Canadian Medical Association Journal / Journal de l'Association médicale canadienne April 15, 1997 / Le 15 avril 1997 CMAJ 1997; 156 (8) © 1997 Canadian Medical Association / Association médicale canadienne

Contents / Table des matières

1101 - Editor's preface 1103 - Mot du rédacteur en chef

1107 - News and analysis / Nouvelles et analyses The new face of health care in Ontario Toronto physician hopes to be swamped in paperwork Manitoba on verge of regulating midwifery Informed consent needed before HIV testing of pregnant mothers: CMA [partial text] Bill C-71: bloody but unbowed French scientist urged to use mother tongue New health sciences program at Western Lung cancer rates cloud 1997 statistics Residency rules hurt obstetrics, says editor Germ warfare in the playroom CMA marks 130th anniversary To-the-cell drug delivery Taking ovarian cysts to heart

1115 - Letters / Correspondance [Instructions to correspondents / Directives aux correspondants] Line extension, G. Harrington; A.R. Ciastko Coincidence? I think not, R.L. Brown Touched and troubled by Amy, R.W. Dunn; W.D. Gutowski; response: S. Cameron The CPP and mental disabilities, R Hajela; response: S.E.D. Shortt A fine piece of writing, J.C. Hostetler Residency-exchange programs, W.L. Maurice Radical choices in mastectomy, D.E. Leask; response: A. Starreveld India's hungry mosquitoes, N. Porter-Steele Cumulative patient profiles, M.J. Pray No barriers in Manitoba, J.A. Laplume Japan's smoking epidemic, H. Kawane

Evidence / Études 1123 - First-line treatment of seasonal (ragweed) rhinoconjunctivitis: a randomized management trial comparing a nasal steroid spray and a nonsedating antihistamine, E.F. Juniper, G.H. Guyatt, P.J. Ferrie, L.E. Griffith [full text / résumé] 1133 - Suicide among Manitoba's aboriginal people, 1988 to 1994, B. Malchy, M.W. Enns, T.K. Young, B.J. Cox [abstract / résumé]

Editorials / Éditorials 1141 - First-line treatment of hay fever: What is the best option?, S.O. Freedman [full text / résumé] 1147 - Bronchiolitis obliterans and wood-burning stoves, J.C. Hogg [full text / résumé] 1149 - A sheep named Dolly, L. Turner [abstract / résumé]

Education / Éducation 1153 - Bioethics for clinicians: 10. Research ethics, C. Weijer, B. Dickens, E.M. Meslin [full text / résumé] 1159 - Teaching medical students how to break bad news, A. Garg, R. Buckman, Y. Kason [full text / résumé] 1165 - Fatal falciparum malaria in Canadian travellers, A. Humar, S. Sharma, D. Zoutman, K.C. Kain [abstract / résumé] 1171 - Bronchiolitis obliterans in a man who used his wood-burning stove to burn synthetic construction materials, D.T. Janigan, T. Kilp, R. Michael, J.J. McCleave [full text / résumé] 1175 - Medical education must make room for student-specific ethical dilemmas, J. St. Onge [full text / en bref]

Experience / Expérience 1179 - "If you think it hurts now . . .", D. Needham

Features / Chroniques 1181 - Anger over HIV questions cancels blood clinic at Ottawa university, C. Gray [full text / en bref] 1186 - Negative health care environment weighing on residents, survey reveals, J. Rafuse [full text] 1188 - Storm of protest greets motion to restrict specialty exams, D. Square [full text / en bref] 1192 - CMA's core-services framework featured at international conference, J.R. Williams [full text / en bref] 1195 - Medicare, Medicaid fraud a billion-dollar art form in the US, M. Korcok [full text / en bref]

1247 - Deaths / Nécrologie

Pulse / Médicogramme 1248 - Are medical students ready to make career choices? / Les étudiants en médecine sont-ils prêts à faire un choix de carrière?

1199 - Books and other media / Livres et autres documents Science on Trial: The Clash of Medical Evidence and the Law in the Breast Implant Case Smoke and Mirrors: The Canadian Tobacco War Neonatal Formulary 1996 Meditations on Grief

On_the_Net@cma.ca / Sur_le_Net@cma.ca 1203 - What can the Internet do for me?

1204 - Conferences / Conférences
1208 - Advertisers' index / Index des annonceurs
1209 - Prescribing index / Index de l'information sur les ordonnances
1233 - Service information / Renseignements aux lecteurs
1234 - Classified advertising / Annonces classées
1164 - Logie Medical Ethics Essay Contest
1202 - Concours de dissertation en éthique médicale logie

ISSN 0820-3946 156 (8) 1097­1248 (1997)