eLetters

498 e-Letters

published between 2002 and 2005

  • At least measure the head circumference
    Charles Essex

    Dear Editor,

    Many "simple" measurements in medicine have much less stringent quality control measures than more complicated or sophisticated ones. Perhaps it is assumed that they are less important or less likely to go wrong, or the consequences any error are less significant. When were the weighing scales or height measure in your clinic last calibrated? If you measure visual acuity, are you sure the child...

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  • Gaviscon on gastro-oesophageal reflux in infants: A poorly effective treatment?
    Francesco Cresi

    Dear Editor,

    We read with interest the recent article by Del Buono et al. evaluating the effect of sodium and magnesium alginate (Gaviscon) on gastro-oesophageal reflux (GER) in infants [1]. It provides an objective assessment of the effects of a drug widely used in the treatment of paediatric GER by means of a double-blind drug vs placebo trial, in which the effects of each treatment were evaluated by means of...

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  • Confounding variables in ethnicity research in Cystic Fibrosis
    Jonathan D McCormick

    Dear Editor,

    We wish to comment on the methodology and findings of your recent publication on South Asian Canadian immigrants with Cystic Fibrosis (CF).[1] The authors suggest that they are the first to describe the clinical presentation of South Asians with CF are comparable to the rest of their patients. We welcome the Asian CF prevalence calculations but note that we have already demonstrated in a six fold large...

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  • Thyroid function testing in Down’s syndrome
    Donal Manning

    Dear Editor,

    We read with interest the recent article by Gibson et al. evaluating surveillance of thyroid function in children and adolescents with Down’s syndrome, as we have undertaken a retrospective cohort study of patients with Down’s syndrome on the Wirral, born between 1977 and 2005.[1] The thyroid function test results of 54 patients were analysed, and a high prevalence of both hypothyroidism and isolated...

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  • Edgar Schoen does not represent the North American view of male circumcision
    George Hill

    Dear Editor:

    We dispute the claim that Schoen represents the North American view.1 We think that he represents only his personal view and that of a few disciples.

    Schoen’s claims have been rejected wherever he goes. When he published in the New England Journal of Medicine in 1990,2 his views were...

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  • D-penicillamine treatment in Rh-Haemolytic Disease of a newborn
    Andrea J Nagy

    Dear Editor,

    Reflecting to the letter of Mark P Tighe, et al.[1] we would like to report our case with rhesus-haemolytic disease treated with D-penicillamine (DPA) and phototherapy without exchange transfusion:

    We recently cared for a term infant boy (blood group B, Rh-positive, weighed 3100 gm) who was born at 37. gestation to a 33-year old, blood group B, Rh-negativ mother. During pregnancy the indirect Coom...

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  • Ambulatory multidisciplinary treatment of children with diabetes
    Zvi Laron

    Dear Editor,

    I read with great interest and satisfaction the following two articles in your journal: Lowes and Gregory – “Management of newly diagnosed diabetes: home or hospital?” [1] and McEvilly and Kirk – “Twenty years of a multidisciplinary paediatric diabetes home care unit”.[2] Indeed, the need to admit newly diagnosed children and adolescents to a hospital can be markedly reduced and even avoided.

    T...

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  • Absence of wash-out period between Gaviscon and placebo may be responsible for anomalous findings
    Vishal Paisal

    Dear Editor,

    Oesophageal pH monitoring has been used to monitor gastro-oesophageal reflux (GOR). However, Buono et al. point out that this method will not record instances of 'neutral-reflux' after a feed (1). They say that multiple intraluminal impedance measurement is a more appropriate way to assess GOR. Using the technique they have found that Gaviscon does not reduce reflux. The number and height of reflux with Gav...

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  • Re: Community needlestick injuries may still be dangerous
    Nick V Makwana

    Dear Editor

    We were interested to read this letter. The authors feel that children with community needlestick injuries’ should be treated the same as healthcare workers. This seems to miss the point of our paper. Hospital needlestick injuries are very different to out-of-hospital needlestick injuries: the blood is generally dry so therefore less likely to be infectious1, the injuries are often superficial: again...

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  • Authors' reply to: Effectiveness of tonsillectomy depends on stringency of indications
    Birgit van Staaij

    Dear Editor

    In his letter from February 15th 2005 Dr Paradise criticises our review and raises 4 major points [1]:
    (1) he claims we overlooked previously published critiques of the controlled non-randomised trials conducted between 1920 and 1960;
    (2) we considered only pooled risk differences across studies and we thereby did not relate the outcomes to the stringency...

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