Despite its relatively narrow focus, it is chock full of the pearls of clinical wisdom that students and practitioners treasure, and many of these lessons apply to medicine in general. The book was well characterized by a reviewer of an earlier edition for The New England Journal of Medicine: If only one book about surgery could be made available to physicians from all specialties, it should probably be Silen's recent revision of Cope's Early Diagnosis of the Acute Abdomen. Since the book first appeared more than 30 years ago, it has remained the classic treatise on the initial approach to abdominal pain. Because acute, severe abdominal pain is still a common problem whose misdiagnosis can result in quick death, each generation of beginning physicians is faced with the urgency of learning to make a diagnosis in this high anxiety situation and they appreciate the wise, humane, precisely detailed guidance offered by Cope and Silen. For the 21st Edition, Dr. Silen has again updated the text in a respectful but significant way. He has strengthened its emphasis on pitfalls in the interpretation of CT and ultrasound scans, on misadventures caused by over-reliance on blood tests and radiographs, and on careful history-taking to avoid the costs of inappropriate lab tests. He has also reviewed the data from a randomized clinical trial indicating that patients should receive adequate analgesia while awaiting a definitive diagnosis, a dictum that is contrary to traditional teaching

    Each chapter is bursting with creative and classic ideas to make the day as meaningful as it is beautiful: Stationery: Save-the-date cards do double duty when printed on coasters or delicate handkerchiefs.Ceremonies: An auspicious bird’s nest adds a beautiful and rustic touch for carrying rings at a farm wedding.Dressing Up: A retro bride goes glam with a feathered veil and pearl button–accented gloves. A casual groom and his mates add a personality pop with chocolate-brown Keds to match their wedding chinos.Cocktail Hour: For a low-key affair, mini grilled cheeses dipped in shot glasses of tomato soup satisfy.Centerpieces: Fruit slices suspended in crystal vases overflowing with Crayola-bright poppies and orchids offer a cheery setting.Cakes: White lace frosting details that match the bride’s dress and the couple’s monogram turn a pale green cake into a chic masterpiece.From classic white-on-white palettes to floral themes to fun fantasy ideas, the choices are limitless. Purple, pink, red, robin’s egg blue—find inspiration at every turn in all the colors a bride can dream of! And The Knot Ultimate Wedding Lookbook is loaded with money-saving ideas that don’t sacrifice style. Expert advice and rich images add up to a delicious visual feast and essential resource to help you create an event as special as you are as a couple.

    Qù tama, zánmen chuqù feng ba. •Who farted? Shéi fàng de pì?•Wanna try doggy-style? Yàobù zánliar shìshì gou cào shì?•Son of a bitch!Gouniángyang de!•I’m getting smashed. Wo ganjué heduo le.•I can’t eat this shit! Wo chi bù xià qù!

    Written in a concise, bulleted outline format, this well-illustrated text offers 500 USMLE-style review questions, answers, and explanations and features comprehensive content and upgraded USMLE Step 1 information.

    This updated edition has been fully revamped and reflects important changes that have occurred since the second edition's publication. A leader in the online field, this best- selling resource maintains its reader friendly tone and offers exceptional practical advice, new teaching examples, faculty interviews, and an updated resource section.New to this edition:new chapter on how faculty and instructional designers can work collaboratively expanded chapter on Open Educational Resources, copyright, and intellectual property more international relevance, with global examples and interviews with faculty in a wide variety of regions new interactive Companion Website that invites readers to post questions to the author, offers real-life case studies submitted by users, and includes an updated, online version of the resource section.Focusing on the "how" and "whys" of implementation rather than theory, this text is a must-have resource for anyone teaching online or for students enrolled in Distance Learning and Educational Technology Masters Programs.

    Badham’s list of “12 Questions You Must Ask Before Stepping On Set” is an absolute must in any filmmaker’s toolbox. Whether actor, director, cinematographer, production designer, or any other creative, Badham gives you the tools to deconstruct and solve scenes that either don’t work or need sharpening. Continuing the work begun in his best-selling book I’ll Be In My Trailer, Badham shares more insights into working with difficult actors, rehearsal techniques, and getting the best performance from your cast.

    Rather than relying on abstract generalizations and theories, van Manen offers an alternative that taps the unique nature of each human situation.The book offers detailed methodological explications and practical examples of hermeneutic-phenomenological inquiry. It shows how to orient oneself to human experience in education and how to construct a textual question which evokes a fundamental sense of wonder, and it provides a broad and systematic set of approaches for gaining experiential material that forms the basis for textual reflections.Van Manen also discusses the part played by language in educational research, and the importance of pursuing human science research critically as a semiotic writing practice. He focuses on the methodological function of anecdotal narrative in human science research, and offers methods for structuring the research text in relation to the particular kinds of questions being studied. Finally, van Manen argues that the choice of research method is itself a pedagogic commitment and that it shows how one stands in life as an educator.

    It is not a mere reorganization of the data into a new kind of library catalogue, nor another specualtive philosophy about the nature of man and language, but rather a rigorus explication of our intuitions about our language in terms of an overt axiom system, the theorems derivable from it, explicit results which may be compared with new data and other intuitions, all based plainly on an overt theory of the internal structure of languages; and it may well provide an opportunity for the application of explicity measures of simplicity to decide preference of one form over another form of grammar.

    With an eye-catching design, full-color illustrations, and helpful, practical boxed features that highlight need-to-know information, the new edition of this bestseller continues its tradition of making pharmacology easy to learn and understand.A focus on prioritization identifies key nursing information and helps in preparation for the NCLEX(R) Examination.Presents drugs and their classes as they relate to different parts of the body, facilitating integration of the text with your other nursing courses.Features numerous full-color photos and illustrations pertaining to drug mechanisms of action and step-by-step illustrations depicting key steps in drug administration for various routes, so you can clearly see how drugs work in the body and how to administer medications safely and effectively.Drug Profiles highlight the pharmacokinetics and unique variations of individual drugs.Includes Patient Teaching Tips in each chapter to foster patient compliance and effective drug therapy.Helpful summary boxes are integrated throughout, covering Evidence-Based Practice, Preventing Medication Errors, Laboratory Values Related to Drug Therapy, Cultural Implications, Herbal Therapies, Life Span Considerations, Points to Remember, and Legal and Ethical Principles.Illustrated Study Skills Tips in each unit cover study tips, time management, and test taking strategies related specifically to nursing pharmacology.Includes a convenient tear-out IV Compatibilities Chart that alerts you to drugs that are incompatible when given intravenously.Evolve Student Resources include online access to additional chapter-specific NCLEX(R) review questions, animations, medication errors checklists, IV therapy checklists, printable handouts with need-to-know information about key drug classes, calculators, an audio glossary, answers to case studies and critical thinking activities in the text, frequently asked questions, content updates, nursing care plans covering key drug classes, and online appendices. Critical Thinking Activities and Best Action Questions focus on prioritization, challenging you to determine the best action to take.NCLEX(R) Examination Review Questions now include Alternate-Item Format questions, preparing you for these new types of questions found on the NCLEX(R) exam.New case studies have been added, and all cases now include patient photos along with accompanying questions to provoke critical thinking.Pharmacokinetic Bridges to the Nursing Process sections now cover ACE inhibitors, iron, and women's health issues applying key pharmacokinetics information to nursing practice.

    This work contains components of the model, which include staffing models and strategy, staffing support systems (legal compliance, planning, job analysis and rewards), core staffing systems (recruitment, selection, employment), and staffing system and retention management.

    Planned by one of the most renowned Byzantinists and Medievalists of the day, John B. Bury, it became the de facto standard by which all comprehensive period histories would be measured. Its impact on the field of medieval scholarship is every bit as great as Gibbon’s “Decline and Fall of the Roman Empire”.Volume One – The Christian Roman Empire and the Foundation of the Teutonic Kingdoms begins with the accession of Constantine to the Imperium and ends roughly with reign of Justinian in the East. It covers the migration of Germanic tribes into Roman territories. Significant attention is given the ecumenical church councils of the 4th Century, with particular emphasis on the Arian controversies.Volume Two – The Rise of the Saracens and the Foundation of the Western Empire covers the time period from roughly 500 CE to 814 CE. Beginning with Justinian, it also looks at the Frankish Merovingian dynasty, the Lombard Kingdom in Italy, the Restoration of the Imperium in Italy, and ends with the transition of power from the Merovingians to the Carolingians through Charlemagne’s reign. Chapters covering England and English institution and the conversion of the Celts. Finally, attention is given to the birth and spread of Islam and the growth of the Islamic Caliphate.Volume Three – Germany and the Western Empire covers the period from roughly 814 CE through the end of the first millennium. Beginning with the reign of Louis the Pious, it traces the decline of the Carolingian Empire and the foundation of the Capetian Dynasty. Attention is paid to the Holy Roman Empire in Germany through Henry III. The impact of the Norse Vikings on the political landscape is examined as is the development of the Anglo-Saxon kingdom of England through the death of Edward the Confessor. Throughout the volume development of feudalism as a primary labor, land-owning, and social way of life is highlighted. Finally, the continued growth of the Western Caliphate is looked at.Volume Four – The Eastern Roman Empire focuses primarily on the Byzantine East from roughly 700 CE through the end of the Empire in 1483. The different dynasties (Isaurian, Phrygian, and Macedonian) receive their own chapters, and in-depth attention is paid to the struggle with the emerging Islamic Caliphate. The religious and political relationship with the West is considered and significant attention is paid to the Comneni and Fourth Crusade.Volume Five – The Contest of Empire and Papacy is concerned primarily with the century and a half from 1050 CE to 1200 CE. It looks at the surging political power of the Church and the corresponding growth of nations of Western Europe. The Holy Roman Empire and the Norman Invasion of England, the establishment of the Plantagenet Dynasty in Norman Britain, and the emergence of Monasticism and Scholasticism in the period receive attention.Volumes 6-8 were published after 1923 and are therefore not in the public domain. Plantagenet Publishing will not be able to make them available in this format.

    It examines the many roles and functions community counselors perform, the variety of settings in which their work is done, and how that work differs from one client population to another.

    Debunking the myth of "pure" standard English, tackling controversial positions, and eschewing politically correct arguments, linguist John McWhorter considers speech patterns and regional accents to demonstrate just how the changes do occur. Wielding reason and humor, McWhorter ultimately explains why we must embrace these changes, ultimately revealing our American English in all its variety, expressiveness, and power.

    Awards lavished on the show suggest some redeeming values. But despite claims that it’s ultimately about the longing for a committed relationship, the glamorization of casual sex and so on can really mess with impressionable young women.Just ask Marian Jordan. In Sex and the City Uncovered she admits, "A painful existence of ‘looking for love in all the wrong places’ is hidden behind images of couture fashion, witty dialogue, and beautiful people. I know this to be true because I’ve lived it."Sharing her own storied past, Marian now celebrates an unfailing love she has found and helps struggling singles find this same joy by answering questions such as:• Why can’t I have sex without regret or desiring commitment?• Why do I need alcohol or food to make me feel better?• Why do I go into debt to buy the latest designer items?• Why don’t I feel good about myself around other women?Endorsements"An honest, engaging, and hopeful response to the dating dilemma. A must-read for every searching single!"  —Louie Giglio, director of Passion Conferences"Marian does a fabulous job of exposing culture-generated lies about the endless pursuit of love and worth in a language that will resonate with young women today."  —Vicki Courtney, best-selling author and founder of Virtuous Reality Ministries"Marian’s transparency and insights will be life-changing to women."  —Cliff Young, lead vocalist, Caedmon’s Call

    As a result, many students talk about college in ways that cause them to overlook some of their most important learning opportunities. Becoming a Learner asks students to carefully reconsider conventional common sense about college and learning, and invites them to consider a new conversation about college and learning that focuses on who they are becoming and their ability to learn.