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Selecting the most appropriate healthcare waste treatment technology (HCWTT) is an uncertain and complex decision-making problem because there exist more than one alternative and many conflicting qualitative and quantitative criteria. However, the use of fuzzy and comparative values, instead of specific crisp values, provides more accurate results, so that the alternatives may be evaluated in accordance with hesitant human nature. The purpose of this paper is to select the best HCWTT using a hesitant fuzzy linguistic term set (HFLTS).

Five main criteria were identified for HCWTT selection, such as economic, social, environmental, technical and ergonomic criteria. In total, 19 sub-criteria were examined, and the hierarchy of the criteria was formed. The criteria weights were determined using the multi-criteria hesitant fuzzy linguistic term set (MC-HFLTS). The selection processes of incineration (A₁), steam sterilization (A₂), microwave (A₃) and landfill (A₄) alternatives were carried out using the multi-attributive ideal-real comparative analysis (MAIRCA) and multi-attributive border approximation area comparison (MABAC) methods. In the comparative analyses, Vise Kriterijumska Optimizacija I Kompromisno Resenje (VIKOR) and technique for order preference by similarity to an ideal solution (TOPSIS) methods were used.

The comparison of the results of the MABAC and MAIRCA methods with the results of VIKOR and TOPSIS methods indicated that A₂ (steam sterilization) alternative was the best one and produced the same ranking of the technology alternatives (A₂ > A₃ > A₁ > A₄). As a result, the study concluded that these methods can be successfully used for HCWTT selection problems.

To the best of the authors’ knowledge, MC-HFLTS has not been used to select HCWTT in the existing literature. For the first time, MC-HFLTS&MAIRCA and MC-HFLTS&MABAC approaches were used in order to choose the best treatment method for healthcare waste under the effect of multiple conflicting hierarchical criteria. It has been provided that MABAC and MAIRCA select alternative choices by taking into consideration the hierarchical criteria. Unlike other studies, this study also considered ergonomic criteria that are important for people working during the process of using the treatment technology.

The purpose of this paper is to develop an approach to compare occupational health and safety (OHS) performances of countries. Additionally, another aim is to debate the impacts of using recorded data and ratios for OHS performance evaluations.

The number of fatal accidents (NFAs), fatal accident rates (FARs), numbers of lost days (NLDs) and accident severity rates (ASRs) are determined as main criteria and six economic activity areas (EAAs) are considered as sub-criteria. Two different initial decision matrices are used as the initial decision matrix, the first of which consists of recorded data of countries related to NFAs and NLDs, and the second consists of FAR and ASR values as ratios. Importance weights of main and sub-criteria regarding the recorded data and ratios are determined using four different weighting ways. Countries are ranked via utilizing Multi-Attributive Ideal-Real Comparative Analysis considering two different initial decision matrices.

It can be stated that an evaluation based on ratios for comparison of OHS performance provides more realistic results. Additionally, increasing the effect of the FAR values using the 6,000 equivalent lost days factor is also important in terms of differentiating the data of the countries in question.

To the best of the authors’ knowledge, there is no study in literature that discusses the ranking of countries by means of recorded data and ratios considering different criteria. Additionally, this study is a first in terms of the number of countries evaluated and the comparison of these countries according to their respective EAAs.

Ground-handling services are important for effective aircraft operations in the air transportation system. Airlines often outsource these services to ground-handling agents through business-to-business (B2B) marketing decisions. Therefore, this paper aims to address the problem of ground-handling agent selection in the airline industry.

A real-world case study was carried out to demonstrate the applicability of the integrated best worst method and fuzzy multi-attribute ideal real comparative analysis (F-MAIRCA) approach to solve ground-handling agent selection problems under uncertainty and imprecision. A two-stage sensitivity analysis was also conducted to ensure the credibility and validity of the application.

In the weighting stage, “Quality” was determined as the most important criterion in terms of supplier performance. With regard to the performance of the ground-handling agents, A2 was found as the optimal supplier in terms of both credibility and validity.

This study enumerated several criteria that ground-handling agents must meet in order to effectively supply services for the airlines. In addition, this study provides a novel framework from which managers can gain additional benefits from their businesses. Finally, it is concluded that this approach will help airline managers quantitatively in choosing the most appropriate ground-handling agent.

The contributions of this study to the existing literature are twofold. First, we propose a novel multiple attribute decision-making approach to address the problem of supplier selection for airlines under uncertainty and imprecision. Second, the selection of ground-handling agents from the B2B perspective is addressed for the first time in literature.

The purpose of this study is to evaluate the performance of the Champions League teams using the entropy-integrated Multi Attribute Ideal-Real Comparative Analysis (MAIRCA) and super-slack-based data envelopment analysis for the 2012–2022 period.

This study consists of two sections. First, this study uses the entropy-integrated MAIRCA approach, which is a novel multi-criteria decision-making (MCDM) technique developed by Gigović, to measure the performance of Champions League clubs. Second, this study proceeds with the super-slack-based DEA to evaluate the efficiency of the Champions League clubs.

As per the empirical results, Real Madrid is found to be the best-performing club over the past 10 years in terms of financial and sportive performance. Over the analyzed period, teams from the five Major Leagues of Europe perform better.

To the best of the authors’ knowledge, performance measurement studies in football have focused on either DEA or MCDM. This study aims to present novelty for football literature by evaluating holistically both the sportive and financial dimensions. This paper also analyzes Champions League teams from the perspective of both MCDM and super-slack-based DEA methods.

The textile industry harms the environment at every stage of production, from the acquisition of raw materials to the disposal of finished products. It is very important for the textile industry to adapt to the basic policies on environmental sensitivity and sustainability to keep up with the transformation in production processes and the rapid changes occurring around the world in order to exist in global competition. Within the scope of sustainable development goals, it is of great importance to measure and evaluate indicators of all processes of the sector. This paper aims to present application of multi-criteria decision making (MCDM) methods for the assessment of sustainable development in textile industry.

The data of a multinational clothing company’s four-year sustainability performance between 2018 and 2021 were evaluated under 22 sustainability parameters determined using two new MCDM techniques, namely the combined consensus solution method and multi-attribute ideal real comparative analysis. In determining the criteria, priority key indicators were determined by taking into account the sector’s relationship with the environment, raw material consumption and social adequacy.

According to the application results of both methods, the year 2021 shows the best performance. It has been seen that the sustainability performance of the Inditex group has increased over the years and the results of the applied models support each other. It can be suggested that the proposed approach be applied to evaluate the progress in the textile sector with the relevant data on a particular company or on a macro scale.

This study makes an important contribution to the field in terms of the fact that the methods used are recent and have no application in the field of textiles. It allows the evaluation of different sustainability criteria together using a single method. It is very important to share data on sustainability indicators with customers, employees, suppliers, investors, partner organizations and society and evaluate performance. Analyzing sustainability performance on the basis of annual reports is important in terms of identifying good practices, sharing them with the community and setting an example. In addition, using scientific methods in the evaluation of the sustainability report data published by companies regularly provides significant feedback for policymakers and academics.

In this study, an integrated decision-making model consisting of decision-making trial and evaluation laboratory (DEMATEL), best worst method (BWM) and a modified version of evaluation based on distance from average solution (EDAS) methods is proposed for supplier selection problem in a public procurement system considering sustainable development goals.

DEMATEL and BWM methods are used to determine weights of the criteria that are defined for the supplier selection problem. Weight aggregation method is applied to combine the weights obtained from these two methods. A modified version of EDAS method is then used in order to rank the alternative suppliers.

The proposed decision-making model is investigated for a supplier selection problem for a hospital in Spain. The validity of the results is checked using comparison with other decision-making methods and several performance analysis tests.

The proposed multi-criteria decision-making (MCDM) model contributes to the healthcare supply chain management (SCM) and aims to lead the policy makers in selecting the best supplier.

There is no such study that combines DEMATEL and BWM together for weight generation. The application of the modified EDAS method is also new. In real time situations, the decision experts may confront to the difficulty of using BWM while identifying the best and the worst criteria choices. The idea of using DEMATEL is to aid the experts to make them enable in distinguishing between the best/worst criteria and handle BWM easily.

Data breaches in the US healthcare sector have more than tripled in the last decade across all states. However, to this day, no established framework ranks all states from most to least at risk for healthcare data breaches. This gap has led to a lack of proper risk identification and understanding of cyber environments at state levels.

Based on the security action cycle, the National Institute of Standards and Technology (NIST) cybersecurity framework, the risk-planning model, and the multicriteria decision-making (MCDM) literature, the paper offers an integrated multicriteria framework for prioritization in cybersecurity to address this lack and other prioritization issues in risk management in the field. The study used historical breach data between 2015 and 2021.

The findings showed that California, Texas, New York, Florida, Indiana, Pennsylvania, Massachusetts, Minnesota, Ohio, and Georgia are the states most at risk for healthcare data breaches.

The findings highlight each US state faces a different level of healthcare risk. The findings are informative for patients, crucial for privacy officers in understanding the nuances of their risk environment, and important for policy-makers who must grasp the grave disconnect between existing issues and legislative practices. Furthermore, the study suggests an association between positioning state risk and such factors as population and wealth, both avenues for future research.

Theoretically, the paper offers an integrated framework, whose basis in established security models in both academia and industry practice enables utilizing it in various prioritization scenarios in the field of cybersecurity. It further emphasizes the importance of risk identification and brings attention to different healthcare cybersecurity environments among the different US states.

The purpose of this study is to analyze the impacts of the COVID-19 pandemic on the performance of companies using a hybrid Multi-Criteria Decision-Making (MCDM) approach. Specifically, the study examines Türkiye’s Top 500 Industrial Enterprises to analyze their performance before and during the pandemic, and to capture their performance in determining investment and production strategy.

To achieve the study’s objectives, the Fuzzy Best-Worst Method (F-BWM) was used to obtain importance levels of performance indicators, decreasing the vagueness in experts’ decision-making preferences. The Measurement Alternatives and Ranking According to Compromise Solution (MARCOS) method was used to rank enterprises based on their performance.

The COVID-19 pandemic has clearly had a substantial impact on the performance of Türkiye’s top 500 industrial enterprises. While some companies suffered decreased sales, others reported that their revenues increased or remained constant during the outbreak. The results reveal that the pandemic caused a shift in the initial ranking outcomes for the first two enterprises.

The study’s limitations include the sample size and the time period under consideration, which may have an impact on the generalizability of the findings.

Decision-makers’ investment, employment and operational decisions were influenced by the impact of the COVID-19 pandemic. The results provide insights for decision-makers on how to achieve higher growth and performance under the pressure of the pandemic.

The study’s practical consequences help decision-makers understand how to attain higher growth and performance in the face of the epidemic.

The originality of this study lies in using a hybrid MCDM approach to examine the impact of the COVID-19 pandemic on company performance. A hybrid MCDM approach is proposed to help decision-makers make the best possible investment and implementation decisions.

The purpose of this study is to establish a synthetic group decision framework based on the Pythagorean fuzzy (PF) set to select the optimal medicine cold chain logistics provider (MCCLP). Fierce market competition makes enterprises must constantly improve every link in the process of enterprise sustainable development. The evaluation of MCCLP in pharmaceutical enterprises is an important link to enhance the comprehensive competitiveness. Because of the fuzziness of expert cognition and the complexity of the decision procedure, PF set can effectively handle the uncertainty and ambiguity in the process of multi-criteria group decision decision-making (MCGDM).

This paper develops an integrated group decision framework through combining the Decision-Making Trial and Evaluation Laboratory (DEMATEL) technique and combined compromise solution (CoCoSo) approach to select a satisfactory MCCLP within PF circumstances. First, the PF set is used to process the ambiguity and uncertainty of the cognition ability of experts. Second, a novel PF knowledge measure is propounded to measure the vagueness of the PF set. Third, a comprehensive criterion weight determination technique is developed through aggregating subjective weights attained utilizing the PF DEMATEL approach and objective weight deduced by knowledge measure method. Furthermore, an integrated MCGDM approach based on synthetic weight and CoCoSo method is constructed.

The outcomes of sensibility analysis and comparison investigation show that the suggested decision framework can help decision experts to choose a satisfactory MCCLP scientifically and reasonably. Accordingly, the propounded comprehensive decision framework can be recommended to enterprises and organizations to assess the MCCLP for their improvement of core competitiveness.

MCCLP selection is not only momentous for pharmaceutical enterprises to improve transportation quality and ensure medicine safety but also provides a strong guarantee for enterprises to improve their core competitiveness. Nevertheless, enterprises face certain challenges due to the uncertainty of the assessment environment as well as human cognition in the process of choosing a satisfactory MCCLP. PF set possesses a formidable capability to address the uncertainty and imprecision information in the process of MCGDM. Therefore, pharmaceutical enterprises can implement the proposed method to evaluate the suppliers to further improve the comprehensive profit of enterprises.

This study aims to determine and evaluate the artificial intelligence (AI) development and competitiveness of the top 20 countries that receive the highest number of tourists with the entropy technique for order of preference by similarity to the ideal solution (TOPSIS)-integrated method.

This study is based on Global AI Index data published by Tortoise Media. Based on this index, according to the World Tourism Organization (UNWTO) report, the top 20 destinations that will host the highest number of tourists in 2022 were evaluated in seven different subpillars, which are talent, infrastructure, operating environment, research, development, government strategy and commercial. These seven subpillars of the index were considered as criteria, and the top 20 tourist destinations were included in the research as decision alternatives.

The analysis results show that the three most important AI criteria are operating environment, infrastructure and government strategy. Furthermore, the first three countries with the best AI performance according to the weighted criteria were the USA, China and the UK, respectively.

Considering that AI technologies will direct tourist behavior in a world where technology is rapidly developing, it is recommended that the countries that receive the highest number of tourists improve their AI performance.

When the relevant literature is examined, there is a limited number of studies examining the AI development and competitiveness of the top tourist destinations and weighting the Global AI Index values. Therefore, this study contributes to the gap in the relevant literature.