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Dear All Please find below the latest collection update, which is also available at http://tinyurl.com/yaqxrz8 <http://tinyurl.com/yfdxgnw> Please feel free to circulate this newsletter to any interested colleagues. Kind Regards Steve Sharp Steve Sharp, Knowledge Manager NHS Evidence - ENT and audiology www.library.nhs.uk/ent Tel 07966 740913 Update Issue 25: January 2010 Welcome to the first collection update of 2010. ENT and audiology research continues to progress relentlessly and new evidence is being added to the collection as it emerges to keep you well informed. This update highlights the recent additions to the site that are available at www.library.nhs.uk/ent - please follow the links for further details of each resource. We welcome feedback on this and any other aspect of the library - please contact us <http://www.library.nhs.uk/ENT/ContactUs.aspx> with any suggested additions or comments. Recent Additions to the Collection Image Resources Visit the new image resources section of the collection <http://www.library.nhs.uk/ENT/SearchResults.aspx?tabID=290&catID=15081> , with over 40 resources already added, including photographs, diagrams, diagnostic images and videos of various conditions, surgical procedures and anatomical structures. Copyright restrictions may apply for usage - please contact source publishers directly for permissions. This section is continually expanding and any further suggestions for high quality, freely available image resources would be welcome. <http://www.library.nhs.uk/ENT/ViewResource.aspx?resID=306585&tabID=288& summaries=true&resultsPerPage=10&sort=PUBLICATION_DATE> Cochrane Systematic Reviews Speech therapy for children with dysarthria acquired before three years of age <http://www.library.nhs.uk/ENT/ViewResource.aspx?resID=327194&tabID=289> Other Systematic reviews ENT A systematic review of the role of immunonutrition in patients undergoing surgery for head and neck cancer <http://www.library.nhs.uk/ENT/ViewResource.aspx?resID=329049&tabID=289& catID=9005> CRD Commentary: The authors' conclusions were reasonable based on the evidence presented, but small sample sizes and small numbers of events mean that the analysis may have been underpowered to detect a reduction in complications. Acoustic measurement of overall voice quality: a meta-analysis <http://www.library.nhs.uk/ENT/ViewResource.aspx?resID=332135&tabID=289> Specialist Collection appraisal: The review contributed to the standardisation of voice quality measures, but with several other limitations acknowledged in addition to inadequate reporting, some caution is required in interpreting the conclusions. Are intranasal corticosteroids all equally consistent in managing ocular symptoms of seasonal allergic rhinitis? <http://www.library.nhs.uk/ENT/ViewResource.aspx?resID=332131&tabID=289> Cochlear implantation under the first year of age - the outcomes. A critical systematic review and meta-analysis <http://www.library.nhs.uk/ENT/ViewResource.aspx?resID=329883&tabID=289> Corticosteroids in the treatment of vestibular neuritis: A systematic review and meta-analysis <http://www.library.nhs.uk/ENT/ViewResource.aspx?resID=329883&tabID=289& catID=9005> Diagnostic challenges and safety considerations in cochlear implantation under the age of 12 months <http://www.library.nhs.uk/ENT/ViewResource.aspx?resID=332156&tabID=289& catID=9005> Dysphagia treatment post stroke: a systematic review of randomised controlled trials <http://www.library.nhs.uk/ENT/ViewResource.aspx?resID=331783&tabID=289& catID=9005> CRD commentary: The authors appropriately considered the limitations of the evidence, in particular, small sample sizes and heterogeneity of treatments and outcomes. The authors' cautious conclusion appeared reasonable, but it should be borne in mind that it was based on studies with considerable differences, some of which were of low quality. Effect on quality of life of continuous positive airway pressure in patients with obstructive sleep apnea syndrome: a meta-analysis <http://www.library.nhs.uk/ENT/ViewResource.aspx?resID=331784&tabID=289& catID=9005> CRD Commentary: The review was carried out with sufficient attempts to minimise bias, but it was unclear how many reviewers performed the study selection. Overall, the authors' conclusions reflect the evidence presented and are likely to be reliable. Intratympanic Steroids for Inner Ear Disorders: A Review <http://www.library.nhs.uk/ENT/ViewResource.aspx?resID=330786&tabID=289& catID=9005> Making sense out of the tonsillectomy literature <http://www.library.nhs.uk/ENT/ViewResource.aspx?resID=333010&tabID=289& catID=9005> Specialist Collection appraisal: The conclusions present valid points about the quality of the included evidence and the need for further research, but the inadequate methods of the review itself should be noted. Non-surgical correction of congenital deformities of the auricle: a systematic review of the literature <http://www.library.nhs.uk/ENT/ViewResource.aspx?resID=332149&tabID=289> Specialist Collection appraisal: Although the recommendation for further research is justified, the conclusions should be interpreted with caution given the methodological limitations. Topical steroids in chronic rhinosinusitis without polyps: a systematic review and meta-analysis <http://www.library.nhs.uk/ENT/ViewResource.aspx?resID=332122&tabID=289> Audiology Auditory neuropathy: endocochlear lesion or temporal processing impairment? Implications for diagnosis and management <http://www.library.nhs.uk/ENT/ViewResource.aspx?resID=333044&tabID=289> Loss to follow-up in newborn hearing screening programs: a systematic review of the evidence <http://www.library.nhs.uk/ENT/ViewResource.aspx?resID=333055&tabID=289> Specialist Collection appraisal: The conclusions reflect the poor quality of included studies and the research recommendations are appropriate. The US orientation of the review should be noted. Thyroid Disorders Pediatric thyroid fine-needle aspiration cytology: a meta-analysis <http://www.library.nhs.uk/ENT/ViewResource.aspx?resID=332987&tabID=289& catID=9005> Specialist Collection appraisal: The authors' cautious conclusions and research recommendations follow from the results, given the lack of large studies on the topic. Reference Resources Cochlear implant conundrums: is it the map, the equipment, the services or the child <http://www.library.nhs.uk/ENT/ViewResource.aspx?resID=332597&tabID=290> Hearing aids with multichannel non-linear frequency compression - experiences from a pediatric study <http://www.library.nhs.uk/ENT/ViewResource.aspx?resID=332963&tabID=290> Risk of ototoxicity in the medically fragile child <http://www.library.nhs.uk/ENT/ViewResource.aspx?resID=333380&tabID=290> Workforce Summary - Audiological Medicine: 2008 - England only <http://www.library.nhs.uk/ENT/ViewResource.aspx?resID=333591&tabID=290> Workforce Summary - Audiology: 2008 - England only <http://www.library.nhs.uk/ENT/ViewResource.aspx?resID=333589&tabID=290> Workforce Summary - Otolaryngology: 2008 - England only <http://www.library.nhs.uk/ENT/ViewResource.aspx?resID=333585&tabID=290> Workforce Summary - Speech and Language Therapy: 2008 - England only <http://www.library.nhs.uk/ENT/ViewResource.aspx?resID=333588&tabID=290> Events and Courses January <http://www.library.nhs.uk/ENT/Events.aspx?eventText=&eSort=EVENT_START_ DATE&eMonth=1&eYear=2010> February <http://www.library.nhs.uk/ENT/Events.aspx?eventText=&eSort=EVENT_START_ DATE&eMonth=2&eYear=2010> March <http://www.library.nhs.uk/ENT/Events.aspx?eventText=&eSort=EVENT_START_ DATE&eMonth=3&eYear=2010> View events for further ahead <http://www.library.nhs.uk/ent/Events.aspx?pgIndex=4&>