This paper presents the behavior of decision makers, the possible choices and the strategies 1 resulting from the uncertainties related to the integration of renewable energies. Its uncertainties 2 are the risks associated with the volatility of renewable sources, the dynamics of energy production 3 as well as the planning and operation of the electricity grid. The goal is to model the risk-averse 4 decision-maker’s behavior and the choice of integrating renewable energies into the electrical system. 5 Following a bibliographic approach, we expose a methodology to model the decision-maker’s 6 behavior(risk aversion and predilection for risk) to risk taking. The risk-averse decision maker may 7 adopt nonlinear utility functions. Risk aversion is a behavior that reflects the desire to avoid risk 8 decisions and thus reduces the risk of adverse consequences. A decision support tool is provided to 9 the decision-maker to choose a best-fit strategy based on his preferences. The rational and risk-averse 10 decision-maker would seek to maximize a concave utility function instead of seeking to minimize its 11 cost. Taste or aversion to risk can be modeled by a thematic function of utility.

Maker spaces can contribute significantly to the circular economy of cities: they demonstrate not only the economic potential of inner loop circularity, but also provide tangible evidence of spatial and social integration of production into the urban context. This paper presents findings from a typological analysis of 326 maker spaces in seven European cities, with a focus on selected exemplar case studies to reveal design characteristics, principles and opportunities for circular city development. The research shows that circular economy principles of ‘reduce-reuse-recyle’ are aligned with maker spaces such as repair cafés, secondhand shops and fab labs. In the context of cities, circularity is revealed by a spatial tightening of resource cycles that close the loops of product life cycles. Furthermore, urban maker spaces demonstrate social engagement and a relationship to local production which inherently includes maintenance, repair, reuse, and redistribution. This paper defines five maker typologies, presents exemplars of each from different urban contexts and posits hybrid design strategies for the transition to circular maker cities. Through the adoption of these findings into urban planning policy it is possible accelerate circular urban production and close the sustainability gap between small scale local and large scale regional manufacturing.

In this paper, we study the asymptotic behavior of the sequential empirical process and the sequential empirical copula process, both constructed from residuals of multivariate stochastic volatility models. Applications for the detection of structural changes and specification tests of the distribution of innovations are discussed. It is also shown that if the stochastic volatility matrices are diagonal, which is the case if the univariate time series are estimated separately instead of being jointly estimated, then the empirical copula process behaves as if the innovations were observed; a remarkable property. As a by-product, one also obtains the asymptotic behavior of rank-based measures of dependence applied to residuals of these time series models.

Partially state-owned firms are common in both developed and developing countries and contribute around 10% of the world's GDP. This has led to a rich literature exploring various aspects of competition between such “mixed”-ownership firms. This paper contributes to the existing literature by studying the effects of mixed ownership on the intensity of competition in oligopoly markets. Our findings indicate that state ownership exerts an anti-competitive influence, with a higher state ownership share resulting in less aggressive behavior by firms in the product market. This result implies that industries with a higher proportion of state ownership yield lower total surplus. Further, when considering factors such as taxes, soft budget constraints, and weak property rights, the anti-competitive effects of state ownership are accentuated.

The coordination of policy, makers and materials is critical to the success of circular city development. The network of maker activities in the city of Leuven is a flagship initiative that illustrates the mechanisms that support integrated circular urban production. This paper draws on the Pop-Machina project, funded by EC Horizon 2020, which identifies the links between the maker movement and the circular economy in seven European cities. The case study project in Leuven, confirmed as the most impactful amongst those studied in the Pop-Machina project, is examined to assess how local knowledge and policy measures, can provide a means of activating a circular maker ecology. Through desk research, spatial urban analysis and interviews with key stakeholders, this paper provides a critical narrative of the development, success factors and hurdles related to circular making processes in the city. It demonstrates how hybrid makers are supported by local, national, and international policy on the one hand, and by integration with the city’s community, educational and business groups on the other. It is this constellation of social, political, and spatial conditions that lies at the success of the project.

Purpose: This study investigates the implementation and impact of maker culture—viewed as a tool for developing green digital skills—in higher education institutions in Hong Kong. Maker culture, a collaborative educational approach, embraces students’ capacity for self-paced, autonomous learning and applies this knowledge to creative problem-solving and innovation, key aspects of sustainability education. Methods: An empirical study was conducted, focusing on the experiences of teachers in the higher education sector in Hong Kong. Eight individuals were interviewed to gain insights into their perceptions and experiences with maker education within sustainability contexts. The sample was limited to ensure cross-sectional comparability and direct weighting of teachers’ experiences within a singular, complementary educational setting. Results: The findings provide valuable insights into the benefits and challenges of integrating maker education into traditional educational systems to foster green digital skills. It became evident that adequate resources, effective teachers, and improved administrative systems play significant roles in the successful implementation of this approach. Conclusion: Maker education, as a tool for developing green digital skills, offers a promising alternative to traditional performance-based studies. It has the potential to lead to a future of education that is creative, innovative, and student-directed, fostering sustainability competences. Therefore, despite the challenges, with the right support and resources, the integration of maker culture into educational systems could significantly transform teaching and learning processes, advancing sustainability education.

Schistosomiasis, acquired by skin-penetrating cercariae of dioecious digenean schistosomes during freshwater contact, afflicts nearly 260 and 440 million people with active infections and residual morbidity, respectively; about 10 million women at reproductive age contract schistosomiasis during gestation every year. Acute schistosomiasis is characterized by pre-patent pro-inflammatory CD4+ T-helper 1 or CD4+ Th1/T-helper 17 reactivity against immature schistosomulae. Chronic schistosomiasis is dominated by post-patent anti-inflammatory CD4+ T-helper 2 reactivity against ova epitopes; flukes co-exist in immunocompetent definitive hosts as they are capable of evading their defense mechanisms. Preventive measures should be complemented by vaccination, inducing long-term protection against transmission, infection, and disease recurrence, given the latest advancements in schistosomal vaccines. Transmission models incorporating vaccination available in PubMed, Embase and Web of Science up to December 31, 2023 are presented. Besides conceptual model differences, predictions meant to guide decision- and policymaking reveal continued worm harboring facilitating transmission besides residual infections, and increased susceptibility to re-infection and rebound morbidity, both shifted to later life stages following the intervention. Consequently, a vaccination schedule is pivotal considering the optimal age for initial immunization, i.e., pre-schoolchildren or schoolchildren, in a cohort-based or population-based manner while incorporating potential non-adherers promoting ongoing transmission; longevity over magnitude of vaccine protection to antigenic schistosomal moieties is crucial including accounting for existing pre-acquired immunity from natural exposure, in utero priming besides herd immunity, and induced by chemotherapy. Combining as one multi-component approach long-term effects of vaccination with short-term effects of chemotherapy as regular repeated vaccine-linked therapy in contrast to a single-component intervention seems most promising for achieving WHO’s endpoints of transmission elimination and morbidity control.

We study a two-echelon supply chain made up of a supplier and a manufacturer, both of which can reduce their component/product carbon emissions. With the vertical technology spillovers, we explore the optimal decisions of centralized and decentralized supply chains with price dependent demand and propose coordination strategy for the decentralized supply chain. Considering the cost contraction effectiveness of the technology spillovers, the centralized and decentralized game theoretic models of a two-echelon supply chain are developed to investigate optimal decisions of pricing and carbon emissions reduction. Through a systematic comparison and numerical analysis, we show that the profits of both players and the entire supply chain improve with the effect of technology spillovers increasing. Carbon emissions reduction will be taken by various protective measures so that the supplier and the manufacturer who do not innovate can hardly share the results of innovating via the “free-riding” methods when the technology spillover is relatively small. We also propose a revenue-cost sharing contract through bargaining to enhance the performance of the decentralized supply chain.

Aiming at the limitations of single-functionality, limited applicability, and complex designs prevalent in current metasurfaces, we propose a terahertz multifunctional and multiband tunable metasurface utilizing a VO2-metal hybrid structure. This metasurface structure comprises a top VO2-metal resonance layer, a middle polyimide dielectric layer, and a gold film reflective layer at the bottom. This metasurface exhibits multifunctionality, operating independently of polarization and incident angle. The varying conductivity states of the VO2 layers, enable the metasurface to achieve various terahertz functionalities, including single-band absorption, broadband THz absorption, and multiband perfect polarization conversion for linear (LP) and circularly polarized (CP) incident waves. Finally, we believe that the functional adaptability of the proposed metasurface expands the repertoire of options available for future terahertz device designs.

Biochar is a carbonaceous material derived from the thermochemical conversion of biomass under oxygen-lean conditions. Its properties render it many applications in agriculture, environmental remediation, and catalysis. Commonly produced by pyrolysis under a nitrogen atmosphere, the biochar composition is influenced mainly by residence time, heating rate, and process temperature. The existing literature primarily assesses biochar properties, such as ultimate, proximate, calorific, porosity, and combustibility, generated under various thermo-conversion conditions. However, there is a notable lack of sufficient investigation and attention given to the practical application of biochar. This article seeks to bridge that gap by enhancing the comprehension of the necessary experimental assessment for specific biochar applications and proposing process optimization methods using Multi-Criteria Decision Analysis (MCDA). By delving into these aspects, the study offers a concise overview of biochar production and presents a comprehensive panorama based on articles and patents. Additionally, the research explores the physicochemical characterization techniques associated with biochar and its various applications in conjunction with MCDA. This comprehensive approach aims to uncover valuable insights that could further advance the practical and sustainable utilization of biochar in a wide range of fields.

Neurology is a quickly evolving specialty that requires clinicians to make precise and prompt diagnoses and clinical decisions based on the latest evidence-based medicine practices. In all Neurology subspecialties, Stroke and Epilepsy in particular, clinical decisions affecting patient outcomes depend on neurologists accurately assessing patient disability. Artificial intelligence (AI) can predict the expected neurological impairment from an AIS (Acute Ischemic Stroke), the possibility of ICH (IntraCranial Hemorrhage) expansion, and the clinical outcomes of comatose patients. This review article informs readers of artificial intelligence principles and methods. The article introduces the basic terminology of artificial intelligence before reviewing current and developing AI applications in neurology practice. AI holds promise as a tool to ease a neurologist’s daily workflow and supply unique diagnostic insights by analyzing data simultaneously from several sources, including neurological history and examination, blood and CSF laboratory testing, CNS electrophysiologic evaluations, and CNS imaging studies. AI-based methods are poised to complement the other tools neurologists use to make prompt and precise decisions that lead to favorable patient outcomes.

With the development of higher voltage power grid, the high and low voltage parallel loops are emerging, which lead to energy losses, even threaten the security and stability of power system. The multi-infeed HVDC configurations widely appearing in AC/DC interconnected power system make this situation even worse. Aimed at energy saving and system security, a decision optimization method for power grid operating condition with high and low voltage parallel loops is proposed in this paper. Firstly, considering hub substation distribution and power grid structure, parallel loop opening schemes are generated with GN algorithm. Then, candidate opening schemes are preliminarily selected from all these generated schemes based on a filtering index. Finally, with the influence on power system security, stability and operation economy in consideration, an evaluation model for candidate opening schemes is founded based on analytic hierarchy process (AHP). And a fuzzy evaluation algorithm is used to find the optimal scheme. Simulation results of New England 39-bus system and an actual power system validate the effectiveness and superiority of this proposed method.

Urbanization and climate change have increased the need for stormwater management and nature-based solutions. Decisions made at project level impact the emergence of systemic traits of the stormwater network and the functionality of the catchment areas in urban planning. To that end, it is vital to introduce the decision-making tools for analyzing both the utilities and amenities of nature-based solutions (NBS) to increase their adoption to reduce the peak loads in the stormwater system, and to that end, mitigate the impacts of climate change. This paper demonstrates a workflow using drone-based photogrammetry, 3D modeling, and simulation software to generate visual and functional models assisting in informed decision-making in the design of stormwater systems as functional landscape architecture. Using aerial data from drones and modeled design solutions, the proposed workflow simulates rain events, infiltration, evaporation, water flow, and accumulation of stormwater in a way that allows the visual and quantified analysis of detailed landscape architecture designs. The paper provides an example of a rooftop site simulation demonstrating the infiltration and flow of water to the drainage. The visual decision-making method provided can aid in investment decisions for functional landscape design in support of stormwater management.

Rapid SARS-CoV-2 self-tests have the potential to expand access to COVID-19 testing and improve community-level case detection, particularly in resource-constrained countries such as Kenya. However, prior to their introduction, their acceptability must be assessed. This qualitative study explored key decision-takers’ values towards SARS-CoV-2 self-testing in Kenya. Healthcare workers, representatives of civil society, and potential implementors from Mombasa and Taita-Taveta were selected as decision-takers. Semi-structured interviews and focus group discussions were used to collect data on their values towards self-testing. A thematic analysis approach was applied. Most informants considered that the Kenyan public is equipped to accept and use self-testing safely as an approach to help to reduce workload at public healthcare facilities, and know one’s COVID-19 status in a private manner. The informants emphasized the need to provide counselling to end-users, to support those needing to self-isolate, and to engage different civil society stakeholders in information provision on self-testing. Fear of stigma and of forced isolation were noted as potential deterrents to self-testing uptake for some individuals. In conclusion, there is high acceptability of self-testing in Kenya among decision-takers. However, enhanced education, counselling, and addressing deterrents to testing would be helpful to ensure effective use of SARS-CoV-2 self-testing in Kenya.

The purposes of this study were to identify clinician’s characteristics associated with higher prescription rates of long-acting injectable (LAI) antipsychotics, as well as the information sources influencing medical decision-making about treatment of schizophrenia. We surveyed 202 psychiatrists during 6 regional French conferences (Bordeaux, Lyon, Marseille, Nice, Paris, Strasbourg). Data on the characteristics of practice, prescription rates of antipsychotic and information sources about their clinical decisions were collected. Most of psychiatrists used second-generation antipsychotic (SGA), and preferentially an oral formulation, in the treatment of schizophrenia. SGA LAI was prescribed to 30.4% of schizophrenic patients. The duration and the type of practice did not influence the class or formulation of antipsychotics used. The clinicians following the higher percentage of schizophrenic patients were associated with the higher use of LAI antipsychotics and the lower use of oral SGA. Personal experience, government regulatory approval and guidelines for the treatment of schizophrenia were the 3 main contributing factors guiding the clinical decision-making of clinicians about treatment of schizophrenia. The more clinicians follow schizophrenic patients, the more they use LAI antipsychotic. The development of specialised programmes with top specialists should lead to better use of LAI in the treatment of schizophrenia.

Data is the most valuable asset of a company or organisation nowadays, for the management of such data there are several techniques used for the storage and analysis of these data, if the organisation chooses wrongly among the alternatives it could face a very costly problem. Based on the above information we will study a very important issue today in the business world, with the global economic growth has also grown the world of technology and therefore organizations or companies also need to move forward with firm and fast pace how business evolves; Its weaknesses, strengths and the need to always be at the forefront of technological tools we will dive into the subject of business intelligence or also known as Business Intelligence (BI), Datawarehouse and Data Mining which is nothing more than a group of applications and tools that allow you to extract, transform and load some data to get to get information and knowledge in order to make a quick decision, accurate and efficient in the organization to achieve the objectives outlined. Due to the fact that there are still companies or organisations that make blind decisions in their customer or strategic processes. In order to solve this problem we rely on data mining as an alternative to minimise risks, which can lead to major and valuable losses within an organisation. In the case of a private company where data mining is applied to study patterns of customer behaviour on their own parameters of location, consumption, etc.. And third party data. The search for information is profitable for the business administration. Data mining is applied as a tool for the development of marketing tactics in competitive production and industrial sectors. This technology attempts to help perceive the attachment of databases. Data mining works on a preferential level looking for patterns, behaviours, orders or groupings that can create a model that allows us to better understand the concept and help in decision making so organisations rely on different systems such as CRM, ERP and many others, but to move from just information to generate business intelligence must be centralised in a single place where you can run data analysis of all types to discover trends that help decision making that place can be mainly a Lake or a Warehouse.

To better understand farmers’ refusal and corresponding negative emotions to pay agricultural water fee under current policy in rural China, this paper applies mental accounting, a behavioral economics framework, to explore how the governmental policies of reform of rural taxes and fees, direct agricultural subsidy programs and agricultural water fee individually influence farmers’ decisions in paying agricultural water fee. Using fieldwork data from 577 farmers and 20 water managers in Sichuan, we explore farmers’ information processing regarding paying agricultural water fee via three sequential mental accounting processes, with the associated underlying principles and measures behind each process. We find that the information processing in three mental accounting scenarios related to the agricultural water fee elucidates farmers’ observed behaviors in rural China. Generally, in the three mental accounting scenarios, two conditional intuitive expectations and nine conditional intuitive preferences are formed, however, the conditions of those expectations or preferences cannot be matched with the facts due to the reform of rural taxes and fees, the direct agricultural subsidy programs and the internal attributes of agricultural water fee, which interpret those negative behaviors in rural China. Additionally, this paper offers a view into how previous policies create negative psychological externalities (such as farmers’ psychological dependence on the government) through mental accounting to negatively influence agents’ subsequent decision making; it highlights the significance of underlying mental factors and information processing of negative behaviors in policymaking for managing or conserving common pool resources.

High maternal mortality in the developing countries, particularly in Nigeria, poses serious challenge to achieving the maternal mortality target of the Sustainable Development Goals (SDGs) in the countries. Hence, there is need for multifaceted approach to curtailing the scourge. Women being the victims of maternal mortality, this study finds the effect of their household decision making power in reducing maternal mortality. The study used data from the 2013 Nigeria Health and Demographic Survey (NDHS) and logistic regression model to explore the relationship between women household decision making power and maternal mortality in Nigeria. The finding shows that women who decide and participate in household decision on own health, major purchases and visit to family and relatives were 35% (OR = 0.65, 95% CI: 0.52, 0.83), 27% (OR = 0.73, 95% CI: 0.57, 0.92), and 37% (OR = 0.63, 95% CI: 0.50, 0.80) less likely to experience maternal mortality, respectively, compared to those whose husbands alone decide. Women household decision making power is therefore instrumental to reducing maternal mortality. It is thus important for policy makers, particularly in Nigeria, to pay more attention to social and cultural factors that surround women household decision making ability for speedy reduction in maternal deaths.

This article introduces an innovative design method for public lighting systems that surpasses the limitations of conventional approaches, which rely on predefined lamp characteristics and spatial arrangement. By employing a multi-criteria decision algorithm, our study proposes an optimal design methodology considering several key aspects, including the distance between lamps, their type, power, and light distribution. The goal is to achieve optimal illumination that enhances visibility on public roads for drivers and pedestrians while simultaneously minimizing glare, installation costs and maximizing energy efficiency. The proposed methodology is implemented through an algorithm developed in Matlab, with results validated through simulations in Dialux. This information is used to construct a decision matrix, assessed using the CRITIC method across 180 different scenarios within a specific case study. The findings demonstrate the effectiveness of multi-criteria decision-making as a tool for significantly improving the planning and design of lighting in public illumination systems, allowing for selecting the optimal combination of parameters that ensure the best lighting conditions.

The use of machine learning (ML) approaches to target clinical problems is called to revolutionize clinical decision-making. The success of these tools is subjected to the understanding of the intrinsic processes being used during the classical pathway by which clinicians make decisions. In a parallelism with this pathway, ML can have an impact at four levels: for data acquisition, predominantly by extracting standardized, high-quality information with the smallest possible learning curve; for feature extraction, by discharging healthcare practitioners from performing tedious measurements on raw data; for interpretation, by digesting complex, heterogeneous data in order to augment the understanding of the patient status; and for decision support, by leveraging the previous step to predict clinical outcomes, response to treatment or to recommend a specific intervention. This paper discusses the state-of-the-art, as well as the current clinical status and challenges associated with each of these tasks, together with the challenges related to the learning process, the auditability/traceability, the system infrastructure and the integration within clinical processes.

Outcomes of repeated decision--making processes may be affected by adversarial actors, without being noticed. Adversaries may try to gain knowledge about a particular decision--making process, identify its decision--makers, and guess which underlying decision support model is used. Then they can simulate the process, and craft different scenarios to affect its decision outcomes. Therefore, designers of decision support systems need to incorporate this in the decision modeling phase. The purpose of this study is to demonstrate this for the repeated decision--making in a patent application process. In this process, two sequential decision outcomes can be affected by adversarial actors: a company's decision to which type of patent office to send a patent request to, and the decision of a specialized patent officer to grant an application, or not. It is motivated that the company's decision--maker is \emph{bounded} rational. A theory for information--theoretic bounded rational decision--making under uncertainty proposed by Ortega et al.\ is adopted to model this type of decision--maker. A framework is provided to simulate a number of scenarios that adversaries may deploy to affect decision outcomes of a repeated patent application decision--making process. The framework is also utilized for statistically testing the presence of the scenarios, and to demonstrate how to discourage adversaries from deploying them.

In the dynamic and complex environment of industrial control rooms, operators are often inundated with a multitude of tasks and alerts, which can lead to an overwhelming situation known as task overload. This state can precipitate decision fatigue and a heavier reliance on cognitive biases, potentially compromising the decision-making process. To mitigate such risks, the implementation of decision support systems becomes crucial. These systems are designed to assist operators in making swift and well-informed decisions, particularly when they sense their own judgment may be faltering. Our research introduces an AI-based framework that leverages dynamic influence diagrams and reinforcement learning to construct an effective decision support system. The cornerstone of this framework is the creation of a robust, interpretable, and efficient tool that supports control room operators during critical process disturbances. By integrating expert knowledge, the dynamic influence diagram forms a comprehensive model that captures the uncertainties inherent in complex industrial processes. It is adept at anomaly detection and recommending optimal actions. Moreover, this model is enhanced through a strategic partnership with reinforcement learning algorithms, which fine-tune the recommendations to be more context-specific and precise. The ultimate goal of our framework is to provide operators with a live, reliable decision support system that can significantly improve their response during process upsets. This paper outlines the development of our AI framework and its application within a simulated control room environment. Our findings indicate that the use of decision support systems can lead to improved operator performance and reduced cognitive workload. However, it also reveals a trade-off with situation awareness, which tends to diminish as operators may become overly reliant on the system’s guidance. Trust emerges as a critical factor in the adoption and effectiveness of decision support systems. Our research underscores the importance of balancing the benefits of decision support with the need for maintaining operator engagement and comprehension during process operations.

The reliance on cloud computing services and related technologies has increased due to their many benefits, including resource sharing and the need for organizations to maintain their competitive advantage in the digital market. Also, the pace of cloud growth has significantly increased because of COVID-19. Many companies and businesses have shifted their core processes to the cloud for seamless operations during the pandemic. This migration of legacy systems to the cloud creates many opportunities for businesses. However, on the other hand, it may also bring substantial challenges. Hence, a careful decision is needed to align with company goals. In this paper, we demonstrate the need and advantages of cloud computing, followed by highlighting AWS's characteristics as one of the leading cloud service providers. We also discuss the merger of AWS with SDN to improve cloud data security and performance. The outcomes of this study can provide a data migration strategy and guide decision-makers toward a secure and sustainable migration to a cloud computing environment.

Human decision-making is increasingly supported by artificial intelligence (AI) systems. From medical imaging analysis to self-driving vehicles, AI systems are becoming organically embedded in a host of different technologies. However, incorporating such advice into decision-making entails a human rationalization of AI outputs for supporting beneficial outcomes. Recent research suggests intermediate judgments in the first stage of a decision process can interfere with decisions in subsequent stages. For this reason, we extend this research to AI-supported decision-making to investigate how intermediate judgments on AI-provided advice may influence subsequent decisions. In an online experiment (N=192), we found a consistent bolstering effect in trust for those who made intermediate judgments and over those who did not. Furthermore, violations of total probability were observed at all timing intervals throughout the study. We further analyzed the results by demonstrating how quantum probability theory can model these types of behaviors in human-AI decision-making and ameliorate the understanding the interaction dynamics at the confluence of human factors and information features.

This paper focuses on enhancing the object detection and decision-making capabilities of Autonomous Emergency Medical Response Systems (AEMRS). Using advanced sensors, Convolutional Neural Networks (CNN), and reinforcement learning, we propose a model that processes environmental data to identify obstacles and make optimal navigation decisions. The integration of these technologies aims to minimize response time and improve the efficiency of emergency medical services. The perception system utilizes radar, LiDAR, and camera inputs to create a comprehensive understanding of the environment. These data are processed through a series of CNN layers to detect and classify objects such as vehicles, pedestrians, and road signs. On the decision-making front, a Q-learning algorithm is employed to enable the ambulance to learn from its interactions with the environment, continuously improving its route planning and collision avoidance strategies. By combining these advanced AI techniques, the proposed AEMRS can significantly enhance the speed and reliability of emergency responses, ultimately saving more lives. This paper presents the design, implementation, and simulation results of the proposed system, demonstrating its potential to revolutionize emergency medical services.

Urban flood risk mapping is an important tool for the mitigation of flooding in view of human activities and climate change. Many developing countries, however, lack sufficiently detailed data to produce reliable risk maps with existing methods. Thus, improved methods are needed that can improve urban flood risk management in regions with scarce hydrological data. Given this, we estimated the flood risk map for Rasht City (Iran), applying a composition of decision-making and machine learning methods. Flood hazard maps were produced applying six state-of-the-art machine learning methods such as classification and regression trees (CART), random forest (RF), boosted regression trees (BRT), multivariate adaptive regression splines (MARS), multivariate discriminant analysis (MDA), and support vector machine (SVM). Flood conditioning parameters applied in modeling were elevation, slope angle, aspect, rainfall, distance to river (DTR), distance to streets (DTS), soil hydrological group (SHG), curve number (CN), distance to urban drainage (DTUD), urban drainage density (UDD), and land use. In total, 93 flood location points were collected from the regional water company of Gilan province combined with field surveys. We used the Analytic Hierarchy Process (AHP) decision-making tool for creating an urban flood vulnerability map, which is according to population density (PD), dwelling quality (DQ), household income (HI), distance to cultural heritage (DTCH), distance to medical centers and hospitals (DTMCH), and land use. Then, the urban flood risk map was derived according to flood vulnerability and flood hazard maps. Evaluation of models was performed using receiver-operator characteristic curve (ROC), accuracy, probability of detection (POD), false alarm ratio (FAR), and precision. The findings showed that the CART method is most accurate method (AUC = 0.947, accuracy = 0.892, POD = 0.867, FAR = 0.071, and precision = 0.929). The results also demonstrated that DTR, UDD, and DTUD played important roles in flood hazard modeling; whereas, the population density was the most significant parameter in vulnerability mapping. These findings indicated that machine learning methods can improve urban flood risk management significantly in regions with limited hydrological data.

Export participation and restricted access to external formal credit are two factors attracting meticulous attention from researchers and policymakers, especially in developing countries. Exploring the interactive relationship of these factors in both the static and dynamic models is the purpose of this study. The study uses data sets from small and medium-sized manufacturing enterprises (SMEs) in Vietnam for the period 2009 - 2015. The instrumental variable approach is implemented to deal with the endogenous variable problem in the model. The results show an effect of credit constraint on the firms’ exporting status, and continuous exports are likely to reduce the limit of credit constraint.

The demand for explainable and transparent models increases with the continued success of reinforcement learning. In this article, we explore the potential of generating shallow decision trees (DT) as simple and transparent surrogate models for opaque deep reinforcement learning (DRL) agents. We investigate three algorithms for generating training data for axis-parallel and oblique DTs with the help of DRL agents ("oracles") and evaluate these methods on classic control problems from OpenAI Gym. The results show that one of our newly developed algorithms, the iterative training, outperforms traditional sampling algorithms, resulting in well-performing DTs that often even surpass the oracle from which they were trained. Even higher dimensional problems can be solved with surprisingly shallow DTs. We discuss the advantages and disadvantages of different sampling methods and insights into the decision-making process made possible by the transparent nature of DTs. Our work contributes to the development of not only powerful but also explainable RL agents and highlights the potential of DTs as a simple and effective alternative to complex DRL models.

Finding a suitable support is a key process in the life history of climbing plants. Climbers that find a suitable support have greater performance and fitness than those that remain prostrate. Numerous studies on climbing plant behavior have elucidated the mechanistic details of support searching and attachment. Far fewer studies have addressed the ecological significance of support-searching behavior and the factors that affect it. Among these, the diameter of supports influences their suitability for twining plants. When support diameter increases beyond some point climbing plants are unable to maintain tensional forces and therefore lose attachment to the trellis. Here we further investigate this issue by putting pea plants in the situation to choose between supports of different diameters while their movement was recorded by means of a three-dimensional motion analysis system. The results indicate that the way climbing plants move can vary depending on whether they are presented with one or two potential supports. Furthermore, when presented with a choice between a thin and a thick support, the plants showed a distinct preference for the former than the latter. The present findings shed further light on how climbers make decisions as far as support search is concerned, and provide evidence that plants adopt one of several alternative plastic responses in a way that optimally corresponds to environmental scenarios.

Portable Document Format (PDF) files are one of the most universally used file types. This has fascinated hackers to develop methods to use these normally innocent PDF files to create security threats via infection vectors PDF files. This is usually realized by hiding embedded malicious code in the victims’ PDF documents to infect their machines. This, of course, results in PDF Malware and requires techniques to identify benign files from malicious files. Research studies indicated that machine-learning methods provide efficient detection techniques against such malware. In this paper, we present a new detection system that can analyze PDF documents in order to identify benign PFD files from malware PFD files. The proposed system makes use of the AdaBoost decision tree with optimal hyperparameters, which is trained and evaluated on a modern-inclusive dataset, viz. Evasive-PDFMal2022. The investigational assessment demonstrates a lightweight-accurate PDF detection system, achieving a 98.84% prediction accuracy with a short prediction interval of 2.174 μSec. To this end, the proposed model outperforms other state-of-the-art models in the same study area. Hence, the proposed system can be effectively utilized to uncover PDF malware at high detection performance and low detection overhead.

Electroencephalography (EEG) is a brain imaging technique in which electrodes are placed on the scalp. EEG signals are commonly decomposed into frequency bands called delta, theta, alpha, and beta.While these bands have been shown to be useful for characterizing various brain states, their utility as a one-size-fits-all analysis tool remains unclear. We present a two-part data-driven methodology for objectively determining the best EEG bands for a given dataset in this paper. First, a decision tree is used to estimate the optimal frequency band boundaries for reproducing the signal’s power spectrum for a predetermined number of bands. The optimal number of bands is then determined using an Akaike Information Criterion (AIC)-inspired quality score that balances goodness-of-fit with a small band count. Data-driven EEG band discovery may aid in objectively capturing key signal components and uncovering new indices of brain activity.

The problem of scheduling is an area that has attracted a lot of attention from researchers for many years. Its goal is to optimize resources in the system. The assigning task to the lecturer is an example of the timetabling problem, a class of scheduling. This study introduces a mathematical model to assign fixed tasks (the time and required skills to be fixed) to university lecturers. Our model is capable of generating a calendar that maximizes faculty expectations. The formulated problem is in the form of a multi-objective problem that optimal makes decisions require the trade-off presence of trade-offs between two or more conflicting objectives. To solve this, we use the Compromise Programming approach to multi-objective programming. We then proposed the new version of the Genetic Algorithm to solve the introduced model. Finally, the model and algorithm tested with real scheduling data collected at the Computing Fundamental Department, FPT University, Hanoi, Vietnam.

The study was conducted on applying machine learning and data mining methods to personalizing the treatment. This allows investigating individual patient characteristics. Personalization is built on the clustering method and associative rules. It was suggested to determine the average distance between instances for optimal performance metrics finding. The formalization of the medical data pre-processing stage for finding personalized solutions based on current standards and pharmaceutical protocols is proposed. The model of patient data is built. The paper presents the novel approach to clustering built on ensemble of cluster algorithm with better than k-means algorithm Hopkins metrics. The personalized treatment usually is based on decision tree. Such approach requires a lot of computation time and cannot be paralyzed. Therefore, it is proposed to classify persons by conditions, to determine deviations of parameters from the normative parameters of the group, as well as the average parameters. This made it possible to create a personalized approach to treatment for each patient based on long-term monitoring. According to the results of the analysis, it becomes possible to predict the optimal conditions for a particular patient and to find the medicaments treatment according to personal characteristics.

Air pollution is a situation that negatively affects the health of humans and all living things in nature and causes financial damage to the environment. In the case of air pollution, harmful and foreign substances in the air reach an amount and density above normal values. Air pollution also causes climate change, which affects global warming. Particulate matter is a harmful substance that harms the health of humans and other living things, causes air pollution, increases radiation, and negatively affects cloud formation. Particulate matter is extremely small solid particles and liquid droplets suspended in the air. PM10, which is less than 10 microns in diameter, is defined as small particles that can remain in the air for a long time and settle in the respiratory tract, damaging the lungs. Many criteria affect PM10 density and changes in density. The main criteria are vehicle traffic and fuel consumption, industrialization, coal, fuel oil and wood-burning heaters, greenhouse gas impact, and unregulated urbanization. It is important to identify the underlying causes of air pollution caused by PM10. In this context, these criteria need to be evaluated to minimize the negative effects of PM10. In the study, monthly average PM10 data between 2019 and 2023 obtained from the Air Monitoring Station in Kocaeli, Türkiye are used. After determining the criteria affecting PM10, the criteria are prioritized with the Intuitionistic Fuzzy AHP (IF-AHP) method by taking expert decision-maker opinions. The proposed decision-making model aims to guide obtaining the important causes of PM10 emission in terms of danger and focusing on these causes. Additionally, PM10 data is analyzed in the context of Covid-19 and a statistical analysis is made. One-way ANOVA is used to evaluate whether there is a significant difference in the average monthly data over the years. Games-Howell test, one of the post-hoc tests, is used for differences between groups (years). The study is important in that it provides a focus on the criteria affecting PM10 with an intuitive fuzzy perspective, along with statistical analysis.

This paper proposes a model that combines multi-criteria and multi-faceted risk assessment. Using two data sources, a fuzzy Technique for Order of Preference by Similarity to Ideal Solution FTOPSIS method combined with FMEA assessment. The FMEA method presented in this paper combines the technique of prioritising preferences according to FTOPSIS similarity to the ideal solution and conviction structure to overcome the defects of traditional FMEA indicators. The paper describes the exact process and tool selection, and the results obtained in the study verified accurate data. Finally, a numerical case study was presented on hospital reorganization services and case adaptation to prioritize surgical abandonment in Poland. The problem considered in the publication is the priority of patients’ operations in hospitals. The selection of relevant criteria, their importance and patient preferences are presented. The results obtained from the method provide a viable action plan for the proposed research problem. The proposed method is multi-faceted and can be part of an information system supporting reorganization, restructuring, and modification of the operational process.

(1) Background: Artificial intelligence (AI) has existed in some form for decades, but recent rapid advances in a subset called machine learning (ML) — and more specifically deep learning (DL), a neural network-based approach — have made headlines for the potential to revolutionize and automate multiple large sectors of society, including scientific research and the healthcare field. Furthermore, large language models (LLMs) — which are built on DL — could lead to a more seamless, natural interaction between humans and computers. (2) Methods: We reviewed numerous publications on this subject from recent years. (3) Results: We found these studies collectively show that AI is positively disrupting both biomedical research and medical practice, such as optical imaging in surgery guidance. (4) Conclusions: However, we recommend caution in over-reliance on AI in the laboratory or the clinic due to anticipated risks and current limitations.

Let us assume that defence mechanisms are so strong that the average outcome of a hacking attack is unsuccessful. How to calculate the costs arising from false positives and false negatives in intruder detection? Is it better for the hacker to make fewer but more effective attacks rather than several but less effective attacks? How to calculate the difference between these alternative strategies?

Business school curriculums are designed to improve business skills and a student’s eventual workplace performance. In addition to these business skill sets the emerging business environment demands softer skills associated with ethical decision-making and sustainable business practices. Understanding the key influencers of ethical orientation and attitudes towards the environment is the first critical step for curriculum planning designed to develop both ethical decision-making and environmental sensibilities of students in business schools. Using a bivariate regression analysis (OLS) that compared the established New Ecological Paradigm (NEP) scale and the newly introduced Ethical Orientation Scale (EOS), this study assesses environmental eco-consciousness and ethical orientation over time and across varying socio-demographic variables. The study shows first, that in addition to socio-cultural variables, situational factors influence ethical decision-making. Secondly, it illuminates that ethical orientations as measured by the EOS predicts beliefs about the environment as measured by the NEP scale. It further provides evidence of the ethical underpinnings of the New Ecological Paradigm as well as provides initial validation for the new EOS. These outcomes provide additional levers to assist business educators in the creation of high impact teaching strategies to measure and encourage ethical decision-making and sustainable business practices that protect the environment.

Background Cesarean scar ectopic pregnancies are a rare form of extrauterine pregnancies, yet their incidence has increased along with the rise in the number of cesarean deliveries. As with other ectopic pregnancies, cesarean scar ectopic pregnancies pose a greater risk for maternal hemorrhage and ultimately maternal mortality. Case presentation We present a series of clinical cases of cesarean scar ectopic pregnancy diagnosed by transvaginal ultrasonography. Each patient received an individualized treatment: the rate of success depended on the particular maternal condition in each case. Due to the low frequency of this entity, there are no clear protocols for its treatment and thus there are numerous options for treatment and follow up: expectant management, medical therapy, surgical intervention, uterine artery embolization or a combined approach. Each method has different levels of success and is dependent on the surgeon’s skill and patient presentation. The transvaginal ultrasound is necessary to obtain the fine details of the gestation sac and its relation to the scar and must be followed by a meticulous abdominal scan with a full bladder. Conclusion Herein, we present a rare pathological phenomenon whose frequency is on the rise, and for which transvaginal ultrasound and flow doppler provide high diagnostic accuracy. Early diagnosis of cesarean scar ectopic pregnancies offers treatment options to that may help avoid uterine rupture and bleeding, thus preserving the uterus and future fertility.

The systems ESTE are running in nuclear crisis centers at various levels of emergency preparedness and response in Slovakia, the Czech Republic, Austria, Bulgaria, and Iran (at NPP monitored by International Atomic Energy Agency, IAEA). ESTE is a decision support system, running 24/7, and serves the crisis staff to propose actions to protect inhabitants against radiation in case of a nuclear accident. ESTE is also applicable as decision support system in case of a malicious act with radioactive dispersal device in an urban or industrial environment. Dispersion models implemented in ESTE are Lagrangean particle model (LPM) and Puff trajectory model (PTM). Described are models approaches as implemented in ESTE. PTM is applied in ESTE for the dispersion calculation near the point of release, up to 100 km from the point of nuclear accident. LPM for general atmospheric transport is applied for short-range, meso-scale and large-scale dispersion, up to dispersion on the global scale. Additionally, a specific micro-scale implementation of LPM is applied for urban scale dispersion modelling too. Dispersion models of ESTE are joined with radiological consequences models to calculate a complete spectrum of radiological parameters - effective doses, committed doses and dose rates by various irradiation pathways and by various radionuclides. Finally, radiation protective measures, like sheltering, iodine prophylaxis, or evacuation, evaluated on the base of predicted radiological impacts are proposed. Dispersion and radiological models of the state-of-the-art ESTE systems are described. Results of specific analyses, like number of particles applied, initial spatial distribution of the source, height of the bottom reference layer, are presented and discussed.

Groundwater represents a pivotal asset in conserving natural water reservoirs for potable consumption, irrigation, and diverse industrial uses. Nevertheless, human activities intertwined with industry and agriculture contribute significantly to groundwater contamination, highlighting the critical necessity to appraise water quality for safe drinking and effective irrigation. This research primarily focused on employing the Water Quality Index (WQI) to gauge water's appropriateness for these purposes. However, the generation of an accurate WQI can prove time-intensive owing to potential errors in sub-index calculations. In response to this challenge, an artificial intelligence (AI) forecasting model was devised, aiming to streamline the process while mitigating errors. The study collected 422 data samples from Mirpurkash, a city nestled in the province of Sindh, for a comprehensive exploration of the region's WQI attributes. Furthermore, the study probed into unraveling the interdependencies amidst variables in the physiochemical analysis of water. Diverse machine learning classifiers were employed for WQI prediction, with findings revealing that random forest and gradient boosting eclipsed other algorithms, achieving an accuracy rate of 99%. In close pursuit were SVM and XGBoost, registering accuracy scores of approximately 95% and 93%, respectively, while KNN and Decision Trees garnered accuracy rates of 88% and 87%, respectively. In addition to WQI prediction, the study conducted an uncertainty analysis of the models using the R-factor, providing insights into the reliability and consistency of predictions. This dual approach, combining accurate WQI prediction with uncertainty assessment, contributes to a more comprehensive understanding of water quality in Mirpurkash and enhances the reliability of decision-making processes related to groundwater utilization

The scientific community has shown considerable interest in Industry 4.0 due to its capacity to revolutionise the manufacturing sector through digitalisation and data-driven decision-making. However, the actual implementation of Industry 4.0 within complex industrial settings presents obstacles that are typically beyond the scope of mainstream research articles. In this paper, a comprehensive case-study detailing our collaborative partnership with a leading medical device manufacturer is presented. The study traces their evolution from a state of limited digitalisation to the development of a digital intelligence platform that leverages data and machine learning models to enhance operations across a wide range of critical machines and assets. The main business objective was to enhance the energy efficiency of the manufacturing process, thereby improving its sustainability measures while also saving costs. The project encompasses energy modelling and analytics, Fault Detection and Diagnostics (FDD), renewable energy integration and advanced visualisation tools. Together, these components enable informed decision making in the context of energy efficiency.

With increasing electronic medical data and the development of artificial intelligence, Clinical Decision Support Systems (CDSSs) assist clinicians in diagnosis and prescription. Traditional knowledge-based CDSSs follow an accumulated medical knowledgebase and a predefined rule system, which clarifies the decision-making process; however, maintenance cost issues exist in the medical data quality control and standardization process. Non-knowledge-based CDSSs utilize vast amounts of data and algorithms to effectively decide; however, the deep learning black-box problem causes unreliable results. EXplainable Artificial Intelligence (XAI)-based CDSS provides a valid rationale and explainable results. It ensures trustworthiness and transparency by showing the recommendation and prediction results process through explainable techniques. However, existing systems have limitations, such as the scope of data utilization and the lack of explanatory power of AI models. This study proposes a new XAI-based CDSS framework to address these issues; introduce resources, datasets, and models that can be utilized; and provides a foundation model to support decision-making in various disease domains. Finally, we propose future directions for CDSS technology and highlight societal issues that need to be addressed to emphasize the potential of CDSS in the future.

According to the cognitive radio (CR) paradigm, the efficient use of the radio spectrum is achieved by performing four main functions: spectral perception, spectral mobility, decision-making, and cooperation. In this work, a multivariable algorithm that considers geographic mobility (GM) is presented. The decision-making process includes a feedback mechanism for the dynamic selection of reservation channels in a wireless network with cognitive capabilities. Geographic mobility plays a crucial role in how radio takes advantage of its environment; however, it has been scarcely explored in the literature. In the present work, geographic mobility tests were carried out involving the interaction of CR and primary users (PU), where a measurement of the latency time of the proposed algorithm called: Algorithm for Decision-Making with Geographic Mobility (ATDeMoGeo) was evaluated and compared with other algorithms such as: Dijkstra's Algorithm, Analytic Hierarchical Process (AHP), Fuzzy Analytic Hierarchical Process (FAHP) and Decision-Making Algorithm with Modified Dijkstra (ATDDiM). It was found that the proposed algorithm is robust and that it considerably reduces the latency time to accurately determine the best communication channels, thanks to the decision-making function implemented to establish which channels the CRs can occupy. For the selection of the best reserve channels, a series of criteria were considered, such as: signal-to-interference plus noise ratio (SINR), bandwidth (BW), probability of channel availability (AP), estimated channel time of availability (ETA) using the random waypoint mobility model (RWPM). These criteria are evaluated for two types of service, i.e., real time (RT) and best effort (BE). For the evaluation and validation of the ATDeMoGeo algorithm, a network with cognitive characteristics in NS-3 was simulated. The simulation scenarios consisted of a base station (BS) with mobile CRs and PUs. Based on the previous criteria, i.e., BW, SINR, AP and ETA, the BS assesses the spectrum occupancy information obtained by the CRs. The results show that the proposed algorithm can be used without problem for the proposed scenarios with higher speed and accuracy for the selection of better communication channels.

This paper presents a systematic approach to developing big data analytics for manufacturing process-relevant decision-making activities from the perspective of smart manufacturing. The proposed analytics consists of five integrated system components: 1) data preparation system, 2) data exploration system, 3) data visualization system, 4) data analysis system, and 5) knowledge extraction system. The functional requirements of the integrated systems are elucidated. In addition, JAVA- and spreadsheet-based systems are developed to realize the proposed integrated system components. Finally, the efficacy of the analytics is demonstrated using a case study where the goal is to determine the optimal material removal conditions of a dry electrical discharge machining operation. The analytics identified the variables (among voltage, current, pulse-off time, gas pressure, and rotational speed) that effectively maximize the material removal rate. It also identified the variables that do not contribute to the optimization process. The analytics also quantified the underlying uncertainty. In synopsis, the proposed approach results in transparent, big-data-inequality-free, and less resource-dependent data analytics, which is desirable for small and medium enterprises—the actual sites where machining is carried out.

Already more than 140 countries consider or have pledged to reach net-zero emission targets by 2050 or earlier and the share of global emissions falling into an emission pricing scheme has steeply increased over the past three years. Even where there are no direct implications for industry (yet), there is a series of subtle pressure points driving an increasing number of companies across the globe to work towards climate neutrality and pledging ambitious emission reduction goals. This article sheds light on the pressure points, the subtle triggers, the underlying considerations as well as the hoped-for benefits for industrial companies from achieving net-zero emissions. The observations and ideas presented in this paper are derived from quantitative data obtained via the Energy Efficiency Index of German Industry (EEI) and qualitative data. Not only societal, work force, supply chain and investor expectations play a large role, but also many strategic considerations which have the potential to make the company more resilient and profitable, particularly in time of crisis. Those companies that do not move towards decarbonisation, on the other hand, may face a costly late-mover disadvantage. This piece uncovers subtle interconnections, helping stakeholders from industry and beyond to grasp opportunities and challenges ahead.

Based on the Graph Model of Conflict Resolution (GMCR), a two-stage decision framework is developed to reveal the essence of brownfield incidents and facilitate the resolution of brownfield conflicts caused by the incidents. More particularly, the forward GMCR is utilized in Stage I, the negotiation stage, to simulate the evolution of a brownfield conflict (BC) and predict its potential resolution via stability analysis. If no acceptable equilibrium can be obtained, the BC progresses into Stage II, the third-party-intervention stage, where the inverse GMCR is used to assist a third party in intervening the conflict to achieve a desirable outcome. To illustrate the practicality of this framework, a recent BC occurred in Changzhou, China, is taken as a case study. Invaluable insights are provided through the computation and investigation of the corresponding preference relationships.

This study addresses the problem of accurately predicting azimuth and elevation angles of signals impinging on an antenna array employing Machine Learning (ML). Using the information obtained at a receiving system when a transmitter’s signal hits it, a Decision Tree (DT) model is trained to estimate azimuth and elevation angles simultaneously. Simulation results demonstrate the robustness of the proposed DT-based method, showcasing its ability to predict the Direction of Arrival (DOA) in diverse conditions beyond the ones present in the training dataset, i.e., the results display the model’s generalization capability. Additionally, the comparative analysis reveals that DT-based DOA estimation outperforms the state-of-the-art MUltiple SIgnal Classification (MUSIC) algorithm, establishing DTs as competitive alternatives for DOA estimation in signal reception systems.

The abnormal accumulation of cells in the human brain, if left untreated, may cause brain damage. Management and treatment of these tumours require an early and accurate diagnosis, while their prognostic characterisation can also be beneficial in the choice of care planning for the patient. CDSSs are being continuously developed and integrated into routine clinical practice as they assist clinicians and radiologists to deal with an enormous amount of medical data, reduce clinical errors, and improve diagnostic capabilities. They assist detection, classification, and grading of brain tumours as well as alerting physicians of requirement of change in treatment plans. The aim of this systematic review is to identify various CDSSs used in brain tumour diagnosis and prognosis, that rely on data captured by any imaging modality. Based on the 2020 Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol, the literature search was conducted in PubMed and Engineering Village Compendex databases. This review examines various CDSS tool types, system features, techniques used, accuracy, and outcome, to provide the latest evidence available in the field of neuro-oncology. An overview of different types of CDSSs used to support clinical decision-making in the management and treatment of brain tumours, along with highlighting their benefits, challenges, and future perspectives has been provided.

: Polymer single screw extrusion is a major industrial processing technique used to obtain plastics products. To assure high outputs, tight dimensional tolerances, and excellent product performance, extruder screws may show different design characteristics. Barrier screws, which contain a second flight in the compression zone, have become quite popular as they promote and stabilize polymer melting. Therefore, it is important to design efficiently extruder screws and decide whether a conventional screw will do the job efficiently, or a barrier-screw should be considered instead. This work uses multi-objective evolutionary algorithms to design conventional and barrier screws (Maillefer screws will be studied) with optimized geometry. Processing of two polymers, Low Density Polyethylene and Polypropylene, is analyzed. A methodology based on the use of Artificial Intelligence (AI) techniques, namely data mining, decision making and evolutionary algorithms, is presented and utilized to obtain results with practical significance, based on relevant performance measures (objectives) used in the optimization. For the various case studies selected, Maillefer screws were generally advantageous for processing LDPE, while for PP the use of both types of screws would be feasible.

Decision-making is a complex process of selecting an option from the given choices by analyzing the background information like risk, loss, and gain within the alternative options presented. It has been observed in earlier studies that people are prompt to make less rational decisions when choices are given in a language less known to them. Therefore, to understand the effect of languages on decision-making, we have questioned native Hindi speakers in French and English. French being the foreign language, and English as their second language. Thus, this effect of a non-native language brings to light the important role that the native language plays routinely in judgment and decision-making. In this paper, we developed a Neuropsychological assessment to decipher the effects on decision-making between choices when given in foreign language and second language in comparison with the native language of an individual, which is termed as foreign language effect(Fle). We have explored various possible situations to understand the foreign language effect(Fle) in decision-making and does this change translates when the decision is to be made in the second language. Our study concludes that the Foreign language is least affected by the intuitive biases, followed by the second language, and the native language is most affected by it.

In this study, we introduce a novel framework for the estimation of residual renal function (RRF), based on the population compartmental kinetic behavior of Beta 2 Microglobulin (B2M) and its dialytic removal. Using this model, we simulated a large cohort of patients with various levels of RRF receiving either conventional high-flux hemodialysis or on-line hemodiafiltration. These simulations were used to estimate a novel population kinetic (PK) equation for RRF (PK-RRF) that was validated in an external public dataset of real patients. We assessed the performance of the resulting equation(s) against their ability to estimate urea clearance using cross-validation. Our equations derived entirely from computer simulations and advanced statistical modeling, and had extremely high discrimination (AUC 0.808 – 0.909) when applied to a human dataset of measurements of RRF. A clearance-based equation that utilized pre and post dialysis B2M measurements, patient weight, treatment duration and ultrafiltration had higher discrimination than an equation previously derived in humans. Furthermore, the derived equations appeared to have higher clinical usefulness as assessed by Decision Curve Analysis, potentially supporting decisions that for individualizing dialysis frequency in patients with preserved RRF.

Urban wind energy has emerged as an attractive source of distributed generation in cities to achieve sustainable development goals. The advance in technologies for the use of urban wind energy has turned this source into an attractive alternative for the decarbonization of cities and the energy transition. The objectives of this work are (1) to identify the potential of wind energy through numerical weather prediction (NWP) data tools and (2) to identify the roles and responsibilities of the stakeholders involved in the decision-making process. A methodology was developed in two phases and applied to a case study in the Dominican Republic. The first phase consisted of estimating the wind energy potential for the 32 provinces at a height of 10 m using open-access geographic reference systems tools provided by NASA. In the second phase, 28 stakeholders were identified through snowball sampling. The Responsible, Accountable, Consult, and Informed (RACI) matrix tool was applied to identify the roles of the 28 institutions addressed at the country level as relevant in the decision-making process for the energy sector. The annual average wind speed and energy potential for each province were determined. It was found 24 provinces have poor potential, below <4.5 m/s. In the northwest and east is where there is the greatest potential, between 4.83 - 6.63 m/s. The population density was established and was observed that the provinces with greater potential are less densely populated. Through 59 interviews 28 institutions were identified and evaluated due to their relevance in decision-making for the implementation of energy projects. The MEM has strongly categorized as “A”, electricity distribution companies as “R”, energy associations and universities as “C”, and educational and justice institutions as “I”.

A recent publication defined lockdown “revisionism” as “the spread of misinformation on lockdowns and other public health measures.” We used this publication to analyze the claim that questioning lockdowns or other public health interventions and mandates amounts to lockdown “revisionism” and “misinformation”. We suggest that the term ‘revisionism’, like the term ‘misinformation’ contained in its definition, were merely labels used to denigrate evidence-based contrary conclusions so as to avoid having to critically appraise the best evidence itself. We aim to describe how, by glossing over topics without fully engaging with the best evidence available, the assertions made do not withstand critical scrutiny. We suggest that, to ensure lessons are learned for the future, we must be willing to engage in rigorous and open debate – calling reasonable critical scrutiny of evidence ‘misinformation’, ‘disinformation’, or ‘revisionism’ is not supportive of this goal. Finally, we suggest that a main lesson from the COVID-19 pandemic is not to have an increased focus on so-called ‘misinformation’ and ‘revisionism’, but rather to re-discover the emergency management process of making decisions that ensure multidisciplinary representation, transparency, cost-benefit analyses of courses open using the best evidence available, and that protects against censorship and groupthink.

This article should examine ideas of how a chatbot can support decision making processes by col-lecting general opinion about the certain topics. The ChatGPT is tested in this article in respect of natural gas security of supply of the Republic of Serbia in the context of the current political situation in the world. The author first describes its own stance on the topic and then the ChatGPT is asked for its opinion (which most probably collects and compiles phrases from English speaking sources to build a text in a smart way). The topic is ort only about security of gas supply of Serbia but also political and highly sensitive, so it is examined if the ChatGPT can be useful tool to reach a balance between less on more favorable options in the process of policy making.

The aim of this study was to develop and validate a predictive early tooth loss multivariable model for periodontitis patients before periodontal treatment. A total of 544 patients seeking periodontal care at a university dental hospital were enrolled in the study. Teeth extracted after periodontal diagnosis and due to periodontal reasons were recorded. Clinical and sociodemographic variables were analyzed, considering the risk of short-term tooth loss. This study followed the Transparent Reporting of a multivariable prediction model for Individual Prognosis Or Diagnosis (TRIPOD) guidelines for development and validation, with two cohorts considered as follows: 455 patients in the development phase and 99 in the validation phase. As a result, it was possible to compute a predictive model based on tooth type and clinical attachment loss. The model explained 25.3% of the total variability and correctly ranked 98.9% of the cases. The final reduced model area under the curve (AUC) was 0.809 (95% Confidence Interval (95% CI): 0.629 - 0.989) for the validation sample and 0.920 (95% CI: 0.891 - 0.950) for the development cohort. The established model presented adequate prediction potential of early tooth loss due to periodontitis. This model may have clinical and epidemiologic relevance towards the prediction of tooth loss burden.

Calibrating ecological models or making decisions with them is an optimisation problem with challenging methodological issues. Depending on the optimisation formulation, there may be a large variety of optimisation configurations (e.g. multiple objectives, constraints, stochastic criteria) and finding a single acceptable solution may be difficult. The challenges are exacerbated by the high computational cost and the non linear or elusive mathematical properties that increased with the complexity of numerical models. From the feedbacks of practitioners, the need for a guideline for conducting optimisation of complex models has emerged. In this context, we propose a practical guide for the complex model optimisation process, covering both calibration and decision-making. The guide sets out the workflow with recommendations for each step based on existing tools and methods usually scattered throughout the literature. This guide is accompanied with an ODDO template (Overview, Design, Details of Optimisation) to standardise the published description of model-based optimisation and suggests research directions.

The rapid growth of the aviation industry has progressively heightened the importance of airport maintenance management. There is an increasing need for a comprehensive system that considers the diverse requirements of various stakeholders. Existing research has primarily focused on the technological advancements of optimization models, with limited applicability in practice. In this study, we introduce the Condition Cases Optimization (CCO) to address these limitations while incorporating multi-facility and multi-year network optimization models. We developed condition index, Serviceability Level, integrated assessment indices and performance models for decision-making criteria. We categorize conditions into three classes and propose a practical decision-making strategy that can flexibly adapt to budget constraints. Sensitivity analysis highlights the impact of initial budget, maintenance methods, costs, and thresholds on decision outcomes. Through a case study we validate the effectiveness and practicality of the CCO method as an efficient decision-making tool.

In the paper we suggest an implementation of the non-commutative logic and apply its operators for decision-making in the group of autonomous agents. The suggested operators extend the uninorm and absorbing norm aggregators and use an additional asymmetry parameter that defines the “level of non-commutativity”. The value of this parameter is specified using the perception bias of humans measured in the experiments. The suggested operators and decision-making method are illustrated by simulated behavior of mobile robots in the group.

Many spatial decision support systems suffer from user adoption issues in practice due to lack of trust, technical expertise, and resources. Automated machine learning has recently allowed non-experts to explore and apply machine learning models in the industry without requiring abundant expert knowledge and resources. This paper reviews recent literature from 136 papers, and proposes a general framework for integrating spatial decision support systems with automated machine learning to lower major user adoption barriers. Challenges of data quality, model interpretability, and practical usefulness were discussed as general considerations for system implementation. Research opportunities related to spatially explicit models in AutoML, and resource-aware, collaborative/connected, and human-centered systems were also discussed to address these challenges. This paper argues that integrating spatial decision support systems with automated machine learning can not only encourage user adoption, but also mutually benefit research in both fields — bridging human-related and technical advancements for fostering future developments in spatial decision support systems and automated machine learning.

Significant efforts in the past decades to teach evidence-based practice (EBP) implementation has emphasized increasing knowledge of EBP and developing interventions to support adoption to practice. These efforts have resulted in only limited sustained improvements in the daily use of evidence-based interventions in clinical practice in most health professions. Many new interven-tions with limited evidence of effectiveness are readily adopted each year - indicating openness to change is not the problem. The selection of an intervention is the outcome of an elaborate and complex cognitive process which is shaped by how they represent the problem in their mind and is mostly invisible processes to others. Therefore, the complex thinking process which support appropriate adoption of interventions should be taught more explicitly. Making the process visible to clinicians increases the acquisition of the skills required to judiciously select one in-tervention over others. The purpose of this paper is to provide a review of the selection process and the critical analysis that is required to appropriately decide to trial or not trial new intervention strategies with patients.

The most important issue in integrated next generation wireless systems (NGWS) by fourth generation networks which consists of various wireless architectures extending from cellular networks to satellite networks is to allow everyone around the world to connect seamlessly to applications anywhere at any time through the best network. Heterogeneous networks have created many challenges such as mobility management, handoff, resource management. For always best connectivity the selection of parameters plays an important role in the decision of vertical handoff, some of parameters are depend upon MT and some are depend upon the network conditions . In this paper we designed Intelligent Vertical Handoff based on Fuzzy Logic Decision model ( IVH-FL), IVH-FL model which has five parameters for vertical handoff decision : Received Signal Strength (RSS), Available bandwidth (B), Users Preference (UP), Mobile Speed (SM) and Power Consumption (PC), with the help of Fuzzy Logic tool box and concept of fuzzy linguistic variables. The results confirmed improvement performance , and reduced the number of unnecessary handover .

Decision tables have been used for many years in data processing and business applications to simulate complex rule sets. Several computer languages have been developed based on rule systems and they are easily programmed in several current languages. Land management and river-reservoir models simulate complex land management operations and reservoir management in highly regulated river systems. Decision tables are a precise yet compact way to model the rule sets and corresponding actions found in these models. In this study, we discuss the suitability of decision tables to simulate management in the river basin scale Soil and Water Assessment Tool (SWAT+) model. Decision tables are developed to simulate automated irrigation and reservoir releases. A simple auto irrigation application of decision tables was developed using plant water stress as a condition for irrigating corn in Texas. Sensitivity of the water stress trigger and irrigation application amounts were shown on soil moisture and corn yields. In addition, the Grapevine Reservoir near Dallas, Texas was used to illustrate the use of decision tables to simulate reservoir releases. The releases were conditioned on reservoir volumes and flood season. The release rules as implemented by the decision table realistically simulated flood releases as evidenced by a daily NSE (Nash-Sutcliffe Efficiency) of 0.52 and a percent bias of -1.1%. Using decision tables to simulate management in land, river and reservoir models was shown to have several advantages over current approaches including: 1) mature technology with considerable literature and applications, 2) ability to accurately represent complex, real world decision making, 3) code that is efficient, modular and easy to maintain, and 4) tables that are easy to maintain, support, and modify.

This article addresses reinsurance decision making process, which involves the insurance company and the reinsurance company, and is negotiated through reinsurance intermediaries. The article proposes a decision flow to model the reinsurance design and selection process. In contrast to existing literature on pure proportional reinsurance or stop-loss reinsurance, this article focuses on the combination into Proportional-Stop-loss reinsurance design which better addresses interest of both parties. In terms of methodology, the significant contribution of the study is to incorporate Multiple Attribute Decision Making (MADM) into modelling the reinsurance selection. The Multi-Objective Decision Making (MODM) model is applied in designing reinsurance alternatives. Then MADM is applied to aid insurance companies in choosing the most appropriate reinsurance contract. To illustrate the feasibility of incorporating intelligent decision supporting system in reinsurance market, the study includes a numerical case study using simulation software @Risk in modeling insurance claims, and programming in MATLAB to realize MADM. Managerial implications could be drawn from the case study results. More specifically, when choosing the most appropriate reinsurance, insurance companies should base their decision on multiple measurements instead of single-criteria decision making models for their decisions to be more robust.

The digital world has a wealth of data, such as Internet of Things (IoT) data, business data, health data, mobile data, urban data, security data, and many more, in the current age of the Fourth Industrial Revolution (Industry 4.0 or 4IR). Extracting knowledge or useful insights from these data can be used for smart decision-making in various applications domains. In the area of data science, advanced analytics methods including machine learning modeling can provide actionable insights or deeper knowledge about data, which makes the computing process automatic and smart. In this paper, we present a comprehensive view on "Data Science'' including various types of advanced analytics methods that can be applied to enhance the intelligence and capabilities of an application through smart decision-making in different scenarios. We also discuss and summarize ten potential real-world application domains including business, healthcare, cybersecurity, urban and rural data science, and so on by taking into account data-driven smart computing and decision making. Based on this, we finally highlight the challenges and potential research directions within the scope of our study. Overall, this paper aims to serve as a reference point on data science and advanced analytics to the researchers and decision-makers as well as application developers, particularly from the data-driven solution point of view for real-world problems.

This research article presents the integration of participatory modeling and system dynamics as a novel methodology for the consolidation of social dynamic models for the subsequent evaluation and prioritization of green projects in Colombian post-conflict communities. In the first instance, through participatory work carried out along with the community, it was possible to identify, evaluate and systematize citizen factors in relation to the problems and needs of the region. Second, based on the results obtained, to calibrate a simulation model based on system dynamics that facilitates decision making with regard to the evaluation of green projects. The proposed methodology leads to the conclusion that, with the participation of the community and with a model based on the dynamics of variables such as supply and demand for natural resources of water and land, it is possible to warn decision makers about the variables that can lead to the maximization of investments and thus prioritize and select the most appropriate environmental, social or economic initiatives, that certainly meet the needs or expectations of the involved community. In the future, the model could be used to facilitate the management, administration and control of water and land resources by creating alerts called reserve margins.

Civic participation is of great significance to urban management decision-making. In order to facilitate citizens to participate in city management decision-making, this paper proposes a large-scale group decision-making (LSGDM) method based on multi-granular probabilistic linguistic preference relations (MG-PLPRs). First, each decision maker selects a language terms set from the multi-granularity language terms set to represent individual preference relations and the MG-PLPRs are obtained by statistical calculation to represent sub-group’s preferences information. Then, an optimization model based on the expected consistency of PLPR and consensus measure of groups is established to achieving consensus reaching processes, which can ensure satisfactory individual consistency and group consensus. Finally, the validity and applicability of the proposed method is verified by a case of a city "shared garden" site selection with the participation of citizens.

Real-time data processing and decision-making are increasingly crucial in various applications, driven by the continuous influx of data streams. Event-driven AI workflows within serverless computing environments offer a promising approach to handle these real-time demands efficiently. This paper presents a framework for simulating and analyzing the performance characteristics of such workflows. Our proposed approach utilizes simulated data with varying event rates and durations to investigate the impact on key performance metrics like latency, throughput, and resource utilization. This enables a comprehensive evaluation of the inherent trade-offs within event-driven AI systems. The key findings reveal a trade-off between latency and throughput. As the event rate increases, average processing latency generally increases while average throughput increases. Resource utilization remains relatively stable across different event rates in the simulated scenarios (e.g., 75.55\% at 2 events/second, 74.51\% at 10 events/second). This framework provides a valuable tool for understanding the performance characteristics of event-driven AI workflows and optimizing resource allocation strategies.

This research challenges the traditional perspective on consumer behavior, which focuses on external factors shaping the sequential stages of decision-making. Instead, it proposes a paradigm shift by treating the decision-making process itself as an independent variable, exploring its impact on various outcomes like purchasing behavior, brand loyalty, and post-purchase satisfaction. This novel approach offers deeper insights into the intricacies of consumer behavior, particularly in the digital age. By uncovering the reciprocal relationships between the decision-making process and other variables, the research provides a more nuanced understanding of how consumers navigate today's complex landscape. It further delves into how variations in the decision-making process across diverse consumer groups influence various outcomes, recognizing the unique characteristics and needs of different demographics. The research also acknowledges the interplay of psychological, social, and contextual factors that shape both the decision-making process and its downstream effects, offering a comprehensive understanding of the multifaceted influences on consumer behavior. Ultimately, by studying the decision-making process as an independent variable, this research aims to equip businesses and researchers with valuable insights, enabling them to better navigate the ever-evolving world of consumer behavior.

In this study, tree selection/plantation DSS (Decision Support Systems) were reviewed and assessed based on essential objectives in the available literature. We reviewed existing DSS using multiple data sources and available online resources such as web interfaces. We compared the existing DSS, focusing primarily on five primary objectives in this study, which DSS may address when it comes to the tree selection, including a) Climate resilience, b) Infrastructure/Space Optimization, c) Agroforestry, d) Ecosystem services, e) Urban sustainability. Climate resilience of tree species and urban sustainability is addressed relatively less in existing systems, which can be holistically internalized in future DSS tools Based on this review, DNN (Deep Neural Networks) is recommended to address achieving trade-offs between complex objectives such as maximizing ecosystem services, climate resilience of tree species, maintaining Agroforestry, and other benefits.

In this paper, chaos sequence is used to replace the traditional Spread Spectrum sequence. From the perspective of the communication partner, a new method of generating the initial value of chaotic sequence is proposed, which is more suitable for the multi-base Spread Spectrum System and easy to extract. In order to further improve the error performance of the system and ensure the integrity of the system, an improved suboptimal soft information extraction method based on log-likelihood ratio (LLR) is proposed in the channel coding module, which can further improve the error performance of the system. On this basis, we choose the synchronization mode of multiple transmission of one reference signal to solve the problem that chaotic sequence is difficult to obtain synchronization because of its aperiodic characteristics. Finally, the system is simulated in the channel with low SNR. The simulation results show that chaotic sequence as Spread Spectrum code can make the signal transmit accurately in the worse channel environment. The performance gain of applying soft information decoding decision in the M-ary Spread Spectrum System with chaotic sequence as Spread Spectrum code can reach 5.2dB compared with the traditional Direct Spread Spectrum System.

This paper proposes a model to evaluate business projects to get into an incubator, allowing to rank them in order of selection priority. The model combines the Momentum method to build prospective scenarios and the Multiple Criteria Decision Making (MCDM) method TOPSIS-2N to rank the alternatives. Six business projects were evaluated to be incubated. The Momentum method made it possible for us to create an initial core of criteria for the evaluation of incubation projects. The TOPSIS-2N method supported the decision to choose the company to be incubated by ranking the alternatives in order of relevance. Our evaluation model has improved the existing models used by incubators. This model can be used and / or adapted by any incubator to evaluate the business projects to be incubated. The set of criteria for the evaluation of incubation projects is original and the use of prospective scenarios with a MCDM method to evaluate companies to be incubated does not exist in the literature.

Microgrids of varying size and applications are regarded as a key feature of modernizing the power system. The protection of those systems, however, has become a major challenge and a popular research topic for the reason that it involves greater complexity than traditional distribution systems. This paper addresses the issue through a novel approach which utilizes detailed analysis of current and voltage waveforms through windowed fast Fourier and wavelet transforms. The fault detection scheme involves bagged decision trees which use input features extracted from the signal processing stage and selected by correlation analysis. The technique was tested on a microgrid model developed using PSCAD/EMTDS, which is inspired from an operational microgrid in Goldwind Sc. Tech. Co. Ltd, in Beijing, China. The results showed great level of effectiveness to accurately identify faults from other non-fault disturbances, precisely locate the fault and trigger opening of the right circuit breaker/s under different operation modes, fault resistances and other system disturbances.

Multi-criteria decision analysis (MCDA), one of the prevalent branches of operations research, aims to design mathematical and computational tools for selecting the best alternative among several choices with respect to specific criteria. In the cloud, MCDA based online brokers uses customer specified criteria to rank different service providers. However, subjected to limited domain knowledge, the customer may exclude relevant or include irrelevant criterion, which could result in suboptimal ranking of service providers. To deal with such misspecification, this research proposes a model, which uses notion of factor analysis from the domain of unsupervised machine learning. The model is evaluated using two quality-of-service (QoS) based datasets. The first dataset i.e., feedback from customers, was compiled using leading review websites such as Cloud Hosting Reviews, Best Cloud Computing Providers, and Cloud Storage Reviews and Ratings. The second dataset i.e., feedback from servers, was generated from cloud brokerage architecture that was emulated using high performance computing (HPC) cluster at University of Luxembourg (HPC @ Uni.lu). The simulation runs in a stable cloud environment i.e. when uncertainty is low, shows that online broker (equipped with the proposed model) produces optimized ranking of service providers as compared to other brokers. This is due the fact that proposed model assigns priorities to criteria objectively (using machine learning) rather than using priorities based on subjective judgments of the customer. This research will benefit potential cloud customers that view insufficient domain knowledge as a limiting factor for acquisition of web services in the cloud.

Artificial Intelligence (AI) is revolutionizing decision-making procedures in healthcare information systems (HIS), increasing the efficacy, accuracy, and personalization of healthcare. Notwithstanding remarkable progresses, yet there remain gaps in the holistic comprehension and implication of AI-driven technologies across various HIS scenarios. These gaps, consisting limited integration of AI across a variety of HIS parts and inadequate emphasize on interpretability and privacy, motivate our study to conduct a structured evaluation of recent AI applications in this domain. In this study, we present a novel taxonomy for the AI implication in medical decision-making. We analyzed 30 articles and categorized them into six groups including: Clinical Decision Support Systems (CDSS), Predictive Analytics, Natural Language Processing (NLP), Computer-Aided Diagnostics (CAD), Robotic-Assisted Surgery, and Virtual Health Assistants (VHAs/chatbots). Our study aims to propose a holistic perspective of the fast evolving perspective of AI in HIS. The majority of the investigated studies were published from 2023 and 2022, with Springer as the leading publisher (33%). Python and MATLAB were the most well-known simulation languages, applied in 48% and 20% of the papers, respectively, reflecting the technical trends in the area. By emphasizing on pivotal criteria like interpretability, accuracy, and privacy, this research aims to elucidate the crucial issues and development driving AI-driven decision-making in HIS.

This exploration delves into the intricacies of decision-making in business management. It covers decision-making models, influencing factors, real-world case studies, and strategies for effectiveness. Emphasizing the role of data-driven approaches, the exploration highlights the transformative impact of effective decisions on organizational success. Challenges and pitfalls are addressed, providing insights for overcoming obstacles. The importance of mastering decision-making is underlined as a strategic advantage in the competitive landscape of business management. In summary, this exploration offers a nuanced understanding, empowering leaders to make informed choices that shape organizational destinies.

Decision makers have to work on resolving multiple forms of problems within their organizations. The problems can be structured, semi-structured, or unstructured. Handling these issues requires intensive time dedication and resource allocation. Looking at the perspective of strategic decision making in Saudi Arabia, current operations are lacking in various sectors. This indulges an immediate need to introduce proper systems and highlight the loopholes that would allow the leaders make informed decisions aided by a support system. For this reason, the researchers set out to work on two research questions. The first question focused on how decision makers ensured accuracy of the decisions they are making. It would allow to identify why such system is important that should also guarantee consistency and accuracy. The second question asked about the proper process that would govern and control the outcome of decision. Considering the above questions, this research aimed at identifying the ideal framework, and whether the proposal developed would fit into the Saudi organizations. A case study in health sector has been reviewed containing various models across the world. Following this, interviews with five decision makers in their organization were conducted to perform the qualitative research. The researcher identified that most organizations lacked systems to ensure their decisions were accurate. The research also concluded that the tools and elements presented in the proposed informed decision framework would fit into most Saudi organizations to eliminate the identified problem, and especially due to the inclusion of the non-digital sources of information as part to the decision process. Furthermore, the analysis was conducted and discussion was determined stating validations of the study.

We find at least 4 quantum properties that are indeed universal in some number systems; and we can use them for quantum consciousness. Using the sets B={0,1}, N, Z, or Q has the +4 quantum properties that one can trust, as archetypes of easy communication to friends and foes, to ignoranti or cognoscenti, and for quantum computing. This paper proposes the use of Bayesian geometry to reduce the space of possible results, reducing or increasing initial beliefs by successive experimentation. This is exemplified in biology and mathematics, and can be applied to physics and other sciences. The conclusion is that an experimental fact can be absolutely verified. Any mathematical choice (as verified by computers) militating against R=Q, is under an absolutely low chance to succeed. Infinitesimals are denied based on 3^16 independent factors. This is not a probabilistic result, but based on reduction of the Bayes geometry for updating beliefs. This work applies to non-probabilistic and unknown phenomena, such as those found in oscillations (neutrino, health), evolution, and quantum computing, denies Gödel's uncertainty, and solves the liar's paradox by reflection. This connects different scientific fields with one another, in an internet, i.e., in a network of connections of multiple open networks, using the set Q, resembling a hologram, and includes entanglement.

Offshore vessels (OVs) often requires precise station-keeping and some vessels, for example, vessel involves in geotechnical drilling generally use Spread Mooring (SM) or Dynamic Positioning (DP) systems. Most of these vessels are equipped with both systems to cover all ranges of water depths. However, determining which systems to use for a particular operational scenario depends on many factors and requires significant balancing in terms of cost-benefit. Therefore, this research aims to develop a platform that will determine the cost factors for both the SM and DP station keeping systems. Operational information and cost data are collected for several field operations, and Artificial Neural Networks (ANN) is trained using those data samples. After that, the trained ANN is used to predict the components of cost for any given environmental situation, fieldwork duration and water depth. Later, the total cost is investigated against water depth for both DP and SM systems to determine the most cost-effective option. The results are validated using two operational scenarios for a specific geotechnical vessel. This decision-making algorithm can be further developed by adding up more operational data for various vessels and can be applied in the development of sustainable decision-making business models for OVs operators.

The airport ground handling services (AGHS) equipment supplier selection problem involves a safety guarantee on the part of the AGHS company that carries out the daily work. AGHS company can prevent aircraft damage and delays in airlines schedules, and ensure reliable and high-quality ground handling service. In our research, we developed an AGHS equipment supplier selection model based on the analytic hierarchy process and an AHP weighted fuzzy linear programming approach, and we solved the AGHS equipment supplier’s selection problem. The main objective of this article is to create an AHP and AHP-FLP decision model in order to help the AGHS company authorities select the best AGHS equipment supplier. The practical application in AGHS equipment supplier selection decisions can be interpreted as demonstrating that the proposed model provides knowledge and practical value for the AGHS industry.

Background: SARS-CoV-2 has resulted in a global pandemic, COVID-19. The disease has spread outrageously from Wuhan, china to rest of the world affecting millions of people. The human transmission is mainly known to occur by aerosols. As almost every dental procedure is associated with aerosol production, oral health care professionals are at a high risk of getting the infection. An attempt has been made to render cohesive practical suggestions for dental professionals amid COVID-19 outbreak. Objectives: The paper aims at providing evidence based information in managing dental patients during this pandemic. Material and Methods: The paper provides a broad overview of predominant findings based on electronic database search regarding COVID-19 outbreak and its effect on dental practice. Conclusion: Dental care should not be neglected due to the pandemic. Thorough knowledge about the disease and its prevention will not only help us in providing care to these patients but will also help in preventing the nosocomial spread of infection.

The Pythagorean fuzzy set (PFS), which is characterized by a membership and a non-membership degree and the square sum of them is less or equal to one, can act as an effective tool to express decision makers’ fuzziness and uncertainty. Considering that the Heronian mean (HM) is a powerful aggregation operator which can take the interrelationship between any two arguments, we study the HM in Pythagorean fuzzy environment and propose new operators for aggregating interval-valued Pythagorean fuzzy information. First, we investigate the HM and geometric HM (GHM) under interval-valued intuitionistic fuzzy environment and develop a series of aggregation operators for interval-valued intuitionistic fuzzy numbers (IVIFNs) including interval-valued intuitionistic fuzzy Heronian mean (IVIFHM), interval-valued intuitionistic fuzzy geometric Heronian mean (IVIFGHM), interval-valued intuitionistic fuzzy weighted Heronian mean (IVIFWHM) and interval-valued intuitionistic fuzzy weighted geometric Heronian mean (IVIFWGHM). Second, some desirable and important properties of these aggregation operators are discussed. Third, based on these aggregation operators, a novel approach to multi-attribute decision making (MADM) is proposed. Finally, to demonstrate the validity of the approach, a numerical example is provided and discussed. Moreover, we discuss several real-world applications of these operators within policy-making contexts.

This paper formulates the performance evaluation of cloud services as a multicriteria group decision making problem, and presents a fuzzy multicriteria group decision making method for evaluating the performance of cloud services. Interval-valued intuitionistic fuzzy numbers are used to model the inherent subjectiveness and imprecision of the performance evaluation process. An effective algorithm is developed based on the technique for order preference by similarity to ideal solution method and the Choquet integral operator for adequately solving the performance evaluation problem. An example is presented to demonstrate the applicability of the proposed fuzzy multicriteria group decision making method for solving the multicriteria group decision making problem in real world situations.

This study aimed to analyze the effect of a flow training program based on mindfulness applied to young and adult elite handball athletes. A quantitative, quasi-experimental, descriptive data analysis approach was carried out. The sample included 105 athletes (51 female and 54 male). The athletes were divided into two groups: i) experimental (n = 53) and ii) control (n = 52). The results of the repeated ANOVA indicated that the experimental group achieved significant improvements compared to the control group in decision making (n2p=.086), mental well-being (n2p=.045), dispositional flow state (n2p=.103), non-judgment (n2p=.040), refocusing (n2p=.052) and mindful trait in daily life (n2p=.058). In the linear regression test, the factor non-judgment was identified as a predictor of decision making (F(103)=7.99, p=.006) and the predictor for the mental well-being were dispositional flow state (F(102)=29.2, p

Fermatean fuzzy sets (FFSs) are a versatile tool for handling uncertain problems and have shown great effectiveness in practical applications. However, many existing Fermatean fuzzy similarity measures exhibit counter-intuitive situations, making it challenging to accurately measure the similarity or difference between FFSs. To address this issue, several similarity and distance measures for FFSs are proposed, inspired by the Tanimoto similarity measure. The properties of the proposed measures are also explored, along with several comparative examples with existing measures for FFSs, which illustrate their superior performance in processing fuzzy information from FFSs. The proposed measures have effectively overcome the counter-intuitive challenges posed by many existing measures and significantly outperforms existing measures in differentiating different FFSs. Furthermore, we demonstrate the practical applicability of the proposed measures in solving pattern recognition, medical diagnosis and multiple-attribute decision-making problems.

Beginning with navigation system design, this paper presents a comprehensive strategy for enhancing the search and rescue capabilities of agile mobile robots. Towards this, the autonomous ground vehicle (AGV) utilizes surface classification to determine and prioritize the terrain it is traversing. Our developed system design incorporates real-time terrain data with task objectives at a high level, ensuring that the robot can effectively navigate complex and ever-changing environments. This design, in conjunction with the introduction of a novel lightweight surface classification model, forms the basis of our adaptive terrain perception and decision-making systems, enabling robots such as Jackal to adapt rapidly and make the decisions necessary to complete the task. Subsequently, we exhaustively validated these systems through a series of extensive experiments in a variety of terrains, including normal and mixed terrains, demonstrating their robustness and efficacy in real-life situations.

Quality evidence-based decisions and strategies are critical and valuable tools in strengthening health systems policies, strategic priorities action plans and comprehensive care delivery management. Our finding showed that there is scarcity of local/national and internal effective evidence-based and management strategies for informed decision making based on the disease or health epidemics nature, extend, ecological and geo-location of pandemics and epidemics crises burden and impacts. Evidence-based programs or projects are crucial in evolving pandemics and/or (Ebola, meningitis, Cholera and influenza) epidemics persistent morbidity and mortality/ case fatality reduction or prevention; as well as on poverty and inequity alleviation within the vulnerable population and citizenry over time. This paper assesses implications of evidence-based on health systems surveillance and monitoring systems, preparedness and emergency response gaps and needs in improving care delivery uptake and usefulness, coverage and effectiveness in Africa. Furthermore, the article advocates for quality, access to and uptake of knowledge-based policy-decision making and practice improvements in building efficient and standardized surveillance, preparedness and response approaches. Also, in enriching data sharing and inclusiveness through understanding the links between poverty, poor health and inequited related emerging infectious diseases epidemics in Africa. Leveraging on cumulative lessons learnt experiences and innovations in integrating participatory knowledge-based policies and approaches is paramount in fostering vulnerable population awareness and engagement, skills empowerment collaborative productivity and sustainable healthy solutions and measures. Strengthening new partnerships, alliances, and networks requires collaborative and quality evidence policy decisions, appropriate and reliable monitoring and evaluation systems approaches and strategies in improving local preparedness and emergency response capabilities against future emerging infectious diseases epidemics and fast-tracking poverty alleviation knowledge-based livelihoods and health solutions for impact. Furthermore, integrated, participative partnerships and collaborative responsibilities, cost effective and reliable evidence health financing and budget allocation, and targeted capacity development aiming at reducing and averting the burden of poverty related emerging threats and epidemics preparedness and response programs in African countries.

Background: This study aimed to investigate the impact of the COVID-19 pandemic on breast reconstruction trends in the United States, focusing on implant-based and autologous techniques, as well as the timing of reconstruction (immediate vs. delayed). Methods: A retrospective analysis of data from the American Society of Plastic Surgeons' National Plastic Surgery Statistics from 2015 to 2022 was conducted. Annual trends in breast reconstruction procedures were analyzed, comparing the pre-pandemic (2015-2019) and pandemic (2020-2022) periods. Results: The total number of breast reconstructions increased from 106,338 in 2015 to 151,641 in 2022. The proportion of implant-based reconstructions decreased from 81.41% pre-pandemic to 76.51% during the pandemic (p < 0.001), with a notable rise in direct-to-implant procedures from 10.37% to 19.12% (p < 0.001). Autologous reconstructions increased from 18.59% to 23.49% (p < 0.001). Among autologous techniques, DIEP flaps remained the most popular. Immediate reconstruction rates increased from 72.61% pre-pandemic to 75.57% during the pandemic, while delayed recon-struction rates decreased from 27.39% to 24.43% (p < 0.001). Conclusions: The COVID-19 pandemic has significantly influenced breast reconstruction trends in the United States, with a shift towards autologous techniques, particularly DIEP flaps, and an in-crease in immediate reconstructions. These changes may reflect adaptations in surgical practice and decision-making processes in response to the unique challenges posed by the pandemic. Further research is needed to assess the long-term outcomes and patient satisfaction associated with these trends.

Background: Current obstructive sleep apnea treatment relies on manual PAP titration, but it has limitations. Complex interactions during titration and variations in SpO2 data accuracy pose challenges. Patients with co-occurring chronic hypercapnia may require precise oxygen titration. To address these issues, we propose a Clinical Decision Support System using Markov Decision Processes. Methods: This study, compliant with data protection laws, focused on adults with OSA-induced hypoxemia utilizing supplemental oxygen and CPAP/BiPAP therapy. PAP titration, conducted over one night, involved vigilant monitoring of vital signs and physiological parameters. Adjustments to CPAP pressure, potential BiLevel transitions, and supplemental oxygen were precisely guided by patient metrics. Markov Decision Processes outlined three distinct phases for sleep disorder management, incorporating expert medical insights. Results: In our study involving 14 OSA patients (average age: 63 years, 27% females, BMI 41 kg m−2), significant improvements were observed in key health parameters. The initial AHI of 61.8 events per hour significantly decreased to an average of 18.0 events per hour after PAP and oxygen titration (p < 0.0001), indicating a substantial reduction in sleep-disordered breathing severity. Concurrently, SpO2 levels increased significantly from an average of 79.7% before titration to 89.1% after titration (p < 0.0003). Pearson correlation coefficients demonstrated aggravation of hypercapnia in 50% of patients (N=5) with initial hypercapnia during the increase of CPAP pressure. However, transitioning to BiPAP exhibited a reduction in pCO2 levels, showcasing its efficacy in addressing hypercapnia. Simultaneously, BiPAP therapy correlated with a substantial increase in SpO2, underscoring its positive impact on oxygenation in OSA patients. Markov dynamic process analysis demonstrated realistic patient behavior during stable night conditions, emphasizing minimal apnea and good toleration to high CPAP pressure. Conclusions: the development of a framework for Markov Decision Processes of PAP and oxygen titration algorithms holds promise for providing algorithms for deviation in pCO2 and SpO2 markers. While challenges remain, including the need for high-quality data, the potential benefits in terms of patient management and care optimization are substantial, and this approach represents an exciting frontier in the realm of telemedicine and respiratory healthcare. Obstructive sleep apnea, PAP titration, hypoxia, hypercapnia, Markov decision processes

Cancer is the second major cause of disease-related dead worldwide, and its accurate early diagnosis and therapeutic intervention are fundamental for saving the patient’s life. Cancer, as a complex and heterogeneous disorder, results from disruption and alteration of a wide variety of biological entities, including genes, proteins, mRNAs, miRNAs, and metabolites that eventually emerge as clinical symptoms. Traditionally, diagnosis is based on clinical examination, blood tests for biomarkers, histopathology of biopsy, and imaging (MRI, CT, PET, US). Additionally, omics biotechnologies help to further characterize the genome, metabolome, microbiome traits of the patient that could have an impact on the prognosis and patient’s response to the therapy. The integration of all these data relies on gathering of several experts and may require considerable time, and, unfortunately, it is not without the risk of error in the interpretation and therefore in the decision. Systems biology algorithms exploit Artificial Intelligence (AI) combined with omics technologies to perform a rapid and accurate analysis and integration of patient’s big data and support the physician in making diagnosis and tailoring the most appropriate therapeutic intervention. However, AI is not free from possible diagnostic and prognostic errors in the interpretation of images or biochemical-clinical data. Here, we first describe the methods used by systems biology for combining AI with omics and then discuss the potential, challenges, limitations, and critical issues in using AI in cancer research.

Home care centers face both an increase in demand and many variations during the execution of routes, compromising the routes initially planned: robust solutions are not effective enough, it is necessary to move on to resilient approaches. We create a close to reality use case supported by interviews of staff at home health care centers, where caregivers are faced with unexpected events that compromise their initial route. We model, analyze and compare three resilient approaches to deal with these disruptions: a baseline approach without any collaboration, a distributed collaborative approach, and a centralized collaborative approach, where we propose a centralization and sharing of information to improve local decision-making. The latter reduces the number of late arrivals by 11% and the total time of late arrival by 21%, and also halves the number of routes exceeding the end of work time (contrary to the distributed collaborative approach, due to the time wasted reaching colleagues). The use of a device, such as a smartphone application, to centralize and share information thus allows better mutual assistance between caregivers. Moreover, we highlight several possible openings like the coupling of simulation and optimization to propose a more resilient approach.

Among many research areas to which Ron Yager contributed are decision making under uncertainty (in particular, under interval and fuzzy uncertainty) and aggregation – where he proposed, analyzed, and utilized the use of Ordered Weighted Averaging (OWA). The OWA algorithm itself provides only a specific type of data aggregation. However, it turns out that if we allows several OWA stages one after another, we get a scheme with a universal approximation property – moreover, a scheme which is perfectly equivalent to deep neural networks. In this sense, Ron Yager can be viewed as a (grand)father of deep learning. We also show that the existing schemes for decision making under uncertainty are also naturally interpretable in OWA terms.

In the software development process, the decision-maker (DM) has a range of problems inherent to its function. Wrong choices during software planning can bring great risk to the project. Therefore, the planning of software releases to be delivered to the customer should be well done. This is not an easy task because releases are made up of many requirements that contain complex variables that must be considered, such as precedence, cost, requirement stability, among other features that make the requirements-selection process challenging. To make this process less exhaustive, DM can use tools that facilitate this work. In software engineering, we can find fields of research specialists in this context, such as Search-Based Software Engineering (SBSE). The SBSE makes use of advanced metaheuristics to search for optimal solutions or the closest to it. In this work, we try to use another field of research to solve this same problem type, the Verbal Decision Analysis (VDA). To do this, we elaborate a workflow that will use the same source data, execute two solutions using the two search fields (SBSE and VDA) and compare the results. In the end, we evaluated and commented on the results.

Alternative fuel vehicles, such as battery electric vehicles and hydrogen fuel cell vehicles, support the imperative to decarbonise the transport sector, but are not yet at a stage in their development where they can successfully compete with conventional fuel vehicles. This paper examines the influence of knowledge and persuasion on the decision to adopt or reject alternative fuel vehicles, underpinned by Rogers’ Diffusion of Innovations theory. A household questionnaire survey was undertaken with respondents in the Sutton Coldfield suburb of the United Kingdom city of Birmingham. This suburb was previously identified as having a strong spatial cluster of potential early adopters of alternative fuel vehicles. The results confirm that among respondents the knowledge of alternative fuel vehicles was limited and perceptions have led to the development of negative attitudes towards them. The reasons largely relate to three problems: purchase price, limited range, and poor infrastructure availability. The majority of respondents have passively rejected alternative fuel vehicles, such that they have never given consideration to adoption. This confirms that a concerted effort is required to inform the general public about alternative fuel vehicles.

In the realm of the Internet of Things (IoT), a network of sensors and actuators collaborates to fulfill specific tasks. As the demand for IoT networks continues to rise, it becomes crucial to ensure the stability of this technology and adapt it for further expansion. Through an analysis of related works including Feedback-based Optimized Fuzzy Scheduling Approach (FOFSA) algorithm, Adaptive Task Allocation Technique (ATAT) and Osmosis Load Balancing algorithm (OLB), we identify their limitations in achieving optimal energy efficiency and fast decision-making. To address these limitations, this research introduces a novel approach to enhance the processing time and energy efficiency of IoT networks. The proposed approach achieves this by efficiently allocating IoT data resources in the Mist layer during the early stages. We apply the approach to our proposed system known as the Mist-based Fuzzy Healthcare System (MFHS) that demonstrates promising potential to overcome the existing challenges and pave the way for efficient Industrial Internet of Healthcare Things (IIoHT) of the future.

The main goal of the study is to assess the Decision criteria, and the determining factor for the sustainability of entrepreneurial startups in order to contribute towards social inclusion and capacity building. Both concepts are in the development phase and are the outcome of entrepreneurial ecosystem and individual behavior and traits. The current study observed the research problem as entrepreneurship and the entrepreneurial startups are the continuous phenomena required for every economy. The lack of an efficient ecosystem and incompetent trait of an entrepreneur drags the entrepreneurial startup to a failure. Therefore, an assessment on decision criteria and determining factors categorizing them with their importance may provide requisites to lead a successful entrepreneurial startup contributing to the social inclusion and capacity building. The study solved the research problem by statistical assessment of decision criteria and determining factors and categorizing them with their importance may provide requisites to lead a successful entrepreneurial startup. The research is built on research questions, objectives, conceptual model, and hypothesis which are tested based on the data collected. The collection of data was done through a survey questionnaire on a sample of established entrepreneurs. The study concludes that five components of decision criteria are Region, Competition, Funding Opportunities, Tax System, and Country Economic Situation, whereas the eight components Consciousness and Reliable, Pursuit Results, Flexibility, Stress Resistance, Skills Identification Exploitation Potential Market Opportunities, Leadership, Creativity and Innovation, and Delegation Decision Making of determining factor are required for a successful entrepreneurial startup to be able to work towards social inclusion and capacity building.

Directed movement towards a target requires spatial working memory, including processing of sensory inputs and motivational drive. In a stimulus-driven, operant conditioning paradigm designed to train zebrafish, we present a pulse of light via LED’s and/or sounds via an underwater transducer. A webcam placed below a glass tank records fish swimming behavior. During operant conditioning, a fish must interrupt an infrared beam at one location to obtain a small food reward at the same or different location. A timing-gated interrupt activates robotic-arm and feeder stepper motors via custom software controlling a microprocessor (Arduino). “Ardulink”, a JAVA facility, implements Arduino-computer communication protocols. In this way, full automation of stimulus-conditioned directional swimming is achieved. Precise multi­day scheduling of training, including timing, location and intensity of stimulus parameters, and feeder control is accomplished via a user-friendly interface. Our training paradigm permits tracking of learning by monitoring, turning, location, response times and directional swimming of individual fish. This facilitates comparison of performance within and across a cohort of animals. We demonstrate the ability to train and test zebrafish using visual and auditory stimuli. Current methods used for associative conditioning often involve human intervention, which is labor intensive, stressful to animals, and introduces noise in the data. Our relatively simple yet flexible paradigm requires a simple apparatus and minimal human intervention. Our scheduling and control software and apparatus (NemoTrainer) can be used to screen neurologic drugs and test the effects of CRISPR­-based and optogenetic modification of neural circuits on sensation, locomotion, learning and memory.

The concepts of accessibility and urban walkability are the cornerstones of urban policies for the contemporary city, called upon to adopt sustainable development models in line with the objectives of the 2030 Agenda and the ambitious objectives of the 'European Green Deal'. These concepts are closely linked to the paradigm of a sustainable city (livable, healthy and inclusive), founded on a system of quality public spaces and on a network of services and infrastructures, both tangible and intangible, capable of strengthening or building new relationships: social, economic and environmental. It is therefore necessary to recognize potential opportunities for connection and permeability in consolidated urban environments, very often fragmented and characterized by enclaves. Within this framework, the city of Cagliari represents an interesting case study as it is characterized by the presence of a series of military complexes, real 'enclaves' which condition the proximity connections and, more generally, the walkability. In this sense, building on previous research and analysis of policies and projects aimed at reintroducing, even partially, this military asset into civilian life (Green Barracks Project - GBP - 2019), this study proposes and applies a methodology to improve urban accessibility in a flexible network logic, where 'walkability' can become not only a moment of possible "choice" but the basis for planning oriented to the '15 min city' model or, more generally, to the renewed, inclusive, safe, resilient and sustainable “City of proximity”.

Bipolar neutrosophic set is an important extension of bipolar fuzzy set. This set is a hybridization of bipolar fuzzy set and neutrosophic set. Every element of a bipolar neutrosophic set consists of three independent positive membership functions and three independent negative membership functions. In this paper, we develop cross entropy measures of bipolar neutrosophic sets and prove its properties. We also define cross entropy measures of interval bipolar neutrosophic sets and prove its properties. Thereafter, we develop two novel multi-attribute decision making methods based on the proposed cross entropy measures. In the decision making framework, we calculate the weighted cross entropy measures between each alternative and the ideal alternative to rank the alternatives and choose the best one. We solve two illustrative examples of multi-attribute decision making problems and compare the obtained result with the results of other existing methods to show the applicability and effectiveness of the developed method. In the end, the main conclusion and future scope of research are summarized.

The study investigates the influence of power dynamics on supply chain decision-making processes through a qualitative lens, aiming to understand how various forms of power impact interactions, relationships, and strategic outcomes within supply chains. Using semi-structured interviews with supply chain managers and executives from diverse industries, the research explores the multifaceted nature of power, identifying key sources such as economic leverage, expertise, resource control, and network centrality. Findings reveal that power dynamics significantly shape decision-making by determining negotiation outcomes, governance structures, and operational efficiencies. Economic power, often exercised by larger firms, enables them to dominate negotiations and impose favorable terms, creating pressures on smaller partners and potentially leading to conflicts. Expertise and resource control allow firms with specialized knowledge or unique inputs to influence product development and process innovation, further dictating supply chain configurations. The study differentiates between coercive and non-coercive power strategies, showing that while coercive power enforces compliance, it can erode trust and collaboration. Non-coercive power, on the other hand, promotes positive relationships through incentives and collaborative approaches, fostering trust and alignment of supply chain objectives. Governance structures imposed by dominant firms often reflect their strategic priorities but can burden less powerful partners, highlighting the need for balanced oversight. Power also plays a crucial role in risk management, resilience, sustainability, and innovation within supply chains, with digitalization introducing new dimensions of influence. The research underscores the importance of balanced and equitable power dynamics to enhance cooperation, resilience, and innovation in supply chains. These insights provide valuable implications for practitioners and scholars in developing more effective and adaptive supply chain strategies.