The NHS's sewers?
	Jane Smith
	BMJ  2005;331, doi: 10.1136/bmj.331.7512.0-f [Extract] [Full text] [PDF] [Request Permissions] FREE

This week in the BMJ

This week's This week in the BMJ

	Perioperative blockers may do more harm than good [Full text] FREE

	Elderly people recuperate better in a community hospital [Full text] FREE

	Cholinesterase inhibitors for Alzheimer's lack evidence [Full text] FREE

	Supplements don't protect the elderly from infections [Full text] FREE

	Reduced antibiotic prescribing did not result in more complications [Full text] FREE

Editorials

This week's Editorials

	Delayed prescribing of antibiotics for upper respiratory tract infection
	Paul Little
	BMJ  2005;331:301-302, doi: 10.1136/bmj.331.7512.301 [Extract] [Full text] [PDF] [Request Permissions] FREE

	The patient safety story
	Glyn Elwyn, Janet M Corrigan
	BMJ  2005;331:302-304, doi: 10.1136/bmj.38562.690104.43, (Published 1 August 2005) [Extract] [Full text] [PDF] [Request Permissions] FREE

	Vitamin and mineral supplements for preventing infections in older people
	Salah Gariballa
	BMJ  2005;331:304-305, doi: 10.1136/bmj.331.7512.304 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Roles and responsibilities of medical expert witnesses
	Mark Friston
	BMJ  2005;331:305-306, doi: 10.1136/bmj.331.7512.305 [Extract] [Full text] [PDF] [Request Permissions] FREE

Letters

This week's Letters

	Radiation from CT and perfusion scanning in pregnancy
	J Valmai Cook, John Kyriou
	BMJ  2005;331:350, doi: 10.1136/bmj.331.7512.350 [Extract] [Full text] [Request Permissions] FREE

	Model of outcomes of screening mammography: Spontaneous regression of breast cancer may not be uncommon
	Per-Henrik Zahl, Jan Mæhlen
	BMJ  2005;331:350, doi: 10.1136/bmj.331.7512.350-a [Extract] [Full text] [Request Permissions] FREE

	Model of outcomes of screening mammography: Information needs to support informed choices
	Peter C Gøtzsche, Karsten J Jørgensen
	BMJ  2005;331:350-351, doi: 10.1136/bmj.331.7512.350-b [Extract] [Full text] [Request Permissions] FREE

	Model of outcomes of screening mammography: Women's decisions about screening depend on many factors
	Sue M Lockwood, Nicola Bruce, Rosetta Manaszewicz
	BMJ  2005;331:351, doi: 10.1136/bmj.331.7512.351 [Extract] [Full text] [Request Permissions] FREE

	Model of outcomes of screening mammography: Authors' reply
	Alexandra Barratt, Kirsten Howard, Les Irwig, Glenn Salkeld, Nehmat Houssami
	BMJ  2005;331:351, doi: 10.1136/bmj.331.7512.351-a [Extract] [Full text] [Request Permissions] FREE

	Methods of hysterectomy: should women have a say?
	Vikki A Entwistle, Graeme MacLennan, Zoe Skea, Siladitya Bhattacharya, Brian Williams
	BMJ  2005;331:351-352, doi: 10.1136/bmj.331.7512.351-b [Extract] [Full text] [Request Permissions] FREE

	Changes in atopy over 25 years: Allergy epidemic has spread to old age
	Allan Linneberg
	BMJ  2005;331:352, doi: 10.1136/bmj.331.7512.352 [Extract] [Full text] [Request Permissions] FREE

	Changes in atopy over 25 years: Atopy now affects wider age range
	Daniela Zauli, Roberta Bortolotti, Alberto Grassi, Donatella Tiberio, Francesco B Bianchi
	BMJ  2005;331:352, doi: 10.1136/bmj.331.7512.352-a [Extract] [Full text] [Request Permissions] FREE

	Where next with revalidation?: Smart money is on using new communications technology effectively
	Graeme M Mackenzie
	BMJ  2005;331:352, doi: 10.1136/bmj.331.7512.352-b [Extract] [Full text] [Request Permissions] FREE

	Where next with revalidation?: Make CME and CPD compulsory with support of audit and mentoring
	Stephen F Hayes
	BMJ  2005;331:352-353, doi: 10.1136/bmj.331.7512.352-c [Extract] [Full text] [Request Permissions] FREE

	Where next with revalidation?: Political will does not exist for radical reform
	Nigel Dudley
	BMJ  2005;331:353, doi: 10.1136/bmj.331.7512.353 [Extract] [Full text] [Request Permissions] FREE

	Future of singlehanded general practices: All doctors must show that they work to acceptable standards
	N Ken Menon
	BMJ  2005;331:353, doi: 10.1136/bmj.331.7512.353-a [Extract] [Full text] [Request Permissions] FREE

	Future of singlehanded general practices: The NHS has room for variety
	Nigel Higson
	BMJ  2005;331:353, doi: 10.1136/bmj.331.7512.353-b [Extract] [Full text] [Request Permissions] FREE

News

This week's News

	US Senate leader gives support to expanded stem cell research
	Janice Hopkins Tanne
	BMJ  2005;331:307, doi: 10.1136/bmj.331.7512.307 [Extract] [Full text] [PDF] FREE

	Mumbai braces itself for leptospirosis and waterborne infections
	Ganapati Mudur
	BMJ  2005;331:307, doi: 10.1136/bmj.331.7512.307-a [Extract] [Full text] [PDF] FREE

	In brief
	BMJ  2005;331:308, doi: 10.1136/bmj.331.7512.308 [Extract] [Full text] [PDF] FREE

	Resistance to antiviral drugs is climbing
	Zosia Kmietowicz
	BMJ  2005;331:308, doi: 10.1136/bmj.331.7512.308-a [Extract] [Full text] [PDF] FREE

	Fertility agency is to investigate single embryo transfer
	Owen Dyer
	BMJ  2005;331:308, doi: 10.1136/bmj.331.7512.308-b [Extract] [Full text] [PDF] FREE

	Breast cancer screening does not save lives, study says
	Janice Hopkins Tanne
	BMJ  2005;331:309, doi: 10.1136/bmj.331.7512.309 [Extract] [Full text] [PDF] FREE

	Court rules in favour of GMC's guidance on withholding treatment
	Clare Dyer
	BMJ  2005;331:309, doi: 10.1136/bmj.331.7512.309-a [Extract] [Full text] [PDF] FREE

	The man with the IT plan
	Geoff Watts
	BMJ  2005;331:310, doi: 10.1136/bmj.331.7512.310 [Extract] [Full text] [PDF] FREE

News extra [these stories appear only on the web]

This week's News extra

	Vaccine preservative is not the cause of autism, say US officials
	Jeanne Lenzer
	BMJ  2005;331:310, doi: 10.1136/bmj.331.7512.310-a [Extract] [Full text] FREE

	Cancer is more likely in obese women than in women of average weight
	Roger Dobson
	BMJ  2005;331:310, doi: 10.1136/bmj.331.7512.310-b [Extract] [Full text] FREE

	Immigrants do not push up US healthcare costs, study shows
	Scott Gottlieb
	BMJ  2005;331:310, doi: 10.1136/bmj.331.7512.310-c [Extract] [Full text] FREE

	German doctors to strike over pay and conditions
	Annette Tuffs
	BMJ  2005;331:310, doi: 10.1136/bmj.331.7512.310-d [Extract] [Full text] FREE

	Trade agreement may restrict supply of essential drugs in Central America, experts say
	John Zarocostas
	BMJ  2005;331:310, doi: 10.1136/bmj.331.7512.310-e [Extract] [Full text] FREE

	Abortions reach highest ever number in England and Wales
	Allison Barrett
	BMJ  2005;331:310, doi: 10.1136/bmj.331.7512.310-f [Extract] [Full text] FREE

Short cuts

This week's Short cuts

	What's new in the other general journals
	Alison Tonks
	BMJ  2005;331:311-312, doi: 10.1136/bmj.331.7512.311 [Full text] [PDF] [Request Permissions] FREE

Papers

This week's Papers

	How strong is the evidence for the use of perioperative blockers in non-cardiac surgery? Systematic review and meta-analysis of randomised controlled trials
	P J Devereaux, W Scott Beattie, Peter T-L Choi, Neal H Badner, Gordon H Guyatt, Juan C Villar, Claudio S Cinà, Kate Leslie, Michael J Jacka, Victor M Montori, Mohit Bhandari, Alvaro Avezum, Alexandre B Cavalcanti, Julian W Giles, Thomas Schricker, Homer Yang, Carl-Johan Jakobsen, Salim Yusuf
	BMJ  2005;331:313-321, doi: 10.1136/bmj.38503.623646.8F, (Published 4 July 2005) [Abstract] [Abridged PDF] [Full text] [PDF] [Request Permissions] [extra: Appendices A and B] FREE

	Effects of locality based community hospital care on independence in older people needing rehabilitation: randomised controlled trial
	John Green, John Young, Anne Forster, Karen Mallinder, Sue Bogle, Karin Lowson, Neil Small
	BMJ  2005;331:317-322, doi: 10.1136/bmj.38498.387569.8F, (Published 1 July 2005) [Abstract] [Abridged PDF] [Full text] [PDF] [Request Permissions] [extra: Additional information] FREE

	Commentary: Intermediate care: policy before evidence
	Norman J Vetter
	BMJ  2005;331:320, doi: 10.1136/bmj.38524.543137.7C, (Published 1 July 2005) [Full text] [PDF] [Request Permissions] FREE

	Cholinesterase inhibitors for patients with Alzheimer's disease: systematic review of randomised clinical trials
	Hanna Kaduszkiewicz, Thomas Zimmermann, Hans-Peter Beck-Bornholdt, Hendrik van den Bussche
	BMJ  2005;331:321-327, doi: 10.1136/bmj.331.7512.321 [Abstract] [Abridged PDF] [Full text] [PDF] [Request Permissions] [extra: Further details] FREE

Primary care

This week's Primary care

	Effect of multivitamin and multimineral supplements on morbidity from infections in older people (MAVIS trial): pragmatic, randomised, double blind, placebo controlled trial
	Alison Avenell, Marion K Campbell, Jonathan A Cook, Philip C Hannaford, Mary M Kilonzo, Geraldine McNeill, Anne C Milne, Craig R Ramsay, D Gwyn Seymour, Audrey I Stephen, Luke D Vale, Writing Group of the MAVIS trial
	BMJ  2005;331:324-329, doi: 10.1136/bmj.331.7512.324 [Abstract] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

	Antibiotic prescribing in general practice and hospital admissions for peritonsillar abscess, mastoiditis, and rheumatic fever in children: time trend analysis
	M Sharland, H Kendall, D Yeates, A Randall, G Hughes, P Glasziou, D Mant
	BMJ  2005;331:328-329, doi: 10.1136/bmj.38503.706887.AE1, (Published 20 June 2005) [Full text] [PDF] [Request Permissions] FREE

	10-minute consultation: Anaphylaxis
	Aziz Sheikh, Samantha Walker
	BMJ  2005;331:330, doi: 10.1136/bmj.331.7512.330 [Full text] [PDF] [Request Permissions] FREE

Information in practice

This week's Information in practice

	Challenges to implementing the national programme for information technology (NPfIT): a qualitative study
	Jane Hendy, Barnaby C Reeves, Naomi Fulop, Andrew Hutchings, Cristina Masseria
	BMJ  2005;331:331-336, doi: 10.1136/bmj.331.7512.331 [Abstract] [Abridged PDF] [Full text] [PDF] [Request Permissions] [extra: Details of the interview framework] FREE

	Beware of multiple names in database linkage research: prevalence of aliases in female prison population
	Ruth Elwood Martin, T Gregory Hislop, Garry D Grams, Veronika Moravan, Betty Calam
	BMJ  2005;331:335-336, doi: 10.1136/bmj.331.7512.335 [Full text] [PDF] [Request Permissions] FREE

Clinical review

This week's Clinical review

	Management of severe malaria in children: proposed guidelines for the United Kingdom
	Kathryn Maitland, Simon Nadel, Andrew J Pollard, Thomas N Williams, Charles R J C Newton, Michael Levin
	BMJ  2005;331:337-343, doi: 10.1136/bmj.331.7512.337 [Extract] [Full text] [PDF] [Request Permissions] FREE

	ABC of conflict and disaster: Approaches to conflict resolution
	Ewan W Anderson
	BMJ  2005;331:344-346, doi: 10.1136/bmj.331.7512.344 [Extract] [Full text] [PDF] [Request Permissions] FREE

Education and debate

This week's Education and debate

	Hormone replacement therapy and breast cancer: estimate of risk
	Nathan J Coombs, Richard Taylor, Nicholas Wilcken, John Boyages
	BMJ  2005;331:347-349, doi: 10.1136/bmj.331.7512.347 [Extract] [Full text] [PDF] [Request Permissions] [extra: Data used in the calculations] FREE

Obituaries

This week's Obituaries

	Hugh Phillips
	Susie Phillips
	BMJ  2005;331:354, doi: 10.1136/bmj.331.7512.354 [Extract] [Full text] FREE

	Henry Wilkinson Ashworth
	Henry Ashworth
	BMJ  2005;331:355, doi: 10.1136/bmj.331.7512.355 [Extract] [Full text] [extra: Longer version] FREE

	Robin Osler Barnard
	Tony Hall
	BMJ  2005;331:355, doi: 10.1136/bmj.331.7512.355-a [Extract] [Full text] [extra: Longer version] FREE

	Gordon Todd Dryden Barr
	Allison Bell, Hugh Bell
	BMJ  2005;331:355, doi: 10.1136/bmj.331.7512.355-b [Extract] [Full text] [extra: Longer version] FREE

	Alexander Dennis Bowman
	Griff Owen
	BMJ  2005;331:355, doi: 10.1136/bmj.331.7512.355-c [Extract] [Full text] [extra: Longer version] FREE

	John David Keith Burton
	D R Chambers
	BMJ  2005;331:355, doi: 10.1136/bmj.331.7512.355-d [Extract] [Full text] [extra: Longer version] FREE

	Christopher Martin Gillespie
	Stuart McLaren
	BMJ  2005;331:355, doi: 10.1136/bmj.331.7512.355-e [Extract] [Full text] FREE

	Ian Gibson Robin
	J Ballantyne
	BMJ  2005;331:355, doi: 10.1136/bmj.331.7512.355-f [Extract] [Full text] [extra: Longer version] FREE

reviews

This week's reviews

	Book: The Man Who Shocked the World: The Life and Legacy of Stanley Milgram
	Raj Persaud
	BMJ  2005;331:356, doi: 10.1136/bmj.331.7512.356 [Extract] [Full text] [Request Permissions] [extra: Background to book review] FREE

	Book: Beyond Depression: A New Approach to Understanding and Management
	Iona Heath
	BMJ  2005;331:357, doi: 10.1136/bmj.331.7512.357 [Extract] [Full text] [Request Permissions] FREE

	Art: Touch Me
	Colin Martin
	BMJ  2005;331:357, doi: 10.1136/bmj.331.7512.357-a [Extract] [Full text] [Request Permissions] FREE

	PERSONAL VIEWS: Let the buyer beware
	Eboukél Aka, Candice Legris
	BMJ  2005;331:358, doi: 10.1136/bmj.331.7512.358 [Extract] [Full text] [Request Permissions] FREE

	PERSONAL VIEWS: Can Labour take the NHS to market?
	Jonathan Shapiro
	BMJ  2005;331:359, doi: 10.1136/bmj.331.7512.359 [Extract] [Full text] [Request Permissions] FREE

	SOUNDINGS: Be alert
	Liam Farrell
	BMJ  2005;331:359, doi: 10.1136/bmj.331.7512.359-a [Extract] [Full text] [Request Permissions] FREE

Minerva

This week's Minerva

	Minerva
	BMJ  2005;331:360, doi: 10.1136/bmj.331.7512.360 [Full text] [PDF] [Request Permissions] FREE

Fillers

This week's Fillers

	POEM*: Negative CT scans can rule out pulmonary embolism in low risk patients
	BMJ  2005;331, doi: 10.1136/bmj.331.7512.0-e [Extract] [Full text] [PDF] [Request Permissions] FREE

	Endpiece: Second opinions
	Jeremy Hugh Baron
	BMJ  2005;331:329, doi: 10.1136/bmj.331.7512.329 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Endpiece: Duties of a physician
	Rajesh K Choudhary
	BMJ  2005;331:330, doi: 10.1136/bmj.331.7512.330-a [Extract] [Full text] [PDF] [Request Permissions] FREE

	A memorable patient: The unwanted diagnosis
	Sue Warren
	BMJ  2005;331:336, doi: 10.1136/bmj.331.7512.336 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Endpiece: A difficult question
	Sandeep Goyal
	BMJ  2005;331:349, doi: 10.1136/bmj.331.7512.349 [Extract] [Full text] [PDF] [Request Permissions] FREE

Corrections

This week's Corrections

	Indian government bans smoking in new films and TV serials
	BMJ  2005;331:323, doi: 10.1136/bmj.331.7512.323 [Full text] [PDF] [Request Permissions] FREE

	The role of healthcare delivery in the outcome of meningococcal disease in children: case-control study of fatal and non-fatal cases
	BMJ  2005;331:323, doi: 10.1136/bmj.331.7512.323-a [Full text] [PDF] [Request Permissions] FREE

	Why clinicians are natural bayesians: Authors' reply
	BMJ  2005;331:323, doi: 10.1136/bmj.331.7512.323-b [Full text] [PDF] [Request Permissions] FREE

	Italians fail to overturn restrictive reproduction law
	BMJ  2005;331:343, doi: 10.1136/bmj.331.7512.343 [Full text] [PDF] [Request Permissions] FREE

	A farewell to alms
	BMJ  2005;331:343, doi: 10.1136/bmj.331.7512.343-a [Full text] [PDF] [Request Permissions] FREE

	PFI deals need more scrutiny after shareholders receive big windfalls
	BMJ  2005;331:343, doi: 10.1136/bmj.331.7512.343-b [Full text] [PDF] [Request Permissions] FREE

Career focus

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

Website extra

Investigating suspected research fraud [Full text]

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