kennedy disease is a rare x-linked neurodegenerative disorder that affects patients in 30-50 years of age. it is caused by cag-repeat in androgen receptor gen. there is no known effective treatment for kennedy disease. we report a 60-year-old man who had fasciculations and proximal and distal muscle weakness. physical examination showed involvement of the bulbar musculature accompanied by tongu...

BACKGROUND The alarming incidence of self- burning provoked to set up a multidisciplinary preventive program to decrease the incidence and complications of this harmful issue. This study investigated the incidence and the preventive measures in self-burn in Fars Province, southern Iran. METHODS This study was a longitudinal prospective design on trend of self-inflicted burn injuries in Fars pro...

The Dutch Child Index is a nationwide information system (IS) designed to alert professionals about each other’s involvedness with at-risk children, enabling identification of individual at-risk children, improvement of multidisciplinary collaboration and timely interventions. In this paper, we study the infrastructural work and complexities engaged in making the collaborative system of the Chi...

the central issue in strategy formulation and implementation process, or strategy-making, is the identification of environmental forces and the preparation of a plan of action to deal with them. this necessitates scanning the environment for gathering information. environmental scanning should enable the firm to identify these forces. doing this not only calls for information gathering, but als...

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...