This week's This week in the BMJ

	Centre care of cystic fibrosis improves clinical outcome [Full text] FREE

	Chlamydia screening in Sweden reduces the risk of ectopic pregnancy [Full text] FREE

	High blood pressure associated with longer life among elderly people [Full text] FREE

	Lone atrial fibrillation is commoner in middle aged men who exercise vigorously [Full text] FREE

	Hospital at home is effective and acceptable but it's not clear whether it is cheaper [Full text] FREE

Editorials

This week's Editorials

	Public confidence and cardiac surgical outcome
	Bruce E Keogh, Jules Dussek, Deirdre Watson, Patrick Magee, David Wheatley
	BMJ  1998;316:1759-1760 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Hospital at home: from red to amber?
	Steve Iliffe
	BMJ  1998;316:1761-1762 [Extract] [Full text] [Request Permissions] FREE

	Can an economic case be made for investing in health?
	Charles Normand
	BMJ  1998;316:1762-1770 [Extract] [Full text] [Request Permissions] FREE

	Ethnicity, social inequality, and mental illness
	Keith Lloyd
	BMJ  1998;316:1763-1770 [Extract] [Full text] [Request Permissions] FREE

	Targeting subclinical atherosclerosis
	F G R Fowkes, J F Price, G C Leng
	BMJ  1998;316:1764-1770 [Extract] [Full text] [Request Permissions] FREE

Letters

This week's Letters

	MMR vaccination and autism 1998
	R Roberts, M R Kiln, J Selway
	BMJ  1998;316:1824 [Extract] [Full text] [Request Permissions] FREE

	The health of Gypsies
	G A C Binnie, Emil Ginter
	BMJ  1998;316:1824 [Extract] [Full text] [Request Permissions] FREE

	Citalopram is safe
	A S Hale
	BMJ  1998;316:1825 [Extract] [Full text] [Request Permissions] FREE

	Removing intravascular lines at 72 hours allows need for antibiotics to be reassessed
	M Ruddy, C C Kibbler
	BMJ  1998;316:1825 [Extract] [Full text] [Request Permissions] FREE

	Exceptionalism in HIV
	Peter Godfrey-Faussett, Rachel Baggaley, M F Brewster
	BMJ  1998;316:1826 [Extract] [Full text] [Request Permissions] FREE

	CAGE questionnaire allows doctors to avoid focusing on specifics of drinking
	John A Ewing
	BMJ  1998;316:1827 [Extract] [Full text] [Request Permissions] FREE

	Audit Commission tackles anaesthetic services
	Joseph E Arrowsmith, Ratan Alexander, Guy de Lisle Dear, Tong Joo Gan, Robert P Hill, Adeyemi Olufolabi, Iain C Sanderson, Andrew J Soppitt, D N Robinson, V Chopra, D W Green
	BMJ  1998;316:1827 [Extract] [Full text] [Request Permissions] FREE

	Experience is paramount for successful management of disease
	Martin Dumskyj
	BMJ  1998;316:1828 [Extract] [Full text] [Request Permissions] FREE

	Urgency and priority models
	Ian M Mitchell, David W Quinn, Philip Wraighte, Walter Rhoden, Graham Cooper
	BMJ  1998;316:1828 [Extract] [Full text] [Request Permissions] FREE

	Clinical and economic arguments favour extension to upper age limit for breast screening
	David J Torgerson, Toby Gosden
	BMJ  1998;316:1829 [Extract] [Full text] [Request Permissions] FREE

	Gamete donors for IVF should relinquish right of ownership to resulting embryos
	M R Gazvani, A J M Thomson, S J Wood, C R Kingsland, D I Lewis-Jones
	BMJ  1998;316:1829 [Extract] [Full text] [Request Permissions] FREE

	Water fluoridation is safe and effective
	John F Beal
	BMJ  1998;316:1830 [Extract] [Full text] [Request Permissions] FREE

	Filters inserted into the vena cava may be useful for some indications
	Mark G Cowling
	BMJ  1998;316:1830 [Extract] [Full text] [Request Permissions] FREE

	Providing letters to patients
	N Hallowell, M D Lewars, Nicholas Coni, J A Eaden, B Ward, J F Mayberry
	BMJ  1998;316:1830 [Extract] [Full text] [Request Permissions] FREE

	Cover picture meant that BMJ had descended to level of tabloid newspapers
	J N Johnson
	BMJ  1998;316:1831 [Extract] [Full text] [Request Permissions] FREE

News

This week's News

	Trust challenges ruling over sectioning patients
	Clare Dyer
	BMJ  1998;316:1765 [Extract] [Full text] [PDF] FREE

	Carers are ignored by the NHS
	Jacqui Wise
	BMJ  1998;316:1765 [Extract] [Full text] FREE

	In brief
	BMJ  1998;316:1766 [Extract] [Full text] FREE

	ChildLine report reveals extent of children's health fears
	Zosia Kmietowicz
	BMJ  1998;316:1766 [Extract] [Full text] FREE

	Hospital death rates to be published for England
	John Warden
	BMJ  1998;316:1767 [Extract] [Full text] FREE

	Self regulation must succeed
	Linda Beecham
	BMJ  1998;316:1767 [Extract] [Full text] FREE

	Soaring price of generic drugs hits elderly Americans
	Fred B Charatan
	BMJ  1998;316:1767 [Extract] [Full text] FREE

	Tobacco industry mounts legal challenge against scientific report
	Clare Dyer
	BMJ  1998;316:1768 [Extract] [Full text] FREE

	First private hospital in Hungary built
	Carl Kovac
	BMJ  1998;316:1768 [Extract] [Full text] FREE

	Canada waters down tobacco sponsorship bill
	David Spurgeon
	BMJ  1998;316:1768 [Extract] [Full text] FREE

	Approval given for trials of AIDS vaccine
	Deborah Josefson
	BMJ  1998;316:1769 [Extract] [Full text] FREE

	EU attempts to tackle parallel pricing of drugs
	Rory Watson
	BMJ  1998;316:1769 [Extract] [Full text] FREE

	Report calls for better collection of evidence
	John Warden
	BMJ  1998;316:1770 [Extract] [Full text] FREE

	Philippines on verge of blood supply crisis
	Adam Easton
	BMJ  1998;316:1770 [Extract] [Full text] FREE

	UK maintains research position
	Jacqui Wise
	BMJ  1998;316:1770 [Extract] [Full text] FREE

Papers

This week's Papers

	Clinical outcome in relation to care in centres specialising in cystic fibrosis: cross sectional study • Commentary: Management in paediatric and adult cystic fibrosis centres improves clinical outcome
	Ravi Mahadeva, Kevin Webb, Roger C Westerbeek, Nick R Carroll, Mary E Dodd, Diana Bilton, David A Lomas, J A Dodge
	BMJ  1998;316:1771-1775 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Screening for chlamydial infections and the risk of ectopic pregnancy in a county in Sweden: ecological analysis
	Matthias Egger, Nicola Low, George Davey Smith, Bo Lindblom, Björn Herrmann
	BMJ  1998;316:1776-1780 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Blood pressure and mortality in elderly people aged 85 and older: community based study
	Hendriek C Boshuizen, Gerbrand J Izaks, Stef van Buuren, Gerard J Ligthart
	BMJ  1998;316:1780-1784 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Lone atrial fibrillation in vigorously exercising middle aged men: case-control study
	Jouko Karjalainen, Urho M Kujala, Jaakko Kaprio, Seppo Sarna, Matti Viitasalo
	BMJ  1998;316:1784-1785 [Full text] [PDF] [Request Permissions] FREE

Clinical review

This week's Clinical review

	Recent advances: Rheumatology
	Peter Brooks
	BMJ  1998;316:1810-1812 [Extract] [Full text] [PDF] [Request Permissions] FREE

General practice

This week's General practice

	Randomised controlled trial comparing hospital at home care with inpatient hospital care. I: three month follow up of health outcomes
	Sasha Shepperd, Diana Harwood, Crispin Jenkinson, Alastair Gray, Martin Vessey, Patrick Morgan
	BMJ  1998;316:1786-1791 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Randomised controlled trial comparing hospital at home care with inpatient hospital care. II: cost minimisation analysis
	Sasha Shepperd, Diana Harwood, Alastair Gray, Martin Vessey, Patrick Morgan
	BMJ  1998;316:1791-1796 [Abstract] [Full text] [Request Permissions] FREE

	Randomised controlled trial comparing effectiveness and acceptability of an early discharge, hospital at home scheme with acute hospital care
	Suzanne H Richards, Joanna Coast, David J Gunnell, Tim J Peters, John Pounsford, Mary-Anne Darlow
	BMJ  1998;316:1796-1801 [Abstract] [Full text] [Request Permissions] FREE

	Hospital at home or acute hospital care? A cost minimisation analysis
	Joanna Coast, Suzanne H Richards, Tim J Peters, David J Gunnell, Mary-Anne Darlow, John Pounsford
	BMJ  1998;316:1802-1806 [Abstract] [Full text] [Request Permissions] FREE

	Primary care: core values Core values in a changing world
	Ian R McWhinney
	BMJ  1998;316:1807-1809 [Full text] [Request Permissions] FREE

Soundings

This week's Soundings

	Dead hospitals
	James Owen Drife
	BMJ  1998;316:1837 [Full text] [PDF] [Request Permissions] FREE

Personal views

This week's Personal views

	Why I practise in Montpelier
	Stefan Cembrowicz
	BMJ  1998;316:1837 [Full text] [Request Permissions] FREE

Medicine and books

This week's Medicine and books

	Palliative Care Ethics: A Good Companion • Palliative Care Ethics: A Good Companion
	Michael Minton
	BMJ  1998;316:1839 [Full text] [PDF] [Request Permissions] FREE

	Genetics: Society and Clinical Practice • Genetics: Society and Clinical Practice
	Tessa Richards
	BMJ  1998;316:1839 [Full text] [Request Permissions] FREE

Education and debate

This week's Education and debate

	Could boxing be banned? A legal and epidemiological perspective
	Hugh Brayne, Lincoln Sargeant, Carol Brayne
	BMJ  1998;316:1813-1815 [Extract] [Full text] [PDF] [Request Permissions] [extra] FREE

	Managing demand: A patient led NHS: managing demand at the interface between lay and primary care
	Anne Rogers, Vikki Entwistle, David Pencheon
	BMJ  1998;316:1816-1819 [Extract] [Full text] [Request Permissions] FREE

	Health needs assessment: Assessing health needs in developing countries
	John Wright, John Walley
	BMJ  1998;316:1819-1823 [Extract] [Full text] [Request Permissions] FREE

Obituaries

This week's Obituaries

	Charles Douglas Anderson • Robert Lewis ("Robin") Ferguson • Ralph Wales Gould • Frederick John Sambrook Gowar • Brian Kenneth Higton • Peter Warren Jackson • Gerald O'Gorman • Wilfred Allen ("Bill") Oliver • John William ("Jack") O'Sullivan • David Stuart • Michael Robert Thomas
	John Bancewicz, Duncan Ferguson, M Gould, E Gould, Elizabeth Sharwood-Smith, Geoffrey Sharwood-Smith, Susan Oussedik, D J Longden, D G D Davidson, S G Greenhough, K Friend, N Alan Green, John H Simpson, Margaret Bruce, Donald Fullerton, Ian Stuart, H J Cox, J J Skipper
	BMJ  1998;316:1832 [Extract] [Full text] FREE

Minerva

This week's Minerva

	Minerva
	BMJ  1998;316:1840 [Full text] [PDF] [Request Permissions] FREE

Fillers

This week's Fillers

	One hundred years ago: An expedition without medical aid
	BMJ  1998;316:1784 [Extract] [Full text] [Request Permissions] FREE

	Memorable patients: Down but not out
	M K Thong
	BMJ  1998;316:1785 [Extract] [Full text] [Request Permissions] FREE

	Patients who make my practice: Known by name
	Frances J Dryburgh
	BMJ  1998;316:1801 [Extract] [Full text] [Request Permissions] FREE

	Endpiece: Alternative definitions
	BMJ  1998;316:1801 [Extract] [Full text] [Request Permissions] FREE

	Endpiece: Long term influence of diet in pregnancy
	BMJ  1998;316:1801 [Extract] [Full text] [Request Permissions] FREE

	A lesson to be learnt: Parenting is not on the medical curriculum
	Simon Atkins
	BMJ  1998;316:1838 [Extract] [Full text] [Request Permissions] FREE

Career focus

This week's Career focus

	Writing legal reports/Giving evidence
	James Barrett, Sandra Goldbeck-Wood
	BMJ  1998;316:2 [Full text] [Request Permissions] FREE

	Briefing: All consultants should participate in continuing professional development (CPD), and ...
	BMJ  1998;316:3 [Full text] [Request Permissions] FREE

	Briefing: You can have details of relevant academic and research posts ...
	BMJ  1998;316:3a [Full text] [Request Permissions] FREE

CHOICE

This week's CHOICE

	Precise measurement and poetry
	BMJ  1998;316 [Full text] [Request Permissions] FREE

MEDICOPOLITICAL DIGEST

This week's MEDICOPOLITICAL DIGEST

	Medical academic staffs conference • Senior staffs conference • GP non-principals have special education needs • BMA's ARM agenda
	BMJ  1998;316:1834 [Full text] [PDF] [Request Permissions] FREE

Career focus

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

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