Views And Reviews Minerva


BMJ 1998; 316 doi: (Published 11 April 1998) Cite this as: BMJ 1998;316:1178

Treatment of patients receiving maintenance haemodialysis with erythropoietin not only boosts the haemoglobin concentration by about 20 g/l but also improves their overall nutritional status. A report in Nephron (1998;78:283-9) of 41 patients treated for six months found that their global protein energy nutrition scores had improved, their serum albumin concentrations had risen, and they had gained weight.

Injuries from the use of snowmobiles are a leading cause of morbidity and death in Canada (Canadian Journal of Public Health 1998;89:57-61). Two thirds of injured snowmobile drivers in Ontario had blood alcohol concentrations above the legal limit for drivers of motor vehicles. Other factors linked with accidents were travel late at night and high speeds — nothing very surprising, but a preventive campaign by the local police force led to substantial improvements.

No really effective treatment has yet been found for metastatic breast cancer, but oncologists are now putting their faith in a combination of highly intensive chemotherapy with haematopoietic rescue by the infusion of autologous peripheral blood progenitor cells stimulated to multiply by recombinant growth factors (Cancer Investigation 1998;16:102-26). This approach has been developed over the past decade and has now reached the stage of being evaluated in formal clinical trials.

Cryptogenic fibrosing alveolitis is a nasty illness: follow up of 76 patients …

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