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29 October 2005 (Vol 331, No 7523)
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[Cover note]314

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3850 513
Editor's choice
This week in the BMJ
Editorials
News
News roundup
News extra
Papers
Short cuts
Primary care
Learning in practice
Clinical review
Education and debate
Letters
Obituaries
reviews
Minerva
Fillers
Career focus
Press releases203
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Best Treatments

Editor's choice

Complicated questions—difficult answers
Jane Smith
BMJ  2005;331, doi:10.1136/bmj.331.7523.0-f [Full text]2328 [PDF]253  

This week in the BMJ

This week in the BMJ [Full text]322 [PDF]279

Misdiagnosing "hysteria" has remained steady since the 1970s [Full text]1871  
MRSA infection in a vicious circle with hospitalisation [Full text]1006  
Targets for trusts' MRSA infection rates need clarifying [Full text]402  
Salivary nicotine test increases cessation rates [Full text]833  
Community based learning produces better doctors [Full text]936  

Editorials

Bird flu and pandemic flu
John T Macfarlane, Wei Shen Lim
BMJ  2005;331:975-976, doi:10.1136/bmj.38649.389005.DE (published 24 October 2005) [Extract]477 [Full text]7137 [PDF]1705  

Improving surveillance of MRSA bacteraemia
Georgia Duckworth, Andr Charlett
BMJ  2005;331:976-977, doi:10.1136/bmj.331.7523.976 [Extract]144 [Full text]2235 [PDF]576  

The need for outcome measures in medical education
Lambert Schuwirth, Peter Cantillon
BMJ  2005;331:977-978, doi:10.1136/bmj.331.7523.977 [Extract]205 [Full text]1821 [PDF]677  

Detecting fabricated or induced illness in children
David M Foreman
BMJ  2005;331:978-979, doi:10.1136/bmj.331.7523.978 [Extract]161 [Full text]1980 [PDF]335  

Near patient tests for smoking cessation
Tim Coleman
BMJ  2005;331:979-980, doi:10.1136/bmj.331.7523.979 [Extract]166 [Full text]1096 [PDF]323  

News

Roche considers licensing companies to make oseltamivir
Janice Hopkins Tanne
BMJ  2005;331:981, doi:10.1136/bmj.331.7523.981 [Extract]153 [Full text]891 [PDF]209 [extra: Longer version]87  

Bird flu poses no immediate threat to Europe, leading virologist claims
Tony Sheldon
BMJ  2005;331:981, doi:10.1136/bmj.331.7523.981-a [Extract]186 [Full text]1690 [PDF]349  

In brief
BMJ  2005;331:982, doi:10.1136/bmj.331.7523.982 [Extract]60 [Full text]563 [PDF]73  

Doctors who write guidelines often have ties to the drug industry
Janice Hopkins Tanne
BMJ  2005;331:982, doi:10.1136/bmj.331.7523.982-a [Extract]280 [Full text]2462 [PDF]655 [extra: Longer version]338  

Stem cell foundation greeted by cautious optimism
Norra MacReady
BMJ  2005;331:982, doi:10.1136/bmj.331.7523.982-b [Extract]98 [Full text]755 [PDF]96 [extra: Longer version]99  

Patients with aortic aneurysm deserve higher priority
Zosia Kmietowicz
BMJ  2005;331:983, doi:10.1136/bmj.331.7523.983 [Extract]135 [Full text]893 [PDF]167 [extra: Longer version]76  

Academic staff frustrated with research assessment exercise
Zosia Kmietowicz
BMJ  2005;331:983, doi:10.1136/bmj.331.7523.983-a [Extract]108 [Full text]1285 [PDF]146  

Judge over-rules earlier decision on Charlotte Wyatt
Clare Dyer
BMJ  2005;331:985, doi:10.1136/bmj.331.7523.985-c [Extract]163 [Full text]1097 [PDF]120  

Combating the free movement of micro-organisms
Rory Watson
BMJ  2005;331:986, doi:10.1136/bmj.331.7523.986 [Extract]62 [Full text]522 [PDF]126  

News roundup [abridged versions appear in the paper journal]

Fall in mortality from breast cancer is due almost equally to screening and adjuvant therapy
David Spurgeon
BMJ  2005;331:984, doi:10.1136/bmj.331.7523.984 [Extract]195 [Abridged PDF]287 [Full text]1246  

Guidance on reporting under age sex is confusing
Rebecca Coombes
BMJ  2005;331:984, doi:10.1136/bmj.331.7523.984-a [Extract]161 [Abridged PDF]76 [Full text]1152  

Scotland sets up its first forensic art unit
Bryan Christie
BMJ  2005;331:984, doi:10.1136/bmj.331.7523.984-b [Extract]99 [Abridged PDF]30 [Full text]624  

Assisted suicide organisation opens branch in Germany
Annette Tuffs
BMJ  2005;331:984, doi:10.1136/bmj.331.7523.984-c [Extract]107 [Abridged PDF]51 [Full text]624  

Australian state and federal governments are attacked on mental health care
Melissa Sweet
BMJ  2005;331:984, doi:10.1136/bmj.331.7523.984-d [Extract]48 [Abridged PDF]36 [Full text]435  

Foundation trust regulator calls for less government interference
Andrew Cole
BMJ  2005;331:985, doi:10.1136/bmj.331.7523.985 [Extract]32 [Abridged PDF]34 [Full text]354  

Total smoking ban best way to narrow health gap between rich and poor, MPs told
Adrian O’Dowd
BMJ  2005;331:985, doi:10.1136/bmj.331.7523.985-a [Extract]110 [Abridged PDF]89 [Full text]900  

GP goes on trial for killing three patients
Clare Dyer
BMJ  2005;331:985, doi:10.1136/bmj.331.7523.985-b [Extract]242 [Abridged PDF]57 [Full text]1564  

News extra [these stories appear only on the web]

Experts disagree over who should get avian influenza vaccine
Michael Day
BMJ  2005;331:986, doi:10.1136/bmj.331.7523.986-a [Extract]226 [Full text]1473  

Ten out of 25 EU countries restrict health care for asylum seekers to emergencies only
Roger Dobson
BMJ  2005;331:986, doi:10.1136/bmj.331.7523.986-b [Extract]113 [Full text]749  

Charity calls for improved breast awareness in UK ethnic communities
Christiane Rehwagen
BMJ  2005;331:986, doi:10.1136/bmj.331.7523.986-c [Extract]39 [Full text]267  

Trastuzumab halves risk of recurrence of breast cancer in some women
Roger Dobson
BMJ  2005;331:986, doi:10.1136/bmj.331.7523.986-d [Extract]135 [Full text]719  

Doctors should be trained in understanding disability, commission is told
Madeleine Brettingham
BMJ  2005;331:986, doi:10.1136/bmj.331.7523.986-e [Extract]84 [Full text]545  

UK government to appoint occupational health "tsar" to reduce work related illness
Klaus Morales
BMJ  2005;331:986, doi:10.1136/bmj.331.7523.986-f [Extract]54 [Full text]459  

Health experts gather to step up fight against malaria
John Zarocostas
BMJ  2005;331:986, doi:10.1136/bmj.331.7523.986-g [Extract]96 [Full text]428  

Papers

Systematic review of misdiagnosis of conversion symptoms and "hysteria"
Jon Stone, Roger Smyth, Alan Carson, Steff Lewis, Robin Prescott, Charles Warlow, Michael Sharpe
BMJ  2005;331:989, doi:10.1136/bmj.38628.466898.55 (published 13 October 2005) [Abstract]677 [Abridged PDF]136 [Full text]2007 [PDF]897  

MRSA bacteraemia in patients on arrival in hospital: a cohort study in Oxfordshire 1997-2003
David H Wyllie, Tim E A Peto, Derrick Crook
BMJ  2005;331:992, doi:10.1136/bmj.38558.453310.8F (published 9 September 2005) [Abstract]411 [Abridged PDF]88 [Full text]1586 [PDF]721  

Age at retirement and long term survival of an industrial population: prospective cohort study
Shan P Tsai, Judy K Wendt, Robin P Donnelly, Geert de Jong, Farah S Ahmed
BMJ  2005;331:995, doi:10.1136/bmj.38586.448704.E0 (published 21 October 2005) [Abstract]766 [Abridged PDF]118 [Full text]1443 [PDF]659  

Twenty five years of HIV infection in haemophilic men in Britain: an observational study
Caroline A Sabin, Andrew N Phillips, Thynn Thynn Yee, Anja Griffioen, Christine A Lee
BMJ  2005;331:997-998, doi:10.1136/bmj.38604.468785.DE (published 16 September 2005) [Full text]836 [PDF]297  

Short cuts

What's new in the other general journals
Alison Tonks
BMJ  2005;331:987-988, doi:10.1136/bmj.331.7523.987 [Full text]2153 [PDF]315  

Primary care

Effect of incorporating a 10 minute point of care test for salivary nicotine metabolites into a general practice based smoking cessation programme: randomised controlled trial
Kristian D Barnfather, Graham F Cope, Iain L Chapple
BMJ  2005;331:999, doi:10.1136/bmj.38621.463900.7C (published 6 October 2005) [Abstract]395 [Abridged PDF]53 [Full text]783 [PDF]452 [extra: Table]33  

Learning in practice

Effect of a community oriented problem based learning curriculum on quality of primary care delivered by graduates: historical cohort comparison study
Robyn Tamblyn, Michal Abrahamowicz, Dale Dauphinee, Nadyne Girard, Gillian Bartlett, Paul Grand'Maison, Carlos Brailovsky
BMJ  2005;331:1002, doi:10.1136/bmj.38636.582546.7C (published 20 October 2005) [Abstract]306 [Abridged PDF]62 [Full text]998 [PDF]637 [extra: Further details]67  

What the educators are saying
Kevin W Eva, Val Wass
BMJ  2005;331:1006, doi:10.1136/bmj.331.7523.1006 [Full text]699 [PDF]227  

Clinical review

The patient's journey: the progressive ataxias
Hillary Box, Harriet Bonney, Julie Greenfield
BMJ  2005;331:1007-1009, doi:10.1136/bmj.331.7523.1007 [Extract]196 [Full text]1602 [PDF]835  

ABC of health informatics: How computers help make efficient use of consultations
Frank Sullivan, Jeremy C Wyatt
BMJ  2005;331:1010-1012, doi:10.1136/bmj.331.7523.1010 [Extract]170 [Full text]1841 [PDF]1079  

Education and debate

Problems in assessing rates of infection with methicillin resistant Staphylococcus aureus
David J Spiegelhalter
BMJ  2005;331:1013-1015, doi:10.1136/bmj.331.7523.1013 [Extract]139 [Full text]1373 [PDF]872 [extra: Table]102  

Orphan drugs and the NHS: should we value rarity?
Christopher McCabe, Karl Claxton, Aki Tsuchiya
BMJ  2005;331:1016-1019, doi:10.1136/bmj.331.7523.1016 [Extract]125 [Full text]2598 [PDF]607 [extra: Figure]83  

Commissioning for rare diseases: view from the frontline
Amanda Burls, Daphne Austin, David Moore
BMJ  2005;331:1019-1021, doi:10.1136/bmj.331.7523.1019 [Extract]59 [Full text]872 [PDF]366  

Letters

This week's letters [PDF]314

ASCOT: a tale of two treatment regimens: Don't lose your head over ASCOT
David G Phizackerley
BMJ  2005;331:1022, doi:10.1136/bmj.331.7523.1022 [Extract]179 [Full text]1058  

ASCOT: a tale of two treatment regimens: Is ASCOT-BPLA being hyped-up?
Peter D Burrill
BMJ  2005;331:1022, doi:10.1136/bmj.331.7523.1022-a [Extract]79 [Full text]532  

ASCOT: a tale of two treatment regimens: Odds are that it's hype
Martin G Duerden
BMJ  2005;331:1022-1023, doi:10.1136/bmj.331.7523.1022-b [Extract]56 [Full text]487  

ASCOT: a tale of two treatment regimens: Is ASCOT all it's cracked up to be?
James A Cave
BMJ  2005;331:1023, doi:10.1136/bmj.331.7523.1023 [Extract]53 [Full text]441  

Trastuzumab for early breast cancer raises important issues
Edward C F Wilson
BMJ  2005;331:1023, doi:10.1136/bmj.331.7523.1023-a [Extract]74 [Full text]521  

Left handedness and breast cancer: Correlation is spurious
Adrian J Bloor
BMJ  2005;331:1023-1024, doi:10.1136/bmj.331.7523.1023-b [Extract]108 [Full text]628  

Left handedness and breast cancer: Should left handed premenopausal women be screened?
Bettina Lieske
BMJ  2005;331:1024, doi:10.1136/bmj.331.7523.1024 [Extract]67 [Full text]394  

Left handedness and breast cancer: Authors' reply
Cuno S P M Uiterwaal, Diederick E Grobbee
BMJ  2005;331:1024, doi:10.1136/bmj.331.7523.1024-a [Extract]71 [Full text]455  

Scientific evidence was ignored in CAM and the NHS
Peter H Canter, Edzard Ernst
BMJ  2005;331:1024, doi:10.1136/bmj.331.7523.1024-b [Extract]60 [Full text]378  

Disappointing article, not disappointing biotech
Fredric J Cohen
BMJ  2005;331:1025, doi:10.1136/bmj.331.7523.1025 [Extract]52 [Full text]454  

Proposed guidelines for severe imported malaria in children need more evidence
Shamez Ladhani, Delane Shingadia, F Andrew I Riordan
BMJ  2005;331:1025, doi:10.1136/bmj.331.7523.1025-a [Extract]32 [Full text]144  

Speed networking works for postgraduate research
Roger H Jones
BMJ  2005;331:1025, doi:10.1136/bmj.331.7523.1025-b [Extract]39 [Full text]217  

Obituaries

This week's obituaries [PDF]297

John Cosh
Caroline Richmond
BMJ  2005;331:1026, doi:10.1136/bmj.331.7523.1026 [Full text]630  

Abraham ("Abs") Cohen
Bernard Cohen, Howard Cohen
BMJ  2005;331:1027, doi:10.1136/bmj.331.7523.1027 [Full text]483 [extra: Longer version]213  

John Dermot Ainslie Common
J T Gillow
BMJ  2005;331:1027, doi:10.1136/bmj.331.7523.1027-a [Full text]380 [extra: Longer version]190  

James Antony Garrod
Tim Garrod
BMJ  2005;331:1027, doi:10.1136/bmj.331.7523.1027-b [Full text]431 [extra: Longer version]183  

Mrinal Kanti Ghosh
Titus Fernando
BMJ  2005;331:1027, doi:10.1136/bmj.331.7523.1027-c [Full text]477 [extra: Longer version]213  

John Haydn Martindale
E A Martindale
BMJ  2005;331:1027, doi:10.1136/bmj.331.7523.1027-d [Full text]454 [extra: Longer version]201  

Dipankar ("Dip") Sengupta
Philip Hughes
BMJ  2005;331:1027, doi:10.1136/bmj.331.7523.1027-e [Full text]509 [extra: Longer version]192  

Kenneth Samuel Williamson
W R Lee
BMJ  2005;331:1027, doi:10.1136/bmj.331.7523.1027-f [Full text]395 [extra: Longer version]171  

Paul Francis Wright
Charles Campion-Smith, Nick Panton, David Morgan
BMJ  2005;331:1027, doi:10.1136/bmj.331.7523.1027-g [Full text]491 [extra: Longer version]218  

reviews

This week's reviews [PDF]96

Book: Life in Britain: Using Millennial Census Data to Understand Poverty, Inequality and Place
Helen Roberts
BMJ  2005;331:1028, doi:10.1136/bmj.331.7523.1028 [Extract]50 [Full text]422  

Book: Human Traces
Iain McClure
BMJ  2005;331:1029, doi:10.1136/bmj.331.7523.1029 [Extract]47 [Full text]435  

TV: 30 Days: Minimum Wage
Trevor Jackson
BMJ  2005;331:1029, doi:10.1136/bmj.331.7523.1029-a [Extract]72 [Full text]798  

PERSONAL VIEWS: How US healthcare cuts could kill me
Lori Smith
BMJ  2005;331:1030, doi:10.1136/bmj.331.7523.1030 [Extract]106 [Full text]1715  

PERSONAL VIEWS: Rethinking breast screening—again
Cornelia J Baines
BMJ  2005;331:1031, doi:10.1136/bmj.331.7523.1031 [Extract]82 [Full text]1126  

SOUNDINGS: Specialisation creep
Kevin Barraclough
BMJ  2005;331:1031, doi:10.1136/bmj.331.7523.1031-a [Extract]102 [Full text]1097  

Minerva

Minerva
BMJ  2005;331:1032, doi:10.1136/bmj.331.7523.1032 [Full text]1275 [PDF]176  

Fillers

bmjupdates+: Fluoxetine reduces symptoms for selected patients with irritable bowel syndrome
BMJ  2005;331, doi:10.1136/bmj.331.7523.0-e [Full text]521 [PDF]80  

Endpiece: The latest caprice in medicine, 1857
Jeremy Hugh Baron
BMJ  2005;331:991, doi:10.1136/bmj.331.7523.991 [Full text]564 [PDF]57  

Endpiece: Preservation of the teeth
Don Sarll
BMJ  2005;331:998, doi:10.1136/bmj.331.7523.998 [Full text]835 [PDF]65  

My biggest mistake: A lesson from a death
R N Das
BMJ  2005;331:1005, doi:10.1136/bmj.331.7523.1005 [Full text]1645 [PDF]131  

One hundred years ago: A medical secretary for war
BMJ  2005;331:1015, doi:10.1136/bmj.331.7523.1015 [Full text]531 [PDF]32  

Advice
BMJ  2005;331:1026, doi:10.1136/bmj.331.7523.1026-a [Full text]327  

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.