NDLI: Pain over speed bumps in diagnosis of acute appendicitis: diagnostic accuracy study

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Interpreting diagnostic accuracy studies for patient care.

Direct primary care: a new system for general practice.

Global war on drugs is a major factor driving HIV pandemic, report warns.

Up to two thirds of the 100 trusts yet to reach foundation status will not make it

Row erupts over study of HPV vaccine in 23 000 girls in India

Care can't get better until complaints are heard.

Perioperative management of patients taking treatment for chronic pain.

Derivation and validation of age and temperature specific reference values and centile charts to predict lower respiratory tract infection in children with fever: prospective observational study

Assessing respiratory rate for children with fever.

Should clinicians edit Wikipedia to engage a wider world web?

Multimodal analgesia is central to alleviating pain in pancreatic adenocarcinoma.

Systematic review did not consider problem of treatment effects.

Time to compare impact and feasibility of prediction models in real life.

Where are we with transparency over performance of doctors and institutions?

Thrombotic events after discontinuing dabigatran: rebound or resumption?

A better way of sharing patient safety information is needed.

German court rules that self employed doctors are exempt from charges of bribery.

Evidence does exist for family intervention projects.

TREAD adds little to the evidence.

Study's conclusion is misleading and ill considered.

Media reports fuelled by authors' claims.

Panel calls for FDA to issue safety advice for metal-on-metal hip replacements

Closure of GP practice in Camden was a casualty of NHS changes, says inquiry.

Women have had 'harrowing' experiences over PIP implants scandal.

Draft bill on assisted dying opens for consultation.

GlaxoSmithKline is fined record \$3bn in US

Doctors will see increased demand during Olympics despite preparations.

Effect of adding a diagnostic aid to best practice to manage suspicious pigmented lesions in primary care: randomised controlled trial

Adverse events with intravitreal injection of vascular endothelial growth factor inhibitors: nested case-control study

Identifying melanomas in primary care: can we do better?

Ensuring that women have access to safe abortion is “pro-life”

The NHS must change or die.

Capturing patients' lives.

Meta-analysis confirms raised risk of bladder cancer from pioglitazone

Japanese doctor is heading for record number of retracted research papers.

Exclusive! Journalist admits to getting it wrong.

Bad medicine: chest examination.

Hospitals are failing patients at end of life.

Screening for Chlamydia trachomatis. (Journal: BMJ (British Medical Journal) Volume: 345)

Effectiveness of yearly, register based screening for chlamydia in the Netherlands: controlled trial with randomised stepped wedge implementation

A man with anxiety, confusion, and red eyes.

Babies born at 37-38 weeks lag academically eight years later

Urgent action is needed to improve care of patients with chronic pain, says report.

Any foreseeable growth in NHS will 'feel like a cut' because of demographics and cost inflation, report says.

Taking folic acid at start of pregnancy seems to lower risk of cleft lip and palate.

Mark Walport will be next UK government chief scientific adviser, cabinet office announces.

Cost effectiveness of abdominal aortic aneurysm screening and rescreening in men in a modern context: evaluation of a hypothetical cohort using a decision analytical model

NHS boards see telehealth only as a means of saving money, warns expert.

Three children’s heart surgery units to close 13 years after Bristol inquiry

FDA approves 'instant' HIV home test.

NHS bill for compensation exceeds £1bn for the first time

Active management of the third stage of labour.

Is surgery a magic bullet against diabetes?

More than 30 NHS organisations end 2011-12 in debt totalling £356m

Reorganisation of public health in England is 'a terrible mess,' conference hears.

London trust lost track of over 1000 patients referred for suspected cancer

Health department refuses plea for private PIP implants to be replaced on NHS.

Two doctors are referred to the GMC for taking industrial action.

Lay perspectives on hypertension and drug adherence: systematic review of qualitative research

Diagnostic accuracy of spot urinary protein and albumin to creatinine ratios for detection of significant proteinuria or adverse pregnancy outcome in patients with suspected pre-eclampsia: systematic review and meta-analysis

A few hours from disaster.

Magnetic resonance imaging of the lumbar spine.

Should we screen for type 2 diabetes: Yes

Should we screen for type 2 diabetes? No

Defeat of antipiracy treaty is hailed as victory for generic drugs.

Disruption to NHS could force doctors and managers to operate more sustainably, conference is told.

Safe laws on assisted dying are working worldwide.

Safety of intravitreal anti-VEGFs during pregnancy is unclear

A carefully crafted law should protect and reassure vulnerable people.

Abortion reform's lessons for assisted dying.

Suggested merger of mental and neurological illnesses is premature.

Minding the brain.

Editorial note on results of assisted dying poll.

Why neutrality on assisted dying is not an option for doctors' professional organisations.

My journey from anti to pro assisted dying.

Imperative to track all those billions lost to avoid corruption.

A one sided story.

Messages associated with the Olympics are far from ideals.

Legal changes are crucial to fight HIV, says new report.

New EU drug safety committee ends national reporting of drug reactions.

Environmental groups criticise European Commission's environmental record.

The diagnosis and management of tinea.

Clopidogrel and interaction with proton pump inhibitors: comparison between cohort and within person study designs

Prescribing proton pump inhibitors with clopidogrel.

Does telemedicine deserve the green light?

Only a fifth of £1.7bn NHS underspend will be carried into next year’s budget

Activists call for more measured response to Tanzanian doctors' strike.

Speed up access to contraceptives to save lives, say researchers.

Long term alcohol intake and risk of rheumatoid arthritis in women: a population based cohort study

Weight gain in smokers after quitting cigarettes: meta-analysis

Quitting smoking and gaining weight: the odd couple.

US geriatric mental health workforce needs to expand, says Institute of Medicine.

Government should investigate trusts that charge NHS patients for treatment, says Labour.

Every doctor has a duty to report suspected child abuse or neglect, says GMC.

Animal experiments rose in 2011 despite coalition pledge to reduce them

Risk of pneumonia associated with use of angiotensin converting enzyme inhibitors and angiotensin receptor blockers: systematic review and meta-analysis

In praise of young doctors.

Pneumonia and ACE inhibitors—and cough

Do cases like that of Anders Breivik show that fanaticism is a form of madness? No.

Winners and losers.

Take down the BMJ pay wall.

Do cases like that of Anders Breivik show that fanaticism is a form of madness? Yes.

Women's magazines damage women's health.

Reoperation rates after breast conserving surgery for breast cancer among women in England: retrospective study of hospital episode statistics

Impact of age and sex on primary preventive treatment for cardiovascular disease in the West Midlands, UK: cross sectional study

Cost effectiveness of vaccination against pandemic influenza in European countries: mathematical modelling analysis

Risk identification and interventions to prevent type 2 diabetes in adults at high risk: summary of NICE guidance

Sanctity of life law has gone too far.

Stop using military metaphors for disease.

Put health at the heart of transport policies, says BMA report.

Strategy for boosting integrity of research is launched in UK.

Patients who fast in Ramadan need better advice.

Contraceptive services for women in UK could deteriorate when responsibility transfers to local authorities, report says.

Government postpones decision on future funding model for social care.

Effectiveness of enhanced communication therapy in the first four months after stroke for aphasia and dysarthria: a randomised controlled trial

Spironolactone and risk of incident breast cancer in women older than 55 years: retrospective, matched cohort study

Integrated care: a Danish perspective.

A young man with wrist pain.

Donors pledge \$2.6bn to improve access to family planning

Risk assessments for diabetes should be offered widely, says NICE.

Pre-signing of forms found in 14 out of 249 abortion clinics in England

Spending cuts or higher taxes are needed to fund NHS in the next 50 years

Neoliberal economic policies 'wreak havoc' on people's health, says new UK health movement.

Man died of dehydration after 'cascade' of staff failures.

Monitor will tighten procedures to ensure that hospitals under investigation disclose all 'potentially significant' items.

Patients' concepts of hypertension.

Imperturbability is not incompatible with clinical empathy.

Ocular inflammation as a manifestation of Lyme borreliosis.

Doctors need accredited information on Lyme borreliosis.

Putting more specialist physicians into the community is not answer to primary-secondary care divide

Integrated care results in fewer elderly people dying in hospital.

Post-marketing studies can make important contributions to medical knowledge

Social determinants of health are comorbidities.

The rise and rise of vitamin D testing.

GPs' role in safeguarding children.

Politicians cannot provide the leadership needed.

Common treatment for epistaxis contains peanut oil.

Never treat your own family.

Time for an open access secure online data collection tool.

Health bill arose from attempt to accommodate Lib Dem as well as Tory ideas, says commentator.

Virgin Care to take over services for children and young people in Devon worth £132m

Planned 'pay cartel' in southwest England is condemned by BMA and Unison.

Mammography screening has little or no effect on breast cancer deaths, Swedish data indicate.

Management of chronic epilepsy.

Efficacy of psychosocial intervention in patients with mild Alzheimer’s disease: the multicentre, rater blinded, randomised Danish Alzheimer Intervention Study (DAISY)

Hospitals will be able to earn 49% of their income from private patients from October

Don't just blame big pharma.

Polypill remains the only panacea in sight for cardiovascular disease, trial organiser says.

UK is seeing 'massive' rise in campaigns against plain packets for cigarettes, say health activists.

Number of dementia patients rises while GPs' prescribing of antipsychotics falls.

Understanding female genital cosmetic surgery.

Is early speech and language therapy after stroke a waste?

UK government comes down in favour of making all publicly funded research 'open access'.

FDA approves first drug to prevent HIV infection.

New NHS organisations will need dialogue to improve service delivery, meeting hears.

Cardiovascular safety of central nervous system stimulants in children and adolescents: population based cohort study

Combating attacks on health workers.

Mea culpa: are multi-billion dollar fines forcing drug companies to clean up their act?

Performance enhancing drugs or techniques may exist that can't yet be detected, experts admit.

BMJ tablet app.

Scope of FDA surveillance of its employees is higher than previously thought, journalists say.

Public health director blows whistle on trust in letter to Lansley.

European commission proposes new laws to halt decline in number of clinical trials.

Prenatal blood test for Down's syndrome is to be introduced in Germany despite ethical and legal concerns.

Commentary: role of hydration in health and exercise.

Miracle pills and fireproof trainers: user endorsement in social media.

The truth about sports drinks.

How valid is the European Food Safety Authority's assessment of sports drinks?

Forty years of sports performance research and little insight gained.

Mythbusting sports and exercise products.

To drink or not to drink to drink recommendations: the evidence.

Health damage from alcohol misuse has been underplayed in government strategy, say MPs.

Kidney dialysis—the need for humanity

Validation of treatment strategies for enterohaemorrhagic Escherichia coli O104:H4 induced haemolytic uraemic syndrome: case-control study

Treating Shiga toxin induced haemolytic uraemic syndrome.

Vitamin D: some perspective please.

Serco out of hours service in Cornwall was understaffed, finds watchdog.

Almost a quarter of Royal College fellows say their hospitals cannot deliver continuity of care.

Countries contribute more to tackling HIV/AIDS than they get in aid, figures show.

WHO workers are shot at during vaccination campaign in Pakistan.

BMA drops plans for further industrial action over pensions.

Effect of communicating DNA based risk assessments for Crohn’s disease on smoking cessation: randomised controlled trial

Global Health. Paying the poor.

Tensions between drug use policies and infection control.

Monkey business: reflections on testosterone.

A passion for accuracy.

Local government must take up fight against obesity after government fails to do so, says expert.

Pertussis cases rise 10-fold among older children and adults in England and Wales

Vaccination for voluntary and private sector workers should be free.

Management of difficult and severe eczema in childhood.

Approve bevacizumab for use in eye disease in cash strapped times.

Sale of baby milk is an expensive monopoly in Greece.

Twitter in emergencies. Follow our roadmap.

Classifying mental and neurological conditions together: authors' reply to letters.

Natural family planning is effective and culturally acceptable.

Antenatal checks should look for heart disease in at risk women.

Time to open up the finances of medical journals.

Income from reprints creates a conflict of interests.

Not useful in modern healthcare.

But is community care any cheaper?

Let's be clear about capitalism.

QFracture is better than FRAX tool in assessing risk of hip fracture.

The reliable clinical examination.

Gene therapy to be authorised for first time in EU.

Several US states resist expansion of healthcare coverage to poor people.

US women without health insurance are more likely to have late stage cervical cancer.

Overdiagnosis and mistreatment of malaria among febrile patients at primary healthcare level in Afghanistan: observational study

Use of risk assessment instruments to predict violence and antisocial behaviour in 73 samples involving 24 827 people: systematic review and meta-analysis

Cutaneous melanoma attributable to sunbed use: systematic review and meta-analysis

Screening for colorectal cancer and advanced colorectal neoplasia in kidney transplant recipients: cross sectional prevalence and diagnostic accuracy study of faecal immunochemical testing for haemoglobin and colonoscopy

Risk of cancer with metal-on-metal hip replacements: population based study

Shift work and vascular events: systematic review and meta-analysis

Effectiveness of provider incentives for anaemia reduction in rural China: a cluster randomised trial

Should patients be able to control their own records?

Risk of cardiovascular events in people prescribed glucocorticoids with iatrogenic Cushing’s syndrome: cohort study

PFI hospitals bear the cost of Libor manipulation.

Primary care trusts reverse advice to ophthalmologists to use cheaper drug for wet age related macular degeneration.

Digital technologies offer new ways to tackle mental health problems.

Management of osteoarthritis of the knee.

Doctors and human rights groups challenge Arizona abortion law in court.

Labour figures show fall in number of GP surgeries offering extended hours.

Transcatheter aortic valve implantation (TAVI): risky and costly

Association between psychological distress and mortality: individual participant pooled analysis of 10 prospective cohort studies

Psychological distress and death from cardiovascular disease.

Heparin prophylaxis has no benefit in medical patients.

Doctors' performance. Patient reported measures are needed.

The grand scheme of public disclosure?

Good question, wrong answer.

Doctors' performance. Don't blame individuals for organisational failures.

Professional societies can lead the way on transparency but will need support.

Time frames for radiography are unrealistic.

Health warning—not all evidence based

No evidence on screening for cancer.

NICE guideline has weaknesses.

Collaboration between generalists in primary and secondary care is needed.

Urgent referrals for suspected cancer vary threefold among general practices.

Romney lays down pro-life credentials with vow to ban most abortions

Organ donors could be given priority for transplants under new rules.

“Beau de Jour”—a male doctor who bought and sold sex

Treating prostate cancer.

The 'self funding' NHS patient: thin end of the wedge?

What do NHS staff think about the NHS?

Improving comparative effectiveness research.

Job insecurity contributes to poor health.

US presidential candidates are asked their views on key science questions.

Olympic drug testing centre will house new £10m research facility after games

Monitor tones down financial restraints on providers of NHS services.

Uganda gears up to contain Ebola epidemic as fears of spread cause panic.

Court upholds strict law on abortion in Arizona.

How a charity oversells mammography.

A 46 year old man with carcinoma of unknown primary site

Researchers call for national funding to monitor all birth defects.

Proposed targets for new NHS commissioners receive lukewarm response.

Shoulder injury.

Collecting patient data will help UK become world leader in research, says Cameron.

GMC is asked to draw up clearer rules for pathologists carrying out postmortem examinations.

Doctors lobby against closure of US agency that advises on effective health care.

Private sector run hospital made £2.3m loss in first quarter

Risk of fracture after bariatric surgery in the United Kingdom: population based, retrospective cohort study

Physiotherapy intervention in Parkinson’s disease: systematic review and meta-analysis

Acute skin failure.

Adverse events in children having surgery are common and need investigation, study concludes.

One in three survivors of childhood meningitis is left with 'hidden' after effects, study finds.

Expert group advises separating risk and benefit information from cancer screening invitations.

Texas judge throws out Wakefield's libel action against BMJ.

Reduce repayment rates to 0.5%

Why did the BMJ publish such a biased article?

Advice to avoid low carbohydrate-high protein diets is not evidence based

Sudden death in young men from South East Asia and the Pacific rim.

The GMC's paradoxical behaviour.

What are we being trained for?

Box ticking is a waste of time.

Rural areas may benefit most.

Whole System Demonstrator trial: policy, politics, and publication ethics.

A step too far.

Fluoroquinolones and theophylline can also lower the seizure threshold.

Massachusetts plans to cut healthcare costs.

Raising the bar for market authorisation of new drugs.

Pharmaceutical research and development: what do we get for all that money?

Integration of balance and strength training into daily life activity to reduce rate of falls in older people (the LiFE study): randomised parallel trial

Preventing falls in older people.

We should not let families stop organ donation from their dead relatives.

Drug safety: reporting systems for the general public.

Diagnosis and management of cellulitis.

Heartfile: using technology to get healthcare funding to poor patients in Pakistan.

US health insurance firms issue \$1.1bn in rebates to policy holders

Prime minister uses London Olympics to highlight challenge of global hunger.

German government considers ending funding of marketing courses for doctors.

Industry spending on continuing medical education in US falls further.

Further care home scandals like Winterbourne are likely without action, warn campaigners.

Catalogue of failures at Manchester hospital contributed to disabled girl's death.

Risk assessment of fragility fractures: summary of NICE guidance.

Effectiveness of rotavirus vaccination in prevention of hospital admissions for rotavirus gastroenteritis among young children in Belgium: case-control study

Promoting health equity.

Diagnosis and management of lower limb peripheral arterial disease: summary of NICE guidance.

Migraine and cognitive decline among women: prospective cohort study

Management of lower urinary tract dysfunction in neurological disease: summary of NICE guidance.

What is good medicine?

Ensuring open access for publicly funded research.

Rotavirus vaccination programmes.

A national early warning score for acutely ill patients.

A jab in the dark.

Why are the media so soft on Circle?

Profit is not a dirty word.

Nurse leadership and patient safety.

Magnetic resonance imaging of sagittal structures in the knee.

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

An unusual case of pneumonia.

Spending on mental health services in England fell in 2011-12

Healthcare in Syria is close to collapse as drug shortages bite.

ADHD affects 3% of adults over 60, Dutch study finds

Advertising watchdog orders website to remove claims linking MMR vaccine with autism.

Outcomes with various drug eluting or bare metal stents in patients with diabetes mellitus: mixed treatment comparison analysis of 22 844 patient years of follow-up from randomised trials

Irreversible renal damage from accidental mushroom poisoning.

The slow and unknown route to a cure for AIDS.

Magnetic resonance imaging of the axial structures of the brain.

Helping institutions tackle research misconduct.

Better integration could cut elderly patient bed days by 2.3 million a year, says King’s Fund

Mayo Clinic plays \$1.26m fine to settle billing error over pathology work

Greek doctors plan action over government's failure to pay them.

The relative clinical effectiveness of ranibizumab and bevacizumab in diabetic macular oedema: an indirect comparison in a systematic review

HIV pre-exposure prophylaxis

Hyping deep brain stimulation in psychiatry could lead to its demise.

Nicholson acts to ensure that trusts and CCGs do not blacklist drugs approved by NICE.

Dutch doctors call for EU evaluation of cost effectiveness of high cost orphan drugs.

Spending more on trauma care doesn't improve survival, study finds.

Experts question proposals to use private sector in India's health reforms.

Only half of British acute care hospitals stock all essential antidotes to poisons, survey shows.

Medical students’ characteristics as predictors of career practice location: retrospective cohort study tracking graduates of Nepal’s first medical college

Why pay for performance may be incompatible with quality improvement.

When financial incentives do more good than harm: a checklist.

Suicides associated with the 2008-10 economic recession in England: time trend analysis

Diagnosis and management of peripheral arterial disease.

Myalgia while taking statins.

A paucity of supporting evidence.

Engagement with interventions is a problem.

Laboratory controlled trials are different from clinical trials.

The wrong approach?

Clarification from EFSA.

No conspiracy exists.

Feature article contains many inaccuracies.

QRISK2 and the limitations of recording smoking in primary care

The myth of an AIDS free world.

Doctor's suspicious death could undermine efforts to improve healthcare in South Sudan.

Nearly a third of US doctors won't see new patients with Medicaid insurance.

Eye experts condemn restrictions on cataract surgery in England.

Cochrane review finds no proved benefit in drug treatment for patients with mild hypertension.

Predicting early death in patients with traumatic bleeding: development and validation of prognostic model

The crisis in diabetes care in England.

German doctors criticise proposals for new law on assisted suicide.

How no one acted when they should have.

US private hospital chain is investigated for possible unnecessary coronary procedures.

Risk of preterm birth after treatment for cervical intraepithelial neoplasia among women attending colposcopy in England: retrospective-prospective cohort study

Study finds that chemotherapy during pregnancy appears to be safe for babies.

Patient report that benefit from common operations varies markedly by English providers.

Government considers a national implant register in review of cosmetic procedures.

'Big tobacco can be taken on and beaten,' say Australian officials.

Researchers defend 20 mph speed limits despite rise in casualties

Dementia patients should have more say in their end of life care, NICE says.

Judges rule that doctors cannot help men with locked-in syndrome to end their lives

Needle and syringe exchange programme is announced for Australian prison.

Anybody else for warfarin?

An Olympic legacy for couch potatoes?

Draft rules give Monitor power to investigate anticompetitive behaviour by commissioning groups.

Services with excessive delays in delivering carotid endarterectomy should close, recommends audit.

Why corporate power is a public health priority.

Ecological public health: the 21st century’s big idea? An essay by Tim Lang and Geof Rayner

Facial basal cell carcinoma.

How do we evaluate the impact of the health reforms on the NHS?

Patients must have control of their medical records.

US hit by massive West Nile virus outbreak centred around Texas.

Structured and persistently reinforced patient education can work.

BIA position paper on Lyme borreliosis is evidence based.

NICE guidance ignored incentive spirometry.

GPs need better scoring systems that work in primary care.

Editorial on identifying melanomas in primary care was muddled.

Increase in pertussis may be due to increased recognition and diagnosis.

We need a system that accounts for multimorbidity at practice level.

Metaphor may fill the space created by uncertainty.

Many men are receiving unnecessary testosterone prescriptions.

Shortcomings of natural family planning methods.

'Osteoarthritis' on imaging may be normal wear and tear.

Romney's running mate backtracks on plans to slash health insurance cover for older people.

Scotland considers no fault compensation for medical injuries.

Hospitals are told to export their expertise to boost NHS income.

Every day in every way we are getting better and better: the optimism of health policy.

Methadone is no panacea.

Man with locked-in syndrome who fought for doctors to end his life has died

Sample size calculations: should the emperor's clothes be off the peg or made to measure?

Fight to tackle unhealthy lifestyles has widened gap in health inequalities.

Spanish doctors protest against law that excludes immigrants from public healthcare.

The 'exclamation mark' school of patient safety.

Many foundation trusts face tough financial future, warns Monitor.

Good reason to test for vitamin D deficiency.

Being aware of opposite dangers.

Yes, let's take down the BMJ pay wall.

Deaths associated with new designer drug 5-IT

Pathologists and coroners must work together on retaining tissue at necropsy.

Escherichia coli O157 causes blood stained nappies

What should doctors do about fasting during Ramadan?

Early management of acutely ill ward patients.

Hypovitaminosis D and disease: consequence rather than cause?

Vitamin D: don't forget mental health.

No incentives for new NHS commissioners to act for children.

Potential sources of overdiagnosis in histopathology.

Transfer of high cost drugs to NICE risks fragmentation of care of rare diseases.

The V word: selling genital hygiene products to women.

Donation must be a gift.

Consolidate the donor register with unambiguous affirmation from next of kin.

A window on the psychiatric mind.

South London Healthcare Trust may be run by the private sector or broken up.

G20 pathologist is struck off

Effect of systemic steroids on post-tonsillectomy bleeding and reinterventions: systematic review and meta-analysis of randomised controlled trials

Rising litigation does not mean falling standards.

Lower circumcision rates mean higher health costs, US study says.

German ethics council backs religious circumcision if specific conditions met.

Outbreaks among travellers linked to almost twofold rise in measles cases.

Court case adjourned after diagnosis of persistent vegetative state changes.

Anorexic woman cannot be force fed, judge rules.

Trusts required to show they are providing NICE approved treatments.

Prevalence of abnormalities in knees detected by MRI in adults without knee osteoarthritis: population based observational study (Framingham Osteoarthritis Study)

Management of renal colic.

Child mortality is falling but some developing regions will miss millennium targets.

Questions raised over use of misoprostol to prevent postpartum haemorrhage in poor countries.

Kidney stones and kidney function loss: a cohort study

Risk of lung cancer associated with domestic use of coal in Xuanwei, China: retrospective cohort study

Lifestyle, social factors, and survival after age 75: population based study

Skin rash in a preterm infant.

Association of systolic and diastolic blood pressure and all cause mortality in people with newly diagnosed type 2 diabetes: retrospective cohort study

Low glycaemic index diet in pregnancy to prevent macrosomia (ROLO study): randomised control trial

Believe in better.

Spanish government accused of 'manipulating' drugs bill figures.

Cancer patients rate London's hospitals the worst in England.

Government hit squads to help hospitals make savings on PFI deals.

Suicide prevention.

No more disease silos for sub-Saharan Africa

Marketing to register organ donors may circumvent principles of informed consent.

National Commissioning Board admits struggle to recruit staff.

Italian doctors welcome plans for 24 hour opening

Senior managers resign over conflict with doctors.

Constrictive pericarditis.

Managing patients with multimorbidity: systematic review of interventions in primary care and community settings

Managing patients with mental and physical multimorbidity.

Use of relative and absolute effect measures in reporting health inequalities: structured review

Is bioethics a bully?

Making a diagnosis in patients who present with vertigo.

Fears of an influx of sex workers to major sporting events are unfounded.

The eccentricities of osteopathy.

UK population enjoys a healthier older age.

Repeated abortions increase the risk of premature and low birthweight births.

Johnson & Johnson pays \$181m for misleading marketing of risperidone

Republicans call for changes in US healthcare and gun laws.

Consort 2010 statement: extension to cluster randomised trials

Teaching postgraduates about managing drug and alcohol misuse.

Irritable bowel syndrome. (Journal: BMJ (British Medical Journal) Volume: 345)

Increased risk of preterm birth after treatment for CIN.

Evidence of net benefit of proton pump inhibitors with clopidogrel is lacking in older patients.

Bigger margins are not better in breast conserving surgery.

Cleaning up joint replacement services in the UK.

National early warning score (NEWS) is not suitable for all patients

Treat all cases of cellulitis with anti-staphylococcal antibiotics

Fungal infection, not diabetes, is risk factor for cellulitis.

Co-trimoxazole is useful in community acquired MRSA cellulitis

Drug development: Innovation or imitation deficit?

Opportunistic or population register based programmes for chlamydia screening?

What's in a name?

How times have changed.

Teenagers and newborn babies in England and Wales may get pertussis jab as cases continue to rise.

Paying hospitals for all patients' visits increases activity without necessarily improving quality, report shows.

Why do we overtreat hypertension?

Thalidomide manufacturer offers apology but no compensation.

Length of hospital stay for hip fracture falls by a day, audit shows.

Paediatric cardiologist is accused of making sexual advances to young boys in Paris and Kenya.

Concerns raised over organ donation 'matching' website.

Jeremy Hunt succeeds Andrew Lansley as health secretary.

Proton beam therapy: more than a leap of faith?

WHO's ambitious new European health strategy.

US lags behind other countries in cutting numbers of preventable deaths.

BMA warns against any extension of 'zero hours' contracts in NHS.

NHS has relied too heavily on regulation to improve quality of care, conference is told.

European court overturns preimplantation testing ban.

Setting objectives for the NHS Commissioning Board.

Bayer challenges India's first compulsory licence for generic version of cancer drug.

Elevated rheumatoid factor and long term risk of rheumatoid arthritis: a prospective cohort study

Exposure to diagnostic radiation and risk of breast cancer among carriers of BRCA1/2 mutations: retrospective cohort study (GENE-RAD-RISK)

Rheumatoid factor positivity in the general population.

Hunt's team at the Department of Health includes doctor who left BMA over strike.

Texas records worst outbreak of West Nile virus on record.

Organ matching website says it will operate within the law.

Violence against doctors in China.

Ordering the chaos for patients with multimorbidity.

Indian schoolchildren to undergo fitness tests amid fears of rising levels of obesity.

Ear pain and facial palsy.

Scotland launches consultation on lowering drink driving limit.

Risks of acupuncture range from stray needles to pneumothorax, finds study.

Andrew Lansley: unlucky or incompetent?

Friend or foe: can doctors trust Jeremy Hunt with the NHS?

Being sanguine about study design and multiple imputation.

Incentives must be closely aligned to professional values.

More on incentives.

JCVI processes are at least as robust as those of scientific journals.

JCVI processes should be more rigorous than those of scientific journals.

Osteonecrosis of the jaw is becoming more common.

Review overemphasises benefits and downplays serious harms.

Caution is needed in extrapolating results of randomised controlled trial.

Money well spent?

Trial shows only that practice varies.

Patient's fight to allow doctors to end his life is taken up by his widow.

Democrats vow to strengthen Medicare and Medicaid and preserve women's health rights.

The UK needs office dermatologists.

US officials warn 39 countries about risk of hantavirus among travellers to Yosemite

Uganda launches HPV vaccination programme to fight its commonest cancer.

NHS needs some 'creative destruction' to bring in new ways to deliver care, says think tank.

Effect of tranexamic acid on mortality in patients with traumatic bleeding: prespecified analysis of data from randomised controlled trial

Are the causes of obesity primarily environmental? Yes.

Are the causes of obesity primarily environmental? No.

Newer insulins in type 2 diabetes

Early fluid resuscitation in severe trauma.

Risks of harms using antifibrinolytics in cardiac surgery: systematic review and network meta-analysis of randomised and observational studies

Government advisers' suggestions for NHS savings don't add up.

Payment for medical care should be linked to outcomes that patients value, meeting concludes.

'Spin' in media coverage of research can be traced to abstracts.

New York attorney general investigates energy drink makers.

New health ministers back further debate on assisted suicide law.

India drafts new rules to combat organ shortage.

Commissioning advocate resigns after becoming disillusioned with what GPs are being asked to do.

Asian and Afro-Caribbean Britons have double the risk of type 2 diabetes

Heat related deaths could rise from 2000 to 12 000 a year by the 2080s, health agency says

Children's champion says more needs to be done for children whose parents misuse alcohol.

FDA proposes tightening post-market oversight of medical devices

Drug eluting stents for patients with diabetes.

Reasons to be hopeful: streams of renewal in healthcare.

Medicine and the Media. Statins for all?

Lansley's legacy.

German health insurers are urged to pay rebates to members as surplus reaches record high.

New guidance on donating organs is issued amid fears of attempts to profit from giving.

Pressure on hospitals has led to worse care for older patients.

Lives saved by breast screening outnumber cases of overdiagnosis, review says.

Neonatal seizure: what is the cause?

CQC says it is improving despite massive failings in the past.

When is a further clinical trial justified?

Taught a lesson by taut skin.

Fighting neglected tropical diseases in the southern United States.

Charity challenges closure of children's heart surgery unit at Leeds.

Group advises what specialised services should be commissioned nationally.

HIV positive man starts legal action in Zimbabwe to ensure prisoners receive right drugs.

Routine screening for ovarian cancer harms more than it helps, says US authority.

Persistent health disparities in the US signal need for new thinking.

Reporting and analysis of trials using stratified randomisation in leading medical journals: review and reanalysis

Cosmetic approval.

Good medicine: homeopathy.

Terminally ill people shouldn't have to travel abroad for assisted dying.

Cochrane review says telephone follow-up of heart failure patients is effective

University College London issues new research standards but says it won't investigate Wakefield.

Deadline approaches to claim funding in England for continuing healthcare needs.

Child mortality falls, but 19 000 under 5s still die every day

Use of population based background rates of disease to assess vaccine safety in childhood and mass immunisation in Denmark: nationwide population based cohort study

Prison environment and health.

Optimising the value of interventions for populations.

Redesigning the general practice consultation to improve care for patients with multimorbidity.

'World's pharmacy' faces new challenges from Western drug companies.

Critics condemn proposals to restrict use of social media among health staff.

French government wastes €15bn a year on useless drugs, book claims

Family of man with Down's syndrome takes legal action over 'do not resuscitate' order.

Reducing emergency admissions: are we on the right track?

Is there equal pay in healthcare? Not if you are a doctor.

Poor science does not explain why papers are rejected.

Prediction models for risk of developing type 2 diabetes: systematic literature search and independent external validation study

Preimplantation genetic testing.

Industry-university research contracts are damaging

New psychosocial interventions are needed in early dementia.

The 'curse of the registrar'.

We must reclaim public health from private corporate interests.

The most important public health debate of modern times.

20 mph speed limits are the right policy for sociability, safety, and a healthy population

All systems can be hacked.

Time to think about a universal system, again?

Extra safeguards are needed.

Safety of vulnerable children could be put at risk.

Why have prison needle exchange programmes not yet been rolled out in the UK?

Clinical decision units can provide necessary care of renal colic.

Final hearings begin in epic legal battle over Novartis drug in India.

Improvements in US healthcare could save 75 000 lives a year, report says

European legislators tighten rules on drug safety.

Colleges call for screening of all hospital patients to cut toll from venous thromboembolism.

UK fertilisation authority launches consultation on mitochondrial replacement techniques.

Elsevier improves access to its products in 100 developing countries

Serious complaints against doctors, suspensions, and erasures all fell in UK in 2011

China is nearly ready to produce vaccines for developing world.

Private firms are told that NHS in England is open for £20bn worth of business

Too frequent use of painkillers can cause rather than cure headaches.

Prevention and management of neutropenic sepsis in patients with cancer: summary of NICE guidance.

Diagnosis and management of headaches in young people and adults: summary of NICE guidance.

Can Jeremy Hunt please explain?

American countries face major health problems because of aging and obesity, report says.

GMC refers investigator in libel case to fitness to practise panel.

Europe's plan to tighten regulation of devices will not reach US standards.

Woman is sentenced to eight years in prison for procuring miscarriage.

Researchers find no link between XMRV and chronic fatigue syndrome. (Journal: BMJ (British Medical Journal) Volume: 345)

Faster reconfiguration of NHS services is needed for next two years says NHS chief.

A heart stopping performance.

Investigating fertility problems.

What factors influence prognosis in children with acute cough and respiratory tract infection in primary care?

Improving systems to monitor transmitted HIV drug resistance.

Flattery will get you everywhere.

Oncologist is found guilty of misconduct after 27 year old patient dies in trial

Pressure to keep up macho image might be behind rise in suicides among men.

Swedish surgeons report world's first uterus transplantations from mother to daughter.

Patient power needs to be built on strong intellectual foundations: an essay by Nigel Crisp.

How to move to a palliative approach to care for people with multimorbidity.

Variations in collecting data on central line infections make comparison of hospitals impossible, say researchers.

Number of NHS organisations in the red doubled last year, finds Audit Commission.

One in three cases of cancer in patients over 70 are diagnosed at emergency admission

US drug manufacturers set up joint testing group.

Canadian surgeons are warned of legal suits after bariatric surgery.

West Nile virus deaths mount in US amid new concerns over renal damage.

Colonic explosions, chimpanzees' rear ends, and a source of green hair: this year's Ig Nobels.

An unusual finding on a pelvic radiograph.

More outsourcing of public services could save £22.6bn a year, says Confederation of British Industry

Serco admits it changed GPs’ out of hours performance data 252 times

Coronal ultrasound anatomy of a normal hip in a newborn baby.

Evidence based medicine inevitably increases testosterone prescribing.

NHS health checks and QOF increase overtreatment.

Coronial postmortem samples and public health.

Current diabetes services in England need to be reorganised.

Partnership working is key to providing seamless care.

Pregnancy after bariatric surgery does not affect weight loss.

Historical footnote on the treatment of mild hypertension.

A major rethink is needed on reporting adverse drug reactions.

Local efforts are paramount in preventing suicide during recession.

Deliberate ingestion of 'magic' mushrooms may also cause renal failure.

If in doubt, don't eat it.

Give potential donors priority for receipt of an organ.

More red tape will make organ shortage worse.

How does bariatric surgery affect female fertility?

Patient with new strain of coronavirus is treated in intensive care at London hospital.

NHS can't be expected to continue plugging gaps in social care funding, says NHS Confederation.

Weight faltering and failure to thrive in infancy and early childhood.

A swollen leg in the middle of the night.

Hypoglycaemia linked to excess deaths in critically ill adults.

Electronic cigarettes: medical device or consumer product?

Susceptibilities.

Randomised trials link sugary drinks to weight gain in children.

The key to longevity.

UK cancer death rates are predicted to fall 17% by 2030

A fifth of children with epilepsy miss out on specialist input, UK audit shows.

Cardiovascular disease risk in healthy children and its association with body mass index: systematic review and meta-analysis

Obesity in children and adolescents.

Clinicians’ gut feeling about serious infections in children: observational study

Does celebrity involvement in public health campaigns deliver long term benefit? No.

Does celebrity involvement in public health campaigns deliver long term benefit? Yes.

Medical screening of older drivers is not evidence based.

BMA consults GMC about cash incentives to GPs to cut patient care.

Paediatric cardiologist is found guilty of sexually motivated behaviour towards boys.

Postoperative use of non-steroidal anti-inflammatory drugs in patients with anastomotic leakage requiring reoperation after colorectal resection: cohort study based on prospective data

Hip pain in an adolescent after injury while playing football.

Change peripheral intravenous catheters only when necessary.

European audit reports higher than expected mortality after surgery.

What happened to caring?

NHS is unlikely to meet Nicholson challenge to deliver £20bn in efficiency savings, says King’s Fund

Researchers find no link between XMRV and chronic fatigue syndrome. (Journal: BMJ (British Medical Journal) Volume: 345)

Promoting health and improving survival into very old age.

Hirschsprung's disease.

Laxatives for chronic constipation in adults.

Axial computed tomography of a male pelvis in the portal venous phase post-contrast

What accountable care organizations will mean for physicians.

Lack of money and poor security are barriers to global eradication of polio.

A BMJ for the United States.

Doctor is arrested in transit in United Arab Emirates for a 10 year old conviction passed in his absence

Taking ecstasy on television: a show trial.

Hip resurfacing offers no benefits over total hip replacement in some patients, finds study.

New firework caused severe eye injuries at a public display.

Why this love for antibiotics in India?

Headache and visual aura in an immunocompromised patient.

Charity calls for NHS to commission services to improve health of homeless people.

Dutch court finds gynaecologist guilty of 'culpable homicide' after baby dies.

US Supreme Court is asked to rule on validity of patents on BRCA1 and BRCA2 genes

GMC investigates government's director of commissioning development.

FDA given new powers over data reporting to national clinical trials registry.

Marketing of antipsychotic drugs targeted doctors of Medicaid patients, report says.

Germany opposes EU plans for regulating clinical trials owing to lack of ethical standards.

US Institute of Medicine urges fitness standards for young people.

Fraud, not error, is why two thirds of biomedical papers are withdrawn.

Pathology service run jointly with Serco is 'in turmoil,' claims report.

Indoor tanning and non-melanoma skin cancer: systematic review and meta-analysis

More evidence of harms of sunbed use, particularly for young people.

Unnecessary care: are doctors in denial and is profit driven healthcare to blame?

The need to distinguish between group A streptococcus and polymicrobial causes in necrotising fasciitis.

The ability to stand is not diagnostic in vertigo.

Bioethicists do participate in everyday practice.

'Ethics Man' misses mark: most bioethicists are not thugs.

A tax on indoor tanning would reduce demand in Europe.

Reductions in specialist chronic illness management fuel emergency hospital admissions.

Keep general practice and secondary care separate.

If facts do not fit theory, the theory is wrong.

Neither off the peg nor made to measure calculations are fit for purpose.

An unorthodox approach to calculating sample size.

'If everybody's somebody, then no one's anybody'.

Teledermatology is the answer.

Cardiopulmonary resuscitation. (Journal: BMJ (British Medical Journal) Volume: 345)

Improving targeted screening for hepatitis C in the UK.

A woman with neck pain and shortness of breath.

The problem of diagnosis.

Fewer road crashes in the year after a medical warning.

Demand for knee replacement surgery rises steadily in the US.

Brief counselling reduces hazardous drinking.

Patients report benefits from online access to doctors' notes.

Hazards of poor renal function are independent of diabetes and hypertension.

Not curing the common cold.

Who needs β blockers?

Is the USA's problem ours too?

Spinal injury patients get a place of escape.

India's capping of drug prices will leave drugs costing near the market price.

Nuclear transfer to prevent maternal transmission of mitochondrial DNA disease.

Doctors leaders, charities, and hospices back Liverpool Care Pathway.

Scientists debunk idea that rise in allergic diseases is due to homes becoming 'too clean'.

Tax calories to end the buffet syndrome.

Failure rates of Birmingham hip implant exceed recommended level.

Nicklinson's widow is refused right to appeal to higher court.

Restore ward rounds to former glory to improve patient care, say colleges.

Screening for type 2 diabetes doesn’t affect mortality at 10 years

Poorer survival in women with advanced ovarian cancer explains the UK's lower overall survival.

Adapting clinical guidelines to take account of multimorbidity.

Labour will halt sell off of NHS to private sector if elected, Burnham says.

Safe exclusion of pulmonary embolism using the Wells rule and qualitative D-dimer testing in primary care: prospective cohort study

Overuse of antibiotics in pets must be tackled to reduce resistance, conference hears.

Government abandons plans to use payments to prevent private providers selecting simplest cases.

Opiate substitution treatment and HIV transmission in people who inject drugs: systematic review and meta-analysis

The role of opioid substitution treatment in reducing HIV transmission.

Classroom based cognitive behavioural therapy in reducing symptoms of depression in high risk adolescents: pragmatic cluster randomised controlled trial

Why the NFL is investing in health research.

Sagittal T2 weighted magnetic resonance image of the lumbar spine

Guidelines should reflect all knowledge, not just clinical trials.

Global operation tackles internet trade in fake drugs.

More English people are recovering from drug addiction, but recession poses risks.

Campaigners start legal action to stop closure of Leeds children's heart surgery unit.

Free birth control cuts rates of unwanted pregnancies and abortions in US.

Obama and Romney disagree over future of healthcare funding.

A skin rash to remember.

Prepared to fail?

Health secretary sparks controversy by his support for a 12 week limit for abortion

Preventing depression in adolescents.

Cancer and heart disease networks face cuts, say charities.

Officials raise questions over cost of Scotland's free public services.

Effectiveness of intervention on physical activity of children: systematic review and meta-analysis of controlled trials with objectively measured outcomes (EarlyBird 54)

Are interventions to promote physical activity in children a waste of time?

Monitoring aminoglycoside level.

Post-traumatic swelling

How US politicians are playing the health card.

Another promising oral agent for multiple sclerosis.

Non-small cell lung cancer

GPs must try to help patients give up smokeless tobacco products to reduce oral cancer.

Alcohol producers fight minimum price plans.

Company bans sale of its drug propofol for the purpose of lethal injections.

Accuracy of single progesterone test to predict early pregnancy outcome in women with pain or bleeding: meta-analysis of cohort studies

Benzodiazepine use and risk of dementia: prospective population based study

People who self harm have a high mortality from natural causes.

A general practitioner and nurse led approach to improving hospital care for homeless people.

The management of open tibial shaft fractures.

Assisted dying: 'all good doctors do it anyway'.

US to test system for collecting patients' reports of healthcare safety events.

GP earnings hit a five year low as practice expenses rise.

Danish sperm donor passed neurofibromatosis on to five children.

Coca-Cola helps deliver essential drugs in Tanzania

GMC accuses cardiologist of submitting trial data to a congress knowing they were wrong.

Pregnant women in UK are offered whooping cough vaccine to protect newborns.

Failing hospitals should be taken over and not merged, says think tank.

Rare diseases are overlooked by doctors, policy makers, and guidelines, says think tank.

Bring back good quality paper in the print BMJ.

Rhabdomyolysis after co-prescription of statin and fusidic acid

Selective dorsal rhizotomy remains experimental in cerebral palsy.

Early radiographic surveillance is needed to prevent sequelae of neglected hip displacement in cerebral palsy.

Bridging the training gap in laparoscopic colorectal surgery.

Should selective digestive decontamination be used in critically ill patients?

A multidisciplinary meeting on revascularisation in patients with diabetes and angina would be helpful.

The absence of an independent inquiry into the Wakefield case is a lost opportunity.

Medical Women's Foundation advocates just rewards for female doctors.

Acute outpatient urology review in clinical decision units is a retrograde step.

How to increase consultant input in hospital clinics.

Time for a radical rethink on specialist training.

Who cares about healthcare transitions in prisoners with mental health problems?

Recurrent episodes of hair loss in a 37 year old woman

Methadone prescribing is to be reviewed in Scotland as user numbers continue to rise.

UK biologist shares Nobel prize for work on cell reprogramming.

Judge upholds doctors' 'do not resuscitate' recommendation in event of patient's condition getting worse.

Mother challenges decision to make Virgin preferred bidder for children's services.

Palliative care in India lags behind government initiatives.

Tocolytic therapy for preterm delivery: systematic review and network meta-analysis

Effect of hormone replacement therapy on cardiovascular events in recently postmenopausal women: randomised trial

Tocolytics: do they actually work?

How to avoid precipitating an acute adrenal crisis.

The imprisonment of Cyril Karabus is deplorable.

Barriers to whistleblowing in the NHS.

NHS chief is urged to get tough with managers who attempt to gag whistleblowers.

Watchdog launches urgent inspection as 79 women are recalled over cancer test mistakes

Plantar fasciitis.

Could a passage to India be the way to get more surgical experience?

High mortality persists for adults with type 1 diabetes

Apixaban strengthens its case in atrial fibrillation.

Anticholinergic drugs or botulinum toxin for urge incontinence?

Will soda restrictions help New York win the war on obesity?

Moderate risk of bleeding shouldn't rule out sports in children with haemophilia.

A beacon of generalism.

Law, ethics, and the duty of care.

What a new consumer health magazine doesn't tell you.

Making waves for women's right to abortion.

Mental health projects in developing countries share \$19m investment

Health secretary vows to improve care of elderly but offers no timetable for funding reforms.

13 000 patients are at risk from meningitis in the US

US physicians work fewer hours and see fewer patients than in 2008

The UN is premature in trying to ban DDT for malaria control.

Low cost measures should be used to tackle high suicide rate in India.

Two US cities are to display calorie counts on vending machines.

Effect of intended intraoperative cholangiography and early detection of bile duct injury on survival after cholecystectomy: population based cohort study

Sagittal computed tomography of the sellar region.

Lateral plain radiograph of the cervical spine.

Bad medicine: clinical breast examination.

Use of drones is a war crime and must be stopped, says charity.

BMA calls for minimum 1% increase in doctors’ pay for 2013-14

Postmarket surveillance for medical devices: America's new strategy.

NHS will be paperless by 2015, says commissioning board

Adult trigger finger.

French hospital and its staff are charged over radiotherapy errors.

Variation in services is bound to result from commissioners' obligation to heed local needs, doctors are told.

GlaxoSmithKline grants researchers access to clinical trial data.

Judge upholds doctors’ care plan for profoundly damaged 3 year old boy against wishes of birth mother

Health organisations urge World Bank to support universal healthcare coverage.

Elderly prisoners.

Obstructive jaundice and pancreatic disease.

Management of anal fistula.

Online health checks may obscure effective advice.

All together now. (Journal: BMJ (British Medical Journal) Volume: 345)

Antidoping agency savages Lance Armstrong's doctors.

Children don't think that stimulant drugs for ADHD rob them of their 'authenticity' and moral responsibility.

Fee for service payments are thwarting evidence based medicine in the US.

India's health insurance plans encourage a hospital centred system, World Bank says.

Obese patients get inadequate care before and after bariatric surgery, finds review.

Intermediate acting non-depolarizing neuromuscular blocking agents and risk of postoperative respiratory complications: prospective propensity score matched cohort study

Antagonising neuromuscular block at the end of surgery.

Japan's answer to the economic demands of an ageing population.

A case of loin pain: a cause close to the heart.

A Patient's Journey. Tuberculosis.

Are taxes on fatty foods having their desired effects on health?

Doctors must challenge political decisions that will cause medical harm.

Delivering change is a 'brutally exposing business,' GP commissioners are warned.

Social care can reduce demand on hospitals for end of life care.

Charities demand urgent steps to prevent another Mid Staffordshire scandal.

Age should be no barrier to surgery, says report.

Millennium goal on hunger is within reach, but food instability threatens progress.

High Court quashes GMC suspension of consultant for carrying phial of blood in hand luggage.

Breast surgeons are referred to GMC for refusing to take part in a review of their unit.

Cancer registration hub opens in Mumbai to expand data collection in Asia.

Cancer burden increases as countries develop, index shows.

Tuberculosis experts pin hopes of controlling disease on 12 vaccines in development

US commission calls for protection of privacy in whole genome sequencing.

BMA considers asking patients to opt out of using private providers.

Hysterectomy can be performed on woman with schizophrenia against her will, judge rules.

Fact and fiction in the US election healthcare debate.

Annual health checks do not reduce mortality, says Cochrane review.

Time for NHS policy on electronic cigarettes.

Family and friends can help in treating alcohol misuse.

Abdominal pain in pregnancy.

Diagnosis of active and latent tuberculosis: summary of NICE guidance.

A Patient's Journey. Neuromuscular degeneration.

Dental occlusion problems are a major cause of headache.

'Magic' mushrooms don't cause renal failure.

Will lifestyle changes in later life improve survival?

Don't rush into testing and treating children.

Health campaigns entrench the role of celebrities in consumer marketing.

Marketing, not evidence based arguments, has probably increased testosterone prescribing.

Funding of emergency admissions is nonsensical.

GPs used to be effective gatekeepers.

Shortage of services in the community must be dealt with.

Strengthen the weakest link in the chain of care.

Double standards in the NHS.

Head circumference is useful in assessing weight gain in babies who fail to thrive.

Chocolate at the checkout is a risk to public health.

Ciclosporin no better than infliximab for acute refractory ulcerative colitis.

Pre-exposure prophylaxis is broadly cost effective for men who have sex with men

No antibiotics for uncomplicated rhinosinusitis.

General health checks should be discouraged.

Is chloride in intravenous fluids nephrotoxic?

Incidence of angio-oedema associated with ARBs, ACE inhibitors, and aliskiren

Ending the French love affair with drugs.

Emergency oxygen use.

Academies promote core values for scientific research integrity.

Independent body calls for a change in drug policies.

Patients are still not receiving NICE approved drugs, report says.

Doctors call for changes in the law to allow use of second hand cardioverter defibrillators.

Calcium intake and risk of primary hyperparathyroidism in women: prospective cohort study

Increased calcium intake may reduce risk of primary hyperparathyroidism.

Identifying the lowest effective dose of acetazolamide for the prophylaxis of acute mountain sickness: systematic review and meta-analysis

Medical Council of India recommends removal of 25 doctors from medical register for falsely claiming to be faculty members

Axial view radiograph of the shoulder.

Canada's Supreme Court ruling on HIV disclosure is unjust, say HIV advocacy groups.

WHO annual report finds world at a crossroad on tuberculosis.

NHS Gloucestershire keeps £80m community services in public hands

Website can charge fees for 'matching' people wanting a transplant with donors, regulator says.

Medical students still suffer mistreatment by faculty, resident doctors, and nurses, US report says.

WMA says doctors must not prescribe drugs for execution.

NHS changes in England are likely to cost more than £1.5bn

Government announces start of revalidation.

More US citizens die from meningitis as scope of inquiry widens.

Researchers promise to be more open about use of animals in their work.

Ossification centres in a radiograph of a child's elbow.

Fatigue in primary biliary cirrhosis.

Obama and Romney disagree on contraception in second presidential debate.

UK government's contract with Atos is 'unacceptably loose,' MPs say.

Neglected tropical diseases: survey and geometry of randomised evidence

One in four cases of bowel cancer in England are diagnosed only after emergency admission.

Ethics committee chairwoman is not obliged to reveal source of concerns about surgeon's work, judge rules.

Salivary gland swellings.

Minor incised traumatic laceration.

Rash in a 15 month old girl

BMA's Mark Porter: mastering the thorny issues. Interviewed by Nigel Hawkes.

A licence to bill.

Girls do not see HPV vaccine as green light for sex, study says.

Faulty hip implant shows up failings of EU regulation.

New EU tobacco legislation is delayed after health commissioner resigns amid claims of knowledge of bribery attempt.

Virgin contract to run children’s services to go ahead despite non-compliance with law

Health minister agrees to meet academics to discuss access to clinical trial data.

Hunt refers reorganisation of children's heart surgery to independent panel.

Cheap malaria drug is going to wrong people, says charity.

Assessment and management of psoriasis: summary of NICE guidance.

Keeping the customer satisfied.

Larger scale trials are needed to show what really works.

GMC inconsistency.

Golden ages have their dark sides.

We must join forces with our patients.

Asking the right questions is key.

Not all 'good' doctors do it anyway.

Statement on reduced risk is misleading.

Video cameras identify the causes of falls in care homes.

Cognitive function is unaffected by tight glucose control in paediatric intensive care.

Adults in India given second hand cardioverter defibrillators from the US.

Mixed results after 10 years for men given postoperative radiotherapy for prostate cancer

Daily interruptions to sedation for critically ill adults?

Availability of junk food should be reduced.

The 'least worst' course of action?

We need evidence based tools to identify medically at risk drivers.

Fashionable to criticise the drug industry?

How a fake hip showed up failings in European device regulation.

Dramatic trial results are often too good to be true.

Adults with depression report widespread discrimination.

Finding the smoking gun: a speech by Richard Peto.

The EU's system for regulating medical devices.

Concentration of hands.

UK drug service is ill equipped to deal with new 'legal highs' taken by clubbers, conference is told.

Half of latest NHS efficiency savings came from staff pay freeze.

Use of 3×2 tables with an intention to diagnose approach to assess clinical performance of diagnostic tests: meta-analytical evaluation of coronary CT angiography studies

Calorie restriction and longevity: fast and loose?

A sinister cause of shoulder pain, with numbness and weakness in the ipsilateral hand.

Anatomy of the pituitary region.

Psychotic depression.

EU approval system leaves door open for dangerous devices.

Notified bodies: are they fit for purpose?

UK health secretary promises to tighten regulatory procedures for medical devices.

The truth behind 'made in Europe' labels on medical devices.

Romney commits to denationalise Medicaid in third presidential debate.

Inhaled corticosteroids for chronic obstructive pulmonary disease.

Future of WHO hangs in the balance.

An abnormality at the hepatic flexure.

Device licensing bodies sometimes put business before safety, an investigation finds.

Impact of smoking on mortality and life expectancy in Japanese smokers: a prospective cohort study

Food labelling scheme agreed with retailers to remain voluntary.

Patients are let down by poor device regulation, warn surgeons.

Manufacturers offered helping hand with EU approval.

GPs end partnerships with Virgin over conflicts of interest.

Vaccination of risk groups in England using the 13 valent pneumococcal conjugate vaccine: economic analysis

High Court overturns two GMC judgments and sends them back to be heard by new panels.

Demand on Medicaid slows in 2012 as economy improves

A woman with periodic chest pain.

Marie Stopes: botany and birth control.

Bright lights and big city health problems.

Adults with advanced cancer still hope for cure.

First line catheter ablation or drugs for paroxysmal atrial fibrillation?

Dozens of scientists quit Texas cancer agency review panels, claiming that business interests trumped merit.

NHS in England paid out £3.1bn in compensation claims linked to maternity care in past decade

High Court upholds suspension of doctor whose failings as expert witness were 'serious and dangerous'.

US firm accused of manipulating journal articles and paying millions to authors.

Tamiflu: the battle for secret drug data.

Clinical trial data for all drugs in current use.

Open letter to Roche about oseltamivir trial data.

Academics plea for politicians to tackle problem of missing data.

Government makes up hospital bailout policies 'on the hoof,' say MPs.

Management of chronic rhinosinusitis.

Smoking is just as lethal for women.

Paper's conclusions will only cause confusion.

Excess mortality can be explained by case mix selection.

Caution is needed in interpreting results.

Clarification from the National Joint Registry.

Evidence for damage control resuscitation is lacking.

Recommendations run contrary to current teaching.

Check patients for features of spondyloarthritis.

Mitochondrial DNA mutations predispose to aminoglycoside induced ototoxicity.

No evidence base for monitoring aminoglycoside levels.

More strategies are needed to promote wellbeing among doctors, conference hears.

FDA raises concerns about ultra-long acting insulins given green light in Europe and Japan

Breast screening is beneficial, panel concludes, but women need to know about harms.

South London trust losing £1m a week should be broken up, says administrator

Abused patients from closed care home may be at risk in new placements, investigation shows.

India proposes free primary care to help achieve universal healthcare coverage.

Association between fish consumption, long chain omega 3 fatty acids, and risk of cerebrovascular disease: systematic review and meta-analysis

It is too difficult for ill people to claim benefits.

The role of fatty acids from fish in the prevention of stroke.

The doctor won't see you now: online consulting and prescribing.

The assault on the Liverpool care pathway.

Acetazolamide for the prophylaxis of acute mountain sickness.

Too much medicine, not enough mirth.

Authors' reply to Jameson and Breusch.

Authors' reply to National Joint Registry.

Age restrictions on rotavirus vaccination cost lives.

How the Liverpool care pathway has transformed end of life care.

Healthcare and weather services must work together to limit risks of air pollution and high temperatures.

Boys are entering puberty earlier, large study shows.

Health campaigners question whether fall in maternal mortality in India is a result of more hospital deliveries.

Changes to the GP contract threaten general practice in the UK.

Breaking good news.

Emergency hospital evacuation as Hurricane Sandy hits New York.

Standards for foundation trust status will not be lowered even if trusts fail the test, says Monitor.

UK MPs demand more stringent regulation of medical devices across Europe.

Risk of cervical cancer after completed post-treatment follow-up of cervical intraepithelial neoplasia: population based cohort study

Cost effectiveness of human papillomavirus test of cure after treatment for cervical intraepithelial neoplasia in England: economic analysis from NHS Sentinel Sites Study

Follow-up after treatment for cervical intraepithelial neoplasia

Content area experts as authors: helpful or harmful for systematic reviews and meta-analyses?

Rises in healthcare spending: where will it end?

Use of $HbA_{1c}$ in the diagnosis of diabetes

Creating credibility and value in comparative effectiveness research.

How it feels to withdraw feeding from newborn babies.

Reforming the regulation of orthopaedic devices in the UK.

Applying to do research studies in the NHS is to be made easier.

GMC drops case against man accused of submitting incorrect data about heart device to medical journal.

Death of baby with anencephaly after mother was refused an abortion sparks controversy in India.

Genetics testing firm is accused of 'hiding vital breast cancer data'.

GSK backs BMJ's new policy to publish only studies with full access to data.

Government drops plans to review the way women who are considering abortion are counselled.

Payment by results system has outlived its usefulness, King's Fund report says.

Where's the evidence for gluten sensitivity?

Revalidation seems to add little to the current appraisal process.

Recovery of coma patient sparks confusion over when to ask about organ donation.

Medicine's dystopian future.

Second hospital is evacuated as New York struggles to recover from hurricane.

Munich hospital closes liver transplantation list after audit uncovers errors.

Neurologists appeal to health secretary over withdrawal of drug for MS patients.

High Court quashes suspension of GP who was alleged to have been involved in a 'cash for crash' scam.

Project to increase availability of malaria drug has worked, study finds.

Melatonin for sleep problems in children with neurodevelopmental disorders: randomised double masked placebo controlled trial

Treatment of sleep disorders with melatonin.

Primary and secondary prevention with new oral anticoagulant drugs for stroke prevention in atrial fibrillation: indirect comparison analysis

Meningitis outbreak shines light on compounding pharmacies.

Breast cancer screening: one life saved at a cost of three overdiagnosis.

Cancer drug shows promise for multiple sclerosis.

Better to modify the EWTD than go to India for surgical experience.

Etomidate puts patients at risk of adrenal crisis.

Guidance is needed on inhaled glucocorticoids and acute adrenal crises.

Perilunate dislocation.

Preparing young travellers for low resource destinations.

Use of Mendelian randomisation to assess potential benefit of clinical intervention.

Adding age and genetic risk to PSA test could improve screening for prostate cancer.

Zoledronic acid prevents fractures in men with osteoporosis.

Single application of ivermectin lotion helps get rid of head lice.

Chemotherapy before surgery for colon cancer may improve survival, study shows.

Indian authority withdraws patent for interferon granted to Roche.

Private hospitals look to NHS for elective operations as private medical insurance falls.

Review of cardiopulmonary resuscitation was of limited value.

Education is better than splints in temperomandibular pain.

Forcing reality into inappropriate disciplinary frameworks.

Involving patients in their healthcare.

Some forms of knowledge are more equal than others.

Shared decision making needs a care perspective.

Vulnerable groups mustn't become guinea pigs.

More experienced doctors incur lower treatment costs, finds study.

NHS Constitution is 'patchy, low key, and inconsistent,' says review.

Family accuses hospital of putting a 'do not resuscitate' notice in patient's notes without her knowledge.

Health professionals defend the Liverpool care pathway.

Only half of people with diabetes receive all the tests they need, report says.

Development of health systems and universal coverage should be evidence based, says WHO.

Overtreatment can be cured only by education.

Cheap GP ultrasonography is not the answer to clinical breast examination.

Drop the BMJ paper edition entirely.

Better access to general practice is linked to improved quality of care, finds analysis.

Cognitive enhancers are set to change workplaces.

Anatomy of the atlas and axis.

Denosumab may reduce hypercalcaemia after transplantation for osteopetrosis.

Low eGFR and high albuminuria predict end stage kidney disease and death at all ages.

Should all advertising of cosmetic surgery be banned? Yes.

Should all advertising of cosmetic surgery be banned? No.

Let's keep clinical breast examination until the breast service is reconfigured.

Can suicide be prevented?

Stop the silent misdiagnosis: patients' preferences matter.

Risks of adverse pregnancy and birth outcomes in women treated or not treated with mood stabilisers for bipolar disorder: population based cohort study

Use of varenicline for smoking cessation and risk of serious cardiovascular events: nationwide cohort study

Magnetic resonance angiography of the posterior circulation.

New marketing code for Indian drug companies favours the companies, critics say.

Patients with type 1 diabetes are blocked from specialist services by NHS commissioning policies

Varenicline for smoking cessation.

Protecting India's poorest from unaffordable medical bills.

India plans universal screening of newborns amid logistical challenges.

Implementing health care reform in US may still be difficult despite Obama win.

Circle predicted 'unprecedented' savings from running Hinchingbrooke, says watchdog.

The re-election of US President Barack Obama

Bipolar disorder in pregnancy: to treat or not to treat?

Does mindfulness based cognitive therapy prevent relapse of depression?

Visual agnosia.

Thoracic outlet syndrome.

Call for worldwide withdrawal of tiotropium Respimat mist inhaler.

Oblique radiograph of the normal lumbar spine.

Daily multivitamins do not protect against cardiovascular events, finds study.

Californians vote to keep the death penalty.

Complaints about removal from GP lists rise by 16% in a year

Doctors will be key to raising productivity levels to plug shortages in workforce.

Breast surgeon is investigated by GMC over allegations of unnecessary surgery.

Patients are failing to get new drugs even when approved by NICE, industry chief says.

Climate change experts need funds to research vital questions, conference hears.

Ensuring the health of future populations.

CABG not PCI for adults with diabetes.

Accelerating suicide rate linked to economic downturn in the US.

Aspirin prevents recurrent venous thromboembolism.

Junior doctors take heart: you do everything as well as we did.

Roche should be sued to release data on oseltamivir, says Cochrane leader.

Make or break for the Global Fund?

Germany repeals €10 quarterly charge for visiting the doctor

How India can provide healthcare for all.

Care of people with schizophrenia suffers as too much money is spent on secure units.

The composition of animal ethics committees needs to change.

Specialist nursing care enables more people at end of life to die at home and reduces hospital treatment, study finds.

How to achieve international action on falsified and substandard medicines.

Provision of cardiopulmonary resuscitation differs across ethnic and racial groups.

Liverpool care pathway is a half baked compromise.

Stafford breast surgeons reply to BMJ news article.

New NHS Constitution could cause conflict with professional guidance on patient confidentiality and the Mental Capacity Act.

European governments should sue Roche and prescribers should boycott its drugs.

All UK trains should carry automated external defibrillators (AEDs)

Why have the breast surgeons been referred to the GMC?

Up to date service evaluations and needs assessments would be useful in caring for elderly prisoners.

How do we make the Liverpool care pathway's laudable aspirations reality?

Palliative care for all?

Addressing commissioning difficulties is a priority for elderly prisoners.

John Bell's conflict of interest.

Childhood constipation.

Efficacy and safety of novel oral anticoagulants for treatment of acute venous thromboembolism: direct and adjusted indirect meta-analysis of randomised controlled trials

Let us now praise famous men and women.

Active adults live longer.

Therapeutic manipulation of HDL fails to benefit adults with heart disease.

Privatisation in Spain provokes protests among doctors.

Malaria vaccine trial shows lower efficacy in younger than in older infants.

Awareness of symptoms could eliminate 5600 late cancer diagnoses in England each year

MRSA in waste treatment water poses potential risk.

London medical education boss quits amid plans to break up deanery.

GPs will not negotiate with government 'with a gun to their head,' GP leader says.

Italian police arrest nine cardiologists.

More than 1500 patients recalled after team finds serious shortcomings in surgeon’s work

Raising price of alcohol in one Canadian province led to fall in drinking, finds study.

Sale of out of hours care company for £48m brings GPs big profits

Restructuring emergency surgery staffing improves outcomes and reduces costs.

The legacy of the tobacco colossus Richard Doll.

Sequential bilateral femoral fractures.

Uncertainties in baseline risk estimates and confidence in treatment effects.

Commentary: Substandard medicines are the priority for neglected tropical diseases.

Liverpool care pathway: doctors have always aimed to ease distress in dying.

Liverpool care pathway: doctors speak out.

Is fasting necessary before lipid tests?

US inpatients often receive too much acetaminophen.

Using end of life care pathways for the last hours or days of life.

Death becomes him.

DNA sequencing helped to limit spread of MRSA in a neonatal unit.

New blueprint puts dementia and better care at heart of NHS.

Head of NHS praises GPs' plans for commissioning.

Rules over civil servants leaving for jobs in private sector need to be strengthened, says Labour.

How politics trumped peer review at Texas cancer institute.

Multiple enlarging nodules on the lower limb.

Annual health checks for people with intellectual disabilities.

Government disputes that half of NHS efficiency savings came from staff pay freeze.

New political party will target prime minister and five others implicated in NHS changes.

Renewed efforts are needed to curb antibiotic resistance.

Family of patient who died during a clinical trial receive a six figure settlement.

Status of women is central to reducing child mortality in India, report says.

Prognosis in women with interval breast cancer: population based observational cohort study

A patient with longstanding type 1 diabetes and a swollen, warm, and red foot

Metal-on-metal hip prostheses: where are we now?

The peeved middle.

States get their say on health: post-election round up

Indian drug maker cuts price of three cancer drugs by between 50% and 63%

Relatives of people who die from sudden cardiac death are at increased risk of CVD.

Fasting makes little difference to results of lipid tests.

Pictorial health warnings on cigarette packs have more impact on smokers than words, US study shows.

A man with a blocked nose.

Former Bush adviser is appointed to lead Global Fund.

Investigations begin into death of woman who was refused an abortion.

Administer tranexamic acid early to injured patients at risk of substantial bleeding.

Doctor is allowed back to work after five year suspension with 16 conditions on his registration

Competition in NHS is driving patients towards private providers.

Once weekly rosuvastatin is useful in statin intolerance.

No treatment is often the best treatment.

Barriers to expressing concern about inquiries into homicides by psychiatric patients.

Consider the risks of working in the UAE carefully.

New citizens' juries in breast screening review are biased.

Prostitutes I have had.

Ultrasound guided core biopsy is the diagnostic tool of choice in salivary gland swellings.

The new vicious circle of malnutrition and nutraceuticals.

Replace clonazepam with an alternative antiepileptic drug to reduce drug misuse.

Time to debate rapid molecular testing for tuberculosis?

Reversing the WHO crisis: transparent priority matching of global needs with donor objectives.

Antithrombosis stockings must have non-slip soles

European Antibiotic Awareness Day and access to antibiotics.

Care not health should be centre of more integrated system, former health ministers agree.

Governments are told not to skimp on preventive strategies as health budgets fall.

Belief not science is behind flu jab promotion, new report says.

Experts urge commissioners to invest in self management courses for patients with chronic disease.

More regulation is not the answer to poor care, ministers are told.

Effect of intensive structured care on individual blood pressure targets in primary care: multicentre randomised controlled trial

Resistant hypertension.

Restless legs syndrome. (Journal: BMJ (British Medical Journal) Volume: 345)

The use of highly structured care to achieve blood pressure targets.

A short history of pharmaceutical marketing.

Reviewers question the use of antibiotics for uncomplicated diverticulitis.

Ten valent vaccine prevents most invasive pneumococcal disease.

Probiotics prevent Clostridium difficile in people taking antibiotics.

GP is held entirely responsible for brain damage of child who was discharged from hospital after head injury.

Delhi's government asks private hospitals why they aren't providing free care to the poor.

Obama extends deadline on health exchanges.

GPs warn of dangers in allowing patients online access to their medical records.

Health workers in British Columbia must be vaccinated against flu or wear a mask, new policy says.

Death rate from ovarian cancer in England has fallen by a fifth since 2001

Almost 50 new psychoactive substances were reported to EU in 2011

First meningitis B vaccine could be available in UK next year.

Greece has highest use of antibiotics outside hospital in Europe.

WHO hits out over reports on links with food industry.

Organisations voice concerns over plans to disband Human Tissue Authority.

Doctors must put needs of child before relationship with parents, judge rules.

Missing notes mean case is postponed against doctor arrested during transit in United Arab Emirates.

General health checks in adults for reducing morbidity and mortality from disease: Cochrane systematic review and meta-analysis

Muscular strength in male adolescents and premature death: cohort study of one million participants

Sharing of clinical trial data among trialists: a cross sectional survey

The value of conducting periodic health checks.

The new BMJ policy on sharing data from drug and device trials.

Mammography results in substantial overdiagnosis of breast cancer, concludes study.

Drug treatment reduces criminal behaviour in adults with ADHD by about a third, study shows.

Liver disease rises in England while falling elsewhere in Europe, report says.

Cancer patients need better preparation to access good quality care in a crisis.

Test all adults aged 15 to 65 for HIV, recommends task force

Get basics right to improve acute kidney injury, says consensus conference.

The UK’s Research Excellence Framework 2014

Survival after cardiac arrest in hospital improves in the US.

Mental health deteriorates in economically successful Taiwan.

Job losses linked to myocardial infarction in US cohort.

Increased incidence of hip fracture after first prescription for antihypertensive drugs.

How good a doctor do you need to be?

Falling through the gaps in care.

UK doctors call on government to introduce minimum pricing for alcohol.

Denmark cancels 'fat tax' and shelves 'sugar tax' because of threat of job losses.

Alcohol, as well as sugary drinks, adds calories to the US diet, finds study.

Foundation is laid for the 'end of AIDS,' says UN report.

General practices will be inspected every two years, with 48 hours’ notice in normal circumstances

Dealing with mental disorder in prisoners.

Women “jurors” are asked how to present risk-benefit ratio of breast cancer screening

NHS spending should focus on mental rather than physical health to promote wellbeing.

Commissioners must 'dismantle existing NHS services as they see fit,' doctors' leader says.

NHS chief is forbidden from lobbying health department for two years after moving to private sector.

GPs' pleas for their conflict of interests to be treated with leniency are rejected by commissioning board.

MPs are to investigate need for drug companies to share clinical trial data.

High job vacancy rates in hospitals and nursing homes underpin poor care, says watchdog.

The Baltic states: building on 20 years of health reforms

Improving the process of translational research.

Gamal Serour of the International Federation of Gynecology and Obstetrics (FIGO) replies to Fiona Godlee

Gynecologists endorse sale of birth control pills through drugstores.

Research paper does not show causal link between benzodiazepine use and diagnosis of dementia.

Research paper most likely shows that benzodiazepines are used to treat early symptoms of dementia.

Non-surgical invasive procedures such as dermal fillers should also be regulated

Discussion on banning advertising of cosmetic surgery needs to consider medical tourists.

GMC guidance on neonatal palliative care.

We need access to data on all clinical trials, not just some.

A revolution in drug approval practices is required.

Additional requirements for complex interventions.

Introducing the HRA's new system.

Hospital found to be in breach of terms of authorisation after four serious surgical errors.

Europe’s drug agency will publish clinical trial data for new products from 2014

Cochrane group rejects Roche's offer of 'advisory board' to discuss analysis of oseltamivir data.

'Citizens' jury' disagrees over whether screening leaflet should put reassurance before accuracy.

Cardiovascular mortality after pre-eclampsia in one child mothers: prospective, population based cohort study

The spectrum of thyroid disease and risk of new onset atrial fibrillation: a large population cohort study

Generalized anxiety disorder: diagnosis and treatment.

Greek economic crisis: not a tragedy for health.

We need better ways to create new hypotheses and select those to test.

Dismal forecast for preterm births.

No need to add testosterone to sildenafil.

Evidence for and against aldosterone antagonists in heart failure.

Deaths from elective repair of abdominal aortic aneurysm fall to new low.

NHS is doing well, but financial squeeze poses serious risks, King's Fund says.

Countries that use large amounts of high fructose corn syrup have higher rates of type 2 diabetes

New EU health commissioner promises early tobacco legislation.

Traumatic brain injury is more widespread than previously estimated.

Controversial mental health program closes down.

Lobbyists' document shows close working between private sector and government over health bill.

New rules are proposed for benefits that must be covered under health reform.

Radiograph of the ossification centres of a child's wrist.

Comprehensive self management and routine monitoring in chronic obstructive pulmonary disease patients in general practice: randomised controlled trial

How the new guardians of public health are investing heavily in tobacco companies.

Immunity wanes after vaccination against whooping cough.

Endovascular or open repair for abdominal aortic aneurysm?

Atrial fibrillation linked to sudden cardiac death.

Prediction tools for kidney disease aren't mature enough for clinical use.

fMRI for vegetative and minimally conscious states.

Is Movember misleading men?

US scientists protest cuts to research funding that aim to reduce national deficit.

UK must improve its recruitment rate in clinical trials, report says.

Ombudsman calls for national system for reporting adverse incidents in Scotland.

Former Number 10 health adviser joins lobbying firm with clients in health sector

High Court quashes a GMC decision for third time in a month.

Experts point out pitfalls of using patient reported outcomes to guide NHS care.

Minimum price for alcohol is proposed for England and Wales.

Indian government promises to provide abortion services at 25 000 primary health centres

New league table will drive improvements in hospitals and care homes, says health secretary.

Detection rates of precancerous and cancerous cervical lesions within one screening round of primary human papillomavirus DNA testing: prospective randomised trial in Finland

Magnetic resonance cholangiopancreatography of the biliary tree and adjacent structures.

Making medicines evergreen.

Cognitive test can predict risk of mental illness in teenagers, say scientists.

NHS is too slow to adopt NICE approved treatments, MPs hear.

Should India launch a national immunisation programme against rotavirus? Yes.

Should India launch a national immunisation programme against rotavirus? No.

Comorbidity in patients with branch retinal vein occlusion: case-control study

Does gluten sensitivity in the absence of coeliac disease exist?

Non-coeliac gluten sensitivity

Contraception policies in the US are reactionary.

GP is suspended for six months for failing to make an urgent referral.

Urgent action is needed to help debt ridden hospital trust to survive.

The Bigger Picture. Lest we forget.

All in it together?

Offer regular HIV tests to high risk groups to reduce late diagnoses, says public health agency.

BMA rules out industrial action in Scottish hospitals despite strong vote in ballot.

Does routine oxygen supplementation in patients with acute stroke improve outcome?

Law on infant foods inhibits the marketing of complementary foods for infants, furthering undernutrition in India.

Italy must find new ways to fund and organise its health service, prime minister says.

Ireland looks at ways to bring its abortion law into line with European judgment.

Simple formula can predict risk of childhood obesity at birth, study says.

Hilary Clinton looks to an AIDS free generation.

Columbia judge orders tobacco firms to admit 'fraudulently denying' harms of smoking.

New mid-grade health workers for rural areas are to start training in 2013

Childhood HIV is in danger of becoming a neglected disease, say experts.

English NHS could be £54bn in red by 2021 if budget or output doesn’t increase

Klinefelter’s syndrome—a diagnosis mislaid for 46 years

Kallmann syndrome.

Klinefelter's syndrome.

Managing delayed or altered puberty in boys.

UK's shameful record on female genital mutilation.

Prescribe exercise for men with dyslipidaemia.

ART regimen protects children from malaria.

Automated calls and letters encourage adults to fill first prescriptions.

Outsourcing favours private companies and is unsustainable, says report.

Patients with melanoma are avoiding follow-up to get insurance

Problems with the GP contract date back to 2004

Revalidation will not reliably detect poorly performing doctors.

At least one systematic reviewer must be a disease expert.

Trial does not change the conclusions of Cochrane review of long term hormone therapy for perimenopausal and postmenopausal women.

Was the composite outcome specified in the original protocol?

Study had insufficient power to investigate safety.

The age hypothesis does not stand up to scrutiny.

British Paediatric and Adolescent Bone Group's position statement on vitamin D deficiency.

Anorectal function is not always normal after surgery in Hirschsprung's disease.

Many patients have an identifiable genetic cause of Hirschsprung's disease.

Suicide prevention and mental illness.

Personal health budgets will be rolled out to over 50 000 people

Glass particles found in generic atorvastatin.

Cutting emissions by drug industry is crucial to reducing NHS's carbon footprint.

Surgeon is taking claims of victimisation over whistleblowing to High Court.

Patents cannot be given for research methods that destroy healthy human embryos to obtain stem cells, German court rules.

Advances in radiotherapy.

Maltreated neglected children are more likely be troubled adults.

Interactive alerts improve immune status of patients with HIV.

Daily Mail story on care of sick babies was 'highly misleading,' says BMJ editor.

Lifebox: make it zero.

New bill aims to embolden doctors to practise innovative medicine.

Airborne exposure to preservative methylisothiazolinone causes severe allergic reactions.

Impact on health inequalities of rising prosperity in England 1998-2007, and implications for performance incentives: longitudinal ecological study

Neurological and developmental outcome in extremely preterm children born in England in 1995 and 2006: the EPICure studies

Short term outcomes after extreme preterm birth in England: comparison of two birth cohorts in 1995 and 2006 (the EPICure studies)

Is abortion worldwide becoming more restrictive?

Long term follow-up of extremely preterm neonates

Incidence of severe disability among very premature babies has not changed for a decade.

Gutkha wars: India toughens up on oral tobacco use.

NHS is 'full' owing to rise in emergency admissions and poor discharge procedures, report says.

US needs 52 000 more primary care doctors by 2025, new study says

Patients should be reviewed by a consultant once every 24 hours, report says

Twelve NHS trusts have 'worryingly high' mortality rates, report says.

India proposes banning 73 antibiotics from sale over the counter

Effect of reducing total fat intake on body weight: systematic review and meta-analysis of randomised controlled trials and cohort studies

Free speech rights outweigh restrictions on promoting drugs off label, court rules.

Government is urged to stop claiming spending on NHS has risen.

Chancellor unveils 'son of PFI' to build next generation of hospitals.

New €55.6m European project will use stem cells to increase understanding of diseases

Prime minister gives backing to more transparent drug trial data.

Nearly half of adults in England don't understand health information material, study indicates.

Performance data on all surgeons in England will be published within two years.

Critics attack decision to allow federally funded researchers more time to publish trial results.

More health professionals for rural India.

An unblinkered view of best interests.

Protected sleep time for US interns.

Higher finals’ scores for medical students selected with multiple mini-interviews

Referral rate to outpatient services in London in some practices is triple that in others, report says.

Supreme Court will rule on whether patents for BRAC1 and BRAC2 genes are valid

Transforming lives through access to antiretrovirals.

Standard of lung cancer care improved slightly over past year, report shows.

NICE is urged to make drug companies supply all trial data.

Personal health budgets: surplus of cash or deficit of ideas?

High Court quashes suspension of surgeon whose clinical competence was not in question.

California stem cell research unit is admired but needs better governance.

Hospital is refused permission to withhold 'futile' treatment if patient's condition deteriorates.

What about trialists sharing other study materials?

Subliminal advertising.

Are statins related to motor neurone disease?

Doctors need to understand absolute versus relative risk reduction with statins.

The right to food security.

Branch retinal vein occlusion.

Policy holders get \$1.5bn rebate from health insurance firms

AstraZeneca must pay €52.5m fine for anticompetitive tactics, rules European court

Royal commission should be set up to look at UK drug policy, MPs say.

Audit finds 24 000 excess deaths among people with diabetes in England and Wales

Targeting coeliac disease serology.

We need to move the debate on open clinical trial data forward.

Diagnosis and management of supraventricular tachycardia.

Cameron announces £100m for “unlocking the power of DNA data”

Scientist sues Nobel assembly for awarding medicine prize to wrong people.

Further investigations are planned for child whose mother took him into hiding to avoid treatment.

Clinical networks for cancer and cardiac care in England report major funding cuts.

Winterbourne report: long term hospital beds for people with learning disabilities to end by 2014

Two doctors are banned from acting as company directors after failing to pass on pension contributions.

Roche medical director could face GMC if the company withheld relevant data on oseltamivir.

Skin care education and individual counselling versus treatment as usual in healthcare workers with hand eczema: randomised clinical trial

Assessment of best single sample for finding chlamydia in women with and without symptoms: a diagnostic test study

Assessment of self taken swabs versus clinician taken swab cultures for diagnosing gonorrhoea in women: single centre, diagnostic accuracy study

Ectopic pregnancy and miscarriage: summary of NICE guidance.

Patient leaflets are worthless.

Monoclonal antibodies: magic bullets with a hefty price tag.

Avoiding hand eczema in healthcare workers.

Cluster of rare fungal infections identified after tornado.

Ten years of tamoxifen works better than five.

Drugs and devices look more effective in studies sponsored by industry.

Give enteral nutrition a chance in critically ill adults.

Screening with flexible sigmoidoscopy helps prevent cancers and deaths.

HIV treatment reduces transmission in serodiscordant heterosexual partners.

Worsening eyesight among US adults.

Plan to force drug companies in France to reveal payments to doctors has been diluted, campaigners say.

Lifebox: the difference a donation makes. Atul Gawande interviewed by Jane Feinmann.

Withdraw approval for Tamiflu until NICE has full data.

We are asking more questions about NICE appraisal of Tamiflu.

European drug agency sets out plans to publish clinical trial data from 2014

Privately managed NHS trust will survive despite slow progress in cutting deficit, Circle says.

Germany’s “demographic storm” will see nursing care costs rise to €41.6bn by 2060

GPs must see NICE guidance as relevant and essential, says potential new NICE chairman.

New screening tests for bowel and cervical cancer are to be piloted in NHS.

Supreme Court to decide whether payments by patent holders to delay production of generics are anticompetitive.

New study increases concern over quality of healthcare and medical education in India.

Using a dog’s superior olfactory sensitivity to identify Clostridium difficile in stools and patients: proof of principle study

Mortality in former Olympic athletes: retrospective cohort analysis

Mind wandering and driving: responsibility case-control study

Can I take a space flight? Considerations for doctors.

Survival of the fittest: retrospective cohort study of the longevity of Olympic medallists in the modern era

Everyone could enjoy the 'survival advantage' of elite athletes.

Coronal computed tomography of the upper cervical spine.

Regulator's role in decision by ombudsman not to look into baby's death is to be investigated.

What football teaches us about researching complex health interventions.

Postoperative deaths from bowel cancer fall for fourth year in row, audit shows.

Containing the opioid overdose epidemic.

Big pharma often commits corporate crime, and this must be stopped.

Talented oldsters.

MPs call for Commons committee to examine cost to NHS of missing data.

People are living longer but are not in best health, global study finds.

Patients are more satisfied with their own GP than with out of hours care, survey shows.

New chairmen of NICE and CQC are confirmed.

Heat and risk of myocardial infarction: hourly level case-crossover analysis of MINAP database

A rash in a patient with neutropenia.

NHS must start reconfiguring services if it is to meet savings challenge, says National Audit Office.

A third of children finishing primary school in England are overweight or obese.

Ban on tobacco display to go ahead in Scotland after court ruling.

Nutritional content of supermarket ready meals and recipes by television chefs in the United Kingdom: cross sectional study

Pain over speed bumps in diagnosis of acute appendicitis: diagnostic accuracy study

Using speed of ageing and 'microlives' to communicate the effects of lifetime habits and environment.

Revisiting the harem conspiracy and death of Ramesses III: anthropological, forensic, radiological, and genetic study

Why Rudolph’s nose is red: observational study

All in this together: the corporate capture of public health.

Toilet hygiene in the classical era.

Surgical thimbles.

John Collins Warren (1778-1856): An American surgeon in London

Building a metaphor: another brick in the wall?

Effectiveness of non-benzodiazepine hypnotics in treatment of adult insomnia: meta-analysis of data submitted to the Food and Drug Administration

Tobacco harm reduction: the devil is in the deployment.

Educational interventions are unlikely to work because obese people aren't unhappy enough to lose weight.

England will pilot cancer patient survey to compare hospitals.

Presence of HPV in later life may represent reactivation, not reinfection.

Reward doctors for early diagnosis of dementia, says think tank.

Appointments later in week are less likely to be missed, finds study.

Filipino parliament votes to improve access to contraception.

MPs call for evidence on clinical trials and data disclosure.

Local authorities' scrutiny committees must consider financial issues if they want to reject health service changes.

Army doctor was dishonest about injuries to detained Iraqi, finds tribunal.

Australia aims to eliminate female genital mutilation.

Indian government promises paediatric formulations of TB drugs.

Fight against malaria slowed in 2012 as funding fell

Case report of E.T.—The Extra-Terrestrial

Bringing surgical history to life.

Is it time for an evidence based uniform for doctors?

Placebos in 19th century medicine: a quantitative analysis of the BMJ

Dirty, deluded, and dangerous.

Presentation of continuous outcomes in randomised trials: an observational study

You can't mandate compassion.

Many pain clinics fail to offer multidisciplinary care, says audit.

Retain clinical excellence awards, but cap sum and number of recipients, says DDRB.

Group is set up to look at seven day working in the NHS.

Gastroscopic painting.

Learning from the abolitionists, the first social movement.

When managers rule.

Barbara Hepworth's hospital drawings.

Universities will have to report adverse events in research to higher education funding body, consultation proposes.

Doctors may face mandatory reporting of adverse incidents involving implants.

The challenge of preventing spree killings.

Commissioning board looks for funding formula that will reduce health inequalities.

New drug for type 2 diabetes is no better than older, cheaper treatments, says institute

Six polio vaccination workers are shot dead in Pakistan.

Patient survival rates for individual surgeons will be published from 2013

Boy must have surgery despite wishes of his mother, court rules.

Polio eradication was an ideological project.

Dengue fever is massively under-reported in India, hampering our response

Push, pull, squeeze, clamp: 100 years of changes in the management of the third stage of labour as described by Ten Teachers

Doctors on television: analysis of doctors' experiences during filming of a documentary in the workplace.

European union has the falsified medicines directive.

Familial risk of early and late onset cancer: nationwide prospective cohort study

France could soon have draft law on assisted suicide for terminally ill people.

Doctors criticise privatised out of hours service in London.

Irish MPs to vote next year on whether to allow limited abortion.

Family that accused hospital of putting a 'do not resuscitate' notice in patient's notes was in denial, says judge.

Inhaled corticosteroids: first do no harm.

Bias control in shared decision making: still too many loose ends.

The health service is more intent on cure than on care.

Many private screening tests have no known benefit.

Risk-benefit profile of inhaled corticosteroids in COPD is still unclear

Deficiencies in proposed new EU regulation of clinical trials.

Addition of long acting β agonist is not supported by clinical trial evidence

US drug shortages: a disappearing problem?

Myasthenia gravis.

Canadian doctors say it is inappropriate for them to prescribe marijuana.

Raising age of Medicare eligibility is no panacea for budget woes.

Safety labeling on generic drugs is inconsistent, study says.

What hope is there for ethical investment?

Failure of the broadcaster's duty of care.

Time for a 'patient's page' in hospital notes.

Any conclusion from this 'citizens' jury' will be seriously flawed.

NHS and academia need to work together in exploring new hypotheses.

If you're going to Vegas, watch out for the Texas sharp shooter . . .

Does gay marriage improve health?

A copyright-free alternative to the mini-mental state examination is needed

Effects of Greek economic crisis on health are real.

Study finds why hospitals are failing to confront medical errors.

Fitness assessments used in geriatric care benefit cancer patients, pilot studies find.

EU tables new rules to deter smokers.

BMA criticises increased funding for boxing.

Doctor who denied he saw Iraqi detainee's injuries is struck off medical register.

Common sense gun policy reforms for the United States.

Can India walk the talk when it comes to mental health?

There is no evidence base for proposed dementia screening.

Family of woman who had DNR order put in her notes without her knowledge is refused right to challenge its legality.

French psychiatrist is convicted of manslaughter after her patient kills an elderly man.

Whistleblower abandons his case and resigns from Alder Hey Children's Hospital.

Brain tumour boy can be given radiotherapy against mother's wishes, court says.

Bipolar disorder.

Remedy for all the inconveniences of life.

Advertising watchdog bans 'misleading' commercial on rotavirus vaccination.

Medicines agency rejects a quarter of requests for documents it holds on drugs.

Eight days by foot to deliver healthcare to the world's most underserved communities.

Government's proposed changes to copyright law will help research, Wellcome says.

Eli Lilly settles corrupt foreign practices complaint for \$29.4m

Risk of presentation to hospital with epileptic seizures after vaccination with monovalent AS03 adjuvanted pandemic A/H1N1 2009 influenza vaccine (Pandemrix): self controlled case series study

Extra cancers emerge in rescue and recovery workers at World Trade Center.

Is type 2 diabetes reversible?

Transfusion linked to higher mortality, again.

New anti-smoking campaign adopts shock tactics

Atherosclerosis at autopsy in 12% of US service personnel

Hepatitis outbreak is traced to contaminated needles and barber shop razors, study shows.

High Court overturns suspension of a GP for his alleged actions as a school governor.

Judges are baffled by baby's painless skull fractures.

Proposed system to detect child abuse could deter parents from seeking treatment, pressure group says.

Doctors must help explain need for NHS changes, says NHS Confederation.

Ban free consultations and 'two for one' deals on cosmetic procedures, say respondents to review.

Indian doctors decry decision to move raped woman to Singapore.

An early British case of neuromyelitis optica (1850)

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Pain over speed bumps in diagnosis of acute appendicitis: diagnostic accuracy study

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Huang, Andrew Karim, Diallah Harnden, Anthony D'souza, Nigel Ashdown, Helen F. Stevens, Richard J.
Description	Author Affiliation: Ashdown HF ( Department of Primary Care Health Sciences, University of Oxford, Oxford OX2 6GG, UK. helen.ashdown@phc.ox.ac.uk);
Abstract	Objective To assess the diagnostic accuracy of pain on travelling over speed bumps for the diagnosis of acute appendicitis. Design Prospective questionnaire based diagnostic accuracy study. Setting Secondary care surgical assessment unit at a district general hospital in the UK. Participants 101 patients aged 17-76 years referred to the on-call surgical team for assessment of possible appendicitis. Main outcome measures Sensitivity, specificity, positive and negative predictive values, and positive and negative likelihood ratios for pain over speed bumps in diagnosing appendicitis, with histological diagnosis of appendicitis as the reference standard. Results The analysis included 64 participants who had travelled over speed bumps on their journey to hospital. Of these, 34 had a confirmed histological diagnosis of appendicitis, 33 of whom reported increased pain over speed bumps. The sensitivity was 97% (95% confidence interval 85% to 100%), and the specificity was 30% (15% to 49%). The positive predictive value was 61% (47% to 74%), and the negative predictive value was 90% (56% to 100%). The likelihood ratios were 1.4 (1.1 to 1.8) for a positive test result and 0.1 (0.0 to 0.7) for a negative result. Speed bumps had a better sensitivity and negative likelihood ratio than did other clinical features assessed, including migration of pain and rebound tenderness. Conclusions Presence of pain while travelling over speed bumps was associated with an increased likelihood of acute appendicitis. As a diagnostic variable, it compared favourably with other features commonly used in clinical assessment. Asking about speed bumps may contribute to clinical assessment and could be useful in telephone assessment of patients.
ISSN	09598138
e-ISSN	17561833
Journal	BMJ (British Medical Journal)
Volume Number	345
Language	English
Publisher	British Medical Journal Publishing Group
Publisher Date	2012-12-01
Publisher Place	Great Britain (UK)
Access Restriction	Open
Subject Keyword	Abdominal Pain Etiology Appendicitis Diagnosis Acute Disease Adolescent Complications Automobiles Confidence Intervals Predictive Value Of Tests Prospective Studies Questionnaires Research Support, Non-U.S. Gov't Medicine
Content Type	Text
Resource Type	Article

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