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This is an excellent review article on the difficulties faced in classifying and in the management of children with speech and sound disorders (SSD).

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Judicious dissection of level VI is also supported by the recently published British Thyroid Association guidelines that estimate approximately 20-30 patients would have to undergo prophylactic level VI dissection to convey benefit to one individual.

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In summary therefore, the message is that a prolonged regimen of olfactory discrimination training is of particular use in patients who developed their disorder following URTI and have had their symptoms for less than two years.

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The study included children in 68 New Zealand primary schools who received a 30minute lesson in hand hygiene.

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Specific therapy of acute EBV infections with intravenous and oral formulations of acyclovir has been studied, but a significant clinical benefit has not been shown.

Those who oppose vaccination do so on the basis of ideology rather than science, thus placing the publics health at risk.

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Look for any evidence of systemic diseases that may cause rhinitis (eg, sarcoidosis, hypothyroidism, immunodeficiency, ciliary dyskinesia syndrome, other connective tissue diseases).

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The authors recruited seven subjects with peripheral vestibular disorders and 25 healthy controls for the study.

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So all four treatment modalities resulted in a significant improvement in subjective nasal symptoms, with no difference between them in each study.

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