Patients do not become tolerant to adverse effects of NSAIDs [Full text]

	Octreotide improves survival in cirrhotic portal hypertension [Full text]

	Malnutrition in utero in Leningrad siege did not predict adult diabetes or heart disease [Full text]

	Regional trauma care system does not improve patients' chances of surviving major trauma [Full text]

	Close HLA matching might lead to unequal access to kidney transplantion [Full text]

	Reception staff can improve uptake of breast screening [Full text]

Editorials

	Regional trauma systems
	David Yates
	BMJ  1997;315:1321-1322 [Full text] [Request Permissions]

	Emergency medical admissions: taking stock and planning for winter
	Oliver Blatchford, Simon Capewell
	BMJ  1997;315:1322-1323 [Full text] [Request Permissions]

	Commissioning specialist services in the NHS
	Nick Black
	BMJ  1997;315:1323-1324 [Full text] [Request Permissions]

	Lumbar puncture needn't be a headache
	Simon A Broadley, Geraint N Fuller
	BMJ  1997;315:1324-1325 [Full text] [Request Permissions]

	UK government fails its first test on public health
	Tony Delamothe
	BMJ  1997;315:1325-1326 [Full text] [Request Permissions]

	Climate change: decision time in Kyoto
	Richard Smith
	BMJ  1997;315:1326 [Full text] [Request Permissions]

News

	Clearing house needed for specialist treatments
	Jacqui Wise
	BMJ  1997;315:1327-1332 [Full text]

	Medical decisions must be logically defensible
	Clare Dyer
	BMJ  1997;315:1327-1332 [Full text]

	Cancer unit faces ministerial inquiry
	Duncan Campbell
	BMJ  1997;315:1327-1332 [Full text]

	BMA wants licensing of cannabis to be changed
	Susan Mayor
	BMJ  1997;315:1327-1332 [Full text]

	US journal finds lower risk from diet pills
	Deborah Josefson
	BMJ  1997;315:1327-1332 [Full text]

	Scottish trusts miss cataract surgery targets
	Alison Boulton
	BMJ  1997;315:1327-1332 [Full text]

	US hospital mergers threaten reproductive services
	Janice Hopkins Tanne
	BMJ  1997;315:1327-1332 [Full text]

	UK needs more cancer specialists
	Linda Beecham
	BMJ  1997;315:1327-1332 [Full text]

	UK government consults on clinical disputes
	Clare Dyer
	BMJ  1997;315:1327-1332 [Full text]

	GPs will be at heart of overhaul of NHS
	John Warden
	BMJ  1997;315:1327-1332 [Full text]

	Neonatal screening recommended for hearing impairment
	Kamran Abbasi
	BMJ  1997;315:1327-1332 [Full text]

	Team to look at waiting lists
	John Warden
	BMJ  1997;315:1327-1332 [Full text]

	Caloric restriction may retard cancers
	Debbie Josefson
	BMJ  1997;315:1327-1332 [Full text]

Papers

	Association of upper gastrointestinal toxicity of non-steroidal anti-inflammatory drugs with continued exposure: cohort study
	T M MacDonald, S V Morant, G C Robinson, M J Shield, M M McGilchrist, F E Murray, D G McDevitt
	BMJ  1997;315:1333-1337 [Abstract] [Full text] [Request Permissions]

	Randomised trial of octreotide for long term management of cirrhosis after variceal haemorrhage
	Spencer A Jenkins, John N Baxter, Mair Critchley, Andrew N Kingsnorth, Carol A Makin, Simon Ellenbogen, J Steven Grime, Janet G Love, Robert Sutton
	BMJ  1997;315:1338-1341 [Abstract] [Full text] [Request Permissions]

	Does malnutrition in utero determine diabetes and coronary heart disease in adulthood? Results from the Leningrad siege study, a cross sectional study
	S A Stanner, K Bulmer, C Andrès, O E Lantseva, V Borodina, V V Poteen, J S Yudkin
	BMJ  1997;315:1342-1348 [Abstract] [Full text] [Request Permissions]

	Commentary: a hypothesis challenged
	Janet W Rich-Edwards, Matthew W Gillman
	BMJ  1997;315:1348-1349 [Full text] [Request Permissions]

	Effectiveness of a regional trauma system in reducing mortality from major trauma: before and after study
	Jon Nicholl, Janette Turner
	BMJ  1997;315:1349-1354 [Abstract] [Full text] [Request Permissions]

	Effect of a strict HLA matching policy on distribution of cadaveric kidney transplants to Indo-Asian and white European recipients: regional study
	R M Higgins, N West, M E Edmunds, D C Dukes, H Kashi, A Jurewicz, F T Lam
	BMJ  1997;315:1354-1355 [Full text] [Request Permissions]

Clinical review

	Fortnightly review: work factors and upper limb disorders
	Peter W Buckle
	BMJ  1997;315:1360-1363 [Full text] [Request Permissions]

	Lesson of the week: Oxybutynin and cognitive dysfunction
	C A Donnellan, L Fook, P McDonald, J R Playfer
	BMJ  1997;315:1363-1364 [Full text] [Request Permissions]

	ABC of palliative care: Depression, anxiety, and confusion
	Jennifer Barraclough
	BMJ  1997;315:1365-1368 [Full text] [Request Permissions]

General practice

	Improving uptake of breast screening in multiethnic populations: a randomised controlled trial using practice reception staff to contact non-attenders
	J Atri, M Falshaw, R Gregg, J Robson, R Z Omar, S Dixon
	BMJ  1997;315:1356-1359 [Abstract] [Full text] [Request Permissions]

Soundings

	Remember them well
	Liam Farrell
	BMJ  1997;315:1385 [Full text] [Request Permissions]

Personal views

	The other side of the fence
	Anthea Tinker
	BMJ  1997;315:1385-1386 [Full text] [Request Permissions]

Medicine and books

	Mechanisms of Disease: An Introduction to Clinical Science, by Ed S Tomlinson, A M Heagerty, A P Weetman
	E R Chilvers
	BMJ  1997;315:1387 [Full text] [Request Permissions]

	A Sceptic's Medical Dictionary, by Michael O'Donnell
	J P Bunker
	BMJ  1997;315:1387 [Full text] [Request Permissions]

Education and debate

	Personal paper: Disclosure of clinical audit records in law: risks and possible defences
	Christopher Womack, Susan Roger, Mandie Lavin
	BMJ  1997;315:1369-1370 [Full text] [Request Permissions]

	Meta-analysis: Potentials and promise
	Matthias Egger, George Davey Smith
	BMJ  1997;315:1371-1374 [Full text] [Request Permissions]

Letters

	New method for expressing survival in cancer
	L B Tan, Jayne Harrison, Ettore Marubini, Luigi Mariani, Jon Cresswell
	BMJ  1997;315:1375 [Full text] [Request Permissions] [extra]

	Cognitive behaviour therapy
	Michael Sharpe, Simon Wessely, Sten Thelander
	BMJ  1997;315:1376 [Full text] [Request Permissions]

	Patients with implants should be given implant cards for reference
	S Purkayastha
	BMJ  1997;315:1377 [Full text] [Request Permissions]

	General practice should be central to community mental health services
	J P Kingsland, Robin Williams
	BMJ  1997;315:1377 [Full text] [Request Permissions]

	Treating diarrhoea
	Sandra J Taylor, A R Cadamy, Gary Parkes, E R Blay, L A McCowat, W A M Cutting, D Steinke, T M MacDonald, Jonathan W Inglesfield, Daryl Leung, Pradhib Venkatesan, Sherwood L Gorbach
	BMJ  1997;315:1377-1378 [Full text] [Request Permissions]

	Study linking enteroviral infection with motor neurone disease is not confirmed
	Scott Rice, Roger Pamphlett
	BMJ  1997;315:1380 [Full text] [Request Permissions]

	Charity helps doctors with addictive diseases to obtain treatment
	Charles McKendrick, Ian Joiner
	BMJ  1997;315:1380 [Full text] [Request Permissions]

	Family secrets
	Susan Bewley, Alan Barnett, Steve Stott
	BMJ  1997;315:1380 [Full text] [Request Permissions]

	Nicotine replacement therapy on the NHS
	Nick Bradley, Anne Mitchell
	BMJ  1997;315:1381 [Full text] [Request Permissions]

	Old fashioned methods of diagnosis have their place
	Anne Savage
	BMJ  1997;315:1381 [Full text] [Request Permissions]

Obituaries

	Douglas William Cammock
	BMJ  1997;315:1382 [Full text]

Minerva

	Minerva
	BMJ  1997;315:1388 [Full text] [Request Permissions]

Fillers

	Endpiece: Asherisms
	BMJ  1997;315 [Full text] [Request Permissions]

	A memorable patient: Trip from Africa
	R M Bannatyne
	BMJ  1997;315 [Full text] [Request Permissions]

	A patient with a message: Unacknowledged depression
	D C Owen
	BMJ  1997;315 [Full text] [Request Permissions]

Career focus

	Family practitioner in the United States
	Roy L Bishop
	BMJ  1997;315:2 [Full text] [Request Permissions]

	Briefing: The Calman reforms to postgraduate medical training left clinical academics ...
	BMJ  1997;315:3 [Full text] [Request Permissions]

	Briefing: The web version of this article is available, as ever, ...
	BMJ  1997;315:3 [Full text] [Request Permissions]

	Briefing: Our email list CAREER-F goes from strength to strength: if ...
	BMJ  1997;315:3 [Full text] [Request Permissions]

CHOICE

	The BMJ loves surgeons: true
	BMJ  1997;315 [Full text] [Request Permissions]

MEDICINE AND THE MEDIA

	The spin on sperm
	Kamran Abbasi
	BMJ  1997;315:1386 [Full text] [Request Permissions]

MEDICOPOLITICAL DIGEST

	Changes proposed to specialist medical order • GMC wants to measure progress on The New Doctor • UK medical students should have free movement • Services for children should be improved
	BMJ  1997;315:1384 [Full text] [Request Permissions]

Career focus

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

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