Preventive medicine makes us miserable
	Fiona Godlee
	BMJ  2005;330, doi: 10.1136/bmj.330.7497.0-f [Extract] [Full text] [PDF] [Request Permissions] FREE

This week in the BMJ

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

	Catch me as soon as you can [Full text]

	Tax the healthy rich to cure the sick poor [Full text]

	Tamoxifen may cause steatohepatitis in overweight women [Full text]

	Improve your patients' informed consent about screening mammography [Full text]

	Screening for chlamydia by post is feasible but incomplete [Full text]

Editorials

	Making decisions about mammography
	Paul Taylor
	BMJ  2005;330:915-916, doi: 10.1136/bmj.330.7497.915 [Extract] [Full text] [PDF] [Request Permissions]

	Using pictures in the BMJ
	Trish Groves, Jan Croot
	BMJ  2005;330:916, doi: 10.1136/bmj.330.7497.916 [Extract] [Full text] [PDF] [Request Permissions] [extra: Examples]

	New arrangements for the Medicines and Healthcare products Regulatory Agency
	Joe Collier
	BMJ  2005;330:917, doi: 10.1136/bmj.330.7497.917 [Extract] [Full text] [PDF] [Request Permissions]

	New arrangements for prison health care
	Nick de Viggiani, Judy Orme, Jane Powell, Debra Salmon
	BMJ  2005;330:918, doi: 10.1136/bmj.330.7497.918 [Extract] [Full text] [PDF] [Request Permissions]

Letters

This week's letters [PDF]

	Managing chronic diseases: Palliative care spectrum starts early on
	Peter Cox
	BMJ  2005;330:963, doi: 10.1136/bmj.330.7497.963 [Extract] [Full text] [Request Permissions]

	Managing chronic diseases: End of life is more than death
	Patrick White
	BMJ  2005;330:963, doi: 10.1136/bmj.330.7497.963-a [Extract] [Full text] [Request Permissions]

	Managing chronic diseases: Care of children with chronic illness teaches some lessons
	John Reiss
	BMJ  2005;330:963-964, doi: 10.1136/bmj.330.7497.963-b [Extract] [Full text] [Request Permissions]

	Managing chronic diseases: Funding follow-up is key to long term specialist care
	Jon Norman
	BMJ  2005;330:964, doi: 10.1136/bmj.330.7497.964 [Extract] [Full text] [Request Permissions]

	Managing chronic diseases: Condition based payment may improve care of chronic illness in Canada
	Howard Platt
	BMJ  2005;330:964, doi: 10.1136/bmj.330.7497.964-a [Extract] [Full text] [Request Permissions]

	Managing chronic diseases: Combination of inhaler treatment in India has shown good results
	Parvaiz A Koul
	BMJ  2005;330:964, doi: 10.1136/bmj.330.7497.964-b [Extract] [Full text] [Request Permissions]

	Managing chronic diseases: Summary of webchat
	Birte Twisselmann
	BMJ  2005;330:964-965, doi: 10.1136/bmj.330.7497.964-c [Extract] [Full text] [Request Permissions]

	Time to consider employment conditions for carers
	Cynthia M Lewis
	BMJ  2005;330:965, doi: 10.1136/bmj.330.7497.965 [Extract] [Full text] [Request Permissions]

	Insulin resistance and depression: Difference in patient groups could have been explained by other factors
	Daniel J Smith
	BMJ  2005;330:965, doi: 10.1136/bmj.330.7497.965-a [Extract] [Full text] [Request Permissions]

	Insulin resistance and depression: Authors' reply
	Markku Timonen, Ulla Rajala, Mauri Laakso, Jari Jokelainen
	BMJ  2005;330:965-966, doi: 10.1136/bmj.330.7497.965-b [Extract] [Full text] [Request Permissions] [extra: Details of two other authors]

	Delayed hypersensitivity due to epidural block with ropivacaine: Report raises several issues
	John A W Wildsmith
	BMJ  2005;330:966, doi: 10.1136/bmj.330.7497.966 [Extract] [Full text] [Request Permissions]

	Delayed hypersensitivity due to epidural block with ropivacaine: Authors' reply
	Masanori Ban, Masahito Hattori
	BMJ  2005;330:966, doi: 10.1136/bmj.330.7497.966-a [Extract] [Full text] [Request Permissions]

	Will the lead clinician please stand up?: That'll be the general practitioner
	Maurice Conlon
	BMJ  2005;330:966, doi: 10.1136/bmj.330.7497.966-b [Extract] [Full text] [Request Permissions]

	Will the lead clinician please stand up?: We should be promoting total quality care
	Graham Neale, Sisse Olsen
	BMJ  2005;330:966, doi: 10.1136/bmj.330.7497.966-c [Extract] [Full text] [Request Permissions]

News

	NHS care in England is still not centred on patients
	Zosia Kmietowicz
	BMJ  2005;330:919, doi: 10.1136/bmj.330.7497.919 [Extract] [Full text] [PDF]

	FDA panel approves one make of silicone breast implant in the US
	Ray Moynihan
	BMJ  2005;330:919, doi: 10.1136/bmj.330.7497.919-a [Extract] [Full text] [PDF]

	In brief
	BMJ  2005;330:920, doi: 10.1136/bmj.330.7497.920 [Extract] [Full text] [PDF]

	India launches national rural health mission
	Ganapati Mudur
	BMJ  2005;330:920, doi: 10.1136/bmj.330.7497.920-a [Extract] [Full text] [PDF]

	High Court tightens conditions under which Southall may practise
	Clare Dyer
	BMJ  2005;330:920, doi: 10.1136/bmj.330.7497.920-b [Extract] [Full text] [PDF]

	Deaths associated with obesity may be declining in the United States
	Susan Mayor
	BMJ  2005;330:921, doi: 10.1136/bmj.330.7497.921 [Extract] [Full text] [PDF]

	Bariatric surgery recommended for morbidly obese people
	Jeanne Lenzer
	BMJ  2005;330:921, doi: 10.1136/bmj.330.7497.921-a [Extract] [Full text] [PDF]

	Developed world is robbing African countries of health staff
	Rebecca Coombes
	BMJ  2005;330:923, doi: 10.1136/bmj.330.7497.923-b [Extract] [Full text] [PDF]

	2005 UK election special: Building a healthier Scotland
	Bryan Christie
	BMJ  2005;330:924, doi: 10.1136/bmj.330.7497.924 [Extract] [Full text] [PDF]

	2005 UK election special: Expanding the Welsh NHS
	Roger Dobson
	BMJ  2005;330:924, doi: 10.1136/bmj.330.7497.924-a [Extract] [Full text] [PDF]

	2005 UK election special: Patients' passports pop up again
	Nicholas Timmins
	BMJ  2005;330:925, doi: 10.1136/bmj.330.7497.925 [Extract] [Full text] [PDF]

	Crusading for change
	Sophie Arie
	BMJ  2005;330:926, doi: 10.1136/bmj.330.7497.926 [Extract] [Full text] [PDF] [extra: Longer version]

News roundup [abridged versions appear in the paper journal]

	Germany sets up a system for reporting medical mistakes
	Annette Tuffs
	BMJ  2005;330:922, doi: 10.1136/bmj.330.7497.922 [Extract] [Abridged text] [Abridged PDF] [Full text]

	Dutch doctors should tackle female genital mutilation
	Tony Sheldon
	BMJ  2005;330:922, doi: 10.1136/bmj.330.7497.922-a [Extract] [Abridged text] [Abridged PDF] [Full text]

	Hand washing is more important than cleaner wards in controlling MRSA
	Lynn Eaton
	BMJ  2005;330:922, doi: 10.1136/bmj.330.7497.922-b [Extract] [Abridged text] [Abridged PDF] [Full text]

	FDA warns about using antipsychotic drugs for dementia
	Jeanne Lenzer
	BMJ  2005;330:922, doi: 10.1136/bmj.330.7497.922-c [Extract] [Abridged text] [Abridged PDF] [Full text]

	Ruling allows EU patients to be reimbursed for treatment outside the union
	Rory Watson
	BMJ  2005;330:922, doi: 10.1136/bmj.330.7497.922-d [Extract] [Abridged text] [Abridged PDF] [Full text]

	Vitamin E doesn't slow progression to Alzheimer's disease
	David Spurgeon
	BMJ  2005;330:923, doi: 10.1136/bmj.330.7497.923 [Extract] [Abridged text] [Abridged PDF] [Full text]

	Research councils' requirements could bankrupt academic journals
	Susan Mayor
	BMJ  2005;330:923, doi: 10.1136/bmj.330.7497.923-a [Extract] [Abridged text] [Abridged PDF] [Full text]

News extra [these stories appear only on the web]

	Evidence based research for coping in emergencies goes online
	Lynn Eaton
	BMJ  2005;330:926, doi: 10.1136/bmj.330.7497.926-a [Extract] [Full text]

Short cuts

	What's new in the other general journals
	Alison Tonks
	BMJ  2005;330:927-928, doi: 10.1136/bmj.330.7497.927 [Full text] [PDF] [Request Permissions]

Primary care

	Coverage and uptake of systematic postal screening for genital Chlamydia trachomatis and prevalence of infection in the United Kingdom general population: cross sectional study
	John Macleod, Chris Salisbury, Nicola Low, Anne McCarthy, Jonathan A C Sterne, Aisha Holloway, Rita Patel, Emma Sanford, Andrea Morcom, Paddy Horner, George Davey Smith, Susan Skidmore, Alan Herring, Owen Caul, F D Richard Hobbs, Matthias Egger
	BMJ  2005;330:940, doi: 10.1136/bmj.38413.663137.8F, (Published 4 April 2005) [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] [extra: Additional tables and figure] FREE

Clinical review

	Breast reconstruction
	S Ahmed, A Snelling, M Bains, I H Whitworth
	BMJ  2005;330:943-948, doi: 10.1136/bmj.330.7497.943 [Extract] [Full text] [PDF] [Request Permissions]

	Lesson of the week: In vitro and in vivo haemolysis and potassium measurement
	Abbas Ismail, Wendy Shingler, Jeff Seneviratne, Gillian Burrows
	BMJ  2005;330:949, doi: 10.1136/bmj.330.7497.949 [Extract] [Full text] [PDF] [Request Permissions]

	ABC of adolescence: Eating disorders and weight problems
	Dasha Nicholls, Russell Viner
	BMJ  2005;330:950-953, doi: 10.1136/bmj.330.7497.950 [Extract] [Full text] [PDF] [Request Permissions]

Education and debate

	Current controversies: Who needs health care—the well or the sick?
	Iona Heath
	BMJ  2005;330:954-956, doi: 10.1136/bmj.330.7497.954 [Extract] [Full text] [PDF] [Request Permissions]

	Principles for international registration of protocol information and results from human trials of health related interventions: Ottawa statement (part 1)
	Karmela Krleza-Jeric, An-Wen Chan, Kay Dickersin, Ida Sim, Jeremy Grimshaw, Christian Gluud, for the Ottawa Group
	BMJ  2005;330:956-958, doi: 10.1136/bmj.330.7497.956 [Extract] [Full text] [PDF] [Request Permissions] [extra: Ottawa Group members list and full statement]

	Commentary: Why industry should register and disclose results of clinical studies—perspective of a recovering academic
	Jesse A Berlin
	BMJ  2005;330:959, doi: 10.1136/bmj.330.7497.959 [Extract] [Full text] [PDF] [Request Permissions]

	Reader's guide to critical appraisal of cohort studies: 2. Assessing potential for confounding
	Muhammad Mamdani, Kathy Sykora, Ping Li, Sharon-Lise T Normand, David L Streiner, Peter C Austin, Paula A Rochon, Geoffrey M Anderson
	BMJ  2005;330:960-962, doi: 10.1136/bmj.330.7497.960 [Extract] [Full text] [PDF] [Request Permissions] [extra: Further details]

Reviews

	TV: Born with Two Mothers
	Richard E Ashcroft
	BMJ  2005;330:969, doi: 10.1136/bmj.330.7497.969 [Extract] [Full text] [Request Permissions]

	Book: Origin of the World: Science and the Fiction of the Vagina
	Virginia Braun
	BMJ  2005;330:970, doi: 10.1136/bmj.330.7497.970 [Extract] [Full text] [Request Permissions]

	Book: Tobacco: Science, Policy and Public Health
	Simon Chapman
	BMJ  2005;330:970, doi: 10.1136/bmj.330.7497.970-a [Extract] [Full text] [Request Permissions]

	Science communication: Will the next Lord Winston please stand up
	Kristina Fister
	BMJ  2005;330:971, doi: 10.1136/bmj.330.7497.971 [Extract] [Full text] [Request Permissions]

	PERSONAL VIEWS: Death on the road to international development
	Ian Roberts
	BMJ  2005;330:972, doi: 10.1136/bmj.330.7497.972 [Extract] [Full text] [Request Permissions]

	PERSONAL VIEWS: Lessons from a pregnancy and childbirth
	Cathie Sudlow
	BMJ  2005;330:973, doi: 10.1136/bmj.330.7497.973 [Extract] [Full text] [Request Permissions]

	SOUNDINGS: Don's diary
	Trisha Greenhalgh
	BMJ  2005;330:973, doi: 10.1136/bmj.330.7497.973-a [Extract] [Full text] [Request Permissions]

Minerva

	Minerva
	BMJ  2005;330:974, doi: 10.1136/bmj.330.7497.974 [Full text] [PDF] [Request Permissions]

Fillers

	POEM*: High dose statins lower C reactive protein
	BMJ  2005;330, doi: 10.1136/bmj.330.7497.0-e [Extract] [Full text] [PDF] [Request Permissions]

	Endpiece: Medicine: science or art?
	K R Pandey
	BMJ  2005;330:942, doi: 10.1136/bmj.330.7497.942 [Extract] [Full text] [PDF] [Request Permissions]

	Interactive case report: Postoperative hypoxia in a woman with Down's syndrome
	BMJ  2005;330:948, doi: 10.1136/bmj.330.7497.948 [Extract] [Full text] [PDF] [Request Permissions]

	A memorable lesson: The magic word
	Joseph Spitzer
	BMJ  2005;330:948, doi: 10.1136/bmj.330.7497.948-a [Extract] [Full text] [PDF] [Request Permissions]

	Endpiece: The fully established physician
	Jeremy Hugh Baron
	BMJ  2005;330:959, doi: 10.1136/bmj.330.7497.959-a [Extract] [Full text] [PDF] [Request Permissions]

	Submitting articles to the BMJ
	BMJ  2005;330:962, doi: 10.1136/bmj.330.7497.962 [Extract] [Full text] [Request Permissions]

Career focus

	I am at second MB stage at medical school and I'd like to pursue engineering now. Is it possible to combine medicine and engineering, and what are my options?
	Brian Angus
	BMJ  2005;330:s162, doi: 10.1136/bmj.330.7497.s162, (Published 23 April 2005) [Abstract] [Full text] [Request Permissions] FREE

	How can I train to become a careers counsellor/coach?
	Susan Kersley
	BMJ  2005;330:s162, doi: 10.1136/bmj.330.7497.s162-a, (Published 23 April 2005) [Abstract] [Full text] [Request Permissions] FREE

	I want to enter into foundation year 2 (F2) posts. Are these posts available with radiology as a component?
	Alan Denison
	BMJ  2005;330:s162, doi: 10.1136/bmj.330.7497.s162-b, (Published 23 April 2005) [Abstract] [Full text] [Request Permissions] FREE

	How should I train for a career in accident and emergency (A&E), and where can I do a specific A&E rotation?
	Stephen Hearns
	BMJ  2005;330:s162, doi: 10.1136/bmj.330.7497.s162-c, (Published 23 April 2005) [Abstract] [Full text] [Request Permissions] FREE

	Leaders, mentors, and bullies
	Peter Cross
	BMJ  2005;330:s163, doi: 10.1136/bmj.330.7497.s163, (Published 23 April 2005) [Full text] [Request Permissions] FREE

	Creating future leaders: the RCGP leadership programme
	Julie Sladden
	BMJ  2005;330:s163, doi: 10.1136/bmj.330.7497.s163-a, (Published 23 April 2005) [Abstract] [Full text] [Request Permissions] FREE

	Back to Medicine (4)
	Trisha Macnair
	BMJ  2005;330:s165, doi: 10.1136/bmj.330.7497.s165, (Published 23 April 2005) [Abstract] [Full text] [Request Permissions] FREE

	Strategy development
	Jackie Gray
	BMJ  2005;330:s166-s167, doi: 10.1136/bmj.330.7497.s166, (Published 23 April 2005) [Abstract] [Full text] [Request Permissions] FREE

	Motivating a team
	Claire Dibben
	BMJ  2005;330:s167, doi: 10.1136/bmj.330.7497.s167, (Published 23 April 2005) [Full text] [Request Permissions] FREE

	Being a successful trainee surgeon
	Jayesh Doshi
	BMJ  2005;330:s168, doi: 10.1136/bmj.330.7497.s168, (Published 23 April 2005) [Full text] [Request Permissions] FREE

	Doctors in the House
	Patrick Hutt
	BMJ  2005;330:s168-s169, doi: 10.1136/bmj.330.7497.s168-a, (Published 23 April 2005) [Abstract] [Full text] [Request Permissions] FREE

	Handling information overload
	Mark Griffiths
	BMJ  2005;330:s169, doi: 10.1136/bmj.330.7497.s169, (Published 23 April 2005) [Full text] [Request Permissions] FREE

	Find yourself a mentor
	Ruth Chambers
	BMJ  2005;330:s170, doi: 10.1136/bmj.330.7497.s170, (Published 23 April 2005) [Abstract] [Full text] [Request Permissions] FREE

	How to be a really good bully
	Anita Houghton
	BMJ  2005;330:s171-s172, doi: 10.1136/bmj.330.7497.s171, (Published 23 April 2005) [Abstract] [Full text] [Request Permissions] FREE

	The Good Mentoring Toolkit for Healthcare
	Peter Harborow
	BMJ  2005;330:s172, doi: 10.1136/bmj.330.7497.s172, (Published 23 April 2005) [Full text] [Request Permissions] FREE

Obituaries

This week's obituaries [PDF]

	Wilfred G Bigelow
	Barbara Kermode-Scott
	BMJ  2005;330:967, doi: 10.1136/bmj.330.7497.967 [Extract] [Full text]

	Wilhelmina Mary Harcourt Behan (née Hughes)
	Miles Behan
	BMJ  2005;330:968, doi: 10.1136/bmj.330.7497.968 [Extract] [Full text] [extra: Longer version]

	Wa'el Seifeddin Boustany
	Catherine Boustany
	BMJ  2005;330:968, doi: 10.1136/bmj.330.7497.968-a [Extract] [Full text] [extra: Longer version]

	Barry Winston Lewis
	Harvey Marcovitch, Jake McKinnon, Gerald McEnery
	BMJ  2005;330:968, doi: 10.1136/bmj.330.7497.968-b [Extract] [Full text] [extra: Longer version]

	Saraswathi Mahalingam
	Mekala Mahalingam
	BMJ  2005;330:968, doi: 10.1136/bmj.330.7497.968-c [Extract] [Full text] [extra: Longer version]

	Archibald John Ogg
	A J Dinn, J K Dates
	BMJ  2005;330:968, doi: 10.1136/bmj.330.7497.968-d [Extract] [Full text] [extra: Longer version]

	James Douglas Sleigh
	Morag C Timbury, A Christine McCartney
	BMJ  2005;330:968, doi: 10.1136/bmj.330.7497.968-e [Extract] [Full text] [extra: Longer version]

	John Kenneth Walker
	Philippa Feldman, Mark Feldman, Anne Tattersfield
	BMJ  2005;330:968, doi: 10.1136/bmj.330.7497.968-f [Extract] [Full text] [extra: Longer version]

Papers

	Was Rodney Ledward a statistical outlier? Retrospective analysis using routine hospital data to identify gynaecologists' performance
	Mike Harley, Mohammed A Mohammed, Shakir Hussain, John Yates, Abdullah Almasri
	BMJ  2005;330:929, doi: 10.1136/bmj.38377.675440.8F, (Published 15 April 2005) [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] [extra: Appendix] FREE

	Incidence and risk factors for non-alcoholic steatohepatitis: prospective study of 5408 women enrolled in Italian tamoxifen chemoprevention trial
	Savino Bruno, Patrick Maisonneuve, Paola Castellana, Nicole Rotmensz, Sonia Rossi, Marco Maggioni, Marcello Persico, Alberto Colombo, Franco Monasterolo, Donata Casadei-Giunchi, Franco Desiderio, Tommaso Stroffolini, Virgilio Sacchini, Andrea Decensi, Umberto Veronesi, for the Italian Tamoxifen Study Group
	BMJ  2005;330:932, doi: 10.1136/bmj.38391.663287.E0, (Published 3 March 2005) [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] [extra: Other members of the study group] FREE

	Model of outcomes of screening mammography: information to support informed choices
	Alexandra Barratt, Kirsten Howard, Les Irwig, Glenn Salkeld, Nehmat Houssami
	BMJ  2005;330:936, doi: 10.1136/bmj.38398.469479.8F, (Published 8 March 2005) [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] [extra: Formula used] FREE

	Trends in number of hysterectomies performed in England for menorrhagia: examination of health episode statistics, 1989 to 2002-3
	Peter C Reid, Faizah Mukri
	BMJ  2005;330:938-939, doi: 10.1136/bmj.38376.505382.AE, (Published 4 February 2005) [Extract] [Full text] [PDF] [Request Permissions] FREE

Career focus

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

Website extra

No evidence that calcium and vitamin D prevent fractures [Full text]

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