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Sleep apnoea got your heart in your throat? Perhaps it’s time to ditch the CPAP and fetch the scalpel

The link between obstructive sleep apnoea (OSA) and cardiovascular disease (CVD) is clear. Its well-established association with essential hypertension is thought to link OSA to an increased risk of atherosclerotic and hypertensive sequelae. However, data on the long-term impact of...

Measuring client-centred outcomes in audiology: towards a parsimonious solution

From an international driver to the client-centred care model; in this article Anthony Hogan explores outcome measures for individual goal setting and measuring those outcomes. Introduction When people present for hearing help, they are typically looking for solutions to the...

More than words: looking at all the evidence

Evidence based practice (EBP) is a three-pillared approach whereby information on the research evidence, factors relating to the patient and clinical experience are all considered to inform a care decision. Unfortunately, there is frequently very little research evidence to inform...

Using psychological behaviour change theory in vestibular practice

Fiona Barker explains the importance of recognising and understanding how habitual behaviours in vestibular patients can affect treatment outcomes, and how we as audiologists can support and encourage patients to modify these behaviours and perhaps address our own professional behaviours...

Evidence for balloon eustachian tuboplasty

Balloon eustachian tuboplasty is an emerging intervention aimed at the management of eustachian tube dysfunction (ETD) and its sequelae. The authors acknowledge that ETD is a common but frequently ill-defined problem, with no well-established direct treatment. They performed a systematic...

Talking it through: voice therapy

The authors begin this article by highlighting two issues in voice therapy: 1. the high rate of relapse and 2. poor attendance at appointments. They attribute this to there not being carryover (or generalisation) work embedded into most voice therapy...

Painful temporomandibular joints

This paper is a meta-analysis of randomised controlled trials comparing arthrocentesis with conservative management in painful and restricted mouth opening temporomandibular joint symptoms. Temporomandibular joint dysfunction comprises a spectrum of disorders commonly involving facial pain and loss of oral function...

Voice therapy is an effective treatment for presbyphonia

The quality of an individual’s voice often declines with age. This deterioration occurs firstly as a result of vocal fold atrophy secondary to histologic alteration of the vocal fold mucosa as well as atrophy of the laryngeal musculature. Phonatory efficiency...

From a dysphagia clinical trial to a multidisciplinary head and neck clinical pathway – the road to implementation

This paper describes the barriers and facilitators to establishing a structured and coordinated multidisciplinary care pathway for patients with head and neck cancer at a medical centre in the USA. The initiative was set in motion by the roll out...

Audiology in this issue...Age-related Hearing Loss and Dementia

GUEST SECTION EDITOR Barbara E Weinstein, PhD, Professor and Founding Executive Officer Health Sciences Doctoral Programs, Graduate Center, CUNY, Adjunct Assistant Professor of Medicine, NYU Langone Medical Center, New York, USA. E: bweinstein@gc.cuny.edu The prevalence of dementia is escalating worldwide,...

Hot off the press: new clinically relevant research methodologies for speech and language therapy

Interpretive Description (ID) is a qualitative research framework developed to address the limitations in other qualitative methods that are not epistemologically able to take applied fields, such as clinical professions, into consideration. This framework, often described as a method, has...

Humour to improve clinician - patient interactions

This study examined the role of humour employed by the speech language graduate student during their one-on-one therapy sessions with people with aphasia (PWA). The students used humour to soften the errors made by the clients; to equalise interactional power;...