Medicine's complexity: exhausting or inspiring?
	Richard Smith
	BMJ  2004;328, doi: 10.1136/bmj.328.7431.0-f [Extract] [Full text] [PDF] [Request Permissions] FREE

This week in the BMJ

This week's This week in the BMJ

	Lower tar makes no difference [Full text] FREE

	Translation affects results of cross cultural surveys [Full text] FREE

	Intensive follow up of patients with colorectal cancer is cost effective [Full text] FREE

	Down's syndrome and neural tube defects are not linked [Full text] FREE

	Cure needed for sick certificates [Full text] FREE

	Cataract surgery is now customised [Full text] FREE

Editorials

This week's Editorials

	Treating inguinal hernias
	Andrew Kingsnorth
	BMJ  2004;328:59-60, doi: 10.1136/bmj.328.7431.59 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Health tourism
	Edwin Borman
	BMJ  2004;328:60-61, doi: 10.1136/bmj.328.7431.60 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Preserving today's scientific record for tomorrow
	Victoria Reich, David Rosenthal
	BMJ  2004;328:61-62, doi: 10.1136/bmj.328.7431.61 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Who should look after people with Parkinson's disease?
	Rajendra Kale, Matthew Menken
	BMJ  2004;328:62-63, doi: 10.1136/bmj.328.7431.62 [Extract] [Full text] [PDF] [Request Permissions] [extra: Extra references] FREE

	Surgery in asymptomatic aortic stenosis
	Gerald P McCann, W Stewart Hillis
	BMJ  2004;328:63-64, doi: 10.1136/bmj.328.7431.63 [Extract] [Full text] [PDF] [Request Permissions] FREE

Letters

This week's Letters

	Is the NHS getting better or worse?: Making use of information is the key
	Leela M Barham
	BMJ  2004;328:106, doi: 10.1136/bmj.328.7431.106 [Extract] [Full text] [Request Permissions] FREE

	Is the NHS getting better or worse?: Role of information in assessing quality is undervalued
	Michael J Rigby
	BMJ  2004;328:106, doi: 10.1136/bmj.328.7431.106-a [Extract] [Full text] [Request Permissions] FREE

	Is the NHS getting better or worse?: Better to be vaguely right than precisely wrong
	David Kernick
	BMJ  2004;328:106, doi: 10.1136/bmj.328.7431.106-b [Extract] [Full text] [Request Permissions] FREE

	Is the NHS getting better or worse?: We need to ask the right questions
	Robert Leckridge
	BMJ  2004;328:107, doi: 10.1136/bmj.328.7431.107 [Extract] [Full text] [Request Permissions] FREE

	Is the NHS getting better or worse?: Just who gets to choose which data will matter?
	Peter Davies
	BMJ  2004;328:107, doi: 10.1136/bmj.328.7431.107-a [Extract] [Full text] [Request Permissions] FREE

	Hysterectomy and sexual wellbeing: Data were misrepresented
	William H Parker
	BMJ  2004;328:107, doi: 10.1136/bmj.328.7431.107-b [Extract] [Full text] [Request Permissions] FREE

	Hysterectomy and sexual wellbeing: More questions are yet to be answered
	Andrea Bradford
	BMJ  2004;328:107, doi: 10.1136/bmj.328.7431.107-c [Extract] [Full text] [Request Permissions] FREE

	Hysterectomy and sexual wellbeing: Authors' reply
	Jan-Paul Roovers, C Huub van der Vaart, A Peter M Heintz, Johanna G van der Bom
	BMJ  2004;328:108, doi: 10.1136/bmj.328.7431.108 [Extract] [Full text] [Request Permissions] FREE

	NSAIDs during pregnancy and risk of miscarriage: True risks or only suspicions?
	Benedetta Schiavetti, Antonio Clavenna, Rita Campi, Maurizio Bonati
	BMJ  2004;328:108, doi: 10.1136/bmj.328.7431.108-a [Extract] [Full text] [Request Permissions] FREE

	NSAIDs during pregnancy and risk of miscarriage: Authors' reply
	De-Kun Li, Liyan Liu, Raxana Odouli
	BMJ  2004;328:108-109, doi: 10.1136/bmj.328.7431.108-b [Extract] [Full text] [Request Permissions] FREE

	Danish group reanalyses miscarriage in NSAID users
	Gunnar Lauge Nielsen, Mette Vinther Skriver, Lars Pedersen, Henrik Toft Sørensen
	BMJ  2004;328:109, doi: 10.1136/bmj.328.7431.109 [Extract] [Full text] [Request Permissions] FREE

	Different versions of Glasgow coma scale in British hospitals: The 14 point scale may be worth defending
	David J McAuley
	BMJ  2004;328:109, doi: 10.1136/bmj.328.7431.109-a [Extract] [Full text] [Request Permissions] FREE

	Different versions of Glasgow coma scale in British hospitals: Distinction must be made between real clinical condition and numbers
	Stewart J Griffiths, Renjith B ChandraBose
	BMJ  2004;328:110, doi: 10.1136/bmj.328.7431.110 [Extract] [Full text] [Request Permissions] FREE

	Different versions of Glasgow coma scale in British hospitals: Author's reply
	Martin Wiese
	BMJ  2004;328:110, doi: 10.1136/bmj.328.7431.110-a [Extract] [Full text] [Request Permissions] FREE

	Five Ps in mix of public health advocacy
	Niyi Awofeso
	BMJ  2004;328:110, doi: 10.1136/bmj.328.7431.110-b [Extract] [Full text] [Request Permissions] FREE

	Anecdotage may be associated with age
	Chris Hudson
	BMJ  2004;328:110, doi: 10.1136/bmj.328.7431.110-c [Extract] [Full text] [Request Permissions] FREE

News

This week's News

	WHO confirms SARS in Chinese journalist
	Jane Parry
	BMJ  2004;328:65, doi: 10.1136/bmj.328.7431.65 [Extract] [Full text] [PDF] FREE

	UK authority sets limit on number of embryos transferred
	Susan Mayor
	BMJ  2004;328:65, doi: 10.1136/bmj.328.7431.65-a [Extract] [Full text] [PDF] FREE

	In brief
	BMJ  2004;328:66, doi: 10.1136/bmj.328.7431.66 [Extract] [Full text] [PDF] FREE

	Cold is the main health threat after the Bam earthquake
	Peter Moszynski
	BMJ  2004;328:66, doi: 10.1136/bmj.328.7431.66-a [Extract] [Full text] [PDF] FREE

	Immunologist accused of misconduct is allowed to relocate
	Christopher Zinn
	BMJ  2004;328:66, doi: 10.1136/bmj.328.7431.66-b [Extract] [Full text] [PDF] FREE

	Three journals raise doubts on validity of Canadian studies
	Caroline White
	BMJ  2004;328:67, doi: 10.1136/bmj.328.7431.67 [Extract] [Full text] [PDF] FREE

	Cognitive behaviour therapy affects brain activity differently from antidepressants
	Sue Mayor
	BMJ  2004;328:69, doi: 10.1136/bmj.328.7431.69-a [Extract] [Full text] [PDF] FREE

	Tough at the top
	Melissa Sweet
	BMJ  2004;328:70, doi: 10.1136/bmj.328.7431.70 [Extract] [Full text] [PDF] FREE

News roundup [abridged versions appear in the paper journal]

This week's News roundup

	US universities review subscriptions to journal "package deals" as costs rise
	Susan Mayor
	BMJ  2004;328:68, doi: 10.1136/bmj.328.7431.68 [Extract] [Abridged text] [Abridged PDF] [Full text] FREE

	GMC faces challenge over withdrawing treatment
	Clare Dyer
	BMJ  2004;328:68, doi: 10.1136/bmj.328.7431.68-a [Extract] [Abridged text] [Abridged PDF] [Full text] FREE

	Half of UK patients taking drugs for epilepsy continue to have seizures
	Roger Dobson
	BMJ  2004;328:68, doi: 10.1136/bmj.328.7431.68-b [Extract] [Abridged text] [Abridged PDF] [Full text] FREE

	New Zealand moves to ban direct advertising of drugs
	Bob Burton
	BMJ  2004;328:68, doi: 10.1136/bmj.328.7431.68-c [Extract] [Abridged text] [Abridged PDF] [Full text] FREE

	Scottish doctors will have to register financial links to drug companies
	Bryan Christie
	BMJ  2004;328:69, doi: 10.1136/bmj.328.7431.69 [Extract] [Abridged text] [Abridged PDF] [Full text] FREE

News extra [these stories appear only on the web]

This week's News extra

	Hopes that Novartis deal on tuberculosis will spur donations for HIV and malaria
	Fiona Fleck
	BMJ  2004;328:70, doi: 10.1136/bmj.328.7431.70-a [Extract] [Full text] FREE

	German health reform likely to raise costs for patients
	Annette Tuffs
	BMJ  2004;328:70, doi: 10.1136/bmj.328.7431.70-b [Extract] [Full text] FREE

	Exposure to spouse�s smoking increases risk of lung cancer by over 20%
	Roger Dobson
	BMJ  2004;328:70, doi: 10.1136/bmj.328.7431.70-c [Extract] [Full text] FREE

	Coroner to investigate deaths at Sydney hospitals, as two doctors are suspended
	Christopher Zinn
	BMJ  2004;328:70, doi: 10.1136/bmj.328.7431.70-d [Extract] [Full text] FREE

	Sleeping sickness re-emerges in Uganda
	Benjamin Ochan
	BMJ  2004;328:70, doi: 10.1136/bmj.328.7431.70-e [Extract] [Full text] FREE

	India�s treatment programme for AIDS is premature
	Sanjay Kumar
	BMJ  2004;328:70, doi: 10.1136/bmj.328.7431.70-f [Extract] [Full text] FREE

	UK consultants� fees for private work are amongst highest in world
	Mark Gould
	BMJ  2004;328:70, doi: 10.1136/bmj.328.7431.70-g [Extract] [Full text] FREE

	Pancreatic cancer is associated with long term use of aspirin
	David Spurgeon
	BMJ  2004;328:70, doi: 10.1136/bmj.328.7431.70-h [Extract] [Full text] FREE

	Report highlights shortcomings in private medical schools in India
	Sanjay Kumar
	BMJ  2004;328:i, doi: 10.1136/bmj.328.7431.70-i [Extract] [Full text] FREE

Papers

This week's Papers

	Cigarette tar yields in relation to mortality from lung cancer in the cancer prevention study II prospective cohort, 1982-8
	Jeffrey E Harris, Michael J Thun, Alison M Mondul, Eugenia E Calle
	BMJ  2004;328:72, doi: 10.1136/bmj.37936.585382.44 [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

	Review of prevalence data in, and evaluation of methods for cross cultural adaptation of, UK surveys on tobacco and alcohol in ethnic minority groups
	Raj Bhopal, Amanda Vettini, Sonja Hunt, Sushmita Wiebe, Lisa Hanna, Amanda Amos
	BMJ  2004;328:76, doi: 10.1136/bmj.37963.426308.9A, (Published 5 January 2004) [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

	Cost effectiveness analysis of intensive versus conventional follow up after curative resection for colorectal cancer
	Andrew G Renehan, Sarah T O'Dwyer, David K Whynes
	BMJ  2004;328:81, doi: 10.1136/bmj.328.7431.81 [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] [extra: Additional information and file for calculation of estimates (in Excel)] FREE

	Is there a familial link between Down's syndrome and neural tube defects? Population and familial survey
	Márcia R Amorim, Eduardo E Castilla, Iêda M Orioli
	BMJ  2004;328:84, doi: 10.1136/bmj.37945.610914.EE, (Published 8 December 2003) [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

BMJ family highlights

This week's BMJ family highlights

	What's new this month in BMJ Journals
	Harvey Marcovitch
	BMJ  2004;328:71, doi: 10.1136/bmj.328.7431.71 [Full text] [PDF] [Request Permissions] FREE

Primary care

This week's Primary care

	Sickness certification system in the United Kingdom: qualitative study of views of general practitioners in Scotland
	Susan Hussey, Pat Hoddinott, Phil Wilson, Jon Dowell, Rosaline Barbour
	BMJ  2004;328:88, doi: 10.1136/bmj.37949.656389.EE, (Published 22 December 2003) [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] [extra: Additional information][extra: Appendices A to D] FREE

Clinical review

This week's Clinical review

	Recent advances in customising cataract surgery
	Malcolm Woodcock, Sunil Shah, Ronald J Smith
	BMJ  2004;328:92-96, doi: 10.1136/bmj.328.7431.92 [Extract] [Full text] [PDF] [Request Permissions] [extra: Extra tables and extra references] FREE

	ABC of Eyes: Glaucoma—1: Diagnosis
	P T Khaw, P Shah, A R Elkington
	BMJ  2004;328:97-99, doi: 10.1136/bmj.328.7431.97 [Extract] [Full text] [PDF] [Request Permissions] FREE

Education and debate

This week's Education and debate

	Supervised injecting centres
	Nat M J Wright, Charlotte N E Tompkins
	BMJ  2004;328:100-102, doi: 10.1136/bmj.328.7431.100 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Commentary: Supervised fixing rooms, supervised injectable maintenance clinics—understanding the difference
	John Strang, Rudi Fortson
	BMJ  2004;328:102-103, doi: 10.1136/bmj.328.7431.102 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Learning from Thailand's health reforms
	Adrian Towse, Anne Mills, Viroj Tangcharoensathien
	BMJ  2004;328:103-105, doi: 10.1136/bmj.328.7431.103 [Extract] [Full text] [PDF] [Request Permissions] [extra: Tables showing costs] FREE

Obituaries

This week's Obituaries

	Richard Bonar McConnell
	Tim Bullamore
	BMJ  2004;328:111, doi: 10.1136/bmj.328.7431.111 [Extract] [Full text] FREE

	Michael Dunne
	Muiris Houston
	BMJ  2004;328:112, doi: 10.1136/bmj.328.7431.112 [Extract] [Full text] [extra: Longer version] FREE

	Alan James Franklin
	Nigel Speight
	BMJ  2004;328:112, doi: 10.1136/bmj.328.7431.112-a [Extract] [Full text] [extra: Longer version] FREE

	Kathryn Jane Hosker
	Julie Thomas
	BMJ  2004;328:112, doi: 10.1136/bmj.328.7431.112-b [Extract] [Full text] [extra: Longer version] FREE

	Oscar Magidson
	Dennis M Krikler
	BMJ  2004;328:112, doi: 10.1136/bmj.328.7431.112-c [Extract] [Full text] [extra: Longer version] FREE

	Pauline Edna Molony (née Buckeridge)
	BMJ  2004;328:112, doi: 10.1136/bmj.328.7431.112-d [Extract] [Full text] FREE

	Thomas Millar Pollock
	Steve Pollock
	BMJ  2004;328:112, doi: 10.1136/bmj.328.7431.112-e [Extract] [Full text] [extra: Longer version] FREE

	Andrew William Prior
	Kate Prior
	BMJ  2004;328:112, doi: 10.1136/bmj.328.7431.112-f [Extract] [Full text] [extra: Longer version] FREE

reviews

This week's reviews

	Book: Nature and Narrative: An Introduction to the New Philosophy of Psychiatry
	D B Double
	BMJ  2004;328:113, doi: 10.1136/bmj.328.7431.113 [Extract] [Full text] [Request Permissions] FREE

	Book: Problem-Based Learning for Health Improvement: Practical Public Health for Every Professional
	Ignasi Agell
	BMJ  2004;328:113, doi: 10.1136/bmj.328.7431.113-a [Extract] [Full text] [Request Permissions] FREE

	Book: Experiment: Conversations in Art and Science
	John Quin
	BMJ  2004;328:114, doi: 10.1136/bmj.328.7431.114 [Extract] [Full text] [Request Permissions] FREE

	TV: Doctors and Nurses
	Giulio Bognolo
	BMJ  2004;328:114, doi: 10.1136/bmj.328.7431.114-a [Extract] [Full text] [Request Permissions] FREE

	PERSONAL VIEW: Fall of a dictator, failure of ethics
	Samer Jabbour
	BMJ  2004;328:115, doi: 10.1136/bmj.328.7431.115 [Extract] [Full text] [Request Permissions] FREE

	SOUNDINGS: Prevention is better than cure
	Imre Loefler
	BMJ  2004;328:115, doi: 10.1136/bmj.328.7431.115-a [Extract] [Full text] [Request Permissions] FREE

Minerva

This week's Minerva

	Minerva
	BMJ  2004;328:116, doi: 10.1136/bmj.328.7431.116 [Full text] [PDF] [Request Permissions] FREE

Fillers

This week's Fillers

	POEM*: Donepezil is somewhat effective for Alzheimer's, probably better than galantamine
	BMJ  2004;328, doi: 10.1136/bmj.328.7431.0-g [Extract] [Full text] [PDF] [Request Permissions] FREE

	Submitting articles to the BMJ
	BMJ  2004;328:87, doi: 10.1136/bmj.328.7431.87 [Extract] [Full text] [Request Permissions] FREE

	One hundred years ago: Automobiles for medical men
	BMJ  2004;328:91, doi: 10.1136/bmj.328.7431.91 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Advice
	BMJ  2004;328:111, doi: 10.1136/bmj.328.7431.111-a [Extract] [Full text] [Request Permissions] FREE

Corrections

This week's Corrections

	Lassa fever: epidemiology, clinical features, and social consequences
	BMJ  2004;328:96, doi: 10.1136/bmj.328.7431.96 [Full text] [PDF] [Request Permissions] FREE

	Screening in brief intervention trials targeting excessive drinkers in general practice: systematic review and meta-analysis
	BMJ  2004;328:96, doi: 10.1136/bmj.328.7431.96-a [Full text] [PDF] [Request Permissions] FREE

Career focus

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

To see an article, click its [Full Text] link. To review many abstracts, check the boxes to the left of the titles you want, and click the 'Get All Checked Abstract(s)' button. To see one abstract at a time, click its [Abstract] link.