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A Synergistic Multi-Attribute Decision-Making Method for Educational Institutions Evaluation Using Similarity Measures of Possibility Pythagorean Fuzzy Hypersoft Sets
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作者 Khuram Ali Khan Saba Mubeen Ishfaq +1 位作者 Atiqe Ur Rahman Salwa El-Morsy 《Computer Modeling in Engineering & Sciences》 SCIE EI 2025年第1期501-530,共30页
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(pP... 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. 展开更多
关键词 Hypersoft set Pythagorean fuzzy hypersoft set computational complexity multi-attribute decision-making optimization similarity measures uncertainty
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Multi-attribute decision-making based on subjective and objective integrated eigenvector method 被引量:12
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作者 龚艳冰 陈森发 《Journal of Southeast University(English Edition)》 EI CAS 2007年第1期144-147,共4页
An integrated approach is proposed to investigate the fuzzy multi-attribute decision-making (MADM) problems, where subjective preferences are expressed by a pairwise comparison matrix on the relative weights of attr... An integrated approach is proposed to investigate the fuzzy multi-attribute decision-making (MADM) problems, where subjective preferences are expressed by a pairwise comparison matrix on the relative weights of attributes and objective information is expressed by a decision matrix. An eigenvector method integrated the subjective fuzzy preference matrix and objective information is proposed. Two linear programming models based on subjective and objective information are introduced to assess the relative importance weights of attributes in an MADM problem. The simple additive weighting method is utilized to aggregate the decision information, and then all the alternatives are ranked. Finally, a numerical example is given to show the feasibility and effectiveness of the method. The result shows that it is easier than other methods of integrating subjective and objective information. 展开更多
关键词 multi-attribute decision-making eigenvector method alternative ranking
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APPROACH FOR FUZZY MULTI-ATTRIBUTE DECISION-MAKING WITH FUZZY COMPLEMENTARY PREFERENCE RELATION ON ALTERNATIVES 被引量:2
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作者 周宏安 刘三阳 《Transactions of Nanjing University of Aeronautics and Astronautics》 EI 2007年第1期74-79,共6页
In presented fuzzy multi-attribute decision-making (FMADM) problems, the information about attribute weights is interval numbers and the decision maker (DM) has fuzzy complementary preference relation on alternati... In presented fuzzy multi-attribute decision-making (FMADM) problems, the information about attribute weights is interval numbers and the decision maker (DM) has fuzzy complementary preference relation on alternatives. Firstly, the decision-making information based on the subjective preference information in the form of the fuzzy complementary judgment matrix is uniform by using a translation function. Then an objective programming model is established. Attribute weights are obtained by solving the model, thus the fuzzy overall values of alternatives are derived by using the additive weighting method. Secondly, the ranking approach of alternatives is proposed based on the degree of similarity between the fuzzy positive ideal solution of alternatives (FPISA) and the fuzzy overall values. The method can sufficiently utilize the objective information of alternatives and meet the subjective requirements of the DM as much as possible. It is easy to be operated and implemented on a computer. Finally, the proposed method is applied to the project evaluation in the venture investment. 展开更多
关键词 fuzzy multi-attribute decision-making objective programming WEIGHT similarity degree PRIORITY
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An Improved Method Based on TODIM and TOPSIS for Multi-Attribute Decision-Making with Multi-Valued Neutrosophic Sets 被引量:4
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作者 Dongsheng Xu Lijuan Peng 《Computer Modeling in Engineering & Sciences》 SCIE EI 2021年第11期907-926,共20页
Due to the complexity of decision-making problems and the subjectivity of decision-makers in practical application,it is necessary to adopt different forms of information expression according to the actual situation o... Due to the complexity of decision-making problems and the subjectivity of decision-makers in practical application,it is necessary to adopt different forms of information expression according to the actual situation of specific decision-making problems and choose the best method to solve them.Multi-valued neutrosophic set,as an extension of neutrosophic set,can more effectively and accurately describe incomplete,uncertain or inconsistent information.TODIM and TOPSIS methods are two commonly used multi-attribute decision-making methods,each of which has its advantages and disadvantages.This paper proposes a new method based on TODIM and TOPSIS to solve multi-attribute decision-making problems under multi-valued neutrosophic environment.After introducing the related theory of multi-valued neutrosophic set and the traditional TODIM and TOPSIS methods,the new method based on a combination of TODIM and TOPSIS methods is described.And then,two illustrative examples proved the feasibility and validity of the proposed method.Finally,the result has been compared with some existing methods under the same examples and the proposed method’s superiority has been proved.This paper studies this kind of decision-making problem from algorithm idea,algorithm steps and decision-making influencing factors. 展开更多
关键词 Multi-valued neutrosophic set TODIM TOPSIS multi-attribute decision-making
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Multi-attribute decision-making approach dealing with uncertain linguistic assessment information
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作者 Gu, Jing Zhou, Zongfang 《Journal of Southeast University(English Edition)》 EI CAS 2008年第S1期7-10,共4页
An approach is presented to deal with a multi-attribute decision-making problem in which the attribute weights are unknown and the attribute values take the form of uncertain linguistic variables. First, a linguistic ... An approach is presented to deal with a multi-attribute decision-making problem in which the attribute weights are unknown and the attribute values take the form of uncertain linguistic variables. First, a linguistic assessment standard is set up to deal with the uncertain linguistic attributes, and the operation laws of uncertain linguistic variables and the uncertain linguistic weighting average(ULWA)operator are introduced. Then a ranking formula of uncertain linguistic variables based on expectation-variance is proposed. As for the case without weight information, a goal program based on a warp function is constructed to determine the attribute weights, and the ULWA operator is utilized to aggregate the assessment information of uncertain linguistic variables, and the corresponding alternatives are ranked by a formula based on expectation-variance. Finally, a numerical example is given, and the results demonstrate that it is much easier and faster for the ranking method based on expectation-variance when compared to the existing methods. 展开更多
关键词 multi-attribute decision-making uncertain linguistic variables linguistic assessment standard expectation-variance
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Application of Interval Multi-attribute Decision-Making Method to Aeroengine Performance Ranking
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作者 张海军 左洪福 梁剑 《Journal of Southwest Jiaotong University(English Edition)》 2006年第2期182-186,共5页
In view of the uncertainty of the monitored performance parameters of aeroengines, the fluctuating scope of the monitored infurmation during a period is taken as interval numbers, and the interval multi-attribute deci... In view of the uncertainty of the monitored performance parameters of aeroengines, the fluctuating scope of the monitored infurmation during a period is taken as interval numbers, and the interval multi-attribute decision-making method is employed to predict the performance of aeroengine, The synthetic weights of interval numbers are obtained by calculating deviation degree and possibility degree. As an example of application, 5 performance parameters monitored on 10 CF6 aeroengines of China Eastern Airlines Co., Ltd are adopted as decision attributes to verify the algorithm. The obtained synthetic ranking result shows the effectiveness and rationality of the proposed method in reflecting the performance stares of aeroengins. 展开更多
关键词 Aeroengine multi-attribute decision-making Interval number Performance ranking WEIGHTS
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Dynamic Multi-Attribute Decision-Making Method with Double Reference Points and Its Application
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作者 Haoran Huang Qinyong Lin +3 位作者 Weitong Chen Kai Fang Huazhou Chen Ken Cai 《Computers, Materials & Continua》 SCIE EI 2021年第7期1303-1320,共18页
To better reflect the psychological behavior characteristics of loss aversion,this paper builds a double reference point decision making method for dynamic multi-attribute decision-making(DMADM)problem,taking bottom-l... To better reflect the psychological behavior characteristics of loss aversion,this paper builds a double reference point decision making method for dynamic multi-attribute decision-making(DMADM)problem,taking bottom-line and target as reference pints.First,the gain/loss function is given,and the state is divided according to the relationship between the gain/loss value and the reference point.Second,the attitude function is constructed based on the results of state division to establish the utility function.Third,the comprehensive utility value is calculated as the basis for alternatives classification and ranking.Finally,the new method is used to evaluate the development level of smart cities.The results show that the new method can judge the degree to which the alternatives meet the requirements of the decision-maker.While the new method can effectively screen out the unsatisfactory alternatives,the ranking results of other alternatives are consistent with those of traditional methods. 展开更多
关键词 Double reference point dynamic multi-attribute decision making smart city evaluation loss aversion
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A Multi-Attribute Decision-Making Method Using Belief-Based Probabilistic Linguistic Term Sets and Its Application in Emergency Decision-Making
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作者 Runze Liu Liguo Fei Jianing Mi 《Computer Modeling in Engineering & Sciences》 SCIE EI 2023年第8期2039-2067,共29页
Probabilistic linguistic term sets(PLTSs)are an effective tool for expressing subjective human cognition that offer advantages in the field ofmulti-attribute decision-making(MADM).However,studies have found that PLTSs... Probabilistic linguistic term sets(PLTSs)are an effective tool for expressing subjective human cognition that offer advantages in the field ofmulti-attribute decision-making(MADM).However,studies have found that PLTSs have lost their ability to accurately capture the views of decision-makers(DMs)in certain circumstances,such as when the DM hesitates between multiple linguistic terms or the decision information is incomplete,thus affecting their role in the decision-making process.Belief function theory is a leading streamof thought in uncertainty processing that is suitable for dealing with the limitations of PLTS.Therefore,the purpose of this study is to extend PLTS to incorporate belief function theory.First,we provide the basic concepts of the extended PLTS(i.e.,belief-based PLTS)through case analyses.Second,the aggregation operator of belief-based PLTS is defined with the ordered weighted average(OWA)-based soft likelihood function,which is improved by considering the reliability of the information source.Third,to measure the magnitude of different belief-based PLTSs,the belief interval of singleton is calculated,and the comparison method of belief-based PLTS is constructed based on probabilities.On the basis of the preceding discussion,we further develop an emergency decision framework that includes several novel techniques,such as attribute weight determination and decision information aggregation.Finally,the usefulness of the framework is demonstrated through a case study,and its effectiveness is illustrated through a series of comparisons. 展开更多
关键词 Probabilistic linguistic term sets Dempster-Shafer theory multi-attribute decision making emergency decisionmaking soft likelihood function disaster reduction education program selection
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Medical Diagnosis Based on Multi-Attribute Group Decision-Making Using Extension Fuzzy Sets,Aggregation Operators and Basic Uncertainty Information Granule
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作者 Anastasios Dounis Ioannis Palaiothodoros Anna Panagiotou 《Computer Modeling in Engineering & Sciences》 SCIE EI 2025年第1期759-811,共53页
Accurate medical diagnosis,which involves identifying diseases based on patient symptoms,is often hindered by uncertainties in data interpretation and retrieval.Advanced fuzzy set theories have emerged as effective to... Accurate medical diagnosis,which involves identifying diseases based on patient symptoms,is often hindered by uncertainties in data interpretation and retrieval.Advanced fuzzy set theories have emerged as effective tools to address these challenges.In this paper,new mathematical approaches for handling uncertainty in medical diagnosis are introduced using q-rung orthopair fuzzy sets(q-ROFS)and interval-valued q-rung orthopair fuzzy sets(IVq-ROFS).Three aggregation operators are proposed in our methodologies:the q-ROF weighted averaging(q-ROFWA),the q-ROF weighted geometric(q-ROFWG),and the q-ROF weighted neutrality averaging(qROFWNA),which enhance decision-making under uncertainty.These operators are paired with ranking methods such as the similarity measure,score function,and inverse score function to improve the accuracy of disease identification.Additionally,the impact of varying q-rung values is explored through a sensitivity analysis,extending the analysis beyond the typical maximum value of 3.The Basic Uncertain Information(BUI)method is employed to simulate expert opinions,and aggregation operators are used to combine these opinions in a group decisionmaking context.Our results provide a comprehensive comparison of methodologies,highlighting their strengths and limitations in diagnosing diseases based on uncertain patient data. 展开更多
关键词 Medical diagnosis multi-attribute group decision-making(MAGDM) q-ROFS IVq-ROFS BUI aggregation operators similarity measures inverse score function
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A ranking framework for the selection of IoT cloud platforms using hybrid multi-attribute decision-making method
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作者 Supriya Raheja Rakesh Garg Ritvik Garg 《International Journal of Intelligent Computing and Cybernetics》 2024年第4期824-843,共20页
Purpose-The Internet of Things(IoT)cloud platforms provide end-to-end solutions that integrate various capabilities such as application development,device and connectivity management,data storage,data analysis and dat... Purpose-The Internet of Things(IoT)cloud platforms provide end-to-end solutions that integrate various capabilities such as application development,device and connectivity management,data storage,data analysis and data visualization.The high use of these platforms results in their huge availability provided by different capabilities.Therefore,choosing the optimal IoT cloud platform to develop IoT applications successfully has become crucial.The key purpose of the present study is to implement a hybrid multi-attribute decision-making approach(MADM)to evaluate and select IoT cloud platforms.Design/methodology/approach-The optimal selection of the IoT cloud platforms seems to be dependent on multiple attributes.Hence,the optimal selection of IoT cloud platforms problem is modeled as a MADM problem,and a hybrid approach named neutrosophic fuzzy set-Euclidean taxicab distance-based approach(NFS-ETDBA)is implemented to solve the same.NFS-ETDBA works on the calculation of assessment score for each alternative,i.e.IoT cloud platforms,by combining two different measures:Euclidean and taxicab distance.Findings-A case study to illustrate the working of the proposed NFS-ETDBA for optimal selection of IoT cloud platforms is given.The results obtained on the basis of calculated assessment scores depict that“Azure IoT suite”is the most preferable IoT cloud platform,whereas“Salesman IoT cloud”is the least preferable.Originality/value-The proposed NFS-ETDBA methodology for the IoT cloud platform selection is implemented for the first time in this field.ETDBA is highly capable of handling the large number of alternatives and the selection attributes involved in any decision-making process.Further,the use of fuzzy set theory(FST)makes it very easy to handle the impreciseness that may occur during the data collection through a questionnaire from a group of experts. 展开更多
关键词 Internet of things(IoT) multi-attribute decision-making Neutrosophic fuzzy set Euclidean and taxicab distance
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A Novel Multi-Attribute Decision-Making Method Based on Probabilistic Hesitant Fuzzy Soft Set and Its Application 被引量:1
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作者 Zhenchun ZANG Jielu LI Meng WEI 《Journal of Systems Science and Information》 CSCD 2024年第2期294-308,共15页
The probabilistic hesitant fuzzy multi-attribute group decision-making method introduces probability and hesitation into decision-making problems at the same time,which can improve the reliability and accuracy of deci... The probabilistic hesitant fuzzy multi-attribute group decision-making method introduces probability and hesitation into decision-making problems at the same time,which can improve the reliability and accuracy of decision-making results,and has become a research hotspots in recent years.However,there are still many problems,such as overly complex calculations and difficulty in obtaining probability data.Based on these,the paper proposes a multi-attribute group decision-making model based on probability hesitant fuzzy soft sets.Firstly,the definition of probabilistic hesitant fuzzy soft set is given.Then,based on soft set theory and probabilistic hesitant fuzzy set,the similarity measure of probabilistic hesitant fuzzy soft set is proposed,and the two measures are further combined.Finally,it is applied to the construction of multi-attribute group decision-making model,and the effectiveness and rationality of the model are verified by an example.The example shows that the new similarity calculation formula and algorithm model in this paper have higher accuracy,and the calculation process is more simple,it provides a feasible method for multi-attribute group decision making problems. 展开更多
关键词 probabilistic hesitant fuzzy soft sets SIMILARITY multi-attribute group decision-making model
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Two-phase TOPSIS of uncertain multi-attribute group decision-making 被引量:17
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作者 Wenkun Zhou Wenchun Jiang 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2010年第3期423-430,共8页
To solve the uncertain multi-attribute group decision-making of unknown attribute weights,three optimal models are built to decide the corresponding ideal solution weights,standard deviation weights and mean deviation... To solve the uncertain multi-attribute group decision-making of unknown attribute weights,three optimal models are built to decide the corresponding ideal solution weights,standard deviation weights and mean deviation weights.The comprehensive attribute weights are gotten through the product of the above three kinds of weights.And each decision maker's weighted decision matrices are also received by using the integrated attribute weights.The closeness degrees are also gotten by use of technique for order preference by similarity to ideal solution(TOPSIS) through dealing with the weighted decision matrices.At the same time the group decision matrix and weighted group decision matrix are gotten by using each decision-maker's closeness degree to every project.Then the vertical TOPSIS method is used to calculate the closeness degree of each project.So these projects can be ranked according to their values of the closeness degree.The process of the method is also given step by step.Finally,a numerical example demonstrates the feasibility and effectiveness of the approach. 展开更多
关键词 multi-attribute decision-making uncertain numbers TOPSIS WEIGHTS the closeness degree.
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Voices that matter:The impact of patient-reported outcome measures on clinical decision-making 被引量:1
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作者 Naveen Jeyaraman Madhan Jeyaraman +2 位作者 Swaminathan Ramasubramanian Sangeetha Balaji Sathish Muthu 《World Journal of Methodology》 2025年第2期54-61,共8页
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 pati... 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. 展开更多
关键词 Patient-reported outcome measures Clinical decision-making Patient-centered care Healthcare technology Data management Policy development
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Rule-Guidance Reinforcement Learning for Lane Change Decision-making:A Risk Assessment Approach 被引量:1
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作者 Lu Xiong Zhuoren Li +2 位作者 Danyang Zhong Puhang Xu Chen Tang 《Chinese Journal of Mechanical Engineering》 2025年第2期344-359,共16页
To solve problems of poor security guarantee and insufficient training efficiency in the conventional reinforcement learning methods for decision-making,this study proposes a hybrid framework to combine deep reinforce... To solve problems of poor security guarantee and insufficient training efficiency in the conventional reinforcement learning methods for decision-making,this study proposes a hybrid framework to combine deep reinforcement learning with rule-based decision-making methods.A risk assessment model for lane-change maneuvers considering uncertain predictions of surrounding vehicles is established as a safety filter to improve learning efficiency while correcting dangerous actions for safety enhancement.On this basis,a Risk-fused DDQN is constructed utilizing the model-based risk assessment and supervision mechanism.The proposed reinforcement learning algorithm sets up a separate experience buffer for dangerous trials and punishes such actions,which is shown to improve the sampling efficiency and training outcomes.Compared with conventional DDQN methods,the proposed algorithm improves the convergence value of cumulated reward by 7.6%and 2.2%in the two constructed scenarios in the simulation study and reduces the number of training episodes by 52.2%and 66.8%respectively.The success rate of lane change is improved by 57.3%while the time headway is increased at least by 16.5%in real vehicle tests,which confirms the higher training efficiency,scenario adaptability,and security of the proposed Risk-fused DDQN. 展开更多
关键词 Autonomous driving Reinforcement learning decision-making Risk assessment Safety filter
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Healthcare providers’perspectives on factors influencing their critical care decision-making during the COVID-19 pandemic:An international pilot survey
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作者 Sonali Vadi Neha Sanwalka Pramod Thaker 《World Journal of Critical Care Medicine》 2025年第1期100-110,共11页
BACKGROUND Understanding a patient's clinical status and setting priorities for their care are two aspects of the constantly changing process of clinical decision-making.One analytical technique that can be helpfu... BACKGROUND Understanding a patient's clinical status and setting priorities for their care are two aspects of the constantly changing process of clinical decision-making.One analytical technique that can be helpful in uncertain situations is clinical judgment.Clinicians must deal with contradictory information,lack of time to make decisions,and long-term factors when emergencies occur.AIM To examine the ethical issues healthcare professionals faced during the coronavirus disease 2019(COVID-19)pandemic and the factors affecting clinical decision-making.METHODS This pilot study,which means it was a preliminary investigation to gather information and test the feasibility of a larger investigation was conducted over 6 months and we invited responses from clinicians worldwide who managed patients with COVID-19.The survey focused on topics related to their professional roles and personal relationships.We examined five core areas influencing critical care decision-making:Patients'personal factors,family-related factors,informed consent,communication and media,and hospital administrative policies on clinical decision-making.The collected data were analyzed using the χ^(2) test for categorical variables.RESULTS A total of 102 clinicians from 23 specialties and 17 countries responded to the survey.Age was a significant factor in treatment planning(n=88)and ventilator access(n=78).Sex had no bearing on how decisions were made.Most doctors reported maintaining patient confidentiality regarding privacy and informed consent.Approximately 50%of clinicians reported a moderate influence of clinical work,with many citing it as one of the most important factors affecting their health and relationships.Clinicians from developing countries had a significantly higher score for considering a patient's financial status when creating a treatment plan than their counterparts from developed countries.Regarding personal experiences,some respondents noted that treatment plans and preferences changed from wave to wave,and that there was a rapid turnover of studies and evidence.Hospital and government policies also played a role in critical decision-making.Rather than assessing the appropriateness of treatment,some doctors observed that hospital policies regarding medications were driven by patient demand.CONCLUSION Factors other than medical considerations frequently affect management choices.The disparity in treatment choices,became more apparent during the pandemic.We highlight the difficulties and contradictions between moral standards and the realities physicians encountered during this medical emergency.False information,large patient populations,and limited resources caused problems for clinicians.These factors impacted decision-making,which,in turn,affected patient care and healthcare staff well-being. 展开更多
关键词 SURVEY Clinical decision-making COVID-19 pandemic
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The relationship between proxy decision-making content and cues by families of patients with malignant brain tumor: A descriptive qualitative study
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作者 Runa Tokunaga Fumiyo Ishikawa 《International Journal of Nursing Sciences》 2025年第2期169-175,共7页
Objectives This study aimed to clarify the relationship between the content of proxy decision-making made by families of patients with malignant brain tumors regarding treatment policies and daily care and the cues le... Objectives This study aimed to clarify the relationship between the content of proxy decision-making made by families of patients with malignant brain tumors regarding treatment policies and daily care and the cues leading to those decisions.Methods Semi-structured personal interviews were used to collect data.Seven family members of patients with malignant brain tumors were selected to participate in the study by purposive sampling method from June to August 2022 in the Patient Family Association of Japan.Responses were content analyzed to explore the relationship between the content of decisions regarding“treatment policies”and“daily care”and the cues influencing those decisions.Semi-structured interviews were analyzed by using thematic analysis.Results The contents of proxy decisions regarding“treatment policies”included implementation,interruption,and termination of initial treatments,free medical treatments,use of respirators,and end-of-life sedation and included six cues:treatment policies suggested by the primary physician,information and knowledge about the disease and treatment obtained by the family from limited resources,perceived life threat from symptom worsening,words and reactions from the patient regarding treatment,patient’s personality and way of life inferred from their treatment preferences,family’s thoughts and values hoping for better treatment for the patient.Decisions for“daily care”included meal content and methods,excretion,mobility,maintaining cleanliness,rehabilitation,continuation or resignation from work,treatment settings(outpatient or inpatient),and ways to spend time outside and included seven cues:words and thoughts from the patient about their way of life,patient’s reactions and life history inferred from their preferred way of living,things the patient can do to maintain daily life and roles,awareness of the increasing inability to do things in daily life,family’s underlying thoughts and values about how to spend the remaining time,approval from family members regarding the care setting,advice from medical professionals on living at home.Conclusions For“treatment policies,”guidelines from medical professionals were a key cue,while for“daily care,”the small signs from the patients in their daily lives served as cues for proxy decision-making.This may be due to the lack of information available to families and the limited time available for discussion with the patient.Families of patients with malignant brain tumors repeatedly use multiple cues to make proxy decision-making under high uncertainty.Therefore,nurses supporting proxy decision-making should assess the family’s situation and provide cues that facilitate informed and confident decisions. 展开更多
关键词 Brain neoplasms FAMILY Nurses CUES Proxy decision-making
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Sexually differentiated decision-making involves faster recruitment in the early stages for the Tibetan antelopes Pantholops hodgsonii
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作者 Qin Zhu Jian Guan +6 位作者 Tianya Lei Kun Xuan Sile Guo Yumeng Zhao Changjian Fu Le Yang Zhongqiu Li 《Current Zoology》 2025年第1期124-135,共12页
Group living is widespread across diverse taxa,and the mechanisms underlying collective decision-making in contexts of variable role division are critical for understanding the dynamics of group stability.While studie... Group living is widespread across diverse taxa,and the mechanisms underlying collective decision-making in contexts of variable role division are critical for understanding the dynamics of group stability.While studies on collective behavior in small animals such as fish and insects are well-established,similar research on large wild animals remains challenging due to the limited availability of sufficient and systematic field data.Here,we aimed to explore the collective decision-making pattern and its sexual difference for the dimorphic Tibetan antelopes Pantholops hodgsonii(chiru)in Xizang Autonomous Region,China,by analyzing individual leadership distribution,as well as the joining process,considering factors such as calving stages and joining ranks.The distinct correlations of decision participants’ratio with group size and decision duration underscore the trade-off between accuracy and speed in decision-making.Male antelopes display a more democratic decision-making pattern,while females exhibit more prompt responses after calving at an early stage.This study uncovers a partially shared decision-making strategy among Tibetan antelopes,suggesting flexible self-organization in group decision processes aligned with animal life cycle progression. 展开更多
关键词 calving stage decision-making LEADERSHIP sexual differences Tibetan antelopes
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Cultural Landscape Zoning of Traditional Villages in Southwest Hubei Based on Multi-attribute Weighted k-modes Clustering
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作者 Yiran GUO Wei XU Jie XU 《Meteorological and Environmental Research》 2025年第3期33-39,43,共8页
Cultural landscape zoning research of traditional villages is the basic premise for carrying out overall protection and regional development.Through the clustering algorithm,cultural area zoning research of traditiona... Cultural landscape zoning research of traditional villages is the basic premise for carrying out overall protection and regional development.Through the clustering algorithm,cultural area zoning research of traditional villages can provide objective basis for its overall protection and development.Based on the field research,drawing on the theory of cultural landscape,southwest Hubei is taken as the research object,and the index system of cultural landscape type division of traditional villages is constructed from three levels of culture,geography and village carrier.Adopting the multi-attribute weighted k-modes clustering algorithm,92 traditional villages in southwest Hubei are divided into three major types,which are the western Tujia cultural characteristic area,the southern Tujia-Miao cultural penetration area,and the northern multi-ethnic cultural mixed area,and the characteristics of each area are summarized.The regional characteristics of traditional villages in southwest Hubei at the cultural landscape level are analysed from a macro point of view,which provides a reference for more objective cognition of the distribution law of traditional villages in southwest Hubei,and carrying out the contiguous protection of traditional villages. 展开更多
关键词 multi-attribute weighted k-modes clustering Cultural landscape Southwest Hubei Traditional village
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Shared decision-making improves adherence to mesalamine in ulcerative colitis:A prospective,multicenter,non-interventional cohort study in Germany
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作者 Wolfgang Kruis Petra Jessen +3 位作者 Julia Morgenstern Birgitta Reimers Nike Müller-Grage Bernd Bokemeyer 《World Journal of Gastroenterology》 2025年第22期49-59,共11页
BACKGROUND Mesalamine is the recommended first-line treatment for inducing and maintaining remission in mild-to-moderate ulcerative colitis(UC).However,adherence in real-world settings is frequently suboptimal.Encoura... BACKGROUND Mesalamine is the recommended first-line treatment for inducing and maintaining remission in mild-to-moderate ulcerative colitis(UC).However,adherence in real-world settings is frequently suboptimal.Encouraging collaborative patient-provider relationships may foster better adherence and patient outcomes.AIM To quantify the association between patient participation in treatment decisionmaking and adherence to oral mesalamine in UC.METHODS We conducted a 12-month,prospective,non-interventional cohort study at 113 gastroenterology practices in Germany.Eligible patients were aged≥18 years,had a confirmed UC diagnosis,had no prior mesalamine treatment,and provided informed consent.At the first visit,we collected data on demographics,clinical characteristics,patient preference for mesalamine formulation(tablets or granules),and disease knowledge.Self-reported adherence and disease activity were assessed at all visits.Correlation analyses and logistic regression were used to examine associations between adherence and various factors.RESULTS Of the 605 consecutively screened patients,520 were included in the study.The median age was 41 years(range:18-91),with a male-to-female ratio of 1.1:1.0.Approximately 75%of patients reported good adherence at each study visit.In correlation analyses,patient participation in treatment decision-making was significantly associated with better adherence across all visits(P=0.04).In the regression analysis at 12 months,this association was evident among patients who both preferred and received prolonged-release mesalamine granules(odds ratio=2.73,P=0.001).Patients reporting good adherence also experienced significant improvements in disease activity over 12 months(P<0.001).CONCLUSION Facilitating patient participation in treatment decisions and accommodating medication preferences may improve adherence to mesalamine.This may require additional effort but has the potential to improve long-term management of UC. 展开更多
关键词 Ulcerative colitis ADHERENCE Shared decision-making MESALAMINE Drug formulation GRANULES
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