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A review of DISE classification systems

This article looks at the wide variety of classification systems currently available for interpreting drug induced sleep endoscopy (DISE).The fact that there are so many classification systems, suggests that there is: A) a lot of disagreement about how DISE should...

Efficacy of interventions for stuttering: literature review

This is the first part of a two-article review of the efficacy of different modalities of treatments used for treatment of stuttering / stammering. In this article, the authors describe their efforts to identify and quantify evidence on various interventions...

Voice issues in transgender individuals

Recently, former decathlete and TV personality, Bruce Jenner, admitted that he is transgender, thereby becoming the most famous and vocal advocate for transgender issues. Transgender refers to female to male or male to female identification. In either case, voice modification...

Gum as a thickening agent in dysphagia management

Foods and fluids are commonly thickened with starch based thickeners in the management of dysphagia to prevent aspiration. Now gums are gaining popularity as thickeners as they are resistant to salivary amylase. This study compared the effect of human saliva...

Speech audiometry tests in elderly patients with mild cognitive impairment

This paper caught my eye because, with our ageing population, mild cognitive impairment and dementia are a major, growing problem. We know that ageing causes a multitude of medical and social issues. So it seems wise to investigate the effects...

Postconcussion syndrome: weighing up the options on balance

Balance problems, dizziness, headaches, nausea, vomiting and sensitivity to light and sound, are a few of the symptoms which may be associated with post concussion syndrome (PCS), concussion symptoms which persist longer than 21 days. This article presents a physical...

Speech perception in the ageing population

Speech perception can present a challenge as we grow older. One of the factors responsible is, of course, hearing loss. Now research indicates that other non-auditory factors like cognitive decline may also contribute to difficulties in understanding speech. The authors...

Auditory processing in children with unilateral hearing loss

It is a common assumption that unilateral hearing loss (UHL) in children is of little consequence because appropriate development of speech and language can still occur with one normal hearing ear. Recent studies, however, suggest that there are significant differences...

Early intensive aphasia therapy in stroke patients

The impact of aphasia following stroke is devastating. Very early aphasia rehabilitation studies have been the subject of ongoing debate. This paper describes the comparison of a very early aphasia therapy regimen with a historical ‘usual care’ control group after...

Questionnaire to determine quality of life in Parkinson’s disease patients with swallowing problems

The quality of life (QoL) in individuals with Parkinson’s disease (PD) is often influenced by changes in their swallowing abilities. The authors of this paper have developed a valid, statistically appropriate questionnaire which is also clinically effective and can be...

Instrument assessment preferable over standard beside swallow to determine prevalence of aspiration

Aspiration does not trigger the protective cough response in some patients. The patient’s response may vary according to fluid viscosities and volume. The authors of this prospective study investigated the prevalence of aspiration and response to aspiration of different viscosities...

A global survey of tracheostomy healthcare provision and patient participation: requirements for improvement

Patients with tracheostomy require comprehensive care which should begin in the preoperative phase and go through immediate postoperative and discharge phases with patient involvement as well. The authors assessed this with a multicentre, cross-sectional survey using a mailing list held...