How to pronounce “distal” in English

So we're going to start off by the distal outcome.So the distal outcome is some long term goal that you want to achieve.And in the world I live in, which is more on the research, more research side, it usually is some sort of clinical outcome

that is involved in that app, but I'm going to focus on only certain aspects.So the distal outcome-- it was a 42-day study, and in this particular case, we were looking to increase the sedentary individuals'activity over the duration of the 42 days.

one of these interventions.So there's always some sort of distal outcome.In this case, it was helping people graduate from the drug abuse program.

We know where we need to go, but we haven't gotten it straight in our head how to optimize it.So we're going to start off by the distal outcome.So the distal outcome is some long term goal that you want to achieve.

In this case, it was helping people graduate from the drug abuse program.You can imagine in other settings, that distal outcome might be a tradeoff between cost and benefit.There's always a proximal response here.

And this is actually someone's heart.So this is a narrowing of the left anterior descending artery, the distal part.And so it's almost frayed.

It's very common. The whole idea here is you formulate your intervention options, the interventions that you might provideso that you'll affect these proximal responses, and thus achieve your distal outcome.So in the behavioral science world, this fits in very well with the way the theories

And, in fact, this question is becoming, actually, more interesting today where the advances in graphics have evolved to the point where it's, actually,there's many cases where it becomes increasingly difficult to distinguish between virtual reality-- when there's a synthetic environment-- versus distal reality-- where there's a real environment,but it may be mediated by some technology like video over the internet.