This week's This week in the BMJ

	League tables are inaccurate in ranking hospital mortality outcomes [Full text] FREE

	Flutamide improves survival in pancreatic cancer [Full text] FREE

	Benefits of home care for incurable cancer are unclear [Full text] FREE

	Half of British ITUs routinely replace central venous catheters [Full text] FREE

	Wheeze becomes more prevalent in girls than boys at about the age of 12 [Full text] FREE

	Knowledge about contraception can be improved through leaflets and questions [Full text] FREE

Editorials

This week's Editorials

	All changed, changed utterly
	Richard Smith
	BMJ  1998;316:1917-1918 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Central venous catheterstime for a change?
	Michael O'Leary, David Bihari
	BMJ  1998;316:1918-1919 [Extract] [Full text] [Request Permissions] FREE

	Controversy in managing patients with prostate cancer
	Albert G Mulley, Jr, Michael J Barry
	BMJ  1998;316:1919-1920 [Extract] [Full text] [Request Permissions] FREE

	Taking precautions with ACE inhibitors
	A Kumar, M Asim, A M Davison
	BMJ  1998;316:1921-1930 [Extract] [Full text] [Request Permissions] FREE

	Improving doctor-patient communication
	Siegfried Meryn
	BMJ  1998;316:1922-1930 [Extract] [Full text] [Request Permissions] FREE

Letters

This week's Letters

	Racial discrimination in distinction awards
	A E A Joseph, R H R White, Raman Bedi, Keith Williams, Aneez Esmail, Sam Everington, M Adiseshiah, J R Harper, Jim Boddington, P Kelland, Nigel Dudley, Peter C Rubin
	BMJ  1998;316:1977 [Extract] [Full text] [Request Permissions] FREE

	Only one quarter of women with learning disability in Exeter have cervical screening
	Virginia Pearson, Carole Davis, Chris Ruoff, John Dyer
	BMJ  1998;316:1979 [Extract] [Full text] [Request Permissions] FREE

	Screening for breast cancer is necessary in patients with learning disability
	J Piachaud, J Rohde
	BMJ  1998;316:1979 [Extract] [Full text] [Request Permissions] FREE

	Co-proxamol is effective in chronic pain
	G W Hanks, Karen Forbes
	BMJ  1998;316:1980 [Extract] [Full text] [Request Permissions] FREE

	Mefloquine to prevent malaria
	Ron H Behrens, Samuel Erny, Hilal Maradit, Stan Houston, Jay S Keystone, Kevin C Kain, Ashley Croft, Paul Garner
	BMJ  1998;316:1980 [Extract] [Full text] [Request Permissions] FREE

	Passive smoking in pregnancy
	Dominique S Crowley, Michael Geary
	BMJ  1998;316:1981 [Extract] [Full text] [Request Permissions] FREE

	Causes of regional differences in air pollution effects are being studied further
	K Katsouyanni, G Touloumi
	BMJ  1998;316:1982 [Extract] [Full text] [Request Permissions] FREE

	Six months' follow up after occupational exposure to HIV is usually long enough
	J S Metters
	BMJ  1998;316:1982 [Extract] [Full text] [Request Permissions] FREE

	Acute pancreatitis
	James K Torrens, P H M McWhinney, Ganesh Suntharalingam, Richard Keays, Neil Soni, Lars H Breimer
	BMJ  1998;316:1982 [Extract] [Full text] [Request Permissions] FREE

	Opiate detoxification under anaesthesia
	Colin Brewer
	BMJ  1998;316:1983 [Extract] [Full text] [Request Permissions] FREE

	Clinical experience and performance in final examinations
	Wai-Ching Leung, Brian Jolly, Elizabeth Murray, Chris McManus, Belinda Winder, Peter Richards
	BMJ  1998;316:1984 [Extract] [Full text] [Request Permissions] FREE

	Earlier study of effect on healthcare costs of preventing fatal diseases yielded similar results
	A S St Leger
	BMJ  1998;316:1985 [Extract] [Full text] [Request Permissions] FREE

	Lessons of a hip failure
	Pat Riordan, Graham Bickler, Cynthia Lyons, W M Harper, K Abrams, R Elson, Christopher J S Hodges, Wai-Ching Leung
	BMJ  1998;316:1985 [Extract] [Full text] [Request Permissions] FREE

	Cardiac surgical services in Bristol are now of high quality
	Peter Willie, David Hughes
	BMJ  1998;316:1986 [Extract] [Full text] [Request Permissions] FREE

News

This week's News

	More secret tobacco industry documents revealed
	Clare Dyer
	BMJ  1998;316:1923 [Extract] [Full text] [PDF] FREE

	US tobacco deal dies in the Senate
	Terri Rutter
	BMJ  1998;316:1923 [Extract] [Full text] FREE

	In brief
	BMJ  1998;316:1924 [Extract] [Full text] FREE

	Bristol doctors found guilty of serious professional misconduct
	Clare Dyer
	BMJ  1998;316:1924 [Extract] [Full text] FREE

	Dobson criticises GMC
	John Warden
	BMJ  1998;316:1925 [Extract] [Full text] FREE

	High powered inquiry into Bristol deaths
	John Warden
	BMJ  1998;316:1925 [Extract] [Full text] FREE

	Fat substitute declared safe
	Deborah Josefson
	BMJ  1998;316:1926 [Extract] [Full text] FREE

	Women warned to avoid peanuts during pregnancy and lactation
	Zosia Kmietowicz
	BMJ  1998;316:1926 [Extract] [Full text] FREE

	BMA wins guarantees on primary care groups
	Jacqui Wise
	BMJ  1998;316:1927 [Extract] [Full text] FREE

	Risky behaviour can be modified
	Terri Rutter
	BMJ  1998;316:1927 [Extract] [Full text] FREE

	Drug causes cardiogenic shock
	BMJ  1998;316:1927 [Extract] [Full text] FREE

	Call for better regulation of tissue products
	Scott Gottlieb
	BMJ  1998;316:1928 [Extract] [Full text] FREE

	Early revascularisation of no benefit in mild heart attacks
	Deborah Josefson
	BMJ  1998;316:1928 [Extract] [Full text] FREE

	Compensation for people who fear they may develop CJD
	Clare Dyer
	BMJ  1998;316:1929 [Extract] [Full text] FREE

	Adults with cystic fibrosis need specialist care
	Jenny Bryan
	BMJ  1998;316:1929 [Extract] [Full text] FREE

	Dutch are tallest in the world
	Tony Sheldon
	BMJ  1998;316:1929 [Extract] [Full text] FREE

	The new word in designer drugs
	BMJ  1998;316:1930 [Extract] [Full text] FREE

News extra [these stories appear only on the web]

This week's News extra

	Israeli health fund sues tobacco company
	BMJ  1998;316:1930 [Extract] [Full text] FREE

	US doctors' managed care plan folds
	BMJ  1998;316:1930 [Extract] [Full text] FREE

Papers

This week's Papers

	Annual league tables of mortality in neonatal intensive care units: longitudinal study
	Gareth J Parry, Craig R Gould, Chris J McCabe, William O Tarnow-Mordi
	BMJ  1998;316:1931-1935 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Effect of flutamide on survival in patients with pancreatic cancer: results of a prospective, randomised, double blind, placebo controlled trial
	Brian A Greenway
	BMJ  1998;316:1935-1938 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Effectiveness of home care programmes for patients with incurable cancer on their quality of life and time spent in hospital: systematic review
	Frank W J M Smeenk, Jolanda C M van Haastregt, Luc P de Witte, Harry F J M Crebolder
	BMJ  1998;316:1939-1944 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Routine replacement of central venous catheters: telephone survey of intensive care units in mainland Britain
	A M Cyna, J L Hovenden, A Lehmann, K Rajaseker, P Kalia
	BMJ  1998;316:1944-1945 [Full text] [PDF] [Request Permissions] FREE

	Questionnaire study of effect of sex and age on the prevalence of wheeze and asthma in adolescence
	Andrea Venn, Sarah Lewis, Marie Cooper, Jennifer Hill, John Britton
	BMJ  1998;316:1945-1946 [Full text] [PDF] [Request Permissions] FREE

	Seasonal variation in coronary artery disease mortality in Hawaii: observational study
	Todd B Seto, Murray A Mittleman, Roger B Davis, Deborah A Taira, Ichiro Kawachi
	BMJ  1998;316:1946-1947 [Full text] [PDF] [Request Permissions] FREE

Information in practice

This week's Information in practice

	Communicating the risk reduction achieved by cholesterol reducing drugs
	John Arne Skolbekken
	BMJ  1998;316:1956-1958 [Full text] [PDF] [Request Permissions] FREE

	Evaluating information technology in health care: barriers and challenges
	Heather Heathfield, David Pitty, Rudolph Hanka
	BMJ  1998;316:1959-1961 [Full text] [Request Permissions] FREE

	Netlines
	BMJ  1998;316:1961 [Full text] [Request Permissions] FREE

Clinical review

This week's Clinical review

	Science, medicine, and the future: Tuberculosis
	Alimuddin Zumla, John Grange
	BMJ  1998;316:1962-1964 [Extract] [Full text] [PDF] [Request Permissions] FREE

General practice

This week's General practice

	Effect of educational leaflets and questions on knowledge of contraception in women taking the combined contraceptive pill: randomised controlled trial
	Paul Little, Simon Griffin, Joanne Kelly, Nigel Dickson, Carolyn Sadler
	BMJ  1998;316:1948-1952 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Primary care: core values Contracting for general practice: another turn of the wheel of history
	Brian M Goss
	BMJ  1998;316:1953-1955 [Full text] [Request Permissions] FREE

Soundings

This week's Soundings

	The long march
	Trisha Greenhalgh
	BMJ  1998;316:1989 [Full text] [Request Permissions] FREE

Personal views

This week's Personal views

	There must be a better way
	Jonathan Koffman
	BMJ  1998;316:1989 [Full text] [Request Permissions] FREE

Education and debate

This week's Education and debate

	Retracing the Oregon trail: the experience of rationing and the Oregon health plan
	Chris Ham
	BMJ  1998;316:1965-1969 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Spectre of racism in health and health care: lessons from history and the United States
	Raj Bhopal
	BMJ  1998;316:1970-1973 [Extract] [Full text] [Request Permissions] FREE

	Managing demand: Managing demand at the interface between primary and secondary care
	Angela Coulter
	BMJ  1998;316:1974-1976 [Extract] [Full text] [Request Permissions] FREE

Obituaries

This week's Obituaries

	John Parker • Charles William Shearer • Daniel Boxall Stone • Garden Hepburn Swapp • David Christopher Watts • James Roberts Wright
	M Davies, J Batten, Rona Shearer, Victoria Thomas, Helen Swapp, J R Cawood and partners, Timothy Jardine-Brown
	BMJ  1998;316:1987 [Extract] [Full text] FREE

Minerva

This week's Minerva

	Minerva
	BMJ  1998;316:1992 [Full text] [PDF] [Request Permissions] FREE

Fillers

This week's Fillers

	One hundred years ago: Italian duels
	BMJ  1998;316:1953 [Extract] [Full text] [Request Permissions] FREE

	A lesson learnt: Non-specific but effective
	Edzard Ernst
	BMJ  1998;316:1953 [Extract] [Full text] [Request Permissions] FREE

	Endpiece: Alternative definitions
	BMJ  1998;316:1961 [Extract] [Full text] [Request Permissions] FREE

	Fifty years ago: The new NHS: The Octopus
	BMJ  1998;316:1974 [Extract] [Full text] [Request Permissions] FREE

	Fifty years ago: The new NHS: No patchwork for health centres
	BMJ  1998;316:1974 [Extract] [Full text] [Request Permissions] FREE

	When I use a word...: Fillers
	Jeff Aronson
	BMJ  1998;316:1991 [Extract] [Full text] [Request Permissions] FREE

Corrections

This week's Corrections

	Cumulative risk adjusted mortality chart for detecting changes in death rate: observational study of heart surgery
	BMJ  1998;316:1947 [Full text] [Request Permissions] FREE

Career focus

This week's Career focus

	Improving the recruitment and retention of doctors
	Jane Harvey, Helen Davison, Hilary Bichovsky
	BMJ  1998;316:2 [Full text] [Request Permissions] FREE

	Briefing: Doctors with mental health problems face a particularly difficult situation, ...
	BMJ  1998;316:3 [Full text] [Request Permissions] FREE

	Briefing: Carl Gray's article on Time Management http://www.bmj.com/cgi/content/full/316/7137/S2-7137 seemed to go ...
	BMJ  1998;316:3a [Full text] [Request Permissions] FREE

	Briefing: Requests for reprints are always nice to receive: an affirmation ...
	BMJ  1998;316:3b [Full text] [Request Permissions] FREE

CHOICE

This week's CHOICE

	Through the lens of Bristol
	BMJ  1998;316 [Full text] [PDF] [Request Permissions] FREE

MEDICINE AND THE MEDIA

This week's MEDICINE AND THE MEDIA

	A profession on probation
	Colin Douglas
	BMJ  1998;316:1991 [Full text] [Request Permissions] FREE

MEDICOPOLITICAL DIGEST

This week's MEDICOPOLITICAL DIGEST

	Out of area treatments will replace ECRs • NHS could run out of doctors • Tax funded health service works well • Labour party starts discussion on health
	BMJ  1998;316:1988 [Full text] [PDF] [Request Permissions] FREE

Career focus

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

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