eLetters

113 e-Letters

published between 2004 and 2007

  • Safety of Low Molecular Weight Heparin in Renal Failure
    Aung K Sett

    Dear Editor

    Low Molecular Weight Heparin (LMWH) has been shown to be effective in the management of venous thrombosis. However, there is currently insufficient data of its safety at therapeutic dose in patients with renal failure. There is an increased potential of accumulation of antifactor Xa activity depending on the extent of renal impairment and the type of LMWHs(1). Hence, the risk of haemorrhage may be greater...

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  • Re: Article relating to Paracetamol in the Postgraduate Medical Journal (2006; 82:520)
    Priya R Sejpal

    Dear Editor

    In my capacity as Professional Ethics Pharmacist at the Royal Pharmaceutical Society (the professional and regulatory body for pharmacists), I have been asked to write to the Postgraduate Medical Journal on behalf of the Royal Pharmaceutical Society’s Law and Ethics Committee.

    An article relating to the sale of paracetamol from registered retail pharmacy premises and non-pharmacy premises...

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  • Alcoholism and Micronutrients
    Venkataswamy Narayana Mahesh

    Dear Editor,
    This artice from A Shenkin [1] is timely and very informative on micronutients in health and their role in preventing disease. As mentioned in the article, pre-existing nutritional deprivation has consistently been shown in studies as a very good indication for micronutrient replacement. [2] Detsky's subjective global assessment tool is well validated and to be used when nutritional intervention...

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  • The need of risk factors identification
    Rizaldy Pinzon

    The article from Myint et al [1] is interesting, simple and easy to understand for clinical practitioners like me. Post-stroke seizure is a neurological emergency associated with significant morbidity and mortality. Understanding the factors will help practitioners give patients and their families adequate information about the possibility of post-stroke seizure and post-stroke epilepsy. The question is "Should we give prophy...

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  • Interstitial Lung Disease: epidemiology and progress.
    Roberto Carbone

    We read with interest the review of Bourke and colleagues.(1) Interstitial lung disease (ILD) and especially idiopathic pulmonary fibrosis (IPF) epidemiology in the United States has not yet been well characterized.(2) The review of Bourke et al. has not addressed this issue. The data of ILD registries confirmed that epidemiological registries can be useful tools to investigate rare or relatively rare disorders, (e.g....

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  • Aphthous ulceration and rheumatic diseases
    Michal R. Pijak

    In his article on aphthous ulceration Scully(1) mentions several systemic rheumatic diseases including Behcet's syndrome, Reiter's syndrome and Sweet’s syndrome, that may result in aphthous-like ulcers. I am somewhat surprised that Scully omitted the association of such lesions with systemic lupus erythematosus and Wegener's granulomatosis.

    I would like to emphasize that painful or painless oral ulcers observ...

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  • Diazepam and Valium
    Dr. David Adams

    Dear Editor,

    I am studying the relation of Parkinson's Disease to tranquilizers. In particular...Diazepam. Which is a dopamine antagonist and, if properly addressed, may offer a 'cure' of a large number of patients. This is a 'team' effort toward the elimination of PD. If, you would care to collaborate with me, I would very much like to hear from you as soon as possible to determine how this may be addressed. I hav...

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  • Authors' comment
    Dr Shaun L Greene

    Dear Editor,

    Further to our paper published today, we would like to take the opportunity to make it clear that the MHRA actions in September 1998 operated at two levels. The first of these was legislation that limited pack-sizes of paracetamol. The second of these was a recommendation from the MHRA that advised voluntary restraints to prevent multiple packet sales. Both of these recommendations have been common...

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  • Quality not quantity
    Kamal Mahawar

    Dear Editor,

    It was interesting to read this article by Dakik et al. However I think that the assessment of an individual author or institutions on the basis of the number of the articles published and the "Impact Factors" of the journals is fundamentally flawed and lies at the root of various issues in biomedical literature. At its best, Impact Factor is only an approximate assessment of the relative merit of an...

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  • Broncho-alveolar lavage is very useful in early diagnosis of invasive pulmonary strongyloidiasis
    Karumathil Madathil Murali

    Dear Editor,

    We encountered a patient who presented with acute onset of shortness of breath after two days of diarrhea, while being on prednisolone and cyclophohsphamide for nearly 4 weeks for adult onset nephrotic syndrome. Chest X-ray showed bilateral extensive infiltrates and differential diagnosis of bilateral pneumonia vs pulmonary edema were cnosidered. Patient rapidly deteriorated and had to be intubated on day...

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