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Pereira RCA, Moreira MÂL, Costa IPDA, Tenório FM, Barud NA, Fávero LP, Al-Qudah AA, Gomes CFS, dos Santos M. Feasibility of a Hospital Information System for a Military Public Organization in the Light of the Multi-Criteria Analysis. Healthcare (Basel) 2022; 10:2147. [PMID: 36360488 PMCID: PMC9690232 DOI: 10.3390/healthcare10112147] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2022] [Revised: 10/18/2022] [Accepted: 10/22/2022] [Indexed: 07/29/2023] Open
Abstract
The healthcare environment presents a large volume of personal and sensitive patient data that needs to be available and secure. Information and communication technology brings a new reality to healthcare, promoting improvements, agility and integration. Regarding high-level and complex decision-making scenarios, the Brazilian Navy (BN), concerning its healthcare field, is seeking to provide better management of its respective processes in its hospital facilities, allowing accurate control of preventive and curative medicine to members who work or have served there in past years. The study addresses the understanding, structure and clarifying variables related to the feasibility of technological updating and installing of a Hospital Information System (HIS) for BN. In this scenario, through interviews and analysis of military organization business processes, criteria and alternatives were established based on multi-criteria methodology as a decision aid. As methodological support for research and data processing, THOR 2 and PROMETHEE-SAPEVO-M1 methods were approached, both based on the scenarios of outranking alternatives based on the preferences established by the stakeholders in the problem. As a result of the methodological implementation, we compare the two implemented methods in this context, exposing the Commercial Software Purchase and Adoption of Free Software, integrated into Customization by the Marine Studies Foundation, as favorable actions to be adopted concerning HIS feasibility. This finding generates a comprehensive discussion regarding the BN perspective and changes in internal development in the military environment, prospecting alignment to the culture of private organizations in Information Technology for healthcare management. In the end, we present some conclusions concerning the study, exploring the main points of the decision-making analysis and for future research.
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Affiliation(s)
| | - Miguel Ângelo Lellis Moreira
- Production Engineering Department, Federal Fluminense University, Rio de Janeiro 24210-240, Brazil
- Operational Research Department, Naval Systems Analysis Centre, Rio de Janeiro 20091-000, Brazil
| | - Igor Pinheiro de Araújo Costa
- Production Engineering Department, Federal Fluminense University, Rio de Janeiro 24210-240, Brazil
- Operational Research Department, Naval Systems Analysis Centre, Rio de Janeiro 20091-000, Brazil
| | - Fabrício Maione Tenório
- Production Engineering Department, Federal Fluminense University, Rio de Janeiro 24210-240, Brazil
| | - Naia Augusto Barud
- Production Engineering Department, Federal Fluminense University, Rio de Janeiro 24210-240, Brazil
| | - Luiz Paulo Fávero
- School of Economics, Business and Accounting, University of São Paulo, Sao Paulo 05508-010, Brazil
| | - Anas Ali Al-Qudah
- Faculty of Business, Liwa College of Technology, Abu Dhabi 51133, United Arab Emirates
| | | | - Marcos dos Santos
- Production Engineering Department, Federal Fluminense University, Rio de Janeiro 24210-240, Brazil
- Operational Research Department, Naval Systems Analysis Centre, Rio de Janeiro 20091-000, Brazil
- Systems and Computing Department, Military Institute of Engineering, Rio de Janeiro 22290-270, Brazil
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Modification of the DIBR and MABAC Methods by Applying Rough Numbers and Its Application in Making Decisions. INFORMATION 2022. [DOI: 10.3390/info13080353] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
This study considers the problem of selecting an anti-tank missile system (ATMS). The mentioned problem is solved by applying a hybrid multi-criteria decision-making model (MCDM) based on two methods: the DIBR (Defining Interrelationships Between Ranked criteria) and the MABAC (Multi-Attributive Border Approximation area Comparison) methods. The methods are modified by applying rough numbers, which present a very suitable area for considering uncertainty following decision-making processes. The DIBR method is a young method with a simple mathematical apparatus which is based on defining the relation between ranked criteria, that is, adjacent criteria, reducing the number of comparisons. This method defines weight coefficients of criteria, based on the opinion of experts. The MABAC method is used to select the best alternative from the set of the offered ones, based on the distance of the criteria function of every observed alternative from the border approximate area. The paper has two main innovations. With the presented decision-making support model, the ATMS selection problem is raised to a higher level, which is based on a proven mathematical apparatus. In terms of methodology, the main innovation is successful application of the rough DIBR method, which has not been treated in this way in the literature so far. Additionally, an analysis of the literature related to the research problem as well as to the methods used is carried out. After the application of the model, the sensitivity analysis of the output results of the presented model to the change of the weight coefficients of criteria is performed, as well as the comparison of the results of the presented model with other methods. Finally, the proposed model is concluded to be stable and multi-criteria decision-making methods can be a reliable tool to help decision makers in the selection process. The presented model has the potential of being applied in other case studies as it has proven to be a good means for considering uncertainty.
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Mustapha MT, Ozsahin DU, Ozsahin I, Uzun B. Breast Cancer Screening Based on Supervised Learning and Multi-Criteria Decision-Making. Diagnostics (Basel) 2022; 12:diagnostics12061326. [PMID: 35741136 PMCID: PMC9221649 DOI: 10.3390/diagnostics12061326] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2022] [Revised: 03/14/2022] [Accepted: 03/29/2022] [Indexed: 01/16/2023] Open
Abstract
On average, breast cancer kills one woman per minute. However, there are more reasons for optimism than ever before. When diagnosed early, patients with breast cancer have a better chance of survival. This study aims to employ a novel approach that combines artificial intelligence and a multi-criteria decision-making method for a more robust evaluation of machine learning models. The proposed machine learning techniques comprise various supervised learning algorithms, while the multi-criteria decision-making technique implemented includes the Preference Ranking Organization Method for Enrichment Evaluations. The Support Vector Machine, having achieved a net outranking flow of 0.1022, is ranked as the most favorable model for the early detection of breast cancer. The net outranking flow is the balance between the positive and negative outranking flows. This indicates that the higher the net flow, the better the alternative. K-nearest neighbor, logistic regression, and random forest classifier ranked second, third, and fourth, with net flows of 0.0316, −0.0032, and −0.0541, respectively. The least preferred alternative is the naive Bayes classifier with a net flow of −0.0766. The results obtained in this study indicate the use of the proposed method in making a desirable decision when selecting the most appropriate machine learning model. This gives the decision-maker the option of introducing new criteria into the decision-making process.
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Affiliation(s)
- Mubarak Taiwo Mustapha
- Department of Biomedical Engineering, Near East University, Mersin 99138, Turkey; (M.T.M.); (I.O.)
- Operational Research Centre in Healthcare, Near East University, Nicosia 99138, Cyprus
| | - Dilber Uzun Ozsahin
- Department of Medical Diagnostic Imaging, College of Health Science, University of Sharjah, Sharjah 27272, United Arab Emirates
- Operational Research Centre in Healthcare, Near East University, Nicosia 99138, Cyprus
- Correspondence:
| | - Ilker Ozsahin
- Department of Biomedical Engineering, Near East University, Mersin 99138, Turkey; (M.T.M.); (I.O.)
- Operational Research Centre in Healthcare, Near East University, Nicosia 99138, Cyprus
| | - Berna Uzun
- Department of Statistics, Carlos III University of Madrid, 28903 Getafe, Madrid, Spain;
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Modification of the Logarithm Methodology of Additive Weights (LMAW) by a Triangular Fuzzy Number and Its Application in Multi-Criteria Decision Making. AXIOMS 2022. [DOI: 10.3390/axioms11030089] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The Logarithm Methodology of Additive Weights (LMAW) method is a very young method and in its basic form is defined for crisp values. In this paper, the LMAW method was improved by being modified with triangular fuzzy numbers. The modification significantly improved the capacity of the LMAW method to consider uncertainty in decision making. The special importance of the method is reflected in a relatively simple mathematical apparatus due to which it is possible to define, with high quality, weight coefficients of criteria and rank alternative solutions in uncertain environments. The method was tested in solving the problem of the location selection for a landing operations point (LOP) in combat operations of the army. The validation of the obtained results was performed: (1) by means of comparison with the Fuzzy Simple Additive Weighting (FSAW) Method, the Fuzzy Multi-Attributive Border Approximation area Comparison (FMABAC), the fuzzy Višekriterijumsko KOmpromisno Rangiranje (FVIKOR), the fuzzy COmpressed PRoportional ASsessment (FCOPRAS), and the fuzzy Multi Attributive Ideal-Real Comparative Analysis (FMAIRCA); (2) by means of sensitivity analysis by changing the weight coefficients of criteria; and (3) using simulation software. In comparison with other methods, the quality of the ranking of alternative solutions was confirmed, which highlighted the special importance of the fuzzy LMAW method relative to that of certain standard methods, respectively, the ones that are often used and confirmed in practice. On the other hand, the sensitivity analysis, including the changing of the weight coefficients of criteria, showed that the model could tolerate smaller errors in defining the weight coefficients of criteria, and it provided stable results. Finally, the validation of results achieved with the use of simulation software confirmed the obtained output results. The output results confirmed the quality of the modified method.
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Lellis Moreira MÂ, Simões Gomes CF, Dos Santos M, da Silva Júnior AC, de Araújo Costa IP. Sensitivity Analysis by the PROMETHEE-GAIA method: Algorithms evaluation for COVID-19 prediction. PROCEDIA COMPUTER SCIENCE 2022; 199:431-438. [PMID: 35136460 PMCID: PMC8812089 DOI: 10.1016/j.procs.2022.01.052] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
With the expansion of coronavirus in the World, the search for technology solutions based on the analysis and prospecting of diseases has become constant. The paper addresses a machine learning algorithms analysis used to predict and identify infected patients. For analysis, we use a multicriteria approach using the PROMETHEE-GAIA method, providing the structuring of alternatives respective to a set of criteria, thus enabling the obtaining of their importance degree under the perspective of multiple criteria. The study approaches a sensitivity analysis, evaluating the alternatives using the PROMETHEE I and II methods, along with the GAIA plan, both implemented by the Visual PROMETHEE computational tool, exploring numerical and graphical resources. The analysis model proves to be effective, guaranteeing the ranking of alternatives by inter criterion evaluation and local results with intra criterion evaluation, providing a transparent analysis concerning the selection of prediction algorithms to combat the COVID-19 pandemic.
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Affiliation(s)
- Miguel Ângelo Lellis Moreira
- Fluminense Federal University, Niterói, RJ 24210-240, Brazil
- Military Institute of Engineering, Urca, RJ 22290-270, Brazil
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Airspace Operation Effectiveness Evaluation Based on q-Rung Orthopair Probabilistic Hesitant Fuzzy GRA and TOPSIS. Symmetry (Basel) 2022. [DOI: 10.3390/sym14020242] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/07/2022] Open
Abstract
In order to improve the ability of airspace management, a multi-attribute decision-making tool based on q-rung orthopair probability hesitant fuzzy GRA-TOPSIS is proposed to solve the problem of airspace operation effectiveness evaluation; this is in view of the fact that there are few airspace operation effectiveness evaluation methods in general aviation airports. Firstly, taking general aviation airports as the research object, a complete airspace operation effectiveness evaluation system is newly established, its evaluation indicators are introduced, and its multi-attribute decision-making ideas are explained. Then, based on the q-rung orthopair probability hesitant fuzzy set, a new distance measure and information aggregation operator are defined, which can better deal with symmetry information. Secondly, we build a deviation maximization model to calculate the attribute weights of indicator elements in the decision-making process. Then, we combine the GRA method and TOPSIS method to rank the airspace operation effectiveness evaluation schemes. Finally, combined with calculation examples and comparative analysis, the reliability and rationality of the method proposed in this paper are verified, and the symmetry relationship between the evaluation results and the actual situation is better reflected. Experiments show that the method proposed in this paper can obtain more accurate airspace operation effectiveness evaluation results, and can provide reference for related research.
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Barbosa de Paula NO, de Araújo Costa IP, Drumond P, Lellis Moreira MÂ, Simões Gomes CF, Dos Santos M, do Nascimento Maêda SM. Strategic support for the distribution of vaccines against Covid-19 to Brazilian remote areas: A multicriteria approach in the light of the ELECTRE-MOr method. PROCEDIA COMPUTER SCIENCE 2022; 199:40-47. [PMID: 35136456 PMCID: PMC8812108 DOI: 10.1016/j.procs.2022.01.006] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
The pandemic caused by the new coronavirus has brought to light a series of concerns for the Brazilian population and government departments due to the different costly consequences that it has generated. It has also mobilized different strategic fronts that plan and implement several mitigating measures against the virus. Besides, the search for solutions for adequate care for individuals in need of support has been constant. This work uses ELECTRE-MOr, a Multi-Criteria Decision Aid (MCDA) method, to support the logistic plan for the vaccine distribution throughout Brazil, essentially to remote areas. The method allows an objective and structured classification of ideal types of thermal boxes for the storage of immunobiological inside the Cold Chain, presenting the best alternative that maintains the quality of materials until the final destination and has the best cost-benefit. Currently, the ELECTRE-MOr model is under development in a computational tool in Python, allowing the use of the method intuitively and clearly, enabling professionals of any area of expertise to apply it.
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Affiliation(s)
| | | | - Paula Drumond
- Military Institute of Engineering, Urca, RJ 22290-270, Brazil
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