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17 June 2006 (Vol 332, No 7555)
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This week's Editor's choice

What price integrity?
Fiona Godllee
BMJ  2006;332, doi: 10.1136/bmj.332.7555.0-f
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This week's This week in the BMJ
Alternating pressure mattresses are more cost effective than overlays [Full text] FREE
Managing low back pain [Full text] FREE
Guidelines on statin treatment should focus on high risk patients [Full text] FREE
Sentinel node status has high prognostic value for melanoma [Full text] FREE
Kidney function tests plus data on proteinuria give better estimate of mortality risk [Full text] FREE

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This week's Editorials

Overlays or mattresses to prevent pressure sores?
Luke Vale, David W Noble
BMJ  2006;332:1401-1402, doi: 10.1136/bmj.332.7555.1401
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Proteinuria, renal impairment, and death
Jeremy Levy
BMJ  2006;332:1402-1403, doi: 10.1136/bmj.332.7555.1402
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Broadband learning for doctors
James Johnson, Stella Dutton, Edward Briffa, Dame Carol Black
BMJ  2006;332:1403-1404, doi: 10.1136/bmj.332.7555.1403
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Charges of corporate manslaughter in the NHS
Ash Samanta, Jo Samanta
BMJ  2006;332:1404-1405, doi: 10.1136/bmj.332.7555.1404
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Consent for research in hyperacute stroke
Lynne Stobbart, Madeleine J Murtagh, Stephen J Louw, Gary A Ford, Helen Rodgers
BMJ  2006;332:1405-1406, doi: 10.1136/bmj.332.7555.1405
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This week's Letters

Prehospital parenteral penicillin for meningitis: Urgent review of treatment criteria is needed
Amanda J Kvalsvig, Michael Baker, Graham Mills
BMJ  2006;332:1451, doi: 10.1136/bmj.332.7555.1451
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Prehospital parenteral penicillin for meningitis: Trial in children with suspected meningococcal disease would be useful
D Graham Mackenzie, Charles J P Saunders, Diptendu N Bhattacharyya, Chris R Steer
BMJ  2006;332:1451, doi: 10.1136/bmj.332.7555.1451-a
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Life without COX 2 inhibitors: Risks and benefits are determined by dose and potency
Enrique J Sánchez-Delgado
BMJ  2006;332:1451-1452, doi: 10.1136/bmj.332.7555.1451-b
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Life without COX 2 inhibitors: Opioids can be prescribed safely in osteoarthritis
Colette M Reid, Jeremy Horwood
BMJ  2006;332:1452, doi: 10.1136/bmj.332.7555.1452
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Should we lower cholesterol as much as possible?: Policy on high dose statins is startlingly absent
Martin G Duerden
BMJ  2006;332:1452-1453, doi: 10.1136/bmj.332.7555.1452-a
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Should we lower cholesterol as much as possible?: Cholesterol is good?
Jacob F de Wolff
BMJ  2006;332:1453, doi: 10.1136/bmj.332.7555.1453
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Suicidal behaviour and SSRIs: updated meta-analysis
Julia Saperia, Deborah Ashby, David Gunnell
BMJ  2006;332:1453, doi: 10.1136/bmj.332.7555.1453-a
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Hydatidiform mole and medical management of miscarriage
Neil J Sebire
BMJ  2006;332:1454, doi: 10.1136/bmj.332.7555.1454
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Postcripts to letter to God: Six fingers and testes tucked out of harm's way would be good
Kenneth Campbell
BMJ  2006;332:1454, doi: 10.1136/bmj.332.7555.1454-a
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Postcripts to letter to God: Some cosmetic changes would be helpful
Kirti Kain
BMJ  2006;332:1454, doi: 10.1136/bmj.332.7555.1454-b
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Postcripts to letter to God: Separating pipework for swallowing and breathing would be safer
Dominic C Horne
BMJ  2006;332:1454, doi: 10.1136/bmj.332.7555.1454-c
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Postcripts to letter to God: On why the eye lacks intelligent design
Andy Wood
BMJ  2006;332:1454, doi: 10.1136/bmj.332.7555.1454-d
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This week's News

Antipsychotic use among US young people has risen sixfold
Janice Hopkins Tanne
BMJ  2006;332:1407, doi: 10.1136/bmj.332.7555.1407
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European agency approves use of fluoxetine for children and teens
Lynn Eaton
BMJ  2006;332:1407, doi: 10.1136/bmj.332.7555.1407-a
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In brief
BMJ  2006;332:1408, doi: 10.1136/bmj.332.7555.1408
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NHS computer programme is "roughly to timetable," IT chief says
Michael Cross
BMJ  2006;332:1408, doi: 10.1136/bmj.332.7555.1408-a
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Seven die in polio outbreak in Namibia
Pat Sidley
BMJ  2006;332:1408, doi: 10.1136/bmj.332.7555.1408-b
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Government rejects independent verification of all death certificates
Michael Day
BMJ  2006;332:1409, doi: 10.1136/bmj.332.7555.1409
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NICE approves trastuzumab for early stage breast cancer
Susan Mayor
BMJ  2006;332:1409, doi: 10.1136/bmj.332.7555.1409-a
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NHS deficit doubles to £512m, but true figure may be higher
Adrian O'Dowd
BMJ  2006;332:1411, doi: 10.1136/bmj.332.7555.1411-c
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Expanding definitions of obesity may harm children
Ray Moynihan
BMJ  2006;332:1412, doi: 10.1136/bmj.332.7555.1412
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Obesity task force linked to WHO takes "millions" from drug firms
Ray Moynihan
BMJ  2006;332:1412, doi: 10.1136/bmj.332.7555.1412-a
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This week's News roundup

End pharma influence on CME, says AMA journal
Janice Tanne
BMJ  2006;332:1410, doi: 10.1136/bmj.332.7555.1410
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World Cup fever boosts fight against neglected diseases
Peter Moszynski
BMJ  2006;332:1410, doi: 10.1136/bmj.332.7555.1410-a
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Parents’ vigil ends in tragedy after mix-up in identities
Bojan Pancevski
BMJ  2006;332:1410, doi: 10.1136/bmj.332.7555.1410-b
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Royal college is forced to retreat on star rating system for GP clinics
Madeleine Brettingham
BMJ  2006;332:1410, doi: 10.1136/bmj.332.7555.1410-c
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Antismoking groups lobby against Lords report
Lynn Eaton
BMJ  2006;332:1410, doi: 10.1136/bmj.332.7555.1410-d
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Postoperative radiotherapy can improve chances of survival in some lung cancer patients
David Spurgeon
BMJ  2006;332:1411, doi: 10.1136/bmj.332.7555.1411
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Australian GPs “named and shamed” for abusing Medicare programme
Christopher Zinn
BMJ  2006;332:1411, doi: 10.1136/bmj.332.7555.1411-a
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Many cord blood banks’ claims are unfounded, says royal college
Lynn Eaton
BMJ  2006;332:1411, doi: 10.1136/bmj.332.7555.1411-b
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This week's News extra

Millions of deaths from environmental causes are preventable, says WHO
John Zarocostas
BMJ  2006;332:1412, doi: 10.1136/bmj.332.7555.1412-b
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MRC is failing to turn basic research into commercial success, report says
Michael Day
BMJ  2006;332:1412, doi: 10.1136/bmj.332.7555.1412-c
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Underage drinking in US costs £5bn a year in medical costs
Roger Dobson
BMJ  2006;332:1412, doi: 10.1136/bmj.332.7555.1412-d
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Survival rates after heart attack improve in Canada; after stroke they remain steady
Barbara Kermode-Scott
BMJ  2006;332:1412, doi: 10.1136/bmj.332.7555.1412-e
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New consultant contract has improved the quality of care, BMA claims
Andrew Cole
BMJ  2006;332:1412, doi: 10.1136/bmj.332.7555.1412-f
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This week's Research

Randomised, controlled trial of alternating pressure mattresses compared with alternating pressure overlays for the prevention of pressure ulcers: PRESSURE (pressure relieving support surfaces) trial
Jane Nixon, Gillian Cranny, Cynthia Iglesias, E Andrea Nelson, Kim Hawkins, Angela Phillips, David Torgerson, Su Mason, Nicky Cullum, PRESSURE Trial Group
BMJ  2006;332:1413, doi: 10.1136/bmj.38849.478299.7C, (Published 1 June 2006)
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Pressure relieving support surfaces (PRESSURE) trial: cost effectiveness analysis
Cynthia Iglesias, Jane Nixon, Gillian Cranny, E Andrea Nelson, Kim Hawkins, Angela Phillips, David Torgerson, Su Mason, Nicky Cullum, PRESSURE Trial Group
BMJ  2006;332:1416, doi: 10.1136/bmj.38850.711435.7C, (Published 1 June 2006)
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Effectiveness and efficiency of different guidelines on statin treatment for preventing deaths from coronary heart disease: modelling study
Douglas G Manuel, Kelvin Kwong, Peter Tanuseputro, Jenny Lim, Cameron A Mustard, Geoffrey M Anderson, Sten Ardal, David A Alter, Andreas Laupacis
BMJ  2006;332:1419, doi: 10.1136/bmj.38849.487546.DE, (Published 31 May 2006)
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Commentary: Cardiovascular risk estimation: important but may be inaccurate
Vishnu Madhok, Tom Fahey
BMJ  2006;332:1422, doi: 10.1136/bmj.38849.517257.DE, (Published 31 May 2006)
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Value of sentinel node status as a prognostic factor in melanoma: prospective observational study
Stephen Kettlewell, Colin Moyes, Caroline Bray, David Soutar, Alan MacKay, Dominique Byrne, Taimur Shoaib, Barun Majumder, Rona MacKie
BMJ  2006;332:1423, doi: 10.1136/bmj.38849.680509.AE, (Published 30 May 2006)
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Proteinuria, impaired kidney function, and adverse outcomes in people with coronary disease: analysis of a previously conducted randomised trial
Marcello Tonelli, Powell Jose, Gary Curhan, Frank Sacks, Eugene Braunwald, Marc Pfeffer, Cholesterol and Recurrent Events (CARE) Trial Investigators
BMJ  2006;332:1426, doi: 10.1136/bmj.38814.566019.2F, (Published 19 May 2006)
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This week's Clinical review

Diagnosis and treatment of low back pain
B W Koes, M W van Tulder, S Thomas
BMJ  2006;332:1430-1434, doi: 10.1136/bmj.332.7555.1430
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This week's Practice

Quality improvement report: Reducing dialysis associated bacteraemia, and recommendations for surveillance in the United Kingdom: prospective study
Abraham George, Jerome I Tokars, Elaine J Clutterbuck, Kathleen B Bamford, Charles Pusey, Alison H Holmes
BMJ  2006;332:1435, doi: 10.1136/bmj.332.7555.1435
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Interactive case report: A 22 year old man with persistent regurgitation and vomiting: case presentation
Mark Fox, Alasdair Young, Roy Anggiansah, Angela Anggiansah, Jeremy Sanderson
BMJ  2006;332:1438, doi: 10.1136/bmj.332.7555.1438
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ABC of chronic obstructive pulmonary disease: Pharmacological management—inhaled treatment
Graeme P Currie, Brian J Lipworth
BMJ  2006;332:1439-1441, doi: 10.1136/bmj.332.7555.1439
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Short cuts: What's new in the other general journals
Kristina Fister
BMJ  2006;332:1442-1443, doi: 10.1136/bmj.332.7555.1442
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This week's Analysis and Comment

Commercial bias in medical journals: Commercial influence and the content of medical journals
Joel Lexchin, Donald W Light
BMJ  2006;332:1444-1447, doi: 10.1136/bmj.332.7555.1444
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First person: The price of independence
Joe Collier
BMJ  2006;332:1447-1449, doi: 10.1136/bmj.332.7555.1447
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What the educators are saying
Murray Lough
BMJ  2006;332:1450, doi: 10.1136/bmj.332.7555.1450
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This week's Obituaries

Peter Scheuer
Roddy MacSween, Jim McLaughlin
BMJ  2006;332:1455, doi: 10.1136/bmj.332.7555.1455
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Helen Ann Adam (née Smith)
James Dickson
BMJ  2006;332:1456, doi: 10.1136/bmj.332.7555.1456
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John Anderson
A A Brown
BMJ  2006;332:1456, doi: 10.1136/bmj.332.7555.1456-a
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John Edward Dann Charles-Jones
David Campbell
BMJ  2006;332:1456, doi: 10.1136/bmj.332.7555.1456-b
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Roger Ernest Cotton
Christopher Elston, Roger Blamey, John Fletcher
BMJ  2006;332:1456, doi: 10.1136/bmj.332.7555.1456-c
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George Anthony Knight ("Tony") Missen
Andrew M Hanby, Rosemary Millis
BMJ  2006;332:1456, doi: 10.1136/bmj.332.7555.1456-d
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Anilkumar ("Anil") Patel
Krishna Somers
BMJ  2006;332:1456, doi: 10.1136/bmj.332.7555.1456-e
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This week's reviews

TV: Wanted: spunky TV doctor
Graham Easton
BMJ  2006;332:1457, doi: 10.1136/bmj.332.7555.1457
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Book: Catharsis: On the Art of Medicine
Kevin Barraclough
BMJ  2006;332:1458, doi: 10.1136/bmj.332.7555.1458
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Book: Everyman
John Quin
BMJ  2006;332:1458, doi: 10.1136/bmj.332.7555.1458-a
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Personal view: Gloomy prognoses keep lawyers happy but are bad for patients
Richard Lawson
BMJ  2006;332:1459, doi: 10.1136/bmj.332.7555.1459
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Soundings: Unauthorised practices
George Dunea
BMJ  2006;332:1459, doi: 10.1136/bmj.332.7555.1459-a
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This week's Minerva

Minerva
BMJ  2006;332:1460, doi: 10.1136/bmj.332.7555.1460
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This week's Fillers

bmjupdates+: If treated, babies with moderately severe hyperbilirubinaemia develop normally
BMJ  2006;332, doi: 10.1136/bmj.332.7555.0-e
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Endpiece: Distress
Luke Cascarini
BMJ  2006;332:1422, doi: 10.1136/bmj.332.7555.1422-a
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Immediate, underlying, and macro-underlying causes
Anna Goodman
BMJ  2006;332:1425, doi: 10.1136/bmj.332.7555.1425
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Double trouble
Sadananda B Naik
BMJ  2006;332:1429, doi: 10.1136/bmj.332.7555.1429
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Walk the line
Michelle J Thompson
BMJ  2006;332:1434, doi: 10.1136/bmj.332.7555.1434
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The enigma
Samuel A Collins
BMJ  2006;332:1449, doi: 10.1136/bmj.332.7555.1449
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This week's Corrections

An international standard for disclosure of clinical trial information
BMJ  2006;332:1418, doi: 10.1136/bmj.332.7555.1418
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Short cuts: Two antiplatelet agents work better than one after stroke
BMJ  2006;332:1418, doi: 10.1136/bmj.332.7555.1418-a
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Effect of patient completed agenda forms and doctors' education about the agenda on the outcome of consultations: randomised controlled trial
BMJ  2006;332:1418, doi: 10.1136/bmj.332.7555.1418-b
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Randomised controlled trial of four commercial weight loss programmes in the UK: initial findings from the BBC "diet trials"
BMJ  2006;332:1418, doi: 10.1136/bmj.332.7555.1418-c
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Read this week's articles on http://careers.bmj.com/careers/

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