NDLI: Tamsulosin treatment for benign prostatic hyperplasia and risk of severe hypotension in men aged 40-85 years in the United States: risk window analyses using between and within patient methodology

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Year: 2017 Volume: 356

Year: 2017 Volume: 353

Year: 2017 Volume: 346

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Year: 2016 Volume: 353

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Year: 2014 Volume: 348

Year: 2013 Volume: 347

Analysis of the systematic reviews process in reports of network meta-analyses: methodological systematic review

Access to HIV drugs should be widened, says WHO.

Private medicine's real manifesto.

A pain in the bottom. (Journal: BMJ (British Medical Journal) Volume: 347)

GP is suspended for failing to provide shared care for child over nine year period.

Great Ormond Street Hospital gagged doctor who raised safety concerns.

Educational 'events' have only a small part in how doctors learn, conference is told.

Peers call for UK to harness 'enormous' potential of regenerative medicine.

Doctors in India defy guidelines on generic drugs.

US court ruling gives broad free speech protection to scientific articles.

Dementia experts are optimistic despite decline in hope for effective drugs.

Patients’ attitudes about the use of placebo treatments: telephone survey

Care in specialist medical and mental health unit compared with standard care for older people with cognitive impairment admitted to general hospital: randomised controlled trial (NIHR TEAM trial)

International health is a misnomer.

YODA and truth seeking in medicine.

Large rise in consultants' pay has not improved productivity, say MPs.

Diclofenac shouldn't be prescribed to people with heart problems, drug agency says.

When a test is too good: how CT pulmonary angiograms find pulmonary emboli that do not need to be found.

Too much medicine; too little care.

Cost of switching inhalers is high in carbon trading terms.

Authors' reply to Reynolds.

Risk of diabetes with statins must be monitored in each patient.

Statins and the quality and outcomes framework.

Don’t ignore non-pharmacological aspects of analgesia while pursuing analgesic success

All opportunities should now be taken to meet the needs of patients with learning difficulties.

Austerity measures hit the sickest hardest.

Time to focus on positive health indicators to reduce health inequalities.

Don't forget that central corneal thickness affects intraocular pressure.

Authors' reply to Georgalas and colleagues.

Hypothermia and the assessment of sick children.

Time for a putsch of the l'oreal consultants?

The few who abuse their position bring all consultants into disrepute.

Five patients benefit from India's first 'domino' kidney swap.

Hunt promises crackdown on foreigners who misuse NHS, despite GPs' objections to checking entitlement.

Another US health system adopts “tobacco-free” hiring policy

Surgeon condemns crude data on outcomes for causing 'debacle'.

Care of the dying patient in the community.

Second trimester abortion for fetal abnormality.

Early dual therapy for Chinese adults with TIA.

Genetic study confirms causal link between adiposity and cardiometabolic disease.

Doctors may have lost the chance to make a difference.

Antipyschotics ranked by effectiveness and side effects.

India must overhaul medical training to act on antimicrobial resistance.

Reassurance from Sweden about autism and IVF.

Survival rates after bowel cancer surgery reach all time high, audit shows.

Health in all policies.

Apixaban [corrected] and warfarin go head to head in selected adults with venous thromboembolism.

GSK confirms probe by Chinese authorities.

Hunt acknowledges need to make emergency medicine and general practice more attractive.

India's human rights commission seeks answers over shortage of TB drugs.

BMJ joins campaign to put 'science into assessment of research,' as its impact factor rises.

In search of social equipoise.

Deaths in trials should always be reported.

A young athlete with bradycardia.

Immigrants could be charged £500 a year to use NHS

GP gets warning over discharge summary errors that led to patient's death.

Society of Homeopaths is censured over misleading claims.

Fertility treatment and risk of childhood and adolescent mental disorders: register based cohort study

Renal outcomes associated with invasive versus conservative management of acute coronary syndrome: propensity matched cohort study

The missing vital sign.

Linking health insurance coverage to evidence.

Study shows small rise in intellectual disability with intracytoplasmic sperm injection.

US employers must provide free contraceptive coverage for women.

Ethicists find no justification for UK ban on sex selection of embryos.

CQC bosses admit regulator got it wrong over report.

First cousin marriage can double risk of birth defects, finds study.

Bring me sunshine: EU drug companies make payments to doctors public.

Hospital Trust trials video monitoring of intensive care patients.

India’s health ministry bans pioglitazone, metamizole, and flupentixol-melitracen (Journal: BMJ (British Medical Journal) Volume: 347)

Administration delays mandate for larger employers to provide health insurance.

Hospitals lag behind primary care in going digital, conference hears.

Chance of identifying poor surgeons from mortality data is low, say analysts.

Systematic identification and treatment of smokers by hospital based cessation practitioners in a secondary care setting: cluster randomised controlled trial

Return of the 'corridors of shame'?

Poor fetal growth and maternal smoking reduce sperm quality, finds study.

Set up 'youth corps' to stave off future health problems, says public health champion.

Public health doctors call for a levy on sugar sweetened drinks.

NHS transparency.

Senior managers quit Tameside Hospital amid questions over outcomes.

New state owned company will spearhead DNA sequencing in the NHS.

Opioid overdose deaths rose fivefold among US women in 10 years

Are clinical trial data shared sufficiently today? No.

Are clinical trial data shared sufficiently today? Yes.

The long march from fountain pens to wireless tablets: how data are changing medicine.

The power of doing nothing.

Free online professional counselling service for children and teenagers with mental health problems is launched.

Mediators of the association between pre-eclampsia and cerebral palsy: population based cohort study

US study criticized for experimentation with premature infants.

Can they hack it? Yes they can.

New ad campaign seeks to raise doubts about US health reform.

Majority of £1.5bn NHS contracts go to private providers, study finds

Beware using secular trends in deaths to judge effectiveness of breast screening.

The BMJ and Dispatches gave only one side of the story.

Cardiovascular benefits of incretins.

Investigations editor's reply to Holt and to Barnett and O'Hare.

Novo Nordisk replies to BMJ investigation on incretins and pancreatic damage.

Hidden or misreported trial results cause widespread patient harm.

Obesity harms a woman's chances of conception, study shows.

GPs put the squeeze on access to hospital care. (Journal: BMJ (British Medical Journal) Volume: 347)

Does adding routine antibiotics to animal feed pose a serious risk to human health?

The NHS is facing a deepening financial crisis.

GPs put the squeeze on access to hospital care. (Journal: BMJ (British Medical Journal) Volume: 347)

Importance of genitourinary and urology colleagues working in harmony.

Inclusion of urine analysis not justified.

Acute management of myocardial infarction with ST-segment elevation: summary of NICE guidance

Should Europe have a universal hepatitis B vaccination programme?

Social disadvantage linked to diabetes through chronic inflammation.

Preventing heart failure in high risk adults.

MERS coronavirus has low pandemic potential, so far.

Soy protein fails to prevent recurrence of prostate cancer.

Iron supplementation in pregnancy.

Report shows rise in preventable errors during blood transfusion.

Time for a new approach to assessing the quality of hospitals in England.

Lithium and suicide.

The next chief executive of NHS England.

NHS paid £95m to dismiss managers who were later re-employed

Management of infantile colic.

WHO sets up expert committee to advise on coronavirus.

MPs condemn Serco for substandard out of hours service in Cornwall.

Europe's health ministers vow to tackle obesity.

WHO urges complete ban on tobacco marketing.

NHS in England needs new strategy to avoid £30bn shortfall, say health chiefs

UK aims to increase its organ donor rate by 50% over next eight years

Practices and impact of primary outcome adjustment in randomized controlled trials: meta-epidemiologic study

Best care for the dying patient.

Force feeding of mentally competent detainees at Guantanamo Bay.

How should clinical trial data be shared?

Physical activity is up in the US but so too is obesity.

Brazil launches plans to boost medical workforce.

Combining measles virus with radiotherapy shows early promise against cancer.

Use of electronic medical records expands in the US, but some hospitals are trailing.

Serco returns £85 000 out of hours payments as goodwill gesture

Review calls for basic training for healthcare assistants.

US lags behind economic peers on health outcomes.

The Vienna declaration on nutrition and non-communicable diseases

Indian government approves 50 clinical trials in one day

Stroke in a young man.

Ministers are criticised after plans for plain pack cigarettes are put on hold.

GSK executives admit to bribery and tax crimes, China claims.

Trade agreement could lock NHS into competitive market, campaign groups say.

Limits on working time reduce interns' surgery experience, study shows.

Web based surveillance systems could improve disease detection and the response to emerging disease events.

Starting vocational rehabilitation early after stroke.

Discontinue treatment with nicorandil associated with ulceration to avoid major reconstructive surgery.

Transfusing blood safely and appropriately.

Involving patients in drug licensing decisions.

Providing balanced information where uncertainty exists.

Please give more details in the Minerva case of nicorandil induced perianal ulceration.

Authors' reply to Herxheimer.

Dancer makes unjustified leaps.

Time to put our coats back on and be counted.

Importance of visual impairment after stroke not recognised yet again.

What will follow the millennium development goals?

Don’t forget about constipation with opioid treatment of chronic non-cancer pain

Prescribe opioids for chronic non-cancer pain with care for the sake of patients and the community

Might pelvic examination be helpful in first trimester miscarriage?

Author's reply to Vaughan.

Act now to prevent re-emergence of congenital rubella

The next step in controlling HBV in China.

Let's hope that the pendulum swings back to white coat and formal attire.

'Scrubs' are no answer.

Involving patients in setting the research agenda in drug addiction.

Has the Data Protection Act been misused as a fig leaf for medical secrecy?

Dietary fats and breast cancer risk.

Higher drug prices will boost development of personalised medicine, says new report.

Doctors object to bill that would allow force feeding of hunger striking prisoners.

Liverpool care pathway is scrapped after review finds it was not well used.

Regulator says Tameside must make urgent improvements.

Ireland's parliament votes to allow 'life saving' abortion.

Texas governor promises to sign abortion law that will close most clinics.

Public health body quits responsibility deal over government's failure to act on tobacco and alcohol.

Poor people view hospitals as providing better access, care, and social support.

Non-adherence to medication increases stroke risk in patients with high blood pressure

Health secretary puts 11 hospital trusts in England into special measures

We should harness the power of our colleagues' fresh ideas.

India signals crackdown on dubious fixed dose drug combinations.

Number of animal experiments in the UK rises by 8%

Association of plasma uric acid with ischaemic heart disease and blood pressure: mendelian randomisation analysis of two large cohorts

Mortality rates after emergency surgery vary widely between hospitals, study shows.

Rather than emulate Ofsted's culture of fear, the UK care regulator must engage clinicians to improve standards.

GPs must be encouraged to test out new approaches to primary care, report says.

India must respect intellectual property rights, report says.

Government drops plans for minimum alcohol pricing in England and Wales.

Charity launches £14m UK-wide lung cancer research initiative

Report sets out plan for tackling urgent and emergency care pressures.

CQC sets out new inspection regime for hospitals in England.

Effectiveness of pertussis vaccines for adolescents and adults: case-control study

A sixth of hospitals in England have expanded private patient options this year, the BMJ finds.

Pneumococcal vaccination programme followed by sustained declines in all cause pneumonia.

Air pollution linked to acute heart failure.

Cognition improves in successive birth cohorts of the oldest old.

Termination no longer associated with preterm birth in Scotland.

The dying deserve better from GPs.

Umbilical hernia.

Overlapping meta-analyses on the same topic: survey of published studies

Outcomes incentives: can they catch on in the US?

Accountable care organization program cuts costs and improves care, report says.

Study maps the link between socioeconomic status and tobacco use across India.

Government launches consultation on how to deliver cap on social care costs.

Systematic review finds no benefits to population screening for dementia.

HFEA and HTA will remain as separate bodies but will pool some support services.

Americans are already benefiting from health reform, says Obama.

Investigating stable chest pain of suspected cardiac origin.

High sensitivity cardiac troponin in patients with chest pain.

Consumer demand drives boom in urgent care centers, study finds.

Plain packaging seems to increase thoughts about quitting smoking.

Dependence of high deficit hospitals on bailouts is unsustainable, audit office finds.

Two CDC reports look at regional, racial, and sex disparities in US health.

Junior doctor's conviction for involuntary manslaughter raises concern over medical training.

Drive to boost health checks in England is criticised.

Drug combination improves outcomes after in hospital cardiac arrest.

Dementia in older English people seems to be declining.

Unhealthy behaviours and disability in older adults: Three-City Dijon cohort study

Tranexamic acid in trauma: we need stronger global health policy.

Duration of obesity linked with coronary artery calcification.

An introduction to patient decision aids.

Lisfranc injuries.

Unintended consequences of sanctions against Iran.

Global burden of sickle cell anaemia is set to rise by a third by 2050

Avastin is as effective as Lucentis in treating wet age related macular degeneration, study finds.

GSK's head of finance in China is banned from leaving the country.

Injuries to health workers are common but safety checks are rare, report finds.

Doubts about the BMA's policy on bicycle helmets.

Time to stop using minocycline?

The US Office for Human Research Protections' judgment of the SUPPORT trial seems entirely reasonable.

The US Office for Human Research Protections' intervention in the SUPPORT trial was indeed ill conceived.

It's time to ban obesity in NHS employees.

Patients with cancer say yes to palliative chemotherapy.

Best palliation in advanced cancer is often achieved by treating the cancer.

Neuropsychiatric adverse effects of oseltamivir in the FDA Adverse Event Reporting System, 1999-2012

Study stokes debate over patterns of non-communicable disease in India

Trade talks won't affect health policy, say EU officials.

Drug trade bodies rally patient groups to deflect calls for full trial data.

Who to screen for lung cancer.

European regulator appeals against order stopping it from releasing clinical study documents.

Diagnosis and management of varicose veins in the legs: summary of NICE guidance.

Bad medicine: motherhood.

Patient safety without the blame game.

How to learn scepticism.

The birth and death of the Liverpool care pathway.

What does oseltamivir do, and how will we know?

WHO survey finds half of countries do not have clinical guidelines for treating hepatitis.

Reliance of 111 on non-clinical staff has increased pressure on emergency departments, MPs say

Has psychiatric diagnosis labelled rather than enabled patients?

Assessing risk of suicide or self harm in adults.

Future gaps in workforce pose an impending crisis for the NHS, report warns.

Lack of strategy on forensic science risks damaging ability to catch criminals, say MPs.

Doctor who abducted her daughter and took her to Pakistan is struck off.

GSK plans expansion in China despite bribery allegations.

Flu vaccinations for school age children in England are cost effective, say experts.

Public has fewer worries about sharing health information than other personal data.

Fewer younger women are undergoing female genital mutilation, study finds.

Ophthalmologist who tried to deflect blame onto others is struck off.

Indian court restricts the sale of acid to try to curb attacks on women.

Studies often overturn accepted medical practice, analysis finds.

Court rules national medical school entrance exam unconstitutional.

Improving antibiotic prescribing in acute respiratory tract infections: cluster randomised trial from Norwegian general practice (prescription peer academic detailing (Rx-PAD) study)

Left atrial myxoma.

Bureaucracy holds the NHS back.

Everything you need to know about the Sunshine Act.

Linking performance to Medicare payments is unlikely to improve care, report says.

Foundation trusts plan to recruit 2400 extra doctors in 2013-14

Brain disorders cost the most overall but attract the least research funding.

The advent of bariatric surgery for diabetes in India.

Leading healthcare in London: time for a radical response?

Head of GSK in China is replaced as details of fraud scandal emerge.

Creative thinkers sought to lead innovation in the NHS in England.

Unexpected rise in deaths among older patients leaves experts guessing over the likely cause.

Uptake of human papillomavirus vaccine stalls in the US.

Staff at NHS regulator are left 'broken' by culture of bullying.

Chronic kidney disease controversy: how expanding definitions are unnecessarily labelling many people as diseased.

Severe hypoglycaemia and cardiovascular disease: systematic review and meta-analysis with bias analysis

Association of visit-to-visit variability in blood pressure with cognitive function in old age: prospective cohort study

Patient information leaflets: 'a stupid system'.

Strongyloides stercoralis infection.

Remember Barbara Starfield: primary care is the health system's bedrock.

Government’s plans for universal health checks for people aged 40-75

Lack of elective surgery in Cardiff hospitals put patients at risk.

College admits that 10 vascular surgeons need to have their mortality rates reviewed

Picture quiz. A midline neck lump in a child.

Pragmatism on food means compromising health.

NICE says caesarean section is not available on demand unless clinically indicated.

Time to assess alternatives to hydroxyethyl starch to use instead of 0.9% saline in fluid replacement

Beware the influence of the “SIF” (single issue fanatic) in clinical guidelines

Beware the rise of commercial 'mole checking' shops on high streets.

Direct to consumer unproved screening tests turn a profit in Japan.

Junior doctors are ready and waiting to create an iNHS.

NHS IT department needs to say yes for an iNHS.

Technology is here now to analyse patient data in real time for an iNHS.

Mistrust of clinical guidelines. NICE accredits guidelines using international AGREE criteria.

Cancer referrals. Cancer cases diagnosed as emergencies may be fewer than reported.

Problem based learning, litigation, and EWTD contribute to too much medicine.

Leadership, facilitation, and relationships are key to countering the waning influence of public health.

Sharing data from clinical trials: where we are and what lies ahead.

Drug industry pledge on access to trial data is met with scepticism.

NHS Direct backs out of contracts to run NHS 111 because of poor funding

European drugs agency clashes with scientists over safety of GLP-1 drugs

UK government's delay on plain tobacco packaging: how much evidence is enough?

Improving the UK's performance on survival after cardiac arrest.

Coronal oblique proton density weighted magnetic resonance imaging of the left shoulder.

Digital subtraction angiography of the right lower leg.

The growth of medical marijuana.

The Liverpool care pathway: a cautionary tale.

Kidney stones linked to heart disease in women.

Psychiatric illness contributes to high death rates among people with epilepsy.

No support for population screening with echocardiography.

Helping men make decisions about PSA tests.

Circle applies for £3.5m government loan to invest in services at Hinchingbrooke

Caution urged amid wide variation in response rates to friends and family test.

2012 was a good year for happiness in the UK, finds survey

Cost of free personal care for older people in Scotland doubled in eight years.

Impact of wound edge protection devices on surgical site infection after laparotomy: multicentre randomised controlled trial (ROSSINI Trial)

Medical savings accounts: Singapore’s non-solution to healthcare costs

India's new policy to protect research participants.

Indian doctors demand more specialisation seats and recognition for rural practice.

Estimates of survival from incurable prostate cancer need to be revised upwards.

Administrators recommend dissolving Mid Staffordshire trust.

Cough and weight loss in a young man.

Judges uphold ruling that doctors cannot help paralysed man end his life.

Judge rules as unlawful government plans to downgrade services at Lewisham hospital.

US panel recommends annual CT screening for people at high risk of lung cancer.

Physician payment sunshine act.

The pursuit of imperfection.

The fight for good writing.

GPs taking on out of hours work face higher indemnity fees.

New dementia targets are proposed for GPs in next year's QOF.

Africa could learn from India's burgeoning pharma sector.

Don't call low risk lesions cancer, experts say.

Opposition to abortion is growing in Southern and Midwestern US states.

Doctors should have to be accredited to support whiplash claims, say MPs.

A growing abdominal problem.

Doctors should listen to the whole patient: don't forget the stethoscope in neurological examination.

Waking up to the effects of fatigue in doctors.

Use of β blockers during surgery may have caused 10 000 deaths in the UK

European Commission orders France to lift ban on acne pill.

Baby food giants accused of wooing mothers in India off breastfeeding.

Democrats denounce 'unprecedented' efforts by Republicans to block health law.

Second study on valsartan is threatened with retraction over alleged data manipulation.

Long acting $β_{2}$ agonists in adult asthma

Clinical review. Frontotemporal dementia.

Article is a call to arms to defend the NHS.

Formation of the 'Multinational Health Service' is to blame for financial crisis in the NHS.

Chief quality officers should be drawn from chartered quality professionals.

Preventive care programmes keep people active and independent for longer.

NICE on rehabilitation. New guidelines on rehabilitation likely to restrict practices and stifle innovation.

Circle Health's sums do not add up after all.

First reliable data suggest a possible increase in suicides in Greece.

Unemployment and suicides during the recession in Italy.

Healthcare should be excluded from EU free trade negotiations with United States and India.

One third of US women travel more than 25 miles for an abortion

Flip flop policy over pioglitazone licence causes media storm in India.

Streamlined stroke services in London save lives and money, study finds.

Effect of telephone health coaching (Birmingham OwnHealth) on hospital use and associated costs: cohort study with matched controls

Human to human transmission of H7N9

Probable person to person transmission of novel avian influenza A (H7N9) virus in Eastern China, 2013: epidemiological investigation

Better procurement can save the NHS in England £1.5bn over three years, says report

Acute trust takes over treatment centre after £53m pay off to private company

Health watchdog vows to act over marketing of products to new mothers while in hospital.

Have there been 13 000 needless deaths at 14 NHS trusts?

Does good healthcare score as highly with the public as education and protection from crime?

Declaration of transparency for each research article.

Bad medicine: atrial fibrillation.

Doctors in the private sector should report adverse events after immunisation to complete dataset.

Global eradication rates for Helicobacter pylori infection: systematic review and meta-analysis of sequential therapy

Developing role of HPV in cervical cancer prevention.

Attacks on medical personnel in Turkey.

Operable adrenal nodules are responsible for at least 5% of cases of hypertension

Serious errors and neglect in the NHS should be a criminal offence, says safety expert.

Perceived job insecurity as a risk factor for incident coronary heart disease: systematic review and meta-analysis

The impact of the workplace on health.

Probiotics do not prevent diarrhoea caused by antibiotics in older people, study finds.

Above average glucose level may boost dementia risk in people without diabetes.

Financial gain is driving referrals for specialist prostate radiotherapy, says report.

Obesity rates dip slightly among some poor children in the US.

£500m fund for emergency services will not fix longstanding problems, say doctors

Preventing sexual abusers of children from reoffending: systematic review of medical and psychological interventions

Financial incentives are spurring growth of electronic health records.

Reinventing clinical commissioning groups.

GPs should have more oversight of out of hours care, say leaders.

The curious case of 600 extra deaths a week

Refugees in South Sudan to receive pneumococcal vaccine after delays over price.

Use of non-steroidal anti-inflammatory drugs (NSAIDs) as immunomodulatory agents

Time for the NHS to stop trying to build large scale IT systems?

Learning lessons from a hidden success of the NHS national programme for IT.

Rehabilitation after stroke. Financial implications for survivors of stroke.

Mechanism based treatments for anaemia in advanced cancer.

Polypill. Faulty logic justifies aspirin use for primary prevention of cardiovascular disease.

Private patient options. Many NHS centres offering self funded in vitro fertilisation are poor performers.

Improving the safety of patients in England.

NIH and family of Henrietta Lacks reach agreement on access to HeLa genome.

Camels could be the source of MERS coronavirus, research finds.

Predictors of severe H1N1 infection in children presenting within Pediatric Emergency Research Networks (PERN): retrospective case-control study

Fault lines: resolving clinical negligence claims.

Charging patients fees is bad medicine.

Most statins prescribed in the UK go to the wrong patients, study finds.

Intravenous vaccine shows promise against malaria.

Doctors will feed into review of children's heart services.

Sanofi is investigated for allegedly bribing doctors in China.

Maternal obesity during pregnancy and premature mortality from cardiovascular event in adult offspring: follow-up of 1 323 275 person years

Maternal obesity and heart disease in the offspring.

Study results show it's time to rethink systematic review methods.

Drug approval packages and briefing documents are already freely available.

Healthy pregnant women still don't need routine iron supplementation.

Author's reply to Steer.

Consent forms for clinical trials are too aggressive.

Social care should be free for everyone in last weeks of life.

The law should be changed to allow assisted dying.

The Swiss experience of assisted suicide is positive.

What do families and professional organisations really think about assisted dying?

GPs could start by listening to dying patients and thus improve care.

Abnormal vaginal discharge.

Ban routine use of critically important antibiotics in food animals.

Giving dying people what they want.

Bringing chemistry out of the kitchen.

Making the medical notes of hunger strikers at Guantanamo Bay available to trusted doctors.

New pharmacological models needed to care for dying patients at home.

Issues surrounding death certification in the community.

Hospice ethos is the heart of caring for dying people in the community.

We need more care, less pathway at the end of life.

What's in a name? From pathways to plans in end of life care.

Human health, animal health, and ecosystems are interconnected.

Three quarters of guideline panellists have ties to the drug industry.

Care of the dying patient: art or science?

Getting it right for each dying person we care for.

Bevacizumab must be specially prepared for intraocular use.

The problem of duplicate systematic reviews.

Emergency doctors call for more patients to be diverted from A&E to general practice.

How to decrease overtreatment in cancer.

Children's lifestyles pose 'unacceptable' cardiovascular risk, warns charity.

Health staff exposed to HIV should take three or more antiretroviral drugs, say new US guidelines.

Safety and efficacy of intravenous iron therapy in reducing requirement for allogeneic blood transfusion: systematic review and meta-analysis of randomised clinical trials

A bee in the bonnet about honey and healing.

A footballer's finger injury.

Opioids in the UK: what's the problem?

MPs call for investigation into how psychiatric patients are being detained.

New inspection regime in England sees Whipps Cross hospital downgraded.

Doctors like emailing patients but want to be paid for it, study finds.

Research into universal health coverage rises despite economic downturn, report finds.

Charity pulls out of Somalia after 22 years because of violence and abuse

England ends the ban on healthcare workers with HIV performing certain procedures.

Study finds that half of Indian households affected by cancer have to sell assets to fund care.

Clinical effectiveness of collaborative care for depression in UK primary care (CADET): cluster randomised controlled trial

Visual field constriction in a 42 year old woman

Half of Americans who buy their own health insurance will get tax credits, study finds.

Hospital waiting lists in England reach five year high.

GPs warn of longer waiting times for appointments without more investment.

Indian MPs criticise care in medical clinics for government employees.

FDA must publish data on safety and efficacy of prophylactic AIDS drug, court rules.

Roche's decision to drop Herceptin patent in India opens way for generics.

Uninsured immigrants will continue to put pressure on safety net hospitals in the US, says report.

Performance of English stop smoking services in first 10 years: analysis of service monitoring data

I blew the whistle on the government's disability assessments.

Prioritising existing donors to receive organs would boost donation from ethnic minorities.

From haemochromatosis to liver transplant.

Tourette's syndrome.

Friends and family test results only moderately associated with conventional measures of hospital quality.

What is convincing evidence on alcohol pricing?

Hunt's priorities on entitlement to use the NHS are wrong.

Scan the legs, not the lungs, in low risk patients with suspected pulmonary embolism.

The accuracy of CT pulmonary angiography is not as high as purported.

CT triple rule-out examination: higher radiation dose without clinical benefit

V/Q SPECT: the primary imaging test for suspected pulmonary embolism.

Risk-benefit ratio favours treating all pulmonary emboli, no matter how small

Most patients with isolated subsegmental pulmonary embolism do not need anticoagulants.

Authors' reply to Quantrill, Benger, Ripley and colleagues, Roach, Rogers, and Haldar and colleagues.

Turning doctors into coders.

Healthy behaviours yield major benefits in ageing.

Science of overdiagnosis to be served up with a good dose of humility.

How the friends and family test is conveyed to the public should be reconsidered.

EFPIA-PhRMA’s principles for clinical trial data sharing have been misunderstood

Concerted effort is needed to tackle health burden of sciatica and back pain.

Hold on tight and be prepared to change in a few years.

Risk of death found to be raised in chronic kidney disease patients with low diastolic blood pressure.

Two UK people arrested for planning to take relative to Swiss suicide clinic.

Court approves sterilisation of man with learning difficulties.

Finasteride for prostate cancer prevention has no effect on survival, study finds.

US obesity rates are leveling out, but long term effects raise concern.

The BMA and its staff's private health cover.

Use of antidepressants near delivery and risk of postpartum hemorrhage: cohort study of low income women in the United States

When to order an antinuclear antibody test.

Cranial ultrasonography of a term infant.

The NHS in the age of anxiety: rhetoric and reality—an essay by Rudolf Klein

HIV screening: helping clinicians make sense of test results to patients.

Antidepressants and postpartum haemorrhage.

CQC warns more providers over poor care standards.

Simply wearing footwear could interrupt transmission of Strongyloides stercoralis.

Expert panel will assess cost effectiveness of health checks.

Provider choice and cost conscious consumers contribute to Singapore's performance.

Equipping all citizens with the skills and equipment to be lifesavers.

Ensuring a bright future for clinical research in surgery with trainee led research networks.

When EMA and FDA decisions conflict: differences in patients or in regulation?

Germany is first European country to recognise third sex on birth certificates.

Communication in difficult situations: what would a friend say?

Populations at risk for severe or complicated influenza illness: systematic review and meta-analysis

Cytisine, the world's oldest smoking cessation aid.

Recent high death rates in older people are not exceptional, says Public Health England.

Smoke screen: Indian film and television’s anti-tobacco obsession

Senior Dutch researcher sacked for manipulating data in rheumatoid arthritis drug trial.

Indian government shelves plans for mercy killing law.

Child poverty and malnutrition rise in Spain as austerity measures bite.

Methadone prescribing should continue in Scotland, says review.

What healthcare reform means for rural America.

Risk of colorectal cancer after initiation of orlistat: matched cohort study

Euthanasia and aiding suicide to remain criminal acts in Canada.

Link between antihyperglycemic drugs and cancer is unproved, US endocrinologists say.

MRSA and C difficile deaths continue to fall in England and Wales.

NHS consultant who was sacked for seeing private patients while sick wins appeal.

Thyroid cancer: zealous imaging has increased detection and treatment of low risk tumours.

Management of autism in children and young people: summary of NICE and SCIE guidance.

Acute kidney injury: summary of NICE guidance.

Mental disorders in children conceived after fertility treatment.

The best medicine. Surgical error.

NHS England slips further behind on its efficiency savings target.

Acute kidney injury is a more important safety issue than MRSA, says NICE.

German medical training comes under scrutiny after manslaughter conviction.

Employers need to commit to flexible working for carers, says report.

Most drugs are safe to use during breastfeeding, says report.

Fruit consumption and risk of type 2 diabetes: results from three prospective longitudinal cohort studies

India's problem with girls.

Should the FDA regulate mobile medical apps?

Do risks outweigh benefits in thrombolysis for stroke?

The judge as medical ethicist.

Midwife led care delivers best outcomes, Cochrane review finds.

Biological therapies improve inflammatory bowel disease symptoms, national audit finds.

Proposals to charge migrants for NHS care are unworkable, says BMA.

Efficacy and safety outcomes of oral anticoagulants and antiplatelet drugs in the secondary prevention of venous thromboembolism: systematic review and network meta-analysis

Young people who self harm by cutting.

Lower costs and better outcomes: a system of care built on relationships.

Deaths from tramadol and legal highs reach new highs in England and Wales.

Scottish judge rules smoking ban in psychiatric hospital breached patient's human rights.

Up to 20 private hospitals in the UK may have to be sold to increase competition

NHS Scotland orders inquiry into death rates at three hospitals.

Complaints against the NHS in England reached 3000 a week last year

College was right not to disclose deliberations about chronic fatigue treatment trial, tribunal rules.

Most Americans are opposed to cutting funding for health reform law.

Mental health bill is set to decriminalise suicide in India.

Measles outbreak in Texas may be drawing to a close.

New CQC inspection regime uncovers major failings at Bedford hospital trust.

India will collect data to tackle overuse of hysterectomy.

Treating household drinking water with chlorine tablets does not prevent diarrhoea, study concludes.

Mid Staffs trust is to face criminal charges over patient's death.

The agony of choice.

Cuban doctors take up posts in Brazil amid jeers from local physicians.

GMC's reasons for refusing to let surgeon leave medical register were inadequate.

Multiple stenting after myocardial infarction protects against cardiac events better than a single artery stent.

Compulsory preschool jabs would fan the antivaccination lobby's fire.

Protecting students and promoting resilience.

Transcutaneous electrical nerve stimulation as adjunct to primary care management for tennis elbow: pragmatic randomised controlled trial (TATE trial)

Humanitarian power has been hijacked and must regain its reputation for neutrality.

Canadian doctors join campaign against unnecessary tests and treatments.

Intravenous iron therapy for treatment of anaemia.

Hospitals should be rated on their care of older people, Royal College of Physicians recommends.

Industry and drug regulators disagree on which data should remain confidential.

Lack of atropine in Syria hampers treatment after gas attacks.

Detection and treatment of multidrug resistant TB in India remains low.

Doctors are accused of plagiarising a medical guide to produce a smartphone app.

Provision of rapid HIV tests within a health service and frequency of HIV testing among men who have sex with men: randomised controlled trial

A 24/7 service needs many more doctors

Vaccine uptake rather than disease mitigation seems to be aim of universal hepatitis B vaccination in the UK.

Universal health checks should be abandoned.

Making the dilemma of universal health checks clear to patients.

Guthrie cards in Republic of Ireland. Irish public would prefer legislation to protect Guthrie card archive rather than destroy it.

Author's reply to Messe and colleagues.

American Academy of Neurology replies to Jeanne Lenzer.

A failed attempt at collaboration.

Drug Development. Compound interests: how a partnership between academics and a drug company came unstuck.

European Working Time Directive may contribute to fatigue.

Am I working in a 'zombie hospital'?

Locum oncologist whose treatment plan missed tumours and reduced survival chances is struck off.

Doctors in Japan oppose government plans to reform universal healthcare system.

Federal government will not challenge state laws on marijuana.

Women physicians' earnings continue to lag behind men's in the US.

The effects of excluding treatments from network meta-analyses: survey

Neurologists put their sleuthing techniques to good use as crime writers.

Lobbying bill will stifle debate, say BMA and charities.

Second NHS hospital in financial difficulty is put out to tender.

Report all increases in serum amylase in patients starting incretins.

Surfing the wave of misrepresented hospital death rates—a reticence of the well informed?

One in four deaths from heart disease and stroke in the US is preventable.

“Hardly worth the effort”? Medical journals’ policies and their editors’ and publishers’ views on trial registration and publication bias: quantitative and qualitative study

Doctor bashing and the brain drain.

Treatment for sexual offenders against children.

Healing with an eye on the clock.

New oral hypoglycaemics fail to show cardiovascular benefits.

Prosecutors defend decision not pursue doctors over sex selection abortions.

Caution over use of catheter ablation for atrial fibrillation.

Indian MPs criticise HPV vaccination project for ethical violations.

Journal agrees to retract paper after university found study was never done.

The loss of multidisciplinary primary healthcare teams is bad for patient care.

Prices on new insurance exchanges are lower than expected, report says.

Blood pressure monitoring is better at home.

Study that supports mammography for women under 50 is criticised

Political drive to screen for pre-dementia: not evidence based and ignores the harms of diagnosis

Novel drugs for treating angina.

BASHH's patient leaflets are produced through close collaboration between experts and patients.

When I was hungry and thirsty were you there?

E-cigarettes as good as patches in helping to reduce smoking, study concludes

Secondary prevention of venous thromboembolism.

Poor description of non-pharmacological interventions: analysis of consecutive sample of randomised trials

Management of urinary incontinence in women: summary of updated NICE guidance.

Effectiveness of interdisciplinary primary care approach to reduce disability in community dwelling frail older people: cluster randomised controlled trial

Clinical Review. Personality disorder.

The word 'cancer': how language can corrupt thought.

International standards on informed patient consent are available.

When a doctor goes wrong.

Good quality patient leaflets are prerequisite to concordance between patients and healthcare professionals.

The case for investing in high quality information for patients.

Transparency for each research article. Institutions must also be accountable for research integrity.

Harnessing clinical solving abilities through safety reporting to drive quality improvement in the NHS.

Misgivings about PROSPERO in solving the problem of duplicate systematic reviews.

The anaesthetic roundabout and its effect on behaviour at work.

Health risk from job insecurity needs to be mitigated in these 'VUCA times'.

The case for duplication of meta-analyses and systematic reviews

Repeated meta-analyses are both worthy and to be encouraged

Post-diagnostic support services should be included in new dementia targets

Government was wrong to prioritise 'gold' route for open access, say MPs.

UK government bows to pressure over lobbying bill.

Nearly half of US births were covered by Medicaid in 2010

GMC seeks powers to test doctors' language skills.

Repository needed to improve access to drug company documents, conference hears.

Journals are not biased towards positive trial results, conference hears.

Illicit drug use in the US holds steady, but heroin use is on rise.

Health secretary's remarks about GPs are 'morale sapping,' says royal college.

Hospital merger is jeopardised by private provider's objections.

What to do about unsafe medicines?

Descriptions of non-pharmacological interventions in clinical trials

High adherence to HIV prophylaxis reduces chances of infection from partner, research finds.

Medical data: does patient privacy trump access for research?

E-cigarette use doubles among US middle and high school students

Government sets out five year plan for tackling 'ticking time bomb' of antibiotic resistance.

Energy drinks and alcohol: research supported by industry may be downplaying harms.

Blurred vision: targeting a diagnosis.

Different combined oral contraceptives and the risk of venous thrombosis: systematic review and network meta-analysis

What is the future of hospitals?

Hospitals without walls.

Abolishing purchaser-provider split helped New Zealand scheme to cut costs, says King’s Fund

College calls for major overhaul of the delivery of care.

From testing the champions to championing the locals.

Cancer care in the US needs a radical overhaul, says Institute of Medicine.

Anticoagulant treatment is effective in atrial fibrillation.

Author's reply to Robson and Lip.

Feasibility and effectiveness of a low cost campaign on antibiotic prescribing in Italy: community level, controlled, non-randomised trial

Immunisation coverage in India remains too low, study finds.

FDA to tighten labeling on long acting opioids.

An intraoperative cholangiogram: unusual anatomy.

Evidence that exercise helps in depression is still weak, finds review.

Experts warn on data security in health and fitness apps.

US casino boss challenges Spain's smoking ban.

Global Fund needs \$15bn to fight HIV, tuberculosis, and malaria

Nuclear power plants do not raise risk of leukaemia in children, study finds.

Mentally ill patient chained to tree to highlight shortage of psychiatric beds in India.

Digital subtraction angiography of the pelvis.

Quantification of harms in cancer screening trials: literature review

Managing cows' milk allergy in children.

Guide aims to help patients be wary of 'miracle cures'.

Educating practice staff about chlamydia boosts detection in young adults.

UK clinical trials must be registered to win ethics committee approval.

Mice, cows, dung beetles, shrews, and drunken humans triumph in 2013 Ig Nobel prize

NHS must publish more data and value staff more, outgoing chief says.

Impact of 2008 global economic crisis on suicide: time trend study in 54 countries

Homeopaths Without Borders practice exploitation not humanitarianism.

Economic recession and suicide.

Unbanked direct blood transfusions should be legal, say Indian surgeons.

GP contracts should be simplified to allow more 'professional discretion,' says England's health secretary.

Doctors condemn Hunt's plan to link emergency department funding to staff flu vaccination rates.

MPs condemn UK clinical trials system for its 'invisible' results.

UK government is to reconsider claims of children who developed narcolepsy after vaccination.

Lilly challenges Canada's decision to strike down patents for not meeting 'inventive promise'.

Effect of smoking on comparative efficacy of antiplatelet agents: systematic review, meta-analysis, and indirect comparison

Ensuring the integrity of clinical practice guidelines: a tool for protecting patients.

Commentary: How the BMJ selects guideline summaries for publication.

NHS competition rules are 'not fit for purpose,' think tank chief says.

CDC calls for urgent action to combat rise of drug resistant pathogens.

Review rates of pathology findings for head and neck cancer vary hugely between hospitals, report finds.

Charity calls for routine BRCA testing of ovarian cancer patients.

Adolescents and young adults who are not in employment, education, or training.

Effectiveness of general practice based, practice nurse led telephone coaching on glycaemic control of type 2 diabetes: the Patient Engagement And Coaching for Health (PEACH) pragmatic cluster randomised controlled trial

Possible benefits of being diagnosed as having reduced renal function.

Fraudulent data: an apology and the fate of angiotensin receptor blockers.

A stable definition of chronic kidney disease improves knowledge and patient care.

Testing times for HIV.

'We know where to probe,' says Mike Richards, the new chief inspector of hospitals. Interview by Nigel Hawkes.

An alternative classification system for chronic kidney disease.

Atos Healthcare replies to Greg Wood.

Wanted: national regulatory monitoring system for long term opioid prescription.

Regulation is needed to support the development of health IT.

Deprivation of Liberty Safeguards protect care homes, not patients.

Friends, doctors, and tramadol: we might have a problem.

Medical manslaughter.

Will India deliver on universal health coverage?

MPs question government’s plan for a paperless NHS by 2018

Ten providers bid to run £800m contract for Cambridgeshire older people’s services

CCGs have duty to demand providers be open about mistakes, say MPs.

Doctors must ask patients about tobacco use, conference hears.

Canadian doctor travelling to Gaza is detained in Egyptian prison.

Confidence of NHS finance directors to meet targets has plummeted.

Controlling novel avian influenza A (H7N9) at animal sources

Monitoring excess mortality in Europe.

Whatever happened to normal ageing?

Infrastructure and IT policies of individual trusts limit health IT.

Establishing the context in which doctors write software code.

Too many psychiatric beds have been lost.

Panel sketches out plan for US neuroscience initiative.

Acute epiglottitis.

An unusual cause of breathlessness.

Type of stress ulcer prophylaxis and risk of nosocomial pneumonia in cardiac surgical patients: cohort study

Humanism in the time of metrics—an essay by David Loxterkamp

Military rather than civil aviation holds the answers for safer healthcare.

Parking the issue.

Make children move.

Perioperative β blockade

Sharing information on violence saved Cardiff £7m in health, legal, and social costs in 2007

Indian doctors condemn move to fund treatments abroad for civil servants.

Doctors urge Syrian government to allow them access to patients.

Spending on health in the US is projected to reach almost 20% of GDP by 2022

Morecambe Bay hospital trust is still not meeting its improvement targets, CQC says.

Patients rate hospitals high on cleanliness but low on food.

Exercise for lower limb osteoarthritis: systematic review incorporating trial sequential analysis and network meta-analysis

Drug Marketing. The line between scientific uncertainty and promotion of snake oil.

Shorter radiotherapy course just as effective for treating breast cancer, research finds.

'Super managers' to be sent into failing hospitals.

Quality of care for poor Americans varies widely from state to state.

German court rules that liquid nicotine is not a medicine.

Lewisham appeal will decide which local commissioners can veto reconfigurations.

Picture quiz. Traumatic knee injury.

A 70 year old woman with chest pain after a stressful event

Lifestyle advice by text messages helps prevent type 2 diabetes in high risk men

Better sex education for children is needed to combat dangers of pornography.

Bowel screening has long term benefits, research shows.

Investigating hypokalaemia.

Testicular germ cell tumours.

Female genital mutilation/cutting.

US House passes bill that would defund Affordable Care Act.

Private provider clarifies its position on Bournemouth and Poole hospitals merger.

Doctors plan to relaunch smartphone app after being cleared of plagiarism.

Bad medicine: monitoring patients' drugs.

BMA appeals for release of Canadian doctor held in Egypt.

GMC drops cases against doctors who worked at Stafford Hospital.

Bring in universal mental health checks in schools.

Should hospitals provide all patients with single rooms?

Too much angioplasty.

New breast screening leaflet still denies women the full picture, says critic.

Are you 45% more likely to die in a UK hospital rather than a US hospital?

Children will suffer most as climate change increases in coming decades, say scientists.

Kicking clinical commissioning groups into the long grass.

An unusual case of quadriparesis.

People want to learn as much as possible from the PACE trial for chronic fatigue syndrome.

Do low grade thyroid cancers really require thyroidectomy?

The case for licensing cytosine now for smoking cessation is overwhelming.

What's the problem with sharing research committee's discussions?

Thyroid nodules: time to stop over-reporting normal findings and update consensus guidelines

Misunderstanding the value of troponin testing.

Patients are not friends.

The importance of establishing a rapport with patients.

Listening is paramount when discussing sensitive topics with patients.

How to get out of hospital.

Adding acupuncture or counselling to usual care hastens improvement in persistent depression.

Tetanus vaccination during pregnancy reduces risk of neonatal mortality in India, study finds.

Gaza is running out of medicines as Egypt limits movement through the Rafah crossing [corrected].

Strong government accountability is crucial to meeting millennium development goals, UN assembly is told.

The patient's perspective: we all want private hospital rooms.

Concussion and sport.

Health Research Authority's great leap forward on UK trial registration.

Supporting poorly performing NHS hospitals to improve.

Judge quashes GMC's decision to pursue old allegations against a consultant.

Half of Americans without insurance will be able to get cover for \$100 a month, government says

E-cigarettes and the marketing push that surprised everyone

Hospitals and care homes that fail to provide basic care will face prosecution, says UK regulator.

Doctor who fabricated claims she had been raped is suspended for 12 months

Study raises concerns over racial discrimination in MRCGP exam.

FDA will not regulate most mobile medical apps.

Hospitals have more negotiating power than commissioning groups, Monitor says.

Academic performance of ethnic minority candidates and discrimination in the MRCGP examinations between 2010 and 2012: analysis of data

Discrimination in the UK's postgraduate examination in primary care.

GPs’ income has fallen 16% in real terms since 2004-05

Competition is holding back quality improvements, says NHS boss.

Turkish police targeted doctors who helped protesters, report says.

BMJ author hits out at attempts to dismiss findings of possible racial bias in RCGP exam.

NICE guidelines urge local authorities to 'spend to save' on public health.

Scientists say they are 95% certain that humanity is responsible for climate change

Death rate from hip replacement almost halved in eight years.

What went wrong with the quality and safety agenda? An essay by Michael Buist and Sarah Middleton.

Indications for and use of inferior vena cava filters in the preoperative phase.

No trust will get foundation status until it has gone through CQC inspection regime, Monitor says.

Reducing inequality is crucial to implementing universal health coverage, says WHO report.

European regulator is urged to release data on drugs approved in past 10 years

GPs in Hackney win bid to run out of hours service.

We should be optimistic about ablation for atrial fibrillation.

Cancer charities need access to patient data too.

The commodification of patient medical records.

Authors' reply to Ward.

Trusting researchers to use open trial registers such as PROSPERO responsibly.

The Royal College of General Practitioners replies to the BMJ.

Clare Gerada: 'It's like the wild west in healthcare'. Interviewed by Gareth Iacobucci.

Predicting psychopaths' violent behaviour is no better than chance, study finds.

Independent contractor model for GPs has had its day, says RCGP chairwoman.

HRT risks outweigh benefits for chronic disease prevention, research confirms.

Course of bereavement over 8-10 years in first degree relatives and spouses of people who committed suicide: longitudinal community based cohort study

Healthcare staff must properly introduce themselves to patients.

Where's the evidence for NHS health checks?

The art of deception.

Childhood obesity is linked to weight gain during pregnancy, US study finds.

Private insurance website is forced to drop advertisement.

Most uninsured Americans plan to buy insurance in response to health reform law.

Rural employment scheme is associated with less infant malnutrition, study finds.

GPs face a £400m “black hole” as a result of cuts over the past three years

Burden of adhesions in abdominal and pelvic surgery: systematic review and met-analysis

Blood pressure lowering and major cardiovascular events in people with and without chronic kidney disease: meta-analysis of randomised controlled trials

Thousands of health workers furloughed as US government shuts down.

Dr Foster is asked to review surgeons’ performance after 14 year hospital feud

Doctors should accept they are no longer primary decision makers in care, says think tank.

Spoof research paper is accepted by 157 journals

Efficacy of anti-inflammatory or antibiotic treatment in patients with non-complicated acute bronchitis and discoloured sputum: randomised placebo controlled trial

Whiplash after motor vehicle crashes.

Indian Supreme Court halts approval of new clinical trials until regulatory framework is set up.

Are new technologies in infertility treatment always good news?

Radiologist is struck off after failing to spot pathology that 'should have been obvious to even a trainee'.

Author of race discrimination report claims he was pressured to modify covering letter.

High Court quashes tribunal's judgment on police doctor.

Hunt wants to be “most pro-GP health secretary in a generation”

Endometrial scratching improves IVF pregnancy rate.

US health insurance exchanges are swamped by users.

Canadian drug safety initiative wins global support in campaign to have funding restored.

Only a sixth of animal bite victims in India get antirabies treatment.

Antimicrobial resistance will surge unless use of antibiotics in animal feed is reduced.

Doubts raised over political support for hospital reconfiguration.

Draft EU research programme doesn't deal with disease risk factors, say public health doctors.

Insurance payments to US doctors vary widely for same service, study shows.

Polio is re-emerging in areas previously considered polio free

Suspension of GP over treatment of drug misuser is extended for 12 months

Effectiveness of financial incentives to improve adherence to maintenance treatment with antipsychotics: cluster randomised controlled trial

Removing QoF targets will take funding away from general practice, says Gerada.

Free air, but where?

Specialist geriatric medical assessment for patients discharged from hospital acute assessment units: randomised controlled trial

Nobel prize is awarded for studies of intracellular transport mechanisms.

Guides on commissioning 28 surgical procedures aim to end postcode lottery

Aircraft noise and cardiovascular disease near Heathrow airport in London: small area study

Residential exposure to aircraft noise and hospital admissions for cardiovascular diseases: multi-airport retrospective study

Airport noise and cardiovascular disease.

New polyps, old tricks: controversy about removing benign bowel lesions.

Regulating medical apps: which ones and how much?

Investigating the fallout of a suicide.

Emergency doctors exceed their planned hours by 20% or more, survey finds

Public prosecutor explains reasons for not prosecuting doctors who agreed to abort female fetuses.

'Overly prescriptive' targets pose threat to clinical commissioning groups.

How a marriage with big pharma ended in divorce.

Survey finds support for payments to doctors from commercial companies to be made public.

Doctors’ groups are criticised for endorsing pro-industry guidelines

Aircraft noise is linked to raised risk of cardiovascular disease.

Safety of the quadrivalent human papillomavirus vaccine.

Time for open access to all medical documentation forms.

Identifying brain tumours in children and young adults.

The problem of selective briefings for a transparent NHS.

Putting less emphasis on classifying mental disorders and more on collaborative working.

Importance of the dynamics between patients with personality disorder and the doctors treating them.

Autoimmune, neurological, and venous thromboembolic adverse events after immunisation of adolescent girls with quadrivalent human papillomavirus vaccine in Denmark and Sweden: cohort study

Bad medicine: non-ST elevation myocardial infarction

Mandatory moaning.

Response to Krogsboll and colleagues: NHS health checks or government by randomised controlled trial?

Time to put right what is going wrong in the government's disability assessments.

The word 'cancer'. Precancerous lesions are more accurately termed 'dysplasia'.

Helping patients make the right decisions about treatment.

New Care Quality Commission inspection regime is under-resourced

Trials of therapeutic communities in personality disorder are under way.

Authors' reply to Pearce.

Climate change: the challenge for healthcare professionals.

Lister restaged: one sure step for science and safer surgery.

Guidelines for collaboration with industry should be transparent.

World Bank is urged to end support for social health insurance schemes.

Canadian doctor is released from jail but stopped from leaving Egypt.

Vaccine refusal may have contributed to California’s 2010 pertussis outbreak, study finds

European health systems must adapt to austerity, conference hears.

Candidate malaria vaccine becomes less effective over time, study shows.

European parliament refuses to classify e-cigarettes as medicines

Squeeze on NHS has not yet resulted in worse care, report says.

Axial computed tomography pulmonary angiogram.

Many states lagging in efforts to curb prescription drug misuse, says report.

Clinical score and rapid antigen detection test to guide antibiotic use for sore throats: randomised controlled trial of PRISM (primary care streptococcal management)

Longer GP opening hours would require £2bn shift of funding into primary care, says GP leader

MERS coronovirus has probably been present in bats for many years, research shows.

Watchdog advises patients to fight for their rights.

Smoking cessation treatment and risk of depression, suicide, and self harm in the Clinical Practice Research Datalink: prospective cohort study

Vitamin D supplementation to prevent osteoporosis is not warranted, study concludes.

Value based pricing: can it work?

Maine allows importation of mail order prescription drugs.

Most British non-white groups are less healthy than white people, census data show

Herbal products are often contaminated, study finds.

Most sore throats in US are still treated with antibiotics.

Unpublished studies hold twice as much data on drugs as those in public domain, study finds.

How to access and process FDA drug approval packages for use in research.

A difficult case of atopic eczema.

Nearly a third of children in India want to smoke when they grow up, study finds.

Government takes lessons from medicine to embed evidence into policies.

Checking GP patients' citizenship would be 'bureaucratic nightmare,' says GP leader.

Stricter rules and powers will help prevent another NHS scandal, says CQC chief.

UK should adopt cheap methods of healthcare delivery from poorer countries.

EMA confirms that hydroxyethyl starch solutions should not be used in critically ill, sepsis, or burns patients.

Providing high quality of care drives physician satisfaction, US study says.

Post-mastectomy breast reconstruction

Encephalitis claims 13 more lives as Indian government launches vaccine against one cause of the outbreak

Transverse ultrasound through the thyroid gland.

Researchers recommend routine HIV testing for patients in Indian hospitals.

GP-led service helped seven in 10 patients avoid long term sickness absence

Only five out of 19 maternity units in Ireland are following recent advice, report finds

Six Gulf states consider introducing checks of sex of immigrant workers.

Prevalent abnormal prion protein in human appendixes after bovine spongiform encephalopathy epizootic: large scale survey

How widespread is variant Creutzfeldt-Jakob disease?

CANTABmobile and its misleading promotion.

PACE trial authors' reply to letter by Kindlon.

All people with dementia need accurate assessment and ongoing support.

Alistair Burns and 51 colleagues reply to David Le Couteur and colleagues

Providing adequate and practical descriptions in surgical trials.

Deprived areas will lose out with proposed new capitation formula.

Hospital standardised mortality rates should not be used to make interhospital comparisons.

Claims about NHS deficiencies without robust data undermine trust.

Medical incident reporting needs a global online system.

Alliance Boots accused of avoiding over £1bn in UK tax

Australasian College of Physicians sacks its ethics committee.

London's health services need radical change, says NHS England.

Competition rules over merger has cost NHS £1.8m, BMJ probe shows

United Nations is sued over cholera epidemic in Haiti.

Journal policy on research funded by the tobacco industry.

Risk of moderate to advanced kidney disease in patients with psoriasis: population based cohort study

Liverpool care pathway offers no added benefits over usual care for dying patients, finds study.

General practice 8 till 8

Radiograph showing the soft tissues of the neck: lateral view.

Clare Gerada: best move was 'getting into drugs'.

Devices and desires: industry fights toughening of medical device regulation in Europe.

CEO pay at US non-profit hospitals not associated with quality or charity care, study finds

Raising more antibodies.

European Union's tobacco products directive.

Prescribing methylphenidate for moderate ADHD.

Burden of dengue fever is higher than previously thought.

GPs are reluctant to promote patient choice, health minister says.

Competition watchdog sees sharp rise in inquiries from CCGs.

Telemonitoring for patients with COPD.

Non-invasive versus invasive respiratory support in preterm infants at birth: systematic review and meta-analysis

Effectiveness of telemonitoring integrated into existing clinical services on hospital admission for exacerbation of chronic obstructive pulmonary disease: researcher blind, multicentre, randomised controlled trial

Challenges posed by the global crisis in the health workforce.

Communication is a determinant of public health: a media campaign for tobacco control in India.

MPs question potential new chair of Monitor about his work for company advising private health firms.

GP confronts health minister over pressures of the job.

Health activists attack Indian compensation formula for deaths attributed to clinical trials.

Stoma care: the market in products lets patients down.

Selling amphetamine emblazoned athletic shirts v overselling amphetamines: a tale of two entrepreneurs.

Candidate for NHS England top job says GP federations are the future.

State opposition to Medicaid expansion will leave five million poor Americans without health cover, report says.

India to set up 80 new units to boost medical research

Short course of cognitive behavioural therapy may reduce health anxiety, say researchers.

Chronic disease care in remote Aboriginal Australia has been transformed.

What’s next for public health in a post-Bloomberg NYC?

Nuffield Council opens consultation on use of personal biological and health data.

Late amendment to Care Bill 'moves the goalposts' in fight over Lewisham Hospital, lawyer says.

Leprosy and the rhetoric of elimination.

Hospital merger is blocked because of failure to prove patient benefits.

US government reopens as Republican effort to derail health act collapses.

Poor performers in general practice will be targeted, new inspector tells conference.

Including post-discharge mortality in calculation of hospital standardised mortality ratios: retrospective analysis of hospital episode statistics

An introduction to advance care planning in practice.

Diagnostic parotid sialogram.

I was sexually harassed as a junior by senior doctors: it still goes on, and it needs to stop.

£1m campaign aims to reduce patients’ fears over sharing of personal data

Prescriptions for elderly people vary widely across US.

High Court brings GMC into legal action over RCGP membership exam.

India plans joint project with World Bank to improve safe water supply.

Indian advocacy group urges Woody Allen to accept display of antismoking messages across latest film.

Doctors fail to get life support withdrawn from 'minimally conscious' patient.

Bariatric surgery versus non-surgical treatment for obesity: a systematic review and meta-analysis of randomised controlled trials

Should athletes be allowed to use performance enhancing drugs?

Saturated fat is not the major issue.

Lobbying bill could curtail public health campaigns, warns BMA.

Paying patients with psychosis to improve adherence.

Palm oil taxes and cardiovascular disease mortality in India: economic-epidemiologic model

Should people at low risk of cardiovascular disease take a statin?

GMC and vulnerable doctors: too blunt an instrument?

What are we spending on the English NHS?

Which is the best medical school?

US endocrinologists release 'choose wisely' list.

Surgery outperforms other treatment options for obesity, finds analysis.

Claim that primary care provides in excess of 80% NHS activity is wrong

We need to ask 'what is the purpose of research?'.

Medical journal editors and publication bias.

Red Bull meets the Australian dietary guidelines.

Is the Iraqi birth defects report believable?

Suicides in Greece: a light at the end of the tunnel.

Simple solutions to Strongyloides stercoralis infection.

Sequential analysis shows that β blockade in non-cardiac surgery is ineffective and may even be harmful

Ignoring the basic courtesies of consultation.

Doctors' name badges are important.

Effect of commonly prescribed drugs on incidence of gout.

Time to consider the best way to plan for single rooms.

The elephant in the single room debate: keeping patients active.

Children thrive on companionship, not single rooms.

Risk of inpatient falls is increased with single rooms.

US group suggests way to boost access to trial data while preventing misuse.

Revision of Helsinki declaration aims to prevent exploitation of study participants.

Doctors’ leaders question £2bn estimated cost to NHS of caring for visitors

Household income directly affects children's development, research shows.

Michael Rawlins: pet hate is the daily mail.

Universal health coverage: a policy whose time has come.

Five year results show success of first tissue engineered trachea transplant.

More patients are getting rapid access to carotid endarterectomy, but variation remains.

Young black UK women are less likely than young white women to survive breast cancer.

NHS regulator plans to make it easier for doctors to raise concerns and break 'mafia' code of silence.

Obama promises to fix troubled health insurance exchange website.

GPs are key to effective coordination of care for people with chronic conditions, study concludes.

Comparative effectiveness of renin-angiotensin system blockers and other antihypertensive drugs in patients with diabetes: systematic review and bayesian network meta-analysis

Cerebral mass in HIV infection.

Energy drinks: cause for concern or scaremongering?

WHO calls for more money to fight tuberculosis.

Patient groups accuse European parliament of putting economic interests ahead of safety on medical devices.

Many Indian HIV patients drop out of healthcare before they qualify for antiretrovirals, study finds.

The saviour of Hunter's collection.

Childhood mortality varies threefold across different UK local authorities, report shows.

Concerns are raised over professors detained in Egypt since military coup.

Affordable Care Act’s lower than projected premiums will save \$190bn more over decade, report says

Medical tourism is a profitable source of income for the NHS, study finds.

Value of composite reference standards in diagnostic research.

Mortality indicators used to rank hospital performance.

Ibuprofen, paracetamol, and steam for patients with respiratory tract infections in primary care: pragmatic randomised factorial trial

Abnormal liver function tests in pregnancy.

Clinical effectiveness of a manual based coping strategy programme (START, STrAtegies for RelaTives) in promoting the mental health of carers of family members with dementia: pragmatic randomised controlled trial

Cost effectiveness of a manual based coping strategy programme in promoting the mental health of family carers of people with dementia (the START (STrAtegies for RelaTives) study): a pragmatic randomised controlled trial

Overdiagnosis: when good intentions meet vested interests—an essay by Iona Heath

NHS Direct will close down in March next year.

South Asian hospitals that lack DNAR orders deny patients holistic care.

'First do no harm' revisited.

MPs reject government's preferred candidate to chair Monitor.

Changed guidance on payment for study participants puts them at higher risk of harm, group says.

Proponents of coordinated care should focus on quality improvement, not cutting costs, conference hears.

England's health regulator screens hospitals to identify which to inspect first.

Infant mortality fell by a third in India from 2003 to 2012

Emergency care should take priority in plan to introduce seven day working in NHS, says BMA.

Food firms' pledge on saturated fat is 'thinnest of thin interventions'.

Home improvement and gardening can prolong life in over 60s, study finds

Surgeon who operated without insurance is suspended.

An adult with a neck lump

India has a problem with palm oil.

Act now to fight chronic procrastination disorder.

Is closure of patent foramen ovale to prevent ischaemic stroke ever justified?

The rise and further rise of concierge medicine.

Government's choice to chair Monitor drops out after MPs reject his appointment.

Indian Supreme Court rejects bid for panel to be established to regulate soft drinks.

What can England's NHS learn from Canterbury New Zealand?

Lack of transparency regarding collaboration with industry.

We need to investigate whether racial discrimination explains differences in MRCGP exam results.

Why must NHS health checks be commissioned by local authorities?

GPs may be the last port of call in suicide.

Meeting the challenges of providing universal health coverage.

A film festival for health.

Health Research Authority outlines plans to improve transparency of UK clinical research.

Migrants' healthcare: who pays?

NHS is told to improve hospital complaints system within a year.

Hunt appeals against ruling he exceeded his powers in action on Lewisham Hospital.

Are migrant patients really a drain on European health systems?

Simon Stevens: new NHS leader who's 'not just Mr Insurance USA'.

US doctors join call for end to embargo against Cuba.

Non-publication of large randomized clinical trials: cross sectional analysis

The effect of fall prevention exercise programmes on fall induced injuries in community dwelling older adults: systematic review and meta-analysis of randomised controlled trials

Why can't we improve the timeliness of cancer diagnosis in children, teenagers, and young adults?

Patients are given new pan-European right to treatment

Management of nocturnal enuresis.

Why I worry about large international studies.

Reasons why doctors who perform well as doctors may fail the MRCGP clinical skills assessment exam.

Racial bias unlikely to be a factor in the differential performance of candidates in the MRCGP exam.

Making climate change a priority in the NHS.

Role of GPs in communicating lifestyle messages that are good for health and the climate.

Ensuring that international medical graduates and ethnic minority doctors have the necessary cultural awareness to provide care in the UK.

Unfair to compare MRCGP exam results between people at different stages of learning.

High failure rate of ethnic minority groups in MRCGP exam comes from changes to exam and candidate selection.

The BMJ's stance on collaboration with industry.

Health secretary loses court battle over Lewisham Hospital.

The relation between total joint arthroplasty and risk for serious cardiovascular events in patients with moderate-severe osteoarthritis: propensity score matched landmark analysis

Paying for migrant healthcare.

Record damages are awarded in medical negligence case in India.

Cut children's screen time to less than two hours a day, US pediatricians say.

Intact PIP implants do not need to be removed, European report confirms.

Restore the prominence of the medical ward round.

Select the right medical students to be the next generation of generalists.

Nominations open for The BMJ Awards 2014

Doctors should be encouraged to talk to colleagues who make errors, group says.

A substantial tax on sugar sweetened drinks could help reduce obesity.

Overall and income specific effect on prevalence of overweight and obesity of 20% sugar sweetened drink tax in UK: econometric and comparative risk assessment modelling study

Sudden onset hair loss and colour change.

Health inequalities are worsening across Europe, says WHO.

Shortage of emergency department doctors needs urgent action, says watchdog.

Obama seeks to quell furor over insurance cancellations.

Health department chooses 14 projects as exemplars of integration of health and social care

GMC dismisses case against top NHS boss.

The US requirement to deposit trial data within a year is unworkable.

Do we need GPs?

Doctors support biggest local reconfiguration in NHS, says Hunt.

Sebelius apologizes for health insurance website's woes.

Doctors issue guidance on managing concussion in young people.

Courts may not be able to rule on value of treatments when doctors and families clash.

Fracking poses little risk to public health, but evidence is limited.

Health and wellbeing boards need to step up to meet local health needs, says report.

The primary care physician shortage.

Users of free condoms in India fell by almost 50% in six years

FDA reveals new initiatives to deal with drug shortages.

HPV screening offers greater protection against invasive cervical cancer than cytology, finds analysis.

Interventions for non-metastatic squamous cell carcinoma of the skin: systematic review and pooled analysis of observational studies

The diagnosis and management of gastric cancer.

Flashes, floaters, and a field defect.

More people in England are dying at home.

New York City Council raises age for tobacco purchases to 21

Despite website glitches, public's views on Affordable Care Act are unchanged, poll finds.

Attention-deficit/hyperactivity disorder: are we helping or harming?

Importance of monitoring health inequalities.

Doctors are key to securing the UK's first conviction for female genital mutilation, say campaigners.

Tamsulosin treatment for benign prostatic hyperplasia and risk of severe hypotension in men aged 40-85 years in the United States: risk window analyses using between and within patient methodology

Severe hypotension associated with blocker tamsulosin.

Balloon phobia.

Patients with tuberculosis in rural India should receive food supplements during treatment, researchers say.

GP's suicide after suspension for administering an overdose provokes a storm in the Netherlands.

US health professionals helped in the torture of detainees, report says.

Private equity firms are invited to get involved with commissioning.

Polio outbreak leads to calls for a 'vaccination ceasefire' in Syria.

Commissioners are restricting referrals for hip and knee surgery, says report.

Safety and efficacy outcomes of first and second generation durable polymer drug eluting stents and biodegradable polymer biolimus eluting stents in clinical practice: comprehensive network meta-analysis

Use long acting β2 agonists only when asthma cannot be controlled otherwise

Authors' reply to Hasford.

The importance of testing colour vision in identifying brain tumours in children.

Consider tuberculoma and cysticercosis in the differential diagnosis of brain tumour in tropical countries.

Patterns of inheritance, not always easily visible.

Consider factors that are important to patients when quantifying harms.

Small, not large, teams assess hospitals internationally.

Author's reply to Timimi.

Over-prescribing methylphenidate won’t be cured by autism-style assessments

Role of the private sector in developing new infertility treatments.

Adhesions in abdominal and pelvic surgery: benefit of laparoscopy over open surgery remains unproved.

Author's reply to Andersson.

Austerity in Greece not only kills but also curtails births and marriages.

Johnson & Johnson to pay \$2.2bn to settle charges of false marketing on three drugs

Genomes of 100 000 people will be sequenced to create an open access research resource

NHS doesn't know how many managers were made redundant and rehired after coalition's changes.

Universities face higher costs during transition to open access model for research findings, conference told.

Surgeon jailed for manslaughter after postponing surgery on man with perforated bowel.

Hospital admission during pregnancy raises risk of thromboembolism.

US colorectal cancer screening rates are 'far too low,' says CDC.

NHS spending on drugs is frozen for two years under price deal.

Risk of first venous thromboembolism in pregnant women in hospital: population based cohort study from England

Pre-eclampsia rates in the United States, 1980-2010: age-period-cohort analysis

Employers should help prevent misuse of alcohol by employees.

Police investigate allegations of data falsification at Essex hospital.

Idiopathic pulmonary fibrosis.

An older, sicker US will need more specialists, study says.

How private providers are feeling the pinch.

Global determinants of mortality in under 5s: 10 year worldwide longitudinal study

Don't restrict funding from drug companies for doctors' education.

Bare metal stents, durable polymer drug eluting stents, and biodegradable polymer drug eluting stents for coronary artery disease: mixed treatment comparison meta-analysis

Determinants of childhood mortality.

Power to the people: what will bring about the patient centred revolution?

US lawyers investigate trial that secured license for AstraZeneca's antiplatelet drug.

Litigation in maternity care is rising, says National Audit Office.

UK doctor arrested in Syria is located in Damascus prison.

Bad medicine: gabapentin and pregabalin.

Patients' actual care pathways often differ markedly from doctors' perceptions.

GP league tables are too simple and should not be used, says BMA.

Standard tobacco packaging still being considered but is not a 'silver bullet,' says health department.

US moves to ban trans fats.

A conversation with great doctors.

Making inferences on treatment effects from real world data: propensity scores, confounding by indication, and other perils for the unwary in observational research.

Teenagers say slim cigarettes are 'cool' and 'classy'.

Hunt 'strained' the law to try to close Lewisham Hospital services, say judges.

NHS “pays twice” for patients at walk-in centres who are registered elsewhere, study finds

Central venous catheters.

India should introduce daily drug treatment for tuberculosis.

Syrian refugees could bring polio to Europe, experts warn.

TB activists at world conference boo Indian minister off stage.

Insurers are required to offer coverage for mental problems similar to that for physical ones.

Canada must do more to tackle poorer health of indigenous people, says national chief.

The public health value of doctors encouraging patients to exercise.

Life expectancy at birth and at age 65 for local areas in England and Wales

Physical activity helps patients with cancer too.

Philosophy and practice of advance care planning in Scotland.

Obesity increases heart disease risk in absence of metabolic risk factors.

Perinatal outcomes after bariatric surgery: nationwide population based matched cohort study

Population ageing: the timebomb that isn't?

Should influenza vaccination be mandatory for healthcare workers?

Advance care planning is everybody's business.

Doctors should be tried by a UK criminal court, not by the GMC.

End of life care—the buck stops here with doctors

Authors' reply to Brunet.

Women who have had surgery for obesity have raised risk of preterm babies.

Trial will test whether shopping vouchers encourage breast feeding.

NHS medical director proposes two tier emergency service.

Breadlines, brains, and behaviour.

Putting GlaxoSmithKline to the test over paroxetine.

A shot in the arm for medical education.

Academics who spoke out on swine flu risks were more likely to have industry links, study finds.

Shortage of health workers is set to double, says WHO.

Obamacare's rocky road.

Most doctors have negative experiences of reporting incidents.

Dementia statistic is misleading.

NHS 111 led to more ambulance dispatches, finds study

Secondary prevention for patients after a myocardial infarction: summary of updated NICE guidance.

Cleared GP asks police to investigate patient for perverting course of justice.

Sailing without a lookout: cuts to the Office for National Statistics.

Transverse ultrasound image through the orbit.

Evidence is lacking for or against multivitamins to prevent heart disease or cancer, US task force says.

GP who married widower shortly after patient's death is suspended for six months.

Implausible results in human nutrition research.

Physical activity and risk of inflammatory bowel disease: prospective study from the Nurses’ Health Study cohorts

Should women with HIV, or at high risk of contracting HIV, use progestogen-containing contraception?

Longitudinal ultrasound through the testicle.

Surgeons say they lack institutional support when things go wrong.

WHO warns world over health needs in Philippines.

Interspinous process device versus standard conventional surgical decompression for lumbar spinal stenosis: randomized controlled trial

New US prevention guidelines focus on overall risk of cardiovascular disease.

First case of human infection with new bird flu virus is confirmed.

Essex hospital is put into special measures over breach of licence.

US trade agreement threatens to increase drug prices and withhold safety data.

Patients are losing sight because of rising demand in eye clinics.

Cascade diagrams for depicting complex interventions in randomised trials.

EU policy on e-cigarettes is a “dog’s dinner,” says UK regulator

Swedish health advisory body says too much carbohydrate, not fat, leads to obesity.

New bid to legalise assisted suicide reaches Scottish parliament.

Big pharma and big medicine in big trouble.

Green phlegm doesn't always warrant antibiotics, public is told.

The diagnosis and management of erythrocytosis.

A case of profound hypercalcaemia and acute kidney injury.

Excluding NICE from early stages of value based pricing scheme was 'big win for pharma,' conference is told.

Better care for elderly will replace some 'box ticking' under new GP contract.

If at first you don't succeed with IT, keep trying, conference is told.

High Court quashes decision by Medical Practitioners Tribunal Service.

More consultant 'generalists' are needed to deliver seven day hospital care, report says.

Obama announces fix for canceled health plans.

India's deadly roads.

Patients' rating of treatment tells you more about patients than hospitals, research concludes.

Three in four Americans want major changes to healthcare system, survey finds.

UK hospitals need a proper seven day system, consensus conference concludes.

Can India end the corruption in nurses' training?

Lessons from vets' treatment of pets will improve people's medical treatment.

Evidence favours an association between saturated fat intake and coronary heart disease.

Increasing the use of statins in people at low cardiovascular risk is difficult.

Editor's reply to Smith.

India must use research evidence to tackle high burden of cervical cancer, experts say.

What we substitute for saturated fat matters.

UK government wants to expand duty of candour.

Coronal computed tomogram through the paranasal sinuses.

Looking beyond 'the house of care' for long term conditions.

Sarah Wollaston: from GP to MP. Interview by Krishna Chinthapalli.

Clinical study reports are not commercially confidential, says UK government.

Why ban tobacco funded research but not research funded by other industries?

Blanket ban on tobacco funded research risks missing out on good quality studies.

Arguments against publishing tobacco funded research also apply to drug industry funded research.

We need more data before rejecting the saturated fat hypothesis.

Ethical problems with paying patients to improve adherence to treatment.

Working at Heathrow airport may be a risk factor for cardiovascular disease.

Should general practices open for longer?

Author's reply to Lichtenstein, Tedstone and Pyne, Mann and colleagues, Lim, and Clifton.

Study missed opportunity to confirm link in causality between noise and coronary heart disease.

Sugar, not fat, is the culprit.

Non-publication of tobacco funded research should extend to replacement nicotine studies funded by the drug industry

Authors' reply to Corbin, Moore, and Coebergh.

Public Health England endorses limiting saturated fat intake.

Arguments for a healthcare tax on migrants are politically motivated.

Can hospital mortality comparisons ever be fit for purpose?

$PM_{0.1}$ particles from aircraft may increase risk of vascular disease

Hospital readmission performance and patterns of readmission: retrospective cohort study of Medicare admissions

Can joint replacement reduce cardiovascular risk?

Reform reform: an essay by John Oldham.

Implementation research: what it is and how to do it.

A patient with chest pain and electrocardiographic changes.

Investigating low thyroid stimulating hormone (TSH) level

How many new cancers are diagnosed after emergency admission?

Tell us how it was for you.

Journey of a patient editor.

Surgery for neurogenic claudication and spinal stenosis.

US heart doctors defend new prevention guidelines.

Recessions during working life may lead to later cognitive decline.

Another cause of overdiagnosis: fear of litigation.

Global spending on prescription drugs to top \$1 trillion by 2017, report says

Suicide and the law in India.

Majority of panelists on controversial new cholesterol guideline have current or recent ties to drug manufacturers.

Health service reaps large benefits from volunteers, survey shows.

Exploration and confirmation of factors associated with uncomplicated pregnancy in nulliparous women: prospective cohort study

Sharper focus on uncomplicated pregnancy.

Earlier diagnosis is needed to reduce deaths and disability from aneurysmal subarachnoid haemorrhage.

Where law and ethics diverge: the ethics of intimate body searches.

Doctor who worked at Barts is struck off for 'global deficiencies' in medicine.

MPs ask about conflict between aims of Public Health England and government policy.

Lack of electricity and mobile networks hampers treatment of injured in Philippines.

Indian cabinet approves controversial community health training.

Seven day working will be a challenge in terms of resources and changing contracts, conference hears.

Merck brings maternity program designed for poor nations to the US.

MPs challenge Serco over its trustworthiness to run public services.

UK’s health spending per head fell in 2010 and 2011

More NHS trusts are on brink of deficit, as easy savings run out, experts warn.

Effect of β blockers on mortality after myocardial infarction in adults with COPD: population based cohort study of UK electronic healthcare records

Dangers of non-specific composite outcome measures in clinical trials

Policy challenges of clinical genome sequencing.

Doctors must confront homophobia because it causes harm.

Referral mismanagement systems.

Balancing budgets or protecting patient safety.

A fifth of people with HIV are unaware they are infected, report says.

First four hospitals inspected under new regime are found to be safe.

NHS care worsened last year despite lessons from Stafford.

NHS agency takes out private prosecution against mentally ill patient who hit healthcare assistant.

I refused to perform abortions: you don't have to sacrifice your integrity to get ahead.

Supporting people who care for adults with dementia.

What will climate change mean for infectious disease?

Predictors of suppurative complications for acute sore throat in primary care: prospective clinical cohort study

A patient with hypertrophic cardiomyopathy undergoing non-cardiac surgery

Diagnosis and management of hyperhidrosis.

Patent injustice: how India brought cheap HIV drugs to Africa.

Urgent care in England.

β blockers for adults with chronic obstructive pulmonary disease

Health act's troubled rollout hammers popular support.

Indian academy recommends whole cell pertussis vaccine for primary vaccination.

Sanitation campaigners call for urgent action over India's missing toilets.

Association between cardiovascular events and sodium-containing effervescent, dispersible, and soluble drugs: nested case-control study

Doctors' health: taking the lifecycle approach.

Excess winter deaths rose by 29% last year from 2011-12

Surgeon is struck off for repeatedly lying to patient over brain tumour removal.

Sexual violence among children is widespread within gangs, report says.

NHS hospitals must become completely smoke free, says NICE.

Mortality rates at 10 years after metal-on-metal hip resurfacing compared with total hip replacement in England: retrospective cohort analysis of hospital episode statistics

Simon Wessely: a man with 'a joking seriousness'.

The importance of the osmolality gap in ethylene glycol intoxication.

Labelled for life.

Patient confidentiality in a time of care.data.

Half of English hospital doctors fear raising concerns, finds survey.

Regulators should do more to protect whistleblowers, commission says.

Bioabsorbable drug eluting stent: winner or sinner?

Target cardiovascular risk rather than cholesterol concentration.

E-cigarette marketing is aimed at youngsters, says charity

Regulator wants to do more to help prevent NHS trusts getting into trouble.

FDA halts sale of genetic test sold to consumers.

Diabetes UK defends its type 2 diabetes awareness campaign

ADHD is a social problem.

Loss of Office for National Statistics data will increase health inequalities.

Attendances at Charing Cross and Hammersmith Hospitals’ urgent care centres, 2009-12

Tax on soft drinks to reduce obesity. Lowering the price of 'good' foods would be better than taxing 'bad' foods in reducing obesity.

Is a tax on sugary drinks too bitter to swallow?

Information is lacking on health inequalities by sexual orientation.

Migrant patients' access to HIV care: testing should always be free.

Still not clear that smoking cessation drugs do not cause psychiatric symptoms.

Authors' reply to Davies.

Results from multiagency ADHD pathway in Wolverhampton.

ADHD is a behavioural construct, not a psychiatric condition.

Are concerns about DSM-5 ADHD criteria supported by empirical evidence?

Authors' reply to Cortese.

Prompt use of neuraminidase inhibitors improves survival of children severely ill with flu.

Private patients are more likely to have a caesarean section, finds study.

Intestinal malrotation and volvulus in infants and children.

Commentary: Patients will need knowledgeable guidance.

British women are engaging in greater variety of sexual practices.

NHS England launches consultation on improving general practice in London.

Polypharmacy: a necessary evil.

Lower threshold for rapid antigen detection testing in patients with sore throats would reduce antibiotic use.

Authors' reply to Bjerrum and colleagues.

Variant CJD still poses threat to public health, warn experts.

US regulators relax restrictions on rosiglitazone.

Deaths from adverse events are halved in Dutch hospitals.

England's health department agrees to independent review of standardised tobacco packaging.

Publishers should offer subscription discounts to universities that pay author fees, government agrees.

Patients will be involved in assessing CCGs, NHS England decides.

Doctors fear that new CCG funding formula will downplay deprivation.

Investigating polyuria.

Importance of clarifying patients' desired role in shared decision making to match their level of engagement with their preferences.

Fall in incidence of HIV in Asia-Pacific region stalls

Indebted to international medical graduates.

Inspections of mental health services will focus more on service users.

And finally ...

Non-specialists can reduce symptoms in mental health patients in developing countries, says Cochrane review

What insurance exchanges mean for physicians.

After the typhoon: how volunteer doctors are bringing medical care to those most in need.

Why did it take 19 months to retrieve clinical trial data from a non-profit organisation?

Patients must have single point of contact for care needs, says think tank.

Polymyalgia rheumatica. (Journal: BMJ (British Medical Journal) Volume: 347)

Friedreich ataxia.

World could eliminate health inequalities between nations by 2035

High Court forced mentally ill woman to have caesarean section, newspaper claims.

Experts call for NICE to resume work on sex education halted by the coalition government.

Public hostility grows to private companies' expansion in the NHS.

The rise of food poverty in the UK.

Half of drug trials with results on ClinicalTrials.gov are not published in journals.

Minor units take a growing share of emergency department attendances.

Probiotic supplements.

Attacks on health workers in conflict areas should be documented for advocacy purposes, conference hears.

Case of Italian mother who underwent forced caesarean is to go to High Court.

Probiotic supplementation during pregnancy or infancy for the prevention of asthma and wheeze: systematic review and meta-analysis

Cuts to the Office for National Statistics will damage the health of the nation.

Methodological concerns about studies on oseltamivir for flu.

BMJ is not always impartial about the advertisements it includes.

Impregnated central venous catheters should be readily used to reduce risk of bloodstream infection.

Palliative medicine must accept responsibility for end of life care.

Weighing up non-clinical factors when choosing drugs

Editor's reply to Harlow and colleagues.

Evidence grows for benefits of exercise in dementia.

Too much medicine: from evidence to action.

A healthy market? Lack of transparency raises doubts about NHS commissioning.

Tackling female genital mutilation in the UK.

Dethroning the king of condiments: what is the link between salt, hypertension, and mortality?

Rate of surgery for lung cancer in England and Wales rose 50% in five years

Scottish healthcare performs no better than England despite higher spending, report finds.

Management of low back pain. (Journal: BMJ (British Medical Journal) Volume: 347)

Health collaboration between BBC and Bihar government is to expand to new areas.

FDA official: 'clinical trial system is broken'.

Scientists want G8 countries to quadruple funding for dementia research within 10 years

Obama vows to persevere with healthcare changes.

Residents' 'handoff bundle' halved error rate, shows study.

Split in commissioning between local authorities and health bodies is reducing access to sexual health services.

Antidepressant use has doubled in rich nations in past 10 years

Reduction in lung cancer deaths is lagging behind that in other common cancers.

Prognosis of respiratory tract infections in primary care.

Pfizer’s open data policy should include trials of off-label uses, say critics

Court approved caesarean section for mentally ill woman because of two previous caesareans.

Europe drug regulator wins appeal over release of trial data.

Study busts myth of 'metabolically healthy' obesity.

Judge allows boy to have bone marrow transplant against father's wishes.

States choosing not to expand Medicaid stand to lose billions, study concludes.

Case against GP threatens whole system of healthcare.

House of care approach for patients with long term conditions works at the local level.

We need to get another life after retirement.

Obstructive sleep apnoea does not lead to clinically significant erythrocytosis.

Role of diuretics, β blockers, and statins in increasing the risk of diabetes in patients with impaired glucose tolerance: reanalysis of data from the NAVIGATOR study

The burden of air pollution on years of life lost in Beijing, China, 2004-08: retrospective regression analysis of daily deaths

Medicalising unhappiness: new classification of depression risks more patients being put on drug treatment from which they will not benefit.

Patient perspective: mild depression must not be ignored.

Michael Kidd on primary care's global challenge. Interview by Tiago Villanueva.

EU air quality limits are not stringent enough, say researchers.

Treating Pain in Patients with Drug-dependence Problems

Tick bite prevention and tick removal.

Imported measles and rubella pose threat to US elimination of the diseases, says CDC report.

Widow takes fertility agency to court over storage of husband's sperm.

Government policy is damaging people most vulnerable to alcohol misuse, warns leading doctor.

Care is needed in epidemiological research not to overgeneralise about cancer diagnosis and treatment.

Children must be protected from the tobacco industry's marketing tactics.

Barriers to working in medicine and teaching after retirement.

Whose role is it to collect patients' stories?

Patients are at risk because doctors don't know how much IV fluid they need, NICE says.

Evaluation of pre-hospital administration of adrenaline (epinephrine) by emergency medical services for patients with out of hospital cardiac arrest in Japan: controlled propensity matched retrospective cohort study

Intravenous fluid therapy for adults in hospital: summary of NICE guidance.

Adrenaline for out of hospital cardiac arrest?

Sodium in drugs and hypertension.

Who cares for the nine million displaced people of Syria?

A fat chance of slimming.

Regulatory authority reviews GMC decisions in Mid Staffordshire cases.

UK doctors' regulator strikes off GP for persistent dishonesty.

Who is responsible for publishing the results of old trials?

What is the point of doctors?

Hospital trusts will have to cut activity when integration fund comes into effect, meeting is told.

Syria: a healthcare system on the brink of collapse.

A fifth of Dutch support assisted suicide for people 'tired of living'.

The survival time of chocolates on hospital wards: covert observational study

Ketamine should be upgraded from class C to class B drug, committee says.

Tied up in science: unknotting an old anaesthetic problem.

Duration of symptoms of respiratory tract infections in children: systematic review

Red flags to screen for malignancy and fracture in patients with low back pain: systematic review

A unified model of patient safety (or “Who froze my cheese?”)

Welcome to the most exclusive club in the NHS.

Parveen Kumar: Pet hate is arrogance.

Families are warned they can't decide treatment for incapacitated relatives.

Rosiglitazone: a case of regulatory hubris.

A fifth of lung cancers detected by low dose CT screening are likely to be indolent, study says.

More doctors are raising concerns with GMC about colleagues, MPs hear.

Surgeon is suspended because of concerns over eight 'avoidable' deaths.

Morphology and size of stem cells from mouse and whale: observational study

How big is the US healthcare lobby?

Red flags for back pain.

A third of general practices in England's first wave of inspections failed on essential standards.

Local government is given help to prioritise public health schemes.

NICE urged to recommend anastrozole for breast cancer prevention.

The Brady Bunch? New evidence for nominative determinism in patients’ health: retrospective, population based cohort study

'Compulsive plague! pain without end!' How Richard Wagner played out his migraine in the opera Siegfried.

From the Ottomans to the present day: 150 years of Scottish medical charity in the Holy Land

Were James Bond’s drinks shaken because of alcohol induced tremor?

Laughter and MIRTH (Methodical Investigation of Risibility, Therapeutic and Harmful): narrative synthesis

Slowdown in production of treated bed nets damages fight against malaria.

US outlines plan to reduce use of antimicrobials in food production.

Planning for closure: the role of special administrators in reducing NHS hospital services in England.

Phoning the patient's general practitioner.

A multicomponent decision tool for prioritising the updating of systematic reviews.

The Science hoax: poor journalology reflects poor training in peer review.

Individual hospital data on 'never events' to be published every quarter.

Broad approach is needed to reduce gun violence, US psychologists say.

Clinical commissioning groups serve too many masters, finds study.

Uruguay legalises sale and production of marijuana.

Disproportionately harsh treatment for GP who married a patient's widower.

Another case suggesting that the GMC is not fit for purpose.

New advice on switching antiepileptic drugs might be a false economy.

Reducing overdiagnosis and disease mongering in ADHD in Lombardy.

Prioritising ward rounds would improve junior doctors' experience and patient care.

Calling 'time' on the GMC's investigations into complaints against doctors.

The real reasons for measuring patient reported outcomes.

Good research is essential for service improvement.

Whether noise exposure causes stroke or hypertension is still not known.

Overall health of Americans seems to be improving, report finds.

Deciding authorship order.

Doubling of spending on dementia research by 2025 is inadequate, say experts

We must unite against health law that threatens medical neutrality in Turkey.

Causes and patterns of readmissions in patients with common comorbidities: retrospective cohort study

Authors' reply to McMinn and colleagues and Caan.

Fasten your seatbelts for integrated care.

To boldly go 'brain training'.

Readmission rates. (Journal: BMJ (British Medical Journal) Volume: 347)

Executive functioning affects health behaviour in older people too.

Doctors need clear guidance, support, and advice from the GMC on relationships with patients.

Test providers should anticipate incidental and secondary findings, says US bioethics commission.

Authors' reply to Kolstad and colleagues.

New Zealand prostate cancer awareness programme is likely to increase unnecessary PSA testing, critics say.

NHS medical director sets out detail of seven day working.

Betel quid chewing is responsible for half of oral cancer cases in India, finds study.

Lack of evidence for clinical and health policy decisions.

Founder of PIP breast implant company gets four year prison sentence.

GP commissioners fund urgent care in bid to prevent winter crises.

Breast infection.

Prohibition on assisting a suicide is interference with rights of severely disabled people, UK Supreme Court is told.

A prophet to modern medicine: Ernest Amory Codman.

The Cochrane Collaboration at 20

The year of Francis.

Can India save its Parsi community with assisted reproduction?

Medical education companies got \$170m in grants from 14 drug firms in 2010, study finds

Doctors need to take the lead on poverty's effects on health.

UK cancer death rates drop by more than a fifth over 20 years

Care Bill could lead to 'backdoor' reconfiguration of NHS services, says BMA.

Thousands of NHS staff made redundant have been rehired despite large payoffs.

Escalating criminal and civil violations: pharma has corporate integrity? Not really.

Drugs for neuropathic pain.

The robotic surgery monopoly is a poor deal.

Volunteer doctors start a clinic for the marginalized of New York City.

Stop sitting on the fence: recommendations are essential to informed decision making.

Lack of funding could undermine UK antibiotic resistance strategy, say experts.

Two Staffordshire hospitals to remain open under rescue plan.

Dietary fibre intake and risk of cardiovascular disease: systematic review and meta-analysis

Primary hip replacement prostheses and their evidence base: systematic review of literature

Hospital food can be improved only by legislation.

Eat more fibre.

New and unproved medical devices.

Bad medicine: restless legs syndrome.

Cancer incidence and mortality continue to fall in US, report finds.

Deprivation is restored to funding formula for commissioning groups.

EU agrees rules to allow most e-cigarettes to be sold as consumer products

Effect of socioeconomic disparities on incidence of dementia among biracial older adults: prospective study

Liverpool care pathway was made a scapegoat, says palliative care consultant.

Promotion of electronic cigarettes: tobacco marketing reinvented?

Scotland and the public health politics of independence.

Improved liaison psychiatry services could save the NHS millions, says report.

Investigate death of British doctor in Syria, say campaigners.

BMA urges caution over MPs' request to collect data on patients addicted to prescription drugs.

Air pollution as a carcinogen.

Clinical commissioners rebuke criticism of NHS.

Screening propaganda: the television shows that gave harms second billing.

Rogue surgeon was allowed to continue operating for years because patients' interests were not put first, report says.

Many states are ill prepared for infectious disease threats, report finds.

Forensic psychiatrist wins case against her employer.

Improving urgent and emergency care in England.

Max Pemberton: Particularly happy in bed.

New York City votes to ban e-cigarettes from public places

Carcinoma in situ.

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Tamsulosin treatment for benign prostatic hyperplasia and risk of severe hypotension in men aged 40-85 years in the United States: risk window analyses using between and within patient methodology

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Etminan, Mahyar Skeldon, Sean C. Bird, Steven T. Hartzema, Abraham G. Brophy, James M. Delaney, Joseph A. C.
Spatial Coverage	United States
Description	Author Affiliation: Bird ST ( Food and Drug Administration, Center for Drug Evaluation and Research, Office of Surveillance and Epidemiology, Department of Epidemiology, Silver Spring, MD, USA.);
Abstract	Objective To characterize risk of hypotension requiring admission to hospital in middle aged and older men treated with tamsulosin for benign prostatic hyperplasia. Design Population based retrospective cohort study (between patient methodology) and self controlled case series (within patient methodology). Setting Healthcare claims data from the IMS Lifelink database in the United States. Participants Men aged 40-85 years with private US healthcare insurance entering the cohort at their first dispensing for tamsulosin or for a 5α reductase inhibitor (5ARI) between January 2001 and June 2011after a minimum of six months’ enrolment. Main outcomes measures Hypotension requiring admission to hospital. Cox proportional hazards models estimated rate ratios at time varying intervals during follow-up: weeks 1-4, 5-8, and 9-12 after tamsulosin initiation; weeks 1-4, 5-8, and 9-12 after restarting tamsulosin (after a four week gap); and maintenance tamsulosin treatment (remaining exposed person time). Covariates included age, calendar year, demographics, antihypertensive use, healthcare use, and a Charlson comorbidity score. A self controlled case series, having implicit control for time invariant covariates, was additionally conducted. Results Among 383 567 new users of study drugs (tamsulosin 297 596; 5ARI 85 971), 2562 admissions to hospital for severe hypotension were identified. The incidence for hypotension was higher for tamsulosin (42.4 events per 10 000 person years) than for 5ARIs (31.3 events per 10 000 person years) or all accrued person time (29.1 events per 10 000 person years). After tamsulosin initiation, the cohort analysis identified an increased rate of hypotension during weeks 1-4 (rate ratio 2.12 (95% confidence interval 1.29 to 3.04)) and 5-8 (1.51 (1.04 to 2.18)), and no significant increase at weeks 9-12. The rate ratio for hypotension also increased at weeks 1-4 (1.84 (1.46 to 2.33)) and 5-8 (1.85 (1.45 to 2.36)) after restarting tamsulosin, as did maintenance tamsulosin treatment (1.19 (1.07 to 1.32)). The self controlled case series gave similar results as the cohort analysis. Conclusions We observed a temporal association between tamsulosin use for benign prostatic hyperplasia and severe hypotension during the first eight weeks after initiating treatment and the first eight weeks after restarting treatment. This association suggests that physicians should focus on improving counseling strategies to warn patients regarding the “first dose phenomenon” with tamsulosin.
ISSN	09598138
e-ISSN	17561833
Journal	BMJ (British Medical Journal)
Volume Number	347
Language	English
Publisher	British Medical Journal Publishing Group
Publisher Date	2013-11-01
Publisher Place	Great Britain (UK)
Access Restriction	Open
Subject Keyword	5-alpha Reductase Inhibitors Therapeutic Use Adrenergic Alpha-1 Receptor Antagonists Hospitalization Statistics & Numerical Data Hypotension Epidemiology Prostatic Hyperplasia Drug Therapy Adverse Effects Cohort Studies Follow-Up Studies Chemically Induced Proportional Hazards Models Retrospective Studies Risk Assessment Sulfonamides Research Support, Non-U.S. Gov't Medicine
Content Type	Text
Resource Type	Article

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