To the Editor. —The article entitled "Antimicrobial Therapy for Otitis Media With Effusion ('Secretory' Otitis Media)"1 published in JAMA deserved to be published because it made an important point concerning outcomes in researching therapeutic effectiveness. However, I note that this study, as have many studies in the past concerning otitis media, fails to recognize that the principal outcome that patients' parents and clinicians seek in treating otitis media is relief of pain.In an attempt to be objective, most researchers ignore clinical improvement of pain, irritability, fussiness, insomnia, anorexia, and fever, and substitute sterilization of middle-ear fluid, disappearance of middle-ear effusion, and unilateral hearing loss. I am not surprised to learn that antibiotics do not play as significant a role in diminishing fluid and hearing loss from an ear infection. However, it is clear to my patients and their parents, as well as to myself and my fellow colleagues
Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature
Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal
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