eLetters

498 e-Letters

published between 2002 and 2005

  • Importance of the infant death scene investigation for accurate and reliable reporting of SIDS
    Carrie K Shapiro-Mendoza

    Dear Editor

    Inaccurate classification of the cause and manner of infant deaths impedes prevention efforts by limiting researchers’ ability to accurately identify risk factors for SIDS and other sudden, unexpected deaths in infancy (SUDI). Sheehan and colleagues[1] present evidence of inaccurate reporting of SIDS in Ireland and underscore the necessity for standardized SUDI criteria and definitions, as well as a mu...

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  • Gastro-oesophageal reflux revisited
    AM Dalzell

    Dear Editor

    We agree to a large extent with the views and practices expressed by Professor Hassall and colleagues at The British Columbia Children’s Hospital which were highlighted and published recently in Archives of Disease in Childhood.[1]

    At the Royal Liverpool Children’s Hospital (Alder Hey) we have developed a multi-disciplinary medical - surgical gastro-oesophageal reflux (GOR) assessment clinic where ove...

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  • HIV post-exposure prophylaxis for sexually abused children in Malawi
    Adamson S. Muula

    Dear Editor

    Ellis et al [1] ought to be commended for spearheading and reporting on their experience with the provision of HIV post-exposure prophylaxis (PEP) to children sexually abused (CSA) at the Queen Elizabeth Central Hospital (QECH) in Malawi. I wish to comment on a number of issues raised in the article. Firstly the authors indicated that in the protocols they follow children presenting with previous abus...

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  • Ethnic Differences in Lung Function
    Caroline S . Beardsmore

    Dear Editor

    We read this recent paper with interest as it deals with a clinically important question in the area of growth and lung function in different ethnic groups. The authors hypothesise that there may be intrinsic ethnic differences in lung function between British-born Asian and non-Asian females. That this difference exists was first reported in 1986 (1), when the differences in FEV1 and FVC were reporte...

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  • A role for Computer Tomography in Miliary Tuberculosis as well
    Oscar M Jolobe

    Dear Editor

    A role for computerised tomography(CT) which is just as challenging as the identification of mediastinal lymphadenopathy when patients with suspected pulmonary tuberculosis(PTB) present either with normal chest radiographs(1) or with non-specific pulmonary infiltrates(2) may be the role of establishing the diagnosis of miliary tuberculosis(MTB) when chest radiography only shows a non-specific interstitia...

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  • Need for a national consensus
    M S Harish Madhava

    Dear Editor

    I found the best evidence review very interesting. I just wanted to comment that there seems to be a very strong suggention that all babies with single umbilical artery should have a renal USG and an MCUG and the author has provided a strong arguement for the same. but having worked in 7 hospitals all over the country, I am amazed at the variability of practices. I have worked in hospitals which follow the...

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  • Re: Anaemia in hospitalised infants: Iron deficiency?
    Cameron C. Grant

    Dear Editor,

    Walter and Olivares question whether the anaemia present in the enrolled children was due to iron deficiency or due to the acute infection that precipitated their admission to hospital. They state that anaemia and all other measures of iron normalize without therapy. Both their reference to their earlier work and other published literature do not support this statement.

    Their referenced study...

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  • Klippel-Trenaunay syndrome
    Oscar, M Jolobe

    Dear Editor,

    The authors' "take away message", namely, that the diagnosis of Klippel-Trenaunay Syndrome (KTS) has prognostic implications extending well into adulthood[1] has, as its corollary, the recognition that the implications of underdiagnosis are equally important, especially given the ease with which underdiagnosis can occur if due cognisance is not taken of the fact that, of the three diagnostic parameters,...

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  • Weighing babies
    Linda Shields

    Dear Editor,

    The positive effects of routine weighing of neonates were examined in relation to breastfeeding (McKie, Young, Macdonald, 20 October 2005, doi: 10.1136/adc.2005.074484). This study found that regular weighing of infants up to 6 weeks did not threaten rates of breastfeeding, despite some suggestions to the contrary. The authors suggest that the effect may be from the reassurance and encouragement provid...

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  • SIDS and 'unascertainable' deaths in Western Australia
    Cecily Jane Freemantle

    Dear Editor,

    We write to add to the discussion raised in the Short Report, "How reliable are SIDS rates?"[1] and the accompanying response by Fleming and Blair[2], by highlighting recent data from Western Australia (WA).[3] Linked, total population birth and death data for birth cohorts from 1980-2001 indicated a significant increase in the later years in the number of infant deaths where the cause of death, as gi...

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