Impact of sustainability practices on share performance with mediation of green innovation: a conceptual paper

Corporate sustainability is now becoming an essential part of corporate business strategy. Companies in developed countries are adopting environmental, social, and economic practices to become a social ambassador. In many countries, companies that choose corporate social responsibility by adopting sustainable practices tend to have better financial performance and brand image. Many countries are rapidly adopting corporate sustainability strategies to promote green innovation. Researchers have argued that it is still considered to be a cost for the firm's investors, especially in developing countries like Malaysia. Evidence shows that these strategies show a positive sign in the company's financial performance. However, in some studies, it is still considered to be a sunk cost, particularly in the Asian region. It is challenging, if not impossible, to embed responsible behavior truly. The companies need to promote social, environmental, and economic practices that are considered to be beneficial for external investors. The paper proposes the conceptual model to understand how shareholders will respond if companies adopt sustainability practices, primarily if they invest in green innovation projects. The study is going to develop into a concrete hypothesis for future studies. This study aims to explore the impact of sustainability practices on the company's share performance with the mediation of green innovation. The model serves as a useful guide for adopting corporate sustainability practices to promoting green innovation and how it will affect the firm's share performance

The H Syndrome: A Genodermatosis

H syndrome (histiocytosis lymph adenopathy plus syndrome) is an autosomal recessive disorder caused by mutations in the SLC29A3 gene, encoding the human equilibrative nucleoside transporter (hENT3), characterized by cutaneous hyperpigmentation and hypertrichosis, hepatosplenomegaly, hearing loss, heart anomalies, hypogonadism, low height, hyperglycemia/insulin-dependent diabetes mellitus, and hallux valgus/flexion contractures. Exophthalmos, malabsorption, renal anomalies, flexion contractions of interphalangeal joints and hallux valgus, and lytic bone lesions, as well as osteosclerosis, are also seen. If these are lacking, the constellation of additional findings should raise suspicion for H syndrome. As most of the patients reported to date with H syndrome are from traditional, low-income populations, where consanguinity is common, it is highly important to develop a cheap and affordable technique for a mutation analysis. Two siblings presented to us, diagnosed as having insulin-dependent diabetes mellitus (IDDM) since the age of eight years and progressive flexion contracture of the small joints for seven-eight years. On examination, both had short stature. One also had bilateral cervical lymphadenopathy. The female had the Tanner stage of B3P3A2 M0 and the male had the Tanner stage of prepuberty. Laboratory workup, including antinuclear antibodies, rheumatoid factor, erythrocyte sedimentation rate, thyroid profile, and Celiac serology were negative. Genetic studies confirmed the diagnosis of H syndrome

A robust multi-watermarking algorithm for medical images based on DTCWT-DCT and Henon map

To resolve the contradiction between existing watermarking methods—which are not compatible with the watermark’s ability to resist geometric attacks—and robustness, a robust multi-watermarking algorithm suitable for medical images is proposed. First, the visual feature vector of the medical image was obtained by dual-tree complex wavelet transform and discrete cosine transform (DTCWT-DCT) to perform multi-watermark embedding and extraction. Then, the multi-watermark was pre-processed using the Henon map chaotic encryption technology to strengthen the security of watermark information, and combined with the concept of zero watermark to make the watermark able to resist both conventional and geometric attacks. Experimental results show that the proposed algorithm can effectively extract watermark information; it implements zero watermarking and blind extraction. Compared with existing watermark technology, it has good performance in terms of its robustness and resistance to geometric attacks and conventional attacks, especially in geometric attacks

Robust and secure zero-watermarking algorithm for medical images based on Harris-SURF-DCT and chaotic map

To protect the patient information in medical images, this article proposes a robust watermarking algorithm for medical images based on Harris-SURF-DCT. First, the corners of the medical image are extracted using the Harris corner detection algorithm, and then, the previously extracted corners are described using the method of describing feature points in the SURF algorithm to generate the feature descriptor matrix. *en, the feature descriptor matrix is processed through the perceptual hash algorithm to obtain the feature vector of the medical image, which is a binary feature vector with a size of 32 bits. Secondly, to enhance the security of the watermark information, the logistic map algorithm is used to encrypt the watermark before embedding the watermark. Finally, with the help of cryptography knowledge, third party, and zero-watermarking technology, the algorithm can embed the watermark without modifying the medical image. When extracting the watermark, the algorithm can extract the watermark from the test image without the original image. In addition, the algorithm has strong robustness to conventional attacks and geometric attacks. Especially under geometric attacks, the algorithm performs better

Robust zero watermarking algorithm for medical images based on Zernike-DCT

Digital medical system not only facilitates the storage and transmission of medical information but also brings information security problems. Aiming at the security of medical images, a robust zero watermarking algorithm for medical images based on Zernike-DCT is proposed. *e algorithm first uses a chaotic logic sequence to preprocess and encrypt the watermark, then performs edge detection and Zernike moment processing on the original medical image to get the accurate edge points, and then performs discrete cosine transform (DCT) on them to get the feature vector. Finally, it combines perceptual Hash and zero watermark technology to generate the key to complete the watermark embedding and extraction. *e algorithm has good robustness to conventional and geometric attacks, strong antinoise ability, high positioning accuracy, and processing efficiency and is superior to the classical edge detection algorithm in extraction effect. It is a stable and reliable image edge detection algorithm

Time Series Analysis and Forecasting of Air Pollutants Based on Prophet Forecasting Model in Jiangsu Province, China

Due to recent developments in the global economy, transportation, and industrialization, air pollution is one of main environmental issues in the 21st century. The current study aimed to predict both short-term and long-term air pollution in Jiangsu Province, China, based on the Prophet forecasting model (PFM). We collected data from 72 air quality monitoring stations to forecast six air pollutants: PM10, PM2.5, SO2, NO2, CO, and O3. To determine the accuracy of the model and to compare its results with predicted and actual values, we used the correlation coefficient (R), mean squared error (MSE), root mean squared error (RMSE), and mean absolute error (MAE). The results show that PFM predicted PM10 and PM2.5 with R values of 0.40 and 0.52, RMSE values of 16.37 and 12.07 μg/m3, and MAE values of 11.74 and 8.22 μg/m3, respectively. Among other pollutants, PFM also predicted SO2, NO2, CO, and O3 with R values are between 5 μg/m3 to 12 μg/m3; and MAE values between 2 μg/m3 to 11 μg/m3. PFM has extensive power to accurately predict the concentrations of air pollutants and can be used to forecast air pollution in other regions. The results of this research will be helpful for local authorities and policymakers to control air pollution and plan accordingly in upcoming years

PANC Study (Pancreatitis: A National Cohort Study): national cohort study examining the first 30 days from presentation of acute pancreatitis in the UK

Abstract Background Acute pancreatitis is a common, yet complex, emergency surgical presentation. Multiple guidelines exist and management can vary significantly. The aim of this first UK, multicentre, prospective cohort study was to assess the variation in management of acute pancreatitis to guide resource planning and optimize treatment. Methods All patients aged greater than or equal to 18 years presenting with acute pancreatitis, as per the Atlanta criteria, from March to April 2021 were eligible for inclusion and followed up for 30 days. Anonymized data were uploaded to a secure electronic database in line with local governance approvals. Results A total of 113 hospitals contributed data on 2580 patients, with an equal sex distribution and a mean age of 57 years. The aetiology was gallstones in 50.6 per cent, with idiopathic the next most common (22.4 per cent). In addition to the 7.6 per cent with a diagnosis of chronic pancreatitis, 20.1 per cent of patients had a previous episode of acute pancreatitis. One in 20 patients were classed as having severe pancreatitis, as per the Atlanta criteria. The overall mortality rate was 2.3 per cent at 30 days, but rose to one in three in the severe group. Predictors of death included male sex, increased age, and frailty; previous acute pancreatitis and gallstones as aetiologies were protective. Smoking status and body mass index did not affect death. Conclusion Most patients presenting with acute pancreatitis have a mild, self-limiting disease. Rates of patients with idiopathic pancreatitis are high. Recurrent attacks of pancreatitis are common, but are likely to have reduced risk of death on subsequent admissions. </jats:sec

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Interpretable Machine Learning for Personalized Medical Recommendations: A LIME-Based Approach

Chronic diseases are increasingly major threats to older persons, seriously affecting their physical health and well-being. Hospitals have accumulated a wealth of health-related data, including patients’ test reports, treatment histories, and diagnostic records, to better understand patients’ health, safety, and disease progression. Extracting relevant information from this data enables physicians to provide personalized patient-treatment recommendations. While collaborative filtering techniques and classical algorithms such as naive Bayes, logistic regression, and decision trees have had notable success in health-recommendation systems, most current systems primarily inform users of their likely preferences without providing explanations. This paper proposes an approach of deep learning with a local interpretable model–agnostic explanations (LIME)-based interpretable recommendation system to solve this problem. Specifically, we apply the proposed approach to two chronic diseases common in older adults: heart disease and diabetes. After data preprocessing, we use six deep-learning algorithms to form interpretations. In the heart-disease data set, the actual model recommendation of multi-layer perceptron and gradient-boosting algorithm differs from the local model’s recommendation of LIME, which can be used as its approximate prediction. From the feature importance of these two algorithms, it can be seen that the CholCheck, GenHith, and HighBP features are the most important for predicting heart disease. In the diabetes data set, the actual model predictions of the multi-layer perceptron and logistic-regression algorithm were little different from the local model’s prediction of LIME, which can be used as its approximate recommendation. Moreover, from the feature importance of the two algorithms, it can be seen that the three features of glucose, BMI, and age were the most important for predicting heart disease. Next, LIME is used to determine the importance of each feature that affected the results of the calculated model. Subsequently, we present the contribution coefficients of these features to the final recommendation. By analyzing the impact of different patient characteristics on the recommendations, our proposed system elucidates the underlying reasons behind these recommendations and enhances patient trust. This approach has important implications for medical recommendation systems and encourages informed decision-making in healthcare