a*i
发帖数: 1652 | 1 http://www.tms.org/pubs/journals/jom/0909/pruitt-0909.html
Silicone has been utilized in breast implants since 1962; however, early
designs were prone to rupture and leaking.12 The first implants utilized low
viscosity forms of silicone gel encased in a solid silicone elastomer shell
but were prone to failure through tissue contracture around the implant or
rupture.12–14 Rupture of the implant shell enabled the silicone to leak
into the surrounding tissue, which could then elicit a chronic infla... 阅读全帖 |
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L****n
发帖数: 12932 | 2 First congratulate to the new board. sorry to rant here as my first post,
but i am about to explode...and this is what a physician board is for, right?
a lady had a MVA yesterday and the orthopod want to take her to OR for femur
fx ORIF. She also have intracranial bleeding shown on CT. obviously i was
concerned about putting her to sleep. My suggestion is spinal anesthesia-
which also carries significant risk. One of the neuro surgeon - a MEAN 50yo
white bitch, was the neuro attending. She told ... 阅读全帖 |
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J****C
发帖数: 1465 | 3 Paraplegia is not an uncommon complication of TAA(or AAA) surgery. It's
hard to believe what you said "其实这类手术出现的并发症全美国只有4例". I
personally have seen 2 cases so far. Fortunately one case had relief
after emergent spinal drainage placement. The etiology is spinal
anterior column ischemia from underperfusion of the artery of Adamkewicz
which is a branch of the aorta and an important supplier of anterior
spinal artery, however with quite variable origin point. This is
described in every textbook and ... 阅读全帖 |
|
J****C
发帖数: 1465 | 4 Paraplegia is not an uncommon complication of TAA(or AAA) surgery. It's
hard to believe what you said "其实这类手术出现的并发症全美国只有4例". I
personally have seen 2 cases so far. Fortunately one case had relief
after emergent spinal drainage placement. The etiology is spinal
anterior column ischemia from underperfusion of the artery of Adamkewicz
which is a branch of the aorta and an important supplier of anterior
spinal artery, however with quite variable origin point. This is
described in every textbook and ... 阅读全帖 |
|
g**y
发帖数: 46 | 5 28 岁，男，Ultrasould 显示2.3*0.6*0.4cm shadowing calcification within the
lower pole of the right kidney. Radiologist 诊断为 nonobstructing right
lower pole nephrolithiasis。 无明显不适感，医生（非专科）没有转诊专科，也没
有建议手术及其他治疗，只吩咐大量喝水。但网上的一些资料上说，这个大小的结石不
可能自然排出。后来在JustAnswer上咨询另一online医生，那人建议尽快手术，给了两
个options, lithotripsy 和percutaneous nephrolithotomy。 lithotripsy不用开刀
，但只有50％的机会能pass all the stone fragments out。 percutaneous
nephrolithotomy有95％的机会，但要开刀，且有10－15％的complications，我有几个
问题，希望能得到大家的帮助和建议，
1。我是否应尽快手术还是再观察一段时间？
2... 阅读全帖 |
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A*******s
发帖数: 9638 | 6 The fact is the anestheologist group also uses CRNAs. Doctors take care of
complicated case and CRNA for easy cases. But complicated cases do not
get more reimbursement.
their
than
invasive
bundled
to |
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L****n
发帖数: 12932 | 7 there is a scale, complicated patient do get a slight bit more(1-2units),
but risk of periop complication are much much higher(100 to 1000 times more
likely to have problem per retro study), so nobody wants to take care the
sick patients. some surgeons would build their own surgical center and do
all the easy ones in their surgical center and only bring the sick patient
to the hospital, effectively patient dumping, and the hospitals hates that.
not |
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g*2
发帖数: 658 | 8 刚刚把堆积了几个星期的nejm翻看了一下，居然在11月底的那期case discussion就是
讲得这个病
http://www.nejm.org/doi/full/10.1056/NEJMcpc1103565
Case 36-2011 — A 93-Year-Old Woman with Shortness of Breath and Chest Pain
Presentation of Case
Dr. Pooja Agrawal (Emergency Medicine): A 93-year-old woman was seen in the
emergency department at this hospital because of chest pain and shortness of
breath.
The patient had been in her usual state of health, with hypertension and
chronic renal insufficiency, until the morning of admission, wh... 阅读全帖 |
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b******a
发帖数: 704 | 9 Common Causes of Pneumonia
In a young patient without coexisting illnesses, there are many potential
infectious causes of pneumonia.1 The patient's history gives us several
clues that help in reducing the list of possible pathogens. This patient
underwent bronchoscopy and bronchoalveolar lavage. Negative bacterial
cultures argue against common, easy-to-culture bacterial pathogens.
Furthermore, the patient did not have a response to multiple, broad-spectrum
antibacterial therapy including erythro... 阅读全帖 |
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g*****d
发帖数: 991 | 10 Medicine is complicated and human is more complicated.
We, doctors, only know the piece of the corner iceberg, but we try to act
like a God. Too much pressure on doctor.
Are you sure CPM is 100% from sodium correction or not just from etoh abuse
or something else?
CPM。 |
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M***D
发帖数: 249 | 11 Yesterday on 12/06/2012, recreational use of marijuana became legal in
Washington State. And in 01/2013, recreational use of marijuana will become
legal in Colorado. The Washington post reports that Marijuana legalization
in these two states complicates drug-free work policies. While as doctors, I
bet many of us have seen patients who smoke pot, good pot or bad pot, this
is the question.
Good pot: On 07/23/2012, a paper titled “Cognitive and clinical outcomes
with cannabis use patients with bi... 阅读全帖 |
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J*********l
发帖数: 1185 | 12 连接有问题。
Flexible bronchoscopy as a valuable tool in the evaluation of persistent
wheezing in children.
Erkan Cakir, Refika Hamutcu Ersu, Zeynep Seda Uyan, Sedat Oktem, Bulent
Karadag, Okan Yapar, Ozge Pamukcu, Fazilet Karakoc, Elif Dagli
Division of Pediatric Pulmonology, Marmara University, Istanbul, Turkey.
International journal of pediatric otorhinolaryngology (impact factor: 0.85)
. 10/2009; 73(12):1666-8. DOI:10.1016/j.ijporl.2009.08.016
Source: PubMed
ABSTRACT Persistent wheezing is a commo... 阅读全帖 |
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L****n
发帖数: 12932 | 13 【 以下文字转载自 Returnee 讨论区 】
发信人: qed (终于熬成了大灰狼的小白兔), 信区: Returnee
标 题: [合集] 所谓名医-国内国外的医疗对比
发信站: BBS 未名空间站 (Thu Aug 29 17:44:44 2013, 美东)
☆─────────────────────────────────────☆
Frankyuan (Yuan) 于 (Mon Aug 26 20:54:45 2013, 美东) 提到:
读完“让哥来说说国内国外的医疗对比”有一个感觉，就是笔者没有在国内医院工作
过，也感到很多对中美医疗的评价有些问题， 我不管对美国的评价如何， 但特别
关注对中国的评价， 因为我一直认为这种评价， 特别是来自这些高学历有着中美背景
的评价特别对国内医疗的改变有益。（我出来已有好几年，国内医疗最新改变
不清， 很希望比我出来时该别很多，不仅仅是仪器改变）
看到文章里谈到好医院的名医， 我感到有些好笑， 不是笑作者， 而是笑自己，
自己很幸运，出来前就晋升副高几年 如我不到这儿来， 现在肯定被认为是“名医”
了，还是省会数一数二医... 阅读全帖 |
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w******y
发帖数: 4871 | 14 Febrile seizures
Author
Marvin A Fishman, MD
Section Editor
Douglas R Nordli, Jr, MD
Deputy Editor
Janet L Wilterdink, MD
Last literature review version 19.1: January 2011 | This topic last updated:
February 3, 2011 (More)
INTRODUCTION — Febrile seizures are a common cause of convulsions in young
children. They occur in 2 to 4 percent of children younger than five years
of age, but the incidence is as high as 15 percent in some populations. This
incidence has been attributed to closer living arr... 阅读全帖 |
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r***y
发帖数: 25 | 15 :-) It's been THE debate ever since the simulation of neural network started
structure of the neural network in living creatures. Canonical AI people
said no, we just need to replicate the functions, which is faster but hard
to generalize. Neuroscience people said yes, we have to, otherwise we couldn
't replicate such complicated, decent, and flexible network, which makes the
question always stuck at the level of functioning units -- protein, synapse
, or single neuron? Any connection map seems ... 阅读全帖 |
|
r***y
发帖数: 25 | 16 :-) It's been THE debate ever since the simulation of neural network started
structure of the neural network in living creatures. Canonical AI people
said no, we just need to replicate the functions, which is faster but hard
to generalize. Neuroscience people said yes, we have to, otherwise we couldn
't replicate such complicated, decent, and flexible network, which makes the
question always stuck at the level of functioning units -- protein, synapse
, or single neuron? Any connection map seems ... 阅读全帖 |
|
o******e
发帖数: 1761 | 17 那天开车回家在NPR上听的，挺有意思。
早期波多黎各人来到纽约等地后发现自己因为英语不好经常被当做二等公民对待，于是
对孩子进行“融入”教育，很多家庭以放弃西班牙语为代价来追求”正宗的英语“ （
很多华人也是如此）正如文章提到的，很多当时移民的心态是：”if you're speaking
English, you're better."
但是随着整个拉丁裔族群在美国的扩大和拉丁裔经济地位的提升，现在的波多黎各人越
来越对西班牙语文化表示自信。 而双语带来的广大工作机会和潜在发展前景也使得很
多波多黎各裔，在美国本土长大只会英语的年轻人重新开始学习西班牙语，并责备父母
为什么不一开始就教他们西班牙语。
正如文中被采访的女孩一样 “ Irizarry is disappointed her parents didn't
enforce Spanish when she was young and could soak up the language with ease.
"
并且她希望，她的孩子能够很自信的面对那个问题 ”你能说西班牙语么？“
从这个故事里，华人是否也能从中得到一些启示呢... 阅读全帖 |
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z*******n
发帖数: 1034 | 18 听Lillian Lee讲述游戏本土化技巧
发布时间：2014-06-27 18:36:24 Tags：UI,图像,图标,技巧,本土化
作者：Michelle Zhao
我们的最新《LocaLAIse This!》安装是从美术师的角度去着眼于游戏本土化。LAI的中
国总裁访问了我们的最新游戏美术本土化顾问Lillian Lee（在产业中打拼了12年）。
Lillian曾经作为《Darkness 2》和《生化奇兵2》等AAA级游戏的美术师，她对于亚洲
文化的了解以及成为她作为各家工作室（包括育碧和Red 5 Studios）的美术师的巨大
资产。
nerf(from gamasutra)
nerf(from gamasutra)
以下是这次访问内容的记录。
游戏本土化—-美术
大家好，欢迎回到《LocaLAIse This》。我的名字是Michelle Zhao，我是LAI Global
Game Services中国区域的总经理。今天我们很高兴向你们介绍我们团队的新成员，
Lillian Lee。Lillian是一位游戏美术师，并且是一位非常资深的产业人士。现在她是
作为我们LAI G... 阅读全帖 |
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w*******y
发帖数: 60932 | 19 This deal is a lil complicated so I hope I can make this clear.
Right now certain specially marked Kellogg's Rice Krispies Cereal are
qualified for 2 different rebate promotions, making them free or almost free
after rebate.
Promo 1. $10 Gas debit card when you send 10 UPC codes from participating
Kelloggs products. the UPC codes are at the bottom of the boxes
Promo 2. Link:
http://cars2.kelloggs.com/
$5 prepaid debit card for 4 codes redeemed online. Those codes can be found
printed INSIDE spec... 阅读全帖 |
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w*******y
发帖数: 60932 | 20 Amazon has Never Let Go: A Philosophy of Lifting, Living and Learning
available for FREE today here:
http://www.amazon.com/gp/product/B0051GOM66
.
Review
Coach Dan John is one of the premier instructors in the world of movement,
strength and athleticism. His lectures on athletic training have
revolutionized the thinking of thousands, and his new text, Never Let Go,
will set the standard in safer, smarter, more productive training methods. ~
Dr. Mark Cheng, L.Ac., Ph.D., RKC Team Leader, Contribu... 阅读全帖 |
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f**********g
发帖数: 2252 | 21 Analysis of Surfaxin Data Presented in First Peer-Reviewed Manuscript
Describing the Consequences of Reintubation in Preterm Neonates
3 hours 8 minutes ago - PMZ via Comtex
GlobeNewswireDiscovery Laboratories, Inc. (Nasdaq:DSCO) announced that the
Journal of Neonatal-Perinatal Medicine, a prominent, peer-reviewed journal
widely distributed to neonatal and pediatric intensive care physicians,
recently published a manuscript reviewing an important data analysis from
the Surfaxin(R) (lucinactant) P... 阅读全帖 |
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t********r
发帖数: 4908 | 22 ☆─────────────────────────────────────☆
fanseadog (明太后) 于 (Wed Mar 31 12:10:11 2010, 美东) 提到:
写写我们家的中文培训计划。
打算在K入学前把暨大3-6册通读，主要放在认字，阅读，组词，造句，理解方面。目前
还不打算让孩子写字做题。
这样她在6岁前就能掌握1000个字了，希望也能开始正规的中文书阅读。之所以选择前
六册是因为前六册的课文难度都比较符合她这个年龄，从第七册开始有一些5-6岁孩子
不大好理解的内容了。
上两个月我们读完了第一册和第二册，现在第三册读了一个单元了，认字大概700左右
，（但是前面的应该会忘记一页）
上了K以后我打算扔到中文学校学习马立平教材，在把赖妈介绍的国内小学语文课本用
上。现在唯一的难点就在配套的阅读材料，不像这里reading level划分这么细，适合
的图书真是不好找。
☆─────────────────────────────────────☆
chimney (烟囱) 于 (Wed Mar 31 12:11:02 2010, 美东) 提... 阅读全帖 |
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D*A
发帖数: 1169 | 23 Interesting, this could be a way to play, not best though
even PFA/F can be complicated as well,say a bunch of rule like:
JJ up ,PFA any position/blind/betting
Ax up, PFA at later position/unraised/less then 5 players
Q8 down,PFF any postion/blind/betting/
and， for heads up, PFA with even lower hand。。
if write a code, many variables can be take, like no of players, postion,
Chips/blinds/bet-raise condition,could be complicated..
May be a very nice way to play for Double or Nothing
a reasonable w |
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m*****o
发帖数: 259 | 24 I recommend everyone here takes at least one introductory statistics course.
In explaining, measuring or predicting some response variable, usually you need multiple
predictors depending upon the complexity of the problem and how well you want to make your prediction.
You guys are talking about the strength or competitiveness of CCP, this is a
huge problem.
Don't ever ever try to solve such problems using only one or two variables.
You need a lot! And they work together in a somewhat complicated |
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r*a
发帖数: 1503 | 25 我现在都很少和非中国人讨论中国，真的要讨论的话，总是加一句话，THIS IS
COMPLICATED。
我觉得任何轻率的表达可能会被对方所误解，所以还不如不说。
你可以告诉他，中国和美国不同，中国是一个内部差异性非常大的国家，如果你只看光明面，那么中国的未来非常美好。但是如果你只看黑暗的一面，那么中国的未来是非常糟糕的。
你的人生经验始终有限，而且平时基本上不看各种政治新闻，因此很难给他一个FULL PICTURE。
导。 |
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S******Q
发帖数: 475 | 26 So you are going to offer me a humongous list of various complications of
bladder diseases and renal failure and claim that with that very operation -
XIAO PROCEDURE, we'll regain world peace and ultimate health?
Give a break,the etiology of lower extremity ulceration in SB patients is
NOT even urinary tract origin. |
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g******0
发帖数: 294 | 27 对那个pigsun的贴征求公开意见（越辩越明）并谴责版主
发信站: BBS 未名空间站 (Fri Oct 8 10:36:07 2010, 美东)
美国报道的原文：
Twelve children got the surgery — three with spinal cord injuries, nine
with spina bifida. The three with spinal cord injuries were not helped by
the procedure. Seven of the nine with spina bifida saw "marked improvement."
One of them was a "home run," a girl who achieved complete continence.
Peters said the major complication was leg weakness that developed among
eight of the nine with spina bifida. All had been... 阅读全帖 |
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p**********d
发帖数: 7918 | 28 http://www.nytimes.com/2011/01/20/world/asia/20assess.html?hp
January 19, 2011
Subtle Signs of Progress in U.S.-China Relations
By MICHAEL WINES
WASHINGTON — The Chinese have striven to lend this week’s state visit by
President Hu Jintao the aura of a fresh start, from feel-good displays of
friendly Chinese in Times Square to a Washington newspaper insert that
declared on Wednesday that his meeting with President Obama could open a new
chapter in a relationship between the world’s two economic g... 阅读全帖 |
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M********0
发帖数: 215 | 29 Not sure this is a smart move by Obama. Of course 骆家辉 will fight for U.S.
interests. But his racial origin may make things complicated and subtle for
both sides. |
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p**********d
发帖数: 7918 | 31 http://www.nytimes.com/2011/04/04/world/asia/04museum.html?_r=1
April 3, 2011
At China’s New Museum, History Toes Party Line
By IAN JOHNSON
BEIJING — At the elaborately renovated National Museum of China in
Tiananmen Square, visitors interested in the recent history of the world’s
fastest rising power can gaze at the cowboy hat that Deng Xiaoping once wore
when he visited the United States, or admire the bullhorn that President Hu
Jintao used to exhort people to overcome hardship after the Sichu... 阅读全帖 |
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u********w
发帖数: 599 | 32 your logic?
this is a complicated matter with specific facts, if one is not an expert on
international law it's impossible to make an judgment one way or the other. |
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c**i
发帖数: 6973 | 33 Edward Wong and Jonathan Ansfield, Ex-President Returns To Public Eye in
China. New York Times, Oct 10, 2011
http://www.nytimes.com/2011/10/10/world/asia
/jiang-zemin-re-emerges-in-china.html?_r=1&scp=1&sq=zemin&st=cse
("several people with connections to senior party members have said in
interviews that Mr. Jiang had suffered heart failure and other complications
and was revived by doctors at the 301 Military Hospital in Beijing, though
there has been no official confirmation")
----------------... 阅读全帖 |
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x******g
发帖数: 33885 | 34 老蔡不会写中文啊？
complications
though |
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b****y
发帖数: 1867 | 35 We definitely need a real leader with great knowledge and moral. I'm not
saying the current leaders don't have knowledge or moral. But certainly not
enough to control such a complicated country. |
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p*********w
发帖数: 23432 | 36 时代杂志年度人物 Runner-Up：艾胖胖（图）zz
具体的文章在这里
http://www.time.com/time/specials/packages/article/0,28804,2101
For 81 days last spring and summer, Ai Weiwei was China's most famous
missing person. Detained in Beijing while attempting to catch a flight to
Hong Kong on April 3, Ai, an artistic consultant for the iconic Bird's Nest
stadium, was held almost entirely incommunicado and interrogated some 50
times while friends and supporters around the world petitioned for his
release. On Nov. 1, Ai, who says th... 阅读全帖 |
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F*V
发帖数: 3978 | 37 http://www.nytimes.com/2011/12/20/world/asia/china-moves-to-ens
BEIJING — Following the death of Kim Jong-il, the North Korean leader,
China is moving quickly to deepen its influence over senior officials in
North Korea and particularly with those in the military to try to ensure
stability in the isolated nation, according to Chinese and foreign former
government officials and analysts.
China is North Korea’s foremost ally, and leaders here had been hoping Mr.
Kim would live for at least another... 阅读全帖 |
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s**********t
发帖数: 1846 | 39 我的悲伤只有上帝知道：
Restraining order application: Case # GQ008930
Additional Declaration
After the initial application was filed, there were continuous wiretapping
and stalking activities by Mr. Ernest Hiroshige.
I believed Mr. Hiroshige approach to my my new tenant Frnk Castellanos, who
was reply a rental ad I post on the crag list on Sept 2nd 2012. Mr. Frank
Castellanos is a new tenant who had apply the plaintiff’s rental ad from
the crag list. And had him pass on threatening message to me on Sept 6t... 阅读全帖 |
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s*****n
发帖数: 1636 | 40 永远在线’让我压力很大！”“脸谱”创始人扎克伯格的姐姐兰迪10日在写给媒体的信
中说，她很难平衡“虚拟”和“现实”。
英国《星期日邮报》10日称，兰迪在信中表示，作为一名企业家，她要经常奔波于
世界各地，为保持联络，她对电子设备的依赖已经到达“极端”的程度，“不是设备属
于我，而是我属于它们……没有它们，我几乎忘了如何‘真正地生活’。我已经忘记如
何拔掉电源，享受身边人的陪伴。”兰迪表示，越来越多的人倾向于“在线交际”。她
建议，人们应更多的在现实中交流，“比如当你真正亲近的人过生日时，相比在网上留
言，你更应给他打电话祝福。”她认为，在周末度过一天没有电子设备的“电子安息日
”，是加强家庭关系的好方法。
兰迪·扎克伯格在“脸谱”公司供职6年，曾兼任市场部主管和公司发言人。她目
前是数字生活网站“Dot Complicated”的主编。 |
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s**********t
发帖数: 1846 | 41 http://news.yahoo.com/obama-anti-gay-bill-step-backward-ugandan
President Barack Obama warned Uganda Sunday over its plans to further
criminalize homosexuality, saying it would "complicate our valued
relationship."
Defending gay rights around the world, as he has done at home, Obama said a
bill that President Yoweri Museveni has pledged to sign will mark a "step
backward" for all Ugandans and reflect poorly on the country's commitment to
protect the human rights of its people. It also would repr... 阅读全帖 |
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发帖数: 1 | 42 写给华尔街三名记者的一封信：请恪守媒体人的原则与灵魂，并致美国记者协会（中文
全文附后）
Dear Miss Kate, Miss Aruna and Mr. Cezary:
On October 22, the Wall Street Journal published your report, China’s
Pursuit of Fugitive Businessman Guo Wengui Kicks Off Manhattan Caper Worthy
of Spy Thriller, which reported some of the contacts between official from
China’s Ministry of State Security and Guo Wengui. The report writes about
situation when four officials from China’s Ministry of State Security met
with Guo Wengui, and cited insiders in the... 阅读全帖 |
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M*V
发帖数: 3205 | 43 China Property Prices Decline
http://online.wsj.com/article/SB1000142405297020455390457710531
By OWEN FLETCHER And ESTHER FUNG
BEIJING—Average property prices in Chinese cities saw a second consecutive
monthly drop in November, according to government data released Sunday, in a
further sign that Beijing's two-year tightening campaign to cool the red-
hot property market is having an impact.
Data on 70 Chinese cities released by the National Bureau of Statistics and
analyzed by The Wall Street Jo... 阅读全帖 |
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m******s
发帖数: 8493 | 44 my friend just replied, he will send some emails internally.
saying probly need 3rd party to verify your donation will dedicate
for donation etc.be careful for fraud.
sounds like quite complicated and might take a while.
be patient. |
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n******u
发帖数: 2121 | 45 they need a CPA to figure it out
it can be quite complicated |
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n******u
发帖数: 2121 | 46 I have been out of town today and will be back tonight.
If you have supplies to donate, please contact our director of supply
management, whose contact has been posted.
Buying supplies in US is a little complicated. We have limited budget, which
will mainly be used for ordering large amount of supplies in China. Only a
limited budget may be available for supplies in urgent need in the next few
days. Hope you understand the situation that we are trying to make best use
of the donation money.
Th |
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d******t
发帖数: 180 | 47 your analysis does not make sense. Must be something more complicated. |
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u*****s
发帖数: 120 | 48 If you’re reading this, you’re no doubt asking yourself, “Why did this
have to happen?” The simple truth is that it is complicated and has been
coming for a long time. The writing process, started many months ago, was
intended to be therapy in the face of the looming realization that there isn
’t enough therapy in the world that can fix what is really broken. Needless
to say, this rant could fill volumes with example after example if I would
let it. I find the process of writing it frustrating, |
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u*****s
发帖数: 120 | 49 · “taxpayer” is the recruiter, broker, agency, or job shop.
· “individual”, “employee”, or “worker” is you.
Admittedly, you need to read the treatment to understand what it is saying
but it’s not very complicated. The bottom line is that they may as well
have put my name right in the text of section (d). Moreover, they could only
have been more blunt if they would have came out and directly declared me a
criminal and non-citizen slave. Twenty years later, I still can’t believe
my eyes.
During 19 |
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