May 19, 1998 / le 19 mai 1998

CMAJ 1998; 158(10)

© 1998 Canadian Medical Association / Association médicale canadienne

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Editor's preface Mot du rédacteur en chef

1259	News and analysis Coming soon: while-you-wait lab results Music another weapon in palliative care arsenal Seal-oil capsules enter market Health ministries considering CMA's access-to-care proposal "Dumbing down" of Quebec RN education irks nurses, MDs Cool site

1263	Research Update · Le point sur la recherche This little piggy went to market, this one went for an MRI... In the news... Strain of antibiotic-resistant enterococci sweeps Boston Human cells eat their dead

1265

Letters · Correspondance Instructions to correspondents / Directives aux correspondants Internet access, G. E. Stiles; response: W. Lampitt The stigma facing drug abusers impedes treatment, R. Hajela "Support groups" by another name, W.D. Gutowski; response: T.A. Hutchinson The risk is in the transfusion, not the donation, G. Sher; response: P. Sullivan Letting the public know, G.M. Anderson; response: B. Taylor; W.J.S. Marshall Rural medicine: real action needed, P. Hutten-Czapski; D.P. O'Neil; response: D.G. Moores et al Complementary medicine in the hospital, P.C.S. Hoaken Dr. McCrae's expensive war medals, A.A. Horn Increase in Alzheimer's disease: Artifact or real?, P. Rutter; response: S. Gauthier Guidelines for antiretroviral therapy for HIV infection [Correction]

Cover: Patients at risk for inherited disease need support from their physicians before and after genetic testing. In part 14 of the "Bioethics for clinicians" series, Dr. Michael Burgess and colleagues discuss the ethics of genetics in medicine, with particular emphasis on appropriate counselling (page 1309). Couverture : Les patients à risque de maladies héréditaires ont besoin de l'appui de leur médecin avant et après les tests génétiques. Dans la quatorzième partie de notre série «Bioéthique à l'intention des cliniciens», le Dr Michael Burgess et ses collègues discutent de l'éthique de la génétique en médecine et mettent l'accent particulièrement sur l'importance d'un counselling approprié (page 1309).

	Evidence · Études
1275	How many physicians does Canada need to care for our aging population?, N.P. Roos, J.E. Bradley, R. Fransoo, M. Shanahan [abstract / résumé]
1289	The need for acute, subacute and nonacute care at 105 general hospital sites in Ontario, V.F. Flintoft, J.I. Williams, R.C. Williams, A.S.H. Basinski, P. Blackstien-Hirsch, C.D. Naylor, on behalf of the Joint Policy and Planning Committee Non-Acute Hospitalization Project Working Group [abstract / résumé]

	Editorials · Éditoriaux
1301	Child abuse: a community problem, H.L. MacMillan [full text]
1303	Ethics in clinical research: searching for absolutes, K.S. Joseph [full text]

	Education · Éducation
1309	Bioethics for clinicians: 14. Ethics and genetics in medicine, M.M. Burgess, C.M. Laberge, B.M. Knoppers [full text / résumé]
1317	Improving the accuracy of death certification, K.A. Myers, D.R.E. Farquhar [full text / résumé]
1327	Unconventional therapies for cancer: 4. Hydrazine sulfate, E. Kaegi on behalf of the Task Force on Alternative Therapies of the Canadian Breast Cancer Research Initiative [full text]

	Public health · Santé publique
1335	The disease that "bites the heart and licks the joints" [full text]
1336	La maladie qui «mord le cœur et lèche les articulations» [text complet]

	Features · Chroniques
1339	Protect-your-prostate message delivered on Parliament Hill, C. Gray [full text / en bref]
1341	Canada produces its first MD specializing in telemedicine, L. Osorio [full text / en bref]
1345	Infertility treatment: lack of consensus plagues an unregulated field, M. Easton [in brief / en bref]
1349	Fibre-optic links eliminate distances separating specialists, patients, J. Lyttle [in brief / en bref]
1351	Fallout from the plague years: multiple loss and its impact on gay men, A. Silversides [full text / en bref]

1355	Books and other media · Livres et autres documents

1357	On_the_Net@cma.ca · Sur_le_Net@cma.ca    CMA's free MEDLINE service: popular indeed

1407	Deaths · Nécrologie

	Pulse · Médicogramme
1408	Physicians' gross billings: the latest data / La facturation des médecins : les données les plus récentes