eLetters

1571 e-Letters

  • Hope and spina bifida
    THHG Koh

    Dear Editor

    Our group has been evaluating ways[1] of empowering parents to promote family centred care in the neonatal intensive care unit.[2] We therefore read with interest the important article showing parental hope to be more strongly associated with the health related quality of life (HRQL) than neonatal or current physical deficits.[3]

    Hope is prevalent amongst parents and staff in the neonatal in...

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  • Methodology for assessing patterns of interstitial pneumonia in children
    Andrew G Nicholson

    Dear Editor:

    The report of Hacking et al,[1] of a series of infants with very early onset interstitial lung disease (ILD) with good prognosis, is of great clinical interest but sadly represents a lost investigative opportunity.

    Firstly, their statement that percutaneous open lung biopsy has fewer side effects than open lung biopsy (OLB) is not supported by any direct comparative trial, and cannot be allow...

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  • Role of high dose methylprednisolone treatment in patients with nephrotic syndrome
    Erol Erduran

    Dear Editor,

    I read with great interest a manuscript reported by Hodson et al in the journal (2000;83:45-51. The authors discussed various corticosteroid treatment protocols in patients with nephrotic syndrome (NS). They suggested that children in their first episode of NS should be treated with prednisone for at least three months with an increase in benefit being shown for up to seven months of treatment.

    ...

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  • Why anyone?
    Peter Daish
    Dear Editor,

    Liz Donovan's fascinating article certainly suggests that the big finger is pointing at her. However, although her calculation is numerically correct (and how nice to find someone using non-US billions) the reasoning is a little suspect.

    First multiplying the probabilities gives the odds against these seven rare conditions presenting in the order indicated; her final figure should be divided by 7...

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  • Dietary products used in infants for treatment and prevention of food allergy
    Arnaldo Cantani

    Dear Sir

    Professor Salazar-De-Sousa,[1] commenting on the recent paper by Høst et al,[2] maintains that recent prospective and randomised clinical studies have shown that soy protein (SP) is as allergenic as cow's milk (CM) protein citing a review paper[3]; however, the author failed to detail which are these studies.

    In 1990 we demonstrated[4] that Eastham et al[5] have shown an antibody response to SPs in...

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  • Re: Oral steroids and inflammatory markers in asthma
    Claire Hogg

    Dear Editor,

    We thank Dr Grigg for his interest in our work.[1] We agree that the asthma attacks may have resolved spontaneously in some cases, which was precisely why we stated that the markers fell in association with steroid therapy, and nowhere implied causality. Nevertheless, the statistical analysis suggests that the chances this occurred at random are extremely low.

    We agree that corticosteroid...

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  • Decline in male gonadal health: nappies not to blame
    Louise Parker

    Dear Editor:

    Partsch and colleagues speculate that a rise in testicular temperature in infants and young children consequent to the wearing of modern plastic lined disposable nappies [diapers] may have contributed to both the fall in sperm counts and the increase in testicular cancer which have been reported in some countries.[1] In support of this hypothesis Partsche et al refer to reports of rising incidence ra...

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  • Re: Visceral leishmaniasis: Beware of these deceptive microbes also in non-endemic countries!
    Victor Grech
    Dear Editor:

    The development of visceral leishmaniasis after travel to endemic countries is not a new facet to this problem. At the time of writing, a Medline search using the key words visceral leishmaniasis and Malta yielded 16 papers. Of these, almost a third (n=5) deal with patients who visited Malta and contracted visceral leishmaniasis.[1-5]

    References

    (1) Wheatley T, Sacks S, Flemans RJ, Rubenste...

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  • Visceral leishmaniasis: Beware of these deceptive microbes also in non-endemic countries!
    Tom Revesz

    Dear Editor

    We read with interest this report by Grech et al.[1] It appears from their population-based study that as a result of the eradication of stray dogs, the annual incidence of visceral leishmaniasis (VL) declined considerably in Malta. VL is still endemic around the Mediterranean sea and sporadic cases are reported in children living in Northern Europe. It seems likely that with increasing tourism the...

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  • Lumbar puncture and meningococcal disease
    R Chodhari

    Dear Editor

    We read with interest Professor Gill’s[1] concerns about complete avoidance of lumbar puncture (LP) in the emergency management of meningococcal disease according to the algorithm suggested by Pollard and colleagues.[2] However, from public health perspective, we agree with Professor Gill's remarks that the correct diagnosis and identification of strains would help in prophylaxis of contacts and prev...

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