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25 July 1998 (Vol 317, No 7153)
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This week's This week in the BMJ
Giving albumin increases mortality in critically ill patients [Full text] FREE
Fetal growth rate affects risk of ischaemic heart disease [Full text] FREE
Cancer patients from deprived areas receive poorer care [Full text] FREE
Excess risk of death with selegiline is small [Full text] FREE
Total purchasing has important lessons for primary care groups [Full text] FREE
Leaflets about breast screening are misleading [Full text] FREE

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This week's Editorials

Excess mortality after human albumin administration in critically ill patients
Martin Offringa
BMJ  1998;317:223-224
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A generous birthday present to the NHS
Rudolf Klein
BMJ  1998;317:224-225
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Evidence based patient information
Angela Coulter
BMJ  1998;317:225-226
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Intravenous beta  blockade in acute myocardial infarction
A Owen
BMJ  1998;317:226-227
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Objective measures and the diagnosis of asthma
John Britton, Sarah Lewis
BMJ  1998;317:227-228
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This week's Letters

Fluid resuscitation with colloid or crystalloid solutions
J Watts, Peter Gosling, Andrew Makin, Louie Plenderleith, G R McAnulty, R M Grounds, Pramod P Bapat, Geoff J Raine, D L A Wyncoll, R J Beale, A McLuckie, G H Schierhout, Ian Roberts, A P Corder
BMJ  1998;317:277
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Communication among health professionals
Ros Salter, Paul Brettle, F D R Hobbs, M J S Langman, Helen Crimlisk
BMJ  1998;317:279
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Who decides whether the patient is mentally incapacitated?
Wai-Ching Leung
BMJ  1998;317:280
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Topical NSAIDs are better than placebo
Martin Duerden, Stuart Barton, Elaine Johnstone, Kirsty MacLean, Jonathan Underhill, Tom Walley, R A Moore, M R Tramer, D Carroll, P J Wiffen, H J McQuay
BMJ  1998;317:280
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Adequate pain relief is important in non-malignant conditions
Lesley A M Northcote
BMJ  1998;317:281
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UK blood donation needs reorganisation
Frank Booth
BMJ  1998;317:281
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All members of primary care team are aware of importance of evidence based medicine
Nicola Hagdrup, Maggie Falshaw, Richard W Gray, Yvonne Carter
BMJ  1998;317:282
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Extraintestinal disease may be associated with Crohn's disease
Joanna Barnes, Nick Barnes
BMJ  1998;317:282
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Terminally ill patients treated in the community should keep a copy of their records
Jo Chambers
BMJ  1998;317:283
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Care models for discharged psychiatric patients
S P Sashidharan, Marcellino Smyth, Peter Tyrer, Phil Harrison-Read, Tony Johnson
BMJ  1998;317:283
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Plans for future influenza pandemics must raise awareness of Reye's syndrome
Susan Hall, Richard Lynn
BMJ  1998;317:284
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Palliative care services for children must adopt a family centred approach
Linda Deeley, Paul Stallard, Mary Lewis, Simon Lenton
BMJ  1998;317:284
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Television gives a distorted picture of birth as well as death
Sarah Clement
BMJ  1998;317:284
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This week's News

Brundtland replaces top staff at the WHO
Adrea Mach
BMJ  1998;317:229
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In brief
BMJ  1998;317:230
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Breast implants deemed safe--again
Zosia Kmietowicz
BMJ  1998;317:230
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Neglect of children in councilcare exposed in England
John Warden
BMJ  1998;317:230
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NHS getsmore cash to modernise
John Warden
BMJ  1998;317:231
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Boost for science research
BMJ  1998;317:231
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Staff cuts would leave CMO stranded in a crisis
Hilary Bower
BMJ  1998;317:232
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Blood supplies to be treated to reduce CJD risk
John Warden
BMJ  1998;317:232
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The new "nation's doctor" may find it lonely at the top
BMJ  1998;317:233
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Child poverty is rising in US
Scott Gottlieb
BMJ  1998;317:234
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France creates opt out register for organ donation
Alexander Dorozynski
BMJ  1998;317:234
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Viagra unlikely to be prescribed by GPs in Britain
John Warden
BMJ  1998;317:234
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This week's Information in practice

How risks of breast cancer and benefits of screening are communicated to women: analysis of 58 pamphlets
Emma K Slaytor, Jeanette E Ward
BMJ  1998;317:263-264
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Evaluation of readability and accuracy of information leaflets in general practice for patients with asthma
Helen Smith, Susan Gooding, Richard Brown, Anthony Frew
BMJ  1998;317:264-265
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Netlines
Mark Pallen
BMJ  1998;317:265
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This week's Clinical review

Evidence based case report: Helping an obese patient make informed choices
Cynthia D Mulrow
BMJ  1998;317:266-267
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Lesson of the week: A foodborne outbreak of organophosphate poisoning
Rama Chaudhry, Shyam Bala Lall, Baijayantimala Mishra, Benu Dhawan
BMJ  1998;317:268-269
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This week's General practice

Evaluation of total purchasing pilots in England and Scotland and implications for primary care groups in England: personal interviews and analysis of routine data
Nicholas Goodwin, Nicholas Mays, Hugh McLeod, Gill Malbon, James Raftery
BMJ  1998;317:256-259
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Primary care: core values Patients' priorities
Julia Neuberger
BMJ  1998;317:260-262
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This week's Soundings

Clinical governance made simple
Colin Douglas
BMJ  1998;317:287
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This week's Personal views

OCD---the answer to the ultimate question ?
BMJ  1998;317:287
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This week's Medicine and books

Our NHS: A celebration of 50 years
James E Sabin
BMJ  1998;317:289
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Assisted Reproductive Technologies: Analysis and Recommendations for Public Policy
Karen Dawson
BMJ  1998;317:289
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This week's Education and debate

Provision of syringes: the cutting edge of harm reduction in prison?
J Nelles, A Fuhrer, HP Hirsbrunner, TW Harding
BMJ  1998;317:270-273
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Getting research findings into practice: Barriers and bridges to evidence based clinical practice
Brian Haynes, Andrew Haines
BMJ  1998;317:273-276
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This week's Minerva

Minerva
BMJ  1998;317:290
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This week's Fillers

Endpiece: Alternative definitions
BMJ  1998;317:240
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A memorable patient: "I got no counselling"
Jim Ford
BMJ  1998;317:240
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A memorable patient: A death on the Rock
G B Forbes
BMJ  1998;317:262
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Endpiece: Limited opportunities
D Power
BMJ  1998;317:268
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A memorable patient: Mountain power
Olive McKendrick
BMJ  1998;317:276
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Miscellany: Heroic medicine in the Iron Age
Mark Petticrew
BMJ  1998;317:288
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This week's Career focus

Specialty training in the United States
Glenn Matfin
BMJ  1998;317:2
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Briefing: A staff grade doctor who graduated in 1985 reflects on ...
BMJ  1998;317:3
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Briefing: Fears of a brain-drain in Canadian surgery are receding: production ...
BMJ  1998;317:3a
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Briefing: Quality control in postgraduate training EDITOR - Sharif and Afnan(1) ...
BMJ  1998;317:3b
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This week's CHOICE

Crystalloid, colloid, albumin?
BMJ  1998;317
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This week's MEDICOPOLITICAL DIGEST

The review body's remit should not be changed More women hold top NHS jobs NHS helpline will cover 10 million people BMA Notice
BMJ  1998;317:286
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This week's Obituaries

Ian Alexander McGregor Joseph McNutt Lawrence Arthur Pike Elizabeth Maria Thompson Emily Katharine Williams
Martyn H C Webster, Peter MacFarlane, Ann McNutt, Ivan Cox, Michael Clarkson, Ian McKim Thompson, Rosemary Knight
BMJ  1998;317:285
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This week's Papers

Human albumin administration in critically ill patients: systematic review of randomised controlled trials Why albumin may not work
Cochrane Injuries Group Albumin Reviewers, Cochrane Injuries Group Albumin Reviewers
BMJ  1998;317:235-240
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Science commentary: Why albumin may not work
Abi Berger
BMJ  1998;317:240
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Reduced fetal growth rate and increased risk of death from ischaemic heart disease: cohort study of 15 000 Swedish men and women born 1915-29
David A Leon, Hans O Lithell, Denny Vågerö, Ilona Koupilová, Rawya Mohsen, Lars Berglund, Ulla-Britt Lithell, Paul M McKeigue
BMJ  1998;317:241-245
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Deprivation and emergency admissions for cancers of colorectum, lung, and breast in south east England: ecological study
Allyson M Pollock, Neil Vickers
BMJ  1998;317:245-252
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Mortality in people taking selegiline: observational study
Margaret Thorogood, Ben Armstrong, Tom Nichols, Jen Hollowell
BMJ  1998;317:252-254
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Inequality among men in standardised years of potential life lost, 1970-93
David Blane, Frances Drever
BMJ  1998;317:255-256
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