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Asynchronous and Synchronous Communication in College English Writing in Web-based Learning Environment
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作者 丁洁 《科技信息》 2009年第1期-,共2页
In web-based learning environment,College English writing has always been a thorny issue.Here both asynchronous and synchronous communications in college English writing mean the new interactive teaching belief. This ... In web-based learning environment,College English writing has always been a thorny issue.Here both asynchronous and synchronous communications in college English writing mean the new interactive teaching belief. This paper attempts to do the blending of two in the traditional writing learning and teaching in college English in order to promote a more flexible,efficient and interactive learning environment in accordance with students' interests and needs. 展开更多
关键词 asynchronous and synchronous communication web-based learning E-MAIL key pal web log
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An Investigation into the Web-Based Learning in Jiangsu Open University(JSOU)——A case Study of College English
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作者 曹海霞 《海外英语》 2019年第8期263-266,共4页
College English is a compulsory course for all registered online learners in Jiangsu Open University and students have been practicing web-based learning instead of face-to-face classes ever since 2014.Questionnaires ... College English is a compulsory course for all registered online learners in Jiangsu Open University and students have been practicing web-based learning instead of face-to-face classes ever since 2014.Questionnaires and interviews are adopted to look into the 4-year-long practice of web-based learning in College English in JSOU.By analyzing the data obtained from both teachers and students,the findings show:(1)web-based learning caters to online learners in that the online learning materials,particularly micro-lessons,are well-designed and easily accessible.(2)web-based learning helps teachers monitor the learning process of online learners and therefore assures the quality of online learning.(3)web-based learning enhances effective learning since students and teachers can communicate conveniently and instantly via online chat rooms and instant messaging software. 展开更多
关键词 web-based learning DISTANCE education COLLEGE ENGLISH online learnERS
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Web-based learning in inflammatory bowel diseases:General truths and current specifics
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作者 Petros Zezos Daniel Panisko 《World Journal of Clinical Cases》 SCIE 2018年第11期410-417,共8页
In a field rapidly evolving over the past few years, the management of inflammatory bowel diseases(IBD), Crohn's disease and ulcerative colitis, is becoming in-creasingly complex, demanding and challenging. In the... In a field rapidly evolving over the past few years, the management of inflammatory bowel diseases(IBD), Crohn's disease and ulcerative colitis, is becoming in-creasingly complex, demanding and challenging. In the recent years, IBD quality measures aiming to improve patients' care have been developed, multiple new medical therapies have been approved, new treatment goals have been set with the "treat--to--target" concept and drug monitoring has been implemented into IBD clinical management. Moreover, patients are increasingly using Internet resources to obtain information about their health conditions. The healthcare professional with an interest in treating IBD patients should deal with all these challenges in everyday practice by establishing, enhancing and maintaining a strong core of knowledge and skills related to IBD. This is an ongoing process and traditionally these needs are covered with additional reading of textbook or journal articles, attendance at meetings or conferences, or at local rounds. Web--based learning resources expand the options for knowledge acquisition and save time and costs as well. In the new era of communications technology, web-based resources can cover the educational needs of both patients and healthcare professionals and can contribute to improvement of disease management and patient care. Healthcare professionals can individually visit and navigate regularly relevant websites and tailor choices for educational activities according to their existing needs. They can also provide their patients with a few certified suitable internet resources. In this review, we explored the Internet using PubMed and Startpage(Google), for web-based IBD--related educational resources aiming to provide a guide for those interested in obtaining certified knowledge in this subject. 展开更多
关键词 INFLAMMATORY BOWEL diseases ULCERATIVE COLITIS Crohn’s disease Technology-enhanced learning E-learning web-based learning CONTINUING medical education
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Foreign Language Web-Based Learning by Means of Audiovisual Interactive Activities
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作者 Catherine Kanellopoulou Minas Pergantis +2 位作者 Nikolaos Konstantinou Nikolaos Grigorios Kanellopoulos Andreas Giannakoulopoulos 《Journal of Software Engineering and Applications》 2021年第6期207-232,共26页
<p align="left"> <span style="font-family:Verdana;">Online learning has been on an upward trend for many years and is becoming more and more prevalent every day, consistently presenting... <p align="left"> <span style="font-family:Verdana;">Online learning has been on an upward trend for many years and is becoming more and more prevalent every day, consistently presenting the less privileged parts of our society with an equal opportunity at education. Unfortunately, though, it seldom takes advantage of the new technologies and capabilities offered by the modern World Wide Web. In this article, we present an interactive online platform that provides users with learning activities for students of English as a foreign language. The platform focuses on using audiovisual multimedia content and a user experience (UX) centered approach to provide learners with an enhanced learning experience that aims at improving their knowledge level while at the same time increasing their engagement and motivation to participate in learning. To achieve this, the platform uses advanced techniques, such as interactive vocabulary and pronunciation assistance, mini-games, embedded media, voice recording, and more. In addition, the platform provides educators with analytics about user engagement and performance. In this study, more than 100 young students participated in a preliminary use of the aforementioned platform and provided feedback concerning their experience. Both the platform’s metrics and the user-provided feedback indicated increased engagement and a preference of the participants for interactive audiovisual multimedia-based learning activities.</span> </p> 展开更多
关键词 Online learning MULTIMEDIA Interactivity World Wide Web Education English Language Teaching learning Platform AUDIOVISUAL
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Studying Chinese Characters in a Web-Based Learning Environment: A Case Study of Swedish University Students
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作者 Tao Yang Man Gao 《汉语教学方法与技术》 2020年第2期1-16,共16页
This survey study aims to investigate the perceptions learners have of the character-learning strategies they employ when taking a web-based course in Chinese.The seven Likert-scale statements are included in the ques... This survey study aims to investigate the perceptions learners have of the character-learning strategies they employ when taking a web-based course in Chinese.The seven Likert-scale statements are included in the questionnaire to examine learners’opinions on the three character-learning strategies that are widely used in traditional campus courses.A total of 65 students who completed the beginner level‘Chinese Characters’web-based course at a university in Sweden completed the survey.The results suggest that students in web-based courses consider these three strategies to be just as helpful and effective as campus students;moreover,the more orthodox strategy-rote learning-is found to be the most popular among distance students.Furthermore,findings of this study provide insight into the limitations and advantages associated with a web-based course,and also the possible effect learners’age and gender may have on learning strategy preferences. 展开更多
关键词 Chinese characters character-learning strategy web-based courses distance education
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A Survey into Teachers' Roles in Web-based College English Autonomous Learning 被引量:1
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作者 缪海燕 《Sino-US English Teaching》 2006年第4期52-56,共5页
The paper, with the backdrop of web-based autonomous learning put forward by the recent college English teaching reform, aims to explore teachers' roles in this learning process in students' perception through the m... The paper, with the backdrop of web-based autonomous learning put forward by the recent college English teaching reform, aims to explore teachers' roles in this learning process in students' perception through the means of questionnaires and interviews. It further analyzes the possible reasons why students perceive their teachers' roles in such a way, in the hope of providing some implications for web-based college English autonomous learning. 展开更多
关键词 web-based autonomous learning teacher's roles
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Incorporation of Learning Strategies into Web-based Autonomous Listening 被引量:4
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作者 李芳 《海外英语》 2019年第20期278-280,284,共4页
The thesis introduces a comparative study of students'autonomous listening practice in a web-based autonomous learning center and the traditional teacher-dominated listening practice in a traditional language lab.... The thesis introduces a comparative study of students'autonomous listening practice in a web-based autonomous learning center and the traditional teacher-dominated listening practice in a traditional language lab.The purpose of the study is to find how students'listening strategies differ in these two approaches and thereby to find which one better facilitates students'listening proficiency. 展开更多
关键词 learning strategies metacognitive strategies listening strategies web-based autonomous listening
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A Review of the Effectiveness of Web-based Course with College English Learners' Autonomous Learning
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作者 杜淑珍 《海外英语》 2015年第22期276-277,288,共3页
The paper is a literature review, aiming to examine the effectiveness of web-based college English learning which mainly focuses on learners' autonomous learning. Previous studies indicate that the web-based learn... The paper is a literature review, aiming to examine the effectiveness of web-based college English learning which mainly focuses on learners' autonomous learning. Previous studies indicate that the web-based learning can improve learners' autonomous learning, as well as some problems found in their findings. Therefore, this paper first gives a summary and critique of research studies on the web-based autonomous learning and some factors influencing learners' autonomous learning ability;then, areas that deserve further study are also indicated. 展开更多
关键词 AUTONOMOUS learning web-based learning COLLEGE English learnER
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Research on Application of Metacognitive Strategy in English Listening in the Web-based Self-access Learning Environment
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作者 罗雅清 《海外英语》 2012年第22期81-82,98,共3页
Metacognitive strategies are regarded as advanced strategies in all the learning strategies.This study focuses on the application of metacognitive strategies in English listening in the web-based self-access learning ... Metacognitive strategies are regarded as advanced strategies in all the learning strategies.This study focuses on the application of metacognitive strategies in English listening in the web-based self-access learning environment(WSLE) and tries to provide some references for those students and teachers in the vocational colleges. 展开更多
关键词 metacognitve STRATEGIES web-based SELF-ACCESS lear
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Predicting lymph node metastasis in colorectal cancer using caselevel multiple instance learning
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作者 Ling-Feng Zou Xuan-Bing Wang +4 位作者 Jing-Wen Li Xin Ouyang Yi-Ying Luo Yan Luo Cheng-Long Wang 《World Journal of Gastroenterology》 2026年第1期110-125,共16页
BACKGROUND The accurate prediction of lymph node metastasis(LNM)is crucial for managing locally advanced(T3/T4)colorectal cancer(CRC).However,both traditional histopathology and standard slide-level deep learning ofte... BACKGROUND The accurate prediction of lymph node metastasis(LNM)is crucial for managing locally advanced(T3/T4)colorectal cancer(CRC).However,both traditional histopathology and standard slide-level deep learning often fail to capture the sparse and diagnostically critical features of metastatic potential.AIM To develop and validate a case-level multiple-instance learning(MIL)framework mimicking a pathologist's comprehensive review and improve T3/T4 CRC LNM prediction.METHODS The whole-slide images of 130 patients with T3/T4 CRC were retrospectively collected.A case-level MIL framework utilising the CONCH v1.5 and UNI2-h deep learning models was trained on features from all haematoxylin and eosinstained primary tumour slides for each patient.These pathological features were subsequently integrated with clinical data,and model performance was evaluated using the area under the curve(AUC).RESULTS The case-level framework demonstrated superior LNM prediction over slide-level training,with the CONCH v1.5 model achieving a mean AUC(±SD)of 0.899±0.033 vs 0.814±0.083,respectively.Integrating pathology features with clinical data further enhanced performance,yielding a top model with a mean AUC of 0.904±0.047,in sharp contrast to a clinical-only model(mean AUC 0.584±0.084).Crucially,a pathologist’s review confirmed that the model-identified high-attention regions correspond to known high-risk histopathological features.CONCLUSION A case-level MIL framework provides a superior approach for predicting LNM in advanced CRC.This method shows promise for risk stratification and therapy decisions,requiring further validation. 展开更多
关键词 Colorectal cancer Lymph node metastasis Deep learning Multiple instance learning HISTOPATHOLOGY
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RankXLAN:An explainable ensemble-based machine learning framework for biomarker detection,therapeutic target identification,and classification using transcriptomic and epigenomic stomach cancer data
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作者 Kasmika Borah Himanish Shekhar Das +1 位作者 Mudassir Khan Saurav Mallik 《Medical Data Mining》 2026年第1期13-31,共19页
Background:Stomach cancer(SC)is one of the most lethal malignancies worldwide due to late-stage diagnosis and limited treatment.The transcriptomic,epigenomic,and proteomic,etc.,omics datasets generated by high-through... Background:Stomach cancer(SC)is one of the most lethal malignancies worldwide due to late-stage diagnosis and limited treatment.The transcriptomic,epigenomic,and proteomic,etc.,omics datasets generated by high-throughput sequencing technology have become prominent in biomedical research,and they reveal molecular aspects of cancer diagnosis and therapy.Despite the development of advanced sequencing technology,the presence of high-dimensionality in multi-omics data makes it challenging to interpret the data.Methods:In this study,we introduce RankXLAN,an explainable ensemble-based multi-omics framework that integrates feature selection(FS),ensemble learning,bioinformatics,and in-silico validation for robust biomarker detection,potential therapeutic drug-repurposing candidates’identification,and classification of SC.To enhance the interpretability of the model,we incorporated explainable artificial intelligence(SHapley Additive exPlanations analysis),as well as accuracy,precision,F1-score,recall,cross-validation,specificity,likelihood ratio(LR)+,LR−,and Youden index results.Results:The experimental results showed that the top four FS algorithms achieved improved results when applied to the ensemble learning classification model.The proposed ensemble model produced an area under the curve(AUC)score of 0.994 for gene expression,0.97 for methylation,and 0.96 for miRNA expression data.Through the integration of bioinformatics and ML approach of the transcriptomic and epigenomic multi-omics dataset,we identified potential marker genes,namely,UBE2D2,HPCAL4,IGHA1,DPT,and FN3K.In-silico molecular docking revealed a strong binding affinity between ANKRD13C and the FDA-approved drug Everolimus(binding affinity−10.1 kcal/mol),identifying ANKRD13C as a potential therapeutic drug-repurposing target for SC.Conclusion:The proposed framework RankXLAN outperforms other existing frameworks for serum biomarker identification,therapeutic target identification,and SC classification with multi-omics datasets. 展开更多
关键词 stomach cancer BIOINFORMATICS ensemble learning classifier BIOMARKER targets
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Deep Learning-Assisted Organogel Pressure Sensor for Alphabet Recognition and Bio-Mechanical Motion Monitoring
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作者 Kusum Sharma Kousik Bhunia +5 位作者 Subhajit Chatterjee Muthukumar Perumalsamy Anandhan Ayyappan Saj Theophilus Bhatti Yung‑Cheol Byun Sang-Jae Kim 《Nano-Micro Letters》 2026年第2期644-663,共20页
Wearable sensors integrated with deep learning techniques have the potential to revolutionize seamless human-machine interfaces for real-time health monitoring,clinical diagnosis,and robotic applications.Nevertheless,... Wearable sensors integrated with deep learning techniques have the potential to revolutionize seamless human-machine interfaces for real-time health monitoring,clinical diagnosis,and robotic applications.Nevertheless,it remains a critical challenge to simultaneously achieve desirable mechanical and electrical performance along with biocompatibility,adhesion,self-healing,and environmental robustness with excellent sensing metrics.Herein,we report a multifunctional,anti-freezing,selfadhesive,and self-healable organogel pressure sensor composed of cobalt nanoparticle encapsulated nitrogen-doped carbon nanotubes(CoN CNT)embedded in a polyvinyl alcohol-gelatin(PVA/GLE)matrix.Fabricated using a binary solvent system of water and ethylene glycol(EG),the CoN CNT/PVA/GLE organogel exhibits excellent flexibility,biocompatibility,and temperature tolerance with remarkable environmental stability.Electrochemical impedance spectroscopy confirms near-stable performance across a broad humidity range(40%-95%RH).Freeze-tolerant conductivity under sub-zero conditions(-20℃)is attributed to the synergistic role of CoN CNT and EG,preserving mobility and network integrity.The Co N CNT/PVA/GLE organogel sensor exhibits high sensitivity of 5.75 k Pa^(-1)in the detection range from 0 to 20 k Pa,ideal for subtle biomechanical motion detection.A smart human-machine interface for English letter recognition using deep learning achieved 98%accuracy.The organogel sensor utility was extended to detect human gestures like finger bending,wrist motion,and throat vibration during speech. 展开更多
关键词 Wearable ORGANOGEL Deep learning Pressure sensor Bio-mechanical motion
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Artificial intelligence and machine learning-driven advancements in gastrointestinal cancer:Paving the way for precision medicine
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作者 Chahat Suri Yashwant K Ratre +2 位作者 Babita Pande LVKS Bhaskar Henu K Verma 《World Journal of Gastroenterology》 2026年第1期14-36,共23页
Gastrointestinal(GI)cancers remain a leading cause of cancer-related morbidity and mortality worldwide.Artificial intelligence(AI),particularly machine learning and deep learning(DL),has shown promise in enhancing can... Gastrointestinal(GI)cancers remain a leading cause of cancer-related morbidity and mortality worldwide.Artificial intelligence(AI),particularly machine learning and deep learning(DL),has shown promise in enhancing cancer detection,diagnosis,and prognostication.A narrative review of literature published from January 2015 to march 2025 was conducted using PubMed,Web of Science,and Scopus.Search terms included"gastrointestinal cancer","artificial intelligence","machine learning","deep learning","radiomics","multimodal detection"and"predictive modeling".Studies were included if they focused on clinically relevant AI applications in GI oncology.AI algorithms for GI cancer detection have achieved high performance across imaging modalities,with endoscopic DL systems reporting accuracies of 85%-97%for polyp detection and segmentation.Radiomics-based models have predicted molecular biomarkers such as programmed cell death ligand 2 expression with area under the curves up to 0.92.Large language models applied to radiology reports demonstrated diagnostic accuracy comparable to junior radiologists(78.9%vs 80.0%),though without incremental value when combined with human interpretation.Multimodal AI approaches integrating imaging,pathology,and clinical data show emerging potential for precision oncology.AI in GI oncology has reached clinically relevant accuracy levels in multiple diagnostic tasks,with multimodal approaches and predictive biomarker modeling offering new opportunities for personalized care.However,broader validation,integration into clinical workflows,and attention to ethical,legal,and social implications remain critical for widespread adoption. 展开更多
关键词 Artificial intelligence Gastrointestinal cancer Precision medicine Multimodal detection Machine learning
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Evaluation of Reinforcement Learning-Based Adaptive Modulation in Shallow Sea Acoustic Communication
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作者 Yifan Qiu Xiaoyu Yang +1 位作者 Feng Tong Dongsheng Chen 《哈尔滨工程大学学报(英文版)》 2026年第1期292-299,共8页
While reinforcement learning-based underwater acoustic adaptive modulation shows promise for enabling environment-adaptive communication as supported by extensive simulation-based research,its practical performance re... While reinforcement learning-based underwater acoustic adaptive modulation shows promise for enabling environment-adaptive communication as supported by extensive simulation-based research,its practical performance remains underexplored in field investigations.To evaluate the practical applicability of this emerging technique in adverse shallow sea channels,a field experiment was conducted using three communication modes:orthogonal frequency division multiplexing(OFDM),M-ary frequency-shift keying(MFSK),and direct sequence spread spectrum(DSSS)for reinforcement learning-driven adaptive modulation.Specifically,a Q-learning method is used to select the optimal modulation mode according to the channel quality quantified by signal-to-noise ratio,multipath spread length,and Doppler frequency offset.Experimental results demonstrate that the reinforcement learning-based adaptive modulation scheme outperformed fixed threshold detection in terms of total throughput and average bit error rate,surpassing conventional adaptive modulation strategies. 展开更多
关键词 Adaptive modulation Shallow sea underwater acoustic modulation Reinforcement learning
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Enhanced semi-supervised learning for top gas flow state classification to optimize emission and production in blast ironmaking furnaces
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作者 Song Liu Qiqi Li +3 位作者 Qing Ye Zhiwei Zhao Dianyu E Shibo Kuang 《International Journal of Minerals,Metallurgy and Materials》 2026年第1期204-216,共13页
Automated classification of gas flow states in blast furnaces using top-camera imagery typically demands a large volume of labeled data,whose manual annotation is both labor-intensive and cost-prohibitive.To mitigate ... Automated classification of gas flow states in blast furnaces using top-camera imagery typically demands a large volume of labeled data,whose manual annotation is both labor-intensive and cost-prohibitive.To mitigate this challenge,we present an enhanced semi-supervised learning approach based on the Mean Teacher framework,incorporating a novel feature loss module to maximize classification performance with limited labeled samples.The model studies show that the proposed model surpasses both the baseline Mean Teacher model and fully supervised method in accuracy.Specifically,for datasets with 20%,30%,and 40%label ratios,using a single training iteration,the model yields accuracies of 78.61%,82.21%,and 85.2%,respectively,while multiple-cycle training iterations achieves 82.09%,81.97%,and 81.59%,respectively.Furthermore,scenario-specific training schemes are introduced to support diverse deployment need.These findings highlight the potential of the proposed technique in minimizing labeling requirements and advancing intelligent blast furnace diagnostics. 展开更多
关键词 blast furnace gas flow state semi-supervised learning mean teacher feature loss
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A novel deep learning-based framework for forecasting
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作者 Congqi Cao Ze Sun +2 位作者 Lanshu Hu Liujie Pan Yanning Zhang 《Atmospheric and Oceanic Science Letters》 2026年第1期22-26,共5页
Deep learning-based methods have become alternatives to traditional numerical weather prediction systems,offering faster computation and the ability to utilize large historical datasets.However,the application of deep... Deep learning-based methods have become alternatives to traditional numerical weather prediction systems,offering faster computation and the ability to utilize large historical datasets.However,the application of deep learning to medium-range regional weather forecasting with limited data remains a significant challenge.In this work,three key solutions are proposed:(1)motivated by the need to improve model performance in data-scarce regional forecasting scenarios,the authors innovatively apply semantic segmentation models,to better capture spatiotemporal features and improve prediction accuracy;(2)recognizing the challenge of overfitting and the inability of traditional noise-based data augmentation methods to effectively enhance model robustness,a novel learnable Gaussian noise mechanism is introduced that allows the model to adaptively optimize perturbations for different locations,ensuring more effective learning;and(3)to address the issue of error accumulation in autoregressive prediction,as well as the challenge of learning difficulty and the lack of intermediate data utilization in one-shot prediction,the authors propose a cascade prediction approach that effectively resolves these problems while significantly improving model forecasting performance.The method achieves a competitive result in The East China Regional AI Medium Range Weather Forecasting Competition.Ablation experiments further validate the effectiveness of each component,highlighting their contributions to enhancing prediction performance. 展开更多
关键词 Weather forecasting Deep learning Semantic segmentation models learnable Gaussian noise Cascade prediction
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Automated Pipe Defect Identification in Underwater Robot Imagery with Deep Learning
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作者 Mansour Taheri Andani Farhad Ameri 《哈尔滨工程大学学报(英文版)》 2026年第1期197-215,共19页
Underwater pipeline inspection plays a vital role in the proactive maintenance and management of critical marine infrastructure and subaquatic systems.However,the inspection of underwater pipelines presents a challeng... Underwater pipeline inspection plays a vital role in the proactive maintenance and management of critical marine infrastructure and subaquatic systems.However,the inspection of underwater pipelines presents a challenge due to factors such as light scattering,absorption,restricted visibility,and ambient noise.The advancement of deep learning has introduced powerful techniques for processing large amounts of unstructured and imperfect data collected from underwater environments.This study evaluated the efficacy of the You Only Look Once(YOLO)algorithm,a real-time object detection and localization model based on convolutional neural networks,in identifying and classifying various types of pipeline defects in underwater settings.YOLOv8,the latest evolution in the YOLO family,integrates advanced capabilities,such as anchor-free detection,a cross-stage partial network backbone for efficient feature extraction,and a feature pyramid network+path aggregation network neck for robust multi-scale object detection,which make it particularly well-suited for complex underwater environments.Due to the lack of suitable open-access datasets for underwater pipeline defects,a custom dataset was captured using a remotely operated vehicle in a controlled environment.This application has the following assets available for use.Extensive experimentation demonstrated that YOLOv8 X-Large consistently outperformed other models in terms of pipe defect detection and classification and achieved a strong balance between precision and recall in identifying pipeline cracks,rust,corners,defective welds,flanges,tapes,and holes.This research establishes the baseline performance of YOLOv8 for underwater defect detection and showcases its potential to enhance the reliability and efficiency of pipeline inspection tasks in challenging underwater environments. 展开更多
关键词 YOLO8 Underwater robot Object detection Underwater pipelines Remotely operated vehicle Deep learning
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Machine learning approaches to early detection of delayed wound healing following gastric cancer surgery
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作者 Duygu Kirkik Huseyin Murat Ozadenc Sevgi Kalkanli Tas 《World Journal of Gastrointestinal Oncology》 2026年第1期287-290,共4页
Delayed wound healing following radical gastrectomy remains an important yet underappreciated complication that prolongs hospitalization,increases costs,and undermines patient recovery.In An et al’s recent study,the ... Delayed wound healing following radical gastrectomy remains an important yet underappreciated complication that prolongs hospitalization,increases costs,and undermines patient recovery.In An et al’s recent study,the authors present a machine learning-based risk prediction approach using routinely available clinical and laboratory parameters.Among the evaluated algorithms,a decision tree model demonstrated excellent discrimination,achieving an area under the curve of 0.951 in the validation set and notably identifying all true cases of delayed wound healing at the Youden index threshold.The inclusion of variables such as drainage duration,preoperative white blood cell and neutrophil counts,alongside age and sex,highlights the pragmatic appeal of the model for early postoperative monitoring.Nevertheless,several aspects warrant critical reflection,including the reliance on a postoperative variable(drainage duration),internal validation only,and certain reporting inconsistencies.This letter underscores both the promise and the limitations of adopting interpretable machine learning models in perioperative care.We advocate for transparent reporting,external validation,and careful consideration of clinically actionable timepoints before integration into practice.Ultimately,this work represents a valuable step toward precision risk stratification in gastric cancer surgery,and sets the stage for multicenter,prospective evaluations. 展开更多
关键词 Gastric cancer Radical gastrectomy Delayed wound healing Machine learning Decision tree Risk prediction
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