E-Waste Recycling Behavior in the United Arab Emirates: Investigating the Roles of Environmental Consciousness, Cost, and Infrastructure Support

This study examines whether consumers’ behavior affects e-waste recycling in the UAE. This paper provides a theoretical model of e-waste recycling behavior based on the theory of planned behavior (TPB), and it goes on to analyze the impact of environmental consciousness, infrastructural support, and costs in e-waste recycling. To assess this study’s constructs, a survey instrument is created. The theoretical model is tested using data gathered from a survey of UAE residents. PLS-SEM (partial least squares structural equations modeling) is used to assess the data. The results support the use of the TPB in the e-waste recycling behavior context. Furthermore, this study shows intriguing findings regarding the effect of environmental consciousness, perceived infrastructural support, and the cost of e-waste recycling. Environmental consciousness shows a positive moderation effect on the association between e-waste recycling attitudes and intentions. This finding implies that the environmental consciousness of residents should be increased to translate e-waste recycling intentions into behavior. Environmental consciousness can be enhanced through training programs. Furthermore, special sustainability courses in higher education that focus on improving environmental awareness among students will have a lasting impact. This study supports the positive moderation effect of perceived infrastructure support on the association between recycling intentions and behavior

COVID-19 and diabetes in 2020: a systematic review

Attempts were made to review the literature on diabetic patients who experience complications when they contract COVID-19, and to determine whether ethnicity and other risk factors play an important role in the development of symptoms and their severity, as well as responding to medications. A literature search was performed using fve keywords, namely COVID-19, diabetes, ethnicity, medications, and risk factors between January 2019 and December 2020 using electronic databases such as PubMed, Science Direct, Google Scholar, Springer Link, and Scopus. Forty studies were included. The review indicated that diabetes was a signifcant risk factor for poorer outcomes and increased mortality associated with COVID-19. There were several risk factors for diabetic patients that increased their likelihood of poorer outcomes associated with COVID-19. These included black and Asian ethnicity, male sex with high BMI. In conclusion, patients with diabetes of black or Asian origin with high BMI, male sex, and older age had an increased risk of poorer outcomes associated with COVID-19. This highlights the importance of considering the history of the patient in prioritising care and treatment

Intelligent cooperative web caching policies for media objects based on J48 decision tree and naïve Bayes supervised machine learning algorithms in structured peer-to-peer systems

Web caching plays a key role in delivering web items to end users in World Wide Web (WWW). On the other hand, cache size is considered as a limitation of web caching. Furthermore, retrieving the same media object from the origin server many times consumes the network bandwidth. Furthermore, full caching for media objects is not a practical solution and consumes cache storage in keeping few media objects because of its limited capacity. Moreover, traditional web caching policies such as Least Recently Used (LRU), Least Frequently Used (LFU), and Greedy Dual Size (GDS) suffer from caching pollution (i.e. media objects that are stored in the cache are not frequently visited which negatively affects on the performance of web proxy caching). In this work, intelligent cooperative web caching approaches based on J48 decision tree and Naïve Bayes (NB) supervised machine learning algorithms are presented. The proposed approaches take the advantages of structured peer-to-peer systems where the contents of peers’ caches are shared using Distributed Hash Table (DHT) in order to enhance the performance of the web caching policy. The performance of the proposed approaches is evaluated by running a trace-driven simulation on a dataset that is collected from IRCache network. The results demonstrate that the new proposed policies improve the performance of traditional web caching policies that are LRU, LFU, and GDS in terms of Hit Ratio (HR) and Byte Hit Ratio (BHR). Moreover, the results are compared to the most relevant and state-of-the-art web proxy caching policies

Intelligent cooperative web caching policies for media objects based on J48 decision tree and naïve Bayes supervised machine learning algorithms in structured peer-to-peer systems

Web caching plays a key role in delivering web items to end users in World Wide Web (WWW). On the other hand, cache size is considered as a limitation of web caching. Furthermore, retrieving the same media object from the origin server many times consumes the network bandwidth. Furthermore, full caching for media objects is not a practical solution and consumes cache storage in keeping few media objects because of its limited capacity. Moreover, traditional web caching policies such as Least Recently Used (LRU), Least Frequently Used (LFU), and Greedy Dual Size (GDS) suffer from caching pollution (i.e. media objects that are stored in the cache are not frequently visited which negatively affects on the performance of web proxy caching). In this work, intelligent cooperative web caching approaches based on J48 decision tree and Naïve Bayes (NB) supervised machine learning algorithms are presented. The proposed approaches take the advantages of structured peer-to-peer systems where the contents of peers’ caches are shared using Distributed Hash Table (DHT) in order to enhance the performance of the web caching policy. The performance of the proposed approaches is evaluated by running a trace-driven simulation on a dataset that is collected from IRCache network. The results demonstrate that the new proposed policies improve the performance of traditional web caching policies that are LRU, LFU, and GDS in terms of Hit Ratio (HR) and Byte Hit Ratio (BHR). Moreover, the results are compared to the most relevant and state-of-the-art web proxy caching policies

Deep Pipeline Architecture for Fast Fractal Color Image Compression Utilizing Inter-Color Correlation

Fractal compression technique is a well-known technique that encodes an image by mapping the image into itself and this requires performing a massive and repetitive search. Thus, the encoding time is too long, which is the main problem of the fractal algorithm. To reduce the encoding time, several hardware implementations have been developed. However, they are generally developed for grayscale images, and using them to encode colour images leads to doubling the encoding time 3× at least. Therefore, in this paper, new high-speed hardware architecture is proposed for encoding RGB images in a short time. Unlike the conventional approach of encoding the colour components similarly and individually as a grayscale image, the proposed method encodes two of the colour components by mapping them directly to the most correlated component with a searchless encoding scheme, while the third component is encoded with a search-based scheme. This results in reducing the encoding time and also in increasing the compression rate. The parallel and deep-pipelining approaches have been utilized to improve the processing time significantly. Furthermore, to reduce the memory access to the half, the image is partitioned in such a way that half of the matching operations utilize the same data fetched for processing the other half of the matching operations. Consequently, the proposed architecture can encode a 1024×1024 RGB image within a minimal time of 12.2 ms, and a compression ratio of 46.5. Accordingly, the proposed architecture is further superior to the state-of-the-art architectures.©2022 The Authors. Published by IEEE. This work is licensed under a Creative Commons Attribution 4.0 License. For more information, see https://creativecommons.org/licenses/by/4.0/fi=vertaisarvioitu|en=peerReviewed

An adaptive opposition-based learning selection: the case for Jaya algorithm

Over the years, opposition-based Learning (OBL) technique has been proven to effectively enhance the convergence of meta-heuristic algorithms. The fact that OBL is able to give alternative candidate solutions in one or more opposite directions ensures good exploration and exploitation of the search space. In the last decade, many OBL techniques have been established in the literature including the Standard-OBL, General-OBL, Quasi Reflection-OBL, Centre-OBL and Optimal-OBL. Although proven useful, much existing adoption of OBL into meta-heuristic algorithms has been based on a single technique. If the search space contains many peaks with potentially many local optima, relying on a single OBL technique may not be sufficiently effective. In fact, if the peaks are close together, relying on a single OBL technique may not be able to prevent entrapment in local optima. Addressing this issue, assembling a sequence of OBL techniques into meta-heuristic algorithm can be useful to enhance the overall search performance. Based on a simple penalized and reward mechanism, the best performing OBL is rewarded to continue its execution in the next cycle, whilst poor performing one will miss cease its current turn. This paper presents a new adaptive approach of integrating more than one OBL techniques into Jaya Algorithm, termed OBL-JA. Unlike other adoptions of OBL which use one type of OBL, OBL-JA uses several OBLs and their selections will be based on each individual performance. Experimental results using the combinatorial testing problems as case study demonstrate that OBL-JA shows very competitive results against the existing works in term of the test suite size. The results also show that OBL-JA performs better than standard Jaya Algorithm in most of the tested cases due to its ability to adapt its behaviour based on the current performance feedback of the search process

Spontaneous left main coronary artery dissection complicated by pseudoaneurysm formation in pregnancy: role of CT coronary angiography

We report a case of a 26-year-old female, who presented at 34 weeks of an uncomplicated pregnancy with an acute ST elevation anterior wall myocardial infarction. Cardiac catheterization suggested a left main coronary artery dissection with pseudoaneurysm formation. The patient's course was complicated by congestive heart failure. She was initially managed conservatively by a multidisciplinary team including heart failure specialists, obstetricians, and cardiovascular surgeons. 4 days after admission, her LMC was imaged by dual-source 64 slice Cardiac computed tomography, coronary dissection was identified extending to the lumen, and the presence of pseudoaneurysm was confirmed. She underwent subsequently a staged procedure, which included placement of an intra-aortic balloon pump, cesarean section, and coronary artery bypass grafting. This case illustrates the utility of coronary artery CT imaging to assess the complexity and stability of coronary artery dissections, thereby helping to determine the need for, and timing of revascularization procedures

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

The global burden of adolescent and young adult cancer in 2019 : a systematic analysis for the Global Burden of Disease Study 2019

Background In estimating the global burden of cancer, adolescents and young adults with cancer are often overlooked, despite being a distinct subgroup with unique epidemiology, clinical care needs, and societal impact. Comprehensive estimates of the global cancer burden in adolescents and young adults (aged 15-39 years) are lacking. To address this gap, we analysed results from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019, with a focus on the outcome of disability-adjusted life-years (DALYs), to inform global cancer control measures in adolescents and young adults. Methods Using the GBD 2019 methodology, international mortality data were collected from vital registration systems, verbal autopsies, and population-based cancer registry inputs modelled with mortality-to-incidence ratios (MIRs). Incidence was computed with mortality estimates and corresponding MIRs. Prevalence estimates were calculated using modelled survival and multiplied by disability weights to obtain years lived with disability (YLDs). Years of life lost (YLLs) were calculated as age-specific cancer deaths multiplied by the standard life expectancy at the age of death. The main outcome was DALYs (the sum of YLLs and YLDs). Estimates were presented globally and by Socio-demographic Index (SDI) quintiles (countries ranked and divided into five equal SDI groups), and all estimates were presented with corresponding 95% uncertainty intervals (UIs). For this analysis, we used the age range of 15-39 years to define adolescents and young adults. Findings There were 1.19 million (95% UI 1.11-1.28) incident cancer cases and 396 000 (370 000-425 000) deaths due to cancer among people aged 15-39 years worldwide in 2019. The highest age-standardised incidence rates occurred in high SDI (59.6 [54.5-65.7] per 100 000 person-years) and high-middle SDI countries (53.2 [48.8-57.9] per 100 000 person-years), while the highest age-standardised mortality rates were in low-middle SDI (14.2 [12.9-15.6] per 100 000 person-years) and middle SDI (13.6 [12.6-14.8] per 100 000 person-years) countries. In 2019, adolescent and young adult cancers contributed 23.5 million (21.9-25.2) DALYs to the global burden of disease, of which 2.7% (1.9-3.6) came from YLDs and 97.3% (96.4-98.1) from YLLs. Cancer was the fourth leading cause of death and tenth leading cause of DALYs in adolescents and young adults globally. Interpretation Adolescent and young adult cancers contributed substantially to the overall adolescent and young adult disease burden globally in 2019. These results provide new insights into the distribution and magnitude of the adolescent and young adult cancer burden around the world. With notable differences observed across SDI settings, these estimates can inform global and country-level cancer control efforts. Copyright (C) 2021 The Author(s). Published by Elsevier Ltd.Peer reviewe