Minerva Minerva


BMJ 1998; 317 doi: https://doi.org/10.1136/bmj.317.7165.1092 (Published 17 October 1998) Cite this as: BMJ 1998;317:1092

Chiropractic spinal manipulation has no direct effect on symptoms in children with asthma, investigators have found (New England Journal of Medicine1998;339:1013-20). A randomised controlled trial compared real and sham manipulation in 80 children with mild to moderate asthma. Peak expiratory flow rates improved slightly in both groups, as did quality of life and symptoms, but the authors attribute improvements to a non-specific placebo or Hawthorne effect.

Educationalists from Cambridge, UK, have tested the feasibility of filming ward rounds to help with “on the job” training for junior doctors (Medical Teacher1998;20:470-2). They used a hand held camcorder to record teaching rounds in medicine and surgery, then took the participants through the tape a few days later to reinforce what they had learnt. Doctors welcomed the initiative, and patients didn't complain, but formal evaluation is yet to come.

Surgery for acoustic neuroma may be technically sophisticated, but doesn't necessarily make patients feel any better, according to a questionnaire study in Laryngoscope(1998;108:1382-5). Four fifths of patients surveyed more than a year after surgery said that the operation had made no difference to their quality of life or had made it worse. The …

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