281 e-Letters

  • Neurological and cognite changes in frailty older adults
    Julio C. Romero

    We agree with the authors of this wide and accurate review that persons while they grow old have anatomic and physiological changes in central and peripheral nervous systems, as well as, in cognitive domain expressing in the interview and physical exam of the elderly. But, frequently, the doctors have difficulties to determine where and when the physiological end and the pathological begin in a proper older...

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  • Inappropriate use of medical abbreviations
    Yehia Y. Mishriki

    In the first few weeks of my medical internship, one intern was in the habit of writing "DOA" in his admitting histories and physicals. He was eventually confronted by the senior resident who asked for an explanation. It was quite simple. DOA, after all, stood for "day of admission". Didn't everyone know this? I still chuckle at the memory.

    Conflict of Interest:

    None declared...

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  • Are there errors in error papers?
    Chris J M Johnstone

    The Editor
    Postgraduate Medical Journal, BMA House, Tavistock House, London WC1H 9JR
    30 June 2011

    Dear Editor,
    A 2009 paper by de Wet and Bowie in the Postgraduate Medical Journal(1) has recently been used by its authors' employer to suggest that, "A recent pilot study reviewing a random selection of primary care electronic medical records found a harm rate of 9.5%".(2) Not only is this interpretation of...

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  • Making the most of medical communities.
    Sheila F Lumley

    The identification of leadership as a key skill for doctors is a positive step, however have we undervalued the medical community's assets when considering the development of medical leadership?

    Green Templeton College is a graduate college in Oxford, specialising in subjects relating to human welfare and social, economic and environmental well-being in the 21st century. GTC has taken a more local approach to ma...

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  • Re: Fitness to drive assessment and Dementia
    Andrew K Ntanda

    I read the article on the medical education of fitness to drive, and the comments about the assessment of fitness to drive amoung patients with mental illness. I am fresh off completing an audit on driving and dementia, in initial referrals to an old age psychiatry community team. What was clear was that in a few cases, driving wasn't assessed or if it was this was not documented clearly. This is despite a previous audit's...

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  • Re:Methyl Prednisolone in Severe Leptospirosis is not an option yet
    Senanayake AM Kularatne

    Response to Goonasekera's comment " Methyl prednisolone in severe leptospirosis is not an option yet.

    Dear Sir,

    We, Kularatne et al have cited literature to show alarming mortality figures in severe leptospirosis which could be as high as 24-40% in some epidemics [1, 2]. In this study, during the Pre-MP period, we showed a very high death rate of 21.8% despite these patients were managed with prompt...

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  • Some comments on mentoring and leadership
    Alistair G Stewart

    What do we mean by leadership? Is it identical with the occupation of a medical management, or other management, role within the NHS or some other organisation? Most of this article seems to assume that it is.

    Should all doctors be leaders?

    Doctors are members of an expensively trained practical and scientific community. We have all, with varying degrees of awareness, opted to take on a role which...

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  • Methyl Prednisolone in Severe Leptospirosis is not an option yet
    Chulananda D Goonasekera

    Dear Sir,

    Kulrathne et al's descriptive study on the high efficacy of bolus Methyl Prednisolone in severe leptospirosis [1] only affirms the observations made concerning the use of methyl prednisolone in severe sepsis decades ago [2]. I argue that the data presented are not sufficient to make any recommendation on methyl prednisolone therapy in leptospirosis at any stage of the illness and methyl prednisone sh...

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  • PTB in elderly and diabetic patients
    Stephen M Ellis

    Dr Jolobe eloquently enlarges upon a point that we only touched upon; the paper was aimed at describing the various radiologic appearances associated with PTB and avoided ellaborating on the clinical ramifications.

    Conflict of Interest:

    None declared

  • In the presence of diabetes and old age, lower lobe PTB might be mistaken for pneumonia
    oscar,m jolobe

    In their allusion to atypical patterns of pulmonary tuberculosis(PTB) in diabetes mellitus(DM) and in old age(1), the authors should, perhaps, have elaborated further given the observation that "the impact of DM on the radiological presentation of PTB is important because misinterpretation may lead to delay in appropriate diagnostic tests and treatment thus risking dissemination of PTB to others"(2). These observations h...

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