This week's This week in the BMJ

	Silicone breast implants do not increase risk of connective tissue disease [Full text] FREE

	Vitamin A reduces severity of dysentery in acute shigellosis [Full text] FREE

	Deaths from overdoses rise when injecting drug users leave prison [Full text] FREE

	Patients with testicular cancer do not benefit from adjuvant psychological therapy [Full text] FREE

	Reagent strips cannot diagnose asymptomatic bacteriuria in early pregnancy [Full text] FREE

	GPs and specialists do not learn from each other [Full text] FREE

Editorials

This week's Editorials

	Do silicone breast implants cause connective tissue disease?
	Cyrus Coope, Elaine Dennison
	BMJ  1998;316:403-404 [Extract] [Full text] [PDF] [Request Permissions]

	Neonatal screening for cystic fibrosis
	Nicholas J Wald, Joan K Morris
	BMJ  1998;316:404-405 [Extract] [Full text] [Request Permissions]

	Missed problems and missed opportunities for addicted doctors
	John Strang, Michael Wilks, Brian Wells, Jane Marshall
	BMJ  1998;316:405-406 [Extract] [Full text] [Request Permissions]

	Turbulent future for school nursing and health visiting
	Kate Billingham, David Hall
	BMJ  1998;316:406-407 [Extract] [Full text] [Request Permissions]

	Caring for patients with chronic leg ulcer
	C V Ruckley
	BMJ  1998;316:407-408 [Extract] [Full text] [Request Permissions]

	Providing primary care in the accident and emergency department
	I R S Robertson-Steel
	BMJ  1998;316:409-410 [Extract] [Full text] [Request Permissions]

	Rationing health care
	Albert Weale
	BMJ  1998;316:410 [Extract] [Full text] [Request Permissions]

Letters

This week's Letters

	Bias in meta-analysis detected by a simple, graphical test
	Andreas E Stuck, Laurence Z Rubenstein, Darryl Wieland, Jan P Vandenbroucke, Les Irwig, Petra Macaskill, Geoffrey Berry, Paul Glasziou, Valerie Seagroatt, Irene Stratton, Matthias Egger, George Davey Smith, Christoph Minder, Peter Langhorne, Fujian Song, Simon Gilbody
	BMJ  1998;316:469 [Extract] [Full text] [Request Permissions]

	British renal registry is fully electronic
	David Ansell, Terry Feest, John Wallis
	BMJ  1998;316:472 [Extract] [Full text] [Request Permissions]

	Electronic record linkage to create diabetes registers
	Peter J Leslie, Sheena McDonald, Ian A McDonald, Shaun Treweek, Elizabeth Condie, Douglas Gilmour, David L Whitford, Susan H Roberts
	BMJ  1998;316:472 [Extract] [Full text] [Request Permissions]

	Under half of senior house officers in Anglia in 1997 were United Kingdom graduates
	John Biggs
	BMJ  1998;316:473 [Extract] [Full text] [Request Permissions]

	UK encourages unrealistic expectations among overseas applicants for training
	M K Sridhar
	BMJ  1998;316:473-474 [Extract] [Full text] [Request Permissions]

	Adding methionine to every paracetamol tablet
	Sudip Kumar Saha, Rajendra Kale, F N Leach, J M Braganza, Naresh Chada, André E M McLean
	BMJ  1998;316:473-474 [Extract] [Full text] [Request Permissions]

	British trial of transmyocardial revascularisation is continuing
	Noreen Caine, Peter M Schofield, John Wallwork, Linda D Sharples
	BMJ  1998;316:475 [Extract] [Full text] [Request Permissions]

	Comparison of assays for measuring plasma paracetamol
	A L Jones, D R Jarvie, D Simpson, L F Prescott, Rhona FitzPatrick, Taj Hassan, Victoria Ward, Gautam Bodiwala
	BMJ  1998;316:475 [Extract] [Full text] [Request Permissions]

	Prescription Medicines Code of Practice Authority investigates criticisms of advertisements
	Heather Simmonds
	BMJ  1998;316:476 [Extract] [Full text] [Request Permissions]

	Psychotropic drug treatment
	Alan Lenox-Smith, Tess Harris, Frank Smith, Carol Paton, Soumitra Pathare, Teifion Davies
	BMJ  1998;316:476 [Extract] [Full text] [Request Permissions]

	Media are too eager to link silicone to disease
	Nicholas Collis, Christopher T K Khoo, David T Sharpe
	BMJ  1998;316:477 [Extract] [Full text] [Request Permissions]

News

This week's News

	Public consultation on human cloning launched
	Hilary Bower
	BMJ  1998;316:411 [Extract] [Full text] [PDF]

	UK "drink drive" limit may be cut
	John Warden
	BMJ  1998;316:411 [Extract] [Full text]

	More precise targeting of drugs in pipeline
	Alison Tonks
	BMJ  1998;316:411 [Extract] [Full text]

	Wage increase averts threatened doctors' strike in Hungary
	Carl Kovac
	BMJ  1998;316:411 [Extract] [Full text]

	UK doctors' pay award phased again
	Linda Beecham
	BMJ  1998;316:411 [Extract] [Full text]

	Nurses' pay award will not help recruitment
	Linda Beecham
	BMJ  1998;316:411 [Extract] [Full text]

	India approves leprosy vaccine
	Ganapati Mudur
	BMJ  1998;316:411 [Extract] [Full text]

	Cardiac services to expand in Ireland
	Doug Payne
	BMJ  1998;316:411 [Extract] [Full text]

	Health features prominently in the State of the Union address
	Terri Rutter
	BMJ  1998;316:411 [Extract] [Full text]

	Health secretary hits back at charges of bias
	John Warden
	BMJ  1998;316:i [Extract] [Full text]

	France has more early deaths than Britain
	Jacqui Wise
	BMJ  1998;316:411 [Extract] [Full text]

	Food is a public health issue
	BMJ  1998;316:411 [Extract] [Full text]

Clinical review

This week's Clinical review

	Science, medicine, and the future: Alzheimer's disease
	Colin L Masters, Konrad Beyreuther
	BMJ  1998;316:446-448 [Extract] [Full text] [PDF] [Request Permissions]

	Grand Round: Mycobacterium paratuberculosis cervical lymphadenitis, followed five years later by terminal ileitis similar to Crohn's disease
	John Hermon-Taylor, Nick Barnes, Chris Clarke, Caroline Finlayson
	BMJ  1998;316:449-453 [Extract] [Full text] [PDF] [Request Permissions]

	Lesson of the week: Pneumatic compression boots for prophylaxis against deep vein thrombosis: beware occult arterial disease
	M J Oakley, E F Wheelwright, P J James
	BMJ  1998;316:454-455 [Extract] [Full text] [PDF] [Request Permissions]

	ABC of palliative care: Bereavement
	Frances Sheldon
	BMJ  1998;316:456-458 [Extract] [Full text] [PDF] [Request Permissions]

General practice

This week's General practice

	Qualitative study of educational interaction between general practitioners and specialists
	Martin N Marshall
	BMJ  1998;316:442-445 [Abstract] [Full text] [PDF] [Request Permissions] FREE

Soundings

This week's Soundings

	None of our business?
	Trisha Greenhalgh
	BMJ  1998;316:482 [Full text] [PDF] [Request Permissions]

Personal views

This week's Personal views

	Living in two worlds
	Ann Oakley
	BMJ  1998;316:482-483 [Full text] [Request Permissions]

	A psychiatrist in the family
	Kamala-Maria Mueller
	BMJ  1998;316:483 [Full text] [Request Permissions]

Medicine and books

This week's Medicine and books

	Who's Afraid of Human Cloning?, by Gregory E Pence
	Udo Schüklenk
	BMJ  1998;316:485 [Full text] [PDF] [Request Permissions]

	Western Medicine: An Illustrated History, by Ed Irvine Loudon
	Ann Dally
	BMJ  1998;316:485 [Full text] [Request Permissions]

Education and debate

This week's Education and debate

	Ethical dilemma: Should doctors reconstruct the vaginal introitus of adolescent girls to mimic the virginal state? (Who wants the procedure and why)
	A Logmans, A Verhoeff, R Bol Raap, F Creighton, M van Lent
	BMJ  1998;316:459-460 [Extract] [Full text] [PDF] [Request Permissions]

	Commentary: The ethical issue is deceit
	D D Raphael
	BMJ  1998;316:460 [Extract] [Full text] [Request Permissions]

	Commentary: Promiscuity is acceptable only for men
	Dinesh Bhugra
	BMJ  1998;316:460-461 [Extract] [Full text] [Request Permissions]

	Commentary: Education about the hymen is needed
	Sara Paterson-Brown
	BMJ  1998;316:461 [Extract] [Full text] [Request Permissions]

	Commentary: Cultural complexities should not be ignored
	Elspeth Webb
	BMJ  1998;316:462 [Extract] [Full text] [Request Permissions]

	Commentary: Surgery is not what it seems
	Lainie Friedman Ross
	BMJ  1998;316:462 [Extract] [Full text] [Request Permissions]

	Lay perspectives: advantages for health research
	Vikki A Entwistle, Mary J Renfrew, Steven Yearley, John Forrester, Tara Lamont
	BMJ  1998;316:463-466 [Extract] [Full text] [Request Permissions]

	Continuing medical education: Learning and change: implications for continuing medical education
	Robert D Fox, Nancy L Bennett
	BMJ  1998;316:466-468 [Extract] [Full text] [Request Permissions]

Minerva

This week's Minerva

	Minerva
	BMJ  1998;316:486 [Full text] [PDF] [Request Permissions]

Fillers

This week's Fillers

	Fifty years ago: The new NHS
	BMJ  1998;316 [Extract] [Full text] [Request Permissions]

	One hundred years ago: Quackery in Germany
	BMJ  1998;316 [Extract] [Full text] [Request Permissions]

	Courageous children: Do we sometimes fail them?
	Olive M McKendrick
	BMJ  1998;316 [Extract] [Full text] [Request Permissions]

	One hundred years ago: The doctor as a journalistic attraction
	BMJ  1998;316 [Extract] [Full text] [Request Permissions]

	BMA council elections:
	BMJ  1998;316 [Extract] [Full text] [Request Permissions]

	BMA NOTICE: BMA council: candidates in 1998-2000 election
	BMJ  1998;316 [Extract] [Full text] [Request Permissions]

Corrections

This week's Corrections

	British government launches performance framework
	BMJ  1998;316:414 [Full text] [Request Permissions] FREE

	Randomised controlled trial to evaluate early discharge scheme for patients with stroke
	BMJ  1998;316:435 [Full text] [Request Permissions] FREE

	Intranasal chlorhexidine resulting in anaphylactic circulatory arrest
	BMJ  1998;316:441 [Full text] [Request Permissions] FREE

Career focus

This week's Career focus

	When your partner is your partner
	Wayne Lewis
	BMJ  1998;316:2 [Full text] [Request Permissions] FREE

CHOICE

This week's CHOICE

	What is happening with Alzheimer's disease?
	BMJ  1998;316 [Full text] [Request Permissions]

MEDICINE AND THE MEDIA

This week's MEDICINE AND THE MEDIA

	To screen or not to screen?
	Kamran Abbasi
	BMJ  1998;316:484 [Abstract] [Full text] [Request Permissions]

MEDICOPOLITICAL DIGEST

This week's MEDICOPOLITICAL DIGEST

	Doctors who misuse alcohol need more support • English health authorities must reduce costs • Patients' voices must be heard in research • Access to the specialist register amended • There are doubts about merit awards for GPs • GPs' leader warns of rationing in general practice • Review body report 1998 • Medical academics criticise research assessment exercise • GPs given guidance on section 36 payments
	BMJ  1998;316:480 [Full text] [Request Permissions]

Obituaries

This week's Obituaries

	Macdonald Critchley
	BMJ  1998;316:478 [Extract] [Full text]

Papers

This week's Papers

	Risk of connective tissue disease and related disorders among women with breast implants: a nation-wide retrospective cohort study in Sweden
	Olof Nyrén, Li Yin, Staffan Josefsson, Joseph K McLaughlin, William J Blot, Martin Engqvist, Lars Hakelius, John D Boice Jr, Hans-Olov Adami
	BMJ  1998;316:417-422 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Single dose vitamin A treatment in acute shigellosis in Bangladeshi children: randomised double blind controlled trial
	Shahadat Hossain, Rabi Biswas, Iqbal Kabir, Shafique Sarker, Michael Dibley, George Fuchs, Dilip Mahalanabis
	BMJ  1998;316:422-426 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Mortality from overdose among injecting drug users recently released from prison: database linkage study
	S R Seaman, R P Brettle, S M Gore
	BMJ  1998;316:426-428 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Evaluation of adjuvant psychological therapy in patients with testicular cancer: randomised controlled trial
	C Moynihan, J M Bliss, J Davidson, L Burchell, A Horwich
	BMJ  1998;316:429-435 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Evaluation of reagent strips in detecting asymptomatic bacteriuria in early pregnancy: prospective case series
	Douglas G Tincello, David H Richmond
	BMJ  1998;316:435-437 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Is the emergency (999) service being misused? retrospective analysis
	Clifford Mann, Henry Guly
	BMJ  1998;316:437-438 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Raynaud's phenomenon after sympathetic denervation in patients with primary autonomic failure: questionnaire survey
	Rajeev Mallipeddi, Christopher J Mathias
	BMJ  1998;316:438-439 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Drug points: Serious interaction between warfarin and oral terbinafine
	J A Warwick, R J Corrall
	BMJ  1998;316:440 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Drug points: Parotid swelling and terbinafine
	J K Torrens, P H McWhinney
	BMJ  1998;316:440-441 [Extract] [Full text] [Request Permissions] FREE

	Drug points: Nortriptyline intoxication induced by terbinafine
	P-H M van der Kuy, P M Hooymans, A J B Verkaaik
	BMJ  1998;316:441 [Extract] [Full text] [Request Permissions] FREE

Career focus

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

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