This week's This week in the BMJ

	Breast feeding has analgesic effect in newborn babies [Full text] FREE

	Polygamy and early sexual activity in adolescents are linked [Full text] FREE

	Driving recommendations are given but not heard [Full text] FREE

	More GPs intend to quit [Full text] FREE

	A good death is possible [Full text] FREE

	Surgical outcomes database is incomplete and unreliable [Full text] FREE

	"Female sexual dysfunction" may be an invention [Full text] FREE

Editorials

This week's Editorials

	Breast self examination
	Joan Austoker
	BMJ  2003;326:1-2, doi: 10.1136/bmj.326.7379.1 [Extract] [Full text] [PDF] [Request Permissions]

	Using clinical databases in practice
	Nick Black
	BMJ  2003;326:2-3, doi: 10.1136/bmj.326.7379.2 [Extract] [Full text] [PDF] [Request Permissions]

	Reporting diagnostic tests
	Sharon E Straus
	BMJ  2003;326:3-4, doi: 10.1136/bmj.326.7379.3 [Extract] [Full text] [PDF] [Request Permissions]

	Contraindications to the use of metformin
	G C Jones, J P Macklin, W D Alexander
	BMJ  2003;326:4-5, doi: 10.1136/bmj.326.7379.4 [Extract] [Full text] [PDF] [Request Permissions]

	Evidence based policy making
	Sally Macintyre
	BMJ  2003;326:5-6, doi: 10.1136/bmj.326.7379.5 [Extract] [Full text] [PDF] [Request Permissions]

Letters

This week's Letters

	Trainees' attitudes to shift work depend on grade and specialty
	Maryanne Aitken, Elisabeth Paice
	BMJ  2003;326:48, doi: 10.1136/bmj.326.7379.48 [Extract] [Full text] [Request Permissions]

	Delayed discharge and hospital congestion
	David R J Jarrett, Anna Hinton, David J Seddon
	BMJ  2003;326:48, doi: 10.1136/bmj.326.7379.48/a [Extract] [Full text] [Request Permissions]

	Emergency pyramid is inverting already
	Matthew Cooke, Karen Castille
	BMJ  2003;326:49, doi: 10.1136/bmj.326.7379.49 [Extract] [Full text] [Request Permissions]

	Managing acute appendicitis
	John Howie, Rajesh K Choudhary, A M F Hassn
	BMJ  2003;326:49, doi: 10.1136/bmj.326.7379.49/a [Extract] [Full text] [Request Permissions]

	Preventing and treating eclamptic seizures
	Neil F Moran, Ben Moore, Richard Collins
	BMJ  2003;326:50, doi: 10.1136/bmj.326.7379.50 [Extract] [Full text] [Request Permissions]

	Alcohol handrubs v soap
	Juhani Ojajarvi, Arti Thakerar, Collin Goodbourn
	BMJ  2003;326:50, doi: 10.1136/bmj.326.7379.50/a [Extract] [Full text] [Request Permissions]

	Outdated drugs may be useful
	John Sandford-Smith
	BMJ  2003;326:51, doi: 10.1136/bmj.326.7379.51 [Extract] [Full text] [Request Permissions]

	Sustaining medical education is difficult in poor countries
	Joseph Yikona
	BMJ  2003;326:51, doi: 10.1136/bmj.326.7379.51/a [Extract] [Full text] [Request Permissions]

	Alosetron for irritable bowel syndrome
	James B D Palmer, Robert H Palmer
	BMJ  2003;326:51, doi: 10.1136/bmj.326.7379.51/b [Extract] [Full text] [Request Permissions]

	Preventing stroke with ramiprilauthors' reply
	Salim Yusuf, Jackie Bosch, Peter Sleight
	BMJ  2003;326:52, doi: 10.1136/bmj.326.7379.52 [Extract] [Full text] [Request Permissions]

	More travel advice and fewer vaccinations are needed
	N Hoveyda, Ron Behrens
	BMJ  2003;326:52, doi: 10.1136/bmj.326.7379.52/a [Extract] [Full text] [Request Permissions]

	Screening populations at low risk carries high risks
	Luc Bonneux
	BMJ  2003;326:53, doi: 10.1136/bmj.326.7379.53 [Extract] [Full text] [Request Permissions]

	Embryo selection for complex traits is impracticable
	Edwin P Kirk
	BMJ  2003;326:53, doi: 10.1136/bmj.326.7379.53/a [Extract] [Full text] [Request Permissions]

News

This week's News

	Diuretics are as effective as ACE inhibitors and channel blockers
	Susan Mayor
	BMJ  2003;326:7, doi: 10.1136/bmj.326.7379.7 [Extract] [Full text] [PDF]

	In brief
	BMJ  2003;326:8, doi: 10.1136/bmj.326.7379.8 [Extract] [Full text] [PDF]

	Family finds hospital willing to give experimental CJD treatment
	Owen Dyer
	BMJ  2003;326:8, doi: 10.1136/bmj.326.7379.8/a [Extract] [Full text] [PDF]

	GP contract delayed, but negotiations continue
	Jocalyn Clark
	BMJ  2003;326:8, doi: 10.1136/bmj.326.7379.8/b [Extract] [Full text] [PDF]

	US blocks deal on cheap drugs
	Fiona Fleck
	BMJ  2003;326:9, doi: 10.1136/bmj.326.7379.9 [Extract] [Full text] [PDF]

	Urologist recommends daily Viagra to prevent impotence
	Ray Moynihan
	BMJ  2003;326:9, doi: 10.1136/bmj.326.7379.9/a [Extract] [Full text] [PDF]

	Fertilisation authority to challenge High Court tissue ruling
	Clare Dyer
	BMJ  2003;326:11, doi: 10.1136/bmj.326.7379.11/c [Extract] [Full text] [PDF]

	New designs for familiar objects
	Jane Smith
	BMJ  2003;326:11, doi: 10.1136/bmj.326.7379.11/d [Extract] [Full text] [PDF]

	No shrinking violet
	Mark Gould
	BMJ  2003;326:12, doi: 10.1136/bmj.326.7379.12 [Extract] [Full text] [PDF]

News roundup [abridged versions appear in the paper journal]

This week's News roundup

	Half the cases of bacteraemia in hospitals in England are linked to devices
	Roger Dobson
	BMJ  2003;326:10, doi: 10.1136/bmj.326.7379.10 [Extract] [Abridged text] [Abridged PDF] [Full text]

	Parkinson�s in men may be linked to high dairy diet
	Deborah Josefson
	BMJ  2003;326:10, doi: 10.1136/bmj.326.7379.10/a [Extract] [Abridged text] [Abridged PDF] [Full text]

	Limited edition DNA print published
	Lynn Eaton
	BMJ  2003;326:10, doi: 10.1136/bmj.326.7379.10/b [Extract] [Abridged text] [Abridged PDF] [Full text]

	Health care is among the most corrupt services in India
	Sanjay Kumar
	BMJ  2003;326:10, doi: 10.1136/bmj.326.7379.10/c [Extract] [Abridged text] [Abridged PDF] [Full text]

	Foundation trusts could be divisive, MPs claim
	Matthew Limb
	BMJ  2003;326:10, doi: 10.1136/bmj.326.7379.10/d [Extract] [Abridged text] [Abridged PDF] [Full text]

	EU sets standards for safe blood products
	Rory Watson
	BMJ  2003;326:11, doi: 10.1136/bmj.326.7379.11 [Extract] [Abridged text] [Abridged PDF] [Full text]

	German hospital curtails services because of deficit
	Annette Tuffs
	BMJ  2003;326:11, doi: 10.1136/bmj.326.7379.11/a [Extract] [Abridged text] [Abridged PDF] [Full text]

	"Free" medical publishing venture gets under way
	Lynn Eaton
	BMJ  2003;326:11, doi: 10.1136/bmj.326.7379.11/b [Extract] [Abridged text] [Abridged PDF] [Full text]

News extra [these stories appear only on the web]

This week's News extra

	Obstetrician issues writ after embryo mix-up
	Clare Dyer
	BMJ  2003;326:12, doi: 10.1136/bmj.326.7379.12/a [Extract] [Full text]

	Indian endocrinologists warn of vitamin D deficiency
	Ganapati Mudur
	BMJ  2003;326:12, doi: 10.1136/bmj.326.7379.12/b [Extract] [Full text]

	Tel Aviv hospital destroys frozen embryos by mistake
	Judy Siegel-Itzkovich
	BMJ  2003;326:12, doi: 10.1136/bmj.326.7379.12/c [Extract] [Full text]

	Inadequate research facilities fail to tackle mystery disease
	Sanjay Kumar
	BMJ  2003;326:12, doi: 10.1136/bmj.326.7379.12/d [Extract] [Full text]

	Scottish postoperative care is improving
	Bryan Christie
	BMJ  2003;326:12, doi: 10.1136/bmj.326.7379.12/e [Extract] [Full text]

Primary care

This week's Primary care

	National survey of job satisfaction and retirement intentions among general practitioners in England
	Bonnie Sibbald, Chris Bojke, Hugh Gravelle
	BMJ  2003;326:22, doi: 10.1136/bmj.326.7379.22 [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

Information in practice

This week's Information in practice

	How to evaluate and improve the quality and credibility of an outcomes database: validation and feedback study on the UK Cardiac Surgery Experience
	Leon G Fine, Bruce E Keogh, Shan Cretin, Maria Orlando, Mairi M Gould
	BMJ  2003;326:25-28, doi: 10.1136/bmj.326.7379.25 [Abstract] [Full text] [PDF] [Request Permissions] [extra: Members of the project group] FREE

	Infopoints: A web-based system for individualised survival estimation in breast cancer
	Johan Lundin, Mikael Lundin, Jorma Isola, Heikki Joensuu
	BMJ  2003;326:29, doi: 10.1136/bmj.326.7379.29 [Full text] [PDF] [Request Permissions] [extra: Funding, contributors, and competing interest] FREE

Clinical review

This week's Clinical review

	Care of the dying patient: the last hours or days of life • Commentary: a "good death" is possible in the NHS
	John Ellershaw, Chris Ward, Rabbi Julia Neuberger
	BMJ  2003;326:30-34, doi: 10.1136/bmj.326.7379.30 [Extract] [Full text] [PDF] [Request Permissions] [extra: Quotes from NHS cancer plan and national service frameworks][extra: Example extract of care pathway]

	Lesson of the week: Danger of salt substitutes that contain potassium in patients with renal failure
	C J Doorenbos, C G Vermeij
	BMJ  2003;326:35-36, doi: 10.1136/bmj.326.7379.35 [Extract] [Full text] [PDF] [Request Permissions]

	ABC of antithrombotic therapy: Antithrombotic therapy in special circumstances. Ipregnancy and cancer
	Bernd Jilma, Sridhar Kamath, Gregory Y H Lip
	BMJ  2003;326:37-40, doi: 10.1136/bmj.326.7379.37 [Extract] [Full text] [PDF] [Request Permissions]

Soundings

This week's Soundings

	Count your blessings
	Liam Farrell
	BMJ  2003;326:59, doi: 10.1136/bmj.326.7379.59/a [Full text] [Request Permissions]

Personal views

This week's Personal views

	The inside story on prison health care
	Penny A Mellor
	BMJ  2003;326:59, doi: 10.1136/bmj.326.7379.59 [Full text] [Request Permissions]

Education and debate

This week's Education and debate

	Towards complete and accurate reporting of studies of diagnostic accuracy: the STARD initiative
	Patrick M Bossuyt, Johannes B Reitsma, David E Bruns, Constantine A Gatsonis, Paul P Glasziou, Les M Irwig, Jeroen G Lijmer, David Moher, Drummond Rennie, Henrica C W de Vet
	BMJ  2003;326:41-44, doi: 10.1136/bmj.326.7379.41 [Abstract] [Full text] [PDF] [Request Permissions] [extra: List of members of the STARD committee and group]

	The making of a disease: female sexual dysfunction
	Ray Moynihan
	BMJ  2003;326:45-47, doi: 10.1136/bmj.326.7379.45 [Extract] [Full text] [PDF] [Request Permissions]

Minerva

This week's Minerva

	Minerva
	BMJ  2003;326:60, doi: 10.1136/bmj.326.7379.60 [Full text] [PDF] [Request Permissions]

Fillers

This week's Fillers

	POEM: Acute intervention has no effect on mortality in patients with acute coronary syndromes
	BMJ  2003;326, doi: 10.1136/bmj.326.7379.0/h [Extract] [Full text] [PDF] [Request Permissions]

	Fever
	Jeremy Hugh Baron
	BMJ  2003;326:24, doi: 10.1136/bmj.326.7379.24 [Extract] [Full text] [PDF] [Request Permissions]

	A lesson in prescribing
	Philip J West
	BMJ  2003;326:36, doi: 10.1136/bmj.326.7379.36 [Extract] [Full text] [PDF] [Request Permissions]

	One hundred years ago: Ether drinking in Russia
	BMJ  2003;326:37, doi: 10.1136/bmj.326.7379.37/a [Extract] [Full text] [Request Permissions]

	One hundred years ago: Art and nature
	BMJ  2003;326:41, doi: 10.1136/bmj.326.7379.41/a [Extract] [Full text] [Request Permissions]

Corrections

This week's Corrections

	Managing acute renal colic across the primary-secondary care interface: a pathway of care based on evidence and consensus
	BMJ  2003;326:18, doi: 10.1136/bmj.326.7379.18 [Full text] [PDF] [Request Permissions] FREE

	Letters: summary of responses
	BMJ  2003;326:18, doi: 10.1136/bmj.326.7379.18/a [Full text] [PDF] [Request Permissions] FREE

BOOK

This week's BOOK

	Book: Narrative-based Primary Care: A Practical Guide
	Ellen Rosenberg
	BMJ  2003;326:56, doi: 10.1136/bmj.326.7379.56 [Full text] [PDF] [Request Permissions]

	Book: Oxford Handbook of General Practice
	Kevin Barraclough
	BMJ  2003;326:56, doi: 10.1136/bmj.326.7379.56/a [Full text] [Request Permissions]

	Book: Medicine and Art
	Jeremy Hugh Baron
	BMJ  2003;326:57, doi: 10.1136/bmj.326.7379.57 [Full text] [Request Permissions]

	Book: Cold Wars: The Fight against the Common Cold
	Harold Ellis
	BMJ  2003;326:57, doi: 10.1136/bmj.326.7379.57/a [Full text] [Request Permissions]

PRESS

This week's PRESS

	Press: Lessons from the HRT story
	Melissa Sweet
	BMJ  2003;326:58, doi: 10.1136/bmj.326.7379.58 [Full text] [Request Permissions] FREE

CHOICE

This week's CHOICE

	Some politics: against academic boycotts and for cheap drugs
	BMJ  2003;326, doi: 10.1136/bmj.326.7379.0/g [Full text] [PDF] [Request Permissions]

NETLINES

This week's NETLINES

	Netlines
	Harry Brown
	BMJ  2003;326:58, doi: 10.1136/bmj.326.7379.58/a [Full text] [Request Permissions]

Obituaries

This week's Obituaries

	Eric John Barton
	Henry Connor
	BMJ  2003;326:54, doi: 10.1136/bmj.326.7379.54 [Extract] [Full text] [extra: Longer version]

	Devendra Kumar Gupta
	Georgie Gilfillan
	BMJ  2003;326:54, doi: 10.1136/bmj.326.7379.54/a [Extract] [Full text] [extra: Longer version]

	Richard Douglas Jackson
	George Turnbull
	BMJ  2003;326:54, doi: 10.1136/bmj.326.7379.54/b [Extract] [Full text] [extra: Longer version]

	John Henry Gordon Jowett
	Nigel Jowett
	BMJ  2003;326:54, doi: 10.1136/bmj.326.7379.54/c [Extract] [Full text] [extra: Longer version]

	Susan Jean England Kerr
	Lorraine Foreman
	BMJ  2003;326:54, doi: 10.1136/bmj.326.7379.54/d [Extract] [Full text] [extra: Longer version]

	Richard Melville Malins
	Tim Wadsworth
	BMJ  2003;326:54, doi: 10.1136/bmj.326.7379.54/e [Extract] [Full text] [extra: Longer version]

	Patricia Theresa Moore
	Austen Moore and Peter Moore
	BMJ  2003;326:54, doi: 10.1136/bmj.326.7379.54/f [Extract] [Full text] [extra: Longer version]

	Thomas Meurig Owen
	David Marsden
	BMJ  2003;326:54, doi: 10.1136/bmj.326.7379.54/g [Extract] [Full text] [extra: Longer version]

	Kenneth George Poyner
	Charles Zuckerman
	BMJ  2003;326:54, doi: 10.1136/bmj.326.7379.54/h [Extract] [Full text] [extra: Longer version]

	Jairam Madura Rajgopal
	S M Amin
	BMJ  2003;326:i, doi: 10.1136/bmj.326.7379.54/i [Extract] [Full text] [extra: Longer version]

	John Richardson
	John Mackie
	BMJ  2003;326:54, doi: 10.1136/bmj.326.7379.54/j [Extract] [Full text] [extra: Longer version]

	Henry Peter Scurlock
	Hilary Scurlock
	BMJ  2003;326:54, doi: 10.1136/bmj.326.7379.54/k [Extract] [Full text] [extra: Longer version]

	Thomas Alan Wylie
	Scott Wylie, Iain Murray
	BMJ  2003;326:54, doi: 10.1136/bmj.326.7379.54/l [Extract] [Full text] [extra: Longer version]

Papers

This week's Papers

	Analgesic effect of breast feeding in term neonates: randomised controlled trial
	Ricardo Carbajal, Soocramanien Veerapen, Sophie Couderc, Myriam Jugie, Yves Ville
	BMJ  2003;326:13, doi: 10.1136/bmj.326.7379.13 [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

	Sexual behaviour of adolescents in Nigeria: cross sectional survey of secondary school students
	Gail B Slap, Lucy Lot, Bin Huang, Comfort A Daniyam, Therese M Zink, Paul A Succop
	BMJ  2003;326:15, doi: 10.1136/bmj.326.7379.15 [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

	Parental diabetes and birth weight of offspring: intergenerational cohort study
	Elina Hyppönen, George Davey Smith, Chris Power
	BMJ  2003;326:19-20, doi: 10.1136/bmj.326.7379.19 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Incidence of coronary heart disease in a health authority in London: review of a community register
	Steven J Sutcliffe, Kevin F Fox, David A Wood, Angela Sutcliffe, Kathryn Stock, Melissa Wright, Fawaz Akhras, Ed Langford
	BMJ  2003;326:20, doi: 10.1136/bmj.326.7379.20 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Syncope, driving recommendations, and clinical reality: survey of patients
	Renke Maas, Rodolfo Ventura, Christina Kretzschmar, Ali Aydin, Andreas Schuchert
	BMJ  2003;326:21, doi: 10.1136/bmj.326.7379.21 [Extract] [Full text] [PDF] [Request Permissions] FREE

Career focus

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

To see an article, click its [Full Text] link. To review many abstracts, check the boxes to the left of the titles you want, and click the 'Get All Checked Abstract(s)' button. To see one abstract at a time, click its [Abstract] link.