This book is the first to trace the fortunes of the earliest large free black community in the U.S. Nash shows how black Philadelphians struggled to shape a family life, gain occupational competence, organize churches, establish social networks, advance cultural institutions, educate their children, and train leaders who would help abolish slavery.
This book argues that bureaucracies can contribute to stability and economic development, if they are insulated from unstable democratic politics. The book will appeal to those interested in political science, economics, law, sociology, and modern political history.
Charles II was restored to the rule of England, Scotland and Ireland in 1660, less than twelve years after the execution of his father, Charles I, and the ensuing republican experiment in government. Popular at first, the Restoration nevertheless failed to provide lasting settlement in any of the British kingdoms. Restoration and Revolution in Britain examines the political history of these kingdoms, from the Interregnum through Britain's eighteenth-century rise to power. Written especially for students approaching the Restoration for the first time, this essential introduction: - Assesses the reasons for the failure of settlement in the reigns of Charles and of his brother, James II - Integrates the histories of Charles's different realms - Examines the many connections between politics and Protestant religious disagreements - Provides helpful historical context for understanding a range of contemporary authors such as Bunyan, Locke and Milton - Concludes with an examination of the Glorious Revolution of 1688-89 and explains why settlement was finally achieved through revolution rather than through restoration
Managerial Dilemmas extends the use of analytical techniques from organisational economics to the spheres of organisational culture and leadership in politics and business.
Program evaluations are more relevant when conducted by the people directly involved in the programs and members of the communities they serve. Learn how empowerment and participatory evaluation can help community programs deliver more effective services! With this book, you’ll examine theoretical models, empirical investigations, and case studies that highlight important aspects of empowerment and participatory evaluation in community programs. The first half of the book presents frameworks and tools for empowerment and participatory evaluation, with an emphasis on transferring skills and building capacity. The remaining chapters examine specific efforts to implement empowerment and participatory evaluation with a range of stakeholders, highlighting the ways in which community members collaborated with evaluators and were actively engaged in the evaluation process. Covering various types of evaluations across a range of urgent social issues, this book offers practical steps for implementing evaluations and presents theoretical models as well as applied examples. The issues that Empowerment and Participatory Evaluation of Community Interventions addresses include: challenges faced by community-based organizations in conducting evaluations of their initiativesand solutions to those challenges, including the creation and implementation of an appropriate outcomes model ways to build capacity for participatory evaluation within community initiatives ways to promote the success and accountability of community programs how collaborative process evaluation can improve HIV prevention services evaluation techniques that illustrate the benefits of a collaborative approachwith a case study of the Conflict Resolution in Schools Programs a pilot study in which empowerment evaluation principles are used to evaluate the American Red Cross of Greater Chicago’s Youth Leadership Training Series (a program designed to train youth volunteers) Presenting important information on program evaluation, community-based interventions and community empowerment, empowerment/participatory evaluation, community psychology, collaborative partnerships, program improvement, utilization-focused evaluation, consultation, and more, Empowerment and Participatory Evaluation of Community Interventions is a resource that everyone involved in community psychology should have!
Based on field research and interviews this text discusses the challenges faced by young men in poor urban settings and examines education, employment, sexual behaviour, HIV/AIDS and violence.
The use of Closed-Circuit Television, or CCTV, has dramatically increased over the past decade, but its presence is often so subtle as to go unnoticed. Should we unthinkingly accept that increased surveillance is in the public's best interests, or does this mean that ‘Big Brother' is finally watching us? This book asks provocative questions about the rise of the maximum surveillance society. Is crime control the principal motivation behind increased surveillance or are the reasons more complex? Does surveillance violate peoples' right of privacy? Who gets surveilled and why? What are its implications for social control? Does surveillance actually reduce crime? What will developments in technology mean for the future of surveillance? What rights do individuals under surveillance have? How is the information gathered through CCTV used by the authorities?Based on extensive fieldwork on automated surveillance in Britain over a two-year period, this book not only attempts to answer these vexing questions, but also provides a wealth of detailed information about the reasoning behind and effects of social control.
Before the interstates, Main Street America was the small town’s commercial spine and served as the linchpin for community social solidarity. Yet, during the past three decades, a series of economic downturns has left many of the great small cities barely viable. American Hometown Renewal is the first book to combine administrative, budgetary, and economic analysis to examine the economic and fiscal plight currently facing America’s small towns. Featuring a blend of theory, applications, and case studies, it provides a comprehensive, single-source textbook covering the key issues facing small town officials in today’s uncertain economy. Written by a former public manager, university professor, and consultant to numerous small towns in the Heartland, this book demonstrates the ways in which contemporary small towns throughout the nation are facing economic challenges brought about by the financial shocks that began in 2008. Each chapter explores a theme related to small town revival and provides a related tool or technique to enable small town officials to meet the challenges of the 21st Century. Encouraging local small town officials to look at the economic orbit of communities in a similar manner as a town’s budget or a family’s personal wealth, examining its specific competitive advantages in terms of relative assets to those of competing communities, this book provides the reader with step-by-step instructions on how to conduct an asset inventory and apply key asset tools to devise a strategy for overcoming the challenges and constraints imposed upon spatially-fixed communities. American Hometown Renewal is an essential primer for students studying city management, economic community development, and city planning, and will be a trusted handbook for city managers, geographers, city planners, urban or rural sociologists, political scientists, and regional microeconomists.
As with the beginning of the twentieth century, when food safety standards and the therapeutic benefits of certain foods and supplements first caught the public’s attention, the dawn of the twenty-first century finds a great social priority placed on the science of food safety. Ronald Schmidt and Gary Rodrick’s Food Safety Handbook provides a single, comprehensive reference on all major food safety issues. This expansive volume covers current United States and international regulatory information, food safety in biotechnology, myriad food hazards, food safety surveillance, and risk prevention. Approaching food safety from retail, commercial, and institutional angles, this authoritative resource analyzes every step of the food production process, from processing and packaging to handling and distribution. The Handbook categorizes and defines real and perceived safety issues surrounding food, providing scientifically non-biased perspectives on issues for professional and general readers. Each part is divided into chapters, which are then organized into the following structure: Introduction and Definition of Issues; Background and Historical Significance; Scientific Basis and Implications; Regulatory, Industrial, and International Implications; and Current and Future Implications. Topics covered include: Risk assessment and epidemiology Biological, chemical, and physical hazards Control systems and intervention strategies for reducing risk or preventing food hazards, such as Hazard Analysis Critical Control Point (HACCP) Diet, health, and safety issues, with emphasis on food fortification, dietary supplements, and functional foods Worldwide food safety issues, including European Union perspectives on genetic modification Food and beverage processors, manufacturers, transporters, and government regulators will find the Food Safety Handbook to be the premier reference in its field.
Are you a seasoned information technology (IT) executive looking for options available on leadership structures within your IT organization? Look no further. Now in a Second Edition, CIO Best Practices is an invaluable resource that provides a comprehensive, practical guide for CIOs and their executive team peers giving real-world examples of CIOs who have succeeded in mastering the blend of business and technology responsibilities and giving their companies a sound return on investment of technology dollars
Representing an integration of basic and clinical sciences, this book focuses on new concepts in the design, synthesis, and testing of iron chelators for clinical application. It provides an overview of the pathophysiology of iron metabolism as it relates to the origins of iron-mediated tissue damage, and it clearly outlines successes and shortcomings of current iron chelation therapy in preventing such damage. The book also describes a number of other exciting potential therapeutic applications of iron chelators, such as in the treatment of malaria. Other topics covered include iron coordination chemistry, recent advances in synthetic methods for accessing iron chelators, siderophore models, subcellular iron storage targets, and the possible application of biotechnology in the production of therapeutically useful iron chelators. The book also describes new animal models for evaluating chelators.
This textbook is a second edition of Evolutionary Algorithms for Solving Multi-Objective Problems, significantly expanded and adapted for the classroom. The various features of multi-objective evolutionary algorithms are presented here in an innovative and student-friendly fashion, incorporating state-of-the-art research. The book disseminates the application of evolutionary algorithm techniques to a variety of practical problems. It contains exhaustive appendices, index and bibliography and links to a complete set of teaching tutorials, exercises and solutions.
The 2016 election cycle put in sharp relief the rifts that divide, and threaten to destroy, the Republican Party. While some claim these divisions originated in Nixon’s “Southern Strategy” or in Newt Gingrich’s tenure as Minority Whip, Gary Donaldson argues that the conflict has its origins much earlier, at least as far back as the 1952 presidential election. That election pitted the conservative wing of the Republican Party (the Right Wing, the Old Guard, what is now the Tea Party) against the Republican moderates, represented by Dwight D. Eisenhower. Set against the backdrop of the Korean War and escalating cold war tensions, the 1952 presidential campaign culminated in Eisenhower’s landslide victory over Adlai Stevenson. The election exposed deep internal divisions on the left and the right, but especially within the Republican Party. This book will prove an invaluable resource to readers, students, and scholars interested in rooting out the origins of our contemporary political landscape, on the right and the left.
With its rich foundation stories, Philadelphia may be the most important city in America's collective memory. By the middle of the eighteenth century William Penn's "greene countrie town" was, after London, the largest city in the British Empire. The two most important documents in the history of the United States, the Declaration of Independence and the Constitution, were drafted and signed in Philadelphia. The city served off and on as the official capital of the young country until 1800, and was also the site of the first American university, hospital, medical college, bank, paper mill, zoo, sugar refinery, public school, and government mint. In First City, acclaimed historian Gary B. Nash examines the complex process of memory making in this most historic of American cities. Though history is necessarily written from the evidence we have of the past, as Nash shows, rarely is that evidence preserved without intent, nor is it equally representative. Full of surprising anecdotes, First City reveals how Philadelphians—from members of elite cultural institutions, such as historical societies and museums, to relatively anonymous groups, such as women, racial and religious minorities, and laboring people—have participated in the very partisan activity of transmitting historical memory from one generation to the next.
La 4è de couv. indique : "Now in its seventh edition, Consumer Behaviour: A European Perspective provides the most comprehensive, lively and engaging introduction to the behaviour of consumers in Europe and around the world. The new slimline edition has 13 chapters, maintaining its breadth of coverage and making it ideal for second- and third-year undergraduates as well as Master's students. The book links consumer behaviour theory with the real-life problems faced by practitioners in many ways: Marketing opportunity, Marketing pitfalls and Multicultural dimensions boxes throughout the text illustrate the impact consumer behaviour has on marketing activities. Consumer behaviour as I see it boxes feature marketing academics talking about the relevance of consumer behaviour issues to their everyday work. Brand new Case studies about European companies and topics give deep insights into the world of consumer behaviour. New coverage of sustainable consumption, emerging technologies, social media and online behaviour is woven throughout this edition. Online materials including multiple-choice questions and links to useful websites are available on the book's website at www.pearsoned.co.uk/solomon
Do you long to make a difference in the lives of others? Every day, companies, churches, families, and individuals turn to coaches for help in navigating life’s transitions. A widely used and respected resource for leaders, pastors, and counselors, Christian Coaching will equip you with the tools to help people overcome obstacles and turn their potential into reality. Now updated and expanded, this groundbreaking guide presents a unique biblically based coaching model, designed to help you: Develop and refine your active listening skills Connect with people on a meaningful level Clarify a vision and defining steps to put it into practice Guide someone through obstacles and life transitions Coach people in a variety of career, marriage, family, and church situations Empower people to establish healthy boundaries with friends, family, and work And much more Now with interactive forms and questionnaires for you and your clients, this comprehensive guide may be the most helpful and entertaining book on coaching you’ll read. “Dr. Gary Collins takes all the vital elements of coaching and brings them together into one valuable resource. This book is essential for anyone—not just Christians—who wants to make a difference in the lives of others.” —Ken Blanchard, coauthor of The One Minute Manager and Lead Like Jesus
Provides the clinician with information about causation, complications, natural course, and management of GERD. The efficacy, safety, and suggested regimens of pharmacologic therapies are discussed. Data on the relationship between GERD and asthma are presented. The clinical presentation of GERD patients with chronic cough and laryngitis is discussed in detail.
An intimate and candid account of our national parks and their strengths, vulnerabilities, and essential role in American life Part memoir, part critique, and paean to the value of national parks, American Covenant distills the experience and insights from two long careers in conservation. Michael A. Soukup and Gary E. Machlis show how the national parks are essential to maintaining the essence of our national heritage, and key to America's future in a changing climate and political landscape. Sharing real-world examples of both victories and defeats in protecting national parks, this candid, thoughtful book reminds us that the national parks are a promise--a covenant--within and between generations of Americans. The book is also a call to revitalize, reconstitute, reconfigure, and reform the National Park Service, which the authors believe is governed too much by outdated management practices and politics instead of a foundation of expertise and science.
Popular elections are at the heart of representative democracy. Thus, understanding the laws and practices that govern such elections is essential to understanding modern democracy. In this book, Cox views electoral laws as posing a variety of coordination problems that political forces must solve. Coordination problems - and with them the necessity of negotiating withdrawals, strategic voting, and other species of strategic coordination - arise in all electoral systems. This book employs a unified game-theoretic model to study strategic coordination worldwide and that relies primarily on constituency-level rather than national aggregate data in testing theoretical propositions about the effects of electoral laws. This book also considers not just what happens when political forces succeed in solving the coordination problems inherent in the electoral system they face but also what happens when they fail.
This book provides a comprehensive overview of the two important issues relating to disease in elderly: the age-related changes and the pathophysiology of the diseases. The book contains 19 chapters that are arranged by organ system and structured to cover the specific areas for a quick but in-depth understanding of diseases in aging patients. Unlike any other book on the market, this text is concise and yet thorough in approach to the stipulated areas. This book includes multiple-choice questions that reinforce the concepts that are most vital to understanding and treating geriatric patients, making it an outstanding resource on its own or as a companion to larger geriatric texts. Diseases in the Elderly is the ultimate resource for geriatricians, medical students, primary care physicians, hospital doctors, geriatric nurses, and all other medical professionals treating and diagnosing diseases in elderly patients.
This book provides a unique behavioral science framework for motivating employees in organizational settings. Drawing upon his experiences as a staff psychologist and consultant, Gary Latham writes in a "mentor voice" that is highly personal and rich in examples. The book includes anecdotes about the major thought leaders in the field of motivation, together with behind-the-scenes accounts of research and the researchers. It offers a chronological review of the field, and a taxonomy for the study and practice of motivation. Controversies of theoretical and practical significance such as the importance of money, the relationship between job satisfaction and job performance, and the distinction between intrinsic and extrinsic motivation are discussed.
A phenomenal resource that is both user-friendly and up-to-date, [and will] equip believers to defend this crucial issue." - Josh McDowell. Includes an interactive CD in a game-show format to test your memory of the key issues and concepts.
This handbook provides the theoretical and practical information necessary to explore new applications for Grignard reagents on a day-to-day basis, presenting a comprehensive overview of current research activities in Grignard chemistry. This book surveys specific reactions and applications of Grignard reagents, organized by type of substrate and t
The Vikings descended upon Europe at the close of the 8th century, invading the continent's western seas and river systems, trading, raiding and spreading terror. In the north, they settled Iceland and Greenland and reached North America. In the east, Swedish Varangians established a river road to the Orient. With the collapse of the Viking commercial empire, Sweden and the other Scandinavian countries struggled to survive, their hardships exacerbated by internal strife, foreign domination and the Black Death. This book details the development of Scandinavia--Sweden in particular--from the end of the Ice Age, through a series of prehistoric cultures, the Bronze and Iron ages, to the Viking period and late Middle Ages. Recent research suggests a Swedish origin of the Goths, who helped dismember the Roman Empire, and evidence of Swedish participation in the western Viking expeditions. Special attention is given to Eastern Europe, where Sweden dominated commerce through the conquest of trade towns and the river systems of Russia.
From concept to application, this book describes the method of strain-range partitioning for analyzing time-dependent fatigue. Creep (time-dependent) deformation is first introduced for monotonic and cyclic loading. Multiple chapters then discuss strain-range partitioning in details for multi-axial loading conditions and how different loading permutations can lead to different micro-mechanistic effects. Notably, the total-strain method of strain-range partitioning (SRP) is described, which is a methodology that sees use in several industries. Examples from aerospace illustrate applications, and methods for predicting time-dependent metal fatigue are critiqued.
Written by recognized experts in their fields, Brain Mechanisms and Psychotropic Drugs integrates clinical psychopharmacology with basic neuroscience and offers the latest in treatment approaches for major psychiatric disorders. The text is divided into three major sections. The first two sections focus on basic neuroscience, covering fundamental concepts such as ion channels, synapses, second messenger mechanisms, and the aging brain. The second section contains chapters on serotonin, dopamine, acetylcholine, GABA, glutamate, and peptides. The final section is clinically oriented and discusses major psychotropic drug classes: antidepressants, neuroleptics, mood stabilizers, benzodiazepines, and cognition-enhancing drugs. This is a must-have volume for all those involved in the clinical use of psychotropic medications, from medical students to practitioners and researchers.
Through 10 outstanding editions, Kelley & Firestein’s Textbook of Rheumatology has provided authoritative, in-depth guidance in rheumatology with an ideal balance of basic science and clinical application. The 11th Edition of this classic text continues this tradition of excellence, while keeping you abreast of recent advances in genetics and the microbiome, new therapies such as biologics and biosimilars, and other rapid changes in the field. It provides comprehensive, global coverage of all aspects of diagnosis, screening, and treatment in both adults and children, in a user-friendly, full color reference. Covers everything from basic science, immunology, anatomy, and physiology to diagnostic tests, procedures, and specific disease processes—including key data on therapeutic outcomes to better inform clinical decision making. Includes new chapters on Innate Lymphoid Cells and Natural Killer Cells, Pathogenesis of Inflammasome Mediated Diseases, Bisphosphonates, Ultrasound Evaluation of the Musculoskeletal System, and Evaluation of Monoarticular and Polyarticular Arthritis. Features 1,200 high-quality illustrations, including superb line art, quick-reference tables, and full-color clinical photographs. Shares the knowledge and expertise of internationally renowned scientists and clinicians, including new editor Dr. Gary Koretzky, specialist in immunology and rheumatology. Demonstrates the complete musculoskeletal exam in online videos, including abnormal findings and the arthroscopic presentation of diseased joints.
Does heaven exist? If so, what is it like? And how does one get in? Throughout history, painters, poets, philosophers, pastors, and many ordinary people have pondered these questions. Perhaps no other topic captures the popular imagination quite like heaven. Gary Scott Smith examines how Americans from the Puritans to the present have imagined heaven. He argues that whether Americans have perceived heaven as reality or fantasy, as God's home or a human invention, as a source of inspiration and comfort or an opiate that distracts from earthly life, or as a place of worship or a perpetual playground has varied largely according to the spirit of the age. In the colonial era, conceptions of heaven focused primarily on the glory of God. For the Victorians, heaven was a warm, comfortable home where people would live forever with their family and friends. Today, heaven is often less distinctively Christian and more of a celestial entertainment center or a paradise where everyone can reach his full potential. Drawing on an astounding array of sources, including works of art, music, sociology, psychology, folklore, liturgy, sermons, poetry, fiction, jokes, and devotional books, Smith paints a sweeping, provocative portrait of what Americans-from Jonathan Edwards to Mitch Albom-have thought about heaven.
Kelley's Textbook of Rheumatology delivers the state-of-the-art scientific and clinical know-how you need to offer your patients the most effective diagnosis and care. This rheumatology book’s sweeping updates highlight current advances and breakthroughs that impact your practice. With Kelley's Textbook of Rheumatology, you'll be ready to handle the toughest clinical challenges you face. Search the entire contents online at www.expertconsult.com, download all of images, and watch videos demonstrating the complete musculoskeletal exam, including abnormal findings and the arthroscopic presentation of diseased joints. Review basic science advances and their clinical implications in one place and get dependable, evidence-based guidance with the integrated chapter format that readers of Kelley's Textbook of Rheumatology have always appreciated. Gain a thorough understanding of the "whys" and "hows" of rheumatic disease management with detailed coverage of the very latest breakthroughs and the newest clinical algorithms. Apply the latest therapeutic advances through new chapters in bioengineering and tissue engineering, as well as up-to-date coverage of gout and disease-modifying drugs. Learn how the study of biomarkers across populations can help you detect diseases earlier and with greater accuracy with a new chapter on epigenetics. Diagnose, monitor, and manage rheumatic disease more effectively with expanded information on the use of ultrasound and other imaging modalities.
Consult the definitive resource in rheumatology for an in-depth understanding of scientific advances as they apply to clinical practice. Masterfully edited by Drs. Gary S. Firestein, Ralph C. Budd, Sherine E. Gabriel, Iain B. McInnes, and James R. O'Dell, and authored by internationally renowned scientists and clinicians in the field, Kelley and Firestein’s Textbook of Rheumatology, 10th Edition, delivers the knowledge you need for accurate diagnoses and effective patient care. From basic science, immunology, anatomy, and physiology to diagnostic tests, procedures, and specific disease processes, this state-of-the-art reference provides a global, authoritative perspective on the manifestations, diagnosis and treatment of rheumatic diseases. An ideal balance of the basic science you need to know and how to apply that information to clinical practice. An integrated chapter format allows you to review basic science advances and their clinical implications in one place and get dependable, evidence-based guidance for the full range of rheumatologic diseases and syndromes. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. New content on the latest diagnostic perspectives and approaches to therapy, including five brand-new chapters: Metabolic Regulation of Immunity, Principles of Signaling, Research Methods in the Rheumatic Diseases, Novel Intracellular Targeting Agents, and IgG4-Related Diseases. New and expanded chapter topics on small molecule treatment, biologics, biomarkers, epigenetics, biosimilars, and cell-based therapies. More schematic diagrams clearly summarize information and facilitate understanding.
Now in striking full color, this Seventh Edition of Koneman’s gold standard text presents all the principles and practices readers need for a solid grounding in all aspects of clinical microbiology—bacteriology, mycology, parasitology, and virology. Comprehensive, easy-to-understand, and filled with high quality images, the book covers cell and structure identification in more depth than any other book available. This fully updated Seventh Edition is enhanced by new pedagogy, new clinical scenarios, new photos and illustrations, and all-new instructor and student resources.
Why does the American political system work the way it does? Find the answers in The Logic of American Politics. This best-selling text arms you with a toolkit of institutional design concepts—command, veto, agenda control, voting rules, and delegation—that help you recognize how the American political system was designed and why it works the way it does. The authors build your critical thinking through a simple yet powerful idea: politics is about solving collective action problems. Thoroughly updated to account for the most recent events and data, the Ninth Edition explores the increase in political polarization, the growing emotional involvement people have to politics, Americans’ reactions to changing demographics, the partisan politics of judicial selection, and the changing nature of presidential leadership. Revised to include the 2018 election results and analysis, this edition provides you with the tools you need to make sense of today’s government.
The accelerating cross-border flow of products, services, capital, ideas, technology and people is driving businesses--large and small--to internationalise. International Business 2nd Australasian edition: the New Realities is a rigorous resource which prepares future managers to operate successfully in multinational settings. Case studies from a wide variety of markets relevant to Australasian business, including ASEAN countries as well as China, India, Japan, South Korea, Pakistan, Europe and the Middle East, provide a real-world perspective to theories and examine the latest trends in international business. The second edition of International Business features 10 new in-depth case studies specially created for this edition. For undergraduate students majoring in international business or post-graduate courses in international business.
The benchmark evidence-based pharmacotherapy text-now in full color! Additional chapters are available online When it comes to helping you develop a mastery of evidence-based medicine for optimal patient outcomes, no book can match Pharmacotherapy: A Pathophysiologic Approach. Like the discipline it covers, the scope of this trusted resource goes beyond drug indications and dosages to include the initial selection, proper administration, and monitoring of drugs. The book also delves into psychosocial issues that affect compliance ... topics related to a patient's ability to understand and manage often-complex therapy... and lifestyle changes that may reduce the need for drug therapy or improve pharmacotherapeutic outcomes. Pharmacotherapy delivers everything you need to provide safe, efficacious drug therapy across the full range of therapeutic categories. FEATURES NEW! Expanded evidence-based recommendations NEW! Extended coverage of the timely issue of palliative care and pain medicine NEW! Important chapters on Pulmonary Hypertension, Disorders of Calcium and Phosphorus Homeostasis, and Multiple Myeloma, Outstanding pedagogy, including: “Key Concepts” highlighted in each chapter “Clinical Presentation” boxes summarize the most common disease signs and symptoms covered in each chapter “Clinical Controversies” boxes-presented in the Treatment sections of the disease-oriented chapters-examine the complicated issues faced by students and clinicians in providing drug therapy Clear therapeutic recommendations in each disease-specific chapter “Evaluation of Therapeutic Outcomes” boxes in each disease-specific chapter, containing key monitoring guidelines that facilitate the development of a pharmaceutical, nursing, or medical care plan
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