This week's This week in the BMJ

	Exercise is the answer for stress incontinence [Full text] FREE

	Patients' competence to complete advance directives can be easily assessed [Full text] FREE

	Incidence of antibiotic resistant tuberculosis remains low in UK [Full text] FREE

	Air bags may damage hearing [Full text] FREE

	Patients with gastro-oesophageal reflux disease can benefit from intermittent treatment [Full text] FREE

	Feedback to GPs does not reduce rates of prescribing [Full text] FREE

Editorials

This week's Editorials

	Difficult asthma or Churg-Strauss syndrome?
	David P D'Cruz, Neil C Barnes, C Martin Lockwood
	BMJ  1999;318:475-476 [Extract] [Full text] [PDF] [Request Permissions]

	Patients with learning disability in the community
	Terence J Aspray, Roger M Francis, Stephen P Tyrer, Stephen J Quilliam
	BMJ  1999;318:476-477 [Extract] [Full text] [PDF] [Request Permissions]

	Managing osteoporosis in older people with fractures
	Alan Doube
	BMJ  1999;318:477-478 [Extract] [Full text] [PDF] [Request Permissions]

	London's health: a role for the new mayor
	Richard Harling
	BMJ  1999;318:478-479 [Extract] [Full text] [PDF] [Request Permissions]

	Short course antiretroviral regimens to reduce maternal transmission of HIV
	David Wilkinson, Salim S Abdool Karim, Hoosen M Coovadia
	BMJ  1999;318:479-480 [Extract] [Full text] [PDF] [Request Permissions]

Letters

This week's Letters

	New diagnostic criteria for diabetes mellitus
	Helaine E Resnick, Tamara B Harris, Tess Harris, Derek Cook, Francesco P Cappuccio, Melanie Davies, K Wiener, N B Roberts, Olufunsho Famuyiwa, Knut Borch-Johnsen, Jaakko Tuomilehto, Qing Qiao, Beverly Balkau
	BMJ  1999;318:531 [Extract] [Full text] [Request Permissions]

	GPs should not connect to NHSnet until it is restructured
	Grant S-B Kelly
	BMJ  1999;318:533 [Extract] [Full text] [Request Permissions]

	Prescription of proton pump inhibitors
	Ian Ross, June Edgehill, Jonathan Mant, Michael F G Murphy, Martin P Vessey
	BMJ  1999;318:534 [Extract] [Full text] [Request Permissions]

	Insecurity about progression is an added stress for senior house officers
	Charles S B Galasko, Barry Jackson
	BMJ  1999;318:534 [Extract] [Full text] [Request Permissions]

	Survey of white coat hypertension
	Kazuomi Kario, Thomas G Pickering, Hans W Hense, Michael Muschol, Heribert Schunkert
	BMJ  1999;318:535 [Extract] [Full text] [Request Permissions]

	Advanced trauma life support prolongs patients' lives until specialist help arrives
	John Stoneham
	BMJ  1999;318:535 [Extract] [Full text] [Request Permissions]

	Indwelling needles carry greater risks than acupuncture techniques
	E Ernst, A R White
	BMJ  1999;318:536 [Extract] [Full text] [Request Permissions]

	Few GPs tell patients of their diagnosis of Alzheimer's disease
	CA Vassilas, J Donaldson
	BMJ  1999;318:536 [Extract] [Full text] [Request Permissions]

	Cervical screening for women with learning disability
	Peter Hall, Elizabeth Ward, Tamara Djuretic, Tish Laing-Morton, Margaret Guy, Mike Gill, Jane Whitmore
	BMJ  1999;318:536 [Extract] [Full text] [Request Permissions]

	Central regulating body is needed for ATLS courses
	Sanjeev R Patil
	BMJ  1999;318:537 [Extract] [Full text] [Request Permissions]

	Contact allergy is unlikely to mimic basal cell carcinoma
	Fiona M Chapman, Brian Leatherbarrow, Michael H Beck, Nicholas R Telfer
	BMJ  1999;318:538 [Extract] [Full text] [Request Permissions]

	Diagnosis of Creutzfeldt-Jakob disease
	M Zeidler, R Knight, G Stewart, J W Ironside, R G Will, A J E Green, M Pocchiari, C W Heizmann
	BMJ  1999;318:538 [Extract] [Full text] [Request Permissions]

	Cholesterol: how low is low enough?
	A R P Walker, A S Wierzbicki, T M Reynolds
	BMJ  1999;318:538 [Extract] [Full text] [Request Permissions]

	Women's risk of dying of heart disease is always greater than their risk of dying of breast cancer
	John Haybittle
	BMJ  1999;318:539 [Extract] [Full text] [Request Permissions]

News

This week's News

	$50m record damages awarded against tobacco company
	Uy Hoang
	BMJ  1999;318:481 [Extract] [Full text] [PDF]

	English judge rules that smokers' claims are "too late"
	Clare Dyer
	BMJ  1999;318:481 [Extract] [Full text] [PDF]

	In brief
	BMJ  1999;318:482 [Extract] [Full text] [PDF]

	All UK doctors to be required to prove competence
	Zosia Kmietowicz
	BMJ  1999;318:482 [Extract] [Full text] [PDF]

	Minister to look again at NHS bill's threat to GMC
	John Warden
	BMJ  1999;318:482 [Extract] [Full text] [PDF]

	Scientists call for moratorium on genetically modified foods
	Bryan Christie
	BMJ  1999;318:483 [Extract] [Full text] [PDF]

	Microscopic changes may double risk of breast cancer
	Scott Gottlieb
	BMJ  1999;318:483 [Extract] [Full text] [PDF]

	NHS pay structure to be overhauled
	John Warden
	BMJ  1999;318:484 [Extract] [Full text] [PDF]

	Israel prepares for "Jerusalem syndrome"
	Judy Siegel-Itzkovich
	BMJ  1999;318:484 [Extract] [Full text] [PDF]

	Three women win in cancer screening case
	Clare Dyer
	BMJ  1999;318:484 [Extract] [Full text] [PDF]

	Beijing conference reviews Kashin-Beck disease
	Richard Tomlinson
	BMJ  1999;318:485 [Extract] [Full text] [PDF]

	English prison doctor struck off
	Clare Dyer
	BMJ  1999;318:485 [Extract] [Full text] [PDF]

	Legal suit over Norplant collapses
	Clare Dyer
	BMJ  1999;318:485 [Extract] [Full text] [PDF]

	Preventing sexually transmitted diseases may not reduce HIV risk
	Susan Mayor
	BMJ  1999;318:486 [Extract] [Full text]

	Bristol parents protest over removal of hearts
	Roger Dobson
	BMJ  1999;318:486 [Extract] [Full text]

	Bristol chief executive appeals against GMC
	Clare Dyer
	BMJ  1999;318:486 [Extract] [Full text]

News extra [these stories appear only on the web]

This week's News extra

	NHS Executive to research removal of patients from GP lists in England
	BMJ  1999;318:486 [Extract] [Full text]

	Expert group on meningitis is set up
	BMJ  1999;318:486 [Extract] [Full text]

	New measures announced for detaining psychiatric patients
	BMJ  1999;318:486 [Extract] [Full text]

	Medicare payouts for improper claims drop by a third
	BMJ  1999;318:486 [Extract] [Full text]

Clinical review

This week's Clinical review

	Fortnightly review: Cosmetic surgery
	Jeff L Hoeyberghs
	BMJ  1999;318:512-516 [Extract] [Full text] [PDF] [Request Permissions]

	Lesson of the week: Tethered cord syndrome after myelomeningocoele repair
	N u Owase Jeelani, Tim Jaspan, Jonathan A G Punt
	BMJ  1999;318:516-517 [Extract] [Full text] [PDF] [Request Permissions]

	ABC of sexual health: Sexual problems of disabled patients
	Clive Glass, Bakulesh Soni
	BMJ  1999;318:518-521 [Extract] [Full text] [PDF] [Request Permissions]

General practice

This week's General practice

	Symptomatic gastro-oesophageal reflux disease: double blind controlled study of intermittent treatment with omeprazole or ranitidine
	K D Bardhan, S Müller-Lissner, M A Bigard, G Bianchi Porro, J Ponce, J Hosie, Mairi Scott, D G Weir, K R W Gillon, R A Peacock, Claire Fulton
	BMJ  1999;318:502-507 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Randomised controlled trial of effect of feedback on general practitioners' prescribing in Australia
	Dianne L O'Connell, David Henry, Ron Tomlins
	BMJ  1999;318:507-511 [Abstract] [Full text] [PDF] [Request Permissions] FREE

Soundings

This week's Soundings

	Guest faculty
	James Owen Drife
	BMJ  1999;318:545 [Full text] [Request Permissions]

Personal views

This week's Personal views

	Breast feeding and my brain
	Mary E Black
	BMJ  1999;318:545 [Full text] [Request Permissions]

Education and debate

This week's Education and debate

	Is the English NHS underfunded?
	Jennifer Dixon, Sarah Inglis, Rudolf Klein
	BMJ  1999;318:522-526 [Extract] [Full text] [PDF] [Request Permissions]

	Clinical guidelines: Potential benefits, limitations, and harms of clinical guidelines
	Steven H Woolf, Richard Grol, Allen Hutchinson, Martin Eccles, Jeremy Grimshaw
	BMJ  1999;318:527-530 [Extract] [Full text] [PDF] [Request Permissions] [extra: Clinical guidelines]

Minerva

This week's Minerva

	Minerva
	BMJ  1999;318:546 [Full text] [PDF] [Request Permissions]

Fillers

This week's Fillers

	One hundred years ago: Cataract extraction in a lioness
	BMJ  1999;318:500 [Extract] [Full text] [Request Permissions]

	A memorable patient: 67 years on the national health
	J M B Hughes
	BMJ  1999;318:511 [Extract] [Full text] [PDF] [Request Permissions]

	A memorable patient: Say what you mean
	Jim Cox
	BMJ  1999;318:521 [Extract] [Full text] [Request Permissions]

	A memorable patient: Repeating the tests
	Edward Lavendar
	BMJ  1999;318:526 [Extract] [Full text] [PDF] [Request Permissions]

Corrections

This week's Corrections

	Preventing fatal diseases increases healthcare costs: cause elimination life table approach
	BMJ  1999;318:498 [Full text] [Request Permissions] FREE

Career focus

This week's Career focus

	District general hospital or teaching hospital?
	P William Sellar
	BMJ  1999;318:2 [Full text] [Request Permissions] FREE

	Briefing: One of the best ways of ensuring that those who ...
	BMJ  1999;318:3 [Full text] [Request Permissions] FREE

	Briefing: The NHS Executive Equal Opportunities Unit has set new targets ...
	BMJ  1999;318:3a [Full text] [Request Permissions] FREE

CHOICE

This week's CHOICE

	A health planner's delight?
	BMJ  1999;318 [Full text] [PDF] [Request Permissions]

CHOICE GP

This week's CHOICE GP

	A health planner's delight?
	BMJ  1999;318 [Full text] [PDF] [Request Permissions]

MULTIMEDIA

This week's MULTIMEDIA

	Encyclopedia of Biostatistics
	C R Palmer
	BMJ  1999;318:542 [Full text] [PDF] [Request Permissions]

	Learning from the NHS Internal Market: A Review of the Evidence
	Chris Ham
	BMJ  1999;318:543 [Full text] [Request Permissions]

	East Meets West
	Uy Hoang
	BMJ  1999;318:543 [Full text] [Request Permissions]

	Meningitis in Wales
	Norman Begg, Simon Gregor
	BMJ  1999;318:544 [Full text] [Request Permissions]

	WEBSITE OF THE WEEK
	Douglas Carnall
	BMJ  1999;318:544 [Full text] [Request Permissions]

SOUNDBITES

This week's SOUNDBITES

	Soundbites:
	BMJ  1999;318:542 [Full text] [Request Permissions]

Obituaries

This week's Obituaries

	Alexander Macdougal Cooke • James Rollo Ballantyne • Roger Malcolm Richard Barnes • Evan Fletcher • John Nigel Harcourt-Webster • Samuel ("Stanley") Leslie Isaacs • Jack Joseph • Sidney Levine • John Stewart Mather • George Ranken Tudhope
	David Pyke, John Ballantyne, Peter Johnson, Peter Davidson, Ariel Lant and Simon Harcourt-Webster, Norman Pollitt and Eric Fine, Mike Stratton, Neville Berlyne, R L Gadd and Maud Mather, John McEwen, Douglas Tudhope
	BMJ  1999;318:540 [Extract] [Full text]

Papers

This week's Papers

	Single blind, randomised controlled trial of pelvic floor exercises, electrical stimulation, vaginal cones, and no treatment in management of genuine stress incontinence in women
	Kari Bø, Trygve Talseth, Ingar Holme
	BMJ  1999;318:487-493 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Assessment of competence to complete advance directives: validation of a patient centred approach
	Seena Fazel, Tony Hope, Robin Jacoby
	BMJ  1999;318:493-497 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Database study of antibiotic resistant tuberculosis in the United Kingdom, 1994-6
	Charles Irish, Josephine Herbert, Diane Bennett, Clare Gilham, Francis Drobniewski, Rhian Williams, E Grace Smith, John G Magee, Brian Watt, Maureen Chadwick, John M Watson
	BMJ  1999;318:497-498 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Two case reports of possible noise trauma after inflation of air bags in low speed car crashes
	Graham Buckley, Nicholas Setchfield, Richard Frampton
	BMJ  1999;318:499-500 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Questionnaire survey of advice given to patients with fractures
	Badal Pal
	BMJ  1999;318:500-501 [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.