eLetters

1458 e-Letters

  • Consider absolute risks in SIDS prevention
    Stuart Logan

    Sir

    The demonstration by Blair et al[1] of an association between poor postnatal growth and an increased risk of SIDS, is a useful addition to our understanding of the aetiology of this condition. It is unfortunate that the conclusion in the abstract that "Poor postnatal weight gain was independently associated with an increased risk of SIDS and could be identified at the routine six week assessment" (italics added...

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  • Re: Dietary products used in infants for treatment and prevention of food allergy
    Arnaldo Cantani
    Dear Editor

    We agree with the letter from Professor Koletzko suggesting that more studies in this field are necessary (Arch Dis Child Rapid Response 6 June 2000). However, Table 4 of my study detailed all the data of the "other authors" and tried to make a mean among all such data. Since Sampson et al documented a 0% prevelence of sensitisation to soy, we concluded that about "80-100%" of children.

    Professor...

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  • Re: Prone sleeping and circulatory control in infants
    Michael Healy

    I believe that Dr Narchi's worries about Chong et al's paper are unjustified.

    The t test is known to be in the technical sense robust to non- Normality, meaning that unless the departure from Normality is severe the t table p values are very close to the correct ones. From general experience the variables studied in the paper are likely to have distributions that are close to Normality.

    Choing et al st...

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  • Re: Sputum induction not more sensitive than gastric lavage
    Heather J Zar

    Reply to Dr Wiersma and colleagues:

    Dr Wiersma and colleagues suggest that the yield from a single sputum induction should be compared only with the results of those children who had 3 consecutive gastric lavages (Arch Dis Child Rapid Response 2 June 2000). Only 26 of our patients had 3 gastric lavages; amongst this subset however, 4 children were culture positive on sputum while only 3 were positive on gastric...

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  • Re: MMR vaccine in children allergic to egg
    Harvey Marcovitch

    Dr Riordan ask which expert opinion to follow. The answer surely lies in reading the papers carefully, seeking out any key references quoted and deciding for oneself who has provided the best evidence. This should be the case for all guidelines, but we know that they are often absorbed undigested, which is one reason why ADC erects fairly firm barriers to their publication. Lakshman and Finn's paper was commissioned b...

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  • Re: MMR vaccine in children allergic to egg
    Adam Finn

    Dear Editor:

    We note Riordan's response to our editorial on the issue of MMR vaccine and allergy[1] and the recommendations put forward by Khakoo and Lack[2] on this topic. While we agree that conflicting advice creates confusion, we cannot agree with his proposed "pragmatic approach". This amounts to a pointless waste of time and resources - greater than that proposed by anyone else to date - which will simply...

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  • MMR vaccine in children allergic to egg
    Andrew Riordan

    Dear Editor

    Two reviews of MMR vaccine and egg allergy have recently been published. [1, 2] One appears in the Royal College of Paediatrics and Child Health's own journal (Archives of Diseases in Childhood),[1] the other has been endorsed by the Committee on Infection and Immunisation of the Royal College of Paediatrics and Child Health.[2] The two articles differ in their recommendations of which children should be g...

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  • Response to Prof. Analado Cantani
    Berthold Koletzko

    The comment of Dr. Cantani (Arch Dis Child rapid response, 2 June 2000) is interesting and reemphasizes our conclusion drawn in the joint statement of ESPGHAN and ESPACI (Arch Dis Child 1999;81:80-84) that in view of controversial judgements more studies are required to further elucidate the effects of soy protein based formulas in infants with food allergies. Although Cantani claims that 80-100% of infants with IgE media...

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  • Indices for assessing nutritional status at birth
    Shabih Manzar

    Dear Editor:

    I read with interest the article by Raynor and Rudolf[1] comparing the anthropometric indices of failure to thrive. In the same context, I would like to share the findings of our study which was done to compare the indices used for assessing nutritional status at birth. The indices used were the birth weight, Ponderal index and the CANSCORE (Clinical assessment of nutritional score).

    A 20 co...

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  • Spacers. the last word? I doubt it.
    Peter Barry

    Dr Marcovitch's comments about Heather Zar's article (Arch Dis Child 2000;82:495-8), championing the use of home made spacers and in particular the coffee cup, do not stand up to a closer examination. In a recent randomised study of the bronchodilator effects of different spacers from the same authors as the ADC article, in 44 children with moderate...

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