The ground or the goal posts?
	Fiona Godlee
	BMJ  2006;332, doi: 10.1136/bmj.332.7542.0-f [Extract] [Full text] [PDF] [Request Permissions] FREE

This week in the BMJ

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

	Blood pressure drop in MONICA populations is not from use of antihypertensives [Full text]

	Energy supplements may not be necessary for children with cystic fibrosis [Full text]

	Guidelines on blood pressure after stroke may not apply to primary care [Full text]

	Longer needles needed for gluteal intramuscular injections [Full text]

	What works for osteoarthritis? [Full text]

Editorials

	Preventing coronary heart disease
	Rod Jackson, John Lynch, Sam Harper
	BMJ  2006;332:617-618, doi: 10.1136/bmj.332.7542.617 [Extract] [Full text] [PDF] [Request Permissions]

	Nutritional supplements in cystic fibrosis
	Matthias Kappler, Matthias Griese
	BMJ  2006;332:618-619, doi: 10.1136/bmj.332.7542.618 [Extract] [Full text] [PDF] [Request Permissions]

	What sort of evidence do we need in primary care?
	Sharon Mickan, Deborah Askew
	BMJ  2006;332:619-620, doi: 10.1136/bmj.332.7542.619 [Extract] [Full text] [PDF] [Request Permissions]

	Grieving the death of a child
	Beverley Raphael
	BMJ  2006;332:620-621, doi: 10.1136/bmj.332.7542.620 [Extract] [Full text] [PDF] [Request Permissions]

	Standards for infant formula milk
	Berthold Koletzko, Raanan Shamir
	BMJ  2006;332:621-622, doi: 10.1136/bmj.332.7542.621 [Extract] [Full text] [PDF] [Request Permissions]

Letters

This week's letters [PDF]

	One-time general consent for research on biological samples: Opt out system for patients is optimal and endorsed in many countries
	Jan Willem W Coebergh, Evert-Ben van Veen, Jan P Vandenbroucke, Paul van Diest, Wolter Oosterhuis
	BMJ  2006;332:665, doi: 10.1136/bmj.332.7542.665 [Extract] [Full text] [Request Permissions]

	One-time general consent for research on biological samples: Good idea, but will it happen?
	Peter N Furness
	BMJ  2006;332:665, doi: 10.1136/bmj.332.7542.665-a [Extract] [Full text] [Request Permissions]

	One-time general consent for research on biological samples: Autonomy and majority rules have been misunderstood
	David Hunter
	BMJ  2006;332:665-666, doi: 10.1136/bmj.332.7542.665-b [Extract] [Full text] [Request Permissions]

	Harmful impact of EU clinical trials directive: Trial of alerting drug in fibromyalgia has had to be abandoned...
	Christopher D Hanning, Patricia Rentowl
	BMJ  2006;332:666, doi: 10.1136/bmj.332.7542.666 [Extract] [Full text] [Request Permissions]

	Harmful impact of EU clinical trials directive: ...and so has trial of melatonin in cancer related weight loss...
	Max Watson
	BMJ  2006;332:666, doi: 10.1136/bmj.332.7542.666-a [Extract] [Full text] [Request Permissions]

	Harmful impact of EU clinical trials directive: ...while paediatric oncology is being scuppered
	Christopher D Mitchell
	BMJ  2006;332:666, doi: 10.1136/bmj.332.7542.666-b [Extract] [Full text] [Request Permissions]

	Who will fund hypothesis testing studies?
	Mira Harrison-Woolrych
	BMJ  2006;332:666-667, doi: 10.1136/bmj.332.7542.666-c [Extract] [Full text] [Request Permissions]

	LIFT study is discontinued
	Steven R Cummings, LIFT Steering Committee
	BMJ  2006;332:667, doi: 10.1136/bmj.332.7542.667 [Extract] [Full text] [Request Permissions]

	Stress and illness: call to action
	Woody Caan
	BMJ  2006;332:667, doi: 10.1136/bmj.332.7542.667-a [Extract] [Full text] [Request Permissions]

	Alcohol use disorders identification test has bias
	Rahul Rao
	BMJ  2006;332:667-668, doi: 10.1136/bmj.332.7542.667-b [Extract] [Full text] [Request Permissions]

	Where patients with cancer die in Cuba
	Alfredo A Espinosa-Roca, Alfredo D Espinosa-Brito, Eduardo Fernández-Casteleiro, Teresita Sabatés-Llerandi
	BMJ  2006;332:668, doi: 10.1136/bmj.332.7542.668 [Extract] [Full text] [Request Permissions]

	Diagnosis and treatment of multiple sclerosis: Potential changes in management for clinically isolated episode of optic neuritis
	Peter D Cackett, James Cameron, Harry Bennett
	BMJ  2006;332:668, doi: 10.1136/bmj.332.7542.668-a [Extract] [Full text] [Request Permissions]

	Diagnosis and treatment of multiple sclerosis: Ocular manifestations of multiple sclerosis
	Mohammad T Masoud
	BMJ  2006;332:668, doi: 10.1136/bmj.332.7542.668-b [Extract] [Full text] [Request Permissions]

	Postnatal economic burden of limited karyotyping
	Suneel B Bhat, Sanjay B Bhat, Jessica Stevens
	BMJ  2006;332:668-669, doi: 10.1136/bmj.332.7542.668-c [Extract] [Full text] [Request Permissions]

	Physiological-social scoring is important in pandemic flu
	Kirsty Challen, John Bright, Andrew Bentley, Darren Walter
	BMJ  2006;332:669, doi: 10.1136/bmj.332.7542.669 [Extract] [Full text] [Request Permissions]

	GPs provide valuable continuity during age transition
	Eleanore A Simm, Michael Brown, Brian McKinstry
	BMJ  2006;332:669, doi: 10.1136/bmj.332.7542.669-a [Extract] [Full text] [Request Permissions]

	The importance of being naked from the elbow down
	Ian A Laing
	BMJ  2006;332:669, doi: 10.1136/bmj.332.7542.669-b [Extract] [Full text] [Request Permissions]

News

	Surgeons claim independent centres produce poor results
	Adrian O'Dowd
	BMJ  2006;332:623, doi: 10.1136/bmj.332.7542.623 [Extract] [Full text] [PDF] [extra: Longer version]

	Code sets out framework for "living wills"
	Clare Dyer
	BMJ  2006;332:623, doi: 10.1136/bmj.332.7542.623-a [Extract] [Full text] [PDF] [extra: Longer version]

	In brief
	BMJ  2006;332:624, doi: 10.1136/bmj.332.7542.624 [Extract] [Full text] [PDF]

	CMAJ editorial board members vent anger at lack of openness
	David Spurgeon
	BMJ  2006;332:624, doi: 10.1136/bmj.332.7542.624-a [Extract] [Full text] [PDF] [extra: Longer version]

	FDA rejected contraception for political reasons
	Janice Hopkins Tanne
	BMJ  2006;332:624, doi: 10.1136/bmj.332.7542.624-b [Extract] [Full text] [PDF] [extra: Longer version]

	Doctors defend online system for allocating junior doctor posts
	Zosia Kmietowicz
	BMJ  2006;332:625, doi: 10.1136/bmj.332.7542.625 [Extract] [Full text] [PDF]

	Poorest children under 10 are 40% more likely to die than the richest
	Roger Dobson
	BMJ  2006;332:627, doi: 10.1136/bmj.332.7542.627-c [Extract] [Full text] [PDF] [extra: Longer version]

	How the mighty came to fall
	Nicholas Timmins
	BMJ  2006;332:628, doi: 10.1136/bmj.332.7542.628 [Extract] [Full text] [PDF] [extra: Longer version]

News roundup [abridged versions appear in the paper journal]

	South Dakota abortion ban encourages other states
	Janice Tanne
	BMJ  2006;332:626, doi: 10.1136/bmj.332.7542.626 [Extract] [Full text] [PDF]

	Trusts to be graded by finances as well as quality of care
	Andrew Cole
	BMJ  2006;332:626, doi: 10.1136/bmj.332.7542.626-a [Extract] [Full text] [PDF]

	Proportion of babies born in Europe after IVF varies 20-fold
	Roger Dobson
	BMJ  2006;332:626, doi: 10.1136/bmj.332.7542.626-b [Extract] [Full text] [PDF]

	Antidepressants double suicidality in children, says FDA
	Jeanne Lenzer
	BMJ  2006;332:626, doi: 10.1136/bmj.332.7542.626-c [Extract] [Full text] [PDF]

	Barts and the London redevelopment to go ahead
	Madeleine Brettingham
	BMJ  2006;332:626, doi: 10.1136/bmj.332.7542.626-d [Extract] [Full text] [PDF]

	Primary care trusts to continue direct provision of services
	Andrew Cole
	BMJ  2006;332:627, doi: 10.1136/bmj.332.7542.627 [Extract] [Full text] [PDF]

	Russian woman may lose grandson conceived from dead son’s frozen sperm
	Michael Leidig
	BMJ  2006;332:627, doi: 10.1136/bmj.332.7542.627-a [Extract] [Full text] [PDF]

	GPs’ leader sets conditions for electronic care records
	Michael Cross
	BMJ  2006;332:627, doi: 10.1136/bmj.332.7542.627-b [Extract] [Full text] [PDF]

News extra [these stories appear only on the web]

	Paracetamol causes most liver failure in UK and US
	Janice Tanne
	BMJ  2006;332:628, doi: 10.1136/bmj.332.7542.628-a [Extract] [Full text]

	Journals are not doing enough to protect themselves from fraud
	Michael Day
	BMJ  2006;332:628, doi: 10.1136/bmj.332.7542.628-b [Extract] [Full text]

	Millions of unprotected civilians in Darfur are at risk, aid agencies warn
	Peter Moszynski
	BMJ  2006;332:628, doi: 10.1136/bmj.332.7542.628-c [Extract] [Full text]

	WHO to strengthen rapid response against threat of flu pandemic
	John Zarocostas
	BMJ  2006;332:628, doi: 10.1136/bmj.332.7542.628-d [Extract] [Full text]

	Parents who smoke put their children at risk of infections
	Judy Siegel-Itzkovich
	BMJ  2006;332:628, doi: 10.1136/bmj.332.7542.628-e [Extract] [Full text]

Research

	Pattern of declining blood pressure across replicate population surveys of the WHO MONICA project, mid-1980s to mid-1990s, and the role of medication
	Hugh Tunstall-Pedoe, John Connaghan, Mark Woodward, Hanna Tolonen, Kari Kuulasmaa
	BMJ  2006;332:629-635, doi: 10.1136/bmj.38753.779005.BE, (Published 10 March 2006) [Abstract] [Abridged PDF] [Full text] [PDF] [Request Permissions] [extra: Further details] FREE

	Oral protein energy supplements for children with cystic fibrosis: CALICO multicentre randomised controlled trial
	Vanessa J Poustie, Jayne E Russell, Ruth M Watling, Deborah Ashby, Rosalind L Smyth, CALICO Trial Collaborative Group
	BMJ  2006;332:632-636, doi: 10.1136/bmj.38737.600880.AE, (Published 8 February 2006) [Abstract] [Abridged PDF] [Full text] [PDF] [Request Permissions] [extra: Further details] FREE

	Applicability to primary care of national clinical guidelines on blood pressure lowering for people with stroke: cross sectional study
	Jonathan Mant, Richard J McManus, Rachel Hare
	BMJ  2006;332:635-637, doi: 10.1136/bmj.38758.600116.AE, (Published 24 February 2006) [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Intramuscular gluteal injections in the increasingly obese population: retrospective study
	Andrew Charles Nisbet
	BMJ  2006;332:637-638, doi: 10.1136/bmj.38706.742731.47, (Published 8 March 2006) [Abstract] [Full text] [PDF] [Request Permissions] FREE

Clinical review

	Osteoarthritis
	David J Hunter, David T Felson
	BMJ  2006;332:639-642, doi: 10.1136/bmj.332.7542.639 [Extract] [Full text] [PDF] [Request Permissions] [extra: References w1 - w12]

Practice

	Interactive case report: A 28 year old postpartum woman with right sided chest discomfort: case outcome
	Girish Dwivedi, Sajad Ahmed Hayat, Andonis G Violaris, Roxy Senior
	BMJ  2006;332:643, doi: 10.1136/bmj.332.7542.643 [Extract] [Full text] [PDF] [Request Permissions]

	Commentary: Patient's experience
	Patel, Roxy Senior
	BMJ  2006;332:644, doi: 10.1136/bmj.332.7542.644 [Extract] [Full text] [PDF] [Request Permissions]

	Commentary: Cardiological management
	Peter Henriksen, Nicholas Boon
	BMJ  2006;332:644-645, doi: 10.1136/bmj.332.7542.644-a [Extract] [Full text] [PDF] [Request Permissions]

	Commentary: Knowing and knowing about
	Ed Peile
	BMJ  2006;332:645, doi: 10.1136/bmj.332.7542.645 [Extract] [Full text] [PDF] [Request Permissions]

	Commentary: Pattern recognition versus bayesian approach for diagnosis in primary care
	John Fletcher, Robin Fox
	BMJ  2006;332:646, doi: 10.1136/bmj.332.7542.646 [Extract] [Full text] [PDF] [Request Permissions]

	Commentary: Diagnosing chest pain in general practice
	Neil C Campbell
	BMJ  2006;332:646-647, doi: 10.1136/bmj.332.7542.646-a [Extract] [Full text] [PDF] [Request Permissions]

	Lesson of the week: Parental suicide after the expected death of a child at home
	Dawn E Davies
	BMJ  2006;332:647-648, doi: 10.1136/bmj.332.7542.647 [Extract] [Full text] [PDF] [Request Permissions]

	ABC of wound healing: Burns
	Alex Benson, William A Dickson, Dean E Boyce
	BMJ  2006;332:649-652, doi: 10.1136/bmj.332.7542.649 [Extract] [Full text] [PDF] [Request Permissions]

	BMJ family highlights: What's new this month in BMJ Journals
	Harvey Marcovitch
	BMJ  2006;332:653, doi: 10.1136/bmj.332.7542.653 [Extract] [Full text] [PDF] [Request Permissions]

	Short cuts: What's new in the other general journals
	Alison Tonks
	BMJ  2006;332:654-655, doi: 10.1136/bmj.332.7542.654 [Extract] [Full text] [PDF] [Request Permissions]

Analysis and Comment

	Information technology: Keeping the NHS electronic spine on track
	Michael Cross
	BMJ  2006;332:656-658, doi: 10.1136/bmj.332.7542.656 [Full text] [PDF] [Request Permissions]

	Preventive medicine: Revisiting Rose: strategies for reducing coronary heart disease
	Douglas G Manuel, Jenny Lim, Peter Tanuseputro, Geoffrey M Anderson, David A Alter, Andreas Laupacis, Cameron A Mustard
	BMJ  2006;332:659-662, doi: 10.1136/bmj.332.7542.659 [Full text] [PDF] [Request Permissions] [extra: Further details]

	HIV and global health: Global inequality of life expectancy due to AIDS
	Danny Dorling, Mary Shaw, George Davey Smith
	BMJ  2006;332:662-664, doi: 10.1136/bmj.332.7542.662 [Full text] [PDF] [Request Permissions] [extra: Nation states of the United Nations]

Reviews

	Book: Big Pharma: How the World's Biggest Drug Companies Control Illness
	Ike Iheanacho
	BMJ  2006;332:672, doi: 10.1136/bmj.332.7542.672 [Extract] [Full text] [Request Permissions]

	TV: Miracle Workers
	Janice Hopkins Tanne
	BMJ  2006;332:673, doi: 10.1136/bmj.332.7542.673 [Extract] [Full text] [Request Permissions]

	NETLINES
	Harry Brown
	BMJ  2006;332:673, doi: 10.1136/bmj.332.7542.673-a [Extract] [Full text] [Request Permissions]

	Personal views: On being downstream from faked scientific reports
	Timothy F Murphy
	BMJ  2006;332:674, doi: 10.1136/bmj.332.7542.674 [Extract] [Full text] [Request Permissions]

	Personal views: Online selection of junior doctors: a student's view
	Nadeeja Koralage
	BMJ  2006;332:675, doi: 10.1136/bmj.332.7542.675 [Extract] [Full text] [Request Permissions]

	Soundings: A sporting chance
	Des Spence
	BMJ  2006;332:675, doi: 10.1136/bmj.332.7542.675-a [Extract] [Full text] [Request Permissions]

Minerva

	Minerva
	BMJ  2006;332:676, doi: 10.1136/bmj.332.7542.676 [Full text] [PDF] [Request Permissions]

Fillers

	bmjupdates+: Perineal massage in the weeks leading up to delivery helps some women avoid episiotomy
	BMJ  2006;332, doi: 10.1136/bmj.332.7542.0-e [Extract] [Full text] [PDF] [Request Permissions]

	An instrumental history of medicine
	Rajvinder Khasriya
	BMJ  2006;332:638, doi: 10.1136/bmj.332.7542.638 [Extract] [Full text] [PDF] [Request Permissions]

	The red sticker
	A C Leong
	BMJ  2006;332:648, doi: 10.1136/bmj.332.7542.648 [Extract] [Full text] [PDF] [Request Permissions]

	bmjlearning.com: The Napsterisation of learning
	Kieran Walsh
	BMJ  2006;332:652, doi: 10.1136/bmj.332.7542.652 [Extract] [Full text] [PDF] [Request Permissions]

	Endpiece: Seeking enlightenment
	Hazem Lashin
	BMJ  2006;332:658, doi: 10.1136/bmj.332.7542.658 [Extract] [Full text] [PDF] [Request Permissions]

	Advice
	BMJ  2006;332:671, doi: 10.1136/bmj.332.7542.671-g [Extract] [Full text] [Request Permissions]

Career focus

	I'm thinking of getting out of medicine altogether after feeling thoroughly disappointed with the new foundation schemes. Is there a list of companies that will consider employing medical graduates or doctors?
	Sarah Burnett
	BMJ  2006;332:s102, doi: 10.1136/bmj.332.7542.s102, (Published 18 March 2006) [Abstract] [Full text] [Request Permissions] FREE

	I am about to take up a training number as a specialist registrar in general surgery. I am interested in a career in breast surgery and would like to be able to do oncoplastic procedures. I have no plastics experience to date. Is it possible to become an oncoplastic breast surgeon through a general surgical route, with perhaps a clinical fellowship in oncoplastics?
	Abhilash Jain
	BMJ  2006;332:s102, doi: 10.1136/bmj.332.7542.s102-a, (Published 18 March 2006) [Abstract] [Full text] [Request Permissions] FREE

	I am doing postgraduate studies in microbiology in India. What exams do I need to do to work in the United Kingdom? Also, please advise me on the prospects of specialising in immunology
	Andrew Wilson
	BMJ  2006;332:s102, doi: 10.1136/bmj.332.7542.s102-b, (Published 18 March 2006) [Abstract] [Full text] [Request Permissions] FREE

	Firm foundations? Foundation programme year two rotations—what do students and trainees want?
	BMJ  2006;332:s102, doi: 10.1136/bmj.332.7542.s102-c, (Published 18 March 2006) [Full text] [Request Permissions] FREE

	this week
	Peter Cross
	BMJ  2006;332:gp103, doi: 10.1136/bmj.332.7542.sgp103, (Published 18 March 2006) [Full text] [Request Permissions] FREE

	Flexible training for general practice
	Anne Hastie
	BMJ  2006;332:gp103-gp105, doi: 10.1136/bmj.332.7542.sgp103-a, (Published 18 March 2006) [Abstract] [Full text] [Request Permissions] FREE

	this week
	Peter Cross
	BMJ  2006;332:s103, doi: 10.1136/bmj.332.7542.s103, (Published 18 March 2006) [Full text] [Request Permissions] FREE

	Training in plastic surgery
	James D Watson
	BMJ  2006;332:s103-s105, doi: 10.1136/bmj.332.7542.s103-a, (Published 18 March 2006) [Abstract] [Full text] [Request Permissions] FREE

	Off the wall solutions for on the ball doctors
	BMJ  2006;332:gp105, doi: 10.1136/bmj.332.7542.sgp105, (Published 18 March 2006) [Abstract] [Full text] [Request Permissions] FREE

	Off the wall solutions for on the ball doctors
	BMJ  2006;332:s105, doi: 10.1136/bmj.332.7542.s105, (Published 18 March 2006) [Abstract] [Full text] [Request Permissions] FREE

	A consumer guide to the world of e-learning
	Kieran Walsh
	BMJ  2006;332:s106-s107, doi: 10.1136/bmj.332.7542.s106, (Published 18 March 2006) [Abstract] [Full text] [Request Permissions] FREE

	Career review part 2: what does work bring you in life?
	Anita Houghton
	BMJ  2006;332:s108-s109, doi: 10.1136/bmj.332.7542.s108, (Published 18 March 2006) [Abstract] [Full text] [Request Permissions] FREE

	Screening for abuse of women
	Deana Midmer
	BMJ  2006;332:s109, doi: 10.1136/bmj.332.7542.s109, (Published 18 March 2006) [Full text] [Request Permissions] FREE

	An OSCE actress
	Sabreena Malik
	BMJ  2006;332:s110, doi: 10.1136/bmj.332.7542.s110, (Published 18 March 2006) [Abstract] [Full text] [Request Permissions] FREE

Obituaries

This week's obituaries [PDF]

	Paul Polani
	Peter Harper
	BMJ  2006;332:670, doi: 10.1136/bmj.332.7542.670 [Extract] [Full text] [extra: Longer version]

	Ronald Patrick Grimley
	Richard Blunt
	BMJ  2006;332:671, doi: 10.1136/bmj.332.7542.671 [Extract] [Full text] [extra: Longer version]

	John Arundel Kirkby
	Peter Bowen Simpkins, Colin Williams, Sharon Guest
	BMJ  2006;332:671, doi: 10.1136/bmj.332.7542.671-a [Extract] [Full text] [extra: Longer version]

	Charles James Kirkpatrick Orr
	Ian Orr, Inder Bali
	BMJ  2006;332:671, doi: 10.1136/bmj.332.7542.671-b [Extract] [Full text] [extra: Longer version]

	Thomas Allan Sanderson
	Martin Eastwood
	BMJ  2006;332:671, doi: 10.1136/bmj.332.7542.671-c [Extract] [Full text] [extra: Longer version]

	Kenneth Herbert Walker
	Michael Walter
	BMJ  2006;332:671, doi: 10.1136/bmj.332.7542.671-d [Extract] [Full text]

	Rupert Walker Wilkinson
	Fiona Wilkinson, David Wilkinson, Caroline Wilkinson
	BMJ  2006;332:671, doi: 10.1136/bmj.332.7542.671-e [Extract] [Full text] [extra: Longer version]

	David John Woolford
	Marcus Woolford
	BMJ  2006;332:671, doi: 10.1136/bmj.332.7542.671-f [Extract] [Full text] [extra: Longer version]

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.