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The benefits and learner effects need to be investigated in a larger study with a longer follow-up.
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Lastly, the manufacturers of the cognitive function tests cite research to support that the learner effect is attenuated after three practice trials.
Although it is still possible that a learner effect influenced the study results, each participant did undergo three practice trials before starting the study, and the ANOVA analyses across sampling times within each study day did not suggest a learner effect for same days responses.
Sex, age, weight, BCS, temperament, and time point of the study (in an attempt at controlling a learner's effect due to the orthopedic examination performed in a sequence and therefore to check for the effect of early or late time points in the study) were added to the regression models as potential confounders.
On the other hand, the reconstructing of the learner maps effected to the other links and the learners still have the confusion about the "does not pass through" link and the "passes through" link.
This is partly due to preferences of many young learners, the effects of ACGME duty hour work restrictions, and improvements in educational technologies and learning platforms that provide more reliable and robust options.
During the thematic analysis, the researcher was able to look for patterns and themes regarding learners' perceived effect of instructional strategies adopted as well as the course design features.
It is useful for teachers who provide RPSs to learners with their educational effects and/or learners who want to study by themselves to get rid of their own weakness.
To support them, an intelligent tutoring system is expected to generate RPSs for teachers' and learners' targeting educational effects and support exercises for learners using these RPSs.
We think the important indexes of the performance of RPS generation for teachers and/or learners as being "problems in the generated RPS appropriate for the teachers' or learners' targeting educational effects or not" and "text explaining the generated problems are possible for use by learners".
It is useful for teachers and/or learners that an intelligent tutoring system generates RPSs based on teachers' and/or learners' targeted educational effects and supports exercises with generated RPSs.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com