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For the blue-collar worker the driving force behind change was factory automation using programmable machine tools. For the office worker it's office automation using computer technology: enterprise-resource-planning systems groupware intranets extranets expert systems the Web and e-commerce.

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My experience as a school nurse taught me that we need to make a concerted effort all of us to increase physical fitness activity among our children and to encourage all Americans to adopt a healthier diet that includes fruits and vegetables but there is more.