BACKGROUND Rare liver tumors(RLTs)have an extremely low likelihood of forming,and some have been recorded only in isolated cases.The lack of normal clinical symptoms in RLTs makes preoperative diagnosis extremely chal...BACKGROUND Rare liver tumors(RLTs)have an extremely low likelihood of forming,and some have been recorded only in isolated cases.The lack of normal clinical symptoms in RLTs makes preoperative diagnosis extremely challenging,which results in frequent misinterpretation.The present case report helps enhance our ability to recognize and treat uncommon liver tumor disorders.CASE SUMMARY We describe four distinct examples of rare liver tumor diseases.These cases were all true cases with no conventional clinical signs or imaging findings.In all patients,hepatic occupancy was discovered on physical examination,which raised the preoperative suspicion of hepatic cancer.All tumors were surgically removed,and postoperative histology and immunohistochemistry were performed to confirm the diagnosis.The first patient had primary hepatic fibrosarcoma.The second case involved a primary hepatic neuroendocrine tumors.These two patients had malignant liver tumors,and both had extremely satisfactory surgical outcomes.The third case involved focal hepatic steatosis,and the fourth case involved a single necrotic nodule in the liver.These two patients had benign liver tumors,but they had already undergone surgery and did not require any postoperative care.CONCLUSION The number of patients with RLTs is small,and the clinical and imaging results are vague.Preoperative diagnosis is challenging,and patients are sometimes mistakenly diagnosed with liver cancer,which leads to unnecessary surgical therapy in certain individuals.展开更多
Krashen's affective filter theory drew researchers' attention to the fresh field of internal factors of learners.But researchers seem to pay too much attention to the other factors while tending to neglect a f...Krashen's affective filter theory drew researchers' attention to the fresh field of internal factors of learners.But researchers seem to pay too much attention to the other factors while tending to neglect a factor that we cannot afford to play down in language learning research-self-confidence.This paper is designed to discuss the close relationship between self-confidence and some of the other important affective factors,and furthermore raise appropriate concern over self-confidence.展开更多
Self-confidence is closely related to L2 learning.In order to make their learners enjoy English learning,English teach ers need to strengthen the learners’English learning confidence.This article is to find out Engli...Self-confidence is closely related to L2 learning.In order to make their learners enjoy English learning,English teach ers need to strengthen the learners’English learning confidence.This article is to find out English teachers’role to strengthening learners’self-confidence in ELL by means of class observation.The writer concludes improving speaking ability;giving praise and offering gentle error correcting can help to strengthen the learners’confidence.展开更多
Economic and cultural globalization has strong impacts on the culture of each country.How to maintain the integrity of the local culture in the course of globalization and how to develop on the basis of the inheritanc...Economic and cultural globalization has strong impacts on the culture of each country.How to maintain the integrity of the local culture in the course of globalization and how to develop on the basis of the inheritance and innovation are the questions worthy of being studied.This paper firstly expounds the important meaning of cultural subjectivity in the view of cultural self-confidence,then explores the roots for the loss of cultural subjectivity consciousness and finally indicates the strategies of cultivating cultural subjectivity.Cultivating cultural subjectivity is an effective way to maintain the integrity of the local culture and the cultural self-confidence.展开更多
An important part of the "Belt and Road " Initiative is to achieve people-to-people bonds. People-to-people bonds are certainly based on cultural self-confidence and cultural self-awareness. Cultural self-co...An important part of the "Belt and Road " Initiative is to achieve people-to-people bonds. People-to-people bonds are certainly based on cultural self-confidence and cultural self-awareness. Cultural self-confidence is an important cultural strategy put forward by the party and the country in the vision of contemporary society,and an important deployment to realize the great rejuvenation of the Chinese nation. This paper first gives a brief overview of the advantages of cultural self-confidence in external communication,and then analyzes the opportunities and challenges that cultural self-confidence faces in external communication in the newera. Finally,it focuses on exploration on the external communication ways of cultural self-confidence in the "Belt and Road"Initiative. O nly based on the deep understanding of local culture can we can shape the soul of culture in the process of further opening-up and external communication to the outside world,and enhance the cultural self-aw areness of the people; build a solid foundation of culture and promote cultural exchanges with other countries.展开更多
It is no wonder that inquiring is an important skill. This paper deals with a research which was intended to see if respect and encouragement could solve the problem of students＇ self-confidence to inquire in the EFL...It is no wonder that inquiring is an important skill. This paper deals with a research which was intended to see if respect and encouragement could solve the problem of students＇ self-confidence to inquire in the EFL （English as a Foreign Language） classroom. The research involved a secondary group of students whose self-confidence to ask questions was considered low by the teacher and research collaborators. The data were collected through observation, questionnaire and interview. Based on a pre-observation, problem sources had been identified, i.e., the students were afraid of being thought of as ＂looking for sensation only＂, afraid that their classmates would laugh at them, worried of being judged as arrogant or pretentious, did not want to be considered stupid, and wondered if they could produce qualified questions. Teachers believed that fear of asking questions is part of the Indonesian students＇ culture. The research team agreed upon the way to handle the problem--by respect and encouragement procedure. The first session implementing the procedure was not successful enough in raising the students＇ self-confidence. Though students had already started to address some questions of this stage, their behaviors did not seem to be improved. They were still afraid, doubtful and unhappy with questioning, which were the signs of lacking of confidence. However, the next cycle was in general a success. The students＇ questions increased considerably. They looked more enthusiastic, passionate and happier in response to teachers＇ invitation to inquire, showing that their self-confidence for asking questions has developed.展开更多
The evolution in patient simulation as educational tool is being driven by a number of factors. Priority of patient safety, patient availability, and the ever increasing body of medical knowledge presents new challeng...The evolution in patient simulation as educational tool is being driven by a number of factors. Priority of patient safety, patient availability, and the ever increasing body of medical knowledge presents new challenges to curriculum planners. Student＇s satisfaction is an important element of the investigation of simulation learning environment efficacy. There are suggestions that student satisfaction may have some correlation with self-confidence and learning achievement. This is a prospective exploratory study that evaluates learners＇ satisfaction with simulation learning environment and self-conference utilized satisfaction with SSE （simulation experience scale） and pre and post simulation test for learning achievement. Participants was third-year medical students （n = 45） participating in their regular simulation-based session at Center of Excellence for Simulation Education and Innovation （CESEI）, University of British Columbia. A comparison between pre- and post-test results was conducted on the basis of t-test for related samples. Correlation was used to explore the relationships among students satisfaction with the simulation environment and students＇ self-confidence and achievement. The simulation exercise, completed by 45 students, increased correct test answers on average from 72% to 89% （P-Value 〈 0.0001 by paired t-test）. Increases in test results were between pre- and post- simulation identical multiple choice questions. The mean score for satisfaction with simulation environment items was 4.47, SD （0.45）, using a 5-point Likert scale with 5 = strongly agree, 4 = agree, 3 = neutral, 2 = disagree, and 1 = strongly disagree. The mean score for self-confidence in performing BLS, evaluating and managing acute cardiac patient was 3.83, SD （1.02）. For evaluating the relationship between students satisfaction with simulation learning environment and learning achievement, bivariate analysis revealed a significant positive relationship between satisfaction with simulation learning environment and learning achievement （Pearson r = 0.80, P-Value 〈 0.01）. The magnitude or strength of the correlation coefficient （r = 0.80） indicated satisfaction with simulation environment and learning achievement have a strong effect and positive correlation. Simulation learning environment for medical students is effective in improving students＇ overall comprehension and better learning achievements. Furthermore, students＇ basic clinical skills are improved associated with higher self-confidence.展开更多
The cultural crisis is an inevitable process for any nation and country in the process of modernization. But the crisis is not terrible. With the cultural conflict, it contributes to integration and regeneration. Ther...The cultural crisis is an inevitable process for any nation and country in the process of modernization. But the crisis is not terrible. With the cultural conflict, it contributes to integration and regeneration. Therefore, when Western learning spread to the East, which means the tradition turns to the modernization, the Eastern learning also spreaded to the West, which means using traditional approaches to solve the problems of modernization. The key to this problem is to construct a new cultural value system that meets the needs of modernization and the future society in the clash and crisis of culture. Chinese should be more confident in meeting foreign culture nowadays. There is no need to be afraid of the mingling of gold and sand, let alone the loss of national unique quality. In an era of reconstruction of the world order, China needs a globalized cultural narrative to rebuild the position of China and Asia in the world＇s cultural history and retrieve the lost position of Chinese culture. To this end, we can learn from nutrients of history and culture, establish self-confidence.展开更多
'China should make greater contributions to mankind.'Such contributions are now to be found more and more on the level of global governance.As General Secretary Xi Jinping observed in his New Year Address of 2...'China should make greater contributions to mankind.'Such contributions are now to be found more and more on the level of global governance.As General Secretary Xi Jinping observed in his New Year Address of 2016,'the world is too big,and challenges are too many,to go without the voice from China being heard,without solution ideas from China being shared,without the involvement of China being needed'.展开更多
文摘BACKGROUND Rare liver tumors(RLTs)have an extremely low likelihood of forming,and some have been recorded only in isolated cases.The lack of normal clinical symptoms in RLTs makes preoperative diagnosis extremely challenging,which results in frequent misinterpretation.The present case report helps enhance our ability to recognize and treat uncommon liver tumor disorders.CASE SUMMARY We describe four distinct examples of rare liver tumor diseases.These cases were all true cases with no conventional clinical signs or imaging findings.In all patients,hepatic occupancy was discovered on physical examination,which raised the preoperative suspicion of hepatic cancer.All tumors were surgically removed,and postoperative histology and immunohistochemistry were performed to confirm the diagnosis.The first patient had primary hepatic fibrosarcoma.The second case involved a primary hepatic neuroendocrine tumors.These two patients had malignant liver tumors,and both had extremely satisfactory surgical outcomes.The third case involved focal hepatic steatosis,and the fourth case involved a single necrotic nodule in the liver.These two patients had benign liver tumors,but they had already undergone surgery and did not require any postoperative care.CONCLUSION The number of patients with RLTs is small,and the clinical and imaging results are vague.Preoperative diagnosis is challenging,and patients are sometimes mistakenly diagnosed with liver cancer,which leads to unnecessary surgical therapy in certain individuals.
文摘Krashen's affective filter theory drew researchers' attention to the fresh field of internal factors of learners.But researchers seem to pay too much attention to the other factors while tending to neglect a factor that we cannot afford to play down in language learning research-self-confidence.This paper is designed to discuss the close relationship between self-confidence and some of the other important affective factors,and furthermore raise appropriate concern over self-confidence.
文摘Self-confidence is closely related to L2 learning.In order to make their learners enjoy English learning,English teach ers need to strengthen the learners’English learning confidence.This article is to find out English teachers’role to strengthening learners’self-confidence in ELL by means of class observation.The writer concludes improving speaking ability;giving praise and offering gentle error correcting can help to strengthen the learners’confidence.
基金one of the research achievements of 2018 Philosophy and Social Science Planning Project of Tianjin Municipality “Research on the Cultivation Model of College students’ Cultural Self-confidence from the Perspective of Intercultural Communication”(TJJX18-011)
文摘Economic and cultural globalization has strong impacts on the culture of each country.How to maintain the integrity of the local culture in the course of globalization and how to develop on the basis of the inheritance and innovation are the questions worthy of being studied.This paper firstly expounds the important meaning of cultural subjectivity in the view of cultural self-confidence,then explores the roots for the loss of cultural subjectivity consciousness and finally indicates the strategies of cultivating cultural subjectivity.Cultivating cultural subjectivity is an effective way to maintain the integrity of the local culture and the cultural self-confidence.
基金one of the research findings of Open Fund of“Research Center for Sustainable Development of Three Gorges Reservoir Area”in2016(No:16sxxyjd04).
文摘An important part of the "Belt and Road " Initiative is to achieve people-to-people bonds. People-to-people bonds are certainly based on cultural self-confidence and cultural self-awareness. Cultural self-confidence is an important cultural strategy put forward by the party and the country in the vision of contemporary society,and an important deployment to realize the great rejuvenation of the Chinese nation. This paper first gives a brief overview of the advantages of cultural self-confidence in external communication,and then analyzes the opportunities and challenges that cultural self-confidence faces in external communication in the newera. Finally,it focuses on exploration on the external communication ways of cultural self-confidence in the "Belt and Road"Initiative. O nly based on the deep understanding of local culture can we can shape the soul of culture in the process of further opening-up and external communication to the outside world,and enhance the cultural self-aw areness of the people; build a solid foundation of culture and promote cultural exchanges with other countries.
文摘It is no wonder that inquiring is an important skill. This paper deals with a research which was intended to see if respect and encouragement could solve the problem of students＇ self-confidence to inquire in the EFL （English as a Foreign Language） classroom. The research involved a secondary group of students whose self-confidence to ask questions was considered low by the teacher and research collaborators. The data were collected through observation, questionnaire and interview. Based on a pre-observation, problem sources had been identified, i.e., the students were afraid of being thought of as ＂looking for sensation only＂, afraid that their classmates would laugh at them, worried of being judged as arrogant or pretentious, did not want to be considered stupid, and wondered if they could produce qualified questions. Teachers believed that fear of asking questions is part of the Indonesian students＇ culture. The research team agreed upon the way to handle the problem--by respect and encouragement procedure. The first session implementing the procedure was not successful enough in raising the students＇ self-confidence. Though students had already started to address some questions of this stage, their behaviors did not seem to be improved. They were still afraid, doubtful and unhappy with questioning, which were the signs of lacking of confidence. However, the next cycle was in general a success. The students＇ questions increased considerably. They looked more enthusiastic, passionate and happier in response to teachers＇ invitation to inquire, showing that their self-confidence for asking questions has developed.
文摘The evolution in patient simulation as educational tool is being driven by a number of factors. Priority of patient safety, patient availability, and the ever increasing body of medical knowledge presents new challenges to curriculum planners. Student＇s satisfaction is an important element of the investigation of simulation learning environment efficacy. There are suggestions that student satisfaction may have some correlation with self-confidence and learning achievement. This is a prospective exploratory study that evaluates learners＇ satisfaction with simulation learning environment and self-conference utilized satisfaction with SSE （simulation experience scale） and pre and post simulation test for learning achievement. Participants was third-year medical students （n = 45） participating in their regular simulation-based session at Center of Excellence for Simulation Education and Innovation （CESEI）, University of British Columbia. A comparison between pre- and post-test results was conducted on the basis of t-test for related samples. Correlation was used to explore the relationships among students satisfaction with the simulation environment and students＇ self-confidence and achievement. The simulation exercise, completed by 45 students, increased correct test answers on average from 72% to 89% （P-Value 〈 0.0001 by paired t-test）. Increases in test results were between pre- and post- simulation identical multiple choice questions. The mean score for satisfaction with simulation environment items was 4.47, SD （0.45）, using a 5-point Likert scale with 5 = strongly agree, 4 = agree, 3 = neutral, 2 = disagree, and 1 = strongly disagree. The mean score for self-confidence in performing BLS, evaluating and managing acute cardiac patient was 3.83, SD （1.02）. For evaluating the relationship between students satisfaction with simulation learning environment and learning achievement, bivariate analysis revealed a significant positive relationship between satisfaction with simulation learning environment and learning achievement （Pearson r = 0.80, P-Value 〈 0.01）. The magnitude or strength of the correlation coefficient （r = 0.80） indicated satisfaction with simulation environment and learning achievement have a strong effect and positive correlation. Simulation learning environment for medical students is effective in improving students＇ overall comprehension and better learning achievements. Furthermore, students＇ basic clinical skills are improved associated with higher self-confidence.
文摘The cultural crisis is an inevitable process for any nation and country in the process of modernization. But the crisis is not terrible. With the cultural conflict, it contributes to integration and regeneration. Therefore, when Western learning spread to the East, which means the tradition turns to the modernization, the Eastern learning also spreaded to the West, which means using traditional approaches to solve the problems of modernization. The key to this problem is to construct a new cultural value system that meets the needs of modernization and the future society in the clash and crisis of culture. Chinese should be more confident in meeting foreign culture nowadays. There is no need to be afraid of the mingling of gold and sand, let alone the loss of national unique quality. In an era of reconstruction of the world order, China needs a globalized cultural narrative to rebuild the position of China and Asia in the world＇s cultural history and retrieve the lost position of Chinese culture. To this end, we can learn from nutrients of history and culture, establish self-confidence.
文摘'China should make greater contributions to mankind.'Such contributions are now to be found more and more on the level of global governance.As General Secretary Xi Jinping observed in his New Year Address of 2016,'the world is too big,and challenges are too many,to go without the voice from China being heard,without solution ideas from China being shared,without the involvement of China being needed'.
