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Preventive Health Behaviors Among Vegetable Farmers In Indonesia: An Application Of The Extended Theory Of Planned Behavior, Aria Gusti, Wira Iqbal, Fitrahul Afifah

Journal of Health Research

Background: Farmers in low- and middle-income countries face serious occupational and environmental health risks, including pesticide exposure, musculoskeletal disorders, and skin diseases. In Indonesia, limited evidence exists on the psychosocial factors that shape preventive health behaviors, hindering the design of effective interventions. This study applies an extended Theory of Planned Behavior (TPB) framework to analyze preventive practices among vegetable farmers.

Methods: A cross-sectional survey was conducted among 254 vegetable farmers in Koto Laweh Village, West Sumatra, Indonesia, during July–August 2025. Data were collected using a validated TPB-based questionnaire and analyzed with Partial Least Squares Structural Equation Modelling (PLS-SEM).

Results: Knowledge …

The Shocking Case Of A Bleeding Heart, Muhammad Ijaz Khan, Samra Israr, Muhammad Haris Khan, Nadim Jaafar, Rahul Sharma, Shilpi Ahmed

Journal of Community Hospital Internal Medicine Perspectives

Hemopericardium is a rare but life-threatening complication of anticoagulation therapy. Although bleeding complications are well documented with direct oral anticoagulants (DOACs), apixaban-induced hemopericardium is exceedingly rare. We report a case of a 56-year-old female with multiple comorbidities, including end-stage renal disease (ESRD) on hemodialysis, paroxysmal atrial fibrillation, cerebral vascular accident with residual right-sided weakness, and coronary artery disease, who presented with progressive dyspnea over two months. Imaging revealed a massive pericardial effusion without tamponade Physiology. Despite initial conservative measures, the patient developed hemodynamic instability following fluid removal during dialysis, necessitating urgent pericardiocentesis, which drained 1560 mL of hemorrhagic fluid. Pericardial …

Hidden Malignancy: Ileocecal Intussusception As An Atypical First Presentation Of Diffuse Large B-Cell Lymphoma In Adulthood, Komal Harisinghani, Parth Adrejiya, Mohammad Abubaker, Oluchi Idenyi, Raman Babayeuski, Noor Qureshi, Ashok Kanugula, Sara Assaf, Daniel Assaf, Srikanth Maddika

Journal of Community Hospital Internal Medicine Perspectives

Intussusception is predominantly a pediatric condition, with only about 5% of all intussusception cases occurring in adults with primary intestinal lymphomas comprising 1%–4% of gastrointestinal malignancies, 90% of which are B-cell non-Hodgkin lymphomas (NHL). Diffuse large B-cell lymphoma (DLBCL), the most common subtype of NHL, often leads to intussusception without classical B symptoms. We present the case of a 33-year-old male with ileocolonic intussusception caused by a 4.8 × 5.3 × 5.5 cm enhancing mass. Histopathology and FISH confirmed DLBCL without MYC, BCL2, or BCL6 rearrangements, ruling out double- or triple-hit lymphoma. Following a right ileo-colectomy, R-CHOP(rituximab, cyclophosphamide, doxorubicin, vincristine, …

Disguised And Dangerous: A Case Of Cervicofacial Actinomycosis Presenting With Hemoptysis, Tharun Shyam, Shamanth M Reddy, Saumya Nanda, Yan Naing Tun, Rohan Pinto, Navjot Somal, Ravi Karan Patti

Journal of Community Hospital Internal Medicine Perspectives

Actinomycosis is a rare, chronic, suppurative bacterial infection caused by Actinomyces spp with an incidence of 0.3 cases per million people annually. The cervicofacial area is the most common site of infection and accounts for approximately 50 percent of all cases. Most cases of cervicofacial actinomycosis are odontogenic in origin.

Hemoptysis in the setting of actinomycosis commonly occurs from pulmonary involvement. Hemoptysis secondary to isolated cervicofacial actinomycosis has seldom been documented in literature. We hereby present a case of cervicofacial actinomycosis presenting with hemoptysis likely secondary to an oro-cervical fistula. We aim to highlight the challenges in diagnosis of this …

Losartan-Induced Angioedema: A Case Report And Review Of Literature, Leila C. Tou, Audrey Nourse, Rachel Cox, Spencer Stanford

Journal of Community Hospital Internal Medicine Perspectives

Angiotensin receptor blockers (ARBs) are frequently prescribed as alternatives to angiotensin-converting enzyme inhibitors (ACEIs), particularly in patients who experience ACEI-induced adverse effects including cough. Although ARBs are associated with a lower incidence of angioedema, rare cases have been reported in patients without prior ACEI exposure. Here, we describe a 58-year-old Black male who developed lip and facial swelling six months after starting losartan. His symptoms did not improve with antihistamines or corticosteroids but resolved after discontinuation of losartan, which was replaced with amlodipine without recurrence. This case emphasizes the need for clinician awareness of ARB-induced angioedema and the importance of …

Slipping Through The Chasm Of Multicenter Hand-Offs - Rare Incidence Of Nintedanib Induced Renal Failure: Case Report, Abid Mm, Khan Mi, Jain T, Daniel A, Flack T, Posner J

Journal of Community Hospital Internal Medicine Perspectives

Introduction: Nintedanib, a receptor tyrosine kinase inhibitor (TKI), is approved for idiopathic pulmonary fibrosis (IPF). While its common adverse effects include gastrointestinal symptoms and elevated liver enzymes, renal toxicity is rare. We report a case of nintedanib-induced kidney failure. Case: An 82-year-old man with IPF and no prior kidney disease developed acute kidney injury (AKI), nephrotic-range proteinuria, volume overload, metabolic acidosis, and hyperkalemia 10 days after starting nintedanib. Extensive serologic investigations were unremarkable. Kidney biopsy showed acute tubular injury, minimal change disease (MCD), focal global glomerulosclerosis, and interstitial fibrosis. Nintedanib and other potential nephrotoxins were stopped, and the patient was …

A Comparison Of Biological Therapies Vs Traditional Immunosuppressant In The Management Of Inflammatory Bowel Diseases: A Narrative Review, Umme Farwah Tahir Dr, Sadaf Noureen, Fnu Partab, Muhammad Waqas Afzal, Maham Afzal, Asad Mehmood, Fatima Afzal, Kaynat Hasan, Fnu Sameeha, Seerat Riaz, Sumyya Tariq, Abida Perveen

Journal of Community Hospital Internal Medicine Perspectives

Inflammatory bowel disease (IBD), encompassing Crohn’s disease and ulcerative colitis, is a chronic immune-mediated condition requiring long-term management. Traditional immunosuppressants, such as corticosteroids, thiopurines, and methotrexate, have been widely used but are associated with broad immunosuppressive effects and significant adverse events. The advent of biological therapies, including tumor necrosis factor (TNF) inhibitors, integrin inhibitors, and interleukin (IL)-12/23 inhibitors, has revolutionized IBD treatment by offering targeted immune modulation. Biologics have demonstrated superior efficacy in achieving and maintaining remission compared to traditional immunosuppressants, particularly in moderate to severe IBD. They provide targeted immune suppression, reducing systemic side effects, but are associated with …

Statin Induced New-Onset Diabetes Mellitus A Narrative Review, Jasvin K Manha, Sumanth Kumar Bandaru

Journal of Community Hospital Internal Medicine Perspectives

Statins are widely used to lower LDL cholesterol and prevent cardiovascular disease. Although generally safe, there is increasing evidence that they may increase the risk of new-onset diabetes mellitus (NODM). Recent studies show a modest but consistent rise in diabetes risk associated with statin use, especially among individuals with prediabetes, obesity, or other metabolic risk factors. High-intensity statins like atorvastatin and rosuvastatin carry a greater risk compared to agents such as pravastatin or pitavastatin. Proposed mechanisms include increased insulin resistance, impaired insulin secretion, and changes in hepatic glucose production. Despite the diabetes risk associated with statins, their well-established cardiovascular benefits …

Short Term Outcomes And Resource Utilization In Patients Admitted For Infective Endocarditis Who Develop Pericardial Effusion: A Retrospective Cohort Study, Nameer Ascandar, Sajog Kansakar, Waqas Qureshi, Aakash Patel, Ahmed O. Farooq, Brett Milford, Suman Pasupuleti, Eduardo J. Lazaro

Journal of Community Hospital Internal Medicine Perspectives

Background: Pericardial effusion (PCE) development in the context of infective endocarditis (IE) may negatively impact clinical outcomes leading to intense resource utilization. Limited contemporary studies exist that examine clinical outcomes, resource utilization and readmission rates in patients admitted for IE who develop PCE.

Methods: We utilized the Nationwide Readmissions Database years 2016-2022 to tabulate all adult admissions for IE. We compared clinical outcomes in patients who developed PCE to those who did not. Survey weighted logistic and linear regression analysis was performed to predict in-hospital mortality, clinical outcomes, costs, and 30-day non-elective readmission in association with PCE.

Results: Of an …

A Strategy For Surge Management: Senior Residents On The Admitting Frontlines, Hamza Saifuddin, Oliver Yockey, Rachelle Pichot, Gwendolyn Brainard, Samantha Labay, Michael S. Wang

Journal of Community Hospital Internal Medicine Perspectives

Hospitals adapt to surges in a variety of ways, including expediting admitting and discharge procedures, hiring temporary staff and locums to meet increased demand, and temporarily expanding or creating facilities. To mitigate negative effects associated with surges, a small community-based hospital’s Internal Medicine (IM) residency program and hospitalist program collaborated by shifting senior residents into admitting physician roles with indirect supervision to meet increased surge needs. This shift allowed an admitting attending physician to shift to a newly created rounding service and, on average, the number of rounding services was increased from seven to nine. Over a fifteen-month period (five …

Empowering Residents In Community-Based Internal Medicine Programs: A Structured Framework Integrating Simulation Labs, Ai, And Gamification, Nirmay Sonar, Zaynah Sadiq, Bernie Sergent

Journal of Community Hospital Internal Medicine Perspectives

Community-based internal medicine residencies train nearly half of all U.S. IM residents and are essential for staffing underserved areas. These programs often face educational gaps due to limited resources, faculty development, and procedural training opportunities. We designed a 12-month quality initiative for 27 residents at a small community hospital blending new high-fidelity simulation drills (e.g. in-situ rapid-response and procedural labs), restructured didactics (gamified quizzes, NEJM Resident 360™, HumanDx cases), enhanced orientation (“intern survival guide”), research education, wellness retreats, community outreach and AI-driven, individualized case feedback. New interventions were implemented alongside existing activities, with targeted outcomes including clinical competency, board readiness, …

Remembrance Of Our Founder And Editor Emeritus, Surendra Marur

Journal of Community Hospital Internal Medicine Perspectives

No abstract provided.

Final Report, Karima Karroumy

Revue Marocaine de Droit, d'Economie et de Gestion (Moroccan Journal of Law, Economics and Management)

This final report presents the main highlights and outcomes of a national symposium organized by the Laboratory of Civil Legal Studies and Transactions Jurisprudence at the Faculty of Law, Economics and Social Sciences Aïn Chock (Casablanca) on the theme of consumer protection in the field of industrial property. It summarizes the structure of the event, the two thematic axes addressed, and the contributions of speakers, emphasizing the importance of academic dialogue and dissemination of scientific activities.

Protecting Consumers By Recognizing The Right To Information On Designations Of Origin, Abdelkrim Abbad

Revue Marocaine de Droit, d'Economie et de Gestion (Moroccan Journal of Law, Economics and Management)

The article analyzes consumer protection through recognition of the right to information regarding designations of origin. It considers Moroccan consumer protection legislation as a framework that addresses imbalance in professional–consumer contracting by ensuring informed consent. Focusing on origin labeling, the study explains how access to accurate information enables consumers to make free and enlightened choices and strengthens preventive protection before contract formation.

The Role Of Summary Proceedings In Protecting Manufacturing, Trade, And Service Marks, Jamal El Khammar

Revue Marocaine de Droit, d'Economie et de Gestion (Moroccan Journal of Law, Economics and Management)

This paper discusses the role of summary (urgent) judicial proceedings in the protection of trademarks used in manufacturing, trade, and services. It situates trademark rights within the broader category of intangible property rights and highlights the need for rapid remedies to prevent ongoing infringement. The study explains how interim measures can preserve rights, stop harmful acts, and secure evidence, thereby reinforcing effective trademark enforcement.

The Impact Of Patent Forfeiture On Consumer Protection In The Pharmaceutical Sector, Ghizlane El Hamidi

Revue Marocaine de Droit, d'Economie et de Gestion (Moroccan Journal of Law, Economics and Management)

The article examines how the forfeiture or loss of patent protection affects consumer protection in the pharmaceutical field. It reviews the role of pharmaceutical patents as mechanisms that secure inventors’ rights while shaping access to medicines and market dynamics. By discussing the evolution of Morocco’s industrial property framework and the balance between public health considerations and private monopoly rights, the paper analyzes the legal consequences of patent termination on consumer interests and regulatory choices.

The Role Of Economic Parasitism In Protecting Industrial Property, Karima Karroumy

Revue Marocaine de Droit, d'Economie et de Gestion (Moroccan Journal of Law, Economics and Management)

The paper analyzes economic parasitism as a behavior addressed by law to protect industrial property rights. It defines parasitism as the act of placing oneself in another’s wake to appropriate the results of their financial, intellectual, or promotional efforts. By focusing on links with trademark law and, more broadly, industrial property, the article explains how actions based on parasitism can complement traditional IP remedies to prevent usurpation of goodwill and to preserve fair competition.

Interaction Between Patent Law And Consumer Law, Laila El Bennissi

Revue Marocaine de Droit, d'Economie et de Gestion (Moroccan Journal of Law, Economics and Management)

This article explores the relationship between patent law and consumer protection in a context where innovation drives corporate competitiveness. It discusses how patents grant innovators market exclusivity, while consumer law imposes rules aimed at protecting consumers in professional–consumer relations. The study highlights the need to reconcile firms’ innovation and commercialization strategies with consumer protection requirements, and proposes considering consumer law constraints when developing and exploiting patented innovations.

Parasitism: A Tool For Consumer Protection?, Meriem Benis

Revue Marocaine de Droit, d'Economie et de Gestion (Moroccan Journal of Law, Economics and Management)

This article examines the notion of commercial parasitism and its relevance as a legal instrument for protecting consumers. It discusses how parasitic practices distort fair competition by allowing an operator to benefit from another’s investments, reputation, and know-how, and explains the market-disrupting effects of such conduct. The paper argues that combating parasitism helps ensure a loyal competitive environment and, indirectly, safeguards consumers’ interests through better market discipline.

Design And Analysis Of A Hybrid Energy Storage System For A Bldc Motor In Lightweight Electric Vehicles, Mohammed Turki Baidar, Yasir M. Y. Ameen

AUIQ Technical Engineering Science

Internal Combustion Engine (ICE) vehicles are being replaced by electric vehicles to decrease fossil fuel depletion, pollution, and the effects of global warming. However, in electric vehicles, the primary concern is battery power consumption and lifespan, which affects the driving range. This study presents a hybrid energy storage system (HESS) comprising a lithium-ion battery and super capacitor array, designed and simulated in MATLAB/Simulink to enhance the range and performance of lightweight electric motorcycles powered by 2.5 kW BLDC motors. A 16-cell super capacitor module (3V, 3000F per cell) achieving 187F total capacitance was integrated with a 44.4V battery through a …

Intelligent Coordination Approach For Hybrid Renewable Energy Systems Towards Sustainable Power Supply, Olufisayo Stephen Babalola, Joseph Bukola Samson, Olatunji Waliu Olademeji, Samson Oladayo Ayanlade, Etinosa Noma-Osaghae, Opeyemi Ahmed Ajibola

AUIQ Technical Engineering Science

This study developed a microcontroller-based system which coordinates and monitors hybrid renewable energy sources within a microgrid, providing an uninterrupted power solution for off-grid areas. Site data for wind speed, solar radiation, and load demand were collected and averaged into hourly intervals across seasons. A key novelty of this work is an intelligent coordination approach based on Sequential Quadratic Programming (SQP) that simultaneously determines economically viable system sizes and optimizes real time energy flow for adaptive, reliable, and cost-effective control. Mathematical models and size optimization were developed for all system components. This study proposes an intelligent coordination and optimal sizing …

Intrusion Detection In Cloud Computing Using Support Vector Machine And Fast Firefly Algorithm, Ayobami Taiwo Olusesi, Ignatius Kema Okakwu, Ayodeji Akinsoji Okubanjo, Ayo Isaac Oyedeji, Oluwaseyi Olawale Bello

AUIQ Technical Engineering Science

Cloud computing has become popular due to the ongoing developments in the Internet and technical advancements. Users are increasingly storing their Web resources and data in the cloud environment due to the convenience and reduced cost of cloud computing services. Data security is crucial to the development of communication systems in cloud computing. Since data in cloud storage environments needs to be protected from intruders, network security in cloud environment has grown significantly in importance in recent years. In order to address these challenges, there is a need for an intrusion detection system (IDS) that can effectively identify malicious attack …

Exploring The English Language Learning Strategies Preferred And Used By Jazan University Female Students, Abdul Rahman Ali Al Towity

UB Journal for Humanities

This study aimed to investigate the language learning strategies employed by Saudi university students and examine the differences in strategy use based on academic year level, motivation, and proficiency. The study was conducted at the University College of Aldayer, a female college at Jazan University, and included a sample of 125 students majoring in English. Data were collected using Oxford’s (1990) Strategy Inventory for Language Learning (SILL). The findings revealed that participants frequently used language learning strategies overall. No significant differences were found in relation to academic year level, however, sophomore and junior students tended to use language learning strategies …

Self-Narration From The Spoken To The Written: A Journey Between Two Centuries – Mohammed Al-Khudair As A Model, Dr. Kholoud Bint Muhammad Al-Asmari

UB Journal for Humanities

This study seeks to trace the stages of transformation from the spoken to the written form in Muhammad Al-Khudair’s autobiographical work A Journey Between Two Centuries. The work originated as an oral narrative, first shared within the setting of a council, before evolving into a written text. This shift reflects a transition from a culture rooted in spontaneity and oral performance to one grounded in documentation, recording, and writing. Consequently, the autobiographical structure of the text merges the realism of the spoken word—with its personal, subjective dimensions and oral features—with the artistic and aesthetic qualities of written expression, along with …

Sanitizing Dynamic Strings From System Logs To Enable Comparison Between Nominal And Failing Runs, David Murphy, Noah Kersey, Angelica Rosenzweig Castillo

Defensive Publications Series

The technology involves debugging and testing of changes to operating systems. Aspects of the technology include replacing every dynamic string in a log with a placeholder value, and deterministically assigning the same tags or placeholders across consecutive runs. Lines can be diff'ed to determine their novelty in the triage process. The display of log pairs may be streamlined to hide all lines except the unique lines, which is beneficial in triaging build failures.

System For Managing Ai-Generated Interactive Modules With A Sandboxed Container, Nathan Grabaskas, Fredrik Ihre, Michael Bausor, Megan Pusey, Levi Zombori, Liam Roche

Defensive Publications Series

Digital platforms designed for static content may face challenges integrating dynamic, AI-generated interactive micro-applications in a secure manner. This disclosure describes a system for managing these modules using an interactive module container (IMC). The IMC can function as a sandboxed architectural layer that encapsulates a module's code, data, and state. The IMC may mediate interactions with backend services and a host environment through an abstracted application programming interface. The system may also feature a partitioned data architecture to manage private user data and creator-controlled data with granular permissions. This approach can provide a framework to facilitate the creation, distribution, and …

Integration Of Direct Liquid Cooling With Heterogeneous Packages, N/A

Defensive Publications Series

Integration of Direct Liquid Cooling with Heterogeneous Packages

Abstract

The disclosure describes a hybrid cooling architecture designed for heterogeneous die packages. In the disclosed systems, high-power dies amenable to direct cooling can be liquid-cooled, while other, relatively low-power dies, can be cooled indirectly. As described herein, a novel cold plate architecture can be used to manage flow routing between direct and indirect cooling zones. In addition, in some embodiments, a sealant can be used around the periphery of the dies that receive DLC.

Navigational Path Reversion Analysis From A Prior Divergence Point, Ashutosh Srivastava

Defensive Publications Series

Vehicle navigation systems may calculate prospective routes from a user's current location but may not evaluate the potential benefit of turning around to a prior divergence point. A system can address this by storing data for an unchosen alternative path and its associated divergence point from a selected route. The system can monitor real-time conditions, such as traffic congestion, for both the active route and the stored alternative path. If a trigger condition is met, for example, a significant delay on the active route, a reversion calculation can be performed. This computation can determine an estimated time to backtrack to …

A Multi-Agent Framework For Dynamic Geospatial Acoustic Characterization, Lenord Melvix

Defensive Publications Series

Characterizing the acoustic environment of a geospatial region may be challenging due to limitations in some existing data sources, which can be outdated, geographically broad, subjective, or anecdotal. This document describes a multi-agent computational framework for dynamic geospatial acoustic characterization. The system can utilize a collection of specialized software agents to ingest, process, and synthesize data from multiple heterogeneous sources, such as street-level and aerial audio recordings, user-generated content, and official data feeds. For example, agents can perform tasks such as data sourcing, denoising, source-specific characterization (e.g., vehicular, industrial, human), and temporal synthesis. This framework can be used to produce …

System For Generating Themed Content Using A Generator-Evaluator Framework, Roy Katz

Defensive Publications Series

Manual creation of themed navigational content for user engagement campaigns can be a slow, resource-intensive, and unscalable process, while general-purpose generative models may lack domain-specific safety guidelines and struggle with thematic consistency. A disclosed system can address these challenges through a dual-model, generator-evaluator framework. A primary generative model can create multiple thematic text candidates for a given instruction. A separate, secondary evaluator model may then assess these candidates using a hybrid evaluation process that combines model-based semantic analysis for attributes, such as safety and logical contradiction, with function-based checks for criteria like length and semantic similarity. The system can iteratively …