dementia and severe Parkinsonism. Interosseal muscle atrophy was found, but no fasciculations; reflexes remained brisk. An EMG was scheduled but never completed. Shortly after admission there was a sudden decline in her condition, she died of bronchopneumonia and septic shock.

Case 3
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A 64-year-old woman, with a family history of stroke (mother), developed gait instability, dysarthria, and mnestic difficulties over a 2 year period. Muscle rigidity appeared, falls occurred, and she became incontinent. Six months later, in another hospital, multiple system atrophy was diagnosed, and treatment with levodopa and pramipexole was started. Escitalopram was added for depression a few months later. Despite increasing doses of levodopa (up to 1000 mg daily), rigidity and akinesia worsened and the patient became wheelchair-bound. Ultimately, she was referred for diagnostic re-evaluation.

Clinical examination found psychomotorInstitutions bidding to host an HIV vaccine production facility in Canada were in the dark for more than six months about the government's decision to end the program, according to the Winnipeg Free Press. The newspaper based its report on documents obtained through an Access to Information request.

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Announced in 2007, the $88 million (US $88.9 million) venture would have been backed by the Bill & Melinda Gates Foundation. Bidding began in the spring of 2008, and four institutions were ultimately short-listed: Winnipeg's International Center for Infectious Diseases; the International Consortium on Antivirals at Trent University; Laval University; and the University of Western Ontario.

In 2009, the Public Health Agency of Canada still supported the joint project, according to internal briefing notes and memos to Chief Public Health Officer Dr.