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The purpose of this research was to analyze the increased performance improvement in the supply chain related to the energy and utilities sector of Jordan through cloud computing, also mediated by knowledge sharing. 150 respondents were analyzed. Research suggests that there was a strong positive relationship between cloud computing and supply chain performance. In addition, cloud computing had a strong and positive correlation with the practice of knowledge sharing. The result indicates that companies with a culture of knowledge sharing among employees were more likely to incorporate the use of cloud computing. The study also indicates that cloud computing adoption had enhanced supply chain performance in the utility and energy sector within Jordan. Therefore, the study also finds that there was a strong and positive relationship between knowledge sharing and well overall performance of supply chain activities. This points to the role that knowledge-sharing practices play in improving the performance of the supply chain within Jordanian utilities and energy sectors. Furthermore, the findings of the mediation study provide strong evidence in support of our hypothesis that knowledge sharing plays a major role as a mediator relating to the relationship between cloud computing adoption and supply chain performance. The observed mediation effect suggests that the positive impact of cloud computing implementation on supply chain performance can be attributed to some extent to its facilitating knowledge exchange practices. However, this research improves the understanding of relationships among cloud computing adoption implementations and information structure flow as well as supply chain performance within Utilities These results emphasize the importance of cloud technologies as information drivers that would lead to enhanced performance in terms of supply chain operations. These are insights that can be used by organizations and businesses aiming at improving their competitiveness and efficiency levels in these sectors.

The rapid advancement of technology has had a significant impact on a wide range of industries, including the auditing industry. It is now obvious that employing Computer Assisted Auditing Techniques (CAATs) is a possible tactic for enhancing the effectiveness and efficiency of the audit process. This study evaluates how CAATs affect auditors' expectations for performance and effort in Jordan. Through a comprehensive survey of Jordanian auditors, this research provides insights into the factors that drive CAATs adoption. Utilizing structural equation modeling, the study confirms that both Effort Expectancy and Performance Expectancy positively influence CAATs adoption. These relationships are supported by robust path coefficients and low P-values, indicating statistical significance. The results of this study should clarify the possible advantages of including CAATs in the audit process and point out any difficulties auditors could encounter. Companies and professionals may choose wisely whether to embrace and use CAATs by comprehending Performance Expectancy and Effort Expectancy.

Abstract This study aimed at analyzing the effect of blockchain technology in innovating accountants’ skills as a multimethodology study in the industrial companies listed on the Amman Stock Exchange. For achieving this goal, the researchers adopted the multimethodology approach using mixed methods between quantitative and qualitative research methodologies by conducting interviews with accountants, auditors, and financial managers forming a study sample of 50 individuals. Results show that the highest remarkable indication concerning the phenomenon of analyzing the effect of Blockchain technology in innovating accountants’ skills is (Increasing performance efficiency) as an emerging theme. Then followed by (Blockchain technology will work on innovating accountants’ skills) as the second emerging theme. And then followed by (Enhancing accountants’ skills) as the third emerging theme. And these results reflect the convictions and expectations of the study sample of accountants, auditors, and financial managers that the impact of implementing blockchain technology will innovate accountants’ skills.

Ventricular septal rupture, a formidable complication of acute myocardial infarction (AMI), is linked to significant morbidity and mortality. The clinical manifestation typically involves pronounced hemodynamic compromise necessitating prompt surgical intervention. This report outlines the case of a 60-year-old male presenting with acute heart failure 3 weeks post a presumed AMI. On evaluation, a substantial ventricular septal defect with left-to-right shunt was observed. The patient, although hemodynamically stable with mild symptoms, underwent surgical closure of the defect and coronary artery bypass graft for multivessel coronary artery disease. This case contributes to the literature on the delayed presentation of post-myocardial infarction (MI) ventricular septal rupture, a scenario deviating from the anticipated severe hemodynamic instability given the timing of the MI and the extent of the septal defect. [ABSTRACT FROM AUTHOR]

Background: It is important to avoid giving children traumatic dental experiences that induce post-traumatic dental care anxiety (PTDA) in clinical dental practices. The aim of this study was to evaluate whether non-pharmacological behavior management procedures can effectively reduce the use of pharmacological behavior management in children who have PTDA and are referred for regular dental treatments under general anesthesia (GA) and sedation. Methods: This clinical study consisted of two groups. The treatment group involved 20 healthy children aged 4–14 with PTDA and also those referred by other institutions for dental treatment with/without GA. The control group was sampled retrospectively from the patient records and involved 20 healthy uncooperative children aged 4–14 with PTDA who had been treated under GA. Results: The number of multiple appointments was significantly higher in the treatment group than in the control group. Only 25% of children in the treatment group underwent GA and the rest (75%) were managed with non-pharmacological management techniques. Nine (60%) children who were treated with minimally invasive techniques did not require GA. Conclusions: It is important to treat children as much as possible without causing PTDA by using appropriate behavior management techniques. This study emphasizes the usefulness of thoroughly employing non-pharmacological behavior management methods before directing a child with PTDA for dental treatment under pharmacological behavior management, which can prevent the over-utilization of sedation and GA.

Wheat straw is a valuable by-product of grain harvesting in Kurdistan region basically for livestock feeding. It is thrown behind the harvester on the ground in different forms like heaps, windrows or spread in the field. Straw collecting in the field needs a lot of labor; it is also a costly and time-consuming operation. Recently, there has been a new operation in the field of straw chopping machines which picks up the straw from the ground, cuts and blows it to a trolley and all of this in one operation. This study was conducted to find the effect of some operational factors on the machines performance. The results show that collecting the straw as windrows in the field by the straw chopping machine gives better performance than the heaps. A tractor with 72 HP is sufficient for operating the straw picking-up and chopping machine with a trolley behind. Five different forward speeds (S1=3.12, S2=4.22, S3=5.21, S4=6.31 and S5=7.51) km/h were examined for straw picking-up and chopping as windrows to find their effects on the performance of the machine, it was found that with S3 or S4, the machine shows the best performance in terms of fuel and time consumption, throughput capacity, straw recovery, throughput efficiency and acceptable slippage percentage.

In this study, an unknown force function dependent on the space in the wave equation is investigated. Numerically wave equation splitting in two parts, part one using the finite-difference method (FDM). Part two using separating variables method. This is the continuation and changing technique for solving inverse problem part in (1,2). Instead, the boundary element method (BEM) in (1,2), the finite-difference method (FDM) has applied. Boundary data are in the role of overdetermination data. The second part of the problem is inverse and ill-posed, since small errors in the extra boundary data cause errors in the force solution. Zeroth order of Tikhonov regularization, and several parameters of regularization are employed to decrease errors for output force solution. It is obvious from figures how error affects the results and zeroth order stables the solution.

Stress cardiomyopathy is a transient left ventricular dysfunction caused by physiologic or pathologic stressors. Anaphylaxis is a hypersensitivity disorder that can lead to a rapid life-threatening respiratory collapse. It happens due to exposure to allergens including medications. During anaphylaxis, there is a compensatory release of catecholamines that can lead to stress cardiomyopathy. In this case, nab-paclitaxel infusion led to anaphylaxis with respiratory failure. Echocardiogram showed features of diffuse hypokinesis with preserved basal segment contractility, and cardiac catheterization did not show any evidence of obstructive coronary artery disease. The overall clinical picture suggested stress cardiomyopathy. The patient was treated with guideline-directed medical therapy which resulted in normalization of the ejection fraction with no symptoms of congestive heart failure at any point. The patient was thereafter resumed on a reduced dose of nab-paclitaxel. This case report adds to the spectrum of infusion-related reactions associated with paclitaxel and demonstrates the course of events in the management of anaphylaxis and stress cardiomyopathy in this scenario. [ABSTRACT FROM AUTHOR]

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