eLetters

462 e-Letters

published between 2013 and 2016

  • Congenital intraoral Fordyce spots misdiagnosis
    Thamer M. Musbah

    Dear editor, We read with interest the report by Arun Babu and colleagues1 and have concern with the diagnosis of "congenital intraoral Fordyce spots" that was rendered in this case. Fordyce spots/granules in the oral cavity are considered ectopic holocrine glands, and they differ considerably from those shown in the mentioned article. Fordyce spots usually appear as asymptomatic, multiple yellowish raised papules with...

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  • Response to the article by Zanardo et al
    Stefano Ghirardello

    We read with interest the article by Zanardo et al (1). The authors found a lower pre-ductal SpO2, a higher hearth rate (HR) and hematocrit in term infants born by cesarean delivery (CD) compared to those born by vaginal delivery (VD), similarly to the findings by Dawson et al (2) but not confirmed by others (3). The authors did not mentioned if a different management of cord clamping was performed between vaginal and ce...

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  • The reliability and safety of self-inflating bags for PIP/ PEEP delivery to neonates is all but clear
    Charles C Roehr

    Dear Sirs, We read with interest the recent work by Dr Tracy and colleagues: "The effectiveness of Ambu neonatal self-inflating bag to provide consistent positive end-expiratory pressure", doi:10.1136/ archdischild-2015-308649 ADC FN&N Ed. 2016.

    We would like to comment on the statement and findings by Tracy et al. Firstly, a strong point of the paper is that the authors have systematically investigated t...

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  • Re: The reliability and safety of self-inflating bags for PIP/ PEEP delivery to neonates is all but clear
    Mark Tracy

    Title: Reliance on manikin and bench studies of manual infant resuscitators: the devil is in the detail

    Dear Sirs

    Thank you for the opportunity to respond to Dr Roehr and colleagues' comments on our paper1. Our results in contrast to those of Morley2 and Kelm3 show consistent measured levels of PEEP close to the set values1.

    We feel an important detail has been overlooked in ignoring the manu...

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  • Incostintencies in defining "Work of breathing"
    Paola Papoff

    We read with great interest the recent article by Shetty et al (Arch Dis Child Fetal Neonatal Ed 2016;0:F1-F4) who showed that continuous positive airway pressure (CPAP) and humidified high-flow nasal cannula (HHFNC) in infants with evolving or established bronchopulmonary dysplasia (BPD) have similar effects on work of breathing (WOB).1 Like many other articles in this field, Shetty's paper unfortunately suffers from in...

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  • Current debate about the limit of viability: the neglected majority
    Thomas M. Berger

    It is with great interest that I read the editorial entitled "Delivery room practices for extremely preterm infants: the harms of the gestational age label" by Janvier and Lantos (1) analysing the results of the EPIPAGE-2 study (2). The two authors question the appropriateness of the French non-intervention approach towards infants born at 22, 23 and 24 weeks for whom NICU admission was withheld in 96%, 91% and 38% of cas...

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  • Re: Current debate about the limit of viability: the neglected majority
    John Lantos

    Neonatal mortality in poor countries

    We appreciate Dr. Berger's astute observation that most of the babies in the world do not have access to neonatal intensive care. His statistics underestimate the extent of the problem. Around the world, 7 million infants die each year. Most die of diseases that are preventable or treatable. Their deaths are due to lack of access to the most basic medical care. This is no...

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  • How a Belgian daily paper informed its readers about the contents of the review on waterbirth
    Sophie Alexander

    Le Soir, one of Belgium's leading French language newspapers (1), headlined the front page of its 23 May 2016 edition with "Birth in water: a dangerous new fashion." Page 6 was devoted to the review by Taylor et al; the subtitle said "New study underlines the dangers of drowning and pulmonary infection for babies; no benefit from this fashionable birthing technique". I was asked that afternoon, in my capacity of advise...

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  • Re:End of Life Decisions - Do we make them wisely?
    Praeksh S Shah

    Reply to End of Life Decisions - Do we make them wisely?: End of life decisions: How do we improve process? We thank Dr Cohn for his response to our paper and for voicing the issues it raised for him. Certainly one of the objectives of the study was to explore whether there were differences in approach to similar medical disorders in NICUs across Canada. We hoped that our finding of differences in what appear to be medical...

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  • Measurements from preterm infants to guide face mask size
    Veronica Mardegan

    We read with interest the article by O'Shea et al., recently published in the Archives of Disease in Childhood Fetal and Neonatal Edition.1 Faces of preterm infants were photographed and analyzed by using a software; they then were compared with the size of the most commonly available face masks (Laerdal 0/0 and Fisher & Paykel Infant Resuscitation Masks "small" and "extra small"). Authors concluded that the smallest...

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