1470 e-Letters

  • 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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  • Anthropometry and Failure to Thrive
    Ed Cooper

    Dear Editor:

    Did Raynor and Rudolf[1] look at height or head circumference as anthropometric predictors of developmental, dietary and eating problems? They measured height in order to calculate the Waterlow method of classifying wasting, and head circumference is easier to measure accurately in the field. Waterlow’s 1973 contribution[2] was to divide the weight-for-age deficits classified by Gomez et al in 1956...

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

    In a not cited paper published by Pediatric Allergy Immunology I have detailed everything about soy formulas (SFs). Children with atopic dermatitis fare well on SFs, those with colitis/enterocolitis have reactions to soy, but Burks demonstrated that these are not IgE-mediated, therefore it is improper to classify such reactions as allergenic.

    In Table 4, 19.8% of children (mean) reacted to SFs, but...

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  • Are we requesting too many DMSA scans?
    A H Sackey
    Dear Editor

    The recent article by Christian et al (1) highlights the value of clinical features in assessing the risk of renal scarring and therefore the need for DMSA scan after urinary tract infection (UTI). We recently performed a case note study to assess the recording of fever, malaise, recurrent UTI and urine culture results in children investigated with DMSA scan after UTI. Between April 1996 and October 199...

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  • Guidelines for the ethical conduct of medical research involving children
    William Tarnow-Mordi

    Dear Editor:

    While strongly supporting this document, I think that its recommendation that research in children should not simply duplicate earlier work is open to misinterpretation.

    Many randomised studies in paediatrics are too small and under powered to provide conclusive results. (1, 2) Meta analysis of multiple similar studies provides a useful tool for overcoming the limitations of inadequate...

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  • Sputum induction not more sensitive than gastric lavage
    H E Wiersma

    Dear editor:

    With interest we read the study of Zar et al¹ on the usefullness of sputum induction in infants and young children for the diagnosis of pulmonary tuberculosis. Bacteriological confirmation of pulmonary tuberculosis in infants and young children remains a problem because it is difficult to obtain sputum. Therefore, in young children, gastric lavage is the recommended method for the collection of res...

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  • Systematic review had no relevance to routine monitoring as it is undertaken in the UK
    Michael Perkin

    Dear Editor

    As someone who is in the throes of writing a chapter on growth monitoring in primary care for the Royal College of General Practitioners I read Garner et al's article(1) as well as their original Cochrane review (2) with interest. Both Professor Davies commentary and Professor Marcovitch’s precis in "Archives this month" discuss the findings in relation to growth monitoring in the United Kingdom. Un...

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  • Simply poison
    Camille de San Lazaro

    A six month old child is admitted with seizures as a result of the deliberate administration of sulphonylurea.

    Things have come to a pretty pass when the term "poisoning" does not feature in the keywords of this paper.

    The authors' use of the term "Munchausen syndrome by proxy" implies that they have knowledge of the perpetrator's motivation. In our view, they have not justified this conclusion. The on...

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  • Reliability of adolescents
    Bryan Lask

    Dear Editor

    I write with reference to the article by "Archivist" on Sex Preference in the April issue.

    "Archivist" asks if the view that adolescent iconoclasm and tongue in cheek humour could have an effect upon how they answer questionnaires, or whether that is just too cynical. I am the father of two sons, both of whom were often approached during their adolescent years to participate in psychologic...

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