Tag: Study

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UAMS Study Finds Pandemic Limited Physical Activity, Nutrition Access for Arkansans with Diabetes

UAMS Study Finds Pandemic Limited Physical Activity, Nutrition Access for Arkansans with Diabetes

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Diabetes

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Children Are Doing 20{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf} Less Physical Activity Amid The Pandemic, Study Finds

Children Are Doing 20{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf} Less Physical Activity Amid The Pandemic, Study Finds

Topline

Topline: Children’s actual physical exercise all over the world dropped by 20{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf} about the Covid-19 pandemic, in accordance to a JAMA Pediatrics study released Monday – a “developmental turning place,” scientists say, and a locating that threats lingering further than a pandemic marked by university closures and lockdowns.

Crucial Information

Larger intensity activities fell 32{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf} – according to the findings from 22 intercontinental peer-reviewed reports on 14,000 youngsters involving Jan. 1 2020 and Jan. 1, 2022 – corresponding to a 17-moment reduction in reasonable to vigorous day by day actual physical action.

A 17-minute drop in physical time also signifies a one particular-3rd reduction in suggested physical exercise for younger kids and school small children, to advertise good actual physical wellbeing and psychosocial performing, the examine found.

The study warns the pandemic could also mark a “developmental turning point” in not only physical action, but a “perfect storm of behavior discontinuity” that could have wide-ranging effects on actual physical and psychological health.

Not remarkably, kids with reliable entry to out of doors areas ended up twice as most likely to meet physical action suggestions, while small children who lived in cooler regions faced an even more sizeable reduction in actual physical action (37{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf}) when pandemic restrictions were being compounded by chilly temperature.

There is an “urgent need” for general public wellbeing initiatives to revive younger people’s desire in, and aid their desire for, bodily exercise throughout and further than the Covid-19 pandemic, the analyze mentioned.

Though it is approved that imposing limits was crucial to halting the group transmission of Covid-19, these constraints may perhaps have had the unintended consequence of negatively influencing physical and, very likely by extension, mental well being, the examine discovered.

Important Track record

New research have also uncovered that pandemic restrictions made pupils much more likely to report frequent mental overall health struggles and put up with tutorial drawbacks, as opposed to pre-pandemic quantities. An April report from the Countrywide Library of Medication located that U.S. high college students who played a tumble sport reported much less symptoms of anxiousness and melancholy and a increased good quality of lifetime in contrast to students at universities exactly where sports activities have been canceled. In December, Secretary of Training Miguel Cardona launched a statement, instructing “schools throughout the country” to do “everything probable to hold learners risk-free and assure that they are equipped to obtain substantial-good quality, in-person instruction safely in their educational institutions.” Previous July, he told CNN, “Kids can not go through anymore.”

Major Amount

1.5 billion. That’s how numerous children confronted faculty closures all-around the earth, in accordance to the analyze. Lots of of them relied on digital media for remote mastering, while extracurricular things to do, like athletics, ended up shuttered.

Additional Reading

Just about 1 In 3 Small children With Covid Have Experienced Long-Lasting Indicators, Review Finds (Forbes)

The Up coming Wave Of Condition Innovation: Reimagining Finding out In Reaction To Covid-19 (Forbes)

Mental Sickness Chance Soars Following Covid Infection, Review Finds — Even With Milder Cases (Forbes)

Whole protection and stay updates on the Coronavirus

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World-first study looks at 65,000 news articles about Australian teachers

World-first study looks at 65,000 news articles about Australian teachers
No wonder no one wants to be a teacher: world-first study looks at 65,000 news articles about Australian teachers
Credit: Shutterstock

Remember when former Morrison government minister Stuart Robert lashed out at “dud” teachers? In March, the then acting education minister said the “bottom 10{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf}” of teachers “can’t read and write” and blamed them for declining academic results.

This is more than just a sensational headline or politician trying to get attention. My research argues the way teachers are talked about in the media has a flow-on effect to how people feel about becoming a teacher, and how current teachers see their place in the community.

So, when we talk about the shortage of teachers in Australia, we also need to look at media coverage of teachers in Australia.

My new book examines how teachers have been represented in the print media for the past 25 years. When you look at the harsh criticism and blame placed on teachers, it’s no wonder we are not attracting enough new people to the profession and struggling to retain the ones we have.

My research

In a world-first study, I explored how school teachers have been portrayed in Australian print media from 1996 to 2020. I looked at more than 65,000 media articles from all 12 national and capital city daily newspapers, including all articles that mentioned teacher and/or teachers three times or more.

With an average of 50 articles per week for 25 years, and a total word count of more than 43 million, my analysis is one of the largest of its kind.

While a lot has been written about teachers in the media over the years, this is the first study to systematically analyze such a large number of articles, representing such a complete collection of stories about teachers in newspapers, published over such a long time.

So what did I find? A lot. But here are three key findings that are critical when it comes to the way we think and talk about teachers and their work.

We are fixated on ‘teacher quality’

First, my research charts the rise and rise of attention to “teacher quality,” especially between 2006 and 2019. This period covers the start of the Rudd-Gillard “education revolution,” which reframed education in Australia as all about “quality.” It ends with the start of COVID, when reporting on teachers and education temporarily concentrated on home schooling.

My analysis found the focus on “quality” was far more on teachers than, say, teaching approaches, schools, schooling, education systems or anything else.

The graph below shows my tracking of the three most common uses of “quality.”

No wonder no one wants to be a teacher: world-first study looks at 65,000 news articles about Australian teachers
Credit: Author provided, from the book “Constructing Teacher Identities: How the Print Media Define and Represent Teachers and Their Work”

Why is this an issue? It puts the emphasis on the purported deficiencies of individual teachers rather than on collective capacity to improve teaching.

It detracts from system quality—the systemic problems within our education system. “Teacher quality” is a way for politicians to place the blame elsewhere when they should be committing to addressing the root cause of these problems: inadequate and inequitable funding, excessive teacher workload, unreasonable administrative loads, or teachers being required to work out of their field of expertise.

Teachers’ work is made out to be simple (it’s not)

The second key thing I found is media reporting on teachers consistently talks about their work as simple and commonsense, as though all decisions made by teachers are between two options: a right one and a wrong one.

The phrase “teachers should” appears about 2,300 times in my database. Examples include, “teachers should be paid according to how their students succeed,” “teachers should not adopt a cookie-cutter approach to learning,” “teachers should arrive in classes prepared” and “teachers should not be spending time organizing sausage sizzles.”

Research conducted in the 1990s, and still widely referred to by scholars, found teachers make roughly 1,500 decisions in the course of every school day.

Recent research, including some I’m currently doing with colleagues, suggests teachers’ work has greatly intensified and accelerated over the past 30 years. So it’s likely 1,500 decisions per school day is now a very conservative estimate.

These decisions include everything from “what texts will we focus on in English next term?” to “should I ditch what I’d planned for this lesson so we can keep having this conversation because the students are absorbed by it?”.

It also includes social decisions, such as “do I intervene right now and potentially escalate what’s going on at the back of the classroom or just keep a close eye on it for now?”.

Every single one of those decisions is complex. And yet, in media coverage, claims of what “all teachers” or “every teacher” can, should or could do come thick and fast.

Teaching is relentlessly difficult, and while not everyone needs to understand that—in the same way not everyone needs to understand exactly how to conduct brain surgery—we do need to pay some respect to the 300,000 or so Australian teachers who navigate the profession every day. Just because the complexity may not have been evident to us in our 13 years as school students doesn’t mean it wasn’t there.

Teacher-bashing is the norm

Finally, I found stories about teachers were disproportionately negative in their representations. I did find “good news” stories in my research but they were outnumbered by articles that focused on how teachers, collectively and individually, don’t measure up.

This included the linking of “crises” to “poor quality” teachers. Take, for example, former education minister Christopher Pyne’s comment that: “[…] the No. 1 issue, in terms of the outcomes for students, is teacher quality, in fact [the OECD] said 8 out of 10 reasons why a student does well in Australia or badly is the classroom to which they are allocated. In other words, the teacher to whom they are allocated.”

In other words, “teacher-bashing” is the norm when it comes to stories about teachers in the Australian news media.

The PR around teaching needs to change

As we consider what to do to improve teacher numbers in Australia, we need to think about the way we talk about teaching and teachers in the media.

If all people hear is that teachers are to “blame” for poor standards and they should be finding their demanding, complex jobs easy, this is hardly likely to encourage people into the profession. Nor does it give those already there the support and respect they need to stay.

Teachers are leaving the classroom, but the pandemic is not yet to blame

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The Conversation


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Study Highlights 3 Risk Factors for Alzheimer’s Disease

Study Highlights 3 Risk Factors for Alzheimer’s Disease

Key Takeaways

  • Risk factors linked to Alzheimer’s have changed in the past 10 years and differ based on sex, race, and ethnicity. 
  • The study found that eight modifiable risk factors, including midlife obesity, low educational attainment, and lack of exercise, were most associated with developing future Alzheimer’s.
  • Asians and White people were the least likely to have any of the eight modifiable risk factors, while Black and American Native or Alaskan people were the most likely to have them. Men were more likely to report high blood pressure, while women reported more cases of depression.

Ten years ago, researchers found that about one in three cases of Alzheimer’s disease was associated with modifiable risk factors such as smoking and lack of physical activity.

Now, the same researchers from the University of California have published new data in JAMA Neurology that show these risk factors for Alzheimer’s or another form of dementia depend on a person’s sex, race, and ethnicity.

The study’s findings also suggest that people can take steps to reduce their risk of cognitive decline as they age.

Roch A. Nianogo, MD, PhD, MPH, lead author of the study and an assistant professor of epidemiology at the University of California Los Angeles Fielding School of Public Health told Verywell that “engaging in healthy lifestyle behaviors such as maintaining a healthy weight or regularly exercising, which help prevent other chronic diseases such as heart diseases, could also play a critical role in Alzheimer’s disease prevention.”

And you don’t have to undertake them all at once. Nianogo said that “even if you begin with one or two, you’re moving in the right direction.” 

Modifiable Alzheimer’s Risk Factors

The new study revisited risk factors that were associated with Alzheimer’s a decade ago to see whether they had changed over time. Researchers also wanted to investigate if modifiable risk factors differed across race, ethnicity, and gender.

The researchers found that about a third of Alzheimer’s cases were related to a combination of eight modifiable lifestyle risk factors, including:

One interesting finding was related to physical activity levels. In 2011, a large number of Alzheimer’s cases involved a lack of physical activity, depression, and smoking. However, in the current study, most Alzheimer’s cases were associated with midlife obesity (17.7{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf}), physical inactivity (11.8{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf}), and low educational attainment (11.7{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf}).

“There exist modifiable risk factors such as midlife obesity and physical inactivity that could contribute to a non-negligible proportion of Alzheimer’s disease cases today and the relative contribution of several risk factors to Alzheimer’s disease cases has changed over the past decade,” said Nianogo.

Alzheimer’s Risk Factors by Race and Ethnicity

Among all racial and ethnic groups, the Asian participants were the least likely to smoke, have midlife obesity, or have midlife hypertension. Meanwhile, American Indian and Alaska Native participants had the highest rates among all three risk factors.

Percy Griffin, PhD

Older African Americans are about twice as likely to have Alzheimer’s or other dementias as older whites.

— Percy Griffin, PhD

Black and Hispanic participants had high rates of midlife obesity. Hispanic participants were the most likely to report a low education, followed by American Indian and Alaska Native participants.

Considering all the modifiable risk factors, the researchers found Black participants had the highest Alzheimer’s cases among ethnic and racial groups.

“Older African Americans are about twice as likely to have Alzheimer’s or other dementias as older Whites. Hispanic Americans are about one and one-half times as likely,” Percy Griffin, PhD, the director of scientific engagement at the Alzheimer’s Association, told Verywell. Griffin was not involved with the study.

Midlife obesity contributed the most to Alzheimer’s risk among a racial or ethnic group. Compared to other groups, Black participants were more likely to be impacted by midlife obesity.

Alzheimer’s Risk Factors by Sex 

The researchers also noticed Alzheimer’s risk factors for men and women were not the same.

Women were more likely than men to report depression, but men reported more cases of midlife high blood pressure. Midlife obesity was the biggest contributor to Alzheimer’s risk in men, while depression was more prominent in women.

Roch A. Nianogo, MD, PhD, MPH

Engaging in healthy lifestyle behaviors such as maintaining a healthy weight or regularly exercising, which help prevent other chronic diseases such as heart diseases, could also play a critical role in Alzheimer’s disease prevention.

— Roch A. Nianogo, MD, PhD, MPH

Nianogo said that a surprising finding was that most of the Alzheimer’s cases in the study population occurred in men.

“This could be seen as being at odds with the fact that almost two-thirds of Americans with Alzheimer’s are women,” said Nianogo. “Meaning that out of all Alzheimer’s cases, there is a higher proportion of women compared to men.”

According to Nianogo, one reason for the finding could be that, except for depression and physical inactivity, men had a higher prevalence of the other modifiable risk factors for Alzheimer’s such as smoking and midlife hypertension.

Alzheimer’s on the Rise

The number of people living with dementia is growing: In 2022, an estimated 65 million Americans age 65 years and older are living with Alzheimer’s disease. About two-thirds of people with Alzheimer’s are women.

By 2050, the projected rate of Alzheimer’s disease globally is expected to triple from 57.4 to 152.8 million cases.

The future of dementia may seem alarming, but researchers are gaining a better understanding of who is at risk for the disease.

Who Was Included?

The team collected 2018 data from the Centers for Disease Control and Prevention (CDC)’s Behavioral Risk Factor Surveillance System (BRFSS)—an annual national survey of noninstitutionalized adults living in the U.S.

The survey involved questions regarding Americans’ lifestyle choices, health conditions, and use of medical services. The survey excluded people in psychiatric centers, prisons, or hospitals.

However, Nianogo said that the data used in the study still captured relevant information for estimating groups of older aged people or people with certain mental illnesses such as depression.

Survey data from about 378,615 individuals were included in the study. The researchers looked at whether the people in the study had Alzheimer’s, another form of dementia, or known risk factors for Alzheimer’s.

Of the 378,615 individuals, 48.7{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf} were male and 21.1{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf} were 65 or older. Of those, nearly 65{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf} were White, 11.7{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf} were Black, 16{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf} were Hispanic, and 0.9{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf} were American Indian or Alaska Native.

Is Prevention Possible?

People are not necessarily powerless when it comes to prevention. Griffin said there is also evidence that combining multiple healthy habits that target modifiable risk factors could prevent or delay up to 40{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf} of dementia cases.

Alzheimer’s disease has no cure. While age and genetics are two Alzheimer risk factors you can’t control, there are ways you can reduce your overall risk for cognitive decline and Alzheimer’s, such as:

What This Means for You

A new study has highlighted how Alzheimer’s risk factors vary by a person’s race, ethnicity, and sex. Many of these risk factors are modifiable, and there are steps that people can take to reduce their risk of developing dementia.

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Pennsbury Moves Forward With Study Of Possible Morrisville Merger

Pennsbury Moves Forward With Study Of Possible Morrisville Merger
The Pennsbury College District Administration Setting up in Fallsington. File photo.
Credit rating: Tom Sofield/LevittownNow.com

Could the Pennsbury Faculty District and Morrisville University District grow to be just one? The respond to is anyone’s guess, but the idea is receiving a significant glance.

With aid from the Pennsylvania Department of Instruction, the Pennsbury Faculty Board voted final thirty day period to employ Philadelphia-based Community Financial Management to examine the feasibility of a feasible merger. The information was to start with noted by The Advance of Bucks County.

The price tag for the review is $195,000.

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The outcome of the examine will not lock Pennsbury in to any final decision, but it will give officials much more info.

Pennsbury CFO Christopher Berdni a short while ago claimed the selling price tag for the research will be protected by a state grant.

In a ask for for proposals, the Pennsbury School District issued the subsequent define for the review:

The Pennsbury School District challenges this Ask for for Proposal from money/instructional consultants to carry out a reorganization feasibility analyze on the Pennsbury College District merging with the Morrisville Faculty District. In addition to a whole merger, the examine will assess a model of Morrisville sending all or some students to Pennsbury Faculty District on a tuition basis.

The objective in requesting this analyze is to determine if the merger or tuition marriage is in the most effective desire of both faculty districts, like, but not constrained to, if instructional prospects would be enhanced for all students at a equivalent or reduced cost to taxpayers.

Public Economic Administration will begin their study in July and purpose to deliver a ultimate report in December.

The analyze will involve website visits, critique of documents from the districts, getting achievable efficiencies, interviews, community meetings, and a presentation with the firm’s findings.

Morrisville Borough High College.
Credit score: Morrisville Borough Faculty District

The Pennsbury University District has a lot more than 10,000 learners and is built up of Falls Township, Reduced Makefield Township, Tullytown Borough, and Yardley Borough, when the Morrisville College District has close to 850 pupils who occur from Morrisville Borough.

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The Morrisville Borough College District has struggled for decades owing to its dimension and a deficiency of ample funding. It just lately been given an supplemental $1 million in condition funding to assistance.

In April 2021, officers from the Morrisville School District reached out to Pennsbury to converse about a likely merger.

Prior to this decade, officers from the Morrisville Borough Faculty District despatched letters to the Bristol Borough, Bristol Township, Bensalem, Council Rock, Neshaminy, and Pennsbury school districts in an energy to crank out desire in merger talks. Morrisville Borough faculty officials have beforehand pointed to extra tax income for a suitor, two structures in the district, and benefits for area students as selling details.

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In 2014, Pennsbury turned down an provide to merge with Morrisville.

Communicate of a merger amongst Pennsbury and Morrisville occurred given that the 1970s.

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State Auditor supports Orem’s process for procuring vendor on school feasibility study | News, Sports, Jobs

State Auditor supports Orem’s process for procuring vendor on school feasibility study | News, Sports, Jobs
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Isaac Hale, Daily Herald file photograph

A university student walks away from Mountain Perspective Substantial Faculty in Orem right after the initially working day of faculty for the Alpine College District on Tuesday, Aug. 18, 2020.

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On Tuesday, the Utah State Auditor’s workplace produced its feeling more than a complaint submitted in early April that the range of the seller for Orem’s feasibility review on forming a new school district was not accomplished correctly.

The complaint named the procurement officer, Trevor Bell, and Metropolis Manager Jamie Davidson. Bell is liable for selecting the contract seller and Davidson is his top-quality. Neither man seemingly had involvement in the process, as it was assigned to the workplace of legislative council and was not place via a total ask for for proposal.

The complaint, submitted by Highland resident Jonathan Bejarano, also notes that, “Concerns that the vendor range criteria of ‘No conflicts of interest’ was not followed as an elected town council member, Terry D. Peterson is good friends with F. LaVar Christensen, a member of the Discovery Education Consultants Crew.”

The letter from the Auditor’s workplace said:

“We have reviewed the fears cited in your different emails. We identified Orem City’s procurement for the feasibility research appears to drop within the parameters of their procurement ordinance 2-7-6(A) which allows exceptions to the bidding needs. Thus, we do not think a violation of Orem’s procurement ordinance occurred in this circumstance. The Point out Auditor encourages government entities to employ a aggressive procurement course of action to the greatest extent attainable, even when not expected by code, ordinance, or coverage, in order to present taxpayers with a aggressive and transparent approach.”

The Place of work of the Condition Auditor gives taxpayers and governing administration officials with an impartial evaluation of money operation, statutory compliance and effectiveness administration for state and local federal government, in accordance to their site.

The release of the letter is of very little consequence as the feasibility research is on its way and is to have a draft completed close to June 15.

“The City of Orem’s adopted ordinance permits for the metropolis to enter into agreements for specialist providers without likely via a aggressive sealed bid course of action,” said Steven Downs, deputy mayor. “Having stated that, the metropolis still did its because of diligence by reaching out to several companies asking for them to take into account bidding on this analyze. Of the six providers, Zions Bank, Tanner & Organization, Squire & Firm, Merrill Lynch, Lewis Younger Robertson and Burningham, and Discovery Educational Consultants, two firms built proposals. Both equally proposals were provided really serious consideration.”

For some citizens — who shared their views by means of Fb, open mic time at council conferences and more — responses to their concerns seemingly are incomplete or nonexistent.

For instance, there was a issue about the sellers implementing and the vetting committee that was concerned with the range system.

After Authorities Information Entry and Management Act requests from the Every day Herald, the metropolis delivered a total reply concerning the committee.

The initially GRAMA reaction, submitted back again to the metropolis recorder from Jesse L. Riddle, Orem’s Legislative Council mentioned, “Jesse L. Riddle is the name. I vetted and chose the Company, as directed by the City Council and in compliance with Utah Law. I did not utilize a ‘scoring card.’”

However, the second ask for displays that the seller was vetted by Riddle, Reed Park, Keith Grover, Jennifer Young and Riddle’s former company husband or wife who’s name was redacted. Park is lawful counsel for Nebo School District, Younger is a constitution faculty trainer and Grover is a Utah Senator representing west Orem, Lindon and part of Enjoyable Grove.

One of the most well known considerations targeted especially on Discovery Instruction Consultants.

Discovery Instruction Consultants had its identify formally registered with the state on Feb. 7. Four times later, according to the seller contract, the City of Orem despatched Discovery Schooling Consultants a solicitation, inquiring to respond by distributing a proposal to do the feasibility research. That proposal was obtained at the town on the March 2 deadline.

The details on Discovery Training Consultants suggests that the company’s founders provide together approximately 100 many years of knowledge. Paul McCarty is the critical figure in the firm.

In an e mail to Orem Mayor Dave Youthful, and the town council, on March 1, Riddle noted that the two vendors selected to be vetted, “have been associated in faculty district split studies.”

Even so, an official break up research does not show up to be possible with Discovery Educational Consultants as Orem is their initial agreement.

McCarty did lead a group of people today in Draper that have been trying to find to crack absent from the Canyons University District before this calendar year, in hopes of forming a Draper School District.

Draper City Council and Draper Mayor Troy K. Walker issued a assertion on McCarty’s team. It was the next time the Draper officers have set out a statement on the team and the concern of splitting from Canyons District.

“For many months a team of Draper citizens has been pursuing the development of a new college district that would be exclusively inside of the Draper town boundaries and which would require a separation from the Canyons College District,” reads the assertion. “Although the mayor and council have achieved with this group at their ask for, neither Draper Metropolis nor its elected officers have been involved with the conception of this proposal, nor with the attempt to go the course of action ahead. At this time, the Mayor and Council do not help a split from the Canyons College District.”

McCarty and his team have not formally offered in advance of the Draper Council, in accordance to Linda Peterson, the city’s director of communications.

“I was the to start with one they contacted,” Walker informed the Each day Herald. “They showed me the idea of a school district split and I advised them they would have to demonstrate overpowering group help for it.”

Walker met with McCarty for a 2nd time just prior to Christmas. He also inspired them to converse to council customers. He observed the team was seeking the concern on the ballot later this 12 months.

Even after seeing what Walker and council associates claimed was a very simplistic presentation, he advised them, “There is just no fascination. We feel Canyons does a phenomenal career.”

Talking of McCarty’s group, Walker reported, “It’s a remedy seeking for a dilemma.” He included that his city has not, and does not, endorse Discovery Instruction Consultants.

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