Canadian Medical Association Journal / Journal de l'Association médicale canadienne January 1, 1997 / Le 1er janvier 1997 CMAJ 1997; 156 (1) © 1997 Canadian Medical Association / Association médicale canadienne

Contents / Table des matières

5 - Editor's preface 7 - Mot du rédacteur en chef

11 - News and analysis / Nouvelles et analyses What have MDs done to deserve this? CMA president asks NS gambles on counselling service Newsletter promotes breast-feeding MD criticizes shift to generic drugs MD Management retains prestigious award Manitoba tightens pharmacare reimbursements Anesthetists given something to chew on Mental illness "at bottom too long" "Memo" casts light on malaise affecting Ontario hospitals Insulin too costly in some areas Physicians target media violence Medical curriculum will include addiction, abuse Banking on umbilical-cord blood

17 - Letters / Correspondance Over the counter and into trouble Consent for circumcision; response Underground and under steam: liquor smuggling during Prohibition Low morale: history lesson and farewell to faceless institutions Lessons learned from Britain Correction Logie medical ethics essay contest

Evidence / Études 25 - Patterns of initial management of node-negative breast cancer in two Canadian provinces, V. Goel, I. Olivotto, T.G. Hislop, C. Sawka, A. Coldman, E.J. Holowaty, and the British Columbia/Ontario Working Group [abstract / résumé] 37 - Declining sex ratios in Canada, B.B. Allan, R. Brant, J.E. Seidel, J.F. Jarrell [abstract / résumé]

Editorials / Éditoriaux 43 - A surgical subculture: the use of mastectomy to treat breast cancer, A. Starreveld [abstract / résumé] 46 - Is Canada's sex ratio in decline?, L. Dodds, B.A. Armson [abstract / résumé]

Education / Éducation 49 - Findings of negligence followed communication lapses in BC aneurysm case, K. Capen

Experience / Expérience 53 - Too close for comfort? A family physician questions whether medical professionals should be excluded from their loved ones' care, M.C. Klein [full text / résumé]

Public health / Santé publique 57 - Malaria in Canada [full text] 58 - Le paludisme au Canada [texte complet]

Features / Chroniques 61 - Disability payments continue to climb: "Tell us what you see, not what you think," CPP tells MDs, N. Baer [full text / en bref] 65 - Too much money wasted on frivolous applications for CPP disability benefits, S. Shortt [full text / en bref] 67 - Micmac medical student becomes role model for his community, N. Robb [in brief / en bref] 69 - Canada's largest magnet finds home in new MRI program in London, M. OReilly [full text / en bref] 71 - Ottawa dean left academic world to provide bedside care for the dying, S. Robertson [in brief / en bref] 73 - Independent medical examinations and the fuzzy politics of disclosure, D. Grant [partial text / en bref]

143 - Deaths / Nécrologie

Pulse / Médicogramme 144 - GP/FPs and the delivery of babies / L'OP/MF et les accouchements

• Overload: Attention Deficit Disorder and the Addictive Brain
• Management of Migraine
• Epidemiology in Old Age
• Major Incident Medical Management and Support: the Practical Approach
• Living with Epilepsy: A Guide to Taking Control