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Full-Text Articles in Medicine and Health Sciences

Empathic Instruction Through Literary Narratives: A Quasi-Experimental Study Of An Occupational Therapy Course, Cavenaugh P. Kelly May 2021

Empathic Instruction Through Literary Narratives: A Quasi-Experimental Study Of An Occupational Therapy Course, Cavenaugh P. Kelly

Electronic Theses and Dissertations

This study examines concerns within the field of occupational therapy on the growing disconnect between the profession’s roots and espoused beliefs in empathic-centered care, and the modern realities of health care. In particular, the study examined whether the empathy levels of occupational therapy students would change after a course involving the close reading of literary narratives. Close reading of literary narratives has correlated with improved levels of empathy. Empathy is defined as a four-step dynamic process involving Theory of Mind (ToM), emotional resonance, emotional regulation, and empathy as a willful act. Initial study of the proposed curriculum found improved ...


Rurality As A Moderator Of Perception Of Need For Medical Care And Patient Satisfaction, Kyndal Grammer May 2021

Rurality As A Moderator Of Perception Of Need For Medical Care And Patient Satisfaction, Kyndal Grammer

Electronic Theses and Dissertations

Many individuals experience barriers to accessing medical care, especially in rural areas. Some barriers are attitudinal and represent perceptions of quality care. Patient satisfaction and perceived need for medical care are two such attitudinal barriers related to health care utilization, yet the relationship between these variables has not been explored. Using data from an online survey, the current study examined the association between these variables, and further, whether rurality status moderated this association. Results indicated a significant correlation between patient satisfaction and perception of need. Although the overall moderation model was significant, perception of need was not significantly associated with ...


Vitamin B12 Deficiency Does Not Stimulate Amyloid-Beta Toxicity In A Ceanorhabditis Elegans Model Of Alzheimer’S Disease, Opeyemi F. Showemimo May 2021

Vitamin B12 Deficiency Does Not Stimulate Amyloid-Beta Toxicity In A Ceanorhabditis Elegans Model Of Alzheimer’S Disease, Opeyemi F. Showemimo

Electronic Theses and Dissertations

Alzheimer’s disease (AD) is symptomized by amyloid-beta plaques in the brain and accounts for more than 65 percent of dementia cases. Vitamin B12 (cobalamin) deficiency can result in similar cognitive impairment and roughly 15% of the elderly are vitamin B12 deficient. Vitamin B12 deficiency results in the accumulation of toxic methylmalonic acid and homocysteine. Hyperhomocysteinemia is a strong risk factor for AD. To test if vitamin B12 deficiency stimulates amyloid-beta toxicity, Caenorhabditis elegans expressing amyloid-beta in muscle were fed either vitamin B12-deficient OP50-1 or vitamin B12-rich HT115(DE3) E. coli bacteria. Increased amyloid-beta toxicity was found in worms fed ...


Sarcopenia Screening By Registered Dietitian Nutritionists (Rdns) In The United States (U.S.), Madison Marcom May 2021

Sarcopenia Screening By Registered Dietitian Nutritionists (Rdns) In The United States (U.S.), Madison Marcom

Electronic Theses and Dissertations

Sarcopenia is a disease of muscle wasting primarily seen in older adults. Although this term was first coined over three decades ago, there is a lack of consensus on a definition, screening criteria, and treatment protocol for sarcopenia. The primary purpose of this study is to determine whether registered dietitian nutritionists (RDNs) in the United States (U.S.) screen for sarcopenia. Study participants were recruited through a randomized email list and included RDNs throughout the U.S. Respondents completed a survey questioning knowledge of sarcopenia, screening tools and company protocols in place, and the need and desire for sarcopenia education ...


Agreement Level Of Running Temporal Measurements, Kinetics, And Force-Time Curves Calculated From Inertial Measurement Units, Austin Smith May 2021

Agreement Level Of Running Temporal Measurements, Kinetics, And Force-Time Curves Calculated From Inertial Measurement Units, Austin Smith

Electronic Theses and Dissertations

Inertial measurement units (IMUs) and wearable sensors have enabled athlete monitoring and research to become more ecologically valid due to their small size and low cost. IMUs and accelerometers that are placed on the body close to the point of impact and that record at sufficiently high frequencies have demonstrated the highest validity when measuring temporal gait event moments such as ground contact time (GCT) and flight time (FT) as well as peak forces (PF) during upright running. While the use of IMUs has increased in the sport performance and athlete monitoring realm, the potential of the technology’s ability ...


How Nutrition Knowledge Of Coaches, Athletic Trainers, And Strength And Conditioning Specialists Translates To Their Athletes, Alexa Carbone May 2021

How Nutrition Knowledge Of Coaches, Athletic Trainers, And Strength And Conditioning Specialists Translates To Their Athletes, Alexa Carbone

Electronic Theses and Dissertations

The basis of dietary habits is linked to an individuals’ nutrition knowledge; for collegiate athletes this is the difference between optimal performance and falling short. To understand how nutrition information is disseminated to student-athletes, this research surveyed the athletes themselves and their sports staff (coaches, athletic trainers, and strength and conditioning specialists) on their current knowledge. Sport staff and student-athletes at East Tennessee State University were given the opportunity to participate in a 52-question online survey that tested both their general and sports-related nutrition knowledge. While the study sample size did not allow for statistical analyses required to address all ...


Hemin Utilization In Rhizobium Leguminosarum Atcc 14479, John Lusby May 2021

Hemin Utilization In Rhizobium Leguminosarum Atcc 14479, John Lusby

Electronic Theses and Dissertations

Rhizobium leguminosarum is a Gram negative, motile, nitrogen-fixing soil bacterium. Due to the scarcity of iron in the soil bacteria have developed a wide range of iron scavenging systems. The two types of iron scavenging systems used are indirect and direct. In-silico analysis of the genome identified a unique direct iron scavenging system the Hmu operon. This system has been identified in other closely related rhizobium species and is believed to be involved in utilizing heme compounds as a sole source of iron. We have attempted to characterize the role of the Hmu operon in iron utilization by monitoring the ...


Identification Of Transcription Regulators Of The Algz/R Two-Components Regulatory System In Pseudomonas Aeruginosa, Kwasi Yeboah May 2021

Identification Of Transcription Regulators Of The Algz/R Two-Components Regulatory System In Pseudomonas Aeruginosa, Kwasi Yeboah

Electronic Theses and Dissertations

Pseudomonas aeruginosa is an opportunistic pathogen that express a plethora of virulence components controlled through two-component regulatory systems that allow for sensing and responding to environmental stimuli. This study was aimed at identifying transcription regulators of algZ that encodes the histidine sensor kinase (AlgZ) of the AlgZR two-component regulatory system. To understand how the algZ gene is transcriptionally controlled, transposon mutagenesis was used to create a mutant library with varying algZ expression based on their b-Galactosidase activity. The gene PA3327 was identified as a potential regulator of algZ expression using arbitrary PCR. This gene encodes a probable non-ribosomal peptide synthetase ...


Handling And Manipulation Of Water- And Air- Borne Biological Samples Using Liquid-Infused Surfaces, Daniel P. Regan Apr 2021

Handling And Manipulation Of Water- And Air- Borne Biological Samples Using Liquid-Infused Surfaces, Daniel P. Regan

Electronic Theses and Dissertations

Research on novel materials to handling water- and airborne samples for biological threats analysis is in great demand due to the COVID-19 pandemic. Work conducted on a new field of material science, called liquid-infused surfaces, demonstrate strong potential for the handling and manipulation of biological samples. As a result of the field’s infancy, only a limited number of studies have explored how liquid-infused surfaces can apply droplet manipulation strategies to address real-world problems. Presented in this dissertation are two platforms that leverage liquid-infused surfaces to address the challenges associated with handling water- and airborne biological samples. When dealing with ...


Relationship Between Medical-Surgical Nurse Manager Age, Level Of Education, Gender, Tenure, And Staff Nurse Turnover, John B. Summers Apr 2021

Relationship Between Medical-Surgical Nurse Manager Age, Level Of Education, Gender, Tenure, And Staff Nurse Turnover, John B. Summers

Electronic Theses and Dissertations

Medical-surgical nursing unit nurse turnover rates of over 20% annually are consistently higher than other RN specialty turnover rates. The purpose of this quantitative study was to examine the relationship between medical-surgical nurses’ ages, levels of education, and turnover intentions. Ninety-one medical-surgical nurse managers (NMs) recruited from the Dallas-Fort Worth metroplex responded to the survey questionnaire. The study used inferential statistics. The result of the analyses showed a negative association between educational attainment and turnover rates; however, the relationship was insignificant, rs(91) = -.251, p = .016. The second set of hypotheses considered the relationship between NMs’ tenure and their units ...


Experiences Of African American Veterans With Regards To Ethnicity, Mental Health, And Homelessness, Jeffrey Redmond Apr 2021

Experiences Of African American Veterans With Regards To Ethnicity, Mental Health, And Homelessness, Jeffrey Redmond

Electronic Theses and Dissertations

Having a secure and permanent home is an important foundational, psychological need because it influences the fulfillment of other aspects of a person’s life. Given the importance of shelter in the well-being of any individual, the problem of homelessness among veterans underscores the significance of ensuring that veterans have access to this basic human need. This phenomenological, qualitative study explored the lived experiences of African American homeless veterans regarding to ethnicity, housing, mental health, and being unhoused with the intent of understanding or identifying meaning in regards to these experiences. The overrepresentation of African American homeless veterans leads to ...


Toward Improving Understanding Of The Structure And Biophysics Of Glycosaminoglycans, Elizabeth K. Whitmore Apr 2021

Toward Improving Understanding Of The Structure And Biophysics Of Glycosaminoglycans, Elizabeth K. Whitmore

Electronic Theses and Dissertations

Glycosaminoglycans (GAGs) are the linear carbohydrate components of proteoglycans (PGs) that mediate PG bioactivities, including signal transduction, tissue morphogenesis, and matrix assembly. To understand GAG function, it is important to understand GAG structure and biophysics at atomic resolution. This is a challenge for existing experimental and computational methods because GAGs are heterogeneous, conformationally complex, and polydisperse, containing up to 200 monosaccharides. Molecular dynamics (MD) simulations come close to overcoming this challenge but are only feasible for short GAG polymers. To address this problem, we developed an algorithm that applies conformations from unbiased all-atom explicit-solvent MD simulations of short GAG polymers ...


Hospice Families Shared Experiences With Time-Of-Death Visits, Katherine S. Katzenberger Apr 2021

Hospice Families Shared Experiences With Time-Of-Death Visits, Katherine S. Katzenberger

Electronic Theses and Dissertations

The death of someone we love is a life-altering experience and may happen in a variety of settings. Hospice patients may die in their homes with their loved ones caring for them in their last moments of life. Families may receive a visit at the time of death from their hospice nurse. Few studies have been conducted looking at the lived experiences of home hospice families that have received a visit at the time of death from hospice. To better meet these families’ needs, the researcher conducted a study to explore and better understand their lived experiences. A qualitative phenomenological ...


The Effect Of Breastfeeding Education In African American Women On Initiation And Duration Of Breastfeeding, Shalawn F. Harris Apr 2021

The Effect Of Breastfeeding Education In African American Women On Initiation And Duration Of Breastfeeding, Shalawn F. Harris

Electronic Theses and Dissertations

Abstract

This Doctor of Nursing Practice scholarly project aimed to evaluate the effectiveness of breastfeeding education in African American women on the initiation and duration of breastfeeding. Studies demonstrated that breastfeeding education by providers and a breastfeeding support network positively influenced breastfeeding initiation and continuation in African American women. Breastfeeding education containing information on the decreased risk of breast cancer in African American women may be an even greater motivator for breastfeeding. Participants for this project were African American women, ages 18–50, in their last trimester of pregnancy. The project was approved to be implemented at an urban clinic ...


A Systematic Review Of Acuity-Based Staffing In Acute Healthcare Environments, Demitria Idella Stafford Mar 2021

A Systematic Review Of Acuity-Based Staffing In Acute Healthcare Environments, Demitria Idella Stafford

Electronic Theses and Dissertations

Nursing leadership is responsible for considering the equity of patient care assignments when providing nursing care. Nursing leadership is responsible for assuring the delivery of patient care assignments with the intent to offer nurses an unbiased, evenly distributed patient load. Effective distribution of patient care assignments ensures patients receive the safest, most efficient, and highest quality of care. The purpose of this project was to provide nursing leadership with an executive summary of a systematic review of evidence-based research on the structure and process of making patient care assignments, and it provided evidence on how those patient care assignments affect ...


Perceptions Of Migrant And Seasonal Head Start Parents About Childhood Vision Care Utilization, Felicia R. Thomas Mar 2021

Perceptions Of Migrant And Seasonal Head Start Parents About Childhood Vision Care Utilization, Felicia R. Thomas

Electronic Theses and Dissertations

The benefits of pediatric vision screening for very young children is not a new concept. However, not all children receive this valuable preventative intervention, or they do not receive an evaluation or examination to rule out or treat common visual refractive errors. This Doctor of Nursing Project sought to identify factors that impact a parent’s failure to follow up on recommendations for further evaluation or treatment following their child’s failed vision screening. The project utilized a phenomenological study to assess Migrant and Seasonal Head Start parents’ perceptions about their perceptions of the need for preventative vision screening and ...


Program Evaluation Exploring Effectiveness Of Experiential Learning Activities On Transition To Practice In An Occupational Therapy Educational Program, Kari M. Williams Feb 2021

Program Evaluation Exploring Effectiveness Of Experiential Learning Activities On Transition To Practice In An Occupational Therapy Educational Program, Kari M. Williams

Electronic Theses and Dissertations

This mixed methods program evaluation sought to determine the current curriculum’s overall effectiveness in relation to student readiness for fieldwork. The use of teaching practices in this occupational therapy curriculum was evaluated to determine if they support a successful transition to professional practice. Qualitative data was collected through semistructured interviews to ascertain student satisfaction with the educational program, student readiness for fieldwork, and the student perception of the educational program’s mission. Semistructured interviews were also used to gain insight from fieldwork educators regarding student readiness for practice and the effect of the program mission on student performance. Quantitative ...


Std Prevention: An Educational Intervention For Exotic Dancers, Maria Delurdes Dehoyos Feb 2021

Std Prevention: An Educational Intervention For Exotic Dancers, Maria Delurdes Dehoyos

Electronic Theses and Dissertations

The Centers for Disease Control and prevention reported nearly 2.3 million STD cases diagnosed in 2017, and the number is continuing to rise. San Antonio, Texas, is ranked third in the state of Texas with the highest STD rates and leading in the state with congenital syphilis. There is an increased risk for contracting STDs working in the sex industry. There are little to no studies pertaining to any educational interventions offered to exotic dancers to increase personal knowledge on STDs. This research has focused on an educational intervention offered by a nurse practitioner to exotic dancers in two ...


Characterization Of Cucurbitacin-Inspired Estrone Analogues As Novel Inhibitors Of Human Atp- Binding Cassette Proteins (Abcb1 And Abcc1), Jennifer Kyeremateng Jan 2021

Characterization Of Cucurbitacin-Inspired Estrone Analogues As Novel Inhibitors Of Human Atp- Binding Cassette Proteins (Abcb1 And Abcc1), Jennifer Kyeremateng

Electronic Theses and Dissertations

ATP-binding cassette (ABC) transporters are a large class of integral membrane proteins that contribute to key physiological functions in all organisms by utilizing ATP binding and hydrolysis to transport diverse substrates across membrane barriers. P-glycoprotein (P-gp/ ABCB1) and Multidrug Resistance protein 1 (MRP1/ABCC1) are widely reported ABC transporters associated with multidrug resistance in cancer. Multidrug resistance (MDR) mediated by P-gp and MRP1 is responsible for treatment failures of many metastatic cancers as a result of reduced accumulation, bioavailability and diminished potency of anticancer drugs. Currently, known P-gp and MRP1 inhibitors are limited due to toxicity, lack of selectivity and ...


Association Between Prepregnancy Obesity And Health Behaviors, Adverse Conditions, And Birth Outcomes In South Dakota, Lily Sanderson Jan 2021

Association Between Prepregnancy Obesity And Health Behaviors, Adverse Conditions, And Birth Outcomes In South Dakota, Lily Sanderson

Electronic Theses and Dissertations

Introduction: Prepregnancy obesity is associated with an increased risk for various adverse outcomes for mother and fetus. These adverse associations exist within the realms of preconception health, prenatal health, birth outcomes, and postnatal health.
Methods: This retrospective cohort study used data from the South Dakota Pregnancy Risk Assessment Monitoring System (SD PRAMS) survey, which is an ongoing statebased surveillance system of maternal behaviors, attitudes, and experiences before, during, and shortly after pregnancy. The 2017 and 2018 SD PRAMS sampled a total of 3,805 mothers who were randomly selected from birth certificate records to be representative of all South Dakota ...


Injury Reporting Barriers Amongst Aviation Soldiers, Morgan Stanwood Jan 2021

Injury Reporting Barriers Amongst Aviation Soldiers, Morgan Stanwood

Electronic Theses and Dissertations

There is a high prevalence of musculoskeletal injuries in the U.S. military which poses a major threat to military readiness. However, recent research indicates that Soldiers do not seek medical care for nearly half of their injuries. PURPOSE: Identify barriers in injury reporting using the Theory of Planned Behavior within a U.S. Army special operations aviation population. METHODS: This descriptive study utilized a self-report survey to explore injury rates, reporting rates, and perceptions of reporting behaviors. RESULTS: Of the 108 Soldiers who completed this study 77.8% experienced a MSKI in the previous 12 months and 69% sought ...


The Quantification Of Training Load In Professional American Soccer Players, Drew S. Dejohn Jan 2021

The Quantification Of Training Load In Professional American Soccer Players, Drew S. Dejohn

Electronic Theses and Dissertations

Training load (TL) has become a common tool to measure the exertion of athletes over the course of a session or season. However, there is still limited understanding of the load placement throughout training weeks within American professional soccer. The purpose of this study was to quantify potential differences in the external [duration, total distance (DT), explosive distance (DE), sprint distance (DS), maximum speed (SpeedMax) and number of sprints (#S)] and internal [session rating of perceived exertion load (S-RPE Load), average heart rate (HRAvg), peak heart rate (HRPeak), time spent above 90% heart rate ...


Athletics As A Life Curriculum: Lessons Learned Through Different Aspects Of Athletics, Thomas J. Davis Jan 2021

Athletics As A Life Curriculum: Lessons Learned Through Different Aspects Of Athletics, Thomas J. Davis

Electronic Theses and Dissertations

For my dissertation, I decided to write a memoir to have the opportunity to go through the self-reflection process and learn more about my inner self. I wanted to learn how the life experiences I write about have affected me as a student-athlete, coach, teacher, parent, and how they have shaped me into who I am today. I took instances from my life in athletics that I believe are significant in the development of my overall being. Educational scholars such as William Pinar (1995, 2004), John Dewey (1916/2019, 1933), Frederic Gros (2011), Immanuel Kant (1908/2015), Nel Noddings (2005 ...


Thinking Ethically About Hiv Pre-Exposure Prophylaxis: Retention In Care And Sexually Transmitted Infection Testing In A Southeastern United States Local Health Department In The Time Of Covid-19, Ellie Purdy Jan 2021

Thinking Ethically About Hiv Pre-Exposure Prophylaxis: Retention In Care And Sexually Transmitted Infection Testing In A Southeastern United States Local Health Department In The Time Of Covid-19, Ellie Purdy

Electronic Theses and Dissertations

Local Health Departments (LHDs) are critical providers of Human Immunodeficiency Virus (HIV) and sexually transmitted infection (STI) prevention efforts. HIV Pre-Exposure Prophylaxis (PrEP) is an evolving public health initiative and practitioners should consider PrEP interventions in context of ethical decision-making and a broad STI prevention strategy as global incidence of bacterial STIs remains high and those at-risk for HIV are generally at-risk for other STIs. An evaluation of the Thinking Ethically framework and LHD PrEP services was performed to fill a gap in the literature and support program decision-making. A retrospective review of PrEP user medical records from a LHD ...


Long-Term Disability Following A Hamstring Injury, Savannah Mclain Jan 2021

Long-Term Disability Following A Hamstring Injury, Savannah Mclain

Electronic Theses and Dissertations

PURPOSE: Injuries to the hamstring complex are one of the most commonly seen lower extremity injuries in athletic populations. It is currently unknown how psychological or sociological factors affect an athlete after the recovery process has ended and if these factors play a role in re-injury rates relating to the hamstring. It is also unknown if athlete confidence level changes while in a fatigued state after an athlete returns to play from a hamstring injury. METHODS: Twenty-six physically active adults with and without a previous hamstring injury were recruited for this study. Participants completed a Qualtrics survey that included demographic ...


Assessing Dairy Farm Employees Health, Leyby Stephany Guifarro Rodriguez Jan 2021

Assessing Dairy Farm Employees Health, Leyby Stephany Guifarro Rodriguez

Electronic Theses and Dissertations

This Master thesis evaluates the impact of general health care and eating habits (Study 1), vision care (Study 2), and mental health status (Study 3) on Latino dairy farmworkers lifestyle and work performance in South Dakota. We hypothesized that the health status of dairy workers has a negative impact on the workers’ job performance. In study 1, data from a total of 70 participants were collected, using a face-to-face survey in Spanish, which allowed us to assess various topics and details related to employees’ daily routine tasks, eating habits, and general health status. Furthermore, recommendations to improve general health care ...


Go Talk To Your Employee: A Sequential Mediation Analysis Of Leader Communication Frequency And Employee Turnover Intent, Max Weaver Jan 2021

Go Talk To Your Employee: A Sequential Mediation Analysis Of Leader Communication Frequency And Employee Turnover Intent, Max Weaver

Electronic Theses and Dissertations

Employee turnover has significant negative costs to healthcare organizations. While leadership communication styles and quality have been empirically supported to reduce turnover intentions, our understanding of specific modalities of leader intervention is not well understood. This paper sought to understand how the specific act of communication frequency reduces turnover. Through the lens of Leader-Member Exchange (LMX) and role dynamic theories, mediating effects of LMX quality and job satisfaction were investigated to further understand this proposed relationship in a sample of healthcare workers in the Midwest/US. Results indicate that communication frequency was negatively related to turnover intent. Furthermore, while LMX ...


Qualitative Study Of Collaboration Between Independent Reading Specialists And Elementary Classroom Teachers, Lindsay Lee Hawbaker Jan 2021

Qualitative Study Of Collaboration Between Independent Reading Specialists And Elementary Classroom Teachers, Lindsay Lee Hawbaker

Electronic Theses and Dissertations

Abstract

The failure of educators to meet the needs of elementary students who require separated, differentiated, and intensive reading interventions (Tier 3) has been attributed to the scarcity of administrative resources and a lack of effective collaboration between reading specialists and classroom teachers. Experts opine that common barriers to effective collegial collaboration between institutional reading specialists, who are employed by the school, and classroom teachers include: an unsupportive school culture, the classroom teachers’ fear of losing pedagogical autonomy, the absence of mutual trust and interdependence between the reading specialists and their students’ classroom teachers, and the inability of reading specialists ...


Epidemics, Politics And Public Health: Ludwig Rajchman, Md, The League Of Nations Health Organization And The Creation Of A Transnational Health Institution, Paul J. Weinbaum Dec 2020

Epidemics, Politics And Public Health: Ludwig Rajchman, Md, The League Of Nations Health Organization And The Creation Of A Transnational Health Institution, Paul J. Weinbaum

Electronic Theses and Dissertations

Traditional scholarship on the League of Nations labels the organization as a failure because it did not prevent the outbreak of the World War II. Recent research examines League activities in a more comprehensive manner and concludes that the organization should be credited with important and enduring achievements. Perhaps the most successful work was carried out by the Health Section led by Dr. Ludwick Rajchman. Using primary sources from the League archives in Geneva, documents from organizations such as the Rockefeller Foundation, articles from medical journals and other relevant secondary sources, I argue that the Health Section, became the world ...


Undergraduate Nursing Students’ Learning Style Preferences And Preferred Faculty Teaching Methods Compared To The Actual Methods Used By Faculty, Linda Simpson Dec 2020

Undergraduate Nursing Students’ Learning Style Preferences And Preferred Faculty Teaching Methods Compared To The Actual Methods Used By Faculty, Linda Simpson

Electronic Theses and Dissertations

Aim. The aim of this study was to examine the generational differences of undergraduate nursing students’ learning style preferences and their preferred faculty teaching methods to the teaching methods used most often by nursing faculty in the classroom.

Background. Nursing educators are responsible for creating learning environments that are effective for students that are in different generations and nursing educational pathways. Each generational cohort brings a collective set of characteristics, expectations, and preferences to the classroom, challenging educators to balance the generational learning styles of all students with respectable, evidence-based, pedagogical approaches. This study was one of the first to ...