The purpose of the study was to assess medical journals’ conflicts of interest in the publication of book reviews. We examined book reviews published in 1999, 2000, and 2001 in five leading medical journals: Annals of Internal Medicine, British Medical Journal, Journal of the American Medical Association, Lancet, and New England Journal of Medicine. The main outcome measure was journal publication of reviews of books that had been published by the journal’s own publisher, that had been edited or authored by (...) a lead editor of the journal, or that posed another conflict of interest. We also surveyed the editors-in-chief of the five journals about their policies on these conflicts of interests. During the study period, four of the five journals published 30 book reviews presenting a conflict of interest: nineteen by the BMJ, five by the Annals, four by JAMA, and two by the Lancet. These reviews represent 5.8%, 2.7%, 0.7%, and 0.7%, respectively, of all book reviews published by the journals. These four journals, respectively, published reviews of 11.9%, 25.0%, 0.9%, and 1.0% of all medical books published by the journals’ publishers. Only one of the 30 book reviews included a disclosure statement addressing the conflict of interest. None of the journals had a written policy pertaining to the conflicts of interest assessed in this study, although four reported having unwritten policies. We recommend that scientific journals and associations representing journal editors develop policies on conflicts of interest pertaining to book reviews. (shrink)

We suggest that consciousness (C) should be addressed as a multilevel concept. We can provisionally identify at least three, rather than two, levels: Gray's system should relate at least to the lowest of these three levels. Although it is unlikely to be possible to develop a behavioural test for C, it is possible to speculate as to the evolutionary advantages offered by C and how C evolved through succeeding levels. Disturbances in the relationships between the levels of C could underlie (...) mental illness, especially schizophrenia. (shrink)

Guidelines advise that x-rays do not contribute to the clinical management of simple nasal fractures. However, in cases of simple nasal fracture secondary to assault, a facial x-ray may provide additional legal evidence should the victim wish to press charges, though there is no published guidance. We examine the ethical and medico-legal issues surrounding this controversial area.

An attempt to re-think, within and for the tradition of Husserl and Heidegger, certain central contributions of Greek thought. Interpretations of the Philebus and of other Platonic and Aristotelian texts concerned with problems arising therefrom are carried out; they culminate in an analysis of the fruitful union of intellectual power and impotence in philosophy. The existentialist framework often provides suggestions for the interpretation of difficult transitions in the classical works; conversely, the adherence to the arguments of the Greek texts strengthens (...) the existentialist position with respect to such concepts as world and rationality.--C. B. (shrink)

At the conclusion of TBKH, I expressed the hope that what I had written would provoke others to pursue further the issues raised by the paper. It will be evident from what follows that there is much in “Hegel’s Metaphysics”, Joseph Flay’s response to my paper, with which I do not agree. However, Flay has provided just the kind of thoughtful analysis of the issues that I was hoping for, and for that I am very grateful.