শুক্রবার, ৩০ নভেম্বর, ২০১২

November Sales Disappoint; What Happened to Black Friday's 13 ...

?Sales at stores open at least a year declined in November at major American store chains, including Macy?s, Nordstrom, Kohl?s and Target, sending a shiver through the retail world Thursday.

The reporting period included Thanksgiving and Black Friday, the official kickoff of the critical holiday shopping season. Early reports regarding those days had been mixed, and the individual retailers? dim results suggest a big challenge in the coming weeks for retailers.?

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?

Thomson Reuters tracks major retailers actual sales results ? not surveys ? and the most recent data was disappointing. Sales at stores open at least a year gained 1.6% increase in November. This is far below the nonsensical 13% number the?National Retail Federation (NRF) trumpets to gullible journalists. It was even below the 3.3% increase consensus of analysts.

The NYT rounds up some of the sales figures, and they are not pretty:

Kohl?s sales -5.6% (vs expectations of +1.9%)

Target -1% (vs +2.1%)

Nordstrom -1.1% (vs +4.3%)

Macy?s -0.7% (vs + 1.5%)

There were a few winners:

Costco +6%

Limited? +5%

Gap +3%

We won?t get the final holiday sales figures til January, but you can be pretty comfortable with the premise that there will not be an increase of 13% of retail sales this holiday season.

The lesson here is pretty stark. Be very aware of what you accept as a data source. Understand the differences between hard numbers ? i.e., sales receipts ? and squishy emotional guesses produced by surveying consumers.

The bottom line:? The NRF is an industry shill group that produces nonsensical spin that misleads investors, fools the public, and bamboozles incompetent journalists. Any writer who uncritically reprints their nonsense deserves to be fired; any media outlets that publishes their junk should be put quarantined and put on your DO NOT READ list.

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Previously:

Black Friday Skepticism (Finally!) Goes Mainstream (November 23rd, 2012)

Black Friday?s Media Hall of Shame (November 28, 2012)

?

Source:
Sales at Nation?s Retailers Fell Short of Expectations in November
STEPHANIE CLIFFORD
NYT, November 29, 2012
http://www.nytimes.com/2012/11/30/business/sales-at-nations-retailers-fall-short.html

Source: http://www.ritholtz.com/blog/2012/11/november-sales-disappoint-what-happened-to-black-fridays-13/

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Palestinians certain to win recognition as a state in United Nations vote

UNITED NATIONS (AP) ? The Palestinians are certain to win U.N. recognition as a state Thursday in a General Assembly vote that Israel and the United States warn could delay hopes of achieving an independent Palestinian homeland through peace talks with Israel.

The United States, Israel's closest ally, mounted an aggressive campaign to head off the General Assembly vote, which the Palestinians view as a historic step in their quest for global recognition.

In a last-ditch move Wednesday, U.S. Deputy Secretary of State William Burns made a personal appeal to Palestinian President Mahmoud Abbas promising that President Barack Obama would re-engage as a mediator in 2013 if Abbas abandoned the effort to seek statehood. The Palestinian leader refused, said Abbas aide Saeb Erekat.

With most of the 193 General Assembly member states sympathetic to the Palestinians, the vote is certain to succeed. Several key countries, including France, have recently announced they would support the move to elevate the Palestinians from the status of U.N. observer to nonmember observer state. However, a country's vote in favor of the status change does not automatically imply its individual recognition of a Palestine state, something that must be done bilaterally.

The Palestinians say they need U.N. recognition of a Palestinian state in the West Bank, Gaza and east Jerusalem, the lands Israel captured in 1967, to be able to resume negotiations with Israel. They say global recognition of the 1967 lines as the borders of Palestine is meant to salvage a peace deal, not sabotage it, as Israel claims.

The non-member observer state status could also open the way for possible war crimes charges against the Jewish state at the International Criminal Court.

Israeli Prime Minister Benjamin Netanyahu said Thursday the recognition of an independent state of Palestine in the U.N. General Assembly will not advance the Palestinians' quest for a homeland. He said the Palestinians will not win a state until they recognize Israel as the Jewish homeland, declare an end to their conflict with the Jewish state and agree to security arrangements that protect Israel.

While Israel argues that Abbas is trying to dictate the outcome of border talks by going to the U.N., the recognition request presented to the world body in fact calls for a quick resumption of negotiations on all core issues of the conflict, including borders.

Netanyahu's predecessors accepted the 1967 lines as a basis for border talks. Netanyahu has rejected the idea, while pressing ahead with Jewish settlement building on war-won land, giving Abbas little incentive to negotiate.

For Abbas, the U.N. bid is crucial if he wants to maintain his leadership and relevance, especially following the recent conflict between his Hamas rivals in Gaza and Israel. The conflict saw the Islamic militant group claim victory and raise its standing in the Arab world, while Abbas' Fatah movement was sidelined and marginalized.

The Palestinians chose the "International Day of Solidarity with the Palestinian People" for the vote. Before it takes place, there will be a morning of speeches by supporters focusing on the rights of the Palestinians. Abbas is scheduled to speak at that meeting, and again in the afternoon when he will present the case for Palestinian statehood in the General Assembly.

U.S. Secretary of State Hillary Clinton warned Wednesday that the U.N. vote will not fulfill the goal of independent Palestinian and Israeli states living side by side in peace, which the U.S. strongly supports because that requires direct negotiations.

"We need an environment conducive to that," she told reporters in Washington. "And we've urged both parties to refrain from actions that might in any way make a return to meaningful negotiations that focus on getting to a resolution more difficult."

The U.S. Congress has threatened financial sanctions if the Palestinians improve their status at the United Nations.

Ahead of the vote, Republican Sen. Orrin Hatch filed an amendment to a defense bill Wednesday that would eliminate funding for the United Nations if the General Assembly changes Palestine's status.

"Increasing the Palestinians' role in the United Nations is absolutely the wrong approach, especially in light of recent military developments in the Middle East," he said in a statement. "Israel is one of America's closest allies, and any movement to strengthen one of its fiercest enemies must not be tolerated."

Israeli government spokesman Mark Regev said that by going to the U.N., the Palestinians violate "both the spirit and the word of signed agreements to solve issues through negotiations," which broke down four years ago.

But Israeli officials appeared to back away from threats of drastic measures if the Palestinians get U.N. approval, with officials suggesting the government would take steps only if the Palestinians use their new status to act against Israel.

Regev, meanwhile, affirmed that Israel is willing to resume talks without preconditions.

U.N. diplomats said they will be listening closely to Abbas' speech to the General Assembly on Thursday afternoon before the vote to see if he makes an offer of fresh negotiations with no strings, which could lead to new talks. The Palestinians have been demanding a freeze on Israeli settlements as a precondition.

As a sign of the importance Israel attaches to the vote, Israeli Foreign Minister Avigdor Lieberman flew to New York and was scheduled to meet Secretary-General Ban Ki-moon before the vote. Israel's U.N. Ambassador Ron Prosor had been scheduled to speak in the General Assembly after Abbas, but it appears Lieberman may now make Israel's case opposing the resolution.

Unlike the Security Council, there are no vetoes in the General Assembly. The world body is dominated by countries sympathetic to the Palestinian cause and the resolution to raise its status from an observer to a nonmember observer state only requires a majority vote for approval. To date, 132 countries ? over two-thirds of the U.N. member states ? have recognized the state of Palestine.

The Palestinians have been courting Western nations, especially the Europeans, seen as critical to enhancing their international standing. A number have announced they will vote "yes" including France, Spain, Norway, Denmark and Switzerland. Those opposed or abstaining include the U.S., Israel, Germany, Canada, the Netherlands and Australia.

The Palestinians turned to the General Assembly after the United States announced it would veto their bid last fall for full U.N. membership until there is a peace deal with Israel.

Following last year's move by the Palestinians to join the U.N. cultural agency UNESCO, the United States withheld funds from the organization, which amount to 22 percent of its budget. The U.S. also withheld money from the Palestinians.

Source: http://news.yahoo.com/palestinians-certain-win-recognition-state-052920823.html

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Tattered Cover Gift Guide: For Older Kids & Teens, Part One

Between the Covers: Tattered Cover Gift Guide: For Older Kids & Teens, Part One

Tattered Cover Gift Guide: For Older Kids & Teens, Part One

Click on the covers to learn more about the books.






Source: http://tatteredcoverbookstore.blogspot.com/2012/11/tattered-cover-gift-guide-for-older.html

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Totally Awkward!

Totally Awkward!

A new reality television show deals with the lives of six people living in the same luxury home for one year. The only catch? They're all living with their exes...and they won't have any idea until after they move in.

Owner:

Game Masters:

This topic is an Out Of Character part of the roleplay, ?Totally Awkward!?. Anything posted here will also show up there.

Topic Tags:

Forum for completely Out of Character (OOC) discussion, based around whatever is happening In Character (IC). Discuss plans, storylines, and events; Recruit for your roleplaying game, or find a GM for your playergroup.

1. Absolutely no anime pictures.
2. You must post once every day and every post must be 300 words at least.
3. There are no reservations, and no that does not mean first come first serve. That means I will pick whoever I think is best suited to the role play.
4. DO NOT submit a character if you do not have the intention of posting every day.
5. No playing other characters or making them totally invincible. If they get punched, it's going to hurt and probably bruise.
6. Drug use, alcohol use, violence, mature themes, and bad language are all welcome. Sex is not. :p
7. Have fun. I promise I'm not as intense as these rules make me seem. (:

Last edited by fauxtruth on Fri Nov 30, 2012 12:00 am, edited 3 times in total.
User avatar
fauxtruth
Member for 0 years



Just went back and read them lol sorry! I'll get to work now! Super cute idea by the way!

Last edited by Wolfheart on Thu Nov 29, 2012 11:49 pm, edited 1 time in total.

http://25.media.tumblr.com/tumblr_m5o77rQ6rk1qdj2xmo2_250.gif

User avatar
Wolfheart
Member for 0 years



Question: should someone be unable to post for a certain amount of days, as long as they give notice before inactivity, they can stay in the roleplay?

I have in mind a character, but I doubt I'll be using pictures.

[CENTER]Image

Monsters create victims. Some victims become monsters to return the favor to the monsters who victimize them.

User avatar
ZacharyTC
Member for 0 years


That's totally fine as long as I am notified and you do, in fact, return. (:

OH! And I'm going to be adding two things to the character application: occupation and role.

User avatar
fauxtruth
Member for 0 years


Ah! I'm relieved!

Anyway, I don't know whether to go with the sexy guy or the country boy. He will be a bit strict in his ways, given how he was raised. I'll try to submit a profile tomorrow.

User avatar
ZacharyTC
Member for 0 years


Sounds cool, I will probably accept the characters I like best tomorrow night or Saturday morning. (:

User avatar
fauxtruth
Member for 0 years


Oh! And if you're not going to have a picture, please add an 'appearance' section and make it pretty detailed. (:

User avatar
fauxtruth
Member for 0 years



Post a reply

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PTB measurements for the next computer chip generation

PTB measurements for the next computer chip generation [ Back to EurekAlert! ] Public release date: 30-Nov-2012
[ | E-mail | Share Share ]

Contact: Frank Scholze
frank.scholze@ptb.de
49-303-481-7120
Physikalisch-Technische Bundesanstalt (PTB)

Cooperation between Carl Zeiss and PTB on EUV lithography extended

This press release is available in German.

European companies are the world leaders in the development of EUV lithography for the manufacture of semiconductor chips with even shorter wavelengths than up to now, i.e. with 13.5 nanometres in the spectral range of the so-called "Extreme UV (EUV)". The volume production of lens systems and wafer scanners of EU lithography (EUVL) is planned for 2014. In this development, the Physikalisch-Technische Bundesanstalt (PTB) is at the fore. With a new EUV beamline at PTB's own electron storage ring the Metrology Light Source (MLS) in Berlin-Adlershof it will characterize EUVL lens systems for this purpose. The cooperation with Carl Zeiss SMT GmbH, which has been running since 1998, has now been extended for another four years. PTB measurements will help to give proof of the quality of the Zeiss lens systems in the so-called "steppers" (lithography machines) of the Dutch company ASML, the global market leader in this field.

The combination is unique worldwide: although there are a number of electron storage rings, and although a national metrology institute exists in almost every country as the highest authority in the field of measurements, only the Physikalisch-Technische Bundesanstalt has its own modern electron storage ring the Metrology Light Source and the measurement arrangements required for the high-precision characterization of EUVL lens systems. The MLS has been operated since 2008; it furnishes synchrotron radiation from the terahertz range up to the EUV range and has clearly extended PTB's measurement capabilities at the nearby electron storage ring BESSY II, where it uses X-rays on a large scale for the various metrological tasks.

The new EUV beamline is particularly suited for the investigation of photodetectors and structured optical elements and has after the commissioning phase been increasingly used since the beginning of this year for measurements within the scope of research cooperations, in particular for EUVL. "Our greatest strength which is very well received by the cooperation partners consists in the so-called "At-wavelength measurements". We characterize the lens systems at the EUVL working wavelength and not only with visible light. Our measurements therefore directly describe the behaviour of lens systems in the production machines", explains Frank Scholze, head of the PTB working group.

The great demand from industry had induced PTB to develop its measurement capabilities at the two storage rings even further. In mid-2013, the large EUV reflectometer of BESSY II is to move to the MLS. In its place, an EUV scatterometer/ellipsometer will be installed which has been particularly suited for scatter experiments. Then, at the latest, a total of approximately 6000 hours of synchrotron radiation measuring time per year will be available to PTB for EUV metrology.

Also in other areas, PTB has clearly extended the field of "metrology with synchrotron radiation" by the commissioning of new beamlines at the MLS. Compared to its predecessor at BESSY II, a new measuring set-up for the calibration of radiation sources now also allows measurements to be carried out at wavelengths below 40 nm. Calibrated radiation sources in the vacuum-UV (VUV) and the EUV are, for example, of great importance for the characterization of space telescopes for solar and atmospheric research. In addition, the new undulator beamline provides monochromatized intensive and profoundly polarized radiation from the IR range up to the EUV range. At present, the first quantitative investigations of surfaces are being carried out by means of UV/VUV ellipsometry and electron spectroscopy together with partners from the research site Adlershof. Furthermore, a new near-field microscope has been put into operation at the infrared beamline of the MLS. es/ptb

###

Contact:

Dr. Frank Scholze, PTB Working Group 7.12 EUV Radiometry,
Phone: +49(30) 3481-7120, e-mail: frank.scholze@ptb.de


[ Back to EurekAlert! ] [ | E-mail | Share Share ]

?


AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.


PTB measurements for the next computer chip generation [ Back to EurekAlert! ] Public release date: 30-Nov-2012
[ | E-mail | Share Share ]

Contact: Frank Scholze
frank.scholze@ptb.de
49-303-481-7120
Physikalisch-Technische Bundesanstalt (PTB)

Cooperation between Carl Zeiss and PTB on EUV lithography extended

This press release is available in German.

European companies are the world leaders in the development of EUV lithography for the manufacture of semiconductor chips with even shorter wavelengths than up to now, i.e. with 13.5 nanometres in the spectral range of the so-called "Extreme UV (EUV)". The volume production of lens systems and wafer scanners of EU lithography (EUVL) is planned for 2014. In this development, the Physikalisch-Technische Bundesanstalt (PTB) is at the fore. With a new EUV beamline at PTB's own electron storage ring the Metrology Light Source (MLS) in Berlin-Adlershof it will characterize EUVL lens systems for this purpose. The cooperation with Carl Zeiss SMT GmbH, which has been running since 1998, has now been extended for another four years. PTB measurements will help to give proof of the quality of the Zeiss lens systems in the so-called "steppers" (lithography machines) of the Dutch company ASML, the global market leader in this field.

The combination is unique worldwide: although there are a number of electron storage rings, and although a national metrology institute exists in almost every country as the highest authority in the field of measurements, only the Physikalisch-Technische Bundesanstalt has its own modern electron storage ring the Metrology Light Source and the measurement arrangements required for the high-precision characterization of EUVL lens systems. The MLS has been operated since 2008; it furnishes synchrotron radiation from the terahertz range up to the EUV range and has clearly extended PTB's measurement capabilities at the nearby electron storage ring BESSY II, where it uses X-rays on a large scale for the various metrological tasks.

The new EUV beamline is particularly suited for the investigation of photodetectors and structured optical elements and has after the commissioning phase been increasingly used since the beginning of this year for measurements within the scope of research cooperations, in particular for EUVL. "Our greatest strength which is very well received by the cooperation partners consists in the so-called "At-wavelength measurements". We characterize the lens systems at the EUVL working wavelength and not only with visible light. Our measurements therefore directly describe the behaviour of lens systems in the production machines", explains Frank Scholze, head of the PTB working group.

The great demand from industry had induced PTB to develop its measurement capabilities at the two storage rings even further. In mid-2013, the large EUV reflectometer of BESSY II is to move to the MLS. In its place, an EUV scatterometer/ellipsometer will be installed which has been particularly suited for scatter experiments. Then, at the latest, a total of approximately 6000 hours of synchrotron radiation measuring time per year will be available to PTB for EUV metrology.

Also in other areas, PTB has clearly extended the field of "metrology with synchrotron radiation" by the commissioning of new beamlines at the MLS. Compared to its predecessor at BESSY II, a new measuring set-up for the calibration of radiation sources now also allows measurements to be carried out at wavelengths below 40 nm. Calibrated radiation sources in the vacuum-UV (VUV) and the EUV are, for example, of great importance for the characterization of space telescopes for solar and atmospheric research. In addition, the new undulator beamline provides monochromatized intensive and profoundly polarized radiation from the IR range up to the EUV range. At present, the first quantitative investigations of surfaces are being carried out by means of UV/VUV ellipsometry and electron spectroscopy together with partners from the research site Adlershof. Furthermore, a new near-field microscope has been put into operation at the infrared beamline of the MLS. es/ptb

###

Contact:

Dr. Frank Scholze, PTB Working Group 7.12 EUV Radiometry,
Phone: +49(30) 3481-7120, e-mail: frank.scholze@ptb.de


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AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.


Source: http://www.eurekalert.org/pub_releases/2012-11/pb-pmf113012.php

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'Fiscal Cliff' Currency Trade - CNBC

Data is a real-time snapshot *Data is delayed at least 15 minutes
Global Business and Financial News, Stock Quotes, and Market Data and Analysis

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Source: http://www.cnbc.com/id/15840232?video=3000132196&play=1

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Photo Story: Liberia | Peter Gostelow - Adventure Cycling ...

The Rain International Service Station of Liberia had a single fuel pump, which by the looks of it wasn?t working. What fuel was available was contained in a demijohn resting on top of the pump. There might have been more stored in a jerry can within one of the rooms behind, but I didn?t ask the attendant. I don?t think he was very busy by the looks of it.

The price of fuel in Africa varies depending on how far it has had to travel from a refinery. The Rain International Service Station is about 50km north of Monrovia, the capital of Liberia, where I arrived later that day. The previous day I crossed the border from Sierra Leone, which like Liberia has had an equally troubled past. Fortunately both countries are slowly rebuilding themselves, but there aren?t many tourists visiting yet.

For me service stations in Africa provided more of an opportunity to fill up with water or stop for a coke. The Rain International Service Station had neither. I did use petrol for my camping stove, but half a litre might last 1-2 weeks, sometimes longer when I wasn?t cooking.

It was a suitably named service station for the time of year I was here ? August. Monrovia records one of the highest annual rainfalls of any city in the world. I got quite wet during my month cycling here. You can read the blog post that this photo originally appeared in here

Source: http://petergostelow.com/2012/11/30/photo-story-liberia/

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Defining career paths in health systems improvement

Defining career paths in health systems improvement [ Back to EurekAlert! ] Public release date: 29-Nov-2012
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Contact: Sue McGreevey
smcgreevey@partners.org
617-724-2764
Massachusetts General Hospital

Journal article proposes framework to guide career direction, choices for physicians and others

The sheer number of efforts aimed at improving the quality and efficiency of the U.S. health care system ranging from portions of the national Affordable Care Act to local programs at individual hospitals and practices reflects the urgency and importance of the task. One aspect that has received inadequate attention, according to three physicians writing in the January 2013 issue of Academic Medicine, is training the next generation of experts needed to help lead these efforts. In their Perspective article, which has been released online, the authors propose a framework for career development in what they call "health systems improvement," a term that encompasses a broad range of activities including management, research and public policy to improve the quality and efficiency of our systems of care.

"My co-authors and I each had experience in nonclinical fields such as government, consulting or law before entering medical school, leading to countless conversations with our classmates and co-residents about atypical career paths," explains Clay Ackerly, MD, MSc, management and policy fellow at Massachusetts General Hospital and the Massachusetts General Physicians Organization, a co-author of the Academic Medicine article. "During these conversations most trainees echoed common themes of wanting to have careers that allow them to improve the quality of our care delivery systems. However, most of them also had difficulty articulating their exact interests, and it became clear that we lacked a common lexicon to discuss their specific interests and potential career opportunities."

The authors also including Ami Parekh, MD, JD, medical director of Health Systems and Innovation at the University of California, San Francisco, and Daniel Stein, MD, senior medical resident at Brigham and Woman's Hospital write that while a few academic medical centers have developed programs addressing health systems improvement, many medical trainees "may become overwhelmed by the sheer number of, and lack of clarity among, possible career paths." Since many of today's health care leaders reached their current positions through what the authors call "circuitous and often serendipitous career paths," their ability to guide and advise young physicians may be limited.

Based on a series of conversations with medical students, residents and leaders in health systems improvement, the authors put together their framework. It starts with three core focus areas research, policy and management defines three intersections policy advising, policy translation, and implementation science and includes examples of potential careers, such as academic administration, health services research and government relations.

"The framework is largely a collection of definitions a new taxonomy, if you will and while some may disagree with the dividing lines, we wanted to put some structure around the passion so many trainees feel for improving the care of patients," Ackerly explains. "We hope this framework can help anyone with that passion from any background, not just MDs find productive ways to develop their interest and have an impact."

Ackerly and his co-authors suggest that trainees interested in careers in health systems improvement take a few simple steps to help guide their early career development. Some are as basic as reflecting on their own preferences, including whether they want to practice clinically, and identifying one core area on which to focus, as well as one to deemphasize. Trainees may also consider the possibility of additional formal training such as research fellowships or advanced degrees in public health, business, health administration or public policy. Noting that their proposed framework needs validation, the authors plan to monitor how it is used by both trainees and their mentors, refine their recommendations, and expand the examples of career options included in the paper.

"We need to bring as much talent as possible into this field. But until we have better defined career paths for trainees who want to engage in this work, many of them may become, at best, confused and, at worst, demoralized," Ackerly stresses. "We hope that making those career paths more explicit will lead to an energized workforce and will attract the needed institutional investments in time and resources. The struggle to improve the quality of health care should never end patients deserve nothing less."

###

Massachusetts General Hospital, founded in 1811, is the original and largest teaching hospital of Harvard Medical School. The MGH conducts the largest hospital-based research program in the United States, with an annual research budget of more than $750 million and major research centers in AIDS, cardiovascular research, cancer, computational and integrative biology, cutaneous biology, human genetics, medical imaging, neurodegenerative disorders, regenerative medicine, reproductive biology, systems biology, transplantation biology and photomedicine. In July 2012, MGH moved into the number one spot on the 2012-13 U.S. News & World Report list of "America's Best Hospitals."


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?


AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.


Defining career paths in health systems improvement [ Back to EurekAlert! ] Public release date: 29-Nov-2012
[ | E-mail | Share Share ]

Contact: Sue McGreevey
smcgreevey@partners.org
617-724-2764
Massachusetts General Hospital

Journal article proposes framework to guide career direction, choices for physicians and others

The sheer number of efforts aimed at improving the quality and efficiency of the U.S. health care system ranging from portions of the national Affordable Care Act to local programs at individual hospitals and practices reflects the urgency and importance of the task. One aspect that has received inadequate attention, according to three physicians writing in the January 2013 issue of Academic Medicine, is training the next generation of experts needed to help lead these efforts. In their Perspective article, which has been released online, the authors propose a framework for career development in what they call "health systems improvement," a term that encompasses a broad range of activities including management, research and public policy to improve the quality and efficiency of our systems of care.

"My co-authors and I each had experience in nonclinical fields such as government, consulting or law before entering medical school, leading to countless conversations with our classmates and co-residents about atypical career paths," explains Clay Ackerly, MD, MSc, management and policy fellow at Massachusetts General Hospital and the Massachusetts General Physicians Organization, a co-author of the Academic Medicine article. "During these conversations most trainees echoed common themes of wanting to have careers that allow them to improve the quality of our care delivery systems. However, most of them also had difficulty articulating their exact interests, and it became clear that we lacked a common lexicon to discuss their specific interests and potential career opportunities."

The authors also including Ami Parekh, MD, JD, medical director of Health Systems and Innovation at the University of California, San Francisco, and Daniel Stein, MD, senior medical resident at Brigham and Woman's Hospital write that while a few academic medical centers have developed programs addressing health systems improvement, many medical trainees "may become overwhelmed by the sheer number of, and lack of clarity among, possible career paths." Since many of today's health care leaders reached their current positions through what the authors call "circuitous and often serendipitous career paths," their ability to guide and advise young physicians may be limited.

Based on a series of conversations with medical students, residents and leaders in health systems improvement, the authors put together their framework. It starts with three core focus areas research, policy and management defines three intersections policy advising, policy translation, and implementation science and includes examples of potential careers, such as academic administration, health services research and government relations.

"The framework is largely a collection of definitions a new taxonomy, if you will and while some may disagree with the dividing lines, we wanted to put some structure around the passion so many trainees feel for improving the care of patients," Ackerly explains. "We hope this framework can help anyone with that passion from any background, not just MDs find productive ways to develop their interest and have an impact."

Ackerly and his co-authors suggest that trainees interested in careers in health systems improvement take a few simple steps to help guide their early career development. Some are as basic as reflecting on their own preferences, including whether they want to practice clinically, and identifying one core area on which to focus, as well as one to deemphasize. Trainees may also consider the possibility of additional formal training such as research fellowships or advanced degrees in public health, business, health administration or public policy. Noting that their proposed framework needs validation, the authors plan to monitor how it is used by both trainees and their mentors, refine their recommendations, and expand the examples of career options included in the paper.

"We need to bring as much talent as possible into this field. But until we have better defined career paths for trainees who want to engage in this work, many of them may become, at best, confused and, at worst, demoralized," Ackerly stresses. "We hope that making those career paths more explicit will lead to an energized workforce and will attract the needed institutional investments in time and resources. The struggle to improve the quality of health care should never end patients deserve nothing less."

###

Massachusetts General Hospital, founded in 1811, is the original and largest teaching hospital of Harvard Medical School. The MGH conducts the largest hospital-based research program in the United States, with an annual research budget of more than $750 million and major research centers in AIDS, cardiovascular research, cancer, computational and integrative biology, cutaneous biology, human genetics, medical imaging, neurodegenerative disorders, regenerative medicine, reproductive biology, systems biology, transplantation biology and photomedicine. In July 2012, MGH moved into the number one spot on the 2012-13 U.S. News & World Report list of "America's Best Hospitals."


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Source: http://www.eurekalert.org/pub_releases/2012-11/mgh-dcp112912.php

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Mother Grieving Loss of Child - http://mothergrievinglossofchild ...

Thursday's Therapy

A Call to Lament

Part Four

~Angie and Tommy Prince

with?~Nicholas Wolterstorff

How Did the Need for the 'Cry of Lament' Get So Corrupted in the Church?

When you go to church, or you go around people engulfed in the church's doctrines, including, very likely, many in your family and community, you may have noticed that Christians are very thrown by your ongoing lament over your child. It's as if they are saying to us, "Yes children are one of God's greatest gifts to us, a very fount of love, and laughter, and creativity in our homes, and yes you grieve when they are gone, but why do you have to go on grieving them? When is it enough? Don't you think at some point you are making God look bad?"

It is shocking for us at some level that people can be so dense, so simplistic, and ultimately mean-spirited in begrudging us of all we have left of our child, which is to mourn them. Why---if they can't lovingly support us---why can they not at least respectfully leave us alone in our grief unharassed by their judgement??

Nicholas Wolterstorff, Christian philosopher and grieving father, opens our eyes to how some of the errors in theology have slipped into our churches and swallowed up the love there to a large degree, the love that so many of us could respond to if it were directed our way, even if only in giving us the respect to grieve as we need to.

~~~

Wolterstorff describes the view of lament from Rabbi Kushner in his popular book, When Bad Things Happen to Good People:

"God couldn't do anything about our suffering even if God wanted to, says Kushner; so crying to God for deliverance makes no sense.?God---so it is said---cannot intervene in the causal order. God set our entire cosmos going; and God is capable of undoing the whole thing. But God and the causal order are not of such a sort that God could intervene within the causal order."

~~~

{Angie's palpable response: How Dare you? Who are you to think you know my God so well that you have essentially rendered Him Impotent ~the Absolute, the GOD of the Universe, the Creator, the Alpha and the Omega, the Beginning and the End~ for you to say He Cannot do anything about our suffering even if He wanted to? That is not the God I serve that you are describing!

The God that I love and bow down to is the God who is intimately relating to me on a daily basis, loving me, holding me together, weeping with me, and is longing along with me for the culmination of all His endeavors to bring an end to Satan, Sin, and Death. He is not impotent. Because of sin, we live in a fallen world. He Has Done What Is Necessary To Redeem It ~?

What do you think Christmas is all about,?

but sending His Son in love to show us God's true nature, and for?

His giving up His only Son to die on the cross to pay for our sins so that we can respond to His great love, and become His children, and?

ultimately, because of His resurrection from the dead, we may be saved from the second death so that once we die, we will be able to go to Heaven, and will live with Love for all eternity, with His Kingdom restored, His creation restored, our bodies restored, and?

Satan, Sin, and Death all destroyed forever, for all eternity??

But of course, Rabbi Kushner, you do not know that aspect of God because you do not recognize what He Did do by sending us Jesus as you are not yet a completed Jew. I will pray for you that you may learn that beautiful truth that will make all the difference in your life now?and for all eternity.}

{Tommy's response: Rabbi Kushner, you are basically proclaiming that our Omnipotent God is impotent!}

~~~

Wolterstorff elucidates other examples of otherwise great theologians unwittingly introducing error into our already strained understanding of God amidst the terrible angst of lament:

Augustine

Augustine, for example, questioned the propriety of giving voice to suffering. In his Confessions he recollects the time before his conversion, when he wept without restraint over the death of his best friend, and the time, after his conversion, when, in spite of his attempts at restraint, he wept over the death of his mother. In both cases he says that he is telling us, his readers, about these episodes so as to confess his sin. His grief, he says, was the sign that he had been guilty of too much worldly affection. The things of this world are to be used, not enjoyed. We are to find our enjoyment in God and God alone---and in the prospect of ourselves and our friends and relatives dwelling forever in the presence of God. Grief, though not precisely sinful, is the mark, the sign, of a sinful orientation of life. In Augustinian piety, lament is displaced by confession of sin.

~~~

{Angie's response: Confession of Sin? Sin? You've got to be kidding me. We are made in God's image; God has emotions; we too will have the full gamut of emotions. God is not a passive God; neither are we. When a child is born, we rejoice! We are overjoyed! When a child is killed, we are devastated; we weep; we mourn; our lives are turned upside down and we feel it. In all of its devastating agony. There is Nothing to do with Sin when I grieve my precious child. By our lament we Are proclaiming our great Thanks to God for our child's life, for how precious they were / and are to us. Our God is a passionate God. We, His people, are also passionate people, made in His image. Even now, we are poured out as a drink offering to God and to one another to love each other through our grief.?

God understands that grief. He has felt it Himself. He too is a Child-Loss Father! He does not begrudge us our tender human emotions and call them a sin, so how dare you, brother Augustine, proclaim grief "a sinful orientation of life"? Jesus, God's own Son wept over His friend's death! Despite so many wonderful things that you contributed to our own understanding of God amidst your walk with God, dear brother Augustine, here we must proclaim you are in error:?

Your passion of love for your friend and for your dear precious mother who prayed you out of the hell-you-were-living straight into the-glorious-Kingdom-of-your-Father-God is to be commended and understood as glorifying to God, loving as He would love, not characterized as sinning against Him by your deep and abiding love for these beloved ones, nor by your grief over their ultimate loss!}

~~~

John Calvin

"Augustine saw the things of the world primarily as the works of God; he urges us to look away from them to their maker. They are to be regarded and received only for our continued existence and for our approach to God. Pervasive in (John) Calvin, by contrast, is the insistence "that we are to see the things of this world not only as the works of God? but also as the gifts of God, gifts not only for utility but for delight.?

"'This life, however crammed with infinite miseries it may be, is still rightly to be counted among those blessings of God which are not to be spurned. Therefore, if we recognize in it no divine benefit, we are already guilty of grave ingratitude toward God Himself.' ?

"Calvin says? we must bear our grief and suffering with patience. What did Calvin mean by patience and why did he recommend it? The clue is contained in the following passage. This 'general axiom is to be maintained, that all the sufferings to which human life is subject and liable are necessary exercises by which God partly invites us to repentance, partly instructs us in humility, and partly renders us more cautious and attentive in guarding against the allurements of sin for the future.' God is the ultimate agent of our suffering and grief. It is for our good that God causes us to suffer; suffering in general, and grief in particular, are to be interpreted as manifestations of the goodness of God. The world is, as it were, a vast reformatory. That is why we are not to follow the 'new stoics,' trying to violate our nature by becoming numb?.

"...The dominant note is that grief and suffering are manifestations of God's gracious attempt to reform us...

"The appropriate attitude then is patience, forbearance, even gratitude. 'But, if it be clear that our afflictions are for our benefit, why should we not undergo them with a thankful and quiet mind?'?

"...We are to interpret our sufferings as God's instrument for reforming our souls until they are fit with fellowship with God. Accordingly, we are to discipline ourselves to endure those sufferings with patience, even with gratitude.

"...Calvin's piety of suffering is now clear. We are indeed to voice our suffering, to speak it---thus, to name it and own it. But are we to cry out for deliverance? That's not clear; if something is for my good but unpleasant, do I ask to be delivered from it? What is abundantly clear is that one does not cry out Why? because we know why. Suffering is sent by God for our good. There is no mystery. God is neither absent nor or God's ways in these manners mysterious."

~~~

{Tommy: So, according to Calvin, I am better off that my daughter was killed. And I should be grateful that she was taken. And I am supposedly acquiring a huge dose of patience and a huge breastplate against sin because, after all, this suffering is God's idea of a good reform school to keep me from the allures of sin. So according to Calvin, I should be thankful that my life has not flourished nor will it since my child died. And I am to bear all this with patience and gratitude. But to do that, I would have to stifle the lament, and essentially numb myself to my otherwise obvious pain --- now it seems like he's not much different from Augustine and the other stoics who wanted to somehow disown their own touch with reality and therefore their own human feelings.?

Is that how I really view my loving Lord, or do I align more with a fellow grieving father, Nicholas Wolterstorff who proclaims:}

~~~~~

"So I join the psalmist in lament. I voice my suffering, naming it and owning it. I cry out. I cry out for deliverance: 'Deliver me, O God, from this suffering. Restore me, and make me whole.' I cry out for explanation, for I no more know in general why things have gone awry with respect to God's desire than did the psalmist. 'Why, O God, is this happening? Why is Your desire, that each and every one of us should flourish here on earth until full of years, ?being frustrated? It makes no sense.'?

"To lament is to risk living with one's deepest questions unanswered."

"The cry occurs within the context of the yet of enduring faith and ongoing praise, for in raising Christ from the dead, we have God's word and deed that God will be victorious in the struggle against all that frustrates God's desire. Thus divine sovereignty is not sacrificed but reconceived.?

"If lament is indeed a legitimate component of the Christian life, then divine sovereignty is not to be understood as everything happening just as God wants it to happen---or happening in such a way that God regards what God does not like as an acceptable trade-off for the good thereby achieved.??

"Divine sovereignty consists in God's winning the battle against all that has gone awry with respect to God's will."

~Nicholas Wolterstorff

{Tommy and Angie: "And O, how we long for that Day!}

Thank you to Professor, and Grieving Father Nicholas Wolterstorff for all of his research and heart's cry over his son that we have been able to benefit from together. May we all seek, together, to grow in God's wisdom even as we may have to respectfully challenge some of our forefathers in the faith from time to time...


Research, from pages 84 - 92 of?Hearing the Call: Liturgy, Justice, Church and the World?

(Collection, 2011 Nicholas Wolterstorff, published in 2011 by William B. Eerdmans Publishing Company)


Source: http://mothergrievinglossofchild.blogspot.com/2012/11/thursdays-therapy-call-to-lament-part_29.html

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EverydayFamily.com Helps ?Get Out the Give? On #GivingTuesday

EverydayFamily.com Celebrates Inaugural National Day of Giving by Hosting The Leukemia & Lymphoma Society I CARE Pledge

Los Angeles, CA (PRWEB) November 30, 2012

On November 27, 2012, EverydayFamily.com participated in the inaugural #GivingTuesday, a nationwide movement harnessing the power of a unique blend of partners?charities, families, businesses and individuals?to transform how people think about, talk about and participate in the giving season.

?During the Holidays, many people find themselves wanting to be a part of something bigger,? says Noah Anderson, owner and CEO of EverydayFamily.com. ?Our ongoing Facebook ?Like? campaign is an easy way for our everyone to be a part of the cause. If we all get involved, work together to donate our time and efforts, we can give back and truly make a difference.?

#GivingTuesday has already inspired over 1,400 organizations and people in all 50 U.S. states and around the world to take collaborative action. Each aims to improve their local communities and give back in better, smarter ways to the charities and causes they support and help create a better world.

Through EverydayFamily.com?s Facebook ?Like? campaign, up to $20,000 will be donated to The Leukemia & Lymphoma Society (LLS) during the holiday season. For each new Facebook ?Like? it receives between now and December 31, 2012, EverydayFamily.com will donate $1 to LLS, to help fund the fight against pediatric cancer.

To learn more about #GivingTuesday participants and activities or to join the celebration of giving, please visit:

Website: http://www.givingtuesday.org


Facebook: http://www.facebook.com/GivingTuesday


Twitter: twitter.com/GivingTues

About #GivingTuesday


#GivingTuesday is a movement to celebrate and provide incentives to give. It will culminate with a national day of giving on November 27, 2012. This first-of-its-kind effort harnesses the collective power of a unique blend of partners? charities, families, businesses and individuals?to transform how people think about, talk about and participate in the giving season. #GivingTuesday will inspire people to take collaborative action to improve their local communities, give back in better, smarter ways to the charities and causes they celebrate and help create a better world. #GivingTuesday will harness the power of social media to create a national moment around the holidays that is dedicated to giving, similar to how Black Friday and Cyber Monday have become days that are synonymous with holiday shopping.


A team of recognized experts and influencers, initially convened by leaders of 92nd Street Y and supported by a core group of founding partners, are spearheading this effort. Founding partners include United Nations Foundation, DonorsChoose.org, Mashable, Blackbaud, charity: water, GlobalGiving, Iraq and Afghanistan Veterans of America (IAVA), Kiva, Darden Restaurant Group, Groupon, Unilever, United Way, The Case Foundation and VentureThree Capital. Leaders in philanthropy, social media, innovative giving, grassroots organizing, marketing and communications are providing counsel and resources to help build this movement.

About EverydayFamily.com


EverydayFamily.com (EF) is a family driven website ? in every sense ? featuring a growing community of over three million members who share their everyday parenting experiences. EF is an online home and established resource for experts and parents who have advice and information to share, as well as those who are seeking guidance and support as they move through their family?s journey, from preconception, to preschool, and beyond. EF invites everyone to get comfortable and share stories, thoughts, advice, and opinions with other families. The editors at EF, as well as the entire EF community, are dedicated to providing daily content for families seeking advice, information, and support? and to giving back to the communities supporting us.

Contact: MediaRelations(at)EverydayFamily(dot)com

Tony Golden
EverydayFamily, Inc.
(949) 608-0524 521
Email Information

Source: http://news.yahoo.com/everydayfamily-com-helps-givingtuesday-123236552.html

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African Union asks UN for immediate action on Mali

DAKAR, Senegal (AP) ? In an open letter Thursday to U.N. Secretary-General Ban Ki-moon, the president of the African Union urged the U.N. to take immediate military action in northern Mali, which was seized by al-Qaida-linked rebels earlier this year.

Yayi Boni, the president of Benin who is also head of the African Union, said any reticence on the part of the U.N. will be interpreted as a sign of weakness by the terrorists now operating in Mali. The AU is waiting for the U.N. to sign off on a military plan to take back the occupied territory, and the Security Council is expected to discuss it in coming days.

In a report to the Security Council late Wednesday, Ban said the AU plan "needs to be developed further" because fundamental questions on how the force will be led, trained and equipped. Ban acknowledged that with each day, al-Qaida-linked fighters were becoming further entrenched in northern Mali, but he cautioned that a botched military operation could result in human rights abuses.

The sprawling African nation of Mali, once an example of a stable democracy, fell apart in March following a coup by junior officers. In the uncertainty that ensued, rebels including at least three groups with ties to al-Qaida grabbed control of the nation's distant north. The Islamists now control an area the size of France or Texas, an enormous triangle of land that includes borders with Mauritania, Algeria and Niger.

Two weeks ago, the African Union asked the U.N. to endorse a military intervention to free northern Mali, calling for 3,300 African soldiers to be deployed for one year. A U.S.-based counterterrorism official who saw the military plan said it was "amateurish" and had "huge, gaping holes." The official insisted on anonymity because he was not authorized to speak on the matter.

Boni, in his letter, said Africa was counting on the U.N. to take decisive action. "I need to tell you with how much impatience the African continent is awaiting a strong message from the international community regarding the resolution of the crisis in Mali ... What we need to avoid is the impression that we are lacking in resolve in the face of these determined terrorists," he said.

The most feared group in northern Mali is al-Qaida in the Islamic Maghreb, or AQIM, al-Qaida's North African branch, which is holding at least seven French hostages, including a 61-year-old man kidnapped last week.

On Thursday, an AQIM leader, Abu Musab Abdul Wadud, released a video urging Malians to reject any foreign intervention in their country. He warned French President Francois Hollande that he was "digging the graves" of the French hostages by pushing for an intervention, according to a transcript published by Washington-based SITE Intelligence.

Also Thursday, Islamists meted out the latest Shariah punishment in northern city of Timbuktu. Six young men and women were each given 100 lashes for having talked to each other on city streets, witnesses said.

___

Associated Press writer Virgile Ahissou contributed to this report from Cotonou, Benin.

Source: http://news.yahoo.com/african-union-asks-un-immediate-action-mali-172902123.html

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Communication Basics: 7 Simple Tips to Improve Your Relationship

There are so many books and articles written about how to communicate effectively, that it can often be overwhelming knowing what to believe or even what works,

I?ve distilled down some of the most important factors couples need to focus on to improve their communication and relationship. My ideas are based on my observations of working with hundreds of couples over the last 10 years.

1. Seek to understand before trying to be understood

One of the most common negative patterns I see in my work with couples is the cycle of criticism and defensiveness.

This often happens when you hear something you perceive as an attack or criticism from your partner, which leads to you immediately defending yourself.

The problem with this pattern is it immediately sets both of you up to not be heard.

As soon as you start to defend your position, you?ve lost the opportunity to understand your partner.

Tip: Even if you feel under attack or think you hear a criticism, first seek to understand your partner?s thoughts and feelings that they are raising with you, before you respond.

2. Slow down your communication to truly hear your partner

Many issues get out of control because once this dynamic of criticism and defence is underway, the interaction often moves very quickly.

When your communication is speeding up, you can miss a lot of important information that your partner is expressing.

This fast-pace also increases the volatility of your discussion, making it harder for you to keep the conversation calm.

Tip: If you notice that things are moving fast in your discussion, intentionally put on the brakes and slow down the exchange. You can say to your partner ?Let?s slow this down so I can really understand what you are telling me.?

This helps defuse the reactivity and allow you to continue to communicate in an adult-to-adult way.

3. Be curious about your partner?s perspective

This one is easier said than done when you?re feeling blamed, criticized or attacked.

However, one of the best things you can do when you?re feeling that is to be curious about your partner?s perspective.

This can be disarming in a positive way, and it immediately helps de-escalate the rising tension between you.

By being curious, you can learn new things about your partner, as well as support your conversation in moving towards a resolution.

Tip: You can still disagree with your partner?s perspective and remain curious and interested in how their view is different from yours.

Practise bringing in this state of curiosity next time you?re feeling a heated discussion coming on and see what happens.

4. Recognise your emotional triggers and learn to self-soothe

When you know what your emotional triggers are, it allows you to be aware when the potential for them being activated is present.

We all bring ?baggage? into our relationships- from our childhood, previous relationships, school experiences and of course, our family of origin.

There?s no such thing as a person who is ?baggage free?, however, you can use your awareness of your ?hot spots? to know when they are likely to be triggered.

Tip: Practise observing yourself, even when you feel triggered by your partner. See if you can name it by saying ?I?m feeling [insert feeling] now, and I think it?s also touching something in my past that?s not related to you.?

By naming the trigger, it helps your partner understand that there?s more at play here than just the current conversation. This understanding can help both of you be less reactive in the moment.

5. Practise using empathy to foster a closer connection

Empathy is the fuel of good relationships.

Being empathic is about imagining yourself walking in the shoes of your partner and feeling and seeing the world like they do.

When you can respond empathically to your partner, it also facilitates a deeper bond- creating a strong sense of safety and trust between you.

The challenge is when you?re feeling under attack, it can be the last thing you feel like doing. It does require you to be able to ?step outside yourself? and begin to appreciate an alternative reality to your own.

Practising empathy does not mean that you have to completely surrender and give up what you want or your own reality. It just means you need to suspend your own perspective, even momentarily, so you can appreciate the smallest part of how your partner sees things.

Tip: Start small- even if you?re imaging only 1%-5% of what your partner feels, and then build on that. Your partner will feel the shift and will be able to let down her guard a little, opening up the possibility of a better connection.

6. Listen for the unmet need or emotion that is hidden

When your partner is in distress and voicing a complaint or you?re feeling criticised or blamed, there?s always some unmet need, want, desire or unexpressed emotion underlying this cry.

The challenge for you is to go underneath the overt complaint and see if you can tap into the hidden emotion.

By uncovering this emotion and tentatively asking if the covert emotion is also going on for your partner, you can bypass the surface anger, irritation or resentment and cut to the core emotion that needs to be validated.

This is no easy task, as it requires you to figuratively step up-and-out of the current conflict and to look and listen for what?s not being expressed.

The challenge is it does require you to suspend your own reactivity and defensiveness to be able to connect with the deeper needs of your partner.

Tip: When you find yourself in a conflict situation, pause for a moment and see if you can feel what else in the conversation your partner is not expressing.

To help you with this, remind yourself that your partner is in distress, but is not able to share the whole picture of the distress with you. Listen carefully for this and use your curiosity to find out what else is not being overtly shared.

7. Anticipate issues before they become issues

One of the most common major communication problems is that many current issues often could have been dealt with much earlier in the relationship, but weren?t.

Avoidance of speaking about small issues can often lead to the unresolved issues fostering and expanding over time. They can then explode later down the track and feel much bigger than they were to begin with.

Some of the reasons the small issues are avoided are because you may not want to ?rock the boat? when you think things are going relatively well. You may also have a belief that nothing good comes of raising complaints or issues.

The reality is, couples that seek to avoid conflict almost always end up in more conflict than they were trying to avoid in the first place.

Tip: Get into the habit of naming and flagging issues with each other, even when they are small. One of the ways to do this is to have a regular check-in where you meet on a regular basis to discuss current issues and check how your relationship is going.

Over time, this structure can help you feel more confident about your ability to effectively deal with conflict and disagreements.

Communication in a relationship is something that needs to be constantly attended to for the health of your relationship.

Start with the basics and establish rituals of communication and connection in your relationship to ensure the longevity of your love and connection with one another.

Now over to you. What communication basics would you add to this list?

Clinton Power is a Sydney-based Gestalt therapist and the owner of Clinton Power & Associates- a private practice dedicated to helping singles and couples move out of relationship pain. He is also the founder of?Australia Counselling Directory, a free directory for find counsellors and psychologists in Australia. Clinton is also a passionate coach and?consultant for healthcare professionals. Find him on Twitter @sydneytherapist.

photo credit: By?Ed Yourdon, via flickr creative commons

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Source: http://clintonpower.com.au/2012/11/communication-basics-simple-steps-improve-relationship/

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