From publication to change
	Richard Smith
	BMJ  2003;327, doi: 10.1136/bmj.327.7405.0-h [Extract] [Full text] [Request Permissions] FREE

This week in the BMJ

This week's This week in the BMJ

	Risk stratified rates better than surgeon specific mortality data [Full text] FREE

	Risk of liver injury from NSAIDs is small [Full text] FREE

	Respiratory vaccine for infants is still a long way off [Full text] FREE

	Prehospital thrombolysis by paramedics saves time [Full text] FREE

	Effectiveness of nicotine patches is overstated [Full text] FREE

	Complications of mastoiditis are rare but life threatening [Full text] FREE

	Knowledge translation helps close a gap [Full text] FREE

Editorials

This week's Editorials

	Prehospital thrombolysis
	Bernard D Prendergast
	BMJ  2003;327:1-2, doi: 10.1136/bmj.327.7405.1 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Genetics and the general practitioner
	Fred Kavalier, Alastair Kent
	BMJ  2003;327:2-3, doi: 10.1136/bmj.327.7405.2 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Water, sanitation, and hygiene at Kyoto
	Val Curtis, Sandy Cairncross
	BMJ  2003;327:3-4, doi: 10.1136/bmj.327.7405.3 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Managing agitation and aggression after head injury
	Simon Fleminger
	BMJ  2003;327:4-5, doi: 10.1136/bmj.327.7405.4 [Extract] [Full text] [PDF] [Request Permissions] FREE

	INRs and point of care testing
	ET Murray, M Greaves
	BMJ  2003;327:5-6, doi: 10.1136/bmj.327.7405.5 [Extract] [Full text] [PDF] [Request Permissions] FREE

Letters

This week's Letters

	Outcomes of screening to prevent cancer: Think of screening as insurance
	Peter D Sasieni
	BMJ  2003;327:50, doi: 10.1136/bmj.327.7405.50 [Extract] [Full text] [Request Permissions] FREE

	Outcomes of screening to prevent cancer: Authors' reply
	A E Raffle, B Alden, M Quinn, P J Babb, M T Brett
	BMJ  2003;327:50, doi: 10.1136/bmj.327.7405.50-a [Extract] [Full text] [Request Permissions] FREE

	Effectiveness of lipid lowering drugs in general practice: Article illustrates major problem
	Tim W M Wang, Callum A Livingstone, Gordon A Ferns
	BMJ  2003;327:50-51, doi: 10.1136/bmj.327.7405.50-b [Extract] [Full text] [Request Permissions] FREE

	Effectiveness of lipid lowering drugs in general practice: Study had two major flaws
	Bernard M Y Cheung, Cyrus R Kumana
	BMJ  2003;327:51, doi: 10.1136/bmj.327.7405.51 [Extract] [Full text] [Request Permissions] FREE

	Effectiveness of lipid lowering drugs in general practice: Authors' reply
	Julia Hippisley-Cox, Mike Pringle, Carol Coupland
	BMJ  2003;327:51, doi: 10.1136/bmj.327.7405.51-a [Extract] [Full text] [Request Permissions] FREE

	Assisted suicide and euthanasia in Switzerland: Doctors occupy special position
	Georg Bosshard
	BMJ  2003;327:51-52, doi: 10.1136/bmj.327.7405.51-b [Extract] [Full text] [Request Permissions] FREE

	Assisted suicide and euthanasia in Switzerland: Doctors should keep out of it
	Bob Bury
	BMJ  2003;327:52, doi: 10.1136/bmj.327.7405.52 [Extract] [Full text] [Request Permissions] FREE

	Assisted suicide and euthanasia in Switzerland: "Comfort care" needs robust moral framework
	Gregory Gardner
	BMJ  2003;327:52, doi: 10.1136/bmj.327.7405.52-a [Extract] [Full text] [Request Permissions] FREE

	Assisted suicide and euthanasia in Switzerland: Distinction needs to be made between choice and obligation
	Mary J Curtis
	BMJ  2003;327:52, doi: 10.1136/bmj.327.7405.52-b [Extract] [Full text] [Request Permissions] FREE

	Assisted suicide and euthanasia in Switzerland: Authors' reply
	Samia A Hurst, Alex Mauron
	BMJ  2003;327:52-53, doi: 10.1136/bmj.327.7405.52-c [Extract] [Full text] [Request Permissions] FREE

	Telephone consultation requires appropriate training
	Roger Higgs, Geraldine Blache, Marilyn Peters, Ewan Armstrong, Lynda Jessopp
	BMJ  2003;327:53, doi: 10.1136/bmj.327.7405.53 [Extract] [Full text] [Request Permissions] FREE

	"Author pays" publishing model: Not all authors will gain
	Alan W Bates
	BMJ  2003;327:53, doi: 10.1136/bmj.327.7405.53-a [Extract] [Full text] [Request Permissions] FREE

	"Author pays" publishing model: NHS authors now enjoy free open access publication
	David C Prosser
	BMJ  2003;327:53-54, doi: 10.1136/bmj.327.7405.53-b [Extract] [Full text] [Request Permissions] FREE

	"Author pays" publishing model: Answering to some objections
	Peter Suber
	BMJ  2003;327:54, doi: 10.1136/bmj.327.7405.54 [Extract] [Full text] [Request Permissions] FREE

	"Author pays" publishing model: Strategy is needed to get from A to B
	Leo J M Waaijers
	BMJ  2003;327:54, doi: 10.1136/bmj.327.7405.54-a [Extract] [Full text] [Request Permissions] FREE

	"Author pays" publishing model: Model is concerned with vanity and profit
	Simon Chapman
	BMJ  2003;327:54, doi: 10.1136/bmj.327.7405.54-b [Extract] [Full text] [Request Permissions] FREE

	"Author pays" publishing model: Only "bad" authors should pay
	Joseph C Watine
	BMJ  2003;327:54, doi: 10.1136/bmj.327.7405.54-c [Extract] [Full text] [Request Permissions] FREE

News

This week's News

	NHS staff should inform patients of negligent acts
	Clare Dyer
	BMJ  2003;327:7, doi: 10.1136/bmj.327.7405.7 [Extract] [Full text] [PDF] FREE

	Drug helps patients with relapsed myeloma
	Janice Hopkins Tanne
	BMJ  2003;327:7, doi: 10.1136/bmj.327.7405.7-a [Extract] [Full text] [PDF] FREE

	In brief
	BMJ  2003;327:8, doi: 10.1136/bmj.327.7405.8 [Extract] [Full text] [PDF] FREE

	BMA annual representative meeting, Torquay: BMA chairman criticises erosion of clinical autonomy
	Linda Beecham
	BMJ  2003;327:8, doi: 10.1136/bmj.327.7405.8-a [Extract] [Full text] [PDF] FREE

	BMA annual representative meeting, Torquay: Doctors postpone decision on industrial action
	Annabel Ferriman
	BMJ  2003;327:8, doi: 10.1136/bmj.327.7405.8-b [Extract] [Full text] [PDF] FREE

	Long term use of combined HRT doubles cancer risk
	David Spurgeon
	BMJ  2003;327:9, doi: 10.1136/bmj.327.7405.9 [Extract] [Full text] [PDF] FREE

	Prostate cancer drug may be useful for prevention
	Janice Hopkins Tanne
	BMJ  2003;327:9, doi: 10.1136/bmj.327.7405.9-a [Extract] [Full text] [PDF] FREE

	Deadly radiation ignored in Iraq
	Peter Moszynski
	BMJ  2003;327:11, doi: 10.1136/bmj.327.7405.11-b [Extract] [Full text] [PDF] FREE

	Improving the management of chronic disease
	Richard Smith
	BMJ  2003;327:12, doi: 10.1136/bmj.327.7405.12 [Extract] [Full text] [PDF] FREE

News roundup [abridged versions appear in the paper journal]

This week's News roundup

	Medicines Control Agency slated by Commons committee
	Debashis Singh
	BMJ  2003;327:10, doi: 10.1136/bmj.327.7405.10 [Extract] [Abridged text] [Abridged PDF] [Full text] FREE

	Group to review babies' deaths
	Clare Dyer
	BMJ  2003;327:10, doi: 10.1136/bmj.327.7405.10-a [Extract] [Abridged text] [Abridged PDF] [Full text] FREE

	UN report predicts shortfall in AIDS funding in developing countries
	Susan Mayor
	BMJ  2003;327:10, doi: 10.1136/bmj.327.7405.10-b [Extract] [Abridged text] [Abridged PDF] [Full text] FREE

	Doctors fear that rise in infection rates points to a return to unsafe sex
	Tony Sheldon
	BMJ  2003;327:10, doi: 10.1136/bmj.327.7405.10-c [Extract] [Abridged text] [Abridged PDF] [Full text] FREE

	Unsafe sexual practices are common, say US studies
	Deborah Josefson
	BMJ  2003;327:10, doi: 10.1136/bmj.327.7405.10-d [Extract] [Abridged text] [Abridged PDF] [Full text] FREE

	Health effects of chemicals need closer scrutiny
	Nick Smallwood, Tessa Richards
	BMJ  2003;327:10, doi: 10.1136/bmj.327.7405.10-e [Extract] [Abridged text] [Abridged PDF] [Full text] FREE

	Aid agency launches latest initiative to tackle diseases in the developing world
	Ganapati Mudur
	BMJ  2003;327:11, doi: 10.1136/bmj.327.7405.11 [Extract] [Abridged text] [Abridged PDF] [Full text] FREE

	Report calls for better evaluation of pharmcogenetic tests
	Ray Moynihan
	BMJ  2003;327:11, doi: 10.1136/bmj.327.7405.11-a [Extract] [Abridged text] [Abridged PDF] [Full text] FREE

News extra [these stories appear only on the web]

This week's News extra

	Very preterm babies at greater risk of slow development
	Scott Gottlieb
	BMJ  2003;327:12, doi: 10.1136/bmj.327.7405.12-a [Extract] [Full text] FREE

	Oxford professor faces investigation over rejection of Israeli student
	Owen Dyer
	BMJ  2003;327:12, doi: 10.1136/bmj.327.7405.12-b [Extract] [Full text] FREE

	US scientists back bill for free access to publicly funded science research
	Janice Hopkins
	BMJ  2003;327:12, doi: 10.1136/bmj.327.7405.12-c [Extract] [Full text] FREE

	Australian public hospitals face only a residual role in elective surgery
	Christopher Zinn
	BMJ  2003;327:12, doi: 10.1136/bmj.327.7405.12-d [Extract] [Full text] FREE

	Women with dense breast tissue need both mammography and ultrasonography to detect tumours
	Judy Siegel-Itzkovich
	BMJ  2003;327:12, doi: 10.1136/bmj.327.7405.12-e [Extract] [Full text] FREE

	Karaoke can damage singers’ voices and hearing
	Roger Dobson
	BMJ  2003;327:12, doi: 10.1136/bmj.327.7405.12-f [Extract] [Full text] FREE

Papers

This week's Papers

	Surgeon specific mortality in adult cardiac surgery: comparison between crude and risk stratified data
	Ben Bridgewater, Anthony D Grayson, Mark Jackson, Nicholas Brooks, Geir J Grotte, Daniel J M Keenan, Russell Millner, Brian M Fabri, Mark Jones
	BMJ  2003;327:13-17, doi: 10.1136/bmj.327.7405.13 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Cohort study of hepatotoxicity associated with nimesulide and other non-steroidal anti-inflammatory drugs
	Giuseppe Traversa, Clara Bianchi, Roberto Da Cas, Iosief Abraha, Francesca Menniti-Ippolito, Mauro Venegoni
	BMJ  2003;327:18-22, doi: 10.1136/bmj.327.7405.18 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Prospective observational cohort study of time saved by prehospital thrombolysis for ST elevation myocardial infarction delivered by paramedics
	David K Pedley, Kim Bissett, Elizabeth M Connolly, Carol G Goodman, Ian Golding, T H Pringle, G P McNeill, S D Pringle, M C Jones
	BMJ  2003;327:22-26, doi: 10.1136/bmj.327.7405.22 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Safety and feasibility of prehospital thrombolysis carried out by paramedics
	Phil Keeling, Debbie Hughes, Linnie Price, Steve Shaw, Andy Barton
	BMJ  2003;327:27-28, doi: 10.1136/bmj.327.7405.27 [Full text] [PDF] [Request Permissions] FREE

	Abstinence from smoking eight years after participation in randomised controlled trial of nicotine patch
	Patricia Yudkin, Kate Hey, Sarah Roberts, Sarah Welch, Michael Murphy, Robert Walton
	BMJ  2003;327:28-29, doi: 10.1136/bmj.327.7405.28 [Full text] [PDF] [Request Permissions] FREE

Primary care

This week's Primary care

	Reliability of international normalised ratios from two point of care test systems: comparison with conventional methods
	Leon Poller, Michelle Keown, Nikhil Chauhan, Anton MHP van den Besselaar, Armando Tripodi, Caroline Shiach, Jorgen Jespersen
	BMJ  2003;327:30, doi: 10.1136/bmj.327.7405.30 [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

Learning in practice

This week's Learning in practice

	The case for knowledge translation: shortening the journey from evidence to effect
	Dave Davis, Mike Evans, Alex Jadad, Laure Perrier, Darlyne Rath, David Ryan, Gary Sibbald, Sharon Straus, Susan Rappolt, Maria Wowk, Merrick Zwarenstein
	BMJ  2003;327:33-35, doi: 10.1136/bmj.327.7405.33 [Full text] [PDF] [Request Permissions] FREE

Clinical review

This week's Clinical review

	Viral lower respiratory tract infection in infants and young children
	J B M van Woensel, W M C van Aalderen, J L L Kimpen
	BMJ  2003;327:36-40, doi: 10.1136/bmj.327.7405.36 [Extract] [Full text] [PDF] [Request Permissions] [extra: Additional references] FREE

	Lesson of the week: Life threatening complications after partially treated mastoiditis
	Jemy Jose, Andrew P Coatesworth, Richard Anthony, P Gerard Reilly
	BMJ  2003;327:41-42, doi: 10.1136/bmj.327.7405.41 [Extract] [Full text] [PDF] [Request Permissions] FREE

	ABC of interventional cardiology: Interventional pharmacotherapy
	Roger Philipp, Ever D Grech
	BMJ  2003;327:43-46, doi: 10.1136/bmj.327.7405.43 [Extract] [Full text] [PDF] [Request Permissions] FREE

Education and debate

This week's Education and debate

	Strategy for randomised clinical trials in rare cancers
	Say-Beng Tan, Keith B G Dear, Paolo Bruzzi, David Machin
	BMJ  2003;327:47-49, doi: 10.1136/bmj.327.7405.47 [Extract] [Full text] [PDF] [Request Permissions] [extra: A paper giving a worked example of the method available] FREE

Obituaries

This week's Obituaries

	Margaret Borzyskowski
	Brian G R Neville
	BMJ  2003;327:55, doi: 10.1136/bmj.327.7405.55 [Extract] [Full text] [extra: Longer version] FREE

	Malcolm Sinclair Campbell
	J M D Galloway
	BMJ  2003;327:55, doi: 10.1136/bmj.327.7405.55-a [Extract] [Full text] [extra: Longer version] FREE

	Lawrence Crouch
	R J Courtenay-Evans
	BMJ  2003;327:55, doi: 10.1136/bmj.327.7405.55-b [Extract] [Full text] [extra: Longer version] FREE

	Rachel Joce
	Angela Iversen
	BMJ  2003;327:55, doi: 10.1136/bmj.327.7405.55-c [Extract] [Full text] FREE

	Alistair Law
	Malcolm Lewis
	BMJ  2003;327:55, doi: 10.1136/bmj.327.7405.55-d [Extract] [Full text] [extra: Longer version] FREE

	Robert Allardyce Main
	M I White
	BMJ  2003;327:55, doi: 10.1136/bmj.327.7405.55-e [Extract] [Full text] [extra: Longer version] FREE

	Frederick William Millard
	Tim Harbottle
	BMJ  2003;327:55-56, doi: 10.1136/bmj.327.7405.55-f [Extract] [Full text] [extra: Longer version] FREE

	Charles Warden Orr
	John Shores
	BMJ  2003;327:56, doi: 10.1136/bmj.327.7405.56 [Extract] [Full text] [extra: Longer version] FREE

	Joseph Pegum
	Harvey Baker
	BMJ  2003;327:56, doi: 10.1136/bmj.327.7405.56-a [Extract] [Full text] [extra: Longer version] FREE

	William Jeffrey Scott
	Kenneth Scott
	BMJ  2003;327:56, doi: 10.1136/bmj.327.7405.56-c [Extract] [Full text] [extra: Longer version] FREE

	Ian Smith
	Maurice A Smith
	BMJ  2003;327:56, doi: 10.1136/bmj.327.7405.56-d [Extract] [Full text] [extra: Longer version] FREE

	Leader Dominic Stirling
	K C Rankin
	BMJ  2003;327:56, doi: 10.1136/bmj.327.7405.56-e [Extract] [Full text] [extra: Longer version] FREE

	Sid Watkins
	Robert Heuschkel
	BMJ  2003;327:56, doi: 10.1136/bmj.327.7405.56-f [Extract] [Full text] [extra: Longer version] FREE

reviews

This week's reviews

	Book: The Essential Difference: Men, Women and the Extreme Male Brain
	Iain McClure
	BMJ  2003;327:57, doi: 10.1136/bmj.327.7405.57 [Extract] [Full text] [Request Permissions] FREE

	Book: The Discovery of the Germ
	Birte Twisselmann
	BMJ  2003;327:57, doi: 10.1136/bmj.327.7405.57-a [Extract] [Full text] [Request Permissions] FREE

	TV: Now let's have evidence based politics
	Trevor Jackson
	BMJ  2003;327:58, doi: 10.1136/bmj.327.7405.58 [Extract] [Full text] [Request Permissions] FREE

	Website of the week: Rare cancers
	Anna Ellis
	BMJ  2003;327:58, doi: 10.1136/bmj.327.7405.58-a [Extract] [Full text] [Request Permissions] FREE

	PERSONAL VIEW: What it's really like at the coalface
	Julian Stokes
	BMJ  2003;327:59, doi: 10.1136/bmj.327.7405.59 [Extract] [Full text] [Request Permissions] FREE

	SOUNDINGS: A secret revealed
	Liam Farrell
	BMJ  2003;327:59, doi: 10.1136/bmj.327.7405.59-a [Extract] [Full text] [Request Permissions] FREE

Minerva

This week's Minerva

	Minerva
	BMJ  2003;327:60, doi: 10.1136/bmj.327.7405.60 [Full text] [PDF] [Request Permissions] FREE

Fillers

This week's Fillers

	POEM*: Lifetime risk of mole transforming to melanoma is very low
	BMJ  2003;327, doi: 10.1136/bmj.327.7405.0-g [Extract] [Full text] [PDF] [Request Permissions] FREE

	Smoking cessation dilemmas in prison
	Julie Ann Colclough
	BMJ  2003;327:29, doi: 10.1136/bmj.327.7405.29 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Submitting articles to the BMJ
	BMJ  2003;327:42, doi: 10.1136/bmj.327.7405.42 [Extract] [Full text] [Request Permissions] FREE

	Grommets, dude?
	Matthew Clark
	BMJ  2003;327:46, doi: 10.1136/bmj.327.7405.46 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Advice
	BMJ  2003;327:56, doi: 10.1136/bmj.327.7405.56-b [Extract] [Full text] [Request Permissions] FREE

Corrections

This week's Corrections

	ABC of diabetes: cardiovascular disease, hypertension, and lipids
	BMJ  2003;327:17, doi: 10.1136/bmj.327.7405.17 [Full text] [PDF] [Request Permissions] FREE

	Accuracy of Ottawa ankle rules to exclude fractures of the ankle and mid-foot: systematic review
	BMJ  2003;327:17, doi: 10.1136/bmj.327.7405.17-a [Full text] [PDF] [Request Permissions] FREE

	Patients' accounts of being removed from their general practitioner's list: qualitative study
	BMJ  2003;327:26, doi: 10.1136/bmj.327.7405.26 [Full text] [PDF] [Request Permissions] FREE

	Doctors' diagnosis
	BMJ  2003;327:26, doi: 10.1136/bmj.327.7405.26-a [Full text] [PDF] [Request Permissions] FREE

	Perspectives
	BMJ  2003;327:26, doi: 10.1136/bmj.327.7405.26-b [Full text] [PDF] [Request Permissions] FREE

Career focus

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