Pico question examples women - 25 Clinical Questions and PICO. The use of PICO is very relevant in the construction of your clinical questions. Evidence-based nursing assignments demand you to structure your research questions in accordance with the PICO framework. The PICO framework is divided into four major elements. These elements will help you frame the background ...

 
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: . Turk sikisme

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 ... 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.Sep 21, 2019 · The list of PICOT question examples will be incomplete if we didnâ&amp;#x20AC;&amp;#x2122;t mention a question about severe malnutrition. 23. Can antibiotics prevent death and sequelae in kids ... 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 ...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.PICO Question: Methods Evidence •Kennard, et al (2006) found a significantly higher remission rate in the SSRI + CBT group (37%) relative to the other treatment groups (SSRI 23%; CBT 16%; placebo, 17%). •Suggests combination therapy (SSRI + CBT) is superior to monotherapy, regardless of whether it is SSRI alone or CBT alone.Question: Should women give birth in the lithotomy position because its encourage from their doctors? Or is it more effective to deliver in other positions as their less likely to lead to delivers with forceps or a vacuum? Running head: NSG 410 PICOT RESEARCH QUESTION. References. DiFranco, J. T., & Curl, M. (2014). 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]) PICO Question: Methods Evidence •Kennard, et al (2006) found a significantly higher remission rate in the SSRI + CBT group (37%) relative to the other treatment groups (SSRI 23%; CBT 16%; placebo, 17%). •Suggests combination therapy (SSRI + CBT) is superior to monotherapy, regardless of whether it is SSRI alone or CBT alone. PICO 4: Vacuum aspiration for all indications at gestational ages < 14 weeks (see Recommendation 24) PICO question: For a pregnant person seeking induced abortion or treatment for incomplete abortion or miscarriage (i.e. all indications for vacuum aspiration), is provision of vacuum aspiration by a traditional and complementary medicine ...PICOT is different from a standard research question because it is a clinical question. It is composed of various elements that create a framework for research that typical research questions do not usually have. The goal or purpose of PICOT is to ultimately intervene in someone's healthcare. Focus on prevention.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.The list of PICOT question examples will be incomplete if we didnâ&amp;#x20AC;&amp;#x2122;t mention a question about severe malnutrition. 23. Can antibiotics prevent death and sequelae in kids ...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 ... 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. P: laboring women delivering in a hospital I: positions other than the lithotomy position C: lithotomy position O: decreased incidence of assisted deliveries In laboring women delivering in the hospital, do positions other than lithotomy position lead to a decreased incidence of assisted deliveries?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:PICO Question: Methods Evidence •Kennard, et al (2006) found a significantly higher remission rate in the SSRI + CBT group (37%) relative to the other treatment groups (SSRI 23%; CBT 16%; placebo, 17%). •Suggests combination therapy (SSRI + CBT) is superior to monotherapy, regardless of whether it is SSRI alone or CBT alone. 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.13 examples of PICOT Questions. PICOT question examples emergency nursing. PICOT question examples pregnancy. PICOT question examples hypertension. PICOT question nurse burnout. PICOT question medication errors. PICOT questions for icu nurses. PICOT question childhood obesity.Aug 16, 2023 · 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 ... • 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 word PICOT is a mnemonic derived from the elements of a clinical research question – patient, intervention, comparison, outcome and (sometimes) time. The PICOT process begins with a case scenario, and the question is phrased to elicit an answer. “The question needs to identify the patient or population we intend to study, the ...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 ... 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 ...PICO Question: Methods Evidence •Kennard, et al (2006) found a significantly higher remission rate in the SSRI + CBT group (37%) relative to the other treatment groups (SSRI 23%; CBT 16%; placebo, 17%). •Suggests combination therapy (SSRI + CBT) is superior to monotherapy, regardless of whether it is SSRI alone or CBT alone.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.We would like to show you a description here but the site won’t allow us.The word PICOT is a mnemonic derived from the elements of a clinical research question – patient, intervention, comparison, outcome and (sometimes) time. The PICOT process begins with a case scenario, and the question is phrased to elicit an answer. “The question needs to identify the patient or population we intend to study, the ...PICOT is a mnemonic resulting from the elements of clinical research. The PICOT process starts with a particular case, and the question is couched to develop an answer. A PICOT question helps you get the answer to your clinical question. It serves as a framework, prompting you to consider various aspects of the topic under investigation. 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).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...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. 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 ExamplesFinally, 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.Examples of Picot Questions. Below are good picot questions examples that can guide you to come up with picot questions. In African American female adolescents with hepatitis B (P), how does acetaminophen (I) compared to ibuprofen (C) affect liver function (O)? (Time is optional). For women who use birth control methods (P), how do birth ...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 ...Therapy nursing PICOT questions examples include: 12. Use of negative pressure wound therapy on a diabetic patient with stage iii pressure ulcers compared with standard moist wound therapy. 13. Comparing the risks of developing breast cancer among women who use oral contraceptives with those who use IUDs. 14.Jul 24, 2023 · 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: The word PICOT is a mnemonic derived from the elements of a clinical research question – patient, intervention, comparison, outcome and (sometimes) time. The PICOT process begins with a case scenario, and the question is phrased to elicit an answer. “The question needs to identify the patient or population we intend to study, the ...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 ... 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.Jul 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. 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 ...Aug 18, 2023 · PICOT is different from a standard research question because it is a clinical question. It is composed of various elements that create a framework for research that typical research questions do not usually have. The goal or purpose of PICOT is to ultimately intervene in someone's healthcare. Focus on prevention. 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 ...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 ... PICOT is a mnemonic resulting from the elements of clinical research. The PICOT process starts with a particular case, and the question is couched to develop an answer. A PICOT question helps you get the answer to your clinical question. It serves as a framework, prompting you to consider various aspects of the topic under investigation. 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 ExamplesOct 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. 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. Jun 14, 2023 · A good PICO will be specific and define terms and outcomes if necessary. A good PICO will investigate something new in terms of diagnosis, etiology, therapy, harm, etc. A bad PICO is usually a background question disguised as a research question. For example, "what are the effects of Prilosec on patients taking immune suppressants" might seem ... 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 ...PICO Question Template Examples. It can be helpful to classify your question based on the clinical domain(s) it falls under. See below for definitions, PICO templates, and example questions from the primary clinical domains: intervention, diagnosis, etiology, prevention, prognosis/prediction, quality of life/meaning, and therapy.Feb 18, 2022 · The word PICOT is a mnemonic derived from the elements of a clinical research question – patient, intervention, comparison, outcome and (sometimes) time. The PICOT process begins with a case scenario, and the question is phrased to elicit an answer. “The question needs to identify the patient or population we intend to study, the ... 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.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. 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 ExamplesAug 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. Below are examples of nursing related questions: Intervention/Effect/Therapy PICO Question: An example: In adult patients with total hip replacements (Patient population) how effective is early ambulation (Intervention of interest) compared to bed rest (Comparison intervention) on decreasing post-op DVTs (Outcome)? Note: The question may also ...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? <<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. 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...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 ...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... 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 ...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 ...[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 ...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 ...A simple database search strategy should begin with the AND : cross infection AND (Handwashing OR Hand disinfection) Start with CINAHL or Medline/PubMed as initial article databases for a scoping search for most health sciences questions.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.Jul 26, 2023 · [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 ... Sep 6, 2023 · 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. PICO Question: Methods Evidence •Kennard, et al (2006) found a significantly higher remission rate in the SSRI + CBT group (37%) relative to the other treatment groups (SSRI 23%; CBT 16%; placebo, 17%). •Suggests combination therapy (SSRI + CBT) is superior to monotherapy, regardless of whether it is SSRI alone or CBT alone. 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.When 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 ... 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 Clinical Questions in Obstetrics & Gynaecology Prof Unit Kalubowila. 866 likes · 10 talking about this. Novel concept of Dr Dhammike Silva, Consultant OBGYN, to inspire trainees to approach... • 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.

Sep 26, 2020 · The word PICOT is a mnemonic derived from the elements of a clinical research question – patient, intervention, comparison, outcome and (sometimes) time. The PICOT process begins with a case scenario, and the question is phrased to elicit an answer. “The question needs to identify the patient or population we intend to study, the ... . Hula hop sportowe

pico question examples women

The list of PICOT question examples will be incomplete if we didnâ&amp;#x20AC;&amp;#x2122;t mention a question about severe malnutrition. 23. Can antibiotics prevent death and sequelae in kids ...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.Below are examples of nursing related questions: Intervention/Effect/Therapy PICO Question: An example: In adult patients with total hip replacements (Patient population) how effective is early ambulation (Intervention of interest) compared to bed rest (Comparison intervention) on decreasing post-op DVTs (Outcome)? Note: The question may also ...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] 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 ... 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.[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 ...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.PICOT is different from a standard research question because it is a clinical question. It is composed of various elements that create a framework for research that typical research questions do not usually have. The goal or purpose of PICOT is to ultimately intervene in someone's healthcare. Focus on prevention.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 ... of the PICO components The PICO question is a convenient and conventional format to use when composing good clinical questions to direct an evidence-based search of research literature. PICO stands for Patient, Intervention, Comparison and Outcome; thus, there are four components of a good clinical question based on the PICO format.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 Examplesof the PICO components The PICO question is a convenient and conventional format to use when composing good clinical questions to direct an evidence-based search of research literature. PICO stands for Patient, Intervention, Comparison and Outcome; thus, there are four components of a good clinical question based on the PICO format.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 1. Question 2. Question 3. Population. Children <6 years of age. AND. Diagnosed with ADHD or at risk for ADHD or diagnosed with DBD (including ODD and CD by DSM) ≥6 years of age (subjects <6 years are described in Question 1) Diagnosed with ADHD by the DSM or ICD criteria that was in use at the time of the study or of the publication. Aug 9, 2023 · 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. Jun 13, 2023 · Example 2. You are working with a recent stroke patient who is having balance issues and you are considering using virtual reality in their therapy. P = recent stroke, balance issues. I = virtual reality. C = no virtual reality. O = improved balance "In recent stroke patients, how does using virtual reality affect or improve balance?" Example 3 .

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