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6 June 1998 (Vol 316, No 7146)
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This week's This week in the BMJ
CRAM chart detects increase in number of surgical deaths [Full text] FREE
Too much attention should not be paid to ranking in league tables [Full text] FREE
System for identifying and managing underperforming doctors is inadequate [Full text] FREE
Better techniques would reduce headache after lumbar puncture [Full text] FREE
A third of embryos are abnormal in medical terminations of pregnancy in first trimester [Full text] FREE
Depression may be a risk factor for heart disease in men [Full text] FREE

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This week's Editorials

Lessons from the Bristol case
Tom Treasure
BMJ  1998;316:1685-1686
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The need for a national body for research misconduct
Richard Smith
BMJ  1998;316:1686-1687
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Primary care and the NHS white papers
John Chisholm
BMJ  1998;316:1687-1688
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Hydroxyurea therapy for sickle cell disease in Britain
A Olujohungbe, Kornelia I Cinkotai, A Yardumian
BMJ  1998;316:1689-1690
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Community acquired pneumonia in elderly people
S J Wort, T R Rogers
BMJ  1998;316:1690
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This week's Letters

Research assessment exercise
E Malcolm Symonds, Mike Holmes, Nigel Oswald, J Martin Bland, R H McAllister-Williams, A H Young
BMJ  1998;316:1743
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Concealed breast cancer causes delayed treatment
Rosina Ahmed, G R McLatchie
BMJ  1998;316:1744
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Methadone treatment is widely accepted in prisons in New South Wales
Andrew Byrne, Kate Dolan
BMJ  1998;316:1744
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Measles, measles vaccination, and Crohn's disease
Elizabeth Miller, Pauline Waight, R G Pebody, M Paunio, P Ruutu, Ross Lawrenson, Richard Farmer
BMJ  1998;316:1745
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Adjuvant radiotherapy is advisable for small invasive breast cancers
Michael Twitchen
BMJ  1998;316:1746
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Change in NHS regulations may have caused increase in malaria
P Badrinath, O O Ejidokun, N Barnes, S Ramaiah
BMJ  1998;316:1746
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Surgeon never said that excimer laser should no longer be used in refractive surgery
William Jory
BMJ  1998;316:1747
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Milk intake and bone mineral acquisition in adolescent girls
Susan New, Gordon Ferns, Bryan Starkey, I D Griffiths, R M Francis, Paul Appleby, Richard Eastell, Joanna Cadogan, Nicola Bright, Margo E Barker
BMJ  1998;316:1747
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Pay rates for junior doctors' additional hours need to be adjusted
Trevor Pickersgill, H G Kynaston, Rhidian Hurle, Gary Small
BMJ  1998;316:1748
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Resuscitation
Steve Leaves, Peter Donnelly, Carolyn Lester, David Assar, Arun Sharma
BMJ  1998;316:1748
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Resurgence of interest in medical oaths and codes of conduct
Peter H Millard, John Scotson, J W B Forshaw
BMJ  1998;316:1749
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Colour deficient vision should not prevent a career in histopathology
Robert B Goudie
BMJ  1998;316:1750
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Single assessment of risk predicted which elderly patients would fall
Christopher Price, Michael Suddes, Linda Maguire, Sam Harrison, Diarmuid O'Shea
BMJ  1998;316:1750
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The "Diana effect"
Rhidian Morgan-Jones, Kevin Smith, Peter Oakley, Carolyn Berry, Clive Mulholland, Michael Stevenson, Philip Reilly, John R Mitchell
BMJ  1998;316:1750
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This week's News

Compensation claims expected to follow GMC's findings
Clare Dyer
BMJ  1998;316:1691
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Who will be the next chief medical officer for England?
BMJ  1998;316:1692
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In brief
BMJ  1998;316:1694
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NHS is Commons combat zone
John Warden
BMJ  1998;316:1694
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Double standards exist in judging traditional and alternative medicine
Hilary Bower
BMJ  1998;316:1694
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Lyme disease vaccine given guarded approval in the US
Terri Rutter
BMJ  1998;316:1695
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Call for research misconduct agency
Caroline White
BMJ  1998;316:1695
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Switzerland holds referendum on genetic engineering
Adrea Mach
BMJ  1998;316:1696
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South Africa's liberal abortion laws challenged
Pat Sidley
BMJ  1998;316:1696
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This week's News extra

Waits over 18 months lengthen in Wales
Roger Dobson
BMJ  1998;316:1696
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Drop in GP registrars reversed
John Warden
BMJ  1998;316:1696
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Scotland's blood transfusion service to be reorganised
Bryan Christie
BMJ  1998;316:1696
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Robot helps perform open heart surgery
Alexander Dorozynski
BMJ  1998;316:1696
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Another AIDS "cure" scandal hits South Africa
Pat Sidley
BMJ  1998;316:1696
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This week's Clinical review

Fortnightly review: Treatment of gastro-oesophageal reflux disease in adults
Jean Paul Galmiche, Eric Letessier, Carmelo Scarpignato
BMJ  1998;316:1720-1723
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Lesson of the week: Deaths from low dose paracetamol poisoning
S Bridger, K Henderson, E Glucksman, A J Ellis, J A Henry, Roger Williams
BMJ  1998;316:1724-1725
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This week's General practice

Depression as a risk factor for ischaemic heart disease in men: population based case-control study
Julia Hippisley-Cox, Katherine Fielding, Mike Pringle
BMJ  1998;316:1714-1719
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Understanding controlled trials: Crossover trials
Bonnie Sibbald, Chris Roberts
BMJ  1998;316:1719-1720
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This week's Soundings

Say no to Viagra
George Dunea
BMJ  1998;316:1755
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This week's Personal views

Was the paper I wrote a fraud?
Cameron Bowie
BMJ  1998;316:1755
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Whistleblowing or professional assassination
BMJ  1998;316:1756
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This week's Education and debate

Dealing with research misconduct in the United Kingdom An American perspective on research integrity Conduct unbecoming---the MRC's approach An editor's response to fraudsters Deception: difficulties and initiatives Honest advice from Denmark
Drummond Rennie, Imogen Evans, Michael J G Farthing, Cyril Chantler, Shireen Chantler, Povl Riis
BMJ  1998;316:1726-1733
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Half of all doctors are below average
Jan Poloniecki
BMJ  1998;316:1734-1736
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Five times: coincidence or something more serious? What should a junior doctor have done? You cannot expect people to be heroes Put out the fire or risk an inferno Present system of whistleblowing is unsatisfactory
Miles Irving, Donald M Berwick, Peter Rubin, Tom Treasure
BMJ  1998;316:1736
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Competence, professional self regulation, and the public interest
Rudolf Klein
BMJ  1998;316:1740-1742
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This week's Minerva

Minerva
BMJ  1998;316:1758
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This week's Fillers

Endpiece: Alternative definitions
BMJ  1998;316:1712
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Fifty years ago: The new NHS: The plebiscite result
BMJ  1998;316:1712
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Endpiece: A Priori
BMJ  1998;316:1724
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This week's Corrections

Retraction
BMJ  1998;316:1700
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North of England evidence based guideline development project: guideline on the use of aspirin as secondary prophylaxis for vascular disease in primary care
BMJ  1998;316:1733
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This week's Career focus

What do postgraduate deans do?
Elizabeth Paice, Ilfra Goldberg
BMJ  1998;316:2
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Briefing: Burnout - the exhaustion of physical or emotional strength as ...
BMJ  1998;316:3
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Briefing: The elaborate overlapping complexity of bodies involved in deciding how ...
BMJ  1998;316:3a
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Briefing: Junior hospital doctors are thought most at risk for sleep ...
BMJ  1998;316:3b
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This week's CHOICE

The dark side of medicine
BMJ  1998;316
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This week's MEDICINE AND THE MEDIA

Who killed Cock Robin?
Tony Delamothe
BMJ  1998;316:1757
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This week's MEDICOPOLITICAL DIGEST

King's Fund launches quality service GMC tells Privy Council about exam concerns NHS fraud buster named Junior doctors call for more consultants New members elected to medical advisory committee
BMJ  1998;316:1754
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This week's Obituaries

Elizabeth Timgwilian Davies-Humphreys Christopher Adrian Holborow Frederick James Gordon ("Jimmy") Jefferiss Philip Vincent Kielty Harvey McTaggart Susan Lynn Maxwell Francis John Milward Dushyanthan ("Dushy") Surendranath Nadarajah Jeremiah Gerard Dermot O'Sullivan Douglas Wyness Thomson ("Doug") Paul Brian Stephen Quinn Irwin Bruce Speight Felix Ernest Weale
John Davies-Humphreys, Ronald Zeegen, J R W Harris, Vincent Kielty, Jr, Harold Jones, Gordon McNaught, Austin Brown, S Montgomery, P Le Feuvre, Timothy Milward, A Santhakumaran, G J O'Sullivan, Ian Burns, Niall Quinn, E Lucy Speight, Norman Rothnie
BMJ  1998;316:1752
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This week's Papers

Cumulative risk adjusted mortality chart for detecting changes in death rate: observational study of heart surgery
J Poloniecki, O Valencia, P Littlejohns
BMJ  1998;316:1697-1700
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Reliability of league tables of in vitro fertilisation clinics: retrospective analysis of live birth rates Commentary: How robust are rankings? The implications of confidence intervals
E Clare Marshall, David J Spiegelhalter, Colin Sanderson, Martin McKee
BMJ  1998;316:1701-1705
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Underperforming doctors: a postal survey of the Northern Deanery
George Taylor
BMJ  1998;316:1705-1708
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Prevention of headache after lumbar puncture: questionnaire survey of neurologists and neurosurgeons in United Kingdom:
M G Serpell, G J Haldane, D R S Jamieson, D Carson
BMJ  1998;316:1709-1710
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Problems in retrieving national data on births: questionnaire survey
Lesley Smith
BMJ  1998;316:1710-1711
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Abortion rates in England in 1995: comparative study of data from district health authorities
Veena Soni Raleigh
BMJ  1998;316:1711-1712
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Embryonic abnormalities at medical termination of pregnancy with mifepristone and misoprostol during first trimester: observational study
G Blanch, S Quenby, E S Ballantyne, C M Gosden, J P Neilson, K Holland
BMJ  1998;316:1712-1713
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