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The analysis of motor deficits in Parkinsonian signing provides an important new vehicle for understanding the ongoing interplay between linguistic intelligibility and processes that ease articulation. Field-by-field video analysis was performed on two elicited narratives from a 72-year-old, congenitally deaf, Parkinsonian signer. This analysis revealed that although the overall topography of the signing space was maintained, preserving movement contours and trajectories, the actual sign articulations were miniaturized and laxed. At times the non-dominant left hand shadowed the handshape of the dominant right, or two consecutive signs were blended into a single portmanteau form. Moreover, within utterances there was an abnormally uniform rhythmic pattern. While the Parkinsonian signer reduced amplitude, crispness, and rhythmic variation, he stopped short of obliterating linguistically relevant distinctions, which implies that an intact linguistic system was clamped by a more general motor deficit.

Describes the author's seven-day ski trip to Megeve, France. Le Fer a Cheval, Les Fermes de Marie, the Princess de Megeve Beauty Farm and other hotels; The Chalet du Mont d'Arbois, once the private home of the Rothschild family; Altitude restaurants, such as La Cote 2000; Local foods and beverages; Sample recipes; Where to obtain more information.

Percutaneous transhepatic biliary drainage (PTBD) is the basis for most biliary interventional procedures. We recently observed the occurrence of a subcutaneous implantation metastasis after PTBD in a patient with incurable cholangiocarcinoma. Although tumor cell seeding along the catheter tract is a very rare complication, we think that PTBD should be avoided when curative resection is planned.

A letter to the editor is presented criticizing the U.S. government's income tax policies.

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Profiles Martine Premat, president and general director of Fauchon, a legendary specialty foods store in Paris, France. Premat comments on her management methods.