eLetters

285 e-Letters

  • How stakeholder participation could increase inequities. The inverse equity hypothesis lens.
    Ramiro Manzano

    Recent review from Harris et al [1] sets the alternative hypothesis that greater degree of stakeholders participation can produce a contextually valid synthesis. Aware of the importance of stakeholders in healthcare, a null hypothesis may come to mind: Stakeholders increase inequity by biasing synthesis. Let us give you some theoretical framework. Research on public health interventions should include academic researcher...

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  • Options in Breech Delivery: the woman's choice?
    Rachel A Cichosz

    Hehir (2015) gives an interesting account on the current trends in breech delivery and gives discusses several large studies whose findings suggest that differences in mortality between vaginal breech delivery and elective cesarean section are minimal. Considering the down sides of cesarean delivery, such as increased risks during future pregnancies and births, what is the best option for women? And who should make that...

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  • a cup of tea
    Michael E Godfrey

    It appears somewhat bizarre that authorities have ignored a widely consumed source of fluoride from tea although insisting on community water fluoridation (CWF) to reduce dental decay. Notably, black tea in commercial teabags contains significant levels of fluoride. This is especially so when sourced from Kenya with volcanic soils compounded by fluoride from superphosphate fertilisers. Mechanical harvesting then includes...

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  • Potential Challenges to Using Paternal Education as a Proxy for SES
    Dakota J Inglis

    Oksuzyan et al. report an association between race/ethnicity and two subtypes of childhood leukemia: acute lymphoblastic leukaemia (ALL) and acute myeloid leukaemia (AML).1 Accordingly, the researchers suggest that there are genetic, cultural, and environmental factors involved in the etiology of childhood leukaemia [1].

    Importantly, Oksuzyan et al. made a significant effort to examine and control for the poten...

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  • Sleep duration by actigraphy in relation to perceived health among older adults
    Tomoyuki Kawada

    Lauderdale et al. examined the association between perceived fair/poor health and sleep duration by several methods [1]. The authors concluded that U-shaped relationship between sleep duration and prevalence of fair/poor health was observed only with measuring sleep with survey sleep hours and survey calculated sleep time. In contrast, there was no association between long sleep duration and increased prevalence of fair/...

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  • It is important that selecting appropriate reporting guidance
    Xu Tian
    Dear editor, We have read with great interest the meta-analysis submitted by Li and colleagues1, which investigated the association between fish consumption and depression risk. We warmly and greatly congratulate and applaud for their important work. However, an issue existed in this study should be noted. These authors stated that observational study including cross-sectional, case-control, and cohort study was eligible for their...
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  • Stressful psychosocial work and exit from the labour market
    Tomoyuki Kawada

    Hintsa et al. examined the effect of effort, reward and job control on the exit from the labour market by a 6-year follow-up study in workers at the age of 61 years or younger [1]. The author adopted binary logistic regression analysis by adjusting several variables, and concluded that effort-reward imbalance (ERI), effort and job control were significant predictors for exit from the labour market. In contrast, reward wa...

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  • Abnormal liver enzymes and diabetes risk: potential contribution of chronic viral hepatitis was underplayed
    Gee Yen Shin
    Sir,

    Xu et al report an association between deranged liver enzymes e.g. alanine transaminase (ALT) in Chinese people residing in Southern China and the incidence of diabetes [1].

    The authors examined multiple potential confounding factors which could influence liver enzymes e.g. alcohol consumption & adiposity. However, although the authors briefly mentioned chronic viral hepatitis infections i.e. chronic hepatitis B...

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  • Potential Challenges to Using Paternal Education as a Proxy for SES
    Dakota J Inglis

    Oksuzyan et al. report an association between race/ethnicity and two subtypes of childhood leukemia: acute lymphoblastic leukaemia (ALL) and acute myeloid leukaemia (AML).1 Accordingly, the researchers suggest that there are genetic, cultural, and environmental factors involved in the etiology of childhood leukaemia [1].

    Importantly, Oksuzyan et al. made a significant effort to examine and control for the poten...

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  • Evidence of a lack of beneficial effect of outdoor physical exercise
    Tze Wai Wong

    Dear sir

    The author commented on the paucity of research on the point where physical exercise in polluted air becomes more harmful than beneficial. I would like to share our research findings conducted more than 10 years ago in Hong Kong (Yu et al, 2004). We compared the physical fitness of school children who regularly performed physical exercise with those who did not. In a less polluted district (annual mean P...

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