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Vocal cord dysfunction and dysfunctional breathing: an evolving clinical paradigm

Patients frequently present to the ENT department with breathing difficulties. The entity of ‘vocal cord dysfunction’ (also known as paradoxical vocal cord movement, inducible laryngeal obstruction, and many other names) is increasingly well recognised. Ravi Thevasagayam gives us an overview....

New toolkit educates GPs on how to support hearing loss patients

An educational toolkit developed by the Royal College of GPs (RCGP), in collaboration with hearing loss charity RNID and NHS England & Improvement, aims to support GPs to deliver care for patients with hearing loss. The RGCP toolkit, sponsored by...

Communication in the age of universal masking: speech-to-text apps to the rescue

The ongoing COVID-19 pandemic has touched nearly every aspect of our lives, including how we interact with patients. At this point, it is almost hard to remember a time when we didn’t have to wear masks during clinical encounters. Though...

Electronystagmography and Videonystagmography ENG / VNG

This book provides a good reference for anyone starting out in the field of balance assessment, and would be a useful book in any balance assessment clinic as a source of information from anatomy to test interpretation. Anatomy and physiology...

Alcohol and hearing

Alcohol is a well-known central nervous system depressant. Individual reactions to alcohol might vary, but the connection between alcohol consumption and tolerance to loud noise or difficulties in communication in noisy environments are well-observed phenomena; for example, at evening parties....

Further understanding of GJB2 hearing loss

For many years, hearing loss has been an area which has attracted the interest of clinical and academic geneticists. Genetic testing for severe-profound hearing loss is now commonplace in many healthcare systems. Understanding the genetics of hearing loss has improved...

Do personal listening devices cause cochlear synaptopathy?

Cochlear synaptopathy is a condition in which noise interrupts the synaptic communication between sensory inner hair cells and low spontaneous rate cochlear nerve fibres. Since these nerve fibres are associated with signal coding in noisy backgrounds, their disruption leads to...

Is it really working? Assessment versus real-life language measures

Research in the field of language treatment and rehabilitation to date has used single-word naming as a controlled measure of outcome. Yet, given people do not actually communicate in single words, there is much debate as to whether this approach...

Can we get some satisfaction (in aphasia therapy)?

Patient satisfaction is associated with improved health outcomes, yet using surveys to collate information on satisfaction is limited by the types of questions asked. Satisfaction remains a broad concept but asking respondents more open questions allows service users to define...

Bringing aged care back

Worldwide, our older population is increasing, and thus a need for the provision of care to older people is also increasing. Aged care may be informal, provided by unpaid carers; or formal, provided or subsidised by government or other organisations....

Remembering how to speak

Reminiscence therapy (RT) is an approach that provides people with dementia opportunities to recount nostalgic memories and access thoughts for communication. It is one of the most commonly used therapies in aged care settings. The aim of RT is to...

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...