Recommendations to maintain immune health in athletes

Numerous studies over the last 35 years report an increase in upper respiratory infection (URI) symptoms in athletes during periods of heavy training and competition. Challenges athletes face such as heavy exercise and life stress influence immune function via activation of the hypothalamic–pituitary–adrenal axis and the sympathetic nervous system and the resulting immunoregulatory hormones. Both innate and acquired immunity are often reported to decrease transiently in the hours after heavy exertion, typically 15–70%: prolonged heavy training sessions in particular have been shown to decrease immune function; potentially providing an ‘open window’ for opportunistic infections. Whether the observed changes in immunity with acute strenuous exercise or periods of heavy training account for the increased susceptibility to URI symptoms remains contentious. Nevertheless, there is little doubt that URI symptoms hinder athletic training and competition; underpinning the need to identify the prominent risk factors and appropriate countermeasures. Recent studies have identified prominent risk factors, including: intensified training in the winter; long-haul travel; low energy availability; high levels of psychological stress and anxiety; and depression. Given the shared pathways and effector limbs for the body’s response to physical and psychological challenges, it is logical that psychological strain influences immunity and illness incidence in athletes under heavy training; indeed, stress and anxiety have recently been shown to modify the immune response to exercise. This mini-review provides new insights and evidence-based recommendations for coping with the various challenges that athletes encounter on immune health, including: heavy exercise; life stress; sleep disruption; environmental extremes and nutritional deficits.     

Online versus traditional classroom instruction: an examination of developmental English courses at an Alabama community college

A study was conducted at a community college in northeast Alabama to determine how the format of developmental English courses impacted student withdrawal rates and final grades. The two course formats examined were online/hybrid and face-to-face courses. Data were obtained from a 4-semester time frame: fall 2012, spring 2013, summer 2013, and fall 2013. It was determined that students enrolled in the online course were far more likely to withdraw from the course or attain a nonpassing, nontransferable grade than their counterparts who chose the face-to-face course format. The researchers found similar results to larger studies at community colleges in Virginia and the state of Washington.     

An Exploration of Pre-Service Teachers' Experiences in Outdoor ‘Places’ and Intentions for Teaching in the Outdoors

This study explores pre-service teachers' past interactions with ‘place’ in outdoor settings and how these experiences contribute to their current perceptions of the importance of taking their own students into the outdoors. Specifically, the researchers were interested in investigating if current pre-service teachers are part of the ‘nature-deficit disorder' generation described by Louv in his book, Last child in the woods: Saving our children from nature-deficit disorder (2005 Louv, R. (2005). Last child in the woods: Saving our children from nature deficit disorder. Chapel Hill, NC: Algonquin Books. [Google Scholar]), as a generation of children growing up without direct experiences in nature. Study participants included 148 undergraduate pre-service elementary teachers enrolled in science teaching methods instructional courses at an urban college in the Northeastern United States and two suburban universities in the Southeastern United States. Participants wrote essay responses after reading Louv's Last Child in the Woods in which they were asked to relate the reading to their own past experiences and their ideas about elementary science education. Results indicate that a large majority of participants (97%) describe significant youth experiences in the outdoors, view nature as important in varying ways (89.9%), and express a desire to expose their own students to the outdoors (65.5%). Key findings are illustrated with direct quotations from the pre-service teachers' essay responses, as they write vividly of their interactions in outdoor places, referred to as ‘place meanings'. Implications are presented for teacher educators working with pre-service teachers to build upon their outdoor experiences and prepare them for implementing nature-based instruction.     

Reviews

The authors' experiences of observing teaching and learning in schools have led them to become concerned at the dominant paradigm of a ‘pedagogy of poverty' at the expense of a ‘pedagogy of plenty’. Bernstein's theory of power and control of education knowledge is overtly practised in classrooms globally. This is evidenced in the narrowing of the curriculum in response to the ‘No Child Left Behind’ initiative in the USA and the centrally imposed National Strategies and Standards agenda in the UK. Bernstein's theory is still a means of clarifying the relationships between social class, family income and the education process. It introduced the concept of ‘restricted and elaborated codes’, which has been labelled by its critics as a deficit model for the working-class population. The authors contest that expectations for this new meritocracy have failed to materialise and the expectations for equity have been reduced by the prevailing metric. This ‘pedagogy of poverty’ is now practised in the current ‘one size fits all’ model of teaching and learning operating within narrow accountability based on a ‘testocracy’. This case study demonstrates one teacher using guided group work as a potential strategy for a ‘pedagogy of plenty’.     

Preserving a combat commander’s moral agency: The Vincennes Incident as a Chinese Room

We argue that a command and control system can undermine a commander’s moral agency if it causes him/her to process information in a purely syntactic manner, or if it precludes him/her from ascertaining the truth of that information. Our case is based on the resemblance between a commander’s circumstances and the protagonist in Searle’s Chinese Room, together with a careful reading of Aristotle’s notions of ‘compulsory’ and ‘ignorance’. We further substantiate our case by considering the Vincennes Incident, when the crew of a warship mistakenly shot down a civilian airliner. To support a combat commander’s moral agency, designers should strive for systems that help commanders and command teams to think and manipulate information at the level of meaning. ‘Down conversions’ of information from meaning to symbols must be adequately recovered by ‘up conversions’, and commanders must be able to check that their sensors are working and are being used correctly. Meanwhile ethicists should establish a mechanism that tracks the potential moral implications of choices in a system’s design and intended operation. Finally we highlight a gap in normative ethics, in that we have ways to deny moral agency, but not to affirm it.     

Childbirth education for multiple pregnancy: part 2: intrapartum and postpartum considerations

Women with a multiple pregnancy can expect a different labor and birth course than those with a singleton pregnancy. While the postpartum period is similar to that of families with a singleton, it is likely to be more hectic in families with multiple infants. In addition, a multiple pregnancy increases both maternal and neonatal risks; therefore, women with a multiple pregnancy may experience slight differences in care due to these potential risks, including additional monitoring and treatment. This article discusses the intrapartum and postpartum considerations families with a multiple pregnancy/birth may experience. This information is provided so that the childbirth educator can incorporate this content into courses, as appropriate, and assist families with a multiple pregnancy to anticipate a realistic birth and postpartum experience.     

Applying the Kanban method in problem-based project work: a case study in a manufacturing engineering bachelor’s programme at Aalborg University Copenhagen

Problem-based learning (PBL) has proven to be highly effective for educating students in an active and self-motivated manner in various disciplines. Student projects carried out following PBL principles are very dynamic and carry a high level of uncertainty, both conditions under which agile project management approaches are assumed to be highly supportive. The paper describes an empirical case study carried out at Aalborg University Copenhagen involving students from two different semesters of a Bachelor of Science programme. While executing the study, compelling examples of how PBL and the agile project management method Kanban blend could be identified. A final survey reveals that applying Kanban produces noticeable improvements with respect to creating, assigning and coordinating project tasks. Other improvements were found in group communication, knowledge about the work progress with regards to both the individual and the collective and the students’ way of continuously improving their own teamwork.     

A skills perception inventory for evaluating postgraduate transferable skills development

This article reports on the development, application and results of a skills evaluation inventory which was specifically designed to provide quantitative feedback on the effects of a three‐day residential training course attended by PhD students early in their research careers. The course was developed at Imperial College London, partly in response to the ‘Roberts’ agenda, which has highlighted the importance of transferable skills to the future careers of researchers. The questionnaire aims to measure student perceptions of their skill levels in four key areas. In addition a scale was included to measure changes in their general attitudes towards the benefits or otherwise of training in transferable skills. The inventory was administered at the very beginning and end of the course. Statistical analysis was used to refine the inventory and as a result all five scales were found to have good reliability. The results showed that after attending the course there were statistically significant increases in the participants’ perceived levels of skill in each area and a more positive attitude to skills development courses overall was demonstrated. Furthermore, differences in skill perceptions were observed depending on the gender and residential status of researchers. For example, female researchers were found to have generally lower levels of confidence than males, specifically for pre‐course beliefs on group work and communications skills. A further benefit is that the findings have helped to win respect and support for continued investment in the residential course programme.     

Embedded Game Design as a Method for Addressing Social Determinants of Health

ABSTRACT

This paper, describes the design, development, and evaluation of The Test, a theory-based mobile game prototype designed to promote HIV testing by providing information and influencing motivations, and behavioral intentions among YMSM. The Test was designed using embedded design, first described by Kaufman & Flanagan (2015), which diverges from traditional “educational game” design strategies by mixing on-message content with nonfocal content, in an attempt to make the overall experience more approachable and engaging. One challenge of embedded design is that it targets attitudes and actions that are not always proximate to a particular behavior. Games with embedded content forgo explicit takeaways, and their possible distal effects present a challenge to traditional tests of efficacy. The benefit of embedded design, however, is that its holistic or ecological design approach (which considers feelings, emotions, affects, social relations, and connections to broader communities) stands in close alignment with the social-ecological model.