326 e-Letters

published between 2007 and 2010

  • self selection and commitment are better indicators
    oscar,m jolobe

    The statement that "countries with no or few paediatricians in primary care have satisfactory results in terms of conventional healthcare indicators such as neonatal and infant mortalities"(1) is,somehow, inconsistent with the complexity of the data required for calculation of most of the 38 healthcare indicators required to assess more precisely differences between various systems of delivery of paediatric primary care(...

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  • Referrals for MMR immunisation in hospital - The Irish Experience
    Colin Patrick Hawkes

    We read with interest the article by Ainsworth et al regarding referrals for MMR immunisation in hospital(1). We have had a similar experience in Ireland with many children being unnecessarily referred for hospital MMR, and unsuccessful reassurance of parents and GPs that MMR can safely be given to egg allergic children in the community(2).

    During 2007 and 2008, 47 of 91 referrals to Cork University Hospital for...

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  • Is it a case of too much vitamin D3?
    Nirmal S Panesar

    With the ever increasing talk of vitamin D being involved in "every" physiological process under the sun (and not forgetting the latter's influence on its synthesis), it is indeed surprising that neonates of mothers not on vitamin D during pregnancy are deemed deficient or insufficient at birth. Which may or may not be the case? While the supplementation of neonates with vitamin D in Siafarikas et al's 1 study boosted t...

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  • 1. Vitamin D deficiency and supplementation: guidelines are useful but are healthcare professionals and the public aware of them?
    Christos S. Zipitis

    We thank Professor Ahmed and colleagues for adding a substantial number of new cases of vitamin D deficiency to the national and international literature [1]. Hopefully, this new information will add further strength to the calls for a more coordinated and effective Public Health intervention that will, once again, lead to the control of this preventable condition. Vitamin D deficiency has been linked with a multitude o...

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  • Neonatal phototherapy and skin cancers
    Emmanuel Mahe

    We read with interest article by Brewster entitled "Risk of skin cancer after neonatal phototherapy: retrospective cohort study" published online first on June 2010. The authors evaluated in a very large cohort study the risk to develop skin cancers in young adults according to exposure to blue-light neonatal phototherapy (NNPT).[1] As other cohorts which evaluated the risk to develop melanocytic nevi - melanocytic nevi...

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  • Reply to letters from Dr J Hoffman and Dr A Lapillone
    Katherine J Kennedy

    Dear Sir

    Response to letter from James P Hoffman of Martek Biosciences Corp.

    We completely disagree with Dr Hoffman's statement that "caregivers of preterm infants are not well served by our report of a 10 year follow-up of LCPUFA supplementation in preterm infants". Our study (1) presents the results of the longest follow-up of a randomised trial LCPUFA supplementation during infancy to date. We have...

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  • Long-term health consequences of LCPUFA supplementation of preterm girls
    James P. Hoffman


    Caregivers of preterm infants and children are not well served by the report of Kennedy et al.,[1] "Girls who were born preterm and received LCPUFA supplemented formula showed increased weight, adiposity and BP at 10 years, with potential consequences for later health." LCPUFA supplementation programming preterm girls to later obesity and hypertension is not supported by their data. The issue is height:...

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  • The evidence-base for complementary medicine in children: a chiropractor's perspective.
    Joel Alcantara

    We read with great interest the article by Hunt and Ernst (1) on their critical overview of the systematic reviews of various complementary and alternative medicine (CAM) therapies for children. While Hunt and Ernst are to be lauded for their contribution to the pediatric CAM literature, we wish to address issues raised by the authors. Similar to other chiropractors, other CAM providers and orthodox medical practitioners, we...

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  • Upsurging of child maltreatment admissions in Chinese by using ICD codes for maltreatment syndrome: A different experience in the East
    Patrick Ip

    We appreciate Gonzalez-Izquierdo's detailed analysis and the enlightening discussion on variation in recording of child maltreatment admissions. We are particularly interested in its conclusion that the overall burden throughout the years has remained stable. In this first reported database of child maltreatment admissions in Chinese population, we have a very different conclusion and found a definite trend of upsurging...

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  • To the Editor,
    Elena Neri

    We appreciated the meta-analysis of Fisher, du Toit and Lack about specific oral tolerance induction (SOTI) but we believe that some issues deserve to be highlighted. Three randomized controlled trials met the inclusion criteria. Of these, only one (Staden at al.) shows no differences between SOTI and control patients (Figure 2). This study includes a very young population (average 2.5 years with a six month old patient...

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