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isa
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s
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d
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p
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g
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5
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sta
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o
wth
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re
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rc
h
o
u
t
p
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t
,
p
a
rti
c
u
larly
a
fter
2
0
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.
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se
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rc
h
is
p
re
d
o
m
in
a
n
tl
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c
o
n
c
e
n
trate
d
in
h
ig
h
-
in
c
o
m
e
Wes
tern
c
o
u
n
tr
ies
.
Estab
li
sh
e
d
t
h
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m
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s
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on
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a
b
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m
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in
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lu
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e
in
c
l
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sio
n
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d
a
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ti
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sp
o
rts,
a
n
d
p
sy
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h
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c
ial
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tco
m
e
s.
F
in
d
in
g
s
sh
o
u
l
d
be
in
terp
re
te
d
c
a
u
ti
o
u
sly
due
to
re
li
a
n
c
e
on
a
si
n
g
le
d
a
tab
a
se
a
n
d
En
g
li
s
h
-
lan
g
u
a
g
e
d
o
m
i
n
a
n
c
e
.
K
ey
w
o
r
d
s
:
B
ib
lio
m
etr
ic
an
aly
s
is
C
h
ild
r
en
with
d
is
ab
ilit
ies
I
n
ter
v
en
tio
n
Ph
y
s
ical
f
itn
ess
Sp
ec
ial
ed
u
ca
tio
n
al
n
ee
d
s
T
h
is
is
an
o
p
e
n
a
c
c
e
ss
a
rticle
u
n
d
e
r
th
e
CC
BY
-
SA
li
c
e
n
se
.
C
o
r
r
e
s
p
o
nd
ing
A
uth
o
r
:
Kh
air
u
l
Far
h
ah
Kh
ai
r
u
d
d
in
Facu
lty
of
E
d
u
ca
tio
n
,
U
n
iv
er
s
iti
Keb
an
g
s
aa
n
Ma
lay
s
ia
4
3
6
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0
UKM
B
an
g
i,
Selan
g
o
r
Dar
u
l
E
h
s
an
,
Ma
lay
s
ia
E
m
ail:
k
f
k
@
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k
m
.
ed
u
.
m
y
1.
I
NT
RO
D
UCT
I
O
N
Sch
o
o
l
-
b
ased
p
h
y
s
ical
ed
u
ca
t
io
n
r
ef
e
r
s
to
c
u
r
r
icu
lu
m
-
em
b
e
d
d
ed
i
n
s
tr
u
ctio
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al
p
r
o
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am
m
e
r
s
ca
r
r
ied
out
with
in
f
o
r
m
al
s
ch
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o
l
tim
e
tab
les.
No
n
-
cu
r
r
icu
lar
p
h
y
s
ica
l
ac
tiv
ity
p
r
o
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am
m
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en
co
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p
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u
ctu
r
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em
i
-
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tr
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ctu
r
ed
in
ter
v
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n
tio
n
s
im
p
lem
en
ted
o
u
ts
id
e
th
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f
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r
m
al
p
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s
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u
ca
tio
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c
u
r
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lu
m
,
s
u
ch
as
ex
tr
ac
u
r
r
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la
r
,
r
ec
r
ea
tio
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or
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u
p
p
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en
tar
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s
ch
o
o
l
-
b
ased
ac
tiv
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,
as
co
n
ce
p
tu
alize
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with
in
h
o
lis
tic
s
ch
o
o
l
-
b
ased
in
ter
v
en
tio
n
f
r
a
m
ewo
r
k
s
[
1
]
.
T
h
is
d
is
tin
ctio
n
is
im
p
o
r
tan
t
f
o
r
u
n
d
er
s
tan
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in
g
h
o
w
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if
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er
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n
t
s
ch
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o
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b
ased
ap
p
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o
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h
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in
f
lu
en
ce
ch
ild
r
en
’
s
p
h
y
s
ical
f
itn
es
s
an
d
o
v
er
all
d
ev
elo
p
m
en
t.
Hea
lth
-
r
elate
d
p
h
y
s
ical
f
itn
ess
,
as
p
r
o
p
o
s
ed
by
C
asp
er
s
en
et
a
l.
[
2
]
is
d
ef
i
n
ed
as
a
m
u
ltid
i
m
en
s
io
n
al
co
n
s
tr
u
ct
co
m
p
r
is
in
g
f
iv
e
c
o
r
e
co
m
p
o
n
en
ts
:
ca
r
d
io
r
esp
ir
ato
r
y
en
d
u
r
a
n
ce
,
m
u
s
cu
lar
s
tr
en
g
th
,
m
u
s
cu
la
r
en
d
u
r
a
n
ce
,
f
lex
ib
ilit
y
,
an
d
b
o
d
y
co
m
p
o
s
itio
n
.
T
h
is
d
ef
in
i
tio
n
h
as
b
ee
n
wid
ely
ac
ce
p
t
ed
an
d
ad
o
p
ted
in
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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J
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&
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N:
2252
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8
8
2
2
P
h
ysica
l fitn
ess
in
terven
tio
n
s
f
o
r
p
r
ima
r
y
s
ch
o
o
l stu
d
en
ts
w
it
h
s
p
ec
ia
l
…
(
R
a
n
ja
n
ie
K
a
r
u
n
a
mo
o
r
th
y
)
1291
h
ea
lth
-
an
d
f
itn
ess
-
r
elate
d
r
esear
ch
,
in
clu
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g
g
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id
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es
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d
s
ch
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lar
ly
wo
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k
s
th
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asi
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its
s
ig
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if
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ce
to
p
h
y
s
ical
tr
ain
in
g
an
d
h
ea
lt
h
o
u
tc
o
m
es
[
3
]
,
[
4
]
.
T
h
ese
f
iv
e
co
m
p
o
n
e
n
ts
ar
e
class
if
ied
u
n
d
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h
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lth
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r
elate
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itn
ess
b
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au
s
e
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ey
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ir
e
ctly
in
f
lu
en
ce
d
by
p
h
y
s
ical
ac
tiv
ity
an
d
ex
er
cise
an
d
d
i
s
p
lay
a
s
ig
n
if
ican
t
ass
o
ciatio
n
with
o
v
er
all
h
ea
lth
s
tatu
s
[
5
]
.
Ph
y
s
ical
f
itn
ess
is
wid
ely
ac
c
ep
ted
as
a
f
u
n
d
am
en
tal
d
eter
m
in
an
t
of
ch
il
d
r
en
’
s
o
v
er
all
d
ev
elo
p
m
en
t,
co
n
tr
ib
u
tin
g
to
p
h
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s
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h
ea
lth
,
co
g
n
itiv
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f
u
n
ctio
n
in
g
,
em
o
tio
n
al
s
tab
ilit
y
,
an
d
s
o
cial
well
-
b
ein
g
.
E
x
te
n
s
iv
e
r
esear
ch
co
n
f
ir
m
s
th
at
r
o
u
tin
e
p
ar
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n
in
p
h
y
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ac
tiv
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im
p
r
o
v
es
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r
d
io
v
ascu
lar
ef
f
icien
cy
,
m
u
s
cu
lar
s
tr
en
g
th
,
e
x
ec
u
tiv
e
p
er
f
o
r
m
an
ce
,
an
d
p
s
y
ch
o
lo
g
ical
r
esil
ien
ce
am
o
n
g
c
h
ild
r
en
an
d
ad
o
lescen
ts
[
6
]
,
[
7
]
.
T
h
ese
b
en
ef
its
ar
e
p
ar
ticu
la
r
ly
cr
u
cial
f
o
r
ch
ild
r
en
with
s
p
ec
ial
e
d
u
ca
tio
n
al
n
ee
d
s
(
SEN)
,
wh
o
o
f
ten
ex
p
er
ien
c
e
h
ig
h
er
h
ea
lth
r
is
k
s
,
d
ev
elo
p
m
en
tal
d
elay
s
,
an
d
g
r
ea
ter
lev
el
s
of
p
h
y
s
ical
in
ac
tiv
ity
co
m
p
a
r
ed
to
th
eir
ty
p
ically
d
ev
elo
p
in
g
p
ee
r
s
[
8
]
,
[
9
]
.
Desp
ite
well
-
estab
lis
h
ed
ev
id
en
ce
h
ig
h
lig
h
tin
g
th
e
im
p
o
r
tan
ce
of
p
h
y
s
ical
f
itn
ess
,
ch
ild
r
en
with
d
is
ab
ilit
ies
r
e
m
ain
s
ig
n
if
ican
tly
u
n
d
er
s
o
ld
in
s
ch
o
o
l
-
b
ased
p
h
y
s
ical
a
ctiv
ity
an
d
p
h
y
s
ical
ed
u
ca
tio
n
co
n
te
x
ts
,
lar
g
ely
due
to
p
er
s
is
ten
t
p
h
y
s
ical,
s
o
cial,
an
d
s
y
s
tem
ic
b
a
r
r
ier
s
[
1
0
]
–
[
1
2
]
.
T
h
ese
b
ar
r
ier
s
not
o
n
ly
r
estrict
o
p
p
o
r
tu
n
ities
f
o
r
s
tr
u
ctu
r
e
d
p
h
y
s
ical
en
g
a
g
e
m
en
t
but
also
lim
it
s
o
cial
an
n
ex
atio
n
,
em
o
tio
n
al
d
ev
elo
p
m
e
n
t,
an
d
ac
ad
em
ic
p
ar
ticip
atio
n
.
In
r
esp
o
n
s
e
to
th
ese
o
b
s
tacle
s
,
in
cr
ea
s
in
g
s
ch
o
lar
ly
atten
tio
n
h
as
b
ee
n
d
i
r
ec
ted
to
war
d
s
th
e
d
ev
elo
p
m
e
n
t
of
alter
ed
an
d
i
n
clu
s
iv
e
p
h
y
s
ical
f
itn
ess
in
te
r
v
en
tio
n
s
.
Pre
v
i
o
u
s
s
tu
d
ies
in
d
icate
th
at
s
ch
o
o
l
-
b
ased
ad
ap
ted
p
h
y
s
ical
ac
tiv
ity
(
APA)
,
s
tr
u
ctu
r
e
d
ex
er
cise
p
r
o
g
r
am
m
er
s
,
an
d
tar
g
eted
f
itn
ess
-
f
o
cu
s
ed
in
ter
v
en
tio
n
s
ca
n
lead
to
m
ea
n
in
g
f
u
l
p
r
o
g
r
ess
es
in
f
u
n
ctio
n
al
ca
p
ac
ity
,
m
o
to
r
p
er
f
o
r
m
an
c
e,
an
d
p
s
y
ch
o
s
o
cial
o
u
tco
m
es
am
o
n
g
ch
ild
r
e
n
wit
h
d
is
ab
ilit
ies
[
1
3
]
,
[
1
4
]
.
Su
ch
in
ter
v
en
tio
n
s
a
r
e
co
m
m
o
n
l
y
i
m
p
lem
en
ted
with
in
or
alo
n
g
s
id
e
p
h
y
s
ical
ed
u
c
atio
n
s
ettin
g
s
;
h
o
wev
er
,
t
h
ey
d
i
f
f
er
in
s
co
p
e
,
in
ten
s
ity
,
an
d
o
b
jectiv
es,
r
an
g
i
n
g
f
r
o
m
cu
r
r
icu
lu
m
-
b
ased
f
itn
ess
ac
tiv
itie
s
to
au
x
iliar
y
p
h
y
s
ical
ac
tiv
ity
p
r
o
g
r
am
m
er
s
.
T
ec
h
n
o
lo
g
ical
in
n
o
v
atio
n
s
in
clu
d
in
g
ac
tiv
ity
-
m
o
n
ito
r
i
n
g
s
y
s
tem
s
,
m
o
d
if
ie
d
s
p
o
r
ts
,
a
n
d
in
te
r
ac
tiv
e
or
g
am
e
-
b
ased
tr
ain
i
n
g
m
eth
o
d
s
h
av
e
f
u
r
t
h
er
e
n
h
an
ce
d
en
g
ag
em
e
n
t
an
d
ac
ce
s
s
ib
ilit
y
,
o
f
f
er
in
g
p
r
o
m
is
in
g
p
a
th
way
s
to
in
cr
ea
s
e
p
ar
ticip
atio
n
am
o
n
g
SEN
s
tu
d
en
ts
[
1
5
]
–
[
1
7
]
.
Nev
er
t
h
eless
,
th
e
im
p
lem
en
tatio
n
of
th
ese
in
ter
v
en
tio
n
s
r
em
ain
s
in
co
n
s
is
ten
t
an
d
co
n
s
tr
ain
ed
by
s
y
s
tem
ic
o
p
p
o
s
es
s
u
ch
as
lim
ited
teac
h
er
p
r
ep
a
r
ed
n
ess
,
in
ad
eq
u
ate
in
s
titu
tio
n
al
s
u
p
p
o
r
t,
in
s
u
f
f
ici
en
t
f
ac
ilit
ies,
an
d
f
u
n
d
in
g
lim
i
tatio
n
s
[
1
8
]
–
[
2
3
]
.
Mo
r
e
r
ec
en
tly
,
g
lo
b
al
c
o
n
ce
r
n
s
r
eg
ar
d
in
g
f
allin
g
p
h
y
s
ical
ac
tiv
ity
an
d
p
h
y
s
ical
f
itn
ess
lev
els
am
o
n
g
ch
ild
r
en
,
in
clu
d
in
g
th
o
s
e
with
d
is
ab
ilit
ies,
h
av
e
in
ten
s
if
ied
f
o
llo
win
g
th
e
C
OVI
D
-
19
p
an
d
em
ic.
Mo
v
em
en
t
r
estrictio
n
s
an
d
p
r
o
lo
n
g
ed
s
ch
o
o
l
clo
s
u
r
es
co
n
tr
ib
u
ted
to
in
cr
ea
s
ed
in
ac
tiv
e
b
eh
av
i
o
r
an
d
r
ed
u
ce
d
ac
ce
s
s
to
s
tr
u
ctu
r
ed
p
h
y
s
ical
e
n
g
ag
em
en
t
o
p
p
o
r
t
u
n
ities
[
2
4
]
,
[
2
5
]
.
T
h
ese
tr
e
n
d
s
c
o
n
tr
ad
ict
in
ter
n
atio
n
al
p
o
licy
p
r
io
r
ities
,
p
ar
ticu
lar
ly
th
e
s
u
s
tain
ab
le
d
ev
elo
p
m
e
n
t
g
o
als
(
SDG
3:
g
o
o
d
h
ea
lth
a
n
d
w
ell
-
b
ein
g;
SDG
4:
q
u
ality
e
d
u
ca
tio
n
),
wh
ic
h
em
p
h
asize
eq
u
itab
le
ac
ce
s
s
to
h
ea
l
th
-
p
r
o
m
o
tin
g
ac
tiv
ities
an
d
in
clu
s
iv
e
ed
u
ca
tio
n
al
p
ar
ticip
atio
n
[
2
6
]
.
Alth
o
u
g
h
a
s
u
b
s
tan
tial
n
u
m
b
er
of
s
tu
d
ies
h
av
e
ex
am
in
e
d
d
is
ab
ilit
y
-
s
p
ec
if
ic
p
h
y
s
ical
f
itn
ess
in
ter
v
en
tio
n
s
,
th
e
ex
is
tin
g
liter
atu
r
e
r
em
ain
s
p
atch
y
ac
r
o
s
s
d
is
ab
ilit
y
ca
teg
o
r
ies,
ed
u
ca
tio
n
al
co
n
te
x
ts
,
an
d
m
eth
o
d
o
lo
g
ical
ap
p
r
o
ac
h
e
s
,
with
lim
ited
in
teg
r
atio
n
of
f
i
n
d
in
g
s
at
th
e
g
lo
b
al
s
ca
le.
B
ib
lio
m
etr
ic
an
aly
s
is
o
f
f
er
s
a
s
y
s
tem
atic
an
d
o
b
jectiv
e
ap
p
r
o
ac
h
to
ad
d
r
ess
in
g
th
is
f
r
ag
m
e
n
tatio
n
by
ex
am
in
in
g
lar
g
e
-
s
ca
le
p
u
b
lica
tio
n
d
ata
to
id
en
tify
r
esear
ch
t
r
en
d
s
,
in
f
l
u
en
tial
co
n
tr
i
b
u
to
r
s
,
lead
in
g
c
o
u
n
tr
ies,
co
llab
o
r
atio
n
n
etwo
r
k
s
,
an
d
th
em
atic
s
tr
u
ctu
r
es
with
in
a
f
i
eld
[
2
7
]
–
[
2
9
]
.
By
m
ap
p
in
g
p
a
tter
n
s
of
k
n
o
wled
g
e
p
r
o
d
u
ctio
n
o
v
er
tim
e,
b
ib
lio
m
etr
ic
m
eth
o
d
s
en
ab
le
a
m
ac
r
o
-
lev
el
id
en
tific
atio
n
of
h
o
w
a
r
esear
ch
d
o
m
ain
h
as
ev
o
lv
ed
a
n
d
w
h
er
e
cr
itical
g
ap
s
p
er
s
is
t.
In
ac
c
o
r
d
an
ce
,
th
is
s
tu
d
y
co
n
d
u
cts
a
m
ac
r
o
-
s
ca
le
b
ib
lio
m
etr
ic
an
aly
s
is
of
Sco
p
u
s
-
in
d
e
x
ed
p
u
b
licatio
n
s
r
elate
d
to
p
h
y
s
ical
f
itn
ess
in
ter
v
en
tio
n
s
f
o
r
p
r
im
ar
y
s
ch
o
o
l
s
tu
d
e
n
ts
with
SEN
,
co
n
tain
in
g
r
esear
c
h
p
u
b
lis
h
ed
b
etwe
en
1
9
6
4
an
d
2
0
2
5
.
T
h
e
p
u
r
p
o
s
e
of
th
is
s
tu
d
y
is
to
p
r
o
v
id
e
a
co
m
p
r
e
h
en
s
iv
e
im
p
r
ess
io
n
of
th
e
s
cien
tific
d
ev
elo
p
m
en
t
of
th
is
f
ield
,
th
er
e
b
y
i
n
f
o
r
m
in
g
f
u
t
u
r
e
r
esear
c
h
d
ir
ec
tio
n
s
,
p
o
licy
f
o
r
m
u
latio
n
,
an
d
in
clu
s
iv
e
e
d
u
ca
tio
n
al
p
r
a
ctice
s
.
Desp
ite
th
e
ex
p
an
d
in
g
c
o
v
er
a
g
e
of
r
esear
ch
on
p
h
y
s
ical
f
itn
ess
an
d
APA
f
o
r
ch
ild
r
en
w
ith
SEN
,
cu
r
r
en
t
ev
i
d
en
ce
r
e
m
ain
s
u
n
e
q
u
ally
d
is
tr
ib
u
ted
ac
r
o
s
s
r
eg
i
o
n
s
,
d
is
ab
ilit
y
ca
teg
o
r
ies,
an
d
in
ter
v
en
tio
n
ty
p
es.
E
x
is
tin
g
s
tu
d
ies
o
f
ten
f
o
cu
s
on
s
p
ec
if
ic
d
is
ab
ilit
ies,
s
u
ch
as
au
tis
m
or
i
n
tellectu
al
d
is
ab
ilit
y
,
p
ar
ticu
lar
p
r
o
g
r
a
m
m
er
m
o
d
els,
or
is
o
lated
s
ch
o
o
l
co
n
tex
ts
,
wh
ich
l
im
its
th
e
g
en
er
aliza
b
ilit
y
an
d
co
m
p
a
r
ab
ilit
y
of
f
in
d
in
g
s
ac
r
o
s
s
s
itu
atio
n
s
.
Fu
r
th
er
m
o
r
e
,
m
u
ch
of
th
e
liter
a
tu
r
e
is
in
ter
v
en
tio
n
-
o
r
ie
n
ted
an
d
d
escr
ip
tiv
e
in
n
atu
r
e,
o
f
f
er
in
g
lim
ited
in
s
ig
h
t
in
to
lo
n
g
-
ter
m
r
esear
ch
tr
ac
k
s
,
co
llab
o
r
atio
n
s
tr
u
ctu
r
es,
or
d
o
m
in
an
t
th
em
atic
em
p
h
ases
at
th
e
g
lo
b
al
s
ca
le.
T
h
is
f
r
ag
m
e
n
tatio
n
m
a
k
es
it
d
if
f
icu
lt
to
id
e
n
tify
well
-
estab
li
s
h
ed
r
esear
ch
ar
ea
s
,
ap
p
ea
r
in
g
to
p
ics,
an
d
u
n
d
er
-
a
p
p
r
ec
iated
d
o
m
ain
s
r
eq
u
ir
in
g
f
u
r
th
er
i
n
v
esti
g
atio
n
.
To
d
ate,
lim
ited
r
esear
ch
h
as
u
n
d
er
tak
e
n
a
g
lo
b
al
b
ib
lio
m
etr
ic
s
y
n
th
esis
s
p
an
n
in
g
s
ix
d
ec
ad
es
to
ex
am
in
e
p
r
o
d
u
ctiv
ity
p
atter
n
s
,
in
f
lu
en
tial
co
n
tr
ib
u
to
r
s
,
co
ll
ab
o
r
ativ
e
s
tr
u
ctu
r
es,
an
d
th
e
m
atic
d
ev
elo
p
m
en
ts
in
p
h
y
s
ical
f
itn
ess
in
ter
v
en
tio
n
r
esear
ch
f
o
r
p
r
im
ar
y
s
ch
o
o
l
s
tu
d
en
ts
with
SEN.
W
ith
o
u
t
s
u
ch
a
m
ac
r
o
-
lev
el
s
y
n
th
esis
,
p
o
licy
m
ak
er
s
,
ed
u
c
ato
r
s
,
an
d
r
esear
ch
e
r
s
m
is
s
out
on
a
clea
r
u
n
d
er
s
tan
d
in
g
of
th
e
g
eo
g
r
ap
h
ical
d
is
tr
ib
u
tio
n
of
k
n
o
wled
g
e
p
r
o
d
u
ctio
n
,
ex
is
tin
g
r
esear
ch
im
b
alan
ce
s
,
an
d
t
h
e
in
tellectu
al
f
o
u
n
d
atio
n
s
m
o
ld
in
g
th
is
f
ield
.
Ad
d
r
ess
in
g
th
is
b
i
b
lio
m
etr
ic
g
a
p
is
t
h
er
ef
o
r
e
f
u
n
d
am
en
tal
to
s
u
p
p
o
r
t
m
o
r
e
u
n
b
iass
ed
,
ev
id
e
n
ce
-
Evaluation Warning : The document was created with Spire.PDF for Python.
I
SS
N
:
2
2
5
2
-
8
8
2
2
I
n
t
J
E
v
al
&
R
es E
d
u
c
,
Vo
l
.
15
,
No
.
2
,
Ap
r
il
20
2
6
:
1
2
9
0
-
1
3
0
2
1292
b
ased
,
an
d
s
tr
ateg
ically
u
p
d
at
ed
ap
p
r
o
ac
h
es
to
p
h
y
s
ical
f
it
n
ess
in
ter
v
en
tio
n
s
f
o
r
ch
ild
r
e
n
with
d
is
ab
ilit
ies.
Acc
o
r
d
in
g
ly
,
th
is
b
ib
lio
m
etr
ic
s
tu
d
y
is
g
u
id
ed
by
t
h
e
f
o
llo
wi
n
g
r
esear
ch
q
u
esti
o
n
s
:
−
W
h
at
ar
e
th
e
p
u
b
licatio
n
t
r
en
d
s
in
r
esear
ch
on
p
h
y
s
ical
f
itn
ess
in
ter
v
en
tio
n
s
f
o
r
p
r
im
ar
y
s
ch
o
o
l
s
tu
d
e
n
ts
with
SEN
f
r
o
m
1
9
6
4
to
2
0
2
5
?
−
W
h
at
ty
p
es
of
d
o
cu
m
en
ts
an
d
p
u
b
licatio
n
s
o
u
r
ce
s
d
o
m
in
ate
th
e
liter
atu
r
e
on
p
h
y
s
ical
f
itn
e
s
s
in
ter
v
en
tio
n
s
f
o
r
s
tu
d
en
ts
with
SEN
?
−
W
h
ich
co
u
n
tr
ies
co
n
tr
ib
u
te
m
o
s
t
s
u
b
s
tan
tially
to
th
e
g
lo
b
al
r
esear
ch
o
u
t
p
u
t
on
p
h
y
s
ical
f
itn
ess
in
ter
v
en
tio
n
s
f
o
r
p
r
im
ar
y
s
ch
o
o
l
s
tu
d
en
ts
with
SEN
?
−
W
h
o
ar
e
th
e
m
o
s
t
in
f
l
u
en
tial
a
u
th
o
r
s
in
th
is
r
esear
ch
f
ield
,
a
n
d
how
is
au
t
h
o
r
s
h
ip
p
r
o
d
u
cti
v
ity
d
is
tr
ib
u
ted
?
−
W
h
at
ar
e
th
e
p
atter
n
s
of
co
lla
b
o
r
atio
n
am
o
n
g
co
u
n
tr
ies
in
r
esear
ch
on
p
h
y
s
ical
f
itn
ess
in
ter
v
en
tio
n
s
f
o
r
s
tu
d
en
ts
with
SEN
?
−
W
h
at
ar
e
th
e
d
o
m
in
an
t
th
em
a
tic
clu
s
ter
s
an
d
r
esear
ch
f
o
cu
s
es
id
en
tifie
d
th
r
o
u
g
h
k
ey
wo
r
d
co
-
o
cc
u
r
r
en
ce
an
d
b
ib
lio
g
r
ap
h
ic
co
u
p
lin
g
an
aly
s
es?
2.
M
E
T
H
O
D
T
h
is
s
tu
d
y
em
p
lo
y
s
b
ib
lio
m
e
tr
ic
m
eth
o
d
s
to
s
y
s
tem
atica
lly
an
aly
ze
th
e
s
cien
tific
d
ev
el
o
p
m
en
t
of
r
esear
ch
on
p
h
y
s
ical
f
itn
ess
am
o
n
g
ch
ild
r
en
with
d
is
ab
ilit
ies.
B
ib
lio
m
etr
ic
an
aly
s
is
p
r
o
v
i
d
es
an
o
b
jectiv
e
an
d
r
ep
r
o
d
u
cib
le
ap
p
r
o
ac
h
to
ex
a
m
in
in
g
lar
g
e
b
o
d
ies
of
s
ch
o
la
r
ly
o
u
tp
u
t,
e
n
ab
lin
g
id
e
n
tific
atio
n
of
p
u
b
licatio
n
tr
en
d
s
,
r
esear
ch
g
a
p
s
,
an
d
th
e
m
atic
s
tr
u
ctu
r
es
[
3
0
]
.
Un
lik
e
s
y
s
tem
atic
r
ev
iews
or
m
eta
-
an
aly
s
es
th
at
r
ely
on
s
m
aller
d
atasets
,
b
ib
lio
m
etr
ic
ap
p
r
o
ac
h
es
allo
w
an
aly
s
is
ac
r
o
s
s
ex
ten
d
ed
tim
e
p
er
io
d
s
[
3
1
]
,
[
3
2
]
.
Fo
llo
win
g
estab
lis
h
ed
b
ib
lio
m
etr
ic
p
r
o
ce
d
u
r
es
[
3
3
]
,
th
e
Sco
p
u
s
d
atab
a
s
e
was
s
elec
ted
due
to
its
ex
t
en
s
iv
e
co
v
e
r
ag
e
of
in
ter
n
atio
n
al
p
ee
r
-
r
ev
iewe
d
j
o
u
r
n
als
an
d
co
m
p
atib
ilit
y
with
b
ib
lio
m
etr
ic
to
o
ls
[
3
4
]
–
[
3
7
]
.
PR
I
SMA
p
r
in
cip
les
wer
e
ap
p
lied
to
g
u
id
e
id
e
n
tific
atio
n
,
s
cr
ee
n
in
g
,
an
d
s
elec
tio
n
s
tag
es
f
o
r
tr
an
s
p
ar
en
c
y
,
alt
h
o
u
g
h
th
is
s
tu
d
y
is
not
a
s
y
s
tem
atic
r
ev
iew.
T
h
e
r
etr
iev
al
p
r
o
ce
s
s
in
v
o
l
v
e
d
iter
ativ
e
r
ef
in
e
m
en
t
of
s
ea
r
ch
ter
m
s
an
d
th
e
ap
p
licatio
n
of
ex
p
licit
in
clu
s
io
n
an
d
ex
clu
s
io
n
cr
iter
ia
to
en
s
u
r
e
co
n
ce
p
tu
al
alig
n
m
en
t.
Qu
a
n
titativ
e
b
ib
lio
m
e
tr
ic
in
d
icato
r
s
an
d
n
etwo
r
k
an
aly
s
es
wer
e
u
s
ed
to
ex
am
in
e
p
u
b
licatio
n
o
u
tp
u
t,
citatio
n
p
atter
n
s
,
k
e
y
w
o
r
d
co
-
o
cc
u
r
r
en
ce
,
co
-
au
th
o
r
s
h
ip
n
etwo
r
k
s
,
an
d
b
ib
lio
g
r
ap
h
ic
c
o
u
p
lin
g
.
VOS
v
iewe
r
g
e
n
er
ated
n
etwo
r
k
v
i
s
u
aliza
tio
n
s
,
wh
ile
Sco
p
u
s
An
aly
ze
r
p
r
o
v
id
e
d
d
escr
ip
tiv
e
p
r
o
f
ilin
g
.
L
im
itatio
n
s
in
clu
d
e
r
elian
ce
on
a
s
in
g
le
d
ata
b
ase
an
d
ex
clu
s
io
n
of
n
o
n
-
jo
u
r
n
al
m
ate
r
ials
.
E
th
ical
co
n
s
id
er
atio
n
s
wer
e
ad
d
r
ess
ed
by
p
u
b
licly
ac
c
ess
ib
le
b
ib
lio
m
etr
ic
m
etad
ata.
2
.
1
.
K
ey
wo
rd
identif
ica
t
io
n
a
nd
s
cr
ee
nin
g
An
iter
ativ
e
s
cr
ee
n
in
g
p
r
o
c
ess
wa
s
em
p
lo
y
ed
to
r
ef
in
e
s
ea
r
ch
ter
m
s
f
o
r
r
etr
iev
in
g
r
elev
an
t
p
u
b
licatio
n
s
.
Prim
ar
y
tr
ial
s
ea
r
ch
es
wer
e
co
n
d
u
cted
in
t
h
e
Sco
p
u
s
d
atab
ase
u
s
in
g
co
m
b
i
n
atio
n
s
of
k
ey
wo
r
d
s
with
in
th
e
titl
e,
ab
s
tr
ac
t,
an
d
au
th
o
r
k
e
y
wo
r
d
f
ield
s
.
Fo
llo
win
g
s
ev
er
al
r
ef
in
em
en
ts
,
th
e
f
in
al
q
u
er
y
s
elec
ted
f
o
r
d
ata
r
etr
iev
al
is
p
r
esen
ted
i
n
T
ab
le
1
.
T
h
is
s
ea
r
ch
s
tr
in
g
was
s
elec
ted
to
m
ain
tain
c
o
n
ce
p
tu
al
s
p
ec
if
icity
to
war
d
p
h
y
s
ical
f
itn
ess
o
u
tco
m
es.
Alth
o
u
g
h
te
r
m
s
s
u
ch
as
“a
d
a
p
ted
p
h
y
s
ical
ac
tiv
ity
”
o
r
“m
o
to
r
s
k
ills
”
ar
e
wid
ely
u
s
ed
,
p
r
elim
in
ar
y
s
ea
r
ch
es
s
h
o
wed
th
at
th
ese
ter
m
s
f
r
eq
u
en
tly
r
etr
iev
ed
s
tu
d
ies
f
o
cu
s
ed
o
n
p
ed
ag
o
g
y
o
r
p
ar
ticip
atio
n
with
o
u
t
ex
p
licit
f
itn
ess
ass
e
s
s
m
en
t.
T
o
r
ed
u
ce
co
n
ce
p
tu
al
d
ilu
tio
n
,
th
ese
ter
m
s
wer
e
ex
clu
d
ed
.
T
o
m
itig
ate
p
o
ten
tial
o
m
is
s
io
n
o
f
r
elev
an
t
s
tu
d
ies,
r
e
f
er
en
ce
lis
ts
o
f
k
ey
r
ev
iew
ar
ticles
an
d
h
ig
h
ly
cited
p
u
b
licatio
n
s
id
en
tifie
d
d
u
r
in
g
s
cr
ee
n
in
g
wer
e
m
a
n
u
ally
ex
a
m
in
ed
,
co
n
f
ir
m
in
g
ad
e
q
u
ate
c
o
v
er
ag
e
o
f
c
o
r
e
f
itn
ess
-
r
elate
d
liter
atu
r
e.
T
h
e
s
ea
r
ch
r
etu
r
n
ed
n
=
5
3
6
d
o
cu
m
en
ts
in
d
ex
ed
in
Sco
p
u
s
.
R
ec
o
r
d
s
wer
e
s
cr
ee
n
ed
b
ase
d
o
n
titl
es,
ab
s
tr
ac
ts
,
an
d
k
ey
wo
r
d
s
.
Stu
d
ies
wer
e
in
clu
d
ed
if
t
h
ey
a
d
d
r
ess
ed
p
h
y
s
ical
f
itn
ess
,
h
ea
lth
-
r
elate
d
f
itn
ess
,
m
o
to
r
f
itn
ess
,
o
r
e
x
er
cise
-
r
ela
ted
o
u
tco
m
es
in
v
o
lv
in
g
ch
ild
r
en
with
d
is
ab
ilit
ies,
an
d
ex
clu
d
ed
if
th
ey
f
o
cu
s
ed
s
o
lely
o
n
p
s
y
ch
o
lo
g
ical
o
u
tc
o
m
es,
o
b
esit
y
with
o
u
t
a
f
itn
e
s
s
co
m
p
o
n
e
n
t,
m
ig
r
atio
n
,
co
a
ch
in
g
,
o
r
u
n
r
elate
d
h
ea
lth
to
p
ics.
A
to
tal
o
f
3
0
n
o
n
-
E
n
g
lis
h
p
u
b
licatio
n
s
wer
e
ex
clu
d
e
d
d
u
e
to
lim
it
atio
n
s
in
m
eta
d
ata
s
tan
d
ar
d
izatio
n
f
o
r
b
i
b
lio
m
etr
i
c
an
aly
s
is
;
th
is
ex
clu
s
io
n
m
ay
in
tr
o
d
u
ce
lan
g
u
a
g
e
b
ias
an
d
i
s
ac
k
n
o
wled
g
ed
as
a
lim
itatio
n
.
Me
ta
d
ata
ex
tr
ac
t
ed
in
clu
d
ed
p
u
b
licatio
n
y
ea
r
,
au
th
o
r
s
h
ip
,
k
ey
wo
r
d
s
,
s
o
u
r
c
es,
r
ef
er
en
ce
s
,
an
d
co
u
n
tr
ies o
f
a
f
f
iliatio
n
.
T
h
e
o
u
tco
m
e
o
f
th
e
s
cr
ee
n
in
g
p
r
o
ce
s
s
is
illu
s
tr
ated
in
Fig
u
r
e
1
(
PR
I
SMA
d
iag
r
am
)
.
T
ab
le
1.
Sear
ch
s
tr
in
g
S
t
r
i
n
g
K
e
y
w
o
r
d
s
S
e
a
r
c
h
st
r
i
n
g
(
C
h
i
l
d
r
e
n
w
i
t
h
d
i
sa
b
i
l
i
t
i
e
s)
AND
(
p
h
y
si
c
a
l
f
i
t
n
e
ss)
D
a
t
e
r
e
t
r
i
e
v
e
d
:
15
N
o
v
e
mb
e
r
2
0
2
5
Evaluation Warning : The document was created with Spire.PDF for Python.
I
n
t
J
E
v
al
&
R
es E
d
u
c
I
SS
N:
2252
-
8
8
2
2
P
h
ysica
l fitn
ess
in
terven
tio
n
s
f
o
r
p
r
ima
r
y
s
ch
o
o
l stu
d
en
ts
w
it
h
s
p
ec
ia
l
…
(
R
a
n
ja
n
ie
K
a
r
u
n
a
mo
o
r
th
y
)
1293
Fig
u
r
e
1.
PR
I
SMA
d
iag
r
am
2
.
2
.
Ana
ly
zing
a
nd
co
ntr
o
llin
g
t
he
da
t
a
T
h
e
d
ataset
was
o
b
tain
ed
f
r
o
m
Sco
p
u
s
in
C
SV
f
o
r
m
at
a
n
d
p
r
o
ce
s
s
ed
u
s
in
g
Mic
r
o
s
o
f
t
E
x
ce
l
f
o
r
clea
n
in
g
an
d
o
r
g
an
izatio
n
.
T
h
e
clea
n
in
g
p
r
o
ce
d
u
r
e
i
n
c
lu
d
ed
s
tan
d
ar
d
izin
g
au
t
h
o
r
n
am
es,
v
er
if
y
i
n
g
p
u
b
licatio
n
titl
es,
r
em
o
v
i
n
g
d
u
p
licate
lo
g
s
,
co
r
r
ec
tin
g
in
c
o
n
s
is
ten
cies
in
co
u
n
tr
y
la
b
el
s
,
an
d
h
ar
m
o
n
izin
g
k
ey
wo
r
d
ter
m
in
o
l
o
g
y
.
To
en
h
an
ce
th
e
ac
cu
r
ac
y
of
k
ey
w
o
r
d
co
-
o
cc
u
r
r
en
ce
an
aly
s
is
,
a
th
esau
r
u
s
f
ile
was
d
ev
elo
p
e
d
to
m
er
g
e
s
y
n
o
n
y
m
o
u
s
ter
m
s
(
“
h
ea
lth
-
r
elate
d
f
it
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ess
”
an
d
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ical
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itn
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led
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ab
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.
T
h
is
th
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r
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s
f
ile
was
later
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p
l
o
ad
ed
in
to
VOSv
iewe
r
to
m
in
im
ize
f
r
ag
m
en
tatio
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aliza
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ap
s
.
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d
itio
n
ally
,
Sco
p
u
s
An
aly
ze
r
was
u
s
ed
to
g
en
er
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itial
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v
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ly
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t,
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p
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d
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b
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tr
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s
.
T
h
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er
v
iew
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s
u
r
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d
ataset
r
eliab
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ap
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2
.
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.
Ana
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a
T
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r
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r
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co
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k
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b
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aly
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To
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s
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e
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n
aly
tical
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ter
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ly
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ter
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l
t
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atic
s
tr
u
ctu
r
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A
th
esau
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u
s
f
ile
was
ap
p
lied
d
u
r
in
g
k
ey
w
o
r
d
co
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o
cc
u
r
r
en
ce
an
aly
s
is
to
s
tan
d
ar
d
ize
ter
m
in
o
lo
g
y
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d
m
er
g
e
s
y
n
o
n
y
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o
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s
ter
m
s
,
th
e
r
eb
y
r
e
d
u
cin
g
f
r
a
g
m
en
tatio
n
in
v
is
u
aliza
tio
n
m
a
p
s
.
E
x
am
p
l
es
of
m
er
g
e
d
ter
m
s
(
“d
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ab
led
ch
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”
c
o
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o
lid
ated
as
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with
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ar
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p
r
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v
id
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o
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tr
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n
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p
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atic
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tim
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All
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s
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ts
to
en
s
u
r
e
ac
cu
r
ac
y
an
d
co
n
s
is
ten
cy
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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J
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1
2
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T
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O
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s)
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a
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s
1
D
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sab
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c
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;
c
h
i
l
d
w
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2
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p
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c
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d
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;
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d
s
3
H
e
a
l
t
h
-
r
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l
a
t
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d
f
i
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ss;
h
e
a
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t
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d
f
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P
h
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s
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f
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ss
4
A
d
a
p
t
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d
P
E;
a
d
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p
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p
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c
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d
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p
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d
p
h
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c
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d
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n
5
M
o
t
o
r
a
b
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i
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y
;
m
o
t
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r
p
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r
f
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;
m
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c
t
i
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n
M
o
t
o
r
p
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f
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ma
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6
Ex
e
r
c
i
se
p
a
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t
i
c
i
p
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;
p
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Ex
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p
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N
o
t
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:
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h
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t
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s
a
u
r
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s
f
i
l
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w
a
s
a
p
p
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d
i
n
V
O
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v
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w
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t
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mer
g
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y
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m
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s
t
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ms
p
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w
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c
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-
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c
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s
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sem
a
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d
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mp
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d
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p
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t
w
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s.
3.
RE
SU
L
T
S
T
h
is
s
tu
d
y
an
aly
ze
d
5
3
6
s
ch
o
lar
ly
p
u
b
licatio
n
s
f
o
cu
s
in
g
on
p
h
y
s
ical
f
itn
ess
am
o
n
g
ch
ild
r
en
with
d
is
ab
ilit
ies.
T
h
e
an
aly
s
is
f
o
cu
s
ed
on
an
n
u
al
p
u
b
licatio
n
tr
e
n
d
s
,
d
o
cu
m
e
n
t
ty
p
es,
k
ey
wo
r
d
p
atter
n
s
,
co
u
n
t
r
y
p
r
o
d
u
ctiv
ity
,
a
u
th
o
r
s
h
ip
co
n
tr
ib
u
tio
n
s
,
a
n
d
b
ib
lio
g
r
ap
h
ic
r
elatio
n
s
h
ip
s
.
R
esu
lts
ar
e
p
r
esen
ted
u
s
in
g
f
r
eq
u
e
n
cies,
p
er
ce
n
tag
es,
d
e
s
cr
ip
tiv
e
s
tati
s
tics
,
an
d
n
et
wo
r
k
v
is
u
aliza
tio
n
m
ap
s
to
illu
s
tr
ate
s
tr
u
ctu
r
al
r
elatio
n
s
h
ip
s
an
d
th
em
atic
d
ev
elo
p
m
en
ts
with
in
th
e
f
ield
.
3
.
1
.
Annu
a
l
pu
bli
ca
t
io
n t
re
nd
s
Fig
u
r
e
2
s
h
o
ws
t
h
e
d
is
t
r
i
b
u
ti
o
n
o
f
p
u
b
li
ca
ti
o
n
s
f
r
o
m
1
9
6
4
t
o
2
0
2
5
.
R
ese
ar
ch
o
u
t
p
u
t
d
u
r
in
g
th
e
ea
r
l
y
d
e
ca
d
es
(
1
9
6
4
–
1
9
9
9
)
w
as
s
p
ar
s
e
a
n
d
o
c
ca
s
io
n
a
l,
r
e
f
l
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t
in
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li
m
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g
l
o
b
a
l
att
e
n
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o
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t
o
p
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y
s
i
ca
l
f
i
tn
ess
i
n
d
is
a
b
i
lit
y
c
o
n
te
x
ts
.
A
s
te
a
d
y
i
n
c
r
e
ase
e
m
e
r
g
e
d
i
n
t
h
e
e
ar
ly
2
0
0
0
s
,
f
o
ll
o
w
ed
b
y
a
p
r
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o
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n
ce
d
r
is
e
a
f
te
r
2
0
1
6
,
wit
h
a
n
n
u
al
o
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t
p
u
t
c
o
n
s
is
t
en
tl
y
s
u
r
p
ass
in
g
2
0
p
u
b
l
ic
ati
o
n
s
.
T
h
e
y
ea
r
2
0
2
4
r
e
c
o
r
d
e
d
th
e
h
ig
h
est
p
r
o
d
u
cti
v
it
y
wit
h
3
8
d
o
cu
m
en
ts
.
T
h
e
l
o
n
g
-
ter
m
tr
aje
ct
o
r
y
i
n
d
ic
ates
h
ei
g
h
ten
e
d
r
e
co
g
n
it
io
n
o
f
p
h
y
s
ic
al
f
itn
ess
as
a
r
el
ev
an
t
d
i
m
e
n
s
i
o
n
o
f
d
is
ab
ilit
y
r
ese
ar
c
h
a
n
d
g
r
o
wi
n
g
i
n
s
tit
u
t
io
n
al
s
u
p
p
o
r
t
f
o
r
in
cl
u
s
i
v
e
h
ea
lt
h
an
d
ed
u
c
ati
o
n
a
g
e
n
d
as.
Fig
u
r
e
2.
Per
ce
n
ta
g
e
of
p
u
b
licatio
n
s
on
class
if
icatio
n
to
p
ics
f
r
o
m
1
9
6
4
to
2
0
2
5
3
.
2
.
Do
cu
m
ent
t
y
pes
a
nd
s
o
urce
dis
t
rib
utio
n
As
p
r
esen
ted
in
Fig
u
r
e
3
,
j
o
u
r
n
al
a
r
ticles
em
b
o
d
ied
t
h
e
d
o
m
in
an
t
d
o
cu
m
e
n
t
ty
p
e
(
7
5
.
4
%),
d
em
o
n
s
tr
atin
g
t
h
at
em
p
ir
ical
an
d
p
ee
r
-
r
ev
iewe
d
wo
r
k
f
o
r
m
s
th
e
co
r
e
o
f
ac
ad
e
m
ic
d
is
s
em
in
atio
n
in
th
is
f
ield
.
R
ev
iew
ar
ticles
co
n
tr
ib
u
ted
1
7
.
0
%,
in
d
icatin
g
a
s
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o
n
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em
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y
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m
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ases
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es
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ch
as
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o
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k
c
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ter
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estl
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.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
n
t
J
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v
al
&
R
es E
d
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N:
2252
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I
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2
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u
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ig
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Evaluation Warning : The document was created with Spire.PDF for Python.
I
n
t
J
E
v
al
&
R
es E
d
u
c
I
SS
N:
2252
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8
8
2
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P
h
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in
terven
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f
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em
es su
ch
as h
ea
lth
,
m
o
t
o
r
p
er
f
o
r
m
an
ce
,
d
is
ab
ilit
y
ass
ess
m
en
t,
an
d
in
clu
s
iv
e
p
h
y
s
ical
ed
u
ca
tio
n
.
3
.
7
.
B
ibl
io
g
ra
ph
ic
co
up
lin
g
a
na
ly
s
is
Fig
u
r
e
8
h
i
g
h
lig
h
ts
th
at,
th
e
b
ib
lio
g
r
ap
h
ic
c
o
u
p
lin
g
v
is
u
aliz
atio
n
r
ev
ea
ls
a
d
e
n
s
e
an
d
in
ter
co
n
n
ec
ted
n
etwo
r
k
o
f
i
n
f
lu
en
tial
p
u
b
lica
tio
n
s
th
at
co
llectiv
ely
d
ef
in
e
t
h
e
in
tellectu
al
f
o
u
n
d
atio
n
o
f
r
esear
ch
o
n
p
h
y
s
ical
f
itn
ess
an
d
d
is
ab
ilit
y
.
At
th
e
ce
n
ter
o
f
th
e
m
a
p
,
s
ev
er
al
s
em
in
al
wo
r
k
s
[
3
8
]
–
[
4
1
]
f
o
r
m
th
e
s
tr
o
n
g
est
n
o
d
es,
in
d
icatin
g
th
eir
p
iv
o
tal
r
o
le
as
h
ig
h
-
im
p
ac
t
r
ef
e
r
en
ce
s
r
ep
ea
ted
ly
cited
ac
r
o
s
s
m
u
ltip
le
s
tu
d
ies.
T
h
ese
ce
n
tr
al
d
o
cu
m
e
n
ts
an
ch
o
r
th
e
m
ain
r
esear
ch
clu
s
ter
.
T
h
ey
s
u
g
g
e
s
t
en
d
u
r
in
g
s
ch
o
lar
l
y
f
o
cu
s
o
n
m
o
to
r
f
u
n
cti
o
n
,
p
h
y
s
ical
ac
tiv
ity
p
ar
ticip
atio
n
,
an
d
APA
in
ter
v
e
n
tio
n
s
f
o
r
ch
ild
r
en
with
d
is
ab
ilit
ies.
Sev
er
al
w
o
r
k
s
[
4
2
]
–
[
4
4
]
ap
p
ea
r
clo
s
ely
lin
k
e
d
to
th
e
c
o
r
e,
illu
s
tr
atin
g
co
n
tin
u
ed
em
p
h
asis
o
n
f
u
n
ctio
n
al
p
er
f
o
r
m
a
n
ce
an
d
b
e
h
av
io
r
al
o
u
tco
m
es,
wh
ile
p
er
ip
h
e
r
al
b
u
t
em
er
g
in
g
n
o
d
es
[
4
5
]
–
[
4
8
]
r
ep
r
esen
t
n
ewe
r
r
ese
ar
ch
d
ir
ec
tio
n
s
an
d
m
eth
o
d
o
l
o
g
ical
in
n
o
v
atio
n
s
.
T
h
e
d
if
f
er
e
n
t
co
lo
r
s
an
d
o
v
er
lap
p
in
g
b
u
n
d
les
s
u
g
g
est
s
tr
o
n
g
in
ter
d
is
cip
lin
ar
y
in
teg
r
atio
n
am
o
n
g
p
ed
iatr
ic
r
eh
ab
ilit
atio
n
,
e
x
er
cise
p
h
y
s
io
lo
g
y
,
s
p
ec
ial
ed
u
ca
ti
o
n
,
an
d
d
e
v
elo
p
m
e
n
tal
d
is
ab
ilit
y
r
esear
ch
.
Fu
r
th
er
m
o
r
e,
th
e
s
p
r
ea
d
o
f
in
ter
s
ec
tio
n
s
g
o
es
ac
r
o
s
s
d
if
f
er
en
t
y
ea
r
s
f
r
o
m
f
o
u
n
d
atio
n
al
s
tu
d
ies
in
th
e
1
9
9
0
s
to
r
ec
e
n
t
wo
r
k
in
th
e
2
0
2
0
s
.
I
t
r
ev
ea
ls
b
o
th
th
e
lo
n
g
ev
ity
a
n
d
d
y
n
am
ic
ev
o
lu
tio
n
o
f
th
e
f
ield
.
Ov
er
all,
th
e
n
etwo
r
k
e
m
p
h
asizes
a
m
atu
r
e
y
et
b
lo
o
m
in
g
r
esear
c
h
lan
d
s
ca
p
e,
wh
er
e
a
s
m
all
g
r
o
u
p
o
f
h
ig
h
-
im
p
ac
t
p
u
b
licatio
n
s
co
n
t
in
u
es
to
s
h
ap
e
e
x
is
tin
g
s
tu
d
ie
s
wh
ile
n
ewe
r
co
n
tr
i
b
u
tio
n
s
b
r
o
ad
en
th
e
th
em
atic
an
d
m
eth
o
d
o
lo
g
ical
m
ar
g
i
n
s
o
f
th
e
d
is
cip
lin
e.
Fig
u
r
e
7.
Netwo
r
k
v
is
u
aliza
tio
n
m
ap
of
th
e
k
ey
wo
r
d
co
-
o
cc
u
r
r
en
ce
Fig
u
r
e
8.
Netwo
r
k
v
is
u
aliza
tio
n
m
ap
of
th
e
b
ib
lio
g
r
a
p
h
ic
co
u
p
lin
g
by
d
o
cu
m
e
n
ts
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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2
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15
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r
il
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4.
DIS
CU
SS
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O
N
T
h
e
b
ib
lio
m
etr
ic
f
in
d
in
g
s
in
d
i
ca
te
th
at
r
esear
ch
on
p
h
y
s
ical
f
itn
ess
am
o
n
g
ch
ild
r
en
with
d
is
ab
ilit
ies
h
as
ex
ten
d
ed
s
u
b
s
tan
tially
o
v
er
th
e
p
ast
s
ix
d
ec
ad
es,
m
o
v
i
n
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f
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o
m
a
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u
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y
to
a
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ec
o
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n
ized
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ter
d
is
cip
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ar
y
f
ield
.
T
h
e
co
v
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ag
e
e
x
p
an
d
ed
to
r
eh
a
b
ilit
atio
n
,
p
e
d
iatr
ics
,
s
p
ec
ial
ed
u
ca
tio
n
,
an
d
ex
er
cise
s
cien
ce
.
T
h
e
in
cr
ea
s
e
in
p
u
b
l
icatio
n
s
af
ter
2016
s
u
p
p
o
r
ts
in
cr
ea
s
ed
g
lo
b
al
co
m
m
itm
e
n
ts
to
war
d
in
clu
s
iv
e
h
ea
lth
an
d
ed
u
ca
tio
n
.
T
h
e
f
r
am
ewo
r
k
s
s
u
ch
as
th
e
SDG
,
wh
ich
em
p
h
asize
eq
u
itab
le
ac
ce
s
s
to
h
ea
lth
-
p
r
o
m
o
tin
g
o
p
p
o
r
t
u
n
ities
f
o
r
a
ll
ch
ild
r
en
f
u
r
th
er
c
o
n
s
o
lid
at
e
th
e
n
ee
d
f
o
r
t
h
e
ex
p
a
n
s
io
n
[
4
9
]
.
T
h
e
p
ea
k
in
p
u
b
licatio
n
o
u
tp
u
t
o
b
s
er
v
e
d
in
2
0
2
4
in
d
icate
s
g
r
o
win
g
a
ca
d
em
ic
an
d
p
o
licy
in
ter
est
in
ev
id
en
ce
-
b
ased
p
h
y
s
ical
f
itn
ess
in
ter
v
en
tio
n
s
f
o
r
d
is
ab
ilit
y
p
o
p
u
latio
n
s
,
r
e
f
lectin
g
wid
er
co
n
ce
r
n
s
ab
o
u
t
th
e
p
er
s
is
ten
t
h
ea
lth
d
is
p
ar
ities
ex
p
er
ien
ce
d
by
ch
ild
r
en
with
d
is
ab
ilit
ies
[
2
6
]
,
[
5
0
]
.
T
h
is
g
r
o
wth
s
u
g
g
ests
a
r
ein
f
o
r
ce
d
co
m
m
itm
en
t
am
o
n
g
s
t
r
esear
ch
er
s
an
d
in
s
titu
tio
n
s
in
u
n
d
e
r
s
tan
d
in
g
how
f
itted
,
d
ev
elo
p
m
en
tally
ap
p
r
o
p
r
iate
p
h
y
s
ical
ac
tiv
ity
p
r
o
g
r
am
m
er
s
can
en
h
a
n
ce
f
u
n
ctio
n
al
ca
p
ac
ity
,
p
ar
ticip
atio
n
,
an
d
o
v
er
all
w
ell
-
b
ein
g
.
T
h
e
d
o
m
i
n
a
n
ce
of
j
o
u
r
n
al
ar
tic
les
an
d
th
e
n
o
ta
b
l
e
r
ati
o
of
r
ev
iew
p
a
p
e
r
s
e
m
p
h
asi
ze
t
h
e
m
et
h
o
d
o
lo
g
i
ca
l
m
at
u
r
it
y
a
n
d
ev
i
d
en
ce
-
d
r
iv
en
n
at
u
r
e
of
t
h
e
f
i
el
d
.
Pe
e
r
-
r
e
v
i
ewe
d
j
o
u
r
n
als
n
o
w
s
e
r
v
e
as
th
e
p
r
im
ar
y
p
l
at
f
o
r
m
f
o
r
d
is
s
e
m
i
n
at
in
g
em
p
i
r
i
ca
l
in
s
ig
h
ts
,
m
i
r
r
o
r
i
n
g
b
r
o
a
d
e
r
t
r
e
n
d
s
in
AP
A
r
es
ea
r
c
h
w
h
er
e
m
et
h
o
d
o
lo
g
i
ca
l
r
i
g
o
r
is
ess
en
t
ial
f
o
r
g
u
i
d
i
n
g
p
r
a
cti
ce
an
d
p
o
lic
y
[
5
1
]
.
H
o
w
e
v
e
r
,
th
er
e
a
r
e
l
im
it
e
d
p
o
r
t
r
a
y
a
l
of
b
o
o
k
c
h
ap
te
r
s
,
co
n
f
e
r
e
n
c
e
p
a
p
er
s
,
a
n
d
g
r
e
y
l
ite
r
a
tu
r
e
.
T
h
is
r
estr
ict
ed
d
is
s
em
in
ati
o
n
c
h
a
n
n
e
l,
l
ar
g
e
ly
ac
ad
em
ic
,
m
a
y
in
a
d
v
er
te
n
tl
y
li
m
it
t
h
e
t
r
a
n
s
l
ati
o
n
of
r
es
ea
r
c
h
f
in
d
i
n
g
s
a
p
p
li
ca
b
le
in
s
c
h
o
o
l
an
d
c
o
m
m
u
n
it
y
s
ett
in
g
s
.
Pra
ctit
io
n
er
s
s
u
c
h
as
te
ac
h
e
r
s
,
t
h
e
r
a
p
is
ts
,
a
n
d
co
ac
h
es
l
ar
g
el
y
d
ep
e
n
d
on
m
o
r
e
ac
c
ess
i
b
l
e
an
d
r
ea
d
il
y
u
s
a
b
le
f
o
r
m
ats
.
W
id
en
in
g
d
is
t
r
i
b
u
ti
o
n
r
o
u
tes
m
a
y
th
u
s
be
n
ec
ess
a
r
y
to
s
t
r
e
n
g
th
e
n
t
h
e
r
es
ea
r
c
h
-
to
-
p
r
a
ctic
e
p
i
p
eli
n
e
.
T
h
e
g
eo
g
r
a
p
h
ical
d
is
tr
ib
u
tio
n
of
r
esear
ch
o
u
tp
u
t
r
ev
ea
ls
s
ig
n
if
ican
t
g
lo
b
al
in
eq
u
alities
.
T
h
e
Un
ited
States
an
d
W
ester
n
E
u
r
o
p
e
an
co
u
n
tr
ies
d
o
m
in
ate
s
ch
o
lar
ly
co
n
tr
i
b
u
tio
n
s
.
T
h
is
s
h
o
ws
to
th
eir
well
-
estab
lis
h
ed
r
esear
ch
f
o
u
n
d
at
io
n
s
,
s
tr
o
n
g
f
u
n
d
i
n
g
m
ec
h
a
n
is
m
s
,
an
d
lo
n
g
-
s
tan
d
in
g
in
v
estme
n
t
in
APA
p
r
o
g
r
a
m
m
in
g
.
T
h
ese
p
atter
n
s
ar
e
co
n
s
is
ten
t
with
b
r
o
ad
er
t
r
en
d
s
in
d
is
ab
ilit
y
r
esear
ch
,
wh
er
e
h
ig
h
-
i
n
co
m
e
co
u
n
tr
ies
g
en
e
r
ate
m
o
s
t
of
th
e
s
cien
tific
o
u
tp
u
t
[
5
2
]
,
[
5
3
]
.
C
o
n
tr
ar
y
wis
e,
co
n
tr
ib
u
tio
n
s
f
r
o
m
Asi
a,
Af
r
ica,
an
d
L
atin
Am
er
ica
lin
g
er
lim
ite
d
.
T
h
eir
p
r
esen
ce
o
f
te
n
b
ec
o
m
es
ap
p
ar
en
t
v
ia
co
llab
o
r
a
tio
n
s
with
W
ester
n
in
s
titu
tio
n
s
.
T
h
is
d
is
p
ar
ity
h
ig
h
lig
h
ts
u
n
eq
u
al
ac
ce
s
s
to
r
esear
ch
o
p
p
o
r
tu
n
ities
as
we
ll
as
th
e
u
n
d
er
r
ep
r
esen
tatio
n
of
d
is
ab
il
ity
p
o
p
u
latio
n
s
in
lo
w
-
r
eso
u
r
ce
co
n
tex
ts
.
Dis
ab
ilit
y
ex
p
er
ien
ce
s
an
d
p
h
y
s
ical
ac
tiv
ity
o
p
p
o
r
tu
n
ities
d
if
f
er
wid
ely
ac
r
o
s
s
cu
ltu
r
al,
s
o
cio
ec
o
n
o
m
ic,
an
d
ed
u
ca
tio
n
al
s
ettin
g
s
.
E
x
p
a
n
d
in
g
r
esear
ch
p
ar
ticip
atio
n
in
u
n
d
er
r
ep
r
esen
ted
r
eg
io
n
s
is
ess
en
tial
f
o
r
s
p
awn
in
g
more
g
lo
b
ally
r
elev
a
n
t
an
d
cu
ltu
r
ally
r
ec
ep
tiv
e
ev
id
en
ce
.
In
ter
m
s
of
in
tellectu
al
d
ev
elo
p
m
en
t,
t
h
e
th
em
atic
s
tr
u
c
tu
r
e
of
th
e
f
ield
,
as
r
e
v
ea
led
th
r
o
u
g
h
k
ey
wo
r
d
co
-
o
cc
u
r
r
en
ce
an
d
b
ib
lio
g
r
ap
h
ic
c
o
u
p
lin
g
,
i
n
d
ic
ates
th
at
th
e
i
n
tellectu
al
b
as
e
of
th
e
d
is
cip
lin
e
r
em
ain
s
an
ch
o
r
ed
in
b
io
m
ed
ic
al
an
d
f
u
n
ctio
n
al
p
a
r
ad
ig
m
s
.
T
er
m
s
r
elate
d
to
m
o
t
o
r
p
er
f
o
r
m
an
ce
,
p
h
y
s
io
lo
g
y
,
d
is
ab
ilit
y
ev
alu
atio
n
,
a
n
d
e
x
er
cise
to
ler
an
ce
g
o
v
er
n
th
e
l
an
d
s
ca
p
e,
r
e
f
lectin
g
lo
n
g
-
s
ta
n
d
in
g
p
r
io
r
ities
in
p
ed
iatr
ic
r
eh
a
b
ilit
atio
n
.
W
h
ile
th
ese
p
er
s
p
ec
tiv
es
ar
e
f
o
u
n
d
a
tio
n
al,
th
ey
also
ex
p
o
s
e
th
e
n
ar
r
o
w
em
p
h
asis
on
p
h
y
s
ical
f
u
n
ctio
n
in
g
at
th
e
ex
p
en
s
e
of
b
r
o
ad
e
r
ec
o
lo
g
ical,
p
s
y
ch
o
s
o
cial,
an
d
p
ar
ticip
ato
r
y
asp
ec
ts
of
p
h
y
s
ical
f
itn
ess
[
5
4
]
.
E
m
er
g
in
g
th
em
es
in
clu
d
in
g
in
clu
s
io
n
,
b
ar
r
ier
s
,
ad
ap
tiv
e
s
p
o
r
ts
,
an
d
p
s
y
c
h
o
lo
g
ical
d
eter
m
in
an
ts
s
ig
n
al
a
s
tead
y
g
r
o
wth
to
war
d
more
h
o
lis
tic
an
d
s
o
cially
g
r
o
u
n
d
e
d
ap
p
r
o
ac
h
es.
Ho
wev
er
,
th
ese
ar
ea
s
r
em
ain
co
m
p
ar
ativ
ely
u
n
d
er
d
e
v
elo
p
e
d
.
T
h
e
in
ten
s
ity
of
o
u
tp
u
t
a
m
o
n
g
a
s
m
all
g
r
o
u
p
of
in
f
lu
en
tial
r
esear
ch
er
s
f
u
r
th
er
s
u
g
g
ests
ce
n
tr
alize
d
in
tellectu
al
lead
er
s
h
ip
.
It
lim
its
d
iv
er
s
if
icatio
n
of
m
eth
o
d
o
lo
g
ie
s
an
d
th
e
o
r
etica
l
f
r
am
ewo
r
k
s
.
Sig
n
i
f
ican
tly
,
th
i
s
an
aly
s
is
r
ef
lects
r
esear
ch
on
p
h
y
s
ical
f
itn
ess
in
ter
v
en
tio
n
s
r
ath
er
th
an
b
r
o
a
d
er
h
ea
lth
or
d
is
ab
ilit
y
r
esear
ch
,
th
er
eb
y
p
r
o
v
id
in
g
a
f
o
c
u
s
ed
v
iew
of
how
ex
e
r
cise
-
a
n
d
f
itn
ess
-
o
r
ien
ted
p
r
o
g
r
a
m
m
er
s
ar
e
c
o
n
ce
p
tu
aliz
ed
an
d
s
tu
d
ie
d
f
o
r
SEN
p
o
p
u
l
atio
n
s
.
T
ak
en
to
g
eth
e
r
,
th
e
f
in
d
i
n
g
s
lay
em
p
h
asis
on
b
o
th
p
r
o
g
r
e
s
s
an
d
p
er
s
is
ten
t
g
ap
s
with
in
th
e
f
ield
.
W
h
ile
s
cien
tific
o
u
tp
u
t,
th
em
atic
d
iv
er
s
ity
,
an
d
m
eth
o
d
o
l
o
g
ical
s
o
p
h
is
ticatio
n
h
av
e
in
cr
ea
s
ed
co
n
s
id
er
ab
ly
,
g
eo
g
r
a
p
h
ical
im
b
alan
ce
s
,
lim
ited
r
esear
ch
d
is
s
em
in
atio
n
f
o
r
m
ats,
an
d
d
o
m
in
a
n
t
b
io
m
e
d
ical
o
r
ien
tatio
n
s
p
er
s
is
t
as
ch
allen
g
es.
Stre
n
g
t
h
en
in
g
in
ter
d
is
cip
lin
ar
y
co
lla
b
o
r
atio
n
,
e
x
p
an
d
in
g
g
l
o
b
al
r
e
s
ea
r
ch
p
ar
ticip
atio
n
,
an
d
in
teg
r
atin
g
ed
u
ca
tio
n
al,
s
o
cio
cu
ltu
r
al,
an
d
p
s
y
ch
o
lo
g
ic
al
p
er
s
p
ec
tiv
es
will
be
v
ital
f
o
r
ad
v
an
cin
g
a
m
o
r
e
co
m
p
r
eh
e
n
s
iv
e
an
d
ev
en
h
an
d
ed
r
esear
ch
ag
en
d
a.
T
h
ese
f
in
d
in
g
s
u
n
d
e
r
s
co
r
e
th
e
m
o
u
n
tin
g
n
ee
d
f
o
r
ca
p
ac
ity
-
b
u
ild
in
g
in
s
ch
o
o
ls
,
p
ar
ticu
lar
ly
in
s
u
p
p
o
r
tin
g
in
cl
u
s
iv
e
p
h
y
s
ical
f
itn
ess
in
ter
v
e
n
tio
n
s
f
o
r
s
tu
d
en
ts
with
d
is
ab
ilit
ies.
T
ea
ch
er
s
,
th
e
r
ap
is
ts
,
an
d
s
ch
o
o
l
lea
d
er
s
h
ip
p
lay
ce
n
t
r
al
r
o
les
in
s
u
c
h
im
p
lem
en
tatio
n
.
Fu
t
u
r
e
r
esear
ch
wo
u
ld
b
en
ef
it
f
r
o
m
in
co
r
p
o
r
atin
g
s
o
cio
c
u
ltu
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al
p
er
s
p
ec
tiv
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co
m
m
u
n
ity
p
ar
ticip
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m
o
d
els,
a
n
d
teac
h
er
-
m
ed
iated
a
p
p
r
o
ac
h
es
to
b
etter
s
u
p
p
o
r
t
in
clu
s
iv
e
ed
u
ca
tio
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g
o
als
an
d
s
u
s
tain
m
ea
n
in
g
f
u
l
a
p
p
licatio
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ac
r
o
s
s
d
iv
er
s
e
s
ch
o
o
l
co
n
tex
ts
.
T
h
e
f
in
d
in
g
s
of
th
is
s
tu
d
y
h
a
v
e
d
ir
ec
t
im
p
licatio
n
s
f
o
r
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u
ca
tio
n
al
s
y
s
tem
s
an
d
p
o
licy
p
lan
n
in
g
.
First,
s
ch
o
o
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b
o
d
y
a
c
r
itical
im
p
lem
en
tatio
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s
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f
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p
h
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s
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p
r
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r
am
m
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f
o
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ch
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with
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is
ab
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T
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ch
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in
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,
cu
r
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lu
m
d
esig
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,
an
d
s
ch
o
o
l
r
eso
u
r
ce
allo
ca
tio
n
s
h
o
u
ld
o
v
er
tly
in
co
r
p
o
r
ate
p
r
in
cip
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of
APA
an
d
i
n
clu
s
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ea
lth
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r
o
m
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Seco
n
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a
k
er
s
m
ay
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tr
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n
g
th
en
p
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n
g
by
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8
8
2
2
P
h
ysica
l fitn
ess
in
terven
tio
n
s
f
o
r
p
r
ima
r
y
s
ch
o
o
l stu
d
en
ts
w
it
h
s
p
ec
ia
l
…
(
R
a
n
ja
n
ie
K
a
r
u
n
a
mo
o
r
th
y
)
1299
in
teg
r
atin
g
p
h
y
s
ical
f
itn
ess
o
b
jectiv
es
in
to
n
atio
n
al
i
n
clu
s
iv
e
ed
u
ca
tio
n
f
r
am
ew
o
r
k
s
by
ex
p
an
d
in
g
f
u
n
d
in
g
f
o
r
s
ch
o
o
l
-
b
ased
APA
in
itiativ
es.
T
h
ir
d
,
f
u
tu
r
e
r
esear
ch
s
h
o
u
ld
p
r
io
r
itize
lo
w
-
a
n
d
m
id
d
l
e
-
in
co
m
e
c
o
n
tex
ts
,
wh
er
e
d
is
ab
ilit
y
-
r
elate
d
h
ea
lth
d
is
p
ar
ities
ar
e
m
o
s
t
ap
p
ar
e
n
t.
T
h
is
can
be
done
by
a
d
o
p
tin
g
teac
h
er
-
m
e
d
iated
an
d
co
m
m
u
n
ity
-
b
ased
in
ter
v
e
n
tio
n
m
o
d
els
to
b
etter
r
ef
lec
t
r
ea
l
-
wo
r
ld
im
p
lem
en
tatio
n
.
Fin
ally
,
th
e
s
tu
d
y
ac
k
n
o
wled
g
es
t
h
e
lim
itatio
n
s
i
n
h
er
en
t
to
Sco
p
u
s
in
d
e
x
in
g
,
in
clu
d
in
g
o
v
er
-
r
ep
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esen
tatio
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of
E
n
g
lis
h
-
lan
g
u
ag
e
an
d
W
ester
n
p
u
b
licatio
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s
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wh
ich
m
ay
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n
d
er
c
o
u
n
t
s
ch
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lar
s
h
ip
f
r
o
m
n
o
n
-
in
d
ex
ed
r
eg
io
n
s
.
Ad
d
r
ess
in
g
th
ese
g
ap
s
will
s
u
p
p
o
r
t
more
eq
u
it
ab
le
p
ar
ticip
atio
n
an
d
u
p
d
ate
th
e
d
e
v
elo
p
m
e
n
t
of
co
n
tex
t
u
ally
r
esp
o
n
s
iv
e
a
n
d
ev
id
en
ce
-
b
ased
p
h
y
s
ical
f
itn
ess
p
r
o
g
r
am
m
er
s
f
o
r
s
tu
d
en
ts
with
SEN
.
5.
CO
NCLU
SI
O
N
T
h
is
b
ib
lio
m
etr
ic
an
aly
s
is
p
r
o
v
id
es
a
co
m
p
r
e
h
en
s
iv
e
s
ix
-
d
ec
ad
e
o
v
e
r
v
iew
of
th
e
g
l
o
b
al
r
esear
ch
lan
d
s
ca
p
e
on
p
h
y
s
ical
f
itn
ess
am
o
n
g
c
h
ild
r
en
with
d
is
ab
ilit
ies.
It
r
ev
ea
ls
s
ig
n
if
ican
t
g
r
o
wth
in
s
cien
tific
o
u
tp
u
t,
d
iv
er
s
if
icatio
n
of
r
esea
r
ch
th
em
es,
an
d
in
cr
ea
s
in
g
i
n
ter
d
is
cip
lin
ar
y
en
g
ag
em
en
t.
T
h
e
s
h
ar
p
in
cr
ea
s
e
in
p
u
b
licatio
n
s
s
in
ce
2
0
1
6
h
ig
h
lig
h
ts
a
g
l
o
b
al
s
h
if
t
to
war
d
p
r
i
o
r
itizin
g
i
n
clu
s
iv
e
h
ea
l
th
,
ev
id
e
n
ce
-
b
ased
in
ter
v
en
tio
n
s
,
a
n
d
eq
u
itab
le
o
p
p
o
r
tu
n
ities
f
o
r
c
h
ild
r
en
wi
th
SEN
.
C
o
r
e
co
n
tr
ib
u
tin
g
c
o
u
n
tr
ies,
in
f
lu
e
n
tial
au
th
o
r
s
,
a
n
d
d
o
m
in
an
t
th
em
at
ic
clu
s
ter
s
in
d
icate
a
m
atu
r
e
f
ield
an
ch
o
r
ed
in
r
eh
a
b
ilit
atio
n
s
cien
ce
s
,
p
ed
iatr
ic
ex
er
cise
p
h
y
s
io
lo
g
y
,
an
d
ad
ap
ted
p
h
y
s
ical
ed
u
ca
tio
n
.
Me
an
wh
ile,
em
er
g
in
g
ar
ea
s
s
u
c
h
as
in
clu
s
io
n
,
a
d
ap
tiv
e
s
p
o
r
ts
,
an
d
p
s
y
ch
o
s
o
cial
d
eter
m
in
an
ts
s
ig
n
al
a
g
r
ad
u
al
tr
an
s
itio
n
to
war
d
more
h
o
lis
tic
an
d
s
o
cially
r
esp
o
n
s
iv
e
ap
p
r
o
ac
h
es.
C
o
llectiv
ely
,
th
es
e
f
in
d
in
g
s
o
f
f
er
ess
en
tial
in
s
ig
h
ts
in
to
th
e
ev
o
l
u
tio
n
a
n
d
c
u
r
r
en
t
d
ir
ec
tio
n
of
th
e
f
ield
wh
ile
p
r
o
v
id
in
g
a
f
o
u
n
d
a
tio
n
f
o
r
s
tr
en
g
th
en
i
n
g
r
esear
ch
,
p
r
ac
tice,
an
d
p
o
licy
.
E
v
en
s
o
,
th
e
an
aly
s
is
r
ev
ea
ls
p
er
s
is
ten
t
g
lo
b
al
an
d
co
n
ce
p
tu
al
im
b
alan
ce
s
.
R
esear
ch
lead
er
s
h
ip
is
co
n
ce
n
tr
ated
in
h
ig
h
-
in
co
m
e
W
ester
n
n
atio
n
s
,
with
co
m
p
ar
ativ
ely
lim
ited
p
a
r
ticip
atio
n
f
r
o
m
lo
w
-
an
d
m
id
d
le
-
in
co
m
e
co
u
n
tr
ies
wh
er
e
d
is
p
ar
ities
in
d
is
ab
ilit
y
s
er
v
i
ce
s
an
d
in
cl
u
s
iv
e
p
h
y
s
ical
ed
u
ca
tio
n
ar
e
g
r
ea
test
.
T
h
e
f
ield
r
em
ain
s
p
r
e
d
o
m
in
a
n
tly
in
f
o
r
m
e
d
by
b
io
m
ed
ical
an
d
f
u
n
ctio
n
al
p
ar
a
d
ig
m
s
.
T
h
is
u
n
d
er
s
co
r
es
th
e
n
ee
d
f
o
r
b
r
o
ad
er
th
e
o
r
etica
l
in
teg
r
atio
n
in
co
r
p
o
r
atin
g
ec
o
lo
g
ical,
s
o
cio
cu
ltu
r
al,
an
d
e
d
u
ca
t
io
n
al
p
er
s
p
ec
tiv
es.
Ad
d
r
ess
in
g
th
ese
im
b
alan
ce
s
will
r
eq
u
i
r
e
s
tr
o
n
g
er
in
ter
n
atio
n
al
co
llab
o
r
atio
n
,
th
e
ad
o
p
tio
n
of
cu
ltu
r
ally
r
esp
o
n
s
iv
e
r
esear
ch
m
eth
o
d
o
l
o
g
ies,
an
d
a
more
e
x
p
licit
co
m
m
itm
en
t
to
in
clu
s
iv
e
ed
u
ca
tio
n
al
p
r
ac
tices.
Fro
m
an
ed
u
ca
tio
n
al
p
e
r
s
p
ec
tiv
e,
th
e
f
in
d
i
n
g
s
u
n
d
er
s
co
r
e
th
e
ce
n
tr
al
r
o
le
of
s
ch
o
o
ls
as
im
p
lem
en
tatio
n
ag
e
n
ts
f
o
r
p
h
y
s
ical
f
itn
ess
in
ter
v
en
tio
n
s
am
o
n
g
ch
ild
r
e
n
with
d
is
ab
ilit
ies.
T
ea
ch
er
p
r
ep
ar
atio
n
,
cu
r
r
icu
lu
m
d
esig
n
,
an
d
s
ch
o
o
l
r
eso
u
r
ce
allo
ca
t
io
n
s
h
o
u
ld
ex
p
licitly
em
b
ed
APA
p
r
in
cip
les
an
d
in
clu
s
iv
e
h
ea
lth
p
r
o
m
o
tio
n
s
t
r
ateg
ies.
Po
licy
m
ak
er
s
m
ay
s
u
p
p
o
r
t
th
ese
en
d
ea
v
o
r
s
by
in
teg
r
atin
g
p
h
y
s
ical
f
itn
ess
o
b
jectiv
es
with
in
n
ati
o
n
al
in
clu
s
iv
e
ed
u
ca
tio
n
ag
e
n
d
as.
T
h
is
will
p
r
o
v
id
e
teac
h
er
s
with
tr
ain
in
g
s
y
s
tem
s
an
d
ex
p
an
d
in
g
f
u
n
d
s
to
ca
r
r
y
out
APA
in
f
r
astru
c
tu
r
e
in
s
ch
o
o
ls
.
T
h
ese
ed
u
ca
t
io
n
al
im
p
licatio
n
s
alig
n
clo
s
ely
with
th
e
b
r
o
ad
er
g
o
als
of
in
clu
s
iv
e
e
d
u
ca
ti
o
n
a
n
d
h
ig
h
lig
h
t
th
e
p
o
ten
tial
f
o
r
s
ch
o
o
l
-
b
ased
in
ter
v
en
tio
n
s
to
en
h
a
n
ce
p
ar
t
icip
atio
n
,
f
u
n
ctio
n
al
ca
p
ac
ity
,
an
d
well
-
b
ein
g
f
o
r
lear
n
er
s
with
d
is
ab
ilit
ie
s
.
Fin
ally
,
wh
ile
th
is
b
ib
lio
m
etr
i
c
an
aly
s
is
r
ef
lects
r
esear
ch
on
p
h
y
s
ical
f
itn
ess
in
ter
v
e
n
tio
n
s
r
ath
er
th
a
n
b
r
o
ad
er
d
is
ab
ilit
y
or
h
ea
lth
p
r
o
m
o
tio
n
ar
en
a,
it
p
r
o
v
id
es
a
f
o
c
u
s
ed
ac
co
u
n
t
of
h
o
w
ex
er
cise
-
a
n
d
f
itn
ess
-
o
r
ien
te
d
p
r
o
g
r
a
m
m
er
s
ar
e
co
n
ce
p
t
u
alize
d
an
d
in
v
esti
g
ated
f
o
r
SEN
p
o
p
u
latio
n
s
.
Ad
v
an
cin
g
th
ese
d
ir
ec
tio
n
s
will
not
o
n
ly
e
n
r
ich
th
e
s
cien
tific
u
n
d
er
s
tan
d
in
g
of
p
h
y
s
ical
f
it
n
ess
in
ter
v
en
tio
n
s
but
also
co
n
tr
i
b
u
te
to
th
e
d
ev
elo
p
m
e
n
t
of
s
u
s
tain
ab
le
,
ev
id
en
ce
-
in
f
o
r
m
e
d
an
d
i
m
p
ac
tf
u
l
p
r
o
g
r
am
m
er
s
th
at
p
r
o
m
o
te
h
ea
lth
,
p
ar
ticip
atio
n
,
an
d
q
u
ality
of
lif
e
f
o
r
all
lear
n
e
r
s
with
d
is
ab
ilit
ies
in
th
e
n
ea
r
f
u
tu
r
e.
F
UNDING
I
NF
O
R
M
A
T
I
O
N
We
wo
u
ld
lik
e
to
th
an
k
th
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Un
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Keb
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p
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e
p
u
b
lica
tio
n
of
th
is
ar
ticle
u
n
d
er
t
h
e
T
ab
u
n
g
Ag
i
h
an
Pen
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elid
ik
an
(
T
AP
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)
of
th
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Facu
lty
of
E
d
u
ca
tio
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.
AUTHO
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UT
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ST
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T
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M
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N
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T
h
is
jo
u
r
n
al
u
s
es
th
e
C
o
n
t
r
ib
u
to
r
R
o
les
T
a
x
o
n
o
m
y
(
C
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ed
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to
r
ec
o
g
n
ize
in
d
iv
i
d
u
al
au
th
o
r
co
n
tr
ib
u
tio
n
s
,
r
ed
u
ce
au
th
o
r
s
h
ip
d
is
p
u
tes,
an
d
f
ac
ilit
ate
co
llab
o
r
atio
n
.
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