Antibiotics to improve recovery following tonsillectomy: a systematic review.

OBJECTIVE: To determine if antibiotics improve recovery following tonsillectomy. STUDY DESIGN: DATA SOURCES: Electronic databases Medline, Embase, and Cochrane Controlled Trials Register were searched using relevant search terms. Additional trials, if any, were retrieved by searching the references from all identified trials, reviews, correspondences, editorials, and conference proceedings. No language restriction was applied. STUDY SELECTION: Systematic review of trials in which antibiotic was administered as a study medication intraoperatively and/or postoperatively, in children or adults undergoing tonsillectomy or adenotonsillectomy. Only randomized, placebo-controlled, double-blind trials attaining preset quality scores were included. Outcomes analyzed: 1) pain, need for analgesia, fever, halitosis, and return to normal diet and activities; 2) secondary hemorrhage using 2 parameters-significant hemorrhage (ie, warranting readmission, blood transfusion, or return to theatre for hemostasis) and total hemorrhage; and 3) adverse events. RESULTS: Five trials met the eligibility criteria. Antibiotics significantly reduced the number of subjects manifesting fever (relative risk [RR]: 0.62, 95% confidence interval [CI]: 0.45, 0.85) and duration of halitosis (-1.94 [-3.57, -0.30] days), and marginally reduced the time taken to resume normal activity (-0.63 [-1.12, -0.14] days), but had no significant effect in reducing pain scores (-0.01 [-0.60, 0.57]) or need for analgesia. Similarly, there was no significant difference in the time taken to resume normal diet or incidence of significant and total hemorrhage, although data was underpowered to detect differences for these outcomes. In the antibiotic group 4 patients developed an adverse reaction (3 cases of rash and 1 case of oropharyngeal candidiasis), while in the control group 1 patient had an adverse reaction (rash). The RR of antibiotic-related adverse events was 2.45 (0.45, 13.31). CONCLUSION: Antibiotics appear to be effective in reducing some, but not all, morbid outcomes following tonsillectomy, and may increase the risk of adverse events. Further trials are needed to better define the role of antibiotics in facilitating post-tonsillectomy recovery. EBM RATING: A-1a

Implementation of packaged integrated antenna with embedded front end for Bluetooth applications

The design, integration and realization of system in enhanced package approach towards fully functional system level integration by using a compact Bluetooth USB dongle as the demonstrator is presented here. The integration was done on FR4 substrates, which is totally compatible with today’s printed circuit board manufacturing capability. A commercially available Bluetooth integrated chip was chosen as the chipset of our demonstrator, and a package integrated antenna together with an embedded front end completes the system in package integration. The front end developed here is based on an embedded meander line combline filter and an embedded transformer balun. The filter has a 35% area reduction when compared with the classical combline filter and similar performance. The balun has the coils distributed on three layers that minimized the board area needed it and optimizes the performances. The proposed packaged integrated antenna approach is successfully demonstrated here and the new module shows excellent performance when compared with a commercial solution, surpassing the normal Bluetooth class II dongle range which is up to 10 m and increasing the module range up to 120 m without an extra power amplifier

Panoramic-reconstruction temporal imaging for seamless measurements of slowly-evolved femtosecond pulse dynamics

Single-shot real-time characterization of optical waveforms with sub-picosecond resolution is essential for investigating various ultrafast optical dynamics. However, the finite temporal recording length of current techniques hinders comprehensive understanding of many intriguing ultrafast optical phenomena that evolve over a time scale much longer than their fine temporal details. Inspired by the space-time duality and by stitching of multiple microscopic images to achieve a larger field of view in the spatial domain, here a panoramic-reconstruction temporal imaging (PARTI) system is devised to scale up the temporal recording length without sacrificing the resolution. As a proof-of-concept demonstration, the PARTI system is applied to study the dynamic waveforms of slowly-evolved dissipative Kerr solitons in an ultrahigh-Q microresonator. Two 1.5-ns-long comprehensive evolution portraits are reconstructed with 740-fs resolution and dissipative Kerr soliton transition dynamics, in which a multiplet soliton state evolves into stable singlet soliton state, are depicted

An overview on interproximal enamel reduction

Ever since its first introduction seven decades ago, there has been continuous advancement of the concept and technique of Interproximal enamel reduction (IPR). It’s demonstrated that with correct case selection and clinical performance, IPR is safe and effective for alleviating crowding, improving dental and gingival aesthetics as well as facilitating post-treatment stability. The fulfilment of treatment outcomes depends on careful pre-treatment examination and planning, appropriate clinical procedures and effective post-treatment protection. This review aims to provide a general introduction to IPR in terms of its history background, risks and benefits and clinical performance.published_or_final_versio