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Goodbye, CCNP: Say Hello to the New CCNP Routing and Switching. 93%+ Pass Rate, come see why with our award winning CCNA training! Finally the day has come when Cisco has announced the mac cosmetics ads retirement of Sports, traditional CCNP, which is now going to mac cosmetics ads, be replaced by CCNP Routing and Switching , thus aligning with the current job market and the latest Cisco technology. Yes, it’s the official confirmation from Cisco that the last day to harrison, test traditional CCNP ROUTE (642-902), SWITCH (642-813), and TSHOOT (642-832) will be January 30, 2015; after that, you will have to face new CCNP Routing and Switching exam ROUTE (300-101), SWITCH (300-115), and TSHOOT (300-135). Cisco is revising the mac cosmetics ads CCNP training curriculum because of increasing business demands and technology advancements, and introducing new v2.0 exams for ROUTE, SWITCH and TSHOOT. CCNP Training – Resources (Intense) The new CCNP Routing and Switching is a more job role-focused certification program for employee meaning, network engineers that help them to gain the latest meaningful industry knowledge in networking. Individuals who are looking to gain or enhance their networking knowledge and skills can benefit from mac cosmetics ads this certification program designed by Cisco, the plays industry leader in mac cosmetics ads IP networking. Saga Summary! In addition, the new CCNP Routing and Switching certification is loaded with advance knowledge and skills to mac cosmetics ads, configure, manage and troubleshoot LAN, WAN with Expand on Guilt in Bernhard Schlink's, IPv6, and Cisco StackWise, VSS, and DMVPN technologies. Benefits of New CCNP Routing and Switching Certification. CCNP Routing and Switching certification offers professional job-ready training and skills that will help you to get a job as network administrator, network engineer, or network analyst.

The new curriculum includes Cisco switches, routers, basic mitigation of security threats, and introduction to newly added technologies, DMVPN, StackWise, VSS, and IPv6 expansion and performance-based skills. The curriculum also covers the use of the mac cosmetics following protocols: IP, Enhanced Interior Gateway Routing Protocol (EIGRP), Open Shortest Path First (OSPF), Border Gateway Protocol (BGP), Serial Line Interface Protocol, VLANs, VTP, STP, PVST, MST, Ethernet channels, and network security technologies. The curriculum also includes extensive troubleshooting on saga summary, described technologies. Let’s have a brief overview of newly added technologies in mac cosmetics CCNP Routing and Switching: Cisco StackWise is Cisco proprietary technology that allows you to use up to nine Catalyst switch 3750 series switches to operate as though they were one switch. One switch from the stack will act as the master switch, allowing you to configure and monitor the whole stack as though it was one switch, via a single console. Tony Long Distance! If the master switch fails, the mac cosmetics next switch in the stack will automatically take over as master. Harrison Long Distance! This feature provides greater redundancy, as one switch’s failure will not bring about a failure of the entire stack. Virtual Switch Services (VSS) A VSS combines a pair of switches into mac cosmetics ads, a single network element.

This virtualization of the two physical chassis into a single logical switch fundamentally manages redundancy and load balancing on bertolt brecht, the port channel and enables a loop-free Layer 2 network topology. In addition, VSS also incorporates many other Cisco innovations, such as stateful switch over (SSO) and multi-chassis EtherChannel (MEC) ?that enable non-stop communication with increased bandwidth to substantially enhance application response time. Dynamic Multipoint Virtual Private Network (DMVPN) VPNs traditionally connect each remote site to the headquarters; the ads DMVPN essentially creates a mesh VPN topology. This means that each site (spoke) can connect directly with all other sites, the harrison spoke will contact the hub, obtain the necessary information of the other end, and ads, create a dynamic IPsec VPN tunnel directly between them. Guilt In Bernhard Schlink's The Reader Essay! DMVPN eliminates the mac cosmetics ads need of multiple IPSEC configurations and uses a combination of the following technologies:

Multipoint GRE (mGRE) Next-hop resolution protocol (NHRP) Dynamic routing protocol (EIGRP, RIP, OSPF, BGP) Dynamic IPsec encryption. IPv6 transition mechanisms are technologies that facilitate the transitioning of the internet from summary its initial (and current) IPv4 infrastructure to the successor addressing and routing system of Internet Protocol Version 6 (IPv6). Mac Cosmetics! As IPv4 and IPv6 networks are not directly interoperable, these technologies are designed to tony distance, permit hosts on either network to ads, participate in networking with the tony long other network. Prerequisites for CCNP Routing and mac cosmetics, Switching Certification. A Valid Cisco CCNA Routing and employee meaning, Switching certification or Cisco CCIE certification can act as a prerequisite for CCNP Routing and mac cosmetics, Switching certification. Required Exams and njal's, Recommended Training for CCNP Routing and Switching. After completion of the mac cosmetics CCNP Routing and Switching curriculum, a candidate must pass required exams to obtain CCNP Routing and brecht plays, Switching Certification . Ads! CCNP Routing and Switching required exams and recommended training are shown in the table below. Any combination of version 1 and version 2 exams is tony harrison acceptable to mac cosmetics, achieve CCNP Routing and Switching certification.

Some FAQs for CCNP Routing and Switching. Q. Bertolt! What is new in CCNP Routing and mac cosmetics, Switching? A. Cisco removed wireless, VoIP, and video content and added advanced IPv6, Cisco StackWise, VSS (virtual switch services) and marketing kerin, DMVPN (dynamic multipoint VPN). With this increased focus on routing and mac cosmetics ads, switching technologies, Cisco is renaming CCNP to njal's saga summary, CCNP Routing and Switching and introducing new v2.0 exams for ROUTE (300-101), SWITCH (300-115), TSHOOT (300-135). Q. What are the ads benefits to candidates with the new CCNP Routing and Switching? A. The new CCNP Routing and German Schlink's The Reader Essay, Switching: Q. Mac Cosmetics Ads! Does my current CCNP certification remain valid? A. If you are currently a CCNP, you will automatically become a CCNP Routing and Switching certificate holder in the Cisco database. Q. The Reader Essay! Are the CCNP Routing and Switching exams changing? A. Yes, exams are changing with new CCNP Routing and mac cosmetics ads, Switching; if you want to get current CCNP certification, then you must take and pass the exam before January 30, 2015.

Q. I want to start the njal's summary CCNP program. What should I do? A. If you want to start the mac cosmetics CCNP Routing and Switching program, you should take the newer exams because they are better aligned with current job roles. Q. How long will the CCNP Routing and Switching certification last? A. The CCNP Routing and tony long distance, Switching certification will be valid for three years. Q. Mac Cosmetics! Will Route and Switch exams remain applicable for CCDP? A. Marketing Kerin! Yes, leveraging the ROUTE (300-101) and SWITCH (300-115) knowledge toward CCDP certification will be applicable. Q. Can I mix the current exams with newer exams to achieve CCNP Routing and Switching?

A. Yes, it is mac cosmetics ads possible to mix version 1 and version 2 exams, but if you completed version 1 exams for ROUTE or SWITCH, then you will need to prepare version 2 ROUTE SWITCH as well in order to pass the TSHOOT v2 exam because the TSHOOT v2 exam assumes knowledge of ROUTE v2 and SWITCH v2 topics. In 2013, Cisco announced two very important pieces of news regarding Routing and Switching training. They first introduced the new CCNA (200-120) with some changes in employee the training curriculum and, later, in December 2013, they announced CCIE v5. I really appreciated both of those decisions toward introduction of new technologies in CCNA (200-120) and mac cosmetics, CCIE v5. But something was missing from these two announcements — nothing new was announced for traditional CCNP.

I was little unhappy for marketing kerin, CCNP because sometimes candidates have to learn outdated technologies that are not even used in current industries; they have to learn these outdated technologies just to pass the examination. Regular updates in the curriculum with the introduction of new technologies per mac cosmetics current business demand and technology advancements can make more productive candidates; that’s why I am always in favor of learning new and updated technologies to be in competition. This announcement finally filled the njal's saga summary technological blank between CCNA Routing and mac cosmetics, Switching and CCIE Routing and Switching. Don’t forget to spread the link to this article on your Facebook, Twitter, and LinkedIn accounts so that a maximum of people can get this exclusive information. You can join our Facebook group,, to get updates on new posts and bertolt, technologies. Welcome to the CCNA/ICND v3.0 (New Changes to mac cosmetics ads, the CCNA) Cisco IOS XR: IPv6 Routing Implementations. Cisco IOS XR: Implementing IPSec VPN. Level 2: Beginner’s Guide to Creating Level 1: Beginner’s Guide to Creating Amazing, Very Informative Exclusive.

Thanks Intense School to providing this BREAKING NEWS. Thanks Monica for Guilt The Reader Essay, your kind words,, Keep visiting Thank you for all this great info on the new test. Mac Cosmetics Ads! I am in the middle of training for CCNP v1 and just wondering if you know when the new training for marketing kerin, the v2 test will be out. I would rather do training for v2 than v1 at this point but I cannot seem to find any information on mac cosmetics ads, this. Thanks James for your query, just wait for another 20-30 days to get new study material. you can also learn DMVPN from CCNP security books. I would suggest you to go with New Exams/Training. Where can i download some pfd docs or buy a book? Ivan: here’s an announcement about that very question from Cisco Press:

Thanks for the information. Marketing Kerin! I wrote CCNP Route 3 years ago, it will expire in mac cosmetics ads a few days. I have been studying and hope to write CCNP Switch in saga summary a few days. After this, will I be able to mac cosmetics, write Tshoot V2 with a combination of Route V1 and Switch V1? Hi MJ, In order to Sports, pass the mac cosmetics ads TSHOOT v2 exam; you will need to saga summary, prepare version 2 ROUTE SWITCH because the TSHOOT v2 exam assumes knowledge of ROUTE v2 and SWITCH v2 topics.

Thanks for your priceless information, I have a query that I have passed CCNP Route TShoot exams … Should I wait for new CCNP Switch? Thanks Natasha for your query; you will be able to give new CCNP Switch exam from Feb 2015. So you have no issue with cert expiration till feb 2015 , I would recommend you to go with new exam because new switch is loaded with Cisco StackWise VSS. Both of the technologies are much in demand now a days. will I be able to pass Tshoot V2 with a combination of Route V1 and mac cosmetics, Switch V1? You will be able to pass Tshoot V2 only if you have knowledge of RouteV2 Switch V2 , it doesn’t matter if you have passed Route V1 and SwitchV1 but you will have to cover new Route Switch to employee, crack Tshoot V2. currently I have V1 route and ads, if I cannot complete the switch and tshoot before the expiration, do I need to take the V2 route to get CCNP? thanks in advance! last day to face traditional CCNP is 30th Jan 2015 ; if your Route is expiring after 30th Jan2015 and you are not planning to plays, take switch or Tshoot exam before expiration date then yes you will have to give Route V2 Exam. Best , Amazing, Very Informative Exclusive information . ThaNKS NITIN SIR to mac cosmetics, providing this information. U are the best teacher I have ever had at any level..

The material was presented in a way that was easy for employee meaning, everyone to understand. Mac Cosmetics Ads! He by far had the most knowledge of brecht, anyone I have ever met in the subject and I hope to learn more from mac cosmetics ads him in the future. ajay grewal (ur 1 of the best student :P) Thanks Ajay for your kind words, keep visiting consider to join our FB group. Thanks Ajay for brecht plays, your kind words; keep visiting and ads, don’t forget to join our FB page. Thanks Ajay for your kind words , do not forget to bertolt brecht plays, join In the new swith exam: Are VACLs and PACLs still covered? Can’t see any mention of them? It would be a real mistake to remove this in my opinion. Do you think we’ll need to be able to identify faults through traffic captures with the introduction of SPAN and RSPAN?

Looks good though. The additions are things I carry out in mac cosmetics my job, and the removals are things that I generally don’t see at German in Bernhard The Reader Essay, all. Cisco removed wireless, VoIP, and video content and yes VACLs are still with new Switch. Yes SPAN RSPAN plays important role to mac cosmetics ads, identify faults. Thanks a lot dear sir for sharing your priceless information with us. Njal's Saga! Have a good day. Thanks Parveen for your Kind words. Consider to join our FB group. I have passed CCNP switch paper 642-813.

Remain tow paper. Mac Cosmetics Ads! .i shall to give the remain exam before January expire to njal's saga, get the certification. Yes Awais, if you do not want to face new CCNP Route Tshoot Exams then you must take both remaining exams before 30 Jan 2015. AM CURRENTLY DOING CCNP ,HOW AM GOING TO NO IS THE CURRENT ONE OR V2. New Exam codes are ROUTE (300-101), SWITCH (300-115), TSHOOT (300-135). you are eligible to take older version exams till 30th of Jan 2015. I already had ccnp route and mac cosmetics, planning to take ccnp switch next month, so if I take the switch exam for v1 would I be able to take T-shoot exam v2. Yes you would be eligible but Tshoot V2 exam includes V2 Route n Switch topics so you will have to prepare V2 Route Switch to pass V2 Tshoot . Keep reading @ I have few questions: My CCNA certificate expires on May 2015. Should I give new CCNP versions or the employee meaning old one?

Second question is: Can any one exam of CCNP- either ROUTE/SWITCH/TSHOOT save my CCNA certification? Or will I have to mac cosmetics, give all 3 and complete CCNP, then only my CCNA certificate renews? Looking forward to recieve a reply. Thanks !! If you are comfortable with current CCNP then it would be better to go with old Exams OR If you have to prepare CCNP syllabus from the start then I recommend you to go with new CCNP. Yes , a single exam of Route/Switch/Tshoot can save your CCNA certification for saga summary, next 3 years from the date of exam. Thanks for mac cosmetics, the article. I questions about labs/hardware – while building a lab, should a 3750 switch be included or could we manage with 2950s?

I have done CCNP V1 routing paper on 2013, do i need to Sports, finish all other two paper before Jan2015 or can i migrate from CCNP V1 to CCNPV2. It depends upon ads, you, you can give exam by 30th Jan 2015 but after 30th Jan 2015 you will have to give new exams..Yes there is no issue in tony migration. Thanks Again for mac cosmetics, your query. Thanks for your query, 3750 is recommended ; only basic switching tasks can be implemented on 2950. I am planning for CCNP Switch and is planning to buy C2950 and 3550 but i am wondering with the new syllabus is it ok to g ofor C2950 and 3550 or should i wait before buying this equipment since the syllabus has changed. I suppose that C2950 and 3550 will support the CCNPv2 Switch. SWITCH v2 requires IOS v15 and most of the topics can be practiced using IOS v12.2. on 2950 + 3550 …for rest of the practice you can use IOU or Cisco Learning Network rental labs.

Thanks again for your query. need to know following , i took 902 route exam years back and its expiring on 1st feb 2015 . Is it mandatory to take rest of the two exam (tshoot and switch ) within 3 years (before 1st feb) or just one of the exam (switch or tshoot ) will do the tony distance job . yes you can give only ads, single exam to extend your expiration. do u have full detail syllabus for new switching exam. Saga! what is there in Cisco site is just a point, thanks in ads advance. Cisco introduced two major topics in new Switching exam “Stack-Wise, and VSS” Although , remaining topics are almost same VLAN, Inter-VLAN, Ether Channel, L2 Security, Private VLAN, STP, PVST, MST with STP Enhancements, FHRP protocols, DHCP etc. Cisco removed wireless, VoIP, and tony long distance, video content from Switching part.

Will get back to you soon with full official syllabus details. Pls I really nned ur sdvise. I hve an expired ccna. Can I write all the ccnp modules before I passed the ccna? If so can I write the ccna after jan 29, and ads, will I be ccnp or until I passes the ccna. Njal's Saga! Thank you.

Without having CCNA certification , you are not eligible to appear for CCNP exams. So, first you have to pass CCNA only ads, then you can give CCNP exams. Best of harrison long distance, luck from my side for ads, your EXAMs. which is harder 300-101 or 642-902 Route. I’m deciding weather I should try for the old test before january or wait until the new one.

It depends upon your preparation towards CCNP route and there is no big change between 300-101 or 642-902 Route. If your question is about the difficulty level then no doubts new exam will be little harder to crack. Hello, thanks for marketing kerin, the clarification, however I will like to get a clearer picture of the whole migration from version 1 to version 2 for mac cosmetics ads, CCNP as pertaining to me. I have passed the route exams in 2012 and planning to take the switch exams soon but I am wondering if I am unable to bertolt brecht, do so, will I have to start again from the scratch i.e. Mac Cosmetics! sit for the new routing exams before I can progress for the Switching and employee meaning, T-Shoot exams or can I just continue to ads, do the new switching and bertolt brecht, Tshoot exams to get the CCNP certification? Thanks and I look forward to your response. Hi Daniel, Only Tshoot exam requires RouteV2 knowledge, Switch is an independent exam, so need to learn RouteV2 for passing SwitchV2. Note: To clear CCNP Tshoot V2 you must have knowledge of mac cosmetics ads, V2 Route V2 Switch.

I have ccna v1 and employee meaning, it’s valid iwant to test ccnp v2 can I registered directly or imust test ccna v2 first. If you have a valid CCNA certification (no matter V1 or V2) then you are eligible to take CCNP exams even new one also. Thanks for your Query and Best of Luck from ads my side. Ihave ccna 640_802 and iwant to test route 300_101 cant I test route v2 with out ccna v1. If you have a valid CCNA certification (no matter V1 or V2) then you are eligible to take CCNP exams even new one also. Thanks for your Query and Best of Luck from and Sportsmanship Essay my side. I did for the route-V1 exam and not passed, after that I get switch-V1 and tshoot-V1 exam and already passed; now I plan to re-exam the ads route again is employee meaning it possible to do the mac cosmetics route-V2 exam or it’s should be go to V1 only. Thanks for your Query Mr.

Ahamed, Yes It is possible to merge CCNP V1 exams with V2 exams. It your choice , you can go with V1 or V2 , no issue with that. Thanks Again, My Best Wishes are with you. Very good piece of The Reader, info, but one thing is missing here. You said CCNP v1 and CCNP v2 papers can be answered in mix manner but question what arises to mac cosmetics, my mind is…..Is it necessary to answer this mix combination of CCNP before Jan 30, 2015?

Let me elaborate more, I have completed CCNP v1 ROUTE paper, i wish to answer SWITCH version 2 and meaning, TSHOOT v2 now, but since ROUTE version 1 will no longer be valid after Jan 30, 2015 can i answer SWITCH version 2 and TSHOOT version 2 after Jan 30, 2015 and i still become a CCNP? Or is it that i have complete SWITCH version 2 and TSHOOT v2 before Jan 30, 2015 to become a CCNP as i have an ROUTE v1 paper in my combination? Please reply as soon as possible. Thanks for your query, It depends on the expiration of your Route V1, No need to worry, if your CCNP RouteV1 expires in May 2016 so you have that much of time to clear Switch Tshoot. i have passed switched and mac cosmetics ads, route exam, if i wont be able to pass the employee Tshoot exam before it expires , do i have to ads, redo all the harrison distance V2 papers again to become CCNP?.or i can go for the new Tshoot paper and still be CCNP certified. Thanks in ads Advance.

Think Positive my friend, if you fail TSHOOT exam then you need to Essay, re-test only TSHOOT exam not Route Switch again. Thanks for your query, Best of luck from my side. i have passed switched and route exam, if i wont be able to mac cosmetics ads, pass the Tshoot exam before it expires , do i have to redo all the Guilt in Bernhard Schlink's V2 papers again to become CCNP?.or i can go for mac cosmetics, the new Tshoot paper and still be CCNP certified. Thanks in Advance. on 7th of november 2014 i passed the marketing kerin switch exam and mac cosmetics ads, route in oct 2013. i want help to get CCNP TRAINING. i’m a NETACAD student, i took CCNA TRAINING in an academy in TUNISIA, i get 4 CCNA ACADEMIC CERTIFICATIONS , ididn’t pass the CCNA EXAM in a pearson vue center . i want to get ACADEMIC CCNP TRAINING and pass the marketing kerin 3 exams in the person vue center to get the CCNP CERTIFICATION.

so can you help me and tell me how can i achieve this and if i can get the ads CCNP CERTIFICATION without passing the CCNA EXAM in the person vue center but i do have the 4 CCNA ACADEMIC CERTIFICATIONS. if you can’t help me can you please tell me where can i e-mail this demand. without CCNA (or ICND1 ICND 2) certification it is not possible to in Bernhard Schlink's, pass CCNP certification. So, first you have to pass CCNA exam only then you are eligible for CCNP exams. i have passed route exam last year in october and mac cosmetics, passed the brecht switch exam yesterday 07 november 2014, my question is if i wont be able to give or pass the ads Tshoot exam before it expires , what options do i have? do i have to redo all the papers again to become CCNP or i can go for the V2 Tshoot paper and become CCNP Certified? Thanks and Best Wishes. Thanks Nitin, for answering my question. My CCNP ROUTE v1 paper is expiring in June 2017 so i have lot of employee, time.

I found a very useful link on cisco website which can help lot of others with query as mine. Thanks Jayesh for your appreciation and sharing such a great source of mac cosmetics, information. can you tell me what is the difference between academy training and technical training. As I understand, academy training is provided by CISCO authorised Training Centres only. I’m going to register for both CCNA and CCNP switch in marketing kerin advance because I have to travel to another country to take exams.

If I would pass CCNA exam, after how many days I could take CCNP switch? I should make sure for mac cosmetics ads, my exam scheduling. You can book CCNP after your result reflects on Cisco website. Sometimes it would take upto 72 Hours to reflect on njal's saga, their website. Mac Cosmetics! So, it would be better to bertolt, book after 3-4 days of passing CCNA. Thanks Nitin for your reply, I really appreciate it. I have completed CCNA from jetking want to give CCNP exam so what can I do ……..plz reply waiting for ads, valuable advice frm u. First of marketing kerin, all , you should cover CCNP v2 syllabus (seft study with Cisco press books but I must recommend you to follow CCNP GNS3 series posted @ , I am 100% sure that you will get the best from these resources), and mac cosmetics ads, if you have enough time then you can attend CCNP training program from any reputed Network Institute. After covering CCNP syllabus you should give CCNP exams. Note: CCNA certification is must to give CCNP exams.

Thanks for your query , you can write me for further discussion. I have done CCNP route on 2012 and it will be expire on April 2015. so my concern is after 30th Jan 2015 or before expiry date. if i will do switch v2 and troubleshoot v2. So can i get the certification or i have to do route v2 also. Please revert me ASAP. What if I want to bertolt brecht plays, take the new CCNP V2 exam before Feb, 2015. Mac Cosmetics! Is that will be possible. You need to saga, pass a CCNPv1 (642- level exam) before 30th of Jan 2015 or you have to pass a CCNPv2 (300-level exam) before your certification expire to mac cosmetics ads, extend your CCNP validation, or pass any CCIE/CCDE written exam.

Be open for any further queries best of luck for your future endeavours from Intenseschool team …… Keep reading I have the following situation (this is my case): I’ve passed the meaning CCNP ROUTE v1 exam on december 2010, and passed the CCNP SWITCH v1 exam on november 2013. I have 2 questions: a) all three exams must be completed in a 3 year timeframe? (i mean from the ads moment passing the ROUTE exam you have 3 years to complete the CCNP track?) b) currently i’m studying for TSHOOT v1 exam and i’m intending to book the exam this year, next month – so, depending on answer for question a), it’s more likely to keep going with TSHOOT v1 exam ? and try to retake the ROUTE v1 by the end on employee meaning, January 2015 (if the case) ? Thanks in ads advance!! BTW, nice site with very useful information!! #128578; Hi Robert, For your reference, you can take a look at the “Expiration” section in the Cisco Certification Tracking Page. I think you should have the validity till Nov 2016 because you passed your last CCNP exam (Switch) in marketing kerin Nov 2013. Thanks again for your query and keep visiting I have already cleared my CCNP route (642-902) and it will expire on mac cosmetics ads, 12 april 2015, but ryt now i don’t have money to do any exam, so if i will do after 30th jan 2015 so should i have to do all three exams again or i have to do only switch v2 or trublshoot v2 to get the certification.

Yes Mr. Negi, you have to pass only German Guilt Essay, switch v2 or troubleshoot v2 to get the certification. I wrote my Route exam in October 2010 and have completed switch in 2013 and now tshoot, do you know why the mac cosmetics ads route exam not count towards “CCNP routing and switching” but does count towards “CCNP Service Provider”? your reply would be greatly appreciated. Good afternoon, I have passed CCNP Route last year July. I’m not sure of taking the remaining exams before 30th Jan 2015. Would I need to retake the route exam next yr.pls I need response asap.

Thanks. It depends on expiration of your CCNP route. If you want to give CCNPv1 (Switch and marketing kerin, Tshoot) then you will have to clear these exams before 30th of Jan 2015. Note: you will not be allowed to give CCNPv1 exams (642 series) after 30th Jan 2015. Thanks again for your query. I am not having any technical background. i am a mba in marketing.How should i start? Hi Siddharth, YES you are welcome in NETWORKING field, At least you can start CCNA from any reputed institute after completing CCNA you can choose your own area of mac cosmetics, interest like security, voice, Wireless etc. This website “” will provide you best of in Bernhard Schlink's Essay, study recourses to ads, learn CCNA or other Technologies.

can you please give me the instructions for this ACL : 1/ TFTP server musn’t receive traffic which source adress is external to the subnetwork. 2/ all hosts have access to the TFTP server. Hi Nitin. I’ve just cleared all CCNP RS v1, but my CCNA expired long time ago. Now, I will need to clear CCNA RS in order to get ‘both’ CCNA CCNP RS I’ve just cleared, correct? Is it possible that I clear CCNA Security will get CCNP RS as well or CCNA RS is njal's saga a must? Thank you. your CCNA RS will automatically renewed with CCNP certifications.

So just maintain your CCNP certification. Only prerequisite to give CCNA Sec is a valid CCNA RS certification. Since April 2013 I cleared CCNP Switch 642-813. my query about CCNP exam is that. 1. Ads! If I will clear rest of meaning, two exam (Route and T-shoot) I would be CCNP certified. 2. After one exam CCNP Switching it showing my validity will of exam expired in 2016 April 22. My Second query is after all exam what will be my exam expiry. Kindly Suggest me. 1. Yes you will be declared as CCNP certified only by mac cosmetics passing remaining CCNP route Tshoot exams (no matter if they are V1 or V2) 2. No, 2016 is not valid for both exams. Tony Harrison! if you give CCNP Route on 01 Feb 2014 then your validity will be extended to 31 Jan 2017. Very useful information.

Thanks #128578; I just passed all three exams for CCNP Exams 642-902, 642-813 and 642-832 without having a valid CCNA due to mac cosmetics, work. I know i can only be CCNP certify once i passed the the CCNA exam.If i take my CCNA exam after 30th January when the current CCNP 642 exams are phased out, would it. still be valid to be CCNP certified or do i have to take CCNA before 30th January to bertolt brecht, be CCNP certified. thanks in advance for your advice.

Thanks Mr. Ads! Mario Ramos for your feedback…… Keep reading @ this portal and you can also refer my recent exclusive publications of IOS XR based learning. I have cleared switch v1 exam which is employee valid till Jan 2016. If I give other two exams (route and tshoot) after 30-jan-2015, do I need to give switch v2 again to complete my certification? or mix of switch v1 and route+tshoot v2 will complete my certification? Yes, it is mac cosmetics ads possible to bertolt, mix version 1 and version 2 exams, but if you completed version 1 exams for ROUTE or SWITCH, then you will need to prepare version 2 ROUTE SWITCH as well in order to mac cosmetics ads, pass the TSHOOT v2 exam because the TSHOOT v2 exam assumes knowledge of ROUTE v2 and long distance, SWITCH v2 topics. So, No need to ads, give CCNP Switch exam again if you go with V2 Route/Tshoot. Thanks again for bertolt plays, your query. Thanks Nitin for mac cosmetics ads, your advice. i have passed my CCNP ROUTE AND SWITCH V1 last year in meaning 2014 and my only mac cosmetics, TSHOOT is left now and i m not able to harrison, give exam before 30 jan 2015.

in this case do i have to mac cosmetics, give all 3 paper again or else i can give TSHOOT V2 paper to and Sportsmanship Essay, complete my CCNP CERTIFICATION.. Hello Mr. Mac Cosmetics! Syed, You will have to pass only Tshoot V2 exam in njal's saga case you will give after 30th of Jan 2015 But, to ads, pass Tshoot V2 exam you will have to prepare Route V2 and Switch V2 syllabus. Thanks again for employee, your query. I currently am CCNP certified but will expire Jan 2015.

Will I be able to re certify by taking the new 300-135 exam by mac cosmetics ads itself or will I have to tony harrison, take all 3 new CCNP exams to re certify?? Hi Ben, you have two choices either you can go with any of CCIE written exam or you can give one of CCNP exams to extend the expiration for next three years. Which book would you recommend for mac cosmetics ads, the TSHOOT exam? Hi Suleiman, Cisco press LAB Manual are good enough to employee, face TSHOOT exam but to deliver more practical approach for troubleshooting networks , I would recommend you to do some GNS3 TSHOOT LABs as we posted few month ago. I have the CCNP certs already. If I write the mac cosmetics CCDP arch, do I still have to write those two other exams now (after Jan 30th)?

Hello Mr. John Plies, It depends on the expiration of your CCNP certs if they are still valid then no need to meaning, retake those exams for CCDP. Thanks again for mac cosmetics, your query. Thank you for njal's summary, the great information. I passed route v1 in October 2014 and I want to complete the exams to get my ccnp cert. Ads! so do i need to retake the route v2 or i can mix my route v1 and switch tshoot v2 ? Hello Mr Bassel,

No need to retake CCNP route again….you can mix older exams with CCNPv2…..It’s valid to mix CCNPv2 exams. Thanks for the article. personally I think that the new CCNP is more focusing on IPv6 which honestly won’t be a dominant anytime soon. In addition to that the new CCNP includes a lot of harrison long distance, topics that should be related to mac cosmetics ads, the security track. I don’t why cisco is trying to throw in some technologies that are not used very often in marketing kerin a lot of enterprise network. In fact there is some topics hardly ever a network engineer get exposed to. Regards and thanks again, Is it possible to give CCIE written first and then give CCNP . ( any version) ?? Coz i have registered for mac cosmetics ads, CCIE W and i dont want to cancel it. Also i want to register CCNP ASAP.. Is the test format the marketing kerin same? or were there any simulations added? my old CCNP (902,813,832 )certificate will be expire dec 2016 . now i want to preparation for extension . which exam , i will attend . (((CCNA Security or else))) …..plz advive me. A lot of ads, employers are looking for the CCNP Routing and Sports Essay, Switching certification now.

It’s a great one to have on your resume. You will see more opportunities from within your organization or hired on somewhere new a lot easier. Get succeeded in 300-115 certification exam with Pass4surekey premium quality 300-115 dumps. By preparing their Cisco 300-115 questions answers and practice tests candidates can succeed in mac cosmetics ads this exam securing brilliant marks.We offer 300-115 braindumps having most updated cisco 300-115 Questions answers most likely similar to the real exam questions. We claim that premium quality 300-115 exam dumps would make your exam an easy attempt. Plays! For more questions visit the website. Intense School has been providing accelerated IT training and certification for over 12 years to more than 45,000 IT and Information Security professionals worldwide. Come see why we have the highest pass rates in the industry! Stay up to date with InfoSec Institute and Intense School by mac cosmetics ads connecting with us on Social Media! Practice for certification success with the Skillset library of over 100,000 practice test questions. We analyze your responses and can determine when you are ready to sit for Essay, the test.

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Resume Aesthetics: Fonts, Margins, and mac cosmetics ads, Paper Selection Guidelines. While many of the tony long distance resources at Resume Genius focus largely around the core principals of resume writing in mac cosmetics ads, terms of on-page content, this particular guide focuses solely on the visual aesthetics of the resume as a whole, from the best choice for font style and size to optimal paper shades and textures, everything is covered. While generally regarded as supplementary, visual aesthetics have the potential to be much more than just a supplement, especially when the difference between standing out amongst other competitive applicants can be by in Bernhard, just the smallest of measures. Next, we give a comprehensive look at the three primary areas that comprise a standard resume (both reverse chronological and combination styles) and which deserve the most attention when writing your resume. The shape of a resume refers to the impact its overall look has on the reader without taking into account the meaning or significance of the text printed on said page. The shape of the resume is the very first thing to make an ads, impact upon the reader , as it is the first thing the brain processes before having the Sports Essay time to read the mac cosmetics ads text or recognize the name or appreciate the paper. Being the first thing the reader subconsciously processes the shape of a resume is quite important. The first aspect to consider when analyzing shape is the proportion of the page margins. Having standardized margins guarantees a resume that won’t stand out and is the safest choice for 95% of resume writers. 1 inch resume margins are pretty standard, and especially useful for job applicants without much experience. Margins can vary by tenths of Guilt in Bernhard, a point and still be acceptable, however it may be difficult for the amateur resume writer to really understand what is “acceptable” in the industry, and thus sticking to a standardized margin is mac cosmetics recommended.

1 inch resume margins are pretty standard, and especially useful for job applicants without much experience as 1” margins are the largest allowed on resumes and will help make the typed text seem lengthier than it is. Resume Genius’ resume maker actually utilizes precise .63” margins, as Resume Genius experts feel that .63” strikes the perfect harmonious balance between making the text appear broader, and Sports and Sportsmanship, “fuller” than larger margins of 1” which create slightly too much white space. It should be noted that the ads proportion of “white space” is a constant measurement of a resumes shape, as too much white space (blank space) on the page makes a resume seem lacking and appear barren, while too little white space makes a resume feel cramped and too busy. Going any lower than .5” margins on your resume is not advisable because it often leaves the hiring manager feeling claustrophobic. As with margins, the Sports and Sportsmanship length of mac cosmetics ads, a resume is a critical formatting factor that has a large impact in the overall aesthetic of the document and thus is marketing kerin consequential enough to ads give considerable consideration. Also like margins, the perfect resume length is a hotly contested subject within the resume writing community. There are few general rules of thumb however to marketing kerin help you determine what length is mac cosmetics most appropriate for you. Alignment of resumes is Essay a pretty straightforward process as they are almost always left alighted , as this is how most in the western world read text. Mac Cosmetics. Headings, experience bullet points, educational information and additional skills will all be left aligned. Contact details and applicant names will be center aligned 90% of the time , however some special styles will left alight the contact information.

There are special areas of the resume however that can be center aligned under the long right circumstances outside of contact information. The resume’s introduction is also sometimes centered. Choosing to do so is ads a matter of personal taste and meaning, both perfectly acceptable. 2. Aesthetics: Fonts Font Size, Lines, Symbols, and Colors. Determining the most appropriate font style for a resume can be a difficult task for the applicant with an mac cosmetics, untrained eye.

There are thousands of marketing kerin, different styles of fonts, but only ads, a few that are appropriate for njal's saga summary, professional documents such as cover letters, resumes and thank you letters. Before choosing a particular style applicants must first choose between two worlds, that of serif and sans serif fonts. Serif fonts have small lines attached to mac cosmetics the ends of the letters. This is most commonly used in word processing or other non-traditional forms of typesetting. Sans Serif, “Sans” being French for “without” is and Sportsmanship lettering that does not include small lines or hooks at the end of mac cosmetics ads, each letter. Choosing between one or another is a matter of personal preference and no one font can be said to be definitely better than another. Like colors, personal preference plays a large role, and since guessing a HR’s personal preference is impossible choosing a personal favorite is perfectly acceptable. For a crisper font at smaller sizes it is advisable to browse less stylized Sans Serif fonts. Times Roman fonts have been used the meaning most, however the smaller the font size the mac cosmetics harder these become to marketing kerin read because of their artistic Serif nature. Bookman Old Style Georgia Times Roman Times New Roman.

Arial Avenir Calibri Helvetica Veranda. Styles vary so much that one may look horrible at 10.5 while another font looks best at 10.5 and too bloated at 11.5. Many applicants may be surprised to learn that there is mac cosmetics no one single correct resume font size. There are “safe bets” like 11pt font that should look aesthetically pleasing in many different styles, however this is a very one-size-fits all approach to what is a very delicate process. Resume writing is njal's not an approximate art but instead a precise operation, and the more attention given to precision the better the final product. Your resume font size should actually be linked directly to font style. Mac Cosmetics Ads. Styles vary so much that one style may look horrible and nearly unreadable at 10.5 while another font looks best at 10.5 and too bloated at 11.5. To achieve a perfect balance first select a desired font style, then adjust it’s size accordingly, using one –tenth of marketing kerin, a decimal place to fine tune the final size. See how the mac cosmetics style makes the type look much different even though they are the same size? Do not make the mistake of letting page length dictate font size.

If an applicant’s resume is just exceeding one page by a few words or a sentence try fitting to employee meaning one page by first choosing synonyms or rewriting sentences to make them shorter and more succinct. Only after an applicant has exhausted their ability to shorten their resume with language should they turn to minor margin and font size and style adjustments. Just remember, don’t sacrifice overall aesthetic quality with the single-minded goal of mac cosmetics, fitting to one page. Marketing Kerin. A resume is valued for the sum of all parts, not just its length . Beyond just margins and ads, font selection the overall shape of a resume can also be greatly influenced by the subtle and strategic use of lines and bullet points. These are the only two non-alphanumerical symbols allowed on a professional resume, as elements such as clipart; word art, smiley faces or even diamonds are simply not acceptable. Lines break up a page and stop the eye from reading further momentarily , allowing the brain to marketing kerin process the just read information for a fraction of a second longer should there have never existed a break line in the first place. Such break lines can be inserted into a resume after a career objective or summary of qualifications for example to emphasize the statement above. Break lines can also be used to separate special titles or unique sections like key skills if writing a functional or combination style resume. Only use lines sparingly, as too many will break up the page into too many pieces and obstruct the readers eye from moving fluidly from section to mac cosmetics section, ultimately frustrating the reader. Symbols may only Sports Essay, be used in the form of bullet points or spacers.

The most common symbol used is the traditional bullet point, which consists of a small black dot. This is the preferred form of using bullet points, and is the mac cosmetics safest choice. Those applicants who are a little more unconventional in their style could perhaps consider an alternative bullet shape such as a small black square, but this is about as big of a deviation as is acceptable. Essentially, applicants are to bertolt brecht choose between a bowtie or a tie , both communicating a similar message. Only use one style on mac cosmetics, a resume, never mix and match circle and square bullet points horribly ugly travesty. Resumes are traditionally written in black, as it is the most widely accepted, safest and conservative approach. Resumes can however make use of subtle additions of color throughout to help them stand out in German in Bernhard Schlink's The Reader, a stack of nearly identical black and white documents.

Here are a few examples of how you can use color on your resume. If an applicant does choose to ads use color it should be a primary color and bertolt plays, it should be muted, no bright neon or zany variations. Simple and subtle reigns supreme in the resume world. The key with color in resumes is retaining the focus on the experiences, achievements and mac cosmetics, skills in the words rather than moving focus to colors. Colors on resumes are meant to assist the communication of the information, not detract or take away from its central importance. Resume paper selection is an important aspect of the presentation of Sports Essay, a completed resume. First priorities must always remain focused on ads, the quality of writing, makings sure every sentence, every word is German Guilt Schlink's The Reader Essay chosen for a purpose and mac cosmetics, is the and Sportsmanship best possible choice. After the content of a resume, next in importance comes the mac cosmetics ads formatting, the distance margins, the fonts and the spacing. Finally, with a completed product in hand, it’s time to ads print and distribute. This is where paper comes into play. Not sure which kind of paper is best for you?

Check out our resume paper comparison where we rate the top 7 styles that you can buy. White paper is the in Bernhard Schlink's The Reader traditional color choice for resumes written by amateurs and professionals alike. White takes away nothing from the words on the page but doesn’t contribute anything either. Mac Cosmetics Ads. White is traditional and a safe choice for resumes of all career levels and for all different industries. Colored paper has been a quick way to add style to bertolt any resume for mac cosmetics, years now, as next to employee a bunch of mac cosmetics ads, true white documents a slightly yellowed or “cream” hued resume will instantly stand out without being obnoxious. While this isn’t the conservative approach, it is by no means “radical” and thus a fair option for anyone who feels their resume may need a boost in employee, standing out amongst others for a highly competitive position. A common resume paper weight in office and home printers is about 20lbs bond. This is acceptable for a resume however for such an important document it may be worth spending a little extra money for mac cosmetics ads, 24-25lb bond weight paper, as this is Sports and Sportsmanship Essay just slightly weightier and feels better in mac cosmetics, the hand. Tony Harrison. Anything exceeding 25lb bond weight is mac cosmetics ads bordering on excessive. Our experts find that 24-25lbs bond is the sweet spot for Schlink's Essay, resume paper weight. Paper texture is determined by its composition and ads, the press used to manufacture it.

Some premium papers are pressed with very subtle crosshatching while others have even less noticeable imperfections pressed upon them to give them a unique feel to the touch. Look for a well-weighted paper, with texture or not, with at least 25% cotton composition. The more cotton the Guilt in Bernhard The Reader stronger the paper and crisper it feels. Many colored and textured papers are already manufactured as “premium” and will thus have a cotton fiber percentage of 50-100%, resulting in a very impressive document. All resume paper should be 8.5” X 11”; there are NO EXCEPTIONS to this rule. 8.5” X 11” is the size that filing units are built to contain, the size scanners are by default set to process, and mac cosmetics ads, the size common manila envelopes are made to contain, so it is highly inadvisable to print paper any smaller or larger. By taking into consideration all of the marketing kerin above guidelines, any job applicant can write a perfect resume sure to be impressive to even the most critical of human resources managers.

Don’t want to go through the hassle of mac cosmetics ads, creating your own resume? We encourage you to use our resume builder here, which will format your resume into one of our 8 battle tested templates, which have been proven to land more interviews. We also invite you to harrison long download those resume templates for free, and insert the bullet point yourself. If you’re having trouble coming up with bullet points, take inspiration from our numerous industry resume samples and ads, writing tips. Additional Resume Aesthetic Resources.

What a well written comprehensive piece! Thank you so very much! We are glad that you found it helpful! Glad you like it! very informative…. Thanks a lot. You’re Welcome! We like Bookman Old Style the most.

This is very helpful. Thank you. #128578; Share Resume Aesthetics: Fonts, Margins, and Paper Selection Guidelines Our code geeks and HR experts are proud to saga introduce our new Free Resume Builder software to help you land more interviews in today’s competitive job market. We provide HR-approved resume templates, built-in job description bullet point phrases to choose from, and easy export to MS Word and mac cosmetics ads, PDF. Get awesome job opportunities sent directly to your inbox. By clicking Send Me Job Alerts, I agree to the Resume Genius Terms of Use and Privacy Policy. Play the njal's summary One-Minute Game That’ll Show You How to mac cosmetics ads Improve Your Resume.

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al qaeda essays Over the years, the security of the United States has been of great concern. Since the infamous September 11 bombing, America has taken greater measures, to ensure safety of its citizens and assets, all over the globe. Currently, the Federal Government invests millions of dollars towards fighting terrorism, both within and without its borders. The growth of terrorist groups has been a major challenge to the United States in its quest to security. Controlling the mac cosmetics, emergence of tony distance, such groups and suppressing their growth and penetration into the American territories has been a burning issue to the American leaders.

One such an organization is Al-Qaeda. Al-Qaeda is an international militant organization, which was formed between 1988 and 1989. Its founders were Abdullah Azzam, Osama bin Laden, and others. Its genesis is traced back to mac cosmetics ads, Arab volunteers in the 1980s, who were resisting Afghanistan’s invasion by the Soviet. The organization comprises of both a stateless, multinational army, and njal's an extremist, Islamist, Wahhabi jihadist group. The organization is mac cosmetics designated as a terrorist organization by the North Atlantic Treaty Organization, the United Nations Security Council, the bertolt brecht, European Union, Russia, India, the United States of America, and other countries. The terrorist group has carried out many terrorist attacks on countries it perceives as being kafir (Burke, 2004).

Al-Qaeda has been attacking military and civilians in various countries across the globe, including the Bali bombing in 2002, the 1998 Unites States embassy bombings, and the September 11 attacks. It is the September 11 attacks that led to American government’s launch of the mac cosmetics, war on marketing kerin, terror. Due to the death of its most important leaders, such as Osama bin Laden, the terror group’s operations have changed from being controlled in a top-down structure, to ads, activities by lone-wolf operators and franchise-associated groups. Major techniques used by Al-Qaeda include bombing different targets simultaneously and suicide bombings. Its ascribed activities involves members who have pledged allegiance to Bin Laden, or other Al-Qaeda-linked people trained in any of its camps located in Pakistan, Afghanistan, Sudan, or Iraq. Prior to his assassination by the American forces in 2011, Osama was the Senior Operation Chief and njal's the notable commander of Al-Qaeda. After his death, his, Ayman al-Zawahiri, took over as the commander of the organization. During his reign as a commander, Osama received advice from mac cosmetics Shura Council, consisting of powerful Al-Qaeda members, estimated to be between twenty to thirty individuals. Tony Long? Atiyah Abd al-Rahman was ranked second in command before his death in August 2011. In addition, the organization’s network is mac cosmetics built as a conspiratorial network, from scratch; drawing leaders from Guilt in Bernhard The Reader Essay its regional nodes, to serve in its high command, as and when necessary. The organization’s military committee takes responsibility in training operatives, planning attacks, and acquiring weapons.

The business committee funds training and ads recruitment of Guilt in Bernhard Schlink's, operatives via the Hawala banking system. America’s efforts to eradicate terrorist funding were more successful in 2012, after the September 11 attacks. Despite such measures, Al-Qaeda still operates unregulated bank accounts, for mac cosmetics ads instance, the one thousand or more hawaladars in bertolt brecht, Pakistan; some can transact deals of mac cosmetics, up to ten million dollars. The organization, also, provides false passports and air tickets, oversees profit-driven businesses, and pays its members. A report from the commission formed to probe the September 11 attack reveals that the terror group requires approximately thirty-million dollars annually to conduct its operations.

Additionally, the organization’s law committee is Essay responsible in reviewing Sharia law and determines whether specific courses of mac cosmetics, action comply with it. The Islamic Study Committee is responsible in issuing religious edicts, for njal's saga summary instance, the 1998 edict commanding Muslims to ads, murder Americans (Gunaratna, 2002). Financing of Al-Qaeda. In the 1990s, the financing of njal's saga, Al-Qaeda came from Osama bin Laden’s Personal wealth. Afghanistan had become politically mired and complex by 2001, therefore, accessing other financial sources, making Bin Laden’s role in financing the mac cosmetics, group comparatively minor.

In the year 2001, some of the major sources of finance for the organization include Islamic Jihad and Jamaa Al-Islamiyya, which are linked to Afghan-based Egyptians. In the same year, additional sources of income included donations from Sports and Sportsmanship Essay Saudi Arabia, Kuwait, and other Islamic countries’ supporters and heroin trade. A memo from the U.S. Secretary of State, released in 2009, shows that the major source of the group’s funding world-wide was Saudi Arabia (Burke, 2004). Al-Qaeda and the radical Islamist movement developed in Islamic movement and Islamic revival of the last thirty years of the twentieth Century. Being anti- pro-Soviet government, the Afghan jihad formed the Salafist jihadist Movement, whereby Al-Qaeda was the most vocal example. Some scholars argue that, minus the writings of the Islamic thinker and author Sayyid Qutb, Al-Qaeda would not have come into mac cosmetics existence.

He preached that, it is marketing kerin because of lack of Sharia law that the Muslim world had failed to be Muslim, due to returning back to ads, ignorance before Muslim’s existence called jahiliyyah. He asserted that, a movement of njal's, sacred Muslims was necessary to restore Islam, implement Sharia, and rid the mac cosmetics ads, Muslim community of non-Muslim influences, including concepts like nationalism and socialism. Sports And Sportsmanship? Qutb had great influence on Osama’s mentor and another key member of Al-Qaeda, Ayman al-Zawahiri. Qutb’s most powerful idea was that most of those who claimed to be Muslims were not, instead they were apostates. This did not only give jihadists a loophole in killing another Muslim, but also made it a religious norm to mac cosmetics, carry out an execution of such self-professed Muslims. Among such apostates were leaders of Islamic nations, as they failed to summary, implement Sharia law (Al-Zayyat, Fekry, Nimis, 2004).

Al-Qaeda’s Communication and mac cosmetics Aviation Network. Due to increased international vigilance, Al-Qaeda has migrated online. Its use of the internet has become more sophisticated, encompassing recruitment, financing, mobilization, publicity, networking, and information gathering, dissemination, and sharing. In Iraq, the group releases short videos glorifying jihadist suicide bombers. Multimedia content disseminated by the organization include: victims ready to be killed, guerrilla training clips, testimonials from suicide bombers, and videos showing jihad participation (Thomas, 2003). Al-Qaeda is deemed to be running a clandestine aviation network involving a number of Boeing 727 aircraft, executive jets, and turboprops. It is believed that the organization uses aircrafts to transport weapons and drugs from South America to many unstable nations in West Africa. An aircraft such as the Boeing 727 is in employee, a position to ads, ferry up to ten tons of cargo. Osama claimed back in 1998 that acquiring weapons of mass destructions was his right as a Muslim.

Over the years, the Al-Qaeda has been working hard to develop or purchase weapons of mass destruction, such as nuclear and biochemical weapons. Sports? However, the organization has not been successful in the use of mac cosmetics, such weapons. Al-Qaeda has less interest in summary, easier- to- use, cheaper, and simpler technologies, such as poisons and ads crude toxins. The group managed to Sports, develop anthrax for mass causality attack in the U.S. The project was run by its deputy chief personally, in parallel to the organization’s quest to acquire nuclear capability.

By 2002, a United Nations report indicated that many new soldiers were joining Al-Qaeda’s training camps in Afghanistan. In addition, the report indicates that, the organization’s operatives were training in more than forty countries, across the world. In such camps, the ads, new recruits receive military training in various areas such as bombing, document falsification, combat, and much more. Such specialized training is useful to the recruits in discharging their duties during terrorism activities. After training, such recruits are assigned new duties, in various parts of the globe (Aldrich, 2002). Al-Qaeda is a threat to American security and the world at large. From its various activities in the past, it is Sports and Sportsmanship clear that such an organization has the potential to bring destruction and mac cosmetics cause mayhem in the country. Despite Osama’ death, the group is recuperating and new leaders are taking overthe leadership of the group. In addition, the group is concentrating on and Sportsmanship Essay, recruiting more young people and professionals, and ads acquiring new and more sophisticated weapons.

This is not good news to saga summary, the United States. Despite the belief that the country has a superb military, sometimes the mac cosmetics, events that unfolded in September 11 show that anything is possible. Therefore, there is need for the security agencies to ensure that they are prepared at all times. Aldrich, G. H. (2002). The Taliban, Al Qaeda, and the determination of illegal combatants.

American Journal of International Law, 96(4), 891-898. Al-Zayyat, M., Fekry, A., Nimis, S. (2004). The road to al-Qaeda: the story of Bin Laden#8217;s right-hand man. London, UK: Pluto Press. Burke, J. (2004). Al Qaeda. Foreign Policy, 18-26.

Burke, J. (2004). Al-Qaeda: the true story of radical Islam. London, UK: IB Tauris. Gunaratna, R. (2002). Inside Al Qaeda: Global network of terror. New York, NY: Columbia University Press. Thomas, T. L., Foreign Military Studies Office (ARMY) FORT LEAVENWORTH KS. (2003). Marketing Kerin? Al Qaeda and the Internet: The Danger of #8216;Cyberplanning#8217;. Ft. Belvoir: Defense Technical Information Center. You can place an order similar to this with us.

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Attention-Deficit/Hyperactivity Disorder: Presentation and Management in the Haitian American Child. A case study of a young Haitian American is presented that is mac cosmetics, illustrative of cultural issues that influence care of njal's saga those with attention-deficit/hyperactivity disorder (ADHD). Medications are the preferred treatment for ADHD and can be combined with psychological intervention. However, many Haitians and Haitian Americans see psychoactive medications as leading to mac cosmetics ads, substance abuse or mental illness. Distance? Efficacious psychosocial treatments include contingency management, parent training, and behavior therapy; cognitive-behavioral treatment has not been helpful.

Complementary and alternative medicine might have appeal; primary care physicians can help families to mac cosmetics ads, assess such treatments and not to be enticed by expensive ones of marketing kerin little benefit. A determinant of the mac cosmetics, treatment a family pursues is their perception of the cause of the employee, ADHD behaviors. While there is no term for ADHD in the Haitian-Creole language, in the Haitian culture the behaviors consistent with the diagnosis might be interpreted as indicating a poorly raised child whose behavior could be modified by ads parental discipline, an intentionally bad child, or a psychically victimized child suffering from an bertolt brecht plays, #x0201c;unnatural#x0201d; condition. #x0201c;Natural#x0201d; ailments are attributed to natural forces (e.g., wind, temperature), while #x0201c;unnatural#x0201d; ones are attributed to bad spirits or punishment by God. Ads? Families may #x0201c;lift their feet#x0201d; ( Leve pye nou : to see a Hougan or voodoo priest) to determine the unnatural cause. Haitian Americans often combine therapeutic foods that are considered cold in nature, natural sedatives and purgatives from herbal medicine, religious treatments, and Western medicine.

Immigrants often lack support of marketing kerin extended families in an environment not supportive of their interpretation of child behaviors and traditionally accepted parental disciplinary style. Mac Cosmetics? Stigma, language, cultural conceptions, concerns about governmental agencies, and physician bias can all be barriers to care for immigrant families. Primary care and behavioral integration are useful in managing families from tony distance, other cultures. More than ever in the United States, it is ads, nearly impossible to find a medical practice with a patient population that does not include cultural and ethnic diversity. While this reality is broadly recognized, clinicians and patients often face challenges in communicating with one another regarding health concerns. These challenges may be due in part to cultural differences in understanding and interpreting illness. The importance of cultural issues on mental health care was highlighted in 2000 in the first-ever Surgeon General's report on mental health.

1 National efforts at summary education in cultural competency have taken root in mac cosmetics ads, various ways in medical centers, practice groups, teaching institutions, and community health centers. Attention-deficit/hyperactivity disorder (ADHD) is one of the most commonly diagnosed chronic mental conditions of childhood. ADHD has a large genetic component to marketing kerin, its etiology, 2, 3 and mac cosmetics ads alterations in the noradrenergic and dopamine systems lead to dysfunction in bertolt plays, higher cortical processing related to attention, alertness, and executive functions (e.g., planning, working memory, abstract reasoning, mental flexibility). 4. ADHD has been reported in ads, all continents of the world. Employee? Prevalence studies for many countries do not exist; however, studies have been conducted in China, Thailand, Israel, Turkey, Brazil, India, Puerto Rico, and Mexico. 5 Although the signs and symptoms of ADHD are basically the same in these diverse countries, they each represent a different ethno-socio-cultural context in which the condition is ads, interpreted and responded to by patients, their families, caring professionals, and bertolt brecht plays others. 6 Several recent studies demonstrate that in mac cosmetics, 40#x00025; to 70#x00025; of children, ADHD persists into adulthood. 7, 8. Although ADHD has been well established as a condition in children worldwide, the subtler question of how the interpretation of Sports and Sportsmanship Essay symptoms and behaviors varies between locales remains elusive.

Studies describing the interpretation of ADHD symptoms in different cultures are extremely limited. African American parents have been shown to mac cosmetics ads, be more unsure of the potential causes and treatments of ADHD and less likely to connect the school system to ADHD issues than white parents. 9 In another school-based study, white children with ADHD were twice as likely as African American children to receive evaluation, diagnosis, and treatment, and the threshold of parental recognition and seeking of services contributed to this discrepancy. Guilt Schlink's The Reader Essay? 10 In a third study, African American children were identified with ADHD symptoms at mac cosmetics ads higher rates than white children. 11 Compared to white teachers, African American teachers rated children as presenting more ADHD symptoms.

12 A similar study compared Hispanic teachers' and non-Hispanic white teachers' assessments of hyperactive-inattentive behaviors portrayed in standardized tapes of white and Hispanic children. Hispanic teachers were more likely than white teachers to score Hispanic students above the clinical cutoffs for ADHD. 13 Whether such discrepancies are due to ethnic differences in behavior, limitations in the cross-cultural validity of diagnostic measures, or bias in raters' assessments of behavior is uncertain. More than 2 million Haitian Americans reside in the United States, and bertolt brecht plays this cultural group has a presence in every state. The following case study of a young Haitian American illustrates the cultural issues that can influence the care of a person with ADHD and mac cosmetics ads the difficulties that can result from culturally based disagreement or inadequate communication between medical professionals, educators, social service personnel, and families. Mr. A is a 25-year-old man with a history of ADHD. He was an overactive child from early infancy, and his parents initially attributed his exuberant behavior to the natural tendencies of his sex. Mr. A's parents tried their best to keep his behavior under control by corralling him in brecht, his crib, verbally disciplining him, and occasionally spanking him. From when Mr.

A was 3 years of age, his parents became increasingly aware of his hyperactivity, impulsivity, and inability to follow directions. Throughout his pre-school years, he was repeatedly suspended from school and was forced to move from one school to ads, the next. In his community, he developed a reputation for bertolt brecht, being mal #x000e9;lev#x000e9; #x02014;a French term for #x0201c;badly reared,#x0201d; which in turn reflected negatively on ads, his parents within their extended family and community. At age 5, Mr. A was diagnosed by a specialist as having ADHD.

His parents accepted counseling to help manage their son's condition, but declined the use of harrison long distance medication. Later, during his elementary school years, another clinical assessment confirmed the diagnosis of ADHD. This time, Mr. Mac Cosmetics? A's mother accepted the use of medication, but stopped it and refused to consider any other medication when side effects placed Mr. A into a #x0201c;zombie-like#x0201d; state that included sluggishness, difficulty sleeping, and loss of appetite. When Mr. A's parents halted his medication, school staff registered their concern with the Department of Social Services by filing a child neglect report. Mr. Sports And Sportsmanship Essay? A's parents were evaluated for social services; however, these services included no interpreter, nor economic or social support. His parents were placed on the defensive all the time and mac cosmetics began to Essay, feel threatened, stating that #x0201c;the focus was no longer on #x0005b;Mr. A's#x0005d; condition, but on our parental abilities.#x0201d; As a result, to mac cosmetics, attend to Mr.

A and coordinate his care, his mother stopped working outside the home. Unable to navigate the different agencies that had become involved with their family, and believing a more disciplinary and controlled environment might help, Mr. A's parents first sent him to Essay, Haiti to live with grandparents and 1 year later sent him to a Haitian boarding school. Neither environment had an effect on ads, his behavior. Two years later, when he returned to live with his parents in the United States, his father built his own life around a tight schedule to meaning, tutor, mentor, and supervise Mr. A's school activities. Mr.

A eventually graduated from high school, but was unfocused and performed poorly in the classroom. After graduation, Mr. A participated in several training programs but has yet to complete one. He continues to be hyperactive and mac cosmetics ads unfocused. At work, he is known as a #x0201c;good guy#x0201d; who regularly jumps to defend coworkers, a behavior that often costs him his own employment. His parents are finally convinced that medication would be beneficial, but Mr. A refuses to take medications and summary denies his disorder.

WHAT DIAGNOSTIC STRATEGIES ARE USEFUL IN PRIMARY CARE PRACTICE TO CONFIRM THE DIAGNOSIS OF ADHD? Table 1 lists the DSM-IV criteria for the 3 subtypes of ADHD. These are (1) predominantly inattentive (has at mac cosmetics ads least 6 of 9 inattention behaviors), (2) predominantly hyperactive-impulsive (has at least 6 of 9 hyperactive-impulsive behaviors), and njal's saga (3) combined (has at ads least 6 of 9 for both inattention and hyperactive-impulsive behaviors). Due to their ability to function with ADHD during adolescence, children with the inattentive subtype of ADHD tend to be the marketing kerin, easiest group to manage and are the least likely to have recurring problems; however, they often are the mac cosmetics, hardest to diagnose. Hyperactivity behaviors often start by a child's fourth birthday, peak around age 7 to 8 years, and decrease greatly by adolescence. Impulsive behaviors follow the same early course, but rather than declining in harrison long distance, adolescence, remain a problem for ads, life. 7, 14, 15 Impulsive behaviors in adolescence may result in problem drinking and drug use, and impulsive spending in adulthood.

In contrast to hyperactivity and impulsivity, inattention often does not become evident until age 8 or 9 years, but, like impulsivity, then remains a problem for life. By DSM-IV criteria, the onset of symptoms must occur before the age of 7 years, persist for at Guilt Essay least 6 months, be present in more than 1 setting (e.g., school, home, after-school program), and be excessive for mac cosmetics ads, the development level of the bertolt brecht plays, child. In addition, an individual's behaviors should affect at ads least 1 aspect of life, such as the school, family, or work environment. As with Mr. A, ADHD commonly disrupts daily functioning and tony harrison development in multiple areas. The diagnostic differential for many of the behaviors found in ADHD includes emotional and ads behavioral problems (e.g., depression, anxiety disorders including obsessive-compulsive disorder and posttraumatic stress disorder, conduct disorder) developmental problems (e.g., learning disabilities, mental retardation, conditions such as fragile X syndrome), and medical conditions (e.g., sensory deficits, seizures, fetal alcohol syndrome, thyroid disorders). For recent immigrants, these conditions may present at an age beyond that commonly encountered by American clinicians. Environmental concerns and experiences can also lead to behaviors mimicking ADHD and meaning can be particularly difficult to define in recent immigrants. Mac Cosmetics? 16, 17 These include culturally different parenting approaches, parental psychopathology, stressful home environment, lack of experience with the American school environment, inadequate language skills, and child abuse or neglect.

18 A substantial number of individuals with ADHD will also have comorbid psychiatric conditions (e.g., depression, oppositional defiant disorder, learning disabilities). A variety of rating scales are available and helpful in evaluating children (see; however, most of these have been validated in meaning, referral populations rather than primary care settings and may not be generalizable to immigrant populations. These scales include ones for use by clinicians, parents, and teachers. Ads? Also, collecting information from other settings (e.g., summer programs, after-school programs) may provide additional helpful insight, particularly if the rater is from a background similar to the patient, but not a family member. For older patients who do not recall enough about their childhood, clinicians should have them speak to relatives to gather their childhood histories. Schlink's Essay? For example, clues to onset before age 7 years might include being held back or suspended in early school years, old report cards indicating behavior problems, or stories of being difficult to control. Scales for mac cosmetics, adults (e.g., the Wender Utah Rating Scale, 19 also available in French 20 ; the Copeland Symptom Checklist for Attention Deficit Disorders 21 ; the Conners Adult ADHD Rating Scale 22 ) can be useful, but yield large numbers of tony harrison long false positives and cannot be relied on for diagnosis without supportive evidence from clinical assessment.

23. Treatment approaches to ADHD include an mac cosmetics ads, array of psychotropic medications, behavioral and psychological treatments, and complementary and alternative medicine approaches. Medications are generally the preferred treatment modality and employee can be combined with behavioral or psychological interventions, especially in mac cosmetics ads, children with behavioral problems or comorbid psychiatric conditions. Stimulant medications and saga summary psychosocial treatment have been the major foci of clinical research; however, the duration of ads most randomized trials has been 3 months or less, and njal's summary thus the literature on mac cosmetics ads, long-term treatment is sparse. In general, studies suggest that stimulants and psychosocial treatments are efficacious. Marketing Kerin? 24, 25 They also indicate that treatment with stimulants is superior to psychosocial treatment. 26. Short-term trials of stimulants support their efficacy, with response rates in mac cosmetics ads, the 70#x00025;-to-90#x00025; range. Employee Meaning? 27 Methyl-phenidate and dextroamphetamine are the mac cosmetics ads, most studied stimulants.

While there are longer-acting stimulants, these do not appear to provide any improvement in efficacy. Studies have found that stimulants improve the defining symptoms of ADHD and bertolt brecht plays associated aggression. However, there are not consistent findings that improvement in symptoms leads to improvement in mac cosmetics, academic achievement or social skills. 28, 29. Aside from studies suggesting the efficacy of using stimulants, there are also studies of antidepressants showing that tricyclic antidepressants (e.g., imipramine, desipramine, nortriptyline) produce improvements over and Sportsmanship, placebo. 30 The primary concern regarding their use is the ads, risk of cardiac side effects, especially in overdose. Atomoxetine also has proven efficacy for ADHD 31, 32 ; it is the only medication approved by the U.S. Food and Drug Administration for use in marketing kerin, adult ADHD, is not a controlled medication, and might be particularly useful when possible comorbid substance abuse is a concern. Mac Cosmetics Ads? 33 However, it does have a new black-box warning regarding the potential for severe liver injury, based on 2 reports (1 of a teenager and 1 of an adult). Psychosocial treatments of marketing kerin ADHD with demonstrated efficacy include behavioral strategies such as contingency management (e.g., point/token reward systems, timeout, response cost) that is conducted in mac cosmetics ads, the classroom, parent training (parent is taught child management skills), and clinical behavior therapy (parent, teacher, or both are taught to use contingency management procedures). Marketing Kerin? 34 In contrast, cognitive-behavioral treatment (e.g., self-monitoring, self-instruction, problem-solving strategies, self-reinforcement) has not been found to be helpful in children with ADHD.

35, 36. Complementary and alternative medicine strategies are very commonly used and might have particular appeal to families from other cultures. 37 Such therapies include special diets and supplements, megavitamins, applied kinesiology, and biofeedback; however, their benefits have not been demonstrated in clinical trials. Mac Cosmetics? 38 Diet, including reducing sugar, affects behavior in less than 1#x00025; of children. Njal's Saga? 39 One role in ads, which the primary care physician can be helpful is to help families assess alternative treatments and not be enticed by expensive treatments of little benefit.

The treatment of ADHD should be viewed as involving 3 stages of therapy: initiation and titration, maintenance, and termination. 40 During the initial phase of treatment, patients and families should be educated regarding ADHD ( Table 2 for examples of parental activities that may be helpful), therapeutic goals should be established with the patient and family, and treatment should be initiated. If medications available in short- and long-acting forms are selected, initial titration can best be accomplished using short-acting forms, observing for response and side effects. This can be followed by switching to longer-acting forms if desired. Starting and adjusting medications on a weekend provides opportunity for parents to observe effects and side effects directly. During the maintenance phase, ongoing family education, dosage adjustment, and monitoring of growth, efficacy, and Guilt Essay side effects are appropriate. Mac Cosmetics Ads? The duration and approach to termination should be individualized, with regular discussions with patients and families to support adherence to treatment rather than unsupervised treatment termination. Stimulant medications and Essay atomoxetine may be stopped at once, while other medications (e.g., tricyclic antidepressants) may need to be tapered. Trials off therapy, for ads, instance during school holidays, may help determine if medications are still beneficial.

In summary, although there are a range of treatment modalities that have been tried in the treatment of Sports ADHD in ads, children, the management approach that has proved most effective includes stimulants and psychosocial treatments focused on Sports and Sportsmanship Essay, behavioral strategies. Of note, in mac cosmetics, one large study funded by the National Institute of Mental Health, there was no difference in response to treatment between ethnic groups (Latino, African American, and German Guilt Schlink's The Reader Essay white). 41. ADHD AND ITS CARE FROM A HAITIAN PERSPECTIVE. While there is no corresponding term for ADHD in ads, the Haitian-Creole language, in the Haitian culture the behaviors consistent with the diagnosis of ADHD might be interpreted as indicating the following: Among Haitians, the interpretation of ADHD-related behaviors varies widely from family to family depending on religious affiliations, level of education, and experience with school and primary care systems. Stigma, language, cultural conceptions, concerns about governmental agencies, and physician and teacher bias can all serve as barriers to care for njal's summary, immigrant families ( Table 3 ). An important determinant of the treatment or other intervention strategy a family pursues is their perception of the cause of the ADHD behaviors.

Whether the cause is natural or unnatural is mac cosmetics ads, extremely important in the Haitian belief system. #x0201c;Natural#x0201d; ailments are often attributed to Essay, natural forces (heat/cold, gas, wind, temperature), while #x0201c;unnatural#x0201d; ailments are attributed to bad spirits or punishment inflicted by God. These are treated using either natural remedies or religious intervention. 42 Such belief systems can influence a family's acceptance of a physician's diagnosis of ADHD and their adherence to Western medical treatments. In the United States, as in many other countries, the diagnosis of ads ADHD is employee, mainly a medical one and involves pediatric and family medicine providers, social workers, and psychologists. However, for ads, most of the population in Haiti, a child would not be brought to a primary care physician for care of a behavioral problem.

Doctors are generally seen only for physical illness and emergency care; access to primary care is tony, limited and mac cosmetics ads generally available only to the most affluent. ADHD manifesting as a negative behavior usually is handled by parents, extended family, and school teachers through verbal or corporal discipline. Verbal discipline includes preaching to the child, comparing the Sports Essay, child to others, begging the child to behave, and humiliating the mac cosmetics, child. Corporal discipline and punishment can be inflicted by any member of the long, family, neighbors, and schoolteachers, all of whom are given full authority to educate and #x0201c;correct#x0201d; the child. Immigration adds a complex dimension to raising children. New families find themselves devoid of the support of the extended family, in an environment that is not supportive of their interpretation of child behaviors and traditionally accepted parental disciplinary style. Like many Haitian American parents living in the United States faced with similar circumstances, Mr.

A's parents chose to send him back to Haiti with the hope that a more authoritative parenting style, the enforcement of discipline in school (schoolteachers are very respected), and ads removal of the interference of the American social worker would offer a better environment for Guilt in Bernhard Schlink's Essay, rearing their child. Mr. A went to live with his grandmother first and then off to ads, a boarding school, a setting seen by many Haitian parents as the ultimate answer to employee, a child with behavioral problems. There are many beliefs among Haitian Americans surrounding the use of medication. Many in the Haitian American community see the use of psychoactive medications as a gateway to substance abuse or mental illness. Therefore, even parents who agree to allow their children to try them will most likely have low thresholds for terminating medication and be unsupported by family members, friends, neighbors, and even religious leaders. Mr. A's parents received much unsolicited advice, and some friends wanted them to #x0201c;lift their feet#x0201d; ( Leve pye nou : to see a Hougan or voodoo priest) who might be able to determine the unnatural but real cause of their son's problem. Being transnational and having access to mac cosmetics ads, both native Haitian medicine and Western medicine, Haitian Americans routinely combine therapeutic foods that are considered cold in nature, natural sedatives and njal's saga summary purgatives from mac cosmetics, traditional herbal medicine, religious treatments, and Western medicine to treat illness. Marketing Kerin? Examples of folk treatments for ADHD include mint tea, sweetsop (apple custard), or leaf teas (usually hot drinks); tizanne (usually cold drinks) of lettuce or other refreshing vegetables; and baths with boiled leaves ( bain de feuille ), which are often used as natural sedatives. While it may be difficult to establish trust with Haitian families initially, such trust in mac cosmetics ads, the doctor-patient relationship is essential in and Sportsmanship Essay, obtaining their participation in the development of a treatment plan to which they will adhere.

Clinicians should work to disarm or to gain acceptance with parents and family members. It may be helpful to learn a few words of Creole or tidbits of Haitian history, to be respectful of combining benign natural remedies with conventional Western medicine, and to find ways to show respect for the family's heritage. Engaging families in supportive behavioral management approaches (see Table 2 ) can give them a sense of control and involvement that will help build adherence to other treatments recommended. Cultural sensitivity is essential in dealing with not only Haitian patients but also patients from various cultural and ethnic backgrounds. One definition of cultural competency is mac cosmetics, #x0201c;a set of congruent attitudes, behaviors, and policies that come together in a system, agency, or amongst professionals and enables them to work effectively in cross-cultural situations.#x0201d; 43 Haitians, like most immigrant patients, need sympathetic advice and help from their physicians, as they often feel governmental agencies such as the local department of social services place a great deal of pressure on them to either medicate their children or move their children to other school systems. In direct contrast, it is also important not to marketing kerin, #x0201c;overemphasize#x0201d; a patient's culture when considering a diagnosis and treatment. While many of the mac cosmetics ads, barriers listed above may be relevant for brecht plays, some patients, culture is only one factor in their understanding of their illness. Educational, social, economic, and individual factors may also hold relevance. Because the mac cosmetics ads, interface of distance psychiatric disorders#x02014;in this case ADHD#x02014;and culture is complex, it is a useful context for examining the integration of psychiatric and primary care. While there are a number of models of such primary care and ads behavioral integration, one, called #x0201c;primary mental health care,#x0201d; 44#x02013;47 is particularly useful in managing families from other cultures. The goal of this approach is to resolve problems within the primary care service context: #x0201c;primary mental health#x0201d; is designed to distance, support the ongoing behavioral health interventions of the primary care provider.

This model of mac cosmetics behavioral health care is consistent with the philosophy, service goals, and health care strategies of marketing kerin primary care. This approach involves making psychiatric consultative services available to primary care providers and allows for behavioral health and primary care comanagement of patients who require more concentrated services, but nevertheless can be managed in mac cosmetics, primary care. Both consultative and condensed specialty treatment services are delivered as first-line interventions for primary care patients who have behavioral health needs. In summary, there are several options for assisting Mr. A and his family and njal's saga other Haitian children and adults with ADHD: Drug names: atomoxetine (Strattera), desipramine (Norpramin and others), dextroamphetamine (Dexedrine, Dextrostat, and others), imipramine (Tofranil and others), methylphenidate (Metadate, Ritalin, and others), nortriptyline (Pamelor, Aventyl, and ads others). The authors acknowledge Jean-Robert Boisrond, Coordinator of the marketing kerin, Haitian Health Institute at Boston Medical Center, Boston, Mass., for assistance in preparation of the ads, case and for commitment to bertolt, the special needs of the Haitian people.

Cultural Currents presents clinical experience derived from the ads, practices of clinicians caring for patients and families whose cultural backgrounds are outside of the mainstream of society. At times, those very clinicians will be in bertolt brecht plays, the position to ads, provide rich insights afforded by their own unique cultural backgrounds. These case reports and commentaries provide knowledge and strategies helpful in the clinical encounter with patients from employee, other cultures. This article is based on a Grand Rounds presented at the Department of Family Medicine, Boston Medical Center, Boston, Mass., on Sept. Mac Cosmetics Ads? 16, 2003. The authors received no direct support related to this article.

Dr. Culpepper has been a consultant for Eli Lilly. Drs. Prudent, Johnson, and Carroll report no financial or other relationship relevant to the subject of this article.

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