January 13, 1998 / Le 13 janvier 1998

CMAJ 1998;158(1)

© 1998 Canadian Medical Association / Association médicale canadienne

5 7	Editor's preface Mot du rédacteur en chef

10	President's message Message du président

13

News and analysis · Nouvelles et analyses Palliative care to move to front burner? Organic cigarettes new fad for "health-conscious" smokers What does it cost to live with HIV? WHO condemns broad use of antibiotics on farms Manitoba MDs say Nein to German physicians Focus changing at children's hospitals Teens charged with Ritalin trafficking The enteropathogen has landed Pressure rising In the news

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Letters · Correspondance [Instructions to correspondents / Directives aux correspondants] Trials of CCBs, S.R. Sukkari & L.D. Sasich; response: T.M. Shannon H-1B or not to be?, C. Shusterman HIV and blood, circa 1982, R.F. Scharf Coping with acronyms, W.R. Harris Primary prevention of heart disease and stroke, H.R. Strasberg; F.A. McAlister; response: J.P. McCormack and associates Correction

Cover: In this issue, CMAJ contributors consider the legal implications and the political contest of Justice Horace Krever's Commission of Inquiry on the Blood System in Canada, and reflect on questions left unanswered (pages 59, 89, and 92). Couverture: Dans ce numéro du JAMC, les auteurs abordent les répercussions juridiques et le contexte politique de la Commission d'enquête sur le système d'approvisionnement en sang au Canada qu'a présidée le juge Horace Krever, et se penchent sur les questions demeurées sans réponse (pages 59, 89, et 92).

	Evidence · Études
29	Trends in hospital use for mechanical neck and back problems in Ontario and the United States: discretionary care in different health care systems, J.N. Lavis, A. Malter, G.M. Anderson, V.M. Taylor, R.A. Deyo, C. Bombardier, T. Axcell, W. Kreuter [full text / résumé]
41	Chlamydial cervicitis: testing the practice guidelines for presumptive diagnosis, J. Sellors, M. Howard, L. Pickard, D. Jang, J. Mahony, M. Chernesky [full text / résumé]
49	Emergency department use as a component of total ambulatory care: a population perspective, C.A. Mustard, A.L. Kozyrskyj, M.L. Barer, S. Sheps [full text / résumé]

	Editorials · Éditoriaux
59	The sensibility of safety: reflections on the Krever inquiry's final report, J. Hoey [full text]
61	Another day, another variation: When is enough enough?, S. Lewis [full text]
63	Anecdote or science?, A.D. Vellet, D. Lee [full text]
65	Secret cervicitis?, D.M. Patrick [full text]
68	Smoking, restaurants and bars: the Toronto experience, A. Pipe [full text]
70	CMAJ welcomes its first Editorial Board, J. Hoey [full text]
70	Le JAMC souhaite la bienvenue à son premier conseil de rédaction, J. Hoey [texte complet]

	Education · Éducation
75	A clinical score to reduce unnecessary antibiotic use in patients with sore throat, W.J. McIsaac, D. White, D. Tannenbaum, D.E. Low [full text / résumé]

	Experience · Expérience
84	Words cannot describe: a trip into Rwanda's heart of darkness, C. Andrews [full text]

	Public health · Santé publique
87	Pneumococcal vaccine: overcoming barriers to use [full text]
88	Vaccin antipneumococcique : surmonter les obstacles à l'utilisation [texte complet]

	Features · Chroniques
89	Long before Krever's report, blood scare had changed face of medicine, C. Gray [full text / en bref]
92	There's more to Krever's report than the blood issue -- much more, K. Capen [full text / en bref]
95	Cigarette smuggling finds a home in the West, D. Square [full text / en bref]

151	Deaths · Nécrologie

	Pulse · Médicogramme
152	Smoking levels settle on a high plateau / Les taux de tabagisme se stabilisent à la hausse

103	In this issue of the Canadian Adverse Drug Reaction Newsletter Drugs: QT interval prolongation and torsades de pointes Ciprofloxacin use in epileptic patients taking phenytoin Appetite suppressants -- update Communiqué

107	Dans le Bulletin canadien sur les effets indésirables des médicaments Médicaments : allongement de l'espace QT et torsades de pointes Utilisation de la ciprofloxacine chez les patients épileptiques qui prennent de la phénytoine Les anorexiants -- Mise à jour Communiqué

100	On_the_Net@cma.ca · Sur_le_Net@cma.ca     If telemedicine's on way in, are doctors' offices on way out?

	Conferences · Conférences
101	Writing for CMAJ
112	Advertisers' index · Index des annonceurs
112	Prescribing index · Index de l'information sur les ordonnances
130	Service information · Renseignements aux lecteurs
131	Classified advertising · Annonces classées
	ISSN 0820-3946 158 (1) 1­152 (1998)