MinervaBMJ 2000; 321 doi: https://doi.org/10.1136/bmj.321.7254.186 (Published 15 July 2000) Cite this as: BMJ 2000;321:186
Minerva is used to researchers describing the studies in a meta-analysis as poor, inadequate, or badly reported. It makes a nice change to read one team's account of the “outstanding” studies in theirs (www.pediatrics.org/cgi/content/full/106/1/e8). The five trials looked at the impact of inhaled steroids on children's growth. Taken together, they show that moderate doses of inhaled steroids slow growth by 0.5-1.5 cm a year. The effect of these drugs on final adult height remains unknown.
Waking up in the morning puts a strain on the heart because of a surge in blood pressure and heart rate. Waking up after an afternoon nap is no better. Research from Costa Rica finds a clear link between taking a siesta and having a myocardial infarction (International Journal of Epidemiology 2000;29:429-37). The lack of physical exercise associated with snoozing in the afternoon may also be a contributory factor.
Senior house officers in accident and emergency departments have little time to develop their communication skills, but even a small amount of training can pay off for patients (Journal of Accident and Emergency Medicine 2000;17:251-3). A day's workshop for doctors reduced complaints and increased patient satisfaction in one “before and after” study from Hong Kong. Another study in the same journal (426–50) describes how …