153 e-Letters

published between 2012 and 2015

  • Mothers' perception of their child's weight status
    Filippo Festini

    Dear Editor, We read with interest the article by Dowd and coll. (1) and we would like to share the results of a similar study we carried out in a cluster of Primary Schools in Florence, Italy, that show similarities with those reported by Dowd. Our aim was to assess possible correlations between mothers' BMI and their child's BMI; children's BMI and correctness of mothers' perception of their child nutritional status pe...

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  • Comfort in numbers
    Ian D Wacogne

    Dear Editor,

    Andrew Riordan writes, as ever, with excellent good sense about the duration of courses of antibiotics. (1)

    Doctors who have trained with me will have heard me talk about this. We are falsely comforted by some numbers, which are highly likely to themselves to be false. The "true" duration of antibiotic therapy ought to be an awkward number - 3.4 days, or 8.7 days. It shouldn't be a neat...

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  • Neonatal vitamin A supplementation is not all about deficiency
    Christine S. Benn

    According to the current paradigm vitamin A supplementation works by preventing vitamin A deficiency, and it was predictable that the lack of effect of neonatal vitamin A supplementation in the recent African trials was interpreted as being due to absence of vitamin A deficiency. It follows that there may still be a role for NVAS in deficient subgroups(1). The Archivist approves this conclusion.

    However, there...

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  • Cardiac MRI screening in Turner syndrome: less may be more
    Paul E. Kahlke

    We read with interest Turtle and colleagues recommendations on screening for and management of aortic dissection (AD) in Turner syndrome (TS)[1]. The authors recommend multiple pediatric cardiac MRIs for girls with TS, but do not discuss the costs, harms, or effectiveness of such a program. The cost of at least two to three cardiac MRIs for low risk girls alone would be high, but could be much higher if extra clinical fol...

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  • Use of digital multimedia may bolster both patient and investigator recruitment into randomised controlled trials
    Rajiv K Sethi

    Dear Sir/Madam,

    We read the paper by Tait and colleagues with interest [1]. The authors advocate digital media for delivering participant education in randomised controlled trials (RCTs) involving children. We agree and propose that this strategy may offer broader benefits beyond those discussed by the authors.

    Patient recruitment to clinical trials is difficult, with many failing to achieve their ex...

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  • 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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