eLetters

4 e-Letters

published between 2006 and 2009

  • Caution Warranted
    John B Waits

    This is indeed an important finding on several levels, yet it remains difficult in translating this into clinical practice. I have found myself even more ambivalent about suggesting SMBG to patients reasonably well-controlled on oral anti-diabetes medications.

    In an effort to translate these findings, I propose the following practical suggestions.

    1. For patients struggling to comply with health care...

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  • Improving the uptake of MMR vaccine
    Mary Hardy

    Re: editorial BMJ 5th April 2008 Volume 336 pages 729-30: Improving uptake of MMR vaccine - Recognising and targeting between population groups are the priorities

    Dear Editor,

    In the editorial on improving uptake of MMR vaccine, no mention was made of the parents who decline MMR vaccination on ethical grounds. The rubella vaccine component of MMR is derived from an aborted human fetal cell line. The Takah...

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  • Sometimes small things can make a big difference: Dionne et al. respond to Evans and Hadler
    Clermont E. Dionne

    Dear Editor,

    We agree with doctors Evans and Hadler that our clinical decision rule[1] should be validated in another setting and that it should be shown to cause more good than harm before it could be widely used. Our study was a first step in the process of developing a predictive tool for the occupational outcome of back pain. In a next phase of development, not only should the rule be validated in a new group of...

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  • Paediatricians as specialists
    Céline Lemay

    Dear Editor,

    Looking at the effectiveness of actions for well-child care makes us forget that paediatricians are specialists and not primary care givers in our health care system. Specialists are the best professionals to deal with pathology and complex problematic health situations for children. I think that well child should be followed by a family doctor, having time to do prevention by education and screening....

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