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  1. Article: Road safety assessment and risks prioritization using an integrated SWARA and MARCOS approach under spherical fuzzy environment.

    Jafarzadeh Ghoushchi, Saeid / Shaffiee Haghshenas, Sina / Memarpour Ghiaci, Ali / Guido, Giuseppe / Vitale, Alessandro

    Neural computing & applications

    2022  Volume 35, Issue 6, Page(s) 4549–4567

    Abstract: There are a lot of elements that make road safety assessment situations unpredictable and hard to understand. This could put people's lives in danger, hurt the mental health of a society, and cause permanent financial and human losses. Due to the ... ...

    Abstract There are a lot of elements that make road safety assessment situations unpredictable and hard to understand. This could put people's lives in danger, hurt the mental health of a society, and cause permanent financial and human losses. Due to the ambiguity and uncertainty of the risk assessment process, a multi-criteria decision-making technique for dealing with complex systems that involves choosing one of many options is an important strategy of assessing road safety. In this study, an integrated stepwise weight assessment ratio analysis (SWARA) with measurement of alternatives and ranking according to compromise solution (MARCOS) approach under a spherical fuzzy (SF) set was considered. Then, the proposed methodology was applied to develop the approach of failure mode and effect analysis (FMEA) for rural roads in Cosenza, southern Italy. Also, the results of modified FMEA by SF-SWARA-MARCOS were compared with the results of conventional FMEA. The risk score results demonstrated that the source of risk (human) plays a significant role in crashes compared to other sources of risk. The two risks, including landslides and floods, had the lowest values among the factors affecting rural road safety in Calabria, respectively. The correlation between scenario outcomes and main ranking orders in weight values was also investigated. This study was done in line with the goals of sustainable development and the goal of sustainable mobility, which was to find risks and lower the number of accidents on the road. As a result, it is thus essential to reconsider laws and measures necessary to reduce human risks on the regional road network of Calabria to improve road safety.
    Language English
    Publishing date 2022-10-25
    Publishing country England
    Document type Journal Article
    ZDB-ID 1480526-1
    ISSN 1433-3058 ; 0941-0643
    ISSN (online) 1433-3058
    ISSN 0941-0643
    DOI 10.1007/s00521-022-07929-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Padua prediction score and IMPROVE score do predict in-hospital mortality in Internal Medicine patients.

    Arpaia, Guido Giuseppe / Caleffi, Alessandro / Marano, Giuseppe / Laregina, Micaela / Erba, Giulia / Orlandini, Francesco / Cimminiello, Claudio / Boracchi, Patrizia

    Internal and emergency medicine

    2020  Volume 15, Issue 6, Page(s) 997–1003

    Abstract: Padua prediction score (PPS) and IMPROVE bleeding score are validated tools for venous thromboembolism (VTE) risk assessment recommended by guidelines, albeit not frequently used. Some data suggest that a positive PPS and IMPROVE score may be were ... ...

    Abstract Padua prediction score (PPS) and IMPROVE bleeding score are validated tools for venous thromboembolism (VTE) risk assessment recommended by guidelines, albeit not frequently used. Some data suggest that a positive PPS and IMPROVE score may be were associated with early mortality in Internal Medicine patients. Aim of the study was to characterize the predictive ability on mortality of the two scores using two different populations, respectively, as derivation and validation cohort. The derivation cohort consisted of 1956 Internal Medicine patients admitted to La Spezia Hospital in 2013. 399 Internal Medicine patients admitted to Carate Brianza Hospital in 2016 constituted the validation cohort. PPS and IMPROVE scores were applied to each patient using their validated cutoffs. Frequency of positive PPS and mortality were significantly higher in La Spezia patients. In the derivation cohort, the positivity of at least one of the two scores was associated with a significantly higher mortality compared to both negative scores. Similar results were observed in the validation cohort. In the derivation cohort, the sensitivity of a positive PPS score in predicting mortality was 0.97 (0.94, 0.98) but the specificity was 0.21 (0.19, 0.23), the negative likelihood ratio being 0.15. Sensitivity and specificity of a positive IMPROVE gave specular findings but the positive likelihood ratio was 2.19. The accuracy data in the validation cohort were in the same direction. Both PPS and IMPROVE are associated with in-hospital mortality but their additional predictive accuracy is modest. It is unlikely that both scores could be useful in clinical practice to predict death in hospitalized Internal Medicine patients.
    MeSH term(s) Adult ; Aged ; Cohort Studies ; Female ; Hospital Mortality/trends ; Humans ; Internal Medicine/instrumentation ; Internal Medicine/statistics & numerical data ; Male ; Middle Aged ; Reproducibility of Results ; Retrospective Studies ; Risk Assessment ; Severity of Illness Index ; Validation Studies as Topic
    Language English
    Publishing date 2020-01-02
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2454173-4
    ISSN 1970-9366 ; 1828-0447
    ISSN (online) 1970-9366
    ISSN 1828-0447
    DOI 10.1007/s11739-019-02264-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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