Background: The reproduction number (R 0 ) is vital in epidemiology to estimate the number of infected people and trace close contacts. R 0 values vary depending on social activity and type of gathering events that induce infection transmissibility and its pathophysiology dependence. Objectives: In this study, we estimated the probable outbreak size of COVID-19 clusters mathematically using a simple model that can predict the number of COVID-19 cases as a function of time. Methods: We proposed a mathematical model to estimate the R 0 of COVID-19 in an outbreak occurring in both local and international clusters in light of published data. Different types of clusters (religious, wedding, and industrial activity) were selected based on reported events in different countries between February and April 2020. Results: The highest R 0 values were found in wedding party events (5), followed by religious gathering events (2.5), while the lowest value was found in the industrial cluster (2). In return, this will enable us to assess the trend of coronavirus spread by comparing the model results and observed patterns. Conclusions: This study provides predictive COVID-19 transmission patterns in different cluster types based on different R 0 values. This model offers a contact-tracing task with the predicted number of cases, to decision-makers; this would help them in epidemiological investigations by knowing when to stop.
Medical devices used in healthcare organizations are costly, and the process of selecting these devices requires considering multiple criteria such as effectiveness and ease of use. Careful selection of these devices is daunting since it entails the evaluation of various measures. This research investigates the selection process of the same type of medical devices, especially when alternatives are available, and the organization needs to make a good selection. A Multi-Criteria Decision-Making (MCDM) framework based on the integration of the Analytical Hierarchy Process (AHP) and ELimination Et Choice Translating Reality (ELECTRE) method is developed. The framework model includes 10 criteria, which are selected based on real-life inputs from professional physicians. Seven Ultrasound machines (referred to as alternatives) are evaluated using the developed
Physician preference items or PPIs are medical items recommended by physicians for use in medical procedures and other treatments. The recommendation of PPIs by individual physicians can cause the variety of item types that need to be managed within a health care supply chain to increase over time. To better manage the PPI selection process, healthcare organizations often select items through value analysis and discussion teams, which are highly subjective. To better control PPIs, this work uses multiple-objective decision analysis (MODA) to develop a structured quantitative framework for the PPI selection process. The established decision-making framework is based on the theory of multi-objective value analysis. It offers a structured and educated guide to decision-makers for improving value analysis outcomes, advocating sustainable healthcare management strategies. The model was tested and validated through two case studies on two different items in two hospitals in Jordan.
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