This language course book provides the tools to communicate effectively throughout the development of construction projects. It includes the most important vocabulary, grammar and expressions for the successful collaboration in English-speaking planning teams. The 16 chapters are organised according to the planning phases of a project, introducing essential vocabulary from the brief and feasibility study through to the completion and acceptance of a scheme. The planning and development of a single-family home provides a framework to practise business skills, such as telephoning, writing emails and negotiating. Important grammar structures have been included to offer readers the opportunity to refresh and practise elements appropriate to the phase of construction. In addition to the book contents, readers have access not only to audios by scanning the QR codes at the conversations but also the Springer Nature Flashcards-App, which can be downloaded free of charge, to learn vocabulary more effectively with 320 digital flashcards. According to the Common European Framework of Reference for Languages, the level of this book is B2/C1.
Das Tätigkeitsfeld des Planers im Baugeschehen wird zunehmend international. Absolventen und Arbeitssuchende orientieren sich vermehrt ins englischsprachige Ausland, wo derzeit ein Bedarf an Baufachleuten mit Hochschulabschluss besteht. Dieses Sprachlehrbuch knüpft an das vorhandene Schulenglisch an und bereitet den Leser durch Fachtexte, typische Dialoge und Geschäftsbriefe systematisch auf die Arbeit als Planer im und mit dem englischsprachigen Ausland vor. Besonders praxisnah ist die Gliederung des Buches in die einzelnen Planungs- und Ausführungsphasen eines Bauprojektes, was auch das gezielte Nachschlagen während eines Projektes ermöglicht. Übungen, ein Vokabelteil und praktische Tipps für die Bewerbung im Ausland ergänzen dieses Lehrbuch, das sowohl für das Selbststudium als auch kursbegleitend eingesetzt werden kann.
Most of us want and expect medicine’s miracles to extend our lives. In today’s aging society, however, the line between life-giving therapies and too much treatment is hard to see—it’s being obscured by a perfect storm created by the pharmaceutical and biomedical industries, along with insurance companies. In Ordinary Medicine Sharon R. Kaufman investigates what drives that storm’s “more is better” approach to medicine: a nearly invisible chain of social, economic, and bureaucratic forces that has made once-extraordinary treatments seem ordinary, necessary, and desirable. Since 2002 Kaufman has listened to hundreds of older patients, their physicians and family members express their hopes, fears, and reasoning as they faced the line between enough and too much intervention. Their stories anchor Ordinary Medicine. Today’s medicine, Kaufman contends, shapes nearly every American’s experience of growing older, and ultimately medicine is undermining its own ability to function as a social good. Kaufman’s careful mapping of the sources of our health care dilemmas should make it far easier to rethink and renew medicine’s goals.
Five million visitors a year travel to California's Napa Valley to experience the good life: to taste fine wines, eat fine food, and immerse themselves in other sophisticated pleasures while surrounded by bucolic beauty. Tourism is the world's largest employer, and tourists today want to experience the world through all five senses. Tasting the Good Life tells the story of Napa tourism through the words of the tourists who visit and the men and women who provide the products and services they rely on. The stories of 17 people--from winemaker to vineyard manager, from celebrity chef to wait staff, from hot air balloonist to masseuse--provide extraordinary insight into this new form of tourism and its impact on an iconic American place.
Updated for its Fourth Edition with increased art and photos, this undergraduate exercise physiology textbook integrates basic exercise physiology with research studies to stimulate learning, allowing readers to apply principles in the widest variety of exercise and sport science careers. The book has comprehensive coverage, including integrated material on special populations, and a flexible organization of independent units, so instructors can teach according to their preferred approach. Each unit is designed with a consistent and comprehensive sequence of presentation: basic anatomy and physiology, the measurement and meaning of variables important to understanding exercise physiology, exercise responses, training principles, and special applications, problems, and considerations. Plowman & Smith provides a consistently organized, comprehensive approach to Exercise Physiology with excellent supporting ancillary materials. Its ability to relate up to date research to key concepts and integrate special populations makes this book ideal for classroom use.
This book describes the struggle of Indian tribes and their governments to achieve freedom and self-determination despite repeated attempts by foreign governments to dominate, exterminate, or assimilate them. Drawing on the disciplines of political science, history, law, and anthropology and written in a direct, readable style, American Indian Tribal Governments is a comprehensive introduction to traditional tribal governments, to the history of Indian-white relations, to the structure and legal rights of modern tribal governments, and to the changing roles of federal and state governments in relation to modem tribal governments. Publication of this book fills a gap in American Indian studies, providing scholars with a basis from which to begin an integrated study of tribal government, providing teachers with an excellent introductory textbook, and providing general readers with an accessible and complete introduction to American Indian history and government. The book's unique structure allows coverage of a great breadth of information while avoiding the common mistake of generalizing about all tribes and cultures. An introductory section presents the basic themes of the book and describes the traditional governments of five tribes chosen for their geographic and cultural diversity-the Senecas, the Muscogees, the Lakotas, the Isleta Pueblo, and the Yakimas. The next three chapters review the history of Indian-white relations from the time Christopher Columbus "discovered" America to the present. Then the history and modem government of each of the five tribes presented earlier is examined in detail. The final chapters analyze the evolution and current legal powers of tribal governments, the tribal-federal relationship, and the tribal-state relationship. American Indian Tribal Governments illuminates issues of tribal sovereignty and shows how tribes are protecting and expanding their control of tribal membership, legal systems, child welfare, land and resource use, hunting and fishing, business regulation, education, and social services. Other examples show tribes negotiating with state and federal governments to alleviate sources of conflict, including issues of criminal and civil jurisdiction, taxation, hunting and fishing rights, and control of natural resources. Excerpts from historical and modem documents and speeches highlight the text, and more than one hundred photos, maps, and charts show tribal life, government, and interaction with white society as it was and is. Included as well are a glossary and a chronology of important events.
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.
“Building on extensive real-life experience with EBP, this expert team from University of Iowa Hospitals & Clinics provides vital guidance to clinicians at the cutting edge of care improvement.” –Kathleen R. Stevens, EdD, MS, RN, ANEF, FAAN Castella Endowed Distinguished Professor School of Nursing and Institute for Integration of Medicine & Science (CTSA) University of Texas Health Science Center San Antonio “This new edition is essential for all who want to deliver evidence-based care. Beautifully organized, it is readable, practical, and user-friendly.” –Kathleen C. Buckwalter, PhD, RN, FAAN Professor Emerita, University of Iowa College of Nursing Distinguished Nurse Scientist in Aging, Reynolds Center Oklahoma University Health Sciences Center, College of Nursing “Evidence-Based Practice in Action, Second Edition, will continue to ensure high-quality, evidence-based care is implemented in healthcare systems across the country — and the world. It should also be a well-worn tool in every implementation scientist’s toolkit. –Heather Schacht Reisinger, PhD Professor, Department of Internal Medicine Associate Director for Engagement, Integration and Implementation Institute for Clinical and Translational Science, University of Iowa Translate knowledge, research, and clinical expertise into action. The biggest barrier to effective evidence-based practice (EBP) is the failure to effectively translate available knowledge, research, and clinical expertise into action. This failure is rarely due to lack of information, understanding, or experience. In fact, it usually comes down to a simple lack of tools and absence of a clear plan to integrate EBP into care. Problem solved: Evidence-Based Practice in Action, Second Edition, is a time-tested, application-oriented EBP resource for any EBP process model and is organized based on The Iowa Model Revised: Evidence-Based Practice to Promote Excellence in Health Care. This book offers a proven, detailed plan to help nurses and healthcare professionals promote and achieve EBP implementation, adoption, sustained use. TABLE OF CONTENTS Chapter 1: Identify Triggering Issues/Opportunities Chapter 2: State the Question or Purpose Chapter 3: Is This Topic a Priority? Chapter 4: Form a Team Chapter 5: Assemble, Appraise, and Synthesize Body of Evidence Chapter 6: Is There Sufficient Evidence? Chapter 7: Design and Pilot the Practice Change Chapter 8: Evaluation Chapter 9: Implementation Chapter 10: Is Change Appropriate for Adoption in Practice? Chapter 11: Integrate and Sustain the Practice Change Chapter 12: Disseminate Results Appendix A: The Iowa Model Revised: Evidence-Based Practice to Promote Excellence in Health Care Appendix B: Iowa Implementation for Sustainability Framework Appendix C: Select Evidence-Based Practice Models Appendix D: Glossary
This groundbreaking reference — created by an internationally respected team of clinical and research experts — provides quick access to concise summaries of the body of nursing research for 192 common medical-surgical interventions. Each nursing care guideline classifies specific nursing activities as Effective, Possibly Effective, or Possibly Harmful, providing a bridge between research and clinical practice. Ideal for both nursing students and practicing nurses, this evidence-based reference is your key to confidently evaluating the latest research findings and effectively applying best practices in the clinical setting. Synthesizing the current state of research evidence, each nursing care guideline classifies specific activities as Effective, Possibly Effective, Not Effective, or Possibly Harmful. Easy-to-recognize icons for each cited study help you differentiate between findings that are based on nursing research (NR), multidisciplinary research (MR), or expert opinion (EO), or those activities that represent established standards of practice (SP). Each nursing activity is rated by level of evidence, allowing you to gauge the validity of the research and weigh additional evidence you may encounter. Guidelines are identified by NIC intervention labels wherever appropriate, and NOC outcome measurements are incorporated throughout. An Evolve website provides additional evidence-based nursing resources.
No other book on the market houses as much information for a bargain price. Once again over 50,000 listings from reliable sources are included and carefully checked by an authority on the subject. More than 400 expert advisors make sure only the best and most accurate data remains. Hundreds of sharp photographs accompany the 500+ categories: glass and porcelain, match holders, purses, cookie jars, jewelry, advertising, furniture, dolls, records and more. History and other pertinent facts complement the descriptive listings, which reflect the current market and developing trends.
Make the right drug therapy decisions with the leading guide to applying pharmacotherapy principles to real-world clinical practice The perfect companion to DiPiro's Pharmacotherapy: A Pathophysiologic Approach, 12th Edition Pharmacotherapy Casebook: A Patient-Focused Approach uses 150+ cases to help you build the clinical decision-making skills required to identify and resolve commonly encountered medication therapy problems encountered in daily practice. Providing a consistent, practical approach, this authoritative guide delivers everything you need to master patient communication, care plan development, and documenting interventions. Case chapters are organized into system sections that correspond to those of the companion textbook. The case-based approach makes this an ideal resource for PharmD, Nurse Practitioner, and other allied health courses. With each case you will learn how to: Identify actual or potential drug therapy problems Determine the desired therapeutic outcome Evaluate therapeutic alternatives Design an optimal individualized pharmacotherapeutic plan Develop methods to evaluate the therapeutic outcome Provide patient education Communicate and implement the pharmacotherapeutic plan Everything you need to develop expertise in pharmacotherapy decision-making: Realistic patient presentations include medical history, physical examination, and laboratory data, followed by a series of questions using a systemic, problem-solving approach Compelling range of cases—from the uncomplicated (a single disease state) to the complex (multiple disease states and drug-related problems) Coverage that integrates the biomedical and pharmaceutical sciences with therapeutics Appendices containing valuable information on pharmacy abbreviations, laboratory tests, mathematical conversion factors, anthropometrics, and complementary and alternative therapies Content that is ideal for both pharmacy and nurse practitioner markets
The most complete and up-to-date text on the art and science of embalming This new edition of the trusted classic delivers the most current information on the art and science of embalming, restorative art, and mortuary cosmetology. The authors give special attention to creating a safe working environment, from the standpoint of ergonomics, personal hygiene, and the use of embalming chemicals. Expanded technical areas of the book help you prepare the body for viewing without using standard embalming chemicals. Embalming: History, Theory, and Practice features thorough coverage of: Legal, social, and technical considerations of embalming Health and regulatory standards Chemicals and methods Specific conditions and causes of death that influence the type of embalming Preparation of anatomical donors Preparation of organ and tissue donors Embalming for shipping New to this edition: All new color photographs New chapter on the preparation of organ and tissue donors Additional questions and terminology in each chapter Updated information on instrumentation and OSHA material Greater emphasis on the use of personal protective equipment Alternative methods of body disposition
Students practice and apply important math skills as they enjoy popular sports and follow their favorite teams and sports heroes. Activities and projects aimed at both boys and girls are based on historical and real-life situations. They involve kids in scores and score keeping, records and statistics, travel budgets and the cost of seats and refreshments, building the stadium of their dreams and much more. OlympicMath covers both the summer and winter games. Each book contains a special full-color pull-out section of photographs, cards, stats, or scorecards. Answers included.
At the turn of the 20th century, Sharons very existence was threatened by the collapse of the local iron industry as the towns economy and population began to decline. However, the popularity of automobile transportation and Sharons accessible distance from New York attracted a class of wealthy visitors who fell in love with the rolling hills and quiet valleys. This new weekend population purchased land and built stately country homes, reigniting interest in the area. Steady growth in construction provided much-needed work, and commerce began to thrive again. Early businesses expanded, and new operations opened. Local residents could shop at stores run by the Gillette brothers and A.R. Woodward, fill their tanks at Herman Middlebrooks gas station, and have their health care needs attended to by doctors at the state-of-the-art Sharon Hospital, built in 1916. Eastern Europeans became the towns newest residents, taking advantage of the affordable, cleared land to fuel a large number of highly successful farms. Sharons residents thrived as they reshaped their town, welcoming newcomers and nurturing a community of inclusion that lasts to the present day.
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