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D. Ateras, M.B. B.CH. B.A.O., M.B.B.Ch., Ph.D.

Clinical Director, University of South Florida College of Medicine

Homeless people, due to living outdoors, frequently have compromised health which also puts them at risk. Thank you Sergeant Rachael Kilshaw San Francisco Police Department Police Commission Office 1245 3 d Street, 61h Floor San Francisco, California 94158 415. Rachael Sergeant Rachael Kilshaw San Francisco Police Department Police Commission Office 1245- 3 d Street, 6th Floor San Francisco, California 94158 415. Some possibilities were "rapport-building," "effective," "non-violent, and "positive. Thanks, Rachael Sergeant Rachael Kilshaw San Francisco Police Department Police Commission Office 1245 3rd Street, 51h Floor San Francisco, California 94158 415. The revisions are commendable in their emphasis on the sanctity of all human life, thoughtful communication, dc-escalation and proportionality. The restriction on the shooting at moving vehicles incorporates best practice rules adopted by law enforcement agencies in New York, Washington, D. Below I provide our suggested revisions to the Use of Firearms and Lethal Force (5,02), Use of Force (5. The Department already incorporates a commitment to minimal force when in its physical, controls/personal body weapons section, the Department emphasizes that officers "should consider requesting additional resources to the scene to resolve the situation with a minimum amount of force. Use of Force policies at other law enforcement agencies include a commitment to relying on minimal force. The Law Enforcement Code of Ethics requires all sworn law enforcement officers to carry out their duties with courtesy, respect, professionalism, and to never employ unnecessary force. This section explains that supervisors are to monitor the radio communication, remind their subordinates about time, distance, cover and rapport tactics, and once on-scene to assume command. Remind responding officers, while en route, to protect life, isolate and contain the subject, maintain distance, find cover, engage in thoughtful communication without time constraint, and call for appropriate resources; Upon arrival, assume command, and ensure appropriate resources are on-scene or are responding. Nor is there any provision requiring officers dispatched or on-viewing a subject with a firearm to call a supervisor immediately. Additionally, the protocol should require supervisors to respond immediately to the scene. No officer shall point a firearm at in the direction of an individual unless there is a reasonable perception of a substantial risk that the situation will escalate to justify lethal force. When an officer determines that the threat is over, the officer shall holster his or her fireatm or shoulder the weapon in the ports arms position pointed or slung in a manner consistent with Department-approved firearms training. If an officer points a firearm at a person, the primary officer shall advise the subject the reason why the officer(s) pointed the firearm, unless it is not practical to do so. Suspect demographics including race/ethnicity, age, gender, gender identity, primary language and other factors such as mental illness, cognitive impairment,developmental disability, drug and alcohol use/addiction and homelessness. Specialized unit identification is necessary so that use of force data is available according to specialized units in addition to stations. This requirement has not been included in the Departments proposed use of force policies. I thought it was a very productive meeting and I appreciated the opportunity to participate in it. Officers shall not draw or exhibit a fireitria unless the circumstances surrounding the incident create a reasonable belief that it may he necessary to use the firearm in conformance with this policy on the (ise of firoarms. No officer shall point a firearni at or in the direction of a person unless there is a reasonable perception of a substantial risk that the sitmtation will escalate to justify lethal force. The drawing, exhibiting and intentionally pointing of a firearm at another person is threatening and intimidating and when unwarranted may cast a negative impression on members, A member may intentionally point a firearm only when the member has reasonable cause to believe it may be reasonable for his/her safety or for the safety of others. The pointing of a firearm at a person is a seizure and requires legal justification. No ineraber shall draw and point a firearm at or in the direction of a person unless there is a reasonable perception of a substantial risk that the situation may escalate to the point where lethal force would be permitted. When it is determined that the use of lethal force is not necessary, as soon as practicable, firearms shall be secured or holstered, 1, i. Suspect demographics including race/ethnicity, age, gender, gender identity, primary language and other factors such as mental illness, cognitive impairment, developmental disability, drug and alcohol use/addiction and homelessness, Thank you for your consideration. Officers shall avoid or minimize the use offorce against individuals who are injuring themselves and do not pose a safety risk to officers or others.

Syndromes

• Rapid and irregular heartbeat
• Choose smaller daycare classes for your children.
• Rubinstein-Taybi syndrome
• Slight burning sensation
• Prolonged bed rest with few changes in position
• Mongolian spots (also called Mongolian blue spots) are usually bluish or bruised-looking. They usually appear over the lower back or buttocks. They are also found in other areas such as the trunk or arms.
• Abnormal bone growth in the skull

Tomasello and Call (1997), in a review of gaze following in nonhuman primates, note that most studies confound bodily orientation with gaze direction. This has also been true for most studies of human infant gaze following, an issue which will be considered later. Very few studies control for the different components of the signal, with the notable exception of Povinelli and 322 George Butterworth Eddy (1996a) with 7-year-old chimpanzees. In one condition, the human experimenter moved eyes and head, while in another only eye movements served as the cue. Chimpanzees looked to where the human was looking at above baseline levels in both conditions. Furthermore, chimpanzees would follow gaze into the visual space behind them, something achieved by human infants at about 18 months (Butterworth & Jarrett, 1991). However, these experiments need not imply that chimpanzees (or babies) understand seeing as a mentalistic construct. In fact, Povinelli and Eddy (1996b) went on to show that chimpanzees mainly use forward-facing head orientation as a cue for attention, without any mentalistic understanding of seeing. Chimpanzees failed to identify the knowledgeable member of a pair of experimenters, when one had eyes open and one had eyes closed during food baiting of the rewarded location, so long as both persons faced forward. Similarly, when one of the forwardfacing humans had a bandage over the eyes, or even when one of a forward-facing pair of experimenters wore a bucket over the head, chimpanzees failed to take into account that that individual could not have seen where the reward had been hidden. Tomasello, Call, and Hare (1998) showed that individuals in five primate species (chimpanzees, sooty mangabeys, rhesus macaques, stump-tail macaques, and pigtail macaques) would follow the gaze of conspecifics to locate food on over 80 percent of occasions within 1 second of when the change of gaze occurred. They suggest that cells in the superior temporal sulcus of macaque monkeys may code attention direction. Some cells code for whether the monkey is being looked at or not, while other cells code for attention to locations in extrapersonal space. For the latter populations of cells, different types of posture information are coded in a hierarchical, coordinated fashion. For example, if a particular cell codes for gazing to the right, the same cell will respond even if the eyes are not visible but there is a right-facing profile. Even if the head happens to be occluded the Joint Visual Attention in Infancy 323 same cell will respond to a right-facing body profile. Priority is given to certain cues: in some cells, eye direction takes priority in combining cues, whereas in other cells there is no priority. In macaques, visual cues from head posture proved to be more important than those from body posture. A change in eye direction with constant head direction increased the probability of following eye direction in static displays, even though macaques will normally follow changes in head direction in preference to changes in eye direction. Thus, at the neurophysiological level (if not always at the behavioral level), macaques use orientation of trunk and eyes to identify the locus of visual attention of other macaques. In summary, visual co-orientation is readily observed in nature with examples documented in birds, monkeys, and apes. There is evidence that higher primates are similar to human infants in actually monitoring gaze. Thus, joint attention in its most elementary form may be considered as a form of selective orienting based on postural cues of the social partner which serve as signals for potentially interesting objects in the environment. Scaife and Bruner (1975) showed that infants as young as 2 months followed a change in the orientation of gaze of an adult. There was no requirement to single out a particular target among many potential targets and joint attention was inferred from the fact that the response terminated at the target located on the appropriate side. This interpretation is consistent with the finding of Hood, Willen, and Driver (1998) that babies of 4 months would look in a particular direction when cued by the orientation of the eyes on a face presented as a computer display. In adults, the eye movements in computer displays take precedence in allocating attention, even when their direction does not predict the location of a subsequent event, a phenomenon which has been described as "reflexive social orienting" (Friesen & Kingstone, 1998, p. Furthermore, adults are significantly Joint Visual Attention in Infancy 325 faster in responding to a display comprising head and eyes when both are oriented in the same direction than when eyes and head are oriented in opposite directions (Langton, 2000). This suggests that, for adults, a directional decision may be based on the orientation of both the head and eyes, or possibly that incongruous signals, where eyes face one way and head the other, confound interpersonal and extrapersonal attention mechanisms (see discussion below of Butterworth & Itakura, 2000).

Investors, stunned by losses on assets they had believed to be safe, began to pull back from a wide range of credit markets, and financial institutions-reeling from severe losses on mortgages and other loans-cut back their lending. The crisis deepened [in September 2008], when the failure or near-failure of several major financial firms caused many financial and credit markets to freeze up. This summary encapsulates a large number of interconnected events, but it makes clear that the underlying cause of the financial crisis was a rapid decline in the value of one specific and widely held asset: U. The next question is how, exactly, these delinquencies and losses caused the financial crisis. Traditional mortgages, which were generally prime mortgages, did not suffer substantial losses at the outset of the mortgage meltdown, although as the financial crisis turned into a recession and housing prices continued to fall, losses among prime mortgages began to approach the level of prime mortgage losses that had occurred in past housing crises. The fact that they were also far larger in number than any 45 Speech at Morehouse College, April 14, 2009. Previously, although these mortgages were weak and high risk, their delinquency rates were relatively low. This was a consequence of the bubble itself, which inflated housing prices so that homes could be sold with no loss in cases where borrowers could not meet their mortgage obligations. Alternatively, rising housing prices-coupled with liberal appraisal rules-created a form of free equity in a home, allowing the home to be refinanced easily, perhaps even at a lower interest rate. However, rising housing prices eventually reached the point where even easy credit terms could no longer keep the good times rolling, and at that point the bubble flattened and weak mortgages became exposed for what they were. The continuous inflow of government or government-backed funds, however, kept the bubble growing-not only in size but over time-and this tended to suppress the significant delinquencies and defaults that had brought previous bubbles to an end in only three or four years. As home prices fell, recently originated subprime and non-traditional mortgage loans began to default at record rates. These developments led to growing concerns about the value of financial positions in mortgage-backed securities and related derivative instruments held by major financial institutions in the U. The difficulty in determining the value of mortgage-related assets and, therefore, the balance-sheet strength of large banks and non-bank financial institutions ultimately led these institutions to become wary of lending to one another, even on a short-term basis. The following discussion will show how each of these steps operated to bring down the financial system. The Agencies insure or place a guarantee on all the securities issued by a pool they or some other entity creates. The rights of some classes to receive payments of principal and interest from the mortgages in the pool are subordinated to the rights of other classes, so that the superior classes are more likely to receive payment even if there are some defaults among the mortgages in the pool. Of course, if the losses are greater than anticipated-exactly what happened as the recent bubble began to deflate-they will reach into the higher classes and substantially reduce their value. Gorton, Slapped By the Invisible Hand: the Panic of 2007, Oxford University Press, 2010, pp. In a sense, all mortgages are linked to one another through housing prices, and housing prices in turn are highly sensitive to delinquencies and defaults on mortgages. This is a characteristic of mortgages that is not present in other securitized assets. If a credit card holder defaults on his obligations it has little effect on other credit card holders, but if a homeowner defaults on a mortgage the resulting foreclosure has an effect on the value of all homes in the vicinity and thus on the quality of all mortgages on those homes. Finally, the funds that the government directed into the housing market in pursuit of its social policies enlarged the housing bubble and extended it in time. The longer housing bubbles grow, the riskier the mortgages they contain; lenders are constantly trying to find ways to keep monthly mortgage payments down while borrowers are buying more expensive houses. While the bubble was growing, the risks that were building within it were obscured. Borrowers who would otherwise have defaulted on their loans, bringing an end to the bubble, were able to use the rising home prices to refinance, sometimes at lower interest rates. With delinquency rates relatively low, investors did not have a reason to exit the mortgage markets, and the continuing flow of funds into mortgages allowed the bubble to extend for an unprecedented 10 years. There are many reasons for the popularity 476 Dissenting Statement of mortgage securitization. In addition, mortgages in securitized form could be traded more easily, and used more readily as a source of liquidity through repurchase agreements.

Diseases

• Freire Maia odontotrichomelic syndrome
• Lung cancer
• Occupational asthma - animals, insects and fungi
• Alternating hemiplegia of childhood
• Ruvalcaba Churesigaew Myhre syndrome
• Mac Dermot Patton Williams syndrome
• Metaphyseal dysplasia maxillary hypoplasia brachydactyly