One of the most promising retirement alternatives today is the Assisted Living Facility, a residence in which elderly people can live autonomously yet be provided with necessary services like food, housekeeping, on-premises medical attention and social activities. Most of the information available to prospective residents and their adult children comes from the brochures of these very enterprises and a handful of books on the subject. None of these publications were written by a resident of one of these facilities. Carol Netzer has been a resident in assisted living facilities for over four years. Her book is a unique combination of descriptions of day-to-day operations in assisted living, personal impressions, and observations of fellow-residents and how they interact. A trained psychologist, she is uniquely qualified to write about the difference between a successful and unsuccessful experience for the resident in assisted living.
The nation's capital is in a fiscal and political crisis. By 1995 the District of Columbia did not have the cash to pay its bills and faced a growing operating deficit. It was effectively shut out of the capital markets and at least three of its government agencies were in receivership. On any given day, 30 percent of the police vehicles were in the shop for repairs and 25 percent of the school buses were inoperable. Nor were adequate funds coming in: property assessors were making up the rules as they were undervaluing the tax base. In April 1995 Congress, beginning to come to grips with the situation, placed the fiscal control of the city in the hands of a presidentially appointed Control Board. The survival of the nation's capital is a matter of national concern. The Control Board and the chief financial officer have outlined the path to balancing the budget by 1999. Once the District government can deliver services efficiently, the issue of how they should be financed will need to be addressed. That is the focus of this book. Carol O'Cleireacain provides background for understanding the present situation, focusing on the revenue components and offering a realistic menu of revenue options for long-term, ongoing budget balance. She addresses such questions as: What is the "norm" for a city the size of Washington? What is the appropriate sharing among the federal government, District residents, and the region? How much compensation should be paid for the huge amount of tax-exempt property and the enormous number of nonprofit organizations in the capital? What taxes can the District impose fairly, collect efficiently without distorting decisions of individuals and businesses about where to locate? O'Cleireacain concludes that the District's fiscal crisis is the result, in part, of economic and demographic trends reflecting the dilemmas of central cities and their suburbs nationwide; in part, the historically flawed relationship between Congress and the local government. But at the heart of the District's fiscal crisis is its special status as the nation's capital. All other American cities benefit from state aid for welfare, Medicaid, prisons, higher education, juvenile justice, and a wide range of highway, infrastructure, and other capital investments. The District does not; it has to tax its residents in order to provide state-type services. Ongoing budget balance in D.C. will require a realignment of spending and revenue responsibilities by the federal government acting as the state parent to the nation's orphaned capital.
The power to amaze in 30 minutes a day, 3 days a week. Two million women have discovered Gary Heavin's secret to permanent weight loss at more than six thousand Curves fitness and weight-loss centers around the country. In thirty minutes, three times a week—and without a restrictive diet—many have been able to take off the weight and keep it off for good. The Curves Promise: A unique three-part nutrition plan that produces results quickly and shows how to maintain weight loss in order to eat normally for 28 days, and only monitor food intake two days a month A Metabolic Tune-Up helps deter yo-yo dieting and shows how to lose weight by eating more, not less Simple self-tests determine calorie or carbohydrate sensitivity, helping women individualize their food plan Shopping lists, meal plans, recipes, food and supplement guides, and charts to track progress and guide users through every phase of the nutrition and exercise plan A complete Curves At-Home workout, combining strength training and aerobics and taking only thirty minutes a day-no more than three times a week
In more than 500 entries, The Encyclopedia of Alzheimer's Disease, Second Edition presents a wealth of information on the physical, emotional, and intellectual conditions that affect Alzheimer's sufferers. It also examines the current research on prevention, causes, and treatments, as well as the social issues surrounding the disease. Appendixes include major resources, organizations, helpful books and publications, an extensive bibliography, and a glossary.
During 1977 and 1978 the Meiron Excavation Project moved north from its excavations at Khirbet Shema and Meiron, excavating at the site of the synagogue at Gush Halav. With only very limited areas available for excavation, the team nevertheless was able to extract significant information for the history of Galilean synagogues. The synagogue here had a unique form, with spatial elements that have few if any parallels elsewhere. This publication will thus be of great importance for the history of Galilee in the first millennium C.E. and for the development of synagogue architecture and its relationship to the culture of the region in general.
This volume serves as both a very good translation of medical terms as well as a guide pointing to which aspects of thee findings in a medical examination are significant and which are not. In addition, the book provides extensive bibliographies of a variety of topics associated with child physical and sexual abuse. —Anne Boydston Park, Cabrini College As a health professional working with sexually abused children, your goal is to obtain the most thorough and accurate assessment of a child′s condition. Medical Evaluation of Physically and Sexually Abused Children introduces the current spectrum of knowledge on physical and sexual abuse in the medical literature. In addition, this resource serves as an integral reference to find specific information among the vast amount available. Balanced coverage features citations to the literature from both sides of issues that remain controversial, and a glossary of medical terms provides accessible definitions. This vital study guide covers critical issues surrounding the accurate diagnosis and evidence taking in suspected physical child abuse, and it provides the necessary assessment guidelines specific to a forensic examination of the sexually assaulted child and sexually transmitted diseases in children.
Biochemistry: The Chemical Reactions of Living Cells is a well-integrated, up-to-date reference for basic chemistry and underlying biological phenomena. Biochemistry is a comprehensive account of the chemical basis of life, describing the amazingly complex structures of the compounds that make up cells, the forces that hold them together, and the chemical reactions that allow for recognition, signaling, and movement. This book contains information on the human body, its genome, and the action of muscles, eyes, and the brain. * Thousands of literature references provide introduction to current research as well as historical background * Contains twice the number of chapters of the first edition * Each chapter contains boxes of information on topics of general interest
The Gospel of Matthew is the first book in the New Testament. It truly is a “teaching” Gospel. It serves as an important resource for learning about the life and teachings of Jesus Christ. The Apostles needed this teaching so that they could effectively form the foundation upon which the future Christian church would be built. They needed this teaching to obey the commandment which Jesus gave them: “Go therefore and make disciples of all nations, baptizing them in the name of the Father and of the Son and of the Holy Spirit, and teaching them to obey everything that I have commanded you.” (Matt.28:19-20) Using an easy-to-understand format, The Gospel of Matthew offers an in-depth study that reveals why Christ’s presence forever changed the world. Author Carol Walker explores the true nature of Jesus, his mission on Earth, and his ministry. From his birth to his death and resurrection, Walker recounts Jesus’ life and, in so doing, reveals how Jesus fulfilled Old Testament prophecy. Walker presents thirty-four lessons that cover the twenty-eight chapters of Matthew. Each chapter is summarized to provide historical and cultural background information and a question and answer section presents an opportunity for further discussion. Lessons include the important work of the Holy Spirit, the ministry of John the Baptist, the Sermon on the Mount, Jesus’ interpretation of the Ten Commandments, and much more. The Gospel of Matthew presents a comprehensive study for individuals or groups. If you’re seeking to expand your knowledge of Jesus’ life and teachings and want to deepen your faith, let this be your guide.
You want to be fit, but you've had it: you've been on 17 different diets, and spent enough to feed a small town on packaged meals that look like food but taste like floor sweepings. So, what should you do? How about trying a straightforward, easy-to-understand, up-to-the-minute primer on fitness, exercise, and eating well? It's all here, whether you yearn to bike around the block or run a marathon. What's in it for you? A nutrition and fitness program geared specifically to your likes and dislikes, your body, lifestyle, budget, and goals. Take a fitness quiz, learn how working out with a buddy can help, find out about gyms, and see how to design a personal program that's fun and gets you pumped up the right way. Plus, there's advice on simple, delicious, and healthy meals. How can you not lose?
This issue of Critical Care Clinics focuses on Post-intensive Care Syndrome & Chronic Critical Illness, with topics including: Chronic Critical Illness; Chronic Critical Illness and Predicting Outcomes; Persistent Critical Illness; Rehospitalization and Preventing CCI; Measuring Post-Intensive Care Syndrome; Post-Intensive Care Syndrome and teh Role of the ICU Clinician; Frailty and the Association between Long-Term Recovery After ICU; The Role of the Muscles in Post-Intensive Care Syndrome; Intensive Care Nutrition and Post-Intensive Care Recovery; Early mobilization in the ICU to Improve Long Term Recovery; The Use of Sedation in the ICU and Long-Term Outcomes; Cognitive Function after Critical Illness; Anxiety and Depression after ICU; and Family and Support Networks after ICU.
Nurses are at the front lines of communications with patients, supervisors, physicians and administration, and they can use the skills they have developed as nurses to add value to those communications. Williams (nursing, U. of Miami) and her contributors start with the idea that to be effective and therapeutic communicators, nurses must understand
The fourth edition of Children With Hearing Loss: Developing Listening and Talking, Birth to Six is a dynamic compilation of important information for the facilitation of spoken language for infants and young children with hearing loss. This text covers current and up-to-date information about auditory brain development, listening scenarios, auditory technologies, spoken language development, and intervention for young children with hearing loss whose parents have chosen to have them learn to listen and talk. The book is divided into two parts. Part I, Audiological and Technological Foundations of Auditory Brain Development, consists of the first five chapters that lay the foundation for brain-based listening and talking. These chapters include neurological development and discussions of ear anatomy and physiology, pathologies that cause hearing loss, audiologic testing of infants and children, and the latest in amplification technologies. Part II, Developmental, Family-Focused Instruction for Listening and Spoken Language Enrichment, includes the second five chapters on intervention: listening, talking, and communicating through the utilization of a developmental and preventative model that focuses on enriching the child’s auditory brain centers. New to the Fourth Edition: *All technology information has been updated as has information about neurophysiology. *The reference list is exhaustive with the addition of the newest studies while maintaining seminal works about neurophysiology, technology, and listening and spoken language development. *New artwork throughout the book illustrates key concepts of family-focused listening and spoken language intervention. This text is intended for undergraduate and graduate-level training programs for professionals who work with children who have hearing loss and their families. This fourth edition is also directly relevant for parents, listening and spoken language specialists (LSLS Cert. AVT and LSLS Cert. AVEd), speech-language pathologists, audiologists, early childhood instructors, and teachers. In addition, much of the information in Chapters 1 through 5, and also Chapter 7 can be helpful to individuals of all ages who experience hearing loss, especially to newly diagnosed adults, as a practical “owner’s manual.”
You want to be fit, but you've had it--you've been on 17 different diets, and you've spent enough to feed a small town on packaged meals that look like food but taste like floor sweepings. So, now what? How about a straightforward, easy-to-understand, up-to-the-minute primer on fitness, exercise, and eating well? It's all here, whether you yearn to bike around the block or run a marathon. What's in it for you? A nutrition and fitness program geared specifically to your likes and dislikes, your body, lifestyle, budget, and goals. How can you lose?
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