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Flap’s Links and Comments for March 13th on 21:40

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These are my links for March 13th from 21:40 to 21:46:

  • ADA: An Analytical Review of the Pew Report Entitled, “It Takes A Team”

    The report, It Takes a Team, was released by the Pew Center on the States in December of 2010.1 The report examined the financial impact of incorporating new allied providers such as dental therapists in private practice settings, and  suggests that most practices could serve more patients, improve productivity, and maintain or improve bottom line profit while increasing access to dental care, particularly for Medicaid patients. In this paper, we examine the validity and accuracy of the Pew report through an analytical review using economic theory, survey data and practice-level data.  In general, we see several major flaws in the Pew report, including: a) The misrepresentation of solo general and dental pediatric practices; b) The assumption of unlimited demand for dental services; and c) The assertion that the employment of dental therapists will significantly improve Medicaid patients’ access to dental care. We believe these flaws lead to erroneous conclusions regarding the potential contribution of new allied providers, the benefits that may be accrued to Medicaid patients and dentists’ net incomes. 

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  • Use of creatine in the elderly and evidence for effects on cognitive function in young and old

    Abstract
    The ingestion of the dietary supplement creatine (about 20 g/day for 5 days or about 2 g/day for 30 days) results in increased skeletal muscle creatine and phosphocreatine. Subsequently, the performance of high-intensity exercise tasks, which rely heavily on the creatine-phosphocreatine energy system, is enhanced. The well documented benefits of creatine supplementation in young adults, including increased lean body mass, increased strength, and enhanced fatigue resistance are particularly important to older adults. With aging and reduced physical activity, there are decreases in muscle creatine, muscle mass, bone density, and strength. However, there is evidence that creatine ingestion may reverse these changes, and subsequently improve activities of daily living. Several groups have demonstrated that in older adults, short-term high-dose creatine supplementation, independent of exercise training, increases body mass, enhances fatigue resistance, increases muscle strength, and improves the performance of activities of daily living. Similarly, in older adults, concurrent creatine supplementation and resistance training increase lean body mass, enhance fatigue resistance, increase muscle strength, and improve performance of activities of daily living to a greater extent than resistance training alone. Additionally, creatine supplementation plus resistance training results in a greater increase in bone mineral density than resistance training alone. Higher brain creatine is associated with improved neuropsychological performance, and recently, creatine supplementation has been shown to increase brain creatine and phosphocreatine. Subsequent studies have demonstrated that cognitive processing, that is either experimentally (following sleep deprivation) or naturally (due to aging) impaired, can be improved with creatine supplementation. Creatine is an inexpensive and safe dietary supplement that has both peripheral and central effects. The benefits afforded to older adults through creatine ingestion are subs

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Flap’s Links and Comments for March 8th from 19:28 to 19:31

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These are my links for March 8th from 19:28 to 19:31:

  • Is there a safer way to clean my dog’s teeth?

    Q: My friend says her neighbor, who is a dental hygienist, cleans dogs’ teeth without using anesthesia. Isn’t this a safer way for my dog to have his teeth cleaned?

    A: The American Veterinary Dental College is an organization of board certified veterinary dentists. They are the preeminent experts in the field of veterinary dentistry. They have adopted a thorough position statement concerning this very subject. The full statement reads:

    “In the United States and Canada, only licensed veterinarians can practice veterinary medicine. Veterinary medicine includes veterinary surgery, medicine and dentistry. Anyone providing dental services other than a licensed veterinarian, or a supervised and trained veterinary technician, is practicing veterinary medicine without a license and shall be subject to criminal charges.

    This position statement addresses dental scaling procedures performed on pets without anesthesia, often by individuals untrained in veterinary dental techniques. Although the term “Anesthesia-Free Dentistry” has been used in this context, AVDC prefers to use the more accurate term Non-Professional Dental Scaling to describe this combination.

    Owners of pets naturally are concerned when anesthesia is required for their pet. However, performing NPDS on an unanesthetized pet is inappropriate for the following reasons:

    1. Dental tartar is firmly adhered to the surface of the teeth. Scaling to remove tartar is accomplished using ultrasonic and sonic power scalers, plus hand instruments that must have a sharp working edge to be used effectively. Even slight head movement by the patient could result in injury to the oral tissues of the patient, and the operator may be bitten when the patient reacts.

    2. Professional dental scaling includes scaling the surfaces of the teeth both above and below the gingival margin (gum line), followed by dental polishing. The most critical part of a dental scaling procedure is scaling the tooth surfaces that are within the gingival pocket (the subgingival space between the gum

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  • ‘Good’ Cholesterol May Cut Colon Cancer Risk

    High levels of "good" cholesterol may reduce the risk of colon cancer, a new study suggests.
    If other studies confirm this finding, people with low levels of high-density lipoprotein (HDL) cholesterol should "be advised to change their lifestyle to reduce their risk of colon cancer," said lead researcher Dr. Bas Bueno-de-Mesquita, from the department of gastroenterology and hepatology at the National Institute for Public Health and the Environment in Bilthoven, the Netherlands.
    Cutting "bad" (LDL) cholesterol and increasing "good" (HDL) cholesterol already are known to reduce the risk for heart disease, and this new study provides another reason to pay attention to your blood cholesterol numbers.

    +++++++

    This is a two-fer. good for the heart and the colon.

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Flap’s Links and Comments for March 8th from 19:20 to 19:20

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These are my links for March 8th from 19:20 to 19:20:

  • Senate bill aims to combat pharmaceutical theft -Along with stiffer penalties, the bill would formally criminalize the acts of storing, transporting or changing labels on stolen medical products. Those activities are currently not covered by criminal statutes.The measure comes amid a rise in the value of pharmaceutical heists, which has increased 350 percent since 2007. Last March, the theft of $75 million worth of Eli Lilly drugs from a Connecticut warehouse drew new attention to the problem. It was the largest crime of its kind on record.Law enforcement officials would have more leeway to pursue and punish criminals who steal prescription pharmaceuticals under a proposal introduced Tuesday by Senate lawmakers.

    A bill supported by six Democrats would increase the penalties for stealing stolen medical products and give police extra tools, including wiretaps, to track thieves. The bill accomplishes this by bringing medical theft under the Racketeer Influenced and Corrupt Organizations law, which was originally developed to prosecute organized crime.

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