eLetters

785 e-Letters

  • Should we be afraid of catecholamines?
    Sebastien Champion

    Lee and colleagues should be congratulated for their meticulous analysis of a large and complete database.1 They concluded from propensity score analyses in various settings (cardiac, surgical or medical ICU) that vasoactive agents were associated with increased in-hospital mortality. They state that their results are provoking and inconclusive, and we partly agree. Vasoactive treatments have already been associated with...

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  • The high cost of diarrhoeal illness for urban slum households - a cost- recovery approach: a cohort study.
    ROSE EVALYNE ASEYO

    Dear editor, I refer to the article: The high cost of diarrhoeal illness for urban slum households - a cost- recovery approach: a cohort study. I appreciate this article since findings are exposing and could highly contribute to measures that can break the vicious cycle of poverty and illness. Slum populations are usually faced with many challenges; health being one of them. The vicious cycle of ill health is affecting man...

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  • Parents' first moments with their very preterm babies: a qualitative study 1. Leah Arnold1, 2. Alexandra Sawyer1, 3. Heike Rabe2, 4. Jane Abbott3, 5. Gillian Gyte4, 6. Lelia Duley5, 7. Susan Ayers6, 8. on behalf of the 'Very Preterm Birth Qualitati
    Nancy W. Kariuki

    This paper is an awakening call to the health workers to start realizing the feelings of parents when the bundles of joy turn out to be bundles of psychological and emotional fragmentation. This being the first study to describe the initial experiences of parents of very preterm infants in the UK and may be the first one I have come across, I find it a really interesting subject. In a scenario where the health systems are...

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  • Comment
    James Ochiel

    Fone David L et al have done a study on socioeconomic patterns of excess alcohol and binge drinking in Wales UK which is very informative and stimulates related studies for public policy. The study concurs with the previous ones that harmful patterns of alcohol consumption is common among the economically disadvantaged as in the previous studies as it concludes that low income and unemployment are determinants of harmfu...

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  • The influence of time pressure on adherence to guidelines in primary care: an experimental study
    SAMUEL K NJERU

    The influence of time pressure on adherence to guidelines in primary care: an experimental study by Evangelia Tsiga, Efharis Panagopoulou, Nick Sevdalis, Anthony Montgomery, and Alexios Benos.

    The editor,

    I wish to congratulate the researchers of this marvelous work on the experimental study that very few researchers have ever ventured into. From this study, there seems to be a lot that is not fully acc...

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  • An assessment of a large-scale HIV prevention programme for high-risk men who have sex with men and transgenders in Andhra Pradesh, India: using data from routine programme monitoring and repeated cross-sectional surveys
    Esther A. Osir

    This article of Goswami et al is about an assessment of an HIV intervention programme.The author has clearly come up with the assessment of a large-scale HIV prevention programme, using programme monitoring data and data from two cross-sectional surveys. Avahan's programme evaluation framework, was used in this assessment ending up with three key outcomes that is the: (1) scale and intensity of coverage of the Avahan pro...

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  • The high cost of diarrhoeal illness for urban slum households-a cost-recovery approach: a cohort study
    DENIS OCHIENG OWINO

    I do appreciate the findings of the author of this paper however it is important to break down the recommendations suggested especially on promoting health promotion. This is a strategy that has been tested and proved to reduce if not to eradicate ill health and poverty in our society. Urbanization is rapidly growing in the world over especially in Africa, and it is necessary for various governments to ensure that there...

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  • Qualitative analysis of patients' feedback from a PROMs survey of cancer patients in England
    Abisage W. Ouma

    I read with much interest about the factors impacting quality of life for cancer patients. I agree on the need for efforts to support patients to manage following completion of cancer treatment through provision of preparation and well as consistent provision of post cancer treatment support.

    Lack of information is also a challenge faced in low and middle income countries such as Kenya where I come from.

    ...
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  • Title: Performance -based assessment and demand for personal care in older Japanese people: a cross sectional study.
    John O. Sibuor

    Dear Editor

    I refer to the Article: Performance -based assessment and demand for personal care in older Japanese people: a cross sectional study by Hiroyuki et al.

    I commend Japan for a responsive traditional culture that has maintained citizens to a world record of high population of 127 million and mean age of 79.4 (male) and 85.9 (female) elderly. Japan further deserves commendation for introducin...

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  • Title: The High Cost Of Diarrhoeal Illness For Urban Slum Households-A Cost-Recovery Approach: A Cohort Study Ronak B. Patel,1,2 Hanni Stoklosa,1 Shrutika Shitole,3 Tejal Shitole,3 Kiran Sawant,3 Mahesh Nanarkar,3 Ramnath Subbaraman,3 Alison Ridpath,2 A
    Abigael A. Okoko

    I read this paper with great interest and much appreciation. The article is informative giving us insight into the cost implications of not having access to adequate supplies of clean water. The article highlights that interventions such as infrastructure development, adequate supplies of clean water, adequate sanitation and hygienic practices (such as hand washing) have to be put in place to ensure a reduction in diarrho...

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