Healthcare systems should fund sildenafil [Full text]

	New operations bring period of increased hazard for patients [Full text]

	Temperature measured at the axilla in children and young people may be misleading [Full text]

	Ethics approval for multicentre research is expensive, slow, and inconsistent [Full text]

	Non-sedating antihistamines have differing sedative effects [Full text]

	Material conditions directly affect health inequalities, not income inequality [Full text]

Editorials

	Do not resuscitate decisions: flogging dead horses or a dignified death?
	Shah Ebrahim
	BMJ  2000;320:1155-1156, doi:10.1136/bmj.320.7243.1155 [Full text] [PDF] [Request Permissions]

	Valuing the effects of sildenafil in erectile dysfunction
	Nick Freemantle
	BMJ  2000;320:1156-1157, doi:10.1136/bmj.320.7243.1156 [Full text] [PDF] [Request Permissions]

	Multicentre research ethics committees: has the cure been worse than the disease?
	K G M M Alberti
	BMJ  2000;320:1157-1158, doi:10.1136/bmj.320.7243.1157 [Full text] [PDF] [Request Permissions]

	Risk of torsades de pointes with non-cardiac drugs
	Yee Guan Yap, John Camm
	BMJ  2000;320:1158-1159, doi:10.1136/bmj.320.7243.1158 [Full text] [PDF] [Request Permissions]

	Reducing the speed limit to 20 mph in urban areas
	Paul Pilkington
	BMJ  2000;320:1160, doi:10.1136/bmj.320.7243.1160 [Full text] [PDF] [Request Permissions]

News

	Control malaria to help defeat poverty, says WHO
	Zosia Kmietowicz
	BMJ  2000;320:1161, doi:10.1136/bmj.320.7243.1161 [Full text] [PDF]

	NHS should be recast in BBC mould, says report
	Caroline White
	BMJ  2000;320:1161, doi:10.1136/bmj.320.7243.1161/a [Full text] [PDF]

	Spain launches national plan for palliative care
	Xavier Bosch
	BMJ  2000;320:1162, doi:10.1136/bmj.320.7243.1162 [Full text] [PDF]

	Health insurer delays psychiatric admissions
	Doug Payne
	BMJ  2000;320:1162, doi:10.1136/bmj.320.7243.1162/a [Full text] [PDF]

	In brief
	BMJ  2000;320:1162, doi:10.1136/bmj.320.7243.1162/b [Full text] [PDF]

	National register will monitor hip replacements
	Judy Jones
	BMJ  2000;320:1163, doi:10.1136/bmj.320.7243.1163 [Full text] [PDF]

	Discrimination "rife" against mental health patients
	Dolly Chadda
	BMJ  2000;320:1163, doi:10.1136/bmj.320.7243.1163/a [Full text] [PDF]

	Guru promotes global health
	BMJ  2000;320:1164, doi:10.1136/bmj.320.7243.1164 [Full text] [PDF]

Papers

	Cost utility analysis of sildenafil compared with papaverine-phentolamine injections
	Elly A Stolk, Jan J V Busschbach, Max Caffa, Eric J H Meuleman, Frans F H Rutten
	BMJ  2000;320:1165, doi:10.1136/bmj.320.7243.1165 [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions]

	Scientific, ethical, and logistical considerations in introducing a new operation: a retrospective cohort study from paediatric cardiac surgery
	Catherine Bull, R Yates, D Sarkar, J Deanfield, M de Leval
	BMJ  2000;320:1168-1173, doi:10.1136/bmj.320.7243.1168 [Abstract] [Full text] [PDF] [Request Permissions]

	Temperature measured at the axilla compared with rectum in children and young people: systematic review
	Jean V Craig, Gillian A Lancaster, Paula R Williamson, Rosalind L Smyth
	BMJ  2000;320:1174-1178, doi:10.1136/bmj.320.7243.1174 [Abstract] [Full text] [PDF] [Request Permissions] [extra: Search terms references]

	The new system of review by multicentre research ethics committees: prospective study
	Joanna Tully, Nelly Ninis, Robert Booy, Russell Viner
	BMJ  2000;320:1179-1182, doi:10.1136/bmj.320.7243.1179 [Abstract] [Full text] [PDF] [Request Permissions]

	Responses of local research ethics committees to a study with approval from a multicentre research ethics committee
	Andrew L Lux, Stuart W Edwards, John P Osborne
	BMJ  2000;320:1182-1183, doi:10.1136/bmj.320.7243.1182 [Full text] [PDF] [Request Permissions]

Clinical review

	Regular review: Drug treatment in heart failure
	Eva Lonn, Robert McKelvie
	BMJ  2000;320:1188-1192, doi:10.1136/bmj.320.7243.1188 [Full text] [PDF] [Request Permissions] [extra: Drugs recommended for use]

	ABC of arterial and venous disease: Arterial aneurysms
	M M Thompson, P R F Bell
	BMJ  2000;320:1193-1196, doi:10.1136/bmj.320.7243.1193 [Full text] [PDF] [Request Permissions]

General practice

	Sedation with "non-sedating" antihistamines: four prescription-event monitoring studies in general practice • Commentary: Reporting of adverse events is worth the effort
	Ronald D Mann, Gillian L Pearce, Nicholas Dunn, Saad Shakir, R E Ferner
	BMJ  2000;320:1184-1187, doi:10.1136/bmj.320.7243.1184 [Abstract] [Full text] [PDF] [Request Permissions]

Soundings

	The class reunion
	Kevin Barraclough
	BMJ  2000;320:1217, doi:10.1136/bmj.320.7243.1217/a [Full text] [Request Permissions]

Personal views

	The ethics of research ethics committees
	Jon Nicholl
	BMJ  2000;320:1217, doi:10.1136/bmj.320.7243.1217 [Full text] [Request Permissions]

Education and debate

	How should cost data in pragmatic randomised trials be analysed?
	Simon G Thompson, Julie A Barber
	BMJ  2000;320:1197-1200, doi:10.1136/bmj.320.7243.1197 [Full text] [PDF] [Request Permissions]

	Income inequality and mortality: importance to health of individual income, psychosocial environment, or material conditions
	John W Lynch, George Davey Smith, George A Kaplan, James S House
	BMJ  2000;320:1200-1204, doi:10.1136/bmj.320.7243.1200 [Full text] [PDF] [Request Permissions]

Letters

This week's letters [PDF]

	A good death
	James Grogono, Ann Bowling, Matthew Thomas, Richard Day, Margaret Brown, Andrew Fowell, Ilora Finlay
	BMJ  2000;320:1205, doi:10.1136/bmj.320.7243.1205 [Full text] [Request Permissions]

	Older Americans hold on to life dearly
	Randall McShine, Gerson T Lesser, Antonios Likourezos
	BMJ  2000;320:1206, doi:10.1136/bmj.320.7243.1206 [Full text] [Request Permissions]

	New models of journals must be sought
	Tim Albert
	BMJ  2000;320:1207, doi:10.1136/bmj.320.7243.1207 [Full text] [Request Permissions]

	Population, consumption, and entrapment
	Giuseppe Benagiano, Michele Ermini, John Guillebaud
	BMJ  2000;320:1207, doi:10.1136/bmj.320.7243.1207/a [Full text] [Request Permissions]

	Eradicating war is essential to eliminate poverty and improve health
	Robin Stott, Douglas Holdstock
	BMJ  2000;320:1208, doi:10.1136/bmj.320.7243.1208 [Full text] [Request Permissions]

	Will eradication of Helicobacter pylori improve symptoms of non-ulcer dyspepsia?
	Chris Cates, Brendan Delaney, Paul Moayyedi, Shelly Soo, Jon Deeks, David Forman, D Pantoflickova, A L Blum, N J Talley, H R Koelz, Deirdre McNamara, M Buckley, C O'Morain, Liisa Jaakkimainen, Eleanor Boyle, Fred Tudiver
	BMJ  2000;320:1208, doi:10.1136/bmj.320.7243.1208/a [Full text] [Request Permissions]

	Use of unlabelled and off licence drugs in children
	F Andrew I Riordan, Nicolino Ruperto, Alberto Martini
	BMJ  2000;320:1210, doi:10.1136/bmj.320.7243.1210 [Full text] [Request Permissions]

	Prescriptions on bioterrorism have it backwards
	Hillel W Cohen, Victor W Sidel, Robert M Gould
	BMJ  2000;320:1211, doi:10.1136/bmj.320.7243.1211 [Full text] [Request Permissions]

	Pathogen causing infection related to body piercing should be determined
	Rakesh Khanna, S Sathish Kumar
	BMJ  2000;320:1211, doi:10.1136/bmj.320.7243.1211/a [Full text] [Request Permissions]

	Patient information systems are not more expensive than leaflets
	Ray Jones, Neil Craig
	BMJ  2000;320:1212, doi:10.1136/bmj.320.7243.1212 [Full text] [Request Permissions]

	Joint committee on postgraduate training for GPs needs more money for its work
	Brian Keighley, John Chisholm, Mike Pringle
	BMJ  2000;320:1212, doi:10.1136/bmj.320.7243.1212/a [Full text] [Request Permissions]

Obituaries

This week's obituaries [PDF]

	Malcolm John Coptcoat • Sivabakiyam ("Soondree") Chetty • Norman Gill • Owen Dermot Gilmore
	Peter Thompson, David Mulvin, Parimala Moodley, Saraladevi Naicker, Sheila Paul, O J A Gilmore
	BMJ  2000;320:1213, doi:10.1136/bmj.320.7243.1213 [Full text]

Minerva

	Minerva
	BMJ  2000;320:1218, doi:10.1136/bmj.320.7243.1218 [Full text] [PDF] [Request Permissions]

Fillers

	A memorable interview: The odd man out
	Simon Turner
	BMJ  2000;320:1178, doi:10.1136/bmj.320.7243.1178 [Full text] [PDF] [Request Permissions]

	The cost of getting approval
	Sandra Flynn
	BMJ  2000;320:1183, doi:10.1136/bmj.320.7243.1183 [Full text] [PDF] [Request Permissions]

	A memorable patient: Keep looking for a reason
	Michael Powell
	BMJ  2000;320:1187, doi:10.1136/bmj.320.7243.1187 [Full text] [PDF] [Request Permissions]

	Email submissions from outside the United Kingdom
	BMJ  2000;320:1188, doi:10.1136/bmj.320.7243.1188/a [Full text] [Request Permissions]

	A memorable anaesthetic: "Shouldn't we do something about the fire?"
	Peter Young
	BMJ  2000;320:1196, doi:10.1136/bmj.320.7243.1196 [Full text] [PDF] [Request Permissions]

	A memorable afternoon: Fifty five years later
	Martin Fairman
	BMJ  2000;320:1204, doi:10.1136/bmj.320.7243.1204 [Full text] [PDF] [Request Permissions]

Corrections

	Treating young patients with breast cancer
	BMJ  2000;320:1173 [Full text] [PDF] [Request Permissions]

	Lord, protect me from my friends
	BMJ  2000;320:1173 [Full text] [Request Permissions]

BOOK

	Book: Evidence Based Gastroenterology and Hepatology
	Heinz F Hammer, Andreas Eherer
	BMJ  2000;320:1215, doi:10.1136/bmj.320.7243.1215 [Full text] [PDF] [Request Permissions]

	Book: Bioethics: An Anthology
	Charles Weijer
	BMJ  2000;320:1215, doi:10.1136/bmj.320.7243.1215/a [Full text] [Request Permissions]

	Book: Humanitarian Crises: The Medical and Public Health Response
	Derek Summerfield
	BMJ  2000;320:1216, doi:10.1136/bmj.320.7243.1216 [Full text] [Request Permissions]

CHOICE

	Ebrahim's quartet
	BMJ  2000;320, doi:10.1136/bmj.320.7243.0 [Full text] [PDF] [Request Permissions]

THEATRE

	Theatre: Blue/Orange
	Jason O'Neale Roach
	BMJ  2000;320:1216, doi:10.1136/bmj.320.7243.1216/a [Full text] [Request Permissions]

CHOICE GP

	Ebrahim's quartet
	BMJ  2000;320, doi:10.1136/bmj.320.7243.0/a [Full text] [PDF] [Request Permissions]

MEDICOPOLITICAL DIGEST

	Consultants' leaders spell out NHS spending priorities • Doctors are becoming disillusioned with NHS • Patients should be involved in quality improvement • Medical students issue standards for medical education
	BMJ  2000;320:1214, doi:10.1136/bmj.320.7243.1214 [Full text] [PDF] [Request Permissions]

Career focus

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

Website extra

Should we limit the number of rapid responses we publish from one individual? [Full text]

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