{"id":80,"date":"2007-01-08T12:26:47","date_gmt":"2007-01-08T11:26:47","guid":{"rendered":"http:\/\/resource.bmj.com\/bmj\/2007\/01\/08\/ann-intern-med-2-jan-2007\/"},"modified":"2007-01-08T12:26:47","modified_gmt":"2007-01-08T11:26:47","slug":"ann-intern-med-2-jan-2007","status":"publish","type":"post","link":"https:\/\/stg-blogs.bmj.com\/bmj\/2007\/01\/08\/ann-intern-med-2-jan-2007\/","title":{"rendered":"Ann Intern Med 2 Jan 2007"},"content":{"rendered":"<p>This <a href=\"http:\/\/www.annals.org\/cgi\/content\/full\/146\/1\/1\">study <\/a>looked at a cohort of 782 elderly men and women in the Netherlands with <a href=\"http:\/\/www.annals.org\/cgi\/content\/full\/146\/1\/1\">raised homocysteine<\/a> and, amongst many outcomes, looked for an effect of <a href=\"http:\/\/www.annals.org\/cgi\/content\/full\/146\/1\/1\">folic acid<\/a> on <a href=\"http:\/\/www.annals.org\/cgi\/content\/full\/146\/1\/1\">age-related hearing loss<\/a>. To be sure, fewer of those given folate found Dutch beginning to sound like double-dutch.<!--more--><\/p>\n<p>10 Now then, <a href=\"http:\/\/www.annals.org\/cgi\/content\/full\/146\/1\/10\">male <\/a>health professional with <a href=\"http:\/\/www.annals.org\/cgi\/content\/full\/146\/1\/10\">high blood pressure<\/a>, how much <a href=\"http:\/\/www.annals.org\/cgi\/content\/full\/146\/1\/10\">alcohol <\/a>is good for you? None, because alcohol raises BP? &#8211; or a fair bit, because alcohol lowers cardiovascular risk? Well, in the Health Professionals Follow-Up <a href=\"http:\/\/www.annals.org\/cgi\/content\/full\/146\/1\/10\">Study<\/a>, alcohol protected men with treated hypertension from <a href=\"http:\/\/www.annals.org\/cgi\/content\/full\/146\/1\/10\">myocardial infarction<\/a> in <a href=\"http:\/\/www.annals.org\/cgi\/content\/full\/146\/1\/10\">dose-related fashion<\/a>, i.e. with the greatest protection in those drinking more than 50g\/day. There is a less marked effect on stroke, but still a trend towards protection. All-cause mortality was the same in all groups.<\/p>\n<p><a href=\"http:\/\/www.annals.org\/cgi\/content\/full\/146\/1\/20\">Immigrants and refugees<\/a> arriving in Canada often have not had childhood vaccination against <a href=\"http:\/\/www.annals.org\/cgi\/content\/full\/146\/1\/20\">measles, mumps and rubella<\/a>, and 36% of them are susceptible to infection with one or more of these viruses.<\/p>\n<p>34 We know on the one hand that subarachnoid haemorrhage is often missed at first presentation; on the other hand, we\u2019re aware that many of the younger patients we send in with <a href=\"http:\/\/www.annals.org\/cgi\/content\/full\/146\/1\/34\">thunderclap headache<\/a> turn out not to have SAH and leave without a clear diagnosis, sometimes suffering further similar alarming attacks with or without neurological deficits. This is the grey area populated by the <a href=\"http:\/\/www.annals.org\/cgi\/content\/full\/146\/1\/34\">reversible cerebral vasoconstriction syndromes<\/a>. This is an interesting <a href=\"http:\/\/www.annals.org\/cgi\/content\/full\/146\/1\/34\">review<\/a>, well worth reading, but it would be a foolhardy GP who made a positive diagnosis of RCVS in an uninvestigated patient.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>This study looked at a cohort of 782 elderly men and women in the Netherlands with raised homocysteine and, amongst many outcomes, looked for an effect of folic acid on age-related hearing loss. To be sure, fewer of those given folate found Dutch beginning to sound like double-dutch. [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/stg-blogs.bmj.com\/bmj\/2007\/01\/08\/ann-intern-med-2-jan-2007\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":38363,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[111],"tags":[],"class_list":["post-80","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-richard-lehmans-weekly-review-of-medical-journals"],"jetpack_featured_media_url":"https:\/\/stg-blogs.bmj.com\/bmj\/files\/2017\/02\/richard-lehman.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/80","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/comments?post=80"}],"version-history":[{"count":0,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/80\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media\/38363"}],"wp:attachment":[{"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media?parent=80"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/categories?post=80"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/tags?post=80"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}