This week's This week in the BMJ

	Terbinafine is best treatment for fungal nail infection [Full text] FREE

	Chlamydia pneumoniae antibodies may predict fatal heart disease [Full text] FREE

	Adrenaline prevents acute adverse reactions to antivenom after snake bite [Full text] FREE

	No increase in mortality found among occupations exposed to BSE [Full text] FREE

	National surveillance misses most infectious intestinal disease [Full text] FREE

	Clinical genetics should not impose a younger age limit on testing [Full text] FREE

Editorials

This week's Editorials

	Tuberous sclerosis
	Finbar J K O'Callaghan
	BMJ  1999;318:1019-1020 [Extract] [Full text] [PDF] [Request Permissions]

	Tackling health inequalities in primary care
	Liam Smeeth, Iona Heath
	BMJ  1999;318:1020-1021 [Extract] [Full text] [PDF] [Request Permissions]

	Reconstruction of dislocated hips in children with cerebral palsy
	J D Spencer
	BMJ  1999;318:1021-1022 [Extract] [Full text] [PDF] [Request Permissions]

	Improving the training of SHOs
	Elisabeth Paice, Peter Leaver
	BMJ  1999;318:1022-1023 [Extract] [Full text] [PDF] [Request Permissions]

	Do dietary lectins cause disease?
	David L J Freed
	BMJ  1999;318:1023-1024 [Extract] [Full text] [PDF] [Request Permissions]

Letters

This week's Letters

	Should women who elect to have caesarean sections pay for them?
	I Z MacKenzie
	BMJ  1999;318:1070 [Extract] [Full text] [Request Permissions]

	Is general practice in need of a career structure?
	Murray Lough, Moya Kelly, Stuart Murray, Rob Walter, Liam Smeeth, Jamie Harrison, Tim van Zwanenberg, Peter Bundred, Trevor Gibbs, Matthew J Thompson, Shake Seigel
	BMJ  1999;318:1070 [Extract] [Full text] [Request Permissions]

	Effects of the Heartbeat Wales programme
	Simon Capewell, James McEwen, James Dunbar, Pekka Puska, Don Nutbeam, Laurence Moore
	BMJ  1999;318:1072 [Extract] [Full text] [Request Permissions]

	The Di Bella multitherapy trial
	Alessandro Liberati, Nicola Magrini, Lucio Patoia, Luigi Pagliaro, R Raschetti, D Greco, F Menniti-Ippolito, S Spila-Alegiani, G Traversa, G Benagiano, P Bruzzi, Marcus Müllner, Stephen J W Evans
	BMJ  1999;318:1073 [Extract] [Full text] [Request Permissions]

	Randomised controlled trials are important
	Geoff Venning
	BMJ  1999;318:1074 [Extract] [Full text] [Request Permissions]

	Height and risk of cancer
	Mark McCarthy, David J Gunnell, George Davey Smith, Jeff M P Holly, Stephen Frankel, Martin Shipley, David A Leon
	BMJ  1999;318:1074 [Extract] [Full text] [Request Permissions]

	Practical problems in recruiting patients with schizophrenia into randomised controlled trials
	Helen Lester, Sue Wilson
	BMJ  1999;318:1075 [Extract] [Full text] [Request Permissions]

	Employing staff on long term contracts is important for RCTs
	Maxine Stead, Su Mason, Trish Shevlin, Julia Brown
	BMJ  1999;318:1075 [Extract] [Full text] [Request Permissions]

	Bullied children are picked on for their vulnerability
	Sonya Leff
	BMJ  1999;318:1076 [Extract] [Full text] [Request Permissions]

	More financial resources must be provided for multidrug resistant TB
	Matthias L Schmid, Michael W McKendrick, Stephen T Green, Elisabeth J Ridgway
	BMJ  1999;318:1076 [Extract] [Full text] [Request Permissions]

	Some growth promoters in animals do confer antimicrobial resistance in humans
	K B Pedersen
	BMJ  1999;318:1076 [Extract] [Full text] [Request Permissions]

	Hyperbaric oxygen therapy
	Charlotte Coles, Michael Williams, Neil Burnet, Barbara E Trytko, Mike Bennett, Richard Leach, Peter Wilmshurst
	BMJ  1999;318:1076 [Extract] [Full text] [Request Permissions]

	Many manoeuvres with yo yos can be dangerous to teeth
	William Cooper, Elizabeth Cooper, Graham Cooper
	BMJ  1999;318:1078 [Extract] [Full text] [Request Permissions]

	Ingestion of mouthwash by children
	Tamsin Wade, Alison Gammon, Marion Kelly
	BMJ  1999;318:1078 [Extract] [Full text] [Request Permissions]

News

This week's News

	Ireland announces national breast screening programme
	Doug Payne
	BMJ  1999;318:1025 [Extract] [Full text] [PDF]

	US couple files malpractice lawsuit against doctor for embryo mix up
	Scott Gottlieb
	BMJ  1999;318:1025 [Extract] [Full text] [PDF]

	First clinical performance indicators for Wales show wide variation
	Roger Dobson
	BMJ  1999;318:1026 [Extract] [Full text] [PDF]

	Department of Health changes advice on third generation pills
	Susan Mayor
	BMJ  1999;318:1026 [Extract] [Full text] [PDF]

	Tobacco memos reveal efforts to disrupt smoking cessation
	Simon Chapman
	BMJ  1999;318:1026 [Extract] [Full text] [PDF]

	Spain launches campaign to stop health professionals smoking
	Xavier Bosch
	BMJ  1999;318:1027 [Extract] [Full text] [PDF]

	Ovarian cancer screening may increase survival
	Richard Woodman
	BMJ  1999;318:1027 [Extract] [Full text] [PDF]

	Researchers find genetic basis for susceptibility to mycobacteria
	Deborah Josefson
	BMJ  1999;318:1027 [Extract] [Full text] [PDF]

	Kosovo refugees spared epidemics so far
	James Ciment
	BMJ  1999;318:1028 [Extract] [Full text] [PDF]

	NHS "cannot cope," says Tory
	John Warden
	BMJ  1999;318:1028 [Extract] [Full text] [PDF]

	Long term displacement raises new health needs
	BMJ  1999;318:1029 [Extract] [Full text] [PDF]

	Free eye tests introduced for people over 60 in England and Wales
	Mark Pownall
	BMJ  1999;318:1030 [Extract] [Full text] [PDF]

	Health project targets women and children in Indonesia
	Adam Easton
	BMJ  1999;318:1030 [Extract] [Full text] [PDF]

	Endostatin may stop the progression of atherosclerosis
	Scott Gottlieb
	BMJ  1999;318:1030 [Extract] [Full text] [PDF]

News extra [these stories appear only on the web]

This week's News extra

	Research clarifies potential role of oestrogen in brain activity associated with memory
	Scott Gottlieb
	BMJ  1999;318:1030 [Extract] [Full text]

Clinical review

This week's Clinical review

	Fortnightly review: Oral cancer
	Joanna M Zakrzewska
	BMJ  1999;318:1051-1054 [Extract] [Full text] [PDF] [Request Permissions]

	Lesson of the week: Orbital trauma: do not blow your nose
	G N Shuttleworth, D B David, M J Potts, C N Bell, P G Guest
	BMJ  1999;318:1054-1055 [Extract] [Full text] [PDF] [Request Permissions]

	Evidence based case report: Use of prostaglandins to induce labour in women with a caesarean section scar
	Sarah Vause, Mary Macintosh
	BMJ  1999;318:1056-1058 [Extract] [Full text] [PDF] [Request Permissions]

	ABC of labour care: Preterm labour and premature rupture of membranes
	Philip Steer, Caroline Flint
	BMJ  1999;318:1059-1062 [Extract] [Full text] [PDF] [Request Permissions]

General practice

This week's General practice

	Study of infectious intestinal disease in England: rates in the community, presenting to general practice, and reported to national surveillance
	Jeremy G Wheeler, Dinesh Sethi, John M Cowden, Patrick G Wall, Laura C Rodrigues, David S Tompkins, Michael J Hudson, Paul J Roderick
	BMJ  1999;318:1046-1050 [Abstract] [Full text] [PDF] [Request Permissions] FREE

Soundings

This week's Soundings

	All change
	Colin Douglas
	BMJ  1999;318:1085 [Full text] [Request Permissions]

Personal views

This week's Personal views

	Will clinical governance make a difference?
	David R Sandeman
	BMJ  1999;318:1085 [Full text] [Request Permissions]

Education and debate

This week's Education and debate

	Can children and young people consent to be tested for adult onset genetic disorders? • Commentary: Weighing burdens and benefits rather than competence
	Donna L Dickenson, Gail Geller
	BMJ  1999;318:1063-1066 [Extract] [Full text] [PDF] [Request Permissions]

	The World Bank and world health: Focus on South AsiaI: Bangladesh
	Kamran Abbasi
	BMJ  1999;318:1066-1069 [Extract] [Full text] [PDF] [Request Permissions]

Reviews

This week's Reviews

	Bookcase
	Christopher Martyn
	BMJ  1999;318:1083 [Extract] [Full text] [Request Permissions]

Minerva

This week's Minerva

	Minerva
	BMJ  1999;318:1086 [Full text] [PDF] [Request Permissions]

Fillers

This week's Fillers

	A memorable patient: You can but try
	Paul C Nolan
	BMJ  1999;318:1050 [Extract] [Full text] [PDF] [Request Permissions]

	One hundred years ago: Illegal practice of medicine by an M.D.
	BMJ  1999;318:1056 [Extract] [Full text] [Request Permissions]

Corrections

This week's Corrections

	Only half of GPs in study knew that advance directives carry legal force in UK
	BMJ  1999;318:1040 [Full text] [Request Permissions] FREE

	When I use a word: Homogenous/homogeneous
	BMJ  1999;318:1040 [Full text] [Request Permissions] FREE

	Communicating risk reductions
	BMJ  1999;318:1040 [Full text] [Request Permissions] FREE

Career focus

This week's Career focus

	Taking a holiday
	William Sellar
	BMJ  1999;318:2 [Full text] [Request Permissions] FREE

	Briefing: The Standing Committee on Postgraduate Medical and Dental Education is ...
	BMJ  1999;318:3 [Full text] [Request Permissions] FREE

	Briefing: Multiprofessional working and learning is dreadful jargon, but achieving it ...
	BMJ  1999;318:3a [Full text] [Request Permissions] FREE

	Briefing: Assessing and managing the risk of violence to staff is ...
	BMJ  1999;318:3b [Full text] [Request Permissions] FREE

CHOICE

This week's CHOICE

	Learning from history?
	BMJ  1999;318 [Full text] [PDF] [Request Permissions]

MULTIMEDIA

This week's MULTIMEDIA

	Book: RationingTalk and Action in Health Care
	Graham Winyard
	BMJ  1999;318:1082 [Full text] [PDF] [Request Permissions]

	Book: American Surgery, An Illustrated History
	William Stoney
	BMJ  1999;318:1082 [Full text] [Request Permissions]

	Book: Health, Civilization and the State: A History of Public Health From Ancient to Modern Times
	Johan P Mackenbach
	BMJ  1999;318:1083 [Full text] [Request Permissions]

	TV: A prayer from the dying
	Jeremy Anderson
	BMJ  1999;318:1084 [Full text] [Request Permissions]

	Website of the week: www.Bristol-Inquiry.org.uk
	Douglas Carnall
	BMJ  1999;318:1084 [Full text] [Request Permissions]

MEDICOPOLITICAL DIGEST

This week's MEDICOPOLITICAL DIGEST

	Consultants receive guidance on clinical governance • The young should be protected from alcohol dangers • Scottish juniors resume talks on hours of work • NHSE will issue circular on working time directive • Family doctors will now be in the driving seat
	BMJ  1999;318:1081 [Full text] [PDF] [Request Permissions]

Obituaries

This week's Obituaries

	Robert Bransby Zachary • Thomas Anderson • Harold Kennedy ("Dag") Beardwood • Helen Cochrane • Joan Cooper • Harold Handel • Kenneth John Hinton Mallett • Frank William Nash • Henry Gordon Smylie • James Trower Sweetnam • Gerald Hedley Ellis Woodbine
	Lewis Spitz, Patricia Daymond, Peter McWilliam, A Lacey, Jean Horton, Aileen Adams, Gerald Keen, C G Woodruff, Geoffrey Hatcher, Keith Lovel, Iain D Levack, T Hugh Pennington, Christopher Sweetnam, Jill Temple, R D Lee
	BMJ  1999;318:1079 [Extract] [Full text]

Papers

This week's Papers

	Double blind, randomised study of continuous terbinafine compared with intermittent itraconazole in treatment of toenail onychomycosis
	E Glyn V Evans, Bárdur Sigurgeirsson
	BMJ  1999;318:1031-1035 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Relation of Chlamydia pneumoniae serology to mortality and incidence of ischaemic heart disease over 13 years in the Caerphilly prospective heart disease study • Commentary: Chlamydia pneumoniae infection and ischaemic heart disease
	David P Strachan, David Carrington, Michael A Mendall, Lydia Ballam, Julia Morris, Barbara K Butland, Peter M Sweetnam, Peter C Elwood, Robert R West
	BMJ  1999;318:1035-1040 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Low dose subcutaneous adrenaline to prevent acute adverse reactions to antivenom serum in people bitten by snakes: randomised, placebo controlled trial
	A P Premawardhena, C E de Silva, M M D Fonseka, S B Gunatilake, H J de Silva
	BMJ  1999;318:1041-1043 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Mortality from dementia in occupations at risk of exposure to bovine spongiform encephalopathy: analysis of death registrations • Commentary: Uncertainty over length of incubation tempers optimism
	Paul Aylin, Julia Bunting, Bianca De Stavola, Michel P Coleman, Annick Alpérovitch
	BMJ  1999;318:1044-1045 [Extract] [Full text] [PDF] [Request Permissions] FREE

Career focus

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

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