Clinical
Twist, baby, twist: Research shows that fetal manipulation is a far cry better than episiotomy when it comes to shoulder dystocia.

Circadian rhythms throw off treatment timing for asthma and COPD patients

Clamp down: Genetic test could put a stop to pre-eclampsia, says research in the Journal of Experimental Medicine.

Pump it up: Corticosteroids douse systemic inflammation and decrease heart trouble in COPD patients.

Cisplatin-based chemo ups lung cancer mortality rate

Those uncultured masses: Molecular test shaves precious days off Strep detection in pregnant women, beating out culture assays.

A crying shame: Research at the American Academy of Pediatrics conference says too many docs skimp on pain meds during and after circumcision.

No flow: Flow cytometry fails to make the grade in non-Hodgkin lymphoma diagnosis, according to the American Journal of Clinical Pathology.

Government & Medicine

NEW COLUMN The Pulse: NRM correspondent Owen Dyer biopsies the Ontario government/OMA agreement — and finds a great deal of it to be malignant.

Features
This li’l PGY goes to Death Race: Dr Neety Panu runs like her life depends on it -- for kicks.

Blaming Dr Mum: Insidious finger pointing about doctor shortages abounds as survey reveals female docs work seven hours less than men.

The little gene that could: Will RNAi live up to the disease-walloping hype? Patients with "wet" ARMD could be the key.

Hold your horses: Docs unable to wait for premature ejaculation drug aren't taking things slow when it comes to writing off-label SSRI scripts.

Gone shopping — for new mall-style mega-hospital designs

Stuck on Alzheimer's: Gluey PIB and PET scans team up to identify telltale amyloid plaques well before AD symptoms start.

Childhood interrupted: Precocious puberty's been getting a lot of press lately. What do we really know about causes and treatment?

Tummy takes: Too much candy or IBS? WHAT TO TELL YOUR (littlest) PATIENTS when they come in bellyaching.

Thrust & Parry
Don't fear the research: This doc thinks evidence-based research is the best hope for talk therapy to gain wider acceptance.

Couch invaders: Meanwhile, another psychoanalyst thinks evidence-chasing researchers are just doing insurance companies' bidding.

Departments
Editorial: US cosies up to flu vaccine-rich Canadian cousins. Should we share our surplus doses?
Editorial: Letters
Editorial: Cartoon
News in Brief: Bite-size treats from the international world of medicine
Across Canada: News highlights from coast to coast to coast.
Classics: A film, CD and book that deserve a second look.
Corridor Canoodles: More medical mayhem in Dr Kathy Mandigo's comic strip.

Practice Management
Calming influence: Power Feng Shui (and no more fluorescent lights) will make your waiting room as tranquil as yin and yang.

Personal Finance
Fantasy island: Follow one doc and his wife as they work out a post-practice plan to retire to their Vancouver Island home.