eLetters

534 e-Letters

published between 2003 and 2006

  • Positive benefit of postnatal treatment in congenital toxoplasmosis
    Jorge E. Gomez-Marin

    Dear Editor,

    We read the editorial of Gilbert and Desateux. In their analysis they take in to account some newborn screening programs in developing countries as Brazil and Mexico, with reported rates up to a maximum rate of 20 cases per 10,000 live births; however they did not mention our recent report that found 0.5% in a reference hospital in Colombia (1). This study found one child that dies one week after birt...

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  • Re: Variations of Sex Development Instead of Disorders of Sex Development
    David Cameron

    Dear Editor,

    I would like to thank Dr. Diamond for suggesting the use of VSD over DSD, as I don't like negative medical terms defining me. I'd rather be seen in a positive way with humanistic attributes.

    I’m frustrated living in our stereotypical 2-sex /2-gender medical and social system that permeates, controls, and dominates the world…since I’m living as a “variation” in my sex and my gender. When I was...

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  • A child's Perspective
    Deepak Parasuraman

    Dear Editor,

    I note with interest Elizabeth's knowledge of her condition and her will power to get on with life and enjoy it. We see many children be it as inpatient or in the outpatient's setting but we spend very less time in getting to know the child and how much they know or would like to know about their condition. Elizabeth's maturity is commendable in the way she understands her doctor's perspective and ho...

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  • A newborn screening for congenital toxoplasmosis in the setting of a less incoming country
    Jorge E. Gomez-Marin

    Dear Editor,

    A well established newborn screening program for congenital toxoplasmosis has been reported in a European country with low prevalence(1); however few it is know in less income countries with a higher percent of newborn infected children. We perform a study in community public hospitals of the department of Quindio, in Colombia. There are 11 public health community hospitals in Quindio department, excl...

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  • A safe solution
    Stephen D Playfor

    Dear Editor,

    The letter from Sanchez-Bayle and colleagues (1) partially describing a study into the administration of hypotonic intravenous fluids adds little to the safety of children receiving intravenous fluids. The deaths of at least 50 children attributable to the administration of hypotonic intravenous fluids in clinical settings associated with increased circulating levels of antidiuretic hormone have been de...

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  • Variations of Sex Development Instead of Disorders of Sex Development
    Milton Diamond

    Dear Editor,

    The late John Money, writing about intersexuality, appropriately said, "Words can wound. Medicine can be very cruel in diagnostic terms." He commented, "hermaphroditism or intersex are too stigmatizing for people born with a syndrome that affects the sex organs." Money therefore labeled sex development variations as "sex errors of the body" in his texts for parents and clinicians. He viewed the term...

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  • The Children Act - why does everyone assume..?
    Elizabeth Marsh

    Dear Editor,

    I found this to be a deeply challenging and compelling piece. Whilst it may have been written some time ago, its sentiments are just as relevant today. What intrigued me about this was the simplicity with which it was written. This is essentially a good thing and it may lead to discussion. However, my response to the original question as to whether the Children Act is failing abused children is the co...

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  • Examples of consensus across journals
    Ramandeep S Arora

    Dear Editor,

    We could not agree more. If there can be agreement among scientific journals on guidelines on publishing clinical trials (CONSORT guidelines[1]), meta-analysis of randomised controlled trials (QUOROM statement[2]), meta-analysis of observational studies in epidemiology (MOOSE initiative[3]), studies of diagnostic accuracy (STARD initiative[4]) and uniformity on style of manuscripts submitted[5], there...

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  • Author response: Relevance of spiders in the web area
    Billy Bourke

    Dear Editor,

    We thank Dr Hadzic for his comment on our paper(1). However, we disagree with Dr Hadzic’s difficulties with our conclusions for the following reasons:

    1. Our research suggests that over 2.5% of children five years of age and older may have five or more spider naevi. At present, if we were to screen our population of approximately one million children and adolescents in the Republic of Irel...

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  • Ambiguous terms still persist in the Consensus
    Durval Damiani

    Dear Editor,

    In the last 30 years, our Group has followed-up more than 400 patients with disorders of sex development (intersex) and we have witnessed the difficulties for the patient and for the family in supporting the many hardships imposed by the diagnostic work-up and the choice of sex of rearing. Every professional who deals with this kind of patients must be aware that the terminology employed with the...

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