ABSTRACT
Nowadays, healthcare waste management has become one of the significant environmental, health, and social problems. Due to population and urbanization growth and an increase in healthcare waste disposals according to the growing number of diseases and pandemics like COVID-19, disposal of healthcare waste has become a critical issue. Authorities in big cities require reliable decision support systems to empower them to make strategic decisions to provide safe disposal methods with a prospective vision. Since inappropriate healthcare waste management systems would definitely bring up dangerous environmental, social, health, and economic issues for every city. Therefore, this paper attempts to address the landfill location selection problem for healthcare waste using a novel decision support system. Novel decision support model integrates K-means algorithms with Stratified Best-Worst Method (SBWM) and a novel hybrid MARCOS-CoCoSo under grey interval numbers. The proposed decision support system considers waste generate rate in medical centers, future unforeseen but potential events, and uncertainty in experts' opinion to optimally locate required landfills for safe and economical disposal of dangerous healthcare waste. To investigate the feasibility and applicability of the proposed methodology, a real case study is performed for Mazandaran province in Iran. Our proposed methodology could efficiently deal with 79 medical centers within 4 clusters addressing 9 criteria to prioritize candidate locations. Moreover, the sensitivity analysis of weight coefficients is carried out to evaluate the results. Finally, the efficiency of the methodology is compared with several well-known methods and its high efficiency is demonstrated. Results recommend adherence to local rules and regulations, and future expansion potential as the top two criteria with importance values of 0.173 and 0.164, respectively. Later, best location alternatives are determined for each cluster of medical centers.
ABSTRACT
Due to the high necessity of medical face masks and face shields during the COVID-19 pandemic, healthcare centers dealing with infected patients have faced serious challenges due to the high consumption rate face masks and face shields. In this regard, the supply chain of healthcare centers should put all of their efforts into avoiding any shortages of masks and shields as these products are considered as primary ways to prevent the spread of the virus. Since, any shortages in these products would lead to irrecoverable and costly consequences in terms of the mortality rate of patients and medical staff. Therefore, healthcare centers should decide on best supplier to supply required products, considering technical, and sustainability measures. Dynamicity and uncertainty of the pandemic are other factors that add up to the complexity of the supplier selection problem. Therefore, this paper develops a novel decision-making approach using Measuring attractiveness through a categorical-based evaluation technique (MACBETH) and a new combinative distance-based assessment method to address the supplier selection problem during the COVID-19 pandemic. Due to high uncertainty, vague and incomplete information for decision-making problems during the COVID-19 pandemic, the developed decision-making approach is implemented under fuzzy rough numbers as a superior uncertainty set of the traditional fuzzy set and rough numbers. Extensive sensitivity analysis tests are performed based on parameters of the decision-making approach, impacts of weight coefficients, and consistency of results in comparison to other MCDM methods. A real-life case study is investigated for a hospital in Istanbul, Turkey to show the applicability of the developed approach. Based on the results of MACBETH method, job creation and occupational health and safety systems are two top criteria. Results of the case study for five suppliers indicate that supplier (A1) is the best supplier with a distance score of 3.308.
ABSTRACT
The critical worldwide problem of adapting urban transport planning to COVID-19 is for the first time comprehensively addressed and solved in this study. It primarily aims to help transport planners increase the resilience of transport systems. Firstly, a multi-level decision-making hierarchy structure based on four main criteria and 17 sub-criteria is introduced for relevant stakeholders to provide a practical framework for assessing existing transport plans. Then, a three-stage integrated Fermatean fuzzy model for adapting urban transport planning to the pandemic is presented. The model hybridizes the method based on the removal effects of criteria (MEREC) and combined compromise solution (CoCoSo) method into a unique methodological framework under the Fermatean fuzzy environment. A case study provides decision-making guidelines on how to adapt transport plans to COVID-19 in the real-world context of Belgrade, Serbia. The research findings show that the pandemic significantly changed the priorities of transport planning strategies and measures. "Non-motorized travel" is now the best alternative since its numerous short-term measures lead to better transport service. The major advantages of the introduced model are higher flexibility and a more precise fusion of experts' preference information. The integrated Fermatean fuzzy model could be used for adapting other emerging problems to COVID-19.
ABSTRACT
Medical waste management (MWM) systems are considered among the most important urban systems nowadays. Cities in different countries prefer to transform their infrastructure based on sustainability guidelines and practices. Meanwhile, smart technologies such as Internet of Things (IoT) and blockchain are being recently used in different urban systems of cities that aim to transform into smart cities. MWM systems are one of the main targets of integrating such smart technologies to maximize economic and social profits and minimize environmental issues. However, the transformation of traditional MWM systems into smart MWM systems and the adoption of such technologies can be a very resource-consuming task. One of the possible tasks in this process can be the identification of factors that cause failure in the adoption of smart technologies. Therefore, this study proposes a multi-criteria evaluation model based on type-2 neutrosophic numbers (T2NNs) to identify factors contributing to failure in the adoption of IoT and blockchain in smart MWM systems in Istanbul, Turkey. Results of the case study indicate that training for different stakeholders, market acceptance, transparency, and professional personnel are the main factors that lead to failure in the adoption of smart technologies. Training for different stakeholders, market acceptance, transparency, and professional personnel factors obtained distance values of 0.494, 0.381, 0.375, and 0.278, respectively, against the best factor which is security and privacy. In order to validate the results of the proposed approach, a sensitivity analysis test is performed. Results of this study can be useful for governmental and private MWM and green companies that are planning to adopt IoT and blockchain within their waste management (WM) system.
Subject(s)
Blockchain , Medical Waste , Waste Management , Cities , TurkeyABSTRACT
Waste disposal technology selection is a key problem in the field of municipal solid waste (MSW). This decision may have long-term impacts on environmental development and economic growth. The literature suggests using multi-criteria decision-making (MCDM) methods to address this problem. MCDM techniques commonly require decision makers to assign weightings of importance to the decision criteria based on which, the available technologies are ranked. However, this technology selection problem is concerned with selecting a technology to be used for a relatively long period of time. It is important to take into consideration any uncertainty the decision maker may have with regard to the weightings of the criteria in the future. To take this uncertainty into consideration, this study suggests utilizing a recently developed MCDM technique, namely the stratified MCDM. This technique is designed to help decision makers structure the uncertain future through the consideration of a set of states, which are placed in different strata. The paper shows how the stratified MCDM technique in combination with the best-worst method (labelled stratified BWM) can be employed to compute the ranking of the available technologies. This research is expected to stimulate future applications of the stratified BWM to facilitate long-term decision making.
