MinervaBMJ 1999; 319 doi: https://doi.org/10.1136/bmj.319.7204.268 (Published 24 July 1999) Cite this as: BMJ 1999;319:268
It's always nice to know where you are heading with a long widebore needle, so using ultrasound imaging to guide the placement of central venous lines makes good sense. Doctors from Colorado used the technique in 52 patients they judged would have particularly difficult central veins. They were successful with all of them, although one patient's lung was punctured (Archives of Surgery 1999;134:738-41). There were no controls, possibly because these patients all had relative contraindications to “blind” cannulation.
A quarter of new mothers in rural Egypt delay the start of breast feeding until the third day after birth, denying their infants the immunological benefits of colostrum. The result is more diarrhoea in the first six months of life, according to a cohort study in Pediatrics (www.pediatrics.org/cgi/content/full/104/1/e3) Babies who were breast fed straight after birth had 26% fewer episodes of diarrhoea than the others, independent of their mother's breastfeeding habits later on. Persuading mothers to start early should be a priority, say the authors.
The donor T cells that cause graft versus host disease must be activated somehow, and antigen presenting cells are essential to the process Whose antigen presenting cells cause more trouble, the donor's or the recipient of the bone marrow transplant? Experiments in mice suggest that …