Decision-theoretic rough set model and spatial analysis-based waste-to-energy incineration plant site selection: a case study in first-tier cities of China.

Selecting a sustainable waste-to-energy (WTE) incineration plant site is important for handling huge challenges created by on-going municipal solid waste. However, many studies with WTE incineration plant site problems fail to determine alternative evaluation criteria and cities beforehand, which may increase decision costs and evaluation risks. This paper proposes a novel methodology based on decision-theoretic rough set model and suitable analysis for selecting the optimal WTE incineration plant site. Firstly, from the features of cities, alternative evaluation criteria are determined by three-phase method. Considering different geographical features, a geographical index system is established. Secondly, subjective and objective criteria weights are determined by an improved DEMATEL (Decision Making Trial and Evaluation Laboratory) method and TOPSIS (Technique for Order of Preference by Similarity to Ideal Solution) method-based linear programming model under the hesitant fuzzy linguistic context, respectively. Subjective and objective criteria weights are combined to form the final criteria weights by building an optimization model. Thirdly, the decision-theoretic rough set model is utilized to select alternative WTE incineration plant sites. We utilize spatial analysis adopting Geographic Information System technology to rank all alternative cities to build facilities. Finally, a numerical case is performed to illustrate the feasibility of the proposed methodology. The sensitivity analysis with the parameter [Formula: see text] ranking from 0 to 1 is performed, the result confirms that the proposed methodology has better robustness. Compared with the multi-criteria decision-making methods, the effectiveness and superiority of the proposed methodology are demonstrated.

Hemodynamics of different configurations of the left subclavian artery parallel stent graft for thoracic endovascular aortic repair.

BACKGROUND AND OBJECTIVE: Parallel (chimney and periscope) graft technique is an effective approach for left subclavian artery (LSA) reconstruction in patients treated by thoracic endovascular aortic repair (TEVAR) for the inadequate landing zone. However, certain stent graft (SG) configurations may promote thrombosis and reduce distal blood flow, increasing risks of cerebral infarction and reintervention. METHODS: In this paper, we first attempt to systematically evaluate the hemodynamic performances of different parallel graft techniques as potential determinants of complication risks. Based on the patient-specific 3D aortic geometry undergoing parallel graft technique, fifteen models in total for five kinds of LSA branched SG configurations (Forward, Backward, Extended, Elliptical and Periscopic) were designed virtually, and the hemodynamic discrepancies between them were analyzed by computational fluid dynamics. RESULTS: Results show that flow rate of patients undergoing periscope technique reduces by half compared with chimney technique, suggesting that periscope SG may cause more serious flow obstruction to LSA, leading to stroke. For chimney stent structure, the extension length 0has little influence on energy loss and other parameters. Conversely, hemodynamic differences between the retrograde curvature and the antegrade curvature are significant (time average WSS: 47.07%), so the retrograde curvature might prompt SG displacement. Furthermore, the flatter chimney SG induces more aggressive hemodynamic forces, among which the difference of the maximum WSS between the flatter SG and nearly round SG reaches 65.56%, leading to the greater risk of vascular wall damage. CONCLUSIONS: Results obtained might provide suggestions for physicians to formulate appropriate parallel graft technique schemes in TEVAR.