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IRT System For Clinical Trials - Octalsoft
An IRT system is known by several names, including IVRS, IWRS, IXRS, and RTSM, but regardless of its name, the system provides a comprehensive set of capabilities for managing patient enrollment and drug supply operations throughout the clinical trial lifecycle.
Enrolling Patients, Randomization, and Blind Protection - as opposed to manual approaches, using the IRT to manage enrollment and/or randomization automates the process and eliminates human error. To preserve research blinding, the system enables for complicated protocol enrollment and randomization design and rigorously controls sensitive information such as treatment arm and drug treatment assignments. But that’s not all. Read on for all you need to know about the utility of an IRT system in modern clinical trials-
How are Patients Randomized using IRT?
The IRT/ interactive web response system will randomly allocate patients to treatment arms in a methodical manner. There are various commonly utilized approaches, including central, subject-stratified, and/or location-stratified randomization systems. The IRT will allocate the individual to the appropriate treatment arm during the randomization visit based on the programmed randomization process. In most cases, the IRT will also provide the individual with the medicine kit that corresponds to the randomized treatment arm.
IRT manages randomization in an automated and centralized manner. It can allow complicated classification and randomization designs that manual randomization cannot. Because randomization occurs without human interaction, it decreases human error. Furthermore, as with other parts of study management, the data is saved in the system for simple tracking. The automated randomization and medication assignment method avoids the need to maintain paper envelopes or cards at the location, where unblinded information might be compromised.
How Does IRT Help Protect the Study Blind?
The IRT/ interactive response system plays a crucial role in preventing unblinded trial data from being shared improperly. Maintaining the blind in blinded trials is critical to the trial's integrity since it prevents bias in how patients are treated. Without this safeguard, the study's findings may be thrown out. Overall, the IRT functions almost as a force field, shielding unblinded information, such as treatment arm and medicine kind, from individuals who should not have access to it.
Access to system functions is limited by user privileges, so only users who should have access to unblinded data in the IRT may view it. This information, like all of the activity captured by the IRT, may be transmitted to or integrated with another system. Controls are implemented to ensure that unblinded data is only transferred securely to the appropriate recipient.
What About Emergency Unblinding?
An interactive web response for system clinical trials is frequently equipped with emergency unblinding capabilities. This can be configured such that Principal Investigators can unblind patients at their locations in the event of an emergency. When the site has an emergency code breach, the system quickly alerts the research team. Often, the patient who was unblinded by the site is instantly removed from the research, prohibiting the IRT from assigning any additional drugs. The IRT can also provide patients access to the Medical Safety team, which can unblind any patient at any location without interfering with their continued participation in the trial.
What are the Benefits of Using IRT for Supply Management?
Individual kits in the depot and on-site are not labeled for specific patients. Instead, patients are given kits when they come for their appointments. As a result, shipments to locations only include enough product stock to fulfill patient demand for a set period of time and resupplies are triggered when stockpiles reach a predetermined level. Because goods are only assigned to patients when they come in for visits, this procedure increases medicine availability at the location while minimizing drug waste. Because the IRT knows what patients are at each location, their treatment arms, and the visit schedule, it can adjust the supply delivered to each site.
Controlling costs requires developing and maintaining an accurate prediction of product demand over the length of a clinical study. The IRT gives Supply Chain Managers real-time updates on patient registration and product inventories across the supply chain. This helps with budgeting, saves waste from hoarding goods, avoids stock-outs, and decreases the need for emergency steps to replace expired pharmaceuticals.
An IRT can also keep track of product expiry dates to ensure that the patient has enough time to take the medication before it expires. It can also notify study managers when expirations are approaching. Because of their limited shelf life, medications that must be actively controlled require this notice. Probably most importantly, an IRT provides supply managers with a comprehensive picture of available supplies at the main depot, subsidiary depot,, and site levels. As a result, they may change their inventory and distribution strategies to fit the current trial circumstances.
How Does IRT Provide Inventory Management?
The IRT/ interactive web response for clinical trials provides a number of capabilities to manage the supply chain in a trial, from the moment supplies are packaged and distributed at the depot to medicine assignment, drug returns, and destruction. When goods are physically packaged and made available in the system, transportation to another depot or location is initiated and tracked. When the Sponsor activates an IRT site, the system sends a request to the depot for an initial supply of medicine.
The depot fulfills the order and delivers it to the spot. When an order arrives at the site, personnel confirms receipt in the IRT and makes the medications accessible for patient assignment. Patients who visit the site are given a medicine kit from the center's inventory. An algorithm within the system is constantly checking the inventory at each station. If the inventory falls below a certain threshold, the supply engine will submit a request to the depot to provide a replenishment. Shipments are made through this closed-loop procedure to accommodate newly enrolled patients, following visits, and any needed replacement stock.
Another key feature of the IRT that is sometimes neglected is the ease with which drug accountability, returns, and destruction may be accomplished. In many research, this procedure is still done manually, which is difficult and time-consuming. Sites can save time, enhance efficiency, and eliminate data input errors by switching the process electronically using the IRT.
What Role Does IRT Play in Patient Tracking and Reporting?
All patient and supply data contained in the IRT database is easily accessible via reports and data lookups. This gives the clinical and drug management teams real-time access to data, study parameters, and alarms.
This facilitates reviewing the research as it goes and making any required changes to things like enrollment or site inventory settings to match the exact condition of the trial at any given moment.
In Summation
Finally, an IRT enhances trial efficiency and the quality of accessible information over the course of a trial perfectly complementing the EDC in use. Clinical trials are all about efficiency and accuracy. Among the most effective technologies implemented for management and efficiency in clinical trial processes are Interactive Response Technology (IRT) and Electronic Data Capture (EDC). These can be effectively integrated to ensure improved conduction of clinical trials, thereby maintaining data integrity, updated real-time data, and an overall efficient operational system..
By incorporating an IRT earlier in the planning phase, solution providers are better positioned to assist complicated trial designs, avoiding typical errors and providing viable solutions and workarounds that have been utilized effectively in studies of a similar sort.
Since IRT systems link together clinical locations, study medicines, and patients, IRTs frequently add clarity and visibility to trial preparation. Including an IRT earlier in the clinical trial planning phase may result in a better knowledge of supply chain demands, boosting the efficiency of inventory management, and hence cost savings over the duration of the study, benefiting sponsors and, eventually, the end patient.
Want to know more about how Octalsoft can help you with a robust, hyperefficient IRT/IWRS? Book a demo with us now.
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full on begging anti-civ people to explain just a little bit more what they mean by "destroy society" and "everything means nothing" and "civilization must end and all products of civilization" i desperately need you to clarify what you mean. those are intricate concepts that encompass vast swaths of the lived experiences of all people on earth, and it is deeply confusing.
instead of slapping down every possible idea for living more sustainably as a species, i would genuinely like to see some alternatives suggested. what do you want the future to look like? what does the "end of society" mean to you? because i feel as though the primary issue among anarchists is that no one can quite agree on what they mean by that, and what they want to see happen in the future. i struggle with it myself!
i just don't think defeatist rhetoric is very actionable, and i also think many anti-civ bloggers tend towards using nihilism to avoid engaging with the practicalities of what their philosophy is asking for - to the point where it gets rather confusing trying to figure out what, exactly, they believe the world should become in the aftermath of the destruction of civilization.
#genuinely am interested in hearing more about anti-civ beliefs#but it is difficult for me to engage in a conversation lacking clarity in the use of words#some people say 'destroy society' and mean it as 'destroy patriarchal class systems and their racializing assemblages'#and some people say 'destroy society' and mean 'society is a globalist conspiracy and must be destroyed' which is very different!#i know the second guy. i went to college with him and initially we got along bc we were both anarchists#then i found out that anarchism to him meant something very specifically white man conspiracy irt jewish people and racial minorities being#'in control' of the government in some way. he legit believes illegal immigrants are being bussed to his shitty hometown to steal jobs#but he also says things like 'we need to destroy society' and for the most part sounds like the average anti-civ anarchist on tumblr#so like i really do want to engage with the idea of anti-civilization because western civ is a poisonous concept built on conquest#i'd also just like some clarification on what yall mean by 'destroy' and also what the future should look like to all of you
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i think it should be mandatory that everyone watch The Social Dilemma at least once every six months
#dear everyone saying that tumblr doesn't have an algorithm: yes it does oh my GOD.#i see people say this so often irt twitter and reddit migration#just because tumblr has a different feed system to facebook/inta/twitter doesn't mean the only things you see are exactly what you want#free of influence or coercion#simplest example is tumblr suggesting users and tags for u to follow. what do you think is informing its suggestions?#how does it know which blogs are similar? it's not by fucking chance#please i know we all clown on what a mess this website is and how poorly it delivers ads but let's not forget that that's a choice they mak#if tumblr wanted to deliver ads in the way other social media sites do they could. but it's part of the image they've created for themselve#hence why they feel they can offer a paid subscription to remove ads that has an off switch so u can still see their weird crazy zany ads#because they know how much we love to clown on their shit ads. they know users will screenshot and share ads if they're weird enough#and they want you to. they're not so incompetent that they can't get us classy ads lol. this is their brand. let's not forget that!#anyway this is all triggered by me sending someone (hi bunni <3) a post of misha collin's sfx make up in gotham knights that popped up as a#recommended post despite me never having watched it or searched for it etc. what triggered that post appearing was me searching/tagging spn#a couple times recently. and of course misha collins and spn are frequently cross tagged. anyway since then i have been bombarded with that#godforsaken show constantly on my dash#sorry to gotham knights enjoyers i get the appeal and i am a dc simp but it's just not for me ig#if u read all this i love u im kissing you sloppystyle and or giving u a firm and warm handshake and or a friendly nod like we're walking#past each other on a beautiful day <3#my post
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honestly after reading mw and message to adolf im so excited to hit the rest of tzks more mature works
#twist rambles#barbara... and ayako... OH AND ALABASTER. and phoenix when i get there is going to make me blow up i think#tzkposting#sorry like... god idk i am enjoying the short story im on (but had to take a break to find a character that ik is in the star system bc its#important to summary) but theres so manyyyy im hyped for. the next one too like. god. im excited to see how it handles stuff irt atomic stu
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Motokiko and SKK for the ship meme?
Motokiko is. Hi. Hello anon I am so normal about them. To get to this point I have like 8000 fics in my head about them and they're actually healthy I swear I prommy they're obsessed with each other. It happens.
As for SKK... maybe surprisingly it's not something I think about much? Or maybe unsurprisingly I seem to love torturing myself with rareships in bsd.
#also theres some kinnie/system shit going on irt motokiko too so there is that#anyway I can go more in depth but i will control myself
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sorry abt the last post im just sick of ppl legitimizing mclean hospital after all the shit theyve done because they want to dunk on the some innocent 16 year old over having too many dangan ronpa fictives or whatever on tiktok more than they actually care about real peoples lives and the actual systemic abuse mentally ill people face it makes me turn into the fucking joker
#infection#syscourse#last post irt this but thats my stance baby#in case it wasnt clear im pro all system origins i dont fucking care#if you side w an abusive institution you may actually be the bad guy btw!
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curse being in class i hit the 30 tag limit last post and i barely even scratched the surface i think but now i want to share most if not all of my headcanons for forzen soooo bad
#black mesa alert system#and also like minor world building stuff like BMSV and how my alien-y species hcs work.#i wanna shout out teamsnice (? i think thats your url i only glanced) for the alien transfer/exchange with canada thing THATS SO COOL!!!!!!!#i didnt even mention how i hc he loves the sea soooo much...#it took me until just now to realise how funny that hc is given he gets stuck in the desert#i gotta talk about my hcs irt benry and everyone else too. his relationships with them.....oouughhh#like i said im shy about sharing hcs but im thinking about maintagging the post or smth to actually share with the community
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u ever have to back out of a drama explained video bc ur like. i agree that that person was in the wrong but the way youre presenting them is just unsettling
#like theres a difference between 'hey heres a breakdown of who waid what and what happened' and#'look at this zoo animal and what a freak they are for this freak thing they did‚ everyone point and laugh at them wherever they go forever#specifically if you put quirky music and a dramatic voiceover over a clip of someone having a screaming#breakdown in their car telling people to leave them alone i think thats uhhhhhh fucked up no matter what they did#and ppl will always be like 'well they could just log off so its fine' and its like a) didnt we learn in like elementary school that#cyberbullying is still real bullying#like to me that gives the same vibe as 'why didnt they just leave' irt abusive relationship if that makes sense?#like yeah physically they are capable of just logging off. physically they can choose to leave. but theres a lot more#that goes into it than just 'can i physically leave'#like. ppl who do abuse over the internet know how the internet works and know how to use#means other than ohysical strength to keep targets under their control#'if you dont respond to my messages whenever i send them ill kill myself. no i didnt directly say that but#i repeatedly messaged you at times i knew you had just gone to sleep faking suicide attempts making you feel#like its your fault for not being available to respond 24/7'#its 'youre the only person i can talk to about these things no one understands me like you. you are my whole support system and therefore#wholly responsible for my mental health#if you leave me ill have no one so you will be dooming me to fall apart on my own when i need support the most so you can never leave me'#its 'how can you break up with me right now knowing im feeling suicidal‚ its like you want me to kill myself‚ you did this deliberately bc#youre a bad person. my life depends on you staying with me and i will never not be suicidal#and even if i was you saying that would make me feel that way so you can never break up with me or youre responsible for me kmsing#im not saying thats at all the same as ppl taking drama too far and freaking out abiut stuff however i feel like a good portion of it#carries over specifically the fact that. they probably feel like they /have/ to stay logged in‚ to keep their drama public#they have to keep defending themselves and keep reading responses and keep going and going#plus like. of course its the big freakouts that get lots of attention and therefore get even worse#good or bad people like spectacle‚ you never see people calmly resovling disagreements because they.#get calmly resolved then everyone moves on and forgets it. so you only remember the wild ones#like esp for like. kids on tiktok#we all had meltdowns about petty shit at one point or another we just were lucky enough to grow up just before#social medias jumped over to video content so it doesnt have our faces tied to it#idk. i just think ppl should ask themselves 'how would i feel if an audience of thousands was watching my lowest moment like this'
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watching the new philosophytube video and fuck. goddamn.
#philosophytube#amazing as usual#but also rly fucking harrowing#not only for the specific example she focuses on but really how this same bullshit has been ruining people's lives and everything else#across so many other sectors as well#like the approach to climate change and the pandemic#and as someone who has recently been sending in complaints and trying to change the system even in a small way irt covid#i feel so spoken to over how helpless i feel and how frustrating the entire thing is#and how the whole system is designed to keep chugging away no matter how bad and inefficient it is#and swallow up and spit out anyone who dares try and change it#so absolute fucking kudos and respect to abigail for going as she did against the NHS#abigail thorne is stronger than any US marine
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Personally I do think the quadrants can be kinda gay and reductive they are fun there is for sure fun to be had with them but like yeah I do like the idea of trolls who are like I don't want to do that any more it didn't work for me. And I don't think that means "it's basically matesprits/moirails then" like I think it means playing polycule tic tac toe is not everyone's thing and you don't have to call it that if you don't want to. Doesn't mean they Converted to human system of love necessarily. And anyway on that note you're getting mad at humans for trying to interpret alien love in a human way I think that's like stupid idk. Like who cares. Me since I wrote this
#text#im literally just vagueing. sorry. to my 5 followers#like i dont think that trolls are necessarily hardwired to work based on a fucking grid like i do see the paralell irt like#caste system and gender binary etc#like i dont know i think it is strange to say yeah this one is nonsense but this one is infallible truth
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Are the communists that don't support major labor action in the room with us right now
Of all of the online behavior that be called "fed" the weird anti-labor arguments Internet "communists" come up with to justify not supporting whatever major labor action is currently happening is definitely one of the ones that may actually be done by "feds" and/or adjacent organizations
#i like this dudes posts because it always comes off like he just made something uo and youve got dozens to hundreds of people going#hmmm yes brilliant analysis .#bonus points: do you think being critical of the way that some unions operate irt dues taken vs advocacy for employees is like.#anything that constitutes being against major labor action#or do you just vonsider critique of the social systems you like to be out of hand ridiculous
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Muy Drafts Lately
#ii stopped writing in my diary recently. barely days after rhe 1 year anniversary.#im not sure hwy.#but ive been treating This Site like my diary lately#just shoving everything in drafts instead#aaaaand i keep going ''im really gonna o irt. im gonna post ths one'' and then i dont#i hit draft cause i decide at the last minute i went too deep#noooo i cant put that on the internetttt#forcing myself to post this one because um human need for connection and to be known i guess#dude. dude. im so stressed#high school has made me more stressed than anything else in my entire life ever has#i would rather be 3 years old lost in the woods again!!!#if i went through the school system i bet i wouldnt have this problem. id be Used To This by now.#my life would be a lot worse in a lot more ways BUT AT LEAST I WOULDNT BE DEALING WITH THIS SPECIFIC ISSUE#oh my god i need to stop talking or i will be drafting AGAIN!!
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you have some really evil, selfish and toxic ideas irt whos allowed to have friends, you know? i see pop psy people like you all the time making lists of things that are clear and obvious trauma induced behaviour, and then immediately flip to how if you have a friend who ever behaves like this they are evil and need to be cut off, theyre not allowed to have support systems to get better! you really hate bad victims, huh? if someone isn't demure and cowering and self effacing in their symptoms they don't deserve anyone? i got assaulted and when my friend group threw me out on my ass and called me too fucked up for acting erratic and strange in the aftermath and being unable to communicate why they used your posts to justify it. its sick that people like you will look at someone uncontrollably acting out their ptsd and go wow you aren't doing this nice enough to be tolerated! people like you talk so much about compassion but when it comes to people in actual crisis you don't give a shit. no, theyre acting too problematic. just cut them off! no one should help their friends!
original post
Please allow me to take this opportunity to make some things clear.
First, you do not know me. You do not know anything about me. You do not know where I've been, where I'm going, or where I am. All that you believe that you know is extrapolated from information I have volunteered to share. Information that is, by clear and honest choice, edited for both safety and personal security. Remember this.
Second, and I say this in the kindest of ways, because I have had to learn this lesson myself:
Nobody Owes You Shit.
Have you ever saved someone from drowning?
I have.
Do you know that a drowning person struggling to get air will instinctively drag you under them?
It's hard to save people in the water. It takes specific skills and knowledge that not everybody has. Not everyone can save a drowning person without drowning in the process.
The lifeguard needs energy, and strength, and expertise, and persistence.
The swimmer needs self-restraint, and composure, and the desire to be helped, and the ability to do what they can to facilitate their own rescue.
I believe in kindness, and generosity, and compassion. I believe in trying persistently, and in giving the benefit of the doubt wherever possible. I believe that people are good, and small, and trying. And I believe that I can give all the energy I have inside of me to help someone and still come up short.
So you're drowning? I'm sorry. That must be terrifying. That must be miserable. You must be experiencing the worst moments of your life. I hope someone nearby knows how to help you. I hope they have a raft you can climb into, or a rope for you to grab, or a float you can cling to. I hope things get better. I'll call for help, and give you what I can to get you to shore.
But don't you dare drag me under water and curse me for saving myself.
Now get out of my fucking inbox.
#Negativity cw#I don't owe you my medical history#I don't owe you my personal history#You don't know what kind of person I've been#But I promise that person was not always pleasant#Kindness is a choice#Kindness is a blessing#And blessings can be withheld#It doesn't mean you deserve your pain#But nobody else does either#Yeah it sucks#But what are you going to do now#Nobody can rescue you#So what's the plan
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With all the DPxDC crossovers here I'm surprised I haven't seen anyone take a stab at giving Danny the Absolute treatment. That is, reimagining his story with one crucial element removed.
My pitch: Danny without the ghost zone.
In this universe, there is no separate dimension that only ghosts inhabit. They're all in our world but can't be seen by people most of the time.
Jack and Maddie still built the portal, believing in a ghost zone, but all it did was collect ambient ghost energy and release it onto Danny. After that it just went inert.
Not only is this a big change in how the DP universe works but it would give another challenge to Danny. He can't simply catch ghosts and release them into the Ghost Zone. Instead he's left with three options.
Help resolve the ghost's issues, letting them find peace and/or move on.
Destroy them.
Trap them in the thermos and leave them there until 1 or 2 are possible.
Being forced to keep ghosts imprisoned indefinitely or flat-out destroy them would take its toll on Danny, and depending on what his support system is like in this universe, could make things even worse for him.
(Irt support personally I like some variation of this.)
#danny phantom#dc absolute universe#dp au#my posts#i've read the first issues of absolute batman and absolute wonder woman#and both look very promising#i was worried they'd be yet another grim and gritty reboot but it seems a lot of thought was put into them
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the randoms upport is soooooooo lol cuz theyve always made horrible bad taste jokes about her getting abused. Like they've always viewed her as battered that has always been a thing. They need thhat youtuber to be the worst person possible so of course shes abusing her wife as well. Thats always been a thing so the random ass "feel free to leave her and come to us for community :)" feels faker than it does corny
THeir reaction to her sibling criticizign them continues to prove that their weird random support for her wife is completely conditional sincerely if there was a world where they were correct and she leaves PUHLEASEEEEEEEEEE go literally anywhere that is not a fucking tumblr lolcow community 😭 they only want you to leave so they could get dirt on her if you dont give them anything i highly doubt theyd change the way they talk about you
#irt to te sibling situation. rude but this is kind of predictable when you use lolcow people to get 'justice'#ah.. you thought they wanted to help you.. no theyre just here to get anything they can on some youtuber they have an unhealthy obsession w#but like. yeah if it were true she were abused then litrally her best option here would be to just leave the whole situation alone#dont switch sides or anything just GO. literally everybody on earth deserves a better support system than a fucking tumblr drama tag
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btw am i the only person that hates the fandom conception of sabo as like crazy & unhinged irt violence? like not only are there ableist undertones, more specifically as it pertains to his head injury & potential brain trauma, but it also just seems to function as a way to ignore the fact that sabo isn’t just a part of a militant anti-establishment resistance group with the aim of revolution because it’s en vogue. like, he is not regularly partaking in violent direct action against the world government because he thinks it’s # edgy. he’s partaking in it because he has specific political aims that will be furthered by such acts, with the hope of bettering society on the whole. tbh it comes off as very like “oh of course we don’t need to think about the fact that he’s presented as having a very thoughtful & coherent system of beliefs regarding the nature of freedom, the right people have to autonomy & self determination, the corruption innate to capitalist structures & the function of state apparatuses, etc. that is rooted in personal experience as well as compassion & understanding granted to the experience of others. we don’t gotta reflect on what that could say about the narrative or how it interacts with the themes of the main plot or anything, there is no genuine political commentary or espousal to be found here. he’s just a cuckoo bird who’s in it for the kicks lol!”
maybe i’m being overly serious, but like. okay it’s not necessarily that i don’t expect characters depicting an ideology that is radically against the status quo of the modern era on a foundational level to be entirely sanitized of their beliefs in audience discussion as a means of making them more palatable while allowing the audience to remain intellectually complacent to the aforementioned status quo, but does fandom have to partake so wholeheartedly? & do so without a hint of irony? can’t we do better? & like, again, to be clear- i am aware that this is generally what happens to revolutionary characters on the whole, it is just disappointing to see in the op fandom particularly when considering how integral the politics reflected by both the revolutionary army & the straw hats are to the source material.
#fandom critical#ig like to be safe#sabo the revolutionary#revolutionary sabo#one piece#☀️#also if anybody is curious i personally tend to view the ra as anarchist &/or anarchocommunist leaning based on my current understanding of#things. like they do not seem to have the intention of replacing the state system with worker led states as much as to abolish hierarchy o#the whole. but like i 100000% need to read more non-fiction so huge grain of salt there yk.#sabo
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