Residency Training Quotes

I live in two worlds. One is a world of books. I've been a resident of Faulkner's Yoknapatawpha County, hunted the white whale aboard the Pequod, fought alongside Napoleon, sailed a raft with Huck and Jim, committed absurdities with Ignatius J. Reilly, rode a sad train with Anna Karenina and strolled down Swann's Way. It's a rewarding world, but my second one is by far superior. My second one is populated with characters slightly less eccentric, but supremely real, made of flesh and bone, full of love, who are my ultimate inspiration for everything.

Obtaining a certificate in nursing assistant trains students to provide quality care to residents in nursing homes.

NOBREZA SILENCIOSA. SILENT NOBILITY. It is a mistake to believe that the crucial moments of a life when its habitual direction changes forever must be loud and shrill dramatics, washed away by fierce internal surges. This is a kitschy fairy tale started by boozing journalists, flashbulb-seeking filmmakers and authors whose minds look like tabloids. In truth, the dramatics of a life-determining experience are often unbelievably soft. It has so little akin to the bang, the flash, of the volcanic eruption that, at the moment it is made, the experience is often not even noticed. When it deploys its revolutionary effect and plunges a life into a brand-new light giving it a brand-new melody, it does that silently and in this wonderful silence resides its special nobility.

I live in two worlds. One is a world of books. I’ve been a resident of Faulkner’s Yoknapatowpha County, hunted the white whale aboard the Pequod, fought alongside Napoleon, sailed a raft with Huck and Jim, committed absurdities with Ignatius J. Reilly, rode a sad train with Anna Karenina, and strolled down Swann’s Way.

For that is the meaning of a farewell in the full, important sense of the word: that the two people, because they part, come to an understanding of how they have seen and experienced each other. What succeeded between them and what failed. That takes fearlessness: you have to be able to endure the pain of dissonance. It is also about acknowledging what was impossible. Parting is also something you do with yourself: to stand by yourself under the look of the other. The cowardice of a farewell resides in the transfiguration: in the attempt to bathe what was in a golden light and deny the dark. What you forfeit in that is nothing less than the acknowledgement of your self in those features produced by darkness.

So Medicare decided to pay hospitals like ours for internship and residency training programs, get it? It’s a win-win, as they say—the hospital gets patients cared for by interns and residents around the clock,people like us who live on site, and whose stipend is a bloody fraction of what the hospital would pay full-time physicians. And Medicare delivers health care to the poor.

It is a mistake to believe that the decisive moments of a life when its direction changes for ever must be marked by sentimental loud and shrill dramatics… In truth, the dramatic moments of a life-determining experience are often unbelievably low-key. It has so little in common with the bang, the flash, or the volcanic eruption that, at the moment it happens, the experience is often not even noticed. When it unfolds its revolutionary effect, and ensures that a life is revealed in a brand-new light, with a brand-new melody, it does that silently and in this wonderful silence resides its special nobility.

Could it be that despite all the years I spent in medical school and residency training acquiring specialized knowledge and practical skills, that this expertise mattered little to my patients' overall health?

Perfection is crucial in building an aircraft, a bridge, or a high-speed train. The code and mathematics residing just below the surface of the Internet is also this way. Things are either perfectly right or they will not work. So much of the world we work and live in is based upon being correct, being perfect.

And yet the most jarring part of the grassroots anti-extraction uprising has been the rude realization that most communities do appear to lack this power; that outside forces—a far-off central government, working hand-in-glove with transnational companies—are simply imposing enormous health and safety risks on residents, even when that means overturning local laws. Fracking, tar sands pipelines, coal trains, and export terminals are being proposed in many parts of the world where a clear majority of the population has made its opposition unmistakable, at the ballot box, through official consultation processes, and in the streets.

I had seen that once before, bleeding water. A little baby I worked on as a resident in training. That poor kid had been shot as well—his father had blasted away the top of his head with a shotgun—and we couldn't begin to stop the bloodletting in that case. "Looking pretty thin down here," I hollered when the stuff coming out his wounds was no more than pink salt water. That baby's heart stopped, started, stopped and started a dozen times before it finally gave up the ghost and we pronounced him. I could have read a newspaper through the watery stuff coming out his veins by then.

Never took you for a coward.” Oh. Oh no. I swung around. “Don’t even go there.” My head was up, eyes wide, and I was breathing in fire. “Do not even go there, to that place where you think you can goad me for what? Running away? I live with this. You just got a visitor’s pass, but trust me, you don’t want a permanent residency. You train for your job but imagine if that same amount of work was what you needed every hour of every day just to keep breathing. Don’t call me a coward, dude.

All puppies should be taught to enjoy residing in their crate and know that it is a safe haven for them, so it is important never to use it for punishment.

sentimentality makes ministry impossible. If the ministry is reduced to being primarily a helping profession then those who take up that office cannot help being destroyed if they have any integrity. For they will find themselves frustrated by a people not trained on the narrative of God’s salvation, not trained to want the right things rightly, but rather a people who share the liberal presumption that all needs which are sincerely felt are legitimate.

Expertise is the mantra of modern medicine. In the early twentieth century, you needed only a high school diploma and a one-year medical degree to practice medicine. By the century’s end, all doctors had to have a college degree, a four-year medical degree, and an additional three to seven years of residency training in an individual field of practice—pediatrics, surgery, neurology, or the like. In recent years, though, even this level of preparation has not been enough for the new complexity of medicine.

One-fifth of Japan’s residents live in greater Tokyo, and 8.7 million people have to ride the metro every day. Rush hour is so crowded that white-gloved workers help shove people onto the trains, leading to another unique term, tsukin jigoku— commuting hell.

And see what happened to America, after. It became everything it accused others of being. It tore itself apart, riddled by the rot of unfettered free speech, drowned in a deluge of propaganda foisted upon an uneducated public with no formalized training in critical thinking. Liberal democracies and scheming socialist regimes were doomed from the start. You give a human being freedom and personhood as some innate right, and what do they have to fight for? Personhood is earned. Residency is earned. Citizenship is earned. If you’re not earning for the company, you are costing it

We are so little affected by things which are habitual, that we consider this idea of the decision of a majority as if it were a law of our original nature: but such constructive whole, residing in a part only, is one of the most violent fictions of positive law, that ever has been or can be made on the principles of artificial incorporation. Out of civil society nature knows nothing of it; nor are men, even when arranged according to civil order, otherwise than by very long training, brought at all to submit to it. . . . This mode of decision, where wills may be so nearly equal, where, according to circumstances, the smaller number may be the stronger force, and where apparent reason may be all upon one side, and on the other little else than impetuous appetite; all this must be the result of a very particular and special convention, confirmed afterwards by long habits of obedience, by a sort of discipline in society, and by a strong hand, vested with stationary, permanent power, to enforce this sort of constructive general will.

Much of what it takes to succeed in school, at work, and in one’s community consists of cultural habits acquired by adaptation to the social environment. Such cultural adaptations are known as “cultural capital.” Segregation leads social groups to form different codes of conduct and communication. Some habits that help individuals in intensely segregated, disadvantaged environments undermine their ability to succeed in integrated, more advantaged environments. At Strive, a job training organization, Gyasi Headen teaches young black and Latino men how to drop their “game face” at work. The “game face” is the angry, menacing demeanor these men adopt to ward off attacks in their crime-ridden, segregated neighborhoods. As one trainee described it, it is the face you wear “at 12 o’clock at night, you’re in the ‘hood and they’re going to try to get you.”102 But the habit may freeze it into place, frightening people from outside the ghetto, who mistake the defensive posture for an aggressive one. It may be so entrenched that black men may be unaware that they are glowering at others. This reduces their chance of getting hired. The “game face” is a form of cultural capital that circulates in segregated underclass communities, helping its members survive. Outside these communities, it burdens its possessors with severe disadvantages. Urban ethnographer Elijah Anderson highlights the cruel dilemma this poses for ghetto residents who aspire to mainstream values and seek responsible positions in mainstream society.103 If they manifest their “decent” values in their neighborhoods, they become targets for merciless harassment by those committed to “street” values, who win esteem from their peers by demonstrating their ability and willingness to insult and physically intimidate others with impunity. To protect themselves against their tormentors, and to gain esteem among their peers, they adopt the game face, wear “gangster” clothing, and engage in the posturing style that signals that they are “bad.” This survival strategy makes them pariahs in the wider community. Police target them for questioning, searches, and arrests.104 Store owners refuse to serve them, or serve them brusquely, while shadowing them to make sure they are not shoplifting. Employers refuse to employ them.105 Or they employ them in inferior, segregated jobs. A restaurant owner may hire blacks as dishwashers, but not as wait staff, where they could earn tips.

It is said in those districts that not all the trains which run on the city’s tracks are listed in Metropolitan Transit’s compendious schedule. The residents will tell you that after midnight, on some nights, there will be other trains, trains whose cry is different, the bellow of some great beast fighting for its life. And if you watch those trains go past, behind those bright flickering windows you will see passengers unlike any passengers you have seen when riding the trains yourself: men with wings, women with horns, beast-headed children, fauns and dryads and green-skinned people more beautiful than words can describe. In 1893, a schoolteacher swore that she saw a unicorn; in 1934, a murderer turned himself into the police, weeping, saying that he saw his victims staring at him from a train as it howled past the station platform on which he stood. These are the seraphic trains. The stories say they run to Heaven, Hell, and Faërie. They are omens, but no one can agree on what they portend. And although you will never meet anyone who has seen or experienced it, there are persistent rumors, unkillable rumors, that sometimes, maybe once a century, maybe twice, a seraphic train will stop in its baying progress and open its doors for a mortal. Those who know the story of Thomas the Rhymer—and even some who don’t—insist that all these people, blest or damned as they may be, must be poets.

In the cult, the people in power dictate what cult members are to do. Children raised in cults are systematically stripped of their own autonomous power and forced to feel powerful only in the destructive context allowed by the cult, and always under the power of the leader. Ritual abuse survivors have had to learn to be outer oriented - to perceive what is expected of them and do that, whether it is healthy for them or not. When a therapist creates a context in which he or she is the leader, and the client is to listen, learn, and follow what the therapist says, the therapist has inadvertently replicated the power system of the cult. That is not to say that the therapist has no power; the therapist has a lot of power, but the power the therapist has resides in authority based upon his or her expertise, knowledge, training and sensitivity. The point is to use this authority in a way in which the client can also begin to feel his or her own authority, and begin to develop a healthy feeling of power. The word used quite often now is "empowerment." How do you empower a client?

I always felt that someone, a long time ago, organized the affairs of the world into areas that made sense-catagories of stuff that is perfectible, things that fit neatly in perfect bundles. The world of business, for example, is this way-line items, spreadsheets, things that add up, that can be perfected. The legal system-not always perfect, but nonetheless a mind-numbing effort to actually write down all kinds of laws and instructions that cover all aspects of being human, a kind of umbrella code of conduct we should all follow. Perfection is crucial in building an aircraft, a bridge, or a high-speed train. The code and mathematics residing just below the surface of the Internet is also this way. Things are either perfectly right or they will not work. So much of the world we work and live in is based upon being correct, being perfect. But after this someone got through organizing everything just perfectly, he (or probably a she) was left with a bunch of stuff that didn't fit anywhere-things in a shoe box that had to go somewhere. So in desperation this person threw up her arms and said, 'OK! Fine. All the rest of this stuff that isn't perfectible, that doesn't seem to fit anywhere else, will just have to be piled into this last, rather large, tattered box that we can sort of push behind the couch. Maybe later we can come back and figure where it all is supposed to fit in. Let's label the box ART.' The problem was thankfully never fixed, and in time the box overflowed as more and more art piled up. I think the dilemma exists because art, among all the other tidy categories, most closely resembles what it is like to be human. To be alive. It is our nature to be imperfect. The have uncategorized feelings and emotions. To make or do things that don't sometimes necessarily make sense. Art is all just perfectly imperfect. Once the word ART enters the description of what you're up to , it is almost getting a hall pass from perfection. It thankfully releases us from any expectation of perfection. In relation to my own work not being perfect, I just always point to the tattered box behind the couch and mention the word ART, and people seem to understand and let you off the hook about being perfect a go back to their business.

Why are we here? Why didn't God just make us and place us in Heaven? What is this place called Earth we're sent to reside in until we're called to live in Heaven for eternity? Training Camp Earth...it is the reason we're here. It is simply a training camp of lesson after lesson to build strength and our relationship with God before we go home. What lesson is God working on in your life today?

their cell phones. They are trained to ask very personal questions: “When is the last time you had sexual intercourse? Do you use contraceptives? What kind? How many times have you given birth?” Most of the time, the women they interview are eager to answer. There’s something empowering about being asked. It sends a message that your life matters. The resident enumerators learn a lot about the lives

The thing that weighed on him most, however, was the irrationality of the world in which he now found himself. To some extent he was a prisoner of his own training. As a historian, he had come to view the world as the product of historical forces and the decisions of more or less rational people, and he expected the men around him to behave in a civil and coherent manner. But Hitler’s government was neither civil nor coherent, and the nation lurched from one inexplicable moment to another. Even the language used by Hitler and party officials was weirdly inverted. The term “fanatical” became a positive trait. Suddenly it connoted what philologist Victor Klemperer, a Jewish resident of Dresden, described as a “happy mix of courage and fervent devotion.” Nazi-controlled newspapers reported an endless succession of “fanatical vows” and “fanatical declarations” and “fanatical beliefs,” all good things. Göring was described as a “fanatical animal lover.” Fanatischer Tierfreund. Certain very old words were coming into darkly robust modern use, Klemperer found. Übermensch: superman. Untermensch: sub-human, meaning “Jew.” Wholly new words were emerging as well, among them Strafexpedition—“punitive expedition”—the term Storm Troopers applied to their forays into Jewish and communist neighborhoods. Klemperer detected a certain “hysteria of language” in the new flood of decrees, alarms, and intimidation—“This perpetual threatening with the death penalty!”—and in strange, inexplicable episodes of paranoid excess, like the recent nationwide search. In all this Klemperer saw a deliberate effort to generate a kind of daily suspense, “copied from American cinema and thrillers,” that helped keep people in line. He also gauged it to be a manifestation of insecurity among those in power. In late July 1933 Klemperer saw a newsreel in which Hitler, with fists clenched and face contorted, shrieked, “On 30 January they”—and here Klemperer presumed he meant the Jews—“laughed at me—that smile will be wiped off their faces!” Klemperer was struck by the fact that although Hitler was trying to convey omnipotence, he appeared to be in a wild, uncontrolled rage, which paradoxically had the effect of undermining his boasts that the new Reich would last a thousand years and that all his enemies would be annihilated. Klemperer wondered, Do you talk with such blind rage “if you are so sure of this endurance and this annihilation”?

Popular authors do not and apparently cannot appreciate the fact that true art is obtainable only by rejecting normality and conventionality in toto, and approaching a theme purged utterly of any usual or preconceived point of view. Wild and “different” as they may consider their quasi-weird products, it remains a fact that the bizarrerie is on the surface alone; and that basically they reiterate the same old conventional values and motives and perspectives. Good and evil, teleological illusion, sugary sentiment, anthropocentric psychology—the usual superficial stock in trade, and all shot through with the eternal and inescapable commonplace…. Who ever wrote a story from the point of view that man is a blemish on the cosmos, who ought to be eradicated? As an example—a young man I know lately told me that he means to write a story about a scientist who wishes to dominate the earth, and who to accomplish his ends trains and overdevelops germs … and leads armies of them in the manner of the Egyptian plagues. I told him that although this theme has promise, it is made utterly commonplace by assigning the scientist a normal motive. There is nothing outré about wanting to conquer the earth; Alexander, Napoleon, and Wilhelm II wanted to do that. Instead, I told my friend, he should conceive a man with a morbid, frantic, shuddering hatred of the life-principle itself, who wishes to extirpate from the planet every trace of biological organism, animal and vegetable alike, including himself. That would be tolerably original. But after all, originality lies with the author. One can’t write a weird story of real power without perfect psychological detachment from the human scene, and a magic prism of imagination which suffuses theme and style alike with that grotesquerie and disquieting distortion characteristic of morbid vision. Only a cynic can create horror—for behind every masterpiece of the sort must reside a driving demonic force that despises the human race and its illusions, and longs to pull them to pieces and mock them.

As part of this menu of services, the clinic also did abortions. Bruce Kessel had been trained in abortion care as a matter of course when he was a medical resident in the early eighties. The way Bruce told it, the years after Roe were an exuberant time, and physicians who cared, as he did, about public health and family planning rejoiced over the freedoms and possibilities that legal abortion promised women.

nine of every ten cells in our bodies belong not to us, but to these microbial species (most of them residents of our gut), and that 99 percent of the DNA we’re carrying around belongs to those microbes. Some scientists, trained in evolutionary biology, began looking at the human individual in a humbling new light: as a kind of superorganism, a community of several hundred coevolved and interdependent species.

So, does the Hogwarts Express run year-round? Who operates it? Hogwarts? The Ministry of Magic? Do the residents of Hogsmeade get to use it? Or is it just an entire steam train (WHO MINES THE COAL?) dedicated solely to taking one hundred children to and from Hogwarts twice a year? And if that’s the case, how the fuck does the witch who runs the snack trolley pay her bills? Do wizards have bills? If they don’t, then WHAT DOES IT MEAN THAT THE WEASLEYS ARE POOR?

Today, there are two worlds that use the word education with opposite meanings: One world consists of the schools and colleges (and even graduate schools) of our education complex, in which standardization prevails. In that world, an industrial training megastructure strives to turn out identical replicas of a product called “people educated for the twenty-first century.” The second is the world of information, knowledge, and wisdom, in which the real population of the world resides when not incarcerated in schools. In that world, learning takes place like it always did, and teaching consists of imparting one’s wisdom, among other things, to voluntary listeners.

Sometimes shit happens and you are the one standing in it. It’s happenstance. How we react to that shit is what is important. It determines if you get to go home. If you do go home, it determines what you will think about, at least subconsciously or in your dreams, for the rest of your life. It never leaves you entirely. It resides within, sometimes festering deep down, sometimes just below the surface. And if or when it ever does surface again, it will be triggered by some random event bringing back the memories all of a sudden, like a freight train barreling out of a tunnel. So we did what we needed to do, what was needed at the time, in order to survive. There really was no other choice.

The key thing to know about this is that of course you have no input. Only comments and observations that support the pre-approved plan will be supported. All others will be written on a big pad of paper and discarded later. The illusion of public buy-in is all that is needed. The organizers can later point to the fact that they held a public meeting, a certain number of residents attended, public comment was taken, and the community approved the plan. The facilitator is often a private consultant who has been professionally trained in running and managing a meeting. This consultant has been hired by your city to fulfill the requirement that the project has been seen and supported by its citizens---it’s YOUR plan.

Great Discourse on Blessings AT one time the Exalted One was living in Jeta Grove. A certain deity of astounding beauty approached the Exalted One and said: Many deities and humans have pondered on blessings. Tell me the blessings supreme. The Buddha replied: To associate not with the foolish, to be with the wise, to honor the worthy ones this is a blessing supreme. To reside in a suitable location, to have good past deeds done, to set oneself in the right direction this is a blessing supreme. To be well spoken, highly trained, well educated, skilled in handicraft, and highly disciplined, this is a blessing supreme. To be well caring of mother, of father, to look after spouse and children, to engage in a harmless occupation, this is a blessing supreme. Outstanding behavior, blameless action, open hands to all relatives and selfless giving, this is a blessing supreme. To cease and abstain from evil, to avoid intoxicants, to be diligent in virtuous practices, this is a blessing supreme. To be reverent and humble, content and grateful, to hear the Dharma at the right time, this is a blessing supreme. To be patient and obedient, to visit with spiritual people, to discuss the Dharma at the right time, this is a blessing supreme. To live austerely and purely, to see the noble truths, and to realize nirvana, this is the blessing supreme. A mind unshaken when touched by the worldly states, sorrowless, stainless, and secure, this is the blessing supreme. Those who have fulfilled all these are everywhere invincible; they find well-being everywhere, theirs is the blessing supreme. adapted from MANGALA SUTTA, translated by Gunaratana Mahathera

My own odyssey of therapy, over my forty-five-year career, is as follows: a 750-hour, five-time-a-week orthodox Freudian psychoanalysis in my psychiatric residency (with a training analyst in the conservative Baltimore Washington School), a year’s analysis with Charles Rycroft (an analyst in the “middle school” of the British Psychoanalytic Institute), two years with Pat Baumgartner (a gestalt therapist), three years of psychotherapy with Rollo May (an interpersonally and existentially oriented analyst of the William Alanson White Institute), and numerous briefer stints with therapists from a variety of disciplines, including behavioral therapy, bioenergetics, Rolfing, marital-couples work, an ongoing ten-year (at this writing) leaderless support group of male therapists, and, in the 1960s, encounter groups of a whole rainbow of flavors, including a nude marathon group.

There were, of course, other heroes, little ones who did little things to help people get through: merchants who let profits disappear rather than lay off clerks, store owners who accepted teachers' scrip at face value not knowing if the state would ever redeem it, churches that set up soup kitchens, landlords who let tenants stay on the place while other owners turned to cattle, housewives who set out plates of cold food (biscuits and sweet potatoes seemed the fare of choice) so transients could eat without begging, railroad "bulls" who turned the other way when hoboes slipped on and off the trains, affluent families that carefully wrapped leftover food because they knew that residents of "Hooverville" down by the dump would be scavenging their garbage for their next meal, and more, an more. But they were not enough, could not have been enough, so when the government stepped in to help, those needing help we're thankful.

THIS IS THE DAY THAT I HAVE MADE! As you rejoice in this day of life, it will yield up to you precious gifts and beneficial training. Walk with Me along the high road of thanksgiving, and you will find all the delights I have made ready for you. To protect your thankfulness, you must remember that you reside in a fallen world, where blessings and sorrows intermingle freely. A constant focus on adversity defeats many Christians. They walk through a day that is brimming with beauty and brightness, seeing only the grayness of their thoughts. Neglecting the practice of giving thanks has darkened their minds. How precious are My children who remember to thank Me at all times. They can walk through the darkest days with Joy in their hearts because they know that the Light of My Presence is still shining on them. Rejoice in this day that I have made, for I am your steadfast Companion. This is the day the LORD has made; let us rejoice and be glad in it. PSALM 118 : 24 I will sacrifice a thank offering to you and call on the name of the LORD. PSALM 116 : 17

God knows no good resides in man; no flesh can please Him. It is corrupted beyond repair. Since it is so absolutely hopeless, how then can man please God after he has believed in His Son unless He gives him something new? Thank God. He has bestowed a new life, His untreated life, upon those who believe in the salvation of the Lord Jesus and receive Him as their personal Savior. This is called "regeneration" or "new birth." Though He cannot alter our flesh God gives us His life. Man's flesh remains as corrupt in those who are born anew as in those who are not. The flesh in a saint is the same as that in a sinner. In regeneration the flesh is not transformed. New birth exerts no good influence on the flesh. It remains as is. God does not impart His life to us to educate and train the flesh. Rather, it is given to overcome the flesh. Man in regeneration actually becomes related to God by birth. Regeneration means to be born of God. As our fleshy life is born of our parents so our spiritual life is born of God. The meaning of birth is "to impart life." When we say we are born of God it signifies we receive a new life from Him. What we have received is a real life.

After my return to Paris, one thing seemed obvious: To see Manhattan again, to feel as good about New York as Liza Minnelli sounded singing about it at Giants Stadium in 1986 (Google it), I had to start treating it as if it were a foreign city; to bring a reporter's eye and habits, care, and attention to daily life. But as that was the sort of vague self-directive easily ignored, I gave myself a specific assignment: Once a week, during routine errands, I would try something new or go someplace I hadn't been in a long while. It could be as quick as a walk past the supposedly haunted brownstone at 14 West 10th Street, where former resident Mark Twain is said to be among the ghosts. It could a stroll on the High Line, the elevated park with birch trees and long grasses growing where freight trains used to roll. Or it could be a snowy evening visit to the New York Public Library's Beaux-Arts flagship on Fifth Avenue, where Pamuk wrote the first sentence of The Museum of Innocence. There I wandered past white marble walls and candelabras, under chandeliers and ornate ceiling murals, through the room with more than ten thousand maps of my city, eventually taking a seat at a communal wood table to read a translation of Petrarch's Life of Solitude, to rare to be lent out. Tourist Tuesdays I called these outings, to no one but myself.

Did you know that if you’re a middle-aged woman, you have only a small window of opportunity between the beginning of perimenopause and the start of menopause to start estrogen replacement therapy to protect not only your brain but also your bones and cardiovascular system? I did not, until I dug into the science, because as a woman who was diagnosed with a stage 0 breast lump, I was scared off like so many of us from the results of the Women’s Health Initiative, which got blasted out all over the news and initially showed a link between estrogen replacement therapy and breast cancer, but guess what? That study had so many flaws, its findings are little more than useless and possibly harmful. Worse, women like me without uteri show a decrease in breast cancer with estrogen replacement therapy. But this information never made it either into the headlines or into our gynecologists’ offices. I had to find it in scientific publications such as The Lancet online. In fact, get this: Our medical system barely trains gynecologists in menopausal medicine. A recent study found that only 20 percent of ob-gyn residency programs in the U.S. provide any menopause training. Yes, any. Which means that 80 percent of all gynecological residents in school today are getting no training whatsoever in post-reproductive women’s health. These are people whose job it is to know everything going on in our ladyparts, but they have not been taught the basic tenets of how to care for either us or our plumbing after we stop menstruating. And by “us” I mean 30 percent of all women alive on earth at any given moment. Half of my middle-aged female friends deal with chronic urinary tract infections. Oh, well, we think, throwing up our hands in defeat and consuming far too many antibiotics than are rational or safe or even good for the future safety of humanity. It took Dr. Rachel Rubin, a urologist in Washington, D.C., reaching out to me over Twitter to explain that UTIs in menopausal women do not have to be recurrent. They can be mitigated with, yes, vaginal estrogen. Not once was I ever

Breeding has made the creation of new species illegal. DISILLUSIONMENT CHARMS The wizard on the street also plays a part in the concealment of magical beasts. Those who own a Hippogriff, for example, are bound by law to enchant the beast with a Disillusionment Charm to distort the vision of any Muggle who may see it. Disillusionment Charms should be performed daily, as their effects are apt to wear off. MEMORY CHARMS When the worst happens and a Muggle sees what he or she is not supposed to see, the Memory Charm is perhaps the most useful repair tool. The Memory Charm may be performed by the owner of the beast in question, but in severe cases of Muggle notice, a team of trained Obliviators may be sent in by the Ministry of Magic. THE OFFICE OF MISINFORMATION The Office of Misinformation will become involved in only the very worst magical–Muggle collisions. Some magical catastrophes or accidents are simply too glaringly obvious to be explained away by Muggles without the help of an outside authority. The Office of Misinformation will in such a case liaise directly with the Muggle prime minister to seek a plausible non-magical explanation for the event. The unstinting efforts of this office in persuading Muggles that all photographic evidence of the Loch Ness kelpie is fake have gone some way to salvaging a situation that at one time looked exceedingly dangerous. 7. In his 1972 book Muggles Who Notice, Blenheim Stalk asserts that some residents of Ilfracombe escaped the Mass Memory Charm. ‘To this day, a Muggle bearing the nickname “Dodgy Dirk” holds forth in bars along the south coast on the subject of a “dirty great flying lizard” that punctured his lilo.’ 8. For a fascinating examination of this fortunate tendency of Muggles, the reader might like to consult The Philosophy of the Mundane: Why the Muggles Prefer Not to Know, Professor Mordicus Egg (Dust & Mildewe, 1963). 9. The largest department at the Ministry of Magic is the Department of Magical Law Enforcement, to which the remaining six departments are all, in some respect, answerable – with the possible exception of the Department of Mysteries.

Many of my friends around the world express surprise at the Palestinian attachment to place of origin and concerns for family ties. Some even scoff at it and contrast it with their own open-armed acceptance of adventure, discovery, a nomadic lifestyle and residence in places that they choose and change according to their fancy, without the slightest regret at leaving family or even homeland behind. They remind me that the world is wider and more beautiful than 'our villages' and 'our families'. I understand this beautiful sense of the vastness of the world. Like them, I love movement, journeys, and living in new places. What these friends forget is that it is they who choose to distance themselves. They are the ones who take the decision and make the plans and then present their passports (recognized everywhere) and get on planes and trains and cars and motorcycles and go to places where three conditions that the Palestinian cannot meet are fulfilled: first, that it is their preference and choice to go to specifically these places; second, that these places always welcome them; and third and most important, that it is in their power to return to their home country whenever they desire and decide. The Palestinian forced to become a refugee, to migrate, and to go into exile from his homeland in the sixty years since the Nakba of 1948, or the forty since the June 1967 War, suffers miseries trying to obtain a document by which he will be recognized at borders. He suffers miseries trying to obtain a passport from another state because he is stateless and has to go through Kafkaesque interrogations before being granted entry visa to any place in the world, even the Arab states. The Palestinian is forbidden to enter his own country by land, sea, or air, even in a coffin. It is not a matter of romantic attachment to a place but of eternal exclusion from it. The Palestinian stripped of an original identity is a palm tree broken in the middle. My foreign friends have control over the details of their lives but a single Israeli solder can control the details of the life of any Palestinian. This is the difference. This is the story.

THE IRIS OF THE EYE WAS TOO BIG TO HAVE BEEN FABRICATED AS A single rigid object. It had been built, beginning about nine hundred years ago, out of links that had been joined together into a chain; the two ends of the chain then connected to form a loop. The method would have seemed familiar to Rhys Aitken, who had used something like it to construct Izzy’s T3 torus. For him, or anyone else versed in the technological history of Old Earth, an equally useful metaphor would have been that it was a train, 157 kilometers long, made of 720 giant cars, with the nose of the locomotive joined to the tail of the caboose so that it formed a circular construct 50 kilometers in diameter. An even better analogy would have been to a roller coaster, since its purpose was to run loop-the-loops forever. The “track” on which the “train” ran was a circular groove in the iron frame of the Eye, lined with the sensors and magnets needed to supply electrodynamic suspension, so that the whole thing could spin without actually touching the Eye’s stationary frame. This was an essential design requirement given that the Great Chain had to move with a velocity of about five hundred meters per second in order to supply Earth-normal gravity to its inhabitants. Each of the links had approximately the footprint of a Manhattan city block on Old Earth. And their total number of 720 was loosely comparable to the number of such blocks that had once existed in the gridded part of Manhattan, depending on where you drew the boundaries—it was bigger than Midtown but smaller than Manhattan as a whole. Residents of the Great Chain were acutely aware of the comparison, to the point where they were mocked for having a “Manhattan complex” by residents of other habitats. They were forever freeze-framing Old Earth movies or zooming around in virtual-reality simulations of pre-Zero New York for clues as to how street and apartment living had worked in those days. They had taken as their patron saint Luisa, the eighth survivor on Cleft, a Manhattanite who had been too old to found her own race. Implicit in that was that the Great Chain—the GC, Chaintown, Chainhattan—was a place that people might move to when they wanted to separate themselves from the social environments of their home habitats, or indeed of their own races. Mixed-race people were more common there than anywhere else.

Unaware of New York City’s budget shenanigans, taxpayers expected city officials to keep the transit fare low and expand the city’s already generous municipal services. Making matters worse, the city had fewer middle-income taxpayers to pay for rising government expenses. New York City’s loss of manufacturing jobs meant fewer employment opportunities for the low-skilled, poorly educated workers who were attracted to the city. While middle-class taxpayers moved from the city out to the suburbs, the poor people who moved in required more expensive city services. In the early 1970s, the city had more than one million residents receiving welfare benefits, nearly a tenth of the nations’ recipients. More than three-quarters of the city’s welfare recipients had not even been born in New York City. Although the state and federal government paid for three-quarters of the welfare costs, the city’s share created a huge burden on its budget.82

In 1974, few people questioned the wisdom of continuing work under Second Avenue. Construction was not facing any organized community opposition, in part because most of the work was taking place in East Harlem, which had fewer people, offices, and shops than the rest of the route. Many of the low-income housing projects that lined the avenue in East Harlem were set back from the street, which gave their residents a buffer from the cut-and-cover construction. The neighborhood was facing much more serious issues than subway construction impacts, including a persistently high unemployment rate, an increasing number of abandoned buildings, and a heroin epidemic.

When I visited Watson and its programmers recently at IBM’s main research facility—where the machine, consisting of a stack of servers, resides alone in a basement, humming quietly and waiting for questions to crunch on—I inquired (directing my queries to the nearby humans, not the machine) whether Watson might ever turn the tables on us and start asking us wickedly complex questions. While that’s not its purpose, its programmers point out something interesting and quite promising: As Watson comes in increasing contact with doctors and medical students currently using the system, the machine is slowly training them to ask more and better questions in order to pull the information they need out of the system. As it trains them to be better questioners, Watson will almost certainly help them to be better doctors.

This is what the pursuit of virtue is in real life. We study. We train until things become second nature. The moment arrives. We commit. We hold up what’s right as our target. We take action. But much happens after that—much of it not remotely up to us. Which is why we know that our true worth doesn’t reside in whether or not we get a bull’s-eye.

What programs would a prison need to utilize in order to maximize the likelihood that the people sent to it would renounce violence as a behavioral strategy? To begin with, it would need to be an anti-prison. Beginning with its architecture, it would need to convey an entirely different message. Current prisons are modeled architecturally after zoos — or rather, after the kinds of zoos that used to exist, but that have been replaced with zoological parks because the animals' keepers began to realize that the old zoos, with concrete floors and walls and steel bars were too inhumane for animals to survive in. Yet we still keep our human animals in zoos that no humane society would permit for animals. And the architecture itself conveys that message to the prisoners: "You are an animal, for this is a zoo, and zoos are what animals are put in." And then we act surprised when the men and women we treat that way actually behave like animals, both when they are in this human zoo and after they return to the community. So we would need to build an anti-prison that would actually look as if it had been built for human beings rather than animals, i.e. that was as home-like and pleasant and civilized and human as possible. Once we had done that, we could offer those who had been sent there the opportunity to acquire as much education and/or vocational training as they had the ability and energy and interest to obtain. We would of course need to provide treatment for whatever medical, dental, psychiatric, or substance-abuse problems they had, and would want to incorporate many of the principles of a therapeutic community into the everyday routines of this residential school, with frequent group discussions with the other residents and staff members with training in psychotherapy. The goal would be to replace the "monster factories" that most prisons now are with therapeutic communities designed to enable people who are deeply damaged, and damaging, to recover their humanity or to gain a degree of humanity they had never been able to acquire; in short, to help them heal themselves and learn, in the process, how to heal others and even repair some of the damage they have done.

Volunteer to help a worthy cause. It will take your mind off your problems and you can feel good that you’ve helped support someone else. It’s hard to feel sorry for yourself when you’re serving hungry people in a soup kitchen or spending time with elderly residents in a nursing home.

Therein resides the material power of ideology: it not only trains us to tolerate power, or even to actively participate in our own submission. It cheats on us by the very act of warning us against being cheated, i.e., it does not count on our trust (in the public order and its values) but on our very distrust—its underlying message is: “Don’t trust those in power, you are being manipulated, and here is how you can avoid being duped!

Dr Elsa de Menezes Fernandes is a UK trained Obstetrician and Gynaecologist. She completed her basic training in Goa, India, graduating from Goa University in 1993. After Residency, she moved to the UK, where she worked as a Senior House Officer in London at the Homerton, Southend General, Royal London and St. Bartholomew’s Hospitals in Obstetrics and Gynaecology. She completed five years of Registrar and Senior Registrar training in Obstetrics and Gynaecology in London at The Whittington, University College, Hammersmith, Ealing and Lister Hospitals and Gynaecological Oncology at the Hammersmith and The Royal Marsden Hospitals. During her post-graduate training in London she completed Membership from the Royal College of Obstetricians and Gynaecologists. In 2008 Dr Elsa moved to Dubai where she worked as a Consultant Obstetrician and Gynaecologist at Mediclinic City Hospital until establishing her own clinic in Dubai Healthcare City in March 2015. She has over 20 years specialist experience.

Trained Obstetrician and Gynaecologist in Dubai Dr Elsa de Menezes Fernandes is a UK trained Obstetrician and Gynaecologist. She completed her basic training in Goa, India, graduating from Goa University in 1993. After Residency, she moved to the UK, where she worked as a Senior House Officer in London at the Homerton, Southend General, Royal London and St. Bartholomew’s Hospitals in Obstetrics and Gynaecology. She completed five years of Registrar and Senior Registrar training in Obstetrics and Gynaecology in London at The Whittington, University College, Hammersmith, Ealing and Lister Hospitals and Gynaecological Oncology at the Hammersmith and The Royal Marsden Hospitals. During her post-graduate training in London she completed Membership from the Royal College of Obstetricians and Gynaecologists. In 2008 Dr Elsa moved to Dubai where she worked as a Consultant Obstetrician and Gynaecologist at Mediclinic City Hospital until establishing her own clinic in Dubai Healthcare City in March 2015. She has over 20 years specialist experience. Dr Elsa has focused her clinical work on maternal medicine and successfully achieved the RCOG Maternal Medicine Special Skills Module. She has acquired a vast amount of experience working with high risk obstetric patients and has worked jointly with other specialists to treat patients who have complex medical problems during pregnancy. During her training she gained experience in Gynaecological Oncology from her time working at St Bartholomew’s, Hammersmith and The Royal Marsden Hospitals in London. Dr Elsa is experienced in both open and laparoscopic surgery and has considerable clinical and operative experience in performing abdominal and vaginal hysterectomies and myomectomies. She is also proficient in the technique of hysteroscopy, both diagnostic and operative for resection of fibroids and the endometrium. The birth of your baby, whether it is your first or a happy addition to your family, is always a very personal experience and Dr Elsa has built a reputation on providing an experience that is positive and warmly remembered. She supports women’s choices surrounding birth and defines her role in the management of labour and delivery as the clinician who endeavours to achieve safe motherhood. She is a great supporter of vaginal delivery. Dr Elsa’s work has been published in medical journals and she is a member of the British Maternal and Fetal Medicine Society. She was awarded CCT (on the Specialist Register) in the UK. Dr Elsa strives to continue her professional development and has participated in a wide variety of courses in specialist areas, including renal diseases in pregnancy and medical complications in pregnancy.

Mainlining cocaine is far different from snorting it. The drug goes right into the bloodstream all at once, causing an immediate, thunderous rush with the intensity of a speeding train. Cocaine stimulates the right side of the brain, where much that is dark and abstract about human nature resides, and with the drug saturating Richard’s brain, he was drawn further and further toward Satan and sadism. The drug became a key that unlocked a door behind which lurked nightmares in living color.

With a quiet post-Olympics year ahead, U.S. Soccer secretary general Dan Flynn informed the players that the national team would “go dark” for 2005 and play between four and six games total that year. Rather than schedule the usual slate of games, the federation would instead focus on scouting new players. “If there are no games, where will the women play?” Langel asked. “The W-League,” replied Flynn. “Are you kidding me?” Langel said. The W-League wasn’t a professional league. It was a development league that included amateur, unpaid players. There was no comparison between playing international opponents with the national team and competing in the W-League. “We told them we don’t necessarily need a residency camp, but we don’t have anywhere to play at all,” says Cat Whitehill, who graduated from the University of North Carolina with a degree in communications. “They wanted nothing to do with us.” U.S. Soccer argued the next World Cup wasn’t for another three years and there were no major events the team needed to prepare for. It would be similar to the team’s schedule in 2001, when U.S. Soccer hosted just two home games for the national team. But for the players who had now made soccer their living and didn’t have the WUSA anymore, that was unacceptable. It’s not as if U.S. Soccer was simply scaling back friendlies. The federation said it had no plans to send the team to the annual Algarve Cup in Portugal, which the team always competed in. A team wouldn’t be sent to the Four Nations Tournament in China either, despite the competition being a usual fixture on the team’s calendar. The players demanded to know how U.S. Soccer could justify skipping the tournaments. Flynn replied that it was “the technical director’s recommendation” to play a lighter schedule. The technical director? April Heinrichs. The players wanted to figure out if Heinrichs really believed the team should play so few games in 2005, so Julie Foudy reached out to her. “Is that true? Did you tell U.S. Soccer we should only play five games?” Foudy asked. “I never said anything like that,” Heinrichs told her. “I told them you should play 20 games.” If Heinrichs hadn’t recommended such a sparse schedule and, in fact, recommended around 20 games, it seemed that U.S. Soccer was making a decision that went against what was best for the players. The players saw a clear double standard—the men’s team hadn’t played so few games since 1987, almost two decades earlier. They concluded U.S. Soccer’s real reason was the same one behind most disputes between the players and the federation: money. The federation, it appeared, did not want to spend the money for training camps, player stipends, and travel for overseas competitions, even as it was sitting on a $30 million surplus at the time. “In 2005, they had no plans for us and wanted us to go quiet so they didn’t have to pay us the entire year,” says defender Kate Markgraf.

In the following years, Andrew remained at his father’s side, assisting in the farm work and livestock breeding and continuing his experiments with ostensibly labor-saving agricultural contraptions. That phase of his life came to an end with the close of the century. In 1898, the sixty-five-year-old Philip took his third wife, a widow named Frances Murphy Wilder, twenty-five years his junior. Not long afterward, Andrew left home. Despite the best efforts of researchers, little is known about the next eight years of Andrew Kehoe’s life. Census records show that, in 1900, he lived in a boardinghouse in Ann Arbor and worked as a “dairyman.”17 At some point—at least according to his claims—he enrolled at the Michigan State Agricultural College in East Lansing. Founded in 1855 as the nation’s first educational institution devoted to “instruction and practice in agriculture, horticulture and the sciences directly bearing upon successful farming,” the college (which later evolved into Michigan State University) gradually expanded its curriculum to include training in mechanical, civil, and electrical engineering, Kehoe’s alleged major.18 Sometime during this period, he evidently made his way to Iowa and found work as a lineman, stringing electrical wire. He also seems to have spent time in St. Louis, attending an electrical school while employed as an electrician for the city park.19 Family members would later report that, while residing in Missouri, he suffered a serious head injury: “a severe fall” that left him “semi-conscious for nearly two months.”20

Ah. But you say that because you’re a linguist, and you can’t see why anyone wouldn’t want to wallow in the sheer beauty of language.” Szpindel harrumphed with mock pomposity. “Now me, I’m a biologist, so it makes perfect sense.” “Really. Then explain it to me, oh wise and powerful mutilator of frogs.” “Simple. Bloodsucker’s a transient, not a resident.” “What are— Oh, those are killer whales, right? Whistle dialects.” “I said forget the language. Think about the lifestyle. Residents are fish-eaters, eh? They hang out in big groups, don’t move around much, talk all the time.” I heard a whisper of motion, imagined Szpindel leaning in and laying a hand on Michelle’s arm. I imagined the sensors in his gloves telling him what she felt like. “Transients, now—they eat mammals. Seals, sea lions, smart prey. Smart enough to take cover when they hear a fluke slap or a click train. So transients are sneaky, eh? Hunt in small groups, range all over the place, keep their mouths shut so nobody hears ’em coming.” “And Jukka’s a transient.” “Man’s instincts tell him to keep quiet around prey. Every time he opens his mouth, every time he lets us see him, he’s fighting his own brain stem. Maybe we shouldn’t be too harsh on the ol’ guy just because he’s not the world’s best motivational speaker, eh?

In Laurus we experience the Christian ideal in all its difficulty. The novel transmits knowledge by the experience of reading it, such that one cannot say Laurus is “about” any certain plotline or reduce the novelistic truth to a sound bite. Instead, reading the novel introduces you to holiness; it becomes palpable in the life of this fictional character. His extreme sanctity increases our desire for holiness. The story is set in fifteenth-century Russia, where the realities of sin and faith permeate all of life. Because the plague has killed both of his parents, our protagonist Arseny is raised by his grandfather Christofer, an elderly and devout healer who resides beside a graveyard so that it will be easy to carry his dead body a short distance for burial. Christofer trains Arseny in the art of healing. When Christofer dies, Arseny takes over as the medicine man for his village, Rukina Quarter. He falls in love with an abandoned woman Ustina, and she becomes pregnant. Ashamed of their unholy union, Arseny refuses to allow her to go to confession or to have a midwife at her birth, and thus she dies without forgiveness of her sins, and the baby dies as well. Arseny thereafter surrenders his life for the one he feels that he robbed from her, traveling the country to heal others, risking his life during the plague, spending time as a holy fool, pilgrimaging to Jerusalem, and finally dying back in Rukina Quarter as a different man than the one who left. Some might even say a saint.

bulk n. 1 [mass noun] the mass or size of something large: residents jump up and down on their rubbish to reduce its bulk. large size or shape: he moved quickly in spite of his bulk. [count noun] a large mass or shape. [as modifier] large in quantity: bulk orders of over 100 copies. roughage in food: potatoes supply energy, essential protein, and bulk. cargo in an unpackaged mass such as grain or oil. [PRINTING] the thickness of paper or a book. 2 (the bulk of) the greater part of something: the bulk of the traffic had passed. v. [with obj.] 1 treat (a product) so that its quantity appears greater than it is: traders were bulking up their flour with chalk. [no obj.] (bulk up) build up flesh and muscle, typically in training for sporting events. 2 combine (shares or commodities for sale): your shares will be bulked with others and sold at the best prices available. bulk large be or seem to be of great importance: territorial questions bulked large in diplomatic relations. in bulk 1 (of goods) in large quantities and generally at a reduced price: retail multiples buy in bulk. 2 (of a cargo or commodity) not packaged; loose. Middle English: the senses ‘cargo as a whole’ and ‘heap, large quantity’ (the earliest recorded) are probably from Old Norse búlki ‘cargo’; other senses arose perhaps by alteration of obsolete bouk ‘belly, body’. bulk buying

NEVER Waive Late Charges Once you waive a late charge, you have just trained your resident that you do not enforce them. Stick to your guns.

Halsted founded the surgical training program at Johns Hopkins Hospital in Baltimore, Maryland, in May 1889. As chief of the Department of Surgery, his influence was considerable, and his beliefs about how young doctors must apply themselves to medicine, formidable. The term “residency” came from Halsted’s belief that doctors must live in the hospital for much of their training, allowing them to be truly committed in their learning of surgical skills and medical knowledge. Halsted’s mentality was difficult to argue with, since he himself practiced what he preached, being renowned for a seemingly superhuman ability to stay awake for apparently days on end without any fatigue. But Halsted had a dirty secret that only came to light years after his death, and helped explain both the maniacal structure of his residency program and his ability to forgo sleep. Halsted was a cocaine addict.

the “Never worry alone” slogan that cascaded down the generations of residents coming through our program began to feel like reliable advice.

MY LOVE, The day Prometheus breathed life into the new me, was the day you arrived in a little box. A shiny, futuristic black box, Pandora's box, despite my doubts I couldn't help but open it to finally meet you. Doubts, because I was happy with who I was, with who I saw looking at me through the eyes of others I presented myself to in everyday life. But I was seduced by the worlds that were promised to me if I let you into my life, who I would be with you in my pocket. As soon as the lid came off and I swiped my fingers over your radiant surface for the first time, the world and I were bursting at the seams. What a creation we were together, to what sized we grew! My brain an encyclopedia, my body an unerring compass, my eyes and ears reaching infinitely with you as an extension of myself. Through you, I, the cyborg, could enter bewilderingly virtual spaces in which I was presently absent, meanwhile absently present in the material world of boring train rides, waiting lines, and mindless chit chats with others. I felt invincible, transformed into a citizen of the world because of you, an intellectual of unimaginable proportions for the vast sea of knowledge you allowed me to surf on, a public speaker and influencer of significance because my words and visual snippets of my days could be launched into the world with the flick of a finger, likes enticing and confirming me. How intoxicating! How wonderfully, pleasantly, intoxicating! But I can't help but sometimes lie awake at night, my internal clock slowing down with your seductive blue light illuminating my face with 2, 457, 600 (1920×1080) LED suns. In those moments, as my eyes are captivated by your glow, I can't help thinking about the time before you arrived, and how I sometimes miss my low definition self. You were always there, sometimes it feels like we are in fact one — finally reunited with my other Plato's half, fused into not a circle but a perfect black rectangle. Through your eyes I see the world and myself in Ultra-HD, my pixel density has never been so high. But you are sometimes vicious, my dear — a viper, a temptress, when then again with sweet codes you reflect my most beautiful self, and I cannot help but love me through your gaze, then again with suffocating algorithms you fragment my self and blow it up to grotesque self-distortions, hurling me into an endless me-loop, that eventually disgusts and alienates me. In those moments you are a distorting mirror, a frightening black box, a black hole that swallows my attention in ways I can't see through. I see my old self disappearing in the vague, dark reflection of myself, with double chin and dull eyes, which I sometimes catch in your black glass when your suns stop dazzling me for a split second. And I can't help but wonder if my 'self' in times of its digital recombination, in which the 'I' is a fragmented multitude of pixels that never fully touch at their sides, a simulacrum, maybe has lost some of its aura. But in the morning all is forgotten, my love, all is well. As soon as we merge back into one, as soon as I, panicked, reach for my pocket on the train, only to discover with a glow of relief that you were there after all, I can't imagine an "I" without you. Artificial by nature my self resides within your screen, I would be lost without you.

A lot of the shooting had taken place underground, and the area itself was notable mainly for the number of residents who jumped under trains leaving Paddington, but still: you can only let so many bodies fall before someone notices the thumps. It was the excuse several of the big-chins on the Limitations Committee had been waiting for; revenge for having one of their own ground into mince, after being caught with his hand in the till. Criminal, yes; treasonous even, if you wanted to split hairs, but the chap was stripped of his knighthood for pity's sake. Could hardly show his face in his club once he'd served his three months, less time off for having been at Harrow.

The Enforcement Directorate (ED) in India is currently seen as an establishment that is unleashing draconian measures to penalize people and companies. Resultantly, the very mention of the ED’s name appears to evoke fear in many. But when we look at Life in a spiritual context, we will realize that there is a more tyrannical ED that resides within each of us. Be wary of this inner ED. It is made up of twin oppressors – Ego and Desire! Importantly, ego and desire, as long as they are in control, hold us hostage. The ego cripples us by ceaselessly whipping up the deafening ‘I-me-mine’ frenzy. And desire suffocates us through stoking an endless wanting in us: for Life to be different from what it is. Both these forces constantly make us feel on edge. That’s why we often feel miserable, unfulfilled and very, very unhappy. There is a way to get out of the stranglehold of this inner ED. That way is to learn to dissolve our ego and our desires through diligently training the mind, through embracing a meditative practice. Only then can we be truly free. And happy!

I [again] posit that the human brain, one that resides inside the skull of an individual that is properly trained in creativity, can diverge infinitely in search of novel solutions.

And blood? It is a conglomerate of organs, a system of systems. It has built training camps for its armies (lymph nodes), highways and alleys to move its cells (blood vessels). It has citadels and walls that are constantly being surveyed and repaired by its residents (neutrophils and platelets). It has invented a system of identification cards to recognize its citizens and eject intruders (T cells) and an army to guard itself from invaders (B cells). It has evolved language, organization, memory, architecture, subcultures, and self-recognition. A new metaphor comes to mind. Perhaps we might think of it as a cellular civilization.

would find that residency has grown more stressful at the same time that the faculty claim that training programs have been scourged of past abusive practices.

Forgive and Remember tells a different story. This narrative shows how seriously mistakes—especially those understood as normative and quasi-normative—are treated during residency training.

Your home, too, isn’t it?” “Duty requires I remain here, with the King,” he said, his expression unwavering. “But it is not my home. My family’s estate is in town. The Destriers often train there, as they once did at Spindle House.” I frowned. “The castle at the top of the hill?” “The very same.” Castle Yew was old—the grounds historic. The wrought-iron gate and the dark, climbing ivy resided under the shadow of ancient yew trees—tall and foreboding. Beyond lay a statuary, a maze of stone and hedges, then the towering, ominous house. I had walked past the gate many times as a child, certain to my bones there was something to fear under those trees. I’d never been inside.

Proximity to transportation How close your house is to trains, buses, or any other mode of public transportation is a significant factor for buyers, particularly if you live on the outskirts of a major city. Garden City, for instance, is about 18 miles east of New York City, and the vast majority of residents commute by train to the city for work. Houses that are in walking distance of a train station are more attractive for buyers in this area because of convenience and may even sell for a slightly higher price than a similar home on the other side of town that is not in walking distance of the train.

Medical training works like brainwashing.  Two major components are sleep deprivation and isolation from one’s support system.

Atlanta, Georgia. Two parts Confederate racist to two parts Negro to one part something-that-doesn't-quiet-have-a-name-for-it-yet. Neither city nor country but some odd combination, a once sleepy railroad crossing that had exploded due to the wartime need for material and the necessities of shipping it......So Atlanta continued to grow, the trains continued to disgorge new residents and the tenements grew more crowded and the moonshine continued to be driven down from the mountains and the streets spilled over with even yet more passion and schemes and brawls, because there on the Georgia piedmont something had been set loose that might never again be contained.

At OBSS   An unexpected occurrence did come of this escapade, even though I didn’t care for the program. Andy, you may or may not be aware that Outward Bound teaches interpersonal and leadership skills, not to mention wilderness survival. The first two skillsets were not unlike our education at the Enlightened Royal Oracle Society (E.R.O.S.) or the Dale Carnegie course in which I had participated before leaving Malaya for school in England. It was the wilderness survival program I abhorred. Since I wasn’t rugged by nature (and remain that way to this day), this arduous experience was made worse by your absence. In 1970, OBSS was under the management of Singapore Ministry of Defence, and used primarily as a facility to prepare young men for compulsory ’National Service,’ commonly known as NS. All young and able 18+ Singaporean male citizens and second-generation permanent residents had to register for National Service compulsorily. They would serve either a two-year or twenty-two-month period as Full Time National Servicemen after completing the Outward Bound course. Pending on their individual physical and medical fitness, these young men would enter the Singapore Armed Forces (SAF), Singapore Police Force (SPF), or the Singapore Civil Defense Force (SCDF). Father, through his extensive contacts, enrolled me into the twenty-one-day Outward Bound summer course. There were twenty boys in my class. We were divided into small units under the guidance of an instructor. During the first few days at the base camp, we trained for outdoor recreation activities such as adventure racing, backpacking, cycling, camping, canoeing, canyoning, fishing, hiking, kayaking, mountaineering, horseback riding, photography, rock climbing, running, sailing, skiing, swimming, and a variety of sporting activities.

The United States, Canada, and Australia had formidable immigration barriers in place, and while the British had admitted 80,000 Jewish refugees, all of that essentially ended after the declaration of war.[33] British-controlled Palestine also began to turn back ships of Jewish immigrants, a policy they would continue all throughout the war and beyond, sticking to strict Jewish immigration quotas to appease the non-Jewish residents there.

What is marriage anymore, anyway? How is the institution structured? What assumptions do we bring to it? Is it an irreducible economic unit, in which production and labor remain distributed along traditional lines (the model of husband as protector and breadwinner and wife as 'angel in the house,' domestic goddess, and nurturer)? Or is it a spiritual, intellectual, artistic, and social partnership - a lifelong collaboration, a project, a constant becoming? Is it what patriarchal society said it is, or what Hollywood pretended it was? What does it mean to be a modern woman? Where does a woman's 'modern-ness' reside? In what she looks like, how she acts, what she does, wears, or says? Or is it somewhere else entirely outside of her, in a larger system that allows her to be a whole, free person? that represents her as such? that allows her to represent herself? that recognizes her individuality and subjectivity? Is it about things like voting and birth control, the issues that Katharine Hepburn's mother devoted her life to fighting for? Is it about wearing pants, not aiming to please, sleeping around, and not getting married, like Katharine Hepburn did? Is it about smoking Virginia Slims? Is it not perhaps all and none of these things but the fact that we keep having to make a case for our personhood? Is it not the story that needs to be reframed? the heroine who needs to be allowed to create herself, from scratch?

The holding of the Feis of Tara was the occasion also for holding a great Aonach or fair. Almost all the great periodic assemblages of ancient Ireland had fairs in their train. After that of Tara the most famous of these periodic assemblies were those held at Tlachtga, Uisnech, Cruachan and Tallite — the three royal residences in those three portions of the royal domain of Meath, which had been annexed from Leinster, Munster, Connaught and Ulster, respectively. Also the Fair of Emain Macha (in the present county of Armagh), the Fair of Colmain on the Curragh of Kildare, and the famous Fair of Carman (Wexford). As

It was in the reign of Conn, at the very end of the second, or beginning of the third century that was founded the Fian — a great standing army of picked and specially trained, daring warriors, whose duty was to carry out the mandates of the high-king — “To uphold justice and put down injustice, on the part of the kings and lords of Ireland — and to guard the harbors from foreign invaders.” From this latter we might conjecture that an expected Roman invasion first called the Fian into existence. They were soldiers in time of war, and a national police in time of peace. We are informed that they prevented robberies, exacted fines and tributes, put down public enemies and every kind of evil that might afflict the country. Moreover they moved about from place to place, all over the island. During the summer and harvest, from Beltinne to Samain — May first till November first — they camped in the open, and lived by the chase. During the winter half-year they were quartered upon the people. But Fionn, being a chieftain himself in his own right, had a residence on the hill of Allen (Almuin) in Kildare.

in DC. Why?” Johnny put the sandwiches down on a desk. “The boss just put me in charge of the inauguration. I need to get on a train to DC.” Dave and Steve looked at each other, and then let out a laugh. As told, Johnny had brought the sandwich up to the residence. When he got there, Mr. Trump was nowhere to be seen, but the next first lady, Melania, was in the living room with Stephanie

There are only two distinctions between anybody in this room and an institutionalized schizophrenic: (1) whether you have a good reality strategy and you can make that distinction, and (2) whether the content of your hallucination is socially acceptable or not. Because you all hallucinate. You all hallucinate that somebody's in a good mood or a bad mood, for example. Sometimes it really is an accurate representation of what you are getting from the outside, but sometimes it's a response to your own internal state. And if it's not there, sometimes you can induce it. "Is something wrong?" "What is bothering you?" "Now I don't want you to worry about anything that happened today while you were gone." Drinking blood in this culture is not acceptable. I've lived in cultures where that's fine. The Masai, in Eastern Africa, sit around and drink cups of blood all the time. No problem. It would be weird in their culture for somebody to say "I can see that you are feeling very bad about what I just said." They would begin to wonder about you. But in this culture it's reversed. When we trained residents in mental hospitals we used to go up early and spend time in the wards because the patients there had problems we never had the opportunity to encounter before. We would give them the task of determining for themselves which parts of their experience were validated by other people, and which were not. For instance, with the cup-of-blood guy, we immediately joined his reality. "Yeah, warm this one up for me, will you?" We joined his reality so much that he came to trust us. And then we gave him the task of discovering which parts of his reality other people in the ward could validate for him. We didn't say this was really here and that wasn't, but simply asked him to determine which parts of his reality other people could share. And then he learned - as most of us have as children - to talk about those parts of reality which are either socially acceptable hallucinations, or that other people are willing to see and hear and feel, too. That's all he needed to get out of the hospital. He's doing fine. He still drinks cups of blood, but he does it by himself. Most psychotics don't have a way of making distinctions between what's shared reality and what's not. (...) I've made a lot of jokes about the way humanistic psychologists treat each other when they get together. They have many social rituals that did not exist when i worked at an electronics corporation. The corporation people didn't come in the morning and hold each other's hands and look meaningfully into each other's eyes for five and a half minutes. Now, when somebody at the corporation sees somebody do that, they go "Urrrrhhh! Weird!" And the people in humanistic psychology circles think the corporation people are cold and insensitive and inhuman. To me, they are both psychotic realities, and I'm not sure which one is crazier. And if you think about shared realities, the corporation people are in the majority! (...) Therapists feel letters. I don't think that's any more peculiar than drinking cups of blood. Everywhere I go, people tell me they feel O and K. That's pretty weird. Or you ask people "how do you feel?" and they say "Not bad." Think about that for a moment. That's a very profound statement. "I feel not bad." That's not a feeling. Neither is "OK.

What made you come back?” Kitty jerked at his sudden question. She sputtered for a moment then laughed. “What made me come back? What do you mean?” He shrugged with one shoulder, never moving his gaze away from her. “At Eliza’s and Thomas’s wedding last year you were convinced that returning to Boston and living with your aunt was the best course to take. But it appears you have changed your mind. So, what made you come back?” “Is that why you followed me? To ask me that?” Her face burned, but she feigned composure and looked at him with as much ease as she could marshal. “Boston is too dangerous, you know that.” “’Tis true, I am well aware of what Boston and its residents suffer. But I cannot believe that was the only reason you returned.” Training her mouth to reveal nothing more than a slight grin, she strained to keep her pulse quiet. She stepped toward the fire, resting her hand atop the chair, acting more casual than she felt. “If there were any other reason, do you think that I would share such information with you? Surely, Nathaniel, I cannot share all my secrets.” “Secrets? Well, now I am curious.” Kitty rubbed the lace on her gloves and emitted a warm, genuine laugh that eased the strain in her voice. She offered an impish smile. “I came back for several reasons, if you must know. As I mentioned, ‘twas for matters of safety that Henry Donaldson insisted I return as well as—”  “Donaldson?” Kitty peered over her shoulder, hiding the grin that surged at the undeniable question in Nathaniel’s eyes. Could he be... nay, not possible. She kept her focus. “Aye, Henry Donaldson. You remember him, do you not?” “Aye, of course. I just... I just hadn’t known he was still... around. He was always a good friend and I admire him, despite his poor choice of allegiances.” Nathaniel’s interested expression stayed lifted, but the light in his eyes went flat. “Are you... have you been seeing much of him of late?” “I have,” she said. “He’s a close friend and I admire him very much.” Nathaniel’s expression didn’t change, but his Adam’s apple bobbed and he cleared his throat. “I see.”  She once again toyed with the fabric of her gloves, unsure what else to do with her hands. Quickly focusing on the subject of their conversation, she stared back into the fire. “Henry said it was too dangerous for me to stay despite my protestations. With Father gone and Eliza here—and since our home was destroyed that December… well, my home is here now.” The scent of smoke wafting from the fireplace in front of her snatched the horrid vision from its hiding place in her mind. Instantly she witnessed anew the roaring flames that devoured her treasured childhood home, taking with it all her cherished memories and replacing them with ash. She turned to Nathaniel, his face drawn as if he too relived the tragedy. The bond they’d shared that night had forged a friendship that could never be shaken.  Nathaniel stepped forward, the look of tenderness so rich in his eyes it wound around her shoulders like a warm cloak. “I can well understand that, Kitty. Donaldson was right in advising you to return.” Then, as if the heaviness were too much, he shrugged and sighed with added gaiety to his tone. “Well, I will admit that Sandwich didn’t feel the same with you gone, that’s for certain.” She tipped her head with a smirk. “You pined for my return?”  “With the pains of an anguished soul.” “Lying is a sin, Nathaniel,” she teased. Nathaniel laughed, his broad smile exposing his straight teeth. “All right, if you want the truth I pined more for your cooking, and more specifically for your carrot pudding. Are you satisfied?” “I knew it.

Blues pioneer and Mississippi native Charley Patton recorded his classic “Pea Vine Blues” in 1929 for Paramount Records. The song, played with the driving pulse of a moving train, referred to the Delta’s main rail line, the Peavine, which carried sharecroppers away from plantations to Northern cities. The lyrics were a message, clear to all Delta residents who heard Patton’s call: “I think I heard the Peavine when it blowed. . . . I’m goin’ up country, Mama, in a few more days.

The Vietnam War had postponed the careers of many young male physicians of my generation. The path for my immediate future was set. It would be another three and a half years before I was released from active duty in the U.S. Navy. I would be 30 years old before I would be free to choose a specialty and apply for a residency training program. I already had a small family to support, and, if I chose that path, it would mean living in relative poverty on meager wages for several more years. I considered that a lot might happen between now and then, and, in fact, a lot more happened than I ever could have imagined. (Page 64)

Singer’s lethal potion is concocted of hundreds of outlandish facts and quotes—he is a tenacious reporter—and a style that barely suppresses his own amusement. It works particularly well on the buccaneers who continue to try the patience of the citizenry, as proved by his profile in The New Yorker of the developer Donald Trump. Noting that Trump “had aspired to and achieved the ultimate luxury, an existence unmolested by the rumbling of a soul,” Singer describes a visit to Mar-a-Lago, the Palm Beach spa converted by Trump from the 118-room Hispano-Moorish-Venetian mansion built in the 1920s by Marjorie Merriweather Post and E. F. Hutton: Evidently, Trump’s philosophy of wellness is rooted in a belief that prolonged exposure to exceptionally attractive young spa attendants will instill in the male clientele a will to live. Accordingly, he limits his role to a pocket veto of key hiring decisions. While giving me a tour of the main exercise room, where Tony Bennett, who does a couple of gigs at Mar-a-Lago each season and had been designated an “artist-in-residence,” was taking a brisk walk on a treadmill, Trump introduced me to “our resident physician, Dr. Ginger Lee Southall”—a recent chiropractic-college graduate. As Dr. Ginger, out of earshot, manipulated the sore back of a grateful member, I asked Trump where she had done her training. “I’m not sure,” he said. “Baywatch Medical School? Does that sound right? I’ll tell you the truth. Once I saw Dr. Ginger’s photograph, I didn’t really need to look at her résumé or anyone else’s. Are you asking, ‘Did we hire her because she trained at Mount Sinai for fifteen years?’ The answer is no. And I’ll tell you why: because by the time she’s spent fifteen years at Mount Sinai, we don’t want to look at her.

An organization’s capabilities reside in two places. The first is in its processes—the methods by which people have learned to transform inputs of labor, energy, materials, information, cash, and technology into outputs of higher value. The second is in the organization’s values, which are the criteria that managers and employees in the organization use when making prioritization decisions. People are quite flexible, in that they can be trained to succeed at quite different things. An employee of IBM, for example, can quite readily change the way he or she works, in order to work successfully in a small start-up company. But processes and values are not flexible. A process that is effective at managing the design of a minicomputer, for example, would be ineffective at managing the design of a desktop personal computer. Similarly, values that cause employees to prioritize projects to develop high-margin products, cannot simultaneously accord priority to low-margin products. The very processes and values that constitute an organization’s capabilities in one context, define its disabilities in another context.

unqualified people, mostly for monetary gain. Some of the extreme cases then ended up dying. Since abortions were legalized in the United States, such serious complications are rarely seen anymore. The Pakistani medial students and residents were much like their American counterparts and mostly well trained and

Now consider San Francisco, where the totals are dramatically higher. A study two years ago found that 60,750 placards have been issued to San Francisco residents. And if you include the nine-county Bay Area, that number is 453,830 — a 100 percent increase since 2001. A 2008 survey in San Francisco found that 45 percent of the parking spaces were occupied by cars with disabled placards. Nearly everyone agrees that placard abuse is widespread. We’ve all heard the stories of the guy who pulls into a disabled parking spot, hangs up his placard and then sprints across the parking lot to catch his BART train. The usual response is to call for a crackdown on placard abusers. But that doesn’t work. First, the drivers may not always have obvious disabilities. Second, law enforcement officers shouldn’t be deciding who should or should not qualify. The

Yes, Katie would enjoy America, Frances thought as she put on her coat and her hat; in fact, America would enjoy Katie. She left her apartment block and, crossing the road, walked the short distance to the Ninth Avenue Elevated line at South Ferry. Although the elevated line took longer, she preferred not to take the subway system, being slightly claustrophobic. The idea of speeding along in a small underground train made her feel dizzy, so she preferred to travel aboveground by the El for her day of work as a domestic at the Walker-Browns’ residence. As she took her familiar journey north that morning, along Greenwich Street and Battery Place to Gansevoort Street in lower Manhattan and on to Ninth Avenue

God knows no good resides in man; no flesh can please Him. It is corrupted beyond repair. Since it is so absolutely hopeless, how then can man please God after he has believed in His Son unless He gives him something new? Thank God. He has bestowed a new life, His untreated life, upon those who believe in the salvation of the Lord Jesus and receive Him as their personal Savior. This is called "regeneration" or "new birth." Though He cannot alter our flesh God gives us His life. Man's flesh remains as corrupt in those who are born anew as in those who are not. The flesh in a saint is the same as that in a sinner. In regeneration the flesh is not transformed. New birth exerts no good influence on the flesh. It remains as is. God does not impart His life to us to educate and train the flesh.

Carlton Church review – Why Tokyo is populated? How Tokyo became the largest city? Apparently Tokyo Japan has been one of the largest global cities for hundreds of years. One of the primary reasons for its growth is the fact that it has been a political hotspot since they Edo period. Many of the feudal lords of Japan needed to be in Edo for a significant part of the year and this has led to a situation where increasing numbers of the population was attracted to the city. There were many people with some power base throughout Japan but it became increasingly clear that those who have the real power were the ones who were residing in Edo. Eventually Tokyo Japan emerged as both the cultural and the political center for the entire Japan and this only contributed to its rapid growth which made it increasingly popular for all people living in Japan. After World War II substantial rebuilding of the city was necessary and it was especially after the war that extraordinary growth was seen and because major industries came especially to Tokyo and Osaka, these were the cities where the most growth took place. The fact remains that there are fewer opportunities for people who are living far from the cities of Japan and this is why any increasing number of people come to the city. There are many reasons why Japan is acknowledged as the greatest city The Japanese railways is widely acknowledged to be the most sophisticated railway system in the world. There is more than 100 surface routes which is operated by Japan’s railways as well as 13 subway lines and over the years Japanese railway engineers has accomplished some amazing feats which is unequalled in any other part of the world. Most places in the city of Tokyo Japan can be reached by train and a relatively short walk. Very few global cities can make this same boast. Crossing the street especially outside Shibuya station which is one of the busiest crossings on the planet with literally thousands of people crossing at the same time. However, this street crossing symbolizes one of the trademarks of Tokyo Japan and its major tourism attractions. It lies not so much in old buildings but rather in the masses of people who come together for some type of cultural celebration. There is also the religious centers in Japan such as Carlton Church and others. Tokyo Japan has also been chosen as the city that will host the Olympics in 2020 and for many reasons this is considered to be the best possible venue. A technological Metropolitan No other country exports more critical technologies then Japan and therefore it should come as no surprise that the neighborhood electronics store look more like theme parks than electronic stores. At quickly becomes clear when one looks at such a spectacle that the Japanese people are completely infatuated with technology and they make no effort to hide that infatuation. People planning to visit Japan should heed the warnings from travel organizations and also the many complaints which is lodged by travelers who have become victims of fraud. It is important to do extensive research regarding the available options and to read every possible review which is available regarding travel agencies. A safe option will always be to visit the website of Carlton Church and to make use of their services when travelling to and from Japan.

Dear friends and enemies, Season’s greetings! It’s me, Serge! Don’t you just hate these form letters people stuff in Christmas cards? Nothing screams “you’re close to my heart” like a once-a-year Xerox. Plus, all the lame jazz that’s going on in their lives. “Had a great time in Memphis.” “Bobby lost his retainer down a storm drain.” “I think the neighbors are dealing drugs.” But this letter is different. You are special to me. I’m just forced to use a copy machine and gloves because of advancements in forensics. I love those TV shows! Has a whole year already flown by? Much to report! Let’s get to it! Number one: I ended a war. You guessed correct, the War on Christmas! When I first heard about it, I said to Coleman, “That’s just not right! We must enlist!” I rushed to the front lines, running downtown yelling “Merry Christmas” at everyone I saw. And they’re all saying “Merry Christmas” back. Hmmm. That’s odd: Nobody’s stopping us from saying “Merry Christmas.” Then I did some research, and it turns out the real war is against people saying “Happy holidays.” The nerve: trying to be inclusive. So, everyone … Merry Christmas! Happy Hannukah! Good times! Soul Train! Purple mountain majesties! The Pompatus of Love! There. War over. And just before it became a quagmire. Next: Decline of Florida Roundup. —They tore down the Big Bamboo Lounge near Orlando. Where was everybody on that one? —Remember the old “Big Daddy’s” lounges around Florida with the logo of that bearded guy? They’re now Flannery’s or something. —They closed 20,000 Leagues. And opened Buzz Lightyear. I offered to bring my own submarine. Okay, actually threatened, but they only wanted to discuss it in the security office. I’ve been doing a lot of running lately at theme parks. —Here’s a warm-and-fuzzy. Anyone who grew up down here knows this one, and everyone else won’t have any idea what I’m talking about: that schoolyard rumor of the girl bitten by a rattlesnake on the Steeplechase at Pirate’s World (now condos). I’ve started dropping it into all conversations with mixed results. —In John Mellencamp’s megahit “Pink Houses,” the guy compliments his wife’s beauty by saying her face could “stop a clock.” Doesn’t that mean she was butt ugly? Nothing to do with Florida. Just been bugging me. Good news alert! I’ve decided to become a children’s author! Instilling state pride in the youngest residents may be the only way to save the future. The book’s almost finished. I’ve only completed the first page, but the rest just flows after that. It’s called Shrimp Boat Surprise. Coleman asked what the title meant, and I said life is like sailing on one big, happy shrimp boat. He asked what the surprise was, and I said you grow up and learn that life bones you up the ass ten ways to Tuesday. He started reading and asked if a children’s book should have the word “motherfucker” eight times on the first page. I say, absolutely. They’re little kids, after all. If you want a lesson to stick, you have to hammer it home through repetition…In advance: Happy New Year! (Unlike 2008—ouch!)

Once we finally get rid of the Christians, we can be free to do what we want without criticism. Just how many camps do we have, if someone could refresh my memory?” “Mr. President, we have one hundred camps, some states have more than two, while the Great Plains states, along with Colorado, Wyoming, and Montana having none of those facilities. Most of the governors have no idea they’re there, and we plan on keeping it that way,” answered Griffiths. “Why aren’t there ones in the Great Plains states?” “For one, there are not enough residents in flyover country to bother with. Secondly, we can cut off food and other supplies to them simply by stopping freight trucks and trains when the TSA shuts down the interstates, highways, and railroads. Starving them seemed like the best option,” answered Evans.

In some republics churches were shuttered and disbanded; in others, the foreign leaders were expelled, leaving the communities to make their way under fledgling local leadership. However, rather than cause the communities to shrivel and die, the new crisis brought about changes in the way the gospel spread in Turkestan. Since it was no longer feasible to rely on Western leadership and institutions for the gospel’s advance, indigenous Turkic believers began to emerge from the crucible of persecution. These new leaders, though less formally trained than their Western predecessors, had the advantages of being native: their language was flawless, their residence irrevocable, their worldview identical, and their skills for living under persecution well honed.

How Long Will It Take? You can’t blame people for wanting instant results. Time is money, and quickness, especially quick OODA loops, is good. But when it comes to adopting maneuver conflict / Boyd’s principles to your business, there is a lot to be learned and a lot to be done. Consider that: •   According to its principle creator, Taiichi Ohno, it took 28 years (1945-1973) to create and install the Toyota Production System, which is maneuver conflict applied to manufacturing. •   It takes roughly 15 years of experience—and recognition as a leader in one’s technical field—to qualify as a susha (development manager) for a new Toyota vehicle.150 •   Studies of people regarded as the top experts in a number of fields suggest that they practice about four hours a day, virtually every day, for 10 years before they achieve a recognized level of mastery.151 •   It takes a minimum of 8 years beyond a bachelor’s degree to train a surgeon (4 years medical school and 4 or more years of residency.) •   It takes four to six years on the average beyond a bachelor’s degree to complete a Ph.D. •   It takes three years or so to earn a black belt (first degree) in the martial arts and four to six years beyond that to earn third degree, assuming you are in good physical condition to begin with. •   It takes a bare minimum of five years military service to qualify for the Special Forces “Green Beret” (minimum rank of corporal / captain with airborne qualification, then a 1-2 year highly rigorous and selective training program.) •   It takes three years to achieve proficiency as a first level leader in an infantry unit—a squad leader.152 It is no less difficult to learn to fashion an elite, highly competitive company. Yet for some reason, otherwise intelligent people sometimes feel they should be able to attend a three-day seminar and return home experts in maneuver conflict as applied to business. An intensive orientation session may get you started, but successful leaders study their art for years—Patton, Rommel, and Grant were all known for the intensity with which they studied military history and current campaigns. Then-LTC David Hackworth had commanded 10 other units before taking over the 4th Battalion, 39th Infantry in Vietnam in 1969, as he described in Steel My Soldiers’ Hearts. You may also recall the scene in We Were Soldiers where LTC Hal Moore unloaded armfuls of strategy and history books as he was moving into his quarters at Ft. Benning. At that point, he had been in the Army 20 years and had commanded at every level from platoon to battalion.

neurosurgeon. I graduated from the University of North Carolina at Chapel Hill in 1976 with a major in chemistry and earned my M.D. at Duke University Medical School in 1980. During my eleven years of medical school and residency training at Duke as well as Massachusetts General Hospital and Harvard, I focused on neuroendocrinology, the study of the interactions between the nervous system and the endocrine system—the series of glands that release the hormones that direct most of your body’s activities. I also spent two of those eleven years investigating how blood vessels in one area of the brain react pathologically when there is bleeding into it from an aneurysm—a syndrome known as cerebral vasospasm. After completing a fellowship in cerebrovascular neurosurgery in Newcastle-Upon-Tyne in the United Kingdom, I spent fifteen years on the faculty of Harvard Medical School as an associate professor of surgery, with a specialization in neurosurgery. During those years I operated on countless patients, many of them with severe, life-threatening brain conditions.

Most ethics since Kant has sought to be democratic. Kant’s “categorical imperative” underwrote the assumption that all people could be moral without training since they had available to them all they needed insofar as they were rational. Kant’s project, therefore, was to free the moral agent from the arbitrary and contingent characters of our histories and communities.

On the other hand, the shortage of primary care physicians is so severe that 43.7 percent of the 21,885 residency positions in internal medicine in 2005 were filled by graduates of foreign medical schools30—because most of those coming out of American medical schools opt for training as specialists. This

The quest of the handsome prince was complete. He had found his fair maiden and the world had its fairytale. In her ivory tower, Cinderella was unhappy, locked away from her friends, her family and the outside world. As the public celebrated the Prince’s fortune, the shades of the prison-house closed inexorably around Diana. For all her aristocratic breeding, this innocent young kindergarten teacher felt totally at sea in the deferential hierarchy of Buckingham Palace. There were many tears in those three months and many more to come after that. Weight simply dropped off, her waist shrinking from 29 inches when the engagement was announced down to 23 inches on her wedding day. It was during this turbulent time that her bulimia nervosa, which would take nearly a decade to overcome, began. The note Diana left her friends at Coleherne Court saying: “For God’s sake ring me up--I’m going to need you.” It proved painfully accurate. As Carolyn Bartholomew, who watched her waste away during her engagement, recalls: “She went to live at Buckingham Palace and then the tears started. This little thing got so thin. I was so worried about her. She wasn’t happy, she was suddenly plunged into all this pressure and it was a nightmare for her. She was dizzy with it, bombarded from all sides. It was a whirlwind and she was ashen, she was grey.” Her first night at Clarence House, the Queen Mother’s London residence, was the calm before the coming storm. She was left to her own devices when she arrived, no-one from the royal family least of all her future husband, thinking it necessary to welcome her to her new world. The popular myth paints a homely picture of the Queen Mother clucking around Diana as she schooled her in the subtle arts of royal protocol while the Queen’s senior lady-in-waiting, Lady Susan Hussey took the young woman aside for tuition in regal history. In reality, Diana was given less training in her new job than the average supermarket checkout operator.

By the century’s end, all doctors had to have a college degree, a four-year medical degree, and an additional three to seven years of residency training in an individual field of practice—pediatrics, surgery, neurology, or the like. In recent years, though, even this level of preparation has not been enough for the new complexity of medicine. After their residencies, most young doctors today are going on to do fellowships, adding one to three further years of training in, say, laparoscopic surgery, or pediatric metabolic disorders, or breast radiology, or critical care.

Web Application Development In this modern world of computer technology all people are using internet. In particular, to take advantage of this scenario the web provides a way for marketers to get to know the people visiting their sites and start communicating with them. One way of doing this is asking web visitors to subscribe to newsletters, to submit an application form when requesting information on products or provide details to customize their browsing experience when next visiting a particular website. In computing, a web application is a client–server software application in which the client runs in a web browser. HTML5 introduced explicit language support for making applications that are loaded as web pages, but can store data locally and continue to function while offline. Web Applications are dynamic web sites combined with server side programming which provide functionalities such as interacting with users, connecting to back-end databases, and generating results to browsers. Examples of Web Applications are Online Banking, Social Networking, Online Reservations, eCommerce / Shopping Cart Applications, Interactive Games, Online Training, Online Polls, Blogs, Online Forums, Content Management Systems, etc.. Applications are usually broken into logical chunks called “tiers”, where every tier is assigned a role. Traditional applications consist only of 1 tier, which resides on the client machine, but web applications lend themselves to an n-tiered approach by nature. Though many variations are possible, the most common structure is the three-tiered application. In its most common form, the three tiers are called presentation, application and storage, in this order. A web browser is the first tier (presentation), an engine using some dynamic Web content technology (such as ASP, CGI, ColdFusion, Dart, JSP/Java, Node.js, PHP, Python or Ruby on Rails) is the middle tier (application logic), and a database is the third tier (storage).The web browser sends requests to the middle tier, which services them by making queries and updates against the database and generates a user interface. Client Side Scripting / Coding – Client Side Scripting is the type of code that is executed or interpreted by browsers. Client Side Scripting is generally viewable by any visitor to a site (from the view menu click on “View Source” to view the source code). Below are some common Client Side Scripting technologies: HTML (HyperTextMarkup Language) CSS (Cascading Style Sheets) JavaScript Ajax (Asynchronous JavaScript and XML) jQuery (JavaScript Framework Library – commonly used in Ajax development) MooTools (JavaScript Framework Library – commonly used in Ajax development) Dojo Toolkit (JavaScript Framework Library – commonly used in Ajax development) Server Side Scripting / Coding – Server Side Scripting is the type of code that is executed or interpreted by the web server. Server Side Scripting is not viewable or accessible by any visitor or general public. Below are the common Server Side Scripting technologies: PHP (very common Server Side Scripting language – Linux / Unix based Open Source – free redistribution, usually combines with MySQL database) Zend Framework (PHP’s Object Oriented Web Application Framework) ASP (Microsoft Web Server (IIS) Scripting language) ASP.NET (Microsoft’s Web Application Framework – successor of ASP) ColdFusion (Adobe’s Web Application Framework) Ruby on Rails (Ruby programming’s Web Application Framework – free redistribution) Perl (general purpose high-level programming language and Server Side Scripting Language – free redistribution – lost its popularity to PHP) Python (general purpose high-level programming language and Server Side Scripting language – free redistribution). We also provide Training in various Computer Languages. TRIRID provide quality Web Application Development Services. Call us @ 8980010210

I went to Pakistan Army, in the war of 1965, to sacrifice my life for my beloved Pakistan, without thinking that I was still a teenager of fourteen years old; however, I managed to enter the Pakistan Army, as the MT driver; I got a short training within six months, but when that war went stop; I felt nothing to stay there. On my awkward conduct, Pakistan Army let me go; however, after a short break, all were allowed to leave the Army. I left the Army and started my study again; after my graduation, I went to Karachi for higher education and a bright career. I had forgotten the Army service. When I was an assistant editor in Daily Aaghaz Karachi, I received a letter from my elder brother, in 1974, who resided in Larkana. He wrote that the Pakistan Army had awarded me a Tamgha-e-Jang (A War Medal). I became surprised that the Army gave me the medal after nine years. However, it was an exceptional pleasure and honor that such an incredible institution rewarded me with a war medal. The pics, display that war medal, which executes a proud feeling of pride and dignity. Some news cuttings, from my document file; several newspapers published that, including Daily Jang, Karachi.

New York City’s laudable policies designed to reduce the gap between the rich and the poor were simply not sustainable. On average, residents paid 10.2 percent of their incomes to the city in 1975, more than a third higher than a decade earlier. The city’s elected officials (the mayor, comptroller, borough presidents, and city council members) provided services for its citizens and offered benefits to its municipal workers that the city could not afford.52 Mayor Robert F. Wagner Jr. set the tone in the 1960s. When submitting his last budget, he said, “I do not propose to permit our fiscal problems to set the limits of our commitments to meet the essential needs of the people of the city.” In Lindsay’s first term as mayor, the city’s labor force grew from 250,000 to 350,000 and the city’s budget rose almost 50 percent. The public university system eliminated all tuition charges and accepted any student with a high school diploma. State officials, including Rockefeller, enabled the city’s profligate spending. At the federal level, President Lyndon B. Johnson’s new programs to eradicate poverty passed along costly mandates to local governments.53