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19 November 2005 (Vol 331, No 7526)
Cover image

[Cover note]256

Other Issues:
3670 534
Editor's choice
This week in the BMJ
Editorials
News
News roundup
News extra
Papers
Short cuts
Dr Foster's case notes
BMJ family highlights
Primary care
Clinical review
Education and debate
Letters
Obituaries
reviews
Minerva
Fillers
Corrections
Career focus
Press releases280
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Editor's choice

An uncomfortable ride
Fiona Godlee
BMJ  2005;331, doi:10.1136/bmj.331.7526.0-f [Full text]2373 [PDF]220  

This week in the BMJ

This week in the BMJ [Full text]381 [PDF]423

Sedative use in older people with insomnia may not be advantageous [Full text]1769  
Women with treated CIN remain at increased risk of cervical and other cancers [Full text]1160  
Medically conceived twins have an increased risk of preterm birth [Full text]489  
Ensure the basics for children in developing countries [Full text]430  
UK patients want fast access to good care [Full text]613  

Editorials

Metabolic syndrome
Kamlesh Khunti, Melanie Davies
BMJ  2005;331:1153-1154, doi:10.1136/bmj.331.7526.1153 [Extract]607 [Full text]5350 [PDF]2234 [extra: References]166  

Extended prescribing by UK nurses and pharmacists
Anthony J Avery, Mike Pringle
BMJ  2005;331:1154-1155, doi:10.1136/bmj.331.7526.1154 [Extract]341 [Full text]4601 [PDF]1064  

European developments in labelling allergenic foods
Chantelle Anandan, Aziz Sheikh
BMJ  2005;331:1155-1156, doi:10.1136/bmj.331.7526.1155 [Extract]102 [Full text]872 [PDF]280  

Primary care trusts: do they have a future?
Judith Smith, Nicholas Mays
BMJ  2005;331:1156-1157, doi:10.1136/bmj.331.7526.1156 [Extract]212 [Full text]2456 [PDF]503  

The private health sector in India
Amit Sengupta, Samiran Nundy
BMJ  2005;331:1157-1158, doi:10.1136/bmj.331.7526.1157 [Extract]163 [Full text]1869 [PDF]373  

News

UK doctors protest at extension to nurses' prescribing powers
Michael Day
BMJ  2005;331:1159, doi:10.1136/bmj.331.7526.1159 [Extract]336 [Full text]2897 [PDF]465  

Italy's smoking ban has led to an 8% drop in tobacco consumption
Roger Dobson
BMJ  2005;331:1159, doi:10.1136/bmj.331.7526.1159-a [Extract]172 [Full text]1280 [PDF]317 [extra: Longer version]232  

In brief
BMJ  2005;331:1160, doi:10.1136/bmj.331.7526.1160 [Extract]60 [Full text]523 [PDF]61  

Dignitas is investigated for helping healthy woman to die
Michael Leidig
BMJ  2005;331:1160, doi:10.1136/bmj.331.7526.1160-a [Extract]170 [Full text]1604 [PDF]154 [extra: Longer version]189  

Lords back bill to legalise assisted suicide
Clare Dyer
BMJ  2005;331:1160, doi:10.1136/bmj.331.7526.1160-b [Extract]134 [Full text]1098 [PDF]142 [extra: Longer version]115  

Watchdog finds that NHS is failing stroke patients
Rebecca Coombes
BMJ  2005;331:1161, doi:10.1136/bmj.331.7526.1161 [Extract]112 [Full text]924 [PDF]171  

Woman fights for parents' right to know abortion advice to under 16s
Clare Dyer
BMJ  2005;331:1161, doi:10.1136/bmj.331.7526.1161-a [Extract]95 [Full text]987 [PDF]113  

UK doctors move towards general practice and flexible working
Madeleine Brettingham
BMJ  2005;331:1163, doi:10.1136/bmj.331.7526.1163-b [Extract]200 [Full text]1431 [PDF]132 [extra: Longer version]86  

Uncertainty over reorganisation is destabilising primary care
Adrian O'Dowd
BMJ  2005;331:1164, doi:10.1136/bmj.331.7526.1164 [Extract]72 [Full text]642 [PDF]99  

Private commissioning plan raises question over conflicts of interest
Adrian O'Dowd
BMJ  2005;331:1164, doi:10.1136/bmj.331.7526.1164-a [Extract]58 [Full text]431 [PDF]77  

News roundup [abridged versions appear in the paper journal]

Primary care trust reverses decision not to fund trastuzumab
Susan Mayor
BMJ  2005;331:1162, doi:10.1136/bmj.331.7526.1162 [Extract]138 [Abridged PDF]114 [Full text]841  

Improving choice for patients from disadvantaged groups should reduce health inequalities
Susan Mayor
BMJ  2005;331:1162, doi:10.1136/bmj.331.7526.1162-a [Extract]74 [Abridged PDF]114 [Full text]771  

Austrian town uses mirrors to tackle lack of daylight
Michael Leidig
BMJ  2005;331:1162, doi:10.1136/bmj.331.7526.1162-b [Extract]272 [Abridged PDF]109 [Full text]1546  

GMC hears charge that doctor ended a patient's life prematurely
Clare Dyer
BMJ  2005;331:1162, doi:10.1136/bmj.331.7526.1162-c [Extract]100 [Abridged PDF]29 [Full text]708  

Austrian woman sues doctor and hospital for sterilising her without consent
Michael Leidig
BMJ  2005;331:1162, doi:10.1136/bmj.331.7526.1162-d [Extract]119 [Abridged PDF]64 [Full text]1187  

Holland is criticised for the way it deported a mentally ill asylum seeker
Tony Sheldon
BMJ  2005;331:1163, doi:10.1136/bmj.331.7526.1163 [Extract]66 [Abridged PDF]54 [Full text]754  

EU is urged to reduce injuries to children
Rory Watson
BMJ  2005;331:1163, doi:10.1136/bmj.331.7526.1163-a [Extract]51 [Abridged PDF]34 [Full text]389  

News extra [these stories appear only on the web]

WHO agrees global action plan to control avian flu
Paul Ress
BMJ  2005;331:1164, doi:10.1136/bmj.331.7526.1164-b [Extract]98 [Full text]778  

Industry steps up efforts to develop avian flu vaccine
John Zarocostas
BMJ  2005;331:1164, doi:10.1136/bmj.331.7526.1164-c [Extract]81 [Full text]581  

Ugandan rebel soldiers target aid operations after indictment of their leaders
Peter Moszynski
BMJ  2005;331:1164, doi:10.1136/bmj.331.7526.1164-d [Extract]28 [Full text]276  

Rebuilding Afghanistan's health service is hampered by insecurity and lack of funds
Klaus Morales
BMJ  2005;331:1164, doi:10.1136/bmj.331.7526.1164-e [Extract]21 [Full text]180  

UK regulator seeks views on genetic testing of embryos
Zosia Kmietowicz
BMJ  2005;331:1164, doi:10.1136/bmj.331.7526.1164-f [Extract]40 [Full text]321  

Some independent treatment centres have a high cancellation rate, audit finds
Andrew Cole
BMJ  2005;331:1164, doi:10.1136/bmj.331.7526.1164-g [Extract]35 [Full text]334  

Lifestyle modification with drug treatment achieves most weight loss, study finds
David Spurgeon
BMJ  2005;331:1164, doi:10.1136/bmj.331.7526.1164-h [Extract]171 [Full text]1364  

Papers

Sedative hypnotics in older people with insomnia: meta-analysis of risks and benefits
Jennifer Glass, Krista L Lanctôt, Nathan Herrmann, Beth A Sproule, Usoa E Busto
BMJ  2005;331:1169, doi:10.1136/bmj.38623.768588.47 (published 11 November 2005) [Abstract]871 [Abridged PDF]187 [Full text]2331 [PDF]1646 [extra: References w1 - w24]85  

Preterm birth in twins after subfertility treatment: population based cohort study
Hans Verstraelen, Sylvie Goetgeluk, Catherine Derom, Stijn Vansteelandt, Robert Derom, Els Goetghebeur, Marleen Temmerman
BMJ  2005;331:1173, doi:10.1136/bmj.38625.685706.AE (published 25 October 2005) [Abstract]172 [Abridged PDF]52 [Full text]659 [PDF]394  

Achieving the millennium development goals for health: Cost effectiveness analysis of strategies for child health in developing countries
Tessa Tan-Torres Edejer, Moses Aikins, Robert Black, Lara Wolfson, Raymond Hutubessy, David B Evans
BMJ  2005;331:1177, doi:10.1136/bmj.38652.550278.7C (published 10 November 2005) [Abstract]164 [Abridged PDF]89 [Full text]1391 [PDF]652 [extra: Additional tables and descriptions]93  

How does progress towards the child mortality millennium development goal affect inequalities between the poorest and least poor? Analysis of Demographic and Health Survey data
Kath A Moser, David A Leon, Davidson R Gwatkin
BMJ  2005;331:1180-1182, doi:10.1136/bmj.38659.588125.79 (published 11 November 2005) [Full text]1393 [PDF]642  

Short cuts

What's new in the other general journals
Alison Tonks
BMJ  2005;331:1165-1166, doi:10.1136/bmj.331.7526.1165 [Full text]2334 [PDF]345  

Dr Foster's case notes

Obesity and type 2 diabetes in children, 1996-7 to 2003-4
BMJ  2005;331:1167, doi:10.1136/bmj.331.7526.1167 [Full text]1685 [PDF]906 [extra: Further details]139  

BMJ family highlights

What's new this month in BMJ Journals
Harvey Marcovitch
BMJ  2005;331:1168, doi:10.1136/bmj.331.7526.1168 [Full text]1136 [PDF]193  

Primary care

Risk of cervical and other cancers after treatment of cervical intraepithelial neoplasia: retrospective cohort study
Ilkka Kalliala, Ahti Anttila, Eero Pukkala, Pekka Nieminen
BMJ  2005;331:1183-1185, doi:10.1136/bmj.38663.459039.7C [Abstract]473 [Full text]1265 [PDF]717 [extra: Cancer coding]71  

Clinical review

The parents' journey: continuing a pregnancy after a diagnosis of Patau's syndrome
Louise Locock
BMJ  2005;331:1186-1189, doi:10.1136/bmj.331.7526.1186 [Extract]191 [Full text]1881 [PDF]488  

ABC of health informatics: Improving services with informatics tools
Frank Sullivan, Jeremy C Wyatt
BMJ  2005;331:1190-1192, doi:10.1136/bmj.331.7526.1190 [Extract]119 [Full text]1435 [PDF]1037  

Education and debate

The NHS revolution: health care in the market place: Challenges of private provision in the NHS
Nicholas Timmins
BMJ  2005;331:1193-1195, doi:10.1136/bmj.331.7526.1193 [Extract]118 [Full text]2017 [PDF]612  

The NHS revolution: health care in the market place: Competition in general practice
Martin Marshall, Tim Wilson
BMJ  2005;331:1196-1199, doi:10.1136/bmj.331.7526.1196 [Extract]94 [Full text]1691 [PDF]564  

The NHS revolution: health care in the market place: What do patients and the public want from primary care?
Angela Coulter
BMJ  2005;331:1199-1201, doi:10.1136/bmj.331.7526.1199 [Extract]145 [Full text]2108 [PDF]928  

Letters

This week's letters [PDF]288

Adjuvant trastuzumab for breast cancer: Assessing HER2/neu status incurs more costs for treatment
Malcolm R Kell, Colm P Power
BMJ  2005;331:1202, doi:10.1136/bmj.331.7526.1202 [Extract]70 [Full text]582  

Adjuvant trastuzumab for breast cancer: Advent of pharmacogenetics raises many issues
Hazel Thornton
BMJ  2005;331:1202, doi:10.1136/bmj.331.7526.1202-a [Extract]38 [Full text]311  

Adjuvant trastuzumab for breast cancer: An increasingly common ethical and economic conundrum
Matthew L Grove
BMJ  2005;331:1202, doi:10.1136/bmj.331.7526.1202-b [Extract]33 [Full text]312  

Adjuvant trastuzumab for breast cancer: The other side of the coin
Somasundari Gopalakrishnan, John Linnane
BMJ  2005;331:1202-1203, doi:10.1136/bmj.331.7526.1202-c [Extract]49 [Full text]433  

Adjuvant trastuzumab for breast cancer: Editorial does not mention health economics of drug
E Hamish McLaren
BMJ  2005;331:1203, doi:10.1136/bmj.331.7526.1203 [Extract]54 [Full text]411  

Stockpiling oseltamivir: What is the number needed to treat with oseltamivir to prevent one flu death?
A Rouse
BMJ  2005;331:1203, doi:10.1136/bmj.331.7526.1203-a [Extract]90 [Full text]627  

Stockpiling oseltamivir: Roche clarifies data for improved mortality with oseltamivir
James R Smith, Regina Dutkowski
BMJ  2005;331:1203, doi:10.1136/bmj.331.7526.1203-b [Extract]54 [Full text]503  

Health in Africa: International experience may provoke animosity towards those returning home
Andrew C Don-Wauchope
BMJ  2005;331:1203, doi:10.1136/bmj.331.7526.1203-c [Extract]41 [Full text]210  

Health in Africa: There is more to the crisis
Albert M E Coleman
BMJ  2005;331:1203-1204, doi:10.1136/bmj.331.7526.1203-d [Extract]23 [Full text]208  

Croatia's brain drain
Ozren Polasek, Kolcic Ivana
BMJ  2005;331:1204, doi:10.1136/bmj.331.7526.1204 [Extract]52 [Full text]375  

Postpartum eclampsia of late onset: a complicated case
Kirsten Duckitt
BMJ  2005;331:1204, doi:10.1136/bmj.331.7526.1204-a [Extract]43 [Full text]336  

Data are still needed for HPV immunisation programme
O Noel Gill, Catherine M Lowndes
BMJ  2005;331:1204, doi:10.1136/bmj.331.7526.1204-b [Extract]28 [Full text]234  

India plans to audit clinical trials
Biju Basil, Maju Mathews, Jamal Mahmud, Babatunde Adetunji, Kumar Budur
BMJ  2005;331:1204-1205, doi:10.1136/bmj.331.7526.1204-c [Extract]35 [Full text]189  

CAM before the storm: authors' reply
Trevor D Thompson, Gene Feder
BMJ  2005;331:1205, doi:10.1136/bmj.331.7526.1205 [Extract]48 [Full text]294  

Consultants' hours of work: a new perspective
Austin A Leach
BMJ  2005;331:1205, doi:10.1136/bmj.331.7526.1205-a [Extract]74 [Full text]557  

Lady doctors: where are the gentleman doctors?
Alan Davies
BMJ  2005;331:1205, doi:10.1136/bmj.331.7526.1205-b [Extract]170 [Full text]1302  

Obituaries

This week's obituaries [PDF]236

Michael Phelps Ward
Caroline Richmond
BMJ  2005;331:1206, doi:10.1136/bmj.331.7526.1206 [Full text]759  

Robert Lisle Gadd
Iain Robertson
BMJ  2005;331:1207, doi:10.1136/bmj.331.7526.1207 [Full text]454 [extra: Longer version]218  

Valerian Pius Kimati
P M Barnes
BMJ  2005;331:1207, doi:10.1136/bmj.331.7526.1207-a [Full text]393 [extra: Longer version]180  

Joseph Towfiq Thomas Marrow
Luay Zebouni, Namir Al-Mokhtar
BMJ  2005;331:1207, doi:10.1136/bmj.331.7526.1207-b [Full text]415 [extra: Longer version]191  

Jean Katherine Patterson (née Ritchie)
John Lennard-Jones
BMJ  2005;331:1207, doi:10.1136/bmj.331.7526.1207-c [Full text]455 [extra: Longer version]196  

David Ian Rushton
Lynn Jones
BMJ  2005;331:1207, doi:10.1136/bmj.331.7526.1207-d [Full text]513 [extra: Longer version]221  

Michael John Stone
Pauline A Stone
BMJ  2005;331:1207, doi:10.1136/bmj.331.7526.1207-e [Full text]554 [extra: Longer version]241  

Stewart G Wolf
Paul J Rosch
BMJ  2005;331:1207, doi:10.1136/bmj.331.7526.1207-f [Full text]443 [extra: Longer version]213  

reviews

This week's reviews [PDF]93

Book: The Year of Magical Thinking
John Quin
BMJ  2005;331:1208, doi:10.1136/bmj.331.7526.1208 [Extract]96 [Full text]888  

Book: The Vaccine Controversy: The History, Use, and Safety of Vaccinations
Richard Roberts
BMJ  2005;331:1209, doi:10.1136/bmj.331.7526.1209 [Extract]92 [Full text]831  

Film: The Death of Mr Lazarescu
Khalid Ali
BMJ  2005;331:1209, doi:10.1136/bmj.331.7526.1209-a [Extract]71 [Full text]599 [extra: Further reviews]34  

Press: Why doctors' outcomes should be published in the press
Ben Bridgewater
BMJ  2005;331:1210, doi:10.1136/bmj.331.7526.1210 [Extract]77 [Full text]691  

PERSONAL VIEW: Flexible training for men and women—is this the way forward for medicine?
Christopher Schofield, Zena Schofield
BMJ  2005;331:1211, doi:10.1136/bmj.331.7526.1211 [Extract]57 [Full text]774  

SOUNDINGS: Dr A will see you now
Colin Douglas
BMJ  2005;331:1211, doi:10.1136/bmj.331.7526.1211-a [Extract]117 [Full text]1793  

Minerva

Minerva
BMJ  2005;331:1212, doi:10.1136/bmj.331.7526.1212 [Full text]1247 [PDF]173  

Fillers

bmjupdates+: Early analgesia for children with acute abdominal pain did not affect management or outcome
BMJ  2005;331, doi:10.1136/bmj.331.7526.0-e [Full text]223 [PDF]42  

Endpiece: Qualities of a surgeon
S N Anjum, P Quinn, R Anwar
BMJ  2005;331:1176, doi:10.1136/bmj.331.7526.1176 [Full text]913 [PDF]85  

A memorable patient: A ship too far
Sajid Mahmud
BMJ  2005;331:1182, doi:10.1136/bmj.331.7526.1182-b [Full text]1122 [PDF]57  

Tellymedicine
Jurgen A H R Claassen
BMJ  2005;331:1185, doi:10.1136/bmj.331.7526.1185 [Full text]855 [PDF]63  

A shocking affair
John Zorab
BMJ  2005;331:1189, doi:10.1136/bmj.331.7526.1189 [Full text]1267 [PDF]80  

Human and animal health
BMJ  2005;331:1195, doi:10.1136/bmj.331.7526.1195 [Full text]621 [PDF]49  

Corrections

Influenza pandemics and avian flu
BMJ  2005;331:1182, doi:10.1136/bmj.331.7526.1182 [Full text]291 [PDF]120  

Rethinking breast screening—again
BMJ  2005;331:1182, doi:10.1136/bmj.331.7526.1182-a [Full text]288 [PDF]48  

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.