140 e-Letters

published between 2015 and 2018

  • Re:Justifications for the value of good developmental assessment
    Saraswathy Sabanathan

    Dear Editor,

    Adrian Sutton expresses concern about the use of the term "human capital" in our recent article entitled "Child Development Assessment Tools in Low and Middle Income countries: how can we use them more appropriately?" [1]

    The main focus of the article was to review the structure and methodology for development of child developmental assessment tools (CDATs) for use in low and middle-incom...

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  • Too many digits
    Peter Burgard

    The article by TJ Cole will be very helpful for authors and readers. Authors should always keep in mind that we are reporting information about data, and not just numbers. The following statement by Carl Friedrich Gauss (1777-1855) is reported: "Lack of mathematical education does not become more evident than by excessive precision in numerical calculation."

    Conflict of Interest:

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  • Justifications for the value of good developmental assessment
    Adrian G Sutton

    Sabanathan et al state in their abstract that "Optimum early childhood experience is believed to allow children to benefit fully from educational opportunities resulting in improved human capital." Am I alone in wondering why the term "human capital" features so prominently when the lived experience in emotional terms - the suffering and satisfactions - of the children do not?

    "Human Capital is defined in the Oxf...

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  • Re: Using time and serial measurements to improve diagnostic strategies in febrile children
    Maskit Bar-Meir

    We thank Dr. Nijman et al. for their thoughtful comments, and agree with their observations.

    Our study, as well as their work , highlight the need to take fever duration into account when interpreting CRP results in febrile children. Future longitudinal studies ,enrolling large numbers of subjects, may focus on generating "CRP curves" , similar to those used for example in interpreting bilirubin levels in neon...

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  • Re: Use of Carbamazepine in the Treatment of Childhood Rolandic Epilepsy
    Deb K. Pal

    Thanks to Moran and colleagues for pointing out another controversy surrounding the use of carbamazepine in idiopathic focal epilepsy. There has been concern, voiced mainly in paediatric neurology forums, of worsening of seizures (e.g. myoclonus) or of the development of electrical status epilepticus on the EEG in this situation. The risk is highlighted by the case reports cited in their letter, but this risk might not be...

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  • Context matters in children's experiences of napping and night-time sleep
    Caroline H. D. Jones

    Given the media headline in response to this paper--that "Daytime naps 'should stop at the age of two'" (http://www.dailymail.co.uk/health/article-2957907/Daytime-naps-stop-age- two.html)--we would like to emphasise that napping can be an effective strategy for children to achieve sufficient amounts of sleep. This is particularly important when children experience inconsistent nighttime sleep arrangements, in which they...

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  • Re:Environmental tobacco smoke and effect on children
    Wojciech Feleszko

    Dear Editor,

    We thank Dr Williamson and Dr Odeka for their nice comments.

    Indeed, starting point of our research was my concern of chronically sick children exposed to parental smoking and developing asthma. Moreover, these children often seek for professional immunological care, while the explanation for their sickness is rather different from expectations of their parents.

    In fact, the pa...

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  • Positioning Early Child Development in the Post-2015 Agenda
    Aisha K Yousafzai

    The Archives of Disease in Childhood series on the progress achieved towards attaining the Millennium Development Goals (MDG) draws attention to significant progress globally. Requejo and Bhutta [1] report the progress for MDG 4 (reduce by two-thirds, between 1990 and 2015, the under -five mortality rate). The number of child deaths has been reduced by half to around 6.3 million. Keeping attention on child survival is nece...

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  • Is there really any good evidence that rickets is associated with prolonged breast feeding?
    Charlotte M Wright

    I enjoyed this review article and found it helpful to allow me to understand how both vitamin D and calcium deficiency could both produce the same clinical picture. However I was saddened to again see it asserted that a risk factor for vitamin D defiency rickets is "prolonged breast-feeding". There is no doubt that there have been many case series showing that children presenting with rickets are predominantly breast...

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  • Next generation sequencing should be the first line of investigation in non syndromic deafness in people of African descent
    Ambroise Wonkam

    In response to Parker and Bitner-Glindzicz's review article on Genetic investigations in childhood deafness,1 we will like to contribute to this topic with some data, that strongly question the clinical utility of GJB2 and GJB6 testing in non-syndromic hearing loss in people of African descent.

    Indeed, we investigated GJB2 genes in 205 patients affected with sensorineural non-syndromic hearing loss from Cameroo...

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