Ambushed and left for dead, he has even more cause to be grateful when the bridge-builder saves his life. Shay’s savior turns out to be a mysterious young woman with extraordinary skills. More importantly, she’s a strong ally when he and a few other men are forced to defend themselves and their ranches against a power hungry rich man. Marvin Hammel seems determined to own everything in their small valley, his intention to gobble up not only their homes and their livelihoods, but the water that flows through the land. January Schutt just wants to be left alone to hide her scars. She’s rebuilt the bridge that crosses the river onto her property, and lives like a hermit in a rundown old barn. All that changes when she takes in a wounded Shay Billings. Now she’s placed in the middle of a war over water rights. But has she picked the winning side?

    In his latest book, management expert Ken Miller discusses how the processes of state and local government became so complicated and inefficient – and how to start cleaning up the mess. With his typical irreverent and funny tone, Ken lays out the simple ways that public-sector leaders can tear down all the twisted, broken parts of government and rebuild it stronger, leaner and better equipped to help citizens. Full of clear, concise tips on increasing government’s capacity, Extreme Government Makeover is essential reading for everyone in government, from top-level executives to managers and employees on the front lines.What you’ll learn in Extreme Government Makeover• The one and only thing government needs to focus on to get out of this crisis• How government can perform its vital functions 80 percent faster, at less cost and with better quality• The DNA of government complexity and how we can genetically modify it • How to spot the “moldy” thinking that is making us all sick• How to get rid of 40 percent of your agency’s workload• How to find the hidden costs of government• What the next generation of customers and employees are going to do to your operations• Why technology isn’t the answer• Most importantly, you’ll learn a new way of seeing the work of government – and a better way to make that work great.

    Part One presents the general principles of pathophysiology and discusses the influence of the environment and the role of genetics in the development of disease. Part Two, organized by body system, examines normal anatomy and physiology, alterations of function in adults, and alterations of function in children.

    Numerous case studies, followed by the author's analysis of the cases, helps you structure your thinking and apply professional standards to complex cases. Coverage includes ethics, legal research, and the professional literature in major topics in ethics (such as consent, confidentiality, and multiple relationships) and in applied settings (such as community mental health, private practice, schools, and teaching/research).

    It is widely recognised as an invaluable reference for professionals training or working in health, education and social care.Features of this completely revised edition include:Charts describing key stages in the development of motor, perception, communication, play, independence and social skills, updated in the light of recent research and supported by over 120 illustrationsInformation on what we know about how children develop.A new section on the development of attention and self-regulationGuidelines for the assessment of children through observation and interactionAdvice on when to refer to specialist servicesGuidance is offered on ages at which children typically achieve key stages, whilst recognising individual variation in the rate of development and the influence of the child's environment. Based on an ethos of health promotion and the need for a common assessment framework, the book will be welcomed by all those who work with infants and young children.Dr Ajay Sharma is a Consultant Community Paediatrician in Southwark, LondonHelen Cockerill is a Consultant Speech and Language Therapist, working at the Evelina Children's Hospital in London.

    This book is the gold standard for antibiotic therapy

    He had violent hallucinations based on the Iraq war and the reports of terrorism and violence constantly playing on his hospital TV tuned into CNN. He believed his family to be in danger, but he had no way to communicate with them. For a long time after the whole ordeal, he had trouble knowing what had happened. What was real and what wasn't. If part of the core of who we are is our memory, what does it mean when the memory is still there, but false?

    today. An essential reference for all teachers, educational leaders, and policymakers at all levels, the book is organized and written in a style that is accessible to all, even those with little or no knowledge of the legal issues in education.

    Inspired by insights gained from more than 450 programs conducted with all types of organizations, the authors of SACRED COWS MAKE THE BEST BURGERS show how corporations can kill off the sacred cows that are crippling them.

    The book emphasizes a general introduction to probability theory and provides a detailed discussion of specific designs and analyses that are typically encountered in ecology and environmental science. Appropriate for use as either a stand-alone or supplementary text for upper-division undergraduate or graduate courses in ecological and environmental statistics, ecology, environmental science, environmental studies, or experimental design, the Primer also serves as a resource for environmental professionals who need to use and interpret statistics daily but have little or no formal training in the subject.

    Whether he's assisting trauma surgeons who are singing “Take me out to the ballgame” while removing a well-placed iconic symbol of America’s greatest past time, learning how fast he can run after being shot at by an angry couple who called for an ambulance, working with a prankster-loving urologist who demonstrates how bladder problems were diagnosed before modern urinalysis, or screaming like a little girl while doing night rounds with a dead flashlight on a psychiatric ward, Cyra’s comedic style of storytelling will make your cheeks sore. Emergency Laughter: Stories of Humor Inside Ambulances and Operating Rooms shows why most health care professionals have such a twisted sense of humor and how critical laughter is to the survival of both patient and care giver.

    eGrade Plus offers an integrated suite of teaching and learning resources, including an online version of Black's Business Statistics for Contemporary Decision Making, Fourth Edition Update, in one easy-to-use Web site. Organized around the essential activities you perform in class, eGrade Plus helps you: Create class presentation using a wealth of Wiley-provided resources. you may easily adapt, customize, and add to his content to meet the needs of your course. Automate the assigning and grading of homework or quizzes by using Wiley-provided question banks, or by writing your won. Student results will be automatically graded and recorded in your gradebook. Track your students' progress. An instructor's gradebook allows you to an analyze individual and overall class results to determine each student's progress and level of understanding. Administer your course. eGrade Plus can easily be integrated with another course management system, gradebook, or other resources you are using in your class. Provide students with problem-solving support. eGrade Plus can link homework problems to the relevant section of the online text, providing context-sensitive help. Best of all, instructors can arrange to have eGrade Plus packaged FREE with new copies of Business Statistics for Contemporary Decision Making, Fourth Edition Update, All instructors have to do is adopt the eGrade Plus version of this book and activate their eGrade Plus course.

    EMERGENCY 24/7: Nurses of the Emergency Room, portrays thirty-one nurses, each with a distinctive voice and unique view of what really goes on behind the closed doors of the secret and chaotic world of the emergency room. Also included are the moment-by-moment chronicles of eleven nurses who worked in New York City and Washington, D.C., on September 11, 2001. These compelling accounts give new perspectives on the horrors and heroics of that tragic day. Ranging from inspiring to heart-rending to outrageously funny, these gripping narratives make EMERGENCY 24/7 a fascinating and provocative book—a fitting tribute to the frontline nurses.

    It educates prospective clinicians and counselors by guiding them, step-by-step, through the process of working with substance-abuse clients. Chapter content builds in sequence; however, each chapter can be taken as a stand-alone source of valuable information. Individual chapters on special populations add substantial depth to the text's treatment of its subject.

    . . A riveting and anxiety-inducing read. Mike Pond tells his story of recovery from alcoholism with a brutally honest, warts-and-all approach that makes you want cheer for him and simultaneously slap him upside the head.” – Vancouver SunPsychotherapist Michael Pond is no stranger to the devastating consequences of alcoholism. He has helped hundreds of people conquer their addictions, but this knowledge did not prevent his own near-demise. In this riveting memoir, he recounts how he lost his Penticton-based practice, his home, and his family—all because of his drinking. After scores of visits to the ER, a tour of hellish recovery homes, a stint in intensive care for end-stage alcoholism, and jail, Pond devised his own personal plan for recovery. He met Maureen Palmer and together they investigated scientific alternatives to the rigid abstinence doctrine pushed by Alcoholics Anonymous.