Multi-criteria decision-making (MCDM) can be formally implemented by various methods. This study compares suitability of four selected MCDM methods, namely WPM, TOPSIS, VIKOR, and PROMETHEE, for future applications in agent-based computational economic (ACE) models of larger scale (i.e., over 10 000 agents in one geographical region). These four MCDM methods were selected according to their appropriateness for computational processing in ACE applications. Tests of the selected methods were conducted on four hardware configurations. For each method, 100 tests were performed, which represented one testing iteration. With four testing iterations conducted on each hardware setting and separated testing of all configurations with the-server parameter de/activated, altogether, 12800 data points were collected and consequently analyzed. An illustrational decision-making scenario was used which allows the mutual comparison of all of the selected decision making methods. Our test results suggest that although all methods are convenient and can be used in practice, the VIKOR method accomplished the tests with the best results and thus can be recommended as the most suitable for simulations of large-scale agent-based models.

• MeSH
• ekonomické modely MeSH
• lidé MeSH
• metody pro podporu rozhodování MeSH
• rozhodování * MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH

Background: The telemonitoring is more and more used for compensation of diabetes in the last decade. Doctors are able to get an accurate and reliable data in real time using the telemonitoring. A remote monitoring affects the attitudes and behavior of patients and potentially improves their state of health. Conclusions of many studies show additional clinical implications of telemonitoring. But it has not been possible to generalize those conclusions yet. Objectives: The aim of this study was to create an overview of current glucometers available on the market. And select those which would meet the required parameters for using in the telemonitoring with automatic data sharing. Methods: The research is focused on researches from technical and grey literature and on websites of producers and medical device dealers. The questioning will be carried out in the Czech and English language. Multi decision making method helps to select a suitable glucometer. Conclusions: Fifty five glucometers from nineteen producers have been found in the researches and by market survey. The summary table with all important parameters can be seen in the preview. Conclusions of the Multi decision making analysis showed using of Diamond Mini from ForaCare Inc. producer which is the most suitable for the project of the telemonitoring with automatic data sharing. It is necessary to consider the safety of sending data, data sharing and personal data protection before this glucometer will be used in our project.

• MeSH
• diabetes mellitus krev   prevence a kontrola   MeSH
• krevní glukóza fyziologie   metabolismus   MeSH
• lidé MeSH
• mobilní telefon * využití   MeSH
• monitorování fyziologických funkcí * metody   přístrojové vybavení   trendy   MeSH
• počítače využití   MeSH
• selfmonitoring glykemie * metody   přístrojové vybavení   trendy   MeSH
• statistika jako téma MeSH
• Check Tag
• lidé MeSH

The availability of public services has been perceived as one of the parameters for evaluating the quality of services and a basic component of the effectiveness of the system. Social services have been understood as public services in the countries of the European Union. The state has the primary responsibility for ensuring the availability of social services and should have established powers in the areas of planning, coordination and evaluation. The aim of this paper is to comprehensively evaluate the availability of homes for seniors aggregated into individual districts of the Czech Republic. The method of multi-criteria decision-making was chosen for the evaluation, specifically the Technique for Order of Preference by Similarity to Ideal Solution in combination with the Coefficient of Variance method, as a method for the objective determination of the weights of input indicators. The evaluation in 2017 included 77 districts of the Czech Republic and 519 homes for seniors, which are registered providers of social services for persons who, due to age and reduced self-sufficiency, cannot take care of themselves and are users of residential social services. Based on 14 defined indicators, the local accessibility within individual districts of the Czech Republic was evaluated, focusing on five research questions. The indicators were defined in such a way as to reflect the nature of the problems and to define the need for this service in the territory. Based on the results, a significant relationship was demonstrated between the amount of subsidy per bed, per month, granted to homes for seniors in individual districts of the Czech Republic and service availability, i.e. districts in which homes for seniors with higher subsidies per bed show better availability.

• MeSH
• Evropská unie * MeSH
• lidé MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• Geografické názvy
• Česká republika MeSH

In the interests of satisfying the dental services demands of German citizens area-wide, constant, and thoughtful planning of supply and demand is essential. With an anonymous online survey of 375 dentists a pairwise comparison of 9 factors extracted as relevant from the existing scientific literature were analyzed with an analytic hierarchy process (AHP) and ranked considering the various business types. In general, 5 local environmental factors have a dominant impact on founders' decision in German dentistry. In order: environment for the family, quality of life in private environment, real income, location of the practice, infrastructure. Real income is in first place (p = 0.287) for dentists who want to start a new single practice. For preferring a new community practice, it is on third place (p = 0.177) and for dentists who favor a takeover a single practice (p = 0.130) or joining a community practice (p = 0.096) or employment (p = 0.111) it is fourth place. For this purpose, the location of the practice is of greater priority than the real income for dentists who prefer not to start a new practice. The AHP method is a way to picture a priority list out of all relevant factors for setting up of a dental practice.

• MeSH
• analytický hierarchický proces * MeSH
• kvalita života MeSH
• lidé MeSH
• průzkumy a dotazníky MeSH
• zaměstnanost MeSH
• zubní lékaři * MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH

• MeSH
• lékařství MeSH
• náklady a analýza nákladů MeSH
• rozhodování účinky léků   MeSH

• Konspekt
• Lékařské vědy. Lékařství
• NLK Obory
• lékařství
• organizace a řízení zdravotnictví
• diagnóza

In the last decade, the regeneration of derelict or underused sites, fully or partly located in urban areas (or so called "brownfields"), has become more common, since free developable land (or so called "greenfields") has more and more become a scare and, hence, more expensive resource, especially in densely populated areas. Although the regeneration of brownfield sites can offer development potentials, the complexity of these sites requires considerable efforts to successfully complete their revitalization projects and the proper selection of promising sites is a pre-requisite to efficiently allocate the limited financial resources. The identification and analysis of success factors for brownfield sites regeneration can support investors and decision makers in selecting those sites which are the most advantageous for successful regeneration. The objective of this paper is to present the Timbre Brownfield Prioritization Tool (TBPT), developed as a web-based solution to assist stakeholders responsible for wider territories or clusters of brownfield sites (portfolios) to identify which brownfield sites should be preferably considered for redevelopment or further investigation. The prioritization approach is based on a set of success factors properly identified through a systematic stakeholder engagement procedure. Within the TBPT these success factors are integrated by means of a Multi Criteria Decision Analysis (MCDA) methodology, which includes stakeholders' requalification objectives and perspectives related to the brownfield regeneration process and takes into account the three pillars of sustainability (economic, social and environmental dimensions). The tool has been applied to the South Moravia case study (Czech Republic), considering two different requalification objectives identified by local stakeholders, namely the selection of suitable locations for the development of a shopping centre and a solar power plant, respectively. The application of the TBPT to the case study showed that it is flexible and easy to adapt to different local contexts, allowing the assessors to introduce locally relevant parameters identified according to their expertise and considering the availability of local data.

• MeSH
• internet MeSH
• metody pro podporu rozhodování * MeSH
• regenerace a remediace životního prostředí ekonomika   metody   MeSH
• rozhodování * MeSH
• vytváření politiky * MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• Geografické názvy
• Česká republika MeSH

BACKGROUND AND PURPOSE: Various imaging paradigms are used for endovascular treatment (EVT) decision-making and outcome estimation in acute ischemic stroke (AIS). We aim to compare how these imaging paradigms perform for EVT patient selection and outcome estimation. METHODS: Prospective multi-center cohort study of patients with AIS symptoms with multi-phase computed tomography angiography (mCTA) and computed tomography perfusion (CTP) baseline imaging. mCTA-based EVT-eligibility was defined as presence of large vessel occlusion (LVO) and moderate-to-good collaterals on mCTA. CTP-based eligibility was defined as presence of LVO, ischemic core (defined on relative cerebral blood flow, absolute cerebral blood flow, and cerebral blood volume maps) <70 mL, mismatch-ratio >1.8, absolute mismatch >15 mL. EVT-eligibility and adjusted rates of good outcome (modified Rankin Scale 0-2) based on these imaging paradigms were compared. RESULTS: Of 289/464 patients with LVO, 263 (91%) were EVT-eligible by mCTA-criteria versus 63 (22%), 19 (7%) and 103 (36%) by rCBF, aCBF, and CBV-CTP-criteria. CTP and mCTA-criteria were discordant in 40% to 53%. Estimated outcomes were best in patients who met both mCTA and CTP eligibility-criteria and were treated with EVT (62% to 87% good outcome). Patients eligible for EVT by mCTA-criteria and not by CTP-criteria receiving EVT achieved good outcome rates of 53% to 57%. Few patients met CTP-criteria and not mCTA-criteria for EVT. CONCLUSIONS: Simpler imaging selection criteria that rely on little else than detection of the occluded blood vessel may be more sensitive and less specific, thus resulting in more patients being offered EVT and arguably benefiting from it.

• Publikační typ
• časopisecké články MeSH

BACKGROUND: Multi-parametric magnetic resonance imaging (mpMRI)-directed biopsy for prostate cancer (PC) diagnosis improves the detection of clinically significant prostate cancer (CSPC) and decreases the rate of over-diagnosis of insignificant disease. The aim of this study was to investigate the value of mpMRI combined with prostate specific antigen density (PSAD) in the decision making related to the biopsy. METHODS: mpMRI and mpMRI/transrectal ultrasound fusion targeted biopsies with subsequent systematic biopsies were performed in 397 patients (223 biopsy-naïve and 174 with a previous biopsy). Detection rates of (CSPC) and insignificant PC were stratified using the PIRADS score, and the number of avoidable biopsies and missed (CSPC) were plotted against PSAD values of 0.1-0.5 ng/mL2. RESULTS: PIRADS <3 and PSAD <0.2 ng/mL2 were the safest criteria for not performing a biopsy. When applied to the biopsy-naïve group, 21.5% (48/223) of the biopsies could have been avoided and 3.7% (3/82) of CSPC would have been missed. In the repeat biopsy group, 12.6% (22/174) of biopsies could have been avoided and 6.9% (4/58) of (CSPC) would have been missed. CONCLUSIONS: A combination of mpMRI and PSAD might reduce the number of biopsies performed with the cost of missing <4% of CSPC.

• MeSH
• biopsie * MeSH
• časná detekce nádoru normy   MeSH
• lékařská onkologie normy   MeSH
• lidé středního věku MeSH
• lidé MeSH
• multiparametrická magnetická rezonance * MeSH
• nádory prostaty diagnostické zobrazování   patologie   MeSH
• prostata patologie   MeSH
• prostatický specifický antigen krev   MeSH
• reprodukovatelnost výsledků MeSH
• rozhodování MeSH
• senioři MeSH
• ultrasonografie MeSH
• ultrazvukem navigovaná biopsie MeSH
• Check Tag
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• senioři MeSH
• Publikační typ
• časopisecké články MeSH

Introduction: Volunteer activities during emergencies occur both formally and informally. In developed countries, emergencies are managed by professionals and formal volunteers. Spontaneous (informal) volunteers often respond at any stage, and this is known as convergent response. While these volunteers help prevent loss of life and property, their lack of organization and emergency knowledge poses risks, such as safety and responsibility issues. This leads professional responders to hesitate in using them. The implementation of effective integration strategies can significantly aid in emergencies. Objective: This work focuses on volunteering in ensuring hospital crisis preparedness. The aim is to assess volunteering and identify applicable activities during emergencies, especially in hospitals. A methodical procedure for selecting suitable volunteers was developed using multi-criteria evaluation methods. Methods: A systematic procedure for selecting volunteers was developed based on the implementation of multi-criteria evaluation methods. The implementation of multi-criteria decision-making methods offers an objective selection tool. Sequential steps are directed towards the selection of volunteers who will be competent in performing selected activities of healthcare personnel in hospitals during crisis preparedness. A step-by-step, organized, and targeted process is elaborated in individual, interconnected steps. Results: The study defines a criteria model for selecting hospital volunteers during emergencies, including Professional Qualification, Length of Practice in Healthcare Fields, Volunteering Costs, and Driver's License Category B.

• MeSH
• dobrovolné zdravotnické agentury statistika a číselné údaje   MeSH
• dobrovolníci v nemocnici * statistika a číselné údaje   MeSH
• lidé MeSH
• náhlé příhody * klasifikace   MeSH
• personální management metody   MeSH
• plánování postupu v případě katastrof metody   MeSH
• výběr pracovníků metody   MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• přehledy MeSH

Sustainable Last-Mile Delivery (LMD) is one of the key phases in city logistics. Micro-hubs in cities are new emerging solutions for an easier and viable last-mile delivery process. The important question in smart and modern cities is the determination of the best micro-hub location for the LMD. This paper solves the micro-hub location selection for sustainable LMD using the multi-criteria decision-making (MCDM) techniques. The main reason for solving the micro-hub location selection is to make the last-mile delivery process in Pardubice as easier and effortless as possible. The Best-Worst Method (BWM), Criteria Importance Through Intercriteria Correlation (CRITIC) method, and Weighted Aggregated Sum Product Assessment (WASPAS) method are coupled to solve the micro-hub location selection for sustainable LMD. First, five criteria and alternatives are identified and discussed with the experts. Second, the hybrid criteria importance is determined by combining the BWM and CRITIC methods. Third, the obtained hybrid weights are integrated within the WASPAS method to rank the micro-hub locations. The findings of the Hybrid BWM-CRITIC-WASPAS model show the Alternative 2 ("Hůrka") as the best possible location for Pardubice in the context of the LMD. In addition, a comparative analysis with some of the existing MCDM approaches is conducted for the same problem and its results show a high level of matching with the applied hybrid BWM-CRITIC-WASPAS method, which means that Alternative 2 ("Hůrka") is strongly recommended as a micro-hub location for sustainable LMD in Pardubice.

• MeSH
• hmotnostní přírůstek * MeSH
• lidé MeSH
• velkoměsta MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• velkoměsta MeSH