When Andy Quinn was a child, his mother told him he used to talk to the angels. Now theyre doing more than talking. Theyre sending him horrific visions of people who desperately need his help. Andy is struggling to put his life back together after losing the man he loved and nearly dying himself from a brutal assault by a serial killer. Hes returned to UMass Boston to continue working toward a teaching degree. However, the nightmares have begun again, and his sleep has once more become a terrifying place in which he experiences someone elses violent murder. Worse yet, somebody is stalking Andy, disrupting and even sabotaging his life. Can he live up to the grim burden entrusted to him by the angels? But how can he save others when he may not be able to save himself?
Andy Quinn is a shy twenty-one-year old college student studying to be a teacher. For most of his life, hed suspected that he was gay, but being raised in the Bible belt kept him firmly in the closetuntil he met Matt. Matt is an out and proud Boston attorney whose strength and confidence finally win Andy over. Deeply in love despite their differences, the two men make plans to marry. However, there is a dark shadow on their happy horizon in the form of a serial killer who is stalking young gay men in Boston. Even more terrifying is the fact that Andy begins having horrific nightmares in which he is experiencing each victims death. As a child, Andys mother told him he used to talk to the angels. Does that mean he is psychic? Or is he just going crazy? Matt is a diehard skeptic who refuses to accept a paranormal explanation. The only one who believes Andy is the relentless police detective in charge of the case. But he is battling his own homophobic feelings in his pursuit of the killer, and Andy cant help but wonder if he will soon be under suspicion himself. The answer hits closer to home than anyone suspects, and Andy must find his strength or lose his very life.
With comprehensive coverage of maternal, newborn, and women's health nursing, Maternity & Women's Health Care, 10th Edition provides evidence-based coverage of everything you need to know about caring for women of childbearing age. It's the #1 maternity book in the market -- and now respected authors Dr. Deitra Leonard Lowdermilk, Dr, Shannon E. Perry, Kitty Cashion, and Kathryn R. Alden have improved readability and provided a more focused approach! Not only does this text emphasize childbearing issues and concerns, including care of the newborn, it addresses wellness promotion and management of common women's health problems. In describing the continuum of care, it integrates the importance of understanding family, culture, and community-based care. New to this edition is the most current information on care of the late preterm infant and the 2008 updated fetal monitoring standards from the National Institute of Child Health and Human Development. A logical organization builds understanding by presenting wellness content first, then complications. Critical Reasoning exercises offer real-life situations in which you can develop analytical skills and apply their knowledge. Teaching for Self-Management boxes offer a guide to communicating follow-up care to patients and their families. Signs of Potential Complications boxes help you recognize the signs and symptoms of complications and provide immediate interventions. Procedure boxes offer easy-to-use, step-by-step instructions for maternity skills and procedures. Emergency boxes may be used for quick reference in critical situations. Medication Guide boxes provide an important reference for common drugs and their interactions. Cultural Considerations boxes stress the importance of considering the beliefs and health practices of patients from various cultures when providing care. Family content emphasizes the importance of including family in the continuum of care. Nursing Care Plans include specific guidelines and rationales for interventions for delivering effective nursing care. Community Activity exercises introduce activities and nursing care in a variety of local settings. Student resources on the companion Evolve website include assessment and childbirth videos, animations, case studies, critical thinking exercises with answers, nursing skills, anatomy reviews, a care plan constructor, review questions, an audio glossary, and more.
Dynamic Treatment Regimes: Statistical Methods for Precision Medicine provides a comprehensive introduction to statistical methodology for the evaluation and discovery of dynamic treatment regimes from data. Researchers and graduate students in statistics, data science, and related quantitative disciplines with a background in probability and statistical inference and popular statistical modeling techniques will be prepared for further study of this rapidly evolving field. A dynamic treatment regime is a set of sequential decision rules, each corresponding to a key decision point in a disease or disorder process, where each rule takes as input patient information and returns the treatment option he or she should receive. Thus, a treatment regime formalizes how a clinician synthesizes patient information and selects treatments in practice. Treatment regimes are of obvious relevance to precision medicine, which involves tailoring treatment selection to patient characteristics in an evidence-based way. Of critical importance to precision medicine is estimation of an optimal treatment regime, one that, if used to select treatments for the patient population, would lead to the most beneficial outcome on average. Key methods for estimation of an optimal treatment regime from data are motivated and described in detail. A dedicated companion website presents full accounts of application of the methods using a comprehensive R package developed by the authors. The authors’ website www.dtr-book.com includes updates, corrections, new papers, and links to useful websites.
Principles of Addiction Medicine, 7th ed is a fully reimagined resource, integrating the latest advancements and research in addiction treatment. Prepared for physicians in internal medicine, psychiatry, and nearly every medical specialty, the 7th edition is the most comprehensive publication in addiction medicine. It offers detailed information to help physicians navigate addiction treatment for all patients, not just those seeking treatment for SUDs. Published by the American Society of Addiction Medicine and edited by Shannon C. Miller, MD, Richard N. Rosenthal, MD, Sharon Levy, MD, Andrew J. Saxon, MD, Jeanette M. Tetrault, MD, and Sarah E. Wakeman, MD, this edition is a testament to the collective experience and wisdom of 350 medical, research, and public health experts in the field. The exhaustive content, now in vibrant full color, bridges science and medicine and offers new insights and advancements for evidence-based treatment of SUDs. This foundational textbook for medical students, residents, and addiction medicine/addiction psychiatry fellows, medical libraires and institution, also serves as a comprehensive reference for everyday clinical practice and policymaking. Physicians, mental health practitioners, NP, PAs, or public officials who need reference material to recognize and treat substance use disorders will find this an invaluable addition to their professional libraries.
In the midst of an addiction epidemic, this newly updated edition of The American Society of Addiction Medicine Principles of Addiction Medicine, 5th edition is the sought-after text every addiction researcher and care provider needs. This comprehensive reference text dedicates itself to both the science and treatment of addiction. You’ll receive a thorough grounding in both the scientific principles behind the causes of addiction and the practical aspects of clinical care. Chapters are written by recognized experts, covering areas such as the basic science of addiction medicine; diagnosis, assessment and early intervention; pharmacologic and behavioral interventions; mutual help and twelve-step; and co-occurring addiction, medical and psychiatric disorders—backed by the latest research data and successful treatment methods. Features: Numerous figures, tables and diagrams elucidate the text Chapters include case examples List of data research reports provided at end of each chapter NEW material on Prescription Drug Abuse, Club Drugs, Nursing Roles in Addressing Addiction, Conceptual and Treatment Issues in Behavioral Addictions, Rehabilitation Approaches to Pain Management, Comorbid Pain and Addiction, Pharmacotherapy for Adolescents with Substance Use Disorders, Preventing and Treating Substance Use Disorders in Military Personnel, and more.
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