Exploring Giving Antibiotics Before Third Molar Surgery (Wisdom Teeth Removal) in Spain

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An issue that one asks when having third molar surgery (wisdom teeth removal) is one whether should have antibiotics administered before or after surgery (or not at all). See for example http://www.teethremoval.com/antibiotic_resistance.html In a recent article appearing in J Evid Base Dent Pract 2012, issue 12, pp. 149-150, Manal A. Awad, reviewed a study exploring amoxicillin administration to those who were having wisdom teeth extracted. The original study was titled “Efficacy of amoxicillin treatment in preventing postoperative complications in patients undergoing third molar surgery: a prospective, randomized, double-blind controlled study,” by Lopez-Cedrun JL, Pijoan JI, Fernandez S, and Santamaria J, Hernandez G and appeared in the electronic 2011 version pages 5 -14, issue 69, number 6. It is well known that amoxicillin is useful in treating oral infections. In the study 123 healthy patients between the ages of 18 and … Read more

Migraine in Children Can Lead to Reduced Performance in School

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In an article titled “Migraine and migraine subtypes in preadolescent children Association with school performance,” appearing in Neurology in 2012 by Marco A. Arruda and Marcelo E. Bigal, a discussion is made that children with migraine may have below average school performance than kids who do not have headaches. The study looked at 5,671 children ages 5 to 12 from Brazil and found that those with migraine were 30% more likely to have below average school performance than those children with no headaches. The researchers collected information from the student’s teachers on their performance and also completed a questionnaire screening for emotional and behavioral problems. Further, the researchers interviewed parents of the students from medical history and other potential useful information. Of the 5,671 children around 0.6% had chronic migraine occurring 15 or more days per month and 9% had … Read more

Market Interaction Erodes Moral Values

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An interesting article appears in Science in May 2013, titled Morals and Markets (A. Falk, and N. Szech.vol., 340, pp. 707-711). The article sets out to explore how market participants change their attitudes towards harm and damage done to third parties. The act of producing and trading goods in a market produces negative externalities that can lead to exploiting the workforce through poor working conditions, child labor, and environmental damage. It has been observed that people who participate in markets buy goods without much regard to their own moral standards. The researchers devised an experiment to show that if people participate in markets than their moral standards are lowered. The researchers state “Our paradigm for studying moral values and detrimental effects on third parties is the trade-off between a mouse life and money. In our main treatments, human subjects faced … Read more

Are Migraine Related Changes Related to Impaired Cognition?

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A recent study titled “Structural Brain Changes in Migraine,” appears in The Journal of the American Medical Association, November 14, 2012, vol. 308, no. 13, pp. 1189-1897, by Inge H. Palm-Meinders et al. The study set out to follow-up the 2000 Cerebral Abnormalities in Migraine, an Epidemiological Risk Analysis cohort (CAMERA-1), a prospective population based observational study of Dutch participants with migraine and an age and sex matched control group. This study showed that women with migraines were more likely to have scattered areas of white mater changes on MRI scans. The current study is known as CAMERA-2 and the researchers wanted to determine  whether women or men with migraine have a higher incidence of brain lesions 9 years after initial MRI, whether migraine frequency was associated with progression of brain lesions, and whether progression of brain lesions was associated … Read more

Oklahoma Dentist Disciplinary Database

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A lot of media publicity has occurred regarding a case that appeared last month where patients of an oral surgeon in Oklahoma were asked to get tested for HIV and hepatitis after it was found that potentially lax sterilization procedures were used. More on this case is discussed over at Dental Patients Warned of Possible HIV and Hepatitis Exposure Due to Oral Surgeon’s Practices for example. The Tulsa World has been prompted to publish a searchable database of all disciplinary actions taken against dentists, in the state of Oklahoma from January 2000, to January 2013, after the case involving lax sterilization procedures came to light. In that case one patient had four third molars (wisdom teeth) removed and was allegedly given sedation by a dental assistant who should not have been giving sedation. She later developed an infection and liver … Read more