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Improving Infant Continuity Of Care In An Academic Center Clinic: A Quality Improvement Project., Abiye Y. Okah, Morgen L. Govindan, Rachael D. Dameron, Kristi Williams

Manuscripts, Articles, Book Chapters and Other Papers

INTRODUCTION: Continuity of care (COC) with an identified provider is a key principle of the patient-centered medical home. COC may be impacted by other activities that providers practicing in an academic center must engage in. The disruption of care processes during the COVID-19 pandemic led to a decrease in COC for infants attending our academic center's primary care clinic. We implemented a quality improvement (QI) project to improve the rates of infant COC.

METHODS: In 2021, we implemented a QI project with the aim of increasing the percentage of 12-month-old infants who had seen the same provider for at least …

Modeling Cell Differentiation In Neuroblastoma: Insights Into Development, Malignancy, And Treatment Relapse., Simon F. Martina-Perez, Luke A. Heirene, Jennifer C. Kasemeier, Paul M. Kulesa, Ruth E. Baker

Manuscripts, Articles, Book Chapters and Other Papers

Neuroblastoma is a paediatric extracranial solid cancer that arises from the developing sympathetic nervous system and is characterised by an abnormal distribution of cell types in tumours compared to healthy infant tissues. In this paper, we propose a new mathematical model of cell differentiation during sympathoadrenal development. By performing Bayesian inference of the model parameters using clinical data from patient samples, we show that the model successfully accounts for the observed differences in cell type heterogeneity among healthy adrenal tissues and four common types of neuroblastomas. Using a phenotypically structured model, we show that alterations in healthy differentiation dynamics are …

Revisiting The Genetics Of Hypophosphatasia., Priya S. Kishnani, Catherine Rehder, Keiichi Ozono, Jordi Pérez-López, Guillermo Del Angel, William R. Mowrey, Meena Balasubramanian, Wolfgang Högler, Eric T. Rush

Manuscripts, Articles, Book Chapters and Other Papers

Hypophosphatasia (HPP) is a rare, inherited monogenic disorder that is typically caused by variants in the tissue-nonspecific alkaline phosphatase (ALPL) gene. Genetic testing for ALPL variant(s) to confirm the diagnosis in patients with suspected HPP is a standard practice based on availability. This review attempts to improve the current understanding of the genetics of HPP as it addresses five key related topics: (1) HPP patterns of inheritance and the relationship between HPP genotype and phenotype, (2) how the disease can manifest (including specific genotypes) in heterozygotes, (3) potential reasons why some patients have persistently low alkaline phosphatase activity yet lack …

Adolescent Coronal Shear Fractures Of The Distal Humerus: Surgical Approach And Outcomes, David Wright, Zachary Meyer, Charles A Goldfarb, Lindley B Wall

2020-Current year OA Pubs

PURPOSE: Isolated coronal shear fractures of the distal humerus in adolescents are rare injuries with unique surgical challenges. Respect for the posterior blood supply, open physes, and need for direct visualization to achieve anatomic reduction are critical considerations in surgical fixation. This study presents a case series and a surgical approach used in treating these patients.

METHODS: A retrospective review of patients aged 10-19 presenting to a single quaternary-care academic center from 2016 to 2023 with isolated capitellar and trochlear shear fractures was performed. Demographic data, injury mechanism, fracture classification, and surgical approach were recorded. Outcomes included elbow range of …

On Neutrohyperrings And Neutroorderedhyperrings, Fakhry Asad Agusfrianto, Saba Al-Kaseasbeh, Mariam Hariri, Yudi Mahatma

Neutrosophic Sets and Systems

The notion of Neutrosophic sets first introduced by Smarandache in 1998 as a generalization of intu itionistic fuzzy sets. Furthermore, Al-Tahan in 2022 introduced the notion of NeutroHyperstructures. Inspired by this research, in this study, we extend NeutroAlgebra and NeutroOrderedAlgebra by introducing two new concepts: NeutroHyperring and NeutroOrderedHyperring. These new concepts enrich the existing framework by incorporating neutrosophic elements, enabling the exploration of complex relationships and uncertainties within algebraic and ordered structures. Furthermore, NeutroHyperring applications on the NeutroRing is also introduced.

Neutrosophic Approaches For Analyzing The Interaction Between The Sports Industry And Community Health: A Multi-Attribute Decision-Making Perspective, Hang Zhang

Neutrosophic Sets and Systems

In the context of integrating sports and medicine, the evaluation of collaborative development models in community healthcare and the sports health industry can be analyzed through four aspects: resource integration efficiency, health service coverage, improvement in residents' health levels, and policy support and implementation effectiveness. These indicators help assess the model's effectiveness and promote residents' well-being and industry collaboration. The collaborative development patterns evaluation of community medical and sports health industry based on sports medicine integration is multiple-attribute decision-making (MADM). In such a study, the generalized weighted geometric Bonferroni mean (GWGBM) approach is conducted for MADM with single-valued neutrosophic sets …

A. Saranya, A. Kalavathi And S.Krishnaprakash, Neutrosophic Superhypersoft Sets, Florentin Smarandche

Neutrosophic Sets and Systems

Neutrosophic SuperHyperSoft Sets (NSHSS) represent an innovative extension of traditional soft set theory, integrating the principles of Neutrosophy to address uncertainties in decision-making processes. In this study, we recall the NSHSS and establish its foundational principles, including the relationships between various attributes and their corresponding values. The framework facilitates a structured evaluation process, allowing decision-makers to assess multiple proposals based on criteria such as environmental impact, feasibility, community engagement, cost effectiveness, and innovation. Each criterion is categorized into distinct levels, ranging from low to transformative, thereby enabling a nuanced analysis of project proposals. Through illustrative examples and tabular representations, we …

Short Note Of Supertree-Width And N-Superhypertree-Width, Takaaki Fujita

Neutrosophic Sets and Systems

This paper investigates the properties of tree-width and related graph width parameters for n SuperHyperGraphs, a broader generalization of hypergraphs. By exploring concepts such as SuperHyperTree width and Hypertree-width, we aim to understand how these structures resemble tree-like formations. We also analyze the relevance of these width parameters in computational contexts, following extensive research in graph theory and hypergraph applications

Hypersoft Set With Neutrosophic Sets For Quality Evaluation Of Visual Communication Design Professional Courses, Jing Yao, Xingli Wang

Neutrosophic Sets and Systems

The quality evaluation of the Visual Communication program is a comprehensive assessment of course design, teaching effectiveness, and student learning outcomes. Through evaluation, the rationality of course content, achievement of teaching objectives, and effectiveness of teaching methods can be understood. It helps instructors improve their teaching strategies, ensuring that students acquire the necessary professional skills and theoretical knowledge. Additionally, evaluation results reflect whether the course keeps pace with industry trends and meets the needs of society and the market. Student feedback provides important references for course optimization, driving continuous improvement in teaching quality, and ultimately cultivating outstanding design talents who …

Neutrosophic Fuzzy Metric Spaces And Fixed Points For Contractions Of Nonlinear Type, Ayman.A Hazaymeh, Anwar Bataihah

Neutrosophic Sets and Systems

In this research, we present xed point theorems pertaining to nonlinear contractions, situated within the sophisticated framework of neutrosophic fuzzy metric spaces. Furthermore, we establish several xed point results that are pertinent to this speci c context.

Linguistic Neutrosophic Sets With Application To Group Decision-Making To Enhance The Work Effectiveness Evaluation Of University Counselors, Li Wang

Neutrosophic Sets and Systems

The evaluation of university counselors' work effectiveness in the new era aims to assess their performance in areas such as ideological and political education (IPE), psychological counseling, academic support, and daily management. The evaluation typically includes counselors' performance in guiding students’ thoughts, promoting mental health, crisis intervention, and career planning. A scientific and comprehensive evaluation system can improve the quality of counselors' work and promote students' holistic development. The work effectiveness evaluation of university counselors is multiple-attribute group decision-making (MAGDM). Recently, Exponential TODIM (ExpTODIM) and TOPSIS approaches have been introduced to address MAGDM. The 2-tuple linguistic neutrosophic sets (2TLNSs) have …

Modeling Social Evolution, Involution, And Indeterminacy: A Neutrosophic-Cultural Algorithm Approach, Antonios Paraskevas, Florentin Smarandache

Neutrosophic Sets and Systems

Neutrosophic Sociology, or Neutrosociology, is the study of sociology using neutrosophic scientific methods for understanding the dynamics of social systems within complex environments. When a social change occurs, the society evolves with respect to some parameters, regresses with respect to others, and remains the same or experiences an unclear change (indeterminacy) with respect to another set of parameters. This mirrors neutrosophic logic: true (��), neutral or indeterminate (ℐ), and false (ℱ). The main concept of cultural algorithms is a generalization of the idea that evolution has at its base both racial learning within species and social learning within human societies. …

Modified 2-Tuple Linguistic Neutrosophic Hybrid Gra Framework For Comprehensive Strength Evaluation For High-Quality Development In The Cultural Industry, Xiuhuan Feng, Yiran Feng, Xiaoyong Zhang, Shan Mi

Neutrosophic Sets and Systems

The evaluation of comprehensive strength for the high-quality development of the cultural industry is a systematic assessment of the overall performance of the cultural sector across multiple dimensions. This evaluation covers aspects such as economic benefits, innovation capacity, social impact, cultural influence, and sustainability. By using both quantitative indicators and qualitative analysis, it measures the industry's overall competitiveness and growth potential, providing a scientific basis for policymaking, resource allocation, and industry optimization. This evaluation system helps promote high quality and sustainable growth in the cultural industry. The comprehensive strength evaluation for high quality development in the cultural industry is a …

Enhancing Business English Teaching Quality: A Single-Valued Neutrosophic Framework For Multi-Attribute Decision-Making, Lian Xue

Neutrosophic Sets and Systems

The evaluation of teaching effectiveness in college business English courses focuses on enhancing students' language skills, applying business knowledge, cross-cultural communication abilities, and career readiness. Evaluation methods include student feedback, exam results, class participation, and project presentations. A multidimensional evaluation system ensures course content aligns with real-world business needs, improving students' competitiveness and adaptability in a global business environment. The business English teaching quality evaluation is useful for MADM. The single-valued neutrosophic sets (SVNSs) is a useful approach to administrate fuzzy information during the business English teaching quality evaluation. Currently, the Aczel-Alsina operations and power geometric (PG) approach was administrated …

A Comprehensive Discussion On Fuzzy Hypersoft Expert, Superhypersoft, And Indetermsoft Graphs, Takaaki Fujita

Neutrosophic Sets and Systems

Graph theory, a branch of mathematics, studies relationships among entities through vertices and edges. To capture the inherent uncertainties in real-world networks, Uncertain Graph Theory has evolved within this field. Soft Expert Graphs combine conventional graph theory with expert assessments, using fuzzy sets for vertices and edges, while allowing expert opinions to shape the uncertainties and relationships within the graph. Hypersoft Graphs extend this concept further by incorporating multi-attribute nodes that represent multiple distinct attribute values, enabling the modeling of more complex, multi-dimensional relationships. In this paper, we define the Hypersoft Expert Graph and explore its connections to other classes …

Modified Technique For Type-2 Neutrosophic Number Multiple-Attribute Decision-Making And Applications To Quality Evaluation Of Management Work In University Student Organizations, Xinyan Huang

Neutrosophic Sets and Systems

The quality evaluation of management work in university student organizations is a process of systematically analyzing and assessing the efficiency, organizational capacity, and management level of student organizations. Evaluation criteria typically cover areas such as institutional development, event planning and execution, member development and management, and resource utilization. By combining quantitative and qualitative methods, the evaluation not only identifies strengths and weaknesses in the management process but also provides a basis for future improvements and optimizations, ultimately enhancing the overall management level and work quality of student organizations. The quality evaluation of management work in university student organizations is multiple-attribute …

Combined Group Decision-Making Framework For Employment Quality Evaluation In Higher Education Institutions Under Single-Valued Neutrosophic Sets, Hongzhi Zhao, Fengqiang Zhang

Neutrosophic Sets and Systems

The evaluation of employment quality in higher education institutions refers to assessing graduates' performance and employment status through multiple dimensions. It mainly includes employment rate, job satisfaction, salary levels, industry distribution, and career development prospects. This evaluation not only reflects the educational quality and social recognition of the institution but also provides valuable insights for optimizing teaching and training programs, helping graduates better meet the demands of the labor market. The employment quality evaluation in higher education institutions is a multi-attribute group decision-making (MAGDM) problem. Recently, the Exponential TODIM (ExpTODIM) and VIKOR methods have been applied to address MAGDM challenges. …

Comprehensive Analysis Using 2-Tuple Linguistic Neutrosophic Madm With Core Competencies Evaluation Of Track And Field Students In Sports Colleges, Ming Tang, Yanzhao Sun

Neutrosophic Sets and Systems

The core competencies evaluation of track and field students in sports colleges holds significant importance. It not only helps assess students' overall abilities in track and field, such as physical fitness, athletic skills, psychological quality, and social responsibility, but also provides a scientific basis for personalized teaching and training. Through this evaluation, students' strengths and weaknesses can be identified, allowing for the optimization of training strategies to improve their athletic performance and holistic development. Additionally, this evaluation aids in cultivating students' teamwork, psychological resilience, and sense of social responsibility, ensuring that they are more competitive and adaptable in their future …

Enhanced Cocoso Framework For Computer Network Security Evaluation Through Utilizing The Type-2 Neutrosophic Multi-Attribute Group Decision-Making, Ziqiao Wang, Xiaomu Cai, Zhefeng Yin

Neutrosophic Sets and Systems

Computer network security (CNS) evaluation is a comprehensive analysis and assessment of a network system's security to identify potential vulnerabilities and threats, ensuring the system complies with relevant security standards. The evaluation includes the effectiveness of technical measures such as firewalls, intrusion detection, access control, and encryption, to ensure the confidentiality, integrity, and availability of data, ultimately enhancing overall security defenses. The evaluation of CNS is a multi-attribute group decision-making (MAGDM) problem. Recently, both the CoCoSo method and the information entropy approach have been applied to solve MAGDM challenges. Type-2 Neutrosophic Sets (T2NSs) are utilized to represent uncertain data during …

Short Introduction To Standard And Nonstandard Neutrosophic Set And Logic (Review Paper), Florentin Smarandache

Neutrosophic Sets and Systems

The definitions of Single-Valued Neutrosophic Set (SVNS), Interval-Valued Neutrosophic Set (IVNS), Subset-Valued Neutrosophic Set (SVNS), and respectively NonStandard Neutrosophic Set [Single-Valued (NoS SVNS), Interval-Valued (NoS IVNS), and Subset-Valued (NoS SVNS)], are recalled together with their operators. Similarly for Standard and NonStandard Neutrosophic Logic.

Neutrosophic Topological Spaces For Lung Cancer Detection In Chest X-Rays: A Novel Approach To Uncertainty Management, A. A. Salama, Doaa E. Mossa, Mahmoud Y. Shams, Huda E. Khalid, Ahmed K. Essa

Neutrosophic Sets and Systems

Decision-making in medical diagnosis is often hampered by uncertainties due to incomplete, ambiguous, and evolving information. In reviewing the traditional methods for lung cancer detection, we found that crisp and logic values have more difficulties and challenges. These challenges related to the big data analytics, uncertainty values, and the different circumstances that make it harder for prediction. In this work, we propose a novel approach that use a Neutrosophic Topological Spaces (NTS) for the lung cancer detection in the chest X-ray images. Furthermore, the proposed NTS leverage the strengths points of Neutrosophic Sets (NS) which include the degrees of truth …

An Overview Of Neutrosophic Graphs, Nihar Ranjan Panda, Prasanta Kumar Raut, Amarendra Baral, Srikanta Kumar Sahoo, Sakya Singh Satapathy, Said Broumi

Neutrosophic Sets and Systems

A new area of study called "neutrosophic graph theory" uses neutrosophic logic to expand on traditional graph theory to include ambiguous, indeterminate, and uncertain information. This paper gives a thorough introduction to neutrosophic graphs, including their definition, components, uses, and difficulties. Neutrosophic graphs let you show and analyze relationships that aren't clear-cut because they give vertices and edges different levels of truth, indeterminacy, and falsity. Image processing, social network analysis, pattern recognition, and decision-making in the face of uncertainty all use neutrosophic graphs. However, we still need to resolve issues like interpretability and computational complexity. All things considered, neutrosophic graphs …

The Meaning Of Independence In Local Institutions From Neutrosophic Perspective, Alaa A. Mohammed, Sabah S. Abdulrahman, Huda E. Khalid, Florentin Smarandache, A. A. Salama

Neutrosophic Sets and Systems

t is well known that the term vagueness is spread in all aspects of our lives, this manuscript will clarify the meaning of independence (strict meaning of independence, the illusory meaning of independence, Oscillating between the true meaning of independence, and the fallacy of claiming independence and not applying it), this triplet actually refers to the three components that the Neutrosophic theory standing on which is (truthiness, falsity, indeterminacy), the strategy of applying the notion of independency in the local institutions, enlighten on the allegation of applying the independency notion in some governments’ institutions without a real impact of this …

Interval-Valued Neutrosophic Sets-Based Ivns-Ram Method For Enhanced Security Evaluation In Computer Networks, Lei Yang, Junyan Niu, Jiangfeng Li

Neutrosophic Sets and Systems

Computer network security (CNS) evaluation is the process of analyzing and assessing the security of a network system. Its goal is to identify potential security vulnerabilities and threats, ensuring the confidentiality, integrity, and availability of the network. The process typically includes risk assessment, vulnerability scanning, penetration testing, and security policy review. Through these measures, organizations can develop effective security strategies and implement appropriate security controls to prevent data breaches, network attacks, and other security incidents, thereby protecting the security of information assets. The evaluation of CNS is multiple-attribute group decision-making (MAGDM). Recently, the Root Assessment Method (RAM) approach was elucidated …

Enhanced Decision-Making Technique For Innovation Capability Evaluation In The Core Industries Of Digital Economy Under Double-Valued Neutrosophic Sets, Zhiheng Zhang

Neutrosophic Sets and Systems

The evaluation of innovation capability in the core industries of digital economy is a comprehensive analysis and assessment of the innovation capacities of industries closely related to digital technologies. The assessment typically includes aspects such as technology research and development, corporate innovation investment, talent cultivation, and market competitiveness, aiming to measure the innovation level of these industries in driving digital economic growth. Through quantitative and qualitative analysis, the evaluation helps formulate policies, optimize resource allocation, and enhance the international competitiveness and sustainable development of the core industries in the digital economy. The innovation capability evaluation in the core industries of …

Enhanced Framework For Effectiveness Evaluation Of Teachers' Digital Leadership With Double-Valued Neutrosophic Number Distance Measures, Huisi Chen, Intan Marfarrina Binti Omar

Neutrosophic Sets and Systems

The evaluation of the effectiveness of teachers' digital leadership is significant in measuring their leadership abilities and influence in a digital teaching environment. Through assessment, we can understand the impact of teachers in areas such as technology integration, innovative teaching methods, and improving student engagement. This not only helps promote teachers' professional development but also provides a basis for educational institutions to optimize digital teaching strategies, ensuring students receive a higher quality learning experience and fostering sustainable development in educational digitalization. The effectiveness evaluation of teachers' digital leadership is regarded as the defined multiple-attribute decision-making (MADM). Recently, the EDAS method …

Integrated Inn-Macont Framework With Interval Neutrosophic Magdm: Enhancing Services Performance Evaluation In Library And Information Institutions From The Perspective Of User Experience, Jiaqi Chen, Xiao Liu

Neutrosophic Sets and Systems

From the perspective of user experience, the performance evaluation of services in library and information institutions focuses on the ease of use, satisfaction, and responsiveness to user needs. By analyzing the experiences users gain during service utilization, key factors such as convenience, personalization, and efficiency are assessed. User feedback serves as a core basis for improving service quality, helping institutions optimize service processes, enhance user engagement, and continuously innovate to better meet diverse user needs and expectations, ultimately maximizing the value of the services provided. The services performance evaluation in library and information institutions from the perspective of user experience …

Topsis-Based Multi-Criteria Decision-Making Using 2-Tuple Linguistic Neutrosophic Numbers: A Comprehensive Evaluation Of Industry-Education Integration In Applied Undergraduate Universities, Junya Kang

Neutrosophic Sets and Systems

The quality evaluation of university-industry integration aims to assess the effectiveness of collaboration between universities and industries by evaluating the quality of talent cultivation, curriculum design, and practical teaching. This evaluation ensures a close alignment between education and industry needs. It not only focuses on enhancing students' professional skills but also assesses the sustainability and innovation of collaborative projects, promoting educational reform in universities, improving students' employability, and supplying highly qualified talent to society and industry. The quality evaluation of industry-education integration in applied undergraduate universities is a multiple-attribute group decision-making (MAGDM) approach. The TOPSIS and average approach are put …

Neutrosophic Sets And Systems, Vol. 77, 2025, Florentin Smarandache, Mohamed Abdel-Basset, Maikel Leyva-Vázquez

Neutrosophic Sets and Systems

the whole volume of 77

Fixed Point Theorems For Multivalued Mappings In Neutrosophic Fuzzy Metric Spaces, K. Dinesh, R. Suganya, V. Banu Priya, M. Suresh, A. Atkinswestley

Neutrosophic Sets and Systems

No abstract provided.