eLetters

462 e-Letters

published between 2013 and 2016

  • Diuretics in C.L.D.
    Vinayak A Pai

    Dear Editor

    This symposium on CLD by Kotecha et al.[1] covered important aspects and controversies in the management of CLD. We accept the authors' inability to cover all aspects of management. We feel that some space could have been devoted to diuretics in management of CLD. Nearly all patients with CLD of some stage of their disease will recieve diuretics and most of them will be on them for a long time. We...

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  • Hugh Downman and smallpox inoculation
    John W Puntis

    Dear Editor

    Professor Dunn quotes Downman's approval of Lady Mary Montagu in his fascinating account of the Exeter physician. Her contemporaries, however, were often less generous. This beautiful and literary lady contracted smallpox in 1715 and probably knew of the Turkish practice of 'engrafting' or 'variolation' against the disease from her own doctors. As Fellows of the Royal Society they may well have heard an a...

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  • Concerns regarding neonatal sepsis data from Peshawar
    Syed A Ali

    Dear Editor

    We wish to raise a few concerns regarding the study reported by S Rahman and colleagues.[1]

    We found it surprising that only five species of micro-organisms were isolated in this series of over a 1000 blood cultures obtained from neonates with sepsis. Similar studies done in other major cities of Pakistan, with much smaller sample sizes have shown a wider spectrum of pathogens . Anwer SK (2000)[2...

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  • Outcome of triplet pregnancies
    Angela D'Amore

    Dear Editor

    Shinwell et al.[1] have addressed the important issue of outcome of very low birthweight (VLBW) triplets compared to twins and singletons.

    When counselling mothers of triplet pregnancies clinicians should be careful in extrapolating the data from this very specific cohort to all triplet pregnancies. Their patient population is not representative of most triplet pregnancies, as they include on...

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  • Author's response: Multidrug resistant neonatal sepsis in Peshawar Pakistan
    Sajjad ur Rahman

    Dear Editor

    This is in response to the letter from SA Ali et al.[1]

    1. The total number (1598)and the culture positive babies (1003)in our article [1] represent cases after the patients meeting the exclusion criteria were taken out. We did grow isolated cases of Strp sp. Salmonella and Enterococci which happened to fall in the excluded group. In the spectrum as a whole, these oganisms accounted for...

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  • Best treatment for Umbilical granulomas
    K P Sanghvi

    Dear Editor

    In my experience the best treatment for umbilical granulomas is the application of non-iodized common salt. It is helpful also in most cases of umbilical discharges, and even persistent bloody discharge from the umbilicus after the cord has fallen off. No cultures or antibiotic therapy for discharges is required. The method of applicatio is simple. The umbilicus is cleaned with alcohol or any other...

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  • PVD over the past 22 years
    Laura T Weissman

    Dear Editor

    We read this article with interest, and it prompted us to review our own experience with progressive ventricular dilatation (PVD) over the past 22 years at the Maine Medical Center (MMC) in Portland, Maine.

    Since 1980, we have used a single approach to management of PVD. As noted in previous publications, we have considered the need for intervention to be rapid head growth defined as an increase in OFC...

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  • A novel way of inserting a percutaneous central venous catheter: The Townsville Method.
    T.H.H.G. Koh

    Dear Editor

    The Seldinger technique [1] of inserting a percutaneous central venous catheter (PCVC) had been published 10 years ago.[2]

    We have recently published a novel, simple and quick technique, “The Townsville method,” which allows a PCVC to be inserted easily without the need for a butterfly needle or guide wire in any baby who has an indwelling peripheral intravenous cannula [3]: A 24-gauge c...

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  • Neonatal shaken baby syndrome - historical inexactitudes
    D. Ian Rushton

    Dear Editor

    I read with interest the article on Neonatal Shaken Baby Syndrome.[1] While a fascinating account of the sequence of events in this saga it is factually incorrect in several respects.

    As the perinatal pathologist involved in the Birmingham series I raised the possibility that the brain damage was due to the effects of physiotherapy prior to the publication of our report. My co-authors felt tha...

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  • Re: Neonatal shaken baby syndrome - lessons to be learned
    David B Knight

    Dear Editor

    Drs Williams and Sunderland[1] and the accompanying commentary from Drs Rosenbloom and Ryan[2] discuss a severe cystic brain lesion associated with chest physiotherapy in very preterm infants. Rosenbloom is correct that the topic lacks topicality, but mainly because neonatal chest physiotherapy is now used very little if at all. I disagree that there is an abundant literature detailing appropriate treatm...

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