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They also have an increased risk of disease reoccurrence, thought to be due to a reduction in gingival blood flow, impaired white cell function, and wound healing, as well as increased production of inflammatory substances (cytokines) that enhance tissue breakdown

10: OBSESSED AMATEURS This chapter draws on the authors interviews with Louis I

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An analysis of the educational differences in the 1990s suggests little real decline in the education gap, especially among the white majority, but changes in attitudes and behavior often occur slowly