Miranda Sparks is a successful real estate broker based in sleepy and serene Wakulla County. On the cusp of ending her thirteen year marriage to Jack, she and her assistant Alice find themselves entangled in the murder of Reggie Leger, Alice’s husband of ten years. As hours turn into days events take a dramatic turn for both women. Miranda is stalked by Jack who believes he is above the law and has vowed to never let her go; Alice is traumatized by the death of her beloved husband, Reggie and finds herself and the children in mortal danger by the pair who committed this horrible crime against her family. Both women put their trust in the Sheriff’s Department who claim they will not rest until their tormentors are brought to justice. Joe Finch, recently released from a prison in Florida, and Beth Ingles, a known con artist team up to pull the ultimate con on unsuspecting Wakulla County which results in the deaths of two people spurring Detective Stevens to find those responsible while hanging on to the woman he has silently promised to protect.
A 'one-stop' comprehensive guide to women's health, updated with new evidence-based guidelines and timely topics The 11th edition of this classic guide for management of common gynecological conditions by advanced practice nurses is updated with cutting-edge topics, new evidence-based guidelines, and current patient teaching materials to enhance excellence in clinical practice. It features a completely updated chapter on the well woman annual exam including issues about the care of older women, and extensive revisions throughout the new edition regarding contraceptive methods, CAMs, medical abortion, HIV-AIDs, HPV screening and vaccine recommendations, and much more. Appendices containing abundant clinical resources and valuable patient teaching information, and comprehensive bibliographies, are also extensively revised and rewritten. Concise and well organized, this authoritative resource features an outline format that provides speedy access to critical information across womenís age span. Guidelines reflect ìbest-practiceî standards of care that are culled from literature on evidence-based practice and help to ensure improved patient outcomes. Expert contributors include prominent specialists from all arenas of gynecological health. Complete guidelines are presented in a template that includes definition, etiology, history, physical exam, lab exam, differential diagnosis, treatment, complications, consultation/referral, and follow-up. The guide addresses common gynecologic concerns including infections and sexually transmitted diseases, navigating life transitions, and menopause and incontinence. It encompasses issues of weight management, osteoporosis, smoking cessation, stress management, changes in sexuality, and health risks. New to the 11th Edition: Enhanced mental health chapter detailing the discontinuation of SSRI/SNRIs A bibliography for each guideline including additional websites Revisions to guidelines for STDs, vaginitis and vaginosis Guidelines for management of cytological abnormalities and cervical intraepithelial neoplasia New information on hormone therapy, menopause, and osteoporosis Updated information on contraception based on patientsí individual profiles and clinical data Revised information on natural family planning from an expert NFP educator New data on long term effects of HRT New data on HPV, HIV treatment and survival Expanded section on screening for updating of laboratory tests Additional data-based evidence on over-the-counter remedies and non-prescription supplements New data on screenings for breast cancer New Pap smear guidelines across the lifespan Physical assessment of pelvic floor integrity and dysfunction Helpful techniques for difficult examinations Updated information on vulvar dermatology Information on lesbian, bisexual, and transgender health concerns Key Features: Reflects best-practice standards of care empirically demonstrated to improve patient outcomes Updated to include cutting-edge topics and new evidence-based guidelines Presents guidelines in concise, consistent outline format to ensure quick and easy access to clinical information Written by a highly respected and experienced team of authors Provides valuable patient teaching information
This new edition of the Standard Handbook of Petroleum and Natural Gas Engineering provides you with the best, state-of-the-art coverage for every aspect of petroleum and natural gas engineering. With thousands of illustrations and 1,600 information-packed pages, this text is a handy and valuable reference. Written by over a dozen leading industry experts and academics, the Standard Handbook of Petroleum and Natural Gas Engineering provides the best, most comprehensive source of petroleum engineering information available. Now in an easy-to-use single volume format, this classic is one of the true "must haves" in any petroleum or natural gas engineer's library. - A classic for the oil and gas industry for over 65 years! - A comprehensive source for the newest developments, advances, and procedures in the petrochemical industry, covering everything from drilling and production to the economics of the oil patch - Everything you need - all the facts, data, equipment, performance, and principles of petroleum engineering, information not found anywhere else - A desktop reference for all kinds of calculations, tables, and equations that engineers need on the rig or in the office - A time and money saver on procedural and equipment alternatives, application techniques, and new approaches to problems
This book is a must for all emergency departments and a valuable resource for anyone scheduled to work there. It covers the history and evolution of violence in emergency departments and offers excellent exhibits for quick reference..." --Doody's Violence in the emergency department (ED) is a critical, even life-threatening problem facing ED nurses and physicians daily. Emergency room personnel have repeatedly reported being threatened, harassed, and seriously injured by hostile patients, including psychiatrically ill patients, substance abusers, and criminals, as well as by patients' families and friends. During this nursing shortage, it is imperative that hospital administrators take the necessary measures to create a violence-free emergency room. This book educates health care professionals and hospital administrators about all aspects of ED violence. The author provides all the essential tools and strategies for preventing violence before it starts, and managing it if it occurs. In this book, Allen provides practical guidelines for assessing the potential risk of violence in the ED and implementing a violence defense strategy and program. Key topics discussed: How to assess the potential risk of violence in individual patients How to identify the types of patients that are most likely to be violent in the ED and why they are violent How to plan and implement a violence defense program by increasing security, charging penalties and fines, announcing hospital-wide alerts, and more How to improve communication strategies with both colleagues and violent patients in the ED How to increase awareness of the the significant problem of lateral violence among healthcare personnel Violence in the Emergency Department will not only help safeguard physicians and nurses from injury, it will serve as one more step toward healing the critical nursing shortage, increasing job satisfaction, and improving patient care.
The last 50 years have witnessed a rapid growth in the understanding of the articulation and the acoustics of vowels. Contemporary theories of speech perception have concentrated on consonant perception, and this volume is intended as a balance to such bias. The authors propose a computational theory of auditory vowel perception, accounting for vowel identification in the face of acoustic differences between speakers and speaking rate and stress. This work lays the foundation for future experimental and computational studies of vowel perception.
Attempts To Identity The Scope Of Agribusiness And The Role Of Agricultural Extension System In Promoting It. It Is The Result Of A National Conference On Agribusiness And Extension Management Status, Strategies Held In December 2001.
The Advanced Study Institute on "Advances in Superconductivity" was held at the Ettore Majorana Centre for Scientific Culture in Erice, Sicily, during July 3 to July 15, 1982. This Institute was the third course of the International School of Low Tempera ture Physics, which was established at the Centre in 1977 with the guidance and inspiration of T. Regge and A. Zichichi. The 1982 Course was centered on a topic which brought together fundamental basic research and the most recent promising technological applications. Accordingly, the participants represented a wide spectrum of industrial and government laboratories, as well as universities from various countries. The program of topics and speakers was developed with the advice of the Organizing Committee, composed of H. Frohlich, T. Regge, B. Stritzker, and L. Testardi. This Institute emphasized recent developments in the science and technology of superconductivity. A historical perspective was provided by H. Frohlich, whose lectures recall the earliest discoveries and theoretical attempts to understand superconductivity. Ironically, his early suggestion of the electron-phonon coupling as a key to superconductivity was met with initial widespread skepticism. Later, the development of field theory methods for solid state physics problems, and the evolution of the BCS theory has led to a seemingly unanimous concensus regarding the e1ectron phonon mechanism as the predominant source of superconductivity in known materials. Experimental studies of superconductivity exemplify the strong interplay of science and technology in many ways.
The Human Body and Mind is made up of Thoughts, Memories and Emotions, when these thoughts are allowed to align with our purpose and values, when we manage our emotions with our attitude/behaviors, by prioritizing self-care, by developing a growth mindset, embracing diversity and inclusion, visualizing our goals and aspirations, developing empathy and gratitude skills, taking inspired action and by also processing the feedback we receive effectively, we can unlock our full cognitive potential and pave the way for personal growth and transformation, and to become A HIGH-PERFORMANCE INDIVIDUAL or have A HIGH-PERFORMANCE MINDSET. This book attempts to explores the intricacies and interconnectedness of thought creation, our emotions, our attitudes & behavior, and the actions we take in life, we can then develop a greater sense of self-awareness and mastery over our cognitive processes, empowering us to achieve our goals and realize our full potential. This will shape The World We Create for Ourselves, interms of the usage of this Growth Mindset in work, business and other environments or situations in which we live. This book also mentions certain concepts and techniques of Neuro-Linguistic Programming (NLP)
The Seventh Edition of this nursing-focused nutrition text has been updated to reflect the latest evidence-based practice and nutrition recommendations. Written in a user-friendly style, the text emphasizes what the nurse really needs to know in practice. Maintaining its nursing process focus and emphasis on patient teaching, this edition includes features to help readers integrate nutrition into nursing care such as sample Nursing Process tables, Case Studies in every chapter, and new Interactive Case Studies online. This is the tablet version which does not include access to the supplemental content mentioned in the text.
Volume II: Patient Care of SAVVY SUCCESS includes Chapters 17 - 34 that focus on elements and competencies of providing patient care, assessment and diagnosis; review of pharmacologic medications; identifying the key oral pathology conditions that occur intraorally/extraorally; oral cancer detection, prevention and treatment; dental caries/minimally invasive dentistry; infection control practices; instrumentation; ultrasonic periodontal therapy; laser therapy in practice; usage of oral hygiene and preventive therapy; mouthrinse usage to maintain oral health; use of anesthesia in dental hygiene practice; nutritional counseling and education with patients; the dental hygienists role in esthetic dentistry; pediatric concerns for the dental hygienist; and working with patients who have developmental disabilities. It is clinical and scientific evidence-based information that can be educational for both the student and practicing seasoned dental hygiene professionals. Glossary of Terms, Index and Appendix In each of the 3 textbooks, Volume I-III of SAVVY SUCCESS includes a Glossary of Terms which defines key terms utilized in the chapters included in each textbook that students, faculty members and practicing dental hygienists can review to define these key words. An index is also included in the three volumes.
Hired Because I’m Negro (Black) By: Krim M. Ballentine Over the years, many friends and family members requested that the author keep track of his experiences as a Deputy United States Marshal, feeling his stories were both challenging and interesting. He’s now taken the time to do so. Within, you’ll learn how he found that reliance on his reputation, established successes, and commitment to service—public and private, spiritual and moral—was the only “qualified” way to pursue employment in those days. What follows is a narrative of his experience as a Deputy United States Marshal and an effort to present law enforcement as the ultimate counseling agent in the promotion of public safety and the prevention of criminal behavior. This book also focuses on law enforcement as the upholder of social expectations. In the mid-1960s, most people used skin color to determine with whom they chose to associate rather than other human qualities such as moral character, honesty, and integrity. Today, a particular skin color no longer determines which toilet to use or where to sit on public buses. However, skin color does continue to matter, as is so tragically demonstrated by recent events where the behavior of police attempting to manage or control behavior is seen as a misuse of force when the individual being detained happens to be black. This book contains snippets of previously unrecorded and undocumented successes of the author, along with copies of some unsolicited and complimentary letters of commendation, showing that, although he may have originally been hired to fill a quota, he had all the qualifications to meet that position–in 1966 and throughout his career.
Cellular manufacturing, an application of group technology, is a stepping stone to achieve world class manufacturing status. It has emerged as an important technique to cope up with fast changing industrial demands for the application of newer manufacturing systems. This comprehensive and well written text deals with all facets of cellular manufacturing right from introduction to application in a chronological order. The book first introduces cell formation techniques, followed by elimination of exceptional components, evaluation of solutions, cell characteristics, and production control issues like scheduling; line balancing and inventory control. Finally it discusses about the application of cellular manufacturing in a large public sector.The text is supported by numerous figures, tables and examples, and also furnishes simple algorithms for complex methods. Primarily intended for the postgraduate students of mechanical engineering and production engineering with specialization in manufacturing systems/group technology, it will also be useful for the researchers, scientists and professionals as a reference book.
Data-Driven Quality Improvement and Sustainability in Health Care: An Interprofessional Approach provides nurse leaders and healthcare administrators of all disciplines with a solid understanding of data and how to leverage data to improve outcomes, fuel innovation, and achieve sustained results. It sets the stage by examining the current state of the healthcare landscape; new imperatives to meet policy, regulatory, and consumer demands; and the role of data in administrative and clinical decision-making. It helps the professional identify the methods and tools that support thoughtful and thorough data analysis and offers practical application of data-driven processes that determine performance in healthcare operations, value- and performance-based contracts, and risk contracts. Misuse or inconsistent use of data leads to ineffective and errant decision-making. This text highlights common barriers and pitfalls related to data use and provide strategies for how to avoid these pitfalls. In addition, chapters feature key points, reflection questions, and real-life interprofessional case exemplars to help the professional draw distinctions and apply principles to their own practice. Key Features: Provides nurse leaders and other healthcare administrators with an understanding of the role of data in the current healthcare landscape and how to leverage data to drive innovative and sustainable change Offers frameworks, methodology, and tools to support quality improvement measures Demonstrates the application of data and how it shapes quality and safety initiatives through real-life case exemplars Highlights common barriers and pitfalls related to data use and provide strategies for how to avoid these pitfalls
The explosive development of information science and technology puts in new problems involving statistical data analysis. These problems result from higher re quirements concerning the reliability of statistical decisions, the accuracy of math ematical models and the quality of control in complex systems. A new aspect of statistical analysis has emerged, closely connected with one of the basic questions of cynergetics: how to "compress" large volumes of experimental data in order to extract the most valuable information from data observed. De tection of large "homogeneous" segments of data enables one to identify "hidden" regularities in an object's behavior, to create mathematical models for each seg ment of homogeneity, to choose an appropriate control, etc. Statistical methods dealing with the detection of changes in the characteristics of random processes can be of great use in all these problems. These methods have accompanied the rapid growth in data beginning from the middle of our century. According to a tradition of more than thirty years, we call this sphere of statistical analysis the "theory of change-point detection. " During the last fifteen years, we have witnessed many exciting developments in the theory of change-point detection. New promising directions of research have emerged, and traditional trends have flourished anew. Despite this, most of the results are widely scattered in the literature and few monographs exist. A real need has arisen for up-to-date books which present an account of important current research trends, one of which is the theory of non parametric change--point detection.
How drastically things can change in just a few seconds! Charlotte was a not-too-old adult who had a traumatic fall that almost ended her life. What had gone wrong? She had made unhealthy choices and ignored the warning signs that resulted in a near-fatal fall! Dazed and confused, Charlottes life immediately spun out of control. Everything she was used to was altered without her consent. Charlotte was forced to make difficult adjustments that greatly restricted her independence. She became very fearful of falling again, and felt lost, broken, and severely disheartened. Read about Charlottes powerful journey after her traumatic fall, and what she did to never experience another fall. Learn what you can do for yourself or for your aging loved one to avoid a fall. Discover how to live victoriously, not in fear, and empower your mind, body, and spirit.
This book explores how women of the poorer and middling sorts in early modern England negotiated a patriarchal culture in which they were generally excluded, marginalized, or subordinated. It focuses on the networks of close friends ('gossips') which gave them a social identity beyond the narrowly domestic, providing both companionship and practical support in disputes with husbands and with neighbours of either sex. The book also examines the micropolitics of the household, with its internal alliances and feuds, and women's agency in neighbourhood politics, exercised by shaping local public opinion, exerting pressure on parish officials, and through the role of informal female juries. If women did not openly challenge male supremacy, they could often play a significant role in shaping their own lives and the life of the local community.
Now in its third edition, this "benchside" reference provides you with a structured diagnostic approach to the features of the placenta most commonly encountered in the investigation of adverse fetal outcomes. Inside, you'll find detailed disussions on cytogenetics and molecular biology as well as the latest developments in coagulopathy, infections, chorioamnionitis, preeclampsia, trophoblastic disease, and twin pregnancies among others. Plus, a new format facilitates information retrieval and new color clinical and pathologic images help you recognize and disagnose lesions better than ever. Access the most authoritative and effective diagnostic help with step-by-step guidance on placental examination techniques. Get the clinical information you need without superfluous details. Create better reports or prepare for exams with comprehensive coverage of all benign and malignant disorders of placental abnormalities. Increase your diagnostic acumen with new and expanded topics such as apoptosis in the normal and pathological placenta, pathogenesis of miscarrage, placental infections (especially malaria and HIV), chorioanmionitis with special reference to its role in cerebral palsy, preeclampsia, gestational trophoblastic disease, medico-legal aspects of the placenta, and much more. Perform a complete diagnostic workup with detailed coverage of molecular biology, immunohistochemisrty, and cytogenetics. Diagnose confidently with the addition of full-color images throughout. Find the the information you need quickly thanks to a new user-friendly format, including bullet points, summary tables, and take-home messages.
Better understand the complexities of pharmacology and physiology relevant to your practice with the brand-new medical reference book, Pharmacology and Physiology for Anesthesia. Drs. Hugh Hemmings and Talmage Egan provide the clinical insights you need to effectively administer anesthesia, ensuring patient safety and the most optimal outcomes. "...This is a useful well-written textbook of pharmacology and physiology. There is a greater emphasis on the pharmacology, but both sciences are dealt with to a high standard...I am happy to recommend this book as a useful learning and reference source." Reviewed by: C.S Reilly on behalf of British Journal of Anaesthesia, Feb 2014 Access comprehensive, continually updated research on the physiology of organ systems and clinical topics in the pharmacology of anesthetic drugs. Quickly and easily reference the information you need through user-friendly tables, figures, and algorithms, all presented in lavish full color throughout. Understand the molecular mechanism of drug actions and identify key drug interactions that may complicate anesthesia with dedicated sections on these key areas. Search the text and download images online at Expert Consult. Build a thorough knowledge of pharmacology and physiology focused on clinical practice
The best guidelines book available. It is great for NPs of any specialty, as well as CNMs, PAs, and other health professionals caring for women. This book is concise and well organized making it extremely easy to find information quickly. It gives direct and clear information about gynecological care for women throughout the age span. I have used numerous editions of this book for years and it is my number one recommendation for NP students and experienced NPs looking for the best guidelines book on the market. To care for women a practitioner must understand the diversity and complexity of their lives and how these impact their wellness; this book does a remarkable job reflecting this." --Holly B. Fontenot, RNC, MS, WHNP, SANE, Clinical Instructor, William F. Connell School of Nursing, Boston College Now in its ninth edition, the newest revision and update of this standard work is designed to be used as a guide for nursing management of the common gynecological conditions of women, for use particularly in community-based or ambulatory settings. Written by two full-time nurse practitioners involved in women's health, and a teacher of women's health nursing, the book continues to evolve to meet the changing needs of the women's health community. Unique to the ninth edition is a new, easy-to-use outline format, the latest STD guidelines from CDC, an update of Bethesda 2001 Terminology for Papanicolaou Smears, expanded and updated coverage of hormones and contraceptives, expanded coverage of weight management and obesity and smoking cessation, and extensive patient education hand-outs contained in an 86 page appendix that includes numerous sample clinical forms and screening tools while eliminating out-of-date material and incorporating other material into the topical chapters. Relying on evidence-based practice guidelines, the ninth edition includes: Contraception, infertility, and preconception care Breast conditions Assessment for abuse and violence Menstrual disorders and perimenopausal and postmenopausal problems Smoking cessation and weight maintenance Complementary and alternative therapies, and more This classic book remains an essential addition to the bookshelf of every women's health practitioner. If you would like to review this text for possible course adoption, it is now available in an electronic, downloadable format. Please contact our marketing department at marketing@springerpub.com to receive the password needed to open the file. Once you have the password you can view the entire book here. You must have Adobe Acrobat Reader to read or download the pdf. If you do not have Adobe Acrobat you may download it for free here.
A 'one-stop' comprehensive guide to women's health, updated with new evidence-based guidelines and timely topics The 11th edition of this classic guide for management of common gynecological conditions by advanced practice nurses is updated with cutting-edge topics, new evidence-based guidelines, and current patient teaching materials to enhance excellence in clinical practice. It features a completely updated chapter on the well woman annual exam including issues about the care of older women, and extensive revisions throughout the new edition regarding contraceptive methods, CAMs, medical abortion, HIV-AIDs, HPV screening and vaccine recommendations, and much more. Appendices containing abundant clinical resources and valuable patient teaching information, and comprehensive bibliographies, are also extensively revised and rewritten. Concise and well organized, this authoritative resource features an outline format that provides speedy access to critical information across womenís age span. Guidelines reflect ìbest-practiceî standards of care that are culled from literature on evidence-based practice and help to ensure improved patient outcomes. Expert contributors include prominent specialists from all arenas of gynecological health. Complete guidelines are presented in a template that includes definition, etiology, history, physical exam, lab exam, differential diagnosis, treatment, complications, consultation/referral, and follow-up. The guide addresses common gynecologic concerns including infections and sexually transmitted diseases, navigating life transitions, and menopause and incontinence. It encompasses issues of weight management, osteoporosis, smoking cessation, stress management, changes in sexuality, and health risks. New to the 11th Edition: Enhanced mental health chapter detailing the discontinuation of SSRI/SNRIs A bibliography for each guideline including additional websites Revisions to guidelines for STDs, vaginitis and vaginosis Guidelines for management of cytological abnormalities and cervical intraepithelial neoplasia New information on hormone therapy, menopause, and osteoporosis Updated information on contraception based on patientsí individual profiles and clinical data Revised information on natural family planning from an expert NFP educator New data on long term effects of HRT New data on HPV, HIV treatment and survival Expanded section on screening for updating of laboratory tests Additional data-based evidence on over-the-counter remedies and non-prescription supplements New data on screenings for breast cancer New Pap smear guidelines across the lifespan Physical assessment of pelvic floor integrity and dysfunction Helpful techniques for difficult examinations Updated information on vulvar dermatology Information on lesbian, bisexual, and transgender health concerns Key Features: Reflects best-practice standards of care empirically demonstrated to improve patient outcomes Updated to include cutting-edge topics and new evidence-based guidelines Presents guidelines in concise, consistent outline format to ensure quick and easy access to clinical information Written by a highly respected and experienced team of authors Provides valuable patient teaching information
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