153 e-Letters

published between 2012 and 2015

  • Context matters in children's experiences of napping and night-time sleep
    Caroline H. D. Jones

    Given the media headline in response to this paper--that "Daytime naps 'should stop at the age of two'" (http://www.dailymail.co.uk/health/article-2957907/Daytime-naps-stop-age- two.html)--we would like to emphasise that napping can be an effective strategy for children to achieve sufficient amounts of sleep. This is particularly important when children experience inconsistent nighttime sleep arrangements, in which they...

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  • Re:Environmental tobacco smoke and effect on children
    Wojciech Feleszko

    Dear Editor,

    We thank Dr Williamson and Dr Odeka for their nice comments.

    Indeed, starting point of our research was my concern of chronically sick children exposed to parental smoking and developing asthma. Moreover, these children often seek for professional immunological care, while the explanation for their sickness is rather different from expectations of their parents.

    In fact, the pa...

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  • Positioning Early Child Development in the Post-2015 Agenda
    Aisha K Yousafzai

    The Archives of Disease in Childhood series on the progress achieved towards attaining the Millennium Development Goals (MDG) draws attention to significant progress globally. Requejo and Bhutta [1] report the progress for MDG 4 (reduce by two-thirds, between 1990 and 2015, the under -five mortality rate). The number of child deaths has been reduced by half to around 6.3 million. Keeping attention on child survival is nece...

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  • Is there really any good evidence that rickets is associated with prolonged breast feeding?
    Charlotte M Wright

    I enjoyed this review article and found it helpful to allow me to understand how both vitamin D and calcium deficiency could both produce the same clinical picture. However I was saddened to again see it asserted that a risk factor for vitamin D defiency rickets is "prolonged breast-feeding". There is no doubt that there have been many case series showing that children presenting with rickets are predominantly breast...

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  • Next generation sequencing should be the first line of investigation in non syndromic deafness in people of African descent
    Ambroise Wonkam

    In response to Parker and Bitner-Glindzicz's review article on Genetic investigations in childhood deafness,1 we will like to contribute to this topic with some data, that strongly question the clinical utility of GJB2 and GJB6 testing in non-syndromic hearing loss in people of African descent.

    Indeed, we investigated GJB2 genes in 205 patients affected with sensorineural non-syndromic hearing loss from Cameroo...

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  • Using time and serial measurements to improve diagnostic strategies in febrile children
    Ruud G. Nijman

    Response to: 1 Segal I, Ehrlichman M, Urbach J, Bar-Meir M. Use of time from fever onset improves the diagnostic accuracy of C-reactive protein in identifying bacterial infections. Arch Dis Child. Nov 2014;99(11):974-978.

    We thank Segal et al. for their work and congratulate them with this interesting paper. The diagnostic value of CRP as reported by Segal et al. is very much in line with earlier work, and in ke...

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  • Peanut anaphylaxis diagnosis
    Giorgio Ciprandi

    The peanut allergy (PA) prevalence is about 1-2% in children. PA may account also for severe food allergy, such as anaphylaxis (1). The severity of reactions may depend on the type of allergen component sensitization. In this regard, at least 11 peanut allergen proteins have been identified and characterized. Ara h 1, 2, and 3 are the major peanut allergens and belong to the seed storage proteins family (Ara h 1 is a vi...

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  • Environmental tobacco smoke and effect on children
    Dr Linzi Williamson

    Dr Editor, We read with interest the publication by Feleszko Ruszczynski M, Jaworska J et al on the effect of Environmental tobacco smoke exposure and risk of allergic sensitisation in children.

    As a trainer and my Paediatric ST3 in the North West deanery we write to thank you for the article referenced above. we found it very interesting read indeed and it has really enhanced the understanding of the risks of...

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  • Making the most of measles vaccination
    Andreas Rieckmann

    We thank Bustreo, Okwo-Bele, and Kamara for a comprehensive overview of the impressive achievements by the Global Alliance for Vaccines and Immunization on reducing child mortality world wide by providing vaccines[1]. With regard to measles vaccine, the authors note that child mortality in Niger was almost halved from 1998 to 2009, and measles vaccination contributed to this achievement. They refer to a Lives Saved Tool...

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  • Use of Carbamazepine in the Treatment of Childhood Rolandic Epilepsy
    William Whitehouse

    Authors Maria Moran1, Nikolina Docheva2, William Whitehouse 1,2 1. Nottingham Children's Hospital, 2. University of Nottingham

    We were interested to read the article by Mellish et al.(1) which reports preference for carbamazepine first line for UK paediatricians treating Benign Rolandic Epilepsy (also known as Benign Epilepsy with Centrotemporal Spikes), perhaps better called Childhood Rolandic Epilepsy (CRE), a...

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