text:
MEMES Week: Disruption is the Model
Center for Management of Enterprise in Media, Entertainment & Sports
Wednesday, October 16, 2013 from 11:30 AM to 12:45 PM (PDT)
Who's Going
San Francisco, California
London, United Kingdom
Florence, Italy
Event Details
Disruption is the Model
Whatever your industry aspirations may be, if you're not innovating – there is no future. From content development to production and distribution, disruption is the new model. Join media and entertainment leaders from the front lines as they discuss what it takes to stay ahead of change.
Franklin Leonard, Founder -The Black List
Michael Lewis, Head of Film Production – Amazon Studios
David Katz, CEO-The PostGame
moderated by Alex Franklin, UCLA TFT
*In A201 (Collins Center)
*Complimentary lunch will be provided
*Park in Lot 4
UCLA Anderson, a complex of buildings A - F, is located in the north central section of the UCLA Campus.
From the 405 Freeway:
Exit on Sunset Boulevard and proceed east on Sunset about 1.5 miles to the Westwood entrance of campus. Turn
right onto Westwood; proceed straight ahead to the ramp leading underground to Parking Structure 4. The Parking
and Information Kiosk will be on your left as you descend into Structure 4. Complimentary parking will be provided
by giving the Kiosk staff the name of the program you are attending.
Signs throughout Parking Structure 4 will direct you to UCLA Anderson. Take one of several exit tower stairs or
elevators to the Plaza level of Parking Structure 4. Follow the small dotted paths, as indicated in the map above, to the
UCLA Anderson Complex.
When & Where
A201 (Anderson)
110 Westwood Plaza
Los Angeles,
Wednesday, October 16, 2013 from 11:30 AM to 12:45 PM (PDT)
Add to my calendar
Center for Management of Enterprise in Media, Entertainment & Sports
The Center for MEMES at UCLA Anderson is the preeminent center for thought leadership and management education in the media, entertainment and sports industries.


text:
Blue Lake, St Bathans, Central Otago
January 14, 2012 by staff
Blue Lake, St Bathans, Central Otago, Blue Lake is a small lake adjacent to the town of St. Bathans in Central Otago, New Zealand. The lake is man-made, the result of sluicing operations that began in 1873 when John Ewing (1844-1922) formed the St.Bathans Channel Company, to mine the Kildare Hill Gold Claim in St Bathans. His company constructed a tailings channel and introduced hydraulic elevating to work the claim. As this work progressed the Kildare Hill Claim became the site of the deepest hydraulic elevating operation in the world, that would turn a 120 metre hill into a 68 metre hole. Work stopped in 1902 when there was insufficient fall in the tailings channel to carry away the tailings. By 1905 John Ewing was bankrupt as a result of poor investments in other locations. The Kildare Hill Claim was then taken up by the Scandinavian Water Race Company in that year. This company restarted operations and worked the claim until 1932, when it was finally abandoned due to the fear of undermining the town of St Bathans. Natural drainage from the surrounding hills filled the hole with water and created the present day lake. The Blue Lake is a key feature of modern day St. Bathans and is used for swimming, fishing, bodyboarding, and kayaking.
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Motorhome News from North America 32
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Motorhome News from North America
North America
United States
January 12th 2007
Published: January 12th 2007
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Grey haired nomads
For sale to a good home (after March)
Motorhome News from North America 32 28th December - 12th January 2007
A winding route up the west coast of Florida - to the Panhandle
North of Florida's Everglade swamplands, flat fertile fields segment the landscape; market gardens rich with fruit and vegetables: tomatoes, melons, beans, strawberries, mango and citrus, lychee, peppers, aubergines and bananas - and nurseries with row upon row of royal palms, bright orchids and colourful bougainvilleas ready to grace the south's burgeoning housing estates. White busses were parked on open fields, their passengers amongst the hordes of immigrant agricultural workers from Mexico and Central America, a hundred broad backs bent over endless rows of plants under the relentless sun.
An afternoon drive from the western end of the Everglades took us to Naples, its beautiful homes matching the elegance of the name, its beautiful beaches inaccessible by that time of day - the tiny parking lots brimming over, exclusive designer shops and up-market Italian restaurants draped with the tanned bodies of the smart set and the healthy wallets of the seriously rich - and their gardeners. This is the refined west coast of the Florida peninsular. It could be a million miles from Miami!
The somewhat rare Florida scrub jay
At Oscar Scherer State Park
There are few large hoardings beside the highway as it approaches Naples, but the creeping hand of the developer is ever present. On the outskirts of town the bulldozers are at work, clearing the land to build miles of new malls to support their new retirement developments - another 1000, one storey identical homes set on a flat one-mile square behind palatial gates, palm lined walls, ornate bridges and landscaped gardens; huddled together around fountain splashed lakes, the greenest of green golfing fairways and glorious parkland - all for a lifelong management fee. The once magical wilderness of southern Florida will soon be lost to these huge bungalow developments, christened with names to tempt the over 55's from the colder northern states: Heritage Bay, Longshore Lake, Olde Cypress, Golden Pines, Ibis Cove and Country Creek - sweeping ever outwards in all directions like the tentacles of an octopus, across the swamp that is Florida.
Our 'Satellite Navigation system' has been playing up since we arrived in Florida. Well, it's not so much an electronic navigation system - it's actually a Florida road atlas and a Janice. And it's not so much a Janice as it is the Florida
Corkscrew Swamp Audubon Preserve
Painted Bunting spotted here.
road atlas that's the problem. A few days back, we took to the un-surfaced roads once more along a track recommended both for birds and the scenic drive. It didn't take long for us to realise our mistake; the potholes and ruts grew deeper and deeper, and the track narrowed through overhanging trees and muddy puddles. With no place to turn and little room for passing vehicles it was tough going. Eleven miles and two hours on, we reached the end of the track and a marginally better road surface, albeit miles from nowhere on long straight single-tracks amidst the marshes. At one point we were less than five miles from our camp as the crow flies, and thirty by the road marked on our map! Weary, but ever hopeful, we followed the road for five miles or so, fingers crossed as the surface deteriorated once again, no words spoken, both anxious, both anticipating better things around the next corner. Our fuel gauge was registering empty.
But around the next corner the road petered out; nothing but a narrow muddy track through the trees - and a farm gate, just wide enough for us to turn around with a
Corkscrew Swamp Audubon Preserve
five point turn, with Janice watching our rear end. It was becoming an exhausting journey. Seconds later, a white 4X4 appeared out of nowhere, as they do. 'Grass Cutting and Tree Felling' it said on the side. Joe pulled his truck over into the ditch to give us room to pass. He leaned out of the window, his thick lips smiling knowingly under a broad moustache. "Are you lost?" he hollered over the roar of two stainless exhausts.
"Our map shows this road going through to the main road," our Janice part of the 'Sat Nav' replied. "Never has, and likely never will," he came back quickly. "Your best bet is to go back, take a left to the 'stop' and turn right. That'll put you on the highway." I'll bet it's not every day he sees a big white motorhome in these parts.
The highway turned out to be an Interstate, with no access and a thirty-mile detour on three sides of a square in the wrong direction to reach camp. We eventually arrived another two hours and sixty miles later, somewhat miffed and thoroughly exhausted, still with a little fuel in the tank. The map has since thrown
Corkscrew Swamp Audubon Preserve
A four foot Yellow Rat snake!
up incorrectly named roads, non-existent junctions and missing important information. Oh, the joys of travel!
Much of our daylight time is taken up with hiking and birding around the State Parks and Preserves where we camp. Each park has its own character and varied flora and fauna. Corkscrew Swamp, an Audubon preserve, provided more than two miles of boardwalk through dense cypress swamp. It was the last weekend of the school holidays and parents and children were making the most of the winter sunshine. Despite all the people, we saw our first painted bunting there - an incredible sight, a sparrow sized bird, with a bright blue head, a green back and red body! A four-foot yellow rat snake wound its way through the water below us, and a tiny ribbon snake rested on leaves in the undergrowth, its alert beady eyes sparkling in the mellow light of the morning sun. There were tiny green tree frogs little bigger than your thumb- nail hiding on low branches beside us, a racoon climbed onto the boardwalk ahead, seemingly oblivious of our presence, and alligators watched us pass close by - licking their lips. That's the sort of place that
Koreshan State Park
Planetary Court - home to the governing council of 7 women (the seven known planets of the time)
makes these grey-haired-nomads happy!
Koreshan State Park, near Estero, provided an insight into religious history at the turn of the nineteenth century. It is the site of a religious settlement that aimed to support ten million worshipers. A number of buildings have been preserved showing their industrious efforts to support the community, including an early electricity plant to power the sawmill and laundry, installed by Eddison (before electricity really caught on), a printing works, post office and store. The Koreshan Unity was one of several new religious societies founded in the United States around that time. Based on celibacy and community property, the group moved here under the leadership of one Dr Cyrus (Koresh) Teed in 1894 to build a new Utopian community; a 'New Jerusalem,' a life without crime or vice, tobacco or drugs, at the centre of a universe encased in a giant hollow sphere. Despite its early success, membership declined after their leader's death in 1908 and the site was finally deeded to the Florida State in 1961 when the last four members of the community finally closed the doors. Continuity in a land of celibacy was dependant upon the recruitment of complete families of course,
With Bob and Laura
enjoying the rodeo
and other religious groups with similar creeds have suffered similar fates for the same reasons over the years.
I was taking the evening air around the campsite when a grey bearded young man called to me as I passed. Bob recognised me by my white Canadian socks - the ones with the red maple leaves around the top bought at WalMart for a few bucks.
"I noticed your socks when you were booking in at reception last night. They didn't go with your English accent," he told me. We shared a Coke or two with Bob and his lovely American wife Laura later that evening and discovered we had both joined the RAF in the same year, and both been to West Kirby on the Wirral to do our 'square bashing'. I don't get to meet too many people as old as me these days! Bob arrived in the USA twelve years ago from Liverpool.
During the evening we discussed our proposed route across the south to Texas. He told us that the best thing to come out of Texas is the I20 Interstate Highway! Has he not heard the one about Liverpool? He also told us about the
Ding Darling National Wildlife Reserve
Saturday night Rodeo outside of their hometown, Vero Beach, on the east coast of Florida. Janice has done the Rodeo bit before - the real stuff as only Calgary can do it, but somehow we managed to miss the Rodeo season in the west and across Canada and I've been complaining. It's one thing I don't plan to miss on this trip, so we might just have to head out east once more!
New Year's Day was celebrated at Ding Darling National Wildlife Reserve, a four-mile drive with spectacular birding, and later, a tour of the miles of malls and housing estates that make up Fort Myers. The 'Outlet Mall' was a shopper's dream; clean and swish in Spanish style, with hundreds of factory outlets, all the big names and tempting 'New Year Sale' prices everywhere. Now what do we do? The cupboards are full of new shoes, shirts, shorts and trousers! Time to start throwing the old things out! I can't remember the last time we stayed up until midnight to see the New Year in - or is it to see the old year out? This year was no exception, but we did get to toast another
Lake Kissimmee State Park
'new year' later in the week.
Highlands Hammock State Park is densely verdant, on slightly higher ground under a rich canopy of ancient evergreen oaks. Dry leaves rustled underfoot from red oaks and maples, unseen in recent weeks further to the south, and still green with last year's growth. Palm trees reached for the yellow sunlight above the tall cypress and palmettos and ferns shaded the forest floor, ploughed overnight by the hungry feral pigs abundant in these parts. As we moved north, the flat swamp of palm and cypress was left behind, opening out to forest and open prairie dotted with cattle and horses along narrow straight roads and once again we saw flocks of bluebirds lining the fences, welcoming us as we passed. It was good to break the mould from the monotony of shallow horizons of saw grass and black dykes after many weeks of hugging the coastal marshes. The days continued warm and muggy, forcing us out walking early each morning after breakfast - and reading in the cool of the air conditioned motorhome by mid-afternoon.
Many a good American breakfast comes with Florida Orange Juice on the side, served refreshingly cool. Much of
Florida Orange Juice Factory at Lake Wales
it comes from the groves on the central plains where the roads rise and fall almost imperceptibly on shallow gentle slopes, and long rows of dark green trees splashed with the bright orange and yellow of ripening fruit. Huge trucks ply the highways trailing long mesh trailers heaped high with oranges, heading for the massive grey processing plant at Lake Wales. We drove around the plant on our search for the local library and the internet; past the ramshackle homes of the underpaid workers that would shame both manufacturer and the whole nation if exposed - and ruin many a genuine 'Florida Goodness' breakfast dream. There can be little pride in the company book of culture.
Bob's recent mention of a Rodeo finally tempted us further east, away from the west coast, across open country into central Florida where beef cattle roam the prairies and cowboys 'round 'em up' on horseback with dogs and cracking whips. (It was this practice that gave them the name 'crackers'.) On our way we searched for the scarce, Crested Caracara, a vulture sized bird, previously only a picture in a book for both of us, but unmistakeable for its flight and stature -
Crested Caracara
a short legged secretary bird if you know what one of those looks like! The good book suggested we might see one on a post beside Highway 70, and sure enough there it was, bold as brass, watching us from the top of a telegraph pole. The tyres squealed and we swerved into the entrance of the Circle O Ranch - past the sign 'Private Property. Keep Out', binoculars at the ready for a closer look! I can hear you now, "It was stuffed!" you cry. "Oh, no it wasn't!" I reply. Janice had seen it land as we passed. Two more were sighted over the next 24hours. The Crested Caracara is the National bird of Mexico, by the way. We might just have a picture for you.
Saturday night's rodeo was at River Ranch, "The biggest dude ranch in the world", a three-mile drive from the entrance, along a paved road to the security gate. We had telephoned ahead to book a space on their RV site expecting it to be full for the Rodeo, to be told it was $80 per night for a fully serviced pitch. At that price it had better be good, we thought!
River Ranch RV Park
The posh end - note the boat docks
With most of our camping costing little more than $20, it sounded steep to say the least, but we hoped we might do a deal - if we promised to eat in their restaurant, play golf on their nine-hole course, and go to the rodeo on Saturday night. As it happened, they had one spare pitch at $28! "But it's primitive camping. Only water and electricity on site," the receptionist said. (That's deluxe in European terms!)
As you might have gathered, River Ranch is no ordinary Ranch. There were twenty of so light aircraft and a helicopter parked by the end of the airstrip, the control tower sharing space with the Golf Pro shop, busy taking green fees and dishing out buckets of balls for the driving range. "Oscar Foxtrot from tower, runway clear for take-off. That'll be twenty eight dollars each, Sir, for eighteen holes."
You can swim in the pool at River Ranch, hire a horse for the day, fish in the river, eat in the café, dine in the restaurant, watch the Rodeo on Saturday nights, overnight in the hotel or a cabin, shoot the 'trap and skeet', play tennis, shop at the store, buy your
River Ranch
Misty morning golf
own cowboy outfit, (I had my hat ready and waiting for the big event) camp in your tent or hold your company conference - and it's miles from anywhere. More than 50 miles from the east coast and double that from the west! By the way, if you really want to live it up, you can indeed pay your $80 and pitch your motorcoach by the marina, moor your boat at your own private dock and watch the sun go down over the Kissimmee River. It must have been my posh English accent that led the receptionist to think I wanted the upmarket resort version! We did get to play golf, bright and early in the misty morning light before the sun popped over the stables.
Loyalty to the flag and devotion to religion play their part in everyday life here, holding together the delicate fabric of an insecure nation. The stars and stripes appear on every government building: in the gardens of many homes and even around our campsites. Churches line every city and touch every town. The Rodeo started with a charge of horses around the ring: out in front the lead rider in full cowboy rig
Wood stork
carried a huge Stars and Stripes - followed closely by four others each with their own flag, GOD, BLESS, THE, USA. The crowd rose in a show of respect, and joined in prayer, heads bowed, for 'Our Troops'. The process was repeated before we left the arena later that evening. Bob and Laura drove the fifty miles from their home to River Ranch to join us for dinner, and watch the rodeo. It was a great night: the enormous bulls bucked and snorted as they left the gates, the cowboys stuck like rag-dolls with glue for seconds or microseconds, the steers ran and the lariats flew, the whips cracked, the red dust rose, the cowgirls raced around the ring - and the audience clapped and stamped their feet! Yee - Ha!
It was good to see that some of the rodeo contestants had the sense to wear crash helmets in the ring. I don't know about 'crackers.' Personally, I think they're nuts! (It is also somewhat disconcerting that motorbike riders are not required to wear helmets in many of the States.)
This week we celebrated our 365th day in North America, crossing the estuary of the Suwannee River as
White Pelicans
we turned westward - towards Florida's Panhandle and the next phase of our adventure; the road across the south, to Alabama, Mississippi, Louisiana - and Texas. See you there!
David and Janice. The grey-haired-nomads
PS. Were you able to 'name that tree'? (Newsletter 31) It was a mahogany tree!
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David & Janice The grey-haired-nomads
Grey haired nomads
David and Janice embarked on a life of serious travel on retirement in 2004, setting off from their Norfolk, England, home on a three-year journey by motorhome across Europe and circumnavigating North America. Travel, it seems is now a major part of their lives, fulfilling their joint love of culture, dramatic scenery, wildlife, hiking, writing and photography. This is their story. David and Janice The Grey-haired-nomads ....and Todd came too. ...
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Britain's American colonies broke with the mother country in 1776 and were recognized as the new nation of the United States of America following the Treaty of Paris in 1783. During the 19th and 20th centuries, 37 new states were added to the origina...
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Unlocking your iCloud account
If you are typing the correct password, your account may have been locked for security reasons by Apple. This is easy to unlock, just go to iCloud online and try to sign in there. If your account is locked you will be forwarded to iForgot and given instructions.


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Anton Niko
Consultant, Field Services Hub Banking, Global Banking Line of Business @ SAP
No approved endorsements
About Anton Niko
I am especially interested in managing, organizing and executing of various business matters as well as consulting, activities of application specialists, realization of projects or banking relationship and banking activities. I am keen on learning new activities, as I consider them a new challenge in my professional life.I am currently working as a consultant for SAP, Field Services Hub Banking, Global Banking Line of Business with focus on Transactional Banking. I had been working for VÚB, a.s., Head office, Bank of Gruppo Banca Intesa Sanpaolo, Bratislava for two years and several months. Here I was responsible for external banking superstructural applications.I have a lot of experience in organizing and managing activities, as well as in system of payments and it's technical realization. I acquired the experience at courses organized abroad and in Slovakia. I found the courses profitable for this kind of business, but I consider working in business of commercial banking for over thirteen years is the best training.I was in charge of conducting the smooth migration of SWIFTAlliance Access and Entry without problems in environment UNIX to Windows NT, also migration to new SWIFT Generation SWIFTNet and SWIFTNet FIN in the best way for migration. I am constantly studying in this area in the form of special courses and seminars organized in abroad, as well as by studying technical literature related to my professional field. I can speak English fluently. I am able to speak partly Spanish and Russian, too.
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The Thorat Committee Report and the Good Doctor
Thomas, George
Bibliographic Citation
Indian Journal of Medical Ethics 2008 January-March; 5(1): 2-3
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Arusha Journey Company Ltd A Main Vacationer Listing ,Travel And Tour Operator In Arusha Tanzania
Final weekend, we stayed at the Calpine Hearth Lookout in the Tahoe National Forest. There's a terrific app referred to as Visa Travel Tools that's free to obtain – it would tell you the most up to date trade charges used. I would like something lengthy-carrying stylistically as a result of with eight window remedies & a divider curtain, this will probably be a number of work and a major expense. Not content to slim her work to travel images, she additionally produced a number of videos, together with style and commercial trailers. When all else fails, seize a picnic from Fallon & Byrne (or an ice cream cone from Murphy's ) and head to the inexperienced to absorb the sun. These companies do not often promote directly to the general public, however act as wholesalers to retail travel companies. I found the same factor you probably did – that folks love to assist out if you journey alone with young children.
A SAA air ticket from South Africa to any regional or worldwide vacation spot, in chosen booking lessons, booked and issued at a Positive Travel agency between 01 November 2016 and 31 March 2017, for travel departing by 31 March 2017, is eligible for entry. Earlier than traveling with a back condition, it will be important you contact your physician or healthcare provider to see in case you are secure to travel.
I quickly realized that our journey plans had been going to be a bit extra limited to closer radius and secondary routes. Brought up surrounded by a family-run travel enterprise, it is no wonder that Robyn followed her family's well-travelled footsteps into the travel business. Packing cubes help business travelers (and leisure vacationers, too!) pack much more effectively, letting them match extra clothes into every suitcase. Initially from Mississippi residing in Florida now, have travel this route just a few instances…favorite site is difficult to say…loved the lense up to now although! His passion in capturing disappearing cultures, historical rituals, and on a regular basis life leads him to travel to essentially the most uncared for countryside areas. Our small group type of travel means you will stay below the radar, journey the local manner, eat the native approach and sleep the native means. Frequent business travelers usually have to work in the course of the actual journey parts of their business trips.
I bought a brand new Kindle Paperwhite to take with me on a global trip and it was probably the greatest travel items I ever bought for myself. Whether it's a quick journey or a long-haul flight, listed below are some tried and examined back pain journey tips. There's much to be said about some of the older leisure vehicles just like the Boles that were manufactured at a time when RV travel was in its infancy. You'll also discover low airfares, free travel guides, worldwide vacation rental listings, common boards with recommendation about virtually each destination, and more. This video was taken …


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Beyond Skin
Nitin Sawhney
Reviewed by Joe Lockard
Thursday, November 16 2000, 4:32 PM
"I believe in Hindu philosophy. I am not religious. I am a pacifist. I am a British Asian. My identity and my history are defined only by myself -- beyond politics, beyond nationality and Beyond Skin." - Nitin Sawhney
Once I met a former teacher of mine, an Indian-born novelist, in an elevator. "I was just at a conference last week," I told her gleefully, knowing that she would enjoy the report, "and there was a paper --- one that I skipped --- on anti-Hegelian space in your novels. Tell me it's not true!"
She grabbed the sides of the elevator in mock horror. "They've outed me! They discovered that I'm an anti-Hegelian!" We doubled over in laughter. A couple weeks ago we recalled that moment to her husband, who shook his head in mock sadness and said "You sleep with a woman for so many years and then you find out that she is an anti-Hegelian. It makes a man lose faith in the world, I tell you."
In that spirit of lost faith and good humor over the loss, it's time to out Nitin Sawhney as one more anti-Hegelian. The poor fellow needs an explanation, so here goes a short version. And you thought you were reading a music review?
When Georg Hegel declared so famously that "Philosophy proper begins in the West", he claimed that concretization of abstracts is possible under Western socio-philosophical paradigms that value individuation, but that totalitarian and collectivist non-Western societies snuff out any such possibility. Hegel wrote in History of Philosophy that "The blessedness of the West is thus so determined that in it the subject as such endures and continues in the substantial; the individual mind grasps its Being as universal, but universality is just this relation to itself", For Hegel, the West was not only the sole possible site of true transcendence, but of the social progress towards individual autonomy that would enable its achievement for all of humanity.
Progressive politics in Europe and America, no less than other politics, have relied heavily on an Hegelian idea of progressive social change enabled through changes in the abstract realm. The philosophical 'discovery' of individuation and private conscience became a driving force in separating cultural histories, such that an Euro-American ideal of abstraction was established as the basic denominator of cultural narrative.
It was Hegel, admirable for so many other reasons as a prophet of liberty, who argued that religious and aesthetic hierarchicalizations elevate West over non-West, or white over colored. This hierarchy begins with a progression from material to abstract, for "Philosophy first commences when a race for the most part has left its concrete life...when a gulf has arisen between inward strivings and external reality, and the old forms of Religion...are no longer satisfying." The specific forms of Euro-American abstraction were thus designated not only the pinnacle of intellectual achievement, but an invisible gender and racial line that prohibited democratic participation in intellectual domains. Not only does an exclusive claim on abstraction provide empowerment, it provides sole social franchise to white men.
A struggle for equality of transcendental entitlement has been a basic struggle that pervaded the art and philosophies emerging from the past century's anti-colonial movements. The declaration of artistic independence with which Nitin Sawhney introduces his Beyond Skin album originate in this struggle. In its conceptual construct, this album illustrates the extent to which Eurocentric delineation of philosophy proper to its own traditions is an utterly blinkered and bankrupt enterprise. The Neoplatonists never forgot that musical abstraction is a form of philosophy, and neither has Nitin Sawhney. The musical counter-abstractions through which Sawhney argues are life-affirming and base themselves on an aesthetic of cultural integrationism, rather than separatism.
The album opens with a sampled invocation of Indian prime minister Vajpayee's announcement of the first Indian nuclear test and closes with Robert Oppenheimer's quotation of the Bhagavad Gitain response to the Trinity test in 1945: "Now I am become death, the destroyer of worlds." Oppenheimer, a quintessential product of Western scientific rationalism, found best expression in Hindu philosophy. Scientific abstraction, translated into material existence, had become death incarnate. Or as Sawhney writes "The western creator of the bomb condemning it in the name of Hinduism, the Hindu prime minister testing it in the name of what? Progress? Should India be thanking the West for donating weapons of mass destruction?" Sawhney opposes the BJP's Hindu nationalism that pushed India into nuclear exhibitionism, creating an India-Pakistan nuclear binary that embraces the murderous potential of Trinity that Oppenheimer sought to repudiate.
Anti-nuclearism runs throughout the album. At first I had complete enthusiasm for the thoughtfulness dedicated to this project, but after repeated listenings the mixed quality of the music becomes more apparent. 'Tides', for instance, opens with a radio news announcement of another French nuclear test on Mururoa followed by ocean sounds overlaid with a jazz piano piece composed and performed by Sawhney. The scientism of modulated radio waves has an antithesis in uncontrolled ocean waves, and the music performs a meditative synthesis. While its ideas are clear, the music itself approaches uncomfortably close to piano lounge style.
Such moments aside, this is the best anti-nuclear music that I have heard, given that this line of music thematics is characterized more commonly by programmatic shtick and sappy Earth-love. A few bare sampled words and instrumentals accomplish sophisticated statements of anti-nuclear philosophy. Good-bye to Steven Stills, his wooden ships on the water, and all that. In 'Serpents', one of several excellent tracks on the album, flute accompaniment to Katchak vocalizations invoke the image of a serpent wrapping itself around the earth, around humanity. A mythic suggestiveness of a lethal and sinuous force of destruction emerges. 'Beyond Skin', the final and title track, makes this suggestiveness explicit in a haunting hymn.
Interwoven through the nuclear songs are allied themes of immigration and distance, these being themes that characterized Sawhney's previous work. If a destructive idea and technology immigrated to Asia in the form of nuclearism, a positive and contributory flow of immigrant humanity arrived in Britain. This confounding of separatist Hegelian geographies is integral to Sawhney's musical thinking. 'Nadia', with a compelling performance by singer Swati Natekar, is a beautiful song of separation across water. 'Pilgrim', performed by Asian Canadian rapper Dream Warrior-Spek, is far less compelling (compare it with the much more convincing but wordless improvisational rap of 'The Conference'). 'Immigrant' samples Sawhney's father recounting his recruitment as an immigrant worker and begins well, but does not succeed well in its attempt to combine a Bengali refrain with a very mundane R&B-inflected ballad. Sawhney has a disturbing attraction to bland, amorphous lyrics that reappears in this album, one that suggests too little resistance to over-simplification. It is too often a case of the music improving the lyrics.
'Anthem Without Nation', which integrates musical ideas on anti-nuclearism and immigration, is magnificent. Steve Shehan's percussion works tightly with Devinder Singh's lyrically melancholy singing (liner translation notes would have been helpful). Nuclearism and nationalism are conjoined ideologies and 'Anthem Without Nation' makes that conjunction explicit.
This is an album of ideas and passion. The words "Now I am become death, the destroyer of worlds" have become "Now I am become music, the creator of worlds."
Beyond Skin is an Outcaste Records release


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All of the hotel's 118 rooms and suites offer harbour or city views. This hotel position itself as one of Wellington's most luxurious accommodation experiences. Conference facilities are complemented by a restaurant, cafe and bar to create an ideal environment for work or pleasure. There is also an entrance hall and lift service. Room and laundry services are available, as is parking for guests arriving by car.
Nestled at the foot of Mount Victoria's rolling hillside, the hotel is located at Wellington's premier street address on Oriental Parade, and many of the rooms overlook Wellington's spectacular inner harbour. The hotel is only a 10 minute walk from the city's shopping, commercial and entertainment centre, and within easy walking distance of the Te Papa National Museum, live theatre on and around Courtenay Place, and many of the city's finest restaurants and bars. Wellington Airport is 8 km away from the hotel's front door.
All 118 rooms come with en suite bathrooms and offer modern design and decor with views of Wellington harbour and/or the city. Room amenities include a direct dial telephone, voice mail, message service, broadband Internet, modem points, LCD TV with free movies, sports and leisure channels, radio, alarm clock, iron and ironing board, tea and coffee making facilities, minibar and more.
An indoor heated swimming pool is available for guests' enjoyment.
Wellington is known for its amazing culinary offerings, and the hotel's One80� restaurant is unsurpassable. With talented, award-winning chefs who fuse seasonal ingredients with a touch of city flair, complimented by the 7th floor views, this is a culinary experience guests won't want to miss. The Cocktail Lounge is also located on the 7th floor, and provides spectacular 180 degree views of Oriental Bay.
Room Facilities:
Direct dial telephone
Satellite cable TV
Tea Coffee
Iron and board


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Romka Magazine #7
romka is a collective photo album in which people from all over the world tell the story behind their favorite photograph. Amateurs and professionals are treated equally — everyone is invited to take part in the ongoing project. A new issue is published every winter. Joscha Bruckert is the founder and editor of romka magazine. He was born in a forest, studied photography and spends more time at his desk than any human being should. Graphic designer Benedikt Bock joined the magazine in 2011. He claims to be born in Cologne, is a student at HGB Leipzig and very passionate about angling and angling magazines. romka is based in a shared flat in Leipzig, Germany.


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Strength and wisdom come with age but youthful spirit never dies. To capture the essence of a loved one brings a certain type of tranquility, an unknown peacefulness. Photographer Gabriela Camerotti replicates reality in this ode to an eternal muse.
About The Photographer
Gabriela Camerotti is a 25 year-old free spirit photographer from São Paulo, Brazil. Verbally succinct, visually inclined, she creates photos that are opulent, sensual and with an eye for capturing the essence of being girly. Aiming to be the voice of the girls of today's generation, she uses her mastery of natural lighting to capture her models in a playful way that emanates an aura of passion and fun that can't help but make you smile.


text:
Family Law
Family Law Questions? Ask a Family Lawyer Online.
Yes, the child would have to return per the parents orders. Until the child reached 18, he/she is required to obey and follow the orders of the parents. However, as soon as he reaches age 18, he/she can go back to doing whatever he/she wants to do.


text:
Eternity (01-21-2015)
Information: Simple chat spammer is really easy to make, it takes maximum 3 minutes. Please do not copy codes shown below, write them yourself so you'll remember them and C# won't give any errors like it does when you C+P code.
Step 1: Adding
Add 2 Buttons. Name first button - Start; Second - Stop.
Add richTextBox
Add a timer.
Step 2: Coding
Double click on Start button and write following code:
Double click on Stop button and write following code:Code:timer1.Enabled = true;
Double click on a timer and write following code:Code:timer1.Enabled = false;
Hit on start and ENJOY!Code:SendKeys.Send(richTextBox1.Text); SendKeys.Send("{ENTER}");
Credits : @Gio
I regard the theatre as the greatest of all art forms, the most immediate way in which a human being can share with another the sense of what it is to be a human being. -Wilde
Member Since: 7 March 2013
Donator Since: 14 January 2014
Editor Since: 10 August 2013
Manager Since: 27 September 2013
Middleman Since: 31 January 2013
Minion Since: 13 August 2013
Former Staff Since: 5 February 2015
Eternity (01-21-2015)
Nice, Also if I do add, if people don't know what to make it in you could use Microsoft visual studio 2013 or visual 2010
Good Job
Might release one to see if it works.
Not very thorough for a tutorial, that's for sure.
Nevertheless, this is very simple.


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Sunday, August 16, 2009
Better Socks!
I finished the pink socks this morning. They're far from perfect, but they're better than the blue ones! My next challenge is to do some increases on the top of the foot and put ribbing there so the sock will have more give but still fit. There's probably a pattern for that someplace, but probably not for yarn this thick, so I'm experimenting as I go.
This morning I used some junk yarn to experiment with knitting a sock on two circulars. This has practical advantages: you can't lose needles, it's easier to try the sock on as you're knitting, and airlines allow circs onboard but may not allow DPNs. But while I didn't find the technique difficult, it's a pain in the neck, because you have to keep sliding the knitting onto the needle to work the stitches and off the needle, onto the cable, when you're ready to work the second circular. DPNs are much more straightforward, so I'll stick with them and just won't knit socks on planes.
Posted by Susan Palwick at 12:15 PM
1 comment:
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Now we're here at the doorstep of the Library.
You seem so happy and so excited. I can see that you're already walking ahead of me. Your hand's on the doorknob already turning it. I only watch while you open the door and start to enter the building.
I want to follow you. I want to see you smile. But I know that when you smile, it'll be because you'll see him again. Not the person who has been with you all these nine years. I think I'm angry. But, I scold myself and tell myself that this is what will make you happy.
You'll be back with him in a few minutes. You'll be in his arms and then we'll be apart.
But then again, it's not all his fault; I think it's really mine to begin with. We've been together these nine years, but I never found the courage to admit it. My mind was on other matters. Hell, I was searching for my own light too. I was too busy with that, I never thought to look right in front of me.
At first it was just a flicker of light, like a candle in a big dark room. But before I realized it, the flame had grown big enough to warm my soul as well. But then I had ignored it, now someone's taking it away.
There is nothing I can really do, because you really want to go.
I want to call your name, and ask you to stop. But my voice is caught in my throat. Choking myself over the chance that I let pass.
Nine years…damn. The more I think about it, the more I want to hit my head against a wall.
I wonder now if there was ever a time when I'd show you how I felt. I also wonder if you understood what I was trying to say.
I guess you didn't. You're halfway into the building now. I'm still outside, staring at the open doorway.
I don't want to follow you in and see you in his arms. That would probably hurt more than all the Heartless' attacks combined. So, I'll just go. Turn around and be on my way. I'll be back in the Hotel. Maybe I'll wait for you there. Or, maybe not.
I have a feeling that there'll be a new member to our group.
This time, I feel that four's too much of a company. Especially since that means, I'll see you everyday with him.
It may be childish to you, but to me it's all I can think of. I wonder if I'll get over it quickly. I know that you'll be happy, that's all that should matter.
Why should I stay and fight? I think you've made your choice even before we met.
Has it always been him, Aerith? I suppose so.
Then, what are you doing out here on the road holding my hand? I look at you; I'm surprised you want me to go inside with you. You're wondering why I've turned away all of a sudden. I want to tell you that I don't want to go in, but I don't want you to let go of my hand either.
Your eyes are telling me that everything is going to be okay. They're not telling me that you know how I feel right now, or how I've been feeling these past few months.
Do you want me at your side till the last moment, Aerith? I'll accompany you, if that's what you want. I know you think it's childish of me, but I don't think I'm ready to say goodbye. To whatever future we would've had, if I took every opportunity to show you how much I've come to love you.
That's right, I love you.
It's been nine hellish years, I lost someone I loved in Hollow Bastion too. I went crazy trying to find her, just like you have been trying to find him. Instead, I found you, but it took me several more years to actually find the courage to move on. But now, he's back, and I know that it's too late for me now.
You found your light. I am about to lose mine again.
You must be surprised why I've put my arm around your shoulders. The Library's dark, but this may be the last time that I'll ever get to hold you this close. I walk slowly, pretending that I'm just trying to protect you. There may be Heartless in the shadows, but that's just a big lie.
I just want to hold you. At least until we get to the room, where everybody's waiting for him to see you and celebrate your reunion.
Maybe I should tell you now before we get to our destination. Even though I know that it's not going to change anything. I love you, Aeris. But I would never want to hurt you.
I know you love him.
So then, I'll just keep quiet.
Note: Nope, I still have not played Kingdom Hearts. Most of the stuff up here is based on what I've read on FAQs and forums on the game. I'm not even sure if Rinoa ever existed in the game (she did, did she?)…but it would be cute to have both her and Squall in the game, tho. J
Anyway, I think this one came out a lot better (and longer) than the first chapter.
Thanks to all those who have sent in their reviews!


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Doctor insights on:
Circumcised Penis Disorders
Hi. I was circumcised at 17. Before that my penis head was pink. After circumcision there are brown skin patches on my penis head. what can i do?
Photo might help: Brown patches skin on penis head after circumcision at 17 years old. Probably just a hyperpigmentation as you grow older. If that is the case you don't have much to worry about. On the other hand if you have any other urinary symtoms such as burning, red urine, irritation of the skin of penis, etc.. it may be worthwhile to check with your doctor. A photograph may help. Thank you and good luck !!! ...Read moreSee 1 more doctor answer
Circumcision (Definition)
Keep your baby's penis clean and dry. The initial redness and swelling should improve over 1 -2 weeks. Avoid wiping or swabbing the wound area. If there is a dressing, change it according ...Read more
Are there different options for treating penis disorders?
Absolutely: There are many ways for a penis to have disorder. Seeing a urologist or men's health specialist is a good first step. ...Read moreSee 1 more doctor answer
Is a General Surgeon capable of diagnosing penis disorders?
Yes. to a great ....: Hi! PaulH, you have churned out numerous questions revolving around the same topic in a short time. To a realistic personal and professional sense, you should refer these to a local Doc for a long-term counseling. Although it is easy to get online for any thing, it still consumes someone's time, which, to a strict sense, is always a common property of all humanity. Thank about this and get to ... ...Read more
What are symptoms of bowens disease of glans penis also can a circumcised man get it?
Highly unlikely: Bowen's disease is type of very early skin cancer and extremely rare in circumcised men. Usually starts as a small well defined reddish patch with irregular border & crusting or scaling on surface. Can be caused by HPV infection or in patients with HIV/Aids. Worth checking it out with Urologist or Dermatologist. Good Luck ...Read more
I have chrons disease in the past 2 years i been getting this red rash on my penis head I am not circumcised. White discharge?
See answer: Some degree of white discharge is normal in uncircumcised males and jrepresents the normal secretions (aka smegma) that occur from the sebaceous glands of the penis. If discharge is heavier than normal and/or associated with redness or irritation, then likely due to a yeast/fungal infection (more common in diabetics). Good hygiene, a topical antifungal cream and/or oral Fluconazole will resolve. ...Read more
How come guys get their penis circumcised?
There are: Many opinions, some religious constraints and some health data. In the final analysis, each individual, or their parents if they're an infant, have to make their own decision about which is best for them. ...Read more
Why is my penis really sensitive after circumcision?
Glans now uncovered: Glans or head of penis is most sensitive area. Uncircumcised, glans was covered (protected) from rubbing against clothes or from your hand if & when you masturbated or had sex. Glans is now exposed all the time and will be more sensitive for a while. This will settle down with time. Try & be patient. ...Read more
How do I fix the discoloration on penis from my circumcision?
Several things: First, it's not uncommon to have some pigment changes related to a surgery like a circumcision. If that's truly the case, you are better of just learning to work around the cosmetic issues that comes with something like this; I won't deny that it may be bothersome cosmetically. Do make sure this is really circumcision related and not something like vitiligo. Talk with your doctor about this. ...Read more
I need your expertise, is a circumcised penis a handicap penis?
It still works: Neonatal circumcision is a political and emotional question right now. You can review the advantages of circumcision, the question of autonomy, and the fact that there's plenty of men who wish they had it back. In africa, men are very grateful for the option. Despite strong rhetoric, it won't stop you from loving well. If you're happy as you are, ignore anyone who's trying to make you unhappy. ...Read more
Where should the circumcision line on my upcoming sons' penis be?
Below the glans: The "tip" of the penis is the glans, the smooth part. The foreskin is cut around that, and then falls back to the shaft, allowing the glans to stand out with the rim of the glans visible (it looks purplish usually). Sometimes there is slight re-adhesion of the foreskin to the glans, but we don't get too worried, those usually relieve themselves with future erections. ...Read moreSee 1 more doctor answer
Circumcised (Definition)
If a male baby is circumcised, his foreskin, or the flap of skin covering the tip of his penis, ...Read more
Penis Disorders (Definition)
Penis disorders includes anatomic, infectious, cancerous, and psychological problems with the ...Read more
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text:
- Trending Now: More Trending:
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Definition of lamb's–tongue
1a : hoary plantain 1 b : lamb's-quarters 1 c : an American dogtooth violet
2a : a molding having a tapering tongue-shaped section or half such a section b : an ovolo and fillet worked alternately along the edge of a board
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text:
Cupertino, California – (The Hosting News) – July 19, 2007 – On demand speech applications development firm, TuVox, has released its hosted TuVox On Demand applications with VoIP access. Designed for speech-based routing, the application was developed to enhance the overall caller experience. The combined solution is delivered as a hosted application leveraging IP, offering intelligent skills-based routing and voice features to the contact center.
Organizations may utilize TuVox conversational speech applications, such as the TuVox Perfect Router, TuVox Knowledge Voice and the suite of TuVox self-service voice applications, combined with the Genesys Voice Platform (GVP) from Genesys Telecommunications Lab.
Steve Pollock, Executive Vice President of TuVox explained, "Integrating the Genesys IP voice platform into our On Demand solution is a significant enhancement of our hosting infrastructure. It enables higher service reliability while helping customers lower transport costs. By supporting easier methods to attach data to phone calls, through the IVR functionality, we're able to transform the caller experience while keeping the solution very affordable for customers."
Karl Holzthum, Senior Vice President, Worldwide Channels and Alliances at Genesys added, "TuVox has found success in delivering hosted solutions to lots of customers. It only makes sense to provide mature IP functionality that offers numerous business benefits that can positively impact contact center performance."
TuVox's speech application, combined with skills-based routing and data transfer from Genesys, was developed to provide agents with detailed customer interaction information when calls are transferred to an agent. This leads to improved efficiency of customer service agents.
Other features of the TuVox On Demand VoIP based hosting service include:
- Support for both VoIP and TDM (traditional) telephony, including a variety of VoIP protocols.
- Choice of multiple telecom carriers.
- Nuance speech recognition.
- High reliability, exceeding 99.99% uptime.
- Standard service level agreement.
- Direct support for attached data through VoIP.
- Availability of the full range of TuVox On Demand applications including TuVox Perfect Router, TuVox Knowledge Voice, and over 50 transactional modules.
- Integration to premise-based Genesys and other CTI vendors.
TuVox markets, sells, implements and supports Genesys contact center software as a Genesys Interacts Partner. TuVox On Demand VoIP based hosting is available now.
TuVox is a provider of On Demand speech applications, designed to empower companies to deliver superior caller experiences through the voice channel. Available as a hosted or on-premise solution, TuVox's applications are designed to be easily customized to businesses and can quickly be updated in response to business changes. TuVox speech applications automate most any type of call, including natural language call-routing, self-service transactions and interactive customer support. By delivering a superior caller experience, TuVox speech applications increase customer satisfaction and improve the adoption of voice self-service. TuVox customers include companies such as 1-800-Flowers.com, ABN-AMRO, American Airlines, Apple, British Airways, Canon, Charter Communications, Gateway, Office Depot, Telecom New Zealand, Time Customer Service, and Wachovia.
Genesys, an Alcatel-Lucent company, focuses 100% on software to manage customer interactions over the phone, web and in e-mail. The Genesys software suite connects customers with resources – self-service or assisted-service – to fulfill customer requests, optimize customer care goals and efficiently use resources. Genesys software directs more than 100 million customer interactions every day for 4,000 companies and government agencies in 80 countries.
Alcatel-Lucent (Euronext Paris and NYSE:ALU) provides solutions designed to enable service providers, enterprises and governments to deliver voice, data and video communication services to end-users. As part of the fixed, mobile and converged broadband networking, IP technologies, applications, and services, Alcatel-Lucent offers end-to-end solutions to enable communications services for people at home, at work or mobily. With operations in more than 130 countries, Alcatel-Lucent is a local partner with global reach. The company has one of the largest research, technology and innovation organizations in the telecommunications industry. Alcatel-Lucent achieved adjusted proforma revenues of Euro 18.3 billion in 2006 and is incorporated in France, with executive offices located in Paris.
To learn more about Genesys, please visit: www.genesyslab.com.
For more information about Alcatel-Lucent, please visit: www.alcatel-lucent.com.
To learn more about TuVox, please visit: www.tuvox.com.


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The title of the first link contained in a story which is receiving comments, reshares, or likes.
For example, suppose that the text of a story is:
"You have to read this! http://imdb.to/16tYO"
This shortened link expands to: www.imdb.com
The HTML <title> of that page is "IMDb - Movies, TV and Celebrities" and it appears as a string in fb.parent.link_title.
See also: fb.link_title.
Filter for engagements on stories that include a link whose title mentions Lamborghini:
fb.parent.link_title contains "Lamborghini"
Filter for engagements on stories where the story mentions Ferrari and includes a link whose title mentions Lamborghini:
fb.parent.content contains "Ferrari" and fb.parent.link_title contains "Lamborghini"
Resource information
Target service: PYLON for Facebook Topic Data
Type: string
Array: No
Interaction filter: Yes
Analysis target: No
Query filter: Yes
Child analysis target: No


text:
Hydrangea Help!!!!!
Decorating By angela35 Updated 4 May 2008 , 3:50pm by sugarshack
hi i need to make hydrangeas for a brides shower cake and i never did these before so can some one please help i would like step by step directions if possible come one you guys have never let me down before!!!!!
The only thing I can refer you to is this video. She demonstrates how she does hydrangea part way through, but its certainly not a step by stop how to lesson. It might be a starting point for you though, since you haven't gotten a lot of responses.
thank you !!!!
global sells the cutter and veiner set that makes them soooooooo easy. you can't go wrong.
Quote by @%username% on %date%


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19. In the 3D Move/Rotate dialog box, click Redefine alignment or position.
20. Select the triad sphere, and then select the work point on the connector. The triad relocates to the work point.
21. Select the green arrowhead, and drag the triad approximately 0.9 in along the Y axis. Alternatively, you can click the green arrowhead, and enter 0.9 in the Y control of the 3D Move/Rotate dialog box.
22. Select the blue arrowhead, and drag the triad approximately -0.3 in (negative 0.3 in) from its current location.
23. Click Apply. The ribbon cable fold adjusts and the 3D Move/Rotate dialog box remains open. If you click OK, the fold adjusts and the dialog box closes.
After you click Apply or OK, use Undo to cancel the 3D Move/Rotate result.
24. In this example, the ribbon cable interferes with the housing around the second intermediate spline point. Use 3D Move/Rotate to move the point so that the ribbon cable clears the housing.
25. You can edit the twist of any intermediate spline point, unless a fold consumes the point. Right-click the spline point, and select Edit Twist. Drag the twist arrows.
To specify a precise angle instead, right-click the twist arrows and select Enter Angle . In this example, the twist control is rotated ten degrees.
Note: Use the Plus and Minus keys (+ and -) to adjust the size of the twist control.26. Right-click, and select Apply.


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Mushrooms & Other Fungi
- Rocky Mountain Conservancy
- August 12, 2017
- Location: 1895 Fall River Road, Rocky Mountain Conservancy, CO
- Phone: (970) 586-3262
- Time: 8:30 AM to 4:30 PM
- Price: $80 per adult
Long regarded as atypical members of the plant kingdom, the fungi are now regarded as a separate kingdom of their own standing. Because mushrooms are so visible and figure so prominently as foods and drugs, we tend to think of mushrooms as the fungi themselves. But they aren't. A mushroom is merely the reproductive structure of a much more expansive organism. This class will address the topics of what fungi are and are not, the attributes that make a creature a fungus, and the challenges to be faced in recognizing one fungus from another.


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Today, I was sitting the living room, when my mom commented on the smell of garlic in the air. After ten minutes of searching for the source, she gave up. I was too embarrassed to admit that I'd tried using garlic to cure my yeast infection. FML
By yeastly - / Monday 9 July 2012 19:54 / United States - Amery


text:
Mortgage-Backed Securities Litigation
FTI Consulting helps financial institutions address the regulatory and litigation pressures surrounding mortgage loan origination, servicing, and securitization practices. Our multi-disciplinary team brings expertise in mortgage origination and underwriting, loan servicing, MBS securitization practices, and data analysis, through experienced litigation consultants and expert testifiers.
The following summarizes the services most often requested by our clients in defending their mortgage loan origination, servicing, and securitization practices:
Mortgage Re-Underwriting
Our senior underwriters are full-time FTI Consulting employees, each with over 15 years of experience that have assisted with the:
- Capture of over 400 data points for each loan to facilitate specific responses to individualized allegations of defect
- Notation of location (Production Number) of key documents in the loan file, in order to facilitate responses to plaintiff allegations of "missing documents"
Materiality Assessment
Underwriting guidelines are a sliding scale of credit, procedural, and business decisions, including:
- Credit issues impact a borrower's ability and willingness to pay, originator business policy does not
- Missing documents — critical vs non-critical
- Severity or guideline exceptions (DTI, Credit Score, or LTV/CLTV) and use of compensating factors in mitigating exceptions to guidelines
Key Contact
Robert L. Brunner
Senior Managing Director, Global Practice Leader


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Clinical ethics revisited: responses
Editorial note
This series of responses was commissioned to accompany the article by Singer
Promoting national and international justice through bioethics
Solomon R Benatar
Surprisingly no explanation is offered for these serious shortcomings. Several possibilities are evident to those who both admire and are critical of North American medicine and bioethics. First, the growth of bioethics has taken place in an era when medicine, particularly in the USA, has been transformed into a business, and health care has been commodified and bureaucratised [2, 3, 4, 5]. Second, there has been loss of trust in health care professionals and their work has been devalued [6, 7]. Third, bioethicists may have become co-opted into the change, and critical attitudes to the commercialisation of health have been muted [8, 9, 10]. Fourth, the excessive focus on autonomy in highly individualistic and self-centred societies has deflected attention away from the important principle of justice in health care and from considerations of social justice in general [11]. Fifth, medical research, increasingly driven by commercial interests, has become more exploitative [12]. Finally these, and other serious deficiencies eloquently described by Rene Fox [13], are also being replicated under the guise of 'development' in economically deprived countries.
What can be done? First, the legitimacy of the USA's heavily market-oriented health care system, which accounts for 50% of total annual global health care expenditure on 5% of the world's population and yet excludes many of its citizens (while claiming to be a standard to which others should aspire), needs to be questioned and contested [8, 9, 10, 13, 14, 15]. Second, the growing interest in linking human rights and medical ethics should be developed and extended beyond concern for civil and political rights, to include the social and economic rights essential for re-promoting the eroded concept of civic citizenship [16, 17]. Third, attention should be focussed on the injustice of the global economic milieu within which health care is being transformed [18, 19, 20], and how this adversely affects the health of entire populations. Fourth, attempts should be made to temper excessive public and professional feelings of entitlement to every possible expensive medical intervention. Fifth, renewed interest is needed in professionalism, as societies cannot flourish without professionals [21]. Finally, instead of recruiting/extracting physicians from developing countries at great cost to the latter [22], the recent example set by the Fogarty International Centre to build capacity in research in developing countries could be emulated [23]. However, the process here should include rebuilding the capacity of privileged physicians and bioethicists to function with high ethical ideals by sending large cohorts of them to developing countries for a year or two. There they could rediscover professional commitment through delivering health care to deprived people under difficult circumstances. On returning home their mandate could be to educate their own health care institutions and governments about the economic policies of wealthy nations that blight the lives and health of millions of 'unseen' people [18, 19, 20, 24].
Ambitious programs are required to make real progress in improving the ethics of the local, regional, and global environments in which health care is delivered. Without these I anticipate that a review in 2010 will identify even greater lack of success in bringing ethics to bear meaningfully and more universally on medical practice.
Will the yawning divide widen?
Zulfiqar A Bhutta
The paper by Singer
The vital links between clinical and research ethics and human rights are perhaps of even greater significance in developing countries, where human rights are frequently ignored and violated. Much too often the health debate blithely accepts economic, health and gender inequity, and attempts to impose an artificial code of practice on the way health is delivered and researched in disadvantaged circumstances. To do so under the guise of pragmatism and expedience is to promote the status quo and growing inequity. I feel that much of the heat and rancour generated by the debate on research into perinatal transmission of HIV in sub-Saharan Africa also arose because of a failure to recognize the close links between human rights, gender equity, and the challenge of practicing ethical and 'just' health care in an unjust world. The miniscule and mundane ethical issues that occupy media attention pale in comparison with the global ethics of turning a blind eye to the systematic starvation of a whole generation of women and children in Iraq and Afghanistan through economic sanctions. The silence on these issues by the academic community, which defines the ground rules of clinical ethics, is incomprehensible. Some of us do not see these issues as divorced from those that pertain to 'end-of-life decisions' or 'clinical equipoise', problems that generate far more attention in the West. It is in this area of 'global or international ethics' that there has been almost no real movement over the past decade, and many of us are concerned that this yawning divide will become even wider over the next decade.
Notwithstanding the above, I am frequently struck by the relative ease and collective wisdom with which many communal and 'underdeveloped' societies handle ethical dilemmas, often in a manner that is worth emulating by others. A sharing of burden among extended closely-knit families and communities, with faith providing the important binding force and solace, is often the key. Thus, while the world waits for a sufficiently large pool of truly international ethicists to develop, there is much to be gained by increasing communication and interaction between health care providers and researchers who work in diverse and disparate circumstances.
It is unrealistic to imagine that the world will change dramatically by the time this subject is revisited again. I do hope, however, that the enormous challenge of increasing communication between disparate economies and health systems will be accepted and addressed. We need a better understanding of the factors that determine global inequalities, poverty and inequities, and the way in which ethical practice and understanding of health is closely intertwined with these issues. It is in these circumstances of deprivation that the teaching and practice of clinical ethics become key to the assurance of justice and equitable sharing of the burdens and fruits of development. In the current climate of globalisation, if trade and tariffs are global issues then surely human rights and ethical standards are as well.
Failure of clinical ethics to deliver on its promise
Abdallah S Daar
What is the take-home message from their revisitation? It is that the clinical ethics project has failed to deliver on its promise. In their assessment, Singer
About 3 years ago I was asked by Stuart Youngner, a professor in biomedical ethics, to join a group studying how to develop and introduce clinical ethics beyond the USA. We made a start, but were plagued by the same question that persists today - where is the evidence that clinical ethics as practiced in the USA improves patient care and outcomes? The peculiar history and milieu of modern bioethics in the USA has provided the momentum for spreading and developing the clinical ethics consultation model. However it is difficult to see, even in Canada, how this could be adopted on a larger scale without more substantial evidence of effectiveness. Singer
Today it is still difficult to see how these three key dangers can be avoided. An additional point that Singer and his colleagues could have addressed is the role of bioethics centres in furthering the aim of better patient care and outcomes. This would have been of real value in this whole important discourse.
These problems may not be as intractable in other countries, even in European countries. We could benefit from looking at other systems and cultures. For example, does the developed world have much to learn from the developing world? I would identify this as a major remaining challenge for clinical ethics. As I have recently pointed out [26], much of the ethical discourse is carried out in the developed world. As more people in the developing world become involved in the discourse, which is often championed and led by Western practitioners, there is a danger that we might impose value interpretations, inappropriate emphases, and confusion on the developing world. The added challenge then is to develop the humility (mercifully identified by Singer
I end by returning to patient care. It is unfortunate that as we enter the new millennium we still need to relearn ancient lessons [27]. Singer
The greatest value of the contribution of Singer
Clinical ethics in the UK
Tony Hope
The past 10 years have seen major developments in clinical medical ethics in the UK. A decade ago I was struggling to introduce at least a minimum of ethics teaching into one UK medical school. Now I have difficulty in meeting the demands for such teaching. Singer
By 1990 there were two major developments in medical ethics teaching: a number of thriving student groups that discussed issues in medical ethics; and a rapidly growing number of master's level courses that catered for those doctors and nurses with an interest in the subject. What was lacking was ethics in mainstream medical education, both at undergraduate and postgraduate levels.
The UK General Medical Council gave an enormously significant boost to medical ethics in 1993, as mentioned by Singer
Continuing education in medical ethics, after qualification, has developed much less substantially. I predict that this will be the major new development in medical ethics teaching over the next decade within the UK.
Clinical ethics consultation
A second major development in UK medical ethics over the past 10 years has been the start of clinical ethics committees. [28, 29]
The first wave has developed mainly as a bottom-up response from practising clinicians. There are signs that a second wave may result partly from political imperatives for mechanisms to scrutinize the ethical aspects of good medical care.
Some of the UK committees set up by health authorities, rather than hospitals, focus on resource allocation, because such authorities have a requirement to make the best use of limited resources. A major restructuring of primary care, with the formation of primary care trusts, will provide an opportunity for clinical ethics committees to develop a focus on community care rather than hospital care.
Over the past 1 or 2 years there has been a developing interest in the medical humanities and social sciences, including the launch in 2000 of a new UK journal -
Getting back in line
Sue MacRae RN
The clinical professions have long recognized the need to take patient values, preferences and life experiences into account in clinical decision making and practice. To a thoughtful clinician, good clinical practice has always meant both good technical and ethical care [30]. Clinicians commonly see themselves as the patient's protector or pride themselves as being the patient's strongest advocate. However, many clinicians are beginning to realize that health care is not meeting the basic needs of those who seek care
These important patient-centered measures of quality have been validated and widely discussed in both quality improvement and medical literature [39, 40]. The value of improving patient care by building systems of care around basic human needs (as patients themselves define them) has been shown
Because studies have found that clinicians and others - even family members - inaccurately judge what patients value
There are many ways that clinical ethicists could begin to promote this dialogue. They could:
• conduct research to explore how patients define good or ethical health care;
• collaborate in hospitals with clinical departments and other departments with similar interests (such as quality control or patient relations) to explore patient needs, values and beliefs in more depth;
• explore how definitions of high-quality ethical care given by patients and their families intersect with the definitions given by clinicians and organizations;
• investigate the barriers that face clinicians and organizations in providing high-quality ethical care;
• help clinicians and organizations translate the values and beliefs of patients and family members into their processes and philosophy of care;
• work directly with clinicians to support their ability to provide high-quality ethical care;
• conduct research to explore how ethics consultation services can be understood by patients and their families, and directly benefit them;
• investigate the views and beliefs of patients on common ethical issues that impact on them directly, such as competency, end of life care and resource allocation; and
• conduct research to discover whether ethics policies and guidelines, such as those surrounding informed consent and end of life care, include the patient's voice, and actually represent the values and needs of patients they are intended to benefit.
Few would argue that meeting the basic human needs of the people we serve should be an important ethical priority in health care. However, when we reflect on what clinical ethics means today, we are likely to think more in terms of issues that are highly controversial (eg euthanasia, genetic technology) or well-publicized (eg the recent case of the conjoined twins in the UK). However, clinical ethics today has an important opportunity to realign itself more directly with the original goal of clinical ethics - to improve patient care by promoting an ethical health care system that ensures that we meet the day-to-day human needs of our patients and their families.
Clinical ethics as a parent discipline
Laura W Roberts
Clinical ethics is a discipline that seeks to translate scholarship into meaningful ways of understanding and alleviating human suffering. The most basic goal of clinical ethics is to improve patient care [51, 52], and the methods and knowledge harnessed by this discipline derive from the fields of clinical medicine and bioethics, biomedical and social sciences, health policy, philosophy, humanities, law, theology, and, more recently, population and information sciences. Through its focus on interactions and effects - between clinicians and patients, between social policies and systems of care delivery, between scientific discoveries and society - clinical ethics values differing perspectives and is inherently relational. Informed by clinical experience, conceptual analysis, and empirical evidence, clinical ethics is about beneficent, practical wisdom in a world knotted with suffering.
In characterizing the 'future directions in clinical ethics' 10 years ago, Singer and his colleagues [53] defined three requirements for the maturation of the field: strengthening of the field's conceptual and research base; pursuing the 'professionalisation' and standardization of clinical ethics expertise and training; and enriching the interpersonal communication skill set of clinical ethicists. In their update [1], those authors define a much broader array of challenges for the future.
They identify research issues, including improved funding opportunities for clinical ethics studies, greater integration of ethics data into 'mainstream' scientific and clinical knowledge, and more rigorous and more diverse inquiry. In teaching, they articulate insights echoed throughout the education literature, such as the need for Internet-based and adult-centred learning methods, greater focus on the 'informal curriculum' and character development in medicine, and augmenting our capacity to teach and evaluate ethics knowledge and skill. With respect to ethics consultation and committees, they argue for greater representation of clinical ethics within the fundamental processes of health care organizations and for more systematic study of clinical ethics interventions and clinical outcomes within systems. Finally, they suggest that the principal task ahead is to address the profound bioethics issues, primarily health care inequities, which we now face on a global level. However, they do not emphasize the challenges that face subdisciplines. Psychiatric clinical ethics as a subdiscipline has an entire universe of difficult questions that are yet to receive attention.
Psychiatric clinical ethics is a small field that is evolving in parallel with its parent discipline. As in clinical ethics, psychiatric clinical ethics seeks to help patients, specifically people with mental illness or combined physical and mental disorders. Psychiatric clinical ethics work is multidisciplinary, respectful of diverse perspectives, and focused on understanding the relations between people, systems, and phenomena. It is enriched by theory, substantiated in data, and revealed through experience.
With only a handful of established scholars, our capacity for research and education in psychiatric clinical ethics has been modest in comparison with the development of clinical ethics in internal medicine. Nevertheless, using the criteria outlined by Singer
Despite these encouraging signs, the challenges encountered in psychiatric clinical ethics are considerable. As has been noted by the World Health Organization, the Surgeon General in the USA, and psychiatry leaders internationally, mental illnesses are among the top diseases in the world in terms of human suffering and socioeconomic burden
Over the past decade we have witnessed the substantive development of the field of clinical ethics. In canvassing this extraordinary scholarly discipline, based primarily in internal medicine, Singer
Laura Weiss Roberts is supported in part by a grant from the National Institute of Mental Health: 1K02AI01738-01.
Broadening the foundation
Virginia A Sharpe
Clinical ethics - the field that Singer
I have written sympathetically about this 'bottom-up' approach, but I take this opportunity to push the authors and the rest of us to seek a broader foundation, one that is still grounded in healing as a particular type of relational practice but that recognizes the following: the moral significance of relationships beyond that of the doctor with the patient; locations other than the 'bedside' as key for moral learning; and the value of a plurality of theoretical approaches. My aim is to highlight some blind spots that should be guarded against as we look toward the future of clinical ethics.
Relationships beyond that of the doctor with the patient
It is particularly frustrating at this late date that Singer
Locations other than the bedside
I entirely agree when the authors state that the goal of clinical ethics is "to improve the quality of patient care", and that organizational ethics entails collective responsibility. It is for precisely these reasons that we must move beyond the authors' language of ethics 'at the bedside'. I do not disagree with the authors when they state that "we need to develop effective methods for teaching clinical ethics at the bedside." However, the moral quality of patient care is reflected in the patient-centred nature of institutional policies and practices, from resource allocation to health disparities, from admission to billing, and from clinical consultation to the continuity of care. Hence, using 'at the bedside' as shorthand is misleading and potentially counterproductive. Moral skill building in clinical ethics is required not only of those health care providers 'at the bedside', but also of those in policy, managerial, and support positions. To say, "clinical ethics is best learned at the bedside" fosters an overly narrow view of the location of both moral responsibility and moral challenges in health care.
A plurality of theoretical approaches
In their account of the offerings in the conceptual foundations of clinical ethics over the past decade, Singer
The account of clinical ethics offered by Singer
Clinical ethics revisited.
Money and the medical profession.
Medicine, money and morals: physician's conflicts of interests.
The market for health care: where is the patient?
What happened to the faculty on the way to the agora?
Changing medical organisation and the erosion of trust.
Doctor Discontent.
Are we professionals? A critical look at the social role of bioethics.
Conflicts of interest in clinical practice and research.
Just health care beyond individualism: challenges for North American Bioethics.
Why justice is good for our health: the social determinants of health inequalities.
Avoiding exploitation in clinical research.
Is medical ethics asking too much of medical education?
American health services: expenditures.
The future of public health.
Medical Ethics and Human Rights. A Commonwealth Medical Association Report.
Human rights and the renewal agenda. In: Ethics, Equity and Health for all. In: Z Bankowski, JH Bryant, J Gallagher (Eds): Council for International Organisations of Medical Science (CIOMS).
Global disparities in health and human rights: a critical commentary.
Globalisation and health: some issues.
Globalisation and the decline of social reform: into the 21st century.
Professionalism reborn.
Medical migration: who are the real losers.
International Research Bioethics Initiative http://www.nih.gov/fic/programs/bioethics.html (accessed 24 February 2001)
Predatory globalisation: a critique.
Strangers at the Bedside: A History of How Law and Bioethics Transformed Medical Decision Making.
Beyond the Georgetown mantra.
The Hippocratic doctor: ancient lessons for the modern world.
Clinical ethics committees: they can change clinical practice but need evaluation.
Clinical ethics support in the UK: a review of the current position and likely development.
Clinical ethics and clinical medicine.
Enriching the doctor-patient relationship by inviting the patient's perspective.
A controlled trial to improve care for seriously ill hospitalized patients: the study to understand prognoses and preferences for outcomes and risks of treatments.
Sharing decisions with patients: is the information good enough?
Through the Patient's Eyes: Understanding and Promoting Patient-centered Care.
Perceptions by family members of the dying experience of older and seriously ill patients.
Must patients wait?
Rethinking medicine: improving health outcomes with cost-effective psychosocial interventions.
Family involvement in routine health care: a survey of patients' behaviors and preferences.
Using patient reports to evaluate medical outcomes.
Health care quality: incorporating consumer perspectives.
Patient-centered care, patient-valued care.
Patient-centered medicine: a professional evolution.
Expanding patient involvement in care.
Evidence suggesting that a chronic disease self-management program can improve health status while reducing hospitalization: a randomized trial.
An entrustment model of consent for surgical treatment of life-threatening illness: perspective of patients requiring esophagectomy.
Reconceptualizing advance care planning from the patient's perspective.
A new model of advance care planning: observations from people with HIV.
Quality of life following spinal cord injury: knowledge and attitudes of emergency care providers.
Important elements of outpatient care: a comparison of patients' and physicians' opinions.
Substituted judgement: should life-support decisions be made by a surrogate?
Clinical Ethics. 3rd ed.
Decision-making strategy for clinical-ethical problems in medicine.
Future directions in clinical ethics.
NIMH perspective: meeting national needs of psychiatrist researchers.
The National Human Genome Research Institute.
An annotated bibliography of psychiatric medical ethics.
Psychiatric research ethics: an overview of evolving guidelines and current ethical dilemmas in the study of mental illness.
The MacArthur Competence Study I, II, III.
The MacArthur Treatment Competence Study: III. Abilities of patients to consent to psychiatric and medical treatments.
The MacCAT-T: a clinical tool to assess patients' capacities to make treatment decisions.
Ethics rounds: a model for teaching ethics in the psychiatric setting.
Teaching psychiatric ethics.
What and how psychiatry residents at ten training programs wish to learn ethics.
Training on ethnic and gender issues in psychiatry residency programs. A national survey of residency training directors.
Psychiatric consultation to a state board of medical examiners.
Exploring the role of the ethics committee psychiatrist.
Psychiatrists and the General Hospital Ethics Committee.
Psychiatric consultations and ethics consultations. Similarities and differences.
Sounding board. Psychiatric consultation masking moral dilemmas in medicine.
Alternative projections of mortality and disability by cause, 1990-2000. Global Burden of Disease study.
U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health: Mental Health: A Report of the Surgeon General-Executive Summary.
The global burden of mental disorders.
Mental health consumers' experience of stigma.
Stigmatisation of people with mental illnesses.
Persons with mental illness.
Frontier ethics: mental health care needs and ethical dilemmas in rural communities.
Promoting the mental health of elderly African Americans: a case illustration.
The impact of the organisation of mental health services on the quality of assessment provided to older patients with depression.
A Mission Forgotten: The Failure of the National Institute of Mental Health to do Sufficient Research on Severe Mental Illnesses.
Social deprivation and psychiatric admission rates among different diagnostic groups.
Are research ethics bad for our mental health?
Is our nation's health care system collapsing?
The ethical basis of psychiatric research: conceptual issues and empirical findings.
Protecting patients, preserving progress: ethics in mental health illness research.
Psychiatry in the New Millennium.
Moral experience and ethical reflection: can ethnography reconcile them? A quandary for 'The New Bioethics'.
Pre-publication history
The pre-publication history for this paper can be accessed here:


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President-Elect Donald Trump has made a number of strange choices for his cabinet, but in terms of the achievement of a particular goal, one appointment stands out as near perfect: Betsy DeVos as secretary of education.
DeVos is a member of the so-called Republican donor class.
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From £175
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At a glance
Premature birth screening helps identify if you are at risk of an early delivery.
- Identifies the risk of premature labour
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You will receive
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Your premature birth screening results are available 48 hours after your appointment and will be included in a detailed report, which we will send to you and your GP, Obstetrician or midwife, if you desire.
What is it?
A premature birth screening, or preterm labour test, is actually a series of tests that combine to predict if you are likely to go into labour early.
It does not give a definite answer, but tries to identify low risk from high risk women and it can only be performed between 22 and 35 weeks of pregnancy.
A premature birth screening may also be called a preterm labour screening, preterm birth screening, early labour assessment, early labour prediction, preterm birth screening (PTBS) or premature baby prediction.
Am I at risk of an early delivery?
Any woman can have a premature birth, but you may be at more risk if:
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Why would I need a premature birth screening?
There are several important reasons why you may want a premature birth screening, or it could just be for reassurance.
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Avoiding premature labour and premature birth
It's important to avoid a premature birth because premature babies are less able to cope with life outside the womb.
Around 6-10% of babies in the UK are born premature and out of all babies who die within the newborn period, 75% are premature.
Prematurity is the main reason for admissions to neonatal intensive care units and is the leading cause of damage in newborn babies.
Signs of an early labour
These early signs of labour that may lead to a premature birth.
- A tightening or cramping pain that occurs every 10 minutes or more frequently
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If you are at all worried it's important that you speak to your consultant or midwife.
What happens during the premature birth screening?
During this appointment our fetal medicine specialist will:
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The consultation
Predicting when a pregnant woman will go into premature labour is a complex process and some details in your medical history may provide the consultant with additional information that may influence your risk of a premature birth.
The cervical scan
Research has shown that if the cervical length shortens the risk of premature birth increases significantly. We measure the length of your cervix by an internal ultrasound examination, this allows for optimum accuracy in estimating the chance of early labour. Read more
How accurate is a premature birth screening?
Premature birth screening is a relatively new science, so there is insufficient data to publish any figures, however, it is better at identifying those women who will not go into early labour than those who will.
If you test screen-negative, you should be reassured that early labour is not likely to begin in the two weeks after testing.
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What happens if you get a positive result?
Depending on your particular outcome from the premature birth screening, your obstetrician or midwife may decide to:
- Admit you to hospital
- Prescribe therapeutic steroid injections to help your baby prepare for premature birth
- Transfer your birth to a specialist hospital if existing facilities are not adequate to care for premature babies


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It was a family outing during last week of August on a perfect sunny day in Toronto. Very fun seeing the lake front landmarks and watching airplanes departing and arriving. Nice sailing experience on a big ship and for talking and eating. Well worth the price.
The food is surprisingly good on board and so reasonable in prices. Most definitely recommend getting some food. Also, there are three time slots in the day and I would recommend the first schedule since less people and just lunch time on board, perfect.
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