This book deals with the effects that the baby boom is having in the federal service which managers will have to deal with. The author reports that there is a serious morale problem which, if left unchecked, will result in declining productivity and growing ineffectiveness. At the crux of the problem is evidence that inflation and policies of attrition have not only reduced the influx of college graduates into the lower levels of the public service, but have also put the lid on the rapid rate of promotion that was prevelant in the 1970's. The bottle-neck created by decision makers at higher levels who can no longer advance upward is being felt like a chain reaction throughout the system. There are indications that those who occupy both upper and lower levels of the public service hierarchy feel trapped in their current positions. The author puts forth a number of proposals she thinks will help to restore motivation and incentive in the federal bureaucracy. Average reading.
The Allotment Plot reexamines the history of allotment on the Nez Perce Reservation from 1889 to 1892 to account for and emphasize the Nez Perce side of the story. By including Nez Perce responses to allotment, Nicole Tonkovich argues that the assimilationist aims of allotment ultimately failed due in large part to the agency of the Nez Perce people themselves throughout the allotment process. The Nez Perce were actively involved in negotiating the terms under which allotment would proceed and were simultaneously engaged in ongoing efforts to protect their stories and other cultural properties from institutional appropriation by the allotment agent, Alice C. Fletcher, a respected anthropologist, and her photographer and assistant, E. Jane Gay. The Nez Perce engagement in this process laid a foundation for the long-term survival of the tribe and its culture. Making use of previously unexamined archival sources, Fletcher's letters, Gay's photographs and journalistic accounts, oral tribal histories, and analyses of performances such as parades and verbal negotiations, Tonkovich assembles a masterful portrait of Nez Perce efforts to control their own future and provides a vital counternarrative of the allotment period, which is often portrayed as disastrous to Native polities.
Master the essential medical-surgical nursing content you’ll need for success on the Next Generation NCLEX® Exam (NGN) and safe clinical practice! Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care, 10th Edition uses a conceptual approach to provide adult health knowledge and help you develop the clinical nursing judgment skills that today’s medical-surgical nurses need to deliver safe, effective care. "Iggy" emphasizes three emerging trends in nursing — interprofessional collaborative care, concept-based learning, and clinical judgment and systems thinking — trends that will ground you in how to think like a nurse and how to apply your knowledge in the classroom, simulation laboratory, and clinical settings. A perennial bestseller, "Iggy" also features NCLEX Exam-style Challenge and Mastery questions to prepare you for success on the NGN! Consistent use of interprofessional terminology promotes interprofessional collaboration through the use of a common healthcare language, instead of using isolated nursing-specific diagnostic language. UNIQUE! Enhanced conceptual approach to learning integrates nursing concepts and exemplars, providing a foundation in professional nursing concepts and health and illness concepts, and showing their application in each chapter. Unparalleled emphasis on clinical reasoning and clinical judgment helps you develop these vital skills when applying concepts to clinical situations. Emphasis on QSEN and patient safety focuses on safety and evidence-based practice with Nursing Safety Priority boxes, including Drug Alert, Critical Rescue, and Action Alert boxes. Direct, easy-to-read writing style features concise sentences and straightforward vocabulary. Emphasis on health promotion and community-based care reflects the reality that most adult health care takes place in environments outside of high-acuity (hospital) settings.
Simplified Signs presents a system of manual sign communication intended for special populations who have had limited success mastering spoken or full sign languages. It is the culmination of over twenty years of research and development by the authors. The Simplified Sign System has been developed and tested for ease of sign comprehension, memorization, and formation by limiting the complexity of the motor skills required to form each sign, and by ensuring that each sign visually resembles the meaning it conveys. Volume 1 outlines the research underpinning and informing the project, and places the Simplified Sign System in a wider context of sign usage, historically and by different populations. Volume 2 presents the lexicon of signs, totalling approximately 1000 signs, each with a clear illustration and a written description of how the sign is formed, as well as a memory aid that connects the sign visually to the meaning that it conveys. While the Simplified Sign System originally was developed to meet the needs of persons with intellectual disabilities, cerebral palsy, autism, or aphasia, it may also assist the communication needs of a wider audience – such as healthcare professionals, aid workers, military personnel , travellers or parents, and children who have not yet mastered spoken language. The system also has been shown to enhance learning for individuals studying a foreign language. Lucid and comprehensive, this work constitutes a valuable resource that will enhance the communicative interactions of many different people, and will be of great interest to researchers and educators alike.
Alice Cunningham Fletcher was both formidable and remarkable. A pioneering ethnologist who penetrated occupations dominated by men, she was the first woman to hold an endowed chair at Harvard’s Peabody Museum of American Archaeology and Ethnology--during a time the institution did not admit female students. She helped write the Dawes General Allotment Act of 1887 that reshaped American Indian policy, and became one of the first women to serve as a federal Indian agent, working with the Omahas, the Winnebagos, and finally the Nez Perces. Charged with supervising the daunting task of resurveying, verifying, and assigning nearly 757,000 acres of the Nez Perce Reservation, Fletcher also had to preserve land for transportation routes and restrain white farmers and stockmen who were claiming prime properties. She sought to “give the best lands to the best Indians,” but was challenged by the Idaho terrain, the complex ancestries of the Nez Perces, and her own misperceptions about Native life. A commanding presence, Fletcher worked from a specialized tent that served as home and office, traveling with copies of laws, rolls of maps, and blank plats. She spent four summers on the project, completing close to 2,000 allotments. This book is a collection of letters and diaries Fletcher wrote during this work. Her writing illuminates her relations with the key players in the allotment, as well as her internal conflicts over dividing the reservation. Taken together, these documents offer insight into how federal policy was applied, resisted, and amended in this early application of the Dawes General Allotment Act.
At the outset of the eighteenth century, many British Americans accepted the notion that virtuous sociable feelings occurred primarily among the genteel, while sinful and selfish passions remained the reflexive emotions of the masses, from lower-class whites to Indians to enslaved Africans. Yet by 1776 radicals would propose a new universal model of human nature that attributed the same feelings and passions to all humankind and made common emotions the basis of natural rights. In Passion Is the Gale, Nicole Eustace describes the promise and the problems of this crucial social and political transition by charting changes in emotional expression among countless ordinary men and women of British America. From Pennsylvania newspapers, pamphlets, sermons, correspondence, commonplace books, and literary texts, Eustace identifies the explicit vocabulary of emotion as a medium of human exchange. Alternating between explorations of particular emotions in daily social interactions and assessments of emotional rhetoric's functions in specific moments of historical crisis (from the Seven Years War to the rise of the patriot movement), she makes a convincing case for the pivotal role of emotion in reshaping power relations and reordering society in the critical decades leading up to the Revolution. As Eustace demonstrates, passion was the gale that impelled Anglo-Americans forward to declare their independence--collectively at first, and then, finally, as individuals.
The Essential Guide for Clinicians Who Prescribe and Inject BoNTs This is a detailed and practical guide to botulinum neurotoxin therapy (BoNT) and the wide range of applications for neurological and pain disorders. A unique reference source for new injectors and experienced clinicians alike, this indispensable manual provides information on dose, dilution, and indications for all four FDA-approved toxins in one handy text. Following a brief review of relevant pharmacology, the book provides product information and comparative distinctions between the four FDA-approved toxins (Botox∆, Myobloc∆, Xeomin∆, and Dysport∆), along with indications and doses for FDA-approved conditions, guidance techniques, and common and emerging clinical applications. The heart of the book is an injection manual, organized anatomically and by condition and covering all applications for medical treatment. For each condition or site, information is provided on typical muscle pattern or muscle groups involved, dosing guidelines and dilution for the applicable toxins, number of injection sites, and potential risks and benefits. Targeting techniques are organized in table format for quick retrieval. Anatomic illustrations and cross-sections are provided to orient injectors and help identify optimal insertion points. An appendix with useful clinical rating scales is also included. Key Features: Presents state-of-the-art information about current indications for all four FDA-approved botulinum neurotoxins Compares and contrasts the four toxins along with common and emerging clinical applications Provides dosing guidelines for various indications and injection sites for each muscle Includes anatomic drawings and cross-sections to illustrate muscle relationships and insertion points Serves as a practical, portable, how-to guide for new and experienced clinicians
As military campaigns go, the War of 1812 was a disaster. By the time it ended in 1815, Washington, D.C., had been burned to the ground, the national debt had nearly tripled, and territorial gains were negligible. Yet the war gained so much popular support that it ushered in what is known as the "era of good feelings," a period of relative partisan harmony and strengthened national identity. Historian Nicole Eustace's cultural history of the war tells the story of how an expensive, unproductive campaign won over a young nation—largely by appealing to the heart. 1812 looks at the way each major event of the war became an opportunity to capture the American imagination: from the first attempt at invading Canada, intended as the grand opening of the war; to the battle of Lake Erie, where Oliver Perry hoisted the flag famously inscribed with "Don't Give Up the Ship"; to the burning of the Capitol by the British. Presidential speeches and political cartoons, tavern songs and treatises appealed to the emotions, painting war as an adventure that could expand the land and improve opportunities for American families. The general population, mostly shielded from the worst elements of the war, could imagine themselves participants in a great national movement without much sacrifice. Bolstered with compelling images of heroic fighting men and the loyal women who bore children for the nation, war supporters played on romantic notions of familial love to espouse population expansion and territorial aggression while maintaining limitations on citizenship. 1812 demonstrates the significance of this conflict in American history: the war that inspired "The Star-Spangled Banner" laid the groundwork for a patriotism that still reverberates today.
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