Publications by authors named "Julia Selby"

Background: Inducible laryngeal obstruction (ILO) describes inappropriate laryngeal closure during respiration, with airflow obstruction occurring at the glottic and/or supraglottic level, leading to breathlessness.

Objective: There is a paucity of data describing the demographics and impact of ILO. We aimed to report the clinical and demographic features of ILO in individuals entered prospectively in the UK national ILO registry.

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Article Synopsis
  • The first point prevalence survey at Korle Bu Teaching Hospital aimed to establish a baseline for antimicrobial use and identify necessary stewardship interventions.
  • During the survey, 988 patients were assessed, showing an overall antimicrobial prevalence of 53.3%, with community-acquired infections treated more frequently than healthcare-associated ones.
  • Key findings included that the most common reasons for antimicrobial prescribing were pneumonia, skin infections, and sepsis, with a notable focus on compliance and documentation in prescriptions, suggesting potential improvements in antimicrobial stewardship.
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Laryngeal trauma is a life-threatening injury in contact sports. Due to its potentially devastating consequences, the prevention, diagnosis, and management of neck trauma both pitch side and at the hospital are essential for athletes.

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Prior to the COVID-19 pandemic, laryngoscopy was the mandatory gold standard for the accurate assessment and diagnosis of inducible laryngeal obstruction. However, upper airway endoscopy is considered an aerosol-generating procedure in professional guidelines, meaning routine procedures are highly challenging and the availability of laryngoscopy is reduced. In response, we have convened a multidisciplinary panel with broad experience in managing this disease and agreed a recommended strategy for presumptive diagnosis in patients who cannot have laryngoscopy performed due to pandemic restrictions.

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Thirteen individuals with laryngopharyngeal reflux (LPR) were studied pre- and post-treatment. The effect of treatment on perceptual ratings of voice quality and frequency and intensity measures was examined. Relationships between perceptual and acoustic parameters were assessed descriptively.

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