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Presents letters related to medicine. Importance of medical staff awareness about major incident planning; Comments about drug treatment of hypertension; Difficulties faced in the identification of malnourished children by the World Health Organization.

Investigates the rates of change in bone mineral density of elderly people in New South Wales. Continuance of bone loss at the femoral neck of elderly people; Influence of cohort effects on the results; Relationship between smoking and bone loss.

Examines the delayed detection of congenital hearing loss in high risk infants in Great Britain. Effects of the introduction of evoked response audiometry on the mean age of the identification of hearing loss; Failure to arrange auditory evoked response testing in early infancy; Awareness of health service personnel of the risk criteria of infants.

Reports that metformin may reduce cardiovascular risks in patients with type 2 diabetes. Discussion of a United Kingdom diabetes study indicating metformin produced similar degrees of glycemic control and significantly reduced microvascular end points as did sulphonylurea and insulin; Results indicating that group tested with metformin had no hypoglycemia and less weight gain than groups tested with sulphonylurea and insulin; How metformin reduced the risk in mortality, diabetes-related deaths and diabetes-related end points.

Editorial. Focuses on coeliac disease or gluten sensitivity enteropathy. History of the treatment of coeliac disease; Association between neurological disorders and adult coeliac disease; Typical clinical manifestation of a patient with gluten sensitivity.