July 14, 1998 / le 14 juillet 1998

CMAJ 1998; 159(1)

© 1998 Canadian Medical Association / Association médicale canadienne

5 7	Editor's preface Mot du rédacteur en chef

Cover: Physicians juggle many risks related to bloodborne disease transmission. Mandatory hepatitis B testing could leave infected doctors without livelihood or compensation. Barbara Sibbald outlines the controversy (page 64), the CMA updates its policy (page 71), and John Hoey comments (page 45). Couverture : Les médecins courent de nombreux risques face aux maladies à diffusion hématogène. Le dépistage obligatoire de l'hépatite B pourrait laisser les médecins infectés sans gagne-pain ni indemnisation. Barbara Sibbald explique la controverse (page 64), l'AMC met à jour sa politique (page 74) et John Hoey commente le tout (page 45).

11	News and analysis ˇ Nouvelles et analyses Hospital's DNR guidelines 2 years in making Cool site All for one, one for all at U of A Sexual medicine pioneer "dazed" by honour Donations sought to honour Dr. Gustave Gingras Physicians in difficulty

17

Letters ˇ Correspondance Instructions to correspondents / Directives aux correspondants Applying behaviour theory to the periodic health exam, M. Greiver CPR for patients in a persistent vegetative state?, G.L. Crelinsten et al; J. Turnbull; B.W. Jespersen; P. Walker; W.D. Gutowski; response: C. Weijer Thucydides' syndrome, J. McSherry

	Evidence ˇ Études
25	Coronary artery bypass grafting in Canada: national and provincial mortality trends, 1992-1995, W.A. Ghali, H. Quan, R. Brant [abstract / résumé]
33	Genital injuries following sexual assault of women with and without prior sexual intercourse experience, M. Biggs, L.E. Stermac, M. Divinsky [abstract / résumé]

	Editorials ˇ Éditoriaux
39	The state of the Canadian CABG patch: recent outcome trends in coronary artery bypass grafting, W.L. Williams [full text]
41	Xenotransplantation: assessing the unknowns, E.J. Tackaberry, P. Ganz [full text]
45	When the physician is the vector, J. Hoey [full text]

	Education ˇ Éducation
47	Guidelines for the nonpharmacologic management of migraine in clinical practice, W.E.M. Pryse-Phillips, D.W. Dodick, J.G. Edmeads, M.J. Gawel, R.F. Nelson, R.A. Purdy, G. Robinson, D. Stirling, I. Worthington [full text / résumé]
55	A developmental hypothesis to explain the multicentricity of breast cancer, C.R. Sharpe [full text / résumé]

	Experience ˇ Expérience
61	Balloon pneumoplasty, 1926, C. Dewar [full text]

	Public health ˇ Santé publique
63	Salmonellosis: no longer just a chicken and egg story, P.A. Buck, D.H. Werker [full text]

	Features ˇ Chroniques
64	CMA says no to mandatory hepatitis B vaccination, screening for MDs, B. Sibbald [full text / en bref]
66	Racism can rear its ugly head at medical school, study finds, N. Robb [full text / en bref]
68	Rural medicine: What role should nurse practitioners play?, B. Ryan [full text / en bref]

	CMA Policy Summary ˇ Sommaire de politique de l'AMC
71 74	Prevention of transmission of hepatitis B Prévention de la transmission de l'hépatite B

79	On_the_Net@cma.ca ˇ Sur_le_Net@cma.ca    Moving beyond MEDLINE

	Pulse ˇ Médicogramme
120	What's covered? What's not? / Qu'est-ce qui est couvert? Qu'est-ce qui ne l'est pas?

ISSN 0820-3946 159(1) 1-120 (1998)