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When Evan Nazarenus returns from a teaching post at the summer school in Nebraska, he cannot wait for a couple of blissful weeks spent with his wife and two children in Clovis, a small town where his brother has a summer house. But soon after they arrive for the long awaited holiday, Swan, Evan's wife, announces that she is expecting a child ... who is not fathered by Evan. This news shocks and hurts Evan deeply, but for his children's sake he decides to keep it to himself through the holidays they dreamt of for so long. But a family secret of such calibre is difficult to hide and the curious small-town neighbours begin to notice that something is amiss with the couple. The Laughing Matter, first published in 1953, is a disturbing family drama set against the landscape of a small Californian town, with a close-knit community who embrace new-comers with the curiosity of those hungry for gossip. William Saroyan draws his characters with immense sensitivity for human erring and self-inflicted suffering.
This moving collection of poetry from renowned author Phoebe Cary offers a glimpse into the heart of a gifted writer and an extraordinary woman. With works that cover an array of themes, from love and loss to faith and hope, Cary's poems are as stirring and relevant today as they were when they were first written. This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work is in the "public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant.
Health care is witnessing an explosion of fundamental, clinical and translational research evidence. The emerging paradigm of evidence-based health care rests on the judicious integration of the patient needs/wants, the provider's expertise, and the best available research evidence in the treatment plan. The purpose of this book is to discuss the promise and the limitations of incorporating the best available evidence in clinical practice. It seeks to characterize and define how best available research evidence can be used in clinical practice and to what respect it applies to current public health issues.