228 e-Letters

published between 2002 and 2005

  • Oblique lie syndrome
    Hellfried Rosegger

    Dear Editor

    We read with interest the paper by Dunn on Sir Denis Browne and his studies on congenital deformities of mechanical origin.(2)

    In 1992 we described a pattern of congenital postural deformities (3) originating from oblique lie of the fetus. The incidence is approximately 0.6% of live-born term infants. The oblique lie syndrome comprises unilateral flattening of the scull, ipsilateral mandibular...

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  • Significantly improved clinical outcome in the morphine group
    gengaimuthu karthikeyan

    Dear Editor,

    I read with interest the article on the effect of morphine on plasma adrenaline/noradrenaline in ventilated newborns. The authors conclude that morphine reduces the stress response in ventilated newborns by decreasing concentration of plasma noradrenaline. The authors' own clinical data provides stronger evidence for the routine use of morphine in ventilated newborns (...

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  • Re: Question about feeding methods
    Peter D Macdonald

    Dear Editor,

    Dr Lee highlights the inappropriateness of restricting the nutritional intake of breast-feeding infants by adhering to an artificial feeding schedule. All our parental-education regarding breast-feeding is focused on encouraging infant-led, demand feeding. This was the feeding pattern encouraged throughout the study.

  • Reply to Thayyil et al. concerning "Lipopolysaccharide binding protein in preterm infants"
    Daniela C Behrendt

    Dear Editor,

    We appreciate the comments by Dr. Thayyil et al. As we do not agree with their objections we would like to point out the following aspects of this study: This study is focused on preterm infants. Neonates and in particular preterm infants have been shown to display differences in various immune functions. Little is known about circulating levels of LBP in neonates. Therefore we have indeed included...

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  • Question about feeding methods
    Nikki Lee

    Dear Editor,

    This is an important article.

    I have a question about breastfeeding. Was the exclusive breastfeeding based on infant cues?

    If the mothers were breastfeeding on a schedule or using pacifiers or limiting their baby's access to the breast in any way, that could explain the greater weight loss in breastfed infants. If infants are put to breast as often as they signal their need, they m...

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  • Effect of breastmilk after extremely preterm birth: the EPICure study.
    Anthony F. Williams

    Dear Editor,

    I was interested to note that receipt of breastmilk in hospital was associated with a significant reduction in the presence of severe motor disability in this population of extremely preterm infants. Table 1 suggests that the magnitude of this univariate association was comparable to that of receiving antenatal steroids. The web appendix at...

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  • Psychiatric disorders and SGA adolescents
    Peter JFM Merkus

    Dear Editor,

    In their most interesting paper on psychiatric disorders in SGA and VLBW adolescents, Indredavik et al.[1] conclude that a biological cause-effect seems plausible to explain the association between psychiatric symptoms and disorders by the age of 14 and VLBW. Consequently, the most relevant question here is how to prevent the development of such disorders.

    A possible - and preventable...

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  • Dear Dr. Karlsson,
    Esther Marilus

    Dear Editor,

    Based on your written report on the benefits of skin to skin contact between mothers and babies, many midwives now quickly place a naked and still damp newborn directly against its mothers chest, while leaving its backside and extremties unconvered. Room temperatures are not especailly high and often the door to the delivery room is also wide open.

    It would be very helpful for those of us who...

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  • Correlation does not prove cause and effect
    Barry M Perlin

    Dear Editor,

    Is it possible that extreme variations in the blood gases were necessary to achieve survival in the more aspyhxiated patients?

    Could the results of this study again demonstrate the adage that a significant correlation does not prove cause and effect?

  • Dilutional chart application in NICU
    Tanya R Brown-Bryan

    Dear Editor,

    The recommendations of maintaining enteral feeds of neonates of less than 400 mOsm/kg is clinically relevant in preventing necrotising enterocolitis (NEC).

    It is reassuring that addition of fortifiers to expressed breast milk does not result in increased osmolality. The dilution chart proposed for supplements however has raised several issues:

    1. A dilution volume of 5-18 mls seems...

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