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e experienced by older adults versus environmental exposures in the Persian Gulf and Afghanistan), providers treating veterans of different ages should be sensitive to era-related effects. Findings suggest the importance of querying for symptoms of mental distress and actively engaging affected individuals, veteran or nonveteran, in appropriate treatment to prevent deaths of despair. Down syndrome (DS) is a chromosomal abnormality in which muscle tone, motor development, and sensory systems are affected. The objectives of this study we