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

Editorials

This week's Editorials

	Excess mortality after human albumin administration in critically ill patients
	Martin Offringa
	BMJ  1998;317:223-224 [Extract] [Full text] [PDF] [Request Permissions]

	A generous birthday present to the NHS
	Rudolf Klein
	BMJ  1998;317:224-225 [Extract] [Full text] [Request Permissions]

	Evidence based patient information
	Angela Coulter
	BMJ  1998;317:225-226 [Extract] [Full text] [Request Permissions]

	Intravenous  blockade in acute myocardial infarction
	A Owen
	BMJ  1998;317:226-227 [Extract] [Full text] [Request Permissions]

	Objective measures and the diagnosis of asthma
	John Britton, Sarah Lewis
	BMJ  1998;317:227-228 [Extract] [Full text] [Request Permissions]

Letters

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 [Extract] [Full text] [Request Permissions]

	Communication among health professionals
	Ros Salter, Paul Brettle, F D R Hobbs, M J S Langman, Helen Crimlisk
	BMJ  1998;317:279 [Extract] [Full text] [Request Permissions]

	Who decides whether the patient is mentally incapacitated?
	Wai-Ching Leung
	BMJ  1998;317:280 [Extract] [Full text] [Request Permissions]

	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 [Extract] [Full text] [Request Permissions]

	Adequate pain relief is important in non-malignant conditions
	Lesley A M Northcote
	BMJ  1998;317:281 [Extract] [Full text] [Request Permissions]

	UK blood donation needs reorganisation
	Frank Booth
	BMJ  1998;317:281 [Extract] [Full text] [Request Permissions]

	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 [Extract] [Full text] [Request Permissions]

	Extraintestinal disease may be associated with Crohn's disease
	Joanna Barnes, Nick Barnes
	BMJ  1998;317:282 [Extract] [Full text] [Request Permissions]

	Terminally ill patients treated in the community should keep a copy of their records
	Jo Chambers
	BMJ  1998;317:283 [Extract] [Full text] [Request Permissions]

	Care models for discharged psychiatric patients
	S P Sashidharan, Marcellino Smyth, Peter Tyrer, Phil Harrison-Read, Tony Johnson
	BMJ  1998;317:283 [Extract] [Full text] [Request Permissions]

	Plans for future influenza pandemics must raise awareness of Reye's syndrome
	Susan Hall, Richard Lynn
	BMJ  1998;317:284 [Extract] [Full text] [Request Permissions]

	Palliative care services for children must adopt a family centred approach
	Linda Deeley, Paul Stallard, Mary Lewis, Simon Lenton
	BMJ  1998;317:284 [Extract] [Full text] [Request Permissions]

	Television gives a distorted picture of birth as well as death
	Sarah Clement
	BMJ  1998;317:284 [Extract] [Full text] [Request Permissions]

News

This week's News

	Brundtland replaces top staff at the WHO
	Adrea Mach
	BMJ  1998;317:229 [Extract] [Full text] [PDF]

	In brief
	BMJ  1998;317:230 [Extract] [Full text]

	Breast implants deemed safe--again
	Zosia Kmietowicz
	BMJ  1998;317:230 [Extract] [Full text]

	Neglect of children in councilcare exposed in England
	John Warden
	BMJ  1998;317:230 [Extract] [Full text]

	NHS getsmore cash to modernise
	John Warden
	BMJ  1998;317:231 [Extract] [Full text]

	Boost for science research
	BMJ  1998;317:231 [Extract] [Full text]

	Staff cuts would leave CMO stranded in a crisis
	Hilary Bower
	BMJ  1998;317:232 [Extract] [Full text]

	Blood supplies to be treated to reduce CJD risk
	John Warden
	BMJ  1998;317:232 [Extract] [Full text]

	The new "nation's doctor" may find it lonely at the top
	BMJ  1998;317:233 [Extract] [Full text]

	Child poverty is rising in US
	Scott Gottlieb
	BMJ  1998;317:234 [Extract] [Full text]

	France creates opt out register for organ donation
	Alexander Dorozynski
	BMJ  1998;317:234 [Extract] [Full text]

	Viagra unlikely to be prescribed by GPs in Britain
	John Warden
	BMJ  1998;317:234 [Extract] [Full text]

Information in practice

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 [Full text] [PDF] [Request Permissions] FREE

	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 [Full text] [Request Permissions] FREE

	Netlines
	Mark Pallen
	BMJ  1998;317:265 [Full text] [Request Permissions] FREE

Clinical review

This week's Clinical review

	Evidence based case report: Helping an obese patient make informed choices
	Cynthia D Mulrow
	BMJ  1998;317:266-267 [Extract] [Full text] [PDF] [Request Permissions]

	Lesson of the week: A foodborne outbreak of organophosphate poisoning
	Rama Chaudhry, Shyam Bala Lall, Baijayantimala Mishra, Benu Dhawan
	BMJ  1998;317:268-269 [Extract] [Full text] [Request Permissions]

General practice

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 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Primary care: core values Patients' priorities
	Julia Neuberger
	BMJ  1998;317:260-262 [Full text] [Request Permissions] FREE

Soundings

This week's Soundings

	Clinical governance made simple
	Colin Douglas
	BMJ  1998;317:287 [Full text] [PDF] [Request Permissions]

Personal views

This week's Personal views

	OCDthe answer to the ultimate question ?
	BMJ  1998;317:287 [Full text] [Request Permissions]

Medicine and books

This week's Medicine and books

	Our NHS: A celebration of 50 years
	James E Sabin
	BMJ  1998;317:289 [Full text] [PDF] [Request Permissions]

	Assisted Reproductive Technologies: Analysis and Recommendations for Public Policy
	Karen Dawson
	BMJ  1998;317:289 [Full text] [Request Permissions]

Education and debate

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 [Extract] [Full text] [PDF] [Request Permissions]

	Getting research findings into practice: Barriers and bridges to evidence based clinical practice
	Brian Haynes, Andrew Haines
	BMJ  1998;317:273-276 [Extract] [Full text] [Request Permissions]

Minerva

This week's Minerva

	Minerva
	BMJ  1998;317:290 [Full text] [PDF] [Request Permissions]

Fillers

This week's Fillers

	Endpiece: Alternative definitions
	BMJ  1998;317:240 [Extract] [Full text] [Request Permissions]

	A memorable patient: "I got no counselling"
	Jim Ford
	BMJ  1998;317:240 [Extract] [Full text] [Request Permissions]

	A memorable patient: A death on the Rock
	G B Forbes
	BMJ  1998;317:262 [Extract] [Full text] [Request Permissions]

	Endpiece: Limited opportunities
	D Power
	BMJ  1998;317:268 [Extract] [Full text] [Request Permissions]

	A memorable patient: Mountain power
	Olive McKendrick
	BMJ  1998;317:276 [Extract] [Full text] [Request Permissions]

	Miscellany: Heroic medicine in the Iron Age
	Mark Petticrew
	BMJ  1998;317:288 [Extract] [Full text] [Request Permissions]

Career focus

This week's Career focus

	Specialty training in the United States
	Glenn Matfin
	BMJ  1998;317:2 [Full text] [Request Permissions] FREE

	Briefing: A staff grade doctor who graduated in 1985 reflects on ...
	BMJ  1998;317:3 [Full text] [Request Permissions] FREE

	Briefing: Fears of a brain-drain in Canadian surgery are receding: production ...
	BMJ  1998;317:3a [Full text] [Request Permissions] FREE

	Briefing: Quality control in postgraduate training EDITOR - Sharif and Afnan(1) ...
	BMJ  1998;317:3b [Full text] [Request Permissions] FREE

CHOICE

This week's CHOICE

	Crystalloid, colloid, albumin?
	BMJ  1998;317 [Full text] [Request Permissions]

MEDICOPOLITICAL DIGEST

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 [Full text] [PDF] [Request Permissions]

Obituaries

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 [Extract] [Full text]

Papers

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 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Science commentary: Why albumin may not work
	Abi Berger
	BMJ  1998;317:240 [Extract] [Full text] [Request Permissions] FREE

	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 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	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 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Mortality in people taking selegiline: observational study
	Margaret Thorogood, Ben Armstrong, Tom Nichols, Jen Hollowell
	BMJ  1998;317:252-254 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Inequality among men in standardised years of potential life lost, 1970-93
	David Blane, Frances Drever
	BMJ  1998;317:255-256 [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.