Archive | March, 2012

Exercise Effective for Preventing Migraines

An interesting study was recently published in Cephalalgia and looked at 91 migraine patients. A third of these patients were asked to exercise for 40 minutes for 3 times a week with the supervision of a physiotherapist, another third were doing relaxation exercises, and the final third of the patients was given topiramate. The study lasted for a total of 3 months, in which the migraine status, aerobic capacity, level of physical activity, and quality of life was evaluated.  Follow ups of the study were carried out after 3 and 6 months. The randomized controlled study was performed by researchers at the Sahlgrenska Academy at the University of Gothenburg in Sweden. The results showed that the number of migraines fell in all three groups that were examined and described above. There was no difference in the preventative effect between the three treatments. Emma Varkey, the physiotherapist and doctoral student responsible for the study stated: “Our conclusion is that exercise can act as an alternative to relaxations and topiramate when it comes to preventing migraines, and is particularly appropriate for patients who are unwilling or unable to take preventative medicines.” I suppose it would be interesting to do further studies at […]

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Third Molar Morbidity Among Troops Deployed

A few articles have been recently released in late 2010 discussing third molars (wisdom teeth) among those serving in the military. Guidelines from NICE and SIGN as stated over at due state that those who have a certain occupation such as in the armed forces should certainly strongly consider having wisdom teeth removed before they cause problems due to not being able to easily have access to dental treatment. A paper was put out in December 2010 titled “The Impact of Retained Third Molars on the Deployed Airman.” It is over at this link here. The article is written by Robert E. Langsten and William J. Dunn and states that as many as 22% of all emergency department visits at a deployed Expeditionary Medical Support facility can be attributed to dental problems. The article mentions how there is no reliable method to predict when asymptomatic partially erupted third molars will become painful. Thus Air Force dental providers should carefully consider that not every medical facility in theater has an oral surgeon on staff and that air evacuation/transport of these patients can be expensive and time consuming. The article recommends that each patient should be questioned as to whether or […]

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Evidence Base for Oral and Maxillofacial Surgery Journals

An interesting articled titled “The evidence base for oral and maxillofacial surgery: 10-year analysis of two journals,” appeared in the January 2012 edition of the British Journal of Oral and Maxillofacial Surgery (vol. 50, issue 1, pages 45-48) wirrten by Amandip Sandhu. The author opens by discussing an editorial in the Lancet in 1996 which discussed how there is a lack of scientific rigor in surgical research. The author states “There is a well established hierarchy of levels of evidence, and the medical community considers that meta-analyses and randomised controlled trials (RCTs) are the most scientifically stringent means of investigating the efficacy of one intervention against another. Other grades of evidence (in increasing weakness of level of evidence) are case controlled studies, comparative studies, case series, correlation studies and expert committee reports, and the clinical experiences of respected authorities.” The author evaluated articles published in both the British Journal of Oral and Maxillofacial Surgery and the International Journal of Oral and Maxillofacial Surgery between January 1999 and December 2009. The author looked at the abstract of every article and looked at the article in full if the abstract was not sufficient for analysis. The author looked at 3294 articles and […]

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Why Bother With Research

An intriguing article recently appeared in the International Journal of Oral and Maxillofacial Surgery titled “Research – why bother?” (vol. 40, issue 12, page 1346, December 2011) written by G. Dimitroulis. The article discusses of oral and maxillofacial surgery needs research to make itself known as a professional body and not as just a technical trade. A brief mention is made that dual degree programs place time pressures on trainees at the expense of research. The author mentions how head and neck surgical oncology is shared by a number of surgical specialties with mutual interest. The author states “We cannot rely rely on the research experience of other surgical specialties if we are to secure the respect and trust of our medical and surgical colleagues from other disciplines who also have a mutual interest in head and neck oncology.” The author goes on to say “It is only through our diligent efforts to record and analyse our surgical experiences, and making these known to the world through journal publications, that we are able to consolidate our interests in various specialized areas of surgery such as cleft surgery, trauma, surgical oncology and implants and so on.” The author says that all […]

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Getting published in peer-reviewed journals

An interesting article appears in the December 2011 issue of the International Journal of Oral and Maxillofacial Surgery (vol. 40, issue 12, pages 1342-1345) titled “Getting published in peer-reviewed journals,” by G. Dimitroulis. The author opens by saying “Writing a paper for publication in a peer-reviewed journal is a rewarding experience. Even though there are no direct financial incentives for publishing in peer-reviewed journals, thousands of manuscripts are produced each year which compete for the limited journal space available worldwide. In other words, there is a sense of pride and achievement behind every published journal article that has its own rewards for which money plays no role.” Journal articles can be published to help comment or criticize the work of others, to synthesize and build a consensus about what is presently known, to announce new work, to serve as training for those postgraduate students, to further one’s career, to help attract funding, and even just by the desire to have one’s name appear in print. The author mentions that most oral and maxillofacial surgery literature that is evidence based is that of retrospective case series with a comprehensive review. The author points out that it can be hard to convince […]

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