People with type 2 diabetes should aim at normal blood pressure and HbA1c [Full text]

	Risk of childhood diabetes rises with increasing maternal age at delivery [Full text]

	UK prescribing indicators have limited value in assessing practice [Full text]

	Patient management questions asked by primary care doctors fall into 64 generic types [Full text]

	Ethics code should outlaw placebo controlled trials when an accepted treatment exists [Full text]

Editorials

	Will intermediate care be the undoing of the NHS?
	Allyson M Pollock
	BMJ  2000;321:393-394, doi:10.1136/bmj.321.7258.393 [Full text] [PDF] [Request Permissions]

	Controlling glucose and blood pressure in type 2 diabetes
	Jaakko Tuomilehto
	BMJ  2000;321:394-395, doi:10.1136/bmj.321.7258.394 [Full text] [PDF] [Request Permissions]

	Herbal medicines: where is the evidence?
	E Ernst
	BMJ  2000;321:395-396, doi:10.1136/bmj.321.7258.395 [Full text] [PDF] [Request Permissions] [extra: Full list]

	The increasing use of peripheral bone densitometry
	T Masud, R M Francis
	BMJ  2000;321:396-398, doi:10.1136/bmj.321.7258.396 [Full text] [PDF] [Request Permissions]

	Cheating at medical school
	Richard Smith
	BMJ  2000;321:398, doi:10.1136/bmj.321.7258.398 [Full text] [PDF] [Request Permissions]

News

	Israeli surgeons implant first permanent artificial ventricle
	Judy Siegel-Itzkovich
	BMJ  2000;321:399, doi:10.1136/bmj.321.7258.399 [Full text] [PDF]

	Cost effectiveness of multiple sclerosis drugs remains unknown
	Rhona MacDonald
	BMJ  2000;321:399, doi:10.1136/bmj.321.7258.399/a [Full text] [PDF]

	Gene therapy can reduce tumours
	Scott Gottlieb
	BMJ  2000;321:400, doi:10.1136/bmj.321.7258.400 [Full text] [PDF]

	Folic acid researchers honoured
	Roger Dobson
	BMJ  2000;321:400, doi:10.1136/bmj.321.7258.400/a [Full text] [PDF]

	In brief
	BMJ  2000;321:400, doi:10.1136/bmj.321.7258.400/b [Full text] [PDF]

	Health watchdog criticises NHS helpline
	Susan Mayor
	BMJ  2000;321:401, doi:10.1136/bmj.321.7258.401 [Full text]

	Sildenafil may help diabetic patients
	Scott Gottlieb
	BMJ  2000;321:401, doi:10.1136/bmj.321.7258.401/a [Full text]

	Study questions ethics of covert medication
	Jenny Blythe
	BMJ  2000;321:402, doi:10.1136/bmj.321.7258.402 [Full text] [PDF]

	Canadian prisoners strike over smoking ban
	David Spurgeon
	BMJ  2000;321:402, doi:10.1136/bmj.321.7258.402/a [Full text] [PDF]

	Indian agency admits publishing "wrong" HIV figures
	Ganapati Mudur
	BMJ  2000;321:402, doi:10.1136/bmj.321.7258.402/b [Full text] [PDF]

	Spanish women to sue over breast implants
	Xavier Bosch
	BMJ  2000;321:403, doi:10.1136/bmj.321.7258.403 [Full text] [PDF]

	India struggles to meet polio deadline
	Rohit Sharma
	BMJ  2000;321:403, doi:10.1136/bmj.321.7258.403/a [Full text] [PDF]

	Huntington's centre faces closure
	Claire Wallerstein
	BMJ  2000;321:404, doi:10.1136/bmj.321.7258.404 [Full text] [PDF]

	Research finds high hepatitis B rate in Indian island tribes
	Ganapati Mudur
	BMJ  2000;321:404, doi:10.1136/bmj.321.7258.404/a [Full text] [PDF]

News extra [these stories appear only on the web]

	Inspector condemns "substandard" psychiatric hospitals in Ireland
	BMJ  2000;321:404, doi:10.1136/bmj.321.7258.404/b [Full text]

	Breast surgeon reprimanded by GMC
	BMJ  2000;321:404, doi:10.1136/bmj.321.7258.404/c [Full text]

	UK to set up new regulatory bodies
	BMJ  2000;321:404, doi:10.1136/bmj.321.7258.404/d [Full text]

Papers

	Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes (UKPDS 35): prospective observational study
	Irene M Stratton, Amanda I Adler, H Andrew W Neil, David R Matthews, Susan E Manley, Carole A Cull, David Hadden, Robert C Turner, Rury R Holman
	BMJ  2000;321:405-412, doi:10.1136/bmj.321.7258.405 [Abstract] [Full text] [PDF] [Request Permissions] [extra: Participating centres details]

	Association of systolic blood pressure with macrovascular and microvascular complications of type 2 diabetes (UKPDS 36): prospective observational study
	Amanda I Adler, Irene M Stratton, H Andrew W Neil, John S Yudkin, David R Matthews, Carole A Cull, Alex D Wright, Robert C Turner, Rury R Holman
	BMJ  2000;321:412-419, doi:10.1136/bmj.321.7258.412 [Abstract] [Full text] [PDF] [Request Permissions] [extra: Participating centres details]

	Influence of maternal age at delivery and birth order on risk of type 1 diabetes in childhood: prospective population based family study
	Polly J Bingley, Isabelle F Douek, Christine A Rogers, Edwin A M Gale
	BMJ  2000;321:420-424, doi:10.1136/bmj.321.7258.420 [Abstract] [Full text] [PDF] [Request Permissions] [extra: Members of Bart's-Oxford Group]

	Science commentary: Th1 and Th2 responses: what are they?
	Abi Berger
	BMJ  2000;321:424, doi:10.1136/bmj.321.7258.424 [Full text] [PDF] [Request Permissions]

Information in practice

	A taxonomy of generic clinical questions: classification study
	John W Ely, Jerome A Osheroff, Paul N Gorman, Mark H Ebell, M Lee Chambliss, Eric A Pifer, P Zoe Stavri
	BMJ  2000;321:429-432, doi:10.1136/bmj.321.7258.429 [Abstract] [Full text] [PDF] [Request Permissions] [extra: List of taxonomy]

Clinical review

	Science, medicine, and the future: Stem cell transplantation
	A L Lennard, G H Jackson
	BMJ  2000;321:433-437, doi:10.1136/bmj.321.7258.433 [Full text] [PDF] [Request Permissions]

	ABC of oral health: Improving occlusion and orofacial aesthetics: tooth repair and replacement
	Ken Hemmings, Brigitte Griffiths, John Hobkirk, Crispian Scully
	BMJ  2000;321:438-441, doi:10.1136/bmj.321.7258.438 [Full text] [PDF] [Request Permissions]

General practice

	Prescribing indicators for UK general practice: Delphi consultation study
	Stephen M Campbell, Judy A Cantrill, Dave Roberts
	BMJ  2000;321:425-428, doi:10.1136/bmj.321.7258.425 [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions]

Soundings

	Summer news
	George Dunea
	BMJ  2000;321:459, doi:10.1136/bmj.321.7258.459/a [Full text] [Request Permissions]

Personal views

	From scalpel to surfboard
	Greg Williams
	BMJ  2000;321:459, doi:10.1136/bmj.321.7258.459 [Full text] [Request Permissions]

Education and debate

	For and against: Declaration of Helsinki should be strengthened • FOR • AGAINST • Rothman and Michels' riposte
	Kenneth J Rothman, Karin B Michels, Michael Baum
	BMJ  2000;321:442-445, doi:10.1136/bmj.321.7258.442 [Full text] [PDF] [Request Permissions]

Letters

This week's letters [PDF]

	NHS Direct
	Steve Kempley, Kate Farrer, Peter Rye, Linda Murdoch, Murray Bain, Darryl Hampson-Evans, Bob Bury
	BMJ  2000;321:446, doi:10.1136/bmj.321.7258.446 [Full text] [Request Permissions]

	Ramifications of Ledward case
	W G Sellwood
	BMJ  2000;321:446, doi:10.1136/bmj.321.7258.446/a [Full text] [Request Permissions]

	Doctors' attitudes resemble those of the old aristocracy
	Joseph Watine
	BMJ  2000;321:447, doi:10.1136/bmj.321.7258.447 [Full text] [Request Permissions]

	Antibiotic prescribing in general practice
	David Syme, David Taylor, David Carvel, Toby Lipman
	BMJ  2000;321:447, doi:10.1136/bmj.321.7258.447/a [Full text] [Request Permissions]

	Family history is important in estimating coronary risk
	John Younger
	BMJ  2000;321:448, doi:10.1136/bmj.321.7258.448 [Full text] [Request Permissions]

	Prevalence of obesity in asthmatic adults
	Harmesh Moudgil
	BMJ  2000;321:448, doi:10.1136/bmj.321.7258.448/a [Full text] [Request Permissions]

	Mentally ill people in prisons
	Steve Gannon, John M Hall
	BMJ  2000;321:448, doi:10.1136/bmj.321.7258.448/b [Full text] [Request Permissions]

	Care is required with cost effectiveness approach
	Chris Cates
	BMJ  2000;321:449, doi:10.1136/bmj.321.7258.449 [Full text] [Request Permissions]

	Assessment of competence and performance at interview
	Jacky Hayden, John Adams
	BMJ  2000;321:449, doi:10.1136/bmj.321.7258.449/a [Full text] [Request Permissions]

	Drug use and weapon carrying by young people
	John Macleod, Rhian Loudon, Matthew Hickman, Ali Judd, J Ellis Cameron-Perry
	BMJ  2000;321:449, doi:10.1136/bmj.321.7258.449/b [Full text] [Request Permissions]

	Ectopic pregnancy with oral contraceptive use has been overlooked
	Walter L Larimore, Joseph B Stanford
	BMJ  2000;321:450, doi:10.1136/bmj.321.7258.450 [Full text] [Request Permissions]

	Implementing honesty about screening using community informed consent
	Les Irwig, Paul Glasziou
	BMJ  2000;321:450, doi:10.1136/bmj.321.7258.450/a [Full text] [Request Permissions]

	Drugs do not only relieve male menopause
	Cándido Hernández-López
	BMJ  2000;321:451, doi:10.1136/bmj.321.7258.451 [Full text] [Request Permissions]

	Tinea capitis should be on the public health agenda
	Theresa Lamagni, Barry Evans, Colin Campbell
	BMJ  2000;321:451, doi:10.1136/bmj.321.7258.451/a [Full text] [Request Permissions]

	Perhaps it is not time to switch from whole cell to acellular pertussis vaccine
	David Elliman, Helen Bedford
	BMJ  2000;321:451, doi:10.1136/bmj.321.7258.451/b [Full text] [Request Permissions]

	Combination treatment seems rarely to be used in psoriasis
	Damien Cullington, Anita Jhamatt
	BMJ  2000;321:452, doi:10.1136/bmj.321.7258.452 [Full text] [Request Permissions]

	Psychoactive drugs may have role in pressure sore origin
	James W Cooper
	BMJ  2000;321:452, doi:10.1136/bmj.321.7258.452/a [Full text] [Request Permissions]

	Underlying psychological distress must be addressed in chest pain
	Catherine Kinane
	BMJ  2000;321:452, doi:10.1136/bmj.321.7258.452/b [Full text] [Request Permissions]

	Is distribution of vacancies for hospital jobs a reflection of new NHS?
	A D Jenkinson, C Ingham Clark
	BMJ  2000;321:453, doi:10.1136/bmj.321.7258.453 [Full text] [Request Permissions]

	Use of polymorphism analysis requires ethical guidelines
	Martin A Myers
	BMJ  2000;321:453, doi:10.1136/bmj.321.7258.453/a [Full text] [Request Permissions]

Obituaries

This week's obituaries [PDF]

	Minnie Atkin • Herbert Nevile Burwell • George William Csonka • Thomas Plunkett Fearis • Sarah Maxine Crosby Fraser • Paula Jane Hampton Gosling • Farooq Hussain • Rowland Bevan Jones • Rees Daniel Sidney Rhys-Lewis • John Christopher Wagner
	Esther Atkin, John Bryden, Tina Marr, Michael Atkinson, Shirley Burwell, Brian Evans, F G O Burrows, Anna McKee, Martin McKee, R E Irvine, Fareed Bashir, Naveed Syed, Terry Collins, F J A Bateman, F D Pooley, M M F Wagner, C P Wagner
	BMJ  2000;321:454, doi:10.1136/bmj.321.7258.454 [Full text]

Minerva

	Minerva
	BMJ  2000;321:460, doi:10.1136/bmj.321.7258.460 [Full text] [PDF] [Request Permissions]

Fillers

	My most unfortunate experience: Eating a manchineel "beach apple"
	Nicola H Strickland
	BMJ  2000;321:428, doi:10.1136/bmj.321.7258.428 [Full text] [PDF] [Request Permissions]

	One hundred years ago: The Temperature of Underground Railway Tunnels
	BMJ  2000;321:429, doi:10.1136/bmj.321.7258.429/a [Full text] [Request Permissions]

	A memorable patient: Treves's young patient
	Michael Lavelle
	BMJ  2000;321:437, doi:10.1136/bmj.321.7258.437 [Full text] [PDF] [Request Permissions]

	Endpiece: Dangers of anaesthesia, 1884
	Edward Thomas Tibbits
	BMJ  2000;321:442, doi:10.1136/bmj.321.7258.442/a [Full text] [Request Permissions]

Corrections

	Cost effectiveness analysis of screening for sight threatening diabetic eye disease
	BMJ  2000;321:424 [Full text] [Request Permissions]

	Towards better treatment of glaucoma
	BMJ  2000;321:424 [Full text] [Request Permissions]

	Ectopic pregnancy
	BMJ  2000;321:424 [Full text] [Request Permissions]

TV

	TV: Hypothetically speaking
	Abi Berger
	BMJ  2000;321:458, doi:10.1136/bmj.321.7258.458 [Full text] [Request Permissions]

ART

	Art: For most of it I have no words: genocide, landscape and memory
	Peter Chapman
	BMJ  2000;321:457, doi:10.1136/bmj.321.7258.457/a [Full text] [Request Permissions]

BOOK

	Book: Matrons, Medics and Maladies: Edinburgh Royal Infirmary in the 1840s • The Edinburgh City Hospital
	P Dileep Kumar
	BMJ  2000;321:456, doi:10.1136/bmj.321.7258.456 [Full text] [PDF] [Request Permissions]

	Book: Confronting Traumatic Brain Injury
	Christian Murray-Leslie
	BMJ  2000;321:456, doi:10.1136/bmj.321.7258.456/a [Full text] [Request Permissions]

CHOICE

	Answers descend, questions ascend
	BMJ  2000;321, doi:10.1136/bmj.321.7258.0 [Full text] [PDF] [Request Permissions]

THEATRE

	Theatre: One Flew Over the Cuckoo's Nest
	Jason O'Neale Roach
	BMJ  2000;321:457, doi:10.1136/bmj.321.7258.457 [Full text] [Request Permissions]

CHOICE GP

	Answers descend, questions ascend
	BMJ  2000;321, doi:10.1136/bmj.321.7258.0/a [Full text] [PDF] [Request Permissions]

WEBSITE OF THE WEEK

	Website of the week: Question capture
	Douglas Carnall
	BMJ  2000;321:458, doi:10.1136/bmj.321.7258.458/a [Full text] [Request Permissions]

Career focus

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

Website extra

BMJ survey on England's NHS plan [Full text]

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