Download or read book An American Marriage written by Tayari Jones and published by Algonquin Books. This book was released on 2018-02-06 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: THE INSTANT NEW YORK TIMES BESTSELLER! OPRAH’S BOOK CLUB 2018 SELECTION “One of my favorite parts of summer is deciding what to read when things slow down just a bit, whether it’s on a vacation with family or just a quiet afternoon . . . An American Marriage by Tayari Jones is a moving portrayal of the effects of a wrongful conviction on a young African-American couple.” —Barack Obama “Haunting . . . Beautifully written.” —The New York Times Book Review “Brilliant and heartbreaking . . . Unforgettable.” —USA Today “A tense and timely love story . . . Packed with brave questions about race and class.” —People “Compelling.” —The Washington Post “Epic . . . Transcendent . . . Triumphant.” —Elle Newlyweds Celestial and Roy are the embodiment of both the American Dream and the New South. He is a young executive, and she is an artist on the brink of an exciting career. But as they settle into the routine of their life together, they are ripped apart by circumstances neither could have imagined. Roy is arrested and sentenced to twelve years for a crime Celestial knows he didn’t commit. Though fiercely independent, Celestial finds herself bereft and unmoored, taking comfort in Andre, her childhood friend, and best man at their wedding. As Roy’s time in prison passes, she is unable to hold on to the love that has been her center. After five years, Roy’s conviction is suddenly overturned, and he returns to Atlanta ready to resume their life together. This stirring love story is a profoundly insightful look into the hearts and minds of three people who are at once bound and separated by forces beyond their control. An American Marriage is a masterpiece of storytelling, an intimate look deep into the souls of people who must reckon with the past while moving forward—with hope and pain—into the future.

Download or read book The House of Broken Angels written by Luis Alberto Urrea and published by Little, Brown. This book was released on 2018-03-06 with total page 275 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this "raucous, moving, and necessary" story by a Pulitzer Prize finalist (San Francisco Chronicle), the De La Cruzes, a family on the Mexican-American border, celebrate two of their most beloved relatives during a joyous and bittersweet weekend. "All we do, mija, is love. Love is the answer. Nothing stops it. Not borders. Not death." In his final days, beloved and ailing patriarch Miguel Angel de La Cruz, affectionately called Big Angel, has summoned his entire clan for one last legendary birthday party. But as the party approaches, his mother, nearly one hundred, dies, transforming the weekend into a farewell doubleheader. Among the guests is Big Angel's half brother, known as Little Angel, who must reckon with the truth that although he shares a father with his siblings, he has not, as a half gringo, shared a life. Across two bittersweet days in their San Diego neighborhood, the revelers mingle among the palm trees and cacti, celebrating the lives of Big Angel and his mother, and recounting the many inspiring tales that have passed into family lore, the acts both ordinary and heroic that brought these citizens to a fraught and sublime country and allowed them to flourish in the land they have come to call home. Teeming with brilliance and humor, authentic at every turn, The House of Broken Angels is Luis Alberto Urrea at his best, and cements his reputation as a storyteller of the first rank. "Epic . . . Rambunctious . . . Highly entertaining." -- New York Times Book Review"Intimate and touching . . . the stuff of legend." -- San Francisco Chronicle"An immensely charming and moving tale." -- Boston GlobeNational Bestseller and National Book Critics Circle Award finalistA New York Times Notable BookOne of the Best Books of the Year from National Public Radio, American Library Association, San Francisco Chronicle, BookPage, Newsday, BuzzFeed, Kirkus, St. Louis Post-Dispatch, Literary Hub

Download or read book The Street written by Ann Petry and published by HarperCollins. This book was released on 2013-08-23 with total page 447 pages. Available in PDF, EPUB and Kindle. Book excerpt: WITH A NEW INTRODUCTION FROM NEW YORK TIMES BEST-SELLING AUTHOR TAYARI JONES “How can a novel’s social criticism be so unflinching and clear, yet its plot moves like a house on fire? I am tempted to describe Petry as a magician for the many ways that The Street amazes, but this description cheapens her talent . . . Petry is a gifted artist.” — Tayari Jones, from the Introduction The Street follows the spirited Lutie Johnson, a newly single mother whose efforts to claim a share of the American Dream for herself and her young son meet frustration at every turn in 1940s Harlem. Opening a fresh perspective on the realities and challenges of black, female, working-class life, The Street became the first novel by an African American woman to sell more than a million copies.

Download or read book Study Guide for the Marriage and Family Therapy National Licensing Examination written by Robert Guise and published by . This book was released on 2015-09 with total page 598 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 6th Edition of the FSI MFT Study Guide was updated to specifically cover the current AMFTRB Exam slated for each of the 12 testing windows in 2018 and beyond; the New 6th Edition contains the correct and accurate information about each of the Knowledge Domains that may appear on the Marriage & Family Therapy Licensing Exam. FSI's "Knowledge Domain-to-Chapter Map" shows where in the Study Guide information can be found about each domain. As FSI hears of any changes to the exam, even after you have purchased the Home Study Program or Intensive Track, we will make the new content available to you via our eStudy site at a discounted price through our eStudy Program if you have purchased either the Home Study Program, eStudy Program or Intensive Track previously. As HIPAA has begun to appear more regularly on the exam, FSI has added an easy to understand HIPAA section in this new 6th Edition, as well as a chapter on Crisis Management and the DSM-5. Used by many COAMFTE Accredited MFT programs, the Study Guide serves as both a foundations and advanced theories text that will also successfully help you pass the AMFTRB National exam upon graduation.The Study Guide is a 600+ page hardbound book which concisely organizes the information most likely to be tested by the AMFTRB. The book presents this large body of knowledge in both a summary and more detailed form, emphasizing the most important concepts needed for the exam, in a very "user friendly" format. It is designed with both recent graduates and the older, very experienced clinicians in mind. Increasingly, COAMFTE Accredited MFT Programs are using the FSI Study Guide in their Foundation Courses to meet the new national exam pass percentage requirements for maintaining accreditation.

Download or read book The Marriage of Opposites written by Alice Hoffman and published by Simon and Schuster. This book was released on 2015-08-04 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt: “A luminous, Marquez-esque tale” (O, The Oprah Magazine) from the New York Times bestselling author of The Museum of Extraordinary Things: a forbidden love story set on a tropical island about the extraordinary woman who gave birth to painter Camille Pissarro—the Father of Impressionism. Growing up on idyllic St. Thomas in the early 1800s, Rachel dreams of life in faraway Paris. Rachel’s mother, a pillar of their small refugee community of Jews who escaped the Inquisition, has never forgiven her daughter for being a difficult girl who refuses to live by the rules. Growing up, Rachel’s salvation is their maid Adelle’s belief in her strengths, and her deep, life-long friendship with Jestine, Adelle’s daughter. But Rachel’s life is not her own. She is married off to a widower with three children to save her father’s business. When her older husband dies suddenly and his handsome, much younger nephew, Frédérick, arrives from France to settle the estate, Rachel seizes her own life story, beginning a defiant, passionate love affair that sparks a scandal that affects all of her family, including her favorite son, who will become one of the greatest artists of France. “A work of art” (Dallas Morning News), The Marriage of Opposites showcases the beloved, bestselling Alice Hoffman at the height of her considerable powers. “Her lush, seductive prose, and heart-pounding subject…make this latest skinny-dip in enchanted realism…the Platonic ideal of the beach read” (Slate.com). Once forgotten to history, the marriage of Rachel and Frédérick “will only renew your commitment to Hoffman’s astonishing storytelling” (USA TODAY).

Download or read book The Seven Principles for Making Marriage Work written by John Gottman, Ph.D. and published by Harmony. This book was released on 2002-02-04 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: Just as Masters and Johnson were pioneers in the study of human sexuality, so Dr. John Gottman has revolutionized the study of marriage. As a professor of psychology at the University of Washington and the founder and director of the Seattle Marital and Family Institute, he has studied the habits of married couples in unprecedented detail over the course of many years. His findings, and his heavily attended workshops, have already turned around thousands of faltering marriages. This book is the culmination of his life's work: the seven principles that guide couples on the path toward a harmonious and long-lasting relationship. Straightforward in their approach, yet profound in their effect, these principles teach partners new and startling strategies for making their marriage work. Gottman helps couples focus on each other, on paying attention to the small day-to-day moments that, strung together, make up the heart and soul of any relationship. Being thoughtful about ordinary matters provides spouses with a solid foundation for resolving conflict when it does occur and finding strategies for living with those issues that cannot be resolved. Packed with questionnaires and exercises whose effectiveness has been proven in Dr. Gottman's workshops, The Seven Principles for Making Marriage Work is the definitive guide for anyone who wants their relationship to attain its highest potential. The Seven Principles for Making Marriage Work is the result of Dr. John Gottman's many years of closely observing thousands of marriages. This kind of longitudinal research has never been done before. Based on his findings, he has culled seven principles essential to the success of any marriage. Maintain a love map. Foster fondness and admiration. Turn toward instead of away. Accept influence. Solve solvable conflicts. Cope with conflicts you can't resolve. Create shared meaning. Dr. Gottman's unique questionnaires and exercises will guide couples on the road to revitalizing their marriage, or making a strong one even better.

Download or read book Becoming Duchess Goldblatt written by Anonymous and published by Mariner Books. This book was released on 2020 with total page 239 pages. Available in PDF, EPUB and Kindle. Book excerpt: One of the New York Times' 20 Books to Read in 2020 "A tonic . . . Splendid . . . A respite . . . A summer cocktail of a book."--Washington Post "Unforgettable . . . Behind her brilliantly witty and uplifting message is a remarkable vulnerability and candor that reminds us that we are not alone in our struggles--and that we can, against all odds, get through them."--Lori Gottlieb, New York Times best-selling author of Maybe You Should Talk to Someone Part memoir and part joyful romp through the fields of imagination, the story behind a beloved pseudonymous Twitter account reveals how a writer deep in grief rebuilt a life worth living. Becoming Duchess Goldblatt is two stories: that of the reclusive real-life writer who created a fictional character out of loneliness and thin air, and that of the magical Duchess Goldblatt herself, a bright light in the darkness of social media. Fans around the world are drawn to Her Grace's voice, her wit, her life-affirming love for all humanity, and the fun and friendship of the community that's sprung up around her. @DuchessGoldblat (81 year-old literary icon, author of An Axe to Grind) brought people together in her name: in bookstores, museums, concerts, and coffee shops, and along the way, brought real friends home--foremost among them, Lyle Lovett. "The only way to be reliably sure that the hero gets the girl at the end of the story is to be both the hero and the girl yourself." -- Duchess Goldblatt

Download or read book The Quick Reference Guide to Marriage Family Counseling written by Dr. Tim Clinton and published by Baker Books. This book was released on 2009-09-01 with total page 412 pages. Available in PDF, EPUB and Kindle. Book excerpt: We all know of families or marriages in crisis. When those suffering in such situations turn to us for help, where do we turn? The Quick-Reference Guide to Marriage and Family Counseling provides the answers. It is an A-Z guide for assisting people-helpers--pastors, professional counselors, youth workers, and everyday believers--to easily access a full array of information to aid them in (formal and informal) counseling situations. Issues addressed by Clinton and Trent include affairs and adultery, communication in marriage, parenting, sibling rivalry, and many more. Each of the forty topics covered follows a helpful eight-part outline and identifies: 1) typical symptoms and patterns, 2) definitions and key thoughts, 3) questions to ask, 4) directions for the conversation, 5) action steps, 6) biblical insights, 7) prayer starters, and 8) recommended resources. About the series The Quick-Reference Guides are A-Z guides that assist people-helpers--pastors, professional counselors, youth workers, and everyday believers--to easily access a full array of information to aid them in (formal and informal) counseling situations. Each of the forty topics covered follows a helpful eight-part outline and identifies: 1) typical symptoms and patterns, 2) definitions and key thoughts, 3) questions to ask, 4) directions for the conversation, 5) action steps, 6) biblical insights, 7) prayer starters, and 8) recommended resources.

Download or read book The All or Nothing Marriage written by Eli J. Finkel and published by Penguin. This book was released on 2019-01-08 with total page 354 pages. Available in PDF, EPUB and Kindle. Book excerpt: “After years of debate and inquiry, the key to a great marriage remained shrouded in mystery. Until now...”—Carol Dweck, author of Mindset: The New Psychology of Success Eli J. Finkel's insightful and ground-breaking investigation of marriage clearly shows that the best marriages today are better than the best marriages of earlier eras. Indeed, they are the best marriages the world has ever known. He presents his findings here for the first time in this lucid, inspiring guide to modern marital bliss. The All-or-Nothing Marriage reverse engineers fulfilling marriages—from the “traditional” to the utterly nontraditional—and shows how any marriage can be better. The primary function of marriage from 1620 to 1850 was food, shelter, and protection from violence; from 1850 to 1965, the purpose revolved around love and companionship. But today, a new kind of marriage has emerged, one oriented toward self-discover, self-esteem, and personal growth. Finkel combines cutting-edge scientific research with practical advice; he considers paths to better communication and responsiveness; he offers guidance on when to recalibrate our expectations; and he even introduces a set of must-try “lovehacks.” This is a book for the newlywed to the empty nester, for those thinking about getting married or remarried, and for anyone looking for illuminating advice that will make a real difference to getting the most out of marriage today.

Download or read book Saving Your Marriage Before It Starts written by Les Parrott and published by Zondervan. This book was released on 2015-10-27 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt: OVER ONE MILLION COPIES SOLD! With this updated edition of their award-winning book, Drs. Les and Leslie Parrott help you launch lifelong love like never before. This is more than a book--it's an experience, especially when you use the his/her workbooks filled with more than 40 fun exercises. Get ready for deeper intimacy with the best friend you'll ever have. Saving Your Marriage Before It Starts, which has been translated into more than 15 languages, is the most widely used marriage prep tool in the world. Why? Because it will help you . . . Uncover the misbeliefs of marriage Learn to communicate with instant understanding Discover the secret to resolving conflict Master the skills of money management Get your sex life off to a great start A compelling video, featuring real-life couples, is available, and with this updated edition, Les and Leslie unveil the game-changing SYMBIS Assessment. Now you can discover how to leverage your personalities for a love that lasts a lifetime. Make your marriage everything it is meant to be. Save your marriage--before (and after) it starts.

Download or read book Behold the Dreamers written by Imbolo Mbue and published by Random House. This book was released on 2016-08-23 with total page 402 pages. Available in PDF, EPUB and Kindle. Book excerpt: A compulsively readable debut novel about marriage, immigration, class, race, and the trapdoors in the American Dream—the unforgettable story of a young Cameroonian couple making a new life in New York just as the Great Recession upends the economy New York Times Bestseller • Winner of the PEN/Faulkner Award • Longlisted for the PEN/Open Book Award • An ALA Notable Book NAMED ONE OF THE BEST BOOKS OF THE YEAR BY NPR • The New York Times Book Review • San Francisco Chronicle • The Guardian • St. Louis Post-Dispatch • Chicago Public Library • BookPage • Refinery29 • Kirkus Reviews Jende Jonga, a Cameroonian immigrant living in Harlem, has come to the United States to provide a better life for himself, his wife, Neni, and their six-year-old son. In the fall of 2007, Jende can hardly believe his luck when he lands a job as a chauffeur for Clark Edwards, a senior executive at Lehman Brothers. Clark demands punctuality, discretion, and loyalty—and Jende is eager to please. Clark’s wife, Cindy, even offers Neni temporary work at the Edwardses’ summer home in the Hamptons. With these opportunities, Jende and Neni can at last gain a foothold in America and imagine a brighter future. However, the world of great power and privilege conceals troubling secrets, and soon Jende and Neni notice cracks in their employers’ façades. When the financial world is rocked by the collapse of Lehman Brothers, the Jongas are desperate to keep Jende’s job—even as their marriage threatens to fall apart. As all four lives are dramatically upended, Jende and Neni are forced to make an impossible choice. Praise for Behold the Dreamers “A debut novel by a young woman from Cameroon that illuminates the immigrant experience in America with the tenderhearted wisdom so lacking in our political discourse . . . Mbue is a bright and captivating storyteller.”—The Washington Post “A capacious, big-hearted novel.”—The New York Times Book Review “Behold the Dreamers’ heart . . . belongs to the struggles and small triumphs of the Jongas, which Mbue traces in clean, quick-moving paragraphs.”—Entertainment Weekly “Mbue’s writing is warm and captivating.”—People (book of the week) “[Mbue’s] book isn’t the first work of fiction to grapple with the global financial crisis of 2007–2008, but it’s surely one of the best. . . . It’s a novel that depicts a country both blessed and doomed, on top of the world, but always at risk of losing its balance. It is, in other words, quintessentially American.”—NPR “This story is one that needs to be told.”—Bust “Behold the Dreamers challenges us all to consider what it takes to make us genuinely content, and how long is too long to live with our dreams deferred.”—O: The Oprah Magazine “[A] beautiful, empathetic novel.”—The Boston Globe “A witty, compassionate, swiftly paced novel that takes on race, immigration, family and the dangers of capitalist excess.”—St. Louis Post-Dispatch “Mbue [is] a deft, often lyrical observer. . . . [Her] meticulous storytelling announces a writer in command of her gifts.”—Minneapolis Star Tribune

Download or read book A Lasting Promise written by Scott M. Stanley and published by John Wiley & Sons. This book was released on 2014-01-07 with total page 359 pages. Available in PDF, EPUB and Kindle. Book excerpt: The revised edition of the bestselling Christian guide to a happy marriage For more than fifteen years, Scott Stanley's A Lasting Promise has offered solutions to common problems—facing conflicts, problem solving, improving communication, and dealing with core issues—within a Christian framework. Thoroughly revised and updated, this new edition is filled with sacred teachings of scripture, the latest research on marriage, and clear examples from the lives of couples. The book's strategies are designed to help couples improve communication, understand commitment, bring more fun into their relationship, and enhance their sex lives. Lead author Scott Stanley is co-director of the Center for Marital and Family Studies at the University of Denver and coauthor of Fighting for Your Marriage, which has sold more than a million copies. Offers reflections on how to enhance anyone's marriage over the long term and avoid divorce Covers recent cultural shifts, such as dealing with the endless technological distraction and issues with social networking New themes include the chemistry of love, the life-long implications of having bodies, and how to support one another emotionally Uses illustrative examples from couples’ lives and rich integration of insights from scripture This important book offers an invaluable resource for all couples who want to honor and preserve the holy sacrament of their union.

Download or read book The Only Woman in the Room written by Marie Benedict and published by Sourcebooks, Inc.. This book was released on 2019-01-08 with total page 307 pages. Available in PDF, EPUB and Kindle. Book excerpt: THE NEW YORK TIMES BESTSELLER THE USA TODAY BESTSELLER Bestselling author Marie Benedict reveals the story of a brilliant woman scientist only remembered for her beauty. Her beauty almost certainly saved her from the rising Nazi party and led to marriage with an Austrian arms dealer. Underestimated in everything else, she overheard the Third Reich's plans while at her husband's side and understood more than anyone would guess. She devised a plan to flee in disguise from their castle, and the whirlwind escape landed her in Hollywood. She became Hedy Lamarr, screen star. But she kept a secret more shocking than her heritage or her marriage: she was a scientist. And she had an idea that might help the country fight the Nazis and revolutionize modern communication...if anyone would listen to her. A powerful book based on the incredible true story of the glamour icon and scientist, The Only Woman in the Room is a masterpiece that celebrates the many women in science that history has overlooked. Other Bestselling Historical Fiction from Marie Benedict: The Mystery of Mrs. Christie Lady Clementine Carnegie's Maid The Other Einstein

Download or read book Foreverland written by Heather Havrilesky and published by HarperCollins. This book was released on 2022-02-08 with total page 270 pages. Available in PDF, EPUB and Kindle. Book excerpt: A Recommended Read from: Good Morning America • Good Housekeeping • Esquire • Shondaland • Atlanta Journal-Constitution • The Week • Lit Hub • Publishers Weekly An illuminating, poignant, and savagely funny examination of modern marriage from Ask Polly advice columnist Heather Havrilesky If falling in love is the peak of human experience, then marriage is the slow descent down that mountain, on a trail built from conflict, compromise, and nagging doubts. Considering the limited economic advantages to marriage, the deluge of other mate options a swipe away, and the fact that almost half of all marriages in the United States end in divorce anyway, why do so many of us still chain ourselves to one human being for life? In Foreverland, Heather Havrilesky illustrates the delights, aggravations, and sublime calamities of her marriage over the span of fifteen years, charting an unpredictable course from meeting her one true love to slowly learning just how much energy is required to keep that love aflame. This refreshingly honest portrait of a marriage reveals that our relationships are not simply “happy” or “unhappy,” but something much murkier—at once unsavory, taxing, and deeply satisfying. With tales of fumbled proposals, harrowing suburban migrations, external temptations, and the bewildering insults of growing older, Foreverland is a work of rare candor and insight. Havrilesky traces a path from daydreaming about forever for the first time to understanding what a tedious, glorious drag forever can be.

Download or read book Alienated America written by Timothy P. Carney and published by HarperCollins. This book was released on 2019-02-19 with total page 368 pages. Available in PDF, EPUB and Kindle. Book excerpt: Now a Washington Post bestseller. Respected conservative journalist and commentator Timothy P. Carney continues the conversation begun with Hillbilly Elegy and the classic Bowling Alone in this hard-hitting analysis that identifies the true factor behind the decline of the American dream: it is not purely the result of economics as the left claims, but the collapse of the institutions that made us successful, including marriage, church, and civic life. During the 2016 presidential campaign, Donald J. Trump proclaimed, “the American dream is dead,” and this message resonated across the country. Why do so many people believe that the American dream is no longer within reach? Growing inequality, stubborn pockets of immobility, rising rates of deadly addiction, the increasing and troubling fact that where you start determines where you end up, heightening political strife—these are the disturbing realities threatening ordinary American lives today. The standard accounts pointed to economic problems among the working class, but the root was a cultural collapse: While the educated and wealthy elites still enjoy strong communities, most blue-collar Americans lack strong communities and institutions that bind them to their neighbors. And outside of the elites, the central American institution has been religion That is, it’s not the factory closings that have torn us apart; it’s the church closings. The dissolution of our most cherished institutions—nuclear families, places of worship, civic organizations—has not only divided us, but eroded our sense of worth, belief in opportunity, and connection to one another. In Abandoned America, Carney visits all corners of America, from the dim country bars of Southwestern Pennsylvania., to the bustling Mormon wards of Salt Lake City, and explains the most important data and research to demonstrate how the social connection is the great divide in America. He shows that Trump’s surprising victory was the most visible symptom of this deep-seated problem. In addition to his detailed exploration of how a range of societal changes have, in tandem, damaged us, Carney provides a framework that will lead us back out of a lonely, modern wilderness.

Download or read book The Intimate Marriage written by Ligonier Ministries and published by . This book was released on 2018-02-02 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Study guide for The Intimate Marriage includes lesson objectives, message outline, study questions, and discussion questions. Suitable for individual or group study.

Download or read book The Marriage Checkup Practitioner s Guide written by James V. Cordova and published by Amer Psychological Assn. This book was released on 2014 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although relationship science has shown that relationship health is as real as mental and physical health, and that relationship health has powerful effects on mental health, physical health, and the health and welfare of children, relationship healthcare remains decades behind dental and physical healthcare. This is especially true when it comes to regular preventative care and early intervention. Like all the systems within our bodies, our relationships require attention in order to thrive. The Marriage Checkup (MC) is one way clinicians can create spaces where partners can, for a moment, leave the busywork of daily life behind and reenter the intimate space between them with loving attention. The MC is a short, two-session, assessment and feedback marital health check designed to help couples confront their problems on an annual basis. It provides partners with a regular forum in which to examine that for which they are most grateful and that about which they are genuinely concerned. Designed to foster and deepen intimacy, the MC provides couples with feedback from which they can discover new ideas about how to best serve the health of their marriage and the intimacy of their connection. In this book, James V. Cordova describes how clinicians can encourage partners to maintain their marital health by attending to their strengths, managing their areas of conflict gracefully, and regularly providing the relationship with loving attention. He also shows how to prevent marital health deterioration by attuning partners to corrosive patterns in their relationship. Useful early interventions are described and illustrated generously with case examples. Therapists working with partners who are already severely distressed when they present for their Marriage Checkup will learn how to motivate them to seek out more extensive tertiary care.