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Background: Parkinson disease (PD) is reported to be among the most prevalent neurodegenerative diseases globally, presenting ongoing challenges and increasing burden on health care systems. In an effort to support patients with PD, their carers, and the wider health care sector to manage this incurable condition, the focus has begun to shift away from traditional treatments. One of the most contemporary treatments includes prescribing assistive technologies (ATs), which are viewed as a way to promote independent living and deliver remote care. However, the uptake of these ATs is varied, with some users not ready or willing to accept all forms of AT and others only willing to adopt low-technology solutions. Consequently, to manage both the demands on resources and the efficiency with which ATs are deployed, new approaches are needed to automatically assess or predict a user's likelihood to accept and adopt a particular AT before it is prescribed. Classification algorithms can be used to automatically consider the range of factors impacting AT adoption likelihood, thereby potentially supporting more effective AT allocation. From a computational perspective, different classification algorithms and selection criteria offer various opportunities and challenges to address this need., Objective: This paper presents a novel hybrid multicriteria decision-making approach to support classifier selection in technology adoption processes involving patients with PD., Methods: First, the intuitionistic fuzzy analytic hierarchy process (IF-AHP) was implemented to calculate the relative priorities of criteria and subcriteria considering experts' knowledge and uncertainty. Second, the intuitionistic fuzzy decision-making trial and evaluation laboratory (IF-DEMATEL) was applied to evaluate the cause-effect relationships among criteria/subcriteria. Finally, the combined compromise solution (CoCoSo) was used to rank the candidate classifiers based on their capability to model the technology adoption., Results: We conducted a study involving a mobile smartphone solution to validate the proposed methodology. Structure (F5) was identified as the factor with the highest relative priority (overall weight=0.214), while adaptability (F4) (D-R=1.234) was found to be the most influencing aspect when selecting classifiers for technology adoption in patients with PD. In this case, the most appropriate algorithm for supporting technology adoption in patients with PD was the A3 - J48 decision tree (M3=2.5592). The results obtained by comparing the CoCoSo method in the proposed approach with 2 alternative methods (simple additive weighting and technique for order of preference by similarity to ideal solution) support the accuracy and applicability of the proposed methodology. It was observed that the final scores of the algorithms in each method were highly correlated (Pearson correlation coefficient >0.8)., Conclusions: The IF-AHP-IF-DEMATEL-CoCoSo approach helped to identify classification algorithms that do not just discriminate between good and bad adopters of assistive technologies within the Parkinson population but also consider technology-specific features like design, quality, and compatibility that make these classifiers easily implementable by clinicians in the health care system., (© Miguel Ortiz-Barrios, Ian Cleland, Mark Donnelly, Muhammet Gul, Melih Yucesan, Genett Isabel Jiménez-Delgado, Chris Nugent, Stephany Madrid-Sierra. Originally published in JMIR Rehabilitation and Assistive Technology (https://rehab.jmir.org).)

Landslides are among the most destructive geological disasters that seriously damage human life and infrastructures. Landslides mainly occur in mountainous regions around the world. One of the key processes to reduce these damages is to uncover landslide-exposed areas through different data-driven methods such as Geographical Information System (GIS) and multi-criteria decision-making (MCDM). In the literature, there are many studies developed with these fundamental tools. In this study, unlike the literature, a new landslide susceptibility assessment model is proposed by integrating GIS with the stratified best-worst method (S-BWM). This model has four main dimensions and 16 sub-dimensions under topography, environment-land, location, and hydrological factors, weighted with the S-BWM. A network was created considering the different states that may arise in the importance weights of these dimensions in the future. The transition probabilities of these states were predicted and injected into the classical BWM. Then, maps were created for these dimensions and classifications for each sub-dimension according to the map characteristics. Finally, the most susceptive landslide locations were determined with GIS-based calculations. To demonstrate the model's applicability, a case study was conducted for the Erzurum region, one of Turkey's landslide-prone regions. In addition, besides the landslide map, an analysis and discussion about the spatial distribution of susceptibility classes was presented, contributing to the study's robustness. In the results of landslide susceptibility analysis, landslides are higher in the range of about 1600-2500 m. Approximately 42% (35.59 sq. km) of the study area has high landslide susceptibility, while 58% (64.41 sq. km) has medium and low landslide susceptibility., (© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)

The need for a biological disease risk assessment method to prevent the contagion of these diseases, particularly among healthcare personnel, is crucial. Therefore, this study aimed to develop and validate a biological risk assessment tool for biological agents among hospital personnel under COVID-19 conditions. This cross-sectional study was performed on 301 employees in two hospitals. Firstly, we identified the items affecting the contagion of biological agents. Then, we computed the weight of the items using the Fuzzy Analytical Hierarchy Process (FAHP) method. We used the identified items and the estimated weights in the next step to develop a predictive equation. The outcome of this tool was the risk score of biological disease contagion. After that, we used the developed method to evaluate the biological risk of the participants. The ROC curve was also used to reveal accuracy of developed method. In this study, 29 items were identified and categorized into five dimensions, including environmental items, ventilation items, job items, equipment-related items, and organizational items. The weights of these dimensions were estimated at 0.172, 0.196, 0.255, 0.233, and 0.144, respectively. The final weight of items was used to develop a predictive equation. The area under ROC curves (AUC) was also calculated as 0.762 (95% CI: 0.704, 0.820) (p<0.001). The tools developed using these items had acceptable diagnostic accuracy for predicting the risk of biological diseases in health care. Therefore, one can apply it in identifying persons exposed to dangerous conditions., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2023 Khoshakhlagh et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)

The use of emergency departments (EDs) has increased during the COVID-19 outbreak, thereby evidencing the key role of these units in the overall response of healthcare systems to the current pandemic scenario. Nevertheless, several disruptions have emerged in the practical scenario including low throughput, overcrowding, and extended waiting times. Therefore, there is a need to develop strategies for upgrading the response of these units against the current pandemic. Given the above, this paper presents a hybrid fuzzy multicriteria decision-making model (MCDM) to evaluate the performance of EDs and create focused improvement interventions. First, the intuitionistic fuzzy analytic hierarchy process (IF-AHP) technique is used to estimate the relative priorities of criteria and sub-criteria considering uncertainty. Then, the intuitionistic fuzzy decision making trial and evaluation laboratory (IF-DEMATEL) is employed to calculate the interdependence and feedback between criteria and sub-criteria under uncertainty, Finally, the combined compromise solution (CoCoSo) is implemented to rank the EDs and detect their weaknesses to device suitable improvement plans. The aforementioned methodology was validated in three emergency centers in Turkey. The results revealed that the most important criterion in ED performance was ER facilities (14.4%), while Procedures and protocols evidenced the highest positive D + R value (18.239) among the dispatchers and is therefore deemed as the main generator within the performance network.

The fight against the COVID-19 pandemic, which has affected the whole world in recent years and has had devastating effects on all segments of society, has been one of the most important priorities. The Turkish Standards Institution has determined a checklist to contribute to developing safe and clean environments in higher education institutions in Turkey and to follow-up on infection control measures. However, this study is only a checklist that makes it necessary for decision-makers to make a subjective evaluation during the evaluation process, while the need to develop a more effective, systematic framework that takes into account the importance levels of multiple criteria has emerged. Therefore, this study applies the best-worst method under interval type-2 fuzzy set concept (IT2F-BWM) to determine the importance levels of criteria affecting the "COVID-19 safe campus" evaluation of universities in the context of global pandemic. A three-level hierarchy consisting of three main criteria, 11 sub-criteria, and 58 sub-criteria has been created for this aim. Considering the hierarchy, the most important sub-criterion was determined as periodic disinfection. The high contribution of the interval-valued type-2 fuzzy sets in expressing the uncertainty in the decision-makers' evaluations and the fact that BWM provides criterion weights with a mathematical optimization model that produces less pairwise comparisons and higher consistency are the main factors in choosing this approach. Simple additive weighting (SAW) has also been injected into the IT2F-BWM to determine the safety level of any university campus regarding COVID-19. Thus, decision-makers will be better prepared for the devastating effects of the pandemic by first improving the factors that are relatively important in the fight against the pandemic. In addition, a threshold value will be determined by considering all criteria, and it will prepare the ground for a road map for campuses. A case study is employed to apply the proposed model, and a comparison study is also presented with the Bayesian BWM to validate the results of the criteria weights., (© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)

Many shipping companies have started using scrubbers in their fleet to eliminate sulfur emissions from ships, per IMO (International Maritime Organization) rules. Before and during the scrubbers' selection, the scrubbers' operational failures have also started to appear and cause serious concerns. In this study, classified scrubber types are explained and open type, closed type, and hybrid scrubber systems are evaluated. To contribute to this gap in the literature, scrubber failures were identified, five experts with different perspectives were consulted, and the most common and critical malfunctions were evaluated with the fuzzy best-worst method (F-BWM) and fuzzy technique for order preference by similarity to an ideal solution (F-TOPSIS). F-BWM was used to determine the importance weights of the risk parameters used in evaluating failures since it provides fewer comparisons among pairwise comparison-based decision-making methods and a more consistent judgment in the evaluation. F-TOPSIS, on the other hand, was used to determine the final priority scores of the scrubber failures, taking into account the risk parameter weights obtained in the first stage. It has been preferred due to its easy to useness and based on its closeness to the ideal solution and applicability to risk and failure analysis problems. Considering all different systems in general, important issues such as collection efficiency, sulfur emission problem, abrasion, leakages, pump failures, heat exchanger failures, air fan sealing failures, sensors and failures in monitoring the whole system have been investigated. Results show that too high axial velocity for separator and flooded separator, too high solids concentration in recirculation liquid (SF2), piping leakages (SF5), poor quality or inappropriate consumables and chemicals (SF11), and feed circulation pump problems (SF6) are found to be the most important problems among thirteen failures., (© 2022. The Author(s), under exclusive licence to Springer Nature Switzerland AG.)

The Fine - Kinney is a risk assessment method widely used in many industries due to its ease of use and quantitative risk evaluation. As in other methods, it is a method that recommends taking a series of control measures for operational safety. However, it is not always possible to implement control measures based on the determined priorities of the risks. It is considered that determining the priorities of these measures depends on many criteria such as applicability, functionality, performance, and integrity. Therefore, this study has studied the prioritization of control measures in Fine - Kinney-based risk assessment. The criteria affecting the prioritization of control measures are hierarchically structured, and the importance weights of the criteria are determined by the Bayesian Best-Worst Method (BBWM). The priorities of control measures were determined with the fuzzy VlseKriterijumska Optimizacija I Kompromisno Resenje (FVIKOR) method. The proposed model has been applied to the risk assessment process in a petrol station's liquid fuel tank area. According to the results obtained with BBWM, the most important criterion affecting the prioritization of control measures is the applicability criterion. It has an importance weight of about 42%. It is followed by performance with 31%, functionality with 18%, and integrity with 10%, respectively. FVIKOR results show that the "Periodic control of the ventilation device" measure is the top priority for Fine - Kinney risk assessment. "The absence of any ducts or sewer pits that may cause gas accumulation in the tank area and near the dispenser; Yellow line marking of entry and exit and vehicle roads; Placing of speed limit warning signs" has been determined as a secondary priority. On conclusion, this proposed model is expected to bring a new perspective to the work of occupational health and safety analysts, since the priority suggested by Fine - Kinney risk analysis methods is not always in the same order as the one in the stage of taking action, and the source, budget, and cost/benefit ratio of the measure affect this situation in practice., (© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)

The recent increase in the number of disasters over the world has once again brought to the agenda the question of preparedness of the hospitals, which are the most necessary units of healthcare pillar to resist these disasters. The COVID-19 epidemic disease, which has affected the whole world, has caused a large number of people to die in some countries simply because of the inadequate and incomplete planning and lack of readiness of hospitals. For this reason, determining the disaster preparedness level of hospitals is an important issue that needs to be studied and it is important in terms of disaster damage reduction. In this study, a fuzzy hybrid decision-making framework is proposed to assess hospital disaster preparedness. The framework covers three important decision-making methods. For the first phase, Intuitionistic Fuzzy Analytic Hierarchy Process (IF-AHP) is used to assign relative weights for several disaster preparedness criteria considering uncertainty. Secondly, Intuitionistic Fuzzy Decision Making Trial and Evaluation Laboratory (IF-DEMATEL) is applied to identify interrelations among these criteria and feedback. Finally, via the VlseKriterijumska Optimizacija I Kompromisno Resenje (VIKOR) method, priorities of hospitals regarding disaster readiness are obtained. A case study involving the participation of 10 Colombian tertiary hospitals is carried out to show the applicability of this fuzzy hybrid approach., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2022 Elsevier Ltd. All rights reserved.)

Hospitals are the first point of contact for people in the face of disasters that interfere with the daily functioning of life and endanger health and social life. All preparations should be made considering the worst possible conditions and the provided service should continue without interruption. In this study, a multi-criteria decision-making model was developed to evaluate disaster preparedness of hospitals. This decision model includes Bayesian best-worst method (BBWM), the VlseKriterijumska Optimizacija I Kompromisno Resenje (VIKOR) and technique for order preference by similarity to ideal solution (TOPSIS) methods. With the proposed decision model, six main criteria and 34 sub-criteria related to disaster preparedness of hospitals were considered. The criteria and sub-criteria evaluated in pairwise comparison manner by the experts were weighted with BBWM. These weight values and the data obtained from the six Turkish hospitals were combined to provide inputs for VIKOR and TOPSIS. In addition, a comparative study and sensitivity analysis were carried out using weight vectors obtained by different tools. BBWM application results show that the "Personnel" criterion was determined as the most important criterion with an importance value of 26%. This criterion is followed by "Equipment" with 25%, "Transportation" with 14%, "Hospital building" and "Communication" with 12%, and "Flexibility" with 11%. Hospital-2 was determined as the most prepared hospital for disasters as a result of VIKOR application. The VIKOR Q value of this hospital was obtained as 0.000. According to the results of the comparative study, Hospital-2 was determined as the most disaster-ready hospital in all six different scenarios. This hospital is followed by Hospital-4 (Q = 0.5661) and Hospital-5 (Q = 0.7464). The remaining rankings were Hospital-6, Hospital-3 and Hospital-1. The solidity of the results was checked with TOPSIS. Based on TOPSIS application results, Hospital-2 was again found the most-ready hospital. The usage of BBWM in this study enabled the expert group's views to be combined without loss of information and to determine the criteria and sub-criteria weights with less pairwise comparisons in a probabilistic perspective. Via the "Credal ranking", which is the contribution of BBWM to the literature, the interpretation of the hierarchy between each criterion has been performed more precisely., Competing Interests: Conflict of interestThe authors declare that they do not have conflict of interest., (© The Author(s), under exclusive licence to Springer Nature B.V. 2021.)

The world is currently struggling with a new type of coronavirus (2019-nCoV) pandemic that first appeared in Wuhan, China, and then spread to almost all countries. As in other countries of the world, public authorities in Turkey are implementing many preventive and mitigating partial lockdown (PL) actions against the virus's effects. Some decisions and policies implemented before and after March 11, 2020, when the first virus case has been identified, have reduced people and traffic circulation, which has also turned into some improvements in air quality. At this point, this study aims to investigate how this pandemic affects the air quality of a metropolis. A case study of the city of Istanbul, the most affected city with more than half of Turkey's cases, is performed. In our analysis, we observe, compare, and discuss the impact of the COVID-19 pandemic and PL decisions on Istanbul city's air quality. We consider the particulate matter (PM 10 ), sulfur dioxide (SO 2 ), carbon monoxide (CO), nitrogen dioxide (NO 2 ), nitrogen oxide (NO), nitrogen oxides (NO x ), and ozone (O3) concentrations. We used data from 19 air monitoring stations (AMSs) and obtained improvements in the air quality for the pandemic period. In summary, the concentration levels in PM 10 , NO 2 , NO, and NOx result in a clear decline in pandemic times compared to the normal times in Istanbul. On the other hand, a non-homogenous trend for SO 2 and CO concentrations is observed for different AMSs. A partial increase in O 2 concentration is obtained in the comparison of before and during the PL period., (© The Author(s), under exclusive licence to Springer Nature B.V. 2021.)

Although environmental awareness has reached a high level, enterprises-regardless of their working domains-follow the concept of greenness for their practices. This awareness among the stakeholders and supply chain experts has a positive impact on the purchasing departments of enterprises in various sectors to consider greenness in their procurement processes. The critical decision that must be made in green supply chain management (GSCM) is supplier selection. In the textile industry, a highly competitive market in recent years, suppliers for this industry have crucial roles in business activities considering environmental issues. Therefore, green supplier selection (GSS) in the textile industry is considered a must-be process for the stakeholders. In this study, a GSS problem is tackled as a multi-criteria decision process. Best worst method (BWM) and TODIM (an acronym in Portuguese of interactive and multi-criteria decision-making) methods are merged under an improved fuzzy concept of interval type-2 fuzzy sets (IT2FSs). In determining green suppliers' evaluation criteria, BWM with interval type-2 fuzzy numbers (IT2F-BWM) is used. In selecting green suppliers, an interval type-2 fuzzy TODIM (IT2F-TODIM) is applied. Considering the characteristics of IT2FSs, BWM, and TODIM methods either individually and in integrated style, the proposed approach can handle uncertainty in the decision-making of GSS. To demonstrate the applicability of the approach, a case study in the Turkish textile industry is performed. Three green supplier alternatives (S1, S2, and S3) are assessed under forty-two sub-criteria. The study shows the most significant sub-criteria are recognized as dye and print quality, product design and pattern suitability, profit on the product, variation in price, and purchase cost. S2 green supplier has been selected as the most appropriate one. A sensitivity analysis is also fulfilled to check variation in the ranking of green suppliers., (© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)

The field of occupational health and safety (OHS) focuses on reducing occupational accidents to an acceptable level. OHS covers systematic efforts aimed at providing employee health, safety and welfare in the workplace. This study proposes a new approach for risk assessment in the field of OHS. It integrates the Pythagorean fuzzy analytic hierarchy process (PFAHP) and fuzzy VlseKriterijumska Optimizacija I Kompromisno Resenje (FVIKOR) into a risk assessment process. The PFAHP is used in weighting the risk parameters. FVIKOR is then applied to prioritize the hazards. To demonstrate the applicability and validity of the proposed approach, a case study of a barrel external surface oxidation and colouring unit of a gun and rifle production facility is performed. A comparison is also provided between the proposed approach and an intuitionistic fuzzy sets-based approach. The proposed approach is found to produce reliable outcomes that better represent the vagueness of the decision-making process.

Considering the unexpected emergence of natural and man-made disasters over the world and Turkey, the importance of preparedness of hospitals, which are the first reference points for people to get healthcare services, becomes clear. Determining the level of disaster preparedness of hospitals is an important and necessary issue. This is because identifying hospitals with low level of preparedness is crucial for disaster preparedness planning. In this study, a hybrid fuzzy decision making model was proposed to evaluate the disaster preparedness of hospitals. This model was developed using fuzzy analytic hierarchy process (FAHP)-fuzzy decision making trial and evaluation laboratory (FDEMATEL)-technique for order preference by similarity to ideal solutions (TOPSIS) techniques and aimed to determine a ranking for hospital disaster preparedness. FAHP is used to determine weights of six main criteria (including hospital buildings, equipment, communication, transportation, personnel, flexibility) and a total of thirty-six sub-criteria regarding disaster preparedness. At the same time, FDEMATEL is applied to uncover the interdependence between criteria and sub-criteria. Finally, TOPSIS is used to obtain ranking of hospitals. To provide inputs for TOPSIS implementation, some key performance indicators are established and related data is gathered by the aid of experts from the assessed hospitals. A case study considering 4 hospitals from the Turkish healthcare sector was used to demonstrate the proposed approach. The results evidenced that Personnel is the most important factor (global weight = 0.280) when evaluating the hospital preparedness while Flexibility has the greatest prominence (c + r = 23.09)., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2020 Elsevier Ltd. All rights reserved.)

Introduction: Underground mining is considered one of the most hazardous industries and is often associated with serious work-related fatalities; this paper addresses job-related hazards and associated risks., Method: A risk assessment approach is proposed (Pythagorean fuzzy environment) and a case study is carried out in an underground copper and zinc mine., Results: Results of the study demonstrate that hazards can be categorized into different risk levels via compromised solutions of the fuzzy approach., Conclusion: The study provides a theoretical contribution by suggesting a Pythagorean fuzzy numbers-based VlseKriterijumska Optimizacija I Kompromisno Resenje (PFVIKOR) approach. Moreover, it contributes to improving overall safety levels of underground mining by considering and advising on the potential hazards of risk management. Practical applications: The proposed approach will improve the existing safety risk assessment mechanism in underground copper and zinc mining., (Copyright © 2019 Elsevier Ltd and National Safety Council. All rights reserved.)

Emergency departments (EDs) provide medical treatment for a broad spectrum of illnesses and injuries to patients who arrive at all hours of the day. The quality and efficient delivery of health care in EDs are associated with a number of factors, such as patient overall length of stay (LOS) and admission, prompt ambulance diversion, quick and accurate triage, nurse and physician assessment, diagnostic and laboratory services, consultations and treatment. One of the most important ways to plan the healthcare delivery efficiently is to make forecasts of ED processes. The aim this study is thus to provide an exhaustive review for ED stakeholders interested in applying forecasting methods to their ED processes. A categorisation, analysis and interpretation of 102 papers is performed for review. This exhaustive review provides an insight for researchers and practitioners about forecasting in EDs in terms of showing current state and potential areas for future attempts., Competing Interests: No potential conflict of interest was reported by the authors., (© 2018 Operational Research Society.)