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Older patients hospitalised for pneumonia: what factors determine survival after discharge?

A high proportion of older adults hospitalised for pneumonia may have co-existing risk of aspiration due to dysphagia. The authors of this single-centre retrospective cohort study followed up patients over the age of 65 who were admitted to hospital with...

Hearing loss: a challenge in Uganda

The charity, Helping Uganda Schools (HUGS), started 25 years ago. It funds the building of schools and sponsors young adults to university level. Education empowers, enhances lives and gives prosperity to countries.

The EU Medical Device Regulation (MDR)

Back in May 2017, the EU Medical Device Regulation (MDR 2017/745) entered into force, replacing existing directives: Active Implantable Medical Devices (AIMD) In-vitro Diagnostic Directive (IVDD) Medical Device Directive (MDD) By 26 May 2020, the new regulation will have completed...

In conversation with Prof Peter John Wormald: The past, present and future of treating CRS

At ERS2023, Prof PJ Wormald will lecture on the past, present and future of treating chronic rhinosinusitis (CRS). We caught up with him recently to hear about the major improvements, the hypes and his dreams for the future of treating...

In conversation with Paul Lamb

Paul Lamb recently joined a team undertaking a hearing care mission to Armenia with the Starkey Hearing Foundation. Paul took time to discuss the aims and achievements of these missions through his personal experiences with the foundation. Paul Lamb. The...

Parathyroid pearls

This article serves to deliver some pearls of wisdom in parathyroid surgery for the ‘low volume parathyroid surgeon’. They have been divided into those relating to the preoperative diagnosis, imaging and localisation techniques and surgical difficulties. Recognised sources of error...

Bluestone and Stool’s Pediatric Otolaryngology – Fifth Edition

What should be the appropriate inter-edition interval of a major multi-volume textbook? The first edition of Bluestone and Stool’s Pediatric Otolaryngology was published as a single volume in 1983, just over 30 years before this fifth edition was in 2014,...

Hearing Impairment and Hearing Disability – Towards a Paradigm Change in Hearing Services

I offered to review this book hoping to gain some helpful and insightful tips for an assignment that I have been working on. The title implies that the book will give practical tips and strategies for helping to deliver service...

Sinonasal Complications of Dental Disease and Treatment: Prevention - Diagnosis - Management

As otorhinolaryngologists, we are trained to examine the computed tomography (CT) scans of all patients with maxillary chronic rhinosinusitis (CRS) for potential dental disease. The mainstay of managing this is generally limited to referring the patient to their dentist or...

New MRI technique assesses treatment response in skull base osteomyelitis

This paper describes another useful imaging technique to monitor Necrotising Otitis Externa (NOE). Echoplanar diffusion weighted magnetic resonance (DW MR) shows high signal on the ‘ADC map’ with active disease and this reduces in signal intensity as symptoms improve. This...

Application of paper patching in patulous eustachian tube

The condition of patulous eustachian tube, as opposed to dysfunctional eustachian tube, is less frequently diagnosed. Symptoms related to this, such as autophony, aural fullness, ‘being under water’, ‘hearing their own breathing’, and hearing sensitivity (varying in either direction) can...

Prudent audiology

Introduction In January 2014, Professor Mark Drakeford, Minister for Health and Social Services, defined Prudent Healthcare as, “Healthcare that fits the needs and circumstances of patients and actively avoids wasteful care that is not to the patient’s benefit.” ‘Prudent’ healthcare...