589 e-Letters

published between 2017 and 2020

  • Letter to Editor - Impact of mass media campaigns

    Dear Editor,

    I have read and reviewed the article titled, “Impact of a mass media campaign on breast cancer symptoms awareness and screening uptake in Malaysia: findings from a quasi-experimental study.” I would like to congratulate the authors on such a successful article and make some recommendations.

    Your introduction was very strong, and your problem statement was clearly articulated. In the article, the impact on media campaigns had improved awareness about some breast cancer symptoms through mass media platforms. It was good that you displayed the high mortality rates within various years due to late detection. It was also good that you showed the correlation between the- high incidence of late detection and how mass media campaigns can improve awareness due to their lack of it in Malaysia; while also making recommendations such as nationwide education programs. For example, your statement, “in high-income countries, mass media campaigns have improved symptoms awareness and increased the number of BC referrals” along with other statements proved that mass media campaigns are effective in the promotion of awareness of breast cancer.
    I agree with your statement, “there appears to be a need for mass media campaigns to be tailored to particular subpopulations or hard-to-reach subgroups, especially in the context of multicultural societies.” Hence, there is improvement needed in terms of your campaign reach. Consider aiming to in...

    Show More
  • Re: Health professionals’ perceptions of weight loss programmes and recommendations for future implementation: a qualitative study

    Dear Editor,
    I found your article very informative. I completely agree that most weight loss programs today and, in the past, have tend to focus mostly on eating healthy and exercise, which may be important when it comes to short term weight loss goals and maintenance. However some health and fitness programs have started to integrate the social aspect of weight loss into their programs.
    Outland (2010) agrees that weight loss and maintenance should focus less on counting calories and exercising and approach the process of weight loss holistically. Outland adds that giving more attention to achieving and maintaining and individual’s homeostasis would lead to a successful weight loss journey. From a holistic perspective “best health” can be achieved only when homeostasis is maintained (Outland, 2010).
    As your research pointed out, obesity can be influenced by physical, emotional and social components of an individual’s everyday life. Therefore, weight loss and weight maintenance should be approached holistically. A 2018 study carried out by the Inter-American Development Bank found that overweight and obesity is rising among all age groups in The Bahamas. With obesity being a growing problem here in the Bahamas, approaching wellness and weight loss holistically, giving more attention to social relationships and meaningful activities, may lead to better successful completion of weight loss programs and overall wellness.



    Show More
  • Re: Impact of transition programs for students and new graduate nurses on workplace bullying, violence, stress and resilience: a scoping review protocol

    Dear Editor,

    The purpose of this article was to analyze transition programs in order to assess what is being done about the bullying, violence, and high-stress situations that new graduate nurses endure when transitioning to the workplace. The study seeks to disseminate newfound information to educators, clinical practitioners, managers, and nurse preceptors to start a productive conversation on the topic and encourage change. It is an important and very relevant topic to discuss as the mistreatment of NGNs is highly related to the high turnover rates and poor retention rates in many health care facilities. Though the transitional programs have been noted to be affected in improving retention rate by preparing students to take their skills from theory to practice, nursing students and new graduate nurses still suffer at the hands of experienced nurses, nursing managers, and colleagues. This issue contributes to the nursing shortage which is an international issue in nursing.

    As a student nurse who has experienced this type of animosity during practicums and internships, the outcome of this study seems essential. The nurses-eat-their-young mentality is very prevalent in many healthcare settings and it can deter nurses from wanting to remain in the field. NGNs are trained on how to operate within their new work environment but are not prepared for the hostility that is doled out by their supposed co-workers and superiors. This can deplete retention rates as the...

    Show More
  • RE: Can a nurse-led community-based model of hypertension care improve hypertension control in Ghana? Results from the ComHIP cohort study

    This response is in relation to the captured article above published on April 2, 2019. I would like to firstly express how your research is very detailed and informative. While reading the study, I understood the importance and effectiveness of providing community-based Hypertension improvement projects to assist in controlling high blood pressure. Over the years there has been a rapid increase in the number of persons diagnosed with Hypertension and as a result, it has become a major public health burden. The statistical evidence presented in this study about blood pressure in Ghana indicates the need for innovative methods for hypertension management.
    The main outcome of the research which is concerned with hypertension control and alterations in diastolic blood pressure and systolic blood pressure was accomplished. The research revealed there was a decrease in blood pressure as well as an increase in hypertension management from patients who remained in the program for 6 or 12 months. However, similar to other studies the main challenge with community-based improvement projects is poor levels of follow-up or adherence to clinic appointments. In a study conducted by Aje and Olamide (2017) it revealed that 16.7% of hypertensive patients missed more than 30% of scheduled medical appointments. According to the authors, some of the causes for missed clinical appointments were due to forgetfulness, insufficient funds for transportation, and overlapping obligations. It i...

    Show More
  • Re: Association between frailty and disability in rural community-dwelling older adults

    Ashara McQueen, Nursing Student, The University of The Bahamas
    As it relates to the above mentioned article that was published on March 29th 2020 in Volume10, Issue 3 on BMJ Open. I found that this was a very interesting article as it relates to age related changes of older adults, that will most definitely spark the interest of those involved in gerontology and geriatric research. As I read this article, it is evident that frailty can be associated with disability among dwelling older adults. I agree with the author that although frailty and disability may intertwine thus their concepts are absolutely different. This judgement can simply be gathered based on the definitions that were provided and stated explicitly as it relates to the term’s frailty and disability. However, there are factors that are strongly associated with frailty and disability such as socioeconomic status, ethnicity and life style.
    Furthermore, the results from this study shows the prevalence of more than half of the percentage of older frail adults displayed greater instrumental activities of daily living (IADL) while the remaining smaller percentage displayed greater basic activities of daily living (BADL). In addition, high count of IADL limitations were associated with being frail.
    Other authors conducted a study on prevalence of frailty among dwelling older adults and their sociodemographic factors associated with frailty. Kendhapedi and Devasenapathy (2019), found a high sign...

    Show More
  • Assessing the effect of Michigan's smoke-free law on air quality inside restaurants and casinos: a before-and-after observational study

    1. thank you for your interest in the study and the findings of this study and your recommendation that it should influence countries to enact smoke-free air laws to aid in the reduction of health effects of secondhand smoke cases as these laws are conclusively effective.

    2 . Just wanted to let you know that all the exemptions in the law were not added by public health authorities. The public health department and advocates are working so hard to remove these exemptions. Now and because of COVID19 casinos were closed, and it was recommended that when they open back should open smoke free.

    3. I totally agree with you that chefs specifically those who work in a grilling like environment should wear a protective masks to reduce the amount of particulate matter inhaled from that environment.

  • RE:Correspondence to this article

    Letter to the editor:
    In correspondence to your article Impact of transition programmes for students and new graduate nurses on workplace bullying, violence, stress and resilience: a scoping review protocol published on the October 9, 2020. I would firstly, like to commend you on such a well written, informative, educational article. I myself enjoyed reviewing this article, being a 4th year nursing student attending the university of the Bahamas school of nursing. As an almost graduate nursing student reading this article informed me of the reasoning for internship and residency in the nursing school, and it’s purpose to prepare Newly graduated nurses(NGN’s) for the work field experience. This article aimed to focus on the importance of internship and residency preparing graduate nursing students for the workplace,bullying, violence, stress and resilience (Alshawush, et.al,2020). However, results from this research study indicated that Internships and residency may prepare graduate students for the work field but, not for the expectance of violence and bullying from staff.As a nursing student I agree on the article theory that internship does not prepare you for the bullying that senior nurses and staff subjects newly graduated nurses to. From experience, the term “nurses eat their young “ has been subjected to become a new reality as senior nurses who are suppose to guide, and support the younger nurses transitioning, bully, and mistreat them instead.Similarly, An...

    Show More
  • Re: A mixed methods survey of social anxiety, anxiety, depression and wig use in alopecia

    Dear Editor:

    This response is in relation to the above captioned article published on May 4, 2017. Firstly, I must express how intriguing the research is. As I read the article, I became more aware of some of the negative effects that alopecia has on persons living with this autoimmune disease.

    This study revealed that even though persons living with alopecia may chose to wear wigs to prevent negative reactions from others and boost their confidence, wearing wigs also causes negative reactions. With the socially constructed notion of beauty standards, I understand why persons may feel uncomfortable in social settings without a wig. Moreover, the study also shows that living with alopecia can cause depression, anxiety, and social anxiety.

    This research shows the correlation between hair and self-esteem. Like mentioned in the study other research shows that wearing wigs as a form of the treatment modalities in severe alopecia areata, can improve quality of life in patients with alopecia areata by enhancing their self-esteem and social adjustment (Park, Kim, Park, Yun, & Kim, 2018). Additionally, the results of this study show the correlation of persons diagnosed with alopecia and the psychological effects associated with the autoimmune disease.

    While I do agree that the need for psychological interventions is needed, it should be noted that many persons living with alopecia may not want therapy but rather a cure. As (De Zoya, 2013) states the...

    Show More
  • An Analysis of House hold sanitation and personal hygiene practices are associated with child stunting in rural India: across-sectional analysis of Surveys...

    Dear Editor:
    This is a response to the article Household Sanitation personal Hygiene practices are
    associated with child stunting in rural India: Cross-sectional analysis of surveys, published May
    19, 2015. I must add that the research conducted was quite astonishing. The correlation between
    water, sanitation, and hygiene practices in the study revealed that a lack of basic amenities can be
    detrimental to future generations. The studies that were conducted by previous research focused
    more on nutritional deficits than the environment itself which has proven to be a contributor to
    the increasing numbers of children that experience stunt in growth. When a mother gives birth
    one of the primary concerns that healthcare provides have is the weight of the child. In this
    study, one of the first people to be identified as the blame for the stunt in a child’s impairment is
    the mother. Stating that during the pregnancy the mother did not have a proper dietary intake to
    facilitate a healthy baby. However, there is no considers for mothers that simply cannot avoid
    eating healthy during their pregnancy.
    Furthermore, the study indicated that India is a hotspot when it comes to child stunting,
    but in poor countries, this can be likely because people cannot afford the finer things in life. I
    agree with the author despite mother reporting that they participated in handwashing techniques
    before f...

    Show More
  • Comments to the article by Savelieva E. et al “Psychological factors and indoor environmental quality in respiratory symptom reports of pupils: a cross-sectional study in Finnish schools”

    In Finland, the problem of bad indoor air in schools and other municipal buildings is a matter of a continuous public debate that pops up frequently and discussed in media. The problem has been acknowledged officially1,2. Because the problem of mold-infested public buildings cannot be solved quickly due to inadequate financial resources to replace all the old buildings which life cycle has come to an end (built in early seventies) there is a need to find alternative explanations above that of an inadequate environmental quality. Psychologization of the problems experienced by pupils, children in day care units or occupants of hospitals3 and other municipal buildings4 is a strategy of denial. This strategy is the switching of the responsibility of municipalities to children or their guardians who have imposed neuroticism on their offsprings and aggravate worries about the indoor air.
    Any good study on the impact of indoor air on the occupant’s health is welcome. Each study should have an aim of solving the problems and should be ethical. The paper by Savelieva et al was widely publicized by the Finnish media 5-7. It was eagerly reported that health problems experienced by the pupils are not explained only by the indoor air but by the psychological factors (the word explained is bolded by us; see the translations of titles of the publications in the Finnish media 5,6). Further popularization of the results of the paper of Savelieva et al. resulted in the misinterpret...

    Show More