is the first deep-dive investigation of a hazardous and illicit industry that has created a worldwide epidemic, ravaging communities and overwhelming and confounding government agencies that are challenged to combat it. "A whole new crop of chemicals is radically changing the recreational drug landscape," writes Ben Westhoff. "These are known as Novel Psychoactive Substances (NPS) and they include replacements for known drugs like heroin, cocaine, ecstasy, and marijuana. They are synthetic, made in a laboratory, and are much more potent than traditional drugs"--and all-too-often tragically lethal. Drugs like fentanyl, K2, and Spice--and those with arcane acronyms like 25i-NBOMe-- were all originally conceived in legitimate laboratories for proper scientific and medicinal purposes. Their formulas were then hijacked and manufactured by rogue chemists, largely in China, who change their molecular structures to stay ahead of the law, making the drugs' effects impossible to predict. Westhoff has infiltrated this shadowy world, becoming the first journalist to report from inside an illicit Chinese fentanyls lab and providing startling and original reporting on how China's vast chemical industry operates, and how the Chinese government subsidizes it. He tracks down the little-known scientists who invented these drugs and inadvertently killed thousands, as well as a mysterious drug baron who turned the law upside down in his home country of New Zealand. Poignantly, Westhoff chronicles the lives of addicted users and dealers, families of victims, law enforcement officers, and underground drug awareness organizers in the U.S. and Europe. Together they represent the shocking and riveting full anatomy of a calamity we are just beginning to understand. From its depths, as Westhoff relates, are emerging new strategies that may provide essential long-term solutions to the drug crisis that has affected so many.

    These areas of knowledge have converged into a modern theory of epidemiology that has been slow to penetrate into textbooks, particularly at the introductory level. Epidemiology: An Introduction closes the gap. It begins with a brief, lucid discussion of causal thinking and causal inference and then takes the reader through the elements of epidemiology, focusing on the measures of disease occurrence and causal effects. With these building blocks in place, the reader learns how to design, analyze and interpret problems that epidemiologists face, including confounding, the role of chance, and the exploration of interactions. All these topics are layered on the foundation of basic principles presented in simple language, with numerous examples and questions for further thought.

    Readers will find an inside look at the issues surrounding medical specialty selection, blending firsthand knowledge with useful facts and statistics. The author includes invaluable insights from his personal experience, candid reports from current residents, and a wealth of research. This unique resource is divided into two sections, the first of which delves into the art of choosing the right specialty and covers personality assessment, considerations for women and couples who are matching, specialty overviews, and the ins and outs of the residency application and match process. The second section comprises 19 chapters, each written by a resident in a particular specialty. These chapters include: The Inside Scoop revealing specialty lifestyles, training requirements, and predominant personality types.

    Encompassing the entire scope of the practice of midwifery, this new edition has been extensively revised and updated to reflect the full scope of current midwifery practice.

    He also tackles the complicated issue of identity and details recent efforts and successes in cultural preservation and language revitalization.A personal account from the state’s first female Indian lawyer, Margaret Treuer, tells her firsthand experience of much change in the community and looks ahead with renewed cultural strength and hope for the first people of Minnesota.Anton Treuer is professor of Ojibwe at Bemidji State University and editor of Living Our Language: Ojibwe Tales and Oral Histories, Aaniin Ekidong: Ojibwe Vocabulary Project, Omaa Akiing, and Oshkaabewis Native Journal, the only academic journal of the Ojibwe language.

    I began developing my Weider System back in the 1930s and continue to refine and add new Weider Training Principles to it. You can rely on the information I present in this book to improve your physique. Good luck! -- Joe Weider On Instinctive Training One of the most fundamental secrets of successful bodybuilding is getting to know your body and how it reacts to various training and nutritional practices. Unless you have finely honed your instinctive training ability, it will take many weeks, even months, to evaluate each experiment. It definitely pays to master the Weider Instinctive Training Principle. -- Franco Columbo, two-time Mr. Olympia On Progression The key to building massive, powerful muscles is to doggedly increase the training weights you use. But it is only good to increase training poundage if you do so in perfect form. There is a direct correlation between the amount of weight you use with perfect biomechanics in an exercise and the mass of muscles that move that weight. -- Lee Haney, three-time Mr. Olympia On Muscle Confusion Once I reached the advanced level of bodybuilding and started entering competitions, I discovered that I quickly became bored with a set training program. I began to use the Weider Muscle Confusion Principle, changing to a new and more challenging routine every time I came into the gym to bomb a particular body part. -- Lou Ferrigno On Supersets Since supersets constitute a big jump in training intensity, I always tell bodybuilders new to the Weider Supersets Training Principles to experiment with supersets, compounding movements for the biceps and triceps, or forearm flexors and forearm extensors. -- Albert Beckles, IFBB World Pro Grand Prix Champion

    And it's even more difficult to feel relaxed when you stay awake worrying that you won't fall asleep. This vicious circle can quickly rob you of your quality of life, which is why it is so important to seek the most effective treatment for your insomnia. This workbook uses cognitive behavior therapy, which has been shown to work as well as sleep medications and produce longer-lasting effects. Research shows that it also works well for those whose insomnia is experienced in the context of anxiety, depression, and chronic pain. The complete program in Quiet Your Mind and Get to Sleep goes to the root of your insomnia and offers the same techniques used by experienced sleep specialists. You'll learn how to optimize your sleep pattern using methods to calm your mind and help you identify sleep-thieving behaviors that contribute to insomnia. Don't go without rest any longer-get started on this program and end your struggles with sleep. [This book] will no doubt help millions… as it clearly explains not only what to do, but also why.-William C. Dement, MD, Ph.D., author of The Promise of Sleep

    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.

    In order to help students connect theory to everyday life, the text includes colorful examples and case studies from the real world.

    -- M. Carolyn Clark, Department of Educational Human Resource Development, College of Education, Texas A&M University Since Merriam's definitive Case Study Research in Education first appeared in 1988, significant advances have occurred in the field of qualitative research. To meet the demand for a book that reflects these important changes, Merriam has completely revised and updated her classic work.Timely, authoritative, and approachable, Qualitative Research and Case Study Applications in Education is a practical resource that offers the information and guidance needed to manage all phases of the qualitative and case study research process.

    Its practical, clinical perspective and user-friendly writing style engage the reader in a learning process that both informs and enlightens. Clinical chapters progress consistently and logically from theory to application. Specific psychobiological disorders are organized from moderate to severe along the mental health continuum. The nursing process is the strong, visible framework throughout.User-friendly writing style and a full-color design make psychiatric nursing content come alive! Case studies and personal stories show a compassion and understanding unique among psychiatric nursing texts. Special features are easily located and identified.Nursing process framework provides a strong underpinning for all clinical chapters. A sixth step, Outcome Criteria, identifies specific patient outcomes, then justifies the subsequent nursing interventions based on results.Assessment Guidelines boxes provide summary points for client assessment.Spiritual assessment is found in Assessment Strategies and the Nursing Process and Care for the Dying and for Those Who Grieve.Biologic Basis for Understanding Psychotropic Drugs lays the foundation for the study of psychotropic drug therapy to treat psychobiologic disorders.Care for the Dying and for Those Who Grieve chapter provides holistic nursing interventions related to end-of-life care for clients and families.Case Studies and Nursing Care Plans present individualized histories of clients with specific psychiatric disorders, and include interventions with rationales and evaluation statements for each client goal.Vignettes offer brief, descriptive characterizations of clients with specific psychiatric disorders.A Nurse Speaks spotlights individual psychiatric nurses and their personal stories.Key Terms and Concepts with page number references allow for quick review.Critical Thinking and Chapter Review sections offer scenario-based critical thinking problems and NCLEX-style multiple-choice questions, allowing students to test themselves on the chapter content.Nurse, Client, and Family Resources lists are provided on the book's Evolve website.A dynamic author team offers a breadth of experience in nursing education and practice.Tear-out Comprehensive Psychiatric Assessment Card is a valuable tool for students to use in clinicals.Completely revised Culturally Relevant Mental Health Nursing: A Global Perspective provides basic information on culture, worldviews, and what is necessary for culturally competent care.Psychiatric Forensic Nursing discusses this new and expanding specialty involving nursing, forensics, and the criminal justice system.Forensic Highlights boxes focus on the nurse's role in dealing with sexual assault, family violence, and incarcerated persons.Evidence-Based Practice boxes demonstrate how research findings affect psychiatric nursing practice and standards of care.Integrative Therapy boxes discuss the increasing popularity and significance of complementary and alternative therapies.Culturally Speaking boxes reinforce the importance of culturally competent care.A Client Speaks and A Family Speaks bring to life disorders and their effects on clients, their families, and those who care for them.Back by popular demand: communication tables in The Clinical Interview and Communication Skills.Key Points to Remember appear at the end of each chapter to reinforce essential information.

    It also provides a guide for programs that help prepare higher education administrators for leadership roles. This important reference is organized into five main parts Perspectives and Foundations; The College and Its Governing Board and Staff; The College and Its Faculty; The College and Its Students; and The College and the Outside World. Each part includes the sections of the full fourth edition that most relate to student interests and are most suitable for classroom instruction, for example:The evolution and reach of higher education law The governance of higher education Legal planning and dispute resolution The interrelationships between law and policy The college and its employees Faculty employment and tenure Academic freedom Campus issues: student safety, racial and sexual harassment, affirmative action, computer networks, services for international students Student misconduct Freedom of speech, hate speech Student rights, responsibilities, and activities fees Athletics and Title IX Copyright

    It also stresses the importance of ethics in research and taking the time to properly design and think through any research endeavor.

    While public outrage over sweatshops builds in intensity, this book shows us who these workers really are and how they are leading campaigns to fight for their rights.In-depth, accessible analyses of the immigration, labor, and trade policies, which together have forced these women into the most dangerous, poorly paid jobs, dovetail with vivid portraits of the women themselves. Louie, a longtime writer/activist and well-known figure in feminist, immigrant, and labor circles, is uniquely poised to make her case: that the labor of immigrant women worker-activists not only sustains families and communities, but the vibrant social activism that undergirds democracy itself.With chapters on successful campaigns against Levi-Strauss, Donna Karan, and restaurants in Los Angeles; Koreatown, among others.Miriam Ching Yoon Louie is a longtime writer/activist in campaigns to organize women of color. She is national campaign media director of Fuerza Unida, a board member of the Women of Color Resource Center, and former media director of Asian Immigrant Women Advocates. Her essays and articles on immigrant women and labor issues have been widely anthologized, including in the 1997 collection Dragon Ladies: Asian American Feminists Breathe Fire (South End Press) and she speaks at public events internationally. She is the co-author, with Linda Burnham, of Women’s Education in the Global Economy (Women of Color Resource Center, 2000).

    Realizing she needed to make a serious change, she began to study integrative nutrition—and learned that the key to weight loss, radiant skin, and overall well-being is not starving yourself but eating. That’s right: eating! Sharp created her detox plan based on the knowledge that in the right combinations, real whole foods—grains, vegetables, fruits, and spices—can aid digestion, burn body fat, flush out toxins, reduce bloating, banish fatigue, and clear up acne. Unlike other cleanses, The 5-Day Real Food Detox allows you to eat five times a day—and shed a pound a day—with meals and snacks developed by Sharp (and backed by a nutritionist and a registered dietician). Even better, the recipes, including Love Pancakes, Spinach & Chickpea Hummus, Black Bean Burgers, Cauliflower Mash, and Taco Bowl, have been taste-tested by Sharp’s many of 300,000-plus Instagram followers, who have done the plan and seen amazing results. In The 5-Day Real Food Detox, you’ll discover • nutrient-dense foods that encourage detoxification and weight loss • the facts on juice, smoothie, tea, and raw food cleanses • yummy foods to substitute when you crave unhealthy ones • ingredients to avoid and how to decode food labels • the secret to great-tasting meals—use spices instead of salt • strategies for lowering stress and combating insomnia • troubleshooting for food allergies, mood swings, bloating, and other detox issues Complete with gorgeous full-color photos, success stories, shopping lists, and meal plans, The 5-Day Real Food Detox lays the groundwork for eating well and feeling wonderful for the rest of your life!Advance praise for The 5-Day Real Food Detox “Nikki is an amazing inspiration. Whether you are vegan, vegetarian, paleo, or just trying to get healthy, this book is a must-read!”—Kristina Carrillo-Bucaram, founder of the FullyRaw brand and author of The Fully Raw Diet “Nikki Sharp’s plant-based detox is a holistic approach to long-term wellness. Not only will it help get you lean in a short amount of time, it will keep you there, and feeling energized the whole way through.”—Brendan Brazier, author of the Thrive book series“The real power of this book is that it just may transform how you think about your food, your body, and the way your choices shape every aspect of your life.”—Adam Rosante, author of The 30-Second Body “I love that Nikki Sharp’s program is full of real, satisfying foods that won’t leave you starving—so you can build healthy habits that will last long after the five days are over!”—Megan Gilmore, author of Everyday Detox“Nikki Sharp’s style is fun, approachable, and innovative, and embodies the new way we should be eating. The wellness world is fortunate to now include her brilliant new book.”—Matthew Kenney, author of Cooked Raw: How One Celebrity Chef Risked Everything to Change the Way We Eat “A must have for everyone who wants to look gorgeous and healthy like Nikki!”—Ani Phyo, author of Ani’s 15-Day Fat Blast and Ani’s Raw Food Essentials