With the continuous development of digital transformation and upgrading of Chinese construction enterprises, it is becoming increasingly important to measure their digital level, find the problems in the enterprise transformation process, and identify the key factors of enterprise digital capacity enhancement. This paper constructs a construction enterprise digital transformation maturity evaluation model from six first-level indicators and 20 second-level indicators, including digital strategy, digital business application, digital technology capability, data capability, digital organization capability, and change management. Digital maturity is divided into five levels: business management, process operation, intelligent construction, intelligent scene application, and industrial ecological collaboration. A detailed process of digital maturity evaluation based on the method of Analytic Hierarchy Process (AHP)-Decision Testing and Evaluation Laboratory (DEMATEL) is then developed. A questionnaire survey of 25 experts is used to weight the various parameters in the model, which is then demonstrated with an example construction enterprise. The model comprehensively reflects digital levels under the background of the digital economy. Its application will help understand the advantages and disadvantages enterprises face in their digital transformation to enable targeted measures to improve their digital transformation capabilities and efficiency, enhance their core competitiveness of enterprises, and promote the development of digital transformation in the construction industry.

Urban areas are centres of business and innovation. Freight transport is indispensable for the proper functioning of any modern urban society. Urban areas can’t function without an appropriate freight transport system, due to the need to replenish stocks of food and other goods in retail shops. The complexity of the decisions concerning implementation of measures to improve the movement of goods in the city requires tools designed to support this process. The purpose of this article is to introduce the possibility of applying the Analytic Hierarchy Process (AHP) as well as the Decision Making Trial and Evaluation Laboratory Method (DEMATEL) in choosing a set of measures and in analysing in the field of distribution logistics, which will help to solve the delivery problems and streamline the cargo flows in Szczecin, in the context of sustainable development.

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

Machine safety is not only a prerequisite for successful production, but also the foundation for sustainability and growth of any manufacturing organisation. The latest approaches in this rapidly developing field are the integration of effective risk management tools and strategies into occupational health and safety (OHS) systems. In this article, using a specific example from practice, we will show how using multi-criteria decision making (AHP) support Machinery Safety Decision Making (MSDM) from the point of reducing losses. Using Classification and Regression Tree Analysis (CART), we estimated the efficiency, cost-effectiveness and thus the sustainability level of the relevant safety measures. These were proposed risk reduction measures that typically raised uncertainty among managers regarding the estimation of cost-effectiveness. The advantage of application decision trees approach is possibility to identify and establish relatively homogeneous groups of undesirable events and their impact on the organisation's objectives. A comprehensive model has been developed to support management decision making in manufacturing organizations in implementing and improving safety measures in line with manufacturing sustainability goals.

The application of multiple criteria decision-making (MCDM) techniques in real-life problems has increased in recent years. The need to build advanced decision models with higher capabilities that can support decision making in a broad spectrum of applications, promotes the integration of MCDM techniques with applicable systems, including artificial intelligence, and Geographic Information Systems (GIS). The Analytic Hierarchy Process (AHP) and Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS) are amongst the most widely adopted MCDM techniques capable of resolving water resources challenges. A critical problem associated with water resource management is dam site selection. This paper presents a comparative analysis of TOPSIS and AHP in the context of decision making using GIS for dam site selection. The comparison was made based on geographic and water quality criteria. A ratio estimation procedure was used to determine the weights of these criteria. Both methods were applied for selection of optimal sites for dams in the Sistan and Baluchestan province, Iran. The results show that the TOPSIS method is better suited to the problem of dam site selection for this case study. Actual locations of dams constructed in the area were used to verify the results of both methods.

The wellness economy has developed rapidly recently, particularly in wellness tourism. Wellness tourism transforms sustainable strategy through the availability of extended multi-actor engagement in service innovation to further the tourism experience. Therefore, when operating a wellness tourism destination, it is necessary to encourage multi-actor engagement in service innovation to achieve sustainable development. This paper introduces a mixed research method with the SWOT-AHP-QSPM, as it qualitatively analyzes the advantages, disadvantages, opportunities, and threats, constructs an evaluation index system, conducts quantitative analysis using the analytic hierarchy process, determines the index weight and weighted score, and calculate the sustainable development strategy, which is appropriate for wellness development of Chongqing Tea Mountain and Bamboo Forest National Forest Park. Purposive field surveys and personal interviews were conducted in Chongqing forest tourism destinations, involving 356 effective respondents. The research reveals that multi-actor engagement significantly enhances sustainable development. These findings bridge service innovation knowledge gaps and provide valuable insights for forest tourism destination management and sustainable policy strategies to elevate multi-actor engagement in forest sites.

Wind energy is one of the most attractive renewable energy sources because of its low operating, maintenance, and production costs as well as its low environmental impact. The goal of this study is to discover the best locations in Bangladesh where wind farms can be built and operated efficiently. This study applied the GIS and AHP methodologies to examine the eight important parameters upon which the suitability of locations is highly dependent. This analysis finds that Bangladesh has large regions appropriate for wind farm installation, with 3718.76 km² and 16631.14 km² classified as "very high" and "high" suitability, respectively. It was also observed that wind speed, land slope, and elevation each had a height-weighted criterion of 32 %, 27 %, and 12 %, respectively, when picking suitable locations. However, the viability of this study in identifying suitable sites has been evaluated based on ROC and AUC techniques and found satisfactory as per AUC value. The knowledge gained from this study will help the sustainable and renewable energy development authority (SREDA), Bangladesh to expedite the renewable energy investment process and will ensure the great certainty. The findings of this research can be considered as baseline information in the wind energy sector.

This study aims to assess the operational capabilities of disaster and emergency management re-sources (DEMRs), which are pivotal in mitigating risks and minimizing losses amid the increas-ing frequency of disasters. The research constructs an effective operational capability evaluation system for DEMRs, encompassing four key aspects: resource planning, organizational manage-ment capability, resource support capability, and information processing capability. It focuses on identifying the factors that influence the effective operational capability of DEMRs in China and Korea, comparing and analyzing the relative importance and priority of each evaluation domain and indicator within these countries to enhance DEMRs' operational effectiveness. The method-ology involves calculating and ranking the weight of the four domains, with findings indicating that organizational management capability is most significant in China, whereas resource sup-port capability is prioritized in Korea. A comparative analysis of the local weight of indicators within each domain revealed the largest discrepancy between China and Korea in the infor-mation processing capability domain. The study concludes by calculating global weights, identi-fying fast response capability and resource allocation capability as the most impactful factors on DEMRs' operational capability, highlighting their critical role in disaster and emergency man-agement.

With the branding development of the international exhibition industry and the increase in the number of mergers and acquisitions of exhibitions, the assessment of the brand value of exhibitions has gradually come into the view of governments, investment and financing institutions and researchers. Compared with the brand value assessment of consumer goods and industrial sectors, the brand value assessment of exhibitions, especially B2B exhibitions, has special characteristics. A model for brand value assessment of B2B exhibitions is proposed, which can not only provide a reference for decision-making on M&A behaviour of exhibitions, but also provide a decision-making tool for government exhibition brand promotion. The aim of this paper is to explore the feasibility of constructing an AHP-based conceptual model for brand value assessment of exhibitions in Shanghai through a hybrid study. The applicability of the conceptual model for exhibition brand value assessment is empirically demonstrated by analysing six steps, including establishing pairwise comparison matrices, calculating the maximum eigenvalues and normalised eigenvectors of each comparison matrix, conducting consistency checks, group decision matrix synthesis and weight allocation of exhibition brand value assessment indicators. On this basis, the three values of the model in practice and theory are explored separately. The research results can provide better brand value assessment and development support for exhibition stakeholders and improve the sustainability of exhibition brands.

A conventional electrical grid mostly depends on the electrical power generated from fossil fuels. However, the pollutants from fossil fuels are the key factors for adverse climate change. Most of the developed countries of the world have already recognized the fact that the energy mix requires to be diversified by incorporating renewable energy. This is especially relevant for many of the member countries of the Organization of Islamic Cooperation (OIC), consisting of 57 countries, whose abundance of fossil fuel reserve indicates that much of their electric power is still generated from fossil fuels. In order to integrate renewable energy sources into the hybrid energy mix, an existing conventional grid needs to undergo drastic changes. Alongside this, the population boom in the OIC member countries has caused higher demand for a steady supply of electricity that the conventional grids have long been struggling to cope with. With a view to solving this multifaceted problem, incorporation of the smart power management schemes is indispensable using a smart electrical grid, where information and communications technology is integrated into its major building blocks. This allows advanced applications of a grid, such as the formation of micro-grids, demand-side management, energy storage, high-tech power electronic converters, etc. As the smart grids are being adopted by many developed countries, it is high time for the OIC member countries to pay due attention to this development, if they have not already done so. This paper explains, with special focus on the OIC member countries, the various smart power management technologies, their operations and applications, and the benefits and challenges. Then it goes on to carry out the Strength-Weakness-Opportunity-Threat with Analytical-Heuristic-Procedure (SWOT-AHP) analysis to evaluate its feasibility of incorporation and the underlying strategies appropriate for its implementation. Furthermore, a Hybrid Multi-Criteria-Decision-Making (MCDM) analysis is performed to evaluate the sequence of the emphasis that should be given on each of the technologies from those available for the smart power management initiative. Finally, the study reinforces the stance by drawing parallels from the UN Sustainable Development Goals (SDG) and highlights the importance of the smart grid in line with the global vision of SDG. This paper aims at assisting the decision-makers in implementing smart power management schemes in the OIC member countries, in particular, and other countries of the world, in general.

There is an increasing pressure by community and customers forcing companies to insert environmental concerns in their practices. To help companies initiatives, the green bonds market was incepted. Our research question is how to select bonds in a growing billion-dollar market. This paper presents a multi-criteria decision analysis (MCDA) model to enable investors identify opportunities based not only in opinions, but grounded on objective facts. Analytic Hierarchy Process (AHP) and Complex Proportional Assessment (COPRAS) are two MCDA methods applied in this paper. Top-fifteen green bonds ranked by specialized media were assessed with the proposed MCDA model. Criteria included the Environmental Performance Index (EPI) proposed by Yale University, and common financial indicators as assets, risks (β), and dividends. The new AHP–COPRAS rank is compared with another published by specialized media.

In order to accurately identify the external economic situation in China and analyze the situation of economic development in Northeast China, based on the Strengths, Weaknesses, Opportunities and Threats (SWOT) analysis framework, this article analyses the economy in Northeast China from the four factors of SWOT. To solve the lack of quantitative analysis in SWOT analysis, this article applies Analytic Hierarchy Process (AHP) to the analysis, and finally forms a complete system framework with the combination of qualitative and quantitative factors, through the analysis of the important degree of various factors and the consistency test, the key factors influencing the economic development in Northeast China are analyzed, and constructive countermeasures are proposed.

Efficient and uninterrupted energy supply plays crucial role in the quality of the modern daily life, while it is obvious that the efficiency and performance of energy supply companies has significant impact on energy supply itself, and on determining and finetuning the future roadmap of the sector. In this study, the performance and efficiency of energy supply companies with respect to productivity is investigated over a case study of an electricity distribution company in Turkey. The factors affecting the company’s performance and their corresponding weights have been determined and elicited using analytical hierarchy process (AHP) and the Fuzzy AHP methods, as two well-known multi-criteria decision-making methods, which are two well-known prominent methods widely used in the literature. The results help demonstrate that the criteria elicited to evaluate the company’s energy supply performance plan a crucial role in developing strategies, policies and action plans to achieve continuous improvement and consistent development.

Artificial intelligence (AI) is a versatile term that is a conclusive remedy to solve the problem using past rational data after deep contemplation using these terms i-e basic statistics, carving data, familiarity with common AI algorithms. Seafood especially tiger prawn export as a busi-ness will provide enormous foreign exchange to any country if the farmers overcome the corre-lated vulnerabilities in prawn farming. This research is elucidating lacking in Tiger prawn (TP) farming like curbing of Oxygen, pH, water temperature, and nutrients, etc. Moreover, hatchery statistics in terms of juveniles will depict this study's clear picture of curbed aquaculture. For normative decisions, the Analytical Hierarchical Process (AHP) is used. The problem which has been faced by local prawn farmers that there is a stagnant TP growth in ponds, the reason is the predominant sensitivity factor in TP. For this reason, they need indemnification of thirteen fac-tors with natural resources to get the plausible results to get calmness in their lives. This study will solely focus on the TP growth model, and the monitoring effect will be established by the Artificial Intelligence algorithm. This study will employ the AHP, 0-1 scaling method, data cura-tion techniques, and ecological statistics. The life of Tiger Prawn (TP) depends upon these factors mainly, a) Physical and b) Chemical parameters. Physical parameters contain environment (E) provided to TP like season (S) and temperature (T) etc. whereas the quality of Ammonia NH3 (N) from fish waste, Oxygen level (O), and water quality hard & soft (W) lies in chemicals do-main. This research will Elucidate the factors which cause conceptual muddles in the aquamarine life of TP, for this reason, Statistical tools will assess the current result, forecast the gap. AHP will analyze the domain inputs, circumspect ramification which will depict visceral factors, later results depict which pond suits the TP. In curtail, these factors will be curbed to improve the growth of TP in a control conditioned environment.

This article presents the suitability analysis of onshore wind farm sites using an AHP (Hierarchical Analysis Process) multi-criteria decision-making (MCDM) approach based on geographic information system modeling (GIS). This analysis is based on different technical aspects (wind speed, elevation, slope), economic (proximity to the electricity network, proximity to roads) and social (proximity to residential areas, population density). The introduction of the factor “population density” and the constraint “required area” rarely used in previous studies makes it possible to refine the results. The data is classified into several categories in a gradual manner, namely unsuitable (0); less suitable (1); suitable (2); highly suitable (3) and most suitable (4). The results of the study show us that the largest percentage relating to spatial coverage is observed in the “suitable” range with 50.89% and the corresponding TWPP (theoretical wind power potential) is 1377.926 GW; it is followed by “highly suitable” 5.67% and a TWPP of 153.652 GW; then “less suitable” with 1.04% and a TWPP of 28.163GW. No areas were identified in “most suitable” and finally the “unsuitable” range with 42.4%. The results show that the most favorable areas are located in the part of the far north of the country corresponding to the strong wind zone. The sensitivity analysis was carried out based on scenario tests (technical, economic and equal-weight) in order to give greater visibility of choice to the different stakeholders who would like to invest in onshore wind energy in Cameroon. This study is useful in more than one way because the results obtained can help investors, the government and other stakeholders to identify potential areas for the deployment of wind energy systems in Cameroon. Furthermore, a study of hybrid solar-wind systems could improve the efficiency of electricity parks in Cameroon.

Today project management in every field of life is prerequisite for the success of project by increasing quality reduces cost and schedule. But selecting tools and techniques to achieve our objectives and implement our plan fully is very difficult task because choice creates complexity. So, we discuss AHP to make decision simple. Ranking critical success factor, cloud computing services, risk prioritization, selection of right ETL software and many other systems AHP plays its important role. For the improvement of today’s complex systems it is very important to prioritize and select projects to remove the root cause of the problem. To attain the right selection of construction equipment for carrying out schedule tasks with high efficiency, production and financial capability is the main purpose of procurement of construction equipment process. Certain conflicts can occur due to the construction of UML models in a collaborative way. AHP is used to remove these conflicts and for establishing and evaluating modelers judgments. Nowadays it is very important and critical decision to choose the best option from multiple alternatives for a successful career after passing 12th standard and also it affects our future. “AHP and TOPSIS” methods are used for this purpose. In this paper, an “AHP and Fuzzy AHP” based hierarchical trust model has been used to rate the service providers and their various plans for infrastructure as a service.

This article describes the Analytic Hierarchy Process (AHP) method which can be calculated by several methods. The AHP method is essential for the managerial decision-making to recognize which method is efficient for the calculation and to determine the proper order of criteria. In the article there are included methods that can be used in order to calculate the matrix in the AHP process for setting criteria such as Geometric mean, Arithmetic mean, Row sum of the adjusted the Saaty matrix, Reverse sums of the Saaty matrix columns and Row sums of the Saaty matrix. The paper is focused on the accuracy of the methods used. The results show that the most accurate method is the Saaty method, and the second most accurate method is the geometric mean in order to determine the ranking. This method is easier to use when the same order is achieved as in the Saaty method, followed by Geometric mean, which is favourable for fast and easy determination of alternatives using in the AHP process. The survey carried out among managers graduated from Universities and Colleges in Slovakia showed that the respondents considered the Saaty method as the most complex and also the most difficult method and the geometric mean average method the simplest method. 44% of respondents stated that they are capable to use a program to calculate the AHP. 46% of respondents said they had experience with some method related to the managerial decision-making process. 72% of managers regarded as important to manage some method for decision-making in their managerial position.

Traditionally, studies on freeze–thaw erosion have used the analytic hierarchy process (AHP) to calculate the weight of evaluation factors, however, this method cannot accurately depict the fuzziness and randomness of the problem. To overcome this disadvantage, the present study has proposed an improved AHP method based on the cloud model to evaluate the impact factors in freeze–thaw erosion. To establish an improved evaluation method for freeze–thaw erosion in Tibet, the following six factors were selected: annual temperature range, average annual precipitation, slope, aspect, vegetation coverage, and topographic relief. The traditional AHP and the cloud model were combined to determine the weight of the impact factors, and a consistency check was performed. The comprehensive evaluation index model was used to evaluate the intensity of freeze–thaw erosion in Tibet. The results show that freeze–thaw erosion is extensive, stretching over approximately 66.1% of Tibet. The problem is the most serious in Ngari Prefecture and Nagqu. However, mild erosion and moderate erosion, accounting for 37.1% and 25.0%, respectively, of the total freeze–thaw erosion are the most widely distributed. The evaluation results for the freeze–thaw erosion was confirmed to be consistent with the actual situation. In brief, this study provided a new approach to evaluate the conditions of freeze–thaw erosion quantitively in Tibet.

Due to the complexity, high-risk, and conservative character of construction companies, advanced digital technologies do not become widely adopted in the short term, while vendors make determined efforts to overcome this and disseminate their technologies. This paper presents the methods of an investigation addressing the extremely complex issues related to the current practices of digital technology adoption in construction. It discusses how construction companies follow a specific logical process linked to need, project objectives, characteristics of the adopting organization, and the characteristics of the new technology to be adopted. The study aims to demonstrate a novel method of data collection and analysis including data and methodological triangulation techniques including the use of NVivo and AHP to explore how companies make the decision to uptake a new technology (e.g. advanced crane, tunnel boring machine or drones) by focusing on customer and vendor activities, their interactions, contributing factors, and people involved in the process. The major original contribution of this paper is to develop an innovative methodological Cube for investigating the Construction Technology Adoption Process (CTAP) covering technology adoption, acceptance, diffusion and implementation concepts. CTAP is a framework that delineates the phases of the process that customer organizations use when deciding to adopt a new digital technology and the parallel vendor activities. The significance of these contributions is that they enable vendors to understand how to match their strategies with customer expectations in each phase of the CTAP. It also provides a benchmark for new construction companies to use the current best practice of decision making. Future research is warranted to more clearly delineate any differences with developing nations or related industries such as mining and property management.

Efficient natural resource management prevents and reduces negative impacts, such as environmental damage, misappropriation of resources, and conflicts; several strategies can be leveraged to conserve, protect, and enhance natural resources. Multi-criteria decision analysis (MCDA) is useful in providing solutions to addressing decision-choice problems. In this study, the natural resource under evaluation is the chestnut forest, with the objective of valorising its supply chains. The methodology applied is A'WOT, which allows previously identified factors through a qualitative SWOT matrix, to be ordered through an objective quantification using AHP (Analytic Hierarchy Process), which is a multicriteria decision-support method. The survey was conducted with a group of chestnut resource (n=20) experts. The SWOT matrix identified a total of 20 factors: 6 strengths and 6 weaknesses and 4 factors each for opportunities and threats. The results express a clear stakeholder interest, which identifies the significant role of civil society in directing management choices for the provision and enhancement of ecosystem and vocational services. This study evaluated the adaptability of decision-support tools applied to a real case of forest resource management to identify and order factors useful to enhance the resource and stimulate the supply chains to achieve greater added value. In a general sense, the methodological potential emerged to replicate or improve the research in other geographical regions, whether regional or extra-regional, or even on a larger scale, such as on a national level.

Little is known about fertility preservation within the TGD community. Few receive adequate counseling placing them at risk for decision regret. The goal of this project was to develop, and pilot test the Transgender Fertility Preservation Knowledge Scale (TFPKS) to support the development and evaluation of health education resources. A community engaged; cross sectional retrospective design was used. Participants (n=189) provided information describing demographics, healthcare decision-making preferences, experiences/knowledge of fertility preservation, and treatment decision regret. The sample included 189 TGD adults. Most were white and aged 26-35 (33.3%) and not offered a consultation (73.0%). Many (41.2%) report they would have participated if offered. Knowledge regarding fertility preservation to support this desire was low. Most participants identified a patient-centered (69.4%) decision making preference. Much remains to address the healthcare inequities within the TGD population regarding fertility preservation. Overall participants had low levels of knowledge to support decision making. Further, healthcare system and individual barriers to fertility preservation remain prevalent. A foundational step towards addressing these disparities, is the identification of a valid and reliable instrument to measure TGD knowledge of fertility preservation.

Oxytocin is well known for its role in relationships and social cognition and has more recently been implicated in pain relief and pain perception. Connections between prosocial feelings and pain relief are also well documented, however, effects of exogenous oxytocin on social cognition and pain have not been explored. The current study tested whether intranasally-delivered oxytocin affects pain perception through prosocial behaviors. Additionally, moderation of the effects of oxytocin by life history or genetic polymorphisms are examined. Young adults (n=43; 65% female) were administered intranasal oxytocin (24 IU) or placebo in a crossover design on two visits separated by a one-week washout period. Pain was delivered via cold-pressor. Baseline measures for decision-making and social cognition were collected, as well as pain sensitivity and medication history. Saliva samples were collected for analysis of genetic markers, and urine samples were collected to assess oxytocin saturation. Following oxytocin administration, participants reported increased prosocial cognition and decision-making. Pain perception appeared to be adaptive, with procedural order and expectation affecting perception. Finally, behavioral trust and cooperation responses were significantly predicted by genetic markers. Oxytocin may increase a patient’s trust and cooperation and reduce pain sensitivity while having fewer physiological side effects than current pharmaceutical options.

In order to meet the diversified rehabilitation needs of people, it is necessary to design a product for active rehabilitation of patients. Existing rehabilitation chairs use intelligent massage, which can cause problems such as large massage area, inability to local massage, large chair size, and inability to meet the continuous use of the damaged parts. In this paper, modular design method and multi-layer evaluation method are used to solve the problems related to rehabilitation chairs. The authors use the questionnaire survey method and the functional technology matrix method to determine the functional requirements of the rehabilitation chair, and then use the multilevel evaluation methods, including the AHP method, entropy weight method main and grey correlation analysis, to optimize the functional solutions of the rehabilitation chair, and finally obtain a chair for the rehabilitation of patients with upper and lower limb disorders. Problems such as generalisation of rehabilitation scope and non-durable use of components were solved, and the purpose of active exercise was achieved. This study verifies that the use of multilevel decision evaluation method can effectively improve the efficiency of programme decision-making, and provides theoretical and practical basis for the design of similar products.

Poor medication adherence among older adults is a widespread problem worldwide. As the population ages, the design of smartphone medication management apps is critical to improving medication adherence among older adults. Taking the design of an elderly medication reminder APP as an example, this study proposes a sustainable design research method that integrates the KANO model, Analytic Hierarchy Process (AHP), Quality Function Deployment (QFD), and PUGH decision matrix. The method collects user demands through in-depth interviews, and applies the KANO model to classify these demands. The hierarchical structure of user needs is established by using AHP, and the priority is sorted according to the weight and importance determined by the judgment matrix. QFD is used to translate user needs into design requirements, and the house of quality matrix identifies key design requirements. Finally, design alternatives are evaluated using Pugh's concept selection method. The results of this study demonstrate that the integration of KANO-AHP-QFD-PUGH can be effective as a sustainable optimal design approach for the user experience of a medication reminder application for the elderly. This integrated method not only facilitates innovative optimization and sustainability of application design methods but also provides valuable theoretical and practical insights for future drug-assisted design for elderly users.

The introduction of Maritime Autonomous Surface Ship (MASS) through the development of autonomous navigation technologies is expected to bring about new technologies, new vessel types, and new job roles such as remote operation center (ROC) and remote operator (RO). The MASS Code are currently being discussed through Maritime Safety Committee (MSC) of International Maritime Organization (IMO). This code is expected to be adopted in the form of non-mandatory guidelines until 2025, with the goal of establishing mandatory requirements by 2028. Additionally, revisions to the International Convention on Standards of Training, Certification and Watchkeeping for Seafarers (STCW) related to crew training and qualifications are planned for adoption by 2027, which will include requirements for MASS operators. This paper aims to examine the fundamental competencies required for safe MASS operation by remote operators using the Analytic Hierarchy Process (AHP) method, considering the emergence of the new profession of RO. Building upon the 66 Knowledge, Understanding & Proficiencies (KUPs) outlined for marine officer in the STCW Convention, the study seeks to identify the additional competencies necessary for RO and contribute to the development of a training model for the future.

This study presents a path planning method for a mobile robot to be effectively operated through a multi-objective decision-making problem. Specifically, the proposed Fuzzy analytic hierarchy process (FAHP) determines an optimal position as a sub-goal within the multi-objective boundary. The key features of the proposed FAHP are evaluating the candidates according to the fuzzified relative importance among objectives to select an optimal solution. In order to incorporate FAHP into path planning, an AHP framework is defined, which includes the highest level (goal), middle level (objectives), and the lowest level (alternatives). The distance to the target, robot’s rotation, and safety against collision between obstacles are considered as objective functions. Comparative results obtained from the artificial potential field and AHP/FAHP simulations show that FAHP is much preferable for the mobile robot’s path planning than typical AHP.

According to the characteristics of the sustainable development of subway traffic, the establishment process of an evaluation index system is determined, and the evaluation method and basis are defined. The evaluation index system is established from the aspects of subway traffic sustainability, economic sustainability and urban coordination sustainability. The comprehensive evaluation method of the analytic hierarchy process (AHP) model is used to calculate the weights of comprehensive evaluation indexes at each level. Finally, the sustainable development model of Shijiazhuang subway traffic is evaluated. The results show that the proposed evaluation system and model reflect the degree of sustainable development of subway traffic and can be used for reference in the evaluation of regional subway traffic sustainable development.

The South Asian economy is on the rise but struggling with power shortages and heavy dependence on fossil fuels. For sustained growth, there is a need for access to readily available energy sources, such as electricity. Trading clean electrical energy among neighbouring countries can ensure access to readily available points. South Asia has a diverse range of energy sources, including hydropower, that are available in the region. However, sectorial barriers can impede energy trading. This study has attempted to assess the readiness and barriers to Nepal’s cross-border energy trade with India and Bangladesh using the Analytic Hierarchy Process (AHP). This study also recommends possible measures to strengthen preparedness and address the challenges in energy trade that can be tailored and applied to other cross-country situations.

The last half of the 20th century was characterized by the most impactful ecosystem changes throughout regulations and guidelines minimalizing environmental harms. Many of them emphasize the importance of enterprise sustainability for renewable energy policy. When dealing with numerous alternatives for the implementation of renewables-based policy, decision-makers need to analyze their impacts on environmental, economic, and social dimensions from a long-term perspective. The aim of this paper is to highlight a challenge to apply the multi-criteria sustainability decision-making framework (MDCA) to mainstream energy policy. The integrative framework covers an approach for the needs of analyzing factors influencing the energy technology selection. In this study, the MDCA-approach combines lifecycle-based methods, Analytical Hierarchy Process, PESTEL (Political, Economic, Social, Technological, Environment and Legal). To demonstrate the applicability and usability of the method three photovoltaic technologies are assessed. The results showed that string ribbon technology is the most sustainable along its life cycle, with a 0.503 sustainability score. The study highlighted the need to embody robust methodologies assessing sustainability-oriented technologies, not used anymore for supporting energy policies. This challenge regarding example evidence can give energy decision-makers a tool to realize their energy policy and in consequence, enhance enterprise sustainability.

The electricity generated from fossil fuel and nuclear energy has negative impacts on the environment and has shown a need to search for and promote the use of clean, renewable and sustainable energy resources such as wind, solar and geothermal resources. Nowadays, wind energy resource has emerged as the fastest-growing source of energy on an overall scale. However, the selection of the best location for constructing a wind farm is a vital issue that can be considered a site selection problem, which involves various conflicting factors. Therefore, it is classified as a multi-criteria decision-making (MCDM) problem. In this research, the site selection of wind power plants is conducted in Burundi country. The Fuzzy Analytic Hierarchy Process (FAHP) was used to weigh the criteria considering their relative importance. The main factors affecting optimal wind farm location considered in this study are wind speed, slope, distance from the grid network, distance to roads, and land use/land cover (LULC). Furthermore, a geographic information system (GIS) is utilized to generate the final suitability wind farm locations map. The obtained results show that 20.91% of the total study area is suitable; nevertheless, only 1.96% is highly suitable for wind farm placement. The western part of Burundi is concluded to be the most suitable area for wind farm construction and the most area is situated in Lake Tanganyika.

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

This paper proposes a Case-Based Reasoning (CBR) system to contribute to reinforce the sustainable performance of an environmental management system. The CBR system aims to support the decision-making process to select environmental management actions aimed at reducing risky trends of the environmental state of a region. The CBR system takes advantage of a set of situation-solution pairs called cases, which are stored in a memory and then retrieved as candidates to solve new problems. Situations in this work are represented by a set of risky trends of the following key environmental variables: CO2 emissions, Air-Quality, Loss of Vegetation Cover, Water Availability, and Solid Waste, whose combination damage the environmental state quality of a region. Meanwhile, solutions are represented by a set of environmental management actions. Similar situations to a given current situation are retrieved from the memory of cases and then their solutions are combined, through an adaptation mechanism, until the solution of the current problem is obtained. We used risky trends derived from real data related to the environmental states of a Mexican region to test the proposed CBR system. The results obtained provided insights into the potential of CBR systems to support the decision-making process to select environmental management actions aimed at reducing risky trends of current environmental states.

.(1) Background: Groundwater resources management in dry lands, characterized by climate var-iability and population growth, is difficult. Exploration and exploitation of groundwater, due to inadequate surface water is very costly. The present study employed Analytic Hierarchy Process (AHP) and GIS to identify Ground-Water Potential (GWP) areas in a semi-arid region of Nigeria; (2) Methods: Land-use-land-cover, drainage density, slope, rainfall, static water level, soil media, vadose media and aquifer media were selected for GWP analysis. Parameters weights were de-termined using AHP and ranked based on their contribution to GWP by experts. The parameters were then integrated using weighted overlay tool in ArcGIS 10.5 to produce GWP map of the study area. Boreholes yield data from 245 wells were collected to determine the model accuracy and model validation; (3) Results: Results classified the study area into very high GWP (1.9%), high GWP (8.8%), moderate GWP (62%), low GWP (20.70%) and very low GWP (6.6%). Validation of the AHP model with boreholes yield data shows a correlation coefficient of 71.3% giving a good prediction; (4) Conclusions: AHP and GIS can be used to successfully map GWP areas which could serve as an exploration guide for sustainable management of groundwater resources in semi-arid areas.

Many clinical research datasets have a large percentage of missing values that directly impacts their usefulness in yielding high accuracy classifiers when used for training in supervised machine learning. While missing value imputation methods have been shown to work well with smaller percentages of missing values, their ability to impute sparse clinical research data can be problem specific. We previously attempted to learn quantitative guidelines for ordering cardiac magnetic resonance imaging during the evaluation for pediatric cardiomyopathy, but missing data significantly reduced our usable sample size. In this work, we sought to determine if increasing the usable sample size through imputation would allow us to learn better guidelines. We first review several machine learning methods for estimating missing data. Then, we apply four popular methods (mean imputation, decision tree, k-nearest neighbors, and self-organizing maps) to a clinical research dataset of pediatric patients undergoing evaluation for cardiomyopathy. Using Bayesian Rule Learning (BRL) to learn ruleset models, we compared the performance of imputation-augmented models versus unaugmented models. We found that all four imputation-augmented models performed similarly to unaugmented models. While imputation did not improve performance, it did provide evidence for the robustness of our learned models.

The goal of the paper is to clarify the observed irrationality of decision making in conflict situations considered as one-step games of two players. To solve such situations, we consider the asymmetry in the relation of the players to their own rewards and the rewards of the opponents. Formalization of the decision-making process is based on recently developed non-commutative operators of multivalued logic algebra. The suggested method is applied to solve the well-known Prisoners’ dilemma game and the other situations of conflict, where it results in the expected strategies.

Tourism is an important industry that promotes national economic and social progress. All-for-one tourism is a new concept of regionally coordinated development that uses the tourism industry as an engine to boost resource integration, industrial integration, and social sharing. Tourism service is the main embodiment of cultural ecosystem services for all-for-one tourism cities. Taking Liyang in China as an example, this paper used a combination of GIS spatial analysis and big data text mining to evaluate the tourism service from three aspects: the quality of tourism resources, the comprehensiveness of tourism service facilities, and the satisfaction of tourists. The results show that (1) the tourism service is better in the northwestern and eastern areas of the city, while it is lower in the northeastern and southwestern parts; (2) the hotspot areas should focus on improving the tour routes, the transport capacity, and excessive charges; the cold spot areas should work on ecological restoration and creating new tourism attractions by combining the local industries; (3) rural tourism integrating agriculture and visitation should be highlighted as a key growth point to improve the city’s tourism service function.

Current global commitments to reduce emissions of greenhouse gases encourage national targets for renewable generation. Due to its small land mass, offshore wind could help Bahrain to fulfill its obligations. However, no scoping study has yet been carried out. The methodology presented here addresses this research need. It employs Analytical Hierarchy Process and pairwise comparison methods in a Geographical Information Systems environment. Publicly available land use, infrastructure and transport data are used to exclude areas unsuitable for development due to physical and safety constraints. Meteorological and oceanic opportunities are ranked, then competing uses are analyzed to deliver optimal sites for wind farms. The potential annual wind energy yield is calculated by dividing the sum of optimal areas by a suitable turbine footprint, to deliver maximum turbine number. Ten favourable wind farm areas were identified in Bahrain’s territorial waters, representing about 4% of the total maritime area, and capable of supplying 2.68 TWh/yr of wind energy or almost 10% of the Kingdom’s annual electricity consumption. Detailed maps of potential sites for offshore wind construction are provided in the paper, giving an initial plan for installation in these locations.

This literature review focuses on the development of an ontology for public policy problems in Ethiopia. The study aims to provide a structured representation of concepts, relationships, and knowledge specific to the Ethiopian policy context. The research follows a systematic ontology development process that incorporates domain-specific knowledge and stakeholder involvement.The review begins by describing the steps involved in the ontology development process, including problem identification and scoping, requirement analysis, ontology modeling, and stakeholder involvement. It emphasizes the importance of engaging policymakers, subject matter experts, and researchers throughout the process to validate the ontology and ensure its relevance and effectiveness in addressing Ethiopian policy problems.The application of the developed ontology to specific policy problems is then discussed. Examples include agricultural policy analysis, healthcare policy evaluation, and education policy planning. The review highlights how the ontology can support policy analysis, decision-making, and evaluation by capturing relevant concepts, simulating policy scenarios, and assessing policy impacts.Furthermore, the review identifies potential challenges and limitations in the ontology development process, such as data availability, expert knowledge engagement, and the evolving policy landscape. These challenges need to be addressed to ensure the ontology's accuracy and usability in addressing Ethiopian policy problems.Finally, the review provides suggestions for further research and improvement, such as integrating the ontology with data sources, fostering collaborative ontology development, exploring semantic reasoning and inferencing techniques, and promoting interoperability and standardization. These suggestions aim to enhance the ontology's capabilities and its contribution to the field of ontology development for public policy problems.In conclusion, the development of an ontology for public policy problems in Ethiopia offers a valuable tool for policymakers, researchers, and stakeholders to understand, analyze, and address complex policy challenges. The ontology's relevance and applicability to the Ethiopian context, stakeholder involvement, and support for policy analysis make it a significant contribution to the field of ontology development for public policy.

the process of rapidly digitalizing and transforming businesses, known as Industry 4.0, was already underway before COVID-19. However, the imposed restrictions during the pandemic significantly amplified the need and motivation for both businesses and consumers to utilize digital tools across all sectors including the sectors of bioeconomy. The agricultural and food production sectors have a predominant role in the bioeconomy of the European Union (EU), followed by wood production. These sectors make significant contributions not only to national economies but also to rural areas. Consequently, the digitalization of businesses within the bioeconomy sector not only transforms the enterprises and value chains themselves but also benefits the rural communities in which these enterprises are situated. This study aims to assess the barriers of the bioeconomy sector and ways to support digital transformation within this sector. The paper analyses bioeconomy in EU and the state of digitalisation in the EU. The empiric analysis is based on the cluster analysis of the digitalisation and R&D indicators of the EU and the AHP analysis that allows determining the digitalisation scenarios in Latvia, Lithuania and Poland carried out by four stake-holder groups - national government; advisory and extension; research and entrepreneurship. The results of the AHP indicate that experts from Lithuania and Poland preferred the scenario that suggested the self-initiative from the entrepreneurs of the sector, but experts from Latvia – prioritization of support for digital transformation using national and EU funding. The AHP results also indicate that the opinions of the national government, consulting, and research experts are more aligned throughout all three countries, but the opinion of entrepreneurs differs from these groups.

Managing Water, Energy, and Food (WEF) resources within socio-environmental systems demands innovative strategies that provide decision-makers with actionable insights. This article explores the challenges and potential solutions of employing Focus Maps and choremes as a novel approach for assessing anthropogenic impacts and enhancing the visualization of the WEF Nexus in specific geographic areas. By integrating geospatial data, multi-criteria analysis, and involving stakeholders, our research aims to develop Choreomatic Focus Maps (CFMs) that offer a comprehensive spatial representation of the WEF Nexus, facilitating better-informed decision-making at the community level. Our current work outlines visualization of WEF Nexus, as an initial stages of creating CFMs through a detailed step-by-step process. This includes identifying the main drivers for WEF nexus, such as anthropogenic activities and their distribution, evaluating environmental factors, linking anthropogenic impact with environmental indicators over time, and conducting on-site validation. Our focus is on advancing through these crucial steps, particularly emphasizing field validation within the Local Decision-Makers Tools, visualized here by using Focus Maps. This phase is vital for ensuring our approach is grounded in reality and meets the needs of the communities within the Danube Delta region. By doing so, we aim to provide a visual summary of the WEF Nexus that not only captures the complexity of this fragile ecosystem but also incorporates local insights and priorities, identifying key areas where human activities have significant impacts.

Companies are increasingly focusing on sustainable business practices. Internal and external stakeholders’ expectations manifest in legal requirements, national and international standards, and market and customer expectations, among other things, must be considered. In addition to profit maximization as the usual target for corporate management, management must consider environmental sustainability aspects such as resource efficiency, greenhouse gas intensity, and a company's emissions behavior. In addition, social aspects relating to the company's employees, the immediate urban environment, the situation in the supply chain, and effects on the market environment must increasingly be considered. Specifically, companies are faced with the chal-lenge of dealing with conflicting objectives regarding the various aspects of sustainability and, if necessary, weighing them up against each other. These trade-offs must be made against the company's socio-economic and ecological environment, corporate strategy, and sustainability goals. This paper provides an overview of current approaches and research gaps on this topic through a literature review. It shows a lack of methods and frameworks to specifically deal with trade-offs and conflicts of goals.

Despite being considered as natural components of many ecosystems, forest fires pose significant threats to the environment and human health. In order to ensure public safety and effective fire suppression planning, it is necessary to develop reliable prediction models to mitigate forest fire danger. These models should account for specific environmental conditions. The advent of big data in recent years has opened new avenues for improving forest fire predictions. Machine learning techniques, surpassing traditional forecasting methods, have shown significant promise in this area. By applying the Cross-Industry Standard Process for Data Mining (CRISP-DM) methodology to a real-world dataset, this paper explores the application of machine learning approaches to understand forest fire patterns and predict fire danger. We consider six distinct time stages and incorporate feature selection to refine our predictions. It is important to note that forest fire behavior models are not universally effective due to geographical variations in data. Nevertheless, advanced decision-making techniques are vital in forest fire management. Our research presents a systematic exploration of the topic, comparing various machine learning models, thereby providing a comprehensive baseline for future investigations in this crucial environmental arena.

This study examines the DCMA concerning the future risk of the water security status. We considered three risk factors: population growth, economic growth, and natural water supply demand differences. In the risk analysis part, we consulted with experts from several sectors including academia, Non-Governmental Organization (NGOs), and industry, to predict that the probability of future water stresses in high, medium, and low scenarios are 0.73, 0.24, and 0.03, respectively. In the decision analysis part, we adopted two Multiple Criteria Decision Analysis (MCDA) approaches that include Multiple Attribute Value Theory (MAVT) and Analytic Hierarchy Process (AHP) methods to evaluate the best alternative decision to alleviate future water stresses in the DCMA. The sensitivity analysis demonstrates the best option closely connects to the weighting scheme of the criteria considered in the framework. This study provides a valuable risk and decision analysis framework to analyze the water security status associated with the future water supply and demand gap decrease caused by three risk factors: population growth, climate change, and natural water supply.

This article presents a comparative analysis of three Machine Learning models, namely Logistic Regression, Decision Tree Classifier, and Random Forest Classifier, for prostate cancer detection. The models were trained and evaluated using clinical data, and their performance was assessed using various evaluation metrics. The results show that Logistic Regression achieved the highest accuracy (90%) among the three models, followed by Random Forest Classifier (76.67%) and Decision Tree Classifier (73.33%). Similarly, Logistic Regression demonstrated superior precision (95.65%) and F1 Score (93.62%), indicating its effectiveness in identifying true positive cases. However, the Decision Tree Classifier exhibited higher recall for the negative class (83.33%) compared to the positive class (70.83%), while Random Forest Classifier showed balanced recall for both classes (66.67% for negative and 79.17% for positive). These findings suggest that Logistic Regression outperforms the other models in terms of accuracy and precision, while the Decision Tree Classifier and Random Forest Classifier provide better recall for certain classes. The results highlight the potential of Machine Learning in prostate cancer detection and provide insights for further research and improvement of the models.

While the importance of corporate governance has been broadly acknowledged in global financial markets and academic research, how to devise a practical evaluation system is relatively unexplored. This paper attempts to refine the Corporate Governance Evaluation System (CGES), constructed by the Taiwan Stock Exchange (TWSE) since 2014. The current CGES has several debatable issues in its complicated design (e.g., it comprises over 80 indicators in different types). To resolve those issues, this study invited ten senior domain experts (including several CEOs of financial holding companies) to retrieve 13 essential criteria from the CGES in four dimensions. And this study integrates several multiple criteria decision-making (MCDM) methods (i.e., Decision-making trial and evaluation laboratory (DEMATEL), modified VIKOR, DEMATEL-based analytical network process (DANP)) and the fuzzy evaluation technique to rank the exemplary companies. The obtained ranking is consistent with the one released from the CGES in 2017. This study conducted additional experiments to ensure the robustness of the findings. The newly devised model not only supports the ranking decisions but also provides a managerial guidance for companies to pursue systematic improvements. These findings enrich the understanding of corporate governance and contribute to gaining business sustainability for financial holding companies.

The performance evaluation of the Internet of Things (IoT) based supply chain is challenging due to the involvement of multiple decision makers, the multi-dimensional nature of the evaluation process, and the existence of uncertainty and imprecision in the decision making process. To ensure effective decisions are made, this paper presents a fuzzy multicriteria analysis model for evaluating the performance of IoT based supply chain. The inherent uncertainty and imprecision of the performance evaluation process is adequately handled by using intuitionistic fuzzy numbers. A new algorithm is developed for determining the overall performance index for each alternative across all criteria. The development of the fuzzy multicriteria group decision making model provides organizations with the ability to effectively evaluate the performance of their IoT based supply chains for improving their competitiveness. An example is presented for demonstrating the applicability of the model for dealing with real world IoT-based performance evaluation problems.

Keywords: Requirements prioritization, Next release plan, Software product planning, Decision support, MoSCoW, AHP, K-Menas, GMM, BIRCH, PAM, Hierarchical, Clustering, Clusters Evaluation

The airline sector is critical in today's globalized society, supporting the efficient movement of people and products worldwide. Airlines are continuously looking for methods to enhance their operational performance to remain competitive in the face of increased competition. This study focuses on the application of Multi-Criteria Decision Making (MCDM) techniques to improve low-cost carrier (LCC) also known or low-cost (budget) airlines' ground operational performance. MCDM techniques have gained considerable attention in recent years to address complex decision problems with multiple conflicting goals. This research aims to bridge this gap by proposing a comprehensive framework that combines MCDM techniques to enhance airline operational strategies to increase performance. The study utilizes qualitative and quantitative data, drawing on previously published materials on MCDM techniques in the aviation sector. It utilizes fuzzy Analytic Hierarchy Process (AHP) and fuzzy Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS) methodologies. A case study is conducted to evaluate the ground operational performance of three airline companies based in Türkiye, considering five main criteria and 18 sub-criteria. The findings of this research will contribute to a comprehensive understanding of operational performance in the airline sector. It also highlights the implications and limitations of the research and suggests future research directions.

During public health events, Active Mobility (walking and cycling) plays an important role in securing residents' travel. To enhance the resilience of urban transportation, this article integrates the travel environment elements for walking and cycling and constructs a travel environment for Active Mobility evaluation index system. This article uses survey data from the main urban area of Harbin in the context of the COVID-19 pandemic in May 2022, and combines the Gradient Boosting Decision Tree (GBDT) and Impact-Asymmetry Analysis (IAA) methods to analyze the satisfaction of the travel environment for Active Mobility. It proposes strategies for optimizing the travel environment for Active Mobility, ensuring residents' travel during public health events, guiding them to adopt Active Mobility, and improving urban transportation resilience. This research shows that Active Mobility can enhance urban transportation resilience. In addition, there are differences in resident demand for walking and cycling environments in the travel environment for Active Mobility. Residents are more concerned about the comfort of the walking environment, while they prioritize the convenience of the cycling environment.

Merchant marine fleet is under inspections by several parties to ensure maritime regulation compliance. One of the major effects on implementation of regulations by International Maritime Organization (IMO) is indeed Port State Control. This article aims to analyze Paris Memoranda of Understanding (MOU) all detention remarks from 2013 to 2019 for EU15 countries (except Luxemburg and Austria) through an approach based on Analytical Hierarchy Process and demonstrate the results on Geographic Information System (GIS) to guide marine industry on detainable Port State Control remarks and country risk profile. While Analytical Hierarchy Process Approach has been used to indicate the ranking of basic maritime regulations from the perspective of the port state control , GIS help us to demonstrate the regional dispersion amongst EU15. The data of the detained vessel taken from the public website of Paris MOU and each report considered as a professional judgement that causes detention. It has been shown that almost all countries top priorities for regulation are Safety of Life at Sea (SOLAS) and Fire Safety Systems (FSS). Consequently, the results of the study can assist Port State Officers, ship crew, ship owners and managers presenting the facts of their inspection and able to improve themselves. The spatial analysis also expected to guide ship owners and managers to focus their vessel’s deficiencies to prevent sub-standardization.

Purpose: This research aims to model a police agency ordering problem based on criteria that measure the performance of operational and logistical variables, using a multicriteria method. Design/methodology/approach: The multicriteria method PROMETHEE II was used, which with the aid of the Visual PROMETHEE software, emulated the systematized data in the impact matrix and produced the final ordering of the most efficient police agencies in equalizing the operational, logistical, financial, and human resources applied in the combating crime and reducing criminal indices. Findings: The results confirmed that the resources made available to police agencies located in different municipalities in the metropolitan region of the state of Rio de Janeiro are better applied by managers compared to police units in the capital of Rio de Janeiro. Research limitations/implications: As implications of the research, it can be inferred that the use of multicriteria methods in modelling problems in ​​public security can contribute to the rationalization of the use of available resources to fight crime in large cities. Research has shown that it is possible to use the multicriteria methodology in ordering police agencies that best equalize the available resources. Practical implications: The practical impact of this research lies in optimizing the resources available to law enforcement agencies in the fight against crime in general. Social implications: The results can influence the decision making of the local government in the allocation of resources, as well as offering sectors of the economy information relevant to local development. Originality/value: The results of the MCDA analysis can be used to help police agencies in Rio de Janeiro, Brazil to be more efficient. In addition, the application of MCDA can be a new approach to measuring the efficiency of police services.

To realize sustainable capture fisheries management, Nizam Zachman as an ocean fishing port in practice has taken action to regulate fishing vessels and large pelagic purse seine fishing gear which is a form of control on the application of fishing vessel seaworthiness in an effort to ensure compliance with provisions on safety aspects and the seaworthiness of fishing activities. This study aims to examine and determine the priority strategy of Nizam Zachman ocean fishing port in implementing the seaworthiness of large pelagic purse seine vessels. The analytical method used is descriptive statistics using SWOT and AHP analysis. The results showed that the SWOT analysis based on internal and external factors in the IFAS and EFAS matrices obtained factor values of 0.36 and -0.1 which were located in quadrant IV or the S-T strategy, which mean by strengthening the role of Nizam Zachman ocean fishing port in complying with rules for purse seine owners large pelagic with good supervision in supporting the sustainability of fishery resources. The results of the AHP analysis of prioritising the four implementation aspects of the fishing vessel seaworthiness policy are on the communication aspect (0.346) by means of holding regular outreach; the disposition aspect (0.242) by systematically assessing seaworthiness and the need for evaluation; the resource aspect (0.234) by increasing the number and capacity of fishing vessel seaworthiness inspectors, and on the bureaucratic aspect (0.177), by applying the rules of supervision with prevention through assistance to large pelagic purse seine owners.

Fossil fuels are non-renewable sources of energy, used particularly in developing countries. There are insufficient fossil fuels and their availability is gradually declining. This leads to a steady increase in prices. Renewable energy is clean, cost-effective and limitless. The considerable population growth and industrial growth have made the construction of solar power plants essential in developing countries. The study used Boolean logical-AHP techniques to select a suitable site for solar power in Duhok Governorate. The result indicated that 68.5% of the area in the governorate of Duhok is available for solar power station construction, especially the most appropriate zone which has 132.2 sq. km and can provide more than 8000 megawatts of solar energy. Most of the appropriate areas are in the south and southwest regions of the governorate, located mostly in the districts of Bardarash, Shekhan and Semel, situated between the major cities of Mosul, Erbil and Duhok. These locations can supply a significant amount of clean, renewable energy for these areas.

In recent years, farmers and policymakers have faced ample challenges and have struggled to support the sustainability of the agricultural sector. Sustainable agriculture encompasses multiple concepts, and its performance produces extensive debate about data requirements, appropriate indicators, evaluation methods, and tools. Under the European Union (EU) financed project FLINT (Farm Level Indicators for New Topics in policy evaluation), detailed data have been collected at the farm level to provide broader coverage of sustainability indicators on a wide range of relevant topics to facilitate the assessment of sustainability performance. The approach has been applied in a pilot network of representative farms at the EU level, considering the heterogeneity of the EU farming sector to provide data infrastructure with up to date information for sustainability indicators. This study aims to assess sustainability performance at the farm level in Greece. Representative and dominant agricultural systems, such as permanent crops, olive trees, arable crops, and livestock (sheep) farms, comprise the Greek sample. It uses the analytical hierarchy process (AHP) methodology and attempts to gain insights into the sustainability performance of agricultural systems. The outcome of the sustainability assessment reveals knowledge and develops support for strategic farm choices in order to support both farmers and policymakers towards more sustainable development plans. The results indicate that three typical Mediterranean farming systems, like permanent crops, olive trees, and extensive livestock systems (sheep farms), are more sustainable in contrast to intensive and arable crop farms.

In the context of economic development and international economic integration, the logistics industry in Vietnam is developing to meet the market demand for the transportation of goods; thus, many logistics enterprises have been formulated and grown up in recent years. This research aims to measure the efficiency of logistics enterprises and recommend a feasible solution to improve their future performance by integrating the Super Slacked-based Measure model (Super-SBM) in Data Envelopment Analysis and Fuzzy Analytic Hierarchy Processes (Fuzzy AHP) in multi-criteria decision-making. The super-SBM model was utilized to conduct the efficiency scores of logistics enterprises from 2016 to 2022 based on calculating the ratio between input and output variables; the empirical result determined each enterprise's effectiveness and ineffectiveness. Next, the Fuzzy AHP method evaluated and ranked criteria that directly impacted the operational process of logistics enterprises based on experts' opinions; the examined result suggested a feasible direction to improve their business efficiency in the future. The proposed hybrid models are a helpful solution for efficiency determination and development direction for logistics enterprises. An overall picture of the logistics enterprises was also drawn to describe their operational business process.

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

Sustainable development is inconceivable without healthy real estate market. A housing project can be regarded as sustainable only when all the dimensions of sustainability (environmental, economic, and social) are dealt with. There has been an increased interest in using sustainability indicators for evaluating the impacts of the new development projects. Past and recent experiences have shown that sustainability indicators can be useful tools for measuring the outcomes of new construction, when used appropriately and adequately. The aim of this article is to propose an integrated, hierarchically structured system of sustainability indicators to be used for assessment of the new housing development projects in the Baltic States. This aim is achieved through accomplishing three objectives. First, based on a review of literature related to assessing building project performance and sustainable development in construction, the paper proposes a hierarchically structured system of sustainability indicators. Second, based on a survey of experts from the Baltic States, significances of criteria are estimated by the Analytic Hierarchy Process (AHP) method. Finally, paper proposes recommendations to government authorities and real estate developers as to how to enhance the performance of new residential projects according to the principles of sustainability.

Iterated games, in which the same economic interaction is repeatedly played between the same agents, are an important framework for understanding the effectiveness of strategic choices over time. To date very little work has applied information theory to the information sets used by agents in order to decide what action to take next in such strategic situations. This article looks at the mutual information between previous game states and an agent's next action by introducing two new classes of games: ’invertible games’ and ‘cyclical games'. By explicitly expanding out the mutual information between past states and the next action we show under what circumstances these expressions can be simplified. These information measures are then applied to the Traveler's Dilemma game and the Prisoner's Dilemma game, the Prisoner's Dilemma being invertible, to illustrate their use. In the Prisoner's Dilemma a novel connection is made between the computational principles of logic gates and both the structure of games and the agents' decision strategies. This approach is applied to the cyclical game Matching Pennies to analyse the foundations of a behavioural ambiguity between two well studied strategies: ‘Tit-for-Tat' and ’Win-Stay, Lose-Switch'.

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

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

Logistics in urban areas are currently suffering a radical transformation due to increasingly population concentration and the massive use of cars as the preferred transport mode. These issues have resulted in higher pollution levels in urban environments and traffic congestion impacting the world globally. Facilitating the use of sustainable transport modes is widely regarded as a necessity to cope with these adverse effects on citizens’ life quality. Hence, some regions, as the European Union, are encouraging bus transport firms to make their business models more environmentally and socially sustainable. The aim of this research is thus to explore how practices adopted by urban bus companies can improve cities’ sustainability. With this in mind, a combined Importance Performance Analysis (IPA)-Analytic Hierarchy Process (AHP) method was applied. In this way, both environmental and social sustainability effects of developed practices were represented through hierarchical structures separately. Subsequently, importance and performance ratings of practices in each sustainability dimension were estimated, and thus two IPA grids were generated. These grids support managers in the establishment of more effective action plans to improve logistics sustainability in cities. Findings also provide guidance to governments on the practices that should be promoted in future urban mobility plans.

German noise action plans aim to reduce negative health outcomes from noise exposure and identify quiet areas free of noise pollution. Quiet area identification in German noise action plans is based primarily on noise mapping and spatial analysis and not empirical or qualitative data about acoustic environments, thus leaving a gap in the understanding of the quality of formally recognized quiet areas in noise action plans. This work presents a comparative empirical case study in Dortmund, Germany, with the aim to describe the diurnal dB(A) and biophonic properties of quiet areas versus noise 'hot spots'. Sound observations were collected (n=282,764) in five different natural or recreational land use patch types larger than four acres within 33 proposed quiet areas in Dortmund (n=70) and 23 noise hot spots between April 27^th, 2022 and March 2^nd, 2023. We find that quiet areas are on average more than 20 dB(A) quieter than noise hot spots almost every hour of the day. Forests, managed tree stands, cemeteries, and agriculture diel patterns are dominated by dawn dusk chorus in spring and summer, whereas sport and recreation as well as noise hot spots are dominated by traffic and human noise. A novel composite biophony mapping procedure is presented that finds distinct temporal distribution of biophony in forested and agriculture peri-urban locations positively associated with patch size, distance away from LDEN > 55, proximity to water, and the number of vegetation layers in the plant community. Anthrophony distribution dominates urban land uses in all hours of the day, but expands during day and evening and contracts at night and in dusk hours. The procedures presented here illustrate how qualitative information regarding quiet areas can be integrated into German noise action planning.

Business-to-business (B2B) manufacturing companies are increasingly confronted with transformative trends such as sustainability, digitalization, and servitization. These trends are changing how product portfolios are developed, and value contributions are assessed, and therefore have disruptive potential. Dealing with these disruptive factors in Product Portfolio Management (PPM) is a largely unexplored topic. This study presents an empirical-qualitative exploration that contributes significantly to the field. The aim is to clarify the extent to which disruptive factors influence the evaluation and shaping of the product portfolio in B2B manufacturing companies. The Gioia method was used to evaluate 21 semi-structured interviews with experts from leading B2B manufacturing companies. Eight overarching challenges in PPM resulting from the disruptive factors were identified. Based on the eight overarching challenges and their associated causal relationships, two aggregated dimensions of action were derived: (1) increasing speed and flexibility by using generative artificial intelligence (AI) in a defined PPM process and (2) adjusting the product portfolio evaluation to consider various strategic drivers. These two dimensions of action call for future research to overcome the disruptive factors in PPM.

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

This study measured secondary students’ digital literacy using a digital game-based assessment system that was designed and developed based on the Evidence-Centered Game Design (ECGD) approach. A total of 188 secondary students constituted the valid samples in this study. Fine-grained behavioral data generated from students’ gameplay processes were collected and recorded with the assessment system. The Delphi method was used to extract feature variables related to digital literacy from the process data, and the Analytic Hierarchy Process (AHP) method was used to construct the measurement model. The assessment results of the ECGD-based assessment had a high correlation with standardized test scores, which have been shown to be reliable and valid in prior large-scale assessment studies.

This research experiments with a sustainability assessment based on the Sustainable Development Goals (SDGs) of Agenda 2030 through a process of their territorialisation and implementation. This process enables the development of a Spatial Decision Support System (SDSS) that can be integrated with strategic environmental assessments in urban planning. The assessment takes place on the transversality of the sustainability concept by trying to consider together the three dimensions (environmental, social and economic) into a single assessment through the Spatial Sustainability Assessment Model (SSAM) by integrating Geographic Information Systems (GIS) and multi-criteria analyses. Economic development, social equity, and ecological integrity represent three common visions for rethinking peri-urban edges.

Autonomous systems and intelligent machines are involved in almost all areas of human activity and they are now more and more present in our everyday life. The reason for this extensive use certainly resides in all the benefits these machines offer to the users. In experimental settings, numerous studies have demonstrated the positive effects that the introduction of autonomous systems have on human decision-making and performance. However, studies have shown in addition that the introduction of these systems can have important negative effects as well. Considering that autonomous systems are now introduced in sensitive domains like the military or medicine, we need more than ever a comprehensive understanding of the effects they cause on human performance and decision-making, and particularly in tasks and contexts with a social or moral dimension. The aim of this narrative review is threefold. First, we will provide an overview of the main effects on a human agent’s decision-making and performance produced by the introduction of autonomous systems. Second, we will review the conditions identified as underlying factors of these effects, and see how current models of human – autonomous systems interaction integrate those conditions. Third, we will conclude this review by highlighting new directions for future investigations.

Nowadays the freedom to make choices is considered of vital importance for decision-makers. Researchers investigating the psychological effects of choice provided empirical evidence about the many advantages of choice (i.e., increased intrinsic motivation, greater perception of self-determination, better performance, and greater life satisfaction). However, more recent studies demonstrated the downsides of choice. When the decision task difficulty exceeds the natural cognitive resources of human mind, the possibility to choose becomes more a source of unhappiness and dissatisfaction than an opportunity for a greater well-being. We here discuss in a detailed fashion the main findings of research in psychology and consumer behavior showing the bright sides and the downsides of choice.

The unresolved territories are privileged places for the proliferation of degradation phenomena that affect the environment and human well-being. The impacts of their critical conditions go beyond the limits of the damaged urban fragments, involving the built environment, society, economy, culture and conditioning quality of life. This paper proposes a methodological approach to landscape design supported by an evaluation framework to orient strategic design planning with specific attention to unresolved territories consistent with circular economy perspective. The circular city principles are applied to spatial planning of landscape, by operationalising Ecosystem Services, Landscape Services, and Ecosystem Disservices, as interpretative categories for multi-dimensional regenerative strategies. Starting from the theoretical framework, the objective of the analysis is to implement an approach to the regenerative design of landscapes of waste, defined wastescapes. The industrial area of East Naples is the case study where an incremental evaluative approach has been defined to design scenarios to provide services and values, aimed to drive the conversion in a regenerativescape. A multi-criteria analysis through PROMETHEE-GAIA method has been implemented to compare the base case scenario with two incremental new scenarios and identify situated sustainable priorities.

The study investigated the usage of open data in public organizations, focusing on the motives, preferences, and governance ideals that determine their quality. The study shed light on how open data platforms are created and improved, as well as their influence on government operations. The primary goal was to understand the motivations behind the usage of open data, evaluate gov-ernance ideals, and examine institutions' efforts to standardize data formats. Hierarchical regres-sion analysis divides variables into core reasons and different preferences, demonstrating a need for "diversification" in order to use open data effectively. Efficiency, accountability, community impact, knowledge, and high-quality service delivery are all emphasized in governance value analysis. The institution's dedication to standardizing open data formats is evidenced by legislative measures and the integration of many technologies. The findings illustrate the institution's dual strategy of em-ploying traditional techniques and new technologies for effective data management. The report suggests increasing data openness and standardization, investing in ongoing training, upgrading alerting and awareness systems, and adopting specific regulations for open data use. Monitoring and feedback techniques are critical for adjusting and refining open data services to satisfy de-velopment needs. This study adds to the scientific knowledge of open data use by highlighting important motives, preferences, and governance ideals. The offered guidelines provide practical insights for public organizations looking to improve their open data platforms by promoting openness, efficiency, and community participation.

The scarcity of surface water resources in the dry season in the Kilinochchi district increases the demand for freshwater. Therefore, the existing groundwater resources should be managed to overcome the situation. Several authors worldwide have published studies on the delineation of potential groundwater zone. However, only a few studies addressed the delineation of potential groundwater zones in the Kilinochchi district. This study aims to delineate potential groundwater zones in Kilinochchi, Sri Lanka using integrated Remote Sensing, Geographic Information Systems, and Analytic Hierarchy Process techniques. Groundwater potential zones are demarcated for the Kilinochchi district by overlaying thematic layers: geology, geomorphology, land use/land cover, soil types, drainage density, slope, lineament, and rainfall. Saaty's scale was applied to the assigned weights of the chosen thematic layers and their features. The thematic layers were integrated into a Geographic Information System, and a weighted overlay analysis is carried out to delineate groundwater zones. Thus the resultant map is categorized into five different potential zones: very low, low, moderate, high, and very high. It was found that the very high groundwater potential zone is mainly found in the north-eastern part of the study area covering 111.26 km2. The upper north-western, middle, and eastern parts of the study area fall within the high groundwater potential zone covering about 507.74 km2. The moderate groundwater potential zones (309.89 km2) mainly occurred in the western part, and the extreme west part of the study area falls under low (207.78 km2) and very low (59.12 km2) zones. The groundwater potential map was validated with the existing seventy-nine wells, which indicated a good prediction accuracy of 81.8%. This research will help policymakers better manage the Kilinochchi district's groundwater resources and gives scope for further research into groundwater exploration in the area.

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

The quality of healthcare services is a very important indicator of social welfare in developed and emerging countries. Good quality levels are critical to ensuring patient safety, improving health outcomes, increasing patient satisfaction, optimizing resource utilization, and meeting regulatory requirements. The stable and sustainable operation of medical institutions urgently requires the establishment of a reliable and effective medical quality performance evaluation platform. However, the complexity of the evaluation process, involving numerous evaluators and the consideration of different subjective and objective criteria, poses significant challenges and essentially constitutes a group multi-criteria decision-making problem. This article uses the overall medical environment of the institution, medical service attitude, medical security, administrative service measures, etc. as measurement standards to deal with this challenge. It proposes a medical service quality measurement model suitable for both qualitative and quantitative analysis. In view of the heterogeneity of information, the two-tuple fuzzy language calculation method is introduced to enable evaluators to skillfully manage diverse information and effectively avoid potential information omission problems in the subjective evaluation integration process. The effectiveness and feasibility of the model were demonstrated by applying it to the operational framework of a medical institution in central Taiwan.

This study examines the potential of combining decision support approaches to identify optimal bundles of ecosystem services. A forested landscape, Zona de Intervenção Florestal of Paiva and Entre-Douro and Sousa (Portugal), is used to test and demonstrate this potential. The landscape extends over 14,000 ha, representing 1,976 stands. The property is fragmented into 376 holdings. The overall analysis was performed in three steps. First, we selected six alternative solutions (A to F) in a Pareto frontier generated by a multiple criteria method within a decision support system (SADfLOR) for subsequent analysis. Next, an aspatial strategic multi-criteria decision analysis (MCDA) analysis was performed with the Criterium DecisionPlus (CDP) component of another decision support system (EMDS) to assess the aggregate performance of solutions A to F for the entire forested landscape with respect to their utility for delivery of ecosystem services. For the CDP analysis, SADfLOR data inputs were grouped into two sets of primary criteria: Wood Harvested and Other Ecosystem Services. Finally, a spatial logic-based assessment of solutions A to F for individual stands of the study area was performed with the NetWeaver component of EMDS. The NetWeaver model was structurally and computationally equivalent to the CDP model, but the key NetWeaver metric is a measure of the strength of evidence that solutions for specific land stands were optimal for the unit. Solutions D and B performed best in the aspatial strategic MCDA analysis, and a composite of the maps generated by NetWeaver demonstrated the spatial basis for the performance of solutions D and B in individual land stands. We conclude with a discussion of how the combination of decision support approaches encapsulated in the two systems could be further automated.

According to the current European and Italian scenario related to urban re-generation, cultural and landscape heritage, valorisation is being also enhanced by the activation of innovative processes. These involve the development of methodologies and tools that are able to address decision-making processes among low entropy economy, complex values and creative practices. In this perspective, the research aims to investigate the possibilities of developing a Cultural Heritage Low Entropy Enhancement (CHLEE) approach by considering how the complex values of cultural heritage can vary not only through a physical transformation of spaces but also through a program of uses and activities able to produce new values, where the human experience is essential. This type of model modifies the objectives that characterise the valorisation of cultural heritage and landscape, recognising that the fruition is no longer “consumerist” but “experiential”. A crucial role is represented by the heterogeneity of creative practices that contribute to the identificationidentifying and implementation ofimplementing innovative management and governance models. The present paper explores the components of creative regenerative processes, based upon the ex-post evaluation of some Italian experiments, across the PROMETHEE-GAIA multi-criteria method, to understand how creative experiences are building innovation ecosystem thanks to low entropy economy and improve the ex-ante evaluation for new strategies and policies.

SIGNIFICANCE Putting worth on research and selection of studies by importance are crucial in medical innovation. Practical applications include choosing personal study topics, publication review, study grant selection, and decisions of spending or misspending billions in public health. Multiple studies raised alarm that current methods perform poorly in reproducibility, prediction of best research and objectivity. I propose using the metrics how much disease burden is reduced and calculating objective, numerical research value. The concept is that worth of medical research is not subjective but can be reproducible and numerically quantified. The method increases transparency by giving decision makers an externally accountable proof, and frees peer reviewers to check scientific integrity. Its numerical form can capture small differences important in competition between studies. ABSTRACT Finding value and selecting knowledge by importance are crucial in medical innovation. Applications include individuals designing research, funding organizations selecting grants, journals – publications, institutions – priorities in public health and health policy, and decision makers spending or misspending billions of research funds. Currently finding value of knowledge is done by peer review together with checking scientific integrity. Multiple studies raised alarm that it performs poorly in prediction of highest citations, bias, transparency and quality. The resulting problems include perception of slow medical progress and wasting funds and time. I introduce a standard, objective and numerical method for finding value of medical research. It measures disease burden prevented by new knowledge contained in a study or a publication. In its simple form, it is calculated by multiplying disease prevalence, disease burden, and efficacy of the therapy. It can be modified for risk of failure, multi-disease effect and for ethical considerations. The process is described step-by-step in terms common in medical practice. A quick estimate is often sufficient. The advantage is objectivity, since it is calculated from real world data. This gives transparency and externally accountability of decision making. The second advantage is a numerical form. This can measure small differences in research value which, in sharp competition, determine which studies are selected. A researcher can calculate the value of own future effort. Institutions might ask to provide it at submission. The method is also applicable to broad policy analysis, objective evaluation of scientific achievement and bibliometric studies.

Industry 4.0 is having a great impact in all smart efforts. This is not a single product, but is composed of several technologies, being one of them Industrial Internet of Things (IIoT). Currently, there are very varied implementation options offered by several companies, and this imposes a new challenge to companies that want to implement IoT in their processes. This challenge suggests to use multi-criteria analysis to make a repeatable and justified decision, requiring a set of alternatives and criteria. This paper proposes a new methodology and comprehensive criteria to help organizations to take an educated decision by applying multi-criteria analysis. Here, we suggest a new original use of PROMETHEE-II with full example from weight calculation up to IoT platform selection, showing this methodology as an effective study for other organizations interested to select an IoT platform. The criteria proposed outstands from previous work by including not only technical aspects, but economic and social criteria, providing a full view of the problem analyzed. A case of study was used to prove this proposed methodology.

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

The current discussion about a “risk culture” in financial services was triggered by the recent series of crisis (from the US subprime mortgage crisis to the lock-in trap of central banks in the aftermath of the sovereign debt crisis). The last decade saw a long list of hybris, misconduct and criminal activities by human beings on a single or even a collective basis in banks, in the industry or in the whole economy. As a counter-reaction, financial authorities called for a guidance by a “new” risk culture in financial institutions based on a set of abstract, formal and normative governance processes. In the humanities, culture is a paraphrase for the behaviour in collectives and dynamics of organization found in human societies. Therefore, a “risk culture” should be a link between those normative guidelines and the positive “real-world” decision-making in financial services. This paper will focus on “risk culture” from the perspective of human beings interacting in dynamical and intertemporal commercial relations. In this context, “risk” is perceived by economic agents ex-ante as the consequence of the time-lag between the present and the uncertain future development (compared to a probability distribution calculated by observers ex-post). For all those individual decisions – to be made under uncertainty – future “risk” includes the so-called “normal accidents”, i.e. failures that will happen at some uncertain point in time but inevitable, and it is only the questions, when failure will happen and how to maintain function in the first line of defence. Finally, the sum of all decisions with individual responsibility for things to come is the positive economical context of a “risk culture” in the sense of the (rational) behaviour of an honourable merchant in long-term and repeated commercial relations in a merchant community, as this is a heritage of European business culture.

Balancing the efficiency and robustness of food systems is a well-known trade-off process. Over-optimization of efficiency may lead to excessive use of resources. On the other hand, under-optimization of efficiency may lead to excessive waste of resources. Using non-parametric methods can help in developing actionable frameworks through which decision-makers and stakeholders can effectively balance and improve food systems' efficiency and robustness. Under this context, this paper presents a new structured approach integrating two well-suited non-parametric methods for analyzing and balancing the interconnection between the efficiency and robustness of food systems. This approach consists of three main steps. First, the slacks-based data envelopment analysis (SBM-DEA) is utilized to analyze the efficiency of five food robustness dimensions. Second, the weighted efficiency of these dimensions is computed and analyzed to provide an insight into their influence on the food system efficiency. Finally, two search methods were developed to identify opportunities for improving efficiency and robustness. The outcomes of these methods have been analyzed and validated to ensure their effectiveness and viability. The operational and mathematical properties of the proposed approach were evaluated using data from thirty-seven food-producing countries. The weights of the robustness dimensions in this study were determined using the analytic hierarchy process (AHP) method. The input matrix of the AHP was constructed using expert judgment and consultations with stakeholders. The results of this study have shown an appropriate level of applicability and effectiveness of the proposed approach. While the first search method provided valuable insights, the second method proved to be more effective in identifying the sources of inefficacy of robustness dimensions. Several conclusions have been drawn and reported with some recommendations for future research works.

Multi-objective optimization (MOO) is an optimization involving minimization or maximization of several objective functions more than the conventional one objective optimization, which is useful in many fields. Many of the current methodologies addresses challenges and solutions that attempt to solve simultaneously several Objectives with multiple constraints subjoined to each. Often MOO are generally subjected to linear inequality, equality and or bounded constraint that prevent all objectives from being optimized at once. This paper reviews some recent articles in area of MOO and presents deep analysis of Random and Uniform Entry-Exit time of objectives. It further break down process into sub-process and then provide some new concepts for solving problems in MOO, which comes due to periodical objectives that do not stay for the entire duration of process lifetime, unlike permanent objectives which are optimized once for the entire process duration. A methodology based on partial optimization that optimizes each objective iteratively and weight convergence method that optimizes sub-group of objectives are given. Furthermore, another method is introduced which involve objective classification, ranking, estimation and prediction where objectives are classified based on their properties, and ranked using a given criteria and in addition estimated for an optimal weight point (pareto optimal point) if it certifies a coveted optimal weight point. Then finally predicted to find how far it deviates from the estimated optimal weight point. A Sample Mathematical Tri-Objectives and Real world Optimization was analyzed using partial method, ranking and classification method, the result showed that an objective can be added or removed without affecting previous or existing optimal solutions. Therefore suitable for handling time governed MOO. Although this paper presents concepts work only, it’s practical application are beyond the scope of this paper, however base on analysis and examples presented, the concept is worthy of igniting further research and application.

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

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

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

Results from a behavioral economic laboratory experiment are used to enhance our understanding of public health decisions made during the COVID-19 pandemic. The identification of systematic biases from optimal decision theory found in controlled experiments could help inform public policy design for future public health crises. The laboratory and the shelter-in-place decisions made during COVID-19 included elements of risk, uncertainty and ambiguity. The lab findings found individuals adopt different decision rules depending on both personal attributes and on the context and environment in which the decision task is conducted. Key observations to consider in the context of the COVID-19 decision environment include the importance of past experience, the ability to understand and calculate the odds of each action, the size and differences in economic payoffs given the choice, the value of information received, and how past statistical independent outcomes influence future decisions. The academic space encompassing both public health and behavioral economics is small, yet important, particularly in the current crisis. The objective of continued research in this area would be to develop a more representative model of decision-making processes, particularly during crisis, that would serve to enhance future public health policy design.

The new Post Accelerating Data and Knowledge Online Society, or ‘Padkos’ requires a new model of decision making. This introductory paper proposes a model where decision making and learning are a single symbiotic process, incorporating man and machine, as well as the AADD (ánthrōpos, apparatus, decider, doctrina) diamond model of individual and organizational decision-making and learning processes. The learning is incorporated by using a newly proposed quadruple loop learning model. This model allows for controlled changes of identity, the process of creating and the sense making of new mental models and assumption, and reflections. The model also incorporates the recently proposed model of quantum decision-making, where time collapse of the opted past and the anticipated future (explicitly including its time horizon) into the present play a key role in the process, leveraging decision-making and learning by human as well as Artificial Intelligence (AI) and Machine Learning (ML) algorithms. The paper closes with conclusions.

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

The performance of choice-reaction tasks during athletic movement has been demonstrated to evoke unfavorable lower limb biomechanics. However, the mechanism of this observation is unknown. We conducted a systematic review examining the association between 1) the biomechanical and functional safety of unplanned sports-related movements (e.g. jumps/runs with spontaneously indicated landing leg/cutting direction) and 2) markers of perceptual-cognitive function (PGF). A literature search in three databases (Pubmed, ScienceDirect, Google Scholar) identified five relevant articles. Study quality, rated by means of a modified Downs & Black checklist, was moderate to high (average: 13.5/16 points). Four of five papers, in at least one parameter, found either an association of lower PGF and reduced task safety or significantly reduced task safety in low vs. high PGF performers. Yet, as a) the outcomes, populations and statistical methods of the included trials were highly heterogeneous and b) only two out of five studies had an adequate control condition (pre-planned movement task), evidence was classified as conflicting. In sum, PGF may represent a factor increasing injury risk during unplanned sports-related movements but future research strengthening the evidence of this association is warranted.

Background: Consciousness is usually interpreted as a state of being aware of one’s environment as well as self. According to the trilogy paradigm of consciousness (or simply “trilogy”), it is primarily guided by two new mental functions—awareness-based choice selection (ABCS) and discretionary selection of information for awareness (DSIA) or intentional attention—which may play a role in the choice selection during decision making. Method: To test whether ABCS and DSIA could improve the choice selection efficiency, 204 subjects were recruited using social media platforms to complete an anonymous online survey. The survey was designed to examine the role of subtle hints and cues in guiding participants’ attention toward a particular subject of awareness and this in return would increase the likelihood of selecting a correct choice among the proposed options, thereby enhancing the decision-making efficacy. Results: The participants’ attention could be successfully swayed to a particular subject matter (DSIA) in 59−73% of occasions. In addition, using ABCS increased the efficiency of selecting a correct choice among presented options. The analyses further revealed a gap between the selecting a choice during decision-making process and its execution, which is indicative of an appropriation process. Conclusion: The present study shows that sheer knowledge of facts may not be sufficient for selecting a correct choice among presented options effectively. However, as ABCS improves the choice selection efficiency, it plays an instrumental role in determining the subject of awareness, indirectly supporting the notion of DSIA.

Superficial discolored spots on Atlantic salmon (Salmo salar) fillets are a serious quality problem for commercial seafood farming. Previous reports proposed that the black spots (called melanized focal changes (MFC)) may be melanin, but no convincing evidence has been reported. In this study, we performed chemical characterization of MFC, and also of red pigment (called red focal changes (RFC)), of salmon fillets using alkaline hydrogen peroxide oxidation and hydroiodic acid hydrolysis. This revealed that the MFC contain 3,4-dihydroxyphenylalanine (DOPA)-derived eumelanin whereas the RFC only contain trace amounts of eumelanin. Therefore, probably, the black color of MFC can be explained by the presence of eumelanin from accumulated melanomacrophages. For the red pigment, we could not find a significant signature of either eumelanin or pheomelanin, and the red color is probably predominantly hemorrhagic in nature. However, we found that in RFC the level of pigmentation did increase together with some melanogenic metabolites. Comparison with a “mimicking experiment,” in which a mixture of a salmon homogenate + DOPA was oxidized with tyrosinase, suggested that the RFC include conjugations of DOPAquinone and/or DOPAchrome with salmon muscle tissue proteins. In short, the results suggest that melanogenic metabolites in MFC and RFC derive from different chemical pathways, which would agree with the two different colorations deriving from distinct cellular origins, namely melanomacrophages and red blood cells, respectively.

Flexible implementations of Monte Carlo Tree Search (MCTS), combined with domain specific knowledge and hybridization with other search algorithms, can be a very powerful for the solution of problems in complex planning. We introduce mctreesearch4j, a standard MCTS implementation written as a standard JVM library following key design principles of object oriented programming. We define key class abstractions allowing the MCTS library to flexibly adapt to any well defined Markov Decision Process or turn-based adversarial game. Furthermore, our library is designed to be modular and extensible, utilizing class inheritance and generic typing to standardize custom algorithm definitions. We demon- strate that the design of the MCTS implementation provides ease of adaptation for unique heuristics and customization across varying Markov Decision Process (MDP) domains. In addition, the implementation is reasonably performant and accurate for standard MDP’s. In addition, via the implementation of mctreesearch4j, the nuances of different types of MCTS algorithms are discussed.

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

The reinforcement learning problem of complex action control in the Multi-player wargame is a hot research topic in recent years. In this paper , a game system based on turn-based confrontation is designed and implemented with the state-of-the-art deep reinforcement learning models. Specifically, we first design a Q-learning algorithm to achieve intelligent decision-making, which is based the DQN(Deep Q Network) to model the complex game behaviors. Then, a priori- knowledge based algorithm PK-DQN(Prior Knowledge- Deep Q Network) is introduced to improve the DQN algorithm, which accelerates the convergence speed and stability of the algorithm. The experiments demonstrate, the correctness of the PK-DQN algorithm is validated and its performance surpass the conventional DQN algorithm. Furthermore, the PK-DQN algorithm shows effectiveness in defeating the high level of rule-based opponents, which provides promising results for the exploration of the field of smart chess and intelligent game deduction.

Background: Fertility is a crucial component of population maintenance and growth. A declin-ing fertility trend has been observed over the past two decades, and it continues. Objective: The aim of this research was to examine the level of fertility knowledge, factors in-fluencing fertility knowledge, and the relationship between fertility knowledge and the decision to have a child. Methods: A cross-sectional study was conducted on a sample of mothers in five hospitals on the Adriatic coast of the Republic of Croatia, involving 1541 mothers from September 2021 to De-cember 2023. The Cardiff Fertility Knowledge Scale was used for the research. Results: The participants were divided into two groups based on fertility status in women, spe-cifically the period of declining fertility in women. Group 1 included participants aged 18-31 with sustained fertility, and Group 2 included participants aged 32 and older experiencing de-clining fertility. Fertility knowledge was 58.9%. Women with higher educational status showed better results (62.3%). The most common sources of fertility knowledge were the healthcare sys-tem and the internet. Factors associated with the level of fertility knowledge included higher education, marital status, and higher economic status. Conclusion: The research results reveal a lack of fertility knowledge among participants, as well as an intention to have a child in later stages of life. The lack of formal education on this topic leads to information gathering from unreliable sources.

Petrochemicals, which convert oil and gas into products such as plastics, are fundamental to modern societies. Chemists recognize their role in the design of materials and the adverse effects that these may have on the environment, preventing sustainable development. Several methodological frameworks and sustainability assessment approaches have been developed to evaluate the resources used in the petrochemical sector in terms of environmental costs. A combination of Life Cycle Assessment and Emergy Accounting - to assess the environmental support for resource use - is applied in this study of the PET production chain in Europe. The Unit Emergy Values of several intermediates are calculated or updated to facilitate discernment of the quality of energy used and the processes' efficiency. Several routes for synthesizing renewable para-xylene and ethylene glycol from biomass are discussed and confronted with the efforts focused on recycling and recovering the final product providing concurrently a procedure and a valuable data set for future CP actions. The results show that understanding the efficiencies changing across the production chain may help stakeholders make wise choices as to where and when interventions to promote a circular economy are most effective along a petrochemical production chain.

Purpose: To clarify the mechanism of state anxiety on intertemporal decision-making, two studies were conducted to investigate the role of trait anxiety and inhibitory control. Study 1 examined the moderating effect of trait anxiety. Study 2 continued to investigate the mediating effect of inhibition control on the basis of study 1. Methods: A total of 266 Chinese college students participated. Participants’ state anxiety, trait anxiety and intertemporal decision-making were measured by questionnaires (scales) respectively. And inhibition control was evaluated by two-choice oddball paradigm. Results: The results of Study 1 indicated that state anxiety could predict intertemporal decision-making and that the moderating effect of trait anxiety on this relationship was significant. Study 2 found that inhibitory control could completely moderate the relationship between state anxiety and intertemporal decision-making and that this indirect effect was affected by trait anxiety. Conclusion: 1)Individuals with higher trait anxiety are more inclined to make more impulsive and intertemporal decisions when they have a high level of state anxiety; 2)state anxiety allows inhibitory control ability to have a further effect on intertemporal decision-making; and 3)the higher trait anxiety in individuals, the stronger mediating effect of inhibitory control on the relationship between state anxiety and intertemporal decision-making.

We are of the opinion that during the design of a binary classifier one ought to consider adding an “I don’t know” answer. We provide the case for the introduction of this third category when a human needs to make a decision based on the answer from a binary classifier. We discuss the costs and potential benefits of its introduction. Colloquially, we have used the term “I don’t know”, but formally we refer to it as NotAvailable. A procedure to define NotAvailable predictions in binary classifiers, called all leave-one-out models (ALOOM), is presented as proof of the concept. Furthermore, we discuss the potential benefits of applying ALOOM in real life applications.

Obstructive Sleep Apnea (OSA) is nowadays one of the respiratory pathologies with a higher in-cidence globally in developed countries. This situation led to an increase in the demand for medical appointments and diagnostic studies related to that condition, especially those based on poly-somnographies and cardiorespiratory polygraphies. These studies are limited in resources, causing long waiting lists with the subsequent impact on the patients’ health. Furthermore, it is necessary to mention that OSA’s symptomatology is not very specific, and it is typically present in the general population (excessive sleepiness, snore, etc.). In this regard, this paper proposes a novel intelligent clinical decision support system for the diagnosis of OSA which could be used to help medical teams, both in primary care settings and in units specialized in respiratory pathologies. The aim of the proposed system is to help discriminate the patients suspected of suffering from the pathology from those who are not. To this end, two types of information sets of heterogeneous nature are consid-ered. The first one encompasses objective data, related to the patient's health profile with infor-mation usually available in electronic health records. The second type comprises subjective data, referred to the symptomatology reported by the patient in a previous interview. To process the first group of information, a Machine Learning classification algorithm is used, Bagged Trees in this case. For processing the second information set, related with the symptomatology of the patient, a col-lection of expert systems based on fuzzy inferential systems arranged in cascade are employed. As a result, the system is able to determine two risk indicators related to the patient's risk of suffering from OSA: the Statistical Risk and the Symbolic Risk respectively. Subsequently, by interpreting both risk indicators mentioned it will be possible to determine the severity of the patients’ health, proposing a preliminary evaluation on their condition. For the initial tests of the system, a software artifact has been built using a dataset with 4,978 selected patients, suspected of suffering from OSA, from the Álvaro Cunqueiro Hospital in Vigo. The results obtained are promising, demonstrating the potential usefulness of this type of tools in medical diagnosis. Once the system has been validated with new data from clinical environments, it is considered as possible to obtain a relevant improvement in the quality of the healthcare services, and a reduction in the associated costs.

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

Rare diseases are characterized by a wide diversity of signs and symptoms and vary not only from disease to disease, but also from person to person, and living with a disease leads patients to peculiar experiences and treatments, without limits of time and space, as they extend to various environments and relationships of their lives. The objective of this study is the theoretical interaction between Value Co-creation (VC) and the Stakeholder Theory (ST) with the Shared Decision Making (SDM) health care theory. It is configured as a multiparadigmatic proposal by enabling the analysis of multiple perspectives of different stakeholders in health care. Thus, Co-created Decision Making (CDM) emerges in a logic dominated by service, with emphasis on intangible aspects and the interactivity of the relationships. It goes beyond the clinical office and the doctor-patient relationships, as studied in SDM, extending to all environments and interactions that add value to the patient's treatment. It was concluded that the essence of this new theory proposed here is neither in patient-centered care nor in patient self-care, but in co-created relationships with and between stakeholders in both directions, including non-health care environments that are important to the patient, such as relationships with friends, family, other patients with the same disease, social media, public policies, and the practice of pleasurable activities.