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  1. 100 Notable Books of the Year The Book Review has selected this list from books reviewed since the Holiday Books issue of Dec. 5, 2004. Fiction & Poetry BEYOND BLACK. By Hilary Mantel. (John Macrae/Holt, $26.) Neurotic, demanding ghosts haunt a British clairvoyant in this darkly comic novel. A CHANGED MAN. By Francine Prose. (HarperCollins, $24.95.) A neo-Nazi engages a Jewish human rights leader in this morally concerned novel, asking for help in his effort to repent. COLLECTED POEMS, 1943-2004. By Richard Wilbur. (Harcourt, $35.) This urbane poetry survived the age of Ginsberg, Lowell and Plath. EMPIRE RISING. By Thomas Kelly. (Farrar, Straus & Giroux, $25.) A muscular historical novel in which the Irish erect the Empire State Building in a cheerfully corrupt New York. ENVY. By Kathryn Harrison. (Random House, $24.95.) A psychoanalyst is unhappy but distant until Greek-tragedy things start happening in this novel by an ace student of sexual violation. EUROPE CENTRAL. By William T. Vollmann. (Viking, $39.95.) A novel, mostly in stories, of Middle European fanaticism and resistance to it in the World War II period. FOLLIES: New Stories. By Ann Beattie. (Scribner, $25.) This keen observer of the surface of life now slows down for an occasional epiphany. HARRY POTTER AND THE HALF-BLOOD PRINCE. By J. K. Rowling. Illustrated by Mary GrandPr?. (Arthur A. Levine/ Scholastic, $29.99.) In this sixth volume of the epic series, the Dark Lord, Voldemort, is wreaking havoc throughout England and Harry, now 16, is more isolated than ever. HOME LAND. By Sam Lipsyte. (Picador, paper, $13.) Lipsyte's antihero, a loser but unbowed, asserts in endless letters to his alumni magazine that all the others are losers too. THE HOT KID. By Elmore Leonard. (Morrow, $25.95.) Many seek fame in this rendering of America's criminal landscape in the 1930's; the title character, a killer lawman, achieves it. HOW WE ARE HUNGRY: Stories. By Dave Eggers. (McSweeney's, $22.) A shining miscellany peopled by characters in close touch with childhood. IN CASE WE'RE SEPARATED: Connected Stories. By Alice Mattison. (Morrow/HarperCollins, $23.95.) The stories concern a family whose members couldn't lose each other if they tried. INDECISION. By Benjamin Kunkel. (Random House, $21.95.) This postmodern, posteverything, fresh and funny novel by a young writer seems to develop a nonironic social conscience. KAFKA ON THE SHORE. By Haruki Murakami. (Knopf, $25.95.) Two characters alternate in this dreamish novel: a boy fleeing an Oedipal prophecy and a witless old man who can talk to cats. LUNAR PARK. By Bret Easton Ellis. (Knopf, $25.) A novel starring a brat named Bret Easton Ellis, who knows everybody and has more fun than ever happens to real people. MAPS FOR LOST LOVERS. By Nadeem Aslam. (Knopf, $25.) Unhappy Pakistani exiles in a cold, hard Britain populate this intricate novel. THE MARCH. By E. L. Doctorow. (Random House, $25.95.) Characters in this absorbing novel are transformed by distress and destruction as Sherman marches to the sea in 1864. MEMORIES OF MY MELANCHOLY WHORES. By Gabriel Garc?a M?rquez. (Knopf, $20.) A strange and luminous novel whose elderly hero pays for sex but finds love. MIGRATION: New and Selected Poems. By W. S. Merwin. (Copper Canyon, $40.) Half a century's work, from archaic allegories to unpointed lyrics to secular prophecy and wisdom verses. MISSING MOM. By Joyce Carol Oates. (Ecco/ HarperCollins, $25.95.) This novel peers into the void left by a woman's sudden absence. MISSION TO AMERICA. By Walter Kirn. (Doubleday, $23.95.) In his new novel, Kirn invents a religion whose believers hit the road to recruit. MOTHER'S MILK. By Edward St. Aubyn. (Open City, $23.) In this novel an ancient family's sins are visited on its offspring, who repeat them. NATURAL HISTORY: Poems. By Dan Chiasson. (Knopf, $23.) This second collection conjures a postmodern landscape where folk knowledge and superstitions arrange into oddly moving litanies. NEVER LET ME GO. By Kazuo Ishiguro. (Knopf, $24.) This bold novel imagines a school where clones are trained for a terrible destiny. NO COUNTRY FOR OLD MEN. By Cormac McCarthy. (Knopf, $24.95.) Women grieve, men fight in this hard-boiled Texas noir crime novel. ON BEAUTY. Zadie Smith. (Penguin Press, $25.95.) The author of ''White Teeth'' pounces on a place like Harvard in a cultural-politics comedy. OVERLORD: Poems. By Jorie Graham. (Ecco/HarperCollins, $22.95.) Politics and World War II, mediated by a major poet. THE PAINTED DRUM. By Louise Erdrich. (HarperCollins, $25.95.) A ceremonial drum is magically linked to children and death in Erdrich's latest novel set among the Ojibwa. PLEASE DON'T COME BACK FROM THE MOON. By Dean Bakopoulos. (Harcourt, $23.) When the fathers in the Rust Belt town of this novel abandon it en masse, their sons take over. PREP. By Curtis Sittenfeld. (Random House, $21.95.) A scholarship girl at a nifty prep school is thrust into a world of privilege in this novel. SATURDAY. By Ian McEwan. (Nan A. Talese/Doubleday, $26.) This novel traces a day off in the life of an English neurosurgeon who comes face to face with senseless violence. THE SEA. By John Banville. (Knopf, $23.) Banville's new novel, which won this year's Man Booker Prize, concerns an aging art critic mourning his wife's recent death - and his blighted life. SEVEN TYPES OF AMBIGUITY. By Elliot Perlman. (Riverhead, $27.95.) An Australian novel so large in its concept of fiction's grasp on the world it takes seven narrators just to tell it. SHALIMAR THE CLOWN. By Salman Rushdie. (Random House, $25.95.) Beauty loses out as Kashmir and Rushdie's characters who live there turn brutal. SLOW MAN. By J. M. Coetzee. (Viking, $24.95.) Crippled at 60 in a car-bike accident, instructed willy-nilly by a know-it-all female novelist, Coetzee's hero studies the diminished life. STAR DUST. Frank Bidart. (Farrar, Straus & Giroux, $20.) The fastidious and the primal join in poems concerned with man as maker. THE SUCCESSOR. By Ismail Kadare. (Arcade, $24.) A whodunit tragicomedy by Albania's pre-eminent novelist, about a loyal Communist who dies before succeeding to power in that unlucky land. TOWELHEAD. By Alicia Erian. (Simon & Schuster, $22.) A bluntly erotic novel whose narrator's budding sexuality gets her driven from home. VERONICA. By Mary Gaitskill. (Pantheon, $23.) A novel that ruminates on beauty and cruelty, told by a former Paris model now sick and poor. Nonfiction THE ACCIDENTAL MASTERPIECE: On the Art of Life and Vice Versa. By Michael Kimmelman. (Penguin Press, $24.95.) A study of the unpredictable, by the chief art critic of The Times. AHMAD'S WAR, AHMAD'S PEACE: Surviving Under Saddam, Dying in the New Iraq. By Michael Goldfarb. (Carroll & Graf, $25.95.) A memoir of a good man murdered for his decency. AMERICAN PROMETHEUS: The Triumph and Tragedy of J. Robert Oppenheimer. 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Sherwin. (Knopf, $35.) The first full biography of the atom bomb's father -- rich in new revelations. ARE MEN NECESSARY? When Sexes Collide. By Maureen Dowd. (Putnam, $25.95.) The Times's twice-a-week Op-Ed columnist for the last decade expands her observations on the gender situation, from the Y chromosome up. ARMAGEDDON: The Battle for Germany, 1944-1945. By Max Hastings. (Knopf, $30.) Though obviously beaten, the Germans wouldn't give up; an experienced journalist pursues the apparent paradox. THE ASSASSINS' GATE: America in Iraq. By George Packer. (Farrar, Straus & Giroux, $26.) The New Yorker reporter reviews the pride and ignorance he blames for the war. THE BEATLES: The Biography. By Bob Spitz. (Little, Brown, $29.95.) Spitz's broad, incisive chronicle breathes new life into the familiar story of the Liverpool boys who conquered the entertainment world. BECOMING JUSTICE BLACKMUN: Harry Blackmun's Supreme Court Journey. By Linda Greenhouse. (Times Books/Holt, $25.) A Times correspondent tells how a Minnesota lawyer became the author of the Roe v. Wade decision. BEYOND GLORY: Joe Louis vs. Max Schmeling, and a World on the Brink. By David Margolick. (Knopf, $26.95.) A heavyweight chronicle of good's symbolic clash with evil in the ring. BOSS TWEED: The Rise and Fall of the Corrupt Pol Who Conceived the Soul of Modern New York. By Kenneth D. Ackerman. (Carroll & Graf, $27.) The colorful master of graft, our greatest. BREAK, BLOW, BURN. By Camille Paglia. (Pantheon, $20.) Smart, lively essays on 43 poems, written without ego for a popular audience. BURY THE CHAINS: Prophets and Rebels in the Fight to Free an Empire's Slaves. By Adam Hochschild. (Houghton Mifflin, $26.95.) How the struggle availed, especially when black Haitian armies beat white French and British ones. COLLAPSE: How Societies Choose to Fail or Succeed. By Jared Diamond. (Viking, $29.95.) In ''Guns, Germs, and Steel'' (1997), Diamond speculated on how the world reached its present pecking order of nations; his latest book examines geographic and environmental reasons some societies have fallen apart. CONSPIRACY OF FOOLS: A True Story. By Kurt Eichenwald. (Broadway, $26.) A meticulous dissection of the rise and fall of Enron by a correspondent for The New York Times. DE KOONING: An American Master. By Mark Stevens and Annalyn Swan. (Knopf, $35.) An exploration at length of de Kooning's life and work and their role in art's midcentury upheaval. DREAM BOOGIE: The Triumph of Sam Cooke. By Peter Guralnick. (Little, Brown, $27.95.) This exhaustive biography surrounds Cooke in the overlapping worlds of gospel, the civil rights movement and rock 'n' roll. ELIA KAZAN: A Biography. By Richard Schickel. (HarperCollins. $29.95.) The stranger-than-fiction life story of the distinguished stage and screen director. AN END TO SUFFERING: The Buddha in the World. By Pankaj Mishra. (Farrar, Straus & Giroux, $25.) An intellectual autobiography: what Mishra has learned from the Buddha's legacy. 1491: New Revelations of the Americas Before Columbus. By Charles C. Mann. (Knopf, $30.) This sweeping portrait of pre-Columbian civilization argues that it was far more populous and sophisticated than previously thought. FREAKONOMICS: A Rogue Economist Explores the Hidden Side of Everything. By Steven D. Levitt and Stephen J. Dubner. (Morrow, $25.95.) A maverick scholar and a journalist apply economic thinking to everything from sumo wrestlers who cheat to legalized abortion and the falling crime rate. GARBAGE LAND: On the Secret Trail of Trash. By Elizabeth Royte. (Little, Brown, $24.95.) A chronicle of the weird stuff that happens to what we discard. THE GLASS CASTLE: A Memoir. By Jeannette Walls. (Scribner, $25.) Walls and her three sibs, dragged all over the country by damaged parents, thought it a glorious adventure. Tough kids. A GREAT IMPROVISATION: Franklin, France, and the Birth of America. By Stacy Schiff. (Holt, $30.) A wise account of Benjamin Franklin's diplomatic brilliance, revealed in Paris at 70. IN COMMAND OF HISTORY: Churchill Fighting and Writing the Second World War. By David Reynolds. (Random House, $35.) How a very busy man and a staff of busy assistants managed to turn out six volumes in 1948-54. JEAN-JACQUES ROUSSEAU: Restless Genius. By Leo Damrosch. (Houghton Mifflin, $30.) A life of the self-taught Swiss who proclaimed the noble savage and denounced conventional social distinctions. JOHN KENNETH GALBRAITH: His Life, His Politics, His Economics. By Richard Parker. (Farrar, Straus & Giroux, $35.) The career of a public intellectual, ambassador and aphorist. LADIES AND GENTLEMEN, THE BRONX IS BURNING: 1977, Baseball, Politics, and the Battle for the Soul of a City. By Jonathan Mahler. (Farrar, Straus & Giroux, $25.) A narrative that captures New York City's about-face from rot to rehab. THE LETTERS OF ROBERT LOWELL. Edited by Saskia Hamilton. (Farrar, Straus & Giroux, $40.) Confessions, opinions and other people's secrets animate these missives from a fine poet. LINCOLN'S MELANCHOLY. By Joshua Wolf Shenk. (Houghton Mifflin, $25.) In an era before the relentless good cheer and glad-handing of modern politicians, Lincoln passed through shadows to triumph. THE LOST PAINTING. By Jonathan Harr. (Random House, $24.95.) The adventures of Caravaggio's ''Taking of Christ,'' painted in 1602, rediscovered by scholar-hunters in 1990. MADE IN DETROIT: A South of 8-Mile Memoir. By Paul Clemens. (Doubleday, $23.95.) Clemens (born in 1973) recalls growing up working-class white in a black city losing both people and jobs. MAO: The Unknown Story. By Jung Chang and Jon Halliday. (Knopf, $35.) A huge, meticulously researched biography that paints Chairman Mao in authentic Hitler-Stalin 20th-century hues. MARK TWAIN: A Life. By Ron Powers. (Free Press, $35.) A wise and lively biography of an American paradox, always lively, rarely wise. MATISSE THE MASTER: A Life of Henri Matisse. The Conquest of Color, 1909-1954. By Hilary Spurling. (Knopf, $40.) The final volume of a huge, careful study of a 20th-century wizard. MIRROR TO AMERICA: The Autobiography of John Hope Franklin. (Farrar, Straus & Giroux, $25.)A riveting and bitterly candid memoir by a seminal African-American scholar, raised and educated in an era of stifling race prejudice. NEW ART CITY. By Jed Perl. (Knopf, $35.) The art critic of The New Republic explores heroic Abstract Expressionism and its cool, empirical successors in New York. NIGHT DRAWS NEAR: Iraq's People in the Shadow of America's War. By Anthony Shadid. (Holt, $26.) An Arabic-speaking reporter on life in the Red Zone, outside American control. OH THE GLORY OF IT ALL. By Sean Wilsey. (Penguin Press, $25.95.) A coming-of-age memoir by a writer so skillful his account of his sufferings as a rich kid never becomes insufferable. OMAHA BLUES: A Memory Loop. By Joseph Lelyveld. (Farrar, Straus & Giroux, $22.) A memoir of a complicated childhood by a former executive editor of The Times. 102 MINUTES: The Untold Story of the Fight to Survive Inside the Twin Towers. By Jim Dwyer and Kevin Flynn. (Times Books/Holt, $26.) A skilled reconstruction by writers of The Times. THE ORIENTALIST: Solving the Mystery of a Strange and Dangerous Life. By Tom Reiss. (Random House, $25.95.) The bold writer and impostor Lev Nussimbaum (Kurban Said) (Essad Bey) and his lives from 1905 to 1942. OUR INNER APE: A Leading Primatologist Explains Why We Are Who We Are. By Frans de Waal. (Riverhead, $24.95.) De Waal addresses the similarities between humans and their closest relatives, bonobos and chimpanzees. POSTWAR: A History of Europe Since 1945. By Tony Judt. (Penguin Press, $39.95.) An inquiry into why the condition of Europe is so much better than anyone would have dared hope in 1945. THE PRINCE OF THE CITY: Giuliani, New York and the Genius of American Life. By Fred Siegel with Harry Siegel. (Encounter, $26.95.) Giuliani seen as the Machiavellian prophet of an alternative urban policy and as an eligible president. THE RISE OF AMERICAN DEMOCRACY: Jefferson to Lincoln. By Sean Wilentz. (Norton, $35.) A clear, readable and monumental narrative work of scholarship, full of rich detail. THE RIVER OF DOUBT: Theodore Roosevelt's Darkest Journey. By Candice Millard. (Doubleday, $26.) A vibrant retelling of Roosevelt's postelection expedition through the Rio da D?vida; what was supposed to be a well-provisioned safari became instead a survey of an uncharted capillary of the Amazon. 1776. By David McCullough. (Simon & Schuster, $32.) A lively work that skewers Washington's pretensions and admires citizen soldiers. SPOOK: Science Tackles the Afterlife. By Mary Roach. (Norton, $24.95.) A diligent, cheerful account of efforts to learn whether science can show that there is (or isn't) life after death. THE SURVIVOR. By John F. Harris. (Random House, $29.95.) An assessment of Bill Clinton's performance in the White House; by a reporter for The Washington Post. A TALE OF LOVE AND DARKNESS. By Amos Oz. (Harcourt, $26.) A memoir by the Israeli novelist, mourning the death of his mother long ago and the demise of the socialist Zion in his own time. TEAM OF RIVALS: The Political Genius of Abraham Lincoln. By Doris Kearns Goodwin. (Simon & Schuster, $35.) An elegant, incisive study of Lincoln through his relationships with his former political rivals turned cabinet members. THE TENDER BAR: A Memoir. By J. R. Moehringer. (Hyperion, $23.95.) As an only child abandoned by his father, the author found an adoptive family in a Long Island bar (now defunct). THEATRE OF FISH: Travels Through Newfoundland and Labrador. By John Gimlette. (Knopf, $25.) Gimlette explores the provincial psyche by journeying through the barren regions whose chief resource, fish, has departed. TULIA: Race, Cocaine, and Corruption in a Small Texas Town. By Nate Blakeslee. (PublicAffairs, $26.95.) How 38 people, mostly black, were convicted of grave drug charges on virtually no evidence but the word of a single cop. VINDICATION: A Life of Mary Wollstonecraft. By Lyndall Gordon. (HarperCollins, $29.95.) A biography of the brilliant early feminist. A WAR LIKE NO OTHER: How the Athenians and Spartans Fought the Peloponnesian War. By Victor Davis Hanson. (Random House, $29.95.) The fate of Athens, the superpower of its day, after it tried to export its political system to the rest of the Greek world. WARPED PASSAGES: Unraveling the Mysteries of the Universe's Hidden Dimensions. By Lisa Randall. (Ecco/HarperCollins, $27.95.) From a Harvard physicist, advanced cosmological theories for lay folk who are a bit baffled by the idea of 10 dimensions. WITHOUT APOLOGY: Girls, Women, and the Desire to Fight. By Leah Hager Cohen. (Random House, $24.95.) Cohen thoughtfully tracks girls' boxing till she herself is converted to pugilism. WODEHOUSE: A Life. By Robert McCrum. (Norton, $27.95.) The prolific, industrious creator of Jeeves and oh so many dear others. THE WORLD IS FLAT: A Brief History of the Twenty-First Century. By Thomas L. Friedman. (Farrar, Straus & Giroux, $27.50.) The New York Times columnist maps the next phase of globalization as technological forces level the world's economic playing field. THE YEAR OF MAGICAL THINKING. By Joan Didion. (Knopf, $23.95.) A powerful, persuasive account of the crisis of mortality after the sudden death of the author's husband.
  2. Competition freaks You know them, those people who just have to win. Now scientists are finding out what's behind the drive -- motivation, control, evolution -- and are trying to help. By Marianne Szegedy-Maszak "WINNING isn't everything," Vince Lombardi famously said. "It's the only thing." For a particular group of competitors, Lombardi's one-liner is less a wry comment on cutthroat athletic competition than a simple fact of life. In boardrooms and bedrooms, in playing fields and universities, the hypercompetitive person appears ? transforming even the most trivial transaction into a ruthless face-off with a winner and a loser. We know it when we see it. The squash champion father who introduces his 12-year-old son to the game by beating him 15 to 0, three games in a row. The ruthless queen bee who dominates her social group with cattiness and designer everything. The out-of-control soccer mom berating the referee from the sidelines; the husband banned from playing family board games because he ruins the game when he wins ? and ruins the entire evening when he loses. Today, a broad array of recent psychological research has led some researchers to conclude that hypercompetitiveness resembles a diagnosable mental disorder ? a volatile alchemy of obsessive compulsiveness, narcissism, neurosis and sometimes a dose of paranoia. Psychologists have even linked the hypercompetitive personality to such seemingly disparate conditions and behaviors as road rage, drunk driving, eating disorders, addiction and depression. It's a style and temperament that affects all other relationships and which, over time, becomes fundamentally impairing, causing fractured families, social isolation and even the disintegration of careers. Psychologists, therapists and psychiatrists are examining the forces that may create these personalities, and trying to figure out ways to better help them. Such win-at-all-costs behavior may be unsettling but, truth be told, it's not so very far from what our culture views as laudable. "We define the American dream as people pulling themselves up by their bootstraps," says Steven Eickelberg, a Paradise Valley, Ariz., psychiatrist who specializes in the psychology of high-performance competitors and whose clients include high-profile athletes and business executives. "But how many people do we walk over to be successful? When is this kind of competition admirable, and when is it pathological?" Nearly every day a story appears about a hypercompetitor dragging a company, or a team, or simply himself into a terrible mess. Only this month, Philadelphia Eagles wide receiver Terrell Owens was benched despite his magnificent performance while injured in the Super Bowl. Too many other times, his behavior was characterized by belligerence and vocal demands for attention. Owens recently complained that he didn't receive sufficient recognition for his 100th career touchdown reception during a game against the San Diego Chargers on Oct. 23. And when he thought that other players had been talking about him behind his back, he stormed into the locker room and challenged them to a fight. In fact, the pantheon of the hypercompetitive in American sports and business is littered with examples of bad behavior. In 1978, Oakland Raiders defensive back Jack Tatum, nicknamed "the assassin," hit another player so hard he became a quadriplegic. He not only didn't apologize but justified his action saying, "It was a clean hit." Then there's Albert J. Dunlap, a notorious chief executive who referred to himself as "Rambo in pinstripes." Dunlap's Agent Orange management style ? which earned him the nickname "Chainsaw Al" ? involved firing thousands of employees, demeaning anyone who disagreed with him and plowing through the company's assets. His actions helped bring Sunbeam Corp., which he took over in 1996, from a $1-billion company to Chapter 11 bankruptcy. At the core of every massive corporate unraveling, whether it is Sunbeam, Enron or the Helmsley Hotels, sits a hypercompetitive manager or CEO, says Barbara Kellerman, research director for the Center for Public Leadership at Harvard's John F. Kennedy School of Government and author of the 2004 book "Bad Leadership: What It Is, How It Happens, Why It Matters." "At a minimum, those whose competitiveness makes their reach exceed their grasp are ineffective and unethical; at a maximum they are downright detrimental to society," Kellerman says. Even without such public wreckage, there is something unsettling, even alienating, about the person who just can't seem to turn it off ? for whom a game of Candyland with the kids is played with the same intensity as a championship tennis match. Hypercompetitiveness may be behaviorally inevitable, says UCLA evolutionary biologist Jay Phelan. That's because some degree of competitiveness is a very human trait. "We are built for always wanting to do a little bit better and accumulate more," says Phelan, coauthor of the 2000 book "Mean Genes: From Sex to Money to Food, Taming Our Primal Instincts." As humans, we have evolved to be competitive, he says. But some people are at the extreme end of the spectrum and compete to extremes. Because the world today is so much more complex, Phelan says, we have myriad more ways to compete ? when we drive, shop and work and through the clothes we wear, the houses we buy, even the friends we have. But there's a difference in degree and tone between being competitive and hypercompetitive ? one that clinicians believe may be rooted in questions of motivation, self-control and self-worth. Driving forces Psychologists have long understood that the source of motivation for everyone ? athletes, dieters, you name it ? can be rooted in either an internal quest for excellence or an external motivator such as a trophy, money or fawning recognition from others. Internally motivated people are less likely to be hypercompetitive. They lack that constant push for recognition. In contrast, studies suggest that external motivation is central to the hypercompetitive psyche. A 2003 study of 319 young athletes in Texas underscores the influence of these inner and outer types of motivation. Published in the Journal of Psychology, it tried to predict from questionnaires whether an athlete would be a good sport, a graceful loser, a good team player, and someone eager to learn from mistakes and losses rather than acting defensively or angrily. The researchers found that sportsmanship didn't relate to what the sport or activity was, or even how intensely competitive the event might be. What mattered were qualities associated with internal motivation ? such as enhanced self-esteem and a desire not to win but to master the task. In contrast, the athletes who said in a questionnaire that they participated in sports for external rewards such as social status and beating a competitor also scored as less sportsmanlike. They were also far less effectively competitive, losing focus and lacking internal self-discipline. Those who are externally motivated often think "their self-worth is contingent on winning," says John Tauer, a professor of psychology at the University of St. Thomas in St. Paul, Minn., who has studied achievement and internal motivation. "When they start any activity, their first thought is, 'I need to win.' " Motivation isn't the only thing that shapes a pathological competitor. Another noxious ingredient may be needed, according to a study published in the Journal of Personality Assessment in 1997. Richard Ryckman, a psychologist from the University of Maine, and coauthors conducted psychological surveys of hypercompetitive and healthily competitive undergraduates. They found that both groups scored high on measures of achievement and striving for an exciting, challenging life. The answers of the hypercompetitive people, however, indicated that they valued "power and control over others." Their responses, unlike those of the healthy competitors, also exhibited lack of care and respect for others. "The gist of this kind of competition is self-aggrandizement at the expense of others," Ryckman says. Contrast this with the mind-set of world-class competitor Lea Antonopolis-Inouye, now a financial planner in Huntington Beach, who played professional tennis from 1977 to 1988. In 1977, she was the junior Wimbledon champion. She played Wimbledon for the next 10 years, and competed in the U.S. Open and the French Open. As a head tennis pro at a private tennis club for two years, Antonopolis-Inouye says, she was confronted day after day with an abundance of noxious competitiveness. People jockeying for particular courts and trainers. Erasing names from the roster of practice courts and replacing them with others. She recalls one man at a tournament loudly demanding a forfeit because another team was 15 minutes late for a match. After a relentless half-hour, Antonopolis-Inouye gave his team the win he wanted. Yet, she says, real victory, the one that she tasted on the Center Court in Wimbledon as a junior, "is a by-product of super-hard work and dedication and being driven to perfection?. You can't just win. You have to forget about winning and work on other things." On the professional tennis circuit, Antonopolis-Inouye befriended such stars as Chris Evert and Steffi Graf, and observed that their competitive greatness was not predicated on a simple need to win or a fiercely competitive nature. Their goal, instead, was to achieve perfection of play and execution for themselves. "The most successful athletes that I have known have absolutely no irrational competitiveness," she says. Antonopolis-Inouye is speaking a foreign emotional language for the hypercompetitive person. After all, there is no doubt that being hypercompetitive often pays ? and sometimes handsomely. Those punctual tennis players at the private club notched a win on their rosters. Former Tyco International CEO L. Dennis Kozlowski, superstar athlete Michael Jordan, even the imperious hotelier Leona Helmsley all have been held up as examples of hypercompetition by those who study the trait, and all reached stratospheric heights of money and influence. (Until, for Kozlowski and Helmsley, the fall came.) "The take-no-prisoners competitors can be very successful much more rapidly than win-win competitors, mainly because they are obsessed, single-track and totally focused on their own desired result," says Denis Waitley, former chairman of psychology for the U.S. Olympic Committee's Sports Medicine Council and president of the Waitley Institute in Rancho Santa Fe. Why's it so bad for people, then? "The problem? This obsession on winning and beating the competition becomes a reflex habit," Waitley says. That reflex is extremely difficult to control. Stuart Krohn, coach for the Santa Monica Rugby Club, recalls of his former hypercompetitiveness that "everything was a battleground ? a ping-pong table, a conversation. I could feel the blood start to rush, and I could feel myself reacting to something that I shouldn't have reacted to." Even as a kid, he says, "it was all about winning." Krohn's competitive nature did reap returns. He played rugby internationally for decades, winning two world championships. Now 43, he led the Santa Monica club to win, last season, its first national championship in more than 20 years. But, he says, he also had to win every argument with his girlfriend, turned conversations at dinner parties into intense competitions, and nurtured a rage and hatred for other teams and referees that was sometimes overwhelming. Relationship troubles Hypercompetitive people typically may succeed in many parts of their lives, but interpersonal, especially intimate, relations are often deeply troubled, says psychiatrist Eickelberg. A 2002 study in the Journal of Social and Clinical Psychology examined romantic relationships of hypercompetitive people and found these people "reported lower levels of honest communication with the partner, greater infliction of pain on him or her, stronger feelings of possessiveness, higher levels of mistrust, stronger needs to control their partner, lower ability to take their perspective, and higher levels of conflict." Despite this list of problems, hypercompetitors tend to lack both insight and empathy and rarely enter the door unless a crisis or an ultimatum shoves them through it, psychologists say. It typically happens in middle age. Many, Eickelberg says, enter his office and announce, "My wife said I had to come." Others see enormous successes and achievements interrupted by jarring moments of reckoning: burnout, depression, divorce, a rift with a child, hitting a wall. A wake-up call eventually intrudes on the self-absorbed drive to win. Clinicians who work with hypercompetitive individuals say treatment is a long, hard, therapeutic slog. When winning has been paramount for one's entire life, the therapeutic dialogue is likely to be characterized by anger, challenges and endless jockeying for dominance with the therapist. The very dynamics that a spouse or partner in life found intolerable are in florid display in a therapeutic setting. The empathy gulf can be huge. Eickelberg sometimes asks his patients to figure out what a spouse is thinking or feeling. "I often get the response, 'I drew a blank' or 'I think she was doing good.' ? Gradually you see that these are people who probably lack a healthy capacity to understand other people. And that is where you begin." Slowly, through a combination of good old-fashioned talk and behavioral therapy, a transformation can gradually take place. A hypercompetitor decides to volunteer in a school for disadvantaged kids, or devotes less time to the office, or reaches out to a spouse or a child in ways that were impossible before. This is not to say that all hypercompetitors will always come to some moment of truth. Kellerman, of the Center for Public Leadership, says: "There is no inevitability that these people have to fall in some way. We know that for every person who is caught, or who faces some great trauma in their lives, there are scores of others who don't." Life did change for Krohn ? in his 35th year. His girlfriend dumped him, he says, because he was so intensely competitive with her. Then another thing happened that opened his eyes: A younger, less-experienced teammate was badly injured in a scrum. Only miraculous medical care prevented him from becoming a quadriplegic. Krohn visited his teammate in the ICU every day. "This guy was ? fighting for his life, and I sat there with a lot of time to think," he recalls. "I finally realized that this is a game. I realized that everybody is not against me and life is not a full-time competitive arena." Krohn hasn't turned into a pussycat: He's still a "yeller" at practice and on the sidelines. Team members say he pushes players sometimes to the breaking point. But he has now been happily married for two years and says he approaches competition in a very different way today than he did eight years ago. In addition to coaching the Santa Monica rugby team, he is one of the founding teachers, and of course rugby coach, at View Park Prep Charter School in the Crenshaw district. He says with some pride that they haven't won a game in three years and they attract the kids who aren't doing other sports. "When I'm coaching the kids, I don't focus on winning above their character and their attitude toward the sport," he says. "They have to get that right first." He pauses briefly. "I didn't get that when I was a kid."
  3. When the Doctor Is in, but You Wish He Weren't By GINA KOLATA Joanne Wong's doctor correctly figured out what was wrong with her. But he would not tell her. Ms. Wong, a software engineer in Sunnyvale, Calif., was having abdominal pain and nausea. Her doctor told her to have a blood test, then ushered her out of his office, ignoring her when she asked what the test was for. "The test came back, and he said I have a virus," Ms. Wong said. "He said, 'Take this medicine for two weeks.' I asked, 'What kind of virus do I have? How did I get it?' But he just said, 'Take the medicine and come back in two weeks.' " Two weeks later, she still felt ill. "He said, 'You're fine, you're fine,' " Ms. Wong said. "I said, 'At least tell me the name of the virus.' " But, she said, "He just patted my shoulder and sent me out," telling her to return in three months for another blood test. Perhaps, Ms. Wong said, the doctor did not want to spend the time to talk to her, or perhaps he was put off by her Chinese accent and thought she would not understand. In any event, she never returned to that doctor. When she got her medical records, she learned that she had had hepatitis A, a viral liver infection. Ms. Wong had come across a bane of the medical profession: the difficult doctor. These doctors may be arrogant or rude, highhanded or dismissive. They drive away patients who need help, and some have been magnets for malpractice claims. And while such doctors have always been part of medicine, medical organizations say they fear that they are increasingly common - doctors, under pressure to see more patients, are spending less and less time with each one and are replacing long discussions with laboratory tests and scans - and that most problem doctors apparently have no idea of their patients' opinions of them. Patients usually do not confront doctors. Instead, most rant to friends or family members about their experiences or simply change doctors. But in most areas of the country, there is an abundance of patients. If a few patients leave a medical practice, plenty more can take their place, so doctors may never even know what their patients think. "The reality is that a lot of these doctors don't have a source of objective comments," said Dr. John Freedman, the medical director for quality management at the Tufts Health Plan in Massachusetts, which includes 18,000 doctors. But now some medical groups are taking steps to address the problem, questioning patients and going so far as to dock the pay of doctors whose patients give them poor ratings. At the Rochester Independent Practice Association in New York, with 3,000 doctors, patients are surveyed, and their satisfaction scores can account for 20 percent of a doctor's pay. At Tufts Health Plan, 3,000 to 4,000 doctors had all or part of their bonuses withheld last year because their patients did not rate them highly, said Richard Lynch, the plan's vice president of network contracting. In California, said Dr. Ronald Bangasser, the past president of the California Medical Association, eight major health insurers have a new program in which they divide $30 million among 35,000 physicians depending on how their patients rate them. "It could be $3,000, $4,000 or $5,000 per physician," Dr. Bangasser said. "That would get their attention." Dr. Beth A. Lown, an assistant professor of medicine at Harvard Medical School and the immediate past president of the American Academy of Physicians and Patients, said: "This goes to the heart of medicine - the skillful enactment of communication and a truly heartfelt understanding of the patient's circumstances. And it seems to have gotten lost as doctors get involved in medical systems that prioritize speed and technology. Increasingly, people are relying on tests instead of talking to patients." Patients say the problems come in many guises. The arrogant or dismissive doctor. The impatient doctor with his hand on the doorknob. The patronizing doctor. Or, as one young woman experienced, the doctor who is callous and judgmental. The woman, who lives in Washington, asked not to be identified because she did not want her mother to know about her sex life. Her problem doctor was a new gynecologist she saw for a routine checkup. The doctor began the examination, inserting a speculum into the young woman's vagina. "She asked if I was sexually active," the woman said. "I said I was. She asked if I was sexually active at this moment. I said yes." Leaving the speculum in, and the woman with her feet in the stirrups, legs spread, the gynecologist walked to the head of the exam table and proceeded to lecture her on the perils of sexual activity outside of marriage. "I was so humiliated and so scared," the woman said. "And so embarrassed." Other times the doctor seems indifferent. That was the experience of Gloria Erlich, a writer who lives in Princeton, N.J., who saw a neurosurgeon for back pain. He told Mrs. Erlich she needed a myelogram, a scan of the spine that requires a spinal tap to inject dye into the spinal cord. She told him that she had had one, at his request, just a few months before and that the films should have been with her medical records. But the doctor said he could not locate them and asked her to have another one. Months went by, with the doctor telling Mrs. Erlich he could do nothing for her without a myelogram and her saying she had had one and asking why he could not just find it. Finally, she said that perhaps she should contact a lawyer. "Within half an hour, they found it," she said. "It was irretrievable until I said the word 'lawyer.' " "It may have been busyness," she said, "but it seemed to me a matter of indifference: why bother searching for something when the patient can just repeat the test? Indifference to the pain and risk for me, indifference to the very substantial cost of the test for Medicare." She changed doctors. Mrs. Erlich's doctor may never learn how irritating he was. Most doctors do not, said Dr. Richard Frankel, a professor of medicine and geriatrics at Indiana University who teaches medical faculty how to communicate with patients. Even doctors who have bad experiences when they see a doctor rarely speak up, Dr. Frankel said. "You hear their sad story," he said, referring to doctors who have been patients, "and then you ask, 'Well, did you say anything to the person who was offensive to you or treated you poorly?' Ninety-nine point nine percent of the time the answer is no." One reason, of course, is fear of offending the doctor and getting poorer treatment from then on. But doctors who are rated by their medical groups are forced to confront the evidence, and often are asked to get help or are coerced into it. For example, said Dr. Bangasser, doctors at his group, the Beaver Medical Group in Redlands, Calif., who get low patient satisfaction scores have been asked to shadow successful doctors to learn their ways. For other doctors, there are counseling and training sessions as well as courses, including some taught by Dr. Lown's group, to help doctors learn to listen to patients and treat them with dignity and respect. There also are veiled threats at some of the medical groups. "We have worked with a number of physicians in a confidential way," said Dr. Freedman, of the Tufts Health Plan. "We say, 'You appear to have dramatically low scores. We would like to understand your justification for why and explain what actions you intend to take.' " And, he added, "if they don't make bona fide efforts to improve, we can go through a disciplinary process that can result in termination." As for future doctors, they will at least have to show they know the basics of being nice. As of 2011, all new residents will have to exhibit empathy while examining an actor posing as a patient. The residents know they are examining an actor and that the actor will be assessing their performance, Dr. Lown said. "We are putting teeth in the need to change," she added. A more subtle problem occurs when doctors who are generally pleasant and communicative act differently toward certain patients, affected more than they realize by their personal prejudices against particular patients, like fat people, hypochondriacs or people who complain about pain. "If you happen to be the person they don't like, they can respond very differently than they do to most people," said Dr. Howard Beckman, the medical director of the Rochester Independent Practice Association. Fat people say they know that problem well. It happened last summer to Tina Hedberg of Conover, Wis., who saw a doctor when a diet she was on was no longer eliciting drastic weekly weight loss. The doctor, Ms. Hedberg said, told her that she had a mental problem because she weighed 400 pounds. Ms. Hedberg was trying to commit suicide by getting so fat, the doctor informed her. Then the doctor said Ms. Hedberg had two choices. She could be admitted to a mental institution, or, the doctor said, "I could wire your jaws shut so tight that you can't move your jaws to talk, and if you can't talk you can't eat." Other times doctors get so busy that they seem not to understand a patient's experience, as Rori Murell discovered recently. Ms. Murell, a retired therapist who lives in Rochester, was having back pain, so she made an appointment with an orthopedic surgeon recommended by her primary care doctor. When she arrived, a physician's assistant entered the examining room. "He looked over some of the X-rays and said, 'I recommend spinal injections.' I said, 'I can discuss that when I meet with the doctor.' He said, 'You're not going to see the doctor.' " The doctor, the physician's assistant explained, was busy seeing patients. "I said, 'Well, I'm a patient,' " Ms. Murell said, but she got no reply. "I realize that doctors get really, really busy," Ms. Murell said. "But someone with a back problem is different than someone with a sniffly nose. I don't want to sound like I need to be pampered or babied or that I need sympathy. But what's fair is fair, and what's professional is professional. I'm 68 and I'm old enough to remember a time when you went to the doctor and you saw the doctor." Doctors say they are chagrined when they hear such stories. But, they say, it can be hard for them to know how a doctor treats a typical patient when they themselves often are treated with kid gloves. "You'll occasionally get a patient who comes from another physician and says something bad about that doctor, but it's hard to know whether they're a complaining patient or the doctor is really bad," said Dr. Robert Swerlick, a dermatologist at Emory University. Some patients say they have to rely on each other's experience to know which doctors to seek out and which to avoid. The Council on Size and Weight Discrimination, a nonprofit organization, publishes lists of fat-friendly doctors on its Web site. And after her experience with the doctor who would not tell her her diagnosis, Joanne Wong helped found a Web site, RateMDs.com, where patients can rate doctors. But, said Dr. Swerlick, such ratings are not exactly representative samplings. They also infuriate doctors, who, Dr. Beckman says, "think these things are capricious and stupid." It is harder to argue with the methods being used by medical groups, like the Tufts Health Plan and the Rochester Independent Practice Association, that are employing scientific methods to survey satisfaction. Such practices, Dr. Beckman says, are becoming increasingly common in health maintenance and preferred provider groups that are starting to pay doctors according to their performance. Purchasers of insurance plans are demanding it, he added. And, he says, there is a common thread to difficult doctors: most have problems talking to, or listening to, patients. "What often happens," Dr. Beckman said, "is that the patient has something they want to tell the doctor but they're not allowed because of the doctor's style to say what they want to say." So the doctor does most of the talking, often alienating patients. Dr. Beckman teaches doctors simple ways to let patients tell their stories and to show empathy by responding to a patient's emotionally charged comments. For example, he said, "A patient comes in and says to the doctor, 'I stopped smoking.' " Instead of saying, "That's terrific," the doctor will say something like, "How's your weight?" Dr. Beckman said a doctor recently called him, stung by his low scores and asking how it could be that his patients did not like him. "We looked at his survey results and the area where he was low was the question of, Did the doctor spend enough time with you?" Dr. Beckman said. "I told him a bit about how a person feels that enough time is spent. You have to uncover the heart of their problems." Of course, Dr. Beckman said, "everyone thinks they're listening" to patients. But one method does work, he told the doctor. "You use continuers. As you're working with people, you say 'uh huh' three times." He gave an example: "The patient says, 'I've been having chest pains.' " Instead of jumping in and suggesting tests, the doctor says, "Uh huh." The patient says, "I've also been having headaches." The doctor says, "Uh huh." So the patient says: "It all started when my brother died of an aneurysm in the brain. And I wonder if it's related." The doctor, Dr. Beckman said, "looked at me like I'm a little nuts," but agreed to try. Later he returned, elated. Dr. Beckman recalled him saying: "I can't believe how different it is. I hear things I don't usually hear." "That's terrific," Dr. Beckman said.
  4. Πάντως αν σταματήσουν οι μεταγραφές από Ρουμανία, Βουλγαρία, Ουγγαρία, Τσεχία κοκ ήδη θα μειωθεί αισθητά ο αριθμός. Επίσης αν σταματήσουν οι κατακτήριες ή περιορισθούν. Γιατί να μειωθεί ο αριθμός των εισακτέων με Πανελλήνιες? Αν είναι να κοπούν θέσεις, αυτές πρέπει να προέρχουνται από τους τομείς όπου ο κίνδυνος βυσμάτων είναι τεράστιος. Με λίγα λόγια, αν πρέπει να μπούν περιορισμοί αυτοί δεν πρέπει να είναι σε όλα τα επίπεδα, μα μόνο εκεί που τα παράθυρα αφήνουν να περάσει κόσμο δίχως έλεγχο.
  5. Στην Ιταλία δεν δίνουν βιβλία. Όποιος θέλει πάει και αγοράζει όποιο νομίζει. Δεν ισχύει το σύστημα με τα δωρεάν συγγράμματα, όπως στην Ελλάδα. Άλλο Πανεπιστήμιο, άλλο Σχολή με ευρύτερη έννοια. Ιατρική Σχολή είχε ο Ιπποκράτης, όπως και κάθε άλλος Δάσκαλος. Πήγαινες κοντά του και μάθαινες. Οι Σοφιστές το έκαναν μετά χρημάτων, άλλοι αντί άλλων εξυπηρετήσεων, όπως και οι Δάσκαλοι της Ιατρικής. Το ίδιο ισχύει και με τους Άραβες. Το ίδιο ισχύει κυρίως και με τους Εβραίους. Οργανωμένες Σχολές Ιατρικής βλέπουμε αργότερα, κοντά στα Μοναστήρια και τις Εκκλησίες, όπως και στους Επαγγελματικούς Συνεταιρισμούς. Όταν οι πρώτες Σχολές θέλησαν να γίνουν ανεξάρτητες και αυτόνομες (σχετικά) ιδρύθηκαν τα Πανεπιστήμια. Της Bologna είναι το παλαιότερο Πανεπιστήμιο της Ευρώπης. H πρώτης όμως Ιατρική Σχολή, όντως, ανήκει στο Salerno. Επειδή όμως σήμερα το Salerno δεν έχει πιά Ιατρική Σχολή, η παράδοση έχει διακοπεί, οπότε και σχεδόν όλοι βλέπουν την πρώτη Πανεπιστημιακή Σχολή Ιατρικής, η οποία λειτουργεί ακόμα, δηλαδή της Bologna.
  6. Ρε fegarw μήπως βγαίνεις με καμιά από τις πάνω κοπέλες? Μήπως είσαι ξάδερφός τους? Αδερφός τους αποκλείεται γιατί αλλιώς θα ήσουν Ελλάδα τώρα για το πτυχίο Δεν μπορώ να καταλάβω αυτή σου την έκφραση... Όχι, γιατί αν είσαι άμεσα συνδεδεμένος μαζί τους, τότε πές το για να καταλάβουμε γιατί προσβλήθηκες τόσο.
  7. Ο spergebiet εκφράζει πολλές φορές απόψεις τραβηγμένες, στο παραπάνω όμως δεν λέει και κάτι το τόσο εξαιρετικό. Με ειρωνία περιγράφει κάποιες καταστάσεις αρκετά γνωστές. Θα ήταν καλύτερο να μην αναφέρονται ξεκάθαρα τα ονόματα... μα και έτσι δεν βλέπω κάτι το τόσο προσβλητικό. Ο νεποτισμός είναι δυστυχώς ξεκάθαρος. Μάλιστα Ουγγαρία ή Ρουμανία, αλλάζει ελάχιστα. Γύρισε με μεταγραφή και πήρε πτυχίο σε dt όπως και άλλοι γόνοι ανάλογου επιπέδου. Δεν είναι κάτι το καινούργιο... Βέβαια αποδείξεις ή καταγγελίες δεν πρόκειται να βρεθούν ποτέ, μιάς που το πρόβλημα είναι θεσμικό. Καλό θα ήταν, όμως, χωρίς επίσημες αποδείξεις, να μη χρησιμοποιείται ονοματεπώνυμο. Το γεγονός πως ανήκει στη ΝΔ είναι επίσης ανούσιο. Το ίδιο συμβαίνει και με το ΠΑΣΟΚ. Εϊπαμε... είναι πρόβλημα θεσμικό. Επειδή όμως εδώ είναι ένα forum συζήτησης και ανταλαγής απόψεων, ακόμη και διαφωνίας, τί είναι αυτή η κίνηση του fegarw? Καταγγελία στον αντίστοιχο καθηγητή/ευρωβουλευστή!!! Μα είμαστε με τα καλά μας? Είπαμε να κρατήσουμε ένα επίπεδο, μα μην το παρακάνουμε. Οι moderators υπάρχουν για το λόγο αυτό. Για τέτοιου είδους προβλήματα υπάρχουν τα reports στους mods ή adms.
  8. Όχι δεν είναι κριτική η δική μου... προσφέρεται ένα πλεονέκτημα, οπότε και θα πρέπει να χρησιμοποιηθεί. Αλλά να το λέμε επίσης... ...αλλιώς είναι να προσπαθείς για μιά ειδικότητα, μην έχοντας μιά θέση ήδη εξασφαλισμένη, αλλιώς είναι να κοπιάζεις, ξέροντας πως το χειρότερο που μπορεί να συμβεί είναι να μην τα καταφέρεις, οπότε και να αρκεστείς σε αυτό που προσφέρεται στην Ελλάδα. Ένα παράδειγμα: Τελειώνω στην Ιταλία και φεύγω για Αγγλία. Αν δεν καταφέρω να κάνω ειδικότητα στην Αγγλία, στην Ιταλία δεν έχω καμιά θέση ειδικότητας να με περιμένει. Τελειώνω στην Ελλάδα και φεύγω για Αγγλία. Αν δεν καταφέρω να κάνω ειδικότητα στην Αγγλία, στην Ελλάδα έχω ήδη μιά θέση ειδικότητα που με περιμένει (έστω με την αντίστοιχη αναμονή). Το ένα μου ερώτημα αφορά αυτό --> παραμένοντας στις λίστες αναμονής, το ρίσκο είναι σχετικό ή όχι? Αφού μάλιστα κάποιος θα πρέπει να περιμένει, αν μπορεί μπαίνει στη διαδικασία του εξωτερικού... δεν έχει να χάσει κάτι. Δεν θα έπρεπε να αλλάξει αυτό όμως? Δηλαδή όποιος φεύγει για έξω να σβήνεται από τις λίστες αναμονής... δε θα ήταν πιό τίμιο? Γιατί να περιμένει τη σειρά του, για να πεί "όχι ευχαριστώ, είμαι ήδη έξω, αλλού!"? (Το άλλο μου ερώτημα αφορά το τί συμβαίνει μετά την ειδικότητα...)
  9. Τόσο άσχημα για τη νευροχειρουργική? Μα ακόμα και για τραυματολογικές περιπτώσεις? Επίσης, αν είναι τόσο άσχημα, τί νόημα έχει να κάνει κάποιος τη συγκεκριμένη ειδικότητα έξω, όταν επιστρέφοντας δεν θα μπορέσει να βρεί συνθήκες που να του επιτρέψουν να δουλέψει?
  10. Δοκίμασε το εξής file sharing program Στο search δοκίμασε House Medical Division. Yπάρχει όλη η πρώτη season αγγλικά και ιταλικά. Υπάρχει και η δεύτερη season αγγλικά και αγγλικά με ιταλικούς υποτίτλους (το τελευταίο έχει τον ήχο 6s αποσυγχρονισμένο, με το videolan διορθώνεται). Αλλιώς από το eBay βρίσκεις για καμιά 10αριά ευρώ την κάθε season ήδη γραμμένη σε 2 DVD (είναι divx βέβαια). Με προπληρωμένη πιστωτική τα αγοράζεις και σου έρχονται σε φάκελο μετά από 5 μέρες περίπου.
  11. Τότε ο τίτλος του άρθρου είναι τελείως λάθος. Ζητιάνοι πολυτελείας Πάντως τα ερωτήματα μου παραμένουν... - Όσοι πάνε από Ελλάδα στο UK ή αλλού, σβήνονται από τις λίστες αναμονής ή πάνε με τις πλάτες προστατευμένες, έχοντας όπως και να΄χει τη θέση εξασφαλισμένη? - Το να κάνει κάποιος μια ειδικότητα έξω, έχει νόημα για να μείνει εκεί... επιστρέφοντας πίσω δε δημιουργούνται προβλήματα στο σύστημα? Ο Liszt ήδη αναφέρθηκε. Ο usmeds είναι στις ΗΠΑ, όπου εκεί η όλη επιλογή οδηγεί τελικά στο να μείνει κάποιος εκεί. Αξίζει να σημειωθεί όμως, πως όταν κάποιος πάει για να κάνει την ειδικότητα στις ΗΠΑ, αντιμετωπίζει εξετάσεις, συνεντεύξεις και έξοδα... παραμένοντας όμως γραμμένος στις λίστες αναμονής? Γιατί αν ναί, τότε ακροβατεί με δίκτυ. Αν αποτύχει, θα του μείνει η εμπειρία, πέρα από τα έξοδα βέβαια, μα τελικά τη θέση στη ειδικότητα κάποτε θα την έχει, έστω στην Ελλάδα. Έτσι το ρίσκο είναι πολύ σχετικό.
  12. Mου έρχονται στο μυαλό κάποιες απορίες... Οι παραπάνω γιατροί, μα και όσοι τώρα φεύγουν για UK, σβήνονται από τις λίστες? Ή περιμένουν να τελειώσουν την πιθανή ειδικότητα έξω, έχοντας όπως και να'χει εξασφαλισμένη τη θέση σε περίπτωση αποτυχίας? Όχι, γιατί στο συγκεκριμένο θέμα έχω ακούσει διάφορα δακρύβρεχτα και τραγικοκωμικά. Αλλιώς είναι να επιχειρείς για μιά θέση με καλυμμένες τις πλάτες (η θεσούλα στις λίστες αναμονής), αλλιώς όταν δεν υπάρχει δίχτυ. Μάλιστα οι Πακιστανοί παίζουν όλα για όλα... στην πατρίδα τους δεν υπάρχει τίποτε άλλο που να τους περιμένει. Στην Ελλάδα όμως, πολλοί (σίγουρα όχι όλοι) φέρονται με πονηριά... Διατηρούν την αναμονή τους στην επετηρίδα, οπότε και αισθάνονται πιό σίγουροι, γιατί στο ρίσκο τους δεν έχουν να χάσουν και τίποτα. Το άλλο ερώτημα, που είναι επίσης σημαντικό, μα και που το περνούν όλοι δίχως σημασία... οι εκπαιδευτικές θέσεις ειδικότητας στο UK (και όχι μόνο) έχει σκοπό να παράγει γιατρούς ειδικευμένους για τις ανάγκες του UK. Αν οι ειδικευμένοι τους φεύγουν από το UK για την πατρίδα τους, ο πραγραμματισμός γίνεται άχρηστος. Προτιμούνται οι Πακιστανοί, ίσως γιατί έχουν σκοπό να μείνουν. Τέλος... σκέφτηκε κανείς πόσους ειδικευμένους έξω από το ελληνικό σύστημα μπορεί να αντέξει η Ελλάδα? Σε λίγο θα υπάρχει πρόβλημα με τους ειδικευμένους εξωτερικού (μιάς που οι περισσότεροι γυρίζουν στην πατρίδα μετά το τέλος της ειδικότητας... ελπίζω σβήνοντας το όνομα από τις λίστες). ...έτσι για συζήτηση...
  13. Να ρωτήσω κάτι που αναφέρθηκε, μα όχι αρκετά... γιατί δε γίνεται λόγος για τους απόφοιτους ιατρικής Ελλάδας που δεν βρέθηκαν στις ιατρικές σχολές Ελλάδας με Πανελλήνιες? Αυτοί πόσοι είναι? Γιατί έχω εντύπωση πως η κατάσταση έφυγε από κάθε όριο κυρίως μετά τη χωρίς ΔΙΚΑΤΣΑ/ΔΟΑΤΑΠ άδεια άσκησης ιατρικού επαγγέλματος στους 700 από Τσεχία και Ουγγαρία? Πάλι καλά που ο ΣΑΙΕΠ αντέδρασε και ένας φραγμός μπήκε.
  14. Κάποιες εύλογες ερωτήσεις... Η Καρδιολογία στο Ωνάσειο είναι η καλύτερη επιλογή? To Θριάσιο μοιάζει να είναι επίσης μιά από τις καλύτερες επιλογές για Νευροχειρουργική, μα και για Πλαστική... ή κάνω λάθος? To Θριάσιο μοιάζει να είναι μιά πολύ ενδιαφέρουσα όαση και για άλλες ειδικότητες. Είχα διαβάσει γι'αυτό πριν κάμποσο για ένα σκάνδαλο με γυναικολόγο, μα φαντάζομαι πως έχει κάνει πολύ δρόμο από τότε. Πώς είναι εκεί?
  15. Προσωπικές εμπειρίες ή έμμεσες μαρτυρίες θα ήταν ευπρόδεκτες προκειμένου να κάνουμε μιά συζήτηση.
  16. Ανεξάρτητα από τις αναμονές ή τις εξετάσεις για ειδικότητα, πού είναι καλύτερα για κάθε ειδικότητα στην Ελλάδα? Δεν θα ήταν μιά καλή ιδέα να συγκεντρώσουμε τα στοιχεία αυτά? Aν μη τι άλλο από περιέργεια και μόνο... μα και για να διαψεύσουμε κάποιους μύθους. Για παράδειγμα, είναι το ΚΑΤ η καλύτερη επιλογή για Ορθοπαιδική? Γιατί? Για Παιδιατρική το Αγία Σοφία? Βέβαια όχι μόνο Αττική... για παράδειγμα, κάπου αλλού κάποιος είχε αναφερθεί στην Ορθοπαιδική στα Ιωάννινα. Ενδιαφέρει?
  17. Δεν έχω ακόμα δεί το φίλμ, μα το βιβλίο ήταν εξαιρετικό. Πολύ διαφορετικό από τα γνωστά κατασκοπευτικά θρίλερ, μα κυρίως με ξεκάθαρες απόψεις. [OT] O Ράφτης του Παναμά, αντίθετα, έχει καλύτερη ταινία από το βιβλίο imho, πάντα του Le Carre'.
  18. ΑΑΡΟΝ ΤΣΕΧΑΝΟΒΕΡ, 58 ετών, διεθνούς φήμης Ισραηλινός καθηγητής Χημείας, βραβευθείς μάλιστα και με Νόμπελ Χημείας το 2004, από κοινού με τον συμπατριώτη του Αβραάμ Χέρσκο και τον Αμερικανό Εργουιν Ρόουζ για την ανακάλυψη του βασικού τρόπου με τον οποίο τα ανθρώπινα κύτταρα καταστρέφουν ανεπιθύμητες πρωτεΐνες, βρίσκεται από σήμερα στην Ελλάδα και αύριο, Παρασκευή, θα αναγορευτεί επίτιμος διδάκτορας του Πανεπιστημίου Αθηνών. Ο καθηγητής Τσεχάνοβερ, θα εκφωνήσει ομιλία με τον πολύ ενδιαφέροντα τίτλο «Γιατί οι πρωτεΐνες μας πρέπει να πεθάνουν για να ζήσουμε εμείς» και το Σάββατο θα μιλήσει στο αμφιθέατρο του Νοσοκομείου Παίδων «Αγία Σοφία», σε εκδήλωση που διοργανώνει το Ιδρυμα «Κάνε Μια Ευχή». Θέμα της ομιλίας του θα είναι: «Κάνε μια ευχή για τα παιδιά με καρκίνο».
  19. Ψωνάρα ο τύπος!!! Μπράβο του όμως γιατί βρήκε το αντικείμενο της ζωής του... Κάτι ανάλογο έχει κάνει και ένας Ιταλός με τις μνημονικές του ικανότητες... Αυτά είναι για το τσίρκο (να και μιά ντομάτα) Εδώ μιλάμε για διαγωνισμούς για εκπαιδευτικές θέσεις και κάποιοι νομίζουν πως είναι θέατρο του παραλόγου (άλλη μιά ντομάτα). Σε λίγο θα μας μιλήσεις για το σεισμόπληκτο φίλο σου που έφυγε για Σουηδία γιατί στην Ελλάδα δεν είχε διαγωνισμό για ειδικότητα... (τρίτη ντομάτα) Σε λίγο θα βγάλουμε ketchup ΥΓ Αστειεύομαι βέβαια
  20. Gifted individuals (IQ 125+) appear in the population at a rate of 1 in 20 people. Approximately 5% of the population is gifted (IQ 125+). Highly gifted individuals (IQ 145+) appear in the population at a rate of 1 in 1,000 people. Approximately 0.1% of the population is highly gifted (IQ 145+). Profoundly gifted individuals (IQ 160+) appear in the population at a rate of 1 in 10,000 people. Approximately 1.5 million gifted students in the United States are under-challenged by standard school curriculum and need an educational program more optimally matched to their abilities. Επίσης... (πάντα για τα δεδομένα ΗΠΑ, μα με κάποια συμπεράσματα και για την ελληνική πραγματικότητα) Research indicates that up to 20 percent of high school dropouts test in the gifted range. (an IQ of 125 or above, or achievement test scores at the 95th percentile). Gifted children are frequently misdiagnosed as hyperactive or as having Attention Deficit Disorder (ADD) because boredom often leads them to be inattentive in class. Researchers estimate that about half of gifted students are underachievers. Gifted students learn more rapidly and desire to pursue subjects in greater depth. They need a rigorous curriculum that matches their ability to learn. Highly gifted students are the most likely to fall between the cracks in American classrooms ? they are the ones experiencing the greatest gap between their potential and what is asked of them. Gifted children often hide their intellectual abilities in order to make friends. During adolescence, girls especially will ?dumb down? to fit in with their peers. Social development is more closely aligned with intellectual development than chronological development. This means that many highly gifted students have little in common with students their age, therefore have trouble forming friendships. These students are more likely to develop friendships when placed with their intellectual peers. Εγώ για πλάκα έκανα διάφορα IQ tests και έμεινα έκπληκτα ικανοποιημένος. Τί σημαίνει αυτό? Τϊποτα... χαλαρά και ήρεμα, ο καθένας προσπαθεί να κάνει στη ζωή του ό,τι καλύτερο μπορεί. Οι πανελλήνιες ήταν διαγωνισμός για μιά θέση. Δε σημαίνει τίποτε άλλο... Οι εξετάσεις για τις ειδικότητες ιατρικής είναι άλλο θέμα, μα επίσης διαγωνισμός για μιά θέση. Όλα τα άλλα είναι προσωπικές ερμηνείες οι οποίες πολλές φορές δεν έρχονται να προσθέσουν τίποτε. Μην ξεχνάμε άλλωστε πως γύρω από κάθε διαγωνισμό για μιά θέση ανθίζουν διάφορες καταστάσεις περίεργες και μη, οι οποίες ανήκουν στο χώρο της παραπαιδείας και μη. Ας μην ξεχνάμε τα φροντιστήρια, τα καλά και κακά λύκεια, τους καθηγητές διαφορετικών ταχυτήτων κοκ κοκ Όλα έρχονται να μην επιτρέψουν άλλο βάθος από μιά και μόνο σίγουρη ερμηνεία... διαγωνισμός για μιά θέση.
  21. Εξω από τα ράφια και στην Ελλάδα Αποσύρεται από τα ράφια των σουπερμάρκετ και των φαρμακείων το βρεφικό γάλα ΝΑΝ2 σε υγρή μορφή πράσινης συσκευασίας (500 ml) της εταιρείας Nestle. Οπως σημειώνεται σε χθεσινή ανακοίνωση του Εθνικού Οργανισμού Φαρμάκων (ΕΟΦ) για λόγους προστασίας της δημόσιας υγείας, μόλις έγινε γνωστό ότι στο γάλα αυτό περιέχεται η χημική ουσία ΙΤΧ, δόθηκε εντολή που απαγορεύει προληπτικά τη διάθεση και διακίνηση όλων των παρτίδων του ΝΑΝ2, σε υγρή μορφή, από την ελληνική αγορά. Το γάλα αυτό έχει αποσυρθεί και από άλλες ευρωπαϊκές χώρες. ΕΛΕΥΘΕΡΟΤΥΠΙΑ - 24/11/2005
  22. ... Πάντως για πολλοστή φορά το γράφω... οι εξετάσεις για τις θέσεις ειδικότητας δεν έρχονται για να αξιολογήσουν ποιός είναι γιατράρας και ποιός όχι. Είναι διαγωνισμός για μιά θέση, οπότε και το να πίασει κανείς τη βάση δεν αρκεί. Έρχεται για να αποτελέσει ένα στοιχειώδες φίλτρο.
  23. Off Topic @ spergebiet Όταν γράφουμε, μετά από τελεία αφήνουμε ένα κενό. Αλλιώς φέρνει πονοκέφαλο όταν κάποιος προσπαθεί να διαβάσει. Το πρόβλημα είναι δικό μου, ίσως γιατί ο αστιγματισμός δε φοβάει. Μα θα ήθελα να διαβάζω αυτά που γράφεις, συν πως είναι ο γενικότερος τρόπος γραφής, αποδεκτός και για πρακτικούς λόγους.
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