Community Statistics Assignment

N4465 Population and Community Nursing

COMMUNITY ASSESSMENT, ANALYSIS, and NURSING INTERVENTION

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Modules 1-3 (Weeks 1 – 3) Assignment Template

 

PLEASE NOTE: Submission of any assignment from a prior session of N-4465 without prior permission from course faculty, will receive a zero for the assignment or a 10 point grade penalty if a new assignment is re submitted within 48 hours of notification by academic coach or faculty. After 48 hours the assignment will receive a zero.

Use of the Three-Part Course Template

● The use of the three-part template to submit weekly Major Course Paper Assignments goes as follows:

● Week 1: Clinical Experience: Windshield Survey and Key Informant Interviews. Complete the First Section of the course template and submit. (Keep this section attached to Weeks 2 and 3 assignments.)

● Week 2: Statistical Analysis of Community Health Problem. Complete the Second Section of the course template and submit. (Keep this section attached to Weeks 1 and 3 assignments.)

● Week 3: Community Health Nursing Intervention. Complete the Third Section of the course template and submit. By now, you should have Sections 1-3 as one whole document.

 

● Each section of the course template is submitted on a WEEKLY basis, depending on which week you

are working on. DO NOT wait to submit all three sections at the end of the third week.

● Please note that students are not to make any changes to the content of the course template, for example, removal of questions or examples imbedded in the response box of the template.

 

● Removal of the questions or examples imbedded in the response box of the template is

considered tampering with the content and will result in a 10-point grade deduction per assignment.

Should removal of the questions or examples imbedded in the response box of the template persist by the student, in addition to the 10-point deduction, the student will be referred to the Office of Student Conduct for final disposition. You are strongly encouraged to be mindful of this course policy.

 

● The ONLY change students may make to the template is to enlarge the space to make their entries in the response boxes.

 

● Should you encounter any difficulties with these course policy guidelines, please consult with your

Academic Coach.

 

Clinical Experience: Windshield Survey and Key Informant Interviews

 

Student Name: Dates: 11/14/2020

Name of Community or Zip Code: 94561

Module One (Week One): Part One Windshield Survey and Key Informant Interviews

Please complete the following information on this template about the community you have selected. If you do not use this template there will be a 10- point grade penalty per assignment, and you will be required to resubmit within 48 hrs. You may increase the size of the block by continuing to type. Use as much space as necessary to provide your answers

Elements

 

Descriptors

 

Physical Environment

 

Make sure you address fully what you observed and NOTE if something was not found within your community area.

 

● Boundaries

 

What defines the boundaries? Roads, water, railroads. Is the area known for a particular name? What area is this community located in?

Oakley is located in Contra Costa County in Northern California. The community is part of the Delta De Anza. Oakley’s west border is Highway 160. Highway 160 leads to Oakland, San Francisco, and the Sacramento area. The city of Antioch borders Oakley to its west, and the city of Brentwood borders Oakley to the south. The Bethel Island is on the east side of the community. The Sacramento- San Joaquin Delta forms Oakley’s northern boundary. To the southwest of the community is Mount Diablo and the Diablo Range.

 

● Housing and Zoning

 

What is the age of the houses? Describe type of construction material, appearance, and general condition. Do you see single family housing? Multi-family housing?

Oakley is home to many young professional families. Being in the Bay Area, it is home to many commuters – with families working in other parts of the Bay Area and in San Francisco. It is a middle class area with single family housing. The construction material for the houses in this community – and in California as a whole – are built from wood. It follows the modern style typically on 1 to 1.5 town lots for each home.

 

● Common Meeting Places

 

Where do people in the neighborhood hangout? Who hangs out there and what hours of the day?

Common meeting places include dining establishments, church, neighbor parks, and the golf course in the neighborhood. The population frequency of the community varies based on the time day. Previous to the COVID lockdown, you would see more people out and about but due to the global pandemic, not as many people are at dining establishments and churches. Around 5 PM, there were a young population in the parks with their young parents. On the weekend during the day, you will see middle aged men in the park. At the local Target, you will see a diverse amount population at all hours of the day.

 

● Indicators of Growth or Decline

 

Is this a “thriving” community or does it look “run down?” Is there new or ongoing construction? Businesses and Industries coming to the area? Are buildings, roadways, and public areas clean and well-kept. Do you see dirt, trash, or graffiti?

Oakley is a thriving youthful community. You will find plenty of new developments being made. You will see new construction for up and coming family houses being built. You won’t see many businesses and industries being built in the area. It is more of homes being built, for this is a suburban area. The buildings, roadways, and public area are all clean and well maintained. It is out of place to find graffiti or trash in the area.

 

● Employment Opportunities

 

What places for employment are there is this area? Name the businesses and industries in this area.

As this is primarily a suburb with many commuters, the only types of employment offered in this area are the local Target, the Police and Fire Department, and other small businesses around the area. There are local dental, grocery and clinics where people can work as well.

 

● Transportation

 

How to people get from one place to another? Is public transportation available? How timely is it? Personal autos? Bikes? Walking?

People get from one place to another in their personal cars, Ride-Share options, bikes, and walking. You will not find any bus public transportation systems in the area, however the BART (Bay Area Rapid Transit) does have stop in Oakley. This connects Oakley to all of the Bay Area via high speed rail.

 

People

 

Make sure you address fully what you observed and NOTE if something was not found within your community area.

 

● Race and Ethnicity

 

What is the majority racial group represented? What is the majority ethnic group represented? Describe the distribution of gender, approximate ages, single families, multiple families, generational families?

According to the 2019 US census, the majority racial group represented in Oakley is 62.1% white, 36.9% Hispanic, 8.4% black and 14.43% other race. It did not appear that women slightly outnumbered men, there are 50.33% women and 49.67% men. According to the demographic profile on the city’s website, the approximate age of the residents are 29% 0-18 years old, 11% 19-25 years old, 20% 26-40 years old, 23% 41-55 years old, 10% 56-65 years old, 6% 66-80 years old, and 1% over 80 years old. The median age is 33 years old.

 

● Cultural Characteristics

 

What cultural similarities or differences do you observe? Languages spoken? Clothing? Ethnic eating places? Culturally-based celebrations? Signs in languages other than English?

English is the language that you hear in public places the majority of the time. That being said, in some public places, you will hear some speak in Spanish. The people in this communities tend to keep with Western culture and dress in American fashion. There are diverse eating establishments with Chinese, Thai, Vietnamese, Mexican, and Greek food to name a few of the cultural cuisines represented.

 

●Lifestyle Healthy Behaviors

 

What healthy lifestyle behaviors do you observe? Do you see people exercising, wearing helmets when biking, seat belt usage, using trash cans for garbage disposal, healthy eating practices?

You see people practice healthy behavior like seat belt usage, and using their trash can for garbage disposal. Kids tend to wear helmets while hiking and the practice of eating vegan and vegetarian of healthy eating practices. The farmers market is a place of frequent visit for a lot of Oakley resident as eating fresh from the farm is highly encouraged.

 

● Lifestyle Risk Behaviors

 

What unhealthy lifestyle behaviors do you observe? Do you see people practicing risky lifestyle behaviors such as drinking alcoholic beverages, smoking, fighting? Do you see signs of violence, gang activity, drug use, criminal activity, and bars on doors and/or windows? Do you see overweight/underweight persons? Do you see children unattended playing out in the streets? Do you see any signs of homelessness? Street people? Describe gender, age, and race/ethnicity of persons observed.

An unhealthy lifestyle I have observed as of late is eating of fast food, the increase consumption of alcohol and binge watching TV. It could be due to the current Cpvid-19 pandemic we are having but I can see that being a health concern for others down the line. I have not seen any drug use but am aware of a methadone clinic in the area to help people struggling with drug use. Kids are always being attended to. There is a great sense of community in the city where we look out for each other and support the kids as a whole. I have not seen any signs of homelessness or panhandlers in the area. There are a number of donation centers and food banks for people to go to in the event they need assistance. I have noticed that the neighborhood app is used a lot by Oakley residents to help people who are in need especially the elderly.

 

● Poverty Indications

 

Do you see any signs of homelessness? Street people? Describe gender, age, and race/ethnicity of persons observed.

Homelessness is not common in this area. It is rare to see but if you do see homelessness, they tend to be middle aged white men.

 

Services in the Community

 

Make sure you address fully what you observed and NOTE if something was not found within your community area, how far away it is and how people will access it.

 

● Social Services

 

Do you see evidence of recreation centers, parks, and social services? For services that are not available, how far must persons travel to access these services? Describe each.

Parks and recreation centers are highly common in this area. You see parks with children being active in every neighbor. It is within walking distance of most people.

 

● Health Services

 

Do you see evidence of health (Hospitals, Dr’s Offices, Clinics) and mental health services? Describe each. Are there any signs of alternative services in the area, such as healers (curanderos), herbalists, herbal stores, palm readers, acupunctures, chiropractors. For services that are not available, how far must persons travel to access these services?

There are health services throughout the city from clinics, nursing homes, assisted living communities, dental clinics, chiropractor and other natural healers. From my home there are four doctor’s office I was able to pull up that were 2.7 miles from me. Mental health services are within six miles from me in another city. There are four other cities next to Oakley that share a lot of the mental health facilities. No herbalist in the city of Oakley but neighboring cities have a couple nearby. To see an herbalist, one would have to drive 4.4 miles.

 

● Fire and Police Services

 

Do you see any fire and police services/equipment/officers? Where are the closest fire and/or police stations?

The nearest fire and police services are within mile of the “downtown” area. It is in a centralized area within a mile from the local schools and shops. Police is visible throughout the city at all time.

 

● Educational Resources

 

Where is the nearest public library? Discuss the Schools and Universities/Community colleges?

The nearest public library is the Oakley Library which is 2.5 miles away from my home. There are three school districts that operate in Oakley. Oakley Union elementary school district which operates six elementary schools, and two middle schools in Oakley. The city of Antioch operates a K-8 school and liberty union high school district operates one high school. There are a couple of private schools as well. Oakley does not have a community college or university. According to the city of Oakley website, the nearest community college is Los Medanos College in Pittsburg and is 9.3 miles away from Oakley.

 

 

 

● Religions

 

What signs of religion do you see? Discuss the types of churches, mosques, temples? What services are offered by these churches, e.g., Day Care, Mother’s Day Out, Summer Camps, Languages Classes, Citizenship Classes, Food Banks, Clothing, other.

 

There are a number of churches and a mosque in the city of Oakley. There are also Christian religious base schools. Christianity is the dominant religion in the area.

 

Business & Industry

 

Describe stores and shops available in the community, e.g., grocery stores, gas stations, department stores. What type of business climate exists? Manufactures? Light or heavy industry? Large employers? Small business owners? Retail? Hospitality industry? Do people have to seek employment elsewhere? Is this considered a “bedroom community”- where people work outside this community but live here? Make sure you address fully what you observed and NOTE if something was not found within your community area.

There are a lot of businesses in the area. Grocery shopping can done at stores like Raleys, FoodMaxx, Grocery outlet, Lucky’s and Winco. Housewhole items can be done at Walmart. Target, home goods and TJmaxx. Clothing apparel can be purchase at Victoria’s secret, JC Pennys, Kohls and local small boutiques like Xios, Plush, Nichells and socialite. There are a lot of gas stations and more being built which helps with employment in the city. Oakley is a developing community therefore there are many home construction going on with new developments always on the rise. There are a number of hotels like Best western, comfort inn, Days inn, Hampton inn and holiday inn express for visitors to stay at during their visit.

 

 

Politics

 

What indicators do you see about politics? Posters? Headquarters? Make sure you address fully what you observed and NOTE if something was not found within your community area.

With the November 4th election just barely over, there are still people out protesting, holding signs of their party support. You hear the occasional car honking and people yell out in support of their party. Fortunately there has not been any reports of violence, looting or fighting. Everyone appear to be respectful and peacefully protesting. There are posters in front of houses and some businesses. Downtown Oakley is cleared out from all political posters. The city council has representative from all parties.

 

 

Media

 

Do you see indicators of what people read? Listen to the radio? Watch TV? Are there any signs of media language other than English? Make sure you address fully what you observed and NOTE if something was not found within your community area.

No I do not have an indicator as to what people are reading, I assume the local Oakley press newspaper. With so much happening with Covid-19 and the recent election, people are likely reading and watching the news relating to coverage of both. There are usually postings in both English and Spanish at business centers around town. The local radio station 92.9 plays current music and occasional news coverage.

 

Key Informants

 

Interview a fireman or police office.

Also interview a librarian, schoolteacher, school nurse or administrator.

Ask each person interviewed to share their perceptions of

the following and cite personal communication as appropriate:

1. Interview with fireman or police officer

˃ Community’s Health issues

I was able to speak with John Amus on the phone. Due to the Covid-19 pandemic, I was not able to visit the local fire department. Mr. Amus spoke about the health and safety of fire fighters as they respond to a call for help. Back in September and early October, cities like Santa Rosa, Scotts Valley and Napa had to be evacuated due to north complex fires. Every year Northern California and the state in general has fire activities, this year was especially tough due to Covid-19. Assisted living communities were the most difficult to evacuate as these residents needed hands on assistance where they physically have to be carried out of the building. Social distance did not apply and wearing face masks made it all the more difficult. Those individuals who have breathing problems had a lot of complications and had to be sent to the hospital which escalated the fears of more Covid-19 exposures.

˃ Community’s Safety issues

Looting and break ins have been on the rise recently. With the weather changing, it is getting dark early there has been an increase in reported break-ins. Almost all the houses in my neighborhood have the ring doorbell app to help with extra surveillance of their homes. Mr. Amus advised to report any unusual activity to the police department. There was an incident where someone got stuck in a fire escape and both police and fire where called.

˃ Strengths of the Community

The community is like a watch group for each other and that has been a great additional support to have. They come together and watch out for each other.

2. Interview with librarian, schoolteacher, school nurse or administrator

˃ Community’s Health issues

Covid-19 is a concern for everyone especially those in the medical field. I interview Patricia Fergundez who is a school nurse. She is currently not working in the school setting but is picking up shifts as a home health nurse. She has concerns when kids go back to school and what those protocols will be to keep everyone safe when she is the only medical personnel.

˃ Community’s Safety issues

Making sure that kids and teachers are safe and her protected during this pandemics times we currently are living in.

˃ Strengths of the Community

Enter the information about your interviews with Key Informants in this space in your template. You will not receive credit if the Key Informant interviews are inserted elsewhere on this template.

 

Analysis of Windshield Survey

 

Analyze and summarize your observations and the input from key informants. Write a 3-paragraph summary of community health (2) and safety (1) issues for this community and strengthens of the community. Remember to cite personal communication as appropriate:

The city of Oakley is a small community with a population of 43,991 according to the city’s website. With a community this small, it seems like everyone knows each other. The city is family oriented with varying age groups, race, religion and political affiliations. The city was “incorporated in July 1999 and considered one of California’s youngest cities” (). Residents of Oakley are family oriented and are helpful to each other. It is a community of people who wants to see its overall population thrive in terms of health and wellbeing. There are a lot of opportunities in Oakley and its surrounding cities. As a young city, the community is made up of younger adults who calls it home and want to maintain the code of ethics of the city which are honesty, lawful, respectful, fairness, teamwork, stewardship and accountability.

Oakley is considered to be a safe place to live. According to city rating “Oakley crime statistics report an overall downward trend in crime based on data from 16 years with violent crime decreasing and property crime decreasing. Based on this trend, the crime rate in Oakley for 2020 is expected to be lower than in 2016” (City rating, 2020). It shows that the neighborhood watches and surveillance that the residents have been doing for themselves and each other is working. With the increase in population I was expecting it to say that crime rates are increasing, it good to hear that it is decreasing and thriving.

The city of Oakley is a young up and coming community that is family oriented and very tolerant of its various inhabitants. It is a community where you can raise a family, maintain privacy and still be a part of a positive environment. When the city went on shutdown in early March due to Covid-19 outbreaks, I was amazed how the people of Oakley were able to come together via social media to connect with each other. There were daily check ins that neighbors were doing with each other, sending food items to houses, buying toiletries, keeping kids entertained ( leaving stuffed animals on the windows to play I spot) and sending recommendations on what to watch on TV. It was such a camaraderie amongst strangers who are an extension of a family. I think Oakley can serve as a place of positivity and togetherness that we need in not only the US but around the world.

 

 

 

 

 

 

 

 

 

 

Reference

U.S. Census Bureau QuickFacts: Oakley city, California. (n.d.). Retrieved November 13, 2020, from https://www.census.gov/quickfacts/oakleycitycalifornia

Ci.oakley.ca.us. 2020. [Online] Available at: <https://www.ci.oakley.ca.us/wp-content/uploads/2015/08/Oakley-Demographic-Final-Low-Res.pdf> [Accessed 13 November 2020].

Oakley Crime Rate Report (California). (2020). Retrieved November 14, 2020, from https://www.cityrating.com/crime-statistics/california/oakley.html

 

 

 

Module 2 (Week 2) Part Two: Statistical Analysis of Community Health Problem

Please complete the following information on this template. If you do not use this template there will be a 10-point grade penalty per assignment, and you will be required to resubmit within 48 hrs. You may increase the size of the block by continuing to type. Use as much space as necessary to provide your answers

Name of Community or Zip Code:

Instructions: Enter your response in each category marked below. Provide objective, statistical support for your subjective findings.

● Include all the data listed in the Objective Data Criteria listed below.

● Add supplemental data as needed for your community.

● All statistical data must be reported in NARRATIVE form only. Tables and graphs will not be accepted.

● Compare objective data for your community with local (city), state, and national data.

You may increase the size of the block by continuing to type. Use as much space as necessary to provide your answers

General Objective Data Criteria for the Community-at-Large

1. Demographics: Total population; age distribution; gender distribution; family characteristics (single parent, multi-family, etc.). Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

 

 

2.

 

Racial/Ethnic Characteristics: Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

 

 

3.

 

Economy: poverty rate, unemployment rates, median income. Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

 

 

4.

 

4. Education: High school completion rates; higher education statistics. Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

 

 

5.

 

5. Identify two Morbidity and Mortality/Risk Problems: (Based on your observations from Week 1 subjective assignment, windshield survey and key informants provide Morbidity, Mortality (M&M) and risk data for your community… Example 1: if you observed obesity in your community then present obesity rates and health conditions associated with obesity [i.e. CVD, HD, Depression, etc.). Example 2: smoking/drinking rates and health conditions associated with smoking [i.e. Lung Cancer, COPD, etc]. These variables may include the following: gender (who does this problem affect the most, men or women); age distribution; ethnicity or racial group(s) mostly-affected; morbidity and mortality rates; any data related to life-expectancy in light of the health issues; is there a geographic area where the health problems mainly exist; is there a relationship between the health issue(s) and environmental health hazards; are these life-threatening health issues? Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

 

 

6.

 

6. Other data as needed (air, water quality, crimes rates). Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

 

 

7.

 

Analysis of Data

1. Based on your subjective and objective review of your findings, what conclusions have you arrived at? Remember to cite sources as appropriate.

· What impressions from your subjective observations were unfounded/invalid?

 

 

·

 

· Given the objective data, what impressions were validated/substantiated?

 

 

·

 

· What cause-and-effect relationships did you discover/identify?

 

 

·

 

2. Problem Analysis for Community/Zip Code:

Problem: List two (2) problems within your community (for example, Infant Malnutrition, CVD, Lung Cancer, Obesity, Alcoholism, Violence) NOTE: These problems need to be something the Community Health Nurse can impact (for example, a CHN cannot build a sidewalk, repair a street, implement a new bus route, etc.). Remember to cite sources as appropriate.

1. ____________________________________________

2. ____________________________________________

Select one of the problems above and complete the 3 rows of the Problem Analysis chart below.

Problem Correlates*

 

Relationship of Correlate to Problem

 

Data Supportive of Relationship +

 

Ex. Inadequate diet

 

Ex. Diets lacking in required nutrients contribute to malnutrition

 

Ex. All infants and children seen at the local Public Health Clinic are referred to the nutritionist because of poor diets (X.Y. personal communication, date). Of infants measured, 60% were in the lower percent for their weight/height (X report, date).

 

1.

 

 

 

 

 

2.

 

 

 

 

 

3.

 

 

 

 

 

 

*These are factors that contribute to problem and outcomes.

+ Refer to appropriate sections of the database and relevant research of the findings in current literature. Data in the third column could be local, state, or national statistics.

3. Community Health Nursing Diagnoses:

Based on your subjective and objective assessment findings above for both Weeks 1 and 2, write TWO priority community health nursing diagnoses.

You must use this format for correctly writing a CH nursing diagnosis (do NOT use NANDA): *RISK OF AMONG RELATED TO

Health *Risk/problem of (specific injury, illness, or potential of, complication of, etc) Among (specific population) Related to (supporting evidence from your assessment findings).

➢ Your CHN Diagnoses MUST be something that a community/public health nurse can do something about. See example below.

➢ Note: Poverty is NOT a CHN diagnosis.

➢ Remember do NOT use NANDA Nursing Diagnoses.

For example: Risk of asthma complications among children in SE Dallas County related to observations of overcrowded living conditions, lack of public transportation (may result in inability to access health care), high number of animals observed living in homes, poverty indications (may result in lack of access to medications).

Community Health Nursing Diagnosis #1

 

 

 

 

 

Community Health Nursing Diagnosis #2

 

 

 

 

 

 

Reference

 

Module 3 (Week 3) Part Three: Community Health Nursing Intervention

 

Directions: Please complete each section below, providing the requested information on this template. If you do not use this template there will be a 10- point grade penalty per assignment, and you will be required to resubmit within 48 hrs. You may increase the size of the block by continuing to type. Use as much space as necessary to provide your answers

Introduction: Purpose of the paper, synopsis of community, two CHN diagnoses with supporting evidence, for example, observations, reports from Key Informants and Statistical data. Remember to cite sources as appropriate.

 

 

 

 

Based on the 2 CHN Diagnoses you developed in Assignment 2 or modified, select ONE problem and develop a CH Nursing intervention. Remember to cite sources as appropriate.

1. CHN Diagnosis/Problem you selected:

 

 

2.

 

2. Why did you select this problem? Provide your rational for selecting this problem in 1-2 comprehensive paragraphs (Consider the problem priority criterion on page 417 Box 18-5). Provide supporting community and scientific/authoritative evidence, for example, Healthy People 2020, CDC, AHA, other. Remember to cite sources as appropriate.

 

 

 

 

 

3. Identify two (2) Goals. For example, goals indicate where you want to go.

Then, identify two to three (2-3) objectives per goal. For example, objectives should indicate how you plan to get there, or how you plan to accomplish the goal(s).

Goal 1:

 

1. Objective:

 

2. Objective:

 

3. Objective:

 

 

Goal 2:

 

1. Objective:

 

2. Objective:

 

3. Objective:

 

 

 

4. Intervention Objectives Timeline

Under Interventions you should have an intervention for EACH objective you list (if you have 4 objectives then you should list 4 interventions; if you have 6 objectives (3 for each goal), then 6 interventions). You can insert rows into that table to accommodate if needed. If one intervention addressed more than one objective, you must make it clear in your paper. See the example in the table.

Present Date

 

Objective( Number and Statement)

 

Anticipated Completion Date

 

Enter Date

 

Ex. Eighty-percent (80%) of infants seen by health department, neighborhood health center, and private physicians will have developmental levels assessed.

 

Enter Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Refer to textbook for additional examples.

 

5. Plan of Intervention and Evaluation

Date

 

Intervention Activities

 

Responsible Agency/Person

 

Evaluation Measures

 

Target Date of Completion

 

Enter start date.

 

Ex. Community Health Nurse identifies and trains lay advisors in community as case finders

 

Ex. Community Health Nurse

(CHN)

 

Ex. • Lay advisors will be able to verbally describe case-finding methods to CHN

• Number of new WIC cases will be tracked by CHN on monthly basis for 1 year to determine if goal of 80% has been met

 

Ex. Lay advisor training completed by

enter date of estimated completion.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.

 

 

Summary/Conclusion: Summarize your assessment findings, your proposed community health nursing intervention, and the community public health outcomes that you anticipate as a result of the intervention. This can be one or two brief paragraphs. Remember to cite sources as appropriate.

 

 

 

 

 

 

 

 

 

 

Reference

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