197 e-Letters

published between 2009 and 2012

  • "When someone stabs you" - more detail requested.
    Andrew W McNinch

    The article documenting children's perspectives of venepuncture in words and drawings is certainly thought-provoking but would be more compelling (and more useful in several ways) if the authors could give as much as possible of the following extra information: the median age of the cohort of 37 children; how the 37 were selected (the implication that they all found venepuncture 'extremely distressing' begs further explana...

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  • Other Medical Doctors Differ From Dr Ernst's Views on Chiropractic
    Peter L Rome

    The Editor Archives of Disease in Children

    Dr Ernst has been most selective in his perspective on chiropractic. Such a prejudiced view undermines and negates the credibility of his whole argument. He ignores a large volume of some 150 European medical papers on visceral related spinal manipulation which are listed on PubMed*. He also avoids mention of medical textbooks on the topic by such medical colleagues as...

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  • Analysis of the retrieval times of a neonatal on-call transport service
    Daniele Trevisanuto

    Dear Sir, we have read with interest Latif and Berry’s paper in which the authors reported detailed reference times for the various components of the transport service.1 These data could be used for benchmarking and quality improvement in the setting of a centralised transport service.

    Two basic models of neonatal transport have been developed in Europe. These are : (a) dedicated services (or centralised transpo...

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  • Taking on the parents´ perspective
    Thorsten Langer

    With great interest we read the study of Williams et al eliciting the reasons for the presentation of children in non-urgent cases in an Australian paediatric emergency department (PED), a problem also well known in other countries. They found that parents’ presenting behaviour is appropriate according to the level of seriousness of the child’s state they perceive.

    We absolutely agree with the authors’ results...

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  • Response to eletter by Egware B Odeka et al
    David A Spencer

    We thank Odeka et al for their comments regarding our follow-up study of children admitted to hospital with community-acquired pneumonia (CAP). They are correct in their initial 2 observations that the study did not measure premorbid lung function or bronchial hyperreactivity. These measurements were not an objective of the present study therefore were not included in study design. Inclusion was limited by the retrospectiv...

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  • follow up of children with community acquired pneumonia
    Egware B Odeka DCH FRCPCH FRCP

    We read with interest your article on follow up of children with community acquired pneumonia and also your eletter response on the subject. I t is interesting to note that children with pre-existing asthma are at significant risk of persistent cough after admission to hospital for community acquired pneumonia. However the risk of subsequent asthma is increased only in children of non-atopic parents. In routine clinical pr...

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  • Paraldehyde for CSE; its role in a national guideline
    Rod C Scott


    Dr Rowland and colleagues have recently reported a prospective audit on the use of rectal paraldehyde in children with prolonged seizures (1). On the basis of their data they conclude that “This would appear to confirm that paraldehyde should remain a treatment for the management of prolonged tonic-clonic convulsions, including convulsive status epilepticus”. Unfortunately there are several issues that req...

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  • Mandatory Reporting of Child Abuse: all that glitters is not gold
    Minoo Irani

    The leading article on child protection by Ben Matthews et al (1) starts with a promising review of the difficulties experienced by UK Paediatricians with child protection work. However, their argument that low substantiated cases of abuse and neglect in UK represent the reluctance of paediatricians in England to engage in the business of child protection is not supported by their statistics. Also, their approach of comp...

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  • Review of Epigenetic Imprinting Disorders Also Required
    Marjorie A Garvey

    Dear Editor,

    Samuel and colleagues(1) aim to review the clinical and epidemiological evidence relevant to the use of pre-implantation diagnosis (PGD) to create a “saviour sibling.” A thorough literature review regarding the use of this method should include consideration of the medical problems that may occur in the child born following assisted reproduction technology (ART), but this was not addressed in this...

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  • Possible explanations for unchanged incidence of microalbuminuria with time
    Myra Poon

    We read with interest the finding of an unchanged incidence of microalbuminuria with time in children with type 1 diabetes in the Oxford Regional Prospective Study cohort. Figure 1 demonstrates no difference in the cumulative prevalence of developing microalbuminuria in relation to year of diabetes onset. However we note the small numbers of patients remaining at 10 years, particularly in group C, and wonder whether a d...

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