In praise of uncertainty
	Fiona Godlee
	BMJ  2005;331, doi: 10.1136/bmj.331.7528.0-f [Extract] [Full text] [PDF] [Request Permissions] FREE

This week in the BMJ

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

	Uncertainty of outcome removes ethical dilemma in trials of cancer drugs [Full text]

	Abortion of unwanted first pregnancy may not increase risk of depression [Full text]

	COX 2 inhibitors may not be safer for the stomach [Full text]

	Twins have lower IQ in childhood [Full text]

	Obesity and hunger: where is the global balance? [Full text]

Editorials

	New international consensus on cardiopulmonary resuscitation
	Douglas Chamberlain
	BMJ  2005;331:1281-1282, doi: 10.1136/bmj.38681.488958.DE, (Published 29 November 2005) [Extract] [Full text] [PDF] [Request Permissions]

	Health and climate change: a call for action
	Bettina Menne, Roberto Bertollini
	BMJ  2005;331:1283-1284, doi: 10.1136/bmj.38684.496354.DE, (Published 29 November 2005) [Extract] [Full text] [PDF] [Request Permissions]

	End of life decisions
	Ash Samanta, Jo Samanta
	BMJ  2005;331:1284-1285, doi: 10.1136/bmj.331.7528.1284 [Extract] [Full text] [PDF] [Request Permissions]

	Preventing HIV infection
	Rachael Jones, Brian Gazzard, Yasmin Halima
	BMJ  2005;331:1285-1286, doi: 10.1136/bmj.331.7528.1285 [Extract] [Full text] [PDF] [Request Permissions]

Letters

This week's letters [PDF]

	Extended prescribing by UK nurses and pharmacists: Triumph of common sense
	Sam Richmond
	BMJ  2005;331:1337, doi: 10.1136/bmj.331.7528.1337 [Extract] [Full text] [Request Permissions]

	Extended prescribing by UK nurses and pharmacists: Computer systems need to incorporate nurse prescribing
	Stephen C Earwicker
	BMJ  2005;331:1337, doi: 10.1136/bmj.331.7528.1337-a [Extract] [Full text] [Request Permissions]

	Extended prescribing by UK nurses and pharmacists: Supplementary prescribing by mental health nurses seems promising
	Martin Jones, Dawn Miller, Ben Lucas, Joanna Bennett, Richard Gray
	BMJ  2005;331:1337, doi: 10.1136/bmj.331.7528.1337-b [Extract] [Full text] [Request Permissions]

	Extended prescribing by UK nurses and pharmacists: Reference is interesting
	Joseph F Standing
	BMJ  2005;331:1338, doi: 10.1136/bmj.331.7528.1338 [Extract] [Full text] [Request Permissions]

	Challenges of private provision in the NHS: Real story is beginning to emerge
	Rachel Aldred
	BMJ  2005;331:1338, doi: 10.1136/bmj.331.7528.1338-a [Extract] [Full text] [Request Permissions]

	Challenges of private provision in the NHS: Treatment centres and their effect on surgical training
	Catherine Guly, Richard Sidebottom, Kim Hakin, Keith Bates
	BMJ  2005;331:1338, doi: 10.1136/bmj.331.7528.1338-b [Extract] [Full text] [Request Permissions]

	Private health sector in India: Is private health care at the cost of public health care?
	Amitava Bose
	BMJ  2005;331:1338-1339, doi: 10.1136/bmj.331.7528.1338-c [Extract] [Full text] [Request Permissions]

	Private health sector in India: Single level health care is the only solution
	Shyamal Bagchee
	BMJ  2005;331:1339, doi: 10.1136/bmj.331.7528.1339 [Extract] [Full text] [Request Permissions]

	Private health sector in India: Let's not confuse the issues
	T D Rajan
	BMJ  2005;331:1339, doi: 10.1136/bmj.331.7528.1339-a [Extract] [Full text] [Request Permissions]

	Private health sector in India: Line between profit and profiteering is often thin
	Abhijit M Bal
	BMJ  2005;331:1339, doi: 10.1136/bmj.331.7528.1339-b [Extract] [Full text] [Request Permissions]

	Reforming research in the NHS
	D J Sheridan
	BMJ  2005;331:1339-1340, doi: 10.1136/bmj.331.7528.1339-c [Extract] [Full text] [Request Permissions]

	Diabetes and the quality and outcomes framework: Diabetes needs reintegration of primary and secondary care
	Harry Keen
	BMJ  2005;331:1340, doi: 10.1136/bmj.331.7528.1340 [Extract] [Full text] [Request Permissions]

	Diabetes and the quality and outcomes framework: Integrated care is best model for diabetes
	Richard Greenwood, Ken Shaw, Peter Winocour
	BMJ  2005;331:1340, doi: 10.1136/bmj.331.7528.1340-a [Extract] [Full text] [Request Permissions]

	Soundings author apologises
	Colin Douglas
	BMJ  2005;331:1340, doi: 10.1136/bmj.331.7528.1340-b [Extract] [Full text] [Request Permissions]

News

	Global warming must be limited to 2°C, scientists say
	Tony Juniper
	BMJ  2005;331:1287, doi: 10.1136/bmj.331.7528.1287 [Extract] [Full text] [PDF]

	Health economist cautions against new breast cancer drug
	Lynn Eaton
	BMJ  2005;331:1287, doi: 10.1136/bmj.331.7528.1287-a [Extract] [Full text] [PDF] [extra: Longer version]

	In brief
	BMJ  2005;331:1288, doi: 10.1136/bmj.331.7528.1288 [Extract] [Full text] [PDF]

	Japanese encephalitis outbreak kills 1300 children in India
	Ganapati Mudur
	BMJ  2005;331:1288, doi: 10.1136/bmj.331.7528.1288-a [Extract] [Full text] [PDF] [extra: Longer version]

	French government is urged to fight alcohol misuse
	Brad Spurgeon
	BMJ  2005;331:1288, doi: 10.1136/bmj.331.7528.1288-b [Extract] [Full text] [PDF] [extra: Longer version]

	Doctors urged to present views in an objective way to the media
	Susan Mayor
	BMJ  2005;331:1289, doi: 10.1136/bmj.331.7528.1289 [Extract] [Full text] [PDF]

	GMC suspends doctor for false research claims
	Owen Dyer
	BMJ  2005;331:1289, doi: 10.1136/bmj.331.7528.1289-a [Extract] [Full text] [PDF] [extra: Longer version]

	Korean women rush to donate eggs after research pioneer resigns
	Jane Parry
	BMJ  2005;331:1291, doi: 10.1136/bmj.331.7528.1291-b [Extract] [Full text] [PDF] [extra: Longer version]

	MP is criticised for saying that marriage of first cousins is a health problem
	Owen Dyer
	BMJ  2005;331:1292, doi: 10.1136/bmj.331.7528.1292 [Extract] [Full text] [PDF]

	UK report recommends fortification of flour with folate
	Susan Mayor
	BMJ  2005;331:1292, doi: 10.1136/bmj.331.7528.1292-a [Extract] [Full text] [PDF] [extra: Longer version]

News roundup [abridged versions appear in the paper journal]

	Rationing of joint replacements raises fears of further cuts
	Rebecca Coombes
	BMJ  2005;331:1290, doi: 10.1136/bmj.331.7528.1290 [Extract] [Abridged PDF] [Full text]

	English survey shows wide disparity in joint replacement rates
	Roger Dobson
	BMJ  2005;331:1290, doi: 10.1136/bmj.331.7528.1290-a [Extract] [Abridged PDF] [Full text]

	Exhibition shows positive effect of antiretrovirals
	Annabel Ferriman
	BMJ  2005;331:1290, doi: 10.1136/bmj.331.7528.1290-b [Extract] [Abridged PDF] [Full text]

	New technique improves safety of islet cell transplantation
	Janice Hopkins Tanne
	BMJ  2005;331:1290, doi: 10.1136/bmj.331.7528.1290-c [Extract] [Abridged PDF] [Full text]

	Hospitals must be more open about safety, says chief medical officer
	Andrew Cole
	BMJ  2005;331:1290, doi: 10.1136/bmj.331.7528.1290-d [Extract] [Abridged PDF] [Full text]

	Neonatal mortality is higher in US hospitals with higher proportion of black babies
	David Spurgeon
	BMJ  2005;331:1291, doi: 10.1136/bmj.331.7528.1291 [Extract] [Abridged PDF] [Full text]

	Chief medical officer considered resigning over smoking ban
	Adrian O'Dowd
	BMJ  2005;331:1291, doi: 10.1136/bmj.331.7528.1291-a [Extract] [Abridged PDF] [Full text]

News extra [these stories appear only on the web]

	English claims against Vioxx manufacturer are on brink of collapse
	Clare Dyer
	BMJ  2005;331:1292, doi: 10.1136/bmj.331.7528.1292-b [Extract] [Full text]

	Eight Canadian provinces are to sue tobacco industry for healthcare costs
	David Spurgeon
	BMJ  2005;331:1292, doi: 10.1136/bmj.331.7528.1292-c [Extract] [Full text]

	Ozone depletion will bring big rise in number of cataracts
	Roger Dobson
	BMJ  2005;331:1292, doi: 10.1136/bmj.331.7528.1292-d [Extract] [Full text]

	Surgeon is struck off for second time
	Owen Dyer
	BMJ  2005;331:1292, doi: 10.1136/bmj.331.7528.1292-e [Extract] [Full text]

	Medical professionalism is under threat, say eight in 10 aspiring British doctors
	Zosia Kmietowicz
	BMJ  2005;331:1292, doi: 10.1136/bmj.331.7528.1292-f [Extract] [Full text]

Short cuts

	What's new in the other general journals
	Alison Tonks
	BMJ  2005;331:1293-1294, doi: 10.1136/bmj.331.7528.1293 [Full text] [PDF] [Request Permissions]

Primary care

	Risk of adverse gastrointestinal outcomes in patients taking cyclo-oxygenase-2 inhibitors or conventional non-steroidal anti-inflammatory drugs: population based nested case-control analysis
	Julia Hippisley-Cox, Carol Coupland, Richard Logan
	BMJ  2005;331:1310-1316, doi: 10.1136/bmj.331.7528.1310 [Abstract] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

Information in practice

	Kaiser Permanente's experience of implementing an electronic medical record: a qualitative study
	J Tim Scott, Thomas G Rundall, Thomas M Vogt, John Hsu
	BMJ  2005;331:1313-1316, doi: 10.1136/bmj.38638.497477.68, (Published 3 November 2005) [Abstract] [Full text] [PDF] [Request Permissions] [extra: Interview prompt sheet] FREE

	Commentary: Trouble in paradise—learning from Hawaii
	Sheila Teasdale
	BMJ  2005;331:1316, doi: 10.1136/bmj.38651.528519.DE, (Published 3 November 2005) [Full text] [PDF] [Request Permissions] FREE

Clinical review

	Epilepsy in elderly people
	Martin J Brodie, Patrick Kwan
	BMJ  2005;331:1317-1322, doi: 10.1136/bmj.331.7528.1317 [Extract] [Full text] [PDF] [Request Permissions] [extra: Additional references]

	Lessons of the week: Acute crystal arthritis mimicking infection after total knee arthroplasty
	G Holt, C Vass, C S Kumar
	BMJ  2005;331:1322-1323, doi: 10.1136/bmj.331.7528.1322 [Extract] [Full text] [PDF] [Request Permissions]

	Lessons of the week: Pyoderma gangrenosum in ulcerative colitis: considerations for an early diagnosis
	K I Papageorgiou, R G Mathew, M G Kaniorou-Larai, A Yiakoumetis
	BMJ  2005;331:1323-1324, doi: 10.1136/bmj.331.7528.1323 [Extract] [Full text] [PDF] [Request Permissions]

	ABC of health informatics: Communication and navigation around the healthcare system
	Jeremy C Wyatt, Frank Sullivan
	BMJ  2005;331:1325-1327, doi: 10.1136/bmj.331.7528.1325 [Extract] [Full text] [PDF] [Request Permissions]

Education and debate

	The NHS revolution: health care in the market place: Should the NHS follow the American way?
	Cam Donaldson, Danny Ruta
	BMJ  2005;331:1328-1330, doi: 10.1136/bmj.331.7528.1328 [Extract] [Full text] [PDF] [Request Permissions]

	Does the district general hospital have a future?
	Chris Ham
	BMJ  2005;331:1331-1333, doi: 10.1136/bmj.331.7528.1331 [Extract] [Full text] [PDF] [Request Permissions]

	Obesity, hunger, and agriculture: the damaging role of subsidies
	Liselotte Schäfer Elinder
	BMJ  2005;331:1333-1336, doi: 10.1136/bmj.331.7528.1333 [Extract] [Full text] [PDF] [Request Permissions]

Reviews

	Book: After Harm: Medical Error and the Ethics of Forgiveness
	Farr A Curlin
	BMJ  2005;331:1343, doi: 10.1136/bmj.331.7528.1343 [Extract] [Full text] [Request Permissions]

	Book: Mad, Bad and Dangerous: The Scientist and the Cinema
	Colin Martin
	BMJ  2005;331:1344, doi: 10.1136/bmj.331.7528.1344 [Extract] [Full text] [Request Permissions]

	Play: The Hypochondriac
	Aula Abbara
	BMJ  2005;331:1344, doi: 10.1136/bmj.331.7528.1344-a [Extract] [Full text] [Request Permissions]

	PERSONAL VIEWS: Am I safe to fly? Am I safe to anaesthetise?
	G R Park
	BMJ  2005;331:1345, doi: 10.1136/bmj.331.7528.1345 [Extract] [Full text] [Request Permissions]

	NETLINES
	Harry Brown
	BMJ  2005;331:1345, doi: 10.1136/bmj.331.7528.1345-a [Extract] [Full text] [Request Permissions]

	PERSONAL VIEWS: Will modernised medical careers produce a better surgeon?
	Luke Devey
	BMJ  2005;331:1346, doi: 10.1136/bmj.331.7528.1346 [Extract] [Full text] [Request Permissions]

	PERSONAL VIEWS: Dilemma of a surgical trainee
	Bettina Lieske
	BMJ  2005;331:1347, doi: 10.1136/bmj.331.7528.1347 [Extract] [Full text] [Request Permissions]

	SOUNDINGS: Man's best friend
	Liam Farrell
	BMJ  2005;331:1347, doi: 10.1136/bmj.331.7528.1347-a [Extract] [Full text] [Request Permissions]

Minerva

	Minerva
	BMJ  2005;331:1348, doi: 10.1136/bmj.331.7528.1348 [Full text] [PDF] [Request Permissions]

Fillers

	bmjupdates+: Walking exercise improves bowel preparation before colonoscopy
	BMJ  2005;331, doi: 10.1136/bmj.331.7528.0-e [Extract] [Full text] [PDF] [Request Permissions]

	Endpiece: Common doctors
	Peter Morrell
	BMJ  2005;331:1298, doi: 10.1136/bmj.331.7528.1298 [Extract] [Full text] [PDF] [Request Permissions]

	One hundred years ago: Nelson's personal experiences of surgery
	BMJ  2005;331:1302, doi: 10.1136/bmj.331.7528.1302 [Extract] [Full text] [PDF] [Request Permissions]

	A very "patient" me
	Arunachalam Kumar
	BMJ  2005;331:1309, doi: 10.1136/bmj.331.7528.1309 [Extract] [Full text] [PDF] [Request Permissions]

	Endpiece: Medical people in Paris
	Jeremy Hugh Baron
	BMJ  2005;331:1324, doi: 10.1136/bmj.331.7528.1324 [Extract] [Full text] [PDF] [Request Permissions]

	bmjlearning.com: Can I get points for reading this?
	Kieran Walsh
	BMJ  2005;331:1336, doi: 10.1136/bmj.331.7528.1336 [Extract] [Full text] [PDF] [Request Permissions]

Corrections

	The parents' journey: continuing a pregnancy after a diagnosis of Patau's syndrome
	BMJ  2005;331:1330, doi: 10.1136/bmj.331.7528.1330 [Full text] [PDF] [Request Permissions] FREE

	Self management of oral coagulation: randomised trial
	BMJ  2005;331:1330, doi: 10.1136/bmj.331.7528.1330-a [Full text] [PDF] [Request Permissions] FREE

	Height and mortality from cancer among men: prospective observational study
	BMJ  2005;331:1330, doi: 10.1136/bmj.331.7528.1330-b [Full text] [PDF] [Request Permissions] FREE

Career focus

	What are the chances for an overseas student to get an F1 placement in the foundation programme? Is the number of available placements restricted to the number of UK graduates? Or are there some places created in excess? If so, what percentage is it?
	Pal Kumar
	BMJ  2005;331:s236, doi: 10.1136/bmj.331.7528.s236, (Published 3 December 2005) [Abstract] [Full text] [Request Permissions] FREE

	I start as a plastics specialist registrar in April 2006. Meanwhile I want to help (as a surgeon) in an area of the world that has been affected by natural disaster. Can anyone offer advice?
	Mark Wilson
	BMJ  2005;331:s236, doi: 10.1136/bmj.331.7528.s236-a, (Published 3 December 2005) [Abstract] [Full text] [Request Permissions] FREE

	I am an international medical graduate and have completed my internship (PRHO) in India as per GMC advice before PLAB. Am I eligible for foundation year 2 posts?
	Anne Hastie
	BMJ  2005;331:s236, doi: 10.1136/bmj.331.7528.s236-b, (Published 3 December 2005) [Abstract] [Full text] [Request Permissions] FREE

	Cybermedics—a virtual reality
	BMJ  2005;331:s236, doi: 10.1136/bmj.331.7528.s236-c, (Published 3 December 2005) [Full text] [Request Permissions] FREE

	this week
	Peter Cross
	BMJ  2005;331:gp237, doi: 10.1136/bmj.331.7528.sgp237, (Published 3 December 2005) [Full text] [Request Permissions] FREE

	Doc around the clock
	Jill Murie
	BMJ  2005;331:gp237-gp239, doi: 10.1136/bmj.331.7528.sgp237-a, (Published 3 December 2005) [Abstract] [Full text] [Request Permissions] FREE

	this week
	Graham Easton
	BMJ  2005;331:s237, doi: 10.1136/bmj.331.7528.s237, (Published 3 December 2005) [Full text] [Request Permissions] FREE

	Muddling Medical Careers—the foundation year appointment process
	John Firth
	BMJ  2005;331:s237-s238, doi: 10.1136/bmj.331.7528.s237-a, (Published 3 December 2005) [Abstract] [Full text] [Request Permissions] FREE

	Reflective writing
	Helen C Richardson
	BMJ  2005;331:gp239, doi: 10.1136/bmj.331.7528.sgp239, (Published 3 December 2005) [Full text] [Request Permissions] FREE

	The foundation programme and consultants
	Edmund Neville
	BMJ  2005;331:s239-s240, doi: 10.1136/bmj.331.7528.s239, (Published 3 December 2005) [Abstract] [Full text] [Request Permissions] FREE

	Ten courses for GP registrars
	Stan Baltsezak
	BMJ  2005;331:gp240, doi: 10.1136/bmj.331.7528.sgp240, (Published 3 December 2005) [Abstract] [Full text] [Request Permissions] FREE

	Bedside teaching
	Judith Gaffan
	BMJ  2005;331:s240, doi: 10.1136/bmj.331.7528.s240, (Published 3 December 2005) [Full text] [Request Permissions] FREE

	Competences for the foundation programme—part 4: Information technology
	Scott Oliver
	BMJ  2005;331:s241-s242, doi: 10.1136/bmj.331.7528.s241, (Published 3 December 2005) [Abstract] [Full text] [Request Permissions] FREE

	Off the wall solutions for on the ball doctors
	BMJ  2005;331:s242, doi: 10.1136/bmj.331.7528.s242, (Published 3 December 2005) [Abstract] [Full text] [Request Permissions] FREE

	Building capacity—finding global health directions
	Brian Nicholson
	BMJ  2005;331:s243-s244, doi: 10.1136/bmj.331.7528.s243, (Published 3 December 2005) [Abstract] [Full text] [Request Permissions] FREE

	Appraisals
	Mark Griffiths
	BMJ  2005;331:s244, doi: 10.1136/bmj.331.7528.s244, (Published 3 December 2005) [Full text] [Request Permissions] FREE

Obituaries

This week's obituaries [PDF]

	Dries van Dantzig
	Tony Sheldon
	BMJ  2005;331:1341, doi: 10.1136/bmj.331.7528.1341 [Extract] [Full text]

	Frances Mary Barnes (née Cox)
	Judy Royle
	BMJ  2005;331:1342, doi: 10.1136/bmj.331.7528.1342 [Extract] [Full text] [extra: Longer version]

	Gwendolen Margaret Gwladys Barton (née Thomas)
	Peter G Wragg
	BMJ  2005;331:1342, doi: 10.1136/bmj.331.7528.1342-a [Extract] [Full text] [extra: Longer version]

	Mervyn Stuartson Bell
	Natalia Bell
	BMJ  2005;331:1342, doi: 10.1136/bmj.331.7528.1342-b [Extract] [Full text]

	Alan Hutchinson Fairlamb
	David Fairlamb
	BMJ  2005;331:1342, doi: 10.1136/bmj.331.7528.1342-c [Extract] [Full text] [extra: Longer version]

	Mair Lloyd Jenkins
	B A Gwynne Jenkins
	BMJ  2005;331:1342, doi: 10.1136/bmj.331.7528.1342-d [Extract] [Full text] [extra: Longer version]

	Kathleen Jessie Rigg
	Michael Herbertson
	BMJ  2005;331:1342, doi: 10.1136/bmj.331.7528.1342-e [Extract] [Full text] [extra: Longer version]

	Douglas Neil Sinclair
	E C B Keat
	BMJ  2005;331:1342, doi: 10.1136/bmj.331.7528.1342-f [Extract] [Full text] [extra: Longer version]

Papers

	Are experimental treatments for cancer in children superior to established treatments? Observational study of randomised controlled trials by the Children's Oncology Group
	Ambuj Kumar, Heloisa Soares, Robert Wells, Mike Clarke, Iztok Hozo, Archie Bleyer, Gregory Reaman, Iain Chalmers, Benjamin Djulbegovic
	BMJ  2005;331:1295, doi: 10.1136/bmj.38628.561123.7C, (Published 18 November 2005) [Abstract] [Abridged PDF] [Full text] [PDF] [Request Permissions] [extra: Further details] FREE

	Achieving the millennium development goals for health: Cost effectiveness analysis of strategies to combat malaria in developing countries
	Chantal M Morel, Jeremy A Lauer, David B Evans
	BMJ  2005;331:1299, doi: 10.1136/bmj.38639.702384.AE, (Published 10 November 2005) [Abstract] [Abridged PDF] [Full text] [PDF] [Request Permissions] [extra: Extra tables and figures and an appendix][extra: Corrected table] FREE

	Depression and unwanted first pregnancy: longitudinal cohort study
	Sarah Schmiege, Nancy Felipe Russo
	BMJ  2005;331:1303, doi: 10.1136/bmj.38623.532384.55, (Published 28 October 2005) [Abstract] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

	The cognitive cost of being a twin: evidence from comparisons within families in the Aberdeen children of the 1950s cohort study
	Georgina A Ronalds, Bianca L De Stavola, David A Leon
	BMJ  2005;331:1306, doi: 10.1136/bmj.38633.594387.3A, (Published 18 November 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

Webchat transcript: human and animal health [Full text]

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