Be bold and be sensible
	Richard Smith
	BMJ  2003;327, doi: 10.1136/bmj.327.7414.0-g [Extract] [Full text] [PDF] [Request Permissions] FREE

This week in the BMJ

This week in the BMJ [Full text] [PDF]

	Alcohol screening in general practice is not effective [Full text]

	Morphine improves intractable dyspnoea [Full text]

	Parathyroidectomy is better than conservative management [Full text]

	Heart failure is more common but has better prognosis in South Asian patients [Full text]

	Prehospital life support in trauma patients should be questioned [Full text]

	Patient involvement in healthcare decisions is hard on doctors [Full text]

Editorials

	In vitro fertilisation for all?
	Richard E Ashcroft
	BMJ  2003;327:511-512, doi: 10.1136/bmj.327.7414.511 [Extract] [Full text] [PDF] [Request Permissions]

	Death in heat waves
	William R Keatinge
	BMJ  2003;327:512-513, doi: 10.1136/bmj.327.7414.512 [Extract] [Full text] [PDF] [Request Permissions]

	Polypharmacy and comorbidity in heart failure
	Frederick A Masoudi, Harlan M Krumholz
	BMJ  2003;327:513-514, doi: 10.1136/bmj.327.7414.513 [Extract] [Full text] [PDF] [Request Permissions]

	Voice pathology in the United Kingdom
	Paul Carding
	BMJ  2003;327:514-515, doi: 10.1136/bmj.327.7414.514 [Extract] [Full text] [PDF] [Request Permissions]

	Social anxiety disorder
	Franklin R Schneier
	BMJ  2003;327:515-516, doi: 10.1136/bmj.327.7414.515 [Extract] [Full text] [PDF] [Request Permissions]

Letters

This week's letters [PDF]

	Medical ethics, the Israeli Medical Association, and the state of the World Medical Association: Open letter to the BMA
	Derek Summerfield
	BMJ  2003;327:561, doi: 10.1136/bmj.327.7414.561 [Extract] [Full text] [Request Permissions]

	Medical ethics, the Israeli Medical Association, and the state of the World Medical Association: Reply from the BMA
	Vivienne Nathanson
	BMJ  2003;327:561-562, doi: 10.1136/bmj.327.7414.561-a [Extract] [Full text] [Request Permissions]

	Images of war: patients' best interests are paramount
	Michael S Goldrich
	BMJ  2003;327:562, doi: 10.1136/bmj.327.7414.562 [Extract] [Full text] [Request Permissions]

	Tackling India's HIV epidemic: HIV drugs support HIV prevention work
	Ade O Fakoya
	BMJ  2003;327:562-563, doi: 10.1136/bmj.327.7414.562-a [Extract] [Full text] [Request Permissions]

	Tackling India's HIV epidemic: India should disregard advice
	Joe Thomas, Mridula Bandyopadhyay
	BMJ  2003;327:563, doi: 10.1136/bmj.327.7414.563 [Extract] [Full text] [Request Permissions]

	Is testing everyone for HIV logical?
	Jeffrey C McILwain
	BMJ  2003;327:563, doi: 10.1136/bmj.327.7414.563-a [Extract] [Full text] [Request Permissions]

	Surgeon specific mortality in adult cardiac surgery: Quality of data is important
	David R Walker
	BMJ  2003;327:563, doi: 10.1136/bmj.327.7414.563-b [Extract] [Full text] [Request Permissions]

	Surgeon specific mortality in adult cardiac surgery: Higher risk cases need also to be assessed
	Michael J O'Leary
	BMJ  2003;327:563, doi: 10.1136/bmj.327.7414.563-c [Extract] [Full text] [Request Permissions]

	Surgeon is only one influence on outcome
	Frank A Frizelle, John Frye
	BMJ  2003;327:564, doi: 10.1136/bmj.327.7414.564 [Extract] [Full text] [Request Permissions]

	Do patients need to read research?: Cochrane consumer network can help patients
	Otavio Clark
	BMJ  2003;327:564, doi: 10.1136/bmj.327.7414.564-a [Extract] [Full text] [Request Permissions]

	Do patients need to read research?: Knowledge is power
	Colleen K Murphy
	BMJ  2003;327:564, doi: 10.1136/bmj.327.7414.564-b [Extract] [Full text] [Request Permissions]

	Reminding patients by text message: Try reverse billing
	Will Callaghan
	BMJ  2003;327:564, doi: 10.1136/bmj.327.7414.564-c [Extract] [Full text] [Request Permissions]

	Reminding patients by text message: Why do texts need sponsorship?
	Richard J Tomlinson
	BMJ  2003;327:564, doi: 10.1136/bmj.327.7414.564-d [Extract] [Full text] [Request Permissions]

	Reminding patients by text message: Text reminders could lead to increased health inequalties
	Daragh Fahey
	BMJ  2003;327:564, doi: 10.1136/bmj.327.7414.564-e [Extract] [Full text] [Request Permissions]

News

	World Trade Organization finally agrees cheap drugs deal
	Fiona Fleck
	BMJ  2003;327:517, doi: 10.1136/bmj.327.7414.517 [Extract] [Full text] [PDF]

	Psychiatrist faces GMC hearing
	Owen Dyer
	BMJ  2003;327:517, doi: 10.1136/bmj.327.7414.517-a [Extract] [Full text] [PDF]

	In brief
	BMJ  2003;327:518, doi: 10.1136/bmj.327.7414.518 [Extract] [Full text] [PDF]

	US paediatricians call for checks for childhood obesity
	Scott Gottlieb
	BMJ  2003;327:518, doi: 10.1136/bmj.327.7414.518-a [Extract] [Full text] [PDF]

	European society issues guidelines on cardiovascular disease
	Susan Mayor
	BMJ  2003;327:518, doi: 10.1136/bmj.327.7414.518-b [Extract] [Full text] [PDF]

	Results of inquiry into allegations of research fraud remain secret
	Caroline White
	BMJ  2003;327:519, doi: 10.1136/bmj.327.7414.519 [Extract] [Full text] [PDF]

	Fire eating is bad for your health
	Roger Dobson
	BMJ  2003;327:519, doi: 10.1136/bmj.327.7414.519-a [Extract] [Full text] [PDF]

	Traces of Agent Orange are found in food in Vietnam
	David Spurgeon
	BMJ  2003;327:521, doi: 10.1136/bmj.327.7414.521-b [Extract] [Full text] [PDF]

	Ireland leads the way for Europe in banning smoking in the workplace
	Muiris Houston
	BMJ  2003;327:522, doi: 10.1136/bmj.327.7414.522 [Extract] [Full text] [PDF]

News roundup [abridged versions appear in the paper journal]

	Cardioprotective effects of aspirin compromised by other NSAIDs
	Scott Gottlieb
	BMJ  2003;327:520, doi: 10.1136/bmj.327.7414.520 [Extract] [Abridged text] [Abridged PDF] [Full text]

	Chinese city outlaws sale of human organs
	Jane Parry
	BMJ  2003;327:520, doi: 10.1136/bmj.327.7414.520-a [Extract] [Abridged text] [Abridged PDF] [Full text]

	Chemotherapy before surgery improves survival from bladder cancer
	David Spurgeon
	BMJ  2003;327:520, doi: 10.1136/bmj.327.7414.520-b [Extract] [Abridged PDF] [Full text]

	Breaks from antiretroviral treatment are not the answer for HIV patients
	Deborah Josefson
	BMJ  2003;327:520, doi: 10.1136/bmj.327.7414.520-c [Extract] [Abridged text] [Abridged PDF] [Full text]

	NICE issues guidance on diabetes treatments
	Andrew Iles
	BMJ  2003;327:520, doi: 10.1136/bmj.327.7414.520-d [Extract] [Abridged text] [Abridged PDF] [Full text]

	Wakefield Council is ordered to pay for residential care after 11 year delay
	Owen Dyer
	BMJ  2003;327:521, doi: 10.1136/bmj.327.7414.521 [Extract] [Abridged text] [Abridged PDF] [Full text]

	Thiazides could achieve major cost savings in uncomplicated hypertension
	Susan Mayor
	BMJ  2003;327:521, doi: 10.1136/bmj.327.7414.521-a [Extract] [Abridged text] [Abridged PDF] [Full text]

News extra [these stories appear only on the web]

	Giving patients choice puts more pressure on GPs, survey shows
	Andrew Iles
	BMJ  2003;327:522, doi: 10.1136/bmj.327.7414.522-a [Extract] [Full text]

	Access to maternity services is key to preventing deaths
	Roger Dobson
	BMJ  2003;327:522, doi: 10.1136/bmj.327.7414.522-b [Extract] [Full text]

	FDA imposes tougher rules on imported foods
	Janice Hopkins Tanne
	BMJ  2003;327:522, doi: 10.1136/bmj.327.7414.522-c [Extract] [Full text]

	Public health at risk as aid agencies pull out of Iraq
	Upasana Tayal
	BMJ  2003;327:522, doi: 10.1136/bmj.327.7414.522-d [Extract] [Full text]

	Wounds heal more quickly if patients are relieved of stress
	Claire Laurent
	BMJ  2003;327:522, doi: 10.1136/bmj.327.7414.522-e [Extract] [Full text]

	Childhood cancer survivors experience long term side effects
	Charles Marwick
	BMJ  2003;327:522, doi: 10.1136/bmj.327.7414.522-f [Extract] [Full text]

Primary care

	Screening in brief intervention trials targeting excessive drinkers in general practice: systematic review and meta-analysis
	Anders Beich, Thorkil Thorsen, Stephen Rollnick
	BMJ  2003;327:536-542, doi: 10.1136/bmj.327.7414.536 [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

	10-minute consultation: Acute low back pain
	Josip Car, Aziz Sheikh
	BMJ  2003;327:541, doi: 10.1136/bmj.327.7414.541 [Extract] [Full text] [PDF] [Request Permissions] FREE

Clinical review

	The importance of patient preferences in treatment decisions—challenges for doctors
	Rebecca E Say, Richard Thomson
	BMJ  2003;327:542-545, doi: 10.1136/bmj.327.7414.542, (Published 6 September 2003) [Extract] [Full text] [PDF] [Request Permissions] [extra: Extra references]

	ABC of subfertility: Anovulation
	Diana Hamilton-Fairley, Alison Taylor
	BMJ  2003;327:546-549, doi: 10.1136/bmj.327.7414.546 [Extract] [Full text] [PDF] [Request Permissions]

Education and debate

	Reforming clinical research and development in England
	Nick McNally, Susan Kerrison, Allyson M Pollock
	BMJ  2003;327:550-553, doi: 10.1136/bmj.327.7414.550 [Extract] [Full text] [PDF] [Request Permissions] [extra: Additional figure]

	United Kingdom research governance strategy
	Susan Kerrison, Nick McNally, Allyson M Pollock
	BMJ  2003;327:553-556, doi: 10.1136/bmj.327.7414.553 [Extract] [Full text] [PDF] [Request Permissions]

	Measuring inconsistency in meta-analyses
	Julian P T Higgins, Simon G Thompson, Jonathan J Deeks, Douglas G Altman
	BMJ  2003;327:557-560, doi: 10.1136/bmj.327.7414.557 [Extract] [Full text] [PDF] [Request Permissions]

Reviews

	Book: Better than Well: American Medicine Meets the American Dream
	Ross Upshur
	BMJ  2003;327:567, doi: 10.1136/bmj.327.7414.567 [Extract] [Full text] [Request Permissions]

	Book: Safe Food: Bacteria, Biotechnology and Bioterrorism
	Richard Mayon-White
	BMJ  2003;327:567, doi: 10.1136/bmj.327.7414.567-a [Extract] [Full text] [Request Permissions]

	Book: A Few Short Notes on Tropical Butterflies
	Iain McClure
	BMJ  2003;327:568, doi: 10.1136/bmj.327.7414.568 [Extract] [Full text] [Request Permissions]

	Book: Silent Scourge: Children, Pollution, and Why Scientists Disagree
	Jane Melia
	BMJ  2003;327:568, doi: 10.1136/bmj.327.7414.568-a [Extract] [Full text] [Request Permissions]

	PERSONAL VIEW: Failure
	Claus A Pierach
	BMJ  2003;327:569, doi: 10.1136/bmj.327.7414.569 [Extract] [Full text] [Request Permissions]

	SOUNDINGS: Paradigm shift
	Kevin Barraclough
	BMJ  2003;327:569, doi: 10.1136/bmj.327.7414.569-a [Extract] [Full text] [Request Permissions]

Minerva

	Minerva
	BMJ  2003;327:570, doi: 10.1136/bmj.327.7414.570 [Full text] [PDF] [Request Permissions]

Fillers

	POEM*: Warming diptheria-tetanus vaccines doesn't reduce pain
	BMJ  2003;327, doi: 10.1136/bmj.327.7414.0-f [Extract] [Full text] [PDF] [Request Permissions]

	One hundred years ago: Wage-earning school children
	BMJ  2003;327:535, doi: 10.1136/bmj.327.7414.535 [Extract] [Full text] [PDF] [Request Permissions]

	A history lesson
	Catriona Rundle
	BMJ  2003;327:545, doi: 10.1136/bmj.327.7414.545 [Extract] [Full text] [PDF] [Request Permissions]

	A mixture of medication
	Marc Gutenstein
	BMJ  2003;327:549, doi: 10.1136/bmj.327.7414.549 [Extract] [Full text] [PDF] [Request Permissions]

	Submitting articles to the BMJ
	BMJ  2003;327:556, doi: 10.1136/bmj.327.7414.556-c [Extract] [Full text] [Request Permissions]

	One hundred years ago: The open-air treatment of surgical tuberculosis
	BMJ  2003;327:560, doi: 10.1136/bmj.327.7414.560 [Extract] [Full text] [PDF] [Request Permissions]

Corrections

	Patients' voices are needed in debates on euthanasia
	BMJ  2003;327:556, doi: 10.1136/bmj.327.7414.556 [Full text] [PDF] [Request Permissions] FREE

	US agrees to cheap drug imports—as Florida officials break fake drugs ring
	BMJ  2003;327:556, doi: 10.1136/bmj.327.7414.556-a [Full text] [PDF] [Request Permissions] FREE

	Cultural safety and the health of adolescents
	BMJ  2003;327:556, doi: 10.1136/bmj.327.7414.556-b [Full text] [PDF] [Request Permissions] FREE

Obituaries

This week's obituaries [PDF]

	Louis Lasagna
	Janice Hopkins Tanne
	BMJ  2003;327:565, doi: 10.1136/bmj.327.7414.565 [Extract] [Full text]

	Roderick Macrae Campbell
	Alex R Morrison
	BMJ  2003;327:566, doi: 10.1136/bmj.327.7414.566 [Extract] [Full text] [extra: Longer version]

	David John Chapman
	Carol Haywood
	BMJ  2003;327:566, doi: 10.1136/bmj.327.7414.566-a [Extract] [Full text]

	Harold Logan Courtenay
	Colin Bradshaw
	BMJ  2003;327:566, doi: 10.1136/bmj.327.7414.566-b [Extract] [Full text] [extra: Longer version]

	Cecil Herbert Cousins
	Harold James Brown
	BMJ  2003;327:566, doi: 10.1136/bmj.327.7414.566-c [Extract] [Full text] [extra: Longer version]

	John Alexander Forbes
	Lindsay Forbes
	BMJ  2003;327:566, doi: 10.1136/bmj.327.7414.566-d [Extract] [Full text] [extra: Longer version]

	Richard Lindley Norris
	Michael Hawkins
	BMJ  2003;327:566, doi: 10.1136/bmj.327.7414.566-e [Extract] [Full text] [extra: Longer version]

	Osmond Nicholas Roussel
	Philip Roussel
	BMJ  2003;327:566, doi: 10.1136/bmj.327.7414.566-f [Extract] [Full text] [extra: Longer version]

	Terence Willifer Young
	John Barrett, James Milledge
	BMJ  2003;327:566, doi: 10.1136/bmj.327.7414.566-g [Extract] [Full text] [extra: Longer version]

Papers

	Randomised, double blind, placebo controlled crossover trial of sustained release morphine for the management of refractory dyspnoea
	Amy P Abernethy, David C Currow, Peter Frith, Belinda S Fazekas, Annie McHugh, Chuong Bui
	BMJ  2003;327:523-528, doi: 10.1136/bmj.327.7414.523 [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

	Prognosis for South Asian and white patients newly admitted to hospital with heart failure in the United Kingdom: historical cohort study
	Hanna M Blackledge, James Newton, Iain B Squire
	BMJ  2003;327:526-531, doi: 10.1136/bmj.327.7414.526 [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

	Cohort study on effects of parathyroid surgery on multiple outcomes in primary hyperparathyroidism
	Peter Vestergaard, Leif Mosekilde
	BMJ  2003;327:530-534, doi: 10.1136/bmj.327.7414.530 [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] [extra: Additional tables] FREE

	Prehospital tracheal intubation in severely injured patients: a Danish observational study
	Erika Frischknecht Christensen, Claus Christian Schovsbo Høyer
	BMJ  2003;327:533-534, doi: 10.1136/bmj.327.7414.533 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Risk of adenocarcinoma in Barrett's oesophagus: population based study
	Liam Murray, Peter Watson, Brian Johnston, James Sloan, Inder Mohan Lal Mainie, Anna Gavin
	BMJ  2003;327:534-535, doi: 10.1136/bmj.327.7414.534 [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.