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BACO Revisited - 1991

British Academic Conference (BACO) Revisited: Dublin, 1991 Report by: Musheer Hussain In anticipation of BACO 2020, Musheer Hussain takes a look back at some of the BACO conferences of past years, beginning with a memorable few days in Dublin in...

A systematic review of adjunctive probiotic therapy in the management of chronic rhinosinusitis

It is generally understood that administering substances containing live microbiologically active micro-organisms (probiotics) enhances the treatment of chronic rhinosinusitis. Probiotics manipulate and rebalance the alterations occurring in the local microbiome in chronic rhinosinusitis patients. This results in propagation of healthy...

Doing it for the people: how to do speech and language therapy

This review article distils 58 studies, collating information from people with aphasia, their families and clinical speech and language therapists summarising the seven habits of highly effective aphasia therapists. Habit 1: Effective therapists invest time in and prioritise relationships with...

Let the maths do the talking for word-finding difficulties

Anomia (word-finding difficulties) can arise when a person has a stroke, dementia or other neurological disorder affecting the left (typically) hemisphere of the brain. There are lots of theories underlying the process of word retrieval, many of which have not...

Royal Society of Medicine – the year ahead

Professor Peter Andrews and Professor Manohar Bance look forward to 2022-23.

What I look for at a conference (and why you should go to BACO 2023)

Professor Claire Hopkins has attended more than her fair share of international meetings, and she shares her top tips. COVID has changed the face of medical education forever – who would have thought only a few years ago that we...

Take a breath between mouthfuls

Pulse oximetry provides a measure of the percentage of oxygen in the blood. The usual range of readings on pulse oximetry is 97-99%. Older people may have lower pulse oximetry readings than younger people, and young women have higher readings...

How well do different assessments of swallowing correlate with one another?

Swallowing (dys)function may be assessed by three key measures: 1. instrumental swallowing techniques such as the modified barium swallow (MBS) or videofluoroscopy; 2. functional measures of diet texture that patients can eat comfortably (usually rated by the clinician); and 3....

Can laryngeal sensitivity testing predict aspiration and pneumonia in dysphagic patients?

The laryngeal adductor reflex (LAR) is characterised by brief vocal cord closure in response to laryngeal stimulation. It is important in swallowing physiology as it represents a mechanism for airway protection. The authors of this study examined whether the absence...

Anatomy and Physiology of Speech and Hearing

This American book is written for students “in the field of communication sciences and disorders”, however, this is a very useful text for anyone wanting to understand the underpinning science behind speech, swallowing and hearing and balance. The book is...

Do certain chronic medications increase dysphagia in older people?

Oropharyngeal dysphagia is known to affect a high number of older people in the community, in care homes and in acute geriatric admissions to hospital. The authors of this study have recognised that many older people take drugs for chronic...

Streamlining ENT pathways

Laryngopharyngeal reflux (LPR) may present with severe extra-gastrointestinal symptoms – including a persistent cough, vocal problems, asthma or difficulty swallowing – that can be incorrectly attributed to ENT problems because patients and GPs alike assume they stem from colds, allergies or over-using the voice.