A Synergistic Multi-Attribute Decision-Making Method for Educational Institutions Evaluation Using Similarity Measures of Possibility Pythagorean Fuzzy Hypersoft Sets

Due to the numerous variables to take into account as well as the inherent ambiguity and uncertainty,evaluating educational institutions can be difficult.The concept of a possibility Pythagorean fuzzy hypersoft set(pPyFHSS)is more flexible in this regard than other theoretical fuzzy set-like models,even though some attempts have been made in the literature to address such uncertainties.This study investigates the elementary notions of pPyFHSS including its set-theoretic operations union,intersection,complement,OR-and AND-operations.Some results related to these operations are also modified for pPyFHSS.Additionally,the similarity measures between pPyFHSSs are formulated with the assistance of numerical examples and results.Lastly,an intelligent decision-assisted mechanism is developed with the proposal of a robust algorithm based on similarity measures for solving multi-attribute decision-making(MADM)problems.A case study that helps the decision-makers assess the best educational institution is discussed to validate the suggested system.The algorithmic results are compared with the most pertinent model to evaluate the adaptability of pPyFHSS,as it generalizes the classical possibility fuzzy set-like theoretical models.Similarly,while considering significant evaluating factors,the flexibility of pPyFHSS is observed through structural comparison.

Voices that matter:The impact of patient-reported outcome measures on clinical decision-making

The critical role of patient-reported outcome measures(PROMs)in enhancing clinical decision-making and promoting patient-centered care has gained a profound significance in scientific research.PROMs encapsulate a patient's health status directly from their perspective,encompassing various domains such as symptom severity,functional status,and overall quality of life.By integrating PROMs into routine clinical practice and research,healthcare providers can achieve a more nuanced understanding of patient experiences and tailor treatments accordingly.The deployment of PROMs supports dynamic patient-provider interactions,fostering better patient engagement and adherence to tre-atment plans.Moreover,PROMs are pivotal in clinical settings for monitoring disease progression and treatment efficacy,particularly in chronic and mental health conditions.However,challenges in implementing PROMs include data collection and management,integration into existing health systems,and acceptance by patients and providers.Overcoming these barriers necessitates technological advancements,policy development,and continuous education to enhance the acceptability and effectiveness of PROMs.The paper concludes with recommendations for future research and policy-making aimed at optimizing the use and impact of PROMs across healthcare settings.

Variations in quantifying patient reported outcome measures to estimate treatment effect

In the practice of healthcare,patient-reported outcomes(PROs)and PRO measures(PROMs)are used as an attempt to observe the changes in complex clinical situations.They guide us in making decisions based on the evidence regarding patient care by recording the change in outcomes for a particular treatment to a given condition and finally to understand whether a patient will benefit from a particular treatment and to quantify the treatment effect.For any PROM to be usable in health care,we need it to be reliable,encapsulating the points of interest with the potential to detect any real change.Using structured outcome measures routinely in clinical practice helps the physician to understand the functional limitation of a patient that would otherwise not be clear in an office interview,and this allows the physician and patient to have a meaningful conver-sation as well as a customized plan for each patient.Having mentioned the rationale and the benefits of PROMs,understanding the quantification process is crucial before embarking on management decisions.A better interpretation of change needs to identify the treatment effect based on clinical relevance for a given condition.There are a multiple set of measurement indices to serve this effect and most of them are used interchangeably without clear demarcation on their differences.This article details the various quantification metrics used to evaluate the treatment effect using PROMs,their limitations and the scope of usage and implementation in clinical practice.

Study on the Countermeasures to Improve the Public Outdoor Leisure and Fitness Function on the Two Rivers and Four Banks in the Main Urban Area of Chongqing

The main urban area of Chongqing is surrounded by two rivers and set against each other.With its unique waterfront landscape,it has the resource conditions to become a leisure tourism destination.Intending to enhance people’s happiness,improve city quality,and promote Chongqing’s main urban area to become a tourist destination,this paper finds out the existing problems in the construction of public outdoor leisure and fitness facilities on the two rivers and four banks of Chongqing’s main urban area through investigation and analysis based on relevant experiences at home and abroad,takes the value chain theory as the guidance,and to find solutions to the problem.On this basis,combined with the law of economic operation,this paper puts forward the guiding ideology,principles,development goals,functional orientation,and development path for the improvement of public outdoor leisure and fitness on two rivers and four banks in the main city of Chongqing,and accordingly puts forward the policy system and guarantee measures for its improvement.

Analysis on Current Situation,Formation Causes and Control Countermeasures of Acid Rain Pollution in China

Environmental problem is one of three major issues of common concern in the world today.Being a developing socialist country,the environmental problems in china are even more prominent,mainly in population expansion,sharp decrease of global forest areas,soil erosion,acid rain pollution,water pollution and so on.This essay is to introduce the present status,formation causes and hazardous condition of acid rain pollution in china.Some feasible and effective control measures are put forward according to the actual situation in China.

Analysis of Land Degradation in Ethiopia and Countermeasures

In Ethiopia soil conservation is primarily meant to improve agriculture production.Therefore,assessment of the existing erosion hazards and classifying the land according to its capability are essential.This paper depicts the land degradation status and causes,through an integrated assessment,and some measures to alleviate the problem are proposed.

Analysis on the Epidemic Situation of Intercepted Alien Pests from Imported Hides in Hebei and the Countermeasures during 2013-2014

The situation of intercepted alien pests from imported hides in Hebei during 2013-2014 was systematically analyzed. The results showed that 163 batches of alien pests were intercepted, including 2 batches of quarantine weeds and they both were Italian cocklebur. According to the statistics of original countries, the intercepted hides from 21 countries all had alien pests, in which Australia was the largest number of batches and species of alien pests. The analysis results showed that there was severe risk in the imported hides carrying alien pests, thus to effectively prevent the invasion of alien pests to our country, several quarantine measures should be taken in the future, such as enhancing the quarantine inspection in ports, and promoting the personnel ability of interception and species identification of alien pests.

Influence of Marine Oil Pollution and Countermeasures

In the article, status quo of oil pollution in China＇s offshore area was in- troduced, and the sources of oil pollution in the ocean were analyzed. Furthermore, the possible hazards of marine oil pollution were discussed and related countermea- sures were proposed, including implementation of laws and regulations, enhancing awareness of environment protection, improvement of pollution monitoring and early warning mechanism, physical treatment, chemical treatment and biological treatment. With economy development, the demand of oil is increasing accordingly. Hence, oil pollution has become an urgent issue to be solved for better exploration of oil and protection of marine environment.

Current Situation of University Bilingual Teaching and Countermeasures Analysis

The development of education in China has become increasingly international.Therefore,carrying out bilingual teach ing in Universities is of great significance to cultivating international talents.However,the current bilingual teaching in Universi ties of our country is not optimistic,facing many difficulties and challenges.In order to provide students with advanced interna tional and dynamic culture,educators should continue to explore research and analyze bilingual teaching rationally and work out effective measures.

Protection Countermeasures for Guxin Famous Historical and Cultural Town

After the analysis of characteristics and value of Guxin Ancient Town, the paper had introduced residential architectures with distinctive features, ancient architectural groups of northern castle style, historical streets full of characteristics, long old locust culture, temple culture of South Hebei and colorful folk culture. There existed many problems in cultural protection of Guxin, for example, new and old residential architectures had mingled together, historical environment had suffered damage, public service facilities and infrastructures had lagged behind, and folk culture had been damaged. Based on this, it had proposed that protection of the ancient town should comply with principles of authenticity, integrity, readability and sustainability; discussed countermeasures for the protection of Guxin Ancient Town; and emphasized protection and treatment of architectures. It should conduct filing and listing protection on historical architectures, protect old streets and reconstruct infrastructure, protect non-material heritages, positively advocate public participation and improve protection consciousness, so as to protect and extend historical cultural context, and inherit abundant historical and cultural resources.

HealthMeasures患者报告结局报告清单的解读

美国匹兹堡大学和HealthMeasures指导委员会及PROMIS健康组织标准委员会共同发表了HealthMeasures患者报告结局报告清单,旨在促进不同患者报告结局测量工具的标准化报告,帮助研究人员提高工具报告质量及结果解释的准确性,进一步改善跨研究间的比较分析。本文对HealthMeasures患者报告结局报告清单的主要内容进行介绍和解读,以期为中国患者报告结局研究者提供参考和借鉴。

Environmental Issues of Geothermal Development in Yangbajing, Tibet and the Countermeasures

The pollution source and pollution state of surface water is respectively assessed with equal-standard-pollution-load index and Nemero index, and the habitans' health is assessed as well by comparison with pre-development of geo-thermal field. Results show that: 1) Three pollutive factors obviously fail to attain the required standards and their order sorted by impact degree is As>F- >S2-. 2) The Nemero index of Donggua cross section of Duilongqu River is 0. 725 and the water quality is at mildly-polluted level. 3) In Lhasa River, the Nemero indexes of cross sections affected by geo-thermal fields are much higher than that of the unaffected one, which shows the present and potential impacts of geo-thermal development. 4) Much more inhabitants nearby got trichomadesis sickness after geothermal development, which shows that the surface water pollution in this area has threatened the inhabitants' health. In addition, other environmental issues caused by Yangbajing geothermal development are analyzed and some countermeasures are proposed.

CAUSES AND CONTROL COUNTERMEASURES OF EUTROPHICATION IN CHAOHU LAKE, CHINA

Chaohu Lake, located in the central Anhui Province, is one of the five largest fresh lakes in China. Now it is one of the three most eutrophication lakes in China. The deterioration of its water quality has influenced the sustainable development of society, economy and environment of Hefei City, the capital of Anhui Province. A series of measures have been carried out to control its eutrophication, but it is still serious. On the basis of the lake water quality data from 1984 to 2003, the causes of the eutrophication of Chaohu Lake are analyzed. Studies indicated that the suitable natural conditions and human activities played a crucial role in the process of the eutrophication of Chaohu Lake. A great amount of industrial, agricultural and domestic sewage discharged into the lake is the main cause of eutrophication in the lake. Land use, soil erosion and shoreline collapse destroyed the watershed eco-environment and the terrestrial ecosystem of Chaohu Lake. And the building of Yuxi Gate extends the sluggish of the nutritious substance and speeds up the process of the eutrophication. From the view of systematic engineering and watershed ecology, a series of the countermeasures have been put forward to control the eutrophication.

Flow Rate Measurement of Gravity Infusion Set and Functional Evaluation of Drop Counter: A Pilot Study

Developing a novel drop counter by introducing the Internet of Things concept has been vigorously conducted in recent years. Understanding the newly introduced drop counter’s flow rate control accuracy and flow rate count feature is essential for improving safety in infusion management. This study aimed to verify if the new drop counters could secure accurate flow rate and drip count by conducting actual flow rate measurements using gravimetry and functional evaluation. A drop counter was attached to each drip chamber of the infusion set, and an IV drip was conducted at the 100 ml/h flow rate. The weight of discharged physiological saline was measured to plot trumpet curves. Next, three different types of drop counters were evaluated to determine if they maintained drip count accuracy according to the changes in their position angles. The flow rate errors in all conditions indicated trumpet-like curves, exhibiting an overall error range within ±10% in all observation windows. Although every drop counter successfully detected and measured dripping, it was challenging in some counters to detect dripping when the drip chamber was tilted. In comparing adult and pediatric IV sets, the adult IV set was found to be less likely to detect dripping in the angled position. No significant differences in results were confirmed between high and low flow rates, suggesting that the drop count function would not be affected by the flow rate in the ranges of typical infusion practices. Doppler sensors have a wide range of measurements and high sensitivity;the dripping was detected successfully even when the drip chamber was tilted, probably due to the advantages of these sensors. In contrast, miscounts occurred in those equipped with infrared sensors, which could not detect light intensity changes in tilted positions. Understanding the tendencies in flow rate errors in infusion can be valuable information for infusion management.

Practice of Barrier Measures against COVID-19 Among Diabetic People Followed at Departmental University Hospital Center Ouémé-Plateau, Benin, in 2021

Introduction: COVID-19 is a pandemic disease caused by the coronavirus SARS-COV2 appeared in China in 2019. The aim of the study was to evaluate the practice of barrier measures against COVID-19 and to identify associated factors among diabetics followed at Departmental University Hospital Center Ouémé-Plateau, Benin, in 2021. Methods: This was a cross-sectional study conducted from June to August 2021, including diabetics aged 18 and over, hospitalized or received for medical visits in the department of medicine at the target hospital. Data were collected during an interview with each participant thanks to a questionnaire. “Good practice” was defined as regular practice of at least two of three barrier measures: hand washing, physical distancing and mask-wearing. Results: A total of 110 diabetics were included with a female predominance (55.5%) and a mean age of 57 ± 11.3 years. Among them, 89.1% washed their hands, 41.8% respected physical distancing and 12.7% wore a mask. The proportion of good practice was 47.3%. Only 5 practiced the three barrier measures. Only age group was associated with good practice. Conclusion: The study showed a low proportion of good practice of barrier measures against COVID-19 among diabetic people surveyed. It is important to continue the action for COVID-19 prevention among diabetic people in the targeted hospital and in other hospitals in Benin.

Socio-scientific quantification of the comprehensive benefits of debris flow mitigation measures for villages in western Sichuan, China

Debris flow hazards seriously threaten thesafety and sustainable development of mountainousareas. Numerous debris flow mitigation measures havebeen implemented worldwide;however, acomprehensive assessment of the specific disasterreduction effects of these measures and their economic,social and ecological benefits is yet to be performed.The western region of Sichuan Province frequentlysuffers from geohazards such as debris flow, and thegovernment has adopted many mitigation measures.This study assessed the benefits of debris flowmitigation measures and identified the key influencingfactors via a field-based study conducted in 81 villagesin western Sichuan province, China. A framework forthe evaluation of the benefits of rural debris flowmitigation measures was constructed andquantitatively evaluated using a survey. Snowballsampling was performed to recruit 81 village leadersand 468 farmers. The results showed that managementand engineering measures were the main methodsused to mitigate debris flow;ecological measures wereauxiliary. The average satisfaction scores of farmers forthese three types of measures were 4.07, 3.90, and 3.56,respectively (as measured on a five-point Likert scale).In contrast, in terms of the benefits of these mitigationmeasures, only a small proportion of villages (11.11%)obtained a high level of comprehensive benefits fromthe debris flow mitigation measures, while the majority(88.89%) received medium to low-level benefits. Toimprove this situation, we further studied and foundthat the main factors that restricted villages fromachieving high-level comprehensive benefits were theunpredictable nature of debris flows, labour forceoutflow and remoteness. Effective control measures, agood economic environment and strong governmentassistance were reported as crucial factors forimproving these comprehensive benefits. This studyprovides socio-scientific references for decisionmakingon rural debris flow mitigation measures while keeping villages at the centre of economic development.

A Study on the Counter Measures for Eco-friendly Land Use Model in Mountainous Area——a Case of Qianjiang District of Chongqing Municipality

Accompanying the development of social economy,the land use model of mountainous area,typically eco-weak area,is changing gradually. Here the establishment of eco-friendly land use model in mountainous area,will pioneer the model of sustainable development in that area. Concerning Qianjiang District of Chongqing Municipality,huge change of land use model,mainly embodied in the unceasing increase of construction land and gradual decrease of agricultural use land,has taken place in recent years. To explore the eco-friendly land use model in mountainous area,Qianjiang District was chosen as the study object in the present study. Via analyzing the changes in land use model,we found that related eco-environment restrictive factors mainly regional climatic change,soil texture,hydrological environment as well as soil erosion and land degradation,etc. And based on these results,we further analyzed the effect of land use change on eco-environment and the factors restricting the maintenance of eco-environment and regional development,finally put forward the counter measures for balancing land use and co-environment in mountainous area. The results will be important for the development of social economy and eco-system construction in Qianjiang District.

Adherence to Physical Measures during the SARS-COV2 Pandemic by Haemodialysis Patients in a Burkina Faso Tertiary Hospital: A Cross-Sectional Survey

Context: COVID-19 can spread rapidly in haemodialysis centres, leading to fatal outcomes. Implementing physical measures is crucial in limiting the spread of infection. Aims: To assess adherence to physical measures against SARS-Cov2 in haemodialysis patients. Methods and Material: From 13 to 19 July 2021, we administered the questionnaire to haemodialysis patients during or immediately after the dialysis session. The dependent variables were adherence to wearing masks, hand washing outside the dialysis centre, social distancing of at least 1.5 meters, and cough and sneeze hygiene. Statistical Analysis Used: Data were analyzed using Epi info software;descriptive statistics were presented as mean, headcount, and percentage;related factors were determined by multi-logistic regression. The significance level was 5%. The Health Research Ethics Committee approved the research protocol. Results: 142 patients were included (mean age: 42.5 ± 14 years). Wearing masks, hand-washing, social distancing, and coughing and sneezing hygiene were observed by 88%, 75%, 47%, and 60% of patients, respectively. Conclusion: Wearing masks was the most respected physical measure, while social distancing was the least respected.

Impact of Migrant Populations on Tuberculosis Rates in Saudi Arabia: Assessing How Migration Patterns Affect TB Incidence and Control Measures: A Narrative Review

This research focuses on the effects of migration on the TB infection rate and its prevention in Saudi Arabia, which has a large number of expatriates from TB-affected countries. Despite, based on the current global statistics of TB occurrence, it is evident that the national incidence of TB has reduced from 10.55 per 100,000 in 2015 to 8.36 per 100,000 in 2019;despite this, there are still some difficulties because migrants bring new strains of Mycobacterium tuberculosis. Hindrances, including language barriers and perceived immigration status, hinder patients from seeking medical attention or doctors from diagnosing diseases. Each patient and each cultural group need special attention to public health, enhancing living circumstances, and health care support. Community participation, inclusion of TB control programs into functional healthcare facilities, and the functioning of TB programs need to be stressed to address TB issues. Considering the focus on social, economic, and cultural approaches, the country can make severe advancements in TB control and population protection. This holistic analysis is critical for a long-term effective strategy to combat TB in the Kingdom.

On the Polygonal Wear Evolution of Heavy-Haul Locomotive Wheels due to Wheel/Rail Flexibility and Its Mitigation Measures

Wheel polygonal wear can immensely worsen wheel/rail interactions and vibration performances of the train and track,and ultimately,lead to the shortening of service life of railway components.At present,wheel/rail medium-or high-frequency frictional interactions are perceived as an essential reason of the high-order polygonal wear of railway wheels,which are potentially resulted by the flexible deformations of the train/track system or other external excitations.In this work,the effect of wheel/rail flexibility on polygonal wear evolution of heavy-haul locomotive wheels is explored with aid of the long-term wheel polygonal wear evolution simulations,in which different flexible modeling of the heavy-haul wheel/rail coupled system is implemented.Further,the mitigation measures for the polygonal wear of heavy-haul locomotive wheels are discussed.The results point out that the evolution of polygonal wear of heavy-haul locomotive wheels can be veritably simulated with consideration of the flexible effect of both wheelset and rails.Execution of mixed-line operation of heavy-haul trains and application of multicut wheel re-profiling can effectively reduce the development of wheel polygonal wear.This research can provide a deep-going understanding of polygonal wear evolution mechanism of heavy-haul locomotive wheels and its mitigation measures.