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20 October 2001 (Vol 323, No 7318)
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This week's This week in the BMJ
Thyroxine does not benefit euthyroid people with symptoms of hypothyroidism [Full text] FREE
Metered dose inhalers are most cost effective for asthma drugs [Full text] FREE
Patients are more satisfied with a patient centred approach [Full text] FREE
Month of birth may be linked to risk of developing Crohn's disease [Full text] FREE
Virtual reality technologies soon to be introduced into surgery [Full text] FREE

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This week's Editorials

Appropriate responses to bioterrorist threats
Nigel Lightfoot, Martin Wale, Robert Spencer, Angus Nicoll
BMJ  2001;323:877-878, doi: 10.1136/bmj.323.7318.877
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Psychological implications of chemical and biological weapons
Simon Wessely, Kenneth Craig Hyams, Robert Bartholomew
BMJ  2001;323:878-879, doi: 10.1136/bmj.323.7318.878
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Neurodegenerative disorders
Rajendra Kale
BMJ  2001;323:879-880, doi: 10.1136/bmj.323.7318.879
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Aromatase inhibitors and inactivators in breast cancer
Per Eystein Lønning
BMJ  2001;323:880-881, doi: 10.1136/bmj.323.7318.880
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Treatment of sepsis with activated protein C
C J Hinds
BMJ  2001;323:881-882, doi: 10.1136/bmj.323.7318.881
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This week's Letters

Wanted: social contract for practice of medicine
D M Fleming, N Sarkies, Roger M Goss
BMJ  2001;323:930, doi: 10.1136/bmj.323.7318.930
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Delivery by caesarean section
Ashis Banerjee, James Hollinshead, Edward Williams, Horng Yen Wee, Swee Chong Quek, S Michael Kinsella, D Nuala Lucas, Steven M Yentis, Anita Holdcroft, Anne E May, Michael Wee, P Neville Robinson, Malcolm Griffiths, B Sharma, Alvaro Aguillera, Patricia Barlow, Serge Rozenberg, Vincent Richman, P O D Pharoah, M J Platt, I Z Mackenzie, D J Tuffnell, K Wilkinson, N Beresford, Richard Smith
BMJ  2001;323:930, doi: 10.1136/bmj.323.7318.930
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Take home naloxone for opiate addicts
Colin A Graham, Gordon W McNaughton, Alastair J Ireland, Kerry Cassells, David Mountain, Gil Blackwood, A J Ashworth, A Kidd, John Strang
BMJ  2001;323:934, doi: 10.1136/bmj.323.7318.934
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Bell's phenomenon should not be regarded as pathognomonic sign
David H Jones
BMJ  2001;323:935, doi: 10.1136/bmj.323.7318.935
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Doctors should be trained in advanced life support before students are
Michelle C White
BMJ  2001;323:935, doi: 10.1136/bmj.323.7318.935
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Lactulose may help prevent urinary tract infections
M Battle, T Martin, J Fulton
BMJ  2001;323:936, doi: 10.1136/bmj.323.7318.936
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Audit is powerful tool for accident and emergency service
Alastair Ferraro
BMJ  2001;323:936, doi: 10.1136/bmj.323.7318.936
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Ethics cost, whether you have them or not
Judith Harvey
BMJ  2001;323:936, doi: 10.1136/bmj.323.7318.936
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Stereotyping may highlight diagnoses that might be missed
Romesh Khardori
BMJ  2001;323:937, doi: 10.1136/bmj.323.7318.937
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Condom gap in Africa is wider than study suggests
Landon Myer, Catherine Mathews, Francesca Little
BMJ  2001;323:937, doi: 10.1136/bmj.323.7318.937
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Thrombolysis must be considered after stroke
James Kennedy, Alastair M Buchan, Henry J M Barnett
BMJ  2001;323:937, doi: 10.1136/bmj.323.7318.937
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This week's News

US fear of bioterrorism spreads as anthrax cases increase
Deborah Josefson
BMJ  2001;323:883, doi: 10.1136/bmj.323.7318.883
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UK doctors given guidance on dealing with anthrax
Lynn Eaton
BMJ  2001;323:883, doi: 10.1136/bmj.323.7318.883
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Doctors divided in their attitude to military strikes on Afghganistan
Annabel Ferriman
BMJ  2001;323:884, doi: 10.1136/bmj.323.7318.884
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In brief
BMJ  2001;323:884, doi: 10.1136/bmj.323.7318.884
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Leading UK paediatrician reinstated
Caroline White
BMJ  2001;323:885, doi: 10.1136/bmj.323.7318.885
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Hospital at centre of claims of racism is "turning the corner," report says
Clare Dyer
BMJ  2001;323:885, doi: 10.1136/bmj.323.7318.885
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Progress is slow in narrowing the health research divide
Kamran Abbasi
BMJ  2001;323:886, doi: 10.1136/bmj.323.7318.886
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Quarter of GPs want to quit, BMA survey shows
Zosia Kmietowicz
BMJ  2001;323:887, doi: 10.1136/bmj.323.7318.887
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Meeting calls for a national body to respond to research misconduct
Richard Smith
BMJ  2001;323:889, doi: 10.1136/bmj.323.7318.889
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Coaxing doctors to confess
BMJ  2001;323:890, doi: 10.1136/bmj.323.7318.890
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This week's News roundup

MEPs add their voice to protest at patent for breast cancer gene
Rory Watson
BMJ  2001;323:888, doi: 10.1136/bmj.323.7318.888
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UK physicians work 21 hours a week more than contracted, says report
Susan Mayor
BMJ  2001;323:888, doi: 10.1136/bmj.323.7318.888
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Admissions of private patients to public hospitals in Ireland increase
Doug Payne
BMJ  2001;323:888, doi: 10.1136/bmj.323.7318.888
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BMA attacks GMC's revalidation proposals
Andrew Moscrop
BMJ  2001;323:888, doi: 10.1136/bmj.323.7318.888
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Suicide rate in young men in Scotland is twice that in England and Wales
Bryan Christie
BMJ  2001;323:888, doi: 10.1136/bmj.323.7318.888
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Consumer groups fight plans for "direct to patient" drug advertisements
Rory Watson
BMJ  2001;323:889, doi: 10.1136/bmj.323.7318.889
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Database of patients possibly exposed to CJD is proposed
Andrew Moscrop
BMJ  2001;323:889, doi: 10.1136/bmj.323.7318.889
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Cooling patients after cardiac arrest may prevent brain damage
Deborah Josefson
BMJ  2001;323:889, doi: 10.1136/bmj.323.7318.889
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This week's News extra

HIV/AIDS responsible for 25% of deaths in South Africa, report says
Pat Sidley
BMJ  2001;323:890, doi: 10.1136/bmj.323.7318.890
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Transatlantic agreement signed on health care and emergency measures
Charles Marwick
BMJ  2001;323:890, doi: 10.1136/bmj.323.7318.890
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Lowering blood pressure in old people with multiple risk factors is worthwhile
David Spurgeon
BMJ  2001;323:890, doi: 10.1136/bmj.323.7318.890
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This week's Papers

Thyroxine treatment in patients with symptoms of hypothyroidism but thyroid function tests within the reference range: randomised double blind placebo controlled crossover trial
M Anne Pollock, Alison Sturrock, Karen Marshall, Kate M Davidson, Christopher J G Kelly, Alex D McMahon, E Hamish McLaren
BMJ  2001;323:891-895, doi: 10.1136/bmj.323.7318.891
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Systematic review of clinical effectiveness of pressurised metered dose inhalers versus other hand held inhaler devices for delivering corticosteroids in asthma
David Brocklebank, John Wright, Christopher Cates
BMJ  2001;323:896, doi: 10.1136/bmj.323.7318.896
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Systematic review of clinical effectiveness of pressurised metered dose inhalers versus other hand held inhaler devices for delivering beta 2 agonists bronchodilators in asthma
Felix S F Ram, John Wright, David Brocklebank, John E S White
BMJ  2001;323:901, doi: 10.1136/bmj.323.7318.901
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Racial stereotyping: survey of psychiatrists in the United Kingdom
Helen Minnis, Alison McMillan, Marjorie Gillies, Shubulade Smith
BMJ  2001;323:905-906, doi: 10.1136/bmj.323.7318.905
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Research pointers: Does month of birth affect risk of Crohn's disease in childhood and adolescence?
Henrik Toft Sørensen, Lars Pedersen, Bente Nørgård, Kirsten Fonager, Kenneth J Rothman
BMJ  2001;323:907, doi: 10.1136/bmj.323.7318.907
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This week's Primary care

Observational study of effect of patient centredness and positive approach on outcomes of general practice consultations
Paul Little, Hazel Everitt, Ian Williamson, Greg Warner, Michael Moore, Clare Gould, Kate Ferrier, Sheila Payne
BMJ  2001;323:908-911, doi: 10.1136/bmj.323.7318.908
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This week's Clinical review

Science, medicine, and the future: Virtual reality in surgery
Rory McCloy, Robert Stone
BMJ  2001;323:912-915, doi: 10.1136/bmj.323.7318.912
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Evidence based paediatrics: Evidence based management of childhood obesity
Laurel Edmunds, Elizabeth Waters, Elizabeth J Elliott
BMJ  2001;323:916-919, doi: 10.1136/bmj.323.7318.916
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How does it work?: Oscillatory Blood Pressure Monitoring Devices
Abi Berger
BMJ  2001;323:919, doi: 10.1136/bmj.323.7318.919
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ABC of the upper gastrointestinal tract: Epidemiology and diagnosis of Helicobacter pylori infection
Robert P H Logan, Marjorie M Walker
BMJ  2001;323:920-922, doi: 10.1136/bmj.323.7318.920
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This week's Soundings

Lucky fibrillator
Colin Douglas
BMJ  2001;323:943, doi: 10.1136/bmj.323.7318.943
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This week's Personal views

Pilgrimage
Julian Randall
BMJ  2001;323:943, doi: 10.1136/bmj.323.7318.943
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This week's Education and debate

Using high quality clinical databases to complement the results of randomised controlled trials: the case of recombinant human activated protein C
Andrew Padkin, Kathy Rowan, Nick Black
BMJ  2001;323:923-926, doi: 10.1136/bmj.323.7318.923
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The future of health care in Canada
Steven Lewis, Cam Donaldson, Craig Mitton, Gillian Currie
BMJ  2001;323:926-929, doi: 10.1136/bmj.323.7318.926
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This week's Obituaries

Mária Jozefa Hári Richard Garrett George Barry Roy Gibb Blues William Armstrong Davidson David Charles Fluck William Stanley Hill Fausto Iannotti Alan Oakley John William Gray McEwen John Marcus Stowers
Andrew Sutton, N V O'Donohoe, Alan J L Davidson, Peter N Davidson, Nick Fluck, Alan Crockard, Marilyn Boll, Patricia Law, J Douglas Hunter, Christopher D Stowers
BMJ  2001;323:938, doi: 10.1136/bmj.323.7318.938
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This week's Minerva

Minerva
BMJ  2001;323:944, doi: 10.1136/bmj.323.7318.944
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This week's Fillers

A patient who changed my practice: "That's very nice, but will it get me pregnant?"
Robert Varnam
BMJ  2001;323:895, doi: 10.1136/bmj.323.7318.895
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One hundred years ago: Nurses for the middle classes
BMJ  2001;323:900, doi: 10.1136/bmj.323.7318.900
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Endpiece: Democracy
BMJ  2001;323:900, doi: 10.1136/bmj.323.7318.900
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This week's Corrections

New house officers lack clinical skills
BMJ  2001;323:885, doi: 10.1136/bmj.323.7318.885
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Relation between insufficient response to antihypertensive treatment and poor compliance with treatment: a prospective case-control study
BMJ  2001;323:900, doi: 10.1136/bmj.323.7318.900
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Drug Point
BMJ  2001;323:900, doi: 10.1136/bmj.323.7318.900
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This week's BOOK

Book: Writings on an Ethical Life
D John Doyle
BMJ  2001;323:940, doi: 10.1136/bmj.323.7318.940
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Book: Angelhead: My Brother's Descent into Madness
Sean A Spence
BMJ  2001;323:940, doi: 10.1136/bmj.323.7318.940
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Book: The Dressing Station: A Surgeon's Odyssey What for Chop Today?
Rhona MacDonald
BMJ  2001;323:941, doi: 10.1136/bmj.323.7318.941
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This week's PRESS

Press: Are the media losing faith in the NHS?
Alex Vass
BMJ  2001;323:941, doi: 10.1136/bmj.323.7318.941
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Press: Anthrax and the US media
Fred Charatan
BMJ  2001;323:942, doi: 10.1136/bmj.323.7318.942
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This week's CHOICE

Doctors and patients: flying apart?
BMJ  2001;323, doi: 10.1136/bmj.323.7318.0
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This week's WEBSITE OF THE WEEK

Website of the week: Bioterrorism
Trevor Jackson
BMJ  2001;323:942, doi: 10.1136/bmj.323.7318.942
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Read this week's articles on http://careers.bmj.com/careers/

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