A bad week for drug companies?
	Richard Smith
	BMJ  2003;327, doi: 10.1136/bmj.327.7416.0-g [Extract] [Full text] [PDF] [Request Permissions] FREE

This week in the BMJ

This week's This week in the BMJ

	Proactive care with active recall helps children with asthma [Full text] FREE

	Nurse led intervention improves diagnosis of UTIs in children [Full text] FREE

	Stressful events increase exacerbations in relapsing-remitting multiple sclerosis [Full text] FREE

	Better detection and treatment of alcohol use in elderly people is needed [Full text] FREE

	Adding methylxanthines to standard COPD treatment is not beneficial [Full text] FREE

	Mortality among UNITA members remains high after the ceasefire [Full text] FREE

Editorials

This week's Editorials

	Treating acute rheumatic fever
	Antoinette Cilliers
	BMJ  2003;327:631-632, doi: 10.1136/bmj.327.7416.631 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Elucidating the pathogenesis of schizophrenia
	Akira Sawa, Atsushi Kamiya
	BMJ  2003;327:632-633, doi: 10.1136/bmj.327.7416.632 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Partner notification for the control of sexually transmitted infections
	Sarah Hawkes, David Mabey, Phillippe Mayaud
	BMJ  2003;327:633-634, doi: 10.1136/bmj.327.7416.633 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Immunomodulatory drugs for psoriasis
	Wolf-Henning Boehncke
	BMJ  2003;327:634-635, doi: 10.1136/bmj.327.7416.634 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Comparing cannabis with tobacco—again
	Stephen Sidney
	BMJ  2003;327:635-636, doi: 10.1136/bmj.327.7416.635 [Extract] [Full text] [PDF] [Request Permissions] FREE

Letters

This week's Letters

	Target centred medicine: Targets can seriously damage your health...
	Kevin K Y Yoong, Tim Heymann
	BMJ  2003;327:680, doi: 10.1136/bmj.327.7416.680 [Extract] [Full text] [Request Permissions] FREE

	Target centred medicine: ... and fail patients too
	Anthony A D'Sa, Sapna Agrawal, Alistair Tindall, Alfred Franklin
	BMJ  2003;327:680, doi: 10.1136/bmj.327.7416.680-a [Extract] [Full text] [Request Permissions] FREE

	The facts about franchising at Good Hope Hospital
	David Churchill, Bernard Zissman
	BMJ  2003;327:680, doi: 10.1136/bmj.327.7416.680-b [Extract] [Full text] [Request Permissions] FREE

	Too many stars are bad for you
	David A de Berker
	BMJ  2003;327:680-681, doi: 10.1136/bmj.327.7416.680-c [Extract] [Full text] [Request Permissions] FREE

	Managing chronic pain in children and adolescents: Procedural sedation should be considered
	Egidio Barbi, Tania Gerarduzzi, Federico Marchetti
	BMJ  2003;327:681, doi: 10.1136/bmj.327.7416.681 [Extract] [Full text] [Request Permissions] FREE

	Managing chronic pain in children and adolescents: Tethered cord syndrome should be considered
	Lynton G Giles
	BMJ  2003;327:681, doi: 10.1136/bmj.327.7416.681-a [Extract] [Full text] [Request Permissions] FREE

	Managing chronic pain in children and adolescents: Effective responses are possible with non-evidence based clinical practice
	Philip Dutton
	BMJ  2003;327:681, doi: 10.1136/bmj.327.7416.681-b [Extract] [Full text] [Request Permissions] FREE

	Conundrum of the HOPE study: Time of taking ramipril may account for lack of relation between blood pressure and outcome
	Roy Taylor
	BMJ  2003;327:681-682, doi: 10.1136/bmj.327.7416.681-c [Extract] [Full text] [Request Permissions] FREE

	Conundrum of the HOPE study: Authors' reply
	J Bosch, S Yusuf
	BMJ  2003;327:682, doi: 10.1136/bmj.327.7416.682 [Extract] [Full text] [Request Permissions] FREE

	Doctors may need to go beyond medicine in mental illness
	Edward Whitney
	BMJ  2003;327:682, doi: 10.1136/bmj.327.7416.682-a [Extract] [Full text] [Request Permissions] FREE

	Immunonutrition: Increased mortality is associated with immunonutrition in sepsis
	David J W Knight
	BMJ  2003;327:682-683, doi: 10.1136/bmj.327.7416.682-b [Extract] [Full text] [Request Permissions] FREE

	Immunonutrition: Author's reply
	Philip C Calder
	BMJ  2003;327:683, doi: 10.1136/bmj.327.7416.683 [Extract] [Full text] [Request Permissions] FREE

	Human milk is still best
	Yap-Seng Chong
	BMJ  2003;327:683, doi: 10.1136/bmj.327.7416.683-a [Extract] [Full text] [Request Permissions] FREE

	Stages of a man's life: The three stages can be expanded...
	Iain R Wakefield
	BMJ  2003;327:683, doi: 10.1136/bmj.327.7416.683-b [Extract] [Full text] [Request Permissions] FREE

	Stages of a man's life: ... and further expanded
	John H Lange
	BMJ  2003;327:683, doi: 10.1136/bmj.327.7416.683-c [Extract] [Full text] [Request Permissions] FREE

News

This week's News

	NICE is told to break its close links with drug industry
	Zosia Kmietowicz
	BMJ  2003;327:637, doi: 10.1136/bmj.327.7416.637 [Extract] [Full text] [PDF] FREE

	German scientists withdraw research paper on cancer vaccine
	Annette Tuffs
	BMJ  2003;327:637, doi: 10.1136/bmj.327.7416.637-a [Extract] [Full text] [PDF] FREE

	In brief
	BMJ  2003;327:638, doi: 10.1136/bmj.327.7416.638 [Extract] [Full text] [PDF] FREE

	Study shows what INR level is best for preventing stroke in patients with atrial fibrillation
	Janice Hopkins Tanne
	BMJ  2003;327:638, doi: 10.1136/bmj.327.7416.638-a [Extract] [Full text] [PDF] FREE

	Value of prescribing heroin is uncertain
	Susan Mayor
	BMJ  2003;327:638, doi: 10.1136/bmj.327.7416.638-b [Extract] [Full text] [PDF] FREE

	Drugs could still be costly under World Trade Organization deal
	Fiona Fleck
	BMJ  2003;327:639, doi: 10.1136/bmj.327.7416.639 [Extract] [Full text] [PDF] FREE

	GMC still seen as "doctors' club" despite reforms
	Caroline White
	BMJ  2003;327:639, doi: 10.1136/bmj.327.7416.639-a [Extract] [Full text] [PDF] FREE

	Royal college warns against "unsound tests" for infertility
	Debashis Singh
	BMJ  2003;327:641, doi: 10.1136/bmj.327.7416.641-c [Extract] [Full text] [PDF] FREE

	US politicians want federal funding to discover cost effectiveness of new drugs
	Ray Moynihan
	BMJ  2003;327:642, doi: 10.1136/bmj.327.7416.642 [Extract] [Full text] [PDF] FREE

News roundup [abridged versions appear in the paper journal]

This week's News roundup

	Commission withdraws legal aid for parents suing over MMR vaccine
	Clare Dyer
	BMJ  2003;327:640, doi: 10.1136/bmj.327.7416.640 [Extract] [Abridged text] [Abridged PDF] [Full text] FREE

	European Court ruling means Germany is likely to need more doctors
	Annette Tuffs
	BMJ  2003;327:640, doi: 10.1136/bmj.327.7416.640-a [Extract] [Abridged text] [Abridged PDF] [Full text] FREE

	Exercise can cut risk of breast cancer
	Scott Gottlieb
	BMJ  2003;327:640, doi: 10.1136/bmj.327.7416.640-b [Extract] [Abridged text] [Abridged PDF] [Full text] FREE

	GMC to investigate pathologist who failed to notice adopted infant’s injuries
	Owen Dyer
	BMJ  2003;327:640, doi: 10.1136/bmj.327.7416.640-c [Extract] [Abridged text] [Abridged PDF] [Full text] FREE

	Red tape is stifling research, charity says
	Owen Dyer
	BMJ  2003;327:640, doi: 10.1136/bmj.327.7416.640-d [Extract] [Abridged text] [Abridged PDF] [Full text] FREE

	Privately run surgery centres for NHS patients proposed
	Susan Mayor
	BMJ  2003;327:640, doi: 10.1136/bmj.327.7416.640-e [Extract] [Abridged text] [Abridged PDF] [Full text] FREE

	Implementation of clinical governance is patchy, report says
	Zosia Kmietowicz
	BMJ  2003;327:641, doi: 10.1136/bmj.327.7416.641 [Extract] [Abridged text] [Abridged PDF] [Full text] FREE

	FDA issues advice to women taking hormone replacement therapy
	Deborah Josefson
	BMJ  2003;327:641, doi: 10.1136/bmj.327.7416.641-a [Extract] [Abridged text] [Abridged PDF] [Full text] FREE

	Dutch government introduces swingeing cuts to health spending
	Tony Sheldon
	BMJ  2003;327:641, doi: 10.1136/bmj.327.7416.641-b [Extract] [Abridged text] [Abridged PDF] [Full text] FREE

News extra [these stories appear only on the web]

This week's News extra

	Doctors fail to grasp concept of concordance
	Caroline White
	BMJ  2003;327:642, doi: 10.1136/bmj.327.7416.642-a [Extract] [Full text] FREE

	How poor countries can gain access to cheap drugs
	Fiona Fleck
	BMJ  2003;327:642, doi: 10.1136/bmj.327.7416.642-b [Extract] [Full text] FREE

	Drug companies must do more for poor countries, conference is told
	Lynn Eaton
	BMJ  2003;327:642, doi: 10.1136/bmj.327.7416.642-c [Extract] [Full text] FREE

	Charity recommends introduction of screening programme for bowel cancer
	Andrew Iles
	BMJ  2003;327:642, doi: 10.1136/bmj.327.7416.642-d [Extract] [Full text] FREE

	World Medical Association delays decision on Helsinki declaration
	Stephen Pincock
	BMJ  2003;327:642, doi: 10.1136/bmj.327.7416.642-e [Extract] [Full text] FREE

Papers

This week's Papers

	Methylxanthines for exacerbations of chronic obstructive pulmonary disease: meta-analysis of randomised trials
	R Graham Barr, Brian H Rowe, Carlos A Camargo, Jr
	BMJ  2003;327:643, doi: 10.1136/bmj.327.7416.643 [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

	Self reported stressful life events and exacerbations in multiple sclerosis: prospective study
	D Buljevac, W C J Hop, W Reedeker, A C J W Janssens, F G A van der Meché, P A van Doorn, R Q Hintzen
	BMJ  2003;327:646, doi: 10.1136/bmj.327.7416.646 [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

	Mortality among displaced former UNITA members and their families in Angola: a retrospective cluster survey
	Thomas Grein, Francesco Checchi, Josep M Escribà, Abiy Tamrat, Unni Karunakara, Christopher Stokes, Vincent Brown, Dominique Legros
	BMJ  2003;327:650, doi: 10.1136/bmj.327.7416.650 [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] [extra: Copies of the survey and queationnaire] FREE

	Detecting chronic obstructive pulmonary disease using peak flow rate: cross sectional survey
	Hannah Jackson, Richard Hubbard
	BMJ  2003;327:653-654, doi: 10.1136/bmj.327.7416.653 [Full text] [PDF] [Request Permissions] FREE

	Epidemiology of chronic fatigue syndrome and self reported myalgic encephalomyelitis in 5-15 year olds: cross sectional study
	T Chalder, R Goodman, S Wessely, M Hotopf, H Meltzer
	BMJ  2003;327:654-655, doi: 10.1136/bmj.327.7416.654 [Full text] [PDF] [Request Permissions] [extra: Additional references] FREE

Primary care

This week's Primary care

	A nurse led education and direct access service for the management of urinary tract infections in children: prospective controlled trial
	Malcolm G Coulthard, Sue J Vernon, Heather J Lambert, John N S Matthews
	BMJ  2003;327:656, doi: 10.1136/bmj.327.7416.656 [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] [extra: Extra tables] FREE

	Proactive asthma care in childhood: general practice based randomised controlled trial
	Nicholas J Glasgow, Anne-Louise Ponsonby, Rachel Yates, Justin Beilby, Paul Dugdale
	BMJ  2003;327:659, doi: 10.1136/bmj.327.7416.659 [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

Clinical review

This week's Clinical review

	Alcohol use disorders in elderly people—redefining an age old problem in old age
	Henry O'Connell, Ai-Vyrn Chin, Conal Cunningham, Brian Lawlor
	BMJ  2003;327:664-667, doi: 10.1136/bmj.327.7416.664 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Interactive case report: A 2 year old child with rash and fever
	Rita Sharma, Andrew Boon, Anthony Harnden
	BMJ  2003;327:668, doi: 10.1136/bmj.327.7416.668 [Extract] [Full text] [PDF] [Request Permissions] FREE

	ABC of subfertility: Male subfertility
	Anthony Hirsh
	BMJ  2003;327:669-672, doi: 10.1136/bmj.327.7416.669 [Extract] [Full text] [PDF] [Request Permissions] FREE

Education and debate

This week's Education and debate

	Routinely asking women about domestic violence in health settings
	Ann Taket, Jo Nurse, Katrina Smith, Judy Watson, Judy Shakespeare, Vicky Lavis, Katie Cosgrove, Kate Mulley, Gene Feder
	BMJ  2003;327:673-676, doi: 10.1136/bmj.327.7416.673 [Extract] [Full text] [PDF] [Request Permissions] [extra: References w1-w17] FREE

	Role of living liver donation in the United Kingdom
	James Neuberger, David Price
	BMJ  2003;327:676-679, doi: 10.1136/bmj.327.7416.676 [Extract] [Full text] [PDF] [Request Permissions] FREE

Obituaries

This week's Obituaries

	David Applebaum
	Judy Siegel-Itzkovich
	BMJ  2003;327:684, doi: 10.1136/bmj.327.7416.684 [Extract] [Full text] FREE

	Richard Wade Barter
	S Barter
	BMJ  2003;327:685, doi: 10.1136/bmj.327.7416.685 [Extract] [Full text] FREE

	James Carroll
	John Carroll
	BMJ  2003;327:685, doi: 10.1136/bmj.327.7416.685-a [Extract] [Full text] [extra: Longer version] FREE

	Lydia McMurdo
	Alan Sippert
	BMJ  2003;327:685, doi: 10.1136/bmj.327.7416.685-c [Extract] [Full text] FREE

	Mary Kathleen Marchant
	M S Marchant
	BMJ  2003;327:685, doi: 10.1136/bmj.327.7416.685-d [Extract] [Full text] FREE

	John Christopher Powell
	Robert M Simpson
	BMJ  2003;327:685, doi: 10.1136/bmj.327.7416.685-e [Extract] [Full text] [extra: Longer version] FREE

	Colin Andrew Ramsay
	Peter Meisner, James Ramsay
	BMJ  2003;327:685, doi: 10.1136/bmj.327.7416.685-f [Extract] [Full text] [extra: Longer version] FREE

	John Mark Reid
	Donald M Brown
	BMJ  2003;327:685, doi: 10.1136/bmj.327.7416.685-g [Extract] [Full text] [extra: Longer version] FREE

	Henry ("Harry") Tubmen
	Michael Hickson
	BMJ  2003;327:685, doi: 10.1136/bmj.327.7416.685-h [Extract] [Full text] [extra: Longer version] FREE

reviews

This week's reviews

	Books: Family Violence in Primary Care; Violence Against Women: A Physician's Guide to Identification and Management
	Jocalyn Clark
	BMJ  2003;327:686, doi: 10.1136/bmj.327.7416.686 [Extract] [Full text] [Request Permissions] FREE

	Book: Hunting the 1918 Flu: One Scientist's Search for a Killer Virus
	Fred Charatan
	BMJ  2003;327:687, doi: 10.1136/bmj.327.7416.687 [Extract] [Full text] [Request Permissions] FREE

	Theatre: Animal
	Andrew Iles
	BMJ  2003;327:687, doi: 10.1136/bmj.327.7416.687-a [Extract] [Full text] [Request Permissions] FREE

	NETLINES
	Harry Brown
	BMJ  2003;327:688, doi: 10.1136/bmj.327.7416.688 [Extract] [Full text] [Request Permissions] FREE

	Press: News skews health priorities, study claims
	Trevor Jackson
	BMJ  2003;327:688, doi: 10.1136/bmj.327.7416.688-a [Extract] [Full text] [Request Permissions] FREE

	PERSONAL VIEW: The doctors' mess: the unsung resource
	Jason Raw
	BMJ  2003;327:689, doi: 10.1136/bmj.327.7416.689 [Extract] [Full text] [Request Permissions] FREE

	SOUNDINGS: Brava at Fountains
	James Owen Drife
	BMJ  2003;327:689, doi: 10.1136/bmj.327.7416.689-a [Extract] [Full text] [Request Permissions] FREE

Minerva

This week's Minerva

	Minerva
	BMJ  2003;327:690, doi: 10.1136/bmj.327.7416.690 [Full text] [PDF] [Request Permissions] FREE

Fillers

This week's Fillers

	POEM*: Ginkgo biloba may help tinnitus, but needs further investigation
	BMJ  2003;327, doi: 10.1136/bmj.327.7416.0-f [Extract] [Full text] [PDF] [Request Permissions] FREE

	Submitting articles to the BMJ
	BMJ  2003;327:655, doi: 10.1136/bmj.327.7416.655 [Extract] [Full text] [Request Permissions] FREE

	"The call we all dread..."
	Nikant K Sabharwal, E Jane Chapman
	BMJ  2003;327:663, doi: 10.1136/bmj.327.7416.663-c [Extract] [Full text] [PDF] [Request Permissions] FREE

	Interactive case reports
	BMJ  2003;327:668, doi: 10.1136/bmj.327.7416.668-a [Extract] [Full text] [PDF] [Request Permissions] FREE

	One hundred years ago: Hygiene of girls' schools
	BMJ  2003;327:668, doi: 10.1136/bmj.327.7416.668-b [Extract] [Full text] [Request Permissions] FREE

	It's always worth trying
	Fiona Kelly
	BMJ  2003;327:679, doi: 10.1136/bmj.327.7416.679 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Advice
	BMJ  2003;327:685, doi: 10.1136/bmj.327.7416.685-b [Extract] [Full text] [Request Permissions] FREE

Corrections

This week's Corrections

	Sexual function problems and help seeking behaviour in Britain: national probability sample study
	BMJ  2003;327:649, doi: 10.1136/bmj.327.7416.649 [Full text] [PDF] [Request Permissions] FREE

	Wrong heading on BMJ cover
	BMJ  2003;327:649, doi: 10.1136/bmj.327.7416.649-a [Full text] [PDF] [Request Permissions] FREE

	National survey of use of hospital beds by adolescents aged 12 to 19 in the United Kingdom
	BMJ  2003;327:649, doi: 10.1136/bmj.327.7416.649-b [Full text] [PDF] [Request Permissions] FREE

	"Terminal sedation" different from euthanasia, Dutch ministers agree
	BMJ  2003;327:649, doi: 10.1136/bmj.327.7416.649-c [Full text] [PDF] [Request Permissions] FREE

	NHS hospital gets privatised management
	BMJ  2003;327:663, doi: 10.1136/bmj.327.7416.663 [Full text] [PDF] [Request Permissions] FREE

	Preventing fractures in elderly people
	BMJ  2003;327:663, doi: 10.1136/bmj.327.7416.663-a [Full text] [PDF] [Request Permissions] FREE

	Benefits of swimming pools in two remote Aboriginal communities in Western Australia: intervention study
	BMJ  2003;327:663, doi: 10.1136/bmj.327.7416.663-b [Full text] [PDF] [Request Permissions] FREE

Career focus

Read this week's articles on http://careers.bmj.com/careers/

Website extra

European Society of Cardiology Congress 2003