Reply to “Comment on Morii et al.: Surgical site infection in malignant soft tissue tumors”

We would like to thank the commentators for their interest in our recent publication, “Surgical site infection in malignant soft tissue tumors” [1]. Basically we agree with the comment that the quality of the hospital care control measures for the cases of patients with soft tissue sarcoma undergoing surgery should be re-evaluated and revised. We recognize the significance of the quality of the infection control measures at each hospital. In general, preoperative antibiotic administration before incision, appropriate antibiotic selection, appropriate hair removal and discontinuation of prophylactic antibiotics may be expected to reduce the incidence of surgical site infections [2–4]. Indeed at our institute, at present, most of the recommended measures for the care of patients with soft tissue sarcoma are undertaken.     

Child maltreatment—Clinical PTSD diagnosis not enough?!: Comment on Resick et al. (2012)

Child maltreatment has a high prevalence. It can lead to severe psychological and physical problems from childhood to late adulthood. At present, the recognition and treatment of child abuse and its consequences is inadequate. Diagnostic criteria, such as those defined in the Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association, are vital for that purpose. Resick and colleagues (2012) conclude that insufficient scientific basis now exists for incorporating complex posttraumatic stress disorder (CPTSD) into DSM‐5. Although they are right from a research point of view, what would be the clinical, political, and social consequences of not including it? This comment discusses those consequences from the standpoint that treating children with developmental trauma disorder at an early age will serve to prevent later sequelae.