Canadian Medical Association Journal / Journal de l'Association médicale canadienne March 15, 1997 / Le 15 mars 1997 CMAJ 1997; 156 (6) © 1997 Canadian Medical Association / Association médicale canadienne

Contents / Table des matières

749 - Editor's preface 751 - Mot du rédacteur en chef

755 - News and analysis / Nouvelles et analyses Society doubles support for CJS Age of Canadians infected with HIV dropping Toronto psychiatrist fills suicide chair MD curling bonspiel Apr. 10-12 International Aspirin Award 1997 Canadian abortion rate rising Government restrictions making it impossible to sell some practices Blast off for osteoblast experiment TB or atopy? That is the question

761 - Letters / Correspondance [Instructions to correspondents / Directives aux correspondants] About those US fees, N.E. Levan; response: R.W. Harris Time for the CMPA to reward malpractice-free MDs?, I.D. Dattani Disability forms and third-party reports, P.M. Peloso Drug packaging, D.J. Doyle Analysing the analysis, P. Biron; response: D. Moher Advance care planning, P.G. Ney Weighing benefits and risks of drug to treat obesity; S.R. Sukkari; response: Servier Canada Different views on privatization, P. Leger; C. Power, J. Sametz Hockey helmets work if you wear them [correction]

Evidence / Études 775 - Ontario Maternal Serum Screening Program: practices, knowledge and opinions of health care providers, J.C. Carroll, A.J. Reid, C.A. Woodward, J.A. Permaul-Woods, S. Domb, G. Ryan, S. Arbitman, B. Fallis, J. Kilthei [full text / résumé] 789 - Characteristics of pregnant women who engage in binge alcohol consumption, J. Gladstone, M. Levy, I. Nulman, G. Koren [full text / résumé] 797 - Association between median episiotomy and severe perineal lacerations in primiparous women, M. Labrecque, L. Baillargeon, M. Dallaire, A. Tremblay, J.-J. Pinault, S. Gingras [full text / résumé]

Editorials / Éditorials 805 - Screening for fetal anomalies: old habits, new challenges, J.A. Evans [full text / résumé] 807 - Binge drinking during pregnancy: Who are the women at risk?, J.L. Nanson [full text / résumé] 811 - Episiotomy and severe perineal trauma: of science and fiction, M.E. Helewa [full text / résumé]

Education / Éducation 817 - Devolving authority for health care in Canada's provinces: 4. Emerging issues and prospects, J. Lomas [full text / résumé] 825 - Bioethics for clinicians: 9. Involving children in medical decisions, C. Harrison, N.P. Kenny, M. Sidarous, M. Rowell [full text / résumé] 831 - Post-traumatic stress disorder after childbirth: the phenomenon of traumatic birth, J.L. Reynolds [full text / résumé] 839 - Lesbians, artificial insemination and human-rights laws: Can doctors place limits on their medical practices?, K. Capen 841 - Reducing the incidence of tap-water scalds: strategies for physicians, D.W. Huyer, S.H. Corkum [full text / résumé] 847 - From Hippocrates to facsimile: protecting patient confidentiality is more difficult and more important than ever before, D.Y. Dodek, A. Dodek [abstract / résumé]

Experience / Expérience 855 - In harm's way, P. Vaughan

Public health / Santé publique 857 - Buckle up and put the children in the back [full text] 858 - On s'attache et on assoit les enfants sur le siège arrière [texte complet]

Features / Chroniques 860 - The road to Wisconsin, L. Sears Williams [in brief / en bref] 865 - After rejection in Canada, more Canadians pursuing career dreams at offshore medical schools, M. Korcok [full text / en bref] 873 - Africa's emerging AIDS-orphans crisis, R.C. Baggaley, D. Needham [full text / en bref] 876 - "Academic detailing" improving prescribing practices in North Vancouver, conference told, A. Silversides [full text / en bref] 879 - Waiting list already 7 months long at Toronto's new Environmental Health Clinic, C. Gray [full text / en bref] 882 - Interest in physician-buyout packages grows as more doctors contemplate retirement, N. Robb [full text / en bref] 889 - Weep for Adonais, N. Baer [in brief / en bref] 891 - The National Forum reports: Crisis? What crisis?, C. Gray [full text / en bref]

Special supplement / Supplément spécial S1 - A practical guide for the diagnosis and treatment of acute sinusitis, D.E. Low, M. Desrosiers, J. McSherry, G. Garber, J.W. Williams Jr., H. Remy, R.S. Fenton, V. Forte, M. Balter, C. Rotstein, C. Craft, J. Dubois, G. Harding, M. Schloss, M. Miller, R.A. McIvor, R.J. Davidson Accompanying this issue, separately bound

959 - Deaths / Nécrologie

Pulse / Médicogramme 960 - MD fees much higher in US / La rémunération des médecins est beaucoup plus élevée aux États-Unis

770 - Call for papers: global theme issue on aging
893 - Acknowledgement of scientific reviewers / Remerciements aux examinateurs scientifiques
895 - Books and other media / Livres et autres documents

• Physical signs of child abuse
• Introduction to Minimal Access Surgery
• Breaking the Silence: Stories from AIDS Activists in Southern Africa
• Canadian Medical Association New Guide to Prescription and Over-the-Counter Drugs
• Timely Death: considering Our Last Rights
• Consultations in Gastroenterology
• STAT!-Ref Medical Information CD - 1996