This week's This week in the BMJ

	Low detection rate of HIV infection in pregnant women has not changed in Britain [Full text] FREE

	Uptake of antenatal HIV testing in London is unacceptably low [Full text] FREE

	Offer of HIV testing increases uptake without increasing anxiety [Full text] FREE

	Women who know they have HIV act to reduce transmission to their babies [Full text] FREE

	Haemorrhagic rash is the most important feature in diagnosing meningococcal disease in primary care [Full text] FREE

Editorials

This week's Editorials

	Antenatal HIV testing
	Danielle Mercey
	BMJ  1998;316:241-242 [Extract] [Full text] [PDF] [Request Permissions]

	Reducing road traffic
	Ian Roberts
	BMJ  1998;316:242-243 [Extract] [Full text] [Request Permissions]

	Is clinical effectiveness a management issue?
	Michael Dunning, Myriam Lugon, John MacDonald
	BMJ  1998;316:243-244 [Extract] [Full text] [Request Permissions]

	Steroids and depression
	Alexander Mitchell, Veronica O'Keane
	BMJ  1998;316:244-245 [Extract] [Full text] [Request Permissions]

	Continuing medical education
	Tessa Richards
	BMJ  1998;316:246 [Extract] [Full text] [Request Permissions]

Letters

This week's Letters

	Future of vascular services
	Adrian Marston, C Vaughan Ruckley, Ceri Brown, A D B Chant, Alan Cameron, John H N Wolfe
	BMJ  1998;316:305 [Extract] [Full text] [Request Permissions]

	Agencies need to work together on general practitioner staffing
	Mary Leigh
	BMJ  1998;316:307 [Extract] [Full text] [Request Permissions]

	Antenatal screening for HIV would have considerable resource implications
	Susan E Hamilton, Nicholas J Beeching, Ursula J Kirkpatrick, Anita G Patel
	BMJ  1998;316:307 [Extract] [Full text] [Request Permissions]

	Candidate for WHO post explains his view further
	Uton Muchtar Rafei
	BMJ  1998;316:307 [Extract] [Full text] [Request Permissions]

	Drug treatment of depression
	Andrew Power, E S Paykel
	BMJ  1998;316:307-308 [Extract] [Full text] [Request Permissions]

	Long term tocopherol may yet prolong life
	Malcolm Mitchinson
	BMJ  1998;316:308-309 [Extract] [Full text] [Request Permissions]

	Abdominal obesity and disease are linked to social position
	Eric Brunner, Maneesh Juneja, Michael Marmot
	BMJ  1998;316:308 [Extract] [Full text] [Request Permissions]

	Managing established coronary heart disease
	Hugh Bethell, Gene Feder, Chris Griffiths
	BMJ  1998;316:309 [Extract] [Full text] [Request Permissions]

	Registration exists for counsellors and psychotherapists
	Digby Tantam
	BMJ  1998;316:310 [Extract] [Full text] [Request Permissions]

	Why the BMJ needs data on doctors
	Carol Lewis, Farine Clarke, Melvin Jones
	BMJ  1998;316:310 [Extract] [Full text] [Request Permissions]

	Clinical benefit must not be confused with cost benefit
	Michael D Rawlins, Alasdair M Breckenridge
	BMJ  1998;316:311 [Extract] [Full text] [Request Permissions]

	Several assays show hepatitis B positivity soon after vaccination
	B C Dow, H Munro, D Frame, P Yates
	BMJ  1998;316:311 [Extract] [Full text] [Request Permissions]

	Meta-analysis and the meta-epidemiology of clinical research
	Desmond Julian, Jacques Le Lorier, Geneviève Grégoire
	BMJ  1998;316:311 [Extract] [Full text] [Request Permissions]

	Research ethics committees must ensure registration of research and accessibility of results
	Jennifer Blunt
	BMJ  1998;316:312 [Extract] [Full text] [Request Permissions]

	Misuse of illicit drugs
	J C Taylor, J M Bland, H R Anderson, C Gerada, M Ashworth
	BMJ  1998;316:312 [Extract] [Full text] [Request Permissions]

	Test accuracy is example of redundant information
	A Ralph Henderson
	BMJ  1998;316:312 [Extract] [Full text] [Request Permissions]

News

This week's News

	US scientists extend the life of human cells
	Deborah Josefson
	BMJ  1998;316:247-252 [Extract] [Full text]

	In brief
	BMJ  1998;316:247-252 [Extract] [Full text]

	Air pollution hastens deaths of up to 24000 in UK
	Jacqui Wise
	BMJ  1998;316:247-252 [Extract] [Full text]

	Israel's medical complaints system updated
	Judy Siegel-Itzkovich
	BMJ  1998;316:247-252 [Extract] [Full text]

	Fernando Antezana drops out of WHO leadership race
	Jacqui Wise
	BMJ  1998;316:247-252 [Extract] [Full text]

	Structure of avian flu virus confirmed
	Jacqui Wise
	BMJ  1998;316:247-252 [Extract] [Full text]

	Heavy smoking may cause irreversible damage to arteries
	Jacqui Wise
	BMJ  1998;316:247-252 [Extract] [Full text]

	Flooding in Somalia takes heavy toll
	James Ciment
	BMJ  1998;316:247-252 [Extract] [Full text]

	Dutch doctor refuses to treat smokers
	Tony Sheldon
	BMJ  1998;316:247-252 [Extract] [Full text]

	US journal embroiled in another conflict of interest scandal
	Deborah Josefson
	BMJ  1998;316:i- [Extract] [Full text]

	Local groups will commission health services in Wales
	Roger Dobson
	BMJ  1998;316:247-252 [Extract] [Full text]

	A crusader with a sense of humour
	Kamran Abbasi
	BMJ  1998;316:247-252 [Extract] [Full text]

Clinical review

This week's Clinical review

	Recent advances: Treatment of myocardial infarction
	A H Gershlick, R S More
	BMJ  1998;316:280-284 [Extract] [Full text] [PDF] [Request Permissions]

	Understanding controlled trials: What are pragmatic trials?
	Martin Roland, David J Torgerson
	BMJ  1998;316:285 [Extract] [Full text] [Request Permissions]

	ABC of palliative care: Non-malignant conditions
	Tony O'Brien, John Welsh, Francis G Dunn
	BMJ  1998;316:286-289 [Extract] [Full text] [PDF] [Request Permissions]

General practice

This week's General practice

	Recognising meningococcal disease in primary care: qualitative study of how general practitioners process clinical and contextual information
	Stephen Granier, Penny Owen, Roisin Pill, Lionel Jacobson
	BMJ  1998;316:276-279 [Abstract] [Full text] [PDF] [Request Permissions] FREE

Soundings

This week's Soundings

	Disappearing Willies
	James Owen Drife
	BMJ  1998;316:316 [Full text] [PDF] [Request Permissions]

Personal views

This week's Personal views

	Why we chose a medical career
	Zahir Ali, Iaisha Ali
	BMJ  1998;316:316-317 [Full text] [Request Permissions]

Medicine and books

This week's Medicine and books

	New Themes in Palliative Care, by Ed David Clark, Jo Hockley, Sam Ahmedzai • Making Palliative Care Better, by M Glickman
	Irene Peat
	BMJ  1998;316:319 [Full text] [PDF] [Request Permissions]

	Intelligence, Heredity, and Environment, by Ed Robert J Sternberg, Elena Grigorenko
	Stuart W G Derbyshire
	BMJ  1998;316:319 [Full text] [Request Permissions]

Education and debate

This week's Education and debate

	From exceptionalism to normalisation: a reappraisal of attitudes and practice around HIV testing
	Kevin M De Cock, Anne M Johnson
	BMJ  1998;316:290-293 [Extract] [Full text] [PDF] [Request Permissions]

	HIV testing and HIV prevention in Sweden
	Renée Danziger
	BMJ  1998;316:293-295 [Extract] [Full text] [Request Permissions]

	Commentary: Promoting testing is no substitute for recognising risk
	Noël Gill
	BMJ  1998;316:295-296 [Extract] [Full text] [Request Permissions]

	The New NHS: commentaries on the white paper: Encouraging responsibility: different paths to accountability (Counting and accounting in the new NHS)
	Jonathan Shapiro
	BMJ  1998;316:296-297 [Extract] [Full text] [Request Permissions]

	Clinical governance: fine words or action?
	Nick Black
	BMJ  1998;316:297-298 [Extract] [Full text] [Request Permissions]

	Will improved clinical information help realise the new NHS ?
	Jeremy C Wyatt
	BMJ  1998;316:298-299 [Extract] [Full text] [Request Permissions]

	Guidelines and quality of clinical services in the new NHS
	Jos Kleijnen, Gouke Bonsel
	BMJ  1998;316:299-300 [Extract] [Full text] [Request Permissions]

	From health care to health
	Siân Griffiths
	BMJ  1998;316:300-301 [Extract] [Full text] [Request Permissions]

	Continuing medical education: Changes in health care and continuing medical education for the 21st century
	Angela Towle
	BMJ  1998;316:301-304 [Extract] [Full text] [Request Permissions]

Minerva

This week's Minerva

	Minerva
	BMJ  1998;316:320 [Full text] [PDF] [Request Permissions]

Fillers

This week's Fillers

	Endpiece: Hypothesis and fact:
	Thomas Henry Huxley
	BMJ  1998;316 [Extract] [Full text] [Request Permissions]

	Fifty years ago: The new NHS: A word to the consultants
	BMJ  1998;316 [Extract] [Full text] [Request Permissions]

	One hundred years ago: Pasteur's first patient
	BMJ  1998;316 [Extract] [Full text] [Request Permissions]

	A memorable patient: The senior citizen
	David Hopton
	BMJ  1998;316 [Extract] [Full text] [Request Permissions]

	Letter to a daughter: On the imminent death of a child
	John Black
	BMJ  1998;316 [Extract] [Full text] [Request Permissions]

Corrections

This week's Corrections

	Competition: What might an online scientific paper look like in five years' time?
	BMJ  1998;316:304 [Full text] [Request Permissions] FREE

Career focus

This week's Career focus

	Taking a sabbatical in general practice
	Terry Kemple
	BMJ  1998;316:2 [Full text] [Request Permissions] FREE

CHOICE

This week's CHOICE

	Failing at antenatal testing for HIV, traffic and smoking control, and continuing medical education
	BMJ  1998;316 [Full text] [Request Permissions]

MEDICINE AND THE MEDIA

This week's MEDICINE AND THE MEDIA

	Cancer's killing fields
	Kamran Abbasi
	BMJ  1998;316:318 [Abstract] [Full text] [Request Permissions]

MEDICOPOLITICAL DIGEST

This week's MEDICOPOLITICAL DIGEST

	Scottish GPs call for more BMA resources • Smoking decline in England reversed • GMSC will discuss prescription fraud
	BMJ  1998;316:315 [Full text] [PDF] [Request Permissions]

Obituaries

This week's Obituaries

	George Philip Arden
	BMJ  1998;316:313 [Extract] [Full text]

Papers

This week's Papers

	Epidemiology and detection of HIV-1 among pregnant women in the United Kingdom: results from national surveillance 1988-96
	Angus Nicoll, Christine McGarrigle, Anthony R Brady, A E Ades, Pat Tookey, Trinh Duong, Janet Mortimer, Susan Cliffe, David Goldberg, David Tappin, Catherine Peckham, Chris Hudson
	BMJ  1998;316:253-258 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Factors affecting uptake of antenatal HIV testing in London: results of a multicentre study
	Diana M Gibb, Sandra E MacDonagh, Ramyani Gupta, Pat A Tookey, Catherine S Peckham, A E Ades
	BMJ  1998;316:259-261 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Uptake and acceptability of antenatal HIV testing: randomised controlled trial of different methods of offering the test
	Wendy M Simpson, Frank D Johnstone, Fiona M Boyd, David J Goldberg, Graham J Hart, Robin J Prescott
	BMJ  1998;316:262-267 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Review of uptake of interventions to reduce mother to child transmission of HIV by women aware of their HIV status
	E G Hermione Lyall, Christopher Stainsby, Graham P Taylor, Mounir Ait-Khaled, Samantha Bingham, Jennifer A Evans, Anne Wright, Jonathan N Weber, Myra O McClure, Sam Walters, Gareth Tudor-Williams
	BMJ  1998;316:268-270 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Antenatal HIV testing: current problems, future solutions. survey of uptake in one London hospital
	Teresa A Duffy, Charles D A Wolfe, Claire Varden, Jane Kennedy, Ian L Chrystie, Jangu E Banatvala
	BMJ  1998;316:270-271 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Late diagnosis of paediatric HIV infection in south west London
	M P Richardson, M Sharland
	BMJ  1998;316:271-272 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Does uptake of antenatal HIV testing depend on the individual midwife? Cross sectional study
	Simon Jones, Tonya Sadler, Nicola Low, Maggie Blott, Jan Welch
	BMJ  1998;316:272-273 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Questionnaire survey of thrombolytic treatment in accident and emergency departments in the United Kingdom
	Stuart Hood, David Birnie, Lorna Swan, W Stewart Hillis
	BMJ  1998;316:274 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Prospective comparative study of culture specimens and methods in diagnosing influenza in adults
	Matthias L Schmid, Goura Kudesia, Shaun Wake, Robert C Read
	BMJ  1998;316:275 [Extract] [Full text] [PDF] [Request Permissions] FREE

Career focus

Read this week's articles on http://careers.bmj.com/careers/

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