... A compelling chronicle of metamorphosis that gives testament to the power of love, encouragement, and resolve over the desperate circumstances of abuse, neglect, and abandonment. This unvarnished story recounts the tumultuous road to recovery of two six-year-olds adopted from Ukraine and takes the reader through a mosaic of emotions from anger and frustration to laughter and bewildermen"--Page 4 of cover
This fourth edition of Pediatric Primary Care is prepared to assist the pediatric healthcare provider to understand the wide spectrum of conditions seen in primary care of children. Written by experienced authors familiar with the scope of practice and knowledge base of pediatric nurse practitioners, it emphasizes prevention as well as management, and presents guidelines on assessing children from infancy through adolescence. The text is appropriate for nurse practitioner, medical, and physician assistant students as well as experienced clinicians who want a current pediatric primary care resource with easy access to information. Management chapters include numerous tables to facilitate differential diagnoses and summarize management strategies. Resource boxes inform readers of helpful websites as well as organizations and useful printed materials. The Environmental Health chapter is specially updated to address more key toxicants, and presents resources for diagnosis and management. Theories and applications of complementary care are discussed in the Complementary Therapies chapter. Tables on herbal interactions and many complementary treatments for common childhood conditions are featured. Color inserts feature 31 full-color photographs illustrating ear, skin, and other conditions and symptoms. The Pediatric Medication appendix includes the latest drugs used in pediatric primary care with specific dosing for infant, children, adolescents, and adults when applicable. Other appendices present growth charts, laboratory values and the latest asthma management guidelines. Updated content includes in-depth discussion of childhood obesity and mental health problems. Additional information on urgent care of children is included in the disease management sections. Discussion Forum questions are included with each management chapter.
This innovative grammar text is an ideal resource for writers, language students, and classroom teachers who need an accessible refresher in a step-by-step guide to essential grammar. Rather than becoming mired in overly detailed linguistic definitions, Nancy Sullivan helps writers and students understand and apply grammatical concepts and develop the skills they need to enhance their writing. Along with engaging discussions of both contemporary and traditional terminology, Sullivan's text provides clear explanations of the basics of English grammar and a practical, hands-on approach to mastering the use of language. Complementing the focus on constructing excellent sentences, every example and exercise set is contextually grounded in language themes. This updated edition includes new sections in each chapter on Writing Matters (addressing key tools and concerns for writers) and Language Matters (addressing issues of social and regional dialect variation). This is an ideal textbook for any writing course across disciplines where grammatical precision is important. Online resources including additional exercises, links, and an answer key are available at www.Routledge.com/9780367148683. Instructor materials accompanying the text provide teachers with activities designed for face-to-face, hybrid, and online instruction to enliven these basic grammar lessons as well as writing activities to integrate these concepts into students' own writing.
This reference is completely revised and expanded to reflect the most critical studies, controversies, and technologies impacting the medical field, including probing research on lentivirus, gutless adenovirus, bacterial and baculovirus vectors, retargeted viral vectors, in vivo electroporation, in vitro and in vivo gene detection systems, and all inducible gene expression systems. Scrutinizing every tool, technology, and issue impacting the future of gene and cell research, it is specifically written and organized for laymen, scholars, and specialists from varying backgrounds and disciplines to understand the current status of gene and cell therapy and anticipate future developments in the field.
Research for and the writing of this book was funded by the award of a Leverhulme Trust Major Research Fellowship. The period c. AD300--1050, spanning the collapse of Roman rule to the coming of the Normans, was formative in the development of Wales. Life in Early Medieval Wales considers how people lived in late Roman and early medieval Wales, and how their lives and communities changed over the course of this period. It uses a multidisciplinary approach, focusing on the growing body of archaeological evidence set alongside the early medieval written sources together with place-names and personal names. It begins by analysing earlier research and the range of sources, the significance of the environment and climate change, and ways of calculating time. Discussion of the fourth, fifth, and sixth centuries focuses on the disintegration of the Roman market economy, fragmentation of power, and the emergence of new kingdoms and elites alongside evidence for changing identities, as well as important threads of continuity, notably Latin literacy, Christianity, and the continuation of small-scale farming communities. Early medieval Wales was an entirely rural society. Analysis of the settlement archaeology includes key sites such as hillforts, including Dinas Powys, the royal crannog at Llangorse, and the Viking Age and earlier estate centre at Llanbedrgoch alongside the development, from the seventh century onwards, of new farming and other rural settlements. Consideration is given to changes in the mixed farming economy reflecting climate deterioration and a need for food security, as well as craft working and the roles of exchange, display, and trade reflecting changing outside contacts. At the same time cemeteries and inscribed stones, stone sculpture and early church sites chart the course of conversion to Christianity, the rise of monasticism, and the increasing power of the Church. Finally, discussion of power and authority analyses emerging evidence for sites of assembly, the rise of Mercia, and increasing English infiltration, together with the significance of Offa's and Wat's Dykes, and the Viking impact. Throughout the evidence is placed within a wider context enabling comparison with other parts of Britain and Ireland and, where appropriate, with other parts of Europe to see broader trends, including the impacts of climate, economic, and religious change.
... A compelling chronicle of metamorphosis that gives testament to the power of love, encouragement, and resolve over the desperate circumstances of abuse, neglect, and abandonment. This unvarnished story recounts the tumultuous road to recovery of two six-year-olds adopted from Ukraine and takes the reader through a mosaic of emotions from anger and frustration to laughter and bewildermen"--Page 4 of cover
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