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The Covid Whirlwind On The Veterinary World: End-Of-Life Care And Euthanasia During The Covid-19 Pandemic, Elizabeth Chalmers, Paula Gerstenblatt, River Hodgdon Jul 2023

The Covid Whirlwind On The Veterinary World: End-Of-Life Care And Euthanasia During The Covid-19 Pandemic, Elizabeth Chalmers, Paula Gerstenblatt, River Hodgdon

People and Animals: The International Journal of Research and Practice

Veterinary providers experience job-specific psychological stress from their dual role in both providing medical care to pets and supporting pet-owner clients through end-of-life care and the euthanasia process, contributing to compassion fatigue and burnout in the field. COVID-19 has impacted the provision of veterinary care and affected communication between providers and pet owners. This qualitative study explores the experiences of veterinary providers who provided end-of- life care and performed euthanasia during the COVID-19 pandemic. Participants for this qualitative study were recruited and interviewed using criterion sampling from four veterinary practices in the northeastern United States. Inductive thematic analysis was used …


21世纪技能的观点:缩小雇主和高等教育毕业生间技能差距的下一个方向, Gabe A. Orona, Ou Lydia Liu, Richard Arum Jul 2023

21世纪技能的观点:缩小雇主和高等教育毕业生间技能差距的下一个方向, Gabe A. Orona, Ou Lydia Liu, Richard Arum

Chinese/English Journal of Educational Measurement and Evaluation | 教育测量与评估双语期刊

高等教育机构承担了为现代劳动力培养熟练员工的责任。然而,最近的调研一致显示雇 主期望与毕业生所拥有的技能差距。本综述在衡量和评估21世纪技能的语境中讨论这种差距。我们首先简要回顾有关技能差距的文献(包括哪些类型的技能最常被提及),然后 探讨当前 21 世纪技能与工作相关成果之间关系的献。最后,我们总结出给高等教育研究人员探索技能发展的建议。我们的建议涵盖三个关键的相关领域:认知发展理论、干预设计、测量和评估。


The Language Of 21st Century Skills: Next Directions For Closing The Skills Gap Between Employers And Postsecondary Graduates, Gabe A. Orona, Ou Lydia Liu, Richard Arum Jul 2023

The Language Of 21st Century Skills: Next Directions For Closing The Skills Gap Between Employers And Postsecondary Graduates, Gabe A. Orona, Ou Lydia Liu, Richard Arum

Chinese/English Journal of Educational Measurement and Evaluation | 教育测量与评估双语期刊

The onus of preparing skilled employees for the modern workforce is largely placed on institutions of higher education. However, recent surveys consistently show a skills gap between what employers’ desire and what graduates possess. This review engages this discussion in the context of measuring and assessing 21st century skills. We begin by succinctly reviewing literature pertaining to the skills gap, including what types of skills are commonly referenced, before moving to examine literature indicating the relations between current 21st century skills and job-related outcomes. Finally, we conclude with recommendations for higher education researchers examining skill development. Our recommendations cover …


Finding Aid For The Kenneth S. Goldstein Collection (Mum00200) Jul 2023

Finding Aid For The Kenneth S. Goldstein Collection (Mum00200)

Archives & Special Collections: Finding Aids (alphabetical)

The Kenneth S. Goldstein Collection primarily contains research and audiovisual materials on folk music and folklore from the greater Anglo-Celtic diaspora, as well as materials from various world folk traditions.


Improved Super-Elastic Ti-Ni Alloy Wire For The Treatment Of Skeletal Class Iii With Unilateral Buccally Positioned High Canine, Yi-Mien Cheng, Chih-Chieh Lin, Yu-Cheng Lo, Yuan-Hou Chen, Jian-Hong Yu Jul 2023

Improved Super-Elastic Ti-Ni Alloy Wire For The Treatment Of Skeletal Class Iii With Unilateral Buccally Positioned High Canine, Yi-Mien Cheng, Chih-Chieh Lin, Yu-Cheng Lo, Yuan-Hou Chen, Jian-Hong Yu

Taiwanese Journal of Orthodontics

A 20-year-old male adult came to the clinic with a chief complaint of poor dental alignment. Clinical examination had revealed Skeletal Class III with an upper right buccally positioned high canine, anterior crowding, midline deviation and both maxillary lateral incisors crossbite. Four bimaxillary premolars were extracted. Improved super-elastic Ti-Ni alloy wire (ISW, developed by Tokyo Medical and Dental University) leveling was performed to relieve the crowding and to correct the high canine and midline deviation. Intermaxillary elastics (IME) was applied for a better interdigitation. Treatment was completed within 29 months and a desirable occlusion was achieved.


Clear Aligner Treatment In An Adolescent Female With Hyperdivergent Growth Pattern Of The Mandible, Chih-Jan Chen, Yu-Ling Cheng, Yuen-Yung Tsang, Huei-Mei Tsai, Yi-Min Liu Jul 2023

Clear Aligner Treatment In An Adolescent Female With Hyperdivergent Growth Pattern Of The Mandible, Chih-Jan Chen, Yu-Ling Cheng, Yuen-Yung Tsang, Huei-Mei Tsai, Yi-Min Liu

Taiwanese Journal of Orthodontics

This study investigated the application of a clear aligner system in treatment of an adolescent Taiwanese female exhibiting a high mandibular plane angle, with a particular emphasis on the alignment of crowded upper anterior teeth. The treatment plan excluded tooth extraction and applied sequential distalization and transverse expansion across both dental arches instead. The alleviation of crowding and increased arch width was accomplished, while maintaining optimal vertical dimension control. The treatment yielded observable improvements in both oral function and aesthetic appearance


Bilateral Maxillary Canine Substitution With High Impaction In The Center Of Anterior Palate, Chien-Man Chang, Ying-Chen Chen, Ellen Wen-Ching Ko Jul 2023

Bilateral Maxillary Canine Substitution With High Impaction In The Center Of Anterior Palate, Chien-Man Chang, Ying-Chen Chen, Ellen Wen-Ching Ko

Taiwanese Journal of Orthodontics

This case report described the treatment of a 16 y/o female who was referred for her bilateral maxillary impacted canines. Her chief complaint also involved lower crooked front teeth. She presented with skeletal Class I with orthodivergent facial pattern and dental Class II relationship. Clinical oral examination revealed two peg lateral incisors and two retained primary canines in the upper arch. The panoramic film showed two maxillary impacted canines near the center of palate. Before the orthodontic intervention, surgical exposure was conducted with open window technique. A transpalatal arch with 2 soldered hooks was inserted as anchorage for distal traction …


Surgical-Orthodontic Correction Of Skeletal Class Iii Anterior Open Bite With Facial Asymmetry, Hao-Hsiang Chang, Cheng-Hui Lin, Ellen Wen-Ching Ko Jul 2023

Surgical-Orthodontic Correction Of Skeletal Class Iii Anterior Open Bite With Facial Asymmetry, Hao-Hsiang Chang, Cheng-Hui Lin, Ellen Wen-Ching Ko

Taiwanese Journal of Orthodontics

Class III anterior open bite (AOB) is characterized by mandibular downward movement with anteroposterior discrepancy and long face deformity. This often leads to esthetic and functional problem that decrease the Quality of Life in patients. Treatment decision of AOB is always challenging whether goes for camouflage therapy or orthognathic surgery. A 26-year-old female suffered from anterior open bite and facial asymmetry. The clinical and radiographic examination revealed skeletal Class III relationship with hyperdivergent facial type, facial asymmetry with chin deviation to right, and AOB of -5 mm overbite. The pre-surgical orthodontic treatment included partial anterior retraction of upper anterior teeth …


Orthodontic Retreatment Of Class Ii Division 2 Malocclusion With Deep Bite And Gummy Smile Using Miniscrews, Hsin-Yi Lo, Hung-Jen Wang, Yu-Lian Lin Jul 2023

Orthodontic Retreatment Of Class Ii Division 2 Malocclusion With Deep Bite And Gummy Smile Using Miniscrews, Hsin-Yi Lo, Hung-Jen Wang, Yu-Lian Lin

Taiwanese Journal of Orthodontics

Orthodontic treatment of Class II Division 2 malocclusion with gummy smile and deep bite is a challenge under the circumstances of lacking skeletal anchorage device. In this case report, we illustrated a miniscrew-assisted orthodontic retreatment of a 29-year-old female patient, who came to our department with a chief complaint of her unpleasant smile. The patient had previously undergone orthodontic treatment with 4-bicuspid extractions to correct her protrusive incisors. The clinical examination revealed a Class II division 2 malocclusion, 100% overbite, and a gummy smile. The philosophy of the orthodontic retreatment in this case was to correct Class II molar relationship …


Emergent Bilinguals’ Participation In Multilingual Engineering Learning Ecologies, Alberto Esquinca, Maria Teresa De La Piedra, Lidia Herrera-Rocha Jul 2023

Emergent Bilinguals’ Participation In Multilingual Engineering Learning Ecologies, Alberto Esquinca, Maria Teresa De La Piedra, Lidia Herrera-Rocha

Journal of Pre-College Engineering Education Research (J-PEER)

Students classified as English language learners (ELLs), many of whom are also Hispanic/Latine´/x, are at times excluded from opportunities to engage in engineering design experiences due to the emphasis on learning English. In dual language bilingual education, however, language policies that allow for the use and development of more than one language afford opportunities for ELLs that are not available in monolingual environments. We draw on a multilingual learning ecology theoretical framework to analyze data gathered from a two-year ethnographic study. During approximately 200 hours of field work, we gathered multiple forms of data through ethnographic methods, to include field …


Techniques To Enhance User Plane Function (Upf) Load Metrics To Improve Upf Selection, Swapnil Barai, Suyog Subhash Belsare, Bhavin Desai, Ravi Shekhar Jul 2023

Techniques To Enhance User Plane Function (Upf) Load Metrics To Improve Upf Selection, Swapnil Barai, Suyog Subhash Belsare, Bhavin Desai, Ravi Shekhar

Defensive Publications Series

Mobile network architectures, such as Fifth Generation Core (5GC) architectures are designed to serve a variety of use cases in which each of the use cases can demand very different network resource allocation and traffic treatment. The introduction of the Control and User Plane separation (CUPS) architecture in the Evolved Packet Core (EPC) mobile network architecture, requires the control plane (CP) to select an appropriate User Plane Function (UPF) to serve a service request from a user equipment (UE) with a desired Quality of Service (QoS). This proposal provides techniques through which optimum UPF usage can be determined by considering …


We Are ... Marshall, July 26, 2023, Office Of Marshall University Communications Jul 2023

We Are ... Marshall, July 26, 2023, Office Of Marshall University Communications

We Are ... Marshall: the Newsletter for Marshall University 1999-2023

No abstract provided.


Diabetic Foot Ulcers And Hyperbaric Oxygen Treatment, Libbie Sobieski Jul 2023

Diabetic Foot Ulcers And Hyperbaric Oxygen Treatment, Libbie Sobieski

Summer Interdisciplinary Research Symposium

Objective: Diabetic foot ulcers are a commonly occurring condition in patients with diabetes. They are often difficult to treat and may result in adverse events including serious infection and need for amputation. The objective of the study was to assess the efficacy of hyperbaric oxygen therapy (HBOT) for wound healing in patients with diabetic foot ulcers compared to standard treatment. Methods: To determine the best method of treatment in adults, a search was conducted through the Valparaiso University online library catalog utilizing peer-reviewed articles regarding treatment of diabetic foot ulcers with HBOT within the last ten years. Results: The following …


Determining Gluon Contribution To Proton Spin With Star Endcap Electromagnetic Calorimeter Data, Alexis Lewis, Samuel Starkenburg, Zach Nielsen Jul 2023

Determining Gluon Contribution To Proton Spin With Star Endcap Electromagnetic Calorimeter Data, Alexis Lewis, Samuel Starkenburg, Zach Nielsen

Summer Interdisciplinary Research Symposium

The Solenoidal Tracker at RHIC (STAR) located at Brookhaven National Laboratory uses longitudinally polarized proton-proton collisions to study, among other things, the gluon spin contribution to the known proton spin of 1/2 ħ. One method is to measure the longitudinal double-spin asymmetry (ALL) in the production of eta (η) and/or neutral pion (π0) particles from the longitudinally polarized proton-proton collisions. The ALL can be related to the gluon contribution to the spin of the proton. The Endcap Electromagnetic Calorimeter (EEMC) is used to detect the two photons produced from π0 or η decay, yielding …


The Importance Of Depression Screening In Type One Diabetes And Its Association With Glycemic Control, Jessica Mcwatters Jul 2023

The Importance Of Depression Screening In Type One Diabetes And Its Association With Glycemic Control, Jessica Mcwatters

Summer Interdisciplinary Research Symposium

Objective: In children and young adults diagnosed with type 1 diabetes, does the early diagnosis of depression with regular screening improve their control of diabetes, compared to those who are not screened for depression? Methods: Valparaiso University Summons, EBSCOhost, and PubMed were used to find the articles used in this research. Search was narrowed to include articles written after 2018 and that were academic/ peer reviewed. 10 articles were reviewed that consisted of systemic reviews, meta-analyses, retrospective studies, cross sectional studies, cohort studies, and randomized control studies. Outcomes were measured using PHQ-9, SDQ, and CDI scores, as well as A1c’s …


The Potential Role Of Psychedelic Therapy In Alzheimer’S Dementia, Madeline Jones Jul 2023

The Potential Role Of Psychedelic Therapy In Alzheimer’S Dementia, Madeline Jones

Summer Interdisciplinary Research Symposium

Objective: To explore the role that psychedelic therapy, specifically psilocybin and lysergic acid diethylamide (LSD), could play in the prevention and treatment of Alzheimer’s disease (AD). Explore current studies and effects of psychedelics on neurodegenerative and neuropsychiatric conditions and relate their outcomes to the pathophysiology of AD and thus the effects that these medications may have as treatment options. Methods: A review of current literature was performed of meta-analyses, systematic reviews, and randomized-control trials that specifically discuss the effects of psychedelics on both neural receptors and the subjects themselves. Initial search yielded 3,127 results, with 75 reviewed. Of these 75 …


Evaluating The Efficacy Of Opioids Vs Nonopioids In Chronic Pain Patients, Zoe Richardson Jul 2023

Evaluating The Efficacy Of Opioids Vs Nonopioids In Chronic Pain Patients, Zoe Richardson

Summer Interdisciplinary Research Symposium

Objective: The purpose of this report is to assess the effectiveness of opioids compared to nonopioids in managing chronic noncancer pain. Methods: Randomized control trials, meta analyses, and systematic reviews published in 2018 or later were searched in medical research databases including PubMed, JAMA, Medline Plus, ScienceDirect, and Google Scholar. Sources were included that expand on data from RCTs assessing the efficacy of opioids, nonopioids, or both as treatment for chronic noncancer pain in adults. A total of six articles with a diverse patient population were selected and reviewed which included 2 RCTs, 2 meta-analyses, and 2 systematic …


Characterization Of A Novel Peptide Mined From The Red Sea Brine Pools And Modified To Enhance Its Anticancer Activity, Youssef T. Abdou, Sheri M. Saleeb, Khaled M. A. Abdel-Raouf, Mohamed Allam Jul 2023

Characterization Of A Novel Peptide Mined From The Red Sea Brine Pools And Modified To Enhance Its Anticancer Activity, Youssef T. Abdou, Sheri M. Saleeb, Khaled M. A. Abdel-Raouf, Mohamed Allam

Faculty Journal Articles

No abstract provided.


Digital Literacy In The Age Of Social Media, Caroline A. Haythornthwaite Jul 2023

Digital Literacy In The Age Of Social Media, Caroline A. Haythornthwaite

School of Information Studies - Faculty Scholarship

For many years media literacy has addressed ways of verifying information, and information literacy has addressed finding information and understanding its production. But today’s social media takes us out of the realm of standard information sources to open, online discussion. The volatility of these environments suggests the need for social media literacy that complements both media and information literacy. This talk takes up the topic of social media literacy, highlighting what is different in these environments, and what will help make literate social media participants. The presentation reviews contemporary ideas about literacy and discusses the contemporary trends in understanding literacy: …


Compression Therapy In The Healing And Prevention Of Venous Ulcers, Jenna Thomas Jul 2023

Compression Therapy In The Healing And Prevention Of Venous Ulcers, Jenna Thomas

Summer Interdisciplinary Research Symposium

Objective: The aim of this research is to discover the effect of compression therapy on the healing and prevention of venous leg ulcers (VLUs) in patients diagnosed with Chronic Venous Insufficiency (CVI). Methods: Google Scholar, Cochrane Library, and PubMed were utilized to secure 14 scholarly articles and journals for this research, including systematic reviews and meta-analyses. Studies were included that focused on adult patients with CVI and evidence of VLUS utilizing compression therapy. Studies including pediatric, pregnant, post-operative, and with focus on post-thrombotic syndrome patients were excluded. Reduction in ulcer size and healing time were among the endpoints used to …


The Effects Of Low And High Gravity On Neurospora Crassa, Siobhan Cleveland, James M. Livengood, Michael K. Watters Jul 2023

The Effects Of Low And High Gravity On Neurospora Crassa, Siobhan Cleveland, James M. Livengood, Michael K. Watters

Summer Interdisciplinary Research Symposium

We studied the effects of different gravity levels on Neurospora crassa and its morphology. This research was conducted by simulating low and high gravity effects in different operating procedures. For the low gravity simulation, the experiment was conducted by using a clinostat to constantly disorient the samples at a very slow rate. For the high gravity simulation, N. crassa was subjected to different amounts of g forces by placing the samples in a centrifuge and subjected the samples to increasing amounts of revolutions per minute. The results of these experiments conclude that in low-gravity situations, the N. crassa showed sparse …


Comparison Of Thermal Ablation And Thyroidectomy For Thyroid Nodules, Emily Valente Jul 2023

Comparison Of Thermal Ablation And Thyroidectomy For Thyroid Nodules, Emily Valente

Summer Interdisciplinary Research Symposium

Objective: To compare the efficacy, safety, cost, and time of thermal ablation techniques versus a thyroidectomy for benign and malignant thyroid nodules.

Methods: This research was conducted using EBSCO Host, PubMed, the American Thyroid Association, and NYU Langone Health. 15 studies were reviewed that met the defined criteria. Types of studies included were metanalyses/systemic reviews, retrospective studies, case presentations, and prospective randomized studies. Primary endpoints include efficacy, safety, cost, and time.

Results: For benign nodules, radiofrequency ablation (RFA) has advantages over a thyroidectomy due to it being effective, minimally invasive, safe, economical, and cosmetically appealing. For malignant nodules, RFA is …


Vmat-2 Inhibitors In The Treatment On Tardive Dyskinesia, Peyton Westcott Jul 2023

Vmat-2 Inhibitors In The Treatment On Tardive Dyskinesia, Peyton Westcott

Summer Interdisciplinary Research Symposium

Objective: Tardive dyskinesia is a movement disorder commonly caused by antipsychotic medications. This review aims to determine the effectiveness of VMAT-2 inhibitors for the treatment of antipsychotic-induced tardive dyskinesia evaluated by reduction in AIMS scores.

Methods: Twelve articles were used including six systematic trials, one meta-analysis, two placebo-controlled trials, one prospective study, one cross-sectional study, and one assessment manual using the Google Scholar, Pubmed, and Summon. The primary endpoint included relative reduction in AIMS scores in each cohort.

Results: Deutetrabenazine and valbenazine show statistically significant reduction on AIMS scores compared to placebo. Vitamin E as treatment has been researched but …


Pelvic Floor Physical Therapy: Prevention Of Pelvic Floor Disorder In Postpartum Women, Tricia Pryor Jul 2023

Pelvic Floor Physical Therapy: Prevention Of Pelvic Floor Disorder In Postpartum Women, Tricia Pryor

Summer Interdisciplinary Research Symposium

Objective: To analyze the effectiveness of pelvic floor physical therapy (PFPT) in preventing pelvic floor disorders (PFD) in postpartum women.

Methods: A computerized search from Valparaiso University’s online library provided data from PubMed, Cochrane Library and Google Scholar were used to conduct this research. Filters were applied limiting articles from 2017 until present day and key words used to gather resources used for this research included “pelvic floor physical therapy,” “pelvic floor disorder” OR “pelvic floor disease,” AND “postpartum women.” A total of 13 articles were reviewed, this included 5 randomized control trials, 4 meta-analyses, and 5 evidenced …


Design Of A Test Stand To Support Materials Testing And Process Development In An Ultra-High-Temperature Infrared Imaging Furnace, Amber Su Jul 2023

Design Of A Test Stand To Support Materials Testing And Process Development In An Ultra-High-Temperature Infrared Imaging Furnace, Amber Su

Summer Interdisciplinary Research Symposium

The Solar Energy Research Group at Valparaiso University recently acquired an Infrared Imaging Furnace (IR Furnace) to support materials testing and process development research. By using gold-plated, parabolic reflectors to concentrate infrared radiation from Tungsten lamps to a line focus, the furnace is able to heat samples to temperatures exceeding 1400℃ at rates up to 1000℃/min, significantly faster than conventional high-temperature furnaces. Furthermore, with no need for insulation and with active cooling, significant cooling rates can be achieved, even exceeding 1000℃/min. In this project, we designed and manufactured a test stand for the IR Imaging Furnace. The test stand holds …


Using Word2vec And N-Grams To Generate Poetic Texts, Hexin Liu Jul 2023

Using Word2vec And N-Grams To Generate Poetic Texts, Hexin Liu

Summer Interdisciplinary Research Symposium

This research attempts to create poetic texts in the Shakespearean style. Many available technologies can create artworks based on styles of well-known artists. However, it is difficult for the generative models to create texts within the style of a particular author. This study aims to produce sentences in the style of Shakespeare that contain metaphorical meanings without quoting his works. We have trained statistical n-gram models on the complete works of Shakespeare and then used the model to create Shakespearean text. We noticed that, in some cases, the n-gram models will construct sentences that are copied from Shakespeare’s works. We …


Duration Of Effects From Esketamine Vs Tms Therapy In Resolving Suicidal Ideations, Samantha Cameron Jul 2023

Duration Of Effects From Esketamine Vs Tms Therapy In Resolving Suicidal Ideations, Samantha Cameron

Summer Interdisciplinary Research Symposium

Objective: In adults with major depressive disorder (MDD), does Esketamine treatment result in longer term results of reducing suicidal ideations when compared to transcranial magnetic stimulation (TMS) therapy over the course of their lifetime? Methods: Four studies were found using the Valparaiso University online library database to find peer-reviewed articles regarding treatment for pharmacoresistant MDD and reducing suicidal ideations within these individuals. Results: Esketamine therapy use in those with severe MDD has shown to produce stable remission among patients that completed a 16-week trial of the drug administration, with less than 30% falling into relapse. TMS therapy use in those …


Managing Anxiety And Depression With Exercise, Taylor Gideon Jul 2023

Managing Anxiety And Depression With Exercise, Taylor Gideon

Summer Interdisciplinary Research Symposium

Objective: There are increasingly high rates of depression and anxiety worldwide. Current treatment often consists of psychotherapy and antidepressants which have adverse effects, high costs, and interactions with other medications. Exercise has been proposed as an option for stand-alone treatment of mental illnesses. Methods: Google Scholar and EBSCO host were used to search for peer-reviewed articles published within the last 5 years to examine how exercise can be an option for management of anxiety and depression. A total of 36 articles were reviewed and 11 articles were utilized in this research, including 5 meta-analyses, 3 systematic reviews, 2 randomized controlled …


Vitamin D Insufficiency And Coronary Artery Disease, Alexandra Koontz Jul 2023

Vitamin D Insufficiency And Coronary Artery Disease, Alexandra Koontz

Summer Interdisciplinary Research Symposium

Objective: The objective of this research is to determine if patients with a vitamin D insufficiency have an increased risk of coronary artery disease when compared to patients with optimal vitamin D levels.

Methods: Two data bases, PubMed and Science Direct were searched for studies evaluating vitamin D levels and coronary artery disease. After applying an inclusion and exclusion criteria there were a total of five studies which included a total of 4,925 participants that met criteria and analyzed the relationship of vitamin D and heart disease.

Results: Deficient vitamin D levels are negatively correlated with coronary artery disease …


Vitamin D Supplementation And Its Effects On Depression, Emily Luplow Jul 2023

Vitamin D Supplementation And Its Effects On Depression, Emily Luplow

Summer Interdisciplinary Research Symposium

Abstract

Introduction

The objective of this paper is to analyze the effect of vitamin D supplementation in those individuals who have been diagnosed with Major Depressive Disorder or have depressive symptoms.

Methods

Different databases and literature were reviewed that examine the effects of vitamin D supplementation through randomized controlled trials, cross-sectional studies, systematic reviews, and meta-analyses to treat depression or improve symptoms that are associated with depression. 10 articles in total were examined including 3 systemic reviews, 2 cross sectional studies, 1 cohort study, 2 meta-analyses, and 2 randomized controlled trials. These were compared to other studies where individuals did …