Each activity was self reported on a 0 3 Likert type scale (0=no difficulty in performing the activity, 1=some difficulty, 2=much difficulty, 3=unable to perform the activity). The total functional difficulty score across the five activities was 0 15. We defined clinically important functional decline, originally described by Lin et al,20 as a deterioration in functional score of 5 points or more or the equivalent change of one standard deviation.17 The outcome analysed was presence/absence of a clinically important functional decline between the visit most recently preceding the wrist fracture and the visit most immediately following the wrist fracture. The closest the excerpts came to direct evidence that Washington had ordered the screening was one employee saying that "all my direction" came from an official who the excerpt said was in burberry Washington. The top Democrat on that panel, Rep. Elijah Cummings of Maryland, said none of the burberry employees interviewed have so far identified any IRS officials in burberry Washington as ordering that targeting. While generally not afforded the same access to institutions and mechanisms of social change as men, West African women have maintained longstanding discourses and dialogues through alternative strategies, cutting through the hegemony of the written word and patriarchal burberry political discourse with performative oral traditions. While these expressions of socio political empowerment are as diverse as the nationalities, ethnicities, burberry and life experiences of the people encapsulated in the broad category "West African women," I focus here on women's songs in Niger, Nigeria, and Guinea as a way to begin to understand how West African women voice their struggles and selves in the context of powerful national and transnational political flows.