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July 14, 1998 / le 14 juillet 1998

CMAJ 1998; 159(1)

© 1998 Canadian Medical Association / Association médicale canadienne

In this issue · Dans ce numéro

Editor's preface
Mot du rédacteur en chef

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).
Physicians juggle many risks

11 News and analysis ˇ Nouvelles et analyses
17 Letters ˇ Correspondance
Instructions to correspondents / Directives aux correspondants
  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
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)