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1.
Socioecon Plann Sci ; 85: 101376, 2023 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-35755637

RESUMEN

Coronavirus disease (COVID-19) was recognized in December 2019 and spread very severely throughout the world. In 2022 May, the total death numbers reached 6.28 million people worldwide. During the pandemic, some alternative vaccines were discovered in the middle of 2020. Today, many countries are struggling to supply vaccines and vaccinate their citizens. Besides the difficulties of vaccine supply, mass vaccination is a challenging but mandatory task for the countries. Within this context, determining the mass vaccination site is very important for recovering, thus a five-step approach is generated in this paper to solve this real-life problem. Firstly the mass vaccination site selection criteria are determined, and secondly, the spatial data are collected and mapped by using Geographical Information System (GIS) software. Then, the entropy weighting method (EWM) is used for determining the relative importance levels of criteria and fourthly, the multiple attribute utility theory (MAUT) approach is used for ranking the potential mass vaccination sites. Lastly, ranked alternative sites are analyzed using network analyst tool of GIS in terms of covered population. A case study is conducted in Gaziantep city which is the ninth most population and having above-average COVID-19 patients in Turkey. As a result, the fourth alternative (around the Sehitkamil Monument) is chosen as the best mass vaccination site for the city. It is believed that the outcomes of the paper could be used by city planners and decision-makers.

2.
Comput Methods Programs Biomed ; 209: 106348, 2021 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-34391998

RESUMEN

BACKGROUND AND OBJECTIVE: The COVID-19 pandemic results in an intense flow of patients to hospitals especially to the intensive care units (ICUs) to be treated. The ICUs will therefore be confronted with a massive influx of patients (e.g. Spain and Italy). However, if the number of patients is higher than the resources available in ICUs, rationing decisions such as determining and evaluating the criteria for ICU admission becomes essential. In this case, the decision of which patients will be admitted to the ICUs may put significant pressure on healthcare personnel. The goal of this paper is to determine the criteria to be used in the decision of admission of COVID-19 patients to the ICUs. METHODS: A three-step methodology is applied. In the first step, the evaluation criteria are determined, and then the criteria are prioritized using a fuzzy analytical hierarchy process (AHP) in an uncertain and multiple-criteria environment choice. Finally, COVID-19 patients are ranked using the Multi-Objective Optimization Method by Ratio Analysis to find out which patient is more urgent. RESULTS: According to experts' evaluation of ICU admission criteria, "increment of >2 in SOFA score" seems the most dominant factor among others. The proposed methodology is tested on 10 anonymous COVID-19 positive patients being treated in a public hospital and the ICU admission results are discussed. CONCLUSIONS: Obtained priorities and ranking is in line with the hospitals' behavior that potentially depicts the usefulness and validity of the proposed approach.


Asunto(s)
COVID-19 , Pandemias , Toma de Decisiones , Humanos , Unidades de Cuidados Intensivos , SARS-CoV-2
3.
J Infect Public Health ; 14(6): 775-786, 2021 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-34022737

RESUMEN

COVID-19, which emerged in December 2019, has affected the entire world. Therefore, COVID-19 has been a subject of research in various disciplines, especially in the field of health. One of these studies was the report made by the Deep Knowledge Group (DKG) consortium in which safe regions for COVID-19 were determined. In the report, the main criteria of quarantine efficiency, government efficiency of risk management, monitoring and detection, health readiness, regional resilience, and emergency preparedness are used in the evaluation of countries and regions (alternatives). As the data and research structure used in this report are based on multi-criteria, the purpose of this study is to evaluate and analyse the safety levels of 100 regions in the world in terms of COVID-19 using Technique for Order Performance by Similarity to Ideal Solution (TOPSIS), Vise Kriterijumsa Optimizacija I Kompromisno Resenje (VIKOR) and Complex Proportional Assessment (COPRAS) methods. The data and information required in the methods were obtained from a report prepared by the DKG. The results of the methods were compared with the ranking results presented in a report of the DKG. Accordingly, it has been observed that the method that provides the closest results to the results of the report is the COPRAS method, and the method that gives the most distant results is the VIKOR method.


Asunto(s)
COVID-19 , Humanos , SARS-CoV-2
4.
Environ Sci Pollut Res Int ; 27(34): 42908-42932, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-32725564

RESUMEN

There are many criteria to be considered in environmental, social, and economic issues for the landfill site selection (LSS). Multi-criteria decision analysis (MCDA) methods are often used to solve complex decision-making problems such as LSS. However, decision-makers (DMs) may hesitate during the evaluation of the landfill sites with possible incorrect evaluation concerns. Therefore, the inclusion of the hesitant fuzzy linguistic term sets (HFLTS), which considers the hesitations in the preferences of DMs, is suitable for the solution of the problem. On the other hand, geographic information systems (GIS) is an important decision support tool that can analyze different types of spatial data. The aim of this study is to evaluate landfill sites. To do so, the applied approach includes the processes of identifying appropriate alternative sites for landfills by combining HFLTS-based MCDA method and GIS and evaluation of alternative sites with Technique for Order Preference by Similarity to Ideal Solution (TOPSIS). The applicability of the proposed approach is tested on Samsun city, Turkey. As a result, scenario analysis, which is dominated by environmental criteria, provides better results dominated by social-economic criteria. Consequently, 12 alternative locations are selected and evaluated for the LSS. Atakum and Canik districts of Samsun city are determined as very suitable locations for landfill sites.


Asunto(s)
Sistemas de Información Geográfica , Eliminación de Residuos , Ciudades , Técnicas de Apoyo para la Decisión , Lingüística , Turquía , Instalaciones de Eliminación de Residuos
5.
Environ Sci Pollut Res Int ; 26(30): 30711-30730, 2019 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-31493083

RESUMEN

One of the cheapest and proper methods for the ultimate disposal of Municipal Solid Waste (MSW) is landfilling. However, determining the location of landfill sites is a difficult and complex task due to depending on social, environmental, technical, economic, and legal factors. To solve the aforementioned challenges related to the landfill site suitability analysis, the combinations of Geographic Information System (GIS) and Multi-Criteria Decision-Making (MCDM) have been studied by academia and applied by experts over the years. This notice is apparent by the large number of academic papers which have been announced in the near future. To provide a framework of the existing literature, and to guide colleagues, a state-of-the-art of recent papers is crucial. The goal of this study is to review all scientific papers in GIS-based MCDM modeling for landfill site suitability analysis in academic journals. A total of 106 studies published between 2005 and 2019 are recorded and surveyed. The studies are then investigated and classified by a generated taxonomy including following categories: GIS software, application area, uncertainty, MCDM techniques, cell sizes in GIS, and criteria. Based on the review conducted, it is observed that while Analytical Hierarchy Process (AHP) and Weighted Linear Combination (WLC) are the most widely used MCDM methods for weighting the criteria and ranking the alternatives, respectively. On the other hand, while environmental dimension is the most commonly preferred main criteria, surface water comes first in the sub-criteria pool. Criteria analysis shows that surface and ground water, geology, land use, distance to fault zone, distance to urban areas, and distance to road and slope are the most commonly used criteria groups among others. These classifications and observations are helpful for identifying research gaps in the current literature and provide insights for future modeling and research efforts in the field.


Asunto(s)
Sistemas de Información Geográfica , Residuos Sólidos , Instalaciones de Eliminación de Residuos , Técnicas de Apoyo para la Decisión , Eliminación de Residuos/métodos , Programas Informáticos , Incertidumbre
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