My last choice
	Richard Smith
	BMJ  2004;329, doi: 10.1136/bmj.329.7460.0-g [Extract] [Full text] [PDF] [Request Permissions] FREE

This week in the BMJ

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

	New ethics committee regulations hinder research [Full text]

	What would you tell Mrs Prior? [Full text]

	Dronabinol has a modest analgesic effect in multiple sclerosis [Full text]

	Suicide rates in people with schizophrenia have declined [Full text]

	Nurses using oesophageal Doppler improve outcome after heart surgery [Full text]

	Training doctors did not improve careseeking in mothers [Full text]

Editorials

	Clinical research under the cosh again
	Charles Warlow
	BMJ  2004;329:241-242, doi: 10.1136/bmj.329.7460.241 [Extract] [Full text] [PDF] [Request Permissions]

	Travelling but never arriving: reflections of a retiring editor
	Richard Smith
	BMJ  2004;329:242-244, doi: 10.1136/bmj.329.7460.242 [Extract] [Full text] [PDF] [Request Permissions]

	Fine needle aspiration cytology in cancer diagnosis
	Derek E Roskell, Ian D Buley
	BMJ  2004;329:244-245, doi: 10.1136/bmj.329.7460.244 [Extract] [Full text] [PDF] [Request Permissions]

	The future of psychotherapy in the NHS
	Sandy Goldbeck-Wood, Peter Fonagy
	BMJ  2004;329:245-246, doi: 10.1136/bmj.329.7460.245 [Extract] [Full text] [PDF] [Request Permissions] [extra: Additional references]

Letters

This week's letters [PDF]

	Fine needle aspiration of hepatic colorectal metastases: Fine needle aspiration has its place
	Álvaro Sanz, María L del Valle
	BMJ  2004;329:290, doi: 10.1136/bmj.329.7460.290 [Extract] [Full text] [Request Permissions]

	Fine needle aspiration of hepatic colorectal metastases: BMJ enters arena of tabloid journalism
	Anton E Joseph
	BMJ  2004;329:290, doi: 10.1136/bmj.329.7460.290-a [Extract] [Full text] [Request Permissions]

	Fine needle aspiration of hepatic colorectal metastases: Damage is done now
	Simon Knowles
	BMJ  2004;329:290, doi: 10.1136/bmj.329.7460.290-b [Extract] [Full text] [Request Permissions]

	Fine needle aspiration of hepatic colorectal metastases: Authors' reply
	M S Metcalfe, F H G Bridgewater, E J Mullin, G J Maddern
	BMJ  2004;329:290-291, doi: 10.1136/bmj.329.7460.290-c [Extract] [Full text] [Request Permissions]

	Social class and elective caesareans in the NHS: Analysis is not really about social class
	Alison J Macfarlane
	BMJ  2004;329:291, doi: 10.1136/bmj.329.7460.291 [Extract] [Full text] [Request Permissions]

	Social class and elective caesareans in the NHS: Dr Foster is cheap and offensive
	John M Grant
	BMJ  2004;329:291, doi: 10.1136/bmj.329.7460.291-a [Extract] [Full text] [Request Permissions]

	Social class and elective caesareans in the NHS: Authors' reply
	Paul Aylin, Brian Jarman, Alex Bottle, Katherine Barley
	BMJ  2004;329:291, doi: 10.1136/bmj.329.7460.291-b [Extract] [Full text] [Request Permissions]

	Treatment of minor burns: Dressings do not need to stick
	Alan M Leaman
	BMJ  2004;329:291-292, doi: 10.1136/bmj.329.7460.291-c [Extract] [Full text] [Request Permissions]

	Treatment of minor burns: Treatment of burns is controversial
	Alberto Apostoli, Claudia Caula
	BMJ  2004;329:292, doi: 10.1136/bmj.329.7460.292 [Extract] [Full text] [Request Permissions]

	Treatment of minor burns: Authors' reply
	Jackie Hudspith, Sukh Rayatt
	BMJ  2004;329:292, doi: 10.1136/bmj.329.7460.292-a [Extract] [Full text] [Request Permissions]

	Bush plans to screen whole US population for mental illness: Is road of initiative paved with good intentions?
	Woody Caan
	BMJ  2004;329:292, doi: 10.1136/bmj.329.7460.292-b [Extract] [Full text] [Request Permissions]

	Bush plans to screen whole US population for mental illness: An unlikely public healthcare initiative
	John R Broomfield
	BMJ  2004;329:292, doi: 10.1136/bmj.329.7460.292-c [Extract] [Full text] [Request Permissions]

	Bush plans to screen whole US population for mental illness: Bush's sanity test is revealed
	Archie W Julien
	BMJ  2004;329:292, doi: 10.1136/bmj.329.7460.292-d [Extract] [Full text] [Request Permissions]

	Bush plans to screen whole US population for mental illness: Summary of responses
	Birte Twisselmann
	BMJ  2004;329:292-293, doi: 10.1136/bmj.329.7460.292-e [Extract] [Full text] [Request Permissions]

	Good news is often ignored
	Felicity Reynolds
	BMJ  2004;329:293, doi: 10.1136/bmj.329.7460.293 [Extract] [Full text] [Request Permissions]

	Hope of prevention training in South Asia
	Sunita Dodani, Chandrakant Pandav, Sisira Siribaddana, Ronald E LaPorte, Paras Pokharel
	BMJ  2004;329:293-294, doi: 10.1136/bmj.329.7460.293-a [Extract] [Full text] [Request Permissions]

	Campaign to revitalise academic medicine: Don't believe us
	David L Sackett
	BMJ  2004;329:294, doi: 10.1136/bmj.329.7460.294 [Extract] [Full text] [Request Permissions]

	Campaign to revitalise academic medicine: Is the bubble due to burst for medical research funding?
	Bruce G Charlton, Peter Andras
	BMJ  2004;329:294, doi: 10.1136/bmj.329.7460.294-a [Extract] [Full text] [Request Permissions]

	Doctors are not scientists but we still need science
	David L J Freed
	BMJ  2004;329:294, doi: 10.1136/bmj.329.7460.294-b [Extract] [Full text] [Request Permissions]

News

	Scandals have eroded US public's confidence in drug industry
	Jeanne Lenzer
	BMJ  2004;329:247, doi: 10.1136/bmj.329.7460.247 [Extract] [Full text] [PDF]

	Health experts warn of disease as worst flooding in years hits Bangladesh
	Peter Moszynski
	BMJ  2004;329:247, doi: 10.1136/bmj.329.7460.247-a [Extract] [Full text] [PDF]

	In brief
	BMJ  2004;329:248, doi: 10.1136/bmj.329.7460.248 [Extract] [Full text] [PDF]

	WHO wants more palliative care for Europeans
	Fiona Fleck
	BMJ  2004;329:248, doi: 10.1136/bmj.329.7460.248-a [Extract] [Full text] [PDF]

	Report calls for more care for people wanting to die at home
	Zosia Kmietowicz
	BMJ  2004;329:248, doi: 10.1136/bmj.329.7460.248-b [Extract] [Full text] [PDF]

	French surgeons are set to strike
	Brad Spurgeon
	BMJ  2004;329:249, doi: 10.1136/bmj.329.7460.249 [Extract] [Full text] [PDF]

	Sexually transmitted diseases continue to rise
	Caroline White
	BMJ  2004;329:249, doi: 10.1136/bmj.329.7460.249-a [Extract] [Full text] [PDF]

	Rape victims in Sudan face life of stigma, says report
	Peter Moszynski
	BMJ  2004;329:251, doi: 10.1136/bmj.329.7460.251-b [Extract] [Full text] [PDF]

	WHO uses work on tuberculosis in Lima as model for tackling AIDS
	Fiona Fleck
	BMJ  2004;329:252, doi: 10.1136/bmj.329.7460.252 [Extract] [Full text] [PDF]

News roundup [abridged versions appear in the paper journal]

	Childhood exposure to smoke may increase risk of back pain in later life
	Roger Dobson
	BMJ  2004;329:250, doi: 10.1136/bmj.329.7460.250 [Extract] [Abridged text] [Abridged PDF] [Full text]

	Life expectancy in Great Britain rises—but later years are still spent in poor health
	Karen Hébert
	BMJ  2004;329:250, doi: 10.1136/bmj.329.7460.250-a [Extract] [Abridged text] [Abridged PDF] [Full text]

	Bush signs law to protect US from bioterrorism
	Fred Charatan
	BMJ  2004;329:250, doi: 10.1136/bmj.329.7460.250-b [Extract] [Abridged text] [Abridged PDF] [Full text]

	Combination anticoagulation therapy doubles risk of bleeding in patients at high risk of stroke
	Debashis Singh
	BMJ  2004;329:250, doi: 10.1136/bmj.329.7460.250-c [Extract] [Abridged text] [Abridged PDF] [Full text]

	Fertilisation authority rules in favour of embryo selection for tissue donation
	Rebecca Coombes
	BMJ  2004;329:251, doi: 10.1136/bmj.329.7460.251 [Extract] [Abridged text] [Abridged PDF] [Full text]

	Government confirms second case of vCJD transmitted by blood transfusion
	Stephen Pincock
	BMJ  2004;329:251, doi: 10.1136/bmj.329.7460.251-a [Extract] [Abridged text] [Abridged PDF] [Full text]

News extra [these stories appear only on the web]

	Canadian RCTs to have new registration rules
	David Spurgeon
	BMJ  2004;329:252, doi: 10.1136/bmj.329.7460.252-a [Extract] [Full text]

	Audit report criticises India's slow progress on AIDS
	Ganapati Mudur
	BMJ  2004;329:252, doi: 10.1136/bmj.329.7460.252-b [Extract] [Full text]

	Health secretary cuts number of targets in a move to local health plans
	Madeline Brettingham
	BMJ  2004;329:252, doi: 10.1136/bmj.329.7460.252-c [Extract] [Full text]

	"Arm's length" NHS bodies to be abolished in spending cull
	Karen Hébert
	BMJ  2004;329:252, doi: 10.1136/bmj.329.7460.252-d [Extract] [Full text]

	New US Medicare policy changes ruling that obesity is not an illness
	Susan Mayor
	BMJ  2004;329:252, doi: 10.1136/bmj.329.7460.252-e [Extract] [Full text]

	New minister to tackle Poland's healthcare crisis
	Jane Burgermeister
	BMJ  2004;329:252, doi: 10.1136/bmj.329.7460.252-f [Extract] [Full text]

	Indian doctor's decision to "self test" AIDS vaccine decried as unethical
	Ganapati Murdur
	BMJ  2004;329:252, doi: 10.1136/bmj.329.7460.252-g [Extract] [Full text]

Primary care

	Impact of counselling on careseeking behaviour in families with sick children: cluster randomised trial in rural India
	Pavitra Mohan, Sharad D Iyengar, Jose Martines, Simon Cousens, Kalpana Sen
	BMJ  2004;329:266, doi: 10.1136/bmj.38149.703380.47, (Published 20 July 2004) [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] [extra: A child health card] FREE

	Commentary: Advice to parents has limited effect—where next?
	Paul Little
	BMJ  2004;329:269, doi: 10.1136/bmj.329.7460.269 [Extract] [Full text] [PDF] [Request Permissions] FREE

Clinical review

	Evidence based case report: Corticosteroids for HELLP (haemolysis, elevated liver enzymes, low platelets) syndrome
	Timothy L Clenney, Anthony J Viera
	BMJ  2004;329:270-272, doi: 10.1136/bmj.329.7460.270 [Extract] [Full text] [PDF] [Request Permissions]

	Interactive case report: Abnormal liver function found after an unplanned consultation: case presentation
	James Heathcote
	BMJ  2004;329:273, doi: 10.1136/bmj.329.7460.273 [Extract] [Full text] [PDF] [Request Permissions]

	ABC of burns: Burns reconstruction
	Juan P Barret
	BMJ  2004;329:274-276, doi: 10.1136/bmj.329.7460.274 [Extract] [Full text] [PDF] [Request Permissions]

Education and debate

	Academic medicine campaign: Obstacles to conducting epidemiological research in the UK general population
	Hester J T Ward, Simon N Cousens, Blaire Smith-Bathgate, Margaret Leitch, Dawn Everington, Robert G Will, Peter G Smith
	BMJ  2004;329:277-279, doi: 10.1136/bmj.329.7460.277 [Extract] [Full text] [PDF] [Request Permissions]

	The other face of research governance
	Alysun M Jones, Bryony Bamford
	BMJ  2004;329:280-281, doi: 10.1136/bmj.329.7460.280 [Extract] [Full text] [PDF] [Request Permissions]

	Commentary: View from the research and development office
	Tony Soteriou
	BMJ  2004;329:281-282, doi: 10.1136/bmj.329.7460.281 [Extract] [Full text] [PDF] [Request Permissions]

	Bureaucracy of ethics applications
	David S Wald
	BMJ  2004;329:282-284, doi: 10.1136/bmj.329.7460.282 [Extract] [Full text] [PDF] [Request Permissions]

	Commentary: Better support for investigators is essential
	Sarah Meredith
	BMJ  2004;329:285, doi: 10.1136/bmj.329.7460.285 [Extract] [Full text] [PDF] [Request Permissions]

	Research ethics paperwork: what is the plot we seem to have lost?
	Konrad Jamrozik
	BMJ  2004;329:286-287, doi: 10.1136/bmj.329.7460.286 [Extract] [Full text] [PDF] [Request Permissions]

	Ethical review of research into rare genetic disorders
	M Parker, R Ashcroft, A O M Wilkie, A Kent
	BMJ  2004;329:288-289, doi: 10.1136/bmj.329.7460.288 [Extract] [Full text] [PDF] [Request Permissions]

Reviews

	Book: In the Shadow of "Just Wars": Violence, Politics and Humanitarian Action; Traditions, Values, and Humanitarian Action
	Johan von Schreeb
	BMJ  2004;329:297, doi: 10.1136/bmj.329.7460.297 [Extract] [Full text] [Request Permissions]

	PERSONAL VIEWS: Why failed asylum seekers must not be denied access to the NHS
	Paul D Williams
	BMJ  2004;329:298, doi: 10.1136/bmj.329.7460.298 [Extract] [Full text] [Request Permissions]

	Hit parade
	BMJ  2004;329:298, doi: 10.1136/bmj.329.7460.298-a [Extract] [Full text] [Request Permissions]

	Where can we publish?
	Samer Jabbour
	BMJ  2004;329:299, doi: 10.1136/bmj.329.7460.299 [Extract] [Full text] [Request Permissions]

	SOUNDINGS: Saving lives on the Silk Road
	James Owen Drife
	BMJ  2004;329:299, doi: 10.1136/bmj.329.7460.299-a [Extract] [Full text] [Request Permissions]

Minerva

	Minerva
	BMJ  2004;329:300, doi: 10.1136/bmj.329.7460.300 [Full text] [PDF] [Request Permissions]

Fillers

	POEM*: Open hernia repair better than laparoscopic
	BMJ  2004;329, doi: 10.1136/bmj.329.7460.0-f [Extract] [Full text] [PDF] [Request Permissions]

	Submitting articles to the BMJ
	BMJ  2004;329:264, doi: 10.1136/bmj.329.7460.264 [Extract] [Full text] [Request Permissions]

	One hundred years ago: Coin debaser and quack doctor
	BMJ  2004;329:265, doi: 10.1136/bmj.329.7460.265-a [Extract] [Full text] [PDF] [Request Permissions]

	Give a disease a bad name
	H V Wyatt
	BMJ  2004;329:272, doi: 10.1136/bmj.329.7460.272 [Extract] [Full text] [PDF] [Request Permissions]

	bmjlearning.com: None of the above?
	Kieran Walsh
	BMJ  2004;329:273, doi: 10.1136/bmj.329.7460.273-a [Extract] [Full text] [PDF] [Request Permissions]

	When Dr Mopp tried to get into research
	Markus Hesseling
	BMJ  2004;329:279, doi: 10.1136/bmj.329.7460.279 [Extract] [Full text] [PDF] [Request Permissions]

	Medscape conference coverage: Digestive Disease Week 2004, New Orleans, Louisiana
	BMJ  2004;329:284, doi: 10.1136/bmj.329.7460.284 [Extract] [Full text] [PDF] [Request Permissions]

	Endpiece: Improvement of the practice of medicine
	Jeremy Hugh Baron
	BMJ  2004;329:285, doi: 10.1136/bmj.329.7460.285-a [Extract] [Full text] [PDF] [Request Permissions]

	The truth is not always a beautiful thing
	Gregor Walker
	BMJ  2004;329:287, doi: 10.1136/bmj.329.7460.287 [Extract] [Full text] [PDF] [Request Permissions]

Career focus

	I have done three years of psychiatry as a senior house officer: how can I become "section 12 approved"?
	Jim Bolton
	BMJ  2004;329:s42, doi: 10.1136/bmj.329.7460.s42, (Published 31 July 2004) [Abstract] [Full text] [Request Permissions] FREE

	Is there an age limit for house officer posts?
	Simon Eccles
	BMJ  2004;329:s42, doi: 10.1136/bmj.329.7460.s42-a, (Published 31 July 2004) [Abstract] [Full text] [Request Permissions] FREE

	Is there any banding system in the clinical fellow salary?
	Justin Stebbing
	BMJ  2004;329:s42, doi: 10.1136/bmj.329.7460.s42-b, (Published 31 July 2004) [Abstract] [Full text] [Request Permissions] FREE

	Please can you inform me of the various routes into counselling? What are the different types of counselling?
	Philip Crockett
	BMJ  2004;329:s42, doi: 10.1136/bmj.329.7460.s42-c, (Published 31 July 2004) [Abstract] [Full text] [Request Permissions] FREE

	I am a third year medic about to sit my PACES and I'm interested in doing chest medicine and intensive care medicine. How should I go about it?
	Gavin Perkins
	BMJ  2004;329:s42, doi: 10.1136/bmj.329.7460.s42-d, (Published 31 July 2004) [Abstract] [Full text] [Request Permissions] FREE

	What does the recent reduction in GP registrar funding mean for doctors applying directly at GP registrar level having completed their own rotation or decided to change career to general practice?
	Bill Irish
	BMJ  2004;329:s42, doi: 10.1136/bmj.329.7460.s42-e, (Published 31 July 2004) [Abstract] [Full text] [Request Permissions] FREE

	THIS WEEK
	Rhona MacDonald
	BMJ  2004;329:s43, doi: 10.1136/bmj.329.7460.s43, (Published 31 July 2004) [Full text] [Request Permissions] FREE

	Developing a career in health protection<$DOWNLINK>
	Ibrahim Abubakar
	BMJ  2004;329:s43-s44, doi: 10.1136/bmj.329.7460.s43-a, (Published 31 July 2004) [Abstract] [Full text] [Request Permissions] FREE

	The transition from medical student to junior doctor: an A to Z guide
	Amanda McNaughton
	BMJ  2004;329:s45-s46, doi: 10.1136/bmj.329.7460.s45, (Published 31 July 2004) [Abstract] [Full text] [Request Permissions] FREE

	Surviving your first set of night shifts as a PRHO
	Alexander Phillips
	BMJ  2004;329:s46, doi: 10.1136/bmj.329.7460.s46, (Published 31 July 2004) [Full text] [Request Permissions] FREE

	Animal behaviour
	Anthony Fleg
	BMJ  2004;329:s47-s48, doi: 10.1136/bmj.329.7460.s47, (Published 31 July 2004) [Abstract] [Full text] [Request Permissions] FREE

	Getting the most out of PRHO shadowing
	Kathryn Williams
	BMJ  2004;329:s48, doi: 10.1136/bmj.329.7460.s48, (Published 31 July 2004) [Full text] [Request Permissions] FREE

	The irony of it all
	Anupam Banerjee
	BMJ  2004;329:s49, doi: 10.1136/bmj.329.7460.s49, (Published 31 July 2004) [Abstract] [Full text] [Request Permissions] FREE

	Moving to a new hospital and a new home
	Sanjay Suman
	BMJ  2004;329:s49, doi: 10.1136/bmj.329.7460.s49-a, (Published 31 July 2004) [Full text] [Request Permissions] FREE

	Presenting in Biomedicine: 500 Tips for Success
	Georgios Lyratzopoulos
	BMJ  2004;329:s50, doi: 10.1136/bmj.329.7460.s50, (Published 31 July 2004) [Full text] [Request Permissions] FREE

	Medical writing
	Clare Hughes
	BMJ  2004;329:s50, doi: 10.1136/bmj.329.7460.s50-a, (Published 31 July 2004) [Full text] [Request Permissions] FREE

Obituaries

This week's obituaries [PDF]

	William Einar Miall
	Tom Meade, Stan Peart
	BMJ  2004;329:295, doi: 10.1136/bmj.329.7460.295 [Extract] [Full text]

	Michael Shirley Adams
	Anthony J Moon
	BMJ  2004;329:296, doi: 10.1136/bmj.329.7460.296 [Extract] [Full text] [extra: Longer version]

	Tim Cullinan
	Peter Drury
	BMJ  2004;329:296, doi: 10.1136/bmj.329.7460.296-a [Extract] [Full text] [extra: Longer version]

	Nicholas Mark Hone
	Nicholas Mark Hone
	BMJ  2004;329:296, doi: 10.1136/bmj.329.7460.296-b [Extract] [Full text] [extra: Longer version]

	Archibald McDougall
	Ross McDougall
	BMJ  2004;329:296, doi: 10.1136/bmj.329.7460.296-c [Extract] [Full text] [extra: Longer version]

	Thomas Reynolds
	W G Donald
	BMJ  2004;329:296, doi: 10.1136/bmj.329.7460.296-d [Extract] [Full text] [extra: Longer version]

	John Pendered Stephens
	J G Taylor
	BMJ  2004;329:296, doi: 10.1136/bmj.329.7460.296-e [Extract] [Full text] [extra: Longer version]

Papers

	Does the cannabinoid dronabinol reduce central pain in multiple sclerosis? Randomised double blind placebo controlled crossover trial
	Kristina B Svendsen, Troels S Jensen, Flemming W Bach
	BMJ  2004;329:253, doi: 10.1136/bmj.38149.566979.AE, (Published 16 July 2004) [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

	Science commentary: High hopes for cannabinoid analgesia
	Geoff Watts
	BMJ  2004;329:257-258, doi: 10.1136/bmj.38168.627292.0B, (Published 16 July 2004) [Extract] [Full text] [PDF] [Request Permissions] FREE

	Randomised controlled trial assessing the impact of a nurse delivered, flow monitored protocol for optimisation of circulatory status after cardiac surgery
	Moira McKendry, Helen McGloin, Debbie Saberi, Libby Caudwell, Anthony R Brady, Mervyn Singer
	BMJ  2004;329:258, doi: 10.1136/bmj.38156.767118.7C, (Published 8 July 2004) [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

	Change in suicide rates for patients with schizophrenia in Denmark, 1981-97: nested case-control study
	Merete Nordentoft, Thomas Munk Laursen, Esben Agerbo, Ping Qin, Eyd Hansen Høyer, Preben Bo Mortensen
	BMJ  2004;329:261, doi: 10.1136/bmj.38133.622488.63, (Published 22 June 2004) [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

	DRUG POINTS: Photo-onycholysis associated with the use of doxycycline
	Anneke Passier, Astri Smits-van Herwaarden, Eugène van Puijenbroek
	BMJ  2004;329:265, doi: 10.1136/bmj.329.7460.265 [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.