Consensus reaching process (CRP) is a key topic in the area of group decision making (GDM). When the consensus level is not high enough, it becomes necessary to adjust the original opinions of decision makers (DMs). To offer the adjustment reference for DMs, we build the programming models to determine the minimum modification to be carried out from the individual and global perspectives. Meanwhile, all DMs are divided into two subgroups: DMs with acceptable and unacceptable consensus levels. If some DMs with unacceptable consensus level do not accept the relevant modifications, the Nash bargaining game-based programming model is built for the fairness and efficiency of modifications. When some DMs refuse to make any modifications or tend to modify the opinions in their way, with respect to different group consensus situations, we make the minimum hybrid penalty mechanism by the Nash bargaining game-based programming models. For each case, we determine the corresponding optimal modification mechanism in view of the fixed individual total modification and the maximum consensus level. Furthermore, we study the arrangements of weights of DMs according to their cardinal and ordinal consensus contributions. Based on these results, we present a new algorithm and illustrate its application by a numerical example. Moreover, we carry out the sensitivity and comparison analysis. We summarize the conclusions and future research directions in the end. The main originality of the new method includes: the fairness and efficiency of modifications, and the determination of the hybrid penalty mechanism.
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http://dx.doi.org/10.1109/TCYB.2022.3170589 | DOI Listing |
Front Immunol
January 2025
Department of Otolaryngology, Changhai Hospital, Naval Medical University, Shanghai, China.
Background: There is no consensus regarding the optimal regimen for metastatic nasopharyngeal carcinoma (dmNPC). Locoregional intensity modulated radiotherapy (LRRT) following palliative chemotherapy (PCT) has been shown to prolong the overall survival (OS) and improve the progression-free survival (PFS) of patients with dmNPC, compared with PCT alone. However, patients with a high tumor burden do not benefit from additional LRRT, which inevitably results in toxicity.
View Article and Find Full Text PDFIndian Dermatol Online J
December 2024
Department of Dermatology, Venereology and Leprology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Pemphigus is an autoimmune blistering disorder characterized by the presence of intraepidermal blisters and erosions, primarily affecting the mucosa and/or skin. There are no established Indian guidelines for the management of pemphigus, and Western guidelines cannot be directly applied due to differences in clinicodemographic profiles, comorbidities, and resource limitations. These guidelines aim to provide Indian dermatologists with evidence-based and consensus-driven recommendations for the management of pemphigus vulgaris (PV) and pemphigus foliaceous (PF), taking into account the unique challenges posed by the Indian healthcare setting.
View Article and Find Full Text PDFJ Antimicrob Chemother
January 2025
CH Tourcoing, Service Universitaire des Maladies Infectieuses, 59200 Tourcoing, France.
Introduction: The specificity of HIV-1 DNA genotypic resistance tests (GRTs) is hampered by the detection of the APOBEC-context drug resistance mutations (AC DRMs), usually harboured by replication-incompetent proviruses. We sought factors associated with defective sequences in the HIV-1 pol region. In addition, AC DRMs and their link with defective sequences were investigated.
View Article and Find Full Text PDFHealth Res Policy Syst
January 2025
Center for Clinical Research and Prevention, Health Promotion and Prevention, Frederiksberg Hospital, Frederiksberg, Denmark.
Background: Childhood obesity is a preventable global public health challenge, increasingly recognized as a complex problem, stemming from complex drivers. Obesity is characterized by multiple interdependencies and diverse influences at different societal levels. Tackling childhood obesity calls for a holistic approach that engages with complexity and recognizes that there is no single "magic bullet" intervention to prevent obesity.
View Article and Find Full Text PDFBMC Health Serv Res
January 2025
Department of Human Nutrition and Dietetics, School of Health Care Sciences, Sefako Makgatho Health Sciences University, Pretoria, South Africa.
Background: Quality nutrition services are dependent upon the accessibility and availability of nutrition professionals. In this study, we used the World Health Organization's Workload Indicators of Staffing Need (WISN) methodology to develop a dietetic staffing norm framework and implementation tool for South African central and tertiary public hospitals.
Methods: We followed the eight step WISN methodology as a basis for this developmental study.
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