MinervaBMJ 2002; 324 doi: https://doi.org/10.1136/bmj.324.7338.686 (Published 16 March 2002) Cite this as: BMJ 2002;324:686
Men's kidneys have larger glomeruli than women's and they have a greater glomerular volume. These relationships, says a paper in Nephron(2002;90:139-44), are not due to genetically determined differences in renal structure but instead reflect differences in body surface area and body weight. What is still uncertain is whether these structural differences contribute to the increased susceptibility of men to progressive renal failure.
Sudden cardiac death accounts for around 30% of cardiovascular mortality in developed countries, so any data on its prevention are valuable even if they may not be very new. A literature review in the European Heart Journal(2002;23:277-85) highlighted the protection given by eating at least two large helpings of fatty fish each week. The other acknowledged protective factor is a low intake of saturated fat; it can be replaced with olive oil. On antioxidants and a moderate intake of alcohol the verdict is “not harmful.”
Vexing as it must be for orthopaedic surgeons who want to try the latest design, patients treated with the old Charnley total hip replacement and followed for 20 years report excellent results. A study from the United States which …