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The hidden dementia in motor neurone disease

It is now well recognised that people with motor neurone disease (also known as amyotrophic lateral sclerosis) are at risk of developing frontotemporal dementia. It can be difficult to recognise the symptoms of cognitive decline in this group due to...

Tympanometry with cochlear implants

Multifrequency and multicomponent tympanometry enables evaluation of minute changes in the middle ear system as well as changes in resonant frequency. Change in resonant frequency would indicate a change in the natural characteristics of the middle ear, such as mass...

All present and correct

You have ear protection, but are you using it properly? What are the risks over time? The design of standard earplugs has changed a lot in a decade. Earplug attenuation did reduce over time but still remained safe, however the...

Cascading communication skills to help children with autism

Inadequate workforce resource is an ongoing difficulty across the health professions. This study proposes a train the trainer model, with the ultimate goal of improving the communication skills of children with autism. The study describes an intervention called naturalistic developmental...

Dysphagia services in the emergency department

The emergency department acts as the first port of call for many individuals with wide-ranging diagnoses and conditions, several of whom may potentially present with dysphagia. It is not a usual environment in which speech and language therapists regularly work,...

A useful adjuvant treatment for SNAC or IP

5-Fluorouracil (5FU) is a topical preparation used in the treatment of various dermatological, ocular and gynaecologic malignant and pre-malignant conditions, and this literature review looks at the efficacy of 5FU in treating inverted papilloma and sinonasal tumours. The authors cite...

Demonstrating unobservable effects of therapy through PROMS: a review

Ultimately, healthcare should meet the needs of the people it is designed for. One way of measuring this is using patient-reported outcome measures (PROMS). These tools capture the patient’s perspective and have been described as demonstrating the unobservable effects of...

Update on cholesteatoma

Surgery for cholesteatoma should be tailored to individual patients, considering patient and disease factors, to obtain a dry, safe and functional ear. In this article, the authors discuss the current definitions and classification system of middle ear cholesteatoma, as well...