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Mr. Hosseini’s push for radical improvement also extended to a public school run by the university.

His plan, he freely said, was radical: slashing the federal work force by 75 percent, 50 percent in Year 1, and eliminating large swaths of the federal government.

How destructive his term will be remains unknowable, but his helter-skelter, vengeance-fueled approach to wielding power may have the ironic effect of impeding his ability to deliver on his more radical promises.

Speaking exclusively to the BBC, Sir David Behan, the regulator’s chairman, called for radical change, saying course closures and university mergers might be needed for financial stability.

One in 10 of these men opts for radical surgery rather than live with the anxiety of wondering whether their cancer will grow, Prof Ahmed says.