At forty-one, after a few nagging clues, Patty Jacobs's lifestyle got into a tussle with her central nervous system. The attack of Multiple Sclerosis on her body had a sudden and staggering onset. She tried to muster optimism, perseverance, and assertiveness to combat the fatigue, grief, and privation she felt on loosing her physically active, former way of life. Pacing herself, trying to connect her body and brain, are her ongoing trials, as she approaches living with MS as a challenge rather than an obstacle. My Balancing Act centers on managing illness without being consumed by it. These essays tell of the early adjustments the author made, her quest for self-reliance, and how she avoids defeat by seeking out new experiences and associations.
Hauntings lurk and spirits linger in the Keystone State Reader, beware! Turn these pages and enter the world of the paranormal, where ghosts and ghouls alike creep just out of sight. Authors Mark Nesbitt and Patty A. Wilson shine a light in the dark corners of Pennsylvania and scare those spirits out of hiding in this thrilling collection. From apparitions of fires and soldiers struggling in the cold at Valley Forge, to ghostly children stalking dormitories at Gettysburg College, these stories of strange occurrences are sure to send a chill up your spine. Around the campfire or tucked away on a dark and stormy night, this big book of ghost stories is a hauntingly good read.
The Rohrer place was a buzz with Moses and Amelia Rohrer finally having the kinskinner to love in their golden years as they had dreamed of for the past thirty years. They loved the two couples living there as both couples actually have a genuine walk with their Lord and Savior, and it showed in all they do. The love bestowed upon Moses and Amelia came so natural from all four adults living there with them. Laura had been spending time with Darcy since they both gave depositions to put those responsible for Lauras abduction into the city. Darcy even asked Laura to lunch to see what there was to do in the quaint area Laura loved so much. Laura knew she could not stay long as Paula was carrying her second bobbeli and that was too much to ask of her dear friend. After all, Josh was getting bigger every day as was Paulas firstborn, Joey. However, both Paula and Amelia knew how important it was for Laura to spend time with Darcy in case a door opened so she could share Christ with her. Rachael was beaming within at the thought of being a mammi again so soon. She gave her praises to God not only for a longer life, but also for a kinskinner to share it with. Her two best friends stopped by daily for a midmorning Bible study, and it left them all invigorated to go on with their daily chores. With Jacob living and working on the Rohrer property, it gave him more time to spend with Laura. He didnt want to push her, and he wanted her to heal emotionally and spiritually and had high hopes for their own family growing soon. It would be in Gods timing, and this he knew for sure and for certain.
After a tragic accident leaves Shelby Ryan permanently injured, she gives up all hope in happily-ever-afters. Shelby puts on a brave face while hiding her pain, but once she returns to school, everything changes. She starts receiving anonymous corny messages from a mysterious Prince Charming, and her nemesis, basketball star and bad boy, Sebastian, shows sudden interest in her. Hilarity ensues as Shelby tries to uncover Prince Charming's real identity and come to terms with her true feelings for the last boy on Earth she ever thought she'd fall for: Sebastian Freaking Birch. Will she be able to cope with the allure of the texting prince, or will Sebastian be the real-life prince in Shelby's fairytale?
Sean Gailmard is the Judith E. Gruber Associate Professor in the Travers Department of Political Science at the University of California, Berkeley. John W. Patty is associate professor of political science at Washington University.
In the scholarship of urbanism, small towns are overlooked and understudied. Rebuilding the American Town highlights how smaller municipalities are transforming to serve their communities and meet the future. The book uncovers creative planning and design strategies of nine U.S. towns as they rebuild to remain vibrant, equitable and viable in the face of metropolitan sprawl, population shifts, political division, economic shortfalls and climate change. Rebuilding the American Town includes interviews and insights from those directly involved, to reveal the challenges and advantages of being a smaller city while highlighting the power of design at local levels. The book provides a new lens for contemporary urbanism more broadly as it shifts thinking away from large-metro concerns, toward novel, tactical strategies that advance the quality of life for residents through design and policies that are scaled to the populations and places they serve. The projects in this book show how the small town in the United States is unexpectedly progressive, experimental, urban and global.
Art Without Waste features 500 upcycled and Earth-friendly designs from cutting-edge designers, illustrators and artists around the world. With a broad scope of alternative uses for discarded items, such as bottle caps, gas cans, and skateboards, the designs featured in this book also explore new uses for sustainable resources such as wood, straw, and paper. This is a gorgeous and inspiring collection of works from artists whose approach often incorporates eco-friendly principles such as upcycling, with sustainability as a central goal. Find inspiration from an array of non-traditional artists and designers. Some have invented new techniques, while others have harnessed a creative passion into manipulated materials, resulting in dynamic forms that encourage audiences to perceive discarded items in an entirely new light. So don't just throw away that bottle or plastic cap- recycle it into your own exciting art projects.
Stillwater County's history is anything but still. In 1875, the trading post and stage stop of Stillwater at the confluence of the Yellowstone and Stillwater Rivers enticed trade with the Crow Indians based nearby at their second Crow Agency. The Northern Pacific Railroad built a station here in 1882, renaming it Columbus in 1894. Columbus soon became an important shipping center for early cattle and sheep ranchers, as well as a starting point for many homesteaders who staked claims in the fertile valleys. Agriculture was a key component in the formation and settling of the communities Park City, Reed Point, Absarokee, and Fishtail. The nearby Beartooth Mountains beckoned miners with ore and eventually supplied the nation with chromium during World War II. A major engineering accomplishment was completed in the mid-1920s with the construction of the power plant and dam at nearby Mystic Lake.
DIVOne Show Design, Volume 7 features all of the winners from the 2013 One Show Design competition. With categories including brand and corporate identity, package, environmental and broadcast design from iconic brands, this new annual features the best in design from all over the world. The work highlighted in these pages reflects the merging of advertising and marketing communications with design and the impact that design plays in our everyday culture. With full-color images, this book also includes lively text from the creatives explaining the inspiration behind each piece./div
In less than 300 pages, this book nicely integrates epidemiological concepts, evidence-based practice in population health, and program development and evaluation....Authors describe epidemiological research designs, research synthesis, and evidence assessment--knowledge essential for advanced practice nurses working with populations or in the community. Another highlight in this book is the assessment of health program quality and population health outcomes."--Journal of Community Health Nursing Population-Based Nursing is the first text designed specifically for the Doctor of Nursing Practice (DNP) core competencies in epidemiology and population health. This unique guide addresses essential areas of content recommended by the American Association of Colleges of Nursing (AACN) to ensure graduate students are adequately prepared to enter the nursing field. This groundbreaking textbook provides readers with the information they need to identify health care needs at the population level and to improve population outcomes, two important core competencies outlined by AACN for all DNP programs. Key Features: Content on acute, sub-acute, and long term care, and community population health Case studies with examples of successful strategies that nurses have used to improve population outcomesHigh-level application activities that aim to help readers achieve Healthy People 2020 health initiatives and improve population health Information on the identification of health care disparities and the strategies for eliminating or mitigating them
Pennsylvania is home to an assortment of odd creatures, and this volume features the best of the bunch. Bigfoot looms large here, trudging the wilds all throughout the state. Other cryptids featured are the gigantic Broad Top Snake, the bizarre Dogman of Westmoreland County, and Bessie, Lake Erie's resident monster. Reports of big cats, giant attacking thunderbirds, bloodsucking wolfmen, and mischievous, mine-dwelling--Tommyknockers are included.
Contraceptive Technology is a one stop, person-centered reference guide for students and practitioners in sexual and reproductive health care professions. Whether it is family planning, discussing reproductive desires, maintaining contraception while managing a specific condition, abortion, reproductive tract infection or post-partum contraception, this trusted resource can be referenced in any situation when working with patients seeking guidance on reproduction, sexual health, and contraceptive options. Now in its 22nd edition, this best-selling reference provides breadth, depth of knowledge, and expansive research from over 85 medical experts in the fields of contraception, sexual health, reproductive health, and infectious disease. With a holistic approach, this edition continues the tradition of focusing on the individual patients, meeting them where they are to offer respectful, appropriate care and services.
Now in its second edition, this continues to be the only advanced practice nursing text to focus on core competencies in both epidemiology and population health. The new edition delivers essential content for Doctoral Nursing Programs (DNP) as outlined by the AACN, and encompasses the many changes in healthcare that affect population-based nursing, including the latest requirements set forth by the enactment of the ACA. All chapters include updated information, new content, and relevant case examples that exemplify successful strategies nurses have used to improve population outcomes. Featuring the contributions of several esteemed new authors, the second edition includes a timely new chapter on global health in population-based nursing and vital information about how new technology and social media can be used to improve population outcomes and to develop innovative solutions. The text describes the role of the APRN in identifying and mitigating healthcare disparities at the national and global level, and provides guidance on how to conduct community assessments. New topics include pay for performance implemented by the S, the overconsumption of salt and increasing use of electronic cigarettes, toxic stress, and more. High-level discussion questions and exercises help to reinforce core concepts. New online materials for faculty include answers to problem sets and supplemental discussion questions. In addition to its value as a primary course textbook in a DNP program, the text also serves as a supplementary text for graduate community health nursing programs. New to the Second Edition: Delivers essential content for Doctoral Nursing Practice (DNP) programs as outlined by the AACN Explains how new technology and social media can be used to improve population outcomes and develop innovative interventions Offers high-level exercises and questions for discussion Presents a timely new chapter on global health in population-based nursing Covers ACA-related requirements such as conducting community health needs assessmentsProvides updated information in all chapters with relevant examples, case studies, discussion questions, and references Offers guidelines on the APRNís role in policy-making Presents expanded information on causality, confounding, and describes a comprehensive approach to measuring and interpreting survival data including prognosis Updates program design and development Key Features: Focuses on both epidemiology and population-based nursing competencies Describes the APRN role in identifying and mitigating healthcare disparities at local, national, and global levels Provides guidance in conducting community assessments Includes examples of successful strategies used to improve population outcomes Explains how new technology and social media can be used for the improvement of population outcomes and the development of new and creative interventions. Provides a strong foundation in epidemiologic methodology including mortality measures, the validity and reliability of testing, study designs, sample size, assessing risk and causality, and data analysis and interpretation Offers high-level exercises and questions for discussion to help students synthesize, integrate, and apply information
A stunningly candid portrait of the Seattle grunge scene of the '90s and a memoir of an addict during the last great era of rock 'n' roll excess, by Hole drummer Patty Schemel Patty Schemel's story begins with a childhood surrounded by the AA meetings her parents hosted in the family living room. Their divorce triggered her first forays into drinking at age twelve and dovetailed with her passion for punk rock and playing the drums. Patty's struggles with her sexuality further drove her notoriously hard playing, and by the late '80s she had focused that anger, confusion, and drive into regular gigs with well-regarded bands in Tacoma, Seattle, and Olympia, Washington. She met a pre-Nirvana Kurt Cobain at a Melvins show, and less than five years later, was living with him and his wife, Hole front-woman Courtney Love, at the height of his fame and on the cusp of hers. As the platinum-selling band's new drummer, Schemel contributed memorable, driving beats to hits like "Beautiful Son," "Violet," "Doll Parts," and "Miss World." But the band was plagued by tragedy and heroin addiction, and by the time Hole went on tour in support of their ironically titled and critically-acclaimed album Live Through This in 1994, both Cobain and Hole bassist Kristen Pfaff had died at the age of 27 With surprising candor and wit, Schemel intimately documents the events surrounding her dramatic exit from the band in 1998 that led to a dark descent into a life of homelessness and crime on the streets of Los Angeles, and the difficult but rewarding path to lasting sobriety after more than twenty serious attempts to get clean. Hit So Hard is a testament not only to the enduring power of the music Schemel helped create but an important document of the drug culture that threatened to destroy it.
In the tradition of The Alchemist comes an internationally bestselling novel based on the author's own mystical journey to discover the seven secrets to creativity, abundance, healing, and love. Unsatisfied and unfulfilled by her understanding of life after the death of her father, Michal journeys to Jerusalem to see if the great mystic rabbis hold any answers. What she discovers, and what Patty Harpenau learned, were the seven secret codes to live by. The Life Codes embodies the mystical essence of Judaism, Christianity, and Islam that have been locked in secret texts and whispered in private ritual only to men of a certain age. Patty Harpenau broke down barriers when she was given these codes, and in this novel based on her own spiritual journey, she shows the process of discovery and how to apply these seven secrets to our lives in order to fulfill our purpose and our potential. Each of the seven codes is revealed as part of Michal's narrative. Each of the seven chapters ends in questions that help readers integrate the code into their lives and develop their own spiritual paths to peace, creativity, abundance, self-acceptance, love, and happiness. It is a heart-wrenching story of love; of relationships that transcend time, life, and death; and of a woman breaking through barriers to achieve her greatest aspiration.
This wonderful mix of stories, contemplations, and advice from everyday moms, bestselling authors, and Hollywood producers is delightful with its candor, humor, and insight.
The Baby Boat resonates with the joys and sorrows adoptive parents face. With dry humor and a quietly beautiful literary style, Patty Dann recounts the hurdles she and her husband encountered at every step during their journey to adopt a baby, from the endless waiting, through the heartbreaking loss of the infant girl who might have been their adoptive daughter, to their flight home from Lithuania with their son in their arms. As much an affecting love story as the poignant tale of one couples struggle to adopt, The Baby Boat captures the complex and subtle emotions of an adoptive parents experience.
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