Using Multi-Criteria Decision-Making Method (MCDM) to Study Quality of Life Variables in the Design of Senior Residences in Iran

2017 ◽  
Vol 43 (3) ◽  
pp. 279-296 ◽  
Author(s):  
Esmaeil Zarghami ◽  
Ali Sharghi ◽  
Milad Olfat ◽  
Farzaneh Salehi Kousalari
2021 ◽  
Vol 16 (8) ◽  
pp. 1437-1448
Author(s):  
Ghada A. Ragheb ◽  
Amany Ragheb

This research finds an approach to support multi-criteria decision-making about the touristic revitalization of the waterfront for the purpose of conservation and sustainable development. The waterfront revitalization strategy is an effective way to preserve the neglected heritage, enhance identity and authenticity, and improve the quality of life. This paper presents a systematic multi-criteria approach and an analytical method in decision-making to revitalize the waterfront of Ezbet El-Borg city, Damietta, Egypt. The waterfront was analyzed according to the criteria of sustainable revitalization. The AHP method was used as an analytical tool to prioritize these criteria to make them measurable, and then suggest an effective strategy for revitalization through the prioritizing alternatives to waterfront functions then used to rank the best prospects for revitalization. The study found the most successful option is to revitalize the historic waterfront of Ezbet El Borg, due to its heritage features. This kind of revitalization plays an essential role in sustainability, as it enhances the city's identity, conservation opportunities, economic development, and quality of life. Applying this approach allows policymakers to develop strategies for waterfront revitalization, and to evaluate the best solutions for the revitalization process with regard to preservation and sustainable development.


2020 ◽  
Vol 21 (2) ◽  
pp. 136-142 ◽  
Author(s):  
Tessie W. October ◽  
Amy H. Jones ◽  
Hannah Greenlick Michals ◽  
Lauren M. Hebert ◽  
Jiji Jiang ◽  
...  

Vascular ◽  
2020 ◽  
pp. 170853812098020
Author(s):  
Ertan Yetkin ◽  
Makbule Kutlu Karadag ◽  
Mehmet Ileri ◽  
Ramazan Atak ◽  
Nevzat Erdil ◽  
...  

Objectives We aimed to evaluate peripheral varicose vein symptoms including ecchymosis and coldness by using the Venous Insufficiency Epidemiological and Economic Study-Quality of Life/Symptoms (VEINES-QoL/Sym) questionnaire. Methods A total of 1120 patients were enrolled to the analysis after the exclusion of 199 patients who did not match the inclusion criteria. Patients were asked to answer the VEINES-Sym questionnaire and questions about ecchymosis and coldness. Scores of ecchymosis and coldness were calculated similar to VEINES-Sym questionnaire. Classifications of peripheral varicose vein were made according to the clinical part of clinical, etiological, anatomical, and pathophysiological classification system and patients with grade 2 or higher were considered as positive for peripheral varicose vein. Results Frequency of symptoms present in the VEINES-Sym instrument, ecchymosis and coldness were significantly higher in patients with peripheral varicose vein. Mean score of each symptom was significantly lower in peripheral varicose vein patients including scores of ecchymosis and coldness. Logistic regression analysis revealed that presence of hemorrhoids and all symptoms in VEINES-Sym questionnaire except restless leg were significantly and independently associated with peripheral varicose vein. Besides, ecchymosis (odds ratio: 2.04, 95% confidence interval: 1.34–3.08, p = 0.008) but not coldness was significantly and independently associated with peripheral varicose vein. There was also significant correlation of VEINES-Sym score with ecchymosis ( r = 0.43, p < 0.001) and coldness ( r = 0.47, p < 0.001). Conclusions Venous leg symptoms present in VEINES-Sym questionnaire except restless legs, presence of hemorrhoids and ecchymosis are significantly and independently associated with peripheral varicose vein. Not only ecchymosis but also coldness has shown an independent association with total VEINES-Sym score.


Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Lourdes Carhuapoma ◽  
Radhika Avadhani ◽  
Noeleen Ostapkovich ◽  
Karen Lane ◽  
Nichol McBee ◽  
...  

Introduction: Recovery in intracerebral hemorrhage (ICH) is prolonged and unpredictable, resulting in challenges in estimating health-related quality of life (HRQoL). We describe HRQoL and patient disposition for ICH survivors with similar clinical characteristics to ICH patients who had withdrawal of life-sustaining treatment (WoLST). Methods: Using MISTIE III trial data (N = 499), we performed a matched cohort analysis using a published modified severity index (mSI) to compare ICH survivors (N = 379) with WoLST patients (N = 61). We used multivariable logistic regression adjusting for age, Glasgow Coma Score, deep ICH location, stability ICH and intraventricular hemorrhage volume and ≥ 3 comorbidities to create the mSI. After matching survivors with equal mSI to WoLST patients, we compared EuroQoL (EQ) visual analog scale (VAS) scores (US norm 69-76; range 0-100) by mSI quartile and patient disposition. Results: We matched 224 survivors to WoLST patients by mSI (range 0-6.5), with data at all timepoints. Given the large mSI range, EQ VAS scores and patient disposition were evaluated by mSI quartile groups. The median (interquartile range [IQR]) EQ VAS score increase for all mSI groups from day 30 (D30) to 180 (D180) was 20 (0-35.5, p < 0.0001), and 23.5 (5-40, p < 0.0001) for D30 to 365 (D365). The highest percentage of survivors for all mSI groups were home by D365 (G1 55%, G2 88%, G3 84.5%, G4 90%). Median (IQR) EQ VAS scores by mSI quartile, patient disposition and timepoint are reported below. Conclusion: ICH survivors, matching WoLST individuals, in all mSI groups demonstrated improvement in HRQoL over time, and the majority were home by D365. This study challenges current practice of identifying poor outcomes in concert with decision making employing WoLST in ICH. If goals of care are to include return to home and HRQoL, these results strongly suggest that prognostication can be improved. Prospective studies of ICH prognostication and decision making are needed.


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