Our experience of a speech and language therapist-led swallow disorder clinic.

Introduction: Dysphagia can lead to morbidity including weight loss and aspiration pneumonia. Effective triage of patients and streamlining of pathways to expedite diagnosis and treatment is therefore imperative.

Objectives: The goals of this research were to measure the referral to treatment time for dysphagia patients in a newly established pathway and compare with existing UK national and local referral to treatment times, and to evaluate patient feedback.

Sonographic appearances of hobnail papillary thyroid carcinoma: A case report of a rare tumour.

Introduction: Hobnail papillary thyroid carcinoma is a rare, recently described papillary thyroid carcinoma variant, with potential for a more aggressive clinical course of disease and poorer prognosis.

Case Report: A 53-year-old man presented with a left thyroid mass. The ultrasound features of this mass included a predominantly cystic appearance with mobile internal echoes, vascularised internal septations, and murally based solid material.

Ultrafast neuromorphic photonic image processing with a VCSEL neuron.

The ever-increasing demand for artificial intelligence (AI) systems is underlining a significant requirement for new, AI-optimised hardware. Neuromorphic (brain-like) processors are one highly-promising solution, with photonic-enabled realizations receiving increasing attention. Among these, approaches based upon vertical cavity surface emitting lasers (VCSELs) are attracting interest given their favourable attributes and mature technology.

Metastatic parathyroid cancer: a rare cause of hypercalcaemia.

A 45-year-old man presenting with abdominal pain was found to have severe hypercalcaemia with elevated parathyroid hormone. Investigations revealed a parathyroid mass and bone metastases consistent with metastatic parathyroid carcinoma. The patient underwent parathyroidectomy, with histology confirming a right inferior parathyroid carcinoma.

Perception Understanding Action: Adding Understanding to the Perception Action Cycle With Spiking Segmentation.

Traditionally the Perception Action cycle is the first stage of building an autonomous robotic system and a practical way to implement a low latency reactive system within a low Size, Weight and Power (SWaP) package. However, within complex scenarios, this method can lack contextual understanding about the scene, such as object recognition-based tracking or system attention. Object detection, identification and tracking along with semantic segmentation and attention are all modern computer vision tasks in which Convolutional Neural Networks (CNN) have shown significant success, although such networks often have a large computational overhead and power requirements, which are not ideal in smaller robotics tasks.

Role of corticosteroids in Functional Endoscopic Sinus Surgery--a systematic review and meta-analysis.

Background: The aim of our study is to systematically review the existing evidence on the role of corticosteroids in patients undergoing functional endoscopic sinus surgery (FESS).

Methodology: Systematic search of MEDLINE (1950- 2014), EMBASE (1980-2014), metaRegister, Cochrane Library and ISI conference proceedings was carried out.

Results: Eighteen randomised controlled trials with 1309 patients were included.

Use of nurse-led telephone follow-up as a sole method of assessing patients after nasal surgery.

Patients undergoing nasal surgery have historically been routinely followed up in consultant led clinics some months after surgery. It has been noted that a significant proportion of these patients either did not attend these appointments or did not require them, impacting on the efficiency of ENT outpatient clinics. A quality improvement project was undertaken to assess this problem and to propose a new patient pathway whereby patients are contacted by ENT nursing staff by telephone three months following surgery.

Use of primary corticosteroid injection in the management of plantar fasciopathy: is it time to challenge existing practice?

Plantar fasciopathy (PF) is characterized by degeneration of the fascia at the calcaneal enthesis. It is a common cause of foot pain, accounting for 90% of clinical presentations of heel pathology. In 2009-2010, 9.

The management of carotid artery rupture.

Carotid artery rupture is fortunately an uncommon complication of head and neck cancer treatment. Eleven episodes of carotid artery rupture following irradiation and major head and neck resection were identified over a 6-year period. We review our experience and discuss the predisposing factors that can cause this complication, important aspects of management and outcome.

Comparison of bipolar scissors and bipolar forceps in tonsillectomy.

Bipolar diathermy scissors tonsillectomy is a relatively new surgical technique. We conducted a prospective study of 90 patients to compare this technique with bipolar forceps tonsillectomy. We found that the use of the bipolar scissors required significantly less operating time (mean: 3.