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First responder care essentials / Richard Pilbery and Kris Lethbridge

By: Pilbery, RichardContributor(s): Lethbridge, KrisMaterial type: TextTextPublisher: Bridgwater : Class Publishing, 2016Copyright date: 2016Edition: 1st edDescription: 1 online resource (512 pages)Content type: text Media type: computer Carrier type: online resourceISBN: 9781859596098Subject(s): Medical emergenciesGenre/Form: Electronic books.Additional physical formats: Print version:: First responder care essentialsDDC classification: 616.025 Online access: Open e-book
Contents:
Intro -- Title Page -- Copyright Page -- Contents -- Acknowledgements -- List of Abbreviations -- Chapter 1: Introduction -- 1 Course guide -- 1.1 Introduction -- 1.2 Getting started -- 2 Anatomy of an emergency call -- 2.1 Introduction -- 2.2 The emergency operations centre -- 2.3 Arriving on scene -- 2.4 Principles of communication -- 2.5 Patient assessment -- 2.6 Patient history -- 2.7 Cardiac arrest -- 2.8 Basic life support and defibrillation -- 2.9 Crew arrival -- 2.10 Clean up and prepare for the next call -- Chapter 2: The Ambulance Service -- 1 Response to a 999 call -- 1.1 Learning objective -- 1.2 Introduction -- 1.3 Call for help and triage -- 1.4 Ambulance service response -- 1.4.1 Hear and treat -- 1.4.2 Physical response -- 1.5 Onward care -- 2 Roles within the ambulance service -- 2.1 Learning objectives -- 2.2 Introduction -- 2.3 Clinical roles -- 2.3.1 Community responders -- 2.3.2 Co-responders -- 2.3.3 Support worker (SW) -- 2.3.4 Associate ambulance practitioners -- 2.3.5 Paramedic -- 2.3.6 Specialist paramedic - urgent care (SPUC) -- 2.3.7 Specialist paramedic - critical care -- 2.3.8 Hazardous area response team (HART) -- 2.4 Command and control roles -- 2.4.1 Operational commanders -- 2.4.2 Tactical commanders -- 2.4.3 Strategic commanders -- 2.5 Support structures -- 2.6 Working relationships -- Chapter 3: Communication -- 1 Principles of communication -- 1.1 Learning objectives -- 1.2 Introduction -- 1.3 Who you will be communicating with -- 1.4 Basics of communication -- 1.4.1 Verbal skills -- 1.4.2 Non-verbal communication -- 1.4.3 Written communication -- 1.4.4 Social context -- 1.5 Barriers to communication -- 1.5.1 Clarify misunderstandings -- 1.6 Summary -- 2 Practical communication -- 2.1 Learning objectives -- 2.2 Introduction -- 2.3 Handover -- 2.4 Electronic communication devices.
Chapter 4: Legal and Ethical Issues -- 1 Being a healthcare volunteer -- 1.1 Learning objectives -- 1.2 Introduction -- 1.3 Values-based healthcare -- 1.3.1 Stafford Hospital -- 1.3.2 What influences your values and attitudes? -- 1.4 Duty of care -- 1.5 Negligence -- 1.6 Scope of practice and standards -- 1.7 When things go wrong -- 1.7.1 Failure to achieve standards -- 1.7.2 Complaints -- 1.7.3 Additional sources of support -- 2 Consent and capacity -- 2.1 Learning objectives -- 2.2 Introduction -- 2.3 Consent -- 2.3.1 Valid Consent -- 2.3.2 Communicating consent -- 2.3.3 Best interest decisions -- 2.3.4 Advance decision to refuse treatment (ADRT) -- 2.4 Mental capacity -- 2.4.1 What to do if you suspect a lack of capacity -- 2.5 Summary -- 3 Confidentiality and information governance -- 3.1 Learning objectives -- 3.2 Introduction -- 3.2.1 What should be considered patient-identifiable information? -- 3.3 Maintaining confidentiality -- 3.4 Key points -- 4 Equality and diversity -- 4.1 Learning objectives -- 4.2 Introduction -- 4.3 Equality in healthcare -- 4.4 Discrimination -- 4.4.1 Discrimination in your role -- 4.4.2 Further support -- Chapter 5: Health and Safety -- 1 Health and safety policies and legislation -- 1.1 Learning objectives -- 1.2 Introduction -- 1.3 Health and Safety at Work etc. Act 1974 -- 1.4 Management of Health and Safety at Work Regulations -- 1.5 Manual Handling Operations Regulations -- 1.5.1 Emergency services -- 2 Risk assessment -- 2.1 Learning objectives -- 2.2 Introduction -- 2.3 Structured risk assessments -- 2.4 Dynamic risk assessments -- 2.4.1 SCENE assessment -- 2.4.2 Moving and handling assessment -- 3 Infection prevention and control -- 3.1 Learning objectives -- 3.2 Introduction -- 3.2.1 Own health -- 3.3 Regulations and legislation -- 3.4 Microorganisms -- 3.4.1 Bacteria -- 3.4.2 Viruses -- 3.4.3 Fungi.
3.4.4 Parasites -- 3.5 Infection -- 3.5.1 Chain of infection -- 3.6 Hand hygiene -- 3.6.1 Alcohol handrub -- 3.6.2 Handwashing -- 3.6.3 Skincare -- 3.7 Personal protective equipment -- 3.7.1 Gloves -- 3.7.2 Aprons -- 3.7.3 Face masks -- 3.7.4 Eye protection -- 3.7.5 Sleeve protectors -- 3.7.6 Wearing and removing PPE -- 3.8 Managing healthcare waste -- 3.8.1 Types of healthcare waste -- 3.8.2 Storing and handling healthcare waste -- 3.9 Cleaning and decontamination -- 3.9.1 Cleaning schedules -- 3.9.2 Cleaning and decontaminating procedures -- 3.9.3 PPE for decontamination -- 3.10 Sharps injury -- 3.11 Splash contamination -- 3.12 Reporting incidents -- 4 Fire safety -- 4.1 Learning objectives -- 4.2 Introduction -- 4.3 Fire prevention -- 4.4 What to do in case of fire -- 4.4.1 Vehicle fires -- 5 Stress -- 5.1 Learning objectives -- 5.2 Introduction -- 5.3 Signs of stress -- 5.4 Managing stress -- Chapter 6: Safeguarding Adults and Children -- 1 Identification and management of adult and child abuse -- 1.1 Learning objectives -- 1.2 Introduction -- 1.3 Learning from previous cases -- 1.4 Vulnerability -- 1.4.1 Abusers of vulnerable adults -- 1.4.2 Risk factors for child abuse -- 1.5 Forms of abuse -- 1.5.1 Physical abuse -- 1.5.2 Psychological/emotional abuse -- 1.5.3 Sexual abuse -- 1.5.4 Neglect -- 1.5.5 Financial abuse -- 1.5.6 Discriminatory abuse -- 1.5.7 Female Genital Mutilation (FGM) -- 1.6 Managing abuse or disclosures of abuse -- 1.6.1 Reporting an urgent concern -- 1.7 Safeguarding referrals -- 1.8 Summary -- Chapter 7: Manual Handling -- 1 Musculoskeletal anatomy and physiology -- 1.1 Learning objective -- 1.2 Introduction -- 1.3 Anatomical terms -- 1.3.1 Terms of position and direction -- 1.3.2 Terms of motion -- 1.4 Joints -- 1.4.1 Synovial joints -- 1.5 The skeletal system -- 1.5.1 Types of bones -- 1.5.2 Skull.
1.5.3 Vertebral column -- 1.5.4 Thoracic cage -- 1.5.5 Upper limbs -- 1.5.6 The hand -- 1.5.7 Pelvic girdle -- 1.5.8 Lower limbs -- 1.5.9 The knee -- 1.5.10 The foot -- 1.6 Skeletal muscles -- 1.6.1 Mechanics of movement -- 2 Principles of manual handling -- 2.1 Learning objectives -- 2.2 Introduction -- 2.2.1 Definitions -- 2.3 Consequences of poor manual handling -- 2.3.1 Herniated disc -- 2.3.2 Consequences to others -- 2.4 Risk assessment -- 2.4.1 Reducing risk -- 2.5 Biomechanics -- 2.6 General principles -- 2.7 Handling aids -- 3 Moving and handling equipment and techniques -- 3.1 Learning objectives -- 3.2 Introduction -- 3.3 Patients on the floor -- 3.3.1 Instructing a patient to get off the floor - one-chair method -- 3.3.2 Instructing a patient to get off the floor - two-chair method -- 3.3.3 Chair to floor -- 3.3.4 Recovery position -- Chapter 8: Scene Assessment -- 1 Scene assessment and safety -- 1.1 Learning objectives -- 1.2 Introduction -- 1.3 Safety -- 1.3.1 Assess the situation -- 1.3.2 Balance resources and options -- 1.3.3 Communicate intentions -- 1.3.4 Do and debrief -- 1.4 Cause -- 1.5 Environment -- 1.6 Number of patients -- 1.7 Extra resources -- 2 Major incidents -- 2.1 Learning objectives -- 2.2 Introduction -- 2.3 Classification of incidents -- 2.3.1 Major, mass and catastrophic incidents -- 2.3.2 Types of incident -- 2.4 Role of the ambulance service -- 2.5 METHANE -- 3 Hazardous materials -- 3.1 Learning objectives -- 3.2 Introduction -- 3.3 Labelling of hazardous substances -- 3.3.1 CLP pictograms -- 3.4 Danger labels -- 3.5 CFR actions at scene -- Chapter 9: Patient Assessment -- 1 Patient assessment process -- 1.1 Learning objectives -- 1.2 Introduction -- 1.3 Primary survey -- 1.3.1 General impression -- 1.3.2 Catastrophic haemorrhage -- 1.3.3 Airway -- 1.3.4 Breathing -- 1.3.5 Circulation -- 1.3.6 Disability.
1.3.7 Exposure/Environment -- 1.4 History taking -- 1.4.1 Presenting complaint -- 1.4.2 Allergies and medication -- 1.4.3 Past medical history -- 1.4.4 Last oral intake and events leading to illness/injury -- 1.5 Secondary survey -- 1.5.1 Vital signs -- 1.5.2 'Head-to-toe' assessment -- 1.6 Reassessment -- Chapter 10: Airway -- 1 Airway anatomy -- 1.1 Learning objective -- 1.2 Introduction -- 1.3 Nose -- 1.4 Mouth -- 1.5 Pharynx -- 1.5.1 Nasopharynx -- 1.5.2 Oropharynx -- 1.5.3 Laryngopharynx -- 1.6 Larynx -- 1.7 Trachea -- 1.8 Bronchi -- 1.9 Lungs -- 2 Assessing and managing the airway -- 2.1 Learning objectives -- 2.2 Introduction -- 2.3 Assessing the airway -- 2.4 Step-wise approach to the airway -- 2.5 Manual airway manoeuvres -- 2.5.1 Head tilt-chin lift -- 2.5.2 Jaw thrust -- 2.5.3 Jaw thrust with head tilt -- 2.5.4 Recovery position -- 2.6 Suction -- 2.7 Airway adjuncts -- 2.7.1 Oropharyngeal airway (OPA) -- 3 Tracheostomies -- 3.1 Learning objectives -- 3.2 Introduction -- 3.3 Tracheostomy tubes -- 3.3.1 Cuffed/uncuffed tubes -- 3.3.2 Inner cannulas -- 3.3.3 Fenestrated tubes -- 3.4 Management of the tracheostomy patient -- 3.4.1 Help and equipment -- 3.4.2 Airway and breathing -- 3.4.3 Tracheostomy patency -- 3.4.4 Next steps -- 3.5 Management of the laryngectomy patient -- 3.5.1 Help and equipment -- 3.5.2 Airway and breathing -- 3.5.3 Laryngectomy stoma patency -- 3.5.4 Next steps -- 4 Choking in adults -- 4.1 Learning objectives -- 4.2 Introduction -- 4.3 Recognition -- 4.4 Management -- 4.4.1 Conscious and choking -- 4.4.2 Unconscious and choking -- 4.4.3 Adult choking management algorithm -- 5 Choking in the paediatric patient -- 5.1 Learning objective -- 5.2 Introduction -- 5.3 The paediatric airway -- 5.4 Recognition -- 5.5 Management -- 5.5.1 Conscious and choking -- 5.5.2 Unconscious and choking -- Chapter 11: Breathing.
1 Respiratory system physiology.
Summary: First Responder Care Essentials is the ideal resource for Community First Responders. Grounded in practice and covering the full remit of the CFR role, the book takes you through the skills that you need when working with patients. Topics range from communication skills to manual handling, trauma care and cardiac arrest.
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Intro -- Title Page -- Copyright Page -- Contents -- Acknowledgements -- List of Abbreviations -- Chapter 1: Introduction -- 1 Course guide -- 1.1 Introduction -- 1.2 Getting started -- 2 Anatomy of an emergency call -- 2.1 Introduction -- 2.2 The emergency operations centre -- 2.3 Arriving on scene -- 2.4 Principles of communication -- 2.5 Patient assessment -- 2.6 Patient history -- 2.7 Cardiac arrest -- 2.8 Basic life support and defibrillation -- 2.9 Crew arrival -- 2.10 Clean up and prepare for the next call -- Chapter 2: The Ambulance Service -- 1 Response to a 999 call -- 1.1 Learning objective -- 1.2 Introduction -- 1.3 Call for help and triage -- 1.4 Ambulance service response -- 1.4.1 Hear and treat -- 1.4.2 Physical response -- 1.5 Onward care -- 2 Roles within the ambulance service -- 2.1 Learning objectives -- 2.2 Introduction -- 2.3 Clinical roles -- 2.3.1 Community responders -- 2.3.2 Co-responders -- 2.3.3 Support worker (SW) -- 2.3.4 Associate ambulance practitioners -- 2.3.5 Paramedic -- 2.3.6 Specialist paramedic - urgent care (SPUC) -- 2.3.7 Specialist paramedic - critical care -- 2.3.8 Hazardous area response team (HART) -- 2.4 Command and control roles -- 2.4.1 Operational commanders -- 2.4.2 Tactical commanders -- 2.4.3 Strategic commanders -- 2.5 Support structures -- 2.6 Working relationships -- Chapter 3: Communication -- 1 Principles of communication -- 1.1 Learning objectives -- 1.2 Introduction -- 1.3 Who you will be communicating with -- 1.4 Basics of communication -- 1.4.1 Verbal skills -- 1.4.2 Non-verbal communication -- 1.4.3 Written communication -- 1.4.4 Social context -- 1.5 Barriers to communication -- 1.5.1 Clarify misunderstandings -- 1.6 Summary -- 2 Practical communication -- 2.1 Learning objectives -- 2.2 Introduction -- 2.3 Handover -- 2.4 Electronic communication devices.

Chapter 4: Legal and Ethical Issues -- 1 Being a healthcare volunteer -- 1.1 Learning objectives -- 1.2 Introduction -- 1.3 Values-based healthcare -- 1.3.1 Stafford Hospital -- 1.3.2 What influences your values and attitudes? -- 1.4 Duty of care -- 1.5 Negligence -- 1.6 Scope of practice and standards -- 1.7 When things go wrong -- 1.7.1 Failure to achieve standards -- 1.7.2 Complaints -- 1.7.3 Additional sources of support -- 2 Consent and capacity -- 2.1 Learning objectives -- 2.2 Introduction -- 2.3 Consent -- 2.3.1 Valid Consent -- 2.3.2 Communicating consent -- 2.3.3 Best interest decisions -- 2.3.4 Advance decision to refuse treatment (ADRT) -- 2.4 Mental capacity -- 2.4.1 What to do if you suspect a lack of capacity -- 2.5 Summary -- 3 Confidentiality and information governance -- 3.1 Learning objectives -- 3.2 Introduction -- 3.2.1 What should be considered patient-identifiable information? -- 3.3 Maintaining confidentiality -- 3.4 Key points -- 4 Equality and diversity -- 4.1 Learning objectives -- 4.2 Introduction -- 4.3 Equality in healthcare -- 4.4 Discrimination -- 4.4.1 Discrimination in your role -- 4.4.2 Further support -- Chapter 5: Health and Safety -- 1 Health and safety policies and legislation -- 1.1 Learning objectives -- 1.2 Introduction -- 1.3 Health and Safety at Work etc. Act 1974 -- 1.4 Management of Health and Safety at Work Regulations -- 1.5 Manual Handling Operations Regulations -- 1.5.1 Emergency services -- 2 Risk assessment -- 2.1 Learning objectives -- 2.2 Introduction -- 2.3 Structured risk assessments -- 2.4 Dynamic risk assessments -- 2.4.1 SCENE assessment -- 2.4.2 Moving and handling assessment -- 3 Infection prevention and control -- 3.1 Learning objectives -- 3.2 Introduction -- 3.2.1 Own health -- 3.3 Regulations and legislation -- 3.4 Microorganisms -- 3.4.1 Bacteria -- 3.4.2 Viruses -- 3.4.3 Fungi.

3.4.4 Parasites -- 3.5 Infection -- 3.5.1 Chain of infection -- 3.6 Hand hygiene -- 3.6.1 Alcohol handrub -- 3.6.2 Handwashing -- 3.6.3 Skincare -- 3.7 Personal protective equipment -- 3.7.1 Gloves -- 3.7.2 Aprons -- 3.7.3 Face masks -- 3.7.4 Eye protection -- 3.7.5 Sleeve protectors -- 3.7.6 Wearing and removing PPE -- 3.8 Managing healthcare waste -- 3.8.1 Types of healthcare waste -- 3.8.2 Storing and handling healthcare waste -- 3.9 Cleaning and decontamination -- 3.9.1 Cleaning schedules -- 3.9.2 Cleaning and decontaminating procedures -- 3.9.3 PPE for decontamination -- 3.10 Sharps injury -- 3.11 Splash contamination -- 3.12 Reporting incidents -- 4 Fire safety -- 4.1 Learning objectives -- 4.2 Introduction -- 4.3 Fire prevention -- 4.4 What to do in case of fire -- 4.4.1 Vehicle fires -- 5 Stress -- 5.1 Learning objectives -- 5.2 Introduction -- 5.3 Signs of stress -- 5.4 Managing stress -- Chapter 6: Safeguarding Adults and Children -- 1 Identification and management of adult and child abuse -- 1.1 Learning objectives -- 1.2 Introduction -- 1.3 Learning from previous cases -- 1.4 Vulnerability -- 1.4.1 Abusers of vulnerable adults -- 1.4.2 Risk factors for child abuse -- 1.5 Forms of abuse -- 1.5.1 Physical abuse -- 1.5.2 Psychological/emotional abuse -- 1.5.3 Sexual abuse -- 1.5.4 Neglect -- 1.5.5 Financial abuse -- 1.5.6 Discriminatory abuse -- 1.5.7 Female Genital Mutilation (FGM) -- 1.6 Managing abuse or disclosures of abuse -- 1.6.1 Reporting an urgent concern -- 1.7 Safeguarding referrals -- 1.8 Summary -- Chapter 7: Manual Handling -- 1 Musculoskeletal anatomy and physiology -- 1.1 Learning objective -- 1.2 Introduction -- 1.3 Anatomical terms -- 1.3.1 Terms of position and direction -- 1.3.2 Terms of motion -- 1.4 Joints -- 1.4.1 Synovial joints -- 1.5 The skeletal system -- 1.5.1 Types of bones -- 1.5.2 Skull.

1.5.3 Vertebral column -- 1.5.4 Thoracic cage -- 1.5.5 Upper limbs -- 1.5.6 The hand -- 1.5.7 Pelvic girdle -- 1.5.8 Lower limbs -- 1.5.9 The knee -- 1.5.10 The foot -- 1.6 Skeletal muscles -- 1.6.1 Mechanics of movement -- 2 Principles of manual handling -- 2.1 Learning objectives -- 2.2 Introduction -- 2.2.1 Definitions -- 2.3 Consequences of poor manual handling -- 2.3.1 Herniated disc -- 2.3.2 Consequences to others -- 2.4 Risk assessment -- 2.4.1 Reducing risk -- 2.5 Biomechanics -- 2.6 General principles -- 2.7 Handling aids -- 3 Moving and handling equipment and techniques -- 3.1 Learning objectives -- 3.2 Introduction -- 3.3 Patients on the floor -- 3.3.1 Instructing a patient to get off the floor - one-chair method -- 3.3.2 Instructing a patient to get off the floor - two-chair method -- 3.3.3 Chair to floor -- 3.3.4 Recovery position -- Chapter 8: Scene Assessment -- 1 Scene assessment and safety -- 1.1 Learning objectives -- 1.2 Introduction -- 1.3 Safety -- 1.3.1 Assess the situation -- 1.3.2 Balance resources and options -- 1.3.3 Communicate intentions -- 1.3.4 Do and debrief -- 1.4 Cause -- 1.5 Environment -- 1.6 Number of patients -- 1.7 Extra resources -- 2 Major incidents -- 2.1 Learning objectives -- 2.2 Introduction -- 2.3 Classification of incidents -- 2.3.1 Major, mass and catastrophic incidents -- 2.3.2 Types of incident -- 2.4 Role of the ambulance service -- 2.5 METHANE -- 3 Hazardous materials -- 3.1 Learning objectives -- 3.2 Introduction -- 3.3 Labelling of hazardous substances -- 3.3.1 CLP pictograms -- 3.4 Danger labels -- 3.5 CFR actions at scene -- Chapter 9: Patient Assessment -- 1 Patient assessment process -- 1.1 Learning objectives -- 1.2 Introduction -- 1.3 Primary survey -- 1.3.1 General impression -- 1.3.2 Catastrophic haemorrhage -- 1.3.3 Airway -- 1.3.4 Breathing -- 1.3.5 Circulation -- 1.3.6 Disability.

1.3.7 Exposure/Environment -- 1.4 History taking -- 1.4.1 Presenting complaint -- 1.4.2 Allergies and medication -- 1.4.3 Past medical history -- 1.4.4 Last oral intake and events leading to illness/injury -- 1.5 Secondary survey -- 1.5.1 Vital signs -- 1.5.2 'Head-to-toe' assessment -- 1.6 Reassessment -- Chapter 10: Airway -- 1 Airway anatomy -- 1.1 Learning objective -- 1.2 Introduction -- 1.3 Nose -- 1.4 Mouth -- 1.5 Pharynx -- 1.5.1 Nasopharynx -- 1.5.2 Oropharynx -- 1.5.3 Laryngopharynx -- 1.6 Larynx -- 1.7 Trachea -- 1.8 Bronchi -- 1.9 Lungs -- 2 Assessing and managing the airway -- 2.1 Learning objectives -- 2.2 Introduction -- 2.3 Assessing the airway -- 2.4 Step-wise approach to the airway -- 2.5 Manual airway manoeuvres -- 2.5.1 Head tilt-chin lift -- 2.5.2 Jaw thrust -- 2.5.3 Jaw thrust with head tilt -- 2.5.4 Recovery position -- 2.6 Suction -- 2.7 Airway adjuncts -- 2.7.1 Oropharyngeal airway (OPA) -- 3 Tracheostomies -- 3.1 Learning objectives -- 3.2 Introduction -- 3.3 Tracheostomy tubes -- 3.3.1 Cuffed/uncuffed tubes -- 3.3.2 Inner cannulas -- 3.3.3 Fenestrated tubes -- 3.4 Management of the tracheostomy patient -- 3.4.1 Help and equipment -- 3.4.2 Airway and breathing -- 3.4.3 Tracheostomy patency -- 3.4.4 Next steps -- 3.5 Management of the laryngectomy patient -- 3.5.1 Help and equipment -- 3.5.2 Airway and breathing -- 3.5.3 Laryngectomy stoma patency -- 3.5.4 Next steps -- 4 Choking in adults -- 4.1 Learning objectives -- 4.2 Introduction -- 4.3 Recognition -- 4.4 Management -- 4.4.1 Conscious and choking -- 4.4.2 Unconscious and choking -- 4.4.3 Adult choking management algorithm -- 5 Choking in the paediatric patient -- 5.1 Learning objective -- 5.2 Introduction -- 5.3 The paediatric airway -- 5.4 Recognition -- 5.5 Management -- 5.5.1 Conscious and choking -- 5.5.2 Unconscious and choking -- Chapter 11: Breathing.

1 Respiratory system physiology.

First Responder Care Essentials is the ideal resource for Community First Responders. Grounded in practice and covering the full remit of the CFR role, the book takes you through the skills that you need when working with patients. Topics range from communication skills to manual handling, trauma care and cardiac arrest.

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Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2023. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.

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