151 e-Letters

published between 2005 and 2008

  • Group B Streptococcus and preventive strategies in Europe
    Alberto Berardi

    Berardi A (1), Lugli L (1), Rossi C (2), Morini MS (3), Vagnarelli F (4), Ferrari F (1)

    1 Unità Operativa di Neonatologia, Dipartimento Materno-Infantile, Azienda Ospedaliero-Universitaria Policlinico di Modena

    2 Unità Operativa di Pediatria, Dipartimento Materno-Infantile, Azienda Ospedaliero-Universitaria Policlinico di Modena

    3 Unità Operativa di Pediatria, Ospedale Pierantoni, Forlì

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  • This may be explained by DHEA Levels
    James M. Howard

    It is my hypothesis that all tissues rely on DHEA for optimal function. Low DHEA has been found in preterm infants (Acta Paediatr. 2007 Nov;96(11):1600-5). I suggest this may be due to reduced availability of maternal DHEA as the infant does not start producing its own DHEA until birth.

    It is also my hypothesis that SIDS results from excessively low DHEA during sleep which results in lack of support of brainst...

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  • Improving point of care delivery
    Shan S Tang

    We read with interest the use of blood gas analysis for estimation of haemoglobin concentration compared with laboratory measurement performed by Lucy et al at the Royal Hallamshire Hospital (1).

    In the neonatal unit in Homerton University Hospital, we record the haematocrit in the observation charts. The measurements of haematocrit used are from blood gas results obtained from the Radiometer ABL 700 series blo...

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  • Does “Carta di Firenze” correspond to the opinion of Italian neonatologists?
    Daniele Trevisanuto

    We read with interest Pignotti et al’s paper on perinatal care at an extremely low gestational age (22-25 weeks).1 This consensus document represents “an Italian approach” and it was evaluated by several scientific societies. It is a very interesting document, but, unfortunately, it does not fit with the opinion of the Italian neonatologists. For example, the document suggests “palliative care, unless the infant shows s...

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  • This could be due to low DHEA
    James M. Howard

    It is my hypothesis that all tissues rely on DHEA for optimal function. Low DHEA has been found in preterm infants (Acta Paediatr. 2007 Nov;96(11):1600-5). Protective effects of DHEA against many infectious agents has also been determined.

    I suggest the findings of Bartels, et al., may be explained by low DHEA. That is, a common cause of low DHEA may be involved in growth retardation in preterm infants and th...

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  • Infant Directed Speech and Frontal Lobes
    Stefano Bembich

    Saito et al.1 showed, by means of a two channel NIRS, a differential response of the neonatal brain to maternal Infant Directed Speech (IDS), in comparison to Adult Directed Speech (ADS). Their study is very interesting. They hypothesize that a newborn is able to distinguish between different emotional communications in the first days of life. These results reignite the discussion on early predisposition for newborns’...

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  • Point of care estimation in neonates: not just for haemoglobin
    Owen J Arthurs

    Dear Editor,

    We read with interest the article by Hinds et al [1] comparing laboratory and blood gas analyser haemoglobin on their NICU. They found a good correlation between laboratory measures and the ABL725 Radiometer blood gas analyser in 127 babies on their unit. However, we feel that the focus of their article was somewhat limited, as they assessed haemoglobin and haematocrit alone. Blood gas analysers ha...

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  • New Mothers MUST Be Supported By ALL
    Melissa A Strong

    I am very proud to be a mother of twin girls, now 9 months old. They were born at home at 35 weeks 1 day, each double footling breech with no complications. Their weights were 2414 grams and 1647 grams. I chose to exclusively breastfeed them and they both nursed great from birth until they were 24 hours, when the smaller baby fell weak and had to be supplemented, first with glucose as she had low blood sugar on entry to...

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  • Inappropriate Cover illustration
    Prakash Manikoth

    Dear Editor,

    The cover illustration of the September 2007 issue of the Fetal and Neonatal edition of the Archives Disease in Childhood, shows a severely jaundiced infant with a nasogastric tube in situ being bottlefed. If the message of the picture is to make a wake-up call to prevent kernicterus, then there is no need to promote a bottle feeding picture in the front page of this esteemed journal. The results o...

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  • Conservative treatment for patent ductus arteriosus
    Rajeshwar Reddy Angiti

    Dear Editor,

    We read with interest the article by Vanhaesebrouck S et al[1]. We support the author's aims to properly study the role of conservative management of PDA, but advise caution in accepting their conclusions from results of such a small study. In their introduction the authors refer to the known consequences of a left to right shunt when a PDA is clinically significant, including IVH, NEC and chronic...

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