1460 e-Letters

  • 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...

    Show More
  • 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...

    Show More
  • 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...
    Show More
  • 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...

    Show More
  • 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...

    Show More
  • 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...

    Show More
  • 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...

    Show More
  • 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...

    Show More
  • Ethics of Assisted Dying in LIS
    Julian Savulescu

    This sort of research demonstrating remarkable adaptation is often used by anti-euthanasia lobbyists to argue that assisted suicide and euthanasia should not be offered to such people because they come to value their life. They find meaning. However, that conclusion is not warranted. Some do want to die and should be allowed to die. The lesson that should be learnt is the one authors draw: you should wait to see how you a...

    Show More
  • Response to: "A survey on self-assessed well-being in a cohort of chronic locked-in syndrome patients: happy majority, miserable minority."
    Peggy A. Hakanson


    I just wanted to add a few other dimensions to the topic on the happiness of persons who are living with a disability in which they have a limited ability to communicate: resources.

    I work with participants at a cerebral palsy center. The persons I find to be more content are those who are given access to equipment that allows them to communicate with others and equipment in which their mobili...

    Show More