182 e-Letters

published between 2010 and 2013

  • Bronchial balloon occlusion in children with complex pulmonary air leaks
    Claire G. Hathorn

    We would like to thank Drs Jakob and Hentschel for their response to our recent paper concerning the use of balloon occlusion catheters. Their experience of single lung ventilation of preterm infants is very useful. Our paper covered the use of balloon occlusion across a wider age range: from preterm infants up to 6 years age. The mainstem bronchi are so short in preterm infants that a balloon has only a small 'foothold'...

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  • What gets lost in translation?
    Edwin Spaans

    With pleasure we read the article by Allegaert et al(1) on the use of paracetamol for ductus arteriosus closure with high doses of paracetamol (15mg/kg q6h) and the response by Mazer-Amishahi(2). The authors propose to initiate a prospective randomized controlled trial. Before embarking on such a 'Proof of Concept' (POC) study, translational considerations may provide usefull insights.

    The considered mode of acti...

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  • Response to Kemp et al.
    Charles J. Hyman

    Dear Editor:

    Kemp et al.[1] attempted to retrospectively study the characteristics and modes of bruising in children less than six years of age who had been referred to two child protection teams. These children were placed in physical abuse (PA) and physical abuse excluded (PAE) categories. An important criterion used by Kemp et al. to select a child for the PA category was the absence of a history of an accide...

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  • Embedding low resource exposure in current training
    Simon J Clark

    Dear Editor,

    The School of Paediatrics in Yorkshire and Humber has already embedded low resource exposure within its paediatric training programme.

    Around 5 years ago we set up an annual scholarship for the tropical medicine diploma. This is linked to 12 months out of programme time to undertake a VSO placement via the RCPCH link. We have had 4 doctors complete this linked programme, following a compet...

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  • Re:Don't Excise -- Exorcise
    carl myhill

    I have updated the wikipedia entry on Duct Tape Occlusion Therapy to make it clear that Jerome Litt (MD) first published this notion of using Duct Tape to treat warts. It is likely to be further edited by others but I thought the record needed clarifying. http://en.wikipedia.org/wiki/Duct_tape_occlusion_therapy_(DTOT)_for_treating_verrucas_and_warts

    Conflict of Interest:


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  • A beautiful example of reflux -but is there really a posterior urethral valve?
    Andrew Lunn

    Dear Editor,

    We read with interest the article by Patti et al(1) and agree with their conclusion that a history of normal voiding does not exclude a diagnosis of posterior urethral valve (PUV). This has also been demonstrated in other case series and reports.(2,3) The article by Patti et al demonstrates a beautiful example of bilateral vesico-ureteric reflux (VUR) on micturating cystourogram. We however raise...

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  • Re:Re:Clear duct tape based wart studies are flawed
    carl myhill

    I find the response to Assistant Professor Samlaska to be a bit limited.

    Firstly, in the study by Wenner, they point out at the end of the paper that unbeknownst to them the clear duct tape they used had a different glue on it than regular duct tape. In fact, it had an acrylic based glue. Furthermore, the control group treatment used moleskin - this also has an acrylic based glue. So, when Wenner et al found no...

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  • Re: Diagnosis and acute management of patients with concussion at children's hospitals
    William P. Meehan III

    Dear Drs. Meyer and Oster,

    Thank you for your interest in our paper(1) and for your concern for the proper management of children suffering from acute brain injury.

    As you know, a concussion is a complex pathophysiologic process resulting from a rapid rotational acceleration of the brain caused by trauma.(2-4) It is a form of traumatic brain injury. The Glasgow Coma Scale, on the other hand, was develo...

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  • CT scans in children with concussion
    Sascha Meyer

    We read with interest the paper by Drs Colvin and colleagues on the diagnosis and acute management of children with concussion at children?s hospitals in the United States (1). The authors reported an astonishing 59.9% of children with concussion receiving CT scans of the head (1).

    We would like to make two comments with regard to this study: First, the terminology surrounding trauma to the head remains confus...

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  • The wider implications of non-anaemic iron deficiency
    oscar,m jolobe

    The highly commendable and detailed characterisation of non-anaemic iron deficiency(1) is timely and, perhaps, even overdue, given the fact that animal studies show that, even in the absence of anaemia, iron deficiency can ,in its own right, adversely affect both cerebral function(2), and thyroid function(3). In the animal model of non-anaemic iron deficiency it has been shown that iron uptake by a divalent metal ion tr...

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