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15 June 1996 (Vol 312, No 7045)
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Down Education and debate
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This week's Editorials

Promoting clinical effectiveness
John Hayward
BMJ  1996;312:1491-1492
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Regulating complementary medicine
Julie Stone
BMJ  1996;312:1492-1493
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Ecstasy and neurodegeneration
A Richard Green, Guy M Goodwin
BMJ  1996;312:1493-1494
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Pharmaceutical representatives
Allen F Shaughnessy, David C Slawson
BMJ  1996;312:1494
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Designing a vaccine for tuberculosis
Adam S Malin, Douglas B Young
BMJ  1996;312:1495
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Childhood bereavement
Dora Black
BMJ  1996;312:1496
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This week's Letters

Secondary prevention of meningococcal disease
Andrew J Pollard, Robert Booy, Simon Nadel, Michael Levin
BMJ  1996;312:1536
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Ceftriaxone or ciprofloxacin should be considered as first line prophylaxis
M J Martin, N A Hutchinson, I J Eltringham, P Y C Lee, K Birthistle
BMJ  1996;312:1536
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No evidence exists to support use of penicillin
Tim Stokes, Rashmi Shukla, Philip Monk
BMJ  1996;312:1536-1537
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Cases are "unavoidably unpredictable"
Paul Bingham, Peter Old
BMJ  1996;312:1537
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British guidelines should have been considered
D M Jones
BMJ  1996;312:1537
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Authors' reply
Bjorn-Erik Kristiansen, Arne-Birger Knapskog
BMJ  1996;312:1537
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GPs often fail to give early parenteral benzylpenicillin in suspected meningococcal infection
David Irwin, James M Miller, S John Cornell
BMJ  1996;312:1538
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Admissions due to overdoses of aromatic analgesics have increased in Scotland
S Hagen, D Hall, C Stark, H Smith
BMJ  1996;312:1538
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Children with an avulsed tooth may need antibiotic prophylaxis against bacterial endocarditis
Daniel Wallis, Susan Matthai
BMJ  1996;312:1538
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Advance directives are compatible with good medical practice
Simon Finfer
BMJ  1996;312:1538-1539
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Coffee intake and death from coronary heart disease
Roberto Marchioli, Rocco Di Mascio, Rosa Maria Marfisi, Felice Vitullo, Gianni Tognoni
BMJ  1996;312:1539
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Coffee drinking was compared with tea drinking in monozygotic twins in 18th century
Lars Breimer
BMJ  1996;312:1539
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Care management
Michael Phelan
BMJ  1996;312:1539-1540
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Case management confers substantial benefits
Tom Burns
BMJ  1996;312:1540
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Administrative demands of care programme approach
Claire Easton, Femi Oyebode
BMJ  1996;312:1540
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Continuing transmission of sexually transmitted diseases among patients infected with HIV
K Vedhara, K H Nott, R Holt, P Court, D Southworth, Joan Holmes, M H Snow
BMJ  1996;312:1540-1541
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Several reasons exist for failure of health education message
Susan Thornton, Deepti Shah, Jose Catalan, Elizabeth Carlin, Fiona Boag
BMJ  1996;312:1541
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HIV infection must be destigmatised
Renee Danziger
BMJ  1996;312:1541
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Sexual behaviour of homosexual men with and without HIV infection differs
S E Tchamouroff
BMJ  1996;312:1541-1542
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Different diseases indicate different risks of transmission of HIV
Sara Madge, Adeola Olaitan, Margaret Johnson
BMJ  1996;312:1542
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Non-sexual transmission of human papillomavirus
Paul Mansour, Michael Abbott, Mohsen Iskander, Stephen Dundas
BMJ  1996;312:1542
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Managing HIV disease without Delta
R A Seaton, A J France, D Nathwani
BMJ  1996;312:1542
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Junior doctors should get "additional duty miles"
Nicholas Jones, Dyfed Hughes
BMJ  1996;312:1542
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This week's News

BMA leaders call for efficiency savings to be halted
Linda Beecham
BMJ  1996;312:1497
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Headlines
BMJ  1996;312:1498
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Common pollutants may harm fetuses
Alison Boulton
BMJ  1996;312:1498
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US pesticide use reaches new record
John Roberts
BMJ  1996;312:1498-1499
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High levels of substandard care in maternal deaths
Claudia Court
BMJ  1996;312:1499
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Sports injuries are badly managed in Britain
S J Louise Smith
BMJ  1996;312:1499-1500
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Germany fears more deaths from E coli outbreak
Helmut L Karcher
BMJ  1996;312:1500
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UK government proposes changes to primary care
Owen Dyer
BMJ  1996;312:1500
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Teenage smokers fail to recognise health risks
Sandra Goldbeck-Wood
BMJ  1996;312:1501
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Definition of "authorship" may be changed
Fiona Godlee
BMJ  1996;312:1501-1502
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French test threatens foreign doctors
Alexander Dorozynski
BMJ  1996;312:1502
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When MPs chicken out over beef
John Warden
BMJ  1996;312:1502
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This week's General practice

Collecting morbidity data in general practice: the Somerset morbidity project
Nicky Pearson, Jim O Brien, Huw Thomas, Paul Ewings, Lesley Gallier, Alan Bussey
BMJ  1996;312:1517-1520
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This week's Soundings

Big boys don't cry
Ian Robertson
BMJ  1996;312:1547
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Trial by television
Judith Hollistriantafillou
BMJ  1996;312:1547
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This week's Personal views

Sins of youth
James Welsh
BMJ  1996;312:1548
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The view from the queue
Teifion Davies
BMJ  1996;312:1548-1549
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This week's Medicine and books

The Cigarette Papers
Simon Chapman
BMJ  1996;312:1550
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Brain Injury and After: Towards Improved Outcome
Douglas Gentleman
BMJ  1996;312:1550-1551
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A Guide to Care of the Elderly
A John Campbell
BMJ  1996;312:1551
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Selection
Alex Paton
BMJ  1996;312:1551
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This week's Education and debate

Fortnightly Review: The pneumococcal problem
S K Obaro, M A Monteil, D C Henderson
BMJ  1996;312:1521-1525
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Fortnightly Review: Lessons from international experience in controlling pharmaceutical expenditure II: influencing doctors
Karen Bloor, Nick Freemantle
BMJ  1996;312:1525-1527
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Rationing in general practice: The Asbury draft policy on ethical use of resources
Roger Crisp, Tony Hope, David Ebbs
BMJ  1996;312:1528-1531
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Rationing in general practice: Commentary: Guidelines for rationing resemble process of family decision making
David C Thomasma
BMJ  1996;312:1531-1532
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Rationing in general practice: Commentary: Courageous attempt, but needs clarification
Peter Dormer
BMJ  1996;312:1532
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Rationing in general practice: Commentary: Commendable but confused
Peter Toon
BMJ  1996;312:1533
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This week's Minerva

Minerva
BMJ  1996;312:1552
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This week's Fillers

ONE HUNDRED YEARS AGO
BMJ  1996;312:1511
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A MEMORABLE PATIENT
Christopher Martyn
BMJ  1996;312:1527
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MY MOST REWARDING CASE
D W Barritt
BMJ  1996;312:1533
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This week's CHOICE

Editor's choice
BMJ  1996;312
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This week's MEDICINE AND THE MEDIA

The tragedy of errors
Helmut Karcher
BMJ  1996;312:1549
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This week's MEDICOPOLITICAL DIGEST

From the medical academic conference • Specialist registrar grade is causing problems • Disincentives to an academic career spelt out • Labour party's plans for student finance • The conference .. • From the public health conference • Young people need a better deal • Possession of private handguns opposed • Continuing education must be properly resourced • General practice could be undermined • The conference.. • From the senior staffs conference • Proposal for a closed contract defeated • Non-consultant career grades need a better deal • Private finance initiative deplored • Intensive care needs adequate staffing • There must be local manpower advice • The conference ..
Linda Beecham
BMJ  1996;312:1543
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This week's Papers

Effect of correcting outcome data for case mix: an example from stroke medicine
Richard J Davenport, Martin S Dennis, Charles P Warlow
BMJ  1996;312:1503-1505
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Psychological complications after stillbirth--influence of memories and immediate management: population based study
Ingela Radestad, Gunnar Steineck, Conny Nordin, Berit Sjogren
BMJ  1996;312:1505-1508
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Does suppressing luteinising hormone secretion reduce the miscarriage rate? Results of a randomised controlled trial
K Clifford, R Rai, H Watson, S Franks, L Regan
BMJ  1996;312:1508-1511
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Topical treatment of erectile dysfunction: randomised double blind placebo controlled trial of cream containing aminophylline, isosorbide dinitrate, and co-dergocrine mesylate
Adel Gomaa, Mohamed Shalaby, Mohamed Osman, Mohamed Eissa, Alaa Eizat, Mostafy Mahmoud, Nabiel Mikhail
BMJ  1996;312:1512-1515
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Certification of cause of death in patients dying soon after proximal femoral fracture
S J Calder, G H Anderson, P J Gregg
BMJ  1996;312:1515
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Audit study of next of kin's satisfaction with clinical necropsy service
R D Start, S J Sherwood, G Kent, C A Angel
BMJ  1996;312:1516
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