This week's This week in the BMJ

	Mental health services should aim to improve safety [Full text] FREE

	Cervical screening is probably responsible for reducing deaths [Full text] FREE

	Educational package changed management of menorrhagia in primary care [Full text] FREE

	Asthma resource centre did not improve management of asthma [Full text] FREE

	Educational interventions can be evaluated [Full text] FREE

	CME in primary care can make a difference [Full text] FREE

Editorials

This week's Editorials

	Time for evidence based medical education
	Stewart Petersen
	BMJ  1999;318:1223-1224 [Extract] [Full text] [PDF] [Request Permissions]

	The case for structuring the discussion of scientific papers
	Michael Docherty, Richard Smith
	BMJ  1999;318:1224-1225 [Extract] [Full text] [PDF] [Request Permissions]

	Suicide and homicide by people with mental illness
	John Geddes
	BMJ  1999;318:1225-1226 [Extract] [Full text] [PDF] [Request Permissions]

	Management of pituitary tumours
	John S Bevan
	BMJ  1999;318:1226-1227 [Extract] [Full text] [PDF] [Request Permissions]

	Chronic pelvic pain syndrome
	Graz Luzzi, Michael O'Leary
	BMJ  1999;318:1227-1228 [Extract] [Full text] [PDF] [Request Permissions]

Letters

This week's Letters

	Genetically modified foods and the Pusztai affair
	Jonathan M Rhodes
	BMJ  1999;318:1284 [Extract] [Full text] [Request Permissions]

	Vitamin D deficiency
	C H Cheetham, Rosemarie Freaney, Malachi J McKenna, Lina Nashef, Edmund Lamb, J E Compston
	BMJ  1999;318:1284 [Extract] [Full text] [Request Permissions]

	Medical rules are needed in marathons in the United Kingdom
	Phillip Loyley, Pauline Loyley
	BMJ  1999;318:1285 [Extract] [Full text] [Request Permissions]

	Pseudo-EBM-ers have their own lexicon
	Sam Shortt
	BMJ  1999;318:1286 [Extract] [Full text] [Request Permissions]

	Pregnancy does not mean that patients with tuberculosis must stop treatment
	Graham Bothamley, Will Elston
	BMJ  1999;318:1286 [Extract] [Full text] [Request Permissions]

	Cluster randomised trials
	Nick Freemantle, John Wood, Marion K Campbell, Jeremy M Grimshaw
	BMJ  1999;318:1286 [Extract] [Full text] [Request Permissions]

	Areca nuts can have deleterious effects
	Chetan Trivedy, Saman Warnakulasuriya, Timothy J Peters
	BMJ  1999;318:1287 [Extract] [Full text] [Request Permissions]

	Fractures of the thoracolumbar spine in major trauma patients
	Ray McGlone, Sarah Walters
	BMJ  1999;318:1287 [Extract] [Full text] [Request Permissions]

	Evidence does not exist that dyspepsia heralds gastric cancer in its earliest stage
	Thomas S Low-Beer
	BMJ  1999;318:1288 [Extract] [Full text] [Request Permissions]

	Adjusting for multiple testing in studies is less important than other concerns
	Thomas V Perneger
	BMJ  1999;318:1288 [Extract] [Full text] [Request Permissions]

	Cited studies did not show relation between maternal anxiety and birth weight
	Michael Perkin
	BMJ  1999;318:1288 [Extract] [Full text] [Request Permissions]

	Inclusive questions are needed when taking a sexual history
	Peter Meacher
	BMJ  1999;318:1289 [Extract] [Full text] [Request Permissions]

	Drugs for epilepsy have teratogenic risks
	Elisabeth M Rosser, Louise C Wilson
	BMJ  1999;318:1289 [Extract] [Full text] [Request Permissions]

	Alcohol intake and cancer of the upper digestive tract
	Carlo La Vecchia, Silvia Franceschi, Adriano Favero, Renato Talamini, Eva Negri, K K Cheng, C Cummins, R Maric, Vaughan Reed, Rebecca Fitzgerald, Christine Caygill, Morten Grønbæk, Thorkild I A Sørensen
	BMJ  1999;318:1289 [Extract] [Full text] [Request Permissions]

	Meeting the healthcare needs of refugees and asylum seekers
	David Barr, J B Ashton
	BMJ  1999;318:1291 [Extract] [Full text] [Request Permissions]

News

This week's News

	UK lags behind in fight against heart disease
	Benjamin Hope
	BMJ  1999;318:1229 [Extract] [Full text] [PDF]

	Ethnic Albanian doctor abducted from her home in Kosovo
	Benjamin Hope
	BMJ  1999;318:1229 [Extract] [Full text] [PDF]

	In brief
	BMJ  1999;318:1230 [Extract] [Full text] [PDF]

	GMC advises trusts on governance
	John Warden
	BMJ  1999;318:1230 [Extract] [Full text] [PDF]

	Cloning may cause health defects
	Judy Jones
	BMJ  1999;318:1230 [Extract] [Full text] [PDF]

	Reform at WHO is too slow, say critics
	Phyllida Brown
	BMJ  1999;318:1231 [Extract] [Full text] [PDF]

	Some HIV patients can stop taking prophylaxis against infections
	Scott Gottlieb
	BMJ  1999;318:1231 [Extract] [Full text] [PDF]

	Thousands of smear tests reviewed
	Doug Payne
	BMJ  1999;318:1231 [Extract] [Full text] [PDF]

	Fee for service doctors dispense more antibiotics in Canada
	Greg Basky
	BMJ  1999;318:1232 [Extract] [Full text] [PDF]

	Germany fails to introduce drugs "blacklist"
	Annette Tuffs
	BMJ  1999;318:1232 [Extract] [Full text] [PDF]

	New virus is identified in Malaysia epidemic
	Adam Easton
	BMJ  1999;318:1232 [Extract] [Full text] [PDF]

	Australian army infected troops and internees in second world war
	Georgina Kenyon
	BMJ  1999;318:1233 [Extract] [Full text] [PDF]

	US conference looks at improving patient safety
	Norra MacReady
	BMJ  1999;318:1233 [Extract] [Full text] [PDF]

	Dutch minister warns that illegal immigrants must receive care
	Tony Sheldon
	BMJ  1999;318:1234 [Extract] [Full text] [PDF]

	EU tackles pollution related illness
	Rory Watson
	BMJ  1999;318:1234 [Extract] [Full text] [PDF]

	European network for patients' rights set up
	Tessa Richards
	BMJ  1999;318:1234 [Extract] [Full text] [PDF]

Clinical review

This week's Clinical review

	Recent advances: Hepatology
	M McCarthy, M L Wilkinson
	BMJ  1999;318:1256-1259 [Extract] [Full text] [PDF] [Request Permissions]

	ABC of labour care: Operative delivery
	Geoffrey Chamberlain, Philip Steer
	BMJ  1999;318:1260-1264 [Extract] [Full text] [PDF] [Request Permissions]

General practice

This week's General practice

	Randomised controlled trial of educational package on management of menorrhagia in primary care: the Anglia menorrhagia education study
	Guy R K Fender, Andrew Prentice, Tess Gorst, Richard M Nixon, Stephen W Duffy, Nicholas E Day, Stephen K Smith
	BMJ  1999;318:1246-1250 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Clustered randomised trial of an intervention to improve the management of asthma: Greenwich asthma study
	U N Premaratne, J A C Sterne, G B Marks, J R Webb, H Azima, P G J Burney
	BMJ  1999;318:1251-1255 [Abstract] [Full text] [PDF] [Request Permissions] [extra: Sample size calculation] FREE

Soundings

This week's Soundings

	... a joy forever
	Liam Farrell
	BMJ  1999;318:1297 [Full text] [Request Permissions]

Personal views

This week's Personal views

	I don't believe in excellence
	BMJ  1999;318:1297 [Full text] [Request Permissions]

Education and debate

This week's Education and debate

	Guidelines for evaluating papers on educational interventions
	Education Group for Guidelines on Evaluation
	BMJ  1999;318:1265-1267 [Extract] [Full text] [PDF] [Request Permissions]

	Evaluating and researching the effectiveness of educational interventions
	Linda Hutchinson
	BMJ  1999;318:1267-1269 [Extract] [Full text] [PDF] [Request Permissions]

	Evaluating educational interventions
	M Wilkes, J Bligh
	BMJ  1999;318:1269-1272 [Extract] [Full text] [PDF] [Request Permissions]

	Trend spotting: fashions in medical education
	Joseph K Campbell, Cindy Johnson
	BMJ  1999;318:1272-1275 [Extract] [Full text] [PDF] [Request Permissions]

	Does continuing medical education in general practice make a difference?
	Peter Cantillon, Roger Jones
	BMJ  1999;318:1276-1279 [Extract] [Full text] [PDF] [Request Permissions]

	Learner centred approaches in medical education
	John A Spencer, Reg K Jordan
	BMJ  1999;318:1280-1283 [Extract] [Full text] [PDF] [Request Permissions]

Minerva

This week's Minerva

	Minerva
	BMJ  1999;318:1298 [Full text] [PDF] [Request Permissions]

Fillers

This week's Fillers

	A valuable lesson: Always check the x ray film
	Rashid N Siddiqui
	BMJ  1999;318:1239 [Extract] [Full text] [PDF] [Request Permissions]

	My elective: The silent sentinels
	David Cummins
	BMJ  1999;318:1245 [Extract] [Full text] [PDF] [Request Permissions]

	Endpiece: For a fee
	BMJ  1999;318:1251 [Extract] [Full text] [Request Permissions]

	Endpiece: Gender
	BMJ  1999;318:1251 [Extract] [Full text] [Request Permissions]

	Endpiece: Umpire needed
	Alexander Pope
	BMJ  1999;318:1280 [Extract] [Full text] [Request Permissions]

	Email submissions from outside the United Kingdom
	BMJ  1999;318:1280 [Extract] [Full text] [Request Permissions]

Career focus

This week's Career focus

	Choosing a career
	John Bache
	BMJ  1999;318:2 [Full text] [Request Permissions] FREE

	Briefing: Cracks are appearing in the Australian plan to be ...
	BMJ  1999;318:3 [Full text] [Request Permissions] FREE

	Briefing: Having a portfolio career is a vogue concept, but it ...
	BMJ  1999;318:3a [Full text] [Request Permissions] FREE

	Briefing: The web archive of Career focus has become an extensive ...
	BMJ  1999;318:3b [Full text] [Request Permissions] FREE

	Briefing: Cognitive behavioural therapy was ignored EDITOR- The recent article on ...
	BMJ  1999;318:3c [Full text] [Request Permissions] FREE

CHOICE

This week's CHOICE

	"I don't know": the three most important words in education
	BMJ  1999;318 [Full text] [PDF] [Request Permissions] [extra: Paradigms in learning]

NETLINES

This week's NETLINES

	Netlines
	Harry Brown
	BMJ  1999;318:1295 [Full text] [Request Permissions]

CHOICE GP

This week's CHOICE GP

	"I don't know": the three most important words in education
	BMJ  1999;318 [Full text] [Request Permissions] [extra: Paradigms in learning]

MULTIMEDIA

This week's MULTIMEDIA

	Book: Forensic Sciences in Clinical Medicine: A Case Study Approach
	Kevin Hollowood, Deborah Rogers
	BMJ  1999;318:1294 [Full text] [PDF] [Request Permissions]

	Book: Guns, Germs and Steel: A Short History of Everybody for the Last 13,000 Years
	Alex Brooks
	BMJ  1999;318:1294 [Full text] [Request Permissions]

	Book: War and Public Health
	Anthony Zwi
	BMJ  1999;318:1295 [Full text] [Request Permissions]

	Media: "Don't smoke," buy Marlboro
	William D Novelli
	BMJ  1999;318:1296 [Full text] [Request Permissions]

	Website of the week: http://www.monash.edu.au/inforatics/index.htm
	Douglas Carnall
	BMJ  1999;318:1296 [Full text] [Request Permissions]

MEDICOPOLITICAL DIGEST

This week's MEDICOPOLITICAL DIGEST

	BMA launches consultation on Helsinki Declaration • Accident departments are not used properly • PCGs and PCTs will have advantages • Health secretary asked to look at workforce crisis • Managed clinical networks move ahead in Scotland
	BMJ  1999;318:1293 [Full text] [PDF] [Request Permissions]

Obituaries

This week's Obituaries

	Henry Taylor Howatt • John Erskine Malcolm • Ronald George Milne • William Francis O'Dwyer • Jeffrey Richard Scholey
	R Holmes, Alexandra Hardie, James McG Imray, H E Counihan
	BMJ  1999;318:1292 [Extract] [Full text]

Papers

This week's Papers

	Suicide within 12 months of contact with mental health services: national clinical survey
	Louis Appleby, Jenny Shaw, Tim Amos, Ros McDonnell, Catherine Harris, Kerry McCann, Katy Kiernan, Sue Davies, Harriet Bickley, Rebecca Parsons
	BMJ  1999;318:1235-1239 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Mental disorder and clinical care in people convicted of homicide: national clinical survey
	Jenny Shaw, Louis Appleby, Tim Amos, Ros McDonnell, Catherine Harris, Kerry McCann, Katy Kiernan, Sue Davies, Harriet Bickley, Rebecca Parsons
	BMJ  1999;318:1240-1244 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Effect of screening on cervical cancer mortality in England and Wales: analysis of trends with an age period cohort model
	Peter Sasieni, Joanna Adams
	BMJ  1999;318:1244-1245 [Extract] [Full text] [PDF] [Request Permissions] FREE

Career focus

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

Website extra

Education and the BMJ: could we do better? [Full text]

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