The BioTone toolkit provided comprehensive objective measures for assessing muscle tone in patients with UMNS. The toolkit could be useful for standardizing outcomes measures in clinical trials and for routine practice.

Rehabilitation services to four remote sites in New Brunswick were delivered via PC-based videoconferencing equipment, using ADSL connections to the Internet. Approximately 40 people used the equipment over 18 months. There were 32 videoconference sessions. A total of 60 questionnaires were returned (a 94% response rate). In 31 of the 32 videoconferences, a connection was successfully established between the computers. The videoconferences lasted on average 20 min. The most frequent applications were viewing of rehabilitative equipment and video communication. The technology was found to be useful and provided an enhanced form of communication from the video component. There were some problems with the stability and reliability of the equipment.

The use of technology to access sign language interpreters from a remote location can have a significant impact on the timely access of such services for people who are deaf. The potential integration of such services is contingent on factors such as the availability of suitable equipment and the acceptance of the technological solution by people who are deaf, sign language interpreters and the health professionals. A system was assembled to address the needs of the users while maintaining focused on the requirement of the system being feasible such that it remains an option for small clinics and even medical offices. The technological solution was tested using simulated sessions involving people who are deaf, health professionals and sign language interpreters. The sessions simulated typical health conditions seen in hospital emergency rooms, medical clinics and doctor offices. Data collected from all participants indicate the technology proved to be acceptable in most simulated situations.

A technological solution was investigated as a way of accessing Sign Language interpretation services from a remote location by people who are Deaf. A number of participants including people who are Deaf, health professionals, counselors, employers, and Sign Language interpreters were involved in communication simulations that mimic what occurs in health care delivery environments, counselors offices and employment settings. Our data suggests the use of internet based video communication equipment can effectively be used to facilitate communication between hearing and Deaf individuals. The impact of the delivery of Sign Language interpretation services over the internet has the potential to dramatically change the way Sign Language interpretation services are delivered.

A number of speakers have suggested that Reiters syndrome (RS) is a misnomer. Alternatives such as 'sexually acquired reactive arthritis' or the much maligned 'B27-associated disease' have been put forward. But they have obvious drawbacks-the first in assuming that all urethritis is sexually acquired (something that, to my mind, is questionable dogma) and the second because over 20 % of these cases are B27-negative. The problem was stated by Dr. J. T. Scott, who concluded: 'we all know what we're talking about but can't define it'. The important observations on incomplete forms of RS have opened up-as they do in almost all rheumatological syndromes-the shady areas of overlap, where dogma is especially out of place. Certainly, from the historic viewpoint, RS is wrongly named. Although the syndrome probably dates from prechristian times the best early description