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With the frequent occurrence of various emergency events, emergency decision making (EDM) has become an important research focus recently and many studies have been conducted to decrease the negative impact of emergencies. Normally, it is essential for decision makers to make satisfactory and reasonable emergency decisions in the shortest possible time as inappropriate decisions may result in enormous economic losses and serious social consequences. To ensure that an emergency response can be made efficiently, we propose a new EDM method by integrating regret theory and evaluation based on distance from average solution (EDAS) method within the 2-tuple spherical linguistic environment. First, the 2-tuple spherical linguistic term sets (TSLTSs) are employed by decision makers to express their uncertain and vague evaluation information on emergency alternatives. Then, an integrated EDM method based on regret theory and EDAS method is proposed to rank emergency alternatives and find out the optimal one. Besides, the criteria importance through inter-criteria correlation (CRITIC) method is used to determine criteria weights objectively in the EDM process. Finally, the proposed regret theory-EDAS method is applied to select the optimal response solution for a public health emergency in China. The superiority and practicality of the designed method are further justified through a comparative analysis with other EDM methods.
RESUMO
When an emergency occurs, effective decisions should be made in a limited time to reduce the casualties and economic losses as much as possible. In the past decades, emergency decision-making (EDM) has become a research hotspot and a lot of studies have been conducted for better managing emergency events under tight time constraint. However, there is a lack of a comprehensive bibliometric analysis of the literature on this topic. The objective of this paper is to provide academic community with a complete bibliometric analysis of the EDM researches to generate a global picture of developments, focus areas, and trends in the field. A total of 303 journal publications published between 2010 and 2020 were identified and analyzed using the VOSviewer in regard to cooperation network, co-citation network, and keyword co-occurrence network. The findings indicate that the annual publications in this research field have increased rapidly since 2014. Based on the cooperation network and co-citation network analyses, the most productive and influential countries, institutions, researchers, and their cooperation networks were identified. Using the co-citation network analysis, the landmark articles and the core journals in the EDM area are found out. With the help of the keyword co-occurrence network analysis, research hotspots and development of the EDM domain are determined. According to current trends and blind spots in the literature, possible directions for further investigation are finally suggested for EDM. The literature review results provide valuable information and new insights for both scholars and practitioners to grasp the current situation, hotspots and future research agenda of the EDM field.
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BACKGROUND: Human infection with avian influenza A H7N9 has emerged in China since February, 2013. The immunologic changes in pregnant women infected with H7N9 are not known. OBJECTIVE: To report the clinical data and kinetic changes of immunity in a pregnant woman infected with H7N9 virus in Zhenjiang, Jiangsu, China. METHODS: The clinical data were collected and immunity status was monitored in this patient. RESULTS: H7N9 virus became undetectable in sputum from 14 days since onset of symptoms after effective antiviral therapy with oseltamivir and symptomatic/supporting treatments. The symptoms and signs in this patient gradually improved from 15 days since onset of symptoms. Peripheral lymphocytes initially decreased and gradually increased. The percentage of CD4+ T cells increased since 16 days after onset of symptoms. The kinetic changes of cytokines including IFN-γ, IFN-α, TNF-α, IL-10 and TGF-ß1 matched the development and recovery of illness. Her family members, including her parents exposed to H7N9 positive materials in poultry market, were H7N9 negative. CONCLUSIONS: Our results indicate that pregnant women are susceptible to H7N9 virus and H7N9 infection in pregnant women is curable without significant impact on fetus. Kinetic changes of pro-inflammatory and anti-inflammatory cytokines play a role in the pathogenesis and clinical outcome in the pregnant patient with H7N9 infection.
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BACKGROUND: In the spring of 2008, an EV71-caused hand, foot, and mouth disease (HFMD) outbreak occurred in Fuyang city, Anhui Province, China. Jiangsu Province that borders Auhui to the east is presumed as a key station for the spread of EV71 to other regions of the Yangtze River Delta. OBJECTIVES: To investigate the HFMD prevalence in Zhenjiang city of Jiangsu from May 2008 to October 2009, and the epidemic origin of EV71 circulating in Jiangsu. STUDY DESIGN: During May 2008 and October 2009, a total of 6324 HFMD cases in Zhenjiang, Jiangsu, were investigated. Sixty throat specimens were randomly selected from different patients, and 28 nucleotide sequences of EV71 VP1 regions were successfully determined by RT-nested-PCR and sequencing. EV71 genotypes were characterized by phylogenetic analyses. RESULTS: The incidence rate of HFMD was highest in the period of March-July and in the 1-4 years old age groups. Intriguingly, there was a slight predominance for boys and for children living in rural areas in HFMD infection. Phylogenetic analyses indicated that all Jiangsu EV71 strains and most China strains belonged to subgenotype C4a. CONCLUSION: The C4a was the most prominent EV71 subgenotype circulating in China. Routine HFMD surveillance should be focused on the period of March-July, and more prevention efforts should be aimed at 1-4 years old children. Moreover, government efforts are urgently needed to improve public health condition and medical service quality in rural areas.