We read the invited review on sustainable medicines use in clinicalpractice by Adeyeye et al.1and would like to congratulate the authorswith the captivating way in which they used scientific facts combinedwith very practical solutions to convey their call to action. This call isprimarily addressed to the NHS, which the authors suspect will reso-nate with other health systems. While we fully agree with necessityof this top-down approach, we additionally believe that there is muchto be gained by making future prescribers more knowledgeable andaware about the impact they have on planetary health. The articleremains very brief about next generation of healthcare professionalsby quoting the General Medical Council's statement that“newly quali-fied doctors must be able to apply the principles, methods and knowl-edge of population health and the improvement of health andsustainable healthcare to medical practice.”2However, the underlyingquestion—how we effectively train future healthcare professionals inthese attitudes underpinned by knowledge—is not addressed...........
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A reflection on the impact of Paul Julien's photographs in the form of a letter to him, part of the larger investigation into his legacy.
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This letter to the editor argues that the assumption of a single value for the acetate recovery factor in carbon-13 stable isotope research for different individuals, can lead to significant errors in the outcomes of substrate utilization measurements.
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The 8 billionth citizen of the world will probably be born within a few months. Never before have we been on the planet with so many people at once. Of the 110 billion people who have lived since the dawn of humanity, 8/110 = 7.3% are present at the same time. Yet we are short of hands to do all the work that is already being done. Or is that perhaps a sign that we are more focused on doing the work right than on doing the right work? This column is a welcome letter to the 8 billionth citizen of the world, discussing the fundamental unpredictability of the future and the many challenges we now face.
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Dear Editor,We would like to thank you for the opportunity to respond to the letter sent in by colleagues Castien & Scholten-Peeters, and thank them for their thorough reading of our paper. They have raised some issues that need to be addressed and will be responded to in this letter. We have also submitted proposed corrections of the paper to the editor to be handled at their discretion.
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The purpose of this Letter is to identify and specify what type of research is required to explore the role of the Chinese Social Credit System for Chinese outbound tourism decision-making. The Social Credit System will likely cause visible and invisible effects on tourist behaviour of the Chinese people. Visible effects include social media sharing of high trust scores by tourists. Invisible effects may include how the SCS affects decision-making of Chinese outbound tourists. I conclude that we need a more emic-etic understanding of Chinese outbound tourists by using a Delphi method in combination with the Analytical Hierarchy Process method.
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The article title for this Letter to the Editor is correct as reflected here. The original article has been corrected.
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Early detection of reading problems is important to prevent an enduring lag in reading skills. We studied the relationship between speed of word recognition (after six months of grade 1 education) and four kindergarten pre-literacy skills: letter knowledge, phonological awareness and naming speed for both digits and letters. Our sample consisted of 178 pupils divided over seven classes. In agreement with the literature, we found that all four kindergarten tests were related to speed of word recognition in grade 1. We also performed a multiple regression analysis with a set of background variables and the four kindergarten tests. The model explained 53% of the variance in speed of word recognition. However, only letter knowledge and naming speed for digits had a significant direct effect. Our conclusion is, nevertheless, that all four kindergarten tests should be used to identify children at risk for reading problems.
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Purpose: The purpose of this letter is to respond to Moncrieff's (2017) letter to the editor, "Response to de Wit et al., 2016, 'Characteristics of Auditory Processing Disorders: A Systematic Review,'" published in May 2017 by the Journal of Speech, Language, and Hearing Research.Conclusion: We believe that our original conclusions are valid given the limited evidence that is currently available about the etiology of auditory processing disorders (APD). The focus of our systematic review was to identify the characteristics of children with a diagnosis of APD or a suspicion of APD. The results of our study showed that the characteristics of these children are not specific or limited to the auditory modality but are multimodal instead. In our view, it is incorrect to use the diagnosis APD, because there is not necessarily a specific auditory deficit in a large group of children suffering from listening difficulties. Before we start using any new diagnoses, a better insight into how bottom-up and top-down processes are precisely involved in listening needs to be developed. In addition, more insight is needed with respect to the similarities and differences between the different developmental disorders of children.
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Comment on Briggs et al., Health literacy and beliefs among a community cohort with and without chronic low back pain [Pain 2010;150:275–283]
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