A healthy 58-year-old man presented to the emergency department with right arm weakness first noticed while playing hockey that day. He could not recall the onset of injury, but endorsed several weeks of antecedent intermittent right shoulder discomfort. Examination revealed a deformity of the right biceps brachii with distal bunching of the muscle (Figure). Tenderness existed along the proxima...

Respiratory failure is a common complication of acute neuromuscular disease and high cervical cord lesions and should be monitored by measuring forced vital capacity and respiratory rate. Urgent imaging is mandatory if there is any clinical suspicion of spinal cord disease. Treatment of Guillain-Barré syndrome with plasma exchange or intravenous immunoglobulin (IVIg) speeds up the rate of recov...

Paralysis of the diaphragm occurring as a result of damage to the phrenic nerves during thoracic and neck surgery is well recognised.' 2 It is likely that weakness, as opposed to complete paralysis, of the diaphragm could occur after less severe trauma to the phrenic nerves. We describe a patient who developed bilateral diaphragm weakness after complicated surgery on a cervical disc, with subse...

This paper summarizes answers to frequently asked questions about the iOS keychain weakness described in [HB11]. It provides further information for security evaluators on the impact of the findings.

JCB • VOLUME 168 • NUMBER 6 • 2005 850 Acyl cycles move Ras cyl groups cycle endlessly on and off Ras to confine the protein to the Golgi and plasma membrane (PM), as shown by Oliver Rocks, Alfred Wittinghofer, Philippe Bastiaens (EMBL, Heidelberg, Germany), and colleagues. These locales are the homes of two Ras isoforms, Nras and Hras, both of which are modified with the acyl group palmitate. ...

IntroductIon Until some decades ago, health care services were primarily supplied inside hospitals. The patient had to move from his or her home to the hospital, where various diagnostic and therapeutic treatments were provided. Moreover, inside the same hospital, the various tools and processes were insulated and autonomous. Patients and doctors had to move from one tool to another, often plac...

Overuse can be defined as the chronic overloading of muscles in daily life activities resulting in physical complaints such as muscle fatigue and pain. Overuse can develop in case of a reduced capacity of muscle to endure loads due to paresis (slight or partial paralysis), but also when normal muscle is chronically overloaded, for instance when a muscle has to compensate for other paretic muscl...

measures varies and may overestimate asthma control: an analysis of the goal study. J Asthma 2007;44:667–73. 27. Bereznicki BJ, Peterson GM, Jackson SL, et al. Pharmacist-initiated general practitioner referral of patients with suboptimal asthma management. Pharm World Sci 2008;30:869–75. 28. Price D, Thomas M. Breaking new ground: challenging existing asthma guidelines. BMC Pulm Med 2006;6(Sup...

The Apostle Paul can rightly be regarded as "the Theologian of Weakness." Yet Paul's theology of weakness developed in a dynamic fashion in response to the situations facing him, and his particular formulations are consistently adapted and designed to meet particular issues at hand. Nowhere is this more clearly seen than in those letters in which the apostle finds himself forced to answer the c...

Learning Communities is one approach in individuals to improve their skills and knowledge. Web based learning communities provide additional capabilities such as global distribution of participants and asynchronous participation. The learning process in such communities is flexible and distributed, but still uni-directional: knowledge, advices and support is transferred from professors to stude...