This week's This week in the BMJ

	Twins challenge the fetal origins hypothesis [Full text] FREE

	Reducing breathlessness in lung cancer can also reduce physical and emotional distress [Full text] FREE

	Cervical screening has reduced incidence of cancer and mortality [Full text] FREE

	Health gap narrows for babies of lone mothers [Full text] FREE

	The public's views differ systematically after discussion of healthcare priorities [Full text] FREE

	Guidelines on treating back pain have not improved GPs' services [Full text] FREE

Editorials

This week's Editorials

	Ordeals for the fetal programming hypothesis
	Mervyn Susser, Bruce Levin
	BMJ  1999;318:885-886 [Extract] [Full text] [PDF] [Request Permissions]

	Combined kidney and pancreatic transplantation
	A Kumar, C G Newstead, J P A Lodge, A M Davison
	BMJ  1999;318:886-887 [Extract] [Full text] [PDF] [Request Permissions]

	Assessing operative skill
	Ara Darzi, Simon Smith, Nick Taffinder
	BMJ  1999;318:887-888 [Extract] [Full text] [PDF] [Request Permissions]

	Pleasing both authors and readers
	Tony Delamothe, Marcus Müllner, Richard Smith
	BMJ  1999;318:888-889 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Measuring the performance of public health agencies
	Ronald M Davis
	BMJ  1999;318:889-890 [Extract] [Full text] [PDF] [Request Permissions]

Letters

This week's Letters

	Ductal carcinoma in situ of the breast
	H M Bishop, M G Wallis, Melvin J Silverstein
	BMJ  1999;318:937 [Extract] [Full text] [Request Permissions]

	Selection to medical school in Great Britain
	C Michael Steel, David Jackson, David W Sinclair, Stephen R Magee, D A Levison, D Parratt, J M Bland, Sheila M Gore, Chris McManus
	BMJ  1999;318:937 [Extract] [Full text] [Request Permissions]

	Vitamin A for treating shigellosis
	Mohammed Abdus Salam, Wasif Ali Khan, Ujjwal Dhar, Anne Ronan, Nigel C Rollins, Michael L Bennish, Shahadat Hossain, Rabi Biswas, Iqbal Kabir, Shafique Sarker, George Fuchs, Dilip Mahalanabis, Michael Dibley
	BMJ  1999;318:939 [Extract] [Full text] [Request Permissions]

	Rationing
	Jammi N Rao, C Worth, Simon J Ellis, Stephen Heasell
	BMJ  1999;318:940 [Extract] [Full text] [Request Permissions]

	Effect on suicide rate of having reduced unemployment is uncertain
	Ilkka Henrik Mäkinen
	BMJ  1999;318:941 [Extract] [Full text] [Request Permissions]

	Trials of postoperative antiemetics need three arms
	Neville W Goodman
	BMJ  1999;318:942 [Extract] [Full text] [Request Permissions]

	Guidelines for clinical guidelines should distinguish between national and local production
	J G Williams
	BMJ  1999;318:942 [Extract] [Full text] [Request Permissions]

	Guidelines in small countries and not translated into English may be ignored
	Lars Breimer
	BMJ  1999;318:942 [Extract] [Full text] [Request Permissions]

	Inherited predisposition to hypertension confounds the effect of low birthweight
	Brian R Walker, Graham CM Watt
	BMJ  1999;318:943 [Extract] [Full text] [Request Permissions]

	Competency, consent, and the duty of care
	Ronan J McIvor
	BMJ  1999;318:943 [Extract] [Full text] [Request Permissions]

	When big may not be beautiful
	S G Barber, A Bosley, W Bradford, I Buchanan, A Gibson, F O'Sullivan
	BMJ  1999;318:943 [Extract] [Full text] [Request Permissions]

	Fluoroquinolone resistance in salmonellas and campylobacters from humans
	E J Threlfall, J A Frost, B Rowe
	BMJ  1999;318:943 [Extract] [Full text] [Request Permissions]

	Paediatric cardiac transplant surgery has improved
	C Wigfield, H C Leonard, J R L Hamilton, A Hasan, J H Dark
	BMJ  1999;318:944 [Extract] [Full text] [Request Permissions]

	FDA approves drugs even when experts on its advisory panels raise safety questions
	Laurence Landow
	BMJ  1999;318:944 [Extract] [Full text] [Request Permissions]

	Oakley's case for using randomised controlled trials is misleading
	Don Nutbeam
	BMJ  1999;318:944 [Extract] [Full text] [Request Permissions]

	Needs of teenagers with chronic disability
	Clare Williams
	BMJ  1999;318:945 [Extract] [Full text] [Request Permissions]

	Cholesterol lowering diets and coronary heart disease
	David W Evans, Raj Bhopal
	BMJ  1999;318:945 [Extract] [Full text] [Request Permissions]

News

This week's News

	UK announces partnership between the NHS and prison service
	Pat Anderson
	BMJ  1999;318:891 [Extract] [Full text] [PDF]

	Study confirms passive smoking increases coronary heart disease
	Scott Gottlieb
	BMJ  1999;318:891 [Extract] [Full text] [PDF]

	In brief
	BMJ  1999;318:892 [Extract] [Full text] [PDF]

	UK consultation rejects restriction of impotence treatment funding
	Mark Pownall
	BMJ  1999;318:892 [Extract] [Full text] [PDF]

	Australia set for class action against tobacco industry
	Georgina Kenyon
	BMJ  1999;318:892 [Extract] [Full text] [PDF]

	European Commission proposes public health department
	Rory Watson
	BMJ  1999;318:893 [Extract] [Full text] [PDF]

	Outbreak of Japanese encephalitis hits Malaysia
	Adam Easton
	BMJ  1999;318:893 [Extract] [Full text] [PDF]

	Open letter disputes WHO hypertension guidelines
	Richard Woodman
	BMJ  1999;318:893 [Extract] [Full text] [PDF]

	Scientists develop vaccine strategy for peanut allergy
	Scott Gottlieb
	BMJ  1999;318:894 [Extract] [Full text] [PDF]

	UK government announces sex health strategy
	Vicki Madden
	BMJ  1999;318:894 [Extract] [Full text] [PDF]

	Australian hunger strike doctors urged to stop
	Georgina Kenyon
	BMJ  1999;318:894 [Extract] [Full text] [PDF]

	UK proposes preclinical distance learning course
	Tessa Richards
	BMJ  1999;318:895 [Extract] [Full text] [PDF]

	Withdrawal of food supplement judged as misconduct
	Clare Dyer
	BMJ  1999;318:895 [Extract] [Full text] [PDF]

	Health authority appeals on screening negligence
	Clare Dyer
	BMJ  1999;318:895 [Extract] [Full text] [PDF]

	UK specialists urge the setting up of a national screening agency
	Caroline White
	BMJ  1999;318:896 [Extract] [Full text] [PDF]

	Severity of heart attacks in US may be declining
	Fred Charatan
	BMJ  1999;318:896 [Extract] [Full text] [PDF]

	UK consultants act to limit spiralling workload
	Linda Beecham
	BMJ  1999;318:896 [Extract] [Full text] [PDF]

Clinical review

This week's Clinical review

	Fortnightly review: Acute urinary retention in men: an age old problem
	Mark Emberton, Ken Anson
	BMJ  1999;318:921-925 [Extract] [Full text] [PDF] [Request Permissions]

	Lesson of the week: The painful red footinflammation or ischaemia?
	William Humphreys
	BMJ  1999;318:925-926 [Extract] [Full text] [PDF] [Request Permissions]

	ABC of labour care: Relief of pain
	Inger Findley, Geoffrey Chamberlain
	BMJ  1999;318:927-930 [Extract] [Full text] [PDF] [Request Permissions]

General practice

This week's General practice

	Effect of discussion and deliberation on the public's views of priority setting in health care: focus group study
	Paul Dolan, Richard Cookson, Brian Ferguson
	BMJ  1999;318:916-919 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Effect of UK national guidelines on services to treat patients with acute low back pain: follow up questionnaire survey
	A G Barnett, M R Underwood, M R Vickers
	BMJ  1999;318:919-920 [Full text] [PDF] [Request Permissions] FREE

Soundings

This week's Soundings

	Another fine mess
	Liam Farrell
	BMJ  1999;318:951 [Full text] [Request Permissions]

Personal views

This week's Personal views

	Is it part of the locum's job to whistleblow?
	BMJ  1999;318:951 [Full text] [Request Permissions]

Education and debate

This week's Education and debate

	Sexuality and health: the hidden costs of screening for Chlamydia trachomatis
	Barbara Duncan, Graham Hart
	BMJ  1999;318:931-933 [Extract] [Full text] [PDF] [Request Permissions]

	The World Bank and world health: Healthcare strategy
	Kamran Abbasi
	BMJ  1999;318:933-936 [Extract] [Full text] [PDF] [Request Permissions]

Minerva

This week's Minerva

	Minerva
	BMJ  1999;318:952 [Full text] [PDF] [Request Permissions]

Fillers

This week's Fillers

	Endpiece: Science is seldom logical
	James D Watson
	BMJ  1999;318:914 [Extract] [Full text] [Request Permissions]

	One hundred years ago: The doctor in the pulpit
	BMJ  1999;318:914 [Extract] [Full text] [Request Permissions]

	Endpiece: Curing a spasm
	BMJ  1999;318:919 [Extract] [Full text] [Request Permissions]

	Endpiece: Insult to cabbages
	Professor John Carey
	BMJ  1999;318:925 [Extract] [Full text] [Request Permissions]

	Transferring patients: Times have changed
	John H Turney
	BMJ  1999;318:936 [Extract] [Full text] [PDF] [Request Permissions]

Career focus

This week's Career focus

	Cultivating a coaching culture
	Sonia Hutton-Taylor
	BMJ  1999;318:2 [Full text] [Request Permissions] FREE

	Briefing: It is perhaps naive to hold the belief that aid ...
	BMJ  1999;318:3 [Full text] [Request Permissions] FREE

CHOICE

This week's CHOICE

	Screening: from marvel to liability?
	BMJ  1999;318 [Full text] [PDF] [Request Permissions]

MULTIMEDIA

This week's MULTIMEDIA

	Book: Oxford Handbook of Patients' Welfare: A Doctor's Guide to Benefits and Services
	Richard Neal
	BMJ  1999;318:948 [Full text] [PDF] [Request Permissions]

	Book: The Future of Human Reproduction: Ethics, Choice, and Regulation
	Arthur Caplan
	BMJ  1999;318:948 [Full text] [Request Permissions]

	Book: Sexually Transmitted Infections and AIDS in the Tropics
	Gerard van Doornum
	BMJ  1999;318:949 [Full text] [Request Permissions]

	Books: Unauthorized Freud: Doubters Confront A Legend • Freud 2000
	David Healy
	BMJ  1999;318:949 [Full text] [Request Permissions]

	Media: Opening eyes to child abuse
	Harvey Marcovitch
	BMJ  1999;318:950 [Full text] [Request Permissions]

	Website of the Week: www.rights.org/deathnet/open.html
	Douglas Carnall
	BMJ  1999;318:950 [Full text] [Request Permissions]

MEDICOPOLITICAL DIGEST

This week's MEDICOPOLITICAL DIGEST

	Health service in Ulster will be less bureaucratic • There must be "compelling reasons" for trust mergers • Passive smoking affects babies' and children's health • NHSE agrees to negotiate over millennium pay
	BMJ  1999;318:947 [Full text] [PDF] [Request Permissions]

Obituaries

This week's Obituaries

	Michael Bertrand Devas • Thomas Patterson Scade Frew • Adnan Sabih Jamil • Robert Leonard McMillan • Julian Vahrman
	R E Irvine, James Frew, A A A Bajalan, Peter Stuart, Clare Vahrman
	BMJ  1999;318:946 [Extract] [Full text]

Papers

This week's Papers

	Twins and maternal smoking: ordeals for the fetal origins hypothesis? A cohort study
	Sheila Williams, Richie Poulton
	BMJ  1999;318:897 [Abstract] [Full text] [PDF] [Request Permissions] [extra: abridged version] FREE

	Multicentre randomised controlled trial of nursing intervention for breathlessness in patients with lung cancer
	Mary Bredin, Jessica Corner, Meinir Krishnasamy, Hilary Plant, Chris Bailey, Roger A'Hern
	BMJ  1999;318:901 [Abstract] [Full text] [PDF] [Request Permissions] [extra: abridged verison] FREE

	Effect of screening on incidence of and mortality from cancer of cervix in England: evaluation based on routinely collected statistics
	Mike Quinn, Penny Babb, Jennifer Jones, Elizabeth Allen
	BMJ  1999;318:904 [Abstract] [Full text] [PDF] [Request Permissions] [extra: abridged version] FREE

	Narrowing social inequalities in health? Analysis of trends in mortality among babies of lone mothers
	Margaret Whitehead, Frances Drever
	BMJ  1999;318:908 [Abstract] [Full text] [PDF] [Request Permissions] [extra: abridged version 1][extra: abridged version 2] FREE

	Social inequalities and health: ecological study of mortality in Budapest, 1980-3 and 1990-3
	P Józan, D P Forster
	BMJ  1999;318:914-915 [Extract] [Full text] [PDF] [Request Permissions] FREE

Career focus

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

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eBMJ -- Honey, I shrunk the articles [Full text]

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