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PSYCHE
Psychology & Cognition
MEDICA
Health & Fitness
NUTRI
Diet & Nutrition
SOCIO
Society & Culture
POLITICO
Politics & Economy
ENVIRO
Earth & Climate Change
SITE INDEX
Recent Additions & Updates
Autism & Neurodevelop-
mental Disorders:
Causative Factors, Early Detection, and Interventions
Vitamin D Theory of Autism
Caffeine:
Facts, Amounts, Clinical Studies and Resources
Child Care Cookbook:
Day Care Recipes You
Can Use At Home
Cognitive Mapping:
Definitions, Examples, and Resources
Consumer Health Resources
Irrefutable Evidence:
The Importance of Vitamin D in the Prevention of Illness and Death
Linguaphile:
New Words and Phrases
Medicinal Mushrooms:
Treating Illness and Maintaining Health with Fungi
Nordic Walking: Overview
Origin, Health Facts,
Technique, Gear
Pollution in People:
Toxic and Hormone-Disrupting Chemicals in Plastics and Everyday Products
ProPublica:
Investigative Journalism in
the Public Interest
Tools, Gear & Gadgets:
Health & Fitness, Work & Play
What Fish Are Safe To Eat?
Selected Lists and Resources

Botanic Choice



QuickStart - Early Intervention for Autism

HereToHelp

Empirical evidence supports the efficacy of psychodynamic therapy. Effect sizes for psychodynamic psychotherapy are as large as those reported for other therapies that have been actively promoted as “empirically supported” and “evidence based.” Additionally, patients who receive psychodynamic therapy maintain therapeutic gains and appear to continue to improve after treatment ends. Finally, nonpsychodynamic therapies may be effective in part because the more skilled practitioners utilize techniques that have long been central to psychodynamic theory and practice. The perception that psychodynamic approaches lack empirical support does not accord with available scientific evidence and may reflect selective dissemination of research findings. [...]

Psychodynamic or psychoanalytic [the author uses those terms interchangeably] psychotherapy refers to a range of treatments based on psychoanalytic concepts and methods that involve less frequent meetings and may be considerably briefer than psychoanalysis proper. Session frequency is typically once or twice per week and the treatment may be either time limited or open ended. The essence of psychodynamic therapy is exploring those aspects of self that are not fully known, especially as they are manifested and potentially influenced in the therapy relationship. [...]


Mesothelioma Treatments
Mesothelioma | Asbestos.com - The Leading Mesothelioma Cancer Resource


Intraspec.ca

Tools for Personal Development
An Online Journal
Readings, writings and research on matters of health and well-being.


SOCIO 
Homeless in Canada
Selected resources, news and statistics on housing and homelessness in Canada, with national and provincial housing and homeless initiatives, developments and services in major cities, local Ottawa services and charities, research and policy organizations, food banks by province, and a customized search engine for Poverty & Homelessness in Canada.

Homeless...
See also: SOCIO 
  

The Science of Love and the Importance of Secure Attachment

On Thursday, 12 November 2009, CBC Ideas ran an interview with Sue Johnson EdD, an internationally recognized couples therapist. The interview explored the importance of secure attachment in the formation and maintenance of lasting relationships. Dr. Johnson spoke at length about the science of love, and emphasized the pioneering work on attachment theory by John Bowlby (1907-1990), a British psychiatrist and psychoanalyst.

Over the course of the hour, she presented an engaging overview of Emotionally Focused Couple Therapy (EFT), a short term (8-20 sessions), structured approach to couples therapy formulated in the early 80's by Johnson and Les Greenberg PhD. She presented compelling arguments and inciteful illustrations as she described her approach and the themes explored in her most recent book, Hold Me Tight: Seven Conversations for a Lifetime of Love.

Hold Me Tight provides a streamlined version of EFT, walking the reader through seven conversations that capture the defining moments in a love relationship, showing how to shape these moments to create a secure and lasting bond. Case histories and exercises in each conversation bring the lessons of EFT to life1.

The following excerpt is drawn from My How Couples Therapy has Changed! Attachment, Love and Science (Sue Johnson EdD, psychotherapy.net, 2008). Selected podcasts follow, from various sources; regrettably, podcast of the interview from CBC Ideas is not yet available at this writing (13.11.09), though the CD can be purchased at The CBC Shop.

Emphasis in original.
[...] Emotionally Focused Couple Therapy (EFT) [is] a systematic, rigorous, tested set of interventions based on the attachment view of love and bonding. I recently summarized attachment based approaches in a manner that can be offered to clients and the public in Hold Me Tight: Seven Conversations for a Lifetime of Love. The great strength of this new scientific perspective is exactly that it offers a rigorous body of observation and research into what love is all about and how it changes shape and color. More so, it is a tested approach to intervention with excellent outcome data and clinical relevance. Clients also tell us that this way of seeing and working does indeed go to the heart of the matter. In this article I will summarize the attachment perspective and how it is supported by different strands of relationship science (these science strands will be in italics to find or avoid, as you wish!) and how it translates into practice in EFT.

Sue Jo9hnson EdD
Image Credit:
HoldMeTight.net

A new scientific and practical theory of love

The multitude of studies on adult attachment that have emerged over the last decade tell us that the essence of love is not a negotiated exchange of resources (so why teach negotiation skills?), a friendship, Nature's trick to get you to mate and pass on your genes, or a time-limited episode of delusional addiction. Love is a very special kind of emotional bond, the need for which is wired into our brain by millions of years of evolution. It is a survival imperative. The human brain codes isolation and abandonment as danger and the touch and emotional responsiveness of loved ones as safety, a safety that promotes optimal flexibility and continual learning. Jaak Panksepp, in his neurobiological studies finds that loss of connection from attachment figures triggers "primal panic," a special set of fear responses. As Bowlby notes the words anxiety and anger come from the same etymological root and both arise at moments of disconnection, when attachment figures are non-responsive. This need for emotional connection is not a sentimental notion. The basic image of who we are and what our most basic needs are, namely, that we are social animals who seek such connection is reflected in health studies. For example, it is now clear that emotional isolation is more dangerous for your health than smoking and that it doubles the likelihood of heart attack and stroke.

Love is a very special kind of emotional bond, the need for which is wired into our brain by millions of years of evolution. It is a survival imperative.

Attachment theory states that we need a safe haven relationship to turn to when life is too much for us and that offers us a secure base from which to go confidently out into the world. This is effective dependency. Many psychotherapy clients learn that their problem is that they are too close or undifferentiated from loved ones. The approach discussed here offers a larger picture. The evidence is that secure close connection is a source of strength and personality integration rather than weakness. Studies show that the securely connected have a more articulated and positive sense of self. Eighteen months after 9/11, researcher Chris Fraley found that securely connected survivors, who could turn to others for emotional support, were able to deal with this trauma and grow from it, whereas insecurely attached survivors were experiencing significant mental health problems. Secure connection is shaped by mutual emotional accessibility and responsiveness. This is the heart of the drama that plays out in the couple therapist's office. The fights that matter in a relationship are only superficially about the kids or money. Partners and therapists can spend many hours talking about these content issues instead of focusing on how the couple talk and more specifically, on the key attachment questions that drive a couples negative dance. The key questions are: "Are you there for me?" "Do I matter to you?" "Will you turn towards me and respond to me?" Partners often do not know how to ask these questions and therapists often miss them or even see them as a sign of immature dependency. [...] [Read in full]

  

Pesticides in the Foods You Eat


 The Full List: 47 Fruits & Veggies

Why Should You Care About Pesticides?
The growing consensus among scientists is that small doses of pesticides and other chemicals can cause lasting damage to human health, especially during fetal development and early childhood. Scientists now know enough about the long-term consequences of ingesting these powerful chemicals to advise that we minimize our consumption of pesticides.

What’s the Difference?
EWG research has found that people who eat the 12 most contaminated fruits and vegetables consume an average of 10 pesticides a day. Those who eat the 15 least contaminated conventionally-grown fruits and vegetables ingest fewer than 2 pesticides daily. The Guide helps consumers make informed choices to lower their dietary pesticide load.

Will Washing and Peeling Help?
Nearly all the studies used to create these lists assume that people rinse or peel fresh produce. Rinsing reduces but does not eliminate pesticides. Peeling helps, but valuable nutrients often go down the drain with the skin. The best approach: eat a varied diet, rinse all produce and buy organic when possible.

How Was This Guide Developed?
EWG analysts have developed the Guide based on data from nearly 87,000 tests for pesticide residues in produce conducted between 2000 and 2007 and collected by the U.S. Department of Agriculture and the U.S. Food and Drug Administration. You can find a detailed description of the criteria EWG used to develop these rankings and the complete list of fruits and vegetables tested at our dedicated website, www.foodnews.org.

  
MENTAL HEALTH

Globe Special Report
Breakdown:
Canada's Mental Health Crisis

globeandmail.com (June 2008)
[Frequently updated.]

The Globe and Mail is running a special series, both online and in the paper, entitled Breakdown: Canada's Mental Health Crisis. This series covers a range conditions, including bipolar disorder, schizophrenia, anxiety disorder, obsessive compulsive disorder, and explores related issues such as stigma, antidepressants and suicide, addiction, the health-care system, legislation and high-profile public awareness campaigns. The online series encourages reader submissions of questions, personal stories, pictures and videos.

In The Working Wounded, André Picard writes that the cost of mental illness to the Canadian economy is "a staggering $51-billion a year, and each day 500,000 people miss work because of psychiatric problems". He also presents a series of statistics derived from the World Health Organization, the Centre for Addiction and Mental Health, the Canadian Public Health Agency, Great-West Life Centre for Mental Health in the Workplace, and Statistics Canada:

By the numbers

1 Rank of depression among the leading causes of disability in the world.

8% Percentage of workers taking medication in Canada to treat depression and other mental-health conditions.

20.6% Percentage of workers who suffer a bout of mental illness, most in the prime of their working lives

40% Percentage of short- and long-term disability claims that involve a mental-health problem.

60% Percentage drop in family income when a breadwinner is diagnosed with mental illness.

500,000 Number of workers off sick each day in Canada with mental-health problems.

$8.5-billion Amount that employers and insurers spend each year on long-term disability claims related to Mental illness.

$9.3-billion Annual cost of short-term leave for mental-health problems.

$51-billion Amount that mental illness costs the Canadian economy each year.
[Read More] [Visit Site]

Source:
The Placebo Effect
Harriet Hall MD, The Skeptic
(20 May 2009)

[...] We not only know placebos “work,” we know there is a hierarchy of effectiveness:

  • Placebo surgery works better than placebo injections
  • Placebo injections work better than placebo pills
  • Sham acupuncture treatment works better than a placebo pill
  • Capsules work better than tablets
  • Big pills work better than small
  • The more doses a day, the better
  • The more expensive, the better
  • The color of the pill makes a difference
  • Telling the patient, “This will relieve your pain” works better than saying “This might help.”


Hall's article provides an excellent review of the placebo effect, which clearly plays an important role in treatment. In Placebos Do Work: Let's Consider Why, Christopher Lane (Shyness: How normal behavior became an illness) expresses the hope that Hall's article will return attention to the "exciting opportunities and real quandaries (medical and ethical) that the placebo effect poses", in contrast to our largely exclusive focus on biology and genes. Lane reminds us of an assertion by Philip Newton (3.12.08): In some controversial cases, such as selective serotonin reuptake inhibitor (SSRI) anti-depressants, placebo effects are thought to account for a major proportion of the positive effects of a drug. He reviews a controversial paper by Irving Kirsch and Guy Sapirstein (1998), emphasizes Kirsch's comment that their data show "virtually all of the variation in drug effect size was due to the placebo characteristics of the studies," indicating that "the placebo component of the response to medication is considerably greater than the pharmacological effect".

Everyone has been made for some particular work, and the desire
for that work has been put
in every heart.
— Rumi (1207 – 1273)

MindFreedom International
Mental Health Human Rights

MindFreedom International announced today the much-anticipated launch of its MindFreedom Directory of Mental Health Alternatives, and is issuing an international call for services that would like to be listed.

To try out the geographically-searchable directory, which already lists a few alternatives, click here.

MindFreedom's new directory is unique in that every provider listed has agreed to uphold key principles on such issues as the use and discontinuation of psychiatric drugs, the “biomedical model,” and forced treatment. The principles were devised by the the MindFreedom International Choice in Mental Health Care Committee, and endorsed by the MindFreedom International board of directors.

Click here to read the MindFreedom Principles for Mental Health Alternatives.

The Directory will be international in scope and draw upon MindFreedom’s allies in many countries. [...]

About MindFreedom...

The majority of MindFreedom's members are people who have experienced human rights violations in the mental health system, or psychiatric survivors. However, everyone who supports human rights is invited and encouraged to join and become active leaders. Mental health professionals and workers, advocates and attorneys, family members and the general public are all active as equal members and leaders in the MindFreedom International family. Our sponsor and affiliate groups are among the key leading organizations to change the mental health system.

MindFreedom is one of the very few totally independent groups in the mental health field with no funding from or control by governments, drug companies, religions, corporations, or the mental health system. MindFreedom International is a nonprofit under IRS 501(c)(3) that is the only group of its kind accredited by the United Nations as a Non-Governmental Organization (NGO) with Consultative Roster Status. [...]
[Read More]

A zen master's life
is one continuous mistake.
— Dogen Zenji (1200 - 1253)

Antidepressants & Placebos...

Source:
Initial Severity and Antidepressant Benefits:
A Meta-Analysis of Data Submitted to the Food and Drug Administration

Kirsch I, Deacon BJ, Huedo-Medina TB, Scoboria A, Moore TJ, Johnson BT.
PLoS Med. 2008 February; 5(2): e45.
Published online 2008 February 26.
doi: 10.1371/journal.pmed.0050045.
Public Library of Science (PLoS)


Phillipa Hay, PLos Editor's Summary:
Everyone feels miserable occasionally. But for some people—those with depression—these sad feelings last for months or years and interfere with daily life. Depression is a serious medical illness caused by imbalances in the brain chemicals that regulate mood. It affects one in six people at some time during their life, making them feel hopeless, worthless, unmotivated, even suicidal. Doctors measure the severity of depression using the "Hamilton Rating Scale of Depression" (HRSD), a 17–21 item questionnaire. The answers to each question are given a score and a total score for the questionnaire of more than 18 indicates severe depression. Mild depression is often treated with psychotherapy or talk therapy (for example, cognitive–behavioral therapy helps people to change negative ways of thinking and behaving). For more severe depression, current treatment is usually a combination of psychotherapy and an antidepressant drug, which is hypothesized to normalize the brain chemicals that affect mood. Antidepressants include "tricyclics," "monoamine oxidases," and "selective serotonin reuptake inhibitors" (SSRIs). SSRIs are the newest antidepressants and include fluoxetine, venlafaxine, nefazodone, and paroxetine. [...]

The researchers obtained data on all the clinical trials submitted to the FDA for the licensing of fluoxetine, venlafaxine, nefazodone, and paroxetine. They then used meta-analytic techniques to investigate whether the initial severity of depression affected the HRSD improvement scores for the drug and placebo groups in these trials. They confirmed first that the overall effect of these new generation of antidepressants was below the recommended criteria for clinical significance. Then they showed that there was virtually no difference in the improvement scores for drug and placebo in patients with moderate depression and only a small and clinically insignificant difference among patients with very severe depression. The difference in improvement between the antidepressant and placebo reached clinical significance, however, in patients with initial HRSD scores of more than 28—that is, in the most severely depressed patients. Additional analyses indicated that the apparent clinical effectiveness of the antidepressants among these most severely depressed patients reflected a decreased responsiveness to placebo rather than an increased responsiveness to antidepressants. [...]

[Read More] [Read Full Study]

SOCIO 
Poverty in Canada - News and Selected Reports
MEDICA 
Medical Marijuana
Medical Marijuana

Medical and psycho-therapeutic uses of marijuana (Cannabis sativa), selected reports and academic presentations, emerging clinical applications, clinical studies, cultivation, marijuana vaporizer, selected books and recommended resources. This page includes a 40-minute film from Maripharm, in Rotterdam, Netherlands, explaining the medical use and effects of Cannabis sativa. Scientists, patients, a family doctor, a pharmacist, an anesthetist and a medicinal Cannabis producer give their views on this versatile plant and its medicinal importance.

And see: Emerging Clinical Applications for Cannabis and Cannabinoids: A Review of the Recent Scientific Literature, 2000 – 2009, NORML.org

Source:
"Sunshine Vitamin" Link to
Cognitive Problems in Older People

EurekaAlert!, Peninsula Medical School News (22.01.09)

[...] The study was based on data on almost 2000 adults aged 65 and over who participated in the Health Survey for England in 2000 and whose levels of cognitive function were assessed. The study found that as levels of Vitamin D went down, levels of cognitive impairment went up. Compared to those with optimum levels of Vitamin D, those with the lowest levels were more than twice as likely to be cognitively impaired. [...]

Abstract
Serum 25-Hydroxyvitamin D Concentration
and Cognitive Impairment

David J. Llewellyn, Kenneth Langa, Iain Lang
Journal of Geriatric Psychiatry and Neurology 2008, doi:10.1177/0891988708327888

Source:
Vitamin D Council
(www.vitamindcouncil.org)
[Accessed 22.09.09]

How much vitamin D should I take?

The Food and Nutrition Board set the current Upper Limit for medically-unsupervised intake by infants and babies (up to the age of 1 years-old) at 1,000 units/day. This means the government says it is safe to give infants and babies up to 1,000 units a day without getting a blood test. Of course, with correct sun exposure in the summer this is not necessary, but it will be in winter. Children over 1 years of age, according to the Food and Nutrition Board, may safely take 2,000 units/day — again, without requiring a blood test.

For adolescents, pregnant women, and other adults, the government's Upper Limits are a problem. While a 2,000-unit Upper Limit is entirely appropriate for younger children, such limits in heavier adolescents, adults, and pregnant women limit effective treatment of vitamin D deficiency. However, these limits no more impair a physician's ability to treat vitamin D deficiency with higher doses than comparable Upper Limits for calcium or magnesium impair their ability to treat calcium or magnesium deficiencies with higher doses, should those deficiencies be diagnosed.


Emphasis added
In the absence of sun exposure and in winter, heavier children, adults, and pregnant women may require doses above 2,000 units daily (depending on pre-existing blood levels, body weight, degree of skin pigmentation, age, and latitude of residence) in order to obtain and maintain levels of 50–80 ng/mL. For example, Professor Heaney at Creighton University has estimated that about 3,000 units/day is required simply to assure that 97% of adult Americans obtain levels greater than 35 ng/mL. Healthy adult men utilize up to 5,000 units of vitamin D per day, if present in the body. Professors Bruce Hollis and Carol Wagner, in South Carolina, have been giving pregnant women 4,000 units/day for years. Professor Vieth, at the University of Toronto, found that actual vitamin D toxicity, with systemic symptoms, is exceedingly rare and requires much higher doses than those discussed above. When exceeding the Upper Limit, periodic serum 25(OH)D and calcium levels will reassure both physician and patient that such amounts are safe as well as convince all concerned that the government should revise their 10-year-old (yet most current) recommendations — the sooner the better.

Source:
Vitamin D and Your Health: Treatment — Treating Disease With Vitamin D
John Jacob Cannell MD, Executive Director, Vitamin D Council (2004.12.14) [Accessed 1.10.09]

Treating Disease With Vitamin D
We predict the future recommended daily allowance (RDA) for vitamin D, for otherwise healthy people, will be at least 1000 IU/day (in the new official units for vitamins, this translates to 25 mcg/day). This amount is already the consensus of nutrition experts in the field of osteoporosis and vitamin D. Such recommendations only apply to healthy people. If you have vitamin D deficiency, or the diseases of vitamin D deficiency, you need to be under the care of a physician.

Monitoring 25(OH)D Levels

We predict that treatment with physiological doses of vitamin D3 (between 4,000–10,000 IU/day from all sources, including sun, food and supplements) along with periodic monitoring of blood calcidiol and calcium levels will become routine.

Research indicates it will help several vitamin D deficiency-associated diseases such as:
autism, autoimmune illness, cancer, chronic pain, depression, diabetes, heart disease, hyperparathyroidism, hypertension, influenza, myopathy (neuromuscular disorders), and osteoporosis.

At this time, we advise even healthy people (those without the diseases of vitamin D deficiency) to seek a knowledgeable physician and have your 25(OH)D level measured. If your levels are below 50 ng/mL you need enough sun, artificial light, oral vitamin D3 supplements, or some combination of the three, to maintain your 25(OH)D levels between 50–80 ng/mL year-round.

How Much Vitamin D?

If you refuse to see a physician, or can't find a knowledgeable one, purchase the 1000 IU/day vitamin D3 cholecalciferol pills that are available over-the-counter in North America or a 5,000 IU capsule. Take an average of 5,000 IU a day, year-round, if you have some sun exposure. If you have little, or no, sun exposure you will need to take at least 5,000 IU per day. How much more depends on your latitude of residence, skin pigmentation, and body weight. Generally speaking, the further you live away from the equator, the darker your skin, and/or the more you weigh, the more you will have to take to maintain healthy blood levels.

For example, Dr. Cannell lives at latitude 32 degrees, weighs 220 pounds, and has fair skin. In the late fall and winter he takes 5,000 IU per day. In the early fall and spring he takes 2,000 IU per day. In the summer he regularly sunbathes for a few minutes most days and thus takes no vitamin D on those days in the summer. The only way you can know how much you vitamin D you need to take is by repeatedly getting your blood tested — known as a 25(OH)D test — and seeing what you need to do to keep your level around 50 ng/mL. [...] [Read More]

MEDICA 
Medicinal Mushrooms: Treating Illness and Maintaining Health with Fungi
Lentinula edodes - Shitaki

Fungi are closely related to us in phylogenetic terms and, for at least four millenia in Asia, they have been used for medicinal purposes. Mushrooms and the mycelium contain an array of active contituents, including steroids, lactones, alkaloids, polyssacharides and triterpenes. Some mushrooms have been shown to have antibacterial, antiviral, immunomodulating, adaptogenic, and antitumor effects. This page presents three amazing videos and a brief introduction to the mycelium, then focuses on a more in-depth examination of the adaptogenic and therapeutic uses of mushrooms, including immune enhancement and the treatment of a wide range of conditions and illnesses. Selected journals, references, resources, books, sources for supplements and extracts, and additional videos are also presented.

PSYCHE  The Promise of Psychedelics

In a 2006 paper entitled Psilocybin can occasion mystical-type experiences having substantial and sustained personal meaning and spiritual significance, authors R.R. Griffiths et al. find that volunteers administered psilocybin under supportive conditions subjectively identify personal meaning and spiritual significance in psilocybin-occasioned mystical experiences similar in nature to those that occur spontaneously. Now, in a follow-up study published 1 July 2008, the authors report that, "[w]hen administered under supportive conditions, psilocybin occasioned experiences similar to spontaneously occurring mystical experiences that, at 14-month follow-up, were considered by volunteers to be among the most personally meaningful and spiritually significant of their lives".

For a list of all the ways technology has failed to improve the quality of life, please press three.
— Alice Kahn (b. 1943) American writer

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Hearing Voices...

We have found there are many people who hear voices, yet are not troubled by them or have found their own ways of coping with them outside of psychiatric care. This is very significant as it shows you can hear voices and remain healthy.

However, there are also significant numbers of voice hearers who are overwhelmed by the negative and disempowering aspects of the experience. Many are diagnosed as having a serious mental health problem such as schizophrenia – a harmful and stigmatizing concept, in our eyes.

The experience of hearing voices prevents some people from living a fulfilled life in society (especially those in psychiatric and social care) and can lead to having a very poor quality of life. We seek to enable voice hearers troubled by their experience to change their relationship and attitude to their voices and to take up their lives again. We also want to ensure that our innovatory approach is better known by professionals, family members and friends.

We have spent the last 20 years trying to better understand why some people can cope with the experience and others can't. We have discovered that those people who are not able to cope with their voices, on the whole have not been able to cope with the traumatic events that lay at the roots of their voice hearing experience.

Significantly, the search for ways of doing this began with the people who were best able to provide the answers, the voice hearers themselves including psychiatric patients, and equally importantly, people who heard voices who had never needed to seek the assistance of psychiatric services.

Our network focuses on solutions that improve the life of voice hearers in the knowledge that these methods have been co-developed by voice hearers and professionals.

The most important factor in the success of our approach is the importance placed on the personal engagement of the people involved. This means that everybody is considered an expert of their own experiences. We see each other first as people, secondly as equal partners and thirdly as all having different but mutually valuable expertise to offer. This can either be through direct experience of hearing voices or having worked with voice hearers (and/or wanting to).

We now know, because we have met a lot of voice hearers who have recovered from the stress caused by their voices, ...that understanding the meaning of the voices is of great significance. It is important, therefore, that we promote this information in a more systematic way to ensure that our message is clear and coherent.

One outcome of this is the development of this online community. [Visit Site]




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