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15 November 2003 (Vol 327, No 7424)
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This week's Editor's choice

Dawn of the diagnostic age
Kamran Abbasi
BMJ  2003;327, doi: 10.1136/bmj.327.7424.0-g
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spaceThis week in the BMJ back

This week's This week in the BMJ
Ranking of health systems varies according to measures used [Full text] FREE
Women feel unprepared for operative deliveries [Full text] FREE
Many investigative tests are not evidence based [Full text] FREE
Adverse pregnancy outcomes are more likely with change in partner [Full text] FREE
Two questions can help detect depression [Full text] FREE
Booking system challenges NHS [Full text] FREE
All age groups benefit from new management of sickle cell disease [Full text] FREE

spaceEditorials back

This week's Editorials

How many conditions can a GP screen for?
Chris Del Mar, Paul Glasziou
BMJ  2003;327:1117, doi: 10.1136/bmj.327.7424.1117
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The criminalisation of fatal medical mistakes
Jon Holbrook
BMJ  2003;327:1118-1119, doi: 10.1136/bmj.327.7424.1118
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Shock in polytrauma
Paul E Pepe
BMJ  2003;327:1119-1120, doi: 10.1136/bmj.327.7424.1119
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Intensive education for lifestyle change in diabetes
Charles Fox, Anne Kilvert
BMJ  2003;327:1120-1121, doi: 10.1136/bmj.327.7424.1120
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Genomic imprinting as a cause of disease
Jill Clayton-Smith
BMJ  2003;327:1121-1122, doi: 10.1136/bmj.327.7424.1121
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This week's Letters

Doctors' knowledge of exposure to ionising radiation: Finding was not surprising
Bob Bury
BMJ  2003;327:1166, doi: 10.1136/bmj.327.7424.1166
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Doctors' knowledge of exposure to ionising radiation: Use of chest radiography as standard comparator is flawed
Andrew C Downie
BMJ  2003;327:1166, doi: 10.1136/bmj.327.7424.1166-a
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Doctors' knowledge of exposure to ionising radiation: Just tell them the dose
Matthew L Grove
BMJ  2003;327:1166, doi: 10.1136/bmj.327.7424.1166-b
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Doctors' knowledge of exposure to ionising radiation: Ignorance is surprising
Daniel P Edgcumbe
BMJ  2003;327:1166, doi: 10.1136/bmj.327.7424.1166-c
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Doctors' knowledge of exposure to ionising radiation: Radiation protection should be taught as a priority
Sarah J Gorse
BMJ  2003;327:1166, doi: 10.1136/bmj.327.7424.1166-d
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Doctors' knowledge of exposure to ionising radiation: Doctors need to be aware of possible radiation injury from fluoroscopy
Simon S Lo
BMJ  2003;327:1167, doi: 10.1136/bmj.327.7424.1167
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Doctors' knowledge of exposure to ionising radiation: Doctors' exposure to ionising radiation may be cause for concern
Eleftherios Tsiridis, Patrick J Lusty, Ali A Narvani, Eva M Tsapakis
BMJ  2003;327:1167, doi: 10.1136/bmj.327.7424.1167-a
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Diagnosing pigmented skin lesions in general practice: Objective assessment of skin lesions is possible
M Dalvi Humzah
BMJ  2003;327:1167, doi: 10.1136/bmj.327.7424.1167-b
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Diagnosing pigmented skin lesions in general practice: Authors' reply
D R English, C B Del Mar, R C Burton
BMJ  2003;327:1167-1168, doi: 10.1136/bmj.327.7424.1167-c
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Cumulative effects of soccer heading are not fully known
Rosanne S Naunheim, John Standeven, Philip Bayly
BMJ  2003;327:1168, doi: 10.1136/bmj.327.7424.1168
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Risk of suicide in twins: Intelligence of twins and singletons may explain risk
Martin Voracek
BMJ  2003;327:1168, doi: 10.1136/bmj.327.7424.1168-a
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Risk of suicide in twins: No protective effect is needed to explain the findings
Thomas J Verberne
BMJ  2003;327:1168, doi: 10.1136/bmj.327.7424.1168-b
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Risk of suicide in twins: Suicide has social side
Gerald D Sack
BMJ  2003;327:1168-1169, doi: 10.1136/bmj.327.7424.1168-c
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Risk of suicide in twins: Authors' reply
Kaare Christensen, Cecilia Tomassini, Knud Juel
BMJ  2003;327:1169, doi: 10.1136/bmj.327.7424.1169
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Sex difference in infant mortality in India is reflected in England and Wales
Ian Dawson
BMJ  2003;327:1169, doi: 10.1136/bmj.327.7424.1169-a
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Don't blame religion for poor funerals
Anthony E J Fitchett
BMJ  2003;327:1169, doi: 10.1136/bmj.327.7424.1169-b
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This week's News

Fertilisation authority recommends a ban on sex selection
Zosia Kmietowicz
BMJ  2003;327:1123, doi: 10.1136/bmj.327.7424.1123
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New angiotensin receptor blocker is as effective as ACE inhibitor
Scott Gottlieb
BMJ  2003;327:1123, doi: 10.1136/bmj.327.7424.1123-a
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In brief
BMJ  2003;327:1124, doi: 10.1136/bmj.327.7424.1124
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Doctor gave "woeful" evidence
Owen Dyer
BMJ  2003;327:1124, doi: 10.1136/bmj.327.7424.1124-a
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UK and Italy have low MMR uptake
Fiona Fleck
BMJ  2003;327:1124, doi: 10.1136/bmj.327.7424.1124-b
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Government faces pressure to tackle obesity
Amanda Elliott
BMJ  2003;327:1125, doi: 10.1136/bmj.327.7424.1125
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WHO launches initiative to encourage eating fruit and vegetables
Lynn Eaton
BMJ  2003;327:1125, doi: 10.1136/bmj.327.7424.1125-a
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Sports expert defends "chocolate for equipment" scheme
Amanda Elliot
BMJ  2003;327:1125, doi: 10.1136/bmj.327.7424.1125-b
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French government announces new plans for elderly care
Brad Spurgeon
BMJ  2003;327:1127, doi: 10.1136/bmj.327.7424.1127-b
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Trial shows no clear benefit from cannabis for patients with MS
Owen Dyer
BMJ  2003;327:1128, doi: 10.1136/bmj.327.7424.1128
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Another US healthcare giant is hit by scandal
Ray Moynihan
BMJ  2003;327:1128, doi: 10.1136/bmj.327.7424.1128-a
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spaceNews roundup [abridged versions appear in the paper journal] back

This week's News roundup

Local governments in US buy cheaper prescription drugs from Canada
Janice Hopkins Tanne
BMJ  2003;327:1126, doi: 10.1136/bmj.327.7424.1126
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WHO tries to tackle problem of counterfeit medicines in Asia
Stephen Pincock
BMJ  2003;327:1126, doi: 10.1136/bmj.327.7424.1126-a
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Congresswomen protest at partial abortion bill
Lynn Eaton
BMJ  2003;327:1126, doi: 10.1136/bmj.327.7424.1126-b
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Foundation hospital plan defeated in Lords
Katherine Burke
BMJ  2003;327:1126, doi: 10.1136/bmj.327.7424.1126-c
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Demand exceeds capacity for NHS Direct
Roger Dobson
BMJ  2003;327:1126, doi: 10.1136/bmj.327.7424.1126-d
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German government shortens medical training
Annette Tuffs
BMJ  2003;327:1127, doi: 10.1136/bmj.327.7424.1127
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NHS too target driven
Mark Gould
BMJ  2003;327:1127, doi: 10.1136/bmj.327.7424.1127-a
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This week's News extra

Medact report highlights aftermath of Iraq conflict
Jocalyn Clark
BMJ  2003;327:1128, doi: 10.1136/bmj.327.7424.1128-b
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US advisory panel's chairman calls for reversal of breast implant decision
Fred Charatan
BMJ  2003;327:1128, doi: 10.1136/bmj.327.7424.1128-c
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Patients are at risk because of nurses' long hours, says report
Scott Gottlieb
BMJ  2003;327:1128, doi: 10.1136/bmj.327.7424.1128-d
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Women with heart attacks have characteristic symptoms, says new study
Fred Charatan
BMJ  2003;327:1128, doi: 10.1136/bmj.327.7424.1128-e
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Germany considers relaxing strict embryo research laws
Jane Burgermeister
BMJ  2003;327:1128, doi: 10.1136/bmj.327.7424.1128-f
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Antibiotic use varies widely across intensive care units
Roger Dobson
BMJ  2003;327:1128, doi: 10.1136/bmj.327.7424.1128-g
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Steroids slow progression of chronic lung disease
Deborah Josefson
BMJ  2003;327:1128, doi: 10.1136/bmj.327.7424.1128-h
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Police in Israel launch investigation into deaths of babies given formula milk
Judy Siegel-Itzkovich
BMJ  2003;327:i, doi: 10.1136/bmj.327.7424.1128-i
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This week's Papers

Measuring the health of nations: analysis of mortality amenable to health care
Ellen Nolte, Martin McKee
BMJ  2003;327:1129, doi: 10.1136/bmj.327.7424.1129
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Women's views on the impact of operative delivery in the second stage of labour: qualitative interview study
Deirdre J Murphy, Catherine Pope, Julia Frost, Rachel E Liebling
BMJ  2003;327:1132, doi: 10.1136/bmj.327.7424.1132
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Retrospective analysis of evidence base for tests used in diagnosis and monitoring of disease in respiratory medicine
Z Borrill, C Houghton, P J Sullivan, P Sestini
BMJ  2003;327:1136-1138, doi: 10.1136/bmj.327.7424.1136
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Effects on pregnancy outcome of changing partner between first two births: prospective population study
Lars J Vatten, Rolv Skjærven
BMJ  2003;327:1138, doi: 10.1136/bmj.327.7424.1138
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Hyperkalaemia and impaired renal function in patients taking spironolactone for congestive heart failure: retrospective study
Morten Svensson, Finn Gustafsson, Søren Galatius, Per R Hildebrandt, Dan Atar
BMJ  2003;327:1141-1142, doi: 10.1136/bmj.327.7424.1141
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Increasing hospital admissions for systemic allergic disorders in England: analysis of national admissions data
Ramyani Gupta, Aziz Sheikh, David Strachan, H Ross Anderson
BMJ  2003;327:1142-1143, doi: 10.1136/bmj.327.7424.1142
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spacePrimary care back

This week's Primary care

Screening for depression in primary care with two verbally asked questions: cross sectional study
Bruce Arroll, Natalie Khin, Ngaire Kerse
BMJ  2003;327:1144-1146, doi: 10.1136/bmj.327.7424.1144
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spaceQuality improvement report back

This week's Quality improvement report

Booking patients for hospital admissions: evaluation of a pilot programme for day cases
Hugh McLeod, Chris Ham, Ruth Kipping
BMJ  2003;327:1147, doi: 10.1136/bmj.327.7424.1147
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spaceClinical review back

This week's Clinical review

Managing sickle cell disease
Susan Claster, Elliott P Vichinsky
BMJ  2003;327:1151-1155, doi: 10.1136/bmj.327.7424.1151
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ABC of subfertility: Further advances and uses of assisted conception technology
Susan Pickering, Peter Braude
BMJ  2003;327:1156-1158, doi: 10.1136/bmj.327.7424.1156
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spaceEducation and debate back

This week's Education and debate

Making consent patient centred
John Bridson, Clare Hammond, Austin Leach, Michael R Chester
BMJ  2003;327:1159-1161, doi: 10.1136/bmj.327.7424.1159
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Communicating risks at the population level: application of population impact numbers
Richard F Heller, Iain Buchan, Richard Edwards, Georgios Lyratzopoulos, Patrick McElduff, Selwyn St Leger
BMJ  2003;327:1162-1165, doi: 10.1136/bmj.327.7424.1162
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spaceObituaries back

This week's Obituaries

Douglas Roy
George Parks, Hector Cameron, David Sellu
BMJ  2003;327:1170, doi: 10.1136/bmj.327.7424.1170
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John Alexander Barlas
Pamela Barlas
BMJ  2003;327:1170, doi: 10.1136/bmj.327.7424.1170-a
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Patrick David Blade
Diana Blade
BMJ  2003;327:1170-1171, doi: 10.1136/bmj.327.7424.1170-b
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John Stanislaus Guinan
Michael J Guinan
BMJ  2003;327:1171, doi: 10.1136/bmj.327.7424.1171
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Ian Alfred Horton
G D P Wallen
BMJ  2003;327:1171, doi: 10.1136/bmj.327.7424.1171-a
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William Jones Owen
Ian McColl
BMJ  2003;327:1171, doi: 10.1136/bmj.327.7424.1171-c
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Altaf Hussain Syed
Tahir A Mahmood
BMJ  2003;327:1171, doi: 10.1136/bmj.327.7424.1171-d
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John Frederick Watkins
J R Morgan, D Westmoreland
BMJ  2003;327:1171, doi: 10.1136/bmj.327.7424.1171-e
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spacereviews back

This week's reviews

Book: The Abuse of Man: An Illustrated History of Dubious Medical Experimentation
Paul Weindling
BMJ  2003;327:1172, doi: 10.1136/bmj.327.7424.1172
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Book: Die Krankheitserfinder: Wie wir zu Patienten gemacht werden [Disease Mongers: How we all become Patients]
Annette Tuffs
BMJ  2003;327:1173, doi: 10.1136/bmj.327.7424.1173
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Book: Pox: Genius, Madness, and the Mysteries of Syphilis
Gavin Yamey
BMJ  2003;327:1173, doi: 10.1136/bmj.327.7424.1173-a
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Press: Disseminating science
Alex Williamson
BMJ  2003;327:1174, doi: 10.1136/bmj.327.7424.1174
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Website of the week: Medical errors
Ioana Vlad
BMJ  2003;327:1174, doi: 10.1136/bmj.327.7424.1174-a
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PERSONAL VIEW: Caring for the elderly: a cautionary tale
Pearl Hettiaratchy
BMJ  2003;327:1175, doi: 10.1136/bmj.327.7424.1175
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SOUNDINGS: Evidence based vets
Trisha Greenhalgh
BMJ  2003;327:1175, doi: 10.1136/bmj.327.7424.1175-a
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This week's Minerva

Minerva
BMJ  2003;327:1176, doi: 10.1136/bmj.327.7424.1176
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This week's Fillers

POEM*: Aspirin protects women at risk of pre-eclampsia without causing bleeding
BMJ  2003;327, doi: 10.1136/bmj.327.7424.0-h
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Submitting articles to the BMJ
BMJ  2003;327:1135, doi: 10.1136/bmj.327.7424.1135
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One hundred years ago: The responsibility of surgeons and their fees b.c. 2300
BMJ  2003;327:1143, doi: 10.1136/bmj.327.7424.1143
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Curiouser and curiouser
Lesley Morrison
BMJ  2003;327:1146, doi: 10.1136/bmj.327.7424.1146
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One hundred years ago: Nursing as an occupation
BMJ  2003;327:1150, doi: 10.1136/bmj.327.7424.1150
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Medscape conference coverage: 18th International Diabetes Federation Congress, Paris
BMJ  2003;327:1161, doi: 10.1136/bmj.327.7424.1161
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One hundred years ago: The annual meeting at Swansea
BMJ  2003;327:1161, doi: 10.1136/bmj.327.7424.1161-a
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Advice
BMJ  2003;327:1171, doi: 10.1136/bmj.327.7424.1171-b
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spaceCorrections back

This week's Corrections

Parathyroid hormone alone is as effective as combination in treating osteoporosis
BMJ  2003;327:1165, doi: 10.1136/bmj.327.7424.1165
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ABC of subfertility: male subfertility
BMJ  2003;327:1165, doi: 10.1136/bmj.327.7424.1165-a
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General practitioners and occupational health professionals