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15 May 1999 (Vol 318, No 7194)
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Down General practice FREE
Down Soundings
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Down Education and debate
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This week in the BMJ [Full text]

Alcohol misusers reduce risks of surgery if they stop drinking [Full text]
Protective effect of breast milk against pneumonia is greatest for young infants [Full text]
Teenage birth rates in England and Wales are highest in Europe [Full text]
Estimates of diagnostic accuracy should give confidence intervals [Full text]
Patients' health beliefs constrain uptake of evidence based medicine [Full text]
Hospital clinical information system ensures patient privacy [Full text]

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Osteoarthritis: time to shift the paradigm: This includes distinguishing between severe disease and common minor disability
Paul Dieppe
BMJ  1999;318:1299-1300, doi: 10.1136/bmj.318.7194.1299
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Sex and drugs and rock and roll: Britain can learn lessons from Europe on the health of adolescents
Martin McKee
BMJ  1999;318:1300-1301, doi: 10.1136/bmj.318.7194.1300
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Direct to consumer advertising of prescription drugs: An idea whose time should not come
Jerome R Hoffman, Michael Wilkes
BMJ  1999;318:1301-1302, doi: 10.1136/bmj.318.7194.1301
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Does the new NHS need personal medical services pilots?: They offer a testbed for primary care trusts
Stephen Gillam
BMJ  1999;318:1302-1303, doi: 10.1136/bmj.318.7194.1302
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Breast feeding reduces morbidity: The risk of HIV transmission requires risk assessment—not a shift to formula feeds
Michael C Latham
BMJ  1999;318:1303-1304, doi: 10.1136/bmj.318.7194.1303
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This week's letters [PDF]

Intranasal corticosteroids in allergic rhinitis
Damian Paddon, Charlotte Paterson, John Weiner, Robert Puy, Michael Abramson
BMJ  1999;318:1350, doi: 10.1136/bmj.318.7194.1350
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Are African governments allocating sufficient resources to fight AIDS?
Patrice Matchaba
BMJ  1999;318:1351, doi: 10.1136/bmj.318.7194.1351-a
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Impact of HIV infection and AIDS on prevalence of type 2 diabetes in South Africa in 2010
Vanessa R Panz, Barry I Joffe
BMJ  1999;318:1351, doi: 10.1136/bmj.318.7194.1351-b
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Use of randomisation in early clinical trials
Sjúr{partial}ur F Olsen, J G Scadding
BMJ  1999;318:1352, doi: 10.1136/bmj.318.7194.1352
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Albumin again
Peter Horsey
BMJ  1999;318:1352, doi: 10.1136/bmj.318.7194.1352-b
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Randomised trials useful to find best methods of enhancing clinical practice
Jeremy C Wyatt, Sarah Paterson-Brown, Nicholas M Fisk, Richard Johanson, Douglas G Altman, Michael Bradburn
BMJ  1999;318:1353, doi: 10.1136/bmj.318.7194.1353-a
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Waveforms are needed to interpret figures shown by pulse oximeters
Tom Peck
BMJ  1999;318:1353, doi: 10.1136/bmj.318.7194.1353-b
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Unifactorial models are not appropriate for multifactorial disease
J H Edwards
BMJ  1999;318:1353, doi: 10.1136/bmj.318.7194.1353-c
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Waveforms are needed to interpret figures shown by pulse oximeters
Tom Peck
BMJ  1999;318:1353, doi: 10.1136/bmj.318.7194.1353a
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Opposition to the Icelandic database is based on false information
Gisli Ragnarsson
BMJ  1999;318:1354, doi: 10.1136/bmj.318.7194.1354-a
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Public policy and mental health legislation should be reconsidered
Frank Holloway, George Szmukler
BMJ  1999;318:1354, doi: 10.1136/bmj.318.7194.1354-b
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Public health psychiatry and crime prevention
John J Sandford, Derek Summerfield
BMJ  1999;318:1354, doi: 10.1136/bmj.318.7194.1354-c
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Public policy and mental health legislation should be reconsidered
Frank Holloway, George Szmukler
BMJ  1999;318:1354, doi: 10.1136/bmj.318.7194.1354a
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Cushing's syndrome induced by betamethasone nose drops
Jarrod J Homer, Tasso G Gazis, Saul Malozowski, Mary Purucker, Alexandra Worobec, Tim Scorrer, John Barton
BMJ  1999;318:1355, doi: 10.1136/bmj.318.7194.1355
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Does the fly matter in trout fishing?
Anthony Alment, Samuel W Adams, B J Britton, J Grimley Evans
BMJ  1999;318:1356, doi: 10.1136/bmj.318.7194.1356
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WHO urges "coverage for all, not coverage of everything"
Phyllida Brown
BMJ  1999;318:1305, doi: 10.1136/bmj.318.7194.1305-a
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UK government finalises restrictions on Viagra prescribing
Annabel Ferriman
BMJ  1999;318:1305, doi: 10.1136/bmj.318.7194.1305-b
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Rabies cases increase in the Philippines
Claire Wallerstein
BMJ  1999;318:1306, doi: 10.1136/bmj.318.7194.1306-a
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British GP cleared of murder charge
Clare Dyer
BMJ  1999;318:1306, doi: 10.1136/bmj.318.7194.1306-b
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Researchers discover "feedback loop" in allergic reactions
Scott Gottlieb
BMJ  1999;318:1306, doi: 10.1136/bmj.318.7194.1306-c
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British GP cleared of murder charge
Clare Dyer
BMJ  1999;318:1306, doi: 10.1136/bmj.318.7194.1306a
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Heart disease mortality declining with fewer and less deadly attacks
Zosia Kmietowicz
BMJ  1999;318:1307, doi: 10.1136/bmj.318.7194.1307-a
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Tennessee's state funded health care faces crisis
Fred Charatan
BMJ  1999;318:1307, doi: 10.1136/bmj.318.7194.1307-b
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UK proposes 15 year delay for 48 hour week for doctors
Annabel Ferriman
BMJ  1999;318:1307, doi: 10.1136/bmj.318.7194.1307-c
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Tennessee's state funded health care faces crisis
Fred Charatan
BMJ  1999;318:1307, doi: 10.1136/bmj.318.7194.1307a
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South Africa plans to make AIDS a notifiable disease
Pat Sidley
BMJ  1999;318:1308, doi: 10.1136/bmj.318.7194.1308-a
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Doctor in India arrested over irregularities trial of vaccine
Ganapati Mudur
BMJ  1999;318:1308, doi: 10.1136/bmj.318.7194.1308-b
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Spain to review role of pharmacists in chronic disease management
Xavier Bosch
BMJ  1999;318:1308, doi: 10.1136/bmj.318.7194.1308-c
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Doctor in India arrested over irregularities trial of vaccine
Ganapati Mudur
BMJ  1999;318:1308, doi: 10.1136/bmj.318.7194.1308a
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New formula predicts risk of prostate cancer relapse
Deborah Josefson
BMJ  1999;318:1309, doi: 10.1136/bmj.318.7194.1309-a
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Ship's doctor wins claim after demanding better care
Clare Dyer
BMJ  1999;318:1309, doi: 10.1136/bmj.318.7194.1309-b
[Extract] [Full text]

GPs should give reasons for removing patients from lists
Annabel Ferriman
BMJ  1999;318:1309, doi: 10.1136/bmj.318.7194.1309-c
[Extract] [Full text]

Ship's doctor wins claim after demanding better care
Clare Dyer
BMJ  1999;318:1309, doi: 10.1136/bmj.318.7194.1309a
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Immunisation and counselling for Kosovar refugee children
James Ciment
BMJ  1999;318:1310, doi: 10.1136/bmj.318.7194.1310-a
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Doctors should obtain informed consent for intimate body searches
Mark Pownall
BMJ  1999;318:1310, doi: 10.1136/bmj.318.7194.1310-b
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WHO responds to major polio outbreak in Angola
Phyllida Brown
BMJ  1999;318:1310, doi: 10.1136/bmj.318.7194.1310-c
[Extract] [Full text]

Doctors should obtain informed consent for intimate body searches
Mark Pownall
BMJ  1999;318:1310, doi: 10.1136/bmj.318.7194.1310a
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spaceInformation in practice back

Privacy in clinical information systems in secondary care
Ian Denley, Simon Weston Smith, Martin Gardner, Rory O'Conor
BMJ  1999;318:1328-1331, doi: 10.1136/bmj.318.7194.1328
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spaceClinical review back

Fortnightly review: Management of hypertension in pregnancy
L A Magee, M P Ornstein, P von Dadelszen
BMJ  1999;318:1332-1336, doi: 10.1136/bmj.318.7194.1332
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Evidence based cardiology: Emerging approaches in preventing cardiovascular disease
Eva M Lonn, Salim Yusuf
BMJ  1999;318:1337-1341, doi: 10.1136/bmj.318.7194.1337
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ABC of labour care: Obstetric emergencies
Geoffrey Chamberlain, Philip Steer
BMJ  1999;318:1342-1345, doi: 10.1136/bmj.318.7194.1342
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Implementing evidence based medicine in general practice: audit and qualitative study of antithrombotic treatment for atrial fibrillation
Alistair Howitt, David Armstrong
BMJ  1999;318:1324-1327, doi: 10.1136/bmj.318.7194.1324
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spaceSoundings back

Soundings: Old bones
Trisha Greenhalgh
BMJ  1999;318:1361, doi: 10.1136/bmj.318.7194.1361-b
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Personal views: A hands on or hands off approach to patients?
N E Dudley
BMJ  1999;318:1361, doi: 10.1136/bmj.318.7194.1361-a
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spaceEducation and debate back

Experience with rationing health care in New Zealand
Colin M Feek, Winston McKean, Loek Henneveld, Graeme Barrow, Wendy Edgar, Ron J Paterson
BMJ  1999;318:1346-1348, doi: 10.1136/bmj.318.7194.1346
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Economics Notes: Types of economic evaluation
Stephen Palmer, Sarah Byford, James Raftery
BMJ  1999;318:1349, doi: 10.1136/bmj.318.7194.1349-a
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Minerva
BMJ  1999;318:1362, doi: 10.1136/bmj.318.7194.1362
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Endpiece: Governed by his phantasy
BMJ  1999;318:1322, doi: 10.1136/bmj.318.7194.1322-b
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The doctor who changed my view: How to drive away teenagers
Mary Selby
BMJ  1999;318:1323, doi: 10.1136/bmj.318.7194.1323
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Thirty one years on: A memorable patient
Richard Harding
BMJ  1999;318:1327, doi: 10.1136/bmj.318.7194.1327
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Endpiece: Noble art
BMJ  1999;318:1349, doi: 10.1136/bmj.318.7194.1349-b
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spaceCorrections back

Minerva pictures
BMJ  1999;318:1341, doi: 10.1136/bmj.318.7194.1341-a
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Coeliac disease in primary care: case finding study
BMJ  1999;318:1341, doi: 10.1136/bmj.318.7194.1341-b
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Haemolytic uraemic syndrome and E coli O157
BMJ  1999;318:1341, doi: 10.1136/bmj.318.7194.1341-c
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Scientists discover a gene involved in diabetes and obesity
BMJ  1999;318:1341, doi: 10.1136/bmj.318.7194.1341-d
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ABC of labour care: Place of birth
BMJ  1999;318:1341, doi: 10.1136/bmj.318.7194.1341-e
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Fortnightly review: Acute urinary retention in men: an age old problem
BMJ  1999;318:1341, doi: 10.1136/bmj.318.7194.1341-f
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Minerva pictures
BMJ  1999;318:1341, doi: 10.1136/bmj.318.7194.1341-g
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Minerva pictures
BMJ  1999;318:1341, doi: 10.1136/bmj.318.7194.1341p
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Coeliac disease in primary care: case finding study
BMJ  1999;318:1341, doi: 10.1136/bmj.318.7194.1341q
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Haemolytic uraemic syndrome and E coli O157
BMJ  1999;318:1341, doi: 10.1136/bmj.318.7194.1341r
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Scientists discover a gene involved in diabetes and obesity
BMJ  1999;318:s1341, doi: 10.1136/bmj.318.7194.s1341
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ABC of labour care: Place of birth
BMJ  1999;318:1341, doi: 10.1136/bmj.318.7194.1341t
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Fortnightly review: Acute urinary retention in men: an age old problem
BMJ  1999;318:1341, doi: 10.1136/bmj.318.7194.1341u
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Clinical radiology
Tom Sulkin
BMJ  1999;318:S2-7194, doi: 10.1136/bmj.318.7194.S2-7194
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BMJ  1999;318:S3-7194, doi: 10.1136/bmj.318.7194.S3-7194
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BMJ  1999;318:S3a-7194, doi: 10.1136/bmj.318.7194.S3a-7194
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BMJ  1999;318:S3b-7194, doi: 10.1136/bmj.318.7194.S3b-7194
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spaceCHOICE back

Patients and other influences
BMJ  1999;318, doi: 10.1136/bmj.318.7194.0-a
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spaceCHOICE GP back

Patients and other influences
BMJ  1999;318, doi: 10.1136/bmj.318.7194.0-b
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spaceMULTIMEDIA back

Multimedia: Biotechnology in Healthcare
Roger Walker
BMJ  1999;318:1358, doi: 10.1136/bmj.318.7194.1358-a
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Multimedia: An End To Torture: Strategies for its Eradication
Derek Summerfield
BMJ  1999;318:1358, doi: 10.1136/bmj.318.7194.1358-b
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Multimedia: Windows shopping
Jeff Aronson
BMJ  1999;318:1359, doi: 10.1136/bmj.318.7194.1359-a
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Multimedia: Doctors taking over the asylum
Raj Persaud
BMJ  1999;318:1360, doi: 10.1136/bmj.318.7194.1360-a
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Multimedia: Website of the week: www.tcwf.org/links/links.htm
Douglas Carnall
BMJ  1999;318:1360, doi: 10.1136/bmj.318.7194.1360-b
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APRIL BESTSELLERS
BMJ  1999;318:1359, doi: 10.1136/bmj.318.7194.1359-b
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This week's obituaries [PDF]

Obituaries
Ralph A A R Lawrence, Tom Dunn, Elizabeth Butler, D G Swainston, R G Whitelaw
BMJ  1999;318:1357, doi: 10.1136/bmj.318.7194.1357
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spacePapers back

Effect of preoperative abstinence on poor postoperative outcome in alcohol misusers: randomised controlled trial
Hanne T{oslash}nnesen, Jacob Rosenberg, Hans J Nielsen, Verner Rasmussen, Christina Hauge, Ib K Pedersen, Henrik Kehlet
BMJ  1999;318:1311-1316, doi: 10.1136/bmj.318.7194.1311
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Impact of breast feeding on admission for pneumonia during postneonatal period in Brazil: nested case-control study
Juraci A César, Cesar G Victora, Fernando C Barros, Iná S Santos, José A Flores
BMJ  1999;318:1316-1320, doi: 10.1136/bmj.318.7194.1316
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Sexual health of teenagers in England and Wales: analysis of national data
Angus Nicoll, Mike Catchpole, Susan Cliffe, Gwenda Hughes, Ian Simms, Daniel Thomas
BMJ  1999;318:1321-1322, doi: 10.1136/bmj.318.7194.1321
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Reporting of precision of estimates for diagnostic accuracy: a review
Robert Harper, arnaby Reeves
BMJ  1999;318:1322-1323, doi: 10.1136/bmj.318.7194.1322-a
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Read this week's articles on http://careers.bmj.com/careers/

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