Self pity will destroy you
	Richard Smith
	BMJ  2004;328, doi: 10.1136/bmj.328.7455.0-g [Extract] [Full text] [PDF] [Request Permissions] FREE

This week in the BMJ

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

	What happens to doctors who smoke? [Full text]

	Discharged psychiatric patients are unlikely to commit violence [Full text]

	CT genotype increases the risk of neural tube defect [Full text]

	Smokeless tobacco use affects babies [Full text]

	Working class students see medical school as alien... [Full text]

	... and medical school admissions show inequalities [Full text]

Editorials

	New insights from the British doctors study
	Meir Stampfer
	BMJ  2004;328:1507, doi: 10.1136/bmj.328.7455.1507 [Extract] [Full text] [PDF] [Request Permissions]

	Opening doors to medicine
	Sean Hilton, Kenton Lewis
	BMJ  2004;328:1508-1509, doi: 10.1136/bmj.328.7455.1508 [Extract] [Full text] [PDF] [Request Permissions]

	Is epidural injection of steroids effective for low back pain?
	Ash Samanta, Jo Samanta
	BMJ  2004;328:1509-1510, doi: 10.1136/bmj.328.7455.1509 [Extract] [Full text] [PDF] [Request Permissions]

	The human tissue bill and the mental capacity bill
	Kathleen Liddell, David K Menon, Ron Zimmern
	BMJ  2004;328:1510-1511, doi: 10.1136/bmj.328.7455.1510 [Extract] [Full text] [PDF] [Request Permissions]

	Newer drug combinations for malaria
	Guy Barnish, Imelda Bates, James Iboro
	BMJ  2004;328:1511-1512, doi: 10.1136/bmj.328.7455.1511 [Extract] [Full text] [PDF] [Request Permissions]

Letters

This week's letters [PDF]

	How electronic communication is changing health care: Usability is main barrier to effective electronic information systems
	Douglas Badenoch, Andre Tomlin
	BMJ  2004;328:1564, doi: 10.1136/bmj.328.7455.1564 [Extract] [Full text] [Request Permissions]

	How electronic communication is changing health care: Barriers to online learning networks need to be overcome
	John E Sandars, Michele Langlois
	BMJ  2004;328:1564, doi: 10.1136/bmj.328.7455.1564-a [Extract] [Full text] [Request Permissions]

	How electronic communication is changing health care: Patients are e-literate, or not
	L Duvika Mewasingh
	BMJ  2004;328:1564, doi: 10.1136/bmj.328.7455.1564-b [Extract] [Full text] [Request Permissions]

	How electronic communication is changing health care: Imagining tomorrow's world stuck in the old paradigm
	Julian P Strauss
	BMJ  2004;328:1564-1565, doi: 10.1136/bmj.328.7455.1564-c [Extract] [Full text] [Request Permissions]

	Handheld computers in clinical practice: Are useful in informing and educating patients...
	Adam Magos, Malini Sharma, Lucie Buck
	BMJ  2004;328:1565, doi: 10.1136/bmj.328.7455.1565 [Extract] [Full text] [Request Permissions]

	Handheld computers in clinical practice: ... and will appeal to new breed of general practitioners
	David A Eso
	BMJ  2004;328:1565, doi: 10.1136/bmj.328.7455.1565-a [Extract] [Full text] [Request Permissions]

	Computer aided prescribing: Software needs to take account of how doctors prescribe
	Anthony N Glaser
	BMJ  2004;328:1565, doi: 10.1136/bmj.328.7455.1565-b [Extract] [Full text] [Request Permissions]

	Computer aided prescribing: Computer aided prescribing is not panacea but can help
	Keith Farrar, Ann Slee, Don Hughes, Peter Marsh, Carol Makin
	BMJ  2004;328:1565-1566, doi: 10.1136/bmj.328.7455.1565-c [Extract] [Full text] [Request Permissions]

	Computer aided prescribing: Electronic prescribing is helpful in children too
	Kenneth Wong, Paul Tam
	BMJ  2004;328:1566, doi: 10.1136/bmj.328.7455.1566 [Extract] [Full text] [Request Permissions]

	Computer aided prescribing: Decision support needs to be evidence based
	Siaw-Teng Liaw, Stephen Kerr
	BMJ  2004;328:1566, doi: 10.1136/bmj.328.7455.1566-a [Extract] [Full text] [Request Permissions]

	Amoxicillin for non-severe pneumonia in young children: Stop skimping, start investing in antibiotic treatment
	Lynne Wrennall
	BMJ  2004;328:1566-1567, doi: 10.1136/bmj.328.7455.1566-b [Extract] [Full text] [Request Permissions]

	Amoxicillin for non-severe pneumonia in young children: Admission to hospital may indicate adverse effects
	Javier Borja, David Rigau
	BMJ  2004;328:1567, doi: 10.1136/bmj.328.7455.1567 [Extract] [Full text] [Request Permissions]

	Amoxicillin for non-severe pneumonia in young children: Authors' reply
	Shally Awasthi, S K Kabra, Shamim Qazi
	BMJ  2004;328:1567, doi: 10.1136/bmj.328.7455.1567-a [Extract] [Full text] [Request Permissions]

	Reduce door to needle, not door to balloon, times first
	Sharif Hossain
	BMJ  2004;328:1567, doi: 10.1136/bmj.328.7455.1567-b [Extract] [Full text] [Request Permissions]

	Sexuality of health practitioners is complex
	Michael King, Irwin Nazareth
	BMJ  2004;328:1567-1568, doi: 10.1136/bmj.328.7455.1567-c [Extract] [Full text] [Request Permissions]

	Implementing guidance on hip fracture: Advice is misleading
	G Keith Ions
	BMJ  2004;328:1568, doi: 10.1136/bmj.328.7455.1568 [Extract] [Full text] [Request Permissions]

	Implementing guidance on hip fracture: Authors' reply
	Alex Bottle, Brian Jarman, Paul Aylin, Roger Taylor
	BMJ  2004;328:1568, doi: 10.1136/bmj.328.7455.1568-a [Extract] [Full text] [Request Permissions]

	Public health programmes: you don't know what you've got till it's gone
	Ulf R Dahle
	BMJ  2004;328:1568, doi: 10.1136/bmj.328.7455.1568-b [Extract] [Full text] [Request Permissions]

News

	WHO warns of a polio epidemic in Africa
	Fiona Fleck
	BMJ  2004;328:1513, doi: 10.1136/bmj.328.7455.1513 [Extract] [Full text] [PDF]

	GlaxoSmithKline to publish clinical trials after US lawsuit
	Liza Gibson
	BMJ  2004;328:1513, doi: 10.1136/bmj.328.7455.1513-a [Extract] [Full text] [PDF]

	In brief
	BMJ  2004;328:1514, doi: 10.1136/bmj.328.7455.1514 [Extract] [Full text] [PDF]

	Girls in southern Sudan are more likely to die in childbirth than complete primary school
	Peter Moszynski
	BMJ  2004;328:1514, doi: 10.1136/bmj.328.7455.1514-a [Extract] [Full text] [PDF]

	Oestrogen doesn't protect mental function in older women
	Janice Hopkins Tanne
	BMJ  2004;328:1514, doi: 10.1136/bmj.328.7455.1514-b [Extract] [Full text] [PDF]

	Women aged over 40 who are at increased risk of breast cancer should get annual mammograms
	Zosia Kmietowicz
	BMJ  2004;328:1515, doi: 10.1136/bmj.328.7455.1515 [Extract] [Full text] [PDF]

	Wyeth found guilty of paying to boost use of a specific medicine
	Zosia Kmietowicz
	BMJ  2004;328:1515, doi: 10.1136/bmj.328.7455.1515-a [Extract] [Full text] [PDF]

	Review finds child experts disagreed in 47 cases out of 5000
	Clare Dyer
	BMJ  2004;328:1517, doi: 10.1136/bmj.328.7455.1517-b [Extract] [Full text] [PDF]

	US doctors debate refusing treatment to malpractice lawyers
	Fred Charatan
	BMJ  2004;328:1518, doi: 10.1136/bmj.328.7455.1518 [Extract] [Full text] [PDF]

	Human Tissue Bill is modified because of research needs
	Clare Dyer
	BMJ  2004;328:1518, doi: 10.1136/bmj.328.7455.1518-a [Extract] [Full text] [PDF]

News roundup [abridged versions appear in the paper journal]

	Hospitals improve on "door to needle" time
	Susan Mayor
	BMJ  2004;328:1516, doi: 10.1136/bmj.328.7455.1516 [Extract] [Abridged text] [Abridged PDF] [Full text]

	Psychiatrist suspended for undermining patients' trust in treatment
	Owen Dyer
	BMJ  2004;328:1516, doi: 10.1136/bmj.328.7455.1516-a [Extract] [Abridged text] [Abridged PDF] [Full text]

	Dutch government demands reimbursement for charity worker's ransom
	Tony Sheldon
	BMJ  2004;328:1516, doi: 10.1136/bmj.328.7455.1516-b [Extract] [Abridged text] [Abridged PDF] [Full text]

	"Arrogant doctors" not to blame for variability in drug prescribing
	Bruno Rushforth
	BMJ  2004;328:1516, doi: 10.1136/bmj.328.7455.1516-c [Extract] [Abridged text] [Abridged PDF] [Full text]

	Bill clarifies gap in law over living wills
	Clare Dyer
	BMJ  2004;328:1516, doi: 10.1136/bmj.328.7455.1516-d [Extract] [Abridged text] [Abridged PDF] [Full text]

	Obese men can regain sexual function by losing weight and exercising
	Scott Gottlieb
	BMJ  2004;328:1517, doi: 10.1136/bmj.328.7455.1517 [Extract] [Abridged text] [Abridged PDF] [Full text]

	Health needs of people with learning disabilities neglected
	Colleen Shannon
	BMJ  2004;328:1517, doi: 10.1136/bmj.328.7455.1517-a [Extract] [Abridged text] [Abridged PDF] [Full text]

News extra [these stories appear only on the web]

	Medical schools continue to favour white, middle class candidates
	Katherine Burke
	BMJ  2004;328:1518, doi: 10.1136/bmj.328.7455.1518-b [Extract] [Full text]

	Human error and systems failure caused IVF mix up
	Clare Dyer
	BMJ  2004;328:1518, doi: 10.1136/bmj.328.7455.1518-c [Extract] [Full text]

	WHO pulls two generic AIDS drugs from approved list
	Fiona Fleck
	BMJ  2004;328:1518, doi: 10.1136/bmj.328.7455.1518-d [Extract] [Full text]

	Delays in abortion referrals limit women�s choices, says report
	Debashis Singh
	BMJ  2004;328:1518, doi: 10.1136/bmj.328.7455.1518-e [Extract] [Full text]

	Australian Senate committee decides against compensation for victims of infected blood
	Bob Burton
	BMJ  2004;328:1518, doi: 10.1136/bmj.328.7455.1518-f [Extract] [Full text]

Primary care

	Smokeless tobacco use, birth weight, and gestational age: population based, prospective cohort study of 1217 women in Mumbai, India
	Prakash C Gupta, Sreevidya S
	BMJ  2004;328:1538, doi: 10.1136/bmj.38113.687882.EB, (Published 15 June 2004) [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

Learning in practice

	"Not a university type": focus group study of social class, ethnic, and sex differences in school pupils' perceptions about medical school
	Trisha Greenhalgh, Kieran Seyan, Petra Boynton
	BMJ  2004;328:1541, doi: 10.1136/bmj.328.7455.1541 [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] [extra: Details of schools and quotes] FREE

	The standardised admission ratio for measuring widening participation in medical schools: analysis of UK medical school admissions by ethnicity, socioeconomic status, and sex
	Kieran Seyan, Trisha Greenhalgh, Danny Dorling
	BMJ  2004;328:1545-1546, doi: 10.1136/bmj.328.7455.1545 [Full text] [PDF] [Request Permissions] [extra: Extral table] FREE

	What the educators are saying
	Phil Cotton, Jill Morrison
	BMJ  2004;328:1547, doi: 10.1136/bmj.328.7455.1547 [Full text] [PDF] [Request Permissions] FREE

Clinical review

	Healthcare challenges from the developing world: post-immigration refugee medicine
	Kristina M Adams, Lorin D Gardiner, Nassim Assefi
	BMJ  2004;328:1548-1552, doi: 10.1136/bmj.328.7455.1548 [Extract] [Full text] [PDF] [Request Permissions]

	Lesson of the week: Charles Bonnet syndrome—elderly people and visual hallucinations
	Anu Jacob, Sanjeev Prasad, Mike Boggild, Sanjeev Chandratre
	BMJ  2004;328:1552-1554, doi: 10.1136/bmj.328.7455.1552 [Extract] [Full text] [PDF] [Request Permissions]

	ABC of burns: Initial management of a major burn: I—overview
	Shehan Hettiaratchy, Remo Papini
	BMJ  2004;328:1555-1557, doi: 10.1136/bmj.328.7455.1555 [Extract] [Full text] [PDF] [Request Permissions]

Education and debate

	Tobacco and obesity epidemics: not so different after all?
	Mickey Chopra, Ian Darnton-Hill
	BMJ  2004;328:1558-1560, doi: 10.1136/bmj.328.7455.1558 [Extract] [Full text] [PDF] [Request Permissions]

	Complex interventions: how "out of control" can a randomised controlled trial be?
	Penelope Hawe, Alan Shiell, Therese Riley
	BMJ  2004;328:1561-1563, doi: 10.1136/bmj.328.7455.1561 [Extract] [Full text] [PDF] [Request Permissions]

Reviews

	Book: George and Sam
	Michael Fitzpatrick
	BMJ  2004;328:1571, doi: 10.1136/bmj.328.7455.1571 [Extract] [Full text] [Request Permissions]

	Book: Excerpts from a Family Medical Dictionary
	John Quin
	BMJ  2004;328:1571, doi: 10.1136/bmj.328.7455.1571-a [Extract] [Full text] [Request Permissions]

	Ads: The new tobacco?
	Rebecca Coombes
	BMJ  2004;328:1572, doi: 10.1136/bmj.328.7455.1572 [Extract] [Full text] [Request Permissions]

	PERSONAL VIEW: Wasting time with people
	Simon Challand
	BMJ  2004;328:1573, doi: 10.1136/bmj.328.7455.1573 [Extract] [Full text] [Request Permissions]

	SOUNDINGS: A day in the country
	Colin Douglas
	BMJ  2004;328:1573, doi: 10.1136/bmj.328.7455.1573-a [Extract] [Full text] [Request Permissions]

Minerva

	Minerva
	BMJ  2004;328:1574, doi: 10.1136/bmj.328.7455.1574 [Full text] [PDF] [Request Permissions]

Fillers

	POEM*: Fetal fibronectin does not affect outcomes of preterm labour
	BMJ  2004;328, doi: 10.1136/bmj.328.7455.0-f [Extract] [Full text] [PDF] [Request Permissions]

	The cover
	BMJ  2004;328:1528, doi: 10.1136/bmj.328.7455.1528 [Extract] [Full text] [PDF] [Request Permissions]

	Endpiece: The difference
	Fred Charatan
	BMJ  2004;328:1544, doi: 10.1136/bmj.328.7455.1544 [Extract] [Full text] [PDF] [Request Permissions]

	A memorable patient: Caring for those who refuse help
	Melvyn Jones
	BMJ  2004;328:1546, doi: 10.1136/bmj.328.7455.1546 [Extract] [Full text] [PDF] [Request Permissions]

	Interactive case report: A 64 year old woman with knee pain
	BMJ  2004;328:1554, doi: 10.1136/bmj.328.7455.1554 [Extract] [Full text] [PDF] [Request Permissions]

	The recurrent attender with a difference
	Richard Body
	BMJ  2004;328:1554, doi: 10.1136/bmj.328.7455.1554-a [Extract] [Full text] [PDF] [Request Permissions]

	Balancing benefits and harms in health care: Webchat
	BMJ  2004;328:1560, doi: 10.1136/bmj.328.7455.1560 [Extract] [Full text] [PDF] [Request Permissions]

	Birth of a baby girl and social stigma
	Afshan Salim
	BMJ  2004;328:1563, doi: 10.1136/bmj.328.7455.1563 [Extract] [Full text] [PDF] [Request Permissions]

Career focus

	I am thinking of working in the Persian Gulf for a couple of years, after completing my time as a preregistration house officer. If I did this, would it be difficult to get a good job when I came back to the United Kingdom?
	Nick Banatvala
	BMJ  2004;328:s276, doi: 10.1136/bmj.328.7455.s276, (Published 26 June 2004) [Abstract] [Full text] [Request Permissions] FREE

	I would like to change career from specialist registrar in hospital to general practice. I have 24 months of recognised training posts for general practice and have my VTR2 forms completed. Will I be penalised for giving up a hospital career?
	Brian Keighley
	BMJ  2004;328:s276, doi: 10.1136/bmj.328.7455.s276-a, (Published 26 June 2004) [Abstract] [Full text] [Request Permissions] FREE

	Are there any particular SHO jobs that I should be considering before embarking on paediatrics?
	Elitham Turya
	BMJ  2004;328:s276, doi: 10.1136/bmj.328.7455.s276-b, (Published 26 June 2004) [Abstract] [Full text] [Request Permissions] FREE

	I have just passed the PLAB and wish to have a career in anaesthetics and critical care medicine. I have worked in anaesthetics for six months in India. Which jobs should I apply for to get on to an anaesthetic rotation? Should I apply for the non-training jobs in accident and emergency?
	Peter Shirley
	BMJ  2004;328:s276, doi: 10.1136/bmj.328.7455.s276-c, (Published 26 June 2004) [Abstract] [Full text] [Request Permissions] FREE

	THIS WEEK
	Rhona MacDonald
	BMJ  2004;328:s277, doi: 10.1136/bmj.328.7455.s277, (Published 26 June 2004) [Full text] [Request Permissions] FREE

	Travel medicine
	Jane N Zuckerman
	BMJ  2004;328:s277-s278, doi: 10.1136/bmj.328.7455.s277-a, (Published 26 June 2004) [Abstract] [Full text] [Request Permissions] FREE

	The Clinical Experience Scheme for refugee and overseas doctors
	Penny Trafford
	BMJ  2004;328:s279, doi: 10.1136/bmj.328.7455.s279, (Published 26 June 2004) [Abstract] [Full text] [Request Permissions] FREE

	The Scottish refugee and asylum seekers doctors programme
	Frances Dorrian
	BMJ  2004;328:s280, doi: 10.1136/bmj.328.7455.s280, (Published 26 June 2004) [Abstract] [Full text] [Request Permissions] FREE

	Helping refugee doctors gain entry into the NHS
	Ruth Chambers
	BMJ  2004;328:s281, doi: 10.1136/bmj.328.7455.s281, (Published 26 June 2004) [Abstract] [Full text] [Request Permissions] FREE

	PLAB is good for you
	Anuradha Arasu
	BMJ  2004;328:s282, doi: 10.1136/bmj.328.7455.s282, (Published 26 June 2004) [Abstract] [Full text] [Request Permissions] FREE

	Refugee medicine in the United Kingdom
	Peter Cross
	BMJ  2004;328:s283, doi: 10.1136/bmj.328.7455.s283, (Published 26 June 2004) [Abstract] [Full text] [Request Permissions] FREE

	Errors of judgment<$DOWNLINK>
	Nicola Sharp
	BMJ  2004;328:s284, doi: 10.1136/bmj.328.7455.s284, (Published 26 June 2004) [Full text] [Request Permissions] FREE

Obituaries

This week's obituaries [PDF]

	Paul Francis Wehrle
	Chloe Veltman
	BMJ  2004;328:1569, doi: 10.1136/bmj.328.7455.1569 [Extract] [Full text]

	Richard Gore Benians
	Robin Benians
	BMJ  2004;328:1570, doi: 10.1136/bmj.328.7455.1570 [Extract] [Full text] [extra: Longer version]

	Harbaksh Singh Capoore
	P Capoore, M Hirons, J Hood
	BMJ  2004;328:1570, doi: 10.1136/bmj.328.7455.1570-a [Extract] [Full text] [extra: Longer version]

	Malcolm "Callum" Walker Clark
	Drew Clark, Stuart Clark
	BMJ  2004;328:1570, doi: 10.1136/bmj.328.7455.1570-b [Extract] [Full text] [extra: Longer version]

	Philip Haigh
	Andrew Burroughs, Rodney Burnham
	BMJ  2004;328:1570, doi: 10.1136/bmj.328.7455.1570-c [Extract] [Full text] [extra: Longer version]

	Gillian Anne Hartley
	Sandra Charles
	BMJ  2004;328:1570, doi: 10.1136/bmj.328.7455.1570-d [Extract] [Full text] [extra: Longer version]

	Thomas Loftus Townshend Lewis
	Tim Coltart, John Lewis, Anthony Kenny
	BMJ  2004;328:1570, doi: 10.1136/bmj.328.7455.1570-e [Extract] [Full text] [extra: Longer version]

Papers

	Mortality in relation to smoking: 50 years' observations on male British doctors
	Richard Doll, Richard Peto, Jillian Boreham, Isabelle Sutherland
	BMJ  2004;328:1519, doi: 10.1136/bmj.38142.554479.AE, (Published 22 June 2004) [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

	The mortality of doctors in relation to their smoking habits: a preliminary report: (Reprinted from Br Med J 1954:ii;1451-5)
	Richard Doll, A. Bradford Hill
	BMJ  2004;328:1529-1533, doi: 10.1136/bmj.328.7455.1529 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Commentary: scientific articles have hardly changed in 50 years
	Richard Smith
	BMJ  2004;328:1533, doi: 10.1136/bmj.328.7455.1533 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Offending in psychiatric patients after discharge from medium secure units: prospective national cohort study
	A Maden, F Scott, R Burnett, G H Lewis, P Skapinakis
	BMJ  2004;328:1534, doi: 10.1136/bmj.38075.467569.EE, (Published 28 May 2004) [Extract] [Full text] [PDF] [Request Permissions] FREE

	Impact of the MTHFR C677T polymorphism on risk of neural tube defects: case-control study
	Peadar N Kirke, James L Mills, Anne M Molloy, Lawrence C Brody, Valerie B O'Leary, Leslie Daly, Sharon Murray, Mary Conley, Philip D Mayne, Owen Smith, John M Scott
	BMJ  2004;328:1535-1536, doi: 10.1136/bmj.38036.646030.EE, (Published 21 May 2004) [Extract] [Full text] [PDF] [Request Permissions] FREE

	Delays in publication of cost utility analyses conducted alongside clinical trials: registry analysis
	Dan Greenberg, Allison B Rosen, Natalia V Olchanski, Patricia W Stone, John Nadai, Peter J Neumann
	BMJ  2004;328:1536-1537, doi: 10.1136/bmj.38079.502326.AE, (Published 20 April 2004) [Extract] [Full text] [PDF] [Request Permissions] FREE

	DRUG POINTS: Guillain-Barré syndrome seen in users of isotretinoin
	J Pritchard, R Appleton, R Howard, R A C Hughes
	BMJ  2004;328:1537, doi: 10.1136/bmj.328.7455.1537 [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.