eLetters

85 e-Letters

published between 2006 and 2009

  • Demoralised Student
    student demoralised

    Sir, I find it very disheartening to read such research. I do not find the conclusions of any great shock. I do find it unacceptable to simply ask questions of medical schools. I find far greater questions need to be asked of the 'teachers' in hospitals around the country. I have rarely encountered a consultant that would, or indeed is capable of, teaching. I recall that during many ward rounds and clinics consultants d...

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  • ORAL REPORTING BEFORE WRITTEN REPORTS
    DAVID G SAMUEL

    The study highlights the basic principle that you can never beat experience and by doing tasks timer and time again you improve - i.e seeing more x-rays. I would advocate the use of BMJ learning modules that are excellent and case related to make them more realistic.

    Something that is used regularly at our hospital is that a team will request an oral report from a consultant radiologist on-call, either in perso...

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  • In the war against diabetes we must go beyond prediabetes!
    Sergio Stagnaro

    Editors, In my opinion, this is one among a lot fascinating papers on diabetes, but not useful at all in GPs day-to- day practice, since primary prevention ON VERY LARGE SCALE is far better than therapy, also in diabetic field, and GP role is central in such as enterprise! Primary Prevention must be performed exclusively in individuals correctly recognized in a quantitative way at inherited real risk with the aid of a st...

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  • Matching the Equations
    Devender Singh Yadav

    Generating scientific evidence is but one aspect of the equation, which possibly influences policy makers, and on which the politicians ultimately takes decisions.

    The authors highlight initiatives, such as the Movement for Global Mental Health, which is a step in the right direction .The other aspects are generating public opinion, by creating awareness amongst lay people through dissemination of scientific ev...

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  • Variant Baserga’s Sign in bedside Diagnosing Lung Cancer Inherited Real Risk, from initial Stage.
    Sergio Stagnaro

    Sirs,

    in my opinion, ascertaining 26 gene mutation as well as one gene- based risk score for lung cancer susceptibility in smokers and ex- smokersaiming to recognize individuals â₁“possiblyâ€� at risk of lung cancer are expensive and impossible on vast scale! Fortunately, Baserga's sign, I described in earlier article (1), proved to be useful in bed-side recogn...

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  • misdiagnosis of atrial fibrillation and underrecognition of congenital subtypes
    oscar,m jolobe

    Clinicians should not take comfort either in the fact that most narrow complex tachyarrhythmias(including atrial fibrillation) have the potential to be treated pharmacologically by frontline medical staff(1), or in the observation that many affected patients do not have overt stigmata of heart disease(1). Given the fact that even a highly prevalent disorder such as atrial fibrillation(AF) is liable to misdiagnosis as su...

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  • the three point scale
    oscar,m jolobe

    In the context of the follow-up consultation, be it in the in-patient or in the out-patient setting, the first three seconds should include the catechism "are you better, same, or worse". This open-ended approach gives the doctor the opportinity to assess whether or not he is "on track" with the diagnosis and treatment, and it leaves little opportunity for "denial" on his part. I suspect that, to a large extent, diagnostic...

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  • Preparedness of Foundation Year doctors to prescribe Jeffrey K Aronson, University of Oxford, and Simon Maxwell, University of Edinburgh
    Jeffrey K Aronson
    In reporting their impressive study of the preparedness of Foundation Year (F1) doctors for clinical practice, Matheson & Matheson conclude that medical schools may not adequately prepare medical graduates, that more opportunities for experiential learning are needed during the final year of medical school, and that explicit assessment criteria are needed [1]. Where prescribing is concerned, their conclusions have been support...
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  • Utility of cell block preparation in Warthin's tumour
    Rashmi Patnayak

    To the Editor,

    This is regarding the article 'Current controversies in the management of Warthin's tumour' by T Thangarajah, V M Reddy, F Castellanos-Arango, A Panarese , published in Postgrad Med J 2009;85:3-8. Dear Editor, This is regarding the article” Current controversies in the management of Warthin tumour by T Thangarajah, V M Reddy, F Castellanos-Arango, A Panarese , published in Postgrad M...

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  • Antitrypsin polymorphism
    Heikki Savolainen

    Dear Editor,

    I would like to emphasize the fact that the antitrypsin polymorphism is the prevalent susceptibility factor with one in ten Caucasians presenting the MS or MZ configuration of their circulating antitrypsin. The antiprotease has known roles in inflammation (1). It may also be an important factor in occupational lung diseases, like organic diisocyanate asthma (2). The latter may be related to the cho...

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