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Bioremediation techniques, which harness the metabolic activities of microorganisms, offer sustainable and environmentally friendly approaches to contaminated soil remediation. These methods involve the introduction of specialized microbial consortiums to facilitate the degradation of pollutants, contribute to soil restoration, and mitigate environmental hazards. When selecting the most effective bioremediation technique for soil decontamination, precise and dependable decision-making methods are critical. This research endeavors to tackle the aforementioned concern by utilizing the tool of aggregation operators in the framework of the Linguistic Intuitionistic Fuzzy (LIF) environment. Linguistic Intuitionistic Fuzzy Sets (LIFSs) provide a robust framework for representing and managing uncertainties associated with linguistic expressions and intuitionistic assessments. Aggregation operators enrich the decision-making process by efficiently handling the intrinsic uncertainties, preferences, and priorities of MADM problems; as a consequence, the decisions produced are more reliable and precise. In this research, we utilize this concept to devise innovative aggregation operators, namely the linguistic intuitionistic fuzzy Dombi weighted averaging operator (LIFDWA) and the linguistic intuitionistic fuzzy Dombi weighted geometric operator (LIFDWG). We also demonstrate the critical structural properties of these operators. Additionally, we formulate novel score and accuracy functions for multiple attribute decision-making (MADM) problems within LIF knowledge. Furthermore, we develop an algorithm to confront the complexities associated with ambiguous data in solving decision-making problems in the LIF Dombi aggregation environment. To underscore the efficacy and superiority of our proposed methodologies, we adeptly apply these techniques to address the MADM problem concerning the optimal selection of a bioremediation technique for soil decontamination. Moreover, we present a comparative evaluation to delineate the authenticity and practical applicability of the recently introduced approaches relative to previously formulated techniques.

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Health care systems around the world do not have sufficient medical services to immediately offer elective (e.g., scheduled or non-emergency) services to all patients. The goal of patient admission scheduling (PAS) as a complicated decision making issue is to allocate a group of patients to a limited number of resources such as rooms, time slots, and beds based on a set of preset restrictions such as illness severity, waiting time, and disease categories. This is a crucial issue with multi-criteria group decision making (MCGDM). In order to address this issue, we first conduct an assessment of the admission process and gather four (4) aspects that influence patient admission and design a set of criteria. Even while many of these indicators may be accurately captured by the picture fuzzy set, we use an advanced MCGDM approach that incorporates generalized aggregation to analyze patients' hospitalization. Finally, numerical real-world applications of PAS are offered to illustrate the validity of the suggested technique. The advantages of the proposed approaches are also examined by comparing them to various existing decision methods. The proposed technique has been proved to assist hospitals in managing patient admissions in a flexible manner.

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Instead of the conventional 0 and 1 values, bipolar reasoning uses -1, 0, +1 to describe double-sided judgements in which neutral elements are halfway between positive and negative evaluations (e.g., "uncertain" lies between "impossible" and "totally sure"). We discuss the state-of-the-art in bipolar logics and recall two medieval forerunners, i.e., William of Ockham and Nicholas of Autrecourt, who embodied a bipolar mode of thought that is eminently modern. Starting from the trivial observation that "once a wheat sheaf is sealed and tied up, the packed down straws display the same orientation", we work up a new theory of the bipolar nature of networks, suggesting that orthodromic (i.e., feedforward, bottom-up) projections might be functionally coupled with antidromic (i.e., feedback, top-down) projections via the mathematical apparatus of presheaves/globular sets. When an entrained oscillation such as a neuronal spike propagates from A to B, changes in B might lead to changes in A, providing unexpected antidromic effects. Our account points towards the methodological feasibility of novel neural networks in which message feedback is guaranteed by backpropagation mechanisms endowed in the same feedforward circuits. Bottom-up/top-down transmission at various coarse-grained network levels provides fresh insights in far-flung scientific fields such as object persistence, memory reinforcement, visual recognition, Bayesian inferential circuits and multidimensional activity of the brain. Implying that axonal stimulation by external sources might backpropagate and modify neuronal electric oscillations, our theory also suggests testable previsions concerning the optimal location of transcranial magnetic stimulation's coils in patients affected by drug-resistant epilepsy.

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The Pythagorean probabilistic hesitant fuzzy set (PyPHFS) is an effective, generalized and powerful tool for expressing fuzzy information. It can cover more complex and more hesitant fuzzy evaluation information. Therefore, based on the advantages of PyPHFSs, this paper presents a new extended fuzzy TOPSIS method for dealing with uncertainty in the form of PyPHFS in real life problems. The paper is divided into three main parts. Firstly, the novel Pythagorean probabilistic hesitant fuzzy entropy measure is established using generalized distance measure under PyPHFS information to find out the unknown weights information of the attributes. The second part consists of the algorithm sets of the TOPSIS technique under PyPHFS environment, where the weights of criteria are completely unknown. Finally, in order to verify the efficiency and superiority of the proposed method, this paper applies some practical examples of the selection of the most critical fog-haze influence factor and makes a detailed comparison with other existing methods.

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OBJECTIVE: To build a machine-learning model that predicts laboratory test results and provides a promising lab test reduction strategy, using spatial-temporal correlations. MATERIALS AND METHODS: We developed a global prediction model to treat laboratory testing as a series of decisions by considering contextual information over time and across modalities. We validated our method using a critical care database (MIMIC III), which includes 4,570,709 observations of 12 standard laboratory tests, among 38,773 critical care patients. Our deep-learning model made real-time laboratory reduction recommendations and predicted the properties of lab tests, including values, normal/abnormal (whether labs were within the normal range) and transition (normal to abnormal or abnormal to normal from the latest lab test). We reported area under the receiver operating characteristic curve (AUC) for predicting normal/abnormal, evaluated accuracy and absolute bias on prediction vs. observation against lab test reduction proportion. We compared our model against baseline models and analyzed the impact of variations on the recommended reduction strategy. RESULTS: Our best model offered a 20.26 % reduction in the number of laboratory tests. By applying the recommended reduction policy on the hold-out dataset (7755 patients), our model predicted normality/abnormality of laboratory tests with a 98.27 % accuracy (AUC, 0.9885; sensitivity, 97.84 %; specificity, 98.80 %; PPV, 99.01 %; NPV, 97.39 %) on 20.26 % reduced lab tests, and recommended 98.10 % of transitions to be checked. Our model performed better than the greedy models, and the recommended reduction strategy was robust. DISCUSSION: Strong spatial and temporal correlations between laboratory tests can be used to optimize policies for reducing laboratory tests throughout the hospital course. Our method allows for iterative predictions and provides a superior solution for the dynamic decision-making laboratory reduction problem. CONCLUSION: This work demonstrates a machine-learning model that assists physicians in determining which laboratory tests may be omitted.

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OBJECTIVE: To determine the perception and disposition of medical students towards critical thinking. METHODS: The cross-sectional study was carried out from July 1, 2015, to March 30, 2016, at Gujranwala Medical College, Gujranwala, Pakistan, and comprised undergraduate medical students. Student's perception about critical thinking was assessed through a self-administered questionnaire and the standard California Critical Thinking Disposition Inventory. Data was analysed using SPSS 21. RESULTS: Of the 228 students, 191(84%) were females and 37(16%) were males. Overall mean age was 21.02±1.56 years, and 142(62%) were in the clinical years of their studies. Mean inventory score was 273.3±20. Besides, 157(69%) students perceived critical thinking as a positive thought process, while 52(22.8%) had no idea about it, and 19(8.3%) took critical thinking as a negative process. CONCLUSIONS: Most medical students were found to have a positive perception but they were not disposed towards critical thinking.

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