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Guidelines: Tutelage of professional duties or of economic interests? An accurate revision of the guidelines requires fair criticism ( Motta G, Motta S, Testa D). (Domenico Testa, 19 July 2013)

We find it stimulating to answer the questions raised in the comment to our article (1) by some of the authors of the Italian guidelines, even because they recognize the need to revise the recommendations in their guidelines and constructively criticized by us in previous work (1-5). We will try to analytically evaluate their objections in order to improve the knowledge of issues of great importance from a clinical point of... read full comment

Comment on: Motta et al. BMC Ear, Nose and Throat Disorders, 13:1

Impact of national guidelines on tonsillectomy in Italy (Enrico Materia, 16 July 2013)

Impact of the Italian guidelines on... read full comment

Comment on: Motta et al. BMC Ear, Nose and Throat Disorders, 13:1

Study methodology clarification (Chaudhary Farqan Riaz, 20 July 2010)

Dear Editor

I read this article with great interest and would like to clarify a few points.
The authors conclude statistically significant differences between the taste thresholds of smokers and non-smokers. However, the thresholds differed in smokers themselves between the right and left of tongues and circumvallate papillae. Thresholds among non-smokers’ right and left of tongue and soft palate also differed. Given these intra-group differences, how can authors conclude inter-group differences?

Also when six smokers showed normal taste thresholds, they were examined additionally three times. Was this because the results were not the anticipated ones? This introduced an element of differential investigation between the groups. Hence, in my humble... read full comment

Comment on: Pavlos et al. BMC Ear, Nose and Throat Disorders, 9:9

Doctor of Veterinary Medicine (Carol Kluka, 11 January 2008)

I am a veterinarian. My own dog, a 10 year old male doberman pinscher, has megaesophagus. He recently experienced an episode of arrhythmia (detectable by palpation and confirmed by ascultation) shortly after running an agility course. He converted to normal rhythm (before I was able to run an EKG) after he drank water and was sat upright, elevating his thorax. When an EKG was obtained about 36 hours later, it showed no abnormalities and his echocardiogram revealed mild mitral regurg but no signs of cardiomyopathy. I theorized that because he did not drink very much water (due to the cold ambient temperature), food in the esophagus put pressure against his heart when he was running and jumping the agility course, triggering the arrthymia. read full comment

Comment on: Upile et al. BMC Ear, Nose and Throat Disorders, 6:15