This week's This week in the BMJ

	Recovery is quicker after laparoscopic hernia repairbut there is a cost [Full text] FREE

	Most of healthcare budget is spent on care not cure [Full text] FREE

	Financial strain has a major impact on mental health [Full text] FREE

	GPs tend to report only serious reactions to new drugs [Full text] FREE

	Children with inflammatory bowel disease fail to have their growth or sexual development recorded [Full text] FREE

	Collaboration between primary care and social services can be improved [Full text] FREE

Editorials

This week's Editorials

	Pulmonary embolism
	Tony Fennerty
	BMJ  1998;317:91-92 [Extract] [Full text] [PDF] [Request Permissions]

	Vitamin B-6: food or medicine?
	Joe Collier
	BMJ  1998;317:92-93 [Extract] [Full text] [Request Permissions]

	Improving the management of soft tissue sarcoma
	Anders Rydholm
	BMJ  1998;317:93-94 [Extract] [Full text] [Request Permissions]

	Bournewood: an indefensible gap in mental health law
	Nigel Eastman, Jill Peay
	BMJ  1998;317:94-95 [Extract] [Full text] [Request Permissions]

	Quality to the fore in health policyat last
	Richard Thomson
	BMJ  1998;317:95-96 [Extract] [Full text] [Request Permissions]

Letters

This week's Letters

	Impact of surgery for stress incontinence on morbidity
	Vik Khullar, Linda Cardozo, Kelvin Boos, John Bidmead, Con Kelleher, Mark James, R A O'Connor, Jonathan R A Duckett, Gunnar Lose, Steen Walter, Nick Black
	BMJ  1998;317:143 [Extract] [Full text] [Request Permissions]

	Risk factors for winter outbreak of acute diarrhoea in France
	Tamara Djuretic, Mary E Ramsey, Paddy C Farrington, Douglas M Fleming, David Brown, J S Osika, M M Muganwa-Kamya, Laurent Letrilliart, Antoine Flahault, Jean-Claude Desenclos
	BMJ  1998;317:145 [Extract] [Full text] [Request Permissions]

	Physical dependence on zopiclone
	Sudip Sikdar, Oyedeji Ayonrinde, Elizabeth Sampson
	BMJ  1998;317:146 [Extract] [Full text] [Request Permissions]

	Doctors need to know more about advance directives
	Syed Zaman, Timothy Battcock
	BMJ  1998;317:146 [Extract] [Full text] [Request Permissions]

	Rescue thrombolysis may work even though primary thrombolysis has failed
	Joost P H Drenth, Astrid Uppelschoten, Ton E H Hooghoudt, Evert J P Lamfers
	BMJ  1998;317:147 [Extract] [Full text] [Request Permissions]

	Quality of life assessments may help some patients
	C Saunders, M Baum, L Fallowfield
	BMJ  1998;317:147 [Extract] [Full text] [Request Permissions]

	Integrated care pathways increase use of guidelines
	Denise Kitchiner, Peter Bundred
	BMJ  1998;317:147 [Extract] [Full text] [Request Permissions]

	Lumbar puncture should not be delayed in subarachnoid haemorrhage
	Christopher J Gerber, Peter Crawford, A D Mendelow, Anil Gholkar, R P Sengupta
	BMJ  1998;317:148 [Extract] [Full text] [Request Permissions]

	Doctors must understand terminology used to describe psychological therapies
	Judy Young
	BMJ  1998;317:148 [Extract] [Full text] [Request Permissions]

	Improving management of diabetes in residential and nursing homes
	Debbie Hicks, Steve Atkin, Ewan Masson, David Hepburn, Chris Walton, Michael Hall
	BMJ  1998;317:148 [Extract] [Full text] [Request Permissions]

	Discrimination against gay and lesbian doctors goes against GMC's guidance
	Susan Bewley, David Harvey
	BMJ  1998;317:149 [Extract] [Full text] [Request Permissions]

	Levonorgestrel intrauterine device can be left in place for five years
	M Harrison-Woolrych, J M Raine
	BMJ  1998;317:149 [Extract] [Full text] [Request Permissions]

News

This week's News

	Government gives details of quality drive in the NHS in England
	John Warden
	BMJ  1998;317:97 [Extract] [Full text] [PDF]

	In brief
	BMJ  1998;317:98 [Extract] [Full text]

	BMA's chairman calls on Labour to face the facts
	Linda Beecham
	BMJ  1998;317:98 [Extract] [Full text]

	Smoking is more dangerous for black Americans
	Janice Hopkins Tanne
	BMJ  1998;317:98 [Extract] [Full text]

	Doctors could have greater role in spotting domestic violence
	Scott Gottlieb
	BMJ  1998;317:99 [Extract] [Full text]

	Sustained fall in UK blood lead levels reported
	Scott Gottlieb
	BMJ  1998;317:99 [Extract] [Full text]

	Some sudden unexpected deaths in infancy may be avoidable
	Richard Harling
	BMJ  1998;317:99 [Extract] [Full text]

	Protease inhibitors may cause fat abnormalities and heart disease
	Abi Berger
	BMJ  1998;317:100 [Extract] [Full text]

	New HIV strain may be resistant to drugs
	Scott Gottlieb
	BMJ  1998;317:100 [Extract] [Full text]

	Drug company fails to stop publication of report
	David Spurgeon
	BMJ  1998;317:101 [Extract] [Full text]

	FDA warns about heartburn drug
	Deborah Josefson
	BMJ  1998;317:101 [Extract] [Full text]

	Cigarette ingredients must be revealed
	David Spurgeon
	BMJ  1998;317:101 [Extract] [Full text]

	Amyloid clearly implicated in Alzheimer's disease
	Abi Berger
	BMJ  1998;317:102 [Extract] [Full text]

	Tau protein linked to dementia
	BMJ  1998;317:102 [Extract] [Full text]

Clinical review

This week's Clinical review

	Recent advances: Sexually transmitted infections
	Chris Carne
	BMJ  1998;317:129-132 [Extract] [Full text] [PDF] [Request Permissions]

General practice

This week's General practice

	From collaboration to commissioning: developing relationships between primary health and social services
	Caroline Glendinning, Kirstein Rummery, Rebecca Clarke
	BMJ  1998;317:122-125 [Full text] [PDF] [Request Permissions] FREE

	Primary care: core values Developing primary care: gatekeeping, commissioning, and managed care
	Jennifer Dixon, Peter Holland, Nicholas Mays
	BMJ  1998;317:125-128 [Full text] [Request Permissions] FREE

Soundings

This week's Soundings

	Catastrophic cat care
	George Dunea
	BMJ  1998;317:152 [Full text] [PDF] [Request Permissions]

Personal views

This week's Personal views

	Plus ça change ...
	Usman Azam
	BMJ  1998;317:152 [Full text] [Request Permissions]

Education and debate

This week's Education and debate

	Deliberate self harm in Sri Lanka: an overlooked tragedy in the developing world
	Michael Eddleston, M H Rezvi Sheriff, Keith Hawton
	BMJ  1998;317:133-135 [Extract] [Full text] [PDF] [Request Permissions]

	Managing demand: Managing demand for secondary care services: the changing context
	Nigel Edwards, Martin Hensher
	BMJ  1998;317:135-138 [Extract] [Full text] [Request Permissions]

	Getting research findings into practice: When to act on the evidence
	Trevor A Sheldon, Gordon H Guyatt, Andrew Haines
	BMJ  1998;317:139-142 [Extract] [Full text] [Request Permissions]

Minerva

This week's Minerva

	Minerva
	BMJ  1998;317:154 [Full text] [PDF] [Request Permissions]

Fillers

This week's Fillers

	Endpiece: Alternative definitions
	BMJ  1998;317:120 [Extract] [Full text] [Request Permissions]

	Words to the wise: Words that count
	Grant Hutchison
	BMJ  1998;317:121 [Extract] [Full text] [Request Permissions]

	Fifty years ago: The new NHS: National Health Service Act
	BMJ  1998;317:129 [Extract] [Full text] [Request Permissions]

	Doctors who changed a patient's life: Today's dogma may be tomorrow's joke
	John H Turney
	BMJ  1998;317:142 [Extract] [Full text] [Request Permissions]

	Endpiece: Golden age of surgery
	BMJ  1998;317:142 [Extract] [Full text] [Request Permissions]

	A patient who intrigued me: Ceremonial haemoglobinuria
	Brian McConkey
	BMJ  1998;317:153 [Extract] [Full text] [Request Permissions]

Career focus

This week's Career focus

	Mentoring for overseas doctors
	Sabaratnam Lingam, Romesh Gupta
	BMJ  1998;317:2 [Full text] [Request Permissions] FREE

	Briefing: Manpower planning is a difficult business, and thoracic medicine has ...
	BMJ  1998;317:3 [Full text] [Request Permissions] FREE

	Briefing: US doctors are generally characterised as a pretty upbeat (and ...
	BMJ  1998;317:3a [Full text] [Request Permissions] FREE

CHOICE

This week's CHOICE

	Cost and quality
	BMJ  1998;317 [Full text] [Request Permissions]

MEDICOPOLITICAL DIGEST

This week's MEDICOPOLITICAL DIGEST

	Shadow health team calls for GP ballot • National home health guide launched • Help planned for carers • Minimum wage will hit NHS • DGHs should remain backbone of secondary care
	BMJ  1998;317:151 [Full text] [PDF] [Request Permissions]

Obituaries

This week's Obituaries

	Trevor Lloyd Davies • George Roy Green • George Michael Kane • Patrick James Thompson Millen • Tom Pickles Pattinson • John Maitland ("Johnny") Watermeyer
	W R Lee, Barnaby Green, A J Twigley, K A Millen, Irene Pattinson, Alexander Williams
	BMJ  1998;317:150 [Extract] [Full text]

Papers

This week's Papers

	Randomised controlled trial of laparoscopic versus open mesh repair for inguinal hernia: outcome and cost
	James Wellwood, Mark J Sculpher, David Stoker, Graham J Nicholls, Cathy Geddes, Anne Whitehead, Rameet Singh, David Spiegelhalter
	BMJ  1998;317:103-110 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Demographic and epidemiological determinants of healthcare costs in Netherlands: cost of illness study
	Willem Jan Meerding, Luc Bonneux, Johan J Polder, Marc A Koopmanschap, Paul J van der Maas
	BMJ  1998;317:111-115 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Poverty, unemployment, and common mental disorders: population based cohort study
	Scott Weich, Glyn Lewis
	BMJ  1998;317:115-119 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Underreporting of suspected adverse drug reactions to newly marketed ("black triangle") drugs in general practice: observational study
	Richard M Martin, Karan V Kapoor, Lynda V Wilton, Ronald D Mann
	BMJ  1998;317:119-120 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Neglect of growth and development in the clinical monitoring of children and teenagers with inflammatory bowel disease: review of case records
	Subrata Ghosh, Hazel E Drummond, Anne Ferguson
	BMJ  1998;317:120-121 [Extract] [Full text] [PDF] [Request Permissions] FREE

Career focus

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

To see an article, click its [Full Text] link. To review many abstracts, check the boxes to the left of the titles you want, and click the 'Get All Checked Abstract(s)' button. To see one abstract at a time, click its [Abstract] link.