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Not resting on our laurels, our CME/CBOT megadeal was closely followed by CME Group s $9 billion acquisition of the New York Mercantile Exchange, one of the world s most pro table and fastest-growing exchanges, on August 22, 2008 This important transaction further advanced our strength in global nancial markets by bringing us into the important energy, metals, and over-the-counter swaps clearing businesses Today, we offer the broadest array of deeply liquid contracts across every major tradable asset class far more than any other exchange in the world In 2007, we facilitated the trading of more than 22 billion futures and options contracts having a notional value in excess of $1 quadrillion Our rapid organic growth combined with our successful mergers and acquisitions strategy was accompanied by signi cant new global expansion efforts.

more dramatic, difficult to manage, and more likely to result in clinical levels of adolescent dysfunction In addressing the topic of couples with adolescents, we also face the challenge of honoring individual differences while at the same time describing uniformities within a given developmental range, a culture, or a family structure This represents the same challenge that authors face when writing a chapter about any particular therapy model, about a particular ethnic group, or about alternative lifestyles To what extent do we consider individual differences, and to what extent is it appropriate to generalize to the entire group Generalizing our assertions to a group, which often can appear as an externally imposed descriptive uniformity, can be quite dangerous In fact, as a field we now understand, and in fact embrace, notions of diversity and uniqueness both between and within cultures, family forms, and orientations.

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We appreciate the concept that any social unit (family, couple, neighborhood) can only be understood from within in ways that reflect if not represent the unique experience of the members Thus, although as authors we could construct a generic image of couples with adolescents and a particular trajectory of adolescent development, such constructions would undermine the very foundations of current conceptual approaches to couple and family work This issue of uniqueness versus generality extends also to the therapists seeing couples with adolescents We therapists represent greater heterogeneity than is often apparent in descriptions of professional training programs regarding which credentialing agencies and state licensing bodies tend to emphasize common (core) beliefs and competencies rather than the diversity Training to uniform standards often ill serves clinicians who enter practice in diverse contexts (eg.

, private practice versus social service agency), funding streams (Medicare, private insurance, various HMO structures, other federal- or state-funded programs), and treatment populations Many of our traditional mental health training programs, for example, still center on interventions that involve certain levels of intellectual capacity, motivation to change, and value systems about what family and various roles therein should be However, in experience across more than 100 nationally and internationally certified Functional Family Therapy (FFT) sites (Sexton, Alexander, & Mease, 2003), therapists and families differ immensely from each other Some communities represent considerable multicultural diversity; for example, in one south Florida agency, our clients and therapists represent the following cultures: African American, third-generation Cuban American, first-generation Central American, Haitian/Creole speaking, and a small number of Anglo families In other communities, FFT therapists represent and clinically treat almost no diversity (eg.

In recent years, we became the single largest shareholder in the BM&F/Bovespa exchange in Brazil and the Dubai Mercantile Exchange, establishing ourselves in both Latin America and the Middle East We also entered into important new partnerships in China, Japan, South Korea, and Malaysia, cementing our long-term future by positioning CME Group to take advantage of the rapid growth and development of risk transfer and nancial markets in emerging market economies of great signi cance Finally, we stand on the precipice of another momentous sea change of opportunity: the vast over-the-counter derivatives markets As of the time of this writing, our world s nancial markets have crashed in a way that could not have been imagined.

, in several sites the great majority of the families are African American, and in other sites the clinicians and clients are predominantly Anglo American) Finally, some sites are seen as relatively homogeneous by external funders (eg, the Southeast Asia Community.

Any sensory or dorsal root ganglion along the entire length of the neuraxis may be the site of active herpes zoster infection. The painful vesicular eruption of shingles of dermatome distribution is well known. Pain may precede the eruption by a few days, secondary infection of the vesicles easily occurs, and pain may occasionally follow the rash on a long-term basis (postherpetic neuralgia). The dermatome distribution of the shingles rash is one of the most dramatic living neuro-anatomical lessons to witness. The healing of shingles is probably not accelerated by the topical application of antiviral agents. In immunocompromised patients aciclovir should be given systemically. It is not clear that antiviral treatment prevents post-herpetic neuralgia.

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