eLetters

121 e-Letters

  • 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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  • More evidence is needed in the antibiotic treatment of Pseudomonas aeruginosa colonisation
    Federico Marchetti

    Dear Editor,

    In presenting various therapeutic approaches for the management of Cystic Fibrosis (CF), Smyth RL primarily considers evidence obtained from The Cochrane Library as either systematic reviews of randomised controlled trials (RCTs) or RCTs .[1] The antibiotic treatment of Pseudomonas aeruginosa (PA) when first isolated, is still an open question. When discussing this aspect, Smyth RL considers only the...

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  • Lessons from an unsuccessful local attempt to tackle childhood overweight and obesity
    Nicola Haisman

    Dear Editor,

    Whilst we greatly enjoyed Mary C J Rudolph’s “Best Practice” article on “The Obese Child” [1], we cannot agree with her conclusion that obesity fulfils most of the criteria for a condition that justifies screening. Our own local experience in Solihull, West Midlands, might illustrate this point.

    Using a grant from the Children’s Fund, (www.cypu.gov.uk/corporate/childrenstrust/index,cfm)...

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  • The 'more missed' status epilepticus
    Santosh Venketraman Kondekar

    Dear Editor,

    In India, we come across many cases of status epilepticus in toddler age group. These children usually do not have a fever associated and have an history of improper breast feeding and weaning.

    The children may have clinical evidence of rickets, which had been neglected. The common cause of these children getting rickets is dietary, namely lack of vit D and inadequate sun exposure. The chil...

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  • Re: Use Your Ears
    Robert W Marshall

    Dear Editor,

    We read with interest the article by O’Hare et al [1] and would like to congratulate the authors on their interesting case, but would like to make the following points:

    • Assessment of the musculoskeletal system is poorly performed not only by adult medical trainees [2,3] , but also by paediatric trainees: a recent survey showed that only 1.6% of general paediatric admissions...
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  • Use your Ears
    Debajit Sen

    Dear Editor,

    We read with great interest the article by O’Hare et al [1]. We commend the general educational messages of the authors but feel compelled to highlight some important errors and omissions.

    In the table of differential diagnosis of monoarticular arthritis, it is also important to consider the diagnoses of trauma/non-accidental injury, the exclusion of which would be the prime indication for...

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