Editorials
178 WHO reform and global health
179 Ice cream headache
180 Domestic violence and pregnancy
181 New student editor, new voice

News
182 Junior doctors' jobs Euthanasia machine HIV may be eliminated Cockroaches and asthma Medicine degree too expensive Consent for treatment

Education
185 Assessment of dyspoeic patients: the diognosis
187 You should know, you're a medic: Rating contraceptives
189 A practcle approach to assessing competence
191 Net.Philes
192 Correction: How to examine the nose
194 Surviving the vivas
195 ABC of clinical haematology: Haematological emergencies
199 Science, medicine, and the future: Hypertension

Papers
203 Women's understanding of abnormal cervical smear test results: a qualitative interview study
207 Helicobacter pylori infection and coagulation in healthy people

Life
209 Festival doctor
211 Notes on the case history of Dr Brown, consultant in accident and emergency
212 In at the deep end
213 The not so secret life of a medical student
213 Elective report: Gambian experience

Letters
215 Positive side of desease Communication skills Elective disillusionment Intercalated PhDs Maintaining ethical standards

Soundings
217 Recipes for disaster
217 Confessions of a drug trialist

Reviews
218 Surgery-1
218 Theme Hospital

Personal view
213 The system must change
220 Minerva