#15 (UK) Psychological Operations | Explore Tumblr posts and blogs

bfxenon · 2 years ago

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Sneak Peek: The MozCon 2023 Speaker Line-Up

The year may slowly be wrapping up but we’ve got an extra special, early gift to share before you log off that laptop and put away your favorite travel mug.

We’re thrilled to announce the first 19 extraordinary speakers that will be taking the MozCon 2023 stage in Seattle this coming August (in alphabetical order).

Snag your Super Early Bird tickets!

Meet the speakers

Amanda Jordan (she/her)

Director of Digital Strategy, RicketyRoo @amandatjordan | @ricketyroo

Amanda is passionate about helping complex, large businesses improve their local visibility. Her background includes working with clients in the legal, health, financial, and home services industries.

Andi Jarvis (he/him)

Strategy Director, Eximo Marketing @andijarvis | @EximoMarketing

Andi is the Founder and Strategy Director of Eximo Marketing, a marketing strategy consultancy based in the UK. Eximo works with established manufacturers who want to grow their business via direct to consumer. Andi also hosts the Strategy Sessions podcast.

Brie E. Anderson (she/her)

Owner, BEAST Analytics @brie_e_anderson

Brie E Anderson is an Analytical Nerd with a Soft Spot for Strategy. She's spent the last 10 years helping businesses of all sizes execute data-driven strategies to increase ROI. Today, she runs BEAST Analytics, a digital marketing analytics consultancy.

Carrie Rose (she/her)

CEO & Founder, Rise At Seven @CarrieRosePR | @RiseAtSeven

Carrie Rose, Founder of leading Global Search-First Creative Agency Rise at Seven both driving and facilitating search demand for global brands operating in 4 locations across the world including UK, US and EU

Chris Long (he/him)

VP of Marketing, Go Fish Digital

@GoFishChris | @GoFishDigital

Chris Long is the VP of Marketing for the Go Fish Digital team. He works with unique problems and advanced search situations to help clients improve organic traffic through a deep understanding of Google's algorithm and web technology.

Crystal Carter (she/her)

Head of SEO Communications, Wix @CrystalontheWeb | @wix

Head of SEO Communications, Wix, Crystal is an SEO & digital marketer with over 15 years of experience. Her clients have included Disney, McDonalds, and Tomy. An avid SEO communicator, her work has been featured at Google Search Central, Brighton SEO and more.

Daniel Waisberg (he/him)

Search Advocate, Google @DanielWaisberg | @google

Daniel is a Search Advocate at Google, part of the Search Console engineering team. His job is divided between educating / inspiring the Search community and working with the product’s engineering team to develop new capabilities.

Duane Brown (he/him)

Founder & Head of Strategy, Take Some Risk Inc. @DuaneBrown

Duane has lived in 6 cities across 3 continents while working with Ecom, DTC and SaaS brands. He now lives in Canada helping brands grow through data, strategy and PPC marketing across search & social ad platforms.

Jackie Chu (she/her)

SEO Lead, Intelligence, Uber @jackiecchu | @uber

Jackie Chu is currently the SEO Lead, Intelligence for Uber, driving analytics and tooling for the SEO teams globally. She has deep experience in technical SEO, content SEO, ASO and international SEO spanning both B2B and B2C industries.

Jes Scholz (she/her)

Group CMO, Ringier jes_scholz | @ringier_ag

Group CMO at Swiss media giant Ringier, marketing technologist & mum of two tiny humans. Jes loves to talk about the future of search, smart marketing automation and travel.

Lidia Infante (she/her)

Senior SEO Manager, Sanity @LidiaInfanteM | @sanity_io

Lidia has been working in SEO for almost a decade, helping businesses in SaaS, media and e-commerce grow online. She has a BSC in Psychology and a Master in Digital Business and is a regular speaker at SEO events such as MozCon, BrightonSEO or WTSFest.

Lily Ray (she/her)

Senior Director, SEO & Head of Organic Research, Amsive Digital @lilyraynyc | @amsive_digital

Lily Ray is the Sr. Director, SEO & Head of Organic Research at Amsive Digital, where she provides strategic leadership for the agency’s SEO client programs. Lily began her SEO career in 2010 in a fast-paced start-up environment and moved quickly into the agency world, where she helped grow and establish an award-winning SEO department that delivered high impact work for a fast-growing list of notable clients, including Fortune 500 companies.

Miracle Inameti-Archibong (she/her)

Head of Organic Search, John Lewis (Financial Services) @Mira_Inam

Miracle is Head of Organic Search at John Lewis (Financial Services) and is armed with more than a decade of supporting national, and global brands with technical SEO and data strategy.

Noah Learner (he/him/his)

Product Director, Two Octobers @NoahLearner | @twooctobers

Noah is a technical marketer, nicknamed the Kraken, who is happiest building SEO tools, automations, data pipelines and communities. When not in the lab, he loves skiing, fly fishing, camping with his family, and walking his dog, Shadow.

Dr. Pete Meyers (he/him)

Marketing Scientist, Moz @Dr_Pete | @Moz

Dr. Pete is Marketing Scientist for Seattle-based Moz, where he works with the marketing and data science teams on product research and data-driven content.

Ross Simmonds (he/him)

CEO & Founder, Foundation Marketing @TheCoolestCool | @FoundationIncCo

Ross Simmonds is the founder & CEO of Foundation, a global marketing agency that provides services to organizations all over the world ranging from some of the fastest-growing startups to global brands. He was named one of Atlantic Canada's Top 50 CEO.

Tom Anthony (he/him)

CTO, SearchPilot @TomAnthonySEO | @SearchPilot

Tom is CTO at SearchPilot, where he leads the engineering & product teams. Tom has been working on the web for over 25 years, and has a PhD in Computer Science. He lives with his wife and 3 daughters in Germany.

Tom Capper (he/him)

Senior Search Scientist, Moz @thcapper | @Moz

Tom heads up the Search Science team at Moz, providing research and insight for Moz's next generation of tools. Previously he headed up the London consulting team for SEO agency Distilled, and worked as a chef in a roadside grill.

Wil Reynolds (he/him)

CEO & Vice President of Innovation, Seer Interactive @wilreynolds | @SeerInteractive

Wil has been leading the charge to leverage “Big Data” to break down silos between SEO, PPC, and traditional marketing -- pulling together data from various sources to see the big picture.

Meet the emcees

Cheryl Draper (she/her)

Event Marketing Manager, Moz @CherylDraper | @Moz

Melissa Rae Brown (she/her)

Learning Team Manager, Moz @Melissa_R_B_ | @Moz

Ola King (he/him)

User Researcher, Moz @justolaking | @Moz

From fan favorites to fresh faces, it’s a pretty great start to what’s sure to be the best MozCon yet! We’ll have even more incredible speakers to reveal, including our community speaker lineup, in early 2023.

But don’t wait to snag your tickets! Save up to $600 on MozCon 2023 now with Super Early Bird pricing.

Grab your Super Early Bird tickets!

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lakelandseo · 2 years ago

Text

Sneak Peek: The MozCon 2023 Speaker Line-Up

The year may slowly be wrapping up but we’ve got an extra special, early gift to share before you log off that laptop and put away your favorite travel mug.

We’re thrilled to announce the first 19 extraordinary speakers that will be taking the MozCon 2023 stage in Seattle this coming August (in alphabetical order).

Snag your Super Early Bird tickets!

Meet the speakers

Amanda Jordan (she/her)

Director of Digital Strategy, RicketyRoo @amandatjordan | @ricketyroo

Andi Jarvis (he/him)

Strategy Director, Eximo Marketing @andijarvis | @EximoMarketing

Brie E. Anderson (she/her)

Owner, BEAST Analytics @brie_e_anderson

Carrie Rose (she/her)

CEO & Founder, Rise At Seven @CarrieRosePR | @RiseAtSeven

Chris Long (he/him)

VP of Marketing, Go Fish Digital

@GoFishChris | @GoFishDigital

Crystal Carter (she/her)

Head of SEO Communications, Wix @CrystalontheWeb | @wix

Daniel Waisberg (he/him)

Search Advocate, Google @DanielWaisberg | @google

Duane Brown (he/him)

Founder & Head of Strategy, Take Some Risk Inc. @DuaneBrown

Jackie Chu (she/her)

SEO Lead, Intelligence, Uber @jackiecchu | @uber

Jes Scholz (she/her)

Group CMO, Ringier jes_scholz | @ringier_ag

Group CMO at Swiss media giant Ringier, marketing technologist & mum of two tiny humans. Jes loves to talk about the future of search, smart marketing automation and travel.

Lidia Infante (she/her)

Senior SEO Manager, Sanity @LidiaInfanteM | @sanity_io

Lily Ray (she/her)

Senior Director, SEO & Head of Organic Research, Amsive Digital @lilyraynyc | @amsive_digital

Miracle Inameti-Archibong (she/her)

Head of Organic Search, John Lewis (Financial Services) @Mira_Inam

Miracle is Head of Organic Search at John Lewis (Financial Services) and is armed with more than a decade of supporting national, and global brands with technical SEO and data strategy.

Noah Learner (he/him/his)

Product Director, Two Octobers @NoahLearner | @twooctobers

Dr. Pete Meyers (he/him)

Marketing Scientist, Moz @Dr_Pete | @Moz

Dr. Pete is Marketing Scientist for Seattle-based Moz, where he works with the marketing and data science teams on product research and data-driven content.

Ross Simmonds (he/him)

CEO & Founder, Foundation Marketing @TheCoolestCool | @FoundationIncCo

Tom Anthony (he/him)

CTO, SearchPilot @TomAnthonySEO | @SearchPilot

Tom Capper (he/him)

Senior Search Scientist, Moz @thcapper | @Moz

Wil Reynolds (he/him)

CEO & Vice President of Innovation, Seer Interactive @wilreynolds | @SeerInteractive

Wil has been leading the charge to leverage “Big Data” to break down silos between SEO, PPC, and traditional marketing -- pulling together data from various sources to see the big picture.

Meet the emcees

Cheryl Draper (she/her)

Event Marketing Manager, Moz @CherylDraper | @Moz

Melissa Rae Brown (she/her)

Learning Team Manager, Moz @Melissa_R_B_ | @Moz

Ola King (he/him)

User Researcher, Moz @justolaking | @Moz

But don’t wait to snag your tickets! Save up to $600 on MozCon 2023 now with Super Early Bird pricing.

Grab your Super Early Bird tickets!

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matriarchcomputer · 5 years ago

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Alexander Waverly | Dossier

Name - Alexander Waverly

Date of Birth - 1 March 1913

Place of Birth - London

Country of Origin - UK

Telephone - [REDACTED]

Present Address - [REDACTED], London

Other addresses for the past 15 years - None

Agency position - Commander of U.N.C.L.E.

Previous Intelligence Experience - MI5 Officer, F-branch. Ran MI5 Hong Kong office 1955-62. Retired 1962

Military History - Former Special Operations. (UK SBS) Received the George Cross - OP AGLO 1943 | Military Disciplinary action - [REDACTED] | Draft Board Number - [REDACTED] | Social Security Number - [REDACTED] | Permanent Station and Address if now in the Military Service - N/A | Serial No - [REDACTED] | Branch - N/A

Combat Experience - Military

Specialism - Communications - Level 9, IT, INTEL Assessment CAP

Other Skills / Knowledge - Fluent in 8 languages

Languages Spoken - Cantonese, Mandarin, Farsi, Russian, French, German, Swahili, Hindi.

Psychological Profile - Former Alcoholic and Opium addict (D1 substance abuse; APA)

Other Notes - Second Son of Earl of Brinscote, Relinquished Title.

Physical - Height - 5’11” | Weight - 171lbs | Eye Color - Blue | Hair Color - Brown

Distinguished Features - None

Citizenship - British

#tmfu #mfu #the man from uncle #man from uncle #alexander waverly #hugh grant #guy ritchie #dossier

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medical956 · 3 years ago

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Medical - The Facts

The 20-Second Trick For Medical

Table of ContentsMedical - An OverviewFascination About MedicalMedical - An OverviewMedical for DummiesAn Unbiased View of Medical

youtube

Through Loss as well as Healing, a Silver Lining The medical care industry starts 2021 forever-changed by COVID-19 and still trying to recoup as well as find its instructions. While healthcare leaders as well as professionals are recuperating from the significant losses of 2020, they will proceed to encounter obstacles as the pandemic proceeds as well as the recovery starts.

Adjustments in care distribution versions as well as technology have sped up, and will certainly proceed to, as a result of the pandemic feedback and recuperation. Probably a silver lining is that the healthcare sector, people, as well as carriers, would certainly proceed to benefit from these positive growths in care delivery and also innovation.

The program of technology-driven modification has been diverted this year as a result of the influence of the coronavirus pandemic. While the greatest motorists of modification are still expert system (AI), the internet of things (Io, T), as well as other fourth industrial change fields, their effect was really felt in various means than we might have anticipated at the beginning of the year.

The 15-Second Trick For Medical

In 2020, every firm has actually needed to become a tech company as data as well as computing have actually become important to every little thing we do. In 2021, every business will certainly discover to become a healthcare firm, as well, as guarding employees as well as consumers comes to be a core need of doing company. This will certainly consist of boosted biosecurity steps from sanitization stations to on-premises screening technology and quarantine steps at locations where staff are called for on-site and also can't work from home.

For some companies, it will certainly still be much safer for staff to remain remote entering into 2021 as well as possibly throughout the year. Right here, there will certainly be various other difficulties, such as a requirement to support the mental wellness of employees as they manage residence and work duties. Without everyday face-to-face call, it will be harder for supervisors to evaluate whether their groups are overworked or taking the best preventative measures to secure their health.

If it's possible to receive the same level of care in your home as you would from a see to a medical professional's surgical procedure or outpatient facility, after that certainly it makes feeling to do so? Specifically for minor and regular consultations, the number of virtual check outs have actually skyrocketed throughout the pandemic as well as is anticipated by Forrester analysts to strike one billion by the end of 2020.

The Of Medical

As lowering the threat of spreading pollution, remote medication permits clinical experts to squeeze more person assessments into their busy timetables. This is a specifically crucial factor to consider in highly inhabited countries such as China and India, where physicians remain in short supply. One more element of this trend will certainly be the continuous growth of robotic as well as autonomous healthcare assistants with the ability of operating in health centers or right in individuals's residences.

These additionally have psychological wellness implications - friend robots are being introduced right into care houses in the UK; they were found to be effective at minimizing signs of loneliness and also social isolation. Genetics modifying enables us to affect specific characteristics that are acquired by brand-new living cells, when brand-new healthy proteins are developed by the department of existing cells.

The development in the amount of information gathered on our health and wellness, from our communication with health services as well as our own tools and online tasks, indicates service providers have a progressively precise image of where and when treatment might be needed. The coronavirus pandemic has actually shown us that there is a desire to share our personal data when the benefits to our wellness are clearly connected.

The 10-Second Trick For Medical

If you would love to find out more concerning modern technology patterns, then take a look at my brand-new publications: Technology Trends in Technique: The 25 Technologies That Are Driving The fourth Industrial Revolution and - medical.

When you graduate from medical school, you'll be entering an occupation that's in the midst of change. Today's arising healthcare patterns will certainly be tomorrow's conventional practice - medical. Advances in modern technology play an outsized duty, however it's not technology alone reshaping the technique of medication. The transfer to value-based versions, an aging patient and provider population as well as the requirement for team-based treatment all offer obstacles and opportunities for recently minted doctors.

How Medical can Save You Time, Stress, and Money.

In spite of state-of-the-art professional innovation, the United States is hanging back in telehealth adoption. Repayment, guideline and also also the meanings of telehealth and telemedicine are still being negotiated; each state does it in a different way. These elements may be reducing fostering, however they're not halting it. According to the American Healthcare Facility Association, 76% of U.S.

Our Medical Statements

Medical - Truths

That's only going to grow as states start to integrate their approaches. It's clear that telehealth improves gain access to for individuals that don't live near a health center or the specialist they need. (This is particularly important since even more rural hospitals and centers are shutting due to combination.) Yet it also reduces prices.

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antoine-roquentin · 5 years ago

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The senior Twitter executive with editorial responsibility for the Middle East is also a part-time officer in the British Army’s psychological warfare unit, Middle East Eye has established.

Gordon MacMillan, who joined the social media company's UK office six years ago, has for several years also served with the 77th Brigade, a unit formed in 2015 in order to develop “non-lethal” ways of waging war.

The 77th Brigade uses social media platforms such as Twitter, Instagram and Facebook, as well as podcasts, data analysis and audience research to wage what the head of the UK military, General Nick Carter, describes as “information warfare”.

Carter says the 77th Brigade is giving the British military “the capability to compete in the war of narratives at the tactical level”; to shape perceptions of conflict. Some soldiers who have served with the unit say they have been engaged in operations intended to change the behaviour of target audiences.

What exactly MacMillan is doing with the unit is difficult to determine, however: he has declined to answer any questions about his role, as has Twitter and the UK’s Ministry of Defence (MoD).

Twitter would say only that “we actively encourage all our employees to pursue external interests”, while the MoD said that the 77th Brigade had no relationship with Twitter, other than using it for communication.

The 77th Brigade's headquarters is located west of London. It brought together a number of existing military units such as the Media Operations Group and the 15 Psychological Operations Group.

At its launch, the UK media was told that the new unit of “Facebook warriors” would be around 1,500 strong, and made up of both regular soldiers and reservists. In recent months, the army has been approaching British journalists and asking them to join the unit as reservists.

While clearly engaged in propaganda, the MoD is reluctant to use that word to describe the unit’s operations.

Instead, the British army’s website describes the 77th Brigade as “an agent of change” which aims to “challenge the difficulties of modern warfare using non-lethal engagement and legitimate non-military levers as a means to adapt behaviours of the opposing forces and adversaries”.

interestingly, reddit initially had “elgin air force base” as their most addicted city in the united states in a post from 2013, before removing that for whatever reason. likely that’s the location of the american equivalent of the 77th brigade

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skyleaf1 · 4 years ago

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Exactly How To Get Ready For Divorce & Separation Arbitration.

Woollcombeyonge The Good Separation.

Content

# 7 Is Mediation Compulsory In The Uk?

Arbitration Often Tends To Be Faster Than Court Proceedings.

Arbitration Has A Tendency To Be More Affordable Than Court Process.

Our Family Members And Youngster Regulation Lawyers Can Aid You.

Mediation In Divorce.

We are able to use arbitration assessment as well as information conferences for ₤ 99 as well as joint arbitration meetings for ₤ 180 each per meeting. It is in clients interests to produce relevant paperwork for analysis as failing to do so might delay the begin of arbitration and ineligibility for legal help.

Why do judges order mediation?

The purpose of court mediation is to help parents come to a resolution and establish a parenting plan without incurring the costs of litigation. Court ordered mediation is an open forum for each party to express their concerns to a neutral third party certified mediator.

The conciliator does not offer guidance, yet helps individuals make decisions by checking out the alternatives and working out what is ideal for all concerned. Our structured working method permits us to achieve outcomes more quickly and also set you back successfully than any kind of various other mediation company in the location.

# 7 Is Mediation Compulsory In The Uk?

The information on this website is to be taken into consideration a guide as well as is therefore not legal guidance. You use this info with the understanding that Wiselaw does decline liability for any kind of direct or indirect losses as a result of any individual relying upon or acting on the information on this website.

A skilled moderator aids you lower conflict and also improve co-operation. The moderator encourages you to interact respectfully as well as agree the very best solutions for all the family. This brought about an interest in Psychology therefore experienced as a Psychodynamic Pair Counsellor with South Essex Relate. During his training, Dai felt his relationship with his partner and boy was enhanced.As a dedicated Vegetarian for over 30 years, Dai changed course and developed the first totally Vegetarian and also Vegan dining establishment in Essex.

Mediation Tends To Be Faster Than Court Procedures.

Various other instances of arbitration not appropriating would be if either partner was bankrupt as well as the dispute mored than financing. If the arbitrator determines that arbitration sessions will fix absolutely nothing then they would inform their customer so. The initial conference with a mediator is called a Mediation Info & Assessment Meeting.

Also a Youngster Arrangements Order itself goes through variation relying on what remains in the youngster's best interests. a D81 Kind-- this is a kind which lays out, in recap form, the details of the events' assets and liabilities as well as their earnings and also the basic information that the court will after that need to approve the permission order. Both parties need to have actually seen the various other's D81 or the events have the choice of doing a joint D81. These require to becounter-signed by a Declaration of Reality at the conclusion of the paper.

Arbitration Has A Tendency To Be Cheaper Than Court Proceedings.

Arbitration by video clip meeting is an identified approach, authorized by the FMC. We have actually utilized Zoom for MIAM meetings for a number of years as well as we have currently used it successfully to aid many customers to reach arrangements throughout the lockdown duration. Family members conflicts that are settled via mediation are less expensive, quicker and according to scholastic research study, less spiteful than those that are cleared up with the courts."

He owned and also ran business for over 6 years as well as is exceptionally happy with this achievement. Continuing with his need to boost the lives of others and enhance his own ability base, Dai decided to train as a Family members Mediator in 2011. Karrina has been working in the voluntary field for over 15 years delivering recommendations and assistance in Welfare Conveniences and Financial Obligation. With her range of abilities that she obtained working with a varied range of clients, she has actually lately qualified as Legal Help Agency certified Family Moderator in 2015. Karrina is likewise an in-court conciliator in Luton, functioning extremely closely with CAFCASS and lay magistrates.

Our Family And Child Law Lawyers Can Aid You.

If your situation is not appropriate for arbitration you will still require to show the judge you have actually considered it by filling in the pertinent court form. As soon as you've found a moderator, the following action is to go to an initial meeting with them to find out if it's best for you. In some cases this is called an Arbitration Details & Assessment Fulfilling. All Bureau conciliators are approved by the Family members Mediation Council and function within its Arbitration Code of Technique.

What should I do before mediation?

Guidance: Preparing Yourself for Mediation 1. Ensure that both party and representative are present, fully informed and have authority to resolve the dispute. 2. Expect the unexpected. 3. Listen, listen, listen!! 4. Watch those tactics. 5. Be prepared for mediation. 6. Be imaginative. 7. Watch yourself. More items

Their response will certainly be noted as well as if the situation advances to court after that the ex-partner's rejection to go to mediation will certainly likewise be kept in mind by the court in charge when a choice is made. It is not appropriate for sure severe situations of conflict where misuse, violence or bankruptcy exists. If these instances can be verified then mediation is not essential to finish a legal partnership such as marital relationship or civil collaboration. Family members mediation is perfectly suitable for all situations where a disagreement exists and a remedy can be caused if both celebrations agree to discuss and compromise in the direction of a remedy. If you attempt to solve your differences with mediation, apart from being a whole lot less costly than going to court it likewise allows the couple continue to be much more in control of their conditions. Arbitrators are also trained and also experienced in assisting their clients look at things more fairly than they might have done on their own.

The Household Justice Council has actually issued brand-new assistance for dividing pairs desiring to get to contract regarding their financial setups. They will certainly ask you to offer details of your monetary scenario; this can help you to assume even more plainly about the future. My 3 pointers are to concentrate on the future, placed kids initially and pay attention to the other person's point of view. I have three ideas-- constantly approach arbitration with an open and also checking mind; consider separate, restorative support to aid with the emotions you will certainly experience and also be honest with yourself and the mediator. When you are battling to reach a contract in arbitration, don't consider every subject of conversation as a factor you definitely should win so as to get a great end result. The very best outcomes and ones that are verified to last much longer, are ones where you both feel you have actually come away with something.

Elizabeth ‘Willow’ Reed - Oak Ridger

Elizabeth ‘Willow’ Reed.

Posted: Thu, 07 Jan 2021 04:15:42 GMT [source]

MISCONCEPTION-- You can dedicate adultery anytime up until the mandate outright is revealed. Whether this is the most effective ground for your situations is a various matter. You would not generally obtain economically from utilizing adultery as a ground for divorce.

For Civil Commercial and also Office conflict resolution our Conciliator will certainly call all parties entailed to obtain an understanding of the situation and talk about how to continue. First published in 2019, the '101 Concerns' has actually become the indispensable overview to dividing with kids. Now in its second edition, leading professionals give insights and suggestions as well as parents and also children reflect on their experiences. With Covid updates as well as much more this book will certainly supply advice and support to any separating moms and dad. The Handover Book by Ashley Palmer is an one-of-a-kind and easy interaction book for apart family members. It will allow them both to always know what is happening in their youngsters's hectic lives as they go from one home to one more . It's a way of interacting the crucial things they both need to learn about their youngsters, while keeping your connection as parents pleasant and also calm.

The 2nd document is a 'without prejudice' paper called a Memorandum of Understanding. The Memorandum of Understanding lay out a narrative summary of the propositions made by the parties to every various other and the outcome that has been reached. It will possibly supply some explanation to the lawyer taking a look at this offer after that about why the celebrations came to the result that they did.

Select an experienced Family Mediation Council Accredited arbitrator. Being recognized ways that they will have accomplished a minimum of the minimal degree of competence to practise. Having experience simply implies that they will certainly have undertaken lots of arbitrations. MYTH-- You can use our disclosure kinds, which are much easier to complete for mediation and also separation negotiation. MISCONCEPTION-- You need to disclose all your funds or any kind of agreement reached can be 'set aside' and also you might need to start the whole procedure once more.

Garden Court Mediation remains to provide a fixed cost system for mediations below ₤ 50,000.

Sporting activity Resolutions offers a shortlist of seasoned sport specialist moderators for the parties to choose from.

This can as well as usually does result in the Moderator shuttling between the parties for time prior to there is any additional plenary meeting.

Nonetheless, it is always open up to the celebrations to elevate any issues they wish to re-address as well as to re-convene in plenary meeting for that or any kind of other function.

If uk family mediation service divorce mediation cumbria app can not concur or would certainly favor Sporting activity Resolutions to designate the moderator, after that we have the ability to do so.

The following phase is normally separate personal meetings with each of the events or groups of celebrations.

Above all, the customer needs to feel confident in the team's capability to respond to any brand-new arguments that are raised and to recommend him or her on any type of proposals for settlement that might be made.

This uses just as to remote or on the internet mediation through Zoom or Skype.

In summary, the requirements relating to mediation and whether it matters and/or needed in your case are rather made complex. It is important to be cautious since court team have actually now been directed to decline applications where proof of presence at a MIAM and/or an exception do not go along with the court application. Monday 14th July 2014I saw an inquiry on an online forum recently which asked whether separation arbitration was compulsory.

Whilst we endeavour to provide accurate info, Wiselaw does not accept liability for any kind of errors or noninclusions on this site. You may qualify for legal help for mediation if you receive Income-Based Jobseekers Allocation, Earnings Support, Revenue Based Employment and also Assistance Allocation or assured debt as well as have less than ₤ 8,000 in funding or properties. As has currently been pointed out shuttle mediation can be promoted in order to maintain both parties in different areas. Otherwise, if your case includes physical violence or abuse there are organisations such as Female's Help, Males's Suggestions Line, Refuge or Resident's Guidance that can aid celebrations better in these severe scenarios. This will normally sustain even more time and effort and will, for that reason, be much more pricey. If economic problems need to be sorted out then you will certainly require to submit a financial disclosure kind when you attend your MIAM session, so be prepared to create bank statements and evidence of savings and also assets. The much better ready you are the quicker you can get to the issues that need dealing with.

#mediation service #mediation service UK #mediation service United Kingdom #Best mediation service #best mediator #family mediation service #chile mediation service #divorce mediation service #Best mediation service UK #best mediator UK #family mediation service UK #chile mediation service UK #divorce mediation service UK

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theculturedmarxist · 5 years ago

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22 July 2019

Today marks the 75th anniversary of the conclusion of the Bretton Woods conference, which played a key role in laying the foundations for the restabilisation of the world capitalist economy after the devastation of two world wars and the Great Depression of the 1930s, thereby opening the way for the post-war capitalist boom.

Three quarters of a century on, the world capitalist system faces an eruption of the very disasters that shook it to its foundations and gave rise to revolutionary struggles by the working class, beginning with the October 1917 revolution in Russia.

The participants at the conference, the representatives of the allied powers still engaged in the final stages of the war against Germany and Japan, were acutely conscious that what was at stake in their deliberations to establish a new world economic order was nothing less than the survival of their rule.

Speaking at the conclusion of the meeting, US Treasury Secretary Henry Morgenthau summed up its conclusions: “We have come to recognise that the wisest and most effective way to protect our national interest is through international cooperation—that is to say, through the united effort for the attainment of common goals.”

The fears driving this orientation were articulated in March 1945 in an address to Congress by US Under Secretary of State for Economic Affairs William Clayton. Directing his remarks against the advocates of high tariffs, he warned that “world peace will always be gravely jeopardised by the kind of international economic warfare which was waged so bitterly between the two world wars,” and that “democracy and free enterprise will not survive another world war.”

That precisely describes the road on which the world is now headed—deepening economic conflict and war spearheaded by US imperialism under the presidency of Donald Trump.

In his inaugural address, Trump declared: “We must protect our borders from the ravages of other countries making our products, stealing our companies and destroying our jobs. Protection will lead to great prosperity and strength.” In the more than two years since, the US has carried out escalating economic warfare, hitting out at allies and rivals alike as it imposes tariffs or threatens them in the name of “national security.”

But no one should succumb to the illusion that the very policies the architects of the Bretton Woods agreement warned would lead to a catastrophe are simply the product of the Trump White House. In fact, the Democrats are even more bellicose. They have given their support to a resolution directed against the Chinese telecom giant Huawei that would prevent Trump, as part of any trade deal, lifting the crippling US sanctions imposed on it.

This bipartisan support points to the fact that the escalating trade war and the threat of world war are not the product of the psychology or mindset of a particular group of capitalist politicians that can be overcome by some kind of “course correction.” Rather, these processes are rooted in the deep-seated and intractable crisis of US imperialism, itself the product of the historical evolution of the world capitalist system in the three quarters of a century since Bretton Woods.

There were two key pillars of the Bretton Woods Agreement, one political and the other economic.

The political foundation, which made it possible for the leaders of world capitalism to come together to construct a new world economic order, was the betrayal by the Stalinist bureaucracy in the Soviet Union and the Stalinist Communist Parties around the world of the revolutionary struggles of the working class that had erupted in the 1920s and 1930s, and the renewed anti-capitalist struggles of workers throughout Europe and in much of Asia that were erupting as the war hurtled toward its bloody conclusion.

In the lead-up to the war, the Stalinist program of the popular front—an alliance with supposed democratic sections of the ruling classes—had led to the betrayal of the French working class in 1936 and the beheading of the Spanish working class in the civil war of 1936-39. The Stalinist bureaucracy, which had emerged as a result of defeats suffered by the European working class and the resulting isolation of the first workers’ state after the 1917 revolution, was now the chief prop of world imperialism.

In 1943, the Stalinist bureaucracy gave its guarantee to world imperialism of the role it would play in the post-war world when it dissolved the Communist International. This was underscored at the Yalta summit in February 1945 with British Prime Minister Churchill and US President Roosevelt. Stalin made it clear that the Soviet Union would support the return of capitalist governments in Western Europe after the war—a pledge that was honoured when the Stalinist parties entered bourgeois governments in France and Italy after the defeat of the Nazis and suppressed the drive of the working class for socialist revolution.

The economic foundation was the strength of US capitalism, whose industrial capacities had grown in the course of the war to such an extent that by 1945 it accounted for some 50 percent of world manufacturing.

Having secured the collaboration of the Stalinist parties, which enjoyed mass support in the working class because they were mistakenly seen as the continuators of the October Revolution and because of the pivotal role of the Red Army in defeating Nazi Germany, the US was able to use its economic strength to reconstruct world capitalism.

It did so, however, not out of altruism, but because the restabilization of capitalism in war-devastated Europe and Asia suited the interests of American imperialism. It was recognised in US ruling circles that if Europe and the rest of the world were returned to the conditions of the 1930s, the American economy, dependent on an expansion of the world market, would face disaster, and, notwithstanding the political role of Stalinism, the outcome would be the eruption of revolutionary struggles in Europe and the US itself.

From the outbreak of World War 1 in 1914, the Marxist movement had analysed that the eruption of global war was the outcome of the contradiction between the development of world economy and the division of the world into rival nation-states, which gave rise to ever more violent conflicts among the imperialist powers. Defending their own interests, involving centrally the struggle for markets, profits and resources, each of these powers sought to resolve the contradiction between world economy and the nation-state by establishing itself as the pre-eminent world power, leading to a war of each against all.

This contradiction found expression in the Bretton Woods monetary system, which was intended to minimize conflicts among the major capitalist powers. Defending the interests of British imperialism, economist John Maynard Keynes proposed the establishment of an international currency, the “bancor,” to finance global trade and investment transactions. The essence of the Keynes plan was to make the US subject to the same discipline as the other major powers, thereby lessening its dominance.

The “bancor” plan was flatly rejected and the US dollar was made the basis of a refashioned international monetary system. For all the rhetoric about the need for international collaboration, American hegemony was enshrined in the Bretton Woods agreement. The only constraint was that the dollar was to be exchangeable for gold at the rate of $35 per ounce.

The contradiction between world economy and the national system was not overcome, but only suppressed, under the Bretton Woods system. It would come to the surface again.

The Bretton Woods monetary agreement, together with other measures such as the General Agreement on Tariffs and Trade and the reconstruction of the world economy through the use of more advanced American production technologies, gave rise to an economic expansion in all the major capitalist economies. During the ensuing post-war boom, the conventional wisdom was that capitalism had overcome the disasters of the previous half-century and the global economy could be successfully managed.

But the Bretton Woods monetary system contained an inherent contradiction. The more it promoted the expansion of the world market and the development of other capitalist economies—Germany, France, the UK and Japan—the more it undermined both the relative and absolute economic supremacy of the US on which the system was based.

This contradiction, which had already been identified by the early 1960s, exploded to the surface on August 15, 1971, when President Nixon, faced with a gold drain, unilaterally announced in a Sunday night television broadcast that henceforth the US would not redeem dollars for gold.

Nixon’s actions—which also included a wage freeze on US workers and a 10 percent surcharge on imports—were aimed at maintaining the dominance of American imperialism over the world economy and its financial system. But the decline of US economic supremacy, both relative and absolute, only accelerated in the ensuing years. The establishment of a fiat currency, freed from backing by gold, was one of the major factors in the rise and rise of finance capital over the past four decades.

The US pre-eminence in industrial production steadily eroded, to the extent that it now ranks behind both China and the European Union, and profit accumulation has become increasingly dependent on speculation and financial market operations.

The case of Huawei—one of the key targets of the Trump administration and the American military and intelligence establishment—is a graphic expression of this process. It has been targeted because it is on the front line of the development of 5G mobile phone technology, which will have a major impact on the development of industrial capacity via the internet.

Huawei is now deemed an existential threat to a country that pioneered vast advances in technology going back to the latter years of the 19th century, because there is no comparable US firm. The reason for this absence is that profit-making in the US has become increasingly dependent on short-term gains and financial manipulations at the expense investment and the development of the productive forces.

Three quarters of a century after the Bretton Woods Agreement, all the contradictions of the world capitalist system it sought to suppress have come bursting to the surface once again. They assume their most explosive form in the drive by US imperialism to reassert its hegemony by implementing the kind of tariff and protectionist measures that gave rise to the disasters of the 1930s, now augmented by technology bans, as well as by means of war.

The issue confronting the world working class is that set out by Leon Trotsky in the early years of the imperialist epoch, with the outbreak of World War 1. In 1915, he wrote that the perspective of world socialist revolution and the socialist organisation of economy had to become the practical program of the day guiding the struggles of the working class. That analysis is truer than ever as the contradictions of the capitalist system drive towards another world conflagration.

Nick Beams

#bretton woods #world war 2 #world war 3 #trump #politics #economics #late stage capitalism #capitalist critique #failure of capitalism #hegemony #us hegemony #china #european union #russia #communism #revolution

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turkeyistanbulmedical · 2 years ago

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What is a Stomach Balloon?

Gastric balloon (gastric balloon) is one of the obesity treatments made of silicone or polyurethane material, placed in the stomach before being inflated and inflated with sterile liquid. The application is not a surgical intervention, but depending on the type of balloon, some intragastric balloons are placed and removed by endoscopy under anesthesia.

The mechanism of action of the gastric balloon is to create a constant feeling of satiety by occupying space in the stomach, thus enabling the patient to lose weight with less food consumption at each meal. Studies on this subject started in the 1980s. Swallowable gastric balloons, which do not require endoscopy and anesthesia, are also used.

When we consider obesity as a common disease of the modern age, gastric balloon applications are a frequently preferred treatment method in the treatment of overweight and obesity, especially by individuals who are inconvenient to take anesthesia or do not want a surgical procedure.

According to the types of gastric balloon, it stays in the stomach for 4-12 months. With the feeling of satiety and satiety it gives during this period, it makes it easier for the person to comply with his diet by limiting food intake. Dietary style and eating habits change, and after the balloon comes out of the stomach, the person maintains these habits and maintains his ideal weight.

What is Elipse (Swallowable Gastric Balloon)?

The Elipse gastric balloon is also known as a swallowable gastric balloon. Unlike the other application, endoscopy is not performed in this procedure. During the procedure, the patient swallows a pill-shaped object. In the meantime, it is checked whether the object has reached the stomach with X-ray control. When the object reaches the stomach, it is inflated and becomes a balloon. Then its connection with the cable at the end is broken.

Who is the Gastric Balloon Suitable for?

Gastric balloon is an obesity treatment method that has been used for a long time, in which 10 to 15% of their weight can be lost in 4-6 months. It can be applied to individuals with a body mass index of 27 and above, between the ages of 18-70, who have not had bariatric surgery before.

In addition, stomach balloon is an alternative treatment method for those who do not want to have a surgical operation (such as tube stomach surgery) for those who have an inconvenient disease (swallowable gastric balloon).

However, it is very important to change and protect the nutrition and lifestyle that the person will continue with the balloon in the future so that the weight lost with the gastric balloon is not regained in the future.

Who Is The Gastric Balloon Not Suitable For?

Those with a body mass index below 30: While this limit applies in the USA, over 27 in Canada, Australia and the UK are eligible cases. In short, this method should not be used for cosmetic purposes only in overweight individuals whose body mass index is not suitable.

Those with digestive system disorders such as esophagitis, stomach ulcer, duodenal ulcer, Crohn's disease

Those at risk of upper digestive system bleeding, such as esophageal or gastric varices

Congenital or acquired digestive system problems such as atresia or stenosis

Mentally retarded, emotionally unstable patients with significant psychological problems

Alcohol and substance addicts

Those with a poor health profile that cannot receive even mild anesthesia

People with large gastric hernia

Those who have had open abdominal surgery before

How is the Gastric Balloon Inserted?

The gastric balloon is placed in the stomach with the endoscopic method under general anesthesia. The balloon placed in the stomach is inflated with serum using a special extension line and the procedure is completed. Processing time takes around 30 minutes on average. After the patient wakes up, he is kept under observation for a while and can return home within the same day.

After the gastric balloon is inserted, it is removed within 6 months to 1 year. During this period, if the person follows the doctor's recommendations and pays attention to their eating habits and lifestyle, they reach the desired weight.

How to Remove Gastric Balloon?

At the end of the 6-month period, the balloon is removed with the endoscopic method. First, the liquid in the balloon is emptied with a special apparatus, then the balloon is caught and removed with a special holder. The reason we mention this is to state that the instruments found in a standard endoscopy unit will not work for balloon removal.

In our personal practice, we have a patient whose balloon was punctured in another endoscopy center, but because it could not be removed, it caused intestinal obstruction. Therefore, balloon placement and removal should be performed by bariatric surgeons with experience in endoscopy.

What are the Advantages of Gastric Balloon?

It can be attached in a very short time under hospital conditions.

After the gastric balloon application, the person can return to his normal life without the need for hospitalization.

It is very easy and painless to apply.

The patient can be removed at any time.

What are the Disadvantages of Gastric Balloon?

Reflux can be seen after gastric balloon.

Nausea and vomiting may occur in the first 3-7 days.

Stomach cramps may be experienced in the early period.

The application is temporary. After removal, you need to maintain the nutritional habits and lifestyle that you gained life. If you do not follow your diet, it is likely to gain weight again.

The amount of weight lost is less than surgical methods (such as tube stomach surgery).

Although very rarely, it can cause stomach ulcers.

What are the Results of Gastric Balloon Application?

The main mechanism of action of the balloon is to create a feeling of fullness with its partial space-occupying effect and to restrict food intake. Correct patient selection, appropriate dietetic and behavioral therapy are key points in the success of the balloon.

However, there is no guarantee that any patient will lose weight. Those who have a gastric balloon should know that success can only be achieved with dietary and lifestyle changes. The most effective period of the balloon is the first 3-4 months. During this period, a decrease in appetite and discomfort with excessive food intake are evident.

Strict adherence to the nutrition program is essential. On average, 15-20 pounds of weight loss can be expected. This limit can range from 0 to 80. Successful results have been reported in many studies conducted on hundreds of patients in different countries such as Italy and the Netherlands.

The most important thing here is that the patient can maintain his eating habits after the balloon is removed. Avoid high-calorie, sugar-containing foods.Weight regain is possible after removal of the balloon.

Since it has no long-term or permanent effect, it has not found use in some countries. In cases where the patient does not change his eating habits, problems such as insufficient weight loss or inability to maintain weight may be encountered. In compatible patients, weight loss can continue even if the balloon comes out.

After Gastric Balloon

The purpose of the nutritional changes that should be made after the gastric balloon application is to facilitate the adaptation of the body to this new situation as long as the balloon remains in the stomach.

Nutrition After Gastric Balloon

You should eat very slowly and chew well.

It will be beneficial to eat the food by cutting it into small pieces and serving it on small plates.

You should stop eating as soon as you feel acid reflux or bloating.

You should not exceed three main meals and three snacks a day.

You should avoid snacking

You should drink at least 1.5 liters of water a day.

You should not take water or liquids at the same time as meals. You should make it a habit to drink before or after meals

Avoid carbonated drinks and strong coffees

Never smoke before eating.

Do not eat very late

Stop eating and drinking at least 2 hours before going to bed

If you feel pain in your stomach, first change your lying position.

Try to exercise at least 40 minutes a day.

What are Gastric Balloon Damages?

Gastric balloon application was investigated and started to be applied in the 1980s. Until today, materials and application technology have been developed and the damages that may occur during and after the application have been tried to be eliminated.

Of course, as in many medical operations, some complications may occur in this application, although it is very rare. For example, during the application of the endoscopic gastric balloon, the esophagus or stomach may be damaged, which may cause discomfort such as ulcers. Or, if the balloon rarely deflates, intestinal obstruction may occur.

What are the Risks of Gastric Balloon Application?

All surgical procedures have a minimal risk of complications. The risks that we may encounter after this operation are bleeding, leakage of the balloon, sensitivity to anesthesia, abdominal pain, nausea, vomiting and infection. The risk of complications is very low.

The use of quality products and the high success rate of the surgeon are important details that affect these complications.

In liquid balloon models, leakage is understood by the patient, while in air models it is not. Infiltration can be detected with the tests performed during the doctor's control.

For this reason, controls should never be interrupted. Risks such as infection and bleeding occur as a result of holding the balloon longer than it should. It is normal to experience nausea and vomiting as a side effect of the procedure. However, a doctor's control is recommended for persistent symptoms.

What Should A Person Who Has A Gastric Balloon Be Careful About?

Symptoms such as stomach cramps, nausea or vomiting may occur shortly after the gastric balloon is inserted. These symptoms are natural as long as they are not too severe. Because an unfamiliar foreign body has entered the stomach.

In order to alleviate the possible symptoms that may occur in the patient, various gastric protective or pain relievers may be recommended to the person. Generally, these side effects disappear about 3-4 days after the balloon is inserted into the stomach.

If the symptoms do not disappear for a long time after the procedure and continue at the same severity without any tendency to alleviate, the gastric balloon may need to be removed from the person. However, this is not a very common situation.

#lose weight fast #weightlifting #i will lose weight #stomach #tummy #lose weight in 1 week #turkeyistanbulmedical #plasticsurgeryistanbul #Stomach operation #Gastrict Slevee

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jansenavila0-blog · 6 years ago

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theotherjourney7 · 3 years ago

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“The Week In Covid

A look at what's happened with Covid this week (as Friday 8 April 2022). Excuse the abundance of sarcasm - it's been a tough week for truth and logic!

1. Hancock (the UK's former Health Secretary) made the news again this week, in what I initially thought was a psychology experiment testing "just how much BS will the public take'.

2. He claimed the UK pandemic strategy of ‘suppressing the virus until vaccines and treatments were available’ was the right one, he’s glad they followed it, and they have beaten Covid.

3. It transpired he was being serious. Or at least he was serious he wanted the public to believe it. When folk pointed out his government didn’t suppress the virus until they had to and their delays led to some of the longest national lockdowns in the world, 10s of thousands dying, 100’s of thousands left moribund, the biggest fall in GDP of all OCED countries, thousands of businesses going bankrupt, the BBC swiftly took him to task for trying to re-write history and reported widely on it. Sorry, they didn’t really.

4. The symptom profile in the UK was expanded this week. It now includes the commonest symptoms of Covid, two years after we knew the commonest symptoms of Covid, and about eighteen months after acknowledging the actual symptoms of Covid could have helped suppress the virus until vaccines were available.

5. But the expanded symptom profile is just in time - the same week - as shops start to sell Covid tests. Maybe Johnson and Hancock’s mates have taken enough of the taxpayers money and it’s time for someone else to make some bucks off a pandemic that is robbing people of their freedoms and loved-ones.

6. The public now have to pay to test for a disease the government are wilfully permitting to spread (a lesson in supply and demand economics), only to be allowed to spread it freely anyway…

7 ...They have now officially moved from shafting the public discretely to shafting the public at every opportunity and in plain sight.

8. The ‘Covid is like the Flu’ crowd were served another blow as Covid hospital admissions peaked higher than they did in January, a mere three months ago. Either climate change is really playing havoc - it is - and we are having several winters a year - we’re not -, or Covid isn’t the fecking Flu!

9. But apparently, according to experts (I mean, armchair pundits) it’s OK the hospitals are filling up, because only half are in ‘primarily’ for Covid…Apparently if you go to hospital for a reason that isn’t Covid, Covid can’t harm you…no, that can’t be right. Oh yeah, its the endless stream of BS from the denialists.

10. Estimates put hospital acquired Covid at 22% of all inpatient Covid cases. Meanwhile, staff are still expected to wear plastic bibs and paper masks to protect themselves and their patients. It’s not like they are dealing with high risk patients, or we can’t afford staff going off sick. Oh wait, they are and we can’t.

11.The Govs HSE are now refusing to pursue the allegation that their guidelines on PPE for staff are stupid and likely led to avoidable HCW deaths, as alleged by one of their senior advisers (the death bit).

12. And if the allure of working on the NHS frontline wasn’t great enough, on top of the ‘we don’t give a sh!t about you PPE guidelines’ and the ‘why don’t you have a real world pay cut’ incentives, staff must now join patients in England in paying for parking. But Johnson loves the NHS, honest!

13. Just to prove Johnson has won the fight against Covid, the public in a number of areas were told not to go to hospital unless problems were life-threatening due to ‘high levels of Covid cases’.

14. Other A&E departments had to turn ambulances away because they were too full because of “high levels of Covid cases”.

15. Elective operations also had to be cancelled due to…yes…you’ve guessed it…’high levels of Covid cases’.

15. But don’t worry Javid and his mates have a solution that will reverse the decade of underfunding and neglect his government have pursued, the refusal to strengthen the NHS during the pandemic, and their inability to appreciate the need to actually care for those who get Covid

16. Their Covid Recovery Plan (no not a rehab service for those recovering from Covid. Wouldn’t that be nice.) will take more of the public’s money for the NHS and invest it in the…private sector. Wait, let me check my notes again…yes they will strengthen the NHS by investing more of the NHS’s money in the private sector. Maybe we didn’t pay them enough to do near f’all during the initial stages of the pandemic.

And apparently paying a private hospital to do knee operations will free up some ambulances, GPs, and A&E staff to treat strokes, heart attacks and cancer. No, makes perfect sense, when you don’t have an utter scoobie about how healthcare actually works.

17. But seriously, what could go wrong putting a bunch of out-of-touch accountants in charge of the public’s health?

18.Speaking of out of touch unqualified Ministers, this week the Education Minister said it was fine not to wear a mask because he washed his hands a lot.

19. In other news, WHO declare that Covid is airborne.

20. And in other news, Long Covid rates in children climb even higher, as yet more evidence emerged of physical consequences of repeated exposure to a SARS virus - who could have guessed?

21. The Government responded to a number of business sectors request to limit the impact of Covid on their businesses. To which the Government duly tried to limit the impact of a rapidly spreading virus by stopping anything that would stop it spreading.

22. In other news, the economic recovery falters and businesses struggle as staff members contract some sort of mysterious viral illness. They think it may be a viral infection called ‘Like-the-flu honestus' derived from the Latin word ‘Fuk’um’. Oh wait, no, it’s Covid!

23. A number of business leaders ask the Government to bring back free testing. Not the businesses making money from the tests, other businesses losing money because there are no free test. It all gets a bit confusing.”-Dr. Dan Goyal

#uk conservative party #boris johnson #boris johnson govt #uk covid #uk covid news #covid news #covidnow #coronavirus nhs #uk healthcare #for real #long covid

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juniperpublishersjojoos · 3 years ago

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Fracture Neck of Femur in the Super Elderly - Understanding Them Better- Juniper Publishers

Introduction

In a developed country like the United Kingdom (UK), there is a substantial change in the age structure of the population due to the increasing life expectancy. The section of the population that has shown to be the most affected increase is the super elderly (>85 years). As per UK’s 2016 mid-year population estimates, super elderly forms 2.1% of the whole population and it is expected that, by mid-2039, more than 1 in 12 of the population is projected to be aged 80 or over [1].

Magnitude of the problem

Fracture neck of femur continues to be the second most leading cause for hospital admission in the older population [2]. It is the commonest serious injury for the older people [3]. Additionally, it is associated with a total cost to health and social services of over £1 billion per year, which is equivalent to approximately 1% of the whole NHS budget[3]. Surgery is indubitably the treatment of choice for fracture neck of femur even in the geriatric population [4,5]. On the whole, the seriousness of this injury is not completely attributable to the surgical aspect in the treatment of this injury. In this cohort of patients, the associated medical challenges generally dictate the outcome of the injury. This is due to the fact that, the super elderly is generally frail and have multiple medical comorbidities. To begin with, their pre-injury level is suboptimal and the hip fracture destabilises them further and thereby resulting in increased morbidity and mortality. The perioperative mortality rate ranges from 2.3 to 13.9% [6]. However, this risk does not end with discharge from the hospital. Nearly a third of these patients die within a year of the injury, which is almost double the rate when compared to the younger cohort (65-84 years) [7]. Among those who survive, 60% fail to remain independent in all their activities of daily living [8]. Hence understanding the allied medical, psychological and functional aspects of this distinct subgroup of super elderly patients is required to improve their outcomes after a hip fracture.

Pre-existing co-morbidites

The most common comorbities in the elderly patients include hypertension (50-60%), hearing loss (35%), dementia (30%), repeated falls (25%), cancer (20%), vision loss (20%), chronic obstructive pulmonary disease, diabetes (10-20%), cardiac failure (15%) and coronary artery disease (15%) [9,10]. These comorbidities primarily influence the outcome after hip fracture and hence need to be recognised at the time of admission.Early recognition would help in stabilising these co-existing conditions. However, this does not imply that medical interventions be instituted that may potentially delay the surgery beyond the 48-hour cut off [11].Delayed surgery has been shown to be linked with worse outcomes. It is of utmost importance to identify and promptly treat correctable comorbidities like anaemia, anticoagulation, volume depletion, electrolyte imbalance, uncontrolled diabetes, uncontrolled heart failure, correctable cardiac arrhythmia or ischaemia, acute chest infection and exacerbation of chronic chest conditions so that these patients can be operated within the golden period of 48 hours.

Post-operative morbidities

In addition to the above mentioned pre-existing medical conditions, hip fractures can precipitate further medical issues which complicate the recovery of these patients. These include pain (both from the injury and the surgery), delirium, infections, decubitus ulcers, deep vein thrombosis, pulmonary embolism, restricted mobility and depression. Prevention and prompt recognition of these complications go a long way in improving the outcome of hip fractures. Special mention regarding delirium is warranted as it is a common problem which is usually under-recognised and sub optimally treated in this subset of patients with a fracture neck of femur. Patients who have had femoral neck fractures can experience delirium three times more than patients undergoing non-orthopaedic surgery [12]. There is increased mortality and morbidity associated with delirium [13]. Various risk factors have been identified for delirium and the cause is usually multifactorial [14]. These include advanced age, dementia, polypharmacy, hypoxia, infection, pain, fluid and electrolyte disturbance, hypotension, malnutrition, unfamiliar environment, existing visual and auditory impairment and sleep deprivation. Robertson and Robertson in their study have shown that early intervention can reduce the prevalence of delirium by 50% [15]. It is pertinent to note that most of these factors do not operate in isolation; rather they are so closely interrelated that one factor can lead to the other like a chain reaction. Hence, targeting these risk factors through a multidisciplinary approach comprising the geriatric physician, nursing care, pain team, physiotherapist, dietician, pharmacist and relatives of the patients can significantly reduce the incidence of delirium in the super elderly.

Prevention

Successfully surviving the hip fracture and returning to the previous level of activity may seem to be the target at focus. However, studies have shown that, these patients are at increased risk of a second hip fracture. The risk has been calculated to be six-fold higher [16].The two main elements of this increased risk are low bone mineral density and falls [17]. There is ample evidence for the pharmacological treatment of low bone mineral density [18,19] and it is being increasingly practiced.Falls on the other hand need a holistic approach for its prevention.Falls are the fundamental mechanism for nearly 95% of fracture neck of femur. After sustaining a fall, the subsequent probability of suffering another fall is three times more [18]. These patients should undergo a multifactorial assessment for the risk factors contributing to a fall and appropriate interventions in the form of strength and balance training, home hazard assessment and intervention.Vision assessment, medication review with modification/withdrawal should be implemented[20].

Conclusions

With the projected increase in the number of super elderly and in turn the increased burden of treatment of hip fractures, it is vital to understand the complexity and multifactorial nature of the situation of this subsection of patients and henceforth utilise a multidisciplinary approach for improving the outcomes after neck of femur fractures.

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For more articles, Please click on Juniper Online Journal of Orthopedic & Orthoplastic Surgery

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platformtm · 3 years ago

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The Reading Room + Sensation and Perception to Awareness present

Optimal Brain Damage

with guest reader Johannes Bruder

Tuesday 30th November, 2021 @ 13:00-15:00 (GMT, UK)

Location: Online on Zoom https://universityofsussex.zoom.us/j/98287914083

Guest Reader: Johannes Bruder, Director of the Critical Media Lab & Head of Research, Institute of Experimental Design and Media Cultures, FHNW Academy of Art and Design

Optimal Brain Damage

“The assumption that connectivity is always a good thing is for me so naïve,” neuroscientist Karl Friston told his interlocutor in an interview on his approach to modeling the spread of the Covid-19 in the UK. “From the point of view of that delicate self-organization that enables these Markov blankets that constitute ourselves, or a society, or an ecosystem to survive, connectivity is the killer.” A remarkable, and politically momentous statement at a time when comprehensive connectivity seemed to be all there is, whether we think of global logistics, social media or more generally, the internet in times of “the cloud”. Yet, what critics were more concerned about was the use of theories and tools developed to study cognition in the brain for the purpose of analyzing the spread of Covid-19, moving almost seamlessly from populations of neurons to populations of humans.

In this hybrid event, Dr Johannes Bruder will give a short talk, showing that such "epistemological slippages" have a history, and continue to influence how we think of human and non-human intelligence in the era of modern AI. The talk will be followed by a more in-depth, reading group and discussion around the provided essay "The Algorithms of Mindfulness". We appreciate it if you come to the talk having read some of the essay beforehand; however, anyone is invited to attend whether they have read the essay or not. Those unable to stay for the full reading-discussion portion will be given the opportunity to step out gracefully after the first hour.

NOTE: Please RSVP for this event via this link, we will send you the readings directly by email.

Reading: "The Algorithms of Mindfulness" by Johannes Bruder

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Dr. Johannes Bruder is a trained sociologist with an affinity to media studies. He studies the history and present of decision-making systems, and how these encode psychological categories, sociological models, artistic practices and speculative designs. His first book “Cognitive Code. Post-Anthropocentric Intelligence and the Infrastructural Brain” (MQUP, 2019) is based on fieldwork in neuroscience laboratories and provides deep insights into the bio-politics of computational neuroscience and machine learning. Johannes has a strong interest in experimenting with research methods, knowledge practices, alternative pedagogies and publication formats that unsettle disciplinary paradigms and render research in the humanities operational in real-world contexts. He’s currently the Head of the Critical Media Lab Basel (criticalmedialab.ch) and Head of Research at the Institute of Experimental Design and Media Cultures, FHNW Academy of Art and Design.

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ABOUT THE ORGANIZERS

The Leverhulme Doctoral Scholarship Programme 'From sensation and perception to awareness' directed by Professor Jamie Ward and Professor Anil Seth, and funded by the Leverhulme Trust, brings together researchers and doctoral students from across neuroscience, philosophy, psychology, robotics, and the arts, with the goal of advancing our understanding of interactions between sensation, perception, as well as awareness in humans, animals, and machines.

https://www.sussex.ac.uk/sensation/

THE READING ROOM is a nomadic event series dedicated to creating a community-oriented, public platform for encounters with contemporary ideas on art and society. At its core, The Reading Room series revolves around the reading of texts provided by invited guests – artists, scientists, scholars and curators – who join our diverse community in an open discussion while providing context and perspective.

The series stems from a belief that keeping a close connection between disciplinary boundaries in the arts and sciences, through historical and emerging theories on art and culture is invaluable to developing a grounded practice. Especially in the 21st century, where theory, practice and social engagement seem to merge ever more seamlessly.

The Reading Room is organized across different times and geographies by artist-researchers Sissel Marie Tonn, Jonathan Reus and Flora Reznik, and was originally supported through generous financial assistance from the artist initiative iii and Stroom Den Haag, both based in The Hague.

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#thereadingroom #neuroscience #epistemology #mindfullness #rest

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aion-rsa · 3 years ago

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Should the Next James Bond Care About Continuity After Daniel Craig?

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With No Time to Die, Daniel Craig says goodbye to the role of James Bond after 15 years and five films—the longest tenure in the franchise since Roger Moore’s 12-year, seven-film run. Like the five previous Bond actors before him, Craig’s era was marked by both highs and lows in quality, and certain controversial decisions, creatively and narratively.

If the Craig run is remembered by one thing though (besides its return to a grittier, more psychologically complex 007), it will be that for the first time the series told one overarching story over the course of the actor’s entire run. Craig’s debut, 2006’s Casino Royale, was followed in 2008 by Quantum of Solace, which essentially acted as an extended coda to its predecessor—something the series had never done before.

But wait: four years later Skyfall, which delved into the pasts of both Bond and M (Judi Dench), was billed as a standalone adventure. Until it wasn’t. Three years after that, in one of the more controversial decisions in 007’s entire film history, Spectre retconned all three previous Bond outings, making their villains all part of the titular criminal organization. And, oh yeah, that organization’s mastermind, Franz Oberhauser/Ernst Stavro Blofeld (Christoph Waltz), also happened to be Bond’s estranged foster brother, using his vast powers and shadowy reach to not just screw with the world but also torment Bond from behind the curtain.

We don’t know at the moment if the villain in No Time to Die, Safin (Rami Malek), has any connection to the SPECTRE organization or Blofeld’s machinations, but we know Blofeld is in the picture, making him the first Bond villain to appear in at least two consecutive films since, uh, Blofeld did it in You Only Live Twice (1967), On Her Majesty’s Secret Service (1969) and Diamonds Are Forever (1971), where he was played by a different actor in each film (and no, Jaws doesn’t count… he’s a henchman).

Léa Seydoux also returns from Spectre as Madeleine Swann, making the character the first major Bond Girl in the series’ history to appear in more than one film. The only other example is socialite Sylvia Trench, played by Eunice Gayson, who Sean Connery’s 007 briefly romances in the first two movies in the series, Dr. No (1962) and From Russia with Love (1963), making her the first official Bond Girl.

Of course, M, Q, and Moneypenny—played respectively now by Ralph Fiennes, Ben Whishaw, and Naomie Harris—all encore as well, although these characters have often established a sort of background continuity for the Bond movies throughout the years. But with both Blofeld and Madeleine showing up in No Time to Die, it’s reasonable to assume that it will be continuous with the previous four films and serve as a grand finale for the Craig quintet. So this is indeed a first. While the original Ian Fleming novels did offer continuity from book to book, with events in the previous book often being at least referenced or in some cases, such as the “Blofeld Trilogy,” directly impacting the novel right after it, the Bond movies almost completely ignored this.

Even though Blofeld and SPECTRE figured heavily in the first seven movies, the adventures were barely connected. A different actor played Blofeld every time, and most egregiously, after Bond’s new wife (Diana Rigg) was gunned down by Blofeld’s henchwoman at the end of OHMSS, her death was never even mentioned in the next movie, Diamonds Are Forever (we were just informed vaguely that Bond was looking for Blofeld).

By the time Roger Moore took over, the death of Teresa “Tracy” Bond was referenced briefly in both The Spy Who Loved Me (1977) and For Your Eyes Only (1981), establishing that the Bond played by Moore was the same character previously inhabited by Sean Connery and George Lazenby. Otherwise the Moore years lacked any continuity at all, aside from the MI6 characters.

But now that Craig is stepping down, the question is this: Does the next actor in the series continue to be the same Bond that Craig played, and does the series pick up from wherever No Time to Die leaves off? Or will the next Bond not reference Swann, Blofeld, Safin, SPECTRE, Vesper Lynd, or any other aspects of the five Daniel Craig movies? Will M, Q and Moneypenny disappear or be recast as well?

It seems self-defeating and pointless to totally reboot the character again. Casino Royale was as good as an origin story gets, and so much of Bond’s backstory has been filled in over time that even looking back at his pre-MI6 years would leave us with an aimless, suspense-free prequel that is the worst kind of lazy, fill-in-the-blanks storytelling. We know who Bond is, and we did watch the 007 of the Craig era evolve over the course of his five movies.

Without knowing where No Time to Die leaves the character, we’re tempted to say that the series should pick right up and send the new Bond on a new set of standalone adventures, just with a new face. The new films don’t need to rehash anything that happened before, but they also don’t need to pretend that this a brand new, fresh-faced 007 straight out of secret agent school (plus they should keep Fiennes, Harris and Whishaw around — both for that background continuity and also because they’re a great team).

This is what the series has done multiple times before, with minimal fuss—and no explanation for the recasting is needed. If an explanation is called for, and God knows that fans seem to need everything explained to them these days, then the filmmakers can simply say that Bond had his face altered surgically to protect his identity (that’s always been part of Bond speculation anyway).

Whether the next set of Bond stories should all connect is a different matter, and again we’re going to argue that they shouldn’t, at least not in the way that Craig’s did. Learning that Blofeld was behind the villains of the first three Craig films was not so bad; discovering that Blofeld and SPECTRE basically existed solely to torment James Bond was a terrible mistake, however. Not everything needs to be connected to Bond on an emotional level. He can certainly be affected by the challenges and enemies he faces, but that can happen without them being part of Bond’s family history. It just makes everything smaller.

Movies

Daniel Craig Doesn’t Think a Woman Should Be James Bond

By David Crow

Movies

No Time To Die and the Art of Naming James Bond Movies

By Mark Harrison

Let Bond be Bond—a little darker here, a little funnier there, a bit rude or crude along the way—and let him fight bad guys and romance women (without the rampant rapey-ness of the earliest films in the series), and occasionally have his own sense of self, his mission and his view of the world challenged. The Bond films have worked in the past and can work again in the future because one can step right into his universe and not need to know what happened in the previous three movies. In a world where nearly every film in every franchise essentially serves to set up the next movie (hello, MCU), it would be refreshing if the 007 series rejects that philosophy, as it originally had.

We’ll probably know more once the next actor to play Bond is announced, which we expect will coincide with the franchise’s 60th anniversary in 2022. Then we’ll see which version of James Bond will actually be the one to celebrate that landmark—and which universe he operates in.

No Time to Die is out in the UK on September 30 and the US on October 8.

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The post Should the Next James Bond Care About Continuity After Daniel Craig? appeared first on Den of Geek.

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96thdayofrage · 3 years ago

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Will Taliban victory mark the beginning of the end of the western empire?

To count the cost of the West's intervention in Afghanistan in US and UK military lives alone is the ultimate proof that we are a civilization in decay

The war in Afghanistan was lost by a bloated western alliance that thought it could demolish the Taliban and build a new country from scratch

When the US invaded Afghanistan on 7 October 2001, the cover of Time magazine proclaimed: "The Last Days of the Taliban."

Thus began what became known as "the war on terror", the neoconservative quest to replace the defunct Soviet Union with Islam as a global threat. By December of that year, the UN Security Council established the International Security Assistance Force to oversee military operations and train the Afghan National Security Forces.

Since then over $2 trillion have been spent. In the Afghanistan and Pakistan war zone about 241,000 people have lost their lives, 2448 American soldiers and 454 British soldiers have been killed. And 20 years on the Taliban are back in control.

In 2001, opium had almost completely been eradicated with 84,000 hectares under cultivation. By 2017 that figure had grown to 328,000 hectares. Next to war, opium is the country’s biggest economic activity. One of the biggest goals of the US war effort was to train an Afghan army to fight the Taliban. Such was the casualty and desertion rate that the Americans found themselves having to train recruits totalling one third of the entire force.

Corruption, ranked by Transparency International at 165/180 of the countries they monitor, swallowed up the billions in economic assistance, building hospitals with no patients and schools with no pupils. Poverty is rife, and mortality rates remain among the highest in the world.

To say then, as the BBC said last week in an explainer on its website, that during the 20 years of occupation: "The US and allies oversaw elections and built up Afghan security forces, but the Taliban continued to launch attacks", defies belief as well as rudimentary fact-checking.

Collapse of the West

But the fantasy land in which western liberalism continues to operate in West Asia and the Middle East is still instructive. It tells us much about the psychology of a fading empire.

It is in denial. Not least about its role in this disaster.

David Petraeus, the former top US commander in Afghanistan; General Sir Nick Carter, UK's chief of defence staff, and every US and British general who served there bears a heavy burden of responsibility for a war the Afghan people themselves could not sustain and did not want.

None of them could find it in themselves to take responsibility for this disaster and apologise to the Afghan people. They are very far from doing so. Petraeus whines about political betrayal as if another decade of his leaderhship would have solved the problem. No one owns up.

The airpower, which sustained the foreign presence, was not benign. It did not advance Afghan women’s rights. It was a killing machine.

Between 2017 and 2019, the Pentagon relaxed its rules of engagement for air strikes and consequently civilian deaths dramatically increased. By 2019 air strikes killed 700 Afghan civilians - more than in any year since the war began. The Afghan air force (AAF) did likewise. In the first half of 2020, the AAF killed 86 Afghans and injured 103. In the following three months that rate doubled, killing 70 civilians and injuring 90.

Little wonder its pilots were targeted by the Taliban and that morale collapsed after the US withdrawal.

But to indulge in the fantasy that the US and UK militaries were in Afghanistan to do good things is about as far from reality as to say that the puppet regimes the western governments imposed on the country had popular legitimacy. Twice elected president, Ashraf Ghani’s legitimacy lasted exactly five weeks - from 8 July when US President Joe Biden specified a withdrawal deadline of 31 August, to 15 August, when he fled Kabul with his family.

The implications of defeat

This was a disaster that no less than four US presidents had a hand in making. It's a truly bipartisan effort. So it is not an exaggeration to say that defeat in Afghanistan has implications way beyond that battered country’s borders.

If the Soviet defeat, 32 years ago, spelt the beginning of the end of the Soviet empire, and certainly the end of all expeditionary Russian forces until 2015 when they sent troops to Syria, this defeat marks the beginning of the end of the western empire, as the dominant organising military and economic world order.

This order did not collapse because it faced mighty enemies. It collapsed from hubris, arrogance, an inability to analyse and understand the people whose land it occupied. It collapsed at precisely the moment that no other power challenged it and when it had a monopoly of the use of international force.

Like the Soviet Union, it imploded. It lost belief in itself and its leaders. Its leaders lost any sense of public service, lining themselves up with lucrative jobs after they lost power.

In power, they privatised war, until the very aim of intervention lost any meaning. Foreign policy became corrupted by mercantilism and outsourced to regional allies with their own agenda. If the Taliban knew what they were fighting for, the Afghans who opposed them did not. Least of all did the troops our governments sent there to fight with them.

Chilling message

All this sends a chilling message to those princes and generals in the Middle East who would struggle to last five weeks if the US withdrew its forces or military support. The royal courts in Riyadh, Abu Dhabi and Amman, and the presidential palace in Cairo must all be asking themselves how many weeks they would last if a popular Islamist insurgency was coming for them.

Former US President Donald Trump famously said Saudi Arabia would last two weeks if the US left.

He was not joking.

If the Afghan army did not fight for Ghani, does Saudi Crown Prince Mohammed bin Salman, the defence minister, think the National Guard, whose top generals he has regularly purged, would fight for him?

Khalid al-Dakhil, a Saudi political analyst and academic, tweeted: "As soon as Kabul fell to the Taliban, some shivered with conspiracy and fear of the return of political Islam to the region. To be afraid and anticipate is prudence and readiness. But to remain afraid for decades and decades is fragility and poor insight. As for the conspiracy, it is nothing more than a tool of politics and conflict. It is thus less than to explain history and its movement."

The conspiracy al-Dakhil was referring to claims that the Americans and Islamists are working hand in hand, just as the Saudis suspected former US President Barack Obama of doing when he abandoned late Egyptian President Hosni Mubarak during the 25 January uprising. But in fact, the relationship between the US and Islamists is more fraught than its relationship with tyrants, secular or religious groups.

When Islamists fight American soldiers, the US will end up talking to them as they did with the Taliban in the Doha meetings, and accept defeat, as they are doing now in Kabul.

But if an Islamist movement, like Hamas, openly declares that its fight is not with the US, and has not killed a single US soldier, Washington will ignore that Hamas has offered a long-term ceasefire, and declare it a terrorist organisation, prevent any other Palestinian faction from forming a unity government with it, and do its utmost to lay siege to Gaza.

The US will similarly do the same to those Islamists who have shunned violence and opted for elections, democracy, and parliaments. These people, the US will try to ban.

Eight years ago when the Egyptian military staged the worst massacre of unarmed civilians since the Tiananmen Square protests, in their violent dispersal of a sit-in in Rabaa Square in Cairo, Obama literally returned to his game of golf. When a month earlier, Egyptian President Abdel Fattah el Sisi staged a military coup, Obama refused to call it a coup.

Destroy democracy and the US looks the other way. Take up arms and the US will talk and then withdraw.

But attempt to be independent from the US and all hell will break loose. The financial markets will drain the lifeblood out of your economy, your banks and businesses will be sanctioned, your nuclear scientists will be assassinated.

The imperial belief in western social, military, economic superiority and its inherent assumption that the West has a moral right to lead, not just lacks any credibility, it's also a strategic disaster. The US is losing influence as quickly under Biden as it did under Trump, because ultimately not much has changed.

Occupiers and dictators who openly flout basic standards of human rights are still rewarded with money and arms. Corruption is still fed by US taxpayers' money. The people who suffer under their yoke are ignored.

Small wonder that Afghans did not fight the Taliban.

Blunt truth

There is an alternative to that mad logic of thinking that you are promoting democracy by dropping drones on poor people thousands of miles away. Just imagine if the US had spent $2 trillion on the Afghan people themselves. Just imagine if it had sought to influence religious conservative movements like the Taliban, not through warfare, but by engagement. Not through drones, but through dialogue.

Just imagine where Afghanistan would be now, and just imagine how much soft power the West would still have.

A US in retreat cares even less for the people it abandons than it does for the people it occupies. There is an exodus right now at Kabul airport. Where will these Afghans end up?

Certainly only a fraction of them will arrive in the UK or the US. They will head for Turkey and Europe as they have done in the past. Instantly they will turn in the western liberal consciousness from refugees fleeing Islamist oppression into unwanted migrants.

The scenes of panic at Kabul airport on Monday are mirrored throughout Europe’s capitals today.

The French President Emmanuel Macron said Europe “must anticipate and protect ourselves against major irregular migratory flows”. The German Interior Minister Horst Seehofer said he expected up to five million people to flee Afghanistan.

Germany accepted hundreds of thousands during the migrant flow in 2015. The German Christian Democrat leader Armin Laschet was adamant that “2015 should not be repeated”. The very nations that contributed troops and generals to ISAF are now unwilling to accept the human consequences of their actions.

The blunt truth is that the West can no longer dominate the world by dropping bombs on regimes we do not like, but nor can we withdraw. You can leave the Middle East, but it will never leave you.

The war in Afghanistan was lost by a bloated western alliance that thought it could demolish the Taliban and build a new country from scratch, all the while being ignorant of its history, its languages and its peoples.

The West succeeded only in spreading the brutality and misery of war over two decades, the majority of which was borne by the Afghans themselves. To count the cost of this intervention, as we still do today, in only US and UK military lives, is the ultimate proof that we are a civilisation in decay.

The tragedy is that in retreat, the US will not learn the harsh truth that force has no utility. Nor will it learn the lesson that it is a declining power. It will retreat into victimhood and isolationism, as indeed it has done in the past. The narrative will be that the world is an ungrateful place.

If it learned the lesson of its military defeats, it would start doing the right things in a world that is truly facing a common existential threat. It neither came from communism nor does it come from Islam.

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tnyj · 3 years ago

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Chapters of my life and career.

This post is a documentation of my life. From birth until current day.

I was born on November 17th, 2004 at 10:20 AM, at 52 centimetres long and weighing 1 pound and 14 ounces. I was born at 25 weeks, 15 weeks premature.

The funny thing is that, because I am a male, I could have died as a stillborn, because of my prematurity. My birth also kick-started a chapter of my life that is still ongoing, but that wasn’t named until my 14th year of life.

I went from hospital to hospital for the first half a year of my life.

I had suffered 12 respiratory arrests because the nurses were trying to get me onto CPAP, but my lungs kept failing after a few hours of being on it, so I was put on ventilator again and again. Because of this, I have a lip deformity on the right corner of my mouth. Also because of this, my windpipe itself became twisted and deformed, ironically.

On March 21st, 2005, I had the first major operation in my life, which was the Tracheostomy Operation, which was a tube in my throat to help me breathe. (I went on to have it until 2014, but that will be touched upon later.)

Then whilst, I was Guys Hospital, in London, I contracted MRSA because a nurse inadequately washed her hands, and was contaminated with the bug. The infection would go on to spread to my skin and blood, and that would have also killed me, if it wasn’t the extra special care given to me via the staff that worked there.

Then I went to another hospital.

Then another. This time, on April 26th, 2005, being the same hospital I was born in: Maidstone Hospital.

This was my final stay at Maidstone Hospital, where I grew bigger and stronger.

Then, on May 1st, 2005, I visited my mum’s parents to meet them and other members of my family. My Grammy (Mum’s mum’s mum), had a dog named Tina. I was scared of Tina, because I have never seen a dog at that point in time, because I was in hospital for most of my life back then, and also because when compared to my size at the time, I was smaller than it, even though the dog itself was small.

Because of this, I had a fear of dogs ever since until 2012.

On May 3rd, 2005, I was finally sent home, at five months old.

In 2007 I started walking for the first time, at the age of 2, because all I had was leg muscle therapy to help support my own bodyweight standing up.

I didn’t start talking with my vocal chords until 2008, because they were frozen and literally stuck together, and I had several operations to separate them.

I spoke via Sign Language until my vocal chords were finally separated.

In 2010 was another major operation, a partial tracheal resection, where they took a small portion of my deformed windpipe (caused by the constant ventilation tubes being shoved into my throat so I literally don’t die), and replaced it with a bit of my rib cartilage.

I tested positive for MRSA until 2010, as well.

Then, from 2012 until 2014, 2018 and 2020, I had several operations where they would laser away at my deformed windpipe, and several operations where they would just put a camera down my throat to check on my airways.

In 2014, was the most life changing moment since the initial tracheostomy operation: I had the tracheostomy out for an extended period of time, for the first time in my entire life.

Then, a year later, I suffered my most recent respiratory arrest in my life, in December 2015, caused because of combined effect of the premeds (medicine you take before you have the anaesthetic) and the anaesthetic itself, which caused a severe reaction and could have killed me. I had to have the tracheostomy back for 3 days.

Then when 2016 started, the hole where the tracheostomy resided healed shut, ironically when the doctors said that it isn’t supposed to. In February, I went swimming properly for the first time in 5 years. It was genuinely fun.

Then, nearly 2 years after this, I was due yet another major operation, this one also life-changing, where I could have the tracheostomy for the rest of my life or not have it ever again. Those outcomes were out of my control, and entirely up to the surgeons and doctors.

This operation was a full tracheal resection.

They severed most of my deformed windpipe, then pulled the rest of my windpipe that was intact up and then sewed it in place.

I was put into a medically induced coma, and then put into the ICU, post-operation. Then, when I returned to school in early/mid February, I was highly focused on education, getting into GCSE Mathematics (advanced math.), ran 800m without stopping (I have bad asthma), and began self-regulating more (because I sometimes take myself out of lessons if I am really frustrated). Because of this, I achieved what I consider the best achievement in my entire school life: The Personal Progress Award. (KEEP IN MIND: I go to a special needs school, because I am mentally disabled.)

2018 was also my tenth year at this special needs school, coincidentally.

Then, 2019 rolled around, and with modern context and hindsight, is the worst year of my school and personal life.

Starting off, was mediocre, at best. It wasn’t until late 2019 that things really went to shit, because of a then unrealised tendency to fuck myself over, because of the lack of forethought, especially when I let myself be consumed by emotions. In late 2019, I had my first relationship. I felt very happy at first, but then I was deluded by love, in the sense that I let myself be taken advantage of emotionally and psychologically and being abused because of such. Especially with her having another relationship beind my back at the same exact time as her being together with me (two-timing). Looking back now it is easier to realise that it was a very shitty relationship, but I was only 15 and I didn’t know better, at all. After me and my ex broke up, I was clearly depressed as shit, because it was my very first relationship.

Then the post-breakup bullying started, where my ex would make fun of me and mock me without reason. I let the pain, anger, sadness and hate build up within me, until I snapped after putting up with it for weeks and weeks.

She mocked me for how clingy I was, and at that point I was just done with that bullshit, so I punched her face. My fist hit her glasses, then they broke and cut her face open, which I didn’t expect, due to how angry I felt.

I was lucky not to have the police called on me.

That was incident was also when I completely lost childhood innocence, as well.

Then, 2020 came along, and changed modern human history. With CoViD-19 coming along and causing a massive pandemic that is still fucking ongoing.

On April 1st, I started using an audio editing software for my music career, which was new at the time, because all I had was a website DAW.

Then on April 23rd, 2020 I had my last MLB operation in recent memory. Which was operation 33.

In June 2020, I pioneered and experimented with a Hypertone Technique that I would later call ‘Breaking’. It involves copying and pasting nothing into an Ultrasound Tone (Ultratone), which breaks the tone into segments, making a small wall of the Broken Tone, then copying that wall, cutting the unedited (unbroken) tone, then pasting the wall of the Broken Tone, until it is significantly bigger, then speeding that up. The difference between this and most methods is that Breaking is an infinite cycle that can be repeated for eternity.

In that same month, I reached ee+121 BPM.

Later on, in August 2020, I reached ee+388 BPM, because I discovered three new forms of Breaking: Micro-Breaking, Nano-Breaking and Pico-Breaking.

Then, in December 2020, I discovered another three forms of Breaking: Femto-Breaking, Yocto-Breaking and Zepto-Breaking. In late December 2020, I started a 202 track album, titled ‘Reality Has No Meaning’ in response to the UK going into a second lockdown, due to variants of CoViD-19 hitting the country.

I completed RHNM in late January 2021.

Then, in February, I revived my BPMs reaching ee+500 on February 13th, 2021, ee+666 on February 17th, 2021 and starting my final major Hypertone album, and major album in general that has 100+ tracks: Towards E+1000 Digits. Which started on February 17th, 2021 and ended with the ee+1000 BPM track, on February 25th, 2021. I also reached ee+1001 the same day. marking an end to Breaking’s publicity.

In April 2021, I became insanely bitter, hateful and cynical, because I realised that I no longer had childhood innocence. This bitterness lasted until June and July. When I suddenly became apathetic to everything. I didn’t feel emotion for as long as I used to, circa 2018 and 2019. I still felt emotion, but very rarely.

In June I became pessimistic more severely than before, for some reason.

In late July, I became way more stylised, with the creation of more Soundcloud accounts to house very distinct styles of my music. The most personal of these is an alias named FFTSD, which is an acronym for ‘Falling For The Same Delusions’

Which expressed apathy, and also gave personal and self-reflective anecdotes in the descriptions of it’s tracks with a more expressive title.

This is all I have to offer about my life for now.

The Audacity Era is sort of Reminiscent of Hospital Hell for me, because it never ends. It’s on and off, constantly. (I mean this in the sense of my motivation to make music constantly being on and off).

This is everything about my life, online and offline.

Thank you for reading this essay/thesis or whatever, have a great day!

- TNYJ

#essay #self #explanation #real life #true #true stuff #true story #personal #my life #life

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