Maggie came to scenic little Lupine, Oregon, to live as a foster child in the Jarrett home. Thirteen years later, she’s a legitimate member of the family, living in the back yard cottage with two children. Her husband, Mo, has moved on to Texas in search of opportunity. He wants Maggie and their children to follow, but she is mired in indecision. Her baby’s a handful and her 9-year-old son, Jay-Jay, is in such trouble at school they want to put him in the “anger group.” She seeks comfort and advice from her friends, but her problems and theirs don’t seem to be occurring in the same universe. Even Polly, then foster-mother, now mother-in-law, seems to be slipping away. She’s talking about taking in an infant with special needs. Where does that leave Maggie and her kids? Nearby, Dulce Quirarte lives a separate life, the last person with whom Maggie would think she has anything in common. Dulce cleans houses, makes beds in a motel, and dreams. Cut off in all ways from her family and her culture, she gives in to the magic of Spanish only in her sleep. Her real life is a matter of survival. Her son Gus—a classmate of Jay’s—is fast becoming a complicated person all his own. He wants to know why he’s a Mexican who doesn’t speak Spanish and never sees any family but his mother. Besides, his father Gustavo has been paroled to his parents’ dairy farm in Texas, and he wants a family, or at least his son. Querida, he writes: I ask you with humility and love, be open. Doesn’t he know how closed she’s had to be to live an independent life? But then, isn’t her most vivid dream of him? As spring unfolds into summer, marriage, motherhood, and friendship are all reconsidered. Below the surface of a quaint, hip town, real lives are led, and two women transcend the boundaries of class and culture to forge an alliance that will enrich both their lives.
Gully Fisher’s twin sons will soon be 45, and are the push and pull of their clan. Michael is almost too good; immune to consternation, he is the family rock, while Fish is the family maverick, acting out what the others cannot bring themselves to do. Michael’s wife, Ursula, spends her days rearranging the lives of failed families, and craves a deeper intimacy with her taciturn husband and her two children. Katie, still seduced by Fish’s tales of Vietnam and jail, has a new job and a boyfriend, and thinks of breaking away. The elder Fishers, celebrating 50 years of marriage, teeter on the line between suppressed anger and fierce loyalty. When Katie and Fish’s 9-year-old daughter, Rebecca, appears from Texas (where she is being raised by Katie’s mother), she lurches across this landscape and the entire family is beset by a summer of little squalls. By the fall, a few secrets are out, and they’re all better for it. This is a novel full of the telling: poignant details that illustrate the fabric of domestic life, allowing the reader a shock of recognition. It is often funny, sometimes sad, always wise. All the Fishers are emotionally complex characters who reveal fresh insights into human nature and relationships. At a time when groups are springing up all over the country in order to provide instant intimacy and support for people lost in their selfhood and history, this is a novel demonstrating that love can be messy, silly, painful, and utterly idiosyncratic—that marriage and family can be uniquely defined. The Fishers are such a family, loving because they are bound, because they have the habit, and because the larger world can’t understand them. They love more than they know how to say, and they love beyond deserving.
In 1959, when Sandra Scofield was fifteen, she came home to stay in West Texas after years in Catholic boarding schools. She believed her presence would inspire her invalid mother to live. What she found—a fractured family; a distracted, dying mother—nudged her into the tumult of late adolescence and the awakening of her sexuality. More than forty years later, Scofield looks back on her Catholic girlhood and the ways in which her relationship with her mother was grounded in their intertwined aspirations for holiness, achievement, and love. Writing on the brink of old age, she looks back ruefully but without bitterness, forgiving both her mother's frailty and her own.
A moving novel about the passions of ordinary people by the author of Beyond Deserving. Opal had done the best she knew how in raising her daughters, Clancy and Joy. Now she has to learn to let go and live. A fine picture of the mother-daughter bond . . . heartfelt and believable.--People. A New York Times Notable Book.
A finely etched, sensitive portrait of an intelligent, imaginative, but flawed young man coming of age under difficult circumstances. Scofield's subtly nuanced portrayal of the awkwardness, confusion, and inchoate desires of adolescence is remarkable for its balance, insight, and cumulative power". -- Publishers Weekly
It's the early Sixties. The Grateful Dead and free love are still around the corner. But the young woman in these stories knows that sex is the coin of the realm. From Mexico to Mykonos, she's looking for a place to light, and she thinks she'll know when she's finally home. For sure she knows she doesn't want men to tell her how to live. She doesn't even want them saying her name.
In 1959, when Sandra Scofield was fifteen, she came home to stay in West Texas after years in Catholic boarding schools. She believed her presence would inspire her invalid mother to live. What she found—a fractured family; a distracted, dying mother—nudged her into the tumult of late adolescence and the awakening of her sexuality. More than forty years later, Scofield looks back on her Catholic girlhood and the ways in which her relationship with her mother was grounded in their intertwined aspirations for holiness, achievement, and love. Writing on the brink of old age, she looks back ruefully but without bitterness, forgiving both her mother's frailty and her own.
Gully Fisher’s twin sons will soon be 45, and are the push and pull of their clan. Michael is almost too good; immune to consternation, he is the family rock, while Fish is the family maverick, acting out what the others cannot bring themselves to do. Michael’s wife, Ursula, spends her days rearranging the lives of failed families, and craves a deeper intimacy with her taciturn husband and her two children. Katie, still seduced by Fish’s tales of Vietnam and jail, has a new job and a boyfriend, and thinks of breaking away. The elder Fishers, celebrating 50 years of marriage, teeter on the line between suppressed anger and fierce loyalty. When Katie and Fish’s 9-year-old daughter, Rebecca, appears from Texas (where she is being raised by Katie’s mother), she lurches across this landscape and the entire family is beset by a summer of little squalls. By the fall, a few secrets are out, and they’re all better for it. This is a novel full of the telling: poignant details that illustrate the fabric of domestic life, allowing the reader a shock of recognition. It is often funny, sometimes sad, always wise. All the Fishers are emotionally complex characters who reveal fresh insights into human nature and relationships. At a time when groups are springing up all over the country in order to provide instant intimacy and support for people lost in their selfhood and history, this is a novel demonstrating that love can be messy, silly, painful, and utterly idiosyncratic—that marriage and family can be uniquely defined. The Fishers are such a family, loving because they are bound, because they have the habit, and because the larger world can’t understand them. They love more than they know how to say, and they love beyond deserving.
Merenstein & Gardner’s Handbook of Neonatal Intensive Care, 8th Edition, is the leading resource for collaborative, interprofessional critical care of newborns. Co-authored by physicians and nurses, it offers concise, comprehensive coverage with a unique multidisciplinary approach and real-world perspective that make it an essential guide for both neonatal nurses and physicians. The 8th edition features the latest neonatal research, evidence, clinical guidelines, and practice recommendations — all in a practical quick-reference format for easy retrieval and review of key information. UNIQUE! Multidisciplinary author and contributor team consists of two physicians and two nurses, with each chapter written and reviewed by a physician-nurse team to ensure that information mirrors current, real-world practice in a neonatal intensive care unit. Critical Findings boxes and tables outline symptoms and diagnostic findings that require immediate attention, helping you prioritize assessment data and steps in initial care. UNIQUE! Clinical content highlighted in color allows you to quickly scan for information that directly affects patient care. UNIQUE! Parent Teaching boxes highlight relevant information to share with a patient’s caregivers. Clinical images, graphs, and algorithms illustrate clinically relevant concepts in neonatal intensive care. Streamlined references include only the most current or classic sources. NEW! Coverage of the latest neonatal research, evidence, clinical guidelines, and practice recommendations addresses topics such as: women with chronic illnesses becoming pregnant; maternal obesity; hypotension and shock in premature infants; pain and sedation; dedicated feeding sets vs. IVs for safety; MRSA; pediatric stroke; autism screening; discharge coordination; and more. NEW! The latest AAP recommendations and guidelines for hypoglycemia, jaundice, herpes, respiratory syncytial virus, and neonatal transport team composition. EXPANDED! Revised Evidence-Based Clinical Practice chapter focuses on evidence-based practice and quality improvement and the role of qualitative research in EBP. EXPANDED! Updated Infection in the Neonate chapter features new GBS guidelines and CRP research.
A moving novel about the passions of ordinary people by the author of Beyond Deserving. Opal had done the best she knew how in raising her daughters, Clancy and Joy. Now she has to learn to let go and live. A fine picture of the mother-daughter bond . . . heartfelt and believable.--People. A New York Times Notable Book.
Covering the evaluation and management of every key disease and condition affecting newborns, Avery’s Diseases of the Newborn, by Drs. Christine A. Gleason and Sandra E. Juul, remains your #1 source for practical, clinically relevant information in this fast-changing field. You’ll find the specific strategies you need to confidently diagnose and treat this unique patient population, in a full-color, easy-to-use single volume that focuses on key areas of practice. Now in a thoroughly revised 10th Edition, this highly respected reference is an authoritative clinical resource for neonatal practitioners. Provides up-to-date information on every aspect of newborn evaluation and management in a new, visually improved format featuring more than 500 all-new, full-color illustrations integrated within each chapter Includes greatly expanded Neurology and Hematology sections that highlight the knowledge and expertise of new co-editor, Dr. Sandra E. Juul Features all-new chapters on Palliative Care, Gastroesophageal Reflux, Platelet Disorders, Transfusion Therapy, Hypertension, , and The Ear and Hearing Disorders, as well as expanded coverage of brain injury and neuroprotective strategies in the preterm and term infant Contains new Key Points boxes at the beginning of every chapter Brings you up to date on current topics such as the evolving epidemic of neonatal abstinence syndrome and the new clinical uses of ultrasound (including ultrasound videos online) Expert ConsultTM eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices Provides up-to-date information on every aspect of newborn evaluation and management in a new, visually improved format featuring more than 500 all-new, full-color illustrations integrated within each chapter. Includes greatly expanded Neurology and Hematology sections that highlight the knowledge and expertise of new co-editor, Dr. Sandra E. Juul. Features all-new chapters on Palliative Care, Gastroesophageal Reflux, Platelet Disorders, Transfusion Therapy, Hypertension, , and The Ear and Hearing Disorders, as well as expanded coverage of brain injury and neuroprotective strategies in the preterm and term infant. Contains new Key Points boxes at the beginning of every chapter. Brings you up to date on current topics such as the evolving epidemic of neonatal abstinence syndrome and the new clinical uses of ultrasound (including ultrasound videos online). Expert ConsultTM eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.
Merenstein & Gardner's Handbook of Neonatal Intensive Care, 8th Edition, is the leading resource for collaborative, interprofessional critical care of newborns. Co-authored by physicians and nurses, it offers concise, comprehensive coverage with a unique multidisciplinary approach and real-world perspective that make it an essential guide for both neonatal nurses and physicians. The 8th edition features the latest neonatal research, evidence, clinical guidelines, and practice recommendations - all in a practical quick-reference format for easy retrieval and review of key information. UNIQUE! Multidisciplinary author and contributor team consists of two physicians and two nurses, with each chapter written and reviewed by a physician-nurse team to ensure that information mirrors current, real-world practice in a neonatal intensive care unit. Critical Findings boxes and tables outline symptoms and diagnostic findings that require immediate attention, helping you prioritize assessment data and steps in initial care. UNIQUE! Clinical content highlighted in color allows you to quickly scan for information that directly affects patient care. UNIQUE! Parent Teaching boxes highlight relevant information to share with a patient's caregivers. Clinical images, graphs, and algorithms illustrate clinically relevant concepts in neonatal intensive care. Streamlined references include only the most current or classic sources. NEW! Coverage of the latest neonatal research, evidence, clinical guidelines, and practice recommendations addresses topics such as: women with chronic illnesses becoming pregnant; maternal obesity; hypotension and shock in premature infants; pain and sedation; dedicated feeding sets vs. IVs for safety; MRSA; pediatric stroke; autism screening; discharge coordination; and more. NEW! The latest AAP recommendations and guidelines for hypoglycemia, jaundice, herpes, respiratory syncytial virus, and neonatal transport team composition. EXPANDED! Revised Evidence-Based Clinical Practice chapter focuses on evidence-based practice and quality improvement and the role of qualitative research in EBP. EXPANDED! Updated Infection in the Neonate chapter features new GBS guidelines and CRP research.
The sandhills stretch across the West Texas plains for 60 miles. As much as ten miles wide in places, they are a gleaming, sugary whiteness. The winds keep a trickle of sand moving on their peaks; in high winds the sand shifts so fast they say the dunes walk. So, too, can a handsome young man’s intellect and sensibility belie his unreliable character; so, too, can his sense of identity shift as he is buffeted by the storm of circumstance a single fateful year brings. Eighteen year old David Puckett is torn between his desire for and his fear of intimacy—between his yearning for two very different definitions of success. Artistry and passion are embodied in one girl, the avoidance of intimacy and the path to power in another. His story is set in the late 1950s, an era that has become mythologized as an age of carefree innocence and conservative consensus. Walking Dunes gives us another glimpse of life as it lay on the lip of the ’60s, life as beset by poverty, violence, and misery as it was buoyed by rock and roll, television, and the explosion of the suburbs. There is, too, in David’s story the poignancy of a failed family, the sweet awkwardness of young love, the fierceness of early ambition, the bitterness of loss. The lives of teenagers, so often perceived as trivial and commonplace, surprise and ultimately shock the reader, as a boy sets the course on which he will become a man.
The definitive handbook for the novelist who is ready to revise This wise and friendly guide shows writers how to turn first-draft manuscripts into the novels of their dreams. A critic, longtime teacher, and award-winning novelist, Sandra Scofield illustrates how to reread a work of fiction with a view of its subject and vision, and how to take it apart and put it back together again, stronger and deeper. Scofield builds her explanations around helpful concepts like narrative structure, character agency, and core scenes, using models from classic and contemporary writers. The detailed, step-by-step plan laid out in The Last Draft offers invaluable advice to both novice and experienced writers alike. In Scofield, they will find a seasoned, encouraging mentor to steer them through this emotional and intellectual journey.
A treasure-trove of scene-writing wisdom from award-winning author and teacher Sandra Scofield To write a good scene, you have to know the following: • Every scene has an EVENT • Every scene has a FUNCTION in the narrative • Every scene has a STRUCTURE: a beginning, middle, and end • Every scene has a PULSE The Scene Book is a fundamental guide to crafting more effective scenes in fiction. In clear, simple language, Sandra Scofield shows both the beginner and the seasoned writer how to build better scenes, the underpinning of any good narrative.
For visitors to the Martin's Cove historic site in Wyoming, Patience Loader has become an icon of the disastrous winter entrapment of the Martin and Willie handcart companies. Her record of those events is important, but there is much else of interest in her autobiography. In fact, it is a bit unusual that someone such as her would have left such an engaging record of her life. The daughter of an English gardener, Patience Loader became a boarding house servant, domestic maid, and seamstress. Converted to Mormonism, she shipped with her parents to America. They joined the ill-fated Martin company, which because of poor planning and a late start west, was caught poorly prepared by severe high plains snowstorms in October and November 1856. The combined fatalities of the Martin and Willie companies made this the worst disaster in the history of overland travel. Patience's father was one of those who died. After reaching Utah, Patience took the unusual step for a Mormon of marrying a soldier, John Rozsa, stationed at Camp Floyd. The troops there had made up the Utah Expedition, sent to ensure federal authority over the Mormons. Rozsa was a Hungarian immigrant and Mormon convert. When the Utah troops were recalled for the Civil War, Patience accompanied her husband, as an army laundress, to Washington, D.C., running a boarding house while Rozsa fought. After the war, he died at Fort Leavenworth of consumption, and Patience returned alone to Utah, where she became a cook at a mining camp in American Fork Canyon. Her autobiography ends there in 1872, though she lived till 1922.
Updated and expanded to reflect changes in recent years, this second edition covers virtually every aspect of this dangerous drug, including history, pharmacology, pathology, physiology, treatment, clinical and forensic psychology, and legal aspects. This edition features new chapters on criminal- and civil-forensic applications including an in-depth discussion of recent laws. Pointing out important cases, articles, and statistics, the text also presents chapters on neuropsychological testing; normative data on risk analysis and violence prediction; the physiology of tweaking, the most dangerous stage of the meth cycle; and the efficacy of treatment programs including examples from newly established drug courts.
Have you ever heard the story of Joseph and the coat of many colors? How about the story of Noah building a boat for his family to survive a rainstorm? Then there is the story of Elijah, who rode up to heaven in a flaming chariot. These are familiar stories from the Bible. But do you understand their purpose and how these and others connect together to tell Gods message to you? Using the historical periods, Sandra Betz simply and clearly explains the chronological order of the Bible and its message. You will learn how God had a relationship with man at creation, how mans choice broke the relationship, and how God instigated a plan of redemption for all people. This study will connect how the Old Testament shows the need for a Savior and the New Testament tells of this Savior. Learn the structure of the Bible and the connection of its stories to make one powerful message of love from the garden to the cross and beyond.
Gene tests (also called DNA-based tests), the newest and most sophisticated of the techniques used to test for genetic disorders, involve direct examination of the DNA molecule itself. Other genetic tests include biochemical tests for such gene products as enzymes and other proteins and for microscopic examination of stained or fluorescent chromosomes. Genetic tests are used for several reasons, including: Carrier screening, which involves identifying unaffected individuals who carry one copy of a gene for a disease that requires two copies for the disease to be expressed; Preimplantation genetic diagnosis prenatal diagnostic testing new-born screening; Presymptomatic testing for predicting adult-onset disorders such as Huntington's disease; Presymptomatic testing for estimating the risk of developing adult-onset cancers and Alzheimer's disease; Confirmational diagnosis of a symptomatic individual forensic/identity testing. In gene tests, scientists scan a patient's DNA sample for mutated sequences. A DNA sample can be obtained from any tissue, including blood. For some types of gene tests, researchers design short pieces of DNA called probes, whose sequences are complementary to the mutated sequences. These probes will seek their complement among the three billion base pairs of an individual's genome. If the mutated sequence is present in the patient's genome, the probe will bind to it and flag the mutation. Another type of DNA testing involves comparing the sequence of DNA bases in a patient's gene to a normal version of the gene. This book gathers important new research in this field.
The success of the new settlements in what is now the United States depended on food. This book tells about the bounty that was here and how Europeans forged a society and culture, beginning with help from the Indians and eventually incorporating influences from African slaves. They developed regional food habits with the food they brought with them, what they found here, and what they traded for all around the globe. Their daily life is illuminated through descriptions of the typical meals, holidays, and special occasions, as well as their kitchens, cooking utensils, and cooking methods over an open hearth. Readers will also learn how they kept healthy and how their food choices reflected their spiritual beliefs. This thorough overview endeavors to cover all the regions settled during the Colonial and Federal. It also discusses each immigrant group in turn, with attention also given to Indian and slave contributions. The content is integral for U.S. history standards in many ways, such as illuminating the settlement and adaptation of the European settlers, the European struggle for control of North America, relations between the settlers from different European countries, and changes in Native American society resulting from settlements.
How do writers and their readers imagine the future in a turbulent time of sex war and sex change? And how have transformations of gender and genre affected literary representations of "woman," "man," "family," and "society"? This final volume in Gilbert and Gubar's landmark three-part No Man's Land: The Place of the Woman Writer in the Twentieth Century argues that throughout the twentieth century women of letters have found themselves on a confusing cultural front and that most, increasingly aware of the artifice of gender, have dispatched missives recording some form of the "future shock" associated with profound changes in the roles and rules governing sexuality. Divided into two parts, Letters from the Front is chronological in organization, with the first section focusing on such writers of the modernist period as Virginia Woolf, Zora Neale Hurston, Edna St. Vincent Millay, Marianne Moore, and H.D., and the second devoted to authors who came to prominence after the Second World War, including Gwendolyn Brooks, Sylvia Plath, Margaret Atwood, Toni Morrison, and A.S. Byatt. Embroiled in the sex antagonism that Gilbert and Gubar traced in The War of the Words and in the sexual experimentations that they studied in Sexchanges, all these artists struggled to envision the inscription of hitherto untold stories on what H.D. called "the blank pages/of the unwritten volume of the new." Through the works of the first group, Gilbert and Gubar focus in particular on the demise of any single normative definition of the feminine and the rise of masquerades of "femininity" amounting to "female female impersonation." In the writings of the second group, the critics pay special attention to proliferating revisions of the family romance--revisions significantly inflected by differences in race, class, and ethnicity--and to the rise of masquerades of masculinity, or "male male impersonation." Throughout, Gilbert and Gubar discuss the impact on literature of such crucial historical events as the Harlem Renaissance, the Second World War, and the "sexual revolution" of the sixties. What kind of future might such a past engender? Their book concludes with a fantasia on "The Further Adventures of Snow White" in which their bravura retellings of the Grimm fairy tale illustrate ways in which future writing about gender might develop.
CMMI-ACQ® (Capability Maturity Model® Integration for Acquisition) describes best practices for the successful acquisition of products and services. Providing a practical framework for improving acquisition processes, CMMI-ACQ addresses the growing trend in business and government for organizations to purchase or outsource required products and services as an alternative to in-house development or resource allocation. Modeled after CMMI®, Second Edition, which documented CMMI for Development, this book is the definitive reference for the current release of CMMI for Acquisition (version 1.2). In addition to the entire CMMI-ACQ model, the book includes tips, hints, cross-references, and other author notes to help you understand, apply, and find more information about the content of the acquisition process areas. The authors also have added two chapters to illustrate the application of CMMI-ACQ in industry (a case study from General Motors) and government. Whether you are new to CMMI models or are already familiar with one or more of them, you will find this book an essential resource for managing your acquisition processes and improving your overall performance. The book is divided into three parts. Part One introduces CMMI-ACQ in the broad context of CMMI models, including essential concepts and useful background. It then describes and shows the relationships among all the components of the CMMI-ACQ process areas, and explains paths to the adoption and use of the model for process improvement and benchmarking. Finally, two separate chapters describe special acquisition needs in a government environment and real experiences with CMMI-ACQ from industry. Part Two first describes generic goals and generic practices, and then, in twenty-two sections, details each of the CMMI-ACQ process areas, including specific goals, specific practices, and examples. These process areas are organized alphabetically by process area acronym to facilitate quick reference. Part Three provides several useful references, including sources for further information about CMMI and CMMI-ACQ, acronym definitions, a glossary of terms, and an index.
The Purpose of The Book: Eschatology: The Signs of The Times Of Jesus Christ's Soon Return was originally a title of a thesis. Rev. Washington was inspired to publish the thesis into a book format. She was inspired to alert the readers that Jesus' coming is closer than they think and that it is important for them to be aware of the signs of the times that tell of Jesus Christ's close return for those who received His salvation. This book will included the events that will occur during the Rapture, the Great Tribulation, The Millennial Age and the Perfect Age.
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