A Lawson
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چکیده
could find no other major social or environmental change that occurred in the population we served which mighthave explained these striking findings. We agree with Dr Platt that it would have been advantageous to compare our experience with that of similar districts in England. Despite strenuous efforts, however, we could not obtain comparable data of this type. The experience in the Edinburgh poisons unit has apparently been different from our own, but several factors may explain this. In contrast to our own policy during the period of study, we understand that in Edinburgh, particularly during the latter years of the review described by Dr Platt, the admission policy has changed in that only some of the patients reaching the accident and emergency department are admitted to the poisoning centre. Also, from the data presented, it is clear that the percentage of Edinburgh patients who took alcohol with their overdose before the change in the licensing laws was more than twice that in our own series. This may well have obscured and at least reduced any impact which the change in the law may have caused in the Edinburgh admission rate. As far as poisoning is concerned, it is well established that patients from capital cities and other dense conurbations behave differently from those is a mixed urban and rural community. We would suggest, therefore, that the data presented by Dr Platt are not necessarily strictly comparable with our own. Clearly it is difficult to provide any proof of the association which we suggestedcand we would be most interested to learn ofothers' experience, particularly from comparable district general hospitals. A LAWSON JOHN MCMURRAY D B NORTHRIDGE
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تاریخ انتشار 2005