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THIS WEEK IN THE BMJ
This week in the BMJ
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Low dose aspirin with heparin improves prognosis in women with recurrent miscarriages
Respiratory disease persists in survivors of the Bhopal gas leak
Neonatal complications increase the risk of cerebral palsy in very preterm babies
Socioeconomic position over lifetime affects mortality
Senior house officers value training from consultants
Guidelines do not improve blood pressure control in primary care
Early antibiotics provide little benefit in acute otitis media
Opiate dependent drug injectors can be treated successfully in general practice
Doctors think equity of access to health care is more important than patients do
British anthropometric data are not suitable for all populations
Young people consumed more burgers than older people in 1980s and 1990s
Total purchasing is not yet total
Incidence of insulin dependent diabetes is rising sharply in children aged under 5
Exposure to environmental tobacco smoke increases risk of ischaemic heart disease and lung cancer
Combination therapies improve prognosis of HIV infection in the community
Health care in prisons needs more integration with NHS
British diabetics show socio- economic gradients in mortality
Medical students with the most clinical experience do not perform best in final exams
Patients with testicular cancer do not benefit from adjuvant psychological therapy
Hysteria can be diagnosed with confidence
Prednisolone can be used for short term intermittent control of rheumatoid arthritis
Understanding patients' cultural beliefs helps health providers serve them better
Most patients with low back pain have not recovered after a year
New cases of hepatitis C are rare in repeat blood donors
Distance to school and car ownership are greatest determinants of car travel to school
GPs tend to report only serious reactions to new drugs
Obesity from childhood to adulthood may lead to the metabolic syndrome
Small practices are ready to take on screening for haemoglobin disorders
Men and octogenarians do well after surgery for abdominal aortic aneurysms
Health is poorer in US states with larger income inequalities
White matter lesions predict outcome in late depression
Concealed random allocation protects against bias in clinical trials
Women use more oral steroids for asthma than men
Absolute benefit of carotid endarterectomy in asymptomatic carotid stenosis is low
Simple computer program accurately predicts individual risks of coronary heart disease
Children from lower social classes consult more often
Patients' health beliefs constrain uptake of evidence based medicine
Benefits are likely from vitamin B-6 in premenstrual syndrome
Promethazine does not reduce reactions to bothrops antivenom
Compulsory admissions have risen as psychiatric beds have fallen
Women should be advised to allow adequate time after stillbirth before next pregnancy
Many diabetic patients do not monitor their blood glucose regularly
Folate supplements have not reduced neural tube defects
Zygosity influences glucose homeostasis and insulin resistance in twins
Coronary heart disease risk factors vary among South Asian groups
Community exercise classes help people with back pain
A high ratio of killed to wounded suggests a war crime
Long term unemployed workers improve their lifestyle
Behavioural counselling in primary care leads to improvements in health behaviour
Maternal mortality among East Germans worsened after reunification
Teaching undergraduates affects general practitioners' morale positively
New Zealand offers model of clinical governance in primary care
Hypericum extract improves depression and quality of life
Increase in cases of CJD is likely to be real
Simple tests help identify systolic dysfunction in primary care
Adult lifestyles count more than childhood factors in determining cardiovascular health
A system approach to reducing error works better than focusing on individuals
Trends in cancer deaths are not heading towards government target
Early catch-up growth is a risk factor for childhood obesity
Violent thoughts are common among psychiatric inpatients but rarely asked about
Defining an international standard for overweight and obesity in childhood
Tight glucose control is cost effective in diabetes
Studies of patient satisfaction with telemedicine are inconclusive
Patient management questions asked by primary care doctors fall into 64 generic types
Venous thromboembolism rates have not fallen since “pill scare”
Changes in psychiatric care may have caused increases in mortality in patients with schizophrenia
Walk-in primary care centres in Canada show a lack of continuity of care with other primary care
Osteoarthritis of the hip is under strong genetic influence
Mine injuries rise sharply after hostilities cease
Socioeconomic differences in coronary heart disease already exist in people in their 30s
New antipsychotics are not more effective than conventional drugs
Patients, GPs, and nurses dislike self management plans for asthma
Increase in overweight in children has now been quantified
Psychological impact of chlamydia diagnosis is considerable
Richer people with mental illness are more likely to commit suicide
Anaemia is more common in South Asian and Chinese than European women
Media campaigns reduce disability from back pain
Remember nephrogenic diabetes insipidus in acute surgical patients taking lithium
Recommended dose range of fluticasone for asthma should be reduced
Month of birth may be linked to risk of developing Crohn's disease
Impaired fetal growth is strongly associated with haemorrhagic stroke
HIV prevention strategies lack resources and international commitment
Post-traumatic stress disorder is common after conflict
Hepatitis C infection does not increase all cause mortality
Abdominal pain in infectious mononucleosis may signal splenic rupture
Finding evidence based answers to clinical questions is difficult
Triple combination therapy for HIV is effective
Parents recognise benefits of postmortems
Are safer roads promoting risky driving?
Delay in licensing drugs costs lives
Quality of life measures soar
Teenage pregnancy prevention strategies are ineffective
Surgical studies have problems
Akathisia: better detection is needed
Travel medicinea growing specialty
US referral rates are double those in the UK
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