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The one she was meant to be with was in front of her the whole time. Gina's world is turned upside down when two men from her past cross paths. Eric, the boy she once competed with in high school, is now a man determined to win her heart. Jorgen, her brother's best friend, is equally determined to protect her from the heartache of a failed romance. With the stakes high, both men will do whatever it takes to prove their worth and determine Gina's fate. Only one can be her happily ever after, but who will win her heart in the end? *Previously published as The Chance to Win Her Heart
The Patient Self-Determination Act of 1990 required medical facilities to provide patients with written notification of their right to refuse or consent to medical treatment. Using this Act as an important vehicle for improving the health care decisionmaking process, Lawrence P. Ulrich explains the social, legal, and ethical background to the Act by focusing on well-known cases such as those of Karen Quinlan and Nancy Cruzan, and he explores ways in which physicians and other caregivers can help patients face the complex issues in contemporary health care practices. According to Ulrich, health care facilities often address the letter of the law in a merely perfunctory way, even though the Act integrates all the major ethical issues in health care today. Ulrich argues that well-designed conversations between clinicians and patients or their surrogates will not only assist in preserving patient dignity — which is at the heart of the Act—but will also help institutions to manage the liability issues that the Act may have introduced. He particularly emphasizes developing effective advance directives. Ulrich examines related issues, such as the negative effect of managed care on patient self-determination, and concludes with a seldom-discussed issue: the importance of being a responsible patient. Showing how the Patient Self-Determination Act can be a linchpin of more meaningful and effective communication between patient and caregiver, this book provides concrete guidance to health care professionals, medical ethicists, and patient-rights advocates.
Warren French and Anne Eager were married in 1841. They migrated from North Bangor, Franklin County, New York to Allegon, Michigan and settled at Mattawan. Their daughter, Ella Cadwin French was born there in 1852. She married Wells Edgerly and they had 11 children. Descendants lived in Oregon, Wyoming, Utah, Texas, Idaho, Colorado and elsewhere.
The Luria-Nebraska Neuropsychological Battery is a relatively new neurodiagnostic test, and there is a growing demand for material on the more advanced aspects of its interpretation. This book, organized around the theoretical meaning of items, the empirical correlations between items, and the factor structure of the individual scales, is a first response to that demand. It will serve to give greater understanding of the psychological skills that underlie each item on the Luria-Nebraska battery—an understanding prerequisite to the techniques of “syndrome analysis” described in the writings of A. R. Luria—and it will be particularly useful to those who have limited experience with actual case material. The major part of the book is an analysis of each Luria-Nebraska scale, either item by item or as a unit. For each scale the authors examine the theoretical intent of the items and the underlying skills according to Luria’s theory. They then present the results of item interrelations analysis to determine whether the items tap common skills. Finally they describe the factor structure of the various scales, exploring the interrelations of items within each scale. In addition to analyzing the behavioral scales of the Luria-Nebraska battery, the book reviews a number of other empirical scales that further aid interpretation—particularly the experimental localization scales that tap focal deficits in specific areas of the brain. Also included are case histories that illustrate the process of diagnosis in patients who receive a series of Luria-Nebraska batteries over the course of their treatment. Finally, the authors briefly discuss subcortical disorders—an issue often ignored in clinical neuropsychological testing.