The NHS's sewers?
	Jane Smith
	BMJ  2005;331, doi: 10.1136/bmj.331.7512.0-f [Extract] [Full text] [PDF] [Request Permissions] FREE

This week in the BMJ

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

	Perioperative blockers may do more harm than good [Full text]

	Elderly people recuperate better in a community hospital [Full text]

	Cholinesterase inhibitors for Alzheimer's lack evidence [Full text]

	Supplements don't protect the elderly from infections [Full text]

	Reduced antibiotic prescribing did not result in more complications [Full text]

Editorials

	Delayed prescribing of antibiotics for upper respiratory tract infection
	Paul Little
	BMJ  2005;331:301-302, doi: 10.1136/bmj.331.7512.301 [Extract] [Full text] [PDF] [Request Permissions]

	The patient safety story
	Glyn Elwyn, Janet M Corrigan
	BMJ  2005;331:302-304, doi: 10.1136/bmj.38562.690104.43, (Published 1 August 2005) [Extract] [Full text] [PDF] [Request Permissions]

	Vitamin and mineral supplements for preventing infections in older people
	Salah Gariballa
	BMJ  2005;331:304-305, doi: 10.1136/bmj.331.7512.304 [Extract] [Full text] [PDF] [Request Permissions]

	Roles and responsibilities of medical expert witnesses
	Mark Friston
	BMJ  2005;331:305-306, doi: 10.1136/bmj.331.7512.305 [Extract] [Full text] [PDF] [Request Permissions]

Letters

This week's letters [PDF]

	Radiation from CT and perfusion scanning in pregnancy
	J Valmai Cook, John Kyriou
	BMJ  2005;331:350, doi: 10.1136/bmj.331.7512.350 [Extract] [Full text] [Request Permissions]

	Model of outcomes of screening mammography: Spontaneous regression of breast cancer may not be uncommon
	Per-Henrik Zahl, Jan Mæhlen
	BMJ  2005;331:350, doi: 10.1136/bmj.331.7512.350-a [Extract] [Full text] [Request Permissions]

	Model of outcomes of screening mammography: Information needs to support informed choices
	Peter C Gøtzsche, Karsten J Jørgensen
	BMJ  2005;331:350-351, doi: 10.1136/bmj.331.7512.350-b [Extract] [Full text] [Request Permissions]

	Model of outcomes of screening mammography: Women's decisions about screening depend on many factors
	Sue M Lockwood, Nicola Bruce, Rosetta Manaszewicz
	BMJ  2005;331:351, doi: 10.1136/bmj.331.7512.351 [Extract] [Full text] [Request Permissions]

	Model of outcomes of screening mammography: Authors' reply
	Alexandra Barratt, Kirsten Howard, Les Irwig, Glenn Salkeld, Nehmat Houssami
	BMJ  2005;331:351, doi: 10.1136/bmj.331.7512.351-a [Extract] [Full text] [Request Permissions]

	Methods of hysterectomy: should women have a say?
	Vikki A Entwistle, Graeme MacLennan, Zoe Skea, Siladitya Bhattacharya, Brian Williams
	BMJ  2005;331:351-352, doi: 10.1136/bmj.331.7512.351-b [Extract] [Full text] [Request Permissions]

	Changes in atopy over 25 years: Allergy epidemic has spread to old age
	Allan Linneberg
	BMJ  2005;331:352, doi: 10.1136/bmj.331.7512.352 [Extract] [Full text] [Request Permissions]

	Changes in atopy over 25 years: Atopy now affects wider age range
	Daniela Zauli, Roberta Bortolotti, Alberto Grassi, Donatella Tiberio, Francesco B Bianchi
	BMJ  2005;331:352, doi: 10.1136/bmj.331.7512.352-a [Extract] [Full text] [Request Permissions]

	Where next with revalidation?: Smart money is on using new communications technology effectively
	Graeme M Mackenzie
	BMJ  2005;331:352, doi: 10.1136/bmj.331.7512.352-b [Extract] [Full text] [Request Permissions]

	Where next with revalidation?: Make CME and CPD compulsory with support of audit and mentoring
	Stephen F Hayes
	BMJ  2005;331:352-353, doi: 10.1136/bmj.331.7512.352-c [Extract] [Full text] [Request Permissions]

	Where next with revalidation?: Political will does not exist for radical reform
	Nigel Dudley
	BMJ  2005;331:353, doi: 10.1136/bmj.331.7512.353 [Extract] [Full text] [Request Permissions]

	Future of singlehanded general practices: All doctors must show that they work to acceptable standards
	N Ken Menon
	BMJ  2005;331:353, doi: 10.1136/bmj.331.7512.353-a [Extract] [Full text] [Request Permissions]

	Future of singlehanded general practices: The NHS has room for variety
	Nigel Higson
	BMJ  2005;331:353, doi: 10.1136/bmj.331.7512.353-b [Extract] [Full text] [Request Permissions]

News

	US Senate leader gives support to expanded stem cell research
	Janice Hopkins Tanne
	BMJ  2005;331:307, doi: 10.1136/bmj.331.7512.307 [Extract] [Full text] [PDF]

	Mumbai braces itself for leptospirosis and waterborne infections
	Ganapati Mudur
	BMJ  2005;331:307, doi: 10.1136/bmj.331.7512.307-a [Extract] [Full text] [PDF]

	In brief
	BMJ  2005;331:308, doi: 10.1136/bmj.331.7512.308 [Extract] [Full text] [PDF]

	Resistance to antiviral drugs is climbing
	Zosia Kmietowicz
	BMJ  2005;331:308, doi: 10.1136/bmj.331.7512.308-a [Extract] [Full text] [PDF]

	Fertility agency is to investigate single embryo transfer
	Owen Dyer
	BMJ  2005;331:308, doi: 10.1136/bmj.331.7512.308-b [Extract] [Full text] [PDF]

	Breast cancer screening does not save lives, study says
	Janice Hopkins Tanne
	BMJ  2005;331:309, doi: 10.1136/bmj.331.7512.309 [Extract] [Full text] [PDF]

	Court rules in favour of GMC's guidance on withholding treatment
	Clare Dyer
	BMJ  2005;331:309, doi: 10.1136/bmj.331.7512.309-a [Extract] [Full text] [PDF]

	The man with the IT plan
	Geoff Watts
	BMJ  2005;331:310, doi: 10.1136/bmj.331.7512.310 [Extract] [Full text] [PDF]

News extra [these stories appear only on the web]

	Vaccine preservative is not the cause of autism, say US officials
	Jeanne Lenzer
	BMJ  2005;331:310, doi: 10.1136/bmj.331.7512.310-a [Extract] [Full text]

	Cancer is more likely in obese women than in women of average weight
	Roger Dobson
	BMJ  2005;331:310, doi: 10.1136/bmj.331.7512.310-b [Extract] [Full text]

	Immigrants do not push up US healthcare costs, study shows
	Scott Gottlieb
	BMJ  2005;331:310, doi: 10.1136/bmj.331.7512.310-c [Extract] [Full text]

	German doctors to strike over pay and conditions
	Annette Tuffs
	BMJ  2005;331:310, doi: 10.1136/bmj.331.7512.310-d [Extract] [Full text]

	Trade agreement may restrict supply of essential drugs in Central America, experts say
	John Zarocostas
	BMJ  2005;331:310, doi: 10.1136/bmj.331.7512.310-e [Extract] [Full text]

	Abortions reach highest ever number in England and Wales
	Allison Barrett
	BMJ  2005;331:310, doi: 10.1136/bmj.331.7512.310-f [Extract] [Full text]

Short cuts

	What's new in the other general journals
	Alison Tonks
	BMJ  2005;331:311-312, doi: 10.1136/bmj.331.7512.311 [Full text] [PDF] [Request Permissions]

Primary care

	Effect of multivitamin and multimineral supplements on morbidity from infections in older people (MAVIS trial): pragmatic, randomised, double blind, placebo controlled trial
	Alison Avenell, Marion K Campbell, Jonathan A Cook, Philip C Hannaford, Mary M Kilonzo, Geraldine McNeill, Anne C Milne, Craig R Ramsay, D Gwyn Seymour, Audrey I Stephen, Luke D Vale, Writing Group of the MAVIS trial
	BMJ  2005;331:324-329, doi: 10.1136/bmj.331.7512.324 [Abstract] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

	Antibiotic prescribing in general practice and hospital admissions for peritonsillar abscess, mastoiditis, and rheumatic fever in children: time trend analysis
	M Sharland, H Kendall, D Yeates, A Randall, G Hughes, P Glasziou, D Mant
	BMJ  2005;331:328-329, doi: 10.1136/bmj.38503.706887.AE1, (Published 20 June 2005) [Extract] [Full text] [PDF] [Request Permissions] FREE

	10-minute consultation: Anaphylaxis
	Aziz Sheikh, Samantha Walker
	BMJ  2005;331:330, doi: 10.1136/bmj.331.7512.330 [Extract] [Full text] [PDF] [Request Permissions] FREE

Information in practice

	Challenges to implementing the national programme for information technology (NPfIT): a qualitative study
	Jane Hendy, Barnaby C Reeves, Naomi Fulop, Andrew Hutchings, Cristina Masseria
	BMJ  2005;331:331-336, doi: 10.1136/bmj.331.7512.331 [Abstract] [Abridged PDF] [Full text] [PDF] [Request Permissions] [extra: Details of the interview framework] FREE

	Beware of multiple names in database linkage research: prevalence of aliases in female prison population
	Ruth Elwood Martin, T Gregory Hislop, Garry D Grams, Veronika Moravan, Betty Calam
	BMJ  2005;331:335-336, doi: 10.1136/bmj.331.7512.335 [Full text] [PDF] [Request Permissions] FREE

Clinical review

	Management of severe malaria in children: proposed guidelines for the United Kingdom
	Kathryn Maitland, Simon Nadel, Andrew J Pollard, Thomas N Williams, Charles R J C Newton, Michael Levin
	BMJ  2005;331:337-343, doi: 10.1136/bmj.331.7512.337 [Extract] [Full text] [PDF] [Request Permissions]

	ABC of conflict and disaster: Approaches to conflict resolution
	Ewan W Anderson
	BMJ  2005;331:344-346, doi: 10.1136/bmj.331.7512.344 [Extract] [Full text] [PDF] [Request Permissions]

Education and debate

	Hormone replacement therapy and breast cancer: estimate of risk
	Nathan J Coombs, Richard Taylor, Nicholas Wilcken, John Boyages
	BMJ  2005;331:347-349, doi: 10.1136/bmj.331.7512.347 [Extract] [Full text] [PDF] [Request Permissions] [extra: Data used in the calculations]

Reviews

	Book: The Man Who Shocked the World: The Life and Legacy of Stanley Milgram
	Raj Persaud
	BMJ  2005;331:356, doi: 10.1136/bmj.331.7512.356 [Extract] [Full text] [Request Permissions] [extra: Background to book review]

	Book: Beyond Depression: A New Approach to Understanding and Management
	Iona Heath
	BMJ  2005;331:357, doi: 10.1136/bmj.331.7512.357 [Extract] [Full text] [Request Permissions]

	Art: Touch Me
	Colin Martin
	BMJ  2005;331:357, doi: 10.1136/bmj.331.7512.357-a [Extract] [Full text] [Request Permissions]

	PERSONAL VIEWS: Let the buyer beware
	Eboukél Aka, Candice Legris
	BMJ  2005;331:358, doi: 10.1136/bmj.331.7512.358 [Extract] [Full text] [Request Permissions]

	PERSONAL VIEWS: Can Labour take the NHS to market?
	Jonathan Shapiro
	BMJ  2005;331:359, doi: 10.1136/bmj.331.7512.359 [Extract] [Full text] [Request Permissions]

	SOUNDINGS: Be alert
	Liam Farrell
	BMJ  2005;331:359, doi: 10.1136/bmj.331.7512.359-a [Extract] [Full text] [Request Permissions]

Minerva

	Minerva
	BMJ  2005;331:360, doi: 10.1136/bmj.331.7512.360 [Full text] [PDF] [Request Permissions]

Fillers

	POEM*: Negative CT scans can rule out pulmonary embolism in low risk patients
	BMJ  2005;331, doi: 10.1136/bmj.331.7512.0-e [Extract] [Full text] [PDF] [Request Permissions]

	Endpiece: Second opinions
	Jeremy Hugh Baron
	BMJ  2005;331:329, doi: 10.1136/bmj.331.7512.329 [Extract] [Full text] [PDF] [Request Permissions]

	Endpiece: Duties of a physician
	Rajesh K Choudhary
	BMJ  2005;331:330, doi: 10.1136/bmj.331.7512.330-a [Extract] [Full text] [PDF] [Request Permissions]

	A memorable patient: The unwanted diagnosis
	Sue Warren
	BMJ  2005;331:336, doi: 10.1136/bmj.331.7512.336 [Extract] [Full text] [PDF] [Request Permissions]

	Endpiece: A difficult question
	Sandeep Goyal
	BMJ  2005;331:349, doi: 10.1136/bmj.331.7512.349 [Extract] [Full text] [PDF] [Request Permissions]

Corrections

	Indian government bans smoking in new films and TV serials
	BMJ  2005;331:323, doi: 10.1136/bmj.331.7512.323 [Full text] [PDF] [Request Permissions] FREE

	The role of healthcare delivery in the outcome of meningococcal disease in children: case-control study of fatal and non-fatal cases
	BMJ  2005;331:323, doi: 10.1136/bmj.331.7512.323-a [Full text] [PDF] [Request Permissions] FREE

	Why clinicians are natural bayesians: Authors' reply
	BMJ  2005;331:323, doi: 10.1136/bmj.331.7512.323-b [Full text] [PDF] [Request Permissions] FREE

	Italians fail to overturn restrictive reproduction law
	BMJ  2005;331:343, doi: 10.1136/bmj.331.7512.343 [Full text] [PDF] [Request Permissions] FREE

	A farewell to alms
	BMJ  2005;331:343, doi: 10.1136/bmj.331.7512.343-a [Full text] [PDF] [Request Permissions] FREE

	PFI deals need more scrutiny after shareholders receive big windfalls
	BMJ  2005;331:343, doi: 10.1136/bmj.331.7512.343-b [Full text] [PDF] [Request Permissions] FREE

Career focus

	I am interested in a full time career teaching undergraduate or postgraduate students. I would like teaching to be the main focus of my job, but with the opportunity to do some clinical work too. Do such jobs exist (other than research fellow posts and professorial jobs), and if so, how do I go about getting one?
	Michael Dobson
	BMJ  2005;331:s54, doi: 10.1136/bmj.331.7512.s54, (Published 6 August 2005) [Abstract] [Full text] [Request Permissions] FREE

	I am a final year medical student, but owing to academic problems my graduation is being delayed. I have secured a job for February 2006 but wish to use the intervening time beneficially. Do you have any advice on how to do this or what I should be thinking of doing?
	Mark Wilson
	BMJ  2005;331:s54, doi: 10.1136/bmj.331.7512.s54-a, (Published 6 August 2005) [Abstract] [Full text] [Request Permissions] FREE

	Can I work as a specialist registrar in the United Kingdom after completing MRCP (Ireland) in general medicine?
	Brian Angus
	BMJ  2005;331:s54, doi: 10.1136/bmj.331.7512.s54-b, (Published 6 August 2005) [Abstract] [Full text] [Request Permissions] FREE

	I am a graduate from India and I finished my internship in 2002. After that I did a house job in medicine for six months. I recently took my Professional and Linguistic Assessments Board (PLAB) test part 2. Am I eligible for a foundation programme year 2 post?
	Rahul Rao
	BMJ  2005;331:s54, doi: 10.1136/bmj.331.7512.s54-c, (Published 6 August 2005) [Abstract] [Full text] [Request Permissions] FREE

	Peter Cross
	BMJ  2005;331:gp55, doi: 10.1136/bmj.331.7512.sgp55, (Published 6 August 2005) [Full text] [Request Permissions] FREE

	THIS WEEK
	Peter Cross
	BMJ  2005;331:s55, doi: 10.1136/bmj.331.7512.s55, (Published 6 August 2005) [Full text] [Request Permissions] FREE

	A basic guide to patient safety
	Andrew Hoyle
	BMJ  2005;331:s55-s56, doi: 10.1136/bmj.331.7512.s55-a, (Published 6 August 2005) [Abstract] [Full text] [Request Permissions] FREE

	Marking a patient for surgery
	Ravinder Singh
	BMJ  2005;331:s56, doi: 10.1136/bmj.331.7512.s56, (Published 6 August 2005) [Full text] [Request Permissions] FREE

	Personal digital assistants (PDAs)—improving patients' safety
	Rita Pal
	BMJ  2005;331:s57-s58, doi: 10.1136/bmj.331.7512.s57, (Published 6 August 2005) [Abstract] [Full text] [Request Permissions] FREE

	Starting a new junior hospital job
	Adam Sandell
	BMJ  2005;331:s58, doi: 10.1136/bmj.331.7512.s58, (Published 6 August 2005) [Full text] [Request Permissions] FREE

	GP appraisal recruitment in Scotland 2005
	Jill Murie
	BMJ  2005;331:gp59-gp60, doi: 10.1136/bmj.331.7512.sgp59, (Published 6 August 2005) [Abstract] [Full text] [Request Permissions] FREE

	Bridging the orthopaedic gap
	Toby Briant-Evans
	BMJ  2005;331:s59-s60, doi: 10.1136/bmj.331.7512.s59, (Published 6 August 2005) [Abstract] [Full text] [Request Permissions] FREE

	Diploma in aviation medicine (DAvMed)
	Clare Hunter
	BMJ  2005;331:gp60, doi: 10.1136/bmj.331.7512.sgp60, (Published 6 August 2005) [Full text] [Request Permissions] FREE

	Diploma in aviation medicine (DAvMed)
	Clare Hunter
	BMJ  2005;331:s60, doi: 10.1136/bmj.331.7512.s60, (Published 6 August 2005) [Full text] [Request Permissions] FREE

	Filed in the bin
	Kim Walker
	BMJ  2005;331:s61, doi: 10.1136/bmj.331.7512.s61, (Published 6 August 2005) [Abstract] [Full text] [Request Permissions] FREE

	A paediatrician with a passion for patient safety
	Bruno Rushforth
	BMJ  2005;331:s62, doi: 10.1136/bmj.331.7512.s62, (Published 6 August 2005) [Abstract] [Full text] [Request Permissions] FREE

Obituaries

This week's obituaries [PDF]

	Hugh Phillips
	Susie Phillips
	BMJ  2005;331:354, doi: 10.1136/bmj.331.7512.354 [Extract] [Full text]

	Henry Wilkinson Ashworth
	Henry Ashworth
	BMJ  2005;331:355, doi: 10.1136/bmj.331.7512.355 [Extract] [Full text] [extra: Longer version]

	Robin Osler Barnard
	Tony Hall
	BMJ  2005;331:355, doi: 10.1136/bmj.331.7512.355-a [Extract] [Full text] [extra: Longer version]

	Gordon Todd Dryden Barr
	Allison Bell, Hugh Bell
	BMJ  2005;331:355, doi: 10.1136/bmj.331.7512.355-b [Extract] [Full text] [extra: Longer version]

	Alexander Dennis Bowman
	Griff Owen
	BMJ  2005;331:355, doi: 10.1136/bmj.331.7512.355-c [Extract] [Full text] [extra: Longer version]

	John David Keith Burton
	D R Chambers
	BMJ  2005;331:355, doi: 10.1136/bmj.331.7512.355-d [Extract] [Full text] [extra: Longer version]

	Christopher Martin Gillespie
	Stuart McLaren
	BMJ  2005;331:355, doi: 10.1136/bmj.331.7512.355-e [Extract] [Full text]

	Ian Gibson Robin
	J Ballantyne
	BMJ  2005;331:355, doi: 10.1136/bmj.331.7512.355-f [Extract] [Full text] [extra: Longer version]

Papers

	How strong is the evidence for the use of perioperative blockers in non-cardiac surgery? Systematic review and meta-analysis of randomised controlled trials
	P J Devereaux, W Scott Beattie, Peter T-L Choi, Neal H Badner, Gordon H Guyatt, Juan C Villar, Claudio S Cinà, Kate Leslie, Michael J Jacka, Victor M Montori, Mohit Bhandari, Alvaro Avezum, Alexandre B Cavalcanti, Julian W Giles, Thomas Schricker, Homer Yang, Carl-Johan Jakobsen, Salim Yusuf
	BMJ  2005;331:313-321, doi: 10.1136/bmj.38503.623646.8F, (Published 4 July 2005) [Abstract] [Abridged PDF] [Full text] [PDF] [Request Permissions] [extra: Appendices A and B] FREE

	Effects of locality based community hospital care on independence in older people needing rehabilitation: randomised controlled trial
	John Green, John Young, Anne Forster, Karen Mallinder, Sue Bogle, Karin Lowson, Neil Small
	BMJ  2005;331:317-322, doi: 10.1136/bmj.38498.387569.8F, (Published 1 July 2005) [Abstract] [Abridged PDF] [Full text] [PDF] [Request Permissions] [extra: Additional information] FREE

	Commentary: Intermediate care: policy before evidence
	Norman J Vetter
	BMJ  2005;331:320, doi: 10.1136/bmj.38524.543137.7C, (Published 1 July 2005) [Extract] [Full text] [PDF] [Request Permissions] FREE

	Cholinesterase inhibitors for patients with Alzheimer's disease: systematic review of randomised clinical trials
	Hanna Kaduszkiewicz, Thomas Zimmermann, Hans-Peter Beck-Bornholdt, Hendrik van den Bussche
	BMJ  2005;331:321-327, doi: 10.1136/bmj.331.7512.321 [Abstract] [Abridged PDF] [Full text] [PDF] [Request Permissions] [extra: Further details] FREE

Career focus

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

Website extra

Investigating suspected research fraud [Full text]

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