eLetters

213 e-Letters

published between 2003 and 2006

  • breast feeding of twins needs motivation
    dr sudarshan kumari

    Dear Editor,

    In response to the subject, i wish to pen down my recent experience of normal growth of twins till 6 months on exclusive breast feeding. A pair of male twins were born to at term to a 2nd gravida mother by normal vaginal route, the birth weight was 3.2kg and 3.0kg. The mother was motivated and advised breast feeding in delivery room and subsequently in postnatal ward. The parents belonged to lower socico...

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  • Test-Weighing for Term and Premature Infants is an Accurate Procedure
    Paula Meier

    Dear Editor,

    This letter is in response to “Accuracy and Precision of Test Weighing to Assess Milk Intake in Newborn Infants: 2006;91;F 330-332 (1), in which the investigators conclude that test-weighing is too imprecise for routine clinical use. This conclusion is contrary to a series of very well-controlled studies on test-weighing in term and premature infants. Our concerns with the conclusions of this study ar...

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  • Nitrative stress in the asphyxiated newborn.
    Jean-Louis Wayenberg

    Dear Editor,

    The recent paper of Groenendaal et al supports the hypothesis that peroxynitrite formation and subsequent tyrosine nitration occur in the neonatal human brain after perinatal asphyxia (1). As we are currently studying the nitration of plasma proteins in the newborn (2), we would like to share our experience in this issue. Our aim was to identify plasma proteins whose nitration is increased in newborns...

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  • Non-steroidal anti-inflammatory drugs and neonatal analgesia:
    Karel allegaert

    Dear editor,

    As clearly mentioned in the review of Anand and Hall in this journal, rapid advances have been made in the use of pharmacological analgesia and sedation due to improved knowledge on pharmacokinetics and –dynamics of various analgesics in neonates (1). Based on meta-analysis on the effectiveness of multimodal analgesia in postoperative non-neonatal patients, it is to be anticipated that non- selectiv...

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  • Caffeine Dosage
    Vengudi S Sankar

    Dear Editor,

    The authors mention that they used a caffeine base dose of 25mg/kg for the neonates in the study. This equates to 50mg/kg of caffeine citrate and is more than twice the usual recommended loading dose(1)for this indication. Is this an error in the script of the article or did they indeed use this dose to get the 'maximum benefit'.

    Reference:

    (1) BNF for children 2006

  • Author reply
    Jochen Profit

    Dear Editor,

    The letters in response to our study1 raise interesting points. Dr. MacDonald suggests that breast-feeding rates at discharge may have accounted for the difference in gestational age at discharge between infants in California and the United Kingdom because of the association of lower socio-economic status and breast-feeding rates. Unfortunately, we do not have data from the United Kingdom Neonatal...

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  • Better managment of neonatal abstinence.
    Graham J Reynolds

    Dear Editor,

    Nandakumar and Sankar have opended a debate that targets a very interesting conundrum. The aim of medical management in the process of neonatal abstinence seems to me to be centred on ensuring that the infant has a symptom and stress free withdrawal from addictive drugs. By and large the Finnegan score or simple observation requires active demonstration of withdrawal symptoms before intervention. Ho...

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  • Long term neurodevelopmental outcomes of preterm babies in the UKOS trial.
    HAYTHAM ALI

    Dear Editor,

    We read with interest the article by Marlow et al on the long term respiratory and neurodevelopmental outcomes in babies, 28 weeks of gestation or less, in the UKOS trial[1]. It was reassuring to learn that babies in the HFOV arm were no worse than the controls in terms of their long term neurodevelopment outcome. This is contrary to the neurodevelopmental outcomes observed in the HiFi trial [2]....

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  • Re: Clarifying conflicts of interest in research
    Anne Greenough

    Dear Editor,

    We were extremely surprised by Dr Reed’s letter regarding the above paper, so we wondered if she had read it thoroughly.

    She suggests there may be a conflicting interest, Archives rather terms this competing interest which they define as “when professional interest (such as patients welfare or the validity of research) may be influenced by a secondary interest (such as financial or perso...

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  • Test weighing has previously been shown to be unreliable
    Robert Primhak

    Dear Editor,

    The conclusions reached by Savenije and Brand are reassuring to those of us who abandoned test weighing some years ago. Practice in Sheffield was strongly influenced by the study of Whitfield et al, cited as reference 4 by the current authors, who refer to it as a study supporting the practice of test weighing. The authors might wish to note that the final sentence of the abstract in Whitfield's study...

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