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24 April 1999 (Vol 318, No 7191)
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This week's This week in the BMJ
Fluids and inotropes reduce the risk of major elective surgery [Full text] FREE
Still no final decision on best immunosuppressant after kidney transplantation [Full text] FREE
Frail elderly people have a spectrum of needs [Full text] FREE
Including a placebo arm in a trial is likely to reduce recruitment [Full text] FREE
Racist patients present a dilemma for healthcare workers [Full text] FREE

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This week's Editorials

Reducing the risk of major elective surgery
Tom Treasure, David Bennett
BMJ  1999;318:1087-1088
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Managing atrial fibrillation in elderly people
Kate M English, Kevin S Channer
BMJ  1999;318:1088-1089
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Independent inquiries into homicide
Alec Buchanan
BMJ  1999;318:1089-1090
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Managing chronic disease
Ronald M Davis, Edward H Wagner, Trish Groves
BMJ  1999;318:1090-1091
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New Labour and the NHS
Chris Ham
BMJ  1999;318:1092
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This week's Letters

Children poisoned with illegal drugs in Glasgow
Jack Beattie
BMJ  1999;318:1137
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Safety and effectiveness of nurse telephone consultation in out of hours primary care
Vikram Tanna, Kate Blackmore, Louise Dodd, Samantha Twist, Steve George, Val Lattimer
BMJ  1999;318:1137
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Clinical trials
David Barer, José Antonio Sacristán, Inès Galende
BMJ  1999;318:1138
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Prescribing antibiotics for sore throats
Morten Lindbaek
BMJ  1999;318:1138
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Prophylaxis against malaria
David N Durrheim, Peter A Leggat, Andrew Jamieson, Ashley M Croft, Dominic P Whitehouse
BMJ  1999;318:1139
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National code of marketing of formula milks is not properly enforced in Sri Lanka
Terence Perera
BMJ  1999;318:1140
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Cholesterol screening and management guidelines
Sudha Bulusu, Lawrence E Ramsay, E J Wallis, I U Haq, P R Jackson, W W Yeo
BMJ  1999;318:1140
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Effects of NSAIDs on bone healing have been widely reported in maxillofacial journals
Daryl Godden
BMJ  1999;318:1141
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People are "participants" in research
Iain Chalmers, William Jackson, David Carvel
BMJ  1999;318:1141
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Reporting on quality of life in RCTs
Susan P Wright, Olivier Chassany, Jean François Bergmann, Charles Caulin
BMJ  1999;318:1142
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Drug misuse stems from a person's autonomy to choose
J M Hall
BMJ  1999;318:1142
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Dutch system of peer review is different and effective
Peter Bourdillon
BMJ  1999;318:1143
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South African government's response to AIDS crisis is sound
Udo Schuklenk
BMJ  1999;318:1143
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ECT was never used indiscriminately in early treatment of shell shock
Alex Baker
BMJ  1999;318:1143
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Value of educational visits in obstetrics
Jane Pannikar, Andrew Farkas, Richard Edmondson, Philip Banfield
BMJ  1999;318:1143
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Having non-medical readers of papers on internet will enhance peer review
Paul Whatling
BMJ  1999;318:1144
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Population figures for capitation formulas need to be designed differently
Roy Carr-Hill, David Roberts
BMJ  1999;318:1145
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Reviews have to be fair and unbiased
Joseph J Y Sung, Philip K T Li, John E Sanderson, Jean Woo
BMJ  1999;318:1145
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Medical student electives and infectious diseases
Jeanette Meadway, Stephen T Green
BMJ  1999;318:1145
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Early discharge after surgery for breast cancer
Diana Harcourt, Simon Cawthorn, Nicholas Ambler, Nichola Rumsey
BMJ  1999;318:1146
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The introduction of walk in health centres---the end of general practice?
Shaun O'Connell
BMJ  1999;318:1146
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This week's News

Wellcome Trust and drug giants fund gene marker database
Richard Woodman
BMJ  1999;318:1093
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Bone marrow transplants do not help in breast cancer
by Scott Gottlieb
BMJ  1999;318:1093
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In brief
BMJ  1999;318:1094
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An egg a day is not harmful
Janice Hopkins Tanne
BMJ  1999;318:1094
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Former JAMA editor starts electronic journal
Janice Hopkins Tanne
BMJ  1999;318:1094
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Controversy rekindled over pill and risk of breast cancer
Richard Woodman
BMJ  1999;318:1095
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GP on trial for murder
Clare Dyer
BMJ  1999;318:1095
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Patients say the NHS is ageist
Linda Beecham
BMJ  1999;318:1095
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US trial of gene therapy for cystic fibrosis
Janice Hopkins Tanne
BMJ  1999;318:1096
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World Medical Association opposes Icelandic gene database
Nigel Duncan
BMJ  1999;318:1096
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NHS to target smokers
John Warden
BMJ  1999;318:1096
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Call for international community to protect children in Kosovo
Negin Shamsian
BMJ  1999;318:1097
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Trusts are failing to check on locums
Douglas Carnall
BMJ  1999;318:1097
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NHS Direct will cover England by end of 2000
Linda Beecham
BMJ  1999;318:1097
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Survey shows haphazard provision of UK stroke services
Mark Pownall
BMJ  1999;318:1098
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No extra government funding for NHS staff over millennium period
Caroline White
BMJ  1999;318:1098
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Hospital meals should be part of clinical care
Annabel Ferriman
BMJ  1999;318:1098
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This week's News extra

Avian flu returns to Hong Kong
Joanne McManus
BMJ  1999;318:1098
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Women with heart failure survive longer than men
Xavier Bosch
BMJ  1999;318:1098
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This week's Clinical review

Science, medicine, and the future: Motor neurone disease
Pamela J Shaw
BMJ  1999;318:1118-1121
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Evidence based case report: Low back pain: which is the best way forward?
Ash Samanta, Jo Beardsley
BMJ  1999;318:1122-1123
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ABC of labour care: Labour in special circumstances
Geoffrey Chamberlain, Philip Steer
BMJ  1999;318:1124-1127
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Lesson of the week: When "NAI" means not actually injured
Clifford Mayes, Calum Macleod
BMJ  1999;318:1127-1128
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This week's General practice

Is recruitment more difficult with a placebo arm in randomised controlled trials? A quasirandomised, interview based study
A J Welton, M R Vickers, J A Cooper, T W Meade, T M Marteau
BMJ  1999;318:1114-1117
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This week's Soundings

Premedical science
George Dunea
BMJ  1999;318:1153
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This week's Personal views

There are ethical issues in ophthalmology
M P Clarke
BMJ  1999;318:1153
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This week's Education and debate

Ethical dilemma: Dealing with racist patients Doctors are people too Commentary: A role for personal values ... and management Commentary: Isolate the problem Commentary: Courteous containment is not enough
Mary Selby, Julia Neuberger, Charles Easmon, Pippa Gough
BMJ  1999;318:1129-1131
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The World Bank and world health: Focus on South Asia---II: India and Pakistan
Kamran Abbasi
BMJ  1999;318:1132-1135
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Economics notes: Definitions of efficiency
Stephen Palmer, David J Torgerson
BMJ  1999;318:1136
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This week's Minerva

Minerva
BMJ  1999;318:1154
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This week's Fillers

One hundred years ago: Mark Twain on Christian Science
BMJ  1999;318:1113
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Endpiece: A man's best friend
Attributed to Groucho Marx
BMJ  1999;318:1113
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Endpiece: Prejudices
Albert Einstein
BMJ  1999;318:1113
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Victorian medicine: Our grandfather's patient
Geoffrey Russell Steele Grogono, Basil John Steele Grogono
BMJ  1999;318:1117
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Give a remedy a thorough trial
Submitted by J H Baron
BMJ  1999;318:1121
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One hundred years ago: Special correspondence: Berlin
BMJ  1999;318:1124
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A salutary lesson: Patients sometimes behave like our Snoopy
Tony Fox
BMJ  1999;318:1131
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This week's Career focus

Doing research
David Pencheon
BMJ  1999;318:2
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Briefing: It was Human Resource and Development week last week, and ...
BMJ  1999;318:3
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Briefing: Non-principal GPs are disenfranchised from many of the processes of ...
BMJ  1999;318:3a
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This week's CHOICE

Managing chronic disease
BMJ  1999;318
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This week's CHOICE GP

Managing chronic disease
BMJ  1999;318
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This week's MULTIMEDIA

Book: Evidence-Based Practice in Primary Care
Tom Fahey
BMJ  1999;318:1150
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Book: Science Incarnate: Historical Embodiments of Natural Knowledge
David Armstrong
BMJ  1999;318:1150
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TV: Prime time torture
Kerri Sherlock, Barbara Ayotte
BMJ  1999;318:1151
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TV: Turning off the television
Miriam E Bar-on
BMJ  1999;318:1152
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Website of the week: web.ukonline.co.uk/members/n.robinson/NHS_direct/NHSD.htm
Douglas Carnall
BMJ  1999;318:1152
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This week's MEDICOPOLITICAL DIGEST

GPs want walk in centres piloted properly Junior doctors call for health tax BMA receives assurances on Health Bill
BMJ  1999;318:1149
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This week's Obituaries

John Bullough John Cramsie Camac Anne Kirkman Collins Elizabeth Mary Curry (née Tuck) Christopher John Day Hubert Crayden Edmunds Stuart Crisp Farman Anthony Hargreaves Sidney Lee Charles Lennox Ogilvy Macalister Kenneth William Hand Browning McAlpine Ridley Scott Pronob Kumar Thakur Wilfred Robert Trotter
Regina Bullough, Selwyn H Goodacre, Lindy Cartner, Cath Chapman, Chris Oates, Hilary Enevoldson, Eric K Gardner, E M Edmunds, O C Wetherell, J E O'Connor, Frula Shear, K R Peel, George Bigley, Virginia van Haga, Veronica Thakur, E J Ross, Margaret E Morgans
BMJ  1999;318:1147
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This week's Papers

Reducing the risk of major elective surgery: randomised controlled trial of preoperative optimisation of oxygen delivery
Jonathan Wilson, Ian Woods, Jayne Fawcett, Rebecca Whall, Wendy Dibb, Chris Morris, Elizabeth McManus
BMJ  1999;318:1099-1103
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Tacrolimus versus cyclosporin for immunosuppression in renal transplantation: meta-analysis of randomised trials
Greg A Knoll, Robert C Bell
BMJ  1999;318:1104-1107
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Profile of disability in elderly people: estimates from a longitudinal population study
BMJ  1999;318:1108-1111
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Immunisation of infants at risk of perinatal transmission of hepatitis B: retrospective audit of vaccine uptake
Diane E Wallis, Elizabeth H Boxall
BMJ  1999;318:1112-1113
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Drug points: Cyclosporin neurotoxicity after chemotherapy
Deborah A Tweddle, Kevin P Windebank, Quentin Campbell Hewson, S Murray Yule
BMJ  1999;318:1113
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