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p
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av
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n
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s
[
2
]
.
T
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t
y
p
es
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f
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d
iv
id
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p
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m
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s
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li
m
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to
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ter
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m
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n
t
w
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o
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w
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o
s
e
w
h
o
p
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g
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m
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s
as
a
n
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it
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o
r
ad
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,
th
i
s
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s
o
f
ten
r
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r
ed
to
as
a
g
a
m
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d
is
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[
3
]
.
On
e
o
f
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h
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wo
r
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n
g
tech
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o
lo
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d
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li
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,
b
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it
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f
f
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s
t
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f
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eh
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[
4
]
.
On
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s
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f
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g
a
m
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f
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lo
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e
[
5
]
.
T
h
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t
h
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m
ai
n
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ar
a
cter
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tic
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f
g
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m
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o
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r
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th
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s
[
6
]
.
R
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th
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W
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Hea
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Or
g
an
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tio
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[
7
]
h
a
s
ca
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g
a
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b
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m
an
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s
s
t
h
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to
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m
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g
d
is
o
r
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as
m
e
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tal
d
is
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s
.
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So
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A
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P
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A
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(
A
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[
8
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,
m
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s
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9
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8
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Ga
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g
.
T
h
e
s
a
m
e
t
h
in
g
is
a
ls
o
f
o
u
n
d
i
n
p
lace
s
to
ea
t,
s
u
c
h
as
ca
f
e
s
a
n
d
s
m
all
s
h
o
p
s
,
w
h
er
e
tee
n
a
g
er
s
al
w
a
y
s
co
n
tact
s
m
ar
tp
h
o
n
es
to
ac
ce
s
s
o
n
li
n
e
g
a
m
es
a
n
d
s
p
e
n
d
t
h
eir
d
ail
y
liv
e
s
i
n
t
h
ese
p
lace
s
w
i
th
th
e
s
a
m
e
ac
ti
v
itie
s
o
r
ac
tiv
itie
s
,
n
a
m
el
y
p
la
y
i
n
g
g
a
m
es.
So
m
eti
m
es
w
i
th
b
u
s
y
p
la
y
i
n
g
g
a
m
es,
t
h
e
p
la
y
er
s
o
f
t
h
is
g
a
m
e
p
u
t
a
s
id
e
b
asic
n
ee
d
s
,
n
a
m
e
l
y
p
h
y
s
ical
n
ee
d
s
s
u
c
h
a
s
ea
ti
n
g
,
d
r
in
k
i
n
g
,
d
ela
y
i
n
g
u
r
in
a
tin
g
,
an
d
n
o
t
r
esti
n
g
o
r
s
leep
i
n
g
.
P
h
y
s
ical
n
ee
d
s
ar
e
o
n
e
o
f
th
e
b
as
ic
n
ee
d
s
t
h
at
m
u
s
t
b
e
m
et
b
y
e
v
er
y
i
n
d
i
v
id
u
al
.
I
f
b
asic
n
ee
d
s
ar
e
n
o
t
m
et,
it
c
an
h
a
v
e
a
n
e
g
ati
v
e
i
m
p
ac
t
o
n
a
p
er
s
o
n
's
h
ea
lt
h
[
1
1
]
.
B
ased
o
n
th
e
r
esu
lts
o
f
t
h
e
in
ter
v
ie
w
,
it
w
as
k
n
o
w
n
th
at
a
teen
ag
er
ad
m
itte
d
th
at
h
e
o
f
te
n
p
la
y
ed
g
a
m
es
2
-
4
h
o
u
r
s
a
d
a
y
,
a
n
d
w
h
e
n
p
l
a
y
in
g
g
a
m
es,
o
f
ten
d
ela
y
ed
e
atin
g
an
d
d
ela
y
ed
u
r
in
at
in
g
b
ec
au
s
e
h
e
w
as
f
o
cu
s
ed
an
d
co
u
ld
n
o
t le
av
e
t
h
e
g
a
m
e.
Ga
m
er
s
o
f
te
n
u
s
e
s
m
ar
tp
h
o
n
e
s
to
ac
ce
s
s
o
n
l
in
e
g
a
m
es
s
o
t
h
at
it
m
ak
e
s
t
h
e
m
s
ta
y
u
p
la
te,
an
d
th
er
e
is
a
s
t
u
d
y
th
at
s
ta
tes
th
at
s
m
a
r
tp
h
o
n
e
ad
d
ictio
n
s
h
o
w
s
p
o
o
r
s
leep
q
u
a
lit
y
[
1
2
]
.
P
o
o
r
s
leep
q
u
alit
y
o
r
lac
k
o
f
s
leep
ca
n
p
u
t
y
o
u
at
r
is
k
o
f
e
x
p
er
ien
cin
g
a
d
ef
icie
n
c
y
i
n
h
ae
m
o
g
lo
b
in
lev
el
s
,
an
d
s
tu
d
ie
s
a
r
e
s
h
o
w
i
n
g
t
h
at
t
h
e
ef
f
ec
t
o
f
p
la
y
i
n
g
g
a
m
e
s
i
s
an
ae
m
ia
d
u
e
to
lack
o
f
s
lee
p
[
1
3
]
.
T
h
is
ca
n
lead
to
h
e
ar
t
d
is
ea
s
e
d
u
e
to
o
v
er
co
m
p
en
s
at
io
n
to
t
h
e
h
ea
r
t
d
u
e
to
lack
o
f
r
est,
an
d
t
h
i
s
is
ev
id
en
t
f
r
o
m
th
e
r
es
u
lt
s
o
f
r
e
s
ea
r
ch
w
h
ic
h
s
tat
e
th
at
p
eo
p
le
w
h
o
ar
e
ad
d
icted
t
o
v
id
eo
g
a
m
es
h
a
v
e
p
o
o
r
h
ea
lth
an
d
h
ea
r
t d
is
ea
s
e
r
atin
g
s
[
1
4
]
.
T
h
en
th
e
h
ea
lt
h
ef
f
ec
ts
t
h
at
ar
is
e
f
r
o
m
g
a
m
e
ad
d
ictio
n
ar
e
ch
a
n
g
e
s
in
d
iet
a
n
d
s
leep
p
atter
n
s
th
a
t
h
av
e
n
eg
a
tiv
e
i
m
p
ac
ts
,
s
u
c
h
as
u
lcer
s
a
n
d
an
ae
m
ia
in
-
g
a
m
e
p
la
y
er
s
[
1
5
]
.
No
t
o
n
ly
d
e
la
y
i
n
g
ea
ti
n
g
ca
n
b
e
b
ad
,
b
u
t
d
elay
in
g
d
r
in
k
i
n
g
o
r
n
o
t
d
r
in
k
in
g
w
ater
ca
n
al
s
o
ca
u
s
e
s
er
io
u
s
p
r
o
b
le
m
s
,
n
a
m
el
y
t
h
e
r
is
k
o
f
d
eh
y
d
r
atio
n
o
r
lack
o
f
f
lu
id
s
,
r
esu
lt
in
g
in
u
n
f
o
c
u
s
ed
,
an
d
i
n
c
er
tain
co
n
d
itio
n
s
,
th
e
r
is
k
o
f
s
ev
er
e
d
eh
y
d
r
atio
n
,
w
h
ic
h
ca
n
lead
to
h
y
p
o
v
o
le
m
ic
s
h
o
ck
w
it
h
s
y
m
p
to
m
s
s
u
c
h
a
s
d
izzi
n
es
s
,
w
ea
k
n
ess
,
w
ea
k
p
u
l
s
e,
a
n
d
d
ec
r
ea
s
ed
co
n
s
cio
u
s
n
es
s
u
n
d
er
ce
r
tain
co
n
d
itio
n
s
[
1
6
]
.
I
n
ad
d
itio
n
,
th
e
n
e
g
ati
v
e
i
m
p
ac
ts
th
at
w
ill
ar
is
e
in
cl
u
d
e
p
h
y
s
ical,
p
er
s
o
n
al,
an
d
w
o
r
k
o
r
ac
ad
em
ic
p
r
o
b
le
m
s
.
C
u
r
r
en
tl
y
,
t
h
er
e
ar
e
s
t
u
d
ies
t
h
at
d
is
c
u
s
s
th
e
i
m
p
ac
t
o
f
o
n
l
in
e
g
a
m
e
ad
d
ictio
n
o
n
h
ea
l
th
,
th
en
o
n
s
o
cial
r
elatio
n
s
h
ip
s
[
1
7
]
,
[
1
8
]
,
ev
en
o
n
ac
ad
e
m
ic
s
[
1
9
]
.
A
cc
o
r
d
in
g
to
r
esear
ch
er
s
at
t
h
is
ti
m
e,
th
er
e
h
as
b
ee
n
n
o
r
esear
ch
th
at
h
a
s
th
o
r
o
u
g
h
l
y
d
is
c
u
s
s
ed
th
e
p
er
s
o
n
al
ex
p
er
ien
ce
o
f
s
o
m
eo
n
e
w
h
o
is
ad
d
icted
to
p
lay
in
g
o
n
lin
e
g
a
m
e
s
to
n
eg
lect
th
eir
h
ea
lt
h
.
I
n
th
i
s
r
eg
ar
d
,
it
is
s
ee
n
th
at
t
h
er
e
is
a
n
ee
d
f
o
r
a
h
ea
lth
b
elief
m
o
d
el
to
ex
a
m
in
e
h
ea
lt
h
b
elief
s
in
o
n
l
in
e
g
a
m
e
p
la
y
er
s
.
I
n
r
esp
o
n
s
e
to
th
is
,
r
esear
ch
er
s
ar
e
in
te
r
ested
in
u
s
in
g
th
e
Hea
lth
B
elie
f
Mo
d
el
(
HB
M)
t
o
ch
an
g
e
b
ad
b
eh
av
io
u
r
o
r
h
ab
its
f
o
r
th
e
b
etter
.
T
h
e
Hea
lth
B
elief
Mo
d
el
is
a
m
o
d
el
t
h
at
e
x
p
lain
s
a
p
er
s
o
n
'
s
j
u
d
g
m
e
n
t
b
ef
o
r
e
b
eh
av
in
g
i
n
a
h
ea
lt
h
y
m
an
n
er
a
n
d
s
er
v
es
a
s
a
n
e
f
f
o
r
t
to
p
r
ev
e
n
t
d
is
ea
s
e
[
2
0
]
.
T
h
e
Hea
lth
T
r
u
s
t
Mo
d
el
s
h
o
w
s
a
s
i
g
n
if
ican
t
r
elatio
n
s
h
ip
w
it
h
b
eh
a
v
io
u
r
c
h
an
g
e
[
2
1
]
.
T
h
e
Hea
lth
C
o
n
f
id
en
ce
Mo
d
el
is
t
h
e
m
o
s
t
f
r
eq
u
e
n
tl
y
u
s
ed
th
eo
r
y
in
h
ea
lt
h
ed
u
ca
tio
n
,
h
ea
lt
h
p
r
o
m
o
tio
n
,
a
n
d
d
is
ea
s
e
p
r
ev
e
n
ti
o
n
;
w
h
e
r
ea
s
th
e
h
ea
lth
b
elie
f
m
o
d
el
a
s
s
u
m
es
th
at
in
d
iv
id
u
als
en
g
a
g
e
i
n
p
r
ev
e
n
ti
v
e
b
eh
a
v
io
u
r
w
h
e
n
t
h
e
y
b
elie
v
e
t
h
er
e
is
a
h
ig
h
lik
el
ih
o
o
d
o
f
d
is
ea
s
e
(
p
er
ce
iv
ed
v
u
l
n
er
ab
ilit
y
)
,
s
ev
er
e
n
eg
a
ti
v
e
i
m
p
ac
t
s
.
Dis
ea
s
e
(
p
er
ce
iv
ed
s
ev
er
i
t
y
)
b
en
e
f
it
s
f
r
o
m
ad
o
p
tin
g
h
ea
lt
h
b
eh
a
v
io
u
r
s
,
an
d
th
er
e
ar
e
s
o
m
e
b
ar
r
ier
s
to
h
ea
lth
b
eh
av
io
u
r
s
[
2
2
]
.
B
ased
o
n
th
e
d
escr
ip
tio
n
ab
o
v
e,
th
e
f
o
r
m
u
latio
n
o
f
th
e
p
r
o
b
lem
in
th
is
s
t
u
d
y
is
h
o
w
to
m
o
d
el
ad
o
lescen
ts
'
h
ea
lt
h
b
elie
f
s
w
i
th
g
a
m
e
d
i
s
o
r
d
er
s
o
n
h
ea
lt
h
i
m
p
ac
ts
.
T
h
e
ai
m
to
b
e
ac
h
i
ev
ed
is
to
lo
o
k
a
t
m
o
d
el
s
o
f
ad
o
lescen
t g
a
m
i
n
g
d
is
o
r
d
er
b
elief
s
o
n
h
ea
lt
h
i
m
p
ac
ts
.
.
2.
RE
S
E
ARCH
M
E
T
H
O
D
T
h
is
s
t
u
d
y
u
s
e
d
a
q
u
alitati
v
e
m
et
h
o
d
w
it
h
a
p
h
e
n
o
m
e
n
o
lo
g
ical
ap
p
r
o
ac
h
,
w
h
ich
p
r
o
v
id
es
a
n
o
v
er
v
ie
w
o
f
t
h
e
s
u
b
j
ec
tiv
e
ex
p
er
ien
ce
o
f
t
h
e
h
ea
lt
h
b
elie
f
m
o
d
el
o
f
ad
o
lesce
n
t
g
a
m
e
d
is
o
r
d
er
s
o
n
h
ea
lt
h
i
m
p
ac
ts
.
T
h
en
i
n
t
h
is
s
tu
d
y
,
th
e
r
esear
ch
er
s
p
r
o
v
ed
th
e
E
th
ic
al
C
lear
an
ce
f
r
o
m
t
h
e
Ah
m
ad
Dah
la
n
Un
iv
er
s
it
y
E
th
ics
C
o
m
m
it
tee
w
ith
t
h
e
n
u
m
b
er
: 0
1
2
0
1
0
0
5
5
.
2
.
1
.
Resea
rc
h s
u
bje
ct
R
esear
ch
er
s
u
s
ed
i
n
cid
en
tal
s
a
m
p
lin
g
tec
h
n
iq
u
es
i
n
th
i
s
s
t
u
d
y
,
n
a
m
el
y
ac
cid
en
tal
s
a
m
p
lin
g
w
it
h
ce
r
tain
co
n
s
id
er
atio
n
s
o
r
ch
ar
ac
ter
is
tics
i
n
ac
co
r
d
an
ce
w
it
h
s
e
v
er
al
i
n
clu
s
io
n
cr
iter
ia.
T
h
e
n
u
m
b
er
o
f
p
ar
ticip
an
ts
i
n
th
i
s
s
tu
d
y
w
a
s
s
i
x
p
eo
p
le,
w
h
i
le
t
h
e
c
h
ar
ac
t
er
is
tics
o
f
t
h
e
p
ar
ticip
a
n
ts
in
th
is
s
t
u
d
y
w
er
e
a
s
s
h
o
w
n
in
T
ab
le
1
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
SS
N
:
2
2
5
2
-
8806
I
n
t.
J
.
P
u
b
lic
Hea
lth
Sci.,
Vo
l.
10
,
No
.
3
,
Sep
tem
b
er
2021
:
480
–
4
9
2
482
T
ab
le
1
.
C
h
ar
ac
ter
is
tics
o
f
p
ar
ticip
an
ts
C
h
a
r
a
c
t
e
r
i
st
i
c
s
D
e
mo
g
r
a
p
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ased
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ab
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,
it
ca
n
b
e
s
e
en
t
h
at
t
h
e
p
ar
ticip
a
n
ts
in
th
is
s
tu
d
y
w
er
e
s
ix
p
eo
p
le
.
A
ll
o
f
t
h
e
m
w
er
e
m
ale
a
n
d
ag
ed
2
1
to
2
4
y
ea
r
s
,
th
e
n
all
p
ar
ticip
an
t
s
w
er
e
s
tu
d
en
t
s
an
d
li
v
ed
i
n
r
en
ted
h
o
u
s
es
a
n
d
b
o
ar
d
in
g
h
o
u
s
e
s
.
P
ar
ticip
an
ts
in
t
h
is
s
t
u
d
y
as
a
w
h
o
le
ex
p
er
ien
ce
d
ad
d
ictio
n
w
it
h
a
h
i
g
h
ca
te
g
o
r
y
.
T
h
en
h
av
e
b
ee
n
p
lay
in
g
g
a
m
e
s
f
o
r
m
o
r
e
th
a
n
s
ix
m
o
n
t
h
s
a
n
d
in
a
d
a
y
p
la
y
i
n
g
g
a
m
es
f
o
r
m
o
r
e
th
a
n
th
r
ee
h
o
u
r
s
.
2
.
2
.
M
e
t
ho
d o
f
co
llect
ing
da
t
a
T
h
e
d
ata
co
llectio
n
m
et
h
o
d
u
s
ed
in
th
i
s
s
t
u
d
y
w
as
s
e
m
i
-
s
tr
u
ctu
r
ed
in
ter
v
ie
w
s
(
in
-
d
ep
th
i
n
ter
v
ie
w
s
)
w
h
ic
h
w
er
e
d
esig
n
ed
w
it
h
o
p
en
-
e
n
d
ed
q
u
esti
o
n
s
to
o
b
tain
p
ar
ticip
an
ts
'
v
ie
w
s
a
n
d
o
p
in
io
n
s
.
T
h
e
in
s
tr
u
m
e
n
t
u
s
ed
in
t
h
i
s
s
t
u
d
y
w
a
s
a
h
u
m
a
n
in
s
tr
u
m
e
n
t
w
it
h
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i
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ter
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w
g
u
id
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t
h
at
h
ad
ex
p
er
t
v
alid
it
y
f
ir
s
t.
2
.
3
.
Da
t
a
cr
edibi
lity
Data
cr
ed
ib
ilit
y
is
g
u
ar
a
n
teed
b
y
m
e
m
b
er
c
h
ec
k
in
g
an
d
d
a
ta
tr
ian
g
u
lat
io
n
.
R
e
s
ea
r
ch
er
s
s
u
b
m
it
t
h
e
r
esu
lt
s
o
f
t
h
e
r
ep
o
r
t
to
p
ar
tic
ip
an
ts
to
c
h
ec
k
t
h
e
ac
c
u
r
ac
y
o
f
th
e
i
n
f
o
r
m
atio
n
ca
p
tu
r
ed
.
Fu
r
t
h
er
m
o
r
e,
p
ee
r
ch
ec
k
i
n
g
,
in
t
h
e
f
o
r
m
o
f
ch
e
ck
in
g
t
h
e
r
esu
lts
o
f
i
n
ter
v
ie
ws
w
ith
s
u
p
er
v
is
o
r
s
th
r
o
u
g
h
d
i
s
cu
s
s
io
n
.
T
h
en
t
h
e
tr
ian
g
u
lat
io
n
u
s
ed
is
th
e
tr
ia
n
g
u
latio
n
m
et
h
o
d
b
y
m
ea
s
u
r
i
n
g
t
h
e
g
a
m
in
g
ad
d
ictio
n
s
ca
l
e.
T
h
e
s
ca
le
i
s
t
h
e
s
tan
d
ar
d
s
ca
le
b
y
L
e
m
m
e
n
s
e
t
al,
m
o
d
i
f
ied
b
y
B
ai
[
2
3
]
.
T
h
e
n
t
h
e
r
esear
c
h
er
s
m
o
d
if
ied
th
e
s
ca
le
b
y
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m
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v
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g
n
eu
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al
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s
w
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ite
m
s
s
o
as
n
o
t
to
lead
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s
u
b
j
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t to
n
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a
n
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w
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s
,
af
ter
th
at
th
e
v
al
id
it
y
o
f
th
e
co
n
te
n
ts
w
a
s
r
etu
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ed
b
y
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r
o
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n
t,
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a
m
el
y
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h
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t
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t
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lect
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f
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t
h
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f
ac
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l
t
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f
p
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ch
o
lo
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y
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d
th
e
f
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lt
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o
f
p
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lic
h
ea
lt
h
at
Ah
m
ad
Dah
lan
U
n
i
v
er
s
it
y
Yo
g
y
ak
ar
ta.
T
h
e
d
ata
f
r
o
m
t
h
e
tr
ian
g
u
lat
io
n
o
f
th
e
g
a
m
i
n
g
ad
d
ictio
n
s
ca
le
is
s
h
o
w
n
i
n
T
ab
le
2
.
B
ased
o
n
T
a
b
le
2
,
it
c
an
b
e
s
ee
n
th
at
all
p
ar
ticip
an
ts
to
talled
s
i
x
p
eo
p
le
an
d
ex
p
er
ien
ce
d
ad
d
ictio
n
in
th
e
h
i
g
h
ca
teg
o
r
y
(
1
0
0
%).
T
ab
le
2
.
P
ar
ticip
an
t a
d
d
ictio
n
cr
iter
ia
No
A
d
d
i
c
t
i
o
n
c
a
t
e
g
o
r
y
F
r
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q
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e
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y
P
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r
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e
n
t
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g
e
(
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1
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i
g
h
6
1
0
0
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0
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o
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t
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0
0
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L
o
w
0
0
(
S
o
u
r
c
e
:
P
r
i
mary
d
a
t
a
,
2
0
2
0
)
2
.
4
.
Da
t
a
a
na
ly
s
is
Qu
alitat
iv
e
d
ata
an
al
y
s
is
b
e
g
a
n
b
y
ex
a
m
i
n
i
n
g
all
a
v
ailab
le
d
ata
f
r
o
m
v
ar
io
u
s
s
o
u
r
ce
s
,
n
a
m
el
y
f
r
o
m
in
ter
v
ie
w
s
a
n
d
tr
ian
g
u
latio
n
c
o
llected
.
T
h
e
r
esear
ch
er
s
t
h
en
u
s
ed
a
p
h
e
n
o
m
e
n
o
lo
g
ical
a
n
al
y
s
i
s
,
ac
co
r
d
in
g
to
C
r
es
w
ell
[
2
4
]
.
T
h
e
s
tep
s
tak
e
n
in
d
ata
a
n
al
y
s
is
ar
e
as
f
o
llo
w
s
:
(
i)
o
r
g
an
izi
n
g
t
h
e
d
ata,
(
ii)
r
ea
d
in
g
al
l
th
e
d
ata,
(
iii)
co
d
in
g
,
(
iv
)
d
ev
elo
p
in
g
th
e
m
es a
n
d
d
ata
d
escr
ip
tio
n
s
,
(
v
)
co
n
n
ec
ti
n
g
b
et
w
ee
n
th
e
m
e
s
,
(
v
i)
in
ter
p
r
etatio
n
.
3.
RE
SU
L
T
S
3
.
1
.
H
ea
lt
h B
elief
M
o
del o
n pa
rt
i
cipa
nts
B
ased
o
n
in
ter
v
ie
w
s
w
it
h
s
i
x
p
ar
ticip
an
ts
,
r
esear
ch
er
s
o
b
t
ain
ed
in
f
o
r
m
atio
n
t
h
at
ca
p
tu
r
es
h
o
w
to
m
o
d
el
t
h
e
p
ar
ticip
an
ts
'
h
ea
lt
h
b
elief
s
o
n
t
h
e
h
ea
lt
h
ef
f
ec
t
s
o
f
g
a
m
e
ad
d
ictio
n
,
n
a
m
el
y
th
a
t
all
p
ar
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an
ts
f
ee
l
v
u
l
n
er
ab
le
to
ex
p
er
ie
n
cin
g
p
a
in
,
t
h
en
k
n
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w
th
e
d
a
n
g
er
s
d
u
e
to
f
r
eq
u
en
t
h
ab
it
s
,
b
esid
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t
h
at
all
p
ar
ticip
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ts
k
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o
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e
b
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f
its
o
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ed
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p
la
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s
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g
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F
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ticip
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ticip
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w
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t k
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-
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w
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
n
t.
J
.
P
u
b
lic
Hea
lth
Sci.
I
SS
N:
2
252
-
8806
Ga
me
a
d
d
ictio
n
a
mo
n
g
a
d
o
lescen
ts
a
n
d
its
’
h
ea
lth
imp
a
cts
(
R
en
d
i
A
r
iya
n
to
S
in
a
n
t
o
)
483
3
.
1
.
1
.
Su
s
ce
ptibil
it
y
t
o
dis
ea
s
e
R
eg
ar
d
in
g
t
h
e
v
u
ln
er
ab
ilit
y
to
ex
p
er
ien
ci
n
g
p
ain
,
al
l p
ar
ticip
an
ts
f
elt
v
u
l
n
er
ab
le
to
ex
p
er
ie
n
cin
g
p
ai
n
an
d
b
eliev
ed
in
g
a
m
e
ad
d
ictio
n
'
s
n
eg
at
iv
e
e
f
f
ec
ts
.
"
Yes
,
fo
r
th
e
s
ick,
ye
s
,
b
u
t th
e
s
icke
s
t o
n
es
w
ere
d
iz
z
in
ess
,
a
c
h
es,
h
ea
d
a
ch
es,
like
th
a
t
.
"
(
P
a
r
ticip
an
t
1
,
G)
"
E
s
ee
ms like
ye
s
.
"
(
P
ar
ticip
an
t 2
,
S)
"
Yes
,
my
o
w
n
b
o
d
y
feels
vu
ln
era
b
le,
esp
ec
ia
lly
c
o
mmo
n
d
is
ea
s
es
s
u
ch
a
s
co
u
g
h
i
n
g
,
co
ld
s
,
d
iz
z
in
ess
.
"
(
P
ar
ticip
an
t 3
,
P
)
"
E
e,
v
u
ln
era
b
le,
if y
o
u
a
r
e
tir
ed
,
yo
u
w
ill b
e
vu
l
n
era
b
le
to
ill
n
ess
.
"
(
P
ar
ticip
an
t 4
,
F)
"
V
u
l
n
era
b
le
fo
r
s
u
r
e,
ma
s
.
"
(
Par
ticip
an
t 5
,
D)
"
Yes
,
ye
s
.
"
(
P
a
r
ticip
an
t 6
,
P
)
3
.
1
.
2
.
Sev
er
it
y
/t
rus
t
wo
rt
hin
ess
o
f
neg
a
t
iv
e
i
m
pa
ct
s
T
h
e
s
ev
er
it
y
/b
elief
i
n
t
h
e
n
e
g
ativ
e
i
m
p
ac
t,
n
a
m
el
y
all
p
ar
ti
cip
an
ts
o
f
te
n
s
ta
y
u
p
late,
d
i
f
f
ic
u
lt
ti
m
e
m
an
a
g
e
m
e
n
t,
o
f
ten
d
ela
y
ea
ti
n
g
,
an
d
h
ea
r
tb
u
r
n
.
B
esid
es
th
at,
y
o
u
u
s
u
all
y
h
o
ld
an
d
d
ela
y
u
r
in
atio
n
,
t
h
en
f
ee
l
d
izzy
,
tire
d
,
an
d
h
a
v
e
b
ac
k
p
ain
.
W
h
en
p
la
y
in
g
g
a
m
e
s
,
th
e
y
o
f
ten
f
o
r
g
et
to
ea
t,
lack
ap
p
etite,
in
ter
f
er
e
w
it
h
co
n
ce
n
tr
atio
n
,
an
d
al
s
o
in
ter
f
e
r
e
w
it
h
t
h
e
n
ee
d
f
o
r
r
est.
I
n
ad
d
itio
n
to
ex
p
er
ie
n
cin
g
i
n
s
o
m
n
i
a,
p
ar
tici
p
an
ts
al
s
o
k
n
e
w
ab
o
u
t
t
h
e
d
an
g
er
s
o
f
s
t
a
y
in
g
u
p
late,
t
h
e
r
i
s
k
s
o
f
d
ela
y
i
n
g
ea
tin
g
,
a
n
d
t
h
e
d
an
g
er
s
o
f
h
o
ld
in
g
b
ac
k
u
r
in
at
io
n
.
"
I
t c
a
n
a
ls
o
c
a
u
s
e
p
a
i
n
fr
o
m
la
ck
o
f sleep
,
r
ig
h
t?
.
"
(
P
a
r
ticip
a
n
t 1
,
G)
"
F
o
r
ex
a
mp
le,
if
w
e
d
ela
y
ea
tin
g
,
it
ca
n
ca
u
s
e
u
lcers
,
a
n
d
d
ela
yin
g
d
r
in
kin
g
c
a
n
ca
u
s
e
d
eh
yd
r
a
tio
n
.
"
(
P
a
r
ticip
a
n
t 1
,
G)
"
Yes
,
w
e
ca
n
ca
tc
h
in
fectio
n
s
l
ike
th
a
t
.
"
(
P
a
r
ticip
a
n
t 1
,
G)
"
I
u
s
ed
to
h
a
ve
d
iz
z
in
ess
,
b
a
ck
p
a
in
.
"
(
P
a
r
ticip
a
n
t 1
,
G)
"
I
t
h
in
k
it
h
a
s
a
n
eg
a
tive
imp
a
ct
b
ec
a
u
s
e
I
u
s
u
a
lly
d
o
n
't
g
et
en
o
u
g
h
s
leep
,
esp
ec
i
a
lly
d
u
r
in
g
co
lleg
e
h
o
lid
a
ys
a
n
d
th
e
fo
llo
w
in
g
h
o
lid
a
ys,
s
o
I
p
la
y
g
a
mes
fr
o
m
n
ig
h
t
to
mo
r
n
in
g
.
"
(
P
a
r
ticip
a
n
t
2
,
S
)
"
Oh
ye
a
h
,
esp
ec
i
a
lly
if
w
e
a
r
e
fu
n
,
w
e
w
ill
h
a
ve
fu
n
w
h
e
n
p
la
yin
g
g
a
mes
th
ere
a
r
e
p
o
in
ts
,
fo
r
ex
a
mp
le,
th
e
p
o
in
ts
a
r
e
less
th
a
n
five,
let's p
la
y
a
n
d
e
a
t la
ter
.
"
(
P
a
r
ticip
a
n
t 2
,
S
)
"
I
f
yo
u
p
o
s
tp
o
n
e
p
ee
in
g
,
o
f
co
u
r
s
e,
esp
ec
ia
lly
w
h
en
yo
u
p
la
y,
w
e
a
r
e
o
ften
o
n
th
e
s
ec
o
n
d
flo
o
r
,
s
o
th
e
b
a
th
r
o
o
m
is
d
o
w
n
s
ta
ir
s
,
s
o
if
yo
u
w
a
n
t
to
g
o
d
o
w
n
la
z
y,
esp
ec
ia
lly
if
yo
u
a
r
e
la
z
y
to
p
la
y
fir
s
t,
le
t it
b
e
d
ela
ye
d
.
"
(
P
a
r
ticip
a
n
t
2
,
S
)
"
Often
b
r
o
,
it's b
ee
n
ev
ery
d
a
y
.
"
(
P
a
r
ticip
a
n
t 3
,
P
)
"
I
o
ften
h
a
ve
h
ea
r
tb
u
r
n
like
th
a
t
.
"
(
P
a
r
ticip
a
n
t 3
,
P
)
"
Yo
u
c
a
n
d
o
th
is
,
w
h
a
t,
h
a
ve
k
i
d
n
ey
s
to
n
es.
"
(
P
a
r
ticip
a
n
t 3
,
F
)
"
Yes
,
tir
ed
.
"
(
P
a
r
ticip
a
n
t
4
,
F
)
"
I
t's
like
h
ea
r
tb
u
r
n
,
u
s
u
a
lly
w
h
en
I
p
la
y
g
a
mes
fo
r
to
o
lo
n
g
,
my
ey
es
h
u
r
t
a
n
d
my
h
ea
d
h
u
r
ts
to
o
.
"
(
P
a
r
ticip
a
n
t 4
,
F
)
"
Lit
tle
d
o
I
kn
o
w
a
b
o
u
t
th
e
d
a
n
g
ers
o
f
h
ea
r
in
g
fr
o
m
h
ea
lth
y
p
eo
p
le,
it
u
s
u
a
lly
c
a
u
s
es
u
r
in
a
r
y
tr
a
ct
d
is
o
r
d
ers
.
”
(
P
a
r
ticip
a
n
t 4
,
F
)
"
Ma
yb
e
w
h
a
t's
w
r
o
n
g
,
i
n
s
o
mn
ia
,
d
iz
z
in
ess
,
esp
ec
ia
lly
a
la
ck
o
f
a
p
p
etite,
w
h
ich
I
u
s
u
a
ll
y
feel
is
a
la
ck
o
f a
p
p
etite
.
"
(
P
a
r
ticip
a
n
t 5
,
D)
"
S
o
metime
s
I
fo
r
g
et,
b
r
o
,
w
h
en
I
a
m
p
la
yin
g
g
a
mes,
fo
r
ex
a
mp
le,
I
h
a
ve
t
o
ea
t
r
ig
h
t
n
o
w
,
fo
r
g
et,
p
o
s
tp
o
n
e,
a
d
ela
y
like
th
a
t.
"
(
P
a
r
ticip
a
n
t
5
,
D)
"
Ma
yb
e
it
ca
n
in
terf
ere
w
ith
my
co
n
ce
n
tr
a
tio
n
b
ec
a
u
s
e
I
o
ften
p
la
y
g
a
mes;
u
s
u
a
lly
it
d
is
tu
r
b
s
my
s
leep
n
ee
d
s
to
o
.
"
(
P
a
r
ticip
a
n
t
5
,
D)
"
Yes
,
ma
yb
e
la
ter,
if w
e
d
o
it
o
ften
,
th
ere
w
ill b
e
d
is
tu
r
b
a
n
ce
s
in
o
u
r
u
r
in
e
.
"
(
P
a
r
ticip
a
n
t 5
,
D)
"
Yes
,
o
n
e
o
f th
em
is
th
a
t we a
r
e
s
h
o
r
t o
f b
lo
o
d
.
"
(
P
a
r
ticip
a
n
t 6
,
P
)
"
C
a
n
c
a
u
s
e
u
lcer d
is
ea
s
e
.
"
(
P
a
r
ticip
a
n
t 6
,
P
)
"
Yes
,
yo
u
c
a
n
p
ee
s
to
n
es la
ter,
r
ig
h
t?
.
"
(
P
a
r
ticip
a
n
t 6
,
P
)
"
Destr
o
ys th
e
kid
n
ey
s
.
"
(
P
a
r
ticip
a
n
t 6
,
P
)
3
.
1
.
3
.
T
rus
t
benef
it
T
h
e
b
en
ef
it
o
f
th
is
b
elief
i
s
th
at
all
p
ar
ticip
an
ts
k
n
o
w
t
h
e
b
en
ef
its
o
f
r
ed
u
ci
n
g
g
a
m
e
h
o
u
r
s
b
ec
au
s
e
r
est is
v
er
y
i
m
p
o
r
tan
t to
av
o
id
d
is
ea
s
e
an
d
m
a
in
ta
in
h
ea
lt
h
.
"
Ma
yb
e
w
e
ca
n
r
ed
u
ce
o
u
r
h
a
b
its
n
o
w
,
s
o
w
e
d
o
n
't
g
et
s
ick
.
"
(
P
ar
ticip
an
t 1
,
G)
Evaluation Warning : The document was created with Spire.PDF for Python.
I
SS
N
:
2
2
5
2
-
8806
I
n
t.
J
.
P
u
b
lic
Hea
lth
Sci.,
Vo
l.
10
,
No
.
3
,
Sep
tem
b
er
2021
:
480
–
4
9
2
484
"
Ma
yb
e
f
o
r
h
e
a
lth
,
ye
s
.
"
(
P
a
r
ticip
a
n
t 2
,
S
)
"
Yes
,
ma
yb
e
to
p
r
ev
en
t wo
r
s
e
th
in
g
s
in
th
e
fu
tu
r
e.
"
(
P
a
r
tici
p
a
n
t 3
,
P
)
"
Ma
yb
e
it's
ju
s
t
to
ma
in
ta
in
h
ea
lth
,
b
ec
a
u
s
e
if
yo
u
p
l
a
y
a
lo
t,
y
o
u
ca
n
g
et
tir
ed
to
o
q
u
ickly
.
"
(
P
a
r
ticip
a
n
t 4
,
F
)
"
I
f y
o
u
r
ed
u
ce
p
la
yin
g
h
o
u
r
s
,
it c
a
n
b
e
b
etter
.
"
(
P
a
r
ticip
a
n
t
5
,
D)
"
Yes
,
ye
s
,
I
a
m
a
w
a
r
e
th
a
t it
is
n
o
t v
ery
g
o
o
d
n
o
w
it is
a
ls
o
r
i
s
ky
fo
r
h
ea
lth
,
b
u
t it
is
a
ls
o
d
iffi
cu
lt to
r
ed
u
ce
it
.
"
(
P
a
r
ticip
a
n
t
6
,
P
)
3
.
1
.
4
.
T
rus
t
ba
rr
ier
Nex
t
is
t
h
e
b
elief
i
n
o
b
s
tacle
s
,
n
a
m
e
l
y
b
ec
au
s
e
o
f
f
r
ie
n
d
s
'
in
v
ita
tio
n
s
,
th
e
n
b
o
r
ed
o
m
,
ex
cite
m
en
t
w
h
e
n
p
la
y
i
n
g
g
a
m
e
s
,
an
d
t
h
e
ex
is
ten
ce
o
f
f
r
ee
ti
m
e.
W
h
e
n
p
la
y
in
g
g
a
m
es,
t
h
e
y
ca
n
n
o
t
co
n
tr
o
l
th
e
m
s
el
v
e
s
,
an
d
also
s
o
m
e
o
n
li
n
e
g
a
m
e
s
p
la
y
ed
b
y
p
ar
ticip
a
n
ts
h
a
v
e
b
ec
o
m
e
a
tr
e
n
d
in
elec
tr
o
n
ic
s
p
o
r
ts
.
I
n
ad
d
itio
n
,
th
e
f
ac
to
r
th
at
b
ec
o
m
es a
n
o
b
s
tacl
e
is
t
h
e
ex
i
s
te
n
ce
o
f
a
q
u
o
ta
o
r
w
i
f
i,
t
h
e
n
o
n
l
y
f
o
cu
s
es o
n
th
e
g
a
m
e
b
ec
au
s
e
it i
s
ch
asi
n
g
tar
g
et
s
,
a
n
d
it
i
s
also
d
if
f
ic
u
lt
to
ch
a
n
g
e
h
ab
its
b
ec
a
u
s
e
i
t
is
f
u
n
to
p
la
y
.
T
h
e
p
ar
ti
cip
an
ts
co
n
ti
n
u
ed
to
p
lay
e
v
en
t
h
o
u
g
h
th
e
y
w
er
e
f
ee
lin
g
p
ai
n
b
ec
au
s
e
t
h
e
y
w
a
n
ted
to
p
lay
v
er
y
m
u
c
h
an
d
f
e
lt
te
m
p
ted
to
p
lay
g
a
m
e
s
w
h
en
t
h
e
y
s
a
w
o
th
er
p
e
o
p
le
p
lay
i
n
g
g
a
m
es,
an
d
w
h
en
p
lay
i
n
g
g
a
m
e
s
,
th
e
y
f
o
r
g
o
t e
v
er
y
th
i
n
g
.
"
Th
e
o
b
s
ta
cles
a
r
e
like
b
ein
g
b
o
r
ed
,
c
o
n
fu
s
ed
a
b
o
u
t
w
h
a
t
to
d
o
w
ith
p
la
yin
g
th
e
g
a
m
e
a
g
a
in
,
b
esid
es th
a
t b
ec
a
u
s
e
th
ere
is
a
n
in
vita
tio
n
fr
o
m
a
fr
ien
d
.
"
(
P
a
r
ticip
a
n
t 1
,
G)
"
Yes
,
b
ec
a
u
s
e
th
ey
ca
n
n
o
t c
o
n
tr
o
l th
emselve
s
.
"
(
P
a
r
ticip
a
n
t 1
,
G)
"
Th
e
t
h
in
g
t
h
a
t
a
ffects
me
to
p
la
y
g
a
mes
is
th
ere
is
n
o
a
ctivity,
th
en
I
live
i
n
a
p
la
ce
w
ith
a
n
a
ve
r
a
g
e
en
viro
n
men
t
w
h
ere
p
eo
p
le
p
l
a
y
g
a
mes,
s
o
la
ter
fr
ien
d
s
co
me,
let's
p
la
y
g
a
m
es,
la
ter
fr
ien
d
s
co
me
b
a
ck
,
let's p
la
y
g
a
mes,
s
o
I
'm
f
o
r
ce
d
to
h
a
ve
to
p
la
y
like
th
a
t.”
(
P
a
r
ticip
a
n
t 2
,
S
)
"
Yes
,
p
la
yi
n
g
t
o
g
eth
er,
esp
ec
ia
lly
if
p
la
yin
g
th
e
g
a
me
its
elf
is
n
o
t
fu
n
,
th
e
fu
n
is
n
o
t
e
n
o
u
g
h
.
"
(
P
a
r
ticip
a
n
t 2
,
S
)
"
I
t's
g
ettin
g
mo
r
e
fu
n
b
ec
a
u
s
e
P
UB
G
h
a
s
b
ec
o
me
a
n
e
-
s
p
o
r
t,
it's
g
ettin
g
b
u
s
ier
n
o
w
.
"
(
P
a
r
ticip
a
n
t
2
,
S
)
"
I
d
o
n
't
k
n
o
w
,
a
n
d
ma
yb
e
it
w
a
s
b
efo
r
e,
I
w
a
n
t
to
ca
tch
u
p
,
r
ig
h
t
in
th
e
g
a
me
th
ere
is
a
leve
l."
(
P
a
r
ticip
a
n
t 2
,
S
)
"
I
f
yo
u
ca
n
s
a
y
yo
u
ca
n
't
co
n
tr
o
l
it,
b
r
o
,
b
ec
a
u
s
e
it's
fu
n
,
b
r
o
,
s
o
I
'm
co
n
fu
s
ed
,
b
u
t
I
w
a
n
t
to
tr
y
a
g
a
in
,
fo
r
ex
a
mp
le,
i
n
a
d
a
y,
I
r
ed
u
ce
it,
five
h
o
u
r
s
th
r
ee
h
o
u
r
s
,
I
w
a
n
n
a
tr
y,
b
u
t
I
d
o
n
't
k
n
o
w
h
o
w
to
d
o
it,
b
r
o
.
"
(
P
a
r
ticip
a
n
t 2
,
S
)
"
Yes
,
cred
it,
n
o
cr
ed
it,
n
o
q
u
o
ta
,
yo
u
ca
n
't
p
l
a
y
g
a
mes,
b
r
o
.
A
p
a
r
t
fr
o
m
th
a
t,
o
th
er
fa
cto
r
s
a
r
e
a
ls
o
th
e
en
viro
n
men
t,
th
ere
a
r
e
fr
ien
d
s
.
"
(
P
a
r
ticip
a
n
t 3
,
P
)
"
Ju
s
t e
xc
itin
g
,
b
r
o
,
ju
s
t e
xc
itin
g
.
"
(
P
a
r
ticip
a
n
t 3
,
P
)
"
Yes
,
e
-
s
p
o
r
t,
b
ec
a
u
s
e
it's b
o
o
min
g
.
"
(
P
a
r
ticip
a
n
t 3
,
P
)
"
Yes
,
I
w
a
n
t to
c
h
a
n
g
e,
b
u
t I
c
a
n
't,
b
r
o
.
"
(
P
a
r
ticip
a
n
t 3
,
P
)
"
Hm,
it's
h
a
r
d
to
s
a
y,
b
ec
a
u
s
e
th
e
c
o
n
tr
o
l
is
d
iffi
cu
lt
b
ec
a
u
s
e
mo
s
t
o
f
th
ese
fr
ien
d
s
like
g
a
mes.
"
(
P
a
r
ticip
a
n
t 4
,
F
)
"
B
esid
es,
ma
yb
e
th
is
to
o
,
a
s
l
o
n
g
a
s
th
ere
is
fr
ee
time,
feeli
n
g
b
o
r
ed
,
fin
a
lly
r
u
n
n
in
g
to
th
e
g
a
me.
"
(
P
a
r
ticip
a
n
t 4
,
F
)
"
I
w
a
n
t
t
o
ch
a
n
g
e,
a
n
d
it's
j
u
s
t
th
a
t
in
a
n
e
n
viro
n
men
t
like
th
is
,
it's
a
b
it
d
iffi
cu
lt
to
ch
a
n
g
e
,
esp
ec
ia
lly
if a
ll my
fr
ien
d
s
in
my
n
eig
h
b
o
u
r
h
o
o
d
a
r
e
g
a
me
lo
ve
r
s
.
"
(
P
a
r
ticip
a
n
t 4
,
F
)
"
I
f
p
e
o
p
le
a
r
e
u
s
ed
to
p
la
yin
g
g
a
mes,
it
feels
like
s
o
meth
in
g
is
mi
s
s
in
g
if
w
e
d
o
n
't
p
la
y
g
a
mes,
it's
like
ea
tin
g
ve
g
eta
b
les w
ith
o
u
t sa
lt
.
"
(
P
a
r
ticip
a
n
t 4
,
F
)
"
Usu
a
lly
I
n
ee
d
r
est,
if
it's
n
o
t
to
o
h
ea
vy
,
fo
r
ex
a
mp
le,
th
e
h
ea
d
is
a
b
it
d
iz
z
y,
I
w
ill
co
n
tin
u
e,
b
u
t
if
yo
u
feel
a
litt
le
tir
ed
,
I
w
ill r
es
t."
(
P
a
r
ticip
a
n
t 4
,
F
)
"
Ma
yb
e
th
e
e
n
viro
n
men
t
ca
n
,
th
en
fr
ien
d
s
a
r
o
u
n
d
w
h
o
u
s
u
a
lly
like
to
p
la
y
g
a
mes
ca
n
a
l
s
o
,
w
h
a
t
else,
ca
n
it
b
e
fr
o
m
th
e
en
viro
n
men
t,
fo
r
ex
a
mp
le,
th
ere
is
s
mo
o
th
w
ifi
s
o
th
a
t
th
ey
ca
n
p
la
y
fu
ll."
(
P
a
r
ticip
a
n
t 5
,
D)
"
Th
e
o
b
s
ta
cle
ma
y
b
e
b
ec
a
u
s
e
o
f
th
e
fu
n
p
la
yin
g
th
e
g
a
me,
th
a
t's
w
h
a
t
p
r
ev
en
ts
me
fr
o
m
limiti
n
g
w
h
en
I
w
a
n
t to
r
ed
u
ce
my
p
la
y
in
g
limi
t
.
"
(
P
a
r
ticip
a
n
t 5
,
D)
"
Yes
,
b
ec
a
u
s
e
my
fr
ien
d
s
a
ls
o
p
la
y
g
a
mes,
ev
ery
time,
fo
r
ex
a
mp
le,
I
h
e
a
r
th
e
s
o
u
n
d
o
f
a
g
a
me,
it
r
in
g
s
,
I
immed
ia
tely
b
r
in
g
my
ce
llp
h
o
n
e
to
p
la
y
th
e
g
a
me
to
o
.
"
(
P
a
r
ticip
a
n
t 5
,
D)
"
Yes
,
th
ere
is
n
o
w
o
r
k,
I
w
ill p
la
y
th
e
g
a
me,
o
ka
y
?
.
"
(
P
a
r
ticip
a
n
t 6
,
P
)
"
I
f
I
ch
a
s
e,
o
n
mo
b
ile
leg
en
d
s
I
ch
a
s
e
r
a
n
k.
"
(
P
a
r
ticip
a
n
t
6
,
P
)
"
I
t
d
ep
e
n
d
s
,
b
u
t
ye
s
,
fo
r
ex
a
m
p
le,
if
I
w
in
,
I
a
m
ve
r
y
s
a
tis
fie
d
,
ye
s
,
b
u
t
if
I
lo
s
e,
I
a
m
n
o
t
s
a
tis
fied
,
s
o
I
p
la
y
a
g
a
in
u
n
til I
w
in
.
"
(
P
a
r
ticip
a
n
t 6
,
P
)
Evaluation Warning : The document was created with Spire.PDF for Python.
I
n
t.
J
.
P
u
b
lic
Hea
lth
Sci.
I
SS
N:
2
252
-
8806
Ga
me
a
d
d
ictio
n
a
mo
n
g
a
d
o
lescen
ts
a
n
d
its
’
h
ea
lth
imp
a
cts
(
R
en
d
i
A
r
iya
n
to
S
in
a
n
t
o
)
485
3.
1
.
5
.
Sti
m
u
lus
t
o
a
ct
io
n
T
h
er
e
is
a
s
ti
m
u
l
u
s
to
ac
t
o
n
all
p
ar
ticip
an
ts
,
n
a
m
e
l
y
,
d
is
tu
r
b
ed
s
leep
p
atter
n
s
,
h
av
in
g
f
r
i
en
d
s
w
h
o
h
av
e
d
r
o
p
p
ed
o
u
t
o
f
co
lleg
e,
a
n
d
b
ein
g
s
er
io
u
s
l
y
ill.
B
esid
es
th
at,
it
al
s
o
d
is
t
u
r
b
s
co
n
ce
n
tr
atio
n
an
d
h
as
a
f
ea
r
o
f
h
ab
its
t
h
at
ar
e
o
f
te
n
d
o
n
e
n
o
w
.
"
Yes
,
b
ec
a
u
s
e
o
f la
ck
o
f sleep
.
"
(
P
a
r
ticip
a
n
t 1
,
G)
"
I
n
my
o
p
in
io
n
,
r
est
is
i
mp
o
r
ta
n
t
b
ec
a
u
s
e
if
yo
u
d
o
n
't
g
et
en
o
u
g
h
r
est,
th
ere
a
r
e
imp
a
cts,
h
ea
d
a
c
h
es,
in
s
o
mn
ia
,
a
n
d
u
lc
ers
.
"
(
P
a
r
ticip
a
n
t 2
,
S
)
"
Th
a
t's
my
p
r
in
cip
le,
b
r
o
if
I
p
la
y
g
a
mes
u
n
til
d
a
w
n
,
a
n
d
in
th
e
mo
r
n
in
g
th
ere
is
a
lectu
r
e,
I
s
t
ill
h
a
ve
to
fo
r
ce
myself
to
g
o
to
co
lleg
e,
b
ec
a
u
s
e
my
p
r
in
cip
les
a
r
e
l
ike
th
a
t,
b
u
t
th
ere
a
r
e
c
a
s
es
like
my
fr
ien
d
w
h
o
r
ea
lly
likes
p
la
yin
g
Do
ta
2
o
n
th
e
co
mp
u
ter,
it
w
a
s
n
't
u
n
til
co
lleg
e.
F
in
is
h
ed
”
(
P
a
r
ticip
a
n
t 3
,
P
)
"
Yes
,
I
w
a
n
t
to
,
I
n
ev
er
s
leep
-
d
ep
r
ived
,
u
s
u
a
lly
I
s
leep
a
t
s
i
x
in
th
e
mo
r
n
in
g
,
s
o
metime
s
I
w
a
ke
u
p
a
t
o
n
e
o
r
tw
o
in
th
e
a
fter
n
o
o
n
,
it's
n
o
t
less
,
b
u
t
I
w
a
n
t
to
s
leep
like
a
n
o
r
ma
l
h
u
ma
n
,
a
t
ten
,
it's
a
lr
ea
d
y
a
s
leep
.
"
(
P
a
r
ticip
a
n
t
3
,
P
)
"
I
f th
ere
is
a
n
effec
t,
it st
o
p
s
.
"
(
P
a
r
ticip
a
n
t 4
,
F
)
"
Th
is
is
imp
o
r
ta
n
t,
b
r
o
.
"
(
P
a
r
ticip
a
n
t 5
,
D)
"
Yes
,
d
o
n
't
s
ta
y
u
p
l
a
te,
a
n
d
fo
r
g
et
ev
eryth
in
g
.
"
(
P
a
r
ticip
a
n
t 5
,
D)
"
I
w
a
s
s
ca
r
ed
,
b
u
t
b
ec
a
u
s
e
I
'
m
u
s
ed
to
it,
s
o
o
ka
y,
th
e
im
p
o
r
ta
n
t
th
in
g
is
I
leve
l
u
p
,
li
ke
th
a
t
.
"
(
P
a
r
ticip
a
n
t 6
,
P
)
"
I
t's
me.
I
'v
e
a
lr
ea
d
y
h
a
d
my
p
o
in
t
o
f
tr
iu
mp
h
in
th
e
mo
b
ile
leg
en
d
u
n
til
d
a
w
n
,
th
en
I
ta
ke
a
b
r
ea
k
.
"
(
P
a
r
ticip
a
n
t 6
,
P
)
3
.
1
.
6
.
Self
ef
f
ica
c
y
A
ll
p
ar
ticip
a
n
ts
b
elie
v
e
to
s
er
i
o
u
s
l
y
w
an
t
to
ch
a
n
g
e
h
ab
its
a
n
d
k
ee
p
tr
y
i
n
g
an
d
h
av
e
f
ait
h
.
Ho
w
e
v
er
,
s
o
m
e
p
ar
ticip
an
t
s
d
o
n
o
t k
n
o
w
h
o
w
to
c
h
an
g
e
h
ab
it
s
.
"
Yes
,
s
erio
u
s
ly
.
"
(
P
a
r
ticip
a
n
t
1
,
G)
"
Yes
,
ve
r
y
s
u
r
e
.
"
(
P
a
r
ticip
a
n
t
1
,
G)
"
Yes
,
I
'm
s
erio
u
s
,
b
u
t I
d
o
n
't
k
n
o
w
h
o
w
.
"
(
P
a
r
ticip
a
n
t 2
,
S
)
"
Yes
,
I
w
a
n
t to
c
h
a
n
g
e,
b
u
t I
c
a
n
't,
b
r
o
.
"
(
P
a
r
ticip
a
n
t 3
,
P
)
"
I
w
a
n
t
to
b
e
s
erio
u
s
,
b
u
t
my
fr
ien
d
s
,
a
ll
o
f
w
h
o
m
a
r
e
g
a
me
p
la
ye
r
s
,
fin
d
it
d
if
ficu
lt
.
"
(
P
a
r
ticip
a
n
t
4
,
F
)
"
Yes
,
s
erio
u
s
ly,
ma
s
.
"
(
P
a
r
ticip
a
n
t 5
,
D)
"
B
u
t
I
w
ill s
till
t
r
y
.
"
(
P
a
r
ticip
a
n
t 5
,
D)
"
Yes
.
"
(
P
a
r
ticip
a
n
t 6
,
P)
"
B
u
t it
is
ve
r
y
d
iffi
cu
lt to
r
ed
u
ce
it
.
"
(
P
a
r
ticip
a
n
t 6
,
P
)
3
.
2
.
H
ea
lt
h i
m
pa
ct
o
n pa
rt
icipa
nts
A
ll
p
ar
ticip
an
ts
ex
p
er
ien
ce
d
f
ati
g
u
e,
s
o
r
e
an
d
s
o
r
e
e
y
e
s
,
th
en
d
izzin
e
s
s
,
f
ir
ef
l
y
e
y
es,
d
ec
r
ea
s
ed
v
is
u
al
ac
u
it
y
,
h
ea
r
tb
u
r
n
,
ch
i
l
ls
,
t
h
e
r
is
k
o
f
d
ev
elo
p
i
n
g
u
l
ce
r
s
,
an
d
t
h
e
r
is
k
o
f
d
e
v
elo
p
in
g
u
r
i
n
ar
y
tr
ac
t
in
f
ec
tio
n
s
.
So
m
e
ti
m
es
f
ee
li
n
g
an
x
io
u
s
a
n
d
e
m
o
tio
n
al
a
n
d
h
av
e
a
g
a
m
e
ad
d
ictio
n
.
So
cial
r
elatio
n
s
b
ec
o
m
e
d
is
tu
r
b
ed
w
i
th
p
eo
p
le
w
h
o
d
o
n
o
t
p
lay
g
a
m
es
b
ec
au
s
e
th
e
y
o
f
te
n
f
o
c
u
s
o
n
l
y
o
n
t
h
e
g
a
m
e
an
d
g
o
o
d
s
o
cial
r
elatio
n
s
.
B
ec
au
s
e
p
l
a
y
i
n
g
e
d
u
ca
tio
n
al
g
a
m
es
b
ec
o
m
e
s
d
is
tr
ac
ted
,
alth
o
u
g
h
n
o
t
all
e
x
p
er
ien
ce
it.
So
m
e
p
ar
ticip
an
ts
p
r
io
r
itize
ed
u
ca
tio
n
an
d
th
in
k
t
h
at
g
a
m
e
s
w
it
h
ed
u
ca
tio
n
m
u
s
t b
e
b
alan
ce
d
.
"
I
t c
a
n
a
ls
o
d
a
ma
g
e
h
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lth
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fa
tig
u
e
.
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(
P
a
r
ticip
a
n
t 1
,
G)
"
On
ce
,
I
h
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d
a
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d
a
ch
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h
a
d
b
a
ck
p
a
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.
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(
P
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r
ticip
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n
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,
G)
"
Yes
,
s
o
metime
s
th
e
ey
es st
a
r
t
to
h
u
r
t,
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u
t t
h
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r
ce
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to
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la
y
.
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P
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"
Yes
,
I
o
ften
d
ela
y
e
a
tin
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a
n
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r
in
kin
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w
h
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la
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P
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n
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,
G)
"
Yes
,
yo
u
c
a
n
g
et
in
fectio
n
s
like
th
a
t
.
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P
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n
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,
G)
"
Yes
,
s
o
metime
s
b
r
o
,
w
h
en
yo
u
th
in
k
a
b
o
u
t so
meth
in
g
.
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P
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"O
h
y
e
a
h
t
i
r
e
d
,
y
e
a
h
,
b
e
c
a
u
s
e
u
s
u
a
l
l
y
,
w
e
p
l
a
y
u
p
l
a
t
e
,
b
r
o
,
s
o
s
t
a
y
i
n
g
u
p
l
a
t
e
d
o
e
s
n
'
t
s
l
e
e
p
a
t
n
i
g
h
t
,
s
o
i
t
's
l
i
ke
s
o
r
e
h
a
n
d
s
,
es
p
e
c
i
a
ll
y
m
o
v
i
n
g
w
r
is
ts
a
n
d
f
i
n
g
er
s
,
a
n
d
t
i
r
e
d
e
y
es
.
"
(
P
a
r
t
i
ci
p
a
n
t
2
,
S
)
"
Oh
,
if y
o
u
k
n
o
w
,
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ec
a
u
s
e
I
a
l
s
o
h
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ve
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e
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r
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u
r
n
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b
r
o
.
"
(
P
a
r
t
icip
a
n
t 2
,
S
)
"
Yes
,
o
ften
b
r
o
,
u
s
u
a
lly
r
ed
li
ke
th
a
t,
it
u
s
u
a
lly
h
u
r
ts
,
th
en
u
s
u
a
lly
w
a
s
h
it
a
g
a
in
,
a
n
d
if
th
e
p
a
i
n
ca
n
't
b
e
t
o
lera
ted
,
th
en
I
ta
ke
a
b
r
ea
k
a
n
d
th
e
n
co
n
tin
u
e
a
g
a
in
.
"
(
P
a
r
ticip
a
n
t 2
,
S
)
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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N
:
2
2
5
2
-
8806
I
n
t.
J
.
P
u
b
lic
Hea
lth
Sci.,
Vo
l.
10
,
No
.
3
,
Sep
tem
b
er
2021
:
480
–
4
9
2
486
"Y
e
s
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r
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P
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h
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s
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o
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u
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l
ly
g
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u
r
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ct
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f
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ct
i
o
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s
.
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P
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ti
c
ip
a
n
t
2
,
S
)
"Y
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s
,
s
o
m
et
i
me
s
s
u
d
d
e
n
e
m
o
t
i
o
n
s
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P
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ti
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p
a
n
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2
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f
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p
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m
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s
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ty
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P
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r
t
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c
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p
a
n
t
2
,
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"T
i
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r
t
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my
b
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o
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Y
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T
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o
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r
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h
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m
i
n
m
y
g
a
me
.
"
(
P
a
r
t
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ci
p
a
n
t
3
,
P
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"M
o
s
t
o
b
v
i
o
u
s
d
iz
z
i
n
e
s
s
.
"
(
P
a
r
t
i
c
i
p
a
n
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3
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F
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"Y
e
s
,
a
l
m
o
s
t
e
ve
r
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d
a
y
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p
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h
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I
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s
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a
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it
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a
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d
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h
e
n
p
e
e
.
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(
P
a
r
ti
c
i
p
a
n
t
3
,
P
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"O
h
,
f
o
r
e
x
a
m
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et
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is
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u
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e
d
.
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P
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ci
p
a
n
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3
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P
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s
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p
a
n
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3
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P
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s
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s
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f
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l
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ti
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3
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ci
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y
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if
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me
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p
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4
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4
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t
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I
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l
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5
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4.
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Evaluation Warning : The document was created with Spire.PDF for Python.
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No
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[
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3
8
]
.
T
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r
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t
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lts
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ac
co
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ce
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Mu
a
lli
m
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et
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l.
[
3
9
]
r
esear
ch
,
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h
at
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s
ig
n
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ip
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San
to
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[
4
0
]
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tu
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a
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[
4
1
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l.
[
4
2
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th
at
t
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s
y
m
p
to
m
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m
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to
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h
[
1
5
]
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o
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t
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at
th
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ts
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ep
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d
in
th
e
s
t
u
d
y
o
f
Su
s
a
n
ti
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t a
l
.
[
4
3
]
th
at
th
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w
a
s
a
r
elatio
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h
ip
b
et
w
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o
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p
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eld
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i
'
s
[
4
4
]
s
tu
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,
s
h
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w
ed
t
h
at
t
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w
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s
a
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etw
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p
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T
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to
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a
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p
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y
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e
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
SS
N
:
2
2
5
2
-
8806
I
n
t.
J
.
P
u
b
lic
Hea
lth
Sci.,
Vo
l.
10
,
No
.
3
,
Sep
tem
b
er
2021
:
480
–
4
9
2
488
E
ac
h
p
ar
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an
t
h
as
a
h
ea
lt
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b
elief
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lth
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le
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s
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lt
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b
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ief
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d
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th
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a
p
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d
eter
m
in
es
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m
et
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o
d
th
at
is
co
n
s
id
er
ed
ap
p
r
o
p
r
iate
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o
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h
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m
to
p
r
ev
en
t
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es
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f
r
o
m
h
i
s
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ab
it.
J
o
s
e
et
a
l
.
[
2
1
]
s
aid
th
at
t
h
e
h
ea
lt
h
b
eli
ef
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el
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r
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ip
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io
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r
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e.
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eg
ar
d
in
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u
s
ce
p
tib
ilit
y
to
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x
p
er
ien
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p
ain
,
all
p
ar
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a
n
ts
f
elt
v
u
ln
er
ab
le
to
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e.
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ase,
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s
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u
p
p
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ted
b
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tate
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Min
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Hea
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o
f
th
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R
ep
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f
I
n
d
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esia
[
4
5
]
th
at
s
o
m
eo
n
e
w
h
o
is
ad
d
icted
to
g
a
m
es
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ati
v
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eq
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ce
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.
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ized
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m
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r
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n
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w
el
v
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m
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t
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s
[
2
6
]
.
A
cc
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d
in
g
to
th
e
Mi
n
is
tr
y
o
f
Hea
lt
h
[
4
5
]
,
th
e
r
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u
lt
s
o
f
t
h
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s
s
t
u
d
y
ar
e
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er
it
y
o
f
a
h
ea
l
th
p
r
o
b
le
m
a
n
d
th
e
p
o
ten
tial
co
n
s
eq
u
e
n
ce
s
if
it
is
n
o
t
p
r
ev
en
ted
o
r
tr
ea
ted
.
P
a
r
ticip
an
ts
ar
e
o
v
er
all
a
w
ar
e
o
f
t
h
e
d
an
g
er
s
o
f
s
ta
y
i
n
g
u
p
late.
T
h
ese
r
es
u
lts
ar
e
in
li
n
e
w
it
h
Fit
r
ia
's
[
37]
r
esear
ch
,
w
h
ic
h
s
h
o
w
s
a
r
elatio
n
s
h
ip
b
et
w
ee
n
th
e
len
g
t
h
o
f
p
la
y
i
n
g
g
a
m
e
s
w
it
h
d
is
t
u
r
b
ed
s
leep
p
atter
n
s
,
b
ased
o
n
th
e
r
esu
lt
s
f
o
u
n
d
b
y
r
esear
c
h
er
s
th
at
p
ar
t
icip
an
ts
o
f
te
n
s
ta
y
u
p
late
an
d
p
r
o
v
e
th
at
th
e
y
h
av
e
a
r
is
k
o
f
d
is
ea
s
e.
Ma
u
lid
a
an
d
Sar
i's
[
3
6
]
r
esear
ch
also
f
o
u
n
d
th
e
s
a
m
e
t
h
i
n
g
:
a
r
el
atio
n
s
h
ip
b
et
w
ee
n
i
n
ter
n
et
a
d
d
ictio
n
an
d
s
leep
p
atter
n
s
.
N
u
r
s
y
i
f
a,
W
id
ian
ti,
a
n
d
Her
lia
n
i
'
s
[
4
6
]
r
esear
ch
f
o
u
n
d
th
a
t
r
esp
o
n
d
en
ts
w
h
o
w
er
e
ad
d
icted
to
g
a
m
e
s
m
o
s
tl
y
ex
p
er
ien
ce
d
s
leep
d
is
o
r
d
er
s
.
R
eg
ar
d
in
g
th
e
h
ab
it
o
f
s
ta
y
i
n
g
u
p
late,
o
f
co
u
r
s
e
,
th
er
e
is
a
r
is
k
o
f
an
ae
m
ia,
th
i
s
is
in
li
n
e
w
i
th
th
e
r
esear
ch
o
f
Ma
w
o
et
a
l.
[
1
3
]
w
h
ich
s
tate
s
th
a
t
th
e
r
e
is
a
s
ig
n
i
f
ica
n
t
r
elatio
n
s
h
ip
b
et
w
ee
n
s
leep
q
u
alit
y
a
n
d
h
ae
m
o
g
lo
b
in
le
v
els
in
s
t
u
d
en
t
s
.
T
h
is
s
tu
d
y
's
r
es
u
l
ts
ar
e
in
lin
e
w
i
th
s
o
m
e
o
f
t
h
e
p
r
ev
io
u
s
s
t
u
d
i
es
ab
o
v
e,
th
a
t
p
ar
ticip
an
t
s
ar
e
at
r
is
k
o
f
ex
p
er
ie
n
cin
g
n
e
g
at
iv
e
h
ea
lt
h
i
m
p
ac
t
s
b
ec
au
s
e
th
e
y
o
f
te
n
s
ta
y
u
p
late
to
p
lay
g
a
m
e
s
.
T
h
e
r
esu
lts
f
o
u
n
d
th
at
all
p
ar
ti
cip
an
ts
w
er
e
a
w
ar
e
o
f
th
e
d
an
g
er
s
o
f
d
ela
y
in
g
ea
ti
n
g
,
a
n
d
p
ar
ticip
an
ts
also
o
f
ten
e
x
p
er
ien
ce
d
u
lc
er
s
.
B
ased
o
n
th
e
r
esu
lt
s
f
o
u
n
d
,
t
h
is
r
esear
c
h
er
h
as
s
i
m
ilar
ities
w
it
h
S
u
s
a
n
ti
et
a
l
.
[
4
3
]
th
at
th
er
e
is
a
r
elatio
n
s
h
i
p
b
et
w
ee
n
g
a
m
e
ad
d
ictio
n
a
n
d
d
iet,
w
h
ich
in
d
icate
s
t
h
at
t
h
e
h
ab
it
o
f
d
ela
y
i
n
g
ea
tin
g
ca
u
s
e
s
t
h
e
d
is
ea
s
e
e
x
p
er
ien
ce
d
b
y
p
ar
ticip
an
ts
,
n
a
m
el
y
u
lcer
s
.
T
h
e
r
es
u
lt
s
o
f
t
h
e
r
es
ea
r
ch
b
y
An
g
k
o
w
,
R
o
b
o
t,
an
d
On
ib
ala
[
4
7
]
s
tated
th
at
th
er
e
is
a
s
ig
n
if
ican
t
r
elatio
n
s
h
ip
b
et
w
ee
n
ea
ti
n
g
r
eg
u
lar
it
y
a
n
d
th
e
in
cid
en
ce
o
f
g
astriti
s
.
T
h
en
t
h
e
s
a
m
e
r
e
s
u
l
ts
w
er
e
f
o
u
n
d
in
th
e
s
t
u
d
y
o
f
J
u
l
ian
i
a
n
d
N
u
r
ch
a
y
at
i
[
4
8
]
,
w
h
ic
h
f
o
u
n
d
an
as
s
o
ciatio
n
b
et
w
ee
n
ea
tin
g
f
r
eq
u
e
n
c
y
a
n
d
th
e
r
is
k
o
f
d
ev
elo
p
in
g
g
astri
tis
i
n
ad
o
lescen
t
s
.
Ma
n
n
i
k
o
,
B
illi
eu
x
,
an
d
Kaa
r
iain
en
[
3
8
]
s
tated
th
at
ad
o
lescen
t
s
w
h
o
ar
e
ad
d
icted
to
g
am
e
s
ten
d
to
h
av
e
w
ea
k
i
m
m
u
n
e
s
y
s
te
m
s
,
lac
k
s
leep
,
an
d
o
f
te
n
d
ela
y
ea
ti
n
g
.
A
ll
s
t
u
d
y
p
a
r
ticip
an
ts
al
s
o
f
r
eq
u
e
n
tl
y
ex
p
er
ien
ce
d
d
ela
y
s
i
n
u
r
in
at
in
g
.
A
cc
o
r
d
in
g
to
Sar
i
[
4
4
]
,
th
er
e
w
as
a
r
elatio
n
s
h
ip
b
et
w
ee
n
t
h
e
h
ab
it o
f
d
ela
y
i
n
g
u
r
in
atio
n
a
n
d
u
r
in
ar
y
tr
ac
t
in
f
ec
tio
n
s
.
A
ll
p
ar
ticip
an
ts
also
o
f
ten
ex
p
er
ie
n
ce
b
ac
k
p
ain
an
d
d
izzin
ess
d
u
e
to
p
la
y
in
g
g
a
m
es,
th
i
s
is
in
ac
co
r
d
an
ce
w
it
h
t
h
e
r
esear
c
h
o
f
Gh
u
m
a
n
an
d
Gr
i
f
f
it
h
s
[
3
4
]
,
th
at
t
h
e
g
a
m
e
d
is
o
r
d
er
h
as
d
etr
i
m
e
n
tal
e
f
f
ec
ts
,
o
n
e
o
f
w
h
ic
h
i
s
f
o
r
h
ea
lt
h
.
I
n
t
h
is
s
t
u
d
y
,
it
w
as
f
o
u
n
d
i
n
co
m
m
o
n
w
i
th
p
r
ev
io
u
s
s
t
u
d
i
es
th
a
t
t
h
e
h
ab
it
o
f
d
elay
in
g
ea
ti
n
g
ca
n
h
a
v
e
a
n
eg
at
iv
e
i
m
p
ac
t
o
n
g
astric
h
ea
lt
h
,
b
esid
es
t
h
at
p
ar
ticip
a
n
ts
h
a
v
e
a
r
is
k
o
f
ex
p
er
ien
ci
n
g
u
r
in
ar
y
tr
ac
t in
f
e
ctio
n
s
d
u
e
to
t
h
e
h
ab
it o
f
d
ela
y
in
g
u
r
in
at
in
g
.
T
h
ey
ar
e
as
s
o
ciate
d
w
it
h
t
h
e
b
elief
in
b
en
e
f
it
s
,
n
a
m
el
y
o
n
e
'
s
ass
es
s
m
en
t
o
f
th
e
v
alu
e
o
f
s
el
f
-
ef
f
icac
y
in
ca
r
r
y
in
g
o
u
t
h
ea
lt
h
y
b
eh
a
v
i
o
u
r
s
to
r
ed
u
ce
t
h
e
d
is
ea
s
e
'
s
r
i
s
k
.
T
h
e
r
e
s
u
l
ts
o
b
tai
n
ed
b
y
t
h
e
r
esear
ch
er
s
w
er
e
th
at
all
p
ar
ticip
an
ts
k
n
e
w
t
h
e
b
en
ef
it
s
o
f
r
ed
u
cin
g
p
la
y
i
n
g
ti
m
e
an
d
u
n
d
er
s
to
o
d
th
e
i
m
p
o
r
tan
ce
o
f
r
est.
B
ased
o
n
th
is
s
tu
d
y
's
r
es
u
lt
s
,
it
is
in
l
in
e
w
it
h
S
y
a
h
r
an
's
[
3
]
r
esear
c
h
th
at
o
n
e
o
f
th
e
p
r
o
b
lem
s
o
f
g
a
m
e
ad
d
ictio
n
ca
n
b
e
d
o
n
e
b
y
l
i
m
iti
n
g
th
e
m
a
x
i
m
u
m
p
la
y
i
n
g
ti
m
e
to
o
n
e
h
o
u
r
a
d
a
y
.
T
h
e
n
ee
d
f
o
r
r
est
is
v
er
y
i
m
p
o
r
tan
t,
h
u
m
a
n
s
h
a
v
e
f
i
v
e
n
ee
d
s
t
h
at
m
u
s
t
b
e
m
et,
o
n
e
o
f
w
h
ich
is
p
h
y
s
io
lo
g
ical
n
ee
d
s
o
r
t
h
e
m
o
s
t
b
asic
n
ee
d
s
s
u
c
h
as
s
leep
[
1
1
]
.
T
h
e
r
esu
l
ts
o
f
t
h
is
s
t
u
d
y
ar
e
i
n
li
n
e
w
i
th
p
r
ev
io
u
s
s
t
u
d
ies
ab
o
v
e,
th
at
li
m
iti
n
g
p
la
y
i
n
g
ti
m
e
ca
n
r
ed
u
ce
th
e
r
is
k
o
f
n
e
g
ati
v
e
i
m
p
ac
ts
d
u
e
to
g
a
m
e
ad
d
ictio
n
.
T
h
en
b
ar
r
ier
b
elief
s
ar
e
s
u
b
j
ec
tiv
e
j
u
d
g
m
en
t
s
th
a
t
in
cl
u
d
e
a
p
er
s
o
n
'
s
p
er
ce
p
tio
n
o
f
b
ar
r
ier
s
to
ch
an
g
i
n
g
b
eh
a
v
io
u
r
.
I
n
t
h
is
s
tu
d
y
,
i
t
w
a
s
f
o
u
n
d
th
a
t
o
v
er
a
ll
all
p
ar
ticip
an
ts
e
x
p
er
ien
ce
d
al
m
o
s
t
th
e
s
a
m
e
o
b
s
tacle
s
,
n
a
m
el
y
t
h
e
in
v
itat
io
n
to
b
e
f
r
ien
d
s
,
t
h
is
is
in
ac
co
r
d
an
ce
w
it
h
Dar
m
a
w
a
n
et
a
l
.
[
4
9
]
r
esear
ch
th
at
a
p
er
s
o
n
's
b
eh
av
io
u
r
ca
n
n
o
t
b
e
s
ep
ar
ated
f
r
o
m
th
e
i
n
f
lu
e
n
ce
o
f
th
e
p
eo
p
le
ar
o
u
n
d
h
i
m
s
o
t
h
at
s
o
m
eo
n
e
w
i
ll
g
et
u
s
ed
to
t
h
e
b
e
h
av
io
u
r
.
T
h
en
o
n
li
n
e
g
a
m
e
s
ar
e
o
f
ten
p
la
y
ed
e
x
ce
s
s
iv
el
y
,
w
h
ic
h
r
es
u
lt
s
i
n
ad
d
ictio
n
t
h
at
r
es
u
lt
s
in
b
ad
b
eh
av
io
r
[
5
0
]
.
I
n
ad
d
itio
n
,
teen
a
g
er
s
w
h
o
ar
e
ad
d
icte
d
to
o
n
lin
e
g
a
m
e
s
ten
d
to
b
e
i
n
ter
ested
i
n
o
n
li
n
e
g
a
m
e
s
co
m
p
ar
ed
to
o
th
er
th
i
n
g
s
[
5
1
]
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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t.
J
.
P
u
b
lic
Hea
lth
Sci.
I
SS
N:
2
252
-
8806
Ga
me
a
d
d
ictio
n
a
mo
n
g
a
d
o
lescen
ts
a
n
d
its
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h
ea
lth
imp
a
cts
(
R
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d
i
A
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iya
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to
S
in
a
n
t
o
)
489
A
l
s
o
,
th
e
o
b
s
tacle
s
f
ac
ed
ar
e
b
o
r
ed
o
m
a
n
d
f
r
ee
ti
m
e.
P
ar
tic
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an
ts
al
w
a
y
s
p
la
y
g
a
m
es,
b
o
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ak
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y
p
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g
a
m
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t
h
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is
a
s
t
u
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y
s
tate
s
th
a
t
s
tr
es
s
is
a
r
is
k
f
ac
to
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f
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r
ex
p
er
ien
ci
n
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o
n
li
n
e
g
a
m
in
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d
i
s
o
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s
[
5
2
]
.
T
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cite
m
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m
a
k
es
p
ar
ticip
an
ts
u
n
ab
le
to
co
n
tr
o
l
th
e
m
s
el
v
es
u
n
til
t
h
e
y
lo
s
e
tr
ac
k
o
f
ti
m
e
w
h
ile
p
la
y
i
n
g
g
a
m
es
,
th
is
i
s
i
n
f
lu
e
n
ce
d
b
y
t
h
e
in
ab
ili
t
y
to
co
n
tr
o
l
e
m
o
tio
n
s
in
p
la
y
i
n
g
g
a
m
es
[
5
3
]
,
[
5
4
]
,
an
d
th
e
ex
is
te
n
ce
o
f
s
u
p
p
o
r
tin
g
f
ac
to
r
s
t
h
at
m
ak
e
p
ar
ticip
a
n
ts
p
la
y
g
a
m
es
,
n
a
m
el
y
t
h
e
ex
i
s
te
n
ce
o
f
g
ad
g
ets
a
n
d
th
e
i
n
ter
n
et.
T
h
is
i
s
in
ac
co
r
d
an
ce
w
ith
th
e
r
es
u
lts
f
o
u
n
d
b
y
r
esear
ch
e
r
s
th
at
p
ar
ticip
an
t
s
w
ill
p
la
y
g
a
m
es
i
f
t
h
er
e
is
q
u
o
ta
o
r
w
if
i.
O
n
li
n
e
g
a
m
e
s
ar
e
d
ig
ital g
a
m
e
s
th
at
u
s
e
t
h
e
i
n
ter
n
et
n
et
w
o
r
k
[
5
5
]
.
A
cc
o
r
d
in
g
to
th
e
Min
is
tr
y
o
f
Hea
lth
o
f
t
h
e
R
ep
u
b
lic
o
f
I
n
d
o
n
esia
[
4
5
]
,
s
o
m
eo
n
e
w
h
o
p
l
a
y
s
o
n
li
n
e
g
a
m
e
s
ai
m
s
to
h
av
e
f
u
n
,
r
elie
v
e
s
tr
es
s
,
an
d
f
ill
s
p
ar
e
ti
m
e.
B
ased
o
n
th
is
d
escr
ip
tio
n
,
it
c
an
b
e
co
n
clu
d
ed
th
a
t
s
o
m
eo
n
e
w
ill
p
la
y
t
h
e
g
a
m
e
b
ec
au
s
e
th
er
e
i
s
f
r
ee
ti
m
e,
a
n
d
s
o
m
eo
n
e
w
h
o
d
o
es
n
o
t
w
a
n
t
t
o
leav
e
t
h
e
g
a
m
e
i
s
a
r
esu
l
t
o
f
g
a
m
e
ad
d
ictio
n
.
W
h
at
i
n
f
l
u
en
ce
s
p
ar
ticip
an
ts
to
p
lay
g
a
m
e
s
,
o
n
e
o
f
w
h
ich
i
s
t
h
e
d
esire
to
p
la
y
an
d
th
e
tr
e
n
d
o
f
e
lectr
o
n
ic
s
p
o
r
ts
t
h
at
i
s
c
u
r
r
en
tl
y
g
r
o
w
in
g
r
ap
id
l
y
,
elec
tr
o
n
ic
s
p
o
r
ts
o
r
e
-
s
p
o
r
ts
ar
e
in
cr
ea
s
i
n
g
l
y
i
n
d
em
a
n
d
b
y
p
ar
ticip
an
ts
b
ec
a
u
s
e
cu
r
r
e
n
tl
y
e
-
s
p
o
r
ts
ar
e
ca
teg
o
r
ized
as
a
s
p
o
r
t,
ac
co
r
d
in
g
to
th
e
I
n
d
o
n
e
s
ia
n
Min
i
s
tr
y
o
f
Yo
u
th
an
d
Sp
o
r
ts
[
5
6
]
.
E
lectr
o
n
ic
s
p
o
r
ts
ar
e
a
n
e
w
ar
ea
i
n
g
a
m
i
n
g
c
u
l
tu
r
e,
t
h
en
b
ec
o
m
e
s
o
m
et
h
i
n
g
p
o
p
u
lar
a
m
o
n
g
ad
o
lescen
ts
a
n
d
ea
r
l
y
ad
u
lt
s
[
5
7
]
,
o
n
lin
e
g
a
m
e
s
h
av
e
n
o
w
b
ec
o
m
e
p
r
o
f
es
s
io
n
al
s
an
d
s
o
m
e
g
a
m
e
s
h
a
v
e
b
ec
o
m
e
th
e
ch
o
ice
o
f
g
a
m
er
s
f
o
r
a
ca
r
ee
r
in
th
e
w
o
r
ld
o
f
elec
tr
o
n
ic
s
p
o
r
ts
[
5
8
]
,
[
5
9
]
.
T
h
en
th
e
n
e
x
t
o
n
e
is
a
s
ti
m
u
l
u
s
to
ac
t,
n
a
m
el
y
th
e
s
ti
m
u
l
u
s
n
ee
d
ed
to
tr
ig
g
er
th
e
d
ec
is
i
o
n
-
m
a
k
in
g
p
r
o
ce
s
s
s
o
th
at
h
ea
lth
y
b
e
h
av
io
u
r
o
cc
u
r
s
,
a
s
ti
m
u
lu
s
to
ac
t
ac
co
r
d
in
g
to
R
o
s
en
s
to
c
k
in
Mu
r
ti
[
2
0
]
,
n
o
t
o
n
l
y
f
r
o
m
o
u
ts
id
e
s
u
c
h
a
s
m
as
s
m
e
d
ia
co
m
m
u
n
icatio
n
s
,
h
ea
lt
h
wo
r
k
er
s
,
in
f
o
r
m
at
io
n
,
a
n
d
p
er
s
o
n
al
i
n
ter
ac
tio
n
s
b
u
t
also
f
r
o
m
t
h
e
i
n
s
id
e
li
k
e
a
s
y
m
p
to
m
o
f
a
d
is
ea
s
e.
A
cc
o
r
d
in
g
to
t
h
is
th
eo
r
y
,
t
h
i
s
is
i
n
li
n
e
w
it
h
r
esear
ch
er
s
'
r
esu
lt
s
th
at
a
ll
p
ar
ticip
an
t
s
e
x
p
er
ien
ce
d
ch
an
g
es
i
n
s
leep
p
at
ter
n
s
a
n
d
w
er
e
a
f
r
aid
o
f
ex
p
er
ien
ci
n
g
s
ev
er
e
p
ain
th
at
ca
m
e
f
r
o
m
w
ith
in
t
h
e
p
ar
ticip
an
ts
b
ec
au
s
e
th
e
y
h
ad
ex
p
er
ien
ce
d
p
ain
s
u
ch
a
s
d
izzi
n
es
s
an
d
f
at
ig
u
e.
A
s
tu
d
y
s
tate
s
t
h
at
u
s
i
n
g
ex
ce
s
s
i
v
e
ti
m
e
to
p
la
y
g
a
m
es
w
ill
i
n
ter
f
er
e
w
it
h
ev
er
y
d
a
y
li
f
e
[
6
0
]
.
B
ased
o
n
Na'
r
a
n
an
d
Ah
m
ad
's
[
6
1
]
r
esear
ch
,
it
w
as
f
o
u
n
d
th
at
t
h
e
i
m
p
ac
t
o
f
u
s
in
g
o
n
li
n
e
g
a
m
e
s
w
as
o
n
e
o
f
d
etr
im
e
n
tal
to
h
ea
lt
h
.
Fu
r
t
h
er
m
o
r
e,
ab
o
u
t
th
e
p
ar
ticip
an
ts
'
b
elief
s
,
n
a
m
el
y
ab
o
u
t
th
eir
ab
ilit
y
to
p
er
f
o
r
m
b
eh
av
io
u
r
to
p
r
o
d
u
ce
ce
r
tain
p
er
f
o
r
m
a
n
ce
ac
h
iev
e
m
e
n
t
s
.
T
h
e
r
esu
lt
is
th
at
all
p
ar
ticip
an
ts
ar
e
co
n
f
id
e
n
t
an
d
s
er
io
u
s
ab
o
u
t
ch
an
g
i
n
g
t
h
eir
h
ab
it
s
,
ac
co
r
d
i
n
g
to
th
e
r
es
u
lts
f
o
u
n
d
th
at
t
h
e
r
esear
ch
er
s
ca
n
ca
teg
o
r
ize
th
e
s
elf
-
ef
f
icac
y
o
f
all
p
ar
ticip
an
ts
as
g
o
o
d
,
th
er
e
is
a
s
tu
d
y
th
a
t state
s
th
a
t in
d
i
v
id
u
als
w
h
o
s
p
e
n
d
a
lo
t o
f
ti
m
e
p
la
y
in
g
g
a
m
e
s
te
n
d
to
h
av
e
lo
w
s
e
lf
-
e
f
f
icac
y
[
6
2
]
.
T
h
en
t
h
er
e
ar
e
s
o
m
e
p
ar
ticip
an
t
s
w
h
o
f
in
d
i
t
d
i
f
f
ic
u
lt
to
c
h
an
g
e
b
ec
au
s
e
t
h
e
y
ar
e
u
s
ed
to
h
ab
its
th
at
a
r
e
o
f
te
n
d
o
n
e.
E
d
r
izal'
s
[
6
3
]
r
esear
ch
f
o
u
n
d
t
h
at
o
n
e
o
f
t
h
e
ef
f
ec
t
s
t
h
a
t
e
m
er
g
ed
w
as
less
atten
tio
n
to
h
ea
lth
co
n
d
itio
n
s
,
Ku
s
s
[
6
4
]
,
s
aid
th
at
o
n
lin
e
g
a
m
e
ad
d
ictio
n
ca
n
tr
i
g
g
er
ch
a
n
g
e
s
i
n
ac
ti
v
it
y
a
n
d
s
tr
u
ct
u
r
e
i
n
b
r
ain
ar
ea
s
r
elate
d
to
m
o
ti
v
atio
n
,
m
e
m
o
r
y
,
a
n
d
c
o
n
tr
o
l,
T
h
en
B
ass
[
6
5
]
,
r
ev
ea
led
th
at
th
e
h
ab
it
o
f
p
lay
in
g
o
n
lin
e
g
a
m
e
s
is
ac
co
m
p
a
n
ied
b
y
an
in
cr
ea
s
e
i
n
d
o
p
am
i
n
e
le
v
el
s
i
n
t
h
e
d
o
r
s
al
s
tr
iat
u
m
,
th
e
n
t
h
e
d
o
p
am
i
n
e
p
at
h
w
a
y
is
i
n
v
e
s
ti
g
ated
a
n
d
en
co
u
r
ag
es
m
o
tiv
a
tio
n
to
w
a
n
t
to
p
la
y
m
o
r
e.
I
n
ad
d
itio
n
,
p
la
y
i
n
g
g
a
m
e
s
ca
n
ca
u
s
e
co
g
n
i
tiv
e
ab
i
liti
es a
n
d
s
elf
-
co
n
tr
o
l to
d
ec
lin
e.
T
h
is
is
in
ac
co
r
d
an
ce
w
it
h
t
h
e
r
esu
lts
f
o
u
n
d
b
y
r
esear
ch
er
s
th
at
t
h
e
p
ar
ticip
an
ts
d
id
n
o
t
ca
r
e
a
b
o
u
t
th
e
i
m
p
ac
t,
an
d
co
n
tin
u
e
d
to
d
o
h
ab
its
th
at
w
er
e
at
r
is
k
o
f
ca
u
s
i
n
g
d
is
ea
s
e.
On
e
o
f
t
h
e
o
b
s
tac
les
to
g
a
m
e
ad
d
ictio
n
ca
n
b
e
s
o
lv
ed
b
y
li
m
i
tin
g
th
e
ti
m
e
to
p
la
y
,
w
h
ic
h
i
s
a
m
ax
i
m
u
m
o
f
o
n
e
h
o
u
r
a
d
a
y
.
I
n
ad
d
itio
n
,
th
e
cu
r
r
en
t
m
o
s
t
co
m
m
o
n
tr
ea
t
m
e
n
t
f
o
r
o
n
l
in
e
g
a
m
e
ad
d
ictio
n
i
s
co
g
n
it
i
v
e
-
b
eh
a
v
io
u
r
al
t
h
er
ap
y
.
C
o
g
n
it
iv
e
-
b
eh
a
v
io
r
al
th
er
ap
y
is
an
e
f
f
ec
tiv
e
f
o
r
m
o
f
p
s
y
ch
o
th
er
ap
y
f
o
r
th
e
tr
ea
t
m
e
n
t
o
f
i
n
ter
n
et
g
a
m
in
g
d
is
o
r
d
er
[
6
6
]
.
A
cc
o
r
d
in
g
to
Go
r
o
ll
an
d
Mu
lle
y
[
6
7
]
,
co
g
n
i
tiv
e
b
eh
a
v
io
u
r
al
th
er
ap
y
is
u
s
ed
as
p
r
i
m
ar
y
o
r
ad
j
u
n
ct
th
er
ap
y
f
o
r
v
ar
io
u
s
m
en
tal
ill
n
es
s
es,
b
asical
l
y
co
g
n
i
tiv
e
b
e
h
av
io
u
r
al
th
er
ap
y
h
elp
s
clie
n
t
s
ch
a
n
g
e
b
eh
av
io
u
r
b
y
ch
a
n
g
i
n
g
b
elie
f
s
.
C
o
g
n
iti
v
e
-
b
e
h
av
io
u
r
al
th
er
ap
y
(
C
B
T
)
s
h
o
w
s
g
r
ea
ter
s
u
p
p
o
r
t
f
r
o
m
e
m
p
ir
ica
l
s
tu
d
ie
s
t
h
an
a
n
y
o
th
er
i
n
ter
v
en
tio
n
i
n
g
a
m
e
ad
d
ictio
n
m
an
ag
e
m
e
n
t
[
6
8
]
.
T
h
e
r
esu
lt
s
s
h
o
w
ed
t
h
at
o
f
th
e
7
2
ar
ticles
f
o
u
n
d
,
th
er
e
w
er
e
2
3
ar
ticles
th
at
d
escr
ib
ed
co
g
n
i
tiv
e
b
e
h
av
io
u
r
al
th
er
ap
y
(
C
B
T
)
as
p
s
y
c
h
o
th
er
a
p
y
f
o
r
o
n
lin
e
g
a
m
e
ad
d
ictio
n
,
an
d
s
h
o
w
ed
s
atis
f
ac
to
r
y
tr
aits
[
6
9
]
.
On
lin
e
g
a
m
e
ad
d
ictio
n
tr
ea
t
m
e
n
t
ca
n
u
s
e
b
eh
av
io
u
r
al
th
er
ap
y
,
a
n
d
s
o
m
eo
n
e
w
h
o
is
ad
d
icted
to
g
am
es
r
ea
ll
y
n
ee
d
s
to
r
ed
u
ce
th
eir
p
lay
in
g
h
o
u
r
s
,
th
en
r
ep
lace
p
lay
i
n
g
g
a
m
e
s
w
it
h
p
h
y
s
ical,
ex
tr
ac
u
r
r
icu
lar
ac
tiv
itie
s
,
th
e
n
r
ea
d
in
g
b
o
o
k
s
,
p
la
y
i
n
g
m
u
s
ic,
a
n
d
b
e
in
g
ab
le
to
v
i
s
it
a
p
s
y
ch
iatr
is
t
f
o
r
t
h
er
ap
y
.
R
i
g
h
t,
s
o
a
s
to
r
ed
u
ce
t
h
e
r
i
s
k
o
f
h
ea
lt
h
p
r
o
b
lem
s
d
u
e
to
g
a
m
e
a
d
d
ictio
n
.
5.
CO
NCLU
SI
O
N
B
ased
o
n
th
e
r
esear
c
h
,
t
h
er
e
w
er
e
s
ix
p
ar
ticip
an
ts
w
h
o
e
x
p
er
ien
ce
d
ad
d
ictio
n
i
n
t
h
e
h
ig
h
ca
teg
o
r
y
,
all
o
f
w
h
o
m
w
er
e
m
ale,
ag
e
d
2
1
-
2
4
y
ea
r
s
,
w
o
r
k
ed
as
s
t
u
d
en
t
s
an
d
li
v
ed
in
r
e
n
ted
h
o
u
s
es
a
n
d
b
o
ar
d
in
g
h
o
u
s
e
s
.
T
h
e
h
ea
lt
h
ef
f
ec
t
s
o
f
g
a
m
e
ad
d
ictio
n
t
h
at
p
ar
ticip
an
ts
f
elt
w
er
e
d
izz
i
n
ess
,
f
ati
g
u
e,
d
is
tr
ac
ted
co
n
ce
n
tr
atio
n
,
r
is
k
o
f
d
ev
e
l
o
p
in
g
u
lcer
s
,
a
n
d
r
i
s
k
o
f
d
ev
elo
p
in
g
u
r
in
ar
y
tr
ac
t
in
f
e
ctio
n
s
.
I
n
ad
d
itio
n
,
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