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I have spastic bilateral quadriplegia, also known as cerebral palsy. It limits my body, but not my mind.
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Atheneum Books for Young Readers (Out of My Mind (The Out of My Mind Series))
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The bilateral illusion of unilateral attention was almost infantilely gratifying from an emotional standpoint: you got to believe you were receiving somebody's complete attention without having to return it. Regarded with the objectivity of hindsight, the illusion appears arational, almost literally fantastic: it would be like being able to both lie and to trust other people at the same time.
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David Foster Wallace (Infinite Jest)
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War is not just the shower of bullets and bombs from both sides, it is also the shower of blood and bones on both sides.
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Amit Kalantri (Wealth of Words)
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bilateral illusion of unilateral attention
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David Foster Wallace (Infinite Jest)
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In a historic 1933 accord, the Vatican was the first sovereign state to sign a bilateral treaty with Adolf Hitler’s Third Reich. The Nazis promised to protect Catholics inside Germany in return for the church endorsing Hitler’s government.
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Gerald Posner (God's Bankers: A History of Money and Power at the Vatican)
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There’s something truly wonderful about referring to a procedure as specific as a bilateral mastectomy with a term as blandly ominous as “top surgery.”
Is it serious, Doc?
Yeah, son. I’m afraid there’s nothing to do but schedule you for top surgery.
What parts of me will be affected, Doc?
The top.
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Daniel Mallory Ortberg (Something That May Shock and Discredit You)
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Bilateral symmetry can have grave consequences for a police officer in a tense situation where he is holding a pistol on a suspect.
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Dave Grossman (On Combat: The Psychology and Physiology of Deadly Conflict in War and Peace)
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In the two years after No Logo came out, I went to dozens of teach-ins and conferences, some of them attended by thousands of people (tens of thousands in the case of the World Social Forum), that were exclusively devoted to popular education about the inner workings of global finance and trade. No topic was too arcane: the science of genetically modified foods, trade-related intellectual property rights, the fine print of bilateral trade deals, the patenting of seeds, the truth about certain carbon sinks. I sensed in these rooms a hunger for knowledge that I have never witnessed in any university class. It was as if people understood, all at once, that gathering this knowledge was crucial to the survival not just of democracy but of the planet. Yes, this was complicated, but we embraced that complexity because we were finally looking at systems, not just symbols.
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Naomi Klein (No Logo)
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SCHISMATRIX is a creeping sea-urchin of a book—spikey and odd. It isn’t very elegant, and it lacks bilateral symmetry, but pieces of it break off inside people and stick with them for years.
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Bruce Sterling (Schismatrix Plus)
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la forma humanoide con simetría bilateral, la misma forma que utiliza Hollywood para representar a los alienígenas en el espacio, no tiene por qué aplicarse necesariamente a toda la vida inteligente.
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Michio Kaku (Física de lo imposible: ¿Podremos ser invisibles, viajar en el tiempo y teletransportarnos?)
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God is logic's corpse, a wound in reason, grammar's empty skin. (1998)
It is as obvious to my left brain that there is no God, as it is obvious to my right brain that the living God is all there is. (2018)
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Jamey Hecht
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Una Smart City es un espacio urbano con infraestructuras, redes y plataformas inteligentes, en el que conviven millones de elementos de información bilateral como son personas, equipos electrónicos, sistemas de información, etc.
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Sergio Colado (Smart City: Hacia la gestión inteligente)
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Today biologists believe that during the “Cambrian explosion,” about half a billion years ago, nature experimented with a vast array of shapes and forms for tiny, emerging multicellular creatures. Some had spinal cords shaped like an X, Y, or Z. Some had radial symmetry like a starfish. By accident one had a spinal cord shaped like an I, with bilateral symmetry, and it was the ancestor of most mammals on Earth. So in principle the humanoid shape with bilateral symmetry, the same shape that Hollywood uses to depict aliens in space, does not necessarily have to apply to all intelligent life.
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Michio Kaku (Physics of the Impossible: A Scientific Exploration of the World of Phasers, Force Fields, Teleportation and Time Travel)
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Under bilateral competition, market-price is determined within a range whose upper limit is set by the valuations of the lowest bidder among the actual buyers and the highest offerer among the excluded would-be sellers, and whose lower limit is set by the valuations of the lowest offerer among the actual sellers and the highest bidder among the excluded would-be buyers.
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Ludwig von Mises (The Theory of Money and Credit (Liberty Fund Library of the Works of Ludwig von Mises))
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The Lucky Looking Glass by Stewart Stafford
Woken from a nightmare,
He walked to his bathroom,
Treading on a hand mirror,
Breaking it, to his horror.
Payback of a reflection dodged,
With a lifespan of scars healed,
Dark energies bilaterally wiped,
A poisonous duo counterbalanced.
From then on, Plutus's grin shone,
A Midas touch with an off switch,
Winning streaks of a Texan width,
Cracked mirror coffin for the next life.
© Stewart Stafford, 2023. All rights reserved.
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Stewart Stafford
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So and then the only really cardiac-grade romantic relationship of Orin’s life took bilateral root at a distance, during games, without one exchanged personal phoneme, a love communicated — across grassy expanses, against stadiums’ monovocal roar — entirely through stylized repetitive motions — his functional, hers celebratory — their respective little dances of devotion to the spectacle they were both — in their different roles — trying to make as entertaining as possible.
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David Foster Wallace (Infinite Jest)
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As the diplomats are fond of saying when they have little else to say, the importance of the Madrid Conference was the fact that it convened. If anyone expected that sitting around a common table with all the world to see would temper the proceedings, they were soon proven wrong. As expected, everyone played to the gallery, their gallery. The speeches were largely wooden and flat. The conference concluded with a decision to continue bilateral talks between the delegations in Washington, some of which I later attended. They didn’t get very far either. During
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Benjamin Netanyahu (Bibi: My Story)
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Suppose we had some kind of device with particles moving with a certain definite symmetry, and suppose their movements were bilaterally symmetrical (fig. 20). Then, following the laws of physics, with all the movements and collisions, you could expect, and rightly, that if you look at the same picture later on it will still be bilaterally symmetrical. So there is a kind of conservation, the conservation of the symmetry character. This should be in the table, but it is not like a number that you measure, and we will discuss it in much more detail in the next lecture. The reason this is not very interesting in classical physics is because the times when there are such nicely symmetrical initial conditions are very rare, and it is therefore a not very important or practical conservation law. But
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Richard P. Feynman (The Character of Physical Law (Penguin Press Science))
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I felt sick that a stray tweet could actually result in a meeting, although I took some solace from believing that what motivated Trump was the press coverage and photo op of this unprecedented DMZ get-together, not anything substantive. Trump had wanted to have one of the earlier summits at the DMZ, but that idea had been short-circuited because it gave Kim Jong Un the home-court advantage (whereas we would fly halfway around the world), and because we still hadn’t figured out how to ensure it was just a Trump-Kim bilateral meeting. Now it was going to happen. North Korea had what it wanted from the United States and Trump had what he wanted personally. This showed the asymmetry of Trump’s view of foreign affairs. He couldn’t tell the difference between his personal interests and the country’s interests.
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John Bolton (The Room Where It Happened: A White House Memoir)
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Coitus and sleep—both relieving the discontinuity of spinal-priapic erection through collapse into horizontal submersion—represent attempts at ‘archaic’ regressions. During both, ‘the whole body assumes [a] spheroid shape’, recapitulating not just conditions in utero, but the morphologies of our pre-bilateral ancestors, the marine radiate. Ferenczi states, moreover, that the sleeper’s executive center, their ‘soul’, sinks back through nervous laminae, routing down from hibernating and deactivated encephalon into the proprioceptive spinal column. A katabasis of the CNS, sleeping is thus temporary decapitation: the somnolent ‘has only a “spinal soul”’, Ferenczi exclaims; evidence, then, of the sleeper’s ‘phylogenetic regression’ through neuronic layers. The ‘soul’ descends spinally from brain to thorax; a genuine recapitulation of precephalic existences. Dreams are spinal emissions. Sleep is time travel.
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Thomas Moynihan (Spinal Catastrophism: A Secret History)
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Clinton recognized the challenge for the United States. Over a long lunch with Prime Minister Kevin Rudd of Australia in Washington in March 2009, she asked him for advice on dealing with China. “How do you deal toughly with your banker?” Clinton said, according to a State Department cable released in December 2010 by WikiLeaks. Rudd, describing himself as a “brutal realist on China,” told Clinton that the United States should adopt a policy of “multilateral engagement with bilateral vigor”—a polite way of saying “Make friends with China’s neighbors and get tough on China.” Whether Rudd knew it or not, he was describing the outlines of a policy already taking shape in the State Department. “China badly misread the United States, believing we were in a downward spiraling decline,” said Kurt Campbell, one of the principal architects of that new approach. “On that first trip, they did not treat Obama as well as they should have.
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Mark Landler (Alter Egos: Hillary Clinton, Barack Obama, and the Twilight Struggle Over American Power)
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The evidence of cheetah genetic monotony would only grow. Bob Wayne, a talented postdoctoral fellow in our lab, examined cranial measurements and the bilateral symmetry of cheetah skulls. Although no one is certain why, in most livestock, asymmetry in skeletal characteristics (the difference between right and left measures of a trait) increases with inbreeding. Bob measured sixteen bilateral traits in thirty-three cheetah skulls held in natural history museums in Washington, Chicago, and New York. The study was not perfect because several of the skulls were incomplete due to a bullet hole in the skull. Nonetheless, in nearly every case, cheetah skulls were more asymmetric compared to the skulls of leopards, ocelots, or margays. When I explained these skull results in a television interview, the correspondent asked, "Dr. O'Brien, are you telling me that these cheetahs are lopsided?" Not exactly, but the cheetahs certainly looked very inbred.
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Stephen J. O'Brien (Tears of the Cheetah: The Genetic Secrets of Our Animal Ancestors)
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More Activities to Develop Sensory-Motor Skills Sensory processing is the foundation for fine-motor skills, motor planning, and bilateral coordination. All these skills improve as the child tries the following activities that integrate the sensations. FINE-MOTOR SKILLS Flour Sifting—Spread newspaper on the kitchen floor and provide flour, scoop, and sifter. (A turn handle is easier to manipulate than a squeeze handle, but both develop fine-motor muscles in the hands.) Let the child scoop and sift. Stringing and Lacing—Provide shoelaces, lengths of yarn on plastic needles, or pipe cleaners, and buttons, macaroni, cereal “Os,” beads, spools, paper clips, and jingle bells. Making bracelets and necklaces develops eye-hand coordination, tactile discrimination, and bilateral coordination. Egg Carton Collections—The child may enjoy sorting shells, pinecones, pebbles, nuts, beans, beads, buttons, bottle caps, and other found objects and organizing them in the individual egg compartments. Household Tools—Picking up cereal pieces with tweezers; stretching rubber bands over a box to make a “guitar”; hanging napkins, doll clothes, and paper towels with clothespins; and smashing egg cartons with a mallet are activities that strengthen many skills.
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Carol Stock Kranowitz (The Out-of-Sync Child: Recognizing and Coping with Sensory Processing Disorder)
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During his visit to India in December 2010, the soft-spoken Chinese Premier Wen Jiabao seems to have succeeded in convincing Prime Minister Manmohan Singh that the border dispute between the two countries belongs to the past, won’t be easy to resolve, and requires patience. Instead of using whatever diplomatic language was necessary to call this statement pure poppycock, the even more soft-spoken Dr Singh appears to have succumbed completely. When Mr Jiabao was asked whether he would advise Pakistan to stop terrorist activity, he made it clear that he would not. ‘That’s for the two of you to resolve,’ he bluntly said. Our prime minister obviously tried to flatter his guest in the hope of getting some response which he could sell to the Indian people when he declared that ‘the world will listen when India and China will speak with one voice’. The response he received to this piece of flattery was, ‘Our relationship is greater than the sum of its parts.’ To me the statement is an attractive piece of diplomatic craftsmanship meaning nothing. Without any countervailing advantage, the visit yielded a trade pact which will take the bilateral trade to $100 billion by 2015, a complete economic sell-out in a year when the trade deficit was already approximately $20 billion.
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Ram Jethmalani (RAM JETHMALANI MAVERICK UNCHANGED, UNREPENTANT)
“
Think about it,” Obama said to us on the flight over. “The Republican Party is the only major party in the world that doesn’t even acknowledge that climate change is happening.” He was leaning over the seats where Susan and I sat. We chuckled. “Even the National Front believes in climate change,” I said, referring to the far-right party in France. “No, think about it,” he said. “That’s where it all began. Once you convince yourself that something like that isn’t true, then…” His voice trailed off, and he walked out of the room. For six years, Obama had been working to build what would become the Paris agreement, piece by piece. Because Congress wouldn’t act, he had to promote clean energy, and regulate fuel efficiency and emissions through executive action. With dozens of other nations, he made climate change an issue in our bilateral relationship, helping design their commitments. At international conferences, U.S. diplomats filled in the details of a framework. Since the breakthrough with China, and throughout 2015, things had been falling into place. When we got to Paris, the main holdout was India. We were scheduled to meet with India’s prime minister, Narendra Modi. Obama and a group of us waited outside the meeting room, when the Indian delegation showed up in advance of Modi. By all accounts, the Indian negotiators had been the most difficult. Obama asked to talk to them, and for the next twenty minutes, he stood in a hallway having an animated argument with two Indian men. I stood off to the side, glancing at my BlackBerry, while he went on about solar power. One guy from our climate team came over to me. “I can’t believe he’s doing this,” he whispered. “These guys are impossible.” “Are you kidding?” I said. “It’s an argument about science. He loves this.” Modi came around the corner with a look of concern on his face, wondering what his negotiators were arguing with Obama about. We moved into the meeting room, and a dynamic became clear. Modi’s team, which represented the institutional perspective of the Indian government, did not want to do what is necessary to reach an agreement. Modi, who had ambitions to be a transformative leader of India, and a person of global stature, was torn. This is one reason why we had done the deal with China; if India was alone, it was going to be hard for Modi to stay out. For nearly an hour, Modi kept underscoring the fact that he had three hundred million people with no electricity, and coal was the cheapest way to grow the Indian economy; he cared about the environment, but he had to worry about a lot of people mired in poverty. Obama went through arguments about a solar initiative we were building, the market shifts that would lower the price of clean energy. But he still hadn’t addressed a lingering sense of unfairness, the fact that nations like the United States had developed with coal, and were now demanding that India avoid doing the same thing. “Look,” Obama finally said, “I get that it’s unfair. I’m African American.” Modi smiled knowingly and looked down at his hands. He looked genuinely pained. “I know what it’s like to be in a system that’s unfair,” he went on. “I know what it’s like to start behind and to be asked to do more, to act like the injustice didn’t happen. But I can’t let that shape my choices, and neither should you.” I’d never heard him talk to another leader in quite that way. Modi seemed to appreciate it. He looked up and nodded.
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Ben Rhodes (The World As It Is: A Memoir of the Obama White House)
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Kushner saw the chance to convert the issue of the wall into a bilateral agreement addressing immigration—
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Michael Wolff (Fire and Fury: Inside the Trump White House)
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And now we were done. Our efforts had failed. I was not a Cold Warrior itching to get back into the arena with a Kremlin adversary; ever since my high school days debating Jackson-Vanik, I had held a different aspiration for our bilateral relationship. But Putin’s actions in Ukraine compelled the United States and Europe to pivot to a fundamentally different strategy for managing relations with Russia. We were not returning to a Cold War, but we were entering a new confrontational era, a hot peace. On March 23, 2014, I spelled out my proposed
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Michael McFaul (From Cold War To Hot Peace: An American Ambassador in Putin's Russia)
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The two women made a pact of peace. However, it was purely bilateral; the rest of the world was open to war.
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Lina J. Potter (The Royal Court (A Medieval Tale, #4))
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Bilateral (from the Latin for “both sides”) coordination means that we can use both sides of the body to cooperate as a team. A well-regulated vestibular system helps us to integrate sensory messages from both sides of our body. By the age of three or four, a child should be crossing the midline. For the child who avoids crossing the midline, coordinating both body sides may be difficult. When she paints at an easel, she may switch the brush from one hand to the other at the midway point separating her right and left sides. She may appear not to have established a hand preference, sometimes using her left and sometimes her right to eat, draw, write, or throw. It may also be hard to survey a scene or to track a moving object visually without stopping at the midline to blink and refocus. The child with poor bilateral coordination may have trouble using both feet together to jump from a ledge, or both hands together to catch a ball or play clapping games. She may have difficulty coordinating her hands to hold a paper while she cuts, or to stabilize the paper with one hand while she writes with the other. Poor bilateral coordination, a sensory-based motor disorder, is often misinterpreted as a learning disability such as dyslexia. In fact, this difficulty can lead to learning or behavior problems, but it does not ordinarily mean that a child is lacking in intelligence or academic ability.
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Carol Stock Kranowitz (The Out-of-Sync Child: Recognizing and Coping with Sensory Processing Disorder)
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BILATERAL COORDINATION Ball Catch—Toss a large beach ball gently to the child from a short distance. As he becomes more competent, use a smaller ball and step farther away. Ball Whack—Have the child hold a baseball bat, rolling pin, broomstick, book, cardboard tube, or ruler in both hands. Remind her to keep her feet still. Toss her a big ball. As she swings, her body will rotate, as her arms cross the midline. Two-Handed Tetherball—Suspend a sponge ball at the child’s eye level from a string attached to a wide doorframe. Let your child choose different “bats.” Have her count how many hits she makes without missing. Try four-handed tetherball, in which you play, too. Balloon Fun—Using both hands together, the child bounces or tosses up a balloon and catches it. He can keep it afloat by whacking it with open hands or batting it repeatedly with hands clasped together in one large “fist.” Rolling-Pin Fun—Provide the child with a cylindrical block or a rolling pin without handles, so he presses down with his opened hands. Have him roll real dough, playdough, crackers, clay—or mud! Body Rhythms—While you chant or sing, clap, and tap different body parts and have your child imitate your motions. Tip your head from side to side, wave your arms overhead, shake icky sticky glue off your hands, pound your chest, slap your hips, bend from side to side, hunch and relax your shoulders, stamp your feet, and hop from foot to foot. Use both hands together or alternately.
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Carol Stock Kranowitz (The Out-of-Sync Child: Recognizing and Coping with Sensory Processing Disorder)
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An occupational therapist will usually evaluate the child in her office. The evaluation is ordinarily a pleasant experience. While costs vary, expect to spend several hundred dollars. This will be money well spent, and it may be covered by health insurance. Here are some of the areas an OT investigates: Fine- and gross-motor developmental levels Visual-motor integration (doing puzzles or copying shapes) Visual discrimination Neuromuscular control (balance and posture) Responses to sensory stimulation (tactile, vestibular, and proprioceptive) Bilateral coordination Praxis (motor planning)
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Carol Stock Kranowitz (The Out-of-Sync Child: Recognizing and Coping with Sensory Processing Disorder)
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By the way, at the present time, the United States has bilateral immunity agreements with over one hundred countries, preventing its military personnel from being tried under the laws of these foreign countries for any crimes, including rape and murder.
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Dan Kovalik (The Plot to Attack Iran: How the CIA and the Deep State Have Conspired to Vilify Iran)
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A Variation of Dr. Ayres’s “Four Levels of Sensory Integration” By the time a child is ready for preschool, the blocks for complex skill development should be in place. What are these blocks? • Ability to modulate touch sensations through the skin, especially unexpected, light touch, and to discriminate among the physical properties of objects by touching them (tactile sense), • Ability to adjust one’s body to changes in gravity, and to feel comfortable moving through space (vestibular sense), • Ability to be aware of one’s body parts (proprioceptive sense), • Ability to use the two sides of the body in a cooperative manner (bilateral coordination), and • Ability to interact successfully with the physical environment; to plan, organize, and carry out a sequence of unfamiliar actions; to do what one needs and wants to do (praxis).
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Carol Stock Kranowitz (The Out-of-Sync Child: Recognizing and Coping with Sensory Processing Disorder)
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By then the trade problems between Japan and the United States were a central topic of conservation. In fact, many nasty things were being said about Japan in the United States because of the bilateral trade imbalance between Japan and the U.S. Some people were accusing Japan of sending a torrent of merchandise to the U.S., which was forcing Americans out of jobs.
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Akio Morita (Made in Japan: Akio Morita and Sony)
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Supergravity is a version of Einstein's theory of general relativity, dressed up with supersymmetry-a symmetry that draws a connection between bosons and fermions, matching one boson for every fermion into "superpartners." Bosons are the entities responsible for transmitting forces, such as the photon that transmits the electromagnetic force. On the other hand, fermions are both matter particles, such as electrons and quarks, and the antiparticles of all these subatomic entities. Looking in the mirror is an example of how symmetry works. The image you see closely resembles how you appear to others because of your bilateral symmetry, even though the mirror switches your left side for your right. Think of supersymmetry as a mirror that switches Bosons for fermions without changing the behavior of the physical system.
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Stephon Alexander (The Jazz of Physics: The Secret Link Between Music and the Structure of the Universe)
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Manmohan Singh’s lost opportunity The anti-corruption agitations of 2011 provided a wonderful opportunity for the prime minister and his government to start the process of purging the system of corruption and retrieving black money illegally stashed away in foreign banks. The government had two options to get our money back. The first, to behave like a responsible, honourable and strong nation and demonstrate political will to fight corruption using the ample machinery available through international and bilateral legal instruments, the Tax Information Exchange Treaties (TIEAs), Double Taxation Avoidance Agreements (DTAAs) and the Organisation for Economic Co-operation and Development (OECD) automatic exchange route. The Swiss have volunteered cooperation; and India can follow the example of the US and UK, and get India’s stolen money back to the country. Or, the government can take the other option and behave like a banana republic and a failed state, plunder capital from their own country through a UPA-sponsored version of imperialism, perpetuate poverty and backwardness by denying the people of this country their rightful development dividend while repeatedly rewarding and incentivizing the looters with amnesty schemes. Mr Singh’s government has continuously concealed information on black money by fooling the people of our country, shielding the corrupt and guilty who have illegal bank accounts in foreign banks, and by creating obstacles for any progress in the matter instead of taking proactive measures to obtain the information from the foreign governments concerned. Prime Minister Manmohan Singh could have chosen the former option and gone down in history as a great patriot and leader of our country, a pioneer against corruption. But sadly, he has lost the opportunity and chosen such, that history will remember him as having presided over the greatest frauds practised on this poor and gullible nation.
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Ram Jethmalani (RAM JETHMALANI MAVERICK UNCHANGED, UNREPENTANT)
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It is difficult and even dangerous to make predictions—especially about the future—of the bilateral relationship.
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Patrick Mendis (Peaceful War: How the Chinese Dream and the American Destiny Create a New Pacific World Order)
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Fundamentally, there are only two ways of co-ordinating the economic activities of millions. One is central direction involving the use of coercion—the technique of the army and of the modern totalitarian state. The other is voluntary co-operation of individuals—the technique of the market place. The possibility of co-ordination through voluntary co-operation rests on the elementary—yet frequently denied—proposition that both parties to an economic transaction benefit from it, provided the transaction is bi-laterally voluntary and informed. Exchange can therefore bring about co-ordination without coercion. A working model of a society organized through voluntary exchange is a free private enterprise exchange economy—what we have been calling competitive capitalism. In its simplest form, such a society consists of a number of independent households—a collection of Robinson Crusoes, as it were. Each household uses the resources it controls to produce goods and services that it exchanges for goods and services produced by other households, on terms mutually acceptable to the two parties to the bargain. It is thereby enabled to satisfy its wants indirectly by producing goods and services for others, rather than directly by producing goods for its own immediate use. The incentive for adopting this indirect route is, of course, the increased product made possible by division of labor and specialization of function. Since the household always has the alternative of producing directly for itself, it need not enter into any exchange unless it benefits from it. Hence, no exchange will take place unless both parties do benefit from it. Co-operation is thereby achieved without coercion. Specialization of function and division of labor would not go far if the ultimate productive unit were the household. In a modern society, we have gone much farther. We have introduced enterprises which are intermediaries between individuals in their capacities as suppliers of service and as purchasers of goods. And similarly, specialization of function and division of labor could not go very far if we had to continue to rely on the barter of product for product. In consequence, money has been introduced as a means of facilitating exchange, and
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Milton Friedman (Capitalism and Freedom)
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President Lisse gritted his teeth. ‘You know this is blackmail?’ ‘I prefer to call it a “mutually beneficial bilateral agreement”.
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Paul Mathews (We Have Lost The Coffee (We Have Lost #3))
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Storytelling is an imperfect methodology to provide a true accounting to a multiplicity of bilateral and three-dimensional interactions. Language cannot reach every recess of the mind, it cannot document every emotional chord, and it cannot splice the discordant pieces within us. Each story by a writer represents the sanitized accounting of the mind’s depictions. Try as one might, employing a panoply of traditional technique or other slick tools of modernist stage craft, it is impossible to separate the teller from the telling any more than one can distinguish the author from their doppelganger writer’s voice.
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Kilroy J. Oldster (Dead Toad Scrolls)
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HT-1 This point is difficult to access, as it is well protected by the structure of the human body. HT-1is a bilateral Vital Point that is located in the armpit at the junction of the inner arm with the torso. It is associated with the Heart Meridian and is the point that the internal aspects of that meridian leaves the inner torso and emerges close to the surface of the skin. It does not have a direct connection to any Extraordinary Vessels, but is highly sensitive to attack. Traditional Chinese Medicine state that this is a no-needle point in many related textbooks. On the surface, this point would appear to be a difficult one to access during an altercation, but it is accessible. HT-1 becomes easily accessible if the opponent’s arm is raised, which occurs in the short instances that they are throwing a punch. A quick finger thrust or one-knuckle fist strike can easily activate it, but it requires a fair amount of precision to land. Combat science teaches us that precision generally diminishes during an altercation, but I add the above variant for those that would be willing to put in the training time for achieve such a strike. Just remember that the likelihood of landing such a technique during an actual altercation is remote, even with copious amounts of practice. A more realistic attack to HT-1 is when you have used your opponent’s arm to take them to the ground. Once established, as a generally rule of thumb, it is advised that if you have established control over an opponent’s arm that you should maintain that control until you deliver a blow that ends the fight. So, with that in mind, one of my favorite attacks to HT-1 after driving an opponent to ground while having established and maintained arm control, that you jerk the arm towards yourself as you throw a kick into this Vital Point. The type of kick will be dependent on the positioning of your opponent. If he is bladed on the ground (laying on one side with the arm you control in the air) a hard side kick or stomp works well. If the opponent starts turning, or squaring his shoulders towards you as he hits the ground in an attempt to regain his feet, then a forceful forward, or straight kick, can work. I would suggest working with a training partner to determine the various configurations that a downed opponent would react when you maintain control of one of their arms. Notice that I did not advise that you kick your training partner in HT-1, which is ill advised since it theoretically can cause disruptions to the heart and according to Traditional Chinese Medicine theory even death. Again, this technique is not for demonstration or sport-oriented martial arts, but mature and thoughtful training practice can provide a wealth of knowledge on how best to attack a Vital Point, even if it is not actually struck.
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Rand Cardwell (36 Deadly Bubishi Points: The Science and Technique of Pressure Point Fighting - Defend Yourself Against Pressure Point Attacks!)
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ST-9 This point is a bilateral point that is found on both sides of the neck and is located about 1.5 inches to the outside of the edge of the Adam’s apple of the throat. The fact that the point lays directly over the carotid artery allows strikes to have an immediate reaction to the flow of blood to the brain and head in general. It has a cryptic name in Chinese, Ren Ying,9 which means “Man’s Prognosis” and provides no clues to its location or use from a martial standpoint. Its proximity to the carotid artery allows this point to be one of the weakest points on the human body and regardless of the size and muscular strength of an opponent it is extremely sensitive. The superior thyroid artery, the anterior jugular vein, the internal jugular vein, the carotid artery, the cutaneous cervical nerve, the cervical branch of the facial nerve, the sympathetic trunk, and the ascending branch of the hypoglossal and vagus nerves are all present. Just the structurally aspects of all these sensitive and vital nerves, arteries and veins should place it high on the list of potential targets. I personally consider it as one of the most important Vital Points because of this alone. Additionally, ST-9 is an intersection point for the Stomach Meridian, Gall Bladder Meridian and the Yin Heel Vessel. Strikes to this point can kill due to the overall structural weakness of the area. Strikes should be aimed toward the center of the spine on a 90-degree angle. A variety of empty hand weapons can be employed in striking this point. Forearms, edge of hand strikes, punches, kicks, and elbow strikes are all effective. The same defensive tactics outlined under the SI-16 should be employed against attacks to this extremely vital point. CV-22 This is one of the two most important acupuncture points to the martial arts that is concerned with the hostile actions of life-or-death combatives. It sets in the horseshoe notch located at the extreme upper part of the chest structure and at the centerline of the front of the neck. Resting under it is the trachea, or commonly known as the “windpipe,” and a hard and vicious strike to this point can cause the surrounding tissue to swell, which can shut off the body’s ability to pull oxygen into the lungs. A hard strike to this point can be deadly. Attacking this point should only be done in the most extreme life-or-death situations. Energetically, the Conception Vessel and the Yin Linking Vessel intersect at this point. The implications of that, from a Traditional Chinese Medicine perspective, is included in this book. Additionally, the structure of the suprasternal notch is an excellent “touch point” for situations when sight is reduced and you find yourself at extremely close range with your opponent. This allows for utilization of this point in a self-defense situation that is not as extreme as full force strikes, as only a finger or two are inserted and rolled to the backside of the notch causing pain for the opponent.
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Rand Cardwell (36 Deadly Bubishi Points: The Science and Technique of Pressure Point Fighting - Defend Yourself Against Pressure Point Attacks!)
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Duality is particularly widespread within biological order, from the ‘base-pairs’ of (RNA and) DNA code, through the binary fission of bacterial propagation, the (binary) sexual difference of meiotic reproduction, to the bilateral symmetry of the typical vertebrate organism with consequent pairing of limbs (arms, legs), sense-organs (eyes, ears), lungs, brain-hemispheres, etc. ‘Dual-organization’ provides a basic model for primordial human kinship structure.
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CCRU (Ccru: Writings 1997-2003)
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In just two years, none other than Donald Trump went from openly condemning Mexican migrants as rapists and “bad hombres” to embracing Mexico in trade and security deals that took bilateral relations to their friendliest and most productive in the history of both republics.
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Peter Zeihan (The End of the World is Just the Beginning: Mapping the Collapse of Globalization)
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GB-3 This vital point is located near the lower aspects of the temple area of skull, along the Zygomatic Arch, and is directly forward of the ear. It is bilateral, meaning it is found on both sides of the head, which is unlike any of the centerline points that only occur once. It is not directly associated with any of the Extraordinary Vessels, but is an Intersection Point for the Gall Bladder Meridian, Triple Warmer Meridian, and the Stomach Meridian. This makes it valuable to martial artists, since Intersection Points provide the ability to disrupt multiple meridians with a single strike. It makes attacking them economic from a time and motion standpoint. In a standard defense of being grabbed at the waist, with your arms free, slapping the ears forcefully will allow activation of this point with the meaty part of your hand. It is one of several points in this region of the skull and other would likely be activated while striking it given their proximity and size of the surface you are striking with. EYES If you asked a non-martial artist what are vital points on the human body, most of them would include the eyes. This is just basic common sense, as the eyes allow us to see our environment and determine any possible threats. If you happen to be struck in the eye it would inhibit your ability to effectively defend yourself. This is as true today as it was at the time that the author(s) were putting together what became the Bubishi. Though the eyes are not pressure point per se, these organs are extremely sensitive to attack. Flicking, poking, or thrusting into the eyes directly will greatly inhibit your opponent’s ability to see you in a combative situation. In fact, many of the old school Western hand-to-hand instructors of the World War II area were adamant in attacking the eyes. Likewise, it is common place in many martial arts systems, especially the ones that are truly combative and not sport oriented. Quick flicks of the wrist, with the fingertips striking the eyes, is a method that most opponents aren’t expecting. Thrusting your fingers into the eyes, either all or singularly, is another effective technique. More extreme is thrusting one finger into the inner corner of the opponent’s eye and then jerking forward and to the outside. This technique will dislodge the eye from its socket and should only be used in extreme circumstances. Defending against eye attacks is built into each of us, as we instinctually know their importance. If you recognize an eye attack from your opponent, dropping, raising and/or turning the head will many times save you from eye injury.
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Rand Cardwell (36 Deadly Bubishi Points: The Science and Technique of Pressure Point Fighting - Defend Yourself Against Pressure Point Attacks!)
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ST-9 This point is a bilateral point that is found on both sides of the neck and is located about 1.5 inches to the outside of the edge of the Adam’s apple of the throat. The fact that the point lays directly over the carotid artery allows strikes to have an immediate reaction to the flow of blood to the brain and head in general. It has a cryptic name in Chinese, Ren Ying,9 which means “Man’s Prognosis” and provides no clues to its location or use from a martial standpoint. Its proximity to the carotid artery allows this point to be one of the weakest points on the human body and regardless of the size and muscular strength of an opponent it is extremely sensitive. The superior thyroid artery, the anterior jugular vein, the internal jugular vein, the carotid artery, the cutaneous cervical nerve, the cervical branch of the facial nerve, the sympathetic trunk, and the ascending branch of the hypoglossal and vagus nerves are all present. Just the structurally aspects of all these sensitive and vital nerves, arteries and veins should place it high on the list of potential targets. I personally consider it as one of the most important Vital Points because of this alone. Additionally, ST-9 is an intersection point for the Stomach Meridian, Gall Bladder Meridian and the Yin Heel Vessel. Strikes to this point can kill due to the overall structural weakness of the area. Strikes should be aimed toward the center of the spine on a 90-degree angle. A variety of empty hand weapons can be employed in striking this point. Forearms, edge of hand strikes, punches, kicks, and elbow strikes are all effective. The same defensive tactics outlined under the SI-16 should be employed against attacks to this extremely vital point.
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Rand Cardwell (36 Deadly Bubishi Points: The Science and Technique of Pressure Point Fighting - Defend Yourself Against Pressure Point Attacks!)
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GB-27 Chinese Point name: Wu Shu;7 English translation: “Fifth Pivot;” Special Attributes: The point is an intersection point for the Gall Bladder Meridian and the Girdle Vessel. It is also bilateral; Location: About three inches below GB-26 on the inside of the hipbone; Western Anatomy: The superficial and deep circumflex iliac arteries and veins, and the iliohypogastric nerve are present; Comments: This point is an exception to the rule of striking to the energy core of the body. You still need to strike at a 45-degree downward angle, but your aim should be directed towards the outside of the body. This point is located on the hipbone and strikes to the outside will cause the hip to collapse backward. It works to either side, as the point is bilateral (that means it is found on both sides of the body). A strike here will cause the hip to fall back and to the outside, the legs to bend and an energetic fluctuation in the Gall Bladder Meridian. This may be important in follow-up strikes to finish the opponent.
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Rand Cardwell (36 Deadly Bubishi Points: The Science and Technique of Pressure Point Fighting - Defend Yourself Against Pressure Point Attacks!)
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ST-12 Chinese Point name: Que Pen;7 English translation: “Empty Basin;” Special Attributes: It is an intersection point of the Stomach Meridian and the Yin Heel Vessel. It is bilateral and is one of the 36 Vital Points listed in the Bubishi; Location: At the midpoint of the collarbone, which is about four inches lateral from the centerline of the body; and bilateral. Western Anatomy: The transverse cervical artery, intermediate supraclavicular nerve and the supraclavicular portion of the brachial plexus are present; Comments: This point is an excellent target when your opponent is at close range. By gripping the collarbone you can dig your fingers down behind the natural curve of the bone and towards the centerline of the body. It is most active when your opponent has their arms raised, given the structural weakness of the body at this location, will drop the majority of attackers. A sharp thrust down into this point will cause your opponents knees to bend. ST-9 Chinese Point name: Ren Ying;8 English translation: “Man’s Prognosis;” Special Attributes: ST-9 is an intersection point for the Stomach Meridian, Gall Bladder Meridian and the Yin Heel Vessel. It is a bilateral point that sets over the carotid artery. It is one of the 36 Vital Points listed in the Bubishi; Location: About 1.5 inches to the outside of the Adam’s apple on the throat; Western Anatomy: The superior thyroid artery, the anterior jugular vein, the internal jugular vein, the carotid artery, the cutaneous cervical nerve, the cervical branch of the facial nerve, the sympathetic trunk, and the ascending branch of the hypoglossal and vagus nerves are all present; Comments: This is one of the weakest points on the human body and regardless of the size and muscular strength of an opponent it is extremely sensitive. Strikes to this point can kill due to the structural weakness of the area. Strikes should be aimed toward the center of the spine on a 90-degree angle. A variety of empty hand weapons can be employed in striking this point. Forearms, edge of hand strikes, punches, kicks, and elbow strikes are all effective. BL-1 Chinese Point name: Jing Ming;9 English translation: “Bright Eyes;” Special Attributes: It is an intersection point of the Small Intestine Meridian, Bladder Meridian, Stomach Meridian, Yin Heel Vessel and the Yang Heel Vessel. It is also bilateral; Location: About .25 of an inch from the inner corner of the eye; Western Anatomy: The angular artery and vein and branches of the oculomotor and ophthalmic nerve are present; Comments: Strike this point slightly upward and towards the centerline of the head. This point is fairly difficult to strike in a combative situation due to the location. Forceful strikes to the eye socket area can activate this point, as well as traumatize the eye and possible breaking the bone structure in the general area.
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Rand Cardwell (36 Deadly Bubishi Points: The Science and Technique of Pressure Point Fighting - Defend Yourself Against Pressure Point Attacks!)
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LI-14 Chinese Point name: Bi Nao;14 English translation: “Upper Arm;” Special Attributes: It is the intersection point of the Large Intestine Meridian, the Stomach Meridian, and the Yang Linking Vessel. This point is bilateral; Location: On the upper arm near the insertion of the deltoid muscle; Western Anatomy: Branches of the posterior circumflex humeral artery and vein, the deep brachial artery and vein, the posterior brachial cutaneous nerve, and the radial nerve are present; Comments: Strikes to this point can cause damage to the shoulder joint. They are best if the wrist of the attacked arm is acquired. Energetically, it is a good target due to the three intersecting meridians. TW-13 Chinese Point name: Nao Hui;15 English translation: “Upper Arm Convergence;” Special Attributes: It is an intersection point of the Triple Warmer Meridian and the Yang Linking Vessel. This point is bilateral; Location: On the posterior border of the deltoid muscle about three inches from the tip of the shoulder; Western Anatomy: The medial collateral artery and vein, the posterior brachial cutaneous nerve, and the radial nerve are present; Comments: Strike in same manner as LI-14. SI-10 Chinese Point name: Nao Shu;16 English translation: “Upper Arm Point;” Special Attributes: This is an intersection point for the Small Intestine Meridian, the Yang Linking Vessel and the Yang Heel Vessel. This point is bilateral and extremely difficult to strike in a combative situation. This point is bilateral; Location: In the depression of the inferior of the scapula when the arm is raised; Western Anatomy: The posterior circumflex humeral artery and vein, the suprascapular artery and vein, the posterior cutaneous nerve of the arm, the axillary nerve, and the suprascapular nerve are present; Comments: A strike, if possible, should be directed towards the center of the body on a 90-degree angle. This is an important point because of the major energetic intersection, but is extremely difficult to strike.
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Rand Cardwell (36 Deadly Bubishi Points: The Science and Technique of Pressure Point Fighting - Defend Yourself Against Pressure Point Attacks!)
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Enfermedad de Parkinson. Cardiopatía isquémica con infarto agudo de miocardio anteroseptal y de cara diafragmática. Ulceras digestivas agudas recidivantes con hemorragias masivas reiteradas. Peritonitis bacteriana. Fracaso renal agudo. Tromboflebitis ileo-femoral izquierda. Bronconeumonía bilateral aspirativa. Choque endotóxico. Parada cardíaca. Madrid a las 7:30 horas de día 20 de noviembre de 1975. Firmado: El equipo médico habitual.
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José Luis Palma (EL PACIENTE DE EL PARDO: La imprevisible y larga agonía del General Franco (Spanish Edition))
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And yet, instead of a multilateral, or even bilateral, treaty, the United States went the other way. At the very moment Smith was wrapping up his speech in Geneva that November 9, 2017, the Pentagon’s hackers—unbeknownst to the commander-in-chief—were busy laying trapdoors and logic bombs in the Russian grid.
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Nicole Perlroth (This Is How They Tell Me the World Ends: The Cyberweapons Arms Race)
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John Cryan separó a las ratitas recién nacidas de sus madres, con el fin de estudiar el impacto del miedo y estrés sobre el organismo. Un pienso enriquecido en bifidobacterias mejoraba la conducta de las pequeñas e inofensivas ratitas huérfanas. Conclusión, la microbiota regula la depresión. Comprendo el entusiasmo, la euforia ante una nueva vía que se abre para poder paliar el sufrimiento, pero la orfandad no la cura solo una bacteria. No somos, por mucho que se diga, la suma de nuestras partes. El todo no es la totalidad. Parece claro, a la vista de los estudios, que la microbiota afecta a la depresión, y al estado anímico en general, pero la depresión no es la microbiota. Aunque, desde luego, disciplinas como la psicología o psiquiatría deberían hacerse eco de esta vanguardia científica e incluir en sus agendas el diseño de protocolos que incluyan la componente biológica, en particular la digestiva, para aminorar trastornos como la depresión, la ansiedad o el estrés, entre otros. La relación entre el intestino y el cerebro es simétrica, bilateral, por eso hay que ser cautos a la hora de establecer causas y efectos. El fruto no es la tierra, pero crece en ella.
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Nazareth Castellanos (Neurociencia del cuerpo)
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Any losses in the voyage were shared according to the amount of capital the partners had put in. If the voyage made money, profits were based on two types of commenda contracts. If the commenda was unilateral, then the sedentary merchant provided 100 percent of the capital and received 75 percent of the profits. If it was bilateral, the sedentary merchant provided 67 percent of the capital and received 50 percent of the profits.
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Daron Acemoğlu (Why Nations Fail: The Origins of Power, Prosperity, and Poverty)
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One of the standard arguments used in the 1990s to justify the introduction of a common European currency was that exchange-rate instability would disrupt trade in the common market. A monetary union between Canada and the US, however, has never been seriously considered even though the trading relationship between these two countries is the largest bilateral trading relationship in the world, see the preceding section. The fact that Canadian and US traders continue to operate, apparently with success, using their own currencies shows that the argument about currency swings dampening inter-state trade is far from convincing. Trade is also booming between Canada, Mexico and the US, the three members of NAFTA, in spite of the coexistence of three national currencies (Vega Cànovas 2010).
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Giandomenico Majone (Rethinking the Union of Europe Post-Crisis: Has Integration Gone Too Far?)
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Bilateral negotiations with a tyrant rarely turn out well for a democracy. Because they are subjected to little accountability, totalitarian regimes face no pressure to honor their word. They are free to break agreements and then make new demands. A democracy has a choice: give in or provoke a confrontation.
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George W. Bush (Decision Points)
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The covenant of grace describes the road by which elect people attain their destiny; it is the channel by which the stream of election flows toward eternity. Christ sends his Spirit to instruct and enable his own so that they consciously and voluntarily consent to this covenant. The covenant of grace comes with the demand of faith and repentance, which may in some sense be said to be its “conditions.” Yet, this must not be misunderstood. God himself supplies what he demands; the covenant of grace is thus truly unilateral—it comes from God, who designed, defines, maintains, and implements it. It is, however, designed to become bilateral, to be consciously and voluntarily accepted by believers in the power of God. In the covenant of grace, God’s honor is not at the expense of but for the benefit of human persons by renewing the whole person and restoring personal freedom and dignity.
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Anonymous
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The failure of the West fully to take advantage of the opportunity offered by a reformist president in Iran already looks like a bad mistake. One such opportunity came after the September 11, 2001, attacks in the United States when members of the Iranian leadership (not just Khatami, but also Khamenei) condemned the terrorist action in forthright terms, and ordinary Iranians showed their sympathies with candlelit vigils in the streets of Tehran—more evidence of the marked difference of attitude between Iranians and other Middle Eastern peoples. Another opportunity came after Iran gave significant help to the coalition forces against the Taliban later in 2001, helping to persuade the Northern Alliance to accept democratic arrangements for post-Taliban Afghanistan.2 In 2002 Iranians were rewarded with President George W. Bush’s “Axis of Evil” speech, which lumped Iran with Iraq and North Korea. Finally, the Bush administration ignored an Iranian offer in the spring of 2003 (shortly after the fall of Baghdad), via the Swiss, for bilateral talks toward a Grand Bargain that appeared to promise a possible resolution of the nuclear issue and de facto Iranian recognition of Israel. The purpose of all this is not to reinforce the cringing sense of guilt that bedevils many Western observers who look at the Middle East. It is not All Our Fault, and no doubt if the Iranians had been in the position of strength that Britain was between 1815 and 1950, or that the United States has been in since then, they would have behaved as badly, and quite possibly worse. The Iranians also missed opportunities for rapprochement in the Khatami years. But too often we have gotten things wrong, and that has had a cost. It is important to see events from an Iranian perspective, to see how we got things wrong, and to see what needs to be done in order to get them right. The most important thing is this: if we make commitments and assert certain principles, we must be more careful to mean what we say and to uphold those principles.
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Michael Axworthy (A History of Iran: Empire of the Mind)
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The Old Covenant is bilateral, which means it takes two. If you do your part, God will do His part. The New Covenant is unilateral, which means it is all God’s part.
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Carlton Rivers (The Freeing Power of Grace: Grace: God’s Gift of Freedom)
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During the past quarter of a century, most developing countries have liberalized trade to a huge degree. They were first pushed by the IMF and the World Bank in the aftermath of the Third World debt crisis of 1982. There was a further decisive impetus towards trade liberalization following the launch of the WTO in 1995. During the last decade or so, bilateral and regional free trade agreements (FTAs) have also proliferated.Unfortunately, during this period, developing countries have not done well at all, despite (or because of, in my view) massive trade liberalization,
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Ha-Joon Chang (Bad Samaritans: The Myth of Free Trade and the Secret History of Capitalism)
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humans are bilateral, which means that we search for a sense of balance in everything.
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Jennifer Inston (Graphic Design: A Beginners Guide to Mastering the Art of Graphic Design)
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It would assume that bilateral problems could be worked out through goodwill, active diplomacy and transparency rather than suspicions and a search for “enemies.
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Graham E. Fuller (Turkey and the Arab Spring: Leadership in the Middle East)
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begin a daily use of the self-control techniques you’ve already learned. Remember to practice the Safe/Calm Place technique every day to strengthen it, so when you feel disturbed you can bring back the positive feelings. If you didn’t find your mind moving into something negative, use the bilateral thigh tapping or Butterfly Hug to increase the positive emotions and sensations. You can also use the Breathing Shift technique to calm yourself when you’re feeling stressed, and the Cartoon Character technique to deal with negative self-talk. Or use the Water Hose or Wet Eraser to help deal with nagging negative images. All these tools can help you to remember that you can be in control of your body and mind. As you explore your own unconscious processes, you’ll find that understanding why things are happening can help even more.
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Francine Shapiro (Getting Past Your Past: Take Control of Your Life with Self-Help Techniques from EMDR Therapy)
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Ahora bien, por si el narcotráfico no fuera suficiente para complicar la agenda de la relación bilateral con nuestro poderoso vecino, siempre tendríamos a la mano otras opciones conflictivas. Allí está, para empezar, la migración. En ese espinoso asunto Estados Unidos actúa en forma igualmente contradictoria. Increíble pero cierto: los campeones de la economía de mercado se rehúsan a aceptar que la migración es un fenómeno socioeconómico e insisten en atacarlo con medidas meramente represivas. No quieren admitir algo tan obvio como el hecho de que el flujo se da porque hay demanda de mano de obra en un lado y oferta en el otro, que en consecuencia no se le puede contrarrestar con muros ignominiosos, persecuciones interminables y brutalidades policiacas sino disminuyendo la asimetría de nuestras respectivas economías, y que sería mucho mejor para todos que ellos invirtieran ese presupuesto en proyectos productivos en nuestras comunidades expulsoras para crear empleos y disminuir la brecha salarial. Pero no. Prefieren atizar la xenofobia, reeditar el racismo y propiciar violaciones a los derechos humanos recurriendo, para justificar las crisis en las economías de algunos de sus estados, al chivo expiatorio favorito, el que no se puede defender: el malévolo inmigrante ilegal (generalmente de piel morena) que le quita el empleo al sufrido ciudadano estadunidense (de preferencia blanco y si se puede anglosajón y protestante también).
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Agustín Basave (Mexicanidad y esquizofrenia: Los dos rostros del mejicano (Ensayo) (Spanish Edition))
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From the perspective of quantum physics, the affinity experienced by two souls- what i call bilateral attraction- can be understood as a latent compulsion towards the reunification of molecular constituents that make up the two individuals- that resonantly detect at a sub-atomic scale that they once shared primordial unity before the big bang ruptured and splintered them apart.
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Ernest Nkomotje
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But the unplanned nature preserves that have formed up in the buffer zones have come to serve as a focus for bilateral cooperation after hostilities are over.
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Cal Flyn (Islands of Abandonment: Life in the Post-Human Landscape)
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The talking points would spell out American policy in light of the Iraqi threats. Mack reviewed the document and passed it upstairs for clearance at higher levels at State and the White House. He received no edits and heard no concerns. “We remain determined to ensure the free flow of oil,” the final statement said. “We also remain strongly committed to supporting the individual and collective self-defense of our friends in the Gulf with whom we have deep and longstanding ties.” The reference to unnamed “friends” was intended to include Kuwait, even though the U.S. had no formal defense pact with the kingdom. “The United States takes no position on the substance of the bilateral issues concerning Iraq and Kuwait,” the document stated. This had been the default U.S. position for decades. Still, Washington was “committed” to the “sovereignty and integrity of the Gulf states.” With some effort, this phrasing could be read as a threat to use force if the Gulf states were attacked. Yet it was all deliberately vague—a plain vanilla flavor of professional diplomacy-speak.[29] Mack
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Steve Coll (The Achilles Trap: Saddam Hussein, the C.I.A., and the Origins of America's Invasion of Iraq)
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How is left–right established? Vertebrates are bilaterally symmetric about the midline of the body for many structures, such as eyes, ears, and limbs, but most internal organs are asymmetric. In mice and humans, for example, the heart is on the left side, the right lung has more lobes than the left, the stomach and spleen lie towards the left, and the bulk of the liver is towards the right. This handedness of organs is remarkably consistent, but there are rare individuals, about one in 10,000 in humans, who have the condition known as situs inversus, a complete mirror-image reversal of handedness. Such people are generally asymptomatic, even though all their organs are reversed.
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Lewis Wolpert (Developmental Biology: A Very Short Introduction)
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BL-1 Chinese Point name: Jing Ming;21 English translation: “Bright Eyes;” Special Attributes: This point is bilateral. It is an intersection point of the Small Intestine Meridian, Bladder Meridian, Stomach Meridian, Yin Heel Vessel and the Yang Heel Vessel; Location: About .25 of an inch from the inner corner of the eye; Western Anatomy: The angular artery and vein and branches of the oculomotor and ophthalmic nerve are present; Comments: Strike this point slightly upward and towards the centerline of the head. This point is fairly difficult to strike in a combative situation due to the location. Forceful strikes to the eye socket area can activate this point, as well as traumatize the eye and possible breaking the bone structure in the general area. GB-20 Chinese Point name: Feng Chi;22 English translation: “Wind Pool;” Special Attributes: It is the intersection point for the Gall Bladder Meridian, the Triple Warmer Meridian, the Yang Linking Vessel, and the Yang Heel Vessel. It is also bilateral; Location: On the occipital bone on the back of the skull; It is a bilateral point. Western Anatomy: Branches of the occipital artery, vein, and nerve are present; Comments: GB-20 is an important point for the martial artist. Strikes to this point should be aimed at a 45-degree angle towards the opposite side of the head. When attacks are generated against the Five Element aspects of the twelve Main Meridians GB-20 will weaken significantly. Strikes to this point can easily produce a knockout. Utilizing Five Element attacks, or repeated forceful strikes, can cause death.
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Rand Cardwell (36 Deadly Bubishi Points: The Science and Technique of Pressure Point Fighting - Defend Yourself Against Pressure Point Attacks!)
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The Yin Heel Vessel starts at KI-6 on the inside of the heel and ascends the inside of the leg until it enters the genital area. From there it continues on an internal path through the abdomen and chest. It emerges again at ST-12 and then continues up the throat, at ST-9, and intersects with the Yang Heel Vessel and the Bladder Meridian at BL-1. It then branches into the brain.4 Yin Heel Vessel Point Descriptions KI-6 Chinese Point name: Zhao Hai;5 English translation: “Shining Sea;” Special Attributes: This bilateral point is an intersection point for the Yin Heel Vessel and the Kidney Meridian. It is one of the 36 Vital Points listed in the Bubishi; Location: About one inch below the inside of the anklebone; and is bilateral. Western Anatomy: The posterior tibial artery and vein and the medial crural cutaneous nerve are present; Comments: This point can be struck, with a number of other points, with low sweeping kicks to the inside of the lower leg and foot. Additionally, once an opponent has become prone on the ground this point can be stomped.
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Rand Cardwell (36 Deadly Bubishi Points: The Science and Technique of Pressure Point Fighting - Defend Yourself Against Pressure Point Attacks!)
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LV-14 Chinese Point name: Qi Men;8 English translation: “Cycle Gate;” Special Attributes: It is an intersection point for the Liver Meridian, the Spleen Meridian, and the Yin Linking Vessel. It is also the alarm point of the Liver. This point is bilateral; Location: Two ribs below the center of the nipple; Western Anatomy: The sixth intercostal artery, vein, and nerve are present; Comments: This point is of considerable value to the martial artist. Strikes to this point should be toward the center of the body on a downward 45-degree angle. Forceful strikes can shock or damage the liver. An interruption of the energy core of the body can result. The additional benefits to strikes to this location are the serious implications of the intersection with the Yin Linking Vessel at the sensitive Alarm point of the Liver. Strikes to this point can inhibit the ability to correct energy imbalances of the Liver caused by martial attacks. CV-22 Chinese Point name: Tian Tu;9 English translation: “Celestial Chimney;” Special Attributes: this is an Intersection Point of the Yin Linking Vessel and the Conception Vessel. It is listed as a Vital Point in the Bubishi; Location: On the centerline of the body at the center of the suprasternal notch. That structure is the commonly referred to the “horseshoe notch” at the base of the throat; Western Anatomy: the jugular arch and a branch of the inferior thyroid artery are superficially represented. The trachea, or windpipe, is found deeper and the posterior aspect of the sternum, the innominate vein and aortic arch are also present; Comments: This point is of particular importance the martial artist as it is the intersection point of the Yin Linking Vessel and the Conception Vessel. The interrelationship between these two vessels will be covered in detail later in the book. Additionally, the structure of the suprasternal notch is an excellent “touch point” for situations when sight is reduced and you find yourself at extremely close range with your opponent. CV-23 Chinese Point name: Lian Quan;10 English translation: “Ridge Spring;” Special Attributes: Some Traditional Chinese Medicine textbooks state that this location is an intersection point for the Yin Linking Vessel and the Conception Vessel; Location: On the centerline of the throat just above the Adam’s apple; Western Anatomy: the anterior jugular vein, a branch of cutaneous cervical nerve, the hypoglossal nerve, and branch of the glossopharyngeal nerve are present; Comments: Strikes to this point should directly inward, or slightly upward, to bust the structure of the Adam’s apple and disrupt the energy flow to the head. Generally, any strike to the throat area will activate a number of sensitive acupuncture points and attacks the structural weakness of this part of the human body.
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Rand Cardwell (36 Deadly Bubishi Points: The Science and Technique of Pressure Point Fighting - Defend Yourself Against Pressure Point Attacks!)
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GB-20 Chinese Point name: Feng Chi;27 English translation: “Wind Pool;” Special Attributes: It is the intersection point for the Gall Bladder Meridian, the Triple Warmer Meridian, the Yang Linking Vessel, and the Yang Heel Vessel. It is a bilateral point; Location: On the occipital bone on the back of the skull; Western Anatomy: Branches of the occipital artery, vein, and nerve are present; Comments: It is an important point for the martial artist. Strikes to this point should be aimed at a 45-degree angle towards the opposite side of the head. When attacks are generated against the Five Element aspects of the twelve Main Meridians GB-20 will weaken significantly. Strikes to this point can easily produce a knockout. Utilizing Five Element attacks, or repeated forceful strikes, can cause death. GV-15 Chinese Point name: Ya Men;28 English translation: “Mute’s Gate;” Special Attributes: It is the intersection point of the Yang Linking Vessel and the Governing Vessel; Location: About .5 of an inch within the hairline on the centerline of the neck. This points marks the point in which the Governing Vessel leaves the back and ascends onto the head; Western Anatomy: Branches of the occipital artery and vein and the third occipital nerve are present; Comments: This point is of major importance to the martial artist. Strikes to this point should aimed at about a 30-degree upward angle. Considering that this point is located where the skull and spine connect, it is a structural weak location. Strikes to this point can cause death.
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Rand Cardwell (36 Deadly Bubishi Points: The Science and Technique of Pressure Point Fighting - Defend Yourself Against Pressure Point Attacks!)
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En esos argumentos hay algo de verdad, pero también son contrarrestados por un conjunto considerable de pruebas que sugiere que la distancia geográfica continúa provocando consecuencias de localización significativas a pesar de la evidente reducción de los costes de los transportes y las comunicaciones y otras barreras creadas por el hombre. En este sentido, uno de los estudios más impactantes fue el realizado por Anne-Celia Disdier y Keith Head, el cual se centraba en el efecto de la distancia sobre el comercio internacional a lo largo de la historia.36 En la bibliografía comercial empírica, es un hecho analizado que con la distancia geográfica entre las partes el volumen del comercio bilateral se reduce. La elasticidad típica de la distancia se sitúa en torno a –1,0, lo que significa que el comercio se reduce un 10 por ciento por cada 10 por ciento que aumenta la distancia. Se trata de un efecto muy considerable. Es de suponer que lo que subyace no son sólo los costes del transporte y de las comunicaciones, sino la falta de familiaridad y las diferencias culturales. (A menudo, las diferencias lingüísticas se controlan de manera separada.)
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Dani Rodrik (Hablemos claro sobre el comercio mundial: Ideas para una globalización inteligente (Deusto) (Spanish Edition))
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Few, if any, of the world’s problems can be solved with a mere twenty minutes of attention, and yet here, in the complex sociopolitical landscape of the bedroom, we have an opportunity to create bilateral satisfaction. When put that way, in the context of sexual peace and equality, is twenty minutes of focused attention, applied appropriately, really too much to ask, especially if it can save your sex life?
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Ian Kerner (She Comes First: The Thinking Man's Guide to Pleasuring a Woman)
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Pese al compromiso de intercambiar información de inteligencia y de llevar a cabo una investigación bilateral entre las agencias estadounidenses y mexicanas, inmigración y aduanas continuó pidiendo a la oficina regional de la DEA en Ciudad Juárez no compartir información derivada de la “fuente
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J. Jesús Esquivel (La DEA en México (Spanish Edition))
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In Germany, the government appears to have at times adopted a more critical position towards Beijing, only to revert back to a more ‘business friendly’ stance. The CCP’s use of business to exert pressure here is essential to understanding why. When Chancellor Angela Merkel ruled out a law blocking Huawei from Germany’s 5G network, Handelsblatt reported that she ‘feared a rift with China’.115 In 2018 the bilateral trade volume between the two countries was almost €200 billion, making China Germany’s largest trading partner for the third consecutive year. Chinese imports of German goods that year totalled €93 billion.116 Such has been the growth in Germany’s economic relations with China in recent years that it is now, of all the EU countries, the most dependent on China.
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Clive Hamilton (Hidden Hand: Exposing How the Chinese Communist Party is Reshaping the World)
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In the talks, China’s strategy was to secure the full, final and unambiguous acknowledgement from India about Tibet as a part of China; to end all special privileges for India in Tibet; and to put off any discussion about the frontier until a later date. This had already been substantially achieved on the ground, but China wanted it to be agreed upon bilaterally, in the form of a treaty.
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Vijay Gokhale (The Long Game: How the Chinese Negotiate with India)
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Even in surgery there have been some encouraging developments. For instance, operating on the wrong knee or foot or other body part of a patient has been a recurrent, if rare, mistake. A typical response has been to fire the surgeon. Recently, however, hospitals and surgeons have begun to recognize that the body’s bilateral symmetry makes these errors predictable. In 1998, the American Academy of Orthopedic Surgeons endorsed a simple way of preventing them: make it standard practice for surgeons to initial, with a marker, the body part to be cut before the patient comes to surgery.
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Atul Gawande (Complications: A Surgeon's Notes on an Imperfect Science)
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Pakistan offered India for bilateral withdrawal of troops from the salty marshes of Rann of Kutch, an offer which was denied by India on the grounds that Runn of Kutch belonged to India and was not a disputed territory
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Abubakar Farooqui (Indian Foreign Policy Decision-Making Towards Pakistan: From Mumbai and Pulwama Crises to Grand Strategic Re-adjustment)
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During EMDR, both the protocol and the bilateral stimulation contribute to the simultaneous activation of previously disconnected elements of neural, mental, and interpersonal processes. This simultaneous activation then primes the system to achieve new levels of integration.
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Francine Shapiro PhD EMDR
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These were major political shifts for the PLO, the culmination of an evolution toward acceptance of Israel and advocacy of a Palestinian state alongside it that had begun in the early 1970s, although these changes were unacknowledged by its Israeli adversaries. A more significant shift was yet to come. On December 14 that year, ‘Arafat accepted US conditions for entering a bilateral dialogue. In his statement, he explicitly accepted Resolutions 242 and 338, recognized the right of Israel to exist in peace and security, and renounced terrorism.21 This capitulation to American conditions finally obtained for the PLO the long-sought opening with Washington, but it neither moved the Israelis to agree to deal with the organization nor led to peace negotiations, at least not for three more years.
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Rashid Khalidi (The Hundred Years' War on Palestine: A History of Settler Colonialism and Resistance, 1917–2017)
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Some functions are nonetheless lateralized, in other words, lodged in one of the two hemispheres, but most are bilateral and therefore present in both hemispheres. It is for this reason that, with human beings as it is with monkeys, callosotomy doesn’t really affect brain function. Language is one of those aforementioned lateralized brain functions and is often located in the left hemisphere (there are “righties” and “lefties” when it comes to language lateralization in the brain).
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Albert Moukheiber (Your Brain Is Playing Tricks On You: How the Brain Shapes Opinions and Perceptions)
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As the EU has expanded to the borders of Russia and Ukraine, the question of inclusion of the CIS states has been raised. The size and hostility of Russia, however, combined with its much greater economic and political disparities with the EU than those found in Central and Eastern Europe, stand in the way. The policy has therefore been to develop closer bilateral and multilateral relations rather than to envisage membership.
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Simon Usherwood (The European Union: A Very Short Introduction (Very Short Introductions))
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Among invertebrates, only sponges are not built on any symmetrical plan; all cnidarians (polyps, jellyfish, sea anemones) have radial symmetry; molluscs, arthropods (insects, crustaceans, centipedes, etc.), and all vertebrates have bilateral symmetry, with only some subtle, or hidden asymmetries. Differences in facial features, which hand we prefer to use (very few people, no more than about 1 percent, are ambidextrous), and the placement of internal organs are the most obvious examples of asymmetry in humans.
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Vaclav Smil (Size: How It Explains the World)
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The U.S. has also imposed legal and diplomatic penalties on the Palestinians for going to the International Criminal Court (ICC), or any other international body, for relief, and even imposed penalties for the Palestinians having joined the United Nations General Assembly.73 The only route available, then, for Palestinians to seek redress for their situation is the bilateral talks with Israel under U.S. auspices that have failed so dramatically for more than a quarter century.
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Marc Lamont Hill (Except for Palestine: The Limits of Progressive Politics)
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Conus Medullaris and Cauda Equina Syndromes - Conus Medullaris Syndrome: compression of the tapered lower end of the SC - Cauda Equina Syndrome: compression of the nerve roots that descend from the lower end of the SC Differences Based on Clinical Presentation Features Conus Medullaris Syndrome Cauda Equina Syndrome Presentation Sudden and bilateral Gradual and unilateral Muscle strength Symmetrically preserved Asymmetrically preserved Sensory loss Symmetric saddle anesthesia Assymetric saddle anesthesia Radicular pain Less severe More severe Low back pain More Less Reflexes Increased Decreased Bladder and bowel dysfunction Prominent and early (urinary retention, urinary and fecal incontinence Uncommon and late (only urinary retention) Impotence Frequent Less frequent
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Kevin McFadden (REVISION HANDBOOK OF INTERNAL MEDICINE: A Concise and Comprehensive Summary and Reference note for Principles and Practice of Clinical Medicine)
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The pathogenesis of otitis media in these individuals may be related to abnormal anatomy causing Eustachian tube dysfunction. Balance testing was abnormal, Eustachian tube function tests revealed dysfunction of tube. Surgery was performed to replace the obstructed tube with a patent one, and an adenoidectomy and bilateral inferior turbinate reduction to relieve the chronic nasal obstruction. Postoperatively balance testing was normal, Eustachian tube function remained dysfunctional, but she had complete resolution of her vertigo following the surgery.
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Charles D. Bluestone (Eustachian Tube: Structure, Function, and Role in Middle-Ear Disease, 2e)
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SNACK AND MEAL TIME Provide a chair that allows the child’s elbows to be at table height and feet to be flat on the floor. A stool or pillow may help. (Kids fidget less when they feel grounded.) Offer a variety of ways to eat food, e.g., eat pudding with a spoon, or scoop it up with fingers; use a spoon or a fork to eat corn kernels, or use both hands to munch corn on the cob; and spoon chicken broth, or lift the bowl to her mouth. Offer a variety of foods with different textures: lumpy, smooth, crunchy, chewy. Keep portions small, especially when introducing new foods. Let the child pour juice or milk into a cup. A tipless cup will help prevent accidents. The child who frequently overreaches or spills juice needs much practice. Encourage the child to handle snack-time or mealtime objects. Opening cracker packages, spreading peanut butter, and eating with utensils are good for proprioception, bilateral coordination, and fine-motor skills.
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Carol Stock Kranowitz (The Out-of-Sync Child: Recognizing and Coping with Sensory Processing Disorder)
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By the time the Copenhagen conference kicked off in December, it seemed that my worst fears were coming to pass. Domestically, we were still waiting for the Senate to schedule a vote on cap-and-trade legislation, and in Europe, the treaty dialogue had hit an early deadlock. We’d sent Hillary and Todd ahead of me to try to drum up support for our proposed interim agreement, and over the phone, they described a chaotic scene, with the Chinese and other BRICS leaders dug in on their position, the Europeans frustrated with both us and the Chinese, the poorer countries clamoring for more financial assistance, Danish and U.N. organizers feeling overwhelmed, and the environmental groups in attendance despairing over what increasingly looked like a dumpster fire. Given the strong odor of imminent failure, not to mention the fact that I was still busy trying to get other critical legislation through Congress before the Christmas recess, Rahm and Axe questioned whether I should even make the trip. Despite my misgivings, I decided that even a slight possibility of corralling other leaders into an international agreement overrode the fallout from a likely failure. To make the trip more palatable, Alyssa Mastromonaco came up with a skinnied-down schedule that had me flying to Copenhagen after a full day in the Oval and spending about ten hours on the ground—just enough time to deliver a speech and conduct a few bilateral meetings with heads of state—before turning around and heading home. Still, it’s fair to say that as I boarded Air Force One for the red-eye across the Atlantic, I was less than enthusiastic. Settling into one of the plane’s fat leather conference-room chairs, I ordered a tumbler of vodka in the hope that it would help me get a few hours’ sleep and watched Marvin fiddle with the controls of the big-screen TV in search of a basketball game. “Has anyone ever considered,” I said, “the amount of carbon dioxide I’m releasing into the atmosphere as a result of these trips to Europe? I’m pretty sure that between the planes, the helicopters, and the motorcades, I’ve got the biggest carbon footprint of any single person on the whole goddamn planet.” “Huh,” Marvin said. “That’s probably right.” He found the game we were looking for, turned up the sound, then added, “You might not want to mention that in your speech tomorrow.
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Barack Obama (A Promised Land)
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The next day, Viv dominated her match against Gillian North so thoroughly, the fight ended about as quickly as Conrad Fae’s against Casey Foreman. The Mauler came head-on across the Grasslands field, and Viv’s Speed had placed her behind the broader girl as North had swung and wasted her opening strike, burying the head of her axe into the soft ground of the windy plains. Bilaterally severing her opponent’s hamstrings with a flash of Gemela’s sword, Viv barely missed a killing blow with her dagger at the back of North’s head when the Mauler tucked as she dropped, trying to roll out of the way
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Bryce O'Connor (Iron Prince (Warformed: Stormweaver, #1))
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La generación distribuida y los autoconsumidores Gracias a la evolución de las tecnologías de generación a pequeña escala (solar, eólica, biomasa…), los consumidores pueden generar su propia electricidad o parte de ella mientras siguen conectados al sistema existente. De este modo el consumidor (o autoconsumidor) consigue solventar esos momentos en los que la generación propia no es suficiente para cubrir su demanda y, por otro lado, tiene la posibilidad de vender los excedentes17 al mercado o a un consumidor en particular, según se establezca en un contrato bilateral. Esta nueva realidad abre el sistema a un gran número de nuevos interlocutores, no profesionalizados y de tamaño muy reducido, que podrían incidir tanto en la operación física del sistema como en la liquidación diaria de la energía. Iniciativas como Powerpeers,18 secundada en los Países Bajos por la eléctrica Vattenfall, hacen que sea ya posible la compraventa de energía punto a punto, y ello gracias a experimentos con la blockchain. Otro proyecto interesante, Grid Singularity, se orienta a asegurar las transacciones entre pequeños generadores de energía solar y consumidores en países en vías de desarrollo.
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Alexander Preukschat (Coordinador) (Blockchain: La revolución industrial de internet)
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Marital property was held jointly, marital residence was more often with the bride’s than the groom’s parents, descent and inheritance was bilateral, and women’s claim on property was sufficiently secure to allow them to be the initiators of divorce as often as men. Attractive as this pattern seems in modern terms, it could be argued that the absence of male primogeniture, which cruelly concentrated wealth in particular dynastic lines in Early Modern Europe and China, was one of the reasons that Southeast Asians did not accumulate capital as those centers did.
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Anthony Reid (A History of Southeast Asia: Critical Crossroads (Blackwell History of the World))
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The South Koreans built a self-sustaining economy with a cumulative aid input from the US of only $15 billion since 1950 by avoiding confrontation with America and by cooperating with erstwhile enemy Japan. Pakistan received $40 billion in bilateral US aid over the same period. Instead of utilizing aid as a catalyst for indigenous growth, Pakistan has ended up becoming dependent on aid. Donor funding serves as a substitute for revenue generation while wars and terrorism have deterred investment.
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Husain Haqqani (Reimagining Pakistan: Transforming a Dysfunctional Nuclear State)
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Opportunity. In 1988 Bill Pattis joined Charles Z. Wick, Director of the U.S. Information Agency, and participated in the first U.S.-U.S.S.R. Bilateral Information Talks in Moscow, involving leaders from American media and Soviet counterparts. As a result of this work, he was named Chairman of the American Delegation for print media in follow-up talks with the Soviets in February 1990 in Washington, DC, and
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Robert A. Carter (Opportunities in Publishing Careers, Revised Edition (Opportunities In…Series))
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Entre las medidas positivas del gobierno de Alfonsín se encuentra el tratamiento y aprobación de la Ley de Divorcio que provocó el disgusto de la Iglesia católica, lo que frenó la aparente voluntad presidencial de sancionar también una ley del aborto. Pueden sumarse las tratativas para promover la integración regional con Brasil que desembocó en la firma con el presidente Sarney, en 1988, del Tratado de Integración, Cooperación y Desarrollo que sería la piedra angular del Mercado Común del Sur (MERCOSUR). Asimismo resolvió con Chile el conflicto por la demarcación fronteriza en el Canal de Beagle a raíz del cual nuestro país en 1978 estuvo al borde de la guerra con nuestro vecino trasandino. Fue convocado un plebiscito en el que la mayoría de ciudadanas y ciudadanos optó por la paz. En 1985 el Vaticano rubricó el tratado bilateral. Puede contabilizarse también a favor el interesante proyecto de trasladar la capital a la ciudad de Viedma, intención que como otras en el gobierno de Alfonsín no contó con el vigor necesario para ser llevada a la práctica.
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Pacho O'Donnell (Breve historia argentina. De la Conquista a los Kirchner (Spanish Edition))
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The most striking phenomenon connected with the progress of technology is the development of cultural centres into large cities in the modern sense; these form the soil in which the new art is rooted. Impressionism is an urban art, and not only because it discovers the landscape quality of the city and brings painting back from the country into the town, but because it sees the world through the eyes of the townsman and reacts to external impressions with the overstrained nerves of modern technical man. It is an urban style, because it describes the changeability, the nervous rhythm, the sudden, sharp but always ephemeral impressions of city life. And precisely as such, it implies an enormous expansion of sensual perception, a new sharpening of sensibility, a new irritability, and, with the Gothic and romanticism, it signifies one of the most important turning points in the history of Western art. In the dialectical process represented by the history of painting, the alternation of the static and the dynamic, of design and colour, abstract order and organic life, impressionism forms the climax of the development in which recognition is given to the dynamic and organic elements of experience and which completely dissolves the static world-view of the Middle Ages. A continuous line can be traced from the Gothic to impressionism comparable to the line leading from late medieval economy to high capitalism, and modern man, who regards his whole existence as a struggle and a competition, who translates all being into motion and change, for whom experience of the world increasingly becomes experience of time, is the product of this bilateral, but fundamentally uniform development.
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Arnold Hauser (The Social History of Art: Volume 4: Naturalism, Impressionism, The Film Age)
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Nearly all social interactions involve emotions. Patients with complete bilateral amygdala damage have difficulty judging people’s trustworthiness based on their appearance, compared to people with intact brains or control patients without amygdala damage. People with bilateral amygdala damage also cannot recognize fearful faces.66
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György Buzsáki (The Brain from Inside Out)
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China, Russia, and even genuine democracies like Brazil, India, and South Africa still operated on different principles. For the BRICS, responsible foreign policy meant tending to one’s own affairs. They abided by the established rules only insofar as their own interests were advanced, out of necessity rather than conviction, and they appeared happy to violate them when they thought they could get away with it. If they assisted another country, they preferred to do so on a bilateral basis, expecting some benefit in return. These nations certainly felt no obligation to underwrite the system as a whole. As far as they were concerned, that was a luxury only a fat and happy West could afford. —
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Barack Obama (A Promised Land)
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Article F: Alternobaric Vertigo and Eustachian Tube Dysfunction. Charles D. Bluestone, MD; J. Douglas Swarts, PhD; Joseph M. Furman, MD, PhD; Robert F. Yellon, MD. Case Report: Persistent Alternobaric Vertigo at Ground Level due to Chronic Toynbee phenomenon. Laryngoscope 2012;122(4):868–72. The term “alternobaric vertigo” was coined by Lundgren in 1965 to describe vertigo in deep-sea divers, but also referred to aircraft pilots in 1966. It occurs during ascent and rarely descent and is a result of asymmetrical middle-ear pressures. Classically the vertigo due to this pathogenesis is transient but may last for several minutes. It is frequently associated with nausea and vomiting. It has been reproduced in pressure chamber experiments with some divers and fliers, but has not been reported spontaneously at ground level (Figure F–1). FIGURE F–1. Alternobaric vertigo can occur during ascent in an airplane or when scuba diving. We encountered a 15-year-old female with bilateral tympanostomy tubes who manifested persistent severe vertigo, at ground level, secondary to a unilateral middle-ear pressure of +200 mm H2O elicited by an obstructed tympanostomy tube in the presence of chronic nasal obstruction. She had had long-term tubes placed due to recurrent and chronic otitis media. Physical examination revealed achondroplasia, which is an autosomal dominate disorder characterized by abnormal bone growth, short arms and legs, short stature and a large head, which is associated with otitis media. The pathogenesis of otitis media in these individuals may be related to abnormal anatomy causing Eustachian tube dysfunction. Balance testing was abnormal, Eustachian tube function tests revealed dysfunction of tube. Surgery was performed to replace the obstructed tube with a patent one, and an adenoidectomy and bilateral inferior turbinate reduction to relieve the chronic nasal obstruction. Postoperatively balance testing was normal, Eustachian tube function remained dysfunctional, but she had complete resolution of her vertigo following the surgery. FIGURE F–2. Pathogenesis of alternobaric vertigo due to the “Toynbee phenomenon” One tympanostomy was obstructed and when swallowing, she developed high positive pressure in the middle ear, but in the ear with a patent tube, the pressure did not remain in the middle ear. We believed this was a previously unreported scenario in which closed-nose swallowing insufflated air into her middle ears, resulting in sustained positive middle-ear pressure in the ear with the obstructed tube. Swallowing, when the nose is obstructed, can result in abnormal negative or positive pressures in the middle ear, which has been termed the “Toynbee phenomenon.” We concluded that in patients who have vertigo, consideration should be given to the possibility that nasal obstruction and the “Toynbee phenomenon” are involved (Figure F–2). CHAPTER 7 PATHOLOGY The pathology of the ET may or may not be involved in the pathogenesis of otitis media, whereas the
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Charles D. Bluestone (Eustachian Tube: Structure, Function, and Role in Middle-Ear Disease, 2e)
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this information without sharing it with me? This is all new information to me. I feel sandbagged.” To his relief and slight embarrassment, I pointed out that it was his own information. We had merely given it some analytical horsepower, in the spirit of broadened collaboration. After that, he became more trustful of the CNC, and a number of his senior leaders became major supporters of the center. Beyond this new trust and cooperation among federal agencies, the other new and innovative component of the linear strategy was the way we started dealing with our liaison partners in foreign intelligence agencies. Brian Bramson, a veteran CIA operations officer and Latin America hand, led the way here—and has never been fully recognized for this achievement. Traditionally, we tried to give liaison partners as little support and intelligence as we could get away with to stay in the game. We did not want to develop their skills to the point where they could jeopardize our other unilateral operations if they turned against us. I understood this reluctance, having seen trusted liaison partners become criminal liabilities. Nevertheless, when it came to attacking drug cartels at the CNC in the early 1990s, we made a decision to truly build up liaison capabilities and share with the locals even high-end resources—everything that could be used to damage the narcotic-trafficking networks. Our strategy was to use our liaison partners as a genuine force multiplier. Combining their on-the-ground knowledge, language abilities, and existing networks with our skills, training, and equipment, we went from minimal bilateral liaison to enhanced multilateral liaison. “The kind of information we were looking for had to be gathered in-country by our good liaison contacts that we trusted … liaison relationships were key,” Brian Bramson said.5 Soon we were building powerful and effective
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Jack Devine (Good Hunting: An American Spymaster's Story)
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Kirk Erickson and colleagues in Art Kramer’s lab hypothesized that the well-documented shrinkage of the brain with age would be reduced by exercise. They used structural scans to measure hippocampal volume in 165 healthy older people who varied in their level of physical fitness. The hippocampus is a structure deep in the temporal lobes long known to be critical for forming new memories. They found that people who showed higher aerobic fitness had larger hippocampi bilaterally. Moreover, the fitter group also showed better spatial memory performance than the less fit group.
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Pamela M. Greenwood (Nurturing the Older Brain and Mind (The MIT Press))