Building a Corporate Social Responsibility Indicator in View of the Covid-19 Pandemic Based on Selected International Experiences

Purpose: The focus of the research is to establish corporate social responsibility (CSR) indicator that is compatible with the Iraqi environment in light of the Covid-19 pandemic, based on previous international experiences (Egypt, Sweden, the United States of America, the Global Reporting Initiative (GRI).   Theoretical framework: confirming the importance of developing an indicator to disclosure of social responsibility (DSR) that economic units can adopt in light of the pandemic.   Design/methodology/approach: The research sample consists of 32 private Iraqi banks that are listed on the Iraq Stock Exchange and have made contributions to combating the pandemic, whether by financial donations or deferring payment of installments owed to them. The media material of these banks' financial reports for the year 2019-2020 was examined, which are the years when the Covid-19 pandemic's impacts were exposed.   Findings: The study finds a discrepancy in DSR among the banks in the research sample, with only (11) banks DSR according to the proposed model, that is to say (34.3 %) of the banks in the research sample,   Research, Practical & Social implications: evidenced by extrapolation of the announced indicators in the Iraqi market for securities, the absence of an indicator for DSR despite its importance in light of the Covid-19 pandemic and the consequences on multiple levels, because CSR expresses the extent of an economic unit's ethical commitment to society through participation in social activities.   Originality/value: highlight of the Covid-19 pandemic and the consequences on multiple levels through Building a model for DS

Evaluation of the quality of life in patients with coronary heart disease: using two measuring assessment tools

Background: Coronary heart diseases (CHD) are considered to be as a major cause of morbidity and mortality worldwide. Health-Related Quality of Life (HRQL) test and assessment is considered as a major an important measuring tool of the disease effects results and other variables related to the patient’s life.Objectives: The purpose of this observational study is to assess and compare the quality of life in patients with coronary heart disease.Materials and Methods: This study was conducted at Al-shaab Teaching Hospital, where 100 patients with definite diagnosis of CHD were responded. The data was collected using two quality of life assessment tools: the Seattle angina questionnaire (SAQ) (disease specific measuring tool) and the SF-36 questionnaire (generic measuring tool).Results: Based on the 1) SAQ, out of the 50 patients who were recruited, the patients physical functioning in terms of activities performed 58% said “not limited” and 42% said “limited” in case of chest pain 26% noted “much more often” while 10% “much less often” Based on the 2) SF-36, out of the 50 patients who were recruited, the patients physical functioning in terms of activates performed 26% said “no, not limited” and 74% said “limited”. 34% had felt full of life “all the time” while 10% “none of the time”.Conclusion: HRQL measurement gives health care providers an additional tool for the assessment of the impact of specific clinical decisions on the health status of patients. Of the SAQ and SF-36, the SAQ offers more reliable assessment of quality of life.Keywords: Coronary heart Disease, measuring assessment tool

A Systemic functional exploration of translation: an appraisal corpus-linguistic approach

Firstly, by building on the missing, limited, misleading, ambiguous, and sometimes erroneous translations of some power-related appraisal adjectives found in English-Arabic dictionaries, the present study aims to contribute to the field of lexicography, and to serve as a guiding image to help translators and language tutors in understanding or choosing appraisal adjectives in English and Arabic. From even a quick glance through dictionaries, one can see that most common words have dozens of meanings and that it is impossible to try all of these meanings each time we read a word. This study offers some helping clues in uncovering patterns of usage and variation that cannot be obtained from consulting reference resources such as dictionaries and grammars. Secondly, this thesis is the first corpus-based study of its kind that adds a different scope to what might be called ‘appraisal theory’ applied to the Arabic language. It is surprising that linguistic researchers have not attempted to analyse ‘appraisal’ in the Arabic language given that there are a rich variety of Arabic lexical words available for describing evaluation. Though Arabic and English are two distinct languages, the study reveals remarkable similarities with respect to degree adverbs. Thirdly, the study also explores some crucial issues regarding ‘possibility’ and ‘necessity’ as two basic elements in the study of ‘modality’ – a major carrier of appraisal/evaluation. It is argued that translating the meaning of ‘modality’ has not been as comprehensively documented as most researchers have assumed. This thesis presents different choices for translating ‘possibility’ and ‘necessity’. In other words, this study provides different realizations at the level of modal meanings in Arabic, e.g. verbs, adverbs, adjectives and articles

Emotions mediate the relationship between autistic traits and disordered eating: A new autistic-emotional model for eating pathology

The aim of the study was to assess the extent of overlap between autistic traits, body dissatisfaction and disordered eating and to explore the mediating effects of negative attitudes towards emotional expression and emotion dysregulation. The sample comprised 416 university students (82% females, 17 to 48 years [M = 19.76, SD = 3.85]), who completed an online questionnaire assessing eating attitudes and behaviours (including dieting, bulimia and oral control), body dissatisfaction, and autistic traits (including the Autism Quotient [AQ] and its related subscales as well as the Empathising Quotient). Attitudes towards emotional expression and emotion regulation were also assessed. Results revealed that eating pathology correlated highly with all AQ subscales, with the exception of the attention to detail subscale. However, there was no significant relationship between empathising and eating pathology. Path-analyses indicated that emotion dysregulation, but not negative attitudes towards emotional expression, was a significant mediator of the relationship between AQ, body dissatisfaction and eating pathology. Direct relationships were also obtained for the AQ-bulimia and the AQ-oral control paths. Prevention and early intervention programs for eating pathology would likely benefit from addressing abnormalities in emotion processes in individuals who score highly on measures of autistic traits

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

Drugs targeting the NO-sGC-cGMP pathway in the treatment of patients with COPD-associated pulmonary hypertension: a systematic review

BackgroundPulmonary hypertension (PH) due to chronic obstructive pulmonary disease (COPD) is categorized as group 3 PH and is associated with increased mortality and morbidity. Currently, there are no approved therapies for those who have PH secondary to COPD due to conflicting evidence. Therefore, this systematic review aims to summarize the current evidence on the effectiveness of drugs targeting the nitric oxide (NO)-soluble guanylate cyclase (sGC)-cyclic guanosine monophosphate (cGMP) pathway on clinical outcomes among patients with COPD-associated PH.MethodsWe conducted a comprehensive search of electronic databases, including Embase, Medline, Cochrane, and Scopus, from inception to 1 February 2024. Studies investigating the efficacy of drugs targeting the NO-sGC-cGMP pathway on clinical outcomes in patients with COPD-associated PH were included. Exclusion criteria encompassed case reports, systematic reviews, review articles, conference abstracts with no full text, non-full-text articles, non-English manuscripts, opinion articles, and book chapters. Two distinct Cochrane risk-of-bias tools designed for randomized and non-randomized clinical trials were used to evaluate the risk of bias within the selected studies for inclusion.ResultsFourteen studies, comprising a total of 567 adult patients diagnosed with PH secondary to COPD, met the inclusion criteria and were included in this systematic review. Among these, nine studies reported significant improvements in clinical parameters related to pulmonary hemodynamics. Improvement in exercise capacity was observed in four out of seven studies. Three studies evaluated dyspnea severity and quality of life following treatment with agents targeting the NO-sGC-cGMP pathway. Of these, three demonstrated improvement in dyspnea severity while two reported enhancements in health-related quality of life. Substantial heterogeneity was evident regarding the potential of pharmacological agents targeting the NO-sGC-cGMP pathway to enhance gas exchange, lung function, and arterial oxygenation in COPD patients with concurrent PH.ConclusionThe short-term use of oral drugs targeting the NO-sGC-cGMP pathway, particularly sildenafil, demonstrates promising potential for enhancing pulmonary hemodynamics, exercise capacity, dyspnea severity, and health-related quality of life but not lung function and oxygenation status in adult patients with COPD-associated PH. Further double-blind, randomized, placebo-controlled trials are needed to assess the therapeutic benefits of agents targeting the NO-sGC-cGMP pathway, particularly inhaled therapies for managing PH due to COPD.Systematic Review Registrationhttps://www.crd.york.ac.uk/prospero/#recordDetails, CRD42023453503

Choroidal ischemia as one cardinal sign in giant cell arteritis

Purpose: To describe chorioretinal signs in a case series of Giant Cell Arteritis (GCA). Methods: This is a multicenter retrospective observational case series with GCA that presented with a headache and an abrupt, unilateral loss in vision. Workup included temporal artery biopsies, intravenous fluorescein angiography, optical coherence tomography (OCT), optical coherence tomography angiography (OCTA), blood levels of erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP). Results: There are a total of 8 GCA instances presented. Average age was 74.5. (Range 68–83 years). The patients reported that one eye's visual loss had suddenly started, along with a fresh headache and other systemic symptoms. Eight patients exhibited choroidal ischemia, five paracentral acute middle maculopathy (PAMM) lesions, five cotton wool spots, four anterior ischemic optic neuropathy, and one central retinal arterial occlusion at the time of presentation. The average ESR at presentation was 68 mm/hr (range 4–110), and 4/6 individuals had a significant increase. The mean CRP level was 6.2 mg/dL (range 2.0–15.4), and the level was always over the normal range. All patients' temporal artery biopsies were positive. Conclusion: Alongside PAMM lesions, cotton wool spots, anterior ischemic optic neuropathy, and central retinal artery occlusion, choroidal ischemia is a key angiographic indicator in the diagnosis of GCA. It may be crucial to recognize these typical ischemic chorioretinal signs while diagnosing GCA. © 2022, The Author(s)

Laparoscopy in management of appendicitis in high-, middle-, and low-income countries: a multicenter, prospective, cohort study.

BACKGROUND: Appendicitis is the most common abdominal surgical emergency worldwide. Differences between high- and low-income settings in the availability of laparoscopic appendectomy, alternative management choices, and outcomes are poorly described. The aim was to identify variation in surgical management and outcomes of appendicitis within low-, middle-, and high-Human Development Index (HDI) countries worldwide. METHODS: This is a multicenter, international prospective cohort study. Consecutive sampling of patients undergoing emergency appendectomy over 6 months was conducted. Follow-up lasted 30 days. RESULTS: 4546 patients from 52 countries underwent appendectomy (2499 high-, 1540 middle-, and 507 low-HDI groups). Surgical site infection (SSI) rates were higher in low-HDI (OR 2.57, 95% CI 1.33-4.99, p = 0.005) but not middle-HDI countries (OR 1.38, 95% CI 0.76-2.52, p = 0.291), compared with high-HDI countries after adjustment. A laparoscopic approach was common in high-HDI countries (1693/2499, 67.7%), but infrequent in low-HDI (41/507, 8.1%) and middle-HDI (132/1540, 8.6%) groups. After accounting for case-mix, laparoscopy was still associated with fewer overall complications (OR 0.55, 95% CI 0.42-0.71, p < 0.001) and SSIs (OR 0.22, 95% CI 0.14-0.33, p < 0.001). In propensity-score matched groups within low-/middle-HDI countries, laparoscopy was still associated with fewer overall complications (OR 0.23 95% CI 0.11-0.44) and SSI (OR 0.21 95% CI 0.09-0.45). CONCLUSION: A laparoscopic approach is associated with better outcomes and availability appears to differ by country HDI. Despite the profound clinical, operational, and financial barriers to its widespread introduction, laparoscopy could significantly improve outcomes for patients in low-resource environments. TRIAL REGISTRATION: NCT02179112

Biomass Mediated Synthesis of ZnO and ZnO/GO for the Decolorization of Methylene Blue under Visible Light Source

: In this study, zinc oxide (ZnO) as well as ZnO/GO (zinc oxide/graphene oxide) were successfully synthesized. The Carica papaya leaf extract was used to synthesize ZnO and oil palm empty fruit bunch biomass to obtain graphene, which was further used to obtain graphene oxide. The samples were characterized through a variety of analytical methods such as scanning electron microscopy, transmission electron microscopy, X-ray diffraction analysis, Fourier transform infrared spectroscopy and UV–Visible spectroscopy in order to understand their morphology, size, structural phase purity, functional groups and optical properties. Various peaks such as O-H, Zn-OH and Zn-O were found in the case of ZnO. Some additional peaks, such as C-C and C=C, were also been detected while analyzing the sample by Fourier-transform infrared spectroscopy. The results of the XRD and SEM studies demonstrated that the synthesized material shows the crystalline nature of the substance in the case of ZnO, and the crystallinity decreases for ZnO/GO. The average crystallite size was found to 80.0 nm for ZnO and 74.0 nm for ZnO/GO. Further, a red shift was shown in the case of ZnO/GO, which was indicated by the UV–Vis absorption spectrum. In the TEM analysis, the particles were shown to be nanosized. For instance, the highest number of particles was found in the range of 100 to 120 nm in the case of ZnO, while 80–100 nm sized particles were found for ZnO/GO. Using synthesized ZnO and ZnO/GO, the decolorization of methylene blue was found to be 64% and 91%, respectively