Where are the leaders?
	Fiona Godlee
	BMJ  2005;331, doi: 10.1136/bmj.331.7508.0-g [Extract] [Full text] [PDF] [Request Permissions] FREE

This week in the BMJ

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

	Routine funduscopy isn't justified in patients with hypertension [Full text]

	Nuclear factory workers are at increased risk of cancer [Full text]

	Psychosocial intervention doesn't improve lumbago [Full text]

	Patients don't mind students in general practice consultations [Full text]

	Living with locked-in syndrome [Full text]

	Academic medicine, where are you headed? [Full text]

Editorials

	NHS foundation trusts
	Richard Q Lewis
	BMJ  2005;331:59-60, doi: 10.1136/bmj.331.7508.59 [Extract] [Full text] [PDF] [Request Permissions]

	Epilepsy and driving
	Ettore Beghi, Josemir W Sander
	BMJ  2005;331:60-61, doi: 10.1136/bmj.331.7508.60 [Extract] [Full text] [PDF] [Request Permissions]

	Regulating herbal medicines in the UK
	Robin E Ferner, Keith Beard
	BMJ  2005;331:62-63, doi: 10.1136/bmj.331.7508.62 [Extract] [Full text] [PDF] [Request Permissions]

	The quest for quality in the NHS: still searching?
	John Appleby
	BMJ  2005;331:63-64, doi: 10.1136/bmj.331.7508.63 [Extract] [Full text] [PDF] [Request Permissions]

Letters

This week's letters [PDF]

	Calcium and vitamin D in preventing fractures: Vitamin K supplementation has powerful effect
	Thomas E Radecki
	BMJ  2005;331:108, doi: 10.1136/bmj.331.7508.108 [Extract] [Full text] [Request Permissions] [extra: Additional reference]

	Calcium and vitamin D in preventing fractures: Dietary intake of calcium needs to be considered
	Julian R F Walters
	BMJ  2005;331:108, doi: 10.1136/bmj.331.7508.108-a [Extract] [Full text] [Request Permissions]

	Calcium and vitamin D in preventing fractures: Data are not sufficient to show inefficacy
	Alex Vasquez, John Cannell
	BMJ  2005;331:108-109, doi: 10.1136/bmj.331.7508.108-b [Extract] [Full text] [Request Permissions]

	Calcium and vitamin D in preventing fractures: Author's reply
	David Torgerson, on behalf of the trial group
	BMJ  2005;331:109, doi: 10.1136/bmj.331.7508.109 [Extract] [Full text] [Request Permissions]

	Vitamin D deficiency may have role in chronic low back pain
	Peter J Lewis
	BMJ  2005;331:109, doi: 10.1136/bmj.331.7508.109-a [Extract] [Full text] [Request Permissions]

	Participants in research: Routine extrapolation of randomised controlled trials is absurd
	Bruce G Charlton
	BMJ  2005;331:109-110, doi: 10.1136/bmj.331.7508.109-b [Extract] [Full text] [Request Permissions]

	Participants in research: Patients in clinical trials are protected by consumer regulation
	Desmond R Laurence
	BMJ  2005;331:110, doi: 10.1136/bmj.331.7508.110 [Extract] [Full text] [Request Permissions]

	Participants in research: Contract to run a trial should include patient-researchers in steering groups
	Hazel Thornton
	BMJ  2005;331:110, doi: 10.1136/bmj.331.7508.110-a [Extract] [Full text] [Request Permissions]

	Surveying the literature from animal experiments: Systematic review and meta-analysis are important contributions
	Malcolm R Macleod, Shah Ebrahim, Ian Roberts
	BMJ  2005;331:110, doi: 10.1136/bmj.331.7508.110-b [Extract] [Full text] [Request Permissions] [extra: Details of three other authors]

	Surveying the literature from animal experiments: Avoidance of bias is objective of systematic reviews, not meta-analysis
	Khalid S Khan, Luciano Mignini
	BMJ  2005;331:110-111, doi: 10.1136/bmj.331.7508.110-c [Extract] [Full text] [Request Permissions]

	Horizon: Does the MMR Jab Cause Autism?: Has the fat lady sung then?
	Alan Challoner
	BMJ  2005;331:111, doi: 10.1136/bmj.331.7508.111 [Extract] [Full text] [Request Permissions]

	Horizon: Does the MMR Jab Cause Autism?: We cannot win
	Neville W Goodman
	BMJ  2005;331:111, doi: 10.1136/bmj.331.7508.111-a [Extract] [Full text] [Request Permissions]

	Anger is the weed, hate is the tree
	Herbert H Nehrlich
	BMJ  2005;331:111, doi: 10.1136/bmj.331.7508.111-b [Extract] [Full text] [Request Permissions]

News

	Lifestyle contributes most to distribution of cancer, report says
	Adrian O'Dowd
	BMJ  2005;331:65, doi: 10.1136/bmj.331.7508.65 [Extract] [Full text] [PDF]

	In brief
	BMJ  2005;331:66, doi: 10.1136/bmj.331.7508.66 [Extract] [Full text] [PDF]

	Meadow defends his role in conviction of Sally Clark
	Clare Dyer
	BMJ  2005;331:66, doi: 10.1136/bmj.331.7508.66-a [Extract] [Full text] [PDF] [extra: Longer version]

	Humanising "an intimidating instrument"
	Allison Barrett
	BMJ  2005;331:66, doi: 10.1136/bmj.331.7508.66-b [Extract] [Full text] [PDF] [extra: Longer version]

	Doctors campaign for ban on smoking in enclosed public places
	Kay McIntosh
	BMJ  2005;331:67, doi: 10.1136/bmj.331.7508.67 [Extract] [Full text] [PDF] [extra: Longer version]

	Study highlights insensitivity of PSA screening
	Susan Mayor
	BMJ  2005;331:67, doi: 10.1136/bmj.331.7508.67-a [Extract] [Full text] [PDF] [extra: Longer version]

	Home test shows sex of fetus at five weeks of pregnancy
	Janice Hopkins Tanne
	BMJ  2005;331:69, doi: 10.1136/bmj.331.7508.69-c [Extract] [Full text] [PDF] [extra: Longer version]

	Shining a light on suffering
	Tony Sheldon
	BMJ  2005;331:70, doi: 10.1136/bmj.331.7508.70 [Extract] [Full text] [PDF]

News roundup [abridged versions appear in the paper journal]

	Foundation trusts revel in new powers, report says
	Rebecca Coombes
	BMJ  2005;331:68, doi: 10.1136/bmj.331.7508.68 [Extract] [Abridged PDF] [Full text]

	US doctors and public favour annual check ups
	Janice Hopkins Tanne
	BMJ  2005;331:68, doi: 10.1136/bmj.331.7508.68-a [Extract] [Abridged PDF] [Full text]

	Medieval guide warns that sex is harmful for people with "dry breathing"
	Giselle Jones
	BMJ  2005;331:68, doi: 10.1136/bmj.331.7508.68-b [Extract] [Abridged PDF] [Full text]

	WHO puts abortifacients on its essential drug list
	Liza Gibson
	BMJ  2005;331:68, doi: 10.1136/bmj.331.7508.68-c [Extract] [Abridged PDF] [Full text]

	GPs appear before GMC accused of missing warning signs in deaths of Shipman�s patients
	Owen Dyer
	BMJ  2005;331:68, doi: 10.1136/bmj.331.7508.68-d [Extract] [Abridged PDF] [Full text]

	UK will launch European health insurance card in September
	Rory Watson
	BMJ  2005;331:69, doi: 10.1136/bmj.331.7508.69 [Extract] [Abridged PDF] [Full text]

	Government unveils new approach to emergency care
	Rebecca Coombes
	BMJ  2005;331:69, doi: 10.1136/bmj.331.7508.69-a [Extract] [Abridged PDF] [Full text]

	Aspirin does not prevent cancer, and vitamin E does not prevent heart disease or cancer
	Susan Mayor
	BMJ  2005;331:69, doi: 10.1136/bmj.331.7508.69-b [Extract] [Abridged PDF] [Full text]

News extra [these stories appear only on the web]

	WHO launches "plan of war" to tackle avian flu
	Jane Parry
	BMJ  2005;331:70, doi: 10.1136/bmj.331.7508.70-a [Extract] [Full text]

	FDA warns that antidepressants may increase suicidality in adults
	Jeanne Lenzer
	BMJ  2005;331:70, doi: 10.1136/bmj.331.7508.70-b [Extract] [Full text]

	Public health scientists accused of soft peddling the dangers of passive smoking after taking grants from tobacco related organisations
	Annette Tuffs
	BMJ  2005;331:70, doi: 10.1136/bmj.331.7508.70-c [Extract] [Full text]

	Woman gives birth after receiving transplant of her own ovarian tissue
	Judy Siegel-Itzkovich
	BMJ  2005;331:70, doi: 10.1136/bmj.331.7508.70-d [Extract] [Full text]

	Marriage costs women doctors in the US an 11% salary drop
	Roger Dobson
	BMJ  2005;331:70, doi: 10.1136/bmj.331.7508.70-e [Extract] [Full text]

	Queensland report on deaths recommends sweeping changes
	Bob Burton
	BMJ  2005;331:70, doi: 10.1136/bmj.331.7508.70-f [Extract] [Full text]

	Public distrusts government health campaigns, experts say
	Rebecca Coombes
	BMJ  2005;331:70, doi: 10.1136/bmj.331.7508.70-g [Extract] [Full text]

	Access to clean water in rural Africa is inadequate
	Rhona MacDonald
	BMJ  2005;331:70, doi: 10.1136/bmj.331.7508.70-h [Extract] [Full text]

	Doctor who ran nursing home is cleared of professional misconduct
	Clare Dyer
	BMJ  2005;331:i, doi: 10.1136/bmj.331.7508.70-i [Extract] [Full text]

Short cuts

	What's new in the other general journals
	Alison Tonks
	BMJ  2005;331:71-72, doi: 10.1136/bmj.331.7508.71 [Full text] [PDF] [Request Permissions]

Primary care

	Effect of introduction of integrated out of hours care in England: observational study
	Val Lattimer, Joanne Turnbull, Abigail Burgess, Heidi Surridge, Karen Gerard, Judith Lathlean, Helen Smith, Steve George
	BMJ  2005;331:81-84, doi: 10.1136/bmj.331.7508.81 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Should treatment of (sub)acute low back pain be aimed at psychosocial prognostic factors? Cluster randomised clinical trial in general practice
	Petra Jellema, Daniëlle A W M van der Windt, Henriëtte E van der Horst, Jos W R Twisk, Wim A B Stalman, Lex M Bouter
	BMJ  2005;331:84, doi: 10.1136/bmj.38495.686736.E0, (Published 20 June 2005) [Abstract] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

	Commentary: Early psychosocial interventions for low back pain in primary care
	Chris J Main
	BMJ  2005;331:88, doi: 10.1136/bmj.38498.495000.E0, (Published 20 June 2005) [Extract] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

Learning in practice

	Impact on patients of expanded, general practice based, student teaching: observational and qualitative study
	John Benson, Thelma Quince, Arthur Hibble, Thomas Fanshawe, Jon Emery
	BMJ  2005;331:89, doi: 10.1136/bmj.38492.599606.8F, (Published 4 July 2005) [Abstract] [Abridged PDF] [Full text] [PDF] [Request Permissions] [extra: Index and questionnaire] FREE

	What the educators are saying
	Kevin W Eva
	BMJ  2005;331:93, doi: 10.1136/bmj.331.7508.93 [Full text] [PDF] [Request Permissions] FREE

Clinical review

	The patient's journey: Living with locked-in syndrome
	Nick Chisholm, Grant Gillett
	BMJ  2005;331:94-97, doi: 10.1136/bmj.331.7508.94 [Extract] [Full text] [PDF] [Request Permissions]

	ABC of conflict and disaster: Displaced populations and long term humanitarian assistance
	Maria Kett
	BMJ  2005;331:98-100, doi: 10.1136/bmj.331.7508.98 [Extract] [Full text] [PDF] [Request Permissions]

Education and debate

	Five futures for academic medicine: the ICRAM scenarios
	Jocalyn Clark, for the International Campaign to Revitalise Academic Medicine
	BMJ  2005;331:101-104, doi: 10.1136/bmj.331.7508.101 [Extract] [Full text] [PDF] [Request Permissions] [extra: Members of ICRAM working party]

	Commentary: Universities have a vital role
	Sally C Davies
	BMJ  2005;331:105, doi: 10.1136/bmj.331.7508.105 [Extract] [Full text] [PDF] [Request Permissions]

	Commentary: The future for medical education
	Tiago Villanueva
	BMJ  2005;331:105-106, doi: 10.1136/bmj.331.7508.105-a [Extract] [Full text] [PDF] [Request Permissions]

	Commentary: How far is the future?
	Zulma Ortiz
	BMJ  2005;331:106-107, doi: 10.1136/bmj.331.7508.106 [Extract] [Full text] [PDF] [Request Permissions]

	Commentary: Challenging the patience of patients
	Amye L Leong
	BMJ  2005;331:107, doi: 10.1136/bmj.331.7508.107 [Extract] [Full text] [PDF] [Request Permissions]

Reviews

	TV: Trauma Africa
	Ian Roberts
	BMJ  2005;331:114, doi: 10.1136/bmj.331.7508.114 [Extract] [Full text] [Request Permissions]

	Book: The Drug Trial: Nancy Olivieri and the Science Scandal that Rocked the Hospital for Sick Children
	Christopher Martyn
	BMJ  2005;331:115, doi: 10.1136/bmj.331.7508.115 [Extract] [Full text] [Request Permissions]

	Hit parade
	BMJ  2005;331:115, doi: 10.1136/bmj.331.7508.115-a [Extract] [Full text] [Request Permissions]

	Press: The gateway to high society
	Rory Watson
	BMJ  2005;331:116, doi: 10.1136/bmj.331.7508.116 [Extract] [Full text] [Request Permissions]

	PERSONAL VIEW: Are public inquiries losing their independence?
	Kieran Walshe
	BMJ  2005;331:117, doi: 10.1136/bmj.331.7508.117 [Extract] [Full text] [Request Permissions]

	SOUNDINGS: Death and taxes
	Colin Douglas
	BMJ  2005;331:117, doi: 10.1136/bmj.331.7508.117-a [Extract] [Full text] [Request Permissions]

Minerva

	Minerva
	BMJ  2005;331:118, doi: 10.1136/bmj.331.7508.118 [Full text] [PDF] [Request Permissions]

Fillers

	POEM*: Don't use hip spica in kids with femoral fracture
	BMJ  2005;331, doi: 10.1136/bmj.331.7508.0-f [Extract] [Full text] [PDF] [Request Permissions]

	Randomised controlled trials for the BMJ need to be registered
	BMJ  2005;331:76, doi: 10.1136/bmj.331.7508.76 [Extract] [Full text] [PDF] [Request Permissions]

	A patient who changed my practice: A gnashing of teeth
	Jonathan Stacey
	BMJ  2005;331:88, doi: 10.1136/bmj.331.7508.88-a [Extract] [Full text] [PDF] [Request Permissions]

	A little understanding
	Rubeta Matin
	BMJ  2005;331:97, doi: 10.1136/bmj.331.7508.97 [Extract] [Full text] [PDF] [Request Permissions]

	Europe in transition
	BMJ  2005;331:104, doi: 10.1136/bmj.331.7508.104 [Extract] [Full text] [PDF] [Request Permissions]

	Advice
	BMJ  2005;331:112, doi: 10.1136/bmj.331.7508.112-a [Extract] [Full text] [Request Permissions]

BMJ USA

	Diet change vs pills for better health
	Douglas Kamerow
	BMJ  2005;331:E362, doi: 10.1136/bmj.331.7508.E362 [Full text] [PDF] [Request Permissions]

	Mumps outbreak among young adults in UK
	Sharon Bloom, Melinda Wharton
	BMJ  2005;331:E363-E364, doi: 10.1136/bmj.331.7508.E363 [Full text] [PDF] [Request Permissions]

	Describing the road to death
	Joanne Roberts
	BMJ  2005;331:E364-E365, doi: 10.1136/bmj.331.7508.E364 [Full text] [PDF] [Request Permissions]

	RAPID RESPONSE FROM BMJ.COM
	Fortes Cristina
	BMJ  2005;331:E366, doi: 10.1136/bmj.331.7508.E366 [Full text] [PDF] [Request Permissions]

	Commentary: rational health care should be offered to all persons: rich or poor, well or sick
	Paul S Frame
	BMJ  2005;331:E367-E368, doi: 10.1136/bmj.331.7508.E367 [Full text] [PDF] [Request Permissions]

	Minerva
	BMJ  2005;331:E369, doi: 10.1136/bmj.331.7508.E369 [Full text] [PDF] [Request Permissions]

Career focus

	What is the average week for a clinical oncologist like?
	Justin Stebbing
	BMJ  2005;331:s14, doi: 10.1136/bmj.331.7508.s14, (Published 9 July 2005) [Abstract] [Full text] [Request Permissions] FREE

	Do junior registrar training posts in Australia count towards training in the United Kingdom?
	Evelyn Ong
	BMJ  2005;331:s14, doi: 10.1136/bmj.331.7508.s14-a, (Published 9 July 2005) [Abstract] [Full text] [Request Permissions] FREE

	What are the chances of an ECG-loving surgical SHO making the switch to medicine and eventually cardiology?
	Shrilla Banerjee
	BMJ  2005;331:s14, doi: 10.1136/bmj.331.7508.s14-b, (Published 9 July 2005) [Abstract] [Full text] [Request Permissions] FREE

	I am a year 2 specialist registrar. How can I do an MSc in either obstetric ultrasound or maternal medicine for a year as an elective?
	Philip Owen
	BMJ  2005;331:s14, doi: 10.1136/bmj.331.7508.s14-c, (Published 9 July 2005) [Abstract] [Full text] [Request Permissions] FREE

	Graham Easton
	BMJ  2005;331:gp15, doi: 10.1136/bmj.331.7508.sgp15, (Published 9 July 2005) [Full text] [Request Permissions] FREE

	THIS WEEK
	Graham Easton
	BMJ  2005;331:s15, doi: 10.1136/bmj.331.7508.s15, (Published 9 July 2005) [Full text] [Request Permissions] FREE

	Making patients able raters
	Geoff Watts
	BMJ  2005;331:s15-s16, doi: 10.1136/bmj.331.7508.s15-a, (Published 9 July 2005) [Abstract] [Full text] [Request Permissions] FREE

	Off the wall solutions for on the ball doctors
	BMJ  2005;331:s16, doi: 10.1136/bmj.331.7508.s16, (Published 9 July 2005) [Abstract] [Full text] [Request Permissions] FREE

	Personal support 4: Helping each other deal with tricky relationships
	Anita Houghton
	BMJ  2005;331:s17-s18, doi: 10.1136/bmj.331.7508.s17, (Published 9 July 2005) [Abstract] [Full text] [Request Permissions] FREE

	Submitting specimens for histopathology
	Asma Faruqi
	BMJ  2005;331:s18, doi: 10.1136/bmj.331.7508.s18, (Published 9 July 2005) [Full text] [Request Permissions] FREE

	Safe play in unsafe places—general practice and homeless families in Glasgow
	Andrea E Williamson
	BMJ  2005;331:gp19-gp20, doi: 10.1136/bmj.331.7508.sgp19, (Published 9 July 2005) [Abstract] [Full text] [Request Permissions] FREE

	Starting a research post
	Kamil Asaad
	BMJ  2005;331:s19, doi: 10.1136/bmj.331.7508.s19, (Published 9 July 2005) [Full text] [Request Permissions] FREE

	The path to academic medicine: living your life
	Gretchen P Purcell
	BMJ  2005;331:s19-s20, doi: 10.1136/bmj.331.7508.s19-a, (Published 9 July 2005) [Abstract] [Full text] [Request Permissions] FREE

	Passing oral exams
	Una Coales
	BMJ  2005;331:gp20, doi: 10.1136/bmj.331.7508.sgp20, (Published 9 July 2005) [Full text] [Request Permissions] FREE

	Postgraduate Certificate in Academic Practice
	David Ogilvie
	BMJ  2005;331:s20, doi: 10.1136/bmj.331.7508.s20, (Published 9 July 2005) [Full text] [Request Permissions] FREE

	Ed Gold: Do it yourself charity
	Nadeeja Koralage
	BMJ  2005;331:s21, doi: 10.1136/bmj.331.7508.s21, (Published 9 July 2005) [Abstract] [Full text] [Request Permissions] FREE

	Genetic sites
	James Curran
	BMJ  2005;331:s22, doi: 10.1136/bmj.331.7508.s22, (Published 9 July 2005) [Full text] [Request Permissions] FREE

	Oxford Handbook for the Foundation Programme
	Mathi Rasanesan
	BMJ  2005;331:s22, doi: 10.1136/bmj.331.7508.s22-a, (Published 9 July 2005) [Full text] [Request Permissions] FREE

Obituaries

This week's obituaries [PDF]

	Rodney Saville Sneath
	Robert Sneath
	BMJ  2005;331:112, doi: 10.1136/bmj.331.7508.112 [Extract] [Full text]

	Douglas James Arthur Clarke
	Dermot Lynch
	BMJ  2005;331:113, doi: 10.1136/bmj.331.7508.113 [Extract] [Full text] [extra: Longer version]

	Ruth Elizabeth Crookes (née McMullan)
	Janet Wright
	BMJ  2005;331:113, doi: 10.1136/bmj.331.7508.113-a [Extract] [Full text] [extra: Longer version]

	Anthony ("Tony") Richard Curtis
	Mark Grainger
	BMJ  2005;331:113, doi: 10.1136/bmj.331.7508.113-b [Extract] [Full text] [extra: Longer version]

	Stuart Richard Foster
	Duncan Foster
	BMJ  2005;331:113, doi: 10.1136/bmj.331.7508.113-c [Extract] [Full text] [extra: Longer version]

	Denis Parr
	Leslie Bartlet
	BMJ  2005;331:113, doi: 10.1136/bmj.331.7508.113-d [Extract] [Full text] [extra: Longer version]

	Stanley Buchanan Sloan
	Michael Wright
	BMJ  2005;331:113, doi: 10.1136/bmj.331.7508.113-e [Extract] [Full text] [extra: Longer version]

	David Wise
	Patricia Wise
	BMJ  2005;331:113, doi: 10.1136/bmj.331.7508.113-f [Extract] [Full text] [extra: Longer version]

Papers

	Value of routine funduscopy in patients with hypertension: systematic review
	Bert-Jan H van den Born, Caroline A A Hulsman, Joost B L Hoekstra, Reinier O Schlingemann, Gert A van Montfrans
	BMJ  2005;331:73, doi: 10.1136/bmj.331.7508.73 [Abstract] [Abridged PDF] [Full text] [PDF] [Request Permissions] [extra: Figures showing retinal changes] FREE

	Risk of cancer after low doses of ionising radiation: retrospective cohort study in 15 countries
	E Cardis, M Vrijheid, M Blettner, E Gilbert, M Hakama, C Hill, G Howe, J Kaldor, C R Muirhead, M Schubauer-Berigan, T Yoshimura, F Bermann, G Cowper, J Fix, C Hacker, B Heinmiller, M Marshall, I Thierry-Chef, D Utterback, Y-O Ahn, E Amoros, P Ashmore, A Auvinen, J-M Bae, J Bernar Solano, A Biau, E Combalot, P Deboodt, A Diez Sacristan, M Eklof, H Engels, G Engholm, G Gulis, R Habib, K Holan, H Hyvonen, A Kerekes, J Kurtinaitis, H Malker, M Martuzzi, A Mastauskas, A Monnet, M Moser, M S Pearce, D B Richardson, F Rodriguez-Artalejo, A Rogel, H Tardy, M Telle-Lamberton, I Turai, M Usel, K Veress
	BMJ  2005;331:77, doi: 10.1136/bmj.38499.599861.E0, (Published 29 June 2005) [Abstract] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

Career focus

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

Website extra

Bus explosion outside BMA House [Full text]

Academic Medicine Scenarios [Full text]

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