The English Language Use in Audit Firms: The Case of PWC Nearshore in Morocco

This work examines the use of the English language by the employees of PWC Nearshore, a firm deployed in Morocco and which manages only French companies’ files. The main purpose of this study is to explore whether this multilingual character constitutes a strength or a risk for the firm's activity and development. The methodology of this work is based on group interviews with the auditors who had spent at least a year in PWC firm. The questions asked are related to all the interactions and acts carried out using English (e.g. trainings, missions, handling software, etc.). We concluded that the existence of a business platform developed in English and the mandatory e-learning in English are the main elements promoting the use of English in a French firm whose clients are all French. However, managers must set up language training for auditors who all come from academic curriculum entirely acquired in French

Measuring Serum Lactate in Sepsis

Problem: Sepsis is the leading cause of hospitalized deaths in the United States and the leading cause of hospital readmissions. Each year, approximately 1.7 million Americans develop sepsis, and nearly 270,000 die due to sepsis. The purpose of this quality improvement project was to evaluate the acquisition time of initial and repeat lactate levels once a sepsis bundle was activated. Methods: This quality improvement project used an observational, descriptive design utilizing a retrospective medical record review and the Plan-Do-Study-Act (PDSA) to evaluate code sepsis activations in a Midwestern, suburban, Level II trauma ED from November 1st, 2020, through January 31st, 2021. All adults, 18-years of age or older, and patients who met at least two of the SIRS criteria were included. Results: A two-tailed paired samples z-test was conducted to compare acquisition times of the initial and repeat lactate levels. The result was significant based on an alpha value of 0.05 (z = -5.82, p \u3c .001). A two proportions z-test was conducted to compare the ED repeat lactate acquisition time to the inpatient acquisition time for each month. Based on an alpha value of 0.05, in November and December, the result was significant (z = 4.36, p \u3c .001, 95%). In January, the result was not significant (z = -0.33, p = .744, 95%). Implications: The initial lactate was drawn nearly two-hours after activation and repeat lactates nearly four-hours from the initial lactate acquisition. This did not meet recommendations by the Surviving Sepsis Campaign (SSC). The initiation of a reflexing repeat lactate three-hours after abnormal initial lactate may be helpful

The Powerful Healing Effect of Traditional Medicine for The Treatment of Certain Chronic Diseases: One of The Means To Better Defeat Covid-19

Health is one of the greatest blessings a person can have, and it is priceless. Traditional medicine has always been and remains an important practice for human health. In all regions of the world, popular knowledge has acquired its own experiences in traditional medicine which are passed on from generation to generation and which have generated wonders in terms of innovation of effective traditional remedies which bear the fruit of the healing. After the release of the novel Covid-19 virus, several research studies have focused on the study of medicinal plants that fall under traditional Chinese or Indian medicine or others around the world, to try to put in place remedies against this virus. Chronic Diseases kill millions of people around the world every year. These diseases cause a weakening of the immune system in people who have them. As a result, health experts have classified those affected by these diseases as being among the most at risk in the event of contracting Covid-19. It is therefore obvious that preventing and combating chronic diseases helps to better cope with this Virus or others that may arise in the future. In this humble work, we have tried to make a small contribution that could help fight Covid-19. In the light of actual practices supported by bibliographic research, we try to recall some orientations of natural treatments against certain widespread chronic diseases namely: type 2 diabetes; arthritis and weak immune system (particular case of a low white blood cell count). The results of these treatments are very promising for healing and recovery; which opens doors of hope for those who are affected. Moreover, this subject deserves serious investigations through Research for a better consolidation of these therapies

Skin involvement as the presenting sign of a male breast cancer

Male breast cancer is a rare disease with an unknown etiopathogenesis. We report a case of a 50-year-old man with a breast cancer revealed by skin involvement

Load sediments quantification in Algerian North-West basins by ANN (Artificial Neurons Network) method

Due to the complexity of basins morphometric parameters and the hydroclimatic irregularity of the semi-arid regions of North Africa, solid transport has been still far from being clearly assessed. This study attempts to shed light on this problem; in order to conceive a global model for the suspended sediment load quantification, taking into account all stream waters of the North-West area of Algerian. The calculation is based on the use of the ANN artificial neurons network method, which has proven its success and its reliability in several fields of research. The collected data are measured in hydrometric stations of several basins, such as Cheliff, Tafna, Macta, and Oran’s basins. The results obtained using the ANN method are sufficiently reliable, the best correlations were obtained for each studied stream water exceeding 97% (specific model to each station), and 90% in the case of a global model characterizing for all studied stations, which allows the extracted model to give better estimation of the suspended solid flow rates for any measured liquid flow rate of the north-west Algerian basins