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Articles 31 - 60 of 854
Full-Text Articles in Medicine and Health Sciences
No Scrubs: Nursing Applicant Trajectories After Rejection, Jennifer Torgerson
No Scrubs: Nursing Applicant Trajectories After Rejection, Jennifer Torgerson
UNLV Theses, Dissertations, Professional Papers, and Capstones
There is a nursing shortage in the United States which has become even more apparent during the COVID-19 pandemic. Despite qualified applicants, thousands of students are turned away from educational programs each year as programs reach capacity limits. The rejection may have social, psychological, and economic consequences for the student. Students faced with rejection need to make decisions whether to continue their pursuit of nursing or go a different direction. This exploratory quantitative study aims to understand the trajectories of students that are not admitted into a capacity restricted nursing program at a community college in the Southwestern United States. …
Musculoskeletal Injury Concealment In The Reserve Officers’ Training Corps, Joshua D. Wooldridge
Musculoskeletal Injury Concealment In The Reserve Officers’ Training Corps, Joshua D. Wooldridge
UNLV Theses, Dissertations, Professional Papers, and Capstones
INTRODUCTION: Among service members, musculoskeletal injuries threaten military readiness and place a substantial burden on medical and financial resources. While musculoskeletal injuries (MSKIs) are a leading threat to military readiness, service members’ unwillingness to seek care constrains current prevention and surveillance efforts. A growing body of evidence shows US service members conceal a large proportion of injuries, especially in training environments. The Reserve Officers’ Training Corps is a critical training environment for future US military commissioned officers. Reserve Officers’ Training Corps (ROTC) is the largest commissioning source of new officers for the US military. ROTC cadets are college students concurrently …
An Adolescent Concussion Management Toolkit For Occupational Therapists, Coby Yoshimura
An Adolescent Concussion Management Toolkit For Occupational Therapists, Coby Yoshimura
UNLV Theses, Dissertations, Professional Papers, and Capstones
The aim of this project was to demonstrate the role occupational therapists may serve during concussion recovery, by integrating current research and findings into an instructional resource from an occupational therapy (OT) lens. An OT-based toolkit was created to prioritize the identification, assessment, and treatment of two realms of concussion management: functional cognition and vision. The development of a pre and post survey using a modified version of the Generalized Self-Efficacy (GSE) scale was used to determine occupational therapists’ perceived self-efficacy before and after reviewing the created OT-based toolkit. A related samples Wilcoxon signed rank-test was used to analyze pre …
The Feasibility Of A Large-Amplitude Aquatic-Based Exercise Occupational Therapy Program For Individuals With Early Parkinson’S Disease, Brigitte Baker
The Feasibility Of A Large-Amplitude Aquatic-Based Exercise Occupational Therapy Program For Individuals With Early Parkinson’S Disease, Brigitte Baker
UNLV Theses, Dissertations, Professional Papers, and Capstones
Purpose: The purpose of this research was to determine if a 4-week aquatic-based, large-amplitude exercise program would increase strength and coordination for occupational performance in areas of activities of daily living (ADLs) and mobility in individuals with Parkinson's disease (PD) stage I-II, functional mobility as measured by Timed Up and Go test, and quality of life as measured by PDQ-39 in relation to occupational engagement.Methodology: Recruitment was through capstone placement site, Hands on Rehab, 7921 Professional Circle, Huntington Beach, CA 92648, in which a signed EAA was on file. Informed Consent was reviewed by the student-clinician as well as the …
An Immersive Virtual Reality Treatment Learning Module For Unlv Occupational Therapy Students, Paolo Castro
An Immersive Virtual Reality Treatment Learning Module For Unlv Occupational Therapy Students, Paolo Castro
UNLV Theses, Dissertations, Professional Papers, and Capstones
Virtual reality refers to the technology used to create multi-sensory, three-dimensional environments its users can interact with. Occupational therapists may find virtual reality-based therapy appealing as it allows them to access many virtual environments and tasks that would be difficult to recreate in traditional settings. Despite literature suggesting their willingness to use it in practice, there is an evidence-to-practice gap caused by low self-efficacy and knowledge of how to operate and apply it. The author created a learning module for occupational therapy students to see how it affects perceived clinical competency. The results of the learning module showed statistically significant …
Studies Of Forward Projection Algorithms And Implementation On Pc And Fpga, Minsung Cho
Studies Of Forward Projection Algorithms And Implementation On Pc And Fpga, Minsung Cho
UNLV Theses, Dissertations, Professional Papers, and Capstones
This thesis first aims to understand how a part of the computed tomography (CT) algorithm called “forward projector” (FP) works and how it can be accelerated at a hardware level. Two methods of FP are defined and studied: pixel-driven and ray-driven. Both methods fundamentally use the property of line integral and Bresenham’s algorithm. As the result of the study of the two FP methods, the ray-driven algorithm implemented in C++ performed 35% faster than the pixe-driven algorithm implemented in Python.This thesis implements the ray-driven forward projector algorithm using field-programmable gate array (FPGA), making use of hardware-acceleration techniques. The result shows …
The Lived Experience Of The Dnp-To-Phd Nursing Graduate: Examining The Journey, Bonni S. Cohen
The Lived Experience Of The Dnp-To-Phd Nursing Graduate: Examining The Journey, Bonni S. Cohen
UNLV Theses, Dissertations, Professional Papers, and Capstones
The traditional route of obtaining a Doctor of Philosophy (PhD) in nursing is vertical: a Master of Science in Nursing (MSN), followed by PhD in nursing. An ongoing shortage of PhD- prepared nurses—nurse educators and nurse researchers, in particular, has spurred the creation of more pathways to obtaining a PhD in Nursing. In recent years, there has been a drive to increase the number of nurse scientists with doctoral degrees through innovative pathways. A newer terminal nursing degree, the Doctor of Nursing Practice (DNP), has taken root over the past decade to produce nurse leaders who are experts at translating …
Outside, Looking In: A Dissertation On Mindful Walking And How Green Exercise Affects State Mindfulness And Connectedness To Nature, Dustin Wyatt Davis
Outside, Looking In: A Dissertation On Mindful Walking And How Green Exercise Affects State Mindfulness And Connectedness To Nature, Dustin Wyatt Davis
UNLV Theses, Dissertations, Professional Papers, and Capstones
INTRODUCTION: Mindfulness, green exercise, and connectedness to nature are increasingly popular topics among academics and the public. These three topics overlap in the underexplored area called mindful green exercise. Mindful green exercise is a blend of mindful exercise and green exercise. Mindful exercise is physical exercise during which people pay attention on purpose without judgment to each new present moment. The person applies an accepting awareness to internal phenomena (thoughts, emotions, and bodily sensations) and external phenomena (objects and events in the environment). Green exercise is exercise performed outdoors in natural environments. Despite its name, green exercise does not only …
Feasibility Of The Every Moment Counts Initiative At A Southern Nevada Elementary School, Amber Lee Eddy
Feasibility Of The Every Moment Counts Initiative At A Southern Nevada Elementary School, Amber Lee Eddy
UNLV Theses, Dissertations, Professional Papers, and Capstones
Over the past 20 years, multiple legislative acts have been passed mandating support and services for the mental health needs of children and youth in schools; however, Nevada continues to rank last for the provision of such services. Children and youth who are mentally healthy are more likely to be successful in their homes, schools, and communities (Arbesman et al., 2013). Those who have increased mental health needs are more at risk for developmental and long-term consequences that jeopardize overall health and wellness, not to mention the immense effects that the COVID-19 pandemic has had on children and youth. With …
Driving And Community Mobility: An Online Educational Program For Generalist Occupational Therapy Practitioners, Gerard Blanco
Driving And Community Mobility: An Online Educational Program For Generalist Occupational Therapy Practitioners, Gerard Blanco
UNLV Theses, Dissertations, Professional Papers, and Capstones
Driving is an important daily activity that often goes unnoticed, yet it enables individuals to engage in crucial tasks such as grocery shopping, going to work, and participating in social activities. Occupational therapy (OT) practitioners must recognize and address the significance of driving in their daily routines to promote clients' independence and fulfillment. However, despite being well-equipped to assist clients with driving-related issues, many practitioners avoid or neglect this area of occupation. A reluctance to addressing driving and community mobility (DCM) can arise from a lack of confidence, available resources, support, or fear of losing a client's trust. These barriers …
Relationships Between Healthcare Technology Experience, Acceptance, Attitudes, Self-Efficacy And Readiness In Pre-Licensure Nursing Students, Emily Lynne Boyce
Relationships Between Healthcare Technology Experience, Acceptance, Attitudes, Self-Efficacy And Readiness In Pre-Licensure Nursing Students, Emily Lynne Boyce
UNLV Theses, Dissertations, Professional Papers, and Capstones
Introduction: Technology is embedded in many aspects of healthcare. This is especially true in nursing, where technology is used daily in charting, medication administration, clinical decision-making, healthcare team communication, and information resource utilization. In nursing programs, students are exposed to healthcare technologies and expected to use them once entering the workforce. Healthcare technologies such as electronic health records (EHR), barcode medication administration, medication dispensing machines, and mobile technologies are critical to adopt to leverage their efficiencies and safety mechanisms to provide the best patient care. Despite evidence indicating the benefits of using healthcare technologies, new graduate nurses enter the workforce …
New-R Intervention For Clients With Severe Mental Illness And Obesity: Grant Writing For Implementation Funds Supporting Occupational Therapy Interventions, Kaitlyn Hoffman
UNLV Theses, Dissertations, Professional Papers, and Capstones
Increasing numbers of people suffer from obesity and severe mental illness co-morbidly. If these conditions remain untreated, they can harm an individual's health and well-being. Unfortunately, there are very few programs currently available that target both management and improvement of these conditions simultaneously. Even so, despite the lack of programming options, it must be noted that the NEW-R program strives to reach those goals, although there hasn't been an abundance of literature supporting the effectiveness of this program. This poses a concern for occupational therapy practitioners who hope to assist their clients in managing these conditions as occupational therapy treatments …
Perceived Usefulness, Ease Of Use, And Satisfaction Of A Swaddle Bathing Educational Guide Among Parents/Guardians Of Nicu Premature Infants, Makenzie Leigh Hogbin
Perceived Usefulness, Ease Of Use, And Satisfaction Of A Swaddle Bathing Educational Guide Among Parents/Guardians Of Nicu Premature Infants, Makenzie Leigh Hogbin
UNLV Theses, Dissertations, Professional Papers, and Capstones
The current availability of high-quality and comprehensive educational resources made available to parents and guardians with infants admitted to the Neonatal Intensive Care Unit is limited in terms of content and provision. Additionally, there exists a plethora of information regarding the impact of the sensory environment on premature and critically ill infants as well as interventions to mitigate these effects that are not efficiently conveyed to their families. Previous research asserts that consistency with the application of sensory interventions with these infants bodes well for positive outcomes, leading one to believe that caregivers may benefit from learning these strategies so …
Increasing Occupational Therapy Practitioners’ And Students’ Perceived Self-Confidence And Knowledge In Pelvic Floor Disorders Specifically In Stress Urinary Incontinence, Sarah L. Pond
UNLV Theses, Dissertations, Professional Papers, and Capstones
This quality improvement project used a pre-and post-survey to explore the effectiveness of an online learning module and determine if the approach increased occupation therapy practitioners' and occupational therapy students' perceived self-confidence and knowledge in pelvic floor therapy.The course was a pre-recorded module launched on Teachable. Participants were recruited through an online flyer posted on social media and email. The online module was open for 27 days, with 130 respondents in the pre-assessment and 99 who completed the module and the post-assessment. The use of an open-ended question was used to obtain qualitative data regarding the online course. The online …
Fear Of Recurrence As A Mediator Of Illness Perception And Perceived Stress In Acute Myocardial Infarction Survivors, Sarah E. Zvonar
Fear Of Recurrence As A Mediator Of Illness Perception And Perceived Stress In Acute Myocardial Infarction Survivors, Sarah E. Zvonar
UNLV Theses, Dissertations, Professional Papers, and Capstones
Purpose: The primary objective of this study is to evaluate fear of recurrence as a mediator of illness perception and perceived stress. This research will determine how illness perceptions and fear of recurrence affect perceived stress in the acute myocardial infarction (AMI) population. Other aims will observe how demographics predict patients who may experience increased fear of recurrence and stress in the AMI population, how the variables of fear of recurrence change over time, and if fear of recurrence is still a significant mediator after controlling for depression and anxiety.Rational/ Conceptual Basis/ Background: Acute myocardial infarctions (AMIs) are often accompanied …
Systems Dynamics Of The Anterior Cingulate Cortex And Hippocampus In Behavioral Switching, Spatial Working Memory, And Disease, Ryan Wirt
UNLV Theses, Dissertations, Professional Papers, and Capstones
The electrophysiological properties of the hippocampus (HC) and anterior cingulate cortex (ACC) are the central focus of research on learning, memory, and neurological disease. Previous research has shown that HC is essential for forming new memories, spatial navigation, and temporal processing. While the function of ACC, located within the medial prefrontal cortex, remains controversial, it has a role in long-term memory recall, processing pain, monitoring current state, learning, schema updates, and information integrations. Interactions between the ACC and HC occur during social memory, spatial working memory performance, and long-term memory recall. Notably, the HC and ACC are among the first …
Effectiveness Of A Workshop For Improving Awareness And Identification Of Racial Microaggressions Among Occupational Therapy Faculty And Students, Hannah Kalegzabher
Effectiveness Of A Workshop For Improving Awareness And Identification Of Racial Microaggressions Among Occupational Therapy Faculty And Students, Hannah Kalegzabher
UNLV Theses, Dissertations, Professional Papers, and Capstones
As a professor or student in occupational therapy (OT), an important role is advocating for students and clients. Taking action is important to practice and promote justice, equity, diversity, and inclusion (JEDI) within the profession. This quality improvement project aimed to determine the effectiveness of a racial microaggression workshop for OT, OT assistant (OTA) students, and faculty to improve awareness and ability to identify racial microaggressions to support Black, Indigenous, People of Color (BIPOC). Participants were recruited by convenience sampling through email to members of the Coalition of Occupational Therapy Advocates for Diversity (COTAD) and COTAD-Educators (COTAD-ED). The workshop was …
Yoga As An Occupational Therapy Intervention For Inpatient Rehabilitation, Sydney Sladek
Yoga As An Occupational Therapy Intervention For Inpatient Rehabilitation, Sydney Sladek
UNLV Theses, Dissertations, Professional Papers, and Capstones
The purpose of this capstone project was to develop and determine if an adapted and individualized yoga-based program can support and have an impact on patients’ physical, mental, emotional, and spiritual health and improve patients’ perceptions of recovery at Encompass Health Rehabilitation Hospital of Henderson. This was a project focused on quality improvement, focused on the ACOTE focus area of clinical program development in which the student developed and tested outcomes of an occupational therapy (OT) program in a clinical setting. The research design was a quality improvement design with pre and post-measures. Five patients participated in the program one …
Stepping On - Virtual Fall Prevention For Older Adults, Sean Conners, Tyler Greener, Kaitlyn Johnson
Stepping On - Virtual Fall Prevention For Older Adults, Sean Conners, Tyler Greener, Kaitlyn Johnson
UNLV Theses, Dissertations, Professional Papers, and Capstones
Three student learners in a doctoral physical therapy program completed a service-based learning project dedicated to reducing falls in the elderly. The program, called Stepping On, is a fall prevention initiative supported by the Wisconsin Institute for Healthy Aging (WIHA) whose goal is to identify risk factors for falls in the older population and provide exercises and recommendations to reduce falls. The eleven volunteer participants in this student learners’ Stepping On program completed online fall prevention classes and provided feedback at the completion of the program. Participants reported being more conscientious while walking and noted improved balance and flexibility.
Association Between Rural Background And Physical Therapist Practice Location, Caitlin Parker, Jace-Anne Sharp
Association Between Rural Background And Physical Therapist Practice Location, Caitlin Parker, Jace-Anne Sharp
UNLV Theses, Dissertations, Professional Papers, and Capstones
Purpose/Hypothesis To examine the association between physical therapists’ rural background and their decision to practice in a rural setting. We hypothesized that years of rural upbringing and size of hometown would be related to rural practice. Number of Subjects 257 physical therapists who graduated from one of two physical therapy programs in the Western United States between 2000 and 2020. Materials and Methods A survey was emailed to 19 physical therapy schools consisting of questions regarding participants’ background, demographics, and job history. We collected total number of years of practice and total years of rural practice. Length of practice varied, …
Mental Health Education Protocol For Staff Members In An Inpatient Rehabilitation Center, Charles Nicholas Salvatera
Mental Health Education Protocol For Staff Members In An Inpatient Rehabilitation Center, Charles Nicholas Salvatera
UNLV Theses, Dissertations, Professional Papers, and Capstones
Mental health illnesses have a significant impact on the lives of individuals and society. Despite the availability of effective treatments, many people with psychosocial issues or cognitive impairments do not receive the right care. This highlights the importance of timely care and effective help-seeking opportunities. Increased mental health literacy and supportive behaviors in the social networks of people with mental health disorders can be achieved by providing hospital staff with education on mental health disorders. It is believed that improvements in these areas increase the likelihood that people will seek effective assistance. When healthcare providers are educated about mental health …
Lumbopelvic Biomechanics And Muscle Performance In Individuals With Unilateral Transfemoral Amputation: Implications For Lower Back Pain, Jason Ciccotelli
Lumbopelvic Biomechanics And Muscle Performance In Individuals With Unilateral Transfemoral Amputation: Implications For Lower Back Pain, Jason Ciccotelli
UNLV Theses, Dissertations, Professional Papers, and Capstones
Many people with lower extremity amputation (LEA) experience lower back pain (LBP). The amount of pain they experienced can be debilitating and severely interferes with activities of daily living. Previous studies have explored LBP in populations without LEA, and the evidence is also growing within the limb loss population. However, the mechanism for the high prevalence of LBP after LEA remains unclear. The lower back muscles, specifically the multifidi muscles, play an important role in stabilization of the spine during motion, and LBP has been associated with decreased mobility in patient populations, but the degree of dysfunction in the spinal …
Development Of A Multifactorial Virtual Fall Prevention Tool For Community Dwelling Older Women, Eduardo Gutierrez, Jacob James Nogra, Carol Sparks, Bradley Voels
Development Of A Multifactorial Virtual Fall Prevention Tool For Community Dwelling Older Women, Eduardo Gutierrez, Jacob James Nogra, Carol Sparks, Bradley Voels
UNLV Theses, Dissertations, Professional Papers, and Capstones
Falls are the leading causes of injury-related death in adults over the age of 65, with women sustaining more than twice the rate of fall-related fractures as men. Reduced access to in-person falls prevention programs during the COVID-19 pandemic created a need for a user-friendly guide to existing online fall prevention resources targeted at this vulnerable population. The first aim of this study was to create and make widely available a website with evidence-based resources that address a range of modifiable fall risk factors, and the second was to test its feasibility in a convenience sample of older women. The …
Implementation Of 2d Running Gait Analysis In Orthopedic Physical Therapy Clinics, Justin Rasavage, Tristan Trumbull, Melissa Goo-Tam, Micah Wilson
Implementation Of 2d Running Gait Analysis In Orthopedic Physical Therapy Clinics, Justin Rasavage, Tristan Trumbull, Melissa Goo-Tam, Micah Wilson
UNLV Theses, Dissertations, Professional Papers, and Capstones
Background: Despite 2D motion analysis being deemed valid and reliable in assessing gait deviations in runners, current use of video-based motion analysis among orthopedic physical therapists is not prevalent. Purpose/Hypothesis: To investigate clinician-perceived effectiveness, adherence, and barriers of using a 2D running gait analysis protocol for patients with running-related injuries. Study Design: Survey Methods: Thirty outpatient physical therapy clinics were contacted to assess interest in participation. The participating therapists were trained on 2D running gait analysis protocol and given a running gait checklist. We used Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework to assess the implementation process by collecting …
A Pilot Program To Inform High School Students About Allied Healthcare Professions, Nhu Mac
A Pilot Program To Inform High School Students About Allied Healthcare Professions, Nhu Mac
UNLV Theses, Dissertations, Professional Papers, and Capstones
The literature revealed the lack of diversity in the workforce, limited recruiting and retention methods, and lack of exposure to these professions as the contributions to the shortage and demand for the profession of occupational therapy (OT), physical therapy (PT), and speech- language pathology (SLP). As a result, the fourteen-week program to inform high school students about OT, PT, and SLP roles in the community and public health was implemented at Desert Pines High School in Clark County School District (CCSD) to see if it would influence their perceived attitudes, knowledge, beliefs, and the likelihood of pursuing these careers. Using …
Occupational Therapy Fieldwork In An Emerging Justice-Based Setting: Hope For Prisoners, Noah Claypool
Occupational Therapy Fieldwork In An Emerging Justice-Based Setting: Hope For Prisoners, Noah Claypool
UNLV Theses, Dissertations, Professional Papers, and Capstones
This capstone occurred through a partnership with HOPE for Prisoners in Las Vegas, Nevada. As an emerging area of practice, the occupational therapy profession needs more resources and programs focused on the justice system. The lack of evidence-based resources to support future level I fieldwork students at HOPE for Prisoners poses a barrier for students to maximize their fieldwork experience and effectively engage with the organization’s population of incarcerated and formerly incarcerated men, women, and young adults in southern Nevada.This capstone experience involved a 14-week immersion at HOPE for Prisoners, including participation in training and workshops and engagement with clients, …
Ergonomic Education For Entry-Level Administrative Staff, Mitzi De La Cruz-Garcia
Ergonomic Education For Entry-Level Administrative Staff, Mitzi De La Cruz-Garcia
UNLV Theses, Dissertations, Professional Papers, and Capstones
In the United States, 2.6 million work-related musculoskeletal disorders (WMSDs) were reported in 2020, which are costly to employers, individuals, and our healthcare system. The most commonly affected workers are entry-level staff, who often do not receive training or education on office ergonomics during their onboarding process. Evidence exists on the benefits of ergonomics for workers, but there is a gap in disseminating information to these individuals. In addition, what is available on the internet can be of low quality, not based on evidence, and written at a higher-than-average reading level.There is a need for easily accessible ergonomic education and …
The Development Of A Pilot Program Related To The Application Of High-Intensity In Occupational Therapy, Philip Lamoreaux
The Development Of A Pilot Program Related To The Application Of High-Intensity In Occupational Therapy, Philip Lamoreaux
UNLV Theses, Dissertations, Professional Papers, and Capstones
Among the many diagnoses affecting an individual’s ability to participate in occupation, strokes are among the most common (Tsao et al., 2022). With the decrease in mortality rates by 35.8% due to advancements in medicine (Wolf & Nilsen, 2015), there is a need to remediate, adapt, or modify the life-changing impairments associated with stroke. The most significant evidence for motor learning, which is associated with regaining function, is in relation to high-intensity training in the context of ambulation (Middleton et al., 2015; Moore et al., 2020). By utilizing the neural plastic principles of repetition, salience, task-specificity, and intensity, an individual …
Effects Of Postural Load Perturbations On The Stroke-Impaired Spinal Circuitry, Jose Galvez, Linh Thi My Nguyen, Brandon Yee
Effects Of Postural Load Perturbations On The Stroke-Impaired Spinal Circuitry, Jose Galvez, Linh Thi My Nguyen, Brandon Yee
UNLV Theses, Dissertations, Professional Papers, and Capstones
Objective Transitioning from supported sitting position to standing activities requires coordinated interactions among postural muscles with appropriate reflexive responses to adapt to an increase in postural loading. Previous studies have found the failure to accommodate the challenge of increased postural loads in the stroke-impaired nervous system. In this study, we examined the H-reflex in response to different magnitudes of loads under static postural conditions, and compared the responses directly between individuals with a stroke-impaired nervous system and those with a non-neurologically impaired nervous system. We tested the hypothesis that the reflex amplitude would increase with increased load during standing in …
The Effects Of Exercise Training On Gait In Adults With Down Syndrome, Anna Lois Aquino, Sandra Daugherty, Alex Palko
The Effects Of Exercise Training On Gait In Adults With Down Syndrome, Anna Lois Aquino, Sandra Daugherty, Alex Palko
UNLV Theses, Dissertations, Professional Papers, and Capstones
Purpose/Hypothesis: Down syndrome (Ds) is a genetic disorder in which the individual carries an extra copy of chromosome 21 resulting in mental and physical disabilities and risk of major health conditions. A high prevalence of gait pattern dysfunction occurs in adults with Ds due to muscle hypotonia, ligamentous laxity, joint hypermobility, and altered development of musculoskeletal structure, which often lead to increased falls and fear of falling. The purpose of this study is to investigate the differences in kinematic and spatiotemporal gait parameters between adults with Ds and age-matched controls, as well as studying the effects of a 12-week Ds-specific …