July 14, 1998 / le 14 juillet 1998

CMAJ 1998; 159(1)

© 1998 Canadian Medical Association / Association médicale canadienne

5 7	Editor's preface Mot du rédacteur en chef

Couverture : Les médecins courent de nombreux risques face aux maladies à diffusion hématogène. Le dépistage obligatoire de l'hépatite B pourrait laisser les médecins infectés sans gagne-pain ni indemnisation. Barbara Sibbald explique la controverse (page 64), l'AMC met à jour sa politique (page 74) et John Hoey commente le tout (page 45). Cover: Physicians juggle many risks related to bloodborne disease transmission. Mandatory hepatitis B testing could leave infected doctors without livelihood or compensation. Barbara Sibbald outlines the controversy (page 64), the CMA updates its policy (page 71), and John Hoey comments (page 45).

11	News and analysis Hospital's DNR guidelines 2 years in making Cool site All for one, one for all at U of A Sexual medicine pioneer "dazed" by honour Donations sought to honour Dr. Gustave Gingras Physicians in difficulty

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Letters ˇ Correspondance Instructions to correspondents / Directives aux correspondants Applying behaviour theory to the periodic health exam, M. Greiver CPR for patients in a persistent vegetative state?, G.L. Crelinsten et al; J. Turnbull; B.W. Jespersen; P. Walker; W.D. Gutowski; response: C. Weijer Thucydides' syndrome, J. McSherry

	Evidence ˇ Études
25	Coronary artery bypass grafting in Canada: national and provincial mortality trends, 1992-1995, W.A. Ghali, H. Quan, R. Brant [abstract / résumé]
33	Genital injuries following sexual assault of women with and without prior sexual intercourse experience, M. Biggs, L.E. Stermac, M. Divinsky [abstract / résumé]

	Editorials ˇ Éditoriaux
39	The state of the Canadian CABG patch: recent outcome trends in coronary artery bypass grafting, W.L. Williams [full text]
41	Xenotransplantation: assessing the unknowns, E.J. Tackaberry, P. Ganz [full text]
45	When the physician is the vector, J. Hoey [full text]

	Education ˇ Éducation
47	Guidelines for the nonpharmacologic management of migraine in clinical practice, W.E.M. Pryse-Phillips, D.W. Dodick, J.G. Edmeads, M.J. Gawel, R.F. Nelson, R.A. Purdy, G. Robinson, D. Stirling, I. Worthington [full text / résumé]
55	A developmental hypothesis to explain the multicentricity of breast cancer, C.R. Sharpe [full text résumé]

	Experience ˇ Expérience
61	Balloon pneumoplasty, 1926, C. Dewar [full text]

	Public health ˇ Santé publique
63	Salmonellosis: no longer just a chicken and egg story, P.A. Buck, D.H. Werker [full text]

	Features ˇ Chroniques
64	CMA says no to mandatory hepatitis B vaccination, screening for MDs, B. Sibbald [full text / en bref]
66	Racism can rear its ugly head at medical school, study finds, N. Robb [full text / en bref]
68	Rural medicine: What role should nurse practitioners play?, B. Ryan [full text / en bref]

	CMA Policy Summary ˇ Sommaire de politique de l'AMC
71 74	Prevention of transmission of hepatitis B Prévention de la transmission de l'hépatite B

79	On_the_Net@cma.ca ˇ Sur_le_Net@cma.ca    Moving beyond MEDLINE

	Pulse ˇ Médicogramme
120	What's covered? What's not? / Qu'est-ce qui est couvert? Qu'est-ce qui ne l'est pas?

ISSN 0820-3946 159(1) 1-120 (1998)