A compelling debut novel exploring postpartum depression—for readers of suspenseful women’s fiction and fans of Lionel Shriver’s We Need to Talk About Kevin. They say motherhood changes you. As a driven advertising executive, Lara James has always put her career before any plans for a family, preferring professional chic to stay-at-home style. But after her father’s death, she realizes she’s ready. More than ready, in fact. Yet pregnancy—something other women seem to accomplish effortlessly, even accidentally—doesn’t come easily to Lara. What began as an adventure quickly becomes a nightmare as she and her husband endure endless IVF treatments, hormone therapy, and devastating miscarriages. When Lara at last becomes pregnant and gives birth to a daughter, Auden, she believes their determination has paid off. But Auden cries day and night, ear-shattering screams that strip Lara of her nerves and energy. Her life as a sleep-deprived new mother is unrelenting, and, guiltily, Lara can’t help but mourn for what she once had. With her marriage crumbling, Lara is increasingly driven to alarming thoughts and destructive actions she would never have imagined possible before now. Hanging on by a thread, it’s only in her darkest moment that Lara will discover the true depths of her love and devotion—and what she’s willing to face for the family she’s so desperately sought. At times disturbing, The Unprotected is a bold, unflinching novel for anyone who’s ever wanted children—and wondered what they might have to sacrifice along the way.
A compelling debut novel exploring postpartum depression—for readers of suspenseful women’s fiction and fans of Lionel Shriver’s We Need to Talk About Kevin. They say motherhood changes you. As a driven advertising executive, Lara James has always put her career before any plans for a family, preferring professional chic to stay-at-home style. But after her father’s death, she realizes she’s ready. More than ready, in fact. Yet pregnancy—something other women seem to accomplish effortlessly, even accidentally—doesn’t come easily to Lara. What began as an adventure quickly becomes a nightmare as she and her husband endure endless IVF treatments, hormone therapy, and devastating miscarriages. When Lara at last becomes pregnant and gives birth to a daughter, Auden, she believes their determination has paid off. But Auden cries day and night, ear-shattering screams that strip Lara of her nerves and energy. Her life as a sleep-deprived new mother is unrelenting, and, guiltily, Lara can’t help but mourn for what she once had. With her marriage crumbling, Lara is increasingly driven to alarming thoughts and destructive actions she would never have imagined possible before now. Hanging on by a thread, it’s only in her darkest moment that Lara will discover the true depths of her love and devotion—and what she’s willing to face for the family she’s so desperately sought. At times disturbing, The Unprotected is a bold, unflinching novel for anyone who’s ever wanted children—and wondered what they might have to sacrifice along the way.
NATIONAL BEST SELLER A stunning, personal memoir from the astronaut and modern-day hero who spent a record-breaking year aboard the International Space Station—a message of hope for the future that will inspire for generations to come. The veteran of four spaceflights and the American record holder for consecutive days spent in space, Scott Kelly has experienced things very few have. Now, he takes us inside a sphere utterly hostile to human life. He describes navigating the extreme challenge of long-term spaceflight, both life-threatening and mundane: the devastating effects on the body; the isolation from everyone he loves and the comforts of Earth; the catastrophic risks of colliding with space junk; and the still more haunting threat of being unable to help should tragedy strike at home--an agonizing situation Kelly faced when, on a previous mission, his twin brother's wife, American Congresswoman Gabrielle Giffords, was shot while he still had two months in space. Kelly's humanity, compassion, humor, and determination resonate throughout, as he recalls his rough-and-tumble New Jersey childhood and the youthful inspiration that sparked his astounding career, and as he makes clear his belief that Mars will be the next, ultimately challenging, step in spaceflight. In Endurance, we see the triumph of the human imagination, the strength of the human will, and the infinite wonder of the galaxy.
Praise for the First Edition: "This is a concise, yet comprehensive book. I would recommend that any advanced practice nurse working in obstetrics have it on the bookshelf. It could also be used as a protocol manual for small practices." Score: 100, 5 Stars —Doody's Medical Reviews Now in its third edition, this remains the only comprehensive source of current, evidence-based information for busy nurse practitioners and related professionals who provide preconception, prenatal, and postpartum care in outpatient settings. This resource encompasses essential clinical topics and practice standards in an easy-to-read, outline format with a convenient spiral binding. The third edition presents important new information on Thyroid Disorders in Pregnancy, COVID-19 during Pregnancy and Lactation, Rural Maternity Services, Utilization of Telehealth Services in Pregnancy, Adverse Child Experiences, LGBTQ Considerations, Genetic Counseling, and more. Additionally, unique topics of emerging clinical relevance address the complex and evolving nature of prenatal care in the 21st century, such as the latest trends in preterm labor prevention, disaster planning, managing exposure to the Zika virus, obesity, dermatoses, and HIV in pregnancy. New to the Third Edition: New chapters on Thyroid Disorders in Pregnancy and COVID-19 during Pregnancy and Postpartum Updated sections on rural maternity services, telehealth services, adverse childhood experiences, nutrition, and LGBTQ considerations Clinical updates on genetic screening and testing, nausea and vomiting, use of low-dose aspirin to prevent complications, HIV prevention, using PrEP, breastfeeding, avoidance of non-medically indicated early-term delivery, use of marijuana and heroin Greatly expanded section on options for noninvasive prenatal testing for aneuploidy New information from the FDA on drug labeling New recommendations on anemia screening in pregnancy Updated imaging recommendations New and updated guidelines from Association of Women's Health, Obstetric and Neonatal Nurses; American Congress of Obstetricians and Gynecologists; American Academy of Pediatricians; American College of Nurse Midwives; National Certification Corporation; National Association of Nurse Practitioners in Women's Health; the Centers for Disease Control and Prevention, and the US Preventive Services Task Force Two new appendices covering Telehealth Resources, Best Practice Guides, and LGBTQIA+ resources Key Features: Ensures speedy access to clinical information through clear organization, outline format, and spiral-bound text Presents complete guidelines for each topic in consistent format Provides guidelines on identifying complications and when to refer for specialist care Offers detailed information on genetic counseling, health promotion and assessment, lactation issues, and medications during pregnancy Includes downloadable patient teaching guides
Our popular Charming Petites "TM" have eye-catching 4-color art and a wide array of subjects. Each has a 24K gold-plated or silver-plated charm to keep on the ribbon bookmark or to wear on a bracelet or necklace. A book to laugh and love by.
National Geographic’s ultimate resource for traveling with your furry friend features hundreds of dog-friendly places to pamper your pooch, from doggie daycare to canine couture. Special features include walks you can take with your dog, insider tips from local pet parents on how to best enjoy their area with a pup, and sidebars detailing unique opportunities for coddled canines, such as winery hikes in California wine country. New York Times bestselling author and pet parent Kelly E. Carter, and her beloved longhaired Chihuahua, Lucy, give you the inside scoop on pet-friendly hotels and restaurants, beaches, parks, and dog runs, plus the lowdown on events for four-legged visitors and dog-friendly attractions. A detailed introduction discussed everything you need to know when taking your pooch on vacation, including the lay of the land for road tripping and flying cross-country. From Sanibel Island, FL, to Whistler, BC, from Montreal QC, and Nantucket, MA to San Francisco, CA, The Dog Lover’s Guide to Travel showcases 75 of the best pet-friendly vacation destinations across the U.S. and Canada.
The author of The Woman Who Heard Color transports readers to a dreary Good Friday in Prague in an "intriguing thriller"* as the mysterious death of a nun sets off a tangled chain of events that inexorably draws three strangers together—and forever changes their lives… Just after the fall of the Berlin Wall, aspiring journalist Dana Pierson joined the hordes of young people traveling to Eastern Europe to be a part of history. There, she and her best friend were swept up in the excitement of the Velvet Revolution. Twenty years later, Dana returns to the city of her youthful rebellion to reconnect with her old confidant, who never left the city. But the visit that was reserved for healing intimacies and giddy reminiscences is marred by a strange death in one of Prague’s most famous Catholic churches—and an even more peculiar mystery surrounding it… In a city where the past is never far from the present, Dana must work with a conflicted Italian priest and a world-weary Czech investigator to unlock dark secrets hidden in Prague’s twisted streets. But the key to solving the puzzle may lie in memories of Dana’s long-ago visit, even as she is forced to face the reality of a more recent loss… *Publisher Weekly
Advice literature (etiquette manuals, guides to hygiene and house management, and treatises on upbringing) enjoyed massive popularity in Russia between the late eighteenth and the late twentieth centuries. It reflected changing attitudes to appropriate behaviour in private and public, to the acquisition of possessions, and not least to national identity (for many Russians, reading how-to books was seen as a way of 'learning how to be a Westerner'). Written or translated by members of the cultural elite trying to encourage what they saw as civilized behaviour, advice literature was also a conduit for changing views of mass readers and of their place in society. This important and engaging book is the first systematic exploration of this hitherto neglected genre of popular printed text. It examines the evolution of advice literature from the Enlightenment to the post-Soviet era, from translations of Fénelon and Madame de Lambert in the 1760s and of Samuel Smiles in the late nineteenth and early twentieth centuries, to tracts by Gogol and Tolstoi, Soviet pamphlets on 'how to be cultured', and post-Soviet guides to 'window treatments'. It draws on a huge range of sources - memoirs, 'novelised conduct books' such as Anna Karenina, parody advice literature, letters, and reviews - to examine the broader significance of how-to books, and their relationship with daily life (byt) as construct and as lived reality. The result is a book that not only makes a major contribution to the study of popular culture, but also throws an unexpected and revealing light on Russian history more broadly.
From East to West, the economies of Europe and Central Asia (ECA) are not taking full advantage of the internet to foster economic growth and job creation. The residents of Central Asia and the South Caucasus pay some of the highest prices in the world for internet connections that are slow and unreliable. In contrast, Europe enjoys some of the world’s fastest and affordable internet services. However, its firms and individuals are not fully exploiting the internet to achieve higher productivity growth as well as more and better jobs. Reaping Digital Dividends investigates the barriers that are holding back the broader adoption of the internet in ECA. The report identifies the main bottlenecks and provides policy recommendations tailored to economies at varying levels of digital development. It concludes that policies to increase internet access are necessary but not sufficient. Policies to foster competition, international trade and skills supply, as well as adapting regulations to the changing business environment and labor markets, will also be necessary. In other words, Reaping Digital Dividends not only requires better connectivity, but also complementary factors that allow governments, firms and individuals to make the most out of it.
How do you do two seemingly opposite things at once? How can you be candid and diplomatic, provide structure and flexibility, keep things stable and lead change, and focus on organizational interests while simultaneously doing what's best for employees? Many approach these polarities with either/or thinking, but leaders, teams, and organizations that navigate them using a both/and mindset significantly outperform those who don't. The trick is knowing how. In their work with thousands of people across the globe, Brian Emerson and Kelly Lewis have seen the tension and stress polarities can create in relationships, teams, and in organizations. In this book, they share the practical tools to transform that tension into a positive driving force by expanding either/or thinking to include a both/and mindset.
Discover what it's like to spend a year in space in this awe-inspiring memoir from a real-life NASA astronaut who did just that! Prepare to blast off with astronaut Scott Kelly as he takes readers on a journey through his year aboard the International Space Station and his life prior to becoming a true American hero. Discover the extreme challenges of long-term spaceflight, the pressures of living in close quarters with people from many countries, the extremely dangerous risk of colliding with space junk and the unnerving feeling of not being able to help if tragedy strikes at home. Find out the story of Kelly's childhood, his struggles in school, and ultimately the inspiration that sparked his incredible career, and the training to become a test-pilot and then astronaut. This personal and fascinating story, newly adapted for young readers from the New York Times bestseller, will encourage aspiring astronauts and young readers everywhere to believe in the impossible and reach for the stars. "An engaging and high-flying read for nonfiction and space lovers alike." --School Library Journal "Those who are intrigued by space travel will find this a fascinating book." --Booklist "Recommend this to readers who are interested in current events and anyone who wants an in-depth look at a STEM-related career." --VOYA
What better companion on your next Wisconsin road trip than this collection of puzzles, games, and trivia teasers! Learn about the Badger State's history, natural wonders, folklore, flora, and fauna as you flex your mental skills. Hours of fun for puzzle lovers and trivia fanatics of every age!
This book explores a profoundly negative narrative about legally segregated schools in the United States being "inherently inferior" compared to their white counterparts. However, there are overwhelmingly positive counter-memories of these schools as "good and valued" among former students, teachers, and community members. Using interview data with 44 former teachers in three North Carolina counties, college and university archival materials, and secondary historical sources, the author argues that "Jim Crow’s teachers" remember from hidden transcripts—latent reports of the social world created and lived in all-black schools and communities—which reveal hidden social relations and practices that were constructed away from powerful white educational authorities. The author concludes that the national memory of "inherently inferior" all-black schools does not tell the whole story about legally segregated education; the collective remembering of Jim Crow’s teachers reveal a critique of power and a fight for respectability that shaped teachers’ work in the Age of Segregation.
From scream queens to femmes fatale, horror isn’t just for the boys. Gothic media moguls Meg Hafdahl and Kelly Florence, authors of The Science of Monsters, and co-hosts of the Horror Rewind podcast called “the best horror film podcast out there” by Film Daddy, present a guide to the feminist horror movies, TV shows, and characters we all know and love. Through interviews, film analysis, and bone-chilling discoveries, The Science of Women in Horror uncovers the theories behind women’s most iconic roles of the genre. Explore age-old tropes such as “The Innocent” like Lydia in Beetlejuice, “The Gorgon” like Pamela Voorhees in Friday the 13th, and “The Mother” like Norma Bates in Pyscho and Bates Motel, and delve deeper into female-forward film and TV including: The Haunting of Hill House Teeth Chilling Adventures of Sabrina Buffy the Vampire Slayer And so much more! Join Kelly and Meg in The Science of Women in Horror as they flip the script and prove that every girl is a “final girl.”
This book reveals Czech composer Bedřich Smetana as a dynamic figure whose mythology has been rewritten time and again to suit shifting political perspectives.
Pharmacology, Biology, and Clinical Applications of AndrogensCurrent Status and Future Prospects Edited by Shalender Bhasin, Henry L. Gabelnick, Jeffrey M. Spieler,Ronald S. Swerdloff, Christina Wang, and Chuck Kelly As agents that affect the male primary and accessory sex organs,androgens--particularly the hormones testosterone andandrosterone--play a critical role in the development,functionality, and overall health of the male reproductive system.However, since androgens also have far-ranging effects onmetabolism, neurological activity, and behavior, scientistsexploring the contraceptive or therapeutic potential of androgensneed reliable, up-to-date information on the complex biologicalactivities of these agents. Pharmacology, Biology, and Clinical Applications of Androgens:Current Status and Future Prospects presents contributions fromleading investigators around the world, offering a focused,state-of-the-art summary of the central issues and controversies inandrogen research. The book is arranged into sections coveringandrogen physiology, androgens and the prostate, and theneurobehavioral and metabolic effects of androgens--as well astheir role in disease therapy and male contraception, and thevarious delivery systems for each application. Every chapter in thetext provides an expert opinion on a cutting-edge topic in thefield while highlighting the key points of dissent and disagreementwithin the scientific community. This approach is intended tofoster a deeper understanding of the status of androgen researchand lay the groundwork for future investigations in eacharea. This book explores such current topics as: * Androgen regulation of Sertoli cell function * Testosterone and spermatogenesis * Androgen effects on benign prostatic hyperplasia (BPH) andprostate cancer * Androgen effects on cognitive processes, sexual function, andaggressive behavior * Contraceptive efficacy of hormonal suppression of spermatogenesis * The latest transdermal and implantation delivery systems forandrogens Offering multifaceted coverage of the field, Pharmacology, Biology,and Clinical Applications of Androgens is an indispensable aid toall basic scientists and clinical investigators interested in thebiological actions of either natural or synthetic androgens.
Unique among medical texts, the Oxford Handbook of Clinical Medicine is a complete and concise guide to the core areas of medicine that also encourages thinking about the world from the patient's perspective, to develop a holistic approach to care with a passion for practice. Now in its eleventh edition, this renowned Handbook has been fully updated to reflect the latest changes in clinical practice and best management, filled with expert knowledge, practical advice, and reassurance. In the tradition of bringing new voices to each edition, three authors have joined the writing team, bringing a fresh perspective to the content. The chapters on emergencies, endocrinology and diabetes, haematology, oncology, and surgery have been completely revamped, and every page has been reviewed by a consultant and a trainee to ensure it continues to be accurate, relevant, and user-friendly. Figures and illustrations have been carefully revised and updated in response to reader feedback, and key references fine-tuned to include only the most up-to-date and pertinent. Loved and trusted by millions for almost four decades, the unparalleled Oxford Handbook of Clinical Medicine continues to be your reliable and truly indispensable companion for the practice and philosophy of modern medicine. The warmth and wisdom you will find in these pages will help you become the doctor you want to be.
Students and extreme sport enthusiasts will not only learn about the sports themselves, but also about the techniques, innovations, engineering, and physics behind them. How do ice yachters achieve speeds of up to 150 MPH? What does take to become a pro snowboarder? Other parts of the encyclopedia highlight key areas of study, such as extreme sports and the media, the controversies surrounding, and the impact of extreme sports on our culture. A resource guide of print and electronic sources, competitions, organizations offers students an insider's guide to all things extreme. Inside readers will discover BASE (Building, Antenna tower, Span, Earth) Jumping. What's more dangerous than leaping off of a tall building? Jumping off a structure that's much closer to the ground, and that's exactly what many BASE jumpers regularly do. The risks include malfunctioning parachutes, landing on rocks, into electrical wires and more. Readers will learn about Bhang Gliding, where experienced pilots perform full barrel rolls, inverted maneuvers and other stunt flying moves. It is no longer unusual for an experienced hang glider to travel 200 miles or reach altitudes above 10,000 feet. Coverage also includes information on caving, which involves exploring caves that travel deep into the earth, moutain biking, and many other sports.
From the author of French Toast: Stacked, Stuffed, Baked, sweet and savory variations of the classic Mexican dish. Simply put, the quesadilla is a delightful package of melted cheesy goodness―all sandwiched inside crispy tortillas. But now these little gooey snacks have evolved into savory meals and scrumptious desserts that are bursting with flavor. Made to fill any amount of hunger, quesadillas can be stuffed with foods and spices from almost any culture. You can try all sorts of mouthwatering combinations like the BLT, Thai Peanut, Roasted Veggie and Goat Cheese, Parmesan-Crusted Italian, Philly Cheesesteak, Roasted Ratatouille, and Chicken Caesar. Even dessert quesadillas like Triple Chocolate Decadence, Peanut Butter Apple, and S’mores have made their debut. Quesadillas are so simple, delicious, and easy to make. So, why not make your favorite meal or dessert into a quesadilla? “After an introduction featuring cooking techniques, ingredient tips, and serving suggestions, Kelly…shares specific instructions for beginners on, e.g., how to remove pepper seeds…These simple recipes, with ten ingredients or fewer, are perfect to make with children. Highly recommended.”—Library Journal
A Clinician's Guide to Integrating Acceptance and Commitment Therapy, Compassion-Focused Therapy, and Mindfulness Approaches within the Cognitive Behavioral Therapy Tradition
A Clinician's Guide to Integrating Acceptance and Commitment Therapy, Compassion-Focused Therapy, and Mindfulness Approaches within the Cognitive Behavioral Therapy Tradition
Psychosis can be associated with a variety of mental health problems, including schizophrenia, severe depression, bipolar disorder, anxiety, and post-traumatic stress disorders. While traditional treatments for psychosis have emphasized medication-based strategies, evidence now suggests that individuals affected by psychosis can greatly benefit from psychotherapy. Treating Psychosis is an evidence-based treatment guide for mental health professionals working with individuals affected by psychosis. Using a cognitive behavioral therapy (CBT) approach that incorporates acceptance and commitment therapy (ACT), compassion-focused therapy (CFT) and mindfulness approaches, this book is invaluable in helping clinicians develop effective treatment for clients affected by psychosis. The guide provides session-by-session clinical interventions for use in individual or group treatment on an inpatient, outpatient, or community basis. The book features 40 reproducible clinical practice forms and a companion website with additional downloadable clinical forms and tools, guided exercises, case examples, and resources. The therapeutic approaches presented are rooted in theory and research, and informed by extensive clinical experience working with client populations affected by psychosis. The approaches outlined in this book offer clinicians and clients the opportunity to partner in developing therapeutic strategies for problematic symptoms to enable those affected by psychosis to work toward valued goals and ultimately live more meaningful lives. This guide emphasizes a compassionate, de-stigmatizing approach that integrates empowering and strengths-oriented methods that place the client’s values and goals at the center of any therapeutic intervention.
Collins-Bride & Saxe's Clinical Guidelines for Advanced Practice Nursing, Fourth Edition is an accessible and practical reference designed to help nurses and students with daily clinical decision making. Written in collaboration with certified nurse midwives, clinical nurse specialists, nurse practitioners, nutritionists, pharmacists, and physicians, it fosters a team approach to health care. Divided into four areas-Pediatrics, Gynecology, Obstetrics, and, Adult General Medicine-and following a lifespan approach, it utilizes the S-O-A-P (Subjective-Objective-Assessment-Plan) format. Additionally, the authors explore complex chronic disease management, health promotion across the lifespan, and professional and legal issues such as reimbursement, billing, and the legal scope of practice. The Fourth Edition has a keen focus on gerontology to accommodate the AGNP specialty and to better assist the student or clinician in caring for the aging population. The authors follow the across the life span approach and focus on common complete disorders. Certain chapters have been revised and new chapters have been added which include:Health Maintenance for Older Adults; Frailty; Common Gerontology Syndromes; Cancer Survivorship; Lipid Disorders; Acne (pediatrics section)
The secrets, tips, and strategies used by actual students to win millions of dollars in financial aid and scholarships are revealed in this guide for parents and high school, college, and graduate students. Every step of the scholarship process is examined, with advice about finding the right scholarships, crafting applications, writing exceptional essays, and acing interviews. A comprehensive scholarship directory containing more than 400,000 award listings representing more than $1.1 billion in prize money is provided and indexed by categories including career goal, major, geographic area, and academic achievement.
Now fully updated for its fourth edition, Pharmacy: What It Is and How It Works continues to provide a comprehensive review of all aspects of pharmacy, from the various roles, pathways and settings of pharmacists to information about how pharmacy works within the broader health care system. Beginning with a brief historical perspective on the field, the book discusses the many facets of the pharmacy profession. It describes the role of pharmacists in different settings and provides information ranging from licensing requirements to working conditions, highlighting the critical role of pharmacists within the health care system. The author examines the drug use process with sections on distribution, prescribing, dispensing, and pricing. He also discusses the role of pharmacy support personnel. A chapter on informatics explores how pharmacy has evolved through information technology and automation. Additional chapters cover poison control, pharmaceutical care, pharmacy organizations, the drug approval process, and career development. Designed for classroom and professional use, the book contains numerous tools to facilitate comprehension, including: Learning objectives to help readers focus on the goals of each chapter Informative tables and figures summarizing data Summary paragraphs tying in salient points Discussion questions and exercises to test assimilation "Challenges" which place the material in broader context Websites and references to encourage further study This valuable text provides a look into the profession that is both broad and deep, supplying a one-stop introduction to a promising career in pharmacy.
Integrating neurobiological mechanisms of general health into the coverage of mental disorders, this text also looks at other aspects of neuroscience and the ways in which it impacts on the mental condition.
Everyone should have a book like this." – Carol Jenkins, Fox News Learn how to take care of yourself (prenatal yoga classes, childbirth methods, birthing centers) and your baby (pediatricians, au pairs, mommy & me programs) with this indispensable guide to the best resources, shops, and programs New York City has to offer. Includes a City Baby Brooklyn Guide as well.
Exam Board: SQA Level: Higher Subject: Modern Studies First Teaching: August 2018 First Exam: June 2019 Updated specifically to match the SQA Higher Modern Studies syllabus for examination from 2019 onwards. International Issues covers three of the world powers that students may choose to study in this unit of the course (the United States of America, the Republic of South Africa and the People's Republic of China), along with Development Issues in Africa and Global Security.
This reassuring guide for expectant parents provides up-to-date information on drugs, chemicals, food additives, pollutants and other substances that can affect an unborn child.
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