eLetters

1433 e-Letters

  • Re: Cross-sectional presentation of longitudinal data
    Alison M Kemp

    We would like to thank Dr Clifford for his interest in our research. We do not agree with him that the title and abstract are misleading. The study was a longitudinal one and the results reflect that; for example we looked at the children over time and assessed the importance of within- child variation over time compared to between-child variation. It is very important to distinguish between a collection, that is a point...

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  • Re: Neonatal vitamin A supplementation is not all about deficiency
    Robert Scott-Jupp

    Dear Professor Aaby

    Thank you for your helpful response to the Archivist feature on neonatal Vitamin A supplementation, pointing out the difficulty in attributing any benefit to pre-existing deficiency. Obviously it is not possible to include a full discussion of the conflicting literature on this subject in a short article. I did not intend to endorse any conclusions from the editorial, but merely to stimulate...

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  • The Skeletal Survey in suspected abuse- how necessary is it?
    anthony cohn

    Drs Bajaj and Offiah present compelling reasons for performing skeletal surveys in all children under 2 years of age with unexplained injury, as recommended by the RCPCH guidelines. We have followed this practice for a number of years but an audit of our skeletal surveys came to a very different conclusion.

    We reviewed the results of the skeletal surveys requested in our hospital over a period of 7 years and 4...

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  • Tachypnoea in a well baby: don't forget the head
    Paul A.J. Heaton

    We highlight the recent case of a term female neonate aged 9 days who was referred by her community midwife on account of features of mild respiratory distress symptoms. Initially sepsis was suspected and treatment with antibiotics was initiated. Tachypnoea persisted though there were no other abnormal physical signs; laboratory studies were normal. An echocardiogram, performed to exclude a primary cardiac cause showed...

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  • Faecal calprotectin as an effective diagnostic aid for necrotising enterocolitis
    Cathy Hammerman

    We read with great interest the recent Archimedes discussion entitled "Can faecal calprotectin be used as an effective diagnostic aid for necrotizing enterocolitis in neonates" by Houston and Morgan. In their commentary the authors correctly state that most of the studies used an ELISA method and that many local laboratories currently only run fecal calprotectin testing in once or twice weekly, which would not support it...

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  • Pickled Red Herrings
    Michael A. Colvin

    Wolfe et al heighten my anxiety about solution- focussed epidemiological research with their recommendations for improving child survival in the UK (1). The correlation of lower socio- economic inequality with better child health outcomes in Sweden is clear enough but correlation does not equal causation, as we never tire of hearing. The assertion that "child survival in Britain would be improved through macroeconomic po...

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  • Where do the differences in childhood mortality rates between England & Wales and Sweden originate?
    Anna M. Zylbersztejn

    We support the call for action by Wolfe et al. to address UK's high child mortality rates relative to some other European countries (e.g. Sweden) and we agree that preventive public health strategies are crucial for reducing child mortality in the UK. To put these aspirations into practice policy makers need to know which populations to target. In particular, whether the priority should be to focus on the health of women...

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  • Cross-sectional presentation of longitudinal data
    Rollo D Clifford
    The authors of this study are to be congratulated on a unique and useful collection of data which, in the present climate, is increasingly difficult to achieve. Unfortunately the title is somewhat misleading and the abstract potentially open to mis-interpretation. Although parents collected diary data on their children during concurrent weeks, this is presented by the authors in a cross sectional, not longitudinal manner. Thus, wh...
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  • A useful tool for parents
    Ilana R Levene

    I agree with the editorialists that bed sharing is a decision that each parent must make based on their own risk profile and the benefits that they receive. A dogmatic single message approach is not appropriate for this widespread practice when it has such a small affect on absolute risk of SIDS in many families. I would like to bring to their attention a very useful app (available for android and apple devices) from the...

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  • ARGUMENT ON APPROPRIATE CHOICE OF MAINTENANCE FLUID COMES A FULL CIRCLE
    Davendralingam Sinniah

    I read with great interest the arguments whether 0.9% saline with 5% dextrose would be a more appropriate choice than 0.45% saline with 5% dextrose for maintenance fluids in hospitalized children. In 1975, WHO and the United Nations Children's Fund (UNICEF) decided to promote a single ORS (WHO-ORS) containing (in mmol/L) sodium 90, potassium 20, chloride 80, base 30, and glucose 111 (2%) for use among diverse populations....

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