amyotrophic lateral sclerosis (als), the most common form of motor neuron disease, is a progressive and devastating disease involving both lower and upper motor neurons, typically following a relentless progression towards death. therefore, all efforts must be made by the clinician to exclude alternative and more treatable entities. als with laboratory abnormalities of uncertain significance is...

abstract   background: amyotrophic lateral sclerosis (als) is a progressive neurological disorder with high mortality and morbidity. some risk factors have been implicated for als such as exposure to high magnetic fields, and trace elements like selenium, cadmium and lead. afew studies have been carried out throughout the world to evaluate the prevalence of als among veterans. this study was ai...

Objective(s): Amyotrophic lateral sclerosis (ALS), a fatal progressive neurodegenerative disorder, is the most common motor neuron disease in European populations. Approximately 10% of ALS cases are familial (FALS) and the other patients are considered as sporadic ALS (SALS). Among many ALS causing genes that have been identified, mutations in SOD1 and C9orf72 are the most common genetic causes...

T his short report describes the background and development of the new emergency care practitioner (ECP) programme run by the East Anglian Ambulance NHS Trust (EAAT) and the Health Schools of the University of East Anglia (UEA). The programme encompasses the emerging national competencies for the ECP. Although the first pilot cohort of 10 paramedics has yet to complete the course at the time of...

OBJECTIVE To determine whether availability of the Cornwall Helicopter Ambulance enabled the ambulance service to arrive more rapidly at the scene of emergencies. DESIGN Retrospectively collected ambulance service data analyzed longitudinally. SETTING The ambulance service in Cornwall. SUBJECTS Patients carried as emergencies by the ambulance service. VARIABLE STUDIED: Augmentation of a c...

background: amyotrophic lateral sclerosis (als) is the most common motor neuron disorder in european populations. als can be sporadic als (sals) or familial als (fals). among 20 known als genes, mutations in c9orf72 and superoxide dismutase 1 (sod1) are the most common genetic causes of the disease. whereas c9orf72 mutations are more common in western populations, the contribution of sod1 to al...

determination of pre-hospital delay time of patients with acute myocardial infarction and seeking ways of speeding up the time for reperfusion is an important factor to lower mortality in these patients. this is a cross-sectional study to determine pre-hospital delay time, its components, and related causes and conditions, obtained in 375 patients with prolonged chest pain referred to four hosp...

On May 13, 2004, a 28-year-old male volunteer Fire Chief was attending an emergency medical services (EMS) conference in another state. The fi rst night after arriving at the training city, the Chief and his wife went to bed at 2230 hours. The next morning, at 0900 hours, the Chief’s spouse awoke and found the Chief deceased. She called 911 and an ambulance responded. From the Chief’s clinical ...