eLetters

465 e-Letters

published between 2000 and 2003

  • Author's reply
    Sam Nordfeldt

    Dear Editor

    There are few controlled studies of pedagogical devices used in patient education regarding chronic diseases like type 1 diabetes. As Briars et al points out, this area is worth further study and we agree that a critical view is needed with respect to such studies. We therefore performed this controlled study in a general hospital population following the previous study in a before-after setting at o...

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  • Surfactant protein D use
    VKT Nootigattu

    Dear Editor

    We read with interest the paper by Clark and Reid [1] describing the potential benefits of recombinant surfactant protein D therapy.

    The authors give a range of potential disease targets for surfactant protein D based therapy including neonatal chronic lung disease, cystic fibrosis, lung infections, emphysema and asthma. The authors do not however mention the potential use of surfactant protein D...

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  • Authors response
    David Stewart

    Dear Editor

    It is encouraging that the Royal College supports the notion that "the general paediatrician remains core to the resuscitation and stabilisation of the critically ill child" and "exposure to critically ill patients is an essential part of training", and I am glad they seek to challenge the solutions proposed. However, to dismiss them as simply unrealistic fails to heed their own goal of more imaginative...

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  • Shaken infant trauma induced by incorrect installation of a child seat in a car
    Werner Jacobs

    Dear Editor

    I would like to comment on the paper by de San Lazaro et al.[1]

    The authors of this paper demonstrated that violent rocking of a baby chair could produce acceleration/decelaration forces similar as those seen when violenty shaking a child and that could result in similar lesions as those seen in a true shaken baby syndrome. I recently encoutered a similar case where a 2 month old baby was p...

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  • Systemic effects of pimecrolimus cream
    Mark F. Mangano

    Dear Editor

    I read the article by Allen et al. with interest. I am interested in a potential systemic effect of pimecrolimus that doesn't seem to have been addressed.

    I understand that the cream achieves its desired effect by surpressing the white cells in the affected area. I understand that the population of white cells migrating into the eczematous area is in continuous flux, and that these cells...

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  • Deficits in attention, motor control, and perception: a brief review.
    Niels Henrik Rasmussen

    Dear Editor

    I have read C. Gilberg’s paper[1] with interest but also with concern because there to my knowledge is no scientific valid paper about children with DAMP (deficits in attention, motor control, and perception).

    The term DAMP was first introduced by C. Gilberg in 1986 [2] and based on a study of 6 years old children in Gothenburg, Sweden.[3] The main aim of this study was to construct a screening i...

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  • Empyema Thoracis
    Dakshesh Parikh

    Dear Editor

    I agree with Dr Spencer that the incidence of the Paediatric Empyema is on the increase and the management of this age-old disease is dependent upon provider-based experiences. Secondly, there is no clear evidence that one modality of management is superior to the other. Therefore giving rise to controversies in the management of this disease. The pathogenesis of the disease (Empyema) is largely ignored w...

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  • Issues potentially affecting the generalizability of Bland et al's findings
    Ted Greiner

    Dear Editor

    Congratulations to Bland et al.[1] for a well-done study, well analyzed and well written up on an issue that needed to be studied the way they did it. I agree with most of their conclusions, particularly their warning that studies linking postnatal HIV transmission to feeding practices need to use more exacting methods to document the latter than most studies have used to date.

    I would add to...

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  • Education and training in the paediatric senior house officer grade
    Claire P Smith

    Dear Editor

    We were pleased to receive the comments from John Craig with which we largely agree.[1] The audit we published was a retrospective one of reports received between 1997-2001. This was before many Senior House Officers (SHOs) began shift patterns of working which has become the norm in recent times. We agree that this change necessitates a different approach to education and training and we fully support...

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  • Randomised controlled trial of educational video
    Graham L Briars

    Dear Editor

    Nordfeldt et al[1] conclude from their randomised controlled study that severe hypoglycaemia incidence can be reduced in type 1 diabetes patients who study good quality educational videos. Examination of the premise that patient education reduces morbidity is worthy of study, both in the current setting of type 1 diabetes and in paediatric disease in general.

    The current study relies on...

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