eLetters

465 e-Letters

published between 2000 and 2003

  • Imprintable disorders and assisted reproductive therapies ( ART)
    Alastair G Sutcliffe

    Dear Editor

    We read with interest Hussain and Mehta's case report in Archives of September 2003. Both cases were reminiscint of Beckwith-Weidemann syndrome in many of their features. BWS is recognised as a spectrum rather than a clear entity. A series of reports has been published [1-3] suggesting an association between conception using assisted reproduction and BWS; another showing an association with Angelman's sy...

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  • Changes in education - stimulation, rather than simulation
    Kentigern Thorburn

    Dear Editor

    Dr Stewart in his leading article, “Medical training in the UK”, rightly expressed concern regarding postgraduate specialist training in paediatrics in the UK.[1] He highlights diminishing duration of training and stagnation in educational methods (dare we interpose educationalists’ mindset) as major aetiologies for looming deficiencies. Having benefited from a well-rounded formulated paediatric spec...

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  • National Survey of Childhood Tuberculosis
    J Brian S Coulter

    Dear Editor

    In the National Survey of Childhood Tuberculosis for 1998 peripheral lymph node disease (31) accounted for 32% of the total (96) cases in white children compared to 19% in the other ethnic groups.[1]

    The authors rightly state that “mycobacteria other than M. tuberculosis can cause higher rates of lymphadenitis”. Perhaps a large proportion of the cervical lymph node disease in the white gro...

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  • Medical Training in the UK
    Patricia A Hamilton

    Dear Editor

    Re: Medical Training in the UK

    We read the article by Dr Stewart with interest.[1] Whilst we support Dr Stewart’s statements “the general paediatrician remains core to the resuscitation and stabilisation of the critically ill child” and “exposure to critically ill patients is an essential part of training”, we wish to challenge his solutions.

    The apprenticeship concept is diffic...

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  • Re education and training in the paediatric senior house officer grade
    John S Craig

    Dear Editor

    The paper by Smith and Anderson [1] and the accompanying eLetters [2,3] were of interest to us because we have had two RCPCH education and training visits in the last 9 months, one for senior house officers (SHOs) and one for higher specialist trainees.

    We were commended for the quality of our teaching program and we have seen an improvement in our training program and our service provision fo...

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  • Childhood obesity and cancer
    Sudhir Kumar

    Dear Editor

    I read with great interest the recent review on health consequences of childhood obesity.[1] Though they have highlighted a variety of health consequences, the influence of obesity on cancer has not been discussed.

    Cancers in adulthood are associated with childhood and adolescent obesity.[2] In a long-term follow up study, a higher prevalence of colorectal cancer was found among men who had been...

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  • Combined universal ultrasound screening for developmental dysplasia of the hip and neonatal hearing
    Eleni Stathopulu

    Dear Editor

    We read with interest the recent articles of Dezateux et al.[1] and Brown et al.[2] on screening for developmental dysplasia of the hip.

    Our local child health promotion group proposed an innovative service for universal neonatal hearing screening and universal ultrasound hip screening of all our 4200 babies delivered in our area. This would be a mobile community based service,...

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  • Shoe size, mid-arm circumference and age may be helpful in predicting weight
    Will Carroll

    Dear Editor

    We read with interest the paper by Argall et al. and commend the authors on highlighting the inaccuracy with weight estimation using current methods.[1] The authors comment that ‘further work is required to revise the methods by which weight estimation is performed; either with modifications to the formulae used to calculate weight or derivation of a new measuring tape to reflect the increasin...

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  • Comments regarding the ethical aspects of using radiolabelled aerosols in research
    David A Spencer

    Dear Editor

    We read with interest Dr Everard’s leading article related to the ethics of using radiolabelled aerosols for research in children and wish to add our comments. There can be few areas that have been so comprehensively covered by legislation and practitioner guidance as the use of radioactivity in patients. These impose the highest standards of ethical care in diagnosis, treatment and research. The questio...

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  • Authors' response
    Steven B Welch

    Dear Editor

    We are grateful for the opportunity to respond to the important point raised by Professor Choonara[1] regarding the optimal duration of antibiotic treatment in children with meningococcal infection.

    It is undoubtedly true that meningococci are rapidly killed by appropriate antibiotics, and it is probably true that, at least in uncomplicated cases, courses of less than seven days’ duration may be ad...

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