A good read
	Fiona Godlee
	BMJ  2006;332, doi: 10.1136/bmj.332.7556.0-f [Extract] [Full text] [PDF] [Request Permissions] FREE

This week in the BMJ

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

	Treating carpal tunnel syndrome endoscopically may not be cost effective [Full text]

	Perioperative blockade may not benefit patients with diabetes [Full text]

	Adding metformin doesn't increase number of ovulations in women with PCOS [Full text]

	Sure Start local programmes may have limited effects [Full text]

	Screening for trypanosomiasis in Angola [Full text]

Editorials

	Drugs for anovulatory infertility in polycystic ovary syndrome
	Hesham Al-Inany, Neil Johnson
	BMJ  2006;332:1461-1462, doi: 10.1136/bmj.332.7556.1461 [Extract] [Full text] [PDF] [Request Permissions]

	Doctors, interrogation, and torture
	Luis Justo
	BMJ  2006;332:1462-1463, doi: 10.1136/bmj.332.7556.1462 [Extract] [Full text] [PDF] [Request Permissions]

	The diagnosis and treatment of carpal tunnel syndrome
	Brent Graham
	BMJ  2006;332:1463-1464, doi: 10.1136/bmj.332.7556.1463 [Extract] [Full text] [PDF] [Request Permissions]

	Rational prescribing for children
	Alastair G Sutcliffe, Ian Chi Kei Wong
	BMJ  2006;332:1464-1465, doi: 10.1136/bmj.332.7556.1464 [Extract] [Full text] [PDF] [Request Permissions]

	Ketamine: a misunderstood analgesic?
	Nosa A Akporehwe, Paul R Wilkinson, Rachel Quibell, Kerstin A Akporehwe
	BMJ  2006;332:1466, doi: 10.1136/bmj.332.7556.1466 [Extract] [Full text] [PDF] [Request Permissions]

Letters

This week's letters [PDF]

	Climate change: Contraction and convergence: myth and reality
	Peter F Smith
	BMJ  2006;332:1509, doi: 10.1136/bmj.332.7556.1509 [Extract] [Full text] [Request Permissions]

	Climate change: Summary of responses
	Birte Twisselmann
	BMJ  2006;332:1509, doi: 10.1136/bmj.332.7556.1509-a [Extract] [Full text] [Request Permissions]

	Indigenous hepatitis E virus infection in England and Wales
	Hannah Lewis, Dilys Morgan, Samreen Ijaz, Elizabeth Boxall
	BMJ  2006;332:1509-1510, doi: 10.1136/bmj.332.7556.1509-b [Extract] [Full text] [Request Permissions]

	Health research funding: Mental health research continues to be underfunded...
	David Kingdon
	BMJ  2006;332:1510, doi: 10.1136/bmj.332.7556.1510 [Extract] [Full text] [Request Permissions]

	Health research funding: ... while injuries were ignored
	Jon P Nicholl
	BMJ  2006;332:1510, doi: 10.1136/bmj.332.7556.1510-a [Extract] [Full text] [Request Permissions]

	It's difficult being green (as in vomit)
	Carl A Kuschel, Barbara Cormack, Phil Morreau
	BMJ  2006;332:1510-1511, doi: 10.1136/bmj.332.7556.1510-b [Extract] [Full text] [Request Permissions]

	New antipsychotic agents are much awaited
	Arnob Chakraborti
	BMJ  2006;332:1511, doi: 10.1136/bmj.332.7556.1511 [Extract] [Full text] [Request Permissions]

	Gabapentin may cause reversible visual field constriction: Learning or inattention artefact a more likely explanation
	Tom Eke
	BMJ  2006;332:1511, doi: 10.1136/bmj.332.7556.1511-a [Extract] [Full text] [Request Permissions]

	Gabapentin may cause reversible visual field constriction: GABA transaminase inhibitors may cause irreversible visual field loss
	Jon M Durnian, Louis G Clearkin
	BMJ  2006;332:1511, doi: 10.1136/bmj.332.7556.1511-b [Extract] [Full text] [Request Permissions]

	Improving surveillance for Barrett's oesophagus: Better to be looked over than be overlooked
	Shaji Sebastian, Colm O'Morain
	BMJ  2006;332:1511-1512, doi: 10.1136/bmj.332.7556.1511-c [Extract] [Full text] [Request Permissions]

	Improving surveillance for Barrett's oesophagus: AspECT and BOSS trials provide an evidence base
	Janusz Jankowski, Hugh Barr
	BMJ  2006;332:1512, doi: 10.1136/bmj.332.7556.1512 [Extract] [Full text] [Request Permissions]

	Switching statins: Cost of simvastatin is overestimated
	John S Ashcroft
	BMJ  2006;332:1512, doi: 10.1136/bmj.332.7556.1512-a [Extract] [Full text] [Request Permissions]

	Switching statins: NICE tool overestimates benefits of statins
	D Graham Mackenzie
	BMJ  2006;332:1512-1513, doi: 10.1136/bmj.332.7556.1512-b [Extract] [Full text] [Request Permissions]

	Switching statins: How to do it without tears and to benefit the NHS
	Thomas Lau
	BMJ  2006;332:1513, doi: 10.1136/bmj.332.7556.1513 [Extract] [Full text] [Request Permissions]

	Smoking, Helicobacter pylori, and periodontitis
	Trevor L P Watts
	BMJ  2006;332:1513, doi: 10.1136/bmj.332.7556.1513-a [Extract] [Full text] [Request Permissions]

	Injury from lightning strike while using mobile phone
	Swinda Esprit, Prasad Kothari, Ram Dhillon
	BMJ  2006;332:1513, doi: 10.1136/bmj.332.7556.1513-b [Extract] [Full text] [Request Permissions]

News

	England sets up task force to hasten use of electronic records
	Michael Cross
	BMJ  2006;332:1467, doi: 10.1136/bmj.332.7556.1467 [Extract] [Full text] [PDF] [extra: Longer version]

	Four in five asthma deaths may be due to long acting agonists
	Pat Hagan
	BMJ  2006;332:1467, doi: 10.1136/bmj.332.7556.1467-a [Extract] [Full text] [PDF] [extra: Longer version]

	In brief
	BMJ  2006;332:1468, doi: 10.1136/bmj.332.7556.1468 [Extract] [Full text] [PDF]

	Overtaxed US emergency care system needs reorganisation
	Nellie Bristol
	BMJ  2006;332:1468, doi: 10.1136/bmj.332.7556.1468-a [Extract] [Full text] [PDF] [extra: Longer version]

	US campaign to save 100 000 lives exceeds its target
	Janice Hopkins Tanne
	BMJ  2006;332:1468, doi: 10.1136/bmj.332.7556.1468-b [Extract] [Full text] [PDF] [extra: Longer version]

	Councillor loses legal battle over Derbyshire general practice
	Owen Dyer
	BMJ  2006;332:1469, doi: 10.1136/bmj.332.7556.1469 [Extract] [Full text] [PDF]

	Canada may be forced to allow direct to consumer advertising
	Alan Cassels
	BMJ  2006;332:1469, doi: 10.1136/bmj.332.7556.1469-a [Extract] [Full text] [PDF]

	BMA's claim of unemployment among junior doctors is rejected
	Caroline White
	BMJ  2006;332:1471, doi: 10.1136/bmj.332.7556.1471-c [Extract] [Full text] [PDF] [extra: Longer version]

	An eye opening technique
	Janice Hopkins Tanne
	BMJ  2006;332:1472, doi: 10.1136/bmj.332.7556.1472 [Extract] [Full text] [PDF]

News roundup [abridged versions appear in the paper journal]

	GPs are being paid more for doing less, MPs are told
	Andrew Cole
	BMJ  2006;332:1470, doi: 10.1136/bmj.332.7556.1470 [Extract] [Full text] [PDF]

	UK urges free basic health care in poor countries
	Robert Short
	BMJ  2006;332:1470, doi: 10.1136/bmj.332.7556.1470-a [Extract] [Full text] [PDF]

	Improving safety could save 15 000 children’s lives a year in Europe, says WHO
	Zosia Kmietowicz
	BMJ  2006;332:1470, doi: 10.1136/bmj.332.7556.1470-b [Extract] [Full text] [PDF]

	Scotland’s free personal care for elderly people runs into trouble
	Bryan Christie
	BMJ  2006;332:1470, doi: 10.1136/bmj.332.7556.1470-c [Extract] [Full text] [PDF]

	California will be only state to meet government target on smoking
	Bob Roehr
	BMJ  2006;332:1470, doi: 10.1136/bmj.332.7556.1470-d [Extract] [Full text] [PDF]

	New technique makes it easier to test for genetic conditions
	Susan Mayor
	BMJ  2006;332:1471, doi: 10.1136/bmj.332.7556.1471 [Extract] [Full text] [PDF]

	UK needs 10 000 extra psychologists
	Robert Short
	BMJ  2006;332:1471, doi: 10.1136/bmj.332.7556.1471-a [Extract] [Full text] [PDF]

	Address poverty to reduce mental health problems among children, says BMA
	Lisa Hitchen
	BMJ  2006;332:1471, doi: 10.1136/bmj.332.7556.1471-b [Extract] [Full text] [PDF]

News extra [these stories appear only on the web]

	“Lean” thinking may cut NHS inefficiencies and improves patient care
	Caroline White
	BMJ  2006;332:1472, doi: 10.1136/bmj.332.7556.1472-a [Extract] [Full text]

	Dutch health minister orders probe into influence of industry on medical guidelines
	Tony Sheldon
	BMJ  2006;332:1472, doi: 10.1136/bmj.332.7556.1472-b [Extract] [Full text]

	Cholera outbreak in Darfur is made worse by advent of rains
	Peter Moszynski
	BMJ  2006;332:1472, doi: 10.1136/bmj.332.7556.1472-c [Extract] [Full text]

	German doctors are expected to call off strike
	Annette Tuffs
	BMJ  2006;332:1472, doi: 10.1136/bmj.332.7556.1472-d [Extract] [Full text]

	Defence ministry denies ignoring Gulf war syndrome in pension award
	Owen Dyer
	BMJ  2006;332:1472, doi: 10.1136/bmj.332.7556.1472-e [Extract] [Full text]

Research

	Outcomes of endoscopic surgery compared with open surgery for carpal tunnel syndrome among employed patients: randomised controlled trial
	Isam Atroshi, Gert-Uno Larsson, Ewald Ornstein, Manfred Hofer, Ragnar Johnsson, Jonas Ranstam
	BMJ  2006;332:1473, doi: 10.1136/bmj.38863.632789.1F, (Published 15 June 2006) [Abstract] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

	Effects of Sure Start local programmes on children and families: early findings from a quasi-experimental, cross sectional study
	Jay Belsky, Edward Melhuish, Jacqueline Barnes, Alastair H Leyland, Helena Romaniuk, National Evaluation of Sure Start Research Team
	BMJ  2006;332:1476, doi: 10.1136/bmj.38853.451748.2F, (Published 16 June 2006) [Abstract] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

	Diagnosing human African trypanosomiasis in Angola using a card agglutination test: observational study of active and passive case finding strategies
	Walter O Inojosa, Inacio Augusto, Zeno Bisoffi, Teofile Josenado, Paulo M Abel, August Stich, Christopher J M Whitty
	BMJ  2006;332:1479, doi: 10.1136/bmj.38859.531354.7C, (Published 15 June 2006) [Abstract] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

	Effect of perioperative blockade in patients with diabetes undergoing major non-cardiac surgery: randomised placebo controlled, blinded multicentre trial
	Anne Benedicte Juul, Jørn Wetterslev, Christian Gluud, Allan Kofoed-Enevoldsen, Gorm Jensen, Torben Callesen, Peter Nørgaard, Kim Fruergaard, Morten Bestle, Rune Vedelsdal, André Miran, Jon Jacobsen, Jakob Roed, Maj-Britt Mortensen, Lise Jørgensen, Jørgen Jørgensen, Marie-Louise Rovsing, Pernille Lykke Petersen, Frank Pott, Merete Haas, Rikke Albret, Lise Lotte Nielsen, Gun Johansson, Pia Stjernholm, Yvonne Mølgaard, Nikolai Bang Foss, Jeanie Elkjær, Bjørn Dehlie, Klavs Boysen, Dusanka Zaric, Anne Munksgaard, Jørn Bo Madsen, Bjarne Øberg, Boris Khanykin, Tine Blemmer, Stig Yndgaard, Grazyna Perko, Lars Peter Wang, Per Winkel, Jørgen Hilden, Per Jensen, Nader Salas, DIPOM Trial Group
	BMJ  2006;332:1482, doi: 10.1136/bmj.332.7556.1482 [Abstract] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

	Effect of clomifene citrate plus metformin and clomifene citrate plus placebo on induction of ovulation in women with newly diagnosed polycystic ovary syndrome: randomised double blind clinical trial
	Etelka Moll, Patrick M M Bossuyt, Johanna C Korevaar, Cornelis B Lambalk, Fulco van der Veen
	BMJ  2006;332:1485, doi: 10.1136/bmj.38867.631551.55, (Published 12 June 2006) [Abstract] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

Clinical review

	Antiretroviral treatment of HIV infected adults
	Steven G Deeks
	BMJ  2006;332:1489, doi: 10.1136/bmj.332.7556.1489 [Extract] [Full text] [PDF] [Request Permissions]

Practice

	The patient's journey: palliative care—a parent's view
	Stephanie Darnill, Bernadette Gamage
	BMJ  2006;332:1494-1495, doi: 10.1136/bmj.332.7556.1494 [Extract] [Full text] [PDF] [Request Permissions]

	Interactive case report: A 22 year old man with persistent regurgitation and vomiting: case progression
	Mark Fox, Alasdair Young, Roy Anggiansah, Angela Anggiansah, Jeremy Sanderson
	BMJ  2006;332:1496, doi: 10.1136/bmj.332.7556.1496 [Extract] [Full text] [PDF] [Request Permissions]

	ABC of chronic obstructive pulmonary disease: Pharmacological management—oral treatment
	Graeme P Currie, Daniel K C Lee, Brian J Lipworth
	BMJ  2006;332:1497-1499, doi: 10.1136/bmj.332.7556.1497 [Extract] [Full text] [PDF] [Request Permissions]

	Short cuts: What's new in the other general journals
	Alison Tonks
	BMJ  2006;332:1500-1501, doi: 10.1136/bmj.332.7556.1500 [Extract] [Full text] [PDF] [Request Permissions]

Analysis and Comment

	Medical education: Challenges of training doctors in the new English NHS
	Linda Hutchinson
	BMJ  2006;332:1502-1504, doi: 10.1136/bmj.332.7556.1502 [Full text] [PDF] [Request Permissions]

	Commentary: Dutch perspective
	Albert J J A Scherpbier
	BMJ  2006;332:1504-1505, doi: 10.1136/bmj.332.7556.1504 [Full text] [PDF] [Request Permissions]

	Commentary: Australian perspective
	J Jill Gordon
	BMJ  2006;332:1505-1506, doi: 10.1136/bmj.332.7556.1505 [Full text] [PDF] [Request Permissions]

	Research methods: Is restricted randomisation necessary?
	Catherine E Hewitt, David J Torgerson
	BMJ  2006;332:1506-1508, doi: 10.1136/bmj.332.7556.1506 [Full text] [PDF] [Request Permissions] [extra: References]

Reviews

	Book: Testing Treatments: Better Research for Better Healthcare
	Ike Iheanacho
	BMJ  2006;332:1516, doi: 10.1136/bmj.332.7556.1516 [Extract] [Full text] [Request Permissions]

	Art: Liking it raw
	Sabina Dosani
	BMJ  2006;332:1517, doi: 10.1136/bmj.332.7556.1517 [Extract] [Full text] [Request Permissions]

	Art: When flesh thinks
	Colin Martin
	BMJ  2006;332:1517, doi: 10.1136/bmj.332.7556.1517-a [Extract] [Full text] [Request Permissions]

	Personal views: It is time to separate the NHS from direct government involvement
	Layla Jader
	BMJ  2006;332:1518, doi: 10.1136/bmj.332.7556.1518 [Extract] [Full text] [Request Permissions]

	Personal views: Why is it so hard to work abroad?
	Tiago Villanueva
	BMJ  2006;332:1519, doi: 10.1136/bmj.332.7556.1519 [Extract] [Full text] [Request Permissions]

	Soundings: Slugs and snails and puppy dog tails
	Trisha Greenhalgh
	BMJ  2006;332:1519, doi: 10.1136/bmj.332.7556.1519-a [Extract] [Full text] [Request Permissions]

Minerva

	Minerva
	BMJ  2006;332:1520, doi: 10.1136/bmj.332.7556.1520 [Full text] [PDF] [Request Permissions]

Fillers

	bmjupdates+: A self help guidebook on irritable bowel syndrome reduces primary care consultations
	BMJ  2006;332, doi: 10.1136/bmj.332.7556.0-e [Extract] [Full text] [PDF] [Request Permissions]

	How times have changed
	Mahreen Hussain, Charlotte L Foley
	BMJ  2006;332:1488, doi: 10.1136/bmj.332.7556.1488 [Extract] [Full text] [PDF] [Request Permissions]

	Professor Blandy's response:
	BMJ  2006;332:1488, doi: 10.1136/bmj.332.7556.1488-a [Extract] [Full text] [Request Permissions]

	bmjlearning.com: Class war
	Kieran Walsh
	BMJ  2006;332:1499, doi: 10.1136/bmj.332.7556.1499 [Extract] [Full text] [PDF] [Request Permissions]

Career focus

	I have just returned to work as a flexible paediatric specialist registrar (SpR) in a new trust after 12 months' maternity leave after the birth of my first child. I am now pregnant again and considering a career break after the birth because our family circumstances make it difficult to obtain appropriate child care. I am concerned about the implications for my progression to a certificate of completion of specialist training (CCST); I am year three. Would I be able to retain my national training number (NTN), and if so, for how long? What are the current arrangements for NHS returners in training grades? If I lose my NTN and decide to return as a staff grade, would this count against me if I decided to reapply for the SpR training, and would my SpR years count towards my CCST in these circumstances?
	Anne Hastie
	BMJ  2006;332:s248, doi: 10.1136/bmj.332.7556.s248, (Published 24 June 2006) [Abstract] [Full text] [Request Permissions] FREE

	I will be completing my first year general practice vocational training scheme (GPVTS) in August 2006. Would I be able to get an interdeanery transfer from Scotland to England because my husband works in England; I live with my two children in Scotland and it is very difficult to stay without him. Could you advise me who to contact about this? I do not mind completing the hospital posts in Scotland and then doing a GP registrar post in England
	Rodger Charlton
	BMJ  2006;332:s248, doi: 10.1136/bmj.332.7556.s248-a, (Published 24 June 2006) [Abstract] [Full text] [Request Permissions] FREE

	Is it possible to defer a GPVTS post after accepting it? I am going through a difficult pregnancy and would like to delay the start of my post
	Kay Mohanna
	BMJ  2006;332:s248, doi: 10.1136/bmj.332.7556.s248-b, (Published 24 June 2006) [Abstract] [Full text] [Request Permissions] FREE

	this week
	Sabina Dosani
	BMJ  2006;332:s249, doi: 10.1136/bmj.332.7556.s249, (Published 24 June 2006) [Full text] [Request Permissions] FREE

	Education for life—teaching medicine using art and humanities
	Kay Mohanna
	BMJ  2006;332:s249-s250, doi: 10.1136/bmj.332.7556.s249-a, (Published 24 June 2006) [Abstract] [Full text] [Request Permissions] FREE

	Jobscore: an important resource for foundation year doctors
	Phineas Head
	BMJ  2006;332:s251, doi: 10.1136/bmj.332.7556.s251, (Published 24 June 2006) [Abstract] [Full text] [Request Permissions] FREE

	I will survive
	Frank D Burke
	BMJ  2006;332:s252-s253, doi: 10.1136/bmj.332.7556.s252, (Published 24 June 2006) [Abstract] [Full text] [Request Permissions] FREE

	Advanced driving for doctors
	Rachel Hooke
	BMJ  2006;332:s254, doi: 10.1136/bmj.332.7556.s254, (Published 24 June 2006) [Abstract] [Full text] [Request Permissions] FREE

	MSc in clinical and public health aspects of addiction
	Rahul Rao
	BMJ  2006;332:s255, doi: 10.1136/bmj.332.7556.s255, (Published 24 June 2006) [Full text] [Request Permissions] FREE

	Becoming an environmentally friendly doctor
	Ahid Abood
	BMJ  2006;332:s255, doi: 10.1136/bmj.332.7556.s255-a, (Published 24 June 2006) [Full text] [Request Permissions] FREE

	The president of the Royal College of Surgeons of England
	Leyla Sanai
	BMJ  2006;332:s256, doi: 10.1136/bmj.332.7556.s256, (Published 24 June 2006) [Abstract] [Full text] [Request Permissions] FREE

Obituaries

This week's obituaries [PDF]

	Robert Usher
	P M Dunn
	BMJ  2006;332:1514, doi: 10.1136/bmj.332.7556.1514 [Extract] [Full text] [extra: Longer version]

	Robin Coombs
	Caroline Richmond
	BMJ  2006;332:1514, doi: 10.1136/bmj.332.7556.1514-a [Extract] [Full text] [extra: Longer version]

	John Bernard Fox
	Mary Polkinhorn
	BMJ  2006;332:1515, doi: 10.1136/bmj.332.7556.1515 [Extract] [Full text] [extra: Longer version]

	Ann Mary Rathie Guldberg (née Black)
	Christopher H Cameron
	BMJ  2006;332:1515, doi: 10.1136/bmj.332.7556.1515-a [Extract] [Full text] [extra: Longer version]

	Barbara Hamilton (née Hunter)
	David Hamilton
	BMJ  2006;332:1515, doi: 10.1136/bmj.332.7556.1515-b [Extract] [Full text] [extra: Longer version]

	Herbert ("Bert") Spencer Kellett
	Michael Kellett
	BMJ  2006;332:1515, doi: 10.1136/bmj.332.7556.1515-c [Extract] [Full text] [extra: Longer version]

	Hamid Shafi Qazi
	David Brooks
	BMJ  2006;332:1515, doi: 10.1136/bmj.332.7556.1515-d [Extract] [Full text] [extra: Longer version]

	Samuel ("Sam") Chandrarajan Sanders
	David S Sanders
	BMJ  2006;332:1515, doi: 10.1136/bmj.332.7556.1515-e [Extract] [Full text] [extra: Longer version]

Career focus

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

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