73 e-Letters

published between 2007 and 2010

  • the possible role of acidosis-related capillary permeability in adult respiratory distress syndrome
    oscar,m jolobe

    Dear Editor,

    Although adult respiratory distress syndrome (ARDS) is a complication common to both ketotic and non-ketotic diabetic decompensation (1), being arguably attributable to the development of adverse osmotic gradients which generate pulmonary oedema (2), the fact that ARDS is much commoner in diabetic ketoacidosis (DKA) than in hyperosmolar non-ketotic (HONK) diabetic decompensation (3)(4)(5) suggests that th...

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  • a role for cranberry juice in the management of benign prostatic hyperplasia
    oscar jolobe

    Dear Editor,

    In the discussion on the medical management of benign prostatic hyperplasia [1], it was an omission not to make mention of the role of the ingestion of cranberry juice in reducing the recurrence rate of urinary tract infection and/or bacteriuria. The reported antibacterial properties of cranberry juice are attributable to its ability to inhibit bacterial adherence [2], and this has translated into a 12%-2...

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  • Modernising Medical Carriers-Some concerns
    Surya P Rajeev

    Dear Editor,

    I am an SHO in the 'old' system. I believe the MMC has certain advantages but I have some serious concerns as well.

    The maintenance of a personal portfolio and more time and attention from the educational supervisors sounds quite good. The concerns are:

    1. The training period for acquiring the generic skills varies from person to person. The move from time- based to competency-bas...

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