...[pic] Guidelines for Prevention of Neonatal Group B Streptococcal Infection Purpose of Policy: Intrapartum antibiotic prophylaxis (IAP) to prevent neonatal Group B Streptococcal (GBS) disease has reduced the incidence of invasive early-onset GBS infections in newborns by 70%. The revised 2002 CDC guidelines for the prevention of GBS disease are based upon universal screening for GBS in all pregnant women. Scope of Policy: Nurses, LIP with OB privileges, residents Policy/guideline: I. Screening: Screen every (see exceptions*) pregnant woman for GBS with vaginal and rectal culture at 35-37 weeks gestation. If the pt is PCN allergic, request sensitivities on culture. Review culture results. If a GBS culture is positive during the current pregnancy, regardless of EGA obtained, the patient is treated as GBS positive. If a GBS culture is negative, and was obtained > 5 weeks prior, re-screen for GBS. (* Do NOT screen at 35-37 weeks patients who: ○ GBS bacteriuria in present pregnancy ○ Previous infant affected by invasive GBS disease These patients will automatically receive prophylaxis at delivery) II. Intrapartum Prophylaxis Indicated: • Previous infant with invasive GBS disease • GBS bacteriuria during current pregnancy • Positive GBS screening culture during current pregnancy (unless delivered by cesarean...
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...‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 4 RECOMMENDED TEXTS/RESOURCES ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 5 DIDACTIC EXPERIENCE ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 6 IMPORTANT LOCATIONS ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 7 OBSTETRICAL SERVICE: FLORIDA HOSPITAL AND WINNIE PALMER HOSPITAL ‐‐‐‐‐‐‐‐‐‐‐‐ 8 GYNECOLOGIC AND GYNECOLOGIC ONCOLOGY SERVICES: FLORIDA HOSPITAL AND WINNIE PALMER HOSPITAL ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 11 COMMUNITY WEEK AND SPECIALTY CLINICS‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐14 TIPS FOR A SUCCESSFUL OB/GYN ROTATION ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 15 LOGGING PATIENT ENCOUNTERS (THE PATIENT PASSPORT) ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 16 CLERKSHIP ATTENDANCE POLICY ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 19 CLERKSHIP OBJECTIVES ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 20 THE CASE PRESENTATION ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 22 ETHICS CASE WRITE‐UPGRADING POLICY ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 23 GRADING POLICY ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 24 GRADING CRITERIA...
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...The Central Problem of Economics Needs and Wants Needs are the things we can’t survive without. They are necessities of life e.g. food, clothing, shelter, water, basic wealth and basic education. Wants are the things we desire to have or own but we can survive without them e.g. cell phones, TVs, oars, radios, entertainment etc. Our want are unlimited and we never seem to be satisfied with what we have. It is people’s wants rather than their needs we provide the motive for economic activity. The economic resources that are available to satisfy our wants are limited. These resources are called factors of production which are : Land (Natural Resources) Land refer to natural resources over which people have power of disposal and of which may be used to yield income/money e.g. farming and building land, forests, mineral deposits, air, seas, oceans, vegetation, fisheries. The reward for land is rent. Labour Labour is human effort – physical or mental which is directed to the product of goods and services. Reward for labour is wages/salary. Capital Is money and all man-made assets used in the production of goods and services e.g. money, machinery, factories, delivery vans etc. Reward for capital is interest. Enterprise Land, labour and capital on their own will not produce anything. There must be a person or people who will organise the 3 factors of production so that production can take place. Whoever takes these decisions and consequent risks is known as the entrepreneur...
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...Health Net Access Member Handbook A helpful guide to getting services (Combined Evidence of Coverage and Disclosure Form) Benefit Year 2014 1 HELP IN ANOTHER LANGUAGE AND FOR THE DISABLED: HOW CAN I GET HELP? As a member of Health Net, you have access to a service that offers interpretive services in over 150 different languages. If you need this handbook or other health information in another language or in an alternative format such as large font, audio or accessible pdf, please contact Member Services at [1-888-788-4408 TTY/TDD: 1-888- 788-4872]. Also, if you need interpretive services, please call Member Services at least five (5) days before your medical appointment to arrange language interpretive services in time for your appointments. There is no cost for language interpretation services. You are not required to use family or friends to interpret for you. Como afiliado a Health Net, usted tiene acceso a servicios de interpretación en más de 150 idiomas. Si necesita este manual u otro tipo de información sobre salud traducido a otro idioma o en un formato diferente (como letra grande, audio o PDF accesible), comuníquese con el Departamento de Servicios al Afiliado al 1-888-788-4408 o a la línea TDD/TTY 1-888-7884872. Además, si necesita servicios de interpretación, comuníquese con el Departamento de Servicios al Afiliado al menos cinco (5) días antes de su cita médica para coordinar los servicios de interpretación de idiomas; así podrá disponer de ellos en sus citas...
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...Original Article Maternal awareness of health promotion, parental and preschool childhood obesity (6, n=200)=17.32, p=0.008). Maternal awareness of health promotion on healthy eating appeared to have a protective effect against overweight/obesity in three year old children (odds ratio=0.38, 95% CI=0.20 to 0.70). Furthermore, a higher proportion of overweight/obesity mothers had no awareness of health promotion as compared to 2 (4, n=200)=13.29, p=0.01). Maternal awareness of health promotion appeared to also have a protective effect against overweight/obesity in mothers (odds ratio=0.51, 95% CI=0.28 to 0.95). Conclusions: maternal awareness of health promotion on maternal and preschool childhood obesity. Additionally, this study showed that overweight and obese preschool children had parents who were also overweight and obese. 2 Aim: preschool childhood obesity, as well as maternal awareness of public health promotion on healthy eating with parental and preschool childhood obesity. Methods: Data were collected by measuring the height and weight of two hundred randomly selected three-year old children and their parents. Details of the early feeding and dietary styles and level of health promotion awareness were assessed in faceto-face structured health interviews with the parents. Results: between childhood obesity and parents’ obesity (r=0.2; p<0.001). A higher proportion of overweight and obese preschool children showed that their mothers lacked awareness of health promotion...
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...TOEFL VOCABULARY Below is a list of words that often appear on theTOEFL test. The underlined sections of a word provide links to definitions of that word's respective roots, prefixes and suffixes. Sentences are provided as examples of word usage. A act, ag react (verb): to act in response to something re + act How did he react when he heard the news? agent (noun): something which acts or acts upon something else ag + ent The travel agent helped her purchase the tickets. active (adjective): involving movement, moving about act + ive Joan is an active child. agitate (verb): to excite, to disturb, to stir up agit + ate The washing machine agitates the load of laundry. aud, audit, aur audible ( adjective): can be heard aud + ible Your voice is barely audible over the sound of the train whistle. auditorium (noun): a place where one goes to hear something audit+ orium The band played in the school auditorium auricular aur + ic + ul + ar The auricular ability of the cat is well-known. am, ami amorous (adjective): loving amor + ous The actor played an amorous role. amiable (adjective) friendly, agreeable ami + able He seems to be an amiable man. amicable (adjective): friendly amic + able The two neighbors came to an amicable decision about the fence. anim animal (noun): a living creature anim + al A dog is an animal. animate (verb): to give spirit or support, to supply movement anim + ate The artist animated the cartoon. animosity (noun):...
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...Licensed to: CengageBrain User Licensed to: CengageBrain User This is an electronic version of the print textbook. Due to electronic rights restrictions, some third party content may be suppressed. Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. The publisher reserves the right to remove content from this title at any time if subsequent rights restrictions require it. For valuable information on pricing, previous editions, changes to current editions, and alternate formats, please visit www.cengage.com/highered to search by ISBN#, author, title, or keyword for materials in your areas of interest. Copyright 2011 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s). Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it. Licensed to: CengageBrain User Sociology in Our Times: Ninth Edition Diana Kendall Sponsoring Editor: Erin Mitchell Developmental Editor: Renee Deljon/Kristin Makarewycz Freelance Development Editor: Tricia Louvar Assistant Editor: Linda Stewart Editorial Assistant: Mallory Ortberg Media Editor: Mary Noel Marketing Manager: Andrew Keay ...
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...enc es) L aw of C ont ract S peci al C ontr act C on sti tuti on al Hist ory of I ndi a Use of Law J ournal s and L egal S oftw ar e 1 Semester – I Monsoon Semester CORE CO URSE 101 : LAW OF TO RT I NCLUDI NG M V ACCI DENT AND CO NS UM ER P ROTECTION LAWS Objectives of the Course : Wit h rap id industrializat ion, to rt actio n came to u sed again st manu factu rers and industrial un it fo r p roducts injurious to human beings. Present ly the emphas is is o n extend ing th e principles no t only to acts, which are h armfu l, bu t also to failu re to co mply with stand ards that are continuously chang ing due to ad vancement in sc ience and techno lo gy. Product liab ilit y is no w assuming a new d imension in deve lo ped economics . In mo dern era o f consu mer co ncern o f goo ds and servic es, the law o f to rts has an added sign ificance with this fo rage into the eme rging law o f consu mer p rotection. It operates in disputes relat ing to the qualit y o f go ods supp lied...
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...THIRD EDITI ----- --·-- --·-- - - -- - O N -- SU PP LY CH AI N MA NA GE ME NT Stra tegy , Plan ning , and Ope ratio n Sunil Chopra Kellogg Schoo l of Manag ement Northwestern University Peter Meindl Stanfo rd University --------Prentice I-I all Uppe r Saddl e River , New Jersey ·--· PEAR SON -- · - · - - - "ibrary of Congress Cataloging-in-Publication Data :::hopra, Sunil Supply chain management: strategy, planning, and operation I Sunil Chopra, >eter Meind!.-3rd ed. p. em. Includes bibliographical references and index. ISBN: 0-13-208608-5 1. Marketing channels-Managemen t. 2. Delivery of goods-Management. i. Physical distribution of goods-Management. 4. Customer servicesvfanagement. 5. Industrial procurement. 6. Materials management. I. vfeindl, Peter II. Title. HF5415.13.C533 2007 658.7-dc22 2006004948 \VP/Executive Editor: Mark Pfaltzgraff ii:ditorial Director: Jeff Shelstad ;enior Project Manager: Alana Bradley E:ditorial Assistant: Barbara Witmer Vledia Product Development Manager: Nancy Welcher \VP/Executive Marketing Manager: Debbie Clare Vlarketing Assistant: Joanna Sabella ;enior Managing Editor (Production): Cynthia Regan flroduction Editor: Melissa Feimer flermissions Supervisor: Charles Morris Vlanufacturing Buyer: Michelle Klein Vlanager, Print Production: Christy Mahon Composition/Full-Service Project Management: Karen Ettinger, TechBooks, Inc. flrinter/Binder: Hamilton Printing Company Inc. fypeface: 10/12 Times Ten Roman :::redits...
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...THIRD EDITI ----- --·-- --·-- - - -- - O N -- SU PP LY CH AI N MA NA GE ME NT Stra tegy , Plan ning , and Ope ratio n Sunil Chopra Kellogg Schoo l of Manag ement Northwestern University Peter Meindl Stanfo rd University PEAR SON --------Prentice I-I all Uppe r Saddl e River , New Jersey ·--· -- · - · - - - "ibrary of Congress Cataloging-in-Publication Data :::hopra, Sunil Supply chain management: strategy, planning, and operation I Sunil Chopra, >eter Meind!.-3rd ed. p. em. Includes bibliographical references and index. ISBN: 0-13-208608-5 1. Marketing channels-Managemen t. 2. Delivery of goods-Management. i. Physical distribution of goods-Management. 4. Customer servicesvfanagement. 5. Industrial procurement. 6. Materials management. I. vfeindl, Peter II. Title. HF5415.13.C533 2007 658.7-dc22 2006004948 \VP/Executive Editor: Mark Pfaltzgraff ii:ditorial Director: Jeff Shelstad ;enior Project Manager: Alana Bradley E:ditorial Assistant: Barbara Witmer Vledia Product Development Manager: Nancy Welcher \VP/Executive Marketing Manager: Debbie Clare Vlarketing Assistant: Joanna Sabella ;enior Managing Editor (Production): Cynthia Regan flroduction Editor: Melissa Feimer flermissions Supervisor: Charles Morris Vlanufacturing Buyer: Michelle Klein Vlanager, Print Production: Christy Mahon Composition/Full-Service Project Management: Karen Ettinger, TechBooks, Inc. flrinter/Binder: Hamilton Printing Company Inc. fypeface:...
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...CONVERSION FACTORS FROM ENGLISH TO SI UNITS Length: 1 ft 1 ft 1 ft 1 in. 1 in. 1 in. 1 ft2 1 ft2 1 ft2 1 in.2 1 in.2 1 in.2 1 ft3 1 ft3 1 in.3 1 in.3 1 in. 1 in.3 1 ft/min 1 ft/min 1 ft/min 1 ft/sec 1 ft/sec 1 in./min 1 in./sec 1 in./sec 3 0.3048 m 30.48 cm 304.8 mm 0.0254 m 2.54 cm 25.4 mm 929.03 10 4 m2 929.03 cm2 929.03 102 mm2 6.452 10 4 m2 6.452 cm2 645.16 mm2 28.317 10 3 m3 28.317 103 cm3 16.387 10 6 m3 16.387 cm3 0.16387 0.16387 10 mm 10 4 m3 5 3 Coefficient of consolidation: Force: 1 in.2/sec 1 in.2/sec 1 ft2/sec 1 lb 1 lb 1 lb 1 kip 1 U.S. ton 1 lb 1 lb/ft 1 lb/ft2 1 lb/ft2 1 U.S. ton/ft2 1 kip/ft2 1 lb/in.2 1 lb/ft3 1 lb/in.3 1 lb-ft 1 lb-in. 1 ft-lb 1 in.4 1 in.4 6.452 cm2/sec 20.346 103 m2/yr 929.03 cm2/sec 4.448 N 4.448 10 3 kN 0.4536 kgf 4.448 kN 8.896 kN 0.4536 10 3 metric ton 14.593 N/m 47.88 N/m2 0.04788 kN/m2 95.76 kN/m2 47.88 kN/m2 6.895 kN/m2 0.1572 kN/m3 271.43 kN/m3 1.3558 N · m 0.11298 N · m 1.3558 J 0.4162 0.4162 106 mm4 10 6 m4 Area: Stress: Volume: Unit weight: Moment: Energy: Moment of inertia: Section modulus: Hydraulic conductivity: 0.3048 m/min 30.48 cm/min 304.8 mm/min 0.3048 m/sec 304.8 mm/sec 0.0254 m/min 2.54 cm/sec 25.4 mm/sec CONVERSION FACTORS FROM SI TO ENGLISH UNITS Length: 1m 1 cm 1 mm 1m 1 cm 1 mm 1m 1 cm2 1 mm2 1 m2 1 cm2 1 mm2 1m 1 cm3 1 m3 1 cm3 1N 1 kN 1 kgf 1 kN 1 kN 1 metric ton 1 N/m 3 2 3.281 ft 3.281 10 3.281 10 39.37 in. 0.3937 in. 0.03937 in. 2 Stress: 2 3 ft ft 1 N/m2 1 kN/m2...
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...The Bush Dynasty, America’s Invisible Government, and the Hidden History of the Last Fifty Years RUSS BAKER Contents Foreword by James Moore 1. How Did Bush Happen? 2. Poppy’s Secret 3. Viva Zapata 4. Where Was Poppy? 5. Oswald’s Friend 6. The Hit 7. After Camelot 8. Wings for W. 9. The Nixonian Bushes 10. Downing Nixon, Part I: The Setup 11. Downing Nixon, Part II: The Execution 12. In from the Cold 13. Poppy’s Proxy and the Saudis 14. Poppy’s Web 15. The Handoff 16. The Quacking Duck 17. Playing Hardball 18. Meet the Help 19. The Conversion 20. The Skeleton in W.’s Closet 21. Shock and . . . Oil? 22. Deflection for Reelection 23. Domestic Disturbance 24. Conclusion Afterword Author’s Note Acknowledgments Notes Foreword When a governor or any state official seeks elective national office, his (or her) reputation and what the country knows about the candidate’s background is initially determined by the work of local and regional media. Generally, those journalists do a competent job of reporting on the prospect’s record. In the case of Governor George W. Bush, Texas reporters had written numerous stories about his failed businesses in the oil patch, the dubious land grab and questionable funding behind a new stadium for Bush’s baseball team, the Texas Rangers, and his various political contradictions and hypocrisies while serving in Austin. I was one of those Texas journalists. I spent about a decade trying to find accurate...
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...Unlock your verbal edge for success Dr. J. Michael Bennett with Paul R. Scheele Million Dollar Vocabulary Million Dollar Vocabulary Playbook The course manual is for your personal use only and is to be used with the six audio recordings from the Million Dollar Vocabulary Personal Learning Course. All worldwide rights are reserved and exclusively owned by Learning Strategies Corporation. No part of this publication may be reproduced or distributed in part or in whole in any form or by any means, or stored in a database or retrieval system, without the prior written permission of Learning Strategies Corporation. Copyright 1999 by Learning Strategies Corporation “Paraliminal,” “Natural Brilliance,” “PhotoReading,” “EasyLearn,” “Personal Celebration,” and “Accelements” are exclusive trademarks of Learning Strategies Corporation worldwide. “Spring Forest Qigong” is a registered trademark of Chunyi Lin. “Diamond Feng Shui” and the Diamond Feng Shui Diamond are trademarks of Marie Vyncke-Diamond. ISBN 13: 978-0-925480-64-4 ISBN 10: 0-925480-64-9 FIRST EDITION June 1999 Printed in the United States of America For coaching and additional support, visit our online Discussion Forum at www.LearningStrategies.com Learning Strategies Corporation Innovating ways for you to experience your potential 2000 Plymouth Road Minnetonka, Minnesota 55305-2335 USA Toll-Free 1-888-800-2688 • 1-952-767-9800 Fax 1-952-475-2373 Mail@LearningStrategies.com www.LearningStrategies.com v042507 ...
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...Northern California Geolo Geology of Northern California Frank DeCourten Department of Earth Science Sierra College Standing more than 10,000 feet (3,000 m) above the surrounding terrain, Mt. Shasta is the largest volcano in northern California and symbolizes the dynamic geologic processes that have shaped a spectacular landscape. 63829_02_insidecover.qxd 11/25/08 12:53 AM Page ii ESSENTIAL QUESTIONS TO ASK Northern California.1 Introduction Ⅲ What are northern California’s physiographic provinces? Ⅲ What is the Farallon subduction zone? al Ⅲ What two types of plate boundaries exist in northern California today? th Ⅲ What are terranes, how do they originate, and why are they important in northern California? Northern California.2 The Sierra Nevada: California’s Geologic alifornia’s Ge Backbone Ⅲ What is the Sierra Nevada batholith? rra batholi Ⅲ What kinds of rocks surround the Sierra Nevada batholith? ra Ⅲ When and how was the modern Sierra Nevada uplifted? e Ⅲ What types of gold deposits occur in the Sierra Nevada? e? Ⅲ What is the Mother Lode? Northern California.3 The Klamath M Mountains t ath an Ne evada Ⅲ In what ways are the Klamath Mountains and the Sierra Nevada similar? ds ro o ath M Ⅲ What kinds of rocks comprise the ophiolites in the Klamath Mountains and what tectonic events do they signify? ineral occu th ntai Ⅲ What mineral resources occur in the Klamath Mountains? Northern California...
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...Praise for The Spirit Catches You and You Fall Down “Fadiman describes with extraordinary skill the colliding worlds of Western medicine and Hmong culture.” —The New Yorker “This fine book recounts a poignant tragedy…It has no heroes or villains, but it has an abundance of innocent suffering, and it most certainly does have a moral…[A] sad, excellent book.” —Melvin Konner, The New York Times Book Review “An intriguing, spirit-lifting, extraordinary exploration of two cultures in uneasy coexistence…A wonderful aspect of Fadiman’s book is her even-handed, detailed presentation of these disparate cultures and divergent views—not with cool, dispassionate fairness but rather with a warm, involved interest that sees and embraces both sides of each issue…Superb, informal cultural anthropology—eye-opening, readable, utterly engaging.” —Carole Horn, The Washington Post Book World “This is a book that should be deeply disturbing to anyone who has given so much as a moment’s thought to the state of American medicine. But it is much more…People are presented as [Fadiman] saw them, in their humility and their frailty—and their nobility.” —Sherwin B. Nuland, The New Republic 3/462 “Anne Fadiman’s phenomenal first book, The Spirit Catches You and You Fall Down, brings to life the enduring power of parental love in an impoverished refugee family struggling to protect their seriously ill infant daughter and ancient spiritual traditions from the tyranny of welfare bureaucrats and intolerant...
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