The association between rheumatoid arthritis and periodontal disease

Chronic, plaque-associated inflammation of the gingiva and the periodontium are among the most common oral diseases. Periodontitis (PD) is characterized by the inflammatory destruction of the periodontal attachment and alveolar bone, and its clinical appearance can be influenced by congenital as well as acquired factors. The existence of a rheumatic or other inflammatory systemic disease may promote PD in both its emergence and progress. However, there is evidence that PD maintains systemic diseases. Nevertheless, many mechanisms in the pathogenesis have not yet been examined sufficiently, so that a final explanatory model is still under discussion, and we hereby present arguments in favor of this. In this review, we also discuss in detail the fact that oral bacterial infections and inflammation seem to be linked directly to the etiopathogenesis of rheumatoid arthritis (RA). There are findings that support the hypothesis that oral infections play a role in RA pathogenesis. Of special importance are the impact of periodontal pathogens, such as Porphyromonas gingivalis on citrullination, and the association of PD in RA patients with seropositivity toward rheumatoid factor and the anti-cyclic citrullinated peptide antibody

Ethnicity and sexuality

This paper explores the connections between ethnicity and sexuality. Racial, ethnic, and national boundaries are also sexual boundaries. The borderlands dividing racial, ethnic, and national identities and communities constitute ethnosexual frontiers, erotic intersections that are heavily patrolled, policed, and protected, yet regularly are penetrated by individuals forging sexual links with ethnic "others." Normative heterosexuality is a central component of racial, ethnic, and nationalist ideologies; both adherence to and deviation from approved sexual identities and behaviors define and reinforce racial, ethnic, and nationalist regimes. To illustrate the ethnicity/sexuality nexus and to show the utility of revealing this intimate bond for understanding ethnic relations, I review constructionist models of ethnicity and sexuality in the social sciences and humanities, and I discuss ethnosexual boundary processes in several historical and contemporary settings: the sexual policing of nationalism, sexual aspects of US-American Indian relations, and the sexualization of the black-white color line

Clinical practice guidelines or clinical research guidelines?

info:eu-repo/semantics/publishe