Context: People who have recently recovered from the threat of deteriorating coronavirus disease-2019 (COVID-19) have antibodies to the coronavirus circulating in their blood. Thus, the transfusion of these antibodies to deteriorating patients could theoretically help boost their immune system. Biologically, two challenges need to be surmounted to allow convalescent plasma (CP) transfusion to rescue the most severe COVID-19 patients. First, convalescent subjects must meet donor selection plasma criteria and comply with national health requirements and known standard routine procedures. Second, multi-criteria decision-making (MCDM) problems should be considered in the selection of the most suitable CP and the prioritisation of patients with COVID-19. Objective: This paper presents a rescue framework for the transfusion of the best CP to the most critical patients with COVID-19 on the basis of biological requirements by using machine learning and novel MCDM methods.

This paper proposes a smart real-time health monitoring structured for hospitals' distributor based on wearable health data sensors. Health data were received from multiple heterogeneous wearable sensors, such as electrocardiogram (ECG), oxygen saturation sensor (SpO2), blood pressure monitor, and non-sensory measurement (text frame), from 500 patients with different symptoms. Triage level and healthcare services were identified based on the new four-level remote triage and package localization (4LRTPL). The numbers of healthcare services that represent hospital status were collected from 12 hospitals located in Baghdad city. This study constructed a decision matrix based on the crossover of ''multi-healthcare services'' and ''hospital list'' within Tier 4. The hospitals were then ranked using multicriteria decision-making (MCDM) techniques, namely, integrated analytic hierarchy process (AHP) and vlsekriterijumskaoptimizacija i kompromisnoresenje (VIKOR). Mean ± standard deviation was computed to ensure that the hospital ranking undergoes systematic ranking for objective validation. This research provided scenarios and checklist benchmarking to evaluate the proposed and existing health recommender frameworks. Results corroborated that: 1) the integration of AHP and VIKOR effectively solved hospital selection problems; 2) in the objective validation, significant differences were recognized between the scores of groups, indicating that the ranking results were identical; 3) in evaluation, the proposed framework exhibited an advantage over the benchmark framework with a percentage of 56.25%; and 4) hospitals with multiple healthcare services received the highest ranks, whereas hospitals with fewer healthcare services received low ranks.INDEX TERMS Real-time remote monitoring, hospital management, hospital selection, chronic heart, healthcare services, triage, wearable health sensor.

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The influence of the ongoing COVID-19 pandemic that is being felt in all spheres of our lives and has a remarkable effect on global health care delivery occurs amongst the ongoing global health crisis of patients and the required services. From the time of the first detection of infection amongst the public, researchers investigated various applications in the fight against the COVID-19 outbreak and outlined the crucial roles of different research areas in this unprecedented battle. In the context of existing studies in the literature surrounding COVID-19, related to medical treatment decisions, the dimensions of context addressed in previous multidisciplinary studies reveal the lack of appropriate decision mechanisms during the COVID-19 outbreak. Multiple criteria decision making (MCDM) has been applied widely in our daily lives in various ways with numerous successful stories to help analyse complex decisions and provide an accurate decision process. The rise of MCDM in combating COVID-19 from a theoretical perspective view needs further investigation to meet the important characteristic points that match integrating MCDM and COVID-19. To this end, a comprehensive review and an analysis of these multidisciplinary fields, carried out by different MCDM theories concerning COVID19 in complex case studies, are provided. Research directions on exploring the potentials of MCDM and enhancing its capabilities and power through two directions (i.e. development and evaluation) in COVID-19 are thoroughly discussed. In addition, Bibliometrics has been analysed, visualization and interpretation based on the evaluation and development category using R-tool involves; annual scientific production, country scientific production, Wordcloud, factor analysis in bibliographic, and country collaboration map. Furthermore, 8 characteristic points that go through the analysis based on new tables of information are highlighted and discussed to cover several important facts and percentages associated with standardising the evaluation criteria, MCDM theory in ranking alternatives and weighting criteria, operators used with the MCDM methods, normalisation types for the data used, MCDM theory contexts, selected experts ways, validation scheme for effective MCDM theory and the challenges of MCDM theory used in COVID-19 studies. Accordingly, a recommended MCDM theory solution is presented through three distinct phases as a future direction in COVID19 studies. Key phases of this methodology include the Fuzzy Delphi method for unifying criteria and establishing importance level, Fuzzy weighted Zero Inconsistency for weighting to mitigate the shortcomings of the previous weighting techniques and the MCDM approach by the name Fuzzy Decision by Opinion Score method for prioritising alternatives and providing a unique ranking solution. This study will provide MCDM researchers and the wider community an overview of the current status of MCDM evaluation and development methods and motivate researchers in harnessing MCDM potentials in tackling a...

Considering the coronavirus disease 2019 (COVID‐19) pandemic, the government and health sectors are incapable of making fast and reliable decisions, particularly given the various effects of decisions on different contexts or countries across multiple sectors. Therefore, leaders often seek decision support approaches to assist them in such scenarios. The most common decision support approach used in this regard is multiattribute decision‐making (MADM). MADM can assist in enforcing the most ideal decision in the best way possible when fed with the appropriate evaluation criteria and aspects. MADM also has been of great aid to practitioners during the COVID‐19 pandemic. Moreover, MADM shows resilience in mitigating consequences in health sectors and other fields. Therefore, this study aims to analyse the rise of MADM techniques in combating COVID‐19 by presenting a systematic literature review of the state‐of‐the‐art COVID‐19 applications. Articles on related topics were searched in four major databases, namely, Web of Science, IEEE Xplore, ScienceDirect, and Scopus, from the beginning of the pandemic in 2019 to April 2021. Articles were selected on the basis of the inclusion and exclusion criteria for the identified systematic review protocol, and a total of 51 articles were obtained after screening and filtering. All these articles were formed into a coherent taxonomy to describe the corresponding current standpoints in the literature. This taxonomy was drawn on the basis of four major categories, namely, medical ( n = 30), social ( n = 4), economic ( n = 13) and technological ( n = 4). Deep analysis for each category was performed in terms of several aspects, including issues and challenges encountered, contributions, data set, evaluation criteria, MADM techniques, evaluation and validation and bibliography analysis. This study emphasised the current standpoint and opportunities for MADM in the midst of the COVID‐19 pandemic and promoted additional efforts towards understanding and providing new potential future directions to fulfil the needs of this study field.