eLetters

16 e-Letters

published between 2003 and 2006

  • Oral or inhaled corticosteroids for the treatment of croup?
    Federico Marchetti

    Dear Editor,

    In his extensive guideline review of the glucocorticoid treatment in croup, in agreement with the conclusions of the Cochrane review (1), Baumer HJ (2) states that “in the absence of further evidence, the use of a single oral dose of dexamethasone, probably 600 µg/kg, should be preferred because of its safety, efficacy and cost-effectiveness”.

    We believe this statement is not correct becau...

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  • Water Intoxication and the Heatwave
    R M Kayani

    Dear Editor,

    In the UK we are presently in the middle of a significant heatwave with July 2006 declared the UK's hottest month on record (1). Both the Department of Health and NHS direct have been quick to disseminate health advice (2) particularly to parents and healthcare workers responsible for the care of children, about the dangers of heat exposure and dehydration. This advice has emphasised the need for...

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  • mycobacterium avium also needs to be considered
    oscar,m jolobe

    Dear Editor,

    In addition to the documentation of the radiographic stigmata of paediatric mycobacterium tuberculosis(1), mention also needs to be made that the differential diagnosis of mediatinal and hilar lymphadenopathy should include infection with mycobacterium avium complex(MAC) organisms, especially in patients with HIV/AIDS(2). In the latter context the prevalence of MAC infection in children has been variou...

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  • Extending the spectrum of hypernatraemia
    oscar, m jolobe

    Dear Editor,

    The recognition of endocrine-related hypernatraemia would be enhanced if account were taken, not only of biochemically overt hypernatraemia(1), but also of the possibility that this biochemical derangement might be masked by co-existing inability to excrete salt-free water. The clinical counterpart of this phenomenon is encapsulated in the statement "the symptoms of cranial diabetes insipidus may be ma...

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  • Stereotypes and semaphore, interpreters and the NHS
    Alan E MacKinnon

    Dear Editor,

    I read with interest the article of Elspeth Webb (Arch Dis Child Educ Pract Ed 2005;90: ep11-14). I find the content interesting and well set out and would agree what is in the article. However, I do feel there is a section missing. I feel that some visitors to this country, be they short term or permanent, seem to take no responsibility for their own welfare when it comes to language barriers. Emphasis...

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  • The lateral decubitus film to determine the presence of air trapping
    Jayesh M Bhatt

    Dear Editor,

    Williams [1] highlights the key points in the management of inhaled foreign bodies (FB). One of the important points is to request inspiratory and expiratory chest radiographs if FB aspiration is suspected. Because young children are unable to co-operate, paired inspiratory and expiratory films are not always possible. The lateral decubitus film is a useful and convenient method to determine the presence of...

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  • Strategy meeting
    John Z Heckmatt

    Dear Editor,

    The statement by Sidebotham that "the consultant convened a strategy meeting" is misleading. Under Working Together social services and the police are responsible for convening this type of meeting. Paediatricians can 'request' a strategy meeting as can any other professional. It is important that responsibilities of the various agencies are clearly defined and understood by all.

  • Arthritis in Cystic Fibrosis
    Alexandra N Colebatch

    Dear Editor,

    Professor Smyth describes the occurrence of non-specific arthritis in some patients with cystic fibrosis (CF) in her recent article on diagnosis and management of cystic fibrosis.[1] As a consequence of the increased life expectancy in CF, rheumatic diseases are more likely to be observed, particularly in older patients.[2]

    Two specific arthropathies are described in CF; an episodic arthriti...

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  • A useful concept for the developing countries
    Vijayashankara. Nanjegowda

    Dear Editor

    The guidelines regarding the milk banks may not be applicable for the developing countries, because these countries can not afford to have milk banks due to its cost. But the very fact the viruses particularly human immunodefiency virus can be inactivated by pasteurisation method is notable. The dilemma of advising breast milk feeding to the infants born to the HIV positive mothers in the developing cou...

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  • Pasteurisation
    David Colgate

    Dear Editor,

    I am a corporate member of UKAMB and consider issue three of the Guidelines to be an excellent reference.

    However, to minimise the risks after feed preparation the thermal treatment (Pasteurisation)requirements should not only mirror issue two published by RCPCH but also include the following amplification of treatment, based on work by the late Prof J David Baum.

    The Pasteurisati...

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