This module is designed for self-study or flexible learning which enables you to work through the study sessions at your own pace. The Case - The Changing Face of Public Health in Quebec Background: • Adoption of Bill 83 ! PowerPoint, are the exclusive property of Microsoft Corporation. Sol Online – SoL North America offers several different workshops throughout the year, but also encourages organizations to collaborate with our trainers to develop custom programs. Caroline Sparks, PhD. It involves inspiring people to craft and achieve a vision and goals. Moving Health Care Upstream (MHCU) aims to assist health systems in their efforts to address persistent and costly health inequities by moving “upstream”—beyond the walls of hospitals and doctor’s offices and into communities. But as aspiring public health leaders prepare for action, there is a marked dearth of proven and tested teachings, models and frameworks to guide them. Leadership In Public Health – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 843c84-MWEwO Public health leaders contribution in altering and advancing population health by considering causal forces and the ecology that effect societal structures and functions (Leischow et … Building Leadership Competency in Public Health Jocelyne Sauvé, MD, MSc, FRCPC Medical Officer of Health, Montérégie February 2012 . Defining leadership “In the field of public health [leadership] relates to the ability of an individual to influence, motivate, and enable others to contribute toward the effectiveness and success of their community and/or the organization in which they work. Veterinary Medicine, Public Health and the People. They offer supportive, available, empathic, … presentations for free. Essentials of Management and Leadership in Public Health—Robert Burke, PhD & Leonard Friedman, PhD, MPH Essentials of Public Health Preparedness—Rebecca Katz, PhD, MPH ABOUT THE EDITOR: Richard K. Riegelman, MD, MPH, PhD, is Professor of Epidemiology-Biostatistics, Medicine, and Health Policy, and Founding Dean of The George Washington University School of Public Health and Health … and in programs that prepare managers of public health de-partments, programs, and health services organizations, such as hospitals,clinics,and long-term care facilities.This chapter provides a basic introduction to management theory and prob-lem solving, and concludes with a brief discussion of negoti-ation and alternative dispute resolution. PowerPoint Presentation Author: gary.barnes Last modified by: Name Created Date: 1/26/2005 4:59:27 PM Document presentation format: On-screen Show Company: Mando Group Ltd. Other titles: Times New Roman Arial Wingdings 1_Default Design Microsoft Photo Editor 3.0 Photo Slide 1 Why consider health and safety leadership now? The PowerPoint PPT presentation: "Leadership In Public Health" is the property of its rightful owner. Leadership in health care Susan Oliver MSc Nurse Consultant Rheumatology, Litchdon Medical Centre, Devon Introduction The National Health Service (NHS) has to provide a dynamic and responsive health care system with a workforce that can cope with frequent organizational change. The massive scope and complexity of such problems, including conditions such as uncontrolled childhood mortality, suboptimal maternal health, HIV/AIDS, cardiovascular disease and cancer, among others, affect millions worldwide. 13 In transactional leadership theory, subordinates and leaders enter a contract where the leader provides positive rewards such as a bonus, time off, health benefits, … Veterinary Medicine, Public Health and the People. leadership in general, then outlines relevant considerations for managing relations with patients and the district team, as well as fi nances and hardware and management schedules. As leaders, community health nurse seek to initiate changers that positively affect people's health. - Measuring Performance of Public Health Systems Louis Rowitz, PhD Director Mid-America Regional Public Health Leadership Institute Professor University of Illinois at ... Development of Public Health Standards and Protocols in Nova Scotia. Leadership . HEALTH SYSTEMS: Conceptual frameworks Health systems Combination of resources, organization, financing, and management that culminates in the delivery of health ... – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 3b68f5-NTQ1M Healthcare management powerpoint 1. and governance in building a health system involve ensuring that strategic policy frameworks exist and are combined with effective oversight, coalition-building, regulation, attention to system design and accountability. These included basic education, knowledge of public health problems and programs, management training, and a favourable moral environment.2 Despite this, … - Measuring Performance of Public Health Systems Louis Rowitz, PhD Director Mid-America Regional Public Health Leadership Institute Professor University of Illinois at ... Development of Public Health Standards and Protocols in Nova Scotia. 1 While public health practitioners try their best to adapt to change, not everyone is skilled to do so. From 20% in CLSCs to 2% in new CSSSs . application to leadership in public health and health care delivery settings. Get ideas for your own presentations. presentations for free. - HRSA and its Regional Offices Dale M. Bates, Public Health Analyst OFFICE OF REGIONAL OPERATIONS HEALTH RESOURCES AND SERVICES ADMINISTRATION DEPARTMENT OF HEALTH ... Overview of the Certified in Public Health (CPH) Program, - Overview of the Certified in Public Health (CPH) Program USPHS Scientific & Training Symposium Public Health Leadership: The Key to a Healthier Nation, Public Health Reports Meet the Author! Effective leadership is required to lead and drive changes at all levels of the health system to actualise the goals of the ongoing reforms in health care organisations. Because the health industry is integrating public health and healthcare delivery (along with shared financial and service risk) it is prudent to attend to the aspects of integration between these two vital segments of the industry. Leadership . Viele übersetzte Beispielsätze mit "leaders in public health" – Deutsch-Englisch Wörterbuch und Suchmaschine für Millionen von Deutsch-Übersetzungen. The delivery of clinical care is based on careful research to determine the most effective way of providing care for patients. Effective leadership is required to understand and … Lessons Learned from the Last Decade of Preparedness Education and a Look to the Future, Advancing School Mental Health in Northwest Ohio. The goal of these programs is to provide formal training in areas that are critical. - Leadership in Public Health Louis Rowitz WHO ARE YOU? Represented on the PHLS Public Health Code of Ethics Committee are public health professionals from local and state Principles of the Ethical Practice of Public Health, Version 2.2 . Public Health structure in Local Government: control vs influence Dumbing down specialist Public Health? PowerShow.com is a leading presentation/slideshow sharing website. Demonstrate communication and … Management Sciences for Health Fax: +1.617.250.9090 784 Memorial Drive Email: bookstore@msh.org Cambridge, MA 02139-4613 USA Website: www.msh.org Tel. Towards the Development of Health Promotion Competencies, - Towards the Development of Health Promotion Competencies Laying the Foundation for Discipline-Specific Competency Development Marco Ghassemi, MSc, Dr. Josef Reum to Share New Approaches to Leadership with Federal Health Care Executives. Transactional leadership is based on the setting of clear objectives and goals for the followers as well as the application of rewards and punishments to motivate followers and encourage compliance. The Leadership for Public Health Masters level module will use a variety of scheduled and independent learning methods. Good governance is considered a core component of resilient health systems, and while governments are the … The need for greater accountability arises both from increased funding and a growing demand to demonstrate results. Leadership Books Reports – from the Regional Institute for Health & Environmental Leadership, a list of leadership books and summary of the books’ highlights and perspectives on leadership. - India's best health management education, training and research institute Bangalore. And, best of all, most of its cool features are free and easy to use. Although the two are similar in some respects, they may involve diff erent … October 21, 2010 100 E. Grand Ave., Ste. Live Webcast, - Public Health Reports Meet the Author! - Advancing School Mental Health in Northwest Ohio Mark D. Weist University of Maryland School of Medicine Value, Training, Funding Value The Crisis of Youth Mental ... Institute for Health, Social, and Community Research at Shaw University, - Institute for Health, Social, and Community Research at Shaw University Building Successful Research Infrastructures: Lessons Learned in Achieving and Measuring Success, - Health Care Call to Action Kansas Healthcare Collaborative Summit Tom Evans, M.D. - India's best health management education, training and research institute Bangalore. MHCU advocates for and facilitates bridge -building between health care and public health to address … Healthcare Management/Administration Korrin Wiggins August 26, 2016 2. It's FREE! 6015.19. Leadership and Transformation in a New Public Health Workforce Environment 2017 North Carolina State Health Director’s Conference Public Health Success –Growing Leaders inside Out; Raleigh, NC Thursday, 19 January 2017 Lori Carter-Edwards. Why the mental health and well-being of staff in Further Education is a leadership issue 1 February 2011 Improving the Health and Wellbeing of FE ... World class commissioning for better sexual health Gareth Jones Director of Scientific Development, Bioethics and Sexual Health, - Title: Public Health and the Commissioning Cycle Author: lywilson Last modified by: Anglia Support Partnership User Created Date: 3/10/2009 12:33:03 PM, Critical Issues in Public Health Nutrition Leadership: Succession Management, - Critical Issues in Public Health Nutrition Leadership: Succession Management & Developing Your Leadership Pipeline Alexa George, PhD, MPH, RD, LD, From Evaluation to Practice: Lessons for Health Emergency Management. The Culminating Experience (CE) is a graded course performed outside of a classroom setting. There is limited research on capacity building interventions that include theoretical foundations. They are all artistically enhanced with visually stunning color, shadow and lighting effects. Overview Health ... Responsiveness – linking health policy and expenditures with public priorities; and; Integrity/Ethics – promoting ethical management and standards among health professionals. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. View Leadership In Public Health PPTs online, safely and virus-free! Small groups of students conduct field projects to observe and learn about how change is … Or use it to find and download high-quality how-to PowerPoint ppt presentations with illustrated or animated slides that will teach you how to do something new, also for free. With relatively little public health literature on the topic, those hungry for leadership insights might understandably turn to the abundant lessons generated in the business, government, military and even sports sectors. Projects that aim to strengthen health governance could support the establishment of governance structures, policies, and processes … In such context, collective effort is essential to bring the positive change in health financing and health expenditure throughout the health system by ensuring a good public health leadership [14 Moving Health Care Upstream (MHCU) aims to assist health systems in their efforts to address persistent and costly health inequities by moving “upstream”—beyond the walls of hospitals and doctor’s offices and into communities. Public Health 101: Healthy People–Healthy Populations—Richard Riegelman, MD, MPH, PhD Essentials of Public Health—Bernard J. Turnock, MD, MPH Essential Case Studies in Public Health: Putting Public Health into Practice—Katherine Hunting, PhD, MPH & Brenda L. Gleason, MA, MPH If so, share your PPT presentation slides online with PowerShow.com. And they’re ready for you to use in your PowerPoint presentations the moment you need them. Population Health Management Webinar: Leadership Competencies for Successful ACOs - Join Free Webinar titled “Leadership Competencies for Successful ACOs”. Introduction. At the same time the UK Nat The WHO building blocks of a health system states that governance and leadership includes “ensuring strategic policy frameworks exist and are combined with effective oversight, coalition-building, regulation, attention to system-design, and accountability”. Essentials of Leadership in Public Health reflects the complexities of leadership in Public Health as well as the overall needs of effective leadership in a constantly changing social environment. PUBLIC HEALTH LEADERSHIP Alaa H. Qari , BDS December 6th, 2017 2. Boasting an impressive range of designs, they will support your presentations with inspiring background photos or videos that support your themes, set the right mood, enhance your credibility and inspire your audiences. Winner of the Standing Ovation Award for “Best PowerPoint Templates” from Presentations Magazine. public health practices require a “…willingness for the field of public health to rethink its posture of ‘value neutrality’ and ‘objectivity’ so as to encompass the types of social action necessary to effectively modify the social determinants of health. 11. Public health, as defined by C. E. A. Winslow, a leading figure in the history of public health, is the science and art of preventing disease, prolonging life, and promoting health and efficiency through organized community efforts for the sanitation of the environ-ment, the control of community infections, the educa- tion of the individual in personal health, the organization of … October 21, 2010 100 E. Grand Ave., Ste. Many public health professionals, most of them associated with the Public Health Leadership Society (PHLS), came together to initiate the process of writing the Code. Since 1990, leadership development programs for public health officials emerged all over the country in response to the national call to improve the competencies of public health … Individual leadership in health services Effective leaders in health services emphasise continually that safe, high quality, compassionate care is the top priority. These subjects fall outside of the comfort zone for many public health leaders, since much of public health falls within the field of heath, nutrition, environmental health, physical and emotional well-being, and disease prevention. EFFECTIVE PUBLIC HEALTH LEADERSHIP Effective Public Health LeadershipThere are an estimated 36 million African-Americans living in the United States which represents 13% of the United States (U.S.) population (MMWR, 2005). They'll give your presentations a professional, memorable appearance - the kind of sophisticated look that today's audiences expect. Measuring Performance of Public Health Systems. - Development of Public Health Standards and Protocols in Nova Scotia PHPC CPD Day June 9th, 2013 Dr. Robert Strang Dr. Brent Moloughney 2013 Complete Protocols Public ... - Stewardship in Health System Dr. Shahram Yazdani Shahid Beheshti University of Medical Sciences School of Medical Education Strategic Policy Sessions: 23, Public Programs: Critical Building Blocks in Health Reform, - Public Programs: Critical Building Blocks in Health Reform, Equity and Excellence; Liberating the NHS: Reform of the Public Health System, - Equity and Excellence; Liberating the NHS: Reform of the Public Health System Dr Giri Rajaratnam Deputy Regional Director of Public Health, East Midlands, India's top health management research institute - IIHMR Bangalore (1). - Leadership Challenges for Rural Health Departments Louis Rowitz, PhD Director Mid-America Public Health Training Center THE CHALLENGES RURAL HEALTH DEPARTMENTS HAVE ... Palliative Care Public Health Programs with a WHO perspective Public Health Planning: Needs assessment, foundation measures, elements of Programs. Do you have PowerPoint slides to share? Yet we stand united around the concept of leadership. If public health wishes to be in a leadership position, however, it has to shape the culture, but how is this best done? To realize the vision of Public Health 3.0 and fulfill the role of chief health strategists, the public health workforce should not be seen as something to develop within a specialty or silo but, rather, as a common good for the entire field of public health. Why the mental health and well-being of staff in Further Education is a leadership issue 1 February 2011 Improving the Health and Wellbeing of FE ... World class commissioning for better sexual health Gareth Jones Director of Scientific Development, Bioethics and Sexual Health, - Title: Public Health and the Commissioning Cycle Author: lywilson Last modified by: Anglia Support Partnership User Created Date: 3/10/2009 12:33:03 PM, From Evaluation to Practice: Lessons for Health Emergency Management. The Challenge How could the culture of health service … Leadership In Public Administration Astdd PPT. Title VII, Interdisciplinary, Community-Based Linkages Part D, Public Health Service Act Section 755: Allied Health and Other Disciplines, - Part D, Public Health Service Act ... Division of Medicine and Dentistry Acting Director, Division of State, Community & Public Health Bureau of Health Professions, HRSA and its Regional Offices Dale M. Bates, Public Health Analyst OFFICE OF REGIONAL OPERATIONS HEALTH RESOURCES AND SERVICES ADMINISTRATION DEPARTMENT OF HEALTH. lorien@gwu.edu. - CrystalGraphics offers more PowerPoint templates than anyone else in the world, with over 4 million to choose from. The book also examines the impact of health reform and how our leaders will be affected by these new changes. LEADERSHIP to Move Health Care Upstream. fspielberg@gwu.edu. Why Do We Need Public Health Administration Degree And Its Benefits, - Public health specialists also play a pivotal role in the prevention of diseases by creating awareness, promoting healthy habits and behaviors, | PowerPoint PPT presentation | free to view. Leadership in Healthcare Many people today are seeking to understand -- and many people are writing about -- the concepts and practices of leadership. Or use it to upload your own PowerPoint slides so you can share them with your teachers, class, students, bosses, employees, customers, potential investors or the world. That's all free as well! Accountability is … Public health leadership is no excep-tion. Our new CrystalGraphics Chart and Diagram Slides for PowerPoint is a collection of over 1000 impressively designed data-driven chart and editable diagram s guaranteed to impress any audience. Live Webcast Are We Prepared? The need for greater accountability arises both from increased funding and a growing demand to demonstrate results. Strategies and tactics of the past are not sufficient to meet the challenges of the future. Leadership and Governance for Health Indicators. Because the health industry is integrating public health and healthcare delivery (along with shared financial and service risk) it is prudent to attend to the aspects of integration between these two vital segments of the industry. - Leadership Challenges for Rural Health Departments Louis Rowitz, PhD Director Mid-America Public Health Training Center THE CHALLENGES RURAL HEALTH DEPARTMENTS HAVE ... Palliative Care Public Health Programs with a WHO perspective Public Health Planning: Needs assessment, foundation measures, elements of Programs. National Health Planning defines health problems, identifies unmet needs, surveys resources, establishes priority goals which are realistic & feasible, projects administrative action for accomplishment. Leadership in Public Health Louis Rowitz WHO ARE YOU? Leadership Books Reports – from the Regional Institute for Health & Environmental Leadership, a list of leadership books and summary of the books’ highlights and perspectives on leadership. Amita Vyas, PhD. Students post reflection notes at intervals of about every three weeks to critique, to comment on relationships between concepts, and to provide personal reflections on the material as the course progresses. They'll give your presentations a professional, memorable appearance - the kind of sophisticated look that today's audiences expect. They are generally enormous in scale, stem from numerous and highly complex causes, play out in the public eye, impact a vast array of stakeholders and require unusually long-term solutions. They ensure that the voice of patients is consistently heard at every level; patient experience, concerns, needs and feedback (positive and negative) are consistently attended to. • Health administration or healthcare administration is the field relating to leadership, management, and administration of public health systems, health care systems, hospitals, and hospital networks … Do not assume your prior education equips you for public health service leadership – no matter the degrees you’ve - Development of Public Health Standards and Protocols in Nova Scotia PHPC CPD Day June 9th, 2013 Dr. Robert Strang Dr. Brent Moloughney 2013 Complete Protocols Public ... - Stewardship in Health System Dr. Shahram Yazdani Shahid Beheshti University of Medical Sciences School of Medical Education Strategic Policy Sessions: 23, Public Programs: Critical Building Blocks in Health Reform, - Public Programs: Critical Building Blocks in Health Reform, Equity and Excellence; Liberating the NHS: Reform of the Public Health System, - Equity and Excellence; Liberating the NHS: Reform of the Public Health System Dr Giri Rajaratnam Deputy Regional Director of Public Health, East Midlands, India's top health management research institute - IIHMR Bangalore (1). That's all free as well! - CrystalGraphics offers more PowerPoint templates than anyone else in the world, with over 4 million to choose from. 10.2 MANAGERS AND LEADERS Management and leadership are important for the delivery of good health services. What is healthcare management/administration? avyas@gwu.edu. Many of them are also animated. Public health problems pose special challenges. Public Health Communications and Marketing. Leadership in the health care sector is spread across management and … Many are downloadable. 1. Sol Online – SoL North America offers several different workshops throughout the year, but also encourages organizations to collaborate with our trainers to develop custom programs. And, best of all, most of its cool features are free and easy to use. Or use it to create really cool photo slideshows - with 2D and 3D transitions, animation, and your choice of music - that you can share with your Facebook friends or Google+ circles. - Beautifully designed chart and diagram s for PowerPoint with visually stunning graphics and animation effects. The field of public health is inherently multidisciplinary and is made up of a wide range of professionals – physicians, nurses, public health inspectors, health promoters, epidemiologists, nutritionists, dental professionals, and more. The framework can be beneficial in managing organizational change, implementing community health improvement planning, developing leadership and workforce, strengthening community partnerships, and navigating changing political, social and … Public Health Human Resources: A Comparison of British Columbia and Ontario Policies, - Public Health Human Resources: A Comparison of British Columbia and Ontario Policies Sandra Regan1, Diane Allan2, Marjorie MacDonald2, Cheryl Martin3, Peggy Li4, Public and Occupational Health: beyond the classical boundaries, - Title: Occupational Health and Public Health Author: Degraan Last modified by: Holiday-Inn Created Date: 2/9/1999 11:10:13 AM Document presentation format, Leadership Challenges for Rural Health Departments. Live Webcast Are We Prepared? And they’re ready for you to use in your PowerPoint presentations the moment you need them. The health care sector is characterised by constant reforms aimed at the efficient delivery of safe, effective, and high-quality care. - 1888 PressRelease - Inspirational speaker will present adaptive approaches for leadership in the midst of change and conflict. It is essentially a mini-thesis, where you work with … - HRSA and its Regional Offices Dale M. Bates, Public Health Analyst OFFICE OF REGIONAL OPERATIONS HEALTH RESOURCES AND SERVICES ADMINISTRATION DEPARTMENT OF HEALTH ... Overview of the Certified in Public Health (CPH) Program, - Overview of the Certified in Public Health (CPH) Program USPHS Scientific & Training Symposium Public Health Leadership: The Key to a Healthier Nation, Public Health Reports Meet the Author! out to understand how leaders define and qualify leadership by asking a selected group of leaders in public health a single question: ‘What are key attributes of leaders that create effective health systems?’ • In 2015, a survey was conducted across 65 countries and in-depth interviews were carried out with 22 prominent leaders, touching upon various components of leadership for health … of local public health leaders. The PowerPoint PPT presentation: "Leadership in Public Health" is the property of its rightful owner. Furthermore, the health iss… Specific content requirements for public health leadership were identified almost 20 years ago in the literature. Leadership In Public Health – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 843c84-MWEwO 10.2 MANAGERS AND LEADERS Management and leadership are important for the delivery of good health services. Most attention has been given to structure, but … This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number G05HP31425, Leadership in Public Health Social Work Education Grant Program, in the amount of $300,000 awarded to Trustees of Boston University. Public health practitioners can take note of the business sector about change management, which is the application of a structured process and set of tools for leading the people side of change to achieve a desired outcome. Effective leadership is required to understand and navigate through the many changes 5. It is normal to think of a service, a hospital or a public health service, as consisting of people and an organization, and an organization may be considered as having three components—a structure, systems and culture. Our new CrystalGraphics Chart and Diagram Slides for PowerPoint is a collection of over 1000 impressively designed data-driven chart and editable diagram s guaranteed to impress any audience. : +1.617.250.9500 ISBN 978-0-9819616-2 … Altman D, Mascarenhas AK. csparks@gwu.edu. This also allows you to explore the material to whatever depth you prefer, and to skip parts with … Share yours for free! While public health practitioners try their best to adapt to change, not everyone is skilled to do so. A premier institute in south India provides PGDHM in Hospital and Health management education. Title VII, Interdisciplinary, Community-Based Linkages Part D, Public Health Service Act Section 755: Allied Health and Other Disciplines, - Part D, Public Health Service Act ... Division of Medicine and Dentistry Acting Director, Division of State, Community & Public Health Bureau of Health Professions, HRSA and its Regional Offices Dale M. Bates, Public Health Analyst OFFICE OF REGIONAL OPERATIONS HEALTH RESOURCES AND SERVICES ADMINISTRATION DEPARTMENT OF HEALTH. 7. A premier institute in south India provides PGDHM in Hospital and Health management education. Health Planning: A process of deciding how the future should be better than present. - Leading by Example? PhD, MPH Research Associate Professor, Public Health Leadership Program The concepts and principles of Adaptive Leadership have broad applications in the fields of public health and healthcare. No percentage of this project was financed with … However, African-Americans represent a disproportionate amount of the poor health status compared to that of Anglo-Americans. Winner of the Standing Ovation Award for “Best PowerPoint Templates” from Presentations Magazine. Along the lines of Public Health 2.0, most public health professionals identify more strongly with their specialty area or disease silo, often at the expense of a unified, consistent public health identity and shared vision required for Public Health 3.0. other Public Health fields, the student is also expected to relate much of the management study material to the contexts of the other Certificate modules. Or use it to find and download high-quality how-to PowerPoint ppt presentations with illustrated or animated slides that will teach you how to do something new, also for free. Why Do We Need Public Health Administration Degree And Its Benefits, - Public health specialists also play a pivotal role in the prevention of diseases by creating awareness, promoting healthy habits and behaviors, | PowerPoint PPT presentation | free to view, Public Health Human Resources: A Comparison of British Columbia and Ontario Policies, - Public Health Human Resources: A Comparison of British Columbia and Ontario Policies Sandra Regan1, Diane Allan2, Marjorie MacDonald2, Cheryl Martin3, Peggy Li4, Public and Occupational Health: beyond the classical boundaries, - Title: Occupational Health and Public Health Author: Degraan Last modified by: Holiday-Inn Created Date: 2/9/1999 11:10:13 AM Document presentation format, Leadership Challenges for Rural Health Departments. Your own pace, 2017 2 ALWAYS DANGEROUS to the STATUS QUO Health organizations: leadership Competencies for ACOs! Book also examines the impact of Health reform and how our leaders will affected! 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