Tagged With "Caring Adult"
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12 Things I Wish My Doctor Understood About Childhood Trauma
It doesn’t happen that often anymore, but one place where I almost always get triggered with my Childhood PTSD symptoms is when I visit the doctor. I could never even put this into words before. But now that I’m mostly healed from my Childhood PTSD symptoms, I want to express what I wish my doctors – all the doctors of my life – had understood about the effects of Childhood trauma, about me. Note: This is one of my most personal posts ever. Unless you’re someone who really prefers text, I...
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2019 National Trauma-Informed Health Care Education and Research (TIHCER) Meeting – Tulsa, OK
A newly established national group of experts known as TIHCER (pronounced “tīs-er”) recently convened for a first-time working meeting at The University of Oklahoma in Tulsa to advance the important cause of T rauma- I nformed H ealth C are E ducation and R esearch. The gathering brought 26 members representing 10 states. This diverse group of experts comprise members from a variety of healthcare professions — medicine (physicians and residents/medical students), clinical psychology,...
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A Call to Children’s Residential Treatment Centers: Please, Please Do Your Own Trauma Work
The challenges of becoming an effective trauma-informed organization are considerable for sure. Taken as an opportunity, and not a burden, they present a unique platform for organizational learning, healing, and growth. Among so many other things, the efforts inure to the benefit of a milieu that becomes a sanctuary for healing and where little boys are not subject to blame for unintended treatment outcomes.
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A Case for Collecting Adverse Childhood Experiences Data
Let me start with a radical statement: I love data. One of my favorite activities in my role as chief strategy officer at Children & Families First , a large non-profit child and family services agency, is turning columns of numbers into sets of colorful graphs. But even more satisfying is watching someone engage with the data as it reveals previously hidden meaning. Since 2014, Children & Families First has been collecting adverse childhood experience (ACE) data from the people we...
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ACEs Research Corner — January 2020
Research papers this month include links between ACEs and bullying, dropping out of high school, adult disability, and the effects of countering ACEs.
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ACEs Research Corner — November 2019
[Editor's note: Dr. Harise Stein at Stanford University edits a web site -- abuseresearch.info -- that focuses on the health effects of abuse, and includes research articles on ACEs. Every month, she's posting the summaries of the abstracts and links to research articles that address only ACEs. Thank you, Harise!! -- Jane Stevens] Jackson DB, Chilton M, Johnson KR, Vaughn MG. Adverse Childhood Experiences and Household Food Insecurity. Am J Prev Med. 2019 Nov;57(5):667-674. PMID: 31522923...
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ACEs Science and Racism
This is a collection of resources regarding structural racism and trauma. This list aims to give a broad overview and is not all-inclusive. We welcome suggestions; if you have any, please comment below! The titles below and the PDFs in attachments are in alphabetical order. BSC Full Report Trauma Resilient Informed City Baltimore: This is the full report of the work, data, lessons, and direct quotes from several teams of people from various backgrounds in the Baltimore community as they...
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ACEs teach us why racism is a health equity Issue: Dr. Flojaune Cofer (Part One)
Dr. Flojaune Cofer and Ben Duncan , each from public health backgrounds that focus on health disparities, addressed ACEs in the context of health equity for their panel entitled ACEs, Race, and Health Equity: Understanding and Addressing the Role of Race and Racism in ACEs Exposure and Healing . Cofer and Duncan co-presented to a standing-room-only audience on day one of the 2018 ACEs Conference: Action to Access co-hosted by ACEs Connection and the Center for Youth Wellness in San Francisco...
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Addressing ACEs as a Social Transformation Initiative
It's time for adult children to fully recover from the lies they were programmed to believe about themselves and others when they were developing, and to adjust the norms in our society to ensure the healthy development of our descendants and the recovery of the adult affected.
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Announcing New Trauma Informed Care Trainings!
Cowart Trauma Informed Partnership is pleased to announce two fabulous new training opportunities! This introductory level live webinar is essential for anyone who works with the public, especially now as the world is grappling with the COVID-19 pandemic. Participants of this live webinar will learn what trauma is, its possible effects, and how to respond appropriately. This new course is designed to help you start practicing trauma-informed care right away. Great for anyone who already has...
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ARTIC Scale - FREE Webinar with Preview of NEW Online Version
With dedication to innovation in trauma-informed care measurement and implementation, the Traumatic Stress Institute (TSI) will soon launch a fully-automated, online version of the widely-used ARTIC Scale. The new online platform will enable organizations and service systems to assess and monitor trauma-informed care in a manner that is user-friendly, secure and cost-effective. Its powerful features include: Online administration at mulitple time points Fully-automated data management and...
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At an HIV Clinic, Patients and Staff Have a Voice in Shaping Trauma Informed Care
Dr. Edward Machtinger, director of the Women and HIV Program, front row, center and clinic staff To the casual observer, the offices of the Women and HIV Program at the University of California San Francisco look like any other primary care clinic. There’s a waiting room with vinyl-covered chairs for the clinic’s patients. Staff check in patients from a non-descript desk ringed with a bank of computers. A video screen promotes the clinic’s services. But as you make your way further into a...
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At an HIV Clinic, Patients and Staff Have a Voice in Shaping Trauma Informed Care
Dr. Edward Machtinger, director of the Women and HIV Program, front row, center and clinic staff To the casual observer, the offices of the Women and HIV Program at the University of California San Francisco look like any other primary care clinic. There’s a waiting room with vinyl-covered chairs for the clinic’s patients. Staff check in patients from a non-descript desk ringed with a bank of computers. A video screen promotes the clinic’s services. But as you make your way further into a...
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Blog Post | How Understanding Trauma Can Strengthen Health Care Organizations: A Q&A with Sandra Bloom
Knowledge regarding the impact of trauma on individual health and behavior has become more mainstream in health care over the last several years. However, the effects of trauma on groups, organizations, and entire systems of care, are not as widely understood. The Center for Health Care Strategies (CHCS) recently spoke with Sandra Bloom, MD, associate professor of health management and policy at Drexel University’s Dornsife School of Public Health and co-founder of the Sanctuary Model , to...
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Building A Trauma Informed System of Care Toolkit
We are delighted to make available the Building Strong Brains of Tennessee funded, Building A Trauma Informed System of Care toolkit. This toolkit is based upon the work of the Northeast Tennessee ACEs Connection group and it's many partners since 2015. In time, Building Strong Brains of Tennessee will also have printed copies available. In preparing this toolkit, Dr. Andi Clements and I tried to share in a very transparent fashion the steps we've taken, mistakes we've made and inspiring...
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Building Bridges to Resilience in Santa Barbara County
The full moon was setting and the sun was rising as organizers from KIDS Network, Children & Family Resource Services, Casa Pacifica, and the Department of Behavioral Wellness began setting up the 2019 BRIDGES TO RESILIENCE Conference on October 14 th at the beautiful Hilton Santa Barbara Beachfront Resort. The stately halls and ballrooms were a flurry of activity as staff prepared to receive over 350 community members who work with children, youth and families in Santa Barbara County.
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‘Burnout is real’: The importance of engaging in self-care practices when faced with secondary trauma [whyy.org]
Chera Kowalski remembers working at McPherson Square Library when overdoses became a more common occurrence in Kensington. It was 2015, and Philadelphia saw 696 overdose deaths that year — a 52% increase from just two years before — eighty percent of which involved opioids. There were more than twice as many overdose deaths than homicides. At the time, library staff didn’t have naloxone — an opioid overdose reversal medication — or the training to administer it. The best staff members could...
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CARES Act Funding: Opportunity for Trauma-Informed Programs in Indian Country [natlawreview.com]
By Daniel S Press, The National Law Review, May 11, 2020 There will be many demands on the funds that Tribes and Local Education Agencies (LEAs) receive from the $2.2 trillion U.S. Coronavirus Aid, Relief, and Economic Security (CARES) Act, but allocating funds to implement trauma-informed programs to address the surge in mental health problems caused by COVID-19 should not be overlooked. As quarantines end, the trauma caused by COVID-19 will become apparent and tribal communities will be...
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Case Statement on Trauma Informed Approaches
Attached is a Case Statement on Trauma Informed Approaches--it is a review of the Greater Harrisburg Area's and beyond's ACE scores, the outcomes of these ACEs and some ideas of how to resolve the negative consequences of this crisis of epidemic proportions. Please use it to advance the cause of moving from the bad news of ACEs towards the good news of becoming trauma informed and resilient. I would also welcome your comments, questions and recommendations! Thank you.
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Developing Community Resilience During the COVID-19 Outbreak
I have been fielding requests about community resilience development and want to share with all of you a document that others are finding helpful. I initially created the document (below and pdf attached) for our host entities to distribute to their cohorts (1500-plus people) of N.E.A.R. Master Trainers embedded in 25 states and a province. Dr. Rob Anda, Laura Porter and I train Master Trainers in N euroscience, E pigenetics, the A CE Study, and R esilience; additional information can be...
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"Drive Thru Preschool"
During this time of social distancing and the legitimate scare of the COVID-19 pandemic, it is important to develop a sense of "normalcy" for our little ones (keiki). We can do this by keeping them on a schedule, making sure that we are listening to their concerns and meet their unmet needs. Due to COVID-19 preschools in Hawai'i have shut its doors to instruction, however this preschool has continued to operate by meeting the needs of the homeless and at-risk homeless families they serve.
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Ensuring Young Children Have Healthy Meals During the Coronavirus Pandemic [clasp.org]
By Rebecca Ullrich, CLASP, March 23, 2020 Practically overnight, the coronavirus pandemic has dramatically altered the daily lives of our nation’s children and families. While everyone—regardless of race, age, gender, or socioeconomic status—is experiencing the pandemic’s effects, the long-term fallout won’t affect all of us equally. Families with low incomes, communities of color, immigrant families, women, the elderly, and people with disabilities who have long been economically...
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Environment Matters: It's More Than Just Common Sense
The connection we are trying to make with those we serve can be only as effective as the level of safety one feels within the space we are doing the work.
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Erasing My ACES
Why I hid ACES from my medical records in order to receive equal treatment.
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Essentials for Childhood Framework
From the CDC’s Injury Prevention & Control, Division of Violence Prevention: "Safe, stable, nurturing relationships and environments are essential to prevent child abuse and neglect and to assure all children reach their full potential. The Essentials for Childhood Framework proposes strategies communities can consider to promote relationships and environments that help children grow up to be healthy and productive citizens so that they, in turn, can build stronger and safer families and...
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Evidence of Trauma-Informed Care's Effectiveness in Residential Substance-Use Settings
Hello ACEs and Trauma-Informed Community, My name is Travis Hales, and I am a researcher at the University of North Carolina Charlotte. I have recently collaborated with the University at Buffalo's Institute on Trauma and Trauma-Informed Care to conduct a multi-year study on the impact of a substance-use residential agency adopting and implementing Trauma-Informed Care on a variety of organizational, staff, and client level outcomes. I wanted to briefly share the results of our study that...
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Framework to Reduce Criminalisation of Young People in Residential Care [apo.org.au]
From the Victoria State Government, February 2020 The safety and wellbeing of young people and staff is paramount in providing residential care in Victoria. Attention needs to be directed at ensuring young people placed in residential care receive the necessary support to enable them to achieve the same outcomes as their peers in the broader community. A significant proportion of young people in residential care have experienced extensive abuse and neglect. The impact of this trauma may lead...
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From Trauma to Resilience: One Doctor’s Journey to Transform Trauma-Informed Care [National Council of Behavioral Health]
Trauma – an event, series of events or set of circumstances, such as neglect and abuse, that is experienced by an individual as harmful or life-threatening – is a nearly universal experience. The landmark Adverse Childhood Experiences (ACE) Study , conducted by the Centers for Disease Control and Prevention and Kaiser Permanente, revealed that experiences of trauma can impact every area of a person’s functioning. When Brigid McCaw, M.D., first started practicing medicine, research around the...
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Heyman Oo integrates ACEs science as foundation of pediatric care
Dr. Heyman Oo, a 34-year-old primary care pediatrician, first learned about the science of adverse childhood experiences in medical school at a grand rounds held around 2012 at Rady Children’s Hospital in San Diego, which she attended from 2009 to 2014. The presenter was none other than Dr. Nadine Burke Harris, a pediatrician who went on to become California’s first Surgeon General. The founder and former director of the Center for Youth Wellness drew millions of views for her TED talk on...
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Implementation of the Adverse Childhood Experiences Conversation in Primary Care [academic.oup.com]
By Victoria Bodendorfer, Afton M Koball, Cary Rasmussen, et al., Oxford University Press, November 23 ,2019 Abstract Background Research has focused on screening for adverse childhood experiences, rather than provision of education as a part of routine anticipatory guidance. An adverse childhood experiences ‘conversation’ is one method that has not been studied empirically but represents a complimentary or alternative approach to screening which could overcome many existing barriers.
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Improve Birth and Perinatal Outcomes with a Trauma Sensitive Approach
The Association for Prenatal and Perinatal Psychology and Health is excited to bring together 10 talented practitioners to explore the Trauma Informed Practices that help improve birth outcomes and support human development right from the very start. The Adverse Childhood Experiences Study (1998) launched the importance of trauma and trauma informed care in our health and educational systems. We suddenly had a measure of how early experiences in childhood could correlate with adult disease.
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Inside the ACE Score Strengths Limitations and Misapplications with Dr. Robert Anda (www.YouTube.com) & Note
Cissy's note: Thanks to @Elizabeth Perry for flagging me and letting me know about this important YouTube video posted on April 6th via the ACE Interface Laura Porter channel which furthers this important discussion about the uses/misuses of ACEs scores. This topic is written about from a personal perspective by @Sirena Wheeler here, yesterday, on ACEs Connection a piece entitled Erasing My ACEs which @Laura Porter commented upon. I have found tremendous benefit from learning about ACEs...
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Introducing NEW Becoming Trauma-Informed & Beyond Community
Earlier this year @Dawn Daum wrote to us when she was ready to share ACEs science with people in the organization she works in to make a case for moving towards more trauma-informed care for the benefit of the staff and those they serve. She was frustrated because almost all the training and resources she found were geared towards schools, clinical staff or to organizations working with children and families rather than ACE-impacted adults in the workplace and who are...
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Join us for Trauma Informed Care Training!
We have two upcoming live webinars on Trauma Informed Care designed to help YOU implement trauma informed care! Join us This introductory level course is essential for anyone who works with the public. Participants will learn what trauma is, understand its possible effects, recognize the signs, and learn how to respond appropriately. Ever timely, due to the increased impact of trauma our society is facing in the wake of the COVID-19 pandemic, this live webinar will help you support healing...
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Measuring Trauma-Informed Care: A 3-Part Series. FREE DOWNLOAD
Measuring Trauma-Informed Care: Overview of Series Federal, state, and local governing bodies are increasingly mandating trauma-informed care (TIC), requiring organizations, schools, and service systems to demonstrate they are advancing TIC in their settings. Yet, organizations and schools have little guidance about how to do so. For example, the Family First Services Prevention Act requires Qualified Residential Training Programs (QRTPs) to demonstrate effective use of a TIC framework, but...
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Measuring Trauma-Informed Care: Part 1 of the 3-Part Series. FREE DOWNLOAD
This 3-Part series was created to support schools and organizations in planning and implementing effective program evaluation for trauma-informed care (TIC) interventions. Enjoy these excerpts from Part 1 . CLICK HERE TO DOWNLOAD ALL OF PART 1 AND THE WHOLE SERIES FOR FREE. Part 1: What is Trauma-Informed Care and Why Measure It? ________________________________________ The Measuring Trauma-Informed Care Series was created by the Traumatic Stress Institute (TSI) , a global leader in TIC...
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Measuring Trauma-Informed Care: Part 3 of the 3-Part Series. FREE DOWNLOAD
This 3-Part series was created to support schools and organizations in planning and implementing effective program evaluation for trauma-informed care (TIC) interventions. Enjoy these excerpts from Part 3 . CLICK HERE TO DOWNLOAD ALL OF PART 3 AND THE WHOLE SERIES FOR FREE Part 3: The Basics of Trauma-Informed Care Program Evaluation ________________________________________ The Measuring Trauma-Informed Care Series was created by the Traumatic Stress Institute (TSI) , a global leader in TIC...
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ACEs Science Champions Series: Meet Florida's Johnny Appleseed. She plants seeds of ACEs science!
Dr. Mimi Graham is Florida’s Johnny Appleseed, but instead of planting apple trees, she’s been seeding hundreds of ACEs-science-informed schools, courts, juvenile detention centers, hospitals, childcare centers, home visiting programs, mental health agencies, law enforcement agencies, and drug treatment centers. Graham, who has served as director of the Florida State University Center for Prevention and Early Intervention Policy in Tallahassee since 1993, focuses on early childhood,...
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“Motherless Children Have the Hardest Time”: Epigenetic Programming and Early Life Environment [pediatrics.aappublications.org]
The Blind Willie Johnson blues song “Motherless Children” highlights the maternal bonds that we all know are critical to emotional and cognitive development. Authors of previous work looking at infant stress response have found that these bonds begin in utero and can be influenced by both maternal and paternal influences and across multiple generations. 1 The observations of Barker et al 2 on the Dutch famine birth cohort of World War II were perhaps the first published observations of this...
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New Peer Support Group Successes and Challenges
I started a weekly peer support group for women survivors of trauma in April 2018. It took a few weeks to get any uptake on the offer. In the beginning a few people who knew me trickled in to provide some encouragement. Some people working at the center that eventually agreed to give me access to a room to host the event, told me that if people got the sense that I was in it for the long haul, they would then start taking me up on my offer. I was determined to persist, so I stuck it out even...
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New report from the Alaska Children’s Trust addresses impact of ACEs on the state’s economy and workforce—present and future
The Alaska Children’s Trust (ACT) just released a data and image-packed 11-page brief “ Vibrant Economy, Strong Workforce, Thriving Families: A Guide to Trauma-Informed Policy Decision-Making.” The document was developed as a tool to educate a broad range of state and local policymakers about the impact of ACEs on health and social problems. The primary audience is state legislators and their staffs, government administrators, and county and municipal policymakers. Advocates have already...
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New Resource Center Dedicated to Helping Providers Address the Health Effects of Trauma
The new Trauma-Informed Care Implementation Resource Center offers a one-stop information hub for health care providers and other stakeholders interested in learning about and implementing trauma-informed care.
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New youth trauma data shows needs for adult support (www.democratandchronicle.com) & Tool for those in NY
Excerpts from an article by Justin Murphy are shared below.
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Parenting as a Survivor Keynote to Follow Free Resilience Screening
I share my story of having an ACE score of 9 and how that has effected me as a mother, because I can make sense of it now.
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"PCEs" and "ACEs" Are Two Sides of the Same "Childhood Experiences" Coin
This collection of reports, shared with edited highlights, is posted in hopes of raising awareness of the importance of Positive Childhood Experiences (PCEs). Please share widely on social media. 1. Seven Early Positive Childhood Experiences (PCEs) with Potential Benefits in Adulthood Below are the seven items on the positive childhood experience (PCEs) psychometric analysis. For each item, respondents are asked to respond "yes" or "no" to a prompt, "Before the age of 18, I was..." Able to...
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Rebuilding Lives while Building Homes: Tony McGuire's Resilience-Building Carpentry Class
Tony McGuire is a great carpenter. He ran his own construction business for years. Then he wanted to get into teaching. He became a Tenured Faculty member at a local community college, and landed in the state penitentiary as a Basic Skills Carpentry instructor. So how could that be connected to saving lives with a 20 buck investment? Tony got touched by CRI’s trauma-informed training. He saw himself past and present and knew somehow that, “with this information comes the responsibility to...
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Recently released research on ACEs; incarceration; separating families at the border
Behavioral risk factor surveillance system state survey on exposure to adverse childhood experiences (ACEs): Who declines to respond? [Children and Youth Services Review] "A wealth of research has examined the prevalence and impact of adverse childhood experiences (ACEs) via various research methodologies. Some of these studies have also examined the presence of nonresponse bias, showing minimal nonresponse bias effects. More recently, many states and the District of Columbia have used the...
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Report: ACEs and trauma-informed care across 8 countries
The International Initiative for Mental Health Leadership (IIMHL) is a virtual international collaborative which aims to strengthen leadership and thereby improve services for people with mental health or addiction issues. Eight countries belong to IIMHL: Australia, Canada, England, Ireland, New Zealand, Scotland, Sweden and the US. Countries’ pay a small amount to belong and in exchange there are regular communications on innovation, research and national work plus every 16 months a...
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Resource List -- ACEs Science Videos & Documentaries
You can find videos and video clips of ACEs presentations and on-air segments listed here.