1024 e-Letters

  • Cost analysis of prescribing analogue insulin should take into account the bigger picture of diabetes treatment prescribing cost
    Iskandar Idris

    Dear Editor,

    We read with interest the article 'Evaluation of the incremental cost to the National Health Service of prescribing analogue insulin'(1). The stated aim of this study was to characterize the pattern of insulin prescriptions dispensed between 2000 and 2009 in UK and to evaluate the financial cost to the National Health Service (NHS) of using analogue insulin instead of its equivalent human insulin p...

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  • Letter to the editor
    Oliver Sch?ffski

    Dear Editor of BMJ open,

    last week I read the above mentioned article by Holden et al. and I was quite astonished. The authors write (page 5-6) "The purpose of this study was to calculate a monetary value to raise awareness of the cost implications (...) rather than to suggest an exact percentage of patients with diabetes who could be equally well treated with human insulin instead of analogue insulin." In other...

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  • 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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