Digital Module 16: Longitudinal Data Analysis

In this digital ITEMS module, Dr. Jeffrey Harring and Ms. Tessa Johnson introduce the linear mixed effects (LME) model as a flexible general framework for simultaneously modeling continuous repeated measures data with a scientifically defensible function that adequately summarizes both individual change as well as the average response. The module begins with a nontechnical overview of longitudinal data analyses drawing distinctions with cross-sectional analyses in terms of research questions to be addressed. Nuances of longitudinal designs, timing of measurements, and the real possibility of missing data are then discussed. The three interconnected components of the LME model—(1) a model for individual and mean response profiles, (2) a model to characterize the covariation among the time-specific residuals, and (3) a set of models that summarize the extent that individual coefficients vary—are discussed in the context of the set of activities comprising an analysis. Finally, they demonstrate how to estimate the linear mixed effects model within an open-source environment (R). The digital module contains sample R code, diagnostic quiz questions, hands-on activities in R, curated resources, and a glossary.     

Acute cardiovascular responses to interval exercise: A systematic review and meta-analysis

ABSTRACT

Interval exercise training is increasingly recommended to improve health and fitness; however, it is not known if cardiovascular risk is different from continuous exercise protocols. This systematic review with meta-analyses assessed the effect of a single bout of interval exercise on cardiovascular responses that indicate risk of cardiac fibrillation and infarction compared to continuous exercise. Electronic databases Medline, CINAHL, Embase, Scopus and Cochrane were searched. Key inclusion criteria were: (1) intervals of the same intensity and duration followed by a recovery period and (2) reporting at least one of blood pressure, heart rate variability, arterial stiffness or function. Cochrane Risk of Bias tool and GRADE approach were used. Meta-analyses found that systolic blood pressure responses to interval exercise did not differ from responses to continuous exercise immediately (MD 8 mmHg [95% CI ?32, 47], p = 0.71) or at 60 min following exercise (MD 0 mmHg [95% CI ?2, 1], p = 0.79). However, reductions in diastolic blood pressure and flow-mediated dilation with interval exercise were observed 10–15 min post-exercise. The available evidence indicates that interval exercise does not convey higher cardiovascular risk than continuous exercise. Further investigation is required to establish the safety of interval exercise for clinical populations.     

Cardiac Dimensions in Elite Young Track Athletes

The purpose of the study was to compare young sprint and distance runners for changes in their cardiac dimensions with increased age (10–17 years) or body surface area (1–2 m²). Echocardiographic dimensions were obtained on 73 male track athletes competing in the 1983 National Age Group Track and Field Association championships. Each group of athletes was also compared with a hypothetical normal population (matched for weight and age) generated from prediction equations derived by Henry, Gardin, & Ware (1980). The cardiac dimensions examined were: Left ventricular internal diameter, left ventricular posterior wall thickness, and interventricular septum thickness. The male distance runners (n = 38) had a significantly greater increase in left ventricular posterior wall thickness and interventricular septum thickness with increasing age or increasing body surface area compared to the sprinters (n = 35) or compared to the predicted normal population. The left ventricular internal diameter was not significantly different between the groups. These results indicate that the hearts of male distance runners are undergoing a training hypertrophy whereas the hearts of sprinters are no different than hearts in a normal population. The changes in cardiac dimensions of these young athletes run counter to the generalizations stated for adult athletes: That endurance training enlarges the left ventricular internal diameter, but does not increase the left ventricular posterior wall or interventricular septum thickness.     

African Oral Traditions: Riddles Among The Haya of Northwestern Tanzania

This study argues for the integration of African oral traditions and other elements of traditional learning into the modern school curriculum. It thus contributes to supporting the increased relevance of education to local communities. In particular, using the example of riddles collected from one of the main ethnic groups in Northwestern Tanzania, the Haya people, the present study challenges the views of those social and cultural anthropologists who hold that African riddles have no substantially meaningful educational value. Instead, it is maintained that riddles make an important contribution to children’s full participation in the social, cultural, political, and economic life of African communities, especially by fostering critical thinking and transmitting indigenous knowledge.

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Zusammenfassung MÜNDLICHE TRADITIONEN IN AFRIKA: DER ERZIEHERISCHE WERT VON RÄTSELN BEI DEN HAYA IM NORDWESTLICHEN TANSANIA – Diese Studie argumentiert für die Einbeziehung afrikanischer mündlicher Traditionen und anderer Elemente traditionellen Lernens in den modernen schulischen Lehrplan. Sie fördert somit die gestiegene Bedeutung der Bildung für die örtlichen Gemeinschaften. Insbesondere begegnet die vorliegende Studie, indem sie das Beispiel von Rätseln gebraucht, die bei einer der Hauptvolksgruppen im nordwestlichen Tansania, dem Volk der Haya, gesammelt wurden, den Ansichten derjenigen Sozial- und Kulturanthropologen, die behaupten, dass afrikanische Rätsel keinen wesentlich bedeutungsvollen erzieherischen Wert haben. Stattdessen wird die These aufgestellt, dass Rätsel einen wichtigen Beitrag zur vollständigen Teilnahme von Kindern am gesellschaftlichen, kulturellen, politischen sowie wirtschaftlichen Leben afrikanischer Gemeinschaften leisten, besonders durch die Förderung von kritischem Denken und die Weitergabe des Wissens der Eingeborenen.

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Resumen TRADICIONES ORALES AFRICANAS: EL VALOR EDUCATIVO DE LAS ADIVINANZAS PARA EL PUEBLO DE LOS HAYA EN EL NOROESTE DE TANZANÍA – Con este trabajo, el autor aboga por una integración de tradiciones orales africanas y de otros elementos de aprendizaje tradicional en los actuales planes de estudios de las escuelas. Al mismo tiempo, hace énfasis en la creciente relevancia que la educación tiene para las comunidades locales. Con este estudio, el autor desafía la posición de aquellos antropólogos sociales y culturales que sostienen que las adivinanzas africanas no tienen ningún valor educativo digno de mención, ante todo presentando el ejemplo de adivinanzas que ha recopilado entre los miembros del pueblo de los haya, uno de los principales grupos étnicos del noroeste de Tanzanía. Por lo contrario, el autor afirma que las adivinanzas promueven en gran medida la participación plena de los niños en la vida social, cultural, política y económica de las comunidades africanas, ante todo porque incentivan el pensamiento crítico y transmiten conocimientos indígenas.

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Résumé TRADITIONS ORALES AFRICAINES : LA VALEUR ÉDUCATIVE DES ÉNIGMES CHEZ LES HAYAS DE LA TANZANIE DU NORD-OUEST – Cette étude argumente en faveur de l’intégration des traditions orales africaines et autres éléments de l’apprentissage traditionnel dans le programme d’étude de l’école moderne. Elle contribue ainsi à soutenir la pertinance accrue de l’éducation au sein des communautés locales. En particulier, utilisant l’exemple des énigmes recueillies chez l’un des principaux groupes ethniques de la Tanzanie du Nord-Ouest, le peuple Haya, l’étude présente conteste les vues de ces anthropologues sociaux et culturels qui soutiennent que les énigmes africaines n’ont pas de valeur éducative substantiellement significative. Au lieu de cela, on maintient que les énigmes apportent une contribution importante à la pleine participation des enfants à la vie sociale, culturelle, politique et économique des communautés africaines, spécialement en ce qu’elles favorisent la pensée critique et transmettent les connaissances indigènes.

     

The changing status of higher education in the ‘moronic inferno’

Getting a good and relevant education is difficult enough to achieve within a context where social and economic needs are constantly unsettled by political policy. The public funding of the education sector has become a contested arena irrespective of a government’s ideology. Recent graduates from various disciplines from Town Planning to Philosophy report in university destination surveys that they have only found employment in areas unrelated to their academic training – for instance, in supermarkets, restaurants and other low-level service industries. How has it happened that the universalisation of mass higher education has contributed to a disconnect between the individual’s social aspirations and their economic status? What happened to the tacit promise that an extended period of intellectual development would prepare the individual for a life of valuable social contribution and financial security? Part of the answer lies in the success of higher education itself. Its popularity has changed its transformative capacity and allowed operational efficiencies to overrule academic quality. The university, ideally seen as a repository of intellectual intuition, has been remade into yet another modern corporation concerned with the bottom line and financial security. Why has it been necessary to remake the university in the image of the department store, supermarket or bank, and how has it been achieved without more critique?     

Indexed Captioned Searchable Videos: A Learning Companion for STEM Coursework

Videos of classroom lectures have proven to be a popular and versatile learning resource. A key shortcoming of the lecture video format is accessing the content of interest hidden in a video. This work meets this challenge with an advanced video framework featuring topical indexing, search, and captioning (ICS videos). Standard optical character recognition (OCR) technology was enhanced with image transformations for extraction of text from video frames to support indexing and search. The images and text on video frames is analyzed to divide lecture videos into topical segments. The ICS video player integrates indexing, search, and captioning in video playback providing instant access to the content of interest. This video framework has been used by more than 70 courses in a variety of STEM disciplines and assessed by more than 4000 students. Results presented from the surveys demonstrate the value of the videos as a learning resource and the role played by videos in a students learning process. Survey results also establish the value of indexing and search features in a video platform for education. This paper reports on the development and evaluation of ICS videos framework and over 5 years of usage experience in several STEM courses.     

Surviving the Doctoral Dissertation: A Solution‐Focused Approach

The authors discuss the application of solution‐focused counseling in support groups designed to help graduate students cope with the demands of writing a doctoral dissertation.     

Anatomical Sciences Education Vol. 5, Issue 3, 2012 Cover Image

Medical students at the Schulich School of Medicine and Dentistry at The University of Western Ontario in London, Ontario, Canada, learn clinical facts about the hepatobiliary system as transplant surgeon Dr. Vivian McAlister (at the far right) demonstrates Whipple's procedure in the anatomy laboratory. In this issue of ASE, Ullah and colleagues describe an extracurricular student initiative known as the Surgically Oriented Anatomy Program (SOAP), which aims to deliver anatomy teaching from a surgical perspective through the philosophy of “education through recreation”.