We have shown that this can be done in the neonatal intensive care unit without the dissatisfaction with the process of change that we have so often seen.
If education and training reaches all staff, with a system of mutual and continued support, even large changes in clinical practice can be achieved without the dissatisfaction with the educational process that is often otherwise seen.
Without that buzz, and without heavy voter dissatisfaction, political observers from both sides of the aisle say Mr. Limbaugh certainly wields less power nationally than he once did.
But what of a president who strives to keep everyone in some vague middle ground of satisfaction or dissatisfaction, without ever offending anyone?
Because the people who determine O'Neill's fate are unable to express the slightest dissatisfaction without communicating total despair, the people who interpret what they say ignore everything but the bad news and assume that any support expressed for the man is a case of What else are they going to say?
But there has been so much disgruntlement, grumblings I've been hearing about Obama, that I just couldn't write some blurb without addressing the dissatisfaction.
Also associated with an increased likelihood of poor quality of life in the physical domain were living without a partner, job dissatisfaction, the presence of common mental disorders, negative self-perceived health, and presence of systemic diseases diagnosed by a physician.
They could register their dissatisfaction with JPMorgan without going after Mr. Dimon, the people said.
Simon and Flora have sophisticated and funky friends, interesting children and the ability to articulate dissatisfaction and disaffectedness without sounding droll or whiny.
Obviously, the control channels will definitely (even without any delay requirement) cause dissatisfaction in case (32).
