423 e-Letters

published between 2006 and 2009

  • Being open: Good, Bad, or Ugly?
    Amitabh Shankar

    I read this article with great interest. It has been a long time since a PICU data from England and Wales has been published in the Archives of Diseases in Childhood.

    Interestingly, I noted that although the admission in 1-4 yr age group was lesser (7.54 & 7.22%) than other age groups (more than 10%) amongst male and female South Asians respectively, the 0–4 yr standardised admission (incident) rate amongst...

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  • Medical Education and Specialist Trainees – need for awareness of Best Evidence Medical Education
    Shalini Ojha

    I read this article with interest and was pleased by the emphasis given to Medical Education in this journal(1, 2). There is necessity for more literature on Medical Education in frontline journals like this.

    Reading the RCPCH document for Level 2 competency for Core Highest Specialist Training in Paediatrics(3), I was disappointed that Best Evidence Medical Education (BEME)was not included.

    It is nece...

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  • Liver Transplantation and Genetic Testing for mtDNA depletion
    David P Dimmock

    Dear Sir, I appreciate the review of mtDNA depletion provided by Drs Rahman & Poulton, and whole-heartedly agree with there opinion that oligo-arrayCGH is not a first line test for single gene disorders but rather is a follow on test when sequencing fails to detect 2 causal alleles.

    However, in their perspective, they state: “a molecular diagnosis of dGK deficiency may be regarded as a useful prognostic ind...

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  • Stuttering and bilingualism: A reply to Packman, Onslow, Reilly, Attansio & Shenker
    Peter Howell

    Dear Editor.

    Packman et al. responded to Howell et al.’s article (doi 10.1136/adc.2007.134114) on bilingualism and stuttering. We showed that speaking two languages in the preschool years increased the chances of children starting to stutter and decreased the likelihood of recovery from stuttering relative to speakers who learned English when they started school.

    We do not consider, as Packman et al. s...

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  • Transient synovitis vs. Kingella kingae infection of the hip in children
    Pablo Yagupsky

    In a recent article published in the journal, Taekema et al. discussed the use of clinical criteria and laboratory tests to differentiate between septic arthritis and transient synovitis in children.2 Distinguishing between these two conditions is crucial to avoid local and systemic complications (if a joint infection is missed) or unnecessary hospitalization, surgical interventions, and antibiotic treatment (if transien...

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    Antonio Carroccio

    Dear Sir, Some days ago we received a letter from colleagues in London asking us to comment on the article of Simeone and coll. reporting a lack of relationship between chronic constipation (CC) and cow’s milk allergy (CMA), recently published in ADC (1). Our English Colleagues referred that they had observed “dramatic cases” of chronic constipation unresponsive to laxative treatment which fully resolved on CM-free diet a...

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  • Intervene early to improve outcomes in intellectual development.
    Carol A Walshaw

    Poor weight gain over the first 6-8 weeks is known to be a risk factor in its own right for developmental delay, which can be demonstrated not only at school age but, as shown by McDougall et al as early as 4 months.1

    McDougall et al suggest that the Child Health Surveillance check at 6 -8 weeks provides the opportunity to identify infants with early weight faltering; and that future research could ascertain whet...

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  • Reasons supporting that a protective effect of early fish introduction is real
    Bernt Alm


    We understand the concerns of doctors Lin and Fu about reverse causation regarding the protective effect of fish on eczema at one year of age. We cannot, of course, be sure that reverse causation does not contribute to our results, but there are reasons that speak in favour of a real effect.

    Firstly, we found no correlation between time of onset of the eczema and age at introduction of fish....

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  • Patients are weighed but not plotted
    Udoka Onyeaso

    Most patients presenting to a paediatric department for acute care will be weighed as part of the nursing assessment especially because weights are important for drug and fluid prescriptions. Junior doctors however generally fail to take the next step in this opportunistic contact to plot these weights. Unless clinically indicated e.g. as part of body surface area for drug prescriptions, the height is often not measured,...

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  • Infantile hypertrophic pyloric stenosis in a deprived region of South Wales
    Kavitha Masilamani

    The study by T Sommerfield et al. (1) provides a valuable insight into the epidemiological trend of infantile hypertrophic pyloric stenosis (IHPS) in Scotland. It was interesting to note the proposed association between incidence of IHPS and deprivation.

    We have recently reviewed cases of IHPS presenting to our hospital, which is a medium sized district general hospital serving a deprived population in the Sou...

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