Review the evidence-based guidelines for evaluating and treating breast conditions.

Review the evidence-based guidelines for evaluating and treating breast conditions.

Women often present to the primary care setting with a variety of breast complaints. Many of these are benign

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conditions but can be concerning to the patient. Breast complaints are common across the lifespan, and it is imperative for the nurse practitioner to be comfortable in assessing, diagnosing, and treating breast complaints.

Discuss any encounters you have had with patients who have had breast concerns. Review the evidence-based guidelines for evaluating and treating breast conditions. How did you approach the assessment and the evaluation of breast complaints seen in the clinic setting?

i need help with my homework?

i need help with my homework?

why is it important not to be late for a clinical day?

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for nursing why do you think students should not be late for a clinicals

The paper should be your own individual thoughts and words. no references are allowed

Policy Brief

Policy Brief

Select a public health issue and write a 750-1,000 word policy brief that provides a brief summary of the issue,

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options to solve the issue, and the best way to solve this issue. Select a public health issue from one of the following American Public Health Association websites: Climate Change (https://www.apha.org/topics-and-issues/climate-change) or Topics and Issues (https://www.apha.org/topics-and-issues).

Follow this outline when writing the policy brief:

Identify issue.
Background information – (a) Population effected; (b) Local, state or national level; and (c) Evidence about the issues supported by resources
Problem statement.
Suggestions for addressing the issue (solutions) – (a) Including necessary stakeholders (government officials, administrator); and (b) Include budget or funding considerations, if applicable
Impact on the Health Care Delivery System
Include three peer-reviewed sources and two other sources to support the policy brief.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

You are required to submit this assignment to Turnitin.

Long paragraph 2

Long paragraph 2

Please write a long Paragraph answering to this discussion below with your opinion. Please include citations and references in alphabetical order in case of another source.

What spiritual issues surrounding a disaster can arise for individuals, communities, and health care providers? Explain your answer in the context of a natural or manmade disaster. How can a community health nurse assist in the spiritual care of the individual, community, self, and colleagues?

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Literature Evaluation Table

Literature Evaluation Table

Literature Evaluation Table

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View Rubric

Max Points: 75

Details:

In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. Being able to articulate the information and successfully summarize relevant peer-reviewed articles in a scholarly fashion helps to support the student’s ability and confidence to further develop and synthesize the progressively more complex assignments that constitute the components of the course change proposal capstone project.

For this assignment, the student will provide a synopsis of eight peer-reviewed articles from nursing journals using an evaluation table that determines the level and strength of evidence for each of the eight articles. The articles should be current within the last 5 years and closely relate to the PICOT statement developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project. Use the “Literature Evaluation Table” resource to complete this assignment.

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to Turnitin.

NRS-490-RS-LiteratureEvaluationTable.docx

Apply Rubrics
Literature Evaluation Table

1
Unsatisfactory 0-71%
0.00%

2
Less Than Satisfactory 72-75%
75.00%

3
Satisfactory 76-79%
79.00%

4
Good 80-89%
89.00%

5
Excellent 90-100%
100.00%

100.0 %Article Selection

5.0 %Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article

Author, journal (peer-reviewed), and permalink or working link to access article section is not included.

Author, journal (peer-reviewed), and permalink or working link to access article section is present, but it lacks detail or is incomplete.

Author, journal (peer-reviewed), and permalink or working link to access article section is present.

Author, journal (peer-reviewed), and permalink or working link to access article section is clearly provided and well developed.

Author, journal (peer-reviewed), and permalink or working link to access article section is comprehensive and thoroughly developed with supporting details.

5.0 %Article Title and Year Published

Article title and year published section is not included.

Article title and year published section is present, but it lacks detail or is incomplete.

Article title and year published section is present.

Article title and year published section is clearly provided and well developed.

Article title and year published section is comprehensive and thoroughly developed with supporting details.

10.0 %Research Questions (Qualitative) or Hypothesis (Quantitative), and Purposes or Aim of Study

Research questions (qualitative) or hypothesis (quantitative), and purposes or aim of study section is not included.

Research questions (qualitative) or hypothesis (quantitative), and purposes or aim of study section is present, but it lacks detail or is incomplete.

Research questions (qualitative) or hypothesis (quantitative), and purposes or aim of study section is present.

Research questions (qualitative) or hypothesis (quantitative), and purposes or aim of study section is clearly provided and well developed.

Research questions (qualitative) or hypothesis (quantitative), and purposes or aim of study section is comprehensive and thoroughly developed with supporting details.

5.0 %Design (Type of Quantitative, or Type of Qualitative)

Design (type of quantitative, or type of qualitative) section is not included.

Design (type of quantitative, or type of qualitative) section is present, but it lacks detail or is incomplete.

Design (type of quantitative, or type of qualitative) section is present.

Design (type of quantitative, or type of qualitative) section is clearly provided and well developed.

Design (type of quantitative, or type of qualitative) section is comprehensive and thoroughly developed with supporting details.

5.0 %Setting or Sample

Setting or sample section is not included.

Setting or sample section is present, but it lacks detail or is incomplete.

Setting or sample section is present.

Setting or sample section is clearly provided and well developed.

Setting or sample section is comprehensive and thoroughly developed with supporting details.

5.0 %Methods: Intervention or Instruments

Methods: Intervention or instruments section is not included.

Methods: Intervention or instruments section is present, but it lacks detail or is incomplete.

Methods: Intervention or instruments section is present.

Methods: Intervention or instruments section is clearly provided and well developed.

Methods: Intervention or instruments section is comprehensive and thoroughly developed with supporting details.

10.0 %Analysis

Analysis section is not included.

Analysis section is present, but it lacks detail or is incomplete.

Analysis section is present.

Analysis section is clearly provided and well developed.

Analysis section is comprehensive and thoroughly developed with supporting details.

10.0 %Key Findings

Key findings section is not included.

Key findings section is present, but it lacks detail or is incomplete.

Key findings section is present.

Key findings section is clearly provided and well developed.

Key findings section is comprehensive and thoroughly developed with supporting details.

10.0 %Recommendations

Recommendations section is not included.

Recommendations section is present, but it lacks detail or is incomplete.

Recommendations section is present.

Recommendations section is clearly provided and well developed.

Recommendations section is comprehensive and thoroughly developed with supporting details.

10.0 %Explanation of How the Article Supports EBP or Capstone

Explanation of how the article supports EBP or capstone section is not included.

Explanation of how the article supports EBP or capstone section is present, but it lacks detail or is incomplete.

Explanation of how the article supports EBP or capstone section is present.

Explanation of how the article supports EBP or capstone section is clearly provided and well developed.

Explanation of how the article supports EBP or capstone section is comprehensive and thoroughly developed with supporting details.

10.0 %Presentation

The piece is not neat or organized, and it does not include all required elements.

The work is not neat and includes minor flaws or omissions of required elements.

The overall appearance is general, and major elements are missing.

The overall appearance is generally neat, with a few minor flaws or missing elements.

The work is well presented and includes all required elements. The overall appearance is neat and professional.

10.0 %Mechanics of Writing (includes spelling, punctuation, grammar, and language use)

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is employed.

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.

Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.

Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.

The writer is clearly in command of standard, written, academic English.

5.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

Sources are not documented.

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

health care

health care

MODULE 07 CASE STUDY S.is a 48-year-old divorced woman with one adult daughter and three grandchildren. She

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is currently working as an LPN part time in a nursing home and also works at a convenience store one or two days per week. She has had many jobs over the last 22 years, usually changing every one or two years. S notes that she has been called less often to work in the convenience store and worries that they don’t like her anymore. She reports being written up several times for arguing with customers. She also reports that her supervisor at the nursing home “is a bitch”; although she really liked her supervisor at first, she says “Now I hate her; she’s trying to get me fired.” S. reports that she has tried to get fulltime jobs five times in the last four years, was hired for three, but only lasted one or two weeks at each one. S. reports that she is currently not talking to her daughter because “she is horribly mean to me and she needs to apologize or I won’t talk to her again”. She is upset that she hasn’t seen her three small grandchildren in about a year. She sends them presents and cards frequently that say “I still love you! Grandma”, but hasn’t called them since she stopped talking to her daughter. She is considering reporting to the county that her daughter is keeping her grandchildren from her. S. is very unhappy that she isn’t in a relationship. She was abused by her ex-husband, and has a pattern of meeting and dating men who eventually abuse her. She states that her last relationship was very good, however; the man was not abusive and “I loved him very much”. The relationship ended for reasons that S. doesn’t understand, although she does report many arguments that ended in “scenes” such as her throwing chairs, stomping out of the house, making crank phone calls to his family, and calling the police with false reports. But S. also reports that she “couldn’t have loved him more and I showed it”. She gives examples of going to her boyfriend’s place of work with flowers, buying him expensive presents, surprising him with tickets to Mexico at the last minute – she was very upset that he wasn’t willing to drop everything and go with her. S. reports asking him why he didn’t love her and what she was doing wrong on a regular basis. When the boyfriend asked to break up, S. reports sitting outside his house for weeks, crying; she called his mother, called his boss, and called and texted him until he filed a restraining order. This occurred about 4 months ago. S. admitted herself to the mental health unit when she felt suicidal. She reports that she had stopped her individual psychotherapy 3 months ago and stopped going to DBT. She also stopped her anti-depressant at that time, as she felt it wasn’t working, and missed her last two psychiatrist appointments.
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infection

infection

Your written assignment for this module should be a 1-2 page paper (not including title page and reference page) that describes the following:

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You are caring for a patient with c-diff as part of your workload assignment. Discuss what c-diff is and how it is transmitted (how you can get it)?
What actions will you take as a nurse to protect yourself and the other patients on the unit when taking care of your patient?
You should include a minimum of 3 scholarly references. Include a title page, in-text citations, and a reference page in APA format.

Research paper , child obesity

Research paper , child obesity

Running head: CHILDHOOD OBESITY CHILDHOOD OBESITY Donna Fagarang Dr. Christopher Bell Health and

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Wellness June 7, 2018 CHILDHOOD OBESITY Childhood obesity has the potential of affecting the health of children for all their lives since it is associated directly with obesity in adulthood, which is itself associated with several health problems. For preventive action to be taken, a clear understanding of both the causes and the consequences of this issue is required. Currently, the United States is significantly affected by overweight and obese children making it a further pronounced issue, developing overweight habits at tender ages is known to be an inhibitor to chances of an individual living healthily even much later in their lives (WHO, 2016). Childhood obesity today is a common issue in both developing and developed countries and its rising levels have become epidemic, overeating habits have greatly affected the physical and psychological health of children suffering from obesity. It is highly important to closely monitor the height gain versus weight gain in children, a child’s weight going above average for their height and age indicates the presence of obesity. Children of this kind, according to research, are more prone to be obese when they become adults thus a poor health in their adulthood resulting from chronic diseases that lead to high costs health wise and personally (Sahoo et al, 2015). Childhood obesity goes hand in hand with health promotion, this is because our lifestyles during childhood, in most cases, determine our health when we become adults and the kinds of lives that we may live then. Enlightening the population on the realities of childhood obesity can be instrumental in ensuring that every individual work towards the prevention of this condition thus leading to better future with good health and high productivity levels. Childhood obesity refers to a medical condition which affects both children and teenagers and involves mostly excess body fat storage. Changes that occur in 2 CHILDHOOD OBESITY weights and heights of children are expected to be proportional to childhood development, this is called healthy weight trajectory. When height changes become disproportionate to changes in weight, the body fat gained by the child begins having a negative impact on their healthy development and they now become off the trajectory (Sahoo et al, 2015). The World Health Organization states that a majority of children who are overweight originate from developing countries and the increase rate in these countries has gone up by 30% higher as compared to countries that are already developed (WHO, 2016). The total number of children with childhood obesity has risen from 32 million to 41 million worldwide in 1990 (WHO, 2016). Following these trends, it can be concluded that the number of children who are obese is likely to rise up to approximately 70 million come the year 2025. Childhood obesity affects children, however, there are those who may be at a greater risk of obtaining it including the physically inactive every day, those that live in obesogenic environments where no one encourages than to eat healthily and take part in physical activities, children who are not well informed on how to soundly approach nutrition, those who consume foods high in sugar and fat regularly, and those that cannot access or afford any healthy foods (Sahoo et al, 2015). It is convincingly emergent that the source of Coronary Heart Disease and Type 2 Diabetes starts early during childhood development, childhood obesity, in this case, serves as a factor of extreme importance. During the last four decades, there has occurred a phenomenal increase in the proportions of children with obesity, in the developed world especially (Sahoo et al, 2015). 3 CHILDHOOD OBESITY Childhood obesity has proven to be one of the serious challenges to public health in the 21st century, it is a global problem and its effect is becoming steady on several middle and low-income countries, especially in urban areas. Obesity is a result of low energy expenditure compared to the energy consumed, this imbalance is caused by complex factors which are different for different people and their social contexts. The trends set in the modern day’s society have played a key part in changing the manner in which children make interactions with their environments, consequently, they have become a fuelling factor for childhood obesity, the causes of childhood obesity include low outdoor recreation, marketing foods and beverages that contain a high level of fat and sugar to children of young ages, an increased accessibility of fast foods for children with even more portions, a higher dependence on electronic media and sedentary activities among children, and less opportunities for eating and sleeping healthy are presented to children today (Sahoo et al, 2015). As a result of childhood obesity, several problems are prone to develop which are associated with life and health in general, these are inclusive of: Cardiovascular disease accompanied with its risk factors like high blood pressure and high cholesterol; cancers such as breast, colon, and endometrial cancer; musculoskeletal disorders which are diseases that tend to disable the joints and are known to be degenerative like osteoarthritis; social problems like bullying and stigma; insulin resistance, usually an indication of diabetes, and glucose intolerance; gastroesophageal reflux such as heartburn, fatty liver disease, and gallstones; psychological problems such as anxiety and depression; breathing problems like asthma and sleep apnea; reduced self-esteem which leads to a low quality of life (Sahoo et al, 2015). Despite the fact that treatment is vital, the primary target of most 4 CHILDHOOD OBESITY intervention programs should lie in the prevention of obesity and overweight (Wang et al, 2015). With knowledge on the major causes and consequences of childhood obesity, it becomes easier to carry out my health promotion project since the information gives me more insight on the issue, for instance, parental practices are likely to significantly bring down the risk of obesity development in children, if they are taught to encourage physical activity, limit time allocated to passive activities like watching televisions and other activities that involve a screen, and serve as role models, family practices will continually have an impact on the behaviour of their children in terms of eating patterns, physical activities and passive activities. Parents have the capacity to decide meal timing, the meal type, and the amounts of food served to their children. Obesity prevention should start all the way before birth, this will account for prenatal and genetic conditions (Wang et al, 2015). Overweight women should be observed both before and during their pregnancies so as to implement behaviour and diet change that could lower foetal exposition to diabetes, obesity, and smoking. Infants’ weight can also be controlled by educating new mothers in weaning and the appropriate sleeping and soothing behaviours. My health promotion project aims at enlightening the population, through educating them, on all the details concerning childhood obesity, this includes its main causes, consequences, dealing with obesity, and ways in which it can be prevented in the future. In the recent year’s strategies that prevent childhood obesity have been developed and implemented, most of these strategies have targeted the food environment, socioeconomic environment, and the physical activity environment (Wang et al, 2015). 5 CHILDHOOD OBESITY My project purposes to raise awareness on the importance of incorporating healthy eating and physical activity in children’s lifestyles. Through extending prevention programs in preschool years by focusing on dietary habits and the activity level of young kids, children can be encouraged to get used to a lifestyle in which they exercise regularly, eat healthy, give up sedentary lifestyles that involve too much television, and alter their eating patterns to consume food that are low in sugar and fat. My project encourages children to learn to value their health thus encouraging themselves to live healthily. Childhood obesity is a fast-growing issue that can be slowed, parents should be at the forefront in enforcing a healthy lifestyle at home, this will help to avoid any problems to do with obesity (Simmonds et al, 2016). It is noteworthy that once developed, obesity becomes difficult to treat and it also puts the affected child population at risk for health problems that may last long into their adulthood lives, the social and individual cost of obesity is heavy and the best way of dealing with it is to invest in prevention measures. In the bid to tackle childhood obesity it is important that access to opportunities for carrying out physical activities is improved, dependence on electronic media and sedentary activities is reduced, genetic conditions that result in obesity are considered, health improvement is emphasized more than weight loss, infants’ medical monitoring is altered so as to emphasize prevention of obesity, and mass education offered to children on the impact of leading unhealthy lifestyles in their adult lives. In this way, obesity can be dealt with in a better manner. This is to be incorporated in the lifestyle of children all the way from childhood so that it becomes a way of life they should stick to into adulthood as well. 6 CHILDHOOD OBESITY 7 References Sahoo, K., Sahoo, B., Choudhury, A. K., Sofi, N. Y., Kumar, R., & Bhadoria, A. S. (2015). Childhood obesity: causes and consequences. Journal of family medicine and primary care, 4(2), 187. Simmonds, M., Llewellyn, A., Owen, C. G., & Woolacott, N. (2016). Predicting adult obesity from childhood obesity: a systematic review and meta‐analysis. Obesity reviews, 17(2), 95-107. Wang, Y., Cai, L., Wu, Y., Wilson, R. F., Weston, C., Fawole, O., … & Chiu, D. T. (2015). What childhood obesity prevention programmes work? A systematic review and meta‐analysis. Obesity reviews, 16(7), 547-565. World Health Organization. (2016). Facts and figures on childhood obesity. 2014. Week 5 Final Project – Draft 1 Directions The length of this document is about three pages—or five pages if you’re counting the title page and References page. You should have at least three sources for your References list. Proofread carefully and then turn in this document by the end of Week 5. Prewriting What is your narrowed topic? Be detailed in your answer. You can use any of the versions you’ve developed for prior assignments. Who is your primary audience or reader? Why? Be detailed in your answer about your audience. In a sentence or short paragraph, what is your thesis statement, including your angle? Write what will appear in your essay. What topic sentences will you use as the foundation of your communication? (If necessary, add more points.) • • • • What method of organization and development will you use to develop your paragraphs? • Introduction: • Body: • Conclusion: Use these plans to complete your draft on the following pages. Week 5 First Draft Grading Rubric Week 5 First Draft Grading Rubric Criteria This criterion is linked to a Learning OutcomeCentral Idea/Focus: Topic, purpose, and thesis are clear and identifiable in the introduction; all ideas consistently address this main idea without off-topic or irrelevant ideas. Ratings Pt 10.0 pts Meets expectations 0.0 pts Does not meet expectations 10.0 25.0 pts Meets expectations 0.0 pts Does not meet expectations 25.0 15.0 pts Meets expectations 0.0 pts Does not meet expectations 15.0 This criterion is linked to a Learning OutcomeAPA including Paper Format: correct title page, headers, second page title, margins, alignment, spacing, font, and size. In-text and endtext citations for at least three sources are listed in the References. Prewriting portion of assignment is completed and submitted with the draft (5 points) 15.0 pts Meets expectations 0.0 pts Does not meet expectations 15.0 This criterion is linked to a Learning OutcomeGrammar/Mechanics/Style: Grammar refers to correctness of language usage. Mechanics refers to conventional correctness in capitalization, punctuation, and spelling. Style includes word choice, sentence variety, clarity, and conciseness. Also, sentences vary in length and structure; ideas are clear, logical, and concise. 10.0 pts Meets expectations 0.0 pts Does not meet expectations 10.0 This criterion is linked to a Learning OutcomeSupport/Development of Ideas: Ideas are sufficiently developed for each point. Ten points may be earned for each of the two sections of the document: Introduction and Problem Analysis. The Introduction must grab the reader’s attention, describe the nature of the topic/debate and provide a clear and compelling thesis. Body paagraphs must have a main idea followed by support, such as the history, causes, effects, definition, evaluation, or opposing view, and include detailed analysis that explains the significance of the research. This criterion is linked to a Learning OutcomeOrganization/Structure: Sections are clearly delineated; the internal structure of a piece of writing, the thread of central meaning. All ideas are organized well without any missing or incomplete components. Total Points

Discussion Board

Discussion Board

Discussion Question 1

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What do you think are the two most prevalent age-related changes that affect the lifestyle of the elderly? How would you help an elderly patient adjust to the two changes you identified?

Discussion Question 2

Identify at least two modes of communication you have used for the elderly in your clinical practice. State what modes of communication were effective and which modes were challenging. Explain why.

Citations should conform to APA guidelines. You may use this APA Citation Helper as a convenient reference for properly citing resources or connect to the APA Style website through the APA icon below.

Assessing and Planning Care for an Elderly Person

Assessing and Planning Care for an Elderly Person

Assessing and Planning Care for an Elderly Person

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In order to gain an insight into the world of elder adults, it is important to understand how they view themselves and the values they hold. Additionally it is important to assess and determine his/her needs and establish appropriate interventions for this individual.

By the due date assigned, choose an older adult to interview. This cannot be a patient in your clinical setting. You can use a friend, family member, or co-worker. The older adult should be 65 years or older. Use the format provided to record the responses. A list of questions is available for you to start with. Include 2–3 questions of your own to get a complete picture of the older adult. Summarize your findings and also contrast the responses with findings in your readings and other current literature.

Download a patient questionnaire. This form should be used as an example.

After gaining permission, conduct a physical and mental functional assessment of the older adult you have chosen. Review your readings for the process of functional assessment.

Make use of the tools discussed this week to complete a comprehensive assessment of your patient. Search the Internet for resources on these tools.

Tinetti Balance and Gait Evaluation
Katz Index of Activities of Daily Living
Assessment of Home Safety
The Barthel Index
Make sure the older adult is clearly identified on the tools. Do not include their name, but do include professional or other designation, and age. Your name should also be identified on the tool. (This should be a part of your Appendix.)

Compare and contrast the age-related changes of the older person you interviewed and assessed with those identified in this week’s reading assignment. During this data analysis process provide at least 4–6 preliminary issues that you have identified. Identify three alterations in health that you would propose and describe them. Identify a minimum of three comprehensive interventions for each problem.

Make sure that you integrate personal cultural awareness and cultural competency.

Paper should be 5–6 pages, not including the questionnaire or tools used. These should be attached as an Appendix. Remember to use headings to identify the different sections in your paper.

On a separate references page, cite all sources using APA format.

Use this APA Citation Helper as a convenient reference for properly citing resources.
This handout will provide you the details of formatting your essay using APA style.
You may create your essay in this APA-formatted template.
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