Barbara Walker’s world was turned upside down by her son Jim’s birth defect. Left to her own devices in the early years, Barbara struggles with grief from the loss of the expected “normal child” and battles self-defeating thoughts. Demoralizing encounters with medical professionals and insensitive remarks about Jim’s face leave mother and child feeling vulnerable. They struggle with self-blame and fight against dark thoughts. Over time they encounter and endure new doctors, multiple surgeries with disappointing results, and peers who taunt and bully. Gradually, Jim and Barbara empower themselves in their own ways, protest dismissive treatment, and become strong advocates for themselves. Jim proves to himself he can handle the world on his own after a successful 400-mile solo bike trip. As he ages into a young adult, Barbara frees herself from her own worries and drawing on her experiences, shapes a career as a counseling psychologist so that she can address the needs of parents of children with birth defects and disabilities. Jim also develops a successful career, a loving partnership, and a settled relationship with his cleft palate. Then, prompted by an invitation from her 45-year-old son to “share our story,” mother and son embark on an unflinching account of their personal and shared experiences, their often-differing memories, and how they dealt with and learned from his cleft lip and palate birth defect. Entwined with Barbara’s narrative of her mothering experience, Jim’s poems shine a light on a teenager’s struggle, and both discover that this candid sharing of private challenges has taken them to a deeper parent–child relationship. For children with birth defects, the message of this powerful, tender, and truthful book is “You are not alone; hardship is not ruinous; a full life is yours even if your hopes are not completely realized.”
A collaboration between Native activists, professionals, and scholars, Re-Creating the Circle brings a new perspective to the American Indian struggle for self-determination: the returning of Indigenous peoples to sovereignty, self-sufficiency, and harmony so that they may again live well in their own communities, while partnering with their neighbors, the nation, and the world for mutual advancement. Given the complexity in realizing American Indian renewal, this project weaves the perspectives of individual contributors into a holistic analysis providing a broader understanding of political, economic, educational, social, cultural, and psychological initiatives. The authors seek to assist not only in establishing American Indian nations as full partners in American federalism and society, but also in improving the conditions of Indigenous people world wide, while illuminating the relevance of American Indian tradition for the contemporary world facing an abundance of increasing difficulties.
Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition. A new and revised version of this best-selling reference! For over eighteen years, best-selling Cancer Nursing: Principles and Practice has provided oncology nurses with the latest information on new trends in the rapidly changing science of oncology. Now, in its Seventh Edition, Cancer Nursing has been completely revised and updated to reflect key new developments. New topics covered include targeted therapy, hypersensitivity reactions, mucositis, and family and caregiver issues. With 27 new chapters featuring insights from key authors, the Seventh Edition is a must-have resource for every oncology nurse.
Inside the 3rd edition of this esteemed masterwork, hundreds of the most distinguished authorities from around the world provide today's best answers to every question that arises in your practice. They deliver in-depth guidance on new diagnostic approaches, operative technique, and treatment option, as well as cogent explanations of every new scientific concept and its clinical importance. With its new streamlined, more user-friendly, full-color format, this 3rd edition makes reference much faster, easier, and more versatile. More than ever, it's the source you need to efficiently and confidently overcome any clinical challenge you may face. Comprehensive, authoritative, and richly illustrated coverage of every scientific and clinical principle in ophthalmology ensures that you will always be able to find the guidance you need to diagnose and manage your patients' ocular problems and meet today's standards of care. Updates include completely new sections on "Refractive Surgery" and "Ethics and Professionalism"... an updated and expanded "Geneitcs" section... an updated "Retina" section featuring OCT imaging and new drug therapies for macular degeneration... and many other important new developments that affect your patient care. A streamlined format and a new, more user-friendly full-color design - with many at-a-glance summary tables, algorithms, boxes, diagrams, and thousands of phenomenal color illustrations - allows you to locate the assistance you need more rapidly than ever.
The guest editors have assembled expert authors to discuss issues in gastroenterology unique to female patients. After reading the articles in this issue, readers should be able to determine whether gender influences diagnosis and treatment of functional disorders; evaluate problems in the pregnant patient; explain immune diseases of the GI and discuss unique genetic aspects of Lynch Syndrome and IBD.
Drawing upon the dialogism of social theorist Mikhail Bakhtin, the authors re-conceive the core ideas of interpersonal communication - relationship development; closeness; certainty; openness; communication competence; and the boundaries between self, relationship, and society.
Influenced by Robert and Clara Schumann and Joseph Joachim, Johannes Brahms not only learned to play the organ at the beginning of his career, but also wrote significant compositions for the instrument as a result of his early counterpoint study. He composed for the organ only sporadically or as part of larger choral and instrumental works in his subsequent career. During the final year of his life, however, he returned to pure organ composition with a set of chorale preludes--though many of these are thought to have been revisions of earlier works. Today, the organ works of Johannes Brahms are recognized as beautifully-crafted compositions by church and concert organists across the world and have become a much-cherished component of the repertoire. Until now, however, most scholarly accounts of Brahms's life and work treat his works for the organ as a minor footnote in his development as a composer. Precisely because the collection of organ works is not extensive, the pieces--composed at different times during Brahms's lifetime--help to map his path as a composer, pinpointing various stages in his artistic development. In this volume, Barbara Owen offers the first in-depth study of this corpus, considering Brahms's organ works in relation to his background, methods, and overall artistic development, his contacts with organs and organists, the influence of his predecessors and contemporaries, and analyses of each specific work and its place in Brahms's career. Her expert history and analysis of Brahms's individual organ works and their interpretation also investigates contemporary practices relative to the performance of these pieces. The book's three valuable appendices present a guide to editions of Brahms's organ works, a discussion of the organ in Brahms's world that highlights some organs the composer would have heard, and a listing of the organ transcriptions of Brahms's work. Blending unique insights into composition and performance practice, this book will be read eagerly by performers, students, and scholars of the organ, Brahms, and the music of the Nineteenth Century.
Unlike other books on shyness, Nurturing the Shy Child also offers much-needed information on related problems, including depression, school anxiety, separation anxiety, excessive worry, selective mutism, and more.
With North Providence, the very first history of any sort ever published on the town, resident historians Thomas E. and Barbara A. Greene present a comprehensive and well-informed look at the development and growth of their hometown from 1765 to 1995. Numerous vintage photographs--many rare and previously unpublished-- have been carefully selected to create a fascinating portrait of the town and its villages through the years. North Providence, which from 1765 to 1874 contained the old village of Pawtucket, today consists of 5.8 square miles of land in northern Rhode Island. The villages of North Providence are home to a variety of cultural and ethnic groups; each one maintains its own character and distinct identity. The authors' presentation includes a concise textual history of each village, and incorporates significant original research on the history of North Providence schools in each district.
This volume, the result of an International Conference on Wet Site Archaeology funded by the National Endowment for the Humanities, explores the rewards and responsibilities of recovering unique assemblages from water-saturated deposits. Characteristics common to all archaeological wet sites are identified from Newfoundland to Chile, Polynesia to Florida, and from the Late Pleistocene to the Twentieth Century. Topics include innovative excavation and preservation methods; the need for adequate funding to preserve and analyze the abundant biological and cultural remains recovered only at archaeological wet sites; expanded knowledge of past environments, subsistence, technologies, artistic expressions, skeletal structure, and pathologies; the urgency to inform developers and governmental bodies about the invisible heritage entombed in wetlands that is often destroyed before it can be investigated; a formula for establishing priorities for excavating wet sites; and how to determine when enough of a wet site has been sampled.Many famous sites and discoveries are described in this volume, including Herculaneum, Hoko River, Hontoon Island, Key Marco, Monte Verde, Ozette, Somerset Levels, Windover, bog bodies of Northern Europe, and lake dwellers of Switzerland. Professional and amateur archaeologists, as well as anyone interested in archaeology or the significance of wet site archaeology will find this book fascinating.
King Arthur in America analyzes the tremendous appeal of the Arthurian legends in America by examining the ways that Americans have found to democratize the Matter of Britain and to incorporate aspects of it not only into America's own mythologies but also into literature, film, social history, and popular culture.
Based on the Publishing Training Centre's distance-learning course and aimed at proofreaders who want to progress to editing, and editors who want to learn and improve their skills. Reflects British practice and explains some of the important differences in American usage.
Covering recent developments in food safety and foodborne illnesses, this work organizes information to provide easy access to general and specific topics. It offers comprehensive summaries of advances in food science, compiled from over 620 sources worldwide. The main focus is on health and safety, with extensive reviews of microbiological and medical subjects.
The definitive resource for designing and implementing evidence-based rehabilitation programs using therapeutic exercise Written and edited by top experts in their fields, Musculoskeletal Interventions provides the rehabilitation techniques, strategies, and considerations you need to effectively treat patients of all ages, abilities, and functional levels. With expanded coverage of movement systems, along with clinical pearls and hundreds of illustrations, this edition has been fully revised to reflect a contemporary movement system approach patient care. It focuses on the practical application of theory in a clinical setting, making it ideal for students and experienced physical therapists alike. Designed to make finding what you need quickly and easily, Musculoskeletal Interventions is organized into five sections: Foundations of the Rehabilitation Process Introduces the human movement system, the Guide to Physical Therapist Practice, and the clinical reasoning process Provides grounding on tissue healing, the Neuromuscular Scan Examination, pain, posture, and function Treating Physiologic Impairments During Rehabilitation Details general impairments that require attention throughout the rehabilitation process Covers muscle performance, endurance and aerobic capacity, mobility, range of motion, and neuromuscular control Tools of Rehabilitation Explains how to achieve optimal outcomes using various tools, including plyometric exercise, open- and closed-kinetic chain interventions, proprioceptive neuromuscular facilitation techniques, joint mobilization, postural stability and balance interventions, core stabilization training, aquatic therapy, functional movement screening, and more Interventions Strategies for Specific Regions Describes applications of techniques and interventions related to common movement-based, overuse, traumatic, and postoperative musculoskeletal dysfunction Provides guidance on conditions common to the shoulder complex, elbow, wrist, hand, digits, groin, hip, thigh, knee, lower leg, ankle, foot, and spine Discusses pathomechanics and injury mechanisms while focusing on rehabilitation strategies and concerns for specific injuries and providing example protocols Special Considerations for Specific Patient Populations Provides application of all previous intervention strategies and how these may need to be selected, adapted, and utilized for geriatric patients, pediatric patient, and physically active females Musculoskeletal Interventions is filled with features that help you understand and retain critical information. Learning aids include objectives, tales, clinical pearls, figures, video links, summary points, chapter-ending treatment guidelines, and references.
This book provides a novel perspective on agroecosystems, summarising our current understanding of the basic and applied aspects of these important and complex habitats, whilst focusing on environmental concerns in the context of global change.
Therapeutic Exercise in Developmental Disabilities, Second Edition is a unique book for pediatric physical therapy. the purpose of this groundbreaking book is to integrate theory, assessment, and treatment using functional outcomes and a problem solving approach. This innovative book is written using a problem solving approach as opposed to specific intervention approaches. the chapters integrate case studies of four children and the application of principles discussed throughout the book as they apply to the children. the book opens with an overview of neural organization and movement, which
Basic Environmental Toxicology provides a thorough, systematic introduction to environmental toxicology and addresses many of the effects of pollutants on humans, animals, and the environment. Readers are introduced to the fundamentals of toxicology and ecotoxicology, the effects of different types of toxicants, and how toxicants affect different compartments of the environment. Fundamental aspects of environmental health, occupational health, detection of pollutants, and risk assessment are discussed. The book is excellent for anyone involved in risk assessment or risk management, toxicologists, state and local public health officials, environmental engineers, industrial managers, consultants, and students taking environmental toxicology courses.
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