Balanced Decision Research Articles

Selection of memory clinic patients for CSF biomarker assessment can be restricted to a quarter of cases by using computerized decision support, without compromising diagnostic accuracy.

An accurate and timely diagnosis for Alzheimer's disease (AD) is important, both for care and research. The current diagnostic criteria allow the use of CSF biomarkers to provide pathophysiological support for the diagnosis of AD. How these criteria should be operationalized by clinicians is unclear. Tools that guide in selecting patients in which CSF biomarkers have clinical utility are needed. We evaluated computerized decision support to select patients for CSF biomarker determination. We included 535 subjects (139 controls, 286 Alzheimer's disease dementia, 82 frontotemporal dementia and 28 vascular dementia) from three clinical cohorts. Positive (AD like) and negative (normal) CSF biomarker profiles were simulated to estimate whether knowledge of CSF biomarkers would impact (confidence in) diagnosis. We applied these simulated CSF values and combined them with demographic, neuropsychology and MRI data to initiate CSF testing (computerized decision support approach). We compared proportion of CSF measurements and patients diagnosed with sufficient confidence (probability of correct class ≥0.80) based on an algorithm with scenarios without CSF (only neuropsychology, MRI and APOE), CSF according to the appropriate use criteria (AUC) and CSF for all patients. The computerized decision support approach recommended CSF testing in 140 (26%) patients, which yielded a diagnosis with sufficient confidence in 379 (71%) of all patients. This approach was more efficient than CSF in none (0% CSF, 308 (58%) diagnosed), CSF selected based on AUC (295 (55%) CSF, 350 (65%) diagnosed) or CSF in all (100% CSF, 348 (65%) diagnosed). We used a computerized decision support with simulated CSF results in controls and patients with different types of dementia. This approach can support clinicians in making a balanced decision in ordering additional biomarker testing. Computer-supported prediction restricts CSF testing to only 26% of cases, without compromising diagnostic accuracy.

Hybrid belief rule base for regional railway safety assessment with data and knowledge under uncertainty

Keeping regional railway transportation safe is of great importance for railway system engineers and decision makers. However, there are still great challenges in modeling the complicated conditions in regional railway transportation: (1) Multiple types of data and knowledge in complicated correlations need to be analyzed, and (2) The approach must be open and accessible to decision makers so that a balanced decision can be made. To address the above challenges, a safety assessment approach using the hybrid Belief Rule Base (BRB) is proposed. In the new approach, multiple types of information are modeled under the hybrid assumption, and thus, hybrid rules are constructed to form the hybrid BRB. With this, both data and knowledge in complicated correlations can be used for the safety assessment on regional railway transportation, rather than only a single railway station or equipment component. Moreover, the assessment process remains open and accessible which provides good interpretability to stakeholders. An empirical regional railway safety assessment case is studied on the existing line and high speed line in the Cheng-Yu region located in the southwestern China. Five aspects, namely, the environment, equipment, management, passengers, and accident, are analyzed and then disintegrated into sub-factors. With the aspects and sub-factors, a comprehensive model is constructed. Case study results show that (1) the overall safety levels of the high speed line are better than the existing line, (2) the safety assessment results are consistent with the historical reports of accidents and system failures, (3) among all aspects, the environment and equipment have a more direct effect on the overall safety levels, and (4) consistency has also been found with railway accident statistics collected from Japan and Canada.

Chapter 8 - Perinatal pharmacology and safety profiles

Most medications are not adequately evaluated for use during pregnancy, delivery, or the postpartum period, and package inserts fail to provide clear instructions for use in these contexts, despite major concerns among health-care providers and the community as to how to practice evidence-based pharmacotherapy. Valproate fetopathy hereby serves as one of the more recent illustrations of the scope of the problem. At its best, evidence-based pharmacotherapy is driven by a balanced decision between disease-related risks (natural course of the disease) and any risks related to exposure to medications for mother, fetus, or infant. This chapter aims to describe the general patterns of changes in pharmacokinetics (absorption, distribution, metabolism, elimination) in pregnant women and postpartum, with specific emphasis on placental drug transport and additional focus on lactation. The relevance of these changes is illustrated by discussing medications commonly prescribed to treat neurologic conditions.

Study on feto-maternal outcome in term singleton pregnancies with breech presentation at tertiary care centre, Jodhpur

Background: Breech presentation is a longitudinal lie of the foetus with the caudal pole occupying the lower part of the uterus and cephalic pole in the uterine fundus. The prevalence of term breech presentation varies globally. Breech presentation and delivery have been classified as high risk because of the increased incidence of perinatal and maternal complications. Comprehensive obstetric care and intensive neonatal care play a crucial role to decrease complications related to breech delivery. Objective: To evaluate feto-maternal outcome including mode of delivery in term singleton pregnancies with breech presentation. Material and Methods: An observational study was conducted on all pregnant women with term singleton breech presentation. A rapid assessment was made to establish the stage of labor, status of membrane and condition of the foetus. Close surveillance of foetal heart rate and uterine contraction was monitored. Vaginal examination was done to know the state and dilation of cervix, type of breech and its status. Status of membranes and the pelvis with assessment of fetopelvic disproportion. Results: The incidence of term breech delivery was 3.63%. The most common complication in term breech presentation was contracted pelvis (6%). The incidence of perinatal morbidity was 9% with maximum case of birth asphyxia (5%). The incidence of perinatal mortality was 8.48% among that in multigravidia parity it was 7.4% and in primigravidia it was 1.08%. Conclusion: It is concluded that the balanced decision about the mode of delivery on a case by case basis as well as conduct, training and regular drills of assisted breech delivery will go a long way to optimize the outcome of breech presentation.

Dispatch’s decision-making support during operational voltage control in control stations

Voltage and reactive power mode control is performed by dispatcher for the purpose of ensuring required reserves on steady state stability and load stability as well as permissible voltage operating conditions of electric grid equipment. The decision made by dispatcher engaged in controlling reactive power and voltage modes is founded on instructional materials developed in advance for each voltage control station (CS) with focus on data about typical modes of power system or energy area operation. The actual efficiency of reactive power compensation facilities depends on many factors (the composition and operation of grid elements, the composition and operation of generating equipment, etc.). To make final and balanced decision, in some cases, it is necessary to perform some estimation calculations, which take more time for decision making. To minimize and reduce the time required by dispatcher for their decision making and improve its accuracy when involved in voltage and reactive power mode control, it is reasonable to develop software able to determine the efficiency of reactive power compensation facilities in real time.

ФОРМИРОВАНИЕ АДАПТИВНОЙ МЕТОДОЛОГИИ РЕГИОНАЛЬНОГО РАЗВИТИЯ В КОНТЕКСТЕ КОНЦЕПЦИИ «УМНЫЙ ГОРОД»

In the face of the uncertainty and instability of the external economic and geopolitical environment, Russian regions face the urgent task of forming an effective model of territorial development to ensure sustainable economic growth and improve the quality of life. The concept “smart city” is widely spread not only in academic and expert circles, but also in the sphere of practical application and implementation in the social and economic life of modern regions as a promising development model. The authors aim to substantiate the theoretical and methodological provisions and tools of the adaptive methodology of modern regional development in the transition to the concept of smart city. Dialectical and system approaches, general scientific methods of retrospective, situational, comparative, factor analysis, content analysis of scientific literature, economic-statistical, comparative, analytical methods of research were used to achieve the aim and solve the problems. The research approach is based on the theoretical and methodological provisions and tools of the adaptive methodology of modern regional development in conditions of transition to the concept of smart city. The focal point of the smart city concept is people – involved subjects interested in applying this concept in solving local problems. The ability to conceptually connect different spheres of life of the population, business units and representatives of public administration depends on the level (strategic, tactical, operative) and methods of their mutual communication, information and experience exchange, innovativeness. A reasonable approach should result in a balanced and functional decision for the given task. Then the main tool of the intellectual approach is a transparent and open information platform, and the main tool is an open and highly effective communication at the level of social dialogue between all involved urban development participants. The authors conclude that the smart city is a future challenge, a model of a city where technology serves people and improves the quality of their economic and social life. At the same time, decisions made in smart cities are not limited to technology, but require active involvement of the population in “smart development”. Besides, it is necessary to understand that there is no reference model of “smart city” development, each individual case requires an individual approach.

The COVID-19 hydroxychloroquine prophylaxis perception of Indian anesthesiologists: A survey-based original article.

Background and Aims:HCQ gained importance following the National Task Force advisory as an anti-SARS-Cov-2 (coronavirus disease-2019 [COVID-19]) drug for frontline healthcare workers (including anesthesiologists). Report of a young anesthesiologist in Assam developing cardiac arrest following HCQ intake for COVID-19 prophylaxis made us even more concerned. A conscious decision has been made by a large majority among us––to have or not to have HCQ. However, less severe complications such as gastrointestinal upset, skin-rash, visual-disturbance, headache, and dizziness even if experienced by HCQ users were likely to go unreported unless shared. The present survey was conducted to assess the prevailing perception among Indian anesthesiologists about HCQ's preventive effect against COVID-19. The information has been pooled together and discussed in this study.Material and Methods:A total of 247 respondents participated in this pan-India survey. The survey questionnaire was prepared using “Google Forms” and conducted via links delivered through WhatsApp and electronic-mail.Results:55.9% (138/247) of the respondents had consumed HCQ, 38% (94/247) did not, and 6.1% (15/247) were undecided at the time of responding to the survey. In total, 47 respondents who ingested HCQ reported a side-effect, gastritis being the commonest (31).Conclusion:The evidence for the effectiveness of HCQ against COVID-19 in India is reportedly as strong and weak as other drugs that have been promoted. The survey highlights the reasons consumption of HCQ and represents the opinion of 247 practicing Indian anesthesiologists. It informs the benefits and side effects of HCQ, which can help others in reaching a balanced decision.

Роль ризик-менеджменту в системі корпоративного управління

In recent years, risk management has been an integral part of corporate management, the attention of the owners and managers of the company should be focused on improving the mechanisms of it. Ukrainian enterprises, like most foreign ones, are characterized by inefficient risk management systems, and risk management itself is one of the key aspects of corporate management that must be prioritized. Developing and implementing effective corporate risk management systems is one of the priority strategic goals of every successful company. And only when successful companies seek to manage individual risks future success will belong to those that raise the risk management in the context of corporate management completely.The peculiarities of formation of the firm’s risk profile relative to the existing risks are determined, the main purpose of which is to identify and systematically organize the risks of the enterprise. In its turn, the practice of risk management shows the presence of a unique classification in any company, which implies the management of risks, however, it should be noted that it is necessary to disclose the specific for each enterprise the profile of the company, the content of which depends on the scale of complexity of the specific enterprise, the degree of development of the infrastructure, the style of management and many others especially. Therefore, the task of modern risk managers is to build a strong risk management culture within companies and to facilitate a balanced decision making, taking into account the entire spectrum of risks.The article describes the characteristics of an integrated risk management system, which is based on integration into the planning and decision-making processes at all corporate levels and areas of activity, which indicates the development of a kind of risk culture as an important corporate indicator of modernity.The estimate of business condition is shown on the basis of a comprehensive analysis of international practice and existing risk management standards. The application of the presented approaches at the national and corporate levels of standardization in Ukraine in the framework of the construction of corporate risk management systems will allow to improve the risk management of enterprises: to evaluate the approaches to the organization of risk management by experts of corporations; identify weaknesses and strengths of corporate risk management in terms of conventional approaches; exchange theoretical and practical experience in risk management at national and international levels; improve corporate and corporate risk management through the use of integrated risk management. According to the results of the research, the following determinants of risk culture development in the corporate governance system are distinguished: integration of processes of identification, analysis and management of risks in the process of management decision making; regular nature of risk culture development in the corporate governance system; transparency and disclosure of results and effectiveness of risk management; continuous development and improvement of risk management approaches within the organization; coordinate activities and formulate asound risk management and corporate governance strategy by management; building an integrated risk management system into the enterprise’s business processes.Further scientific research plans are to look more closely at international risk management standards as a benchmark for modern Ukrainian enterprises, to adapt and develop their own adequate business risk management systems, enabling managers to operate corporate and enterprise risks more effectively.

THE DIAGNOSTICS OF THE DEVELOPMENT OF SOCIAL INTELLIGENCE OF THE PERSON USING PROVERBS AND SAYINGS

In this article social intelligence of teachers of pre-school educational establishments was analyzed in the context of understanding by the person the meaning of proverbs and sayings which include socially determined sense. The author of the article considers the most important criteria for productive functioning of the teacher’s social intelligence so called successful solution of human social non-standard (including – the most original) tasks, as well as the success of a specialist in the implementation of pedagogical activities. The first involves the mandatory functioning of decision-making mechanism. This mechanism, as well as other functional mechanisms of social intelligence (the mechanism of decentralization, the mechanism of intellectual initiation, reflexive mechanisms, etc.), are predetermined by individual cognition, for example, attention, imagination, perception, memory, thinking. That’s why we have a deal with automatism of functional mechanisms of social intelligence. In the field of mnemonic experience (the mnemonic aspect of social intelligence) conscious experiences are accompanied by a sense of subjective evidence of what had been happened. The mechanism of making a socially balanced decision was analyzed taking into account the complexity, non-standard social situation. This mechanism allows the teacher to move away from intellectual formations of a person as a representative of a certain national-cultural space, and, avoiding prototypes and ethnic stereotypes, to choose the most appropriate for this social situation the mechanism for updating the reflection of the subjective space, the cognitive style of carrying out professional activity, and building a development logic situations of interpersonal interaction, taking into account moral and ethnic norms, values, etc., to make a socially weighed decision. The latter will contribute not only because the teacher will adequately and empathically interact with other actors (colleagues and trustees), but also, including the achievement of the teacher of success in the professional activity. In the functional aspect we are talking about the amplification of social intelligence.
 The empirical results of our research allow to distinguish the following tendencies: 1) there are no statistically significant differences in the results of teachers of different groups (including the directors of pre-school educational institutions) according to the success of their interpretation of social meaning at a generalized level; 2) teachers of pre-school educational institutions prevail over the following levels of understanding the meaning of proverbs (sayings), as the “level of concrete understanding” and the “level of global understanding”.

A federated pre-event community resilience approach for assessing physical and social sub-systems: An extreme rainfall case in Hong Kong

Comparative community resilience ranking illuminates resources prioritization in the pre-disruption mitigation process. Nonetheless, previous researchers address community resilience assessment in isolated manner by considering the technical side or social capabilities only. The myopic results generated from the solely designated assessment can be misleading and may affect the subsequent resilience building efforts. More importantly, a single modeling paradigm is insufficient to capture the disparate characteristic of interconnected socio-technical sub-systems in a community. This paper proposes a federated approach to assess the pre-event socio-technical community resilience. It assembles the topological-based evaluation, physics-based performance simulation, and multicriteria decision analysis into a unified framework whereby the results derived from the topological and physics-based methods are treated as inputs for the subsequent multi-criteria decision analysis model to generate comparative socio-technical community resilience ranking. A practical case in Hong Kong is used to demonstrate the applicability of the federated approach. Using the holistic socio-technical assessment results in the illustrative case, mitigation resources can be sensibly prioritized. The strategic implications indicate that the comparative resilience ranking outperforms the results produced by models focusing on the technical or social aspect only. Since the federated approach integrates the strength of multiple models when investigating the static structures and dynamic behaviors of complex socio-technical systems at the community level, it can lead to more reliable and balanced decision making process.

СИСТЕМА АДАПТИВНОГО УПРАВЛЕНИЯ ОРГАНИЗАЦИИ

The article discusses the need, purpose and objectives of introducing an adaptive management system in enterprises. Adaptive management is a combination of concepts and methodologies formed in various scientific and practical fields. The goal of the adaptive management system is to search for the most effective options for making and executing a balanced management decision aimed at creating a mechanism for adapting the development of enterprises in a competitive environment.

The vaginal microbiome as a predictor for outcome of in vitro fertilization with or without intracytoplasmic sperm injection: a prospective study.

The vaginal microbiome as a predictor for outcome of in vitro fertilization with or without intracytoplasmic sperm injection: a prospective study.

A high-performance approach for predicting donor splice sites based on short window size and imbalanced large samples

BackgroundSplice sites prediction has been a long-standing problem in bioinformatics. Although many computational approaches developed for splice site prediction have achieved satisfactory accuracy, further improvement in predictive accuracy is significant, for it is contributing to predict gene structure more accurately. Determining a proper window size before prediction is necessary. Overly long window size may introduce some irrelevant features, which would reduce predictive accuracy, while the use of short window size with maximum information may performs better in terms of predictive accuracy and time cost. Furthermore, the number of false splice sites following the GT–AG rule far exceeds that of true splice sites, accurate and rapid prediction of splice sites using imbalanced large samples has always been a challenge. Therefore, based on the short window size and imbalanced large samples, we developed a new computational method named chi-square decision table (χ2-DT) for donor splice site prediction.ResultsUsing a short window size of 11 bp, χ2-DT extracts the improved positional features and compositional features based on chi-square test, then introduces features one by one based on information gain, and constructs a balanced decision table aimed at implementing imbalanced pattern classification. With a 2000:271,132 (true sites:false sites) training set, χ2-DT achieves the highest independent test accuracy (93.34%) when compared with three classifiers (random forest, artificial neural network, and relaxed variable kernel density estimator) and takes a short computation time (89 s). χ2-DT also exhibits good independent test accuracy (92.40%), when validated with BG-570 mutated sequences with frameshift errors (nucleotide insertions and deletions). Moreover, χ2-DT is compared with the long-window size-based methods and the short-window size-based methods, and is found to perform better than all of them in terms of predictive accuracy.ConclusionsBased on short window size and imbalanced large samples, the proposed method not only achieves higher predictive accuracy than some existing methods, but also has high computational speed and good robustness against nucleotide insertions and deletions.ReviewersThis article was reviewed by Ryan McGinty, Ph.D. and Dirk Walther.

Elderly Patients with ST-Segment Elevation Myocardial Infarction: A Patient-Centered Approach.

Large registries and epidemiologic studies have demonstrated that elderly patients (≥75 years old) represent a growing proportion of the acute coronary syndrome (ACS) population and are exposed to a high risk of both bleeding and ischemic events. In this setting, most of the randomized trials excluded elderly patients while evaluating therapeutic strategies in ACS and only few trials specifically dedicated their design to the elderly population, leading to a paucity of data. Elderly patients are less likely to be treated with an invasive strategy or potent antithrombotic drugs compared with younger patients, while they are exposed to a greater risk of mortality. Nevertheless, the benefit of an invasive approach in ST-segment elevation myocardial infarction (STEMI) has been consistently demonstrated in non-dedicated large percutaneous coronary intervention randomized trials, regardless ofthe patient's age. European clinical practice guidelines recommend that STEMI in elderly patients should not be treated differently thanin younger patients. However, the therapeutic decision should be based on a combined evaluation of both (1) the patient's frailty, including functional or cognitive impairment, and (2) the balance between bleeding and ischemic risks. This review outlines the evidence on the optimal reperfusion and antithrombotic strategies among STEMI elderly patients, suggesting a patient-centered approach to apprehend the balanced therapeutic decision in the very old patient.

Відповідальне батьківство та репродуктивне здоров’я підлітків як складові статевого виховання

The article shows that an important problem of Ukraine is the preservation of reproductive potential and the birth of healthy posterity. According to the WHO (World Health Organization), today Ukraine occupies one of the last places among the countries of the European Union in terms of natural population growth. This situation is happening due to the peculiarities of reproductive behavior and the population's reproductive motivation, which depends on the economic and socio-psychological state of the population. Essential to the implementation of childbearing function is reproductive health. The author emphasizes that the problem of maternity and paternity has recently become increasingly disciplinary in nature, becoming an important subject of study not only in the sciences traditionally directly related to it (medicine, physiology, behavioral biology), but also in the humanities such as history, cultural studies, sociology, psychology, social work. Reproductive health consists of several components: sexual health, family planning, maternity and paternity. Reproductive health is influenced by many factors: ecological, social, economic, hazardous and harmful production, etc. Reproductive health is a system of measures that are directly related to the emergence of healthy posterity and family planning; protection from sexually transmitted diseases; and treatment of diseases of the reproductive system to prevent infant and maternal mortality. The main factors of negative impact on reproductive health are stress, impaired sleep and nutrition, frequent and chronic diseases (including HIV and STIs), abortion, bad habits such as smoking, alcohol, drug usage, promiscuous sex, gambling and computer games, etc. Reproductive health includes the following components: safe pregnancy and childbirth, the period of childbirth and after them; fertility treatment; treatment of diseases of the reproductive sphere; safe, effective prevention of unplanned pregnancy; accessibility and choice of safe methods of contraception and health; treatment of sexually transmitted infections. A separate problem was the psychological readiness of young people to marry, create a family, give birth to children. There is a change in the prior directions of personal development. More and more young people give paramount importance to the material foundations of life, moral and ethical principles and family values are becoming less and less significant. On the one hand, this leads to a more balanced decision about childbearing, their development and upbringing, and on the other hand, it reduces the relationship with the child to the level of material support for his/her needs. Under such conditions, the problem arises of the quality of parents fulfilling the educational functions and responsibilities for development and parenthood, the need to form a conscious, responsible attitude to the parenthood in the young age. Considering this, responsible paternity, reproductive health as a component of preparing young men and women for their responsibilities for the future marriage is one of the main tasks for society. Key words: responsible parenthood, reproductive health, sexual upbringing

Financial Engineering in a Mechanism of Public-Private Partnership in Realization of the Regional Investment Projects

Under the conditions of limited economic growth and risk of budget deficit the concept of financial engineering allows corporate structures with state participation optimizing financial resources movement, attracting additional sources of financing and minimizing cost of their usage.On the basis of financial engineering instruments the corporations solve the tasks of diverse complexity in the field of financial transactions, in particular with securities, make a balanced decision when developing financial and investment projects.

Off-target phenotypes in forensic DNA phenotyping and biogeographic ancestry inference: A resource

With recent advances in DNA sequencing technologies it has become feasible and cost effective to genotype larger marker sets for forensic purposes. Two technologies that make use of the larger marker sets have come into focus in forensic research and applications; inference of biogeographic ancestry (BGA) and forensic DNA phenotyping (FDP). These methods hold the promise to reveal information about a yet unknown perpetrator from a DNA sample. In contrast, DNA-profiling, that is a standard practice in case work, relies on matching DNA-profiles between crime scene material and suspects on a database of DNA-profiles. Markers for DNA-profiling were developed under the premise to reveal as little additional information about the human source of the profile as possible, the rationale being that personal privacy rights have to be balanced against the public interest in solving a crime. The same argument holds for markers used in BGA and FDP; these markers might also reveal information on off-target phenotypes (OTPs), that go beyond BGA and the phenotypes targeted in FDP. In particular, health related OTPs might shift the balance between privacy protection and public interest. However, to our knowledge, there is currently no convenient resource available to incorporate knowledge on OTPs in BGA and FDP assay design and application.In order to provide such a resource, we performed a systematic search for OTPs associated with a comprehensive set of markers (1766 SNPs) used or suggested to be used for BGA inference and FDP. In this set, we identified a relatively small number of 27 SNPs (1.53%) that convey information on diverse health related OTPs such as cancer risk, induced asthma, or risk of alcoholism. Some of these SNPs are commonly used for FDP and BGA across different marker sets. We conclude that the effects of SNP markers used in FDP and BGA on OTPs are currently limited, with few exceptions that should be considered in a balanced decision on assay design and application.

Decisions of Green Supply Chain under Fairness Concerns and Different Power Structures

This article constructs a two-stage dynamic game model for green manufacturers, retailers, and consumers to address the issue that fairness preference in manufacturing can impact supply chain decision-making. This is done by discussing decision-making under the three power structures of green-manufacturer-dominated, retailer-dominated, and the Nash-equilibrium, and compares the balanced decision under the three power structures. The results show that in the manufacturer-dominated and Nash equilibrium games, product greenness, retailer profits, manufacturer profits, total supply chain profits, and a manufacturer's utility all decrease as the fairness preference increases, whereas the retail price and wholesale price are just the opposite of each other. In the retailer-dominated game, the retail price, product greenness, and total supply chain profits are not impacted by the fairness preference. The wholesale price, manufacturer's profits, and manufacturer's utility increases as the fairness preference increases, whereas the retailer profits decrease.

An admission control algorithm based on matching game and differentiated service in wireless mesh networks

With the widespread application and popularity of wireless mesh networks, related resource allocation, load balancing and network security issues have attracted the attention of many researchers and scholars. The admission control strategy can effectively solve related problems such as network load balancing and network resource allocation. At present, the majority of admission control related research is mainly aimed at a single factor such as user or access points. Little researches consider both of them at the same time. However, admission control strategies often require decision making based on multiple factors. This paper takes the overall benefit of the game participants as the optimization goal, establishes a reasonable and effective admission control model and completes the new user access control and network resource allocation problems. According to the network’s attribute and system resource allocation, this paper proposes an admission control model based on matching game and multi-attribute decision making. The algorithm proposed in this paper balances the interests of the network and user, reflects the superiority of the balanced decision of both parties, and guarantees the common interests of the network and the user.

Crossing the Red Line? A Balanced Decision for Parental Presence During Induction in the OR

Crossing the Red Line? A Balanced Decision for Parental Presence During Induction in the OR