eLetters

331 e-Letters

published between 1999 and 2002

  • Monitoring breastfeeding rates is a priority
    Helen E Bedford

    Dear Editor

    The article on breastfeeding by Nicoll and Williams is very welcome.[1] I would echo the importance of collecting information on breastfeeding as a routine. We conducted a survey to gather information to inform the development of a standard personal child health record (PCHR) as part of Health For All Children 4 (HFAC4). Just over 80 % of 144 districts reported that breastfeeding data are currently co...

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  • Blood lead levels of children with developmental problems and environmental tobacco smoke.
    Masayuki Kaji

    Dear Editor

    We read with interest the paper by Lewendon et al. [1] regarding the blood lead levels (BLL) of children. They reported that children with behavioural and/or developmental problems had higher BLL than controls (mean: 40.7 µg/l vs. 29.2 µg/l). We would like to know the smoking style of their parents, because there have been a few reports describing that passive smoking causes a rise of B...

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  • Newborn screening for Duchenne Muscular Dystrophy
    EP Parsons

    Dear Editor

    Elliman, Dezateux and Bedford,[1] in their recent leading article on newborn and childhood screening, include reference to newborn screening for Duchenne muscular dystrophy (DMD). They argue that the main value of such a screening programme is to warn parents that future sons may be affected, and support this statement with reference to Jarvinen et al.[2] This paper does not report a newborn...

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  • Management of Childhood Osteoporosis
    Nicholas J Shaw

    Dear Editor

    I read with interest this recent review article which summarises current knowledge about this subject. I have a number of comments which are pertinent to the discussion. As the authors allude to there is currently a lack of good evidence on which we can base preventative management.Although Calcium & Vitamin D supplements are routinely used by some paediatric rheumatologists there appears to be only...

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  • Guidelines or renal imaging UTI in hospitalised children
    Kiran R Kumar

    Dear Editor

    The original article gives a message of caution in the use of Renal Ultrasound as a preliminary test in deciding on a V(M)CUG test to diagnose VUR. The study looked at 2 definite investigations carried out in all children under the age of 1, however the RCPCH (UK) guidelines recommend DMSA, Renal U/S & MCUG in all children with a proven UTI under the age of 1.

    The RCPCH (UK)guidelines for c...

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  • Is Life long Follow up for patients with Kawasaki disease indicated?
    Subramanian Jothi Murugan

    Dear Editor

    Brogan et al recommended life long follow up for patients with Kawasaki disease including those who did not have coronary artery involvement. The reason they quoted was to document the blood pressure and provide general advice regarding other risk factors.[1] American Heart Association recommends echocardiographic evaluation of the coronary arteries at presentation and follow up echocardiogram...

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  • Imroving breast feeding prevalence needs joined up government
    Elspeth Webb

    Dear Editor

    Any article promoting breast-feeding is to be welcomed, and particularly one that provides both an up-to-date evidence base for both the benefits of breast-feeding and the relative success of interventions to promote it.[1] The authors state that:'the greatest health gains could therefore result from raising...prevalence in the most poorly resourced families', and go on to suggest ways in which this cou...

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  • Procalcitonin as a marker of meningococcal disease
    Enitan D Carrol

    Dear Editor

    We thank Professor Leclerc for his interest in our paper. We disagree with some of his comments, however.

    Firstly, the definition of severe meningococcal disease (MCD) is defined in the methods section as a Glasgow Meningococcal Septicaemia Prognostic Score GMSPS >= 8.[1] This is a well recognised and validated definition,[2] and one that has been used as entry criteria for randomised con...

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  • Pica - a complication of sickle cell disease
    M A Rossiter

    Dear Editor

    We were interested to read the letter by Roberts-Harewood and Davies.[1] We and other paediatricians [2] have been aware for a few years of cases of pica in children with sickle cell disease (SCD). Parents do not volunteer this embarrassing information but when asked "does your child eat anything unusual?" will relate their child's specific penchant. They are relieved to know that this is not unusual...

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  • Authors reply
    Allan F Colver

    Dear Editor

    We thank Bock et al. for their interest in our article. We respect their views on the interpretation of the data but it is of course for each reader to come to their own opinion on these. We would like to respond to their comments on the accuracy and valididity of our data.

    Did our paper under-ascertain deaths? Bock et al. base their concerns on our methods of case ascertainment...

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