A comprehensive, one-of-a-kind, evidence-based handbook to support postpartum healing and recovery Pregnancy may have left you feeling that there’s no way to fix common postpartum symptoms , such as pelvic floor issues, exhaustion, and burnout, and lactation woes. But that's simply not true. With this revolutionary resource in hand, you’ll learn what happens to the body during pregnancy and childbirth, common changes in function and feeling, and solutions for healing. Your Postpartum Body was written with expertise by a pelvic floor physical therapist who'll empower you so that you can feel like yourself again—physically and mentally. You’ve probably heard plenty of anecdotes about what might help or hurt (to Kegel or not to Kegel?), and felt unsure about what's right for you. This book is backed up with medical expertise and practical advice. Your Postpartum Body is the complete reference guide for every eventuality—hydration, nutrition, lactation, how to end lactation successfully, pelvic floor recovery, finding your abs again, reducing pain, reclaiming your sexuality, and getting back to fitness confidently—with helpful illustrations and photos throughout. While your body is undoubtedly different (after all, you just grew a human!), you do not have to live with pain, incontinence, weakness, or feeding stress. You now hold the tools and techniques you need to heal and nourish your body and mind.
This important reference work is essential reading for drama educators, therapists, and others in the helping professions. Part I considers drama from the perspective of the philosophers, from those of ancient Greece to modern times. Part II examines drama and play as seen by various schools of psychology, beginning with the depth psychology of Freud, Jung and Adler, and going on to discuss more recent schools, such as the drama therapy of Jacob Moreno. In Part III, the authors considers drama from a broader sociological and anthropological perspective, giving us a glimpse of its importance in cultures distant from each other in time and space. Part IV ties together the earlier chapters, and we see how drama relates to intuition, symbolism, and the fundamental structures of human thought.
Life is not fair! Imagine going steadfastly through life, enjoying a healthy lifestyle, playing by the rules and obeying the Word of God, only to be blindsided by a terminal cancer diagnosis in the prime of your life. In My God, It's Cancer, Courtney Mullings shares the inspiring story of the medical, emotional and spiritual struggles encountered on his journey with what science defines as an incurable cancer. His exceptional life moments with the disease are encapsulated and documented to reveal episodes of struggles with guilt and unworthiness, and how he coped with the multiple failures and setbacks through his faith. Travel with him to experience how he continuously sought God as his refuge and remained fervently faithful that he would receive complete healing through God's grace. Courtney's faith gave him indomitable strength. Learn how his outrageous faith reinforces the concept of transcendental hope beyond what can be seen or reasoned through our natural senses, but as he has experienced from God. By telling his story, he hopes to inspire, motivate and reach the many people who want to believe there is hope for their individual situations, but may be challenged by the realities of current circumstances. His story will help you to appreciate that life will inevitably present daunting challenges, but you have a choice in how you respond. God provides us with unlimited solutions through grace to address all of life's challenges. What level of faith are you willing to invest in God for your best outcome?
Silence your inner critic and offer yourself the kindness and acceptance you deserve with these 150 guided meditations to embracing your true self. We are often kinder to others than we are to ourselves. But self-compassion is vital to helping you understand your emotions, giving and receiving love, letting go of past mistakes, moving forward with more confidence, and so much more. Now you can cultivate and practice self-compassion through 150 guided meditations in My Pocket Mediations for Self-Compassion. Learn how to find and express kindness and compassion towards yourself and make peace with your emotions, build your resiliency, and learn not only to accept, but appreciate exactly who you are. Featuring meditations on self-appreciation, being body positive, accepting love, meeting your emotions, and more, this book will help you start living with more self-awareness, kindness, and peace every day.
Since its first publication in 1936, Sabiston Textbook of Surgery has been regarded as the preeminent source for definitive guidance in all areas of general surgery. The First South Asia edition continues the rich tradition of quality that has made this classic text synonymous with the specialty and a part of generations of surgery residents and practitioners. Meticulously updated throughout, this classic text concisely covers the breadth of material needed for certification and practice of general surgery. Detailed, full-color intraoperative illustrations and high-quality video clips capture key teaching moments, allowing you to better understand the basic science of surgery, make the most informed decisions and achieve optimal outcomes for every patient. Key Features - Understand the underlying science and its clinical application to make informed surgical decisions and achieve optimal outcomes. - Overcome tough challenges, manage unusual situations, and avoid complications with the most trusted advice in your field. - Get the depth of coverage you need in an easily accessible, single volume organized by organ and along traditional lines beginning with principles common to surgical specialties including fluid and electrolyte management, metabolic support, and wound healing. Subsequent sections review the management of injury, transplantation, oncology, breast, endocrine, and abdominal procedures. - Explore topics encountered by general surgery residents in training as well as in-depth coverage of subspecialty areas including head and neck, thoracic, vascular, urology, neurosurgery, pediatrics, and gynecology. - Visually grasp and retain difficult concepts thanks to a full-color design featuring an abundance of illustrations, intraoperative photographs, video clips and tables as well as more schematic diagrams that facilitate the comprehension of surgical techniques and procedures.
Master the role and skills of the medical-surgical nurse in Canada with the book that has it all! Lewis's Medical-Surgical Nursing in Canada: Assessment and Management of Clinical Problems, 5th Edition reflects the expertise of nurses from across Canada with evidence-informed guidelines, a focus on clinical trends, and a review of pathophysiology. Clear examples make it easy to understand every concept in nursing care — from health promotion to acute intervention to ambulatory care. An Evolve website includes new case studies to enhance your skills in clinical judgement and prepare you for the Next Generation NCLEX®, CPNRE®, and REx-PNTM. From Canadian educators Jane Tyerman and Shelley L. Cobbett, this comprehensive guide provides a solid foundation in perioperative care as well as nursing care of disorders by body system. - Easy-to-understand content is written and reviewed by leading experts in the field, ensuring that information is comprehensive, current, and clinically accurate. - More than 800 full-colour illustrations and photographs demonstrate disease processes and related anatomy and physiology. - Focus on key areas includes the determinants of health, patient and caregiver teaching, age-related considerations, collaborative care, cultural considerations, nutrition, home care, evidence-informed practice, and patient safety. - Nursing Assessment chapters focus on individual body systems and include a brief review of related anatomy and physiology, a discussion of health history and non-invasive physical assessment skills, and note common diagnostic studies, expected results, and related nursing responsibilities. - Unfolding case studies in each assessment chapter help you apply important concepts and procedures to real-life patient care. - UNIQUE! Levels of Care approach organizes nursing management into three levels: health promotion, acute intervention, and ambulatory and home care. - Nursing Management chapters focus on the pathophysiology, clinical manifestations, laboratory and diagnostic study results, interprofessional care, and nursing management of various diseases and disorders, and are organized to follow the steps of the nursing process (assessment, nursing diagnoses, planning, implementation, and evaluation). - Safety Alerts and Drug Alerts highlight important safety issues in patient care. - Informatics boxes discuss the importance and use of technology with topics such as use of social media in the context of patient privacy, teaching patients to manage self-care using smartphone apps, and using Smart infusion pumps. - Cultural Competence and Health Equity in Nursing Care chapter discusses culture as a determinant of health, especially in regard to Indigenous populations; health equity and health equality issues as they relate to marginalized groups in Canada; and practical suggestions for developing cultural competence in nursing care. - More than 60 comprehensive nursing care plans on the Evolve website include defining characteristics, expected outcomes, specific nursing interventions with rationales, evaluation criteria, and collaborative problems.
**American Journal of Nursing (AJN) Book of the Year Awards, 1st Place in Medical-Surgical Nursing, 2023** **Selected for Doody's Core Titles® 2024 with "Essential Purchase" designation in Medical/Surgical** Gain the knowledge and skills you need to succeed in medical-surgical nursing with this leading textbook! Lewis's Medical-Surgical Nursing, 12th Edition uses a conversational writing style, a focus on nursing concepts and clinical trends, evidence-based content, and basic pathophysiology review to provide the solid foundation needed in a rapidly changing healthcare environment. Comprehensive chapters cover topics including nursing management and collaboration, health promotion, acute interventions, and ambulatory care. Summary tables and boxes make it easy to find essential information, and a building-block approach makes even the most complex concepts simple to grasp. In addition to three new chapters, this edition includes a stronger focus on the nursing process, clinical judgment, and preparation for the Next-Generation NCLEX® Examination.
This box set contains three opening books from three of Courtney Milan's brilliant historical romance series—a delicious way to discover this author. This set contains two full-length books and a novella. The Governess Affair: Three months ago, governess Serena Barton was sacked, and now she's demanding compensation from the man responsible: a petty, selfish duke. But it's not the duke she fears. Hugo Marshall handles all the duke's dirty business, and he's been ordered to get rid of her by fair means or foul. Now if only Hugo didn't find her so compelling.. Unveiled: When Ash Turner heads to Parford Manor to survey the dukedom he believes he has won from an old enemy, he's not counting on Lady Margaret, the duke's daughter, who has sworn to foil him at every turn. Proof by Seduction: When Gareth Carhart discovers that his vulnerable young cousin is seeing a fortune teller, he vows to prove her a fraud. But he soon discovers that Jenny Keeble is far more than she appears to be, and before he knows it, he's caught in her spell... This is an enhanced ebook. In addition to the text of the book itself, it contains pictures, audio, and author commentary. You can read this enhanced ebook on any device, but the audio content may not be accessible on all ereaders. That content has been made available on the web, so you won't miss anything if your device doesn't support audio.
This distinguished reference carries on a 70-year legacy as the world's most thorough, useful, readable, and understandable text on the principles and techniques of surgery. Its peerless contributors deliver all the well-rounded, state-of-the-art knowledge you need to richly grasp the pathophysiology and optimal management of every surgical condition-so you can make the best clinical decisions, avoid complications, manage unusual situations, and achieve the best possible outcomes. It is a valuable review tool for certification/recertification preparation, and an indispensable source of guidance on overcoming the challenges that arise in everyday practice. As an Expert Consult title, the thoroughly updated 18th edition comes with access to the complete contents online, fully searchable-enabling you to consult it rapidly from any computer with an Internet connection. In addition, this Premium Edition includes timely clinical updates online, plus links to MEDLINE, downloadable illustrations, bonus journal articles, review questions, and much more. Offers a more distinguished team of contributors and a better blend of clinical and basic-science information than any other source, providing you with the best possible understanding of the clinical issues surrounding every operative situation. Features a more user-friendly format, a larger and more helpful array of full-color illustrations, and a more versatile and well-constructed web site than other resources-making the answers that you need easier to locate and understand quickly. Offers an organization and content that parallels the written board American Board of Surgery exam, providing excellent preparation for certification and recertification. Includes access to the complete contents online, fully searchable, PLUS timely updates to reflect new scientific and clinical developments · references linked to MEDLINE · downloadable illustrations · bonus articles from important surgery periodicals (such as Surgical Clinics of North America, the American Journal of Surgery, Operative Techniques in General Surgery, and Seminars in Colon and Rectal Surgery) · review questions · and other valuable features. Incorporates an enhanced emphasis on surgical outcomes to mirror the growing importance of this topic. Delivers comprehensive updates to keep you current with the latest research, techniques, and emerging procedures in the field, as well as completely new chapters on "Surgical Patient Safety" and "Regenerative Medicine.
Of all Ash Turner's accomplishments, stealing a dukedom from his old enemy is by far the most brazen. Now that he's been recognized as the heir, nothing remains but to head to Parford Manor and survey the estate that will be his. He expects opposition. He gets Lady Margaret. Margaret lost everything when Ash claimed the dukedom: her dowry, her legitimacy, and her place in society. Now Ash wants to take her family home, too. She disguises herself as a nurse, determined to learn his weaknesses. But the closer she comes to Ash, the greater the pull of his reckless charm. If she wants to reclaim what she has lost, her only choice is to betray the man she is beginning to love... This is an enhanced ebook. In addition to the text of the book itself, it contains pictures and audio. You can read this enhanced ebook on any device, but the audio content may not be accessible on all ereaders. That content has been made available on the web, so you won't miss anything if your device doesn't support audio. Unveiled is the first book in the Turner series. The full series is: - Unveiled - Unlocked, a companion novella - Unclaimed - Unraveled
Courtney Milan's critically acclaimed and New York Times bestselling Turner series is now available in one boxed set. This set contains three full-length books and a novella. Unveiled: When Ash Turner heads to Parford Manor to survey the dukedom he believes he has won from an old enemy, he's not counting on Lady Margaret, the duke's daughter, who has sworn to foil him at every turn. Unlocked: Elaine Warren has resigned herself to life as a spinster and a wallflower, but when Evan Carlton, the Earl of Westfeld, returns after a long absence, she's afraid that he plans to torment her as he did before. This time, though, she vows to show him that wallflowers can fight back... Unclaimed: Sir Mark Turner wrote the book on chastity—literally. Who better to bring him to ruin, then, than Jessica Farleigh, the courtesan hired to destroy his reputation? Unraveled: Smite Turner is dedicated to his duty as magistrate, and he'll stick to it...no matter how harsh he must be with the woman who shows up in his courtroom in disguise. This is an enhanced ebook. In addition to the text of the book itself, it contains pictures, audio, and author commentary. You can read this enhanced ebook on any device, but the audio content may not be accessible on all ereaders. That content has been made available on the web, so you won't miss anything if your device doesn't support audio.
This portfolio presents intimate case study narratives, providing an in-depth account of DNP best practices for clinical practice. The book covers important topics such as the development of DNP clinical competencies, performance objectives, utilizing evidence-based practice, a DNP approach to adolescent care, caring for the chronically ill, mental health care, adult health care, and many more. The main purpose of this book is to provide DNP faculty and students with a reliable and detailed guide to use when implementing a format to document care provided. The case narratives presented in this book differ from the traditional case study format: students delineate all aspects of the decision-making process, identify the evidence that supports the decision, discuss the robustness of the evidence, analyze the effectiveness of the clinical decision, and critically reflect on the overall case. This detailed format captures the complexity and details of clinical practice. Key Features: Incorporates descriptive narratives that help readers understand the complex cognitive processes employed during the provision of care Presents information based on actual patient encounters that include the reasons for selecting the case, assessment, care provided, and outcomes Provides evidence for all decisions made in the portfolio, which is "leveled" according to the Oxford Centre for Evidence Based Medicine Concludes each case narrative with the DNP student's own reflection and analysis of how successfully each competency was fulfilled
This interactive adventure is a perfect primer for learning about the human body! Which part of the brain is in charge of creativity? What is the smallest human muscle? Take a trip inside the human body and discover the amazing systems that allow us to move, breathe, and speak. After reading about everything from the digestive tract to the cornea, kids can assemble their own plastic skeleton and view the systems of the body in a layered cardstock model. With 20 fact cards, 2 sticker sheets, and a double-sided poster, this interactive kit is a perfect primer for learning about how the human body works. Includes: *40-page fact book *1 plastic model skeleton (13 pieces) *Layered cardstock model *2 sticker sheets *1 double-sided poster
Sabiston Textbook of Surgery is your ultimate foundation for confident surgical decision making. Covering the very latest science and data affecting your treatment planning, this esteemed medical reference helps you make the most informed choices so you can ensure the best outcome for every patient. Consult it on the go with online access at expertconsult.com, and get regular updates on timely new findings and advances. Overcome tough challenges, manage unusual situations, and avoid complications with the most trusted advice in your field. Prepare for tests and exams with review questions and answers online. Keep up with the very latest developments concerning abdominal wall reconstruction, tumor immunology and immunotherapy, peripheral vascular disease, regenerative medicine, liver transplantation, kidney and pancreas transplantation, small bowel transplantation, the continually expanding role of minimally invasive and robotic surgery, and many other rapidly evolving areas. Weigh your options by reviewing the most recent outcomes data and references to the most current literature.
Winner of the NASSS Outstanding Book Award Hockey and multiculturalism are often noted as defining features of Canadian culture; yet, rarely are we forced to question the relationship and tensions between these two social constructs. This book examines the growing significance of hockey in Canada’s South Asian communities. The Hockey Night in Canada Punjabi broadcast serves as an entry point for a broader consideration of South Asian experiences in hockey culture based on field work and interviews conducted with hockey players, parents, and coaches in the Lower Mainland of British Columbia. This book seeks to inject more “color” into hockey’s historically white dominated narratives and representations by returning hockey culture to its multicultural roots. It encourages alternative and multiple narratives about hockey and cultural citizenship by asking which citizens are able to contribute to the webs of meaning that form the nation’s cultural fabric.
Get a leg up in your medical-surgical nursing class and on the NCLEX examination with this essential study guide. Corresponding to the chapters in the 11th edition of Lewis' market-leading text Medical-Surgical Nursing: Assessment and Management of Clinical Problems, this study guide offers a complete review of the important information in your Lewis text as well as a wide variety of purposeful exercises to help you apply your understanding of key nursing concepts. Questions reflect the most current NCLEX test plan and include multiple choice, prioritization, delegation, case studies, and alternate item formats. Plus, answers for all exercises are included in the back of the book to give you immediate feedback on your understanding and make studying easier overall. A wide variety of clinically relevant exercises and activities include NCLEX-examination-style alternate item questions, multiple-choice questions, prioritization questions, delegation, and case studies. Answers to all questions located in the back of the book provide you with immediate feedback and help make your study time more efficient overall. Attractive four-color design helps you better retain key information. NEW! Updated content reflects the information revisions in the new 11th edition of Lewis’s Medical-Surgical Nursing text.
International politics has become increasingly legalized over the past fifty years, restructuring the way states interact with each other, international institutions, and their own constituents. The international legalization of human rights now makes it possible for individuals to take human rights claims against their governments at international courts such as the European and Inter-American Courts of Human Rights. This book brings together theories from international law, human rights and international relations to explain the increasingly important phenomenon of states' compliance with human rights tribunals' rulings. It argues that this is an inherently domestic affair. It posits three overarching questions: why do states comply with human rights tribunals' rulings? How does the compliance process unfold and what are the domestic political considerations around compliance? What effect does compliance have on the protection of human rights? The book answers these through a combination of quantitative analyses and in-depth case studies from Argentina, Brazil, Colombia, Italy, Portugal, Russia and the United Kingdom.
If you are planning to be, or are already an IT Contract worker, you want the information contained in this book. Clear and concise, this text shows the pros, cons and rewards of this exciting field of endeavor. Contents include special sections for women, older persons and those returning to the work force.
This is a really useful and comprehensive guide for Chinese students about the essential academic skills needed for successful study in higher education in the UK. It covers all skill areas as well as general information for Chinese students new to the UK academic environment.′ - Julie Watson, Principal Teaching Fellow in e-Learning and Head of eLanguages, University of Southampton Leaving China to study in the UK for the first time can be a daunting experience. You will be entering a new country and education system with its own culture, customs and values, some of which will be totally different from those back home. You will need to acquaint yourself with these differences to achieve your goals while studying in the UK and make the most of your stay. You may be finding it difficult to find this information, you may even be feeling anxious about the move or struggling to fit into your new environment. Help is at hand! This easy-to-read book is designed to be your companion throughout your university studies in the UK, providing practical information and skills and strategies for success. This guide: Introduces you to many life skills needed to support your studies in the UK, such as food, socialising and local amenities Contains information regarding UK assessment, lectures, seminars, campus life and support available from faculty Covers language and comprehension skills to help you communicate in your work and in the classroom with peers Explains the main differences between Eastern and Western thinking and culture Includes research skills and strategies for dissertations, essays and exams. Other useful features: Xiangping has included study tips in Chinese to help you fully understand each chapter Key words in each chapter are also provided in Chinese, alongside a test on the topic Hear from other Chinese students about their own experiences studying in the UK. This essential guide will help you to flourish in your UK studies and enjoy yourself along the way! The Student Success series are essential guides for students of all levels. From how to think critically and write great essays to planning your dream career, the Student Success series helps you study smarter and get the best from your time at university. Visit the SAGE Study Skills hub for tips and resources for study success!
Murray and Nadel’s Textbook of Respiratory Medicine has long been the definitive and comprehensive pulmonary disease reference. Robert J. Mason, MD now presents the fifth edition in full color with new images and highlighted clinical elements. The fully searchable text is also online at www.expertconsult.com, along with regular updates, video clips, additional images, and self-assessment questions. This new edition has been completely updated and remains the essential tool you need to care for patients with pulmonary disease. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Compatible with Kindle®, nook®, and other popular devices. Master the scientific principles of respiratory medicine and its clinical applications. Work through differential diagnosis using detailed explanations of each disease entity. Learn new subjects in Pulmonary Medicine including Genetics, Ultrasound, and other key topics. Grasp the Key Points in each chapter. Search the full text online at expertconsult.com, along with downloadable images, regular updates, more than 50 videos, case studies, and self-assessment questions. Consult new chapters covering Ultrasound, Innate Immunity, Adaptive Immunity, Deposition and Clearance, Ventilator-Associated Pneumonia. Find critical information easily using the new full-color design that enhances teaching points and highlights challenging concepts. Apply the expertise and fresh ideas of three new editors—Drs. Thomas R. Martin, Talmadge E. King, Jr., and Dean E. Schraufnagel. Review the latest developments in genetics with advice on how the data will affect patient care.
This landmark publication distills the body of knowledge that characterizes mineral processing and extractive metallurgy as disciplinary fields. It will inspire and inform current and future generations of minerals and metallurgy professionals. Mineral processing and extractive metallurgy are atypical disciplines, requiring a combination of knowledge, experience, and art. Investing in this trove of valuable information is a must for all those involved in the industry—students, engineers, mill managers, and operators. More than 192 internationally recognized experts have contributed to the handbook’s 128 thought-provoking chapters that examine nearly every aspect of mineral processing and extractive metallurgy. This inclusive reference addresses the magnitude of traditional industry topics and also addresses the new technologies and important cultural and social issues that are important today. Contents Mineral Characterization and AnalysisManagement and ReportingComminutionClassification and WashingTransport and StoragePhysical SeparationsFlotationSolid and Liquid SeparationDisposalHydrometallurgyPyrometallurgyProcessing of Selected Metals, Minerals, and Materials
Silence your inner critic and offer yourself the kindness and acceptance you deserve with these 150 guided meditations to embracing your true self. Self-compassion provides you with the tools to understand yourself, give and receive love, and cope with life’s struggles. We are often kinder to others than we are to ourselves. But self-compassion is vital to helping you understand your emotions, giving and receiving love, letting go of past mistakes, moving forward with more confidence, and so much more. Now you can cultivate and practice self-compassion through 150 guided meditations in My Pocket Mediations for Self-Compassion. With easy-to-follow instructions on beginner meditation, you can learn how to express kindness and compassion towards yourself, make peace with your emotions, build your resiliency, and learn not only to accept, but appreciate exactly who you are. Featuring meditations on self-appreciation, being body positive, accepting love, meeting your emotions, and more, this book will help you start living with more self-awareness, kindness, and peace every day.
From an award-winning actor and a #1 bestselling author, a unique combination of moving memoir and practical tools that offers guidance for Black men seeking to reclaim their mental well-being–and, ultimately, to live wholeheartedly. In America, we teach that strength means holding back tears and shaming your own feelings. In the Black community, these pressures are especially poignant. Poor mental health outcomes-- including diagnoses of depression and anxiety, reliance on prescription drugs, and suicide–have skyrocketed in the past decade. In this book, actor Courtney B. Vance seeks to change this trajectory. Along with professional expertise from famed psychologist Dr. Robin L. Smith (popularly known as “Dr. Robin”), Courtney B. Vance explores issues of grief, relationships, identity, and race through the telling of his own most formative experiences. Together, they provide a guide for Black men navigating life’s ups and downs, reclaiming mental well-being, and examining broken pieces to find whole, full-hearted living. Self-care is an act of revolution. It’s time to revolutionize mental health in the Black community. "A thoughtful, wise, empathetic book that has the capacity to save lives. " (Kirkus) "...an inspiring story of what [Black men] can achieve personally and professionally when they have the tools and support necessary to examine their pain and find their joy." (New York Journal of Books)
“Nobody writes about family secrets with the grace, compassion, and intrigue of Courtney Sheinmel.” —Leila Sales, author of This Song Will Save Your Life Fans of I Was Here by Gayle Forman and Far from the Tree by Robin Benway will be floored by this heartbreaking yet uplifting teen novel about a grieving girl who follows a mysterious list across the country after her older sister’s death. Sloane Weber is devastated when her older sister dies by suicide. Talley was a bright light who made everyone want to step closer. Why had she made that unthinkable choice? The only clue Talley left behind for Sloane is a puzzle—a list of random places and names, along with the phone number of a boy named Adam, who lives in California and claims he didn’t know Talley. Sloane heads west, enlists Adam’s help, and together they search for answers. But while Sloane is drawn to Adam, she can’t shake the feeling that he’s hiding something. Is Sloane ready to learn the truth—about Adam, her sister, or the secrets her family has been hiding for years?
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