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Nine Free resources for chest radiology

Posted on 29 February 2012 by Tea Server



Chest radiology is very important for diagnosis of many diseases in pulmonary medicine. In order to accurately identify the radiographic pattern of diseases, one needs to be able to understand the basics of chest radiology. Most of this valuable experience is gained at the hospital by interpreting the chest xray or CT scan films and then correlating the findings with the radiologist’s notes. However it is a tedious process and requires lots of commitment. I googled some of the online resources and was able to select some of the  resources for chest radiology that are available to all – for free.

1: Introduction to chest radiology.

This page is maintained by the Department of Radiology at  University of Virginia Health Sciences Centre. This page is directed at residents and medical students so that they can learn to interpret chest radiographs confidently. It has sufficient information for beginners to know about the technique of chest radiograph, identify the basic anatomy of thorax, interpret the chest radiograph successfully and locate the abnormality on an X-Ray film.

I like the systematic way in which the whole course is outlined for the readers. The images of chest radiographs are large, allowing visitors to understand what is being shown. This page should be bookmarked by residents and medical students before anything else.

 

2: Basic Chest X ray Review

This web page has been edited by W. Carpenter, Ph.D., M.D. of The Department of Radiology and Radiological Sciences, The Uniformed Services University of the Health Sciences Bethesda, MD USA. This website presents aa good technique of reviewing the Chest X ray film. The appropriate sections of a chest xray film are given along with the discussion making it easier for the readersto grasp the facts.

CT scan sesctions of different thoracic levels are also given at appropriate places.

 

3: G. Simon Collection of cases

This is a nice collection of  cases that is maintained by Ian Maddison. There is a variety to choose from. The x ray films have been properly grouped according to the patholgy. What I liked the most was the quality of the  x ray images. This way it made it easy to look at the images.

Nice effort.

 

4: Learning Radiology

This website is “conceived, designed, developed, is published, managed and maintained and its content is produced in its entirety by William Herring, MD, FACR”. I found this website to be a very detailed site dedicated to imaging of body systems. It contains huge information, Infact I could not browse it wholly because of time constraints. In addition to the x ray  images of chest diseases, this website also contains lectures in the form of slideshows and notes on different diseases. I liked the brief lectures and notes on chest diseases. Definitely a plus point. This site also contains flashcards for remembering differential diagnoses in chest diseases.

 

5: Radiology Tutorials

This website contains some very nice radiology tutorials on chest radiology. There is a link to a differential diagnosis “calculator” based on chest xray findings which I found interesting. The tutorials cover the lung anatomy and the malignancies of lung. I even found a link to radiology images for on-call doctors. 

Although it is a nice effort, but, the selection of font sizes and colors made it difficult for me to stay at the webpage.

 

6: University of Virginia Tutorials in Radiology

This is no doubt a blessing when it comes to medical imaging. This webpage has tutorials for interpreting a chest x ray film in ICU patients, cross-sectional images of thorax,  and High resolution CT scans of chest. I have found this one much more helpful in terms of establishing baseline knowledge when it comes to interpreting the chest radiographs or CT films.

 

7: Radiologic Pathologic Correlation in Chest Disease

It is a student project from the Faculty of Medicine at McGill University. The cases on this site are presented according to the pattern of the disease. For example all cases with pleural disease come together. Similarly all cases with consolidation are grouped separately. A specific radiographic pattern can be correlated with a CT scan image or other radiologic images.

Each case is divided into different sub sections like clinical history, radiographs, CT scan, Gross Morphology, Histology and then discussion. That way learning is enhanced. I highly recommend this page.

 

8: Chest X-ray Atlas

This is a nice collection of X-ray images by Arcot J. Chandrasekhar, MD, FRCP, FACP, FCCP of Loyola University Shicago. The atlas is organized into three sections. Pathology, Diseases and Radiological Signs.

This atlas was the first one that I ever found while searching for chest x-ray images on google and I really liked it. Dr Chandrasekhar also maintains another site which has tutorials on core topics in chest x-ray interpretation.

 

 9: Johns Hopkins – CTisUs

CT is us is created and maintained by The Advanced Medical Imaging Laboratory (AMIL) The AMIL is part of the Department of Radiology at the Johns Hopkins Medical Institutions in Baltimore, MD. This website contains thousands of CT images of body. The CT Chest images can be found here.

 

Although these resources can augment learning, I believe one actually learns at the workplace. These resources can not be substituted for the actual work experience at the hospital. T

hese are not the only ones on internet. There are large number of websites dedicated to chest radiology. What is your favorite one?

No related posts.

Syndicated from: Inspire.org.pk

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Rehman Malik Relied on Punjab Police Report on Bhutto Murder Briefing Sindh Assembly

Posted on 21 February 2012 by Tea Server

Rehman Malik Relied on Punjab Police Report on Bhutto Murder Briefing Sindh Assembly

NADEEM MALIK
It seems as though not much has been achieved in the Benazir Bhutto murder case as Interior Minister Rehman Malik on Tuesday not only admitted that planners of the murder are still at large, but also insisted that more time is required to collect further evidence.
Malik shared this and other details of the investigation of the former prime minister and Pakistan People’s Party chairperson’s murder case while briefing the Sindh Assembly session. He blamed Baitullah Mehsud, the Haqqani network and the banned Tehrik-i-Taliban Pakistan (TTP) for planning the murder and said 27 terrorist groups helped in executing the plan. (Dawn)

Reported News Details of the CID Reports
The United Nations Inquiry Commission, headed by Heraldo Munoz, was informed by the CID officials of Punjab Police during the course of its investigations that the assassination of Benazir Bhutto had been masterminded by the slain Ameer of the Tehreek-e-Taliban Pakistan (TTP) Commander Baitullah Mehsud and the bomber, who exploded himself outside the Liaquat Bagh in Rawalpindi, was one Saeed alias Bilal, a resident of South Waziristan Agency.
According to official documents provided to the UN Inquiry Commission by the CID Punjab, a group of 12 militants was actually dispatched to the garrison town of Rawalpindi, a day prior to Benazir Bhutto’s December 27, 2007 election rally, to physically eliminate the PPP leader, who was touring Punjab in connection with her party’s election campaign. The FIR of the Benazir Bhutto murder case was registered by the Rawalpindi police under sections 302/324,435,436,120-B/4/5ESA,7/ATA while investigations were carried out by the Additional Inspector General CID Punjab Chaudhry Abdul Majeed.
According to the CID documents, four of the 12 militants tasked to kill Benazir Bhutto belonged to Madrassa Haqqania in Akora Khattak near Peshawar, which is also referred to as Darul Uloom Haqqania. The Madrassa is being run by Maulana Samiul Haq, the pro-Taliban Ameer of his own faction of the Jamiat Ulema-e-Islam. Three of the 12 TTP militants have been shown in the CID documents as already killed, including the suicide bomber. Of the remaining nine accused, five have already been arrested by police while the remaining four are still at large.
Additional Inspector General of the CID Punjab, Malik Mohammad Iqbal, when asked if the Punjab CID still owns its findings into the Benazir Bhutto murder case, said the assassination inquiry was actually conducted by a Joint Investigation Team (JIT), which was headed by the then additional DIG CID and representatives of the Rawalpindi police.
He said it was a joint probe on the basis of which the challan of Benazir Bhutto murder case had been submitted with a Rawalpindi anti-terrorism court, which still holds ground and the trial of the arrested accused is still on.
The three accused shown as already dead include the human bomb Saeed alias Bilal (r/o Waziristan), Nadir alias Qari Ismail (r/o Madrassa Haqqania, Akora Khattak) and Nasrullah r/o Madrassa Haqqania, Akora Khattak). Four other accused in the Benazir Bhutto murder, who are still at large and have already been declared proclaimed offenders include Ikramullah r/o South Waziristan, Abdullah alias Saddam r/o Mohmand Agency, Faiz alias Kiskit, an ex-student of Madrassa Haqqania, Akora Khattak and Abdur Rehman alias Noman alias Usman, an ex-student of Madrassa Haqqania.
The remaining five accused already in the custody of the Rawalpindi police and being tried for the Benazir Bhutto murder include Rafaqat, Hasnain Gul, Sher Zaman, Rasheed Ali and Aitzaz Shah.
According to the findings of the CID, Baitullah Mehsud had given Rs 400,000 to one Qari Ismail, who subsequently dispatched a group of suicide bombers and shooters to Rawalpindi to kill Benazir Bhutto.
The UN Commission was told by some senior CID officials that the TTP militants had planned to target Benazir Bhutto in different cities, wherever she was going in connection with her campaign, until she was finally killed.
According to the CID narrative, 15-year-old Aitzaz Shah from the Mansehra district of the NWFP, and his co-accomplice Sher Zaman, reportedly trained at Miramshah, were the first ones to be arrested after the Benazir Bhutto murder from Dera Ismail Khan by a joint investigation team of the Punjab police, headed by Chaudhry Abdul Majeed. Two more suspects, Hasnain Gul and Rafaqat, were later arrested from Rawalpindi. Rasheed Ali was the last one to be nabbed but Aitzaz was the first one to have furnished some vital information to his interrogators pertaining to the Benazir murder.
As the police obtained physical remand of the arrested accused and broadened the scope of investigations, it was learnt that Aitzaz Shah had actually obtained Jihadi training from a well known Deobandi religious school in Karachi — Jamia Binoria, also referred to as Jamia Islamia and known for its pro-Taliban leanings. As per the CID report, after being brainwashed and trained to kill, Aitzaz was sent to South Waziristan from where he had travelled to Darul Uloom Haqqania Madrassa in Akora Khattak. Afterwards, Aitzaz was taken to a Jihadi training centre in Akora Khattak – Wali Mohammad Markaz and tasked with the assassination of Benazir Bhutto.
According to the CID findings, Baitullah had provided Rs 50,000, a suicide jacket and other necessary items to someone else, but he could not attack Benazir Bhutto. After his suicide bombers’ failure to hunt down the PPP chairperson in Karachi, Peshawar and other places, Baitullah Mehsud had assigned Qari Ismail of Akora Khattak and given him Rs 400,000 to execute the Benazir assassination plan. After reaching the Rawalpindi bus stand on December 26, the assailants had stayed at a Quaid-i-Azam colony house. In the evening, they visited the Liaquat Bagh site in a taxi and decided after surveying the area to hit their target from different directions during or after the public meeting.
As per the assassination plan, Saeed alias Bilal was to carry out the suicide attack in case he failed to shoot down Benazir while Ikramullah was to detonate himself if Saeed failed. Both Saeed and Ikramullah were provided logistics by Hasnain Gul, including an explosive-laden suicide jacket, a pistol and an optical device.
The assailants had reached the Committee Chowk in a taxi and later gone to the Liaquat Bagh via Iqbal Road and College Road. An unarmed militant went inside the Liaquat Bagh to give his accomplices updates about the movement of Benazir Bhutto, especially about her arrival and departure from the venue of the rally. As per the CID claims, the assailants had first attempted to enter the Liaquat Bagh to carry out a suicide attack close to the stage, but they had failed in their designs, chiefly due to foolproof security arrangements.
The UN Commission was further informed that several suicide bombers and sharp shooters were waiting for the PPP leader at the crime scene outside the Liaquat Bagh after their failure to enter the venue. Going by the CID account, the assailants had started chasing Benazir Bhutto as soon as she came out of the Liaquat Bagh and it was none other than the fearless PPP chairperson, who actually provided them with a golden opportunity to target her, when she decided to come out of her bullet proof vehicle Toyota Land Cruiser from its sunroof to wave to her cheerful supporters. That was the time gunshots were fired, aiming at Benazir Bhutto. As Saeed alias Bilal failed to hit Benazir Bhutto, he blew himself up, killing the PPP leader and 23 others, mostly on the spot. However, the Dopatta, which Benazir Bhutto was wearing at the time of the blast, could not be traced despite frantic efforts by the investigators.
Narrating the motivation of the crime, the CID findings say the accused had said during interrogations that they were annoyed over the pro-West approach of Benazir Bhutto who had returned to Pakistan at the behest of some foreign powers and, therefore, they feared a strong government action against the militants if she was allowed to come to power after the elections.
However, the fact remains that much before coming to power after the 2008 general elections; the PPP leadership had rejected the confession made by Aitzaz Shah and his other accomplices about their involvement in the Benazir Bhutto murder.
The then PPP spokesman and now presidential spokesman Farhatullah Babar had described Aitzaz’s confession a cock and bull story intended to reduce pressure on the Musharraf regime, saying the arrested youth, who has already been declared a juvenile by the court, had been made to narrate exactly the kind of things the Pakistani authorities wanted to hear, backing up their earlier conclusions reached within hours of the Benazir Bhutto killing.
The trial of the five accused in Benazir Bhutto murder case was deferred on August 22, 2009 by the Rawalpindi anti-terrorism court following a federal government request to transfer the case to the Federal Investigation Agency so as to enable it to arrive at a definitive conclusion. Subsequently, on August 25, 2009, the federal government had formed a high-level team to re-investigate the Benazir murder.
The Special Investigation Group of the FIA was assigned the task to fix criminal liability on the assassins and planners of the gun-and-bomb attack on Benazir Bhutto. It was announced that the SIG’s investigation would be parallel to the probe being carried out by the United Nations Inquiry Commission.
“The main reason for the fresh probe is that the inquiry report to be prepared by the UN Commission can’t be presented before any court of law as desired by the UN. The government requires a separate investigation report for a proper trial against the criminals in the court”, a senior FIA official had said on August 25 in Rawalpindi, adding that the United Nations report would have no legal standing and it could not be used for prosecution.
When this correspondent tried to take version of Jamia Binoria, Karachi, no responsible person was found. However, the person present there termed the Punjab police-CID report malicious and baseless. Expressing similar sentiments, a person in Madrassa Haqqania, Akora Khattak, said this report is part of the campaign to discredit religious schools.

Islamabad Tonight – 27th December 2011
Islamabad Tonight – 27th December 2011
Senator Dr. Safdar Ali Abbasi PPP and Naheed Khan PPP in fresh episode of Islamabad Tonight
Islamabad Tonight – 4th November 2010 :5 Ws of Benazir Bhutto’s Assassination
Islamabad Tonight – 4th November 2010 :5 Ws of Benazir Bhutto’s Assassination
5 Ws of Benazir Bhutto’s Assassination – such as Who, What, Why, Where, How, When
Naheed Khan and Safdar Abbasi in Islamabad Tonight with Nadeem Malik

UN report on Bhutto murder finds Pakistani officials ‘failed profoundly’

18-11-2009benazir.jpg

15 April 2010
Security arrangements by Pakistan’s federal and local authorities to protect assassinated Prime Minister Benazir Bhutto were “fatally insufficient and ineffective” and subsequent investigations into her death were prejudiced and involved a whitewash, an independent United Nations inquiry reported today.The UN Commission of Inquiry, appointed last year by Secretary-General Ban Ki-moon at the request of the Pakistani Government, reached no conclusion as to the organizers and sponsors behind the attack in which a 15-year-old suicide bomber blew up Ms. Bhutto’s vehicle in the city of Rawalpindi on 27 December 2007.

But it found that the Government was quick to blame local Taliban commander Baitullah Mehsud and Al-Qaida although Ms. Bhutto’s foes potentially included elements from the establishment itself.

“A range of Government officials failed profoundly in their efforts first to protect Ms. Bhutto and second to investigate with vigour all those responsible for her murder, not only in the execution of the attack, but also in its conception, planning and financing,” the Commission said.

“Responsibility for Ms. Bhutto’s security on the day of her assassination rested with the federal Government, the Government of Punjab and the Rawalpindi District Police. None of these entities took necessary measures to respond to the extraordinary, fresh and urgent security risks that they knew she faced.”

General Pervez Musharraf was president at the time of the suicide bombing in Rawalpindi. The report said the then federal Government lacked a comprehensive security plan, relying instead on provincial authorities, but then failed to issue to them the necessary instructions.

“Particularly inexcusable was the Government’s failure to direct provincial authorities to provide Ms. Bhutto the same stringent and specific security measures it ordered on 22 October 2007 for two other former prime ministers who belonged to the main political party supporting General Musharraf,” it stated.

“This discriminatory treatment is profoundly troubling given the devastating attempt on her life only three days earlier and the specific threats against her which were being tracked by the ISI (Inter-Services Intelligence agency),” it added, stressing that her assassination could have been prevented if the Rawalpindi District Police had taken adequate security measures.

Turning to the immediate aftermath of the attack, the Commission found that police actions and omissions, including the hosing down of the crime scene and failure to collect and preserve evidence, inflicted irreparable damage to the investigation.

“The collection of 23 pieces of evidence was manifestly inadequate in a case that should have resulted in thousands,” it said. “The one instance in which the authorities reviewed these actions, the Punjab (provincial) committee of inquiry into the hosing down of the crime scene was a whitewash. Hosing down the crime scene so soon after the blast goes beyond mere incompetence; it is up to the relevant authorities to determine whether this amounts to criminal responsibility.”

It also found that City Police Officer Saud Aziz impeded investigators from conducting on-site investigations until two full days after the assassination and that the Government’s assertions that Mr. Mehsud and Al-Qaida were responsible were made well before any proper investigation had started, pre-empting, prejudicing and hindering the subsequent investigation.

“Ms. Bhutto faced serious threats in Pakistan from a number of sources,” the Commission said. “These included Al-Qaida, the Taliban and local jihadi groups, and potentially from elements in the Pakistani establishment. Notwithstanding these threats, the investigation into her assassination focused on pursuing lower-level operatives allegedly linked to Baitullah Mehsud.”

It stressed that investigators dismissed the possibility of involvement by elements of the Pakistani establishment, including the three persons identified by Ms. Bhutto as threats to her in her 16 October 2007 letter to General Musharraf. It also noted that investigations were severely hampered by intelligence agencies and other Government officials, which impeded an unfettered search for the truth.

“The Commission believes that the failures of the police and other officials to react effectively to Ms. Bhutto’s assassination were, in most cases, deliberate,” it declared.

The three-member panel, which was headed by Chilean Ambassador to UN Heraldo Muñoz and included Marzuki Darusman, former attorney-general of Indonesia, and Peter Fitzgerald, a veteran official of the Irish National Police, urged the Government to undertake police reform in view of its “deeply flawed performance and conduct.”

It also recommended the establishment of a fully independent Truth and Reconciliation Commission to investigate political killings, disappearances and terrorism in Pakistan in recent years in view of the backdrop of a history of political violence carried out with impunity.

Ms. Bhutto’s widower, Asif Ali Zardari, is the current Pakistani President.

In a statement issued by his spokesperson, Mr. Ban commended the commissioners and their staff for completing their challenging nine-and-a-half month-long task “expeditiously and in a professional manner.”

In a later news conference today, Mr. Muñoz stressed that the Commission interviewed more than 250 interviews with Pakistanis and others both inside and outside Pakistan, reviewed hundreds of documents, videos, photographs and other documentary material provided by federal and provincial authorities in Pakistan and others.

In the report, the Commission said it was “by the efforts of certain high-ranking Pakistani Government authorities to obstruct access to military and intelligence sources” but during an extension of its mandate until 31 March it was able eventually to meet with some past and present members of the Pakistani military and intelligence services.

Press Release

8 February 2008

BEGINS

SCOTLAND YARD REPORT INTO ASSASSINATION OF BENAZIR BHUTTO RELEASED

The findings of a Scotland Yard inquiry into how Mohtarma Benazir Bhutto died after being attacked during a political rally in Rawalpindi were presented to the Government of Pakistan today.

The conclusions of the inquiry were outlined in a detailed report handed over to interim Interior Minister Hamid Nawaz by Detective Superintendent John MacBrayne, accompanied by a senior official from the British High Commission, during a meeting in Islamabad.

The text of the executive summary of the report is as follows:

On the 27th December 2007, Mohtarma Benazir BHUTTO, the leader of the Pakistan People’s Party (PPP), died as a result of being attacked in Rawalpindi, Pakistan.

Following discussions between the Prime Minister and President Musharraf, it was agreed that officers from the Metropolitan Police Counter Terrorism Command (SO15) should support the investigation into Ms Bhutto’s death. The primary focus of the Scotland Yard team was to assist the Pakistani authorities in establishing the cause and circumstances of Ms Bhutto’s death. The wider investigation to establish culpability has remained entirely a matter for the Pakistani authorities.

The SO15 team was led by a Detective Superintendent Senior Investigating Officer, and comprised two forensic experts, an expert in analysing and assessing video media and an experienced investigating officer. The team arrived in Pakistan on 4th January 2008 and spent two and a half weeks conducting extensive enquiries. During the course of their work, the team were joined by other specialists from the United Kingdom.

The UK team were given extensive support and co-operation by the Pakistani authorities, Ms Bhutto’s family, and senior officials from Ms Bhutto’s party.

The task of establishing exactly what happened was complicated by the lack of an extended and detailed search of the crime scene, the absence of an autopsy, and the absence of recognised body recovery and victim identification processes. Nevertheless, the evidence that is available is sufficient for reliable conclusions to be drawn.

Within the overall objective, a particular focus has been placed on establishing the actual cause of death, and whether there were one or more attackers in the immediate vicinity of Ms Bhutto.

The cause of death

Considerable reliance has been placed upon the X-rays taken at Rawalpindi General Hospital following Ms Bhutto’s death. Given their importance, the x-rays have been independently verified as being of Ms Bhutto by comparison with her dental x-rays. Additionally, a valuable insight was gained from the accounts given by the medical staff involved in her treatment, and from those members of Ms Bhutto’s family who washed her body before burial.

Ms Bhutto’s only apparent injury was a major trauma to the right side of the head. The UK experts all exclude this injury being an entry or exit wound as a result of gunshot. The only X-ray records, taken after her death, were of Ms Bhutto’s head. However, the possibility of a bullet wound to her mid or lower trunk can reasonably be excluded. This is based upon the protection afforded by the armoured vehicle in which she was travelling at the time of the attack, and the accounts of her family and hospital staff who examined her.

The limited X-ray material, the absence of a full post mortem examination and CT scan, have meant that the UK Home Office pathologist, Dr Nathaniel Cary, who has been consulted in this case, is unable categorically to exclude the possibility of there being a gunshot wound to the upper trunk or neck. However when his findings are put alongside the accounts of those who had close contact with Ms Bhutto’s body, the available evidence suggests that there was no gunshot injury. Importantly, Dr Cary excludes the possibility of a bullet to the neck or upper trunk as being a relevant factor in the actual cause of death, when set against the nature and extent of her head injury.

In his report Dr Cary states:

  • “the only tenable cause for the rapidly fatal head injury in this case is that it occurred as the result of impact due to the effects of the bomb-blast.”
  • “in my opinion Mohtarma Benazir Bhutto died as a result of a severe head injury sustained as a consequence of the bomb-blast and due to head impact somewhere in the escape hatch of the vehicle.”

Given the severity of the injury to Ms Bhutto’s head, the prospect that she inadvertently hit her head whilst ducking down into the vehicle can be excluded as a reasonable possibility.

High explosives of the type typically used in this sort of device, detonate at a velocity between 6000 and 9000 metres per second. This means that when considering the explosive quantities and distances involved, such an explosion would generate significantly more force than would be necessary to provoke the consequences as occurred in this case.

It is also important to comment upon the construction of the vehicle. It was fitted with B6 grade armour and designed to withstand gunfire and bomb-blast. It is an unfortunate and misleading aspect of this case that the roof escape hatch has frequently been referred to as a sunroof. It is not. It is designed and intended to be used solely as a means of escape. It has a solid lip with a depth of 9cm.

Ms Bhutto’s injury is entirely consistent with her head impacting upon the lip of the escape hatch. Detailed analysis of the media footage provides supporting evidence. Ms Bhutto’s head did not completely disappear from view until 0.6 seconds before the blast. She can be seen moving forward and to the right as she ducked down into the vehicle. Whilst her exact head position at the time of the detonation can never be ascertained, the overwhelming conclusion must be that she did not succeed in getting her head entirely below the lip of the escape hatch when the explosion occurred.

How many people were involved in the immediate attack?

There has been speculation that two individuals were directly involved in the attack. The suggestion has been that one suspect fired shots, and a second detonated the bomb. All the available evidence points toward the person who fired shots and the person who detonated the explosives being one and the same person.

  • Body parts from only one individual remain unidentified. Expert opinion provides strong evidence that they originate from the suicide bomber.
  • Analysis of the media footage places the gunman at the rear of the vehicle and looking down immediately before the explosion. The footage does not show the presence of any other potential bomber.
  • This footage when considered alongside the findings of the forensic explosive expert, that the bombing suspect was within 1 to 2 metres of the vehicle towards it rear and with no person or other obstruction between him and the vehicle, strongly suggests that the bomber and gunman were at the same position. It is virtually inconceivable that anyone who was where the gunman can clearly be seen on the media footage, could have survived the blast and escaped.

The inevitable conclusion is that there was one attacker in the immediate vicinity of the vehicle in which Ms Bhutto was travelling.

In essence, all the evidence indicates that one suspect has fired the shots before detonating an improvised explosive device. At the time of the attack this person was standing close to the rear of Ms Bhutto’s vehicle. The blast caused a violent collision between her head and the escape hatch area of the vehicle, causing a severe and fatal head injury.

John MacBrayne QPM

Detective Superintendent

Counter Terrorism Command

1st February 2008

Filed under: CURRENT AFFAIRS

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Observations at the Karachi Marriott

Posted on 20 February 2012 by Tea Server

I was in Karachi just before New Year’s Eve and I wrote this piece as an experiment, to see what I could write, after arriving in a city I had been away from for a long period.

When I recently arrived for a break from studies abroad, a group of us decided we should eat out. Since one of our number just had her birthday, days before I arrived, it was decided that a suitable place needed to be found. The decision was made to choose the Marriott, a place with many wonderful memories. From milky Rooh Afza iftars, to a bookstore that monthly would stock my childhood library for a few years, the Marriott seemed like a nice place.

And so we drove there under the darkening evening to a place we considered we knew. As the barriers approached, it seemed like a usual enough sight, but the twists and turns once we crossed the crash beam barrier were a minor adventure all to themselves. We went through one lane, twisted in a u-turn and then entered the parking lot. All the while we passed over at least three speed bumps, saw the car checked by a sniffer dog at the lesser barrier, merely a rope strung between two ends of the lane, themselves bordered by blast walls. It was interesting.

Parking the car, we got out and walked towards what was clearly an outer security room. The X-ray machine into which people had to drop their purses, briefcases, handbags, was worthy of any international airport. Passing through the metal detector, I was fortunate enough to not set it off and was spared a wave with the wand. Our audience with this semi-effective show of security theatre complete, we were cleared to walk the rest of the way to Marriott. That was at least a pleasant experience, a return to the Marriott of half a decade ago; when I had been under order to go to a seminar chaired, by a person who I think was a closet ex-Jihadi. This time the run in with religion in the interior of the Marriott was even stranger. There were two ladies standing as greeters. One was a lady in a respectable pantsuit, and I must commend Pakistan, or at least its major cities for now tolerating adult women who may wish to wear jeans. I guess a country’s beating hand can only harm so many women before it tires out. The other lady was a display of corporate religious confusion. Like a caricature from Arabian Nights, she had a hijab on that tightly covered her ears and hair, leaving her face and neck uncovered, which I think goes against Muslim regulations, since she didn’t have a chador wrapped on. However from the waist down she had a flowing smock in peach and the colours of the rainbow draped on. It looked like something a Hollywood costumer would dream up for a female character on 1001 Arabian Nights, crossed with whatever monstrosity a repressive Gulf Monarchy would toss out trying to look “modest but modern”.

It wasn’t the religious and clothing disaster, but rather the display of confused religious appeasement by the Marriott that looked strange to me. Here was a hotel that had instituted a minor labyrinth of security procedures that its customers had to enter, and simultaneously to protect the Marriott from attack by religious madmen, had one of its most famous branches attacked and destroyed by religious lunatics, and if we weren’t all used to so much security theatre by now, we would find the experience degrading. Yet to go to such lengths of behaviour to find one normal lady greeter, and one dressed to “appease” what should be clear by now is a bottomless pit of religious demands, is breathtaking as a corporate policy. I guess it shouldn’t surprise us that a literal bastion of the Pakistani elite, which has constituted fortress style defences to keep an enemy out, would still throw sops to that enemy in a confused attempt to maybe ideologically buy it off. Whilst protecting oneself from religious madmen, why not at least try not to care what they think about you, since they do seem determined to bump your hotel and its staff off.

After observing this weird display of confused religiosity at the door, the rest of the Marriott thankfully looked the same as I had seen it in the past two decades.

There was the usual reception area and its restaurant, with the lobby musician singing quite sweetly to the crowd. We passed by the bookstore, which was closed since it was after its hours. We walked to the restaurant, were seated and served. One must commend the waiters for their attentiveness to the guests and the food was scrumptious. One cannot be as effusive about some of the guests, as one particular gentleman on his phone seemed to loudly want the entire restaurant to know that he was making a VERY IMPORTANT deal. A teenage couple seemed to be sitting quite bored at their separate seats, obviously there unaccompanied, making one wish that I had the resources and initiative to take a date as a teenager to the Karachi Marriott.

We had our dinner, paid and headed for the exit, stopping for a group photo in the lobby. At that time we saw entering the building, one more display of weird religiosity. With a white flowing gown, a head covered with a hijab so tightly you could bounce a coin of it, and arms and chest covered tightly in bright white cloth. With the flowing gown nearly a cape, she looked like a villain from the later Thundercats. So there was good reason for the Marriott to appeal to the religiously confused segment of the elite.

This whole cycle of supply and demand of religious pretension, especially amongst the Pakistani elite might be part of the problem for the baseline existence, tolerance or acquiescence to religious terror. And when I walked out of the lobby I was greeted by the sight of the huge mosque that stands in front of the Marriott. The black comedy of its placement was darkly ironic. Definitely that outsize and very obvious mosque had been put up as some sort of sop or appeasement to religious irrationalism. Fat lot of good that did the Marriott people with their Islamabad branch destroyed, their parking lot turned into a fort’s maze and even the public display of their hotel front’s Bauhaus architecture blocked.

Appeasing irrational religious urges does not seem to help much in cooling that irrationality or burning it out. It seems particularly pointless when the religious irrationality is melded to elite opinion, especially an elite that is targeted for assassination or elimination by religious revolutionary groups as stated by Al Qaeda and its fans within Pakistan. And no amount of kowtowing to religious strictures can protect someone from being a victim of terrorism if they are in the wrong place at the wrong time. It’s best to dispense with ornamental religiosity when everyone has been a target.

Syndicated from: These Long Wars

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Rubbernecks Make Me Wish…

Posted on 18 February 2012 by Tea Server

I’ve said this before, I’m saying this again that a vast majority of Pakistani men are simply… Unbelievable! Not all but most of them, specially the ones on the street who assume that women are God’s petty invention that were created with the sole intention of satisfying their sexual fetishes. Equipped with X-ray vision, chewing [...]

Syndicated from: The Forbidden Fruit.

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Surprise Dance on Finnair Flight to celebrate India’s Republic Day

Posted on 27 January 2012 by Tea Server

Surprise Dance on Finnair Flight to celebrate India’s Republic Day:

Check out this really cool surprise flashmob type dance routine done by the flight attendants on Finnair to the title track of Om Shanti Om. If all my flights were like this, I think I would travel a lot more. Hell, just this kind of entertainment alone would be worth walking through the X-Ray Cancer scanner or get molested by TSA. What a wonderful surprise for all the passengers. They did it to celebrate India’s Republic day but I think they should do this on all flights. I bet it could even fight terrorism.

Syndicated from: iWWWrite

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Unhappy Anniversary, Guantanamo!

Posted on 12 January 2012 by Tea Server

By Carlos Harrison for The Huffington Post

It’s been a troubled – some might say, tragic – 10 years for the detention camps at the Guantánamo Naval Base in Cuba. And as they slouch into their 11th year on January 11, there’s no end in sight.

“We say to ourselves, in sort of gallows humor: Guantánamo will close when the last detainee there dies of natural causes,” Jeremy Varon, an organizer with Witness Against Torture, told the Huffington Post on Wednesday.

Franz Kafka himself would have been hard-pressed to concoct a more bewildering and brutal contradictory reality. Allegations over the years have included sexual humiliation, waterboarding, and the use of dogs to scare detainees. Released detainees reported being locked in in sensory deprivation cells, beaten repeatedly, and forced to race while wearing leg shackles. If they fell, they were punished.

If it sounds like Abu Ghraib, it should. The U.S. Senate Armed Services Committee found that intelligence teams transported the “aggressive” interrogation techniques perfected at Guantánamo to Afghanistan and Iraq.

The link between Cuba and the war zones, the New York Times reported, was Maj. Gen. Geoffrey D. Miller, then the head of detention operations at Guantánamo. At his insistence, the Times wrote, the Defense Department sent training teams on 90-day tours in Iraq, showing the soldiers there the techniques utilized on the island. The timing, Amnesty International points out, happened to coincide with when the worst abuses occurred at Abu Ghraib.

Thanks to reports like those, the detention camps have become an international symbol of what democracy and justice are not. They’ve been plagued by suicide attempts by desperate detainees and condemned by the United Nations, human rights groups, even former U.S. Secretary of State Colin Powell, who called for the immediate closing of the camps in 2006.
“The value of holding prisoners there was unclear, but the price we were paying around the world for doing so was obvious,” Powell said.

The camps were created in 2002 as a deliberately “extraterritorial” place to extract information from captives in the “War on Terror.” By putting them at Guantanamo, the United States, meant to be beyond the jurisdiction of both the Geneva Conventions and U.S. courts.

That didn’t put them outside the range of public opinion. The camps sparked outrage on day one. Pictures flew around the world of shackled and handcuffed detainees on their knees on the ground with black hoods over their heads and mittens on their hands.

The indignation grew as the first 20 captives went into wire cages at Camp X-Ray, described by critics as “kennels.” Soon, though, the detainees were transferred to permanent cells, and Camp X-Ray was closed.

But the human rights complaints continued, even from some of America’s closest allies.
In 2006, speaking on BBC radio, British Foreign Secretary Jack Straw said:

“I am absolutely clear that the U.S. has no intention of maintaining a Gulag in Guantanamo Bay. They want to see the situation resolved and they would like it other than it is. However, that is the situation that they have.”

In all 779 detainees have been held in the camps. Eight have died there, including six suicides. One man died of colon cancer, another after an apparent heart attack.

And, in the 10 years since it opened, only six detainees have been convicted of war crimes.
The last 171 still there are caught at the conflicting conjunction where bureaucracy, politics, and military regulations collide – offering little chance, at least for the foreseeable future, of gaining their release.

Forty-six are classified as “indefinite detainees,” held without charges, but considered too dangerous to be released; 89 are eligible for release or transfer but in perpetual custody because there is no place to send them. Five more have been convicted of war crimes; and six face trial – perhaps this year – for the 9/11 attacks and the October 2000 U.S.S. Cole bombing.
That makes Guantanamo, as Carol Rosenberg of the Miami Herald described it in a piece for Foreign Affairs, “arguably the most expensive prison camp on earth, with a staff of 1,850 U.S. troops and civilians managing a compound that contains 171 captives, at a cost of $800,000 a year per detainee.”

But even the budget conscious Congress resists closing the base. In fact, it has used its spending oversight powers to thwart the president’s efforts to do just that. It has used that authority to prevent the trial of detainees on U.S. soil and to block the purchase of a dedicated prison facility in Illinois to house transferred detainees.
And no one wants to risk having a released captive later become involved in an act of terrorism or insurgency, which happened with at least one-fourth of the 500 detainees set free under President George W. Bush.

So, the captives remain in Guantanamo. Until when no one knows.
As Marc Thiessen, a fellow at the American Enterprise Institute, told CNN:

“We have the right to continue to hold them as long as al Qaeda is at war with us.”

Having the right, though, doesn’t make it right, said Geneve Mantri, government relations director for national security, Amnesty International.

Speaking to The Huffington Post on Wednesday, he said the 89 cleared for release by both the Bush administration and a review ordered by President Obama, “represent little or no threat.”

“This has always been sold as a question of the worst of the worst and the reality is that a large number of the people that have been picked up, I hate to say it are in the insignificant and rather pathetically sad story category,” he said.

“There is a minority of people (in the camps) that no one doubts are truly dangerous. That minority of people should be placed in front of a US court. Because we have the most efficient system, the fastest and cheapest and best system for looking at all the evidence. You produce it all in a court of law. Have a real defense — an internationally recognized defense. And then put them away forever.”

Filed under: Afghanistan, Democracy, Freedoms, Hate Crime, homegrown terror, Middle East, Pakistan, Pakistani Taliban, President Obama, United States Tagged: Civil Rights, Constitutional Rights, Cuba, GITMO, Guantanamo, Guantanamo Bay, Gulag, Human rights, NDAA, President Obama, United Nations

Syndicated from: Pakistanis for Peace

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Jumbo Karachi Guide arrives

Posted on 04 January 2012 by Tea Server

Jumbo Karachi Guide took a good number of years to be compiled, edited, produced and finally published. Its inaugural edition has arrived and the early feedback has been phenomenal.

It’s Karachi’s first-ever comprehensive travel guide. The paperback, published by Jumbo Infomedia, is spread over 148 pages of A-5 size in four-colour and it’s printed on Matt Finish paper with a wealth of information inside the covers.

Besides Karachi Important Telephone Numbers, Karachi Postal Area Codes, Karachi Facts and Chronology of events, the articles published with eye-catching and historic photographs of the city are Introducing Karachi, Modern Karachi, Climate of Karachi, From Kolachi to Karachi, Karachi’s Architectural heritage, Cultural history of Karachi, Karachi Tramway becomes a thing of past, Education remains identity of Karachi, Evolution of new media through blogging and social networking, Hub of business, Karachi Port continues to offer new opportunities, Enchanting beaches and coastline, Engagement in sports and recreation, Premier hotels of Karachi, Hot and spicy food, Shoppers Paradise for everyone’s delight, Multiplexes revive cinema culture in Karachi, My Karachi: Oasis of harmony, Hamara Karachi Festival rocks, Karachi International Book Fair gladdens bookworms, Fashion Week making waves in Karachi, Karachi Literature Festival illuminates literary scene and Social sector development in Karachi.

The maps of Pakistan, Sindh and Karachi have been printed separately while Practical Information section has the listings of Airlines, Ambulance Services, Art Galleries, Banks, Blood Banks, Booksellers, Breakfast & Brunch, Chocolates & Sweets, Cinemas, Clubs, Coach Services, Courier Services, Cultural Centres, Departmental Stores, Farm Houses, Fast Food, Florists, Foreign Mission, Fun Spots, Gift Shops, Golf Clubs, Handicrafts, Health Clubs, Hospitals, Hotels, Ice Cream Shops, Laboratories & X-ray Centres, Libraries, Medical Stores, Money Changers, Museums, Photo Colour Laboratories, Photographers, Rent A Car, Restaurants, Travel Agents and Tour Operators.

The handy book, priced Pak Rs 600, is available at all leading bookstores in Pakistan and it can also be obtained directly from the office of Jumbo Infomedia.

http://jumboinfomedia.blogspot.com/
Syndicated from: KarachiObserver.com

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Indian Army Receives First Indigenous ROV Daksh

Posted on 22 December 2011 by Tea Server



The Indian Army has received its first indigenous remotely operated
vehicle (ROV), capable of diffusing improvised explosive devices (IEDs).

The delivery of the initial batch of six units follows limited series
production (LSP) for 20 Daksh units awarded to DRDO's Research and
Development Establishment (R&DE – Engineers) in September 2010.

The robot has been developed by R&DE – Engineers in collaboration
with Tata Motors, Dynalog (I), Theta Controls and Bharat Electronics.

The battery-operated robot on wheels is primarily designed for the safe
handling and destruction of IEDs using multiple cameras, X-ray devices
and a strong manipulator arm with six degrees of freedom.

The ROV can be armed with an on-board shotgun for blasting through door
locks when tackling car bombs and will be useful for route clearance
operations on borders prone to terror attacks.

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Syndicated from: ASIAN DEFENSE

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