Pico question examples women - Nov 21, 2008 · My advice: set your question based upon what you are interested in answering. For example what if you were interested in knowing "How do side effects, both physical and psychological, effect women who have experienced treatment for cervical cancer.."-radiation therapy, sex drive/life, effects of ADL's etc...

 
Aug 28, 2023 · PICO. PICO is a mnemonic used to help you clarify your clinical question. It acts as a framework, asking you to think specifically about different aspects of what you want to investigate. As you build your PICO, you should make sure that you are clear and specific about what you are looking for. This helps you target the right evidence to use ... . Kendall nursery dresser and topper set

PICOT QUESTION PAPER: INFERTILITY Significance to Nursing In nursing, fertility is a process that begins from the second a woman states she is attempting to become pregnant but is having difficulty. Nurses are also educators, so a main component to treating a woman who has fertility issues is to make them aware of their options and issues. Table 2.1, PICO questions for the recommendations in women (the general population of women ... Aug 29, 2023 · Concepts from the PICO(T) question are used to construct a comprehensive database search strategy with search terms describing each relevant component of the PICO(T). Relevant elements of your PICO(T) question can be used to develop an initial list of keywords (including synonyms) to use in a database search. The most important parts of a PICO ... Clarifying the key elements of the question is a critical first step toward providing an answer to inform a decision, or for a researcher to frame the research to be done. The PICO (Population, Intervention, Comparator, and Outcomes) model captures the key elements and is a good strategy to provide answerable questions. [1]PICOT: This evidence-based project answered the following question: In rehabilitation patients, what is the effect of a nurse-driven protocol (NDP) CAUTI bundle on the number of indwelling urinary catheter-related infections, compared to the current practice, over a 12-week time period? Evidence Note: The question may also appear as: What is the effectiveness of early ambulation, compared to bed rest, on decreasing post-op DVTs in adult patients with total hip replacements. Meaning PICO Question: How do pregnant women (P) newly diagnosed with diabetes (I) experience reporting their blood sugar levels (O) to their healthcare providers? <<It is important to note that there are different types or categories of PICOT questions. The category of your question can at times dictate the types of evidence that you are searching for. Determine in which category your question would best fit. Use the template to help you word it succinctly and correctly.• Discuss the background questions as a group, and look up the answers as needed. • Find the answer to the foreground question, or have everyone write their own PICO question. • Take 5 minutes to look up the PICO answers. • Share the PICO answers and resources used.“The question needs to identify the patient or population we intend to study, the intervention or treatment we plan to use, the comparison of one intervention to another (if applicable) and the outcome we anticipate,” Kathy A. Jensen, MHA, RN, wrote in EBSCO Health’s whitepaper, “7 Steps To The Perfect Pico Search.” “Once a well ... CHAPTER SUB-CHAPTER QUESTION; 3. Problems of the neonate and young infant: 3.1 Routine care of the newborn at delivery: Among healthy newborn infants in low- and middle-income countries (P), does early skin-to-skin contact of the baby with the mother in the first hour of life (I) compared with drying and wrapping (C) have an impact on neonatal mortality, hypothermia or initiation/exclusivity ...I need a PICO question over either pregnancy, pregnancy complications, postpartum, newborn, premature newborn, anything along those lines. I know how to make a PICO question so I am not asking that. I am just having trouble with this area and exploring things I could do one over and find articles with. Thanks!Jan 20, 2010 · Clinical questions could arise in situations such as the following: You become uncertain, during a patient encounter, about the desirability of a particular diagnostic or therapeutic choice. You encounter a product advertisement in a journal in which you are encouraged to purchase and use a particular technology for your patients. The framework is actually divided into four major elements. A good clinical question will address most, if not all, aspects of the PICO nursing questions. The following are the parameters defined by PICO (T) when it comes to designing of clinical questions: P: Patient, Problem, Population. I: Intervention. May 26, 2015 · "Among women in labor, does the use of labor support/doulas versus no labor support affect labor complications?" (PICOt Question example by M. Montgomery) (PICOt Question example by M. Montgomery) Types of Questions: Therapy, Diagnosis, Prognosis, Harm/Etiology, Prevention, Cost-Effectiveness, Quality of Life. CHAPTER SUB-CHAPTER QUESTION; 3. Problems of the neonate and young infant: 3.1 Routine care of the newborn at delivery: Among healthy newborn infants in low- and middle-income countries (P), does early skin-to-skin contact of the baby with the mother in the first hour of life (I) compared with drying and wrapping (C) have an impact on neonatal mortality, hypothermia or initiation/exclusivity ... Question Type & Study Design. Some study designs are better suited to answer certain types of questions. Identifying the clinical domain your question falls under can help determine what study designs to look for in order to find the best, most suitable evidence. Systematic Reviews and Meta-Analyses are always preferred.The framework is actually divided into four major elements. A good clinical question will address most, if not all, aspects of the PICO nursing questions. The following are the parameters defined by PICO (T) when it comes to designing of clinical questions: P: Patient, Problem, Population. I: Intervention.PICO (T) Evidence-based practice uses the PICO (T) model for formulating a searchable question. PICO (T) is a mnemonic used to describe the four elements of a good clinical foreground question: P = Population/Problem. How would I describe the problem or a group of patients similar to mine? I = Intervention.Aug 29, 2023 · Foreground questions look for answers to specific patients, problems, types of interventions, and clinical outcomes, and the PICO framework will work well with these questions. Use PICO to write a clear, researchable clinical question. The four elements of PICO break a research topic into searchable keywords and make locating evidence-based ... Apr 20, 2021 · Introduction. Stroke is a medical condition that is caused by the interruption or reduction of blood supply to the brain. This deprives the affected part of brain nutrients and oxygen supply. The biochemical processes are hence stopped, interrupted, or impaired; the brain cells can even die. Further, the condition can also be caused by bursting ... [Examples modified and drawn from Glasper, A. and Rees, C. (2013) How to Write Your Nursing Dissertation] The following examples may help you put PICO into practice. Suggestions in the brackets are just extra ideas for what you might want to consider. 1) Isobel is a 45 year old woman who asks you for advice on natural ways of resolving her ...These are some best examples of PICOT questions for falls. 2) The Prognosis. These questions are used in the following scenarios. Used to determine the potential complications from a specific condition or the clinical course over a particular period. The following is an example of an intervention PICOT question:Aug 3, 2023 · PICO Question Examples It will be a time-consuming and difficult venture to identify the most appropriate resources and find relevant evidence without a well-focused question. PICO helps to form a question and facilitate quick and wider literature search.PICO framework helps to identify the main elements of a question and simplify writing a ... 2. Foreground questions are specific knowledge questions . that affect clinical decisions and ; include a broad range of biological, psychological, and sociological issues. Foreground questions are best suited to the PICO model as it captures the essential elements of your information need to help translate that question into a search query. To ...PICO is a popular mnemonic in nursing. P stands for Patient/Problem, I for Intervention, C for Comparison, and O for Outcome. PICOT is used by nursing students to generate answers to seemingly vague questions. PICOT question examples such as “How effective is handwashing in reducing infections?” can be broken down in the following manner: This is among the perfect PICOT question examples for falls. 2. The Prognosis or the Prediction. These questions are used in determining the possible complications that arise from a particular condition or the clinical course over a specific time frame. An example of an intervention PICOT questions is as follows:PICO Framework. Without a well-focused question, it can be very difficult and time consuming to identify appropriate resources and search for relevant evidence. Practitioners of Evidence-Based Practice (EBP) often use a specialized framework, called PICO, to form the question and facilitate the literature search. 1 PICO stands for:PICO Question Examples It will be a time-consuming and difficult venture to identify the most appropriate resources and find relevant evidence without a well-focused question. PICO helps to form a question and facilitate quick and wider literature search.PICO framework helps to identify the main elements of a question and simplify writing a ...Systematic Review: A systematic review tries to identify, appraise, select and synthesize all RCTs (randomized control trials) relevant to a specific clinical question. . Stringent guidelines are set in order to draw a conclusion about whether or not there is conclusive evidence about a specfic treatment or toA strength of a qualitative PICO question is that it can investigate what patient satisfaction looks like, for example, instead of only reporting that 25% of patients who took a survey reported that they are satisfied. When working with qualitative questions, an alternative to using PICO in searching for sources is the SPIDER search tool.PICOT Questions Evidence-Based PICOT Questions Examples. PICOT Questions: Population: Bariatric adolescents considering or undergoing gastric bypass surgery.. Intervention: The nurse’s role as a primary member of the multidisciplinary team regarding perioperative care of the bariatric adolescent patient.Table 2.1, PICO questions for the recommendations in women (the general population of women ... Oct 15, 2019 · The framework is actually divided into four major elements. A good clinical question will address most, if not all, aspects of the PICO. The following are the parameters defined by PICO (T) when it comes to designing of clinical questions: P: Patient, Problem, Population. I: Intervention. Background questions ask for general knowledge about an illness, disease, condition, process or thing. These types of questions typically ask who, what, where, when, how & why about things like a disorder, test, or treatment, etc. For example. How overweight is a woman to be considered slightly obese? What are the clinical manifestations of ...PICOT 7 PMTCT What is the most effective antiviral therapy during the third trimester of pregnancy, to reduce transmission of HBsAg? P: Pregnant women in the third trimester of pregnancy (defined as 27–40 weeks gestation) with chronic hepatitis B virus infection (positive for HBsAg persistently for more than 6 months) (stratified by HBeAg ... Table 2.1, PICO questions for the recommendations in women (the general population of women ...PICO and 2×2 table for question about test accuracy. Population of interest=women aged 40–74 years without a history of breast cancer. Investigated test result=positive result on mammography. Comparator test result=negative result on mammography. Outcome=breast cancer according to biopsy (or not) View inline. Jul 27, 2023 · You need to assess what reasonable clinical study population your patient could be part of. For example, if your patient is a 73 year old woman, "73 year old women" or "women in their 70s" is too specific because it is highly unlikely that clinical researchers would design a study that would exclusively enroll women in their 70s. This section includes the evidence summaries for each key question. It incorporates a summary of the included review for PICO question 1 and the results of the primary reviews (PICO questions 2–6), other relevant evidence (specifically, related guidelines and systematic reviews) and a summary of the evidence-to-decision framework. Table 2.1, PICO questions for the recommendations in women (the general population of women ... Aug 29, 2023 · If you are planning to create a systematic review, it is usually best to start with a PICO style question, it provides structure and boundaries to the task. Let’s try: To search for the core topics discussed in your review, you are probably going to want to use a combination of approaches. You are probably going to need to use the subject ... Note: The question may also appear as: What is the effectiveness of early ambulation, compared to bed rest, on decreasing post-op DVTs in adult patients with total hip replacements. Meaning PICO Question: How do pregnant women (P) newly diagnosed with diabetes (I) experience reporting their blood sugar levels (O) to their healthcare providers? <<Developing a Targeted Research Question. Examine your topic to identify the major concepts you need to conduct the best searches. Some useful ways to do this include: Background planning: think of the 5 W's and H for your topic: Who - are the stakeholders, population of interest, involved parties. What - are the issues, problems, needs.Foreground questions look for answers to specific patients, problems, types of interventions, and clinical outcomes, and the PICO framework will work well with these questions. Use PICO to write a clear, researchable clinical question. The four elements of PICO break a research topic into searchable keywords and make locating evidence-based ...Formulate a PICO Question . Answerable PICO Question: In middle-aged adult females with hypertension, are beta blockers more effective than ACE inhibiters in controlling blood pressure? Image: "Dagstuhl 2008-02-01 - 37" by Nic's events is licensed under CC BY-SA 2.0PICOT questions fall into four types, namely: prevention/therapy, diagnosis, etiology, and prognosis. The PICOT format assists in creating a useful clinical question and searching for relevant publications and studies. For instance, if a nurse desires to understand the effect of flu vaccination on the advancementHave two essential components: Example: What causes migraines? or How often should women over the age of 40 have a mammogram? A question root (who, what, when, etc.) with a verb; A disorder, test, treatment, or other aspect of healthcare; The background question is usually asked because of the need for basic information.PICO and 2×2 table for question about test accuracy. Population of interest=women aged 40–74 years without a history of breast cancer. Investigated test result=positive result on mammography. Comparator test result=negative result on mammography. Outcome=breast cancer according to biopsy (or not) View inline. Once you have the components of your PICOT formula, you can frame your question in 6 different ways depending on the goal/target, the nursing practice problem, or the healthcare issue you are addressing. You can use these PICO formats as a template for asking PICOT questions. 1. Examining a Diagnosis.According to Melnyk & Fineout-Overholt (2019), a randomized control trial is considered level II evidence for my PICOT question. The article by Pope et al. (2016), is a case control, cross sectional design, which would be classified as level IV evidence (Melnyk, Fineout-Overholt, 2019).Jul 27, 2023 · You need to assess what reasonable clinical study population your patient could be part of. For example, if your patient is a 73 year old woman, "73 year old women" or "women in their 70s" is too specific because it is highly unlikely that clinical researchers would design a study that would exclusively enroll women in their 70s. PICO. PICO is a mnemonic used to help you clarify your clinical question. It acts as a framework, asking you to think specifically about different aspects of what you want to investigate. As you build your PICO, you should make sure that you are clear and specific about what you are looking for. This helps you target the right evidence to use ...PICOT 7 PMTCT What is the most effective antiviral therapy during the third trimester of pregnancy, to reduce transmission of HBsAg? P: Pregnant women in the third trimester of pregnancy (defined as 27–40 weeks gestation) with chronic hepatitis B virus infection (positive for HBsAg persistently for more than 6 months) (stratified by HBeAg ... If you are planning to create a systematic review, it is usually best to start with a PICO style question, it provides structure and boundaries to the task. Let’s try: To search for the core topics discussed in your review, you are probably going to want to use a combination of approaches. You are probably going to need to use the subject ...The PICO(T) Chart provides an easy framework for integrating clinical information into the development of a research question. Students can complete the following worksheet, incorporating detailed information into each response. Decide what your research interest or topic is and then develop a research question to answer it.Apr 5, 2023 · Level of Evidence What is a PICO Question? PICO is an acronym used for exploring clinical questions. It serves as a framework for evidence-based practice. P (Problem and Population) What health problem is your selected intervention intended to solve? Identify what population of people will benefit the most from your chosen intervention. Aug 29, 2023 · Concepts from the PICO(T) question are used to construct a comprehensive database search strategy with search terms describing each relevant component of the PICO(T). Relevant elements of your PICO(T) question can be used to develop an initial list of keywords (including synonyms) to use in a database search. The most important parts of a PICO ... Table 2.1, PICO questions for the recommendations in women (the general population of women ...Finally, you will click on a button and the PICOT Research Question Generator will present the following: Your PICOT question. Your null and alternative hypotheses. Your independent variable. Your dependent variable. The statistical test used to answer your PICOT question. It should take you less than five minutes to complete the web form below. Your full PICO question is: "Among hospitalized chronic smokers, does a brief educational nursing intervention lead to long term smoking cessation [when compared with no intervention]?" PICO Question ExamplesA strength of a qualitative PICO question is that it can investigate what patient satisfaction looks like, for example, instead of only reporting that 25% of patients who took a survey reported that they are satisfied. When working with qualitative questions, an alternative to using PICO in searching for sources is the SPIDER search tool.Aug 3, 2023 · PICO Question Examples It will be a time-consuming and difficult venture to identify the most appropriate resources and find relevant evidence without a well-focused question. PICO helps to form a question and facilitate quick and wider literature search.PICO framework helps to identify the main elements of a question and simplify writing a ... Level of Evidence What is a PICO Question? PICO is an acronym used for exploring clinical questions. It serves as a framework for evidence-based practice. P (Problem and Population) What health problem is your selected intervention intended to solve? Identify what population of people will benefit the most from your chosen intervention.PICO: P = population; I = intervention; C = comparator; O = outcome(s)[ref]For further information on the findings of the reviews based on the PICOs presented in this annex, refer to the EtD frameworks in Supplementary material 2.[/ref] Pre-abortion Rhisoimmunization PICO 1: No anti-D administration in unsensitized Rh-negative individuals seeking abortion (see Recommendation 8 [NEW]) The PICO question in this paper seeked to answer the question: in adult patients without celiac disease or gluten sensitivities, is GF food correlated with higher type 2 diabetes or CVD risk? The question was underpinned by a research study showing an inverse relationship between gluten consumption and type 2 diabetes rates. [Examples modified and drawn from Glasper, A. and Rees, C. (2013) How to Write Your Nursing Dissertation] The following examples may help you put PICO into practice. Suggestions in the brackets are just extra ideas for what you might want to consider. 1) Isobel is a 45 year old woman who asks you for advice on natural ways of resolving her ...2. Foreground questions are specific knowledge questions . that affect clinical decisions and ; include a broad range of biological, psychological, and sociological issues. Foreground questions are best suited to the PICO model as it captures the essential elements of your information need to help translate that question into a search query. To ...Evidence-Based Nursing. Evidence-based nursing is the use of evidence in combination with the practitioner's expertise and nursing theory in order to make decisions about nursing patient care. It consists of 5 stages: Asking a question after assessing the patient. Acquire the evidence by finding literature to answer the question.These are some best examples of PICOT questions for falls. 2) The Prognosis. These questions are used in the following scenarios. Used to determine the potential complications from a specific condition or the clinical course over a particular period. The following is an example of an intervention PICOT question:PICOT 7 PMTCT What is the most effective antiviral therapy during the third trimester of pregnancy, to reduce transmission of HBsAg? P: Pregnant women in the third trimester of pregnancy (defined as 27–40 weeks gestation) with chronic hepatitis B virus infection (positive for HBsAg persistently for more than 6 months) (stratified by HBeAg ...Have two essential components: Example: What causes migraines? or How often should women over the age of 40 have a mammogram? A question root (who, what, when, etc.) with a verb; A disorder, test, treatment, or other aspect of healthcare; The background question is usually asked because of the need for basic information.Diagnostic OR= (a/b)/ (c/d)=742.9. We would need to perform a test accuracy study to answer our question. The participants would get a mammography (index test) and a biopsy to determine the presence of breast cancer (reference test). Each test would yield a positive or negative test result. Preferably, all patients get both tests, without much ...Components of Pico. P- young adults. I- alcohol consumption. C- no alcohol consumption. O- depression. Exposure: The exposure in this case is alcohol. It is injurious to health and it makes aggressive behavior of people therefore, increasing the level of anxiety. Excessive alcohol intake can interfere with the normal process of development and ...The PICOT question format is a consistent “formula” for developing answerable, researchable questions. When you write a good one, it makes the rest of the process of finding and evaluating evidence much more straightforward. P: Population/patient – age, gender, ethnicity, individuals with a certain disorder. I: Intervention/indicator ...Developing a Targeted Research Question. Examine your topic to identify the major concepts you need to conduct the best searches. Some useful ways to do this include: Background planning: think of the 5 W's and H for your topic: Who - are the stakeholders, population of interest, involved parties. What - are the issues, problems, needs.Background questions ask for general knowledge about an illness, disease, condition, process or thing. These types of questions typically ask who, what, where, when, how & why about things like a disorder, test, or treatment, etc. For example. How overweight is a woman to be considered slightly obese? What are the clinical manifestations of ...Aug 22, 2023 · What is PICO? PICO is a pneumonic that stands for Patient/Problem, Intervention, Comparison, and Outcome. PICO is one of many frameworks used to create answerable research questions. PICO is chosen for this course because it is useful in finding quantitative research as is required for Nursing Research courses. PICO is used to help keep ... Formulate a PICO Question . Answerable PICO Question: In middle-aged adult females with hypertension, are beta blockers more effective than ACE inhibiters in controlling blood pressure? Image: "Dagstuhl 2008-02-01 - 37" by Nic's events is licensed under CC BY-SA 2.0Your full PICO question is: "Among hospitalized chronic smokers, does a brief educational nursing intervention lead to long term smoking cessation [when compared with no intervention]?" PICO Question Examples

Aug 22, 2023 · What is PICO? PICO is a pneumonic that stands for Patient/Problem, Intervention, Comparison, and Outcome. PICO is one of many frameworks used to create answerable research questions. PICO is chosen for this course because it is useful in finding quantitative research as is required for Nursing Research courses. PICO is used to help keep ... . Uscis lee

pico question examples women

Aug 17, 2023 · Once you have the components of your PICOT formula, you can frame your question in 6 different ways depending on the goal/target, the nursing practice problem, or the healthcare issue you are addressing. You can use these PICO formats as a template for asking PICOT questions. 1. Examining a Diagnosis. Aug 23, 2023 · I = Interventions. C = Comparisons. O = Outcomes. Using the earlier example question, we can break it down into a PICO question like this: P = Patient or Problem (young children) I = Interventions (distractions during immunization) C = Comparisons (no distractions/standard care) O = Outcomes (lower pain scores) You may also hear some people use ... Aug 15, 2023 · Background questions ask for general knowledge about an illness, disease, condition, process or thing. These types of questions typically ask who, what, where, when, how & why about things like a disorder, test, or treatment, etc. For example. How overweight is a woman to be considered slightly obese? What are the clinical manifestations of ... Aug 29, 2023 · Concepts from the PICO(T) question are used to construct a comprehensive database search strategy with search terms describing each relevant component of the PICO(T). Relevant elements of your PICO(T) question can be used to develop an initial list of keywords (including synonyms) to use in a database search. The most important parts of a PICO ... My advice: set your question based upon what you are interested in answering. For example what if you were interested in knowing "How do side effects, both physical and psychological, effect women who have experienced treatment for cervical cancer.."-radiation therapy, sex drive/life, effects of ADL's etc...This section includes the evidence summaries for each key question. It incorporates a summary of the included review for PICO question 1 and the results of the primary reviews (PICO questions 2–6), other relevant evidence (specifically, related guidelines and systematic reviews) and a summary of the evidence-to-decision framework.Systematic Review: A systematic review tries to identify, appraise, select and synthesize all RCTs (randomized control trials) relevant to a specific clinical question. . Stringent guidelines are set in order to draw a conclusion about whether or not there is conclusive evidence about a specfic treatment or toJul 6, 2023 · Have two essential components: Example: What causes migraines? or How often should women over the age of 40 have a mammogram? A question root (who, what, when, etc.) with a verb A disorder, test, treatment, or other aspect of healthcare The background question is usually asked because of the need for basic information. Table 2.1, PICO questions for the recommendations in women (the general population of women ...Jul 7, 2023 · These questions bring together multiple concepts related to a specific clinical situation or research topic. They are typically divided into two categories: Qualitative Questions aim to discover meaning or gain an understanding of a phenomena. They ask about an individual's or population's experience of certain situations or circumstances. Use the PICOT format to structure your literature search based on a clearly-stated, searchable clinical question. P = Patient Population. I = Intervention or area of Interest. C = Comparison or Control group. O = Outcome.Appendix H. PICO tables. PICO tables were generated for each question defining the target population, interventions and comparators (where appropriate) and outcomes. These are presented with a summary of the searching activity for each question. Go to: Systematic Review: A systematic review tries to identify, appraise, select and synthesize all RCTs (randomized control trials) relevant to a specific clinical question. . Stringent guidelines are set in order to draw a conclusion about whether or not there is conclusive evidence about a specfic treatment or toWhen constructing your PICO question, a few important points to bear in mind: Your patient is a member of a population as well as a person with (or at risk for) a health problem . Factors to consider include age, sex, comorbid conditions, past medical history, socioeconomic status or other demographic variables, as these factors may impact your ... PICO Framework. Without a well-focused question, it can be very difficult and time consuming to identify appropriate resources and search for relevant evidence. Practitioners of Evidence-Based Practice (EBP) often use a specialized framework, called PICO, to form the question and facilitate the literature search. 1 PICO stands for:PICOT Question. The emotional wellbeing of mothers is linked to the positive upbringing of children in the first several months of their lives. However, the physical, hormonal, and psychological changes that occur after labor can significantly undermine women’s well-being, with adverse symptoms preventing them from having a positive outlook on lives.Aug 22, 2023 · What is PICO? PICO is a pneumonic that stands for Patient/Problem, Intervention, Comparison, and Outcome. PICO is one of many frameworks used to create answerable research questions. PICO is chosen for this course because it is useful in finding quantitative research as is required for Nursing Research courses. PICO is used to help keep ... These questions are often looking at specific patients or populations, which is why the PICO(T) framework is used. They are often very specific or complex in comparison to background questions (i.e. questions that are routed more in general knowledge or answering an open ended question about an illness, disease, condition, process, or thing).Apr 5, 2023 · Level of Evidence What is a PICO Question? PICO is an acronym used for exploring clinical questions. It serves as a framework for evidence-based practice. P (Problem and Population) What health problem is your selected intervention intended to solve? Identify what population of people will benefit the most from your chosen intervention. [Examples modified and drawn from Glasper, A. and Rees, C. (2013) How to Write Your Nursing Dissertation] The following examples may help you put PICO into practice. Suggestions in the brackets are just extra ideas for what you might want to consider. 1) Isobel is a 45 year old woman who asks you for advice on natural ways of resolving her ....

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