a nurse is caring for a client who has neutropenia resulting from chemotherapy. which precaution would be least appropriate to include when caring for this client?

The client's changed nutrition as a result of inadequate dietary intake is found to be a key worry by the nurse during the admission interview.

Which traits would a client in seasonal affective disorder be expected to exhibit, according to the nurse?

According to information intended for the general public, those with SAD may experience feelings of sadness, irritability, and frequent crying. They may also feel exhausted and lethargic, struggle to concentrate, sleep more than usual, run out of energy, cut back on their energy levels, withdraw from daily situations, and have a craving for carbohydrates and sugars.

However, there are some male abuse victims as well. The elderly without close relatives or friends, as well as those with disabilities, memory issues, or dementia, are likely targets.

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Jamie Alvarez will take her maiden flight on an aircraft. She is concerned about motion sickness and has opted to take the over-the-counter medication Dramamine. This is an example of drug preventive usage.

When ones brain fails to process the information from the eyes, ears, and body, motion sickness occurs. Motion can make you feel nauseated, clammy, or sick to your stomach, whether in a car, plane, boat, and amusement park ride. Motion sickness can occur while driving, sailing, or flying. Signals are sent to your brain from motion-sensing elements of your body, such as ones eyes, inner ears, muscles, and joints.

When these components provide contradictory signals, your brain is unsure whether you are fixed or moving. Your brain's perplexed reaction makes you ill. Motion sickness can occur whether travelling by automobile, plane, or boat. When the motion ceases, the motion sickness typically goes away. Fatigue, discomfort, dizziness, and vomiting are some of the symptoms.

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The least painful and most effective site for IM injection would be: ventro-gluteal muscle.

IM injection refers to intramuscular injection. It is the administration of drugs and medications deep into the muscles of the body. This site of injection facilitates the quick absorption of the medication into the specific targeted muscles.

Ventro-gluteal muscle refers to the group of muscles present at the ventro-gluteal site of the body. It is the bony part of that sticks out of the upper thigh near the hip region. This site is free from blood vessels and nerves and has vey thick mass of muscles.

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A nurse is accountable for the nursing acts and care they provide if they accept an assignment.

In a time when the price of prescription drugs is soaring, Costco frequently offers affordable drug prices. A wholesale club may be a fantastic place to start if you want to lower the cost of the prescription medications, and you don't always have to pay a yearly joining fee to save money.

Working With Your Pharmacist is only one of 10 resources that can assist you save about prescription drugs. Get to know RXAssist and NeedyMeds. Analyze generic medications. Bulk Purchases: Obtain a prescription good for 90 days. For discounts, contact the drug manufacturer directly. Free Prescription Savings, please.

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The following organizations are trustworthy sources for sound, scientifically supported advice on preventive care: Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), and  U.S. Preventive Services Task Force (USPSTF).

Centers for Disease Control and Prevention's (CDC), the Community Guide to Community Preventive Services: Evidence-Based Approaches, Programs, and Resources. United States Preventative Services Task Force (USPSTF) Guidelines, The AHRQ is the Agency for Healthcare Research and Quality.

Here are some trustworthy resources for recommendations on high-quality, scientifically-supported preventive care:-

The mission of the Agency for Healthcare Research and Quality (AHRQ) is to generate data to improve the safety, caliber, accessibility, equity, and affordability of healthcare, and to collaborate with other partners and the U.S. Department of Health and Human Services to ensure that the data are understood and applied.

The Centers for Disease Control and Prevention (CDC) is a government organization that promotes and supports health awareness, disease prevention, and emergency preparedness initiatives in the US with the aim of enhancing general public health.

National experts in disease prevention and evidence-based medicine make up the independent, voluntary U.S. Preventive Services Task Force.

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There at level of the innervates membrane, the airway is at its narrowest in youngsters. Due to this, cricothyroidotomy is contraindicated in children under the age of two, and emergency surgical airway access often entails needle jet ventilation and ultimately thoracentesis.

They can be functionally separated into sphincters (transverse arytenoid, ” element, lateral cricoarytenoid, and transverse arytenoid), adductors (lateral cricoarytenoid and transverse arytenoid), persecutors (posterior cricoarytenoid), cricothyroid muscles, and vocal cord tensors and relaxors (thyroarytenoid, vocalis).

According to Semon's Law, the abductors lose function before the adductors in a recurrent laryngeal nerve lesion that develops. Accordingly, the adductors will bring the chord to the midline in a partial paralysis, whereas in a complete paraplegia it falls away to the paramedian position.

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The feeding comes in quickly, Epigastric area tenderness A increase in the formula level inside the tube denotes a full stomach. intestinal motion is reflected in flatus passage.

Painful things hurt because they are painful. When something is delicate, it hurts when it is moved or touched. Abdominal discomfort is a good illustration of how we apply these phrases.

I could have a terrible stomachache.

Tenderness in the abdomen. When pressure is applied to a specific spot of the abdomen, you experience abdominal point tenderness, which causes discomfort (abdomen). You may recognize a certain body by using the three body views (front, back, and side).

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Both a Master of Science (MS) and a Master of Arts (MA) are postgraduate degree programs that educate you to work as a therapist in specialties like substance misuse counseling, marital and family therapy, and mental health counseling.

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Promoting rest is a difficult but crucial chore for a client with hyperthyroidism to minimise metabolic demands. Reduced glucose tolerance and hyperglycemia are symptoms of hyperthyroidism. Since there is no sign that radioactive iodine was administered, the client doesn't produce radiation. The patient's hunger will grow.

The most typical cause of hyperthyroidism is Graves-disease. Since Graves disease has an autoimmune origin, this type of hyperthyroidism usually affects younger people. Toxic multinodular goiter is the most typical cause of hyperthyroidism in the older population. Although Graves disease and toxic multinodular goiter are the most frequent causes of hyperthyroidism, other conditions such thyroid adenomas, de Quervain thyroiditis (subacute thyroiditis), postpartum thyroiditis, and factitious thyroiditis can also result in hyperthyroidism (thyrotoxicosis factitia). Hyperthyroidism linked with incorrect or excessive thyroid hormone use is known as factitious thyroiditis. Thyroxine has the potential to be abused due to a well-liked side effect of weight reduction, so any history of a hyperthyroid patient should include a drug list and an evaluation.

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The complete question is:

Which intervention would be included in the plan of care for a client diagnosed with hyperthyroidism?

Answer: arrange for sufficient rest periods

Explanation:

If the group getting the drug did much better than the group with the sugar pill then it would indicate that the drug was more effective than the sugar pill.

3 People who are highly motivated and anticipate that the treatment will be effective may be more prone to experience a placebo effect. Even a patient's response might be affected by the prescribing doctor's enthusiasm for the course of therapy.

A hugely popular independent makeup line that is cruelty-free and offers lots of vegan options is called Sugar pill. They are also accredited by Leaping Bunny. They meet all the criteria I have for a wonderful brand: independent, cruelty-free, vegan, vibrant, and fun products.

Contrary to popular belief, placebo tablets contain more than just sugar. While most pills still have sugar as their major component, some also have iron supplements to assist replenish the iron lost during the withdrawal hemorrhage (aka period). Others have trace levels of vitamins that are good for the health of women.

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a client with a closed head injury is receiving phenytoin, an anticonvulsant medication. Constipation, bleeding gums, hyperglycemia and decreased platelets would indicate that the client is experiencing side effects related to this medication.

Anticonvulsants, commonly referred to as antiepileptic medications or antiseizure medications, are a broad class of pharmacological medicines used to treat epileptic seizures. Anticonvulsants are generally safe when properly managed. Some anticonvulsants, nevertheless, should not be used by specific populations of persons. Before taking an anticonvulsant, a person should inform their doctor if they have a history of any of the following: possible medication allergies. When using seizure medications for the first few weeks, frequent side effects that may manifest include fatigue, stomach upset or pain, dizziness, or impaired vision.

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A photoelectron and a distinctive photon are the by-products of photoelectric absorption.

An x-ray photon interacts with an atom in a solid during photoelectric absorption and is totally absorbed, transferring all of its energy to an inner-shell electron that is ejected from the atom and given the name photoelectron.

An electron that a substance emits after absorbing a photon of light is known as a photoelectron. The process of a photon being absorbed by a substance and then emitting a photoelectron is known as photoelectric absorption.

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Sound originating from behind him is ignored by the infant, the infant frequently has his or her eyes crossed, the infant doesn't seem to be bothered by its surroundings shows a need for additional follow up.

Young infants might not respond to loud noises, they might not be able to focus on an object that is close to them, they might not start to babble or make sounds by the age of four months, they might not turn to look for sounds at that age, and they might cross their eyes frequently by the time they are six months old.

Putting two-word phrases together is not a necessary aspect of language development at this stage.

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One of our clients complains of flank pain and is thought to have kidney disease. While conducting a flank evaluation, nursing interventions should be made. Place a flat hand on the CVA after asking the patient to sit down.

The kidneys are harmed in CKD and are unable to filter blood as effectively as they should. This results in extra fluid and blood waste remaining in the body, which can lead to various health issues like stroke and heart disease.

It may indicate kidney illness if you experience the need to urine more frequently, especially at night. The need to urinate may become more intense when the kidney filters are compromised. This can occasionally also be a symptom of the a urinary infection or, in men, an enlarged prostate. Your urine has blood in it.

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Do you often act out your dreams? would be the perfect question to ask a patient whose calf and shoulder muscles are weak and immobilized during observation.

Regarding how dreams affect the patient's mental state, questions are asked during the assessment interview. Those who suffer from this disease frequently act out their dreams. The assessment does not ask questions concerning unexpected waking, morning mental condition, or unusual behavior while you were sleeping.

The interruption of sleep quantity and quality to the point where it compromises performance is known as insomnia. The physical and emotional health of a patient can suffer from not getting enough sleep.

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The given question is incomplete. The complete question is:

The nurse is caring for a patient with arousal disorder. On observation the nurse finds the calf and shoulder muscles of the patient to be weakened and paralyzed. Which question by the nurse is appropriate during the assessment?

A)"Do you ever wake up suddenly after a dream?"

B)"How do you feel after waking up in the morning?"

C)"Do you have a tendency to act out your dreams?"

D)"Have you ever done unusual activity during sleep?"

The child will most often need to spend about 2 weeks in the hospital after surgery. He/she may need physical, occupational, and speech therapy.  And  may need to see a team of medical experts in spina bifida, often after discharge from the hospital.

Meningocele repair, known as (myelomeningocele repair) is surgery to repair birth defects of the spine and spinal membranes. Meningocele and myelomeningocele are types of spina bifida. If the myelomeningocele is not covered by skin or a membrane when the child is born, surgery will be done within 24 to 48 hours after birth.

Thirty to 40 percent of children with myelomeningocele develop some degree of renal dysfunction.  Treatment to reduce bladder pressures and minimize urine stasis typically prevents or attenuates this complication. Ability to walk and control bowel and bladder function depends where the birth defect was on the spine. Defects lower down on the spinal cord may have a better outcome.

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The nurse would identify the Autosomal dominant and a short age of onset or maturity-onset diabetes of the young (MODY). Option 1 and 2 are correct.

MODY is an autosomal dominant disorder that often manifests before the age of 25, and is distinguished by its early age of onset. While type 2 diabetes is linked to obesity and hypertension, MODY is not. MODY does not develop from a combination of insufficient insulin secretion and resistance; instead, it is defined by a single gene mutation that causes beta cell malfunction and an inability of the pancreas to produce enough levels of insulin, making insulin required. Clients with MODY typically exhibit polyuria, polydipsia, polyphagia, weight loss, weakness, and weariness rather than fatigue, recurrent infection, and protracted wound healing. Ketoacidosis may also occasionally be present.

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The complete question is:

Which descriptors for maturity-onset diabetes of the young (mody) would the nurse identify as accurate? select all that apply. one, some, or all responses may be correct.

1) Autosomal dominant

2) Having a short age of onset

3) Linked to fat and hypertension

4) Polygenic (>25 genes influence susceptibility)

After a 10-minute soak in warm water, clip your nails. Usually, nails should be filed after soaking in warm water for ten minutes. It is not advised for diabetics since soaking the nails would result in dry, cracked hands and feet. Infection risk has increased.

Blood sugar, or unexpectedly high blood glucose levels, can lead to the onset of diabetes. Blood glucose, which is our body's primary energy source is supplied by the food we eat. The pancreas releases the hormone insulin, which facilitates the uptake of glucose from food into our cells for cellular energy. Our bodies occasionally create little to no insulin or only use it inefficiently. As a result, glucose does not enter your cells and instead remains in your circulation.

Having too much glucose in your blood over time might lead to health issues. Although diabetes cannot be cured, there are steps you can take to manage it and keep your health.

Types 1 and 2 of diabetes are the most prevalent varieties.

Condition 1

The inability to produce insulin is a complication of type 1 diabetes. The pancreatic cells that produce insulin are attacked by and killed by your immune system. Any age can experience type 1 diabetes, however, children and young adults are the most common age groups when it is found. Insulin must be given daily to people with type 1 diabetes to maintain their health.

Condition 2

Your body does not produce enough insulin or utilize it as efficiently if you have type 2 diabetes. Type 2 diabetes can strike at any age, including in young children. A person is more prone to get this type of diabetes if they are older or in their middle years.

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Options 1, 2, 4 & 5 are correct. The nurse teaches the patient and family the following discharge instructions:

In order to cure or prevent breast cancer, a mastectomy is a surgical surgery that removes the entire breast tissue from a breast. Patients experiencing early-stage breast cancer may benefit from a mastectomy as a treatment option. Breast-conserving surgery (lumpectomy) is another option that removes only the tumor from the breast.

Newer mastectomy treatments can preserve breast flesh, giving the breasts a more feminine appearance. This is also known as more than just a skin-sparing mastectomy. Breast reconstruction surgery, which is used to restore the contour of your breast, can be performed at the same time as ones mastectomy or at a later period.

The complete Question:

A patient is being discharged home after having a mastectomy. What discharge instructions should the nurse teach the patient and family?

Multiple selection question

1. Perform arm exercises as directed.

2. Take medications for pain as soon as pain begins.

3. Wash hands only after touching the incision area or drains.

4. Call your health care provider if inflammation of the incision or swelling of the incision or the arm occurs.

5. Avoid driving, lifting more than 10 pounds, or reaching above your head until given permission by the surgeon.

6. Empty surgical drains once a day and as needed, recording the amount in each drain, the date, and time, and bring to your follow-up appointment.

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The nurse manually lifts a heavy client rather than using a mechanical lift will be most likely a violation of occupational safety and health administration (OSHA) regulations.

Nurses are a patient's first point of contact with their care team, administering treatments and medications while closely monitoring their condition and coordinating responses from the rest of the care team.

Registered nurse anaesthetist with certification. Nurse anaesthetists are highly respected members of the nursing profession, and becoming one requires years of education, training, and experience. These nurses administer anaesthesia to patients in surgical, dental, or ER/OR settings.

Rather than using a mechanical lift, the nurse manually lifts a heavy client. if a nurse is having difficulty providing adequate care during a particularly busy shift.

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Typically, easy, routine activities like making empty beds, monitoring patient ambulation, assisting with cleanliness, and feeding meals can be delegated. Working closely with the UAP or providing the care yourself is preferable if the patient is very obese, recovering from surgery, or weak.

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The statement made by the student that indicates inadequate learning is "I should make judgments when a parent shares the details of a child's illness."

Pediatrics is the medical specialty concerned with the medical treatment of newborns, children, adolescents, and young adults. Paediatrics includes many of the youth in the United Kingdom till the age of 18. A paediatrician is a physician who specialises in the care of newborns, children, adolescents, and young adults. Pediatric treatment begins at birth and continues until a kid reaches the age of 21 or older. Pediatricians prevent, identify, and treat physical, behavioural, and developmental problems in children.

As a result, paediatric patients have a greater volume of distribution than adults, which directly affects the dosage of hydrophilic drugs such as beta-lactam antibiotics like ampicillin. Plasma proteins are also lower in infants and neonates.

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The medical professional most likely to initially anticipate a meniere's disease diagnosis, an inner ear illness that affects hearing as well as balance.

The diagnosis is the identification of a condition based on a physical examination. Following comes the prognosis, which is a prediction of how the disease will progress, the course of treatment, or the result. It's a clever technique that a diagnostic comes first and it does so chronologically before a prognosis.

Usually therapist begins by observing a patient's attitude, skin, posture, amount of distress, and other indicators that may help to clarify the health issue (Davies and Rees, 2010). These findings can also be taken into account if indeed the clinician has previously treated the patient.

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16ml of bacteriostaric water will be used to reconstitute 1 gramme of methylprednisolone nurse should give 10.22ml of bacteriostatic water 0.63gram of methylprednisolon has reconstituted into 0.63 16 = 10.22ml.

What is a bacteriostatic illustration?

Bacteriostatic antimicrobials include those from the following classes and individual antimicrobials: tetracyclines, macrolides, clindamycin, rifampin, linezolid, and chloramphenicol. However, owing of its negative effects, chloramphenicol has lost favour in recent years in routine clinical use.

What do bacteriostatic and bactericidal mean?

Based on their effects on microbial cells via two basic mechanisms—either bactericidal or bacteriostatic—antibiotics can be categorised into two classes. Drugs that are bacteriostatic prevent bacterial growth whereas bacteriocidal antibiotics destroy germs .

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Cardiac dysrhythmia is the main side effect of synthetic thyroid replacement therapy.

Agranulocytosis, which happens in 0.1 to 0.5% of patients, is the most harmful side effect. Granulocyte colony-stimulating factor administration can now successfully treat this life-threatening condition. The most prevalent type of arrhythmia in hyperthyroid patients is sinus tachycardia because thyroid hormone directly stimulates the sinus node pacemaker. Heart disease and heart failure risk can increase as a result of hypothyroidism. This is primarily because individuals with hypothyroidism frequently experience elevated levels of low-density lipoprotein (LDL) cholesterol, also known as "bad" cholesterol.

An abnormal or irregular heartbeat is known as a cardiac dysrhythmia (arrhythmia). A dysrhythmia can cause your heart to beat too quickly or too slowly. Another possibility is that your heart's rhythm is disturbed, giving you the impression that a beat has skipped. Risky conditions include ventricular fibrillation, ventricular tachycardia, and asystole or prolonged pauses. Arrhythmias brought on by extremely low magnesium or potassium levels, as well as those brought on by inherited conditions like QT prolongation, are all very serious.

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Boredom countertransference reaction is the nurse most likely to experience when a patient frequently discusses family disputes and is verbally abusive.

Because of the client's conduct, the nurse is vulnerable to a number of countertransference reactions. If the client repeatedly provides boring information and communicates in an offensive manner, the nurse may grow bored and uninterested in talking to and dealing with the client. When the client confides in the nurse, the nurse may have a rescue reaction (a countertransference reaction).

When treatment goals are not met and the client does not participate in the treatment successfully, the nurse may experience emotions of powerlessness. Overinvolvement is felt by the nurse when the client's behaviour reminds him or her of a close friend or previous client.

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Ensure that the patient's perineum has been cleansed before the specimen is obtained.

Urologic illnesses and ailments include, among other things, urinary tract infections, kidney stones, bladder control issues, and prostate issues. Some urologic disorders do not affect a person for a long time, while others are permanent. Nephrologists often examine and treat kidney disorders, whereas urologists deal with issues in other organs. Gynecologists can help women with incontinence issues.

Other bodily system diseases can also have an impact on urogenital function. It has been demonstrated, for example, that protein produced by the kidneys in diabetes mellitus sensitises the kidney to the harmful effects of hypertension. Diabetes can also have a direct influence on urination owing to peripheral neuropathies, which occur in certain diabetics who are poorly managed.

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A client with arthritis of the hands and fingers is having difficulty using a metered-dose inhaler (MDI).

Inhalers are the primary method of delivery for medications used to treat asthma and chronic obstructive pulmonary disease . However, they can only be effective if they are used properly. Using your inhaler correctly delivers the medication to your lungs, where it can work to control your symptoms.

Asthma medications prescribed by your allergist will help to relieve the coughing attacks. These include a fast-acting bronchodilator inhaler, which expands the airways in the lungs and offers quick relief, or a corticosteroid inhaler, which relieves inflammation when used daily. Often both types are needed.

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Raccoon eyes, and rhinorrhea are the findings to be assessed by the nurse in basilar fracture of a skull.

The prevalence of these fractures is higher in new-borns and older infants. Crack in the basilar skull. It involves a break in the bone at the base of the skull and is the most severe kind of skull fracture. Patients who suffer from this kind of fracture typically have bruises behind their ears and around their eyes. Patients may exhibit mental changes, nausea, and vomiting. Injuries to cranial nerves III, IV, and VI may result in oculomotor impairments. Due to compression of or damage to cranial nerve VII, patients may also exhibit face drooping, tinnitus or hearing loss are signs of injury to cranial nerve VIII. Clinical signs that are consistent with a basal skull fracture are typically brought on by bleeding, CSF leaks into one or more of these foramen or into the sinuses, or nerve injury in the bone canal. The blood arteries that nourish the brain can be injured as a result of basilar skull fractures. We refer to these as cerebrovascular injuries. A cerebrovascular injury poses a serious threat to people who have basilar skull fractures. Injuries of this nature can result in demise or irreversible brain damage. Treatment is not usually necessary for basal skull fractures. These fractures usually mend by themselves. In particular, leaks associated with skull fractures close to the eyes and nasal cavities may necessitate surgery to stop the leakage.

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The nurse responds to the spouse's request by identifying and recommending some credible websites appropriate to the spouse's learning needs.

The education of the client is centered on the demands of the home. A client can able to recognize, describe to others and explain the knowledge obtained during the health education session at the healthcare institution, the nurse observes.

One of the initial symptoms of the condition is frequent memory issues. The early stages of Alzheimer's may also be indicated by a decline in non-memory components of cognition, such as difficulty using the correct word, difficulty comprehending visual imagery and spatial relationships, and impaired reasoning or judgment.

The patient's present understanding of their disease and their knowledge needs are evaluated in the first stage. Some patients require additional time to become accustomed to new information, learn new skills, or alter their short- or long-term lifestyles.

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