In the early 1990s, sympathetic juries awarded huge damages to women claiming injury from silicone breast implants, leading to a $4.25 billion class-action settlement that still wasn't large enough to cover all the claims. Shockingly, rigorous scientific studies of breast implants have now shown that there is no significant link between breast implants and disease. Why were the courts and the public so certain that breast implants were dangerous when medical researchers were not? The answer to this question reveals important differences in the way science, the law, and the public regard evidence--and not just in the breast implant controversy.
During her two decades at The New England Journal of Medicine, Dr. Marcia Angell had a front-row seat on the appalling spectacle of the pharmaceutical industry. She watched drug companies stray from their original mission of discovering and manufacturing useful drugs and instead become vast marketing machines with unprecedented control over their own fortunes. She saw them gain nearly limitless influence over medical research, education, and how doctors do their jobs. She sympathized as the American public, particularly the elderly, struggled and increasingly failed to meet spiraling prescription drug prices. Now, in this bold, hard-hitting new book, Dr. Angell exposes the shocking truth of what the pharmaceutical industry has become–and argues for essential, long-overdue change. Currently Americans spend a staggering $200 billion each year on prescription drugs. As Dr. Angell powerfully demonstrates, claims that high drug prices are necessary to fund research and development are unfounded: The truth is that drug companies funnel the bulk of their resources into the marketing of products of dubious benefit. Meanwhile, as profits soar, the companies brazenly use their wealth and power to push their agenda through Congress, the FDA, and academic medical centers. Zeroing in on hugely successful drugs like AZT (the first drug to treat HIV/AIDS), Taxol (the best-selling cancer drug in history), and the blockbuster allergy drug Claritin, Dr. Angell demonstrates exactly how new products are brought to market. Drug companies, she shows, routinely rely on publicly funded institutions for their basic research; they rig clinical trials to make their products look better than they are; and they use their legions of lawyers to stretch out government-granted exclusive marketing rights for years. They also flood the market with copycat drugs that cost a lot more than the drugs they mimic but are no more effective. The American pharmaceutical industry needs to be saved, mainly from itself, and Dr. Angell proposes a program of vital reforms, which includes restoring impartiality to clinical research and severing the ties between drug companies and medical education. Written with fierce passion and substantiated with in-depth research, The Truth About the Drug Companies is a searing indictment of an industry that has spun out of control.
By the turn of the twentieth century, academic nativism had taken root in elite American colleges—specifically, Harvard, Yale, and Princeton. White, Anglo-Saxon, Protestant hegemony was endangered by new kinds of student, many of them Catholic and Jewish immigrants. The newcomers threatened to displace native-born Americans by raising academic standards and winning a disproportionate share of the scholarships. The Half-Opened Door analyzes the role of these institutions, casting light on their place in class structure and values in the United States. It details the origins, history, and demise of discriminatory admissions processes and depicts how the entrenched position of the upper class was successfully challenged. The educational, and hence economic, mobility of Catholics and Jews has shown other groups—for example, African Americans, Asian Americans, and Spanish-speaking Americans—not only the difficulties that these earlier aspirants had in overcoming class and ethnic barriers, but the fact that it can be done. One of the ironies of the history of higher education in the United States is the use of quotas by admissions committees. Restrictive measures were imposed on Jews because they were so successful, whereas benign quotas are currently used to encourage underrepresented minorities to enter colleges and professional schools. The competing claims of both the older and the newer minorities continue to be the subject of controversy, editorial comments, and court cases—and will be for years to come.
George Szell was the Cleveland Orchestra's towering presence for over a quarter of a century. From the boardroom to the stage, Szell's powerful personality affected every aspect of a musical institution he reshaped in his own perfectionist image. Marcia Hansen Kraus's participation in Cleveland's classical musical scene allowed her an intimate view of Szell and his achievements. As a musician herself, and married to an oboist who worked under Szell, Kraus pulls back the curtain on this storied era through fascinating interviews with orchestra musicians and patrons. Their recollections combine with Kraus's own to paint a portrait of a multifaceted individual who both earned and transcended his tyrannical reputation. If some musicians hated Szell, others loved him or at the least respected his fair-minded toughness. A great many remember playing under his difficult leadership as the high point in their lives. Filled with vivid backstage stories, George Szell's Reign reveals the human side of a great orchestra ”and how one visionary built a premier classical music institution.
Strengthening affirmative action programs and fighting discrimination present challenges to America's best private and public universities. US college enrollments swelled from 2.6 million students in 1955 to 17.5 million by 2005. Ivy League universities, specifically Harvard, Yale, and Princeton, face significant challenges in maintaining their professed goal to educate a reasonable number of students from all ethnic, racial, religious, and socio-economic groups while maintaining the loyalty of their alumni. College admissions officers in these elite universities have the daunting task of selecting a balanced student body. Added to their challenges, the economic recession of 2008-2009 negatively impacted potential applicants from lower-income families. Evidence suggests that high Standard Aptitude Test (SAT) scores are correlated with a family's socioeconomic status. Thus, the problem of selecting the "best" students from an ever-increasing pool of applicants may render standardized admissions tests a less desirable selection mechanism. The next admissions battle may be whether well-endowed universities should commit themselves to a form of class-based affirmative action in order to balance the socioeconomic advantages of well-to-do families. Such a policy would improve prospects for students who may have ambitions for an education that is beyond their reach without preferential treatment. As in past decades, admissions policies may remain a question of balances and preferences. Nevertheless, the elite universities are handling admission decisions with determination and far less prejudice than in earlier eras.
From Atticus to Zuzu With 10,000 additional names and 50 additional lists (200 total), this latest edition is the most comprehensive guide to naming newborns on the market, and the most fun! With specialized lists, from world leaders to favorite characters from children's literature, biblical figures to Wiccan/ Gothic/Vampire names, Olympic medalists to Nobel Prize winners, plus alphabetized lists for each gender, this guide makes the name game easy, pleasurable, and enlightening. - Approximately 4 million babies born every year in the U.S, and they all need names! - Contains 40,000 names, 10,000 more than The Everything Baby Names Book and 35,000 more than Baby Names for Dummies - Includes 200 specialized lists - even the names that have the best and worst nicknames - which add to the fun of selecting the perfect name
This Revised Reprint of our 8th edition, the "gold standard" in community health nursing, Public Health Nursing: Population-Centered Health Care in the Community, has been updated with a new Quality and Safety Education in Nursing (QSEN) appendix that features examples of incorporating knowledge, skills, and attitudes to improve quality and safety in community/public health nursing practice. As with the previous version, this text provides comprehensive and up-to-date content to keep you at the forefront of the ever-changing community health climate and prepare you for an effective nursing career. In addition to concepts and interventions for individuals, families, and communities, this text also incorporates real-life applications of the public nurse's role, Healthy People 2020 initiatives, new chapters on forensics and genomics, plus timely coverage of disaster management and important client populations such as pregnant teens, the homeless, immigrants, and more. Evidence-Based Practice boxes illustrate how the latest research findings apply to public/community health nursing.Separate chapters on disease outbreak investigation and disaster management describe the nurse's role in surveilling public health and managing these types of threats to public health.Separate unit on the public/community health nurse's role describes the different functions of the public/community health nurse within the community.Levels of Prevention boxes show how community/public health nurses deliver health care interventions at the primary, secondary, and tertiary levels of prevention.What Do You Think?, Did You Know?, and How To? boxes use practical examples and critical thinking exercises to illustrate chapter content.The Cutting Edge highlights significant issues and new approaches to community-oriented nursing practice.Practice Application provides case studies with critical thinking questions.Separate chapters on community health initiatives thoroughly describe different approaches to promoting health among populations.Appendixes offer additional resources and key information, such as screening and assessment tools and clinical practice guidelines. NEW! Quality and Safety Education in Nursing (QSEN) appendix features examples of incorporating knowledge, skills, and attitudes to improve quality and safety in community/public health nursing practice.NEW! Linking Content to Practice boxes provide real-life applications for chapter content.NEW! Healthy People 2020 feature boxes highlight the goals and objectives for promoting health and wellness over the next decade.NEW! Forensic Nursing in the Community chapter focuses on the unique role of forensic nurses in public health and safety, interpersonal violence, mass violence, and disasters. NEW! Genomics in Public Health Nursing chapter includes a history of genetics and genomics and their impact on public/community health nursing care.
An entertaining parents' guide to naming their baby features more than 200 lists of popular names in different categories, along with an alphabetized name section, name histories and meanings, and information and advice on selecting the perfect name. Original.
In the early 1820s a young boy named Joseph Smith claimed that God the Father and Jesus Christ appeared to him and told him to found a new church. Thus began Mormonism, a faith that has grown to thirteen million members worldwide. The Mormon Contradiction: In Their Own Words offers the reader an insight into what the Mormon Church is really all about, including: § Where the Book of Mormon really came from § Joseph Smith's personal history and use of Occultism and Freemasonry § The original accounts of what happened to Smith's apostles during visions, as related by them § The Masonic and Occult roots of Mormon Temple ceremonies and oaths, including the use of Occult symbols in the architecture of the Salt Lake Temple § The Book of Abraham proven to be a fabrication § Who The Danites were § The original versions of LDS revelations, including the doctrine of polygamy and the Manifesto § DNA evidence proving the Book of Mormon's history of Native Americans to be false § Linguistic and anthropological studies proving there was no migration of Jews to the New World
Make sure your practice skills are up-to-date with the changes brought on by managed care As a result of escalating costs, the focus of health care in the United States has shifted from inpatient, hospital-based care to outpatient care in the community. Social Work Practice in Community-Based Health Care is a comprehensive guide to the knowledge and skills needed to provide effective and efficient practice within a managed-care context that’s focused on a diversified, aging consumer population and high-risk health conditions. This unique book examines the essential elements of community health practice, including logic modeling for planning and evaluation, interdisciplinary collaboration, and the use of technology and telemedicine in social work practice. Social Work Practice in Community-Based Health Care presents practical information for social workers in the wake of the insertion of managed care as a “third party” to the relationship between physicians and their patients, and advances in medical care that are transforming previously acute and life-threatening illnesses to chronic conditions. The book offers a critical analysis of available research and model service delivery innovations, applying evidence-based practice to case studies in a style that’s easily accessible to practitioners, administrators, supervisors, and social work students. The book also includes glossaries at the end of each chapter and appendices that analyze online resources and address cultural background assessment questions. Topics discussed in Social Work Practice in Community-Based Health Care include: the revolution in funding and delivery evolving trends and healthcare needs of the consumer population a conceptual framework for culturally competent practice the nature of social work in ambulatory health a brief history of healthcare social work emerging practice settings the use of new communication technologies in practice methods for evaluating direct practice ethical considerations current community-based programs for culturally diverse and at-risk populations and much more Social Work Practice in Community-Based Health Care is an important resource for social work practitioners, academics, and students.
Situating the African American learning experience within the stream of historic enslavement and hundreds of years of institutionalized racism, this timely book introduces antiracist foundations for teaching in the 21st century. The authors take a holistic approach that uses Afrocentricity to identify and address critical omissions and distortions in school curricula. Drawing on empirical findings from a high-performing 100% African American school, they identify what teachers and students recognize as successful features of the schools’ approach, including a unique learning environment, support systems, spiritual affirmations, evidences of Black education, a reframing of Afrocentricity, and education that promotes positive Black identity. This much-needed book demonstrates the healing power of education; provides evidence of social, emotional, and psychological transformation within the learning experience; and frames education as a tool for liberation. Book Features: Offers a clear chronological analysis of Black education in the United States and across the Diaspora.Includes the perceptions and experiences of students and teachers at a successful Afrocentric school. Provides the tools needed to teach multicultural histories in an antiracist way.Examines the benefits of Afrocentric curricula and the role of corrective history in promoting positive Black identity. Explores the intersections of precolonial history, student achievement, and Afrocentric education.
In 1817, the first settlers arrived in the area that would become Galion. Their settlement at the "corners," where Harding Way West and Portland Way intersected, was sometimes referred to as Horseshoe, Moccasin, Hardscrabble, and Spangtown. In the years to follow, settlers began to move "up the hill" to what is now Galion's public square. Michael and Jacob Ruhl laid out the uptown plat of Galion on September 10, 1831. With the arrival of the railroad in the 1850s and 1860s, Galion began to prosper. Small, thriving local businesses such as buggy works and wheelworks, cigar manufacturers, and blacksmiths began to permeate the town. Breweries were also popular, including the brewers of Galion Standard Beer--the beer that made Milwaukee jealous. As time marched on, farming and the production of telephones, steel vaults, and road graders replaced these early businesses. Today, new generations are continuously working to improve productivity, increase business, and ensure a positive vision for Galion's future.
When it was first published twenty years ago, The Bedford Guide for College Writers brought a lively and innovative new approach to the teaching of writing. Since that time, authors X. J. and Dorothy M. Kennedy have won praise for their friendly tone and their view, apparent on every page of the text, that writing is the "usually surprising, often rewarding art of thinking while working with language." More recently, experienced teacher and writer Marcia F. Muth joined the author team, adding more practical advice to help all students — even those underprepared for college work — become successful academic writers. While retaining the highly praised "Kennedy touch," The Bedford Guide continues to evolve to meet classroom needs. The new edition does even more to build essential academic writing skills, with expanded coverage of audience analysis, source-based writing, argumentation and reasoning, and more.
With its process-oriented rhetoric, provocative thematic reader, up-to-date research manual, and comprehensive handbook, The Bedford Guide for College Writers gives your students the tools they need to succeed as writers -- all in one book. Each of the book's four main components has been carefully developed to provide an engaging, well-coordinated guide for student writers. This edition's new, more open design and sharper focus on active learning do even more to help students develop transferable skills. The Bedford Guide for College Writers prepares students to be the confident, resourceful, and independent writers they will need to be.
Sweet Landing is a story about Bella Fergus who was born in Pictou Landing, Nova Scotia. Orphaned at birth, she was raised by Millie, her mothers sister, and her uncle Charlie. A discovery in the cellar of her old homestead brings her back to the landing and forces her to recall a life she thought she had left forever. She wants a perfect trip down memory lane, but instead, she unearths a completely different history. She finds that she is more connected to this place and to her early years than she could possibly have imagined. And she finds that even now, even now in her last years, her story is not yet finished.
Now in its 8th edition, the "gold standard" in community health nursing provides comprehensive and up-to-date content to keep you at the forefront of the ever-changing community health climate and prepare you for an effective nursing career. In addition to a solid foundation in concepts and interventions for individuals, families, and communities, you will find real-life applications of the public nurse's role, Healthy People 2020 initiatives, new chapters on forensics and genomics, plus timely coverage of disaster management and important client populations such as pregnant teens, the homeless, immigrants, and more. Evidence-Based Practice boxes illustrate how the latest research findings apply to public/community health nursing. Separate chapters on disease outbreak investigation and disaster management describe the nurse's role in surveilling public health and managing these types of threats to public health. Separate unit on the public/community health nurse's role describes the different roles and functions of the public/community health nurse within the community. Levels of Prevention boxes show how community/public health nurses deliver health care interventions at the primary, secondary, and tertiary levels of prevention. What Do You Think?, Did You Know?, and How To? boxes use practical examples and critical thinking exercises to illustrate chapter content. The Cutting Edge highlights significant issues and new approaches to community-oriented nursing practice. Practice Application provides case studies with critical thinking questions. Separate chapters on community health initiatives thoroughly describe different approaches to promoting health among populations. Appendixes offer additional resources and key information, such as screening and assessment tools and clinical practice guidelines. Linking Content to Practice boxes provide real-life applications for chapter content. NEW! Healthy People 2020 feature boxes highlight the goals and objectives for promoting health and wellness over the next decade. NEW! The Nurse in Forensics chapter focuses on the unique role of forensic nurses in public health and safety, interpersonal violence, mass violence, and disasters. NEW! Genomics in Public Health Nursing chapter includes a history of genetics and genomics and their impact on public/community health nursing care.
The gold standard reference for all those who work with people with mental illness, Kaplan & Sadock's Comprehensive Textbook of Psychiatry, edited by Drs. Robert Boland and Marcia L. Verduin, has consistently kept pace with the rapid growth of research and knowledge in neural science, as well as biological and psychological science. This two-volume eleventh edition offers the expertise of more than 600 renowned contributors who cover the full range of psychiatry and mental health, including neural science, genetics, neuropsychiatry, psychopharmacology, and other key areas.
During her two decades at The New England Journal of Medicine, Dr. Marcia Angell had a front-row seat on the appalling spectacle of the pharmaceutical industry. She watched drug companies stray from their original mission of discovering and manufacturing useful drugs and instead become vast marketing machines with unprecedented control over their own fortunes. She saw them gain nearly limitless influence over medical research, education, and how doctors do their jobs. She sympathized as the American public, particularly the elderly, struggled and increasingly failed to meet spiraling prescription drug prices. Now, in this bold, hard-hitting new book, Dr. Angell exposes the shocking truth of what the pharmaceutical industry has become–and argues for essential, long-overdue change. Currently Americans spend a staggering $200 billion each year on prescription drugs. As Dr. Angell powerfully demonstrates, claims that high drug prices are necessary to fund research and development are unfounded: The truth is that drug companies funnel the bulk of their resources into the marketing of products of dubious benefit. Meanwhile, as profits soar, the companies brazenly use their wealth and power to push their agenda through Congress, the FDA, and academic medical centers. Zeroing in on hugely successful drugs like AZT (the first drug to treat HIV/AIDS), Taxol (the best-selling cancer drug in history), and the blockbuster allergy drug Claritin, Dr. Angell demonstrates exactly how new products are brought to market. Drug companies, she shows, routinely rely on publicly funded institutions for their basic research; they rig clinical trials to make their products look better than they are; and they use their legions of lawyers to stretch out government-granted exclusive marketing rights for years. They also flood the market with copycat drugs that cost a lot more than the drugs they mimic but are no more effective. The American pharmaceutical industry needs to be saved, mainly from itself, and Dr. Angell proposes a program of vital reforms, which includes restoring impartiality to clinical research and severing the ties between drug companies and medical education. Written with fierce passion and substantiated with in-depth research, The Truth About the Drug Companies is a searing indictment of an industry that has spun out of control.
In the early 1990s, sympathetic juries awarded huge damages to women claiming injury from silicone breast implants, leading to a $4.25 billion class-action settlement that still wasn't large enough to cover all the claims. Shockingly, rigorous scientific studies of breast implants have now shown that there is no significant link between breast implants and disease. Why were the courts and the public so certain that breast implants were dangerous when medical researchers were not? The answer to this question reveals important differences in the way science, the law, and the public regard evidence--and not just in the breast implant controversy.
This easy-to-read, in-depth book contains comprehensive information and expert advice on communicating effectively and responsibly through e-mail. It provides readers with learning activities, tools, and tips to help them actually change behaviors and learn this critical workplace skill.Five chapters cover a variety of e-mail topics: saving valuable company time; increasing the effectiveness of communications; learning this basic skill of the workplace; avoiding e-mail troubles; avoiding miscommunications and misunderstandings; avoiding lawsuits; increasing productivity; increasing sales; improving job performance; reducing junk and personal e-mail; reducing time and effort reading and writing e-mail; helping keep a company's e-mail database from growing out of control; protecting and strengthening an individual's and company's brand, reputation, and image; limiting virus attacks from careless habits; limit the potential for illegal and unethical e-mail; taming the e-mail monster; improving internal and external customer service and relations; and building loyal customer partnerships.For executives, secretaries, professional/technical staff, and other avid e-mail users.
The Complete Idiot s Guide to 30,000 Baby Namesoffers a little something extra than the majority of books on the market. Rather than provide readers with an alphabetized name list for each gender (which, by the way, it also does), it dedicates approximately half of its total pages to various lists that help parents zero in on the perfect name for their baby and add some fun to the baby-naming process. In addition to the various lists of names and a two-color alphabetized name section, this book also contains colorful name histories and helpful information on how to go about finding and choosing the perfect name. Lists include something for everyone.
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