Think harm always
	Richard Smith
	BMJ  2004;329, doi: 10.1136/bmj.329.7456.0-g [Extract] [Full text] [PDF] [Request Permissions] FREE

This week in the BMJ

This week's This week in the BMJ

	Adverse drug reactions cause too many hospital admissions [Full text] FREE

	Uterine rupture is more likely, but not common, after previous caesarean section [Full text] FREE

	Forceps and vacuum delivery pose the same mortality risk for babies [Full text] FREE

	Does St John's wort interact with conventional drugs? [Full text] FREE

	Results of clinical trials are not generalisable [Full text] FREE

	Do antidepressants reduce suicide? [Full text] FREE

Editorials

This week's Editorials

	The road to health care
	Luis Gabriel Cuervo, Jeffrey K Aronson
	BMJ  2004;329:1-2, doi: 10.1136/bmj.329.7456.1 [Extract] [Full text] [PDF] [Request Permissions]

	Benefits and harms of drug treatments
	Jan P Vandenbroucke
	BMJ  2004;329:2-3, doi: 10.1136/bmj.329.7456.2 [Extract] [Full text] [PDF] [Request Permissions] [extra: Additional references]

	New interventional procedures
	Tom Dent, Sally Wortley, Bruce Campbell
	BMJ  2004;329:3-4, doi: 10.1136/bmj.329.7456.3 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Pharmacogenetics—expectations and reality
	Geoff Tucker
	BMJ  2004;329:4-6, doi: 10.1136/bmj.329.7456.4 [Extract] [Full text] [PDF] [Request Permissions]

	Collecting and sharing information about harms
	Munir Pirmohamed, Janet Darbyshire
	BMJ  2004;329:6-7, doi: 10.1136/bmj.329.7456.6 [Extract] [Full text] [PDF] [Request Permissions] [extra: Additional references]

	Assessing the benefit-harm balance at the bedside
	Yoon Kong Loke
	BMJ  2004;329:7-8, doi: 10.1136/bmj.329.7456.7 [Extract] [Full text] [PDF] [Request Permissions] [extra: Additional table] FREE

Letters

This week's Letters

	Open letter to Annette King, Minister of Health, New Zealand
	Andrew Herxheimer
	BMJ  2004;329:51, doi: 10.1136/bmj.329.7456.51 [Extract] [Full text] [Request Permissions] [extra: Affiliations and competing interests]

	Postmarketing surveillance is needed
	Venkoba R Srinivas
	BMJ  2004;329:51, doi: 10.1136/bmj.329.7456.51-a [Extract] [Full text] [Request Permissions]

	Electronic incident reporting and professional monitoring transforms culture
	Stephen Bolsin, Andrew Patrick, Bernie Creati, Mark Colson, Leah Freestone
	BMJ  2004;329:51-52, doi: 10.1136/bmj.329.7456.51-b [Extract] [Full text] [Request Permissions]

	North-south divide in social inequalities in Great Britain: Divide in social class inequalities may exist but is small
	J Martin Bland
	BMJ  2004;329:52, doi: 10.1136/bmj.329.7456.52 [Extract] [Full text] [Request Permissions]

	North-south divide in social inequalities in Great Britain: Self perceived health is affected by anxiety and self esteem
	Michael Croft
	BMJ  2004;329:52, doi: 10.1136/bmj.329.7456.52-a [Extract] [Full text] [Request Permissions]

	North-south divide in social inequalities in Great Britain: Health inequalities in Wirral: a living Black report?
	Anthony G Cummins
	BMJ  2004;329:52-53, doi: 10.1136/bmj.329.7456.52-b [Extract] [Full text] [Request Permissions]

	North-south divide in social inequalities in Great Britain: Authors' reply
	Tim Doran, Frances Drever, Margaret Whitehead
	BMJ  2004;329:53, doi: 10.1136/bmj.329.7456.53 [Extract] [Full text] [Request Permissions]

	Fighting obesity: Physical activity has major role
	Adrian L Davis
	BMJ  2004;329:53, doi: 10.1136/bmj.329.7456.53-a [Extract] [Full text] [Request Permissions]

	Fighting obesity: Programme to fight obesity in primary care already exists
	John Broom, David Haslam
	BMJ  2004;329:53, doi: 10.1136/bmj.329.7456.53-b [Extract] [Full text] [Request Permissions]

	Fighting obesity: Clarification from World Health Organization
	Catherine Le Gales-Camus, Amalia Waxman
	BMJ  2004;329:53-54, doi: 10.1136/bmj.329.7456.53-c [Extract] [Full text] [Request Permissions]

	Childhood obesity and consumption of fizzy drinks: Diet is not that important in obesity
	Des Spence
	BMJ  2004;329:54, doi: 10.1136/bmj.329.7456.54 [Extract] [Full text] [Request Permissions]

	Childhood obesity and consumption of fizzy drinks: Play outside to reduce childhood obesity
	Alan Sutton
	BMJ  2004;329:54, doi: 10.1136/bmj.329.7456.54-a [Extract] [Full text] [Request Permissions]

	Childhood obesity and consumption of fizzy drinks: Commercial interests have important role
	Trisha Greenhalgh
	BMJ  2004;329:54, doi: 10.1136/bmj.329.7456.54-b [Extract] [Full text] [Request Permissions]

News

This week's News

	UK universities agree protocol for tobacco company funding
	Susan Mayor
	BMJ  2004;329:9, doi: 10.1136/bmj.329.7456.9 [Extract] [Full text] [PDF]

	Drug for Alzheimer's disease is of little benefit, study shows
	Debashis Singh
	BMJ  2004;329:9, doi: 10.1136/bmj.329.7456.9-a [Extract] [Full text] [PDF]

	In brief
	BMJ  2004;329:10, doi: 10.1136/bmj.329.7456.10 [Extract] [Full text] [PDF]

	Drug marketing practices come under scrutiny
	Fred Charatan
	BMJ  2004;329:10, doi: 10.1136/bmj.329.7456.10-a [Extract] [Full text] [PDF]

	National Institutes of Health criticised for not preventing conflicts of interest
	Janice Hopkins Tanne
	BMJ  2004;329:10, doi: 10.1136/bmj.329.7456.10-b [Extract] [Full text] [PDF]

	BMA annual representative meeting, Llandudno, 28 June to 1 July: Doctors' careers are blighted by discrimination, says BMA
	Zosia Kmietowicz
	BMJ  2004;329:11, doi: 10.1136/bmj.329.7456.11 [Extract] [Full text] [PDF]

	BMA annual representative meeting, Llandudno, 28 June to 1 July: More patients could be treated in the UK if associate specialists' skills were recognised
	Zosia Kmietowicz
	BMJ  2004;329:11, doi: 10.1136/bmj.329.7456.11-a [Extract] [Full text] [PDF]

	United States brings in new rules to prevent surgical errors
	Scott Gottlieb
	BMJ  2004;329:13, doi: 10.1136/bmj.329.7456.13-b [Extract] [Full text] [PDF]

	UK parties set out their health stalls in lead-up to next election
	Kathryn Godfrey
	BMJ  2004;329:14, doi: 10.1136/bmj.329.7456.14 [Extract] [Full text] [PDF]

News roundup [abridged versions appear in the paper journal]

This week's News roundup

	Opinions on public health are split along class lines
	Colleen Shannon
	BMJ  2004;329:12, doi: 10.1136/bmj.329.7456.12 [Extract] [Abridged text] [Abridged PDF] [Full text]

	NHS takes makers of generic drugs to court for price fixing
	Owen Dyer
	BMJ  2004;329:12, doi: 10.1136/bmj.329.7456.12-a [Extract] [Abridged text] [Abridged PDF] [Full text]

	Smoking continues to fall among US teens
	Scott Gottlieb
	BMJ  2004;329:12, doi: 10.1136/bmj.329.7456.12-b [Extract] [Abridged text] [Abridged PDF] [Full text]

	Fear of stigma deters US soldiers from seeking help for mental health
	David Spurgeon
	BMJ  2004;329:12, doi: 10.1136/bmj.329.7456.12-c [Extract] [Abridged text] [Abridged PDF] [Full text]

	Doctors mistrust systems for reporting medical mistakes
	Caroline White
	BMJ  2004;329:12, doi: 10.1136/bmj.329.7456.12-d [Extract] [Abridged text] [Abridged PDF] [Full text]

	Royal College expresses concern over transfer of out of hours GP services
	Bruno Rushforth
	BMJ  2004;329:13, doi: 10.1136/bmj.329.7456.13 [Extract] [Abridged text] [Abridged PDF] [Full text]

	Young black women have more aggressive breast cancers than white women
	Janice Hopkins Tanne
	BMJ  2004;329:13, doi: 10.1136/bmj.329.7456.13-a [Extract] [Abridged text] [Abridged PDF] [Full text]

News extra [these stories appear only on the web]

This week's News extra

	Doctors condemn "patient choice" initiative as no real choice at all
	Zosia Kmietowicz
	BMJ  2004;329:14, doi: 10.1136/bmj.329.7456.14-a [Extract] [Full text]

	NHS needs to produce more doctors, says BMA chairman
	Zosia Kmietowicz
	BMJ  2004;329:14, doi: 10.1136/bmj.329.7456.14-b [Extract] [Full text]

	US medical students in Cuba may be forced to leave
	Jeanne Lenzer
	BMJ  2004;329:14, doi: 10.1136/bmj.329.7456.14-c [Extract] [Full text]

	Regulatory bodies agree to streamline NHS inspections in England
	Susan Mayor
	BMJ  2004;329:14, doi: 10.1136/bmj.329.7456.14-d [Extract] [Full text]

	Cancer "tsar" faces parliamentary group on waiting time targets
	Tiago Villanueva
	BMJ  2004;329:14, doi: 10.1136/bmj.329.7456.14-e [Extract] [Full text]

	Young women in deprived areas in Britain are less likely to have an abortion
	Susan Mayor
	BMJ  2004;329:14, doi: 10.1136/bmj.329.7456.14-f [Extract] [Full text]

	Environmental groups criticise WHO plans to improve health
	Deborah Cohen
	BMJ  2004;329:14, doi: 10.1136/bmj.329.7456.14-g [Extract] [Full text]

	India has widespread drug problem, report says
	Sanjay Kumar
	BMJ  2004;329:14, doi: 10.1136/bmj.329.7456.14-h [Extract] [Full text]

Primary care

This week's Primary care

	Interaction of St John's wort with conventional drugs: systematic review of clinical trials
	Edward Mills, Victor M Montori, Ping Wu, Keith Gallicano, Mike Clarke, Gordon Guyatt
	BMJ  2004;329:27-30, doi: 10.1136/bmj.329.7456.27 [Abstract] [Full text] [PDF] [Request Permissions] [extra: Flow chart and table] FREE

Clinical review

This week's Clinical review

	Balancing benefits and harms: the example of non-steroidal anti-inflammatory drugs
	Paul Dieppe, Christopher Bartlett, Peter Davey, Lesley Doyal, Shah Ebrahim
	BMJ  2004;329:31-34, doi: 10.1136/bmj.329.7456.31 [Extract] [Full text] [PDF] [Request Permissions]

	Antidepressants and suicide: what is the balance of benefit and harm
	David Gunnell, Deborah Ashby
	BMJ  2004;329:34-38, doi: 10.1136/bmj.329.7456.34 [Extract] [Full text] [PDF] [Request Permissions] [extra: Figure showing trends and other data] FREE

	Interactive case report: A 64 year old woman with knee pain: case outcome
	Peter Tugwell, Annette M O'Connor, Nancy A Santesso
	BMJ  2004;329:38, doi: 10.1136/bmj.329.7456.38 [Extract] [Full text] [PDF] [Request Permissions]

	Commentary: Is evidence based patient choice feasible?
	Peter Cantillon
	BMJ  2004;329:39, doi: 10.1136/bmj.329.7456.39 [Extract] [Full text] [PDF] [Request Permissions]

	Commentary: Decision aids in clinical practice
	A Cranney
	BMJ  2004;329:39-40, doi: 10.1136/bmj.329.7456.39-a [Extract] [Full text] [PDF] [Request Permissions]

	Commentary: Patients' view
	Nancy Corbett, Diane Deschambault
	BMJ  2004;329:40, doi: 10.1136/bmj.329.7456.40 [Extract] [Full text] [PDF] [Request Permissions]

Education and debate

This week's Education and debate

	Balancing benefits and harms in public health prevention programmes mandated by governments
	Godfrey P Oakley, Jr, Richard B Johnston, Jr
	BMJ  2004;329:41-43, doi: 10.1136/bmj.329.7456.41 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Commentary: silent prevention
	Nicholas J Wald
	BMJ  2004;329:43-44, doi: 10.1136/bmj.329.7456.43 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Detection, verification, and quantification of adverse drug reactions
	Bruno HCh Stricker, Bruce M Psaty
	BMJ  2004;329:44-47, doi: 10.1136/bmj.329.7456.44 [Extract] [Full text] [PDF] [Request Permissions] [extra: Systems for drug safety research and references]

	Making decisions about benefits and harms of medicines
	Trisha Greenhalgh, Olga Kostopoulou, Clare Harries
	BMJ  2004;329:47-50, doi: 10.1136/bmj.329.7456.47 [Extract] [Full text] [PDF] [Request Permissions] [extra: Boxes and further references]

Reviews

This week's Reviews

	Art: iWITNESS: A Retrospective Photographic Exhibition by Tom Stoddart
	Sally Hargreaves
	BMJ  2004;329:57, doi: 10.1136/bmj.329.7456.57 [Extract] [Full text] [Request Permissions]

	Book: Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes
	Tim Wilson
	BMJ  2004;329:58, doi: 10.1136/bmj.329.7456.58 [Extract] [Full text] [Request Permissions] FREE

	Book: Doctors' Errors and Mistakes of Medicine: Must Health Care Deteriorate?
	Neville W Goodman
	BMJ  2004;329:58, doi: 10.1136/bmj.329.7456.58-a [Extract] [Full text] [Request Permissions]

	PERSONAL VIEW: Balancing the benefits and harms of care
	Anna Donald
	BMJ  2004;329:59, doi: 10.1136/bmj.329.7456.59 [Extract] [Full text] [Request Permissions] FREE

	SOUNDINGS: The good old days
	Liam Farrell
	BMJ  2004;329:59, doi: 10.1136/bmj.329.7456.59-a [Extract] [Full text] [Request Permissions]

Minerva

This week's Minerva

	BMJ  2004;329:60, doi: 10.1136/bmj.329.7456.60 [Full text] [PDF] [Request Permissions]

Fillers

This week's Fillers

	POEM*: No long-term benefit shown for bones after HRT
	BMJ  2004;329, doi: 10.1136/bmj.329.7456.0-f [Extract] [Full text] [PDF] [Request Permissions]

	Endpiece: Learning from the world
	Samiran Nundy
	BMJ  2004;329:23, doi: 10.1136/bmj.329.7456.23 [Extract] [Full text] [PDF] [Request Permissions]

	One hundred years ago: A museum of security
	BMJ  2004;329:26, doi: 10.1136/bmj.329.7456.26 [Extract] [Full text] [PDF] [Request Permissions]

	When I use a word: Balancing benefits and harms in health care
	Jeff Aronson
	BMJ  2004;329:30, doi: 10.1136/bmj.329.7456.30 [Extract] [Full text] [PDF] [Request Permissions]

	Balancing benefits and harms in health care: Webchat
	BMJ  2004;329:40, doi: 10.1136/bmj.329.7456.40-a [Extract] [Full text] [PDF] [Request Permissions]

	Advice
	BMJ  2004;329:55, doi: 10.1136/bmj.329.7456.55-a [Extract] [Full text] [PDF] [Request Permissions]

Obituaries

This week's Obituaries

	Egil Kristian Tynæs
	Tony Sheldon
	BMJ  2004;329:55, doi: 10.1136/bmj.329.7456.55 [Extract] [Full text]

	Nora George (née Zaytoun)
	Shirine Azzi
	BMJ  2004;329:56, doi: 10.1136/bmj.329.7456.56 [Extract] [Full text] [extra: Longer version]

	Alan Proctor Grant
	Fiona Rainsbury
	BMJ  2004;329:56, doi: 10.1136/bmj.329.7456.56-a [Extract] [Full text] [extra: Longer version]

	Frank Holmes
	Michael Holmes, Sandy Buchan
	BMJ  2004;329:56, doi: 10.1136/bmj.329.7456.56-b [Extract] [Full text] [extra: Longer version]

	Terence Joseph Hypher
	G M Jeremiah
	BMJ  2004;329:56, doi: 10.1136/bmj.329.7456.56-c [Extract] [Full text] [extra: Longer version]

	Cormac McNamara
	Muiris Houston
	BMJ  2004;329:56, doi: 10.1136/bmj.329.7456.56-d [Extract] [Full text] [extra: Longer version]

	Robert Kenneth Roddie
	Ian Roddie, Hamish Thomson
	BMJ  2004;329:56, doi: 10.1136/bmj.329.7456.56-e [Extract] [Full text] [extra: Longer version]

	David Antony Charles Sharpe
	Christopher Harle, Russell Millner
	BMJ  2004;329:56, doi: 10.1136/bmj.329.7456.56-f [Extract] [Full text] [extra: Longer version]

Papers

This week's Papers

	Adverse drug reactions as cause of admission to hospital: prospective analysis of 18 820 patients
	Munir Pirmohamed, Sally James, Shaun Meakin, Chris Green, Andrew K Scott, Thomas J Walley, Keith Farrar, B Kevin Park, Alasdair M Breckenridge
	BMJ  2004;329:15-19, doi: 10.1136/bmj.329.7456.15 [Abstract] [Full text] [PDF] [Request Permissions] FREE

	Systematic review of the incidence and consequences of uterine rupture in women with previous caesarean section
	Jeanne-Marie Guise, Marian S McDonagh, Patricia Osterweil, Peggy Nygren, Benjamin K S Chan, Mark Helfand
	BMJ  2004;329:19, doi: 10.1136/bmj.329.7456.19 [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] [extra: Table] FREE

	Operative vaginal delivery and neonatal and infant adverse outcomes: population based retrospective analysis
	Kitaw Demissie, George G Rhoads, John C Smulian, Bijal A Balasubramanian, Kishor Gandhi, K S Joseph, Michael Kramer
	BMJ  2004;329:24, doi: 10.1136/bmj.329.7456.24 [Abstract] [Abridged text] [Abridged PDF] [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.