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1 October 2005 (Vol 331, No 7519)
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[Cover note]194

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4997 594
Editor's choice
This week in the BMJ
Editorials
News
News roundup
News extra
Papers
Short cuts
Primary care
Education and debate
Letters
reviews
Minerva
Fillers
Career focus
Press releases263
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Editor's choice

Open your eyes to Africa
Jocalyn Clark
BMJ  2005;331, doi:10.1136/bmj.331.7519.0-g [Full text]1562 [PDF]329 [extra: Thanks]90  

This week in the BMJ

This week in the BMJ [Full text]313 [PDF]232

Misoprostol helps anaemic women in childbirth [Full text]921  
What works for malaria [Full text]1219  
Educational outreach improves TB control [Full text]368  
User fees should be dropped in sub-Saharan Africa [Full text]429  
Approaches for improving health in Africa need rethinking [Full text]398  
Women's empowerment may improve HIV prevention [Full text]521  

Editorials

Addressing inequalities in research capacity in Africa
Jimmy Volmink, Lola Dare
BMJ  2005;331:705-706, doi:10.1136/bmj.331.7519.705 [Extract]84 [Full text]848 [PDF]379  

Antimalarial treatment with artemisinin combination therapy in Africa
Grace Malenga, Ayo Palmer, Sarah Staedke, Walter Kazadi, Theonest Mutabingwa, Evelyn Ansah, Karen I Barnes, Christopher JM Whitty
BMJ  2005;331:706-707, doi:10.1136/bmj.331.7519.706 [Extract]152 [Full text]1324 [PDF]507  

Meeting millennium development goals 3 and 5
Bertha Nhlema Simwaka, Sally Theobald, Yaa Peprah Amekudzi, Rachel Tolhurst
BMJ  2005;331:708-709, doi:10.1136/bmj.331.7519.708 [Extract]80 [Full text]645 [PDF]282  

Medicines supply in Africa
Jonathan D Quick, Nana-Adjoa Boohene, James Rankin, Romuald J Mbwasi
BMJ  2005;331:709-710, doi:10.1136/bmj.331.7519.709 [Extract]84 [Full text]1037 [PDF]290  

Road safety in Africa
Meleckidzedeck Khayesi, Margie Peden
BMJ  2005;331:710-711, doi:10.1136/bmj.331.7519.710 [Extract]100 [Full text]737 [PDF]185  

Tackling cardiovascular disease in Africa
S Kadiri
BMJ  2005;331:711-712, doi:10.1136/bmj.331.7519.711 [Extract]108 [Full text]610 [PDF]315  

News

FDA chief resigns without warning
Janice Hopkins Tanne
BMJ  2005;331:713, doi:10.1136/bmj.331.7519.713 [Extract]299 [Full text]1924 [PDF]184  

Writers join experts to campaign to save NHS from privatisation
Sophie Arie
BMJ  2005;331:713, doi:10.1136/bmj.331.7519.713-a [Extract]128 [Full text]1017 [PDF]92  

In brief
BMJ  2005;331:714, doi:10.1136/bmj.331.7519.714 [Extract]73 [Full text]513 [PDF]61  

US teenager's parents sue school over depression screening test
Jeanne Lenzer
BMJ  2005;331:714, doi:10.1136/bmj.331.7519.714-a [Extract]287 [Full text]2968 [PDF]234 [extra: Longer version]582  

Psychological therapy must accompany antidepressants in young people
Susan Mayor
BMJ  2005;331:714, doi:10.1136/bmj.331.7519.714-b [Extract]141 [Full text]1274 [PDF]268 [extra: Longer version]157  

US is accused of jeopardising HIV prevention in Uganda
Ozge Tuncalp
BMJ  2005;331:715, doi:10.1136/bmj.331.7519.715 [Extract]94 [Full text]830 [PDF]172 [extra: Longer version]110  

US state rejects federal funding for abstinence only sex education
Janice Hopkins Tanne
BMJ  2005;331:715, doi:10.1136/bmj.331.7519.715-a [Extract]101 [Full text]1010 [PDF]113 [extra: Longer version]130  

GP is disciplined for willingness to help friend commit suicide
Clare Dyer
BMJ  2005;331:717, doi:10.1136/bmj.331.7519.717-c [Extract]166 [Full text]1300 [PDF]109  

Global Fund toughens stance against corruption
Lynn Eaton
BMJ  2005;331:718, doi:10.1136/bmj.331.7519.718 [Extract]40 [Full text]288 [PDF]77 [extra: Longer version]62  

Africa theme issue: Making up for lost time
Pat Sidley
BMJ  2005;331:719, doi:10.1136/bmj.331.7519.719 [Extract]48 [Full text]278 [PDF]106  

Africa theme issue: Providing nomadic people with health care
Deborah Cohen
BMJ  2005;331:720, doi:10.1136/bmj.331.7519.720 [Extract]48 [Full text]380 [PDF]108  

News roundup [abridged versions appear in the paper journal]

NICE plans faster guidance on drugs for the NHS
Susan Mayor
BMJ  2005;331:716, doi:10.1136/bmj.331.7519.716 [Extract]92 [Abridged PDF]108 [Full text]781  

European Commission calls for changes to reduce deaths from air pollution
Rory Watson
BMJ  2005;331:716, doi:10.1136/bmj.331.7519.716-a [Extract]87 [Abridged PDF]76 [Full text]521  

Cancer cells on the move
Susan Mayor
BMJ  2005;331:716, doi:10.1136/bmj.331.7519.716-b [Extract]234 [Abridged PDF]141 [Full text]1099  

Charity did not break law in giving information about late abortions
Clare Dyer
BMJ  2005;331:716, doi:10.1136/bmj.331.7519.716-c [Extract]56 [Abridged PDF]33 [Full text]573  

NHS trusts urge caution over BMA finance survey
Lynn Eaton
BMJ  2005;331:716, doi:10.1136/bmj.331.7519.716-d [Extract]50 [Abridged PDF]32 [Full text]491  

Study finds that costly new antipsychotics offer few benefits over traditional drugs
Fred Charatan
BMJ  2005;331:717, doi:10.1136/bmj.331.7519.717 [Extract]160 [Abridged PDF]224 [Full text]1411  

Patients who are given self help books are no less likely to see their doctor
Roger Dobson
BMJ  2005;331:717, doi:10.1136/bmj.331.7519.717-a [Extract]90 [Abridged PDF]71 [Full text]829  

Woman takes fight over frozen embryos to European court
Clare Dyer
BMJ  2005;331:717, doi:10.1136/bmj.331.7519.717-b [Extract]47 [Abridged PDF]45 [Full text]562  

News extra [these stories appear only on the web]

Loss of Unicef post raises concern among child nutrition pressure groups
Owen Dyer
BMJ  2005;331:720, doi:10.1136/bmj.331.7519.720-a [Extract]79 [Full text]779  

Tackling mental health in Sierra Leone
Joe Asare, Lynne Jones
BMJ  2005;331:720, doi:10.1136/bmj.331.7519.720-b [Extract]38 [Full text]380  

Zimbabwe says the proportion of HIV positive adults has fallen from a third to a fifth
Pat Sidley
BMJ  2005;331:720, doi:10.1136/bmj.331.7519.720-c [Extract]52 [Full text]421  

Bureau urges continuity in antiepilepsy treatment
Faye van Emmerik
BMJ  2005;331:720, doi:10.1136/bmj.331.7519.720-d [Extract]62 [Full text]446  

Papers

Effect of sublingual misoprostol on severe postpartum haemorrhage in a primary health centre in Guinea-Bissau: randomised double blind clinical trial
Lars Høj, Placido Cardoso, Birgitte Bruun Nielsen, Lone Hvidman, Jens Nielsen, Peter Aaby
BMJ  2005;331:723, doi:10.1136/bmj.331.7519.723 [Abstract]435 [Abridged PDF]80 [Full text]1955 [PDF]519  

Cluster randomised trial of intermittent preventive treatment for malaria in infants in area of high, seasonal transmission in Ghana
Daniel Chandramohan, Seth Owusu-Agyei, Ilona Carneiro, Timothy Awine, Kwame Amponsa-Achiano, Nathan Mensah, Shabbar Jaffar, Rita Baiden, Abraham Hodgson, Fred Binka, Brian Greenwood
BMJ  2005;331:727-733, doi:10.1136/bmj.331.7519.727 [Abstract]238 [Full text]2352 [PDF]527 [extra: Figure and 3 tables]72  

Treatment of paediatric malaria during a period of drug transition to artemether-lumefantrine in Zambia: cross sectional study
Dejan Zurovac, Mickey Ndhlovu, Alexander K Rowe, Davidson H Hamer, Donald M Thea, Robert W Snow
BMJ  2005;331:734, doi:10.1136/bmj.331.7519.734 [Abstract]158 [Abridged PDF]39 [Full text]358 [PDF]311  

Healer shopping in Africa: new evidence from rural-urban qualitative study of Ghanaian diabetes experiences
Ama de-Graft Aikins
BMJ  2005;331:737, doi:10.1136/bmj.331.7519.737 [Abstract]181 [Abridged PDF]25 [Full text]508 [PDF]206  

Randomised controlled trials in Africa of HIV and AIDS: descriptive study and spatial distribution
Nandi Siegfried, Mike Clarke, Jimmy Volmink
BMJ  2005;331:742, doi:10.1136/bmj.331.7519.742 [Abstract]222 [Abridged PDF]43 [Full text]476 [PDF]351 [extra: Additional details]164  

Impact on child mortality of removing user fees: simulation model
Chris James, Saul S Morris, Regina Keith, Anna Taylor
BMJ  2005;331:747-749, doi:10.1136/bmj.331.7519.747 [Abstract]174 [Full text]880 [PDF]365 [extra: Appendix]55  

Short cuts

What's new in the other general journals
Alison Tonks
BMJ  2005;331:721-722, doi:10.1136/bmj.331.7519.721 [Full text]2144 [PDF]335  

Primary care

Effect of educational outreach to nurses on tuberculosis case detection and primary care of respiratory illness: pragmatic cluster randomised controlled trial
Lara R Fairall, Merrick Zwarenstein, Eric D Bateman, Max Bachmann, Carl Lombard, Bosielo P Majara, Gina Joubert, Rene G English, Angeni Bheekie, Dingie van Rensburg, Pat Myers, Annatjie C Peters, Ronald D Chapman
BMJ  2005;331:750-754, doi:10.1136/bmj.331.7519.750 [Abstract]179 [Full text]758 [PDF]312 [extra: The guideline and desk blotter are]63 [extra: Revised acknowledgement]  

Education and debate

Confronting Africa's health crisis: more of the same will not be enough
D M Sanders, C Todd, M Chopra
BMJ  2005;331:755-758, doi:10.1136/bmj.331.7519.755 [Extract]67 [Full text]604 [PDF]425  

Health systems financing: putting together the "back office"
Lola Dare, Anne Reeler
BMJ  2005;331:759-762, doi:10.1136/bmj.331.7519.759 [Extract]46 [Full text]1347 [PDF]340  

Removing user fees for primary care in Africa: the need for careful action
Lucy Gilson, Di McIntyre
BMJ  2005;331:762-765, doi:10.1136/bmj.331.7519.762 [Extract]46 [Full text]639 [PDF]485  

System and market failures: the unavailability of magnesium sulphate for the treatment of eclampsia and pre-eclampsia in Mozambique and Zimbabwe
E Sevene, S Lewin, A Mariano, G Woelk, A D Oxman, S Matinhure, J Cliff, B Fernandes, K Daniels
BMJ  2005;331:765-769, doi:10.1136/bmj.331.7519.765 [Extract]43 [Full text]1394 [PDF]232 [extra: Further details]44  

Gaining a foothold: tackling poverty, gender inequality, and HIV in Africa
Julia C Kim, Charlotte H Watts
BMJ  2005;331:769-772, doi:10.1136/bmj.331.7519.769 [Extract]43 [Full text]784 [PDF]303  

Patients' readiness to start highly active antiretroviral treatment for HIV
Hirut T Gebrekristos, Koleka P Mlisana, Quarraisha Abdool Karim
BMJ  2005;331:772-775, doi:10.1136/bmj.331.7519.772 [Extract]29 [Full text]387 [PDF]202  

Achieving food security in vulnerable populations
Deborah Cohen
BMJ  2005;331:775-777, doi:10.1136/bmj.331.7519.775 [Extract]39 [Full text]472 [PDF]185  

Letters

This week's letters [PDF]124

A theme issue by, for, and about Africa: Results from Ugandan programme preventing maternal transmission of HIV
Marina Giuliano, Michele Magoni, Luciana Bassani, Pius Okong, Praxedes Kituka Namaganda, Saul Onyango
BMJ  2005;331:778, doi:10.1136/bmj.331.7519.778 [Extract]23 [Full text]177  

A theme issue by, for, and about Africa: New injecting practice increases HIV risk among drug users in Tanzania
Sheryl A McCurdy, Mark L Williams, Michael W Ross, Gad P Kilonzo, M T Leshabari
BMJ  2005;331:778, doi:10.1136/bmj.331.7519.778-a [Extract]18 [Full text]318  

A theme issue by, for, and about Africa: Palliative care and antiretroviral treatment can be integrated
Catherine Senyimba, Edmund Mwebesa, Siobhan Kennelly, Karen Frame, Richard Harding
BMJ  2005;331:778-779, doi:10.1136/bmj.331.7519.778-b [Extract]10 [Full text]93  

A theme issue by, for, and about Africa: Maternal mortality in rural Burkina Faso
Issiaka Sombie, Nicolas Meda, Odette Ky-Zerbo, Michèle Dramaix-Wilmet, Simon Cousens
BMJ  2005;331:779, doi:10.1136/bmj.331.7519.779 [Extract]19 [Full text]119  

A theme issue by, for, and about Africa: Collaborative work between Nigeria and UK on breast cancer has been successful
Isaac D Gukas, Barbara A Jennings, Samuel J Leinster, Ian Harvey
BMJ  2005;331:779, doi:10.1136/bmj.331.7519.779-a [Extract]15 [Full text]83  

A theme issue by, for, and about Africa: Tackling the challenge of diabetes
David Beran, John S Yudkin
BMJ  2005;331:779-780, doi:10.1136/bmj.331.7519.779-b [Extract]21 [Full text]139  

A theme issue by, for, and about Africa: South Africa is still blighted by trauma
Douglas M Bowley, Euan J Dickson, Nigel Tai, Jacques Goosen, Kenneth D Boffard
BMJ  2005;331:780, doi:10.1136/bmj.331.7519.780 [Extract]15 [Full text]103  

Africa's medical brain drain: Brain gain and brain circulation result when drain is reversed
Joseph N Ana
BMJ  2005;331:780, doi:10.1136/bmj.331.7519.780-a [Extract]28 [Full text]198  

Africa's medical brain drain: Why I want to stay in Africa
Emmanuel Makasa
BMJ  2005;331:780, doi:10.1136/bmj.331.7519.780-b [Extract]45 [Full text]340  

Africa's medical brain drain: Summary of responses to recent editorial on stopping Africa's brain drain
Birte Twisselmann
BMJ  2005;331:780-781, doi:10.1136/bmj.331.7519.780-c [Extract]28 [Full text]461  

Issues arising from lobby of UN to outlaw circumcision
George Hill, John V Geisheker
BMJ  2005;331:781, doi:10.1136/bmj.331.7519.781 [Extract]52 [Full text]578  

Making dirty water drinkable: Kitchen garden scheme is alternative...
Frank J Leavitt, Mrinalinee Vanarase
BMJ  2005;331:781, doi:10.1136/bmj.331.7519.781-a [Extract]52 [Full text]532 [extra: Additional references]27  

Making dirty water drinkable: ...as is the drumstick tree
Arunachalam Kumar, C Jairaj Kumar
BMJ  2005;331:781, doi:10.1136/bmj.331.7519.781-b [Extract]41 [Full text]356 [extra: References]37  

reviews

This week's reviews [PDF]117

Press: A different picture of Africa
Gillian Baker, Petra Boynton
BMJ  2005;331:782, doi:10.1136/bmj.331.7519.782 [Extract]34 [Full text]308  

TV: Africa Live
Leslie Lee
BMJ  2005;331:783, doi:10.1136/bmj.331.7519.783 [Extract]40 [Full text]190  

Book: As They See It: The Development of the African AIDS Discourse
Dunstan Raphael Bishanga
BMJ  2005;331:783, doi:10.1136/bmj.331.7519.783-a [Extract]21 [Full text]267  

PERSONAL VIEWS: Africa does not need aid, but the opportunity for fair trade
Inwani Malweyi
BMJ  2005;331:784, doi:10.1136/bmj.331.7519.784 [Extract]29 [Full text]482  

Hit parade
BMJ  2005;331:784, doi:10.1136/bmj.331.7519.784-a [Extract]49 [Full text]296  

PERSONAL VIEWS: Western and traditional African medicine—working together on AIDS
Neil Andersson
BMJ  2005;331:785, doi:10.1136/bmj.331.7519.785 [Extract]33 [Full text]365  

SOUNDINGS: Out of Africa
Imre Loefler
BMJ  2005;331:785, doi:10.1136/bmj.331.7519.785-a [Extract]37 [Full text]405  

Minerva

Minerva
BMJ  2005;331:786, doi:10.1136/bmj.331.7519.786 [Full text]1314 [PDF]191  

Fillers

POEM*: Statins are not associated with decreased risk of dementia
BMJ  2005;331, doi:10.1136/bmj.331.7519.0-f [Full text]654 [PDF]166  

BMA and BMJ Information Fund
BMJ  2005;331:712, doi:10.1136/bmj.331.7519.712 [Full text]107 [PDF]26  

Profiles of local African organisations doing research
BMJ  2005;331:758, doi:10.1136/bmj.331.7519.758 [Full text]173 [PDF]73 [extra: Profiles of local African organisations doing research]199  

Career focus

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

To see an article, click its [Full Text] link. To review many abstracts, check the boxes to the left of the titles you want, and click the 'Get All Checked Abstract(s)' button. To see one abstract at a time, click its [Abstract] link.