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Motivation is a foremost aspect in language learning and has been extensively studied in the field of SLA due to its important contribution to pedagogical implications. However, SLA scholars/researchers have overwhelmingly preoccupied specifically with Asian students such as Japanese and/or Chinese (Gong et al, 2020; Kikuchi, 2019). This ignores the unique individual differences that Indonesian students have which contribute to their learning trajectories. The present study investigated the factors of individual differences influencing their motivation in learning English as foreign language and how the ideal L2 self is expressed through their language learning narratives. A total of two Indonesian students studying abroad in one of the research-integrated universities in the US participated in this study during the Fall semester. Through three stages of open-ended interviews and the researcher's observations, the data were collected and analyzed using narrative analysis and the L2 Motivational Self System (L2MSS) proposed by Dörnyei (2009) as framework. The analysis revealed that factors such as family background and socioeconomic status, education system inequality, and access to the target language contribute to their perception of their ideal L2 self. Additionally, this study contributes to a more comprehensive understanding of Asian immigrant students as a whole and helps to avoid stereotypical identities of Asian students based on previous research.

La procalcitonine (PCT) est un marqueur de gravité du sepsis, dont la valeur absolue et la cinétique sont corrélées à la sévérité de l'infection. On rapporte le cas d'un patient qui présente une PCT très élevée sans relation avec un sepsis. Il s'agit d'un homme âgé de 55 ans, admis en rhumatologie pour des lombosciatalgies hyperalgiques fébriles. Le bilan biologique a montré une hyperleucocytose à 15000 élément/mm3 à prédominance neutrophile, associée à une CRP et une PCT sériques, respectivement à 305 mg/l et 2,5ng/ml. Devant ce tableau évocateur de sepsis, des hémocultures étaient réalisées et un traitement antibiotique probabiliste était instauré. L'absence d'évolution favorable du malade ainsi que la discordance entre les chiffres de la PCT demeurant très élevés et les hémocultures négatives, une IRM dorso-lombaire était réalisée. Elle a objectivé une arthrite de la hanche droite, associée à des lésions osseuses multiples secondaires du squelette axial évoquant une origine néoplasique. Une TDM thoraco-abdomino-pelvienne a montré la présence d'une masse pulmonaire gauche. La biopsie pulmonaire a révélé un adénocarcinome infiltrant.

The respiratory symptoms experienced by patients with chronic obstructive pulmonary disease (COPD) are a burden on daily life. The objective of this study was to measure health-related quality of life (HRQoL) and comprehensively identify its associated factors in Moroccan COPD patients. A cross-sectional, randomized study was carried out in the city of Fes, Morocco, as part of the large multicenter Burden of Obstructive Lung Disease Study on people with COPD. Data collection was carried out using a questionnaire containing sociodemographic, clinical, and quality-of-life data. The diagnosis of COPD was based on spirometry, and quality of life was measured by the Short Form Survey (SF-12) questionnaire. Using multiple linear regression, we assessed the relationship between several sociodemographic and clinical factors and SF-12 mental and physical quality-of-life scores. A total of 107 patients were included, with a male predominance (63.6%) and the most common age category being 60 years and older (51.4%). Additionally, 46.7% of participants were classified as Global Initiative for Obstructive Lung Disease (GOLD) stage 1. The mean SF-12 mental component score was 41.32±9.18, and the mean SF-12 physical component score was 41.91±11.93. Multivariate analysis revealed that a greater mental HRQoL was associated with the male gender, a body mass index of 25 or higher, and GOLD stage 1, while a greater physical HRQoL was associated with the male gender, an age less than 60 years, absence of respiratory comorbidities, and GOLD stage 1. Our results show low scores of the mental and physical components of HRQoL in COPD patients in Morocco, suggesting the implementation of measures to reduce first the prevalence of the disease and then adopt an appropriate COPD management strategy to improve those people's quality of life.

The present narrative exploration investigates the factors affecting the language teacher identity negotiation of an international student working as an ESL teacher in an English language program in a research-integrated university. This study uses the qualitative method by drawing on the data from three stages of semi-structured interviews and researchers’ field notes and analyzing it through the perspective of BINF (Bilingual Identity Negotiation Framework). The result reveals the factors influencing the identity negotiation in her trajectory are language competence, educational background, and affirmative discourse at work. These factors led to her investment and participation in the community of practice, where she engaged and included herself in. Overall, this study presents how the ESL teacher identity is linked with the notions of individual agency and public discourse in the community of practice.

The objective of this article is to make an inventory of the means of financing of Social Solidarity Economy (SSE) actors by questioning the particular role of the Corporate Social Responsibility (CSR) approaches of Moroccan banks in the financing of this sector. To provide answers to these questions, we have listed, by using a qualitative analysis, mainly documentary components of the CSR approach of seven Moroccan banks, based on data available in their latest CSR reports and information made public on their institutional websites. The main contribution of this article is to offer a first support of reflection on the willingness of the banking sector to support SSE through the CSR approach of its actors.

Abstract Background Monoclonal gammopathies are a group of disorders associated with clonal proliferation of plasma cells that produces a monoclonal protein. Aims The main objective of this study was to describe the epidemiological and immunochemical characteristics of monoclonal gammopathies diagnosed during 19 years in a Moroccan teaching hospital. Materials and Results This retrospective study enrolled 443 Moroccan patients with monoclonal gammopathy, patients meeting the inclusion and exclusion criteria in at the biochemistry department of Military Hospital in Rabat, the capital of Morocco, from January 2000 to August 2019. Of the 443 enrolled patients, 320 (72.23%) were men and 123 (27.77%) were women. All patients were of Caucasian origin, from 12 Moroccan regions. The patient's samples were collected and subjected to serum protein electrophoresis and serum immunofixation electrophoresis to further characterize the monoclonal protein. The mean ± SD age of the 443 participants was 62.24 ± 13.14 years. Reasons for being admitted to the hospital were as follows, bone pain (41.60%), renal failure (19.08%), alteration of the general condition (12.21%), and anemia (10.69). Plasma cell proliferative disorders in our study were as follows, multiple myeloma (MM) (45.65%), Monoclonal gammopathies of undetermined significance (MGUS) (39.05%), Waldenstrom's macroglobulinemia (5.58%), Lymphoma (2.27% + 1.2%), Chronic Lymphocytic Leukemia (2.48%), Plasma cell leukemia (1.86%), Plasmacytoma (0.62%), POEMS syndrome (0.41%), and Amyloidosis (0.84%). The most frequent isotypes in MM were the IgGκ (62) 36.5%, IgGλ (52) 30.6%, IgAκ (27) 15.9%, and the IgAλ (19) 11.2%. It is also worth noting that Free light chain MM represents 20% of all cases of MM. Conclusions We found that monoclonal gammopathies are age‐related and affects men more than women, also the results of this study point to the delayed diagnosis of monoclonal gammopathies, since most of our patients were diagnosed at the MM stage. The most frequent isotypes were the IgGκ and IgGλ in MM and MGUS, in Waldenström macroglobulinemia were IgMκ and IgMλ and the oligoclonal profile represented only 3.70%.

Background: Hyperthyroidism can lead to diverse hematological disorders, such as microcytosis and a mild increase in hemoglobin A2 fraction. Methods: This study reported a 31-year-old woman of Moroccan origin recently diagnosed with Graves' disease. Her blood tests revealed microcytosis, hypochromia, and a normal ferritin level. A phenotypic analysis of hemoglobin was performed using two techniques: capillary electrophoresis and reversed-phase high performance liquid chromatography. Results: Both techniques indicated a slight increase in hemoglobin A2 level. These results initially suggested heterozygous beta-thalassemia, eventually correlating with the concurrent presence of Graves' disease, as evidenced by the normalization of hemoglobin A2 level following treatment. Conclusions: This case highlights the importance of having clinical, biological, and therapeutic data for a relevant interpretation of a phenotypic hemoglobin study. [ABSTRACT FROM AUTHOR]