We examine possible funding sources for constructing Climate Change Haven Communities on a global basis. Areas of the planet that have the potential to house persons migrating to “safe havens” in their own or other ...We examine possible funding sources for constructing Climate Change Haven Communities on a global basis. Areas of the planet that have the potential to house persons migrating to “safe havens” in their own or other countries will require the rapid construction of communities capable of supporting them, their families, businesses and farms. However, different political-economic conditions are found across the areas which can serve as locations for these Climate Change Haven Communities. We develop funding and construction strategies for the United States (free-market capitalism), France and Spain (European Union supported economies), and Taiwan region (state-directed economy). The proposals for the Taiwan region should also be applicable to the rest of China.展开更多
The teaching of earth science in Chinese senior high school geography has faced significant challenges,particularly in the compulsory module“The History of the Earth.”Despite being part of the 2019 curriculum reform...The teaching of earth science in Chinese senior high school geography has faced significant challenges,particularly in the compulsory module“The History of the Earth.”Despite being part of the 2019 curriculum reform,current teaching practices often fail to emphasize the geographical nature of the subject,instead treating it as a mix of geology,biology,and historical facts.This paper addresses this challenge by proposing a framework that maintains a geographical focus while teaching earth science concepts.The framework consists of three integrated approaches.First,it introduces a structured method for teaching geological time through an“Eon→Era→Period→Year”progression,helping students build a comprehensive understanding of temporal scales from a geographical perspective.Second,it demonstrates how to effectively use the“Trade Space for Time”method alongside stratigraphic analysis,enabling students to connect spatial and temporal aspects of geographical phenomena.Third,it develops geographical thinking by following the logical pathway of“Fossil→Biology→Environment,”ensuring that biological evidence is interpreted within a geographical context.For successful implementation,the paper recommends two key strategies:managing interdisciplinary content while maintaining geography’s core focus,and emphasizing geographical characteristics throughout specific teaching content.This approach ensures that“The History of the Earth”fulfills its role in developing students’geographical literacy while contributing to their broader understanding of earth science within China’s senior high school curriculum.展开更多
The research topic of the author’s PhD dissertation is“The Impact of Motivation Cultivation on English Autonomous Learning among University Students in Hunan,China—A Mediating Role of Learning Strategy.”Within thi...The research topic of the author’s PhD dissertation is“The Impact of Motivation Cultivation on English Autonomous Learning among University Students in Hunan,China—A Mediating Role of Learning Strategy.”Within this topic,three key variables are identified:the dependent variable(DV),the independent variable(IV),and the mediating variable(MV).Specifically,the DV refers to English autonomous learning,the IV refers to motivation,and the MV refers to learning strategy.The research establishes that the MV(learning strategy)is an integral component of information processing theory(IPT).Consequently,the dissertation incorporates integrative and instrumental motivation theories alongside IPT as its foundational theoretical framework.This paper aims to explore the theoretical framework of the PhD dissertation in detail,focusing on the interplay of these three theories.展开更多
Background: Riedel’s thyroiditis is a rare form of chronic inflammatory disease affecting the thyroid gland. It is characterised by the replacement of the thyroid parenchyma by fibrous tissue. It also affects the adj...Background: Riedel’s thyroiditis is a rare form of chronic inflammatory disease affecting the thyroid gland. It is characterised by the replacement of the thyroid parenchyma by fibrous tissue. It also affects the adjacent vital structures. Due to its characteristic presentations, Riedel’s thyroiditis may not be immediately diagnosed. Objectives: Through this clinical case, we aimed to describe the pathology and clinical characteristics of Riedel’s thyroiditis and the diagnostic, therapeutic, and progressive modalities. Methods: A 62-year-old woman with no particular pathological history is consulted at the outpatient clinic for anterior cervical swelling that has been present for more than 5 years and is associated with respiratory discomfort and dysphagia to solids. Clinical examination, ultrasound, lab tests and injected cervical computed tomography (CT) were performed. These tests were completed with pathological examination. Results: General conditions were normal. Anterior cervical swelling, marked on the right, of hard consistency, causing cervical shielding with healthy surrounding skin, was observed at the examination. A compressive goitre was first suspected. Thyroid tests showed hypothyroidism. The CT revealed a hypodense goitre with micro-calcifications developed at the expense of the right lobe and exerting a mass effect on the trachea and oesophagus. Aspiration thyroid was not conclusive given the suspicion of the malignant nature of the goitre, and the decision to perform a right loboisthmectomy was taken. Pathological examination of the biopsy showed atrophy of the thyroid parenchyma with dense septal fibrosis punctuated by lymphocytes and extending throughout the tissue associated with inflammation—an appearance in favour of Riedel’s thyroiditis. The patient was treated with Levothyroxine and corticoids. Conclusions: This case points out the challenges in diagnosing Riedel’s Thyroiditis and the complexity of the pathology that requires a rigorous diagnostic approach and appropriate treatment for the best outcome.展开更多
This study aims to explore the characteristics of novice teachers’inappropriate behaviors in classroom teaching and their intervention strategies.With the continuous improvement of education quality,novice teachers f...This study aims to explore the characteristics of novice teachers’inappropriate behaviors in classroom teaching and their intervention strategies.With the continuous improvement of education quality,novice teachers face increasing challenges in teaching practice.Their inappropriate behaviors not only affect the classroom atmosphere but may also negatively impact students’learning outcomes.Therefore,researching the characteristics of novice teachers’inappropriate behaviors and their intervention strategies holds significant scientific and social value.This study employs a combination of quantitative and qualitative methods to analyze the behavioral patterns of novice teachers in classroom teaching and proposes corresponding intervention strategies.The results indicate that novice teachers’inappropriate behaviors mainly manifest as poor classroom management,monotonous teaching methods,and insufficient interaction with students.Based on these findings,the study proposes a series of effective intervention strategies,including enhancing teacher training,optimizing teaching design,and promoting positive interactions between teachers and students.The conclusions of the study not only provide practical guidance for educational practice but also point out directions for future research,emphasizing the crucial role of teacher professional development in improving teaching quality.展开更多
Think-aloud protocols have drawn much attention over the past two decades.Given the expanse of the relevant literature,we narrow our focus on core papers on the application of this research method to EFL education res...Think-aloud protocols have drawn much attention over the past two decades.Given the expanse of the relevant literature,we narrow our focus on core papers on the application of this research method to EFL education research in China in the past 25 years,aiming to summarize the achievements of its application to EFL education rescarch and discover the problems in the current rescarch.In this systematic review,a total of 53 articles are retrieved.Adopting the methodologial synthesis,we analyze the artidles from the perspectives of the research trend,research arcas,rescarch design,data collection,data analysis,and presentation of results.It is found that the overall number of studies using think-aloud in EFL education is insufficient.The research using think aloud in EFL writing accounts for the highest proportion,while few studies on EFL listening and speaking via this research method are conducted.Tertiary-level students are the most popular participants in the studies using think aloud protocols.In addition,the descriptions of the data collection and data analysis processes are insuficient.Based on these findings,implications for teachers,curriculum designers,and researchers in EFL education are further discussed.展开更多
This work explores the axiology of consciousness in Mocombe’s consciousness field in the material world.The paper critically assesses Mocombe’s consciousness field theory(CFT)within the larger body of contemporary o...This work explores the axiology of consciousness in Mocombe’s consciousness field in the material world.The paper critically assesses Mocombe’s consciousness field theory(CFT)within the larger body of contemporary ontological debates regarding the nature,origin,and constitution of consciousness in the universe.The work goes on to highlight the manifestation of Mocombe’s consciousness field in the material resource framework that is the earth,and the nature and origins of ethics and values.展开更多
A multi-dimensional mathematical theory applied to texts belonging to the classical Greek Literature spanning eight centuries reveals interesting connections between them. By studying words, sentences, and interpuncti...A multi-dimensional mathematical theory applied to texts belonging to the classical Greek Literature spanning eight centuries reveals interesting connections between them. By studying words, sentences, and interpunctions in texts, the theory defines deep-language variables and linguistic channels. These mathematical entities are due to writer’s unconscious design and can reveal connections between texts far beyond writer’s awareness. The analysis, based on 3,225,839 words contained in 118,952 sentences, shows that ancient Greek writers, and their readers, were not significantly different from modern writers/readers. Their sentences were processed by a short-term memory modelled with two independent processing units in series, just like modern readers do. In a society in which people were used to memorize information more often than modern people do, the ancient writers wrote almost exactly, mathematically speaking, as modern writers do and for readers of similar characteristics. Since meaning is not considered by the theory, any text of any alphabetical language can be studied exactly with the same mathematical/statistical tools and comparisons are possible, regardless of different languages and epochs of writing.展开更多
Background:Weight-related self-stigma(WRSS)is prevalent among individuals with different types of weight status and is associated with a range of negative health outcomes.Social support and coping models explain how i...Background:Weight-related self-stigma(WRSS)is prevalent among individuals with different types of weight status and is associated with a range of negative health outcomes.Social support and coping models explain how individuals may use different coping methods to deal with their mental health needs.Psychological distress(e.g.,depression and stress)could lead to overuse of social media and smartphones.When using social media or smartphones,individuals are likely to be exposed to negative comments regarding weight/shape/size posted on the social media.Consequently,individuals who experience problematic social media use(PSMU)or problematic smartphone use(PSPU)may develop WRSS.Therefore,the present study examined the roles of PSMU and PSPU as mediators in the relationship between psychological distress and WRSS.Methods:Using convenience sampling via an online survey,622 participants with a mean age of 23.70 years(SD=4.33)completed questions assessing sociodemographic variables,psychological distress,PSMU,PSPU,WRSS,and self-reported weight and height.Results:The hierarchical regression models showed that sex(β=0.08,p=0.01),BMI(β=0.39,p<0.001),depression(β=0.21,p=0.001),stress(β=0.18,p=0.01),PSMU(β=0.09,p=0.045),and PSPU(β=0.14,p=0.001)were significant factors for WRSS.Conclusion:The mediation models showed that both PSMU and PSPU were significant mediators in the relationships between depression and stress with WRSS.The present findings provide some evidence for understanding WRSS and has important implications for developing interventions to reduce its negative impact on individuals’health and well-being.展开更多
In this paper, we examine the fundamental transformation of Property & Casualty (P&C) insurance through the introduction of Artificial Intelligence. This examination marks the shift from the traditional actuar...In this paper, we examine the fundamental transformation of Property & Casualty (P&C) insurance through the introduction of Artificial Intelligence. This examination marks the shift from the traditional actuarial methods to a dynamically data-driven approach. Some key innovations include the buzz around Large Language Models (LLMs) for customer interaction, Internet of Things (IoT) enabled risk-monitoring in real time and Machine Learning allowing for automated claims processing. The research highlights the early adopters like AXA, Lemonade and Allianz who are actively leveraging AI to reduce claims processing times by 80% while reducing manual labour and increasing customer satisfaction. The most critical of this transformation is the emergence of roles that act like hybrid strategists. Such professionals combine traditional insurance expertise with acumen in technology. In our paper, we discuss the requirement of how AI demands more than just simple adoption. It needs a comprehensive restructuring of organizational culture, better data infrastructure and better ethical frameworks. Development in Explainable AI (XAI) is also noteworthy for maintaining transparency, handling complex risks and addressing regulatory requirements while alignment with customer trust concerns.展开更多
This mixed-methods study presents a needs analysis to investigate the workplace English language needs of medical students in China who are learning and using English as non-native speakers,the circumstances in which ...This mixed-methods study presents a needs analysis to investigate the workplace English language needs of medical students in China who are learning and using English as non-native speakers,the circumstances in which the various language skills are required,and stakeholders’perceived workplace preparedness in the light of language-related instructional provision during medical training.A leading university in China was chosen as the study case.Altogether,294 online questionnaires were collected from undergraduate medical students,graduate medical students and recent graduates working as physicians,and 33 semi-structured individual interviews were conducted with undergraduate medical students,graduate medical students,recent graduates working as physicians,medical teachers,English for Medical Purposes(EMP)teachers,program leaders and English-speaking patients.Results showed that in addition to physicians experiencing pressure to publish scientific articles internationally,participants attached greater importance to physicians’oral English communication ability,especially in undertaking clinical consultations in English,working with medical interpreters or acting as ad hoc interpreters.The participants also reported a lack of relevant EMP courses or trainings available at this university.Given these communicative events that physicians face in China,EMP courses need to include training in these specific areas.展开更多
Schistosomiasis is a neglected tropical disease (NTD) widespread in sub-Saharan Africa and mostly affects school going children. Côte d’Ivoire is one of the most vulnerable countries to schistosomiasis, and its ...Schistosomiasis is a neglected tropical disease (NTD) widespread in sub-Saharan Africa and mostly affects school going children. Côte d’Ivoire is one of the most vulnerable countries to schistosomiasis, and its prevalence varies by region. This cross-sectional survey was conducted in schools in the Upper Sassandra region to determine the knowledge, attitude, and practices of school children regarding schistosomiasis. In total, 354 students participated in the survey. Our results showed that, compared to the girls, the boys had a higher level of knowledge about schistosomiasis OR = 1.605 and p = 0.05. Regarding the signs, symptoms, and modes of transmission and prevention of schistosomiasis, the participants reported a low level of knowledge p > 0.05 and OR 1. In conclusion, it is important to target health messages in schools to reach the most vulnerable students effectively. This initiative aims to provide children with basic knowledge and skills in the transmission of schistosomiasis.展开更多
Learner autonomy stands on the top priorities of scholars due to its pivotal role in fostering student-centered learning methods. It empowers the learners to be in charge of their learning process and be the center of...Learner autonomy stands on the top priorities of scholars due to its pivotal role in fostering student-centered learning methods. It empowers the learners to be in charge of their learning process and be the center of attention in language learning education. For this purpose, different AI tools were used and implemented in pedagogy to narrow the divide in promoting learning/teaching approaches. This study aims to gauge the impact of using LLM-ChatGPT to teach EFL learners the present simple tense autonomously via providing automated feedback, and chances for regular drillings without over reliance on teacher. It also aims to investigate the EFL learners’ perception of using LLM-ChatGPT as a reinforcement approach to learner autonomy. A cohort comprising 50 EFL learners would participate in the study and a between subject design method using control and experimental groups would be implemented. The findings of the study indicated that learners who were taught present simple tense’s rule through using LLM-ChatGPT application, with less teacher’s dominance, scored grades similar to those who were taught the same tense’s rule by the teacher (sage on the stage approach). This substantiates the idea that LLM-Chat GPT acts a role akin to teachers in teaching grammatical rules. Moreover, the learners felt that LLM-ChatGPT application had a positive impact on fostering autonomous learning.展开更多
As world events have morphed teachers’roles within English medium of instruction(EMI)contexts to incorporate more online teaching practices,teachers’integration of digital tools has faced technological and curricula...As world events have morphed teachers’roles within English medium of instruction(EMI)contexts to incorporate more online teaching practices,teachers’integration of digital tools has faced technological and curricular challenges.While previous research has examined the integration of digital tools in face-to-face and hybrid EMI settings(e.g.,Finardi,2015;O’Dowd,2018),more research is needed to understand the familiarization process teachers engage in as they implement fully-online teaching to support their content and language integrated learning(CLIL)teaching.As part of a larger project,this case study sets out to fill this gap by examining the practices and perspectives of 30 Kazakhstani university teachers who adopted CLIL approaches while needing to adapt to fully-online teaching contexts.Using the concept of technological pedagogical content knowledge(Mishra&Koehler,2006)in tandem with Ball et al.’s(2016)seven CLIL principles as a framework,this study thematically analyzed workshop artifacts,survey responses,semi-structured interview transcripts,and videos from online class lessons to find that teachers were mediators and curators of content,language,pedagogy,and digital tools.The findings offer pedagogical insights for the implementation of professional development(PD)to prepare teachers to meaningfully curate and mediate technology into their CLIL pedagogy to teach content within EMI contexts.展开更多
The Brief Interactive Optimism Scale (BIOS-G), recently published, was developed to measure optimism based on the interactive personality styles theory in the general population of Mexican adults. It has been validate...The Brief Interactive Optimism Scale (BIOS-G), recently published, was developed to measure optimism based on the interactive personality styles theory in the general population of Mexican adults. It has been validated in both the general population in Mexico and other Latin American countries. This study aims to further consolidate the validity of the BIOS-G in a specific population. The objectives are to assess the psychometric properties of its items, validate its unidimensional structure, describe its distribution, verify its internal consistency, and examine its direct relationship with affective balance and positive affect, as well as its inverse relationship with emotional exhaustion and negative affect among Mexican university teachers. The BIOS-G, the CESQT emotional exhaustion subscale, and Scale of Positive and Negative Experience (SPANE) were administered to a non-probability sample of 213 Mexican university teachers. All items demonstrated discriminative power and internal consistency. The scale showed internal consistency (Green-Yang ordinal ω = 0.74 and McDonald ordinal ω = 0.88). The one-factor model presented good to acceptable fit to the data, with an average variance extracted of 0.65. Its distribution was negatively skewed and mesokurtic. The BIOS-G correlated directly with SPANE’s affective balance and positive emotional experiences and inversely with negative emotional experiences and emotional exhaustion, with moderate strengths of association. Its mean score was higher in men than in women and correlated positively with age. It is concluded that the BIOS-G demonstrates internal consistency and validity evidence among Mexican university teachers, and its use in this specific population is recommended.展开更多
This study examines the application of the Understanding by Design(UbD)approach to enhance students’cognitive,affective,and psychomotor learning domains,as well as their intercultural communication competence,in the ...This study examines the application of the Understanding by Design(UbD)approach to enhance students’cognitive,affective,and psychomotor learning domains,as well as their intercultural communication competence,in the Introduction to Chinese Culture course.UbD,a curriculum design framework emphasizing deep understanding over rote memorization,employs a“backward design”process to help students achieve a profound comprehension of Chinese culture and its modern implications.Through this approach,students also develop critical intercultural communication skills.The study offers helpful strategies for integrating English language teaching with Chinese cultural education,providing practical insights for curriculum development that bridges linguistic and cultural learning.展开更多
Curriculum ideological and political education is an important direction of higher education reform in the new era,aiming to realize the organic integration of professional knowledge imparting and ideological and poli...Curriculum ideological and political education is an important direction of higher education reform in the new era,aiming to realize the organic integration of professional knowledge imparting and ideological and political education.Taking preliminary landscape design course as an example,this paper expounded in detail the implementation of teaching reform from three aspects:the formulation of teaching objectives,the integration of teaching contents and the innovation of teaching methods.This paper systematically summarized the implementation effect of ideological and political education reform,and reflected on the excavation of ideological and political elements,integration degree,innovation of teaching methods,teachers’ideological and political ability and practical teaching.The exploration on curriculum ideological and political teaching provides useful reference and thinking for similar courses,and promotes the sustainable development of curriculum ideological and political education.展开更多
BACKGROUND Esophageal squamous papilloma(ESP)is a rare benign tumor of the esophagus,typically characterized by an exophytic and warty appearance,with a diameter of less than 5 mm.Endoscopic resection is considered th...BACKGROUND Esophageal squamous papilloma(ESP)is a rare benign tumor of the esophagus,typically characterized by an exophytic and warty appearance,with a diameter of less than 5 mm.Endoscopic resection is considered the most effective treatment for these tumors.CASE SUMMARY In this paper,we discussed the pathogenesis,clinical characteristics,and therapeutic options of ESP based on our experience with a case presenting a depressed appearance and treated with interferon-alpha 2a(IFNα2a)injection.CONCLUSION This paper reports the first successful clinical case of using the human IFNα2a for the treatment of ESP with a depressed endoscopic appearance.However,the efficacy of interferon treatment requires to validation in a large number of subsequent cases.展开更多
In the present day,digital methods aid in the investigation and reflection of language and literary studies.It continues to develop through the use of digital tools,providing fresh perspectives on text analysis,langua...In the present day,digital methods aid in the investigation and reflection of language and literary studies.It continues to develop through the use of digital tools,providing fresh perspectives on text analysis,language comprehension,and cultural significance of literary works.The growing field of digital humanities has completely changed how academics study and comprehend language and literature.The goal of digital humanism is to investigate how technology and humanistic research might be combined in the field of language and literary studies.It demonstrates how technology improves our understanding of stories,genre classification,authorship characteristics,and language evolution.Furthermore,using these digital tools goes beyond simple analysis,embracing fresh approaches to interpretation and providing new perspectives on the production,distribution,and reception of literary works and linguistic materials.It provides opportunities for interdisciplinary study by fusing computational techniques with humanities studies to investigate language and literature in fresh and perceptive ways.In the literary field,the digital humanities offer cutting-edge techniques and resources that enhance study,instruction,and interpretation.In addition to advancing conventional approaches,the function of digital humanities is to promote innovative approaches to engage with and understand cultural artifacts in a technologically mediated world.展开更多
Objective:To explore the effectiveness of multi-modal teaching based on an online case library in the education of gene methylation combined with spiral computed tomography(CT)screening for pulmonary ground-glass opac...Objective:To explore the effectiveness of multi-modal teaching based on an online case library in the education of gene methylation combined with spiral computed tomography(CT)screening for pulmonary ground-glass opacity(GGO)nodules.Methods:From October 2023 to April 2024,66 medical imaging students were selected and randomly divided into a control group and an observation group,each with 33 students.The control group received traditional lecture-based teaching,while the observation group was taught using a multi-modal teaching approach based on an online case library.Performance on assessments and teaching quality were analyzed between the two groups.Results:The observation group achieved higher scores in theoretical and practical knowledge compared to the control group(P<0.05).Additionally,the teaching quality scores were significantly higher in the observation group(P<0.05).Conclusion:Implementing multi-modal teaching based on an online case library for pulmonary GGO nodule screening with gene methylation combined with spiral CT can enhance students’knowledge acquisition,improve teaching quality,and have significant clinical application value.展开更多
文摘We examine possible funding sources for constructing Climate Change Haven Communities on a global basis. Areas of the planet that have the potential to house persons migrating to “safe havens” in their own or other countries will require the rapid construction of communities capable of supporting them, their families, businesses and farms. However, different political-economic conditions are found across the areas which can serve as locations for these Climate Change Haven Communities. We develop funding and construction strategies for the United States (free-market capitalism), France and Spain (European Union supported economies), and Taiwan region (state-directed economy). The proposals for the Taiwan region should also be applicable to the rest of China.
基金The 2024 National Education Examination Scientific Research Planning Project“Research on the Boundary of Higher Entrance Examination Questions under the Background of‘Double Reduction’”(GJK2024002)。
文摘The teaching of earth science in Chinese senior high school geography has faced significant challenges,particularly in the compulsory module“The History of the Earth.”Despite being part of the 2019 curriculum reform,current teaching practices often fail to emphasize the geographical nature of the subject,instead treating it as a mix of geology,biology,and historical facts.This paper addresses this challenge by proposing a framework that maintains a geographical focus while teaching earth science concepts.The framework consists of three integrated approaches.First,it introduces a structured method for teaching geological time through an“Eon→Era→Period→Year”progression,helping students build a comprehensive understanding of temporal scales from a geographical perspective.Second,it demonstrates how to effectively use the“Trade Space for Time”method alongside stratigraphic analysis,enabling students to connect spatial and temporal aspects of geographical phenomena.Third,it develops geographical thinking by following the logical pathway of“Fossil→Biology→Environment,”ensuring that biological evidence is interpreted within a geographical context.For successful implementation,the paper recommends two key strategies:managing interdisciplinary content while maintaining geography’s core focus,and emphasizing geographical characteristics throughout specific teaching content.This approach ensures that“The History of the Earth”fulfills its role in developing students’geographical literacy while contributing to their broader understanding of earth science within China’s senior high school curriculum.
基金Swan College of Central South University of Forestry and Technology Teaching Reform Research Project“The Impact of Teachers’Task-Based Teaching Method on English Interpreting Learning among University Students in Hunan,China”(SWXYJGPJ27)Swan College of Central South University of Forestry and Technology Scientific Research Project“The Impact of Integrative Motivation and Instrumental Motivation on English Autonomous Learning among University Students in Hunan,China--A Mediating Role of Learning Strategy”(SYXY202441)。
文摘The research topic of the author’s PhD dissertation is“The Impact of Motivation Cultivation on English Autonomous Learning among University Students in Hunan,China—A Mediating Role of Learning Strategy.”Within this topic,three key variables are identified:the dependent variable(DV),the independent variable(IV),and the mediating variable(MV).Specifically,the DV refers to English autonomous learning,the IV refers to motivation,and the MV refers to learning strategy.The research establishes that the MV(learning strategy)is an integral component of information processing theory(IPT).Consequently,the dissertation incorporates integrative and instrumental motivation theories alongside IPT as its foundational theoretical framework.This paper aims to explore the theoretical framework of the PhD dissertation in detail,focusing on the interplay of these three theories.
文摘Background: Riedel’s thyroiditis is a rare form of chronic inflammatory disease affecting the thyroid gland. It is characterised by the replacement of the thyroid parenchyma by fibrous tissue. It also affects the adjacent vital structures. Due to its characteristic presentations, Riedel’s thyroiditis may not be immediately diagnosed. Objectives: Through this clinical case, we aimed to describe the pathology and clinical characteristics of Riedel’s thyroiditis and the diagnostic, therapeutic, and progressive modalities. Methods: A 62-year-old woman with no particular pathological history is consulted at the outpatient clinic for anterior cervical swelling that has been present for more than 5 years and is associated with respiratory discomfort and dysphagia to solids. Clinical examination, ultrasound, lab tests and injected cervical computed tomography (CT) were performed. These tests were completed with pathological examination. Results: General conditions were normal. Anterior cervical swelling, marked on the right, of hard consistency, causing cervical shielding with healthy surrounding skin, was observed at the examination. A compressive goitre was first suspected. Thyroid tests showed hypothyroidism. The CT revealed a hypodense goitre with micro-calcifications developed at the expense of the right lobe and exerting a mass effect on the trachea and oesophagus. Aspiration thyroid was not conclusive given the suspicion of the malignant nature of the goitre, and the decision to perform a right loboisthmectomy was taken. Pathological examination of the biopsy showed atrophy of the thyroid parenchyma with dense septal fibrosis punctuated by lymphocytes and extending throughout the tissue associated with inflammation—an appearance in favour of Riedel’s thyroiditis. The patient was treated with Levothyroxine and corticoids. Conclusions: This case points out the challenges in diagnosing Riedel’s Thyroiditis and the complexity of the pathology that requires a rigorous diagnostic approach and appropriate treatment for the best outcome.
文摘This study aims to explore the characteristics of novice teachers’inappropriate behaviors in classroom teaching and their intervention strategies.With the continuous improvement of education quality,novice teachers face increasing challenges in teaching practice.Their inappropriate behaviors not only affect the classroom atmosphere but may also negatively impact students’learning outcomes.Therefore,researching the characteristics of novice teachers’inappropriate behaviors and their intervention strategies holds significant scientific and social value.This study employs a combination of quantitative and qualitative methods to analyze the behavioral patterns of novice teachers in classroom teaching and proposes corresponding intervention strategies.The results indicate that novice teachers’inappropriate behaviors mainly manifest as poor classroom management,monotonous teaching methods,and insufficient interaction with students.Based on these findings,the study proposes a series of effective intervention strategies,including enhancing teacher training,optimizing teaching design,and promoting positive interactions between teachers and students.The conclusions of the study not only provide practical guidance for educational practice but also point out directions for future research,emphasizing the crucial role of teacher professional development in improving teaching quality.
文摘Think-aloud protocols have drawn much attention over the past two decades.Given the expanse of the relevant literature,we narrow our focus on core papers on the application of this research method to EFL education research in China in the past 25 years,aiming to summarize the achievements of its application to EFL education rescarch and discover the problems in the current rescarch.In this systematic review,a total of 53 articles are retrieved.Adopting the methodologial synthesis,we analyze the artidles from the perspectives of the research trend,research arcas,rescarch design,data collection,data analysis,and presentation of results.It is found that the overall number of studies using think-aloud in EFL education is insufficient.The research using think aloud in EFL writing accounts for the highest proportion,while few studies on EFL listening and speaking via this research method are conducted.Tertiary-level students are the most popular participants in the studies using think aloud protocols.In addition,the descriptions of the data collection and data analysis processes are insuficient.Based on these findings,implications for teachers,curriculum designers,and researchers in EFL education are further discussed.
文摘This work explores the axiology of consciousness in Mocombe’s consciousness field in the material world.The paper critically assesses Mocombe’s consciousness field theory(CFT)within the larger body of contemporary ontological debates regarding the nature,origin,and constitution of consciousness in the universe.The work goes on to highlight the manifestation of Mocombe’s consciousness field in the material resource framework that is the earth,and the nature and origins of ethics and values.
文摘A multi-dimensional mathematical theory applied to texts belonging to the classical Greek Literature spanning eight centuries reveals interesting connections between them. By studying words, sentences, and interpunctions in texts, the theory defines deep-language variables and linguistic channels. These mathematical entities are due to writer’s unconscious design and can reveal connections between texts far beyond writer’s awareness. The analysis, based on 3,225,839 words contained in 118,952 sentences, shows that ancient Greek writers, and their readers, were not significantly different from modern writers/readers. Their sentences were processed by a short-term memory modelled with two independent processing units in series, just like modern readers do. In a society in which people were used to memorize information more often than modern people do, the ancient writers wrote almost exactly, mathematically speaking, as modern writers do and for readers of similar characteristics. Since meaning is not considered by the theory, any text of any alphabetical language can be studied exactly with the same mathematical/statistical tools and comparisons are possible, regardless of different languages and epochs of writing.
基金supported in part by(received funding from)the Ministry of Science and Technology,Taiwan(MOST 110-2410-H-006-115,MOST 111-2410-H-006-100)the National Science and Technology Council,Taiwan(NSTC 112-2410-H-006-089-SS2)+1 种基金the Higher Education Sprout Project,the Ministry of Education at the Headquarters of University Advancement at the National Cheng Kung University(NCKU)the 2021 Southeast and South Asia and Taiwan Universities Joint Research Scheme(NCKU 31).
文摘Background:Weight-related self-stigma(WRSS)is prevalent among individuals with different types of weight status and is associated with a range of negative health outcomes.Social support and coping models explain how individuals may use different coping methods to deal with their mental health needs.Psychological distress(e.g.,depression and stress)could lead to overuse of social media and smartphones.When using social media or smartphones,individuals are likely to be exposed to negative comments regarding weight/shape/size posted on the social media.Consequently,individuals who experience problematic social media use(PSMU)or problematic smartphone use(PSPU)may develop WRSS.Therefore,the present study examined the roles of PSMU and PSPU as mediators in the relationship between psychological distress and WRSS.Methods:Using convenience sampling via an online survey,622 participants with a mean age of 23.70 years(SD=4.33)completed questions assessing sociodemographic variables,psychological distress,PSMU,PSPU,WRSS,and self-reported weight and height.Results:The hierarchical regression models showed that sex(β=0.08,p=0.01),BMI(β=0.39,p<0.001),depression(β=0.21,p=0.001),stress(β=0.18,p=0.01),PSMU(β=0.09,p=0.045),and PSPU(β=0.14,p=0.001)were significant factors for WRSS.Conclusion:The mediation models showed that both PSMU and PSPU were significant mediators in the relationships between depression and stress with WRSS.The present findings provide some evidence for understanding WRSS and has important implications for developing interventions to reduce its negative impact on individuals’health and well-being.
文摘In this paper, we examine the fundamental transformation of Property & Casualty (P&C) insurance through the introduction of Artificial Intelligence. This examination marks the shift from the traditional actuarial methods to a dynamically data-driven approach. Some key innovations include the buzz around Large Language Models (LLMs) for customer interaction, Internet of Things (IoT) enabled risk-monitoring in real time and Machine Learning allowing for automated claims processing. The research highlights the early adopters like AXA, Lemonade and Allianz who are actively leveraging AI to reduce claims processing times by 80% while reducing manual labour and increasing customer satisfaction. The most critical of this transformation is the emergence of roles that act like hybrid strategists. Such professionals combine traditional insurance expertise with acumen in technology. In our paper, we discuss the requirement of how AI demands more than just simple adoption. It needs a comprehensive restructuring of organizational culture, better data infrastructure and better ethical frameworks. Development in Explainable AI (XAI) is also noteworthy for maintaining transparency, handling complex risks and addressing regulatory requirements while alignment with customer trust concerns.
文摘This mixed-methods study presents a needs analysis to investigate the workplace English language needs of medical students in China who are learning and using English as non-native speakers,the circumstances in which the various language skills are required,and stakeholders’perceived workplace preparedness in the light of language-related instructional provision during medical training.A leading university in China was chosen as the study case.Altogether,294 online questionnaires were collected from undergraduate medical students,graduate medical students and recent graduates working as physicians,and 33 semi-structured individual interviews were conducted with undergraduate medical students,graduate medical students,recent graduates working as physicians,medical teachers,English for Medical Purposes(EMP)teachers,program leaders and English-speaking patients.Results showed that in addition to physicians experiencing pressure to publish scientific articles internationally,participants attached greater importance to physicians’oral English communication ability,especially in undertaking clinical consultations in English,working with medical interpreters or acting as ad hoc interpreters.The participants also reported a lack of relevant EMP courses or trainings available at this university.Given these communicative events that physicians face in China,EMP courses need to include training in these specific areas.
文摘Schistosomiasis is a neglected tropical disease (NTD) widespread in sub-Saharan Africa and mostly affects school going children. Côte d’Ivoire is one of the most vulnerable countries to schistosomiasis, and its prevalence varies by region. This cross-sectional survey was conducted in schools in the Upper Sassandra region to determine the knowledge, attitude, and practices of school children regarding schistosomiasis. In total, 354 students participated in the survey. Our results showed that, compared to the girls, the boys had a higher level of knowledge about schistosomiasis OR = 1.605 and p = 0.05. Regarding the signs, symptoms, and modes of transmission and prevention of schistosomiasis, the participants reported a low level of knowledge p > 0.05 and OR 1. In conclusion, it is important to target health messages in schools to reach the most vulnerable students effectively. This initiative aims to provide children with basic knowledge and skills in the transmission of schistosomiasis.
文摘Learner autonomy stands on the top priorities of scholars due to its pivotal role in fostering student-centered learning methods. It empowers the learners to be in charge of their learning process and be the center of attention in language learning education. For this purpose, different AI tools were used and implemented in pedagogy to narrow the divide in promoting learning/teaching approaches. This study aims to gauge the impact of using LLM-ChatGPT to teach EFL learners the present simple tense autonomously via providing automated feedback, and chances for regular drillings without over reliance on teacher. It also aims to investigate the EFL learners’ perception of using LLM-ChatGPT as a reinforcement approach to learner autonomy. A cohort comprising 50 EFL learners would participate in the study and a between subject design method using control and experimental groups would be implemented. The findings of the study indicated that learners who were taught present simple tense’s rule through using LLM-ChatGPT application, with less teacher’s dominance, scored grades similar to those who were taught the same tense’s rule by the teacher (sage on the stage approach). This substantiates the idea that LLM-Chat GPT acts a role akin to teachers in teaching grammatical rules. Moreover, the learners felt that LLM-ChatGPT application had a positive impact on fostering autonomous learning.
基金funding from the U.S.-Kazakhstan University Partnerships program funded by the U.S.Mission to Kazakhstan and administered by American Councils[Award number SKZ100-19-CA-0149].
文摘As world events have morphed teachers’roles within English medium of instruction(EMI)contexts to incorporate more online teaching practices,teachers’integration of digital tools has faced technological and curricular challenges.While previous research has examined the integration of digital tools in face-to-face and hybrid EMI settings(e.g.,Finardi,2015;O’Dowd,2018),more research is needed to understand the familiarization process teachers engage in as they implement fully-online teaching to support their content and language integrated learning(CLIL)teaching.As part of a larger project,this case study sets out to fill this gap by examining the practices and perspectives of 30 Kazakhstani university teachers who adopted CLIL approaches while needing to adapt to fully-online teaching contexts.Using the concept of technological pedagogical content knowledge(Mishra&Koehler,2006)in tandem with Ball et al.’s(2016)seven CLIL principles as a framework,this study thematically analyzed workshop artifacts,survey responses,semi-structured interview transcripts,and videos from online class lessons to find that teachers were mediators and curators of content,language,pedagogy,and digital tools.The findings offer pedagogical insights for the implementation of professional development(PD)to prepare teachers to meaningfully curate and mediate technology into their CLIL pedagogy to teach content within EMI contexts.
文摘The Brief Interactive Optimism Scale (BIOS-G), recently published, was developed to measure optimism based on the interactive personality styles theory in the general population of Mexican adults. It has been validated in both the general population in Mexico and other Latin American countries. This study aims to further consolidate the validity of the BIOS-G in a specific population. The objectives are to assess the psychometric properties of its items, validate its unidimensional structure, describe its distribution, verify its internal consistency, and examine its direct relationship with affective balance and positive affect, as well as its inverse relationship with emotional exhaustion and negative affect among Mexican university teachers. The BIOS-G, the CESQT emotional exhaustion subscale, and Scale of Positive and Negative Experience (SPANE) were administered to a non-probability sample of 213 Mexican university teachers. All items demonstrated discriminative power and internal consistency. The scale showed internal consistency (Green-Yang ordinal ω = 0.74 and McDonald ordinal ω = 0.88). The one-factor model presented good to acceptable fit to the data, with an average variance extracted of 0.65. Its distribution was negatively skewed and mesokurtic. The BIOS-G correlated directly with SPANE’s affective balance and positive emotional experiences and inversely with negative emotional experiences and emotional exhaustion, with moderate strengths of association. Its mean score was higher in men than in women and correlated positively with age. It is concluded that the BIOS-G demonstrates internal consistency and validity evidence among Mexican university teachers, and its use in this specific population is recommended.
基金The 2022 Guangdong Provincial Higher Education Teaching Quality and Reform Project“Research and Practice of English Teaching Integrating Ideological and Political Education into the Introduction to Chinese Culture Course Based on UbD Theory”。
文摘This study examines the application of the Understanding by Design(UbD)approach to enhance students’cognitive,affective,and psychomotor learning domains,as well as their intercultural communication competence,in the Introduction to Chinese Culture course.UbD,a curriculum design framework emphasizing deep understanding over rote memorization,employs a“backward design”process to help students achieve a profound comprehension of Chinese culture and its modern implications.Through this approach,students also develop critical intercultural communication skills.The study offers helpful strategies for integrating English language teaching with Chinese cultural education,providing practical insights for curriculum development that bridges linguistic and cultural learning.
基金Sponsored by Teaching Research Project of Yangtze University(JY2023028).
文摘Curriculum ideological and political education is an important direction of higher education reform in the new era,aiming to realize the organic integration of professional knowledge imparting and ideological and political education.Taking preliminary landscape design course as an example,this paper expounded in detail the implementation of teaching reform from three aspects:the formulation of teaching objectives,the integration of teaching contents and the innovation of teaching methods.This paper systematically summarized the implementation effect of ideological and political education reform,and reflected on the excavation of ideological and political elements,integration degree,innovation of teaching methods,teachers’ideological and political ability and practical teaching.The exploration on curriculum ideological and political teaching provides useful reference and thinking for similar courses,and promotes the sustainable development of curriculum ideological and political education.
基金Supported by Key Research&Development Program of Shaanxi Province,No.2021SF-221.
文摘BACKGROUND Esophageal squamous papilloma(ESP)is a rare benign tumor of the esophagus,typically characterized by an exophytic and warty appearance,with a diameter of less than 5 mm.Endoscopic resection is considered the most effective treatment for these tumors.CASE SUMMARY In this paper,we discussed the pathogenesis,clinical characteristics,and therapeutic options of ESP based on our experience with a case presenting a depressed appearance and treated with interferon-alpha 2a(IFNα2a)injection.CONCLUSION This paper reports the first successful clinical case of using the human IFNα2a for the treatment of ESP with a depressed endoscopic appearance.However,the efficacy of interferon treatment requires to validation in a large number of subsequent cases.
文摘In the present day,digital methods aid in the investigation and reflection of language and literary studies.It continues to develop through the use of digital tools,providing fresh perspectives on text analysis,language comprehension,and cultural significance of literary works.The growing field of digital humanities has completely changed how academics study and comprehend language and literature.The goal of digital humanism is to investigate how technology and humanistic research might be combined in the field of language and literary studies.It demonstrates how technology improves our understanding of stories,genre classification,authorship characteristics,and language evolution.Furthermore,using these digital tools goes beyond simple analysis,embracing fresh approaches to interpretation and providing new perspectives on the production,distribution,and reception of literary works and linguistic materials.It provides opportunities for interdisciplinary study by fusing computational techniques with humanities studies to investigate language and literature in fresh and perceptive ways.In the literary field,the digital humanities offer cutting-edge techniques and resources that enhance study,instruction,and interpretation.In addition to advancing conventional approaches,the function of digital humanities is to promote innovative approaches to engage with and understand cultural artifacts in a technologically mediated world.
基金supported by the Autonomous Region Industry-Education Integration Project“Application of DNA Methylation Combined with Spiral CT in the Screening of Pulmonary Ground-Glass Nodules and AI Recognition Systems in Teaching Practice”(Project No.2023210016)the“Open Project of the State Key Laboratory of High Incidence Diseases in Central Asia”(Project No.SKL-HIDCA-2021-28).
文摘Objective:To explore the effectiveness of multi-modal teaching based on an online case library in the education of gene methylation combined with spiral computed tomography(CT)screening for pulmonary ground-glass opacity(GGO)nodules.Methods:From October 2023 to April 2024,66 medical imaging students were selected and randomly divided into a control group and an observation group,each with 33 students.The control group received traditional lecture-based teaching,while the observation group was taught using a multi-modal teaching approach based on an online case library.Performance on assessments and teaching quality were analyzed between the two groups.Results:The observation group achieved higher scores in theoretical and practical knowledge compared to the control group(P<0.05).Additionally,the teaching quality scores were significantly higher in the observation group(P<0.05).Conclusion:Implementing multi-modal teaching based on an online case library for pulmonary GGO nodule screening with gene methylation combined with spiral CT can enhance students’knowledge acquisition,improve teaching quality,and have significant clinical application value.
