Induced hesitant 2-tuple linguistic aggregation operators with application in group decision making

In this article, hesitant 2-tuple linguistic arguments are used to evaluate the group decision making problems which have inter dependent or inter active attributes. Operational laws are developed for hesitant 2-tuple linguistic elements and based on these operational laws hesitant 2- tuple weighted averaging operator and generalized hesitant 2- tuple averaging operator are proposed. Combining Choquet integral with hesitant 2-tuple linguistic information, some new aggregation operators are defined, including the hesitant 2-tuple correlated averaging operator, the hesitant 2-tuple correlated geometric operator and the generalized hesitant 2-tuple correlated averaging operator. These proposed operators successfully manage the correlations among the elements. After investigating the properties of these operators, a multiple attribute decision making method based on these operators, is suggested. Finally, an example is given to illustrate the practicality and feasibility of proposed method

The development and validation of a scoring tool to predict the operative duration of elective laparoscopic cholecystectomy

Background: The ability to accurately predict operative duration has the potential to optimise theatre efficiency and utilisation, thus reducing costs and increasing staff and patient satisfaction. With laparoscopic cholecystectomy being one of the most commonly performed procedures worldwide, a tool to predict operative duration could be extremely beneficial to healthcare organisations. Methods: Data collected from the CholeS study on patients undergoing cholecystectomy in UK and Irish hospitals between 04/2014 and 05/2014 were used to study operative duration. A multivariable binary logistic regression model was produced in order to identify significant independent predictors of long (> 90 min) operations. The resulting model was converted to a risk score, which was subsequently validated on second cohort of patients using ROC curves. Results: After exclusions, data were available for 7227 patients in the derivation (CholeS) cohort. The median operative duration was 60 min (interquartile range 45–85), with 17.7% of operations lasting longer than 90 min. Ten factors were found to be significant independent predictors of operative durations > 90 min, including ASA, age, previous surgical admissions, BMI, gallbladder wall thickness and CBD diameter. A risk score was then produced from these factors, and applied to a cohort of 2405 patients from a tertiary centre for external validation. This returned an area under the ROC curve of 0.708 (SE = 0.013, p  90 min increasing more than eightfold from 5.1 to 41.8% in the extremes of the score. Conclusion: The scoring tool produced in this study was found to be significantly predictive of long operative durations on validation in an external cohort. As such, the tool may have the potential to enable organisations to better organise theatre lists and deliver greater efficiencies in care

An Overview of Electrokinetic Remediation Assisted Phytoremediation to Remediate Barren Acidic Soil

Abstract. Electrokinetic has proven to be alternative technique to remediate pollution and increase soil strength for soft soil. This remediation method has been applied to remediate the hydrocarbon and heavy metal contaminant. Phytoremediation is a technique used to remediate the hydrocarbon and heavy metal contaminant. Both of this remediation technique has been proven as attractive alternative to clean up polluted soils. Although barren acidic soil is not categories as hazardous, the necessity of covered soil surface is on demand in order to minimize the surface erosion. Other than that, this remediation technology also helps in horticulture in order to enlarge the plantation and farming area. This paper will explain the formation of barren acidic soil, principles electrokinetic remediation for remediation of barren acidic soil and application of phytoremediation in order to sustain the process of remediation. Correlation of both remediation methods will minimize the acidic ion migration and sustain the pH value on soil surface for grass, vegetable or palm oil plantation

An Overview of Electrokinetic Remediation Assisted Phytoremediation to Remediate Barren Acidic Soil

Abstract. Electrokinetic has proven to be alternative technique to remediate pollution and increase soil strength for soft soil. This remediation method has been applied to remediate the hydrocarbon and heavy metal contaminant. Phytoremediation is a technique used to remediate the hydrocarbon and heavy metal contaminant. Both of this remediation technique has been proven as attractive alternative to clean up polluted soils. Although barren acidic soil is not categories as hazardous, the necessity of covered soil surface is on demand in order to minimize the surface erosion. Other than that, this remediation technology also helps in horticulture in order to enlarge the plantation and farming area. This paper will explain the formation of barren acidic soil, principles electrokinetic remediation for remediation of barren acidic soil and application of phytoremediation in order to sustain the process of remediation. Correlation of both remediation methods will minimize the acidic ion migration and sustain the pH value on soil surface for grass, vegetable or palm oil plantation