Centered around a family's weekend in their summer cottage on the Northeast cape, [this novel] explores four lives in crisis and reflects back at us what the American family is becoming"--
In Patrick Dacey's ... debut, we meet longtime neighbors and friends--citizens of working-class Wequaquet--right when the ground beneath their feet has shifted in ways they don't yet understand. Here, after more than a decade of boom and bust, love and pride are closely twinned and dangerously deployed: a lonely woman attacks a memorial to a neighbor's veteran son; a dissatisfied housewife goes overboard with cosmetic surgery on national television; a young father walks away from one of the few jobs left in town; a soldier writes home to a mother who is becoming increasingly unhinged"--Amazon.com.
“The Outer Cape is a wonderful book from a remarkably talented author...” —NPR.org An Amazon Editor's Pick Robert and Irene Kelly were a golden couple of the late ‘70s—she an artist, he a businessman, each possessed by dynamism and vibrancy. But with two young boys to care for, Irene finds herself confined by the very things she’d dreamed of having. And Robert, pressured by Irene’s demands and haunted by the possibility of failure, risks the family business to pursue a fail-safe real estate opportunity. Twenty years later, their now-grown sons, Nathan and Andrew, are drawn back to confront a fateful diagnosis. As they revisit the Cape Cod of their childhood, the ghosts of the past threaten to upend the tenuous peace of the present. In The Outer Cape, Patrick Dacey delivers a story of four people grappling with the shadow of infinite possibility, a book in which chasing the American dream and struggling to survive are one and the same.
In Patrick Dacey's ... debut, we meet longtime neighbors and friends--citizens of working-class Wequaquet--right when the ground beneath their feet has shifted in ways they don't yet understand. Here, after more than a decade of boom and bust, love and pride are closely twinned and dangerously deployed: a lonely woman attacks a memorial to a neighbor's veteran son; a dissatisfied housewife goes overboard with cosmetic surgery on national television; a young father walks away from one of the few jobs left in town; a soldier writes home to a mother who is becoming increasingly unhinged"--Amazon.com.
The globally important nature of wetland ecosystems has led to their increased protection and restoration as well as their use in engineered systems. Underpinning the beneficial functions of wetlands are a unique suite of physical, chemical, and biological processes that regulate elemental cycling in soils and the water column. This book provides an in-depth coverage of these wetland biogeochemical processes related to the cycling of macroelements including carbon, nitrogen, phosphorus, and sulfur, secondary and trace elements, and toxic organic compounds. In this synthesis, the authors combine more than 100 years of experience studying wetlands and biogeochemistry to look inside the black box of elemental transformations in wetland ecosystems. This new edition is updated throughout to include more topics and provide an integrated view of the coupled nature of biogeochemical cycles in wetland systems. The influence of the elemental cycles is discussed at a range of scales in the context of environmental change including climate, sea level rise, and water quality. Frequent examples of key methods and major case studies are also included to help the reader extend the basic theories for application in their own system. Some of the major topics discussed are: Flooded soil and sediment characteristics Aerobic-anaerobic interfaces Redox chemistry in flooded soil and sediment systems Anaerobic microbial metabolism Plant adaptations to reducing conditions Regulators of organic matter decomposition and accretion Major nutrient sources and sinks Greenhouse gas production and emission Elemental flux processes Remediation of contaminated soils and sediments Coupled C-N-P-S processes Consequences of environmental change in wetlands# The book provides the foundation for a basic understanding of key biogeochemical processes and its applications to solve real world problems. It is detailed, but also assists the reader with box inserts, artfully designed diagrams, and summary tables all supported by numerous current references. This book is an excellent resource for senior undergraduates and graduate students studying ecosystem biogeochemistry with a focus in wetlands and aquatic systems.
Textbook of Critical Care, by Drs. Jean-Louis Vincent, Edward Abraham, Frederick A. Moore, Patrick Kochanek, and Mitchell P. Fink, remains your best source on effective management of critically ill patients. This trusted reference - acclaimed for its success in bridging the gap between medical and surgical critical care - now features an even stronger focus on patient outcomes, equipping you with the proven, evidence-based guidance you need to successfully overcome a full range of practice challenges. Inside, you’ll find totally updated coverage of vital topics, such as coagulation and apoptosis in certain critical care illnesses, such as acute lung injury and adult respiratory distress syndrome; sepsis and other serious infectious diseases; specific organ dysfunction and failure; and many other vital topics. At www.expertconsult.com you can access the complete contents of the book online, rapidly searchable, with regular updates plus new videos that demonstrate how to perform key critical care procedures. The result is an even more indispensable reference for every ICU. Access the complete contents of the book online at www.expertconsult.com, rapidly searchable, and stay current for years to come with regular online updates. Practice with confidence by consulting with a "who’s who" of global experts on every facet of critical care medicine. Implement today’s most promising, evidence-based care strategies with an enhanced focus on patient outcomes. Effectively apply the latest techniques and approaches with totally updated coverage of the importance of coagulation and apoptosis in certain critical care illnesses, such as acute lung injury and adult respiratory distress syndrome; sepsis and other serious infectious diseases; specific organ dysfunction and failure; and many other vital topics. See how to perform key critical care procedures by watching a wealth of new videos online. Focus on the practical guidance you need with the aid of a new, more templated format in which basic science content has been integrated within clinical chapters, and all procedural content has been streamlined for online presentation and paired with videos.
The true story of the highwaymen has never been written, nor can it be. The chroniclers were slavishly faithful to their authorities—flatteringly so, in fact; for these authorities consisted of a lot of chapbooks, broadsheets, penny dreadfuls and twopenny bloods, “dying confessions” that had come in for a good deal of posthumous editing, and the contemporary gutter Press—which was even more unreliable then than it is today. Many of these ‘authorities’ were so contradictory that the truth-at-all-costs chroniclers left out some of the best bits of highway lore in their vain attempts to keep faithful to their ridiculous principles. Our own ambition is more modest. We have not sought the El Dorado of absolute truth. We have gone back to the same sources that the chroniclers used—and we have taken pains to ignore the latter gentlemen whenever contemporary reports are still extant. We have not moralized, like the chroniclers, nor have we embellished, like the novelists. We have added nothing—but we have taken away a good deal. We have tried to use our discretion in selection, and our judgment in discrimination between contradictory versions of the same events. Since it was impossible to be faithful to the letter, we have tried to recapture the spirit of the Age of Highwaymen.
How can urban housing, and the land underneath, now account for half of all global wealth? According to Patrick Condon, the simple answer is that land has become an asset rather than a utility. If the rich only indulged themselves with gold, jewels, and art, we wouldn’t have a global housing crisis. But once global capital markets realized land was a good speculative investment, runaway housing costs ensued. In just one city, Vancouver, land prices increased by 600 percent between 2008 and 2016. How much wealth have investors extracted from urban land? In this engaging, readable, and clearly reasoned treatise, Patrick Condon explains how we have let land, our most durable resource, shift away from the common good – and proposes bold strategies that cities in North America could use to shift it back.
The research and development of multi-dimensional pattern recognition, scene analysis, computer vision and image processing have progressed very rapidly in recent years. Among various models employed for pattern representation and analysis, the array grammar has attracted more and more attention because it has several advantages over others.This special volume, perhaps the first time ever in the literature, is a collection of 14 papers by prominent professionals and experts, aimed at promoting array grammars, patterns and recognizers. They are grouped in the following categories: (1) Array grammars and pattern generation, (2) Array pattern recognizers, (3) Coordinate grammars and L-systems, and (4) Hexagonal grids, tilings and encryption.
Evidence-Based Practice of Critical Care, 2nd Edition, presents objective data and expert guidance on managing critically ill patients in unique question-based chapters that focus on best practices. Now thoroughly updated by Drs. Clifford S. Deutschman, Patrick J. Neligan, and nearly 200 critical-care experts, this highly regarded title remains the only book of its kind that provides a comprehensive framework for translating evidence into practice, making it a valuable resource for both residents and practitioners. Tap into the expertise of nearly 200 critical-care experts who discuss the wide variety of clinical options in critical care, examine the relevant research, and provide recommendations based on a thorough analysis of available evidence. Think through each question in a logical, efficient manner, using a practical, consistent approach to available management options and guidelines. Find the information you need quickly with tables that summarize the available literature and recommended clinical approaches. Navigate a full range of challenges from routine care to complicated and special situations. Stay up to date with new issues and controversies such as the redefinition of sepsis • changing approaches to fluid administration • immune suppression in sepsis • monitoring the microcirculation • the long-term sequelae of critical illness • minimizing ventilator associated lung injury • the benefits of evidence-based medicine management guidelines • rapid response teams • and more. Benefit from all-new sections covering persistent critical illness and the role of advanced practice nurses and physician assistants in the ICU.
International Relations and Scientific Progress contends that a theory focusing on the structure of the international system explains a wider and more interesting range of events in world politics than other theories. Such theorizing appears to be out of favor as the result of the apparent failure by structural realism, the most prominent system-level theory over the last two decades, on any number of fronts--most notably an inability to anticipate the ending of the Cold War and its aftermath. This new book is put forward as the most comprehensive and innovative theoretical work on paradigms in international relations since the publication of Theory of International Politics, which created structural realism, more than two decades ago. With appropriate revisions, however, structural realist theory can compete effectively and reclaim its primacy. The first part of International Relations and Scientific Progress assesses the meaning of progress in the discipline of international relations, a process that culminates in the creation of a new concept, the scientific research enterprise. The second part reviews structural realism within that context and identifies a lack of connection between theory and research that links power-based indicators to international conflict, crisis, and war. This part of the book makes the case for an elaboration of structural realism by showing that a system-level theory based on structure has great unrealized explanatory potential. By comparison, the current overwhelmingly research oriented agenda on state dyads imposes severe limitations on understanding that are not currently appreciated. Part Three sums up the work and explores new directions, most notablyas related to empirical testing of an elaborated version of structural realism that focuses on both continuity and change in the international system.
Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. Master the unique, multi-faceted role of the Canadian nurse. Confidently embark on a lifelong learning journey and prepare for the daily realities of Canadian nursing practice this with comprehensive, Canadian-focused text. Developed specifically for your needs by talented Canadian students, practicing nurses, scholars, and educators, Fundamentals: Perspectives on the Art and Science of Canadian Nursing, 2nd Edition, delivers an integrated understanding of nursing fundamentals through a continuum that guides you from one chapter to the next and from learning to understanding. New! Inter-Professional Practice helps you achieve positive patient outcomes through effective collaboration with the healthcare team. New! Diversity Considerations alert you to important patient care considerations related to culture, sexuality, gender, economics, visible minorities, and religious beliefs. New! NCLEX®-style questions at the end of each chapter test your retention and ready you for success on your exams. Revised! Skills chapters familiarize you with a wide variety of advanced skills to broaden your clinical capabilities. Enhanced focus on LGBTQ-related considerations, demographic shifts in Canadian society, end-of-life/palliative care, substance abuse crises, and refugee communities helps you ensure confident care across diverse Canadian populations. Case Studies place chapter content in a realistic context for the most practical understanding. Think Boxes encourage critical thinking and challenge you to apply your knowledge to different situations. Through the Eyes features familiarize you with patients’ perspectives to help you provide thoughtful and effective care interventions. Research equips you with the latest and most relevant Canadian healthcare findings based on clinical evidence. Critical Thinking Case Scenarios strengthen your clinical focus and critical thinking through real-life situations.
Evidence-Based Practice of Critical Care, 2nd Edition, presents objective data and expert guidance on managing critically ill patients in unique question-based chapters that focus on best practices. Now thoroughly updated by Drs. Clifford S. Deutschman, Patrick J. Neligan, and nearly 200 critical-care experts, this highly regarded title remains the only book of its kind that provides a comprehensive framework for translating evidence into practice, making it a valuable resource for both residents and practitioners. Tap into the expertise of nearly 200 critical-care experts who discuss the wide variety of clinical options in critical care, examine the relevant research, and provide recommendations based on a thorough analysis of available evidence. Think through each question in a logical, efficient manner, using a practical, consistent approach to available management options and guidelines. Find the information you need quickly with tables that summarize the available literature and recommended clinical approaches. Navigate a full range of challenges from routine care to complicated and special situations. Stay up to date with new issues and controversies such as the redefinition of sepsis . changing approaches to fluid administration . immune suppression in sepsis . monitoring the microcirculation . the long-term sequelae of critical illness . minimizing ventilator associated lung injury . the benefits of evidence-based medicine management guidelines . rapid response teams . and more. Benefit from all-new sections covering persistent critical illness and the role of advanced practice nurses and physician assistants in the ICU.
Approach any critical care challenge using a practical, consistent strategy based on best practices with Evidence-Based Practice of Critical Care, 3rd Edition. Unique, question-based chapters cover the wide variety of clinical options in critical care, examine the relevant research, and provide recommendations based on a thorough analysis of available evidence. Drs. Clifford S. Deutschman and Patrick J. Nelligan, along with nearly 200 critical-care experts, provide a comprehensive framework for translating evidence into practice, helping both residents and practitioners obtain the best possible outcomes for critically ill patients. Covers a full range of critical care challenges, from routine care to complicated and special situations. Helps you think through each question in a logical, efficient manner, using a practical, consistent approach to available management options and guidelines. Features revised and updated information based on current research, and includes all-new cases on key topics and controversies such as the use/overuse of antibiotics, drug resistance in the ICU, non-invasive mechanical ventilation, frequency of transfusions, and duration of renal replacement therapies. Provides numerous quick-reference tables that summarize the available literature and recommended clinical approaches.
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