Reinvention starts here
	Tony Delamothe
	BMJ  2003;327, doi: 10.1136/bmj.327.7422.0-g [Extract] [Full text] [PDF] [Request Permissions] FREE

This week in the BMJ

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

	Advance directives are open to different interpretations [Full text]

	Outreach teams may improve care of critically ill patients [Full text]

	Fewer trials supported by non-commercial funders [Full text]

	Multidrug therapy has reduced death and illness in HIV infected children [Full text]

	Suicide is related to spouse's mental health [Full text]

	Clinical research is dying in the United Kingdom [Full text]

Editorials

	Improving clinical research
	Paul M Stewart
	BMJ  2003;327:999-1000, doi: 10.1136/bmj.327.7422.999 [Extract] [Full text] [PDF] [Request Permissions]

	Practising just medicine in an unjust world
	Zulfiqar Bhutta
	BMJ  2003;327:1000-1001, doi: 10.1136/bmj.327.7422.1000 [Extract] [Full text] [PDF] [Request Permissions] [extra: References]

	BMJ Publishing Group to launch an international campaign to promote academic medicine
	Jocalyn Clark, Richard Smith
	BMJ  2003;327:1001-1002, doi: 10.1136/bmj.327.7422.1001 [Extract] [Full text] [PDF] [Request Permissions]

	The management of acute mania
	Paul E Keck, Jr
	BMJ  2003;327:1002-1003, doi: 10.1136/bmj.327.7422.1002 [Extract] [Full text] [PDF] [Request Permissions]

	Treatment of postnatal depression
	Victoria Hendrick
	BMJ  2003;327:1003-1004, doi: 10.1136/bmj.327.7422.1003 [Extract] [Full text] [PDF] [Request Permissions] [extra: Extra references]

Letters

This week's letters [PDF]

	What is a good death?: A good death follows a good life
	Akheel A Syed
	BMJ  2003;327:1047, doi: 10.1136/bmj.327.7422.1047 [Extract] [Full text] [Request Permissions]

	What is a good death?: We must learn to live in the light of our mortality
	Andrew G Rivett
	BMJ  2003;327:1047, doi: 10.1136/bmj.327.7422.1047-a [Extract] [Full text] [Request Permissions]

	What is a good death?: Death cannot be tamed
	Mary J Curtis
	BMJ  2003;327:1047, doi: 10.1136/bmj.327.7422.1047-b [Extract] [Full text] [Request Permissions]

	What is a good death?: Good death will happen if life was good
	Sergio Stagnaro
	BMJ  2003;327:1047, doi: 10.1136/bmj.327.7422.1047-c [Extract] [Full text] [Request Permissions]

	What is a good death?: A painless exit is an index of how well you lived your life
	Saty Satya Murti
	BMJ  2003;327:1047, doi: 10.1136/bmj.327.7422.1047-d [Extract] [Full text] [Request Permissions]

	What is a good death?: The best death would be while making love
	Joseph C Watine
	BMJ  2003;327:1047, doi: 10.1136/bmj.327.7422.1047-e [Extract] [Full text] [Request Permissions]

	What is a good death?: Humour may be important even at the end
	David F Bird
	BMJ  2003;327:1047, doi: 10.1136/bmj.327.7422.1047-f [Extract] [Full text] [Request Permissions]

	What is a good death?: Grandmother's death was a good example
	Martin Kittel
	BMJ  2003;327:1048, doi: 10.1136/bmj.327.7422.1048 [Extract] [Full text] [Request Permissions]

	What is a good death?: Life is all we have
	Nimrod Pik
	BMJ  2003;327:1048, doi: 10.1136/bmj.327.7422.1048-a [Extract] [Full text] [Request Permissions]

	What is a good death?: Good death may be possible in emergency departments
	Anders I Ganstal
	BMJ  2003;327:1048, doi: 10.1136/bmj.327.7422.1048-b [Extract] [Full text] [Request Permissions]

	What is a good death?: Pathologists could provide new spaces to say goodbye to the dead
	Marcus Drlicek, Elisabeth Langgartner, Peter Kraml
	BMJ  2003;327:1048, doi: 10.1136/bmj.327.7422.1048-c [Extract] [Full text] [Request Permissions]

	Survival predictions may hasten death
	Daniel J Benor
	BMJ  2003;327:1048-1049, doi: 10.1136/bmj.327.7422.1048-d [Extract] [Full text] [Request Permissions]

	Responding to unexpected events: Maybe skills for this case were missing
	W Noel Brown
	BMJ  2003;327:1049, doi: 10.1136/bmj.327.7422.1049 [Extract] [Full text] [Request Permissions]

	Responding to unexpected events: Patients have to be treated as individuals
	Halina M Iwanowska
	BMJ  2003;327:1049, doi: 10.1136/bmj.327.7422.1049-a [Extract] [Full text] [Request Permissions]

	Issues related to humanities are close to core of science
	Marek H Dominiczak
	BMJ  2003;327:1049, doi: 10.1136/bmj.327.7422.1049-b [Extract] [Full text] [Request Permissions]

	Everyone has own spirituality
	Mark R D Johnson, Kip Jones
	BMJ  2003;327:1049, doi: 10.1136/bmj.327.7422.1049-c [Extract] [Full text] [Request Permissions]

	ATAC trial did not report interim results
	Michael Baum, Aman Buzdar, Anthony Howell
	BMJ  2003;327:1050, doi: 10.1136/bmj.327.7422.1050 [Extract] [Full text] [Request Permissions]

	Respiratory hazards of "nail sculpture"
	Frank Gallagher, Diana Gaubert, Michael Hale
	BMJ  2003;327:1050, doi: 10.1136/bmj.327.7422.1050-a [Extract] [Full text] [Request Permissions]

	Tamoxifen is unproved for gynaecomastia
	Julie C Doughty, Christopher R Wilson
	BMJ  2003;327:1050, doi: 10.1136/bmj.327.7422.1050-b [Extract] [Full text] [Request Permissions]

	Small risk ratios may have strong public health impact
	Alfonso Carvajal, Miguel Angel Maciá, Javier García del Pozo, Francisco de Abajo
	BMJ  2003;327:1050-1051, doi: 10.1136/bmj.327.7422.1050-c [Extract] [Full text] [Request Permissions]

	Non-pharmacological options may have role in postmenopausal osteoporosis
	Pablo Alonso-Coello, Merc Marzo-Castillejo
	BMJ  2003;327:1051, doi: 10.1136/bmj.327.7422.1051 [Extract] [Full text] [Request Permissions]

	Costs and effectiveness of prehospital thrombolysis need to be clear
	M Kroese, D Kanka
	BMJ  2003;327:1051, doi: 10.1136/bmj.327.7422.1051-a [Extract] [Full text] [Request Permissions]

	Equality for people with disabilities in medicine
	Peter Rubin
	BMJ  2003;327:1051, doi: 10.1136/bmj.327.7422.1051-b [Extract] [Full text] [Request Permissions]

News

	Cochrane plans to allay fears over industry influence
	Ray Moynihan
	BMJ  2003;327:1005, doi: 10.1136/bmj.327.7422.1005 [Extract] [Full text] [PDF]

	Lancet accuses AstraZeneca of sponsoring biased research
	Owen Dyer
	BMJ  2003;327:1005, doi: 10.1136/bmj.327.7422.1005-a [Extract] [Full text] [PDF]

	In brief
	BMJ  2003;327:1006, doi: 10.1136/bmj.327.7422.1006 [Extract] [Full text] [PDF]

	Initiative gets under way to help scientific editors regulate themselves
	Caroline White
	BMJ  2003;327:1006, doi: 10.1136/bmj.327.7422.1006-a [Extract] [Full text] [PDF]

	Industry sponsored studies twice as likely to have positive conclusions about costs
	Roger Dobson
	BMJ  2003;327:1006, doi: 10.1136/bmj.327.7422.1006-b [Extract] [Full text] [PDF]

	Ratio of girls to boys in India continues to decline
	Sanjay Kumar
	BMJ  2003;327:1007, doi: 10.1136/bmj.327.7422.1007 [Extract] [Full text] [PDF]

	Health secretary demands patients have equal access to cancer drugs
	Owen Dyer
	BMJ  2003;327:1007, doi: 10.1136/bmj.327.7422.1007-a [Extract] [Full text] [PDF]

	European parliament tries to stamp out trafficking in human organs
	Rory Watson
	BMJ  2003;327:1009, doi: 10.1136/bmj.327.7422.1009-b [Extract] [Full text] [PDF]

	Research bodies lobby EU governments over trials legislation
	Rory Watson
	BMJ  2003;327:1010, doi: 10.1136/bmj.327.7422.1010 [Extract] [Full text] [PDF]

	Wellcome Trust gallery opens at British Museum
	Lynn Eaton
	BMJ  2003;327:1010, doi: 10.1136/bmj.327.7422.1010-a [Extract] [Full text] [PDF]

	Florida governor orders reinsertion of feeding tube
	Fred Charatan
	BMJ  2003;327:1010, doi: 10.1136/bmj.327.7422.1010-b [Extract] [Full text] [PDF]

News roundup [abridged versions appear in the paper journal]

	King's Fund calls for new relationship between government and NHS
	Zosia Kmietowicz
	BMJ  2003;327:1008, doi: 10.1136/bmj.327.7422.1008 [Extract] [Abridged text] [Abridged PDF] [Full text]

	NHS star rating system is misleading, statisticians say
	Mark Gould
	BMJ  2003;327:1008, doi: 10.1136/bmj.327.7422.1008-a [Extract] [Abridged text] [Abridged PDF] [Full text]

	Mental health images go on show
	Lynn Eaton
	BMJ  2003;327:1008, doi: 10.1136/bmj.327.7422.1008-b [Extract] [Abridged text] [Abridged PDF] [Full text]

	Freedoms of foundation hospitals do not go far enough
	Colleen Shannon
	BMJ  2003;327:1008, doi: 10.1136/bmj.327.7422.1008-c [Extract] [Abridged text] [Abridged PDF] [Full text]

	NHS criticised over suicide of mentally ill doctor
	Debashis Singh
	BMJ  2003;327:1008, doi: 10.1136/bmj.327.7422.1008-d [Extract] [Abridged text] [Abridged PDF] [Full text]

	US ban on "partial birth" abortions could outlaw other forms as well
	Janice Hopkins Tanne
	BMJ  2003;327:1009, doi: 10.1136/bmj.327.7422.1009 [Extract] [Abridged text] [Abridged PDF] [Full text]

	NICE guidance recommends fewer but earlier antenatal check ups
	Susan Mayor
	BMJ  2003;327:1009, doi: 10.1136/bmj.327.7422.1009-a [Extract] [Abridged text] [Abridged PDF] [Full text]

News extra [these stories appear only on the web]

	Draft code of conduct for medical editors
	Richard Smith
	BMJ  2003;327:1010, doi: 10.1136/bmj.327.7422.1010-c [Extract] [Full text]

	UK government denies that smallpox vaccination plans have fallen short of target
	Owen Dyer
	BMJ  2003;327:1010, doi: 10.1136/bmj.327.7422.1010-d [Extract] [Full text]

	Trial halted because effects not reported to ethics committee
	Tony Sheldon
	BMJ  2003;327:1010, doi: 10.1136/bmj.327.7422.1010-e [Extract] [Full text]

	New register will track trials funded by the NHS
	Susan Mayor
	BMJ  2003;327:1010, doi: 10.1136/bmj.327.7422.1010-f [Extract] [Full text]

	Health insurance fraud rises in the United States
	Fred Charatan
	BMJ  2003;327:1010, doi: 10.1136/bmj.327.7422.1010-g [Extract] [Full text]

	Serbian doctors strike for a 40% pay increase
	Katka Krosnar
	BMJ  2003;327:1010, doi: 10.1136/bmj.327.7422.1010-h [Extract] [Full text]

Primary care

	Screening older people for impaired vision in primary care: cluster randomised trial
	Liam Smeeth, Astrid E Fletcher, Smita Hanciles, Jennifer Evans, Richard Wormald
	BMJ  2003;327:1027, doi: 10.1136/bmj.327.7422.1027 [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

	DSM depression and anxiety criteria and severity of symptoms in primary care: cross sectional study
	Donald E Nease, Jr, James E Aikens
	BMJ  2003;327:1030-1031, doi: 10.1136/bmj.327.7422.1030 [Extract] [Full text] [PDF] [Request Permissions] [extra: Figure and table] FREE

Clinical review

	Objective assessment of technical skills in surgery
	Krishna Moorthy, Yaron Munz, Sudip K Sarker, Ara Darzi
	BMJ  2003;327:1032-1037, doi: 10.1136/bmj.327.7422.1032 [Extract] [Full text] [PDF] [Request Permissions]

	ABC of subfertility: Counselling
	Alison Bagshawe, Alison Taylor
	BMJ  2003;327:1038-1040, doi: 10.1136/bmj.327.7422.1038 [Extract] [Full text] [PDF] [Request Permissions]

Education and debate

	Resuscitating clinical research in the United Kingdom
	John Bell
	BMJ  2003;327:1041-1043, doi: 10.1136/bmj.327.7422.1041 [Extract] [Full text] [PDF] [Request Permissions] [extra: Members of the working group]

	Cancer care in the United Kingdom: new solutions are needed
	Karol Sikora, Nick Bosanquet
	BMJ  2003;327:1044-1046, doi: 10.1136/bmj.327.7422.1044 [Extract] [Full text] [PDF] [Request Permissions]

Reviews

	Exhibition: Changing the Face of Medicine: Celebrating America's Women Physicians
	Tony Delamothe
	BMJ  2003;327:1054, doi: 10.1136/bmj.327.7422.1054 [Extract] [Full text] [Request Permissions]

	Art: Pharmakon
	Trevor Jackson
	BMJ  2003;327:1055, doi: 10.1136/bmj.327.7422.1055 [Extract] [Full text] [Request Permissions]

	Book: Madness Explained: Psychosis and Human Nature
	Nigel Lester
	BMJ  2003;327:1055, doi: 10.1136/bmj.327.7422.1055-a [Extract] [Full text] [Request Permissions]

	TV: What the Industrial Revolution Did for Us: Modern Medicine
	Trevor Jackson
	BMJ  2003;327:1056, doi: 10.1136/bmj.327.7422.1056 [Extract] [Full text] [Request Permissions]

	Press: Public health doctors "hopeless" at using media
	Annabel Ferriman
	BMJ  2003;327:1056, doi: 10.1136/bmj.327.7422.1056-a [Extract] [Full text] [Request Permissions]

	PERSONAL VIEW: Patients, doctors, and sickness benefit
	Björn Nilsson, Iona Heath
	BMJ  2003;327:1057, doi: 10.1136/bmj.327.7422.1057 [Extract] [Full text] [Request Permissions]

	SOUNDINGS: Diagnosing house officer fatigue
	George Dunea
	BMJ  2003;327:1057, doi: 10.1136/bmj.327.7422.1057-a [Extract] [Full text] [Request Permissions]

Minerva

	Minerva
	BMJ  2003;327:1058, doi: 10.1136/bmj.327.7422.1058 [Full text] [PDF] [Request Permissions]

Fillers

	POEM*: Oxybutynin is preferred to tolterodine for overactive bladder
	BMJ  2003;327, doi: 10.1136/bmj.327.7422.0-f [Extract] [Full text] [PDF] [Request Permissions]

	Submitting articles to the BMJ
	BMJ  2003;327:1026, doi: 10.1136/bmj.327.7422.1026 [Extract] [Full text] [Request Permissions]

	Endpiece: To die
	Brian Cornelson
	BMJ  2003;327:1031, doi: 10.1136/bmj.327.7422.1031 [Extract] [Full text] [PDF] [Request Permissions]

	Endpiece: Hard people
	Fred Charatan
	BMJ  2003;327:1037, doi: 10.1136/bmj.327.7422.1037 [Extract] [Full text] [PDF] [Request Permissions]

	Sweet dreams and sour awakenings
	Andreas D Meyer, Yasmin Khan
	BMJ  2003;327:1040, doi: 10.1136/bmj.327.7422.1040 [Extract] [Full text] [PDF] [Request Permissions]

	One hundred years ago: The hygienic reform of female clothing
	BMJ  2003;327:1046, doi: 10.1136/bmj.327.7422.1046 [Extract] [Full text] [PDF] [Request Permissions]

Corrections

	Retraction of paper on maternal diabetes
	BMJ  2003;327:1016, doi: 10.1136/bmj.327.7422.1016 [Full text] [PDF] [Request Permissions] FREE

	The Ptolemy project: a scalable model for delivering health information in Africa
	BMJ  2003;327:1016, doi: 10.1136/bmj.327.7422.1016-a [Full text] [PDF] [Request Permissions] FREE

	Helicobacter pylori in gastro-oesophageal reflux disease needs comparator
	BMJ  2003;327:1016, doi: 10.1136/bmj.327.7422.1016-b [Full text] [PDF] [Request Permissions] FREE

	Understanding sensitivity and specificity with the right side of the brain
	BMJ  2003;327:1043, doi: 10.1136/bmj.327.7422.1043 [Full text] [PDF] [Request Permissions] FREE

	A history lesson
	BMJ  2003;327:1043, doi: 10.1136/bmj.327.7422.1043-a [Full text] [PDF] [Request Permissions] FREE

Obituaries

This week's obituaries [PDF]

	Léon Schwartzenberg
	Tim Bullamore
	BMJ  2003;327:1052, doi: 10.1136/bmj.327.7422.1052 [Extract] [Full text]

	Martyn John Bryant
	Geraint Davies
	BMJ  2003;327:1053, doi: 10.1136/bmj.327.7422.1053 [Extract] [Full text] [extra: Longer version]

	Brian Cummins
	H B Coakham, R J NELSON
	BMJ  2003;327:1053, doi: 10.1136/bmj.327.7422.1053-a [Extract] [Full text] [extra: Longer version]

	Arnold Cecil Houghton
	Guy Houghton
	BMJ  2003;327:1053, doi: 10.1136/bmj.327.7422.1053-b [Extract] [Full text] [extra: Longer version]

	Richard Hefin Trefor Jones
	Philip Edwards, John Kirkby
	BMJ  2003;327:1053, doi: 10.1136/bmj.327.7422.1053-c [Extract] [Full text] [extra: Longer version]

	John Francis Skone
	Alexander Macara, Huw Francis, Gareth Crompton
	BMJ  2003;327:1053, doi: 10.1136/bmj.327.7422.1053-d [Extract] [Full text] [extra: Longer version]

	Isaac Godfry Watchman
	Arnold Elliott
	BMJ  2003;327:1053, doi: 10.1136/bmj.327.7422.1053-e [Extract] [Full text] [extra: Longer version]

	Ruth Eleanor Young
	Peter Young
	BMJ  2003;327:1053, doi: 10.1136/bmj.327.7422.1053-f [Extract] [Full text] [extra: Longer version]

Papers

	Adherence to advance directives in critical care decision making: vignette study
	Trevor Thompson, Rosaline Barbour, Lisa Schwartz
	BMJ  2003;327:1011, doi: 10.1136/bmj.327.7422.1011 [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

	Effect of the critical care outreach team on patient survival to discharge from hospital and readmission to critical care: non-randomised population based study
	Carol Ball, Margaret Kirkby, Susan Williams
	BMJ  2003;327:1014, doi: 10.1136/bmj.327.7422.1014 [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

	Descriptive survey of non-commercial randomised controlled trials in the United Kingdom, 1980-2002
	Iain Chalmers, Cath Rounding, Kate Lock
	BMJ  2003;327:1017, doi: 10.1136/bmj.327.7422.1017 [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] [extra: Acknowledgements] FREE

	Decline in mortality, AIDS, and hospital admissions in perinatally HIV-1 infected children in the United Kingdom and Ireland
	D M Gibb, T Duong, P A Tookey, M Sharland, G Tudor-Williams, V Novelli, K Butler, A Riordan, L Farrelly, J Masters, C S Peckham, D T Dunn
	BMJ  2003;327:1019, doi: 10.1136/bmj.327.7422.1019 [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

	Secondhand effects of alcohol use among university students: computerised survey
	John D Langley, Kypros Kypri, Shaun CR Stephenson
	BMJ  2003;327:1023-1024, doi: 10.1136/bmj.327.7422.1023 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Privacy of patients' information in hospital lifts: observational study
	Simone N Vigod, Chaim M Bell, John M A Bohnen
	BMJ  2003;327:1024-1025, doi: 10.1136/bmj.327.7422.1024 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Risk of suicide and spouse's psychiatric illness or suicide: nested case-control study
	Esben Agerbo
	BMJ  2003;327:1025-1026, doi: 10.1136/bmj.327.7422.1025 [Extract] [Full text] [PDF] [Request Permissions] FREE

Career focus

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

Website extra

Deep vein thrombosis and air travel: record linkage study [Full text]

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