

{"id":3947,"date":"2025-04-17T16:30:56","date_gmt":"2025-04-17T20:30:56","guid":{"rendered":"https:\/\/sites.temple.edu\/turiskcommlab\/?page_id=3947"},"modified":"2025-04-17T16:31:37","modified_gmt":"2025-04-17T20:31:37","slug":"2025-publications","status":"publish","type":"page","link":"https:\/\/sites.temple.edu\/turiskcommlab\/publications\/2025-publications\/","title":{"rendered":"2025 Publications"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3947\" class=\"elementor elementor-3947\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-00307fb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"00307fb\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-44359d3\" data-id=\"44359d3\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a4a5327 elementor-grid-eael-col-5 elementor-grid-tablet-eael-col-2 elementor-grid-mobile-eael-col-1 elementor-widget elementor-widget-eael-post-grid\" data-id=\"a4a5327\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;eael_post_grid_columns&quot;:&quot;eael-col-5&quot;,&quot;eael_post_grid_columns_tablet&quot;:&quot;eael-col-2&quot;,&quot;eael_post_grid_columns_mobile&quot;:&quot;eael-col-1&quot;}\" data-widget_type=\"eael-post-grid.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"eael-post-grid-a4a5327\" class=\"eael-post-grid-container\">\n            <div class=\"eael-post-grid eael-post-appender eael-post-appender-a4a5327 eael-post-grid-style-one\" data-layout-mode=\"grid\"><article class=\"eael-grid-post  eael-post-grid-column eael-pg-post-133\" data-id=\"133\">\n        <div class=\"eael-grid-post-holder\">\n            <div class=\"eael-grid-post-holder-inner\"><div class=\"eael-entry-wrapper\"><header class=\"eael-entry-header\"><h1 class=\"eael-entry-title\"><a class=\"eael-grid-post-link\" href=\"https:\/\/sites.temple.edu\/turiskcommlab\/publications\/\" title=\"All Publications\">All<\/a><\/h1><\/header><\/div><\/div>\n        <\/div>\n    <\/article><article class=\"eael-grid-post  eael-post-grid-column eael-pg-post-3947\" data-id=\"3947\">\n        <div class=\"eael-grid-post-holder\">\n            <div class=\"eael-grid-post-holder-inner\"><div class=\"eael-entry-wrapper\"><header class=\"eael-entry-header\"><h1 class=\"eael-entry-title\"><a class=\"eael-grid-post-link\" href=\"https:\/\/sites.temple.edu\/turiskcommlab\/publications\/2025-publications\/\" title=\"2025 Publications\">2025<\/a><\/h1><\/header><\/div><\/div>\n        <\/div>\n    <\/article><article class=\"eael-grid-post  eael-post-grid-column eael-pg-post-3226\" data-id=\"3226\">\n        <div class=\"eael-grid-post-holder\">\n            <div class=\"eael-grid-post-holder-inner\"><div class=\"eael-entry-wrapper\"><header class=\"eael-entry-header\"><h1 class=\"eael-entry-title\"><a class=\"eael-grid-post-link\" href=\"https:\/\/sites.temple.edu\/turiskcommlab\/publications\/2024-publications\/\" title=\"2024 Publications\">2024<\/a><\/h1><\/header><\/div><\/div>\n        <\/div>\n    <\/article><article class=\"eael-grid-post  eael-post-grid-column eael-pg-post-2724\" data-id=\"2724\">\n        <div class=\"eael-grid-post-holder\">\n            <div class=\"eael-grid-post-holder-inner\"><div class=\"eael-entry-wrapper\"><header class=\"eael-entry-header\"><h1 class=\"eael-entry-title\"><a class=\"eael-grid-post-link\" href=\"https:\/\/sites.temple.edu\/turiskcommlab\/publications\/2023-publications\/\" title=\"2023 Publications\">2023<\/a><\/h1><\/header><\/div><\/div>\n        <\/div>\n    <\/article><article class=\"eael-grid-post  eael-post-grid-column eael-pg-post-2082\" data-id=\"2082\">\n        <div class=\"eael-grid-post-holder\">\n            <div class=\"eael-grid-post-holder-inner\"><div class=\"eael-entry-wrapper\"><header class=\"eael-entry-header\"><h1 class=\"eael-entry-title\"><a class=\"eael-grid-post-link\" href=\"https:\/\/sites.temple.edu\/turiskcommlab\/publications\/2022-publications\/\" title=\"2022 Publications\">2022<\/a><\/h1><\/header><\/div><\/div>\n        <\/div>\n    <\/article><article class=\"eael-grid-post  eael-post-grid-column eael-pg-post-1287\" data-id=\"1287\">\n        <div class=\"eael-grid-post-holder\">\n            <div class=\"eael-grid-post-holder-inner\"><div class=\"eael-entry-wrapper\"><header class=\"eael-entry-header\"><h1 class=\"eael-entry-title\"><a class=\"eael-grid-post-link\" href=\"https:\/\/sites.temple.edu\/turiskcommlab\/publications\/2021-publications\/\" title=\"2021 Publications\">2021<\/a><\/h1><\/header><\/div><\/div>\n        <\/div>\n    <\/article><article class=\"eael-grid-post  eael-post-grid-column eael-pg-post-1212\" data-id=\"1212\">\n        <div class=\"eael-grid-post-holder\">\n            <div class=\"eael-grid-post-holder-inner\"><div class=\"eael-entry-wrapper\"><header class=\"eael-entry-header\"><h1 class=\"eael-entry-title\"><a class=\"eael-grid-post-link\" href=\"https:\/\/sites.temple.edu\/turiskcommlab\/publications\/2020-publications\/\" title=\"2020 Publications\">2020<\/a><\/h1><\/header><\/div><\/div>\n        <\/div>\n    <\/article><article class=\"eael-grid-post  eael-post-grid-column eael-pg-post-236\" data-id=\"236\">\n        <div class=\"eael-grid-post-holder\">\n            <div class=\"eael-grid-post-holder-inner\"><div class=\"eael-entry-wrapper\"><header class=\"eael-entry-header\"><h1 class=\"eael-entry-title\"><a class=\"eael-grid-post-link\" href=\"https:\/\/sites.temple.edu\/turiskcommlab\/publications\/2019-publications\/\" title=\"2019 Publications\">2019<\/a><\/h1><\/header><\/div><\/div>\n        <\/div>\n    <\/article><article class=\"eael-grid-post  eael-post-grid-column eael-pg-post-238\" data-id=\"238\">\n        <div class=\"eael-grid-post-holder\">\n            <div class=\"eael-grid-post-holder-inner\"><div class=\"eael-entry-wrapper\"><header class=\"eael-entry-header\"><h1 class=\"eael-entry-title\"><a class=\"eael-grid-post-link\" href=\"https:\/\/sites.temple.edu\/turiskcommlab\/publications\/2018-publications\/\" title=\"2018 Publications\">2018<\/a><\/h1><\/header><\/div><\/div>\n        <\/div>\n    <\/article><article class=\"eael-grid-post  eael-post-grid-column eael-pg-post-240\" data-id=\"240\">\n        <div class=\"eael-grid-post-holder\">\n            <div class=\"eael-grid-post-holder-inner\"><div class=\"eael-entry-wrapper\"><header class=\"eael-entry-header\"><h1 class=\"eael-entry-title\"><a class=\"eael-grid-post-link\" href=\"https:\/\/sites.temple.edu\/turiskcommlab\/publications\/2017-publications\/\" title=\"2017 Publications\">2017<\/a><\/h1><\/header><\/div><\/div>\n        <\/div>\n    <\/article><article class=\"eael-grid-post  eael-post-grid-column eael-pg-post-242\" data-id=\"242\">\n        <div class=\"eael-grid-post-holder\">\n            <div class=\"eael-grid-post-holder-inner\"><div class=\"eael-entry-wrapper\"><header class=\"eael-entry-header\"><h1 class=\"eael-entry-title\"><a class=\"eael-grid-post-link\" href=\"https:\/\/sites.temple.edu\/turiskcommlab\/publications\/2016-publications\/\" title=\"2016 Publications\">2016<\/a><\/h1><\/header><\/div><\/div>\n        <\/div>\n    <\/article><article class=\"eael-grid-post  eael-post-grid-column eael-pg-post-244\" data-id=\"244\">\n        <div class=\"eael-grid-post-holder\">\n            <div class=\"eael-grid-post-holder-inner\"><div class=\"eael-entry-wrapper\"><header class=\"eael-entry-header\"><h1 class=\"eael-entry-title\"><a class=\"eael-grid-post-link\" href=\"https:\/\/sites.temple.edu\/turiskcommlab\/publications\/2015-2011-publications\/\" title=\"2015-2011 Publications\">2015-2011<\/a><\/h1><\/header><\/div><\/div>\n        <\/div>\n    <\/article><article class=\"eael-grid-post  eael-post-grid-column eael-pg-post-249\" data-id=\"249\">\n        <div class=\"eael-grid-post-holder\">\n            <div class=\"eael-grid-post-holder-inner\"><div class=\"eael-entry-wrapper\"><header class=\"eael-entry-header\"><h1 class=\"eael-entry-title\"><a class=\"eael-grid-post-link\" href=\"https:\/\/sites.temple.edu\/turiskcommlab\/publications\/2010-2006-publications\/\" title=\"2010-2006 Publications\">2010-2006<\/a><\/h1><\/header><\/div><\/div>\n        <\/div>\n    <\/article><article class=\"eael-grid-post  eael-post-grid-column eael-pg-post-310\" data-id=\"310\">\n        <div class=\"eael-grid-post-holder\">\n            <div class=\"eael-grid-post-holder-inner\"><div class=\"eael-entry-wrapper\"><header class=\"eael-entry-header\"><h1 class=\"eael-entry-title\"><a class=\"eael-grid-post-link\" href=\"https:\/\/sites.temple.edu\/turiskcommlab\/publications\/2005-2000-publications\/\" title=\"2005-2000 Publications\">2005-2000<\/a><\/h1><\/header><\/div><\/div>\n        <\/div>\n    <\/article><\/div>\n            <div class=\"clearfix\"><\/div>\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-58cf0ed elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"58cf0ed\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f197c46\" data-id=\"f197c46\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-fee2c4a elementor-grid-eael-col-2 elementor-grid-tablet-eael-col-2 elementor-grid-mobile-eael-col-1 elementor-widget elementor-widget-eael-post-grid\" data-id=\"fee2c4a\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;eael_post_grid_columns&quot;:&quot;eael-col-2&quot;,&quot;eael_post_grid_columns_tablet&quot;:&quot;eael-col-2&quot;,&quot;eael_post_grid_columns_mobile&quot;:&quot;eael-col-1&quot;}\" data-widget_type=\"eael-post-grid.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"eael-post-grid-fee2c4a\" class=\"eael-post-grid-container\">\n            <div class=\"eael-post-grid eael-post-appender eael-post-appender-fee2c4a eael-post-grid-style-two\" data-layout-mode=\"grid\"><article class=\"eael-grid-post  eael-post-grid-column eael-pg-post-4542 category-2025-publications-publications\" data-id=\"4542\">\n    <div class=\"eael-grid-post-holder\">\n        <div class=\"eael-grid-post-holder-inner\"><div class=\"eael-entry-wrapper\"><header class=\"eael-entry-header\"><h1 class=\"eael-entry-title\"><a class=\"eael-grid-post-link\" href=\"https:\/\/sites.temple.edu\/turiskcommlab\/2026\/07\/15\/the-new-obesity-treatment-landscape-challenges-and-opportunities-to-promote-shared-decision-making-in-people-with-obesity-and-type-2-diabetes\/\" title=\"The New Obesity Treatment Landscape: Challenges and Opportunities to Promote Shared Decision-Making in People With Obesity and Type 2 Diabetes\">The New Obesity Treatment Landscape: Challenges and Opportunities to Promote Shared Decision-Making in People With Obesity and Type 2 Diabetes<\/a><\/h1><\/header><div class=\"eael-entry-content\">\n                                <div class=\"eael-grid-post-excerpt\"><p>View the Article Abstract: New obesity management guidelines, including those from the American\u00a0Diabetes Association, advocate the use of shared decision-making (SDM)\u00a0for obesity treatment. SDM...<\/p><a href=\"https:\/\/sites.temple.edu\/turiskcommlab\/2026\/07\/15\/the-new-obesity-treatment-landscape-challenges-and-opportunities-to-promote-shared-decision-making-in-people-with-obesity-and-type-2-diabetes\/\" class=\"eael-post-elements-readmore-btn\">Read More<\/a><\/div>\n                            <\/div><\/div><\/div>\n    <\/div>\n<\/article><article class=\"eael-grid-post  eael-post-grid-column eael-pg-post-4523 category-2025-publications-publications\" data-id=\"4523\">\n    <div class=\"eael-grid-post-holder\">\n        <div class=\"eael-grid-post-holder-inner\"><div class=\"eael-entry-wrapper\"><header class=\"eael-entry-header\"><h1 class=\"eael-entry-title\"><a class=\"eael-grid-post-link\" href=\"https:\/\/sites.temple.edu\/turiskcommlab\/2026\/07\/15\/participatory-development-and-concept-testing-of-mhealth-messaging-to-support-care-engagement-and-antiretroviral-therapy-adherence-for-women-living-with-hiv-in-the-southern-united-states-focus-group\/\" title=\"Participatory Development and Concept Testing of mHealth Messaging to Support Care Engagement and Antiretroviral Therapy Adherence for Women Living With HIV in the Southern United States: Focus Group Study\">Participatory Development and Concept Testing of mHealth Messaging to Support Care Engagement and Antiretroviral Therapy Adherence for Women Living With HIV in the Southern United States: Focus Group Study<\/a><\/h1><\/header><div class=\"eael-entry-content\">\n                                <div class=\"eael-grid-post-excerpt\"><p>View the Article Abstract: Women living with HIV in the Southern United States, or the South, face persistent and overlapping challenges to care engagement...<\/p><a href=\"https:\/\/sites.temple.edu\/turiskcommlab\/2026\/07\/15\/participatory-development-and-concept-testing-of-mhealth-messaging-to-support-care-engagement-and-antiretroviral-therapy-adherence-for-women-living-with-hiv-in-the-southern-united-states-focus-group\/\" class=\"eael-post-elements-readmore-btn\">Read More<\/a><\/div>\n                            <\/div><\/div><\/div>\n    <\/div>\n<\/article><article class=\"eael-grid-post  eael-post-grid-column eael-pg-post-4512 category-2025-publications-publications\" data-id=\"4512\">\n    <div class=\"eael-grid-post-holder\">\n        <div class=\"eael-grid-post-holder-inner\"><div class=\"eael-entry-wrapper\"><header class=\"eael-entry-header\"><h1 class=\"eael-entry-title\"><a class=\"eael-grid-post-link\" href=\"https:\/\/sites.temple.edu\/turiskcommlab\/2026\/07\/15\/building-hiv-aids-prevention-communication-strategies-through-community-informed-formative-research-for-a-biobehavioural-couple-based-hiv-prevention-intervention-for-latino-men-who-have-sex-with-men\/\" title=\"Building HIV\/AIDS prevention communication strategies through community-informed formative research for a biobehavioural couple-based HIV prevention intervention for Latino men who have sex with men\">Building HIV\/AIDS prevention communication strategies through community-informed formative research for a biobehavioural couple-based HIV prevention intervention for Latino men who have sex with men<\/a><\/h1><\/header><div class=\"eael-entry-content\">\n                                <div class=\"eael-grid-post-excerpt\"><p>View the Article Abstract: Developing effective HIV\/AIDS prevention communication strategies is critical to engaging diverse populations in HIV prevention efforts. While many programmes have...<\/p><a href=\"https:\/\/sites.temple.edu\/turiskcommlab\/2026\/07\/15\/building-hiv-aids-prevention-communication-strategies-through-community-informed-formative-research-for-a-biobehavioural-couple-based-hiv-prevention-intervention-for-latino-men-who-have-sex-with-men\/\" class=\"eael-post-elements-readmore-btn\">Read More<\/a><\/div>\n                            <\/div><\/div><\/div>\n    <\/div>\n<\/article><article class=\"eael-grid-post  eael-post-grid-column eael-pg-post-4504 category-2025-publications-publications\" data-id=\"4504\">\n    <div class=\"eael-grid-post-holder\">\n        <div class=\"eael-grid-post-holder-inner\"><div class=\"eael-entry-wrapper\"><header class=\"eael-entry-header\"><h1 class=\"eael-entry-title\"><a class=\"eael-grid-post-link\" href=\"https:\/\/sites.temple.edu\/turiskcommlab\/2026\/07\/15\/the-development-of-gender-and-sex-diverse-standardized-patients-for-interprofessional-learning-a-community-based-participatory-approach\/\" title=\"The development of gender and sex diverse standardized patients for interprofessional learning: A community-based participatory approach\">The development of gender and sex diverse standardized patients for interprofessional learning: A community-based participatory approach<\/a><\/h1><\/header><div class=\"eael-entry-content\">\n                                <div class=\"eael-grid-post-excerpt\"><p>View the Article Abstract: This study introduced a novel approach to developing standardized patient (SP) cases for training medical residents and clinical support staff...<\/p><a href=\"https:\/\/sites.temple.edu\/turiskcommlab\/2026\/07\/15\/the-development-of-gender-and-sex-diverse-standardized-patients-for-interprofessional-learning-a-community-based-participatory-approach\/\" class=\"eael-post-elements-readmore-btn\">Read More<\/a><\/div>\n                            <\/div><\/div><\/div>\n    <\/div>\n<\/article><article class=\"eael-grid-post  eael-post-grid-column eael-pg-post-4485 category-2025-publications-publications\" data-id=\"4485\">\n    <div class=\"eael-grid-post-holder\">\n        <div class=\"eael-grid-post-holder-inner\"><div class=\"eael-entry-wrapper\"><header class=\"eael-entry-header\"><h1 class=\"eael-entry-title\"><a class=\"eael-grid-post-link\" href=\"https:\/\/sites.temple.edu\/turiskcommlab\/2026\/07\/15\/socio-clinical-correlations-with-threat-perception-and-self-efficacy-in-people-with-type-2-diabetes\/\" title=\"Socio-clinical correlations with threat perception and self-efficacy in people with Type 2 diabetes\">Socio-clinical correlations with threat perception and self-efficacy in people with Type 2 diabetes<\/a><\/h1><\/header><div class=\"eael-entry-content\">\n                                <div class=\"eael-grid-post-excerpt\"><p>View the Article Abstract: Medically underserved people perform suboptimal type 2 diabetes (T2D) self-care, which contributes to worse diabetes control and higher complication rates....<\/p><a href=\"https:\/\/sites.temple.edu\/turiskcommlab\/2026\/07\/15\/socio-clinical-correlations-with-threat-perception-and-self-efficacy-in-people-with-type-2-diabetes\/\" class=\"eael-post-elements-readmore-btn\">Read More<\/a><\/div>\n                            <\/div><\/div><\/div>\n    <\/div>\n<\/article><article class=\"eael-grid-post  eael-post-grid-column eael-pg-post-4157 category-2025-publications-publications\" data-id=\"4157\">\n    <div class=\"eael-grid-post-holder\">\n        <div class=\"eael-grid-post-holder-inner\"><div class=\"eael-entry-wrapper\"><header class=\"eael-entry-header\"><h1 class=\"eael-entry-title\"><a class=\"eael-grid-post-link\" href=\"https:\/\/sites.temple.edu\/turiskcommlab\/2025\/05\/02\/infectious-airborne-disease-knowledge-training-preferences-and-peer-support-acceptance-among-young-working-autistic-adults-a-qualitative-inquiry\/\" title=\"Infectious Airborne Disease Knowledge, Training Preferences, and Peer Support Acceptance among Young Working Autistic Adults: A Qualitative Inquiry\">Infectious Airborne Disease Knowledge, Training Preferences, and Peer Support Acceptance among Young Working Autistic Adults: A Qualitative Inquiry<\/a><\/h1><\/header><div class=\"eael-entry-content\">\n                                <div class=\"eael-grid-post-excerpt\"><p>View the Article Abstract: \u00a0Infectious airborne diseases (IADs) affect an estimated 25\u201350 million people annually in the US, leading to over 150,000 hospitalizations and...<\/p><a href=\"https:\/\/sites.temple.edu\/turiskcommlab\/2025\/05\/02\/infectious-airborne-disease-knowledge-training-preferences-and-peer-support-acceptance-among-young-working-autistic-adults-a-qualitative-inquiry\/\" class=\"eael-post-elements-readmore-btn\">Read More<\/a><\/div>\n                            <\/div><\/div><\/div>\n    <\/div>\n<\/article><\/div>\n            <div class=\"clearfix\"><\/div>\n        <\/div>            <div class=\"eael-load-more-button-wrap\">\n                <button class=\"eael-load-more-button\" id=\"eael-load-more-btn-fee2c4a\" data-widget-id=\"fee2c4a\" data-widget=\"fee2c4a\" data-page-id=\"3947\" data-template=\"{&quot;dir&quot;:&quot;lite&quot;,&quot;file_name&quot;:&quot;two.php&quot;,&quot;name&quot;:&quot;Post-Grid&quot;}\" data-class=\"Essential_Addons_Elementor\\Elements\\Post_Grid\" data-layout=\"grid\" data-page=\"1\" data-args=\"orderby=date&amp;order=desc&amp;ignore_sticky_posts=1&amp;post_status=publish&amp;posts_per_page=6&amp;offset=0&amp;post_type=post&amp;tax_query%5B0%5D%5Btaxonomy%5D=category&amp;tax_query%5B0%5D%5Bfield%5D=term_id&amp;tax_query%5B0%5D%5Bterms%5D%5B0%5D=44&amp;tax_query%5Brelation%5D=AND\" data-max-page=\"2\">\n                    <span class=\"eael-btn-loader button__loader\"><\/span>\n                    <span class=\"eael_load_more_text\">Load More<\/span>\n                <\/button>\n            <\/div>\n            \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>All 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015-2011 2010-2006 2005-2000 Combined self-stigma and justice system involvement, opioid use, and mental health&#8230;<\/p>\n<div class=\"more-link-wrapper\"><a class=\"more-link\" href=\"https:\/\/sites.temple.edu\/turiskcommlab\/2025\/05\/02\/infectious-airborne-disease-knowledge-training-preferences-and-peer-support-acceptance-among-young-working-autistic-adults-a-qualitative-inquiry\/\">Continue reading<span class=\"screen-reader-text\">Infectious Airborne Disease Knowledge, Training Preferences, and Peer Support Acceptance among Young Working Autistic Adults: A Qualitative 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