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
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
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
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
“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
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
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
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
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
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
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
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
Textbooks, as one of the important elements for the teaching effects and students' training aim and quality are the main carri-er and means for the realization of teaching objectives. The paper analyzes the proble...Textbooks, as one of the important elements for the teaching effects and students' training aim and quality are the main carri-er and means for the realization of teaching objectives. The paper analyzes the problems of currently-used textbooks at the followingthree aspects, textbook users, compiling styles and contents, based on 31 popular English writing textbooks used at Polytechnics as re-search subjects. Aiming to improve textbook quality and English teaching reform at Polytechnics, the paper also puts forward the ideasof compiling English writing textbooks on the basis of Feuerstein's theory.展开更多
The concept of textbook outcome (TO) has recently gained popularity in surgicalresearch and has been used to evaluate the quality or success of different surgicalprocedures, including hepatopancreatobiliary (HPB) oper...The concept of textbook outcome (TO) has recently gained popularity in surgicalresearch and has been used to evaluate the quality or success of different surgicalprocedures, including hepatopancreatobiliary (HPB) operations. TO consists ofindividual outcome parameters that each reflect different domains of careincluding structure, process, and individual outcomes;in turn, the composite TOmetric represents the optimal course after a surgical episode. TO can be used toassess patient-level outcomes, hospital performance, center designation andquality metrics. In addition to being an outcome measurement, TO may also belinked to healthcare costs. Future efforts should be directed towards establishing auniversal definition of TO in HPB surgery so that surgeons and hospitals canassess and compare outcomes, identify shortcomings and improve real worldpatient outcomes.展开更多
Objective:Quality assurance is crucial for oncological surgical treatment assessment.For rare diseases,singlequality indicators are not enough.We aim to develop a comprehensive and reproducible measurement,called the&...Objective:Quality assurance is crucial for oncological surgical treatment assessment.For rare diseases,singlequality indicators are not enough.We aim to develop a comprehensive and reproducible measurement,called the"Textbook Outcome"(TO),to assess the quality of surgical treatment and prognosis of gastric neuroendocrine carcinoma(G-NEC)patients.Methods:Data from patients with primary diagnosed G-NEC included in 24 high-volume Chinese hospitals from October 2005 to September 2018 were analyzed.TO included receiving a curative resection,≥15 lymph nodes examined,no severe postoperative complications,hospital stay≤21 d,and no hospital readmission≤30 d after discharge.Hospital variation in TO was analyzed using a case mix-adjusted funnel plot.Prognostic factors of survival and risk factors for non-Textbook Outcome(non-TO)were analyzed using Cox and logistic models,respectively.Results:TO was achieved in 56.6%of 860 G-NEC patients.TO patients had better overall survival(OS),disease-free survival(DFS),and recurrence-free survival(RFS)than non-TO patients(P<0.05).Moreover,TO patients accounted for 60.3%of patients without recurrence.Multivariate Cox analysis revealed non-TO as an independent risk factor for OS,DFS,and RFS of G-NEC patients(P<0.05).Increasing TO rates were associated with improved OS for G-NEC patients,but not hospital volume.Multivariate logistic regression revealed that nonlower tumors,open surgery,and>200 mL blood loss were independent risk factors for non-TO patients(P<0.05).Conclusions:TO is strongly associated with multicenter surgical quality and prognosis for G-NEC patients.Factors predicting non-TO are identified,which may help guide strategies to optimize G-NEC outcomes.展开更多
Teaching theories provide important guidance for language teaching materials development,but there is little research on how textbook writers apply teaching theories in the actual writing process.This study analyzes t...Teaching theories provide important guidance for language teaching materials development,but there is little research on how textbook writers apply teaching theories in the actual writing process.This study analyzes the process of compiling iEnglish,a series of textbooks based on the Production-Oriented Approach(POA)and proposes an Integrated Model of Teaching Theory and Action Research for textbook writing.By elaborating the roles of teaching theory and action research at different stages of textbook writing and the interaction between theory and practice during the process,the study concludes that the Integrated Model can promote both textbook improvement and theory refinement.展开更多
Setting out from the shortfalls of present EST translation textbooks,i.e.,similar structure and lacking diversity,we survey teachers and students of EST translation,and find problems regarding example choosing and lac...Setting out from the shortfalls of present EST translation textbooks,i.e.,similar structure and lacking diversity,we survey teachers and students of EST translation,and find problems regarding example choosing and lack of emphasis on CAT technology.Based on translation theory and translation talent training theory,a new“projectized”approach to compiling EST translation textbooks is put forward,which advocates that translation textbooks construct an environment with an initiator,consignor,original writer,translator,user,and receiver.The approach is expected to promote the practical value of EST translation textbooks and empower them with the ability required by the translation industry.展开更多
By examining recent studies on grammar instruction, which reflect the waxing and waning of grammar instruction in history, and some new teaching approaches and techniques in grammar teaching, this paper concludes that...By examining recent studies on grammar instruction, which reflect the waxing and waning of grammar instruction in history, and some new teaching approaches and techniques in grammar teaching, this paper concludes that grammar instruction does make a difference to foreign language teaching and thus is important and necessary for Chinese leamers, especially English majors, to develop their ability of using the language accurately and fluently in real life. And on the basis of it, this paper evaluates an EFL textbook of China in terms of some grammar teaching approaches and techniques to illustrate the application and practice of these new perspectives and new teaching approaches and techniques in Chinese foreign language teaching and leaming.展开更多
With the rapid development of modern technology,textbooks have been undergoing great changes from the traditionallypaper-based form to the multimodal form.Multimodality has become a major feature of textbook discourse...With the rapid development of modern technology,textbooks have been undergoing great changes from the traditionallypaper-based form to the multimodal form.Multimodality has become a major feature of textbook discourse.Multimodal discourseanalysis is a new approach to discourse analysis based on the semiotic theory of systemic functional linguistics.This paper providesa detailed review of multimodal discourse analysis(hereafter MDA) in modern linguistics and some previous researches on textbookdiscourse.Then it further outlines what have already been done on textbook discourse from the perspective of MDA.展开更多
Textbook evaluation is very important in both teaching and learning. The research of the English textbook evaluation in China develops relatively late, so study of the textbook evaluation theory is very important for ...Textbook evaluation is very important in both teaching and learning. The research of the English textbook evaluation in China develops relatively late, so study of the textbook evaluation theory is very important for the present college English teaching in China. The present study introduces some Influential textbook evaluation system and their theoretical characteristics at home and abroad, and points out researchers can detail the textbook evaluation theory in order to evaluate some special areas in English.展开更多
基金Supported by National Key Research and Development Program,No.2022YFC2407304Major Research Project for Middle-Aged and Young Scientists of Fujian Provincial Health Commission,No.2021ZQNZD013+2 种基金The National Natural Science Foundation of China,No.62275050Fujian Province Science and Technology Innovation Joint Fund Project,No.2019Y9108Major Science and Technology Projects of Fujian Province,No.2021YZ036017.
文摘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.
文摘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.
文摘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.
文摘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.
基金this paper is funded by Project Information:2023 Guangdong Undergraduate Colleges and Universities Teaching Quality and Teaching Reform Project Construction Project,Project Name:Action Research on Whole-area Nurturing of English Reading Teaching in Universities,Secondary and Primary Schools under the Perspective of Discipline Nurturing.Project serial number:895.
文摘“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”.
基金funded by Project Information:2022 Guangzhou Municipal Higher Education Teaching Research and Reform Key Research Project:“Innovation and Practice of English Reading Curriculum Ideological and Political in Colleges and Universities:A Study on the Integration of Understanding Contemporary China:An English Reading and Writing Textbook and English Reading Teaching”(2023JGZDXM001).
文摘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.
文摘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.
基金西安思源学院2016年横向课题"基于Cecil Textbook of Medicine的医学英语词表构建"
文摘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。
文摘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.
文摘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.
文摘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.
文摘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.
文摘Textbooks, as one of the important elements for the teaching effects and students' training aim and quality are the main carri-er and means for the realization of teaching objectives. The paper analyzes the problems of currently-used textbooks at the followingthree aspects, textbook users, compiling styles and contents, based on 31 popular English writing textbooks used at Polytechnics as re-search subjects. Aiming to improve textbook quality and English teaching reform at Polytechnics, the paper also puts forward the ideasof compiling English writing textbooks on the basis of Feuerstein's theory.
文摘The concept of textbook outcome (TO) has recently gained popularity in surgicalresearch and has been used to evaluate the quality or success of different surgicalprocedures, including hepatopancreatobiliary (HPB) operations. TO consists ofindividual outcome parameters that each reflect different domains of careincluding structure, process, and individual outcomes;in turn, the composite TOmetric represents the optimal course after a surgical episode. TO can be used toassess patient-level outcomes, hospital performance, center designation andquality metrics. In addition to being an outcome measurement, TO may also belinked to healthcare costs. Future efforts should be directed towards establishing auniversal definition of TO in HPB surgery so that surgeons and hospitals canassess and compare outcomes, identify shortcomings and improve real worldpatient outcomes.
基金supported by scientific and technological innovation joint capital projects of Fujian province(No.2018Y9041)National Natural Science Foundation of China(No.82002462)+2 种基金China Scholarship Council(No.201908350095)Provincial Natural Science Foundation Project(No.2020J011001)Fujian Medical University Outstanding Young Cultivation Project(No.2020PYY002)。
文摘Objective:Quality assurance is crucial for oncological surgical treatment assessment.For rare diseases,singlequality indicators are not enough.We aim to develop a comprehensive and reproducible measurement,called the"Textbook Outcome"(TO),to assess the quality of surgical treatment and prognosis of gastric neuroendocrine carcinoma(G-NEC)patients.Methods:Data from patients with primary diagnosed G-NEC included in 24 high-volume Chinese hospitals from October 2005 to September 2018 were analyzed.TO included receiving a curative resection,≥15 lymph nodes examined,no severe postoperative complications,hospital stay≤21 d,and no hospital readmission≤30 d after discharge.Hospital variation in TO was analyzed using a case mix-adjusted funnel plot.Prognostic factors of survival and risk factors for non-Textbook Outcome(non-TO)were analyzed using Cox and logistic models,respectively.Results:TO was achieved in 56.6%of 860 G-NEC patients.TO patients had better overall survival(OS),disease-free survival(DFS),and recurrence-free survival(RFS)than non-TO patients(P<0.05).Moreover,TO patients accounted for 60.3%of patients without recurrence.Multivariate Cox analysis revealed non-TO as an independent risk factor for OS,DFS,and RFS of G-NEC patients(P<0.05).Increasing TO rates were associated with improved OS for G-NEC patients,but not hospital volume.Multivariate logistic regression revealed that nonlower tumors,open surgery,and>200 mL blood loss were independent risk factors for non-TO patients(P<0.05).Conclusions:TO is strongly associated with multicenter surgical quality and prognosis for G-NEC patients.Factors predicting non-TO are identified,which may help guide strategies to optimize G-NEC outcomes.
文摘Teaching theories provide important guidance for language teaching materials development,but there is little research on how textbook writers apply teaching theories in the actual writing process.This study analyzes the process of compiling iEnglish,a series of textbooks based on the Production-Oriented Approach(POA)and proposes an Integrated Model of Teaching Theory and Action Research for textbook writing.By elaborating the roles of teaching theory and action research at different stages of textbook writing and the interaction between theory and practice during the process,the study concludes that the Integrated Model can promote both textbook improvement and theory refinement.
基金2021 Undergraduate Innovation and Entrepreneurship Training Program(No.XJ2021294)First-Class Curriculum Construction Program of USST“English Interpreting Ability Training”(YLKC202204)The Eleventh China Foreign Language Education Fund Project“On the Blended Teaching Model of Interpretation Course With the Synergistic Development of Interpretation Ability and Critical Thinking Ability”(ZGWYJYJJ11A071).
文摘Setting out from the shortfalls of present EST translation textbooks,i.e.,similar structure and lacking diversity,we survey teachers and students of EST translation,and find problems regarding example choosing and lack of emphasis on CAT technology.Based on translation theory and translation talent training theory,a new“projectized”approach to compiling EST translation textbooks is put forward,which advocates that translation textbooks construct an environment with an initiator,consignor,original writer,translator,user,and receiver.The approach is expected to promote the practical value of EST translation textbooks and empower them with the ability required by the translation industry.
文摘By examining recent studies on grammar instruction, which reflect the waxing and waning of grammar instruction in history, and some new teaching approaches and techniques in grammar teaching, this paper concludes that grammar instruction does make a difference to foreign language teaching and thus is important and necessary for Chinese leamers, especially English majors, to develop their ability of using the language accurately and fluently in real life. And on the basis of it, this paper evaluates an EFL textbook of China in terms of some grammar teaching approaches and techniques to illustrate the application and practice of these new perspectives and new teaching approaches and techniques in Chinese foreign language teaching and leaming.
文摘With the rapid development of modern technology,textbooks have been undergoing great changes from the traditionallypaper-based form to the multimodal form.Multimodality has become a major feature of textbook discourse.Multimodal discourseanalysis is a new approach to discourse analysis based on the semiotic theory of systemic functional linguistics.This paper providesa detailed review of multimodal discourse analysis(hereafter MDA) in modern linguistics and some previous researches on textbookdiscourse.Then it further outlines what have already been done on textbook discourse from the perspective of MDA.
文摘Textbook evaluation is very important in both teaching and learning. The research of the English textbook evaluation in China develops relatively late, so study of the textbook evaluation theory is very important for the present college English teaching in China. The present study introduces some Influential textbook evaluation system and their theoretical characteristics at home and abroad, and points out researchers can detail the textbook evaluation theory in order to evaluate some special areas in English.
