Increased fetal nuchal translucency is associated with major cardiac defects [Full text]

	Simple clinical signs predict hypoxaemia [Full text]

	Women need more flexible career structure to get to the top [Full text]

	Transmission of hepatitis B by transfusion is rare [Full text]

	Effects of pill on mortality do not persist after 10 years [Full text]

	Simple computer program accurately predicts individual risks of coronary heart disease [Full text]

Editorials

	Oral contraception and health
	David C G Skegg
	BMJ  1999;318:69-70 [Full text] [PDF] [Request Permissions]

	Down's syndrome, cardiac anomalies, and nuchal translucency
	Ben W J Mol
	BMJ  1999;318:70-71 [Full text] [PDF] [Request Permissions]

	Improving the position of women in medicine
	Elaine Showalter
	BMJ  1999;318:71-72 [Full text] [PDF] [Request Permissions]

	Hearing without ears: do cochlear implants work in children?
	Gerard M O'Donoghue
	BMJ  1999;318:72-73 [Full text] [PDF] [Request Permissions]

	Caring for and about acute general medicine
	Ian Forgacs
	BMJ  1999;318:73-74 [Full text] [PDF] [Request Permissions]

News

	Transsexuals win case for NHS funded surgery
	Clare Dyer
	BMJ  1999;318:75 [Full text] [PDF]

	US considers name based tracking for HIV positive patients
	James Ciment
	BMJ  1999;318:75 [Full text] [PDF]

	In brief
	BMJ  1999;318:76 [Full text] [PDF]

	German doctors strike against health budget cuts
	Déirdre Cooper-Mahkorn
	BMJ  1999;318:76 [Full text] [PDF]

	France abandons fines to control health costs
	Alexander Dorozynski
	BMJ  1999;318:76 [Full text] [PDF]

	Community care does not increase homicide risk in UK
	Richard Woodman
	BMJ  1999;318:77 [Full text] [PDF]

	More British abortions for Irish women
	Doug Payne
	BMJ  1999;318:77 [Full text] [PDF]

	Canadian case questions funding
	David Spurgeon
	BMJ  1999;318:77 [Full text] [PDF]

	BMA proposes strategy to reformulate waiting lists
	Janet Fricker
	BMJ  1999;318:78 [Full text] [PDF]

	Faulty gene linked to chronic leukaemia
	Richard Woodman
	BMJ  1999;318:78 [Full text] [PDF]

	Dutch crisis in care of learning difficulties
	Tony Sheldon
	BMJ  1999;318:78 [Full text] [PDF]

	Updates for US heart disease death rates
	Scott Gottlieb
	BMJ  1999;318:79 [Full text] [PDF]

	Indian surgeon challenges banon xenotransplantation
	Ganapati Mudur
	BMJ  1999;318:79 [Full text] [PDF]

	British twin database to be floated
	Roger Dobson
	BMJ  1999;318:79 [Full text] [PDF]

	Health to get a higher priority in post-devolution Scotland
	BMJ  1999;318:80 [Full text] [PDF]

Papers

	Using fetal nuchal translucency to screen for major congenital cardiac defects at 10-14 weeks of gestation: population based cohort study
	Jon Hyett, Marc Perdu, Gurleen Sharland, Rosalinde Snijders, Kypros H Nicolaides
	BMJ  1999;318:81-85 [Abstract] [Full text] [PDF] [Request Permissions]

	Clinical predictors of hypoxaemia in Gambian children with acute lower respiratory tract infection: prospective cohort study
	Stanley Usen, Martin Weber, Kim Mulholland, Shabbar Jaffar, Anslem Oparaugo, Charles Omosigho, Richard Adegbola, Brian Greenwood
	BMJ  1999;318:86-91 [Abstract] [Full text] [PDF] [Request Permissions]

	Female medical leadership: cross sectional study
	Kari J Kværner, Olaf G Aasland, Grete S Botten
	BMJ  1999;318:91-94 [Abstract] [Full text] [PDF] [Request Permissions]

	Acute hepatitis B infection associated with blood transfusion in England and Wales, 1991-7: review of database
	K Soldan, M Ramsay, M Collins
	BMJ  1999;318:95 [Full text] [PDF] [Request Permissions]

Information in practice

	A simple computer program for guiding management of cardiovascular risk factors and prescribing
	Aroon D Hingorani, Patrick Vallance
	BMJ  1999;318:101-105 [Abstract] [Full text] [PDF] [Request Permissions]

Clinical review

	Fortnightly review: Drug treatment of epilepsy
	Morgan Feely
	BMJ  1999;318:106-109 [Full text] [PDF] [Request Permissions]

	ABC of sexual health: Female sexual problems II: sexual pain and sexual fears
	Josie Butcher
	BMJ  1999;318:110-112 [Full text] [PDF] [Request Permissions]

General practice

	Mortality associated with oral contraceptive use: 25 year follow up of cohort of 46 000 women from Royal College of General Practitioners' oral contraception study
	Valerie Beral, Carol Hermon, Clifford Kay, Philip Hannaford, Sarah Darby, Gillian Reeves
	BMJ  1999;318:96-100 [Abstract] [Full text] [PDF] [Request Permissions]

Soundings

	Vampires
	George Dunea
	BMJ  1999;318:135 [Full text] [Request Permissions]

Personal views

	What are the benefits of editorials and non-systematic reviews?
	Tom Jefferson
	BMJ  1999;318:135 [Full text] [Request Permissions]

Education and debate

	Selection, training, and support of relief workers: an occupational health issue
	Maureen McCall, Peter Salama
	BMJ  1999;318:113-116 [Full text] [PDF] [Request Permissions]

	Narrative based medicine: A narrative approach to mental health in general practice
	John Launer
	BMJ  1999;318:117-119 [Full text] [PDF] [Request Permissions]

Letters

This week's letters [PDF]

	Elective caesarean section on request
	Paquita de Zulueta, Bernard Norman, John A Crowhurst, Felicity Plaat, Gordon M Stirrat, Peter M Dunn, Tennyson O Idama, Stephen W Lindow, Jos van Roosmalen, Adam Rosenthal, Richard J Howard
	BMJ  1999;318:120 [Full text] [Request Permissions]

	Protease inhibitors in HIV infection
	Neil Buss, Frank Duff, Andrew J Shaw, Ken A McLean
	BMJ  1999;318:122 [Full text] [Request Permissions]

	Palliative care needs to be provided on basis of need rather than diagnosis
	Irene J Higginson, Julia M Addington-Hall
	BMJ  1999;318:123 [Full text] [Request Permissions]

	Only half of GPs in study knew that advance directives could carry legal force in UK
	Kevin Stewart, Lesley Bowker, Suzy Hayes, Michael Gill
	BMJ  1999;318:123 [Full text] [Request Permissions]

	Acute obstructive hydrocephalus complicating bacterial meningitis
	Christopher Settle, Mark H Wilcox, Asrar Rashid, R Stephen Cooke, Victor Patterson, Laurence Abernethy
	BMJ  1999;318:123 [Full text] [Request Permissions]

	50 years of the NHS
	Richard Price, Peter Davies, Raj Menon
	BMJ  1999;318:124 [Full text] [Request Permissions]

	UK blood service is responding to current needs
	E A E Robinson
	BMJ  1999;318:125 [Full text] [Request Permissions]

	Risk of breast cancer among female airline cabin attendants
	P Badrinath, Sam Ramaiah, Anssi Auvinen, Eero Pukkala, Maria Blettner, Daniel Wartenberg, Cecile Pryor Stapleton
	BMJ  1999;318:125 [Full text] [Request Permissions]

	Patients with prostate cancer should be enrolled in a national, controlled trial
	R G Willis
	BMJ  1999;318:126 [Full text] [Request Permissions]

	Bournewood: an indefensible gap in mental health law
	Donna Dickenson, Ajit Shah, G I Szmukler, F Holloway
	BMJ  1999;318:126 [Full text] [Request Permissions]

	Descriptions of adverse drug events should be standardised
	Saeed A Khan
	BMJ  1999;318:127 [Full text] [Request Permissions]

	Other method for adjustment of multiple testing exists
	Mikel Aickin
	BMJ  1999;318:127 [Full text] [Request Permissions]

	Counselling is not appropriate for all patients with cancer
	Clare Moynihan, Alan Horwich, Judith Bliss
	BMJ  1999;318:128 [Full text] [Request Permissions]

	Any variability in outcome comparisons adjusted for case mix must be accounted for
	D F Signorini, N U Weir
	BMJ  1999;318:128 [Full text] [Request Permissions]

Obituaries

This week's obituaries [PDF]

	Lord Smith of Marlow • John Aitken • James ("Jimmy") George Ledingham • Robert ("Bob") Murray • Arthur Salmon ("Sam") Wigfield • John Frederick Wilkinson
	Harold Ellis, D G Young, J Carnduff, John Munro, W M Dixon, Crispin Wigfield, C D R Pengelly, C G Geary
	BMJ  1999;318:129 [Full text]

Minerva

	Minerva
	BMJ  1999;318:136 [Full text] [PDF] [Request Permissions]

Fillers

	One hundred years ago: Special correspondence: Rome
	BMJ  1999;318:95 [Full text] [Request Permissions]

	Memorable advice: Doctor suggests a young woman should smoke
	Irene Ibison
	BMJ  1999;318:116 [Full text] [PDF] [Request Permissions]

Corrections

	Subdural haemorrhages in infants
	BMJ  1999;318:74 [Full text] [Request Permissions]

	Factors affecting likelihood of applicants being offered a place in medical schools in the United Kingdom in 1996 and 1997: retrospective study
	BMJ  1999;318:94 [Full text] [Request Permissions]

Career focus

	The overseas doctors training scheme
	Romesh C Gupta, Sundara Lingam
	BMJ  1999;318:2 [Full text] [Request Permissions]

	Briefing: "I had always wondered why there has previously been no ...
	BMJ  1999;318:3 [Full text] [Request Permissions]

CHOICE

	Rapid responses and the death of the editor's arts
	BMJ  1999;318 [Full text] [PDF] [Request Permissions]

MULTIMEDIA

	Book: The Last Resort: Psychosurgery and the Limits of Medicine
	Grant Gillett
	BMJ  1999;318:132 [Full text] [PDF] [Request Permissions]

	Book: Medicines Management
	N Barber
	BMJ  1999;318:132 [Full text] [Request Permissions]

	Book: The Circumpolar Inuit: Health of A Population in Transition
	David Syme
	BMJ  1999;318:133 [Full text] [Request Permissions]

	Book: Chronic fatigue and its syndromes
	Richard Mayou
	BMJ  1999;318:133 [Full text] [Request Permissions]

	Book: Selected Writings: Anna Freud
	Paul Caviston
	BMJ  1999;318:134 [Full text] [Request Permissions]

	Website of the week: http://www.fgmnetwork.org/
	Marcus Müllner
	BMJ  1999;318:135 [Full text] [Request Permissions]

BESTSELLERS

	December Bestsellers
	BMJ  1999;318:134 [Full text] [Request Permissions]

SCIENCE COMMENTARY

	What is fetal nuchal translucency?
	Abi Berger
	BMJ  1999;318:81 [Full text] [Request Permissions]

MEDICOPOLITICAL DIGEST

	BMA starts debate on presumed organ donation • Defence medicine in UK given a boost • Moving nearer to PCGs • JDC sets priorities for next session
	BMJ  1999;318:131 [Full text] [PDF] [Request Permissions]

Career focus

Read this week's articles on http://bmjcareers.com/careerfocus

Website extra

eBMJ -- Clinical Futures [Full text]

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