462 e-Letters

published between 2013 and 2016

  • What about gelatin?
    Theo H Fenton

    Dear Editor

    Adappa et al. wonder whether parents should be told that Curosurf and Survanta are derived from pig and cow lung. But where does one stop? Most capsules prescribed for older children and adults are made of gelatin - a cheap source of collagen derived from cow or pigskin, or bone. Is it equally patronizing not to tell our patients and their parents this? Surely not.

  • Preterm weaning strategy-is it beneficial in the longer term?
    Mansoor Ahmed

    Dear Editor

    I read with interest the article on weaning preterm infants by Marriott et al.[1] Authors of this article deserve congratulations for conducting randomised controlled trial in an area with sparsity of evidence and little research. The preterm weaning strategy (PWS) adopted in this study showed benefits in terms of improved length growth velocity between 0 and 12 months corrected gestational age (CG...

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  • Neonatal long lines- Are they safe?
    Suresh Chandran

    Dear Editor

    Neonatal long lines are essential part in the management of extremely low birth babies and very sick babies. Technically to insert a longline is not that difficult especially if attempted in the first few days but often we have to accept suboptimal positions. Definitely use of long lines have improved the outcome of babies weighing less than 1000grams and postoperative cases.

    More than safety we...

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  • Repeat Lumbar Puncture in Group B sreptococcal meningitis?
    Anjali R Date

    Dear Editor

    We read with interest the review of Neonatal meningitis by PT Heath et al.[1] Neonatal meningitis remains a very important cause of morbidity and mortality. Group B streptococcus (GBS) remains the leading pathogen.[2]

    We report a case of GBS meningitis that was a challenge for management. A term baby born by normal vaginal delivery with birth weight of 3.26 kg, presented at 5 days of age w...

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  • Pericardial effusions caused by neonatal long lines - how about management ?
    Peter Raupp

    Dear Editor

    I congratulate Beardsall et al. on their impressive, albeit retrospective collection of data.[1] Their important conclusion that neither extra-atrial position of the catheter tip, nor imaging with contrast, are reliable measures to prevent pericardial effusion (PCE) means that we will have to live with this threat. This inevitably redirects attention from the aspect of prevention to the ques...

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  • Digital Imaging and Long Lines
    Nicola Webster

    Dear Editor

    We agree with the editorial comment that we badly need to know where long line tips are located (Phantoms 2004). However we cannot agree with the phrase, “The approach reported by Evans et al seems to beat that from Odd et al” the questions asked and the methodology of the two studies were quite different.

    Firstly, the outcome assessed in the paper by Evans et al [1] was the identification...

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  • Use of animal surfactant: a religious perspective
    Murat Yurdakök

    Dear Editor

    I read with great interest Adappa et al.’s letter.[1] I would like to add some comment on the perspective of animal derived medication in Islam.

    The essence of Islamic Laws is for the protection of individual life, religion, mind, property and family. Therefore in difficult circumstances, the rules are:

    1. take the lesser of the two evils,
    2. necessity a...

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  • Dehydration fever – the chicken or the egg?
    Peter M Dunn

    Dear Editor,

    F. Tiker et al [1] from Ankara have again drawn attention to dehydration as the main factor leading to fever during the first week of life and have listed the many investigations they considered necessary to rule out more serious causes. Others in recent years have reported similar findings and conclusions[2,3].

    All have agreed that rehydration leads to rapid resolution of the feve...

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  • Routine Repeat LP may not be necessary in all cases of meningitis
    Amit Upadhyay

    Dear Editor

    We read the review article on neonatal meningitis by Heath and colleagues with great interest.[1]

    We would like to bring to notice couple of issues that are of importance especially to the situation in developing countries.

    1.Firstly, cultures are positive only in a small proportion of cases of meningitis in developing countries. This may be related to prior antibiotic exposure that...

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  • Blood glucose in breast fed infants
    Arun Manglik

    Dear Editor

    These findimgs go strongly in favour of the dictum not to interfere with "mother nature". Also it goes to prove that one must "treat the patient not the biochemistry"

    It helps us who may not have access to good biochemistry and monitoring apart from clinical in managinr our newborns.

    Well done!