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4 July 1998 (Vol 317, No 7150)
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This week's This week in the BMJ
Severely addicted heroin users benefit from heroin maintenance programme [Full text] FREE
Delays occur in referring and treating malignant spinal cord compression [Full text] FREE
Parents involved in research welcome hearing the results [Full text] FREE
GPs management decisions are influenced by patients' social problems in 17% of consultations [Full text] FREE
Adapt and survive: the NHS at 50 [Full text] FREE

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This week's Editorials

Our feet set on a new path entirely
Julian Tudor Hart
BMJ  1998;317:1-2
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The jewel in welfare's crown
Nicholas Timmins
BMJ  1998;317:2-3
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Imagining futures for the NHS
Richard Smith
BMJ  1998;317:3-4
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On the way to Calvary
Rudolf Klein, Alan Maynard
BMJ  1998;317:5
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Getting evidence into practice
Fiona Godlee
BMJ  1998;317:6
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This week's Letters

Hypertension treatment and control in sub-Saharan Africa
Justin Burdon, R W Montgomery, Richard Walker, N Unwin, K G M M Alberti, Richard Cooper, Walinjom Muna
BMJ  1998;317:76
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Ion channels
Jaideep J Pandit, Marc E Laniado, Paul D Abel, El-Nasir Lalani
BMJ  1998;317:77
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Mistaken subdural cannulation can produce Horner's syndrome
Ian Makkison
BMJ  1998;317:77
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Incorporating patient preferences into clinical trials
Klim McPherson, Iain Chalmers, Sarah Clement, Jim Sikorski, Jennifer Wilson, Bridget Candy, David J Torgerson, Bonnie Sibbald
BMJ  1998;317:78
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Potential biases do not affect results of waiting time study
Bernard Dowling
BMJ  1998;317:79
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Temporary pacing before permanent pacing should be avoided unless essential
David J R Hildick-Smith, Michael C Petch
BMJ  1998;317:79
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People at risk of coronary heart disease should not be denied treatment with effective drugs for purely financial reasons
T M Reynolds, A S Wierzbicki, M A Crook, N E Capps
BMJ  1998;317:80
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Dilemmas exist in withdrawing ventilation from dying children
Mark Hatherill, Shane M Tibby, Kim Sykes, Ian A Murdoch
BMJ  1998;317:80
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Prescribing patient information leaflets may be better than prescribing drugs
T Kenny, R Wilson, I N Purves
BMJ  1998;317:80
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Substitution of another opioid for morphine
Marie T Fallon, Bill O'Neill, M K Makin, J E Ellershaw
BMJ  1998;317:81
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Consideration of short term consequences of heavier babies is important
Michael Geary
BMJ  1998;317:81
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Genetic counselling must be non-directive
Robert Aston
BMJ  1998;317:82
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Private practice should mirror the NHS
R E Atkinson, Derek G Machin
BMJ  1998;317:82
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Only minority of doctors supported idea of state funded health service in 1945
Thurstan Brewin
BMJ  1998;317:82
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This week's News

New safeguards planned for psychiatric patients
Clare Dyer
BMJ  1998;317:7
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Dobson promises extra cash for NHS
John Warden
BMJ  1998;317:7
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Our love-hate relationship with the NHS
BMJ  1998;317:8
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In brief
BMJ  1998;317:10
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Ombudsman criticised GPs
John Warden
BMJ  1998;317:10
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Regional networks for Scotland
Bryan Christie
BMJ  1998;317:10
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Elective caesarean and zidovudine cuts HIV transmission
Scott Gottlieb
BMJ  1998;317:11
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FDA approves tuberculosis drug
Deborah Josefson
BMJ  1998;317:11
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Gap in HIV infection widens
Scott Gottlieb
BMJ  1998;317:11
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Government row flares up over vitamin B-6
John Warden
BMJ  1998;317:12
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Electromagnetic fields may be carcinogenic
Terri Rutter
BMJ  1998;317:12
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This week's News extra

Streptoccocus infection linked with Tourette's syndrome
BMJ  1998;317:12
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Epidural denied to woman on welfare
Norra Macready
BMJ  1998;317:12
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Clinton administration sets new rules for Medicare
Fred B Charatan
BMJ  1998;317:12
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This week's Clinical review

Fortnightly review: Treatment of the common cold
Sherif B Mossad
BMJ  1998;317:33-36
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This week's General practice

Influence of social problems on management in general practice: multipractice questionnaire survey
Pål Gulbrandsen, Per Fugelli, Leiv Sandvik, Per Hjortdahl
BMJ  1998;317:28-32
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This week's Soundings

Audit in Auchendreich
Colin Douglas
BMJ  1998;317:88
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This week's Personal views

Cancer screening---how can we do better?
Rebecca Roylance
BMJ  1998;317:88
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This week's Minerva

Minerva
BMJ  1998;317:90
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This week's Fillers

A memorable patient: It pays to be a native
Alasdair Purdie
BMJ  1998;317:27
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Endpiece: Feet on the ground
BMJ  1998;317:28
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Fifty years ago: The new NHS: Message to the medical profession from the minister of health
BMJ  1998;317:72
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Words: Protean elephants
Jeff Aronson
BMJ  1998;317:89
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This week's Career focus

Improving quality in locum general practice
Shaun O'Connell
BMJ  1998;317:2a
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Briefing
BMJ  1998;317:3a
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This week's CHOICE

The NHS at 50 
BMJ  1998;317
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This week's LOOKING FORWARD

Looking forward: The NHS: feeling well and thriving at 75
Donald M Berwick
BMJ  1998;317:57-61
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Looking forward: Clinical governance and the drive for quality improvement in the new NHS in England
Gabriel Scally, Liam J Donaldson
BMJ  1998;317:61-65
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Looking forward: Will the fudge on equity sustain the NHS into the next millennium?
Nicholas Mays, Justin Keen
BMJ  1998;317:66-69
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Looking forward: Change and resistance to change in the NHS
Diane Plamping
BMJ  1998;317:69-71
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Looking forward: Getting research findings into practice: Making better use of research findings
Andrew Haines, Anna Donald
BMJ  1998;317:72-75
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This week's MEDICOPOLITICAL DIGEST

Local medical committee conference Confidence expressed in GMC Fees for telephone advice should be restored
BMJ  1998;317:85
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This week's SOMETHING TO CELEBRATE

Something to celebrate: The Bevan legacy
Michael Portillo
BMJ  1998;317:37-40
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Something to celebrate: As I recall
David Morrell
BMJ  1998;317:40-45
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Something to celebrate: The BMA and the NHS
Charles Webster
BMJ  1998;317:45-47
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This week's AS OTHERS SEE US: VIEWS FROM ABROAD

As others see us: views from abroad: A rational bureaucracy in a civilised society
Christian M Koeck
BMJ  1998;317:48-49
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As others see us: views from abroad: A great leap for humankind?
Steinar Westin
BMJ  1998;317:49-51
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As others see us: views from abroad: The importance of social context
Judy M E Lim
BMJ  1998;317:51-52
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As others see us: views from abroad: Justice and health care in a caring society
Grant Gillett
BMJ  1998;317:53-54
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As others see us: views from abroad: A social experiment that keeps adapting
Peter J McDonald
BMJ  1998;317:55-56
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This week's Obituaries

George Hebbington Field John Rowland Hughes Denis Leary McDermott Kelly William Bell Knapman Albert Alexander ("Sandy") Lawrence Kenneth Lewis Lipp Clifford Wilson McKee John Michael Kenneth Marsh Anthony Hugh Marshall Denis Smith Poole-Wilson Ian Clifford Campbell Todd Jean Mary Webster
A A Clark, Eurig Jeffreys, David Jones, Glyn Davies, W Lawrence, D E Walker, Martin McKee, Henry McKee, H Beric Wright, Joe Smith, John Mitchell, Colin Todd, H N C Gunther
BMJ  1998;317:83
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This week's Papers

Randomised trial of heroin maintenance programme for addicts who fail in conventional drug treatments
Thomas V Perneger, Francisco Giner, Miguel del Rio, Annie Mino
BMJ  1998;317:13-18
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Malignant spinal cord compression: prospective study of delays in referral and treatment
D J Husband
BMJ  1998;317:18-21
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Reactions of participants to the results of a randomised controlled trial: exploratory study
Claire Snowdon, Jo Garcia, Diana Elbourne
BMJ  1998;317:21-26
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Efficacy of home sampling for screening of Chlamydia trachomatis: randomised study
Lars Østergaard, Berit Andersen, Frede Olesen, Jens K Møller
BMJ  1998;317:26-27
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