Incidence and treatment of complications in patients who had third molars or other teeth extracted

The aim of this study was to compare the incidence of complications after extraction of third molars (M3) or other teeth, and to describe their management. We made a retrospective cohort study of patients having M3 or other teeth extracted, and recorded complications up to two years' follow-up. A total of 142 complications developed after 2355 procedures (6%) - 7% after extraction of M3 compared with 5% after extractions of other teeth (p=0.024). The three most common complications were wound infection (2%), pain without apparent cause (<1%), and oroantral communication (<1%). Patients who had M3 extracted were at increased risk of complications compared with those who had other teeth extracted (Odds ratio (OR) 1.5, p=0.024), particularly for infection (OR 5.9, p<0.001) and hypoaesthesia (OR 8.4, p=0.027). Half of all patients with a complication were treated with antibiotics orally. The incidence of postoperative bleeding was 0.6% as a result of suboptimal management of antithrombotic drugs in extractions of teeth other than M3. Finally, optimal treatment of the complications was compared with the available evidence. Prevention and treatment of these complications could reduce the incidence, particularly of bleeding.status: publishe

Performance of SON for RSRP-based LTE/WLAN access network selection

Carrier-grade Wireless Local Area Network (WLAN) is becoming an important complementary system to cellular networks for Mobile Network Operators (MNOs). Network controlled access network selection between cellular and WLAN is an essential functionality to optimize network performance and user experience. Automated configuration and optimisation of the network selection mechanism is of utmost importance in the emerging complex heterogeneous networks. In this article, we present and evaluate a Self-Organizing Network (SON) scheme for optimizing autonomously the access network selection between the Long Term Evolution (LTE) and WLAN systems. The adopted access network selection mechanism uses the standard LTE Received Reference Signal Power (RSRP) measurements available at the User Equipment (UE) and a set of simple rules based on network-provided RSRP thresholds. The proposed SON mechanism is using the LTE cell load estimated at the evolved NodeB (eNB) to update the RSRP thresholds in order to achieve the best load balancing in the network. Simulation results in a realistic network highlight the benefits of the proposed SON mechanism and possible further improvements

Androgenic and estrogenic regulation of Atrogin-1, MuRF1 and myostatin expression in different muscle types of male mice

The molecular factors targeted by androgens and estrogens on muscle mass are not fully understood. The current study aimed to explore gene and protein expression of Atrogin-1, MuRF1, and myostatin in an androgen deprivation-induced muscle atrophy model

Sensibilité, spécificité et impact sur la stratégie chirurgicale du neuromonitorage peropératoire par potentiels évoqués somesthésiques en chirurgie vasculaire pratiquée avec arrêt circulatoire sous hypothermie profonde.

AIM: Median nerve somatosensory evoked potentials (SEP) monitoring performed in deep hypothermic circulatory arrest is useful in determining when brain cooling may sufficiently permit circulatory arrest, and to immediately indicate when brain injury occurs. The aim of this retrospective study, including 58 patients, is to determine SEP sensitivity, specificity and impact on the surgical strategy. METHOD: Sensitivity was determined on patients presenting new neurological complications. Specificity was measured on the patients without any new neurological defect. The impact of intraoperative SEP on the surgical strategy was determined when the occurrence of SEP alterations had provoked a modification of the surgical procedure. RESULTS: Five patients died intraoperatively due to non-neurological complications. Fourteen patients presented new neurological complications. SEP sensitivity reaches 64.3% when all the complications are included, but increases to 100% in our series if late postoperative complications, paraplegia and tibial posterior nerve lesion are excluded because median nerve SEP are not able to detect such complications. SEP monitoring was uneventful in the 39 patients whose did not present neurological complication: thus SEP specificity is absolute in our series. SEP had an impact on the surgical procedure whenever neurological complications due to hemodynamic disturbances occurred. CONCLUSION: This retrospective study shows the interest of intraoperative SEP as an useful tool for promptly identifying and preventing the neurological complication of hypothermic circulatory arrest