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Preoperative prediction of textbook outcome in intrahepatic cholangiocarcinoma by interpretable machine learning: A multicenter cohort study 被引量:1
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作者 Ting-Feng Huang Cong Luo +9 位作者 Luo-Bin Guo Hong-Zhi Liu Jiang-Tao Li Qi-Zhu Lin Rui-Lin Fan Wei-Ping Zhou Jing-Dong Li Ke-Can Lin Shi-Chuan Tang Yong-Yi Zeng 《World Journal of Gastroenterology》 2025年第11期33-45,共13页
BACKGROUND To investigate the preoperative factors influencing textbook outcomes(TO)in Intrahepatic cholangiocarcinoma(ICC)patients and evaluate the feasibility of an interpretable machine learning model for preoperat... BACKGROUND To investigate the preoperative factors influencing textbook outcomes(TO)in Intrahepatic cholangiocarcinoma(ICC)patients and evaluate the feasibility of an interpretable machine learning model for preoperative prediction of TO,we developed a machine learning model for preoperative prediction of TO and used the SHapley Additive exPlanations(SHAP)technique to illustrate the prediction process.AIM To analyze the factors influencing textbook outcomes before surgery and to establish interpretable machine learning models for preoperative prediction.METHODS A total of 376 patients diagnosed with ICC were retrospectively collected from four major medical institutions in China,covering the period from 2011 to 2017.Logistic regression analysis was conducted to identify preoperative variables associated with achieving TO.Based on these variables,an EXtreme Gradient Boosting(XGBoost)machine learning prediction model was constructed using the XGBoost package.The SHAP(package:Shapviz)algorithm was employed to visualize each variable's contribution to the model's predictions.Kaplan-Meier survival analysis was performed to compare the prognostic differences between the TO-achieving and non-TO-achieving groups.RESULTS Among 376 patients,287 were included in the training group and 89 in the validation group.Logistic regression identified the following preoperative variables influencing TO:Child-Pugh classification,Eastern Cooperative Oncology Group(ECOG)score,hepatitis B,and tumor size.The XGBoost prediction model demonstrated high accuracy in internal validation(AUC=0.8825)and external validation(AUC=0.8346).Survival analysis revealed that the disease-free survival rates for patients achieving TO at 1,2,and 3 years were 64.2%,56.8%,and 43.4%,respectively.CONCLUSION Child-Pugh classification,ECOG score,hepatitis B,and tumor size are preoperative predictors of TO.In both the training group and the validation group,the machine learning model had certain effectiveness in predicting TO before surgery.The SHAP algorithm provided intuitive visualization of the machine learning prediction process,enhancing its interpretability. 展开更多
关键词 Intrahepatic cholangiocarcinoma textbook outcome Interpretable machine learning PREDICTION PROGNOSIS
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Contrast in the Classification of Fujian Folk Dance and the Construction of Textbooks
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作者 Meigui Huang 《Journal of Contemporary Educational Research》 2025年第2期57-63,共7页
This study first analyzes four distinct forms of Fujian folk dance,highlighting the notable differences in their cultural characteristics and dance qualities.It then categorizes these dance forms to align with textboo... This study first analyzes four distinct forms of Fujian folk dance,highlighting the notable differences in their cultural characteristics and dance qualities.It then categorizes these dance forms to align with textbook construction,discussing in depth the principles guiding the development of textbooks that correspond to these classifications. 展开更多
关键词 Fujian folk dance Dance classification Constructions of textbooks Guiding principles
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Textbook outcome and associated risk factors in laparoscopic transcystic common bile duct exploration
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作者 Deng-Sheng Zhu Zhen Zhang +6 位作者 Xiao-Rui Huang Jing-Zhao Zhang Zhi-Wei Zhang Xin-Yi Guo Huan Zheng Tong Guo Ya-Hong Yu 《World Journal of Gastroenterology》 2025年第31期13-27,共15页
BACKGROUND Textbook outcome(TO),an emerging composite metric for surgical quality assessment,has recently gained recognition for evaluating perioperative results.Laparoscopic transcystic common bile duct exploration(L... BACKGROUND Textbook outcome(TO),an emerging composite metric for surgical quality assessment,has recently gained recognition for evaluating perioperative results.Laparoscopic transcystic common bile duct exploration(LTCBDE)has become a widely adopted minimally invasive technique for treating cholecystolithiasis with choledocholithiasis.Despite its growing clinical application,TO has not yet been formally defined for LTCBDE,nor have its failure-associated risk factors been systematically examined.AIM To define TO for LTCBDE,establish standardized criteria,and identify risk factors for TO failure via logistic regression.METHODS A retrospective cohort of 388 patients who underwent LTCBDE in combination with laparoscopic cholecystectomy at the Department of Biliopancreatic Surgery,Tongji Hospital,from January 2018 to October 2024,was analyzed.The study delineated TO criteria for LTCBDE,calculated the rate of TO achievement,and employed logistic regression to determine independent predictors of TO failure.RESULTS TO was defined as the absence of the following seven criteria:Conversion to open surgery,postoperative complications(Clavien-Dindo grade≥2),biliary leakage(International Study Group of Pancreatic Surgery/International Study Group of Liver Surgery grade B/C),delayed removal of drainage tube(>4 days),postoperative interventions,prolonged length of stay(>7 days),and 30-day readmission or mortality.Among 388 patients,276(71.1%)achieved TO.The primary causes of TO failure included delayed removal of drainage tube(94 cases,83.9%),prolonged length of stay(50 cases,44.6%).Multivariate analysis revealed four independent risk factors for TO failure:Preoperative endoscopic retrograde cholangiopancreatography(P=0.022),advanced age(P=0.010),prolonged anesthesia time(P<0.001),and elevated preoperative alkaline phosphatase levels(P=0.048).These findings suggest that applying the concept of TO to LTCBDE enhances surgical quality evaluation and supports early identification of high-risk patients,facilitating personalized clinical decisions and optimizing individual management. 展开更多
关键词 Laparoscopic transcystic common bile duct exploration textbook outcome CHOLEDOCHOLITHIASIS Risk factors Endoscopic retrograde cholangiopancreatography
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Action Research on the Integration of Primary English Picture Book and Textbook from the Perspective of “Five Education Simultaneously”
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作者 HE Ai-jing LIU Qing-shuang +1 位作者 LIU Ping-ting ZENG Bao-xian 《Journal of Literature and Art Studies》 2025年第7期573-579,共7页
“Five education”is pivotal for students’all-round development.However,primary English teaching currently faces challenges including the superficial implementation of“Five education”.This study employed action res... “Five education”is pivotal for students’all-round development.However,primary English teaching currently faces challenges including the superficial implementation of“Five education”.This study employed action research to explore practical methods for integrating English picture book with textbook to implement“Five education”.Through two rounds of iterative action research,a three-stage activity-based teaching path was developed and refined,enabling the progressive infusion of“Five education”objectives across the learning cycle.Findings demonstrated that this integrated approach-particularly when supported by strategies such as picture book background videos and audio-edited narrative connections-effectively deepened the implementation of“Five education”,mitigated student reading fatigue,and significantly improved students’reading fluency and labor initiative,thus provided a replicable practical paradigm for realizing“Five education simultaneously”. 展开更多
关键词 “Five education simultaneously” picture book and textbook action research integrated teaching
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A Study on the Integration of Understanding Contemporary China:An English Reading and Writing Textbook and the Main Textbook of College English Reading in ADDIE Model
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作者 HE Ai-jing GU Cui-hua 《Journal of Literature and Art Studies》 2025年第6期490-496,共7页
Based on the ADDIE model,we explored the integration path between Understanding Contemporary China:An English Reading and Writing Textbook and the main textbook of college English reading.Firstly,the basis of textbook... Based on the ADDIE model,we explored the integration path between Understanding Contemporary China:An English Reading and Writing Textbook and the main textbook of college English reading.Firstly,the basis of textbook integration was analyzed,followed by an explanation of the overall design scheme of textbook integration,and then a series of teaching resources were initially developed and used in teaching practice.Through testing,it was found that the integrative teaching of the two sets of textbooks under the ADDIE model achieved good teaching results,and promoted the three aspects of reading literacy,disciplinary literacy,and value leadership. 展开更多
关键词 ADDIE model Understanding Contemporary China:An English Reading and Writing textbook integration study
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The Islamic Religion in Course Curriculums of High School History Textbooks in the Republic of Macedonia
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作者 Zećir Ramčilović 《Cultural and Religious Studies》 2024年第4期210-223,共14页
History textbooks can and primarily should contribute to the strengthening of students’awareness of universal human values.However,history textbooks can also deepen the divisions,prejudices,and uncritical attitudes,c... History textbooks can and primarily should contribute to the strengthening of students’awareness of universal human values.However,history textbooks can also deepen the divisions,prejudices,and uncritical attitudes,contrary to the goals of education.The youth population,which is still building and creating their point of view towards the world is the main group in the education process.The learning period,in the elementary,as well as in the secondary education is of utmost importance for the development of every human.To that end,history,through the contents of the past largely shapes our perceptions of every individual,ourselves,and the others.Since we are living in a multiethnic and multi-confessional society,I have decided to conduct an analysis of the teaching contents of high school textbooks related to religion.Another reason for the analysis is the role of religion in the formation of Balkan nations,which have made it one of the key elements of their national identities.It is often given the role of raising and strengthening the national awareness,patriotism,as well as the country homogeneity,which most often leads to forming prejudices,divisions,and discrimination towards people of minority religions.The large volume of content related to the religion,and also the mere fact that Muslims are the second largest religion group in the population,I have decided to analyze the contents which are related only to the Islamic religion.The goal is to look for both the positive and negative sides of those contents in history textbooks in secondary schools,which are backed by state institutions that are supposed to take care of the development of competitive,creative,progressive,and ethically formed human potential.The critical review will give an additional impulse to the efforts of eliminating those parts of the teaching contents that create divisions and prejudices,especially in history textbooks,so that its studying can become the key factor in the building of trust between people of different religions. 展开更多
关键词 ISLAM RELIGION STUDENTS history textbooks EDUCATION
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A Content Analysis Study Describing Information Regarding Female Genital Mutilation Present in US Medical Textbooks
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作者 Jennifer Ofoe 《Advances in Sexual Medicine》 2024年第3期31-47,共17页
This study examines the depth of information regarding Female Genital Mutilation (FGM)/Female Cutting (FC) present in US medical textbooks. According to Klein et al. (2018) [1], despite substantial attention regarding... This study examines the depth of information regarding Female Genital Mutilation (FGM)/Female Cutting (FC) present in US medical textbooks. According to Klein et al. (2018) [1], despite substantial attention regarding the effects of FGM, this practice is still ongoing all over the world. Healthcare providers are very important actors who need to understand FGM in order to provide care to girls and women subjected to it, but the small amount of existing work in this area shows a low level of knowledge and training about FGM/FC among U.S. physicians. The Center for Disease Control and Prevention (CDC) first published the estimated number of girls at risk of FGM/FC in the U.S. to be about 168,000 in 1997;that number had increased to 513,000 girls in the US by 2012 (according to Goldberg et al.) In this study, a small sample of medical textbooks were analyzed for the degree to which the textbooks include information regarding FGM/FC. The results of this study show that US medical textbooks do not include information regarding FGM/FC, suggesting that most medical providers don’t have knowledge and training about FGM/FC. The inadequate information on FGM/FC in medical textbooks reflects a culturally biased lack of recognition of the number of girls and women affected in the US. This maintains an ongoing pattern of silence that reinforces gender inequality. Considering the inadequate information covered in US medical textbooks on FGM/FC, and the concordant lack of provider training to provide advice and care to affected girls and women, incorrect and missed diagnoses may lead to harm to victims of FGM/FC. Providers would be better equipped to care for women and girls if their medical training included information regarding FGM/FC. 展开更多
关键词 Female Genital Mutilation textbook Analysis
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Exploration and Research on Textbook Quality Evaluation Index System Based on Engineering Major in Higher Education
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作者 Xiaoyang Yue Yanqiong Wu 《Journal of Contemporary Educational Research》 2024年第3期1-6,共6页
The report of the Chinese 20th National Congress put forward“strengthening the construction and management of textbooks”for the first time,which indicates the importance of textbook construction and highlights the v... The report of the Chinese 20th National Congress put forward“strengthening the construction and management of textbooks”for the first time,which indicates the importance of textbook construction and highlights the vital position of textbooks in the overall development of the country.From the perspective of textbook quality,and based on the research and analysis of the policy requirements and current evaluation indicators of higher education textbooks,this paper establishes the textbook quality evaluation index system composed of basic indicators and evaluation indicators.This system is based on the principles of science,comprehensiveness,operability,and target-oriented approach.It provides a relatively scientific,objective,and fair reference system for the management and evaluation of textbooks. 展开更多
关键词 textbooks Evaluation index system Higher education Engineering major
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The Existing Problems and Optimization Paths of Digital Textbooks Under Background of Internet
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作者 ZHAO Shuai 《International Journal of Plant Engineering and Management》 2024年第1期28-46,共19页
With the rapid development of information technology,the combination of terminal technology,big data and mobile Internet and textbooks has become an irresistible trend in the modern education field.Under the context o... With the rapid development of information technology,the combination of terminal technology,big data and mobile Internet and textbooks has become an irresistible trend in the modern education field.Under the context of the Internet,carrying out education and teaching activities based on digital textbooks can give full play to the rich media,openness and interaction of digital textbooks,broaden students′horizon,enrich students′knowledge,and promote the improvement of students′ability and all-round development.However,in the specific teaching practice,there are also problems such as old compilation ideas,single compilation mode and low efficiency of personalized learning.Therefore,schools and teachers need to constantly innovate the presentation and arrangement of digital textbooks,strengthen technical support,deepen students′understanding of the teaching content of digital textbooks,promote the comprehensive development of students and improve the effectiveness of digital textbook teaching. 展开更多
关键词 digital textbook development status INTERNET optimization path
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Measurement Analysis and Evaluation of Twenty- Five Years of Chinese Mathematics Textbooks: Visual Analysis Based on CiteSpace Knowledge Graph (1999-2024)
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作者 Jie Wang 《Journal of Contemporary Educational Research》 2024年第6期243-254,共12页
At present,textbooks based on core literacy have become the inevitable demands of China’s curriculum reform,and the literacy of textbook goal construction is the key to the implementation of core literacy requirement... At present,textbooks based on core literacy have become the inevitable demands of China’s curriculum reform,and the literacy of textbook goal construction is the key to the implementation of core literacy requirements,which is a huge challenge for textbook compilers.In this paper,we use the visual metrology of the CiteSpace knowledge graph to analyze Chinese mathematics textbooks(1999-2024),hoping to guide the future direction of Chinese mathematics textbook research. 展开更多
关键词 Visualization Mathematics textbooks Future outlook Keywords clustering Time zone
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Knowledge Graph Analysis of International Chinese Language Textbooks Based on CiteSpace
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作者 Fang Lv 《Journal of Contemporary Educational Research》 2024年第4期163-175,共13页
Drawing upon relevant papers from Chinese core journals and CSSCI source journals in the CNKI China Academic Journals Full-Text Database spanning from 1992 to 2023,this study utilizes CiteSpace as a research tool to v... Drawing upon relevant papers from Chinese core journals and CSSCI source journals in the CNKI China Academic Journals Full-Text Database spanning from 1992 to 2023,this study utilizes CiteSpace as a research tool to visually analyze the knowledge graph structure of research on international Chinese language textbooks in China.The study maps out the publication timeline,authors,institutions,collaborative networks,and keywords pertaining to research on international Chinese language textbooks.The findings indicate that research on international Chinese language textbooks commenced early and continues to maintain a certain level of research interest,yet lacks sufficient research output.Research institutions predominantly reside in universities and publishing groups specializing in language or education,with collaboration between institutions being relatively scarce.High-frequency keywords in recent research on international Chinese language textbooks include“Chinese language textbooks for the Foreigners,”“Chinese language textbooks,”“Teaching Chinese Language for the Foreigners,”“Textbook compilation,”“International Chinese Language Education and Localization,”which reflect a diversified research perspective with interdisciplinary trends.Future research priorities encompass research on localization,customization of textbooks,and evaluation of textbooks which represent forefront directions of research. 展开更多
关键词 International Chinese language textbooks CITESPACE Knowledge graph China
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Issues and Countermeasures in Chinese FLTRP Primary School Textbooks under the New Curriculum Standard
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作者 Cheng Zeng 《Journal of Contemporary Educational Research》 2024年第10期199-206,共8页
The New Curriculum Standard(NCS)is the norm and quality requirement of the Chinese national educational curriculum as well as the basis of teaching management,curriculum evaluation,and textbook compilation.In textbook... The New Curriculum Standard(NCS)is the norm and quality requirement of the Chinese national educational curriculum as well as the basis of teaching management,curriculum evaluation,and textbook compilation.In textbook design,the selection of textbook materials should meet the objectives and requirements of the NCS.Since appropriate teaching materials are essential to curriculum standards and effective teaching,we must follow the consistency between textbook materials and curriculum standards to achieve an ideal degree of conformity with the textbook system and teaching objectives and promote the sustainable development of the English curriculum reform.However,the current primary school English textbooks fall short of the NCS,which leads to difficulties in implementing teaching tasks and achieving teaching goals.Given these difficulties,we should analyze the causes from three dimensions:linguistic knowledge,cultural awareness,and learning strategies.In addition,a high recurrence of phonetic knowledge,systematic grammar presentation,diversified learning styles,level grading,and in-depth involvement of cultural factors are keys to the perfect conformity of the NCS and English textbooks. 展开更多
关键词 Curriculum standards Conformity degree English textbooks
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Scientific images from the history of science to primary education:Insights from historiographic research on the visual history of science for the compilation of primary school science textbooks
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作者 Jinbang Song 《Cultures of Science》 2024年第4期236-246,共11页
Since 2008, the author of this paper has conducted historiographic research on the visual history of science in the West since the mid-twentieth century. The findings show that the cognitive functions of visual scient... Since 2008, the author of this paper has conducted historiographic research on the visual history of science in the West since the mid-twentieth century. The findings show that the cognitive functions of visual scientific representations in the history of science are connected with theories of knowledge development in dialectical materialist epistemology and theories on children's cognitive features at different ages in developmental psychology, as well as the stage-specific curriculum objectives outlined in the Compulsory Education Science Curriculum Standards(2022 Edition). These insights provide essential inspiration and theoretical support for the establishment of the twin-theme logical structure in the Primary School Science Textbooks(Daxiang Edition)—core competencies as the warp and cognitive development as the weft—and for the intentional cultivation of students' cognitive abilities using scientific images across different learning stages and textbooks. 展开更多
关键词 Visual history of science historiographic research cognitive functions of visual scientific representations Primary School Science textbooks(Daxiang Edition) compilation theme
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The application of three-dimensional textbook in English teaching 被引量:2
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作者 张桂军 陈红梅 +1 位作者 高兴梅 申粒蒂 《Sino-US English Teaching》 2008年第7期17-20,共4页
The paper discusses the application of three-dimensional textbook in English teaching. The three-dimensional textbook plays an incomparable function than the traditional textbook and thus has an extensive application ... The paper discusses the application of three-dimensional textbook in English teaching. The three-dimensional textbook plays an incomparable function than the traditional textbook and thus has an extensive application in the college English education. It demonstrates the application through the usage of the three-dimensional textbook in the real teaching and shows that excessive usage of sound and pictures or drawings may distract the attention of students. It raises several suggestions at the end. 展开更多
关键词 three-dimensional textbook ADVANTAGE application problem THINKING
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以Cecil Textbook of Medicine为语料库的医学英语词表构建 被引量:2
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作者 姜雨孜 聂文信 《陕西教育(高教版)》 2017年第7期34-34,39,共2页
笔者以医学英语学习者为主要服务设计对象,以医学内科界的权威书籍Cecil Textbook of Medicine为语料库,以自主开发的词频统计软件获取的单词词频为依据,参考了GSL&AWL词汇表,构建了两个医学英语词汇表,分别是General Word List of ... 笔者以医学英语学习者为主要服务设计对象,以医学内科界的权威书籍Cecil Textbook of Medicine为语料库,以自主开发的词频统计软件获取的单词词频为依据,参考了GSL&AWL词汇表,构建了两个医学英语词汇表,分别是General Word List of Internal Medicine和Internal Medicine Terminology List,旨在提高医学英语学习者单词记忆有效性,也为医学英语的教材编写、教学大纲的确定以及在此基础上衍生的医学英语学习者语料库的完善和计算机辅助教学的展开提供一定的学术参考。 展开更多
关键词 医学英语 Cecil textbook of MEDICINE 语料库语言学 词频 GSL&AWL
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Analysis of Textbook "Garden Plant Protection" Construction in Agricultural and Forestry Universities or Higher Vocational Colleges
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作者 马国胜 陈娟 《Journal of Landscape Research》 2009年第2期74-78,共5页
The survey of textbook 'Garden Plant Protection' was introduced in this study,and the necessity of textbook 'Garden Plant Protection' construction in agricultural and forestry universities or higher vo... The survey of textbook 'Garden Plant Protection' was introduced in this study,and the necessity of textbook 'Garden Plant Protection' construction in agricultural and forestry universities or higher vocational colleges was also analyzed.Aimed at the status of textbook 'Garden Plant Protection' construction in agricultural and forestry universities or higher vocational colleges,the corresponding ideas for its construction were put forward. 展开更多
关键词 Agricultural and FORESTRY or HIGHER VOCATIONAL education GARDEN plant protection textbook CONSTRUCTION
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Textbook Evaluation
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作者 王熙 马朝光 吴彩灵 《海外英语》 2015年第11期105-106,168,共3页
More and more researchers realized that what happened in classrooms was deeply influenced by the social and culturalcontexts outside and various articles and researches have been written or done to address this proble... More and more researchers realized that what happened in classrooms was deeply influenced by the social and culturalcontexts outside and various articles and researches have been written or done to address this problem.The essay evaluates a teach-ing material from the perspectives of culture,society and politics by suggesting a few adaptations to the teaching material to make itmore culturally appropriate for Chinese learners. 展开更多
关键词 textbook EVALUATION COMMUNICATIVE competences CULTURAL assumptions LANGUAGE TEACHING
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Techniques of Activating Textbooks for Intensive Reading
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作者 钟小佩 《海外英语》 2011年第1X期78-80,共3页
This paper presents four teaching techniques of activating the textbook for intensive reading which include:injecting contemporary elements into the text,relating the text to students' life,questioning about the t... This paper presents four teaching techniques of activating the textbook for intensive reading which include:injecting contemporary elements into the text,relating the text to students' life,questioning about the text challengingly and ingeniously,and spicing up the text. 展开更多
关键词 textbooks for INTENSIVE READING ACTIVATION TEACHING TECHNIQUES
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Cultural Components in EFL Textbooks
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作者 王熙 《海外英语》 2011年第3X期107-109,共3页
The appraisal of textbooks not only before selection, but also after they have been used, is a valuable exercise for any teacher. It provides a greater perception of the book's strengths and weaknesses, which enab... The appraisal of textbooks not only before selection, but also after they have been used, is a valuable exercise for any teacher. It provides a greater perception of the book's strengths and weaknesses, which enables the teacher to focus on the weak points and adapt or supplement them accordingly. The paper will provide a detailed evaluation of an EFL textbook focusing on cultural assumptions considering the cultural content and methodology with reference to a specific teaching context by discussing the various aspects of culture reflected in the various components as well as the type of methodology and syllabus design the book follows. Finally, implication and adaptation of this textbook will be argued. 展开更多
关键词 textbook EVALUATION CULTURAL COMPONENTS METHODOLOGY
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