text:
Dr. Berggruen received her medical degree from Loyola Stritch School of Medicine, Maywood, IL, in 1998. She is a fourth-year resident at the University of Arizona Health Sciences Center, Tucson, AZ. Next year she will begin an MRI Body fellowship at Northwestern Memorial Hospital, Chicago, IL.
Ultrasound (US) is the screening method of choice for prenatal imaging; however, there are cases in which US is equivocal. In those cases, ultrafast prenatal magnetic resonance imaging (MRI) is an important complementary means of investigation. Prenatal MRI is helpful at improving the anatomic definition, clarifying the diagnosis, and identifying associated abnormalities. This information facilitates family counseling for prenatal and perinatal management.
Ultrasound (US) continues to be the screening method of choice for prenatal imaging because of its widespread availability, real-time capability, low cost, and safety. The quality of the examination is dependent on the equipment and skill of the examiner. In most cases, the findings on US are decisive. There are cases, however, in which the findings are equivocal or diagnostic information is insufficient, including pregnancies complicated by maternal obesity, oligohydramnios, or an unusual fetal lie. In such cases, the availability of another imaging technique, such as magnetic resonance imaging (MRI), may prove beneficial.
Until recently, T2-weighted MRI acquisition times of several minutes made it necessary to sedate the fetus directly through the umbilical cord or sedate the mother. The development of ultrafast T2-weighted MRI makes it possible to obtain images of good quality, enhancing fetal anatomic evaluation without sedation. Prenatal MRI is helpful in improving the anatomic definition, clarifying the diagnosis, and identifying other associated abnormalities, particularly before fetal surgical intervention.
MRI gradient systems with higher slew rates and gradient amplitude have allowed newer pulse sequences, including single-shot half-Fourier T2-weighted images and echo planar imaging. Single-shot fast-spin echo (or HASTE [half-Fourier acquisition single-shot turbo-spin echo]) images were the first type of sequence to obtain high quality T2-weighted spin-echo images in a single breath-holding period. Single-shot fast-spin echo sequences achieve relatively motion-free breath-hold images in the pelvis or abdomen with T2-weighted tissue contrast similar to conventional fast-spin echo images. Obtaining planes that represent anatomic cross sections relative to the fetus facilitates examination of the fetus with HASTE imaging. 1 Gadolinium is not used in fetal MRI as it crosses the placenta and is not cleared from fetal circulation. The effect of gadolinium on the fetus is not known. 2
In a study by Laveaucoupet et al, 3 the usefulness of fetal MRI in ischemic brain injury was demonstrated in seven cases of fetal brain ischemia that was suspected on US and confirmed by fetal MRI. The abnormalities suspected on US included ventricular dilatation (n = 3), microcephaly (n = 1), twin pregnancy with in utero death of a twin and suspected cerebral lesion in surviving twin (n = 3). MRI diagnosed hydranencephaly (n = 1), multicystic encephalomalacia (n = 2) (figure 1), unilateral capsular ischemia (n = 1), porencephaly (n = 2) (figure 2), and corpus callosum and cerebral atrophy (n = 1). US and MR images were compared with pathologic findings or postnatal imaging. In comparison to US, visualization of fetal brain anomalies was superior with MRI, which provided a more precise diagnosis. These seven cases demonstrated that MRI could be an important complementary means of investigation when pathology is suspected during prenatal US.
Many pathologic conditions throughout gestation may compromise materno-fetal circulation and lead to hemorrhagic or ischemic injuries in the fetal brain. In the second trimester, the fetal brain responds to trauma by liquefaction of destroyed parenchyma resulting in cavities: multicystic encephalomalacia, porencephaly, and hydranencephaly are terms that describe patterns of cavitation. The more mature brain reacts to an insult by astrocytic proliferation or gliosis. 3
MRI allows visualization of the entire fetal brain, which sometimes is not possible by US, especially in fetuses with ventricular dilatation. MRI provides better soft-tissue contrast than US, and therefore evaluates extension of lesions into the cerebral parenchyma. However, MRI may not detect subtle ischemic lesions such as gliosis, microcalcifications, and microthrombi associated with isolated ventricular dilatation. 3
In a study by Wagenvoort et al, 4 MR images were reviewed to determine if MRI could give additional information in prenatal diagnosis of congenital anomalies in cases in which US analysis was not conclusive. In this study, in which MR images were reviewed with US knowledge, MRI supplied additional information in 10 of 19 cases referred due to equivocal findings of brain anomalies on US. MRI was provided a confirmative diagnosis for six patients (31.6%). One exam was false negative; MRI did not show periventricular leukomalacia (PVL) or hemorrhage while vaginal US did suggest PVL. In 5 of 10 cases referred for ventriculomegaly, MRI discovered other anomalies (figure 3).
Sonography of posterior fossa anatomy may be difficult because of fetal skull shadowing or engaging of the fetal head in the third trimester of pregnancy. In three patients referred for cerebellar anomalies, a correct diagnosis was made with fetal MRI. 4 In a study by Quinn et al, 5 MRI excluded a suspected Dandy-Walker malformation in a fetus with agenesis of the corpus callosum, a difficult diagnosis to make accurately by US. In contrast to US, MRI allowed for the correct identification of posterior fossa anatomy in third-trimester fetuses. 6 Evaluation of the posterior fossa on US often depends on a single angled axial view through the cerebellar hemispheres and region of the cisterna magna. The cisterna magna may appear artificially enlarged or the shape of the hemispheres may appear abnormal. MRI markedly improves visualization of the posterior fossa because direct coronal, sagittal, and axial images can be obtained, thereby confirming anatomy of the vermis and fourth ventricle. MRI usually can identify the typical findings of a Chiari malformation. 2
Holoprosencephaly is a malformation of the prosencephalon with failure of normal midline cleavage and incomplete midfacial development. MRI is most helpful in trying to distinguish a mild or lobar form of holoprosencephaly from other forms of ventriculomegaly and hydranencephaly, which is a severe failure of brain formation, secondary to ischemic event. 7,8 In a study evaluating central nervous system (CNS) anomalies by Ohgiya et al, 6 US findings were suggestive of, but not definitive, for anencephaly. MRI was helpful in defining a large amount of angiomatous stroma and absence of normal calvaria. The information about the CNS deformity was helpful to the parents considering a pregnancy termination.
Normal gyral patterns, ventricular size, and patterns of neuronal migration have all been documented by MRI. 9 Sulcal development is a marker of cortical maturation and fetal maturity. In a MRI study of 93 fetuses, Levine and Barnes 10 found that sulcation appeared in the order predicted by anatomic studies, but with a lag of up to 8 weeks (mean 1.9 weeks). The first to form is the interhemispheric fissure, present in all normal fetuses studied at 14 weeks. The Sylvian fissure becomes grooved by 16 weeks. Beginning at approximately 29 weeks in utero, myelination progresses cephalad from the spinal cord and is not complete until about the second year of life. 11,12 Myelination accounts for signal intensity differences between the different regions of the brain. In a study by Lan et al, 13 evaluation of 25 normal fetuses showed that only two layers could be discerned after 29 weeks: an inner hyperintense layer (the white matter) and an outer hypointense layer (the gray matter). The corpus callosum is fully formed by 20 weeks. The basal ganglia and thalami are best seen after 26 weeks.
In a review of 128 fetuses referred for non-CNS indications, no fetus was found with an atrial diameter exceeding 10 mm on MRI. 14 The 10-mm rule, described on a sonographic axial view of the fetal atrium, is therefore the measurement used as the upper limit of normal on MRI. The cavum septum pellucidum is seen in all normal fetuses. 14
Previously, abnormalities of neuronal migration were believed to be rare; however, with MRI, they are seen in up to 20% of cases of CNS anomalies. In one report, MRI was able to visualize areas of neuronal heterotopias in 54% of fetuses with a definite diagnosis of migrational disorder. MRI demonstrated 80% of lissencephaly, 73% of polymicrogyria, and 100% of schizencephaly prenatally. 7
In a study by Enomoto et al, 15 121 fetuses were imaged to determine the predictive value of prenatal MRI for evaluation of fetal brain anomaly and other pathology. The degree of cortical convolution and ventricular size were used as landmarks to assess the fetal brains of different gestational age, together with the degree of myelination and presence of parenchymal signal abnormality in the group of late gestation. The subjects were divided into 99 with normal findings and 22 with abnormalities. In normal subjects, the ventricles ceased to dilate after 25 weeks. The convolutional development increased after 30 weeks and a primitive form of the cerebral surface was detected at 32 weeks. The myelination started in the brain stem and internal capsules between 22 and 25 weeks. The abnormalities found included anencephaly, holoprosencephaly, Chiari malformation, ventriculomegaly, cephalocele, Dandy-Walker syndrome, and hypogenesis of the corpus callosum. Five autopsy cases and 17 postnatal imaging cases confirmed the abnormalities. Focal encephalomalacia, abnormal configuration of the ventricles, heterotopia, and callosal and posterior fossa anomalies were delineated clearly on MRI.
In a study of 3 cases, fetal MRI was instrumental in evaluating the anatomic extent of giant neck masses with potential airway obstruction. 5 In contrast to US, anatomic details about location and impingement of the fetal airway and neck vessels by lesions that rivaled the fetus in volume were better seen with MRI. Cervical teratoma could be differentiated from cystic hygroma on MRI. In each case, fetal MRI helped in the prenatal assessment of the mass before cesarean delivery using an ex-utero intrapartum therapy (EXIT) procedure to establish an airway. Compared with US exams in which only a small part of the lesion may be present in the acoustic window, the whole lesion and its anatomic relations could be reviewed on MRI.
Lungs show moderately high signal intensity on T2-weighted images. 4 Congenital diaphragmatic hernia (CDH) is the most common fetal chest mass, usually occurring on the left side. US differentiation of bowel loops from other chest masses is sometimes difficult. The US determination of liver herniation is not always possible because it relies on indirect signs. 6 Evaluating liver position on US may be difficult, as the echo texture of the liver and lung is similar. Estimations of the residual lung area are not always possible by US. With MRI, it can be easy to depict the herniated bowel and the position of the liver and to distinguish meconium-filled bowel from normal lung because of the difference in signal intensity. On T1-weighted images, meconium-filled bowel is very high in signal intensity, making the position of bowel above or below the diaphragm easy to evaluate. 2
In a study by Quinn et al, 5 fetal surgery candidates undergoing evaluation for a congenital anomaly that was potentially a correctable lesion were selected for MRI. The diagnoses included: CDH (n = 14) and lung masses (n = 4). The results of the US exam were known at the time of the MRI study on the same day. All diagnoses were confirmed after delivery by radiographic imaging, operation, or autopsy. With CDH, MRI demonstrated liver herniation into the chest in 11 of 14 cases. The information included the amount and location of bowel, stomach, and liver herniated into the fetal thorax. The degree of liver herniation was substantial in six cases, in which a third or more of the fetal liver was intrathoracic. MRI was able to identify bilateral CDH in one fetus. In four cases, US findings had not been definitive. In two cases of CDH detected by MRI, the primary diagnosis by US was congenital cystic adematoid malformation (CCAM) based on the presence of nonperistaltic bowel in the chest that may appear as a multicystic lesion similar to a CCAM on US.
Despite advances in sonography and color Doppler imaging, the prenatal diagnosis of anomalies such as CDH is difficult and has been missed in 41% of cases in one recent retrospective study. 16 The mortality in CDH relates to the degree of pulmonary hypoplasia and associated pulmonary hypertension and has been estimated to be as high as 58%. Differentiating between chest masses, such as CCAM and bronchopulmonary sequestration (BPS), by US can be difficult. Fetal MRI provided more anatomic detail than US regarding extent and location of the chest masses that included BPS (n = 2), and CCAM (n = 2). In many cases, the lobe of the lung involved with the lesion could be identified. 5
Pulmonary hypoplasia is a condition that causes high mortality and morbidity in neonates. The prenatal diagnosis of pulmonary hypoplasia assists with the postnatal care. In a study by Kuwashima et al, 17 the diagnostic capabilities of fetal MRI in pulmonary hypoplasia were evaluated. Subjects included 23 fetuses. A diagnosis of pulmonary hypoplasia was made on the basis of perinatal physical, surgical, and/or autopsy findings. With regard to pulmonary hypoplasia, the subjects were divided into three groups--1a: infants with pulmonary hypoplasia and perinatal death (n = 8), including 5 who underwent autopsy; 1b: infants with pulmonary hypoplasia and longer survival over the neonatal period (n = 2); and 2: infants without pulmonary hypoplasia (n = 13). On MRI, all fetuses in groups 1a and 1b showed low signal intensity of the lung, obscured pulmonary vessels, and a small thorax. All fetuses in group 2, except for one fetus at 24 weeks gestation, showed homogeneously high signal intensity in the lung and well-defined pulmonary vessels.
In another study, Shinmoto et al 18 investigated normal fetal lung growth and correlated the estimated lung volume with clinical outcome in 90 fetuses (58 with normal lungs and 32 with suspected pulmonary hypoplasia) who underwent MRI including volumetric lung measurement. The gestational age ranged from 21 to 38 weeks. The lung volume was calculated by multiplying total lung area and slice thickness. The measured fetal lung volumes were correlated with gestational age and other parameters of fetal size such as crown-rump length (CRL). The calculated percentages of lung volume were well correlated with neonatal respiratory condition and Apgar scores. The volumetric measurement of fetal lung was valuable in that the relative fetal lung volume was correlated with neonatal respiratory conditions.
Fetal renal anomalies often are associated with oligohydramnios, a condition that makes fetal US difficult. MRI is not greatly affected by decreased amniotic fluid. 2 A study by Caire et al 19 was designed to evaluate the usefulness of MRI in suspected congenital fetal genitourinary anomalies. 16 Assessments were made of amniotic fluid; location, size and presence of kidneys; bladder appearance; and evaluation of the perineum. MRI findings were compared with US and neonatal diagnosis. MRI changed the diagnosis in 4 of 15 cases. Oligohydramnios or anhydramnios was present in 8 of 15 cases; this did not hinder MRI visualization of genitourinary anomalies. Visualization of bladder and kidneys was possible after 18 weeks. MRI also provided better anatomic detail of the perineum. 19
Multicystic dysplastic kidney (MCDK) may be confused with hydronephrosis on US. MRI, confirming the absence of normal renal parenchyma and renal pelvis, can diagnose MCDK. 14 Although primary hepatic tumors are uncommon, hamartomas, hemangoendotheliomas, and hepatoblastomas do occur in the fetus. MRI helps differentiate these masses based on morphology. In addition, MRI can be used to differentiate abdominal masses and other cystic structures, such as mesenteric cysts, lymphangiomas, and ovarian cysts, from dilated loops of bowel. 2 With huge abdominal masses, such as mesenteric cyst and lymphangioma, MRI clarified the diagnosis in 14 of 31 (45%) patients who underwent fetal treatment after US and MRI. 5
When assessing twin anomalies by US, the problems of multiple fetuses in the field, fetal lie, and aberrant anatomy can create diagnostic confusion. MRI allowed anatomic refinement of the US diagnosis of twin-twin transfusion syndrome. The placental anatomy and cord insertion sites were delineated for preoperative planning for cord legation or placental vessel laser ablation. 5
To date, no known harmful effects to the developing fetus have been documented using clinical MR scanners. One long-term study evaluated 20 children who had undergone fetal MRI after 21 weeks gestation. After 3 years, there was no demonstrable increase in occurrence of disease or disabilities. 20 In 1991, the safety committee of the Society for Magnetic Resonance Imaging issued guidelines for patient safety. 21 The guidelines recommended that patients be informed that there has been no indication that the use of clinical MRI during pregnancy has produced deleterious effects; however, safety has not been proven to date. 2
As further improvements in MRI technology yield faster scan times and higher resolution, the applications for fetal imaging will increase. Presently, MRI is an adjunct to good prenatal US. It can provide significant additional information that can affect prenatal counseling, prenatal intervention, and delivery planning.


text:
If you're a world-class procurement organization, you know the value of strategic sourcing. As an important organizational function, strategic sourcing has assumed an increasing role in helping companies compete and achieve a sustainable advantage in their missions and markets.
Negotiating a sourcing agreement is a critical first step in realizing the true potential and cost savings associated with eProcurement. However, supply chains are increasingly global with sourcing, manufacturing and operations happening in numerous locations around the world.
With the acquisition of CombineNet, SciQuest is uniquely positioned to offer comprehensive, cloud-based sourcing capabilities. Stephen Wiehe, president and CEO of SciQuest, states, "SciQuest can now help customers, particularly in the commercial market, more efficiently acquire all of their goods and services – from the simplest and commonplace to the most complicated and strategic."

subset: commoncrawl


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Including high-quality lean protein recipes in your diet may aid in weight loss, improve heart health, and help lower the risk of chronic diseases.
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Summer Concert Series Sponsorships
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Delaware State Parks' Summer Concert Series provides free, family-friendly entertainment to the public at five scenic park venues. Your donation will help ensure the continued success of this concert series and demonstrates your commitment to the community, supporting both our parks and the arts. Your gift helps us cover the costs of hosting local performers and special guests. As a local business in a competitive marketplace, your donation will bring your company's name to more than 35,000 concert attendees, more than 6,000 campers staying at concert series locations, more than 150,000 households through our Summer Program Guide and thousands of park visitors.
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Thursday, February 9, 2012
The New York Post takes a big, bold step of naming the rape accuser in the Kelly case
The hand-wringing begins
But the hand-wringing about the Post's decision to name the accuser has begun. "It's a bullying tactic," one site said, "that could prevent women from reporting sexual abuse crimes; who would volunteer for this treatment?" http://ohnotheydidnt.livejournal.com/66397101.html
Women's groups: no concern about protecting the reputations of innocent men
If some people aren't especially sympathetic to those concerns, that just might be a backlash impulse: back in 2010, the new government in Great Britain was seriously considering anonymity for men accused of rape, but women's groups had a conniption. Their anger was extreme, but largely irrational. When all was said and done, Britain kowtowed to women's groups and scrapped anonymity for men accused of rape.
The reaction of women's groups could only be explained by something no one would admit to: publicly naming and shaming men following an accusation is one way to punish rapists, and anonymity would end that form of punishment. The women's groups were deaf to our pleas that justice for rape victims does not depend on the public shaming and humiliation of the presumptively innocent who, too often, turn out to be victims of false rape claims. Women's groups responded with the moral equivalent of "drop dead." (It is unfortunate we couldn't show these angry women the mail we get at this site from falsely accused men desperately seeking our help to remove news stories from the Web about long-ago rape claims.)
If women's groups truly wanted to insure that women come forward . . .
With the Post's decision to name Di Toro (and the Post named her only after the case was closed and it was determined that Mr. Kelly was innocent), the same crowd now insists that naming accusers will prevent women from "coming forward."
If they were truly interested in protecting women's anonymity and in having women "come forward," they would support anonymity for both the accuser and accused anonymous. Why? The vast majority of rapes, we are told, are of the acquaintance variety. When a woman accuses a male acquaintance of rape and he is publicly identified, it usually isn't difficult for the woman's family, her social circle, and her work colleagues to infer who the accuser is.
It is reasonable to assume that most rape victims would prefer not to have their identities revealed by inference when they accuse an intimate acquaintance of rape. One way to assure that doesn't happen is to grant anonymity for men, too.
Asymmetrical anonymity: not fair
Many think there should be no anonymity for anyone in rape cases. Last year, Prof. Alan Dershowitz wrote this about the DSK case: "The prosecution presented its case in public as if there were no doubt about the alleged victim's credibility or the complete guilt of the alleged offender. In fact, one very important implication of the Strauss-Kahn case was this: the press is dead wrong not to publish the names of alleged rape victims. It is absolutely critical that rape be treated like any other crime of violence, that the names of the alleged victims be published along with the names of the alleged perpetrators, so that people who know the victim or know her reputation can come forward to provide relevant information. The whole manner in which this case was handled undercuts the presumption of innocence, and the same goes for many other cases like it. By withholding the name of the alleged victim while publishing perp photos of the alleged assailant, the press conveys a presumption of guilt. The next time I have to defend a case where there's any chance of a perp walk, I'm going to federal court to demand an injunction against it."
Dershowitz previously said this on the subject: "People who have gone to the police and publicly invoked the criminal process and accused somebody of a serious crime such as rape must be identified." Moreover: "In this country there is no such thing and should not be such a thing as anonymous accusation. If your name is in court it is a logical extension that it should be printed in the media. How can you publish the name of the presumptively innocent accused but not the name of the accuser?"
He continued: "Feminists cannot have it both ways. They have persuaded us that rape victims should not be singled out for special treatment. Yet that is what many of them want from news organizations."
Feminist Naomi Wolf has lots of interesting arguments why rape accusers shouldn't be anonymous. Among other things: "It is wrong – and sexist – to treat female sex-crime accusers as if they were children, and it is wrong to try anyone, male or female, in the court of public opinion on the basis of anonymous accusations. Anonymity for rape accusers is long overdue for retirement."
It's time for a real national debate on the subject of whether to end anonymity for rape accusers. A debate, not a monologue where the usual suspects scornfully lecture with feminist mantras that assume they are right and anyone who disagrees with them is evil.
13 comments:
Good for the NY Post! Maria Di Toro and all accusers have no more or less rights regarding their identity staying private or going public than an accused.
I caught a new's story early-on(different site) that mentioned Maria Di Toro's father is a well known attorney. I wonder how he is feeling about his precious little girl right now?
Aharon - Feb 8, 2012, 11:18:00 PM
Yeah, it's pretty amazing how they have no problem with the smearing and naming of an innocent man, but they do with the naming of a criminal woman.
But then I noticed, Pierce, you linked to a LJ page smothered by feminists. I am not sure what you expected to see there, except precisely what we saw. - Feb 9, 2012, 12:08:00 AM
There will be a time in US history when the American media will be studied to see who the worst "Feminist Inflamers" were.
Ive read here and at others mens rights sites that the "New York Times" regularly "Inflames" the masses with false rape accusations that they spin as real, while the New York Post is one of the first to say "It smells fishy" when the rape accusation doesn't make sense and doesn't add up.
Why can't the New York Times be held financially accounteable when they "Inflame" the masses against the innocent???
Very good question, Why can't the New York times be held financially accounteable when they "Inflame" the masses with faulty and inflamatory accusations???
Folks need to start demanding the New York Post, instead of the Feminist Rag that the New York Times has decayed into. - Feb 9, 2012, 1:15:00 AM
False rape accusation, after false rape accusation, after false rape accusation, after false rape accusation. Americans have a constitutionally protected right to not be persecuted from false witness, But it seems were gonna have to douche out a perverted system to get it back.
- Feb 9, 2012, 1:21:00 AM
A few weeks from now, we will see another "Feminist Inflamation".
- Feb 9, 2012, 1:22:00 AM
This "bold step" needs to become standard operating procedure BEFORE the man is cleared.
Anything less is contributing to a climate in which any man is presumed guilty based on nothing more than an accuser's word. - Feb 9, 2012, 1:47:00 AM
I absolutely agree that the accused should remain anonymous, as well as the accuser. Just as I hope that any DNA evidence that can be tested now in cases of convicted rapists, which was not available to clear them at conviction, should be tested. The thought of an innocent person in jail is horrifying. The idea of naming rape victims is devastating. I am a survivor of a horrendous rape, a crime that was so devastating, 12 years after I still have never slept a full night, I sleep with every light on. I declined to name my accuser, because I was horrified by the idea of being outed as a victim myself. I was in medical school, how would people trust me to take care of them? In the age of the Internet, a victims status is a google search away. Being raped defines me emotionally spiritually and physically. I could not let it define me professionally, I had to protect people who loved me from knowing everything I went through. I respect your agenda to help the wrongly accused, but advocating for victims to be named makes you seem vindictive, not advocates for justice. It's not the way to protect the survivors of sexual assault, nor the accused. Women falsely reporting rape didn't make it harder to come forward, being forward known as a victim did.
- Feb 9, 2012, 3:07:00 AM
- Archivist said...
Anon at 3:07: Yours is a comment that deserves to be heard, and respected. I have made it a separate post.
We truly hope that someday you find the peace you deserve. Thanks for expressing your opinion. - Feb 9, 2012, 7:12:00 AM
Its hard for men to fathom that when a girl says she has been raped, she may not have been.
- Feb 9, 2012, 9:38:00 AM
- billy williams said...
Wow, There's a first.
- Feb 9, 2012, 4:14:00 PM
- billy williams said...
Good for the post!
- Feb 9, 2012, 4:14:00 PM
If someone broke into my house and tied me up and beat me for hours and cut my fingers and ears off and lit me on fire and left me in a coma I would be named in the media.
But if I ALLEGEDLY pinched a girl's butt at the bar WITH NO PROOF OTHER THAN HER WORD her idenity would be protected in the media and my name would be plastered all over every news station.
If you want to make an accusation against someone that can cause them to get beat to death or commit suicide or have thier life completely ruined in many other ways USUALLY BASED ON NOTHING MORE THAN YOUR WORD you should have to put your name behind it and be named along with the person you are accusing. - Feb 10, 2012, 12:42:00 AM
- The Domestic Violence Industry Lies said...
45 years of "Feminist" Domestic Violence Industry Evil Indoctrination that is now Indoctrinated into Politics, the Government, Courts, Police and General Public, Encouraging an Epidemic of False Accusations of Sexual Harassment, Domestic Violence and Rape, that:
- Women are Good, All Men are Violent and Rapists!
- Women are helpless Victims, Men are Perpetrators!
- Women need Help and Protection, Men must be Restrained, Prosecuted and Jailed!
G00gle: Martha Laura Granados Immigration - Feb 12, 2012, 12:21:00 AM


text:
The search has begun for candidates to fill a city council seat now vacant after the retirement of council member Judith Hoefling in Dec. 2012.
The chosen candidate would fill the seat until the November election.
Qualified candidates are registered as a Tumwater voter and a resident of Tumwater for at least a year preceding the temporary appointment.
The position includes being involved in a number of city, intergovernmental and regional meetings.
Applications are available on the city's website. Interested candidates can also get a printed application at Tumwater City Hall, 555 Israel Road S.W., or call 360-754-4120 for more information.
Applications should be directed to Melody Valiant, city clerk, are due by 5 p.m. Feb. 20 to Tumwater City Hall. Late arriving mail will not be accepted.


text:
Philips Fidelio SoundAvia Wireless Speaker with AirPlay
Product No Longer Available
Can i use without a internet conection?
- Asked by Antonio João D from Recife
- Nov 12, 2012
1 Answer from the Community
Yes. There are ports in the back for a single USB and a jack (wired connector supplied) to plug in an iPod, iPhone or MP3 player.
- Answered by Michael S
- Dec 3, 2012


text:
BEIJING -- The whistle-blowing Chinese police chief who fled to a U.S. consulate last year testified Saturday that he had feared for his own life after discovering that the wife of his boss, Bo Xilai, had poisoned to death an Englishman.
Wang Lijun, one of an eccentric cast of characters in the ongoing corruption trial-cum-soap opera riveting China, described how Bo physically attacked him after being informed of wife Gu Kailai's hand in the murder.
"He walked around his desk. He threw a punch at me. It was not a slap," Wang said, disputing earlier media accounts. "My body shuddered. The corner of my mouth was bleeding and something was coming from my ear."
The third day of Bo's trial focused on charges of abuse of power stemming from the murder of British expatriate Neil Heywood, in Chongqing, where the defendant had been Communist Party secretary until the scandal blew apart his career last year. Although Bo isn't charged in the murder itself, he is alleged to have covered it up in order to protect his wife, who was convicted of the crime last year.
Wang also testified that Bo screamed at him and broke a glass. A few days later Bo fired him as police chief of Chongqing and demoted four other police officials.
The 53-year-old Wang testified that it was Bo's behavior that prompted him to flee to the U.S. Consulate in Chengdu, the capital of adjoining Sichuan province.
"It was very dangerous. I faced violence. The people who worked for me had disappeared," Wang explained to the court, according to transcripts of the testimony released Saturday night.
Wang's flight to the U.S. Consulate in February 2012 set off a diplomatic crisis from Beijing to Washington. Bo dispatched his own police to Chengdu, 180 miles away, surrounding the consulate. Eventually the police chief surrendered to Chinese authorities and blew the whistle, setting in motion his boss' spectacular downfall.
Saturday was the first time the two Chinese officials had seen each other in 18 months. The exact nuance in their interaction is impossible to assess since the trial, taking place in Jinan, 250 miles south of Beijing, is closed to the media. However, transcripts released later in the day showed Bo did not dispute most of Wang's testimony.
"I made mistakes .... I didn't handle this with a calm attitude and I made poor judgments," he told the court, according to the transcript. "I damaged the reputation of the Communist Party and the nation. I feel deeply ashamed."
Never contrite for too long, Bo went on to explain himself. He said he couldn't believe it when Wang first told him his wife had murdered Heywood and thought that Wang had to be setting him up.
"My impression was that Gu was a fragile and gentle person. She couldn't possibly kill somebody," Bo said. When he told his wife about Wang's accusation, Gu accused Wang of trying to frame her. She also showed Bo the original police report in which Heywood's death was attributed to excessive alcohol consumption.
"I trusted what my wife told me .... In the past, she and Wang were best friends. Now I thought he was trying to betray her. I was really angry."
Gu, an attorney, admitted last year in court that she lured the 41-year-old Heywood to Chongqing and laced a drink with cyanide after he threatened her son, who was at the time a graduate student at Harvard's Kennedy School. Evidence emerged during Bo's trial that Heywood had been managing a $3.3-million villa in the French Rivera that had been a gift to the family from a Chinese tycoon.
Besides abuse of power, Bo is charged with bribery and extortion, in large part over money and gifts given to his wife and their son, Guagua. Conducting much of his own defense, the 64-year-old Bo told the court Saturday that he didn't know about money his wife received because she had left him to live in Britain, where their son attended high school and college.
"I had an affair and she was furious about that. She took Guagua away, to a large extent to get back at me," said Bo, according to the transcript.
Despite the blockade on live coverage, the Jinan Intermediate Court has been releasing selected portions of the transcripts with a delay of a few hours on a microblog, turning the legal proceedings into a dramatic serial with at least a passing resemblance, Chinese-style, to "House of Cards."
An ambitious politician, Bo had served on the 25-member Politburo and at one point had been thought a contender to lead China into the 21st century. Both he and his rival, current President Xi Jinping, are sons of close comrades of Communist China's founder, Mao Zedong.
The trial transcripts have offered a rare up-close insight into the personal foibles of one of China's most elite families. In court, Bo has come off as an imperious and somewhat paranoid politician. He at one point denied a witness' claim that he discussed a bribe on the telephone, saying, "Would I talk about such a sensitive topic over the phone? People who are familiar with me all know that I always ask them to turn off their phone when talking to me. I'm a rather cautious person."
Bo also admitted that he had used Wang, who was at the time a famous crime-busting police chief, as something of a personal flunky to handle family problems. At one point, when Gu was upset that Guagua had a girlfriend in Britain, he asked Wang to bring the boy back to China.
Wang also testified that he had been asked to provide personal security for Guagua when he was a student at Harvard, although it is unclear how he would have done so, given that his official position was as police chief in Chongqing.
The trial is scheduled to conclude Sunday with more testimony from Wang. China state television has reported that a verdict is expected in September.
ALSO:Bo Xilai trial transcripts expose a privileged world of wealth
Morsi backers hold smaller protests in Egypt after crackdown
Thousands of protesting teachers bring chaos to Mexico's capital
Twitter: @BarbaraDemick
Tommy Yang of the Times' Beijing bureau contributed to this report.


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Physical Therapy in Texas
As of August 31, 2013, there were 14,139 actively licensed PTs and 7,304 actively licensed PTAs in Texas. |
Physical therapy is a form of health care that prevents, identifies, corrects, or alleviates acute or prolonged movement dysfunction or pain of anatomic or physiologic origin.
Who can provide physical therapy in Texas?
Physical Therapists (PTs) and Physical Therapist Assistants (PTAs) licensed by the Board are the only people who can provide "physical therapy" in this state. A PTA can provide physical therapy services only under the direction and supervision of a PT. A physical therapy aide or technician is a person not licensed by this Board who has on-the-job training and aids in the provision of physical therapy services only with onsite supervision of a PT or PTA.


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where was nicky ?? her ex?
correct me if im wrong but she is the one in white haired maiden right? i havent seen that one yet but the trailer seems good..was it good?
想唱就唱, 唱得向亮! 力揚加油
Beautiful and deadly, she is a true descendant of dragon. Fighting for the forces of right and justice, she leaves a series of broken bodies and broken hearts wherever she goes.
^ oh i hate that guy (well his role) in that series...he got so many mistakes and wrong doing to Ada...she such an upright person yet suffer so much...
i only watch it recent and lol they do have alot of explosion back then..hahah
she's one of my fav HK actress
I think Ada's Husband Max looks like Sui Bing's Husband Gary Chan don't you guys think?


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- February 3, 2013
- 8:10 a.m.
- Suggest removal
- Reply to this post
Howard56 writes:
Historically, there were no property taxes, as it could lead to confiscation of the land. Biblically, taxation was based upon 'increase' from the property, not the property itself. The Bible states that the 'earth is the Lord's and all it contains' (Psalm 24:1). To confiscate property from failure to pay taxes is a form of stealing that which God owns. As land-owners, we are but stewards. For the state to tax property, tools, or any material entities, is for itself to play god of society. If the state governments were to stay within their proper functions as protector of land and life, there would be no need of proceeds from property taxes. Health, education, and welfare are not the roles of the government. If we are poor and still have our property, then we have true freedom and safety. With property being confiscated by a tyrannical government, then a person is a sojourner and vagabond with no foundation and is always trespassing on anothers property and a slave thereof. With property, one can erect a shelter, grow food, and be free of slavery to another. Marxists hold that there can be no private property, but that the state is god walking upon earth and owns all things.
The omission of the word "property" from the 1776 Declaration was, presumably, because the right to property was considered by America's leaders in general to be not a primary, God-given, unalienable right--not on a par spiritually with the right to "Life, Liberty and the pursuit of Happiness"--but an essential legal right, a most important supporting right as the material mainstay of Man's unalienable rights including Liberty against Government-over-Man.
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Society Diaries
The latest in Houston society with Lindsey Love, Molly Glentzer and Joy Sewing
Posts filtered on Tag
DiverseWorks plans gala
Before DiverseWorks' stylish soiree on Oct. 23, a Fashion Fete! Gala, event co-chairs Liz Gorman, Alton LaDay and Tiffany Halik gathered their host committee and supportive friends for a fundraising prelude to the charitable affair. Art patrons Judy and Scott Nyquist welcomed fashionable, in-the-knows like Tatiana Massey, Shannon Hall and Jeff Shell to their home. [...]
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Some people working in Villa Angelina said us that La Villanella is a lovely place to eat. No true! When you arrive there, everything is beautiful like Villa Angelina but service is totally different. The weither puts fingers where he couldn't do, like nose... food is reciclated and freezy. I hope that owner will sell a such lovely place so... More
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- TripAdvisor is proud to partner with Expedia so you can book your Agriturismo La Villanella reservations with confidence. We help millions of travellers each month to find the perfect hotel for both holiday and business trips, always with the best discounts and special offers.


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TUSCALOOSA, Ala. (AP) -- It must be December because Alabama is preparing for a national title game and Nick Saban's future is a popular topic.
The second-ranked Crimson Tide started practicing Tuesday for the BCS championship game Jan. 7 against No. 1 Notre Dame with All-America center Barrett Jones on the mend and Saban laughing off NFL rumors.
Saban says his family is "really, really pleased and happy to be here." But he adds that nobody believes him whatever he says "so it's kind of funny to me."
What is certain is the former Miami Dolphins coach is preparing Alabama to play for the national title for the third time in four years.
Senior offensive lineman Barrett Jones won't practice until after Christmas with a sprained left foot. Receiver Kenny Bell (broken leg) has been cleared to get back to work.
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For most organizations today, E-Business software is their lifeblood. Poor performing or unreliable infrastructure could lead to major business disruptions causing lost revenue, damaging your brand reputation and customer satisfaction.
But for many IT professionals, the idea of updating hardware can seem overwhelmingly complex – but it doesn't have to be. Watch this video to learn about an innovative optimization strategy for Oracle E-Business Suite that can help you cut costs while improving reliability and productivity.


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Topre's Type Heaven mechanical keyboard reviewed Once marginalized by their extravagant pricing, Topre mechanical keyboards have now entered (somewhat) more affordable territory. How does the $150 Topre Type Heaven stack up... Type: Feature article Tags: Input devices |
45 |
Hands-on with Windows 8.1 Preview Late last month, Microsoft announced a raft of interface changes that Windows 8.1 would introduce. Here's a first-hand look at some of them from... Type: Feature article Tags: Operating systems Windows |
50 |
Gigabyte's Aivia Osmium mechanical keyboard reviewed Most high-end keyboards combine mechanical switches with LED backlighting and programmable macro keys. Gigabyte's Aivia Osmium adds a new twist: USB 3.0 connectivity. ... Type: Feature article Tags: Input devices |
22 |
A first look at Cherry's MX green key switches Cooler Master has released a keyboard based on a little-known mechanical key switch: the Cherry MX greens. We've compared this offering to an IBM... Type: Feature article Tags: Input devices |
57 |
Does the Radeon HD 7950 stumble in Windows 8? Last week, we published a rematch between the Radeon HD 7950 and the GeForce GTX 660 Ti in which the Radeon took an unexpected beating.... Type: Feature article Tags: Graphics Gaming Operating systems |
213 |
TR's 2012 Christmas gift guide We've compiled our lists and checked them twice. Read on for TR's Christmas gift guide. Type: Feature article Tags: Storage Displays Input devices Mobile computing |
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Windows 8: The convertible OS After spending a week with Microsoft's touch-friendly OS, one thing is clear: Windows 8 is perfect for convertible tablets. Type: Feature article Tags: Mobile computing Operating systems |
63 |
Hands-on with Synaptics' next-generation mobile input devices Synaptics' next-gen mobile input devices include a pressure-sensitive touchpad, a lower-latency touchscreen, and an ultra-thin keyboard with secret switch technology. We go hands-on to... Type: Feature article Tags: Input devices |
24 |
Rosewill's RK-9000-series mechanical keyboards reviewed Rosewill, Newegg's innocuous house brand, caters to mechanical keyboard enthusiasts with four nearly identical specimens priced in the $100-110 range. Each one has a different... Type: Feature article Tags: Input devices |
142 |
Corsair's Vengeance K60 and K90 mechanical keyboards Join us as we rattle away on the lovely mechanical keyswitches of Corsair's aluminum-clad K60 and K90 keyboards. Type: Feature article Tags: Input devices |
40 |
Asus' Transformer tablets share an Ice Cream Sandwich Asus has been quick to roll out Ice Cream Sandwich updates for its Eee Pad Transformers. We take a closer look at the... Type: Feature article Tags: Mobile computing Operating systems Personal tech |
28 |
Thermaltake's Meka G1 and G-Unit keyboards Cherry MX switches and extra perks dominate Thermaltake's mechanical keyboards. We take a closer look at the Meka G1 and G-Unit to see... Type: Feature article Tags: Input devices |
24 |
Razer's BlackWidow and BlackWidow Ultimate keyboards We've tested both of Razer's clicky mechanical gaming keyboards to figure out whether they're worth the money—and hearing loss. Type: Feature article Tags: Input devices |
57 |
Cyborg's Rat 7 adjustable gaming mouse Cyborg's Rat 7 gaming mouse offers loads of adjustment options, plenty of precision, and a distinct visual style. We find out if it's any... Type: Feature article Tags: Input devices |
69 |
Apple's aluminum keyboard Can low-profile chiclet keys, sleek industrial design, and an Apple logo make a good desktop keyboard? And can such a device pry a fan... Type: Feature article Tags: Input devices Mac |
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Windows 7: A desktop user's take Does Windows 7 really live up to the hype? Is it a worthwhile upgrade over Vista and XP for desktop users and enthusiasts? We took... Type: Feature article Tags: Operating systems Windows |
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ABS's M1 mechanical keyboard Here's an unusual concept: a mechanical gaming keyboard with non-clicky key switches. Can such a device create a smooth typing experience, and is it... Type: Feature article Tags: Miscellaneous Input devices |
45 |
Enermax's Aurora Premium keyboard What's this? A laptop-style keyboard on the desk of a TR editor, a heavy-duty typist and ostensible keyboard purist? Surely there must... Type: Feature article Tags: Input devices |
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Oculus gets $75 million to produce VR headset for consumers | 25 |


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Shop our full line of bridesmaid jewelry pieces. We carry bridesmaid earrings, bracelets, necklaces, hair accessories and jewelry sets. Each and every piece is size, style and color customizable to match any color pallet.
Bonita Bucks | Beach Bridal Jewelry | Policies & Shipping | Wedding Blog
© 2013 BonitaJ.com


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This was our first experience of LA flying in for he first time. We were some what disappointed. Yes it is expected for he money you pay. But as many have said the hotel is in need of a bloody good renovation! We could barely get in the dirty bathroom as the door opened onto the toilet and blocked the shower, our closet door barely opened, the room was under furnished as it was a big room. However we were just sleeping here. It is a shame as the lobby was spectacular.
- Also Known As:
- Mayfair Hotel Los Angeles
- Mayfair Los Angeles
- Mayfair Hotel La
- Official Description (provided by the hotel):
- The Hotel offers 24-hour front desk staff, a business center, a restaurant, fitness center, complimentary local phone calls up to 30 minutes, and free wireless internet access throughout the Hotel. Its prime location is just a few blocks from the Los Angeles Convention Center, Staples Center, LA Fashion District, Financial District, and Jewelry District. Famous attractions such as Universal Studios Hollywood, the Getty Museum, Beverly Hills, and Santa Monica are nearby. Disneyland & Knott's Berry Farm are a 30-minute drive away.Los Angeles International Airport (LAX) or Burbank International Airport (BUR) are approximately 15 miles away. ... more less
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Sun, Dec 22 11:00am + 2hr after event
5 people recommend parking here 3 left comments
ok but unepected valet. i refused the valet and was directed to another lot at no additional expense
convenient easy in easy out---very busy when we arrived--but got us parked right away when we showed the parkwhiz receipt!!
Parking was close to the stadium. The staff was very welcoming and helpful.
This location will leave you minutes away from Paul Brown Stadium! Giving close access to the Caffe Barista & Deli, as well
This location is a commercial parking lot.
Preferred parking for Paul Brown Stadium, Duke Energy Convention Center, ProScan Imaging - Paul Brown Stadium, The Reserve at 4th and Race, The Cincinnatian Hotel.
This large open air lot is just minutes away from the Paul Brown Stadium. This large open air lot is enclosed by a perimeter of trees running down Plum, 5th, and Home Street. Traveling West on 4th street the entrance of the lot is shortly passed the Avis Rent-a-Car and is situated directly across from the blue awnings of the Plum Apartments.
0.31 miles from Paul Brown Stadium


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Featured Events
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Check out our full selection of Pop tickets or sign up to be notified when tickets for this event are available.
Nobody keeps the party rocking quite like this glittery pop star, and a purchase of 2013 Kesha tickets allows you to join her live while she electrifies the crowd with Billboard-topping hits like "Tik Tok" and "We R Who We R." This multi-platinum-selling songstress expertly blends together pop, electronic, dance, and hip hop elements to form some of the most infectious club records to date, and her high-energy stage shows are famous for their remarkable choreography and intensity. Boasting an unparalleled style and stage presence, this award-winning singer-songwriter is a must-see live, and the opportunity can be yours by following these three, simple steps:


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Love , Sonia!
Dear admins,
Instead of trying to create ways like contests and offers in order to make us spend our money in the game , you should try and make it more ''user friendly'' and fun!
Even if you think that pressing the fight button 23498921 times ,


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Topics in this article: Oakland County Automotive Workforce Real Estate Federal-Mogul Corp. Bankruptcy
Originally Published: September 08, 2013 8:00 AM Modified: September 09, 2013 6:22 AM
Federal-Mogul plans move to smaller spaceBy Kirk Pinho
Related links
Auto supplier Federal-Mogul Corp. will move the 650-700 employees at its Southfield headquarters to a new office in a neighboring suburb next year. Topics in this article: Oakland County Automotive Workforce Real Estate Federal-Mogul Corp. Bankruptcy
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