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3 December 2005 (Vol 331, No 7528)
Cover image

[Cover note]283

Other Issues:
3687 526
Editor's choice
This week in the BMJ
Editorials
News
News roundup
News extra
Papers
Short cuts
Primary care
Information in practice
Clinical review
Education and debate
Letters
Obituaries
reviews
Minerva
Fillers
Corrections
Career focus
Website extra
Press releases347
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Editor's choice

In praise of uncertainty
Fiona Godlee
BMJ  2005;331, doi:10.1136/bmj.331.7528.0-f [Full text]1959 [PDF]299  

This week in the BMJ

This week in the BMJ [Full text]430 [PDF]270

Uncertainty of outcome removes ethical dilemma in trials of cancer drugs [Full text]976  
Abortion of unwanted first pregnancy may not increase risk of depression [Full text]561  
COX 2 inhibitors may not be safer for the stomach [Full text]2286  
Twins have lower IQ in childhood [Full text]1005  
Obesity and hunger: where is the global balance? [Full text]1184  

Editorials

New international consensus on cardiopulmonary resuscitation
Douglas Chamberlain
BMJ  2005;331:1281-1282, doi:10.1136/bmj.38681.488958.DE (published 29 November 2005) [Extract]524 [Full text]5780 [PDF]1930  

Health and climate change: a call for action
Bettina Menne, Roberto Bertollini
BMJ  2005;331:1283-1284, doi:10.1136/bmj.38684.496354.DE (published 29 November 2005) [Extract]123 [Full text]1259 [PDF]336  

End of life decisions
Ash Samanta, Jo Samanta
BMJ  2005;331:1284-1285, doi:10.1136/bmj.331.7528.1284 [Extract]297 [Full text]2734 [PDF]587  

Preventing HIV infection
Rachael Jones, Brian Gazzard, Yasmin Halima
BMJ  2005;331:1285-1286, doi:10.1136/bmj.331.7528.1285 [Extract]198 [Full text]2047 [PDF]535  

News

Global warming must be limited to 2°C, scientists say
Tony Juniper
BMJ  2005;331:1287, doi:10.1136/bmj.331.7528.1287 [Extract]142 [Full text]813 [PDF]164  

Health economist cautions against new breast cancer drug
Lynn Eaton
BMJ  2005;331:1287, doi:10.1136/bmj.331.7528.1287-a [Extract]308 [Full text]2510 [PDF]377 [extra: Longer version]162  

In brief
BMJ  2005;331:1288, doi:10.1136/bmj.331.7528.1288 [Extract]70 [Full text]707 [PDF]65  

Japanese encephalitis outbreak kills 1300 children in India
Ganapati Mudur
BMJ  2005;331:1288, doi:10.1136/bmj.331.7528.1288-a [Extract]146 [Full text]1315 [PDF]154 [extra: Longer version]78  

French government is urged to fight alcohol misuse
Brad Spurgeon
BMJ  2005;331:1288, doi:10.1136/bmj.331.7528.1288-b [Extract]99 [Full text]899 [PDF]100 [extra: Longer version]81  

Doctors urged to present views in an objective way to the media
Susan Mayor
BMJ  2005;331:1289, doi:10.1136/bmj.331.7528.1289 [Extract]125 [Full text]1097 [PDF]145  

GMC suspends doctor for false research claims
Owen Dyer
BMJ  2005;331:1289, doi:10.1136/bmj.331.7528.1289-a [Extract]349 [Full text]2572 [PDF]134 [extra: Longer version]138  

Korean women rush to donate eggs after research pioneer resigns
Jane Parry
BMJ  2005;331:1291, doi:10.1136/bmj.331.7528.1291-b [Extract]102 [Full text]951 [PDF]84 [extra: Longer version]74  

MP is criticised for saying that marriage of first cousins is a health problem
Owen Dyer
BMJ  2005;331:1292, doi:10.1136/bmj.331.7528.1292 [Extract]251 [Full text]2198 [PDF]140  

UK report recommends fortification of flour with folate
Susan Mayor
BMJ  2005;331:1292, doi:10.1136/bmj.331.7528.1292-a [Extract]120 [Full text]1170 [PDF]211 [extra: Longer version]108  

News roundup [abridged versions appear in the paper journal]

Rationing of joint replacements raises fears of further cuts
Rebecca Coombes
BMJ  2005;331:1290, doi:10.1136/bmj.331.7528.1290 [Extract]110 [Abridged PDF]137 [Full text]993  

English survey shows wide disparity in joint replacement rates
Roger Dobson
BMJ  2005;331:1290, doi:10.1136/bmj.331.7528.1290-a [Extract]85 [Abridged PDF]77 [Full text]810  

Exhibition shows positive effect of antiretrovirals
Annabel Ferriman
BMJ  2005;331:1290, doi:10.1136/bmj.331.7528.1290-b [Extract]67 [Abridged PDF]57 [Full text]606  

New technique improves safety of islet cell transplantation
Janice Hopkins Tanne
BMJ  2005;331:1290, doi:10.1136/bmj.331.7528.1290-c [Extract]90 [Abridged PDF]95 [Full text]887  

Hospitals must be more open about safety, says chief medical officer
Andrew Cole
BMJ  2005;331:1290, doi:10.1136/bmj.331.7528.1290-d [Extract]96 [Abridged PDF]127 [Full text]959  

Neonatal mortality is higher in US hospitals with higher proportion of black babies
David Spurgeon
BMJ  2005;331:1291, doi:10.1136/bmj.331.7528.1291 [Extract]61 [Abridged PDF]91 [Full text]766  

Chief medical officer considered resigning over smoking ban
Adrian O'Dowd
BMJ  2005;331:1291, doi:10.1136/bmj.331.7528.1291-a [Extract]152 [Abridged PDF]52 [Full text]1238  

News extra [these stories appear only on the web]

English claims against Vioxx manufacturer are on brink of collapse
Clare Dyer
BMJ  2005;331:1292, doi:10.1136/bmj.331.7528.1292-b [Extract]231 [Full text]1352  

Eight Canadian provinces are to sue tobacco industry for healthcare costs
David Spurgeon
BMJ  2005;331:1292, doi:10.1136/bmj.331.7528.1292-c [Extract]58 [Full text]456  

Ozone depletion will bring big rise in number of cataracts
Roger Dobson
BMJ  2005;331:1292, doi:10.1136/bmj.331.7528.1292-d [Extract]85 [Full text]530  

Surgeon is struck off for second time
Owen Dyer
BMJ  2005;331:1292, doi:10.1136/bmj.331.7528.1292-e [Extract]472 [Full text]2278  

Medical professionalism is under threat, say eight in 10 aspiring British doctors
Zosia Kmietowicz
BMJ  2005;331:1292, doi:10.1136/bmj.331.7528.1292-f [Extract]259 [Full text]1627  

Papers

Are experimental treatments for cancer in children superior to established treatments? Observational study of randomised controlled trials by the Children's Oncology Group
Ambuj Kumar, Heloisa Soares, Robert Wells, Mike Clarke, Iztok Hozo, Archie Bleyer, Gregory Reaman, Iain Chalmers, Benjamin Djulbegovic
BMJ  2005;331:1295, doi:10.1136/bmj.38628.561123.7C (published 18 November 2005) [Abstract]353 [Abridged PDF]61 [Full text]1512 [PDF]663 [extra: Further details]87  

Achieving the millennium development goals for health: Cost effectiveness analysis of strategies to combat malaria in developing countries
Chantal M Morel, Jeremy A Lauer, David B Evans
BMJ  2005;331:1299, doi:10.1136/bmj.38639.702384.AE (published 10 November 2005) [Abstract]219 [Abridged PDF]72 [Full text]1350 [PDF]582 [extra: Extra tables and figures and an appendix]79  

Depression and unwanted first pregnancy: longitudinal cohort study
Sarah Schmiege, Nancy Felipe Russo
BMJ  2005;331:1303, doi:10.1136/bmj.38623.532384.55 (published 28 October 2005) [Abstract]510 [Abridged PDF]65 [Full text]1118 [PDF]439  

The cognitive cost of being a twin: evidence from comparisons within families in the Aberdeen children of the 1950s cohort study
Georgina A Ronalds, Bianca L De Stavola, David A Leon
BMJ  2005;331:1306, doi:10.1136/bmj.38633.594387.3A (published 18 November 2005) [Abstract]526 [Abridged PDF]72 [Full text]1686 [PDF]511  

Short cuts

What's new in the other general journals
Alison Tonks
BMJ  2005;331:1293-1294, doi:10.1136/bmj.331.7528.1293 [Full text]2164 [PDF]329  

Primary care

Risk of adverse gastrointestinal outcomes in patients taking cyclo-oxygenase-2 inhibitors or conventional non-steroidal anti-inflammatory drugs: population based nested case-control analysis
Julia Hippisley-Cox, Carol Coupland, Richard Logan
BMJ  2005;331:1310-1316, doi:10.1136/bmj.331.7528.1310 [Abstract]1150 [Abridged PDF]280 [Full text]2827 [PDF]2590  

Information in practice

Kaiser Permanente's experience of implementing an electronic medical record: a qualitative study
J Tim Scott, Thomas G Rundall, Thomas M Vogt, John Hsu
BMJ  2005;331:1313-1316, doi:10.1136/bmj.38638.497477.68 (published 3 November 2005) [Abstract]619 [Full text]1864 [PDF]1185 [extra: Interview prompt sheet]147  

Commentary: Trouble in paradise—learning from Hawaii
Sheila Teasdale
BMJ  2005;331:1316, doi:10.1136/bmj.38651.528519.DE (published 3 November 2005) [Full text]1003 [PDF]253  

Clinical review

Epilepsy in elderly people
Martin J Brodie, Patrick Kwan
BMJ  2005;331:1317-1322, doi:10.1136/bmj.331.7528.1317 [Extract]261 [Full text]2058 [PDF]1534 [extra: Additional references]86  

Lessons of the week: Acute crystal arthritis mimicking infection after total knee arthroplasty
G Holt, C Vass, C S Kumar
BMJ  2005;331:1322-1323, doi:10.1136/bmj.331.7528.1322 [Extract]82 [Full text]837 [PDF]296  

Lessons of the week: Pyoderma gangrenosum in ulcerative colitis: considerations for an early diagnosis
K I Papageorgiou, R G Mathew, M G Kaniorou-Larai, A Yiakoumetis
BMJ  2005;331:1323-1324, doi:10.1136/bmj.331.7528.1323 [Extract]110 [Full text]1166 [PDF]486  

ABC of health informatics: Communication and navigation around the healthcare system
Jeremy C Wyatt, Frank Sullivan
BMJ  2005;331:1325-1327, doi:10.1136/bmj.331.7528.1325 [Extract]110 [Full text]1384 [PDF]770  

Education and debate

The NHS revolution: health care in the market place: Should the NHS follow the American way?
Cam Donaldson, Danny Ruta
BMJ  2005;331:1328-1330, doi:10.1136/bmj.331.7528.1328 [Extract]199 [Full text]3689 [PDF]952  

Does the district general hospital have a future?
Chris Ham
BMJ  2005;331:1331-1333, doi:10.1136/bmj.331.7528.1331 [Extract]150 [Full text]2385 [PDF]619  

Obesity, hunger, and agriculture: the damaging role of subsidies
Liselotte Schäfer Elinder
BMJ  2005;331:1333-1336, doi:10.1136/bmj.331.7528.1333 [Extract]177 [Full text]1657 [PDF]700  

Letters

This week's letters [PDF]194

Extended prescribing by UK nurses and pharmacists: Triumph of common sense
Sam Richmond
BMJ  2005;331:1337, doi:10.1136/bmj.331.7528.1337 [Extract]141 [Full text]845  

Extended prescribing by UK nurses and pharmacists: Computer systems need to incorporate nurse prescribing
Stephen C Earwicker
BMJ  2005;331:1337, doi:10.1136/bmj.331.7528.1337-a [Extract]41 [Full text]311  

Extended prescribing by UK nurses and pharmacists: Supplementary prescribing by mental health nurses seems promising
Martin Jones, Dawn Miller, Ben Lucas, Joanna Bennett, Richard Gray
BMJ  2005;331:1337, doi:10.1136/bmj.331.7528.1337-b [Extract]51 [Full text]301  

Extended prescribing by UK nurses and pharmacists: Reference is interesting
Joseph F Standing
BMJ  2005;331:1338, doi:10.1136/bmj.331.7528.1338 [Extract]83 [Full text]1395  

Challenges of private provision in the NHS: Real story is beginning to emerge
Rachel Aldred
BMJ  2005;331:1338, doi:10.1136/bmj.331.7528.1338-a [Extract]42 [Full text]372  

Challenges of private provision in the NHS: Treatment centres and their effect on surgical training
Catherine Guly, Richard Sidebottom, Kim Hakin, Keith Bates
BMJ  2005;331:1338, doi:10.1136/bmj.331.7528.1338-b [Extract]37 [Full text]209  

Private health sector in India: Is private health care at the cost of public health care?
Amitava Bose
BMJ  2005;331:1338-1339, doi:10.1136/bmj.331.7528.1338-c [Extract]39 [Full text]250  

Private health sector in India: Single level health care is the only solution
Shyamal Bagchee
BMJ  2005;331:1339, doi:10.1136/bmj.331.7528.1339 [Extract]22 [Full text]159  

Private health sector in India: Let's not confuse the issues
T D Rajan
BMJ  2005;331:1339, doi:10.1136/bmj.331.7528.1339-a [Extract]20 [Full text]182  

Private health sector in India: Line between profit and profiteering is often thin
Abhijit M Bal
BMJ  2005;331:1339, doi:10.1136/bmj.331.7528.1339-b [Extract]19 [Full text]203  

Reforming research in the NHS
D J Sheridan
BMJ  2005;331:1339-1340, doi:10.1136/bmj.331.7528.1339-c [Extract]47 [Full text]320  

Diabetes and the quality and outcomes framework: Diabetes needs reintegration of primary and secondary care
Harry Keen
BMJ  2005;331:1340, doi:10.1136/bmj.331.7528.1340 [Extract]50 [Full text]351  

Diabetes and the quality and outcomes framework: Integrated care is best model for diabetes
Richard Greenwood, Ken Shaw, Peter Winocour
BMJ  2005;331:1340, doi:10.1136/bmj.331.7528.1340-a [Extract]40 [Full text]315  

Soundings author apologises
Colin Douglas
BMJ  2005;331:1340, doi:10.1136/bmj.331.7528.1340-b [Extract]81 [Full text]846  

Obituaries

This week's obituaries [PDF]254

Dries van Dantzig
Tony Sheldon
BMJ  2005;331:1341, doi:10.1136/bmj.331.7528.1341 [Full text]640  

Frances Mary Barnes (née Cox)
Judy Royle
BMJ  2005;331:1342, doi:10.1136/bmj.331.7528.1342 [Full text]484 [extra: Longer version]199  

Gwendolen Margaret Gwladys Barton (née Thomas)
Peter G Wragg
BMJ  2005;331:1342, doi:10.1136/bmj.331.7528.1342-a [Full text]424 [extra: Longer version]178  

Mervyn Stuartson Bell
Natalia Bell
BMJ  2005;331:1342, doi:10.1136/bmj.331.7528.1342-b [Full text]566  

Alan Hutchinson Fairlamb
David Fairlamb
BMJ  2005;331:1342, doi:10.1136/bmj.331.7528.1342-c [Full text]418 [extra: Longer version]175  

Mair Lloyd Jenkins
B A Gwynne Jenkins
BMJ  2005;331:1342, doi:10.1136/bmj.331.7528.1342-d [Full text]426 [extra: Longer version]176  

Kathleen Jessie Rigg
Michael Herbertson
BMJ  2005;331:1342, doi:10.1136/bmj.331.7528.1342-e [Full text]437 [extra: Longer version]173  

Douglas Neil Sinclair
E C B Keat
BMJ  2005;331:1342, doi:10.1136/bmj.331.7528.1342-f [Full text]467 [extra: Longer version]184  

reviews

This week's reviews [PDF]142

Book: After Harm: Medical Error and the Ethics of Forgiveness
Farr A Curlin
BMJ  2005;331:1343, doi:10.1136/bmj.331.7528.1343 [Extract]61 [Full text]795  

Book: Mad, Bad and Dangerous: The Scientist and the Cinema
Colin Martin
BMJ  2005;331:1344, doi:10.1136/bmj.331.7528.1344 [Extract]60 [Full text]819  

Play: The Hypochondriac
Aula Abbara
BMJ  2005;331:1344, doi:10.1136/bmj.331.7528.1344-a [Extract]58 [Full text]315  

PERSONAL VIEWS: Am I safe to fly? Am I safe to anaesthetise?
G R Park
BMJ  2005;331:1345, doi:10.1136/bmj.331.7528.1345 [Extract]110 [Full text]1664  

NETLINES
Harry Brown
BMJ  2005;331:1345, doi:10.1136/bmj.331.7528.1345-a [Extract]73 [Full text]512  

PERSONAL VIEWS: Will modernised medical careers produce a better surgeon?
Luke Devey
BMJ  2005;331:1346, doi:10.1136/bmj.331.7528.1346 [Extract]66 [Full text]1124  

PERSONAL VIEWS: Dilemma of a surgical trainee
Bettina Lieske
BMJ  2005;331:1347, doi:10.1136/bmj.331.7528.1347 [Extract]103 [Full text]1457  

SOUNDINGS: Man's best friend
Liam Farrell
BMJ  2005;331:1347, doi:10.1136/bmj.331.7528.1347-a [Extract]118 [Full text]1585  

Minerva

Minerva
BMJ  2005;331:1348, doi:10.1136/bmj.331.7528.1348 [Full text]1126 [PDF]166  

Fillers

bmjupdates+: Walking exercise improves bowel preparation before colonoscopy
BMJ  2005;331, doi:10.1136/bmj.331.7528.0-e [Full text]425 [PDF]64  

Endpiece: Common doctors
Peter Morrell
BMJ  2005;331:1298, doi:10.1136/bmj.331.7528.1298 [Full text]810 [PDF]51  

One hundred years ago: Nelson's personal experiences of surgery
BMJ  2005;331:1302, doi:10.1136/bmj.331.7528.1302 [Full text]510 [PDF]52  

A very "patient" me
Arunachalam Kumar
BMJ  2005;331:1309, doi:10.1136/bmj.331.7528.1309 [Full text]1030 [PDF]67  

Endpiece: Medical people in Paris
Jeremy Hugh Baron
BMJ  2005;331:1324, doi:10.1136/bmj.331.7528.1324 [Full text]631 [PDF]33  

bmjlearning.com: Can I get points for reading this?
Kieran Walsh
BMJ  2005;331:1336, doi:10.1136/bmj.331.7528.1336 [Full text]597 [PDF]47  

Corrections

The parents' journey: continuing a pregnancy after a diagnosis of Patau's syndrome
BMJ  2005;331:1330, doi:10.1136/bmj.331.7528.1330 [Full text]293 [PDF]49  

Self management of oral coagulation: randomised trial
BMJ  2005;331:1330, doi:10.1136/bmj.331.7528.1330-a [Full text]156 [PDF]34  

Height and mortality from cancer among men: prospective observational study
BMJ  2005;331:1330, doi:10.1136/bmj.331.7528.1330-b [Full text]266 [PDF]39  

Career focus

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

Website extra

Webchat transcript: human and animal health [Full text]371

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.