eLetters

1586 e-Letters

  • Prophylaxis for respiratory syncytial virus infection: missing the target
    Robert C Tasker

    Dear Editor

    Two recent reports about hospitalisation for respiratory syncytial virus (RSV) infection in high-risk infants[1, 2] have suggested that the introduction of prophylaxis may, potentially, be beneficial in certain subgroups. We would like to emphasise that the "bigger picture" also warrants further consideration.

    During the winters of 1998/99 and 1999/2000 we recorded our admissions who were RSV...

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  • Prophylaxis for respiratory syncytial virus infection: missing the target
    Robert C Tasker

    Dear Editor

    Two recent reports about hospitalisation for respiratory syncytial virus (RSV) infection in high-risk infants[1, 2] have suggested that the introduction of prophylaxis may, potentially, be beneficial in certain subgroups. We would like to emphasise that the "bigger picture" also warrants further consideration.

    During the winters of 1998/99 and 1999/2000 we recorded our admissions who were RSV...

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  • Re: Hope and spina bifida
    Haresh M Kirpalani
    Dear Editor

    We appreciate Dr Koh's interest in our study, and his questions. We have divided these into three main arenas, in order to address them:

    (1) The philosophy & meaning of "Hope"
    Dr Koh et al pose several questions as to what Hope is. While in everyday usage, Hope stands in direct contrast to "Hopelessness" - it is unclear if this is applicable to available instruments. We chose th...

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  • Scrotal temperature: Clarification on methodology
    Allison Moore
    Dear Editor:

    My question for the authors of this study is what sort of cover or wrap was used on the children to avoid leakage while they were wearing the cloth diapers? Was there no cover, a wool or fleece cover, a plastic cover, or perhaps some other material? This seems like it might inflence the temperature as well and this information would make interpretation of this data more useful.

  • Scrotal insulation
    BP Setchell
    Dear Editor,

    As someone with a long-standing interest in the effects of heat on the testes of farm and experimental animals, I was particularly interested to read the article by Partsch et al (Arch Dis Child 2000;83:364-8) and the accompanying Leading Article (2000;83:281-2) by Professor Hughes. The extent of the temperature elevation produced by the disposable plastic lined nappies is not much less than that of 1.5 to 2...

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  • Cognitive development of ICSI children
    Garth I Leslie
    Dear Editor,

    We read with interest the leading article in your journal by Sutcliffe[1] in which the various issues associated with intracytoplasmic sperm injection (ICSI) were discussed. We thought that in general it provided a good general overview of the subject. However, we do take exception to Dr Sutcliffe's comments about the supposed limitations of our study,[2] which was the first to be published in which the cog...

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  • Re: Cognitive development of ICSI children
    Alastair G Sutcliffe

    Dear Editor,

    I read with interest the comments by Leslie and Gibson concerning my reference[1] to their study.[2] They describe their study as the first on ICSI conceived children with controls but make no reference to the study by Bonduelle et al[3] in the same edition of the Lancet, which had contradictory findings. I previously corresponded[4] at the time their study was published concerning their findings a...

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  • About idiopathic thrombocytopenic purpura
    Þinasi Ozsoylu
    Dear Editor:

    In the management of idiopathic thrombocytopenic purpura (ITP) Bolton-Maggs[1] stated that "when treatment is required, options include oral steroids, intravenous immunoglobulin (IVIG) and lately, anti-D for patients who are rhesus D positive", without taking into consideration our mega dose methylprednisolone (MDMP) administration.[2]

    In our study the patients with acute ITP were divided into three gr...

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  • DMSA or DMPS?
    Theo Fenton
    Dear Editor:

    Dargan et al state that the girl with lead poisoning "was not given DMSA (meso-2,3 dimercaptopropanesulphonate)..."

    DMSA is dimercaptosuccinic acid. The antidote they refer to is usually abbreviated to DMPS.

  • The management of fever and petechiae: collaborative studies are needed.
    F Andre I Riordan
    Dear Editor:

    We were interested to read Brogan and Raffles audit of the management of fever and petechiae.[1] This is an important audit for many general paediatricians in the UK. In Newcastle 36% of children with petechiae were treated with antibiotics, only 10% had meningococcal disease (MCD). Brogan and Raffles correctly state that more studies are required to validate their proposed guideline. We offer two such studie...

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