Canadian Medical Association Journal / Journal de l'Association médicale canadienne February 15, 1997 / Le 15 février 1997 CMAJ 1997; 156 (4) © 1997 Canadian Medical Association / Association médicale canadienne

Contents / Table des matières

469 - Editor's preface 471 - Mot du rédacteur en chef

339 - News and analysis / Nouvelles et analyses Ontario MDs accept deal Is MD-resource disaster looming in Saskatchewan? Anniversary no cause for celebration Health card identifies organ donors AMA past president mourns slash-and-burn cuts Special invitation for MDs to join Klondike Trail Relay Fewer Canadians among medical students Disk degeneration genetic? Worming potential new drugs out of nematodes

343 - Letters / Correspondance [Instructions to correspondents / Directives aux correspondants] Childhood injury prevention, letter: R.S. Tonkin; response: I.B. Pless; letter: P.C. Wing, M.E. Lower; response: L.H. Francescutti Care without barriers, B. Frankford Bovine spongiform encephalopathy, D. Mallek A conclusion based on an unwise premise, D.L. Pooley Consultation and counselling via email, J.A. Geddes; L. Jerome Malaria in Canada [correction] Le paludisme au Canada [correction] U of Manitoba program delivers care to natives, hope to aboriginal students [correction]

Evidence / Études 489 - Cholesterol screening of children at high risk: behavioural and psychological effects, E. Rosenberg, D.L. Lamping, L. Joseph, I.B. Pless, E.D. Franco [abstract / résumé] 497 - Time to treatment with thrombolytic therapy: determinanats and effect on short-term nonfatal outcomes of acute myocardial infarction, J.L. Cox, E. Lee, A. Langer, P.W. Armstrong, C.D. Naylor, for the Canadian GUSTO Investigators [abstract / résumé]

Editorial / Éditorial 509 - Thrombolysis after acute myocardial infarction: Are Canadian physicians up to the challenge?, W.I. Williams [full text / résumé]

Education / Éducation 513 - Devolving authority for health care in Canada's provinces: 2. Backgrounds, resources and activities of board members, J. Lomas, G. Veenstra, J. Woods [abstract / résumé] 521 - Bioethics for clinicians: 8. Confidentiality, I. Kleinman, F. Baylis, S. Rodgers, P. Singer [full text / résumé] 527 - Current trends in cardiac rehabilitation, W. Dafoe, P. Huston [full text / résumé] 535 - The ethics of learning from patients, C. Shooner [full text / en bref]

Experience / Expérience 541 - A question of care, H. Comor

Public health / Santé publique 545 - Hepatitis A [full text] 546 - L'hépatite A, [texte complet]

Features / Chroniques 549 - Pioneering Alberta cardiac surgeons walked into uncharted territory 40 years ago, R. Cairney [full text / en bref] 553 - Ottawa researchers enter home stretch in race to produce artificial heart, C. Gray [full text / en bref] 557 - Toronto centre hopes to cash in on growing demand for private health services, C. Johnston [full text / en bref]

327 - Deaths / Nécrologie

Pulse / Médicogramme 616 - Financial and geographic barriers to fee-for-service practice / Obstacles financiers et géographiques à la pratique rémunérée à l'acte

561 - On_the_Net@cma.ca / Sur_le_Net@cma.ca
563 - Books and other media / Livres et autres documents

• The Healing Garden
• The Vaccine Guide: Making an Informed Choice
• Shouldn't I be Happy? Emotional Problems of Pregnant and Postpartum Women
• Comprehensive Guide for the Care of Persons with HIV Disease. Module 2: Infants, Children and Youth
• Child Care: A Comprehensive Medical Resource to Promote the Physical, Emotional and Social Well-Being of Children