BMJ 2003; 327 doi: https://doi.org/10.1136/bmj.327.7419.878 (Published 09 October 2003) Cite this as: BMJ 2003;327:878

If you're interested in how best to communicate information about the effects of health care, you might be interested in the HIPPO (Health Information Project: Presentation On-Line) project. It's a series of randomised trials on the internet, aimed at finding out how to help people make choices that are consistent with their own values. To participate in the first HIPPO study, which is about helping people to decide whether they should take lipid lowering drugs, go towww.icru.no/hippo/cholesterol/

Some patients are deeply suspicious of flu vaccines, believing that they're bound to get ill immediately after having one. Older people with chronic obstructive pulmonary disease or asthma are particularly targeted in flu vaccine campaigns, so it's reassuring that a cohort study in Thorax (2003;58: 835-9) found no increased risk of adverse acute outcomes in the first two weeks after vaccination and no increase in the number of prescriptions given for oral steroids.

Continuous complaints of tiredness during daily activities should be taken seriously because a five year prospective study in Psychosomatic Medicine (2003;65: 771-7)shows that it is an early sign …

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