eLetters

326 e-Letters

published between 2007 and 2010

  • Co-morbidities diagnosed during child protection medical assessments
    Deborah Hodes

    The study by Kirk et al (1) highlights important issues regarding the crucial role of the paediatric medical examination in cases of alleged or suspected maltreatment. The authors rightly note that a comprehensive medical assessment is integral to the child protection process and should additionally aim to serve as a tool for health surveillance in this at- risk group.

    Our own 10-year retrospective case-note an...

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  • Flu vaccination for ex-preterms and infants under 6 months - make sure they are safe and effective
    Andrew Riordan

    I was interested to read the letter from Tinnion and Berrington about influenza vaccination for infants under 6 months [1]. Like many people I would agree that a study is urgently needed to assess the safety and immunogenicity of flu vaccines in this at-risk group.

    However using the currently available flu vaccines in this age group is unlikely to be effective. Tinnion and Berrington are incorrect when they stat...

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  • UKISS CLARIFICATION
    Gabriel Dabscheck

    In their recent article "Developmental and epilepsy outcomes at age 4 years in the UKISS trial comparing hormonal treatments to vigabtrin for infantile spasms: a multi-centre randomised trial" Darke et al conclude that developmental outcomes are significantly better at 4 years in those with no identified aetiology allocated hormonal treatment.

    In the orginial article about the UKISS study (see reference below) L...

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  • Plateau vital capacity is a better indicator for severity of disease
    John R Bach M.D.

    We read with curiosity a consensus statement on spinal muscular atrophy type 1 (SMA1) standard of care in the UK.(1) The authors stated that "non-invasive ventilation (NIV) is ineffective and contraindicated in infants who have severe bulbar weakness, usually present in babies with severe type 1 SMA," that is, in those with "onset of symptoms before 6 months of age". Ironically, the authors interpreted studies of prolon...

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  • Homicide?
    Brian A L Morgan

    I'm interested in knowing more about the 'homicide' label attached to some of the cases. What do the authors mean by this word exactly?

    If they mean the deliberate killing of a baby by another person, and by this they mean murder then there have been many cases in the UK where a criminal trial verdict has been overturned on appeal - a conviction on one set of expert medical testimonies challenged by another set of...

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  • Which are specific oral tolerance induction goals ?
    Egidio Barbi

    To the Editor,

    we appreciated the meta-analysis by Fisher et al about specific oral tolerance induction (SOTI) in food allergic children (1), but we take exception to their statement about SOTI goal. The authors highlight as a substantial limit the fact that although SOTI increased the threshold of reactivity only few children were able to consume an age appropriate portion of the relevant food and fewer a...

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  • Communication in medicine
    Magdi H. El Habbal

    Sir, the article by Diwakar and Skelton makes emphasis on communications as an important tool for assessing paediatricians and revalidating them. I read this with concerns about my patients with social communication disorders. Most of them have poor eye contacts. Those with high intelligence and so focused to be doctors will have the ultimate fate of troubled career. This raises issues in helping these children. If we acc...

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  • Electronic reporting for paediatric surveillance successful in Australia since 1997
    Yvonne A Zurynski

    Our long experience in the use of electronic reporting supports and extends the findings reported by Lynn et al (1). The Australian Paediatric Surveillance Unit (APSU) has used electronic reporting since 1997 to collect important information on up to 16 rare childhood diseases simultaneously, including rare genetic, metabolic, traumatic, communicable, vaccine-preventable and mental conditions (2). The paediatricians and...

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  • Communication in medicine
    Magdi H. El Habbal

    Sir, the article by Bauchner makes emphasis on communications as an important tool for assessing paediatricians and revalidating them. I read this with concerns about my patients with social communication disorders. Most of them have poor eye contacts. Those with high intelligence and so focused to be doctors will have the ultimate fate of troubled career. This raises issues in helping these children. If we accept the pro...

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  • ePaedMSF - Selection of Assessors
    Phani K Yajamanyam

    I read with interest the article published by Archer et al on Multisource Feedback of paediatric registrars. This article is very encouraging for trainees like me and also answers doubts about the validity and reliability of such work place based assessments.

    One of the main conclusions of the authors is that self selection of assessors by trainees should end. But this raises questions about the validity of an...

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