73 e-Letters

published between 2007 and 2010

  • The role of thoracic ultrasound - further indications
    Miklos Barta

    Dear authors, I was really glad to see an article about this important and hot topic. As the problem of medicinal irradiation is realized and discussed frequently the appropriate use of non-radiating technics is becoming more important. The most important indications of TUS are listed in the article. I agree with the authors on the main areas of use and would like to add some comments based on 12 years experience in this f...

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  • Postpartum thyroiditis
    Barry I Hoffbrand

    In his ambitious review article of the management of thyroid disorders in primary care, Todd appears to have overlooked postpartum thyroiditis, apart from a brief reference to it in the abstract as a cause of hyperthyroidism. As there is a prevalence of postpartum thyroiditis of about 7.5% of all pregnancies and the management of its various manifestations depends critically on the correct diagnosis being made (1). This d...

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  • 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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    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


    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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