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Dynamic interactive bitwise meta-holography with ultra-high computational and display frame rates
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作者 Yuncheng Liu Ke Xu +4 位作者 Xuhao Fan Xinger Wang Xuan Yu Wei Xiong Hui Gao 《Opto-Electronic Advances》 SCIE EI CAS CSCD 2024年第1期36-46,共11页
Interactive holography offers unmatched levels of immersion and user engagement in the field of future display.Despite of the substantial progress has been made in dynamic meta-holography,the realization of real-time,... Interactive holography offers unmatched levels of immersion and user engagement in the field of future display.Despite of the substantial progress has been made in dynamic meta-holography,the realization of real-time,highly smooth interactive holography remains a significant challenge due to the computational and display frame rate limitations.In this study,we introduced a dynamic interactive bitwise meta-holography with ultra-high computational and display frame rates.To our knowledge,this is the first reported practical dynamic interactive metasurface holographic system.We spa-tially divided the metasurface device into multiple distinct channels,each projecting a reconstructed sub-pattern.The switching states of these channels were mapped to bitwise operations on a set of bit values,which avoids complex holo-gram computations,enabling an ultra-high computational frame rate.Our approach achieves a computational frame rate of 800 kHz and a display frame rate of 23 kHz on a low-power Raspberry Pi computational platform.According to this methodology,we demonstrated an interactive dynamic holographic Tetris game system that allows interactive gameplay,color display,and on-the-fly hologram creation.Our technology presents an inspiration for advanced dynamic meta-holography,which is promising for a broad range of applications including advanced human-computer interaction,real-time 3D visualization,and next-generation virtual and augmented reality systems. 展开更多
关键词 interactive display meta-holography bitwise operation ultra-high frame rate
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Parameter calibration of the tensile-shear interactive damage constitutive model for sandstone failure
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作者 Yun Shu Zheming Zhu +4 位作者 Meng Wang Weiting Gao Fei Wang Duanying Wan Yuntao Wang 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2024年第4期1153-1174,共22页
The tensile-shear interactive damage(TSID)model is a novel and powerful constitutive model for rock-like materials.This study proposes a methodology to calibrate the TSID model parameters to simulate sandstone.The bas... The tensile-shear interactive damage(TSID)model is a novel and powerful constitutive model for rock-like materials.This study proposes a methodology to calibrate the TSID model parameters to simulate sandstone.The basic parameters of sandstone are determined through a series of static and dynamic tests,including uniaxial compression,Brazilian disc,triaxial compression under varying confining pressures,hydrostatic compression,and dynamic compression and tensile tests with a split Hopkinson pressure bar.Based on the sandstone test results from this study and previous research,a step-by-step procedure for parameter calibration is outlined,which accounts for the categories of the strength surface,equation of state(EOS),strain rate effect,and damage.The calibrated parameters are verified through numerical tests that correspond to the experimental loading conditions.Consistency between numerical results and experimental data indicates the precision and reliability of the calibrated parameters.The methodology presented in this study is scientifically sound,straightforward,and essential for improving the TSID model.Furthermore,it has the potential to contribute to other rock constitutive models,particularly new user-defined models. 展开更多
关键词 Damage constitutive model Parameter calibration Rock modeling SANDSTONE Dynamic impact load Tensile-shear interactive damage(TSID)model
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The Application of Formative Assessment in Interactive Comprehensive English Classroom Teaching
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作者 JIN Zhao-hui 《Sino-US English Teaching》 2024年第5期227-231,共5页
Teaching evaluation is an important part of the teaching process of college English courses,and effective formative assessment can reflect the entire teaching process from multiple perspectives and ensure the smooth a... Teaching evaluation is an important part of the teaching process of college English courses,and effective formative assessment can reflect the entire teaching process from multiple perspectives and ensure the smooth achievement of teaching objectives.Formative assessment is an assessment that runs through the entire learning process,based on humanism and constructivism,with various forms of evaluation. 展开更多
关键词 EVALUATION formative assessment interactive Comprehensive English
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基于Interactive Physics的物理习题教学--以2023年高考全国乙卷25题和湖北卷15题为例
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作者 彭鸿宇 王飞 平超 《物理教学探讨》 2024年第3期82-86,共5页
在传统高中物理教学中,多过程碰撞的物理过程很难在板书上展现出来,成为教学的一大难点。基于Interactive Physics仿真功能,以2023年高考全国乙卷25题和湖北卷15题为例,将多过程碰撞的物理过程可视化,直观展现物理模型,帮助学生理解题... 在传统高中物理教学中,多过程碰撞的物理过程很难在板书上展现出来,成为教学的一大难点。基于Interactive Physics仿真功能,以2023年高考全国乙卷25题和湖北卷15题为例,将多过程碰撞的物理过程可视化,直观展现物理模型,帮助学生理解题目的复杂情境,有效缩短学习时间,提高教学质量和教学效率,实现最优化的教学目标。 展开更多
关键词 interactive Physics 可视化 高考物理
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Exploration and Practice of“Guiding Interactive”Teaching in Advanced Geochemistry Courses from the Perspective of Constructivist Theory
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作者 Lei Liu Chunming Liu Weijian Zhou 《Journal of Contemporary Educational Research》 2024年第1期52-57,共6页
The construction of geochemical disciplines has brought new vitality to the development of traditional geology.In the new round of“Double First-Class”discipline construction at Central South University,the course of... The construction of geochemical disciplines has brought new vitality to the development of traditional geology.In the new round of“Double First-Class”discipline construction at Central South University,the course of Advanced Geochemistry has effectively stimulated students’interest in learning and further improved their scientific thinking and research innovation skills through the implementation of“Guiding Interactive”teaching reform measures,which has important theoretical significance and practical value. 展开更多
关键词 GEOCHEMISTRY Advanced Geochemistry Teaching reform Guiding interactive
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Research on Visualization and Interactive Design of Plant Configuration Virtual Reality in the Context of Digitalization
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作者 Qiufan Xie 《Journal of Architectural Research and Development》 2024年第3期53-62,共10页
This study aims to explore the application of digital technology in landscape design,focusing on the research of virtual reality visualization and interactive design in the process of plant configuration.Through an in... This study aims to explore the application of digital technology in landscape design,focusing on the research of virtual reality visualization and interactive design in the process of plant configuration.Through an in-depth analysis of digital technology,the study outlines its important role in landscape design,especially in the application of plant configuration.The current application status of virtual reality technology in landscape design is discussed,as well as how interactive design can enhance user experience and participation.Furthermore,the achievements and challenges of digital technology in landscape design are summarized.Finally,it proposes future research directions and suggestions,aiming to provide new ideas and methods for practice and research in the field of landscape design and promote the further application and development of digital technology in landscape design. 展开更多
关键词 lization Plant configuration Virtual reality VISUALIZATION interactive design
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Interactive Media Visual Interpretation of Traditional Chinese Graphics in Urban Public Spaces
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作者 Fu Zhang 《Journal of Electronic Research and Application》 2024年第3期42-46,共5页
This paper focuses on the application of interactive media technology in the visual interpretation of traditional graphic urban public spaces in China.Case studies and practical exploration show that interactive media... This paper focuses on the application of interactive media technology in the visual interpretation of traditional graphic urban public spaces in China.Case studies and practical exploration show that interactive media technologies such as projection mapping,interactive devices,virtual reality technology,etc.,have realized the diversity of traditional graphics display forms in urban public space.The rich interactive experience design enhances the sense of participation and experience of urban citizens and tourists and promotes the visual culture transmission of traditional Chinese graphics.The future urban public space exhibition is destined to continue to deepen the integration of technology and graphics,promote the visual communication of traditional Chinese graphics visual interpretation in urban public space,and promote sustainable innovation in cultural output in urban public space exhibitions around the world. 展开更多
关键词 Motion graphic design Public space interactive media technology
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Research and Application of AI-Based Interactive Exhibits in Wuhan Museum of Science and Technology
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作者 Ting Yan 《Journal of Electronic Research and Application》 2024年第2期95-102,共8页
This article aims to explore the development and application of AI-based interactive exhibits in Wuhan Museum of Science and Technology.By utilizing computer vision,natural language processing,and machine learning tec... This article aims to explore the development and application of AI-based interactive exhibits in Wuhan Museum of Science and Technology.By utilizing computer vision,natural language processing,and machine learning technologies,an innovative exhibit development and application system is proposed.This system employs deep learning algorithms and data analysis methods to achieve real-time perception of visitor behavior and adaptive interaction.The development process involves designing user interfaces and interaction methods to effectively enhance visitor engagement and learning outcomes.Through evaluation and comparison in practical applications,the potential of this system in enhancing exhibit interaction,increasing visitor engagement,improving educational effectiveness,and expanding avenues for scientific knowledge dissemination are validated. 展开更多
关键词 Artificial intelligence interactive exhibits Computer vision Natural language processing Machine learning
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An Adaptive DDoS Detection and Classification Method in Blockchain Using an Integrated Multi-Models
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作者 Xiulai Li Jieren Cheng +3 位作者 Chengchun Ruan Bin Zhang Xiangyan Tang Mengzhe Sun 《Computers, Materials & Continua》 SCIE EI 2023年第12期3265-3288,共24页
With the rising adoption of blockchain technology due to its decentralized,secure,and transparent features,ensuring its resilience against network threats,especially Distributed Denial of Service(DDoS)attacks,is cruci... With the rising adoption of blockchain technology due to its decentralized,secure,and transparent features,ensuring its resilience against network threats,especially Distributed Denial of Service(DDoS)attacks,is crucial.This research addresses the vulnerability of blockchain systems to DDoS assaults,which undermine their core decentralized characteristics,posing threats to their security and reliability.We have devised a novel adaptive integration technique for the detection and identification of varied DDoS attacks.To ensure the robustness and validity of our approach,a dataset amalgamating multiple DDoS attacks was derived from the CIC-DDoS2019 dataset.Using this,our methodology was applied to detect DDoS threats and further classify them into seven unique attack subcategories.To cope with the broad spectrum of DDoS attack variations,a holistic framework has been pro-posed that seamlessly integrates five machine learning models:Gate Recurrent Unit(GRU),Convolutional Neural Networks(CNN),Long-Short Term Memory(LSTM),Deep Neural Networks(DNN),and Support Vector Machine(SVM).The innovative aspect of our framework is the introduction of a dynamic weight adjustment mechanism,enhancing the system’s adaptability.Experimental results substantiate the superiority of our ensemble method in comparison to singular models across various evaluation metrics.The framework displayed remarkable accuracy,with rates reaching 99.71%for detection and 87.62%for classification tasks.By developing a comprehensive and adaptive methodology,this study paves the way for strengthening the defense mechanisms of blockchain systems against DDoS attacks.The ensemble approach,combined with the dynamic weight adjustment,offers promise in ensuring blockchain’s enduring security and trustworthiness. 展开更多
关键词 Blockchain DDOS multi-models adaptive detection
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Interactive Restoration of Three-Dimensional Implicit Surface with Irregular Parts
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作者 Jiayu Ren Yoshihisa Fujita Susumu Nakata 《Computer Modeling in Engineering & Sciences》 SCIE EI 2023年第9期2111-2125,共15页
Implicit surface generation based on the interpolation of surface points is one of the well-known modeling methods in the area of computer graphics.Several methods for the implicit surface reconstruction from surface ... Implicit surface generation based on the interpolation of surface points is one of the well-known modeling methods in the area of computer graphics.Several methods for the implicit surface reconstruction from surface points have been proposed on the basis of radial basis functions,a weighted sum of local functions,splines,wavelets,and combinations of them.However,if the surface points contain errors or are sparsely distributed,irregular components,such as curvature-shaped redundant bulges and unexpectedly generated high-frequency components,are commonly seen.This paper presents a framework for restoring irregular components generated on and around surfaces.Users are assumed to specify local masks that cover irregular components and parameters that determine the degree of restoration.The algorithm in this paper removes the defects based on the user-specific masks and parameters.Experiments have shown that the proposed methods can effectively remove redundant protrusions and jaggy noise. 展开更多
关键词 Shape modeling implicit surfaces interactive restoration
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An Overview of Interactive Immersive Services
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作者 Xiaozhi Yuan Qingyang Wang +5 位作者 Linfeng Zhang Li Peng Xiaojie Zhu Jinlan Ma Zhan Liu Yuxiang Jiang 《China Communications》 SCIE CSCD 2023年第12期1-18,共18页
Immersive services are the typical emerging services in current IMT-2020 network.With the development of network evolution,real-time interactive applications emerge one after another.This article provides an overview ... Immersive services are the typical emerging services in current IMT-2020 network.With the development of network evolution,real-time interactive applications emerge one after another.This article provides an overview on immersive services which focus on real-time interaction.The scenarios,framework,requirements,key technologies,and issues of interactive immersive service are presented. 展开更多
关键词 framework interactive immersive service key technology REQUIREMENT SCENARIO
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Electricity-Carbon Interactive Optimal Dispatch of Multi-Virtual Power Plant Considering Integrated Demand Response
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作者 Shiwei Su Guangyong Hu +2 位作者 Xianghua Li Xin Li Wei Xiong 《Energy Engineering》 EI 2023年第10期2343-2368,共26页
As new power systems and dual carbon policies develop,virtual power plant cluster(VPPC)provides another reliable way to promote the efficient utilization of energy and solve environmental pollution problems.To solve t... As new power systems and dual carbon policies develop,virtual power plant cluster(VPPC)provides another reliable way to promote the efficient utilization of energy and solve environmental pollution problems.To solve the coordinated optimal operation and low-carbon economic operation problem in multi-virtual power plant,a multi-virtual power plant(VPP)electricity-carbon interaction optimal scheduling model considering integrated demand response(IDR)is proposed.Firstly,a multi-VPP electricity-carbon interaction framework is established.The interaction of electric energy and carbon quotas can realize energy complementarity,reduce energy waste and promote low-carbon operation.Secondly,in order to coordinate the multiple types of energy and load in VPPC to further achieve low-carbon operation,the IDR mechanism based on the user comprehensive satisfaction(UCS)of electricity,heat as well as hydrogen is designed,which can effectively maintain the UCS in the cluster within a relatively high range.Finally,the unit output scheme is formulated to minimize the total cost of VPPC and the model is solved using theCPLEX solver.The simulation results showthat the proposed method effectively promotes the coordinated operation among multi-VPP,increases the consumption rate of renewable energy sources and the economics of VPPC and reduces carbon emissions. 展开更多
关键词 Virtual power plant cluster carbon quota interaction electricity interaction integrated demand response user comprehensive satisfaction coordinated optimal operation
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Implementation of Level-3 Autonomous Patient-Specific Quality Assurance with Automated Human Interactive Devices
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作者 Jingqiao Zhang Yizhou Zhao +2 位作者 Jameson T. Baker Yijian Cao Jenghwa Chang 《International Journal of Medical Physics, Clinical Engineering and Radiation Oncology》 2023年第4期99-113,共15页
Purpose: Patient-specific quality assurance (PSQA) requires manual operation of different workstations, which is time-consuming and error-prone. Therefore, developing automated solutions to improve efficiency and accu... Purpose: Patient-specific quality assurance (PSQA) requires manual operation of different workstations, which is time-consuming and error-prone. Therefore, developing automated solutions to improve efficiency and accuracy is a priority. The purpose of this study was to develop a general software interface with scripting on a human interactive device (HID) for improving the efficiency and accuracy of manual quality assurance (QA) procedures. Methods: As an initial application, we aimed to automate our PSQA workflow that involves Varian Eclipse treatment planning system, Elekta MOSAIQ oncology information system and PTW Verisoft application. A general platform, the AutoFrame interface with two imbedded subsystems—the AutoFlow and the PyFlow, was developed with a scripting language for automating human operations of aforementioned systems. The interface included three functional modules: GUI module, UDF script interpreter and TCP/IP communication module. All workstations in the PSQA process were connected, and most manual operations were automated by AutoFrame sequentially or in parallel. Results: More than 20 PSQA tasks were performed both manually and using the developed AutoFrame interface. On average, 175 (±12) manual operations of the PSQA procedure were eliminated and performed by the automated process. The time to complete a PSQA task was 8.23 (±0.78) minutes for the automated workflow, in comparison to 13.91 (±3.01) minutes needed for manual operations. Conclusion: We have developed the AutoFrame interface framework that successfully automated our PSQA procedure, and significantly reduced the time, human (control/clicking/typing) errors, and operators’ stress. Future work will focus on improving the system’s flexibility and stability and extending its operations to other QA procedures. 展开更多
关键词 Level-3 Automation Patient-Specific Quality Assurance Human interactive Devices SCRIPTING
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Designing interactive glazing through an engineering psychology approach:Six augmented reality scenarios that envision future car human-machine interface
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作者 Wei LIU Yancong ZHU +5 位作者 Ruonan HUANG Takumi OHASHI Jan AUERNHAMMER Xiaonan ZHANG Ce SHI Lu WANG 《Virtual Reality & Intelligent Hardware》 2023年第2期157-170,共14页
Background With an increasing number of vehicles becoming autonomous,intelligent,and connected,paying attention to the future usage of car human-machine interface with these vehicles should become more relevant.Severa... Background With an increasing number of vehicles becoming autonomous,intelligent,and connected,paying attention to the future usage of car human-machine interface with these vehicles should become more relevant.Several studies have addressed car HMI but were less attentive to designing and implementing interactive glazing for every day(autonomous)driving contexts.Methods Reflecting on the literature,we describe an engineering psychology practice and the design of six novel future user scenarios,which envision the application of a specific set of augmented reality(AR)support user interactions.Additionally,we conduct evaluations on specific scenarios and experiential prototypes,which reveal that these AR scenarios aid the target user groups in experiencing a new type of interaction.The overall evaluation is positive with valuable assessment results and suggestions.Conclusions This study can interest applied psychology educators who aspire to teach how AR can be operationalized in a human-centered design process to students with minimal pre-existing expertise or minimal scientific knowledge in engineering psychology. 展开更多
关键词 Augmented reality interactive glazing Engineering psychology Car human-machine interface Human-computer interaction Human-centered design User experience Generation Z
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Meta-SEE:Intelligent and Interactive Learning Framework for Software Engineering Education Based on Metaverse and Metacognition
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作者 Jianguo Chen Mingzhi Mao +2 位作者 Neng Zhang Leqiu Wang Zibin Zheng 《计算机教育》 2023年第12期11-21,共11页
With the rapid evolution of technology and the increasing complexity of software systems,there is a growing demand for effective educational approaches that empower learners to acquire and apply software engineering s... With the rapid evolution of technology and the increasing complexity of software systems,there is a growing demand for effective educational approaches that empower learners to acquire and apply software engineering skills in practical contexts.This paper presents an intelligent and interactive learning(Meta-SEE)framework for software engineering education that combines the immersive capabilities of the metaverse with the cognitive processes of metacognition,to create an interactive and engaging learning environment.In the Meta-SEE framework,learners are immersed in a virtual world where they can collaboratively engage with concepts and practices of software engineering.Through the integration of metacognitive strategies,learners are empowered to monitor,regulate,and adapt their learning processes.By incorporating metacognition within the metaverse,learners gain a deeper understanding of their own thinking processes and become self-directed learners.In addition,MetaSEE has the potential to revolutionize software engineering education by offering a dynamic,immersive,and personalized learning experience.It allows learners to engage in realistic software development scenarios,explore complex systems,and collaborate with peers and instructors in virtual spaces. 展开更多
关键词 interactive learning framework Metaverse METACOGNITION Software engineering education
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A Study on Gender Differences in Speech Interaction Behaviors of Preschool Teachers-Based on the Improved Flanders Interactive Analysis System(iFIAS)
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作者 Weiyao XIAO 《Sino-US English Teaching》 2023年第12期493-500,共8页
The issue of the extremely imbalanced gender ratio in preschool teachers has received widespread attention,and there are few studies on teacher-child verbal interaction behavior based on gender differences in preschoo... The issue of the extremely imbalanced gender ratio in preschool teachers has received widespread attention,and there are few studies on teacher-child verbal interaction behavior based on gender differences in preschool teachers.This article takes the“Little Light Bulb Is On”,a scientific exploration activity done by 5-6 years old kindergarten students as an example,and uses the improved Flanders Interaction Analysis System(iFIAS)as a tool to analyze the speech interaction behavior of male and female preschool teachers.The research results indicate that there are gender differences in teacher child language interaction between male and female teachers in terms of the atmosphere,the teaching structure,the teaching tendency,the way of raising questions,and the overall trend of interaction. 展开更多
关键词 verbal interaction gender differences Flanders interactive Analysis System kindergarten science activities
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Optimization of Interactive Videos Empowered the Experience of Learning Management System
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作者 Muhammad Akram Muhammad Waseem Iqbal +3 位作者 M.Usman Ashraf Erssa Arif Khalid Alsubhi Hani Moaiteq Aljahdali 《Computer Systems Science & Engineering》 SCIE EI 2023年第7期1021-1038,共18页
The Learning management system(LMS)is now being used for uploading educational content in both distance and blended setups.LMS platform has two types of users:the educators who upload the content,and the students who ... The Learning management system(LMS)is now being used for uploading educational content in both distance and blended setups.LMS platform has two types of users:the educators who upload the content,and the students who have to access the content.The students,usually rely on text notes or books and video tutorials while their exams are conducted with formal methods.Formal assessments and examination criteria are ineffective with restricted learning space which makes the student tend only to read the educational contents and videos instead of interactive mode.The aim is to design an interactive LMS and examination video-based interface to cater the issues of educators and students.It is designed according to Human-computer interaction(HCI)principles to make the interactive User interface(UI)through User experience(UX).The interactive lectures in the form of annotated videos increase user engagement and improve the self-study context of users involved in LMS.The interface design defines how the design will interact with users and how the interface exchanges information.The findings show that interactive videos for LMS allow the users to have a more personalized learning experience by engaging in the educational content.The result shows a highly personalized learning experience due to the interactive video and quiz within the video. 展开更多
关键词 User interface user experience learning management system linear nonlinear video interactive video visual design
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Interactive Approaches in ESL Teaching and Its Application
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作者 WANG Jialing 《Sino-US English Teaching》 2023年第3期85-89,共5页
Traditionally,second language reading was considered as a simple passive decoding process.However,researchers began to study the issue from the psycholinguistic perspectives,and proposed the interactive approach to ES... Traditionally,second language reading was considered as a simple passive decoding process.However,researchers began to study the issue from the psycholinguistic perspectives,and proposed the interactive approach to ESL reading.In this thesis,a brief review is made concerning the related theories.Some strategies are suggested to improve learners’ability in top-down and bottom-up models.Finally,it is pointed out that these two models interact in the reading process,and therefore the teaching methods should also be applied in good combination to improve reading. 展开更多
关键词 READING interactive approach TEXT DECODING
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Biological Interaction and Imaging of Ultrasmall Gold Nanoparticles
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作者 Dongmiao Sang Xiaoxi Luo Jinbin Liu 《Nano-Micro Letters》 SCIE EI CSCD 2024年第3期69-98,共30页
Ultrasmall gold nanoparticles(AuNPs)typically includes atomically precise gold nanoclusters(AuNCs)and AuNPs with a core size below 3 nm.Serving as a bridge between small molecules and traditional inorganic nanoparticl... Ultrasmall gold nanoparticles(AuNPs)typically includes atomically precise gold nanoclusters(AuNCs)and AuNPs with a core size below 3 nm.Serving as a bridge between small molecules and traditional inorganic nanoparticles,the ultrasmall AuNPs show the unique advantages of both small molecules(e.g.,rapid distribution,renal clearance,low non-specific organ accumulation)and nanoparticles(e.g.,long blood circulation and enhanced permeability and retention effect).The emergence of ultrasmall AuNPs creates significant opportunities to address many challenges in the health field including disease diagnosis,monitoring and treatment.Since the nano–bio interaction dictates the overall biological applications of the ultrasmall AuNPs,this review elucidates the recent advances in the biological interactions and imaging of ultrasmall AuNPs.We begin with the introduction of the factors that influence the cellular interactions of ultrasmall AuNPs.We then discuss the organ interactions,especially focus on the interactions of the liver and kidneys.We further present the recent advances in the tumor interactions of ultrasmall AuNPs.In addition,the imaging performance of the ultrasmall AuNPs is summarized and discussed.Finally,we summarize this review and provide some perspective on the future research direction of the ultrasmall AuNPs,aiming to accelerate their clinical translation. 展开更多
关键词 Ultrasmall gold nanoparticle Cellular interaction Organ interaction Tumor interaction BIOIMAGING
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Role of intelligent/interactive qualitative and quantitative analysisthree-dimensional estimated model in donor-recipient size mismatch following deceased donor liver transplantation
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作者 Han Ding Zhi-Guo Ding +5 位作者 Wen-Jing Xiao Xu-Nan Mao Qi Wang Yi-Chi Zhang Hao Cai Wei Gong 《World Journal of Gastroenterology》 SCIE CAS 2023年第44期5894-5906,共13页
BACKGROUND Donor-recipient size mismatch(DRSM)is considered a crucial factor for poor outcomes in liver transplantation(LT)because of complications,such as massive intraoperative blood loss(IBL)and early allograft dys... BACKGROUND Donor-recipient size mismatch(DRSM)is considered a crucial factor for poor outcomes in liver transplantation(LT)because of complications,such as massive intraoperative blood loss(IBL)and early allograft dysfunction(EAD).Liver volumetry is performed routinely in living donor LT,but rarely in deceased donor LT(DDLT),which amplifies the adverse effects of DRSM in DDLT.Due to the various shortcomings of traditional manual liver volumetry and formula methods,a feasible model based on intelligent/interactive qualitative and quantitative analysis-three-dimensional(IQQA-3D)for estimating the degree of DRSM is needed.AIM To identify benefits of IQQA-3D liver volumetry in DDLT and establish an estimation model to guide perioperative management.METHODS We retrospectively determined the accuracy of IQQA-3D liver volumetry for standard total liver volume(TLV)(sTLV)and established an estimation TLV(eTLV)index(eTLVi)model.Receiver operating characteristic(ROC)curves were drawn to detect the optimal cut-off values for predicting massive IBL and EAD in DDLT using donor sTLV to recipient sTLV(called sTLVi).The factors influencing the occurrence of massive IBL and EAD were explored through logistic regression analysis.Finally,the eTLVi model was compared with the sTLVi model through the ROC curve for verification.RESULTS A total of 133 patients were included in the analysis.The Changzheng formula was accurate for calculating donor sTLV(P=0.083)but not for recipient sTLV(P=0.036).Recipient eTLV calculated using IQQA-3D highly matched with recipient sTLV(P=0.221).Alcoholic liver disease,gastrointestinal bleeding,and sTLVi>1.24 were independent risk factors for massive IBL,and drug-induced liver failure was an independent protective factor for massive IBL.Male donor-female recipient combination,model for end-stage liver disease score,sTLVi≤0.85,and sTLVi≥1.32 were independent risk factors for EAD,and viral hepatitis was an independent protective factor for EAD.The overall survival of patients in the 0.85<sTLVi<1.32 group was better compared to the sTLVi≤0.85 group and sTLVi≥1.32 group(P<0.001).There was no statistically significant difference in the area under the curve of the sTLVi model and IQQA-3D eTLVi model in the detection of massive IBL and EAD(all P>0.05).CONCLUSION IQQA-3D eTLVi model has high accuracy in predicting massive IBL and EAD in DDLT.We should follow the guidance of the IQQA-3D eTLVi model in perioperative management. 展开更多
关键词 Intelligent/interactive qualitative and quantitative analysis-three-dimensional Donor-recipient size mismatch Intraoperative blood loss Early allograft dysfunction
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