Tinnitus often described as sound in the ear in absence of any external stimulus. It poses a challenge to the psychological and mental wellbeing of the patient and professional unsatisfaction to the clinician. The patient often an old aged individual usually approaches the outpatient department with various sounds in the ear, making him feel ill or unable to have a sound sleep. The middle-aged patient often complains of professional incapability and lack of concentration due to tinnitus. Despite vast academic research and advances, the efficiency of available treatment is debatable, often compelling the clinician to convey the message that “you may have to learn to live with it”. In the present overview of reviews, we tend to look into the management of tinnitus and present a comprehensive outlook of various evidence-based reviews from Cochrane and augmented with various studies from PubMed.

(1) To study the BERA changes in neonates with unconjugated hyperbilirubinemia. (2) To compare the BERA changes in the neonates with unconjugated hyperbilirubinemia before and after therapy. Thirty consecutive term appropriate for gestational age (AGA) neonates presenting to NICU with total serum bilirubin requiring intervention (using the American Academy of Pediatrics guidelines) were included in the study as cases and thirty normal term AGA neonates with uneventful peri-natal period and a maximum measured serum bilirubin \12 mg/ dl in case of term baby were included as controls after obtaining informed consent. Initial BERA was done within 3-24 h of hospitalization after obtaining informed consent from parents, at the time of discharge and at 3 month followup. Machine used for recording BERA was intelligent hearing system version 3.3. In our study out of the 30 cases 10 (33.3 %) cases were found to have BERA changes in the form of absent wave forms, raised threshold, prolonged latencies or prolonged inter peak latencies. In our study, it was observed that there was statistically significant correlation (p value \ 0.005) between increasing bilirubin level and BERA changes. Correlation of the findings of this study with previous few studies indicates that BERA can be used as a useful non invasive tool to determine auditory functions in the neonate especially changes of early bilirubin toxicity.

Background: Unprecedented situation of COVID-19 pandemic and measures to contain spread of the disease has expanded the horizon of health care delivery utilizing the telemedicine into the clinical practice. To understand the patients’ preferences for future incorporation of telemedicine practice into the health care system, we conducted a survey via telephone/WhatsApp.Methods: A structured survey questionnaire was administered via telephone/WhatsApp to patients attending telemedicine consultation.Results: Total 463 patients participated in the survey. Participants having favorable attitude was 237 (51.3%) and not in favors were 225 (48.7%). Among the respondents, the most common reason to choose Telemedicine was due to COVID 19 risk (70%), whereas monetary benefits were reported by only 2% of respondents. 297 respondents were of the opinion that they will continue to use tele-consultation services even after the pandemic.Conclusions: Patients reported satisfactory response using telemedicine during COVID-19 pandemic, but felt the need of physical examination at least during first consultation. Telemedicine may be suitable for screening, medium-term and long -term follow up. Easy and cheap availability of internet is also an issue particularly in low income and rural population.

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