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By: B. Esiel, M.B.A., M.B.B.S., M.H.S.

Associate Professor, Loyola University Chicago Stritch School of Medicine

The historical perception shapes time as an all encompassing dimension that obliges individ uals to 2 medications that help control bleeding buy generic domperidone 10mg line unify their temporality according to symptoms hypoglycemia cheap domperidone 10mg overnight delivery a uniformed meter and to medicine cabinet with lights generic 10 mg domperidone visa a teleological frame. In Bergson, time is defned from the point of view of our consciousness of duration. Time is the objectivation of breathing: singu lar respiration is framed in the co-respiration that we 310 name society. Society is the dimension in which sin gular durations are rearranged by a shared timeframe. Consciousness is located in time, but time is located in consciousness, as it can only be perceived and projected by consciousness. Time means duration of the streaming consciousness, projection of the dimension in which consciousness fows. The stream of consciousness, however, is not homogeneous: on the contrary, it is perceived and projected according to diferent rhythms, according to singular ritournelles, and eventually codifed in a regular way. In the industrial age, when the dom inant rhythm was over imposed onto the spontaneous vociferation of social subjects, power could be described as a code aligning diferent tempo-ralities, as all encom passing rhythm framing and entangling the singularity of ritournelles. Political sovereignty was the sound of law that silenced the noise proceeding from the social environment. Now, conversely, the construction of power is based on the boundless intensifcation of noise: social signifca tion is no more exchange and decoding of signifers, but saturation of listening, neural hyper-stimulation. While political order used to be the efect of the voice proclaiming law amid the silence of the crowd, contem porary post-political power is a statistical function that emerges from the noise of the crowd. Referring to the swarm-like behavior of the networked culture, Byung 311 Chul Han summarizes the transformation that has hap pened in the relation between power and information: According to Carl Schmitt, sovereignty is a matter of deciding when a state of exception holds. Sovereignty means being able to produce absolute quiet—eliminating all noise and making all others fall silent in a single stroke. On the contrary, it compels people to express themselves, it incites people to rise their voices up to the point of white noise. In the words of Han, shit storm is the prevailing form of social communication:3 Shitstorms occur for many reasons. And fnally: Following the digital revolution, we need to reformulate Schmitt’s words on sovereignty yet again: Sovereign is he who commands the shitstorms of the Net. Modern power 312 was based on the force to impose one’s own voice and to silence others: “Without the loudspeaker, we would never have conquered Germany,” wrote Hitler in 1938 in the Manual of German Radio. On the contrary it stimulates expres-sion, and draws rules of control from the statis tical elaboration of data emerging from the noise of the world. Music harmony chaos Music has played an ambiguous role in the formation of power, as Jacques Attali shows in his 1977 book Noise. All music can be defned as noise given form according to a code (in other words, according to rules of arrange ment and laws of succession, in a limited space, a space of sounds) that is theoretically knowable by the listener. It is not ‘a myth coded in sounds instead of words,’ but rather a ‘language without meaning. Music is deploying in time, nevertheless also the contrary is true: music is the weav er of time, as time is a projection of ritournelles. Rhythm is the mental elaboration of time, it is the common code that links together time perception and time projection. The way in which music elaborated the concept of harmony and laid the foundation for social representation is fundamental and premonitory […] Music, from the beginning transected by two conceptions of harmony, one linked to nature, the other to science, was the frst feld within which the scientifc determi nation of the concept would prevail; political economy would be its fnal victory. In the confict ual space of social life, harmony presents itself as a code that gives meaning to noise. Harmony is in a way the representation of an absolute relation between well-being and order in nature. In China as in Greece, harmony implies a system of measurement, in other words, a sys-tem for the scientifc, quantifed representation of nature. The conceptual framework of Bach is Leibnizian: the construction of sound is monadic and recombinant.

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Where a commander is fghting inside his own territory the situation is scattering; when the adversary’s land is shallowly penetrated it is simple; when the possession of the territory imports great advantage to medicine 8162 buy domperidone paypal either side it is disputed; when each side has liberty of movement it is open; when a state is enclosed by three other states in treatment 1-3 cheap 10mg domperidone with mastercard, the frst to symptoms diarrhea purchase 10 mg domperidone with amex gain control of it and gain the support of the majority of neighbouring states, it is intersecting; when the 324 Strategic Situations force has penetrated deep into the adversary’s land, leaving behind many enemy fortifcations that can challenge from the rear, it is dangerous; when the force encounters obstacles like mountains, swamps and forests, and the way is difcult, it is obstructed; when access is constricted, exit is circuitous and a small force can strike a larger one, it is surrounded; and when the force survives only if it fghts with the courage of desperation, the situation is deadly. In the frst stanza of the chapter Sun Tzu lists and then defnes the nine classic strategic situations that will generally be encountered in the process of ofensively manoeuvring a force. Tese are not physical positions as discussed in the previous chapter, but indicators of how the confict will develop with time. The nine situations together combine and describe three factors that impact all ofensive campaigns—the confict environment, the planning and execution of the ofensive, and one’s own capabilities relative to the adversary. Good strategy requires that a commander is able to respond comprehensively to any emerging situation. The frst requirement to formulate a successful strategy is for the commander to identify the situation. Since all confict situations are complex, it will be necessary to analyse and break them down to the basic elements to identify clearly the situation and understand the state of progress of the force within it. Sun Tzu provides defnitions and explanations for each situation to assist this process. Sun Tzu used the term scattering to indicate loss of unity and focus in the force; a breakdown of cohesion. This is most likely to happen when the nation is invaded and the confict takes place in one’s own territory, and there are multiple, simultaneous threats to be countered. In this situation, the adversary is on the ofensive and therefore has the initiative and also controls the tempo of operations. This is one of the fundamental reasons why a successful strategy is always built around the ofensive. Defending one’s own territory in air power terms involves the conduct of both active and passive air defence to start with and then waiting for the opportunity to initiate the ofensive. Air power’s fexibility can provide multiple responses simultaneously, thereby 2 Since there are nine situations to be considered, and the explanations are somewhat lengthy, the structure of the explanatory text has been changed in this chapter to ease the reader’s correlation of the two. For the next two stanzas, each situation has been expanded from the verse form and immediately thereafter provided with the air power related explanation. Even if no overall ofensive campaign is planned, it is necessary for the air campaign to assume an ofensive posture at the earliest opportunity to be able to provide comprehensive defence of the nation. The air commander should be able to discern the right time and identify the opportunity when the transition from the defensive to the ofensive should be made. This needs adequate and timely situational awareness to ensure decision superiority at the strategic level. Air power’s fexibility can provide multiple responses simultaneously Air campaign planning must always be ofensive The air commander must have adequate situational awareness to maintain strategic level decision superiority Simple Situation The second situation is ‘simple’. At the beginning of an ofensive campaign, when one’s own force holds the initiative, has adequate resources and is psychologically well prepared, the situation is simple. Further, the force would not have gone very deep into adversary territory, thereby making the advance easy. If this is combined with the element of surprise, this condition will last longer and deeper penetration into adversary territory will be easier than otherwise. However, the commander should anticipate the oncoming change to the situation as the adversary forces mobilise and commence the defence of their territory. Air power is perhaps the ideal military capability to assume the ofensive at the outset of a campaign. In fact, pre-emptive air attacks, when planned and executed with panache and without losing the element of surprise, have been historically seen to provide the ofensive force with an immediate advantage. In an ofensive campaign the frst quest must always be to establish control of the air, which will be easier and more sustainable over smaller areas as in this situation. Control of the air provides the joint force the necessary freedom of action to pursue broader campaign objectives. In the early stages of an ofensive air campaign it will be easier to neutralise adversary’s centres of gravity, considering that, in shallow incursions, air power will have lesser transit time and greater on-station time, maximising the element of surprise. Ofensive patrols went deep into German territory, often 10-15 miles behind the lines. Attacks were made on the German aircraft wherever and whenever they were encountered including the bombing of enemy aerodromes. While the basic aim of this ofensive was to maximise German losses, the more immediate reasons [sic] was the need to allow observation aircraft ‘elbow room’ to support the ground forces without enemy interference.

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Postpartum depression can affect any women atlas genius - symptoms cheap 10 mg domperidone amex, regardless of age treatment resistant schizophrenia purchase domperidone 10 mg line, race or economic background medicine prices order domperidone american express. It is not a character flaw or sign of personal weakness, and it does not mean there is anything wrong with your ability to be a mother. The exact cause of postpartum depression is not known, but certain chemical changes that take place in your body during and after pregnancy may contribute to it. It is more important to remember that postpartum depression is not your fault, it 75 does not mean you are a weak or inadequate person, and it could not have been avoided by “snapping out of it” or “pulling your self up by your bootstraps. You may feel as if you aren’t a good mother, or that the baby would be better off without you. These feelings may make you feel ashamed or frightened, and you may feel that you should hide them from your family and friends. However, it is important that you can tell someone, whether it is your health care provider, a family member, friend or clergy member, and that you seek help. You can feel better, and getting treatment early is the best thing you can do for yourself, your baby, and your family. Postpartum depression is not just “the baby blues,” a mild feeling of sadness after a baby is born that goes away on its own. If the “baby blues” don’t go away after 2 weeks, you could be suffering from postpartum depression, and should seek help. You need not feel ashamed of having an illness-or of any treatment you may need to feel better-any more than you would feel ashamed about having diabetes or asthma and taking medication to stay healthy. If you are reading this before the birth of your baby and you’re concerned about the possibility of developing postpartum depression, talk to your health care provider before your baby is due. Symptoms of postpartum depression may also begin to appear during pregnancy, discuss them with your doctor. It’s important to have a trusting relationship with your doctor or health care provider and feel confident in his or her skill, knowledge and interest in helping you. You should never feel intimidated by your doctor or feel as if you’re wasting his or her time. It’s also important to share all the information your health care provider needs to help you. Tell him or her about your medical history, all of your symptoms, and any medications or “natural” remedies you are using. A skilled and interested doctor should address all of your concerns, but you may have additional questions. If you have a lot of questions, write them down before your appointment and bring them with you. You may want to ask for extra time with the doctor when you schedule your appointment. If you are having trouble communicating with your health care provider or if you feel your needs are not being met, it is all right to look for another doctor who will be better able to help you. Some medications may pass into breast milk, but others are less likely to do so, and your doctor should have the information to help you decide which medication is best for both you and your baby, If you have to stop breastfeeding, it doesn’t mean you aren’t a good mother; it means you are taking care of yourself in order to be the best possible mother. Sometimes side effects go away on their own; other times it helps to change medication. Don’t become discouraged if you experience side effects-discuss them with your doctor and find out what other options you have. If one medication causes side effects or does not relieve your depression, another may work well and have fewer side effects. Never stop taking your medications or change your dosage without first discussing it with your doctor. Check with your doctor before using herbal, natural or over-the-counter remedies, because sometimes they can interfere with prescribed medication. Sometimes it can work alone; other times, symptoms of depression must be reduced through another method of treatment such as medication before psychotherapy can be effective.