The COVID-19 pandemic has a significant impact on the global economy and health.While the pandemic continues to cause casualties in millions,many countries have gone under lockdown.During this period,people have to st...The COVID-19 pandemic has a significant impact on the global economy and health.While the pandemic continues to cause casualties in millions,many countries have gone under lockdown.During this period,people have to stay within walls and become more addicted towards social networks.They express their emotions and sympathy via these online platforms.Thus,popular social media(Twitter and Facebook)have become rich sources of information for Opinion Mining and Sentiment Analysis on COVID-19-related issues.We have used Aspect Based Sentiment Analysis to anticipate the polarity of public opinion underlying different aspects from Twitter during lockdown and stepwise unlock phases.The goal of this study is to find the feelings of Indians about the lockdown initiative taken by the Government of India to stop the spread of Coronavirus.India-specific COVID-19 tweets have been annotated,for analysing the sentiment of common public.To classify the Twitter data set a deep learning model has been proposed which has achieved accuracies of 82.35%for Lockdown and 83.33%for Unlock data set.The suggested method outperforms many of the contemporary approaches(long shortterm memory,Bi-directional long short-term memory,Gated Recurrent Unit etc.).This study highlights the public sentiment on lockdown and stepwise unlocks,imposed by the Indian Government on various aspects during the Corona outburst.展开更多
Multi-professional collaboration is being promoted worldwide as a response to the need for sophisticated medical care and for catering to patients’ diverse needs. Patients in Intensive Care Units (ICUs) are seriously...Multi-professional collaboration is being promoted worldwide as a response to the need for sophisticated medical care and for catering to patients’ diverse needs. Patients in Intensive Care Units (ICUs) are seriously ill, and their families may be at risk depending on the patient’s situation. Considering these characteristics of patients and families, there is a strong need for multi-professional collaboration within ICUs. The purpose of this descriptive study was to examine recognition and other factors related to collaboration and satisfaction involving care decisions in Japanese ICUs. A mail survey about collaboration of activities and systems was sent to physicians, clinical engineers, and nurses working in ICUs in Japan, 387 consented to participate in this study. Results showed that satisfaction scores were generally high among the three aforementioned professions, but collaboration scores on deciding care for patients showed significant differences (p < 0.05). The total collaboration score was the highest among physicians (36.7 ± 6.7 points), followed by nurses (32.8 ± 7.4 points), and CEs (32.8 ± 7.4 points). The factors that commonly affected collaboration scores were the satisfaction score and the ability to collaborate with other professionals and set team medical care as a goal. Moreover, it is worth noting that the degree of difficulty in collaboration negatively affected this factor. On the other hand, other factors differed among the three professions, suggesting that the purpose and need for collaboration differ depending on the profession.展开更多
Several models of multi-criteria decision-making(MCDM)have identified the optimal alternative electrical energy sources to supply certain load in an isolated region in Al-Minya City,Egypt.The load demand consists of w...Several models of multi-criteria decision-making(MCDM)have identified the optimal alternative electrical energy sources to supply certain load in an isolated region in Al-Minya City,Egypt.The load demand consists of water pumping system with a water desalination unit.Various options containing three different power sources:only DG,PV-B system,and hybrid PV-DG-B,two different sizes of reverse osmosis(RO)units;RO-250 and RO-500,two strategies of energy management;load following(LF)and cycle charging(CC),and two sizes of DG;5 and 10 kW were taken into account.Eight attributes,including operating cost,renewable fraction,initial cost,the cost of energy,excess energy,unmet load,breakeven grid extension distance,and the amount of CO_(2),were used during the evaluation process.To estimate these parameters,HOMER®software was employed to perform both the simulation and optimization process.Four different weight estimation methods were considered;no priority of criteria,based on a pairwise comparisons matrix of the criteria,CRITIC-method,and entropy-based method.The main findings(output results)confirmed that the optimal option for the case study was hybrid PV-DG-B with the following specification:5 kW DG,RO-500,and load following control strategy.Under this condition,the annual operating cost and initial costs were$5546 and$161022,respectively,whereas the cost of energy was 0.077$/kWh.The excess energy and unmet loads were 40998 and 2371 kWh,respectively.The breakeven grid extension distance and the amount of CO_(2) were 3.31 km and 5171 kg per year,respectively.Compared with DG only,the amount of CO_(2) has been sharply reduced by 113939 kg per year.展开更多
There is an increased interest in the extraction of nucleic acids from various environmental samples since culture-independent molecular techniques contribute to deepen and broaden the understanding of a greater porti...There is an increased interest in the extraction of nucleic acids from various environmental samples since culture-independent molecular techniques contribute to deepen and broaden the understanding of a greater portion of uncultivable microorganisms. Due to difficulties to select the optimum DNA extraction method in view of downstream molecular analyses, this article presents a straightforward mathematical framework for comparing some of the most commonly used methods. Four commercial DNA extraction kits and two physical-chemical methods (bead-beating and freeze-thaw) were compared for the extraction of DNA under several quantitative DNA analysis criteria: yield of extraction, purity of extracted DNA (A260/280 and A260/230 ratios), degradation degree of DNA, easiness of PCR amplification, duration of extraction, and cost per extraction. From a practical point of view, it is unlikely that a single DNA extraction strategy can be optimum for all selected criteria. Hence, a systematic Technique for Order Preference by Similarity to Ideal Solution (TOPSIS) was employed to compare the methods. The PowerSoil? DNA Isolation Kit was systematically defined as the best performing method for extracting DNA from soil samples. More specifically, for soil:manure and soil:manure:biochar mixtures, the PowerSoil?DNA Isolation Kit method performed best, while for neat soil samples its alternative version gained the first rank.展开更多
Objectives Renal replacement therapy(RRT)is increasingly adopted for critically ill patients diagnosed with acute kidney injury,but the optimal time for initiation remains unclear and prognosis is uncertain,leading to...Objectives Renal replacement therapy(RRT)is increasingly adopted for critically ill patients diagnosed with acute kidney injury,but the optimal time for initiation remains unclear and prognosis is uncertain,leading to medical complexity,ethical conflicts,and decision dilemmas in intensive care unit(ICU)settings.This study aimed to develop a decision aid(DA)for the family surrogate of critically ill patients to support their engagement in shared decision-making process with clinicians.Methods Development of DA employed a systematic process with user-centered design(UCD)principle,which included:(i)competitive analysis:searched,screened,and assessed the existing DAs to gather insights for design strategies,developmental techniques,and functionalities;(ii)user needs assessment:interviewed family surrogates in our hospital to explore target user group's decision-making experience and identify their unmet needs;(iii)evidence syntheses:integrate latest clinical evidence and pertinent information to inform the content development of DA.Results The competitive analysis included 16 relevant DAs,from which we derived valuable insights using existing resources.User decision needs were explored among a cohort of 15 family surrogates,revealing four thematic issues in decision-making,including stuck into dilemmas,sense of uncertainty,limited capacity,and delayed decision confirmation.A total of 27 articles were included for evidence syntheses.Relevant decision making knowledge on disease and treatment,as delineated in the literature sourced from decision support system or clinical guidelines,were formatted as the foundational knowledge base.Twenty-one items of evidence were extracted and integrated into the content panels of benefits and risks of RRT,possible outcomes,and reasons to choose.The DA was drafted into a web-based phototype using the elements of UCD.This platform could guide users in their preparation of decision-making through a sequential four-step process:identifying treatment options,weighing the benefits and risks,clarifying personal preferences and values,and formulating a schedule for formal shared decision-making with clinicians.Conclusions We developed a rapid prototype of DA tailored for family surrogate decision makers of critically ill patients in need of RRT in ICU setting.Future studies are needed to evaluate its usability,feasibility,and clinical effects of this intervention.展开更多
The depletion in non-renewable energy sources and a fast-growing population in Bangladesh are exacerbating the already existing energy scarcity,highlighting the need for an efficient and robust renewable-energy supply...The depletion in non-renewable energy sources and a fast-growing population in Bangladesh are exacerbating the already existing energy scarcity,highlighting the need for an efficient and robust renewable-energy supply chain.The primary goal of this study is to evaluate the most optimized renewable-energy supply chain based on natural resource availability and government policies of Bangladesh.In the present study,four renewable energy resources,including solar,biomass,wind and hydropower,are studied and nine subcriteria are defined under four primary criteria for each supply chain.Technique for Order Preference by Similarity to Ideal Solution(TOPSIS)and VIseKriterijumska Optimizacija I Kompromisno Resenje(VIKOR)are multicriteria decision-making approaches used in this study to compare and choose the best renewable-energy supply chain.The relative significance of four supply-chain criteria for primary renewable energy in this study,namely energy procurement,production,operations and maintenance costs,and social and environmental impact,is gathered via a survey.The results of this research,supported by a comprehensive sensitivity analysis,indicate that hydropower is the best renewable-energy supply chain,followed by wind as a compromise solution,biomass and solar.The study also demonstrates that no energy source can satisfy all supply-chain criteria alone;each resource is better for a specific criterion-solar is better for procurement,hydropower is significant for production and wind is remarkable for operations and social impact.Therefore,to maximize output,renewable energy sources must be integrated.From Bangladesh’s perspective,for the first time,by using TOPSIS and VIKOR together,this study offers significant insights to establish an efficient and sustainable renewable-energy supply chain for practitioners,academics and policymakers.展开更多
Physical restraint is a common nursing intervention in intensive care units and nurses often use it to ensure patients'safety and to prevent unexpected accidents.However,existing literature indicated that the use ...Physical restraint is a common nursing intervention in intensive care units and nurses often use it to ensure patients'safety and to prevent unexpected accidents.However,existing literature indicated that the use of physical restraint is a complex one because of inadequate rationales,the negative physical and emotional effects on patients,but the lack of perceived alternatives.This paper is aimed to interpret the clinical decision-making theories related to the use of physical restraint in intensive care units in order to facilitate our understanding on the use of physical restraint and to evaluate the quality of decisions made by nurses.By reviewing the literature,intuition and heuristics are the main decision-making strategies related to the use of physical restraint in intensive care units because the rapid and reflexive nature of intuition and heuristics allow nurses to have a rapid response to urgent and emergent cases.However,it is problematic if nurses simply count their decision-making on experience rather than incorporate research evidence into clinical practice because of inadequate evidence to support the use of physical restraint.Besides that,such a rapid response may lead nurses to make decisions without adequate assessment and thinking and therefore biases and errors may be generated.Therefore,despite the importance of intuition and heuristics in decision-making in acute settings on the use of physical restraint,it is recommended that nurses should incorporate research evidence with their experience to make decisions and adequate assessment before implementing physical restraint is also necessary.展开更多
<strong>Background and Aim: </strong>Vigilance is an essential element in intensive care nursing. This study was conducted to determine nursing vigilance in nurses working in the intensive care units of ed...<strong>Background and Aim: </strong>Vigilance is an essential element in intensive care nursing. This study was conducted to determine nursing vigilance in nurses working in the intensive care units of educational and medical centers in Ardabil, Iran. <strong>Methods: </strong>This was a cross-sectional descriptive-analytical study with 192 ICU nurses as the participants. The data were obtained through questionnaires regarding demographic characteristics and nursing vigilance. SPSS software version 24 was used for the statistical analysis. <strong>Results: </strong>The mean total vigilance score was 3.86 ± 0.23 of 5. The mean scores of the timely diagnosis of changes, pattern recognition, and clinical decision-making subscales were 4.07 ± 0.26, 04.04 ± 0.41, and 3.44 ± 0.25, respectively. No significant relationships were observed between the total or subscale vigilance scores and other demographic characteristics. <strong>Conclusion: </strong>We assessed ICU nurses’ vigilance behaviors and found that their mean vigilance score was higher than the expected average, indicating our participants had a high level of clinical vigilance. These results suggest a need for effective educational interventions to boost clinical decision-making skills in ICU nurses, especially younger nurses.展开更多
In order to estimate water resources renewability scientifically, an Ideal Interval Method of Multiple Objective Decision-Making (IIMMODM) is presented. This method is developed through improving an ideal point method...In order to estimate water resources renewability scientifically, an Ideal Interval Method of Multiple Objective Decision-Making (IIMMODM) is presented. This method is developed through improving an ideal point method of multiple objective decision-making. The ideal interval is obtained with assessment standard instead of ideal points. The weights are decided by using the basic point and gray code accelerating genetic algorithm. This method has synthesized the expert’s suggestion and avoided giving a mark for the objective again. It could solve the complicated problem of compatible or incompatible multi-objective assessment. The principle of IIMMODM is presented in this paper. It is used to assess the water resources renewability for nine administrative divisions in the Yellow River basin. The result shows that the water resources renewability in the Yellow River basin is very low. Compared with the gray associate analysis method, fuzzy synthesis method and genetic projection pursuit method, the IIMMODM is easier to use. Compared with the ideal point method of multiple objective decision-making, the IIMMODM has good robustness, which is applicable to the comprehensive assessments of water resources.展开更多
In previous research on two-sided matching(TSM)decision,agents’preferences were often given in the form of exact values of ordinal numbers and linguistic phrase term sets.Nowdays,the matching agent cannot perform the...In previous research on two-sided matching(TSM)decision,agents’preferences were often given in the form of exact values of ordinal numbers and linguistic phrase term sets.Nowdays,the matching agent cannot perform the exact evaluation in the TSM situations due to the great fuzziness of human thought and the complexity of reality.Probability hesitant fuzzy sets,however,have grown in popularity due to their advantages in communicating complex information.Therefore,this paper develops a TSM decision-making approach with multi-attribute probability hesitant fuzzy sets and unknown attribute weight information.The agent attribute weight vector should be obtained by using the maximum deviation method and Hamming distance.The probabilistic hesitancy fuzzy information matrix of each agent is then arranged to determine the comprehensive evaluation of two matching agent sets.The agent satisfaction degree is calculated using the technique for order preference by similarity to ideal solution(TOPSIS).Additionally,the multi-object programming technique is used to establish a TSM method with the objective of maximizing the agent satisfaction of two-sided agents,and the matching schemes are then established by solving the built model.The study concludes by providing a real-world supply-demand scenario to illustrate the effectiveness of the proposed method.The proposed method is more flexible than prior research since it expresses evaluation information using probability hesitating fuzzy sets and can be used in scenarios when attribute weight information is unclear.展开更多
With the development of central-private enterprises integration,selecting suitable key suppliers are able to provide core components for smart complex equipment.We consider selecting suitable key suppliers from matchi...With the development of central-private enterprises integration,selecting suitable key suppliers are able to provide core components for smart complex equipment.We consider selecting suitable key suppliers from matching perspective,for it not only satisfies natural development of smart complex equipment,it is also a good implementation of equipment project in central-private enterprises integration context.In in this paper,we carry out two parts of research,one is evaluation attributes based on comprehensive analysis,and the other is matching process between key suppliers and core components based on the matching attribute.In practical analysis process,we employ comprehensive evaluated analysis methods to acquire relevant attributes for the matching process that follows.In the analysis process,we adopt entropy-maximum deviation method(MDM)-decision-making trial and evaluation laboratory(DEMATEL)-technique for order preference by similarity to an ideal solution(TOPSIS)to obtain a comprehensive analysis.The entropy-MDM is applied to get weight value,DEMATEL is utilized to obtain internal relations,and TOPSIS is adopted to get ideal evaluated solution.We consider aggregating two types of evaluation information according to similarities of smart complex equipment based on the combination between geometric mean and arithmetic mean.Moreover,based on the aforementioned attributes and generalized power Heronian mean operator,we aggregate preference information to acquire relevant satisfaction degree,then combine the constructed matching model to get suitable key supplier.Through comprehensive analysis of selecting suitable suppliers,we know that two-sided matching and information aggregation can provide more research perspectives for smart complex equipment.Through analysis for relevant factors,we find that leading role and service level are also significant for the smart complex equipment development process.展开更多
文摘The COVID-19 pandemic has a significant impact on the global economy and health.While the pandemic continues to cause casualties in millions,many countries have gone under lockdown.During this period,people have to stay within walls and become more addicted towards social networks.They express their emotions and sympathy via these online platforms.Thus,popular social media(Twitter and Facebook)have become rich sources of information for Opinion Mining and Sentiment Analysis on COVID-19-related issues.We have used Aspect Based Sentiment Analysis to anticipate the polarity of public opinion underlying different aspects from Twitter during lockdown and stepwise unlock phases.The goal of this study is to find the feelings of Indians about the lockdown initiative taken by the Government of India to stop the spread of Coronavirus.India-specific COVID-19 tweets have been annotated,for analysing the sentiment of common public.To classify the Twitter data set a deep learning model has been proposed which has achieved accuracies of 82.35%for Lockdown and 83.33%for Unlock data set.The suggested method outperforms many of the contemporary approaches(long shortterm memory,Bi-directional long short-term memory,Gated Recurrent Unit etc.).This study highlights the public sentiment on lockdown and stepwise unlocks,imposed by the Indian Government on various aspects during the Corona outburst.
文摘Multi-professional collaboration is being promoted worldwide as a response to the need for sophisticated medical care and for catering to patients’ diverse needs. Patients in Intensive Care Units (ICUs) are seriously ill, and their families may be at risk depending on the patient’s situation. Considering these characteristics of patients and families, there is a strong need for multi-professional collaboration within ICUs. The purpose of this descriptive study was to examine recognition and other factors related to collaboration and satisfaction involving care decisions in Japanese ICUs. A mail survey about collaboration of activities and systems was sent to physicians, clinical engineers, and nurses working in ICUs in Japan, 387 consented to participate in this study. Results showed that satisfaction scores were generally high among the three aforementioned professions, but collaboration scores on deciding care for patients showed significant differences (p < 0.05). The total collaboration score was the highest among physicians (36.7 ± 6.7 points), followed by nurses (32.8 ± 7.4 points), and CEs (32.8 ± 7.4 points). The factors that commonly affected collaboration scores were the satisfaction score and the ability to collaborate with other professionals and set team medical care as a goal. Moreover, it is worth noting that the degree of difficulty in collaboration negatively affected this factor. On the other hand, other factors differed among the three professions, suggesting that the purpose and need for collaboration differ depending on the profession.
文摘Several models of multi-criteria decision-making(MCDM)have identified the optimal alternative electrical energy sources to supply certain load in an isolated region in Al-Minya City,Egypt.The load demand consists of water pumping system with a water desalination unit.Various options containing three different power sources:only DG,PV-B system,and hybrid PV-DG-B,two different sizes of reverse osmosis(RO)units;RO-250 and RO-500,two strategies of energy management;load following(LF)and cycle charging(CC),and two sizes of DG;5 and 10 kW were taken into account.Eight attributes,including operating cost,renewable fraction,initial cost,the cost of energy,excess energy,unmet load,breakeven grid extension distance,and the amount of CO_(2),were used during the evaluation process.To estimate these parameters,HOMER®software was employed to perform both the simulation and optimization process.Four different weight estimation methods were considered;no priority of criteria,based on a pairwise comparisons matrix of the criteria,CRITIC-method,and entropy-based method.The main findings(output results)confirmed that the optimal option for the case study was hybrid PV-DG-B with the following specification:5 kW DG,RO-500,and load following control strategy.Under this condition,the annual operating cost and initial costs were$5546 and$161022,respectively,whereas the cost of energy was 0.077$/kWh.The excess energy and unmet loads were 40998 and 2371 kWh,respectively.The breakeven grid extension distance and the amount of CO_(2) were 3.31 km and 5171 kg per year,respectively.Compared with DG only,the amount of CO_(2) has been sharply reduced by 113939 kg per year.
文摘There is an increased interest in the extraction of nucleic acids from various environmental samples since culture-independent molecular techniques contribute to deepen and broaden the understanding of a greater portion of uncultivable microorganisms. Due to difficulties to select the optimum DNA extraction method in view of downstream molecular analyses, this article presents a straightforward mathematical framework for comparing some of the most commonly used methods. Four commercial DNA extraction kits and two physical-chemical methods (bead-beating and freeze-thaw) were compared for the extraction of DNA under several quantitative DNA analysis criteria: yield of extraction, purity of extracted DNA (A260/280 and A260/230 ratios), degradation degree of DNA, easiness of PCR amplification, duration of extraction, and cost per extraction. From a practical point of view, it is unlikely that a single DNA extraction strategy can be optimum for all selected criteria. Hence, a systematic Technique for Order Preference by Similarity to Ideal Solution (TOPSIS) was employed to compare the methods. The PowerSoil? DNA Isolation Kit was systematically defined as the best performing method for extracting DNA from soil samples. More specifically, for soil:manure and soil:manure:biochar mixtures, the PowerSoil?DNA Isolation Kit method performed best, while for neat soil samples its alternative version gained the first rank.
文摘Objectives Renal replacement therapy(RRT)is increasingly adopted for critically ill patients diagnosed with acute kidney injury,but the optimal time for initiation remains unclear and prognosis is uncertain,leading to medical complexity,ethical conflicts,and decision dilemmas in intensive care unit(ICU)settings.This study aimed to develop a decision aid(DA)for the family surrogate of critically ill patients to support their engagement in shared decision-making process with clinicians.Methods Development of DA employed a systematic process with user-centered design(UCD)principle,which included:(i)competitive analysis:searched,screened,and assessed the existing DAs to gather insights for design strategies,developmental techniques,and functionalities;(ii)user needs assessment:interviewed family surrogates in our hospital to explore target user group's decision-making experience and identify their unmet needs;(iii)evidence syntheses:integrate latest clinical evidence and pertinent information to inform the content development of DA.Results The competitive analysis included 16 relevant DAs,from which we derived valuable insights using existing resources.User decision needs were explored among a cohort of 15 family surrogates,revealing four thematic issues in decision-making,including stuck into dilemmas,sense of uncertainty,limited capacity,and delayed decision confirmation.A total of 27 articles were included for evidence syntheses.Relevant decision making knowledge on disease and treatment,as delineated in the literature sourced from decision support system or clinical guidelines,were formatted as the foundational knowledge base.Twenty-one items of evidence were extracted and integrated into the content panels of benefits and risks of RRT,possible outcomes,and reasons to choose.The DA was drafted into a web-based phototype using the elements of UCD.This platform could guide users in their preparation of decision-making through a sequential four-step process:identifying treatment options,weighing the benefits and risks,clarifying personal preferences and values,and formulating a schedule for formal shared decision-making with clinicians.Conclusions We developed a rapid prototype of DA tailored for family surrogate decision makers of critically ill patients in need of RRT in ICU setting.Future studies are needed to evaluate its usability,feasibility,and clinical effects of this intervention.
文摘The depletion in non-renewable energy sources and a fast-growing population in Bangladesh are exacerbating the already existing energy scarcity,highlighting the need for an efficient and robust renewable-energy supply chain.The primary goal of this study is to evaluate the most optimized renewable-energy supply chain based on natural resource availability and government policies of Bangladesh.In the present study,four renewable energy resources,including solar,biomass,wind and hydropower,are studied and nine subcriteria are defined under four primary criteria for each supply chain.Technique for Order Preference by Similarity to Ideal Solution(TOPSIS)and VIseKriterijumska Optimizacija I Kompromisno Resenje(VIKOR)are multicriteria decision-making approaches used in this study to compare and choose the best renewable-energy supply chain.The relative significance of four supply-chain criteria for primary renewable energy in this study,namely energy procurement,production,operations and maintenance costs,and social and environmental impact,is gathered via a survey.The results of this research,supported by a comprehensive sensitivity analysis,indicate that hydropower is the best renewable-energy supply chain,followed by wind as a compromise solution,biomass and solar.The study also demonstrates that no energy source can satisfy all supply-chain criteria alone;each resource is better for a specific criterion-solar is better for procurement,hydropower is significant for production and wind is remarkable for operations and social impact.Therefore,to maximize output,renewable energy sources must be integrated.From Bangladesh’s perspective,for the first time,by using TOPSIS and VIKOR together,this study offers significant insights to establish an efficient and sustainable renewable-energy supply chain for practitioners,academics and policymakers.
文摘Physical restraint is a common nursing intervention in intensive care units and nurses often use it to ensure patients'safety and to prevent unexpected accidents.However,existing literature indicated that the use of physical restraint is a complex one because of inadequate rationales,the negative physical and emotional effects on patients,but the lack of perceived alternatives.This paper is aimed to interpret the clinical decision-making theories related to the use of physical restraint in intensive care units in order to facilitate our understanding on the use of physical restraint and to evaluate the quality of decisions made by nurses.By reviewing the literature,intuition and heuristics are the main decision-making strategies related to the use of physical restraint in intensive care units because the rapid and reflexive nature of intuition and heuristics allow nurses to have a rapid response to urgent and emergent cases.However,it is problematic if nurses simply count their decision-making on experience rather than incorporate research evidence into clinical practice because of inadequate evidence to support the use of physical restraint.Besides that,such a rapid response may lead nurses to make decisions without adequate assessment and thinking and therefore biases and errors may be generated.Therefore,despite the importance of intuition and heuristics in decision-making in acute settings on the use of physical restraint,it is recommended that nurses should incorporate research evidence with their experience to make decisions and adequate assessment before implementing physical restraint is also necessary.
文摘<strong>Background and Aim: </strong>Vigilance is an essential element in intensive care nursing. This study was conducted to determine nursing vigilance in nurses working in the intensive care units of educational and medical centers in Ardabil, Iran. <strong>Methods: </strong>This was a cross-sectional descriptive-analytical study with 192 ICU nurses as the participants. The data were obtained through questionnaires regarding demographic characteristics and nursing vigilance. SPSS software version 24 was used for the statistical analysis. <strong>Results: </strong>The mean total vigilance score was 3.86 ± 0.23 of 5. The mean scores of the timely diagnosis of changes, pattern recognition, and clinical decision-making subscales were 4.07 ± 0.26, 04.04 ± 0.41, and 3.44 ± 0.25, respectively. No significant relationships were observed between the total or subscale vigilance scores and other demographic characteristics. <strong>Conclusion: </strong>We assessed ICU nurses’ vigilance behaviors and found that their mean vigilance score was higher than the expected average, indicating our participants had a high level of clinical vigilance. These results suggest a need for effective educational interventions to boost clinical decision-making skills in ICU nurses, especially younger nurses.
文摘In order to estimate water resources renewability scientifically, an Ideal Interval Method of Multiple Objective Decision-Making (IIMMODM) is presented. This method is developed through improving an ideal point method of multiple objective decision-making. The ideal interval is obtained with assessment standard instead of ideal points. The weights are decided by using the basic point and gray code accelerating genetic algorithm. This method has synthesized the expert’s suggestion and avoided giving a mark for the objective again. It could solve the complicated problem of compatible or incompatible multi-objective assessment. The principle of IIMMODM is presented in this paper. It is used to assess the water resources renewability for nine administrative divisions in the Yellow River basin. The result shows that the water resources renewability in the Yellow River basin is very low. Compared with the gray associate analysis method, fuzzy synthesis method and genetic projection pursuit method, the IIMMODM is easier to use. Compared with the ideal point method of multiple objective decision-making, the IIMMODM has good robustness, which is applicable to the comprehensive assessments of water resources.
基金supported by the National Natural Science Foundation in China(Yue Qi,Project No.71861015).
文摘In previous research on two-sided matching(TSM)decision,agents’preferences were often given in the form of exact values of ordinal numbers and linguistic phrase term sets.Nowdays,the matching agent cannot perform the exact evaluation in the TSM situations due to the great fuzziness of human thought and the complexity of reality.Probability hesitant fuzzy sets,however,have grown in popularity due to their advantages in communicating complex information.Therefore,this paper develops a TSM decision-making approach with multi-attribute probability hesitant fuzzy sets and unknown attribute weight information.The agent attribute weight vector should be obtained by using the maximum deviation method and Hamming distance.The probabilistic hesitancy fuzzy information matrix of each agent is then arranged to determine the comprehensive evaluation of two matching agent sets.The agent satisfaction degree is calculated using the technique for order preference by similarity to ideal solution(TOPSIS).Additionally,the multi-object programming technique is used to establish a TSM method with the objective of maximizing the agent satisfaction of two-sided agents,and the matching schemes are then established by solving the built model.The study concludes by providing a real-world supply-demand scenario to illustrate the effectiveness of the proposed method.The proposed method is more flexible than prior research since it expresses evaluation information using probability hesitating fuzzy sets and can be used in scenarios when attribute weight information is unclear.
文摘With the development of central-private enterprises integration,selecting suitable key suppliers are able to provide core components for smart complex equipment.We consider selecting suitable key suppliers from matching perspective,for it not only satisfies natural development of smart complex equipment,it is also a good implementation of equipment project in central-private enterprises integration context.In in this paper,we carry out two parts of research,one is evaluation attributes based on comprehensive analysis,and the other is matching process between key suppliers and core components based on the matching attribute.In practical analysis process,we employ comprehensive evaluated analysis methods to acquire relevant attributes for the matching process that follows.In the analysis process,we adopt entropy-maximum deviation method(MDM)-decision-making trial and evaluation laboratory(DEMATEL)-technique for order preference by similarity to an ideal solution(TOPSIS)to obtain a comprehensive analysis.The entropy-MDM is applied to get weight value,DEMATEL is utilized to obtain internal relations,and TOPSIS is adopted to get ideal evaluated solution.We consider aggregating two types of evaluation information according to similarities of smart complex equipment based on the combination between geometric mean and arithmetic mean.Moreover,based on the aforementioned attributes and generalized power Heronian mean operator,we aggregate preference information to acquire relevant satisfaction degree,then combine the constructed matching model to get suitable key supplier.Through comprehensive analysis of selecting suitable suppliers,we know that two-sided matching and information aggregation can provide more research perspectives for smart complex equipment.Through analysis for relevant factors,we find that leading role and service level are also significant for the smart complex equipment development process.