35 e-Letters

published between 2011 and 2014

  • Safer options (other than fluoride) for prevention of tooth decay
    Neeru Gupta

    Safer options (other than fluoride) for prevention of tooth decay

    Despite reports of decreased dental carries after water and toothpaste fluoridation, Studies indicate, however, that the prevalence and, to a lesser extent, the intensity of dental fluorosis have increased in schoolchildren in both fluoridated and fluoride-deficient areas. Several studies show that young children inadvertently ingest sizable pro...

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  • Non infectious CRP elevation and correlation with gestational age
    Nora Hofer

    Non infectious CRP elevation and correlation with gestational age

    Dear editor, We read with interest the discussion on the reliability of CRP as a sepsis marker in the newborn in the context of non infectious conditions following the interesting article on the use of CRP by McWilliam and Riordan (1). We have recently conducted an analysis on this topic including 690 newborns having CRP values done within the firs...

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  • Complicated pneumococcal pneumonia: do not think to penicillin-resistance
    Gianluca Tornese

    Dear Editor,

    the "Best Practice" article by Randle et al. (1) on invasive pneumococcal disease gives a complete and up-to-date review on this topic. Notwithstanding the Authors did not mention the fact that at least complicated pneumonia (necrotizing pneumonia, pleural effusion, pleural empyema, lung abscess) are not related to penicillin-resistance of Streptococcus pneumoniae (2-4). Since an increasing number o...

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  • The use of inhaled corticosteroids in the wheezy under 5-year-old child.
    giovanna ventura

    We read with interest the paper by BR Davies and WD Carroll about the role of inhaled corticosteroids (ICS) in management of wheeze in children <5 years. As the authors underline, asthma in children is defined by the clinical progression from episodic to multi-triggered, unremitting wheeze. The first and more common condition is atopic persistent asthma, characterized by atopic features such as aeroallergen sensitizati...

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  • Inadequate history taking regarding in utero exposure to teratogens leads to missed diagnoses of Fetal Alcohol Spectrum Disorders
    Elizabeth M. Peadon

    Dr Horridge provides a practical overview of the approach to assessment and investigation of the child with disordered development and emphasises the importance of a thorough history. We were surprised that Dr Horridge did not discuss the importance of obtaining the history of in utero exposure to teratogens, particularly alcohol.

    Fetal alcohol exposure is the most common preventable cause of intellectual disabi...

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