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Pseudoxanthoma elasticum-like papillary dermal elastolysis is a rare, benign, acquired, gradually-developing chronic elastic tissue disorder that almost exclusively affects post-menopausal women. It is essential to recognize this disease as it mimics the inherited pseudoxanthoma clinically. The pathophysiology behind this disease is multifactorial; it includes intrinsic skin aging, ultraviolet radiation exposure, and genetic components. We report two patients with pseudoxanthoma elasticum-papillary dermal elastolysis diagnosis based on clinicopathologic correlation in two post-menopausal women who presented with multiple asymptomatic papules over the neck that developed gradually without systemic involvement, and were managed conservatively. We also discuss this disease's clinical, dermoscopic, and histopathologic features.

Purpose: To explore the effect of adding an allogeneic soft tissue graft at the time of single implant placement using a fully digital workflow for implant placement and restoration without making either analog or digital impressions. Materials and Methods: A prospective randomized clinical study was performed enrolling 39 participants requiring single-tooth implants. The patients were randomized into one of two groups: (1) the graft group, which received an allogeneic dermal graft at the time of implant placement (n = 19), or (2) the nongraft group (n = 20). A fully digital surgical and restorative protocol was implemented for both groups. Intraoral scans were taken before implant placement (T0), at the time of final crown delivery (T1), and 1 year after placement (T2). Intraoral scans were aligned using Geomagic Control X 2020 software, and linear and volumetric changes in buccal tissues were measured at T0, T1, and T2. Implant survival, probing depths (PDs), and complications were recorded. Participants were asked to complete an Oral Health Impact Profile (OHIP)-14 survey at T0 and T2. Marginal bone levels were measured at T0 and T2 on periapical radiographs. Results: Overall, 39 participants completed surgery and restoration in the incisor, canine, premolar, and molar sites. Two early failures were recorded in central incisor positions (95% survival). Crown delivery without complication from the digital workflow (impressionless) was achieved for 36 out of 39 cases (92%), and implant depth control was the main challenge. At 1 year, 37 participants attended the follow-up appointment. Both groups showed gain in buccal tissue thickness without significant differences between the two groups for both linear and volumetric measurements (P > .05). Soft tissue grafting was associated with minimal added morbidity. The interproximal marginal bone changes were recorded as follows: -0.16 mm mesial and -0.12 mm distal for the graft group and -0.01 mm mesial and -0.11 mm distal for the nongraft group (P = .07 for mesial and .83 for distal). The OHIP score was significantly reduced at T2 compared to T0 (P = .003) for the entire cohort. Conclusions: Augmentation of the alveolar mucosa on the buccal aspect of single-tooth implants is associated with clinically favorable outcomes. A fully digital workflow has been validated to permit crown delivery on CAD/CAM abutments without implant impressions. [ABSTRACT FROM AUTHOR]

Background: Anosmia and dysgeusia are symptoms associated with COVID-19 infection following the announcement of the disease as a pandemic. Moreover, there is no effective treatment for the disease. Garlic is a well-known herb with antimicrobial and antiviral properties. This study evaluates the potential therapeutic effect of garlic consumption on reducing the recovery time from anosmia and dysgeusia symptoms among participants with COVID-19. Methods: 388 Jordanian participants with COVID-19 infection were enrolled in an online computer-assisted web survey during the period from 20th September 2021 to 20th January 2022. The survey consisted of three constructs; socio-demographic profile, symptoms associated with COVID-19, and frequency of garlic and onion consumption used during the infection. Results: The results of this study showed that almost half of the participants were between 20-40 (193, 49.7%); most of them complained about fever, fatigue, anosmia, and dysgeusia and used onion (20, 93%) and garlic (29, 23%) to alleviate symptoms of the disease. In total, 40.7% of garlic-using participants recovered from anosmia within the first 11-15 days, whereas 35.3% recovered between 6-10 days. Results also revealed that there was no correlation between garlic consumption and recovery from dysgeusia. Hence, there was a weak inverse association between garlic consumption and recovery time from anosmia. Conclusion: The authors concluded that consumption of garlic will enhance immune system during the fight against COVID-19. There is need for further study to identify the proper amount of garlic consumption to relieve anosmia symptoms during COVID-19.

Background: Food insecurity (FI) is a public health issue which is receiving increasing attention in many countries. In responding to sustainable development goals, achieving food security is of essential importance. This study aims to demonstrate the level of food insecurity among postgraduate students at Jerash University/Jordan, discuss the most important factors associated with it, and show its relation to the student's academic performance. Methods: A random sample of 126 postgraduate students has been interviewed in this cross-sectional study. The level of FI for the study sample was determined using the 10-item US Adult Household Food Security Scale Module (HFSSM). The association between students’ characteristics and their food security (FS) level was analyzed through chi-square test and a multivariate regression method. Results: The results of the study revealed that 67% had marginal or fragile food security level, 25% were highly food secure, and 8% of the sample suffered from food insecurity. The results showed that the association between food security and students' gender and age was insignificant (P > 0.05). As for the rest of the associated characteristics, there was a significant relationship between the students' food security and their marital status, family size, stable-income work, and their monthly income. Conclusion: A percentage of postgraduate students suffer from food insecurity, which is an important obstacle to their academic progress. Moreover, the level of food security is related to the student's marital status, family size, job with stable income, and the amount of monthly income.

Objectives: The study aimed to investigate the impact of using mental imagery exercises in teaching crawl swimming. Methods: The experimental approach was adopted for its suitability to the nature of the study. The study sample consisted of 30 male students enrolled in the swimming course (1) for the second semester of the academic year 2020-2021 at the College of Sports Sciences, Mu'tah University. They were purposefully selected and randomly assigned to two equally matched groups. The experimental group, comprising 15 students, utilized a proposed educational program accompanied by mental imagery exercises, while the control group, also consisting of 15 students, followed a standard educational program. The implementation of the educational program lasted for 8 weeks, with two instructional sessions per week and a total of 16 instructional units. Results: There were statistically significant differences at a significance level (≥ α 0.05) in teaching crawl swimming between the two groups in dimensional measurement, in favor of the experimental group, indicating the impact of using mental imagery exercises in teaching prone crawl swimming compared to the control group. The effect size ranged from 25.31% to 15.77%. The results also showed no statistically significant differences at a significant level (≥ α 0.05) between the two groups according to the "arm movements" test. Conclusions: It is recommended to incorporate mental imagery exercises into the instructional program for teaching the front crawl swimming technique, as they have a positive impact on improving and expediting the learning process. The use of mental visualization exercises for motor skills requiring more precise motor coordination and conducting studies and scientific research on different types of swimming and more complex skills, is recommended.

الأهداف: تهدف الدراسة إلى بيان المدلول القانوني لعقد الوعد ببيع البناء على الخريطة في ظل قانون الملكية العقارية الأردني، وتحديد أهم الضمانات التي تكفل حق المشتري إذا أخل البائع في تنفيذ التزاماته. المنهجية: اعتمدت الدراسة المنهج التحليلي الوصفي، حيث تم دراسة وتحليل النصوص القانونية المتعلقة بالوعد ببيع البناء على الخريطة الواردة في التشريع الأردني، وبيان مدى كفايتها لمواجهة هذا النوع من العقود. النتائج: توصلت الدراسة إلى أن قانون الملكية العقارية الأردني يخلو من معالجة حقيقية للوعد ببيع البناء على الخريطة، سيما فيما يتعلق بتوفير الوسائل التي تضمن حقوق المشتري إذا أخل البائع بتنفيذ التزاماته أو لحمايته من الآثار التي تترتب على إعسار البائع. الخلاصة: توصي الدراسة تعديل قانون الملكية العقارية الأردني، وإدراج أحكام قانونية توفر حماية للمشتري على الخريطة، من خلال ضمان تحويل حقوق الأرض، وملكية البناء من طرف البائع لمصلحة المشتري بالموازاة مع التقدم بالبناء والتشييد، مقابل تنفيذ المشتري لالتزامه، وكذلك ضمان حسن التنفيذ وربطها بكفالة بنكية أو صلاحية الحجز على جزء من قيمة البناء وفق آلية قانونية معينة.

The paving industry has had extraordinary accomplishments with reusing Reclaimed Asphalt Pavement (RAP) in road construction in recent decades. This study presents the influences of using a soy-agent rejuvenator on the extracted aged binder from RAP material. The test method practices include major binder properties such as viscosity, stiffness, and physicochemicals. Different percentages of the soy agent have been used as additives to the reclaimed binder. Based on the analysis results, 10% of soy agent to binder by weight will be the optimal percentage of soy agent for improving the mechanical properties of the rejuvenated asphalt binder for RAP.

Objective: Epstein-Barr Virus-Associated Smooth Muscle Tumor (EBV-SMT) is a rare tumor with a higher rate of occurrence in unusual locations in the setting of immunodeficiency. In this study, we evaluated a cohort of ordinary leiomyosarcomas (LMS) for the presence of EBV and described the clinicopathological features deviating from routinely diagnosed cases of EBV-SMT. Material and Method: The sections of tissue microarrays including 93 classical LMS occurring in various locations were hybridized with EBER and stained for LMP1 antibody using the Leica Bond Autostainer. EBV real-time PCR assay was performed in 2 EBER-positive cases. Results: Among the 93 LMS cases, 2 non-uterine cases (2.2%) were positive for EBER and negative for LMP1, and were referred to as `EBV-positive LMS`. Both were females in their 6th decade without immunosuppression. EBV real-time PCR assay revealed the presence of EBV in one of the cases. Tumors were located in the pancreas and chest wall. Morphologically, tumors were rather myxoid, multinodular, and composed of long fascicles of spindle cells with intermediate- to high-grade features. High mitotic activity and focal necrosis were present, whereas no accompanying lymphocytes were detected. One of the patients developed metastatic disease after 3 years. Conclusion: EBV-positive LMS occurring in immunocompetent patients has features distinct from classical EBV-SMT seen in immunosuppressed patients.

The purpose of this study was to evaluate the impact of important entrepreneurship variables, notably self-concept, work motivation, and risk-taking, on organizational behavior and learning within the setting of Jordan Orange Telecommunication firm. Notably, the research was intended to look at how these factors affect organizational behavior and learning. To evaluate the hypotheses that were proposed in this research, a sample size of 294 people participated in the study, and their data were evaluated and debated. It was shown that an individual's perception of themselves as entrepreneurs, their level of drive at work, and their willingness to take risks all had an impact on developing organizational behavior and organization learning. It became clear that self-concept was the most important component, and that it included aspects such as self-confidence, self-perception, and self-definition. Closely following behind was the concept of work motivation, which included concepts such as self-motivation, extrinsic motivation, the setting of goals, and concentration. Risk-taking was the third key factor, and within this category were subcategories such as risk tolerance and risk perception, as well as expectations surrounding the consequences. The findings showed the possibility for improving organizational behavior and fostering innovation by assisting employees in comprehending the roles they play in their jobs, boosting job motivation, and encouraging a predilection for risk-taking. This can be accomplished by providing employees with training and development opportunities. The study adds fresh insights to a field that merits additional exploration, particularly considering the connection between workload, compensation, and the structural demands that are placed on organizations. The fact that the research concentrated on Jordan Orange Telecommunication company makes it both innovative and of major importance. This is because it can improve both the business's operations as well as the overall quality of the company's goods and services.

The widespread dissemination of fake news on social media has necessitated the development of more sophisticated detection methods to maintain information integrity. This research systematically investigates the effectiveness of different word embedding techniques—TF-IDF, Word2Vec, and FastText—when applied to a variety of machine learning (ML) and deep learning (DL) models for fake news detection. Leveraging the TruthSeeker dataset, which includes a diverse set of labeled news articles and social media posts spanning over a decade, we evaluated the performance of classifiers such as Support Vector Machines (SVMs), Multilayer Perceptrons (MLPs), and Convolutional Neural Networks (CNNs). Our analysis demonstrates that SVMs using TF-IDF embeddings and CNNs employing TF-IDF embeddings achieve the highest overall performance in terms of accuracy, precision, recall, and F1 score. These results suggest that TF-IDF, with its capacity to highlight discriminative features in text, enhances the performance of models like SVMs, which are adept at handling sparse data representations. Additionally, CNNs benefit from TF-IDF by effectively capturing localized features and patterns within the textual data. In contrast, while Word2Vec and FastText embeddings capture semantic and syntactic nuances, they introduce complexities that may not always benefit traditional ML models like MLPs or SVMs, which could explain their relatively lower performance in some cases. This study emphasizes the importance of selecting appropriate embedding techniques based on the model architecture to maximize fake news detection performance. Future research should consider integrating contextual embeddings and exploring hybrid model architectures to further enhance detection capabilities. These findings contribute to the ongoing development of advanced computational tools for combating misinformation.

Commercial vehicles have a significant economic effect by moving goods and services across national borders and around the globe. They are also responsible for most commercial transactions in several industries, including manufacturing, retail, agriculture, and building. Its characteristics, such as heavyweight and big vehicle size, also affect how traffic moves and streams behave. As a result, it adds to growing accident rates, congestion, pollution, and sidewalk deterioration. This paper uses the commercial vehicle survey (CVS) from Michigan state based on different establishments to investigate the pattern movements of commercial vehicles between 1999 and 2017. This study aims to develop predictive commercial vehicle classes through machine learning techniques. This study uses three machine learning methods to predict the Commercial Motor Vehicle (CMV) class (Naive Bayes, Linear SVM, and decision tree). A feature selection study selects the significant attributes for CMV class prediction. The accuracy of the classification prediction model methods was compared through the training and testing phases. The results show that The CVS was successfully used to classify commercial vehicles with accuracy greater than 89 %.

Mesenteric fibromatosis (MF) is a proliferative fibroblastic lesion of the intestinal mesentery. It constitutes 8% of all desmoid tumors, representing 0.03% of all neoplasms. It is benign histologically, although it could infiltrate locally and recur following excision; however, it is free from the potential to metastasize. It is spontaneous or associated with familial adenomatous polyposis (FAP]) mutation as a part of Gardner’s syndrome. This case report discusses the radiological, intraoperative, and histopathological findings from a 45-year-old male patient who presented with abdominal pain and a palpable mass in the left hemiabdomen. The pain was dull and aching, extending to the back and unrelated to any other gastrointestinal symptoms. There was no history of severe weight reduction. Furthermore, he is not a smoker. There were no comorbidities, severe medical diseases, or prior surgical procedures. Computerized tomography revealed a well-defined, lobulated, heterogeneously enhancing altered signal intensity mass at the mesocolon. Ultrasonography of the abdomen showed an intra-abdominal mass. Macroscopic mass characteristics include a well-defined mass measuring 22 × 14 × 11 cm connected to a small intestine segment measuring 21 × 2 × 2 cm. Histopathological and immunohistochemical examinations of the resected tumor, including positive nuclear immunostaining for beta-catenin, confirmed a postoperative diagnosis of desmoid-type fibromatosis. Based on its clinical presentation and computed tomography results, this case demonstrated how desmoid-type fibromatosis of the colon might mimic gastrointestinal stromal tumors (GISTs). Due to the varied therapies and follow-up methods used for these lesions, the differential diagnosis between desmoid-type fibromatosis and GIST is clinically significant.

Fatima Al-Tarawneh,1 Tasneem Ali,1 Ahmad Al-Tarawneh,2 Diala Altwalbeh,1 Esraa Gogazeh,3 Ola Bdair,4 Abdulnaser Algaralleh5 1Department of Allied Medical Sciences, Karak University College, Al-Balqa Applied University, Karak, Jordan; 2Psychology Department, Faculty of Educational Sciences, Mutah University, Mutah, Jordan; 3Department of Allied Medical Sciences, Irbid University College, Al-Balqa Applied University, Irbid, Jordan; 4Department of Allied Medical Sciences, Salt University College, Al-Balqa Applied University, Salt, Jordan; 5Department of Counseling and Special Education, Faculty of Educational Sciences, Mutah University, Mutah, JordanCorrespondence: Diala Altwalbeh, Email diala.tawalbeh@bau.edu.joBackground: For disease management, numerous drugs are prescribed. However, long-term treatment adherence is still unsatisfactory. Culture influences beliefs regarding medication, particularly irrational ideas that affect treatment adherence. The Middle East, notably Jordan, is affected by a lack of awareness of these attitudes with regard to treatment adherence.Objective: Investigating the adherence level among patients with chronic diseases in southern Jordan. To determine whether certain demographic traits, different disease factors, and superstitions have any impact on treatment adherence.Patients and Methods: A cross-sectional study that assessed treatment adherence and superstitious thinking-related health issues were conducted among chronic disease patients who had reviewed intrinsic medicine clinics at the Karak governmental hospital.Results: For 314 participants, treatment adherence was categorized into three levels low-adherent patients made up 27.7% highly-adherent patients made up 49.4%, and the remaining adhered at a medium level. Treatment non-adherence was more common in the elderly and female, according to the chi-square analysis. Additionally, the classification of superstitious beliefs into three categories revealed that different percentages of the study population held low superstitious beliefs 21%, medium superstitions 54.1% and high superstitions 24.8% beliefs. The chi-square analysis revealed that the elderly, female, and low-educated patient groups were the highest in superstitious thinking. Multiple regression analysis revealed that educational level and superstitious thinking explained 0.223 of the treatment adherence variances. Treatment adherence is positively influenced by educational level β (0.244) value, but superstitious thinking is negatively influenced by β (− 0.302) value.Conclusion: In conclusion, about half of the participants highly adhered. The results of the multiple-regression analysis indicate that superstition and education were two variables that impacted treatment adherence in this study. While superstitious beliefs lead to lower treatment adherence, education has the opposite effect. Finally, it is recommended to promote patient education to reduce superstitious beliefs, improve medication adherence.Keywords: treatment adherence, treatment nonadherence, superstitious thinking, chronic diseases, Jordan

This study focused on synthesizing a cellulose-based hydrogel nanocomposite as a green hydrogel by adding a microcrystalline cellulose (MC) solution to carboxymethyl cellulose sodium (CMC-Na) with citric acid as a cross-linker. Y2O3 nanoparticles were incorporated during hydrogel preparation in different ratios (0.00% (0 mmol), 0.03% (0.017 mmol), 0.07% (0.04 mmol) and 0.10% (0.44 mmol)). FTIR analysis confirmed the cross-linking reaction, while XRD analysis revealed the hydrogels’ amorphous nature and identified sodium citrate crystals formed from the reaction between citric acid and CMC-Na. The swelling test in deionized water (pH 6.5) at 25 °C showed a maximum swelling percentage of 150% after 24 h in the highest nanoparticle ratio. The resulting cellulose hydrogels were flexible and exhibited significant antibacterial activity against Staphylococcus aureus (S. aureus) and Escherichia coli (E. coli). The synthesized cellulose-based hydrogel nanocomposites are eco-friendly and suitable for medical applications.

Background: Nonelective transcatheter aortic valve replacement (TAVR) requires additional research to be fully understood. Methods: Using the National Inpatient Sample database (2016-2019), we conducted a retrospective cohort study comparing nonelective vs elective TAVR. The primary outcome of interest was the in-hospital mortality rate among patients undergoing nonelective TAVR, compared to that among patients undergoing elective TAVR. We matched patients in a greedy nearest-neighbor 1:1 model and multivariable logistic regression, which was adjusted for demographics, hospital factors, and comorbidities, and was used to compare mortality in our matched cohort. Results: Each cohort had 4389 patients in each cohort. When adjusted for age, race, sex, and comorbidities, nonelective TAVR patients had 1.99 times higher odds of suffering in-hospital mortality compared to elective admissions (adjusted odds ratio 1.99, 95% confidence interval: 1.42-2.81; P < 0.001). When separated by transfer status, nonelective patients admitted as regular hospital admissions or transferred from other acute-care centres also had higher odds of suffering in-hospital mortality compared to elective admissions. Conclusions: Our findings illustrate that nonelective TAVR patients are a vulnerable population that require additional medical support in the acute-care setting. As the demand for TAVR increases, further discussions regarding access to healthcare in underserved regions, the national physician shortage, and the future of the TAVR industry are imperative. Résumé: Contexte: Le remplacement valvulaire aortique par cathéter (RVAC) d’urgence nécessite plus de recherche pour être bien compris. Méthodologie: À partir de la base de données National Inpatient Sample (2016-2019), nous avons réalisé une étude rétrospective de cohortes comparant le RVAC non urgent et le RVAC d’urgence. Celle-ci avait pour principal critère d’évaluation la comparaison du taux de mortalité à l’hôpital chez les patients soumis à un RVAC d’urgence à celui noté chez ceux qui subissent un RVAC non urgent. Nous avons apparié les patients selon le modèle du plus proche voisin, avec un rapport 1:1, et utilisé une régression logistique multivariée, ajustée en fonction des caractéristiques démographiques, des facteurs hospitaliers et des affections concomitantes, pour comparer le taux de mortalité dans les cohortes appariées. Résultats: Chaque cohorte comportait 4 389 patients. Après correction pour tenir compte de l’âge, de l’origine ethnique, du sexe et des affections concomitantes, nous avons constaté que le risque des patients ayant subi un RVAC d’urgence de mourir à l’hôpital était 1,99 fois plus élevé que celui des patients chez qui un RVAC non urgent a été effectué (rapport des risques ajustés : 1,99; intervalle de confiance à 95 % : 1,42 à 2,81; p < 0,001). De plus, les patients chez qui l’intervention a été pratiquée d’urgence courraient également un risque plus élevé de décéder à l’hôpital que ceux soumis à un RVAC non urgent, qu’ils aient été admis directement à l’hôpital ou transférés d’autres centres de soins de courte durée. Conclusions: Nos conclusions montrent que les patients ayant subi un RVAC d’urgence forment une population vulnérable qui requiert un soutien médical supplémentaire dans un milieu de soins de courte durée. Comme la demande pour des RVAC augmente, d’autres discussions sur l’accès aux soins de santé dans les régions mal desservies, la pénurie nationale de médecins et l’avenir de l’industrie du RVAC s’imposent.

Oral cancer ranks sixteenth amongst types of cancer by number of deaths. Many oral cancers are developed from potentially malignant disorders such as oral leukoplakia, whose most frequent predictor is the presence of epithelial dysplasia. Immunohistochemical staining using cell proliferation biomarkers such as ki67 is a complementary technique to improve the diagnosis and prognosis of oral leukoplakia. The cell counting of these images was traditionally done manually, which is time-consuming and not very reproducible due to intra- and inter-observer variability. The software presently available is not suitable for this task. This article presents the OralImmunoAnalyser software (registered by the University of Santiago de Compostela–USC), which combines automatic image processing with a friendly graphical user interface that allows investigators to oversee and easily correct the automatically recognized cells before quantification. OralImmunoAnalyser is able to count the number of cells in three staining levels and each epithelial layer. Operating in the daily work of the Odontology Faculty, it registered a sensitivity of 64.4% and specificity of 93% for automatic cell detection, with an accuracy of 79.8% for cell classification. Although expert supervision is needed before quantification, OIA reduces the expert analysis time by 56.5% compared to manual counting, avoiding mistakes because the user can check the cells counted. Hence, the SUS questionnaire reported a mean score of 80.9, which means that the system was perceived from good to excellent. OralImmunoAnalyser is accurate, trustworthy, and easy to use in daily practice in biomedical labs. The software, for Windows and Linux, with the images used in this study, can be downloaded from https://citius.usc.es/transferencia/software/oralimmunoanalyser for research purposes upon acceptance.

Time series forecasting has been playing an important role in decision making, control, and monitoring across various fields. Specifically, the forecasting of nonstationarity time series remains a challenging problem where traditional time series modeling may not fully capture temporal dynamics. Recent studies of applying machine learning (ML) or more advanced hybrid models combining the ML and decomposition methods have shown their flexible nonstationary and nonlinear modeling capability. However, the end-effect problem introduced by the decomposition methods still introduces significant forecasting errors because of the unknown realm beyond the time series boundary. Therefore, a novel method applying a decomposition-guided mechanism is proposed in this work to eliminate the end effect problem while inheriting the knowledge learned from the decomposition state space to improve the prediction accuracy of such hybrid models in time series forecasting. Additionally, a domain adaptation model is integrated with the proposed mechanism to transfer knowledge from the source domain to the target domain regarding the decomposition state space. In this work, the intrinsic time-scale decomposition and Gaussian process are considered as examples of decomposition and ML methods to demonstrate the proposed mechanism’s effectiveness. Both simulation experiments and real-world case studies are conducted to show that a hybrid model with the proposed mechanism outperforms the conventional time series forecasting model, pure ML, and the original hybrid model in terms of prediction accuracy.

Introduction The COVID-19-related restrictions imposed to reduce viral transmission have highlighted the need to support the importance of maternal breastfeeding. Clear guidelines for consistent practices across settings have been drawn up on the basis of the best available data. Emerging recommendations call to increase nurses’ and midwives’ awareness of these guidelines. Objective This study aimed to explore nurses’ and midwives’ awareness of the recommended breastfeeding practices and associated factors in Jordan during the COVID-19 pandemic. Methods An online descriptive cross-sectional design was adopted. This study was conducted in clinical settings representing Jordan's North, Middle, and Southern regions. One hundred seventy nurses and midwives were selected through a convenient sampling technique. Results The mean total score of the awareness was 7.78 (SD = 1.60); 62.9% of participants were highly aware of the recommended breastfeeding practices. Nurses and midwives who were aware of the recommended breastfeeding practices during the pandemic of COVID-19 (90.7%) were more likely to perceive COVID-19 preventive measures as effective than those who were not aware of breastfeeding practices (74.6%) (χ 2 = 7.886, p = .005), while work experience in years (χ 2 = 8.966, p

• الأهداف: هدفت الدراسة التعرف إلى أثر استخدام استراتيجية القصص التّفاعلية الإلكترونية في تدريس مبحث اللغة العربية لدى طالبات الصّف التاسع الأسّاسي في تنمية الذكاء الاجتماعي ومهارات التفكير التأملي. المنهجية: استخدمت الدراسة المنهج شبه التجريبي. تكون أفراد الدراسة من طالبات الصف التاسع الأساسي في مدرسة عائشة بنت أبي بكر التابعة لمديرية تربية لواء وادي السير البالغ عددهن (61) طالبة؛ حيث وزعت العينة لمجموعتين ضابطة وتجريبية. ولغايات الدراسة تم إعداد مقياس. بهدف معرفة أثر استخدام استراتيجية القصص التّفاعلية الإلكترونية في تنمية الذكاء الاجتماعي مكون من (35) فقرة. وتم استخدام اختبار للتفكير التأملي مكون من (20) فقرة، وجرى التأكد من صدقهما وثباتهما. النتائج: أظهرت نتائج الدراسة أن هناك فروقا دالة إحصائياً بين متوسطات العلامات في المجموعتين التجريبية والضابطة على مقياس الذكاء الاجتماعي، إذ بلغ المتوسط الحسابي في التطبيق البعدي للمجموعة التجريبية (16.14) والانحراف المعياري (1.38)، وللمجموعة الضابطة (10.71)، وانحراف معياري (1.73). وجاءت نتائج اختبار التفكير التأملي لصالح طالبات المجموعة التجريبية بعد استخدام استراتيجية القصص التّفاعلية الإلكترونية. حيث جاءت المتوسطات الحسابية البعدية للمجموع التجريبية (16.07)، وانحراف معياري (1.38)، وللمجموعة الضابطة (11.77)، وانحراف معياري (1.20). الخلاصة: وجود أثر إيجابي لاستخدام استراتيجية القصص التّفاعلية الإلكترونية في تدريس مبحث اللغة العربية لدى طالبات الصّف التاسع الأسّاسي في تنمية الذكاء الاجتماعي. توصي الدراسة بضرورة تشجيع معلمات الصف التاسع الأساسي على استخدام القصص التفاعلية الإلكترونية والاستفادة منها عند تدريس مادة اللغة العربية.

Six novel ciprofloxacin-1,2,3-triazole hybrids (6a-f) were synthesized via click reaction, by reacting of methyl 1-cyclopropyl-6-fluoro-4-oxo-7-(4-(3-oxobutanoyl)piperazin-1-yl)-1,4-dihydroquinoline-3-carboxylate (5) with various aryl azides (9a-f). The new compounds were characterized using High-Resolution Mass Spectrometry (HRMS), 1H NMR, 13C NMR, and elemental analysis. Compounds (6a-f) screened for their in vitro anticancer activity against three cell lines, namely, non-small cell lung cancer (A549), glioblastoma (U-87 MG), and breast cancer (MCF7). Hybrids 6a and 6b exhibited remarkable anti-proliferative activity against all three cell-lines. IC50 values of 6b for all cancer cell lines were significantly lower comparing to the standard reference compound IC50. The IC50 of 6b for the normal cell (HDF) line was significantly higher than the reported for cisplatin [IC50 = 170.7 ± 8.1 μM/ml (HDF), (p ≤ 0.001)], indicating less toxicity towards normal cells and thereby has a better therapeutic index, with a selectivity index of 142.3 for U87 cell line. Compounds 6e, 6d, and 6f displayed significant cytotoxic activity against only U-87 and MCF-7 cancer cell lines, compared to normal cells (HDF). Compound 6f [IC50 = 7.9 ± 2.3 μM/ml (U-87) and 10.6 ± 3 μM/ml (MCF-7)] was more potent than cisplatin [IC50 = 28.3 ± 5.3 μM/ml (U-87) and 26.9 ± 4.7 μM/ml (MCF-7)] in displaying anti-proliferative effect against U-87 and MCF-7 cells, with less cytotoxic to normal cells [IC50 = 141.7 ± 4.1] than cisplatin [IC50 = 40.9 ± 5.4]. Moreover, they were tested for their antioxidant activity in DPPH and ABTS assays and antibacterial activity.

ABSTRACTUsing a dataset of 107 listed firms in Jordan from 2009 to 2018, we employed the generalized method of moments (GMM) to examine the effect of ownership structure on the level of corporate cash holdings. We found that higher government ownership is associated with higher cash holdings. On the other hand, different forms of ownership, namely block holding and individual and foreign ownership, were found to be insignificant. We further examined why firms in Jordan hold cash, concluding that when the level of government ownership rises, firms do not employ cash reserves for investments nor for dividend payments, which in light of governmental political purposes could be a clear indicator of agency problems.

Purpose: This study aims to investigate students' satisfaction, self-efficacy and perceived competencies in a 'technical writing and communication skills' course after the switch of teaching the course from face to face to fully online during and after COVID-19. The study also measured the Achievement of Accreditation Board for Engineering and Technology course learning outcomes (CLOs). Design/methodology/approach: A descriptive cross-sectional survey design approach was adopted in this study. Students were asked to respond to an online survey after completion of the course to measure the target parameters. The data of 250 respondents, analyzed with IBM SPSS Statistics 28, show high scores on all constructs. Findings: Statistically significant differences among gender, field of study, grade point average (GPA) level, type of school attended and attainment of English proficiency certificate were detected for students in terms of their baseline perceived competencies, achievement of CLOs and self-efficacy scores. In addition, gender, field of study, GPA and holding an international English proficiency certificate had statistically significant effect, whereas the academic level and type of school were insignificant. Research limitations/implications: First, the data had been collected through survey only. A limitation of this method is that there could be survey fraud. Second, as some respondents found the survey long, their responses might have been less reliable. Moreover, as the survey was entirely conducted online, this may have caused limited sampling, because some respondents are less likely to have internet access/disconnection and respond to online surveys. Furthermore, this research had focused on studying the impact of an online course on university students' achievement in a Jordanian university, this limits the generalizability of the result to students of other levels and classes, or ones studying in other universities or living in different countries. Practical implications: Because of its impact on effective teaching and achievement, educators need to pay much attention to self-efficacy when designing new curricula for different environmental contexts. Furthermore, it is apparent that some courses, such as "technical writing" can be taught fully online without affecting students' performance and achievement. Because educators always look for ways that make teaching effective, they may need to consider online platforms for teaching specific courses, hence save time, effort and resources. Originality/value: A course on technical writing and communication skills offered to undergraduate engineering and information technology students at Princess Sumaya University for Technology was switched from face to face to fully online modality during the COVID-19 pandemic in the period 2020-2021. The effect of such massive and sudden transformation on students' achievement and satisfaction called for immediate scrutiny of the prospect and expectancy of online learning.

This paper investigates the readiness degree among Arabic language teachers in Ma'an Directorate of Education for integrating flipped classroom in teaching according to Technological, Pedagogical and Content Knowledge TPACK framework and its domains. The study sample consisted of (118) Arabic language teachers; (82) of them responded to a questionnaire that measured their readiness. The researchers used descriptive statistics, ANOVA and T-test. The data analyses revealed significant differences among teachers' readiness in a high degree. Two sample t-test showed female teachers' readiness higher than male teachers at the domains: CK, PK, PCK, TPK and TPCK. Results of ANOVA revealed that experience of teachers' readiness do not differ significantly. The study recommended the focus on integrating flipped classrooms within learning environments.

BackgroundCongenital heart disease (CHD) is the most common birth defect and accounts for significant global morbidity and mortality. Relatively little is known about the epidemiology of CHD in Jordan or the manner in which CHD is identified.MethodsA retrospective medical record review was conducted for all neonates who had an abnormal echocardiogram performed at a tertiary referral hospital. All included neonates had echocardiography performed by the same pediatric cardiologist at the discretion of the treatment team. Descriptive statistics were used to describe CHD incidence, types of CHD identified, and mechanism of identification.ResultsThe incidence of congenital heart disease was 17.8 per 1,000 live births. This rose to 24.6 per 1,000 if patent ductus arteriosus in preterm infants was included. The most common identified abnormalities were PDA, atrial septal defects, persistent pulmonary hypertension, septal hypertrophy, and ventricular septal defects. Most children were evaluated either for a murmur heard on exam or as a part of screening due to other comorbidities or risk factors. Less than 1% of children had a prenatal diagnosis. There was a higher rate of persistent pulmonary hypertension during the COVID-19 pandemic than before (p