eLetters

692 e-Letters

  • Association, surely not the same as risk factor
    Peter M English
    The authors conclude "Unhealthy substance use is a risk factor for not receiving all appropriate preventive health services". To my mind, a risk factor is something which is causally associated with something - it increases the risk. It is not the same as a marker for an increased risk. Surely the authors meant: "Unhealthy substance use is associated with not receiving all appropriate preventive health services"...
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  • Re:Lessons Learnt - The 'Big Five' in South Africa
    Kirsten Duckitt

    Whilst acknowledging the previous comment's valid concerns over what constitutes an international survey, I wanted to correct the assumption that all elective deliveries must be Caesarean sections. Most elective deliveries prior to term are likely to be inductions of labour as per the HYPITAT study. This may still not be relevant for the South African setting but it is very different concept than suggested in the respons...

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  • Smoke-free regulations and AMI mortality declining: Do babies come from Paris?
    Jose A. Delgado

    Dear Editor,

    This paper from Villalbi and colleagues use a before-after design without control group to analyse deaths due to Acute Myocardial Infarction (AMI) in Spain from 2004-2007 and concludes "the extension of smoke-free regulations in Spain [came into force in January 2006] was associated with a reduction in AMI mortality, especially among the elderly". While we are clearly in favour of this law, their imm...

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  • Lessons Learnt - The 'Big Five' in South Africa
    Haaritha Boltman

    I feel that this study leaves me with a sense of being on safari to catch a glimpse of the 'Big Five' - as a health professional from South Africa I recognize that it is only but interesting to note the first world trends in pre-eclampsia, but it does not provide any sustainable short or long term treatment modalities, where it is so urgently required.

    Hypertension during pregnancy has been attributed to one of t...

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  • Learn from others and improve your practice
    Mmapheko D Peu
    The above article focused on the prevalence of factors associated with increased risk of pregnancy hypertension and pre-eclampsia period: an international comparative study. The countries involved were Australia, Canada, Denmark, Norway, Scotland, Sweden and USA. The key message from this study is that pregnancy hypertension and pre-eclampsia remain global health concerns in both developed and developing countries. This type of s...
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  • Who else will be ready for the next major incident?
    Regis Rugira Marie Modeste

    Dear Editor,

    I found this article that highlights junior doctors' lack of awareness with regard to the procedures in case of a major incident, interesting. It covers an important aspect of emergency planning and preparedness, which stimulated my thinking. As a health professional educator, the article's findings drew to my attention the need to strengthen the integration of such procedures into the pre-service...

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  • Raw data available in DRYAD repository
    Richard J Sands

    Data files that support this article are available at the Dryad repository:

    BMJ open Access MHRA Field Safety Notices 2006_2010 MHRA Field safety notices_FDA 19_5_11

    When using this data, please cite the original article and the Dryad data package. The data package should be cited as follows:

    Heneghan C, Thompson M, Billingsley M, Cohen D (2011) Data from: Medical-device recalls in the UK an...

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  • Attitudes toward colleagues who disclose mental health difficulties
    Anon Author

    Dear Editor

    I read with great interest the article "Doctors accessing mental- health services: an exploratory study" by Josephine Stanton and Patte Randal and the response posted by Andrew K Ntanda and I would agree that this group of doctors should consider accessing individual psychotherapy. My training region also offers support to doctors with Mental Health and other problems I would like to direct any reade...

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  • Re:Ethics of Assisted Dying in LIS
    Marco Sara'

    The fact that a high percentage of patients with locked-in syndrome (LIS) shows an unexpected well-being does not surprise us, but we are very interested in this. The first part of the work carried out by Bruno and colleagues provides a basis for researchers to formulate new working hypotheses in patients who have a lesion that is so localised and yet leads to such a complex mosaic of consequences on a functional level. I...

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  • House Concern
    Andrew K Ntanda

    I read with interest the authors' qualitative study assessing potential barriers of doctors assessing mental health facilities. In particular it was striking that 6/8 of the participants interviewed worked in psychiatry, and as the author alluded to in the beginning, were most likely to either treat themselves or trust their own council. I think a way forward for this particular group of patients is for them to consider in...

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