Leave a Comment

Trump’s ‘big, beautiful bill’ will leave millions of Latino children without healthcare – EL PAÍS English

Trump’s ‘big, beautiful bill’ will leave millions of Latino children without healthcare – EL PAÍS English

Donald Trump’s so-called “big, beautiful bill,” which Congress is about to pass, targets one of the most vulnerable segments of society: children — particularly those from immigrant families, with Latino communities disproportionately affected. More than half of Hispanic children rely on healthcare and food assistance programs that the proposed legislation aims to slash in order to fund tax cuts for the wealthiest Americans.
“Children and families across America are at risk of losing affordable health coverage and access to healthy meals to pay for a massive tax cut for billionaires and big corporations,” said Florida Congresswoman Kathy Castor.
Last Thursday, the House of Representatives approved the spending bill by a single vote (215 to 214), and it now moves to the Senate, where Republicans also hold a majority. If the Senate gives its approval, this bill would lead to the largest cuts to Medicaid — the program providing medical assistance to low-income individuals — in U.S. history. Additionally, the Supplemental Nutrition Assistance Program (SNAP) would suffer its deepest reduction in nearly three decades, as critics have pointed out. These cuts would endanger children, particularly those in Latino and other historically marginalized communities.
This is highlighted in a new report published by UnidosUS, AFL-CIO, and First Focus on Children, which shows that nearly 45% of children in the U.S. (about 34 million) rely on Medicaid and SNAP for essential healthcare and nutrition. Of those, 14 million children rely on both programs, putting them at double the risk of losing access to healthcare and food assistance.
“There is nothing in this big bill that’s beautiful for children, but the gigantic cuts to Medicaid and the Supplemental Nutrition Assistance Program are particularly ugly,” said Bruce Lesley, president of First Focus on Children. “Children already are struggling with rising infant and child mortality, increased poverty, and growing rates of hunger, homelessness and a lack of health insurance. These proposed cuts would dig deeper into this crisis.”
The spending bill includes a $1 trillion cut to social protection programs. The measure has been denounced by experts as racially biased. Fifty-eight percent of Latino children, 67% of Native American children, and 65% of Black children benefit from one of the programs.
“Let’s be clear: this bill is nothing short of an assault on our values as a country, but that’s not the worst. It strips away access to health care, food assistance, and clean energy, just to fund tax breaks for billionaires and criminalize vulnerable communities,” said Katharine Pichardo, president and CEO of Latino Victory.
Without SNAP or Medicaid, more children will face hunger, developmental delays, and untreated medical conditions, including chronic illnesses that could have been prevented with early care. Poverty is tied to race and ethnicity — 29% of Hispanic children in mixed-status families live in poverty. According to the National Immigration Law Center (NILC), children of immigrants experience poverty at twice the rate of those with two citizen parents, and Latino children experience triple the poverty rate of white children.
The bill contradicts Republican promises not to fund tax cuts through reductions to healthcare assistance programs like Medicaid and Medicare. However, it aligns with their push to limit social program use by immigrant families.
Immigrant rights advocates argue that the changes will primarily affect children who are U.S. citizens but have undocumented or temporarily authorized immigrant parents. About 12% of U.S. children — around nine million — have at least one parent who is not a U.S. citizen. The “beautiful” law removes benefits for anyone with a parent who is not a citizen or who lacks permanent residency. This includes refugees, asylum recipients, Temporary Protected Status (TPS) beneficiaries, and DACA recipients who arrived in the U.S. as children.
Currently, fewer than one in 10 American children with U.S. citizen parents (4%) lack health insurance — half the rate of those with parents (8%) who are not citizens.
In addition to losing access to health insurance and food stamps, migrant families without a Social Security number will lose the child tax credit, which the bill sets at $2,500 per child — affecting between two and four million U.S. children.
Republicans defend the proposal as part of their crackdown on undocumented immigrants, whom they accuse of abusing social programs to the detriment of American citizens. But the cuts will mostly impact those who are in the country legally, as unauthorized immigrants do not receive federal benefits. Some states provide healthcare or educational access, but the federal government has already threatened reprisals for doing so. Moreover, many immigrants are afraid to provide personal data or apply for benefits they qualify for, fearing it will make them a target for deportation.
Sign up for our weekly newsletter to get more English-language news coverage from EL PAÍS USA Edition
¿Quieres añadir otro usuario a tu suscripción?
Si continúas leyendo en este dispositivo, no se podrá leer en el otro.
¿Por qué estás viendo esto?
Si quieres compartir tu cuenta, cambia tu suscripción a la modalidad Premium, así podrás añadir otro usuario. Cada uno accederá con su propia cuenta de email, lo que os permitirá personalizar vuestra experiencia en EL PAÍS.
¿Tienes una suscripción de empresa? Accede aquí para contratar más cuentas.
En el caso de no saber quién está usando tu cuenta, te recomendamos cambiar tu contraseña aquí.
Si decides continuar compartiendo tu cuenta, este mensaje se mostrará en tu dispositivo y en el de la otra persona que está usando tu cuenta de forma indefinida, afectando a tu experiencia de lectura. Puedes consultar aquí los términos y condiciones de la suscripción digital.

source

Leave a Comment

Leave a Comment

Leave a Comment

NC DHHS announces new state health director – WCNC

NC DHHS announces new state health director – WCNC

To stream WCNC on your phone, you need the WCNC app.
Next up in 5
Example video title will go here for this video
Next up in 5
Example video title will go here for this video

RALEIGH, N.C. — A new state health director has been named for the North Carolina Department of Health and Human Services, someone the department said has pioneered work to improve mental health and addiction services in the Tar Heel State.
The department announced Wednesday that Dr. Lawrence Greenblatt was named to the role as state health director and chief medical officer, and he will start on Monday, June 2. NC DHHS said Greenblatt is a physician, professor, and champion for public health services.
“Dr. Greenblatt is an innovator and public health advocate with a long track record of increasing access to mental and physical health care in North Carolina,” said NC Health and Human Services Secretary Dev Sangvai. “He has the vision and experience needed to lead our state’s public health efforts as we work to create a healthier North Carolina for all.”
The announcement from NC DHHS said Greenblatt served for three decades as a general internist, educator and Medicaid policy leader with the Duke University Health System, earning recognition for his work to integrate behavioral health and addiction services into primary care. He has led Duke’s Medicaid Network since 2008, first at Northern Piedmont Community Care, which was part of the statewide Community Care of North Carolina network. He continued as Medical Director of Duke’s Clinically Integrated Network under Medicaid transformation in 2021. The network serves 100,000 Medicaid enrollees and supports several practices.
“I am honored to be chosen for this important role in improving the health and well-being of the more than 11 million North Carolinians that call this great state home,” said Dr. Greenblatt. “As a physician and educator, I know the value of making sure every person has access to mental and physical health care when they need it and in the setting that is most appropriate for them.”
NC DHHS said that in 2012, Greenblatt launched one of the nation’s first academic initiatives to promote safe opioid prescribing and expand treatment for opioid use disorder. He also served as Chair of the NC Medicaid Pharmacy and Therapeutics Committee and Secretary of the NC Medicaid Physician Advisory Group. He also co-led the Durham Crisis Collaborative and actively contributed to local substance use and mental health planning efforts.
For the latest breaking news, weather and traffic alerts that impact you from WCNC Charlotte, download the WCNC Charlotte mobile app and enable push notifications. 

source

Leave a Comment

Leave a Comment

Shettima: Our country can be transformed when children get the power to imagine – Daily Trust

Shettima: Our country can be transformed when children get the power to imagine – Daily Trust

 Vice-President Kashim Shettima has said Nigeria can be transformed when children get the power to imagine.
He said this when The ExxonMobil Foundation, in collaboration with PanAfricare and the TechWomen officially launched the INSPIRE Project to improve science and technology education in Nigeria.
The project was launched at the NAF Conference Centre in Abuja, on Wednesday.
according to the organisers, the INSPIRE Project, short for Innovation, STEM, and Partnerships for Inclusive and Relevant Education, is set to be implemented in 14 underserved government secondary schools across six Nigerian states: Abia, Bauchi, Kaduna, Lagos, Rivers, and the Federal Capital Territory.
The initiative aims to transform STEM (Science, Technology, Engineering, and Mathematics) learning across the country.
Four secondary schools in the FCT; Government Girls Science Secondary School Kuje, Government Secondary School Kuje, Junior Secondary School Zuba, and Junior Secondary School Sangwari Dutse, received the first sets of INSPIRE Boxes during the launch.
Shettima, who was represented by the Special Adviser to President Bola Ahmed Tinubu on special duties, Aliyu Umar Moddino, said the programme would make Nigerians scientist and engineers formidable players in the world.
He said, “This programme will take a step in ensuring that Nigerian future scientists, engineers and tech leaders are not just spectators in the global knowledge economy, but formidable players.
“The Inspire Project is a bold and deliberate effort to spark an enduring interest in science and technology, engineering, mathematics among our students.
“The vision aligns with the direction of His Excellency, President Bola Ahmed Tinubu, that investing in education is the most enduring means of nation building, because when we give our children the power to imagine, we give the country the power to transform.”
Speaking, United States Ambassador to Nigeria, Richard M. Mills, Jr, said in the next 15 years the programme would transform many Nigerian women in tech leaders in the world.
Richard said, “I am hoping that in the next fifteen years, many of the Faces I see here in the crowd will perhaps be part of TechWomen and my association with the United States embassy’s support. Tech Women is a US’s support programme of emerging women leaders in science, technology and engineering across Africa and other parts of the world. There is mentorship and collaboration and there is mutual understanding in this exchange programme.
“The programme also helps expand people’s professional skills and promote cultural understanding. It inspires new generations and innovators regardless of their genders.”
UPDATE NEWS: Nigerians can now earn US Dollars through domain flipping, buy domain names for cheap and have it resold to earn up to $15,000.
Click here to start and get PROOF.

Join Daily Trust WhatsApp Community For Quick Access To News and Happenings Around You.

source

Leave a Comment

Leave a Comment

Study finds doing this five-minute workout daily can ‘significantly improve fitness’ – The Independent

Study finds doing this five-minute workout daily can ‘significantly improve fitness’ – The Independent

Notifications can be managed in browser preferences.
Please refresh the page or navigate to another page on the site to be automatically logged inPlease refresh your browser to be logged in
The Independent’s journalism is supported by our readers. When you purchase through links on our site, we may earn commission. 
New research reports that a short, daily bodyweight workout can hold impressive benefits for those struggling to find time to exercise
I would like to be emailed about offers, events and updates from The Independent. Read our Privacy notice
There’s a common misconception that you need to spend an hour in the gym, several times per week, to make a dent on your health and fitness goals. But for most people, this simply isn’t the case.
Instead, any regular activity is likely to have an impact. A recent study published in the European Journal of Applied Physiology supports this, finding that a five-minute strength training routine, performed daily for four weeks, led to “significantly improved physical fitness and mental health in sedentary individuals”.
As far as I can see, the routine was nothing groundbreaking either, comprising progressive variations of the bodyweight squat, press-up, sit-up and calf raise. The progressive nature and consistency with which these exercises were performed is where the magic truly lies.
Though the sample size is small, what the study shows is that small amounts of exercise, and strength training in particular, can offer untold perks for beginners. I investigated why this might be the case, and how you can use this information to efficiently further your own health and fitness.
The “healthy but sedentary” participants of this study – four men and 18 women aged between 32 and 69 – performed 10 repetitions of each exercise to a strict tempo. This meant elongating the eccentric (or lowering) phase of each repetition for five seconds, then completing the concentric (or lifting) phase in roughly one second.
For the chair squat, for example, this would involve sitting down slowly over the course of five seconds, then standing up as normal.
“Participants were allowed to choose the time at which they completed the exercises, and the exercises could be performed together or spread throughout the day,” the research adds.
Once participants could complete 10 repetitions of an exercise with an RPE (rate of perceived exertion, or how hard an exercise feels) score of five out of 10 or less for two consecutive days, they were instructed to progress to a more challenging variation of the exercise. These variations were:
Again, I want to stress that this isn’t a magic formula. It simply plays on tried and trusted strength training principles – progressive overload and a combination of exercises which recruit most major muscle groups – to deliver the stimulus needed for positive changes in people new to this type of exercise.
The main takeaway should be that just a few short minutes of adequately challenging resistance training per day, even without weights, can make a significant difference in sedentary populations.
Read more: How doing squats between emails could boost your health in midlife
This article isn’t aimed at people who run marathons for fun or sign up to every Hyrox race going. Instead, it speaks to anyone who wants to improve their health and fitness, but struggles to find the time, energy and motivation to squeeze exercise into their busy lives.
For this group, it’s important to understand that small amounts of activity, performed consistently and progressively as in the study above, can have a significant impact.
“Most evidence shows that even doing very small amounts of exercise or physical activity is beneficial for health, but more is better for us,” says Dr Richard Blagrove, a senior lecturer in physiology at Loughborough University.
As a case study, he cites research published in the British Journal of Sports Medicine, which found that those burning a bonus 500 calories across the week, averaging out at just 70 calories per day, “show reductions in risk of mortality compared to being completely inactive”.
“The same is true for resistance training,” he adds, with research finding that just one challenging set of an exercise can increase strength, thus benefitting “functional performance” – i.e. how well our bodies can serve us in daily life.
Read more: Will the run club replace the pub? Why choose when both can help fight a deeper issue?
This favourable dose-response relationship is something Joe Wicks stresses in his approach too. Wicks has been visiting workplaces across the UK as part of a new initiative on movement and wellness, and says he’s witnessed a night and day difference between people who did and didn’t find time to exercise.
“I visited all of these companies, and you’d see people that are really struggling, people who are really busy, and people with kids who are working 12-hour shifts through the night,” says Wicks.
“What I realised is there are usually two groups; one of them is not exercising, and one of them is finding a little bit of time to do some form of exercise, whether it’s 10 minutes walking to work, something on their lunch break or a 20-minute YouTube workout when they get home.”
This latter group, he says, were healthier and more energised, with lower stress levels and better mental health. For this reason, he likes to highlight the importance of finding some time, however short, to move during the day.
“I want to make it really manageable and say, ‘Look, you might not have a full hour today, but do you have five, 10 or 15 minutes?’ It makes a difference,” he explains.
Walking and home workouts like his session below are Wicks’ premier prescriptions for beginners, with these accessible activities removing many of the usual barriers to entry for exercise such as time and money.
Read more: Forget the gym – build full-body strength anywhere with this trainer-approved kettlebell workout instead
Another top option is exercise snacking – the act of microdosing fitness throughout the day. It’s a wellness trend that’s both easy to access and adhere to, no matter your fitness level.
A four-week study by the University of Essex and University of Suffolk found that just 16 total minutes of bodyweight exercises such as squats and lunges, spread across an eight-hour work day, “can mitigate against the negative effects of prolonged sedentary time [or sitting at a desk all day]”. Subjects saw improved leg strength and balance from the minimalist exercise plan.
Meanwhile, research in the Exercise and Sport Sciences Reviews journal honed in specifically on the term “exercise snacks”.
It defined the phrase as “isolated bouts of brief (<60sec) vigorous exercise performed multiple times throughout the day”, and found that doing this three times per day (often via cycling or stair climbing) could be “efficacious for improving cardiorespiratory fitness and exercise performance in inactive adults”.
Read more: This is how much exercise you should be doing per day, according to experts
The foundational theory behind this is called the SAID principle, which stands for specific adaptations to imposed demands. This simply means the body will adapt over time to get better at handling the things we consistently ask it to do.
If we sit in a chair all day, it might tighten our hip flexors to save us some energy. However, this is likely to feel unpleasant when we go to lengthen them again while walking or exercising.
Conversely, if we’re regularly raising our heart rate, cardiorespiratory fitness improvements are likely to follow, while consistent and challenging resistance exercise will lead to improvements in strength and muscle, provided we’re fuelling and recovering appropriately.
For this reason, any long-term change in behaviour which sees you challenging yourself physically and doing more than you were before will probably result in positive adaptations to your body.
This is partly why those who have been exercising for a long time require more dramatic changes to see progress, while newcomers can make incredible headway from just a few small tweaks like those discussed above.
Read more: Helen Mirren opens up on ‘complications’ of ageing as she shares advice for younger people
The bottom line here is that, as far as exercise is concerned, a little goes a long way. This is especially true if you’re a beginner.
The title study shows how a few quick exercises can improve strength and mental health in sedentary adults, while the further research referenced above suggests these benefits also extend to cardiorespiratory fitness – the ability of the heart, lungs and blood vessels to supply oxygen to your working muscles during exercise.
If you want to put this information to good use by weaving some time-savvy exercise into your hectic schedule, my best advice would be to first pick one exercise you can do for each of strength coach Dan John’s basic human movements (push, pull, hinge, squat, carry). Then, perform each exercise for 8-12 repetitions, between one and three times throughout day. For example:
You might do this immediately after waking up, on your lunch break or whenever you boil a kettle while working from home – I realise this may draw a few funny looks in the office kitchenette.
When an exercise feels easy, find a harder variation or, in the case of the row and carry, incrementally increase the weight you’re lifting so it continues to provide a challenge. Et voila: an equipment-free beginner exercise plan for even the most time-poor of people.
Read more: The three short weekly workouts that can transform your fitness
Join thought-provoking conversations, follow other Independent readers and see their replies
Please refresh the page or navigate to another page on the site to be automatically logged inPlease refresh your browser to be logged in

source

Leave a Comment

Predicting Student Performance Using Machine Learning in fNIRS Data – Frontiers

Predicting Student Performance Using Machine Learning in fNIRS Data – Frontiers

TECHNOLOGY AND CODE article
Front. Hum. Neurosci., 05 February 2021
Sec. Cognitive Neuroscience
Volume 15 – 2021 | https://doi.org/10.3389/fnhum.2021.622224
This article is part of the Research TopicHow to Improve Neuroscience Education for the Public and for a Multi-Professional Audience in Different Parts of the GlobeView all 15 articles
Increasing student involvement in classes has always been a challenge for teachers and school managers. In online learning, some interactivity mechanisms like quizzes are increasingly used to engage students during classes and tasks. However, there is a high demand for tools that evaluate the efficiency of these mechanisms. In order to distinguish between high and low levels of engagement in tasks, it is possible to monitor brain activity through functional near-infrared spectroscopy (fNIRS). The main advantages of this technique are portability, low cost, and a comfortable way for students to concentrate and perform their tasks. This setup provides more natural conditions for the experiments if compared to the other acquisition tools. In this study, we investigated levels of task involvement through the identification of correct and wrong answers of typical quizzes used in virtual environments. We collected data from the prefrontal cortex region (PFC) of 18 students while watching a video lecture. This data was modeled with supervised learning algorithms. We used random forests and penalized logistic regression to classify correct answers as a function of oxyhemoglobin and deoxyhemoglobin concentration. These models identify which regions best predict student performance. The random forest and penalized logistic regression (GLMNET with LASSO) obtained, respectively, 0.67 and 0.65 area of the ROC curve. Both models indicate that channels F4-F6 and AF3-AFz are the most relevant for the prediction. The statistical significance of these models was confirmed through cross-validation (leave-one-subject-out) and a permutation test. This methodology can be useful to better understand the teaching and learning processes in a video lecture and also provide improvements in the methodologies used in order to better adapt the presentation content.
The interactivity in a virtual teaching environment can increase student engagement and, therefore, reinforces learned concepts and provide on-demand learning capacity (Jonassen et al., 1995). Empirical assessments have emerged in recent research, such as studies by Wachtler et al. (2018), which show that video lectures with quizzes can be used to increase knowledge, intensify engagement, and raise attention.
Although it is possible to measure student performance through the results of quizzes in class, a relevant factor to be studied is the involvement of students in the execution of tasks through the mapping of brain states during the task. Usually, cognitive neuroscience experiments study psychological processes through controlled manipulations, reducing the behavior of one of its components. However, this framework is not suitable when one wishes to generalize the characteristics of new situations from full descriptions of the behavior (Varoquaux and Poldrack, 2018). For instance, Barreto et al. (2020)and Noah et al. (2015) indicate the importance that studies involving music an dance be carried out under natural conditions. Similarly, Lamb et al. (2018) performs experiments under naturalistic conditions for the evaluation of science education.
We address this issue by performing an experiment in a more realistic setting. Specifically, we collected brain data with a fNIRS (functional near-infrared spectroscopy) device from students while they were watching a video lecture and answering questions. The fNIRS device was chosen due to its acquisition systems that collect data of hemodynamic states in several brain regions in a naturalistic, comfortable, and safe manner for participants (Noah et al., 2015). Safe levels of light (with wavelengths between 650 and 1,000 nm) were used to infer the variation in the level of oxygenation of brain tissue in a non-invasive way, which penetrates the biological tissue and reaches the cortex, allowing the analysis of oxygenation. hemoglobin (HbO2), deoxyhemoglobin (HHb) and total hemoglobin (tHb; tHb = (HbO2) + HHb) from cerebral blood (Delpy and Cope, 1997). The fNIRS technical limitations include superficial depth cortical evaluation (Ferrari et al., 2004). Specifically, we collected fNIRS data from the Prefrontal cortex (PFC).
The PFC has a central role in cognitive control. It has interconnections with brain areas that process external information (with all the sensory systems and structures of the cortical and subcortical motor system) and with internal information (limbic and midbrain structures involved in affection, memory, and reward). It has access and the means to influence processing in all major forebrain systems and can provide a means of synthesizing the various sources of information related to a given objective (Miller et al., 2002). McGuire and Botvinick (2010) shows there are indications that prefrontal cortex neurons appear to have a crucial ability for cognitive control, transmitting knowledge about a specific goal-directed task. Furthermore, Lamb et al. (2018) shows that fNIRS imaging of the prefrontal cortex can be useful to educators, since this region is responsible for problem solving, memory, and social behavior. However, this study also shows that tasks involving large amounts of unstructured processing, such as video lectures, can be challenging, since they generate less dynamic response within the prefrontal cortex than structured tasks.
In this paper, the fNIRS data from the PFC was used to create predictors for a student's answers. These predictors were obtained by applying machine learning algorithms to the data. In particular, we used random forests and penalized logistic regression algorithms. These algorithms allow one to understand the structure of existing data and generate prediction rules for new observations.
A total of 21 participants were recruited for participation but 3 of them were excluded (one for low signal quality and two for not meeting the health requirements). All 18 participants (10 female, 8 male) were right-handed, had normal vision and hearing, and mean age 25.6 ± 4.6 (range 18–40 years). No subject had an history of neurological or psychiatric disorders. Participants were recruited among undergraduate and graduate students in fields of Science. All participants alleged to have little or no prior knowledge in Astronomy. Signed consent was obtained from all members prior to participation. The Federal University of ABC – Ethics Committee approved the experiment. The experiment was performed in accordance with all local relevant guidelines and regulations. All subjects participated voluntarily and without any financial compensation, as required by federal laws.
The experiment's tasks consisted of watching the first class in an Astronomy course while answering several multiple choice questions. The class was entitled “Astronomy: A general introduction”, and was chosen from a publicly available e-learning course from the Virtual University of São Paulo State (UNIVESP). The video's content usually does not belong to the basic education curriculum and requires reasoning and attention for understanding calculations and order of events. It was chosen since it brings new content to most students and does not require a large amount of previous knowledge.
Before running the main experiment, we tested the hypothesis that answering correctly depended on watching the video. This hypothesis was tested by applying the a quiz with multiple choice questions to a control group with 116 participants who did not watch the video lecture. The probability of a correct answer without watching the video was found based on a binomial test. The test did not reject the hypothesis that, without answering the video, participants answer correctly no better than by chance.
The main experiment was performed using Edpuzzle (http://edpuzzle.com/), an American platform for online learning. This platform was validated by Abou Afach et al. (2018) and is used by colleges, open courses, and universities. It was also validated in Brazil by researchers in education, which signaled it could be used successfully by local students (Lombardi and Gitahy, 2017).
We collected data of functional near-infrared spectroscopy (fNIRS) placed over the PFC (responsible for planning complex cognitive behavior, decision making, and moderating social behavior) of 18 undergraduate and graduate students using NIRSport equipment (company NIRx Medical Technologies). In the experiment, subjects were seated in a comfortable chair in a quiet and ventilated room.
The subjects were asked to relax and to remain still during the experiment. They watched a free recorded lecture (27 min) with 10 multiple-choice exercises (Figure 1). As in real classroom situations, there was no indication of the times that they would be asked future questions.
Figure 1. The questions are based on content exposed at earlier times throughout the video (indicated in blue). The red dots show the exact timing of the questions.
The position of the optodes follows the universal configuration of the 10-10 electroencephalogram (EEG) system (Koessler et al., 2009). The 8 emitters and 7 detectors are positioned in the form: Sources in F3, AF7, AF3, Fz, Fpz, AF4, AF8, F4 and the Detectors in F5, F1, Fp1, AFz, F2, Fp2, F6 under an approximate distance of 3 cm between the optodes and resulting in the collection of oxyhemoglobin and deoxyhemoglobin from 20 channels, as Figure 2.
Figure 2. Montage layout: The position of the optodes follows the universal configuration of the 10-10.
The recording of the PFC region was conducted on a multi-channel continuous wave system using NIRSport equipment (company NIRx Medical Technologies). This system consists of 8 illumination sources and 8 detection sensors with two wavelengths of 760–850 nm. The sampling rate of NIRSport is 62.5 Hz, as the device implements time multiplexing, which means that only one LED is turned on at each time, the sampling rate for each data channel is 7.81 Hz. The data were recorded by a computer during the measurements using NIRStar software (NIRx Medizintechnik GmbH, Berlin, Germany)
Raw data from the NIRStar were processed using the NIRSLab-2014 (NIRx Medizintechnik GmbH,Berlin, Germany) via the Matlab 2007b (Mathworks, Natick, MA, USA) (Xu et al., 2014) software using a 0.01–0.2 Hz bandpass filter to reduce physiological signal artifacts at the cutoff frequencies of the global deviations (< 0.01 Hz), systemic interferences such as respiration rate (> 0.2Hz) and cardiac cycles (> 0.5Hz). We used the modified Beer-Lambert law (Mesquita and Covolan, 2008), to find the variations in oxygenated hemoglobin (HbO2) and deoxygenated hemoglobin (HHb) cited by Delpy and Cope (1997). We removed some motion artifacts manually (spikes) where HbO2 and HHb increased or decreased in unison based on visual inspection of the record (Lloyd-Fox et al., 2010). Afterward, we used the mean of the entire timeline as a baseline and differential path length factor (DPF) of 7.25 for the 760 nm and 6 wave, 38 for 850 nm lengths.
After computing the states of oxyhemoglobin (HbO2) and deoxyhemoglobin (HHb), the signal was averaged and grouped according to 10 exercises and 18 students, totaling 180 observations over 20 channels. The signal's standard deviation was also computed in each of these groups. However, since this feature did not improve the statistical analysis, it was not used in the final model.
All learning algorithms were implemented in the R language (4.0.3 version). The “magrittr” and “tidyverse” packages were used in building the final database. The packages “randomForest” and “GLMNET” were used for fitting the Random Forest and Penalized Logistic Regression classifiers. Also, the “ROCR” package was used for performance analysis.
Logistic regression performs binary classification (dichotomous output labels), returning the probability that the object belongs to each class. In this way, the cost function can be the difference between the predicted probability and label 0 or 1. This cost can be estimated by calculating the average loss over all objects in a test set, similarly as done in linear regression.
Simple logistic regression can cause overfitting when dealing with many covariates. To mitigate this problem, we applied LASSO (least absolute shrinkage and selection operator) to our data. This is a regularization method that penalizes large parameter values and usually yields solutions in which the estimates of several of the parameters are zero (sparse solutions). This method is done by maximizing the log-likelihood added by a penalty factor. More details about LASSO can be found in section A.1 of the Appendix.
Both our algorithms (Random Forest and GLMNET with LASSO) involved training 180-response BD (10 video ranges for each of the 18 subjects). Each of these has 40 covariates for prediction [mean (HbO2) and mean (HHb) for each of the 20 channels obtained in each video snippet].
Using a small database to learn the parameters of a prediction function and testing it on the same data can find a perfect score but would fail to predict yet-unseen data. This situation is called overfitting and can be overcome by cross-validation.
The performance of Random Forest and LASSO logistic regression was evaluated using different types of cross-validation. The Random Forest was evaluated using simple leave-one-subject-out cross-validation. Also, we assessed the performance of LASSO logistic regression using double cross-validation (leave-one-subject-out) as illustrated in Figure 3. The double cross-validation process implemented comprises two nested cross-validation loops which are referred to as internal and external cross-validation loops. In the outer (external) loop of double cross-validation, each interaction excludes one subject and all remaining data subjects are divided into two subsets referred to as training and test sets. The training set used in the inner (internal) loop of double cross-validation for model building and model selection, while the test set was exclusively used for model assessment.
Figure 3. Double cross-validation implemented: In the outer (external) loop of double cross-validation, each interaction excludes one subject and all remaining data subjects are divided into two subsets referred to as training and test sets. The training set used in the inner (internal) loop, while the test set was exclusively used for model assessment.
The Random Forest and the GLMNET obtained satisfactory results with, respectively, areas of 0.67 and 0.65 under the ROC curve in Figure 4. Also, We represented through the confusion matrix of both algorithms (Tables 1, 2) the instances of the predicted classes: Each row represents the instances of the predicted model while the column represents the real results of the students' performance. Both models obtained a good fit on identifying actual right answers (correct/correct) and wrong answers (incorrect/incorrect). The GLMNET LASSO had an accuracy of 0.63 ± 0.036, a sensitivity of 0.62 ± 0.067, a specificity of 0.64 ± 0.042, and a Cohen's kappa coefficient of 0.22 (fair on the Kappa scale). The random forest had a slightly better result, with an accuracy of 0.66 ± 0.035, a sensitivity of 0.63 ± 0.066, a specificity of 0.66 ± 0.042, and a Cohen's kappa coefficient of 0.26 (fair on the Kappa scale).
Figure 4. The ROC curve is created by plotting the true positive rate (sensitivity) against the false positive rate (specificity) at various threshold settings.
Table 1. Confusion matrix—random forest.
Table 2. Confusion matrix—GLMNET.
We also showed that the models are in fact better than chance through a permutation test, which evaluates whether the model is uninformative. This test can be easily applied to a wide range of statistical learning methods, including some in which a measure of variability is difficult to obtain and is not automatically produced by the statistical software (Friedman et al., 2001).
We repeated the same procedure of adjusting the models with the shuffled response variables and calculated the AUC (area under the ROC curve) for each one of the 1, 000 iterations.The total number of cases that resulted in a better model than the original was 3 cases for the Random Forest, thus obtaining a p-value of 0.003 (thus rejecting the null hypothesis) and the total number of cases that resulted in a better model than the original was 1 in GLMNET, thus obtaining a p-value of 0.001 (also rejecting the null hypothesis).
The output of the models identified which channels resulted in better predictors for the exercises.
For the GLMNET model, we calculated the frequency of the selected channels in each iteration of the outer loop of the cross-validation, as displayed in Figure 5. We verified that the covariates (HHb) in channel 18 (referring to regions F4-F6 in the 10-10 system) and the (HbO2) in channel 3 (F5-AF7) had greater weight in the prediction, being used in, respectively, 100 and 59% of the subjects.
Figure 5. In this map, the red dots represent the sources and the yellow dots the detectors. We identified the most important channels from the total iterations in training the model. The frequency of the main covariables identified were: deoxyhemoglobin (blue circles) in channel 18 (highly relevant in all subjects) and oxyhemoglobin (green circles) in channel 3 (present in 60% of the subjects).
The relevant channels according to this model are the areas of channel 4 (AF7- F5), and channel 18, regions F4-F6, both corresponding to middle frontal cortex (Koessler et al., 2009; Balconi and Fronda, 2020). The region belongs to the dorsolateral prefrontal cortex (Bandeira et al., 2019) which is associated with the cognitive process, working memory, cognitive flexibility, planning, inhibition, and abstract reasoning (Zgaljardic et al., 2010).
As for the most important channels for each of the models, it is worth mentioning that the penalty of the channels in the GLMNET with LASSO does not imply that they are not explanatory for the response variable, but rather, there may be a correlation with another channel that is explanatory and therefore suffered a penalty.
The Random Forest Model indicated high predictive power from the covariates (HHb) in channel 18 (Figure 6). Besides this channel, the following were the most relevant: 7 (AF3-AFz), 20 (AF8-F6), 1 (F3 and F5), and 16 (AF4 and Fp2). In addition to working memory, they also show semantic aspects of language.
Figure 6. Random forest outputs: level of importance of each covariate with a detailed zoom at the top-5 ones.
In addition to identifying which channels are more explanatory for identifying the errors in the questions per individual, it was also possible to evaluate the levels of student involvement in interactive classes. We analyzed which types of questions are more difficult to answer by comparing the error rate with moments when the students declared to have lost concentration.
We compared the results of the random forest prediction with what the volunteers believed they had got right and mentioned at the end of the experiment. The Figure 7 shows how the model differentiates hits and errors using only signals of oxyhemoglobin and deoxyhemoglobin in each question.
Figure 7. Boxplots show differences between the groups: 1, certainly right exercise; 0.5, not sure/next idea; 0, probably wrong/random guess.
The Random Forest model indicates a slightly higher probability of correct answers among the cases in which the subjects believe they have hit the exercise. Also, it indicates a low probability of correct answers for the cases in which the subjects declared to have felt indecisive or believed to have mistaken the question (in this case, with low differentiation between them).
For the training of the models, it was necessary to identify the hemodynamic signs linked to the questions. We conducted tests to assure that the questions alone were not enough to predict student successes and errors (which would show an error in the design of the experiment).
The analyzed regions of the experiment are only suitable for exercises with the fixation of theoretical content. Mathematical reasoning, calculation, and perception have not been validated.
In this research, we fit a predictive model for a students' correctness of answers in an interactive class based on PFC activity. These models allowed the identification of which regions are most relevant and influence results the most.
Both models (Figure 8) indicated that the information from channels F4-F6 (based on the EEG 10-10 system) had the greatest impact on the predictive model (Figure 4), suggesting a significant contribution to language understanding and semantic decision tasks.
Figure 8. In these maps, the red dots represent the sources and the yellow dots the detectors. Panel (A) refers to the GLMNET Model output and strongly indicates channel 18 HHb (F4-F6) and channel 4 O2Hb (AF7-FP1). Panel (B) refers to the Random Forest Model output and indicates greater relevance for channel 18 HHb (F4-F6) and channel 7 HHb (AF3- AFz). The channel 18 region is the dorsolateral prefrontal region, associated with attention and working memory.
Our models are consistent with other articles in the literature. For instance, (Liu and Ayaz, 2018) shows that perceived speech can be identified from the listeners' brain signals measured with fNIRS and (Herff et al., 2014) shows that measuring hemodynamic responses in the PFC with fNIRS, they showed the degree of workload a subject was experiencing, instead of only identify if there was an engagement during the tasks. Furthermore, MacDonald et al. (2000) and Dosenbach et al. (2006) use fNIRS data to show that brain activity can distinguish between high and low levels of task engagement. Specifically, they detected differences in the brain activity in the dorsolateral prefrontal cortex (dorsolateral prefrontal cortex—DLPFC) while participants alternated between performing and not performing a cognitive task.
With error rates in the models below 30%, our work can be suggested to assess levels of student involvement in tasks to validate new teaching content through videos, allowing us to evaluate whether students can assimilate content from fNIRS signals.
Despite the results obtained, the study has some limitations. For instance, the model considers the NIRS signal related to a single video lesson. Further studies are needed to have more information about students' behavior and performance during the task. Also, in the collection of fNIRS data in this experiment, we did not use short distance detectors, which could assist in the exclusion of extracerebral signals around the sources (Tachtsidis and Scholkmann, 2016).
An unexpected result was the high importance of HHb in both predictive models. Usually fNIRS studies indicate a high influence of HHbO2 on results, with higher signal-to-noise ratio SNR than HHb. Fishburn et al. (2014) shows the fNIRS sensitivity to detect linear changes in activation and functional connectivity in response to cognitive load, using HHbO2 and HHb had low correspondence. Also, Fishburn et al. (2014), Leon-Dominguez et al. (2014), and Barreto et al. (2020) show significant results for HHb. The sensitivity and SNR are core parameters during the fNIRS measurement and from the results obtained, further investigation is needed regarding the importance of HHb data in the models and new systematic analysis of SNR.
Since our primary goal was limited to investigating the PFC, we did not acquire signals from other brain regions. Although this assembly of optodes provides favorable conditions for more realistic situations, complementary studies with Functional Magnetic Resonance Imaging (fMRI) could perform to accurately identify other brain regions and also identify a precise location of Brodmann's areas involved during the task.
This study opens perspectives for a better understanding of the PFC during the execution of tasks and experiments in real situations. For further studies, we understand that it is important to continue assessing the level of sustained attention of students from hemodynamic states through models for classifying the involvement in the task rather than subtasking specific tasks.
The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.
The studies involving human participants were reviewed and approved by Federal University of ABC – Ethics Committee approved all this experiment. The experiment was performed in accordance with all local relevant guidelines and regulations. The patients/participants provided their written informed consent to participate in this study.
AO and JS: designed the study, collected, and analyzed the data and revised the manuscript. All authors have read and agreed to the published version of the manuscript.
The authors are thankful to São Paulo Research Foundation (FAPESP grants number 2018/04654-9; 2018/21934-5; 2019/17907-5).
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
The authors are grateful to NIRx for technological support and Virtual University of São Paulo State (UNIVESP), specially Dr. João Evangelista Steiner for the didactic content and the support offered.
Abou Afach, S., Kiwan, E., and Semaan, C. (2018). How to enhance awareness on bullying for special needs students using “edpuzzle” a web 2.0 tool. Online Submission 3, 1–7. doi: 10.24331/ijere.372260
CrossRef Full Text | Google Scholar
Balconi, M., and Fronda, G. (2020). Morality and management: an oxymoron? fNIRS and neuromanagement perspective explain us why things are not like this. Cogn. Affect. Behav. Neurosci. 20, 1–13. doi: 10.3758/s13415-020-00841-1
PubMed Abstract | CrossRef Full Text | Google Scholar
Bandeira, J. S., Antunes, L. C., Soldatelli, M. D., Sato, J. R., Fregni, F., and Caumo, W. (2019). Functional spectroscopy mapping of pain processing cortical areas during non-painful peripheral electrical stimulation of the accessory spinal nerve. Front. Hum. Neurosci. 13:200. doi: 10.3389/fnhum.2019.00200
PubMed Abstract | CrossRef Full Text | Google Scholar
Barreto, C. D. S. F., Morais, G. A. Z., Vanzella, P., and Sato, J. R. (2020). Combining the intersubject correlation analysis and the multivariate distance matrix regression to evaluate associations between fNIRS signals and behavioral data from ecological experiments. Exp. Brain Res. 238, 2399–2408. doi: 10.1007/s00221-020-05895-8
PubMed Abstract | CrossRef Full Text | Google Scholar
Delpy, D., and Cope, M. (1997). Quantification in tissue near-infrared spectroscopy. Philos. Trans. R. Soc. Lond. B Biol. Sci. 352, 649–659. doi: 10.1098/rstb.1997.0046
CrossRef Full Text | Google Scholar
Dosenbach, N. U., Visscher, K. M., Palmer, E. D., Miezin, F. M., Wenger, K. K., Kang, H. C., et al. (2006). A core system for the implementation of task sets. Neuron 50, 799–812. doi: 10.1016/j.neuron.2006.04.031
PubMed Abstract | CrossRef Full Text | Google Scholar
Ferrari, M., Mottola, L., and Quaresima, V. (2004). Principles, techniques, and limitations of near infrared spectroscopy. Can. J. Appl. Physiol. 29, 463–487. doi: 10.1139/h04-031
PubMed Abstract | CrossRef Full Text | Google Scholar
Fishburn, F. A., Norr, M. E., Medvedev, A. V., and Vaidya, C. J. (2014). Sensitivity of fNIRS to cognitive state and load. Front. Hum. Neurosci. 8:76. doi: 10.3389/fnhum.2014.00076
PubMed Abstract | CrossRef Full Text | Google Scholar
Friedman, J., Hastie, T., and Tibshirani, R. (2001). The Elements of Statistical Learning, Vol. 1. New York, NY: Springer. doi: 10.1007/978-0-387-21606-5_1
CrossRef Full Text | Google Scholar
Herff, C., Heger, D., Fortmann, O., Hennrich, J., Putze, F., and Schultz, T. (2014). Mental workload during n-back task-quantified in the prefrontal cortex using fNIRS. Front. Hum. Neurosci. 7:935. doi: 10.3389/fnhum.2013.00935
PubMed Abstract | CrossRef Full Text | Google Scholar
Jonassen, D., Davidson, M., Collins, M., Campbell, J., and Haag, B. B. (1995). Constructivism and computer-mediated communication in distance education. Am. J. Distance Educ. 9, 7–26. doi: 10.1080/08923649509526885
CrossRef Full Text | Google Scholar
Koessler, L., Maillard, L., Benhadid, A., Vignal, J. P., Felblinger, J., Vespignani, H., et al. (2009). Automated cortical projection of eeg sensors: anatomical correlation via the international 10-10 system. Neuroimage 46, 64–72. doi: 10.1016/j.neuroimage.2009.02.006
PubMed Abstract | CrossRef Full Text | Google Scholar
Lamb, R., Antonenko, P., Etopio, E., and Seccia, A. (2018). Comparison of virtual reality and hands on activities in science education via functional near infrared spectroscopy. Comput. Educ. 124, 14–26. doi: 10.1016/j.compedu.2018.05.014
CrossRef Full Text | Google Scholar
Leon-Dominguez, U., Izzetoglu, M., Leon-Carrion, J., Solis-Marcos, I., Garcia-Torrado, F. J., Forastero-Rodriguez, A., et al. (2014). Molecular concentration of deoxyhb in human prefrontal cortex predicts the emergence and suppression of consciousness. Neuroimage 85, 616–625. doi: 10.1016/j.neuroimage.2013.07.023
PubMed Abstract | CrossRef Full Text | Google Scholar
Liu, Y., and Ayaz, H. (2018). Speech recognition via fNIRS based brain signals. Front. Neurosci. 12:695. doi: 10.3389/fnins.2018.00695
PubMed Abstract | CrossRef Full Text | Google Scholar
Lloyd-Fox, S., Blasi, A., and Elwell, C. (2010). Illuminating the developing brain: the past, present and future of functional near infrared spectroscopy. Neurosci. Biobehav. Rev. 34, 269–284. doi: 10.1016/j.neubiorev.2009.07.008
PubMed Abstract | CrossRef Full Text | Google Scholar
Lombardi, E., and Gitahy, R. R. C. (2017). O uso das tecnologias móveis na educação: uma experiência com o ed puzzle. Capes/prosup Presidente Prudente-SP 14, 590–594. doi: 10.5747/ch.2017.v14.nesp.000997
CrossRef Full Text | Google Scholar
MacDonald, A. W., Cohen, J. D., Stenger, V. A., and Carter, C. S. (2000). Dissociating the role of the dorsolateral prefrontal and anterior cingulate cortex in cognitive control. Science 288, 1835–1838. doi: 10.1126/science.288.5472.1835
PubMed Abstract | CrossRef Full Text | Google Scholar
McGuire, J. T., and Botvinick, M. M. (2010). Prefrontal cortex, cognitive control, and the registration of decision costs. Proc. Natl. Acad. Sci. U.S.A. 107, 7922–7926. doi: 10.1073/pnas.0910662107
PubMed Abstract | CrossRef Full Text | Google Scholar
Mesquita, R. C., and Covolan, R. J. (2008). Estudo funcional do cérebro através de NIRS e tomografia Óptica de difusão. Neurociências e Epilepsia 1:147.
Google Scholar
Miller, E. K., Freedman, D. J., and Wallis, J. D. (2002). The prefrontal cortex: categories, concepts and cognition. Philos. Trans. R. Soc. B Biol. Sci. 357, 1123–1136. doi: 10.1098/rstb.2002.1099
PubMed Abstract | CrossRef Full Text | Google Scholar
Noah, J. A., Ono, Y., Nomoto, Y., Shimada, S., Tachibana, A., Zhang, X., et al. (2015). fMRI validation of fNIRS measurements during a naturalistic task. J. Visual. Exp. 100:e52116. doi: 10.3791/52116
PubMed Abstract | CrossRef Full Text | Google Scholar
Tachtsidis, I., and Scholkmann, F. (2016). False positives and false negatives in functional near-infrared spectroscopy: issues, challenges, and the way forward. Neurophotonics 3:031405. doi: 10.1117/1.NPh.3.3.031405
PubMed Abstract | CrossRef Full Text | Google Scholar
Varoquaux, G., and Poldrack, R. (2018). Predictive models can overcome reductionism in cognitive neuroimaging. Curr. Opin. Neurobiol. 55, 1–6. doi: 10.1016/j.conb.2018.11.002
CrossRef Full Text | Google Scholar
Wachtler, J., Scherz, M., and Ebner, M. (2018). “Increasing learning efficiency and quality of students' homework by attendance monitoring and polls at interactive learning videos,” in EdMedia+ Innovate Learning, eds T. Bastiaens, J. Van Braak, M. Brown, L. Cantoni, M. Castro, R. Christensen, G. V. Davidson-Shivers, K. DePryck, M. Ebner, M. Fominykh, C. Fulford, S. Hatzipanagos, G. Knezek, K. Kreijns, G. Marks, E. Sointu, E. K. Sorensen, J. Viteli, J. Voogt, P. Weber, E. Weippl, O. Zawacki-Richter (Amsterdam; Waynesville, NC: Association for the Advancement of Computing in Education), 1357–1367.
Google Scholar
Xu, Y., Graber, H. L., and Barbour, R. L. (2014). “nirsLAB: a computing environment for fNIRS neuroimaging data analysis,” in Biomedical Optics 2014 OSA Technical Digest [online] (Miami, FL: Optical Society of America). doi: 10.1364/BIOMED.2014.BM3A.1
CrossRef Full Text | Google Scholar
Zgaljardic, D., Mattis, P., and Charness, A. (2010). “Executive dysfunction,” in Encyclopedia of Movement Disorders, eds K. Kompoliti and L. V. Metman (Oxford: Academic Press), 458–462. doi: 10.1016/B978-0-12-374105-9.00176-3
CrossRef Full Text
Logistic regression is a supervised learning method that is used for binary response variables. Let Yi ∈ {0, 1} be a response variable and 𝕏i be a vector of covariates. In logistic regression, the logit of ℙ(Yi = 1|𝕏i) follows a linear equation, that is,
Using Equation (1), it is possible to compute the log-likelihood of coefficients, l(β), for the observed sample.
The value of l(β0) is a measure of how likely it is that β = β0. Based on this interpretation, a common choice of estimator for β is the one which maximizes l(β0), the maximum likelihood estimator. However, this estimator can lead to overfitting when the sample size is small relatively to the number of covariates. In this case, it is common to use regularized maximum likelihood estimators.
LASSO is one alternative for performing regularized logistic regression. In this framework, one estimates β by maximizing
Equation 3 leads to a trade-off between how likely is β and how small are its values. This trade-off often avoids overfitting and leads to better estimators. Furthermore, in LASSO one uses a l1 penalty, i=1d|βi|. This penalty often leads to estimates for β that have many zeroes. That is, LASSO estimation often automatically performs feature selection.
Keywords: neuroscience, fNIRS, education, prefrontal cortex, machine learning, logistic regression, random forest
Citation: Oku AYA and Sato JR (2021) Predicting Student Performance Using Machine Learning in fNIRS Data. Front. Hum. Neurosci. 15:622224. doi: 10.3389/fnhum.2021.622224
Received: 28 October 2020; Accepted: 08 January 2021;
Published: 05 February 2021.
Edited by:
Reviewed by:
Copyright © 2021 Oku and Sato. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Amanda Yumi Ambriola Oku, YW1hbmRhLnl1bWlAdWZhYmMuZWR1LmJy
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Share on
Share on
Research integrity at Frontiers
Learn more about the work of our research integrity team to safeguard the quality of each article we publish.
Supplementary Material

source

Leave a Comment