Highlights of this issue
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**Injury prevention in children** 

![Figure1](http://www.cmaj.ca/https://www.cmaj.ca/content/cmaj/175/8/851.1/F1.medium.gif)

[Figure1](http://www.cmaj.ca/content/175/8/851.1/F1)

Figure. Photo by: iStockphoto

To understand better the relation between childproofing strategies and the reduction of injury risk to children in the home, LeBlanc and coauthors compare the number and type of hazards found in the homes of children less than 5 years old who were brought to emergency departments with and without unintentional injuries. They found that increased risk of injury in the home was associated with 5 hazards, even if the hazard was not the actual cause of the child's injury. In another analysis, Birken and coauthors examine the effect of socioeconomic status on trends in the rates of injury-related death among Canadian children in urban areas. In a related commentary, Howard discusses the findings of these studies and the complex nature of decreasing injury risk among children.

**See pages** [867](http://www.cmaj.ca/lookup/volpage/175/867), [883](http://www.cmaj.ca/lookup/volpage/175/883) **and** [899](http://www.cmaj.ca/lookup/volpage/175/899)

**Accountability after adverse medical events: Can we learn from New Zealand?** 

In New Zealand, patients who are dissatisfied with their medical care can choose between 2 medicolegal paths: one that leads to monetary compensation and another that leads to nonmonetary forms of accountability. Bismark and coauthors use data from New Zealand on compensation claims and complaints to identify and compare the forms of accountability sought by patients and families following medical injury. In a related commentary, Gray and Beilby review the avenues available to patients in Canada.

**See pages** [889](http://www.cmaj.ca/lookup/volpage/175/889) **and** [903](http://www.cmaj.ca/lookup/volpage/175/903)

**National recommendations for organ donation after cardiocirculatory death** 

In February 2005, a forum was convened by the Canadian Council for Donation and Transplantation to discuss whether and how to proceed with organ donation after cardiocirculatory death in Canada. The recommendations from that forum are included as a supplement to this issue of *CMAJ*. In a related commentary, Doig advises caution in proceeding with organ donation after cardiac death (DCD), recognizing DCD as a major change in end-of-life practice in Canada.

**See page** [905](http://www.cmaj.ca/lookup/volpage/175/905)

**Cardiovascular MRI: a valuable clinical tool** 

Cardiovascular MRI has evolved from an effective research tool into a clinically proven, safe and comprehensive imaging modality. Marcu and coauthors review the techniques used in cardiovascular MRI and describe the most common of its many clinical applications. They also review advances in scanner hardware and software that may one day offer “one-stop testing” for patients with coronary artery disease.

**See page** [911](http://www.cmaj.ca/lookup/volpage/175/911)

**Practice** 

Block and coauthors describe the case of a patient with diabetes mellitus who had **irregular jerking movements** felt to indicate a functional disorder. A review of her history and CT scan alert physicians to a rare but treatable condition (page [871](http://www.cmaj.ca/lookup/volpage/175/871)).

**Polypharmacy** is the topic of this issue's Public Health column, and Hogan and Kwan provide patients with tips on how to avoid problems when taking multiple medications (page [876](http://www.cmaj.ca/lookup/volpage/175/876)).

![Figure2](http://www.cmaj.ca/https://www.cmaj.ca/content/cmaj/175/8/851.1/F2.medium.gif)

[Figure2](http://www.cmaj.ca/content/175/8/851.1/F2)

Figure. 

In the Clinical Vista, Boragina and Cohen show us an infant with the **“setting-sun” sign**. This eye phenomenon can be an early sign of hydrocephalus, even before commonly known indicators such as enlarged head circumference appear (page [878](http://www.cmaj.ca/lookup/volpage/175/878)).

![Figure3](http://www.cmaj.ca/https://www.cmaj.ca/content/cmaj/175/8/851.1/F3.medium.gif)

[Figure3](http://www.cmaj.ca/content/175/8/851.1/F3)

Figure.