Presented is a summary of our experience with 157 patients having a diagnosis of epidermoid cyst, glottic sulcus, or mucosal bridge of the true vocal cord. Each patient in this group was diagnosed and treated jointly by a phoniatrist and microlaryngoscopist and then evaluated for results of surgical and phoniatric therapy. Included in the discussion are methods of examination and diagnosis, microanatomy and histopathology of the lesions, methods of treatment, and results of treatment. An argument for a common etiology for these lesions is advanced.

Background: The British Dietetic Association has produced guidelines as to how dietitians should be trying to manage obesity, and locally within Leicestershire Nutrition and Dietetic Service dietitians have set up initiatives to improve obesity management Funding from the Department of Health made it possible to carry out an evaluation of the weight management services provided. Method: A retrospective record card audit of overweight or obese patients who had completed an episode of care in a defined time period was carried out. In total 167 patient record cards were audited. The patient profile was characterized in terms of gender, age, body mass index (BMI) at start and end of treatment, source of referral and reason for referral. Information was collected on dietary targets set and achieved. A Patient Satisfaction Survey was sent to each patient at the end of the episode of care. Criteria set for successful weight loss was 5 kg or 5% starting body weight. Success in achieving dietary targets was defined as meeting > 50% of targets Results: In total 50% (n = 83) of patients achieved weight loss or maintained their weight. 12% of patients (n = 20) were successful in losing 5 kg body weight, 38% of patients (n = 63) lost up to 5 kg or stayed the same, 13% of patients (n = 22) gained weight and 19% of patients (n = 31) failed to return after the first appointment. Most patients achieved some dietary changes suggested although there was discrepancy between reported change by patients which would have been expected to lead to weight change and actual weight change recorded at the end of treatment. The service offered by the Leicestershire Nutrition & Dietetic Department was generally well received by patients. Conclusions: Further review of methods of managing obese patients within the time constraints of community clinics is needed, including monitoring and long‐term support, and the reliable recording of dietary change.

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When I had the pleasure of meeting you last, our conversation turned upon the form of the buildings of the ancients, the nature of the cement, and the variety of materials made use of by them in their different structures, particularly in their baths. I mentioned that soon after I came to this town, I discovered the remains of a Roman structure at the West end of the parish church of St. Mary the Virgin; which remains have since repeatedly been laid open for the purposes of interment. You requested me to give you an accurate description of every part of this fabric, with my conjectures at what æra it was built, and for what use I conceived it was intended: I now sit down to comply with your request, but that I may give you as just an idea as I can of this ancient piece of masonry, by a minute description of its several parts, I have annexed a drawing, where A, B, C, D, E, F, represent the ichnography of the West end of the church.

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