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The challenge of disrupting the hearing care market in the USA

Barry Freeman, an Audiology Consultant of extensive global experience, examines the business model of hearing care service delivery in America. He discusses the challenges the profession has faced, and proposes some food for thought on learning from other health care...

The outer ear in the visual arts

The ear is an exceptional organ, and quite rightly takes its place in the visual arts, as described by Albert Mudry, who takes us on a whistle-stop tour of the appearance of the ear and its depictions in art throughout...

Endoscopic CSF leak repair using nasoseptal flap

Many of us during training or in established practice will have encountered the complication of anterior skull base CSF leak. This can be a challenging problem to deal with and in this article the authors describe their favoured approach. Cerebrospinal...

Old age is hard to swallow

This article takes us through the diagnosis and management of swallowing problems common in older age. As our global population continues to grow and live longer, dysphagia will continue to be a global problem which needs to be recognised, understood...

A one-stop state of the art, non-profit healthcare facility in Pune, India

In 2001, a non-profit healthcare facility was founded in Pune India, providing low and middle income group patients with treatment, not only at a minimum cost, but of a quality which bears the stamp of approval by the Royal College...

Full Vs tapered dose of oral prednisolone for sudden sensorineural hearing loss

I was drawn in by the title of this article, in the expectation that it might be a randomised controlled trial, but it was not. Sudden sensorineural hearing loss is an uncommon condition, which has a potentially disastrous outcome, so...

Precautions to be taken in cosmetic facial surgery

In this comprehensive write-up on precautionary measures to be taken when doing cosmetic surgery on our patients, the authors begin by emphasising that facial plastic surgery is no longer limited to celebrities and the privileged. It has extended into everyday...

Time to professionalise medical leadership

For a profession proud of its adherence to an evidence base, medicine has been remarkably slow to acknowledge and to act on the evidence which underpins the value of good leadership to patients and the healthcare system. Mr Robert Francis...

Listening and Spoken Language Therapy for Children with Hearing Loss

I’d like to start this review with a disclaimer – I don’t deliver speech and language therapy but am interested in how speech, language and communication are developing in the children we see with hearing loss within audiology. I found...

Speech in noise hearing difficulties

The phenomenon of speech understanding in noise in normal hearing people attracts the interest of researchers continuously. This study’s aim was to further explore the possible reasons behind these difficulties. The participants were 50 adults that reported having normal hearing...

Nothing about us without us: a how-to guide

Participatory design is an approach that is built around collaboration with users through a process of coproduction, design and creation. Most interventions are designed with the expert clinician researcher as the starting point, who looks at theory, evidence and their...

A song for my future self

People with aphasia experience a loss of friendships and social networks and, with this, a loss of identity. Interventions targeting participation, social and emotional wellbeing for people with aphasia have received more attention in the research literature. Storytelling is a...