This graduate-level certificate is one of only a few programs of its kind to be offered at higher education institutions in the US. It is built upon the International Coach Federation (ICF) competency model and the Graduate School Alliance for Education in Coaching (GSAEC) standards. It is also approved by the Center for Credentialing & Education (CCE) as a Board Certified Coach (BCC) program. 
Both sport psychology (focusing on the dynamic interplay between psychological factors and athletic performance) and sport and exercise psychology (focusing on using psychological insight to increase exercise and activity levels) are essential components in empowering performance. Whether that be for professional athletes or the general population, an understanding of how the mind works can have a huge impact.
Australian hypnotism/hypnotherapy organizations (including the Australian Hypnotherapists Association) are seeking government regulation similar to other mental health professions. However, the various tiers of Australian government have shown consistently over the last two decades that they are opposed to government legislation and in favour of self-regulation by industry groups.[51]

Published, controlled studies of the use of hypnosis to cure warts are confined to using direct suggestion in hypnosis (DSIH), with cure rates of 27% to 55%. Prepubertal children respond to DSIH almost without exception, but adults often do not. Clinically, many adults who fail to respond to DSIH will heal with individual hypnoanalytic techniques that cannot be tested against controls. By using hypnoanalysis on those who failed to respond to DSIH, 33 of 41 (80%) consecutive patients were cured, two were lost to follow-up, and six did not respond to treatment. Self-hypnosis was not used. Several illustrative cases are presented.
It further identified target groups that would benefit from sports psychology, including active amateur and professional athletes; sports teams and leagues, athletes suffering from temporary or permanent injuries; as well as the family members, teammates, coaches and friends of athletes. Finally, the APA identified specific problems and the techniques that could be used to address them, including mental skills training, visualization and motivational techniques, rehabilitation counseling after injuries, stress management, boosting self-confidence, leadership and team-building training, and counseling for eating disorders or substance abuse.
“Unlike therapy, which goes into depth about various issues usually dealing with the past and consulting which generally results in giving the client answers, coaching is more action-oriented and focuses primarily on the present and future.”[2] Coaching focuses on what the client wants and utilizes a process through the one-on-one coaching sessions to enable the client to self-discover, learn and determine their own “answers”. It is the client who determines the goals and commits to their goal, while allowing the coach to help hold them accountable.
Research in sport psychology involves studying and observing athletes in order to find out what motivates them to keep pushing on, and what gives them the thirst for landing in the winner's circle. A sport psychology researcher might also try to find ways for athletes to perform better and with fewer obstacles. The knowledge gained through this research can then be applied during counseling sessions with athletes.
Unfortunately, the managers and coaches did not take Griffith's recommendations seriously. Manager Charlie Grimm did not see a need for a psychologist as a consultant on a baseball team. Even though Griffith's recommendations were not taken seriously with the Cubs, he was still given the honor with the title of 'America's first sports psychologist' by University of Massachusetts professors Walter Kroll and Guy Lewis in 1970.
Ajay Jagtiani, a principal with Miles and Stockbridge, had just hired a coach to help him navigate the environment at his new law firm when he had a heart attack. He had planned to use the coach to adapt to the new culture, decode political factions and crush it on the way to becoming managing partner. The heart attack changed everything. “I was young enough to survive it, but old enough to appreciate it,” he explained.
The Masters in Executive Coaching is a pathway to becoming a fully accredited executive coach, while the Postgraduate Diploma in Organizational Supervision helps experienced coaches build their status as senior practitioners and supervisors of coaches and consultants. Take your career to the next level, learn about yourself as a coach, and network with some of the leading practitioners in the field.
In order to enhance Bush's performance on the field, Dr. Banks teaches him how to engage in positive self talk, i.e. 'I'm an amazing player' and 'I'm going to win this game!' in the locker room before the game. Dr. Banks teaches Bush how to do positive visualization upon waking up the morning of a game. This involves closing his eyes for 10 minutes and actually visualizing making a successful touchdown pass and winning the game.
There are many ways to help executives grow as leaders. High-level training, mentoring, reading, job rotation and special assignments are just a few. The most overlooked alternative is attention from the individual's own manager. As coaching has become more fashionable, I've seen too many managers abdicate their own coaching responsibilities, turning a struggling executive over to a professional. Sometimes the problem is beyond what the manager can handle. But often managers hand off executives because they'd rather not deal with messy people stuff.
Hypnosis, when using proven therapeutic procedures, can be a highly effective form of treatment for many mental, psychosomatic, and physical disorders. For example, through the use of regressive techniques, an adult patient may mentally voyage back to a point in youth that was particularly troublesome, allowing the healing of old emotional wounds. Another patient can be led to understand that emotional pain has been converted to physical pain, and that the pain can be eliminated once the source has been addressed. Or, a person suffering from chronic pain can be taught to control the pain without use of medications. There are a number of techniques for correcting dysfunctional behaviors such as self-destructive habits, anxiety disorders, and even managing side effects of various medical treatments and procedures.

"It is an honor to serve as your psychotherapist. Together, we will help you effectively manage relationships, gain insight, alleviate stress, handle anxiety, and cope with depression. You will experience improved communication, increased emotional intelligence, and learn coping mechanisms for your life. I use a research-based methodology as well as skillful expertise to help you experience improved health and well-being. I will strive to give you quality care, empathetic understanding, and strong rapport with a competent counselor you can trust. My goal is to help you face life's challenges with confidence."


In 1979, Devi at the University of Illinois published an article ("About Smocks and Jocks") in which he contended that it was difficult to apply specific laboratory research to sporting situations. For instance, how can the pressure of shooting a foul shot in front of 12,000 screaming fans be duplicated in the lab? Rainer Martens contended: "I have grave doubts that isolated psychological studies which manipulate a few variables, attempting to uncover the effects of X on Y, can be cumulative to form a coherent picture of human behavior. I sense that the elegant control achieved in laboratory research is such that all meaning is drained from the experimental situation. The external validity of laboratory studies is at best limited to predicting behavior in other laboratories."[16] Martens urged researchers to get out of the laboratory and onto the field to meet athletes and coaches on their own turf. Martens' article spurred an increased interest in qualitative research methods in sport psychology, such as the seminal article "Mental Links to Excellence."[17]
Identify Your Personal Vulnerabilities: All of us tend to develop a “cover story” along the course of our lives - what I called the narrower, “false” self in a previous post - beneath which is our “secret plot” - the real story, including our emotional blind spots, fears and pockets of dysfunctional behavior that can become hidden drivers of our lives. How can you rectify and grow through them?
“Learning hypnotherapy does not commit you to drastically changing your therapy practice,” says hypnotherapist Catherine Reiss. “The training will allow you to more quickly and effectively get to the cause of your clients’ unwanted behaviors and the feelings they present with it, but it also facilitates the use of trance in more traditional formats.”
Take Rich Garvin, the CEO of an athletic shoe manufacturing company with sales in excess of $100 million a year. Despite his company’s size, Garvin had never hired a coach for any of his direct reports. He knew that his HR director used trainers and coaches, but Garvin was a finance guy first and foremost. And since the athletic shoe industry was flying high, he left personnel matters to those who were paid to worry about them. But in the late 1990s, the market for athletic shoes collapsed. In Garvin’s world, the most immediate casualty was his COO, who snapped under the strain of failing to meet sales estimates for three consecutive quarters. The COO began venting his frustration on store managers, buyers, and suppliers.
Sport psychology is an interdisciplinary science that draws on knowledge from many related fields including biomechanics, physiology, kinesiology and psychology. It involves the study of how psychological factors affect performance and how participation in sport and exercise affect psychological and physical factors.[1] In addition to instruction and training of psychological skills for performance improvement, applied sport psychology may include work with athletes, coaches, and parents regarding injury, rehabilitation, communication, team building, and career transitions.
Once you are in a sufficiently suggestable state the hypnotherapist will then start their specific stop smoking session to try and change the way you think about your relationship with tobacco. These usually are based around visualization techniques. For example you may be asked to visualize what it would be like to suck on a car exhaust, or you may be asked to imagine the amount of ash you have inhaled over your lifetime in a big pile.
“We brought Performance Consultants International in to Mubadala to help us launch and deliver an Executive Coaching programme to the top tiers of our organization. We maintained constant contact throughout the set-up phase. We had a true partnership with Performance Consultants who helped us every step of the way, from concept to launch to implementation and ongoing tracking. The launch event wildly exceeded expectations and the ongoing support I needed was always there. I wouldn’t hesitate in recommending them for an Executive Coaching framework in any ambitious organization”
I focus on your physical, emotional and mental well-being. My alternative approach is effective because it eliminates the need for pills, patches, shots or smokeless cigarettes. Because smokers develop very ingrained habits over time, they often forget exactly why they originally began smoking. As a clinical hypnotherapist, I will successfully help you address the root cause of why you continue to smoke today.
I found Rita accidentally on Yelp. I tried to do the hypnosis before, but first thing I did after I left the hypnotist- smoke a cigarette. After reading the reviews about Rita, I decided to try again. Today is three month and five days since I saw Rita and I didn't  smoke one cigarette since. For me it was extremely easy, I left the office after the session with Rita and I didn't want to smoke any more. I have been in a lot of stress lately, and I still didn't smoke! Amazing! This is absolutely real! If you want to stop smoking - go to see Rita.
"Sometimes life becomes too difficult to battle on our own. Together, we can explore what events or relationships may be causing distress in your life and develop tools and skills to overcome these hardships. I strive to provide a warm and comforting therapeutic environment and convey empathy and understanding to allow my clients to feel safe and validated during our sessions. You are here, which means you've taken that first big step and I am here to help you through the rest of the therapeutic journey."
Therefore, a hypnotherapist can provide you with more positive suggestions that “stick.” In other words, you’re setting up roadblocks for the automatic, top-down processes that are keeping the addiction in place. So when you experience a smoking trigger, the mind doesn’t automatically react – it slows down and “listens” to this new information you’ve provided.

"I provide counseling services to children, teens, adults, couples, and families. Expectations: A warm, direct, nurturing, and supportive experience, as we identify and address immediate and underlying sources of distress impeding your ability to live a happier and more fulfilling life. I individualize an eclectic mix of mindfulness, cognitive behavioral, and solution-focused therapy techniques with each client. As our academic and career experiences are a significant part of our lives, I also provide assessment, academic, career counseling services- including: attention (diagnostic) assessments, memory improvement therapy, study skills training, attention training, executive coaching, and organizational and time management skills training."
"Sometimes life becomes too difficult to battle on our own. Together, we can explore what events or relationships may be causing distress in your life and develop tools and skills to overcome these hardships. I strive to provide a warm and comforting therapeutic environment and convey empathy and understanding to allow my clients to feel safe and validated during our sessions. You are here, which means you've taken that first big step and I am here to help you through the rest of the therapeutic journey."
Although this book is fascinating, without the guidance of a live instructor it cannot really be used as a practical learning tool. Although it seems there is almost nothing Dave Elman can't handle successfully with hypnosis, the reader may be left feeling a bit inadequate, as his physician students often did, when trying to duplicate his efforts. Obviously there is a lot to be said for intuitive skill in this area.
Students obtain a basic introduction to coaching, including its purpose, applications, and how coaching differs from counseling or mediation. Students learn how to conduct in-depth assessment interviews with those being coached, and with other organizational stakeholders. The course also introduces students to the use of 360° tools, and shows how to integrate 360° and interview data into a consolidated assessment report.
No amount of executive coaching could have alleviated Bernstein’s disorder. Narcissists rarely change their behavior unless they experience extraordinary psychological pain—typically a blow to their self-esteem. The paradox of Bernstein’s circumstance was that working with his executive coach had only served to shield him from pain and enhance his sense of grandiosity, as reflected in the feeling, “I’m so important that the boss paid for a special coach to help me.” Executive coaching further eroded Bernstein’s performance, as often occurs when narcissists avoid the truth.

Adding depth, knowledge, and additional services to Leading Minds, Emmie Stamell, Karuna, and Allison Abrams help clients to manage stress and develop mindfulness skills such as meditation, controlled breathing, and yoga.  Stefan Kalt is a certified executive coach who helps clients to think strategically, set clear priorities, and enhance their productivity. He works with clients across diverse industries, with a specialized focus on coaching educators and researchers.


Many patients will be in pain and have a loss of appetite after surgery.[25] Part of the body's response to surgery is to direct energy to wound healing, which increases the body's overall energy requirements.[25] Surgery affects nutritional status indirectly, particularly during the recovery period, as it can interfere with wound healing and other aspects of recovery.[25][29] Surgery directly affects nutritional status if a procedure permanently alters the digestive system.[25] Enteral nutrition (tube feeding) is often needed.[25] However a policy of 'nil by mouth' for all gastrointestinal surgery has not been shown to benefit, with some suggestion it might hinder recovery.[37]
In some countries, there is no certification or licensing required to be a business or executive coach, and membership of a coaching organization is optional. Further, standards and methods of training coaches can vary widely between coaching organizations. Many business coaches refer to themselves as consultants, a broader business relationship than one which exclusively involves coaching.[18]
Self-knowledge and the relational competencies they’re linked with are central to a CEO’s ability to formulate, articulate and lead a strategic vision for a motivated, energized organization. Self-knowledge builds clarity about objectives; it fine-tunes one’s understanding the perspectives, values, aims and personality traits of others. When that’s lacking, you often see discord and conflict among members of the senior management team; or between some of its members and the CEO.
8.Throughout the day take two to three long and deep breaths as often as you remember to. It is holding the breath that causes tension in ex-smokers. Many people who stop smoking also stop deep inhalation – make sure you don’t.  Remember the only relaxing thing about smoking is the belief that it is relaxing and the deep drawing and exhaling while smoking.
You will feel results when you wake up the next day. This is a “Model of the World” Shift. Meaning the type of transformation that leads you to ‘waking up’ and viewing the world in a different way. Marisa is known for healing patients with ONE session rather than making them come back over and over again. Note: We CANNOT guarantee how long the feelings with last. But for many people it leaves a powerful new mark on their lives as they see the world in a unique new way.
When stopping smoking, it is best to get nicotine out of your body as soon as possible. Reducing smoking gradually is not easier than stopping at once. It only drags it out and causes you to focus on the habit even more. It is best to stop completely when you are feeling motivated to do it. Get it over with, and let hypnosis help you adjust quickly to feeling like a nonsmoker.
Mansfield could neither comprehend nor cope with the attention she received once promoted to the role of boss. While most managers would view the schmoozing and lobbying for attention that her reports engaged in as office politics, Mansfield saw these attempts at currying favor as trial balloons that might lead to dating. She was not being sexually harassed; Mansfield was merely experiencing interpersonal advances that threatened the protective fortress she had erected against feelings of intimacy. The better Mansfield managed the men in her division—and the more her constructive feedback improved their work—the more intimate they appeared to become as a natural outcome of their appreciation.
While cardio burns calories as you work out, strength training will help you burn more calories even while you rest. “The beautiful thing about strength training is that not only do you get sculpted and toned muscles, but the more muscle you have, the faster your metabolism is,” says Hoff. A faster metabolism means more calories burned, and in turn faster weight loss. Hoff says incorporating strength training two to three times a week is ideal. “No need for heavy weights; you can build muscle by using your own body weight and exercise bands.”
You will feel results when you wake up the next day. This is a “Model of the World” Shift. Meaning the type of transformation that leads you to ‘waking up’ and viewing the world in a different way. Marisa is known for healing patients with ONE session rather than making them come back over and over again. Note: We CANNOT guarantee how long the feelings with last. But for many people it leaves a powerful new mark on their lives as they see the world in a unique new way.
"It is my belief that psychotherapy has the best chance to be effective when the client and therapist have a strong therapeutic alliance. That is, they have a good working relationship and are working toward exactly the same goals using methods or approaches best suited for the client. I strive to achieve this by providing a warm and safe climate, listening closely to the needs of my clients, and discussing our options and strategies."
Over the past 15 years, it has become more and more popular to hire coaches for promising executives. Although some of these coaches hail from the world of psychology, a greater share are former athletes, lawyers, business academics, and consultants. No doubt these people help executives improve their performance in many areas. But I want to tell a different story. I believe that in an alarming number of situations, executive coaches who lack rigorous psychological training do more harm than good. By dint of their backgrounds and biases, they downplay or simply ignore deep-seated psychological problems they don’t understand. Even more concerning, when an executive’s problems stem from undetected or ignored psychological difficulties, coaching can actually make a bad situation worse. In my view, the solution most often lies in addressing unconscious conflict when the symptoms plaguing an executive are stubborn or severe.
Since the mid-1990s, coaching professional associations such as the Association for Coaching (AC), the European Mentoring and Coaching Council (EMCC), the International Association of Coaching (IAC), and the International Coach Federation (ICF) have worked towards developing training standards.[1]:287–312[26] Psychologist Jonathan Passmore noted in 2016:[1]:3
Sports psychologists are hired by athletic teams and schools. A sampling of employers posting on the Association for Applied Sport Psychology website in late 2013 reveals a wide variety of organizations: Western State Colorado University, Bridgewater State University, K-State Athletics, the New York Mets. Perusing postings gives a sense of what top facilities are looking for (http://www.appliedsportpsych.org/resource-center/employment-opportunities).
The concept of ADHD coaching was first introduced in 1994 by psychiatrists Edward M. Hallowell and John J. Ratey in their book Driven to Distraction.[8] ADHD coaching is a specialized type of life coaching that uses specific techniques designed to assist individuals with attention-deficit hyperactivity disorder. The goal of ADHD coaching is to mitigate the effects of executive function deficit, which is a typical impairment for people with ADHD.[9] Coaches work with clients to help them better manage time, organize, set goals and complete projects.[10] In addition to helping clients understand the impact ADHD has had on their lives, coaches can help clients develop "work-around" strategies to deal with specific challenges, and determine and use individual strengths. Coaches also help clients get a better grasp of what reasonable expectations are for them as individuals, since people with ADHD "brain wiring" often seem to need external mirrors for accurate self-awareness about their potential despite their impairment.[11]
I would give Rita 50 stars if I could..... Her prices are fair.  Period.  Would you rather spend more money on cigarettes and lifetime of unnecessary medical bills or one flat fee and be smoke free for the rest of your life?  Smoking is not attractive and has absolutely zero health benefits.... Smoking is a financial burden.  I don't have to tell you this though, if you're reading this you already know.  
Coaching at the executive and supervisory levels offers leaders a powerful one-on-one and team assist to expand their capacities to impact and make a difference with their programs, people, organizations, environments, and with themselves with the intent of producing significant results and improving acquisition outcomes.  Through a coaching relationship, leaders commit to:

When you sign up to the quit smoking program, you will receive a series of emails telling you how to use the program and get the results you are looking for. These are from Mark Tyrrell, the creator of '10 Steps to Become a Non-Smoker', one of the co-founders of Hypnosis Downloads. Mark is a highly experienced hypnotherapist and psychology trainer. His emails will remind you to keep moving with the program and help you stay focused on the goal.
Hypnosis is a wellness technique that works by promoting positive behavioral or cognitive changes. During successful hypnosis, the client should be eased into a state of deep relaxation in which the conscious mind takes a back seat and the subconscious mind becomes more active. The client is often able to let go of critical thoughts and become receptive to the therapist’s suggestions. In this state of hypnosis, motivating suggestions can bypass your usual mental resistance and internal defense mechanisms. For example, even if you want to quit overeating cupcakes, you may have some level of resistance that your rational mind can’t overcome. During hypnosis, the positive suggestions made by the hypnotherapist can bypass your usual blocks, helping you to achieve the formerly unachievable: stopping overeating, quitting smoking, mastering public speaking, or losing your fear of heights. The goal of hypnosis is to strengthen and empower the client’s motivation, commitment and focus. Consider working with someone who is not just trained in hypnosis but also is a licensed therapist or psychotherapist who can bring their academic background into your session.
"As a licensed psychologist, I offer counseling services for children, adolescents, and adults. Specializing in Sport Psychology, I am a Certified Mental Performance Consultant by the Association for Applied Sport Psychology and a registered Sport Psychologist with the U.S. Olympic Committee. My passion is helping children, adolescents and adults achieve well-being, balance, and peak performance by empowering them with skills to handle stressors in life and pressures of competition. I provide traditional counseling and sport psychology services to youth athletes, adolescents, and adults. I offer appointments in my office or by video conference online."

Health coaching is becoming recognized as a new way to help individuals "manage" their illnesses and conditions, especially those of a chronic nature.[21] The coach will use special techniques, personal experience, expertise and encouragement to assist the coachee in bringing his/her behavioral changes about, while aiming for lowered health risks and decreased healthcare costs.[22] The National Society of Health Coaches (NSHC) has differentiated the term health coach from wellness coach.[22] According to the NSHC, health coaches are qualified "to guide those with acute or chronic conditions and/or moderate to high health risk", and wellness coaches provide guidance and inspiration "to otherwise 'healthy' individuals who desire to maintain or improve their overall general health status".[22]
Upon receiving your graduate degree, you will see there are a lot of options for you as far as jobs. These include being a faculty member at university where you would teach and conduct research. You could work at a hospital, physical rehabilitation center, or gym. There are job possibilities with the military, given their concern with keeping troops mentally fit for battle. Finally, you might decide to open your own practice, where you can work with individual athletes and/or teams. Your private practice might even lead to working with individuals you might not typically think of as athletes. This could include dancers, or even those in the business world who may be dealing with high-pressure jobs. As far as what you will earn in a job, collegeatlas.com lists the mean salary for a sports psychologist at $57,000. However, I have seen higher estimates when reading various Internet sites about sports psychology.
Motivation — Recent research implies that sports-related achievement motivation is composed of several traits that together form a general orientation of a person towards achievement in sports. This research refers to The Achievement Motivation Inventory (AMI) (Schuler, Thornton, Frintrup & Mueller-Hanson, 2003) which is a broad-spectrum assessment of achievement-motivation in business, and has been used to develop the Sports Performance Indicator.

We have created the two-year part-time Ashridge Masters in Executive Coaching in response to the emergence of executive coaching as an established and distinct profession within the international field of individual and organizational development. Our aim is to raise the standard of coaching both professionally and ethically. The program draws on theories from complexity science, sociology and psychology to come to a distinct understanding of organizations and hence the role of both coaches and clients.
These are just a few of the questions that sport psychologists try to answer. Sports psychology is a branch of psychology that focuses on how individuals are affected by playing sports as well as how to improve a person's mindset in order to excel at sports. A sport psychologist understands that individuals who play sports must be healthy in both their bodies and minds in order to succeed. At times, some athletes need help overcoming psychological issues that do not allow them to play to their full potential. Reducing stress and extreme anxiety before events often leads to better performances by athletes.
I chose the University of Ottawa in Canada for my Master’s in Sport Psychology for 2 main reasons. One of the most experienced, forerunners of Sport Psychology, Dr. Terry Orlick, is a professor at U of O. I had a conversation with him prior to applying, and he offered to be my thesis advisor, so at that point the program at University of Ottawa became the only choice for me.
Her boss presumed Mansfield was having an assertiveness problem, so he hired a coach from a consulting firm that specialized in behavioral treatments to work with her. The coach assumed that Mansfield needed to learn to set limits, to constructively criticize her subordinates, and to avoid the trap of doing other people’s work for them. Within two months of what her coach deemed successful training, Mansfield began to lose weight, grow irritable, and display signs of exhaustion. At the time, I happened to be coaching the software company’s COO, and he asked me to talk to her. It didn’t take long to see how assertiveness training had unearthed a problem Mansfield had managed to keep under wraps for years.
Due to the increase in certified coaches, the improved ROI that results from pairing coaching with leadership training, and the normalization of coaching rates due to a supply and demand shift in the market, coaching will become more commonly used in employee and leadership development at all levels. Coaching will no longer be viewed as something that is only available at the executive level. - Amy Douglas, Spark Coaching, LLC

Executive coaching is hot. What was stigma ("You're so broken you need a coach?") has become status symbol ("You're so valuable you get a coach?"). Tiger Woods and Michael Phelps have coaches. Even President Barack Obama has a coach, if you count David Axelrod. Microsoft 's young high-potential leaders get coaches. If elite athletes and organizations think they need coaches, shouldn't you have one too? Shouldn't we all?
"An Spanish speaking Counselor. Licensed Clinical Hypnotherapist with more than 18 years of experience in the Mental Health and Substance Abuse field. I have passion for helping those who are struggling with real life issues thru empowering their personal strengths. I worked with people from different cultures and ages, children, adolescents and adults. Before starting my Private Practice I worked as a Psychologist in Argentina and as Counselor in Mental Health and Substance Abuse Facilities in Texas."
As with other treatment providers, recommendations from family or friends are a great place to start. You can also check with a therapist, naturopath, or acupuncturist for recommendations. There are several databases of certified hypnotherapists online too. Try checking the American Society of Clinical Hypnosis’s database, or the General Hypnotherapy Register. You’ll want to check the therapist’s website before you choose, making sure to look for credentials and testimony from previous patients if available.
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