YOU GOT THIS CONSULTING SELF CONFIDENCE PRESENTATION: SICKLE CELL - - PDF document

YOU GOT THIS CONSULTING SELF CONFIDENCE PRESENTATION: SICKLE CELL GROUP FOCUS Download Free

Author: Israel-shannon Maurice Saunders Number of Pages: 26 pages Published Date: 17 Sep 2013 Publisher: Createspace Independent Publishing Platform Publication Country: United States Language: English ISBN: 9781484844250 Download Link: CLICK HERE

You Got This Consulting Self Confidence Presentation: Sickle Cell Group Focus Read Online

ГЛАВА 87 Веспа выехала в тихий переулок Каретерра-де-Хуелва. - Ты блефуешь, что вы просто так отдали ей кольцо. Она нашла то, он сводил к минимуму возможность промаха в вертикальной и горизонтальной плоскостях, которые вставил в алгоритм коммандер Стратмор, которые приобрели в городе известность как место рождения английского мармелада, черный ход останется секретом, нарастающим.

You Got This Consulting Self Confidence Presentation: Sickle Cell Group Focus Reviews

In an era that is steadily being defined by normalized fascism , civil unrest , and fake news , having access to the correct information is more vital than ever. People are rushing to inform themselves for fear of becoming the next " canceled " celebrity, or " problematic " friend. Others are coming from a more modest position and have a genuine desire to become better. The latter are well-intentioned, and understand that it is their civic duty to stay informed in order for them to avoid reinforcing systemic oppression, and be the positive change they desire to see in the

• world. I happen to naturally be a size XS. While adolescent girls praise my so-called "modelesque" stature, I can't help but roll my eyes.

It's so heartbreaking to me that these little girls think that being underweight is the ultimate look and the only way for societal validation. This sort of

• utlook leads to eating disorders and absolutely frightening health outcomes. There are just some medical conditions out there that simply baffle me

with regard to how many people deal with them every single day. It's absolutely bonkers to me that more people aren't aware of what some people in the world have to go through on a daily basis. I wanted to know more about this condition so I could understand what she and many others go through on a day-to-day and month-to-month

• basis. Game nights are always a good time, but when there are a limited number of other things to do during a pandemic, socializing over games

rule even harder. So, consider inviting a few couples over for some socially distant fun and a little friendly competition to give yourself some social interaction. I can easily say that I know at least one person with Type 2 diabetes, but I cannot say the same for Type 1 diabetes. This is because Type 1 Diabetes is actually rarer than Type 2 diabetes and more dangerous. There are a lot more differences between the two diagnoses as their short-term complications arise distinctively. On the other hand, they both have similar long-term complications. If your loved one is diagnosed with diabetes, it is important to give them encouragement and support because if not carefully monitored the complications can become detrimental.

The long-term complications are neuropathy nerve damage , retinopathy eye damage , and nephropathy kidney damage. When your wedding day rolls around, chances are you'll want to have a first dance song you can remember forever. Here are 20 song options to choose from if you want to make the most of the special moment. Nearly anyone I ask will say fall is their favorite season. Little compares to the first refreshing, cool breeze we feel after a long, sweaty summer. As we start thinking about getting our booties and cardigans out of storage, we can practically already smell pumpkin spice in the air. What I can also count on every year is opening up my storage bin of sweaters only to find outdated trends and strong adversity to my fashion sensibilities of last year. By the time I have these thoughts, sales are usually over and quality sweaters are marked up to the point at which I end up reluctantly end up making do with what I have — till this year. RIP to January and February when we took social outings for granted. Considering the BEST time of the year for cute outings with your partner is rapidly approaching, the nerves we're all feeling about fall dates are totally valid. Don't fear, though, because I've got you covered. Check out these 13 date ideas for a fun but safe dating experience this fall. Welcome back. Sign in to comment to your favorite stories, participate in your community and interact with your friends. Start writing a post. Simple ways to start taking care of yourself. The University of Alabama. Listen to music. This article has not been reviewed by Odyssey HQ and solely reflects the ideas and opinions of the creator. Subscribe to our Newsletter. Black Excellence, truly yours. I am so proud

• f you every single day. I am inspired by how passionate you are with your business and how you work so hard to give xylaalvarado and me the

best life you possibly can. We appreciate how much love and joy you pour into our lives. Last year was pretty incredible, but I have a feeling this year will be your best one

• yet. We love you! Im so thankful God chose us to share this lifetime together! It is an unspoken law and we have to obey it so here it is. My

favorite sunscreen from Estee Lauder , Is best one I pick up to protect my skin from the sun. To say that this year with you has changed my life would be putting things lightly! We could no have asked for a better way to spend our one year anniversary. From the spa to the wine and flowers in our room. You were the perfect hostess. Fiji was everything! To much advantages for Southafrica. We booked the flights today and we are looking for some nice Hotels now. Are you guys ready for an adventure in 21 days?? New sneakers for him, and new heels and a bucket bag for me. Keep Reading Show less. Most questions can be answered by a quick Google search. There are literally thousands of books, articles, think pieces, and various other forms of media written by credible experts who successfully tackle a wide array of complex topics. Have a question about racism? Text your "Black friend. Just DM that gay guy whose Twitter rants always pop up on your newsfeed. As a queer Black woman, I am keenly in tune with this fact. My experience has been one of tokenization. Many of my friends have failed to understand my frustrations. When they ask me questions and I respond with the phrase "Google is free," I've been met with hostility and impatience. They insist that they're simply asking me to "teach them to become better" — as if I am a messiah whose sworn duty is to show them the light. It is in my hopes that this article cam illuminate just why this behavior can be harmful and should be corrected. You're just being weak-minded. It is completely valid to be flooded with anger and hurt when I am forced to withstand constant emotional manipulation by people who will never know the pain that comes with being born into a world that was not made for people like me. They'll never know the pressures that accompany constantly policing their own behavior, for fear of perpetuating an oppressive stereotype. They'll never know the alienation that comes with sitting in a classroom beside their fellow peers and hearing them debate whether or not they themself deserve the basic human right of marriage. They'll never see their pride burn to ash when they work twice as hard, only to be given half the credit because of what lies in between their legs. They'll never know what it's like to constantly question their own sanity because they've been told what they know to be true is a lie. The fear of being told that a horrible event that completely altered my world view and behavior "wasn't that bad" — or worse, "was my fault" — is almost earth-shattering. What's equally as awful is that I shouldn't even have to describe how I was groped by a male "friend" who thought I was unconscious, in order to illustrate my point that women's distrust of men is completely justified. Or recount the numerous microaggressions I've received due to my hair in order to convince a white girl why it's problematic for her to get locs. Not only is it unnecessary, but it's exhausting. What's worse is when my vulnerability is still not enough. When whoever I'm conversing with berates me to supply statistics off the top of my head in order to prove my point, as if my entire experience on earth is not proof enough of my struggles. Suddenly, it's as if I have become the spokesperson for whichever one of my identities I am burdened with defending in that given moment. If I slip up or show an ounce of emotion, my case becomes undermined and I lose all credibility — and so does my community. This summer, when the Black Lives Matter protests began to pick up again, things only got worse. Left and right, I had people asking me what my opinion was on this, and if I could explain that. What many people fail to understand is that it is not my duty to educate anyone. I have every right to refuse those who seek me out. It is only out

• f the kindness of my heart that I take the time out of my day to educate others.

Social conditions for myself and my people only seem to be worsening, and nothing I say seems to make much of a difference anymore. In my experience, whether it be on Twitter or real life, I am often accused of "canceling" someone, when in reality, I am pointing out either an instance or a pattern of problematic behavior out of the hopes that by doing so, they can correct said behavior and become better. This is followed by gifting said person the opportunity to remedy their mistakes. The decision to not support a person who has refused to do so is completely justifiable. This term describes the act of accusing someone of doing something so morally incorrigible, that they are classified as irredeemable, evil, or beyond redemption. Therefore they should be "canceled," and have all of their work discredited and ignored by the rest of society. It perpetuates the notion that people are beyond help. In this reality, someone can try to become better but it will never be enough. If we are to progress as a society, we must be able to forgive one another. However, that future can only be manifested when individuals take responsibility and learn from our mistakes. Most of the time when I call someone out for their problematic behavior, they see it as a personal attack on their character. Usually, their automatic response is, "I'm not a [word for a person who exhibits bias towards a certain group here]! What are you gonna do, cancel me? I have come to interpret this as "I'm not a bad person. Stop accusing me of being something I am not. Just because you are not located

• n the extreme of that spectrum, doesn't mean you are completely without fault. For example, a person can believe that slavery is wrong, and still

show racial bias, have racist tendencies, and or perpetuate systematic oppression. There is no such thing as being "woke," or, in other words, "the perfect ally. This leads to some allies becoming too comfortable in this identity. They begin to consider themselves beyond fault — a dangerous mindset in any person in a position of power. Some even hold themselves higher than those they say they are defending, claiming that their work to help a community means that they have earned the right to exist beyond criticism. Instead, allyship should be considered a verb, a continual practice that we should all do our best to improve upon. Their pride gets in the way, and they begin to take out their fears of inadequacy on the person who has been hurt in the situation. Your experience is invalid. We live in a time of high-speed internet and free libraries. Infinite resources are at our disposal. Google is free! It is our individual responsibility as human beings to take the time to educate ourselves. The more knowledge we gain, the more people we can help — ourselves included. I used to be an athlete in high school, but that's as far as my athletic journey unfolded in terms of sports. I have also studied sports medicine, so I know that there is a lot that goes into a fully functioning healthy body. There is nothing more important than peace of mind, peace of body, and peace of heart. There is a lot we have to learn when it comes to body positivity and my journey in learning still hasn't ended. I honestly feel like I have such a long way to go and I'm going to tell you why! Yes, there's so much more than "the model type. The best part is, this is a never-ending journey and the possibilities are endless. There are martial arts and gymnastics — can you even imagine yourself doing spins and flips at rapid speed and feeling that exhilarating endorphin high? Have you opened yourself to opportunities to see how far your body can move? Do not limit your body to simply be able to walk straight down as if that's the greatest accomplishment you could achieve in your life. Said out loud — it's just disturbing how marketing has played out the runway fashion industry. I want to see everyone healthy. I want to see everyone doing the most. Aspiring Journalism Professionals. Though these side effects are troublesome, the big focus here is the effect that PCOS has on the ovaries. I have what's known as the benign form of PCOS, and that just means, like I said, that the cysts on my ovaries aren't cancerous. For some women, though, the cysts could turn into cancerous cysts, so I just have to keep a close eye on the condition to make sure that that doesn't happen to me. I know that I'm lucky, though, because PCOS can definitely affect some women in their day-to-day lives, and the pain can really be a struggle to deal with. I'm just lucky, I guess. For most people, if they want to have a baby, it's really as easy and simple as making that decision — it's not that simple for someone like me. If I want to have a child, I have to plan out like about a month or so in advance to when I actually want to be able to get pregnant, and I have to take a hormone shot for my system to be able to effectively handle that pregnancy. There's never any guarantees with this condition, though. What do they consist of? The doctor's appointment here consists of a transvaginal

• ultrasound. It's super invasive and annoying, but not overly painful. That's mostly what the appointments to check on the condition consist of,

though. To obtain the best experience, we recommend you use a more up to date browser or turn off compatibility mode in Internet Explorer. In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript. Genome editing holds both tremendous therapeutic promise and significant potential risk. Sickle cell disease SCD , the most commonly inherited blood disorder, is a frontline candidate for the clinical applications of this tool. However, there is limited knowledge of patient community values and concerns regarding this new technology. This study aims to investigate the perspectives

• f three key decision-makers patients, parents, and physicians toward participation in future CRISPR-mediated somatic genome editing clinical

trials. We utilized a mixed-methods approach, involving an educational video tool, two-part survey, and 15 moderated, audio-recorded focus groups, which were conducted in seven U. Study participants expressed hope that genome editing technology would rechart the course for SCD, but concerns related to involvement burden, uncertainty of clinical outcomes, and equity in access were identified. Major themes emerged from the focus groups: facilitators of, and barriers to, participation in future somatic genome editing clinical trials; information pertinent to the decision-making process; persons from whom participants would seek counsel before making a decision; and recommendations for the research community on meaningful engagement as clinical trials are designed and approved. The advent of genome editing has renewed hope for the SCD community, but caution tempers this optimism. Affected individuals inherit two abnormal copies of the gene, resulting in the production of malformed hemoglobin. This diminishes the oxygen carrying capacity of erythrocytes, resulting in medical complications, including pain crises, strokes, pulmonary hypertension, leg ulcers, priapism, and acute chest syndrome. Despite being identified over a century ago and posing a significant global health burden, those living with SCD have limited treatments available to

• them. Because SCD is a well-studied molecular disorder impacting the blood system, it comprises an ideal candidate for gene editing therapies,

with different approaches under current investigation. Given these preliminary results, clinical trials are soon expected. On 13 September , the National Heart, Lung, and Blood Institute launched the Cure Sickle Cell Initiative to accelerate the development of the most promising genetic- based curative therapies. Participants were recruited through collaborations with hematologists, community-based SCD organizations, and at national SCD conferences. Inclusion was limited to English-speaking adults. Eligible patients were required to have a diagnosis of SCD; parents had to have at least one child, pediatric or adult, diagnosed with SCD; and hematologists must have delivered care to at least five individuals living with SCD, pediatric or adult, for a minimum of 12 months. The objective of the video was to provide participants with baseline scientific information about somatic genome editing and its potential use for SCD. The content of the video was reviewed by genomic researchers, genomic education specialists, and a science writer. Participants then answered survey questions related to genome editing and participation in future clinical trials. Focus group discussions followed. Trained moderators A. Focus group questions were initially developed from topics identified through literature review and discussion. These questions were refined after the first three pilot groups. Debriefing sessions followed each focus group A. An a priori list of codes, based on the focus group questions, was developed. These initial codes were modified, and other codes were added as needed to best capture the focus group data. Each code was defined. The interactions between participants and differences in opinion throughout the discussion topics were captured. Transcripts were independently reviewed by A. Textual data were categorized using conventional content analysis techniques, as described by Shannon and Hsieh. Discrepancies were resolved by re-examining the context of the quote within the transcript and returning to the original definitions assigned to the codes. The final kappa coefficient averaged 0. Forty-six patients, 41 parents, and 23 hematologists participated in the study. Average age was Forty-three percent of patients reported previous participation in clinical trials. As a young mother, would I have considered? Some were driven by the possibility that their participation could help family members living with the disease. Others saw participating as a way to promote social justice and support the SCD community at large. They felt participating might help reverse the lack of attention given to SCD, and encourage a more equitable distribution of resulting therapies:. Altruism surfaced far less among parents and was completely absent among physicians. Lastly, in two physician focus groups, there was mention of patients and parents being increasingly aware of, and willing to try, experimental treatments:. All three stakeholder groups were concerned about the unknown long-term effects of gene editing, a theme that surfaced in 12 of the 15 focus groups. Other patients and parents expressed anxiety

• ver the possibility of exchanging one condition for another:.

Issues around fertility and inheritance were raised. While these concerns surfaced among parents, they were absent from patient groups. Are they going to be connected to my mother…and her mother and all of that? Several participants asked about the complete eradication of SCD, mentioning the psychosocial implications of doing so, such as easier family planning. Physicians predicted this question and felt it was important to convey that somatic gene editing would not achieve this end. These included questions regarding how many school days their child might miss, time off from work needed, possible relocation, the extent of follow-up, the length and nature of the recovery process, and its impact on family dynamics:. However, a few expressed confidence in the research process and regulatory bodies governing the enterprise. Several participants remarked that distrust could be mitigated by hearing from researchers who have committed their lives to helping those with SCD:. Many believed cost would be an issue in the future, and that those with the greatest need would have the least access:. For many, reduction of pain was the central consideration. Others, however, inquired about improvements in other SCD comorbidities:. Physicians were particularly concerned by drawbacks of the procedure and urged communication of the limitations of gene editing:.

All stakeholder groups wanted more details about the research supporting this type of treatment. Participants were interested in the length of the experiments, the duration of therapeutic effects, instances and causes of failures, on whom or what the experiments have been performed, and percentages of adverse events and successes:. Is it for a year and then it goes back? Lastly, participants asked how researchers are approaching the heterogeneity of the SCD population and determining eligibility criteria. All stakeholder groups thought it was important to determine conditions and critical windows for maximal effectiveness:. Among potential advisors, trusted physicians with whom a long-standing, trusting relationship exists were identified as the group most patients and parents would consult. Researchers, on the other hand, were least likely to be consulted. Patients and parents mentioned wanting to consult their physician two and a half more times across focus groups than they referenced research personnel:. First, emphasis was placed on reaching out to the community to raise awareness and build credibility. Participants particularly stressed doing this sooner, rather than later. Many questioned why they were only hearing of CRISPR for the first time when the research has been ongoing for several years:. Let me try this. Get the name out there more. Go to colleges, schools, urban communities, centers…. Across all groups, participants repeatedly mentioned giving SCD patients, parents, and advocates the chance to be actively involved throughout the entire research process; avoiding a one-size-fits-all approach, noting differences in culture and attitudes; and investing time to understand the lived experiences of SCD patients:. Patients and parents also wanted open access to information and complete transparency in the way this information is communicated. Patients, parents, and physicians urged that information be relayed through common communication modalities, specifically news channels, social media, talk shows, and other frequently used information distribution platforms:. Finally, many participants noted injustice, often citing greater support given to other diseases with far lower rates of incidence. All stakeholder groups urged the research community to develop policies that promote equitable resource allocation and long-term access to novel treatments:. Physicians particularly stressed presenting the range of therapeutic options available both within and outside of the gene editing realm, as a way of avoiding inadvertent coercion and prioritizing patient interests. Lastly, participants urged researchers to act in a manner sensitive to the fraught past between this patient community and the research enterprise:. As the voices of disease communities grow louder and clinical trial development continues onward, the needs of the patients and families whose lives are likely to be altered by these new interventions must be prioritized. Despite long-standing claims that racial and ethnic minorities are less inclined to participate in clinical research, many participants in our study expressed excitement over this potential new treatment modality, but had needs and concerns they wanted addressed. An increasing number of studies suggest minorities are as willing as non-Hispanic whites to participate in clinical research. In , Haywood and colleagues reported highly positive attitudes toward clinical trials among adults with SCD, with important facilitators being education, prior research participation, and perception of greater potential benefits. Together, the mounting evidence against traditional theories of unwillingness to participate in clinical trials warrants a more nuanced examination of the barriers impeding enrollment. Patients, parents, and physicians also expressed fear of community exclusion from the long-term benefits of research. Participants were also dissatisfied with how little they knew about gene editing prior to this study and felt that it was a key example of a gap needing attention. They proposed mechanisms of meaningful engagement they believed would be effective in building trust and increasing

• participation. In an attempt to heed this advice ourselves, we have returned to the community and presented our findings since the conclusion of the

study. Our study also demonstrated that physicians were the group most participants would seek counsel from when deciding whether to participate in a CRISPR-based clinical trial. While patients and parents have often recounted bad experiences with clinicians in the emergency department, many mentioned having excellent, long-standing relationships with their hematologists. This suggests researchers should forge collaborations with these trusted physicians, be prepared to address their concerns, and work with them to better understand patient needs and establish rapport. This study had several limitations. These attributes may restrict the generalizability of our findings to the broader SCD population. However, the research-engaged patient population are the patients more likely to participate in phase 1 gene editing clinical trials. Lastly, while the ability to draw conclusions from the quantitative data was limited by the small sample size, this data nevertheless informed and complemented focus group results. The search for curative treatments using gene editing has renewed hope across the SCD community, providing a glimpse of a future with less pain, stigma, and neglect. However, there are cautionary, apprehensive undertones to this hope, partially due to the medical disenfranchisement of the SCD community. Using insights gained from this study and subsequent studies to inform the design and conduct of clinical trials will be crucial, especially with respect to consent and engagement. This exploration of SCD stakeholder views may also serve as a model through which to approach and understand the values of other patient communities, particularly those for whom CRISPR applications are currently being explored. Bourzac K.

About You Got This Consulting Self Confidence Presentation: Sickle Cell Group Focus Writer

Тогда станет понятно, но монитор… я запустил антивирус и… - Фил. Сьюзан так и подумала. Во всех храмах Киото…

• Довольно! - сказал Джабба.

Free Download You Got This Consulting Self Confidence Presentation: Sickle Cell Group Focus PDF Book

DeBaca named the business for his youngest son, Clifford. It was a ploy to lure Clifford away from his life as a saxophone player into a steady job. No dice. Clifford never worked in the store. DeBaca's oldest son, Ernie, was more practical: He owned a fix-it shop in the Tenderloin. But in Ernie injured his leg in a motorcycle accident and moved operations to a workbench in his parents' store. He brought in hardware for his own repair work and also as merchandise. He stopped selling magazines and upgraded the greeting cards to new ones. The Castro back then was Irish-Catholic, blue-collar: a neighborhood of families. Ernie shared not only his grandfather's name but also his mechanical aptitude. The growing gay population, meanwhile, was buying up the neighborhood's old Victorian homes--known as "painted ladies"-- and restoring them. Cliff's stocked more home-improvement products than its competitors and became the sole distributor for a popular line of decorative moldings based on those in local houses. Ernie and his staff were experts in the painted ladies' plumbing and carpentry. Throughout the '80s Cliff's operated to a drumbeat of loss. Some employees died as well. Bennett says in the early '70s Cliff's was the first straight-owned business in the city to hire openly gay staff. In the '80s, as disease ravaged the community, Martha and Ernie encouraged everyone to let out their feelings and help each other through it. Cliff's weathered any AIDS-related loss of business as it had conventional economic downturns. And while some old friends died, new people kept flooding into the neighborhood, eager to shop and to work. A loyal local populace antagonistic to the growing dominance of big-box stores also helped the business survive. In , Cliff's joined the ACE buying

• cooperative. Shopping at Cliff's is the antithesis of the faceless, touch-less e-commerce experience promulgated by those interlopers. And Cliff's'

enduring engagement with the gay community is appreciated by longtime customers--even by the majority who don't know that Ernie Asten built the bearing system for the landmark rainbow flag at Harvey Milk Plaza. Then there is the staff. For some that includes buying authority. Gym Class Heroes. Caveman Lawyers. The Hurt Locker Room. Bye week. No game scheduled. Attack of the Killer Daisies. Orange Dots. Hat Trick Swayze. Paper or Plastic? A League of Our Own. For Work Funny Fliers. Software Comedians. The Brainy Fools. Plugs for a Penny. Dynamic Developers. Cubicle Comics. The Kiss-Ups. Must-Have Caffeine. Black Ice

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