Long delays exist in diagnosing gastric cancer in Britain [Full text]

	Earlier diagnosis currently improves survival in breast cancer [Full text]

	Childhood blood pressure is not affected by fetal "programming" [Full text]

	Small practices have high rates of hospital admission for asthma [Full text]

	Misuse of sulphonylureas, rather than an insulinoma, may be the cause of spontaneous hypoglycaemia [Full text]

	Impact factors should not be used for evaluating research [Full text]

Editorials

	Surgical management of heart failure
	David P Taggart, Stephen Westaby
	BMJ  1997;314:453 [Full text] [Request Permissions]

	Dietary treatment of active Crohn's disease
	Nick Wright, Brian B Scott
	BMJ  1997;314:454 [Full text] [Request Permissions]

	Detaining asylum seekers
	Mary Salinsky
	BMJ  1997;314:456 [Full text] [Request Permissions]

	Primary managed care in Europe
	Chris Ham
	BMJ  1997;314:457 [Full text] [Request Permissions]

	The community's response to mentally ill people
	Sam Sussman
	BMJ  1997;314:458 [Full text] [Request Permissions]

	Food for independence
	Martin McKee, Tim Lang
	BMJ  1997;314:459 [Full text] [Request Permissions]

	Europe matters
	Tessa Richards
	BMJ  1997;314:460 [Full text] [Request Permissions]

News

	Rationing is now accepted as inevitable by all sides
	Zosia Kmietowciz
	BMJ  1997;314:461 [Full text]

	Widow can be inseminated with husband's sperm
	Clare Dyer
	BMJ  1997;314:461 [Full text]

	In brief
	BMJ  1997;314:461 [Full text]

	UK government phases doctors' pay award
	Linda Beecham
	BMJ  1997;314:461 [Full text]

	Journal accused of manipulating impact factor
	Richard Smith
	BMJ  1997;314:461 [Full text]

	Europe does well in science research league
	Jacqui Wise
	BMJ  1997;314:461 [Full text]

	Scotland considers radical reform of hospital services
	Bryan Christie
	BMJ  1997;314:461 [Full text]

	Nurse prescribing is a success
	Adam Legge
	BMJ  1997;314:461 [Full text]

	Day surgery guidance is not being followed
	Jessica Westall
	BMJ  1997;314:461 [Full text]

	US changes polio vaccination programme
	Deborah Johnson
	BMJ  1997;314:461 [Full text]

	Staff suspended at Ashworth secure hospital
	John Warden
	BMJ  1997;314:461 [Full text]

	Meningitis outbreak prompts review
	Roger Dobson
	BMJ  1997;314:461 [Full text]

	Research and development programme begins to bite
	BMJ  1997;314:461 [Full text]

Papers

	Delays in the diagnosis of oesophagogastric cancer: a consecutive case series
	Iain G Martin, Sheila Young, Henry Sue-Ling, David Johnston
	BMJ  1997;314:467 [Abstract] [Full text] [Request Permissions]

	Commentary: Japanese point of view
	Takeshi Sano, Keiichi Maruyama
	BMJ  1997;314:470 [Full text] [Request Permissions]

	Commentary: Britain does better than germany before patients reach hospital
	J R Siewert, U Fink
	BMJ  1997;314:471 [Full text] [Request Permissions]

	Retrospective study of reasons for improved survival in patients with breast cancer in East Anglia: earlier diagnosis or better treatment?
	Diane Stockton, Tom Davies, Nicholas Day, Jenny McCann
	BMJ  1997;314:472 [Abstract] [Full text] [Request Permissions]

	Size at birth and blood pressure: cross sectional study in 8-11 year old children
	Stephanie J C Taylor, Peter H Whincup, Derek G Cook, Olia Papacosta, Mary Walker
	BMJ  1997;314:475 [Abstract] [Full text] [Request Permissions]

	Drug points: Alopecia and breast disease
	C A Gateley, N J Bundred
	BMJ  1997;314:481 [Full text] [Request Permissions]

	Drug points: Lethargy with omeprazole
	E J M Meeuwisse, F C Groen, A Dees, G H Smit, J P Ottervanger
	BMJ  1997;314:481 [Full text] [Request Permissions]

Clinical review

	Recent advances: hiv infection–I
	Jonathan Allen Cohn
	BMJ  1997;314:487 [Full text] [Request Permissions]

	ABC of clinical haematology: The hereditary anaemias
	David J Weatherall
	BMJ  1997;314:492 [Full text] [Request Permissions]

	Lesson of the week: Are spontaneous hypoglycaemia, raised plasma insulin and c peptide concentrations, and abnormal pancreatic images enough to diagnose insulinoma?
	P Perros, A K Henderson, D C Carter, A D Toft
	BMJ  1997;314:496 [Full text] [Request Permissions]

General practice

	Hospital admissions for asthma in east london: associations with characteristics of local general practices, prescribing, and population
	Chris Griffiths, Patricia Sturdy, Jeannette Naish, Rumana Omar, Susan Dolan, Gene Feder
	BMJ  1997;314:482 [Abstract] [Full text] [Request Permissions]

Personal views

	The most precious gift
	Liam Farrell
	BMJ  1997;314:524 [Full text] [Request Permissions]

	Turning off the lights in Northern Ireland
	George Gardiner
	BMJ  1997;314:524 [Full text] [Request Permissions]

	Evidence based general practice
	J P Richards
	BMJ  1997;314:525 [Full text] [Request Permissions]

Medicine and books

	Who Owns Our Bodies? Making Moral Choices in Health Care, by John Spiers
	Lord Walton of Detchant
	BMJ  1997;314:527 [Full text] [Request Permissions]

Education and debate

	Why the impact factor of journals should not be used for evaluating research
	Per O Seglen
	BMJ  1997;314:497 [Full text] [Request Permissions]

	The rationing debate: Defining a package of healthcare services the NHS is responsible for The case for
	Bill New
	BMJ  1997;314:498 [Full text] [Request Permissions]

	The case against
	Rudolf Klein
	BMJ  1997;314:503 [Full text] [Request Permissions]

	Primary care: opportunities and threats Deregulating primary care
	Angela Coulter, Nicholas Mays
	BMJ  1997;314:506 [Full text] [Request Permissions]

Letters

	Doctors should work towards elimination of all firearms and knives
	John Gunn, Andrew Johns, Anthony Maden, Pamela J Taylor
	BMJ  1997;314:510 [Full text] [Request Permissions]

	Rationing health care
	Michael M Rivlin, Mike Williams, A M Gordhandas, Seth Jenkinson, Stephen Field, J Dunstan
	BMJ  1997;314:514 [Full text] [Request Permissions]

	Angioplasty has been shown to have benefits over thrombolytic treatment
	David R Ramsdale, John L Morris
	BMJ  1997;314:515 [Full text] [Request Permissions]

	Fall in cholesterol after changes in composition of cooking oil in Mauritius
	N Chandrasekharan, Kalyana Sundram
	BMJ  1997;314:516 [Full text] [Request Permissions]

	Controlling genital chlamydial infection
	M J Bolam, Tim Stokes, Rashmi Shukla, Sumit Bhaduri, Paul Schober
	BMJ  1997;314:516 [Full text] [Request Permissions]

	Allergic patients do not comply with doctors' advice to stop owning pets
	Stanley Coren
	BMJ  1997;314:517 [Full text] [Request Permissions]

	Doctors maintain patients' dependence, whereas counsellors give them control
	Janet Menage
	BMJ  1997;314:517 [Full text] [Request Permissions]

	Reduced risk of wheezing in children using feather pillows is confirmed
	David Strachan, Iain M Carey
	BMJ  1997;314:518 [Full text] [Request Permissions]

	Problems with guidelines
	Andrew H Shennan, L H Pazart, Y Mattilon, J Massol
	BMJ  1997;314:518 [Full text] [Request Permissions]

	Old, frail people are marginalised in Japan
	Steve Iliffe
	BMJ  1997;314:519 [Full text] [Request Permissions]

	Treatment for trigeminal neuralgia
	Turo Nurmikko, John Miles, Paul Eldridge, David Bowsher, Jenny Jessop, Joanna M Zakrzewska, Andrew J Sidebottom, John C Cooper
	BMJ  1997;314:519 [Full text] [Request Permissions]

	Telemedicine
	B Pal, I H Kunkler, P Rafferty, D M Hill, Maureen Henry, D Foreman
	BMJ  1997;314:520 [Full text] [Request Permissions]

	Value of magnetic resonance imaging of the breast as a screening tool remains uncertain
	A J Potterton, A Coulthard
	BMJ  1997;314:521 [Full text] [Request Permissions]

	Doctors who are dependent on alcohol can recover
	Gareth Lloyd
	BMJ  1997;314:521 [Full text] [Request Permissions]

Obituaries

	William ("Bill") Whimster • Richard ("Dick") Adamson • Elizabeth Arkle • James ("J J") Murray
	BMJ  1997;314:522 [Full text]

Minerva

	Minerva
	BMJ  1997;314:528 [Full text] [Request Permissions]

Fillers

	One hundred years: The prevention of hereditary diseases
	BMJ  1997;314 [Full text] [Request Permissions]

	One hundred years ago: A flannel shirt club
	BMJ  1997;314 [Full text] [Request Permissions]

	A memorable patient: Protective pipe smoking
	Robert J House
	BMJ  1997;314 [Full text] [Request Permissions]

	One hundred years ago: Samson's riddle
	BMJ  1997;314 [Full text] [Request Permissions]

Corrections

	Hangovers
	BMJ  1997;314:460 [Full text] [Request Permissions]

	Fortnightly review: Screening for asymptomatic colorectal cancer
	BMJ  1997;314:497 [Full text] [Request Permissions]

Career focus

	Dealing with difficult bosses
	Carl Gray
	BMJ  1997;314:2 [Full text] [Request Permissions]

	Briefing: Health professionals are the occupational group in most demand for ...
	BMJ  1997;314:3 [Full text] [Request Permissions]

	Briefing: The BMA 1997 Junior doctors' handbook is reissued in substantially ...
	BMJ  1997;314:3 [Full text] [Request Permissions]

	Briefing: A recent ruling by the Court of Appeal widens the ...
	BMJ  1997;314:3 [Full text] [Request Permissions]

CHOICE

	Applying imperfect treatments better, debating rationing, and abusing impact factors
	BMJ  1997;314 [Full text] [Request Permissions]

MEDICINE AND THE MEDIA

	Let the media work for you, not against you
	Anna Jackson
	BMJ  1997;314:526 [Full text] [Request Permissions]

MEDICOPOLITICAL DIGEST

	Consultants warn of continuing NHS crisis • Labour proposes hospital trouble shooters • Review body report 1997
	BMJ  1997;314:523 [Full text] [Request Permissions]

Career focus

Read this week's articles on http://bmjcareers.com/careerfocus

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