Clarification of burn study

Clarification of burn study

The Journal of P E D I A T R I C S 981 Letters to the Editor Clarification o] burn study To the Editor: This letter is being written to clarify for...

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The Journal of P E D I A T R I C S

981

Letters to the Editor

Clarification o] burn study To the Editor: This letter is being written to clarify for readers of the JOURNAL several statements in "Nonfatal Burns of Children in a Well-defined Urban Population" (December, 1964). T h e burn study was the outgrowth of a larger study by the Bureau of Maternal and Child Health of the California Department of Public Health of accidental injuries to 11,473 children who belonged to the Kaiser Foundation Health Plan. While all of these children were members of the Plan, not all were injured or required medical treatment. Scalds and floor heater burns represent 24 per cent and 19 per cent, respectively, of the 508 burn injuries, and not of all injuries among these children, as the reader may erroneously be led to believe. In a similar fashion, floor heater burns comprised 28 per cent of the burn injuries to children under the age of 5. We also would like to note that the Permanente Medical Group whose physicians treated these children is a distinct organization from the Kaiser Foundation Health Plan, although the medical group and the Plan both use Kaiser facilities. This distinction is important to these organizations, and we wish to respect their request to be so identified. The first footnote for Table I should state that eight records, rather than two, were temporarily unavailable, while the footnote :For Table I I I and the third footnote for Table FV should use the words "adds to" rather than ~:he word "is" in order to be correct. The last paragraph on page 866 more correctly reads scalds "required the most visits to a physician" rather than that they "were the largest reason for visit,~." JULIAN A. WALLER, M.D. DEAN I. iM;ANHEIMER

JOURNAL. With one remark I cannot completely agree: The author says that "a more direct approach would involve the study of single cells, but enzyme assays in individual cells present some

Fig. 1. Normal red cells.

The Lyon hypothesis in G-6-PD deficiency To the Editor: It was with great interest that I read the excellent article on " T h e Lyon Hypothesis" by Dr. R. G. Davidson in the November issue of your

Fig. 2. Red cell of a hemlzygous patient with favism.