264 e-Letters

published between 2008 and 2011

  • GHB coated toy beads: an important public health concern
    Jane LM Runnacles

    I would like to bring an important public health concern to the attention of all doctors involved in the care of children. A 7 year old girl presented to our emergency department with an acute life threatening hypoxic event after swallowing Bindeez toy beads given to her as a Christmas present. Paramedics found her with a reduced level of consciousness and she had a respiratory arrest requiring bag and mask ventilation....

    Show More
  • Management of Plagiocephaly
    Stephen J Mottram

    Dear Editor

    As it emanates from two of the UK’s major craniofacial units it is disappointing to see the missed opportunity that the paper, ‘Management of Plagiocephaly’ by Saeed, Wall and Dhariwal presents and it is saddening that it reiterates previously stated positions without offering anything new in the debate on cranial remoulding. The paper selectively quotes previous research, interprets data to support...

    Show More
  • Establishing modifiable risk factors for obesity in children
    Kapil Gargh

    We read your paper with interest. Some of the risk factors for obesity mentioned may not be modifiable and not taking diet into account may have a confounding effect on risk factors found significant. We would like to bring following points to your notice:

    1. It was interesting to note that though small for gestational age (SGA) infants showed higher growth quartiles, they had significantly lower percentage body...

    Show More
  • Standardisation of care in immune thrombocytopenic purpura
    P Anoop

    The review on immune thrombocytopenic purpura (ITP) by Thachil and Hall brings to surface the wide variations in clinical practice associated with this not so uncommon disorder in childhood.1 The three year extensive Nordic study on childhood ITP showed gross differences in management policies across 98 centres in 5 countries. Whereas some centres treated as many as 89% of children, a few others followed the watch and wait...

    Show More