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This study investigates the influence of generative artificial intelligence (GAI) on university students' learning outcomes, employing a technology-mediated learning perspective. We developed and empirically tested an integrated model, grounded in interaction theory and technology-mediated learning theory, to examine the relationships between GAI interaction quality, GAI output quality, and learning outcomes. The model incorporates motivational factors (learning motivation, academic self-efficacy, and creative self-efficacy) as mediators and creative thinking as a moderator. Data from 323 Chinese university students, collected through a two-wave longitudinal survey, revealed that both GAI interaction quality and output quality positively influenced learning motivation and creative self-efficacy. Learning motivation significantly mediated the relationship between GAI output quality and learning outcomes. Furthermore, creative thinking moderated several pathways within the model, with some variations observed across the two time points. These findings provide theoretical and practical insights into the effective integration of GAI tools in higher education, highlighting the importance of both interaction and output quality in optimizing student learning experiences.
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http://dx.doi.org/10.1038/s41598-025-08697-6 | DOI Listing |
Bone Marrow Transplant
September 2025
Clinical Hematology Department, Institut Català d'Oncologia-Hospitalet, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), University of Barcelona, Barcelona, Spain.
For over two decades, the EBMT has updated recommendations on indications for haematopoietic cell transplantation (HCT) practice based on clinical and scientific developments in the field. This is the ninth special EBMT report on indications for HCT for haematological diseases, solid tumours and immune disorders. Our aim is to provide guidance on HCT indications according to prevailing clinical practice in EBMT countries and centres.
View Article and Find Full Text PDFEcotoxicol Environ Saf
September 2025
Chongqing Ecological and Environmental Monitoring Center, Chongqing 401147, PR China. Electronic address:
Plastics degradation generates microplastics (MPs), posing a risk to soil function and organisms. Currently, the impact of MPs derived from different polymers remains poorly understood. In this study, the effects of three polymers (polypropylene (PP), polylactic acid (PLA), and polybutylene adipate terephthalate (PBAT)) were investigated at environmentally relevant levels (0, 0.
View Article and Find Full Text PDFEur Heart J Cardiovasc Imaging
September 2025
Department of Diagnostic and Interventional Radiology, University Hospital Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.
Aims: Fetal circulation undergoes complex changes in congenital heart disease (CHD) that are challenging to assess with fetal echocardiography. This study aimed to assess clinical feasibility and diagnostic value of 4D flow cardiac magnetic resonance (CMR) in fetal CHD.
Methods And Results: Pregnant women in advanced third trimester pregnancy with fetal CHD were prospectively recruited for fetal CMR between 08/2021 and 11/2024.
PLoS One
September 2025
School of Emergency Technology, Guangzhou Vocational College of Technology and Business, Guangzhou, China.
Under China's national sustainability strategy, the logistics industry is confronted with the imperative of high-quality green development. Given its status as the leading economic province and a national logistics hub, investigating green logistics development in Guangdong province holds paramount strategic importance. To comprehensively evaluate green logistics development efficiency of 21 cities in Guangdong from 2016 to 2022, this study employed the super-efficiency slacks-based measure model (Super-SBM) with undesirable outputs, the Global Malmquist-Luenberger (GML) productivity index and a four-quadrant analysis based on static and dynamic efficiency.
View Article and Find Full Text PDFPLoS One
September 2025
Department of Rehabilitation Sciences, KU Leuven, Leuven, Belgium.
Objective: This study investigates the mechanisms behind exercise capacity in adults with type 2 diabetes mellitus (T2DM), focusing on central and peripheral components, as described by the Fick equation.
Methods: A cross-sectional study of 141 adults with T2DM was conducted, using cardiopulmonary exercise testing, near-infrared spectroscopy (NIRS) and exercise echocardiography. Participants with sufficient-quality NIRS data were stratified into tertiles based on percentage predicted VO₂peak.