Successful Treatment with Intravenous Immunoglobulin of Acute Flaccid Paralysis Caused by West Nile Virus.
Mohammad Sami Walid, PhD; Fade Aziz Mahmoud, MD

West Nile virus is one of the leading causes of insect-borne encephalitis and acute flaccid paralysis in the US. Acute flaccid paralysis manifests itself as a Guillain-Barré-like syndrome with generalized weakness and shortness of breath. We report a case involving a patient who presented with acute flaccid paralysis because of West Nile virus infection and was successfully treated with intravenous immunoglobulin from Israeli donors.
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Qualitative Case Study
Responding to the Language Challenge: Kaiser Permanente’s Approach.
Kate Meyers, MPP; Gayle Tang, MSN, RN; Alicia Fernandez, MD

A qualitative case study of the Kaiser Permanente San Francisco Medical Center’s approach to developing linguistic access services and subsequent organizationwide initiatives: language-specific care modules focused on Chinese- and Spanish-speaking patients, a centralized Multicultural Services Center, improving interpreter services, optimizing use of bilingual staff, and creating a translation infrastructure.
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