Without evidence of benefit, an intervention should not be presumed to be beneficial or safe.

- Rogue Medic

Christmas Edition of the BMJ Addresses EMS Issues


Image credit. Click on inages to make them larger.
 

James Bond drinks a lot.

Many of our patients drink a lot.

Many of us drink a lot.

What is the effect of all of this alcohol?

How long until Bond, James Bond, calls 911 999 for a sammich?

A shaken, not stirred, drink is a watered down drink. This is a way of accelerating the rate of melting of the ice, but it just affects the volume of the drink that can be consumed, while not decreasing the total amount of alcohol in the glass. Each sip is diluted, but the effect is just more water consumed with the alcohol.

Is there some other fictional character who might more closely represent the kind of alcohol consumption of James Bond?
 


 

When is that level of drinking a problem?

The BMJ (British Medical Journal looked at this in their Christmas issue and was only impressed that this fictional character is not dead yet.[1]
 


 

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Also in BMJ –

If you are chocolate, stay out of the hospital.

Chocolate does not survive long in the hospital.
 

James Bond, legendary secret agent, marksman, womani ser, smoker , but perhaps most famously , drinker. Neil Guha and Patrick Davies from Nottingham University Hospitals NHS Trust, and Graham Johnson from the Royal Derby Hospital, have documented Commander Bond’s drinking in a Christmas BMJ paper, and join us to discuss its findings.[2]

 

Conclusions From our observational study, chocolate survival in a hospital ward was relatively short, and was modelled well by an exponential decay model.[3]

 


 

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More from BMJ –

Virgin birth is not as rare as we have been led to believe.
 

It is generally agreed that sex is useful when getting pregnant, but is it necessary? Professors Amy Herring, and Carolyn Halpern from the University of North Carolina explain how they found virgin births in the US for their Christmas BMJ paper.[4]

 

While virgin birth is nothing new, virgin birth is also not something confined to pre-scientific times.
 

Births without a human father are seen as distinct from asexual reproduction, and involve a non-mortal father—for example, the gospel of Matthew reports that Mary’s was found to be “with child” from the Holy Spirit, and numerous Greek demigods, such as Perseus, were reportedly born of mortal women5 (or in the case of Dionysus, his immortal father, Zeus6). [5]

 

Of 7870 eligible women, 5340 reported a pregnancy, of whom 45 (0.8% of pregnant women) reported a virgin pregnancy (table 1⇓). . . . The virgins who reported pregnancies were more likely to have pledged chastity (30.5%) than the non-virgins who reported pregnancies (15.0%, P=0.01) or the other virgins (21.2%, P=0.007).[5]

 

About 1% of births are to virgins.

Abstinence does not appear to be as successful as its proponents claim.
 

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Finally, one for bad managers from BMJ (although that is not the way they present it).
 

Intervention
The intervention was for the male to agree with his wife’s every opinion and request without complaint. Even if he believed the female participant was wrong, the male was to bow and scrape.
[6]

 

I have worked for people like that, but not for very long.
 


 
The graph shows a steady increase in the quality of life for those constantly agreed with and a much greater deterioration in quality of life for those having to agree.
 

The data safety monitoring committee stopped the study because of severe adverse outcomes after 12 days. By then the male participant found the female participant to be increasingly critical of everything he did.[6]

 

What does this mean?
 

Discussion
The results of this trial show that the availability of unbridled power adversely affects the quality of life of those on the receiving end.
[6]

 

This study included just one man and one woman, so it may not apply outside of that couple, but why take that chance? 😳

Footnotes:

[1] Were James Bond’s drinks shaken because of alcohol induced tremor?
Johnson G, Guha IN, Davies P.
BMJ. 2013 Dec 12;347:f7255. doi: 10.1136/bmj.f7255.
PMID: 24336307 [PubMed – in process]

Free Full Text from BMJ.

[2] James Bond’s drinking, and other stories
BMJ
Podcast page (begins at 7:39).

[3] The survival time of chocolates on hospital wards: covert observational study.
Gajendragadkar PR, Moualed DJ, Nicolson PL, Adjei FD, Cakebread HE, Duehmke RM, Martin CA.
BMJ. 2013 Dec 14;347:f7198. doi: 10.1136/bmj.f7198.
PMID: 24333986 [PubMed – in process]

Free Full Text from BMJ.

[4] Virgin births, poor house hospital and right or happy
BMJ
Podcast

[5] Like a virgin (mother): analysis of data from a longitudinal, US population representative sample survey
BMJ 2013; 347 doi: http://dx.doi.org/10.1136/bmj.f7102 (Published 17 December 2013)
Christmas 2013: Research
Cite this as: BMJ 2013;347:f7102
Free Full Text from BMJ.

[6] Being right or being happy: pilot study
BMJ 2013; 347 doi: http://dx.doi.org/10.1136/bmj.f7398 (Published 17 December 2013)
Christmas 2013: Research
Cite this as: BMJ 2013;347:f7398
Free Full Text from BMJ.

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Comments

  1. If God wanted to impress me with his ‘miracles’ he would have impregnated Joseph, not a poor unwed teenage girl. That happens every day.