广州小儿外科示教模拟人(兰州综合穿刺术与叩诊检查技能训练模型) (今日更新中)

SAN DIEGO (CNS) - A convicted sex offender's potential release from a state hospital and subsequent placement in Jacumba Hot Springs drew a substantial crowd to a downtown San Diego courtroom Friday, which included the inmate's victims and others opposing his placement in eastern San Diego County.Alan Earl James, 56, was convicted in 1981 and 1986 of numerous sex- related felonies involving several minor victims -- which included James' younger relatives-- and sentenced to 28 years in state prison.James, who is classified as a "sexually violent predator," was committed to Coalinga State Hospital, where he was undergoing treatment "for an indeterminate term," until he petitioned for a monitored conditional release last summer, prosecutors said.The California Department of State Hospitals have proposed to place James at 45612 Old Highway 80 in Jacumba Hot Springs, a property under the jurisdiction of the San Diego County Sheriff's Department staffed by sheriff's deputies that previously housed sexually violent predators.San Diego County Superior Court Judge Albert Harutunian -- who recommended James' integration into the conditional release program last fall based upon the evaluation of psychiatric experts -- said he understood the public's opposition to James' release, but said citizens would be better suited directing their concerns towards the legislature, which determines sentencing guidelines and penalties for offenders.Nonetheless, several speakers that included James' relatives victimized as children, spoke of their fears that James would re-offend, even if released to a supervised facility.Robert N., who now lives on the East Coast, said he flew 3,000 miles to make his voice heard regarding James' release. He said James held a butterknife to his neck and threatened to kill him if he told anyone about the abuse, which happened to him and his siblings more than 30 years ago."My biggest fear is that this time, he'll end up killing a kid," he said. "I understand that he's going to be monitored and all that, but eventually, there's going to come to a point where someone's going to turn their head or something and not be paying attention and that's where he's going to end up striking."Robert N.'s sister, who went by L.N. while speaking to the court, said James assaulted her when she was four years old, and urged Harutunian to have James placed in a facility apart from communities where children and families live."I feel he will re-offend given the opportunity," she said.Following his conviction and release for abuse committed against her and her siblings, L.N. said James assaulted another girl and was convicted again."I understand he has to be released. However, he just does not need to be in the community of San Diego. I no longer live in San Diego. However, I still have family here, family that are children, as well as adults, and will all be impacted by this. I just fear that he will hurt another child and I don't want that to ever happen again."County Supervisor Dianne Jacob, whose district includes Jacumba Hot Springs, said the rural communities of eastern San Diego County have experienced "an over-concentration" of sexually violent predator placements and have become "easy pickins" for the placement of sex offenders.According to Jacob, nine sexually violent predators have been placed in Jacumba Hot Springs, Campo and Boulevard."There are not the resources, there are not the services out there (in the East County) in order to support the ongoing treatment of sexually violent predators, yet the state has chosen to place nine of these in these communities anyway, and I believe it's wrong and enough is enough," Jacob said.Harutunian said he wanted to take time to consider the options for placement and would render a written decision on the matter at a later time.Mary Taylor, a victim of sexually violent predator Alvin Ray Quarles, also known as the "Bolder-Than-Most" rapist, said she felt the decision to release James without notifying his victims should be considered a violation of the California Victims' Bill of Rights, otherwise known as Marsy's Law.State law only requires victims be notified when hearings regarding placement are held, not for proceedings considering a potential conditional release.Quarles recently was recommended for placement into a conditional release program at a facility in Jacumba Hot Springs, but the decision to release him will be reconsidered during an evidentiary hearing tentatively slated to begin in May. 4529

SAN DIEGO (AP) — The Trump administration said Thursday that it ended special considerations to generally release pregnant women charged with being in the United States illegally while their cases wind through immigration court.U.S. Immigration and Customs Enforcement said it scrapped a policy that took effect in August 2016 that pregnant women should be released unless they met limited criteria that required them to be held by law, such as serious criminal histories, or if there were "extraordinary circumstances."The new policy, which took effect in December but wasn't announced until Thursday, gives no blanket special consideration to pregnancy, though the agency says each case will be reviewed individually and women in their third trimester will generally be released.The move is the latest effort to scrap immigration policies created in the final two years of Barack Obama's administration. Shortly after Trump took office, rules that generally limited deportations to convicted criminals, public safety threats and recent border crossers were lifted, making anyone in the country illegally vulnerable. Deportation arrests have spiked more than 40 percent under Trump's watch.Administration officials said new rules on pregnant women aligned with the president's executive orders last year for heightened immigration enforcement."All across our enforcement portfolio, we're no longer exempting any individual from being subject to the law," said Philip Miller, deputy executive associate director of ICE's enforcement and removal operations.Women and immigrant advocacy groups, many who have criticized medical care at immigrant detention centers, swiftly condemned the change.While authorities made clear that it would review cases individually and that officers may consider pregnancy, the new policy shifts the focus more toward detention."It's basically a different starting point," said Michelle Brané, the Women's Refugee Commission's director of migrant rights and justice program and a frequent critic of immigration detention. "They're shifting the presumption. There used to be a presumption that detention was not a good place for pregnant women.""This new policy further exposes the cruelty of Trump's detention and deportation force by endangering the lives of pregnant immigrant women," said Victoria Lopez, senior staff counsel for the American Civil Liberties Union.U.S. officials said it was unclear how many women would be affected by the new policy. Immigration and Customs Enforcement took 506 pregnant women into custody since the new policy took effect in December and had 35 last week.Immigration authorities are required by law to hold certain people regardless of pregnancy, including people convicted of crimes listed in the Immigration and Naturalization Act or placed in fast-track removal proceedings when they are arrested crossing the border.Officials say it's unclear how many women who would have been released under the old policy will now be held. 3005

SAN DIEGO -- A Los Angeles police officer pleaded not guilty Friday to smuggling two Mexican nationals in East San Diego County.Mambasse Koulabalo Patara was arrested at 1:30 a.m. Wednesday at the Campo Border Patrol Checkpoint, about 12 miles north of the U.S.-Mexico border.The court documents claim Patara told Border Patrol agents he was an off-duty officer and showed them his LAPD identification.Patara had two men inside his black Toyota Corolla and appeared to be very nervous, shaking and avoiding eye contact, the Border Patrol said.Agents seized Patara's service pistol from his waistband after he told them he was armed.Patara was taken into custody after authorities say two of the men inside the vehicle admitted they were not U.S. citizens.Fermin Lopez and his nephew, German Ramirez-Gonzalez, admitted to being citizens of Mexico.At his arraignment, Patara pleaded not guilty. He faces up to five years in prison if convicted. 975

SAN DIEGO (CNS) - A car struck and killed a pedestrian in Encanto, and the driver then fled the scene, police said today.The deadly crash occurred around 6:30 p.m. Saturday on Imperial Avenue near 66th Street.A woman tried to cross Imperial Avenue but did not stop for oncoming traffic in the westbound lanes, according to San Diego police Officer Robert Heims.RELATED: Man crashes into police car during chase in La MesaThe woman was struck and she died at the scene, Heims said. The driver involved in the crash failed to stop and instead drove west on Imperial Avenue, according to Heims.The car was described as possibly being a black, two-door vehicle. Police weren't immediately able to provide the victim's identity, but she is believed to have been between 35 and 40 years old.RELATED: Ex-boyfriend arrested in connection with fatal Fallbrook shootingTraffic detectives were investigating the case. 924

SAN DIEGO (AP) — The red-hot San Francisco Giants keep playing — and winning — extra-inning games.Pablo Sandoval homered with two outs in the 11th and the Giants beat the San Diego Padres 2-1 Friday night for their 18th victory in 22 games.Sandoval's drive on a 1-2 pitch from Logan Allen (2-3) just cleared the wall in left field. It was his 13th. He entered as a pinch-hitter in the ninth, when he hit a leadoff double, and stayed in at third base."It doesn't get any bigger than that, what he did," San Francisco manager Bruce Bochy said. "It's another hard-fought game. These guys seem to like that, going overtime here."The Giants have won six extra-inning games in their last 10 contests and seven in their past 15 since the All-Star break."It tells me that we have a great bullpen," said starter Jeff Samardzija, who pitched six strong innings. "To win extra-inning games, you've got to be throwing up zeros with guys that obviously aren't starters. I know our starters have pitched well to make sure we've given these guys some time off, but they've gone out there and been so efficient and so solid with their work that they've made these extra-inning games not be too taxing on them and haven't taxed our bullpen too much because they've been so good."We'll keep trying to eat up innings as starters, but tell you what, winning close games is some of the best things you can do for a whole season when it comes to momentum and feeling good about yourselves and being confident in those situations going forward."The Giants have won four straight games against San Diego at Petco Park in July, part of a surprising surge that has helped them jump into the NL wild-card race.The Padres have lost eight straight home games. They were coming off a 3-6 trip.Mark Melancon (4-2) struck out two in a perfect 10th for the win. All-Star closer Will Smith pitched the 11th for his 25th save, getting Eric Hosmer to hit into a game-ending double play.Giants center fielder Kevin Pillar made a nice running catch of Wil Myers' deep fly ball for the second out of the ninth.San Diego's Austin Hedges tied the game at 1 with a home run off Jeff Samardzija into the balcony on the third level of the Western Metal Supply Co. Building in the left field corner with one out in the fifth, his eighth.Samardzija and Padres left-hander Joey Lucchesi each pitched six strong innings. Samardzija allowed one run and four hits while striking out six and walking three. Lucchesi yielded one run and two hits while striking out eight and walking four."Just not a good offensive performance by us," Padres manager Andy Green said. "We've just got to put runs on the board. It's really simple. Just not enough quality at-bats today against Samarjdzija. He's a veteran pitcher whose stuff was moving quite a bit today. We didn't make the necessary adjustments and get to him."Lucchesi retired his first six batters before walking Tyler Austin leading off the third. Austin stole second and scored on Donovan Solano's double to the center field wall.Lucchesi got into and out of trouble in the fifth, loading the bases with no outs before retiring the side by striking out Samardzija, getting an infield fly call on Donovan Solano's popup and then inducing Brandon Belt to ground out to shortstop. 3286

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