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Highlights of the September 8th issue of CMAJ, presented by Dr. Diane Kelsall, deputy editor. In this issue: rethinking treatment in older patients with spinal cord injury, why the federal government must play an active role in health care, imaging for early stage breast cancer, regulating electronic cigarettes, the need for speed in acute ischemic stroke, and more. Full issue table of contents: www.cmaj.ca/content/187/12.toc

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