eLetters

498 e-Letters

published between 2001 and 2004

  • familial dysalbuminaemic hyperthroxinaemia
    oscar,m jolobe

    Dear Editor,

    Even with the acknowledgement that a diagnosis of thyrotoxicosis is incompatible with a thyroid stimulating hormone(TSH) level which lies within the normal range[1], what the author says ring true that one should scrutinise, not only the laboratory result, but the patients as well[2].

    This advice is especially relevant to thyroid disease, where laboratory derangements may be similar to those f...

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  • Aspirin, Reye Syndrome, Kawasaki disease, and allergies; a reconsideration of the links
    Susan M Hall

    Dear Editor,

    Van Bever et al suggest that “it is time to rethink whether there is any causal link between aspirin and Reye’s syndrome (RS)” and that paediatricians should consider returning to aspirin as “their first choice antipyretic/analgesic in children” [1]. The proposal appears to originate in the hypothesis that the decline in its use is responsible for the increase in allergic disorders. They do no...

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  • Palivizumab Prophylaxis in Haemodynamically Significant Congenital Heart Disease
    Timothy F. Feltes

    Dear Editor,

    Patients with congenital heart disease (CHD) have been reported by many authors to have high rates of hospitalisation, morbidity and mortality associated with respiratory syncytial virus (RSV) lower respiratory tract illness.[1-3] However, in a recent paper in the Archives of Diseases in Children Duppenthaler et al reported a substantially lower incidence of respiratory syncytial virus (RSV)...

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  • cultural practices in perinatal care
    dr sudarshan kumari

    Dear Editor,

    The authors of this paper on Hindu Birth Customs have highlighted most practices which are part of hindu culture. However some more practices which are benficial for mothers and neonates are being mentioned here.

    Place of delivery: first delivery mostly occured at girl,s parents house,where she is sent from inlaws house about 2-3 months before term, where she is treated as special person, ge...

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  • Is negative parental attitude towards infant hearing screening justifiable?
    Bolajoko O. Olusanya

    Dear Editor,

    Marteau et al took exception to the following phrase in our paper:

    “Our model differs from the three-dimensional typology proposed by Marteau et al, which incorporated uptake as a measure of informed choice [ref]. In our view, uptake represents a consequence rather than the goal of informed choice and was therefore excluded as a measure [ref].”

    and went on to raise the foll...

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  • Improving cultural competency
    Rajesh Pandey

    Dear Editor,

    In their article, A.R.Gatrad et al attempt to build a prototype for Hindu birth customs. Being a Hindu, I myself felt quite surprised at not being aware of many customs and rituals referred to in the article. Contrary to what is mentioned in the article, the law in India stipulates that a male be atleast 21 years and a female 18 years at the time of marriage.

    Despite their very sinc...

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  • Controversy
    T L Chambers

    Dear Editor,

    An expert is instructed to advise the Court and one follows the instructions received - which usually indicate whether a paperwork or clinical exercise is required.

    If they are ambiguous or seem to limit one's ability to do an adequate job then one should return to the Court to explain the position and obtain further guidance.

    Whilst not taking David's position absolutely on the que...

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  • Bed-sharing by parents who are smokers
    Christopher J Bacon

    Dear Editor,

    Wailoo and colleagues [1] rightly point out that the issue of bed- sharing is highly complex and that we don’t yet understand its possible benefits and hazards well enough to give generalised categorical advice.

    However there is now enough evidence to put one fact about bed- sharing beyond dispute: bed-sharing by parents who are smokers brings a greatly increased risk of cot death. The CESD...

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  • RSV co-infection in PICU
    Anton-Paul T Mayer

    Dear Editor,

    The short report by Duttweiler et al [1] confirms our observation that the sub-population of RSV infected infants and children requiring intensive care needs to be treated differently, in terms of antibiotic treatment, from those who need routine hospital care. Bacterial sepsis is rare in RSV ward admissions as assessed by blood culture and CSF culture positive results [2] but secondary bacter...

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  • Medical therapy in the treatment of local BCG reactions
    Nick V Makwana

    Dear Editor,

    We read with interest the recent article by Ali and Almoudaris[1] regarding a case of BCG lymphadenitis. They commented that the treatment is controversial, but the evidence suggests otherwise. We recently performed a literature search for evidence regarding treatment of BCG lymphadenitis which showed that there are two recognised outcomes: regression or suppuration with peroration, drainage and...

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