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Amazing Race heads to a changed Vietnam,clover knock off necklace van cleef
Executive producer John Brunton had one question when thinking about bringing The Amazing Race Canada to Vietnam: could this faraway land of jungles and rivers provide enough technical support for his large crew and contestants,van cleef replica butterfly necklace?
Yes, was the final answer, but there was a road block or two along the way. Viewers can see for themselves starting with Tuesday's episode of the show on CTV. The nine remaining two person teams race from Calgary to Vancouver then across the international dateline to Hong Kong and finally Vietnam. The first stop there is the vital commercial waterways of the Mekong Delta.
As always, the location was scouted in advance. Brunton's fears that people might falter in the tropical heat were well founded. Temperatures soared close to 40 C during the race in May. Two crew members and two team members needed medical attention. "And we got electric lights!" he said, roaring with laughter.
Language problems aside, Brunton said it was important to bring the race somewhere that was "dramatically different" for season 4. Last season saw teams visit Argentina and Chile as well as India.
The challenge,vca replica necklace, however, is that in a world that is becoming increasingly dangerous, safe exotic locales are in short supply. Viewers who lived through nightly Vietnam War TV reports in the '60s and '70s will now see it as a safe, conflict free destination, whereas terrorist targets such as London and Paris seem risky.
Brunton checked with the producer of the American version of The Amazing Race, Bertram van Munster, who gave the destination a big thumbs up.
"You have a culture in Chile where the law is very strict," he said. "If you ever tried to bribe anybody, you could go to jail." With other jurisdictions, said Brunton, it's hard to get anything done "without a big roll of dough in your pocket."
"We knew from the outset that [Vietnam] was a pretty reasonably honest place to do business," said Brunton.
Still, it is Communist country,van cleef and arpels butterfly replica necklace, with a conservative regime in place. But the red tape was worth it, said Brunton, who saw an opportunity, in the wake of Canada's generous Syrian refugee efforts, to reflect upon a "boat people" story from decades earlier "that is so central to who we are now."
Executive producer John Brunton had one question when thinking about bringing The Amazing Race Canada to Vietnam: could this faraway land of jungles and rivers provide enough technical support for his large crew and contestants,van cleef replica butterfly necklace?
Yes, was the final answer, but there was a road block or two along the way. Viewers can see for themselves starting with Tuesday's episode of the show on CTV. The nine remaining two person teams race from Calgary to Vancouver then across the international dateline to Hong Kong and finally Vietnam. The first stop there is the vital commercial waterways of the Mekong Delta.
As always, the location was scouted in advance. Brunton's fears that people might falter in the tropical heat were well founded. Temperatures soared close to 40 C during the race in May. Two crew members and two team members needed medical attention. "And we got electric lights!" he said, roaring with laughter.
Language problems aside, Brunton said it was important to bring the race somewhere that was "dramatically different" for season 4. Last season saw teams visit Argentina and Chile as well as India.
The challenge,vca replica necklace, however, is that in a world that is becoming increasingly dangerous, safe exotic locales are in short supply. Viewers who lived through nightly Vietnam War TV reports in the '60s and '70s will now see it as a safe, conflict free destination, whereas terrorist targets such as London and Paris seem risky.
Brunton checked with the producer of the American version of The Amazing Race, Bertram van Munster, who gave the destination a big thumbs up.
"You have a culture in Chile where the law is very strict," he said. "If you ever tried to bribe anybody, you could go to jail." With other jurisdictions, said Brunton, it's hard to get anything done "without a big roll of dough in your pocket."
"We knew from the outset that [Vietnam] was a pretty reasonably honest place to do business," said Brunton.
Still, it is Communist country,van cleef and arpels butterfly replica necklace, with a conservative regime in place. But the red tape was worth it, said Brunton, who saw an opportunity, in the wake of Canada's generous Syrian refugee efforts, to reflect upon a "boat people" story from decades earlier "that is so central to who we are now."
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City man arrested 14 months after fatal hit
on Nov. 23,van cleef arpel replica necklace, 2008, when she was struck head on by a van.
Moments before, the van had been rear ended by a speeding 1999 Jaguar, forcing the driver of the van to lose control of the vehicle, cross the median and strike Dequier's truck.
RCMP Sgt. Denis Jolicoeur said the investigation found that the registered owner of the Jaguar was not behind the wheel when it caused the crash and officers had difficulty identifying who was driving the car.
"We didn't just put this file in a drawer and forget about it," Jolicoeur said. "We just made sure we covered everything and followed every lead."
Jolicoeur said a dramatic turn in the investigation came recently with new evidence that resulted in police arresting and laying charges Wednesday against Roland Artimowich, 36, of Winnipeg.
He has been charged with criminal negligence causing death, dangerous driving causing death and failing to remain at the scene of an accident.
Artimowich was held in custody at the Winnipeg Remand Centre overnight and will have a bail hearing this morning,van cleef and arpels replica necklace.
Dequier grew up in St. Claude and was a high school debating champion,van cleef and arpel fake necklace. She studied accounting and managed a local co operative before she decided to switch careers and become a long haul trucker. She had been working for Yanke trucking at the time of her death.
Jenin said her sister was the second sibling to die in a car crash. Their brother Gilles, two years younger than Odette,van cleef arpels fake necklace, died in a rollover in 1983.
"We're very happy that this is happening," Jenin said. "This man has been loose in the community for a long time. We are very thankful for all the hard work from the RCMP.".
on Nov. 23,van cleef arpel replica necklace, 2008, when she was struck head on by a van.
Moments before, the van had been rear ended by a speeding 1999 Jaguar, forcing the driver of the van to lose control of the vehicle, cross the median and strike Dequier's truck.
RCMP Sgt. Denis Jolicoeur said the investigation found that the registered owner of the Jaguar was not behind the wheel when it caused the crash and officers had difficulty identifying who was driving the car.
"We didn't just put this file in a drawer and forget about it," Jolicoeur said. "We just made sure we covered everything and followed every lead."
Jolicoeur said a dramatic turn in the investigation came recently with new evidence that resulted in police arresting and laying charges Wednesday against Roland Artimowich, 36, of Winnipeg.
He has been charged with criminal negligence causing death, dangerous driving causing death and failing to remain at the scene of an accident.
Artimowich was held in custody at the Winnipeg Remand Centre overnight and will have a bail hearing this morning,van cleef and arpels replica necklace.
Dequier grew up in St. Claude and was a high school debating champion,van cleef and arpel fake necklace. She studied accounting and managed a local co operative before she decided to switch careers and become a long haul trucker. She had been working for Yanke trucking at the time of her death.
Jenin said her sister was the second sibling to die in a car crash. Their brother Gilles, two years younger than Odette,van cleef arpels fake necklace, died in a rollover in 1983.
"We're very happy that this is happening," Jenin said. "This man has been loose in the community for a long time. We are very thankful for all the hard work from the RCMP.".
Are nanotech fabrics any good
Imagine you're balancing a cup of coffee and heading back to your workstation and the inevitable happens the coffee spills. There are huge, blotchy coffee stains across your workwear. How can you turn up like this for that important mid afternoon client meeting?
If you're wearing stain resistant clothing, you may not be badly off. The chances of your favourite white shirt sporting an ugly, dull brown stain post wash are minimised if you are wearing shirts made of fabric that is treated with nanotechnology.
The menswear market today is flooded with shirts and trousers that are wrinkle free, stain resistant and have cooling properties. All of these essentially use what is called nanotechnology.
What is nanotechnology? Nanotechnology is the science of studying materials smaller than 100 nanometers, or roughly 1/100th the width of a human hair. A nanometer is one billionth of a metre. Nanotechnology was first used in fabric in 1998 by a chemist named David Soane, who founded Nano Tex while the first widespread commercial use began in 2001.
The way it works is that fabrics are engineered on a molecular level so that clothing becomes wrinkle resistant,van cleef knock off necklace wholesale, stain repellent and even able to brush away body moisture.
Nano scale products are built with sub miniature components that are often grown like crystals or dispersed through molecular nozzles. And these miniature components are then incorporated into ordinary materials either during manufacture or post manufacture.
In the case of fabric, rolls of woven cotton fabric from textile mills are immersed in liquids containing trillions of nanotech fibres. Then this treated cotton, is dried in ovens binding the tiny fibres to the comparatively much larger cotton threads. Though the final product looks unchanged, it provides a nearly solid barrier to liquid or wrinkles, for instance.
In India, several brands have incorporated this technology in their ready to wear garments. Brands like Raymonds' Parx, Madura Garments' Allen Solly, Dockers, Louis Phillipe and Van Heusen offer nanotech garments in addition to normal cotton or blended shirts and trousers.
Arvind Mills' brand Arrow used nanotechnology till about a year back. The company has now developed an indigenous technology with liquid repellent properties in its Unstainables range of shirts and trousers.
The unstainable shirts are priced at Rs 1,595 onwards and the trousers range upwards of Rs 1,695. Compared to this, the normal premium shirts and trousers start at Rs 1,395. This technology that the company has developed lends a stain repellent quality to 100 per cent cotton.
Says a company official, While the fabric defies any spill or stain, it is not a raincoat and has no synthetic coating. The fabric breathes naturally and is comfortable to wear. The Arrow brand is available at exclusive showrooms, multi brand outlets and department stores at metros and mini metros.
Raymond Apparel's brands Parx and Park Avenue also offer nanotechnology garments. Parx offers nanocare chinos (trousers) at Rs 1,599 while the Smart Care Shirts by Park Avenue are priced at Rs 1,495. The shirts, says the company, protect against wrinkles and stains (and can repel both water and oil).
Then, there's Dockers which offers odour resistant, anti microbial and wrinkle free shirts all in one. The shirt has properties to reduce body odour and bacteria due to sweat and is wrinkle free as well. It is priced at Rs 1,199 for a half sleeve shirt compared to Rs 899 for its untreated cotton counterpart. Currently there's no full sleeve range.
The brand also has stain defender trousers which are treated with Dupont Teflon due to which oil and water based liquids bead up and roll off providing stain protection. The wrinkle free trousers range from Rs 1,099 to Rs 1,799 depending on the fabric while the stain defender is priced at Rs 1,999.
Allen Solly only offers wrinkle free trousers ranging from Rs 1,299 to Rs 1,499 depending on the fabric. Premium brands like Louis Phillipe also offer wrinkle free shirts and trousers.
Shirts range from Rs 1,999 to Rs 3,van cleef alhambra replica necklace,999 while normal cotton shirts are priced ranging from Rs 999 Rs 1,599. Louis Phillipe's wrinkle free trousers are priced at Rs 1,799.
Apart from the wrinkle free shirts, Van Heusen offers Oxyrich shirts and Icetouch cooling shirts. The Oxyrich shirt, priced between Rs 999 to Rs 1,299 (depending on the fabric), releases oxygen ions around the wearer, inducing freshness.
While the Icetouch range of shirts cools down the body,van cleef necklace knock off wholesale. The brand doesn't have a range of similar trousers though.
While all of this sounds good, the fact is that nanotechnology lasts for only about 30 50 washes depending on the brand and assuming the shirt is washed once every week that's about seven months to a year. After that, the nanotech shirt you've paid a premium for goes on to become any other normal shirt.
It will wrinkle, stain, allow body odour and no longer cool you down. Says a Mumbai retailer, Consumers don't ask for these products outright. Repeat clients later complain that the shirts are no longer wrinkle free, not realising that the technology doesn't last permanently.
The one way to extend the life of the nanotech garment is to follow the wash instructions as closely as possible. These include no drycleaning, a delicate machine wash,van cleef necklace replica wholesale, avoiding chlorine bleaches, avoiding wringing the clothing and drip drying.
Each shirt and trouser will come with a set of wash instructions which should be read if you want to prolong the life of the nanotechnology used in your formal workwear.
Imagine you're balancing a cup of coffee and heading back to your workstation and the inevitable happens the coffee spills. There are huge, blotchy coffee stains across your workwear. How can you turn up like this for that important mid afternoon client meeting?
If you're wearing stain resistant clothing, you may not be badly off. The chances of your favourite white shirt sporting an ugly, dull brown stain post wash are minimised if you are wearing shirts made of fabric that is treated with nanotechnology.
The menswear market today is flooded with shirts and trousers that are wrinkle free, stain resistant and have cooling properties. All of these essentially use what is called nanotechnology.
What is nanotechnology? Nanotechnology is the science of studying materials smaller than 100 nanometers, or roughly 1/100th the width of a human hair. A nanometer is one billionth of a metre. Nanotechnology was first used in fabric in 1998 by a chemist named David Soane, who founded Nano Tex while the first widespread commercial use began in 2001.
The way it works is that fabrics are engineered on a molecular level so that clothing becomes wrinkle resistant,van cleef knock off necklace wholesale, stain repellent and even able to brush away body moisture.
Nano scale products are built with sub miniature components that are often grown like crystals or dispersed through molecular nozzles. And these miniature components are then incorporated into ordinary materials either during manufacture or post manufacture.
In the case of fabric, rolls of woven cotton fabric from textile mills are immersed in liquids containing trillions of nanotech fibres. Then this treated cotton, is dried in ovens binding the tiny fibres to the comparatively much larger cotton threads. Though the final product looks unchanged, it provides a nearly solid barrier to liquid or wrinkles, for instance.
In India, several brands have incorporated this technology in their ready to wear garments. Brands like Raymonds' Parx, Madura Garments' Allen Solly, Dockers, Louis Phillipe and Van Heusen offer nanotech garments in addition to normal cotton or blended shirts and trousers.
Arvind Mills' brand Arrow used nanotechnology till about a year back. The company has now developed an indigenous technology with liquid repellent properties in its Unstainables range of shirts and trousers.
The unstainable shirts are priced at Rs 1,595 onwards and the trousers range upwards of Rs 1,695. Compared to this, the normal premium shirts and trousers start at Rs 1,395. This technology that the company has developed lends a stain repellent quality to 100 per cent cotton.
Says a company official, While the fabric defies any spill or stain, it is not a raincoat and has no synthetic coating. The fabric breathes naturally and is comfortable to wear. The Arrow brand is available at exclusive showrooms, multi brand outlets and department stores at metros and mini metros.
Raymond Apparel's brands Parx and Park Avenue also offer nanotechnology garments. Parx offers nanocare chinos (trousers) at Rs 1,599 while the Smart Care Shirts by Park Avenue are priced at Rs 1,495. The shirts, says the company, protect against wrinkles and stains (and can repel both water and oil).
Then, there's Dockers which offers odour resistant, anti microbial and wrinkle free shirts all in one. The shirt has properties to reduce body odour and bacteria due to sweat and is wrinkle free as well. It is priced at Rs 1,199 for a half sleeve shirt compared to Rs 899 for its untreated cotton counterpart. Currently there's no full sleeve range.
The brand also has stain defender trousers which are treated with Dupont Teflon due to which oil and water based liquids bead up and roll off providing stain protection. The wrinkle free trousers range from Rs 1,099 to Rs 1,799 depending on the fabric while the stain defender is priced at Rs 1,999.
Allen Solly only offers wrinkle free trousers ranging from Rs 1,299 to Rs 1,499 depending on the fabric. Premium brands like Louis Phillipe also offer wrinkle free shirts and trousers.
Shirts range from Rs 1,999 to Rs 3,van cleef alhambra replica necklace,999 while normal cotton shirts are priced ranging from Rs 999 Rs 1,599. Louis Phillipe's wrinkle free trousers are priced at Rs 1,799.
Apart from the wrinkle free shirts, Van Heusen offers Oxyrich shirts and Icetouch cooling shirts. The Oxyrich shirt, priced between Rs 999 to Rs 1,299 (depending on the fabric), releases oxygen ions around the wearer, inducing freshness.
While the Icetouch range of shirts cools down the body,van cleef necklace knock off wholesale. The brand doesn't have a range of similar trousers though.
While all of this sounds good, the fact is that nanotechnology lasts for only about 30 50 washes depending on the brand and assuming the shirt is washed once every week that's about seven months to a year. After that, the nanotech shirt you've paid a premium for goes on to become any other normal shirt.
It will wrinkle, stain, allow body odour and no longer cool you down. Says a Mumbai retailer, Consumers don't ask for these products outright. Repeat clients later complain that the shirts are no longer wrinkle free, not realising that the technology doesn't last permanently.
The one way to extend the life of the nanotech garment is to follow the wash instructions as closely as possible. These include no drycleaning, a delicate machine wash,van cleef necklace replica wholesale, avoiding chlorine bleaches, avoiding wringing the clothing and drip drying.
Each shirt and trouser will come with a set of wash instructions which should be read if you want to prolong the life of the nanotechnology used in your formal workwear.
Clinical features and neuroimaging CT and MRI findings in presumed Zika virus related congenital infection and microcephaly
AbstractObjectiveTo report radiological findings observed in computed tomography (CT) and magnetic resonance imaging (MRI) scans of the first cases of congenital infection and microcephaly presumably associated with the Zika virus in the current Brazilian epidemic.ResultsSix of the 23 children tested positive for IgM antibodies to Zika virus in cerebrospinal fluid. The other 17 children met the protocol criteria for congenital infection presumably associated with the Zika virus, even without being tested for IgM antibodies to the virus the test was not yet available on a routine basis. Of the 23 children, 15 underwent CT, seven underwent both CT and MRI, and one underwent MRI. Of the 22 children who underwent CT, all had calcifications in the junction between cortical and subcortical white matter, 21 (95%) had malformations of cortical development, 20 (91%) had a decreased brain volume, 19 (86%) had ventriculomegaly, and 11 (50%) had hypoplasia of the cerebellum or brainstem. Of the eight children who underwent MRI, all had calcifications in the junction between cortical and subcortical white matter, malformations of cortical development occurring predominantly in the frontal lobes, and ventriculomegaly. Seven of the eight (88%) children had enlarged cisterna magna, seven (88%) delayed myelination, and six each (75%) a moderate to severe decrease in brain volume, simplified gyral pattern,van cleef and arpels necklaces, and abnormalities of the corpus callosum (38% hypogenesis and 38% hypoplasia). Malformations were symmetrical in 75% of the cases.ConclusionSevere cerebral damage was found on imaging in most of the children in this case series with congenital infection presumably associated with the Zika virus. The features most commonly found were brain calcifications in the junction between cortical and subcortical white matter associated with malformations of cortical development, often with a simplified gyral pattern and predominance of pachygyria or polymicrogyria in the frontal lobes. Additional findings were enlarged cisterna magna, abnormalities of corpus callosum (hypoplasia or hypogenesis), ventriculomegaly, delayed myelination, and hypoplasia of the cerebellum and the brainstem.IntroductionSince October 2015 there has been an increase in the number of children with microcephaly in Pernambuco,1 a Brazilian state with nine million inhabitants. Several possible explanations for this phenomenon have been proposed, including an association with the current rise in Zika virus infections observed since March 2015.1The putative association between Zika virus infection in mothers during pregnancy and microcephalic offspring is based on epidemiological and laboratory evidence. These include the temporal association between the Zika virus epidemic and concomitant increase in the number of babies born with microcephaly1; the identification of the Zika virus genome (using reverse transcription polymerase chain reaction assay) in amniotic fluid samples from two pregnant women with microcephalic fetuses2; the detection of the Zika virus genome in the blood and tissue samples of a newborn baby with microcephaly who died five minutes after birth3; the demonstration of Zika virus neurotropism in experimental animals4; the discovery that Zika virus can cause death of neural cells5; and the finding of a higher frequency of abnormalities detected by ultrasonography in pregnant women with Zika virus infection compared with those without.6Zika virus is transmitted through the bite of an infected arthropod. The virus has been isolated from several species of mosquitoes: Aedes africanus, Aedes luteocephalus, and Aedes aegypti.7 The last of these is also known to transmit other diseases, such as dengue and yellow fever, which are endemic infections, and Chikungunya, which has also emerged recently.3 8 9 10 Zika virus epidemics have been described in several countries, especially in the most densely populated cities of tropical and subtropical regions.3 8 9 10 Although Zika virus was first described in 1947,3 11 no relation between Zika virus infection and microcephaly was confirmed until November 2015 in Brazil (table 1).2 Epidemiological data suggest that cases of microcephaly in Brazil might be associated with the introduction of Zika virus.1 This hypothesis was strongly supported in November 2015 by laboratory evidence from the amniotic fluid of women with microcephalic fetuses.1 In February 2016, the World Health Organization declared Zika virus a global health emergency.16Table 1 Brief history of Zika virus epidemic and its association with microcephalyView this table:View popupView inlineOf the 5280 notified cases of microcephaly in Brazil up to 13 February 2016 (fig 1), only 1345 have been investigated and classified. Of these, Zika virus infection has been diagnosed in 508, according to the definitions of the Brazilian Ministry of Health's protocol. In Pernambuco, the state with most notifications (n=1544), 182 cases have been investigated and confirmed as presumed Zika virus related infection.17Fig 1 of Brazil showing cities with notified cases of microcephaly in Brazil up to 13 February 2016. Adapted from Brazilian Ministry of Health17Even though microcephaly is the principal characteristic of a severe congenital infection during the early stages of pregnancy, to the best of our knowledge, the radiological features of children with presumed Zika virus related congenital infection or microcephaly have not been well characterised. A case series from Brazil described the computed tomography (CT) and transfontanellar cranial ultrasound characteristics of Zika virus related microcephaly, but the images were not shown. The features on magnetic resonance imaging (MRI) have not been described in children born with microcephaly.18 We describe the brain imaging (CT and MRI) features as well as principal clinical findings of children with microcephaly and presumed congenital infection related to the Zika virus during the epidemic in Pernambuco, Brazil.Patient involvementNo patients were involved in setting the research question or the outcome measures, nor were they involved in developing plans for design or implementation of the study. No patients were asked to advise on interpretation or writing up of results. There are no plans to disseminate the results of the research to study participants or the relevant patient community.MethodsThis is a retrospective report of a case series of 23 children with microcephaly and presumed Zika virus related congenital infection during the Brazilian epidemic, 2015 16. In the initial stages of the epidemic, microcephaly was defined as a head circumference of 33 cm or less. On 2 December 2015 the criterion for diagnosis changed to 32 cm or less for infants of gestational age 37 weeks or more, or, for preterm infants, 2 standard deviations below the mean for age and sex on the Fenton curve.According to the Brazilian Ministry of Health's protocol, all infants born with suspected microcephaly in Pernambuco should be referred to one of two paediatric infectious disease departments and to one of four rehabilitation centres. The Association for Assistance of Disabled Children (AACD) is one of the rehabilitation centres. All investigations described in this report were conducted as part of the routine clinical evaluation of these children as established by clinical protocols defined by the Brazilian Ministry of Health and the health secretary of Pernambuco state,1 and the differential diagnosis was based on clinical presentation, personal and family history, laboratory test results,replica van cleef & arpels necklace, and radiological findings. Parents or guardians gave consent before the procedures.In AACD, all children are initially examined by a neurologist or physician specialising in physical medicine and rehabilitation, and, as needed, an ophthalmologist, orthopaedic consultant, and a multidisciplinary team of rehabilitation specialists. All children undergo a CT brain scan without contrast. Some also undergo MRI of the brain, based on the results of the clinical evaluation,van cleef & arpels necklace price, mainly the presence of refractory seizures or suspicion of hydrocephalus and arthrogryposis.We used a standard form to collect personal and clinical data. Mothers gave information on illness during pregnancy compatible with Zika virus infection (eg, maculopapular rash, fever, headache, myalgia, arthralgia, and conjunctivitis), with or without serological confirmation,van cleef necklace price, as well as any neurological dysfunction or craniofacial disproportion in the newborn.The main agents of congenital infections that cause brain calcifications and microcephaly (cytomegalovirus, toxoplasmosis, rubella, and syphilis) were investigated with paired serology (IgM and IgG antibodies to Zika virus) of both mother and newborn. If IgG antibodies to cytomegalovirus were present in both, polymerase chain reaction was conducted on urine samples. We excluded from the study those children with known causes of microcephaly other than Zika virus. Cerebrospinal fluid samples from six children were tested by IgM antibody capture enzyme linked immunosorbent assay (the new specific test for Zika virus), following the protocol of the Centers for Disease Control and Prevention.19 Genetic testing is not included in the Brazilian government's protocol, and differential diagnosis is performed based on family history and imaging findings, as is done with all metabolic diseases. Other causes of microcephaly, such as prenatal and perinatal complications and exposure to licit and illicit drugs, toxic substances, and ionising radiation were excluded in the children.Children included in this report had microcephaly or craniofacial disproportion (diagnosed by ultrasound examination during pregnancy or at birth), or both; brain imaging suggestive of congenital infection; and negative test results for other known infectious causes of microcephaly (eg, toxoplasmosis, cytomegalovirus, rubella, syphilis, and HIV).CT and MRI scansAccording to the protocol of the Brazilian government, all children with microcephaly undergo non contrast brain CT after clinical examination. MRI is not included in the protocol, but it is performed when available, based on clinical indication. The evaluation of the images was exclusively qualitative.All CT scanning was performed using a multislice CT scanner without contrast, and all MRI was performed using a 1.5T MRI scanner. Only in one child was MRI done with contrast. We considered mainly T1 weighted images as the most useful sequence for assessing normal brain maturation in children during the first six months. T1 and T2 weighted images were available for all the children, except one, who underwent only T2 weighted imaging.Statistical analysisDescriptive statistics were used for data analysis, carried out using the Statistical Package for Social Sciences (SPSS), version 21.0.
AbstractObjectiveTo report radiological findings observed in computed tomography (CT) and magnetic resonance imaging (MRI) scans of the first cases of congenital infection and microcephaly presumably associated with the Zika virus in the current Brazilian epidemic.ResultsSix of the 23 children tested positive for IgM antibodies to Zika virus in cerebrospinal fluid. The other 17 children met the protocol criteria for congenital infection presumably associated with the Zika virus, even without being tested for IgM antibodies to the virus the test was not yet available on a routine basis. Of the 23 children, 15 underwent CT, seven underwent both CT and MRI, and one underwent MRI. Of the 22 children who underwent CT, all had calcifications in the junction between cortical and subcortical white matter, 21 (95%) had malformations of cortical development, 20 (91%) had a decreased brain volume, 19 (86%) had ventriculomegaly, and 11 (50%) had hypoplasia of the cerebellum or brainstem. Of the eight children who underwent MRI, all had calcifications in the junction between cortical and subcortical white matter, malformations of cortical development occurring predominantly in the frontal lobes, and ventriculomegaly. Seven of the eight (88%) children had enlarged cisterna magna, seven (88%) delayed myelination, and six each (75%) a moderate to severe decrease in brain volume, simplified gyral pattern,van cleef and arpels necklaces, and abnormalities of the corpus callosum (38% hypogenesis and 38% hypoplasia). Malformations were symmetrical in 75% of the cases.ConclusionSevere cerebral damage was found on imaging in most of the children in this case series with congenital infection presumably associated with the Zika virus. The features most commonly found were brain calcifications in the junction between cortical and subcortical white matter associated with malformations of cortical development, often with a simplified gyral pattern and predominance of pachygyria or polymicrogyria in the frontal lobes. Additional findings were enlarged cisterna magna, abnormalities of corpus callosum (hypoplasia or hypogenesis), ventriculomegaly, delayed myelination, and hypoplasia of the cerebellum and the brainstem.IntroductionSince October 2015 there has been an increase in the number of children with microcephaly in Pernambuco,1 a Brazilian state with nine million inhabitants. Several possible explanations for this phenomenon have been proposed, including an association with the current rise in Zika virus infections observed since March 2015.1The putative association between Zika virus infection in mothers during pregnancy and microcephalic offspring is based on epidemiological and laboratory evidence. These include the temporal association between the Zika virus epidemic and concomitant increase in the number of babies born with microcephaly1; the identification of the Zika virus genome (using reverse transcription polymerase chain reaction assay) in amniotic fluid samples from two pregnant women with microcephalic fetuses2; the detection of the Zika virus genome in the blood and tissue samples of a newborn baby with microcephaly who died five minutes after birth3; the demonstration of Zika virus neurotropism in experimental animals4; the discovery that Zika virus can cause death of neural cells5; and the finding of a higher frequency of abnormalities detected by ultrasonography in pregnant women with Zika virus infection compared with those without.6Zika virus is transmitted through the bite of an infected arthropod. The virus has been isolated from several species of mosquitoes: Aedes africanus, Aedes luteocephalus, and Aedes aegypti.7 The last of these is also known to transmit other diseases, such as dengue and yellow fever, which are endemic infections, and Chikungunya, which has also emerged recently.3 8 9 10 Zika virus epidemics have been described in several countries, especially in the most densely populated cities of tropical and subtropical regions.3 8 9 10 Although Zika virus was first described in 1947,3 11 no relation between Zika virus infection and microcephaly was confirmed until November 2015 in Brazil (table 1).2 Epidemiological data suggest that cases of microcephaly in Brazil might be associated with the introduction of Zika virus.1 This hypothesis was strongly supported in November 2015 by laboratory evidence from the amniotic fluid of women with microcephalic fetuses.1 In February 2016, the World Health Organization declared Zika virus a global health emergency.16Table 1 Brief history of Zika virus epidemic and its association with microcephalyView this table:View popupView inlineOf the 5280 notified cases of microcephaly in Brazil up to 13 February 2016 (fig 1), only 1345 have been investigated and classified. Of these, Zika virus infection has been diagnosed in 508, according to the definitions of the Brazilian Ministry of Health's protocol. In Pernambuco, the state with most notifications (n=1544), 182 cases have been investigated and confirmed as presumed Zika virus related infection.17Fig 1 of Brazil showing cities with notified cases of microcephaly in Brazil up to 13 February 2016. Adapted from Brazilian Ministry of Health17Even though microcephaly is the principal characteristic of a severe congenital infection during the early stages of pregnancy, to the best of our knowledge, the radiological features of children with presumed Zika virus related congenital infection or microcephaly have not been well characterised. A case series from Brazil described the computed tomography (CT) and transfontanellar cranial ultrasound characteristics of Zika virus related microcephaly, but the images were not shown. The features on magnetic resonance imaging (MRI) have not been described in children born with microcephaly.18 We describe the brain imaging (CT and MRI) features as well as principal clinical findings of children with microcephaly and presumed congenital infection related to the Zika virus during the epidemic in Pernambuco, Brazil.Patient involvementNo patients were involved in setting the research question or the outcome measures, nor were they involved in developing plans for design or implementation of the study. No patients were asked to advise on interpretation or writing up of results. There are no plans to disseminate the results of the research to study participants or the relevant patient community.MethodsThis is a retrospective report of a case series of 23 children with microcephaly and presumed Zika virus related congenital infection during the Brazilian epidemic, 2015 16. In the initial stages of the epidemic, microcephaly was defined as a head circumference of 33 cm or less. On 2 December 2015 the criterion for diagnosis changed to 32 cm or less for infants of gestational age 37 weeks or more, or, for preterm infants, 2 standard deviations below the mean for age and sex on the Fenton curve.According to the Brazilian Ministry of Health's protocol, all infants born with suspected microcephaly in Pernambuco should be referred to one of two paediatric infectious disease departments and to one of four rehabilitation centres. The Association for Assistance of Disabled Children (AACD) is one of the rehabilitation centres. All investigations described in this report were conducted as part of the routine clinical evaluation of these children as established by clinical protocols defined by the Brazilian Ministry of Health and the health secretary of Pernambuco state,1 and the differential diagnosis was based on clinical presentation, personal and family history, laboratory test results,replica van cleef & arpels necklace, and radiological findings. Parents or guardians gave consent before the procedures.In AACD, all children are initially examined by a neurologist or physician specialising in physical medicine and rehabilitation, and, as needed, an ophthalmologist, orthopaedic consultant, and a multidisciplinary team of rehabilitation specialists. All children undergo a CT brain scan without contrast. Some also undergo MRI of the brain, based on the results of the clinical evaluation,van cleef & arpels necklace price, mainly the presence of refractory seizures or suspicion of hydrocephalus and arthrogryposis.We used a standard form to collect personal and clinical data. Mothers gave information on illness during pregnancy compatible with Zika virus infection (eg, maculopapular rash, fever, headache, myalgia, arthralgia, and conjunctivitis), with or without serological confirmation,van cleef necklace price, as well as any neurological dysfunction or craniofacial disproportion in the newborn.The main agents of congenital infections that cause brain calcifications and microcephaly (cytomegalovirus, toxoplasmosis, rubella, and syphilis) were investigated with paired serology (IgM and IgG antibodies to Zika virus) of both mother and newborn. If IgG antibodies to cytomegalovirus were present in both, polymerase chain reaction was conducted on urine samples. We excluded from the study those children with known causes of microcephaly other than Zika virus. Cerebrospinal fluid samples from six children were tested by IgM antibody capture enzyme linked immunosorbent assay (the new specific test for Zika virus), following the protocol of the Centers for Disease Control and Prevention.19 Genetic testing is not included in the Brazilian government's protocol, and differential diagnosis is performed based on family history and imaging findings, as is done with all metabolic diseases. Other causes of microcephaly, such as prenatal and perinatal complications and exposure to licit and illicit drugs, toxic substances, and ionising radiation were excluded in the children.Children included in this report had microcephaly or craniofacial disproportion (diagnosed by ultrasound examination during pregnancy or at birth), or both; brain imaging suggestive of congenital infection; and negative test results for other known infectious causes of microcephaly (eg, toxoplasmosis, cytomegalovirus, rubella, syphilis, and HIV).CT and MRI scansAccording to the protocol of the Brazilian government, all children with microcephaly undergo non contrast brain CT after clinical examination. MRI is not included in the protocol, but it is performed when available, based on clinical indication. The evaluation of the images was exclusively qualitative.All CT scanning was performed using a multislice CT scanner without contrast, and all MRI was performed using a 1.5T MRI scanner. Only in one child was MRI done with contrast. We considered mainly T1 weighted images as the most useful sequence for assessing normal brain maturation in children during the first six months. T1 and T2 weighted images were available for all the children, except one, who underwent only T2 weighted imaging.Statistical analysisDescriptive statistics were used for data analysis, carried out using the Statistical Package for Social Sciences (SPSS), version 21.0.
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Cappies Nominees
Celestine Gomes, Lester B.
From left, Madison Van Dalen and Sarah Campbell, John McCrae SS, for The Butler Did It,fake van cleef and arpels necklace price, Singing, are Cappies nominees for Choreography, on May 15, 2010, in Ottawa.
Breanna Rich, Holy Trinity Catholic High School, for Romeo and Juliet, is aCappies nominees for Female Dancer, on May 15, 2010, in Ottawa.
Breanna Rich, Holy Trinity Catholic High School, for Romeo and Juliet, is aCappies nominees for Female Dancer, on May 15, 2010, in Ottawa.
Sebastian Muggeridge, Holy Trinity Catholic High School, for Romeo and Juliet, is a Cappies nominees for Lead Actor in a Play, on May 15, 2010, in Ottawa.
Sebastian Muggeridge, Holy Trinity Catholic High School, for Romeo and Juliet, is a Cappies nominees for Lead Actor in a Play, on May 15, 2010, in Ottawa.
From left, Ben Egli, Aidan Whittal, Rhys Walker and Leandra Burke, Canterbury High School, for Alice In Wonderland,replica van cleef and arpels alhambra necklace, are Cappies nominees for Stage Crew:, on May 15, 2010, in Ottawa.
From left, Ben Egli, Aidan Whittal, Rhys Walker and Leandra Burke, Canterbury High School, for Alice In Wonderland, are Cappies nominees for Stage Crew:, on May 15, 2010, in Ottawa.
Sarah Campbell, John McCrae SS,replica van cleef and arpels clover necklace price, for The Butler Did It,van cleef arpels necklace, Singing, is a Cappies nominee for Comic Actress in a Musical and for Choreography, on May 15, 2010, in Ottawa.
Sarah Campbell, John McCrae SS, for The Butler Did It, Singing, is a Cappies nominee for Comic Actress in a Musical and for Choreography, on May 15, 2010, in Ottawa.
From left, Rachel Elias, Breanna Rich, Sebastian Muggeridge, Holy Trinity Catholic High School, for Romeo and Juliet, are Cappies nominees for Choreography, on May 15, 2010, in Ottawa.
From left, Rachel Elias, Breanna Rich, Sebastian Muggeridge, Holy Trinity Catholic High School, for Romeo and Juliet, are Cappies nominees for Choreography, on May 15, 2010, in Ottawa.
Celestine Gomes, Lester B.
From left, Madison Van Dalen and Sarah Campbell, John McCrae SS, for The Butler Did It,fake van cleef and arpels necklace price, Singing, are Cappies nominees for Choreography, on May 15, 2010, in Ottawa.
Breanna Rich, Holy Trinity Catholic High School, for Romeo and Juliet, is aCappies nominees for Female Dancer, on May 15, 2010, in Ottawa.
Breanna Rich, Holy Trinity Catholic High School, for Romeo and Juliet, is aCappies nominees for Female Dancer, on May 15, 2010, in Ottawa.
Sebastian Muggeridge, Holy Trinity Catholic High School, for Romeo and Juliet, is a Cappies nominees for Lead Actor in a Play, on May 15, 2010, in Ottawa.
Sebastian Muggeridge, Holy Trinity Catholic High School, for Romeo and Juliet, is a Cappies nominees for Lead Actor in a Play, on May 15, 2010, in Ottawa.
From left, Ben Egli, Aidan Whittal, Rhys Walker and Leandra Burke, Canterbury High School, for Alice In Wonderland,replica van cleef and arpels alhambra necklace, are Cappies nominees for Stage Crew:, on May 15, 2010, in Ottawa.
From left, Ben Egli, Aidan Whittal, Rhys Walker and Leandra Burke, Canterbury High School, for Alice In Wonderland, are Cappies nominees for Stage Crew:, on May 15, 2010, in Ottawa.
Sarah Campbell, John McCrae SS,replica van cleef and arpels clover necklace price, for The Butler Did It,van cleef arpels necklace, Singing, is a Cappies nominee for Comic Actress in a Musical and for Choreography, on May 15, 2010, in Ottawa.
Sarah Campbell, John McCrae SS, for The Butler Did It, Singing, is a Cappies nominee for Comic Actress in a Musical and for Choreography, on May 15, 2010, in Ottawa.
From left, Rachel Elias, Breanna Rich, Sebastian Muggeridge, Holy Trinity Catholic High School, for Romeo and Juliet, are Cappies nominees for Choreography, on May 15, 2010, in Ottawa.
From left, Rachel Elias, Breanna Rich, Sebastian Muggeridge, Holy Trinity Catholic High School, for Romeo and Juliet, are Cappies nominees for Choreography, on May 15, 2010, in Ottawa.
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Clinton Announces Presidential Campaign
Clinton was scheduled to be in Iowa on Tuesday, but instead of flying, she decided she wanted to pack up a van which she refers to as the "Scooby" van because of its resemblance to the van from the Scooby Doo cartoon and chat with people along the way.Along for the ride from New York to Iowa are a couple of aides and a slimmed down Secret Service detail. The former secretary of state hasn't driven a car in almost 20 years,fake van cleef arpel necklace, she admitted last year, and Secret Service is very likely driving,fake clover necklace van cleef, per usual,van cleef necklaces replica, on this trip. She loves her Scooby van.The cat was out of the bag when she stopped at a gas station in Pennsylvania, talked with some people there and someone who spotted her called one of the TV networks, a campaign aide said.Of course, any campaign would know that,replica van cleef and arpels alhambra necklace, at some point, someone as well known as Clinton would be recognized.Clinton is slated to make two days of stops in Iowa before heading to New Hampshire. It's all part of a slow launch, "ramping up to a campaign kickoff in mid May," according to the Sunday afternoon email announcing her candidacy.
Clinton was scheduled to be in Iowa on Tuesday, but instead of flying, she decided she wanted to pack up a van which she refers to as the "Scooby" van because of its resemblance to the van from the Scooby Doo cartoon and chat with people along the way.Along for the ride from New York to Iowa are a couple of aides and a slimmed down Secret Service detail. The former secretary of state hasn't driven a car in almost 20 years,fake van cleef arpel necklace, she admitted last year, and Secret Service is very likely driving,fake clover necklace van cleef, per usual,van cleef necklaces replica, on this trip. She loves her Scooby van.The cat was out of the bag when she stopped at a gas station in Pennsylvania, talked with some people there and someone who spotted her called one of the TV networks, a campaign aide said.Of course, any campaign would know that,replica van cleef and arpels alhambra necklace, at some point, someone as well known as Clinton would be recognized.Clinton is slated to make two days of stops in Iowa before heading to New Hampshire. It's all part of a slow launch, "ramping up to a campaign kickoff in mid May," according to the Sunday afternoon email announcing her candidacy.
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Cal State Fullerton leads Vanderbilt
Cal State Fullerton has a golden opportunity to snap a streak of losing five straight College World Series games and their last three CWS openers. The Titans will resume the rain postponed matchup at noon PDT on Monday with defending national champion Vanderbilt, leading 3 0 in the bottom of the sixth inning.
"It's unfortunate that we got delayed,replica rolex oyster perpetual datejust, but I've been to Omaha plenty of times and weather is just something you have to deal with sometimes," Fullerton Coach Rick Vanderhook said. "We were playing really well and we just have to come back and continue to do the same in the morning."
The Titans will have to do it without ace Thomas Eshelman, who almost assuredly will be unavailable Monday when the game resumes, after throwing 89 pitches through 5 2/3 innings.
Vanderhook was not willing to name who will take over on the mound when play resumes with Zander Wiel batting with a 3 and 2 count, a runner on third base and two outs. But the Titans have options.
They could choose to use a right handed reliever such as senior Willie Kuhl or sophomores Miles Chambers or Chad Hockin against the right handed swinging Wiel,mens rolex oyster perpetual datejust watch replica. They could even use starters John Gavin or Connor Seabold.
"Like some evil scientist who made a stupid plan that could have killed him,rolex oyster perpetual lady datejust replica," Titans assistant Chad Baum joked this week.
It was, in fact, fourth year Coach Rick Vanderhook's idea to test an untested team with.
Cal State Fullerton's baseball schedule looked as if it had been concocted by a mad man.
"Like some evil scientist who made a stupid plan that could have killed him," Titans assistant Chad Baum joked this week.
It was, in fact, fourth year Coach Rick Vanderhook's idea to test an untested team with.
()
Facing Carson Fulmer, one of the best pitchers in college baseball, the bottom of the Fullerton lineup wasn't expected to have an impact offensively. Kennedy and Taylor Bryant were supposed to be defensive gems, but automatic outs. Each began the CWS batting below .200.
Instead, their production pushed the Titans to a 3 0 lead. The trio of Timmy Richards,rolex perpetual oyster datejust replica, Kennedy and Bryant were two for three with three runs scored and one run batted in when the game was suspended.
Bryant put the Titans ahead, 1 0, when he hit a hanging two strike curveball for a single to drive in Richards, who walked to lead off the inning.
Ted Kirk, AP
The grounds crew at TD Ameritrade Park in Omaha roll out the tarp during a rain delay in the Cal State Fullerton Vanderbilt game on Sunday evening.
The grounds crew at TD Ameritrade Park in Omaha roll out the tarp during a rain delay in the Cal State Fullerton Vanderbilt game on Sunday evening.
(Ted Kirk, AP)
Richards walked his next at bat and Kennedy doubled down the left field line. Richards scored on a wild pitch and Kennedy scored on a Josh Vargas single.
That appeared as if it was going to be enough for Eshelman, the Houston Astros' second round draft pick. He struck out eight batters and gave up four hits. He lowered his earned run average to 1.51 and pushed his career totals to 319 strikeouts and only 18 walks in 3761/3 innings.
Cal State Fullerton has a golden opportunity to snap a streak of losing five straight College World Series games and their last three CWS openers. The Titans will resume the rain postponed matchup at noon PDT on Monday with defending national champion Vanderbilt, leading 3 0 in the bottom of the sixth inning.
"It's unfortunate that we got delayed,replica rolex oyster perpetual datejust, but I've been to Omaha plenty of times and weather is just something you have to deal with sometimes," Fullerton Coach Rick Vanderhook said. "We were playing really well and we just have to come back and continue to do the same in the morning."
The Titans will have to do it without ace Thomas Eshelman, who almost assuredly will be unavailable Monday when the game resumes, after throwing 89 pitches through 5 2/3 innings.
Vanderhook was not willing to name who will take over on the mound when play resumes with Zander Wiel batting with a 3 and 2 count, a runner on third base and two outs. But the Titans have options.
They could choose to use a right handed reliever such as senior Willie Kuhl or sophomores Miles Chambers or Chad Hockin against the right handed swinging Wiel,mens rolex oyster perpetual datejust watch replica. They could even use starters John Gavin or Connor Seabold.
"Like some evil scientist who made a stupid plan that could have killed him,rolex oyster perpetual lady datejust replica," Titans assistant Chad Baum joked this week.
It was, in fact, fourth year Coach Rick Vanderhook's idea to test an untested team with.
Cal State Fullerton's baseball schedule looked as if it had been concocted by a mad man.
"Like some evil scientist who made a stupid plan that could have killed him," Titans assistant Chad Baum joked this week.
It was, in fact, fourth year Coach Rick Vanderhook's idea to test an untested team with.
()
Facing Carson Fulmer, one of the best pitchers in college baseball, the bottom of the Fullerton lineup wasn't expected to have an impact offensively. Kennedy and Taylor Bryant were supposed to be defensive gems, but automatic outs. Each began the CWS batting below .200.
Instead, their production pushed the Titans to a 3 0 lead. The trio of Timmy Richards,rolex perpetual oyster datejust replica, Kennedy and Bryant were two for three with three runs scored and one run batted in when the game was suspended.
Bryant put the Titans ahead, 1 0, when he hit a hanging two strike curveball for a single to drive in Richards, who walked to lead off the inning.
Ted Kirk, AP
The grounds crew at TD Ameritrade Park in Omaha roll out the tarp during a rain delay in the Cal State Fullerton Vanderbilt game on Sunday evening.
The grounds crew at TD Ameritrade Park in Omaha roll out the tarp during a rain delay in the Cal State Fullerton Vanderbilt game on Sunday evening.
(Ted Kirk, AP)
Richards walked his next at bat and Kennedy doubled down the left field line. Richards scored on a wild pitch and Kennedy scored on a Josh Vargas single.
That appeared as if it was going to be enough for Eshelman, the Houston Astros' second round draft pick. He struck out eight batters and gave up four hits. He lowered his earned run average to 1.51 and pushed his career totals to 319 strikeouts and only 18 walks in 3761/3 innings.
Bridge Builders of Community Inclusion,replica mens rolex datejust
Direct support Professional's (DSP's) have an important role in assisting people with intellectual and developmental disabilities in becoming a part of their community. There are three areas we will explore in increasing successful community integration. Understanding the meaning of community inclusion is an important first step. Second, one must understand the significance of natural supports for people having developmental and or intellectual disabilities. The third step is community bridge building. There are many speed bumps that exist on the road to community integration, but integration can be achieved with an open mind,rolex perpetual oyster datejust replica, patience and positive attitude.
Community Inclusion is sharing in community life specific to four areas. The first area is to have a physical presence in one's community. This could be living in a normal house in a normal subdivision with all types of neighbors. Cultural integration is important as it also helps establish a common likeness and acceptance. Cultural norms may favor a particular type of job or go to a specific church. Connections with others are an important, necessary ingredient of inclusion. Relationships with all kinds of people not just people with disabilities is a requirement in inclusion. Just as important is self determination in forming relationships and choosing activities. Activities and acquaintances should be choices of the participant and not based upon convenience of a DSP.
Equally important is to understand what is not community integration. If a participant is on a van with a group of other program participants in the community,replica rolex gold oyster perpetual datejust, the fact that they are on a van with others in the community is not community integration. Just because a person goes to the Day Program for people with disabilities in the community, it is not considered real integration. If a person lives in a regular community or subdivision, this is not necessarily community integration. Community inclusion requires active participation in one's community,rolex mens oyster perpetual datejust replica, with all types of community members.
Natural supports are merely life. We all have natural relationships in life. This means we have community connections and relationships with all types of people. Examples of natural support are friendships with coworkers, being friends with various church congregation members, having family relationships, having a neighbor that brings soup when you are feeling ill. Natural supports build a sense of interdependence with others. Interdependence is a mutually beneficial connection between two people. These relationships are based on commonality and a sense of mutual respect. Interdependent relationships act to provide safety and security for the participant. Participants with community associations and natural support are less likely to face abuse, neglect and exploitation than those who do not have connections.
The DSP assists the participant in building connections with community members, friends and community organizations. The DSP serves an important role in educating the community on the importance of acceptance and understanding. One of the best things a DSP can do is be a proper role model for behavior and communication for those they support. DSP's should not assume that participants understand socially acceptable ways to interact and make good first impressions. DSP should keep in mind that participants face stigma and are viewed unfairly based on media portrayals or simple ignorance. Relationships take time to build, and DSP's should encourage frequent community involvement
Direct support Professional's (DSP's) have an important role in assisting people with intellectual and developmental disabilities in becoming a part of their community. There are three areas we will explore in increasing successful community integration. Understanding the meaning of community inclusion is an important first step. Second, one must understand the significance of natural supports for people having developmental and or intellectual disabilities. The third step is community bridge building. There are many speed bumps that exist on the road to community integration, but integration can be achieved with an open mind,rolex perpetual oyster datejust replica, patience and positive attitude.
Community Inclusion is sharing in community life specific to four areas. The first area is to have a physical presence in one's community. This could be living in a normal house in a normal subdivision with all types of neighbors. Cultural integration is important as it also helps establish a common likeness and acceptance. Cultural norms may favor a particular type of job or go to a specific church. Connections with others are an important, necessary ingredient of inclusion. Relationships with all kinds of people not just people with disabilities is a requirement in inclusion. Just as important is self determination in forming relationships and choosing activities. Activities and acquaintances should be choices of the participant and not based upon convenience of a DSP.
Equally important is to understand what is not community integration. If a participant is on a van with a group of other program participants in the community,replica rolex gold oyster perpetual datejust, the fact that they are on a van with others in the community is not community integration. Just because a person goes to the Day Program for people with disabilities in the community, it is not considered real integration. If a person lives in a regular community or subdivision, this is not necessarily community integration. Community inclusion requires active participation in one's community,rolex mens oyster perpetual datejust replica, with all types of community members.
Natural supports are merely life. We all have natural relationships in life. This means we have community connections and relationships with all types of people. Examples of natural support are friendships with coworkers, being friends with various church congregation members, having family relationships, having a neighbor that brings soup when you are feeling ill. Natural supports build a sense of interdependence with others. Interdependence is a mutually beneficial connection between two people. These relationships are based on commonality and a sense of mutual respect. Interdependent relationships act to provide safety and security for the participant. Participants with community associations and natural support are less likely to face abuse, neglect and exploitation than those who do not have connections.
The DSP assists the participant in building connections with community members, friends and community organizations. The DSP serves an important role in educating the community on the importance of acceptance and understanding. One of the best things a DSP can do is be a proper role model for behavior and communication for those they support. DSP's should not assume that participants understand socially acceptable ways to interact and make good first impressions. DSP should keep in mind that participants face stigma and are viewed unfairly based on media portrayals or simple ignorance. Relationships take time to build, and DSP's should encourage frequent community involvement
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Chris Van Hollen To Run For Senate
"I am writing to let you know that I have decided to run for the United States Senate from our great state of Maryland," Van Hollen wrote in an email to supporters. "In my very first election for Congress I believed that people were tired of politics as usual, and I ran a campaign based on key issues and ideas that matter to our future. The same is true today."
Van Hollen is running for the seat being vacated by Sen. Barbara Mikulski (D Md.), who announced Monday she would retire at the end of her current term. Senate since 1987, and before that, was elected to the House of Representatives in 1976. She has been in Congress longer than any other woman, and was the first woman to head the Senate Appropriations Committee.
Former Maryland Gov. Martin O'Malley (D), who was among those who were expected to make a run for Mikulski's seat, said Tuesday he would not launch a Senate campaign. He has previously said he is "seriously considering" a White House run.
Read the full text of Van Hollen's email to supporters below:
I am writing to let you know that I have decided to run for the United States Senate from our great State of Maryland. I am very grateful to the citizens of Maryland's Eighth Congressional District for the opportunity to represent them and want to thank the many Marylanders who, over the last 48 hours,rolex datejust oyster perpetual replica, have called, sent text messages, or emailed to urge me to run for the United States Senate. A more formal announcement will come later, but I wanted to let you know of my plans.
I am very much looking forward to the upcoming campaign and a healthy exchange of ideas. In my very first election for Congress I believed that people were tired of politics as usual, and I ran a campaign based on key issues and ideas that matter to our future. The same is true today.
The promise of America is that every individual regardless of race, religion, or sexual orientation will be given an equal opportunity to succeed and prosper. We have fallen short on that promise. I believe that one of the key challenges of our time is the struggle to make sure that America works for all its citizens, not just the wealthy few.
I am committed to working every day, as I have in my years in the Congress, for policies that ensure equal access to quality education, provide good paying jobs, a strong middle class, and a healthy state, country, and planet for future generations.
In January, I put forward an economic Action Plan to generate more growth in our economy with more shared prosperity. Despite important economic progress,replica rolex datejust oyster, too many hard working families across Maryland and around our country have been struggling to make ends meet. For the last 20 years, as the productivity of our workforce has increased dramatically,replica rolex oyster perpetual datejust cost, paychecks have remained flat. We must unite to promote a tax system that rewards hard work, instead of one riddled with loopholes and special deals for the super wealthy and well connected. We need to make sure that every individual in our state and our country has a chance to climb the ladder of opportunity and build a successful and fulfilling future.
We must sharpen our competitive edge and invest strategically in education, cutting edge scientific research, and modern infrastructure to ensure that every American is equipped to compete in the 21st Century. We must create opportunities for more Americans to save and benefit from the wealth creation that is currently concentrated at the very top of the income ladder.
It is also important that we grow our economy in a way that protects our environment, including our national treasure, the Chesapeake Bay. As the Co Chair of the Congressional Chesapeake Bay Watershed Caucus I have been honored to work with Maryland's farmers and conservationists to protect the Bay and preserve it for future generations. I have also been pleased to Co Chair the Bicameral Task Force on Climate Change, which is committed to addressing the threats and costs to our communities from the disruptions created by massive carbon pollution and climate change.
Even though our nation is politically polarized today, I continue to believe in the power of ideas to bring people of goodwill together for the common good. I've had the opportunity to work across the aisle to get things done on a variety of issues, from funding for the Chesapeake Bay, to expanding research on pediatric cancer, to leveling the playing field for families with children with disabilities by providing equal access to tax free savings accounts to provide for their children's future, to protecting federal whistleblowers who take action to ferret out waste, fraud, and abuse.
For 5 long years, I fought to gain the freedom of my constituent, Alan Gross, from a Cuban jail cell and I was honored to travel to Cuba in December to finally bring Alan home. I have also been proud to lead the fight to reduce the influence of secret money and ensure greater transparency and accountability in our electoral process.
I have always believed in the power of the democratic process to further strengthen our nation,rolex watch oyster perpetual datejust replica, to build on the progress we have made, and to create an ever more perfect union. I look forward to hearing your views in the coming days and weeks on how, together, we can achieve these goals and continue the fight to get things done for our great State of Maryland and our country.
"I am writing to let you know that I have decided to run for the United States Senate from our great state of Maryland," Van Hollen wrote in an email to supporters. "In my very first election for Congress I believed that people were tired of politics as usual, and I ran a campaign based on key issues and ideas that matter to our future. The same is true today."
Van Hollen is running for the seat being vacated by Sen. Barbara Mikulski (D Md.), who announced Monday she would retire at the end of her current term. Senate since 1987, and before that, was elected to the House of Representatives in 1976. She has been in Congress longer than any other woman, and was the first woman to head the Senate Appropriations Committee.
Former Maryland Gov. Martin O'Malley (D), who was among those who were expected to make a run for Mikulski's seat, said Tuesday he would not launch a Senate campaign. He has previously said he is "seriously considering" a White House run.
Read the full text of Van Hollen's email to supporters below:
I am writing to let you know that I have decided to run for the United States Senate from our great State of Maryland. I am very grateful to the citizens of Maryland's Eighth Congressional District for the opportunity to represent them and want to thank the many Marylanders who, over the last 48 hours,rolex datejust oyster perpetual replica, have called, sent text messages, or emailed to urge me to run for the United States Senate. A more formal announcement will come later, but I wanted to let you know of my plans.
I am very much looking forward to the upcoming campaign and a healthy exchange of ideas. In my very first election for Congress I believed that people were tired of politics as usual, and I ran a campaign based on key issues and ideas that matter to our future. The same is true today.
The promise of America is that every individual regardless of race, religion, or sexual orientation will be given an equal opportunity to succeed and prosper. We have fallen short on that promise. I believe that one of the key challenges of our time is the struggle to make sure that America works for all its citizens, not just the wealthy few.
I am committed to working every day, as I have in my years in the Congress, for policies that ensure equal access to quality education, provide good paying jobs, a strong middle class, and a healthy state, country, and planet for future generations.
In January, I put forward an economic Action Plan to generate more growth in our economy with more shared prosperity. Despite important economic progress,replica rolex datejust oyster, too many hard working families across Maryland and around our country have been struggling to make ends meet. For the last 20 years, as the productivity of our workforce has increased dramatically,replica rolex oyster perpetual datejust cost, paychecks have remained flat. We must unite to promote a tax system that rewards hard work, instead of one riddled with loopholes and special deals for the super wealthy and well connected. We need to make sure that every individual in our state and our country has a chance to climb the ladder of opportunity and build a successful and fulfilling future.
We must sharpen our competitive edge and invest strategically in education, cutting edge scientific research, and modern infrastructure to ensure that every American is equipped to compete in the 21st Century. We must create opportunities for more Americans to save and benefit from the wealth creation that is currently concentrated at the very top of the income ladder.
It is also important that we grow our economy in a way that protects our environment, including our national treasure, the Chesapeake Bay. As the Co Chair of the Congressional Chesapeake Bay Watershed Caucus I have been honored to work with Maryland's farmers and conservationists to protect the Bay and preserve it for future generations. I have also been pleased to Co Chair the Bicameral Task Force on Climate Change, which is committed to addressing the threats and costs to our communities from the disruptions created by massive carbon pollution and climate change.
Even though our nation is politically polarized today, I continue to believe in the power of ideas to bring people of goodwill together for the common good. I've had the opportunity to work across the aisle to get things done on a variety of issues, from funding for the Chesapeake Bay, to expanding research on pediatric cancer, to leveling the playing field for families with children with disabilities by providing equal access to tax free savings accounts to provide for their children's future, to protecting federal whistleblowers who take action to ferret out waste, fraud, and abuse.
For 5 long years, I fought to gain the freedom of my constituent, Alan Gross, from a Cuban jail cell and I was honored to travel to Cuba in December to finally bring Alan home. I have also been proud to lead the fight to reduce the influence of secret money and ensure greater transparency and accountability in our electoral process.
I have always believed in the power of the democratic process to further strengthen our nation,rolex watch oyster perpetual datejust replica, to build on the progress we have made, and to create an ever more perfect union. I look forward to hearing your views in the coming days and weeks on how, together, we can achieve these goals and continue the fight to get things done for our great State of Maryland and our country.
Articles about Murders
Monique King lied to her two accomplices by saying the actor had made sexual advances toward her; she also helped them get away after they shot Santana,rolex perpetual datejust replica, said Los Angeles County Superior Court Judge Larry P. Fidler.
ARTICLES BY DATEEmma Donoghue's 'Frog Music' finds murder lurking in old San Francisco
April 24, 2014 Elizabeth Hand
"People are trapped in history and history is trapped in them," wrote James Baldwin in "Notes of a Native Son. " Much of novelist Emma Donoghue's literary career has involved the liberation of historical figures,replica rolex oyster datejust, often women, from the constraints of the recorded past to the relative freedom of fiction, as in her novels "Slammerkin," "The Sealed Letter" and "Life Mask," all set in the 18th or 19th century. Her most recent work,gold rolex oyster perpetual datejust replica, the multiple award winning international bestseller "Room," took a more contemporary approach, loosely inspired by the experiences of women recently held captive by abusive men. In her new novel,replica mens rolex oyster perpetual datejust watch, "Frog Music," Donoghue returns to the more distant past to take on an unsolved San Francisco murder: that of young Jenny Bonnet, shot by an unknown killer lurking outside her railway hotel room. District Judge James A.
Boy, 14, wanted for attempted murder, torture of elderly woman
April 24, 2014 By Ruben Vives
The Hemet Police Department is asking for the public's help to find a 14 year old boy wanted in connection with the attempted murder and torture of an elderly woman at a retirement home. When officers responded to a reported burglary and assault at The Camelot, a senior living community at 800 W. April 17, they found an 87 year old woman who had been brutally beaten, police said in a statement . Physical evidence linked two teenagers to the crime. Melchor Macaso, 35, of Norwalk was arrested on suspicion of murder Tuesday after he was restrained by the victim's co workers at the scene, according to Capt. Daryl Evans of the Los Angeles County Sheriff's Department.
Boy Who Died Boxing Had a Heart Condition
February 7, 2005 From Times Staff and Wire Reports
An autopsy Sunday concluded that a 14 year old who died in a fistfight had a heart condition, officials said. The unidentified boy went to a park Saturday where he met Joshua Kang, 18, said Buena Park Police Lt. Terry Branum. The pair started a "fun boxing match," Branum said, but the boy went into cardiac arrest after Kang punched him in the chest. Prosecutors will decide this week whether to charge Kang, who was held on $250,000 bail. Paul Carpenter. Koklich, 44, who is free on $1 million bail, allowed sheriff's homicide and crime scene investigators inside the home on Fairway Drive, Lt. Ray Peavy said. They planned to look for potential evidence in the case, Peavy said, but he did not specify what.
Monique King lied to her two accomplices by saying the actor had made sexual advances toward her; she also helped them get away after they shot Santana,rolex perpetual datejust replica, said Los Angeles County Superior Court Judge Larry P. Fidler.
ARTICLES BY DATEEmma Donoghue's 'Frog Music' finds murder lurking in old San Francisco
April 24, 2014 Elizabeth Hand
"People are trapped in history and history is trapped in them," wrote James Baldwin in "Notes of a Native Son. " Much of novelist Emma Donoghue's literary career has involved the liberation of historical figures,replica rolex oyster datejust, often women, from the constraints of the recorded past to the relative freedom of fiction, as in her novels "Slammerkin," "The Sealed Letter" and "Life Mask," all set in the 18th or 19th century. Her most recent work,gold rolex oyster perpetual datejust replica, the multiple award winning international bestseller "Room," took a more contemporary approach, loosely inspired by the experiences of women recently held captive by abusive men. In her new novel,replica mens rolex oyster perpetual datejust watch, "Frog Music," Donoghue returns to the more distant past to take on an unsolved San Francisco murder: that of young Jenny Bonnet, shot by an unknown killer lurking outside her railway hotel room. District Judge James A.
Boy, 14, wanted for attempted murder, torture of elderly woman
April 24, 2014 By Ruben Vives
The Hemet Police Department is asking for the public's help to find a 14 year old boy wanted in connection with the attempted murder and torture of an elderly woman at a retirement home. When officers responded to a reported burglary and assault at The Camelot, a senior living community at 800 W. April 17, they found an 87 year old woman who had been brutally beaten, police said in a statement . Physical evidence linked two teenagers to the crime. Melchor Macaso, 35, of Norwalk was arrested on suspicion of murder Tuesday after he was restrained by the victim's co workers at the scene, according to Capt. Daryl Evans of the Los Angeles County Sheriff's Department.
Boy Who Died Boxing Had a Heart Condition
February 7, 2005 From Times Staff and Wire Reports
An autopsy Sunday concluded that a 14 year old who died in a fistfight had a heart condition, officials said. The unidentified boy went to a park Saturday where he met Joshua Kang, 18, said Buena Park Police Lt. Terry Branum. The pair started a "fun boxing match," Branum said, but the boy went into cardiac arrest after Kang punched him in the chest. Prosecutors will decide this week whether to charge Kang, who was held on $250,000 bail. Paul Carpenter. Koklich, 44, who is free on $1 million bail, allowed sheriff's homicide and crime scene investigators inside the home on Fairway Drive, Lt. Ray Peavy said. They planned to look for potential evidence in the case, Peavy said, but he did not specify what.
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