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These concepts support the RHH and PMH models and their further implementation as part of healthcare system transformation in Northern Ontario. These concepts support the RHH and PMH models and their further implementation as part of healthcare system transformation in Northern Ontario.This is a report of a case of a 25-year-old woman, who presented with a rapidly progressive sensory-motor flaccid quadriparesis which had developed over a few days along with bladder and bowel involvement. She had a past history of photosensitive rash and joint pain

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