423 e-Letters

published between 2006 and 2009

  • Determining wisdom
    Ian D Wacogne

    Johnston makes an important point regarding the judging someone’s competence from the apparent wisdom of their decision. I’m struck by an interesting parallel. As an editor at ADC I see papers which discuss complex predictive tests. Examples of this might be a test to determine the likelihood of a patient surviving a disease process. These papers are submitted at various stages in their genesis.

    Stage one is...

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  • Childhood constipation
    Narayana Murthy Indana

    We read with great interest the systematic review written by pijpers and the response to the article by candy. Functional childhood constipation continues to top the charts in the paediatric out patient clinics and laxatives seem to be a sensible option along with dietary intervention, but the authors say these are not evidence based.

    The authors, after a mammoth systematic literature review, concluded statin...

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  • Marilyn Elizabeth Rogers

    The systematic review of mothers' experiences of bottle feeding conducted by Lakshman et al (2009) is a valuable contribution to the evidence base underpinning care for new mothers by maternity services. As the authors indicate, the Unicef Baby Friendly Initiative (BFI) and recent guidance on post natal care from the National Institute for Health and Clinical Excellence (NICE), whilst promoting breastfeeding, also recogni...

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  • Response from UNICEF UK
    Sue C Ashmore

    UNICEF UK strongly endorses Larkshman, Ogilvie and Ong's conclusion that parents who bottle feed require adequate education in order to minimise the risks. However, the implication within the article that support for breastfeeding through implementation of the WHO/UNICEF Baby Friendly Initiative may cause inadequate care for bottle feeding mothers is to be questioned. The Baby Friendly Initiative standards recommend that...

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  • This could be due to increasing testosterone: the secular trend.
    James M. Howard

    It is my hypothesis that the "secular trend," the increase in size and earlier puberty in children is caused by an increase in the percentage of individuals of higher testosterone within the population over time. The driving force is an increase in women of higher testosterone within the population over time. This exposes their fetuses to higher levels of testosterone in utero. In groups which began the trend with already h...

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  • "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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