Canadian Medical Association Journal / Journal de l'Association médicale canadienne August 15, 1997 / Le 15 août 1997 CMAJ 1997; 157 (4) © 1997 Canadian Medical Association / Association médicale canadienne

Dr. Victor Dirnfeld 127th CMA President

Contents / Table des matières

353 - Editor's preface 355 - Mot du rédacteur en chef

359 - News and analysis / Nouvelles et analyses Avoid proliferation, keep CPGs current, workshop told It's between me and my doctor Might weight trining help older women Drop in recruitement of primary care MDs reported Pink slips tackle poor handwriting New "envirohalers" on way The end of an era? Manitoba funds aboriginal health centre Saskatchewan loses only medical journal Division speaks out for St. John's oncologist Don't cooperate on project, Manitoba MPs told Ottawa plant to make artificial hearts SIDS study Heart-valve disease linked to common diet drug Epidurals and the c-section question

365 - Letters / Correspondance [Instructions to correspondents / Directives aux correspondants] Episiotomy and perineal tears: cause and effect, M. Lebrecque; response: M.E. Helewa Controversies in spirometry, A.J. Ham Pong; R.W.T. Haddon; response: B. Chan, G. Anderson, R.E. Dales Wife abuse: universal screening, A. Grunfeld; response: L.E. Ferris Confusion still surrounds third-party forms, J.D. McDougall Students work to foster tolerance, B. Kumar Fishing expeditions in doctors' offices, G.T. Riley; response: D. Dodek, A. Dodek Measuring behaviour in children with hight cholesterol levels, D.P. Joyce, M.M. Limbos; response: E. Rosenberg Correction to French edition of CPS

Evidence / Études 375 - Risk of HIV infection from blood transfusion in Montreal, R.S. Remis, G. Delage, R.W.H. Palmer [abstract / résumé] 383 - A role for the sick role: patient preferences regarding information and participation in clinical decision-making, A.M. Stiggelbout, G.M. Kiebert [full text / résumé]

Editorials / Éditoriaux 391 - HIV in the blood supply: nothing to fear but fear itself, S.A. Strathdee, M.V. O'Shaughnessy, M.T. Schechter [full text / résumé] 393 - Should physicians discourage patients from playing the sick role?, C. Laine [full text / résumé] 395 - Mainstreaming methadone maintenance treatment: the role of the family physician, M. Latowsky, E. Kallen [full text / résumé] 399 - Methadone maintenance treatment: a Canadian perspective, B. Brands, D.C. Marsh [full text / résumé] 403 - Recipes or roadmaps? Instead of rejecting clinical practice guidelines as "cookbook" solutions, could physicians use them as roadmaps for the journey of patient care?, D.R.E. Farquhar [full text / résumé] 405 - The "Supremes" decide on assisted suicide: What should a doctor do?, J.V. Lavery, P.A. Singer [full text / résumé]

Education / Éducation 408 - Translating guidelines into practice: a systematic review of theoretic concepts, practical experience and research evidence in the adoption of clinical practice guidelines, D.A. Davis, A. Taylor-Vaisey [abstract / résumé] 422 - Primary prevention of heart disease and stroke: a simplified approach to estimating risk of events and making drug treatment decisions, J.P. McCormack, M. Levine, R.E. Rangno [full text / résumé]

Experience / Expérience 430 - A gift from a friend, A. Vukusic [full text]

Public health / Santé publique 431 - Gather ye rosebuds while ye may -- but avoid the mushrooms [full text] 432 - Mignonne, allons voir si la rose . . . mais gardons-nous des champignons [texte complet]

Features / Chroniques 433 - Death of phone service indicates Canadians not willing to pay for medical advice, N. Robb [full text / en bref] 435 - Vocal BC internist set to take CMA helm, S. Wharry [full text] 437 - À la barre de l'AMC : un interniste de la Colombie-Britannique qui n'hésite pas à s'exprimer, S. Wharry [texte complet] 439 - Does Rock's arrival at Health Canada signal growing importance for portfolio?, C. Gray [full text / en bref] 442 - FPs have vital role in ensuring success of breast cancer screening programs, L. Cohen [full text / en bref]

1783 - Deaths / Nécrologie

Pulse / Médicogramme 492 - Where is the money going? / Où va l'argent?

447 - Books and other media / Livres et autres documents Legal Rights and Human Genetic Material Healers at Work: Firsthand Accounts of theDifference Alternative Healing Makes On the Shoulders of Giants: Eponyms and Names in Obstetrics and Gynaecology The Pocket Guide to Critical Appraisal: A Handbook for Health Care Professionals

453 - On_the_Net@cma.ca / Sur_le_Net@cma.ca

454 - Conferences / Conférences
457 - Advertisers' index / Index des annonceurs
457 - Prescribing index / Index de l'information sur les ordonnances
478 - Service information / Renseignements aux lecteurs
479 - Classified advertising / Annonces classées

ISSN 0820-3946 157 (4) 349­492 (1997)