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3 October 1998 (Vol 317, No 7163)
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This week's This week in the BMJ
No clustering of anophthalmia occurs in England, but prevalence is higher in rural areas [Full text] FREE
Extracorporeal membrane oxygenation can be cost effective [Full text] FREE
Health is poorer in US states with larger income inequalities [Full text] FREE
Increased parity does not increase the risk of Down's syndrome [Full text] FREE
Bullied children are more anxious than their peers [Full text] FREE
Inhalers are just as safe without chlorofluorocarbons [Full text] FREE

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This week's Editorials

Clustering of anophthalmia and microphthalmia
E C M Mariman
BMJ  1998;317:895-896
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Ageing costs
Tessa Richards
BMJ  1998;317:896-900
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Paediatric transplantation comes of age
Deirdre Kelly, AD Mayer
BMJ  1998;317:897-900
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The European Medicines Evaluation Agency: open to criticism
Kamran Abbasi, Andrew Herxheimer
BMJ  1998;317:898-900
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Is the FDA approving drugs too fast?
J D Kleinke, Scott Gottlieb
BMJ  1998;317:899-900
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The NHS's new information strategy
Jeremy Wyatt, Justin Keen
BMJ  1998;317:900
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This week's Letters

New drug treatment for Alzheimer's disease
Tom Dening, Claire Lawton, Raymond Levy, M Evans, Paul Johnstone, A C Zamar, M E J Wise, J P Watson, Tony Baxter, David Black, Henry Prempeh
BMJ  1998;317:945
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Age is not only criterion for flu vaccine
Jonathan S Nguyen-Van-Tam, Moe H Kyaw, James C G Pearson
BMJ  1998;317:946
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Discrepancy remains in pharmaceutical prescriptions in four European countries
Silvio Garattini, Livio Garattini
BMJ  1998;317:947
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Informed consent
Michael Baum, I G Kestin, S E Josse, David H Brewster, Marion R S Bain, James W T Chalmers, Ann Gould, John A Dewar, W David George, John Nottingham, Andrew J Winter, David Mullis, Keith W Radcliffe, D T Wilcox, F Wilcock, L Spitz, A Pierro
BMJ  1998;317:947
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WHO haemoglobin colour scale is modern version of what was used previously
S M Lewis
BMJ  1998;317:949
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Protecting breast feeding from breast milk substitutes
Harvey Marcovitch, Margaret Lynch, Keith Dodd, Anthony Costello, Harshpal S Sachdev, Mary Broadfoot, Jane Britten, Phyll Buchanan, Karen Hogg, Carolanne Lamont, Magda Sachs, James Rothman
BMJ  1998;317:949
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Doctors and patients should sign prescriptions 
Joe Collier, Sean Hilton
BMJ  1998;317:951
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Planning the United Kingdom's medical workforce
A Pickersgill
BMJ  1998;317:951
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New Labour's new maths is hype
John Appleby
BMJ  1998;317:951
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Standardisation for age certainly changes proportions of doctors holding merit awards
John S Patterson
BMJ  1998;317:951
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This week's News

NHS information strategy launched
Douglas Carnall
BMJ  1998;317:901
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In brief
BMJ  1998;317:902
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NHS trusts must tackle violence against staff
Jacqui Wise
BMJ  1998;317:902
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Meningitis becomes resistant to drugs
Scott Gottlieb
BMJ  1998;317:902
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Mentally ill patients need protection from inappropriate genetic testing
Alex Brooks
BMJ  1998;317:903
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Passive smoking may harm babies in utero
Deborah Josefson
BMJ  1998;317:903
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Lifting of UK quarantine recommended
Alex Brooks
BMJ  1998;317:903
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Private doctors in India prescribe wrong tuberculosis drugs
Ganapati Mudur
BMJ  1998;317:904
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Guidelines on assisted deaths criticised
Deirdre Cooper-Mahkorn
BMJ  1998;317:904
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Diagnostic equipment misused in India
Ganapati Mudur
BMJ  1998;317:904
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This week's News extra

One in 10 Irish GPs work every weekend
Doug Payne
BMJ  1998;317:904
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This week's Clinical review

Science, medicine, and the future: Xenotransplantation
Robin A Weiss
BMJ  1998;317:931-934
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ABC of oxygen: Provision of oxygen at home
P J Rees, F Dudley
BMJ  1998;317:935-938
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This week's General practice

Postmarketing surveillance study of a non-chlorofluorocarbon inhaler according to the safety assessment of marketed medicines guidelines
J G Ayres, C D Frost, W F Holmes, D R R Williams, S M Ward
BMJ  1998;317:926-930
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This week's Soundings

Going slowly
Colin Douglas
BMJ  1998;317:955
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This week's Personal views

A bump on the head
Peter J Shirley
BMJ  1998;317:955
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This week's Medicine and books

The Surgeon of Crowthorne: A Tale of Murder, Madness and the Love of Words
Jeff Aronson
BMJ  1998;317:957
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Chemical Sensitivity: the Truth About Environmental Illness
Ann Dally
BMJ  1998;317:957
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This week's Education and debate

Ethical debate: Certifying fitness for corporal punishment White lies Innocents abroad Deception demands compelling arguments Individuals need clear policy guidance Response
Andrew Thorns, Geoffrey Lloyd, George Szmukler, James Welsh, Andrew Thorns
BMJ  1998;317:939-941
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Long stay care and the NHS: discontinuities between policy and practice
A R Turrell, C M Castleden, B Freestone
BMJ  1998;317:942-944
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This week's Minerva

Minerva
BMJ  1998;317:958
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This week's Fillers

An important lesson: The hazards of self management
Jon Baker
BMJ  1998;317:910
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Endpiece: Diagnostic trends
BMJ  1998;317:910
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Endpiece: Serendipidity
BMJ  1998;317:910
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A memorable patient: An effective reproof
Andrew Elkington
BMJ  1998;317:930
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Diagnostic dilemma: Car health
Pauline Bryant
BMJ  1998;317:934
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Another Titanic myth: Harvard's swimming test
Lars H Breimer
BMJ  1998;317:938
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Fifty years ago: The new NHS: A medical reply to the minister
BMJ  1998;317:942
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A memorable patient: Sending the right message
Rebecca Ball
BMJ  1998;317:944
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A book that changed my practice: School can be hell
David Hartman
BMJ  1998;317:956
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This week's Corrections

Short stature and Helicobacter pylori infection in Italian children: prospective multicentre hospital based case-control study
BMJ  1998;317:909
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The hot air on passive smoking
BMJ  1998;317:951
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This week's Career focus

Harassment at work
Elizabeth Gillow
BMJ  1998;317:2
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Briefing: Although almost all trusts in the NHS pay lip service ...
BMJ  1998;317:3
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Briefing: A survey of 420 of the 425 trusts in England ...
BMJ  1998;317:3a
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Briefing: Most trusts subsume responsibility to an individual within the human ...
BMJ  1998;317:3b
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This week's CHOICE

Ageing populations and the environment
BMJ  1998;317
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This week's CHOICE GP

Caring for ageing populations
BMJ  1998;317
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This week's MEDICOPOLITICAL DIGEST

BMA and health minister will discuss review body remit Junior doctors criticise workforce planning Fringe meeting supports "full time" NHS consultants
BMJ  1998;317:954
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This week's Obituaries

David James Mearns Anderson John Malcolm Barnes Deb Kumar Bose William ("Bill") Kerr Noble Brown Bidhan Chandra Chatterjee Marion Angela Crawford Margaret Anne Dickinson Sir John Rogers Ellis David Idris Harries James Henderson Levack John Sumner Stead David Stephen Peck
D J Poll, W O Roberts, Arup Chaudhuri, Craig K Brown, L R Payne, E O Lundholm, David Slater, Kenneth Dickinson, Christopher Ellis, Gillian Harries, Ian Drever, Matthew Stead, Roger Nunn
BMJ  1998;317:952
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This week's Papers

Geographical variation in anophthalmia and microphthalmia in England, 1988-94 Commentary: Clustering of anophthalmia and microphthalmia is not supported by the data
H Dolk, A Busby, B G Armstrong, P H Walls, Jack Cuzick
BMJ  1998;317:905-910
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Economic evaluation and randomised controlled trial of extracorporeal membrane oxygenation: UK collaborative trial Commentary: Concurrent economic evaluations are rare but should be standard practice
Tracy E Roberts, the Extracorporeal Membrane Oxygenation Economics Working Group on behalf of the Extracorporeal Membrane Oxygenation Trial Steering Group, Tom Jefferson
BMJ  1998;317:911-916
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Science commentary: Extracorporeal membrane oxygenation
Abi Berger
BMJ  1998;317:916
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Income distribution, socioeconomic status, and self rated health in the United States: multilevel analysis
Bruce P Kennedy, Ichiro Kawachi, Roberta Glass, Deborah Prothrow-Stith
BMJ  1998;317:917-921
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Trends in prenatal screening for and diagnosis of Down's syndrome: England and Wales, 1989-97
David Mutton, Roy G Ide, Eva Alberman
BMJ  1998;317:922-923
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Effect of parity, gravidity, previous miscarriage, and age on risk of Down's syndrome: population based study
Annabelle Chan, Kieran A McCaul, Rosemary J Keane, Eric A Haan
BMJ  1998;317:923-924
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Bullying in schools: self reported anxiety, depression, and self esteem in secondary school children
G Salmon, A James, D M Smith
BMJ  1998;317:924-925
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