eLetters

182 e-Letters

published between 2010 and 2013

  • Issues relating to basilar artery strokes in children
    oscar,m jolobe

    The timely commentary on basilar artery stroke(1) serves as an opportunity to highlight the importance of a high index of suspicion for posterior circulation transient neurological episodes(TNAs)(2), especially in the presence of risk factors for vertebral artery dissection(3). It is also a reminder of the underuse of magnetic resonance imaging(utilised in only 44.3% of 97 children in one review)(4), notwithstanding the f...

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  • Rickets
    Henrique C. Mota

    To the editor of Archives of Disease in Childhood.

    I read the article by Nick J Shaw, M Zulf Mughal. Arch Dis Child 2013; 98: 368-372 with great interest and I would like to comment on some items of the summary which I quote: "Factors responsible for worldwide resurgence of rickets among infants and adolescents are complex and include: residence in northern or southern latitudes, voluntary avoidance of exposure...

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  • Re:What about Pere'z Reflex.
    Maria Luisa Herreros Fernandez

    We appreciate the interest shown and the comments on our article by Dr. Carlos Loeda.

    Bladder stimulation techniques and some primitive reflexes of the newborn,(1,2) may favor the onset of urination. There are few reports on its application in the collection of urine, and results are very heterogeneous.(3,4) Stimulation maneuvers such bladder percussion are long known, and are used routinely in neurogenic bladde...

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  • Protracted bacterial bronchitis in a reference center
    Gesmar R Segundo

    Dear Editor:

    I have read with high interest the article Craven and Everard(1) about protracted bacterial bronchitis (PBB) and the necessity in the better recognized of this disease. In our service of Pediatric Allergy and Immunology we receive patients with persistent cough daily. Sometimes is very difficult to differentiate PBB from asthma, due to the similarity of symptoms and to numerous of these patients...

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  • What about Pere'z Reflex.
    Carlos A. Loeda

    Dear sir:

    This article describes what seems to be a very useful method for infant's urine clean catch. But the procedure is not entirely original. In 1966 Boehm and Haynes had proposed a similar method for eliciting reflex urination in infants ("Midstream Catch" Urines Studies in Newborn Infants JOHN J. BOEHM, MD; JAMES L. HAYNES, AB Am J Dis Child. 1966;111(4):366-369). In that paper, the lumbar area stimula...

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  • inspection of the rib cage should have been the first strategy
    oscar,m jolobe

    Given the fact that "a large swelling was[still] present after aspiration"(1), how is it that the swelling was not evident on clinical examination during the period(amounting to 1 month) when the patient was diagnosed as having a lower respiratory tract infection? The reason, I suspect, is that it is no longer routine practice to inspect the rib cage(ie the chest) for asymmetry, localised swellings, and diminished move...

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  • Smartphone application use in the paediatric setting
    Christopher Flannigan

    Burke and colleagues have highlighted the expanding role of medical applications and smartphone technology in health surveillance and as reference tools in clinical settings [1]. As paediatricians active in the development and integration of applications into clinical practice we concur with their comments that paediatricians have an important role in ensuring quality with particular emphasis on the design, evaluation an...

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  • Re - Time for a view on screen time
    Diana M Howlett

    Thank you for your interesting review of the literature. The problem is wider than just recreational use of screens and is so pervasive it is difficult to see how limitations on screen time can be effectively implemented. For pre-school children, many screen devices or programmes for e.g. ipads, are marketed as educational or to help children develop, so parents think they are doing their children a service. Equally, in...

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  • Comment on "The successful use of the nasopharyngeal airway (NPA) in Pierre Robin sequence: an 11 year experience" by Abel F, Bajaj Y, Wyatt M, and Wallis C. Arch Dis Child. 2012 Apr;97(4):331-4
    Emma C. Paes

    We want to congratulate Abel et al. with their recent publication "The successful use of the nasopharyngeal airway in Pierre Robin sequence: an 11 year experience".

    We do want to make some comments that might be of interest for the reader. First the authors define Robin Sequence (RS) as a triad of micrognathia, glossoptosis and a cleft palate. It has been demonstrated that there is considerable confusion in the...

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  • How natural are "natural histories"?
    Gerald Ullrich

    The study by Sheehan and co-workers is important as they rightly state that longitudinal data of behavioural problems in children with CF are lacking, and so are data about parent use of health services. Both of these facts are surprising, given the lifelong character of the disease and given that standards of care explicitly address the need to offer help from psychosocial professionals [1]. However, some aspects in thei...

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