentists in the Sacramento region are reporting that business dropped by as much as 25 to 30 percent in the last three years, said Cathy Levering, executive director of Sacramento District Dental Society. That number is about even with the statewide figures for decreased dental business, she said.

    Dentists are also struggling with lost retirement funds in the stock market, which is delaying retirement and making it tough for younger dentists to move into practices. Meanwhile, cuts to Denti-Cal, the lack of free dental clinics and decreasing insurance coverage over the last decade are chipping away at dentists' profits.

    Because of state budget shortfalls, the state's Denti-Cal program eliminated adults from its program in 2009, making only children and pregnant women eligible for subsidized dental care and further reducing patient loads.

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  • Young vegetarians: Getting the nutrition they need

    Niki Gianni was 11 or 12 when she found a video on YouTube called "Meet Your Meat." Saddened and disgusted by the footage from a slaughterhouse, the Chicago girl announced she was no longer going to eat meat. Her parents were less than thrilled.

    "When she first said she wanted to be a vegetarian, we were just looking at each other and we said, 'We can't be switching meals for you. You are not going to get your protein.' We were not educated in the health benefits," said Gianni's mother, Julie Gianni.

    While many parents worry whether their vegetarian or vegan children will receive adequate nutrition for their growing bodies, the American Dietetic Association says such diets, as long as they are well-planned, are appropriate for all phases of life, including childhood and adolescence. "Appropriately planned" vegetarian or vegan diets are healthful, nutritionally adequate and may provide health benefits in the prevention and treatment of certain diseases, the dietetic association says.

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  • Healthy Halloween Advice for Children With Diabetes

    While there are challenges, Halloween can still be fun for children with diabetes, an expert says.

    "They can enjoy Halloween and enjoy some of the sweets the holiday offers — within reason," Dr. Kenneth McCormick, a pediatric endocrinologist and senior scientist at the University of Alabama at Birmingham Comprehensive Diabetes Center, said in a university news release.

    "We give parents and kids three options and let them decide how they want to handle Halloween and the sweets that come with it," he explained.

    The first option is to count carbohydrates. A child tracks how many carbohydrates he or she consumes and takes, for example, one unit of insulin for every 15 to 20 grams of carbs.

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These are my links for June 27th through October 23rd:

  • Oral Bacteria May Signal Pneumonia Risk-Oral bacteria may signal which patients are likely to develop healthcare-associated pneumonia, a researcher said here.

    In a small study, there was a sharp divergence between the composition of oral bacteria of ventilated intensive care patients who developed healthcare-associated pneumonia and those who did not, according to Samit Joshi, DO, of Yale University in New Haven, Conn.

    The shift occurred in the days before the patients developed the infection and was characterized by a decline in some forms of bacteria and increases in others, Joshi told reporters at the annual meeting of the Infectious Diseases Society of America.

    The finding has “implications for how we prevent pneumonia in the future,” Joshi said, and may also hold the seeds of new approaches to treatment if it turns out that bacterial changes actually cause the healthcare-associated pneumonia.

    But he cautioned that the genetic method used in the study — a technique called 16S rRNA gene pyrosequencing — can’t currently be employed at the bedside, so that clinical applications of the findings will not be immediate.

    It had long been known that the bacteria of the mouth play a role in dental caries and other dental diseases, Joshi said, but recently there has been a suggestion that they may also play a role in healthcare-associated pneumonia.

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  • Botox, dermal fillers can enhance implant outcomes-When placing dental implants, practitioners should consider using Botox and dermal filler agents for patients who need facial volume restorations, according to a presentation at the American Academy of Implant Dentistry (AAID) annual meeting in Las Vegas, October 19-22.
    “Besides creating beautiful smiles, we like to create harmony between the dentofacial complex by addressing the deep lines and wrinkles in the face that can prevent our patients from looking their best,” said Pankaj Singh, DDS, in an AAID press release.
    For older dental implant patients with facial aging, the corners the mouth begin to turn down and wrinkles appear around the lips. Botox can relax affected muscles to raise mouth corners and smooth wrinkles to ensure successful and satisfying outcomes, according to Dr. Singh.
    In addition, dermal filler agents treat fat and collagen volume that causes static lines to develop. “As we age, our body’s production of hyaluronic acid, the body’s natural filler, decreases, which causes facial lines to appear,” Dr. Singh said.
    It takes about two weeks for dermal filler agents to show results, he added, and some patients experience side effects, such as localized pain, infection, bleeding, swelling, redness, bruising, and tenderness in and near the injection site. In addition, results are not permanent, and injections will need to be repeated periodically to maintain the cosmetic improvement.

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