Rationing dialysis on age alone is unjustified [Full text]

	Di Bella multitherapy does not reduce tumour size [Full text]

	Bullying is common in NHS trust [Full text]

	Better guidelines are needed for monitoring of renal function during ACE inhibitor treatment [Full text]

	Doctors in theatre do not mange defibrillation well [Full text]

	Doctors are more wary than lay people of letting medicine invade everyday life [Full text]

Editorials

	Preventing osteoporosis, falls, and fractures among elderly people
	Pekka Kannus
	BMJ  1999;318:205-206 [Full text] [PDF] [Request Permissions]

	Who should take responsibility for antisocial personality disorder?
	Nigel Eastman
	BMJ  1999;318:206-207 [Full text] [PDF] [Request Permissions]

	Microalbuminuria as predictor of outcome
	G Evans, I Greaves
	BMJ  1999;318:207-208 [Full text] [PDF] [Request Permissions]

	Di Bella's therapy: the last word?
	Marcus Müllner
	BMJ  1999;318:208-209 [Full text] [PDF] [Request Permissions]

	The NHS: possibilities for the endgame
	Richard Smith
	BMJ  1999;318:209-210 [Full text] [PDF] [Request Permissions]

	The firing of Brother George
	Richard Smith
	BMJ  1999;318:210 [Full text] [PDF] [Request Permissions]

News

	Ashworth report confirms problems with special hospitals
	John Warden
	BMJ  1999;318:211 [Full text] [PDF]

	In brief
	BMJ  1999;318:212 [Full text] [PDF]

	WHO budget set to reflect new priorities
	Phyllida Brown
	BMJ  1999;318:212 [Full text] [PDF]

	Ritalin may influence serotonin balance in hyperactive children
	Abi Berger
	BMJ  1999;318:212 [Full text] [PDF]

	JAMA's editor fired over sex article
	Janice Hopkins Tanne
	BMJ  1999;318:213 [Full text] [PDF]

	UK study reveals double the risk of ill health in Gulf war veterans
	Susan Mayor
	BMJ  1999;318:213 [Full text] [PDF]

	Intestinal worms impair child health in the Philippines
	Adam Easton
	BMJ  1999;318:214 [Full text] [PDF]

	US doctors file lawsuit against antiabortionists
	Fred Charatan
	BMJ  1999;318:214 [Full text] [PDF]

	Scottish doctors launch their manifesto
	Linda Beecham
	BMJ  1999;318:214 [Full text] [PDF]

	New variantCJD found in tonsils
	Zosia Kmietowicz
	BMJ  1999;318:215 [Full text] [PDF]

	Wales to reform psychiatric care for children
	Roger Dobson
	BMJ  1999;318:215 [Full text] [PDF]

	US Congress debates stemcell research
	James Ciment
	BMJ  1999;318:215 [Full text] [PDF]

	Endocrine disorders remain undetected and untreated in India
	Ganapati Mudur
	BMJ  1999;318:216 [Full text] [PDF]

	Prophylactic mastectomy cuts breast cancer risk
	Scott Gottlieb
	BMJ  1999;318:216 [Full text] [PDF]

	Conservatives blame rationing for winter crisis
	John Warden
	BMJ  1999;318:216 [Full text] [PDF]

Papers

	Is there a rationale for rationing chronic dialysis? A hospital based cohort study of factors affecting survival and morbidity
	Shahid M Chandna, Joerg Schulz, Christopher Lawrence, Roger N Greenwood, Ken Farrington
	BMJ  1999;318:217-223 [Abstract] [Full text] [PDF] [Request Permissions]

	Evaluation of an unconventional cancer treatment (the Di Bella multitherapy): results of phase II trials in Italy
	Italian Study Group for the Di Bella Multitherapy Trials
	BMJ  1999;318:224-228 [Abstract] [Full text] [PDF] [Request Permissions] [extra] [extra: Data Supplement]

	Workplace bullying in NHS community trust: staff questionnaire survey
	Lyn Quine
	BMJ  1999;318:228-232 [Abstract] [Full text] [PDF] [Request Permissions]

	Observational study of defibrillation in theatre
	Jonathan M Fielden, Neil S Bradbury
	BMJ  1999;318:232-233 [Full text] [PDF] [Request Permissions]

Clinical review

	Fortnightly review: Anticoagulation in heart disease
	Suzanna M C Hardman, Martin R Cowie
	BMJ  1999;318:238-244 [Full text] [PDF] [Request Permissions] [extra] [extra: Data Supplement]

	ABC of sexual health: Male sexual problems
	Alain Gregoire
	BMJ  1999;318:245-247 [Full text] [PDF] [Request Permissions]

General practice

	Questionnaire study and audit of use of angiotensin converting enzyme inhibitor and monitoring in general practice: the need for guidelines to prevent renal failure
	P A Kalra, M Kumwenda, P MacDowall, M O Roland
	BMJ  1999;318:234-237 [Abstract] [Full text] [PDF] [Request Permissions]

Soundings

	Good news is no news
	Liam Farrell
	BMJ  1999;318:271 [Full text] [Request Permissions]

Personal views

	Ashworth revisited
	John Gunn
	BMJ  1999;318:271 [Full text] [Request Permissions]

Education and debate

	Shared ethical principles for everybody in health care: a working draft from the Tavistock Group • Introduction • A shared statement of ethical principles for those who shape and give health care
	Richard Smith, Howard Hiatt, Donald Berwick, Tavistock Group
	BMJ  1999;318:248-251 [Full text] [PDF] [Request Permissions]

	Professional and public attitudes towards unsolicited medical intervention
	Matjaz Zwitter, Tore Nilstun, Lisbeth E Knudsen, Branko Zakotnik, Johann Klocker, Stefan Bremberg, Gerda Frentz, Ursula Klocker-Kaiser, Jette Pedersen
	BMJ  1999;318:251-253 [Full text] [PDF] [Request Permissions]

	Narrative based medicine: Narrative in medical ethics
	Anne Hudson Jones
	BMJ  1999;318:253-256 [Full text] [PDF] [Request Permissions]

Letters

This week's letters [PDF]

	Taking precautions with angiotensin converting enzyme inhibitors
	Jonathan D Louden, John Main, David R Murdoch, Tahseen A Chowdhury, Mark Ferris, A Kumar, M Asim, A M Davison
	BMJ  1999;318:257 [Full text] [Request Permissions]

	Clinicians should be proactive in testing for asthma
	A J Wardlaw, I D Pavord
	BMJ  1999;318:258 [Full text] [Request Permissions]

	Methods used for suicide vary between regions in the developing world
	Vikram Patel, Athula Sumathipala
	BMJ  1999;318:259 [Full text] [Request Permissions]

	Association between birth weight and death from heart disease
	R J Jarrett, David A Leon, Ilona Koupilová, Paul McKeigue, Hans O Lithell, Rawya Mohsen, Lars Berglund, Ulla-Britt Lithell, Denny Vågerö
	BMJ  1999;318:259 [Full text] [Request Permissions]

	Should industry sponsor research?
	Tony Waterston, Ashok Nathwani, David Morley, Neela Shabde, Nick Spencer, Gilles de Wildt, Pam Zinkin, David C A Candy, A Porter, Jean Coussins
	BMJ  1999;318:260 [Full text] [Request Permissions]

	Rescue thrombolysis for failure of primary thrombolysis cannot be justified
	A G C Sutton
	BMJ  1999;318:261 [Full text] [Request Permissions]

	Chiropractic for low back pain
	Alan Breen, Eva Leerberg, Michael D Pedigo, Gordon Waddell, Lynton G F Giles, E Ernst, W J J Assendelft
	BMJ  1999;318:261 [Full text] [Request Permissions]

	Randomised block design is more powerful than minimisation
	N Ross
	BMJ  1999;318:263 [Full text] [Request Permissions]

	Identification of patients with atrial fibrillation in general practice
	Mark Sudlow, Helen Rodgers, Rose Anne Kenny, Richard Thomson
	BMJ  1999;318:264 [Full text] [Request Permissions]

	Potential collaborators saw various problems with study of detoxification under anaesthesia
	John Strang, Jenny Bearn, Michael Gossop
	BMJ  1999;318:264 [Full text] [Request Permissions]

	Doctors don't see enough peaceful deaths
	Fiona Haas
	BMJ  1999;318:264 [Full text] [Request Permissions]

Obituaries

This week's obituaries [PDF]

	Vernon Frederick ("Sam") Hall • David Marsden Fletcher • James Edward Hilton • Lancelot Craig Montgomery • Leslie Gordon Morrison • Helen Duncanson Tennent Smith • John Edward Utting • Alan Richardson Wilson
	Marcia Hall, Alan Jackson, Ralph A A R Lawrence, K D Stewart, J R Evans, G Johnston, Lewis Reay, Betty Taylor, Douglas Philips, R S Ahearn, J E Wilson
	BMJ  1999;318:265 [Full text]

Minerva

	Minerva
	BMJ  1999;318:272 [Full text] [PDF] [Request Permissions]

Fillers

	A memorable patient: Long term follow up
	Roger Doherty
	BMJ  1999;318:233 [Full text] [PDF] [Request Permissions]

	A grateful patient: Not what he wanted
	N C Mond
	BMJ  1999;318:237 [Full text] [PDF] [Request Permissions]

	Endpieces: The country matters
	BMJ  1999;318:238 [Full text] [Request Permissions]

	A memorable incident: When is a spade not a spade
	P J Tomlin
	BMJ  1999;318:256 [Full text] [PDF] [Request Permissions]

Career focus

	Opportunities for doctors in the prison service
	J Bilkhu, Mike Longfield, P J Keavney
	BMJ  1999;318:2 [Full text] [Request Permissions]

	Briefing: Students in Nottingham are fortunate to have a career handbook ...
	BMJ  1999;318:3 [Full text] [Request Permissions]

	Briefing: Some trusts, and even some deaneries, are flagrantly flouting [the ...
	BMJ  1999;318:3 [Full text] [Request Permissions]

CHOICE

	Four difficult questions
	BMJ  1999;318 [Full text] [PDF] [Request Permissions]

CHOICE GP

	Four difficult questions
	BMJ  1999;318 [Full text] [PDF] [Request Permissions]

MULTIMEDIA

	Book: Too Much Medicine?
	Peter Richards
	BMJ  1999;318:268 [Full text] [PDF] [Request Permissions]

	Book: Di Bella: the Man, the Cure, a Hope for All
	Abi Berger
	BMJ  1999;318:268 [Full text] [Request Permissions]

	TV: Trial by video
	Annabel Ferriman
	BMJ  1999;318:269 [Full text] [Request Permissions]

	Website of the week: http://www.pbs.org/wgbh/pages/frontline/shows/syndrome/
	Richard Harling
	BMJ  1999;318:269 [Full text] [Request Permissions]

	Press: Crisis, what crisis?
	Geoff Watts
	BMJ  1999;318:270 [Full text] [Request Permissions]

MEDICOPOLITICAL DIGEST

	Suspension unfair to doctors, say peers • Health Alert 2000 launched • NHS crisis caused by gradual attrition
	BMJ  1999;318:267 [Full text] [PDF] [Request Permissions]

Career focus

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

Website extra

Viagra rationing debate [Full text]

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