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The Strategic Approach: The strategic approach was developed by Jay Haley (1973, 1987) and others such as Milton Erikson (1980) to help professionals deal more effectively with resistance in their work. The approach utilizes very active and direct involvement by the clinician. The strategic perspective maintains that any attempt to change a member or set of members within a family system will be met with resistance and sabotage (conscious or unconscious). Therefore, the professional must find ways to combat this resistance by directing and altering the behavior of the family. One of the most common and well-known examples of a strategic intervention involves the use of paradoxical techniques. Paradoxical approaches are often referred to by the general public as reverse psychology. Paradoxical techniques involve prescribing the symptom of concern in an exaggerated form and so it appears to contradict the goals of intervention. For example, a child who terrorizes the family with frequent and intense temper tantrums might be encouraged by the professional to yell and scream louder: Yell louder I don t think you are trying hard enough and I m sure people in the next room cannot hear you. Strategic theorists believe that since people resist direct interventions to change the family system, the clinician can assist others in reaching intervention goals by asking the client to do the opposite of those goals. For example, a strategic therapist might encourage Mary to schedule her panic attacks throughout the day and to never leave her house. Since resistance can be expected, Mary would likely have difficulty scheduling frequent panic attacks and have trouble staying in her home. Therefore, the ultimate goals of therapy (decreased panic and increased independence) are likely to be met. Using these paradoxical techniques is both controversial

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the same time, the limitations posed by restricting the locality of an algorithm are not completely understood yet. For reuse distance 3, very little is known, and the gap between the known lower bound and best known upper bound is quite wide. Although a few authors have proposed randomized algorithms, there are no known bounds on the competitive ratios of these algorithms. Prakash et al. [41] propose several desirable features of channel assignment algorithms. Some of these are features such as minimizing connection set-up time and energy conservation at mobile hosts, which would apply to the distributed algorithms studied here. Another quality that is considered important is minimizing the number of hand-offs. Although intercell handoffs were not taken into account by any of the algorithms described here, clearly the nonrecoloring algorithms do not create any intracell handoffs. On the other hand, the recoloring algorithms can potentially force many intracell handoffs to occur. Designing algorithms that would limit the number of such handoffs would be an interesting avenue for future research. Finally, adaptability to load distributions is a desirable feature of channel assignment algorithms. Although it is clear that dynamic channel allocation does better than fixed allocation in this regard, it would be useful to know where the borrowing strategies stand in the picture.

2. Probable Outcomes Elite performance Enhanced physical health Enhanced enjoyment of the sport

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The overall strength of these engineered vessels reached only 300 mmHg, which is not within the range required for successful implantation Hirai and Matsuda [1996] also employed a collagen gel-based approach to create autologous venous grafts in a canine model Canine jugular vein smooth muscle cells were mixed with a bovine-derived collagen gel, and the suspension was cast into a cylindrical construct After 7 days of maturation, the construct was seeded with canine jugular vein endothelial cells and implanted into the posterior vena cava of the same animal from which the cells were derived Anticipating that the grafts would lack suf cient mechanical integrity on their own, they loosely wrapped a Dacron sleeve around the implant to prevent tearing Substantial thinning of the vessel occurred over 24 weeks in vivo and resulted in a vessel wall thickness of 96 m less than 12% of the original implant thickness.

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However, no quantitative analyses of the mechanical properties of the grafts were performed, making comparison of the quality of this gel-based construct with other engineered vascular tissues dif cult Extensive work has been done in an attempt to improve the mechanical properties of collagen gel-based vascular grafts Organizing the orientation of collagen gel brils has been investigated in order to maximize the mechanical strength of these constructs [Tranquillo et al, 1996; Barocas et al, 1998] Another method to increase mechanical strength is to apply cyclic strain to the collagen gel structure, which promotes synthesis of remodeling enzymes including matrix metalloproteinase-2 [Seliktar et al, 2001] Methods of creating tissue-engineered arteries have been developed that do not rely on collagen gel suspensions These constructs are able to withstand much higher burst pressures than their collagen gel-based counterparts Vessel construction using rolled sheets of cells (Fig 12.

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