Bmj Usa: Minerva


BMJ 2003; 327 doi: (Published 19 November 2003) Cite this as: BMJ 2003;327:E254

From BMJ USA 2003;September:518

“Do it yourself” screening tools for dementia have found a ready market in the United States. But the early alert Alzheimer's home screening test raises profound legal and ethical issues—not least the effect the test might have on a consumer public that, because of heightened apprehension about what happens to people with dementia, could be described as a group that is already “vulnerable, bordering on desperate” (Gerontologist 2003;43:292–294).

Everyone experiences and describes pain differently. Using functional magnetic resonance imaging and an established scoring system for rating the intensity of a painful heat stimulus, researchers have confirmed that there's a neural basis for these differences. The levels of brain activity in patients who reported similar pain scores were similar—and the higher the subjective scores, the more neural activity detected in the cerebral cortex (Proceedings of the National Academy of Sciences 2003,

A 41 year old man with multiple tattoos on his arm presented to the dermatology department with an itchy eczematous rash in all the red areas of the tattoos. He had had tattoos for 15 years but had had some of the red areas refilled a year earlier. The …

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